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Koellinger PD, Okbay A, Kweon H, Schweinert A, Linnér RK, Goebel J, Richter D, Reiber L, Zweck BM, Belsky DW, Biroli P, Mata R, Tucker-Drob EM, Harden KP, Wagner G, Hertwig R. Cohort profile: Genetic data in the German Socio-Economic Panel Innovation Sample (SOEP-G). PLoS One 2023; 18:e0294896. [PMID: 38019829 PMCID: PMC10686514 DOI: 10.1371/journal.pone.0294896] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 11/12/2023] [Indexed: 12/01/2023] Open
Abstract
The German Socio-Economic Panel (SOEP) serves a global research community by providing representative annual longitudinal data of respondents living in private households in Germany. The dataset offers a valuable life course panorama, encompassing living conditions, socioeconomic status, familial connections, personality traits, values, preferences, health, and well-being. To amplify research opportunities further, we have extended the SOEP Innovation Sample (SOEP-IS) by collecting genetic data from 2,598 participants, yielding the first genotyped dataset for Germany based on a representative population sample (SOEP-G). The sample includes 107 full-sibling pairs, 501 parent-offspring pairs, and 152 triads, which overlap with the parent-offspring pairs. Leveraging the results from well-powered genome-wide association studies, we created a repository comprising 66 polygenic indices (PGIs) in the SOEP-G sample. We show that the PGIs for height, BMI, and educational attainment capture 22∼24%, 12∼13%, and 9% of the variance in the respective phenotypes. Using the PGIs for height and BMI, we demonstrate that the considerable increase in average height and the decrease in average BMI in more recent birth cohorts cannot be attributed to genetic shifts within the German population or to age effects alone. These findings suggest an important role of improved environmental conditions in driving these changes. Furthermore, we show that higher values in the PGIs for educational attainment and the highest math class are associated with better self-rated health, illustrating complex relationships between genetics, cognition, behavior, socio-economic status, and health. In summary, the SOEP-G data and the PGI repository we created provide a valuable resource for studying individual differences, inequalities, life-course development, health, and interactions between genetic predispositions and the environment.
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Affiliation(s)
- Philipp D. Koellinger
- Department of Economics, School of Business and Economics, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Aysu Okbay
- Department of Economics, School of Business and Economics, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Hyeokmoon Kweon
- Department of Economics, School of Business and Economics, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Annemarie Schweinert
- Department of Economics, University of Wisconsin-Madison, Madison, Wisconsin, United States of America
| | - Richard Karlsson Linnér
- Department of Economics, School of Business and Economics, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Department of Economics, Leiden Law School, Leiden University, Leiden, The Netherlands
| | - Jan Goebel
- German Socio-Economic Panel Study, Deutsches Institut für Wirtschaftsforschung (DIW Berlin), Berlin, Germany
| | - David Richter
- Educational Science and Psychology, Freie Universität Berlin, Berlin, Germany
- SHARE Berlin, Berlin, Germany
| | - Lisa Reiber
- Center for Adaptive Rationality, Max-Planck Institute for Human Development, Berlin, Germany
| | | | - Daniel W. Belsky
- Department of Epidemiology and Butler Columbia Aging Center, Mailman School of Public Health, Columbia University, New York, New York, United States of America
- PROMENTA Center, University of Oslo, Oslo, Norway
| | - Pietro Biroli
- Department of Economics, University of Bologna, Bologna, Italy
| | - Rui Mata
- Center for Adaptive Rationality, Max-Planck Institute for Human Development, Berlin, Germany
- Faculty of Psychology, University of Basel, Basel, Switzerland
| | - Elliot M. Tucker-Drob
- Department of Psychology and Population Research Center, University of Texas at Austin, Austin, Texas, United States of America
| | - K. Paige Harden
- Department of Psychology and Population Research Center, University of Texas at Austin, Austin, Texas, United States of America
| | - Gert Wagner
- Educational Science and Psychology, Freie Universität Berlin, Berlin, Germany
- Center for Adaptive Rationality, Max-Planck Institute for Human Development, Berlin, Germany
- Federal Institute for Population Research, Wiesbaden, Germany
| | - Ralph Hertwig
- Center for Adaptive Rationality, Max-Planck Institute for Human Development, Berlin, Germany
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2
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Gerstorf D, Ram N, Drewelies J, Duezel S, Eibich P, Steinhagen-Thiessen E, Liebig S, Goebel J, Demuth I, Villringer A, Wagner GG, Lindenberger U, Ghisletta P. Today's Older Adults Are Cognitively Fitter Than Older Adults Were 20 Years Ago, but When and How They Decline Is No Different Than in the Past. Psychol Sci 2023; 34:22-34. [PMID: 36282991 DOI: 10.1177/09567976221118541] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
History-graded increases in older adults' levels of cognitive performance are well documented, but little is known about historical shifts in within-person change: cognitive decline and onset of decline. We combined harmonized perceptual-motor speed data from independent samples recruited in 1990 and 2010 to obtain 2,008 age-matched longitudinal observations (M = 78 years, 50% women) from 228 participants in the Berlin Aging Study (BASE) and 583 participants in the Berlin Aging Study II (BASE-II). We used nonlinear growth models that orthogonalized within- and between-person age effects and controlled for retest effects. At age 78, the later-born BASE-II cohort substantially outperformed the earlier-born BASE cohort (d = 1.20; 25 years of age difference). Age trajectories, however, were parallel, and there was no evidence of cohort differences in the amount or rate of decline and the onset of decline. Cognitive functioning has shifted to higher levels, but cognitive decline in old age appears to proceed similarly as it did two decades ago.
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Affiliation(s)
- Denis Gerstorf
- Department of Psychology, Humboldt University Berlin.,German Socio-Economic Panel Study (SOEP), German Institute for Economic Research (DIW), Berlin, Germany
| | - Nilam Ram
- Departments of Psychology and Communication, Stanford University
| | - Johanna Drewelies
- Department of Psychology, Humboldt University Berlin.,Lise Meitner Group for Environmental Neuroscience, Max Planck Institute for Human Development, Berlin, Germany
| | - Sandra Duezel
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany
| | - Peter Eibich
- Labor Demography Research Group, Max Planck Institute for Demographic Research, Rostock, Germany
| | | | - Stefan Liebig
- German Socio-Economic Panel Study (SOEP), German Institute for Economic Research (DIW), Berlin, Germany
| | - Jan Goebel
- German Socio-Economic Panel Study (SOEP), German Institute for Economic Research (DIW), Berlin, Germany
| | - Ilja Demuth
- Department of Endocrinology and Metabolic Medicine at the Charite-Universitätsmedizin Berlin.,Charité-Universitätsmedizin Berlin, BCRT-Berlin Institute of Health Center for Regenerative Therapies, Berlin, Germany
| | - Arno Villringer
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Gert G Wagner
- German Socio-Economic Panel Study (SOEP), German Institute for Economic Research (DIW), Berlin, Germany.,Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany.,Federal Institute for Population Research, Wiesbaden, Germany
| | - Ulman Lindenberger
- Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany.,Max Planck UCL Centre for Computational Psychiatry and Ageing Research, Berlin, Germany
| | - Paolo Ghisletta
- Faculty of Psychology and Educational Sciences, University of Geneva.,UniDistance Suisse.,Swiss National Centre of Competence in Research LIVES, University of Geneva
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3
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Drewelies J, Duezel S, Demuth I, Steinhagen-Thiessen E, Lindenberger U, Goebel J, Stadler G, Gerstorf D. THE ROLE OF MULTIDOMAIN IDENTITY AND SOCIAL BACKGROUND FACTORS FOR AGING OUTCOMES. Innov Aging 2022. [PMCID: PMC9765058 DOI: 10.1093/geroni/igac059.690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Domains of social privilege are predictive of a number of key aging outcomes, such as physical and cognitive functioning. However, less is known about the dynamic interplay of - related but distinct- domains of privilege and how they are associated with cognitive and physical functioning. In the following project, we aim to close this gap by examining the role of multidomain identity and social background factors for initial levels and subsequent changes in psychological, cognitive and physical functioning. Specifically, we identified predefined social privileges within the Berlin Aging Study II (BASE-II) sample (e.g., gender identity, gender conformity, sexuality, education, socioeconomic status, religion) and related these categories, interactively, to markers of physical health (multimorbidity), perceptual speed (digit symbol), and psychosocial functioning (loneliness). Results highlight the dynamic interplay (i.e., intersectionalism) of multidomain identity and social background factors with aging related outcomes across a number of key domains.
