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Crespo E, Nosalski R, Park I, Goddard M, MacDonald L, McBride MW, Monaco C, Maffia P, Otto T, Guzik T. Single cell atlas of cd45+ cells in angiotensin II-induced hypertension. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Hypertension has been recently identified as an inflammatory disease. Immune cell infiltration is a characteristic feature in the vasculature and the kidneys in experimental hypertension, but the unique nature of such inflammatory infiltrates has not yet been comprehensively characterised.
Accordingly, we aimed to provide in-depth characteristics of immune cells in the vasculature and the kidneys in experimental hypertension.
To achieve this, we used single-cell RNA-sequencing of leukocytes (CD45+ cells were sorted) using the 10x Genomics platform in the aortas and the kidneys of male 12-week-old C57BL/6J mice (n=16–17/group) upon AngII (490 ng/min/kg) or sham buffer 14-day infusion, using osmotic minipumps. Samples were pooled to analyse three independent replicates. Bioinformatics analysis used Seurat/R to identify immune cell subpopulations and characterise differentially expressed genes (DEGs), pathways, and interactions signatures.
Ang II infusion increases the total number of CD45+ leukocytes in the aorta (346.7±89.1 vs. 1210±214.3; p=0,048), while in the kidneys, this was much less pronounced (1.1±0.5 fold vs. sham). Fifteen leukocyte populations/clusters were identified in the aorta and kidney based on their unique markers. In the aorta, shifts in numerous populations were evident, with the most significant differences in tissue-resident macrophages and activated tissue-resident macrophages, monocyte-derived dendritic cells and NK cells (Figure 1). Kidneys did not display such profound changes. The transcriptomic profile analysis showed 767 significant DEGs in the aorta and only 35 in the kidney. CellChat analysis also indicated more robust interactions between the immune cells in the aorta than in kidneys. These included Ifitm1, Apoe, Il1b, and C1q a/b/c, which were shared between aorta and kidney and may play an immunoregulatory role, affecting smooth muscle cell proliferation and arterial vascular remodelling. Top up-regulated leukocyte genes in the aorta included Ccl8, Ccl3, Cxcl2, Lyz2, and Spp1, while in the kidney, Cd74, Cst3, Fos, Fcer1g, Tyrobp, and Ccl4. GO pathway signatures of aortic leukocyte DEGs revealed pathways related to leukocyte migration, cytokine production, T cell activation, and leukocyte activation and adhesion. Cell-specific analysis showed that macrophage subpopulations most strongly increased in Ang II-induced hypertension displayed the most pronounced changes in the transcriptome profiles and cell-cell interactions.
Comprehensive single-cell RNA sequencing identifies tissue-resident macrophages, monocyte-derived dendritic cells, and NK cells as most affected leukocyte subpopulations in hypertensive vasculature. Differentially expressed genes support the role of these cells in vascular remodelling and propagation of inflammation, further supporting the identification of these cells as potential future targets for therapeutic interventions in hypertension.
Funding Acknowledgement
Type of funding sources: Public grant(s) – EU funding. Main funding source(s): European Research Council
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Affiliation(s)
- E Crespo
- University of Glasgow , Glasgow , United Kingdom
| | - R Nosalski
- University of Glasgow , Glasgow , United Kingdom
| | - I Park
- Kennedy Institute of Rheumatology , Oxford , United Kingdom
| | - M Goddard
- Kennedy Institute of Rheumatology , Oxford , United Kingdom
| | - L MacDonald
- University of Glasgow , Glasgow , United Kingdom
| | - M W McBride
- University of Glasgow , Glasgow , United Kingdom
| | - C Monaco
- Kennedy Institute of Rheumatology , Oxford , United Kingdom
| | - P Maffia
- University of Glasgow , Glasgow , United Kingdom
| | - T Otto
- University of Glasgow , Glasgow , United Kingdom
| | - T Guzik
- University of Glasgow , Glasgow , United Kingdom
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Jackisch C, Banys-Paluchowski M, Korfel A, Stoffregen C, Otto T, Brown J, Sanderson I, Rider A, Lüftner D. 74P Management of early-stage hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) breast cancer in a real-word setting in Germany: A patient perspective. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.03.090] [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] Open
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3
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Marquer L, Otto T, Arous EB, Stoetzel E, Campmas E, Zazzo A, Tombret O, Seim A, Kofler W, Falguères C, El Hajraoui MA, Nespoulet R. The first use of olives in Africa around 100,000 years ago. Nat Plants 2022; 8:204-208. [PMID: 35318448 DOI: 10.1038/s41477-022-01109-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 02/04/2022] [Indexed: 06/14/2023]
Abstract
The olive tree was an iconic plant for most of the past Mediterranean civilizations, for which it had important economic value. Here we report the earliest use of fruits and wood from olive trees in Africa so far, around 100,000 years ago. These findings suggest the presence of olive trees on the Atlantic coast of Morocco during most of the last glacial period, and the use of olives by the early Homo sapiens for fuel management and most probably for consumption.
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Affiliation(s)
- L Marquer
- Institute of Botany, University of Innsbruck, Innsbruck, Austria.
