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Winter K, Pfeil JM, Engmann H, Aisenbrey S, Lorenz B, Hufendiek K, Breuss H, Khattab M, Süsskind D, Kakkassery V, Lagrèze WA, Barth T, Liegl R, Bründer MC, Skevas C, Goldammer I, Glitz B, Michalewicz E, Krohne TU, Bartmann IR, Stahl A. Comparability of input parameters in the German Retina.net ROP registry and the EU-ROP registry - An exemplary comparison between 2011 and 2021. Acta Ophthalmol 2024; 102:e314-e321. [PMID: 37725047 DOI: 10.1111/aos.15753] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 07/04/2023] [Accepted: 08/29/2023] [Indexed: 09/21/2023]
Abstract
PURPOSE The German Retina.net ROP registry and its Europe-wide successor, the EU-ROP registry, collect data from patients treated for ROP. This analysis compares input parameters of these two registries to establish a procedure for joint analyses of different registry data using exemplary datasets from the two registries. METHODS Exemplary datasets from the two databases over a 1-year period each (German Retina.net ROP Registry, 2011, 22 infants; EU-ROP Registry, 2021, 44 infants) were compared. The parameters documented in the two databases were aligned and analysed regarding demographic parameters, treatment modalities, complications within first 24 h and retreatments. RESULTS The current analysis showed that data can be aligned for joint analyses with some adjustments within the data structure. The registry with more detailed data collection (EU-ROP) needs to be reduced regarding granularity in order to align the different registries, as the registry with lower granularity determines the level of analyses that can be performed in a comparative approach. In the exemplary datasets, we observed that the overall most common ROP severity in both registries was zone II, 3+ (2011: 70.5%; 2021: 65%), with decreasing numbers of clock hours showing preretinal neovascularisations (2011: 10-12 clock hours in 29% of cases, 2021: 4-6 clock hours in 38%). The most prevalent treatment method was laser coagulation in 2011 (75%) and anti-VEGF therapy in 2021 (86.1%). Within the anti-VEGF group, all patients were treated with bevacizumab in 2011 and with ranibizumab in 2021. Retreatment rates were comparable in 2011 and 2021. CONCLUSION Data from two different ROP registries can be aligned and jointly analysed. The analysis reveals a paradigm shift in treatment modalities, from predominantly laser to anti-VEGF, and within the anti-VEGF group from bevacizumab to ranibizumab in Germany. In addition, there was a trend towards earlier treatment in 2021.
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Affiliation(s)
- K Winter
- Department of Ophthalmology, University Medicine Greifswald, Greifswald, Germany
| | - J M Pfeil
- Department of Ophthalmology, University Medicine Greifswald, Greifswald, Germany
| | - H Engmann
- Department of Ophthalmology, University Medicine Greifswald, Greifswald, Germany
| | - S Aisenbrey
- Department of Ophthalmology, Vivantes Klinikum Neukoelln, Berlin, Germany
| | - B Lorenz
- Department of Ophthalmology, University Medicine Giessen and Marburg GmbH Giessen Campus, Giessen, Germany
| | - K Hufendiek
- University Eye Hospital, Hannover Medical School, Hannover, Germany
| | - H Breuss
- Department of Ophthalmology, HELIOS Klinikum Berlin-Buch, Berlin, Germany
| | - M Khattab
- Department of Ophthalmology, University Medical Center Goettingen, Goettingen, Germany
| | - D Süsskind
- University Eye Hospital, Eberhard Karls University of Tuebingen, Tuebingen, Germany
| | - V Kakkassery
- Department of Ophthalmology, University of Luebeck, Luebeck, Germany
| | - W A Lagrèze
- Eye Center, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany
| | - T Barth
- Department of Ophthalmology, University of Regensburg, Regensburg, Germany
| | - R Liegl
- Department of Ophthalmology, University Medicine Bonn, Bonn, Germany
| | - M C Bründer
- Department of Ophthalmology, University Medicine Greifswald, Greifswald, Germany
| | - C Skevas
- Department of Ophthalmology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - I Goldammer
- Department of Ophthalmology, Klinikum Chemnitz gGmbH, Chemnitz, Germany
| | - B Glitz
- Department of Ophthalmology, University of Muenster Medical Center, Muenster, Germany
| | - E Michalewicz
- Department of Ophthalmology, University Hospital RWTH Aachen, Aachen, Germany
| | - T U Krohne
- Department of Ophthalmology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
| | - I R Bartmann
- Department of Ophthalmology, Klinikum Fulda, Faculty of Medicine/Campus Fulda, University of Marburg, Fulda, Germany
| | - A Stahl
- Department of Ophthalmology, University Medicine Greifswald, Greifswald, Germany
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Winter K. Are tropical forests approaching critical temperature thresholds? Plant Biol (Stuttg) 2024. [PMID: 38477075 DOI: 10.1111/plb.13638] [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] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Accepted: 02/08/2024] [Indexed: 03/14/2024]
Abstract
There is growing concern about the fate of tropical forests in the face of rising global temperatures. Doughty et al. (2023) suggest that an increase in air temperature beyond ∼4 °C will result in massive death of tropical forest leaves and potentially tree death. However, this prediction relies on assumptions that likely underestimate the heat tolerance of tropical leaves.
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Affiliation(s)
- K Winter
- Smithsonian Tropical Research Institute, Panama City, Republic of Panama
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Troillet A, Hildebrand J, Stoffel MH, Schwabe S, Winter K, Brehm W. Histo-morphological effects on equine synovium after arthroscopic synovectomy using two different motorized synovial resectors and two different intensities. J Equine Vet Sci 2024; 133:104988. [PMID: 38157949 DOI: 10.1016/j.jevs.2023.104988] [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] [Received: 07/12/2023] [Revised: 12/21/2023] [Accepted: 12/26/2023] [Indexed: 01/03/2024]
Abstract
The purpose of the study was to determine the histo-morphological effects on villous synovium after synovectomy using two different motorized synovial resectors and two different intensities ex-vivo. Thirty-three (n = 33) equine metacarpophalangeal/metatarsophalangeal joints were used. Synovectomy was performed along the dorsomedial/dorsolateral synovium (n = 66) using two motorized synovial resectors (aggressive full radius resector, AFRR, used at two intensities: single treatment, n = 24 vs. triple treatment, n = 21 vs. aggressive meniscus side cutter, AMSC, n = 21). Arthroscopic images were evaluated blindly for resector type and intensity. Histological images were evaluated descriptive for synovial morphology and the extent of tissue loss using a microscopic scale. Scanning electron microscopy described the synovial morphology. The synovectomized areas were specific for each resector used and distinguishable from arthroscopic images. The AFRR demonstrated a clear demarcation between treated and non-treated areas and removed the stratum synoviale completely including parts of the underlying stratum fibrosum. In contrast, the AMSC showed less clear demarcation, villous scaffolds and no involvement of the stratum fibrosum. Triple intense treated AFFR samples resulted in significantly deeper lesions compared to single treatments (p = 0.037) but could not be distinguished on arthroscopic images. The morphological effects on villous synovium differ according to the resector type used. The extent of synovial tissue loss cannot be estimated from arthroscopic images but histologically. The type and use of motorized synovial resector determines the morphological alterations of the treated synovium. Arthroscopic control is considered unsuitable to control synovectomy depth.
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Affiliation(s)
- A Troillet
- Department for Horses, Faculty of Veterinary Medicine, University of Leipzig, An den Tierkliniken 21, Leipzig 04103, Germany.
| | - J Hildebrand
- Equine Clinic, VetSuisse Faculty, University of Berne, Länggassstrasse 124, Berne 3012, Switzerland
| | - M H Stoffel
- Institute for Veterinary Anatomy, VetSuisse Faculty, University of Berne, Länggassstrasse 120, Berne 3001, Switzerland
| | - S Schwabe
- Institute for Veterinary Anatomy, VetSuisse Faculty, University of Berne, Länggassstrasse 120, Berne 3001, Switzerland
| | - K Winter
- Institute of Anatomy, Medical Faculty, University of Leipzig, Liebigstrasse 12, Leipzig 04103, Germany
| | - W Brehm
- Department for Horses, Faculty of Veterinary Medicine, University of Leipzig, An den Tierkliniken 21, Leipzig 04103, Germany
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Dawson L, Winter K, Knox J, Zhu A, Krishnan S, Guha C, Kachnic L, Gillin M, Hong T, Craig T, Hosni A, Chen E, Noonan A, Koay E, Sinha R, Lock M, Ohri N, Dorth J, Moughan J, Crane C. NRG/RTOG 1112: Randomized Phase III Study of Sorafenib vs. Stereotactic Body Radiation Therapy (SBRT) Followed by Sorafenib in Hepatocellular Carcinoma (HCC) (NCT01730937). Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.09.002] [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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Vicini F, Winter K, Freedman G, Arthur D, Hayman J, Rosenstein B, Bentzen S, Li A, Lyons J, Tomberlin J, Seaward S, Cheston S, Coster J, Anderson B, Perera F, Poppe M, Petersen I, Bazan J, Moughan J, White J. NRG RTOG 1005: A Phase III Trial of Hypo Fractionated Whole Breast Irradiation with Concurrent Boost vs. Conventional Whole Breast Irradiation Plus Sequential Boost Following Lumpectomy for High Risk Early-Stage Breast Cancer. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.2320] [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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Moor I, Schneider A, Niederschuh L, Winter K, Richter M. How can school-based interventions reduce health inequalities? Results from two reviews. Eur J Public Health 2022; 32:ckac129.161. [PMCID: PMC9593703 DOI: 10.1093/eurpub/ckac129.161] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2023] Open
Abstract
Background Even in young people the chances to grow up healthy are unequal, depending on their socioeconomic position (SEP). In order to reduce these health inequalities, the school is an important field of action for health promotion. However, the evidence is limited regarding interventions focusing on health inequalities. Thus, the aim of the current research is to investigate 1) which school-based interventions contribute to the reduction of socio-economic inequalities in health and health behaviour of children and adolescents and 2) how and under what conditions they are successful. Methods A systematic and a realist review were conducted. Some steps of the methodological approach were used synergistically for both reviews: development of the search strategy, selection of the databases (MEDLINE, SSCI, SCIE, DoPHER and TRoPHI) and some inclusion and exclusion criteria. The search covered the years 2000-2020. The screening and subsequent steps were applied specific to each review design. Preliminary results The search resulted in 10,524 hits of which 37 publications were included for the systematic review. Most of the interventions focused on nutrition (14), followed by mental health (8) and substance use (5). The results indicate that structural preventive interventions are more likely to reduce health inequalities compared to behavioral preventive interventions. For the Realist Review 7 studies were included. Intrapersonal, interpersonal, and institutional factors were extracted that are relevant for school-based interventions focusing on adolescents with low SEP. Conclusions The systematic review showed that school-based interventions are able to reduce health inequalities, but also to increase them. Structural preventive measures seem to be helpful in increasing health equity. The Realist review identified mechanisms of interventions which help to address students with lower SEP. Key messages • The evidence regarding interventions with focus on health inequalities is limited. We present two reviews analysing what interventions are needed and how and why they work. • Structural preventive measures seem to be helpful in increasing health equity. Factors on the intrapersonal, interpersonal, and institutional level are important to address students with low SEP.
