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Alwafai Z, Zygmunt M, Köhler G. Einfluss der Rezidivdiagnostik auf Überlebensdaten bei high-grade uterinen Sarkomen (HGUS). Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
| | | | - G Köhler
- Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren
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Alwafai Z, Langner A, Zygmunt M, Köhler G. Einfluss einer Ovarektomie (BSO) auf das Überleben bei uterinen Leiomyosarkomen (LMS). Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- Z Alwafai
- Universitätsmedizin Greifswald, Frauenklinik
| | - A Langner
- Universitätsmedizin Greifswald, Frauenklinik
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik
| | - G Köhler
- Universitätsmedizin Greifswald, Frauenklinik
- Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM)
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Alwafai Z, Langner A, Zygmunt M, Köhler G. Einfluss einer Ovarektomie (BSO) auf das 5-Jahres-rezidivfreie Überleben (RFI) bei uterinen low-grade endometrialen Stromasarkomen (LG-ESS). Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- Z Alwafai
- Universitätsmedizin Greifswald, Frauenklinik
| | - A Langner
- Universitätsmedizin Greifswald, Frauenklinik
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik
| | - G Köhler
- Universitätsmedizin Greifswald, Frauenklinik
- Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM)
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Bischoff M, Howland V, Klinger-König J, Tomczyk S, Schmidt S, Zygmunt M, Heckmann M, van den Berg N, Bethke B, Corleis J, Günther S, Liutkus K, Stentzel U, Neumann A, Penndorf P, Ludwig T, Hammer E, Winter T, Grabe HJ. Save the children by treating their mothers (PriVileG-M-study) - study protocol: a sequentially randomized controlled trial of individualized psychotherapy and telemedicine to reduce mental stress in pregnant women and young mothers and to improve Child's health. BMC Psychiatry 2019; 19:371. [PMID: 31775668 PMCID: PMC6880484 DOI: 10.1186/s12888-019-2279-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Accepted: 09/10/2019] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND As early as pregnancy, maternal mental stress impinges on the child's development and health. Thus, this may cause enhanced risk for premature birth, lowered fetal growth, and lower fetal birth weight as well as enhanced levels of the stress hormone cortisol and lowered levels of the bonding hormone oxytocin. Maternal stress further reduces maternal sensitivity for the child's needs which impairs the mother-child-interaction and bonding. Therefore, prevention and intervention studies on mental stress are necessary, beginning prenatally and applying rigorous research methodology, such as randomized controlled trials, to ensure high validity. METHODS A randomized controlled trial is used to assess the impact of psychotherapy and telemedicine on maternal mental stress and the child's mental and physical health. Mentally stressed pregnant women are randomized to an intervention (IG) and a not intervened control group. The IG receives an individualized psychotherapy starting prenatal and lasting for 10 months. Afterwards, a second randomization is used to investigate whether the use of telemedicine can stabilize the therapeutic effects. Using ecological momentary assessments and video recordings, the transfer into daily life, maternal sensitivity and mother-child-bonding are assessed. Psycho-biologically, the synchronicity of cortisol and oxytocin levels between mother and child are assessed as well as the peptidome of the colostrum and breast milk, which are assumed to be essential for the adaptation to the extra-uterine environment. All assessments are compared to an additional control group of healthy women. Finally, the results of the study will lead to the development of a qualification measure for health professionals to detect mental stress, to treat it with low-level interventions and to refer those women with high stress levels to mental health professionals. DISCUSSION The study aims to prevent the transgenerational transfer of psychiatric and somatic disorders from the mother to her child. The effects of the psychotherapy will be stabilized through telemedicine and long-term impacts on the child's and mothers' mental health are enhanced. The combination of psychotherapy, telemedicine and methodologies of ecological momentary assessment, video recording and bio banking are new in content-related and methodological manner. TRIAL REGISTRATION German Clinical Trials Register: DRKS00017065. Registered 02 May 2019. World Health Organization, Universal Trial Number: U1111-1230-9826. Registered 01 April 2019.
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Affiliation(s)
- M. Bischoff
- Department of Health and Prevention, Institute of Psychology, University Greifswald, Greifswald, Germany
| | - V. Howland
- Department of Neonatology and Paediatric Intensive Care, University Medicine Greifswald, Greifswald, Germany
| | - J. Klinger-König
- Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
| | - S. Tomczyk
- Department of Health and Prevention, Institute of Psychology, University Greifswald, Greifswald, Germany
| | - S. Schmidt
- Department of Health and Prevention, Institute of Psychology, University Greifswald, Greifswald, Germany
| | - M. Zygmunt
- Clinic and Polyclinic for Obstetrics and Gynecology, University Medicine Greifswald, Greifswald, Germany
| | - M. Heckmann
- Department of Neonatology and Paediatric Intensive Care, University Medicine Greifswald, Greifswald, Germany
| | - N. van den Berg
- Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
| | - B. Bethke
- Department of Health, Nursing and Administration, University of Applied Sciences Neubrandenburg, Neubrandenburg, Germany
| | - J. Corleis
- Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
| | - S. Günther
- Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
| | - K. Liutkus
- Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
| | - U. Stentzel
- Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
| | - A. Neumann
- Department of Health, Nursing and Administration, University of Applied Sciences Neubrandenburg, Neubrandenburg, Germany
| | - P. Penndorf
- Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
| | - T. Ludwig
- Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
| | - E. Hammer
- Department of Functional Genomics, Interfaculty Institute for Genetics and Functional Genomics, University Medicine Greifswald, Greifswald, Germany
| | - T. Winter
- Integrated Research Biobank, University Medicine Greifswald, Greifswald, Germany
| | - H. J. Grabe
- Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
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Harnoss JC, Dancer SJ, Kaden CF, Baguhl R, Kohlmann T, Papke R, Zygmunt M, Assadian O, Suchomel M, Pittet D, Kramer A. Hand antisepsis without decreasing efficacy by shortening the rub-in time of alcohol-based handrubs to 15 seconds. J Hosp Infect 2019; 104:419-424. [PMID: 31513881 DOI: 10.1016/j.jhin.2019.09.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [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: 06/27/2019] [Accepted: 09/04/2019] [Indexed: 12/23/2022]
Abstract
BACKGROUND A previous study among neonatal intensive care unit (NICU) nurses showed that the antibacterial efficacy of alcohol-based handrubs (ABHR) can be achieved in 15 s instead of 30 s with a significant increase in the frequency of hand antisepsis. This study aimed to examine 15-s vs 30-s antisepsis performance by measuring microbial load on fingertips and compliance among nurses in a low-risk gynaecological ward. METHODS An independent trained observer monitored the frequency and compliance with hand antisepsis during shifts in a crossover design. Fingertips including thumbs were rinsed in soy broth before hand rubbing at the beginning of a shift and then hourly to determine the bacterial load. Performance activity was assigned to the contamination class of the Fulkerson scale. Immediately before the lunch break, volunteers cleaned their hands for a randomly determined application time of 15 or 30 s. RESULTS Examination of bacterial load on fingertips revealed no difference between 15 vs 30 s application time. Controlled hand antisepsis before the lunch break also showed no difference in efficacy for either test series. Participants rubbing for 15 s were more likely to perform hand antisepsis compared with those rubbing for 30 s (P=0.2). The compliance increased from 54.7% to 69.5% in the 15-s trial. DISCUSSION Shortening the duration for hand antisepsis did not decrease efficacy. Shortening the application time to 15 s should be considered within the critical components of a successful multimodal intervention strategy to improve hand-hygiene compliance in clinical practice.
