105 results on '"M. Jäckel"'
Search Results
2. The role of biofilm infection in urology
- Author
-
Peter Tenke, M. Jäckel, Béla Kovács, and Elisabeth Nagy
- Subjects
Male ,Prosthesis-Related Infections ,medicine.drug_class ,Urology ,Antibiotics ,Microbial Sensitivity Tests ,Drug resistance ,Risk Assessment ,Severity of Illness Index ,Microbiology ,Humans ,Medicine ,Foreign Bodies ,business.industry ,Incidence ,Biofilm ,Drug Resistance, Microbial ,Bacterial Infections ,biochemical phenomena, metabolism, and nutrition ,Prognosis ,Antimicrobial ,Anti-Bacterial Agents ,Treatment success ,Biofilms ,Urinary Tract Infections ,Equipment Contamination ,Female ,business - Abstract
In the process of endourological development a great variety of foreign bodies have been invented besides urinary catheters on which biofilm can be formed. Bacteria in the biofilm are less sensible to antibiotics. An additional problem of medical biomaterials in the urinary tract environment is the development of encrustation and consecutive obstruction. In this review, we tried to sum up the conditions where biofilm formation has a great impact on the development or maintenance of urological infections and on treatment success. Modification of the biomaterial surface seems to be the most promising prevention strategy for bacterial biofilms. Easier methods for diagnosing and quantifying biofilm infection, to develop more specific antimicrobial agents and ideal device surfaces would surely help the fight against biofilm formation.
- Published
- 2006
- Full Text
- View/download PDF
3. Magnetic quantum oscillations in the normal state of YNi2B2C
- Author
-
Eric Jobiliong, J. Hagel, G. Behr, D. Souptel, M. Jäckel, O. Ignatchik, J. Wosnitza, and T. Coffey
- Subjects
Physics ,Superconductivity ,Condensed matter physics ,Quantum oscillations ,Electronic structure ,High field ,Normal state ,Condensed Matter Physics ,De Haas–van Alphen effect ,Critical field ,Electronic, Optical and Magnetic Materials ,Magnetic field - Abstract
We present de Haas–van Alphen (dHvA) measurements of different YNi 2 B 2 C single crystals in magnetic fields up to 32 T. At high magnetic fields three different dHvA frequencies could be detected. The lowest frequency, F α , could be well resolved down to lower fields just above the upper critical field. An unexpectedly sudden vanishing of the dHvA signal in the mixed state has been observed.
- Published
- 2005
- Full Text
- View/download PDF
4. Influence of high pressure on the specific heat of amorphous polymers at low temperatures
- Author
-
M. Jäckel, A. Gladun, and R. Geilenkeuser
- Subjects
chemistry.chemical_classification ,Materials science ,Specific heat ,Thermodynamics ,Polymer ,Atmospheric temperature range ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,Amorphous solid ,chemistry.chemical_compound ,chemistry ,High pressure ,visual_art ,Energy spectrum ,visual_art.visual_art_medium ,Polystyrene ,Electrical and Electronic Engineering ,Polycarbonate - Abstract
The specific heat cp of amorphous polycarbonate and amorphous polystyrene has been measured at pressures up to p = 0.7 GPa in the temperature range 0.2K
- Published
- 2002
- Full Text
- View/download PDF
5. Influence of high pressure on thermal properties of amorphous polystyrene
- Author
-
Th Porschberg, M. Jäckel, R. Geilenkeuser, and A. Gladun
- Subjects
Materials science ,Thermodynamics ,Atmospheric temperature range ,Condensed Matter Physics ,Plateau (mathematics) ,Thermal diffusivity ,Electronic, Optical and Magnetic Materials ,Amorphous solid ,chemistry.chemical_compound ,Thermal conductivity ,chemistry ,High pressure ,Thermal ,Polystyrene ,Electrical and Electronic Engineering - Abstract
Both thermal conductivity λ and specific heat cp of amorphous polystyrene were measured in the temperature range 1.7 K K at three different pressure values up to p=0.4 GPa . The thermal conductivity data show that the influence of pressure is most pronounced at the plateau of λ at 2 K K . Fit calculations were carried out to receive values for P γ 2 and W. As pressure is applied the specific heat is clearly reduced below T=20 K .
- Published
- 1999
- Full Text
- View/download PDF
6. Frequency dependent dielectric investigations of polycarbonate from 40mK to 300K at hydrostatic pressures
- Author
-
M. Jäckel, Th. Eggert, A. Gladun, and G. Köbernik
- Subjects
Materials science ,Condensed matter physics ,Hydrostatic pressure ,Dielectric ,Atmospheric temperature range ,Condensed Matter Physics ,Dielectric response ,Electronic, Optical and Magnetic Materials ,law.invention ,law ,visual_art ,visual_art.visual_art_medium ,Electrical and Electronic Engineering ,Polycarbonate ,Hydrostatic equilibrium ,Quantum tunnelling - Abstract
We measured the dielectric response, e ′( ω )+i e ″( ω ), of polycarbonate (PC) at various frequencies (1–200 kHz) in the temperature range between 40 mK and 300 K. Under the application of hydrostatic pressure (up to 0.6 GPa) the low temperature properties due to two level tunnelling systems could be examined as well as thermally activated processes in the high temperature regime.
- Published
- 1999
- Full Text
- View/download PDF
7. Ear, nose and throat techniques in endoluminal surgery
- Author
-
W. Steiner and M. Jäckel
- Subjects
Laser surgery ,medicine.medical_specialty ,Endoluminal surgery ,Ear nose and throat ,business.industry ,medicine.medical_treatment ,General surgery ,Functional endoscopic sinus surgery ,3. Good health ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Upper aerodigestive tract ,Otorhinolaryngology ,030220 oncology & carcinogenesis ,Throat ,otorhinolaryngologic diseases ,medicine ,030223 otorhinolaryngology ,business ,Nose - Abstract
SummaryOtorhinolaryngologists have traditionally dealt with the development of therapeutic procedures that can be applied through the natural openings of the body. As such approaches require special surgical instruments and optical aids, feasibility and success of endoluminal therapy were closely connected with progress in medical technology. This paper assesses the current status of ear, nose and throat (ENT) techniques in endoluminal surgery with special regard to the historical development of this field.
- Published
- 1998
- Full Text
- View/download PDF
8. Verlaufsvarianten der A. carotis interna als Differentialdiagnose parapharyngealer Raumforderungen
- Author
-
M. Jäckel
- Subjects
Gynecology ,medicine.medical_specialty ,Otorhinolaryngology ,X ray computed ,Arterial disease ,business.industry ,Carotid arteries ,Diagnostico diferencial ,medicine ,Head and neck surgery ,business ,Digital angiography - Abstract
Verlaufsvarianten der A. carotis interna werden im Schrifttum mit einer Haufigkeit von 15–40% angegeben. Hauptursache sind dabei degenerative Veranderungen, die zu einer Verlangerung, Schlangelung und Abknickung des Gefases fuhren konnen. Daneben gibt es die selteneren sigmoiden Schleifenbildungen, die als angeborene Anomalie aufzufassen sind. Berichtet wird uber zwei Patienten, bei denen eine derartige Gefasschleife zu einer Vorwolbung der Pharynxwand verbunden mit leichten Schluckbeschwerden gefuhrt hat. Die Moglichkeit einer diagnostischen Fehleinschatzung wird dabei eindrucksvoll belegt. Die Genese sowie die klinische Bedeutung derartiger Gefasschleifen werden anschliesend ausfuhrlich diskutiert.
