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Bolster M, Fricke J, Roll S, Berghöfer A, Reinhold T, Vienhues P, Ludwig-Körner C, Kuchinke L, Schlensog-Schuster F, Keil T. Häufigkeit von psychosozialen Belastungen von Eltern sowie Regulationsstörungen von Säuglingen in den ersten Jahren nach Geburt - erste, vorläufige Ergebnisse der SKKIPPI Kohortenstudie. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732263] [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: 10/20/2022]
Affiliation(s)
- M Bolster
- Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité - Universitätsmedizin, Berlin
| | - J Fricke
- Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité - Universitätsmedizin, Berlin
| | - S Roll
- Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité - Universitätsmedizin, Berlin
| | - A Berghöfer
- Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité - Universitätsmedizin, Berlin
| | - T Reinhold
- Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité - Universitätsmedizin, Berlin
| | - P Vienhues
- Fachklinik für Psychiatrie, Psychosomatik und Psychotherapie, Diako Nordfriesland
| | | | - L Kuchinke
- International Psychoanalytic University Berlin
| | - F Schlensog-Schuster
- Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters, Universitätsklinikum Leipzig
| | - T Keil
- Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charité - Universitätsmedizin, Berlin
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Fricke J, Bolster M, Ludwig-Körner C, Kuchinke L, Schlensog-Schuster F, Vienhues P, Reinhold T, Berghöfer A, Roll S, Keil T. Occurrence and determinants of parental psychosocial stress and mental health disorders in parents and their children in early childhood: rationale, objectives, and design of the population-based SKKIPPI cohort study. Soc Psychiatry Psychiatr Epidemiol 2021; 56:1103-1112. [PMID: 33337512 PMCID: PMC8192328 DOI: 10.1007/s00127-020-02004-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 11/25/2020] [Indexed: 01/09/2023]
Abstract
PURPOSE The postnatal period is a vulnerable time for parents and children but epidemiological and health care utilisation data for Germany on parental mental health during early childhood is scarce. This protocol describes the rationale, aim and study design of a population-based cohort study to assess the occurrence and determinants of psychosocial stress and mental health disorders, as well as the use and cost of health care and social services in early childhood. METHODS As part of the collaborative SKKIPPI project, we will contact a random sample of 30,000 infants listed in the residents' registration offices of three German towns and we expect to include 6,000 mother-child pairs. Both parents are invited to fill out an online screening questionnaire. Mothers with indications of psychosocial stress will be interviewed to assess mental health disorders, regulatory problems of their children, as well as health care and social services utilisation, with a follow-up assessment after 6 months. RESULTS After description of sociodemographic and health data, we will analyse occurrences, patterns, and potential determinants (maternal age, social status, household factors, migration status etc.) of psychosocial stress and mental health disorders in the mothers and their children in early childhood. CONCLUSIONS Our study will identify potential risk and protective factors for postnatal mental health and health care utilization of psychosocially burdened families. This will help to improve prevention and treatment strategies to strengthen the parent-child relationship, to reduce persisting vulnerability of children, and to improve health care and social services. TRIAL REGISTRATION The study has been registered in the German Clinical Trial Registry on February 8th 2019 (DRKS-ID: DRKS00016653).
