Refine
Year of publication
Document Type
- Article (1848)
- Doctoral Thesis (806)
- Conference Proceeding (17)
- Course Material (4)
- Book (2)
- Part of a Book (1)
- Final Thesis (1)
- Report (1)
Language
- English (2680) (remove)
Is part of the Bibliography
- no (2680)
Keywords
- - (1133)
- Staphylococcus aureus (31)
- proteomics (31)
- plasma medicine (29)
- Plasma (28)
- climate change (28)
- reactive oxygen species (24)
- COVID-19 (23)
- Germany (22)
- Plasmaphysik (22)
Institute
- Institut für Physik (244)
- Institut für Biochemie (214)
- Institut für Botanik und Landschaftsökologie & Botanischer Garten (135)
- Abteilung für Mikrobiologie und Molekularbiologie (131)
- Institut für Pharmazie (130)
- Kliniken und Polikliniken für Innere Medizin (124)
- Zoologisches Institut und Museum (118)
- Institut für Geographie und Geologie (114)
- Institut für Community Medicine (111)
- Klinik und Poliklinik für Neurologie (97)
- Institut für Psychologie (87)
- Institut für Mathematik und Informatik (67)
- Institut für Mikrobiologie - Abteilung für Genetik & Biochemie (65)
- Interfakultäres Institut für Genetik und Funktionelle Genomforschung (MNF) (58)
- Institut für Immunologie u. Transfusionsmedizin - Abteilung Immunologie (52)
- Institut für Pharmakologie (50)
- Klinik für Psychiatrie und Psychotherapie (50)
- Poliklinik für Kieferorthopädie, Präventive Zahnmedizin und Kinderzahnheilkunde (42)
- Friedrich-Loeffler-Institut für Medizinische Mikrobiologie (39)
- Interfakultäres Institut für Genetik und Funktionelle Genomforschung (UMG) (39)
- Institut für Diagnostische Radiologie und Neuroradiologie (35)
- Institut für Med. Biochemie u. Molekularbiologie (35)
- Institut für Hygiene und Umweltmedizin (33)
- Universitätsmedizin (33)
- Klinik und Poliklinik für Kinder- und Jugendmedizin (32)
- Wirtschaftswissenschaften (26)
- Klinik und Poliklinik für Chirurgie Abt. für Unfall- und Wiederherstellungschirurgie (25)
- Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie/Plastische Operationen (25)
- Klinik und Poliklinik für Orthopädie und Orthopädische Chirurgie (25)
- Institut für Immunologie u. Transfusionsmedizin - Abteilung Transfusionsmedizin (24)
- Institut für Erziehungswissenschaft (23)
- Poliklinik für Zahnerhaltung, Parodontologie und Endodontologie (23)
- Institut für Politik- und Kommunikationswissenschaft (21)
- Klinik für Anästhesiologie und Intensivmedizin (21)
- Klinik und Poliklinik für Chirurgie Abt. für Viszeral-, Thorax- und Gefäßchirurgie (21)
- Institut für Anatomie und Zellbiologie (20)
- Zentrum für Zahn-, Mund- und Kieferheilkunde (19)
- Institut für Epidemiologie u. Sozialmedizin (18)
- Institut für Medizinische Psychologie (18)
- Klinik und Poliklinik für Frauenheilkunde u. Geburtshilfe (18)
- Klinik und Poliklinik für Urologie (18)
- Institut für Biometrie und Medizinische Informatik (17)
- Institut für Klinische Chemie und Laboratoriumsmedizin (17)
- Institut für Pathologie (16)
- Klinik und Poliklinik für Neurochirurgie (15)
- Mathematisch-Naturwissenschaftliche Fakultät (12)
- Institut für Anglistik/Amerikanistik (11)
- Institut für Humangenetik (11)
- Klinik und Poliklinik für Augenheilkunde (9)
- Klinik und Poliklinik für Innere Medizin Abt. Gastroenterologie, Endokrinologie und Ernährungsmedizin (9)
- Institut für Geologische Wissenschaften (8)
- Klinik für Herz-, Thorax- und Gefäßchirurgie - Klinikum Karlsburg (7)
- Klinik und Poliklinik für Hautkrankheiten (7)
- Historisches Institut (6)
- Institut für Ethik und Geschichte der Medizin (6)
- Institut für Pathophysiologie (6)
- Klinik und Poliklinik für Hals-, Nasen-, Ohrenkrankheiten, Kopf- und Halschirurgie (6)
- Rechtswissenschaften (6)
- Institut für Philosophie (5)
- Klinik und Poliklinik für Kinderchirurgie (5)
- Rechts- und Staatswissenschaftliche Fakultät (5)
- Institut für Fennistik und Skandinavistik (4)
