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Brand A, Hornig C, Crayen C, Hamann A, Martineck S, Leistner DM, Dreger H, Sündermann S, Unbehaun A, Sherif M, Haghikia A, Bischoff S, Lueg J, Kühnle Y, Paul O, Squier S, Stangl K, Falk V, Landmesser U, Stangl V. Medical graphics to improve patient understanding and anxiety in elderly and cognitively impaired patients scheduled for transcatheter aortic valve implantation (TAVI). Clin Res Cardiol 2023:10.1007/s00392-023-02352-8. [PMID: 38117299 DOI: 10.1007/s00392-023-02352-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 11/29/2023] [Indexed: 12/21/2023]
Abstract
BACKGROUND Anxiety and limited patient comprehension may pose significant barriers when informing elderly patients about complex procedures such as transcatheter aortic valve implantation (TAVI). OBJECTIVES We aimed to evaluate the utility of medical graphics to improve the patient informed consent (IC) before TAVI. METHODS In this prospective, randomized dual center study, 301 patients were assigned to a patient brochure containing medical graphics (Comic group, n = 153) or sham information (Control group, n = 148) on top of usual IC. Primary outcomes were patient understanding of central IC-related aspects and periprocedural anxiety assessed by the validated Spielberger State Trait Anxiety Inventory (STAI), both analyzed by cognitive status according to the Montreal Cognitive Assessment (MoCA). RESULTS Patient understanding was significantly higher in the Comic group [mean number of correct answers 12.8 (SD 1.2) vs. 11.3 (1.8); mean difference 1.5 (95% CI 1.2-1.8); p < 0.001]. This effect was more pronounced in the presence of cognitive dysfunction (MoCA < 26) [12.6 (1.2) in the Comic vs. 10.9 (1.6) in the Control group; mean difference 1.8 (1.4-2.2), p < 0.001]. Mean STAI score declined by 5.7 (95% CI 5.1-6.3; p < 0.001) in the Comic and 0.8 points (0.2-1.4; p = 0.015) in the Control group. Finally, mean STAI score decreased in the Comic group by 4.7 (3.8-5.6) in cognitively impaired patients and by 6.6 (95% CI 5.8 to 7.5) in patients with normal cognitive function (p < 0.001 each). CONCLUSIONS Our results prove beneficial effects for using medical graphics to inform elderly patients about TAVI by improving patient understanding and reducing periprocedural anxiety (DRKS00021661; 23/Oct/2020). Medical graphics entailed significant beneficial effects on the primary endpoints, patient understanding and periprocedural anxiety, compared to the usual patient informed consent (IC) procedure. Patient understanding of IC-related aspects was significantly higher in the Comic group, with a more pronounced benefit in patients with cognitive impairment (p for IC method and cognitive status < 0.001, respectively; p for IC method x MoCA category interaction = 0.017). There further was a significant decline of periprocedural anxiety in patients with and without cognitive impairment (p for IC method x measuring time point < 0.001; p for IC method x MoCA category x measuring time point interaction = 0.018).
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Affiliation(s)
- A Brand
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Charité Mitte, Berlin, Germany.
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Benjamin Franklin, Berlin, Germany.
- DZHK (German Centre for Cardiovascular Research), partner Site Berlin, Berlin, Germany.
| | - C Hornig
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Charité Mitte, Berlin, Germany
| | - C Crayen
- Department of Education and Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany
| | - A Hamann
- Mintwissen-Science Communication Agency and Publishing House, Paulusstr. 11, 40237, Düsseldorf, Germany
| | | | - D M Leistner
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Benjamin Franklin, Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner Site Berlin, Berlin, Germany
- Department of Cardiology, Angiology and Intensive Care Medicine, Goethe University Hospital, Universitäres Herz- und Gefässzentrum Frankfurt, Frankfurt am Main, 60590, Frankfurt, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Rhein-Main, Munich, Germany
| | - H Dreger
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Charité Mitte, Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner Site Berlin, Berlin, Germany
| | - S Sündermann
- DZHK (German Centre for Cardiovascular Research), partner Site Berlin, Berlin, Germany
- Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité, Berlin, Germany
| | - A Unbehaun
- Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité, Berlin, Germany
| | - M Sherif
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Virchow Klinikum, Berlin, Germany
| | - A Haghikia
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Benjamin Franklin, Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner Site Berlin, Berlin, Germany
| | - S Bischoff
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Charité Mitte, Berlin, Germany
| | - J Lueg
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Charité Mitte, Berlin, Germany
| | - Y Kühnle
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Virchow Klinikum, Berlin, Germany
| | - O Paul
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Virchow Klinikum, Berlin, Germany
| | - S Squier
- Brill Professor Emeritus of English and Women's, Gender and Sexuality Studies, The Pennsylvania State University, University Park, PA, 16802, USA
| | - K Stangl
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Charité Mitte, Berlin, Germany
| | - V Falk
- DZHK (German Centre for Cardiovascular Research), partner Site Berlin, Berlin, Germany
- Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité, Berlin, Germany
| | - U Landmesser
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Benjamin Franklin, Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner Site Berlin, Berlin, Germany
| | - V Stangl
- Department of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum der Charité, Campus Charité Mitte, Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), partner Site Berlin, Berlin, Germany
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Hothersall J, Lai S, Zhang N, Godfrey RE, Ruanto P, Bischoff S, Robinson C, Overton TW, Busby SJW, Browning DF. Inexpensive protein overexpression driven by the NarL transcription activator protein. Biotechnol Bioeng 2022; 119:1614-1623. [PMID: 35211956 PMCID: PMC9314961 DOI: 10.1002/bit.28071] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [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: 11/03/2021] [Revised: 02/11/2022] [Accepted: 02/20/2022] [Indexed: 11/10/2022]
Abstract
Most Escherichia coli overexpression vectors used for recombinant protein production (RPP) depend on organic inducers, for example, sugars or simple conjugates. However, these can be expensive and, sometimes, chemically unstable. To simplify this and to cut the cost of RPP, we have developed vectors controlled by the Escherichia coli nitrate‐responsive NarL transcription activator protein, which use nitrate, a cheap, stable, and abundant inorganic ion, to induce high‐level controlled RPP. We show that target proteins, such as green fluorescent protein, human growth hormone, and single‐chain variable region antibody fragments can be expressed to high levels using our promoter systems. As nitrate levels are high in many commercial fertilizers, we demonstrate that controlled RPP can be achieved using readily available and inexpensive garden products.
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Affiliation(s)
- Joanne Hothersall
- Institute of Microbiology and Infection, School of Biosciences, University of Birmingham, Birmingham, B15 2TT, UK
| | - Sandie Lai
- School of Chemical Engineering, University of Birmingham, Birmingham, B15 2TT, UK
| | - Nan Zhang
- Institute of Microbiology and Infection, School of Biosciences, University of Birmingham, Birmingham, B15 2TT, UK
| | - Rita E Godfrey
- Institute of Microbiology and Infection, School of Biosciences, University of Birmingham, Birmingham, B15 2TT, UK
| | - Patcharawarin Ruanto
- Institute of Microbiology and Infection, School of Biosciences, University of Birmingham, Birmingham, B15 2TT, UK
| | - Sarah Bischoff
- School of Biosciences, University of Kent, Ingram Building, Canterbury, CT2 7NJ, UK
| | - Colin Robinson
- School of Biosciences, University of Kent, Ingram Building, Canterbury, CT2 7NJ, UK
| | - Tim W Overton
- School of Chemical Engineering, University of Birmingham, Birmingham, B15 2TT, UK
| | - Stephen J W Busby
- Institute of Microbiology and Infection, School of Biosciences, University of Birmingham, Birmingham, B15 2TT, UK
| | - Douglas F Browning
- Institute of Microbiology and Infection, School of Biosciences, University of Birmingham, Birmingham, B15 2TT, UK.,College of Health & Life Sciences, Aston University, Aston Triangle, Birmingham, B4 7ET, UK
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Ranaivo H, Zhang Z, Alligier M, Lambert-Porcheron S, Feugier-Favier N, Cuerq C, Machon C, Neyrinck A, Seethaler B, Rodriguez J, Muccioli G, Maquet V, Laville M, Bischoff S, Walter J, Delzenne N, Nazare JA. Impact de la supplémentation en chitine-glucane chez le sujet à risque cardiométabolique : focus sur le métabolisme postprandial et le microbiote intestinal. NUTR CLIN METAB 2022. [DOI: 10.1016/j.nupar.2021.12.016] [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: 11/28/2022]
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Moore SJ, Hleba YB, Bischoff S, Bell D, Polizzi KM, Freemont PS. Correction to: Refactoring of a synthetic raspberry ketone pathway with EcoFlex. Microb Cell Fact 2021; 20:159. [PMID: 34407814 PMCID: PMC8371789 DOI: 10.1186/s12934-021-01632-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- Simon J Moore
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.,Department Section of Structural and Synthetic Biology, Department of Infectious Disease, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.,School of Biosciences, University of Kent, CT2 7NJ, Canterbury, England
| | - Yonek B Hleba
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.,Department Section of Structural and Synthetic Biology, Department of Infectious Disease, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK
| | - Sarah Bischoff
- School of Biosciences, University of Kent, CT2 7NJ, Canterbury, England
| | - David Bell
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.,Department Section of Structural and Synthetic Biology, Department of Infectious Disease, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK
| | - Karen M Polizzi
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK. .,Department of Life Sciences, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK. .,Department of Chemical Engineering, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.