- Published
- 1997
- Full Text
- View/download PDF
9. Thermal properties of polymer/particle composites at low temperatures
- Author
-
M. Jäckel
- Subjects
Thermal contact conductance ,Thermal conductivity measurement ,Materials science ,Thermal conductivity ,General Physics and Astronomy ,Interfacial thermal resistance ,General Materials Science ,Composite material ,Thermal analysis ,Thermal diffusivity ,Thermal conduction ,Thermal effusivity - Abstract
With different models, the thermal conductivity of composite materials is calculated on the basis of the thermal conductivity of the matrix and filler, of the volume fraction and shape of the fillers and with consideration of the thermal boundary resistance in the temperature range below 20 K. Measurements of the thermal conductivity and specific heat of epoxy resins with different fillers (needle-shape Ag, HTSC powders) in the temperature range 2–80 K are presented. Comparison of the measured and calculated thermal conductivity of these composites shows that above 20 K, the thermal conductivity is determined to a high degree, by the shape of the fillers.
- Published
- 1995
- Full Text
- View/download PDF
10. Investigations into sorption kinetics of porous solids at low temperatures and under vacuum conditions
- Author
-
M Jäckel and F Fietzke
- Subjects
Hydrogen ,Chemistry ,Thermal desorption spectroscopy ,chemistry.chemical_element ,Thermodynamics ,Sorption ,Condensed Matter Physics ,Molecular sieve ,Surfaces, Coatings and Films ,Neon ,Adsorption ,Physics::Atomic and Molecular Clusters ,medicine ,Spectroscopy ,Instrumentation ,Activated carbon ,medicine.drug ,Nuclear chemistry - Abstract
Sorption dynamics of helium, neon and hydrogen on a carbon molecular sieve and activated charcoal were investigated by Temperature Programmed Desorption (TPD) spectroscopy between 10 and 100 K. Results show that energy distribution of the adsorption sites can be interpreted as a Gaussian one to a good approximation. Central values of these energy distributions for the different solid-gas-combinations are between 25 and 100 meV and well coincide with data in literature obtained by other methods.
- Published
- 1993
- Full Text
- View/download PDF
11. Eine Apparatur zur Desorptionsspektroskopie an porösen Festkörpern bei tiefen Temperaturen
- Author
-
M. Jäckel and F. Fietzke
- Subjects
Materials science ,Computer control ,Analytical chemistry ,Porous solids ,Condensed Matter Physics ,Surfaces, Coatings and Films - Abstract
A newly developed apparatus for Temperature Programmed Desorption spectroscopy (TPD) in the temperature range between 10 and 100 K is presented. It is provided for the investigation of porous solids especially for use in vacuum engineering, for instance activated charcoal and zeolithe. Favoured working regime is a linear temperature schedule with some parts of a Kelvin per minute, but all other schedules and a variation of the heating rate over the factor 10 are also available. The whole measuring process takes place automatically and under computer control – so a simultaneous registration of a large number of measured gases is possible. Es wird eine neuentwickelte Apparatur zur Thermischen Desorptionsspektroskopie (TDS) im Temperaturbereich zwischen 10 und 100 K vorgestellt. Sie ist zur Untersuchung poroser Festkorper, speziell fur vakuumtechnische Anwendungen, wie etwa Aktivkohle und Zeolithe, vorgesehen. Bevorzugter Arbeitsbetrieb ist ein lineares Aufheizen mit einigen Zehntelkelvin pro Minute, jedoch sind beliebige Aufheizprofile und eine um den Faktor 10 veranderliche Aufheizgeschwindigkeit realisierbar. Der gesamte Mesprozes erfolgt automatisch und unter Computer-Kontrolle, so das die simultane Registrierung einer grosen Anzahl von Testgasen moglich ist.
- Published
- 1993
- Full Text
- View/download PDF
12. Some Peculiarities in Thermal and Relaxation Properties of Polymers and Related Materials at Low Temperatures
- Author
-
W. Scheibner and M. Jäckel
- Subjects
chemistry.chemical_classification ,Specific heat ,Thermodynamics ,Polymer ,Dielectric ,Atmospheric temperature range ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,Thermal conductivity ,chemistry ,Thermal ,Physical chemistry ,Relaxation (physics) ,Anisotropy - Abstract
The thermal conductivity and the specific heat of several polymers and related materials are found to be not smooth functions in the temperature range between 30 and 50 K. A low-temperature anomaly is observed. In the same temperature range, the mechanical and dielectric relaxation spectra of many polymers exhibit a cryogenic relaxation. It is suggested that both the cryogenic relaxation process and the anomaly of the thermal properties near 50 K are independent of the detailed chemical composition of the material and arise from the anisotropy of bonding forces in chain-like or network-like structures. Im Temperaturbereich zwischen 30 und 50 K zeigen verschiedene Polymere und verwandte Materialien in der Warmeleitfahigkeit und in der spezifischen Warmekapazitat keinen glatten Verlauf. Im gleichen Temperaturbereich tritt bei vielen Polymeren in den mechanischen und dielektrischen Verlustspektren eine Tieftemperaturrelaxation auf. Wir nehmen an, das beides, der Tieftemperaturrelaxationsprozes und die Anomalie in den thermischen Eigenschaften nahe 50 K, nicht von der konkreten chemischen Zusammensetzung der Materialien abhangen, sondern ihre Ursache in der Anisotropie der Bindungskrafte in den ketten- oder netzwerkartigen Strukturen liegt.
- Published
- 1992
- Full Text
- View/download PDF
13. Boundary layer induced modification of thermal and mechanical properties of epoxy resin composites
- Author
-
M. Jäckel and W. Scheibner
- Subjects
chemistry.chemical_classification ,Materials science ,Composite number ,General Physics and Astronomy ,Polymer ,Epoxy ,Boundary layer ,Thermal conductivity ,chemistry ,visual_art ,Thermal ,visual_art.visual_art_medium ,Particle ,General Materials Science ,Composite material ,Glass transition - Abstract
When predicting and altering the properties of composites, one has to consider not only the peculiarities of the components themselves but also the boundary layer between the filler and the polymer matrix. The aim of this paper is to study the influence of the boundary layer on the low temperature thermal conductivity and specific heat of an epoxy resin/particle composite. Measurements of the glass transition temperature and the hardness are interpreted, as obtained from the filler surface, and electron micrographs of the boundary layer are presented.
- Published
- 1991
- Full Text
- View/download PDF
14. Low-temperature thermal conductivity of diolmodified epoxies
- Author
-
Karl-Friedrich Arndt, Angel Licea-Claverie, M. Jäckel, and Michael Müller
- Subjects
inorganic chemicals ,Bisphenol A ,Diglycidyl ether ,Polymers and Plastics ,organic chemicals ,Diol ,Analytical chemistry ,General Chemistry ,Epoxy ,Atmospheric temperature range ,Condensed Matter Physics ,Catalysis ,chemistry.chemical_compound ,Thermal conductivity ,chemistry ,visual_art ,Polymer chemistry ,polycyclic compounds ,Materials Chemistry ,visual_art.visual_art_medium ,heterocyclic compounds ,Magnesium perchlorate ,hormones, hormone substitutes, and hormone antagonists - Abstract
The thermal conductivity at low temperatures (between 0.5 K and 100 K) was measured for diolmodified epoxies. Diglycidyl ether of bisphenol A (DGEBA) was modified for this purpose by aliphatic diols with the structure HO-(-CH2-)n-OH in the presence of catalyst (either N,N-dimethyl benzylamine or magnesium perchlorate). Sample series with diols of n=4,8 and 12 were synthesized and measured. The results at T
- Published
- 1990
- Full Text
- View/download PDF
15. Der myofasziale Platysmalappen zur Rekonstruktion transmuraler Pharynxdefekte nach lasermikrochirurgischer Tumorresektion
- Author
-
M. Jäckel, R. Reck, and M. Reichenbach
- Published
- 2005
- Full Text
- View/download PDF
16. Low-temperature thermal conductivity of vitreous silica under high pressure
- Author
-
M. Jäckel, K. Wagner, and E. Hegenbarth
- Subjects
Thermal conductivity ,Materials science ,High pressure ,Hydrostatic pressure ,Analytical chemistry ,Electrical and Electronic Engineering ,Condensed Matter Physics ,Plateau (mathematics) ,Electronic, Optical and Magnetic Materials - Abstract
The thermal conductivity of vitreous silica “Suprasil W2” was measured under high hydrostatic pressure (p ⩽1.5 GPa) and at low temperature (4.5 ⩽ T ⩽ 300 K). The investigations show a strong influence of the pressure on the thermal conductivity. The influence of pressure on thermal conductivity of “Suprasil W2” is most pronounced in the plateau region and is not detectable for temperatures above 80 K.