- Institut für Slawistik (4)
- Klinik und Poliklinik für Chirurgie (4)
- Institut für Baltistik (3)
- Institut für Physiologie (3)
- Klinik und Poliklinik für Innere Medizin Abt. Nephrologie, Hochdruckkrankheiten und Dialyse (3)
- Poliklinik für zahnärztliche Prothetik und Werkstoffkunde (3)
- Philosophische Fakultät (2)
- Theologie (2)
- Caspar-David-Friedrich-Institut (1)
- Institut für Pflegewissenschaft und Interprofessionelles Lernen (1)
- Klinik und Poliklinik für Strahlentherapie (1)
Publisher
- MDPI (568)
- Frontiers Media S.A. (364)
- Wiley (221)
- S. Karger AG (155)
- Springer Nature (112)
- IOP Publishing (75)
- BioMed Central (BMC) (59)
- SAGE Publications (49)
- Nature Publishing Group (39)
- De Gruyter (22)
Background and Aims: Gastrointestinal stromal tumors (GISTs) are rare malignancies but the most common mesenchymal tumors of the digestive tract. Recent advances in diagnostic imaging and an increasing incidence will confront us more frequently with stromal tumors. This single center study aimed to characterize GIST patients in terms of tumor location, clinical presentation, metastasis formation, as well as associated secondary malignancies. Methods: In a retrospective study, 104 patients with a histologically confirmed diagnosis of GIST, collected between 1993 and 2011, were characterized for several clinical features. Results: The most common GIST location was the stomach (67.6%) followed by the small intestine (16.2%). Gastrointestinal bleeding (55.8%) and abdominal pain (38.5%) were the most frequently reported symptoms whereas about one-third of patients remained clinically asymptomatic (31.6%); 14.4% of patients had either synchronous or metachronous metastases and there was a significant prevalence also in the low risk group. The proportion of secondary malignant associated neoplasms was 31% in our GIST cohort, among which gastrointestinal, genitourinary tumors, and breast cancer were the most prevalent. Conclusion: There was a considerable risk for metastasis formation and the development of secondary neoplasias that should encourage discussion about the appropriate surveillance strategy after surgery for GIST.
Homoarginine (hArg) is a non-essential cationic amino acid which inhibits hepatic alkaline phosphatases to exert inhibitory effects on bile secretion by targeting intrahepatic biliary epithelium. We analyzed (1) the relationship between hArg and liver biomarkers in two large population-based studies and (2) the impact of hArg supplementation on liver biomarkers. We assessed the relationship between alanine transaminase (ALT), aspartate aminotransferase (AST), γ-glutamyltransferase (GGT), alkaline phosphatases (AP), albumin, total bilirubin, cholinesterase, Quick’s value, liver fat, and Model for End-stage Liver Disease (MELD) and hArg in appropriately adjusted linear regression models. We analyzed the effect of L-hArg supplemention (125 mg L-hArg daily for 4 weeks) on these liver biomarkers. We included 7638 individuals (men: 3705; premenopausal women: 1866, postmenopausal women: 2067). We found positive associations for hArg and ALT (β 0.38 µkatal/L 95% confidence interval (CI): 0.29; 0.48), AST (β 0.29 µkatal/L 95% CI 0.17; 0.41), GGT (β 0.033 µkatal/L 95% CI 0.014; 0.053), Fib-4 score (β 0.08 95% CI 0.03; 0.13), liver fat content (β 0.016% 95% CI 0.006; 0.026), albumin (β 0.030 g/L 95% CI 0.019; 0.040), and cholinesterase (β 0.003 µkatal/L 95% CI 0.002; 0.004) in males. In premenopausal women hArg was positively related with liver fat content (β 0.047% 95%CI 0.013; 0.080) and inversely with albumin (β − 0.057 g/L 95% CI − 0.073; − 0.041). In postmenopausal women hARG was positively associated with AST (β 0.26 µkatal/L 95% CI 0.11; 0.42). hArg supplementation did not affect liver biomarkers. We summarize that hArg may be a marker of liver dysfunction and should be explored further.
