@masterthesis{Plevako2024, type = {Bachelor Thesis}, author = {Plevako, Ludmilla}, title = {Ekatharina : Leben in der Trudarmee}, publisher = {FH Aachen}, address = {Aachen}, pages = {59 Seiten}, year = {2024}, abstract = {Harte Arbeit, Hunger, Unterk{\"u}hlung und Ungewissheit - dies war der normale Alltag der Trudarmee im 2. Weltkrieg. Ekatharina, eine deutsche Sowjetb{\"u}rgerin, wurde wie viele andere gegen ihren Willen in diese Armee eingezogen. Die Bachelorarbeit „Ekatharina - Leben in der Trudarmee" behandelt den Lebensabschnitt einer {\"U}berlebenden, der Urgroßmutter der Autorin, in Form eines Graphic Novels. In der Trudarmee, auch Arbeitsarmee genannt, musste sie unter schweren Bedingungen Zwangsarbeit verrichten, wie arbeiten in der Schmiede, B{\"a}ume f{\"a}llen oder St{\"a}mme schleppen. Das Projekt soll nicht nur die Erinnerungen und das kulturelle Gut bewahren, es soll auch die Familiengeschichte erforschen, die Vergangenheit verst{\"a}ndlich gestalten und die beteiligten Personen in Ehren halten.}, language = {de} } @inproceedings{SchulzeBuxlohGross2021, author = {Schulze-Buxloh, Lina and Groß, Rolf Fritz}, title = {Interdisciplinary Course Smart Building Engineering: A new approach of teaching freshmen in remote teamwork project under pandemic restrictions}, series = {New Perspectives in Science Education - International Conference}, booktitle = {New Perspectives in Science Education - International Conference}, publisher = {Filodiritto}, address = {Bologna}, pages = {4 Seiten}, year = {2021}, abstract = {In the context of the Corona pandemic and its impact on teaching like digital lectures and exercises a new concept especially for freshmen in demanding courses of Smart Building Engineering became necessary. As there were hardly any face-to-face events at the university, the new teaching concept should enable a good start into engineering studies under pandemic conditions anyway and should also replace the written exam at the end. The students should become active themselves in small teams instead of listening passively to a lecture broadcast online with almost no personal contact. For this purpose, a role play was developed in which the freshmen had to work out a complete solution to the realistic problem of designing, construction planning and implementing a small guesthouse. Each student of the team had to take a certain role like architect, site manager, BIM-manager, electrician and the technitian for HVAC installations. Technical specifications must be complied with, as well as documentation, time planning and cost estimate. The final project folder had to contain technical documents like circuit diagrams for electrical components, circuit diagrams for water and heating, design calculations and components lists. On the other hand construction schedule, construction implementation plan, documentation of the construction progress and minutes of meetings between the various trades had to be submitted as well. In addition to the project folder, a model of the construction project must also be created either as a handmade model or as a digital 3D-model using Computer-aided design (CAD) software. The first steps in the field of Building information modelling (BIM) had also been taken by creating a digital model of the building showing the current planning status in real time as a digital twin. This project turned out to be an excellent training of important student competencies like teamwork, communication skills, and self -organisation and also increased motivation to work on complex technical questions. The aim of giving the student a first impression on the challenges and solutions in building projects with many different technical trades and their points of view was very well achieved and should be continued in the future.