1
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Clark MS, Hoffman JI, Peck LS, Bargelloni L, Gande D, Havermans C, Meyer B, Patarnello T, Phillips T, Stoof-Leichsenring KR, Vendrami DLJ, Beck A, Collins G, Friedrich MW, Halanych KM, Masello JF, Nagel R, Norén K, Printzen C, Ruiz MB, Wohlrab S, Becker B, Dumack K, Ghaderiardakani F, Glaser K, Heesch S, Held C, John U, Karsten U, Kempf S, Lucassen M, Paijmans A, Schimani K, Wallberg A, Wunder LC, Mock T. Multi-omics for studying and understanding polar life. Nat Commun 2023; 14:7451. [PMID: 37978186 PMCID: PMC10656552 DOI: 10.1038/s41467-023-43209-y] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Accepted: 11/02/2023] [Indexed: 11/19/2023] Open
Abstract
Polar ecosystems are experiencing amongst the most rapid rates of regional warming on Earth. Here, we discuss 'omics' approaches to investigate polar biodiversity, including the current state of the art, future perspectives and recommendations. We propose a community road map to generate and more fully exploit multi-omics data from polar organisms. These data are needed for the comprehensive evaluation of polar biodiversity and to reveal how life evolved and adapted to permanently cold environments with extreme seasonality. We argue that concerted action is required to mitigate the impact of warming on polar ecosystems via conservation efforts, to sustainably manage these unique habitats and their ecosystem services, and for the sustainable bioprospecting of novel genes and compounds for societal gain.
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Affiliation(s)
- M S Clark
- British Antarctic Survey, UKRI-NERC, High Cross, Madingley Road, Cambridge, CB3 0ET, UK.
| | - J I Hoffman
- British Antarctic Survey, UKRI-NERC, High Cross, Madingley Road, Cambridge, CB3 0ET, UK.
- Universität Bielefeld, VHF, Konsequenz 45, 33615, Bielefeld, Germany.
| | - L S Peck
- British Antarctic Survey, UKRI-NERC, High Cross, Madingley Road, Cambridge, CB3 0ET, UK.
| | - L Bargelloni
- Department of Comparative Biomedicine and Food Science, Università degli Studi di Padova, Viale dell'Università 16, I-35020, Legnaro, Italy
| | - D Gande
- Microbial Ecophysiology Group, Faculty of Biology/Chemistry & MARUM, University of Bremen, Leobener Straße 3, 28359, Bremen, Germany
| | - C Havermans
- Alfred-Wegener-Institut Helmholtz-Zentrum für Polar- und Meeresforschung, Am Handelshafen 12, 27570, Bremerhaven, Germany
| | - B Meyer
- Alfred-Wegener-Institut Helmholtz-Zentrum für Polar- und Meeresforschung, Am Handelshafen 12, 27570, Bremerhaven, Germany
- Institute for Chemistry and Biology of the Marine Environment, University of Oldenburg, Oldenburg, Germany
- Helmholtz Institute for Functional Marine Biodiversity at the University of Oldenburg (HIFMB), 23129, Oldenburg, Germany
| | - T Patarnello
- Department of Comparative Biomedicine and Food Science, Università degli Studi di Padova, Viale dell'Università 16, I-35020, Legnaro, Italy
| | - T Phillips
- British Antarctic Survey, UKRI-NERC, High Cross, Madingley Road, Cambridge, CB3 0ET, UK
| | - K R Stoof-Leichsenring
- Alfred-Wegener-Institute Helmholtz Centre for Polar and Marine Research, 14473, Potsdam, Germany
| | - D L J Vendrami
- Universität Bielefeld, VHF, Konsequenz 45, 33615, Bielefeld, Germany
| | - A Beck
- Staatliche Naturwissenschaftliche Sammlungen Bayerns, Botanische Staatssammlung München (SNSB-BSM), Menzinger Str. 67, 80638, München, Germany
| | - G Collins
- Senckenberg Biodiversity and Climate Research Centre & Loewe-Centre for Translational Biodiversity Genomics, Senckenberganlage 25, 60325, Frankfurt am Main, Germany
- Manaaki Whenua-Landcare Research, 231 Morrin Road St Johns, Auckland, 1072, New Zealand
| | - M W Friedrich
- Microbial Ecophysiology Group, Faculty of Biology/Chemistry & MARUM, University of Bremen, Leobener Straße 3, 28359, Bremen, Germany
| | - K M Halanych
- Center for Marine Science, University of North Carolina, 5600 Marvin K. Moss Lane, Wilmington, NC, 28409, USA
| | - J F Masello
- Universität Bielefeld, VHF, Konsequenz 45, 33615, Bielefeld, Germany
- Justus-Liebig-Universität Gießen, Giessen, Germany
| | - R Nagel
- Universität Bielefeld, VHF, Konsequenz 45, 33615, Bielefeld, Germany
- School of Biology, University of St Andrews, St Andrews, Fife, KY16 9TH, UK
| | - K Norén
- Department of Zoology, Stockholm University, 106 91, Stockholm, Sweden
| | - C Printzen
- Senckenberg Biodiversity and Climate Research Centre & Loewe-Centre for Translational Biodiversity Genomics, Senckenberganlage 25, 60325, Frankfurt am Main, Germany
- Natural History Museum Frankfurt, Senckenberganlage 25, 60325, Frankfurt am Main, Germany
| | - M B Ruiz
- Alfred-Wegener-Institut Helmholtz-Zentrum für Polar- und Meeresforschung, Am Handelshafen 12, 27570, Bremerhaven, Germany
- Universität Duisburg-Essen, Universitätstrasse 5, 45151, Essen, Germany
| | - S Wohlrab
- Alfred-Wegener-Institut Helmholtz-Zentrum für Polar- und Meeresforschung, Am Handelshafen 12, 27570, Bremerhaven, Germany
- Helmholtz Institute for Functional Marine Biodiversity at the University of Oldenburg (HIFMB), 23129, Oldenburg, Germany
| | - B Becker
- Universität zu Köln, Institut für Pflanzenwissenschaften, Zülpicher Str. 47b, 60674, Köln, Germany
| | - K Dumack
- Universität zu Köln, Terrestrische Ökologie, Zülpicher Str. 47b, 60674, Köln, Germany
| | - F Ghaderiardakani
- Institute for Inorganic and Analytical Chemistry, Friedrich Schiller University Jena, Lessingstraße 8, 07743, Jena, Germany
| | - K Glaser
- Institute of Biological Sciences, Applied Ecology and Phycology, University of Rostock, Albert-Einstein-Straße 3, 18059, Rostock, Germany
| | - S Heesch
- Institute of Biological Sciences, Applied Ecology and Phycology, University of Rostock, Albert-Einstein-Straße 3, 18059, Rostock, Germany
| | - C Held
- Alfred-Wegener-Institut Helmholtz-Zentrum für Polar- und Meeresforschung, Am Handelshafen 12, 27570, Bremerhaven, Germany
| | - U John
- Alfred-Wegener-Institut Helmholtz-Zentrum für Polar- und Meeresforschung, Am Handelshafen 12, 27570, Bremerhaven, Germany
| | - U Karsten
- Institute of Biological Sciences, Applied Ecology and Phycology, University of Rostock, Albert-Einstein-Straße 3, 18059, Rostock, Germany
| | - S Kempf
- Alfred-Wegener-Institut Helmholtz-Zentrum für Polar- und Meeresforschung, Am Handelshafen 12, 27570, Bremerhaven, Germany
| | - M Lucassen
- Alfred-Wegener-Institut Helmholtz-Zentrum für Polar- und Meeresforschung, Am Handelshafen 12, 27570, Bremerhaven, Germany
| | - A Paijmans
- Universität Bielefeld, VHF, Konsequenz 45, 33615, Bielefeld, Germany
| | - K Schimani
- Botanischer Garten und Botanisches Museum Berlin, Freie Universität Berlin, Königin-Luise-Straße 6-8, 14195, Berlin, Germany
| | - A Wallberg
- Department of Medical Biochemistry and Microbiology, Uppsala University, Husargatan 3, 751 23, Uppsala, Sweden
| | - L C Wunder
- Microbial Ecophysiology Group, Faculty of Biology/Chemistry & MARUM, University of Bremen, Leobener Straße 3, 28359, Bremen, Germany
| | - T Mock
- School of Environmental Sciences, University of East Anglia, Norwich Research Park, Norwich, NR4 7TJ, UK.