- Published
- 1996
- Full Text
- View/download PDF
17. Thermal conductivity of modified epoxy resins with different cross-link densities at low temperatures
- Author
-
M. Jäckel, K. F. Arndt, Michael Müller, and A. Licea Claverie
- Subjects
Thermal conductivity ,Materials science ,visual_art ,Cross-link ,visual_art.visual_art_medium ,General Physics and Astronomy ,General Materials Science ,Epoxy ,Composite material - Abstract
The thermal conductivity of modified epoxy resins was investigated from 0.5 to 80 K. Two series of samples with different cross-link densities were used. The results are discussed.
- Published
- 1991
- Full Text
- View/download PDF
18. Determination of the superconducting gap of LuNi2B2C
- Author
-
J. Wosnitza, Andrea Bianchi, P. C. Canfield, O. Ignatchik, J.A.A.J. Perenboom, M. Jäckel, and B. Bergk
- Subjects
Superconductivity ,Superconducting energy gap ,Physics ,Condensed matter physics ,Field (physics) ,Energy Engineering and Power Technology ,Electronic structure ,Condensed Matter Physics ,De Haas–van Alphen effect ,Electronic, Optical and Magnetic Materials ,Field orientation ,Nickel compounds ,Condensed Matter::Superconductivity ,Electrical and Electronic Engineering ,Critical field - Abstract
We present de Haas–van Alphen (dHvA) measurements of the nonmagnetic borocarbide LuNi 2 B 2 C. In the superconducting state below the upper critical field, B c2 , the dHvA signal shows an additional damping. For some field orientations we observe a very strong damping close to B c2 and only a very weak effect at lower fields in the superconducting state. We discuss the origin of the different dampings and their relation to the superconducting gap.
- Published
- 2007
- Full Text
- View/download PDF
19. [Comparative study for assessing quality of life of patients with exogenous sleep disorders (temporary sleep onset and sleep interruption disorders) treated with a hops-valarian preparation and a benzodiazepine drug]
- Author
-
M, Schmitz and M, Jäckel
- Subjects
Adult ,Male ,Plant Extracts ,Middle Aged ,Neuropsychological Tests ,Anti-Anxiety Agents ,Double-Blind Method ,Valerian ,Sleep Initiation and Maintenance Disorders ,Quality of Life ,Humans ,Hypnotics and Sedatives ,Attention ,Female ,Arousal ,Humulus ,Bromazepam ,Aged - Abstract
This randomized, double-blind, controlled clinical trial in parallel group design demonstrated equivalent efficacy and tolerability of a hop-valerian preparation compared with a benzodiazepine preparation in patients suffering from sleep disorders according to DSM-IV criteria. Sleep quality, fitness and quality of life were determined by psychometric tests, psychopathologic scales and sleep-questionnaires at the beginning of the therapy, end of therapy (duration 2 weeks) and then 1 week after cessation of therapy. Patients' state of health (4-point scale) and medication tolerability (occurrence of adverse events) were documented. Using the following as parameters "Alphabetischer Durchstreichtest, Feinmotoriktest, Befindlichkeitsskala, Beschwerdeliste, Schlaffragebögen A and B" the differences between beginning and the end of the therapy were analyzed by simultaneous testing of the equality or superiority of the test preparation. The equivalence of both therapies according to sleep quality, fitness and quality of life was proven by a Mann-Whitney-Statistic of 0.50 with a lower boundary of the 95% confidence interval of 0.46. The patients' state of health improved during therapy while showing a deterioration after cessation with both preparations. Withdrawal symptoms, however, were documented with benzodiazepine. Only one adverse drug reaction was reported during this study, namely stomach complaints from both the test and reference medication. This study shows that the investigated hop-valerian preparation in the appropriate dose is a sensible alternative to benzodiazepine for the treatment of nonchronic and non-psychiatric sleep disorders.
- Published
- 1998
20. [Anatomic variants of the internal carotid artery as differential parapharyngeal space-occupying lesions diagnosis]
- Author
-
M, Jäckel
- Subjects
Diagnosis, Differential ,Male ,Angiography ,Humans ,Female ,Pharyngeal Neoplasms ,Tomography, X-Ray Computed ,Carotid Artery, Internal ,Aged - Abstract
Variations of the clinical course of the internal carotid artery are reported with an incidence of 15-40% in the literature. They mainly arise from degenerative lesions leading to elongation, slight coiling, and kinking of the vessel. Besides that, a sigmoid tortuosity represents an occasional congenital anomaly. This article reports two cases of tortuosity of the internal carotid artery which resulted in impressions of the pharyngeal wall and minor globus syndromes. The possibility of false diagnoses is demonstrated. The etiology and clinical significance of these variations are discussed in detail.
- Published
- 1998
21. Low-Temperature Thermal, Dielectric, and Acoustic Properties of Amorphous Polymers
- Author
-
B. Kluge, U. Escher, G. Köbernik, A. Gladun, Th. Eggert, F. v. Schoenebeck, and M. Jäckel
- Subjects
Materials science ,Analytical chemistry ,Activation energy ,Dielectric ,Thermal expansion ,Amorphous solid ,chemistry.chemical_compound ,Thermal conductivity ,chemistry ,visual_art ,visual_art.visual_art_medium ,Dielectric loss ,Polystyrene ,Polycarbonate - Abstract
The thermal conductivity λ, the specific heat c, the thermal expansion α, the acoustic and dielectric properties of polycarbonate (PC), of polystyrene (PS) and of an epoxy resin were measured in the temperature ranges between 0.1 K and 80 K (λ c) and between 4 K and 300 K (α). The measurements show the typical low-temperature behavior of amorphous solids. Below 20 K the results can be explained in the framework of the soft potential model. Above 20 K with increasing temperature λ, and α show between 30 K and 50 K a distinct decrease in slope of the temperature dependence. The sound velocity shows for PC and PS the typical decrease with increasing temperature. For PC the maximum in the dielectric losses shifts with increasing frequency and at increasing pressure to higher temperature.
- Published
- 1998
- Full Text
- View/download PDF
22. Eine neue Perfusionstechnik für nichtinvasive metabolische Studien an Zellkulturen mittels Magnetresonanzspektroskopie
- Author
-
F. Baumgart, H. Hensel, R. Tausch-Treml, D. Ziessow, P. Köpf-Maier, and M. Jäckel
- Abstract
Die Magnetresonanzspektroskopie erlaubt nichtinvasive Untersuchungen von Zellkulturen, die im Gegensatz zur aufwendigen HPLC die Analyse von Kinetiken bestimmter Metabolite in einem Experiment zulast. In der vorgestellten Arbeit haben wir ein Perfusionsverfahren entwickelt, das es ermoglicht, Zellen uber langere Zeitraume (bis zu 1 Woche) unter Verwendung von Matrigel mit Nahrstoffen zu versorgen und diese magnetresonanzspektroskopisch zu untersuchen. Dieses Verfahren wurde von uns bereits fur die Analyse des Stoffwechsels von 5-Fluoruracil (5-FU) an verschiedenen Plattenepithelkarzinomzellinien des Kopf-Hals-Bereichs eingesetzt. Dabei konnte die Kinetik des Entstehens der zytotoxischen Fluornukleotide und des Phosphorstoffwechsel der Zellen in einem Experiment beobachtet werden. Erstmals konnte nachgewiesen werden, das einige Zelllinien mehr als 50% des Fluornukleotids Fluoruridintriphosphat in weniger toxische FUDP-Zucker-Verbindungen umwandeln. Uber die Implikationen dieser Ergebnisse fur die Therapie mit 5-FU wurde berichtet.
