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1.
Albert C. Ludolph MD Johannes Dorst MD Jens Dreyhaupt PhD Jochen H. Weishaupt MD Jan Kassubek MD Ulrike Weiland MD Thomas Meyer MD Susanne Petri MD Andreas Hermann MD PhD Alexander Emmer MD Julian Grosskreutz MD Torsten Grehl MD Daniel Zeller MD Matthias Boentert MD Bertold Schrank MD Johannes Prudlo MD Andrea S. Winkler MD Stanislav Gorbulev PhD Francesco Roselli MD PhD Joachim Schuster PhD Luc Dupuis PhD for the LIPCAL-ALS Study Group 《Annals of neurology》2020,87(2):206-216
2.
Nicole Scheuing Frank Best Albrecht Dapp Ines Dreyhaupt Hans-Peter Filz Dietmar Krakow Wolfgang Lang Erhard Siegel Andrej Zeyfang Reinhard W. Holl 《Parkinsonism & related disorders》2013,19(7):687-692
BackgroundEspecially in older people, physicians are faced with the coexistence of type 2 diabetes mellitus (T2DM) and Parkinson's disease (PD). Therefore, this research aimed to compare diabetes endpoints between T2DM with and without PD.MethodsBased on the standardized, multicenter, prospective DPV database, 178,992 T2DM patients (≥40 years) were analyzed. 1579 were diagnosed with PD and/or received specific treatment. Hierarchical multivariable regression models were used for group comparisons; adjusted estimates based on observed marginal frequencies were calculated.ResultsPD patients were significantly older (77.9 vs. 70.0 years; p < 0.0001) and had a longer diabetes duration (10.3 vs. 8.4 years; p < 0.0001). In young PD patients (<50 years), percentage of females was significantly higher compared to age-matched T2DM patients without PD or people of the German population (66.7 vs. 38.1 vs. 49.0%; p < 0.0001, p < 0.02).After demographic adjustment, T2DM patients with PD showed a significantly lower HbA1c (58.0 vs. 60.3 mmol/mol; p < 0.0001), OAD/GLP-1 treatment (41.9 vs. 45.9%; p < 0.01) and frequency of dyslipidemia (62.0 vs. 64.5%; p < 0.05). In contrast, rates of insulin therapy (57.8 vs. 54.8%; p < 0.05), hypertension (73.3 vs. 68.6%; p < 0.001), antihypertensive medication (60.4 vs. 56.1%; p < 0.01), stroke (12.0 vs. 7.3%; p < 0.0001), dementia (9.2 vs. 2.6%; p < 0.0001) and repeated inpatient care (15.7 vs. 12.0%; p < 0.0001) were significantly higher and duration of hospital stay (6.2 vs. 4.7 days; p < 0.0001) was significantly longer in T2DM with PD.ConclusionClear demographic and clinical differences were observed between T2DM with and without PD. In PD patients, metabolic control is better, potentially due to more intensive medical care. 相似文献
3.
Eloy Cardenas-Montemayor Jan Felix Hartl Maya B. Wolf Franck Marie Leclère Jens Dreyhaupt Peter Hahn Frank Unglaub 《Archives of orthopaedic and trauma surgery》2013,133(2):287-293
Purpose
The purpose of this study was to determine functional and subjective results of patients who received arthroscopic debridement for their TFCC Palmer 1B lesions and to compare their results with those of arthroscopic suture repair.Methods
Between March 2007 and August 2011, 36 patients were diagnosed with Palmer type 1B tears and underwent arthroscopic debridement. 31 patients (15 males and 16 females) were followed up for an average of 26.7 months (±17.4 months) postoperatively. Their average age was 36.7 years (±12.7 years). Follow-up included the determination of range of motion (ROM), grip strength, pain, and wrist scores (modified Mayo wrist score (MMWS), Disabilities of the Arm, Shoulder and Hand questionnaire (DASH score)).Results
Postoperative ROM averaged 99.2 % for the extension/flexion arc, 95.5 % for the radial/ulnar deviation arc, and 99.4 % for the pronation/supination arc of motion when compared with the contralateral wrist. The MMWS was rated excellent in 48 % of patients, good in 39 %, fair in 13 %, and poor in 0 %. The average DASH score was 17.02 (±14.92). There was a significant reduction in pain. The grip strength was 96.7 % (±15.8), pulp-to-pulp pinch 101.9 % (±17.4), and the ulnar variance ?0.12 ± 1.69 mm.Conclusions
Arthroscopic debridement of Palmer type 1B lesions in stable DRUJ yields satisfactory to excellent results. Our study showed similar results compared with the studies of arthroscopic suture repair with shorter postoperative care and fewer complications. 相似文献4.