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Guertler D, Krause K, Moehring A, Bischof G, Batra A, Freyer-Adam J, Ulbricht S, Rumpf HJ, Wurm S, Cuijpers P, Lucht M, John U, Meyer C. E-Health intervention for subthreshold depression: Reach and two-year effects of a randomized controlled trial. J Affect Disord 2023; 339:33-42. [PMID: 37392942 DOI: 10.1016/j.jad.2023.06.059] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 06/19/2023] [Accepted: 06/26/2023] [Indexed: 07/03/2023]
Abstract
BACKGROUND There is evidence for e-Health interventions for full-blown depression. Little is known regarding commonly untreated subthreshold depression in primary care. This randomized controlled multi-centre trial assessed reach and two-year-effects of a proactive e-Health intervention (ActiLife) for patients with subthreshold depression. METHODS Primary care and hospital patients were screened for subthreshold depression. Over 6 months, ActiLife participants received three individualized feedback letters and weekly messages promoting self-help strategies against depression, e.g., dealing with unhelpful thoughts or behavioural activation. The primary outcome depressive symptom severity (Patient Health Questionnaire;PHQ-8) and secondary outcomes were assessed 6, 12 and 24 months. RESULTS Of those invited, n = 618(49.2 %) agreed to participate. Of them, 456 completed the baseline interview and were randomized to ActiLife (n = 227) or assessment only (n = 226). Generalised estimation equation analyses adjusting for site, setting and baseline depression revealed that depressive symptom severity declined over time, with no significant group differences at 6 (mean difference = 0.47 points; d = 0.12) and 24 months (mean difference = -0.05 points; d = -0.01). Potential adverse effects were observed at 12 months, with higher depressive symptom severity for ActiLife than control participants (mean difference = 1.33 points; d = 0.35). No significant differences in rates of reliable deterioration or reliable improvement of depressive symptoms were observed. ActiLife increased applied self-help strategies at 6 (mean difference = 0.32; d = 0.27) and 24 months (mean difference = 0.22; d = 0.19), but not at 12 months (mean difference = 0.18; d = 0.15). LIMITATIONS Self-report measures and lack of information on patients' mental health treatment. DISCUSSION ActiLife yielded satisfactory reach and increased the use of self-help strategies. Data were inconclusive in terms of depressive symptom changes.
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Affiliation(s)
- D Guertler
- Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Greifswald, Germany; DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Germany.
| | - K Krause
- Evangelic Hospital Bethania, Greifswald, Germany
| | - A Moehring
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Germany; Institute for Community Medicine, Department of Methods in Community Medicine, University Medicine Greifswald, Greifswald, Germany
| | - G Bischof
- Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany
| | - A Batra
- Department of Psychiatry and Psychotherapy, University Hospital of Tübingen, Tübingen, Germany
| | - J Freyer-Adam
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Germany; Institute for Medical Psychology, University Medicine Greifswald, Greifswald, Germany
| | - S Ulbricht
- Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Greifswald, Germany; DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Germany
| | - H J Rumpf
- Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany
| | - S Wurm
- Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Greifswald, Germany
| | - P Cuijpers
- Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute, and WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
| | - M Lucht
- Department of Psychiatry and Psychotherapy at Helios Hanseklinikum Stralsund, Stralsund, Germany; Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany
| | - U John
- Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Greifswald, Germany; DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Germany
| | - C Meyer
- Institute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Greifswald, Germany; DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Germany
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Staudt A, Freyer-Adam J, Meyer C, Bischof G, John U, Baumann S. Der Einfluss von Schulbildung auf die Wirksamkeit einer
computerbasierten Alkoholkurzintervention: Ergebnisse der
randomisiert-kontrollierten PRINT-Studie. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753699] [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: 12/12/2022]
Affiliation(s)
- A Staudt
- TU Dresden, Medizinische Fakultät Carl Gustav Carus, Institut
und Poliklinik für Arbeits- und Sozialmedizin (IPAS), Dresden,
Deutschland
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Methoden der Community Medicine, Greifswald,
Deutschland
| | - J Freyer-Adam
- Universitätsmedizin Greifswald, Institut für
Medizinische Psychologie, Greifswald, Deutschland
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Präventionsforschung und Sozialmedizin, Greifswald,
Deutschland
| | - G Bischof
- Universität zu Lübeck, Klinik für Psychiatrie
und Psychotherapie, Lübeck, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Präventionsforschung und Sozialmedizin, Greifswald,
Deutschland
| | - S Baumann
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Methoden der Community Medicine, Greifswald,
Deutschland
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Baumann S, Staudt A, Freyer-Adam J, Bischof G, Meyer C, John U. Verläufe des Alkoholkonsums bei Menschen mit risikoarmem vs.
riskantem Konsum: 3-Jahres-Ergebnisse der randomisiert-kontrollierten Studie
PRINT. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753672] [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: 12/12/2022]
Affiliation(s)
- S Baumann
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Methoden der Community Medicine, Greifswald,
Deutschland
| | - A Staudt
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Methoden der Community Medicine, Greifswald,
Deutschland
- Technische Universität Dresden, Institut und Poliklinik
für Arbeits- und Sozialmedizin, Dresden, Deutschland
| | - J Freyer-Adam
- Universitätsmedizin Greifswald, Institut für
Medizinische Psychologie, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort
Greifswald, Greifswald, Deutschland
| | - G Bischof
- Universität zu Lübeck, Klinik für Psychiatrie
und Psychotherapie, Lübeck, Deutschland
| | - C Meyer
- Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort
Greifswald, Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Präventionsforschung und Sozialmedizin, Greifswald,
Deutschland
| | - U John
- Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort
Greifswald, Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Präventionsforschung und Sozialmedizin, Greifswald,
Deutschland
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Möhring A, John U, Rumpf HJ, Meyer C. Optimierung von Itemselektion für Skalen zum
Gesundheitsverhalten durch die Nutzung automatisierter
Algorithmen. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753750] [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: 12/12/2022]
Affiliation(s)
- A Möhring
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Präventionsforschung und Sozialmedizin, Greifswald,
Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort
Greifswald, Greifswald, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Präventionsforschung und Sozialmedizin, Greifswald,
Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort
Greifswald, Greifswald, Deutschland
| | - H-J Rumpf
- Universität Lübeck, Klinik für Psychiatrie und
Psychotherapie, Lübeck, Deutschland
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Community
Medicine, Abteilung Präventionsforschung und Sozialmedizin, Greifswald,
Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort
Greifswald, Greifswald, Deutschland
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Baumann S, Staudt A, Freyer-Adam J, Bischof G, Meyer C, John U. Wirksamkeit einer bevölkerungsbezogenen Alkoholkurzintervention in einem kommunalen Setting: Welche Rolle spielt das alkoholbezogene Risiko? Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732258] [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)
- S Baumann
- Institut und Poliklinik für Arbeits- und Sozialmedizin
| | - A Staudt
- Institut und Poliklinik für Arbeits- und Sozialmedizin
| | - J Freyer-Adam
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald
| | - G Bischof
- Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck
| | - C Meyer
- Institut für Community Medicine, Abt. Sozialmedizin und Prävention, Universitätsmedizin Greifswald
| | - U John
- Institut für Community Medicine, Abt. Sozialmedizin und Prävention, Universitätsmedizin Greifswald
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Ulbricht S, Gürtler D, Meyer C, John U. Zusammenhänge zwischen der subjektiven Einschätzung des Sozialstatus` bei Klienten im Jobcenter und soziodemografischen Merkmalen. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732031] [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)
- S Ulbricht
- Universitätsmedizin Greifswald, Institut für Community Medicine, Abteilung Präventionsforschung und Sozialmedizin
| | - D Gürtler
- Universitätsmedizin Greifswald, Institut für Community Medicine, Abteilung Präventionsforschung und Sozialmedizin
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Community Medicine, Abteilung Präventionsforschung und Sozialmedizin
| | - U John
- Universitätsmedizin Greifswald, Institut für Community Medicine, Abteilung Präventionsforschung und Sozialmedizin
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Staudt A, Freyer-Adam J, John U, Meyer C, Baumann S. Wiederholte Screenings auf riskanten Alkoholkonsum: Wie stark verändern sich die Ergebnisse über 12 Monate? Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732760] [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)
- A Staudt
- TU Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin
| | - J Freyer-Adam
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie
| | - U John
- Universitätsmedizin Greifswald, Institut für Community Medicine, Abteilung Sozialmedizin und Prävention
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Community Medicine, Abteilung Sozialmedizin und Prävention
| | - S Baumann
- TU Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin
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Meyer C, Gürtler D, Krause K, Möhring A, Freyer-Adam J, Baumann S, Ulbricht S, Batra A, Bischof G, Rumpf RJ, Wurm S, John U. Computer-based interventions targeting hazardous alcohol consumption and depressiveness among medical care patients: Preliminary findings from a randomized controlled proof of concept trial. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732736] [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)
- C Meyer
- Abteilung für Sozialmedizin und Prävention, Institut für Community Medicine, Universitätsmedizin Greifswald
- DZHK, Standort Greifswald
| | - D Gürtler
- Abteilung für Sozialmedizin und Prävention, Institut für Community Medicine, Universitätsmedizin Greifswald
- DZHK, Standort Greifswald
