@article{BrockhausBehbahaniMurisetal.2021, author = {Brockhaus, Moritz K. and Behbahani, Mehdi and Muris, Farina and Jansen, Sebastian V. and Schmitz- Rode, Thomas and Steinseifer, Ulrich and Clauser, Johanna C.}, title = {In vitro thrombogenicity testing of pulsatile mechanical circulatory support systems: Design and proof-of-concept}, series = {Artificial Organs}, volume = {45}, journal = {Artificial Organs}, number = {12}, publisher = {Wiley}, address = {Weinheim}, issn = {1525-1594}, doi = {10.1111/aor.14046}, pages = {1513 -- 1521}, year = {2021}, abstract = {Thrombogenic complications are a main issue in mechanical circulatory support (MCS). There is no validated in vitro method available to quantitatively assess the thrombogenic performance of pulsatile MCS devices under realistic hemodynamic conditions. The aim of this study is to propose a method to evaluate the thrombogenic potential of new designs without the use of complex in-vivo trials. This study presents a novel in vitro method for reproducible thrombogenicity testing of pulsatile MCS systems using low molecular weight heparinized porcine blood. Blood parameters are continuously measured with full blood thromboelastometry (ROTEM; EXTEM, FIBTEM and a custom-made analysis HEPNATEM). Thrombus formation is optically observed after four hours of testing. The results of three experiments are presented each with two parallel loops. The area of thrombus formation inside the MCS device was reproducible. The implantation of a filter inside the loop catches embolizing thrombi without a measurable increase of platelet activation, allowing conclusions of the place of origin of thrombi inside the device. EXTEM and FIBTEM parameters such as clotting velocity (α) and maximum clot firmness (MCF) show a total decrease by around 6\% with a characteristic kink after 180 minutes. HEPNATEM α and MCF rise within the first 180 minutes indicate a continuously increasing activation level of coagulation. After 180 minutes, the consumption of clotting factors prevails, resulting in a decrease of α and MCF. With the designed mock loop and the presented protocol we are able to identify thrombogenic hot spots inside a pulsatile pump and characterize their thrombogenic potential.}, language = {en} } @inproceedings{OlderogMohrBegingetal.2021, author = {Olderog, M. and Mohr, P. and Beging, Stefan and Tsoumpas, C. and Ziemons, Karl}, title = {Simulation study on the role of tissue-scattered events in improving sensitivity for a compact time of flight compton positron emission tomograph}, series = {2020 IEEE Nuclear Science Symposium and Medical Imaging Conference (NSS/MIC)}, booktitle = {2020 IEEE Nuclear Science Symposium and Medical Imaging Conference (NSS/MIC)}, publisher = {IEEE}, address = {New York, NY}, isbn = {978-1-7281-7693-2}, doi = {10.1109/NSS/MIC42677.2020.9507901}, pages = {4 Seiten}, year = {2021}, abstract = {In positron emission tomography improving time, energy and spatial detector resolutions and using Compton kinematics introduces the possibility to reconstruct a radioactivity distribution image from scatter coincidences, thereby enhancing image quality. The number of single scattered coincidences alone is in the same order of magnitude as true coincidences. In this work, a compact Compton camera module based on monolithic scintillation material is investigated as a detector ring module. The detector interactions are simulated with Monte Carlo package GATE. The scattering angle inside the tissue is derived from the energy of the scattered photon, which results in a set of possible scattering trajectories or broken line of response. The Compton kinematics collimation reduces the number of solutions. Additionally, the time of flight information helps localize the position of the annihilation. One of the questions of this investigation is related to how the energy, spatial and temporal resolutions help confine the possible annihilation volume. A comparison of currently technically feasible detector resolutions (under laboratory conditions) demonstrates the influence on this annihilation volume and shows that energy and coincidence time resolution have a significant impact. An enhancement of the latter from 400 ps to 100 ps leads to a smaller annihilation volume of around 50\%, while a change of the energy resolution in the absorber layer from 12\% to 4.5\% results in a reduction of 60\%. The inclusion of single tissue-scattered data has the potential to increase the sensitivity of a scanner by a factor of 2 to 3 times. The concept can be further optimized and extended for multiple scatter coincidences and subsequently validated by a reconstruction algorithm.