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Kroczek A, Schröder B, Rosenbaum D, Mühleck A, Diemer J, Mühlberger A, Fallgatter AJ, Batra A, Ehlis AC. Multimodal Assessment of Smoking cue Reactivity During a Smoking Cue Exposure Task. Clin EEG Neurosci 2024; 55:287-295. [PMID: 36426420 PMCID: PMC11020128 DOI: 10.1177/15500594221138273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 10/04/2022] [Accepted: 10/21/2022] [Indexed: 11/26/2022]
Abstract
Background. Cue-reactivity as a characteristic symptom of substance use disorders (SUD) is highly context dependent. Paradigms with high context validity need to be established for the investigation of underlying neurobiological mechanisms. While craving can be assessed by self-report as one aspect of cue-reactivity (CR), the assessment of biological measures such as the autonomous response and EEG promises a holistic perspective including CR at an automatized level. In a multimodal approach, smoking cue exposure (CE) effects on heart rate variability (HRV), EEG frequency power, and craving as well as their interrelation were assessed. This pilot study focused on the validity of CR measurements in a naturalistic CE paradigm. Methods. EEG frequency power, HRV, and craving were assessed during resting state (RS) and smoking CE in smokers (n = 14) and nonsmoking controls (n = 10) to investigate the psychophysiological and subjective reactions to CE. Results. Increased beta power was found only in smokers during CE compared to the control condition. There was an inverse correlation of beta power and maximum craving. Likewise, HRV correlated negatively with maximum smoking urges in smokers immediately after the measurements, without differentiation between CE and control condition. Conclusion. The increased beta power in smokers during CE is discussed as increased inhibitory control related to reduced craving in smokers. Furthermore, increased craving during CE seems to be associated to decreased vagal activity. The multimodal measurements during the CE showed ecological validity to be fundamental for CE assessment in clinical populations to evaluate its predictive value.
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Affiliation(s)
- A.M. Kroczek
- Department of Psychiatry and Psychotherapy, University Hospital of Tuebingen, Tuebingen, Germany
| | - B. Schröder
- Department for Clinical Psychology and Psychotherapy, Institute of Psychology, University of Regensburg, Regensburg, Germany
| | - D. Rosenbaum
- Department of Psychiatry and Psychotherapy, University Hospital of Tuebingen, Tuebingen, Germany
| | - A. Mühleck
- Department of Psychiatry and Psychotherapy, University Hospital of Tuebingen, Tuebingen, Germany
| | - J. Diemer
- kbo-Inn-Salzach-Hospital, Wasserburg am Inn, Germany
| | - A. Mühlberger
- Department for Clinical Psychology and Psychotherapy, Institute of Psychology, University of Regensburg, Regensburg, Germany
| | - A. J. Fallgatter
- Department of Psychiatry and Psychotherapy, University Hospital of Tuebingen, Tuebingen, Germany
| | - A. Batra
- Department of Psychiatry and Psychotherapy, University Hospital of Tuebingen, Tuebingen, Germany
| | - A.-C. Ehlis
- Department of Psychiatry and Psychotherapy, University Hospital of Tuebingen, Tuebingen, Germany
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Batra A, Câmara HB, Joaquim FR, Srivastava R, Valle JWF. Axion Paradigm with Color-Mediated Neutrino Masses. Phys Rev Lett 2024; 132:051801. [PMID: 38364158 DOI: 10.1103/physrevlett.132.051801] [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] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 11/17/2023] [Accepted: 01/02/2024] [Indexed: 02/18/2024]
Abstract
We propose a generalized Kim-Shifman-Vainshtein-Zakharov-type axion framework in which colored fermions and scalars act as two-loop Majorana neutrino-mass mediators. The global Peccei-Quinn symmetry under which exotic fermions are charged solves the strong CP problem. Within our general proposal, various setups can be distinguished by probing the axion-to-photon coupling at helioscopes and haloscopes. We also comment on axion dark-matter production in the early Universe.
