TY - THES A1 - Henning, Thorsten T1 - Cross-sectional associations of dietary biomarker patterns with health and nutritional status Y1 - 2024 ER - TY - JOUR A1 - Reeg, Jette A1 - Heine, Simon A1 - Mihan, Christine A1 - McGee, Sean A1 - Preuss, Thomas G. A1 - Jeltsch, Florian T1 - A graphical user interface for the plant community model IBC-grass JF - Plos One N2 - Plants located adjacent to agricultural fields are important for maintaining biodiversity in semi-natural landscapes. To avoid undesired impacts on these plants due to herbicide application on the arable fields, regulatory risk assessments are conducted prior to registration to ensure proposed uses of plant protection products do not present an unacceptable risk. The current risk assessment approach for these non-target terrestrial plants (NTTPs) examines impacts at the individual-level as a surrogate approach for protecting the plant community due to the inherent difficulties of directly assessing population or community level impacts. However, modelling approaches are suitable higher tier tools to upscale individual-level effects to community level. IBC-grass is a sophisticated plant community model, which has already been applied in several studies. However, as it is a console application software, it was not deemed sufficiently user-friendly for risk managers and assessors to be conveniently operated without prior expertise in ecological models. Here, we present a user-friendly and open source graphical user interface (GUI) for the application of IBC-grass in regulatory herbicide risk assessment. It facilitates the use of the plant community model for predicting long-term impacts of herbicide applications on NTTP communities. The GUI offers two options to integrate herbicide impacts: (1) dose responses based on current standard experiments (acc. to testing guidelines) and (2) based on specific effect intensities. Both options represent suitable higher tier options for future risk assessments of NTTPs as well as for research on the ecological relevance of effects. Y1 - 2020 U6 - https://doi.org/10.1371/journal.pone.0230012 SN - 1932-6203 VL - 15 IS - 3 PB - Plos 1 CY - San Francisco ER - TY - JOUR A1 - Kühne, Franziska A1 - Heinze, Peter Eric A1 - Weck, Florian T1 - Standardized patients in psychotherapy training and clinical supervision BT - study protocol for a randomized controlled trial JF - Trials N2 - Background Psychotherapy is highly effective and widely acknowledged for treating various mental disorders. Nevertheless, in terms of methods for teaching effective psychotherapeutic approaches and competencies, there has been a lack of investigation. Training and supervision are the main strategies for teaching therapist competencies, and standardized role-plays with simulated patients (i.e., trained individuals playing someone with a mental disorder) seem useful for evaluating training approaches. In medical education, this procedure is now internationally established. However, so far, little use has been made of standardized role-playing to evaluate training and supervision in the area of clinical psychology and psychotherapy. Methods In this study, standardized role-plays are used to evaluate methods for training and supervision. Central cognitive behavioral approaches for treating depression are taught in the training. The first experiment compares an active training approach (i.e., model learning) with a passive one (i.e., reading manual-based instructions). The second experiment compares a direct supervision technique (i.e., supervision based on video analysis) with an indirect one (i.e., supervision based on verbal reporting). In each experiment, 68 bachelor’s and master’s students of psychology will be randomly assigned to the experimental and control groups. Each student takes part in three role-plays (baseline, post and 3-month follow-up), which are all videotaped. Two independent raters assess therapist competencies in each role-play on the basis of a standardized competence scale. Discussion The research project aims to contribute to the development of specific training and supervision methods in order to improve psychotherapy training and patient care. KW - Clinical psychology KW - Education KW - Psychotherapeutic competencies KW - Psychotherapy research KW - Role-playing KW - Simulated patients KW - Standardized patients KW - Randomized controlled trial Y1 - 2020 U6 - https://doi.org/10.1186/s13063-020-4172-z SN - 1745-6215 VL - 21 PB - BioMed Central CY - London ER - TY - JOUR A1 - Pehlivanoglu, Tuna A1 - Würtz-Kozak, Karin A1 - Heider, Franziska A1 - Sauer, Daniel A1 - Wanke-Jellinek, Lorenz A1 - Mayer, Michael