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Affiliation(s)
- I Moor
- Martin-Luther-University Halle-Wittenberg, Institute of Medical Sociology, Medical Faculty, Halle, Germany
| | - A Schneider
- Martin-Luther-University Halle-Wittenberg, Institute of Medical Sociology, Medical Faculty, Halle, Germany
| | - L Niederschuh
- Martin-Luther-University Halle-Wittenberg, Institute of Medical Sociology, Medical Faculty, Halle, Germany
| | - K Winter
- Martin-Luther-University Halle-Wittenberg, Institute of Medical Sociology, Medical Faculty, Halle, Germany
| | - M Richter
- Technical University of Munich, Department of Sport and Health Sciences, Munich, Germany
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Proietti M, Romiti GF, Vitolo M, Harrison SL, Lane DA, Fauchier L, Marin F, Näbauer M, Potpara TS, Dan GA, Maggioni AP, Cesari M, Boriani G, Lip GYH, Ekmekçiu U, Paparisto V, Tase M, Gjergo H, Dragoti J, Goda A, Ciutea M, Ahadi N, el Husseini Z, Raepers M, Leroy J, Haushan P, Jourdan A, Lepiece C, Desteghe L, Vijgen J, Koopman P, Van Genechten G, Heidbuchel H, Boussy T, De Coninck M, Van Eeckhoutte H, Bouckaert N, Friart A, Boreux J, Arend C, Evrard P, Stefan L, Hoffer E, Herzet J, Massoz M, Celentano C, Sprynger M, Pierard L, Melon P, Van Hauwaert B, Kuppens C, Faes D, Van Lier D, Van Dorpe A, Gerardy A, Deceuninck O, Xhaet O, Dormal F, Ballant E, Blommaert D, Yakova D, Hristov M, Yncheva T, Stancheva N, Tisheva S, Tokmakova M, Nikolov F, Gencheva D, Shalganov T, Kunev B, Stoyanov M, Marchov D, Gelev V, Traykov V, Kisheva A, Tsvyatkov H, Shtereva R, Bakalska-Georgieva S, Slavcheva S, Yotov Y, Kubíčková M, Marni Joensen A, Gammelmark A, Hvilsted Rasmussen L, Dinesen P, Riahi S, Krogh Venø S, Sorensen B, Korsgaard A, Andersen K, Fragtrup Hellum C, Svenningsen A, Nyvad O, Wiggers P, May O, Aarup A, Graversen B, Jensen L, Andersen M, Svejgaard M, Vester S, Hansen S, Lynggaard V, Ciudad M, Vettus R, Muda P, Maestre A, Castaño S, Cheggour S, Poulard J, Mouquet V, Leparrée S, Bouet J, Taieb J, Doucy A, Duquenne H, Furber A, Dupuis J, Rautureau J, Font M, Damiano P, Lacrimini M, Abalea J, Boismal S, Menez T, Mansourati J, Range G, Gorka H, Laure C, Vassalière C, Elbaz N, Lellouche N, Djouadi K, Roubille F, Dietz D, Davy J, Granier M, Winum P, Leperchois-Jacquey C, Kassim H, Marijon E, Le Heuzey J, Fedida J, Maupain C, Himbert C, Gandjbakhch E, Hidden-Lucet F, Duthoit G, Badenco N, Chastre T, Waintraub X, Oudihat M, Lacoste J, Stephan C, Bader H, Delarche N, Giry L, Arnaud D, Lopez C, Boury F, Brunello I, Lefèvre M, Mingam R, Haissaguerre M, Le Bidan M, Pavin D, Le Moal V, Leclercq C, Piot O, Beitar T, Martel I, Schmid A, Sadki N, Romeyer-Bouchard C, Da Costa A, Arnault I, Boyer M, Piat C, Fauchier L, Lozance N, Nastevska S, Doneva A, Fortomaroska Milevska B, Sheshoski B, Petroska K, Taneska N, Bakrecheski N, Lazarovska K, Jovevska S, Ristovski V, Antovski A, Lazarova E, Kotlar I, Taleski J, Poposka L, Kedev S, Zlatanovik N, Jordanova S, Bajraktarova Proseva T, Doncovska S, Maisuradze D, Esakia A, Sagirashvili E, Lartsuliani K, Natelashvili N, Gumberidze N, Gvenetadze R, Etsadashvili K, Gotonelia N, Kuridze N, Papiashvili G, Menabde I, Glöggler S, Napp A, Lebherz C, Romero H, Schmitz K, Berger M, Zink M, Köster S, Sachse J, Vonderhagen E, Soiron G, Mischke K, Reith R, Schneider M, Rieker W, Boscher D, Taschareck A, Beer A, Oster D, Ritter O, Adamczewski J, Walter S, Frommhold A, Luckner E, Richter J, Schellner M, Landgraf S, Bartholome S, Naumann R, Schoeler J, Westermeier D, William F, Wilhelm K, Maerkl M, Oekinghaus R, Denart M, Kriete M, Tebbe U, Scheibner T, Gruber M, Gerlach A, Beckendorf C, Anneken L, Arnold M, Lengerer S, Bal Z, Uecker C, Förtsch H, Fechner S, Mages V, Martens E, Methe H, Schmidt T, Schaeffer B, Hoffmann B, Moser J, Heitmann K, Willems S, Willems S, Klaus C, Lange I, Durak M, Esen E, Mibach F, Mibach H, Utech A, Gabelmann M, Stumm R, Ländle V, Gartner C, Goerg C, Kaul N, Messer S, Burkhardt D, Sander C, Orthen R, Kaes S, Baumer A, Dodos F, Barth A, Schaeffer G, Gaertner J, Winkler J, Fahrig A, Aring J, Wenzel I, Steiner S, Kliesch A, Kratz E, Winter K, Schneider P, Haag A, Mutscher I, Bosch R, Taggeselle J, Meixner S, Schnabel A, Shamalla A, Hötz H, Korinth A, Rheinert C, Mehltretter G, Schön B, Schön N, Starflinger A, Englmann E, Baytok G, Laschinger T, Ritscher G, Gerth A, Dechering D, Eckardt L, Kuhlmann M, Proskynitopoulos N, Brunn J, Foth K, Axthelm C, Hohensee H, Eberhard K, Turbanisch S, Hassler N, Koestler A, Stenzel G, Kschiwan D, Schwefer M, Neiner S, Hettwer S, Haeussler-Schuchardt M, Degenhardt R, Sennhenn S, Steiner S, Brendel M, Stoehr A, Widjaja W, Loehndorf S, Logemann A, Hoskamp J, Grundt J, Block M, Ulrych R, Reithmeier A, Panagopoulos V, Martignani C, Bernucci D, Fantecchi E, Diemberger I, Ziacchi M, Biffi M, Cimaglia P, Frisoni J, Boriani G, Giannini I, Boni S, Fumagalli S, Pupo S, Di Chiara A, Mirone P, Fantecchi E, Boriani G, Pesce F, Zoccali C, Malavasi VL, Mussagaliyeva A, Ahyt B, Salihova Z, Koshum-Bayeva K, Kerimkulova A, Bairamukova A, Mirrakhimov E, Lurina B, Zuzans R, Jegere S, Mintale I, Kupics K, Jubele K, Erglis A, Kalejs O, Vanhear K, Burg M, Cachia M, Abela E, Warwicker S, Tabone T, Xuereb R, Asanovic D, Drakalovic D, Vukmirovic M, Pavlovic N, Music L, Bulatovic N, Boskovic A, Uiterwaal H, Bijsterveld N, De Groot J, Neefs J, van den Berg N, Piersma F, Wilde A, Hagens V, Van Es J, Van Opstal J, Van Rennes B, Verheij H, Breukers W, Tjeerdsma G, Nijmeijer R, Wegink D, Binnema R, Said S, Erküner Ö, Philippens S, van Doorn W, Crijns H, Szili-Torok T, Bhagwandien R, Janse P, Muskens A, van Eck M, Gevers R, van der Ven N, Duygun A, Rahel B, Meeder J, Vold A, Holst Hansen C, Engset I, Atar D, Dyduch-Fejklowicz B, Koba E, Cichocka M, Sokal A, Kubicius A, Pruchniewicz E, Kowalik-Sztylc A, Czapla W, Mróz I, Kozlowski M, Pawlowski T, Tendera M, Winiarska-Filipek A, Fidyk A, Slowikowski A, Haberka M, Lachor-Broda M, Biedron M, Gasior Z, Kołodziej M, Janion M, Gorczyca-Michta I, Wozakowska-Kaplon B, Stasiak M, Jakubowski P, Ciurus T, Drozdz J, Simiera M, Zajac P, Wcislo T, Zycinski P, Kasprzak J, Olejnik A, Harc-Dyl E, Miarka J, Pasieka M, Ziemińska-Łuć M, Bujak W, Śliwiński A, Grech A, Morka J, Petrykowska K, Prasał M, Hordyński G, Feusette P, Lipski P, Wester A, Streb W, Romanek J, Woźniak P, Chlebuś M, Szafarz P, Stanik W, Zakrzewski M, Kaźmierczak J, Przybylska A, Skorek E, Błaszczyk H, Stępień M, Szabowski S, Krysiak W, Szymańska M, Karasiński J, Blicharz J, Skura M, Hałas K, Michalczyk L, Orski Z, Krzyżanowski K, Skrobowski A, Zieliński L, Tomaszewska-Kiecana M, Dłużniewski M, Kiliszek M, Peller M, Budnik M, Balsam P, Opolski G, Tymińska A, Ozierański K, Wancerz A, Borowiec A, Majos E, Dabrowski R, Szwed H, Musialik-Lydka A, Leopold-Jadczyk A, Jedrzejczyk-Patej E, Koziel M, Lenarczyk R, Mazurek M, Kalarus Z, Krzemien-Wolska K, Starosta P, Nowalany-Kozielska E, Orzechowska A, Szpot M, Staszel M, Almeida S, Pereira H, Brandão Alves L, Miranda R, Ribeiro L, Costa