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Affiliation(s)
- A Batra
- Departamento de Física and CFTP, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais 1, 1049-001 Lisboa, Portugal
| | - H B Câmara
- Departamento de Física and CFTP, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais 1, 1049-001 Lisboa, Portugal
| | - F R Joaquim
- Departamento de Física and CFTP, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais 1, 1049-001 Lisboa, Portugal
| | - R Srivastava
- Department of Physics, Indian Institute of Science Education and Research-Bhopal, Bhopal Bypass Road, Bhauri, Bhopal 462066, India
| | - J W F Valle
- AHEP Group, Institut de Física Corpuscular-CSIC/Universitat de València, Parc Científic de Paterna. C/ Catedrático José Beltrán, 2 E-46980 Paterna (Valencia), Spain
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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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Singh R, Batra A, Pottinger D, Rizwan N, Goliwas K, Niranjan S, Das D, El-Rayes B, Desai A. 84P Racial disparities in phase I lung cancer clinical trials. ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.100942] [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: 03/10/2023] Open
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Batra A, Nayak B, Singh P, Sahoo R, Kunhiparambath H, Kaushal S, Seth A, Varshney A, Raj A. 515P Prognostic significance of elevated serum tumor markers (STM) after the first cycle of chemotherapy in patients with intermediate and poor risk non seminomatous testicular germ cell tumors (NSGCT). Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Brandhorst I, Hanke S, Batra A, Renner T, Barth G, Petersen K. Randomisierte kontrollierte Evaluation des ISES! Gruppentrainings
– Ein Training für Eltern von Jugendlichen und jungen
Erwachsenen mit Computerspielstörungen. Suchttherapie 2022. [DOI: 10.1055/s-0042-1755960] [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] [Subscribe] [Scholar Register] [Indexed: 03/22/2023]
Affiliation(s)
| | - S Hanke
- Universitätsklinikum Tübingen,
Tübingen
| | - A Batra
- Universitätsklinikum Tübingen,
Tübingen
| | - T Renner
- Universitätsklinikum Tübingen,
Tübingen
| | - G Barth
- Universitätsklinikum Tübingen,
Tübingen
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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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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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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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Goyal M, McNally G, Batra A, Izzat S, Pothula V. Use of office based transnasal oesophagoscopy in management of Head & Neck conditions during the COVID-19 pandemic at the Royal Albert Edward Infirmary, Wigan, United Kingdom. Med J Malaysia 2021; 76:14-19. [PMID: 34558551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
OBJECTIVES To assess the clinical and cost effectiveness of transnasal oesophagoscopy (TNO) in cases of suspected upper aerodigestive tract malignancy and define its role as a safe alternative to panendoscopy. We have also analysed if the implementation of TNO during the COVID-19 pandemic was beneficial in order to provide uninterrupted care to the patients with the limited resources available in these challenging times. METHODS All patients who underwent TNO guided biopsies or dilatation attempted over a 7 month period during COVID- 19 pandemic were included by searching the hospital and department database at The Royal Albert Edward Infirmary. A comparative group of patients who underwent panendoscopy over 9 months were included for comparison. Demographic data, histological diagnosis, second procedure and cost involved were recorded. RESULTS During this period, 20 TNO procedures (16 biopsies and 4 dilatations) were attempted which were compared with 20 panendoscopy procedures. The diagnostic accuracy of TNO biopsy for identifying benign and malignant pathology was 81.1%. The sensitivity and specificity for identifying malignancy was 76.9% and 100% respectively. The most common lesion location was laryngeal (43.8%) followed by oropharyngeal (37.5%), more specifically located at the tongue base. The median waiting period between the procedure being listed and TNO being performed was 5.5 days compared to 12 days for panendoscopy. There were 12/16 patients who did not require further interventions for histological diagnosis of the tumor. The TNO procedure was well tolerated with no complications and all were done under local anaesthesia as outpatient procedure without need for admission. TNO resulted in cost saving of £356 per case on a standard NHS tariff. CONCLUSION TNO is a valuable diagnostic tool for patients with suspected UADT malignancy and dysphagia and has proven to be an asset during the COVID-19 pandemic when we have to make the best use of the limited theatre time and resources. Also, the cost analysis showed that outpatient based TNO can provide significant cost savings for the current standard of care. Furthermore, it has shown better patient tolerability, lesser complications and shortened the time for diagnosis and hence starting timely treatment for these patients.