- Research Group for Terrestrial Palaeoclimates, Max Planck Institute for Chemistry, Mainz, Germany.
| | - T Otto
- Laboratoire écologie fonctionnelle et environnement, Université de Toulouse, CNRS, INPT, UPS, Toulouse, France
| | - E Ben Arous
- Histoire Naturelle de l'Homme Préhistorique (HNHP, UMR 7194), Sorbonne Universités, Muséum national d'Histoire naturelle, CNRS, UPVD, Paris, France
- PanEv Lab, Max Planck Institute for the Science of Human Evolution (MPI-SHH), Jena, Germany
- Centro nacional de investigación sobre la evolución humana (CENIEH), Burgos, Spain
| | - E Stoetzel
- Histoire Naturelle de l'Homme Préhistorique (HNHP, UMR 7194), Sorbonne Universités, Muséum national d'Histoire naturelle, CNRS, UPVD, Paris, France
| | - E Campmas
- UMR 5608 TRACES du CNRS, Université Toulouse Jean Jaurès, Toulouse, France
| | - A Zazzo
- Archéozoologie, Archéobotanique: Sociétés, Pratiques et Environnements (AASPE, UMR 7209), Sorbonne Universités, Muséum national d'Histoire naturelle, CNRS, Paris, France
| | - O Tombret
- Histoire Naturelle de l'Homme Préhistorique (HNHP, UMR 7194), Sorbonne Universités, Muséum national d'Histoire naturelle, CNRS, UPVD, Paris, France
- Archéozoologie, Archéobotanique: Sociétés, Pratiques et Environnements (AASPE, UMR 7209), Sorbonne Universités, Muséum national d'Histoire naturelle, CNRS, Paris, France
| | - A Seim
- Institute of Botany, University of Innsbruck, Innsbruck, Austria
- Chair of Forest Growth and Dendroecology, Institute of Forest Sciences, Albert-Ludwigs-University Freiburg, Freiburg, Germany
| | - W Kofler
- Institute of Botany, University of Innsbruck, Innsbruck, Austria
| | - C Falguères
- Histoire Naturelle de l'Homme Préhistorique (HNHP, UMR 7194), Sorbonne Universités, Muséum national d'Histoire naturelle, CNRS, UPVD, Paris, France
| | | | - R Nespoulet
- Histoire Naturelle de l'Homme Préhistorique (HNHP, UMR 7194), Sorbonne Universités, Muséum national d'Histoire naturelle, CNRS, UPVD, Paris, France
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Ecke T, Meisl C, Hofbauer S, Labonté F, Schlomm T, Friedersdorff F, Gössl A, Barski D, Otto T, Grunewald C, Niegisch G, Hennig M, Kramer M, Koch S, Hallmann S. BTA stat®, Alere NMP22® BladderChek®, UBC® rapid test, and uromonitor® in comparison to cytology as tumor marker for urinary bladder cancer: New results of a german multicentre-study. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00164-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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5
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Wirtz R, Friedersdorff F, Barski D, Otto T, Bug R, Veltrup E, Kilic E, Hake R, Eidt S, Waldner M, Grabowski P, Pavel M, Roggisch J, Koch S, Heidenreich A, Baum R, Ecke T. Subtype specific expression of radioligand targets in the prospective Real World clinico-pathological register trial BRIDGister. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00172-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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6
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Wirtz R, Friedersdorff F, Veltrup E, Barski D, Bug R, Otto T, Kilic E, Hake R, Eidt S, Roggisch J, Koch S, Ecke T. Association of Leucocyte levels in urine with tissue PD-L1 status and immune infiltration into basal bladder cancer subtype in the prospective Real World clinicopathological register trial BRIDGister. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00163-4] [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] [Indexed: 11/04/2022]
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Bruijel J, Quaedflieg CWEM, Otto T, van de Ven V, Stapert SZ, van Heugten C, Vermeeren A. Task-induced subjective fatigue and resting-state striatal connectivity following traumatic brain injury. Neuroimage Clin 2022; 33:102936. [PMID: 35007852 PMCID: PMC8749448 DOI: 10.1016/j.nicl.2022.102936] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 12/21/2021] [Accepted: 01/03/2022] [Indexed: 01/09/2023]
Abstract
Fatigue is a very frequent and disabling symptom in traumatic brain injury (TBI). Effects of task-induced fatigue on resting-state functional connectivity (rsFC). Striatal rsFC relates differently to subjective fatigue in TBI compared to controls. Default mode network rsFC relates similar to subjective fatigue in TBI and controls.
Background People with traumatic brain injury (TBI) often experience fatigue, but an understanding of the neural underpinnings of fatigue following TBI is still lacking. This study used resting-state functional magnetic resonance imaging (rs-fMRI) to examine associations between functional connectivity (FC) changes and task-induced changes in subjective fatigue in people with moderate-severe TBI. Methods Sixteen people with moderate-severe TBI and 17 matched healthy controls (HC) performed an adaptive N-back task (working memory task) to induce cognitive fatigue. Before and after the task they rated their state fatigue level and underwent rs-fMRI. Seed-to-voxel analyses with seeds in areas involved in cognitive fatigue, namely the striatum and default mode network (DMN) including, medial prefrontal cortex and posterior cingulate cortex, were performed. Results The adaptive N-back task was effective in inducing fatigue in both groups. Subjective task-induced fatigue was positively associated with FC between striatum and precuneus in people with TBI, while there was a negative association in HC. In contrast, subjective task-induced fatigue was negatively associated with FC between striatum and cerebellum in the TBI group, while there was no association in HC. Similar associations between task-induced subjective fatigue and DMN FC were found across the groups. Conclusions Our results suggest that the subjective experience of fatigue was linked to DMN connectivity in both groups and was differently associated with striatal connectivity in people with moderate-severe TBI compared to HC. Defining fatigue-induced neuronal network changes is pertinent to the development of treatments that target abnormal neuronal activity after TBI.