Tuberculosis (TB) has tremendous public health relevance. It most frequently affects the lung and is characterized by the development of unique tissue lesions, termed granulomas. These lesions encompass various immune populations, with macrophages being most extensively investigated. Myeloid derived suppressor cells (MDSCs) have been recently identified in TB patients, both in the circulation and at the site of infection, however their interactions with Mycobacterium tuberculosis (Mtb) and their impact on granulomas remain undefined. We generated human monocytic MDSCs and observed that their suppressive capacities are retained upon Mtb infection. We employed an in vitro granuloma model, which mimics human TB lesions to some extent, with the aim of analyzing the roles of MDSCs within granulomas. MDSCs altered the structure of and affected bacterial containment within granuloma-like structures. These effects were partly controlled through highly abundant secreted IL-10. Compared to macrophages, MDSCs activated primarily the NF-κB and MAPK pathways and the latter largely contributed to the release of IL-10 and replication of bacteria within in vitro generated granulomas. Moreover, MDSCs upregulated PD-L1 and suppressed proliferation of lymphocytes, albeit with negligible effects on Mtb replication. Further comprehensive characterization of MDSCs in TB will contribute to a better understanding of disease pathogenesis and facilitate the design of novel immune-based interventions for this deadly infection.
Molybdenum dependent enzymes are involved in essential metabolic transformations in bacteria, plants, and human beings. The extreme instability of the molybdenum cofactor (Moco) prevents its use as an effective treatment for patients with a Moco deficiency. Therefore, the design, develop and execute the artificial molybdenum cofactor models are essential.
In the present thesis, the asymmetric molybdopterin (mpt) model precursors with oxygen functionality and various electronic structures and their Moco model complexes mimicking the natural cofactor have been synthesized and comprehensively investigated through multi-nuclear NMR, MS, IR, resonance Raman, X-ray crystallography, UV-Vis, and electrochemical methods. Notably, the asymmetrically substituted dithiolenes in this thesis are confirmed through a significant push-pull effect, which is tuning its electronic structure. The redox behavior of Moco model complexes was investigated by temperature-dependent cyclic voltammetry. Electronic and vibrational spectral studies were investigated in detail to understand substituents effect on the electronic structure of model complexes and to elucidate roles of mpt in catalysis. Since the model complexes can be considered as structural models for the Moco dependent oxidoreductases, catalytic oxygen atom transfer (OAT) reactions in DMSO/PPh3 were investigated.
The main focus of the present thesis was achieved through the development of various synthetic routes that address phosphonate bearing dithiolene ligands, inspiring the natural mpt. Simultaneously the Minisci protocol was applied for the synthesis of new pterin ketophosphonates, taking into consideration the essential aspects of the natural molybdopterin, including the phosphate anchor group. Even though some aspects of this protocol require further optimizations, but the mentioned synthetic route has exceptional potential and flexibility.
A large portion of the earth's surface is covered with various vegetation classes (i.e. grassland, wetland and agricultural area, forest) of many diverse species and canopy configurations. The ability to assess and to monitor canopy parameters, such as biomass, leaf area index, and vegetation water content, is of vital importance to the study of different agronomic processes. Remote sensing techniques provide a unique capability towards probing different vegetation types and canopy by operating at different bands, observation angle etc. Over the past decades, significant progress has been made in remote sensing techniques of land processes specially vegetation characteristics through development of advanced ground-based, airborne and space-borne microwave sensors, methods and approaches such as theoretical, semi-empirical and empirical models, needed for analyzing the data. These activities have sharply increased in recent years since the launch of different active and passive satellites and sensors. Remote Sensing (RS) science and techniques combined with ground truth data can provide new tools for advanced agricultural crop applications. It has been demonstrated that RS has the ability to estimate biophysical parameters of agricultural crops over time at local, regional, and global scales. In this study, RS images in visible/near infrared (VIS/NIR) domain as well as microwave domain combined with ground truth data were used to assess biophysical parameters of agricultural crop during their whole growing season at Durable Environmental Multidisciplinary Monitoring Information Network (DEMMIN) test site in North East Germany. Ground truth studies were carried out for 31 weeks during 17th April – 13th November 2013 over three crop lands including winter wheat, barley and canola. Landsat 8 OLI, Landsat 7 ETM+ were used for the VIS/NIR studies and TerraSAR-X synthetic aperture radar (SAR) images were used to study biophysical parameters of agricultural crops in microwave part of electromagnetic spectrum. The analysis was conducted by calculating different vegetation indices (VIs) to estimate the biomass (fresh and dry), LAI, and vegetation water content (VWC) of three crops using Landsat 8 OLI and Landsat 7 ETM+ combined with ground truth data. A new concept of Soil Line retrieval from Landsat 8 image was also developed to estimate plant biophysical parameters using soil line related vegetation indices in optical domain of electromagnetic spectrum. Different approaches including univariate, multivariate stepwise regression and semi-empirical water cloud model was also used to estimate the biophysical parameters of agricultural crop using TerraSAR-X data in microwave domain of electromagnetic spectrum. Perhaps the most important conclusion of this study is that the RS approach can provide useful information about estimating agricultural crop parameters over time and local scale, which can therefore provide valuable information to aid the agronomy community.