}, language = {en} } @article{HacklBuessKammerlohretal.2021, author = {Hackl, Michael and Buess, Eduard and Kammerlohr, Sandra and Nacov, Julia and Staat, Manfred and Leschinger, Tim and M{\"u}ller, Lars P. and Wegmann, Kilian}, title = {A "comma sign"-directed subscapularis repair in anterosuperior rotator cuff tears yields biomechanical advantages in a cadaveric model}, series = {The american journal of sports medicine}, volume = {49}, journal = {The american journal of sports medicine}, number = {12}, publisher = {Sage}, address = {London}, issn = {1552-3365}, doi = {10.1177/03635465211031506}, pages = {3212 -- 3217}, year = {2021}, abstract = {Background: Additional stabilization of the "comma sign" in anterosuperior rotator cuff repair has been proposed to provide biomechanical benefits regarding stability of the repair. Purpose: This in vitro investigation aimed to investigate the influence of a comma sign-directed reconstruction technique for anterosuperior rotator cuff tears on the primary stability of the subscapularis tendon repair. Study Design: Controlled laboratory study. Methods: A total of 18 fresh-frozen cadaveric shoulders were used in this study. Anterosuperior rotator cuff tears (complete full-thickness tear of the supraspinatus and subscapularis tendons) were created, and supraspinatus repair was performed with a standard suture bridge technique. The subscapularis was repaired with either a (1) single-row or (2) comma sign technique. A high-resolution 3D camera system was used to analyze 3-mm and 5-mm gap formation at the subscapularis tendon-bone interface upon incremental cyclic loading. Moreover, the ultimate failure load of the repair was recorded. A Mann-Whitney test was used to assess significant differences between the 2 groups. Results: The comma sign repair withstood significantly more loading cycles than the single-row repair until 3-mm and 5-mm gap formation occurred (P≤ .047). The ultimate failure load did not reveal any significant differences when the 2 techniques were compared (P = .596). Conclusion: The results of this study show that additional stabilization of the comma sign enhanced the primary stability of subscapularis tendon repair in anterosuperior rotator cuff tears. Although this stabilization did not seem to influence the ultimate failure load, it effectively decreased the micromotion at the tendon-bone interface during cyclic loading. Clinical Relevance: The proposed technique for stabilization of the comma sign has shown superior biomechanical properties in comparison with a single-row repair and might thus improve tendon healing. Further clinical research will be necessary to determine its influence on the functional outcome.}, language = {en} } @article{HarzheimMuehmelHeuermann2021, author = {Harzheim, Thomas and M{\"u}hmel, Marc and Heuermann, Holger}, title = {A SFCW harmonic radar system for maritime search and rescue using passive and active tags}, series = {International Journal of Microwave and Wireless Technologies}, volume = {13}, journal = {International Journal of Microwave and Wireless Technologies}, number = {Special Issue 7}, publisher = {Cambridge University Press}, address = {Cambridge}, doi = {10.1017/S1759078721000520}, pages = {691 -- 707}, year = {2021}, abstract = {This paper introduces a new maritime search and rescue system based on S-band illumination harmonic radar (HR). Passive and active tags have been developed and tested while attached to life jackets and a small boat. In this