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2,866 Results Found

  • Article
  • Open Access
4,647 Views
13 Pages

Compared to multiple other European countries, Germany still lists among those countries restricting the operation of most retail activities on Sundays as well as public holidays. For a long time, the German populace backed this decision. The COVID-1...

  • Article
  • Open Access
18 Citations
7,548 Views
19 Pages

Food and nutrition trends cater for many more functions than simply satisfying the physical need for food. Given the fundamental significance of everyday food it seems clear that it is also relevant in urban development processes. Nutrition trends an...

  • Article
  • Open Access
2 Citations
5,056 Views
19 Pages

10 July 2019

Founded in 1967 under the name Kunstmarkt Köln, today’s ART COLOGNE was the first art fair worldwide to specialize in contemporary art. Its primary objectives were to further the art trade in Germany, promote German artists, and establish...

(This article belongs to the Special Issue Art Markets and Digital Histories)
  • Article
  • Open Access
61 Citations
11,741 Views
23 Pages

26 January 2020

This article discusses the visual perception of selected buildings located in the historic centre of Cologne, Germany, that have been designed by outstanding architects. It presents eye-tracking research, both from a theoretical perspective and that...

(This article belongs to the Special Issue Architecture and Engineering: the Challenges - Trends - Achievements)
  • Proceeding Paper
  • Open Access
2 Citations
5,074 Views
6 Pages

Quality Control in Cosmetics: A Five-Year Screening Survey on the Content of Phthalates in Colognes

  • Natalia Aldegunde-Louzao,
  • Manuel Lolo-Aira and
  • Carlos Herrero-Latorre

15 November 2023

Phthalate esters are used in colognes and other cosmetics and related products to maintain fragrance. Additionally, phthalates can dissolve and stabilize certain aroma ingredients and essential oils. The results of a five-year study (2016–2020)...

(This article belongs to the Proceedings of 27th International Electronic Conference on Synthetic Organic Chemistry)
  • Article
  • Open Access
27 Citations
12,885 Views
10 Pages

COVID-19 Breakthrough Infections and Transmission Risk: Real-World Data Analyses from Germany’s Largest Public Health Department (Cologne)

  • Lea Hsu,
  • Barbara Grüne,
  • Michael Buess,
  • Christine Joisten and ,
  • Jan Klobucnik,
  • Johannes Nießen,
  • David Patten,
  • Anna Wolff,
  • Gerhard A. Wiesmüller and
  • Julia Hurraß
  • + 6 authors+ 1 author

2 November 2021

Background and Methods: Vaccination is currently considered the most successful strategy for combating the SARS-CoV-2 virus. According to short-term clinical trials, protection against infection is estimated to reach up to 95% after complete vaccinat...

  • Article
  • Open Access
60 Citations
8,419 Views
19 Pages

Heat Perception and Coping Strategies: A Structured Interview-Based Study of Elderly People in Cologne, Germany

  • Juliane Kemen,
  • Silvia Schäffer-Gemein,
  • Johanna Grünewald and
  • Thomas Kistemann

The transdisciplinary project “Heat-Health Action Plan for Elderly People in Cologne” addresses the most heat-vulnerable risk group, people over 65 years of age. A quantitative study aimed to better understand heat perception and coping strategies of...

(This article belongs to the Section Climate Change)
  • Article
  • Open Access
3 Citations
2,887 Views
13 Pages

Secular Trend of Self-Concept in the Context of Childhood Obesity—Data from the CHILT III Programme, Cologne

  • Lisa Grünberg,
  • Nina Eisenburger,
  • Nina Ferrari,
  • David Friesen and ,
  • Fabiola Haas,
  • Marlen Klaudius,
  • Lisa Schmidt and
  • Christine Joisten
  • + 3 authors+ 0 author

7 January 2023

Juvenile obesity is associated with a lower self-concept. Given the continued prevalence of obesity, we examined the secular trend of body mass index standard deviation score (BMI-SDS) and self-concept in participants of a German weight management pr...