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Affiliation(s)
- J C Harnoss
- Department of General, Visceral and Transplantation Surgery, Study Centre of the German Surgical Society (SDGC), University of Heidelberg, Heidelberg, Germany
| | - S J Dancer
- Department of Microbiology, University Hospital Hairmyres, Glasgow, UK; School of Applied Sciences, Edinburgh Napier University, Edinburgh, UK
| | - C F Kaden
- Institute of Hygiene and Environmental Medicine, University Medicine Greifswald, Greifswald, Germany
| | - R Baguhl
- Institute of Hygiene and Environmental Medicine, University Medicine Greifswald, Greifswald, Germany
| | - T Kohlmann
- Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
| | - R Papke
- Institute of Hygiene and Environmental Medicine, University Medicine Greifswald, Greifswald, Germany
| | - M Zygmunt
- Clinic and Ambulance for Gynaecology and Obstetrics, University Medicine Greifswald, Greifswald, Germany
| | - O Assadian
- Department for Infection Control and Hospital Epidemiology, Medical University of Vienna, Vienna, Austria; Hospital Landesklinikum Neunkirchen, Neunkirchen, Austria
| | - M Suchomel
- Institute for Hygiene and Applied Immunology, Medical University of Vienna, Vienna, Austria
| | - D Pittet
- Infection Control Program and WHO Collaborating Centre on Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
| | - A Kramer
- Institute of Hygiene and Environmental Medicine, University Medicine Greifswald, Greifswald, Germany.
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Köller M, Riechmann C, Hessler PA, Haupt K, Zygmunt M, Köhler G. Das Verhalten der Laktatdehydrogenase (LDH) bei regelhaften und degenerierten Leiomyomen (LM) und in Abhängigkeit vom Alter der Patientin und der Tumorgröße. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- M Köller
- Krankenhaus Sachsenhausen, MIC-Zentrum Frankfurt, Zentrum für Minimal-Invasive Chirurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - C Riechmann
- Krankenhaus Sachsenhausen, MIC-Zentrum Frankfurt, Zentrum für Minimal-Invasive Chirurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - PA Hessler
- Krankenhaus Sachsenhausen, MIC-Zentrum Frankfurt, Zentrum für Minimal-Invasive Chirurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - K Haupt
- Krankenhaus Sachsenhausen, Labor, Frankfurt am Main, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
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Schädler J, Ständer C, Zygmunt M, Köhler G. Uterine Adenosarkome (AS) – Klinik, operative Primärtherapie und Einfluss des sarcomatous overgrowth (SO) auf die Rezidivrate und das Gesamtüberleben. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Schädler
- Universitätsmedizin Greifswald, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Frauenklinik, Greifswald, Deutschland
| | - C Ständer
- Universitätsmedizin Greifswald, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Frauenklinik, Greifswald, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Frauenklinik, Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Frauenklinik, Greifswald, Deutschland
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Daeschlein G, Flieger C, Alwafai Z, Sicher C, Zygmunt M, Ohlinger R. Hyperspektral-Imaging (HSI) in der Differentialdiagnostik postoperativer Komplikationen in der Mammachirurgie. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- G Daeschlein
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Hautkrankheiten, Greifswald, Deutschland
| | - C Flieger
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Greifswald, Deutschland
| | - Z Alwafai
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Greifswald, Deutschland
| | - C Sicher
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Hautkrankheiten, Greifswald, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Greifswald, Deutschland
| | - R Ohlinger
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Greifswald, Deutschland
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Linke L, Spring P, Zygmunt M, Köhler G. Uterine Karzinosarkome (UKS) – Klinik, Diagnostik und operative Primärtherapie – Effekt auf die Überlebensdaten. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- L Linke
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - P Spring
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
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Müller S, Trojnarska D, Lehnhoff H, Zygmunt M, Köhler G. Anwendung und Ergebnisse einer präoperativen CT- und MRT-Bildgebung bei uterinen Leiomyosarkomen (LMS). Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- S Müller
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - D Trojnarska
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - H Lehnhoff
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
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Köhler G, Tojnarska D, Lehnhoff H, Zygmunt M. Zum Einfluss des Menopausestatus, der Hormonrezeptoren und einer Ovarektomie auf die Prognose von uterinen Leiomyosarkomen (LMS). Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - D Tojnarska
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - H Lehnhoff
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
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Köhler G, Trojnarska D, Lehnhoff H, Wimberger P, Canzler U, Zygmunt M. Rezidivfreies und Gesamtüberleben nach Morcellement von 156 uterinen Leiomyosarkomen (LMS) im Stadium pT1. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - D Trojnarska
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - H Lehnhoff
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - P Wimberger
- Universitätsklinikum Carl Gustav Carus Dresden, Frauenklinik, Dresden, Deutschland
| | - U Canzler
- Universitätsklinikum Carl Gustav Carus Dresden, Frauenklinik, Dresden, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
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13
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Schädler J, Ständer C, Zygmunt M, Köhler G. Uterine Adenosarkome (AS) – adäquate Operation, Lymphonodektomie (LNE) und postoperative Therapien – Einfluss auf die Überlebensdaten. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Schädler
- Universitätsmedizin Greifswald, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Frauenklinik, Greifswald, Deutschland
| | - C Ständer
- Universitätsmedizin Greifswald, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Frauenklinik, Greifswald, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Frauenklinik, Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Frauenklinik, Greifswald, Deutschland
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14
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Riechmann C, Köller M, Hessler PA, Zygmunt M, Köhler G. Sonographische und Farbdopplerbefunde bei regelhaften und degenerierten Leiomyomen (LM). Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- C Riechmann
- Krankenhaus Sachsenhausen, Gynäkologie, Frankfurt am Main, Deutschland
| | - M Köller
- Krankenhaus Sachsenhausen, Gynäkologie, Frankfurt am Main, Deutschland
| | - PA Hessler
- Krankenhaus Sachsenhausen, Gynäkologie, Frankfurt am Main, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