Until today, more than 100 years after its first description in Italy, the highly pathogenic avian influenza virus (HPAIV) has not lost its fearsome character for wild birds, poultry and humans. On the contrary, the number of outbreaks with high casualty rates in wild birds and poultry has multiplied in recent years and cases of zoonotic infections are also increasingly reported from HPAI endemic areas. The epidemiology of these infections is complex and also involves surface water and possibly sediments of shallow standing waters, which could play a role as a vector medium and/or virus reservoir. The goal of this project was to expand current knowledge of the influence of water on the spread of AIV. As part of this project, we were able to ...
1. ...improve AIV detection methods using real time RT-PCR in terms of sensitivity and breadth of viruses detected. In addition, we succeeded in economizing the procedure so that fewer resources are required and results are obtained faster (publication I: [173]).
2. ...develop an ultrafiltration-based enrichment method for AIV from surface water and evaluate it with field samples from HPAI outbreak areas in wild bird habitats (Wadden Sea coast of Schleswig-Holstein) and previously unaffected regions (Antarctic Weddell Sea) (publication II: [174]). Furthermore, protocols for testing different environmental sample matrices for AIV screening were tested and compared to results of passive monitoring by dabbing diseased or dead wild birds. AIV was detected in more than half (61%) of 44 water samples. We received additional sediment samples from 36 of the 44 water samples. In 18 of 36 of the sediments tested, as well as in 4.16% of 1705 fecal samples tested AIV was detected. However, the studies of the environmental samples mostly yielded only generic AIV detections, with viral loads in the range of the detection limit. This massively hampered further investigations for sub- and pathotyping. In contrast, 79.41% of 68 samples from passive monitoring showed high to very high HPAIV viral loads which also allowed sub- and pathotyping.
3. ...demonstrate in animal experiments that even very low titers (0.1 TCID50 ml-1) of HPAI viral infectivity in water can induce productive infection in susceptible but clinically largely resistant mallard ducks (publication III: [175]). Furthermore, we were able to develop evidence that there is a difference in virus spread that depends on the type of (contaminated) water source. This means that infections on poultry farms with inverted or nipple drinkers may follow a different course than infections in the wild, which are mediated via larger surface waters.
Overall, the results of this project highlight the important role of surface and drinking water, as well as aquatic sediments, in the spread of AIV. The methods developed here for AIV detection extend the possibilities for surveillance of AIV infections; however, passive remains superior to active surveillance of HPAIV infections in several aspects. Examination of various environmental samples did not yield a significant advantage in terms of an early warning system that would indicate the presence or spread of HPAIV in wild bird habitats prior to the occurrence of lethal infections in wild birds.
Abstract
River estuaries are characterized by mixing processes between freshwater discharge and marine water masses. Since the first are depleted in heavier stable isotopes compared with the marine realm, estuaries often show a linear correlation between salinity and water stable isotopes (δ18O and δ2H values). In this study, we evaluated spatial and seasonal isotope dynamics along three estuarine lagoon transects, located at the northern German Baltic Sea coast. The data show strong seasonality of isotope values, even at locations located furthest from the river mouths. They further reveal a positive and linear salinity‐isotope correlation in spring, but ‐in two of the three studied transects‐ hyperbolic and partially reverse correlations in summers. We conclude that additional hydrological processes partially overprint the two‐phase mixing correlation during summers: aside from the isotope seasonality of the riverine inflows, the shallow inner lagoons in the studied estuaries are influenced by evaporation processes. In contrast the estuarine outflow regions are under impact of significant salinity and isotope fluctuations of the Baltic Sea. Deciphering those processes is crucial for the understanding of water isotope and salinity dynamics. This is also of relevance in context of ecological studies, for example, when interpreting oxygen and hydrogen isotope data in aquatic organisms that depend on ambient estuarine waters.
