@article{HolzmannLittigStadlerPoppetal.2023, author = {Holzmann-Littig, Christopher and Stadler, David and Popp, Maria and Kranke, Peter and Fichtner, Falk and Schmaderer, Christoph and Renders, Lutz and Braunisch, Matthias Christoph and Assali, Tarek and Platen, Louise and Wijnen-Meijer, Marjo and L{\"u}hnen, Julia and Steckelberg, Anke and Pfadenhauer, Lisa and Haller, Bernhard and Fuetterer, Cornelia and Seeber, Christian and Schaaf, Christian}, title = {Locating medical information during an infodemic: information seeking behavior and strategies of health-care workers in Germany}, series = {Healthcare}, volume = {11}, journal = {Healthcare}, number = {11}, issn = {2227-9032}, doi = {10.3390/healthcare11111602}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-319306}, year = {2023}, abstract = {Background: The COVID-19 pandemic has led to a flood of — often contradictory — evidence. HCWs had to develop strategies to locate information that supported their work. We investigated the information-seeking of different HCW groups in Germany. Methods: In December 2020, we conducted online surveys on COVID-19 information sources, strategies, assigned trustworthiness, and barriers — and in February 2021, on COVID-19 vaccination information sources. Results were analyzed descriptively; group comparisons were performed using χ\(^2\)-tests. Results: For general COVID-19-related medical information (413 participants), non-physicians most often selected official websites (57\%), TV (57\%), and e-mail/newsletters (46\%) as preferred information sources — physicians chose official websites (63\%), e-mail/newsletters (56\%), and professional journals (55\%). Non-physician HCWs used Facebook/YouTube more frequently. The main barriers were insufficient time and access issues. Non-physicians chose abstracts (66\%), videos (45\%), and webinars (40\%) as preferred information strategy; physicians: overviews with algorithms (66\%), abstracts (62\%), webinars (48\%). Information seeking on COVID-19 vaccination (2700 participants) was quite similar, however, with newspapers being more often used by non-physicians (63\%) vs. physician HCWs (70\%). Conclusion: Non-physician HCWs more often consulted public information sources. Employers/institutions should ensure the supply of professional, targeted COVID-19 information for different HCW groups.}, language = {en} } @article{TonyBurmesterSchulzeKoopsetal.2011, author = {Tony, Hans-Peter and Burmester, Gerd and Schulze-Koops, Hendrik and Grunke, Mathias and Henes, Joerg and K{\"o}tter, Ina and Haas, Judith and Unger, Leonore and Lovric, Svjetlana and Haubitz, Marion and Fischer-Betz, Rebecca and Chehab, Gamal and Rubbert-Roth, Andrea and Specker, Christof and Weinerth, Jutta and Holle, Julia and M{\"u}ller-Ladner, Ulf and K{\"o}nig, Ramona and Fiehn, Christoph and Burgwinkel, Philip and Budde, Klemens and S{\"o}rensen, Helmut and Meurer, Michael and Aringer, Martin and Kieseier, Bernd and Erfurt-Berge, Cornelia and Sticherling, Michael and Veelken, Roland and Ziemann, Ulf and Strutz, Frank and von Wussow, Praxis and Meier, Florian MP and Hunzelmann, Nico and Schmidt, Enno and Bergner, Raoul and Schwarting, Andreas and Eming, R{\"u}diger and Schwarz-Eywill, Michael and Wassenberg, Siegfried and Fleck, Martin and Metzler, Claudia and Zettl, Uwe and Westphal, Jens and Heitmann, Stefan and Herzog, Anna L. and Wiendl, Heinz and Jakob, Waltraud and Schmidt, Elvira and Freivogel, Klaus and D{\"o}rner, Thomas and Hertl, Michael and Stadler, Rudolf}, title = {Safety and clinical outcomes of rituximab therapy in patients with different autoimmune diseases: experience from a national registry (GRAID)}, series = {Arthritis Research \& Therapy}, volume = {13}, journal = {Arthritis Research \& Therapy}, number = {R75}, doi = {10.1186/ar3337}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-142856}, pages = {1-14}, year = {2011}, abstract = {Introduction: Evidence from a number of open-label, uncontrolled