1
|
Bier E, Vogel M, Grafe N, Jurkutat A, Ludwig J, Wagner O, Meigen C, Kiess W, Poulain T. Children's satisfaction with a comprehensive study program-Results from the LIFE Child cohort study. Paediatr Perinat Epidemiol 2023; 37:704-709. [PMID: 37748095 DOI: 10.1111/ppe.13007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 08/26/2023] [Accepted: 09/11/2023] [Indexed: 09/27/2023]
Abstract
BACKGROUND Research participants' satisfaction is a topic of great interest, especially in the context of longitudinal studies. Evaluation also represents an important component of quality management in the health care system. Adult studies found that personal characteristics, e.g., age, sex, ethnicity, and SES, can influence satisfaction with health care or study participation. Studies on paediatric participants are sparse. OBJECTIVES To examine how children rated the study day of a cohort study and how these ratings were associated with sociodemographic and socioeconomic characteristics and retention in the context of a large cohort study. METHODS Analyses were performed on 4- to 17-year-old participants of the German longitudinal cohort study LIFE Child (n = 2033). To assess the associations between overall satisfaction (high versus low/middle) and age, sex, body-mass index, socioecomonic status, and participation in a follow-up visit, we applied logistic mixed-effects models. RESULTS Participants' overall satisfaction with the LIFE Child study day was high ("very good": 67.8%). Overall satisfaction was higher in 7-9 years olds (odds ratio [OR] 2.00, 95% confidence interval [CI 1.51, 2.66) and 10-12 years olds (OR 1.51, 95% CI 1.16, 1.98) than in 4-6 years olds and 13-17 years olds. Children with obesity were less likely to participate in a follow-up visit (OR 0.56, 95% CI 0.39, 0.78). Children reporting high overall satisfaction at the first study visit completed a follow-up visit more frequently (OR 1.32, 95% CI 1.05,1.67). CONCLUSIONS A high level of satisfaction increased participants' attendance at a follow-up visit. Our results might be helpful for adapting the study program to the participants' needs in order to maximise retention and minimise attrition rates.
Collapse
Affiliation(s)
- Elisabeth Bier
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany
| | - Mandy Vogel
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany
- Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany
| | - Nico Grafe
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany
- Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany
| | - Anne Jurkutat
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany
- Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany
| | - Juliane Ludwig
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany
- Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany
| | - Oleg Wagner
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany
- Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany
| | - Christof Meigen
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany
- Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany
| | - Wieland Kiess
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany
- Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany
| | - Tanja Poulain
- LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany
- Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany
| |
Collapse
|
2
|
Haas M, Hiemisch A, Vogel M, Wagner O, Kiess W, Poulain T. Sensation seeking in 3- to 6-year-old children: associations with socio-demographic parameters and behavioural difficulties. BMC Pediatr 2019; 19:77. [PMID: 30857528 PMCID: PMC6410503 DOI: 10.1186/s12887-019-1450-6] [Citation(s) in RCA: 5] [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: 10/25/2018] [Accepted: 03/06/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The present study investigates whether sensation seeking in pre-school-age children is associated with age, gender and socio-economic status, and how sensation seeking relates to behavioural difficulties. METHODS The study sample consisted of 423 three- to six-year-old children whose parents had completed questionnaires on the children's sensation seeking (Sensation Seeking Scale for Young Children), socio-economic status, and behavioural difficulties (Strengths and Difficulties Questionnaire). Multiple linear regression models were applied to investigate associations between sensation seeking and age, gender, socio-economic status and behavioural difficulties. RESULTS Sensation seeking was significantly higher in male vs. female children but not associated with children's socio-economic status. Furthermore, sensation seeking was positively correlated with conduct problems, but negatively with emotional symptoms and peer-relationship problems. CONCLUSION These results replicate findings in adults and strengthen the assumption that sensation seeking is a personality trait that is already observable in early childhood. Furthermore, our results suggest relationships between higher levels of sensation seeking and externalising behaviour as well as relationships between lower levels of sensation seeking and internalising behaviour. TRIAL REGISTRATION LIFE Child study: ClinicalTrials.gov, clinical trial number NCT02550236 .
Collapse
Affiliation(s)
- Myriam Haas
- LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany.,Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), Leipzig University, Liebigstrasse 20a, 04103, Leipzig, Germany
| | - Andreas Hiemisch
- Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), Leipzig University, Liebigstrasse 20a, 04103, Leipzig, Germany
| | - Mandy Vogel
- LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany.,Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), Leipzig University, Liebigstrasse 20a, 04103, Leipzig, Germany
| | - Oleg Wagner
- LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany
| | - Wieland Kiess
- LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany.,Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), Leipzig University, Liebigstrasse 20a, 04103, Leipzig, Germany
| | - Tanja Poulain
- LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany. .,Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), Leipzig University, Liebigstrasse 20a, 04103, Leipzig, Germany.
| |
Collapse
|
3
|
Sinzinger H, Silberbauer K, Feigl W, Wagner O, Winter M, Auerswald W. Prostacyclin Activity is Diminished in Different Types of Morphologically Controlled Human Atherosclerotic Lesions. Thromb Haemost 2018. [DOI: 10.1055/s-0038-1666920] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [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)
- H Sinzinger
- Atherosclerosis Research Group at the Department of Medical Physiology, Schwarzspanierstraße 17, A-1090 Vienna, Austria
| | - K Silberbauer
- 2nd Department of Internal Medicine, Schwarzspanierstraße 17, A-1090 Vienna, Austria
| | - W Feigl
- Department of Pathology, Schwarzspanierstraße 17, A-1090 Vienna, Austria
| | - O Wagner
- 1st Department of Surgery, University of Vienna, Schwarzspanierstraße 17, A-1090 Vienna, Austria
| | - M Winter
- 1st Department of Surgery, University of Vienna, Schwarzspanierstraße 17, A-1090 Vienna, Austria
| | - W Auerswald
- Atherosclerosis Research Group at the Department of Medical Physiology, Schwarzspanierstraße 17, A-1090 Vienna, Austria
| |
Collapse
|
4
|
Abstract
21 patients had aortoiliac reconstructions for aortic aneurysms or occlusive disease with the new PTFE Y-graft during the past 12 months. 2 patients in the aneurysm group with additional renal artery reconstruction suffered postoperative myocardial infarction and subsequently died. 2 patients older than 80 years died after aneurysm repair in cause of graft infection, respectively respiratory insufficiency. All grafts (n = 17) are functioning well or did so until death of the patient (n=4). The obvious advantage of the PTFE Y-graft is the fact, that there is no need of preclotting. Suture line — even using 4-0 material at the proximal anastomosis — and graft body is absolutely tight and no blood loss has to be expected from this site. However positioning of the left limb of the y-graft can be difficult in patients with right sided extraperitoneal approach and proximal side end anastomosis. Performing an end-end anastomosis can overcome this problem. For occlusion of the prosthesis limbs two vascular clamps on each side are needed to control blood flow within the rather stiff graft. Immediate and short term function is excellent. There was no material specific complication noted until now. Further longterm experience is necessary to evaluate the definitive quality of this new prosthetic material after some years.