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Affiliation(s)
| | - Sandra Duezel
- Max-Planck-Insitute for human developement, Berlin, Berlin, Germany
| | - Ilja Demuth
- Charité Universitätsmedizin Berlin, Berlin, Berlin, Germany
| | | | | | - Jan Goebel
- German Institute for Economic Research, Berlin, Berlin, Germany
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4
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Drewelies J, Eibich P, Düzel S, Kühn S, Krekel C, Goebel J, Kolbe J, Demuth I, Lindenberger U, Wagner GG, Gerstorf D. Location, Location, Location: The Role of Objective Neighborhood Characteristics for Perceptions of Control. Gerontology 2021; 68:214-223. [PMID: 34000719 DOI: 10.1159/000515634] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 03/04/2021] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Control beliefs can protect against age-related declines in functioning. It is unclear whether neighborhood characteristics shape how much control people perceive over their life. This article studies associations of neighborhood characteristics with control beliefs of residents of a diverse metropolitan area (Berlin, Germany). METHODS We combine self-report data about perceptions of control obtained from participants in the Berlin Aging Study II (N = 507, 60-87 years, 51% women) with multisource geo-referenced indicators of neighborhood characteristics using linear regression models. RESULTS Findings indicate that objective neighborhood characteristics (i.e., unemployment rate) are indeed tied to perceptions of control, in particular, how much control participants feel others have over their lives. Including neighborhood characteristics in part doubled the amount of explained variance compared with a reference model covarying for demographic characteristics only (from R2 = 0.017 to R2 = 0.030 for internal control beliefs; R2 = 0.056 to R2 = 0.102 for external control beliefs in chance; R2 = 0.006 to R2 = 0.030 for external control beliefs in powerful others). DISCUSSION/CONCLUSION Findings highlight the importance of access to neighborhood resources for control beliefs across old age and can inform interventions to build up neighborhood characteristics which might be especially helpful in residential areas with high unemployment.
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Affiliation(s)
- Johanna Drewelies
- Department for Psychology, Humboldt University Berlin, Berlin, Germany
| | - Peter Eibich
- Max Planck Institute for Demographic Research, Rostock, Germany
| | - Sandra Düzel
- Max Planck Institute for Human Development, Berlin, Germany
| | - Simone Kühn
- Max Planck Institute for Human Development, Berlin, Germany
| | - Christian Krekel
- Department of Psychological and Behavioural Science, London School of Economics, London, UK
| | - Jan Goebel
- German Institute for Economic Research, Berlin, Germany
| | - Jens Kolbe
- Institute of Economics and Law, Technical University, Berlin, Germany
| | - Ilja Demuth
- Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Ulman Lindenberger
- Max Planck Institute for Human Development, Berlin, Germany
- Max Planck UCL Centre for Computational Psychiatry and Ageing Research, Berlin, Germany, and, London, UK
| | - Gert G Wagner
- Max Planck Institute for Human Development, Berlin, Germany
- German Institute for Economic Research, Berlin, Germany
| | - Denis Gerstorf
- Department for Psychology, Humboldt University Berlin, Berlin, Germany
- German Institute for Economic Research, Berlin, Germany
- Department of Human Development and Family Studies, Pennsylvania State University, University Park, University Park, Pennsylvania, USA
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5
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Hoebel J, Busch MA, Grabka MM, Zinn S, Allen J, Göfêwald A, Wernitz J, Goebel J, Steinhauer HW, Siegers R, Schroder C, Kuttig T, Butschalowsky H, Schlaud M, Rosario AS, Brix J, Rysina A, Glemser A, Neuhauser H, Stahlberg S, Kneuer A, Hey I, Schaarschmidt J, Fiebig J, Buttmann-Schweiger N, Wilking H, Michel J, Nitsche A, Wieler LH, Schaade L, Ziese T, Liebig S, Lampert T. Seroepidemiological study on the spread of SARS-CoV-2 in Germany: Study protocol of the CORONA-MONITORING bundesweit' study (RKI-SOEP study). J Health Monit 2021; 6:2-16. [PMID: 35585914 PMCID: PMC8832365 DOI: 10.25646/7853] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 01/20/2021] [Indexed: 01/29/2023]
Abstract
The SARS-CoV-2 coronavirus has spread rapidly across Germany. Infections are likely to be under-recorded in the notification data from local health authorities on laboratory-confirmed cases since SARS-CoV-2 infections can proceed with few symptoms and then often remain undetected. Seroepidemiological studies allow the estimation of the proportion in the population that has been infected with SARS-CoV-2 (seroprevalence) as well as the extent of undetected infections. The ‘CORONA-MONITORING bundesweit’ study (RKI-SOEP study) collects biospecimens and interview data in a nationwide population sample drawn from the German Socio-Economic Panel (SOEP). Participants are sent materials to self-collect a dry blood sample of capillary blood from their finger and a swab sample from their mouth and nose, as well as a questionnaire. The samples returned are tested for SARS-CoV-2 IgG antibodies and SARS-CoV-2 RNA to identify past or present infections. The methods applied enable the identification of SARS-CoV-2 infections, including those that previously went undetected. In addition, by linking the data collected with available SOEP data, the study has the potential to investigate social and health-related differences in infection status. Thus, the study contributes to an improved understanding of the extent of the epidemic in Germany, as well as identification of target groups for infection protection.
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Affiliation(s)
- Jens Hoebel
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Markus A Busch
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Markus M Grabka
- German Institute for Economic Research, Berlin, Socio-Economic Panel
| | - Sabine Zinn
- German Institute for Economic Research, Berlin, Socio-Economic Panel.,Humboldt University Berlin Faculty of Humanities and Social Sciences
| | - Jennifer Allen
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Antje Göfêwald
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Jörg Wernitz
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Jan Goebel
- German Institute for Economic Research, Berlin, Socio-Economic Panel
| | | | - Rainer Siegers
- German Institute for Economic Research, Berlin, Socio-Economic Panel
| | - Carsten Schroder
- German Institute for Economic Research, Berlin, Socio-Economic Panel.,Freie Universität Berlin School of Business and Economics
| | - Tim Kuttig
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Hans Butschalowsky
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Martin Schlaud
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | | | | | | | | | - Hannelore Neuhauser
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Silke Stahlberg
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Antje Kneuer
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Isabell Hey
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Jörg Schaarschmidt
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Julia Fiebig
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | | | - Hendrik Wilking
- Robert Koch Institute, Berlin Department of Infectious Disease Epidemiology
| | - Janine Michel
- Robert Koch Institute, Berlin Centre for Biological Threats and Special Pathogens
| | - Andreas Nitsche
- Robert Koch Institute, Berlin Centre for Biological Threats and Special Pathogens
| | - Lothar H Wieler
- Robert Koch Institute, Berlin Institute Leadership.,Robert Koch Institute, Berlin Methodology and Research Infrastructure
| | - Lars Schaade
- Robert Koch Institute, Berlin Centre for Biological Threats and Special Pathogens.,Robert Koch Institute, Berlin Institute Leadership
| | - Thomas Ziese
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Stefan Liebig
- German Institute for Economic Research, Berlin, Socio-Economic Panel
| | - Thomas Lampert
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
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6
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Goebel J, Gaida BJ, Wanke I, Kleinschnitz C, Koehrmann M, Forsting M, Moenninghoff C, Radbruch A, Junker A. Is Histologic Thrombus Composition in Acute Stroke Linked to Stroke Etiology or to Interventional Parameters? AJNR Am J Neuroradiol 2020; 41:650-657. [PMID: 32193192 DOI: 10.3174/ajnr.a6467] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Accepted: 01/24/2020] [Indexed: 12/24/2022]
Abstract
BACKGROUND AND PURPOSE Detailed insight into the composition of thrombi retrieved from patients with ischemic stroke by mechanical thrombectomy might improve pathophysiologic understanding and therapy. Thus, this study searched for links between histologic thrombus composition and stroke subtypes and mechanical thrombectomy results. MATERIALS AND METHODS Thrombi from 85 patients who had undergone mechanical thrombectomy for acute ischemic stroke between December 2016 and March 2018 were studied retrospectively. Thrombi were examined histologically. Preinterventional imaging features, stroke subtypes, and interventional parameters were re-analyzed. Statistical analysis was performed with the Kruskal-Wallis test, Mann-Whitney U test, or Spearman correlation as appropriate. RESULTS Cardioembolic thrombi had a higher percentage of macrophages and a tendency toward more platelets than thrombi of large-artery atherosclerotic stenosis (P = .021 and .003) or the embolic stroke of undetermined source (P = .037 and .099) subtype. Thrombi prone to fragmentation required the combined use of contact aspiration and stent retrieval (P = .021) and were associated with an increased number of retrieving maneuvers (P = .001), longer procedural times (P = .001), and a higher lymphocyte content (P = .035). CONCLUSIONS We interpreted the higher macrophage and platelet content in cardioembolic thrombi compared with large-artery atherosclerotic stenosis or embolic stroke of undetermined source thrombi as an indication that the latter type might be derived from an atherosclerotic plaque rather than from an undetermined cardiac source. The extent of thrombus fragmentation was associated with a more challenging mechanical thrombectomy and a higher lymphocyte content of the thrombi. Thus, thrombus fragmentation not only might be caused by the recanalization procedure but also might be a feature of a lymphocyte-rich, difficult-to-retrieve subgroup of thrombi.
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Affiliation(s)
- J Goebel
- From the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.)
| | - B-J Gaida
- Neuroradiological Centre (B.-J.G.), Clinic Hirslanden, Zurich, Switzerland
| | - I Wanke
- From the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.)
| | - C Kleinschnitz
- Clinic of Neurology (C.K., M.K.), University Hospital Essen, Essen, Germany
| | - M Koehrmann
- Clinic of Neurology (C.K., M.K.), University Hospital Essen, Essen, Germany
| | - M Forsting
- From the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.)
| | - C Moenninghoff
- From the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.)
| | - A Radbruch
- From the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.)