F, Morgado F, Carmo P, Galvao Santos P, Bernardo R, Adragão P, Ferreira da Silva G, Peres M, Alves M, Leal M, Cordeiro A, Magalhães P, Fontes P, Leão S, Delgado A, Costa A, Marmelo B, Rodrigues B, Moreira D, Santos J, Santos L, Terchet A, Darabantiu D, Mercea S, Turcin Halka V, Pop Moldovan A, Gabor A, Doka B, Catanescu G, Rus H, Oboroceanu L, Bobescu E, Popescu R, Dan A, Buzea A, Daha I, Dan G, Neuhoff I, Baluta M, Ploesteanu R, Dumitrache N, Vintila M, Daraban A, Japie C, Badila E, Tewelde H, Hostiuc M, Frunza S, Tintea E, Bartos D, Ciobanu A, Popescu I, Toma N, Gherghinescu C, Cretu D, Patrascu N, Stoicescu C, Udroiu C, Bicescu G, Vintila V, Vinereanu D, Cinteza M, Rimbas R, Grecu M, Cozma A, Boros F, Ille M, Tica O, Tor R, Corina A, Jeewooth A, Maria B, Georgiana C, Natalia C, Alin D, Dinu-Andrei D, Livia M, Daniela R, Larisa R, Umaar S, Tamara T, Ioachim Popescu M, Nistor D, Sus I, Coborosanu O, Alina-Ramona N, Dan R, Petrescu L, Ionescu G, Popescu I, Vacarescu C, Goanta E, Mangea M, Ionac A, Mornos C, Cozma D, Pescariu S, Solodovnicova E, Soldatova I, Shutova J, Tjuleneva L, Zubova T, Uskov V, Obukhov D, Rusanova G, Soldatova I, Isakova N, Odinsova S, Arhipova T, Kazakevich E, Serdechnaya E, Zavyalova O, Novikova T, Riabaia I, Zhigalov S, Drozdova E, Luchkina I, Monogarova Y, Hegya D, Rodionova L, Rodionova L, Nevzorova V, Soldatova I, Lusanova O, Arandjelovic A, Toncev D, Milanov M, Sekularac N, Zdravkovic M, Hinic S, Dimkovic S, Acimovic T, Saric J, Polovina M, Potpara T, Vujisic-Tesic B, Nedeljkovic M, Zlatar M, Asanin M, Vasic V, Popovic Z, Djikic D, Sipic M, Peric V, Dejanovic B, Milosevic N, Stevanovic A, Andric A, Pencic B, Pavlovic-Kleut M, Celic V, Pavlovic M, Petrovic M, Vuleta M, Petrovic N, Simovic S, Savovic Z, Milanov S, Davidovic G, Iric-Cupic V, Simonovic D, Stojanovic M, Stojanovic S, Mitic V, Ilic V, Petrovic D, Deljanin Ilic M, Ilic S, Stoickov V, Markovic S, Kovacevic S, García Fernandez A, Perez Cabeza A, Anguita M, Tercedor Sanchez L, Mau E, Loayssa J, Ayarra M, Carpintero M, Roldán Rabadan I, Leal M, Gil Ortega M, Tello Montoliu A, Orenes Piñero E, Manzano Fernández S, Marín F, Romero Aniorte A, Veliz Martínez A, Quintana Giner M, Ballesteros G, Palacio M, Alcalde O, García-Bolao I, Bertomeu Gonzalez V, Otero-Raviña F, García Seara J, Gonzalez Juanatey J, Dayal N, Maziarski P, Gentil-Baron P, Shah D, Koç M, Onrat E, Dural IE, Yilmaz K, Özin B, Tan Kurklu S, Atmaca Y, Canpolat U, Tokgozoglu L, Dolu AK, Demirtas B, Sahin D, Ozcan Celebi O, Diker E, Gagirci G, Turk UO, Ari H, Polat N, Toprak N, Sucu M, Akin Serdar O, Taha Alper A, Kepez A, Yuksel Y, Uzunselvi A, Yuksel S, Sahin M, Kayapinar O, Ozcan T, Kaya H, Yilmaz MB, Kutlu M, Demir M, Gibbs C, Kaminskiene S, Bryce M, Skinner A, Belcher G, Hunt J, Stancombe L, Holbrook B, Peters C, Tettersell S, Shantsila A, Lane D, Senoo K, Proietti M, Russell K, Domingos P, Hussain S, Partridge J, Haynes R, Bahadur S, Brown R, McMahon S, Y H Lip G, McDonald J, Balachandran K, Singh R, Garg S, Desai H, Davies K, Goddard W, Galasko G, Rahman I, Chua Y, Payne O, Preston S, Brennan O, Pedley L, Whiteside C, Dickinson C, Brown J, Jones K, Benham L, Brady R, Buchanan L, Ashton A, Crowther H, Fairlamb H, Thornthwaite S, Relph C, McSkeane A, Poultney U, Kelsall N, Rice P, Wilson T, Wrigley M, Kaba R, Patel T, Young E, Law J, Runnett C, Thomas H, McKie H, Fuller J, Pick S, Sharp A, Hunt A, Thorpe K, Hardman C, Cusack E, Adams L, Hough M, Keenan S, Bowring A, Watts J, Zaman J, Goffin K, Nutt H, Beerachee Y, Featherstone J, Mills C, Pearson J, Stephenson L, Grant S, Wilson A, Hawksworth C, Alam I, Robinson M, Ryan S, Egdell R, Gibson E, Holland M, Leonard D, Mishra B, Ahmad S, Randall H, Hill J, Reid L, George M, McKinley S, Brockway L, Milligan W, Sobolewska J, Muir J, Tuckis L, Winstanley L, Jacob P, Kaye S, Morby L, Jan A, Sewell T, Boos C, Wadams B, Cope C, Jefferey P, Andrews N, Getty A, Suttling A, Turner C, Hudson K, Austin R, Howe S, Iqbal R, Gandhi N, Brophy K, Mirza P, Willard E, Collins S, Ndlovu N, Subkovas E, Karthikeyan V, Waggett L, Wood A, Bolger A, Stockport J, Evans L, Harman E, Starling J, Williams L, Saul V, Sinha M, Bell L, Tudgay S, Kemp S, Brown J, Frost L, Ingram T, Loughlin A, Adams C, Adams M, Hurford F, Owen C, Miller C, Donaldson D, Tivenan H, Button H, Nasser A, Jhagra O, Stidolph B, Brown C, Livingstone C, Duffy M, Madgwick P, Roberts P, Greenwood E, Fletcher L, Beveridge M, Earles S, McKenzie D, Beacock D, Dayer M, Seddon M, Greenwell D, Luxton F, Venn F, Mills H, Rewbury J, James K, Roberts K, Tonks L, Felmeden D, Taggu W, Summerhayes A, Hughes D, Sutton J, Felmeden L, Khan M, Walker E, Norris L, O’Donohoe L, Mozid A, Dymond H, Lloyd-Jones H, Saunders G, Simmons D, Coles D, Cotterill D, Beech S, Kidd S, Wrigley B, Petkar S, Smallwood A, Jones R, Radford E, Milgate S, Metherell S, Cottam V, Buckley C, Broadley A, Wood D, Allison J, Rennie K, Balian L, Howard L, Pippard L, Board S, Pitt-Kerby T. Epidemiology and impact of frailty in patients with atrial fibrillation in Europe. Age Ageing 2022; 51:6670566. [PMID: 35997262 DOI: 10.1093/ageing/afac192] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [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: 03/17/2022] [Revised: 06/08/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Frailty is a medical syndrome characterised by reduced physiological reserve and increased vulnerability to stressors. Data regarding the relationship between frailty and atrial fibrillation (AF) are still inconsistent. OBJECTIVES We aim to perform a comprehensive evaluation of frailty in a large European cohort of AF patients. METHODS A 40-item frailty index (FI) was built according to the accumulation of deficits model in the AF patients enrolled in the ESC-EHRA EORP-AF General Long-Term Registry. Association of baseline characteristics, clinical management, quality of life, healthcare resources use and risk of outcomes with frailty was examined. RESULTS Among 10,177 patients [mean age (standard deviation) 69.0 (11.4) years, 4,103 (40.3%) females], 6,066 (59.6%) were pre-frail and 2,172 (21.3%) were frail, whereas only 1,939 (19.1%) were considered robust. Baseline thromboembolic and bleeding risks were independently associated with increasing FI. Frail patients with AF were less likely to be treated with oral anticoagulants (OACs) (odds ratio 0.70, 95% confidence interval 0.55-0.89), especially with non-vitamin K antagonist OACs and managed with a rhythm control strategy, compared with robust patients. Increasing frailty was associated with a higher risk for all outcomes examined, with a non-linear exponential relationship. The use of OAC was associated with a lower risk of outcomes, except in patients with very/extremely high frailty. CONCLUSIONS In this large cohort of AF patients, there was a high burden of frailty, influencing clinical management and risk of adverse outcomes. The clinical benefit of OAC is maintained in patients with high frailty, but not in very high/extremely frail ones.