| | - K Krause
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald
| | - A Möhring
- Abteilung für Sozialmedizin und Prävention, Institut für Community Medicine, Universitätsmedizin Greifswald
- DZHK, Standort Greifswald
| | - J Freyer-Adam
- DZHK, Standort Greifswald
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald
| | - S Baumann
- Abteilung für Sozialmedizin und Prävention, Institut für Community Medicine, Universitätsmedizin Greifswald
- DZHK, Standort Greifswald
- Institut und Poliklinik für Arbeits und Sozialmedizin
| | - S Ulbricht
- Abteilung für Sozialmedizin und Prävention, Institut für Community Medicine, Universitätsmedizin Greifswald
- DZHK, Standort Greifswald
| | - A Batra
- Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Tübingen
| | - G Bischof
- Klinik für Psychiatrie und Psychotherapie, Universität Lübeck
| | - RJ Rumpf
- Klinik für Psychiatrie und Psychotherapie, Universität Lübeck
| | - S Wurm
- Abteilung für Sozialmedizin und Prävention, Institut für Community Medicine, Universitätsmedizin Greifswald
| | - U John
- Abteilung für Sozialmedizin und Prävention, Institut für Community Medicine, Universitätsmedizin Greifswald
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10
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Krause K, Gürtler D, Möhring A, Bischof G, Batra A, Rumpf HJ, Wurm S, John U, Meyer C. An individualized proactive e-health intervention promoting a lifestyle against depression: Results of a randomized controlled trial over 24 months. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732148] [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)
- K Krause
- Institute for Medical Psychology, University Medicine Greifswald
| | - D Gürtler
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
| | - A Möhring
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
| | - G Bischof
- Department of Psychiatry, University of Lübeck
| | - A Batra
- Department of Psychiatry and Psychotherapy, University Hospital of Tübingen
| | - H-J Rumpf
- Department of Psychiatry, University of Lübeck
| | - S Wurm
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
| | - U John
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
| | - C Meyer
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
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11
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Gürtler D, Möhring A, Krause K, Tomczyk S, Freyer-Adam J, Baumann S, Bischof G, Rumpf HJ, Batra A, Wurm S, John U, Meyer C. Latent alcohol use patterns and their link to depressive symptomatology in medical care patients. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732121] [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)
- D Gürtler
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
| | - A Möhring
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
| | - K Krause
- Institute for Medical Psychology, University Medicine Greifswald
| | - S Tomczyk
- Institute of Psychology, Department of Health and Prevention, University of Greifswald
| | - J Freyer-Adam
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
- Institute for Medical Psychology, University Medicine Greifswald
| | - S Baumann
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
- Institute and Policlinic for Occupational and Social Medicine, Technische Universität Dresden
| | - G Bischof
- Department of Psychiatry and Psychotherapy, Research Group S:TEP, University of Lübeck
| | - H-J Rumpf
- Department of Psychiatry and Psychotherapy, Research Group S:TEP, University of Lübeck
| | - A Batra
- Department of Psychiatry and Psychotherapy, University Hospital of Tübingen
| | - S Wurm
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
| | - U John
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
| | - C Meyer
- Institute for Community Medicine, Department of Social Medicine and Prevention, University Medicine Greifswald
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald
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12
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Boeckhaus J, Hoefele J, Riedhammer KM, Tönshoff B, Ehren R, Pape L, Latta K, Fehrenbach H, Lange-Sperandio B, Kettwig M, Hoyer P, Staude H, Konrad M, John U, Gellermann J, Hoppe B, Galiano M, Gessner M, Pohl M, Bergmann C, Friede T, Gross O. Precise variant interpretation, phenotype ascertainment, and genotype-phenotype correlation of children in the EARLY PRO-TECT Alport trial. Clin Genet 2020; 99:143-156. [PMID: 33040356 DOI: 10.1111/cge.13861] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [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: 08/04/2020] [Revised: 09/18/2020] [Accepted: 10/05/2020] [Indexed: 11/30/2022]
Abstract
Early initiation of therapy in patients with Alport syndrome (AS) slows down renal failure by many years. Genotype-phenotype correlations propose that the location and character of the individual's variant correlate with the renal outcome and any extra renal manifestations. In-depth clinical and genetic data of 60/62 children who participated in the EARLY PRO-TECT Alport trial were analyzed. Genetic variants were interpreted according to current guidelines and criteria. Genetically solved patients with X-linked inheritance were then classified according to the severity of their COL4A5 variant into less-severe, intermediate, and severe groups and disease progress was compared. Almost 90% of patients were found to carry (likely) pathogenic variants and classified as genetically solved cases. Patients in the less-severe group demonstrated a borderline significant difference in disease progress compared to those in the severe group (p = 0.05). While having only limited power according to its sample size, an obvious strength is the precise clinical and genetic data of this well ascertained cohort. As in published data differences in clinical progress were shown between patients with COL4A5 less-severe and severe variants. Therefore, clinical and segregational data are important for variant (re)classification. Genetic testing should be mandatory allowing early diagnosis and therapy of AS.
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Affiliation(s)
- Jan Boeckhaus
- Clinic for Nephrology and Rheumatology, University Medical Center Göttingen, Göttingen, Germany
| | - Julia Hoefele
- Institute of Human Genetics, Klinikumrechts der Isar, Technical University of Munich, School of Medicine, Munich, Germany
| | - Korbinian M Riedhammer
- Institute of Human Genetics, Klinikumrechts der Isar, Technical University of Munich, School of Medicine, Munich, Germany.,Department of Nephrology, Klinikumrechts der Isar, Technical University of Munich, School of Medicine, Munich, Germany
| | - Burkhard Tönshoff
- Department of Pediatrics I, University Children's Hospital Heidelberg, Heidelberg, Germany
| | - Rasmus Ehren
- Pediatric Nephrology, Children's and Adolescents' Hospital, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany
| | - Lars Pape
- Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany
| | - Kay Latta
- Clementine Kinderhospital Frankfurt, Frankfurt, Germany
| | | | | | - Matthias Kettwig
- Clinic of Pediatrics and Adolescent Medicine, University Medical Center Göttingen, Göttingen, Germany
| | - Peter Hoyer
- Pediatric Nephrology, Pediatrics II, University of Duisburg-Essen, Essen, Germany
| | - Hagen Staude
- Pediatric Nephrology, University Children's Hospital Rostock, Rostock, Germany
| | - Martin Konrad
- University Children's Hospital Münster, Münster, Germany
| | - Ulrike John
- Division of Pediatric Nephrology, University Children's Hospital, Jena, Germany
| | - Jutta Gellermann
- Pediatric Nephrology, Charité Children's Hospital, Berlin, Germany
| | - Bernd Hoppe
- Division of Pediatric Nephrology, Department of Pediatrics, University of Bonn, Bonn, Germany
| | - Matthias Galiano
- Department of Pediatrics and Adolescent Medicine, University Hospital, Friedrich-Alexander-University Erlangen, Erlangen, Germany
| | - Michaela Gessner
- Pediatric Nephrology, Children's and Adolescents' Hospital, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.,Department of General Pediatrics, University of Tuebingen, Tuebingen, Germany
| | - Michael Pohl
- Division of Pediatric Nephrology, University Children's Hospital, Jena, Germany.,Klinik für Kinder- und Jugendmedizin, Klinikum St. Georg, Leipzig, Germany
| | - Carsten Bergmann
- Medizinische Genetik Mainz, Limbach Genetics, Mainz, Germany.,Department of Medicine, University Hospital Freiburg, Freiburg, Germany
| | - Tim Friede
- Department of Medical Statistics, University Medical Center Göttingen, Göttingen, Germany
| | - Oliver Gross
- Clinic for Nephrology and Rheumatology, University Medical Center Göttingen, Göttingen, Germany
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13
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Lang M, Leménager T, Streit F, Fauth-Bühler M, Frank J, Juraeva D, Witt S, Degenhardt F, Hofmann A, Heilmann-Heimbach S, Kiefer F, Brors B, Grabe HJ, John U, Bischof A, Bischof G, Völker U, Homuth G, Beutel M, Lind P, Medland S, Slutske W, Martin N, Völzke H, Nöthen M, Meyer C, Rumpf HJ, Wurst F, Rietschel M, Mann K. Genome-wide association study of pathological gambling. Eur Psychiatry 2020; 36:38-46. [DOI: 10.1016/j.eurpsy.2016.04.001] [Citation(s) in RCA: 74] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2015] [Revised: 03/09/2016] [Accepted: 04/01/2016] [Indexed: 12/18/2022] Open
Abstract
AbstractBackgroundPathological gambling is a behavioural addiction with negative economic, social, and psychological consequences. Identification of contributing genes and pathways may improve understanding of aetiology and facilitate therapy and prevention. Here, we report the first genome-wide association study of pathological gambling. Our aims were to identify pathways involved in pathological gambling, and examine whether there is a genetic overlap between pathological gambling and alcohol dependence.MethodsFour hundred and forty-five individuals with a diagnosis of pathological gambling according to the Diagnostic and Statistical Manual of Mental Disorders were recruited in Germany, and 986 controls were drawn from a German general population sample. A genome-wide association study of pathological gambling comprising single marker, gene-based, and pathway analyses, was performed. Polygenic risk scores were generated using data from a German genome-wide association study of alcohol dependence.ResultsNo genome-wide significant association with pathological gambling was found for single markers or genes. Pathways for Huntington's disease (P-value = 6.63 × 10−3); 5′-adenosine monophosphate-activated protein kinase signalling (P-value = 9.57 × 10−3); and apoptosis (P-value = 1.75 × 10−2) were significant. Polygenic risk score analysis of the alcohol dependence dataset yielded a one-sided nominal significant P-value in subjects with pathological gambling, irrespective of comorbid alcohol dependence status.ConclusionsThe present results accord with previous quantitative formal genetic studies which showed genetic overlap between non-substance- and substance-related addictions. Furthermore, pathway analysis suggests shared pathology between Huntington's disease and pathological gambling. This finding is consistent with previous imaging studies.