- Published
- 1994
- Full Text
- View/download PDF
23. Thermal and Dielectric Properties of Epoxy Resin at Low Temperatures after Irradiation and H2 Permeation of Fibre Composites at Room Temperature
- Author
-
Uwe Leucke, Fred Fietzke, Ernst Hegenbarth, M. Jäckel, and Karin Jahn
- Subjects
Thermal conductivity ,Materials science ,visual_art ,Thermal ,technology, industry, and agriculture ,Electron beam processing ,visual_art.visual_art_medium ,Irradiation ,Dielectric ,Epoxy ,Permeation ,Composite material ,Amorphous solid - Abstract
Measurements of thermal conductivity, specific heat, and dielectric properties of an epoxy resin after electron, gamma, fast-neutron, and thermal-neutron irradiation are presented. The experimental results show the influence of the different types of radiation on the typical amorphous behaviour of the thermal properties. The H2-permeation rate for two types of carbon-fibre-reinforced plastics are presented.
- Published
- 1994
- Full Text
- View/download PDF
24. Zellzyklusgesteuerte Applikation von rekombinantem Tumornekrosefaktor in vivo
- Author
-
H. Scherer, R. Tausch-Treml, M. Jäckel, and P. Köpf-Maier
- Abstract
Die systemische Applikation von rekombinantem Tumornekrosefaktor (rTNF) als Einzeltherapeutikum hat im Rahmen klinischer Studien bislang nur geringfugige antineoplastische Effekte gezeigt. Ahnlich enttauschende Resultate wurden bei der Behandlung menschlicher Hals-Kopftumoren erzielt, die auf der Nacktmaus als sogenannte Heterotransplantate etabliert waren.
- Published
- 1994
- Full Text
- View/download PDF
25. Korrelation zellkinetischer und zytostatischer Effekt von Cisplatin in menschlichen Kopf-Hals-Tumoren in vitro
- Author
-
P. Köpf-Maier, R. Tausch-Treml, and M. Jäckel
- Abstract
Patienten mit fortgeschrittenen Kopf-Hals-Tumoren werden derzeit mehr oder weniger ungezielt mit Platinkomplexen chemotherapiert, wobei man sich an weitgehend festen Behandlungsschemata orientiert. Da die Tumoren jedoch sehr unterschiedlich auf eine derartige Behandlung ansprechen, waren Aussagen uber den voraussichtlichen Therapieerfolg von groser Bedeutung. In den letzten Jahren konnte an heterotransplantierter menschlichen Kopf-Hals-Tumoren in vivo eine enge Korrelation zwischen dem therapeutischen Ansprechen und den Zellzyklusveranderungen nach Gabe von Cisplatin nachgewiesen werden (Cancer Chemother Pharmacol 27:464–471, 1991). Es stellte sich heraus, das in sensiblen Tumoren kurz nach Behandlung Zellansammlungen in der S-Phase auftraten, die stets von einer nachhaltigen antineoplastischen Wirkung gefolgt waren. Resistente Tumoren zeigten derartige Veranderungen dagegen nicht. In der vorliegenden Arbeit sollte untersucht werden, inwieweit diese Korrelation fur Cisplatin auch in vitro Gultigkeit besitzt.
- Published
- 1994
- Full Text
- View/download PDF
26. Onkologie I: Klinik
- Author
-
H. Heinritz, M. Schröder, R. P. Baum, Chr. Reißer, P. Waldecker-Herrmann, H. Steinhart, M. Heide, Th. Harder, P. Schenk, H. Glanz, W.-D. Meyer, Ch. Motsch, P. Kwok, A. Hertel, P. Volling, P. Fritz, B. M. Lippert, P. Köpf-Maier, H. Maier, R. Tausch-Treml, U. Haberkorn, J. Strutz, N. Nitsche, H. Schicha, J. Feyh, M. Jäckel, W. J. Issing, M. Herter, Ch. Willgeroth, B. Gewiese, H. Iro, H. Rudert, I. Haas, K. Smolarz, M. Kautzky, J. Kiefer, D. Eßer, M. Zech, L. G. Strauss, H. E. Eckel, R. Hauser, M. Scheel, J. A. Werner, W. J. Heppt, O. Kleinsasser, K. Hoffmann, M. Axhausen, M. Jungehülsing, E. Stennert, H. Bier, R. Knecht, F. Baumgart, and Ch. Popella
- Abstract
Die klinische Klassifikation von Larynxkarzinomen nach den Kriterien des TNM-Systems der UICC bringt bekanntermasen immer wieder Probleme bei der genauen Einschatzung der Tumorgrose mit sich. Durch ungenaue klinische, subjektive Angaben und durch die Gleichsetzung von klinischen und pathohistologischen Kategorien werden die Tumorgrenzen nur unzureichend definiert. Durch die mangelnde Separierung der Stadien sind prognostische Aussagen nur bedingt moglich.
- Published
- 1993
- Full Text
- View/download PDF
27. [Housing for the elderly--results of an empirical study]
- Author
-
M, Jäckel
- Subjects
Aged, 80 and over ,Residence Characteristics ,Germany ,Activities of Daily Living ,Quality of Life ,Homes for the Aged ,Humans ,Personal Satisfaction ,Middle Aged ,Social Environment ,Aged - Abstract
This empirical study is based on 285 standardized interviews with older people living in government-subsidized housing (sozialer Wohnungsbau). Housing conditions, especially contentment and perceived deficiencies are described. Additional remarks refer to the neighborhood relations. The high contentment, already known from former studies, is confirmed by the results. The findings indicate that steps towards an adaptation of housing conditions to possible needs of older people are not ranked very high. Beyond that, there seems to be a lack of information about the technical possibilities of improving the housing conditions, although older people want to live as long as possible in their current housing.
- Published
- 1992
28. The influence of pressure-dependent variation of the elastic constants on tunnelling systems in amorphous solids
- Author
-
Th. Eggert, M. Jäckel, and R. Geilenkeuser
- Subjects
Materials science ,Hydrostatic pressure ,Thermodynamics ,Pressure dependent ,Dielectric ,Condensed Matter Physics ,Electronic, Optical and Magnetic Materials ,Amorphous solid ,chemistry.chemical_compound ,Thermal conductivity ,chemistry ,visual_art ,visual_art.visual_art_medium ,Polystyrene ,Electrical and Electronic Engineering ,Polycarbonate ,Quantum tunnelling - Abstract
We have measured the dielectric response e(ω) and the thermal conductivity κ of polystyrene (PS) and of polycarbonate (PC) under high hydrostatic pressure (0.1 MPa MPa ) and at low temperatures ( 50 mK K ). The investigations show a pressure influence on the minimum temperature of Δe′/e′ and on κ. With the pressure dependence of the density and sound velocity of PC and PS the influence of pressure on the tunnelling constant Ci can be determined. These results show that the product P γ l,t 2 of the standard tunnelling model (STM) scales with the pressure-dependent elastic constants c11 and c44.