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15
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Köller M, Riechmann C, Hessler PA, Haupt K, Zygmunt M, Köhler G. Das Verhalten der Neutrophilen/Lymphozyten-Ratio (NLR) und der Lymphozyten/Monozyten-Ratio (LMR) bei Leiomyomen (LM). Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- M Köller
- Krankenhaus Sachsenhausen, MIC-Zentrum Frankfurt, Zentrum für Minimal-Invasive Chirurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - C Riechmann
- Krankenhaus Sachsenhausen, MIC-Zentrum Frankfurt, Zentrum für Minimal-Invasive Chirurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - PA Hessler
- Krankenhaus Sachsenhausen, MIC-Zentrum Frankfurt, Zentrum für Minimal-Invasive Chirurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - K Haupt
- Krankenhaus Sachsenhausen, Labor, Frankfurt am Main, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
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Riechmann C, Köller M, Hessler PA, Zygmunt M, Köhler G. Resistenzindex (RI) bei regelhaften und degenerierten Leiomyomen (LM). Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- C Riechmann
- Krankenhaus Sachsenhausen, Gynäkologie, Frankfurt am Main, Deutschland
| | - M Köller
- Krankenhaus Sachsenhausen, Gynäkologie, Frankfurt am Main, Deutschland
| | - PA Hessler
- Krankenhaus Sachsenhausen, Gynäkologie, Frankfurt am Main, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
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Linke L, Spring P, Zygmunt M, Köhler G. Uterine Karzinosarkome (UKS) – totale versus radikale Hysterektomie, Lymphonodektomie und adjuvante Therapien – Effekt auf die Überlebensdaten. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- L Linke
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - P Spring
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum für genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
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18
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Köhler G, Vollmer M, Nath N, Hessler PA, Dennis K, Lehr A, Köller M, Riechmann C, Bralo H, Trojnarska D, Lehnhoff H, Krichbaum J, Krichbaum M, Evert K, Evert M, Kaderali L, Zygmunt M. Validierter Leiomyosarkom-Risiko-Score zur Prävention inadäquater Operationen und diagnostisches Fließschema. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- G Köhler
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - M Vollmer
- Universitätsmedizin Greifswald, Institut für Bioinformatik, Greifswald, Deutschland
| | - N Nath
- Universitätsmedizin Greifswald, Interfaculty Institute for Genetics and Functional Genomics, Greifswald, Deutschland
| | - PA Hessler
- Krankenhaus Sachsenhausen, Zentrum für minimal invasive Chrurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - K Dennis
- Krankenhaus Sachsenhausen, Zentrum für minimal invasive Chrurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - A Lehr
- Krankenhaus Sachsenhausen, Zentrum für minimal invasive Chrurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - M Köller
- Krankenhaus Sachsenhausen, Zentrum für minimal invasive Chrurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - C Riechmann
- Krankenhaus Sachsenhausen, Zentrum für minimal invasive Chrurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - H Bralo
- Krankenhaus Sachsenhausen, Zentrum für minimal invasive Chrurgie in der Gynäkologie, Frankfurt am Main, Deutschland
| | - D Trojnarska
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - H Lehnhoff
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
| | - J Krichbaum
- Velener Arbeitskreis ambulantes Operieren, Münster, Deutschland
| | - M Krichbaum
- Velener Arbeitskreis ambulantes Operieren, Münster, Deutschland
| | - K Evert
- Universität Regensburg, Institut für Pathologie, Regensburg, Deutschland
| | - M Evert
- Universität Regensburg, Institut für Pathologie, Regensburg, Deutschland
| | - L Kaderali
- Universitätsmedizin Greifswald, Institut für Bioinformatik, Greifswald, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Frauenklinik, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren (DKSM), Greifswald, Deutschland
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Trojnarska D, Lehnhoff H, Zygmunt M, Köhler G. Präoperative Diagnostik, Operationsindikationen und -methoden bei uterinen Leiomyosarkomen (LMS) unter Berücksichtigung adäquater und inadäquater Eingriffe. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- D Trojnarska
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - H Lehnhoff
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - M Zygmunt
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
| | - G Köhler
- Universitätsmedizin Greifswald, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Deutsches klinisches Kompetenzzentrum genitale Sarkome und Mischtumoren, Greifswald, Deutschland
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Raszeja-Wyszomirska J, Glowczynska R, Kostrzewa K, Janik M, Zygmunt M, Zborowska H, Krawczyk M, Niewinski G, Galas M, Krawczyk M, Zieniewicz K, Milkiewicz P, Opolski G. Evaluation of Liver Graft Recipient Workup in Predicting of Early Cardiovascular Events During Liver Transplantation: A Single-Center Experience. Transplant Proc 2018; 50:1997-2001. [PMID: 30177096 DOI: 10.1016/j.transproceed.2018.02.161] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2017] [Accepted: 02/06/2018] [Indexed: 02/07/2023]
Abstract
BACKGROUND Cardiovascular events (CVE) contribute to serious complications and death after liver transplantation (LT). Troponin I (TnI) level >0.07 mg/L and prior cardiac disease are known to be the independent predictors for posttransplant CVE. We evaluated single-center cardiac workup to predict early cardiovascular morbidity and mortality after LT. PATIENTS AND METHODS We recruited 105 consecutive liver transplant recipients (male/female, 59/46; mean age, 51.66 ± 11.67 years). The cardiological assessment at evaluation for LT included medical history, electrocardiogram, echocardiography, Holter monitoring, and exercise test. We collected data regarding CVE including hypotonia with catecholamine usage, arrhythmia, sudden cardiac death, pulmonary edema, and myocardial infarction within 7 days after LT. RESULTS CVE during LT occurred in 42 recipients (40%) and after LT in 9 patients (8.57%). Proposed cutoff level of TnI >0.07 mg/L did not correlate with CVE during operation (P = .73) or after LT (P = .47). CVE during LT was associated with arterial hypertension in medical history (P <.001), right ventricular systolic pressure (P< .05), and clinical scores: Child-Pugh (P = .04), Model for End-Stage Liver Disease (MELD) (P = .04), MELD incorporating serum sodium (P<.03), and integrated MELD score (P = .01). CVE after LT correlated only with arrhythmia (P<.001) and catecholamine usage (P < .05) perioperatively. Of interest, catecholamine usage during LT was associated with prolonged stay at the intensive care unit (P < .05). CONCLUSION The single-center algorithm with noninvasive cardiac procedures without TnI assessment is optimal in evaluation before LT; however, medical history and severity of the liver disease are crucial for short-term cardiovascular morbidity after LT.