A1 - Mehren, Christoph T1 - Clinical and Radiographic Outcome of Patients With Cervical Spondylotic Myelopathy Undergoing Total Disc Replacement JF - SPINE N2 - Study Design. A nonrandomized, prospective, and single-center clinical trial. Objective. The aim of this study was to investigate the clinical and radiographic efficacy of ProDisc Vivo cervical total disc replacement (cTDR) in patients with clinical and radiographic documented cervical spondylotic myelopathy (CSM), due to degenerative changes at the index level. Summary of Background Data. Decompression and fusion is still the gold standard in patients with cervical myelopathy. Very limited data are available regarding the application of cTDR in patients with clinical and radiological documented CSM in context of clinical and radiographic outcomes. Methods. Clinical outcome scores included the Neck Disability Index (NDI), Visual Analogue Scale (VAS), arm and neck pain self-assessment questionnaires as well as the Nurick grade and the Japanese Orthopaedic Association (JOA) score. The radiological outcome included the range of motion (ROM), the segmental and global (C2-C7) lordosis, and the occurrence of heterotopic ossifications. Results. Eighteen consecutive patients (10 males, 8 females) with documented clinical and radiological signs of myelopathy were included in this investigation. The study population had a mean age of 52.4 years and a follow-up period of 20.3 months in average (range 3-48 months). The mean range ROM of the index level stayed consistent with 6.8 degrees preoperatively and 7.2 degrees (P = 0.578) at the last follow-up; the global lordosis in neutral position changed from 3.5 degrees to 14.2 degrees significantly (P = 0.005) in mean. The JOA score improved from 11.3 to 16.6 (P < 0.001) as well as the NDI 36.7 to 10.3 (P < 0.001) and the VAS score from 5.7/6.1 (arm/neck) to 1.3/2.0 (P P < 0.001). The mean Nurick grade was 1.33 preoperatively and dropped down in all cases to Nurick grade of 0 (P < 0.001). Conclusion. cTDR (with ProDisc Vivio) in patients with CSM yielded good clinical and radiographic outcomes and found as a reliable, safe, and motion-preserving surgical treatment option, although its indication is very limited due to numerous exclusion criteria. KW - cervical myelopathy KW - cervical total disc replacement KW - disc arthroplasty KW - ProDisc Vivo Y1 - 2019 U6 - https://doi.org/10.1097/BRS.0000000000003079 SN - 0362-2436 SN - 1528-1159 VL - 44 IS - 20 SP - 1403 EP - 1411 PB - Lippincott Williams & Wilkins CY - Philadelphia ER - TY - JOUR A1 - Lossow, Kristina A1 - Schwerdtle, Tanja A1 - Kipp, Anna Patricia T1 - Selen und Jod: essenzielle Spurenelemente für die Schilddrüse T1 - Selenium and iodine - essential trace elements for the thyroid JF - Ernährungs-Umschau : Forschung & Praxis N2 - Selen und Jod sind essenzielle Spurenelemente, die gemeinsam für eine optimale Funktionstüchtigkeit der Schilddrüse erforderlich sind. Der Mangel eines oder beider Elemente führt zu Verschiebungen auf Ebene der Schilddrüsenhormonproduktion mit weitreichenden Konsequenzen für Stoffwechselprozesse, neurologische Entwicklung und Erkrankungen. Auch bei Autoimmunerkrankungen der Schilddrüse spielt die Versorgung mit Jod und Selen eine wichtige Rolle. Als Biomarker für den Selenstatus eignet sich der Gehalt des Gesamtselens oder der des Selenoproteins P im Serum. Zur Bestimmung des Jodstatus wird in der Regel der Jodgehalt im Urin herangezogen. Um den Versorgungszustand an diesen und vier weiteren essenziellen Spurenelementen besser zu erfassen, charakterisiert die Forschungsgruppe TraceAge alters- und geschlechtsspezifische Spurenelementprofile und neue funktionelle Biomarker der einzelnen Spurenelemente. Außerdem sollen Interaktionen weiterer Spurenelemente genauer untersucht werden. N2 - Selenium and iodine are essential trace elements that work together to ensure that the thyroid functions optimally. A deficiency in one or both of these elements leads to fluctuations in thyroid hormone production, which have far-reaching consequences in terms of metabolic processes, neurological development, and disease. Iodine and selenium supply also play an important role in autoimmune diseases of the thyroid. Both the total selenium concentration in the serum and the concentration of selenoprotein P are suitable biomarkers for determining selenium status. Iodine concentration in the urine is the most commonly used method of determining iodine status. In order to improve assessment of supply status for these two essential trace elements plus an additional four, the TraceAge research group is identifying age- and sex-specific