}, language = {en} } @inproceedings{SchulzeBuxlohGross2021, author = {Schulze-Buxloh, Lina and Groß, Rolf Fritz}, title = {Miniature urban farming plant: a complex educational "Toy" for engineering students}, series = {The Future of Education 11th Edition 2021}, booktitle = {The Future of Education 11th Edition 2021}, pages = {4 Seiten}, year = {2021}, abstract = {Urban farming is an innovative and sustainable way of food production and is becoming more and more important in smart city and quarter concepts. It also enables the production of certain foods in places where they usually dare not produced, such as production of fish or shrimps in large cities far away from the coast. Unfortunately, it is not always possible to show students such concepts and systems in real life as part of courses: visits of such industry plants are sometimes not possible because of distance or are permitted by the operator for hygienic reasons. In order to give the students the opportunity of getting into contact with such an urban farming system and its complex operation, an industrial urban farming plant was set up on a significantly smaller scale. Therefore, all needed technical components like water aeriation, biological and mechanical filtration or water circulation have been replaced either by aquarium components or by self-designed parts also using a 3D-printer. Students from different courses like mechanical engineering, smart building engineering, biology, electrical engineering, automation technology and civil engineering were involved in this project. This "miniature industrial plant" was also able to start operation and has now been running for two years successfully. Due to Corona pandemic, home office and remote online lectures, the automation of this miniature plant should be brought to a higher level in future for providing a good control over the system and water quality remotely. The aim of giving the student a chance to get to know the operation of an urban farming plant was very well achieved and the students had lots of fun in "playing" and learning with it in a realistic way.}, language = {en} } @inproceedings{AltherrDoeringFrauenrathetal.2024, author = {Altherr, Lena and D{\"o}ring, Bernd and Frauenrath, Tobias and Groß, Rolf and Mohan, Nijanthan and Oyen, Marc and Schnittcher, Lukas and Voß, Norbert}, title = {DiggiTwin: ein interdisziplin{\"a}res Projekt zur Nutzung digitaler Zwillinge auf dem Weg zu einem klimaneutralen Geb{\"a}udebestand}, series = {Tagungsband AALE 2024 : Fit f{\"u}r die Zukunft: praktische L{\"o}sungen f{\"u}r die industrielle Automation}, booktitle = {Tagungsband AALE 2024 : Fit f{\"u}r die Zukunft: praktische L{\"o}sungen f{\"u}r die industrielle Automation}, editor = {Reiff-Stephan, J{\"o}rg and J{\"a}kel, Jens and Schwarz, Andr{\´e}}, publisher = {le-tex publishing services GmbH}, address = {Leipzig}, isbn = {978-3-910103-02-3}, doi = {10.33968/2024.67}, pages = {341 -- 346}, year = {2024}, abstract = {Im Hinblick auf die Klimaziele der Bundesrepublik Deutschland konzentriert sich das Projekt Diggi Twin auf die nachhaltige Geb{\"a}udeoptimierung. Grundlage f{\"u}r eine ganzheitliche Geb{\"a}ude{\"u}berwachung und -optimierung bildet dabei die Digitalisierung und Automation im Sinne eines Smart Buildings. Das interdisziplin{\"a}re Projekt der FH Aachen hat das Ziel, ein bestehendes Hochschulgeb{\"a}ude und einen Neubau an klimaneutrale Standards anzupassen. Im Rahmen des Projekts werden bekannte Verfahren, wie das Building Information Modeling (BIM), so erweitert, dass ein digitaler Geb{\"a}udezwilling entsteht. Dieser kann zur Optimierung des Geb{\"a}udebetriebs herangezogen werden, sowie als Basis f{\"u}r eine Erweiterung des Bewertungssystems Nachhaltiges Bauen (BNB) dienen. Mithilfe von Sensortechnologie und k{\"u}nstlicher Intelligenz kann so ein pr{\"a}zises Monitoring wichtiger Geb{\"a}udedaten erfolgen, um ungenutzte Energieeinsparpotenziale zu erkennen und zu nutzen. Das Projekt erforscht und setzt methodische Erkenntnisse zu BIM und digitalen Geb{\"a}udezwillingen praxisnah um, indem es spezifische Fragen zur Energie- und Ressourceneffizienz von Geb{\"a}uden untersucht und konkrete L{\"o}sungen f{\"u}r die Geb{\"a}udeoptimierung entwickelt.