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Palma-Gudiel H, Marques Feixa L, Romero S, Rapado-Castro M, Blasco-Fontecilla H, Zorrilla I, Martín M, Castro Quintas Á, Monteserin-Garcia J, Font E, Ramirez M, Moreno D, Marín-Vila M, Moreno N, Binder E, Fañanas L. Children and adolescents exposed to maltreatment already exhibit epigenetic patterns suggestive of heightened low-grade inflammation. Eur Psychiatry 2022. [PMCID: PMC9567149 DOI: 10.1192/j.eurpsy.2022.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction
Childhood maltreatment (CM) is one of the best described environmental risk factors for developing any psychiatric disorder, while it also confers increased odds for obesity, cardiometabolic disorders and all-cause mortality. Inflammation has been suggested to mediate the widespread clinical effects of CM. Previously, Ligthart et al. (2016) identified a polyepigenetic signature of circulating CRP levels, a measure of chronic low-grade inflammation, that has been reliably associated with a wide array of complex disorders. The study of this biomarker could dilucidate the mechanistic relationship between CM and psychiatric outcomes.
Objectives
Thus, CRP-associated epigenetic modifications were explored regarding proximal exposure to CM.
Methods
Genomic DNA was extracted from peripheral blood mononuclear cells of 157 children and adolescents (7 to 17 years old). Exposure to CM was assessed following the TASSCV criteria. Genome-wide DNA methylation was assessed by means of the EPIC array. Fifty-two out of the 58 original CRP-associated CpG sites surpassed quality control and were included in the analysis. Age, sex, psychopathological status and cell type proportions were included as covariates.
Results
DNA methylation at 12 out of 52 CpG sites (23%) was significantly associated with exposure to CM (p < .05); 8 of these associations survived correction for multiple testing (q < .05).
Conclusions
This is the first study to date to explore the relationship between childhood maltreatment and an epigenetic signature of chronic low-grade inflammation. Our findings underscore the presence of immune dysregulation early after exposure to CM; further studies are needed to assess the long-term clinical implications of this signature in psychiatric patients.
Disclosure
No significant relationships.
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Binder E. Has Clinical Translation of Scientific Research been a Failure? Eur Psychiatry 2022. [PMCID: PMC9564340 DOI: 10.1192/j.eurpsy.2022.44] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
While current psychiatric treatments, especially pharmacological ones, are mainly based on initially serendipous findings, recent developments in many research areas promise unprecendented advances in translation to clinical application. The advent of large scale multiomics with single cell resolution, patient-derived induced pluripotent stem cells that can be differentiated to brain cells and even form cerebral organoids as well as the possilibility to generate humanized animal models using CRISPR-technologies have been exciting developments on the molecular and cellular side. These advances are paralleled by new technologies to increase resolution in brain imaging and electrophysiological measures as well as brain stimulation techniques. In addition, we have now access to multilevel data from very large cohorts, increasingly with longitudinal measures and using data collection with digital devices and wearables. Artificial intelligence methods open new possibilities to analyze these large scale, multilevel datasets in unbiased ways. This side of the debate will highlight the translational potential of these advances in research possiblities, giving examples from the areas of novel pharmacological treatments and personalized medicine among others. Furthermore, it will highlight how a better understanding of risk factors, genetic, social and environmental, can lead to improvements in prevention programs.
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Esser F, Raizor E, Binder E, Hensel L, Rehme A, Ringmaier C, Schönberger A, Tscherpel C, Grefkes C, Fink G, Grafton S, Volz L. FV 24 Connectome-based lesion symptom mapping: Disconnection patterns underlying specific aspects of motor impairment after stroke. Clin Neurophysiol 2022. [DOI: 10.1016/j.clinph.2022.01.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Chakravorty A, Binder E, Rawlins M, Trevenen M, Ingram PR, McKeogh A, Murray K, Dyer J, Lucas M. Antibiotic allergy labels and optimal antimicrobial stewardship. Intern Med J 2020; 52:396-402. [PMID: 32743883 DOI: 10.1111/imj.15003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 07/29/2020] [Accepted: 07/29/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Although common, antimicrobial allergy labels (AAL) rarely reflect immunologically-mediated hypersensitivity and can lead to poorer outcomes from alternative antimicrobial agents. Antimicrobial stewardship programs are ideally placed to assess AAL early as a means of improving antimicrobial use. OBJECTIVES To quantify the prevalence of AAL in patients referred for antimicrobial stewardship review and assess their impact on antibiotic prescribing, patient mortality, hospital length of stay, readmission, and rates of multidrug-resistant infections. METHODS We conducted a retrospective analysis of adult patients referred for inpatient antimicrobial prospective audit and feedback rounds (PAFR) via an electronic referral system (eReferrals) over a 12-month period in 2015. Outcome data was collected for a period of 36 months following the initial review. RESULTS Of the 639 patient records reviewed, 630 met inclusion criteria; 103 (16%) had an AAL, of which 82 (13%) had reported allergies to β-lactam antibiotics. Those with AAL were significantly less likely to be receiving guideline-recommended antimicrobial therapy (50% versus 64%, p=0.0311), however there were no significant difference in mortality, hospital length of stay, readmission or increased incidence of multidrug-resistant infections. CONCLUSIONS Our cohort demonstrated that AAL was associated with reduced adherence to antibiotic guidelines. The lack of association with adverse outcomes may reflect limitations within the study including retrospective cohort study numbers and observational nature, further skewed by high rates of poor documentation. A clear opportunity exists for antimicrobial stewardship programs to incorporate allergy assessment, delabelling, challenge and referral into these rounds. This article is protected by copyright. All rights reserved.
