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  • 1
    Online-Ressource
    Online-Ressource
    Reliability and Correlation of Static and Dynamic Foot Arch Measurement in a Healthy Pediatric Population
    American Podiatric Medical Association ; 2017
    In:  Journal of the American Podiatric Medical Association Vol. 107, No. 5 ( 2017-09-01), p. 419-427
    Details
    In: Journal of the American Podiatric Medical Association, American Podiatric Medical Association, Vol. 107, No. 5 ( 2017-09-01), p. 419-427
    Kurzfassung: Measurement of the medial longitudinal foot arch in children is a controversial topic, as there are many different methods without a definite standard procedure. The purpose of this study was to 1) investigate intraday and interrater reliability regarding dynamic arch index and static arch height, 2) explore the correlation between both arch indices, and 3) examine the variation of the medial longitudinal arch at two different times of the day. Methods: Eighty-six children (mean ± SD age, 8.9 ± 1.9 years) participated in the study. Dynamic footprint data were captured with a pedobarographic platform. For static arch measurements, a specially constructed caliper was used to assess heel-to-toe length and dorsum height. A mixed model was established to determine reliability and variation. Results: Reliability was found to be excellent for the static arch height index in sitting (intraday, 0.90; interrater, 0.80) and standing positions (0.88 and 0.85) and for the dynamic arch index (both 1.00). There was poor correlation between static and dynamic assessment of the medial longitudinal arch (standing dynamic arch index, r = –0.138; sitting dynamic arch index, r = –0.070). Static measurements were found to be significantly influenced by the time of day (P & lt; .001), whereas the dynamic arch index was unchanged (P = .845). This study revealed some further important findings. The static arch height index is influenced by gender (P = .004), whereas dynamic arch index is influenced by side (P = .011) and body mass index (P & lt; .001). Conclusions: Dynamic and static foot measurements are reliable for medial longitudinal foot arch assessment in children. The variation of static arch measurements during the day has to be kept in mind. For clinical purposes, static and dynamic arch data should be interpreted separately.
    Materialart: Online-Ressource
    ISSN: 8750-7315 , 1930-8264
    URL: Article
    DOI: 10.7547/16-133
    Sprache: Englisch
    Verlag: American Podiatric Medical Association
    Publikationsdatum: 2017
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 2
    Online-Ressource
    Online-Ressource
    Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients
    S. Karger AG ; 2016
    In:  Psychotherapy and Psychosomatics Vol. 85, No. 5 ( 2016), p. 289-296
    Details
    In: Psychotherapy and Psychosomatics, S. Karger AG, Vol. 85, No. 5 ( 2016), p. 289-296
    Kurzfassung: 〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 Psychological problems are common in cancer patients. For the purpose of planning psycho-oncological interventions and services tailored to the specific needs of different cancer patient populations, it is necessary to know to what extent psychological problems meet the criteria of mental disorders. The purpose of this study was to estimate the 12-month and lifetime prevalence rates of mental disorders in cancer patients. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 A representative sample of patients with different tumour entities and tumour stages (n = 2,141) in outpatient, inpatient and rehabilitation settings underwent the standardized computer-assisted Composite International Diagnostic Interview for mental disorders adapted for cancer patients (CIDI-O). 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 The overall 12-month prevalence for any mental disorder was 39.4% (95% CI: 37.3-41.5), that for anxiety disorders was 15.8% (95% CI: 14.4-17.4), 12.5% (95% CI: 11.3-14.0) for mood disorders, 9.5% (95% CI: 8.3-10.9) for somatoform disorders, 7.3% (95% CI: 6.2-8.5) for nicotine dependence, 3.7% (95% CI: 3.0-4.6) for disorders due to general medical condition, and 1.1% (95% CI: 0.7-1.6) for alcohol abuse or dependence. Lifetime prevalence for any mental disorder was 56.3% (95% CI 54.1-58.6), that for anxiety disorders was 24.1% (95% CI: 22.3-25.9), 20.5% (95% CI: 18.9-22.3) for mood disorders, 19.9% (95% CI: 18.3-21.7) for somatoform disorders, 18.2% (95% CI: 16.6-20.0) for nicotine dependence, 6.4% (95% CI: 5.4-7.6) for alcohol abuse or dependence, 4.6% (95% CI: 3.8-5.6) for disorders due to general medical condition, and 0.2% (95% CI: 0.1-0.6) for eating disorders. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Mental disorders are highly prevalent in cancer patients, indicating the need for provision of continuous psycho-oncological support from inpatient to outpatient care, leading to an appropriate allocation of direct personnel and other resources.
