A5042005527- Liver Disease Diagnosis and Treatment
- Liver Disease and Transplantation
- Education and Digital Technologies
- Education Pedagogy and Practices
- Complementary and Alternative Medicine Studies
- Education during COVID-19 pandemic
- Childhood Cancer Survivors' Quality of Life
- Organ Transplantation Techniques and Outcomes
- Child and Adolescent Health
- Parasitic Infections and Diagnostics
- Alcohol Consumption and Health Effects
- Urban Green Space and Health
- Pediatric health and respiratory diseases
- Business and Management Studies
- Dental Anxiety and Anesthesia Techniques
- Hepatocellular Carcinoma Treatment and Prognosis
- Dental Health and Care Utilization
- Herbal Medicine Research Studies
- Health, psychology, and well-being
- Healthcare during COVID-19 Pandemic
- Maternal and fetal healthcare
- International Relations and Autism
- Phytochemistry Medicinal Plant Applications
- Cardiac Health and Mental Health
- Posttraumatic Stress Disorder Research
Gemeinschaftskrankenhaus Herdecke
2019-2025
Faculdade Metropolitana de Manaus
2023
Pontifícia Universidade Católica de Minas Gerais
2023
Witten/Herdecke University
2019-2023
Hospital de Santa Maria
2019-2023
Hospital Adventista Silvestre
2023
Centro Hospitalar Lisboa Norte
2019-2022
University of Lisbon
2019-2022
Universidade Federal de Uberlândia
2005
Despite recent advances in treatment of viral hepatitis, liver-related mortality is high, possibly owing to the large burden advanced alcohol-related liver disease (ALD). We investigated whether patients with ALD are initially seen at later stages development than hepatitis C virus (HCV) infection or other etiologies.We performed a cross-sectional study 3453 consecutive either early (1699 and 1754 disease) 17 tertiary care gastrointestinal units worldwide, from August 2015 through March...
Abstract Background and aims The role of portal vein thrombosis (PVT) in the natural history cirrhosis is controversial. There are few prospective studies validating risk factors for development PVT. We analysed incidence, associated with PVT its influence on decompensations orthotopic liver transplant (OLT)‐free survival. Methods In this observational study between January 2014 March 2019, 445 consecutive patients chronic disease were screened finally 241 included. Factors OLT‐free survival...
Introduction An open dialogue between parents of children with cancer and medical staff about the benefits, risks, interactions complementary medicine used during treatment is essential to enhance safety efficacy. However, both often lack sufficient knowledge willingness engage in such discussions. To address this, bedside counseling for patients families proposed, provided directly by an external team comprising experienced specialists conventional medicine. This approach aims facilitate...
This questionnaire-based validation study investigated if the dental examination of children and adolescents with autism spectrum disorder is viewed by dentists key expertise in paediatric dentistry as a challenge or threat terms transactional stress theory. The Stress Appraisal Measure (SAM) was used for this purpose it's feasibility validity examined first part multi-stage process sample German dentists. It has hardly been how treatment from perceived dentists.An online-based survey (39...
Background: The treatment of children and adolescents with disabilities (CA-Dis) psycho-emotional disorders (CA-Psy) places special demands on dentists. Aim: To explore German dentists’ (with key expertise in paediatric dentistry) perception their competence comfort levels dealing these patients, implications for access to care. Methods: Online questionnaire surveying demographic information self-assessment training, knowledge, CA-Dis CA-Psy among 1725 members the Society Paediatric...
More than one third of all German pediatric patients with cancer use complementary and integrative medicine (CIM). Parents want to discuss the topic CIM their oncologists (POs); however, POs mostly do not feel confident discussing these topics. report openness receiving further information training, but training opportunities in medical education seem rare. We investigated POs' needs preference patterns regarding content a paper-based or online survey. A total 101 from Germany completed Only...
CASE REPORT A 56-year-old man presented with a history of epigastric pain and early postprandial satiety for 1 year. Esophagogastroduodenoscopy showed an 11-mm polypoid mass central ulceration in the second portion duodenum, near major ampulla (Figure 1). Multiple biopsy specimens were performed, but histologic examination revealed only nonspecific inflammatory changes. Thoracoabdominal computed tomography did not identify any regional lymphadenopathy or distant lesions. Endoscopic...