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Affiliation(s)
| | | | | | - Michelle Trevenen
- Centre for Applied Statistics, The University of Western Australia, Perth, WA, Australia
| | - Paul Robert Ingram
- Department of Infectious Diseases, Fiona Stanley Hospital, Perth, Australia.,Department of Pathology and Laboratory Medicine, The University of Western Australia, Perth, Australia.,Department of Microbiology, PathWest Laboratory Medicine, Fiona Stanley Hospital, Perth, Australia
| | - Anna McKeogh
- Department of Infectious Diseases, Fiona Stanley Hospital, Perth, Australia
| | - Kevin Murray
- School of Population and Global Health, The University of Western Australia, Perth, WA, Australia
| | - John Dyer
- Department of Infectious Diseases, Fiona Stanley Hospital, Perth, Australia
| | - Michaela Lucas
- Department of Immunology, Sir Charles Gairdner Hospital, Perth, Australia.,Department of Immunology, PathWest Laboratory Medicine, Perth, Australia.,School of Medicine, The University of Western Australia, Perth, Australia
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Kleineberg N, Dovern A, Binder E, Grefkes C, Eickhoff S, Fink G, Weiss P. P 146 Differences in processing of action and semantic tool knowledge – evidence from fMRI and dynamic causal modelling. Clin Neurophysiol 2017. [DOI: 10.1016/j.clinph.2017.06.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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El Chaer F, Holtzman N, Binder E, Porter NC, Singh ZN, Koka M, Rapoport AP, Emadi A. Durable remission with salvage decitabine and donor lymphocyte infusion (DLI) for relapsed early T-cell precursor ALL. Bone Marrow Transplant 2017; 52:1583-1584. [DOI: 10.1038/bmt.2017.191] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Orwig D, Mangione KK, Baumgarten M, Terrin M, Fortinsky R, Kenny AM, Gruber-Baldini AL, Beamer B, Tosteson ANA, Shardell M, Magder L, Binder E, Koval K, Resnick B, Craik RL, Magaziner J. Improving community ambulation after hip fracture: protocol for a randomised, controlled trial. J Physiother 2017; 63:45-46. [PMID: 27964962 PMCID: PMC5388063 DOI: 10.1016/j.jphys.2016.10.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Revised: 10/03/2016] [Accepted: 10/10/2016] [Indexed: 10/28/2022] Open
Abstract
INTRODUCTION After a hip fracture in older persons, significant disability often remains; dependency in functional activities commonly persists beyond 3 months after surgery. Endurance, dynamic balance, quadriceps strength, and function are compromised, and contribute to an inability to walk independently in the community. In the United States, people aged 65 years and older are eligible to receive Medicare funding for physiotherapy for a limited time after a hip fracture. A goal of outpatient physiotherapy is independent and safe household ambulation 2 to 3 months after surgery. Current Medicare-reimbursed post-hip-fracture rehabilitation fails to return many patients to pre-fracture levels of function. Interventions delivered in the home after usual hip fracture physiotherapy has ended could promote higher levels of functional independence in these frail and older adult patients. PRIMARY OBJECTIVE To evaluate the effect of a specific multi-component physiotherapy intervention (PUSH), compared with a non-specific multi-component control physiotherapy intervention (PULSE), on the ability to ambulate independently in the community 16 weeks after randomisation. DESIGN Parallel, two-group randomised multicentre trial of 210 older adults with a hip fracture assessed at baseline and 16 weeks after randomisation, and at 40 weeks after randomisation for a subset of approximately 150 participants. PARTICIPANTS AND SETTING A total of 210 hip fracture patients are being enrolled at three clinical sites and randomised up to 26 weeks after admission. Study inclusion criteria are: closed, non-pathologic, minimal trauma hip fracture with surgical fixation; aged ≥ 60 years at the time of randomisation; community residing at the time of fracture and randomisation; ambulating without human assistance 2 months prior to fracture; and being unable to walk at least 300 m in 6minutes at baseline. Participants are ineligible if the interventions are deemed to be unsafe or unfeasible, or if the participant has low potential to benefit from the interventions. INTERVENTIONS Participants are randomly assigned to one of two multi-component treatment groups: PUSH or PULSE. PUSH is based on aerobic conditioning, specificity of training, and muscle overload, while PULSE includes transcutaneous electrical nerve stimulation, flexibility activities, and active range of motion exercises. Participants in both groups receive 32 visits in their place of residence from a study physiotherapist (two visits per week on non-consecutive days for 16 weeks). The physiotherapists' adherence to the treatment protocol, and the participants' receipt of the prescribed activities are assessed. Participants also receive counselling from a registered dietician and vitamin D, calcium and multivitamin supplements during the 16-week intervention