    Materialart: Online-Ressource
    ISSN: 0033-3190 , 1423-0348
    URL: Article
    DOI: 10.1159/000446991
    RVK:
    CU 5500
    RVK:
    XA 10000
    Sprache: Englisch
    Verlag: S. Karger AG
    Publikationsdatum: 2016
    ZDB Id: 1472321-9
    SSG: 5,2
    SSG: 15,3
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 3
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    The baroreceptor reflex brought to life outside the classroom – an e-learning based asynchronous laboratory class using a non-supervised modified Active Standing Test
    Springer Science and Business Media LLC ; 2022
    In:  BMC Medical Education Vol. 22, No. 1 ( 2022-07-01)
    Details
    In: BMC Medical Education, Springer Science and Business Media LLC, Vol. 22, No. 1 ( 2022-07-01)
    Kurzfassung: E-learning based laboratory classes can replace or enhance in-classroom laboratories. They typically offer temporal flexibility, self-determined learning speed, repeatability and do not require supervision or face-to-face contact. The aim of this feasibility study was to investigate whether the established in-classroom laboratory class on the baroreceptor reflex (BRR) can be transformed into a new e-learning based asynchronous laboratory class for untrained, non-supervised students without medical equipment. The BRR is a fundamental cardiovascular process which is regularly visualized in physiology during in-classroom laboratories by a student-performed Active Standing Test (AST). During this voluntary provocation of orthostatic stress, the BRR reliably causes a solid rise in heart rate (HR) and a stabilization or even increase in blood pressure (BP). Methods The conventional AST was modified by omission of BP measurements which would require medical devices and was embedded into a framework of interactive digital material allowing independent student performance. With specific adaptions, this instrument was implemented to 1st and 2nd year curricula of human medicine, dental medicine, midwifery and pharmacy. An audience response system was used to collect the students’ data on HR, epidemiology, technical problems, satisfaction and orthostatic symptoms. As primary outcome, we investigated the students’ correct performance of the modified AST regarding textbook conformity of the HR data. Secondary outcomes included technical feasibility, the students’ satisfaction and consistency of HR data within predefined subgroups (e.g., gender, curricula). Descriptive statistics are reported. Results The class was completed by 217 students (mean age: 23 ± 8 [SD], 81% female, 19% male). Mean reported rise of HR during standing was ~ 20 bpm (~ 30%) which is highly concordant to textbooks. Reported feasibility (~ 80% negated any technical issues) and students’ satisfaction (4.4 on 5-point Likert-scale) were high. The HR data were consistent within the subgroups. Conclusion This study demonstrates that the highly relevant BRR can be successfully addressed in an e-learning based asynchronous laboratory class implementing a non-supervised AST restricted to HR measurements embedded in digital material. The robust HR response and the adjustable complexity allow an application to different healthcare-related curricula. This class, therefore, provides a broad audience access to a fundamental concept of cardiovascular physiology.