(This article belongs to the Section Pediatric Endocrinology & Diabetes)
  • Article
  • Open Access
30 Citations
6,369 Views
12 Pages

Health Risks of Sarcopenic Obesity in Overweight Children and Adolescents: Data from the CHILT III Programme (Cologne)

  • Carolin Sack,
  • Nina Ferrari,
  • David Friesen,
  • Fabiola Haas and ,
  • Marlen Klaudius,
  • Lisa Schmidt,
  • Gabriel Torbahn,
  • Hagen Wulff and
  • Christine Joisten
  • + 4 authors+ 0 author

5 January 2022

Sarcopenic obesity is increasingly found in youth, but its health consequences remain unclear. Therefore, we studied the prevalence of sarcopenia and its association with cardiometabolic risk factors as well as muscular and cardiorespiratory fitness...

(This article belongs to the Special Issue Cardiovascular Risk Factors in Childhood and Adolescence)
  • Article
  • Open Access
5 Citations
2,266 Views
10 Pages

Clinical Aspects of the Subsequent SARS-CoV-2 Waves in Children from 2020 to 2022—Data from a Local Cohort in Cologne, Germany (n = 21,635)

  • Meike Meyer,
  • Esra Ruebsteck,
  • Felix Dewald,
  • Florian Klein and ,
  • Clara Lehmann,
  • Christoph Huenseler and
  • Lutz Thorsten Weber
  • + 2 authors+ 0 author

23 July 2022

Almost two and a half years after the appearance of the first cases of SARS-CoV-2 in December 2019, more than 500 million people have been infected with SARS-CoV-2 and over 6 million have died of it worldwide. In terms of the pediatric cohort, it alr...

(This article belongs to the Special Issue Coronavirus Disease (COVID-19): Pathophysiology, Epidemiology and Clinical Management)
  • Article
  • Open Access
11 Citations
4,236 Views
10 Pages

HOMA Index, Vitamin D Levels, Body Composition and Cardiorespiratory Fitness in Juvenile Obesity: Data from the CHILT III Programme, Cologne

  • Annika Fraemke,
  • Nina Ferrari,
  • David Friesen,
  • Fabiola Haas and ,
  • Marlen Klaudius,
  • Esther Mahabir,
  • Lisa Schmidt and
  • Christine Joisten
  • + 3 authors+ 0 author

Juvenile obesity is associated with insulin resistance, among other comorbidities. In the pathogenesis of insulin-resistance-related diseases, including obesity and diabetes, Vitamin D deficiency is very common. Therefore, the relationship between in...

(This article belongs to the Special Issue Dietary Patterns and Health Outcomes in Children and Adolescents)
  • Article
  • Open Access
10 Citations
4,327 Views
18 Pages

Transforming Health Care Delivery towards Value-Based Health Care in Germany: A Delphi Survey among Stakeholders

  • Franziska Krebs,
  • Sabrina Engel,
  • Vera Vennedey,
  • Adrienne Alayli and ,
  • Dusan Simic,
  • Holger Pfaff,
  • Stephanie Stock and
  • on behalf of the Cologne Research and Development Network (CoRe-Net)
  • + 3 authors+ 0 author

Value-based healthcare (VBC) represents one strategy to meet growing challenges in healthcare systems. To date, VBC is not implemented broadly in the German healthcare system. A Delphi survey was conducted to explore stakeholders’ perspectives...

(This article belongs to the Section Health Policy)
  • Article
  • Open Access
1 Citations
3,492 Views
11 Pages

15 April 2022

The Passion of Christ is not only an important theme in Christian theological and devotional literature, iconography, and music, but it is likewise the focus of considerable attention in contemplative, mystical literature. This contribution focuses o...

(This article belongs to the Special Issue Representations and Interpretations of the Passion and Death of Christ: Global Perspectives)
  • Article
  • Open Access
2 Citations
4,330 Views
15 Pages

Stay at Home Order—Psychological Stress in Children, Adolescents, and Parents during COVID-19 Quarantine—Data of the CoCo-Fakt Cohort Study, Cologne

  • Wanja Nöthig,
  • Lisa Klee,
  • Alisa Fabrice,
  • Nina Eisenburger and ,
  • Sven Feddern,
  • Annelene Kossow,
  • Johannes Niessen,
  • Nikola Schmidt,
  • Gerhard A. Wiesmüller and
  • on behalf of the CoCo-Fakt-Group
  • + 7 authors+ 2 authors

14 March 2022

Measures taken to contain the COVID-19 pandemic are particularly stressful for families. Limited data is available regarding the effects of a mandatory quarantine on the psychological stress of children, adolescents and their parents. Quarantined ind...

