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Your search keyword '"Kummer, Julia"' showing total 11 results
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11 results on '"Kummer, Julia"'

2. Preinduction cervical ripening in an outpatient setting: a prospective pilot study of a synthetic osmotic dilator compared with a double-balloon catheter.

Author

Koenigbauer, Josefine Theresia, Kummer, Julia, Malan, Marcel, Simon, Luisa Maria, Hellmeyer, Lars, Kyvernitakis, Ioannis, Maul, Hoger, Wohlmuth, Peter, and Rath, Werner

Subjects
*CERVIX uteri physiology, *CERVICAL cerclage, *PATIENT safety, *OUTPATIENT medical care, *PILOT projects, *QUESTIONNAIRES, *PREGNANCY outcomes, *DILATATION & curettage, *DESCRIPTIVE statistics, *LABOR (Obstetrics), *INDUCED labor (Obstetrics), *LONGITUDINAL method, *OUTPATIENTS, *CATHETERS, *PAIN, *PATIENT satisfaction, *COMPARATIVE studies, *CERVIX uteri
Abstract

To compare the effectiveness, safety and patient satisfaction of a double balloon catheter (DB) with a synthetic osmotic cervical dilator (OD) for pre-induction cervical ripening in an outpatient setting. This is a prospective, dual-center pilot study including 94 patients with an unripe cervix (Bishop Score <6) near term; 50 patients received the DB and 44 patients the OD. The primary outcomes were the difference in BishopScore (BS) and cervical shortening. Pain perception at insertion and during the cervical ripening period was evaluated by a visual analogue scale and patient satisfaction by a predefined questionnaire. The use of DB was associated with a significantly higher increase in BS (median 3) compared to OD (median 2; p=0.002) and resulted in significantly greater cervical shortening (median −14 mm vs. −9 mm; p=0.003). There were no serious adverse events at placement of devices or during the cervical ripening. There were no significant differences in perinatal outcomes. Pain perception during cervical ripening was significantly higher (p<0.001), and patient satisfaction regarding sleep, relaxing time and performing desired daily activities were significantly lower in patients with DB compared to patients with OD (p<0.001). DB was superior to OD regarding cervical ripening based on BS and on sonographic measurement of the cervical length. Patients with OD experienced less pain during cervical ripening and were more satisfied with the method compared to patients with DB. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Retrospektive Datenanalyse zur kardiovaskulären Diagnostik bei Nierentransplantationspatienten an der Uniklinik RWTH Aachen von 2005 bis 2011

Author

Kummer, Julia, Schlieper, Georg, and Mühlfeld, Anja

Subjects
Nierentransplantation, end-stage renal disease, terminale Niereninsuffizienz, kardiovaskuläre Erkrankung, kidney transplantation, ddc:610, human activities, Nierentransplantation , kardiovaskuläre Erkrankung , terminale Niereninsuffizienz , kidney transplantation , cardiovascular disaese , end-stage renal disease, cardiovascular disaese
Abstract

Dissertation, Rheinisch-Westfälische Technische Hochschule Aachen, 2022; Aachen : RWTH Aachen University 1 Online-Ressource : Illustrationen (2022). = Dissertation, Rheinisch-Westfälische Technische Hochschule Aachen, 2022, Introduction: After a successful kidney transplant surgery (NTX) patients exhibit significantly reduced rates of cardiovascular events (CVE) compared to patients on dialysis. However, CVE remain the leading cause for morbidity and mortality in patients after NTX. Nevertheless, kidney transplant candidates are less likely to receive cardiovascular diagnostics. So far, the best cardiovascular diagnostic regime for kidney transplant candidates is unknown. Objective: Aim of this study was to analyze the application of cardiovascular diagnostics in NTX candidates and the occurrence of CVE after NTX at Uniklinik RWTH Aachen. Methods: Charts of 212 patients after NTX at Uniklinik RWTH Aachen between 2005 and 2011 were analyzed retrospectively. Relevant data were collected in a data base. Statistical analysis was performed using descriptive and inductive data analysis. Study-relevant end points were analyzed via Kaplan-Meier survival curves and Cox regression analysis. Results: In 22.6 % of the patients a CVE occurred after NTX and 23.8 % of death events resulted from CVE. Multiple Cox regression analysis showed a significant increase in cardiovascular risk after NTX for age ≥ 60 years (HR 2.95), history of myocardial infarction (HR 2.95), history of stent implantation (HR 4.46) and eGFR, Published by RWTH Aachen University, Aachen

Published
2022
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