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7
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Fuks KB, Hüls A, Sugiri D, Altug H, Vierkötter A, Abramson MJ, Goebel J, Wagner GG, Demuth I, Krutmann J, Schikowski T. Tropospheric ozone and skin aging: Results from two German cohort studies. Environ Int 2019; 124:139-144. [PMID: 30641257 DOI: 10.1016/j.envint.2018.12.047] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Revised: 12/21/2018] [Accepted: 12/21/2018] [Indexed: 06/09/2023]
Abstract
During the last two decades, it has been well established that a short-term exposure to ozone (O3) elicits an oxidative stress response in human and mouse skin, which leads to aberrant transcriptional expression of genes consistent with increased skin aging. Whether a long-term exposure to ambient O3 is associated with any skin aging traits, has remained unclear. We addressed this question in two elderly German cohorts: the SALIA study (806 women aged 66-79 years), and the BASE-II study (1207 men and women aged 60-84 years). Five-year mean residential exposure to O3 was modeled as the number of days with maximum daily 8-h mean O3 concentrations ≥120 μg/m3 per year in the wider neighborhood (5-digit postcode) of a participant's residence. Extrinsic (environmentally induced) skin aging traits - coarse wrinkles and pigment spots (lentigines) on the face - were assessed by means of SCINEXA™, a validated visual score previously shown to be well suited to measure extrinsic facial skin aging in cohort studies. We observed positive associations of O3 exceedances with coarse wrinkles in the face, but not with pigment spots. These associations were present in each cohort as well as in the combined sample of both cohorts. They were independent of chronic ultraviolet radiation exposure as the most obvious confounder, and also of co-pollutants such as particulate matter and nitrogen dioxide. Thus, long-term exposure to elevated concentrations of tropospheric O3 appears to contribute to skin aging.
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Affiliation(s)
- Kateryna B Fuks
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany.
| | - Anke Hüls
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany; Department of Human Genetics, Emory University, Atlanta, GA, USA
| | - Dorothea Sugiri
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany
| | - Hicran Altug
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany
| | - Andrea Vierkötter
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany
| | - Michael J Abramson
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
| | - Jan Goebel
- German Institute for Economic Research, Berlin, Germany
| | - Gert G Wagner
- German Institute for Economic Research, Berlin, Germany; Max Planck Institute for Human Development, Berlin, Germany
| | - Ilja Demuth
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Lipid Clinic at the Interdisciplinary Metabolism Center, Germany; Berlin-Brandenburg Center for Regenerative Medicine (BCRT), Charité Universitätsmedizin Berlin, Germany
| | - Jean Krutmann
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany; Medical Faculty, Heinrich-Heine-University, Düsseldorf, Germany
| | - Tamara Schikowski
- IUF - Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany
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8
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Abstract
OBJECTIVES (1) To describe the accessibility of general practitioners (GPs) by the German population; (2) to determine factors on individual and area level, such as settlement structure and area deprivation, which are associated with the walking distance to a GP; and (3) to identify factors that may cause differences in the utilisation of any doctors. DESIGN Cross-sectional study using individual survey data from the representative German Socio-Economic Panel (SOEP) linked with area deprivation data from the German Index of Multiple Deprivation for 2010 (GIMD 2010) and official data for settlement structure (urban/rural areas) at district level. Logistic regression models were estimated to determine the relationship of individual and area factors with the distance to a GP. Negative binomial regressions were used to analyse the association with utilisation. SETTING Germany. POPULATION n=20 601 respondents from the SOEP survey data 2009. PRIMARY OUTCOME MEASURE Walking distance to a GP. SECONDARY OUTCOME MEASURE Doctor visits. RESULTS Nearly 70% of the sample lives within a 20 min walk to a GP. People living in the most deprived areas have a 1.4-fold (95% CI 1.3 to 1.6) increased probability of a greater walking distance compared with the least deprived quintile, even after controlling for settlement structure and individual factors. In rural districts, people have a 3.1-fold (95% CI 2.8 to 3.4) higher probability of a greater walking distance compared with those in cities. Both area deprivation and rurality have a negative relationship with the utilisation of physicians, whereas the distance to a GP is not associated with the utilisation of physicians. CONCLUSION Walking distance to a GP depends on individual and area factors. In Germany, area deprivation is negatively correlated with the accessibility of GPs while controlling for settlement structure and individual factors. Both area factors are negatively associated with the utilisation of doctors. This knowledge could be used for future GP requirement plans.
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Affiliation(s)
- Gregory Gordon Greiner
- Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany
- Institute for Medical Information Processing, Biometrics and Epidemiology (IBE), Ludwig-Maximilians-Universität München (LMU), Munich, Germany
| | - Lars Schwettmann
- Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany
| | - Jan Goebel
- German Institute for Economic Research (DIW Berlin), Berlin, Germany
| | - Werner Maier
- Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany
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9
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Guberina N, Dietrich U, Radbruch A, Goebel J, Deuschl C, Ringelstein A, Köhrmann M, Kleinschnitz C, Forsting M, Mönninghoff C. Detection of early infarction signs with machine learning-based diagnosis by means of the Alberta Stroke Program Early CT score (ASPECTS) in the clinical routine. Neuroradiology 2018; 60:889-901. [PMID: 30066278 DOI: 10.1007/s00234-018-2066-5] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 07/20/2018] [Indexed: 11/30/2022]
Abstract
PURPOSE New software solutions emerged to support radiologists in image interpretation in acute ischemic stroke. This study aimed to validate the performance of computer-aided assessment of the Alberta Stroke Program Early CT score (ASPECTS) for detecting signs of early infarction. METHODS ASPECT scores were assessed in 119 CT scans of patients with acute middle cerebral artery ischemia. Patient collective was differentiated according to (I) normal brain, (II) leukoencephalopathic changes, (III) infarcts, and (IV) atypical parenchymal defects (multiple sclerosis, etc.). ASPECTS assessments were automatically provided by the software package e-ASPECTS (Brainomix®, UK) (A). Subsequently, three neuroradiologists (B), (C), and (D) examined independently 2380 brain regions. Interrater comparison was performed with the definite infarct core as reference standard after best medical care (thrombolysis and/or thrombectomy). RESULTS Interrater comparison revealed higher correlation coefficient of (B) 0.71, (C) 0.76, and of (D) 0.80 with definite infarct core compared to (A) 0.59 for ASPECTS assessment in the acute ischemic stroke setting. While (B), (C), and (D) showed a significant correlation for individual patient groups (I), (II), (III), and (IV), except for (D) (II), (A) was not significant in patient groups with pre-existing changes (II), (III), and (IV). The following sensitivities, specificities, PPV, NPV, and accuracies given in percent were achieved: (A) 83, 57, 55, 82, and 67; (B) 74, 76, 69, 83, and 77; (C) 80.8, 85.2, 76, 84, and 80; (D) 63, 90.7, 82, 79, and 80, respectively. CONCLUSION For ASPECTS assessment, the examined software may provide valid data in case of normal brain. It may enhance the work of neuroradiologists in clinical decision making. A final human check for plausibility is needed, particularly in patient groups with pre-existing cerebral changes.
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Affiliation(s)
- Nika Guberina
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany.
| | - U Dietrich
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany
| | - A Radbruch
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany
| | - J Goebel
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany
| | - C Deuschl
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany
| | - A Ringelstein
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany.,Department of Radiology and Neuroradiology, Mariahilf Mönchengladbach, Mönchengladbach, Germany
| | - M Köhrmann
- Clinic for Neurology, University Hospital Essen, Essen, Germany
| | - C Kleinschnitz
- Clinic for Neurology, University Hospital Essen, Essen, Germany
| | - M Forsting
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany
| | - C Mönninghoff
- Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Hufelandstraße 55, 45147, Essen, Germany
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10
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Vogel N, Ram N, Goebel J, Wagner GG, Gerstorf D. How does availability of county-level healthcare services shape terminal decline in well-being? Eur J Ageing 2018; 15:111-122. [PMID: 29867296 DOI: 10.1007/s10433-017-0425-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Both lifespan psychology and life course sociology highlight that contextual factors influence individual functioning and development. In the current study, we operationalize context as county-level care services in inpatient and outpatient facilities (e.g., number of care facilities, privacy in facilities) and investigate how the care context shapes well-being in the last years of life. To do so, we combine 29 waves of individual-level longitudinal data on life satisfaction from now deceased participants in the nationwide German Socio-Economic Panel Study (N = 4557; age at death: M = 73.35, SD = 14.20; 47% women) with county-level data from the Federal Statistical Office. Results from three-level growth models revealed that having more inpatient care facilities, more employees per resident, and more staff in administration are each uniquely associated with higher late-life well-being, independent of key individual (age at death, gender, education, disability) and county (affluence, demographic composition) characteristics. Number of employees in physical care, residential comfort, and flexibility and care indicators in outpatient institutions were not found to be associated with levels or change in well-being. We take our results to provide empirical evidence that some contextual factors shape well-being in the last years of life and discuss possible routes how local care services might alleviate terminal decline.