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Affiliation(s)
- M Goyal
- The Royal Albert Edward Infirmary, Department of ENT, Wrightington Wigan and Leigh, NHS Foundation Trust, United Kingdom.
| | - G McNally
- The Royal Albert Edward Infirmary, Department of ENT, Wrightington Wigan and Leigh, NHS Foundation Trust, United Kingdom
| | - A Batra
- Royal Hampshire County Hospital, Department of ENT, Hampshire Hospital NHS Foundation Trust, United Kingdom
| | - S Izzat
- The Royal Albert Edward Infirmary, Department of ENT, Wrightington Wigan and Leigh, NHS Foundation Trust, United Kingdom
| | - V Pothula
- The Royal Albert Edward Infirmary, Department of ENT, Wrightington Wigan and Leigh, NHS Foundation Trust, United Kingdom
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Mittal A, Pramanik R, Gogia A, Batra A, Jha A, Kumar L, Deo S, Bhoriwal S, Deb K, Dhamija E, Ramprasad V, Olopade O. 155P Profile of pathogenic mutations and evaluation of germline genetic testing criteria in consecutive breast cancer patients treated at a North Indian tertiary care center. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.03.169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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12
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Batra A, Kong S, Rigo R, Cheung W. 97P A population-based study to assess the associations of rural residence and low socioeconomic status (SES) with cardiovascular disease (CVD) in patients with colorectal cancer (CRC). Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.10.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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13
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Trifan G, Goldenberg FD, Caprio FZ, Biller J, Schneck M, Khaja A, Terna T, Brorson J, Lazaridis C, Bulwa Z, Alvarado Dyer R, Saleh Velez FG, Prabhakaran S, Liotta EM, Batra A, Reish NJ, Ruland S, Teitcher M, Taylor W, De la Pena P, Conners JJ, Grewal PK, Pinna P, Dafer RM, Osteraas ND, DaSilva I, Hall JP, John S, Shafi N, Miller K, Moustafa B, Vargas A, Gorelick PB, Testai FD. Characteristics of a Diverse Cohort of Stroke Patients with SARS-CoV-2 and Outcome by Sex. J Stroke Cerebrovasc Dis 2020; 29:105314. [PMID: 32951959 PMCID: PMC7486061 DOI: 10.1016/j.jstrokecerebrovasdis.2020.105314] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 09/03/2020] [Accepted: 09/07/2020] [Indexed: 12/14/2022] Open
Abstract
COVID-19 disease is associated with stroke All strokes subtypes are seen in association with COVID-19, with ischemic stroke being most prevalent The most common etiology for ischemic stroke in SARS-CoV2 infection is cryptogenic Sex plays an important role in stroke outcomes in patients with COVID-19 disease Males have higher rates of ICU admission, in-hospital complications and more likely to have worse outcome at hospital discharge compare with females
Background and Purpose Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection is associated with stroke. The role of sex on stroke outcome has not been investigated. To objective of this paper is to describe the characteristics of a diverse cohort of acute stroke patients with COVID-19 disease and determine the role of sex on outcome. Methods This is a retrospective study of patients with acute stroke and SARS-CoV-2 infection admitted between March 15 to May 15, 2020 to one of the six participating comprehensive stroke centers. Baseline characteristics, stroke subtype, workup, treatment and outcome are presented as total number and percentage or median and interquartile range. Outcome at discharge was determined by the modified Rankin Scale Score (mRS). Variables and outcomes were compared for males and females using univariate and multivariate analysis. Results The study included 83 patients, 47% of which were Black, 28% Hispanics/Latinos, and 16% whites. Median age was 64 years. Approximately 89% had at least one preexisting vascular risk factor (VRF). The most common complications were respiratory failure (59%) and septic shock (34%). Compared with females, a higher proportion of males experienced severe SARS-CoV-2 symptoms requiring ICU hospitalization (73% vs. 49%; p = 0.04). When divided by stroke subtype, there were 77% ischemic, 19% intracerebral hemorrhage and 3% subarachnoid hemorrhage. The most common ischemic stroke etiologies were cryptogenic (39%) and cardioembolic (27%). Compared with females, males had higher mortality (38% vs. 13%; p = 0.02) and were less likely to be discharged home (12% vs. 33%; p = 0.04). After adjustment for age, race/ethnicity, and number of VRFs, mRS was higher in males than in females (OR = 1.47, 95% CI = 1.03–2.09). Conclusion In this cohort of SARS-CoV-2 stroke patients, most had clinical evidence of coronavirus infection on admission and preexisting VRFs. Severe in-hospital complications and worse outcomes after ischemic strokes were higher in males, than females.