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Muth I, Lauten A, John U, Dawczynski K. Tubuläre renale Dysgenesie nach intrauteriner Valsartan-Exposition. Geburtshilfe Frauenheilkd 2019. [DOI: 10.1055/s-0039-1692048] [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: 10/26/2022] Open
Affiliation(s)
- I Muth
- Klinik für Geburtsmedizin, Universitätsklinikum Jena
| | - A Lauten
- Klinik für Geburtsmedizin, Universitätsklinikum Jena
| | - U John
- Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Jena
| | - K Dawczynski
- Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Jena
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Staudt A, Freyer-Adam J, John U, Baumann S. Randomized controlled trial of a proactive alcohol intervention (PRINT): study protocol and reach. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.038] [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: 11/13/2022] Open
Affiliation(s)
- A Staudt
- University Medicine Greifswald Institute of Social Medicine and Prevention, German Centre for Cardiovascular Research, Greifswald, Germany
| | - J Freyer-Adam
- University Medicine Greifswald Institute of Social Medicine and Prevention, University Medicine Greifswald Institute for Medical Psychology, German Centre for Cardiovascular Research, Greifswald, Germany
| | - U John
- University Medicine Greifswald Institute of Social Medicine and Prevention, German Centre for Cardiovascular Research, Greifswald, Germany
| | - S Baumann
- University Medicine Greifswald Institute of Social Medicine and Prevention, German Centre for Cardiovascular Research, TU Dresden Institute and Policlinic for Occupational and Social Medicine, Greifswald, Germany
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Voigt L, Ullrich A, Baumann S, Doerr M, John U, Ulbricht S. What affects physical activity and sedentary time improvements after a cardiovascular examination? Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky214.055] [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: 11/13/2022] Open
Affiliation(s)
- L Voigt
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Greifswald, Germany
| | - A Ullrich
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Greifswald, Germany
| | - S Baumann
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Greifswald, Germany
- Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany
| | - M Doerr
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Greifswald, Germany
- Department of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany
| | - U John
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Greifswald, Germany
| | - S Ulbricht
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Greifswald, Germany
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Seeman T, Pohl M, John U. Proteinuria in children with autosomal dominant polycystic kidney disease. Minerva Pediatr 2018; 70:413-417. [PMID: 30302987 DOI: 10.23736/s0026-4946.16.04404-2] [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: 11/08/2022]
Abstract
BACKGROUND Proteinuria is a common complication in adults with autosomal dominant polycystic kidney disease (ADPKD) and serves as a risk factor for progression. However, proteinuria has rarely been examined in children with ADPKD and the type of proteinuria has not yet been investigated. The aim of the study was to assess the prevalence and to analyse the types of proteinuria in children with ADPKD. METHODS Children with ADPKD followed-up in our tertiary centres during the years 2012-2013 were investigated in a cross-sectional study. Morning urine was tested for total protein (PROT), albumin (ALB) and alpha-1-microglobulin (AMG). Renal function was assessed from serum creatinine as estimated glomerular filtration rate. RESULTS Thirty-seven children of median age 11.2 (2.0-18.0) years were investigated. Median (range) PROT, ALB and AMG (in mg/mmol creatinine) were 15.1 (6.2-64.8), 2.54 (0.54-37.25) and 3.22 (0.04-10.16), respectively. Pathological total proteinuria (>22) was found in 30% of children, albuminuria (>2.2) in 49% of children and alpha-1-microglobulinuria (>0.55) in 65% of children. No correlation was found between PROT, ALB or AMG and office blood pressure, kidney size or estimated glomerular filtration rate. CONCLUSIONS Proteinuria in children with ADPKD is a frequent finding, the most common type is tubular proteinuria. It should be measured in all ADPKD children.
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Affiliation(s)
- Tomáš Seeman
- Section of Pediatric Nephrology, Department of Pediatrics -
| | - Michael Pohl
- nd Faculty of Medicine, Charles University Prague, Motol University Hospital, Prague, Czech Republic
| | - Ulrike John
- nd Faculty of Medicine, Charles University Prague, Motol University Hospital, Prague, Czech Republic
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Staudt A, Freyer-Adam J, Meyer C, John U, Baumann S. Wie verändern sich Trinkmuster über vier Wochen? Eine Latent Transition Analysis. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667723] [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)
- A Staudt
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
| | - J Freyer-Adam
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie, Greifswald, Deutschland
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
| | - S Baumann
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
- TU Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden, Deutschland
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Baumann S, Staudt A, Freyer-Adam J, John U. Überprüfung der Wirksamkeit einer proaktiven Intervention zur Prävention von gesundheitsriskantem Alkoholkonsum: Studiendesign und Teilnahme. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667630] [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)
- S Baumann
- Technische Universität Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden, Deutschland
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort: Greifswald, Deutschland
| | - A Staudt
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort: Greifswald, Deutschland
| | - J Freyer-Adam
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort: Greifswald, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort: Greifswald, Deutschland
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Baumann S, Bahls M, Dörr M, van den Berg N, John U, Ulbricht S. Busy Bee vs. Weekend Warrior: Muster von körperlicher Aktivität und ihre Beziehung zur kardiorespiratorischen Belastbarkeit. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667692] [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)
- S Baumann
- Technische Universität Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden, Deutschland
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - M Bahls
- Universitätsmedizin Greifswald, Klinik für Innere Medizin B, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort: Greifswald, Deutschland
| | - M Dörr
- Universitätsmedizin Greifswald, Klinik für Innere Medizin B, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort: Greifswald, Deutschland
| | - N van den Berg
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort: Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Community Medicine, Greifswald, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - S Ulbricht
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort: Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
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John U, Hanke M. Trends des Alkoholkonsums und Straßenverkehr in Deutschland. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667668] [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)
- U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - M Hanke
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
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Gürtler D, Krause K, Möhring A, Bischof G, John U, Meyer C. Activating primary medical care patients for a depression-preventive lifestyle with individualized e-health interventions (ActiLife). Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667635] [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)
- D Gürtler
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - K Krause
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - A Möhring
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - G Bischof
- Universität zu Lübeck, Klinik für Psychiatrie und Psychotherapie, Lübeck, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
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Freyer-Adam J, Haberecht K, Baumann S, Bischof G, John U, Gaertner B. Kurzinterventionen zur Senkung gesundheitsriskanten Alkoholkonsums in Settings der sozialen und gesundheitlichen Versorgung: Verbessern sie langfristig bedeutsame Lebensbereiche? Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667700] [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)
- J Freyer-Adam
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort Greifswald, Greifswald, Deutschland
| | - K Haberecht
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - S Baumann
- Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort Greifswald, Greifswald, Deutschland
- Technische Universität Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden, Deutschland
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - G Bischof