| | - Paul S Freemont
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK. .,Department Section of Structural and Synthetic Biology, Department of Infectious Disease, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK. .,The London Biofoundry, Imperial College Translation & Innovation Hub, White City Campus, 80 Wood Lane, London, W12 0BZ, UK. .,Dementia Research Institute Care Research and Technology Centre, Imperial College London, Hammersmith Campus, Du Cane Road, London, W12 0NN, UK.
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Moore SJ, Hleba YB, Bischoff S, Bell D, Polizzi KM, Freemont PS. Refactoring of a synthetic raspberry ketone pathway with EcoFlex. Microb Cell Fact 2021; 20:116. [PMID: 34112158 PMCID: PMC8193874 DOI: 10.1186/s12934-021-01604-4] [Citation(s) in RCA: 5] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 05/31/2021] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND A key focus of synthetic biology is to develop microbial or cell-free based biobased routes to value-added chemicals such as fragrances. Originally, we developed the EcoFlex system, a Golden Gate toolkit, to study genes/pathways flexibly using Escherichia coli heterologous expression. In this current work, we sought to use EcoFlex to optimise a synthetic raspberry ketone biosynthetic pathway. Raspberry ketone is a high-value (~ £20,000 kg-1) fine chemical farmed from raspberry (Rubeus rubrum) fruit. RESULTS By applying a synthetic biology led design-build-test-learn cycle approach, we refactor the raspberry ketone pathway from a low level of productivity (0.2 mg/L), to achieve a 65-fold (12.9 mg/L) improvement in production. We perform this optimisation at the prototype level (using microtiter plate cultures) with E. coli DH10β, as a routine cloning host. The use of E. coli DH10β facilitates the Golden Gate cloning process for the screening of combinatorial libraries. In addition, we also newly establish a novel colour-based phenotypic screen to identify productive clones quickly from solid/liquid culture. CONCLUSIONS Our findings provide a stable raspberry ketone pathway that relies upon a natural feedstock (L-tyrosine) and uses only constitutive promoters to control gene expression. In conclusion we demonstrate the capability of EcoFlex for fine-tuning a model fine chemical pathway and provide a range of newly characterised promoter tools gene expression in E. coli.
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Affiliation(s)
- Simon J Moore
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.,Department Section of Structural and Synthetic Biology, Department of Infectious Disease, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.,School of Biosciences, University of Kent, CT2 7NJ, Canterbury, England
| | - Yonek B Hleba
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.,Department Section of Structural and Synthetic Biology, Department of Infectious Disease, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK
| | - Sarah Bischoff
- School of Biosciences, University of Kent, CT2 7NJ, Canterbury, England
| | - David Bell
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.,Department Section of Structural and Synthetic Biology, Department of Infectious Disease, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK
| | - Karen M Polizzi
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK. .,Department of Life Sciences, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK. .,Department of Chemical Engineering, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK.
| | - Paul S Freemont
- Centre for Synthetic Biology and Innovation, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK. .,Department Section of Structural and Synthetic Biology, Department of Infectious Disease, Imperial College London, South Kensington Campus, Exhibition Road, London, SW7 2AZ, UK. .,The London Biofoundry, Imperial College Translation & Innovation Hub, White City Campus, 80 Wood Lane, London, W12 0BZ, UK. .,Dementia Research Institute Care Research and Technology Centre, Imperial College London, Hammersmith Campus, Du Cane Road, London, W12 0NN, UK.
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6
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Hoyer K, Hablesreiter R, Inoue Y, Yoshida K, Briest F, Christen F, Kakiuchi N, Yoshizato T, Shiozawa Y, Shiraishi Y, Striefler JK, Bischoff S, Lohneis P, Putter H, Blau O, Keilholz U, Bullinger L, Pelzer U, Hummel M, Riess H, Ogawa S, Sinn M, Damm F. A genetically defined signature of responsiveness to erlotinib in early-stage pancreatic cancer patients: Results from the CONKO-005 trial. EBioMedicine 2021; 66:103327. [PMID: 33862582 PMCID: PMC8054140 DOI: 10.1016/j.ebiom.2021.103327] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 03/16/2021] [Accepted: 03/19/2021] [Indexed: 12/18/2022] Open
Abstract
Background high recurrence rates of up to 75% within 2 years in pancreatic ductal adenocarcinoma (PDAC) patients resected for cure indicate a high medical need for clinical prediction tools and patient specific treatment approaches. Addition of the EGFR inhibitor erlotinib to adjuvant chemotherapy failed to improve outcome but its efficacy in some patients warrants predictors of responsiveness. Patients and Methods we analysed tumour samples from 293 R0-resected patients from the randomized, multicentre phase III CONKO-005 trial (gemcitabine ± erlotinib) with targeted sequencing, copy number, and RNA expression analyses. Findings a total of 1086 mutations and 4157 copy-number aberrations (CNAs) with a mean of 17.9 /tumour were identified. Main pathways affected by genetic aberrations were the MAPK-pathway (99%), cell cycle control (92%), TGFβ signalling (77%), chromatin remodelling (71%), and the PI3K/AKT pathway (65%). Based on genetic signatures extracted with non-negative matrix factorization we could define five patient clusters, which differed in mutation patterns, gene expression profiles, and survival. In multivariable Cox regression analysis, SMAD4 aberrations were identified as a negative prognostic marker in the gemcitabine arm, an effect that was counteracted when treated with erlotinib (DFS: HR=1.59, p = 0.016, and OS: HR = 1.67, p = 0.014). Integration of differential gene expression analysis established SMAD4 alterations with low MAPK9 expression (n = 91) as a predictive biomarker for longer DFS (HR=0.49; test for interaction, p = 0.02) and OS (HR = 0.32; test for interaction, p = 0.001). Interpretation this study identified five biologically distinct patient clusters with different actionable lesions and unravelled a previously unappreciated association of SMAD4 alteration status with erlotinib effectiveness. Confirmatory studies and mechanistic experiments are warranted to challenge the hypothesis that SMAD4 status might guide addition of erlotinib treatment in early-stage PDAC patients.