Collapse
Affiliation(s)
- P. Polterauer
- University of Vienna - Medical School Department of Surgery I Vienna, Austria
| | - O. Wagner
- University of Vienna - Medical School Department of Surgery I Vienna, Austria
| | - G. Kretschmer
- University of Vienna - Medical School Department of Surgery I Vienna, Austria
| | - F. Piza
- University of Vienna - Medical School Department of Surgery I Vienna, Austria
| |
Collapse
|
5
|
Herrmann J, Vogel M, Pietzner D, Kroll E, Wagner O, Schwarz S, Müller E, Kiess W, Richter M, Poulain T. Factors associated with the emotional health of children: high family income as a protective factor. Eur Child Adolesc Psychiatry 2018; 27:319-328. [PMID: 28942492 DOI: 10.1007/s00787-017-1049-0] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2016] [Accepted: 09/13/2017] [Indexed: 10/18/2022]
Abstract
Anxiety and depressive symptoms have adverse effects on children's development. The present study investigates the associations of socioeconomic factors as well as maternal emotional health with children's emotional health status. The data were collected between 2011 and 2015 in the LIFE Child study, a population-based cohort study in Leipzig, Germany. The emotional health status of 1093 children (2.5-11.9 years old) was investigated using the subscale 'emotional problems' of the Strengths and Difficulties Questionnaire. Associations of maternal emotional health, family status, and socioeconomic status (SES) with the emotional health status of children were estimated via regression analyses. 21.13% of the participating children were assigned to the 'risk' group for emotional problems. The results furthermore revealed that children of mothers reporting more depressive symptoms, children living in single-parent families, and children of families with lower SES scored higher in the emotional problems scale. When considering the different indicators of SES (parental education, occupational status, and monthly net income) separately, only income showed significant associations with children's emotional health status. The prevalence of emotional problems in children in Leipzig, a city in East Germany, appears to be higher than the previously reported German average. Maternal depressive symptoms, single-parent families, lower SES, and especially lower income can be seen as risk factors for children's emotional health.
Collapse
Affiliation(s)
- Janine Herrmann
- Department of Women and Children's Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), University of Leipzig, Liebigstrasse 20a, 04103, Leipzig, Germany. .,LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany.
| | - M Vogel
- LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany
| | - D Pietzner
- LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany
| | - E Kroll
- Berlin Social Science Center, PhD College 'Good Work', Reichpietschufer 50, 10785, Berlin, Germany
| | - O Wagner
- LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany
| | - S Schwarz
- Department of Women and Children's Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), University of Leipzig, Liebigstrasse 20a, 04103, Leipzig, Germany.,LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany
| | - E Müller
- Department of Women and Children's Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), University of Leipzig, Liebigstrasse 20a, 04103, Leipzig, Germany.,LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany
| | - W Kiess
- Department of Women and Children's Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), University of Leipzig, Liebigstrasse 20a, 04103, Leipzig, Germany.,LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany
| | - M Richter
- Medical Faculty, Institute of Medical Sociology (IMS), Martin-Luther-University Halle-Wittenberg, Magdeburger Strasse 8, 06112, Halle (Saale), Germany
| | - T Poulain
- LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany
| |
Collapse
|
6
|
Hoke M, Schillinger M, Mlekusch W, Minar E, Exner M, Wagner O. 5760The impact of serum amolyoid A on long term mortality (12 years) in patients with carotid atherosclerosis. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.5760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
7
|
Abstract
Since January 1977, polytetrafluoroethylene (PTFE)-Goretex has been used 82 times as aortoiliac substitute: 49 ilio-femoral, 17 ilio-profundal, 10 axillo-femoral, and 6 femoro-femoral cross-over bypasses were performed. In this group of patients 20% were diabetics, 85% were in a preoperative Stage III or IV according to Fontaine, with an average age of 66 years. Postoperative anticoagulation therapy was not used routinely. Each patient had noninva sive diagnostic procedures pre- and postoperatively (Figure 1).