period. MEASUREMENTS The primary outcome (community ambulation) is the ability to walk 300 m or more in 6minutes, as assessed by the 6-minute walk test, at 16 weeks after randomisation. Other measures at 16 and 40 weeks include cost-effectiveness, endurance, dynamic balance, walking speed, quadriceps strength, lower extremity function, activities of daily living, balance confidence, quality of life, physical activity, depressive symptoms, increase of ≥ 50 m in distance walked in 6minutes, cognitive status, and nutritional status. ANALYSIS Analyses for all aims will be performed according to the intention-to-treat paradigm. Except for testing of the primary hypothesis, all statistical tests will be two-sided and not adjusted for multiple comparisons. The test of the primary hypothesis (comparing groups on the proportion who are community ambulators at 16 weeks after randomisation) will be based on a one-sided 0.025-level hypothesis test using a procedure consisting of four interim analyses and one final analysis with critical values chosen by a Hwang-Shih-Decani alpha-spending function. Analyses will be performed to test group differences on other outcome measures and to examine the differential impact of PUSH relative to PULSE in subgroups defined by pre-selected participant characteristics. Generalised estimating equations will be used to explore possible delayed or sustained effects in a subset of participants by comparing the difference between PUSH and PULSE in the proportion of community ambulators at 16 weeks with the difference at 40 weeks. DISCUSSION This multicentre randomised study will be the first to test whether a home-based multi-component physiotherapy intervention targeting specific precursors of community ambulation (PUSH) is more likely to lead to community ambulation than a home-based non-specific multi-component physiotherapy intervention (PULSE) in older adults after hip fracture. The study will also estimate the potential economic value of the interventions.
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Affiliation(s)
- D Orwig
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore
| | - KK Mangione
- Department of Physical Therapy, College of Health Sciences, Arcadia University, Glenside
| | - M Baumgarten
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore
| | - M Terrin
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore
| | - R Fortinsky
- UConn Center on Aging, UConn Health, Farmington
| | - AM Kenny
- Department of Medicine, UConn Health, Farmington
| | - AL Gruber-Baldini
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore
| | - B Beamer
- Gerontology Research, Education and Clinical Center (GRECC) at Baltimore Veterans Affairs Medical Center,Division of Geriatric Medicine and Gerontology at University of Maryland School of Medicine
| | - ANA Tosteson
- Department of Medicine,The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover
| | - M Shardell
- National Institute on Aging, National Institutes of Health, Baltimore
| | - L Magder
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore
| | - E Binder
- Division of Geriatrics and Gerontology, Washington University School of Medicine, St Louis
| | - K Koval
- Department of Orthopaedic Surgery, Orlando Regional Medical Centre, Orlando
| | - B Resnick
- University of Maryland School of Nursing, Baltimore, USA
| | - RL Craik
- Department of Physical Therapy, College of Health Sciences, Arcadia University, Glenside
| | - J Magaziner
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore
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Brunnner J, Binder E, Karall D, Zschocke J, Fauth C. Interleukin 1 blockade withcanakinumab for Hyper IGD syndrome (HIDS). Pediatr Rheumatol Online J 2015. [PMCID: PMC4598894 DOI: 10.1186/1546-0096-13-s1-p206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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9
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Elbau I, Brücklmeier B, Spoormaker V, Binder E, Czisch M, Sämann P. Acute psychosocial stress investigated by an imaging stress test: concept and preliminary results. Pharmacopsychiatry 2015. [DOI: 10.1055/s-0035-1557947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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10
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Rampp C, Eichelkraut A, Best J, Uhr M, Binder E, Menke A. Gender related differential response to dexamethasone in endocrine and immune measures in depressed patients and healthy controls. Pharmacopsychiatry 2015. [DOI: 10.1055/s-0035-1557986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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11
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Sämann P, Zannas A, Carrillo T, Binder E. Structural MR correlates of epigenetic age acceleration. Pharmacopsychiatry 2015. [DOI: 10.1055/s-0035-1558033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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12