trace element profiles as well as new functional biomarkers for the individual trace elements. In addition, the research group will investigate interactions with other trace elements in more detail. KW - Selen KW - Jod KW - Schilddrüse KW - Schilddrüsenautoimmunerkrankungen KW - Selenoproteine KW - TraceAge Y1 - 2019 U6 - https://doi.org/10.4455/eu.2019.032 SN - 0174-0008 VL - 66 IS - 9 SP - M531 EP - M536 PB - Umschau-Zeitschriftenverl. CY - Frankfurt, Main ER - TY - JOUR A1 - Gancheva, Sofiya A1 - Ouni, Meriem A1 - Jelenik, Tomas A1 - Koliaki, Chrysi A1 - Szendroedi, Julia A1 - Toledo, Frederico G. S. A1 - Markgraf, Daniel Frank A1 - Pesta, Dominik H. A1 - Mastrototaro, Lucia A1 - De Filippo, Elisabetta A1 - Herder, Christian A1 - Jähnert, Markus A1 - Weiss, Jürgen A1 - Strassburger, Klaus A1 - Schlensak, Matthias A1 - Schürmann, Annette A1 - Roden, Michael T1 - Dynamic changes of muscle insulin sensitivity after metabolic surgery JF - Nature Communications N2 - The mechanisms underlying improved insulin sensitivity after surgically-induced weight loss are still unclear. We monitored skeletal muscle metabolism in obese individuals before and over 52 weeks after metabolic surgery. Initial weight loss occurs in parallel with a decrease in muscle oxidative capacity and respiratory control ratio. Persistent elevation of intramyocellular lipid intermediates, likely resulting from unrestrained adipose tissue lipolysis, accompanies the lack of rapid changes in insulin sensitivity. Simultaneously, alterations in skeletal muscle expression of genes involved in calcium/lipid metabolism and mitochondrial function associate with subsequent distinct DNA methylation patterns at 52 weeks after surgery. Thus, initial unfavorable metabolic changes including insulin resistance of adipose tissue and skeletal muscle precede epigenetic modifications of genes involved in muscle energy metabolism and the long-term improvement of insulin sensitivity. Y1 - 2019 U6 - https://doi.org/10.1038/s41467-019-12081-0 SN - 2041-1723 VL - 10 PB - Nature Publ. Group CY - London ER - TY - JOUR A1 - Wochatz, Monique A1 - Tilgner, Nina A1 - Mueller, Steffen A1 - Rabe, Sophie A1 - Eichler, Sarah A1 - John, Michael A1 - Völler, Heinz A1 - Mayer, Frank T1 - Reliability and validity of the Kinect V2 for the assessment of lower extremity rehabilitation exercises JF - Gait & posture N2 - Research question: The purpose of this study was to evaluate the test-retest reliability of lower extremity kinematics during squat, hip abduction and lunge exercises captured by the Kinect and to evaluate the agreement to a reference 3D camera-based motion system. Methods: Twenty-one healthy individuals performed five repetitions of each lower limb exercise on two different days. Movements were simultaneously assessed by the Kinect and the reference 3D motion system. Joint angles and positions of the lower limb were calculated for sagittal and frontal plane. For the inter-session reliability and the agreement between the two systems standard error of measurement (SEM), bias with limits of agreement (LoA) and Pearson Correlation Coefficient (r) were calculated. Results: Parameters indicated varying reliability for the assessed joint angles and positions and decreasing reliability with increasing task complexity. Across all exercises, measurement deviations were shown especially for small movement amplitudes. Variability was acceptable for joint angles and positions during the squat, partially acceptable during the hip abduction and predominately inacceptable during the lunge. The agreement between systems was characterized by systematic errors. Overestimations by the Kinect were apparent for hip flexion during the squat and hip abduction/adduction during the hip abduction exercise as well as for the knee positions during the lunge. Knee and hip flexion during hip abduction and lunge were underestimated by the Kinect. Significance: The Kinect system can reliably assess lower limb joint angles and positions during simple exercises. The validity of the system is however restricted. An application in the field of early orthopedic rehabilitation without further development of post-processing techniques seems so far limited. KW - Reproducibility KW - Agreement KW - Markerless motion capture system KW - Telerehabilitation Y1 - 2018 U6 - https://doi.org/10.1016/j.gaitpost.2019.03.020 SN - 0966-6362 SN - 1879-2219 VL - 70 SP - 330 EP - 335 PB - Elsevier CY - Clare ER - TY - JOUR A1 - Hadzic, Miralem A1 - Eckestein, Max Lennart A1 - Schugardt, Monique T1 - The Impact of Sodium Bicarbonate on Performance in Response to Exercise Duration in Athletes BT - A