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Affiliation(s)
- Marco Proietti
- Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK.,Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.,Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy
| | - Giulio Francesco Romiti
- Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK.,Department of Translational and Precision Medicine, Sapienza - University of Rome, Italy
| | - Marco Vitolo
- Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK.,Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy.,Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy
| | - Stephanie L Harrison
- Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK
| | - Deirdre A Lane
- Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK.,Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
| | - Laurent Fauchier
- Service de Cardiologie, Centre Hospitalier Universitaire Trousseau, Tours, France
| | - Francisco Marin
- Department of Cardiology, Hospital Universitario Virgen de la Arrixaca, IMIB-Arrixaca, University of Murcia, CIBER-CV, Murcia, Spain
| | - Michael Näbauer
- Department of Cardiology, Ludwig-Maximilians-University, Munich, Germany
| | - Tatjana S Potpara
- School of Medicine, University of Belgrade, Belgrade, Serbia.,Clinical Center of Serbia, Belgrade, Serbia
| | - Gheorghe-Andrei Dan
- University of Medicine, 'Carol Davila', Colentina University Hospital, Bucharest, Romania
| | - Aldo P Maggioni
- ANMCO Research Center, Heart Care Foundation, Florence, Italy
| | - Matteo Cesari
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.,Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy
| | - Giuseppe Boriani
- Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy
| | - Gregory Y H Lip
- Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK.,Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Moor I, Winter K, Markert J, Richter M. Die HBSC-Studie Sachsen-Anhalt. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753892] [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: 12/12/2022]
Affiliation(s)
- I Moor
- Martin-Luther Universität Halle-Wittenberg, Institut
für Medizinische Soziologie (IMS), Halle (Saale),
Deutschland
| | - K Winter
- Martin-Luther Universität Halle-Wittenberg, Institut
für Medizinische Soziologie (IMS), Halle (Saale),
Deutschland
| | - J Markert
- Martin-Luther Universität Halle-Wittenberg, Institut
für Medizinische Soziologie (IMS), Halle (Saale),
Deutschland
| | - M Richter
- Technische Universität München, Lehrstuhl für
Soziale Determinanten der Gesundheit, München, Deutschland
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9
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Winter K, Jung A, Ulrich HS, Schneider N, Brzank PJ. Belastungen, Ressourcen und Versorgungsbedarfe von ungewollt
Schwangeren mit Gewalterfahrungen in intimen Paarbeziehungen: ein Realist
Review. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753591] [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: 12/12/2022]
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10
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Runow C, Moor I, Winter K. HBSC-Studie Sachsen-Anhalt: Chancen und Herausforderungen für
die soziallagenbezogene Gesundheitsförderung in der schulischen und
kommunalen Lebenswelt. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753891] [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: 12/12/2022]
Affiliation(s)
- C Runow
- IKK gesund plus, Grundsatzfragen Prävention, Magdeburg,
Deutschland
| | - I Moor
- Martin-Luther-Universität Halle-Wittenberg, Institut
für Medizinische Soziologie, Halle, Deutschland
| | - K Winter
- Martin-Luther-Universität Halle-Wittenberg, Institut
für Medizinische Soziologie, Halle, Deutschland
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11
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Moor I, Winter K, Richter M. Herausforderungen und Strategien in der Rekrutierung von Schulen:
Erfahrungen der „Health Behaviour in School-aged Children
(HBSC)“ Studie. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753946] [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: 12/12/2022]
Affiliation(s)
- I Moor
- Martin-Luther Universität Halle-Wittenberg, Institut
für Medizinische Soziologie (IMS), Halle (Saale),
Deutschland
| | - K Winter
- Martin-Luther Universität Halle-Wittenberg, Institut
für Medizinische Soziologie (IMS), Halle (Saale),
Deutschland
| | - M Richter
- Technische Universität München, Lehrstuhl für
Soziale Determinanten der Gesundheit, München, Deutschland
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12
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Ulrich HS, Markert J, Jung A, Winter K, Laué M, Brzank PJ. Ressourcen, Belastungen und Versorgungsbedarfe von ungewollt
schwangeren geflüchteten und „illegalisierten“ Frauen:
ein Realist-Review. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753590] [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: 12/12/2022]
Affiliation(s)
- H-S Ulrich
- Hochschule Nordhausen, Institut für Sozialmedizin,
Rehabilitationswissenschaften und Versorgungsforschung, Nordhausen,
Deutschland
| | - J Markert
- Martin-Luther Universität Halle-Wittenberg, Institut
für Medizinische Soziologie (IMS), Halle (Saale),
Deutschland
| | - A Jung
- Hochschule Nordhausen, Institut für Sozialmedizin,
Rehabilitationswissenschaften und Versorgungsforschung, Nordhausen,
Deutschland
| | - K Winter
- Hochschule Nordhausen, Institut für Sozialmedizin,
Rehabilitationswissenschaften und Versorgungsforschung, Nordhausen,
Deutschland
| | - M Laué
- Hochschule Nordhausen, Institut für Sozialmedizin,
Rehabilitationswissenschaften und Versorgungsforschung, Nordhausen,
Deutschland
| | - PJ Brzank
- Hochschule Nordhausen, Institut für Sozialmedizin,
Rehabilitationswissenschaften und Versorgungsforschung, Nordhausen,
Deutschland
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Cabrit N, Faron M, Tierney J, Cheugoua-Zanetsie M, Thirion P, Cunningham D, Winter K, Fu J, Mauer M, Shapiro J, Burmeister B, Walsh T, Piessen G, Klevebro F, Ychou M, Van Der Gaast A, Law S, Stahl M, Paoletti X, Ducreux M, Michiels S. SO-5 Disease-free survival as surrogate for overall survival in neoadjuvant chemo(radio)therapy treatment of esophageal or gastro-esophageal junction carcinoma: An analysis of 4518 individual patients and 22 trials. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.404] [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: 11/01/2022] Open
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14
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Faron M, Cheugoua-Zanetsie M, Thirion P, Tierney J, Cunningham D, Winter K, Fu J, Mauer M, Shapiro J, Burmeister B, Walsh T, Piessen G, Klevebro F, Ychou M, Van Der Gaast A, Law S, Stahl M, van Sandick J, Pignon J, Ducreux M, Michiels S. SO-4 Individual participant data network meta-analysis (IPD-NMA) of neoadjuvant chemotherapy or chemoradiotherapy in esophageal or gastro-esophageal junction carcinoma. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.403] [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: 11/01/2022] Open
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Trikalinos NA, Hammill C, Liu J, Navale P, Winter K, Chatterjee D, Iravani A, Amin M, Itani M. Preliminary experience with a new institutional tumor board dedicated to patients with neuroendocrine neoplasms. Abdom Radiol (NY) 2022; 47:4096-4102. [PMID: 36266515 PMCID: PMC9589527 DOI: 10.1007/s00261-022-03707-x] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Revised: 10/06/2022] [Accepted: 10/07/2022] [Indexed: 01/18/2023]
Abstract
PURPOSE To determine the decision patterns of a neuroendocrine neoplasm (NEN) tumor board (TB) and the factors behind those. METHODS We retrospectively reviewed all NEN-TB recommendations from 07/2018 to 12/2021 and recorded patient characteristics, TB outcomes and associations between them. RESULTS A total of 652 patient entries were identified. Median age of participants was 61 years and an equal number of men and women were presented. Most patients (33.4%) had tumors originating in the small bowel with 16.8% of high grade and 25.9% of pancreatic origin. Imaging was reviewed 97.2% of the time, with most frequently reviewed modalities being PET (55.3%) and CT (44.3%). Imaging review determined that there was no disease progression 20.8% of the time and significant treatment changes were recommended in 36.1% of patients. Major pathology amendments occurred in 3.7% of cases and a clinical trial was identified in 2.6%. There was no association between patient or disease presentation with the tumor board outcomes. There was a slight decrease in number of patients discussed per session, from 10.0 to 8.2 (p < 0.001) when the TB transitioned to a virtual format during the COVID-19 pandemic but all other factors remained unchanged. CONCLUSION NEN-TB relies heavily on image review, can impact significant treatment changes in patients with rare tumors like NENs, and was not affected by the switch to a virtual format. Finally, none of the examined factors were predictive of the tumor board recommendations.
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Affiliation(s)
- Nikolaos A. Trikalinos
- Department of Medicine, Division of Oncology, Washington University Medical School Campus, 660 South Euclid Avenue, Box 8069, St. Louis, MO 63110 USA ,Siteman Cancer Center, St Louis, MO USA
| | - Chet Hammill
- Department of Surgery, Washington University in St. Louis, St Louis, MO USA
| | - Jingxia Liu
- Division of Public Health Sciences, Washington University Medical School, St. Louis, MO USA
| | - Pooja Navale
- Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO USA
| | - Kyle Winter
- Department of Medicine, Division of Oncology, Washington University Medical School Campus, 660 South Euclid Avenue, Box 8069, St. Louis, MO 63110 USA ,Siteman Cancer Center, St Louis, MO USA
| | - Deyali Chatterjee
- Department of Pathology, University of Texas MD Anderson Cancer Center, Houston, TX USA
| | - Amir Iravani
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO USA
| | - Manik Amin
- Medical Oncology, Dartmouth Hitchcock Medical Center, Lebanon, NH 03766 USA
| | - Malak Itani
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO USA
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Spychalski M, Włodarczyk M, Winter K. Impact of COVID-19 pandemic on endoscopic submucosal dissection outcomes in early colorectal tumours. Br J Surg 2021; 108:e224-e225. [PMID: 33713112 PMCID: PMC7989635 DOI: 10.1093/bjs/znab079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 02/07/2021] [Indexed: 11/14/2022]
Affiliation(s)
| | - M Włodarczyk
- Department of General and Colorectal Surgery, Medical University of Lodz, Lodz, Poland
| | - K Winter
- Center of Bowel Treatment, Brzeziny, Poland
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Körfer J, Hußtegge M, Gockel I, Monecke A, Schumacher G, Weimann A, Winter K, Bechmann I, Lordick F, Kallendrusch S. 100P Patient-derived tissue cultures of esophagogastric-junction cancer (EGJC) and gastric cancer (GC): An ex vivo model to study individual response of immunotherapy. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.10.589] [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: 11/27/2022] Open
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Trikalinos NA, Chatterjee D, Winter K, Powell M, Yano M. Tumor Evolution in a Patient with Recurrent Endometrial Cancer and Synchronous Neuroendocrine Cancer and Response to Checkpoint Inhibitor Treatment. Oncologist 2020; 26:90-96. [PMID: 32945065 DOI: 10.1002/onco.13525] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Accepted: 08/06/2020] [Indexed: 12/17/2022] Open
Abstract
Both metachronous and synchronous tumors pose a diagnostic and clinical challenge, more so when one of the specimens demonstrates the rare neuroendocrine histology. We describe a patient with sarcoidosis who was treated for endometrial and ovarian neoplasm, recurred with two separate histologies (adenocarcinoma and high grade neuroendocrine), both associated with microsatellite instability (MSI)-high status. Targeted next-generation sequencing of tumor with synonymous somatic alterations pointed to a common ancestry of all three tumors and patient was successfully treated with a tailored immunotherapy regimen. Her sarcoidosis worsened only slightly, and immunotherapy did not need to be discontinued. This case highlights the importance of molecular testing for the optimal therapy of complex synchronous tumors and the need for communication between surgical and medical oncologists in patients with MSI-high cancer. KEY POINTS: The case of a patient with a recurrent gynecological cancer presenting as microsatellite instability (MSI)-high endometrial adenocarcinoma and MSI-high neuroendocrine tumor is reported. This case demonstrated a common genetic lineage with good response to checkpoint inhibition without clinical worsening of autoimmune disease. This article adds to the literature, suggesting tumor evolution with neuroendocrine differentiation in some cancers, and argues that a molecular-based approach to treatment might achieve better understanding and possibly superior treatment outcomes.