- Universität zu Lübeck, Abteilung für Psychiatrie und Psychotherapie, Lübeck, Deutschland
| | - U John
- Deutsches Zentrum für Herz-Kreislauf-Forschung, Standort Greifswald, Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - B Gaertner
- Robert Koch-Institut Berlin, Abteilung für Epidemiologie und Gesundheitsberichterstattung, Berlin, Deutschland
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Ulbricht S, John U. Zusammenhang zwischen der Inanspruchnahme kostenfreier Verhütung bei Frauen mit Bezug staatlicher Transferleistungen nach Sozialgesetzbuch II und dem Ereignis eines Schwangerschaftsabbruchs in der Vergangenheit. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667660] [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)
- S Ulbricht
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald., Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald., Deutschland
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Lein S, Siewert-Markus U, Lehnert K, Freyer-Adam J, John U, Ulbricht S. Der Verzehr ausgewählter mediterraner Ernährungskomponenten bei Menschen mit kardiovaskulärer Erkrankung und im Alter ab 60 Jahre. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667738] [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)
- S Lein
- Institut für Sozialmedizin und Prävention, Unimedizin Greifswald, Greifswald, Deutschland
| | - U Siewert-Markus
- Institut für Sozialmedizin und Prävention, Unimedizin Greifswald, Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie, Greifswald, Deutschland
| | - K Lehnert
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Deutschland
- Universitätsmedizin Greifswald, Abteilung für Innere Medizin B, Greifswald, Deutschland
| | - J Freyer-Adam
- Institut für Sozialmedizin und Prävention, Unimedizin Greifswald, Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie, Greifswald, Deutschland
| | - U John
- Institut für Sozialmedizin und Prävention, Unimedizin Greifswald, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Deutschland
| | - S Ulbricht
- Institut für Sozialmedizin und Prävention, Unimedizin Greifswald, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Deutschland
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Staudt A, Ulbricht S, Freyer-Adam J, Meyer C, John U, Baumann S. Gesundheitsbezogene Verhaltensprofile und Wiedererreichung in einer 4-Wochen-Längsschnittstudie. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667687] [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)
- A Staudt
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
| | - S Ulbricht
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
| | - J Freyer-Adam
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie, Greifswald, Deutschland
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
| | - S Baumann
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK, Standort Greifswald, Greifswald, Deutschland
- TU Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden, Deutschland
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27
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Voigt L, Siewert-Markus U, Ullrich A, Dörr M, John U, Ulbricht S. Ist die Visualisierung von Intensitäten körperlicher Aktivität geeignet, die Diskrepanz zwischen selbstberichteter und objektiv gemessener Aktivität zu reduzieren? Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667797] [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)
- L Voigt
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - U Siewert-Markus
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie, Greifswald, Deutschland
| | - A Ullrich
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - M Dörr
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
- Universitätsmedizin Greifswald, Abteilung für Innere Medizin B, Greifswald, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - S Ulbricht
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
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Gürtler D, Möhring A, Krause K, Rumpf HJ, John U, Meyer C. Proactive health risk screening for multiple motivational interventions in primary care patients: Methods, design and reach. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667701] [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)
- D Gürtler
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - A Möhring
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - K Krause
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - HJ Rumpf
- Universität zu Lübeck, Klinik für Psychiatrie und Psychotherapie, Lübeck, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
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John U, Freyer-Adam J, Hanke M, Meyer C, Baumann S. Evidenzbasierte Empfehlungen des Umgangs mit Alkohol. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667739] [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)
- U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - J Freyer-Adam
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie, Greifswald, Deutschland
| | - M Hanke
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - S Baumann
- TU Dresden, Institut und Poliklinik für Arbeits- und Sozialmedizin, Dresden, Deutschland
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Siewert-Markus U, Ulbricht S, Lehnert K, Dörr M, John U, Freyer-Adam J. Verhaltensbezogene Risikofaktoren bei älteren Patientinnen und Patienten mit kardiovaskulären Erkrankungen. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667800] [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)
- U Siewert-Markus
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald, Deutschland
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Standort Greifswald, Greifswald, Deutschland
| | - S Ulbricht
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Standort Greifswald, Greifswald, Deutschland
| | - K Lehnert
- Klinik und Poliklinik für Innere Medizin B, Universitätsmedizin Greifswald, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Standort Greifswald, Greifswald, Deutschland
| | - M Dörr
- Klinik und Poliklinik für Innere Medizin B, Universitätsmedizin Greifswald, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Standort Greifswald, Greifswald, Deutschland
| | - U John
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Standort Greifswald, Greifswald, Deutschland
| | - J Freyer-Adam
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald, Greifswald, Deutschland
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Standort Greifswald, Greifswald, Deutschland
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Krause K, Gürtler D, Möhring A, Bischof G, John U, Meyer C. Proaktive computergestützte Depressionsprävention in der primärmedizinischen Versorgung: Wer wird erreicht? Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667784] [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)
- K Krause
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
| | - D Gürtler
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - A Möhring
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - G Bischof
- Universität zu Lübeck, Klinik für Psychiatrie und Psychotherapie, Lübeck, Deutschland
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald, Deutschland
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald, Greifswald, Deutschland
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Seeman T, Fořtová M, Sopko B, Průša R, Pohl M, John U. Hypomagnesaemia is absent in children with autosomal dominant polycystic kidney disease. Ann Clin Biochem 2018; 56:90-94. [PMID: 29874928 DOI: 10.1177/0004563218785190] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 11/15/2022]
Abstract
BACKGROUND Hypomagnesaemia is present in 40-50% of children with autosomal dominant renal cysts and diabetes syndrome (RCAD). On the contrary, the prevalence of hypomagnesaemia in children with autosomal dominant polycystic kidney disease (ADPKD) has never been examined. We aimed to investigate whether hypomagnesaemia is present in children with polycystic kidney diseases. METHODS Children with cystic kidney diseases were investigated in a cross-sectional study. Serum concentrations of magnesium (S-Mg) and fractional excretion of magnesium (FE-Mg) were tested. Fifty-four children with ADPKD ( n = 26), autosomal recessive polycystic kidney disease (ARPKD) ( n = 16) and RCAD ( n = 12) with median age of 11.2 (0.6-18.6) years were investigated. RESULTS Hypomagnesaemia (S-Mg < 0.7 mmol/L) was detected in none of the children with ADPKD/ARPKD and in eight children (67%) with RCAD. Median S-Mg in children with ADPKD/ARPKD was significantly higher than in children with RCAD (0.89 vs. 0.65 mmol/L, P < 0.01). The FE-Mg was increased in 23% of patients with ADPKD/ARPKD (all had chronic kidney disease stages 2-4) and in 63% of patients with RCAD, where it significantly correlated with estimated glomerular filtration rate (r = -0.87, P < 0.01). CONCLUSIONS Hypomagnesaemia is absent in children with ADPKD or ARPKD and could serve as a marker for differential diagnostics between ADPKD, ARPKD and RCAD in children with cystic kidney diseases of unknown origin where molecular genetic testing is lacking. However, while hypomagnesaemia, in the absence of diuretics, appears to rule out ADPKD and ARPKD, normomagnesaemia does not rule out RCAD at least in those aged <3 years.