    Materialart: Online-Ressource
    ISSN: 1472-6920
    URL: Article
    DOI: 10.1186/s12909-022-03573-7
    Sprache: Englisch
    Verlag: Springer Science and Business Media LLC
    Publikationsdatum: 2022
    ZDB Id: 2044473-4
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 4
    Online-Ressource
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    Four-Week Prevalence of Mental Disorders in Patients With Cancer Across Major Tumor Entities
    American Society of Clinical Oncology (ASCO) ; 2014
    In:  Journal of Clinical Oncology Vol. 32, No. 31 ( 2014-11-01), p. 3540-3546
    Details
    In: Journal of Clinical Oncology, American Society of Clinical Oncology (ASCO), Vol. 32, No. 31 ( 2014-11-01), p. 3540-3546
    Kurzfassung: To provide the 4-week prevalence estimates of mental disorders in cancer populations. Patients and Methods We enrolled adult patients with cancer from in- and outpatient care facilities, using a proportional stratified random sample based on the nationwide cancer incidence in Germany. Patients who scored 9 or above on the Patient Health Questionnaire (PHQ-9) were administered to the standardized computer-assisted Composite International Diagnostic Interview for mental disorders adapted for cancer patients (CIDI-O). A random sample of those with a PHQ-9 score that was less than 9 were selected for a CIDI-O. Results A total of 5,889 patients were identified, which led to 4,020 participants (a 68.3% response rate); of those, 2,141 patients were interviewed. The 4-week total prevalence for any mental disorder was 31.8% (95% CI, 29.8% to 33.8%); this included any anxiety disorder (11.5%; 95% CI, 10.2% to 12.9%), any adjustment disorder (11.1%; 95% CI, 9.7% to 12.4%), any mood disorder (6.5%; 95% CI, 5.5% to 7.5%), any somatoform/conversion disorder (5.3%; 95% CI, 4.3% to 6.2%), nicotine dependence (4.5%; 95% CI, 3.6% to 5.4%), alcohol abuse/dependence (0.3%; 95% CI, 0.1% to 0.6%), any mental disorder resulting from general medical condition (2.3%; 95% CI, 1.7% to 2.9%), and any eating disorder (0%). The highest prevalence for any mental disorder was found in patients with breast cancer (41.6%; 95% CI, 36.8% to 46.4%), followed by patients with head and neck cancer (40.8%; 95% CI, 28.5% to 53.0%). The lowest prevalence was found in patients with pancreatic cancer (20.3%; 95% CI, 8.9% to 31.6%) and stomach/esophagus cancers (21.2%; 95% CI, 12.8% to 29.6%). Conclusion Our findings provide evidence for the strong need for psycho-oncological interventions.
    Materialart: Online-Ressource
    ISSN: 0732-183X , 1527-7755
    URL: Article
    DOI: 10.1200/JCO.2014.56.0086
    RVK:
    XA 52760
    RVK:
    XA 10000
    Sprache: Englisch
    Verlag: American Society of Clinical Oncology (ASCO)
    Publikationsdatum: 2014
    ZDB Id: 2005181-5
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 5
    Online-Ressource
    Online-Ressource
    Prevalence of mental disorders in elderly people: The European MentDis_ICF65+ study
    Royal College of Psychiatrists ; 2017
    In:  British Journal of Psychiatry Vol. 210, No. 2 ( 2017-02), p. 125-131
    Details
    In: British Journal of Psychiatry, Royal College of Psychiatrists, Vol. 210, No. 2 ( 2017-02), p. 125-131
    Kurzfassung: Except for dementia and depression, little is known about common mental disorders in elderly people. Aims To estimate current, 12-month and lifetime prevalence rates of mental disorders in different European and associated countries using a standardised diagnostic interview adapted to measure the cognitive needs of elderly people. Method The MentDis_ICF65+ study is based on an age-stratified, random sample of 3142 older men and women (65–84 years) living in selected catchment community areas of participating countries. Results One in two individuals had experienced a mental disorder in their lifetime, one in three within the past year and nearly one in four currently had a mental disorder. The most prevalent disorders were anxiety disorders, followed by affective and substance-related disorders. Conclusions Compared with previous studies we found substantially higher prevalence rates for most mental disorders. These findings underscore the need for improving diagnostic assessments adapted to the cognitive capacity of elderly people. There is a need to raise awareness of psychosocial problems in elderly people and to deliver high-quality mental health services to these individuals.