(This article belongs to the Special Issue Adolescents Alone and Together between Well-Being and Distress: The Path to Adulthood at the Time of Covid-19)
  • Article
  • Open Access
4 Citations
2,187 Views
12 Pages

Deep Learning Histology for Prediction of Lymph Node Metastases and Tumor Regression after Neoadjuvant FLOT Therapy of Gastroesophageal Adenocarcinoma

  • Jin-On Jung,
  • Juan I. Pisula,
  • Xenia Beyerlein,
  • Leandra Lukomski and ,
  • Karl Knipper,
  • Aram P. Abu Hejleh,
  • Hans F. Fuchs,
  • Yuri Tolkach,
  • Seung-Hun Chon and
  • Thomas Schmidt
  • + 11 authors+ 6 authors

3 July 2024

Background: The aim of this study was to establish a deep learning prediction model for neoadjuvant FLOT chemotherapy response. The neural network utilized clinical data and visual information from whole-slide images (WSIs) of therapy-naïve gast...

(This article belongs to the Special Issue New Challenges for Gastric Cancer—Gut Microbiota, Post-eradication and Chemotherapy)
  • Article
  • Open Access
29 Citations
12,723 Views
24 Pages

Mental illnesses in adolescence and young adulthood are steadily increasing. Thus, mental disorders represent an individual and societal challenge and an enormous health economic burden, creating an urgent need for research and action. Mental health...

(This article belongs to the Special Issue New Challenges and Crucial Topics for 2030 Public Health)
  • Conference Report
  • Open Access
1 Citations
5,820 Views
16 Pages

3 January 2025

Debates about archaeological heritage in Egypt are commonly focused on the spectacular monuments of the Pharaonic, Greek, and Roman periods. In contrast, landscapes and the long prehistory of Northeast Africa receive far more limited attention. The C...

(This article belongs to the Section Archaeological Heritage)
  • Article
  • Open Access
14 Citations
6,436 Views
20 Pages

Gender-Specific Aspects of Health Literacy: Perceptions of Interactions with Migrants among Health Care Providers in Germany

  • Digo Chakraverty,
  • Annika Baumeister,
  • Angela Aldin,
  • Tina Jakob and ,
  • Ümran Sema Seven,
  • Christiane Woopen,
  • Nicole Skoetz and
  • Elke Kalbe
  • + 3 authors+ 0 author

Health literacy can be described as a complex process shaped by individual resources and preferences and by the nature and quality of health-related information people encounter. The main objective of this study was to explore the views of health car...

(This article belongs to the Special Issue Health Literacy and Equity – Interdisciplinary Perspectives and Recent Trends in Health Literacy Research and Action around the World)
  • Article
  • Open Access
3 Citations
2,387 Views
12 Pages

Comparison of Lactate Clearance with Established Risk Assessment Tools in Predicting Outcomes in Acute Upper Gastrointestinal Bleeding

  • Gabriel Allo,
  • Johannes Gillessen,
  • Dilan Gülcicegi,
  • Philipp Kasper and ,
  • Seung-Hun Chon,
  • Tobias Goeser and
  • Martin Bürger
  • + 2 authors+ 0 author

5 April 2023

Early risk stratification is mandatory in acute upper gastrointestinal bleeding (AUGIB) to guide optimal treatment. Numerous risk scores were introduced, but lack of practicability led to limited use in daily clinical practice. Lactate clearance is a...

(This article belongs to the Special Issue Clinical Advances in Upper Gastrointestinal Bleeding)
  • Article
  • Open Access
13 Citations
3,555 Views
13 Pages

Attitudes towards Risk Prediction in a Help Seeking Population of Early Detection Centers for Mental Disorders—A Qualitative Approach

  • Pauline Katharina Mantell,
  • Annika Baumeister,
  • Stephan Ruhrmann,
  • Anna Janhsen and
  • Christiane Woopen

Big Data approaches raise hope for a paradigm shift towards illness prevention, while others are concerned about discrimination resulting from these approaches. This will become particularly important for people with mental disorders, as research on...

(This article belongs to the Special Issue Health Literacy, Patient Empowerment and Preventive Medicine)
  • Review
  • Open Access
96 Citations
11,389 Views
37 Pages

Resistance to therapy is a major obstacle to cancer treatment. It may exist from the beginning, or it may develop during therapy. The review focusses on oncolytic Newcastle disease virus (NDV) as a biological agent with potential to break therapy res...