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Affiliation(s)
- J Bruijel
- Dept of Neuropsychology & Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands; Limburg Brain Injury Centre, Limburg, the Netherlands.
| | - C W E M Quaedflieg
- Dept of Neuropsychology & Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands
| | - T Otto
- Dept of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands
| | - V van de Ven
- Dept of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands
| | - S Z Stapert
- Dept of Neuropsychology & Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands; Limburg Brain Injury Centre, Limburg, the Netherlands; Dept of Medical Psychology, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands
| | - C van Heugten
- Dept of Neuropsychology & Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands; Limburg Brain Injury Centre, Limburg, the Netherlands; School for Mental Health and Neuroscience, Dept of Psychiatry and Neuropsychology, Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Center, Maastricht, Netherlands
| | - A Vermeeren
- Dept of Neuropsychology & Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands
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Schiereck T, Yeldan S, Kranz J, Schneidewind L, Wagenlehner F, Wieters I, Vehreschild MJGT, Otto T, Barski D. [Urinary bladder microbiome analysis and probiotic treatment options for women with recurrent urinary tract infections]. Urologe A 2022; 61:41-51. [PMID: 34424357 PMCID: PMC8381347 DOI: 10.1007/s00120-021-01621-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/29/2021] [Indexed: 11/29/2022]
Abstract
Novel preventive measures and therapeutic approaches are needed to reduce the frequency of recurrent urinary tract infections (rUTI) and the associated emergence of multidrug-resistant uropathogens. The aim of this review is to systematically present the available evidence on the urinary bladder microbiome of healthy women and those with rUTIs. In addition, relevant studies on the efficacy of probiotics in rUTIs are presented in a structured manner. This will provide an overview on the current state of research and an outlook on treatment strategies beyond the usual antimicrobial options.
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Affiliation(s)
- T Schiereck
- Urologische Klinik, Lukaskrankenhaus Neuss, Rheinland Klinikum, Preussenstr. 84, 41464, Neuss, Deutschland.
| | - S Yeldan
- Urologische Klinik, Lukaskrankenhaus Neuss, Rheinland Klinikum, Preussenstr. 84, 41464, Neuss, Deutschland
| | - J Kranz
- Klinik für Urologie und Kinderurologie, St.-Antonius-Hospital Eschweiler, Akademisches Lehrkrankenhaus der RWTH Aachen, Eschweiler, Deutschland
- Universitätsklinik und Poliklinik für Urologie, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland
| | - L Schneidewind
- Urologische Klinik und Poliklinik, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18055, Rostock, Deutschland
| | - F Wagenlehner
- Klinik für Urologie, Kinderurologie und Andrologie, Universitätsklinikum Gießen, Gießen, Deutschland
| | - I Wieters
- Zentrum für Innere Medizin, Infektiologie, Universitätsklinikum Frankfurt, Goethe Universität Frankfurt, Frankfurt am Main, Deutschland
| | - M J G T Vehreschild
- Zentrum für Innere Medizin, Infektiologie, Universitätsklinikum Frankfurt, Goethe Universität Frankfurt, Frankfurt am Main, Deutschland
| | - T Otto
- Urologische Klinik, Lukaskrankenhaus Neuss, Rheinland Klinikum, Preussenstr. 84, 41464, Neuss, Deutschland
- Universität Duisburg-Essen, Essen, Deutschland
| | - D Barski
- Urologische Klinik, Lukaskrankenhaus Neuss, Rheinland Klinikum, Preussenstr. 84, 41464, Neuss, Deutschland
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Caresana M, Garlati L, Zorloni G, Behrens R, Otto T, Minchillo G, Rossi F. Impact of new operational dosimetric quantities on individual monitoring services. J Radiol Prot 2021; 41:1110-1121. [PMID: 34157698 DOI: 10.1088/1361-6498/ac0d63] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 06/22/2021] [Indexed: 06/13/2023]
Abstract
The new operational dosimetric quantities framework, proposed in the ICRU95 report, has stimulated the scientific community to start investigations that aim to assess its impact on radiation protection practices. As part of this effort, the present study describes an inter-comparison exercise among individual monitoring services (IMSs) on passive whole-body dosimetry. The inter-comparison is performed in terms of both the existing operational dose quantityHp(10)and its proposed replacementHp, to allow an evaluation of the actions that may be necessary to adapt dosimetry systems to the proposed quantity. For two of the tested IMSs, simple modifications to the detector response function, or the dose calculation algorithm, were sufficient to obtain results within acceptable limits. However, these approaches are not sufficient to give a level of performance comparable to that achieved in terms ofHp(10). This may require a modification to dosemeter design.
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Affiliation(s)
- M Caresana
- Politecnico di Milano-Department of Energy, Via Lambruschini 4, 20156 Milano, Italy
| | - L Garlati
- Politecnico di Milano-Department of Energy, Via Lambruschini 4, 20156 Milano, Italy
| | - G Zorloni
- Politecnico di Milano-Department of Energy, Via Lambruschini 4, 20156 Milano, Italy
| | - R Behrens
- Physikalisch-Technische Bundesanstalt (PTB), Bundesallee 100, D-38116 Braunschweig, Germany
| | - T Otto
- CERN, CH-1211 Geneve 23, Switzerland
| | - G Minchillo
- European Commission-Joint Research Centre (JRC), Via E. Fermi 2749, 21027 Ispra (VA), Italy
| | - F Rossi
- Fisica Sanitaria AOU Careggi, Largo G.A. Brambilla 3, 50134 Firenze, Italy
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10