    Materialart: Online-Ressource
    ISSN: 0007-1250 , 1472-1465
    URL: Article
    DOI: 10.1192/bjp.bp.115.180463
    RVK:
    XA 10000
    Sprache: Englisch
    Verlag: Royal College of Psychiatrists
    Publikationsdatum: 2017
    ZDB Id: 2021500-9
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 6
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    Online-Ressource
    Anxiety Disorders in Old Age: Psychiatric Comorbidities, Quality of Life, and Prevalence According to Age, Gender, and Country
    Elsevier BV ; 2018
    In:  The American Journal of Geriatric Psychiatry Vol. 26, No. 2 ( 2018-02), p. 174-185
    Details
    In: The American Journal of Geriatric Psychiatry, Elsevier BV, Vol. 26, No. 2 ( 2018-02), p. 174-185
    Materialart: Online-Ressource
    ISSN: 1064-7481
    URL: Article
    DOI: 10.1016/j.jagp.2017.08.015
    Sprache: Englisch
    Verlag: Elsevier BV
    Publikationsdatum: 2018
    ZDB Id: 1474415-6
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 7
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    Online-Ressource
    Right-Sided Location Not Associated With Missed Colorectal Adenomas in an Individual-Level Reanalysis of Tandem Colonoscopy Studies
    Elsevier BV ; 2019
    In:  Gastroenterology Vol. 157, No. 3 ( 2019-09), p. 660-671.e2
    Details
    In: Gastroenterology, Elsevier BV, Vol. 157, No. 3 ( 2019-09), p. 660-671.e2
    Materialart: Online-Ressource
    ISSN: 0016-5085
    URL: Article
    DOI: 10.1053/j.gastro.2019.05.011
    RVK:
    XA 44500
    Sprache: Englisch
    Verlag: Elsevier BV
    Publikationsdatum: 2019
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 8
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    Quantitative analysis of submucosal excision depth in endoscopic resection for early Barrett’s cancer
    Georg Thieme Verlag KG ; 2022
    In:  Endoscopy Vol. 54, No. 06 ( 2022-06), p. 565-570
    Details
    In: Endoscopy, Georg Thieme Verlag KG, Vol. 54, No. 06 ( 2022-06), p. 565-570
    Kurzfassung: Background Following endoscopic resection of early-stage Barrett’s esophageal adenocarcinoma (BEA), further oncologic management then fundamentally relies upon the accurate assessment of histopathologic risk criteria, which requires there to be sufficient amounts of submucosal tissue in the resection specimens. Methods In 1685 digitized tissue sections from endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) performed for 76 early BEA cases from three experienced centers, the submucosal thickness was determined, using software developed in-house. Neoplastic lesions were manually annotated. Results No submucosa was seen in about a third of the entire resection area (mean 33.8 % [SD 17.2 %]), as well as underneath cancers (33.3 % [28.3 %] ), with similar results for both resection methods and with respect to submucosal thickness. ESD results showed a greater variability between centers than EMR. In T1b cancers, a higher rate of submucosal defects tended to correlate with R1 resections. Conclusion The absence of submucosa underneath about one third of the tissue of endoscopically resected BEAs should be improved. Results were more center-dependent for ESD than for EMR. Submucosal defects can potentially serve as a parameter for standardized reports.