Collapse
Affiliation(s)
- P. Polterauer
- University of Vienna-Medical School, Department of Surgery I, Vienna, Austria
| | - G. Kretschmer
- University of Vienna-Medical School, Department of Surgery I, Vienna, Austria
| | - O. Wagner
- University of Vienna-Medical School, Department of Surgery I, Vienna, Austria
| | - F. Piza
- University of Vienna-Medical School, Department of Surgery I, Vienna, Austria
| |
Collapse
|
8
|
Hoyer S, Oesterreich K, Wagner O. Depression in old age and its relation to primary dementia: variations in brain blood flow and oxidative metabolism. Monogr Neural Sci 2015; 11:187-92. [PMID: 6738550 DOI: 10.1159/000409210] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
|
9
|
Koertke H, Zittermann A, Wagner O, Secer S, Sciangula A, Saggau W, Sack FU, Ennker J, Cremer J, Musumeci F, Gummert JF. Telemedicine-guided, very low-dose international normalized ratio self-control in patients with mechanical heart valve implants. Eur Heart J 2014; 36:1297-305. [DOI: 10.1093/eurheartj/ehu330] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2014] [Accepted: 07/28/2014] [Indexed: 11/13/2022] Open
|
10
|
Jimenez Boj M, Bauer R, Gaertner M, Nell-Duxneuner V, Stamm T, Wagner O, Machold K, Smolen J. FRI0085 Prediciting rheumatoid arthritis by autoantibody testing (PRERA): Preliminary results of a community-based investigation. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2012-eular.2542] [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: 11/03/2022]
|
11
|
van Buuren F, Mellwig KP, Fründ A, Bogunovic N, Oldenburg O, Kottmann T, Wagner O, Dahm JB, Horstkotte D, Fritzsche D. [Electrical myostimulation: improvement of quality of life, oxygen uptake and left ventricular function in chronic heart failure]. REHABILITATION 2013; 53:321-6. [PMID: 24363218 DOI: 10.1055/s-0033-1358734] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
AIM OF THE STUDY Regular physical activity has found to be a strategy to increase exercise capacity in patients with chronic heart failure (CHF). Next to endurance training also electromyostimulation (EMS) of thigh and gluteal muscles results in an increased capacity in CHF patients. EMS therapy was either done by stimulating 8 major muscle groups involving also trunk and arm muscles (extended electromyostimulation (exEMS)) in comparison to EMS therapy limited to gluteal and leg muscles (limEMS). METHODS 31 individuals completed the EMS training program. Stable CHF patients (NYHA class II-III) received either exEMS (18 patients, 11 males, mean age 59.8±13.8 years) or limEMS (13 patients, 10 males, 63.6±9.4 years). Training was performed for 10 weeks twice weekly for 20 min, the level of daily activity remained unchanged. Effects on exercise capacity, left ventricular function (EF - ejection fraction) and QoL (quality of life) were evaluated. RESULTS QoL was found to be improved in all domains of the SF-36 questionnaire. In the exEMS group there was a significant improvement in the domain physical functioning (54.09±29.9 to 75.45±15.6, p=0.48) and emotional role (63.63±45.8 to 93.93±20.1 p=0.048). LimEMS group showed significant improvement in the domain vitality (37.5±6.9 to 52.8±12.5, p=0.02).There was a significant increase of oxygen uptake at aerobic threshold in all groups (exEMS: +29.6%, p<0.001; limEMS +17.5%, p<0.001). EF -increased from 36.94±8.6 to 42.36±9.1% (+14.7%, p=0.003) in the exEMS group (limEMS 37.7±3.6 to 40.3±5.9% [+6.9%, p=0.18]). CONCLUSION EMS contributes to an improved quality of life and can improve oxygen uptake and EF in CHF. It may be an alternative therapy in CHF patients who are otherwise unable to undertake conventional forms of exercise training.
Collapse
Affiliation(s)
- F van Buuren
- Klinik für Kardiologie, Herz- und Diabeteszentrum NRW, Ruhr Universität Bochum, Bad Oeynhausen
| | - K P Mellwig
- Klinik für Kardiologie, Herz- und Diabeteszentrum NRW, Ruhr Universität Bochum, Bad Oeynhausen
| | - A Fründ
- Klinik für Kardiologie, Herz- und Diabeteszentrum NRW, Ruhr Universität Bochum, Bad Oeynhausen
| | - N Bogunovic
- Klinik für Kardiologie, Herz- und Diabeteszentrum NRW, Ruhr Universität Bochum, Bad Oeynhausen
| | - O Oldenburg
- Klinik für Kardiologie, Herz- und Diabeteszentrum NRW, Ruhr Universität Bochum, Bad Oeynhausen
| | - T Kottmann
- Klinik für Kardiologie, Herz- und Diabeteszentrum NRW, Ruhr Universität Bochum, Bad Oeynhausen
| | - O Wagner
- Institut für angewandte Telemedizin (IFAT), Herz und Diabetes Zentrum NRW, Ruhr Universität Bochum, Bad Oeynhausen
| | - J B Dahm
- Klinik für Kardiologie und Angiologie, Krankenhaus Neu Bethlehem, Göttingen
| | - D Horstkotte
- Klinik für Kardiologie, Herz- und Diabeteszentrum NRW, Ruhr Universität Bochum, Bad Oeynhausen
| | - D Fritzsche
- Klinik für Herzchirurgie, SANA Herzzentrum Cottbus
| |
Collapse
|
12
|
Scheuchenegger A, Lechner E, Wiesinger-Eidenberger G, Weissensteiner M, Wagner O, Schimetta W, Resch B. Short-term morbidities in moderate and late preterm infants. Klin Padiatr 2013; 226:216-20. [PMID: 24158889 DOI: 10.1055/s-0033-1355394] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
OBJECTIVE To determine (1) the association between neonatal morbidity and gestational age and (2) the impact of pre-existing maternal medical conditions, pregnancy and birth complications on neonatal outcome in moderate and late preterm infants (32-36 completed weeks). METHODS Retrospective single-centre cohort study including all moderate and late preterm infants without congenital anomalies born at the Children's and Maternity Hospital Linz, Austria, between January 2007 and June 2010. Stepwise regression analysis was used to determine significant associations between morbidities, maternal and perinatal complications and the gestational age. RESULTS Of 870 infants included the incidence of neonatal morbidities increased from 24% at 36 weeks to 43% at 35 weeks', 55% at 34 weeks', 75% at 33 weeks' and 93% at 32 weeks' gestation. Infants at 32 weeks had a 4-fold (RR: 3.88; 95% CI: 1.87-8.06) increased risk compared with those at 36 weeks, and infants of 32 weeks were 16 times (RR: 16.01; 95% CI: 9.82-26.09) more likely to be admitted to the NICU than infants of 36 weeks'. Hyperbilirubinemia (29%) and respiratory morbidity (14.3%) were the most common neonatal diagnoses. Intrauterine growth restriction, preeclampsia, preterm premature rupture of the membranes, lack of antenatal steroid administration, antepartum hemorrhage, multiple pregnancy and male gender were all associated with any kind of neonatal morbidity, admission rate to the NICU and length of hospital stay (p<0.05). CONCLUSION Nearly half of all infants suffered from any morbidity, and several risk factors were identified being significantly associated with NICU admission rate and length of hospitalization.