Fundus autofluorescence and fundus perimetry in the junctional zone of geographic atrophy in patients with age-related macular degeneration 总被引:5,自引:0,他引:5
Schmitz-Valckenberg S Bültmann S Dreyhaupt J Bindewald A Holz FG Rohrschneider K 《Investigative ophthalmology & visual science》2004,45(12):4470-4476
PURPOSE: To investigate retinal sensitivity in the junctional zone of geographic atrophy (GA), with variations in fundus autofluorescence (FAF) in patients with advanced age-related macular degeneration (AMD). METHODS: The spatial distribution and intensity of FAF were recorded with a confocal scanning laser ophthalmoscope (SLO). Eyes had normal background FAF (group 1) or increased FAF (group 2) surrounding the atrophic patches. Retinal sensitivity was assessed by applying light stimuli with static automated full-threshold fundus perimetry with a modified SLO. Threshold sensitivities were compared with age-matched normal sensitivities. RESULTS: Thirty-nine eyes of 39 patients with GA were included. Group 2 had a higher percentage of all test points outside the GA area, with decreased retinal sensitivity (44.9% +/- 28.7%) compared with group 1 (20.7% +/- 12.7%; P = 0.0063; multiple regression model; outcome variable is retinal sensitivity; covariates are group affiliation and GA area). Within group 2, the average percentage of stimuli in areas of normal FAF with reduced sensitivity was 38.0% +/- 33.0%, whereas the average percentage of stimuli in areas of elevated FAF with reduced sensitivity was 52.6% +/- 29.7% (P = 0.023, Wilcoxon signed rank test). CONCLUSIONS: Areas of increased FAF outside GA may be associated with variable degrees of loss of retinal sensitivity and suggest a functional correlate of excessive accumulation of retinal pigment epithelium lipofuscin in AMD. Combining in vivo recording of FAF and retinal sensitivity, using SLO technology, may give important clues in the understanding of mechanisms of disease. 相似文献
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6.
Dreyhaupt J Mansmann U Pritsch M Dolar-Szczasny J Bindewald A Holz FG 《Ophthalmic epidemiology》2005,12(6):353-362
PURPOSE: To model the natural course of geographic atrophy (GA) in patients with age-related macular degeneration (AMD). METHODS: Data on the natural course of GA were collected in the multi-center, longitudinal, prospective observational FAM study. The size of GA was measured by autofluorescence scanning laser ophthalmoscopy. The natural course of GA is modelled by two different mixed effect models (MEM). Both models are compared with respect to the correctness of the model assumptions, goodness of fit, and predictive behavior. RESULTS: The linear model results in better prediction, the non-linear model is more in agreement with the model assumptions. The non-linear model fits the data for small and large areas of GA better, while the linear model seems to be more adequate for the medial areas. More data will be needed to study the interplay of both models in more detail. CONCLUSIONS: The natural course of GA varies extremely between individuals. However, reliable factors for the explanation of this variability have so far not been established. MEM are useful for describing "inter-individual" as well as "intra-individual" influences without the need for precise knowledge of the influencing factors. Using MEM to evaluate data on the natural history of GA allows one to derive parameter estimates, which could be used to design interventional trials for modes of therapy with a potential to reduce or stop the progression of GA in patients with AMD. 相似文献
7.
Paraskevopoulos Dimitrios Unterberg Andreas Metzner Roland Dreyhaupt Jens Eggers Georg Wirtz Christian Rainer 《Neurosurgical review》2011,34(2):217-228
Neurosurgical Review - This study aimed at comparing the accuracy of two commercial neuronavigation systems. Error assessment and quantification of clinical factors and surface registration, often... 相似文献
8.
Zusammenfassung
54 j?hrige Patientin mit bereits 10 Jahre altem ventrikuloperitonealem Shunt wegen eines ?tiologisch unklaren Hydrocephalus
communicans. Eine passagere Gangst?rung und ein Hirninfarkt mit 46 Jahren führten zu keiner weiteren Kl?rung der Krankheitsgenese.
Nach langj?hriger Zwischenphase mit gelegentlicher Verwirrung der Patientin trat ein ausgepr?gtes hirnorganisches Psychosyndrom
auf. Eingehende Diagnostik ergab aufgrund der Anamnese, der Liquor- und der CT-Befunde mit nachweisbaren kleinen zerebralen
Verkalkungen den Verdacht auf eine Neurozystizerkose. Die Patientin starb trotz eingeleiteter spezifischer Therapie an den
Folgen der Erkrankung. Bei der Obduktion zeigen sich charakteristische narbige Residuen einer v. a. basalen Leptomeningitis
mit kollabierten Parasitenzysten. Zus?tzliche intrazerebrale mesenchymal-gli?se Residuen waren weniger auff?llig. Eine abgelaufene
Ependymitis war Ursache einer Aqu?duktstenose. Todesursache waren eine Kachexie, Bronchopneumonie und ein Lungenabsze?. Diskutiert
werden Klinik, Verlauf und Morphologie der Neurozystizerkose, die – bei uns selten geworden – weltweit die wichtigste parasit?re
Erkrankung des ZNS darstellt.
相似文献
9.
Vollmuth C. Stoesser S. Neugebauer H. Hansel A. Dreyhaupt J. Ludolph A. C. Kassubek J. Althaus K. 《Journal of neurology》2019,266(12):3058-3064
Journal of Neurology - To date, insertable cardiac monitors (ICMs) are the most effective method for the detection of occult atrial fibrillation (AF) in cryptogenic stroke. The overall detection... 相似文献
10.
Dorothea Kesztyüs Anja Schreiber Tamara Wirt Martina Wiedom Jens Dreyhaupt Susanne Brandstetter Benjamin Koch Olivia Wartha Rainer Muche Martin Wabitsch Reinhold Kilian Jürgen M. Steinacker 《The European journal of health economics》2013,14(2):185-195