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Sämann P, Zannas A, Carrillo T, Binder E. Structural MR correlates of epigenetic age acceleration. Pharmacopsychiatry 2015. [DOI: 10.1055/s-0035-1557993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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13
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Pool EM, Kutscha M, Binder E, Eickhoff S, Fink G, Grefkes C. P105. Network dynamics engaged in the modulation of motor behavior in chronic stroke patients. Clin Neurophysiol 2015. [DOI: 10.1016/j.clinph.2015.04.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Zannas A, Carrillo-Roa T, Iurato S, Ressler K, Nemeroff C, Smith A, Lange J, Bradley B, Heim C, Brückl T, Ising M, Wray N, Erhardt A, Binder E, Mehta D. Lifetime Stress Accelerates Epigenetic Aging. Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)31949-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Binder E, Lange O, Edlinger M, Meraner D, Abt D, Moser C, Steichen E, Hofer S. Frequency of Dermatological Side Effects of Continuous Subcutaneous Insulin Infusion in Children and Adolescents with Type 1 Diabetes. Exp Clin Endocrinol Diabetes 2015; 123:260-4. [DOI: 10.1055/s-0034-1394381] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- E. Binder
- Department of Pediatrics, Medical University of Innsbruck, Innsbruck
| | - O. Lange
- Department of Pediatrics, Medical University of Innsbruck, Innsbruck
| | - M. Edlinger
- Department of Medical Statistics, Informatics and Health Economics, Medical University of Innsbruck, Innsbruck
| | - D. Meraner
- Department of Pediatrics, Medical University of Innsbruck, Innsbruck
| | - D. Abt
- Department of Pediatrics, Medical University of Innsbruck, Innsbruck
| | - C. Moser
- Department of Pediatrics, Medical University of Innsbruck, Innsbruck
| | - E. Steichen
- Department of Pediatrics, Medical University of Innsbruck, Innsbruck
| | - S. Hofer
- Department of Pediatrics, Medical University of Innsbruck, Innsbruck
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Binder E, Brunner J, Griesmaier E, Giner T, Sailer-Hoeck M. AB0900 Kawasaki Diseasein Infants: Clinical Data of Kawasaki Patients in Tyrol from 2003-2012. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.4872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Binder E, Weiss-Blankenhorn PH, Dovern A, Hesse MD, Fink GR. Defizite bei der Wahrnehmung und dem Verstehen von Bewegungen dissoziieren bei apraktischen Patienten. KLIN NEUROPHYSIOL 2012. [DOI: 10.1055/s-0032-1301647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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18
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Binder E. CS03-03 - Allele-specific epigenetic changes: molecular mediators of gene x environment interactions in mood and anxiety disorders? Eur Psychiatry 2012. [DOI: 10.1016/s0924-9338(12)74066-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Binder E, Hagelweide K, Wang L, Kornysheva K, Grefkes C, Fink G, Schubotz R. Ein mentales Training basierend auf der serielle Prädiktions-Aufgabe als alternative Möglichkeit zur Verbesserung motorischer Funktionen. KLIN NEUROPHYSIOL 2011. [DOI: 10.1055/s-0031-1272675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Mehta D, Gonik M, Klengel T, Rex-Haffner M, Mercer-Butze K, Bradley B, Holsboer F, Ressler K, Müller-Myhsok B, Binder E. Cortisol levels and gene expression changes in posttraumatic stress disorder: the role of endophenotypes in determining common biological pathways in psychiatric disorders. Exp Clin Endocrinol Diabetes 2010. [DOI: 10.1055/s-0030-1267017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Holopainen E, Malmberg H, Binder E. Long-Term Follow-up of Intra-Nasal Beclomethasone Treatment a Clinical and Histologic Study. Acta Otolaryngol 2009. [DOI: 10.3109/00016488209108539] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Brunner J, Freund M, Prelog M, Binder E, Sailer-Hoeck M, Jungraithmayr T, Huemer C, Sergi C, Zimmerhackl LB. Successful treatment of severe juvenile microscopic polyangiitis with rituximab. Clin Rheumatol 2009; 28:997-9. [PMID: 19390907 DOI: 10.1007/s10067-009-1177-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2009] [Accepted: 03/27/2009] [Indexed: 01/19/2023]
Abstract
Microscopic polyangiitis (MPA) previously called hypersensitivity angiitis is a systemic necrotizing vasculitis affecting predominantly small vessels. MPA involves multiple organ systems including the lung, the kidneys, the joints, and the skin. MPA mostly affects adults in their fourth and fifth decade of life. MPA and Wegener;s granulomatosis are grouped together as ANCA-associated vasculitis. MPA is associated with high titre of myeloperoxidase antineutrophil cytoplasmic antibodies (MPO)-ANCA. We present a 14-year-old female patient presented with MPA. She was treated with steroids and cyclophosphamide. After the complication of severe lung involvement, rituximab was administered as immune-modulating treatment. The MPA came to remission. This is the first report of a pediatric patient with MPA treated with rituximab. Rituximab might be a potential therapeutic option for relapsing ANCA associated vasculitis in childhood.