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Affiliation(s)
- Nina Vogel
- 1German Institute for Economic Research (DIW Berlin), Mohrenstraße 58, 10117 Berlin, Germany
- 2Department of Psychology, Humboldt University Berlin, Unter den Linden 6, 10099 Berlin, Germany
- Present Address: The German Environment Agency, Berlin, Germany
| | - Nilam Ram
- 1German Institute for Economic Research (DIW Berlin), Mohrenstraße 58, 10117 Berlin, Germany
- 3Pennsylvania State University, HDFS, 417 BBH Building, University Park, PA 16802 USA
| | - Jan Goebel
- 1German Institute for Economic Research (DIW Berlin), Mohrenstraße 58, 10117 Berlin, Germany
| | - Gert G Wagner
- 1German Institute for Economic Research (DIW Berlin), Mohrenstraße 58, 10117 Berlin, Germany
- 4Max Planck Institute for Human Development, Berlin, Germany
| | - Denis Gerstorf
- 1German Institute for Economic Research (DIW Berlin), Mohrenstraße 58, 10117 Berlin, Germany
- 2Department of Psychology, Humboldt University Berlin, Unter den Linden 6, 10099 Berlin, Germany
- 3Pennsylvania State University, HDFS, 417 BBH Building, University Park, PA 16802 USA
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11
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Kording F, Ruprecht C, Schoennagel B, Fehrs K, Yamamura J, Adam G, Goebel J, Nassenstein K, Maderwald S, Quick H, Kraff O. Doppler ultrasound triggering for cardiac MRI at 7T. Magn Reson Med 2017; 80:239-247. [DOI: 10.1002/mrm.27032] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Revised: 10/09/2017] [Accepted: 11/13/2017] [Indexed: 01/31/2023]
Affiliation(s)
- F. Kording
- Department of Diagnostic and Interventional Radiology and Nuclear Medicine; University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - C. Ruprecht
- Department of Diagnostic and Interventional Radiology and Nuclear Medicine; University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - B. Schoennagel
- Department of Diagnostic and Interventional Radiology and Nuclear Medicine; University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - K. Fehrs
- Department of Diagnostic and Interventional Radiology and Nuclear Medicine; University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - J. Yamamura
- Department of Diagnostic and Interventional Radiology and Nuclear Medicine; University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - G. Adam
- Department of Diagnostic and Interventional Radiology and Nuclear Medicine; University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - J. Goebel
- Erwin L. Hahn Institute for Magnetic Resonance Imaging; University Duisburg-Essen; Essen Germany
- Department of Diagnostic and Interventional Radiology and Neuroradiology; University Hospital, University Duisburg-Essen; Essen Germany
| | - K. Nassenstein
- Department of Diagnostic and Interventional Radiology and Neuroradiology; University Hospital, University Duisburg-Essen; Essen Germany
| | - S. Maderwald
- Erwin L. Hahn Institute for Magnetic Resonance Imaging; University Duisburg-Essen; Essen Germany
| | - H.H. Quick
- Erwin L. Hahn Institute for Magnetic Resonance Imaging; University Duisburg-Essen; Essen Germany
- High Field and Hybrid MR Imaging; University Hospital, University Duisburg-Essen; Essen Germany
| | - O. Kraff
- Erwin L. Hahn Institute for Magnetic Resonance Imaging; University Duisburg-Essen; Essen Germany
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12
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Kühn S, Düzel S, Eibich P, Krekel C, Wüstemann H, Kolbe J, Martensson J, Goebel J, Gallinat J, Wagner GG, Lindenberger U. In search of features that constitute an "enriched environment" in humans: Associations between geographical properties and brain structure. Sci Rep 2017; 7:11920. [PMID: 28931835 PMCID: PMC5607225 DOI: 10.1038/s41598-017-12046-7] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Accepted: 08/22/2017] [Indexed: 12/30/2022] Open
Abstract
Enriched environments elicit brain plasticity in animals. In humans it is unclear which environment is enriching. Living in a city has been associated with increased amygdala activity in a stress paradigm, and being brought up in a city with increased pregenual anterior cingulate cortex (pACC) activity. We set out to identify geographical characteristics that constitute an enriched environment affecting the human brain. We used structural equation modelling on 341 older adults to establish three latent brain factors (amygdala, pACC and dorsolateral prefrontal cortex (DLPFC)) to test the effects of forest, urban green, water and wasteland around the home address. Our results reveal a significant positive association between the coverage of forest and amygdala integrity. We conclude that forests may have salutogenic effects on the integrity of the amygdala. Since cross-sectional data does not allow causal inference it could also be that individuals with high structural integrity choose to live closer to forest.
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Affiliation(s)
- Simone Kühn
- Max Planck Institute for Human Development, Center for Lifespan Psychology, Lentzeallee 94, 14195, Berlin, Germany. .,University Clinic Hamburg-Eppendorf, Clinic and Policlinic for Psychiatry and Psychotherapy, Martinistraße 52, 20246, Hamburg, Germany.
| | - Sandra Düzel
- Max Planck Institute for Human Development, Center for Lifespan Psychology, Lentzeallee 94, 14195, Berlin, Germany
| | - Peter Eibich
- German Institute for Economic Research, Mohrenstrasse 58, 10117, Berlin, Germany.,University of Oxfor The Health Economics Research Centre (HERC) Old Road Campus, Headington, Oxford, OX3 7LF, UK
| | - Christian Krekel
- German Institute for Economic Research, Mohrenstrasse 58, 10117, Berlin, Germany.,Paris School of Ecoß 48 Boulevard Jourdan, 75014, Paris, France.,Centre for Economic Performance, London School of Economics, Houghton Street, London, WC2A 2AE, UK
| | - Henry Wüstemann
- Technical University Berlin, Institute for Landscape Architecture and Environmental Planning Landscape Economics, Straße des 17. Juni 145, 10623, Berlin, Germany
| | - Jens Kolbe
- Technical University Berlin, Institute for Economics and Business Law, Econometrics and Business Statistics, Straße des 17. Juni 135, 10623, Berlin, Germany
| | - Johan Martensson
- Max Planck Institute for Human Development, Center for Lifespan Psychology, Lentzeallee 94, 14195, Berlin, Germany
| | - Jan Goebel
- German Institute for Economic Research, Mohrenstrasse 58, 10117, Berlin, Germany
| | - Jürgen Gallinat
- University Clinic Hamburg-Eppendorf, Clinic and Policlinic for Psychiatry and Psychotherapy, Martinistraße 52, 20246, Hamburg, Germany
| | - Gert G Wagner
- Max Planck Institute for Human Development, Center for Lifespan Psychology, Lentzeallee 94, 14195, Berlin, Germany.,University of Oxfor The Health Economics Research Centre (HERC) Old Road Campus, Headington, Oxford, OX3 7LF, UK.,Technical University Berlin, Institute for Economics and Business Law, Econometrics and Business Statistics, Straße des 17. Juni 135, 10623, Berlin, Germany
| | - Ulman Lindenberger
- Max Planck Institute for Human Development, Center for Lifespan Psychology, Lentzeallee 94, 14195, Berlin, Germany.,European University Institute San Domenico, Fiesole, Italy
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13
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Fuks K, Hüls A, Sugiri D, Goebel J, Demuth I, Schikowski T. Ozon, Feinstaub und Hautalterung in der Berliner Altersstudie II (BASE-II). Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- K Fuks
- IUF Leibniz-Institut für umweltmedizinische Forschung, Umweltepidemiologie von Lunge, Gehirn und Hautalterung, Düsseldorf
| | - A Hüls
- IUF Leibniz-Institut für umweltmedizinische Forschung, Umweltepidemiologie von Lunge, Gehirn und Hautalterung, Düsseldorf
| | - D Sugiri
- IUF Leibniz-Institut für umweltmedizinische Forschung, Umweltepidemiologie von Lunge, Gehirn und Hautalterung, Düsseldorf
| | - J Goebel
- Deutsches Institut für Wirtschaftsforschung e.V., Sozio- oekonomisches Panel, Berlin
| | - I Demuth
- Charité – Universitätsmedizin Berlin, Charité Centrum Innere Medizin mit Gastroenterologie und Nephrologie, Berlin
| | - T Schikowski
- IUF Leibniz-Institut für umweltmedizinische Forschung, Umweltepidemiologie von Lunge, Gehirn und Hautalterung, Düsseldorf
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14
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Rohrer JM, Brümmer M, Schmukle SC, Goebel J, Wagner GG. "What else are you worried about?" - Integrating textual responses into quantitative social science research. PLoS One 2017; 12:e0182156. [PMID: 28759628 PMCID: PMC5536367 DOI: 10.1371/journal.pone.0182156] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2016] [Accepted: 07/12/2017] [Indexed: 11/30/2022] Open
Abstract
Open-ended questions have routinely been included in large-scale survey and panel studies, yet there is some perplexity about how to actually incorporate the answers to such questions into quantitative social science research. Tools developed recently in the domain of natural language processing offer a wide range of options for the automated analysis of such textual data, but their implementation has lagged behind. In this study, we demonstrate straightforward procedures that can be applied to process and analyze textual data for the purposes of quantitative social science research. Using more than 35,000 textual answers to the question “What else are you worried about?” from participants of the German Socio-economic Panel Study (SOEP), we (1) analyzed characteristics of respondents that determined whether they answered the open-ended question, (2) used the textual data to detect relevant topics that were reported by the respondents, and (3) linked the features of the respondents to the worries they reported in their textual data. The potential uses as well as the limitations of the automated analysis of textual data are discussed.