studies has suggested that rituximab may benefit patients with autoimmune diseases who are refractory to standard-of-care. The objective of this study was to evaluate the safety and clinical outcomes of rituximab in several standard-of-care-refractory autoimmune diseases (within rheumatology, nephrology, dermatology and neurology) other than rheumatoid arthritis or non-Hodgkin's lymphoma in a real-life clinical setting. Methods: Patients who received rituximab having shown an inadequate response to standard-of-care had their safety and clinical outcomes data retrospectively analysed as part of the German Registry of Autoimmune Diseases. The main outcome measures were safety and clinical response, as judged at the discretion of the investigators. Results: A total of 370 patients (299 patient-years) with various autoimmune diseases (23.0\% with systemic lupus erythematosus, 15.7\% antineutrophil cytoplasmic antibody-associated granulomatous vasculitides, 15.1\% multiple sclerosis and 10.0\% pemphigus) from 42 centres received a mean dose of 2,440 mg of rituximab over a median (range) of 194 (180 to 1,407) days. The overall rate of serious infections was 5.3 per 100 patient-years during rituximab therapy. Opportunistic infections were infrequent across the whole study population, and mostly occurred in patients with systemic lupus erythematosus. There were 11 deaths (3.0\% of patients) after rituximab treatment (mean 11.6 months after first infusion, range 0.8 to 31.3 months), with most of the deaths caused by infections. Overall (n = 293), 13.3\% of patients showed no response, 45.1\% showed a partial response and 41.6\% showed a complete response. Responses were also reflected by reduced use of glucocorticoids and various immunosuppressives during rituximab therapy and follow-up compared with before rituximab. Rituximab generally had a positive effect on patient well-being (physician's visual analogue scale; mean improvement from baseline of 12.1 mm)}, language = {en} } @article{PollingerSchmittSanderetal.2017, author = {Pollinger, Florian and Schmitt, Stefan and Sander, Dirk and Tian, Zhen and Kirschner, J{\"u}rgen and Vrdoljak, Pavo and Stadler, Christoph and Maier, Florian and Marchetto, Helder and Schmidt, Thomas and Sch{\"o}ll, Achim and Umbach, Eberhard}, title = {Nanoscale patterning, macroscopic reconstruction, and enhanced surface stress by organic adsorption on vicinal surfaces}, series = {New Journal of Physics}, volume = {19}, journal = {New Journal of Physics}, doi = {10.1088/1367-2630/aa55b8}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-171947}, year = {2017}, abstract = {Self-organization is a promising method within the framework of bottom-up architectures to generate nanostructures in an efficient way. The present work demonstrates that self- organization on the length scale of a few to several tens of nanometers can be achieved by a proper combination of a large (organic) molecule and a vicinal metal surface if the local bonding of the molecule on steps is significantly stronger than that on low-index surfaces. In this case thermal annealing may lead to large mass transport of the subjacent substrate atoms such that nanometer-wide and micrometer-long molecular stripes or other patterns are being formed on high-index planes. The formation of these patterns can be controlled by the initial surface orientation and adsorbate coverage. The patterns arrange self-organized in regular arrays by repulsive mechanical interactions over long distances accompanied by a significant enhancement of surface stress. We demonstrate this effect using the planar organic molecule PTCDA as adsorbate and Ag(10 8 7) and Ag(775)surfaces as substrate. The patterns are directly observed by STM, the formation of vicinal surfaces is monitored by highresolution electron diffraction, the microscopic surface morphology changes are followed by spectromicroscopy, and the macroscopic changes of surface stress are measured by a cantilever bending method. The in situ combination of these complementary techniques provides compelling evidence for elastic interaction and a significant stress contribution to long-range order and nanopattern formation.