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Affiliation(s)
- K Hoyer
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany
| | - R Hablesreiter
- Department of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Y Inoue
- Department of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - K Yoshida
- Department of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - F Briest
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany
| | - F Christen
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany
| | - N Kakiuchi
- Department of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - T Yoshizato
- Department of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Y Shiozawa
- Department of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | - Y Shiraishi
- Laboratory of DNA information Analysis, Human Genome Centre, Institute of Medical Science, The University of Tokyo, Tokyo, Japan
| | - J K Striefler
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany
| | - S Bischoff
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany
| | - P Lohneis
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Pathology, Berlin, Germany; Institute of Pathology, University of Cologne, Cologne, Germany
| | - H Putter
- Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands
| | - O Blau
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany
| | - U Keilholz
- Charité Comprehensive Cancer Center, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - L Bullinger
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany
| | - U Pelzer
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany
| | - M Hummel
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Pathology, Berlin, Germany
| | - H Riess
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany
| | - S Ogawa
- Department of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Institute for the Advanced Study of Human Biology (WPI-ASHBi), Kyoto University, Kyoto, Japan; Department of Medicine, Centre for Haematology and Regenerative Medicine, Karolinska Institute, Stockholm, Sweden
| | - M Sinn
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany; Department of Oncology, Hematology and Bone Marrow Transplantation with Division of Pneumology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - F Damm
- Department of Hematology, Oncology, and Tumor Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin 13353, Germany; German Cancer Consortium (DKTK), partner site Berlin, Berlin, Germany; German Cancer Research Center (DKFZ), Heidelberg, Germany.
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Sinn M, Pollich C, Riess H, Bischoff S, Habbel P, Scholz C, Spaeth-Schwalbe E, de Wit M, Jühling A, Wolter E, Wislocka L, Klamroth R. PO-37 How are patients with active cancer and venous thromboembolism (VTE) treated in Germany? Answers from GECAT (German Evaluation of Cancer Associated Thrombosis). Thromb Res 2021. [DOI: 10.1016/s0049-3848(21)00210-3] [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: 11/25/2022]
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Leitzke M, Schimpf S, Altrock M, Schönknecht P, Bischoff S, Schubert H, Hoyer D, Bauer R, Olbrich S. Afferent vagal stimulation via gastric electrical stimulation alters sympathetic-vagal balance in domestic pigs - a pilot trial. J BIOL REG HOMEOS AG 2021; 35:11-24. [PMID: 33474908 DOI: 10.23812/20-527-a] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The disturbance of the sympathetic-vagal balance with increasing sympathetic activity and consecutive increase in cytokine release is a major threat in numerous hyperinflammatory syndromes. Therapeutic interventions that modulate the activity in the sympathetic-vagal system are suggested as an effective treatment in these incidences. The purpose of this pilot study was to investigate the effect of electrical stimulation of the gastric wall on sympathetic-vagal balance. German domestic pigs (n=5) were prepared with a modified gastric tube (mGT) for repetitive gastric electrical stimulation (GES). Electrocardiogram was recorded continuously and heart rate variability (HRV) as measure of sympathetic-vagal activity was calculated for three-minute epochs at baseline condition before GES and during GES condition. In comparison to baseline, activity of the autonomic nervous system (ANS) shifted significantly toward increased dominance of vagal activity during GES with a decrease of normalized low frequency (nLF from 58.00 to 25.52) as marker of sympathetic dominance and parallel increase of normalized high frequency (nHF from 41.48 to 74.16) as marker of vagal dominance. During GES, compared to baseline, no difference in heart rate was found. These results indicate that electrical stimulation of the gastric wall may result in shifting the sympathetic-vagal balance toward a parasympathetic predominance.
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Affiliation(s)
- M Leitzke
- Helios Clinics, Department of Anaesthesiology, Leisnig, Germany
| | - S Schimpf
- Dräger Medical GmbH, Lübeck, Germany
| | - M Altrock
- MTU Reman Technologies GmbH, Magdeburg, Germany
| | - P Schönknecht
- Leipzig University, Medical faculty, Saxon hospital, Arnsdorf, Germany
| | - S Bischoff
- University of Jena, Institute for animal testing, experimentation and animal welfare, Jena, Germany
| | - H Schubert
- University of Jena, Institute for animal testing, experimentation and animal welfare, Jena, Germany
| | - D Hoyer
- University of Jena, Hans Berger Department of Neurology, Jena, Germany
| | - R Bauer
- University of Jena, Institute for molecular cell biology, Jena, Germany
| | - S Olbrich
- University of Zurich, Department of Psychiatry, Zürich, Switzerland
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Steiner UC, Bischoff S, Valaperti A, Ikenberg K, Starzyk J, Bucher S, Bachmann LM, Soyka MB. Endotypes of chronic rhinosinusitis with nasal polyps with and without NSAID â€" intolerance. Rhinology 2021; 58:544-549. [PMID: 32692786 DOI: 10.4193/rhin19.423] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Chronic rhinosinusitis with nasal polyps (CRSwNP) is a type 2-dominated inflammatory disease of the upper air- ways. A subgroup of patients with CRSwNP suffer from intolerance to nonsteroidal anti-inflammatory drugs (NSAID) and develop NSAID-exacerbated respiratory disease (NERD). The aim of the study was to compare the cytokine based inflammatory endotype of nasal secretions of CRSwNP patients with and without NSAID intolerance. METHODS Nasal secretions were collected from twenty-six patients suffering from CRSwNP, thirteen with NERD and thirteen without NSAID intolerance. As control, nasal secretions were collected from fifteen healthy donors. Tryptase and ten human cyto- kines were analyzed: interleukin (IL)-4, IL-5, IL-6, IL-8, IL-12p70, IL-13, IL-17A, IL-23, IFN-g, and TNF-a by a cytokine multiple array on a Luminex 200 platform. RESULTS Grade of polyposis and frequency of polyp surgery was more severe in NERD- compared to non-NERD patients. IL-6 and IL-5 in CRSwNP was significantly increased compared to healthy participants. IL-5 and IL-13 were significantly increased in subjects suffering from NERD compared to CRSwNP patients without NERD. CONCLUSION We identified IL-13 as a possible specific biomarker in nasal secretions of patients with NERD, which allows us to differentiate between CRSwNP with vs. without NERD. The characterization of inflammatory endotypes in CRSwNP enables the introduction of the best available therapy in the context of precision medicine.
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Affiliation(s)
- U C Steiner
- Department of Immunology, University Hospital Zurich, Zurich, Switzerland
| | - S Bischoff
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital and University of Zurich, Zurich, Switzerland
| | - A Valaperti
- Department of Immunology, University Hospital Zurich, Zurich, Switzerland
| | - K Ikenberg
- Department of Pathology and Molecular Pathology, University Hospital and University of Zurich, Zurich, Switzerland
| | - J Starzyk
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital and University of Zurich, Zurich, Switzerland
| | - S Bucher
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital and University of Zurich, Zurich, Switzerland
| | - L M Bachmann
- Medignition - Healthcare Innovations, Zurich, Switzerland
| | - M B Soyka
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital and University of Zurich, Zurich,Switzerland
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10
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Bischoff S, Poletti SC, Kunz S, Kiessling SY, Hinder D, Dreher A, Akdis CA, Soyka MB. Trigeminal endonasal perception - an outcome predictor for septoplasty. Rhinology 2021; 58:437-443. [PMID: 32500869 DOI: 10.4193/rhin19.292] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND No adequate test exists to predict outcome after septoplasty. Despite adequate surgery, patients still might experience nasal breathing impairment. The aim of this study was to determine if pre-operative trigeminal sensitivity can predict satisfaction after septoplasty. METHODS Single centre prospective cohort study in tertiary referral centre with follow-up time of 6 weeks postoperatively. Patients scheduled for septoplasty or septorhinoplasty with turbinoplasty were consecutively selected the day before surgery. Standard preoperative examinations (acoustic rhinometry and Sniffin’ Sticks 12 test), the evaluation of nasal obstruction on a visual analogue scale (VAS) and the trigeminal lateralisation task were performed before and 6 weeks after surgery. Biopsies were taken during surgery and TRPV1 mRNA expression was measured by PCR. RESULTS Thirty patients were included with a median age of 29 years and equal gender distribution. Trigeminal perception and sensation of nasal obstruction showed a significant correlation: preoperative lateralisation test scores, representing endonasal trigeminal sensitivity, correlated significantly with the mean VAS change scores, which demonstrate subjective improvement. A lateralisation test score of 31.5 and more had a sensitivity of 88% to predict an improvement of more than 3 VAS points. Additionally, high TRPV1 mRNA expression was linked with good postoperative VAS scores. CONCLUSION The preoperative evaluation of the trigeminal sensitivity could improve patients’ selection for septoplasty with a higher rate of satisfaction. Endonasal trigeminal sensitivity is directly linked with subjective outcome. Therefore, patients with low trigeminal sensitivity should undergo septoplasty only after thorough counselling.