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Affiliation(s)
| | - Deyali Chatterjee
- Department of Pathology and Immunology, Washington University in St. Louis, St Louis, Missouri, USA
| | - Kyle Winter
- Department of Pathology and Immunology, Washington University in St. Louis, St Louis, Missouri, USA
| | - Matthew Powell
- Department of Gynecologic Oncology, Washington University in St. Louis, St Louis, Missouri, USA
| | - Motoyo Yano
- Department of Diagnostic Radiology, Mayo Clinic College of Medicine, Scottsdale, Arizona, USA
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Pietzka S, Mascha F, Winter K, Kämmerer PW, Sakkas A, Schramm A, Wilde F. Clinical Accuracy of 3D-Planned Maxillary Positioning Using CAD/CAM-Generated Splints in Combination With Temporary Mandibular Fixation in Bimaxillary Orthognathic Surgery. Craniomaxillofac Trauma Reconstr 2020; 13:290-299. [PMID: 33456700 DOI: 10.1177/1943387520949348] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Study Design The aim of this study was to evaluate the accuracy of 3-dimensional (3D)-planned maxillary positioning by using computer-assisted design (CAD)/computer-assisted manufacturing (CAM) splints combined with temporary mandibular fixation in bimaxillary orthognathic surgery. In orthognathic surgery, customized splints work sufficiently well to transfer preoperative planning into the operation site for transverse und sagittal positioning of the maxilla. The vertical positioning is more difficult due to the non-fixed mandibular reference. Therefore, the combined use of CAD/CAM splints and temporary mandibular fixation to the zygomatic region was applied for transferring the 3D-planned maxillary position into the operation site from 2012 until 2015 in our hospital. Objective In addition to the general accuracy, the precision should therefore be checked especially in the vertical plane compared to axial and sagittal plane. Methods In this retrospective study, we calculated the deviation of 5 occlusal landmarks of the maxilla in 35 consecutive patients by fusing preoperative 3D planning images and postoperative computed tomography scans after bimaxillary surgery. Results The overall median deviation of maxillary positioning between plan and surgical result was 0.99 mm. The accuracy of left-right positioning was median 0.96 mm. Anterior-posterior positioning of the maxilla showed a median accuracy of 0.94 mm. Just slightly higher values were determined for the upward-downward positioning (median 1.06 mm). Conclusions This demonstrates the predictability of maxillary positioning by using CAD/CAM splints in combination with temporary mandibular fixation in all 3 axes.
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Affiliation(s)
- S Pietzka
- Department of Oral and Maxillofacial Surgery, University Hospital Ulm, Ulm, Germany.,Department of Oral and Plastic Maxillofacial Surgery, Military Hospital Ulm, Ulm, Germany
| | - F Mascha
- Department of Oral and Maxillofacial Surgery, University Hospital Ulm, Ulm, Germany.,Department of Oral and Plastic Maxillofacial Surgery, Military Hospital Ulm, Ulm, Germany
| | - K Winter
- Institute of Anatomy, Medical Faculty, University of Leipzig, Leipzig, Germany
| | - P W Kämmerer
- Department of Cranio-Maxillofacial Surgery, University Medical Centre Mainz, Mainz, Germany
| | - A Sakkas
- Department of Oral and Plastic Maxillofacial Surgery, Military Hospital Ulm, Ulm, Germany
| | - A Schramm
- Department of Oral and Maxillofacial Surgery, University Hospital Ulm, Ulm, Germany.,Department of Oral and Plastic Maxillofacial Surgery, Military Hospital Ulm, Ulm, Germany
| | - F Wilde
- Department of Oral and Maxillofacial Surgery, University Hospital Ulm, Ulm, Germany.,Department of Oral and Plastic Maxillofacial Surgery, Military Hospital Ulm, Ulm, Germany
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Manyanont S, Winter K, Trikalinos N. Usefulness and applicability of next generation sequencing in neuroendocrine neoplasms. J Clin Oncol 2020. [DOI: 10.1200/jco.2020.38.4_suppl.626] [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: 11/20/2022] Open
Abstract
626 Background: Neuroendocrine neoplasms (NENs) are rare tumors that can arise anywhere in the body and treatment options are limited due to their rarity. Knowledge of their mutational status might allow for tumor agnostic treatments or aid in enrollment in clinical trials, especially in the metastatic setting. Methods: Eligible NEN patients on an institutional, IRB approved protocol, who had NGS as standard of care and were treated in the past 24 months were included. Tumors were categorized by location and histologic grade. We explored the actual and theoretical eligibility for tumor agnostic treatments and enrollment in clinical trials as available on clinicaltrials.gov. Results: Between August 2017 and July 2019 a total of 107 patients were eligible. Globally 102 clinical trials included patients with NEN and specific mutations.NGS detected one (1%) case of MSI high and one (1) TRK fusion positive tumor, eligible for checkpoint inhibitor and TRK inhibitor therapy respectively. Moreover, NGS identified 16 (15%) cases of MEN1, 1 (1%) of RET, 2 (2%) of NF1 and 3 (2.8%) of MUTYH, 2 (2%) TSC or TSC2, BRCA in 1(1%). These patients were appropriately referred to genetic counseling. About 51.5% of patients would in theory be eligible for an investigational treatment based on mutations and clinical trial availability. Fifty two of 107 patients (48.5%) would not have been eligible for a clinical trial with reasons varying between no mutations (24%), sample failure (8.4%) or nonactionable mutations (15.9%). Conclusions: NGS can point to clinical trial eligibility and guide genetic counseling and should probably be a standard approach in the evaluation of new metastatic NEN patients.
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Affiliation(s)
| | - Kyle Winter
- Washington University in St. Louis, St. Louis, MO
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21
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Beyer NF, Troillet A, Winter K, Brehm W, Scharner D. Diagnosis and management of cryptorchid horses – a retrospective analysis of 86 cases. PFERDEHEILKUNDE 2020. [DOI: 10.21836/pem20200303] [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: 11/27/2022]
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22
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Troillet A, Winter K, Behrens C, Gerlach K. Retrospective analysis of endoscopic versus needle lavage in horses with traumatically injured joints and tendon sheaths. PFERDEHEILKUNDE 2020. [DOI: 10.21836/pem20200207] [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: 11/27/2022]
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De Sedas A, González Y, Winter K, Lopez OR. Seedling responses to salinity of 26 Neotropical tree species. AoB Plants 2019; 11:plz062. [PMID: 31788179 PMCID: PMC6876892 DOI: 10.1093/aobpla/plz062] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Accepted: 08/16/2019] [Indexed: 05/31/2023]
Abstract
Sea-level rise will result in increased salinization of coastal areas. Soil salinity is a major abiotic stress that reduces plant growth, yet tolerance to salinity varies across environmental conditions, habitats and species. To determine salinity tolerance of 26 common tropical tree species from Panama, we measured growth, gas exchange and mortality of 3-month-old seedlings subjected to weekly irrigation treatments using five seawater solutions (0 % = control, 20, 40, 60 and 90 % V/V of seawater) for ~2 months. In general, species from coastal areas were more tolerant to increased seawater concentration than inland species. Coastal species such as Pithecellobium unguis-cati, Mora oleifera, Terminalia cattapa and Thespesia populnea maintained growth rates close to those of controls at 90 % seawater. In contrast, inland species such as Minquartia guainensis, Apeiba membranacea, Ormosia coccinea and Ochroma pyramidale showed strong reductions in growth rates and high mortality. Plant height and leaf production also differed greatly between the two groups of plants. Furthermore, measurements of gas exchange parameters, i.e. stomatal conductance and maximum photosynthetic rate, were consistent with the contrasting growth responses of coastal and inland species. Our research reveals a great degree of variation in salinity tolerance among tropical tree species and demonstrates a close relationship between species habitat and the ability to thrive under increasing salt concentration in the soil, with coastal species being better adapted to withstand increased soil salinity than non-costal species.