The aim of the study was to develop and evaluate the reliability and agreement of new computer planimetric method for measurement and assessment of plaque on all types of removable dental prostheses RPDs. The instrument (new method) was tested by evaluating the efficacy of the rotating needles device in cleaning specific parts of RPD. From a database containing 780 images, which were taken in a standardized method for 65 RDPs for 49 participants, 55 images were selected randomly for image analysis. Adobe Photoshop software was used according to a standard operating procedure (SOP) by a main examiner two times in different sessions, and 1 time by 3 other examiners. In order to estimate the intra- and inter-examiner reliability, intraclass correlation coefficients ICC(2,1) was used. Three parameters were used to estimate agreement: standard error of measurement (SEM), smallest detectable change at 95% confidence level (SDC95%), and limits of agreement (LoA) according to Bland¨CAltman method. In the database, only 34 subjects were found with double crown retained removable denture and veneer over the secondary crown. 49x2 (before x after) images for 34 RDPs went under image analyses to calculate POP before and after cleaning the RDPs with the rotating needle device. Data were analysed using Wilcoxon signed-rank test. In all steps of image analysis, both intra-examiner and inter- examiner reliability were excellent with ICC(2,1) values > 0.85 at 95% confidence level. Intra- and inter-examiner values for both, SEM and SDC95% were ¡Ü 6% and ¡Ü17% respectively. The Bland¨CAltman analysis revealed a satisfactory level of agreement. POP is significantly more on the veneer than on the base(B-O), P <0.05. The rotating needles device is effective in cleaning the veneer and base(B-O), P <0.05 with absolute effect size 0.62. No statistical significance was detected in the effectiveness of the rotating needles device between base(B-O) and veneer. This study showed an excellent inter- and intra-examiner reproducibility, satisfactory level of examiners agreement, and acceptable measurement error of the new computer planimetric method . Furthermore, the method can be used with all types of RDPs. The rotating needles device can significantly reduce plaque on the double crown retained removable denture. The Computerized Planimetric Method (CPM) is more suitable for clinical researches because of its objectivity, reliability, high level of standardization, and the ability to detect and quantify small changes in plaque. Extra attention should be given to the veneer over the secondary crown as they are a potential part for RDP plaque accumulation.
Background: COVID-19 lead to the adoption of containment measures including temporary closure of dental clinics. Despite the risk of infection transmission, dental emergencies have not ceased during this pandemic and had to be managed also in the lockdown period.
Aim: To analyze the profiles and offered management options of pediatric patients presenting with dental emergencies during a COVID-19 lockdown.
Design: Retrospective analysis of patient records of children seeking emergency dental treatment during a 7-week lockdown period in 2020 in a university pedodontics clinic in Germany, compared to a similar cohort from 2019. Data on patient level, tooth level, and session level were collected. An analysis of the digital records after 6 months follow-up was performed for the patients who received Non-Aerosol Generating Procedures (NAGP) as management for dental emergency in the lockdown period in 2020.
Results: The 2020 cohort consisted of 83 patients, while the 2019 cohort included 46 patients showing 45% higher necessity for emergency treatment in 2020. Most common chief complaint was oral mucosal conditions in 2020 (26.4%), and irreversible pulpitis in 2019 (25.5%). Dental caries (without spontaneous pain) was the second most chief complaint in both cohorts (20.7% and 23.4% respectively). Most interventions in 2020 were Minimally Invasive Treatments such as the hall technique and silver diammine fluoride (20.3%), which were in 2019 not considered, followed by pharmacological treatment (16.9%), which were in 2019 also highly used (35.9%). The 6 months follow up for the NAGP revealed benefit in management of the acute dental problem, by either direct treatment or by postponing the treatment need to a later time period.
Conclusion: The COVID-19 pandemic led to increase in emergency pediatric dental visits and shifted treatment options towards less invasive procedures.
In challenging situations, where aerosols increase the risk of infection transmission, NAPD are a viable option in the management of dental emergencies, especially in pediatric dentistry.
Purpose
The significance of the underlying literature in clinical guidelines can be weakened by the risk of bias, which could negatively affect the recommendations. Especially in controversial matters, such as fluoride use for caries prevention in children, biased results may be not reliable and lead to incorrect conclusions. This study was performed to detect bias in underlying literature of the German guideline for caries prevention using fluoride in children, where no consensus was reached between paediatricians and paediatric dentists.