(This article belongs to the Section Immunology and Immunotherapy)
  • Article
  • Open Access
2 Citations
4,786 Views
8 Pages

Could Negative Tc-99m-Methoxyisobutylisonitrile (MIBI) Scintigraphy Obviate the Need for Surgery for Bethesda III and IV Thyroid Nodules?

  • Stella Armefti,
  • Jasmin Mettler,
  • Matthias Schmidt,
  • Michael Faust and ,
  • Marianne Engels,
  • Anne M. Schultheis and
  • Costanza Chiapponi
  • + 2 authors+ 0 author

24 July 2021

In about 20% of all cases, the fine needle aspiration cytology (FNAC) results are equivocal, delivering the two common categories of indeterminate cytology, Bethesda III and IV. The observed rates of malignancy vary widely among institutions, with th...

  • Article
  • Open Access
3 Citations
1,824 Views
10 Pages

Internet Access and Use by Patients with Gynecologic Malignancies: A Cross-Sectional Study

  • Frederik Bach,
  • David Engelhardt,
  • Christoph A. Mallmann,
  • Sina Tamir and ,
  • Lars Schröder,
  • Christian M. Domröse and
  • Michael R. Mallmann
  • + 2 authors+ 0 author

26 April 2024

The influence of digitalization on information-seeking, decision-making properties of patients, therapy monitoring, and patient–physician interactions has and will change the global health sector tremendously. With this study, we add knowledge...

(This article belongs to the Special Issue Digital Health Technologies in Oncology)
  • Study Protocol
  • Open Access
3 Citations
3,619 Views
13 Pages

Effects of a Primary Care-Based Intervention on the Identification and Management of Patients with Coronary Heart Disease and Mental or Cognitive Comorbidity—A Study Protocol

  • Lena Sannemann,
  • Lisa Bach,
  • Kira Isabel Hower,
  • Peter Ihle and ,
  • Kai Keller,
  • Charlotte Leikert,
  • Christin Leminski,
  • Adriana Meixner,
  • Ingo Meyer and
  • on behalf of the CoRe-Net Study Group
  • + 14 authors+ 9 authors

Mental and cognitive disorders (MCD) negatively affect the incidence and prognosis of coronary heart disease (CHD). Medical guidelines recommend the appropriate management of comorbid MCD in patients with CHD, yet there is evidence that the implement...

(This article belongs to the Special Issue Addressing the Growing Burden of Chronic Diseases and Multimorbidity: Characterization and Interventions)
  • Article
  • Open Access
32 Citations
6,206 Views
13 Pages

Clinical Characteristics and Outcomes of Colorectal Cancer in the ColoCare Study: Differences by Age of Onset

  • Caroline Himbert,
  • Jane C. Figueiredo,
  • David Shibata,
  • Jennifer Ose and ,
  • Tengda Lin,
  • Lyen C. Huang,
  • Anita R. Peoples,
  • Courtney L. Scaife,
  • Bartley Pickron and
  • Sheetal Hardikar
  • + 53 authors+ 48 authors

29 July 2021

Early-onset colorectal cancer has been on the rise in Western populations. Here, we compare patient characteristics between those with early- (<50 years) vs. late-onset (≥50 years) disease in a large multinational cohort of colorectal cancer patie...

(This article belongs to the Special Issue Colorectal Cancers: From Present Problems to Future Solutions)
  • Article
  • Open Access
7 Citations
3,260 Views
10 Pages

Radioiodine Refractory Follicular Thyroid Cancer and Surgery for Cervical Relapse

  • Costanza Chiapponi,
  • Milan J. M. Hartmann,
  • Matthias Schmidt,
  • Michael Faust and ,
  • Anne M. Schultheis,
  • Christiane J. Bruns and
  • Hakan Alakus
  • + 2 authors+ 0 author

11 December 2021

Compared to its more common counterpart papillary thyroid cancer (PTC), follicular thyroid cancer (FTC) has a less favorable outcome, due to its higher incidence of distant metastases and advanced stages at diagnosis. Despite radioiodine (RAI) avidit...