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Affiliation(s)
- J Brunner
- Department of Paediatrics, Innsbruck Medical University, Anichstrasse 35, Innsbruck 6020, Austria.
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Brunner J, Freund M, Prelog M, Binder E, Sailer-Höck M, Jungraithmayr T, Mayer G, Zimmerhackl LB. Rituximab is a therapeutical option for juvenile microscopic polyangiitis. Pediatr Rheumatol Online J 2008; 6. [PMCID: PMC3334076 DOI: 10.1186/1546-0096-6-s1-p268] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- J Brunner
- Department of Pediatrics, Innsbruck Medical University, Innsbruck, Austria
| | - M Freund
- Department of Radiology, Innsbruck Medical University, Innsbruck, Austria
| | - M Prelog
- Department of Pediatrics, Innsbruck Medical University, Innsbruck, Austria
| | - E Binder
- Department of Pediatrics, Innsbruck Medical University, Innsbruck, Austria
| | - M Sailer-Höck
- Department of Pediatrics, Innsbruck Medical University, Innsbruck, Austria
| | - T Jungraithmayr
- Department of Pediatrics, Innsbruck Medical University, Innsbruck, Austria
| | - G Mayer
- Department of Nephrology, Innsbruck Medical University, Innsbruck, Austria
| | - LB Zimmerhackl
- Department of Pediatrics, Innsbruck Medical University, Innsbruck, Austria
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Dieli-Conwright CM, Schroeder ET, Wang Y, Binder E, Castaneda-Sceppa C, Yarasheski K, Bhasin S, Azen SP, Sattler FR. Muscle Quality Following Testosterone And/or Growth Hormone Administration in Older Men. Med Sci Sports Exerc 2008. [DOI: 10.1249/01.mss.0000322993.96606.68] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Ising M, Adena S, Binder E, Pfennig A, Schalling M, Mueller-Myhsok B, Modell S, Holsboer F. Genetic determinants of neurobiological vulnerability markers in depression. Eur Psychiatry 2008. [DOI: 10.1016/j.eurpsy.2008.01.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Barber DS, Hancock SK, McNally AM, Hinckley J, Binder E, Zimmerman K, Ehrich MF, Jortner BS. Neurological effects of acute uranium exposure with and without stress. Neurotoxicology 2007; 28:1110-9. [PMID: 17669499 DOI: 10.1016/j.neuro.2007.05.014] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2007] [Revised: 05/22/2007] [Accepted: 05/24/2007] [Indexed: 10/23/2022]
Abstract
Circulating uranium rapidly enters the brain and may cause adverse effects on the nervous system that are potentially modulated by stress. In this study, the neurological effects of a single intramuscular injection of 0, 0.1, 0.3, or 1 mg uranium/kg (as uranyl acetate, UA) in rats were examined in the presence and absence of stress. Treatment with UA produced time and dose-dependent increases in serum and regional brain uranium levels. While serum levels returned to control levels by day 30, brain levels remained elevated. Application of stress did not affect the distribution or retention of uranium. Exposure to 1 mg U/kg significantly decreased ambulatory activity, weight gain, forelimb grip strength and transiently impaired working memory. Effects on grip strength and memory were prevented by application of stress prior to uranium exposure. Striatal dopamine content was reduced by 30% 3 days after treatment with 1mg/kg (59+/-6 nmol/mg tissue versus 41+/-5 nmol/mg tissue), but levels returned to control 7 days after uranium exposure. The effect on dopamine was ameliorated by prior application of stress. Exposure to UA did not alter 3,4 dihydroxyphenylacetic acid (DOPAC) levels or numbers of D2 receptors in the striatum. No effect of uranium or stress was observed on levels of GABA, serotonin, norepinephrine, or glutathione (GSH) in the striatum, hippocampus, cerebellum, or cortex. These results indicate that single intramuscular exposures to uranium produce sustained elevation of brain uranium levels and at doses above 0.3 mg/kg can have adverse neurological effects. Application of stress prior to uranium administration modulates neurological effects, but the mechanism is not due to effects on uranium distribution. Uranium exposure also produced renal toxicity which must be considered to accurately assess the effects of uranium on neurological function.
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Affiliation(s)
- D S Barber
- Center for Environmental and Human Toxicology, University of Florida, Gainesville, FL 32611, USA.