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Affiliation(s)
- A De Sedas
- Centro de Biodiversidad y Descubrimiento de Drogas, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología, Ciudad del Saber, Clayton, Panamá, República de Panamá
- Department of Biotechnology, Acharya Nagarjuna University, Guntur, Andhra Pradesh, India
| | - Y González
- Smithsonian Tropical Research Institute, Balboa, Ancón, Panamá, República de Panamá
| | - K Winter
- Smithsonian Tropical Research Institute, Balboa, Ancón, Panamá, República de Panamá
| | - O R Lopez
- Centro de Biodiversidad y Descubrimiento de Drogas, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología, Ciudad del Saber, Clayton, Panamá, República de Panamá
- Smithsonian Tropical Research Institute, Balboa, Ancón, Panamá, República de Panamá
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Rivin del Campo E, Matzinger O, Haustermans K, Bosset JF, Glynne-Jones R, Winter K, Konski A, Ajani J, Peiffert D, Hannoun-Lévi JM, Puyraveau M, Chakravarthy B, Meadows H, Northover J, Collette L, Christiaens M, Maingon P. Analyse des données regroupées de paramètres de radiothérapie externe d’essais de phase II et III de chimioradiothérapie du cancer de canal anal. Cancer Radiother 2019. [DOI: 10.1016/j.canrad.2019.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Bouvier C, Winter K. Findings from a new specialist remote counselling service for neuroendocrine neoplasm (NEN) patients and family members. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz256.018] [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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26
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White J, Winter K, Cecchini R, Vicini F, Arthur D, Kuske R, Rabinovitch R, Sehkon A, Khan A, Chmura S, Shaitelman S, McCormick B, Julian T, Rogers C, Bear H, Petersen I, Gustafson G, Grossheim L, Mamounas E, Ganz P. Cosmetic Outcome from Post Lumpectomy Whole Breast Irradiation (WBI) Versus Partial Breast Irradiation (PBI) on the NRG Oncology/NSABP B39-RTOG 0413 Phase III Clinical Trial. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.384] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Siegmund B, Winter K, Meyer-Marcotty P, Rustemeyer J. Alloplastic reconstruction of the temporomandibular joint for rehabilitation of function and pain reduction. Int J Oral Maxillofac Surg 2019. [DOI: 10.1016/j.ijom.2019.03.551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Wilde F, Aigeldinger S, Sakkas A, Pietzka S, Winter K, Schramm A, Mascha F. In-vitro study concerning reconstruction accuracy of mandibular reconstructions with CAD/CAM reconstruction plates and comparison with standard hand-bended plates. Int J Oral Maxillofac Surg 2019. [DOI: 10.1016/j.ijom.2019.03.464] [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: 11/17/2022]
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ScharnerD, Gittel C, Böttcher D, Winter K, Blaue D, Schedlbauer C, Vervuert I, Brehm W. Ultrasonographic evaluation of the linea alba before and after laparotomy in horses. PFERDEHEILKUNDE 2019. [DOI: 10.21836/pem20190105] [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: 11/27/2022]
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Bruner D, Moughan J, Prestidge B, Sanda M, Bice W, Michalski J, Ibbott G, Amin M, Catton C, Donavanik V, Gay H, Brachman D, Frank S, Rosenthal S, Matulonis U, Sadeghi A, Winter K, Sandler H, Papagikos M. Patient Reported Outcomes of NRG Oncology/RTOG 0232: A Phase III Study Comparing Combined External Beam Radiation and Transperineal Interstitial Permanent Brachytherapy with Brachytherapy Alone in Intermediate Risk Prostate Cancer. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.06.103] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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31
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Chmura S, Winter K, Salama J, Robinson C, Pisansky T, Borges V, Al-Hallaq H, Matuszak M, Park S, Gonzalez V, Hasan Y, Bazan J, Wong P, Yoon H, Horton J, Gan G, Milano M, Sigurdson E, Moughan J, White J. Phase I Trial of Stereotactic Body Radiation Therapy (SBRT) to Multiple Metastatic Sites: A NRG Oncology Study. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.06.187] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Köhler B, Allgeier S, Bartschat A, Guthoff RF, Bohn S, Reichert KM, Stachs O, Winter K, Mikut R. [In vivo imaging of the corneal nerve plexus : From single image to large scale map]. Ophthalmologe 2018; 114:601-607. [PMID: 28283769 DOI: 10.1007/s00347-017-0464-4] [Citation(s) in RCA: 3] [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] [Indexed: 11/30/2022]
Abstract
The sub-basal nerve plexus (SNP) of the cornea provides the possibility of in vivo and non-invasive examination of peripheral nerve structures by corneal confocal microscopy (CCM). Thus morphological alterations of the SNP can be directly detected and quantified. A single CCM image is insufficient for a well-founded diagnosis because of the inhomogeneous distribution of the nerve fibers; therefore, there is a demand for techniques for large area imaging of the SNP. This article provides an overview of published approaches to the problem. Current developmental work at the Karlsruhe Institute of Technology and the University of Rostock Eye Clinic is expected to lead to a simplified handling of the technology and a further improvement in the image quality.
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Affiliation(s)
- B Köhler
- Institut für Angewandte Informatik, Karlsruher Institut für Technologie, Kaiserstraße 12, 76131, Karlsruhe, Deutschland.
| | - S Allgeier
- Institut für Angewandte Informatik, Karlsruher Institut für Technologie, Kaiserstraße 12, 76131, Karlsruhe, Deutschland
| | - A Bartschat
- Institut für Angewandte Informatik, Karlsruher Institut für Technologie, Kaiserstraße 12, 76131, Karlsruhe, Deutschland
| | - R F Guthoff
- Universitätsaugenklinik, Universitätsmedizin Rostock, Rostock, Deutschland
| | - S Bohn
- Universitätsaugenklinik, Universitätsmedizin Rostock, Rostock, Deutschland
| | - K-M Reichert
- Institut für Angewandte Informatik, Karlsruher Institut für Technologie, Kaiserstraße 12, 76131, Karlsruhe, Deutschland
| | - O Stachs
- Universitätsaugenklinik, Universitätsmedizin Rostock, Rostock, Deutschland
| | - K Winter
- Institut für Anatomie, Medizinische Fakultät, Universität Leipzig, Leipzig, Deutschland
| | - R Mikut
- Institut für Angewandte Informatik, Karlsruher Institut für Technologie, Kaiserstraße 12, 76131, Karlsruhe, Deutschland
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Ahrberg AB, Horstmeier C, Berner D, Brehm W, Gittel C, Hillmann A, Josten C, Rossi G, Schubert S, Winter K, Burk J. Effects of mesenchymal stromal cells versus serum on tendon healing in a controlled experimental trial in an equine model. BMC Musculoskelet Disord 2018; 19:230. [PMID: 30021608 PMCID: PMC6052633 DOI: 10.1186/s12891-018-2163-y] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 06/28/2018] [Indexed: 01/16/2023] Open
Abstract
BACKGROUND Mesenchymal stromal cells (MSC) have shown promising results in the treatment of tendinopathy in equine medicine, making this therapeutic approach seem favorable for translation to human medicine. Having demonstrated that MSC engraft within the tendon lesions after local injection in an equine model, we hypothesized that they would improve tendon healing superior to serum injection alone. METHODS Quadrilateral tendon lesions were induced in six horses by mechanical tissue disruption combined with collagenase application 3 weeks before treatment. Adipose-derived MSC suspended in serum or serum alone were then injected intralesionally. Clinical examinations, ultrasound and magnetic resonance imaging were performed over 24 weeks. Tendon biopsies for histological assessment were taken from the hindlimbs 3 weeks after treatment. Horses were sacrificed after 24 weeks and forelimb tendons were subjected to macroscopic and histological examination as well as analysis of musculoskeletal marker expression. RESULTS Tendons injected with MSC showed a transient increase in inflammation and lesion size, as indicated by clinical and imaging parameters between week 3 and 6 (p < 0.05). Thereafter, symptoms decreased in both groups and, except that in MSC-treated tendons, mean lesion signal intensity as seen in T2w magnetic resonance imaging and cellularity as seen in the histology (p < 0.05) were lower, no major differences could be found at week 24. CONCLUSIONS These data suggest that MSC have influenced the inflammatory reaction in a way not described in tendinopathy studies before. However, at the endpoint of the current study, 24 weeks after treatment, no distinct improvement was observed in MSC-treated tendons compared to the serum-injected controls. Future studies are necessary to elucidate whether and under which conditions MSC are beneficial for tendon healing before translation into human medicine.
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Affiliation(s)
- A B Ahrberg
- Department of Orthopedics, Traumatology and Plastic Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany. .,Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.
| | - C Horstmeier
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany.,University Equine Hospital, University of Leipzig, Leipzig, Germany
| | - D Berner
- Department of Clinical Science and Services, The Royal Veterinary College, University of London, London, UK
| | - W Brehm
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany.,University Equine Hospital, University of Leipzig, Leipzig, Germany
| | - C Gittel
- University Equine Hospital, University of Leipzig, Leipzig, Germany
| | - A Hillmann
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany
| | - C Josten
- Department of Orthopedics, Traumatology and Plastic Surgery, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany
| | - G Rossi
- School of Biosciences and Veterinary Medicine, University of Camerino, Camerino, Italy
| | - S Schubert
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany.,Institute of Veterinary Physiology, University of Leipzig, Leipzig, Germany
| | - K Winter
- University Equine Hospital, University of Leipzig, Leipzig, Germany.,Institute of Anatomy, Medical Faculty, University of Leipzig, Leipzig, Germany
| | - J Burk
- Translational Center for Regenerative Medicine (TRM), University of Leipzig, Leipzig, Germany.,Saxon Incubator for Clinical Translation (SIKT), University of Leipzig, Leipzig, Germany.,Institute of Veterinary Physiology, University of Leipzig, Leipzig, Germany.,Department of Biotechnology, University of Natural Resources and Life Sciences, Vienna, Austria
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Holtum JAM, Hancock LP, Edwards EJ, Winter K. Crassulacean acid metabolism in the Basellaceae (Caryophyllales). Plant Biol (Stuttg) 2018; 20:409-414. [PMID: 29369469 DOI: 10.1111/plb.12698] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [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: 10/19/2017] [Accepted: 01/22/2018] [Indexed: 06/07/2023]
Abstract
C4 and crassulacean acid metabolism (CAM) have evolved in the order Caryophyllales many times but neither C4 nor CAM have been recorded for the Basellaceae, a small family in the CAM-rich sub-order Portulacineae. 24 h gas exchange and day-night changes in titratable acidity were measured in leaves of Anredera baselloides exposed to wet-dry-wet cycles. While net CO2 uptake was restricted to the light period in well-watered plants, net CO2 fixation in the dark, accompanied by significant nocturnal increases in leaf acidity, developed in droughted plants. Plants reverted to solely C3 photosynthesis upon rewatering. The reversible induction of nocturnal net CO2 uptake by drought stress indicates that this species is able to exhibit CAM in a facultative manner. This is the first report of CAM in a member of the Basellaceae.