- Published
- 2000
- Full Text
- View/download PDF
29. Crystal structure of bis[aqua-μ-(2R,3R)-tartratocobalt(II)] trihydrate, [{CO(C4H4O6)(H2O)}2] 3H2O
- Author
-
R. Wicharz, R. Wartchow, and M. Jäckel
- Subjects
Inorganic Chemistry ,Dewey Decimal Classification::500 | Naturwissenschaften::540 | Chemie ,Crystallography ,QD901-999 ,ddc:540 ,General Materials Science ,Condensed Matter Physics - Abstract
[no abstract]
- Published
- 1997
30. Low-temperature thermal properties of amorphous polycarbonat
- Author
-
F. v. Schoenebeck, M. Jäckel, U. Escher, and A. Gladun
- Subjects
Thermal transmittance ,Materials science ,Thermal conductivity ,Thermal ,General Physics and Astronomy ,Thermodynamics ,Thermal diffusivity ,Anisotropy ,Thermal conduction ,Thermal expansion ,Amorphous solid - Abstract
The thermal conductivity λ, the specific heat c and the thermal expansion α of isotropic Polycarbonat (PC) and of PC after stretching were measured in the temperature ranges between 0.1 K and 80 K (λ, c) and between 4 K and 300 K (α). The measurements show the typical low-temperature behavior of amorphous solids. Below 20 K the results can be explained in the framework of the soft potential model. Above 20 K with increasing temperature the thermal conductivity and the thermal expansion show between 30 K and 50 K a distinct decrease in slope of the temperature dependence. PC, stretched at 438 K with a load of 2 kN, shows a high anisotropy in these two thermal properties.
- Published
- 1996
- Full Text
- View/download PDF
31. Low-temperature thermal conductivity of amorphous Polycarbonat under high pressure
- Author
-
M. Jäckel, Frank Weise, and Rolf Geilenkeuser
- Subjects
Thermal conductivity ,Materials science ,High pressure ,visual_art ,Hydrostatic pressure ,Analytical chemistry ,visual_art.visual_art_medium ,General Physics and Astronomy ,Epoxy ,Atmospheric temperature range ,Pressure dependence ,Plateau (mathematics) ,Amorphous solid - Abstract
We measured the thermal conductivity λ of Polycarbonat (PC) in the temperature range from 3 K to 150 K under application of hydrostatic pressure up to 1.3 GPa. A strong influence of pressure on λ was observed over the entire temperature range. An additional measurement of the pressure dependence of density showed that the density of PC increases appreciably with pressure. The thermal conductivity data were thus corrected considering the changes of density. The corrected data show an increase of λ with pressure only in the plateau region of thermal conductivity. Similar results were measured for vitreous silica [1] and epoxy resin [2], where the data of vitreous silica show an opposite behaviour of λ with increasing pressure.
- Published
- 1996
- Full Text
- View/download PDF
32. Thermal conductivity and specific heat of an epoxy resin/epoxy resin composite material at low temperatures
- Author
-
W. Scheibner and M. Jäckel
- Subjects
chemistry.chemical_classification ,Materials science ,Epoxy ,Polymer ,Bending ,Atmospheric temperature range ,Condensed Matter Physics ,Plateau (mathematics) ,Electronic, Optical and Magnetic Materials ,Amorphous solid ,Thermal conductivity ,chemistry ,visual_art ,visual_art.visual_art_medium ,Composite material ,Anisotropy - Abstract
The thermal conductivity and the specific heat of pure and filled epoxy resins are measured in the temperature range between 2 and 80 K. In order to study the low-temperature thermal conductivity of the filled samples without any acoustic mismatch a filler completely identical with the matrix material is used. The characteristic plateau of the thermal conductivity of amorphous solids between 5 and 15 K is extented to elevated temperatures with growing filler content. A second plateau of the thermal conductivity between 30 and 50 K is observed. It is suggested that the second plateau arises from a mechanism which is due to the anisotropic bending forces in polymers and related materials.
- Published
- 1985
- Full Text
- View/download PDF
33. Wärmeleitfähigkeit gefüllter polyethylene bei tiefen temperaturen
- Author
-
M. Jäckel, W. Scheibner, and M. Socher
- Subjects
chemistry.chemical_compound ,Materials science ,Calcium carbonate ,Polymers and Plastics ,Chemical engineering ,chemistry ,General Chemical Engineering - Abstract
Mesergebnisse der Warmeleitfahigkeit von reinem und kreidegefulltem Polyethylen hoher Dichte zwischen 2 und 20 K werden vorgestellt. Die Abweichungen zwischen gemessenen und aus Mischungsformeln berechneten Warmeleitfahigkeiten sind auf Aggregatbildung von Fullstoffpartikeln zuruckzufuhren. Ausgehend davon wird vorgeschlagen, Warmeleitfahigkeitsmessungen bei tiefen Temperaturen zur quantitativen Bestimmung der Aggregatbildung in gefullten Polymeren zu benutzen.
- Published
- 1985
- Full Text
- View/download PDF
34. [Untitled]
- Author
-
W. Scheibner, D. Jehnichen, K. Jahn, and M. Jäckel
- Subjects
business.product_category ,Polymers and Plastics ,Phonon ,Chemistry ,Mean free path ,General Chemical Engineering ,Analytical chemistry ,Thermodynamics ,Atmospheric temperature range ,Amorphous solid ,Thermal conductivity ,visual_art ,visual_art.visual_art_medium ,Die (manufacturing) ,Polycarbonate ,Glass transition ,business - Abstract
The thermal condcutivity and specific heat of amorphous, non-oriented polycarbonate were measured in the temperature range between 2 and 80 K. The temperature dependence of the thermal conductivity below 20 K indicates the presence of heterogeneities. The specific surface of these heterogeneities is estimated from the phonon mean free path length. The heterogeneous structure is preserved when the material is heated above the glass transition temperature. Die Warmeleitfahigkeit und die spezifische Warmekapazitat von amorphem, nichtorientiertenl Polycarbonat wurden bei Temperaturen zwiscken 2 und 80 K gemessen. Die Temperaturabhangigkeit der Warmeleitfahigkeit unterhalb von 20 K zeigt das Vorhandensein von Heterogenitaten an, deren spezifische Oberflache aus der mittleren freien Weglange der Phononen abgeschatzt wird. Die heterogene Struktur bleibt nach Erwarmen des Materials aber die Glasabergangstemperatur erhalten.
- Published
- 1986
- Full Text
- View/download PDF
35. Thermal conductivity and dielectric properties at low temperatures of an epoxy-resin after electron-irradiation
- Author
-
M. Jäckel, W. Meyer, and K. Jahn
- Subjects
Materials science ,Thermal conductivity ,visual_art ,visual_art.visual_art_medium ,Electron beam processing ,General Physics and Astronomy ,General Materials Science ,Dielectric ,Epoxy ,Radiation ,Composite material ,Thermal conduction - Abstract
Measurements of the thermal conductivity and of the dielectric properties of an electronirradiated epoxy-resin are presented. The experimental results for varying radiation doses of structural investigations of electron-irradiated epoxy-resin 1 are discussed.
- Published
- 1983
- Full Text
- View/download PDF
36. Adsorption of hydrogen, neon, and helium on 5A molecular sieve at 20.4 K and 4.2 K in the low pressure range
- Author
-
M. Jäckel, L. Bewilogua, and A. Binneberg
- Subjects
Pressure range ,Neon ,Materials science ,Adsorption ,Hydrogen ,chemistry ,Analytical chemistry ,General Physics and Astronomy ,chemistry.chemical_element ,General Materials Science ,Molecular sieve ,Helium - Abstract
The quality of the heat contact existing between adsorbent and cooled surface has a decisive influence on pumping speed. By gluing the adsorbent onto the surface by means of a water glass-talcum mixture, the pumping speed, as compared to that of the loose layers, could be increased by a factor of about 200. The pumping speed is not considerably reduced when several load cycles are made with the adsorbent being heated to room temperature only between cycles.
