Search results for "Germany"

showing 10 items of 1172 documents

The Fatty Liver Assessment in Germany (FLAG) cohort study identifies large heterogeneity in NAFLD care

2020

Background & Aims NAFLD is a growing health concern. The aim of the Fatty Liver Assessment in Germany (FLAG) study was to assess disease burden and provide data on the standard of care from secondary care. Methods The FLAG study is an observational real-world study in patients with NAFLD enrolled at 13 centres across Germany. Severity of disease was assessed by non-invasive surrogate scores and data recorded at baseline and 12 months. Results In this study, 507 patients (mean age 53 years; 47% women) were enrolled. According to fibrosis-4 index, 64%, 26%, and 10% of the patients had no significant fibrosis, indeterminate stage, and advanced fibrosis, respectively. Patients with advanced fib…

NAFLD non-alcoholic fatty liver diseasemedicine.medical_specialtyBMI body mass indexNASH non-alcoholic steatohepatitisLiver fibrosisLSM liver stiffness measurementAST aspartate aminotransferaseLiver diseaseFLAG Fatty Liver Assessment in GermanyNAFLDALT alanine aminotransferaseInternal medicineAPRI aspartate-aminotransferase-to-platelet ratio indexInternal MedicineNAFL non-alcoholic fatty liverImmunology and AllergyMedicineddc:610Co-morbiditieslcsh:RC799-869FIB-4 fibrosis-4Disease burdenHepatologyFAST FibroScan-ASTGGT gamma-glutamyltransferasebusiness.industryFatty liverNASHGastroenterologyReal worldGLP-1 glucagon-like peptide-1T2DM type 2 diabetes mellitusCVE cardiovascular eventmedicine.diseaseMetabolic syndromeCohortlcsh:Diseases of the digestive system. GastroenterologyCAP controlled attenuation parameterSteatohepatitisMetabolic syndromebusinessBody mass indexResearch ArticleCohort studyJHEP Reports
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Franz Schreker. Un compositore "nel crepuscolo del mondo"

2010

Franz Schreker (1878-1934) fu uno dei più noti e controversi autori di teatro musicale della Germania fra le due guerre. Nel 1933 la sua musica venne proibita ed egli morì poco dopo l'avvento al potere di Hitler. Il saggio traccia un breve profilo biografico dell'autore e si sofferma sulla genesi, il soggetto e i caratteri musicali dell'opera in tre atti "Die Gezeichenten" (I predestinati, 1913-15).

NazismnazismoNovecentoOperaopera liricaI predestinati.GermanyDegenerate Musicmusica degenerata Die GezeichnetenSettore L-ART/07 - Musicologia E Storia Della MusicaXX CenturyGermania musicaDie Gezeichneten.MusicFranz Schreker
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Anxiety disorders and other psychiatric subgroups in patients complaining of dizziness.

2003

Two hundred and two consecutive patients with dizziness were evaluated using blind neuro-otological testing and examination, blind psychiatric examination, including structured interviews (according to DSM-IV), the Symptom Check-List (SCL 90 R), and the State-Trait Anxiety Inventory (STAI). In 28% of the patients (N=50) dizziness was of organic origin (O group); in 55.3% (N=99) of psychogenic origin (P group) and in 16.8% comorbid psychiatric disorders were found (Mixed group). In 5.3% (N=10) neither organic nor psychiatric results could be found, which could explain the dizziness (Ideopathic group). Compared with the Organic group the patients with psychiatric disorders (P and Mixed group)…

NosologyAdultMalemedicine.medical_specialtyAdolescentDizzinessDiagnosis Differential03 medical and health sciences0302 clinical medicineChronic subjective dizzinessGermanymedicinePsychogenic diseaseHumans030223 otorhinolaryngologyPsychiatrymusicDepression (differential diagnoses)AgedPsychiatric Status Rating Scalesmusic.instrumentMental DisordersMiddle Agedmedicine.diseaseAnxiety Disorders3. Good healthPsychiatry and Mental healthClinical PsychologyVestibular DiseasesAnxietyFemalemedicine.symptomPsychologySomatization030217 neurology & neurosurgeryAnxiety disorderStress PsychologicalAgoraphobiaJournal of anxiety disorders
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Gender differences in axis I and axis II comorbidity in patients with borderline personality disorder.