demonstration test carried out on the Baltic Sea, the system was able to detect and range the active tags up to a distance of 5800 m using an illumination signal transmit-power of 100 W. Special attention is given to the development, performance, and conceptual differences between passive and active tags used in the system. Guidelines for achieving a high HR dynamic range, including a system components description, are given and a comparison with other HR systems is performed. System integration with a commercial maritime X-band navigation radar is shown to demonstrate a solution for rapid search and rescue response and quick localization.}, language = {en} } @article{HacklNacovKammerlohretal.2021, author = {Hackl, Michael and Nacov, Julia and Kammerlohr, Sandra and Staat, Manfred and Buess, Eduard and Leschinger, Tim and M{\"u}ller, Lars P. and Wegmann, Kilian}, title = {Intratendinous Strain Variations of the Supraspinatus Tendon Depending on Repair Technique: A Biomechanical Analysis Regarding the Cause of Medial Cuff Failure}, series = {The American Journal of Sports Medicine}, volume = {49}, journal = {The American Journal of Sports Medicine}, number = {7}, publisher = {Sage}, address = {London}, issn = {1552-3365}, doi = {10.1177/03635465211006138}, pages = {1847 -- 1853}, year = {2021}, language = {en} } @article{NeumaierKotliarHaerenetal.2021, author = {Neumaier, Felix and Kotliar, Konstantin and Haeren, Roel Hubert Louis and Temel, Yasin and L{\"u}ke, Jan Niklas and Seyam, Osama and Lindauer, Ute and Clusmann, Hans and Hescheler, J{\"u}rgen and Schubert, Gerrit Alexander and Schneider, Toni and Albanna, Walid}, title = {Retinal Vessel Responses to Flicker Stimulation Are Impaired in Ca v 2.3-Deficient Mice—An in- vivo Evaluation Using Retinal Vessel Analysis (RVA)}, series = {Frontiers in Neurology}, volume = {12}, journal = {Frontiers in Neurology}, publisher = {Frontiers}, doi = {10.3389/fneur.2021.659890}, pages = {1 -- 11}, year = {2021}, language = {en} } @article{ValeroSchalkoFriedrichetal.2021, author = {Valero, Daniel and Schalko, Isabella and Friedrich, Heide and Abad, Jorge D. and Bung, Daniel Bernhard and Donchyts, Gennadii and Felder, Stefan and Ferreira, Rui M. L. and Hohermuth, Benjamin and Kramer, Matthias and Li, Danxun and Mendes, Luis and Moreno-Rodenas, Antonio and Nones, Michael and Paron, Paolo and Ruiz-Villanueva, Virginia and Wang, Ruo-Qian and Franca, Mario J.}, title = {Pathways towards democratization of hydro-environment observations and data}, series = {Iahr White Paper Series}, journal = {Iahr White Paper Series}, number = {1}, publisher = {International Association for Hydro-Environment Engineering and Research (IAHR)}, pages = {1 -- 9}, year = {2021}, language = {en} } @article{AkimbekovDigelAbdievaetal.2021, author = {Akimbekov, Nuraly S. and Digel, Ilya and Abdieva, Gulzhamal and Ualieva, Perizat and Tastambek, Kuanysh}, title = {Lignite biosolubilization and bioconversion by Bacillus sp.: the collation of analytical data}, series = {Biofuels}, volume = {12}, journal = {Biofuels}, number = {3}, publisher = {Taylor \& Francis}, address = {London}, issn = {1759-7277}, pages = {247 -- 258}, year = {2021}, abstract = {The vast metabolic potential of microbes in brown coal (lignite) processing and utilization can greatly contribute to innovative approaches to sustainable production of high-value products from coal. In this study, the multi-faceted and complex coal biosolubilization process by Bacillus sp. RKB 7 isolate from the Kazakhstan coal-mining soil is reported, and the derived products are characterized. Lignite solubilization tests performed for surface and suspension cultures testify to the formation of numerous soluble lignite-derived substances. Almost 24\% of crude lignite (5\% w/v) was solubilized within 14 days under slightly alkaline conditions (pH 8.2). FTIR analysis revealed various functional groups in the obtained biosolubilization products. Analyses of the lignite-derived humic products by UV-Vis and fluorescence spectrometry as well as elemental analysis yielded compatible