}, language = {de} } @inproceedings{SchulzeBuxlohGrossUlbrich2021, author = {Schulze-Buxloh, Lina and Groß, Rolf Fritz and Ulbrich, Michelle}, title = {Digital planning using building information modelling and virtual reality: new approach for students' remote practical training under lockdown conditions in the course of smart building engineering}, series = {Proceedings of International Conference on Education in Mathematics, Science and Technology 2021}, booktitle = {Proceedings of International Conference on Education in Mathematics, Science and Technology 2021}, publisher = {ISTES Organization}, address = {San Antonio, TX}, isbn = {978-1-952092-17-6}, pages = {118 -- 123}, year = {2021}, abstract = {The worldwide Corona pandemic has severely restricted student projects in the higher semesters of engineering courses. In order not to delay the graduation, a new concept had to be developed for projects under lockdown conditions. Therefore, unused rooms at the university should be digitally recorded in order to develop a new usage concept as laboratory rooms. An inventory of the actual state of the rooms was done first by taking photos and listing up all flaws and peculiarities. After that, a digital site measuring was done with a 360° laser scanner and these recorded scans were linked to a coherent point cloud and transferred to a software for planning technical building services and supporting Building Information Modelling (BIM). In order to better illustrate the difference between the actual and target state, two virtual reality models were created for realistic demonstration. During the project, the students had to go through the entire digital planning phases. Technical specifications had to be complied with, as well as documentation, time planning and cost estimate. This project turned out to be an excellent alternative to on-site practical training under lockdown conditions and increased the students' motivation to deal with complex technical questions.}, language = {en} } @incollection{DuffnerUibelPetersonetal.2023, author = {Duffner, Markus and Uibel, Thomas and Peterson, Leif Arne and Moorkamp, Wilfried}, title = {Cross Layers Light - Ein ressourceneffizientes und recyclebares Holz-Wandsystem}, series = {Bauphysik Kalender 2023: Nachhaltigkeit}, booktitle = {Bauphysik Kalender 2023: Nachhaltigkeit}, editor = {Fouad, Nabil A.}, publisher = {Ernst \& Sohn}, address = {Berlin}, isbn = {9783433033890 (Print)}, doi = {10.1002/9783433611289.ch13}, pages = {483 -- 501}, year = {2023}, abstract = {Ein neues tragendes, lagenweise aufgebautes Holzbau-Wandsystem und seine {\"o}konomische und statische Entwicklung werden vorgestellt. Randbedingungen wie Nachhaltigkeit, Ressourceneffizienz und eine beanspruchungsadaptive Konstruktionsweise sind f{\"u}r diese innovative Bauteilentwicklung von zentraler Bedeutung. Eine wesentliche Herausforderung ist die Herstellung der Verbindung der Lagen untereinander zu einem bauphysikalisch und statisch leistungsf{\"a}higen Wandsystem. Die Tragf{\"a}higkeit und Steifigkeit verschiedener Verbindungsvarianten wurden ebenso wie die Eigenschaften der Wandelemente analytisch, numerisch und experimentell untersucht.}, language = {de} } @misc{SchulzeBuxlohGrossCheng2020, author = {Schulze-Buxloh, Lina and Groß, Rolf Fritz and Cheng, Kevin Toni}, title = {Development and manufacturing of an interactive three-dimensional phase diagram of carbon dioxide for teaching sessions in thermodynamics}, series = {Proceedings of the International Conference The Future of Education 2020}, journal = {Proceedings of the International Conference The Future of Education 2020}, year = {2020}, language = {en} } @inproceedings{BedburMoorkampPetersonetal.2020, author = {Bedbur, Christian and Moorkamp, Wilfried and Peterson, Leif Arne and Uibel, Thomas}, title = {Holzbr{\"u}cken mit Natursteinbel{\"a}gen - Untersuchungen zur Aktivierung der Verbundwirkung}, series = {Doktorandenkolloquium