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Chang M, Otto T, Jacoby T, Thompson L, Reynolds K, Chen S. LB743 Cutaneous immune-related adverse events are undertreated in advanced cancer patients. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.07.028] [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: 11/29/2022]
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Colombo G, Haidegger G, Kovacs P, Kuts V, Mahmood K, Modoni G, Otto T, Stahre J, Terkaj W, Urgo M. Advancement in production engineering education through Virtual Learning Factory Toolkit concept. Proceedings of the Estonian Academy of Sciences 2021. [DOI: 10.3176/proc.2021.4.02] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Kangru T, Moor M, Otto T, Riives J, Vaher K. Modern robot-integrated manufacturing cell according to the needs of Industry 4.0; pp. 407–412. Proceedings of the Estonian Academy of Sciences 2021. [DOI: 10.3176/proc.2021.4.06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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13
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Kuts V, Otto T, Pizzagalli SL. User-centred design in industrial collaborative automated systems. Proceedings of the Estonian Academy of Sciences 2021. [DOI: 10.3176/proc.2021.4.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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14
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Vaher K, Mahmood K, Otto T, Riives J. Simulation based feasibility analysis of autonomously movable robot arm. PEAS 2021. [DOI: 10.3176/proc.2021.4.08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Kangru T, Riives J, Mahmood K, Otto T. Suitability analysis of using industrial robots in manufacturing. Proc Estonian Acad Sci 2019. [DOI: 10.3176/proc.2019.4.06] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Kuts V, Modoni GE, Otto T, Sacco M, Tähemaa T, Bondarenko Y, Wang R. Synchronizing physical factory and its digital twin through an IIoT middleware: a case study. Proc Estonian Acad Sci 2019. [DOI: 10.3176/proc.2019.4.03] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Mahmood K, Karaulova T, Otto T, Shevtshenko E. Development of cyber-physical production systems based on modelling Technologies. Proc Estonian Acad Sci 2019. [DOI: 10.3176/proc.2019.4.02] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Selinski S, Ickstadt K, Gerullis H, Otto T, Roth E, Volkert F, Ovsiannikov D, Moormann O, Banfi G, Nyirady P, Vermeulen S, Garcia-Closas M, Figueroa J, Johnson A, Karagas M, Kogevinas M, Malats N, Schwenn M, Silverman D, Koutros S, Rothman N, Kiemeney L, Hengstler J, Golka K. Interplay of four genetic high risk variants for urinary bladder cancer. Toxicol Lett 2018. [DOI: 10.1016/j.toxlet.2018.06.1041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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20
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Otto T, Hertel NE, Bartlett DT, Behrens R, Bordy JM, Dietze G, Endo A, Gualdrini G, Pelliccioni M. The ICRU Proposal for New Operational Quantities for External Radiation. Radiat Prot Dosimetry 2018; 180:10-16. [PMID: 29165634 DOI: 10.1093/rpd/ncx243] [Citation(s) in RCA: 6] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Report Committee 26 of the ICRU proposes a set of operational quantities for radiation protection for external radiation, directly based on effective dose and for an extended range of particles and energies. It is accompanied by quantities for estimating deterministic effects to the eye lens and the local skin. The operational quantities are designed to overcome the conceptual and technical shortcomings of those presently in use. This paper describes the proposed operational quantities, and highlights the improvements with respect to the present, legal monitoring quantities.
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Affiliation(s)
- T Otto
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
| | | | | | - R Behrens
- Physikalisch-Technische Bundesanstalt (PTB), Braunschweig, Germany
| | - J-M Bordy
- CEA, LIST, Laboratoire National Henri Becquerel (LNE-LNHB), Gif-sur-Yvette, France
| | | | - A Endo
- Japan Atomic Energy Agency (JAEA), Japan
| | - G Gualdrini
- Ente per le Nuove Tecnologie, L'Energia e L'Ambiente (ENEA), Bologna, Italy
| | - M Pelliccioni
- Istituto Nazionale di Fisica Nucleare (INFN), Frascati, Italy
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Jung H, Otto T, Lebrec J, Myland M, Richter H, Norrbacka K. Drug uilization patterns in patients Initiating glucagon-like peptide-1 receptor agonists (GLP-1 RAs) for the treatment of type 2 diabetes (T2D) in Germany: A retrospective cohort study. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641860] [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)
- H Jung
- Lilly Deutschland GmbH, Medical Department Diabetes, Bad Homburg, Germany
| | - T Otto
- Lilly Deutschland GmbH, Health Economics, Bad Homburg, Germany
| | - J Lebrec
- Lilly Deutschland GmbH, European Statistics – Germany, Bad Homburg, Germany
| | - M Myland
- IQVIA, Centre of Excellence for Retrospective Studies, London, United Kingdom
| | - H Richter
- IQVIA Commercial GmbH & Co. OHG, Real World Evidence – Life Link, Frankfurt, Germany
| | - K Norrbacka
- Eli Lilly Finland, GPORWE, Helsinki, Finland
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Mahmood K, Shevtshenko E, Karaulova T, Otto T. Risk assessment approach for a virtual enterprise of small and medium-sized enterprises. Proc Estonian Acad Sci 2018. [DOI: 10.3176/proc.2017.4.27] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Akca A, Otto T, Hinsch N, Lammers BJ, Starke AAR, Goretzki PE. [Rare renal tumors]. Urologe A 2017; 57:193-197. [PMID: 29242949 DOI: 10.1007/s00120-017-0553-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- A Akca
- Klinik für Allgemein‑, Visceral‑, Thorax‑, Gefäß- und Endokrine Chirurgie, Lukaskrankenhaus Neuss, Preussenstr. 84, 41464, Neuss, Deutschland. .,Insulinom und GEP-NET-Zentrum Neuss, Neuss, Deutschland.
