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183 results on '"Barnert, J."'

16. Diagnostische Probleme bei der Neurosyphilis

Author

Behr W, Barnert J, and Wienbeck M

Subjects
medicine.medical_specialty, business.industry, Cerebral infarction, General Medicine, urologic and male genital diseases, medicine.disease, Gastroenterology, Serology, Neurosyphilis, Cerebrospinal fluid, Internal medicine, medicine, Syphilis, Headaches, medicine.symptom, business, Pleocytosis, CSF albumin
Abstract

In two patients admitted to hospital-one with signs of cerebral infarction, the other with headaches, vertigo and paraesthesias-the TPHA test was "reactive", while the 19S(IgM)-FTA-ABS test was not. There was no cerebrospinal fluid (CSF) pleocytosis. Further CSF analyses and serological tests for syphilis (including CSF protein profile, demonstration of oligoclonal IgG, quantitative determination of Treponema-specific antibodies in serum and CSF) confirmed the diagnosis of neurosyphilis requiring treatment. In both patients the biologically false-negative 19S(IgM)-FTA-ABS test at first became transiently reactive after treatment. This unusual finding was probably due to antigen, liberated by treatment, again stimulating previously blocked IgM antibody synthesis. The listed additional tests should be performed in all patients with a reactive TPHA test and neurological or psychiatric signs and symptoms.

Published
2008

17. A Simple Evaluation Tool (ET-CET) Indicates Increase of Diagnostic Skills From Small Bowel Capsule Endoscopy Training Courses

Author

Albert, J.G., Humbla, O., McAlindon, M.E., Davison, C., Seitz, U., Fraser, C., Hagenmüller, F., Noetzel, E., Spada, C., Riccioni, M.E., Barnert, J., Filmann, N., and Keuchel, M.

Subjects
Europe, Intestine, Small, Observational Study, Humans, Clinical Competence, Educational Measurement, Prospective Studies, Capsule Endoscopy, Research Article
Abstract

Small bowel capsule endoscopy (SBCE) has become a first line diagnostic tool. Several training courses with a similar format have been established in Europe; however, data on learning curve and training in SBCE remain sparse. Between 2008 and 2011, different basic SBCE training courses were organized internationally in UK (n = 2), Italy (n = 2), Germany (n = 2), Finland (n = 1), and nationally in Germany (n = 10), applying similar 8-hour curricula with 50% lectures and 50% hands-on training. The Given PillCam System was used in 12 courses, the Olympus EndoCapsule system in 5, respectively. A simple evaluation tool for capsule endoscopy training (ET-CET) was developed using 10 short SBCE videos including relevant lesions and normal or irrelevant findings. For each video, delegates were required to record a diagnosis (achievable total score from 0 to 10) and the clinical relevance (achievable total score 0 to 10). ET-CET was performed at baseline before the course and repeated, with videos in altered order, after the course. Two hundred ninety-four delegates (79.3% physicians, 16.3% nurses, 4.4% others) were included for baseline analysis, 268 completed the final evaluation. Forty percent had no previous experience in SBCE, 33% had performed 10 or less procedures. Median scores for correct diagnosis improved from 4.0 (IQR 3) to 7.0 (IQR 3) during the courses (P

Published
2015

19. A simple evaluation tool (ET-CET) indicates increase of diagnostic skills from Small bowel capsule endoscopy training courses: A prospective observational european multicenter study

Author

Albert, J. G., Humbla, O., Mcalindon, M. E., Davison, C., Seitz, U., Fraser, C., Hagenmuller, F., Noetzel, E., Spada, Cristiano, Riccioni, Maria Elena, Barnert, J., Filmann, N., Keuchel, M., Spada C. (ORCID:0000-0002-5692-0960), Riccioni M. E. (ORCID:0000-0002-9239-4312), Albert, J. G., Humbla, O., Mcalindon, M. E., Davison, C., Seitz, U., Fraser, C., Hagenmuller, F., Noetzel, E., Spada, Cristiano, Riccioni, Maria Elena, Barnert, J., Filmann, N., Keuchel, M., Spada C. (ORCID:0000-0002-5692-0960), and Riccioni M. E. (ORCID:0000-0002-9239-4312)

Abstract

Small bowel capsule endoscopy (SBCE) has become a first line diagnostic tool. Several training courses with a similar format have been established in Europe; however, data on learning curve and training in SBCE remain sparse. Between 2008 and 2011, different basic SBCE training courses were organized internationally in UK (n=2), Italy (n= 2), Germany (n=2), Finland (n=1), and nationally in Germany (n=10), applying similar 8-hour curricula with 50% lectures and 50% hands-on training. The Given PillCam System was used in 12 courses, the Olympus EndoCapsule system in 5, respectively. A simple evaluation tool for capsule endoscopy training (ET-CET) was developed using 10 short SBCE videos including relevant lesions and normal or irrelevant findings. For each video, delegates were required to record a diagnosis (achievable total score from 0 to 10) and the clinical relevance (achievable total score 0 to 10). ET-CET was performed at baseline before the course and repeated, with videos in altered order, after the course. Two hundred ninety-four delegates (79.3% physicians, 16.3% nurses, 4.4% others) were included for baseline analysis, 268 completed the final evaluation. Forty percent had no previous experience in SBCE, 33% had performed 10 or less procedures. Median scores for correct diagnosis improved from 4.0 (IQR 3) to 7.0 (IQR 3) during the courses (P<0.001, Wilcoxon), and for correct classification of relevance of the lesions from 5.0 (IQR 3) to 7.0 (IQR 3) (P<0.001), respectively. Improvement was not dependent on experience, profession, SBCE system, or course setting. Previous experience in SBCE was associated with higher baseline scores for correct diagnosis (P< 0.001; Kruskal-Wallis). Additionally, independent nonparametric partial correlation with experience in gastroscopy (rho 0.33) and colonoscopy (rho 0.27) was observed (P<0.001). A simple ET-CET demonstrated significant improvement of diagnostic skills on completion of formal basic SBCE courses w

Published
2015

40. Ambulante parenterale Ernährung bei Kurzdarm-Syndrom: Eine retrospektive Analyse

Author

Kolb, S., additional, Sailer, D., additional, Barnert, J., additional, Gramm, H. J., additional, Goecke, J., additional, Schauder, P., additional, Hammann, V., additional, Brenner, U., additional, Frick, L., additional, Steinhardt, H. J., additional, Brandmair, W., additional, Lehr, L., additional, Loeschke, K., additional, and Towliati, H., additional

Published
2008
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