Holzbau Forschung + Praxis 2020}, booktitle = {Doktorandenkolloquium Holzbau Forschung + Praxis 2020}, editor = {Kuhlmann, Ulrike}, publisher = {Universit{\"a}t Stuttgart, Institut f{\"u}r Konstruktion und Entwurf}, address = {Stuttgart}, pages = {53 -- 60}, year = {2020}, language = {de} } @inproceedings{MohanGrossMenzeletal.2021, author = {Mohan, Nijanthan and Groß, Rolf Fritz and Menzel, Karsten and Theis, Fabian}, title = {Opportunities and Challenges in the Implementation of Building Information Modeling for Prefabrication of Heating, Ventilation and Air Conditioning Systems in Small and Medium-Sized Contracting Companies in Germany - A Case Study}, series = {WIT Transactions on The Built Environment, Vol. 205}, booktitle = {WIT Transactions on The Built Environment, Vol. 205}, publisher = {WIT Press}, address = {Southampton}, issn = {1743-3509}, doi = {10.2495/BIM210101}, pages = {117 -- 126}, year = {2021}, abstract = {Even though BIM (Building Information Modelling) is successfully implemented in most of the world, it is still in the early stages in Germany, since the stakeholders are sceptical of its reliability and efficiency. The purpose of this paper is to analyse the opportunities and obstacles to implementing BIM for prefabrication. Among all other advantages of BIM, prefabrication is chosen for this paper because it plays a vital role in creating an impact on the time and cost factors of a construction project. The project stakeholders and participants can explicitly observe the positive impact of prefabrication, which enables the breakthrough of the scepticism factor among the small-scale construction companies. The analysis consists of the development of a process workflow for implementing prefabrication in building construction followed by a practical approach, which was executed with two case studies. It was planned in such a way that, the first case study gives a first-hand experience for the workers at the site on the BIM model so that they can make much use of the created BIM model, which is a better representation compared to the traditional 2D plan. The main aim of the first case study is to create a belief in the implementation of BIM Models, which was succeeded by the execution of offshore prefabrication in the second case study. Based on the case studies, the time analysis was made and it is inferred that the implementation of BIM for prefabrication can reduce construction time, ensures minimal wastes, better accuracy, less problem-solving at the construction site. It was observed that this process requires more planning time, better communication between different disciplines, which was the major obstacle for successful implementation. This paper was carried out from the perspective of small and medium-sized mechanical contracting companies for the private building sector in Germany.}, language = {en} } @article{AngermannGuenthnerHanssenetal.2022, author = {Angermann, Susanne and G{\"u}nthner, Roman and Hanssen, Henner and Lorenz, Georg and Braunisch, Matthias C. and Steubl, Dominik and Matschkal, Julia and Kemmner, Stephan and Hausinger, Renate and Block, Zenonas and Haller, Bernhard and Heemann, Uwe and Kotliar, Konstantin and Grimmer, Timo and Schmaderer, Christoph}, title = {Cognitive impairment and microvascular function in end-stage renal disease}, series = {International Journal of Methods in Psychiatric Research (MPR)}, volume = {31}, journal = {International Journal of Methods in Psychiatric Research (MPR)}, number = {2}, publisher = {Wiley}, issn = {1049-8931 (Print)}, doi = {10.1002/mpr.1909}, pages = {1 -- 10}, year = {2022}, abstract = {Objective Hemodialysis patients show an approximately threefold higher prevalence of cognitive impairment compared to the age-matched general population. Impaired microcirculatory function is one of the assumed causes. Dynamic retinal vessel analysis is a quantitative method for measuring neurovascular coupling and microvascular endothelial function. We