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Affiliation(s)
- S Bischoff
- Department of Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Zurich, Switzerland
| | - S C Poletti
- Department of Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Zurich, Switzerland; Smell and Taste Clinic, Department of Otorhinolaryngology, Technische Universitat Dresden, Dresden, Germany; Department of Otorhinolaryngology-Head and Neck Surgery, University of Tubingen, Tubingen, Germany
| | - S Kunz
- Department of Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Zurich, Switzerland
| | - S-Y Kiessling
- Department of Otorhinolaryngology Head and Neck Surgery, Kantonsspital St.Gallen, St.Gallen, Switzerland
| | - D Hinder
- Department of Otorhinolaryngology Head and Neck Surgery, Luzerner Kantonsspital, Luzern, Switzerland
| | - A Dreher
- Swiss Institute of Asthma and Allergy Research (SIAF), University of Zurich, Davos Switzerland
| | - C A Akdis
- Swiss Institute of Asthma and Allergy Research (SIAF), University of Zurich, Davos Switzerland
| | - M B Soyka
- Department of Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Zurich, Switzerland
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Abstract
BACKGROUND Several studies have demonstrated a significant benefit of neuromuscular facial training in the rehabilitation of patients with facial palsy. However, printed instructions for home training are often not of optimum quality and associated with low adherence to therapy. Professional guidance, e.g., by occupational therapists, is regarded as being of high quality, but is associated with a high cost burden, particularly in chronic forms of disease. OBJECTIVE The idea to develop a smartphone app for facial training arose from the above-described situation. The aim was to provide structured exercises for the mimic muscles in the sense of neuromuscular training with visual feedback via the front camera of the device. MATERIALS AND METHODS A native app architecture in iOS was chosen to implement the graphical and content-related concept. In the Apple Xcode (Apple, Cupertino, CA, US) development environment, the app's code was written in the Swift programming language (Apple) and the graphical user interface was created. RESULTS An app prototype was implemented that provides step-by-step instructions on selected mimic exercises via animated smileys. The duration and speed of the exercise can be varied within a limited range. In the development environment, the correct functionality of both physical and virtual devices was successfully tested. CONCLUSION App-based facial training offers attractive opportunities to motivate patients for improved adherence to treatment, which could hypothetically lead to a better outcome. Evaluation of this question is planned in a clinical trial after completion of the development.
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Affiliation(s)
- J Taeger
- Department of Otorhinolaryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany.
| | - S Bischoff
- Department of Otorhinolaryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany
| | - R Hagen
- Department of Otorhinolaryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany
| | - K Rak
- Department of Otorhinolaryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany
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12
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Taeger J, Bischoff S, Hagen R, Rak K. [Development of a smartphone app for neuromuscular facial training. German Version]. HNO 2020; 68:726-733. [PMID: 32495061 DOI: 10.1007/s00106-020-00879-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
BACKGROUND Several studies have demonstrated a significant benefit of neuromuscular facial training in the rehabilitation of patients with facial palsy. However, printed instructions for home training are often not of optimum quality and associated with low adherence to therapy. Professional guidance, e.g., by occupational therapists, is regarded as being of high quality, but is associated with a high cost burden, particularly in chronic forms of disease. OBJECTIVE The idea to develop a smartphone app for facial training arose from the above-described situation. The aim was to provide structured exercises for the mimic muscles in the sense of neuromuscular training with visual feedback via the front camera of the device. MATERIALS AND METHODS A native app architecture in iOS was chosen to implement the graphical and content-related concept. In the Apple Xcode (Apple, Cupertino, California, US) development environment, the app's code was written in the Swift programming language (Apple) and the graphical user interface was created. RESULTS An app prototype was implemented that provides step-by-step instructions on selected mimic exercises via animated smileys. The duration and speed of the exercise can be varied within a limited range. In the development environment, the correct functionality of both physical and virtual devices was successfully tested. CONCLUSION App-based facial training offers attractive opportunities to motivate patients for improved adherence to treatment, which could hypothetically lead to a better outcome. Evaluation of this question is planned in a clinical trial after completion of the development.
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Affiliation(s)
- J Taeger
- Klinik und Poliklinik für Hals‑, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen, Universitätsklinikum Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Deutschland.
| | - S Bischoff
- Klinik und Poliklinik für Hals‑, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen, Universitätsklinikum Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Deutschland
| | - R Hagen
- Klinik und Poliklinik für Hals‑, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen, Universitätsklinikum Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Deutschland
| | - K Rak
- Klinik und Poliklinik für Hals‑, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen, Universitätsklinikum Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Deutschland
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13
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Weinrebe W, Schiefer Y, Weckmüller K, Schulz RJ, Rupp S, Bischoff S, Karaman M, Goetz S, Heppner HJ, Polidori MC. Does the identification of seniors at risk (ISAR) score effectively select geriatric patients on emergency admission? Aging Clin Exp Res 2019; 31:1839-1842. [PMID: 30623316 DOI: 10.1007/s40520-018-1105-8] [Citation(s) in RCA: 9] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Accepted: 12/14/2018] [Indexed: 01/01/2023]
Abstract
The number of older patients admitted to emergency departments (ED) increases continuously. The Identification of Seniors at Risk (ISAR) score is currently recommended to screen patients in German ED, but its appropriateness is being criticized. ISAR scores and clinical characteristics from 98 emergency admissions (EA), 80 from acute geriatrics (AG) and 89 from a geriatric rehabilitation (GR) unit were compared retrospectively. No significant differences were found between groups, being the ISAR score positive in 87.7% of EA, 94.9% of AG and 94.4% of GR cases. None of positively identified geriatric patients in the EA was transferred to the geriatric ward of competence. EA patients showed significantly higher number of functional impairments (p = 0.001) and higher BI score (p < 0.0001) compared to AG and GR groups. A higher ISAR score threshold and additional functional information might be needed to better select patients in need of prompt treatment by a geriatric team.
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Affiliation(s)
- W Weinrebe
- Department of Geriatrics, Hospital Meyriez and Tafers, HFR, University Fribourg, Fribourg, Switzerland.