Systematic Review JF - Journal of sports science & medicine : JSSM N2 - According to recent literature sodium bicarbonate (NaHCO3) has been proposed as a performance enhancing aid by reducing acidosis during exercise. The aim of the current review is to investigate if the duration of exercise is an essential factor for the effect of NaHCO3. To collect the latest studies from electronic database of PubMed, study publication time was restricted from December 2006 to December 2016. The search was updated in July 2018. The studies were divided into exercise durations of > 4 or ≤ 4 minutes for easier comparability of their effects in different exercises. Only randomized controlled trials were included in this review. Of the 775 studies, 35 met the inclusion criteria. Study design, subjects, effects as well as outcome criteria were inconsistent throughout the studies. Seventeen of these studies reported performance enhancing effects after supplementing NaHCO3. Eleven of twenty studies with exercise duration of ≤ 4 minutes showed positive and four diverse results after supplementing NaHCO3. On the other hand six of fifteen studies with an exercise duration of >4 minutes showed performance enhancing and two studies showed diverse results. Consequently, the duration of exercise might be influential for inducing a performance enhancing effect when supplementing NaHCO3, but to which extent, remains unclear due to the inconsistencies in the study results. KW - Sodium bicarbonate KW - supplementation KW - acute KW - chronic KW - performance outcome Y1 - 2019 UR - https://www.jssm.org/hfabst.php?id=jssm-18-271.xml SN - 1303-2968 IS - 18 SP - 271 EP - 281 PB - Department of Sports Medicine, Medical Faculty of Uludag University CY - Bursa, Turkey ER - TY - GEN A1 - Hadzic, Miralem A1 - Eckstein, Max Lennart A1 - Schugardt, Monique T1 - The Impact of Sodium Bicarbonate on Performance in Response to Exercise Duration in Athletes BT - A Systematic Review T2 - Potsprints der Universität Potsdam : Humanwissenschaftliche Reihe N2 - According to recent literature sodium bicarbonate (NaHCO3) has been proposed as a performance enhancing aid by reducing acidosis during exercise. The aim of the current review is to investigate if the duration of exercise is an essential factor for the effect of NaHCO3. To collect the latest studies from electronic database of PubMed, study publication time was restricted from December 2006 to December 2016. The search was updated in July 2018. The studies were divided into exercise durations of > 4 or ≤ 4 minutes for easier comparability of their effects in different exercises. Only randomized controlled trials were included in this review. Of the 775 studies, 35 met the inclusion criteria. Study design, subjects, effects as well as outcome criteria were inconsistent throughout the studies. Seventeen of these studies reported performance enhancing effects after supplementing NaHCO3. Eleven of twenty studies with exercise duration of ≤ 4 minutes showed positive and four diverse results after supplementing NaHCO3. On the other hand six of fifteen studies with an exercise duration of >4 minutes showed performance enhancing and two studies showed diverse results. Consequently, the duration of exercise might be influential for inducing a performance enhancing effect when supplementing NaHCO3, but to which extent, remains unclear due to the inconsistencies in the study results. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 548 KW - Sodium bicarbonate KW - supplementation KW - acute KW - chronic KW - performance outcome Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-428078 SN - 1866-8364 IS - 548 ER - TY - GEN A1 - Pérez Chaparro, Camilo Germán Alberto A1 - Mayer, Frank A1 - Beckendorf, Claudia T1 - Cardiovascular drift response over two different constant-load exercises in healthy non-athletes BT - case study T2 - Medicine and science in sports and exercise : official journal of the American College of Sports Medicine N2 - Cardiovascular drift (CV-d) is a steady increase in heart rate (HR) over time while performing constant load moderate intensity exercise (CME) > 20 min. CV-d presents problems for the prescription of exercise intensity by means of HR, because the work rate (WR) during exercise must be adjusted to maintain target HR, thus disturbing the intended effect of the exercise intervention. It has been shown that the increase in HR during CME is due to changes in WR and not to CV-d. Y1 - 2019 U6 - https://doi.org/10.1249/01.mss.0000561495.15163.50 SN - 0195-9131 SN - 1530-0315 VL - 51 IS - 6 SP - 329 EP - 329 PB - Lippincott Williams & Wilkins CY - Philadelphia ER -