| | - T Otto
- Klinik für Urologie, Lukaskrankenhaus Neuss, Neuss, Deutschland
| | - N Hinsch
- Institut für Pathologie, Lukaskrankenhaus Neuss, Neuss, Deutschland
| | - B J Lammers
- Klinik für Allgemein‑, Visceral‑, Thorax‑, Gefäß- und Endokrine Chirurgie, Lukaskrankenhaus Neuss, Preussenstr. 84, 41464, Neuss, Deutschland.,Insulinom und GEP-NET-Zentrum Neuss, Neuss, Deutschland
| | - A A R Starke
- Insulinom und GEP-NET-Zentrum Neuss, Neuss, Deutschland
| | - P E Goretzki
- Klinik für Allgemein‑, Visceral‑, Thorax‑, Gefäß- und Endokrine Chirurgie, Lukaskrankenhaus Neuss, Preussenstr. 84, 41464, Neuss, Deutschland.,Insulinom und GEP-NET-Zentrum Neuss, Neuss, Deutschland
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Schenk L, Hösch O, Schuster A, Kowallick J, Staab W, Kutty S, Otto T, Seehase M, Lotz J, Paul T, Steinmetz M. The Value of the Newly Validated Cardiovascular Magnetic Resonance Derived Total Right/Left Volume Index in the Course of Ebstein Anomaly: A Prospective Long-Term Follow-up Study. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598973] [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: 10/20/2022]
Affiliation(s)
- L. Schenk
- Department of Paediatric Cardiology and Intensive Care Medicine, Georg-August-University Göttingen, Göttingen, Germany
| | - O. Hösch
- Department of Paediatric Cardiology and Intensive Care Medicine, Georg-August-University Göttingen, Göttingen, Germany
| | - A. Schuster
- Department of Cardiology and Pneumology, Georg-August-University Göttingen, Göttingen, Germany
| | - J. Kowallick
- Department of Diagnostic and Interventional Radiology, Georg-August-University Göttingen, Göttingen, Germany
| | - W. Staab
- Department of Diagnostic and Interventional Radiology, Georg-August-University Göttingen, Göttingen, Germany
| | - S. Kutty
- University of Nebraska Medical Center, University of Nebraska Medical Center/ Children's Hospital and Medical Center, Omaha, United States
| | - T. Otto
- Department of Diagnostic and Interventional Radiology, Georg-August-University Göttingen, Göttingen, Germany
| | - M. Seehase
- Department of Paediatric Cardiology and Intensive Care Medicine, Georg-August-University Göttingen, Göttingen, Germany
| | - J. Lotz
- Department of Diagnostic and Interventional Radiology, Georg-August-University Göttingen, Göttingen, Germany
| | - T. Paul
- Department of Paediatric Cardiology and Intensive Care Medicine, Georg-August-University Göttingen, Göttingen, Germany
| | - M. Steinmetz
- Department of Paediatric Cardiology and Intensive Care Medicine, Georg-August-University Göttingen, Göttingen, Germany
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Barski D, Gerullis H, Winter A, Pintelon I, Timmermans JP, Ramon A, Boros M, Varga G, Otto T. Reconstruction of bladder defects with amniotic membrane - IDEAL-D Stage 0-1. Int J Surg 2016. [DOI: 10.1016/j.ijsu.2016.11.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Gerullis H, Barski D, Ecke T, Eimer C, Boros M, Klosterhalfen B, Ramon A, Otto T. Autologous plasma coating improves the biocompatibility of mesh implants. On the IDEAL way from bench to bedside. Int J Surg 2016. [DOI: 10.1016/j.ijsu.2016.11.050] [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: 11/30/2022]
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Barski D, Gerullis H, Ecke T, Joukhadar R, Kranz J, Tahbaz R, Queissert F, Schneidewind L, Mühlstädt S, Grabbert M, Huppertz N, Pelzer A, Klinge U, Boros M, Bader W, Puppe F, Otto T. Development of an online platform for registration and outcome measurement of urogynecological implants according to IDEAL-system. Int J Surg 2016. [DOI: 10.1016/j.ijsu.2016.11.048] [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: 11/24/2022]
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Moennig E, Hadjiyianni I, Otto T, Cao D, De Koven M, Karkare SU, Saade P, Ketz M, Baumann T, Perez-Nieves M. Factors associated with treatment persistence among people with Type 2 Diabetes Mellitus (T2DM) initiating basal insulin – real-world data from Germany. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0036-1580778] [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: 10/21/2022]
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Krones T, Loupatatzis BS, Otto T, Karzig I. O-111 ACP, a fundamental cultural novelty: Lections from the maps-trial. BMJ Support Palliat Care 2015. [DOI: 10.1136/bmjspcare-2015-000978.110] [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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Kukushkin M, Otto T, Howard T. Value-centric business development: descriptive and prescriptive research into five different companies. Proc Estonian Acad Sci 2015. [DOI: 10.3176/proc.2015.4s.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Otto T, Mörmann WH. Clinical performance of chairside CAD/CAM feldspathic ceramic posterior shoulder crowns and endocrowns up to 12 years. Int J Comput Dent 2015; 18:147-161. [PMID: 26110927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
In 55 patients, 25 endocrowns (test) and 40 shoulder crowns (control) were produced chairside in a private practice using the Cerec 3 (CAD/CAM) method and Vita Mark II feldspathic ceramic. The crowns were examined at baseline and after up to 12 years using modified USPHS criteria. The survival estimate was assessed by Kaplan-Meier analysis. The 12 years survival estimate of the shoulder crowns was 95% on molars and 94.7% on premolars. Endocrowns showed 90.5% survival on molars and 75% on premolars. Statistically, the differences between the survival estimates were not significant (P > 0.05). The longevity of Vita Mark II Cerec 3 shoulder crowns on molars and premolars, as well as of endocrowns on molars, proved to be--for private practice--a very acceptable result, while the premolar endocrowns tended to show a higher risk for failure.