(This article belongs to the Special Issue Updates in Thyroid Cancer Surgery)
  • Study Protocol
  • Open Access
1,466 Views
9 Pages

The ADAPT-HEAT Study: A Multi-Method Approach to Develop Recommendations for Drug Safety During Hot Weather (The CALOR List)—Study Protocol

  • Maxie Bunz,
  • Pascal Nohl-Deryk,
  • Heike van de Sand,
  • Katharina van Baal and ,
  • Svenja Arendt,
  • Alina Herrmann,
  • Ingo Meyer,
  • Adriana Poppe,
  • Olaf Krause and
  • Beate Sigrid Müller
  • + 6 authors+ 1 author

Certain medications may adversely affect health during hot days and heatwaves by altering chronic conditions, comorbidities, fluid balance, or impairing heat adaptation. This study aims to develop evidence-based cross-sectoral recommendations for the...

(This article belongs to the Section Public Health Research)
  • Article
  • Open Access
13 Citations
3,489 Views
13 Pages

Satisfaction and Quality of Life of Healthy and Unilateral Diseased BRCA1/2 Pathogenic Variant Carriers after Risk-Reducing Mastectomy and Reconstruction Using the BREAST-Q Questionnaire

  • Natalie Herold,
  • Martin Hellmich,
  • Frank Lichtenheldt,
  • Beyhan Ataseven and ,
  • Vanessa Hillebrand,
  • Barbara Wappenschmidt,
  • Rita Katharina Schmutzler and
  • Kerstin Rhiem
  • + 3 authors+ 0 author

28 July 2022

Risk-reducing mastectomy (RRM) is the most efficient form of breast cancer (BC) risk reduction in BRCA1/2 pathogenic variant (pV) carriers. However, this intervention in physical integrity is associated with significant morbidity. We assessed long-te...

(This article belongs to the Section Genetic Diagnosis)
  • Feature Paper
  • Article
  • Open Access
2 Citations
2,837 Views
23 Pages

A Comparative Study of Varying Incidence Angle Effects on a Low-Reynolds-Number Compressor Cascade Based on Experiments and Low-Fidelity and High-Fidelity Numerical Simulations

  • Michael Bergmann,
  • Christian Morsbach,
  • Felix M. Möller,
  • Björn F. Klose and ,
  • Alexander Hergt and
  • Georgios Goinis
  • + 1 author+ 0 author

The trend towards higher bypass ratios and downsized cores in modern compressors leads to locally reduced Reynolds numbers, intensifying flow separation and unsteadiness, which limits the reliability of RANS models and motivates the use of LES as a f...

  • Article
  • Open Access
2 Citations
2,652 Views
17 Pages

Optimizing Antiretroviral Therapy in Heavily ART-Experienced Patients with Multi-Class Resistant HIV-1 Using Proviral DNA Genotypic Resistance Testing

  • Dominic Rauschning,
  • Ira Ehren,
  • Eva Heger,
  • Elena Knops and ,
  • Gerd Fätkenheuer,
  • Isabelle Suárez and
  • Clara Lehmann
  • + 2 authors+ 0 author

27 June 2023

Resistance to multiple antiretroviral drugs among people living with HIV (PLWH) can result in a high pill burden, causing toxicity and drug interactions. Thus, the goal is to simplify treatment regimens while maintaining effectiveness. However, forme...

(This article belongs to the Special Issue Advances in Research on HIV Drug Resistance and Other Determinants of Treatment Success)
  • Article
  • Open Access
12 Citations
3,329 Views
17 Pages

C-Reactive Protein and Lymphocyte-to-Monocyte Ratio Predict Recurrence in Stage III Melanoma Patients with Microscopic Sentinel Lymph Node Metastasis

  • Viktoria Anna Sophie Schildbach,
  • Susanne Horn,
  • Guillermo Hidalgo-Gadea,
  • Wibke Johannis and ,
  • Cornelia Mauch and
  • Cindy Franklin
  • + 1 author+ 0 author

23 January 2023

Although adjuvant therapies with immune checkpoint inhibitors (ICI) and BRAF/MEK inhibitors improve recurrence-free survival (RFS) in stage III melanoma patients significantly, prognostic factors are needed to identify patients with a high risk of di...