ZUSAMMENFASSUNG Hintergrund Verschiedene Studien berichten über das Stresserleben von Krankenhausmitarbeitern während der COVID-19-Pandemie, aber auch vor Pandemie fühlten sich viele ärztliche Klinikmitarbeiter durch ein hohes Arbeitspensum oder unklare Vorgaben emotional erschöpft. Methoden Kognitive Bewertungen und ärztlichem Krankenhauspersonal aus 6 Kliniken im zeitlichen Verlauf COVID-19-Pandemie wurden ausgewertet. Neben deutschsprachigen Version des „Stress Appraisal Measure“ (SAM)...
Complementary and alternative medicine (CAM) use in children with cancer has a high prevalence. If (parents of) patients bring up the topic of CAM, pediatric oncologists (POs) face considerable challenges regarding knowledge professional behavior. In this study, we explore German POs' understanding CAM related attitudes as well strategies to discussions by means semi-structured interviews analyzed according principles qualitative thematic analysis parents cancer. We could conduct 14 prior...
Background and aims Sorafenib, used for advanced-stage hepatocellular carcinoma (HCC), has an overall survival (OS) of 10 months. However, some patients have better response long-term (LTS). Aims to assess predictive factors LTS. Methods Retrospectively reviewed 77 advanced HCC patients, starting sorafenib treatment between 2007 2016, with LTS (OS ≥24 months) as primary endpoint. Univariate multivariable analysis clinical variables were performed in order identify Results Patients: seventy...
Abstract Background Most German hospitals do not offer a trial of labour after two caesarean sections (TOLA2C). TOLA2C is claimed to be associated with too many complications, above all the high risk uterine rupture. The objective this study review our experience TOLA2C, special attention paid and probability ruptures. Secondary outcomes include comparing neonatal maternal in group elective repeat section (ERCS) assess success rate for vaginal birth (VBAC-2). Methods retrospective cohort was...
A blended learning program to promote the consultation expertise of pediatric oncologists (POs) on complementary and integrative medicine (CIM) was developed completed by POs as part a training program. previous study indicated that in Germany were need information CIM, there no medical offers subject Germany.Evaluation e-learning (questionnaires) practically oriented one-day, face-to-face workshops (questionnaires, simulation patients), evaluated with regard changes quality...
ARCHI - Development of a questionnaire on architecture child and adolescent psychiatric facilities Abstract.Objective: Studies from various disciplines have pointed to connection between the structural characteristics hospitals, in particular hospital wards, parameters recovery process patients treated there. To date, however, no current studies further investigated whether individual architectural aspects clinical complexes are more relevant everyday practice than others. Method: link...
Pediatricians frequently feel uncertain about their ability to detect early symptoms of child abuse and how respond in suspected cases.This study investigated the transactional stress model German pediatricians who experienced imagination stories with a protection scenario another potentially stress-triggering scenario.A two-part survey was conducted online. Each part included different story evaluation Stress Appraisal Measure (SAM), as well questions on protection, current problematics,...
Zusammenfassung Ziel Analyse mundgesundheitsbezogener Diagnoseprävalenzen bei Kindern, Jugendlichen (KiJu), jungen Erwachsenen mit psychischen Erkrankungen/Verhaltensstörungen (PEVS) und jenen der Allgemeinbevölkerung in Deutschland anhand von kassenärztlichen Abrechnungsdaten Methode Anonym vom ZI (Zentralinstitut) bereitgestellte bundesweite (2019) GKV-Versicherten (0–44 Jahre) wurden u. a. nach Geschlecht, Altersgruppen sowie ICD-K00-K14-Diagnose stratifiziert. Ergebnis Über diese...
A desinfecção eficaz do canal radicular é um dos principais objetivos e componente fundamental sucesso tratamento radicular. O desbridamento mecânico a irrigação intracanal com agentes dissolventes antimicrobianos são importantes para uma No entanto, alguns estudos têm mostrado prevalência de bactérias no interior canais radiculares mesmo após esses processos. Os lasers tornaram-se última escolha erradicar microrganismos. presente estudo tem como objetivo analisar efetividade da terapia...