}, language = {en} } @phdthesis{Stadler2009, author = {Stadler, Christoph}, title = {Strukturuntersuchungen organischer Monolagen auf Ag(111)}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-35930}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2009}, abstract = {In dieser Arbeit wurden zwei komplement{\"a}re Beugungsverfahren verwendet, um die geometrische Struktur von organischen Adsorbaten (NTCDA und verschiedenen Metall-Pcs) auf Ag(111) zu untersuchen: um die lateralen Strukturparameter zu messen wurde hochaufl{\"o}sende Beugung niederenergetischer Elektronen (SPALEED) verwendet. Die vertikalen Abst{\"a}nde der einzelnen atomaren Spezies von der Silberoberfl{\"a}che wurden mit der Methode der Absorption in stehenden R{\"o}ntgenwellenfeldern (XSW) bestimmt. Aus den Arbeiten von Kilian et al. [43, 42] ist bekannt, daß die relaxierte und komprimierte Monolage NTCDA/Ag(111) einen Ordnungs-Unordnungs-Phasen{\"u}bergang beim Abk{\"u}hlen besitzt. Dazu sollten zu Beginn dieser Arbeit stabile Parameter mithilfe von K{\"u}hlversuchen unter Beobachtung im LEED gefunden werden, um diesen Phasen{\"u}bergang zu reproduzieren. Dies ist nicht gelungen. Es wurden aber die vertikalen Abst{\"a}nde der Kohlenstoff- und Sauerstoffatome der relaxierten Monolage zum Substrat mithilfe von XSW bestimmt. Diese best{\"a}tigen die Messungen von Stanzel et al. [88, 87], die aufgrund des geringen Abstandes auf Chemisorption schließen lassen. Dar{\"u}berhinaus wurde die Methode von Stanzel et al. verfeinert, das Photoelektronensignal (O1s) und das Auger-Signal (OKLL) koh{\"a}rent zu interpretieren. Dabei wurden sowohl die nichtdipolaren Parameter der Photoemission (O1s) als auch der Anteil der durch Sekund{\"a}relektronen induzierten Augerzerf{\"a}lle (OKLL) ber{\"u}cksichtigt und iterativ angepasst. Im Fall von NTCDA ist es m{\"o}glich, anhand der Peakstruktur der O1s-Photoelektronen die Anhydridsauerstoffe von den Carbonylsauerstoffen zu trennen. Diese wurden bei XSW als getrennte Detektionskan{\"a}le verwendet und zeigen f{\"u}r die relaxierte Monolagenstruktur von NTCDA/Ag(111) - {\"a}hnlich wie schon von Hauschild et al. f{\"u}r PTCDA/Ag(111) [29, 30] gemessen - daß die Carbonylsauerstoffe in den Ecken des NTCDA-Molek{\"u}ls um ca. 0:10 n{\"a}her am Substrat liegen als die Anhydridsauerstoffe in der Br{\"u}ckenposition. Solch detaillierten Messungen sind notwendig, um f{\"u}r die Vielzahl von verschiedenen theoretischen ab-initio Methoden und N{\"a}herungsrechnungen ein Maß f{\"u}r deren Genauigkeit bereitzustellen. Bei den relativ großen Einheitszellenund der deshalb hohen Anzahl von Elektronen im organischen Molek{\"u}l und den darunterliegenden Silberatomen haben diese Methoden noch Schwierigkeiten in endlicher Zeit akkurate Ergebnisse zu liefern. Der Hauptteil der Arbeit besch{\"a}ftigte sich mit der geometrischen Struktur von Metall-Phthalocyaninen auf Ag(111). Das Phasendiagramm der Submonolagenstrukturen von SnPc/Ag(111) besteht im wesentlichen aus drei Bereichen in Abh{\"a}ngigkeit der Bedeckung und der Temepratur: Bei Raumtemperatur liegt bei niedrigen Bedeckungen unterhalb von ca. 0.9ML eine gasf{\"o}rmige Phase vor. Zwischen 0.9ML und 1 ML treten inkommensurable Strukturen auf, deren geometrische Parameter mit der Bedeckung variieren. Bei beiden Phasen nimmt der intermolekulare Abstand kontinuierlich mit der Bedeckung ab. Zumindest bei den inkommensurablen Phasen ist das ein klarer Beweis f{\"u}r eine Repulsion zwischen den Molek{\"u}len. Bei tiefen Temperaturen (<45°C) gibt es in einem mittleren Bedeckungsbereich (0.5ML - 0.92ML) eine kommensurable {\"U}berstruktur mit zwei Molek{\"u}len pro Einheitszelle. Es ist sogar m{\"o}glich, von der inkommensurablen Phase (0.9ML...0.92ML) durch Temperaturabsenkung