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Binder E, Hewicker-Trautwein M, grosse Beilage E, Kleinschmidt S. Bewegungsstörungen, Hautnekrosen und erhöhte Mortalität bei Saugferkeln infolge einer Technopathie. Tierarztl Prax Ausg G Grosstiere Nutztiere 2007. [DOI: 10.1055/s-0038-1624023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Zusammenfassung:
Gegenstand und Ziel: In einem Ferkelerzeugerbestand kam es ein Jahr nach der Erneuerung des Bodenbelags in den Abferkelbuchten bei den Saugferkeln zu Bewegungsstörungen sowie Hautnekrosen im Bereich von Schwanz und Gliedmaßen. Bei einigen Tieren fielen zusätzlich Ödeme im Bereich der seitlichen Brustwand auf. Die Krankheitsanzeichen traten etwa ab dem zweiten Lebenstag auf. Die durchschnittliche Saugferkelmortalität betrug 22,7%. Der Tierhalter vermutete, dass der als Bodenbelag verwendete Flüssigasphalt Ursache einer Intoxikation war. Material und Methoden: Saugferkel im Alter von etwa drei und 10 Tagen wurden einer klinischen Untersuchung unterzogen. Bei vier dieser Ferkel erfolgte eine pathologisch-anatomische und histopathologische Untersuchung. Der Bodenbelag wurde einer genauen Inspektion unterzogen. Ergebnisse: Die klinische Untersuchung ergab einen ausgeprägten Abrieb des Klauenhorns und Läsionen im Bereich des Kronsaums. Über den Fessel- und Karpalgelenken fielen hochgradige Hauterosionen sowie teils großflächige Perforationen der Haut auf. Hauterosionen und -nekrosen waren zudem am Kinnwinkel und der Oberseite des Schwanzes sowie bilateral auf der Unterseite der Ellbogengelenke, an den ersten Zitzenpaaren und der Unterseite der Tarsi festzustellen. Einige Ferkel wiesen eine stark ödematisierte und blutige Vulva auf. Schlussfolgerung: Die Bewegungsstörungen waren Folge einer Technopathie, die durch einen – infolge intensiver Reinigung mit einem Hochdruckreiniger – stark aufgerauten Bodenbelag sowie Gussroste mit runder Trittfläche entstand. Klinische Relevanz: Technopathien können durch intensive Untersuchungen der Tiere und Tierumgebung erkannt und durch pathomorphologische Untersuchungen abgesichert werden.
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Binder E, Becker W, Gruber O, Kraft E. Störungen der zerebralen Repräsentation des Arbeitsgedächtnisses bei Patienten mit idiopathischem Parkinson-Syndrom. Akt Neurol 2005. [DOI: 10.1055/s-2005-919298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ising M, Binder E, Brunner J, Fuchs B, Kern N, Künzel HE, Majer M, Nickel T, Pfennig A, Modell S, Holsboer F. Subsyndromal AMDP scales to distinguish pathogenetically homogenous subgroups of affective disorders. Pharmacopsychiatry 2004. [DOI: 10.1055/s-2003-825388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Ohl F, Sillaber I, Binder E, Keck ME, Holsboer F. Differential analysis of behavior and diazepam-induced alterations in C57BL/6N and BALB/c mice using the modified hole board test. J Psychiatr Res 2001; 35:147-54. [PMID: 11461710 DOI: 10.1016/s0022-3956(01)00017-6] [Citation(s) in RCA: 80] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A variety of test procedures are used in preclinical research on behavioral pharmacology and to dissociate behavioral differences or pharmacologically induced behavioral alterations several independent tests are usually performed. In the present study we introduce a modified hole board procedure for mice which allows us to investigate a variety of behavioral parameters such as anxiety, risk assessment, exploration, locomotion, food-intake inhibition, novelty seeking, and arousal by using only one test. The modified hole board was established by investigating the behavior of two inbred mouse strains, C57BL/6 and BALB. Significant differences in terms of locomotor activity, general exploration, and other parameters were found. Moreover, strain-specific exploration strategies could be detected in the modified hole board. Further, the test was validated by investigating the effects of diazepam as standard anxiolytic on the behavior in both mouse strains. Acute administration of diazepam (1 and 3 mg/kg) induced strong sedative effects in a dose-dependent manner in C57BL/6 mice. In BALB mice, the lower dosage of diazepam showed an activating and anxiolytic action while the 3 mg dosage revealed a slight sedative but still anxiolytic effect in these animals. Taken together, the results demonstrate that the modified hole board enables to differentially investigate behavioral phenotypes and also pharmacologically-induced behavioral alterations in mice. Therefore, this new strategy allows to reduce the number of experimental animals and the time needed, thus, representing an effective screening-tool for behavioral investigations.