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Huelsemann MF, Patz M, Beckmann L, Brinkmann K, Otto T, Fandrey J, Becker HJ, Theurich S, von Bergwelt-Baildon M, Pallasch CP, Zahedi RP, Kashkar H, Reinhardt HC, Hallek M, Wendtner CM, Frenzel LP. Hypoxia-induced p38 MAPK activation reduces Mcl-1 expression and facilitates sensitivity towards BH3 mimetics in chronic lymphocytic leukemia. Leukemia 2014; 29:981-4. [PMID: 25376373 DOI: 10.1038/leu.2014.320] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- M F Huelsemann
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany [3] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany
| | - M Patz
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany [3] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany
| | - L Beckmann
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany [3] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany
| | - K Brinkmann
- 1] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany [2] Institute for Medical Microbiology, Immunology and Hygiene, University Hospital of Cologne, Cologne, Germany
| | - T Otto
- Institute of Physiology, University of Duisburg-Essen, Essen, Germany
| | - J Fandrey
- Institute of Physiology, University of Duisburg-Essen, Essen, Germany
| | - H J Becker
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany
| | - S Theurich
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany
| | - M von Bergwelt-Baildon
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany
| | - C P Pallasch
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany [3] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany
| | - R P Zahedi
- Leibniz-Institute for Analytical Sciences-ISAS-e.V., Dortmund, Germany
| | - H Kashkar
- 1] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany [2] Institute for Medical Microbiology, Immunology and Hygiene, University Hospital of Cologne, Cologne, Germany
| | - H C Reinhardt
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany [3] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany
| | - M Hallek
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany [3] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany
| | - C M Wendtner
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany [3] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany [4] Department I of Internal Medicine, Klinikum Schwabing, Munich, Germany
| | - L P Frenzel
- 1] Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany [2] Center of Integrated Oncology, University Hospital of Cologne, Cologne, Germany [3] Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University Hospital of Cologne, Cologne, Germany
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Abstract
Abstract Single-unit recording of layer II-III cells in olfactory (piriform) cortex was performed on awake, unrestrained rats actively engaged in learning novel odors in an olfactory discrimination task. Five of the 67 cells tested had very brief monophasic action potentials and high spontaneous firing rates (30-80 Hz); it is suggested that these units were interneurons. The remainder of the neurons had broader spikes and did not discharge for prolonged periods. Thirty-nine percent of the broad spike cells responded to at least one and usually more of the odors presented to the rats during either of the first two trials on which that odor was present, but, in most cases, these responses occurred only very infrequently over the course of subsequent trials. Six percent of the broad-spike group, how ever, continued firing robustly to a single odor but not to others. From these results it appears that most cells in piriform cortex do not respond to most odors, i.e., coding is exceedingly sparse. A subgroup of the predominant broad-spike cell type does react to several odors but this response drops out with repeated exposure, perhaps because of training. However, a few members of this class (a small fraction of the total cell population) do go on responding to a particular odor, thus exhibiting a form of odor specificity. The results are discussed with regard to predictions from recently developed models of the olfactory cortex.
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Tripti M, Lambs L, Otto T, Gurumurthy GP, Teisserenc R, Moussa I, Balakrishna K, Probst JL. First assessment of water and carbon cycles in two tropical coastal rivers of south-west India: an isotopic approach. Rapid Commun Mass Spectrom 2013; 27:1681-1689. [PMID: 23821561 DOI: 10.1002/rcm.6616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2013] [Revised: 04/29/2013] [Accepted: 04/29/2013] [Indexed: 06/02/2023]
Abstract
RATIONALE The contribution of tropical coastal rivers to the global carbon budget remains unmeasured, despite their high water dynamics, i.e. higher run-off with their basin characteristic of warm temperature. Two rivers draining the western part of the Western Ghats, the Swarna (length 80 km) and Nethravati (147 km) Rivers, were studied for water and carbon cycles. METHODS The stable isotope ratios of oxygen (δ(18) O values), hydrogen (δ(2) H values) and carbon (δ(13) C values) were used to understand the water circulation, the weathering processes and the carbon biogeochemical cycle. The river water samples were collected during the dry post-monsoonal season (November 2011). RESULTS The δ(18) O and δ(2) H values of river water suggested that the monsoonal vapour source and its high recycling have a dominant role because of the orographical and tropical conditions. The absence of calcareous rocks has led to dissolved inorganic carbon (DIC) mainly originating from atmospheric/soil CO2 , via rock-weathering processes, and the low soil organic matter combined with high run-off intensity has led to low riverine dissolved organic carbon (DOC) contents. The δ(13) C values increase from upstream to downstream and decrease with increasing pCO2 . There is a positive relationship between the δ(13) CDIC values and the DOC concentrations in these two rivers that is contrary to that in most of the studied rivers of the world. CONCLUSIONS The higher evapotranspiration supported by tropical conditions suggests that there are higher vapour recycling process in the Swarna and Nethravati basins as studied from the water δ(18) O and δ(2) H values. The basin characteristics of higher rainfall/run-off accompanied by warm temperature suggest that the δ(13) C value of riverine DIC is mainly controlled by the weathering of source rocks (silicates) with variation along the river course by CO2 degassing from the river water to the atmosphere and is less dominated by the oxidation of DOC.
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Affiliation(s)
- M Tripti
- Department of Civil Engineering, Manipal Institute of Technology, Manipal University, Manipal, 576104, India
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Spitzer SG, Karolyi L, Scharfe F, Weinmann T, Raemmler C, Otto T, Kadalie CT. Does PV isolation with a multipolar ablation catheter influence the incidence of PV stenosis in patients with paroxysmal or persistent AF? Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p4127] [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: 11/13/2022] Open
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Porzsolt F, Bausch J, Geipel G, Huppertz E, Mühlbacher A, Otto T, Radic D, Schmidt P, Ravens-Sieberer U, Zimmermann T, Clouth J. Die angemessene Evidenz für Therapieentscheidungen: eine Diskussion des Methodenpluralismus in klinischen Studien. Gesundh ökon Qual manag 2013. [DOI: 10.1055/s-0032-1330555] [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] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- F. Porzsolt
- Klinische Ökonomik, Institut für Geschichte, Theorie und Ethik der Medizin, Universität Ulm
| | - J. Bausch
- Praxis Dr. med. Jürgen Bausch, Bad Soden-Salmünster
| | | | - E. Huppertz
- HE&RO (Consultant Health Economics & Research of Outcomes), Niedererbach
| | - A. Mühlbacher
- Stiftungsinstitut Gesundheitsökonomie und Medizinmanagement, Neubrandenburg
| | - T. Otto
- Health Economics, Lilly Deutschland GmbH, Bad Homburg
| | - D. Radic
- Universität Leipzig, Wirtschaftswissenschaftliche Fakultät, Fachbereich Betriebswirtschaftslehre
| | - P. Schmidt
- State Research University Higher School of Economics (HSE) International Laboratory for Socio-Cultural Research, Moskau
| | - U. Ravens-Sieberer
- Universitätsklinikum Hamburg-Eppendorf, Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Hamburg
| | - T. Zimmermann
- Health Economics, Lilly Deutschland GmbH, Bad Homburg
| | - J. Clouth
- Health Economics, Lilly Deutschland GmbH, Bad Homburg
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Gerullis H, Georgas E, Bagner JW, Eimer C, Otto T. Construction of a penoid after penectomy using a transpositioned testicle. Urol Int 2012; 90:240-2. [PMID: 22922734 DOI: 10.1159/000341555] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2012] [Accepted: 06/25/2012] [Indexed: 11/19/2022]
Abstract
Total penectomy results in a disfiguring anatomic situation which may have a devastating effect on the patient's psychologic health. Here we report our experience with construction of a penoid by covering a transpositioned testicle with remaining penile skin after radical penectomy in 2 patients with malignant underlying disease.