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Affiliation(s)
- J. Fricke
- grid.6363.00000 0001 2218 4662Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Luisenstr. 57, 10117 Berlin, Germany
| | - M. Bolster
- grid.6363.00000 0001 2218 4662Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Luisenstr. 57, 10117 Berlin, Germany
| | - C. Ludwig-Körner
- grid.461709.d0000 0004 0431 1180International Psychoanalytic University, Berlin, Germany
| | - L. Kuchinke
- grid.461709.d0000 0004 0431 1180International Psychoanalytic University, Berlin, Germany
| | - F. Schlensog-Schuster
- grid.9647.c0000 0004 7669 9786Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany
| | - P. Vienhues
- Department of Psychiatry, Psychosomatics and Psychotherapy, Diakonissenkrankenhaus Flensburg, Flensburg, Germany
| | - T. Reinhold
- grid.6363.00000 0001 2218 4662Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Luisenstr. 57, 10117 Berlin, Germany
| | - A. Berghöfer
- grid.6363.00000 0001 2218 4662Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Luisenstr. 57, 10117 Berlin, Germany
| | - S. Roll
- grid.6363.00000 0001 2218 4662Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Luisenstr. 57, 10117 Berlin, Germany
| | - T. Keil
- grid.6363.00000 0001 2218 4662Institute for Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Luisenstr. 57, 10117 Berlin, Germany ,grid.8379.50000 0001 1958 8658Institute of Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany ,State Institute of Health, Bavarian Health and Food Safety Authority, Bad Kissingen, Germany
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Bolster M, Rattay P, Hölling H, Lampert T. Zusammenhang zwischen elterlichen Belastungen und der psychischen Gesundheit von Kindern und Jugendlichen – Ergebnisse aus KiGGS Welle 1. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667619] [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: 10/28/2022]
Affiliation(s)
- M Bolster
- Robert Koch-Institut, Berlin, Deutschland
| | - P Rattay
- Robert Koch-Institut, Berlin, Deutschland
| | - H Hölling
- Robert Koch-Institut, Berlin, Deutschland
| | - T Lampert
- Robert Koch-Institut, Berlin, Deutschland
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Bolster M, Kievit W, Van der Wilt G, Adang E, Bult P, Thunnissen E, Meijer J, Beex L, Tjan-Heijnen V. Cost-effectiveness of various guidelines for adjuvant systemic therapy in primary breast cancer. EJC Suppl 2004. [DOI: 10.1016/s1359-6349(04)90670-2] [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] Open
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Xu Y, Iftimia N, Jiang H, Key L, Bolster M. Imaging of in vitro and in vivo bones and joints with continuous-wave diffuse optical tomography. Opt Express 2001; 8:447-51. [PMID: 19417840 DOI: 10.1364/oe.8.000447] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
WWe present what is believed to be the first absorption and scattering images of in vitro and in vivo bones and joints from continuous-wave tomographic measurements. Human finger and chicken bones embedded in cylindrical scattering media were imaged at multiple transverse planes with Clemson multi-channel diffuse optical imager. Both absorption and scattering images were obtained using our nonlinear, finite element based reconstruction algorithm. This study shows that diffuse optical tomography (DOT) has the potential to be used for detection and monitoring of bone and joint diseases such as osteoporosis and arthritis.
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Strange C, Bolster M, Mazur J, Taylor M, Gossage JR, Silver R. Hemodynamic effects of epoprostenol in patients with systemic sclerosis and pulmonary hypertension. Chest 2000; 118:1077-82. [PMID: 11035680 DOI: 10.1378/chest.118.4.1077] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.5] [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: 11/01/2022] Open
Abstract
STUDY OBJECTIVES To determine the cause of pulmonary hypertension (PH) in systemic sclerosis (SSc) patients since PH can occur because of pulmonary arteriopathy, pulmonary parenchymal destruction, and left ventricular cardiac dysfunction. DESIGN AND SETTING Consecutive case series in a university hospital. PATIENTS Nine SSc patients with PH (mean pulmonary artery pressure, 41 mm Hg), with (n = 6) or without (n = 3) concomitant interstitial lung disease (ILD). METHODS Acute infusion of epoprostenol was begun at 2 ng/kg/min and was titrated upward at a rate of 2 ng/kg/min every 30 min until symptomatic complications developed or pulmonary artery vascular resistance (PVR) was reduced by 50%. RESULTS Eight of nine patients demonstrated a reduction of > or = 20% in PVR, suggesting that vasoreactivity is common despite the presence of significant ILD. A single patient had no response to infusion with unchanged hemodynamics and oxygenation. One patient developed hypoxemia as cardiac output increased, suggesting a worsening of ventilation/perfusion matching or the presence of an anatomic shunt. Acute pulmonary edema developed in one patient at an infusion rate of 6 ng/kg/min. The results of cardiac catheterization suggested that pulmonary edema was caused by SSc heart disease. CONCLUSION SSc patients with ILD have diverse and sometimes multiple causes of PH that can be determined by short-term epoprostenol infusion. Beneficial effects can be obtained from epoprostenol despite extensive ILD.