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Affiliation(s)
- F Ohl
- Max Planck Institute of Psychiatry, Kraepelinstr. 2-10, D-80804 Munich, Germany.
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Nelson W, Angoff N, Binder E, Cooke M, Fleetwood J, Goodlin S, Goodman K, Kaplan KO, McCormick T, Meyer ML, Sheehan M, Townsend T, Williams P, Winslade W. Goals and Strategies for Teaching Death and Dying in Medical Schools. J Palliat Med 2000; 3:7-16. [PMID: 15859716 DOI: 10.1089/jpm.2000.3.7] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Teaching medical students to respond to needs of the dying represents an important challenge for medical educators. This article describes the goals and objectives that should be identified before medical schools can meet this challenge, as well as strategies that, when implemented, will provide students with the necessary knowledge, skills, and attitudes to meet the needs of the dying patients. The goals and objectives were identified through a modified group consensus process developed during Choice In Dying's 5-year project "Integrating Education on Care of the Dying into Medical Schools." The authors have diverse experiences and backgrounds and are actively involved in death and dying teaching at 11 medical schools. They conclude that after accepting the goals and objectives, key medical school faculty can work cooperatively to develop strategies to integrate them into the school's curriculum. Without first establishing a set of goals and objectives and developing evaluation methods, medical schools could miss their mark in fostering the student's ability to care for the dying.
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Affiliation(s)
- W Nelson
- VHA National Center for Ethics, and Choice In Dying, New York, New York, USA
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Kryszohn F, Luber M, Binder E, Schaff P. [Mechanical effects on measuring displacement of the knee joint with the knee arthrometer KT1000 and KT2000]. BIOMED ENG-BIOMED TE 1999; 44:202-5. [PMID: 10472727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Abstract
The KT2000 knee ligament arthrometer manufactured by the MEDmetric Corporation is used in the field of orthopedics to establish quantitatively the size of the anterior and posterior draw phenomena of the knee joint. The basis for the measurement is the Lachman test in which a force is applied to the tibia relative to the femur. The resulting displacement is limited by the cruciate ligaments. The measurements obtained for a potentially injured knee are compared with those of the healthy knee and empirical threshold values, and serve as a basis for deciding whether to operate on patients with cruciate ligament insufficiency. The subject of the present study is a design shortcoming of the KT2000 that may falsify the measured results when the device is not correctly employed. A simple mechanical modification of the KT2000 can reduce this error. In the present study, the error is quantified and we show how the modification can keep it within tolerable limits.
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Binder E, Kuhn T, Mahler G. Coherent intraband and interband dynamics in double quantum wells: Exciton and free-carrier effects. Phys Rev B Condens Matter 1994; 50:18319-18329. [PMID: 9976267 DOI: 10.1103/physrevb.50.18319] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Binder E. [Acute kidney failure--nursing tasks in conservative therapy]. Kinderkrankenschwester 1993; 12:383-4. [PMID: 8260427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Abstract
Nasal reactions to unilateral allergen provocation were studied separately in both nasal cavities of 9 subjects with established seasonal allergic rhinitis. Three tests with the same allergen at the same concentration were performed in the same cavity at 48-h intervals. The parameters observed were clinical symptoms, changes in nasal airway resistance on rhinomanometry, and amount, weight and histamine content of the collected secretion. Nasal obstruction increased significantly on the provoked side but not contralaterally. Secretion increased symmetrically but the histamine content rose only on the provoked side. No priming effect was observed. The results are compatible with the view that the release of histamine has a 2-fold effect. Histamine directly caused vasodilatation of capacitance vessels and capillaries, which resulted in obstruction on the provoked side, and indirectly the histamine release led to stimulation of sensory nerve endings, which by triggering parasympathetic reflexes caused rhinorrhea in both nasal halves.
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Affiliation(s)
- H Malmberg
- Department of Otolaryngology, University Central Hospital, Helsinki, Finland
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Binder E, Tillier S. Acantharion browni, un nouveau Gymnarioninae d'Ethiopie (Gastéropodes Pulmonié Stylommatophore Limacacea). REV SUISSE ZOOL 1985. [DOI: 10.5962/bhl.part.81608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Binder E, Holopainen E, Malmberg H, Salo OP. Clinical findings in patients with allergic rhinitis. Rhinology 1984; 22:255-60. [PMID: 6522975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Clinical observations, X-ray findings and results of laboratory tests were evaluated in 770 patients with allergic rhinitis. Anamnestic data and results of the allergological examination of these patients have been presented elsewhere (Holopainen et al., 1979b; Binder et al., 1982). Allergic symptoms were seasonal in 54.5% and perennial in 45.5% of the patients. Mucosal changes as seen on rhinoscopy were significantly more common among patients with perennial than among patients with seasonal rhinitis. Watery discharge was the most common nasal finding, observed in 90% of all patients. Nasal smears showed increased numbers of eosinophilic leucocytes in 70% of the cases. Relationships between the cellular population of the nasal secretion, other laboratory test results and clinical findings are described. X-ray examination revealed pathological changes in the paranasal sinuses in 53.4% of the patients.