2008

<i>Background/Aims:</i> Differences in the clinical presentation of men and women with borderline personality disorder (BPD) are of potential interest for investigations into the neurobiology, genetics, natural history, and treatment response of BPD. The purpose of this study was to investigate gender differences in axis I and axis II comorbidity and in diagnostic criteria in BPD patients. <i>Methods:</i> 110 women and 49 men with BPD were assessed with the computer-based version of the Munich-Composite International Diagnostic Interview and the Structured Clinical Interview for DSM-IV Personality Disorders. Gender differences were investigated for the following outc…

NosologyAdultMalemedicine.medical_specialtyAnorexia NervosaBipolar DisorderCross-sectional studySubstance-Related DisordersComorbidityPersonality Assessmentbehavioral disciplines and activitiesPersonality DisordersYoung AdultSex FactorsBorderline Personality DisorderGermanymental disordersmedicineHumansIn patientYoung adultPsychiatryBorderline personality disorderDepressive DisorderMental DisordersFollow up studiesMiddle Agedmedicine.diseaseComorbidityAnxiety DisordersDiagnostic and Statistical Manual of Mental DisordersPsychiatry and Mental healthClinical PsychologyAlcoholismCross-Sectional StudiesFemalePersonality Assessment InventoryPsychologyPsychopathology
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Survival from colorectal cancer in Germany in the early 21st century.

2012

Background: Colorectal cancer is the most common cancer in Germany and the second most common cause of cancer-related deaths in both men and women. The aim of this study is to provide detailed analysis of recent developments in survival of colorectal cancer patients using newly available data on a national basis. Methods: We included data from 11 German cancer registries covering a population of 33 million inhabitants. Period analysis and modelled period analysis were used to provide most up-to-date estimates of 5-year relative survival in 2002–2006. Results: The analysis was based on records of 164 996 colorectal cancer patients. Five-year relative survival was 63.0% overall, decreased wit…

OncologyAdultMaleCancer Researchmedicine.medical_specialtyAdolescentColorectal cancerEpidemiologyPopulationcolorectal cancersurvivalperiod analysis03 medical and health sciencesYoung Adult0302 clinical medicineAge DistributionInternal medicineGermanymorphologymedicineCarcinomaHumansRegistriesYoung adulteducationSurvival analysissubsiteAgededucation.field_of_studyRelative survivalbusiness.industryCarcinomaCancerMiddle Agedmedicine.diseaseSurvival Analysis3. Good healthOncology030220 oncology & carcinogenesisPeriod Analysis030211 gastroenterology & hepatologyFemalebusinessColorectal NeoplasmsBritish journal of cancer
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Frequency of a positive family history of colorectal cancer in general practice: a cross-sectional study.

2016

BACKGROUND Evidence on the frequency of a positive family history of colorectal cancer (CRC) among individuals aged <55 years is lacking. General practice setting might be well suited for the identification of individuals in this above-average risk group. OBJECTIVE To determine the frequency of a reported positive family history of CRC among patients aged 40 to 54 years in a general practice setting. METHODS We conducted a cross-sectional study in 21 general practices in Germany. Patients aged 40 to 54 years were identified by means of the practice software and interviewed by health care assistants using a standardized four-item questionnaire. Outcome was occurrence of a positive family his…

OncologyAdultMalemedicine.medical_specialtyAdenomaCross-sectional studyColorectal cancerGeneral PracticeColonic PolypsUterine Cervical NeoplasmsNuclear Family03 medical and health sciences0302 clinical medicineStomach NeoplasmsInternal medicineGermanymedicinePrevalenceHumans030212 general & internal medicineFirst-degree relativesFamily historyMedical History TakingOvarian NeoplasmsUrethral Neoplasmsbusiness.industryCancerMiddle Agedmedicine.diseasedigestive system diseasesConfidence intervalKidney NeoplasmsPedigreeCross-Sectional StudiesGeneral practice030211 gastroenterology & hepatologyFemaleFamily PracticebusinessColorectal NeoplasmsFamily practice
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Comparison of prostate cancer survival in Germany and the USA: can differences be attributed to differences in stage distributions?

2016

Objectives To better understand the influence of prostate-specific antigen (PSA) screening and other health system determinants on prognosis of prostate cancer, up-to-date relative survival (RS), stage distributions, and trends in survival and incidence in Germany were evaluated and compared with the United States of America (USA). Patients and methods Incidence and mortality rates for Germany and the USA for the period 1999-2010 were obtained from the Centre for Cancer Registry Data at the Robert Koch Institute and the USA Surveillance Epidemiology and End Results (SEER) database. For analyses on stage and survival, data from 12 population-based cancer registries in Germany and from the SE…

OncologyAdultMalemedicine.medical_specialtyAdolescentUrologyPopulation03 medical and health sciencesProstate cancerYoung Adult0302 clinical medicineAge DistributionPredictive Value of TestsResidence CharacteristicsInternal medicineGermanymedicineSurveillance Epidemiology and End ResultsHumansMass Screening030212 general & internal medicineeducationMass screeningAgedNeoplasm Stagingeducation.field_of_studyRelative survivalbusiness.industryMortality rateIncidence (epidemiology)IncidenceProstatic NeoplasmsReproducibility of ResultsMiddle AgedProstate-Specific Antigenmedicine.diseasePrognosisUnited StatesCancer registry030220 oncology & carcinogenesisbusinessDemographySEER ProgramBJU international
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Clinicopathologic features and prognosis of young patients with hepatocellular carcinoma in a large German cohort.