- Published
- 1976
- Full Text
- View/download PDF
37. Thermal conductivity and dielectric properties at low temperatures of an epoxy-resin after fast and thermal neutron-irradiation
- Author
-
K. Brunner, K. Jahn, and M. Jäckel
- Subjects
Materials science ,Astrophysics::High Energy Astrophysical Phenomena ,Nuclear Theory ,Physics::Medical Physics ,General Physics and Astronomy ,Cryogenics ,Dielectric ,Epoxy ,Neutron temperature ,Thermal conductivity ,visual_art ,visual_art.visual_art_medium ,General Materials Science ,Neutron ,Astrophysics::Earth and Planetary Astrophysics ,Irradiation ,Composite material ,Nuclear Experiment ,Nucleon - Abstract
Measurements of the thermal conductivity and of the dielectric properties of an epoxy-resin irradiated by fast and thermal neutrons are presented. The discussion of the experimental results accounts for the radiation dose and energy of neutrons.
- Published
- 1983
- Full Text
- View/download PDF
38. On the Filler Induced Modification of the Glass Transition Temperature and Hardness of an Epoxy Resin Composite Material
- Author
-
W. Scheibner, R. Häszler, M. Stephan, and M. Jäckel
- Published
- 1985
- Full Text
- View/download PDF
39. Proliferation behavior of xenografted human tumors: a flow cytometric study
- Author
-
P, Köpf-Maier and M, Jäckel
- Subjects
Male ,Lung Neoplasms ,Rectal Neoplasms ,Cell Cycle ,Transplantation, Heterologous ,Mice, Nude ,DNA, Neoplasm ,Adenocarcinoma ,Flow Cytometry ,Mice ,Sigmoid Neoplasms ,Tumor Cells, Cultured ,Animals ,Humans ,Cell Division ,Neoplasm Transplantation - Abstract
The proliferation behavior of three adenocarcinomas derived from the colon rectum, colon sigmoideum and the lung was pursued by flow cytophotometry between 0 h and 38 h after heterotransplantation to athymic mice. On principle, the same pattern of alterations was observed in the case of all three tumors, the time parameters slightly varying in dependence on growth velocity. At first, the number of intact tumor cells markedly decreased during 16-24 h after transplantation, being accompanied by an increase of cellular debris and an immigration of numerous host animal cells; the latter became the quantitatively preponderant portion of cells between days 2 and 8. On day 6, the tumor cell population began to proliferate. At first, the G1 peak rose, followed by the appearance of tumor cells in the S and (G2 + M) phases. Simulataneously, the relative portions of mouse cells and cellular debris diminished. Between days 14 and 30, when maximum rates of macroscopic growth of the heterotransplants were achieved, the cytokinetic features of the xenografts had stabilized and were characterized by the presence of a small portion of mouse cells and a prominent tumor cell population, most cells being in the G1 phase and a smaller number passing through the S and (G2 + M) phases. Beyond day 30, degeneration phenomena again occurred, which were reflected by a decay of mouse and tumor cell populations and a simultaneous increase of cell fragments. By cytokinetic means, the results of the present study reveal a multistep development of human tumors after heterotransplantation into nude mice, and confirm the importance of host-supplied cells for the removal of degenerated tumor cells and the induction of tumor cell proliferation. Moreover, the results show that a stable cytokinetic pattern is found only during the phase of macroscopic tumor growth and the following phase of steady state.
- Published
- 1988
40. [The carcinogenic action of N-ethyl-N-nitrosourea (ENU) in rabbits (author's transl)]
- Author
-
H, Güthert, E M, Jäckel, and R, Warzok
- Subjects
Lung Neoplasms ,Time Factors ,Pleural Neoplasms ,Ear ,Wilms Tumor ,Kidney Neoplasms ,Nitrosourea Compounds ,Pregnancy ,Lymphatic Metastasis ,Injections, Intravenous ,Carcinogens ,Animals ,Female ,Rabbits ,Neoplasm Metastasis ,Maternal-Fetal Exchange - Published
- 1973
41. Influence of hydrostatic pressure on the thermal properties of polymers at low temperatures
- Author
-
Frank Weise, Rolf Geilenkeuser, Jörg Opitz, and M. Jäckel
- Subjects
chemistry.chemical_classification ,Materials science ,Hydrostatic pressure ,Analytical chemistry ,General Physics and Astronomy ,Epoxy ,Polymer ,Atmospheric temperature range ,chemistry.chemical_compound ,Thermal conductivity ,chemistry ,visual_art ,Thermal ,visual_art.visual_art_medium ,General Materials Science ,Polystyrene ,Polycarbonate - Abstract
The thermal conductivity λ of polycarbonate (PC) has been measured in the temperature range 3–150 K under hydrostatic pressure up to 1.3 GPa [Geilenkeuser, R., Weise, F. and Jackel, M., Czech. J. Physics , 1996, 46, 2251 ( Proc. LT 21 , Prag, August 1996)]. A strong influence of pressure on λ has been observed over the entire temperature range. Additional measurements of the pressure dependence of the density showed that the density of PC, polystyrene (PS), epoxy resin and PTFE (Teflon) increased considerably with pressure (Jackel, M., Weise, F. and Geilenkeuser, R. In Proc. ICEC16/ICMC , Kitakyushu, May 1996, in press). At a pressure of 1.3 GPa the relative increase of the density amounts to 25%. The thermal conductivity data were corrected for the changes of density, sample geometry and sound velocity. The corrected data show an increase of λ with pressure only in the plateau region of thermal conductivity. Similar results were measured for vitreous silica (Jackel, M., Wagner, K. and Hegenbarth, E., Physica B , 1996, 219&220, 308) and epoxy resin (Grace, J.M. and Anderson, A.C., Phys. Rev. B , 1989, 40, 1901).
42. Adsorption of hydrogen by condensed carbon dioxide at 20 K
- Author
-
L. Bewilogua and M. Jäckel
- Subjects
chemistry.chemical_compound ,Adsorption ,Materials science ,chemistry ,Hydrogen ,Chemical engineering ,Carbon dioxide ,General Physics and Astronomy ,chemistry.chemical_element ,General Materials Science ,Nanotechnology ,Specific adsorption ,Layer (electronics) - Abstract
The specific adsorption capacity is independent of the thickness up to layer thicknesses of 15 μm, and for thicker layers it decreases. At a given specific load the highest pumping speed is obtained with the thinnest layers. With increasing pressure pumping speed rises at equal absolute load, whereas with equal percentage load a drop is observed. It is possible to regenerate the adsorbent by condensing new layers of carbon dioxide on the charged ones.