| | - Y Schiefer
- Ageing Clinical Research, Department of Internal Medicine II, University Hospital Cologne, Cologne, North Rhine Westphalia, Germany
| | - K Weckmüller
- Clinic for Orthopedics and Trauma Surgery, Coblenz, Rhineland-Palatibate, Germany
| | - R J Schulz
- Department of Geriatrics, St. Marien Hospital, Cologne, North Rhine Westphalia, Germany
| | - S Rupp
- Department of Geriatrics/Rehabilitation, Clinic Wartenberg, Wartenberg, Bavaria, Germany
| | - S Bischoff
- Outpatient Clinic for Occupational Therapy, Bad Friedrichshall, Baden-Württemberg, Germany
| | - M Karaman
- Institute for Biostatistics, Berlin, Germany
| | - S Goetz
- Department of Geriatrics, Hospital Meyriez and Tafers, HFR, University Fribourg, Fribourg, Switzerland
| | - H J Heppner
- Department of Geriatrics, Helios Clinic Schwelm, University Witten-Herdecke, Witten, North Rhine Westphalia, Germany
| | - M C Polidori
- Ageing Clinical Research, Department of Internal Medicine II, University Hospital Cologne, Cologne, North Rhine Westphalia, Germany
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Bischoff S, Gerth-Kahlert C, Holzmann D, Soyka MB. Longstanding diplopia after ethmoidal artery ligation for epistaxis. Eur Arch Otorhinolaryngol 2019; 277:161-167. [PMID: 31667574 DOI: 10.1007/s00405-019-05686-0] [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: 06/29/2019] [Accepted: 10/08/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE In the rare case of intractable, posterior, non-sphenopalatine artery epistaxis, ligation of ethmoidal arteries using an external approach like a Lynch-type incision is required. Orbital complications, especially extra-ocular motility disorders with diplopia, are known, but in the literature rarely described. Our aim was to analyse the complication type, rate, and outcome of ethmoidal artery ligation for epistaxis. MATERIALS AND METHODS Data between 2012 and 2017 of patients treated with ethmoidal artery ligation were analysed retrospectively and through a telephone interview using a non-standardized questionnaire. RESULTS Data of 18 patients (m/f = 3/15) aged 53-83 years were reviewed. Epistaxis recurred in only one patient after 1 month. Five patients (28%) suffered from diplopia shortly after surgery. Motility analysis revealed full recovery with free motility in four out of five reported cases after 4-8 months, one patient still reports intermittent mild diplopia more than 1 year postoperatively. CONCLUSION In patients with intractable, non-sphenopalatine artery epistaxis, anterior ethmoidal artery ligation was highly effective. Diplopia, however, occurred in one-third of our patient group. Information about motility restriction with longer standing diplopia are mandatory when consenting patients for ligation of ethmoidal arteries. Special care needs to be taken during dissection in the region of the trochlea and superior oblique muscle. LEVEL OF EVIDENCE Case Series, level 4.
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Affiliation(s)
- S Bischoff
- Department of Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Frauenklinikstrasse 24, 8091, Zurich, Switzerland
| | - C Gerth-Kahlert
- Department of Ophthalmology, University of Zurich and University Hospital Zurich, Zurich, Switzerland
| | - D Holzmann
- Department of Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Frauenklinikstrasse 24, 8091, Zurich, Switzerland
| | - M B Soyka
- Department of Otorhinolaryngology Head and Neck Surgery, University of Zurich and University Hospital Zurich, Frauenklinikstrasse 24, 8091, Zurich, Switzerland.
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15
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Weinrebe W, Preda R, Bischoff S, Nussbickel D, Humm M, Jeckelmann K, Goetz S. Entscheidungshilfen bei komplexer Polypharmazie. Z Gerontol Geriatr 2018; 51:691-697. [DOI: 10.1007/s00391-017-1285-4] [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] [Received: 03/29/2017] [Revised: 05/23/2017] [Accepted: 06/21/2017] [Indexed: 05/29/2023]
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16
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Weber-Spickschen TS, Bischoff S, Horstmann H, Winkelmann M, Mommsen P, Panzica M, Krettek C, Kerling A. [Injury prevention in amateur football with FIFA 11+ : What is implemented on the football pitch?]. Unfallchirurg 2018; 121:463-469. [PMID: 29654512 DOI: 10.1007/s00113-018-0499-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
BACKGROUND The warm-up and injury prevention program FIFA 11+ was developed to reduce injuries in recreational and amateur level football. Despite systematic education it is uncertain what amount of knowledge is passed down to the lower recreational level football players and what exercises are implemented in the daily routine. This study presents the summarized experiences of German coaches about the implementation of exercises on the football pitch. MATERIAL AND METHODS In this study 142 coaches who participated in 1 (of 5) of the 2‑day courses between 2013 and 2017 were sent a questionnaire. The questionnaire consisted of 24 questions, which were developed by the football union of Lower Saxony. Incomplete questionnaires were excluded from the study. RESULTS A total of 121 questionnaires could be analyzed, which is a response rate of 85.2%. The mean time period between the 2‑day training and answering the questionnaire was 29 months. Of the participating coaches 82.6% indicated that they use the program regularly (22% of the coaches use it twice a week or more frequently, 34% use it only once a week) and 6% of the coaches use additional programs to prevent injuries. A total of 86% of the participants believed in a reduction in the incidence of injuries induced by the FIFA 11+ concept, 89% of the participants rated the FIFA 11+ program as good ors very good, 91% rated the teaching concept as good or very good and 94% of the participants would recommend the 2‑day advanced course to others. DISCUSSION The prevention program as well as the advanced training concept were evaluated very positively. Most coaches use the program regularly. Nevertheless, many coaches use the FIFA 11+ exercises less than the recommended twice a week. Most coaches praised the good structure of the program, but also wished for the possibility of variations. CONCLUSION The prevention program FIFA 11+ is seen by coaches in recreational and amateur football as an effective tool to prevent injury. Implementation on the football pitch is regular but not as frequent as the evidence-based recommendations in the training concept.
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Affiliation(s)
- T S Weber-Spickschen
- Sportmedizinisches Institut, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
- Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
| | - S Bischoff
- Sportmedizinisches Institut, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - H Horstmann
- Sportmedizinisches Institut, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - M Winkelmann
- Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - P Mommsen
- Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - M Panzica
- Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - C Krettek
- Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - A Kerling
- Sportmedizinisches Institut, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
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17
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Kender Z, Groener JB, Masjkur JR, Bischoff S, Pflästerer A, Hagedorn-Dambuk A, Nawroth PP, Kopf S. Diabetische sensomotorische Neuropathie der Hände bei Patienten mit Diabetes mellitus Typ 2. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Z Kender
- Medizinische Universitätsklinik Heidelberg, Innere Medizin I Endokrinologie und klinische Chemie, Heidelberg, Germany
| | - JB Groener
- Medizinische Universitätsklinik Heidelberg, Innere Medizin I Endokrinologie und klinische Chemie, Heidelberg, Germany
| | - JR Masjkur
- Medizinische Universitätsklinik Heidelberg, Innere Medizin I Endokrinologie und klinische Chemie, Heidelberg, Germany
| | - S Bischoff
- Medizinische Universitätsklinik Heidelberg, Innere Medizin I Endokrinologie und klinische Chemie, Heidelberg, Germany
| | - A Pflästerer
- Medizinische Universitätsklinik Heidelberg, Innere Medizin I Endokrinologie und klinische Chemie, Heidelberg, Germany
| | - A Hagedorn-Dambuk
- Medizinische Universitätsklinik Heidelberg, Innere Medizin I Endokrinologie und klinische Chemie, Heidelberg, Germany
| | - PP Nawroth