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Affiliation(s)
- Tomáš Seeman
- 1 Department of Paediatrics, University Hospital Motol, Charles University Prague, 2nd Faculty of Medicine, Prague, Czech Republic
| | - Magdaléna Fořtová
- 2 Department of Medical Chemistry and Clinical Biochemistry, University Hospital Motol, Charles University Prague, 2nd Faculty of Medicine, Prague, Czech Republic
| | - Bruno Sopko
- 2 Department of Medical Chemistry and Clinical Biochemistry, University Hospital Motol, Charles University Prague, 2nd Faculty of Medicine, Prague, Czech Republic
| | - Richard Průša
- 2 Department of Medical Chemistry and Clinical Biochemistry, University Hospital Motol, Charles University Prague, 2nd Faculty of Medicine, Prague, Czech Republic
| | - Michael Pohl
- 3 Department of Paediatrics, Friedrich-Schiller-University Jena, Jena, Germany
| | - Ulrike John
- 3 Department of Paediatrics, Friedrich-Schiller-University Jena, Jena, Germany
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Petri V, Lauten A, Rothaug J, Schleußner E, John U. Bedeutung des interdisziplinären perinatologischen Konsils für Eltern von Kindern mit pränatal diagnostizierten Anomalien von Niere und Harntrakt. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1660612] [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] Open
Affiliation(s)
- V Petri
- Klinik für Kinder- und Jugendmedizin, Abteilung Kindernephrologie, Universitätsklinikum Jena
| | - A Lauten
- Klinik für Geburtsmedizin, Abteilung pränatale Diagnostik und Therapie, Universitätsklinikum Jena
| | - J Rothaug
- Klinik für Geburtsmedizin und Kinder- und Jugendmedizin, Klinische Psychologie, Universitätsklinikum Jena
| | - E Schleußner
- Klinik für Geburtsmedizin, Abteilung pränatale Diagnostik und Therapie, Universitätsklinikum Jena
| | - U John
- Klinik für Kinder- und Jugendmedizin, Abteilung Kindernephrologie, Universitätsklinikum Jena
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Petri V, Rothaug J, Schleußner E, John U. Bedeutung des interdisziplinären perinatologischen Konsils für Eltern von Kindern mit pränatal diagnostizierten Anomalien von Niere und Harntrakt. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1622754] [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] Open
Affiliation(s)
- V Petri
- Klinik für Kinder- und Jugendmedizin/Nephrologie, Universitätsklinikum Jena
| | - J Rothaug
- Klinik für Geburtsmedizin, Universitätsklinikum Jena
| | - E Schleußner
- Klinik für Geburtsmedizin, Universitätsklinikum Jena
| | - U John
- Klinik für Kinder- und Jugendmedizin/Nephrologie, Universitätsklinikum Jena
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Freyer-Adam J, Baumann S, Bischof G, John U, Gaertner B. Do brief alcohol interventions have impact on sick days? Results from a randomized controlled trial. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.689] [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: 11/14/2022] Open
Affiliation(s)
- J Freyer-Adam
- University Medicine Greifswald, Institute for Medical Psychology, Greifswald, Germany
| | - S Baumann
- University Medicine Greifswald, Institute for Medical Psychology, Greifswald, Germany
| | - G Bischof
- Medical University of Luebeck, Department of Psychiatry and Psychotherapy, Luebeck, Germany
| | - U John
- University Medicine Greifswald, Institute of Social Medicine and Prevention, Greifswald, Germany
| | - B Gaertner
- Robert Koch Institute Berlin, Department of Epidemiology and Health Monitoring, Berlin, Germany
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Baumann S, Gaertner B, Bischof G, John U, Freyer-Adam J. Efficacy of brief alcohol interventions at general hospitals: The role of employment status. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.287] [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: 11/13/2022] Open
Affiliation(s)
- S Baumann
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany
| | - B Gaertner
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany
| | - G Bischof
- Department of Psychiatry and Psychotherapy, Medical University of Lübeck, Lübeck, Germany
| | - U John
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany
| | - J Freyer-Adam
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany
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Baumann S, Groß S, Voigt L, Ullrich A, Weymar F, Schwaneberg T, Dörr M, Meyer C, John U, Ulbricht S. Pitfalls in accelerometer-based measurement of physical activity: The presence of reactivity in an adult population. Scand J Med Sci Sports 2017; 28:1056-1063. [PMID: 28921747 DOI: 10.1111/sms.12977] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2017] [Indexed: 01/07/2023]
Abstract
When a behavior is monitored, it is likely to change, even if no change may be intended. This phenomenon is known as measurement reactivity. We investigated systematic changes in accelerometer-based measures over the days of monitoring as an indicator of measurement reactivity in an adult population. One hundred seventy-one participants from the general population (65% women; mean age = 55 years, range: 42-65 years) wore accelerometers for 7 consecutive days to measure sedentary behavior and physical activity (PA). Latent growth models were used (a) to investigate changes in accelerometer wear time over the measurement days and (b) to identify measurement reactivity indicated by systematic changes in sedentary time (ST), light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA). Over the measurement days, participants reduced accelerometer wear time by trend (rate of change [b] = -4.7 min/d, P = .051, Cohen's d = .38), increased ST (b = 2.4 min/d, P = .018, d = .39), and reduced LPA (b = -2.4 min/d, P = .015, d = .38). Participants did not significantly reduce MVPA (P = .537). Our data indicated that accelerometry might generate reactivity. Small effects on ST and LPA were found. Thus, the validity of accelerometer-based data on ST and LPA may be compromised. Systematic changes observed in accelerometer wear time may further bias accelerometer-based measures. MVPA seems to be less altered due to the presence of an accelerometer.
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Affiliation(s)
- S Baumann
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany.,Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany
| | - S Groß
- Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany.,Department of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany
| | - L Voigt
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany.,Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany
| | - A Ullrich
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany.,Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany
| | - F Weymar
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany.,Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany.,Institute for Community Medicine, Section Epidemiology of Health Care and Community Health, University Medicine Greifswald, Greifswald, Germany
| | - T Schwaneberg
- Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany.,Institute for Community Medicine, Section Epidemiology of Health Care and Community Health, University Medicine Greifswald, Greifswald, Germany
| | - M Dörr
- Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany.,Department of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany
| | - C Meyer
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany.,Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany
| | - U John
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany.,Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany
| | - S Ulbricht
- Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany.,Partner site Greifswald, German Centre for Cardiovascular Research (DZHK), Greifswald, Germany
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Voigt L, Ullrich A, Dörr M, John U, Meyer C, Ulbricht S. Design einer randomisierten Kontrollgruppenstudie zur Wirksamkeitsmessung einer computergestützten Kurzintervention zur Blutdrucksenkung. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605985] [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)
- L Voigt
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Greifswald, Greifswald
| | - A Ullrich
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Greifswald, Greifswald
| | - M Dörr
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Greifswald, Greifswald
- Universitätsmedizin Greifswald, Klinik für Innere Medizin B, Greifswald
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Greifswald, Greifswald
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Greifswald, Greifswald
| | - S Ulbricht
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Greifswald, Greifswald
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Krause K, Gürtler D, Bischof G, Batra A, John U, Meyer C. Computergestützte Beratung bei gesundheitsriskantem Alkoholkonsum und Depressivität: Ergebnisse einer multizentrischen Pilotstudie. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605835] [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 Krause
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
| | - D Gürtler
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Greifswald
| | - G Bischof
- Universität zu Lübeck, Klinik für Psychiatrie und Psychotherapie, Lübeck
| | - A Batra
- Universität Tübingen, Klinik für Psychiatrie und Psychiatrie, Tübingen
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Greifswald
| | - C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Greifswald
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Meyer C, Poser J, Krause K, Rumpf HJ, Batra A, John U. Muster von gesundheitsriskanten Verhaltensweisen und Depressivität bei Patienten der primärmedizinischen Versorgung. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605735] [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)
- C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Greifswald
| | - J Poser
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
| | - K Krause
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
| | - HJ Rumpf
- Universität zu Lübeck, Klinik für Psychiatrie und Psychotherapie, Lübeck
| | - A Batra
- Universität Tübingen, Klinik für Psychiatrie und Psychotherapie, Tübingen
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Greifswald
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Meyer C, Ulbricht S, Freyer-Adam J, Rumpf HJ, Haug S, John U. Bedarf von suchtpräventiven Maßnahmen bei Auszubildenden in Mecklenburg-Vorpommern: Eine landesrepräsentative Querschnittserhebung. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605617] [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)
- C Meyer
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Greifswald
| | - S Ulbricht
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Greifswald
| | - J Freyer-Adam
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Greifswald
- Universitätsmedizin Greifswald, Institut für Medizinische Psychologie, Greifswld
| | - HJ Rumpf
- Universität zu Lübeck, Klinik für Psychiatrie und Psychotherapie, Lübeck
| | - S Haug
- Universität Zürich, Schweizer Institut für Sucht- und Gesundheitsforschung, Zürich
| | - U John
- Universitätsmedizin Greifswald, Institut für Sozialmedizin und Prävention, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung e.V., Greifswald
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Baumann S, Gaertner B, Bischof G, John U, Freyer-Adam J. Wirksamkeit von Kurzinterventionen zur Alkoholkonsumreduktion im Krankenhaus: Welche Rolle spielen Alter, Geschlecht und Schulbildung? Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605682] [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)
- S Baumann
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Greifswald, Greifswald
| | - B Gaertner
- Robert Koch-Institut Berlin, Abteilung für Epidemiologie und Gesundheitsmonitoring, Berlin
| | - G Bischof
- Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Schleswig-Holstein, Lübeck
| | - U John
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Greifswald, Greifswald
| | - J Freyer-Adam
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort Greifswald, Greifswald
- Institut für Medizinische Psychologie, Universitätsmedizin Greifswald, Greifswald
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Prüfe J, Dierks ML, Bethe D, Oldhafer M, Müther S, Thumfart J, Feldkötter M, Büscher A, Sauerstein K, Hansen M, Pohl M, Drube J, Thiel F, Rieger S, John U, Taylan C, Dittrich K, Hollenbach S, Klaus G, Fehrenbach H, Kranz B, Montoya C, Lange-Sperandio B, Ruckenbrod B, Billing H, Staude H, Brunkhorst R, Rusai K, Pape L, Kreuzer M. Transition structures and timing of transfer from paediatric to adult-based care after kidney transplantation in Germany: a qualitative study. BMJ Open 2017; 7:e015593. [PMID: 28606904 PMCID: PMC5734418 DOI: 10.1136/bmjopen-2016-015593] [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] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES It is known that transition, as a shift of care, marks a vulnerable phase in the adolescents' lives with an increased risk for non-adherence and allograft failure. Still, the transition process of adolescents and young adults living with a kidney transplant in Germany is not well defined. The present research aims to assess transition-relevant structures for this group of young people. Special attention is paid to the timing of the process. SETTING In an observational study, we visited 21 departments of paediatric nephrology in Germany. Participants were doctors (n=19), nurses (n=14) and psychosocial staff (n=16) who were responsible for transition in the relevant centres. Structural elements were surveyed using a short questionnaire. The experiential viewpoint was collected by interviews which were transcribedverbatim before thematic analysis was performed. RESULTS This study highlights that professionals working within paediatric nephrology in Germany are well aware of the importance of successful transition. Key elements of transitional care are well understood and mutually agreed on. Nonetheless, implementation within daily routine seems challenging, and the absence of written, structured procedures may hamper successful transition. CONCLUSIONS While professionals aim for an individual timing of transfer based on medical, social, emotional and structural aspects, rigid regulations on transfer age as given by the relevant health authorities add on to the challenge. TRIAL REGISTRATION NUMBER ISRCTN Registry no 22988897; results (phase I) and pre-results (phase II).