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Affiliation(s)
- H Gerullis
- Department of Urology, Lukas Hospital, Neuss, Germany. holger.gerullis @ gmx.net
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Gerullis H, Eimer C, Georgas E, Homburger M, El-Baz AG, Wishahi M, Borós M, Ecke TH, Otto T. Muscle-derived cells for treatment of iatrogenic sphincter damage and urinary incontinence in men. ScientificWorldJournal 2012; 2012:898535. [PMID: 22919359 PMCID: PMC3417204 DOI: 10.1100/2012/898535] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2012] [Accepted: 06/05/2012] [Indexed: 12/21/2022] Open
Abstract
Introduction. Aim of this study was to assess the safety and efficacy of injection of autologous muscle-derived cells into the urinary sphincter for treatment of postprostatectomy urinary incontinence in men and to characterize the injected cells prior to transplantation. Methods. 222 male patients with stress urinary incontinence and sphincter damage after uroloical procedures were treated with transurethral injection of autologous muscle-derived cells. The transplanted cells were investigated after cultivation and prior to application by immunocytochemistry using different markers of myogenic differentiation. Feasibility and functionality assessment was achieved with a follow-up of at least 12 months. Results. Follow-up was at least 12 months. Of the 222 treated patients, 120 responded to therapy of whom 26 patients (12%) were continent, and 94 patients (42%) showed improvement. In 102 (46%) patients, the therapy was ineffective. Clinical improvement was observed on average 4.7 months after transplantation and continued in all improved patients. The cells injected into the sphincter were at least ~50% of myogenic origin and representative for early stages of muscle cell differentiation. Conclusions. Transurethral injection of muscle-derived cells into the damaged urethral sphincter of male patients is a safe procedure. Transplanted cells represent different phases of myogenic differentiation.
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Affiliation(s)
- H Gerullis
- West German Cancer Center (WTZ), University of Essen, Essen, Germany.
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Gellhaus A, Otto T, Wolf N, Scheidler J, Boengler K, Dunk C, Schmidt M, Kimmig R, Lennartz K, Lye S, Winterhager E. The effect of oxygen on placental connexins 43 and 46 and its contribution to preeclampsia. J Reprod Immunol 2012. [DOI: 10.1016/j.jri.2012.03.300] [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: 10/28/2022]
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Lambs L, Horwath A, Otto T, Julien F, Antoine PO. Isotopic values of the Amazon headwaters in Peru: comparison of the wet upper Río Madre de Dios watershed with the dry Urubamba-Apurimac river system. Rapid Commun Mass Spectrom 2012; 26:775-784. [PMID: 22368057 DOI: 10.1002/rcm.6157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
RATIONALE The Amazon River is a huge network of long tributaries, and little is known about the headwaters. Here we present a study of one wet tropical Amazon forest side, and one dry and cold Atiplano plateau, originating from the same cordillera. The aim is to see how this difference affects the water characteristics. METHODS Different kind of water (spring, lake, river, rainfall) were sampled to determine their stable isotopes ratios (oxygen 18/16 and hydrogen 2/1) by continuous flow isotope ratio mass spectrometry (IRMS). These ratios coupled with chemical analysis enabled us to determine the origin of the water, the evaporation process and the water recycling over the Amazon plain forest and montane cloud forest. RESULTS Our study shows that the water flowing in the upper Madre de Dios basin comes mainly from the foothill humid forest, with a characteristic water recycling process signature, and not from higher glacier melt. On the contrary, the water flowing in the Altiplano Rivers is mainly from glacier melts, with a high evaporation process. This snow and glacier are fed mainly by Atlantic moisture which transits over the large Amazon forest. CONCLUSIONS The Atlantic moisture and its recycling over this huge tropical forest display a progressive isotopic gradient, as a function of distance from the ocean. At the level of the montane cloud forest and on the altiplano, respectively, additional water recycling and evaporation occur, but they are insignificant in the total water discharge.
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Affiliation(s)
- L Lambs
- Ecolab UMR 5245 CNRS-UPS-INPT, 118 route de Narbonne, F-31062, Toulouse Cedex, France.