(This article belongs to the Section Cancer Pathophysiology)
  • Article
  • Open Access
4 Citations
4,216 Views
8 Pages

Prenatal Diagnosis and Outcome of Scimitar Syndrome: A Case Series of Six Patients

  • Florian Recker,
  • Eva Christin Weber,
  • Brigitte Strizek,
  • Ulrike Herberg and ,
  • Konrad Brockmaier,
  • Ingo Gottschalk,
  • Annegret Geipel,
  • Ulrich Gembruch and
  • Christoph Berg
  • + 4 authors+ 0 author

18 March 2022

Scimitar syndrome is a rare disease characterized by hypoplasia of the right lung and partial anomalous pulmonary venous drainage to the inferior vena cava. All cases with a prenatal diagnosis of scimitar syndrome with or without associated malformat...

(This article belongs to the Section Obstetrics & Gynecology)
  • Article
  • Open Access
7 Citations
4,035 Views
10 Pages

Last Resort Antibiotics Costs and Reimbursement Analysis of Real-Life ICU Patients with Pneumonia Caused by Multidrug-Resistant Gram-Negative Bacteria in Germany

  • Julia Jeck,
  • Sebastian M. Wingen-Heimann,
  • Florian Jakobs,
  • Jennifer Franz and ,
  • Christoph T. Baltin,
  • Anna Kron,
  • Boris Böll,
  • Matthias Kochanek,
  • Oliver A. Cornely and
  • Florian Kron
  • + 5 authors+ 0 author

15 December 2022

Multidrug-resistant Gram-negative bacteria (MDR-GNB) cause serious infections and aggravate disease progression. Last resort antibiotics are effective against MDR-GNB and are reimbursed by flat rates based on German diagnosis-related groups (G-DRG)....

  • Article
  • Open Access
17 Citations
4,457 Views
11 Pages

Associations of Lipophilic Micronutrients with Physical and Cognitive Fitness in Persons with Mild Cognitive Impairment

  • Perihan Gerger,
  • Roopa Kalsank Pai,
  • Tim Stuckenschneider,
  • Julia Falkenreck and ,
  • Hannah Weigert,
  • Wilhelm Stahl,
  • Bernd Weber,
  • Gereon Nelles,
  • Liana Spazzafumo and
  • M. Cristina Polidori
  • + 6 authors+ 1 author

22 April 2019

Age-associated cognitive impairment in general and dementia in particular are a global concern. Preventive lifestyle strategies are highly used but there is a lack of information on the reciprocal relationships between nutrition biomarkers and measur...

(This article belongs to the Special Issue Lifestyle Strategies in Cognitive Decline: Focus on Nutrition)
  • Article
  • Open Access
10 Citations
4,485 Views
11 Pages

Randomized Comparison of Two New Methods for Chest Compressions during CPR in Microgravity—A Manikin Study

  • Jan Schmitz,
  • Anton Ahlbäck,
  • James DuCanto,
  • Steffen Kerkhoff and ,
  • Matthieu Komorowski,
  • Vanessa Löw,
  • Thais Russomano,
  • Clement Starck,
  • Seamus Thierry and
  • Jochen Hinkelbein
  • + 6 authors+ 1 author

27 January 2022

Background: Although there have been no reported cardiac arrests in space to date, the risk of severe medical events occurring during long-duration spaceflights is a major concern. These critical events can endanger both the crew as well as the missi...

(This article belongs to the Special Issue Cardiopulmonary Resuscitation: Clinical Updates and Perspectives)
  • Review
  • Open Access
5 Citations
6,063 Views
16 Pages

Oncolytic viruses and combinatorial immunotherapy for cancer (this Special Issue) are both part of cancer treatment at IOZK. This review focusses on an individual multimodal cancer immunotherapy concept developed by IOZK, Cologne, Germany. The scient...

(This article belongs to the Section Immunology and Immunotherapy)
  • Article
  • Open Access
12 Citations
5,272 Views
20 Pages

A Method for Modeling Urban Water Infrastructures Combining Geo-Referenced Data

  • Imke-Sophie Rehm,
  • John Friesen,
  • Kevin Pouls,
  • Christoph Busch and ,
  • Hannes Taubenböck and
  • Peter F. Pelz
  • + 1 author+ 0 author

22 August 2021

Water distribution networks are the backbone of any municipal water supply. Their task is to supply the population regardless of the respective demand. High resilience of these infrastructures is of great importance and has brought these infrastructu...