hypothesize that cognitive impairment is associated with altered microcirculation of retinal vessels. Methods 152 chronic hemodialysis patients underwent cognitive testing using the Montreal Cognitive Assessment. Retinal microcirculation was assessed by Dynamic Retinal Vessel Analysis, which carries out an examination recording retinal vessels' reaction to a flicker light stimulus under standardized conditions. Results In unadjusted as well as in adjusted linear regression analyses a significant association between the visuospatial executive function domain score of the Montreal Cognitive Assessment and the maximum arteriolar dilation as response of retinal arterioles to the flicker light stimulation was obtained. Conclusion This is the first study determining retinal microvascular function as surrogate for cerebral microvascular function and cognition in hemodialysis patients. The relationship between impairment in executive function and reduced arteriolar reaction to flicker light stimulation supports the involvement of cerebral small vessel disease as contributing factor for the development of cognitive impairment in this patient population and might be a target for noninvasive disease monitoring and therapeutic intervention.}, language = {en} } @inproceedings{DuranParedesMottaghyHerrmannetal.2020, author = {Duran Paredes, Ludwin and Mottaghy, Darius and Herrmann, Ulf and Groß, Rolf Fritz}, title = {Online ground temperature and soil moisture monitoring of a shallow geothermal system with non-conventional components}, series = {EGU General Assembly 2020}, booktitle = {EGU General Assembly 2020}, year = {2020}, abstract = {We present first results from a newly developed monitoring station for a closed loop geothermal heat pump test installation at our campus, consisting of helix coils and plate heat exchangers, as well as an ice-store system. There are more than 40 temperature sensors and several soil moisture content sensors distributed around the system, allowing a detailed monitoring under different operating conditions.In the view of the modern development of renewable energies along with the newly concepts known as Internet of Things and Industry 4.0 (high-tech strategy from the German government), we created a user-friendly web application, which will connect the things (sensors) with the open network (www). Besides other advantages, this allows a continuous remote monitoring of the data from the numerous sensors at an arbitrary sampling rate.Based on the recorded data, we will also present first results from numerical simulations, taking into account all relevant heat transport processes.The aim is to improve the understanding of these processes and their influence on the thermal behavior of shallow geothermal systems in the unsaturated zone. This will in turn facilitate the prediction of the performance of these systems and therefore yield an improvement in their dimensioning when designing a specific shallow geothermal installation.}, language = {en} } @article{KotliarOrtnerConradietal.2022, author = {Kotliar, Konstantin and Ortner, Marion and Conradi, Anna and Hacker, Patricia and Hauser, Christine and G{\"u}nthner, Roman and Moser, Michaela and Muggenthaler, Claudia and Diehl-Schmid, Janine and Priller, Josef and Schmaderer, Christoph and Grimmer, Timo}, title = {Altered retinal cerebral vessel oscillation frequencies in Alzheimer's disease compatible with impaired amyloid clearance}, series = {Neurobiology of Aging}, volume = {120}, journal = {Neurobiology of Aging}, publisher = {Elsevier}, address = {Amsterdam}, issn = {0197-4580}, doi = {10.1016/j.neurobiolaging.2022.08.012}, pages = {117 -- 127}, year = {2022}, abstract = {Retinal vessels are similar to cerebral vessels in their structure and function. Moderately low oscillation frequencies of around 0.1 Hz have been reported as the driving force for paravascular drainage in gray matter in mice and are known as the frequencies of lymphatic vessels in humans. We aimed