Collapse
Affiliation(s)
- A Scheuchenegger
- Research Unit for Neonatal Infectious Diseases and Epidemiology, -Division of Neonatology, Department of Paediatric and Adolescent Medicine, Medical University of Graz, Austria
| | - E Lechner
- Children's and Maternity Hospital Linz, Neonatology, Linz, Austria
| | | | - M Weissensteiner
- Children's and Maternity Hospital Linz, Neonatology, Linz, Austria
| | - O Wagner
- Children's and Maternity Hospital Linz, Neonatology, Linz, Austria
| | - W Schimetta
- Applied Systems Research, Johannes Kepler University, Linz, Austria
| | - B Resch
- Research Unit for Neonatal Infectious Diseases and Epidemiology, -Division of Neonatology, Department of Paediatric and Adolescent Medicine, Medical University of Graz, Austria
| |
Collapse
|
13
|
Distelmaier K, Dragschitz F, Winter M, Redwan B, Mangold A, Gleiss A, Wagner O, Maurer G, Adlbrecht C, Lang I. Prognostic value of neutrophils in acute coronary syndrome. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.2835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
14
|
Pusztai E, Kenyo C, Nagy J, Wagner O. The effect of some disiloxane chain extenders on the thermal and mechanical properties of cross-linked poly(siloxane-urethane)s. EXPRESS POLYM LETT 2013. [DOI: 10.3144/expresspolymlett.2013.42] [Citation(s) in RCA: 4] [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: 11/24/2022] Open
|
15
|
Haslacher H, Perkmann T, Lukas I, Barth A, Ponocny-Seliger E, Michlmayr M, Scheichenberger V, Wagner O, Winker R. Myeloperoxidase levels predict executive function. Int J Sports Med 2012; 33:1034-8. [PMID: 22855218 DOI: 10.1055/s-0032-1304637] [Citation(s) in RCA: 5] [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: 10/28/2022]
Abstract
The main purpose of the study was to investigate whether baseline myeloperoxidase (MPO) levels are associated with executive cognitive function in individuals with high physical activity. Baseline serum MPO levels of 56 elderly marathon runners and 58 controls were assessed by ELISA. Standardized tests were applied to survey domain-specific cognitive functions. Changes in brain morphology were visualized by magnetic resonance imaging (MRI). High baseline serum MPO levels correlated with worse outcome in tests assessing executive cognitive function in athletes but not in the control group (NAI maze test p<0.05, Trail Making Test ratio p<0.01). In control participants, subcortical white matter hyperintensities were associated with higher scores on the Geriatric Depression Scale (p<0.05), whereas athletes seem to be protected from this effect. During strenuous exercising, MPO as well as its educts may be elevated due to increased oxygen intake and excretion of pro-inflammatory mediators inducing host tissue damage via oxidative stress. This outweighs the potential benefits of physical activity on cognitive function.
Collapse
Affiliation(s)
- H Haslacher
- Department of Laboratory Medicine, Medical University of Vienna, Austria.
| | | | | | | | | | | | | | | | | |
Collapse
|
16
|
Goliasch G, Kleber ME, Richter B, Plischke M, Hoke M, Haschemi A, Marculescu R, Endler G, Grammer TB, Pilz S, Tomaschitz A, Silbernagel G, Maurer G, Wagner O, Huber K, Marz W, Mannhalter C, Niessner A. Routinely available biomarkers improve prediction of long-term mortality in stable coronary artery disease: the Vienna and Ludwigshafen Coronary Artery Disease (VILCAD) risk score. Eur Heart J 2012; 33:2282-9. [DOI: 10.1093/eurheartj/ehs164] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
|
17
|
Vargha R, Möslinger D, Wagner O, Golej J. Venovenous hemodiafiltration and hypothermia for treatment of cerebral edema associated with hyperammonemia. Indian Pediatr 2012; 49:60-62. [PMID: 22318103] [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: 05/31/2023]
Abstract
We report a 50 hour old newborn with inborn urea cycle disorder and hyperammonia of 2320 umol/L. The pharmacological treatment of the first metabolic crisis was combined with venovenous hemodiafiltration and therapeutic hypothermia to rescue the patient from a life-threatening cerebral edema.
Collapse
Affiliation(s)
- R Vargha
- General Hospital of Vienna, Department of Pediatrics and Adolescent Medicine, Division of General Pediatrics and Neonatology, Vienna, Austria.
| | | | | | | |
Collapse
|
18
|
Bonelli M, Savitskaya A, Steiner CW, Rath E, Bilban M, Wagner O, Bach FH, Smolen JS, Scheinecker C. Heme oxygenase-1 end-products carbon monoxide and biliverdin ameliorate murine collagen induced arthritis. Clin Exp Rheumatol 2012; 30:73-78. [PMID: 22325451] [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] [Received: 03/31/2011] [Accepted: 09/20/2011] [Indexed: 05/31/2023]
Abstract
OBJECTIVES Heme oxygenase-1 (HO-1) which degrades Heme to free iron, biliverdin and carbon monoxide (CO) plays an important role in inflammation. There are, however, conflicting data concerning the role of HO-1 in rheumatoid arthritis (RA) and the therapeutic potential of individual heme degradation products remains to be determined. We therefore investigated the effect of CO and biliverdin upon therapeutic administration in the murine collagen induced arthritis (CIA) model of RA. METHODS CIA was induced in DBA/1 mice. Anti-CII antibody levels were determined by ELISA. Mice were scored for paw swelling and grip strength. After the first clinical signs of arthritis one group of animals was treated with biliverdin, the second group was treated with CO. After 60 days all animals were sacrificed and analysed for histomorphological signs of arthritis. RESULTS All animals immunised with CII developed serum anti-CII antibodies. Antibody levels were decreased in the CO-treated group. Both, Biliverdin and the CO-treated animals, showed an improvement in clinical disease activity. Histological analysis revealed significantly less inflammation, erosion and reduced numbers of osteoclasts in CO-treated animals only, whereas cartilage degradation was prevented in both biliverdin and CO-treated animals. CONCLUSIONS Our data demonstrate a beneficial effect of CO, in particular, and biliverdin, on inflammation and bone destruction in the CIA mouse model.
