A5038305731- Intensive Care Unit Cognitive Disorders
- Head and Neck Cancer Studies
- Long-Term Effects of COVID-19
- Family and Patient Care in Intensive Care Units
- Ethics in Clinical Research
- Olfactory and Sensory Function Studies
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Transcranial Magnetic Stimulation Studies
- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Genomics and Chromatin Dynamics
- Anesthesia and Neurotoxicity Research
- COVID-19 and Mental Health
- Genetic factors in colorectal cancer
- Salivary Gland Tumors Diagnosis and Treatment
- Organ Donation and Transplantation
- Patient Dignity and Privacy
- Advanced Chemical Sensor Technologies
- Neural and Behavioral Psychology Studies
- RNA Research and Splicing
- Voice and Speech Disorders
- Dysphagia Assessment and Management
- Grit, Self-Efficacy, and Motivation
- Healthcare professionals’ stress and burnout
- Venous Thromboembolism Diagnosis and Management
Kiel University
2010-2024
University Hospital Schleswig-Holstein
2017-2024
University of Lübeck
2017-2024
University Medical Center
2023
Institute for Medical Informatics and Biostatistics
2023
Institut für Medizinische Informatik, Biometrie und Epidemiologie
2022
Intercultural competence (ICC) can be defined as a complex of abilities that are needed to interact with people from other cultures adequately and effectively. The goal the present study was investigate development ICC during international experiences. We conducted quasi-experimental longitudinal sample N = 273 individuals. Whereas 199 participants went abroad for at least 3 months, remaining 74 stayed in Germany same period. operationalized short version Test Measure Competence, which...
Pneumocystis pneumonia (PCP) is a life-threatening opportunistic infectious disease of immunocompromised patients. Its incidence has decreased worldwide in the past, but data concerning its recent epidemiology are lacking.We retrospectively analyzed all German inpatient cases from January 1, 2014 to December 31, 2019, describe epidemiology, incidence, clinical course, mortality and underlying diseases PCP. Simultaneously, we conducted retrospective multi-center study at two university...
The annual number of post-mortem organ donations in Germany has declined by more than 30% since 2010. causes this development have not yet been adequately determined.All patients hospitalized between 2010 and 2015 (112 172 869 hospitalizations total) were included nationwide secondary analysis. Among the deceased we identified those who had died presence a brain damage for whom donation was excluded either medical contraindication or patient's having artificially ventilated. analysis also...
Abstract Objective It was the a i m of this pilot study to apply novel eating disorder (ED)‐specific home treatment (HoT) adolescents with anorexia nervosa (AN) and investigate its feasibility, effects safety. Method Twenty‐two patients consecutively admitted hospital fulfilling DSM‐5 criteria for typical or atypical AN received HoT after 4–8 weeks inpatient treatment. During first two months HoT, patient her family were visited on average three four times per week, during third fourth once...
Abstract Making routine clinical-care-data available for medical research requires adequate consent to legitimize use and exchange. While, public interest in supporting is increasing, individuals often find it difficult actively enable researchers access their data. In addition broad consent, the idea of (consent-free) data donation has been brought into play as another way secondary medial However, flanking implementation policies or donation, attitude patients, general toward different...
ABSTRACT BACKGROUND Early mobilization of patients in intensive care units (ICUs) improves patient recovery, but implementation remains challenging. Protocols may enhance the rate out‐of‐bed mobilizations. AIM To evaluate effect implementing a protocol for early on mobilizations and other outcomes ICU patients. STUDY DESIGN Multicentre, stepped‐wedge, cluster‐randomized pilot study. METHODS After control period, five ICUs were allocated to an inter‐professional randomized, monthly order....
The SARS-CoV-2 pandemic has highlighted once more the great need for comprehensive access to, and uncomplicated use of, pre-existing patient data medical research. Enabling secondary research-use of patient-data is a prerequisite efficient sustainable promotion translation personalisation in medicine, advancement public-health. However, balancing legitimate interests scientists broad unrestricted data-access demand individual autonomy, privacy social justice challenge patient-based...
Post-stroke delirium (POD) in patients on stroke units (SU) is associated with an increased risk for complications and poorer clinical outcome. The objective was to reduce the severity of POD by implementing interprofessional delirium-management.Multicentric quality-improvement project five SU a delirium-management pre/post-comparison. Primary outcome POD, assessed Nursing Delirium Screening Scale (Nu-DESC). Secondary parameters were incidence, duration, modified Rankin (mRS), length stay...
Abstract Background Delirium is a common complication in patients Intensive Care Units (ICU). Interventions such as mobilization are effective the prevention and treatment of delirium, although this usually completed during daytime. Aim The aim study was to assess feasibility evening prevent treat ICU from delirium by an additional mobility team over 2 weeks. Methods design pilot, multi‐centre, randomized, controlled trial four mixed ICUs period consisted trained nurses physiotherapists....