to elucidate whether retinal vessel oscillations are altered in Alzheimer's disease (AD) at the stage of dementia or mild cognitive impairment (MCI). Seventeen patients with mild-to-moderate dementia due to AD (ADD); 23 patients with MCI due to AD, and 18 cognitively healthy controls (HC) were examined using Dynamic Retinal Vessel Analyzer. Oscillatory temporal changes of retinal vessel diameters were evaluated using mathematical signal analysis. Especially at moderately low frequencies around 0.1 Hz, arterial oscillations in ADD and MCI significantly prevailed over HC oscillations and correlated with disease severity. The pronounced retinal arterial vasomotion at moderately low frequencies in the ADD and MCI groups would be compatible with the view of a compensatory upregulation of paravascular drainage in AD and strengthen the amyloid clearance hypothesis.}, language = {en} } @incollection{MoorkampPetersonUibel2022, author = {Moorkamp, Wilfried and Peterson, Leif Arne and Uibel, Thomas}, title = {Nachhaltige Holzbr{\"u}cken f{\"u}r Geh- und Radwege}, series = {Bauphysik Kalender 2022: Holzbau, 22. Jahrgang}, booktitle = {Bauphysik Kalender 2022: Holzbau, 22. Jahrgang}, editor = {Fouad, Nabil A.}, publisher = {Ernst \& Sohn}, address = {Berlin}, isbn = {9783433033609 (Print)}, doi = {10.1002/9783433611081.ch17}, pages = {574 -- 592}, year = {2022}, abstract = {Am Lehr- und Forschungsgebiet Holzbau der Fachhochschule Aachen wurden im Rahmen des Forschungsvorhabens „Nachhaltige Standardbr{\"u}cken in Holzbauweise" Standardtypen f{\"u}r Geh- und Radwegbr{\"u}cken entwickelt. Die Br{\"u}cken sind durch konsequente Umsetzungen von Maßnahmen des konstruktiven Holzschutzes f{\"u}r eine Nutzung von mehr als 80~Jahren konzipiert. Innovative L{\"o}sungen f{\"u}r Bauteile und Anschl{\"u}sse sowie Materialalternativen im Bereich des Belages und der Gel{\"a}nder erm{\"o}glichen eine wartungsarme Konstruktion und tragen somit zur Wirtschaftlichkeit und Nachhaltigkeit bei. Um den Einsatz der entwickelten Standardbr{\"u}ckentypen in der Praxis zu erleichtern, wurden Leistungsverzeichnisse, Musterstatiken, Musterzeichnungen und umfangreiche Detailkataloge als Unterst{\"u}tzung f{\"u}r Planer und Bauherren erstellt. Damit die Randbedingungen f{\"u}r eine lange Lebensdauer w{\"a}hrend der Nutzung der Br{\"u}cke erhalten bleiben, wurden Leitf{\"a}den f{\"u}r die Pflege und Wartung sowie f{\"u}r die Br{\"u}ckenpr{\"u}fung erarbeitet. Der Beitrag gibt Einblicke in das Forschungsvorhaben und seine Resultate.}, language = {de} } @article{NeumaierWeissVeldemanetal.2021, author = {Neumaier, Felix and Weiss, Miriam and Veldeman, Michael and Kotliar, Konstantin and Wiesmann, Martin and Schulze-Steinen, Henna and H{\"o}llig, Anke and Clusmann, Hans and Schubert, Gerrit Alexander and Albanna, Walid}, title = {Changes in endogenous daytime melatonin levels after aneurysmal subarachnoid hemorrhage - preliminary findings from an observational cohort study}, series = {Clinical Neurology and Neurosurgery}, volume = {208}, journal = {Clinical Neurology and Neurosurgery}, number = {Article No.: 106870}, publisher = {Elsevier}, address = {Amsterdam}, issn = {0303-8467}, doi = {10.1016/j.clineuro.2021.106870}, year = {2021}, abstract = {Aneurysmal subarachnoid hemorrhage (aSAH) is associated with early and delayed brain injury due to several underlying and interrelated processes, which include inflammation, oxidative stress, endothelial, and neuronal apoptosis. Treatment with melatonin, a cytoprotective neurohormone with anti-inflammatory, anti-oxidant and anti-apoptotic effects, has been shown to attenuate early brain injury (EBI) and to prevent delayed cerebral vasospasm in experimental aSAH models. Less is known about the role of endogenous melatonin for aSAH outcome and how its production is altered by the pathophysiological cascades initiated during EBI. In the present observational study, we analyzed changes in melatonin levels during the first three weeks after aSAH.