- Published
- 1974
- Full Text
- View/download PDF
43. Numerical simulation of thermal supported self-pierce riveting of an ultra high-strength aluminium alloy.
- Author
-
M Jäckel, S Maul, C Kraus, and W-G Drossel
- Published
- 2018
- Full Text
- View/download PDF
44. Early Albumin Administration in Veno-Arterial Extracorporeal Membrane Oxygenation.
- Author
-
Wengenmayer T, Hirth ML, Jäckel M, Bemtgen X, Kaier K, Biever PM, Supady A, Maulhardt T, Westermann D, Staudacher DL, and Rilinger J
- Abstract
Background: The clinical outcome and fluid balance of patients with veno-arterial extracorporeal membrane oxygenation (VA ECMO) or after extracorporeal cardiopulmonary resuscitation (eCPR) may be improved by addressing the high fluid demand with an early albumin administration., Methods: In this prospective observational study, patients supported with VA ECMO or eCPR received early albumin administration (25 g/L) to prime the VA ECMO system. These patients were compared to patients who received a regimen based solely on balanced crystalloids (crystalloid group) or a regimen based on a 1:4 volume mixture of albumin (10 g/L) and balanced crystalloids (albumin group)., Results: 660 VA ECMO patients (66.4% eCPR) treated between January 2017 and June 2021 were analyzed, whereby 265 patients received crystalloid fluid therapy, 269 patients received albumin therapy, and 126 patients received early albumin therapy. When compared to the albumin and crystalloid groups, patients in the early albumin treatment group had significantly lower cumulative fluid balances (p < 0.05). However, this effect was only observed in the group of eCPR patients and not in patients with cardiogenic shock. Logistic regression revealed albumin administration as an independent predictor of increased survival (Odds ratio 1.66 (1.11-2.47) [95%-CI], p = 0.013). Yet, only eCPR patients showed a survival benefit from albumin administration compared to the crystalloid group (survival of 29.4% vs. 18.8%, p = 0.024)., Conclusion: Early albumin administration in eCPR patients was linked to a significant decline in fluid balance. Moreover, volume therapy with albumin application was an independent predictor for improved survival in eCPR patients., (© 2024 The Author(s). Artificial Organs published by International Center for Artificial Organ and Transplantation (ICAOT) and Wiley Periodicals LLC.)
- Published
- 2024
- Full Text
- View/download PDF
45. Minimizing Long-Term Toxicities for Patients with Primary Mediastinal B-Cell Lymphoma Undergoing Modern Radiotherapy: Results from a Monocentric Biophysical Risk Evaluation.
- Author
-
Baehr A, Schäfer S, Jäckel M, Becker SA, Ghandili S, Grohmann M, Eich HT, and Oertel M
- Abstract
Introduction: Primary mediastinal B-cell lymphoma (PMBCL) is a rare form of aggressive B-cell lymphoma with a predominant onset in young patients. The minimization of potential (late) side effects is of cardinal interest for these patients. An anticipation of the individual risk profile is desirable to counsel the patient on the putative impact of radiotherapy (RT). Methods: RT plans for a cohort of 25 patients with PMBCL were prospectively designed. One plan with two parallel- opposing fields (APPA) and another with volume-modulated arc therapy (VMAT) technique with 40 Gy in 2 Gy fractions each. Normal The normal tissue complication probability (NTCP) was calculated using the Lyman--Kutcher--Burman model for heart, lung and oesophageal toxicity. Results: APPA planning resulted in lower median doses (Dmedian) for the heart and lungs, whereas all other dose metrics for heart, lungs and esophagus were lower in VMAT planning. A significant difference in the mean NTCPs when comparing the APPA to VMAT plans was seen for increased cardiac mortality, pneumonitis and esophagitis. PTV size correlated with increased cardiac mortality and esophagitis in both plan variations and with pneumonitis for VMAT plans. Dmean, Dmedian, and V20Gy correlated with the risk for pneumonitis, and Dmean, Dmedian, and V1% with the risk for esophagitis in both variants. Conclusions: We showed decreased risk of different NTCPs for VMAT and APPA planning for thoracic toxicities. The use of an IMRT technique like VMAT showed advantages for several DVH metrics in organs at risk and should therefore be recommended for radiation treatment of PMBCL.
- Published
- 2024
- Full Text
- View/download PDF
46. Impact of sedation depth on neurological outcome in post-cardiac arrest patients - A retrospective cohort study.
- Author
-
Staudacher DL, Heine L, Rilinger J, Maier A, Rottmann FA, Zotzmann V, Kaier K, Biever PM, Supady A, Westermann D, Wengenmayer T, and Jäckel M
- Subjects
- Humans, Male, Female, Retrospective Studies, Middle Aged, Aged, Registries, Out-of-Hospital Cardiac Arrest therapy, Out-of-Hospital Cardiac Arrest mortality, Heart Arrest therapy, Heart Arrest mortality, Deep Sedation methods, Intensive Care Units statistics & numerical data, Hypothermia, Induced methods, Cardiopulmonary Resuscitation methods
- Abstract
Aims: Whether targeted temperature management (TTM) might improve neurologic prognosis in patients after cardiac arrest is currently under debate. Data concerning sedation depth during TTM is rare. This study aimed to compare the impact of different sedation depths on neurological outcomes in post-cardiac arrest patients undergoing TTM., Methods: In this retrospective, before-and-after registry study, all patients receiving TTM on a medical ICU between 08/2016 and 03/2021 were included. This study evaluated the following sedation targets: RASS-target during TTM -5 until 08/2019 and RASS-target -4 since 09/2019. The primary endpoint was favorable neurological outcome at ICU discharge, defined as a Cerebral Performance Category (CPC) score of 1 or 2., Results: 403 patients were included (RASS-target -5: N = 285; RASS-target -4: N = 118). Favorable neurological outcome was documented in 54/118 (45.8 %) patients in the group with a RASS-target of -4 compared to 111/285 (38.9 %) in the group with a RASS-target of -5. After adjustment for age, sex, initial shockable rhythm, bystander CPR, duration of CPR and mean arterial pressure 12 h after CPR, favorable neurological outcome was associated with RASS-target -4 (OR 1.82 (95 % CI: 1.02-3.23); p = 0.042). ICU survival was similar in both groups while 30-day survival was associated with RASS-target -4 (OR 1.81 (1.01-3.26); p = 0.047)., Conclusion: Lighter sedation strategies during TTM after cardiac arrest might improve outcome and should be further investigated., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
47. Delirium after cardiac arrest: incidence, risk factors, and association with neurologic outcome-insights from the Freiburg Delirium Registry.
- Author
-
Staudacher DL, Heine L, Maier A, Kaier K, Heidenreich A, Rilinger J, Rottmann FA, Biever PM, Supady A, Wengenmayer T, Westermann D, and Jäckel M
- Abstract
Aim: Delirium in patients treated in the intensive care unit (ICU) is linked to adverse outcome, according to previous observations. However, data on patients recovering after cardiac arrest are sparse. The aim of this study was to assess incidence, risk factors, and outcome of patients with delirium after cardiac arrest in the Freiburg Delirium Registry (FDR)., Methods: In this retrospective registry study, all patients after cardiac arrest treated in the Freiburg University Medical Center medical ICU between 08/2016 and 03/2021 were included. Delirium was diagnosed using the Nursing Delirium screening scale (NuDesc), assessed three times daily. Favorable neurological outcome was defined as cerebral performance category (CPC) score at ICU discharge ≤ 2., Results: Two hundred seventeen patients were included and among them, delirium was detected in one hundred ninety-nine (91.7%) patients. Age was independently associated with the incidence of delirium (p = 0.003), and inversely associated with the number of delirium-free days (p < 0.001). Favorable neurological outcome was present in 145/199 (72.9%) with, and 17/18 (94.4%) patients without delirium (p = 0.048). While the incidence of delirium was not independently associated with a favorable neurologic outcome, the number of delirium-free days strongly predicted the primary endpoint [OR 2.14 (1.73-2.64), p > 0.001]., Conclusion: Delirium complicated the ICU course in almost all patients after cardiac arrest. The number of delirium-free days was associated with favorable outcome while incidence of delirium itself was not., Competing Interests: Declarations Conflict of interest Dirk Westermann received fees from Abiomebd, AstraZeneca, Bayer, BoehringerIngelheim, Berlin-Chemie, Edwards Lifescience, Medtronic, and Novartis, independent from this work. Jonathan Rilinger received speaker’s honoraria from Astrazeneca and research grants from Abbott and Philips, independent from this work. AM was funded by the Berta-Ottenstein-Program for Advanced Clinician Scientists, Faculty of Medicine, University of Freiburg. All other authors declare that they have no competing interests. Ethics approval and consent to participate This retrospective study was approved by the ethics committee of the Albert Ludwigs University of Freiburg, file number 387/19. Consent for publication Not applicable., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
48. Procedural safety of rotational atherectomy and modified balloon angioplasty: insights from a German national registry.