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Affiliation(s)
- J Raszeja-Wyszomirska
- Liver and Internal Medicine Unit, Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Warsaw, Poland
| | - R Glowczynska
- 1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
| | | | - M Janik
- Liver and Internal Medicine Unit, Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Warsaw, Poland
| | - M Zygmunt
- Liver and Internal Medicine Unit, Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Warsaw, Poland
| | - H Zborowska
- Central Laboratory, Public Central Teaching Clinical Hospital, Warsaw, Poland
| | - M Krawczyk
- Department of Medicine II, Saarland University Medical Center, Homburg, Germany; Laboratory of Metabolic Liver Diseases, Center for Preclinical Research, Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Warsaw, Poland
| | - G Niewinski
- II Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, Warsaw, Poland
| | - M Galas
- 1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
| | - M Krawczyk
- Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Warsaw, Poland
| | - K Zieniewicz
- Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Warsaw, Poland
| | - P Milkiewicz
- Liver and Internal Medicine Unit, Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Warsaw, Poland
| | - G Opolski
- 1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
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21
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Ziegler K, Muzzio D, Matzner F, Bommer I, Ventimiglia M, Malinowsky K, Ehrhardt J, Zygmunt M, Jensen F. Human pregnancy is accompanied by modifications in B cell development and immunoglobulin profile. J Reprod Immunol 2018; 129:40-47. [DOI: 10.1016/j.jri.2018.07.003] [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] [Received: 05/08/2018] [Revised: 06/07/2018] [Accepted: 07/09/2018] [Indexed: 12/17/2022]
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22
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Główczyńska R, Raszeja-Wyszomirska J, Janik M, Kostrzewa K, Zygmunt M, Zborowska H, Krawczyk M, Galas M, Niewińsk G, Krawczyk M, Zieniewicz K, Milkiewicz P, Opolski G. Troponin I Is Not a Predictor of Early Cardiovascular Morbidity in Liver Transplant Recipients. Transplant Proc 2018; 50:2022-2026. [DOI: 10.1016/j.transproceed.2018.02.136] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2017] [Accepted: 02/06/2018] [Indexed: 01/06/2023]
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23
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Maszewska A, Zygmunt M, Grzejdziak I, Różalski A. Use of polyvalent bacteriophages to combat biofilm ofProteus mirabiliscausing catheter-associated urinary tract infections. J Appl Microbiol 2018; 125:1253-1265. [DOI: 10.1111/jam.14026] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Revised: 05/31/2018] [Accepted: 06/18/2018] [Indexed: 01/21/2023]
Affiliation(s)
- A. Maszewska
- Department of Biology of Bacteria; Faculty of Biology and Environmental Protection; University of Lodz; Lodz Poland
| | - M. Zygmunt
- Department of Biology of Bacteria; Faculty of Biology and Environmental Protection; University of Lodz; Lodz Poland
| | - I. Grzejdziak
- Department of Biology of Bacteria; Faculty of Biology and Environmental Protection; University of Lodz; Lodz Poland
| | - A. Różalski
- Department of Biology of Bacteria; Faculty of Biology and Environmental Protection; University of Lodz; Lodz Poland
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Packhäuser K, Muzzio D, Weinhold C, Tüngler A, Heidecke O, Ehrhardt J, Krüger D, Zygmunt M. Alteration of CD83 expression and sCD83 secretion in the course of pregnancy. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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25
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Weinhold C, Muzzio DO, Packhäuser K, Krüger D, Ehrhardt J, Heidecke O, Tüngler A, Zygmunt M. The influence of follicular T helper cells to the adaption of B cells during pregnancy. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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26
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Tüngler A, Muzzio D, Heidecke O, Weinhold C, Packhäuser K, Zygmunt M. Einfluss von transmembranem und löslichem CD83 auf immun-induzierte Fehlgeburten. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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27
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Heidecke OJ, Muzzio DO, Tüngler A, Packhäuser KR, Weinhold C, Zygmunt M. Einfluss des humanen Choriongonadotropin (hCG) auf die Entwicklung des naiven Immunsystems. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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28
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Lange AE, Thyrian JR, Wetzka S, Flessa S, Hoffmann W, Zygmunt M, Fusch C, Lode HN, Heckmann M. The impact of socioeconomic factors on the efficiency of voluntary toxoplasmosis screening during pregnancy: a population-based study. BMC Pregnancy Childbirth 2016; 16:197. [PMID: 27473047 PMCID: PMC4966761 DOI: 10.1186/s12884-016-0966-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2015] [Accepted: 07/12/2016] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Congenital toxoplasmosis is associated with severe complications. German state health insurance covers rubella, but not toxoplasmosis, immunity screening. We analysed the effect of socioeconomic factors on the efficiency of private toxoplasmosis screening during pregnancy. METHODS Toxoplasmosis and rubella screening data (n = 5402 mothers) were collected within the population-based Survey of Neonates in Pomerania (SNiP). RESULTS At the first-trimester screening, 34.4 % (88.1 %) of expecting mothers were immune to toxoplasmosis (rubella). Susceptibility for toxoplasmosis (rubella) was observed in 39.6 % (8.9 %) and 25.8 % (2.95 %) were not tested. Data on a 2(nd) screening were available in a subgroup of women with negative immunity showing less than 45 % participation rate. Active toxoplasmosis (no rubella) infection was observed in 0.3 % (n = 17) of pregnant women. A multiple logistic regression model (AIC = 719.67; AUC = 0.725) revealed that the likelihood of participating in a second toxoplasmosis screening increased among women with a good level of education and a steady partnership and decreased with paternal unemployment and the absence of breastfeeding. The highest probability of non-participation in toxoplasmosis screening was found among women with temporal burden and family responsibilities. A cost-benefit analysis showed that covering general screening for toxoplasmosis with health insurance saved costs. CONCLUSION Toxoplasmosis carried a substantial risk of infection during pregnancy. Although increased socioeconomic status was positively associated with the participation in toxoplasmosis screening, this was not the case when pregnant women had strong temporal burden and family responsibilities. This data supports the need for toxoplasmosis screening among pregnant women as a general healthcare benefit covered by insurance.