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Affiliation(s)
- Jenny Prüfe
- Department of Paediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany
| | - Marie-Luise Dierks
- Department of Epidemiology, Social Medicine and Health System Research, Hannover Medical School, Hannover, Germany
| | - Dirk Bethe
- Division of Paediatric Nephrology, Centre for Child and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | | | - Silvia Müther
- Berliner TransitionsProgramm (BTP), DRK-Kliniken (German Red Cross Hospitals) Berlin Westend, Berlin, Germany
| | - Julia Thumfart
- Department of Paediatric Nephrology, Charité, Berlin, Germany
| | | | - Anja Büscher
- Department of Paediatrics II, Essen University Hospital, Essen, Germany
| | | | - Matthias Hansen
- KfH Centre of Paediatric Nephrology, Clementine Children’s Hospital, Frankfurt, Germany
| | - Martin Pohl
- Department of General Paediatrics, Adolescent Medicine and Neonatology, Freiburg University Hospital, Freiburg, Germany
| | - Jens Drube
- Department of Paediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany
| | - Florian Thiel
- University Children’s Hospital Eppendorf, Hamburg, Germany
| | - Susanne Rieger
- Division of Paediatric Nephrology, Centre for Child and Adolescent Medicine, Heidelberg University Hospital, Heidelberg, Germany
| | - Ulrike John
- University Children’s Hospital, Jena, Germany
| | - Christina Taylan
- Department of Paediatric Nephrology, University Hospital of Cologne, Cologne, Germany
| | | | - Sabine Hollenbach
- KfH Centres of Paediatric Nephrology, St. Georg Hospital, Leipzig, Germany
| | - Günter Klaus
- KfH Centres of Paediatric Nephrology, University Hospital of Marburg, Marburg, Germany
| | - Henry Fehrenbach
- KfH Centre of Paediatric Nephrology, Children’s Hospital Memmingen, Memmingen, Germany
| | - Birgitta Kranz
- University Children’s Hospital Münster, Münster, Germany
| | - Carmen Montoya
- KfH Centre of Paediatric Nephrology, University Children’s Hospital, München, Germany
| | | | - Bettina Ruckenbrod
- Children’s Hospital, Olgahospital Klinikum Stuttgart, Stuttgart, Germany
| | - Heiko Billing
- University Children’s Hospital Tübingen, Tübingen, Germany
| | - Hagen Staude
- University Children’s Hospital, Rostock, Germany
| | - Reinhard Brunkhorst
- KfH Centre of Nephrology, Hospitals of the Hannover Region, Hannover, Germany
| | | | - Lars Pape
- Department of Paediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany
| | - Martin Kreuzer
- Department of Paediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany
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Ulbricht S, Gürtler D, Braatz J, Weymar F, Meyer C, Dörr M, John U. Gewinnung von Jobcenter-Klienten für die Teilnahme an einem kardiopräventiven Untersuchungsprogramm. Gesundheitswesen 2017; 79:484-490. [DOI: 10.1055/s-0035-1549910] [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: 10/23/2022]
Abstract
Zusammenfassung
Ziel: Über die Teilnehmergewinnung für Präventionsmaßnahmen in Bevölkerungen mit niedrigerem Sozialstatus ist wenig bekannt. Ergebnisse proaktiver Kontaktierung für ein 2-stufiges kardiopräventives Untersuchungsprogramm (KUP) in 2 Jobcentern einer norddeutschen Region werden dargestellt.
Methode: Über jeweils 10 Wochen erhielten Jobcenter-Klienten im Alter zwischen 40 und 65 Jahren das Angebot, am KUP teilzunehmen. Dieses umfasste einen ersten Abschnitt im Jobcenter und einen zweiten in einem kardiovaskulären Untersuchungszentrum. Abschnitt 1 beinhaltete eine EDV-gestützte Befragung, und bei Anwesenheit einer medizinischen Fachkraft, eine Blutdruckmessung und/oder Blutentnahme. Teilnehmer ohne kardiovaskuläre Vorerkrankungen, interventionelle/operative Gefäßeingriffe, Diabetes mellitus und einem Body-Maß Index≤35 kg/m2 erhielten das Angebot der Teilnahme an Abschnitt 2. Mittels logistischer Regressionsanalysen wurden für beide Abschnitte Prädiktoren der Teilnahme analysiert. Dazu zählten Lebensalter und Geschlecht, für die Teilnahme an Abschnitt 2 die Entfernung zwischen Wohnadresse und Untersuchungszentrum, kardiovaskuläre Risikofaktoren, subjektive Gesundheit und weitere soziodemografische Merkmale.
Ergebnisse: In Abschnitt 1 nahmen 344 der 1 046 eingeladenen Personen an der Befragung teil. Dabei handelte es sich um überzufällig mehr Frauen als Männer. Von diesen erhielten 253 das Angebot der Blutdruckmessung, der Blutentnahme sowie der postalischen Zusendung der Laborergebnisse. Die Teilnahme von 209 Personen war positiv mit dem Lebensalter assoziiert. An Abschnitt 2 nahmen 138 Personen teil. Je weiter vom Untersuchungszentrum entfernt die Personen wohnten, desto weniger nahmen sie dieses Angebot wahr. Von Tabakrauchern, Personen mit Hauptschulbildung bzw. solche mit nicht erhöhten Blutfetten nahmen ebenfalls weniger teil.
Schlussfolgerungen: Blutdruckmessung und Blutentnahme im Jobcenter treffen auf hohe Akzeptanz. Anforderungen zusätzlicher Wege für präventive kardiovaskuläre Untersuchungsangebote sind gering zu halten.
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Affiliation(s)
- S. Ulbricht
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald
| | - D. Gürtler
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald
| | - J. Braatz
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald
| | - F. Weymar
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald
| | - C. Meyer
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald
| | - M. Dörr
- Klinik für Innere B, Universitätsmedizin Greifswald, Greifswald
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald
| | - U. John
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
- DZHK (Deutsches Zentrum für Herz-Kreislauf-Forschung), Standort Greifswald
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Abstract
Background Phenotypic plasticity is commonplace and enables an organism to respond to variations in the environment. Plastic responses often modify a suite of traits and can be triggered by both abiotic and biotic changes. Here we analysed the plastic response towards a grazer of two genotypes of the marine dinoflagellate Alexandrium fundyense, evaluated the similarity of this response and discuss potential strain-specific trade-offs. We compared the expression of the known inducible defensive traits paralytic shellfish toxin content, and chain length. The effectiveness of the induced defense was assessed by monitoring grazing rates in both strains. Results Our results show that the grazer cues diminish phenotypic variability in a population by driving the phenotype towards a common defended morphotype. We further showed that the expression of the sxtA gene that initiates the paralytic shellfish toxin biosynthesis pathway does not correlate with an observed increase in the paralytic shellfish toxin analogue saxitoxin, and that toxin induction differs in its physiological characteristics in both strains. Conclusion Induced defense response in Alexandrium thus can directly affect further species interactions by reducing phenotypic variation and can result in genotype-dependent ecological trade-offs. Electronic supplementary material The online version of this article (doi:10.1186/s12898-017-0119-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Sylke Wohlrab
- Department of Ecological Chemistry, Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research, 27570, Bremerhaven, Germany.
| | - Erik Selander
- Department of Biological and Environmental Sciences, University of Gothenburg, Vasaparken, 40530, Gothenburg, Sweden
| | - U John
- Department of Ecological Chemistry, Alfred Wegener Institute, Helmholtz Centre for Polar and Marine Research, 27570, Bremerhaven, Germany.,Helmholtz Institute for Functional Marine Biodiversity (HIFMB), 26111, Oldenburg, Germany
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Abstract
In the multifactorial pathogenesis of periodontitis, there are still unknown factors influencing the outcome of the disease. An association between magnesium and periodontitis has been suggested by preliminary studies. However, relevant clinical data are lacking. We investigated the association between magnesium status and periodontal health in a population-based analysis. We conducted a cross-sectional epidemiological investigation involving 4290 subjects aged 20–80 yrs. We recorded periodontal risk factors and determined concentrations of serum magnesium and calcium, relating them to periodontal parameters. In a matched-pair study, 60 subjects using oral magnesium-containing drugs and 120 without were compared. In subjects aged 40 yrs and older, increased serum Mg/Ca was significantly associated with reduced probing depth (p < 0.001), less attachment loss (p = 0.006), and a higher number of remaining teeth (p = 0.005). Subjects taking Mg drugs showed less attachment loss (p < 0.01) and more remaining teeth than did their matched counterparts. These results suggest that nutritional magnesium supplementation may improve periodontal health.