results indicating the emerging products had a lower molecular weight and degree of aromaticity. Furthermore, XRD and SEM analyses were used to evaluate the biosolubilization processes from mineralogical and microscopic points of view. The findings not only contribute to a deeper understanding of microbe-mineral interactions in coal environments, but also contribute to knowledge of coal biosolubilization and bioconversion with regard to sustainable production of humic substances. The detailed and comprehensive analyses demonstrate the huge biotechnological potential of Bacillus sp. for agricultural productivity and environmental health.}, language = {en} } @article{KoehlerRoepkeWolf2021, author = {K{\"o}hler, Klemens and R{\"o}pke, Ren{\´e} and Wolf, Martin}, title = {Through a mirror darkly - On the obscurity of teaching goals in game-based learning in IT security}, series = {ISAGA 2019: Simulation Gaming Through Times and Disciplines}, journal = {ISAGA 2019: Simulation Gaming Through Times and Disciplines}, publisher = {Springer}, address = {Cham}, doi = {10.1007/978-3-030-72132-9_6}, pages = {61 -- 73}, year = {2021}, abstract = {Teachers and instructors use very specific language communicating teaching goals. The most widely used frameworks of common reference are the Bloom's Taxonomy and the Revised Bloom's Taxonomy. The latter provides distinction of 209 different teaching goals which are connected to methods. In Competence Developing Games (CDGs - serious games to convey knowledge) and in IT security education, a two- or three level typology exists, reducing possible learning outcomes to awareness, training, and education. This study explores whether this much simpler framework succeeds in achieving the same range of learning outcomes. Method wise a keyword analysis was conducted. The results were threefold: 1. The words used to describe teaching goals in CDGs on IT security education do not reflect the whole range of learning outcomes. 2. The word choice is nevertheless different from common language, indicating an intentional use of language. 3. IT security CDGs use different sets of terms to describe learning outcomes, depending on whether they are awareness, training, or education games. The interpretation of the findings is that the reduction to just three types of CDGs reduces the capacity to communicate and think about learning outcomes and consequently reduces the outcomes that are intentionally achieved.}, language = {en} } @article{Golland2021, author = {Golland, Alexander}, title = {Bußgelder wegen Datenschutzverst{\"o}ßen - Vermeidung und Verteidigung. Deutsche Aufsichtsbeh{\"o}rden setzen seit vergangenem Jahr zunehmend auf Sanktion}, series = {NWB Steuer- und Wirtschaftsrecht}, volume = {36}, journal = {NWB Steuer- und Wirtschaftsrecht}, publisher = {NWB-Verlag}, address = {Herne}, isbn = {0028-3460}, pages = {2678 -- 2687}, year = {2021}, language = {de} } @article{Golland2021, author = {Golland, Alexander}, title = {Das Telekommunikation-Telemedien-Datenschutzgesetz. Cookies und PIMS als Herausforderungen f{\"u}r Website-Betreiber}, series = {NJW Neue Juristische Wochenschrift}, journal = {NJW Neue Juristische Wochenschrift}, number = {31}, editor = {Ewer, Wolfgang and Hamm, Rainer and Karpenstein, Ulrich and Oberth{\"u}r, Nathalie and Herchen, Hilke and Br{\"a}utigam, Peter}, publisher = {Beck}, address = {M{\"u}nchen}, issn = {0341-1915}, pages = {2238 -- 2243}, year = {2021}, language = {de} } @article{Golland2021, author = {Golland, Alexander}, title = {Anforderungen an Transfer Impact Assessments bei Datentransfers in unsichere Drittl{\"a}nder}, series = {DSB Datenschutz-Berater}, volume = {45}, journal = {DSB Datenschutz-Berater}, number = {7-8}, publisher = {DFV Mediengruppe}, address = {Frankfurt a.M.