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Graf C, Beneke R, Bloch W, Bucksch J, Dordel S, Eiser S, Ferrari N, Koch B, Krug S, Lawrenz W, Manz K, Naul R, Oberhoffer R, Quilling E, Schulz H, Stemper T, Stibbe G, Tokarski W, Völker K, Woll A. Vorschläge zur Förderung der körperlichen Aktivität von Kindern und Jugendlichen in Deutschland. Monatsschr Kinderheilkd 2013. [DOI: 10.1007/s00112-012-2863-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Koch B, Schipf S, Schäper C, Felix SB, Nauck M, Völzke H, Wallaschofski H, Gläser S, Ittermann T, Ewert R. Untersuchung des Zusammenhanges zwischen Typ-1-Diabetes mellitus und eingeschränkter Lungenfunktion - Ergebnisse der Study of Health in Pomerania (SHIP). Pneumologie 2013. [DOI: 10.1055/s-0033-1334505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Bollmann T, Obst A, Heine A, Gläser S, Schäper C, Christian W, Koch B, Ewert R. Kinetik von hämodynamischen Parametern während des Belastungsrechtsherzkatheters - wann soll gemessen werden? Pneumologie 2013. [DOI: 10.1055/s-0033-1334594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Gläser S, Ittermann T, Schäper C, Obst A, Dörr M, Spielhagen T, Felix SB, Völzke H, Bollmann T, Opitz CF, Warnke C, Koch B, Ewert R. [The Study of Health in Pomerania (SHIP) reference values for cardiopulmonary exercise testing]. Pneumologie 2012; 67:58-63. [PMID: 23247595 DOI: 10.1055/s-0032-1325951] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The interpretation of gas exchange measured by cardiopulmonary exercise testing (CPET) depends on reliable reference values. Within the population based Study of Health in Pomerania (SHIP) CPET was assessed in 1706 volunteers. The assessment based on symptom limited exercise tests on a bicycle in a sitting position according to a modified Jones protocol. CPET was embedded in an extensive examination program. After the exclusion of active smokers and volunteers with evidence of cardiopulmonary and musculoskeletal disorders the reference population comprised 616 healthy subjects (333 women) aged 25 to 85 years. Reference equations including upper and/or lower limits based on quantile regression were assessed. All values were corrected for the most important influencing factors.This study provides reference equations for gas exchange and exercise capacity assessed within a population in Germany.
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Koch B, Penzel T, Fietze I, Garcia C, Zimmermann S, Völzke H, Gläser S, Schäper C, Obst A, Ewert R. Polysomnografie in einer populationsbasierten Studie – Ergebnisse der Study of Health in Pomerania. Pneumologie 2012. [DOI: 10.1055/s-0032-1302780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Schäper C, Gläser S, Koch B, Bollmann T, Warnke C, Müller-Heinrich A, Herberg M, Puls R, Ewert R. Akute Atemnot nach Imprägnierung von Kleidung im Haushalt – ein Fallbericht. Pneumologie 2012. [DOI: 10.1055/s-0032-1302611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Henkel B, Obst A, Halank M, Schäper C, Opitz C, Grieger A, Koch B, Warnke C, Bruch L, Felix SB, Ewert R, Gläser S. Nicht-invasive Prädiktoren einer pulmonalen Hypertonie bei Patienten mit idiopathischer Lungenfibrose. Pneumologie 2012. [DOI: 10.1055/s-0032-1302690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Dittrich B, Koch B, Kooten TV, Kastner C, Guthoff R, Sternberg K, Möller M. Drug delivery system for sustained delivery of caffeic acid phenethyl ester within lens capsule after cataract surgery. BIOMED ENG-BIOMED TE 2012. [DOI: 10.1515/bmt-2012-4474] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Kleber M, Ihorst G, Terhorst M, Koch B, Deschler B, Wäsch R, Engelhardt M. Comorbidity as a prognostic variable in multiple myeloma: comparative evaluation of common comorbidity scores and use of a novel MM-comorbidity score. Blood Cancer J 2011; 1:e35. [PMID: 22829196 PMCID: PMC3255252 DOI: 10.1038/bcj.2011.34] [Citation(s) in RCA: 79] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2011] [Accepted: 07/07/2011] [Indexed: 12/27/2022] Open
Abstract
Comorbidities have been demonstrated to affect progression-free survival (PFS) and overall survival (OS), although their impact in multiple myeloma (MM) patients is as yet unsettled. We (1) assessed various comorbidities, (2) compared established comorbidity indices (CIs; Charlson comorbidity index (CCI), hematopoietic cell transplantation-specific comorbidity index (HCT-CI)), Kaplan Feinstein (KF) and Satariano index (SI) and (3) developed a MM-CI (Freiburger comorbidity index, FCI) in 127 MM patients. Univariate analysis determined moderate or severe pulmonary disease (hazard ratio (HR): 3.5, P<0.0001), renal impairment (via estimated glomerular filtration rate (eGFR); HR: 3.4, P=0.0018), decreased Karnofsky Performance Status (KPS, HR: 2.7, P=0.0004) and age (HR: 2, P=0.0114) as most important variables for diminished OS. Through multivariate analysis, the eGFR ⩽30 ml/min/1.73m(2), impaired lung function and KPS ⩽70% were significant for decreased OS, with HRs of 2.9, 2.8 and 2.2, respectively. Combination of these risk factors within the FCI identified significantly different median OS rates of 118, 53 and 25 months with 0, 1 and 2 or 3 risk factors, respectively, (P<0.005). In light of our study, comorbidities are critical prognostic determinants for diminished PFS and OS. Moreover, comorbidity scores are important treatment decision tools and will be valuable to implement into future analyses and clinical trials in MM.