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Affiliation(s)
- P Meisel
- Department of Pharmacology, Ernst Moritz Arndt University, F.-Loeffler-Str. 23d, D-17487 Greifswald, Germany.
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Kastirke N, Rumpf HJ, John U, Bischof A, Meyer C. [Migration Background and Pathological Gambling: Results of a Nationwide Epidemiological Study on the Impact of Region of Origin in Germany]. Gesundheitswesen 2016; 80:250-258. [PMID: 27589245 DOI: 10.1055/s-0042-106645] [Citation(s) in RCA: 2] [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: 10/21/2022]
Abstract
OBJECTIVE To investigate the extent to which the presence and number of symptoms of pathological gambling (PG), distinguished by region of origin (RO), differ. METHODS Data was obtained from a nationwide telephone survey of 15 023 individuals living in Germany and aged 14-64 years. They were categorized according to their RO and the number of symptoms of PG (0-10 DSM-IV-criteria). RESULTS The lifetime prevalence of PG symptoms is 18.1% for people of the RO Turkey, 9.0% for those of the RO Yugoslavia and 6.8% for those without a migration background. Compared to the latter, the two-part count data regression method showed a higher chance of PG symptoms for the RO Turkey as well as a 70.3 and 87.2% increase in the number of symptoms for the RO Turkey and Yugoslavia, respectively. CONCLUSION The RO could independently contribute to the presence and amount of symptoms of PG.
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Affiliation(s)
- N Kastirke
- Institut für Sozialmedizin und Prävention, Universität Greifswald
| | - H-J Rumpf
- Klinik für Psychiatrie und Psychotherapie, Forschungsgruppe S:TEP, Universität Lübeck
| | - U John
- Institut für Sozialmedizin und Prävention, Universität Greifswald
| | - A Bischof
- Klinik für Psychiatrie und Psychotherapie, Forschungsgruppe S:TEP, Universität Lübeck
| | - C Meyer
- Institut für Sozialmedizin und Prävention, Universität Greifswald
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Ulbricht S, Fehlhaber C, Bruss K, Meyer C, John U. ['You and I Smoke-free': Implementation and Provision of Brief Smoking Counseling Program in Pregnancy Counseling Centers]. Gesundheitswesen 2016; 79:270-272. [PMID: 27104308 DOI: 10.1055/s-0042-100621] [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: 10/21/2022]
Abstract
Results of brief smoking counseling program implemented in pregnancy counseling centers are presented. Counseling was provided in 28 of 39 pregnancy counseling centers. A total of 693 out of 719 pregnant women invited to participate in the program during the study period of 6 months agreed to participate. Among the participants, 30.5% were smokers. Proactive approaches can reach a high proportion of the target population.
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Affiliation(s)
- S Ulbricht
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
| | - C Fehlhaber
- Institut für Community Medicine - SHIP-KEF, Universitätsmedizin Greifswald, Greifswald
| | - K Bruss
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
| | - C Meyer
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
| | - U John
- Institut für Sozialmedizin und Prävention, Universitätsmedizin Greifswald, Greifswald
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Kreuzer M, Prüfe J, Oldhafer M, Bethe D, Dierks ML, Müther S, Thumfart J, Hoppe B, Büscher A, Rascher W, Hansen M, Pohl M, Kemper MJ, Drube J, Rieger S, John U, Taylan C, Dittrich K, Hollenbach S, Klaus G, Fehrenbach H, Kranz B, Montoya C, Lange-Sperandio B, Ruckenbrodt B, Billing H, Staude H, Heindl-Rusai K, Brunkhorst R, Pape L. Transitional Care and Adherence of Adolescents and Young Adults After Kidney Transplantation in Germany and Austria: A Binational Observatory Census Within the TRANSNephro Trial. Medicine (Baltimore) 2015; 94:e2196. [PMID: 26632907 PMCID: PMC4674210 DOI: 10.1097/md.0000000000002196] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Transition from child to adult-oriented care is widely regarded a challenging period for young people with kidney transplants and is associated with a high risk of graft failure. We analyzed the existing transition structures in Germany and Austria using a questionnaire and retrospective data of 119 patients transferred in 2011 to 2012. Most centers (73%) confirmed agreements on the transition procedure. Patients' age at transfer was subject to regulation in 73% (18 years). Median age at transition was 18.3 years (16.5-36.7). Median serum creatinine increased from 123 to 132 μmol/L over the 12 month observation period before transfer (P = 0.002). A total of 25/119 patients showed increased creatinine ≥ 20% just before transfer. Biopsy proven rejection was found in 10/119 patients. Three patients lost their graft due to chronic graft nephropathy.Mean coefficient of variation (CoV%) of immunosuppression levels was 0.20 ± 0.1. Increased creatinine levels ≥ 20% just before transfer were less frequently seen in patients with CoV < 0.20 (P = 0.007). The majority of pediatric nephrology centers have internal agreements on transitional care. More than half of the patients had CoV of immunosuppression trough levels consistent with good adherence. Although, 20% of the patients showed increase in serum creatinine close to transfer.
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Affiliation(s)
- Martin Kreuzer
- From the Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School (MK, JP, JD, LP); German Society of Transition Medicine, Hannover (MK, MO, SM, LP); Division of Pediatric Nephrology, Center for Child and Adolescent Medicine, Heidelberg University Hospital, Heidelberg (DB, SR); Department of Epidemiology, Social Medicine and Health System Research, Hannover Medical School, Hannover (M-LD); Berliner Transitions Programm (BTP), DRK-Kliniken (German Red Cross hospitals) Berlin Westend (SM); Department of Pediatric Nephrology, Charité, Berlin (JT); University Hospital of Bonn, Bonn (BH); Department of Pediatrics II, Essen University Hospital, Essen (AB); Childrens' Hospital, University of Erlangen, Erlangen (WR); KfH Center of Pediatric Nephrology, Clementine Childrens' Hospital, Frankfurt (MH); Department of General Pediatrics, Adolescent Medicine and Neonatology, Freiburg University Hospital, Freiburg (MP); University Childrens' Hospital Eppendorf, Hamburg (MJK); University Childrens' Hospital, Jena (UJ); Pediatric Nephrology, University Hospital of Cologne, Cologne (CT); University Childrens' Hospital (KD); KfH Center of Pediatric Nephrology, St. Georg Hospital, Leipzig (SH); KfH Center of Pediatric Nephrology, University Hospital of Marburg, Marburg (GK); KfH Center of Pediatric Nephrology, Childrens' Hospital Memmingen, Memmingen (HF); University Childrens' Hospital Münster (BK); KfH Center of Pediatric Nephrology, University Childrens' Hospital München Schwabing (CM); Dr. von Haunersches Kinderspital, Ludwigs Maximilian University, Munich (BL-S); Childrens' Hospital, Olgahospital Klinikum Stuttgart, Stuttgart (BR); University Childrens' Hospital Tübingen, Tübingen (HB); University Childrens' Hospital, Rostock, Germany (HS); University Childrens' Hospital, Vienna, Austria (KH-R); and KfH Center of Nephrology, Hospitals of the Hannover Region, Hannover, Germany (RB)
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Meyer C, Gürtler D, Krause K, Freyer-Adam J, Ulbricht S, Bischof G, Rumpf HJ, Batra A, Stiegler A, Chenot JF, Grabe HJ, John U. Entwicklung und Evaluation einer computergestützten Beratung für Patienten mit gesundheitsriskantem Alkoholkonsum und depressiven Symptomen. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1562972] [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: 10/23/2022]
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