Collapse
Affiliation(s)
- M Bonelli
- Division of Rheumatology, Internal Medicine III, Medical University of Vienna, Vienna, Austria
| | | | | | | | | | | | | | | | | |
Collapse
|
19
|
Doberer D, Haschemi A, Andreas M, Zapf TC, Clive B, Jeitler M, Heinzl H, Wagner O, Wolzt M, Bilban M. Haem arginate infusion stimulates haem oxygenase-1 expression in healthy subjects. Br J Pharmacol 2011; 161:1751-62. [PMID: 20718734 DOI: 10.1111/j.1476-5381.2010.00990.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND AND PURPOSE Haem oxygenase 1 (HO-1) is an inducible protein that plays a major protective role in conditions such as ischaemia-reperfusion injury and inflammation. In this study, we have investigated the role of haem arginate (HA) in human male subjects in the modulation of HO-1 expression and its correlation with the GT length polymorphism (GT(n)) in the promoter of the HO-1 gene. EXPERIMENTAL APPROACH In a dose-escalation, randomized, placebo-controlled trial, seven healthy male subjects with a homozygous short (S/S) and eight with a long (L/L) GT(n) genotype received intravenous HA. HO-1 protein expression and mRNA levels in peripheral blood monocytes, bilirubin, haptoglobin, haemopexin and haem levels were analysed over a 48 h observation period. KEY RESULTS We found that the baseline mRNA levels of HO-1 were higher in L/L subjects, while protein levels were higher in S/S subjects. HA induced a dose-dependent increase in the baseline corrected area under the curve values of HO-1 mRNA and protein over 48 h. The response of HO-1 mRNA was more pronounced in L/L subjects but the protein level was similar across the groups. CONCLUSIONS AND IMPLICATION HA is an effective inducer of HO-1 in humans irrespective of the GT(n) genotype. The potential therapeutic application of HA needs to be evaluated in clinical trials.
Collapse
Affiliation(s)
- D Doberer
- Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria
| | | | | | | | | | | | | | | | | | | |
Collapse
|
20
|
Baldus HP, Wagner O, Jansen M. Synthesis of Advanced Ceramics in the Systems Si-B-N and Si-B-N-C Employing Novel Precursor Compounds. ACTA ACUST UNITED AC 2011. [DOI: 10.1557/proc-271-821] [Citation(s) in RCA: 87] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
ABSTRACTThe reaction of Cl3Si-NH-Si(CH3)3 with BCl3 yields the novel compounds Cl3Si-NH-BCl2 and (Cl3SiNH)2-BCl. The ammonolysis of these monomeric precursors in liquid ammonia gives rise to highly crosslinked borosilicon imides. Pyrolysis of the polymeric imides in a stream of ammonia at 1250°C yields amorphous borosilicon nitrides with formal compositions of Si3B3N7 and Si6B3Nu respectively. MAS-NMR, DTA/TG, SEM and TEM investigations reveal that the resulting materials are single phase.The reaction of the novel precursors with primary amines yields meltable and soluble polymers suitable for producing fibers or coatings. Subsequent pyrolysis in NH3 leads also to amorphous borosilicon nitride. The physical and chemical properties of the new materials will be discussed.
Collapse
|
21
|
Lassner D, Geissler F, Bosse S, Hofmann J, Witzigmann H, Remke H, Hauss J, Wagner O. Diagnosis and monitoring of acute cytomegalovirus infection in peripheral blood of transplant recipients by nested reverse transcriptase polymerase chain reaction (RT-PCR). Transpl Int 2011. [DOI: 10.1111/j.1432-2277.2000.tb02062.x] [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: 12/30/2022]
|
22
|
Bilban M, Tauber S, Haslinger P, Pollheimer J, Saleh L, Pehamberger H, Wagner O, Knöfler M. Trophoblast invasion: assessment of cellular models using gene expression signatures. Placenta 2010; 31:989-96. [PMID: 20850871 DOI: 10.1016/j.placenta.2010.08.011] [Citation(s) in RCA: 132] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2010] [Revised: 08/03/2010] [Accepted: 08/23/2010] [Indexed: 10/25/2022]
Abstract
Invasive, extravillous trophoblasts (EVT) of the human placenta are critically involved in successful pregnancy outcome since they remodel the uterine spiral arteries to increase blood flow and oxygen delivery to the placenta and the developing fetus. To gain more insights into their biological role different primary cell culture models are commonly utilised. However, access to early placental tissue may be limited and primary trophoblasts rapidly cease proliferation in vitro impairing genetic manipulation. Hence, trophoblastic cell lines have been widely used as surrogates to study EVT function. Although the cell lines share some molecular markers with their primary counterpart, it is unknown to what extent they recapitulate the invasive phenotype of EVT. Therefore, we here report the first thorough GeneChip analyses of SGHPL-5, HTR-8/SVneo, BeWo, JEG-3 and the novel ACH-3P trophoblast cells in comparison to previously analysed primary villous cytotrophoblasts (CTBs) and extravillous trophoblasts (EVTs). Analyses of approximately 14,000 commonly expressed genes revealed that EVTs most closely resemble CTBs with considerable differences to the group of choriocarcinoma cells (JEG-3, BeWo, ACH-3P) and the group of SV40 Large T Antigen-selected cell types (SGHPL-5, HTR-8/SVneo). Similarly, analyses of 912 genes discriminating EVT from CTB, or 370 EVT-specific genes did not unravel a particular cell line with close similarity to any of the primary cell types, although molecular signatures common to EVT and each group of cell lines could be identified. Considering the diversity of mRNA expression patterns it is suggested that molecular studies in trophoblast cell lines require verification of the critical steps in an appropriate primary model system.