Methods
Three tools used for risk of bias assessments of different study designs were RoB 2 for RCTs, ROBINS-I for non-randomized studies, and ROBIS for systematic reviews. For each study cited in the guideline two independent risk of bias assessments were performed. Disagreements were resolved by consensus.
Results
Out of 58 papers, 48.3% (n = 28) showed high risk of bias, with the majority in sections regarding fluoride tablets, fluoridated toothpaste, and paediatricians’ recommendations. 9 out of 20 recommendations and statements were based on studies with high risk of bias, all of which were in these three controversial sections. 13 out of 29 RCTs showed high risk of bias (44.8%), as all 13 non-randomized trials did, while only 2 of 16 (12.5%) systematic reviews had high risk of bias.
Conclusion
Considering risk of bias of cited studies in clinical guidelines may result in substantial changes in its recommendations and aid in reaching consensus. Efforts should be made to assess risk of bias of underlying literature in future clinical guidelines.
Background
Microvascular decompression (MVD) success rates exceed 90% in hemifacial spasm (HFS). However, postoperative recovery patterns and durations are variable.
Objective
We aim to study factors that might influence the postoperative patterns and duration needed until final recovery.
Method
Only patients following de-novo MVD with a minimum follow-up of 6 months were included. Overall trend of recovery was modeled. Patients were grouped according to recognizable clinical recovery patterns. Uni- and multivariable analyses were used to identify the factors affecting allocation to the identified patterns and time needed to final recovery.
Results
A total of 323 (92.6%) patients had > 90% symptom improvement, and 269 (77.1%) patients had complete resolution at the last follow-up. The overall trend of recovery showed steep remission within the first 6 months, followed by relapse peaking around 8 months with a second remission ~ 16 months. Five main recovery patterns were identified.
Pattern analysis showed that evident proximal indentation of the facial nerve at root exit zone (REZ), males and facial palsy are associated with earlier recovery at multivariable and univariable levels. anterior inferior cerebellar artery (AICA), AICA/vertebral artery compressions and shorter disease durations are related to immediate resolution of the symptoms only on the univariable level. Time analysis showed that proximal indentation (vs. distal indentation), males and facial palsy witnessed significantly earlier recoveries.
Conclusion
Our main finding is that in contrast to peripheral indentation, proximal indentation of the facial nerve at REZ is associated with earlier recovery. Postoperative facial palsy and AICA compressions are associated with earlier recoveries. We recommend a minimum of 1 year before evaluating the final outcome of MVD for HFS.
Purpose
Despite being rarely reported, ischemic insults resulting from compromising small brainstem perforators following microvascular decompression (MVD) remain a potential devastating complication. To avoid this complication, we have been using indocyanine green (ICG) angiography intraoperatively to check the flow within the small brainstem perforators. We aim to evaluate the safety and usefulness of ICG videoangiography in MVD.
Methods
We extracted retrospective data of patients who received ICG videoangiography from our prospectively maintained database for microvascular decompression. We noted relevant data including demographics, offending vessels, operative technique, outcome, and complications.
Results
Out of the 438 patients, 15 patients with a mean age (SD) of 53 ± 10.5 years underwent intraoperative ICG angiography. Male:female was 1:1.14. The mean disease duration prior to surgery was 7.7 ± 5.3 years. The mean follow-up (SD) was 50.7 ± 42.0 months. In 14 patients, the offending vessel was an artery, and in one patient, a vein. Intraoperative readjustment of the Teflon pledget or sling was required in 20% (3/15) of the cases. No patient had any sort of brainstem ischemia. Eighty percent of the patients (12/15) experienced complete resolution of the spasms. 86.7% (13/15) of the patients reported a satisfactory outcome with marked improvement of the spasms. Three patients experienced slight hearing affection after surgery, which improved in two patients later. There was no facial or lower cranial nerve affection.
Conclusion
Intraoperative ICG is a safe tool for evaluating the flow within the brain stem perforators and avoiding brainstem ischemia in MVD for hemifacial spasm.
Abstract
Background: Behavior management techniques (BMT) are essential in order to
achieve a successful dental treatment with a minimum amount of stress in paediatric
dentistry, but parents are not equally accepting different advanced BMT.
Purpose: To investigate the differences in parental acceptance of advanced
behavior management techniques between University of Greifswald/Germany and
Jordan University/Jordan.
Methods: Parents of the children treated in the pedodontic departments at the
University of Greifswald/Germany and Jordan University/Jordan rated their
acceptance level of four advanced behavior management techniques (passive
restraint, active restraint, nitrous oxide sedation and general anesthesia) for normal
treatment, and for urgent treatment using a five points Likert scale. 200 parents (100
in each university) completed the questionnaire forms for analysis.