(This article belongs to the Special Issue Resilience of Interdependent Urban Water Systems)
  • Article
  • Open Access
6 Citations
1,471 Views
11 Pages

Impact of Surgical Margin Distance on Oncologic Outcomes in Vulvar Squamous Cell Carcinoma

  • Caroline Lenz,
  • Su Ir Lyu,
  • Peter Mallmann,
  • Bernd Morgenstern and
  • Fabinshy Thangarajah

8 June 2025

Introduction: Vulvar carcinoma is a rare malignancy with approximately 3090 cases annually in Germany. Squamous cell carcinoma of the vulva (SCC) can be HPV-associated or non-HPV-associated. Surgical excision is the primary treatment, but the optimal...

(This article belongs to the Section Obstetrics & Gynecology)
  • Article
  • Open Access
4 Citations
3,956 Views
13 Pages

Experimental Investigation of an Efficient and Lightweight Designed Counter-Rotating Shrouded Fan Stage

  • Timea Lengyel-Kampmann,
  • Jirair Karboujian,
  • Guillaume Charroin and
  • Peter Winkelmann

The German Aerospace Center designed, aero-mechanically optimized and experimentally investigated its own counter-rotating shrouded fan stage in the frame of the project CRISPmulti. Their target and the motivation of this work was, on the one hand, t...

  • Communication
  • Open Access
4 Citations
2,273 Views
6 Pages

Vaccination and Transmission Risk during the Outbreak of B.1.1.529 (Omicron)

  • Barbara Grüne,
  • Jakob Grüne,
  • Annelene Kossow and
  • Christine Joisten

23 June 2022

Since its first description in November 2021, the SARS-CoV-2 variant of concern Omicron (B.1.1.529) has emerged as the dominant strain in the COVID-19 pandemic. To date, it remains unclear if boosted vaccination protects against transmission. Using d...

(This article belongs to the Section COVID-19 Vaccines and Vaccination)
  • Article
  • Open Access
521 Views
15 Pages

Physical Activity Is Associated with Higher Retinal Microvascular Density in Uveal Melanoma and Nevus

  • Theresa Walz,
  • Freerk T. Baumann,
  • Katharina Leuchte,
  • Damir Zubac and ,
  • Philomena Wawer Matos Reimer,
  • Konrad R. Koch and
  • Michael Mendes Wefelnberg
  • + 2 authors+ 0 author

4 August 2026

Background/Objectives: The aim of the present study was to assess the influence of physical activity on retinal microvascularization in patients with uveal melanoma (UM) and nevus. In addition, vascular differences between tumor and nevus patients as...

(This article belongs to the Special Issue Basic and Translational Science in Ocular Oncology)
  • Feature Paper
  • Meeting Report
  • Open Access
9 Citations
10,685 Views
25 Pages

State of the Art in Paleoenvironment Mapping for Modeling Applications in Archeology—Summary, Conclusions, and Future Directions from the PaleoMaps Workshop

  • Christian Willmes,
  • Kamil Niedziółka,
  • Benjamin Serbe,
  • Sonja B. Grimm and ,
  • Daniel Groß,
  • Andrea Miebach,
  • Michael Märker,
  • Felix Henselowsky,
  • Alexander Gamisch and
  • Georg Bareth
  • + 20 authors+ 15 authors

In this report, we present the contributions, outcomes, ideas, discussions and conclusions obtained at the PaleoMaps Workshop 2019, that took place at the Institute of Geography of the University of Cologne on 23 and 24 September 2019. The twofold ai...

  • Article
  • Open Access
8 Citations
2,380 Views
15 Pages

Impact of Single- Versus Multiple-Type HPV Infections on Cervical Cytological and Histological Abnormalities: The Dominant Oncogenic Potential of HPV16 Single-Type Infections

  • Sunhwa Baek,
  • Sebastian Ludwig,
  • Sophie Lee Sievers,
  • Thomas Einzmann and ,
  • Yue Zhao and
  • Henryk Pilch
  • + 1 author+ 0 author

13 November 2025

Background: Persistent infection with high-risk human papillomavirus (HR-HPV) is the primary cause of cervical intraepithelial neoplasia (CIN) and cervical cancer. While HPV testing has become central to screening programs and the frequency of detect...