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Glaser S, Ittermann T, Koch B, Volzke H, Wallaschofski H, Nauck M, Warnke C, Vogelmeier C, Schulz H, Felix SB, Ewert R, Schaper C. Airflow limitation, lung volumes and systemic inflammation in a general population. Eur Respir J 2011; 39:29-37. [DOI: 10.1183/09031936.00009811] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Haas A, Koch B, Welcman N. Darstellung und Reaktionen von Selenocarbonyldifluorid und seines cyclischen Dimeren 2,2,4,4-Tetrafluor-1,3-diselenetan [l]. Z Anorg Allg Chem 2011. [DOI: 10.1002/zaac.654270203] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Koch B, Lau K, Ittermann T, Völzke H, Felix S, Ewert R, Schäper C, Gläser S. Spiroergometrische Referenzwerte für Parameter der Atemmechanik - Ergebnisse der Study of Health in Pomerania. Pneumologie 2011. [DOI: 10.1055/s-0031-1272228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Gläser S, Ittermann T, Koch B, Völzke H, Wallaschofski H, Nauck M, Warnke C, Ewert R, Schäper C. Lungenvolumina, Atemwegsobstruktion und systemische Inflammation - Ergebnisse der Study of Health in Pomerania. Pneumologie 2011. [DOI: 10.1055/s-0031-1272023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Schäper C, Noga O, Koch B, Ewert R, Felix SB, Gläser S, Kunkel G, Gustavus B. Anti-inflammatory properties of montelukast, a leukotriene receptor antagonist in patients with asthma and nasal polyposis. J Investig Allergol Clin Immunol 2011; 21:51-58. [PMID: 21370724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
BACKGROUND Leukotrienes, especially LTC4, are important inflammatory mediators in allergic and nonallergic inflammation of the entire airways. Of particular interest are numerous theories regarding the pathogenesis of aspirin intolerance with subsequent hyperproduction of leukotrienes and inhibition of cyclooxygenase. OBJECTIVE To examine the influence of the cysteinyl-leukotriene receptor antagonist montelukast on clinical symptoms and inflammatory markers in nasal lavage fluid in patients with bronchial asthma and nasal polyps, and determine its dependency on aspirin sensitization. METHODS Twenty-four patients (7 women, 17 men; median age, 55.5 years) with nasal polyps and controlled asthma (n=12 with aspirin intolerance) were treated with 10 mg montelukast once daily for 6 weeks in a blinded, placebo-controlled fashion. The placebo phase was randomly assigned 4 weeks before (n=12) or after treatment (n=12). Symptom score, rhinoendoscopy, rhinomanometry, smears for eosinophils, and nasal lavages for the determination of different mediators were performed. RESULTS Compared to placebo, there were significant improvements in the nasal symptom score and airflow limitation as well as a reduction in the inflammatory mediators in nasal lavage fluid after treatment. Furthermore, reduced eosinophils in nasal smears and peripheral blood were observed 2 and 6 weeks after treatment. CONCLUSION Leukotriene 1 receptor blockade led to a significant decrease in eosinophil inflammation accompanied by a reduction in other mediators such as neurokinin A and substance P in the nasal lavage fluid of patients with nasal polyps and asthma, with or without aspirin intolerance.