Results: Nitrous oxide sedation was rated the most accepted technique in
Greifswald and Jordan (mean 3.78±1.34; 3.22±1.50, respectively). The least
acceptable technique in Greifswald was passive restraint (2.05±1.18) and in Jordan
general anesthesia (2.11±1.30). The parents in Greifswald are significantly more
accepting nitrous oxide sedation than parents in Jordan (p=0.010), while parents in
Jordan are significantly more willing to accept passive restraint (p=0.001). The
acceptance of all advanced behavior management techniques increased significantly
in both groups when the treatment is urgent (p≤0.05),
Conclusions: Parental culture and the urgency of the treatment affect the
acceptance to different behavior management techniques. Moreover, the parental
attitude to the pharmacological technique has changed, as nitrous oxide sedation
generally appears to be the most preferred advanced technique in both groups.
National oral health survey on refugees in Germany 2016/2017: caries and subsequent complications
(2020)
Objectives To assess oral health, caries prevalence, and subsequent complications among recently arrived refugees in Germany and to ompare these findings with the German resident population. Methods This multicenter cross-sectional study recruited 544 refugees aged 3–75+ years; they were examined at ten registration institutions in four federal states in Germany by two calibrated dentists. The refugees were screened for caries (dmft/DMFT) and its complications pufa/PUFA); this data was compared to the resident population via the presentative national oral health surveys). Results The deciduous dentition of the 3-year-old refugees had a mean dmft value of 2.62 ± 3.6 compared with 0.48 dmft in the German resident population, and caries increased to 5.22 ± 3.4 for 6–7-year-olds (Germany: 1.73 dmft). Few refugee children had naturally healthy teeth (7% in 6–7-year-olds, Germany: 56%). In the permanent dentition, the gap in caries prevalence between refugees and the German population decreased with age (35–44-year-olds: 10.55 ± 7.1 DMFT; Germany: 11.2), but refugees exhibited more caries defects (35–44-year-olds DT = 3.13 ± 3.0; Germany: 0.5). German residents had more restorations (35–44-year-olds FT = 4.21 ± 4.6). Regarding complications, the 6–7-year-olds exhibited the highest pufa index (0.86 ± 1.4) which decreased in adolescence (13–17-year-olds, 0.18 ± 0.6) and increased in adults (45–64-year-olds, 0.45 ± 0.8). Conclusion The refugees had high caries experience, often untreated caries teeth and more complications compared with the German resident population, especially in children. Closing this gap by extending preventive systems to the refugees would decrease future treatment needs. Clinical relevance European countries should be prepared for the higher dental treatment needs in recent refugees, especially in
children.
Background: This study aims to assess the role of ductoscopy for detecting intraductal anomalies in patients with nipple discharge in comparison to conventional tests and to find an effective combination of both approaches. Materials and Methods: Prior to duct excision, ductoscopy was performed in 97 women. Histologic and all other diagnostic results were compared. Sensitivity, specificity, and efficiency were calculated for all methods. These parameters were also calculated for all possible test combinations in 12 patients who had completed all tests. Results: Breast sonography reached the highest sensitivity (64.1%) and efficiency (64%); mammography had the highest specificity (100%). The sensitivity of ductoscopy was 53.2%, its specificity 60%, and its efficiency 55.1%. Among combinations of all methods, the combination ductoscopy + galactography was the most sensitive (80%). Mammography, magnetic resonance imaging, and ductoscopy were each 100% specific. Ductoscopy was the most efficient (75%) single method. Conclusion: Ductoscopy is a valuable test for diagnosing intraductal lesions in patients with nipple discharge. It is more efficient than conventional tests in patients undergoing all tests.