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Affiliation(s)
- J A M Holtum
- College of Science and Engineering, James Cook University, Townsville, Qld, Australia
- Smithsonian Tropical Research Institute, Panama City, Panama
| | - L P Hancock
- Department of Ecology and Evolutionary Biology, Brown University, Providence, RI, USA
| | - E J Edwards
- Department of Ecology and Evolutionary Biology, Brown University, Providence, RI, USA
- Department of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA
| | - K Winter
- Smithsonian Tropical Research Institute, Panama City, Panama
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Gerlach K, Winter K, Zeller S, Kafka UCM. Nuclear scintigraphic retrospective study of the C6/7 articular facets of the equine cervical spine. PFERDEHEILKUNDE 2018. [DOI: 10.21836/pem20180405] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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36
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Walliser J, Walliser U, Blaß S, Offhaus J, Winter K, Gerlach K. Relation of coffin bone and pastern bone length to thickness of dorsal hoof wall in horses with respect to radiographic projection. PFERDEHEILKUNDE 2018. [DOI: 10.21836/pem20180502] [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: 11/27/2022]
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37
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Magliocco A, Moughan J, Simko J, Efstathiou J, Gray P, Hagan M, Kaufman D, Tester W, Zietman A, McCarthy S, Hartford A, Patel A, Rosenthal S, McGowan D, Greenberg R, Schwartz M, Augspurger M, Keech J, Winter K, Shipley W. The Impact of MRE11 in Nuclear to Cytoplasmic Ratio on Outcomes in Muscle Invasive Bladder Cancer: an Analysis of NRG/RTOG 8802, 8903, 9506, 9706, 9906, and 0233. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.277] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Winter K, Winter K, Hofmann F, Thierfelder K, Heinemann V, Hesse N, Baumann A, Reiser M, Sommer W, D'Anastasi M. Empirische Bestimmung volumetrischer Grenzwerte gemäß RECIST 1.1 zur Beurteilung des Therapieansprechens bei Lebermetastasen. ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- K Winter
- Klinikum der Ludwig-Maximilians-Universität München, Institut für Klinische Radiologie, München
| | - K Winter
- Ludwig-Maximilians-Universität München, Institut für Klinische Radiologie, München
| | - F Hofmann
- Klinikum der Ludwig-Maximilians-Universität München, Institut für Klinische Radiologie, München
| | - K Thierfelder
- Klinikum der Ludwig-Maximilians-Universität München, Institut für Klinische Radiologie, München
| | - V Heinemann
- Klinikum der Ludwig-Maximilians-Universität München, Medizinische Klinik und Poliklinik III, München
| | - N Hesse
- Klinikum der Ludwig-Maximilians-Universität München, Institut für Klinische Radiologie, München
| | - A Baumann
- Klinikum der Ludwig-Maximilians-Universität München, Institut für Klinische Radiologie, München
| | - M Reiser
- Klinikum der Ludwig-Maximilians-Universität München, Institut für Klinische Radiologie, München
| | - W Sommer
- Klinikum der Ludwig-Maximilians-Universität München, Institut für Klinische Radiologie, München
| | - M D'Anastasi
- Klinikum der Ludwig-Maximilians-Universität München, Institut für Klinische Radiologie, München
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Baumann A, Winter K, Garthe T, Thäns N, Bock J, Schindler R, Bischoff B, Trumm C, Reiser M, Schwarz F. Systolische Akquisition bei High-Pitch CT-Angiografien zur TAVI-Planung – Wie gut gelingt das und wann besser nicht? ROFO-FORTSCHR RONTG 2017. [DOI: 10.1055/s-0037-1600229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- A Baumann
- Institut für Klinische Radiologie, LMU München, Campus Großhadern, Radiologie, München
| | - K Winter
- Institut für Klinische Radiologie, LMU München, Campus Großhadern, Radiologie, München
| | - T Garthe
- Institut für Klinische Radiologie, LMU München, Campus Großhadern, Radiologie, München
| | - N Thäns
- Institut für Klinische Radiologie, LMU München, Campus Großhadern, Radiologie, München
| | - J Bock
- Institut für Klinische Radiologie, LMU München, Campus Großhadern, Radiologie, München
| | - R Schindler
- Institut für Klinische Radiologie, LMU München, Campus Großhadern, Radiologie, München
| | - B Bischoff
- Institut für Klinische Radiologie, LMU München, Campus Großhadern, Radiologie, München
| | - C Trumm
- Institut für Klinische Radiologie, LMU München, Campus Großhadern, Radiologie, München
| | - M Reiser
- Institut für Klinische Radiologie, LMU München, Radiologie, München
| | - F Schwarz
- Klinik für Diagnostische Radiologie und Neuroradiologie, Radiologie, Augsburg
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Mascha F, Wilde F, Winter K, Heufelder M, Pietzka S, Schramm A. Precision analysis of wafer-less positioning of the maxilla using patient-specific guides and implants in orthognathic surgery. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.561] [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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Winter K, Scheibe P, Guthoff RF, Allgeier S, Stachs O. [Morphometric characterization of the subbasal nerve plexus : Detection and analysis of networks of nerve fibers]. Ophthalmologe 2017; 114:608-616. [PMID: 28224218 DOI: 10.1007/s00347-017-0465-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Confocal laser scanning microscopy is a versatile tool in medical research and enables noninvasive in vivo imaging of the corneal subbasal nerve plexus. The aim of this work is to provide a structured overview about the detection and quantification of nerve fibers of the subbasal nerve plexus from images acquired by confocal laser scanning microscopy. Relevant steps are explained and potential factors influencing the quality of the results are pointed out. Information obtained from the quantification of subbasal nerve fiber structure can be potentially used as clinical parameters in the context of diagnostics and therapy control of diabetic neuropathy.
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Affiliation(s)
- K Winter
- Institut für Anatomie, Medizinische Fakultät, Universität Leipzig, Liebigstr. 13, 04103, Leipzig, Deutschland.
| | - P Scheibe
- Sächsischer Inkubator für Klinische Translation (SIKT) Leipzig, Universität Leipzig, Philipp-Rosenthal-Str. 55, Leipzig, 04103, Deutschland
| | - R F Guthoff
- Universitätsaugenklinik, Universitätsmedizin Rostock, Doberaner Str. 140, Rostock, 18057, Deutschland
| | - S Allgeier
- Institut für Angewandte Informatik, Karlsruher Institut für Technologie, Hermann-von-Helmholtz-Platz 1, Eggenstein-Leopoldshafen, 76344, Deutschland
| | - O Stachs
- Universitätsaugenklinik, Universitätsmedizin Rostock, Doberaner Str. 140, Rostock, 18057, Deutschland
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Fogwill CJ, Turney CSM, Golledge NR, Etheridge DM, Rubino M, Thornton DP, Baker A, Woodward J, Winter K, van Ommen TD, Moy AD, Curran MAJ, Davies SM, Weber ME, Bird MI, Munksgaard NC, Menviel L, Rootes CM, Ellis B, Millman H, Vohra J, Rivera A, Cooper A. Antarctic ice sheet discharge driven by atmosphere-ocean feedbacks at the Last Glacial Termination. Sci Rep 2017; 7:39979. [PMID: 28054598 PMCID: PMC5215443 DOI: 10.1038/srep39979] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [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: 10/19/2016] [Accepted: 11/29/2016] [Indexed: 11/17/2022] Open
Abstract
Reconstructing the dynamic response of the Antarctic ice sheets to warming during the Last Glacial Termination (LGT; 18,000–11,650 yrs ago) allows us to disentangle ice-climate feedbacks that are key to improving future projections. Whilst the sequence of events during this period is reasonably well-known, relatively poor chronological control has precluded precise alignment of ice, atmospheric and marine records, making it difficult to assess relationships between Antarctic ice-sheet (AIS) dynamics, climate change and sea level. Here we present results from a highly-resolved ‘horizontal ice core’ from the Weddell Sea Embayment, which records millennial-scale AIS dynamics across this extensive region. Counterintuitively, we find AIS mass-loss across the full duration of the Antarctic Cold Reversal (ACR; 14,600–12,700 yrs ago), with stabilisation during the subsequent millennia of atmospheric warming. Earth-system and ice-sheet modelling suggests these contrasting trends were likely Antarctic-wide, sustained by feedbacks amplified by the delivery of Circumpolar Deep Water onto the continental shelf. Given the anti-phase relationship between inter-hemispheric climate trends across the LGT our findings demonstrate that Southern Ocean-AIS feedbacks were controlled by global atmospheric teleconnections. With increasing stratification of the Southern Ocean and intensification of mid-latitude westerly winds today, such teleconnections could amplify AIS mass loss and accelerate global sea-level rise.
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Affiliation(s)
- C J Fogwill
- PANGEA Research Centre, University of New South Wales, 2052, Australia.,Climate Change Research Centre, School of Biological Earth and Environmental Sciences, University of New South Wales, 2052, Australia
| | - C S M Turney
- PANGEA Research Centre, University of New South Wales, 2052, Australia.,Climate Change Research Centre, School of Biological Earth and Environmental Sciences, University of New South Wales, 2052, Australia
| | - N R Golledge
- Antarctic Research Centre, Victoria University of Wellington, Wellington 6140, New Zealand.,GNS Science, Avalon, Lower Hutt, New Zealand
| | - D M Etheridge
- CSIRO Climate Science Centre, Oceans and Atmosphere, Aspendale, Victoria, 3195 Australia
| | - M Rubino
- CSIRO Climate Science Centre, Oceans and Atmosphere, Aspendale, Victoria, 3195 Australia.,Dipartimento di Matematica e Fisica, Università della Campania - Luigi Vanvitelli, viale Lincoln, 5-81100 Caserta, Italy
| | - D P Thornton
- CSIRO Climate Science Centre, Oceans and Atmosphere, Aspendale, Victoria, 3195 Australia
| | - A Baker
- PANGEA Research Centre, University of New South Wales, 2052, Australia
| | - J Woodward
- Department of Geography, Faculty of Engineering and Environment, Northumbria University, Newcastle upon Tyne, NE1 8ST, United Kingdom
| | - K Winter
- Department of Geography, Faculty of Engineering and Environment, Northumbria University, Newcastle upon Tyne, NE1 8ST, United Kingdom
| | - T D van Ommen
- Australian Antarctic Division, 203 Channel Highway, Kingston, Tasmania 7050, Australia.,Antarctic Climate &Ecosystems Cooperative Research Centre, University of Tasmania, Private Bag 80, Hobart, Tasmania 7001, Australia
| | - A D Moy
- Australian Antarctic Division, 203 Channel Highway, Kingston, Tasmania 7050, Australia.,Antarctic Climate &Ecosystems Cooperative Research Centre, University of Tasmania, Private Bag 80, Hobart, Tasmania 7001, Australia
| | - M A J Curran
- Australian Antarctic Division, 203 Channel Highway, Kingston, Tasmania 7050, Australia.,Antarctic Climate &Ecosystems Cooperative Research Centre, University of Tasmania, Private Bag 80, Hobart, Tasmania 7001, Australia
| | - S M Davies
- Department of Geography, College of Science, Swansea University, Swansea, United Kingdom
| | - M E Weber
- Department of Earth Sciences, University of Cambridge, Drummond Street, Cambridge, United Kingdom.,Steinmann Institute, University of Bonn, Poppelsdorfer Schloss, Bonn, Germany
| | - M I Bird
- Centre for Tropical Environmental and Sustainability Science, College of Science and Engineering, James Cook University, Cairns, Australia
| | - N C Munksgaard
- Centre for Tropical Environmental and Sustainability Science, College of Science and Engineering, James Cook University, Cairns, Australia.,Research Institute for the Environment and Livelihoods, Charles Darwin University, Australia
| | - L Menviel