Background and Objectives The personality construct grit is defined as the ability to be persistent in pursuit of long‐term goals spite challenges or obstacles. Grit an emerging concept positive psychology has gained much attention because its relevance for success well‐being across different domains. aim present study was examine prognostic value online game addiction. Methods We surveyed German speaking gamers ( N = 305: 193 males 112 females, M age 28.44 years, SD 8.88) cross‐sectional...
In addition to its role in bone metabolism, vitamin D3 exerts immunomodulatory effects and has been proposed contribute seasonal variation of immune cells. This might be linked higher levels summer than winter due differential sun exposure. γδ T cells comprise a numerically small subset the blood, which anti-infective antitumor immunity. We studied fluctuation cells, possible influence D3, effect active metabolite 1α,25(OH)2D3 on vitro activation human retrospective analysis with 2625...
Transcranial direct current stimulation (tDCS) is a noninvasive neuromodulation technique gaining more attention in neurodevelopmental disorders (NDDs). Due to the phenotypic heterogeneity of NDDs, tDCS unlikely be equally effective all individuals. The present study aimed establish neuroanatomical markers typically developing (TD) individuals that may used for prediction individual responses tDCS. Fifty-seven male and female children received 2 mA anodal sham tDCS, targeting left...
Abstract Background Transoral laser microsurgery (TLM) is an accepted and effective treatment strategy for supraglottic carcinomas. Data on oncologic to a lesser extent functional outcomes have been published by mainly European specialized single institutions. TLM carcinomas has never tested in multicenter trial its applicability as surgical standard at every hospital. Objectives To test the efficacy of laryngectomy (TLM-SGL) terms swallowing function, outcome parameters, morbidity,...
Unilateral pulmonary oedema (UPE) is a rare but potentially life-threatening complication that has been described after minimally invasive mitral valve surgery (MICS). Over the last 8 years, we have witnessed, in our institution, several cases of severe UPE requiring immediate postoperative extracorporeal life support MICS. Reviewing available literature, data regarding this MICS are rare. Consequently, decided to retrospectively analyse patients scheduled for institution.After approval by...
Die COVID-19-Pandemie stellt Mitarbeiter im Kontext der klinischen Versorgung stationärer Patienten vor zusätzliche Belastungen. Zentrale Fragen sind, ob Gesundheitspersonal in von COVID-19-Patienten mehr Belastungen erlebt und die Patientensicherheit Versorgungsqualität sich verändert haben. Querschnittsstudie mittels einer Online-Umfrage Ärzten, Pflegenden, Therapeuten Krankenhäusern zu Arbeitsbedingungen während sowie Vergleich Mitarbeitern mit (MmK) vs. ohne direkten Kontakt (MoK)...
While surgery is the primary treatment choice for intracranial meningiomas in young patients, elderly especially those with pre-existing comorbidities, has been subject of repeated discussion. This study investigated postoperative risks and neurological benefits meningioma patients compared to patients.In total, 768 were included divided into two main groups: group I (age: ≤ 64 years; 484 patients) II ≥ 65 284 patients). Group was subdivided into: IIa 65-69 years), IIb 70-79 years); IIc 80...
Abstract Methodological studies investigating transcranial direct current stimulation (tDCS) over the left dorsolateral prefrontal cortex (lDLPFC) in paediatric populations are limited. Therefore, we investigated a population whether success of multichannel tDCS lDLPFC depends on concurrent task performance and individual head anatomy. In randomised, sham-controlled, double-blind crossover study 22 healthy participants (10–17 years) received 2 mA anodal (atDCS) with without 2-back working...
Background Aggressive behaviour is a prevalent and harmful phenomenon in patients with borderline personality disorder (BPD). However, no short-term, low-cost programme exists that specifically focuses on aggression. Aims Attuning therapy modules to pathogenetic mechanisms underlie reactive aggression BPD, we composed 6 week mechanism-based anti-aggression psychotherapy (MAAP) approach for the group setting, which tested against non-specific supportive (NSSP). Method A cluster-randomised...
Metabolic acidosis (MA) is a common complication after kidney transplantation and regarded to increase mortality, graft failure, bone fractures. Here, we conducted retrospective cohort study analyze the effect of sodium bicarbonate on those events.All transplant recipients German health insurance Allgemeine Ortskrankenkasse (AOK) were selected, who received their between 2007 2015. Three groups formed: (1) control group (no acidosis, n = 3602), (2) (encoded 370), (3) treatment therapy, 769)....
Objective: Successful treatment of chronic low back pain (LBP) is difficult in clinical practice and hard to measure trials. One reason might be the use insufficient outcome parameters. The aim was investigate importance typical characteristics LBP on QoL functionality.Methods: A total 51 patients with (19 with, 32 without radiculopathy) were investigated different questionnaires.Results: Burdening symptoms differed frequency, intensity impairment functionality between radiculopathy area...
The influenza vaccination rate among older and chronically ill patients in Germany has declined the past decade spite of campaigns.
International journal of environmental and science education 11 (2016) 14, S. 6774-6795 Padagogische Teildisziplin: Fachdidaktik/mathematisch-naturwissenschaftliche Facher; als elektronischer Volltext verfugbar