- Author
-
Maier A, Gissler MC, Jäckel M, Oettinger V, Bacmeister L, Heidenreich A, Rilinger J, Heger LA, Bojti I, Weber C, Wolf D, Hilgendorf I, Rahimi F, Ferenc M, Westermann D, Kaier K, and von Zur Mühlen C
- Abstract
Background: Modified balloons (MB) and rotational atherectomy (RA) are recommended tools for treatment of coronary plaques with superficial calcium. Knowledge about in-hospital safety is limited., Methods: Patients with coronary artery disease who underwent coronary angiography with RA or MB angioplasty in Germany were identified via ICD and OPS codes from 2017 to 2020. Acute coronary syndromes were excluded. Since patients were not randomized toward MB or RA, potential confounding factors were taken into account using the propensity score methods. Thereby, inverse probability weighting was applied., Results: Ten thousand.ninety-twopatients underwent RA with an increasing trend from 1817 in 2017 toward 3166 in 2020. MBs were used in 22,378 patients also with an increasing trend from 4771 in 2017 toward 6078 in 2020. Patients receiving RA were older (74.23 ± 8.68 vs. 71.86 ± 10.02, p < 0.001), had a higher Charlson Comorbidity Index (2.07 ± 1.75 vs. 1.99 ± 1.76, p = 0.001) and more frequently left main (17.96% vs. 12.91%, p < 0.001) or three vessel disease (66.25% vs. 58.10%, p < 0.001). Adjusted procedural risk of major adverse cardiac and cerebrovascular events (MACCE) was similar in both groups, while pericardial effusion (RR 2.69; 95% CI 1.88-3.86, p < 0.001), pericardial puncture/pericardiotomy/pericardial tamponade (RR 2.66; 95% CI 1.85-3.81, p < 0.001) and bleeding (RR 1.65; 95% CI 1.12-2.43, p < 0.011) occurred more frequently in patients receiving RA. Patients treated with RA at high volume centers were hospitalized shorter (p = 0.005) and had a lower rate of acute cerebrovascular events (p < 0.001). Rate of MACCE, bleeding and pericardial puncture were not influenced by the annual RA numbers per center., Conclusion: MBs had a lower risk of bleeding and pericardial puncture. Patients treated at centers with high annual RA procedure numbers had a lower risk of acute cerebrovascular events and were hospitalized shorter., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
49. Reweighting and validation of the hospital frailty risk score using electronic health records in Germany: a retrospective observational study.
- Author
-
Kaier K, Heidenreich A, Jäckel M, Oettinger V, Maier A, Hilgendorf I, Breitbart P, Hartikainen T, Keller T, Westermann D, and von Zur Mühlen C
- Subjects
- Humans, Aged, Germany epidemiology, Female, Male, Retrospective Studies, Aged, 80 and over, Risk Assessment methods, Geriatric Assessment methods, Risk Factors, Hospitalization, Frailty diagnosis, Frailty epidemiology, Frailty mortality, Electronic Health Records, Hospital Mortality trends, Frail Elderly
- Abstract
Background: In the hospital setting, frailty is a significant risk factor, but difficult to measure in clinical practice. We propose a reweighting of an existing diagnoses-based frailty score using routine data from a tertiary care teaching hospital in southern Germany., Methods: The dataset includes patient characteristics such as sex, age, primary and secondary diagnoses and in-hospital mortality. Based on this information, we recalculate the existing Hospital Frailty Risk Score. The cohort includes patients aged ≥ 75 and was divided into a development cohort (admission year 2011 to 2013, N = 30,525) and a validation cohort (2014, N = 11,202). A limited external validation is also conducted in a second validation cohort containing inpatient cases aged ≥ 75 in 2022 throughout Germany (N = 491,251). In the development cohort, LASSO regression analysis was used to select the most relevant variables and to generate a reweighted Frailty Score for the German setting. Discrimination is assessed using the area under the receiver operating characteristic curve (AUC). Visualization of calibration curves and decision curve analysis were carried out. Applicability of the reweighted Frailty Score in a non-elderly population was assessed using logistic regression models., Results: Reweighting of the Frailty Score included only 53 out of the 109 frailty-related diagnoses and resulted in substantially better discrimination than the initial weighting of the score (AUC = 0.89 vs. AUC = 0.80, p < 0.001 in the validation cohort). Calibration curves show a good agreement between score-based predictions and actual observed mortality. Additional external validation using inpatient cases aged ≥ 75 in 2022 throughout Germany (N = 491,251) confirms the results regarding discrimination and calibration and underlines the geographic and temporal validity of the reweighted Frailty Score. Decision curve analysis indicates that the clinical usefulness of the reweighted score as a general decision support tool is superior to the initial version of the score. Assessment of the applicability of the reweighted Frailty Score in a non-elderly population (N = 198,819) shows that discrimination is superior to the initial version of the score (AUC = 0.92 vs. AUC = 0.87, p < 0.001). In addition, we observe a fairly age-stable influence of the reweighted Frailty Score on in-hospital mortality, which does not differ substantially for women and men., Conclusions: Our data indicate that the reweighted Frailty Score is superior to the original Frailty Score for identification of older, frail patients at risk for in-hospital mortality. Hence, we recommend using the reweighted Frailty Score in the German in-hospital setting., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
50. Impact of high-resolution 3D-mapping with micro-electrodes on catheter ablation of Wolff-Parkinson-White syndrome.
- Author
-
Steinfurt J, Gressler A, Stuplich J, Jordan E, Jäckel M, Gjermeni D, Eichenlaub M, Bohnen M, Luik A, Jadidi A, Faber TS, Stiller B, Westermann D, Arentz T, Lehrmann H, and Fedorov D
- Abstract
Background: It is currently unknown whether high-resolution 3D-mapping and micro-electrodes add meaningful benefits in catheter ablation of Wolff-Parkinson-White (WPW) syndrome and challenging, e.g. para -Hisian accessory pathways (APs)., Objectives: To compare the mapping resolution, acute success and complication rates in patients with WPW syndrome undergoing a first-time catheter ablation using only a contact force-sensing ablation catheter for mapping or a multi-electrode high-resolution mapping catheter., Methods: Fifty consecutive 3D-mapping procedures for WPW syndrome using a 3.5-mm ablation catheter (n = 27) or a multi-electrode high-resolution catheter (n = 23) were retrospectively analyzed regarding mapping resolution defined as first 5/10 msec isochronal activation area, number of RF applications to achieve AP block, occurence of AP automaticity during RF delivery, and acute success and complication rates., Results: Catheter ablation was successful in 48/50 patients with a median of 1 (IQR 1-2) RF applications. Compared to ablation catheter mapping, high-resolution mapping showed a significantly smaller isochronal activation area in the first 5/10 msec (1.25 ± 0.29 vs 0.15 ± 0.03 cm
2 ; P < 0.001 and 3.41 ± 0.58 vs 0.55 ± 0.12 cm2 ; P < 0.0001) and significantly higher incidence of AP automaticity during RF delivery (0 vs 22 %; P < 0.05). In para -Hisian APs, micro-electrodes recorded distinct His electrograms and AP potentials without fusion and without AP bumping permitting safe and effective para -Hisian AP ablation., Conclusions: High-resolution mapping increases the mapping accuracy of the AP and its insertion site leading to a significantly higher incidence of AP automaticity during RF delivery. Micro-electrodes provide clinically relevant advantages in para -hisian AP mapping improving efficacy and safety of para -Hisian AP ablation., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Author(s).)- Published
- 2024
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.