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Koch B, Glaser S, Schaper C, Krebs A, Nauck M, Dorr M, Haring R, Volzke H, Felix SB, Ewert R, Wallaschofski H, Friedrich N. Association Between Serum Testosterone and Sex Hormone-Binding Globulin and Exercise Capacity in Men: Results of the Study of Health in Pomerania (SHIP). ACTA ACUST UNITED AC 2010; 32:135-43. [DOI: 10.2164/jandrol.110.010074] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Schäper C, Gläser S, Wolff B, Koch B, Vietzke G, Felix S, Kleber F, Opitz C, Ewert R. Resting Alveolar Gas Tensions as a Mortality Prognosticator in Chronic Heart Failure. Transplant Proc 2010; 42:2681-6. [DOI: 10.1016/j.transproceed.2010.05.166] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2010] [Revised: 04/25/2010] [Accepted: 05/12/2010] [Indexed: 01/02/2023]
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Kerl K, Koch B, Fegeler W, Rossig C, Ehlert K, Groll A. Catheter-associated aspergillosis of the chest wall following allogeneic hematopoietic stem cell transplantation. Transpl Infect Dis 2010; 13:182-5. [DOI: 10.1111/j.1399-3062.2010.00559.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Spitzer C, Koch B, Grabe HJ, Ewert R, Barnow S, Felix SB, Ittermann T, Obst A, Völzke H, Gläser S, Schäper C. Association of airflow limitation with trauma exposure and post-traumatic stress disorder. Eur Respir J 2010; 37:1068-75. [PMID: 20729219 DOI: 10.1183/09031936.00028010] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Trauma exposure and post-traumatic stress disorder (PTSD) are associated with self-reported asthma and chronic obstructive pulmonary disease. However, these conditions have not yet been related to objective measures of lung function. 1,772 adults from the general population were assessed regarding their medical histories and spirometric lung function. Additionally, they were administered a PTSD interview, and assigned to three groups: no trauma; trauma, but no PTSD; and trauma with PTSD. Adjusting for sociodemographic, clinical and lifestyle factors, subjects with PTSD had significantly higher odds ratios for most asthma-related symptoms than PTSD-negative participants (OR 3.2-8.8). The mean ratio of forced expiratory volume in 1 s (FEV₁) to forced vital capacity (FVC) was lowest in the PTSD group and highest in those without trauma exposure. Traumatic stress was independently associated with FEV₁ and FEV₁/FVC. Participants with PTSD, compared with those without, had a significantly increased risk for airflow limitation independent of its definition (OR 4.2-7.8). This is the first study relating traumatic stress and PTSD, respectively, to objective parameters of lung function. Our findings suggest an association of trauma exposure and PTSD with airflow limitation, which may be mediated by inflammatory processes.
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Koch B, Gläser S, Friedrich N, Völzke H, Felix S, Ewert R, Schäper C. Referenzwerte für die Bodyplethysmografie bei Erwachsenen – Ergebnisse der Study of Health in Pomerania (SHIP). Pneumologie 2010. [DOI: 10.1055/s-0030-1251306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Gläser S, Schäper C, Warnke C, Obst A, Felix S, Opitz C, Ewert R, Koch B. Endothelfunktion: ein peripher messbares Surrogat für Gasaustauscheffizienz und kardiopulmonale Belastbarkeit? Pneumologie 2010. [DOI: 10.1055/s-0030-1251114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Schäper C, Gläser S, Obst A, Schmidt C, Völzke H, Felix SB, Ewert R, Koch B. Prävalenz von Asthma und Asthmasymptomen in Mecklenburg-Vorpommern – longitudinale Ergebnisse aus der SHIP Studie. Pneumologie 2010. [DOI: 10.1055/s-0030-1251192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Schäper C, Gustavus B, Koch B, Ewert R, Felix SB, Kunkel G, Noga O, Gläser S. Effect of fluticasone on neuropeptides in nasal lavage in persistent allergic rhinitis. J Investig Allergol Clin Immunol 2010; 20:214-221. [PMID: 20635787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
Abstract
OBJECTIVE Recent guidelines reveal that allergic rhinitis impairs quality of life. Neuropeptides play a central role in allergy-related nasal inflammation. The objective of this study was to analyze the release of neuropeptides (substance P, neurokinin A, and vasoactive intestinal peptide) in nasal lavage and their modification by intranasal fluticasone propionate as an established therapy in patients with allergic rhinitis. METHODS Eleven patients with proven allergic rhinitis induced by house dust mite were challenged before and after administration of fluticasone propionate nasal spray. Nasal lavage samples were collected after allergen challenge, and neuropeptides were measured using enzyme-linked immunosorbent assay. Values for histamine, protein, and human serum albumin were also recorded. Eight healthy individuals were included as nonatopic controls. RESULTS The neuropeptides investigated were detectable in nasal lavage fluid in both patients and controls. Treatment with fluticasone propionate significantly decreased clinical response to allergen challenge (P < .01) compared with the controls and led to a decrease in values for substance P, neurokinin A, vasoactive intestinal peptide, histamine release, human serum albumin, and total protein after allergen challenge (P < .01). CONCLUSIONS The demonstration of proinflammatory neuropeptides in NAL and suppression of their release after allergen challenge caused by a topical corticosteroid suggest a role for neuropeptides in allergic inflammation. Diminished release of neuropeptides induced b fluticasone propionate was accompanied by an improvement in the clinical symptoms of patients with persistent allergic rhinitis.
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Koch B, Schäper C, Ittermann T, Völzke H, Felix S, Ewert R, Gläser S. Referenzwerte für die Spirometrie bei Erwachsenen. Dtsch Med Wochenschr 2009; 134:2327-32. [DOI: 10.1055/s-0029-1242688] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Büchner S, Koch B, Rufli T. Solitäre Tumorform als Erstmanifestation der Mycosis fungoides. Dermatology 2009. [DOI: 10.1159/000248514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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