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Affiliation(s)
- G Trifan
- Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, IL 60612, U.S.A..
| | - F D Goldenberg
- Department of Neurology, University of Chicago Hospital, Chicago, IL 60612, U.S.A..
| | - F Z Caprio
- Department of Neurology, Northwestern University, 633 Clark St, Evanston, IL 60208, U.S.A..
| | - J Biller
- Department of Neurology, Loyola University Health System, 2160 S 1st Ave, Maywood, IL 60153, U.S.A..
| | - M Schneck
- Department of Neurology, Loyola University Health System, 2160 S 1st Ave, Maywood, IL 60153, U.S.A..
| | - A Khaja
- AMITA Health - Alexian Brothers Hospital, 800 Biesterfield Rd, IL 60007, U.S.A..
| | - T Terna
- AMITA Health - Alexian Brothers Hospital, 800 Biesterfield Rd, IL 60007, U.S.A..
| | - J Brorson
- Department of Neurology, University of Chicago Hospital, Chicago, IL 60612, U.S.A
| | - C Lazaridis
- Department of Neurology, University of Chicago Hospital, Chicago, IL 60612, U.S.A..
| | - Z Bulwa
- Department of Neurology, University of Chicago Hospital, Chicago, IL 60612, U.S.A..
| | - R Alvarado Dyer
- Department of Neurology, University of Chicago Hospital, Chicago, IL 60612, U.S.A..
| | - F G Saleh Velez
- Department of Neurology, University of Chicago Hospital, Chicago, IL 60612, U.S.A..
| | - S Prabhakaran
- Department of Neurology, University of Chicago Hospital, Chicago, IL 60612, U.S.A..
| | - E M Liotta
- Department of Neurology, Northwestern University, 633 Clark St, Evanston, IL 60208, U.S.A..
| | - A Batra
- Department of Neurology, Northwestern University, 633 Clark St, Evanston, IL 60208, U.S.A..
| | - N J Reish
- Department of Neurology, Northwestern University, 633 Clark St, Evanston, IL 60208, U.S.A..
| | - S Ruland
- Department of Neurology, Loyola University Health System, 2160 S 1st Ave, Maywood, IL 60153, U.S.A..
| | - M Teitcher
- Department of Neurology, Loyola University Health System, 2160 S 1st Ave, Maywood, IL 60153, U.S.A..
| | - W Taylor
- Department of Neurology, Loyola University Health System, 2160 S 1st Ave, Maywood, IL 60153, U.S.A..
| | - P De la Pena
- Department of Neurology, Loyola University Health System, 2160 S 1st Ave, Maywood, IL 60153, U.S.A..
| | - J J Conners
- Department of Neurological Sciences, Rush University Medical Center, 1620 W Harrison St, Chicago, IL 60612, U.S.A..