(This article belongs to the Section Diagnostic Microbiology and Infectious Disease)
  • Article
  • Open Access
9 Citations
3,389 Views
17 Pages

Children are considered at higher risk for harmful noise effects due to their sensitive development phase. Here, we investigated the effects of nocturnal aircraft noise exposure on short-term annoyance assessed in the morning in 51 primary school chi...

(This article belongs to the Special Issue Environmental Noise and Annoyance)
  • Article
  • Open Access
29 Citations
4,420 Views
34 Pages

Oncologic Outcome and Immune Responses of Radiotherapy with Anti-PD-1 Treatment for Brain Metastases Regarding Timing and Benefiting Subgroups

  • Maike Trommer,
  • Anne Adams,
  • Eren Celik,
  • Jiaqi Fan and ,
  • Dominik Funken,
  • Jan M. Herter,
  • Philipp Linde,
  • Janis Morgenthaler,
  • Simone Wegen and
  • Simone Marnitz
  • + 14 authors+ 9 authors

27 February 2022

While immune checkpoint inhibitors (ICIs) in combination with radiotherapy (RT) are widely used for patients with brain metastasis (BM), markers that predict treatment response for combined RT and ICI (RT-ICI) and their optimal dosing and sequence fo...

(This article belongs to the Special Issue Advanced Image-Guided Robotic Technology Based Radiosurgery for Cancers)
  • Article
  • Open Access
1 Citations
6,170 Views
17 Pages

17 April 2019

For nearly six decades, Gerhard Richter has challenged the conceptual and visual limits of contemporary painting. His 2011 work Strip overloads the viewer’s visual perception. Richter created this unique digital print using a process that delib...

(This article belongs to the Special Issue Religion and Art: Rethinking Aesthetic and Auratic Experiences in 'Post-Secular' Times)
  • Article
  • Open Access
6 Citations
5,427 Views
17 Pages

Is Organizational Communication Climate a Precondition for Patient-Centered Care? Insights from a Key Informant Survey of Various Health and Social Care Organizations

  • Kira Isabel Hower,
  • Vera Vennedey,
  • Hendrik Ansgar Hillen,
  • Stephanie Stock and ,
  • Ludwig Kuntz,
  • Holger Pfaff,
  • Timo-Kolja Pförtner,
  • Isabelle Scholl and
  • Lena Ansmann
  • + 4 authors+ 0 author

Health and social care organizations are under pressure of organizing care around patients’ needs and preferences while complying with regulatory frameworks and constraint resources. To implement patient-centered care in health and social care...

(This article belongs to the Special Issue Feature Papers in Health Communication)
  • Article
  • Open Access
2 Citations
1,406 Views
13 Pages

The Predictive Value of Preoperative Histological Risk Factors in Early Cervical Cancer

  • Jana Adams,
  • Amelie Wingels,
  • Constanze Amir-Kabirian,
  • Janice Katharina Jeschke and ,
  • Lara Gesemann,
  • Büsra Eser,
  • Caroline Lenz,
  • Bernd Morgenstern and
  • Fabinshy Thangarajah
  • + 4 authors+ 0 author

8 May 2025

Background: Cervical cancer is a leading cause of morbidity and mortality among women globally. Currently, treatment is primarily based on tumor staging; however, discrepancies between preoperative and postoperative tumor staging remain a significant...

(This article belongs to the Section Oncology)
  • Article
  • Open Access
2 Citations
4,615 Views
14 Pages

15 July 2025

Background: Uterine rupture is a rare but severe obstetric complication with significant maternal and neonatal consequences. While partial uterine ruptures (PURs) are generally associated with less severe outcomes, complete uterine ruptures (CURs) ca...

(This article belongs to the Section Obstetrics & Gynecology)
  • Feature Paper
  • Article
  • Open Access
8 Citations
4,685 Views
12 Pages

Effect of Leading-Edge Erosion on the Performance of Transonic Compressor Blades

  • Alexander Hergt,
  • Tobias Danninger,
  • Joachim Klinner,
  • Sebastian Grund and ,
  • Manfred Beversdorff and
  • Christian Werner-Spatz
  • + 1 author+ 0 author

In this paper, an experimental and numerical investigation of the effect of leading-edge erosion in transonic blades was performed. The measurements were carried out on a linear blade cascade in the Transonic Cascade Wind Tunnel of DLR in Cologne at...

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