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MESH Headings
- Adult
- Antihypertensive Agents/administration & dosage
- Cardiac Catheterization
- Cardiac Output/drug effects
- Echocardiography, Doppler
- Epoprostenol/administration & dosage
- Female
- Hemodynamics/drug effects
- Humans
- Hypertension, Pulmonary/diagnostic imaging
- Hypertension, Pulmonary/drug therapy
- Hypertension, Pulmonary/etiology
- Hypertension, Pulmonary/physiopathology
- Infusions, Intravenous
- Male
- Middle Aged
- Pulmonary Wedge Pressure/drug effects
- Scleroderma, Systemic/complications
- Scleroderma, Systemic/diagnostic imaging
- Scleroderma, Systemic/drug therapy
- Scleroderma, Systemic/physiopathology
- Total Lung Capacity
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Affiliation(s)
- C Strange
- Division of Pulmonary and Critical Care Medicine, Allergy and Clinical Immunology, Medical University of South Carolina, Charleston, USA.
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Suzuki S, Tourkina E, Ludwicka A, Hampton M, Bolster M, Maize J, Silver R. A contaminant of L-tryptophan enhances expression of dermal collagen in a murine model of eosinophilia myalgia syndrome. Proc Assoc Am Physicians 1996; 108:315-22. [PMID: 8863345] [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] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The eosinophilia-myalgia syndrome was associated with the ingestion of L-tryptophan products containing a number of contaminants, one of which has been identified as 1,1'-ethylidene-bis-(L-tryptophan) (EBT), also known as peak E or peak 97. In earlier studies, we demonstrated that EBT induces inflammation and fibrosis in dermal and subcutaneous tissue of C57BL/6 mice. Others have shown EBT to be a potent stimulus for fibroblast activation and collagen synthesis in vitro, and dermal tissue from EMS patients reveals evidence of enhanced collagen gene expression. In the present study using Northern blot analysis and in situ hybridization, we demonstrate enhanced expression of genes for types I, III, and VI collagen in the dermis and subcutis of C57BL/6 mice treated with EBT for 3-21 days. Increased type I procollagen mRNA was noted on day 6 of EBT treatment and was followed by enhanced expression of type III and VI procollagen mRNA at day 21. L-Tryptophan, free of contaminants associated with the eosinophilia-myalgia syndrome epidemic, increased dermal collagen mRNA to a lesser extent than did EBT. Increased procollagen gene expression was accompanied by evidence of enhanced TGF-beta 1 expression in the dermis and subcutis. This animal model provides additional evidence for EBT as a causal agent of the eosinophilia-myalgia syndrome and should prove useful in the study of the pathogenesis of that syndrome.
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Affiliation(s)
- S Suzuki
- Department of Medicine, Medical University of South Carolina, Charleston, 29425-2229, USA
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Abstract
One hundred and twelve cases of fatal self-ingested overdoses were investigated in the Forensic Medicine Unit of the Department of Pathology of the University of Edinburgh in the period 1983-'87 (inclusive). Of these, 24 cases involved amitriptyline as either the sole agent or in combination with another drug, the most common of which was ethanol. The mean age of the latter group was 43 years with a marked female preponderance. The social history was documented with six out of the 24 cases living alone and five out of the 24 cases divorced. The number previously referred for psychiatric treatment and the number of cases where over 100 tablets of the drug had been prescribed at any one time (where known) was recorded: eight out of 24 cases. The fact that amitriptyline was by far the commonest of the tricyclic antidepressants to be encountered in a fatal overdose situation raises the important question of the prescribing of amitriptyline as a first line therapy in mental depression.
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Affiliation(s)
- M Bolster
- Department of Pathology, Cork Regional Hospital, Wilton, Ireland
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O'Brien T, Bolster M, Sullivan P. Fabry's disease: a family study. Ir J Med Sci 1990; 159:108-9. [PMID: 2114377 DOI: 10.1007/bf02937442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- T O'Brien
- Department of Medicine, Cork Regional Hospital, Wilton, Ireland
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Bolster M, Kealy W. A spectrum of thymomas over a three year period. Ir J Med Sci 1988; 157:348-50. [PMID: 3248926 DOI: 10.1007/bf02948347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Bolster M, Duggan PF, Cole M, Crowley M. Lack of effect of ingestion of vitamin E on lipoprotein-cholesterol fractions in healthy adults. Ir Med J 1983; 76:152-4. [PMID: 6574998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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