- PANGEA Research Centre, University of New South Wales, 2052, Australia.,Climate Change Research Centre, School of Biological Earth and Environmental Sciences, University of New South Wales, 2052, Australia
| | - C M Rootes
- Department of Geography, University of Sheffield, United Kingdom
| | - B Ellis
- Research School of Earth Sciences, Australian National University, Canberra, Australia
| | - H Millman
- Climate Change Research Centre, School of Biological Earth and Environmental Sciences, University of New South Wales, 2052, Australia
| | - J Vohra
- PANGEA Research Centre, University of New South Wales, 2052, Australia.,Climate Change Research Centre, School of Biological Earth and Environmental Sciences, University of New South Wales, 2052, Australia
| | - A Rivera
- Glaciology and Climate Change Laboratory, Centro de Estudios Cientficos, Valdivia, Arturo Prat 514, Chile.,Department of Geography, University of Chile, Santiago, Chile
| | - A Cooper
- Australian Centre for Ancient DNA, University of Adelaide, 5005, Australia
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Prestidge B, Winter K, Sanda M, Amin M, Bice W, Michalski J, Ibbott G, Crook J, Catton C, Gay H, Donavanik V, Beyer D, Frank S, Papagikos M, Rosenthal S, Barthold H, Roach M, Sandler H. Initial Report of NRG Oncology/RTOG 0232: A Phase 3 Study Comparing Combined External Beam Radiation and Transperineal Interstitial Permanent Brachytherapy With Brachytherapy Alone for Selected Patients With Intermediate-Risk Prostatic Carcinoma. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.026] [Citation(s) in RCA: 64] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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O'Hare L, Santin O, Winter K, McGuinness C. The reliability and validity of a child and adolescent participation in decision-making questionnaire. Child Care Health Dev 2016; 42:692-8. [PMID: 27345443 DOI: 10.1111/cch.12369] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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: 11/23/2015] [Accepted: 05/22/2016] [Indexed: 11/27/2022]
Abstract
BACKGROUND There is a growing impetus across the research, policy and practice communities for children and young people to participate in decisions that affect their lives. Furthermore, there is a dearth of general instruments that measure children and young people's views on their participation in decision-making. This paper presents the reliability and validity of the Child and Adolescent Participation in Decision-Making Questionnaire (CAP-DMQ) and specifically looks at a population of looked-after children, where a lack of participation in decision-making is an acute issue. METHODS The participants were 151 looked after children and adolescents between 10-23 years of age who completed the 10 item CAP-DMQ. Of the participants 113 were in receipt of an advocacy service that had an aim of increasing participation in decision-making with the remaining participants not having received this service. RESULTS The results showed that the CAP-DMQ had good reliability (Cronbach's alpha = 0.94) and showed promising uni-dimensional construct validity through an exploratory factor analysis. The items in the CAP-DMQ also demonstrated good content validity by overlapping with prominent models of child and adolescent participation (Lundy 2007) and decision-making (Halpern 2014). A regression analysis showed that age and gender were not significant predictors of CAP-DMQ scores but receipt of advocacy was a significant predictor of scores (effect size d = 0.88), thus showing appropriate discriminant criterion validity. CONCLUSION Overall, the CAP-DMQ showed good reliability and validity. Therefore, the measure has excellent promise for theoretical investigation in the area of child and adolescent participation in decision-making and equally shows empirical promise for use as a measure in evaluating services, which have increasing the participation of children and adolescents in decision-making as an intended outcome.
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Affiliation(s)
- L O'Hare
- School of Education, Queen's University Belfast, Belfast, Northern Ireland
| | - O Santin
- School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland
| | - K Winter
- School of Sociology, Social Policy and Social Work, Queen's University Belfast, Belfast, Northern Ireland
| | - C McGuinness
- School of Education, Queen's University Belfast, Belfast, Northern Ireland
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Prakasam RK, Kowtharapu BS, Falke K, Winter K, Diedrich D, Glass A, Jünemann A, Guthoff RF, Stachs O. Quantitative assessment of central and limbal epithelium after long-term wear of soft contact lenses and in patients with dry eyes: a pilot study. Eye (Lond) 2016; 30:979-86. [PMID: 27101746 DOI: 10.1038/eye.2016.58] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2015] [Accepted: 02/11/2016] [Indexed: 11/09/2022] Open
Abstract
PurposeAnalysis of microstructural alterations of corneal and limbal epithelial cells in healthy human corneas and in other ocular conditions.Patients and methodsUnilateral eyes of three groups of subjects include healthy volunteers (G1, n=5), contact lens wearers (G2, n=5), and patients with dry eyes (G3, n=5) were studied. Imaging of basal (BC) and intermediate (IC) epithelial cells from central cornea (CC), corneal limbus (CL) and scleral limbus (SL) was obtained by in vivo confocal microscopy (IVCM). An appropriate image analysis algorithm was used to quantify morphometric parameters including mean cell area, compactness, solidity, major and minor diameter, and maximum boundary distance.ResultsThe morphometric parameters of BC and IC demonstrated no significant differences (P>0.05) between groups. Comparison between three corneal locations (CC, CL, and SL) within the groups showed significant differences (P<0.05) with mean values of cell area, compactness, solidity, and major and minor diameter of BC that increase from CC to limbus. The BC were round and regular in the central cornea (P<0.05) compared with CL and SL.ConclusionsIVCM enables high-quality confocal images from central corneal and limbal epithelium. This quantitative study demonstrated morphological differences in the basal and intermediate epithelium between limbus and central cornea, and found no differences between contact lens wearers, dry eyes, and normal subjects.
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Affiliation(s)
- R K Prakasam
- Department of Ophthalmology, University of Rostock, Rostock, Germany
| | - B S Kowtharapu
- Department of Ophthalmology, University of Rostock, Rostock, Germany
| | - K Falke
- Department of Ophthalmology, University of Rostock, Rostock, Germany
| | - K Winter
- Faculty of Medicine, Institute of Anatomy, University of Leipzig, Leipzig, Germany.,Institute for Medical Informatics, Statistics and Epidemiology (IMISE), University of Leipzig, Leipzig, Germany
| | - D Diedrich
- Institute for Biostatistics, University of Rostock, Rostock, Germany
| | - A Glass
- Institute for Biostatistics, University of Rostock, Rostock, Germany
| | - A Jünemann
- Department of Ophthalmology, University of Rostock, Rostock, Germany
| | - R F Guthoff
- Department of Ophthalmology, University of Rostock, Rostock, Germany
| | - O Stachs
- Department of Ophthalmology, University of Rostock, Rostock, Germany
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Ionita C, Troillet A, Brehm W, Winter K, Ionita JC. Qualitative comparison between equine bone marrow- and blood-derived autologous conditioned serum. PFERDEHEILKUNDE 2016. [DOI: 10.21836/pem20160607] [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: 11/27/2022]
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Mageed M, Berner D, Offhaus J, Winter K, Gerlach K. Interobserver agreement, sensitivity and specificity for the diagnosis of horses with proximopalmar metacarpal lameness using radiography and scintigraphy – A retrospective study. PFERDEHEILKUNDE 2016. [DOI: 10.21836/pem20160605] [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: 11/27/2022]
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Furrer R, Winter K, Zimmermann R, Schäffer L, Haslinger C. Peripartal blood loss and outcome of intrahepatic cholestasis of pregnancy. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566602] [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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Regine W, Winter K, Kessel I, Chen Y, Fugazzi J, Donnelly E, DiPetrillo T, Narayan S, Plastaras J, Gaur R, Delouya G, Suh J, Meyer J, Haddock M, Didolkar M, Padula G, Johnson D, Hoffman J, Crane C. Prospective and Concurrent Analysis of Postresection CA19-9 Level and Surgical Margin Status (SMS) as Predictors of Pattern of Disease Recurrence Following Adjuvant Treatment for Pancreatic Carcinoma: NRG Oncology/RTOG 9704 Secondary Analysis. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.364] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Eberhardt F, Köhler C, Winter K, Alef M, Kiefer I. [Sonographically detectable changes in abdominal lymph nodes in dogs with malignant lymphoma. Evaluation with special consideration of the Solbiati-Index]. Tierarztl Prax Ausg K Kleintiere Heimtiere 2015; 43:309-16. [PMID: 26076988 DOI: 10.15654/tpk-150078] [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] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Accepted: 05/22/2015] [Indexed: 11/13/2022]
Abstract
OBJECTIVE Characterization of the disorders of abdominal lymph nodes in dogs with malignant lymphoma and evaluation of the Solbiati-Index (SI) and the relationship between the short axis and the length of the lymph node (S : L ratio) as malignancy criteria. MATERIAL AND METHODS Retrospective analysis of data from dogs with malignant lymphoma. Inclusion criteria were cytological or histological diagnosis of the malignant lymphoma and an ultrasound examination of the abdomen prior to initiation of therapy. Criterion for exclusion was the application of a cytostatic agent prior to diagnosis. Furthermore, abdominal lymph nodes with non-neoplastic disorders were examined, when sonography as well as cytological/histological examinations were available. RESULTS A total of 261 lymph nodes (127 dogs) with malignant lymphoma and 17 lymph nodes (nine dogs) with benign disorders were evaluated. Sonography revealed massively rounded, clearly enlarged lymph nodes in 115/127 dogs (91%) with malignant lymphoma, while the lymph nodes of the other 12 dogs (9%) displayed an enlargement in the long axis. All 17 lymph nodes with benign disorders were enlarged in the long axis. The nodal parenchyma of 91% of the 127 dogs (malignant lymphoma) presented as hypoechoic to anechoic, and the cortex and medulla could not be differentiated. In the remaining 9% of dogs, a physiological isoechoic nodal parenchyma was observed. The parenchyma of lymph nodes with benign disorders was sonographically inconspicuous. In 71% of the 127 dogs with malignant lymphoma, the SI was < 2 and the S : L ratio > 0.5 (indicative for malignancy). Of the nine dogs with benign lymph node disorders, 71% had an SI of > 2 and 76% of them had an S : L ratio < 0.5 (indicative of a benign process). CONCLUSION AND CLINICAL RELEVANCE The significant increase in the size, rounding and hypoechoic changes in the lymph nodes in dogs with malignant lymphoma are indicative parameters of malignancy. In addition, the SI and the S:L ratio serve as a differentiation between benign and malign processes. Because of blurred boundaries between the malignant and benign changes, the various parameters should always be considered in conjunction.
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Affiliation(s)
- F Eberhardt
- Franziska Eberhardt, Klinik für Kleintiere, der Universität Leipzig, An den Tierkliniken 23, 04104 Leipzig, E-Mail:
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