| | - P K Grewal
- Department of Neurological Sciences, Rush University Medical Center, 1620 W Harrison St, Chicago, IL 60612, U.S.A..
| | - P Pinna
- Department of Neurological Sciences, Rush University Medical Center, 1620 W Harrison St, Chicago, IL 60612, U.S.A..
| | - R M Dafer
- Department of Neurological Sciences, Rush University Medical Center, 1620 W Harrison St, Chicago, IL 60612, U.S.A..
| | - N D Osteraas
- Department of Neurological Sciences, Rush University Medical Center, 1620 W Harrison St, Chicago, IL 60612, U.S.A..
| | - I DaSilva
- Department of Neurological Sciences, Rush University Medical Center, 1620 W Harrison St, Chicago, IL 60612, U.S.A..
| | - J P Hall
- Department of Neurological Sciences, Rush University Medical Center, 1620 W Harrison St, Chicago, IL 60612, U.S.A..
| | - S John
- Department of Neurological Sciences, Rush University Medical Center, 1620 W Harrison St, Chicago, IL 60612, U.S.A..
| | - N Shafi
- Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, IL 60612, U.S.A..
| | - K Miller
- Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, IL 60612, U.S.A..
| | - B Moustafa
- Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, IL 60612, U.S.A..
| | - A Vargas
- Department of Neurological Sciences, Rush University Medical Center, 1620 W Harrison St, Chicago, IL 60612, U.S.A..
| | - P B Gorelick
- Department of Neurology, Northwestern University, 633 Clark St, Evanston, IL 60208, U.S.A..
| | - F D Testai
- Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, IL 60612, U.S.A..
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Batra A, Kong S, Rigo R, Cheung W. 1811MO Association of pre-existing cardiovascular disease (CVD) in older patients with breast cancer with treatment and survival outcomes. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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15
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Batra A, Cuthbert C, Harper A, Boyne D, Yang L, Cheung W. P-239 Patient-reported outcomes in patients with metastatic gastric and esophageal cancers near end-of-life. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.321] [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] Open
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16
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Batra A, Cuthbert C, Yang L, Harper A, Boyne D, Cheung W. PD-11 Impact of baseline symptom burden as assessed by patient-reported outcomes on overall survival of patients with metastatic gastrointestinal cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Batra A, Kong S, Rigo R, Cheung W. 150P Eligibility of real-world patients with metastatic breast cancer in clinical trials. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.03.250] [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: 10/24/2022] Open
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18
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Batra A, Cuthbert C, Rigo R, Harper A, Boyne D, Yang L, Cheung W. 187P Patient-reported outcomes near end-of-life in patients with breast cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.03.126] [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: 10/24/2022] Open
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19
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Schott K, Batra A. No antibody binding to serotonin in serum of patients with paranoid schizophrenia and major depressive disorder. Eur Psychiatry 2020; 10:372. [DOI: 10.1016/0924-9338(96)80339-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/1995] [Accepted: 05/24/1995] [Indexed: 11/16/2022] Open
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20
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Batra A, Beattie RM. Recognising malnutrition in children with neurodisability. Clin Nutr 2020; 39:327-330. [PMID: 31472988 DOI: 10.1016/j.clnu.2019.08.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 07/23/2019] [Accepted: 08/12/2019] [Indexed: 10/26/2022]
Affiliation(s)
- A Batra
- Department of Paediatric Gastroenterology, Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, United Kingdom
| | - R M Beattie
- Department of Paediatric Gastroenterology, Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, United Kingdom.
