TY - JOUR A1 - Hackl, Michael A1 - Buess, Eduard A1 - Kammerlohr, Sandra A1 - Nacov, Julia A1 - Staat, Manfred A1 - Leschinger, Tim A1 - Müller, Lars P. A1 - Wegmann, Kilian T1 - A "comma sign"-directed subscapularis repair in anterosuperior rotator cuff tears yields biomechanical advantages in a cadaveric model JF - The american journal of sports medicine N2 - 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. Y1 - 2021 U6 - http://dx.doi.org/10.1177/03635465211031506 SN - 1552-3365 SN - 0363-5465 VL - 49 IS - 12 SP - 3212 EP - 3217 PB - Sage CY - London ER - TY - JOUR A1 - Brockhaus, Moritz K. A1 - Behbahani, Mehdi A1 - Muris, Farina A1 - Jansen, Sebastian V. A1 - Schmitz- Rode, Thomas A1 - Steinseifer, Ulrich A1 - Clauser, Johanna C. T1 - In vitro thrombogenicity testing of pulsatile mechanical circulatory support systems: Design and proof-of-concept JF - Artificial Organs N2 - 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. Y1 - 2021 U6 - http://dx.doi.org/10.1111/aor.14046 SN - 1525-1594 VL - 45 IS - 12 SP - 1513 EP - 1521 PB - Wiley CY - Weinheim ER - TY - JOUR A1 - Neumaier, Felix A1 - Weiss, Miriam A1 - Veldeman, Michael A1 - Kotliar, Konstantin A1 - Wiesmann, Martin A1 - Schulze-Steinen, Henna A1 - Höllig, Anke A1 - Clusmann, Hans A1 - Schubert, Gerrit Alexander A1 - Albanna, Walid T1 - Changes in endogenous daytime melatonin levels after aneurysmal subarachnoid hemorrhage – preliminary findings from an observational cohort study JF - Clinical Neurology and Neurosurgery N2 - 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. KW - constructive alignment KW - examination KW - long-term retention KW - multimodal KW - practical learning Y1 - 2021 U6 - http://dx.doi.org/10.1016/j.clineuro.2021.106870 SN - 0303-8467 VL - 208 IS - Article No.: 106870 PB - Elsevier CY - Amsterdam ER - TY - THES A1 - Jung, Alexander T1 - Electromechanical modelling and simulation of hiPSC-derived cardiac cell cultures Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?https://nbn-resolving.org/urn:nbn:de:hbz:464-20210624-134942-7 SN - 978-3-9821811-1-0 N1 - Dissertation, Universität Duisburg-Essen, 2021 PB - Universität Duisburg-Essen ER - TY - CHAP A1 - Tran, Ngoc Trinh A1 - Staat, Manfred T1 - FEM shakedown analysis of Kirchhoff-Love plates under uncertainty of strength T2 - Proceedings of UNCECOMP 2021 N2 - A new formulation to calculate the shakedown limit load of Kirchhoff plates under stochastic conditions of strength is developed. Direct structural reliability design by chance con-strained programming is based on the prescribed failure probabilities, which is an effective approach of stochastic programming if it can be formulated as an equivalent deterministic optimization problem. We restrict uncertainty to strength, the loading is still deterministic. A new formulation is derived in case of random strength with lognormal distribution. Upper bound and lower bound shakedown load factors are calculated simultaneously by a dual algorithm. Y1 - 2021 SN - 978-618-85072-6-5 U6 - http://dx.doi.org/10.7712/120221.8041.19047 N1 - Proceedings of UNCECOMP 2021, 4th International Conference on Uncertainty Quantification in Computational Sciences and Engineering, streamed from Athens, Greece, 28–30 June 2021. SP - 323 EP - 338 ER - TY - RPRT A1 - Blandford, Daniel A1 - Dachwald, Bernd A1 - Digel, Ilya A1 - Espe, Clemens A1 - Feldmann, Marco A1 - Francke, Gero A1 - Hiecke, Hannah A1 - Kowalski, Julia A1 - Lindner, Peter A1 - Plescher, Engelbert A1 - Schöngarth, Sarah T1 - Enceladus Explorer : Schlussbericht — Version: 1.0 Y1 - 2015 U6 - http://dx.doi.org/10.2314/GBV:86319950X N1 - Förderkennzeichen BMWi 50NA1206 PB - FH Aachen CY - Aachen ER - TY - RPRT A1 - Digel, Ilya A1 - Kayser, Peter T1 - VirEx - Eliminierung von Quarantäne relevanten Viroiden aus Kulturpflanzen Abschlussbericht des Projektes KMU-innovativ-12: Teilprojekt 3 Y1 - 2017 U6 - http://dx.doi.org/10.2314/GBV:1012136345 N1 - Druck-Ausgabe: Schlussbericht für das BMBF-Forschungsvorhaben "VirEx - Eliminierung von Quarantäne relevanten Viroiden aus Kulturpflanzen" Förderkennzeichen BMBF 031A400C PB - Institut für Bioengineering (IfB) der FH Aachen CY - Aachen ER - TY - RPRT A1 - Temiz Artmann, Aysegül T1 - Frühgeburtenrate mindern durch ein Prognoseverfahren für den vorzeitigen Blasensprung - PROMPT (Premature rupture of membranes prediction test) : Abschlussbericht ; Laufzeit des Vorhabens: 01.03.2007 - 31.12.2009 Y1 - 2010 U6 - http://dx.doi.org/10.2314/GBV:644277858 N1 - Förderkennzeichen BMBF 1772X07 PB - Technische Informationsbibliothek u. Universitätsbibliothek CY - Aachen ER - TY - RPRT A1 - Artmann, Gerhard A1 - Bäumler, H. T1 - Pharmamikrocontainer mit designgesteuerter Permeabilität als Transporter für ausgewählte Pharmaka. Ein Gemeinschaftsprojekt im Forschungsschwerpunkt "Celluar Engineering" [Laufzeit: 01.09.2000 - 28.02.2002] Y1 - 2002 PB - FH Aachen CY - Jülich ER - TY - RPRT A1 - Artmann, Gerhard T1 - Plant mutant scanner : Hochdurchsatzscanner zur Charakterisierung von Pflanzenmutanten. Abschlussbericht ; FHprofUnd ; PhytoScan ; Laufzeit des Vorhabens: 01.07.2008 - 30.06.2011 Y1 - 2011 U6 - http://dx.doi.org/10.2314/GBV:747569150 N1 - Förderkennzeichen BMBF 1736X08 PB - Technische Informationsbibliothek u. Universitätsbibliothek CY - Aachen ER -