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Affiliation(s)
- A. E. Lange
- Department of Pediatrics and Neonatology & Paediatric Intensive Care, University Medicine Greifswald, F.-Sauerbruchstr, 17475 Greifswald, Germany
| | - J. R. Thyrian
- Division of Health Care Epidemiology and Community Health, Institute of Community Medicine, University of Greifswald, Greifswald, Germany
| | - S. Wetzka
- Department of Health Care Management, Faculty of Law and Economics, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany
| | - S. Flessa
- Department of Health Care Management, Faculty of Law and Economics, Ernst-Moritz-Arndt-University of Greifswald, Greifswald, Germany
| | - W. Hoffmann
- Division of Health Care Epidemiology and Community Health, Institute of Community Medicine, University of Greifswald, Greifswald, Germany
| | - M. Zygmunt
- Department of Gynaecology and Obstetrics, University of Greifswald, Greifswald, Germany
| | - C. Fusch
- Division of Neonatology, Department of Pediatrics, McMaster University, Hamilton, ON Canada
| | - H. N. Lode
- Department of Pediatrics and Neonatology & Paediatric Intensive Care, University Medicine Greifswald, F.-Sauerbruchstr, 17475 Greifswald, Germany
| | - M. Heckmann
- Department of Pediatrics and Neonatology & Paediatric Intensive Care, University Medicine Greifswald, F.-Sauerbruchstr, 17475 Greifswald, Germany
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Wolfson ML, Muzzio DO, Ehrhardt J, Franchi AM, Zygmunt M, Jensen F. Expression analysis of cannabinoid receptors 1 and 2 in B cells during pregnancy and their role on cytokine production. J Reprod Immunol 2016; 116:23-7. [PMID: 27163857 DOI: 10.1016/j.jri.2016.05.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Revised: 04/27/2016] [Accepted: 05/01/2016] [Indexed: 12/29/2022]
Abstract
The endocannabinoid system consists in a family of lipids that binds to and activates cannabinoid receptors. There are two receptors so far described, the cannabinoid receptor 1 (CB1) and 2 (CB2). In the context of pregnancy, the endocannabinoid system was shown participates in different key aspects of reproductive events. B-lymphocytes are pleiotropic cells belonging to the adaptive arm of the immune system. Besides immunoglobulin production, B-lymphocytes were recently shown to be actively involved in antigen presentation as well as cytokine production, thus playing a central role in immunity. In this study we first aimed to characterize the expression of CB1 and CB2 receptors in B cells during pregnancy and then analyze the impact of their activation in term of cytokine production by B cells from pregnant and non-pregnant mice. We observed that the expression of CB1 and CB2 receptors in B-lymphocytes is differentially regulated during pregnancy. While CB2 expression is down regulated CB1 is augmented in B-lymphocytes of pregnant mice. Additionally, the treatment of activated B-lymphocytes with specific CB1 and CB2 agonists, showed a different response in term of cytokine production. Particularly, CB1 against boosted the production of the anti-inflammatory cytokine IL-10 by activated B-lymphocytes from pregnant mice.
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MESH Headings
- Animals
- B-Lymphocytes/immunology
- Cells, Cultured
- Female
- Gene Expression Regulation
- Humans
- Immune Tolerance
- Interleukin-10/metabolism
- Lymphocyte Activation
- Mice
- Mice, Inbred BALB C
- Mice, Inbred C57BL
- Pregnancy
- Receptor, Cannabinoid, CB1/genetics
- Receptor, Cannabinoid, CB1/metabolism
- Receptor, Cannabinoid, CB2/genetics
- Receptor, Cannabinoid, CB2/metabolism
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Affiliation(s)
- M L Wolfson
- Laboratory of Physiopathology of Pregnancy and Labor, Center for Pharmacological and Botanical Studies, National Research Council, School of Medicine, University of Buenos Aires, Argentina
| | - D O Muzzio
- Research Laboratory, Department of Obstetrics and Gynecology, University of Greifswald, Greifswald, Germany
| | - J Ehrhardt
- Research Laboratory, Department of Obstetrics and Gynecology, University of Greifswald, Greifswald, Germany
| | - A M Franchi
- Laboratory of Physiopathology of Pregnancy and Labor, Center for Pharmacological and Botanical Studies, National Research Council, School of Medicine, University of Buenos Aires, Argentina
| | - M Zygmunt
- Research Laboratory, Department of Obstetrics and Gynecology, University of Greifswald, Greifswald, Germany
| | - F Jensen
- Research Laboratory, Department of Obstetrics and Gynecology, University of Greifswald, Greifswald, Germany; Laboratory for Immunology of Pregnancy, Center for Pharmacological and Botanical Studies (CEFYBO-CONICET-UBA), Buenos Aires, Argentina; Institute of Health Sciences, National University Arturo Jauretche, Buenos Aires, Argentina.