Collapse
Affiliation(s)
- M Bilban
- Department of Laboratory Medicine, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria.
| | | | | | | | | | | | | | | |
Collapse
|
23
|
|
24
|
Ay C, Dunkler D, Vormittag R, Quehenberger P, Pirker R, Wagner O, Zielinski C, Pabinger I. D-dimer levels and prediction of overall survival in cancer patients. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.10587] [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: 11/20/2022] Open
|
25
|
Ay C, Simanek R, Dunkler D, Thaler J, Koder S, Wagner O, Zielinski C, Pabinger I. PO-32 Prediction of venous thromboembolism in cancer patients by measuring thrombin generation – Results from the Vienna Cancer and Thrombosis Study (CATS). Thromb Res 2010. [DOI: 10.1016/s0049-3848(10)70082-7] [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: 11/26/2022]
|
26
|
Schaller G, Kretschmer S, Gouya G, Haider DG, Mittermayer F, Riedl M, Wagner O, Pacini G, Wolzt M, Ludvik B. Alcohol acutely increases vascular reactivity together with insulin sensitivity in type 2 diabetic men. Exp Clin Endocrinol Diabetes 2009; 118:57-60. [PMID: 19834876 DOI: 10.1055/s-0029-1233453] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Moderate alcohol consumption is associated with increased insulin sensitivity and reduced cardiovascular risk. We hypothesized that this relates to a direct effect of alcohol and therefore investigated whether acute alcohol intake altered insulin sensitivity or endothelial function in patients with type 2 diabetes. In an open-label two period design, the effect of a single oral dose of 40 g of alcohol (168 ml 40% vodka) on an insulin-modified frequently sampled intravenous glucose tolerance test (FSIGT) and on endothelium-dependent (flow mediated, FMD) or endothelium-independent (glyceroltrinitrate (GTN)-induced) vasodilation of the brachial artery measured by ultrasound was studied. Experiments were carried out in twelve male patients with type 2 diabetes mellitus (64+/-6 years, body mass index 28.4+/-5.7 kg/m (2)). Baseline insulin sensitivity index (S (I)) was 1.10+/-0.34 min (-1).microU (-1).ml, baseline FMD was +4.1+/-3.0%, and GTN-induced vasodilation +7.4+/-2.3% from resting brachial artery diameter. Acute alcohol intake increased alcohol plasma levels to 0.33+/-0.04 per thousand, S (I) to 1.86+/-0.45 min (-1).microU (-1).ml (p<0.05), and FMD to +8.2+/-2.8% (p<0.05), while GTN-induced dilation remained unchanged. No relationship was detectable between the observed changes. We conclude that alcohol intake acutely increases endothelium-dependent brachial artery vasodilation in patients with type 2 diabetes together with insulin sensitivity. This acute effect might explain some beneficial effects of low alcohol consumption in epidemiological observations.
Collapse
Affiliation(s)
- G Schaller
- Department of Clinical Pharmacology, Medical University of Vienna, Austria
| | | | | | | | | | | | | | | | | | | |
Collapse
|
27
|
Grimm G, Haslacher H, Kampitsch T, Endler G, Marsik C, Schickbauer T, Wagner O, Jilma B. Sex differences in the association between albumin and all-cause and vascular mortality. Eur J Clin Invest 2009; 39:860-5. [PMID: 19645741 DOI: 10.1111/j.1365-2362.2009.02189.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Low serum albumin levels are associated with cardiovascular disease and mortality risk. This study evaluated the predictive value of low serum albumin for all-cause-mortality in a large Viennese patient cohort and investigated sex differences in the association between serum albumin and mortality. MATERIALS AND METHODS Serum albumin concentrations of 285 930 patients, who attended the General Hospital Vienna between 1992 and 2002, were evaluated and linked with the Austrian Death Registry. The median observation period was 7.4 +/- 4.0 years and the death rate was 16.8%. For Cox regression analysis, albumin levels were divided into deciles, the highest category served as reference value. To analyse associations between albumin and mortality independent of liver function, results were adjusted for cholinesterase, which indicates protein synthesis capacity of the liver. RESULTS Hazard ratios for all-cause-mortality increased linearly with decreasing albumin levels from 1.05 in the 9th to 2.98 in the 1st decile. Adjusted for cholinesterase, the relative risk for mortality was still 1.91 in the lowest category. Compared with women, men had an average 50% increased risk of death in almost every decile, adjusting for cholinesterase reduced the sex difference to a 10-20% higher mortality risk for men. In critically ill patients, hazard ratios for all-cause-mortality ranged from 4.5 in the 9th decile to 9.5 in the lowest albumin category. CONCLUSION This study demonstrates a strong inverse association between serum albumin and mortality in a large patient cohort. The predictive value of low albumin was remarkably higher in men than in women.