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Affiliation(s)
- Julia M. Rohrer
- Department of Psychology, University of Leipzig, Leipzig, Germany
- German Institute for Economic Research, Berlin, Germany
- Max Planck Institute for Human Development, Berlin, Germany
- * E-mail:
| | - Martin Brümmer
- AKSW, Institute for Applied Informatics, University of Leipzig, Leipzig, Germany
| | | | - Jan Goebel
- German Institute for Economic Research, Berlin, Germany
| | - Gert G. Wagner
- German Institute for Economic Research, Berlin, Germany
- Max Planck Institute for Human Development, Berlin, Germany
- Berlin University of Technology, Berlin, Germany
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15
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Hamdani G, Zhang B, Liu C, Goebel J, Zhang Y, Nehus E. Outcomes of Pediatric Kidney Transplantation in Recipients of a Previous Non-Renal Solid Organ Transplant. Am J Transplant 2017; 17:1928-1934. [PMID: 28267897 DOI: 10.1111/ajt.14260] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Revised: 02/16/2017] [Accepted: 02/22/2017] [Indexed: 01/25/2023]
Abstract
Children who receive a non-renal solid organ transplant may develop secondary renal failure requiring kidney transplantation. We investigated outcomes of 165 pediatric kidney transplant recipients who previously received a heart, lung, or liver transplant using data from 1988 to 2012 reported to the United Network for Organ Sharing. Patient and allograft survival were compared with 330 matched primary kidney transplant (PKT) recipients. Kidney transplantation after solid organ transplant (KASOT) recipients experienced similar allograft survival: 5- and 10-year graft survival was 78% and 60% in KASOT recipients, compared to 80% and 61% in PKT recipients (p = 0.69). However, KASOT recipients demonstrated worse 10-year patient survival (75% KASOT vs. 97% PKT, p < 0.001). Competing risks analysis indicated that KASOT recipients more often experienced graft loss due to patient death (p < 0.001), whereas allograft failure per se was more common in PKT recipients (p = 0.01). To study more recent outcomes, kidney transplants performed from 2006 to 2012 were separately investigated. Since 2006, KASOT and PKT recipients had similar 5-year graft survival (82% KASOT vs. 83% PKT, p = 0.48), although 5-year patient survival of KASOT recipients remained inferior (90% KASOT vs. 98% PKT, p < 0.001). We conclude that despite decreased patient survival, kidney allograft outcomes in pediatric KASOT recipients are comparable to those of PKT recipients.
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Affiliation(s)
- G Hamdani
- Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - B Zhang
- Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - C Liu
- Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - J Goebel
- Nephrology Division, Children's Hospital Colorado, Aurora, CO
| | - Y Zhang
- Department of Bioinformatics and Biostatistics, Shanghia Jiao Tong University, Shanghai, China
| | - E Nehus
- Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
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16
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Nensa F, Tezgah E, Schweins K, Goebel J, Heusch P, Nassenstein K, Schlosser T, Poeppel TD. Evaluation of a low-carbohydrate diet-based preparation protocol without fasting for cardiac PET/MR imaging. J Nucl Cardiol 2017; 24:980-988. [PMID: 26993494 DOI: 10.1007/s12350-016-0443-1] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 02/01/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Assessment of increased glucose uptake in inflammatory or malignant myocardial disease using PET/MRI relies on uptake suppression in normal myocardium. We evaluated the efficacy of a ≥24 hours high-fat, low-carbohydrate, and protein-permitted diet (HFLCPP) in combination with unfractionated heparin for suppression of "physiologic" myocardial glucose uptake. METHODS PET/MRI was successfully performed in 89 patients. HFLCPP was started ≥24 hours prior to PET/MRI. All patients received i.v. injection of unfractionated heparin (50 IU·kg-1) 15 minutes prior to FDG administration. Left ventricular FDG uptake was visually evaluated by two readers. Diffuse myocardial uptake exceeding liver uptake, isolated uptake in the lateral wall, or diffuse uptake in the entire circumference of the heart base were defined as failed suppression. Homogeneous myocardial uptake below liver uptake with/without focal uptake was defined as successful suppression. RESULTS Success rate was 84%. Suppression was unsuccessful in 14 patients. No significant influence of gender (P = .40) or age (P = .21) was found. However, insufficient suppression was more common in patients younger than 45 years (20% vs 7%). PET/MR imaging completion rate was >97%. CONCLUSION A HFLCPP diet in combination with unfractionated heparin was successfully implemented for cardiac PET/MRI and resulted in a sufficient suppression of myocardial FDG uptake in 84% of patients.
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Affiliation(s)
- Felix Nensa
- Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Germany.
| | - E Tezgah
- Clinic for Cardiology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
| | - K Schweins
- Department of Diet and Nutrition, University of Duisburg-Essen, Essen, Germany
| | - J Goebel
- Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Germany
| | - P Heusch
- Department of Diagnostic and Interventional Radiology, University Hospital Dusseldorf, University of Dusseldorf, Dūsseldorf, Germany
| | - K Nassenstein
- Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Germany
| | - T Schlosser
- Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Germany
| | - T D Poeppel
- Clinic for Nuclear Medicine, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
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17
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Welk A, Schmeh I, Knuf M, Groendahl B, Goebel J, Staatz G, Gawehn J, Gehring S. Acute Encephalopathy in Children Associated with Influenza A: A Retrospective Case Series. Klin Padiatr 2016; 228:280-1. [PMID: 27459719 DOI: 10.1055/s-0042-111686] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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18
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Vogel N, Gerstorf D, Ram N, Goebel J, Wagner GG. Terminal decline in well-being differs between residents in East Germany and West Germany. International Journal of Behavioral Development 2016. [DOI: 10.1177/0165025415602561] [Citation(s) in RCA: 3] [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] [Indexed: 11/17/2022]
Abstract
Lifespan research has long been interested in how contexts shape individual development. Using the separation and later reunification of Germany as a kind of natural experiment we examine whether and how living and dying in the former East or West German context has differentially shaped late-life development of well-being. We apply multi-level growth models to annual reports of life satisfaction collected over 20+ years since German reunification from 4,159 deceased participants in the Socio-Economic Panel ( NWest= 3,079, Mage at death = 73.90, 47% women; NEast= 1,080, Mage at death = 72.23, 48% women). We examine differences between East and West Germany in levels, rates of change, and onset of terminal decline in well-being and the role of age at death, gender, education, disability and time spent in reunification. Analyses revealed that West Germans reported higher life satisfaction than East Germans, and that these differences get smaller both with passing time since reunification and in late life. The gap between East and West Germany diminishes over the last 10 years of life by more than 25%. Taking into account key individual characteristics only slightly attenuated this pattern, with education and age at death moderating late-life well-being level and decline in East Germany. Our results are consistent with long-standing notions that contextual factors shape individual development and illustrate the plasticity of human development. After having experienced disadvantages in life circumstances for up to 40 years through living in East Germany, effects of this natural experiment diminish considerably with passing time since reunification.
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Affiliation(s)
- Nina Vogel
- German Institute for Economic Research, DIW Berlin, Germany
- Humboldt University Berlin, Germany
| | - Denis Gerstorf
- German Institute for Economic Research, DIW Berlin, Germany
- Humboldt University Berlin, Germany
| | - Nilam Ram
- German Institute for Economic Research, DIW Berlin, Germany
- Pennsylvania State University, USA
| | - Jan Goebel
- German Institute for Economic Research, DIW Berlin, Germany
| | - Gert G. Wagner
- German Institute for Economic Research, DIW Berlin, Germany
- Max Planck Institute for Human Development, Berlin, Germany
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19
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Hricik DE, Augustine J, Nickerson P, Formica RN, Poggio ED, Rush D, Newell KA, Goebel J, Gibson IW, Fairchild RL, Spain K, Iklé D, Bridges ND, Heeger PS. Interferon Gamma ELISPOT Testing as a Risk-Stratifying Biomarker for Kidney Transplant Injury: Results From the CTOT-01 Multicenter Study. Am J Transplant 2015; 15:3166-73. [PMID: 26226830 PMCID: PMC4946339 DOI: 10.1111/ajt.13401] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2014] [Revised: 05/17/2015] [Accepted: 05/25/2015] [Indexed: 01/25/2023]
Abstract
Previous studies suggest that quantifying donor-reactive memory T cells prior to kidney transplantation by interferon gamma enzyme-linked immunosorbent spot assay (IFNγELISPOT) can assist in assessing risk of posttransplant allograft injury. Herein, we report an analysis of IFNγELISPOT results from the multicenter, Clinical Trials in Organ Transplantation-01 observational study of primary kidney transplant recipients treated with heterogeneous immunosuppression. Within the subset of 176 subjects with available IFNγELISPOT results, pretransplant IFNγELISPOT positivity surprisingly did not correlate with either the incidence of acute rejection (AR) or estimated glomerular filtration rate (eGFR) at 6- or 12-month. These unanticipated results prompted us to examine potential effect modifiers, including the use of T cell-depleting, rabbit anti-thymocyte globulin (ATG). Within the no-ATG subset, IFNγELISPOT(neg) subjects had higher 6- and 12-month eGFRs than IFNγELISPOT(pos) subjects, independent of biopsy-proven AR, peak PRA, human leukocyte antigen mismatches, African-American race, donor source, and recipient age or gender. In contrast, IFNγELISPOT status did not correlate with posttransplant eGFR in subjects given ATG. Our data confirm an association between pretransplant IFNγELISPOT positivity and lower posttransplant eGFR, but only in patients who do not receive ATG induction. Controlled studies are needed to test the hypothesis that ATG induction is preferentially beneficial to transplant candidates with high frequencies of donor-reactive memory T cells.