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Kasch R, Baum P, Dokter M, Zygmunt M, Wirkner J, Lange A, Fröhlich S, Merk H, Kasch J. Nursing Practicum in Gynaecology and Obstetrics - Early Influence Possibilities for a Specialty. Geburtshilfe Frauenheilkd 2015; 75:1270-1275. [PMID: 26726269 DOI: 10.1055/s-0035-1558053] [Citation(s) in RCA: 4] [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: 10/22/2022] Open
Abstract
Background: The shortage of skilled personnel is ubiquitous, basic and further training is a key aspect in the recruitment of new medical colleagues. The significance of the nursing practicum in its function as gateway to the gynaecology and obstetrics discipline is practically unexplored. Methods: In an online questionnaire, medical students in all German faculties were questioned about the practica in their courses. The questionnaire reached 9079 medical students. 149 participants in nursing practica were selectively asked to answer 140 questions. We analysed those students who could, on the basis of their experiences in nursing practica, imagine undertaking an internship (clinical elective) in gynaecology (internship yes "Iy") separately from those who could not or were still undecided (internship no "In" or, respectively, internship perhaps "Ip"). Results: Altogether 149 medical students who participated in a nursing practicum in the gynaecology discipline were selected, of these 94.9 % were female. 92 (61.7 %) of the students replied that, after their gynaecological nursing practicum, they wanted to undertake an internship in gynaecology (Iy); 39 (26.2 %) answered negatively (In) and 18 (12.1 %) were still undecided (Ip). With regard to the parameters gender, age and duration of study, there were no significant differences among the 3 groups (χ2 0.83). Besides the didactic and professional quality of the training, Iy also mentioned having had a higher practical orientation. They attained their aims more frequently, were better integrated in the health-care team and acquired more practical competences. Satisfaction with the practicum was evaluated as highest among the Iy. Discussion: Those students who could imagine taking an internship in gynaecology were seen to be more satisfied with their practica than those participants who declined or were undecided. The high proportion of females is an early indicator for a feminisation of the specialty. If necessary this could be countered with the help of nursing management.
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Affiliation(s)
- R Kasch
- Klinik für Orthopädie und Orthopädische Chirurgie, Universitätsmedizin Greifswald, Greifswald
| | - P Baum
- Klinik für Orthopädie und Orthopädische Chirurgie, Universitätsmedizin Greifswald, Greifswald
| | - M Dokter
- Institut für Anatomie, Universitätsmedizin Greifswald, Greifswald
| | - M Zygmunt
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Universitätsmedizin Greifswald, Greifswald
| | - J Wirkner
- Klinik für Innere Medizin A, Universitätsmedizin Greifswald, Greifswald
| | - A Lange
- Klinik für Kinder- und Jugendmedizin, Universitätsmedizin Greifswald, Greifswald
| | - S Fröhlich
- Klinik für Orthopädie, Universitätsmedizin Rostock, Rostock
| | - H Merk
- Klinik für Orthopädie und Orthopädische Chirurgie, Universitätsmedizin Greifswald, Greifswald
| | - J Kasch
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Universitätsmedizin Greifswald, Greifswald
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31
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Wetzka S, Fleßa S, Lange A, Zygmunt M. Epidemiological and Financial Burden of Preterm Labor Hospitalizations - An Analysis of German Claims Data. Value Health 2014; 17:A507. [PMID: 27201549 DOI: 10.1016/j.jval.2014.08.1549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- S Wetzka
- Department of Health Care Management, Faculty of Law and Economics, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany
| | - S Fleßa
- Department of Health Care Management, Faculty of Law and Economics, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany
| | - A Lange
- Department of Neonatology and Pediatric Intensive Care, Hospital for Pediatrics, University of Greifswald, Greifswald, Germany
| | - M Zygmunt
- Department of Obstetrics and Gynecology, University of Greifswald, Greifswald, Germany
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Koensgen D, Bruennert D, Ungureanu S, Sofroni D, Braicu EI, Sehouli J, Sümnig A, Delogu S, Zygmunt M, Goyal P, Evert M, Olek S, Biebler KE, Mustea A. Polymorphism of the IL-8 gene and the risk of ovarian cancer. Cytokine 2014; 71:334-8. [PMID: 25151495 DOI: 10.1016/j.cyto.2014.07.254] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [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: 03/05/2014] [Revised: 06/11/2014] [Accepted: 07/29/2014] [Indexed: 10/24/2022]
Abstract
Ovarian cancer still represents a challenge in gynecological oncology. Most patients are diagnosed in an advanced tumor stage. No specific screening or prevention strategies for ovarian cancer exist as of yet. Interleukin 8 (IL-8) is a pro-inflammatory chemokine known for its angiogenetic activity, and is supposedly responsible for tumor-associated angiogenesis in several malignant tumors. The aim of the study was to investigate the susceptibility of patients with an IL-8 gene polymorphism to developing ovarian cancer. Four single nucleotide polymorphisms (SNPs) (IL-8 -251, IL-8 +781, IL-8 +1633 and IL-8 +2767) of the IL-8 gene were screened, using the PCR method in 268 patients with ovarian cancer and 426 healthy women as a control group. Significant associations were noted in patients with the IL-8 +781 (T/T) genotype (p=0.0048) with increased frequencies of ovarian cancer, while women with the IL-8 +781 (C/C) allele suffer from ovarian cancer significantly less frequently (p=0.0003). Furthermore, the IL-8 +2767 (T/T) genotype is also associated with a higher risk of ovarian cancer (p=0.0177). Our results indicate, for the first time, that IL-8 polymorphism is associated with ovarian cancer.
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Affiliation(s)
- D Koensgen
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - D Bruennert
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - S Ungureanu
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany; Department of Gynecology, Oncological Institute, Testemitanu Str. 30, 2025 Chisinau, Moldavia.
| | - D Sofroni
- Department of Gynecology, Oncological Institute, Testemitanu Str. 30, 2025 Chisinau, Moldavia.
| | - E I Braicu
- Department of Gynecology, European Competence Center for Ovarian Cancer, Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
| | - J Sehouli
- Department of Gynecology, European Competence Center for Ovarian Cancer, Campus Virchow Klinikum, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
| | - A Sümnig
- Institute for Immunology and Transfusion Medicine, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany.
| | - S Delogu
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - M Zygmunt
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - P Goyal
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
| | - M Evert
- Institute for Pathology, Medical University Greifswald, Friedrich-Loeffler-Str. 23e, 17487 Greifswald, Germany.
| | - S Olek
- Epiontis GmbH, Rudower Chaussee 29, 12489 Berlin, Germany.
| | - K E Biebler
- Institute for Biometrics and Medical Informatics, Walther-Rathenau-Straße 48, 17475 Greifswald, Germany.
| | - A Mustea
- Department of Gynecology and Obstetrics, Medical University Greifswald, Ferdinand-Sauerbruch-Str.,17475 Greifswald, Germany.