}, isbn = {0170-7256}, pages = {229 -- 231}, year = {2021}, language = {de} } @masterthesis{Goetz2021, type = {Bachelor Thesis}, author = {Goetz, Miriam}, title = {Der globale Haarmarkt: Gestaltung eines aufkl{\"a}renden Mediums zum Thema Haar und Haarhandel}, publisher = {FH Aachen}, address = {Aachen}, school = {Fachhochschule Aachen}, pages = {77 Seiten}, year = {2021}, abstract = {Niemand kann der t{\"a}glichen Erfahrung mit Haaren entfliehen. Ob es nun der eigene Blick in den Spiegel ist, die Begegnung mit anderen Menschen, oder die mit Testimonials gespeiste Werbung f{\"u}r diverse Haarprodukte. Haare geh{\"o}ren zum Alltag. Aber was steckt hinter dem Haar, wenn es denn einmal von uns und unserer Person getrennt wird und nur noch als k{\"o}rperloses B{\"u}schel erkennbar ist? Zum Beispiel in Form von Echthaarextensions. Wer bedient freiwillig und unfreiwillig durch die eigene Haarpracht die millionenschwere Echthaarindustrie? Wer profitiert von der haarigen Ware und wer sind die K{\"a}ufer, die den globalen Handel vorantreiben? Das j{\"a}hrlich erscheinende Bookazine TRICHOTOMY geht diesen Fragestellungen auf den Grund. Investigative Artikel enth{\"u}llen die Produktion und {\"O}konomie der vorwiegend anonymisierten Echthaarindustrie und portr{\"a}tieren die Menschen und Schicksale 'hinter den Haaren'.}, language = {de} } @masterthesis{Hahn2021, type = {Bachelor Thesis}, author = {Hahn, Veronika}, title = {Masculinity: M{\"a}nnlichkeit im 21. Jahrhundert}, publisher = {FH Aachen}, address = {Aachen}, school = {Fachhochschule Aachen}, pages = {62 Seiten}, year = {2021}, abstract = {Was ist „M{\"a}nnlichkeit" und was verstehen junge Erwachsene unter diesem Begriff? Das Ziel des Projektes war 18 bis 30 j{\"a}hrige Jungen und M{\"a}nner des biologisch m{\"a}nnlichen Geschlechts zu befragen, was ihre Definition von M{\"a}nnlichkeit sei. Diese Arbeit hatte die Intention den Befragten einen sicheren Raum zu geben, damit sie ihre ehrlichen Antworten {\"a}ußern und ihre wahren Gesichter zeigen k{\"o}nnen. Die dabei entstandenen Fotografien sollen die Pers{\"o}nlichkeiten und die seelische Verfassung der abgebildeten Personen widerspiegeln. Es handelt sich um eine soziologische Bestandsaufnahme der „M{\"a}nnlichkeiten" der heutigen Jugend und der heranwachsenden Erwachsenen im 21. Jahrhundert.}, language = {de} } @masterthesis{Heinrichs2021, type = {Bachelor Thesis}, author = {Heinrichs, Lars}, title = {!MPFEN: Eine informative Kampagne, die zum Impfen motiviert}, publisher = {FH Aachen}, address = {Aachen}, school = {Fachhochschule Aachen}, pages = {58 Seiten}, year = {2021}, abstract = {Eine Kampagne, die darauf ausgerichtet ist, die Bev{\"o}lkerung auf sozialer Ebene aufzurufen, Impf-Skeptiker aufzukl{\"a}ren und von Impfungen zu {\"u}berzeugen. Anhand von offiziellen Statistiken, die optisch ansprechend aufbereitet wurden, werden die Menschen {\"u}ber Krankheiten und dazu geh{\"o}rige Risiken informiert. Des Weiteren wird der Impferfolg grafisch dokumentiert und leicht verst{\"a}ndlich pr{\"a}sentiert, ohne Fakten auszulassen. Durch eine Serie Plakate verschiedener Formate werden die Betrachter animiert, die Homepage impfen.info aufzusuchen und das reichhaltige Informationsangebot zu nutzen. Mithilfe einer am{\"u}santen Postkartenreihe wird die Verbreitung von Krankheitserregern simuliert und postalisch in die Haushalte der Impfgegner- und Skeptiker gebracht, um zu verdeutlichen, wie rasant Viren sich verbreiten und wie wichtig es ist, sich und seine Lieben zu sch{\"u}tzen.}, language = {de} } @inproceedings{UlmerBraunChengetal.2021, author = {Ulmer, Jessica and Braun, Sebastian and Cheng, Chi-Tsun and Dowey, Steve and Wollert, J{\"o}rg}, title = {Adapting augmented reality systems to the users' needs using gamification and error solving methods}, series = {Procedia CIRP - 54th CIRP CMS 2021 - Towards Digitalized Manufacturing 4.0}, volume = {104}, booktitle = {Procedia CIRP - 54th CIRP CMS 2021 - Towards Digitalized Manufacturing 4.0}, publisher = {Elsevier}, address = {Amsterdam}, issn = {2212-8271}, doi = {10.1016/j.procir.2021.11.024}, pages = {140 -- 145}, year = {2021}, abstract = {Animations of virtual items in AR support systems are typically predefined and lack interactions with dynamic physical environments. AR applications rarely consider users' preferences and do not provide customized spontaneous support under unknown situations. This research focuses on developing adaptive, error-tolerant AR systems based on directed acyclic graphs and error resolving strategies. Using this approach, users will have more freedom of choice during AR supported work, which leads to more efficient workflows. Error correction methods based on CAD models and predefined process data create individual support possibilities. The framework is implemented in the Industry 4.0 model factory at FH Aachen.