- Medizinische Universitätsklinik Heidelberg, Innere Medizin I Endokrinologie und klinische Chemie, Heidelberg, Germany
| | - S Kopf
- Medizinische Universitätsklinik Heidelberg, Innere Medizin I Endokrinologie und klinische Chemie, Heidelberg, Germany
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Sinn M, Sinn BV, Striefler JK, Lindner JL, Stieler JM, Lohneis P, Bischoff S, Bläker H, Pelzer U, Bahra M, Dietel M, Dörken B, Oettle H, Riess H, Denkert C. SPARC expression in resected pancreatic cancer patients treated with Gemcitabine: results from the CONKO-001 study. Ann Oncol 2017; 28:2900. [PMID: 27578776 DOI: 10.1093/annonc/mdw269] [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: 11/13/2022] Open
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19
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Sinn M, Budczies J, Damm F, Lohneis P, Schmuck R, Treue D, Striefler J, Bahra M, Pelzer U, Jühling A, Bläker H, Bischoff S, Oettle H, Denkert C, Riess H, Sinn B. TP53 mutation predicts sensitivity to adjuvant gemcitabine in pancreatic cancer: Results from the CONKO-001 study. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx369.120] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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20
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Kretzschmar D, Lauten A, Bischoff S, Schulze P, Ferrari M. P3276a novel right heart assist device-the PERKAT RV system. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3276] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Barazzoni R, Deutz N, Biolo G, Bischoff S, Boirie Y, Cederholm T, Cuerda C, Delzenne N, Leon Sanz M, Ljungqvist O, Muscaritoli M, Pichard C, Preiser J, Sbraccia P, Singer P, Tappy L, Thorens B, Van Gossum A, Vettor R, Calder P. Carbohydrates and insulin resistance in clinical nutrition: Recommendations from the ESPEN expert group. Clin Nutr 2017; 36:355-363. [DOI: 10.1016/j.clnu.2016.09.010] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 09/13/2016] [Accepted: 09/13/2016] [Indexed: 12/17/2022]
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22
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Hauner H, Moss A, Berg A, Bischoff S, Colombo-Benkmann M, Ellrott T, Kanthak U, Kunze D, Stefan N, Teufel M, Wabitsch M, Wirth A. Prävention und Therapie der Adipositas. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0042-114746] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- H. Hauner
- Klinik für Ernährungsmedizin, Klinikum rechts der Isar, Technische Universität München
| | - A. Moss
- Universitätsklinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Ulm
| | - A. Berg
- Institut für Sport und Sportwissenschaft der Universität Freiburg, Freiburg
| | - S. Bischoff
- Institut für Ernährungsmedizin, Universität Hohenheim, Stuttgart
| | | | - T. Ellrott
- Institut für Ernährungspsychologie, Georg-August-Universität, Göttingen
| | - U. Kanthak
- Adipositaschirurgie Selbsthilfe Deutschland e. V
| | - D. Kunze
- Kinderendokrinologische Praxis, München
| | - N. Stefan
- Institute of Diabetes Research and Metabolic Diseases IDM, Universitätsklinikum Tübingen
| | - M. Teufel
- Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen
| | - M. Wabitsch
- Universitätsklinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Ulm
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Heinritz SN, Weiss E, Eklund M, Aumiller T, Messner S, Heyer CME, Bischoff S, Mosenthin R. 0952 Intestinal microbiota, microbial metabolites and carcass traits are changed in a pig model fed a high-fat/low-fiber or a low-fat/high-fiber diet. J Anim Sci 2016. [DOI: 10.2527/jam2016-0952] [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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24
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Huscher D, Albrecht K, Bischoff S, Thiele K, Behrens F, Hoese G, Ochs W, Zink A. AB0726 Severe Obesity Is Frequent in Patients with Psoriatic Arthritis and Is Accompanied by Increased Cardiovascular Risk. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.4213] [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: 11/04/2022]
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Striefler J, Wislocka L, Sinn M, Pelzer U, Denkert C, Juehling A, Bischoff S, Bahra M, Hendrik B, Oettle H, Riess H, Lohneis P. PD-007 CXCR4, CXCR7 and CXCL12 expression is not a prognostic predictive factor in patients with resected pancreatic cancer - results from the CONKO-001 trial. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw200.07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Hauner H, Moss A, Berg A, Bischoff S, Colombo-Benkmann M, Ellrott T, Kanthak U, Kunze D, Stefan N, Teufel M, Wabitsch M, Wirth A. Prävention und Therapie der Adipositas. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1553575] [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: 10/22/2022]
Affiliation(s)
- H. Hauner
- Institut für Ernährungsmedizin, Klinikum rechts der Isar, Technische Universität München
| | - A. Moss
- Universitätsklinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Ulm
| | - A. Berg
- Institut für Sport und Sportwissenschaft der Universität Freiburg, Freiburg
| | - S. Bischoff
- Institut für Ernährungsmedizin, Universität Hohenheim, Stuttgart
| | | | - T. Ellrott
- Institut für Ernährungspsychologie, Georg-August-Universität, Göttingen
| | - U. Kanthak
- Adipositaschirurgie Selbsthilfe Deutschland e. V
| | - D. Kunze
- Kinderendokrinologische Praxis, München
| | - N. Stefan
- Institute of Diabetes Research and Metabolic Diseases IDM, Universitätsklinikum Tübingen
| | - M. Teufel
- Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen
| | - M. Wabitsch
- Universitätsklinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Ulm
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Arends J, Bertz H, Bischoff S, Fietkau R, Herrmann H, Holm E, Horneber M, Hütterer E, Körber J, Schmid I. S3-Leitline der Deutschen Gesellschaft für Ernährungsmedizin e. V. (DGEM) in Kooperation mit der Deutschen Gesellschaft für Hämatologie und Onkologie e. V. (DGHO), der Arbeitsgemeinschaft „Supportive Maßnahmen in der Onkologie, Rehabilitation und Sozialmedizin“ der Deutschen Krebsgesellschaft (ASORS) und der Österreichischen Arbeitsgemeinschaft für klinische Ernährung (AKE). Aktuel Ernahrungsmed 2015. [DOI: 10.1055/s-0035-1552741] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- J. Arends
- Klinik für Tumorbiologie, Freiburg im Breisgau
| | - H. Bertz
- Klinik Innere Medizin I, Universitätsklinik, Hämatologie/Onkologie/Stammzelltransplantation, Sektion Ernährungsmedizin, Freiburg
| | - S. Bischoff
- Institut für Ernährungsmedizin, Universität Hohenheim, Stuttgart
| | - R. Fietkau
- Strahlenklinik, Universitätsklinikum Erlangen
| | - H. Herrmann
- Klinische und Experimentelle Ernährungsmedizin, Medizinische Klinik 1, Universitätsklinikum Erlangen
| | - E. Holm
- Universitätsklinikum Mannheim
| | - M. Horneber
- Klinik für Innere Medizin 5, Schwerpunkt Onkologie/Hämatologie, Paracelsus Medizinische Privatuniversität, Klinikum Nürnberg
| | - E. Hütterer
- Universitätsklinik für Innere Med. I, Onkologie 6i, Wien
| | - J. Körber
- Hamm-Kliniken GmbH & Co. KG, Klinik Nahetal, Bad Kreuznach
| | - I. Schmid
- Dr. von Haunersches Kinderspital, Klinikum der Universität München
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Bischoff S. Adipositas im Erwachsenenalter. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1553516] [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]
Affiliation(s)
- S. Bischoff
- Institut für Ernährungsmedizin, Universität Hohenheim
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Klek S, Chourdakis M, Bischoff S, Dubrov S, Forbes A, Galas A, Genton L, Gundogdu H, Irtun O, Jagmane I, Jirka A, Jakobson-Forbes T, Kennedy N, Klimasauskas A, Khoroshilov I, Leon-Sanz M, Muscaritoli M, Panisic-Sekeljic M, Poulia K, Schneider S, Siljamäki-Ojansuu U, Uyar M, Wanten G, Krznaric Z. SUN-PP013: Reimbursement Affects Prescription of Enteral and Parenteral Nutrition? Results from European Multicenter Survey. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30164-3] [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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31
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Albrecht K, Huscher D, Aringer M, Bischoff S, Hoese G, Ochs W, Thiele K, Zink A. THU0351 Current Smoking is a Risk Factor for Giant Cell Arteritis in Patients with Polymyalgia Rheumatica. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.3756] [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: 11/04/2022]