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Morschhauser A, Stiehl C, Große A, Nestler J, Otto T, Gessner T. Membrane based sample preparation chip. BIOMED ENG-BIOMED TE 2012. [DOI: 10.1515/bmt-2012-4425] [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: 11/15/2022]
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Herzog M, Otto T, Ogmen H. Non-retinotopic perceptual learning. J Vis 2011. [DOI: 10.1167/11.11.1022] [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: 11/24/2022] Open
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Gerullis H, Ecke TH, Eimer C, Heuck CJ, Otto T. mTOR-inhibition in metastatic renal cell carcinoma. Focus on temsirolimus: a review. MINERVA UROL NEFROL 2010; 62:411-423. [PMID: 20944541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The potent inhibitor of the mammalian target of rapamycin, temsirolimus, comprises for cell cycle, angiogenesis and proliferation and has proven beneficial in the treatment of advanced renal cell carcinoma (RCC). Temsirolimus is officially approved for first line therapy in high risk previously untreated mRCC patients. This review summarizes the current clinical role of temsirolimus in the treatment of advanced renal cell carcinoma with regard to pharmacological features, toxicity and tolerability. It particularily discusses quality of life issues as important outcome parameters in palliative treatment of patients with mRCC and gives an outlook on current clinical developments regarding possible future combining/ sequencing strategies of temsirolimus.
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Affiliation(s)
- H Gerullis
- Department of Urology, Lukas Hospital, Neuss, Germany.
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Gerullis H, Ecke TH, Wishahi M, Georgas E, Eimer C, Otto T. What happens if nothing happens?--History of an untreated urothelial carcinoma of the bladder. J Egypt Soc Parasitol 2010; 40:789-796. [PMID: 21268545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
UNLABELLED Bladder cancer is controllable when adequately diagnosed and treated according to current recommendations. Radical cystectomy with urinary diversion is the standard therapy for muscle invasive tumors. In patients unfit or unwilling to get radical surgery, external beam or combined chemo-radiotherapy display alternative treatment options and can be safely performed. Every therapy implies the patient's disposition to cooperate. CASE PRESENTATION This case report describes the clinical course over 31 months after initial diagnosis of a 56-years-old Caucasian, white man with an initial pT1G3 urothelial carcinoma of the bladder. The patient denied early radical cystectomy, radio-chemotherapy and almost all alternative treatment possibilities. He finally died 31 months after initial verification of the disease.
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Affiliation(s)
- H Gerullis
- Department of Urology, Lukas Hospital, Neuss, Germany
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Johannsen M, Staehler M, Ohlmann CH, Flörcken A, Schmittel A, Otto T, Bex A, Hein P, Miller K, Weikert S, Grünwald V. Outcome of treatment discontinuation in patients with metastatic renal cell carcinoma and no evidence of disease following targeted therapy with or without metastasectomy. Ann Oncol 2010; 22:657-663. [PMID: 20870911 DOI: 10.1093/annonc/mdq437] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND It is unknown if discontinuation of targeted therapy (TT) and readministration in case of recurrence is feasible in patients with metastatic renal cell carcinoma (mRCC) in which complete response (CR) is achieved by TT alone or no evidence of disease (NED) with additional resection of residual metastases. PATIENTS AND METHODS Patients in whom TT was discontinued after CR to TT alone or NED after additional metastasectomy were included in this retrospective analysis. Outcome criteria evaluated were time off TT, recurrence of metastases and response to re-exposure to TT. Univariate and multivariate analyses were carried out to identify variables potentially predictive of outcome. RESULTS In 36 patients with CR or NED under TT with sunitinib (22), sorafenib (11), bevacizumab/interferon (2) and temsirolimus (1), TT was discontinued. Recurrence was observed in 24 patients (66.7%). Re-exposure to TT was effective in 86.9% of these cases. Twelve patients (33.3%) remained recurrence free at a median follow-up of 12 months (range 3-31). Median time off TT was 7 months (range 1-31). Factors that correlate with outcome could not be identified. CONCLUSIONS In the majority of patients with mRCC and CR or NED, discontinuation of TT was followed by recurrence, but re-exposure to TT was effective.
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Affiliation(s)
- M Johannsen
- Department of Urology, Charité-Universitätsmedizin Berlin, Berlin.
| | - M Staehler
- Department of Urology, Universitätsklinikum Grosshadern, München
| | - C-H Ohlmann
- Department of Urology, Universitätsklinikum Saarland, Homburg
| | - A Flörcken
- Department of Hematology and Oncology, Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Berlin
| | - A Schmittel
- Department of Hematology and Oncology, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Berlin
| | - T Otto
- Department of Urology, Lukaskrankenhaus, Neuss, Germany
| | - A Bex
- Department of Urology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - P Hein
- Department of Radiology, Campus Mitte, Charité-Universitätsmedizin Berlin, Berlin
| | - K Miller
- Department of Urology, Charité-Universitätsmedizin Berlin, Berlin
| | - S Weikert
- Department of Urology, Charité-Universitätsmedizin Berlin, Berlin
| | - V Grünwald
- Department of Hematology, Hemostaseology and Oncology, Medical School Hannover, Hannover, Germany
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47
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Karig R, Bagner J, Gerullis H, Eimer C, Quast S, Otto T. UP-1.74: Evaluation and classification of sphincter lesions due to radical prostatectomy (RP). Urology 2010. [DOI: 10.1016/j.urology.2010.07.207] [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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48
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Bagner J, Gerullis H, Karig R, Ramon A, Otto T. MP-03.01: In vitro test system for the evaluation of the biocompability of alloplastic materials and its improvement by autologous coating. Urology 2010. [DOI: 10.1016/j.urology.2010.07.376] [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: 11/25/2022]
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49
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Otto T, Hanusch R, Rothe B, Eger B, Weichsel J, Burkhardt W, Rüdiger M. Anreicherung von Muttermilch: Ist die unmittelbare Anreicherung besser verträglich? Klin Padiatr 2010. [DOI: 10.1055/s-0030-1261655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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50
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Gerullis H, Eimer C, Bagner J, Tscheuschner S, Otto T. POD-01.04: Repair of Iatrogenic Sphincter Damage and Urinary Incontinence by Autologous Skeletal Muscle Derived Cells (MDC). Urology 2009. [DOI: 10.1016/j.urology.2009.07.1209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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