}, language = {en} } @inproceedings{Huening2021, author = {H{\"u}ning, Felix}, title = {Sustainable changes beyond covid-19 for a second semester physics course for electrical engineering students}, series = {Blended Learning in Engineering Education: challenging, enlightening - and lasting?}, booktitle = {Blended Learning in Engineering Education: challenging, enlightening - and lasting?}, isbn = {978-2-87352-023-6}, pages = {1424 -- 1428}, year = {2021}, abstract = {The course Physics for Electrical Engineering is part of the curriculum of the bachelor program Electrical Engineering at University of Applied Science Aachen. Before covid-19 the course was conducted in a rather traditional way with all parts (lecture, exercise and lab) face-to-face. This teaching approach changed fundamentally within a week when the covid-19 limitations forced all courses to distance learning. All parts of the course were transformed to pure distance learning including synchronous and asynchronous parts for the lecture, live online-sessions for the exercises and self-paced labs at home. Using these methods, the course was able to impart the required knowledge and competencies. Taking the teacher's observations of the student's learning behaviour and engagement, the formal and informal feedback of the students and the results of the exams into account, the new methods are evaluated with respect to effectiveness, sustainability and suitability for competence transfer. Based on this analysis strong and weak points of the concept and countermeasures to solve the weak points were identified. The analysis further leads to a sustainable teaching approach combining synchronous and asynchronous parts with self-paced learning times that can be used in a very flexible manner for different learning scenarios, pure online, hybrid (mixture of online and presence times) and pure presence teaching.}, language = {en} } @article{LeiseEsserEichenlaubetal.2021, author = {Leise, Philipp and Eßer, Arved and Eichenlaub, Tobias and Schleiffer, Jean-Eric and Altherr, Lena and Rinderknecht, Stephan and Pelz, Peter F.}, title = {Sustainable system design of electric powertrains - comparison of optimization methods}, series = {Engineering Optimization}, journal = {Engineering Optimization}, publisher = {Taylor \& Francis}, address = {London}, issn = {0305-215X}, doi = {10.1080/0305215X.2021.1928660}, year = {2021}, abstract = {The transition within transportation towards battery electric vehicles can lead to a more sustainable future. To account for the development goal 'climate action' stated by the United Nations, it is mandatory, within the conceptual design phase, to derive energy-efficient system designs. One barrier is the uncertainty of the driving behaviour within the usage phase. This uncertainty is often addressed by using a stochastic synthesis process to derive representative driving cycles and by using cycle-based optimization. To deal with this uncertainty, a new approach based on a stochastic optimization program is presented. This leads to an optimization model that is solved with an exact solver. It is compared to a system design approach based on driving cycles and a genetic algorithm solver. Both approaches are applied to find efficient electric powertrains with fixed-speed and multi-speed transmissions. Hence, the similarities, differences and respective advantages of each optimization procedure are discussed.}, language = {en} } @incollection{Kotliar2021, author = {Kotliar, Konstantin}, title = {Ocular rigidity: clinical approach}, series = {Ocular Rigidity, Biomechanics and Hydrodynamics of the Eye}, booktitle = {Ocular Rigidity, Biomechanics and Hydrodynamics of the Eye}, editor = {Pallikaris, I. and Tsilimbaris, M. K. and Dastiridou, A. I.