Collapse
Affiliation(s)
- G Grimm
- Medical University of Vienna, 1090 Vienna, Austria
| | | | | | | | | | | | | | | |
Collapse
|
28
|
Stadler M, Theuer E, Anderwald C, Hanusch-Enserer U, Auinger M, Bieglmayer C, Quehenberger P, Bischof M, Kästenbauer T, Wolzt M, Wagner O, Prager R. Persistent arterial stiffness and endothelial dysfunction following successful pancreas-kidney transplantation in Type 1 diabetes. Diabet Med 2009; 26:1010-8. [PMID: 19900233 DOI: 10.1111/j.1464-5491.2009.02817.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Successful simultaneous pancreas-kidney transplantation (SPK) in Type 1 diabetic (T1DM) patients results in improved cardiovascular outcome and survival. However, it is doubtful whether the impairment of cardiovascular and endothelial function in T1DM can be completely reversed. METHODS Pulse-wave velocity, stroke volume, heart rate, serological markers of endothelial dysfunction (soluble intercellular, vascular cell-adhesion molecules, E-selectin, and plasminogen-activator-inhibitor-1) were measured in 10 T1DM patients after SPK with non-diabetic glucose levels, 10 T1DM patients with poor [T1DM>8; glycated haemoglobin (HbA1c)>8%], and 10 with good glucose control (T1DM<7, HbA1c<7%), in 6 non-diabetic patients after kidney transplantation (KT) and 9 non-diabetic control subjects (CON), matching for major anthropometric characteristics. RESULTS Pulse-wave velocity was increased in SPK (P < 0.02 vs. CON, KT, T1DM<7) and in T1DM>8 (P < 0.02 vs. T1DM<7). Systolic blood pressure was increased in SPK (P < 0.05 vs. CON). Stroke volume was reduced in SPK, T1DM>8 and T1DM<7 and KT (P < 0.01 vs. CON). Heart rate was elevated in SPK and in T1DM>8 (P < 0.0003 vs. CON and T1DM<7). In SPK, soluble intercellular and vascular cell-adhesion molecules were 100% and 44% higher (P < 0.03 vs. CON), respectively, while plasminogen-activator-inhibitor-1 was decreased in SPK (P < 0.02 vs. CON). CONCLUSION T1DM patients after SPK experience arterial stiffness, a higher heart-rate and blood pressure, reduced stroke volume and serological signs of endothelial dysfunction. Thus, functional and structural cardiovascular alterations as a result of glucotoxicity, uraemia and hypertension in T1DM might not be completely resolved by SPK.
Collapse
Affiliation(s)
- M Stadler
- 3rd Medical Department of Metabolic Diseases and Nephrology, Hietzing Hospital, A-1130 Vienna, Austria.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
29
|
Prandstetter C, Tamesberger M, Wagner O, Weissensteiner M, Wiesinger-Eidenberger G, Weidinger I, Lechner E. Verschreibepraxis von Arzneimitteln bei Früh- und Neugeborenen auf einer österreichischen neonatologischen Intensivstation. Klin Padiatr 2009; 221:312-7. [DOI: 10.1055/s-0029-1220903] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
30
|
|
31
|
Weissensteiner M, Wagner O, Seimann R, Lechner E, Hroncek K, Wiesinger G. Das Beare-Stevenson-Syndrom–eine Kasuistik. Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1223071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
32
|
Prandstetter C, Tamesberger M, Wagner O, Weissensteiner M, Wiesinger-Eidenberger G, Lechner E. Verschreibepraxis von Arzneimitteln bei Früh- und Neugeborenen auf einer österreichischen neonatologischen Intensivstation – Nicht zugelassene und off-label Medikamente auf einer Neugeborenenintensivstation. Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1222783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
33
|
Lechner E, Wiesinger G, Weissensteiner M, Wagner O, Arzt W, Tulzer G. Aminoterminales pro B-Typ natriuretisches Peptid ist erhöht in der Nabelschnur von Neugeborenen mit congenitalem Herzfehler. Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1222912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
34
|
Wiesbauer F, Blessberger H, Azar D, Goliasch G, Wagner O, Gerhold L, Huber K, Widhalm K, Abdolvahab F, Sodeck G, Maurer G, Schillinger M. Familial-combined hyperlipidaemia in very young myocardial infarction survivors (<=40 years of age). Eur Heart J 2009; 30:1073-9. [DOI: 10.1093/eurheartj/ehp051] [Citation(s) in RCA: 79] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
|
35
|
Kovar F, Marsik-Strasser C, Joukhadar C, Schickbauer T, Kyrle P, Wagner O, Endler G. Prediction of long-term survival and coagulation factor VIII levels: interactions with gender in a large hospital-based cohort. Crit Care 2009. [PMCID: PMC4084321 DOI: 10.1186/cc7599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
36
|
Körtke H, Feige T, Wagner O, Mirow N, Eitz T, Morshuis M, Körfer R. Telemedical thrombosis service after mechanical heart valve replacement – first results. Thorac Cardiovasc Surg 2009. [DOI: 10.1055/s-0029-1191412] [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: 10/21/2022]
|
37
|
Vanura K, Le T, Esterbauer H, Spath F, Porpaczy E, Shehata M, Eigenberger K, Hauswirth A, Skrabs C, Kromer E, Schwarzinger I, Streubel B, Steininger C, Fonatsch C, Stilgenbauer S, Wagner O, Gaiger A, Jager U. Autoimmune conditions and chronic infections in chronic lymphocytic leukemia patients at diagnosis are associated with unmutated IgVH genes. Haematologica 2008; 93:1912-6. [DOI: 10.3324/haematol.12955] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
|
38
|
Nabokikh A, Ilhan A, Bilban M, Gartner W, Vila G, Niederle B, Nielsen JH, Wagner O, Base W, Luger A, Wagner L. Reduced TGF-beta1 expression and its target genes in human insulinomas. Exp Clin Endocrinol Diabetes 2008; 115:674-82. [PMID: 18058603 DOI: 10.1055/s-2007-984477] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Aiming to identify signalling pathways relevant for ss-cell growth we performed an explorative micro-array analysis comparing the gene expression profiles of three human insulinomas and one normal pancreatic islet preparation. This revealed an insulinoma-associated down-regulation of the transforming growth factor beta 1 (TGF-beta1) and its target genes. Comparative quantitative real-time PCR (qRT-PCR) including an expanded sample number of both insulinomas (n=9) and pancreatic islet preparations (n=4) confirmed the decreased TGF-beta1 expression and its target molecules (TGFBI, NNMT, RPN2) in insulinomas. Similarly, TGF-beta1 immunofluorescence analysis revealed reduced expression in insulinomas when compared to pancreatic islets. In contrast, TGFBR2 (transforming growth factor beta receptor II) was found up-regulated. However, the consistent down-regulation of the TGF-beta1 targets TGFBI (transforming growth factor, beta-induced), NNMT (nicotinamide N-methyltransferase), RPN2 (ribophorin II) indicates that the parallel up-regulation of TGFBR2 does not compensate for the only marginal TGF-beta1 expression levels in insulinomas. TGFBR2 expression was confirmed at the protein level in insulinomas. SMAD2/3 protein expression was found at higher levels in human pancreatic islets when compared with insulinomas by dual colour confocal microscopy. TGF-beta1 signalling is known to be involved in cell replication and is abrogated in ductal pancreatic tumours. The down-regulation of TGF-beta1 expression and its target molecules in insulinomas is a new aspect of this cytokine. Our data underline parallels in endocrine and exocrine pancreatic tumour development, which may implicate common progenitor cells.