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Affiliation(s)
- D E Hricik
- Department of Medicine, University Hospitals Case Medical Center, Cleveland, OH
| | - J Augustine
- Department of Medicine, University Hospitals Case Medical Center, Cleveland, OH
| | - P Nickerson
- Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - R N Formica
- Department of Medicine, Yale University School of Medicine, New Haven, CT
| | - E D Poggio
- Department of Medicine, Cleveland Clinic, Cleveland, OH
| | - D Rush
- Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - K A Newell
- Department of Surgery, Emory University Medical Center, Atlanta, GA
| | - J Goebel
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - I W Gibson
- Department of Pathology, University of Manitoba, Winnipeg, Manitoba, Canada
| | - R L Fairchild
- Department of Immunology, Cleveland Clinic, Cleveland, OH
| | | | | | - N D Bridges
- Transplantation Branch, National Institutes of Allergy and Infectious Disease, National Institutes of Health, Bethesda, MD
| | - P S Heeger
- Department of Medicine, Mount Sinai School of Medicine, New York City, NY
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Claes D, Pai A, Nehus E, Hooper D, Zhang B, Girnita A, Goebel J. Increased Immunosuppression Level Variation Is Associated With Donor Specific Antibodies in Young Renal Transplant Recipients. Transplantation 2014. [DOI: 10.1097/00007890-201407151-01660] [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: 11/25/2022]
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21
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Burri R, Promerová M, Goebel J, Fumagalli L. PCR-based isolation of multigene families: lessons from the avian MHC class IIB. Mol Ecol Resour 2014; 14:778-88. [PMID: 24479469 DOI: 10.1111/1755-0998.12234] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2012] [Revised: 01/22/2014] [Accepted: 01/22/2014] [Indexed: 11/30/2022]
Abstract
The amount of sequence data available today highly facilitates the access to genes from many gene families. Primers amplifying the desired genes over a range of species are readily obtained by aligning conserved gene regions, and laborious gene isolation procedures can often be replaced by quicker PCR-based approaches. However, in the case of multigene families, PCR-based approaches bear the often ignored risk of incomplete isolation of family members. This problem is most prominent in gene families with highly variable and thus unpredictable number of gene copies among species, such as in the major histocompatibility complex (MHC). In this study, we (i) report new primers for the isolation of the MHC class IIB (MHCIIB) gene family in birds and (ii) share our experience with isolating MHCIIB genes from an unprecedented number of avian species from all over the avian phylogeny. We report important and usually underappreciated problems encountered during PCR-based multigene family isolation and provide a collection of measures to help significantly improving the chance of successfully isolating complete multigene families using PCR-based approaches.
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Affiliation(s)
- R Burri
- Laboratory for Conservation Biology, Department of Ecology and Evolution, University of Lausanne, CH-1015, Lausanne, Switzerland; Department of Evolutionary Biology, Evolutionary Biology Centre, Uppsala University, SE-75236, Uppsala, Sweden
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22
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Hricik DE, Nickerson P, Formica RN, Poggio ED, Rush D, Newell KA, Goebel J, Gibson IW, Fairchild RL, Riggs M, Spain K, Ikle D, Bridges ND, Heeger PS. Multicenter validation of urinary CXCL9 as a risk-stratifying biomarker for kidney transplant injury. Am J Transplant 2013; 13:2634-44. [PMID: 23968332 PMCID: PMC3959786 DOI: 10.1111/ajt.12426] [Citation(s) in RCA: 176] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2013] [Revised: 05/03/2013] [Accepted: 05/11/2013] [Indexed: 01/25/2023]
Abstract
Noninvasive biomarkers are needed to assess immune risk and ultimately guide therapeutic decision-making following kidney transplantation. A requisite step toward these goals is validation of markers that diagnose and/or predict relevant transplant endpoints. The Clinical Trials in Organ Transplantation-01 protocol is a multicenter observational study of biomarkers in 280 adult and pediatric first kidney transplant recipients. We compared and validated urinary mRNAs and proteins as biomarkers to diagnose biopsy-proven acute rejection (AR) and stratify patients into groups based on risk for developing AR or progressive renal dysfunction. Among markers tested for diagnosing AR, urinary CXCL9 mRNA (odds ratio [OR] 2.77, positive predictive value [PPV] 61.5%, negative predictive value [NPV] 83%) and CXCL9 protein (OR 3.40, PPV 67.6%, NPV 92%) were the most robust. Low urinary CXCL9 protein in 6-month posttransplant urines obtained from stable allograft recipients classified individuals least likely to develop future AR or a decrement in estimated glomerular filtration rate between 6 and 24 months (92.5-99.3% NPV). Our results support using urinary CXCL9 for clinical decision-making following kidney transplantation. In the context of acute dysfunction, low values can rule out infectious/immunological causes of injury. Absent urinary CXCL9 at 6 months posttransplant defines a subgroup at low risk for incipient immune injury.
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Affiliation(s)
- D. E. Hricik
- University Hospitals Case Medical Center, Cleveland, OH
| | - P. Nickerson
- University of Manitoba, Winnipeg, Manitoba, Canada
| | | | | | - D. Rush
- University of Manitoba, Winnipeg, Manitoba, Canada
| | | | - J. Goebel
- Cincinnati Children’s Hospital Medical Center, Cincinnati, OH
| | - I. W. Gibson
- University of Manitoba, Winnipeg, Manitoba, Canada
| | | | | | | | | | - N. D. Bridges
- Transplantation Branch, National Institutes of Allergy and Infectious Disease, National Institutes of Health, Bethesda, MD
| | - P. S. Heeger
- Icahn School of Medicine at Mount Sinai, New York, NY, Corresponding author: Peter S. Heeger,
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Höllerhage M, Goebel J, De Andrade A, Oertel W, Hengerer B, Höglinger G. Caffeine and nicotine are protective in a new model of α-synuclein mediated cell death in vitro. ACTA ACUST UNITED AC 2013. [DOI: 10.1016/j.baga.2013.01.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Abstract
Advances in immunosuppression have facilitated increased use of steroid-avoidance protocols in pediatric kidney transplantation. To evaluate such steroid avoidance, a retrospective cohort analysis of pediatric kidney transplant recipients between 2002 and 2009 in the United Network for Organ Sharing database was performed. Outcomes (acute rejection and graft loss) in steroid-based and steroid-avoidance protocols were assessed in 4627 children who received tacrolimus and mycophenolate immunosuppression and did not have multiorgan transplants. Compared to steroid-based protocols, steroid avoidance was associated with decreased risk of acute rejection at 6 months posttransplant (8.3% vs. 10.9%, p = 0.02) and improved 5-year graft survival (84% vs. 78%, p < 0.001). However, patients not receiving steroids experienced less delayed graft function (p = 0.01) and pretransplant dialysis, were less likely to be African-American and more frequently received a first transplant from a living donor (all p < 0.001). In multivariate analysis, steroid avoidance trended toward decreased acute rejection at 6 months, but this no longer reached statistical significance, and there was no association of steroid avoidance with graft loss. We conclude that, in clinical practice, steroid avoidance appears safe with regard to graft rejection and loss in pediatric kidney transplant recipients at lower immunologic risk.
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Affiliation(s)
- E Nehus
- Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
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25
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Laskin B, Goebel J, Yin H, Luo G, Khoury J, Davies S, Jodele S. Renal C4D Deposition Is a Marker of Hematopoietic Stem Cell Transplant (SCT)-Associated Thrombotic Microangiopathy (TMA). Biol Blood Marrow Transplant 2012. [DOI: 10.1016/j.bbmt.2011.12.275] [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: 11/24/2022]
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26
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Laskin B, Goebel J, Zahner M, Kennedy R, Kinsella T, Myers K, Mehta P, Grimley M, Filipovich A, Marsh R, Bleesing J, Davies S, Jodele S. BK Viremia Is Associated with Cyclophosphamide Use and Graft Versus Host Disease (GVHD) in Pediatric Hematopoietic Stem Cell Transplantation (SCT). Biol Blood Marrow Transplant 2012. [DOI: 10.1016/j.bbmt.2011.12.090] [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: 11/25/2022]
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Gerstorf D, Ram N, Goebel J, Schupp J, Lindenberger U, Wagner GG. Where people live and die makes a difference: Individual and geographic disparities in well-being progression at the end of life. Psychol Aging 2011; 25:661-76. [PMID: 20677887 DOI: 10.1037/a0019574] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Life-span psychological research has long been interested in the contextual embeddedness of individual development. To examine whether and how regional variables relate to between-person disparities in the progression of late-life well-being, we applied three-level growth curve models to 24-year longitudinal data from deceased participants of the German Socio-Economic Panel Study (N = 3,427; age at death = 18 to 101 years). Results indicated steep declines in well-being with impending death, with some 8% of the between-person differences in both level and decline of well-being reflecting between-county differences. Exploratory analyses revealed that individuals living and dying in less affluent counties reported lower late-life well-being, controlling for key individual predictors, including age at death, gender, education, and household income. The regional variables examined did not directly relate to well-being change but were found to moderate (e.g., amplify) the disparities in change attributed to individual variables. Our results suggest that resource-poor counties provide relatively less fertile grounds for successful aging until the end of life and may serve to exacerbate disparities. We conclude that examinations of how individual and residential characteristics interact can further our understanding of individual psychological outcomes and suggest routes for future inquiry.