    Materialart: Online-Ressource
    ISSN: 0013-726X , 1438-8812
    URL: Article
    DOI: 10.1055/a-1659-3514
    RVK:
    XA 41100
    RVK:
    YC 4905
    Sprache: Englisch
    Verlag: Georg Thieme Verlag KG
    Publikationsdatum: 2022
    ZDB Id: 2026213-9
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 9
    Online-Ressource
    Online-Ressource
    Effects of two instrument-generation changes on adenoma detection rate during screening colonoscopy: results from a prospective randomized comparative study
    Georg Thieme Verlag KG ; 2018
    In:  Endoscopy Vol. 50, No. 09 ( 2018-09), p. 878-885
    Details
    In: Endoscopy, Georg Thieme Verlag KG, Vol. 50, No. 09 ( 2018-09), p. 878-885
    Kurzfassung: Background Previous studies have shown that multiple colonoscope features have to be changed before an improvement in adenoma detection rate (ADR) becomes obvious, such as with changing from one instrument generation to the next but one. We wanted to evaluate whether such an effect can also be observed in a private-practice screening setting. Methods In a randomized study, we compared the latest generation colonoscopes from one company (Olympus Exera III, 190) with the next to last one (Olympus 165), including only patients presenting for screening colonoscopy. The primary outcome was ADR achieved with 190 colonoscopes (190-C) in comparison with 165 colonoscopes (165-C). Results 1221 patients (46.1 % men; mean age 62.2 years, standard deviation 6.6) were included (599 screened with the Olympus Exera III, 190). The ADR difference in favor of the 190-C instrument (32 % [95 % confidence interval (CI) 26 % to 39 %] vs. 28 % [95 %CI 22 % to 34 %] in the 165-C group) failed to reach statistical significance (P = 0.10); only the rate of small ( 〈  5 mm) adenomas was significantly increased at 22.5 % (95 %CI 19 % to 26 %) vs. 15.6 % (95 %CI 13 % to 18 %; P = 0.002). Furthermore, significantly more adenomas were found in the 190-C group, with an adenoma rate (all adenomas/all patients) of 0.57 (95 %CI 0.53 to 0.61) vs. 0.47 (95 %CI 0.43 to 0.51; P  〈  0.001). Conclusions This randomized comparative trial in a private-practice screening setting only partially confirmed the results of prior studies that, with multiple imaging improvements achieved over two instrument generations, an increase in overall adenoma number becomes measurable.
    Materialart: Online-Ressource
    ISSN: 0013-726X , 1438-8812
    URL: Article
    DOI: 10.1055/a-0607-2636
    RVK:
    XA 41100
    RVK:
    YC 4905
    Sprache: Englisch
    Verlag: Georg Thieme Verlag KG
    Publikationsdatum: 2018
    ZDB Id: 2026213-9
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 10
    Online-Ressource
    Online-Ressource
    Foot Strike Patterns Differ Between Children and Adolescents Growing up Barefoot vs. Shod
    Georg Thieme Verlag KG ; 2018
    In:  International Journal of Sports Medicine Vol. 39, No. 02 ( 2018-02), p. 97-103
    Details
    In: International Journal of Sports Medicine, Georg Thieme Verlag KG, Vol. 39, No. 02 ( 2018-02), p. 97-103
    Kurzfassung: Effects of early and permanent footwear use are not well understood. The aim of this study was to investigate the effects of habituation to footwear on foot strike patterns of children and adolescents. Healthy habitually barefoot and shod participants (aged 6–18 years) from South Africa (n=288) and Germany (n=390) performed multiple 20-m jogging and running trials with and without shoes. Each foot strike was captured using a high-speed camera to determine a rearfoot or non-rearfoot strike. The probability of a rearfoot strike in both cohorts and each age was analyzed by using a mixed-effects logistic regression adjusted for possible confounders. Habitually barefoot children showed a higher probability of using rearfoot strikes than habitually shod children (p 〈 0.001). The probability was age-dependent and decreased in habitually barefoot children with age (ORbarefoot-jogging=0.82, 95% CI, 0.71 to 0.96, p=0.014; ORbarefoot-running=0.58, 95% CI, 0.50 to 0.67, p 〈 0.001 and ORshod-running=0.68, 95% CI, 0.59 to 0.79, p 〈 0.001). In habitually shod children, the probability increased significantly for shod jogging (OR=1.19, 95% CI, 1.05 to 1.35, p=0.006). To conclude, foot strike patterns of children are influenced by habituation to footwear. Younger habitually barefoot children show higher rates of rearfoot strikes for shod and barefoot running, and it converges in later adolescence.
    Materialart: Online-Ressource
    ISSN: 0172-4622 , 1439-3964
    URL: Article
    DOI: 10.1055/s-0043-120344
    RVK:
    ZX 1000
    Sprache: Englisch
    Verlag: Georg Thieme Verlag KG
    Publikationsdatum: 2018
    ZDB Id: 2041541-2
    SSG: 31
    Standort Signatur Einschränkungen Verfügbarkeit
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