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Hauner H, Moss A, Berg A, Bischoff S, Colombo-Benkmann M, Ellrott T, Kanthak U, Kunze D, Stefan N, Teufel M, Wabitsch M, Wirth A. Prävention und Therapie der Adipositas. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0034-1385404] [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: 10/24/2022]
Affiliation(s)
- H. Hauner
- Institut für Ernährungsmedizin, Klinikum rechts der Isar, Technische Universität München
| | - A. Moss
- Universitätsklinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Ulm
| | - A. Berg
- Institut für Sport und Sportwissenschaft der Universität Freiburg, Freiburg
| | - S. Bischoff
- Institut für Ernährungsmedizin, Universität Hohenheim, Stuttgart
| | | | - T. Ellrott
- Institut für Ernährungspsychologie, Georg-August-Universität, Göttingen
| | - U. Kanthak
- Adipositaschirurgie Selbsthilfe Deutschland e. V
| | - D. Kunze
- Kinderendokrinologische Praxis, München
| | - N. Stefan
- Institute of Diabetes Research and Metabolic Diseases IDM, Universitätsklinikum Tübingen
| | - M. Teufel
- Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen
| | - M. Wabitsch
- Universitätsklinik für Kinder- und Jugendmedizin, Universitätsklinikum Ulm, Ulm
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Felber J, Aust D, Baas S, Bischoff S, Bläker H, Daum S, Keller R, Koletzko S, Laass M, Nothacker M, Roeb E, Schuppan D, Stallmach A. [Results of a S2k-Consensus Conference of the German Society of Gastroenterolgy, Digestive- and Metabolic Diseases (DGVS) in conjunction with the German Coeliac Society (DZG) regarding coeliac disease, wheat allergy and wheat sensitivity]. Z Gastroenterol 2014; 52:711-43. [PMID: 25026010 DOI: 10.1055/s-0034-1366687] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- J Felber
- Klinik für Innere Medizin IV, Universitätsklinikum der Friedrich-Schiller-Universität Jena
| | - D Aust
- Institut für Pathologie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden
| | - S Baas
- Deutsche Zöliakie-Gesellschaft e. V. (DZG), Stuttgart
| | - S Bischoff
- Institut für Ernährungsmedizin, Universität Hohenheim, Stuttgart
| | - H Bläker
- Institut für Pathologie, Charité, Universitätsmedizin Berlin
| | - S Daum
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité, Universitätsmedizin Berlin
| | - R Keller
- Medizinische Klinik II, Gastroenterologie, Onkologie, Klinikum Aschaffenburg
| | - S Koletzko
- Dr. von Hauner Kinderspital, Klinikum der Universität München Campus Innenstadt, Ludwig-Maximilians-Universität München
| | - M Laass
- Klinik und Poliklinik für Kinder und Jugendmedizin, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Dresden
| | - M Nothacker
- Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e. V. (AWMF), Philipps-Universität, Marburg
| | - E Roeb
- Medizinische Klinik II, Abteilung für Gastroenterologie, Universitätsklinikum Gießen und Marburg, Standort Gießen
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Albrecht K, Huscher D, Bischoff S, Thiele K, Backhaus M, Richter J, Kötter I, Zink A. FRI0411 Ongoing Pain despite Improved Disease Activity in Patients with Systemic Lupus Erythematodes: A Comparison of Two SLE Cohorts in Germany in the 1990S and the 2000S:. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.2223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Huscher D, Albrecht K, Bischoff S, Thiele K, Krause A, Späthling-Mestekemper S, Wassenberg S, Zink A. THU0443 Increasing Disparities between Physician Assessment of Disease Activity and Patient Global Health in Germany between 2000 and 2012. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3704] [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: 11/04/2022]
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36
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Bischoff S, Koletzko B, Lochs H, Meier R. S3-Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM) in Zusammenarbeit mit der Gesellschaft für klinische Ernährung der Schweiz (GESKES), der Österreichischen Arbeitsgemeinschaft für klinische Ernährung (AKE) und der Deutsche Gesellschaft für Gastroenterologie, Verdauungs- und Stoffwechselkrankheiten (DGVS). Aktuel Ernahrungsmed 2014. [DOI: 10.1055/s-0034-1370084] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- S. Bischoff
- Universität Hohenheim, Institut für Ernährungsmedizin, Stuttgart, Deutschland
| | - B. Koletzko
- Dr. von Haunersches Kinderspital Kinderklinik und Kinderpoliklinik der Ludwig Maximilian Universität München, Abteilung für Stoffwechsel und Ernährung, München, Deutschland
| | - H. Lochs
- Medizinische Universität Innsbruck, Innsbruck, Österreich
| | - R. Meier
- Medizinische Universitätsklinik, Kantonsspital Baselland, Abteilung für Gastroenterologie, Hepatologie und Ernährung, Liestal, Schweiz
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Sinn M, Sinn BV, Striefler JK, Lindner JL, Stieler JM, Lohneis P, Bischoff S, Bläker H, Pelzer U, Bahra M, Dietel M, Dörken B, Oettle H, Riess H, Denkert C. SPARC expression in resected pancreatic cancer patients treated with gemcitabine: results from the CONKO-001 study. Ann Oncol 2014; 25:1025-32. [PMID: 24562449 DOI: 10.1093/annonc/mdu084] [Citation(s) in RCA: 65] [Impact Index Per Article: 6.5] [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: 12/30/2022] Open
Abstract
BACKGROUND Previous investigations in pancreatic cancer suggested a prognostic role for secreted protein acidic and rich in cysteine (SPARC) expression in the peritumoral stroma but not for cytoplasmic SPARC expression. The aim of this study was to evaluate the impact of SPARC expression in pancreatic cancer patients treated with gemcitabine compared with untreated patients. PATIENTS AND METHODS CONKO-001 was a prospective randomized phase III study investigating the role of adjuvant gemcitabine when compared with observation. Tissue samples of 160 patients were available for SPARC immunohistochemistry on tissue microarrays to evaluate its impact on patient outcome. RESULTS Strong stromal SPARC expression was associated with worse disease-free survival (DFS) and overall survival (OS) in the overall study population (DFS: P = 0.005, OS: P = 0.033). Its negative prognostic impact was restricted to patients treated with gemcitabine (DFS: P = 0.007, OS: P = 0.006). High cytoplasmic SPARC expression also was associated with worse patient outcome (DFS: P = 0.041, OS: P = 0.011). Again the effect was restricted to patients treated with gemcitabine (DFS: P = 0.002, OS: P = 0.003). In multivariable analysis, SPARC expression was independently predictive of patient outcome. CONCLUSIONS Our data confirm the prognostic significance of SPARC expression after curatively intended resection. The negative prognostic impact was restricted to patients who received adjuvant treatment with gemcitabine, suggesting SPARC as a predictive marker for response to gemcitabine.
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Affiliation(s)
- M Sinn
- Department of Medical Oncology and Haematology
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Bischoff S, Arends J, Dörje F, Engeser P, Hanke G, Köchling K, Leischker A, Mühlebach S, Schneider A, Seipt C, Volkert D, Zech U, Stanga Z. S3-Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM) in Zusammenarbeit mit der GESKES und der AKE. Aktuel Ernahrungsmed 2013. [DOI: 10.1055/s-0033-1349549] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- S. Bischoff
- Universität Hohenheim, Institut für Ernährungsmedizin, Stuttgart, Deutschland
| | - J. Arends
- Albert-Ludwigs-Universität, KTB Klinik für Tumorbiologie, Freiburg, Deutschland
| | - F. Dörje
- Universitätsklinikum Erlangen, Apotheke, Erlangen, Deutschland
| | - P. Engeser
- Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg, Deutschland
| | - G. Hanke
- A'LPHA-PHARMA-SERVICE GmbH, Heilbronn, Deutschland
| | - K. Köchling
- Universität Hohenheim, Institut für Ernährungsmedizin, Stuttgart, Deutschland
| | - A. Leischker
- Alexianer Krefeld GmbH, Klinik für Allgemeine Innere Medizin und Altersmedizin, Krefeld, Deutschland
| | - S. Mühlebach
- Pharmazentrum, Universität Basel, Department Pharmazeutische Wissenschaften c/o Pharmakoepidemiologie & Spitalpharmazie, Basel, Schweiz
| | - A. Schneider
- Medizinische Hochschule Hannover, Klinik für Gastroenterologie, Hepatologie und Endokrinologie, Hannover, Deutschland
| | - C. Seipt
- Medizinische Hochschule Hannover, Klinik für Gastroenterologie, Hepatologie und Endokrinologie, Hannover, Deutschland
| | - D. Volkert