}, language = {en} } @incollection{MoorkampPetersonUibel2023, author = {Moorkamp, Wilfried and Peterson, Leif Arne and Uibel, Thomas}, title = {Standardholzbr{\"u}cken f{\"u}r kommunale Geh- und Radwege}, series = {Strukturen, Formen und Prinzipien : Festschrift zum 60. Geburtstag von Univ.-Prof. Dr.-Ing. Martin Trautz}, booktitle = {Strukturen, Formen und Prinzipien : Festschrift zum 60. Geburtstag von Univ.-Prof. Dr.-Ing. Martin Trautz}, editor = {Wehren, Cedric}, publisher = {RWTH Aachen}, address = {Aachen}, isbn = {978-3-95886-500-6}, pages = {140 -- 165}, year = {2023}, language = {de} } @book{UibelPeterson2023, author = {Uibel, Thomas and Peterson, Leif Arne}, title = {Tagungsband Aachener Holzbautagung 2023}, editor = {Uibel, Thomas and Peterson, Leif Arne}, publisher = {FH Aachen}, address = {Aachen}, issn = {2197-4489}, year = {2023}, language = {de} } @article{AlnemerKotliarNeuhausetal.2023, author = {Alnemer, Momin Sami Mohammad and Kotliar, Konstantin and Neuhaus, Valentin and Pape, Hans-Christoph and Ciritsis, Bernhard D.}, title = {Cost-effectiveness analysis of surgical proximal femur fracture prevention in elderly: a Markov cohort simulation model}, series = {Cost Effectiveness and Resource Allocation}, journal = {Cost Effectiveness and Resource Allocation}, number = {21, Article number: 77}, publisher = {Springer Nature}, issn = {1478-7547}, doi = {10.1186/s12962-023-00482-4}, pages = {12 Seiten}, year = {2023}, abstract = {Background Hip fractures are a common and costly health problem, resulting in significant morbidity and mortality, as well as high costs for healthcare systems, especially for the elderly. Implementing surgical preventive strategies has the potential to improve the quality of life and reduce the burden on healthcare resources, particularly in the long term. However, there are currently limited guidelines for standardizing hip fracture prophylaxis practices. Methods This study used a cost-effectiveness analysis with a finite-state Markov model and cohort simulation to evaluate the primary and secondary surgical prevention of hip fractures in the elderly. Patients aged 60 to 90 years were simulated in two different models (A and B) to assess prevention at different levels. Model A assumed prophylaxis was performed during the fracture operation on the contralateral side, while Model B included individuals with high fracture risk factors. Costs were obtained from the Centers for Medicare \& Medicaid Services, and transition probabilities and health state utilities were derived from available literature. The baseline assumption was a 10\% reduction in fracture risk after prophylaxis. A sensitivity analysis was also conducted to assess the reliability and variability of the results. Results With a 10\% fracture risk reduction, model A costs between \$8,850 and \$46,940 per quality-adjusted life-year (\$/QALY). Additionally, it proved most cost-effective in the age range between 61 and 81 years. The sensitivity analysis established that a reduction of ≥ 2.8\% is needed for prophylaxis to be definitely cost-effective. The cost-effectiveness at the secondary prevention level was most sensitive to the cost of the contralateral side's prophylaxis, the patient's age, and fracture treatment cost. For high-risk patients with no fracture history, the cost-effectiveness of a preventive strategy depends on their risk profile. In the baseline analysis, the incremental cost-effectiveness ratio at the primary prevention level varied between \$11,000/QALY and \$74,000/QALY, which is below the defined willingness to pay threshold. Conclusion Due to the high cost of hip fracture treatment and its increased morbidity, surgical prophylaxis strategies have demonstrated that they can significantly relieve the healthcare system. Various key assumptions facilitated the modeling, allowing for adequate room for uncertainty. Further research is needed to evaluate health-state-associated risks.