2012

GOALS AND BACKGROUND Hepatocellular carcinoma in non-hepatitis B virus endemic areas is rare in patients younger than 40 years of age. The aim of this study was to characterize young patients in a large German cohort in comparison with older patients with regard to underlying liver disease, clinical management, and survival. STUDY We analyzed the clinical data and medical records of 1108 consecutive patients with confirmed hepatocellular carcinoma. Twenty-five patients (2%) were younger than 40 years of age. We compared this subgroup with patients older than 40 years of age. RESULTS Underlying chronic liver disease was less common in young patients and detectable in only 56% of patients. Fi…

OncologyAdultMalemedicine.medical_specialtyAgingCarcinoma HepatocellularChronic liver diseaseSeverity of Illness IndexCohort StudiesLiver diseaseYoung AdultLiver Function TestsInternal medicineGermanymedicineHumansYoung adultSurvival rateAgedbusiness.industryIncidenceLiver NeoplasmsGastroenterologyMiddle Agedmedicine.diseasePrognosisSurvival RateHepatocellular carcinomaCohortFemalebusinessFibrolamellar CarcinomaCohort studyJournal of clinical gastroenterology
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The prevalence of human papilloma virus (HPV) infections in oral squamous cell carcinomas: a retrospective analysis of 88 patients and literature ove…

2014

In addition to tobacco and alcohol consumption, the two main risk factors for oral squamous cell carcinoma (OSCC), recent studies have revealed infections with human papilloma virus (HPV) as an additional risk factor for OSCC development. In the field of head and neck malignancies, the prevalence of HPV infections in oropharyngeal cancer (OC) ranges in different studies up to 84%. While HPV infection is discussed as an independent risk factor in this region, its distinguished role in carcinogenesis of tumours localized to the oral cavity remains still uncertain. In this study, we analysed the HPV status in 88 consecutive patients with OSCCs localized anterior of the palatoglossal arch who w…

OncologyAdultMalemedicine.medical_specialtyPathologyAlcohol DrinkingCarcinogenesisCellAlphapapillomavirusmedicine.disease_causePalatine tonsilYoung AdultSex FactorsInternal medicineGermanyPrevalenceMedicineHumansRisk factorAgedNeoplasm StagingRetrospective StudiesHuman papilloma virusAged 80 and overHuman papillomavirus 16Human papillomavirus 18business.industryPapillomavirus InfectionsSmokingHPV infectionAge Factorsvirus diseasesCancerMiddle Agedmedicine.diseasestomatognathic diseasesOropharyngeal Neoplasmsmedicine.anatomical_structureOtorhinolaryngologyOral and maxillofacial surgeryCarcinoma Squamous CellSurgeryFemaleMouth NeoplasmsOral SurgerybusinessCarcinogenesisJournal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
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Impact of trastuzumab treatment beyond disease progression for advanced/metastatic breast cancer on survival - results from a prospective, observatio…

2013

Abstract Objectives Evidence suggests that continued trastuzumab therapy beyond progression (TBP) may provide additional survival benefit. Within the framework of an observational prospective study of patients with advanced/metastatic breast cancer receiving trastuzumab in routine clinical practice, we had the opportunity to examine the effect of TBP in a large population. Patients and methods Among a total of 1843 trastuzumab-treated patients, a sub-cohort of 418 fulfilled the selection criteria for the TBP analysis: 261 continued trastuzumab and 157 discontinued. Logrank tests and Cox models were used to compare survival and identify prognostic factors. Results Survival from progression w…

OncologyAdultPrognostic variablemedicine.medical_specialtyMultivariate analysisAntineoplastic AgentsBreast NeoplasmsAntibodies Monoclonal HumanizedBreast cancerTrastuzumabInternal medicineGermanymedicineHumansProspective StudiesNeoplasm MetastasisProspective cohort studyAgedAged 80 and overProportional hazards modelbusiness.industryGeneral MedicineMiddle AgedTrastuzumabmedicine.diseaseMetastatic breast cancerSurvival AnalysisSurgeryTreatment OutcomeConcomitantDisease ProgressionSurgeryFemalebusinessmedicine.drugFollow-Up StudiesBreast (Edinburgh, Scotland)
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