Collapse
Affiliation(s)
- A Nabokikh
- 1Department of Medicine III, Medical University of Vienna, Austria
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
39
|
Lechner E, Mair R, Steiner J, Tulzer G, Wagner O, Weissensteiner M, Wiesinger-Eidenberger G. Offene Herzoperation von angeborenen Herzfehlern bei Neu- und Frühgeborenen mit unter 2,5kg. Z Geburtshilfe Neonatol 2008. [DOI: 10.1055/s-2008-1078799] [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: 10/21/2022]
|
40
|
Mittermayer F, Kautzky-Willer A, Winzer C, Krzyzanowska K, Prikoszovich T, Demehri S, Wagner O, Wolzt M. Elevated concentrations of asymmetric dimethylarginine are associated with deterioration of glucose tolerance in women with previous gestational diabetes mellitus. J Intern Med 2007; 261:392-8. [PMID: 17391114 DOI: 10.1111/j.1365-2796.2007.01772.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
OBJECTIVE Women with previous gestational diabetes mellitus (GDM) have a high risk for development of type 2 diabetes mellitus. The endogenous nitric oxide synthase inhibitor asymmetric dimethylarginine (ADMA) could be related to disorders of the glucose metabolism. To evaluate if ADMA predicts deterioration of glucose tolerance in women with previous GDM and to assess concentration changes we analysed ADMA in women with previous GDM after delivery and after a median follow-up of 2.75 years (interquartile range: 1.47-4.60). DESIGN Prospective cohort study. Subjects and methods. ADMA, symmetric dimethylarginine (SDMA) and L-arginine were determined in 77 women with previous GDM who underwent a 75-g oral glucose tolerance test 4 months after delivery and at follow-up. RESULTS Deterioration in glucose tolerance was observed in 36% of the women with ADMA above and 11% of those with ADMA below the median (0.56 micromol L(-1); P = 0.008, log-rank test). ADMA correlated significantly with mean arterial blood pressure and nonsignificantly with body mass index (P = 0.050) but not with insulin resistance, fasting glucose, lipids or glomerular filtration rate. The fully adjusted hazard ratio for a decline of glucose tolerance during follow-up was 3.94 (95% CI: 1.16-13.37; P = 0.028) for subjects with ADMA above the median. SDMA and L-arginine were not associated with changes in the glucose tolerance status. ADMA and L-arginine decreased significantly during follow-up. CONCLUSIONS High serum ADMA after delivery is associated with deterioration in glucose tolerance in women with previous GDM and declines in the following years.
Collapse
Affiliation(s)
- F Mittermayer
- Department of Clinical Pharmacology, Medical University Vienna, Vienna, Austria
| | | | | | | | | | | | | | | |
Collapse
|
41
|
Prikoszovich T, Pacini G, Winzer C, Luger A, Wagner O, Kautzky-Willer A. Parameters of endothelial dysfunction in women with a history of gestational diabetes (pGD). Exp Clin Endocrinol Diabetes 2007. [DOI: 10.1055/s-2007-972285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
42
|
Wiesinger-Eidenberger G, Bednar B, Povysil B, Weissensteiner M, Wagner O, Seimann R. Intracerebrale Perfusionsstörungen als Ursache von cerebralen Anfällen beim reifen Neugeborenen – Zwei Kasuistiken. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-983199] [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: 10/21/2022]
|
43
|
Körtke H, Zittermann A, Tenderich G, Mirow N, Wagner O, Bockhorst K, Körfer R. Self-management of oral anticoagulation therapy improves long-term survival in patients with mechanical heart valve replacement. Thorac Cardiovasc Surg 2007. [DOI: 10.1055/s-2007-967512] [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: 10/21/2022]
|
44
|
Weissensteiner M, Wagner O, Pumberger W, Meindl J, Wiesinger-Eidenberger G. Innere Laryngozele – eine seltene Ursache für respiratorischen Distress beim Neugeborenen. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-983339] [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: 10/21/2022]
|
45
|
Wiesinger-Eidenberger G, Weissensteiner M, Wagner O, Wilk F, Hohenauer L. 30 Jahre neonatologische Intensivstation in der Landeskinderklinik Linz. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-946268] [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: 10/19/2022]
|
46
|
Wagner O, Weissensteiner M, Wiesinger-Eidenberger G. Smith-Lemli-Opitz-Syndrom Typ II/Fallbericht eines ausgeprägten Phänotyps mit Begleiterkrankung. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-946204] [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: 10/19/2022]
|
47
|
Weissensteiner M, Wagner O, Leitner-Peneder G, Wiesinger-Eidenberger G. Floppy Infant Syndrom – eine diagnostische Herausforderung. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-946182] [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: 10/19/2022]
|
48
|
Speidl W, Endler G, Zorn G, Kaun C, Mannhalter C, Wagner O, Huber K, Wojta J. ID: 136 No Evidence for an Association of the Tissue-type Plasminogen Activator -7351C/T Enhancer Polymorphism and the Presence of Stable Coronary Artery Disease or the Occurrence of Acute Myocardial Infarction. J Thromb Haemost 2006. [DOI: 10.1111/j.1538-7836.2006.00136.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
49
|
Weissensteiner M, Wagner O, Leitner-Peneder G, Wiesinger-Eidenberger G. Floppy Infant Syndrom – eine diagnostische Herausforderung. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-943267] [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: 10/19/2022]
|
50
|
Wiesinger-Eidenberger G, Weissensteiner M, Wagner O, Wilk F, Hohenauer L. 30 Jahre neonatologische Intensivstation in der Landeskinderklinik Linz. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-943353] [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: 10/19/2022]
|