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Affiliation(s)
- R M Beattie
- Paediatric Gastroenterology Unit, Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UK
| | - A Batra
- Paediatric Gastroenterology Unit, Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UK
| | - L V Marino
- Department of Dietetics/SLT, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UK
- NIHR Biomedical Research Centre Southampton, University Hospital Southampton NHS Foundation Trust and University of Southampton, Southampton, UK
| | - M J Johnson
- NIHR Biomedical Research Centre Southampton, University Hospital Southampton NHS Foundation Trust and University of Southampton, Southampton, UK
- Department of Neonatal Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK
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Abstract
The term "real-world evidence" (rwe) describes the analysis of data that are collected beyond the context of clinical trials. The use and application of rwe have become increasingly common and relevant, especially in oncology, because there is growing recognition that randomized controlled trials (rcts) might not be sufficiently representative of the entire patient population that is affected by cancer, and that specific clinical research questions might be best addressed by real-world data. In this brief review, our main aim is to highlight the role of rwe in informing cancer care, particularly focusing on specific examples from colorectal cancer. Our hope is to illustrate the ways in which rwe can complement rcts in improving the understanding of cancer management and how rwe can facilitate cancer treatment decisions for real-world patients encountered in routine clinical care.
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Affiliation(s)
- A Batra
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB.,Section of Medical Oncology, Tom Baker Cancer Centre, Calgary, AB
| | - W Y Cheung
- Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB.,Section of Medical Oncology, Tom Baker Cancer Centre, Calgary, AB
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Verma R, Ranjan R, Agrawal C, Batra A. Complementary role of 99m-Tc-TRODAT-1 and FDG PET-CT in evaluating patients of Parkinson's disease and other movement disorders: 7 years experience from a tertiary care center. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.1182] [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: 10/25/2022]
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Verma R, Ranjan R, Agrawal C, Batra A. Comprehensive functional evaluation of the spectrum of multi-system atrophy with 18F-FDG PET/CT and 99MTC TRODAT-1 SPECT: 5 years experience from a tertiary care centre. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.264] [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: 10/25/2022]
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25
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Kumar V, Saxena S, Gupta R, Batra A, Rajpal G. Acute stroke care: Experience of a tertiary care center in Delhi, the way to go. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.1085] [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: 10/25/2022]
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26
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Schmidt F, Dahlke K, Batra A, Keye J, Wu H, Friedrich M, Glauben R, Ring C, Loh G, Schaubeck M, Hackl H, Trajanoski Z, Schumann M, Kühl AA, Blaut M, Siegmund B. Microbial Colonization in Adulthood Shapes the Intestinal Macrophage Compartment. J Crohns Colitis 2019; 13:1173-1185. [PMID: 30938416 DOI: 10.1093/ecco-jcc/jjz036] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND AND AIMS Contact with distinct microbiota early in life has been shown to educate the mucosal immune system, hence providing protection against immune-mediated diseases. However, the impact of early versus late colonization with regard to the development of the intestinal macrophage compartment has not been studied so far. METHODS Germ-free mice were colonized with specific-pathogen-free [SPF] microbiota at the age of 5 weeks. The ileal and colonic macrophage compartment were analysed by immunohistochemistry, flow cytometry, and RNA sequencing 1 and 5 weeks after colonization and in age-matched SPF mice, which had had contact with microbiota since birth. To evaluate the functional differences, dextran sulfate sodium [DSS]-induced colitis was induced, and barrier function analyses were undertaken. RESULTS Germ-free mice were characterized by an atrophied intestinal wall and a profoundly reduced number of ileal macrophages. Strikingly, morphological restoration of the intestine occurred within the first week after colonization. In contrast, ileal macrophages required 5 weeks for complete restoration, whereas colonic macrophages were numerically unaffected. However, following DSS exposure, the presence of microbiota was a prerequisite for colonic macrophage infiltration. One week after colonization, mild colonic inflammation was observed, paralleled by a reduced inflammatory response after DSS treatment, in comparison with SPF mice. This attenuated inflammation was paralleled by a lack of TNFα production of LPS-stimulated colonic macrophages from SPF and colonized mice, suggesting desensitization of colonized mice by the colonization itself. CONCLUSIONS This study provides the first data indicating that after colonization of adult mice, the numeric, phenotypic, and functional restoration of the macrophage compartment requires the presence of intestinal microbiota and is time dependent.