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Brunnert D, Sztachelska M, Bornkessel F, Treder N, Wolczynski S, Goyal P, Zygmunt M. Lysophosphatidic acid and sphingosine 1-phosphate metabolic pathways and their receptors are differentially regulated during decidualization of human endometrial stromal cells. Mol Hum Reprod 2014; 20:1016-25. [DOI: 10.1093/molehr/gau051] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
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Fiori W, Renner SP, Siam K, Babapirali J, Roeder N, Dausch E, Hildebrandt T, Hillemanns P, Nehmzow M, Zygmunt M, Piroth D, Schem C, Schwenzer T, Friese K, Wallwiener D, Beckmann MW. Shaping the System - The DRG Evaluation Project of the German Society for Gynaecology and Obstetrics (Deutsche Gesellschaft für Gynäkologie und Geburtshilfe, DGGG). Geburtshilfe Frauenheilkd 2013; 73:776-782. [PMID: 24771931 DOI: 10.1055/s-0033-1350748] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2013] [Revised: 07/11/2013] [Accepted: 07/18/2013] [Indexed: 10/26/2022] Open
Abstract
Introduction: The German DRG system is annually adapted to the changing services provided. For the further development, the self-governing body and its DRG Institute (InEK) depend on participation of the users. Methods: For one of the DRG evaluation projects initiated by DGGG, cost and performance data for the year 2011 from 16 hospitals were available. After plausibility checks and corrections, analyses for service and cost homogeneity were performed. In cases of inadequate DRG-representation attributes were sought that would make an appropriate reimbursement possible. Conspicuities and potential solutions were checked for clinical plausibility. Results: 44 concrete modification proposals for further development of the G-DRG system were formulated and submitted in due time to the InEK. In addition, 3 modification proposals were addressed to the German Institute for Medical Documentation and Information (Deutsches Institut für Medizinische Dokumentation und Information, DIMDI) for further development of the diagnosis classification ICD-10-GM. For all modification proposals care was taken to minimise misdirected incentives and to reduce the potential for disputes with the cost bearers and their auditors services in settlements. Discussion: The publication of the G-DRG system 2014 shows which modification proposals have been realised. Essentially, an appropriate redistribution of the resources among the gynaecological and obstetrics departments is to be expected. The financial pressure that is caused by the generally inadequate financing of hospitals will not be reduced by a further development of the G-DRG system.
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Affiliation(s)
- W Fiori
- Medizincontrolling, Geschäftsbereich Medizinisches Management, Universitätsklinikum Münster, DRG-Research-Group, Münster
| | - S P Renner
- Universitätsklinikum Erlangen, Frauenklinik, Erlangen
| | - K Siam
- Medizincontrolling, Geschäftsbereich Medizinisches Management, Universitätsklinikum Münster, DRG-Research-Group, Münster
| | - J Babapirali
- Medizincontrolling, Geschäftsbereich Medizinisches Management, Universitätsklinikum Münster, DRG-Research-Group, Münster
| | - N Roeder
- Medizincontrolling, Geschäftsbereich Medizinisches Management, Universitätsklinikum Münster, DRG-Research-Group, Münster
| | - E Dausch
- Klinik für Frauenheilkunde und Geburtshilfe an der Unversität Regensburg, Caritas-Krankenhaus St. Josef, Regensburg
| | - T Hildebrandt
- Universitätsklinikum Erlangen, Frauenklinik, Erlangen
| | - P Hillemanns
- Medizinische Hochschule Hannover, Frauenklinik, Hannover
| | - M Nehmzow
- Universitätsklinikum Greifswald, Frauenklinik, Greifswald
| | - M Zygmunt
- Universitätsklinikum Greifswald, Frauenklinik, Greifswald
| | - D Piroth
- Universitätsklinikum Aachen, Frauenklinik, Aachen
| | - C Schem
- Universitätsklinikum Kiel, Frauenklinik, Kiel
| | - T Schwenzer
- Frauenklinik, Klinikum Dortmund Mitte, Dortmund
| | - K Friese
- Universitätsklinikum München, LMU, Frauenklinik, München
| | - D Wallwiener
- Universitätsklinikum Tübingen, Frauenklinik, Tübingen
| | - M W Beckmann
- Universitätsklinikum Erlangen, Frauenklinik, Erlangen
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Goyal P, Brunnert D, Ehrhardt J, Bredow M, Piccenini S, Zygmunt M. Cytokine IL-6 secretion by trophoblasts regulated via sphingosine-1-phosphate receptor 2 involving Rho/Rho-kinase and Rac1 signaling pathways. Mol Hum Reprod 2013; 19:528-38. [DOI: 10.1093/molehr/gat023] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
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Spratte J, Meyer zu Schwabedissen H, Endlich N, Zygmunt M, Fluhr H. Heparin inhibits TNF- signaling in human endometrial stromal cells by interaction with NF- B. Mol Hum Reprod 2012; 19:227-36. [DOI: 10.1093/molehr/gas060] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
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Fluhr H, Spratte J, Meyer zu Schwabedissen H, Endlich N, Zygmunt M. Heparin wirkt antiinflammatorisch auf das Endometrium durch Interaktion mit TNF-α- und IFN-γ-aktivierten Signalwegen. Z Geburtshilfe Neonatol 2011. [DOI: 10.1055/s-0031-1293419] [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: 10/15/2022]
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Hinken B, Lange A, Zygmunt M. Der extrem frühe vorzeitige Blasensprung <24+0 SSW: Therapie und fetal outcome. Z Geburtshilfe Neonatol 2011. [DOI: 10.1055/s-0031-1293241] [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: 10/15/2022]
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Spratte J, Wenig H, Schwarzig U, Zygmunt M, Fluhr H. Heparin moduliert selektiv die Chemokinsekretion endometrialer Karzinomzellen. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1286477] [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: 10/17/2022] Open
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Fluhr H, Spratte J, Meyer zu Schwabedissen H, Endlich N, Zygmunt M. Heparin moduliert TNF-α-vermittelte Effekte im humanen Endometrium durch Interaktion mit dem Transkriptionsfaktor NF-κB. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1286518] [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: 10/17/2022] Open
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41