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Affiliation(s)
- Denis Gerstorf
- Department of Human Development and Family Studies, Pennsylvania State University, University Park, PA 16802, USA.
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Jodele S, Laskin B, Bleesing J, Mehta P, Filipovich A, Marsh R, Myers K, Jordan M, Kumar A, Grimley M, Goebel J, Davies S. Blood and Not Urine BK Viral Load Predicts Outcome in Children With Hemorrhagic Cystitis and Viremia After Stem Cell Transplantation. Biol Blood Marrow Transplant 2011. [DOI: 10.1016/j.bbmt.2010.12.094] [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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Jodele S, Laskin B, Pinkard S, Carey P, Goebel J, Davies S. Does Early initiation of Therapeutic Plasma Exchange Affect Outcome in Pediatric Stem Cell Transplant-Associated Thrombotic Microangiopathy? Biol Blood Marrow Transplant 2011. [DOI: 10.1016/j.bbmt.2010.12.316] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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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Campbell K, Ng V, Martin S, Magee J, Goebel J, Anand R, Martz K, Bucuvalas J. Glomerular filtration rate following pediatric liver transplantation--the SPLIT experience. Am J Transplant 2010; 10:2673-82. [PMID: 21114644 DOI: 10.1111/j.1600-6143.2010.03316.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Impaired kidney function is a well-recognized complication following liver transplantation (LT). Studies of this complication in children have been limited by small numbers and insensitive outcome measures. Our aim was to define the prevalence of, and identify risk factors for, post-LT kidney dysfunction in a multicenter pediatric cohort using measured glomerular filtration rate (mGFR). We conducted a cross-sectional study of 397 patients enrolled in the Studies in Pediatric Liver Transplantation (SPLIT) registry, using mGFR < 90 mL/min/1.73 m(2) as the primary outcome measure. Median age at LT was 2.2 years. Primary diagnoses were biliary atresia (44.6%), fulminant liver failure (9.8%), metabolic liver disease (16.4%), chronic cholestatic liver disease (13.1%), cryptogenic cirrhosis (4.3%) and other (11.8%). At a mean of 5.2 years post-LT, 17.6% of patients had a mGFR < 90 mL/min/1.73 m(2) . In univariate analysis, factors associated with this outcome were transplant center, age at LT, primary diagnosis, calculated GFR (cGFR) at LT and 12 months post-LT, primary immunosuppression, early post-LT kidney complications, age at mGFR, height and weight Z-scores at 12 months post-LT. In multivariate analysis, independent variables associated with a mGFR <90 mL/min/1.73 m(2) were primary immunosuppression, age at LT, cGFR at LT and height Z-score at 12 months post-LT.
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Affiliation(s)
- K Campbell
- Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
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Abstract
BKVNP is an increasingly recognized cause of graft dysfunction and loss in kidney transplant recipients. Protocols for BKV screening and for the diagnosis of BKVNP are still evolving. PCR-based BKV detection became available at our institution in 2007, when we began using it according to published guidelines. We subsequently reviewed our experience with urine and plasma BKV PCR testing in our pediatric kidney transplant recipient population. We found rates of viruria, viremia, and BKVNP that were similar to the published literature. We also conducted a cost analysis suggesting that urine PCR testing, as used by us, is not cost efficient in the detection of BKV. We conclude that plasma only-based PCR testing for BKV may be sufficient in most clinical settings.
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Affiliation(s)
- B L Laskin
- Nephrology and Hypertension Division, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
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Woodle ES, Daller JA, Aeder M, Shapiro R, Sandholm T, Casingal V, Goldfarb D, Lewis RM, Goebel J, Siegler M. Ethical considerations for participation of nondirected living donors in kidney exchange programs. Am J Transplant 2010; 10:1460-7. [PMID: 20553449 DOI: 10.1111/j.1600-6143.2010.03136.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Kidneys from nondirected donors (NDDs) have historically been allocated directly to the deceased donor wait list (DDWL). Recently, however, NDDs have participated in kidney exchange (KE) procedures, including KE 'chains', which have received considerable media attention. This increasing application of KE chains with NDD participation has occurred with limited ethical analysis and without ethical guidelines. This article aims to provide a rigorous ethical evaluation of NDDs and chain KEs. NDDs and bridge donors (BDs) (i.e. living donors who link KE procedures within KE chains) raise several ethical concerns including coercion, privacy, confidentiality, exploitation and commercialization. In addition, although NDD participation in KE procedures may increase transplant numbers, it may also reduce NDD kidney allocation to the DDWL, and disadvantage vulnerable populations, particularly O blood group candidates. Open KE chains (also termed 'never-ending' chains) result in a permanent diversion of NDD kidneys from the DDWL. The concept of limited KE chains is discussed as an ethically preferable means for protecting NDDs and BDs from coercion and minimizing 'backing out', whereas 'honor systems' are rejected because they are coercive and override autonomy. Recent occurrences of BDs backing out argue for adoption of ethically based protective measures for NDD participation in KE.
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Affiliation(s)
- E S Woodle
- The Paired Donation Network, Orlando, FL, USA.
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34
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Laskin B, Goebel J, Davies S, Bleesing J, Mehta P, Filipovich A, Khoury J, Paff Z, Jodele S. Transplant Associated-Thrombotic Microangiopathy (TA-TMA) In Pediatric Neuroblastoma (NB) Patients Undergoing Autologous Stem Cell Transplantation (ASCT): A Case-Control Study Identifying Early Clinical Markers Of Disease. Biol Blood Marrow Transplant 2010. [DOI: 10.1016/j.bbmt.2009.12.158] [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] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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35
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Oberhüttinger C, Langmeier A, Oberpriller H, Kessler M, Goebel J, Müller G. Hydrocarbon detection using laser ion mobility spectrometry. ACTA ACUST UNITED AC 2009. [DOI: 10.1007/s12127-009-0015-z] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Prausa SE, Fukuda T, Maseck D, Curtsinger KL, Liu C, Zhang K, Nick TG, Sherbotie JR, Ellis EN, Goebel J, Vinks AA. UGT genotype may contribute to adverse events following medication with mycophenolate mofetil in pediatric kidney transplant recipients. Clin Pharmacol Ther 2009; 85:495-500. [PMID: 19225446 DOI: 10.1038/clpt.2009.3] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Leukopenia and diarrhea are the predominant adverse events associated with mycophenolate mofetil (MMF), leading to dose reduction or discontinuation in children. Polymorphisms of the drug's main metabolizing enzyme, uridine diphosphate-glucuronosyl transferase (UGT), confer alteration in drug exposure. We studied the incidence of these polymorphisms in pediatric kidney transplant recipients experiencing MMF-associated leukopenia and diarrhea. UGT genotypes of 16 affected children who recovered after MMF dose reduction or discontinuation were compared with those of 22 children who tolerated the drug at standard doses. DNA was extracted and sequenced using standard procedures to detect polymorphisms associated with increased (e.g., UGT1A9 -331T>C) or decreased drug exposure. All three patients who were homozygous for UGT1A9 -331T>C developed leukopenia, and heterozygotes also had significantly more toxicity (P = 0.04). A weaker association (P = 0.08) existed in UGT2B7 -900G>A carriers. Our data implicate UGT polymorphisms associated with altered drug exposure as potential predictors of MMF adverse events.
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Affiliation(s)
- S E Prausa
- Division of Pharmacy, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
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38
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Abstract
In 2005, kidney allocation rules in the United States were updated to enhance access to kidneys from young adult deceased donors (DDs) for pediatric recipients. We studied how this rule change affected transplant activity at our pediatric center. We retrospectively compared kidney transplant activity at our center since the rule change (until December 31, 2007) to before the change (n = 36 each), focusing on those recipients directly affected by it, that is, younger than 18 years. There were no significant differences in recipients' age, gender or ethnicity before versus after the rule change. Percentages of preemptive transplants and retransplants were similar in both groups, as was the percentage of sensitized patients. There was a significant decrease in overall, but not DD, mean donor age. Mean wait time for DD kidneys decreased for pediatric recipients. Increases were found in percentage of DD transplants and in mean HLA mismatches after the rule change. Patient and short-term graft survival were not significantly different. These data suggest that the allocation rule change was not only followed by improvement in overall access to kidney transplantation for children, but also by decreases in living donor transplants and HLA matching. Larger studies are needed to evaluate the long-term impact of the change.