Sealing ability of ProRoot MTA when placed as an apical barrier using three different techniques
(2013)
A one-visit apexification protocol with Mineral Trioxide Aggregate (MTA) can be seen as an alternative to the traditional treatment practices with calcium hydroxide. The aim of this study was to investigate the sealing ability of ProRoot MTA when placed as an apical barrier using three different techniques. Sixty freshly extracted single-rooted human teeth were decoronated and standardized to a root length of 15mm. The root segments were prepared with Gates Glidden burs (size 1-6) to simulate the clinical situation of an open apex and randomly assigned into 3 experimental groups of 20 samples each. 5mm MTA was placed by pluggers (Group 1) paper points (Group 2) or ultrasonic tips (Group 3). Radiographs were taken to verify the placement of the apical barriers. After obturation of all samples with warm gutta-percha (Obtura) and AH26 sealer, the coronal portion of all samples was sealed with Cavit. The root segments were then double coated with nail varnish except for the open apex and were exposed to methylene blue dye for 48 hours at room temperature. Afterwards, the samples were sectioned longitudinally and the extent of dye penetration was measured with a stereomicroscope. The mean depth of dye leakage for Group 1 was 1.34mm (±0.5 SD) Group 2 1.25mm (±0.4 SD) and Group 3 1.14mm (± 0.4 SD). Statistical analysis showed that there were no significant differences among the 3 experimental groups (0.178<p<0.552). In conclusion, ProRoot MTA has a similar sealing ability when placed as an apical barrier with pluggers, paper points or ultrasonic tips.
Background: Restorative treatment for children’s teeth is still an important aspect of dentistry. In the light of an only moderate caries decline in the primary dentition and a persistently low care index in Germany during the past years [DAJ 2010], there is still a demand for further work on recent patterns and outcomes of restorative treatments in primary teeth placed in everyday practices under the Germany National Health System. Objectives: The present study aimed firstly to describe the prevalence of caries and restorations in the primary teeth in Berlin and Germany from the representative Germany surveys [DAJ 2010], secondly, to describe the frequency and distribution of restorative treatment in primary teeth performed in everyday dental practice in Berlin including children age groups from 1- to 13-years of age, thirdly, to evaluate the outcomes of restorative treatment performed in everyday dental practices in these children and finally to compare results of the present study with data from the German National Health System [KZBV 2011] and randomized community data on the longevity of restorations in primary teeth in Denmark [Qvist et al. 2010a]. Material and Methodology: In the first part of present study data from representative German surveys [DAJ 2010] were interpreted to describe and compare the prevalence of caries and restorations in the primary teeth in Berlin and Germany. For the second and third parts data generated from German National Health System in Berlin (KZV-Berlin) on fillings done in everyday practices in primary teeth of 1- to 13-year-olds during 2010/2011 were collected. This data included: distribution of children with dental treatment regardless of the type of intervention provided, of children who received restorative treatments in primary teeth during dental care visits including total number of fillings per child, the number of filled tooth surfaces, retreatment with another filling, stainless steel crowns, pulp involvement and extractions after prior filling therapy. Information on the age of the original fillings at the time of retreatment was also included. The collected data then were entered into a data base for descriptive and analytical analysis. The results were compared with equivalent data from the German National Health System [KZBV 2011] and randomized community data from Denmark [Qvist et al. 2010a]. Results: Result showed a high similarity in patterns of caries and restorative treatment in primary teeth in Berlin and all of Germany as reported in the representative German surveys [DAJ 2010]. About of 84% of 1-13-year-olds insured in the German National Health System in Berlin received dental care during 2010/2011, with considerably lower rates in very young children. Fillings in primary teeth were performed in 31.17% of all children attending the dentist. Most restorations were placed in 5-8-year-olds. In 1-13-year-olds mostly just one filling was placed, more than five fillings were per child were recorded on average for very young age groups (1-4-year-olds). 55.60% of all fillings in primary teeth were two-surface restorations, whereas more than three-surface restorations comprised 6.17% of all fillings and they were performed most frequently in young children of 1-4-years of age. Retreatment to fillings in primary teeth was 7.66% of fillings placed in 1-13-year-olds. Most retreatments took place from 5 to 9 years of age with a peak in 6-year-olds. In 1-3-year-old children fillings showed shorter mean age at the time of retreatment compared to 7-year-olds and above. Retreatment of fillings in primary teeth by stainless steel crowns was very limited with only 5.16% of all retreatments and it was preferred in children from 3 to 7 years of age. The retreatment with pulp involvement was 11.27% of all retreatments. Extractions were almost as often as retreatment as another filling (ratio 4:5), but they were preferred in older children due to the course of exfoliation. Conclusions: Under the conditions of this retrospective study, the restorative treatment with fillings performed within the National Health System in primary teeth in Berlin was very successful with low rates of retreatment and the fillings shows comparable results to data on the longevity of restorations in primary teeth in Denmark. The study highlighted the need to a structured program for prevention in primary teeth, especially for very young children with high caries activity and possibly also different treatment structures with specialized dentists in this field who can perform oral rehabilitations with pulpotomies and stainless steel crowns.