}, publisher = {Springer}, address = {Cham}, isbn = {978-3-030-64422-2}, doi = {10.1007/978-3-030-64422-2_2}, pages = {15 -- 43}, year = {2021}, abstract = {The term ocular rigidity is widely used in clinical ophthalmology. Generally it is assumed as a resistance of the whole eyeball to mechanical deformation and relates to biomechanical properties of the eye and its tissues. Basic principles and formulas for clinical tonometry, tonography and pulsatile ocular blood flow measurements are based on the concept of ocular rigidity. There is evidence for altered ocular rigidity in aging, in several eye diseases and after eye surgery. Unfortunately, there is no consensual view on ocular rigidity: it used to make a quite different sense for different people but still the same name. Foremost there is no clear consent between biomechanical engineers and ophthalmologists on the concept. Moreover ocular rigidity is occasionally characterized using various parameters with their different physical dimensions. In contrast to engineering approach, clinical approach to ocular rigidity claims to characterize the total mechanical response of the eyeball to its deformation without any detailed considerations on eye morphology or material properties of its tissues. Further to the previous chapter this section aims to describe clinical approach to ocular rigidity from the perspective of an engineer in an attempt to straighten out this concept, to show its advantages, disadvantages and various applications.}, language = {en} } @article{KuertenKotliarFuestetal.2021, author = {Kuerten, David and Kotliar, Konstantin and Fuest, Matthias and Walter, Peter and Hollstein, Muriel and Plange, Niklas}, title = {Does hemispheric vascular regulation differ significantly in glaucoma patients with altitudinal visual field asymmetry? A single-center, prospective study}, series = {International Ophthalmology}, volume = {41}, journal = {International Ophthalmology}, number = {41}, editor = {Neri, Piergiorgio}, publisher = {Springer}, address = {Berlin}, isbn = {1573-2630}, doi = {10.1007/s10792-021-01876-0}, pages = {3109 -- 3119}, year = {2021}, abstract = {Purpose Vascular risk factors and ocular perfusion are heatedly discussed in the pathogenesis of glaucoma. The retinal vessel analyzer (RVA, IMEDOS Systems, Germany) allows noninvasive measurement of retinal vessel regulation. Significant differences especially in the veins between healthy subjects and patients suffering from glaucoma were previously reported. In this pilot-study we investigated if localized vascular regulation is altered in glaucoma patients with altitudinal visual field defect asymmetry. Methods 15 eyes of 12 glaucoma patients with advanced altitudinal visual field defect asymmetry were included. The mean defect was calculated for each hemisphere separately (-20.99 ± 10.49 pro- found hemispheric visual field defect vs -7.36 ± 3.97 dB less profound hemisphere). After pupil dilation, RVA measurements of retinal arteries and veins were conducted using the standard protocol. The superior and inferior retinal vessel reactivity were measured consecutively in each eye. Results Significant differences were recorded in venous vessel constriction after flicker light stimulation and overall amplitude of the reaction (p \ 0.04 and p \ 0.02 respectively) in-between the hemispheres spheres. Vessel reaction was higher in the hemisphere corresponding to the more advanced visual field defect. Arterial diameters reacted similarly, failing to reach statistical significance. Conclusion Localized retinal vessel regulation is significantly altered in glaucoma patients with asymmetri altitudinal visual field defects. Veins supplying the hemisphere concordant to a less profound visual field defect show diminished diameter changes. Vascular dysregulation might be particularly important in early glaucoma stages prior to a significant visual field defect.}, language = {en} }