zu dieser etwas dichter gepackten kommensurablen Phase zu gelangen - die Repulsion l{\"a}sst sich also nur mit Hilfe einer Temperatur{\"a}nderung in eine Attraktion zwischen den Molek{\"u}len umschalten. Aufgrund der Abst{\"a}nde der verschiedenen Spezies zum Silbersubstrat konnte die Orientierung der Molek{\"u}le zum Substrat in den verschiedenen Phasen gemessen werden. Sie deuten auf eine chemisorptive Anbindung der Molek{\"u}le. Interessanterweise liegen die Molek{\"u}le in der Monolage alle mit dem Sn-Atom zum Substrat, w{\"a}hrend das Sn-Atom in der kommensurablen Tieftemperaturphase alternierend zum Substrat hinund wegzeigt. Diese Messungen erlauben eine Begr{\"u}ndung der Attraktion und Repulsion zwischen den Molek{\"u}len auf Basis eines Donations-R{\"u}ckdonationsmodells der Bindung der Molek{\"u}le an das Substrat. Sie werden mit den Ergebnissen von CuPc/Ag(111) von Ingo Kr{\"o}ger verglichen [46]. Schließlich werden noch erste Messungen an TiOPc vorgestellt. Die Datenlage bei TiOPc ist noch weniger dicht, es zeigt aber ein {\"a}hnliches Verhalten. Der augenf{\"a}lligste Unterschied zu SnPc ist wohl die stabile Bi-Lage im Fall des TiOPc/Ag(111), die sich nicht durch Tempern vollst{\"a}ndig abl{\"o}sen l{\"a}sst - im Gegensatz zu SnPc/Ag(111). Diese ersten geometrischen Messungen stimulierten neben weiteren SPALEED und XSW Messungen [46, 85] eine Reihe weiterer Untersuchungen in der Gruppe wie UPS, Austrittsarbeits{\"a}nderungen und detaillierte XPS-Messungen an den Rumpfelektronen, die das Donations-R{\"u}ckdonationsmodell und die Orientierung der Molek{\"u}le best{\"a}tigen [108, 71].}, subject = {LEED}, language = {de} } @article{GuthHueserRothetal.2021, author = {Guth, Sabine and H{\"u}ser, Stephanie and Roth, Angelika and Degen, Gisela and Diel, Patrick and Edlund, Karolina and Eisenbrand, Gerhard and Engel, Karl-Heinz and Epe, Bernd and Grune, Tilman and Heinz, Volker and Henle, Thomas and Humpf, Hans-Ulrich and J{\"a}ger, Henry and Joost, Hans-Georg and Kulling, Sabine E. and Lampen, Alfonso and Mally, Angela and Marchan, Rosemarie and Marko, Doris and M{\"u}hle, Eva and Nitsche, Michael A. and R{\"o}hrdanz, Elke and Stadler, Richard and van Thriel, Christoph and Vieths, Stefan and Vogel, Rudi F. and Wascher, Edmund and Watzl, Carsten and N{\"o}thlings, Ute and Hengstler, Jan G.}, title = {Contribution to the ongoing discussion on fluoride toxicity}, series = {Archives of Toxicology}, volume = {95}, journal = {Archives of Toxicology}, number = {7}, issn = {0340-5761}, doi = {10.1007/s00204-021-03072-6}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-307161}, pages = {2571-2587}, year = {2021}, abstract = {Since the addition of fluoride to drinking water in the 1940s, there have been frequent and sometimes heated discussions regarding its benefits and risks. In a recently published review, we addressed the question if current exposure levels in Europe represent a risk to human health. This review was discussed in an editorial asking why we did not calculate benchmark doses (BMD) of fluoride neurotoxicity for humans. Here, we address the question, why it is problematic to calculate BMDs based on the currently available data. Briefly, the conclusions of the available studies are not homogeneous, reporting negative as well as positive results; moreover, the positive studies lack control of confounding factors such as the influence of well-known neurotoxicants. We also discuss the limitations of several further epidemiological studies that did not meet the inclusion criteria of our review. Finally, it is important to not only focus on epidemiological studies. Rather, risk analysis should consider all available data, including epidemiological, animal, as well as in vitro studies. Despite remaining uncertainties, the totality of evidence does not support the notion that fluoride should be considered a human developmental neurotoxicant at current exposure levels in European countries.}, language = {en} }