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MESH Headings
- Adolescent
- Adult
- Child
- Cytodiagnosis
- Eosinophilia/complications
- Female
- Humans
- Hypertrophy
- Male
- Middle Aged
- Nasal Cavity/pathology
- Nasal Mucosa/metabolism
- Nasal Mucosa/pathology
- Nasal Polyps/complications
- Rhinitis, Allergic, Perennial/complications
- Rhinitis, Allergic, Perennial/diagnosis
- Rhinitis, Allergic, Perennial/pathology
- Rhinitis, Allergic, Seasonal/complications
- Rhinitis, Allergic, Seasonal/diagnosis
- Rhinitis, Allergic, Seasonal/pathology
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Abstract
Ipratropium is a parasympatholytic agent with high topical activity. The effect of intranasal ipratropium was studied in 34 patients who were over 60 years of age and who suffered from chronic watery vasomotor rhinorrhoea. The study was a double-blind cross-over placebo controlled trial. Trial parameters were: daily nasal symptom and side effect scores, nasal methacholine testing before and after treatment, and clinical evaluation. The active drug clearly reduced nasal discharge. Nasal methacholine testing showed reduction of nasal secretion after the active treatment period. The majority of the patients preferred the active drug to the placebo. Excessive drying of the nasal mucosa was the most common side effect. Ipratropium seems to have a beneficial effect on vasomotor rhinitis, which often is an irritating condition in elderly patients.
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Abstract
A double-blind parallel trial of astemizole, pheniramine and placebo was carried out in 51 patients with hay fever. Astemizole is a new potent H1-antihistamine with long duration of action but devoid of central activity. Evaluation criteria were daily symptom- and side effect score cards, daily nasal peak flow measurements, clinical examination and blood tests. Control of nasal symptoms was significantly better with both antihistamines than with placebo. Tiredness and anticholinergic side effects were less common in the astemizole group than in the pheniramine group. No significant changes in the "safety evaluation" blood tests were observed.
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Abstract
In a study of 770 patients with allergic rhinitis, anamnestic data were collected by means of a questionnaire. 484 (63%) of the patients were women and 286 (37%) men. 45.5% of the patients had perennial symptoms, 33.5% had seasonal symptoms only, and 21% had predominantly seasonal but also some perennial symptoms. More than 50% of the patients belonged to the age group 21-40 years. The seasonal group included significantly more young patients than the perennial group. More than 50% of the parents and about 45% of the siblings had some atopic disorder. About 20% of the rhinitis patients had a concomitant allergic disorder. Sneezing was the commonest complaint in both rhinitis groups, but it was significantly more frequent in patients with seasonal rhinitis. Nasal blockage, again, was significantly commoner in perennial rhinitis. More than half of the patients reported severest symptoms in the morning. 282 patients had some domestic animal or pet, and 34% of these developed symptoms when close to an animal. Hypersensitivity to animals was significantly more frequent in patients who had domestic animals or pets than in those who did not. There was a clear correlation in perennial allergic rhinitis between the duration of rhinitis and deterioration of the sense of smell.
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MESH Headings
- Adolescent
- Adult
- Aging
- Airway Obstruction/complications
- Animals
- Animals, Domestic
- Asthma/complications
- Child
- Circadian Rhythm
- Dermatitis, Atopic/complications
- Environmental Health
- Female
- Humans
- Male
- Medical History Taking
- Middle Aged
- Rhinitis, Allergic, Perennial/complications
- Rhinitis, Allergic, Perennial/etiology
- Rhinitis, Allergic, Perennial/genetics
- Rhinitis, Allergic, Seasonal/complications
- Rhinitis, Allergic, Seasonal/etiology
- Rhinitis, Allergic, Seasonal/genetics
- Sneezing
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Otto W, Binder E. [Clinical aspects of chronic gout]. Z Gesamte Inn Med 1966; 21:562-7. [PMID: 5990726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Binder E. Ergänzung zu der Publikation von E. Becker über „Todesfälle nach Salvarsanbehandlung” (Dtsch. med. Wschr. 76 (1951): 572). Dtsch Med Wochenschr 1952. [DOI: 10.1055/s-0028-1115886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Binder E. Ein Fall von chronischen Hautblutungen bei Hysterie. Dtsch Med Wochenschr 1910. [DOI: 10.1055/s-0028-1142666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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