}, language = {en} } @article{KuchlerGuenthnerRibeiroetal.2023, author = {Kuchler, Timon and G{\"u}nthner, Roman and Ribeiro, Andrea and Hausinger, Renate and Streese, Lukas and W{\"o}hnl, Anna and Kesseler, Veronika and Negele, Johanna and Assali, Tarek and Carbajo-Lozoya, Javier and Lech, Maciej and Adorjan, Kristina and Stubbe, Hans Christian and Hanssen, Henner and Kotliar, Konstantin and Haller, Berhard and Heemann, Uwe and Schmaderer, Christoph}, title = {Persistent endothelial dysfunction in post-COVID-19 syndrome and its associations with symptom severity and chronic inflammation}, volume = {26}, publisher = {Springer Nature}, address = {Dordrecht}, doi = {10.1007/s10456-023-09885-6}, pages = {547 -- 563}, year = {2023}, abstract = {Background Post-COVID-19 syndrome (PCS) is a lingering disease with ongoing symptoms such as fatigue and cognitive impairment resulting in a high impact on the daily life of patients. Understanding the pathophysiology of PCS is a public health priority, as it still poses a diagnostic and treatment challenge for physicians. Methods In this prospective observational cohort study, we analyzed the retinal microcirculation using Retinal Vessel Analysis (RVA) in a cohort of patients with PCS and compared it to an age- and gender-matched healthy cohort (n = 41, matched out of n = 204). Measurements and main results PCS patients exhibit persistent endothelial dysfunction (ED), as indicated by significantly lower venular flicker-induced dilation (vFID; 3.42\% ± 1.77\% vs. 4.64\% ± 2.59\%; p = 0.02), narrower central retinal artery equivalent (CRAE; 178.1 [167.5-190.2] vs. 189.1 [179.4-197.2], p = 0.01) and lower arteriolar-venular ratio (AVR; (0.84 [0.8-0.9] vs. 0.88 [0.8-0.9], p = 0.007). When combining AVR and vFID, predicted scores reached good ability to discriminate groups (area under the curve: 0.75). Higher PCS severity scores correlated with lower AVR (R = - 0.37 p = 0.017). The association of microvascular changes with PCS severity were amplified in PCS patients exhibiting higher levels of inflammatory parameters. Conclusion Our results demonstrate that prolonged endothelial dysfunction is a hallmark of PCS, and impairments of the microcirculation seem to explain ongoing symptoms in patients. As potential therapies for PCS emerge, RVA parameters may become relevant as clinical biomarkers for diagnosis and therapy management.}, 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} } @article{AlbannaConzenWeissetal.2021, author = {Albanna, Walid and Conzen, Catharina and Weiss, Miriam and Seyfried, Katharina and Kotliar, Konstantin and Schmidt, Tobias Philip and Kuerten, David and Hescheler, J{\"u}rgen and Bruecken, Anne and Schmidt-Trucks{\"a}ss, Arno and Neumaier, Felix and Wiesmann, Martin and Clusmann, Hans and Schubert, Gerrit Alexander}, title = {Non-invasive assessment of neurovascular coupling after aneurysmal subarachnoid hemorrhage: a prospective observational trial using retinal vessel analysis}, series = {Frontiers in Neurology}, volume = {12}, journal = {Frontiers in Neurology}, number = {12}, issn = {1664-2295}, doi = {10.3389/fneur.2021.690183}, pages = {1 -- 15}, year = {2021}, abstract = {Delayed cerebral ischemia (DCI) is a common complication after aneurysmal subarachnoid hemorrhage (aSAH) and can lead to infarction and poor clinical outcome. The underlying mechanisms are still incompletely understood, but animal models indicate that vasoactive metabolites and inflammatory cytokines produced within the subarachnoid space may progressively impair and partially invert neurovascular coupling (NVC) in the brain. Because cerebral and retinal microvasculature are governed by comparable regulatory mechanisms and may be connected by perivascular pathways, retinal vascular changes are increasingly recognized as a potential surrogate for altered NVC in the brain. Here, we used non-invasive retinal vessel analysis (RVA) to assess microvascular function in aSAH patients at different times after the ictus.}, language = {en} }