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Affiliation(s)
- E C Abraham
- Department of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
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Goebel J, Grabka MM, Krause P, Kroh M, Pischner R, Sieber I, Spieß M. Mikrodaten, Gewichtung und Datenstruktur der Längsschnittstudie Sozio-oekonomisches Panel (SOEP). ACTA ACUST UNITED AC 2008. [DOI: 10.3790/vjh.77.3.77] [Citation(s) in RCA: 26] [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: 11/22/2022]
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40
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Anger S, Frick JR, Goebel J, Grabka MM, Groh-Samberg O, Haas H, Holst E, Krause P, Kroh M, Lohmann H, Pischner R, Schupp J, Sieber I, Siedler T, Schmitt C, Spieß CK, Spieß M, Tucci I, Wagner GG. Zur Weiterentwicklung von SOEPsurvey und SOEPservice. ACTA ACUST UNITED AC 2008. [DOI: 10.3790/vjh.77.3.157] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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41
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Kiessling S, Forrest K, Moscow J, Gewirtz A, Jackson E, Roszman T, Goebel J. Interstitial nephritis, hepatic failure, and systemic eosinophilia after minocycline treatment. Am J Kidney Dis 2001; 38:E36. [PMID: 11728996 DOI: 10.1053/ajkd.2001.29292] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This report describes a 15-year-old white boy who presented with fever, back pain, a disseminated exanthematous rash, renal failure, and hepatopathy 3 weeks after the initiation of oral minocycline therapy for facial acne. Marked peripheral and urine eosinophilia were noted. A bone marrow aspiration showed more than 50% eosinophils without any evidence of malignancy, and a simultaneous kidney biopsy showed acute interstitial nephritis (AIN). The patient's symptoms and laboratory findings improved after high-dose steroid therapy was initiated, worsened when it was withheld, and improved again after it was reinitiated in view of the biopsy findings. The patient recovered completely, and steroids were tapered to discontinuation over 3 months. Over a year later, the patient's peripheral blood mononuclear cells (PBMCs) were cultured for 2 weeks in the presence or absence of minocycline ex vivo, and minocycline was found to induce the emergence of CD4(+) cells after 1 week in culture. In conclusion, this article shows for the first time several new aspects of minocycline-induced morbidity: renal and hepatic failure can occur together, and AIN and elevated blood eosinophil counts can be accompanied by marked bone marrow eosinophilia, suggesting a systemic allergic response as the underlying pathomechanism. Furthermore, the initial phase of such a response appears to involve CD4(+) T cells detectable ex vivo. Lastly, high-dose treatment with corticosteroids appears to be beneficial in this setting.
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Affiliation(s)
- S Kiessling
- Departments of Pediatrics, Pathology, and Immunology, University of Kentucky, Lexington, KY 40536-0284, USA
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Abstract
OBJECTIVE To determine whether otologists see a need to further define the word "vertigo" and assess the variety of meanings that are meant in using the word. METHODS A questionnaire was mailed to 720 members of the American Otological Society (AOS) and American Neurotological Society (ANS) to assess the need for further definition and the current understanding of the meaning of "vertigo." RESULTS The response rate was 42%. Significant variability in the intended meaning of the word "vertigo" was found suggesting that the definition is inconsistent among experts. Three quarters of the respondents indicated that the word needs further definition. The word was most commonly used to indicate sensations that include spinning or turning only. CONCLUSION The definition of the term "vertigo" is inconsistent among otolaryngologists. Refinement of the definition is desirable for accurate history taking and should be limited to false illusions of circular motion.
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Affiliation(s)
- B W Blakley
- Department of Otolaryngology, University of Manitoba, Winnipeg, Canada.
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Abstract
BACKGROUND Anti-CD4 antibodies induce long-term graft survival by incompletely understood mechanisms, and CD4-ligation with HIV gp120-derivatives attenuates interleukin (IL)-2 receptor signaling. We examined the latter in the context of the CD4-modulating antibody 16H5. MATERIALS AND METHODS We performed immunoblots to assess the IL-2-induced phosphorylation of signal transducer and activator of transcription (STAT)5 and Akt in the presence or absence of 16H5. Furthermore, we documented the effects of 16H5 on the induction of STAT5, activating protein (AP)-1, and myc by IL-2 in DNA-binding assays. 3H-thymidine incorporation of the human lymphoid cell line CMO, which exhibits constitutive activation of the STAT5 pathway and IL2-independent growth, was also measured during 16H5 treatment. RESULTS In human T lymphocytes, 16H5 attenuated both the tyrosine phosphorylation of STAT5 by IL-2 and the IL-2-induced DNA-binding of this transcription factor. In contrast, 16H5 had no effect on the serine phosphorylation of Akt by IL-2 or on the IL-2-induced DNA-binding of myc. Signal transduction involving AP-1 was unaffected by 16H5 and IL-2. 16H5 also attenuated CMO cell proliferation. CONCLUSIONS 16H5 targets the STAT5 signaling pathway to attenuate IL-2 receptor signal transduction in human T cells. This observation provides a molecular explanation for the immunomodulatory actions of anti-CD4 antibodies.
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Affiliation(s)
- J Goebel
- Department of Pediatrics, University of Kentucky Medical Center, Lexington 40536-0284, USA
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Fife TD, Tusa RJ, Furman JM, Zee DS, Frohman E, Baloh RW, Hain T, Goebel J, Demer J, Eviatar L. Assessment: vestibular testing techniques in adults and children: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2000; 55:1431-41. [PMID: 11094095 DOI: 10.1212/wnl.55.10.1431] [Citation(s) in RCA: 146] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- T D Fife
- American Academy of Neurology, St. Paul, MN 55116, USA
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46
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Abstract
Daclizumab, a humanized antibody against the interleukin-2 (IL-2) receptor (R) alpha-chain, is a promising new immunosuppressant in transplantation. As its exact mechanism of action has remained unclear, we examined its short-term effects on primary human T lymphocytes expressing the high-affinity IL-2R. Daclizumab exposure for 20 min neither affected T cell viability nor their surface expression of the IL-2R alpha-, beta-, or gamma-chains. However, after IL-2 stimulation (200 U/ml, 20 min), immunoblots of cell lysates demonstrated attenuation of the IL-2-induced tyrosine phosphorylation of 65-75 kDa proteins by Daclizumab, but not by isotype controls. Since this is the molecular weight of the IL-2R beta- and gamma-chains, which are both tyrosine-phosphorylated by IL-2, we next examined the effect of Daclizumab on their IL-2-induced tyrosine phosphorylation. In immunoblots of IL-2R beta- and gamma-chain-immunoprecipitates the tyrosine phosphorylation of both chains by IL-2, but not by IL-15, was attenuated in the presence of Daclizumab. Furthermore, co-immunoprecipitation experiments showed that Daclizumab inhibited the IL-2-induced association of these chains, a prerequisite for their mutual tyrosine phosphorylation. Lastly, we demonstrated that Daclizumab inhibits the receptor-downstream induction of the IL-2-activated DNA-binding protein STAT5 in gel shift assays. We conclude that Daclizumab directly and specifically interferes with IL-2 signaling at the receptor level by inhibiting the association and subsequent phosphorylation of the IL-2R beta- and gamma-chains induced by ligand binding. Under our experimental conditions, Daclizumab had no effects on cell viability, and it did not modulate the surface expression of the IL-2R alpha-, beta-, or gamma-chains.
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Affiliation(s)
- J Goebel
- Department of Pediatrics, University of Kentucky, Lexington 40536, USA.
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47
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Abstract
A full-term neonate with a history of umbilical venous catheterization followed by coagulase-negative staphylococcal sepsis is presented. The infant developed a solitary hepatic abscess with saprophytic organisms. Her liver abscess resulted in acute glomerulonephritis characterized by hypertension, proteinuria, oliguria, and azotemia. Surgical drainage and antibiotic treatment of the abscess was associated with resolution of the glomerulonephritis. Glomerulonephritis due to solitary liver abscess in a neonate has not been reported previously. Acute onset of glomerulonephritis should prompt a search for occult sources of infection.
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Affiliation(s)
- P E DeFranco
- Department of Pediatrics, University of Kentucky Children's Hospital, Lexington, USA
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Musseau A, McClure L, Crook B, Turner M, Goebel J, Saganiuk K. Meningococcal response team enhancing community health: a collaborative effort. Alta RN 2000; 56:10-1. [PMID: 11309900] [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: 02/19/2023]
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Valente M, Goebel J, Duddy D, Sinks B, Peterein J. Evaluation and treatment of severe hyperacusis. J Am Acad Audiol 2000; 11:295-9. [PMID: 10858000] [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: 02/16/2023]
Abstract
A 52-year-old male was evaluated by the authors after initially reporting fullness in his left ear while traveling on an airplane. A unique feature of the patient's complaint was the development of severe bilateral hyperacusis (loudness discomfort levels of between 20-34 dB HL) in spite of the fact that the hearing loss was initially reported in the left ear. To achieve loudness comfort, the patient was initially fit with ER-25 musician earplugs that proved to be unsuccessful. The patient next purchased earplugs and earmuffs from a gun shop in order to obtain relief from the pain and discomfort caused by his exposure to everyday environmental sounds. This paper describes the use of hearing devices that proved to be effective in providing attenuation sufficient that the patient rarely needs to rely on earplugs and earmuffs for relief from his hyperacusis.
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Affiliation(s)
- M Valente
- Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA
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Abstract
To evaluate combination therapy of mild to moderate bronchiolitis with bronchiodilators and corticosteroids, we treated 51 young children with first-time wheezing and symptoms of respiratory tract infection with albuterol plus either prednisolone or placebo for 5 days. Disease severity was scored on days 0, 2, 3, and 6. On day 2, prednisolone resulted in significantly lower scores (2.7 +/- 1.4 vs. 4.0 +/- 1.5 in all patients evaluated, p < 0.05) than placebo, whereas there was no detectable difference on day 6, suggesting that addition of prednisolone to albuterol transiently accelerates recovery from bronchiolitis. The clinical significance of this effect needs to be evaluated in further studies.
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Affiliation(s)
- J Goebel
- Department of Pediatrics, University of South Alabama, Mobile, USA
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