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Mustea A, Belau A, Sehouli J, Drzewiecki K, Eichbaum MHR, Bartz K, Angelidou E, Saegner S, Langenbruch MO, Ledwon P, Zygmunt M, Koehler G, Koensgen D. Response rate and toxicity of primary concomitant radio-chemotherapy in locally advanced cervical cancer: Results of an open prospective, multicenter phase II study of the NOGGO. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.5038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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42
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Koensgen D, Belau A, Sehouli J, Sommer HL, Bartz K, Markmann S, Schneidewind L, Scharf JP, Ehmke M, Stengel D, Ledwon P, Guba H, Zygmunt M, Koehler G, Mustea A. Adjuvant sequential chemo-radiation therapy in high-risk endometrial cancer: Results of a prospective, multicenter phase II study of the NOGGO. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.5109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Fluhr H, Spratte J, Heidrich S, Ehrhardt J, Greinacher A, Zygmunt M. The molecular charge and size of heparins determine their impact on the decidualization of human endometrial stromal cells. Mol Hum Reprod 2011; 17:354-9. [DOI: 10.1093/molehr/gar001] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
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Hatzung G, Grunwald S, Zygmunt M, Geaid AA, Behrndt PO, Isermann R, Kohlmann T, Ohlinger R. Sonoelastography in the diagnosis of malignant and benign breast lesions: initial clinical experiences. Ultraschall Med 2010; 31:596-603. [PMID: 20614414 DOI: 10.1055/s-0029-1245526] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
PURPOSE This prospective study aimed to compare sonoelastography, B-mode ultrasonography, and mammography in terms of their ability to distinguish benign from malignant breast lesions. We also assessed how the diagnostic value of sonoelastography differs between palpable and clinically occult lesions. MATERIALS AND METHODS Evaluation revealed a total of 97 lesions (66 benign; 31 malignant) without histological confirmation at the time of the initial examination. The sensitivity, specificity, positive (PPV) and negative predictive value (NPV) as well as efficiency were calculated. These parameters were separately assessed for palpable lesions and for non-palpable lesions. We subsequently compared these results. RESULTS Sonography had a sensitivity of 97% and a specificity of 82% (PPV: 71 %, NPV: 98%, efficiency: 87%). For mammography, the respective figures were 84% and 89% (PPV: 79%, NPV: 92%, efficiency: 88%). Sonoelastography had a sensitivity of 71% and a specificity of 48% (PPV: 39%, NPV: 78%, efficiency: 56%). The combination of sonography and sonoelastography yielded a sensitivity of 100% and a specificity of 38% (PPV: 43%, NPV: 100%, efficiency: 58%). The sensitivity and specificity were not statistically different between the groups of palpable and non-palpable lesions. CONCLUSION Sonoelastography is easily performed and not very time-consuming. Used by itself, the method is not more efficacious than alternative techniques. When used in conjunction with B-mode ultrasonography, the latter's sensitivity was increased, albeit at the expense of specificity.
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MESH Headings
- Adenocarcinoma, Mucinous/diagnostic imaging
- Adenocarcinoma, Mucinous/pathology
- Adult
- Aged
- Biopsy/methods
- Breast/pathology
- Breast Diseases/diagnostic imaging
- Breast Diseases/pathology
- Breast Neoplasms/diagnostic imaging
- Breast Neoplasms/pathology
- Carcinoma, Ductal/diagnostic imaging
- Carcinoma, Intraductal, Noninfiltrating/diagnostic imaging
- Carcinoma, Intraductal, Noninfiltrating/pathology
- Carcinoma, Lobular/diagnostic imaging
- Carcinoma, Lobular/pathology
- Elasticity Imaging Techniques/methods
- Female
- Fibroadenoma/diagnostic imaging
- Fibroadenoma/pathology
- Humans
- Middle Aged
- Papilloma/diagnostic imaging
- Papilloma/pathology
- Prospective Studies
- Sensitivity and Specificity
- Ultrasonography, Mammary/methods
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Affiliation(s)
- G Hatzung
- Gynecology & Obstetrics, Ernst-Moritz-Arndt University Greifswald, Germany
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Fluhr H, Wenig H, Spratte J, Heidrich S, Ehrhardt J, Zygmunt M. Non-apoptotic Fas-induced regulation of cytokines in undifferentiated and decidualized human endometrial stromal cells depends on caspase-activity. Mol Hum Reprod 2010; 17:127-34. [DOI: 10.1093/molehr/gaq082] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [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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Völzke H, Lorbeer R, Dörr M, Kock H, Assel H, Ott K, Völker U, Hecker M, Hoffmann W, Nauck M, Zygmunt M, Felix S, Kroemer H. Greifswald Approach to Individualized Medicine (GANI_MED) – Rationale and Design. Gesundheitswesen 2010. [DOI: 10.1055/s-0030-1266381] [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: 10/19/2022]
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47
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Thyrian J, Lange A, Lingnau ML, Fusch C, Hoffmann W, Zygmunt M, Haas JP. Soziodemografie von Erstgebärenden und Mehrfachgebärenden in einer bevölkerungsrepräsentativen Erhebung – Ergebnisse des Survey of Neonates in Pomerania (SNiP). Z Geburtshilfe Neonatol 2010; 214:15-23. [DOI: 10.1055/s-0029-1243625] [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: 10/19/2022]
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48
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Wenig H, Zygmunt M, Fluhr H. Caspasen vermitteln Fas-induzierte Zytokin-Sekretion in humanen endometrialen Stromazellen unabhängig von Apoptosevorgängen. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1239039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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49
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Herr F, McKinnon T, Widmer-Teske R, Baal N, Zygmunt M. In vitro Untersuchungen zur Regulation der plazentaren Vaskulogenese. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1238964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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50
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Spratte J, Zygmunt M, Fluhr H. Heparin moduliert TNF-α-vermittelte Effekte im humanen Endometrium durch Interaktion mit dem Transkriptionsfaktor NF-κB. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1239023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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