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Institut für Biomedizin des Alterns, Nürnberg, Deutschland
| | - U. Zech
- Universitätsklinikum Heidelberg, Innere Medizin I und Klinische Chemie, Heidelberg, Deutschland
| | - Z. Stanga
- Universitätsspital Bern, Inselspital, Universitätspoliklinik für Endokrinologie, Diabetologie und Klinische Ernährung, Bern, Schweiz
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Bischoff S. Nahrungsmittelunverträglichkeiten. Akt Dermatol 2013. [DOI: 10.1055/s-0033-1344355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- S. Bischoff
- Institut für Ernährungsmedizin, Universität Hohenheim, Stuttgart
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Huscher D, Bischoff S, Thiele K, Eidner T, Aringer M, Alten R, Zink A. THU0523 High Impact of Obesity and Smoking Status on Patient Reported Outcomes of Ra Patients. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.1051] [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: 11/04/2022]
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Huscher D, Rudwaleit M, Thiele K, Bischoff S, Kötter I, Fischer K, Zink A. SAT0447 Changes in treatment and outcomes of ankylosing spondylitis in routine care in germany 2000 to 2010. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.3393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Valentini L, Volkert D, Schütz T, Ockenga J, Pirlich M, Druml W, Schindler K, Ballmer P, Bischoff S, Weimann A, Lochs H. Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM). Aktuel Ernahrungsmed 2013. [DOI: 10.1055/s-0032-1332980] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- L. Valentini
- Charité - Universitätsmedizin Berlin, Medizinische Klinik für Gastroenterologie und Hepatologie, Sektion Ernährungsmedizin, Berlin, Deutschland
| | - D. Volkert
- Friedrich-Alexander-Universität Erlangen-Nürnberg, Institut für Biomedizin des Alterns, Nürnberg, Deutschland
| | - T. Schütz
- Universitätsmedizin Leipzig, IFB AdipositasErkankungen, Leipzig, Deutschland
| | - J. Ockenga
- Klinikum Bremen Mitte, Medizinische Klinik für Gastroenterologie, Hepatologie, Endokrinologie und Ernährung, Bremen, Deutschland
| | - M. Pirlich
- Evangelische Elisabeth Klinik, Abteilung für Innere Medizin, Berlin, Deutschland
| | - W. Druml
- Medizinische Universität Wien, Universitätsklinik für Innere Medizin III/Nephrologie, Wien, Österreich
| | - K. Schindler
- Medizinische Universität Wien, Universitätsklinik für Innere Medizin III, Abteilung für Endokrinologie und Stoffwechsel, Wien, Österreich
| | - P. Ballmer
- Kantonsspital Winterthur, Departement Medizin, Winterthur, Schweiz
| | - S. Bischoff
- Universität Hohenheim, Institut für Ernährungsmedizin, Stuttgart, Deutschland
| | - A. Weimann
- Klinikum St. Georg gGmbH, Med. Klinik für Allgemein- und Visceralchirurgie, Leipzig, Deutschland
| | - H. Lochs
- Medizinische Universität Innsbruck, Rektorat, Innsbruck, Österreich
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Stingel K, Schütz T, Koller M, Lochs H, Weimann A, Bischoff S. Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM). Aktuel Ernahrungsmed 2013. [DOI: 10.1055/s-0032-1333006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- K. Stingel
- Universität Hohenheim, Institut für Ernährungsmedizin, Stuttgart, Deutschland
| | - T. Schütz
- Universitätsmedizin Leipzig, Integriertes Forschungs- und Behandlungszentrum AdipositasErkrankungen, Leipzig, Deutschland
| | - M. Koller
- Zentrum für Klinische Studien, Universitätsklinikum Regensburg, Regensburg, Deutschland
| | - H. Lochs
- Medizinische Universität Innsbruck, Innsbruck, Österreich
| | - A. Weimann
- Klinikum St. Georg gGmbH, Klinik für Allgemein- und Visceralchirurgie, Leipzig, Deutschland
| | - S. Bischoff
- Universität Hohenheim, Institut für Ernährungsmedizin, Stuttgart, Deutschland
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Affiliation(s)
- S. Bischoff
- Institut für Ernährungsmedizin, Universität Hohenheim
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Schoenenberger AW, Stortecky S, Neumann S, Moser A, Juni P, Carrel T, Huber C, Gandon M, Bischoff S, Schoenenberger CM, Stuck AE, Windecker S, Wenaweser P. Predictors of functional decline in elderly patients undergoing transcatheter aortic valve implantation (TAVI). Eur Heart J 2012; 34:684-92. [DOI: 10.1093/eurheartj/ehs304] [Citation(s) in RCA: 236] [Impact Index Per Article: 19.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
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Kokic M, Honer M, Ametamey SM, Gasparini F, Andres H, Bischoff S, Flor PJ, Heinrich M, Vranesic I, Spooren W, Kuhn R, Schubiger PA. Radiolabelling and in vivo evaluation of 11C-MPEP as a pet radioligand for the imaging of the metabotropic glutamate receptor 5 (MGLUR5). J Labelled Comp Radiopharm 2012. [DOI: 10.1002/jlcr.2580440180] [Citation(s) in RCA: 9] [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: 11/05/2022]
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Huscher D, Sengler C, Thiele K, Bischoff S, Pfäfflin A, Gromnica-Ihle E. Geschlechtsspezifische Aspekte der Rheumatoiden Arthritis. AKTUEL RHEUMATOL 2011. [DOI: 10.1055/s-0031-1287800] [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: 10/16/2022]
Affiliation(s)
- D. Huscher
- Deutsches Rheuma-Forschungszentrum Berlin, Epidemiologie, Berlin
| | - C. Sengler
- Deutsches Rheuma-Forschungszentrum Berlin, Epidemiologie, Berlin
| | - K. Thiele
- Deutsches Rheuma-Forschungszentrum Berlin, Epidemiologie, Berlin
| | - S. Bischoff
- Deutsches Rheuma-Forschungszentrum Berlin, Epidemiologie, Berlin
| | - A. Pfäfflin
- Deutsches Rheuma-Forschungszentrum Berlin, Epidemiologie, Berlin
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Rieber N, Mischler D, Schumacher V, Muth E, Bischoff S, Klosterhalfen S, Zipfel S, Enck P. Acute tryptophan depletion increases experimental nausea but also induces hunger in healthy female subjects. Neurogastroenterol Motil 2010; 22:752-7, e220. [PMID: 20553564 DOI: 10.1111/j.1365-2982.2010.01527.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
BACKGROUND Acute tryptophan depletion (ATD) is an experimental model to reduce central serotonin levels. METHODS Thirty-eight healthy female subjects were randomly assigned to two groups (ATD and control) in a randomized, double-blinded parallel-group design. Following a standardized and balanced amino acid diet (including 1.21 g tryptophan) on the first day, they received either a protein drink without tryptophan (but substituted by other amino acids) (ATD condition) or the balanced protein drink with tryptophan (control condition) 24 h later. Four hours after its consumption, they were exposed to a standard rotation procedure. Symptom ratings (SR), ratings of hunger and mood scores were taken prior to rotation, at each break, and 15 and 30 min thereafter, together with saliva cortisol samples. KEY RESULTS Five subjects could not tolerate the entire rotation procedure and were excluded from analysis. For the remaining n = 33, SR and hunger ratings were higher during ATD than during control conditions, but mood was unaffected. Cortisol levels rose significantly with rotation but were unaffected by ATD. High baseline cortisol levels were associated with lower SR during rotation. The protective effects of morning cortisol were pronounced during the menstrual and follicular phase of the cycle and not present during ovulation and the luteal phase. CONCLUSIONS & INFERENCES Acute tryptophan depletion is associated with increased symptoms of nausea in healthy female subjects when exposed to body rotation. Acute tryptophan depletion also increases hunger rating. These opposite effects may indicate independent actions of the serotonin on central and peripheral functions.
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Affiliation(s)
- N Rieber
- Department of Internal Medicine VI, University of Tübingen, Tübingen, Germany
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Lauten A, Figulla HR, Willich C, Laube A, Rademacher W, Schubert H, Bischoff S, Ferrari M. Percutaneous caval stent valve implantation: investigation of an interventional approach for treatment of tricuspid regurgitation. Eur Heart J 2009; 31:1274-81. [DOI: 10.1093/eurheartj/ehp474] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Weirnann A, Raab R, Selberg O, Bischoff S, Bornemann K, Müller J, Meyer HJ. Perioperative Changes in Body Composition and Metabolism in Patients with Colorectal Cancer according to Tumor Stage. Oncol Res Treat 2009. [DOI: 10.1159/000218845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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