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Affiliation(s)
- Franziska Schmidt
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
- Fachbereich Biologie, Chemie, Pharmazie, Freie Universität Berlin, Berlin, Germany
| | - Katja Dahlke
- Department of Gastrointestinal Microbiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
| | - Arvind Batra
- Neuroimmunology, Max-Planck-Institute of Neurobiology, Planegg-Martinsried, Germany
| | - Jacqueline Keye
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
- Fachbereich Biologie, Chemie, Pharmazie, Freie Universität Berlin, Berlin, Germany
| | - Hao Wu
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
- Fachbereich Biologie, Chemie, Pharmazie, Freie Universität Berlin, Berlin, Germany
| | - Marie Friedrich
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
- Fachbereich Biologie, Chemie, Pharmazie, Freie Universität Berlin, Berlin, Germany
| | - Rainer Glauben
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - Christiane Ring
- Department of Gastrointestinal Microbiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
| | - Gunnar Loh
- Department of Gastrointestinal Microbiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
| | - Monika Schaubeck
- Neuroimmunology, Max-Planck-Institute of Neurobiology, Planegg-Martinsried, Germany
| | - Hubert Hackl
- Biocenter, Division of Bioinformatics, Medical University of Innsbruck, Innsbruck, Austria
| | - Zlatko Trajanoski
- Biocenter, Division of Bioinformatics, Medical University of Innsbruck, Innsbruck, Austria
| | - Michael Schumann
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - Anja A Kühl
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - Michael Blaut
- Department of Gastrointestinal Microbiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany
| | - Britta Siegmund
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
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Forbes S, Batra A, Baligand C, Vandenborne K, Walter G. DMD TREATMENT: ANIMAL MODELS. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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28
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Raphael J, Batra A, Boldt G, Shah P, Blanchette P, Rodrigues G, Vincent M. P3.04-19 Do Advanced Lung Cancer Patients Derive Similar Survival Benefits from Immunotherapy? A Systematic Review and Meta-Analysis. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.1726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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29
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Hermann D, Hirth N, Reimold M, Batra A, Smolka MN, Hoffmann S, Kiefer F, Noori HR, Sommer WH, Reischl G, La Fougère C, Mann K, Spanagel R, Hansson AC. OR2-1Low μu-Opioid Receptor Status in Alcohol Dependence Identified by Combined Positron Emission Tomography and Post-Mortem Brain Analysis. Alcohol Alcohol 2017. [DOI: 10.1093/alcalc/agx074.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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30
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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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Mallick S, Lone M, Ramteke P, Purokait S, Gogia A, Batra A, Bakhshi S, Sharma A, Sharma M. CLINICO-PATHOLOGICAL PROFILE AND CMYC IMMUNOREACTIVITY OF ALK POSITIVE LARGE B CELL LYMPHOMA: REPORT OF NINE CASES. Hematol Oncol 2017. [DOI: 10.1002/hon.2439_165] [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: 11/12/2022]
Affiliation(s)
- S. Mallick
- Pathology; All India Institute of Medical Sciences; New Delhi India
| | - M.R. Lone
- Pathology; All India Institute of Medical Sciences; New Delhi India
| | - P. Ramteke
- Pathology; All India Institute of Medical Sciences; New Delhi India
| | - S. Purokait
- Pathology; All India Institute of Medical Sciences; New Delhi India
| | - A. Gogia
- Department of Medical Oncology; All India Institute of Medical Sciences; New Delhi India
| | - A. Batra
- Department of Medical Oncology; All India Institute of Medical Sciences; New Delhi India
| | - S. Bakhshi
- Department of Medical Oncology; All India Institute of Medical Sciences; New Delhi India
| | - A. Sharma
- Department of Medical Oncology; All India Institute of Medical Sciences; New Delhi India
| | - M.C. Sharma
- Pathology; All India Institute of Medical Sciences; New Delhi India
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Batra A, Eck S. Smoking Cessation and Soft Signs of Mental Disorders. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Smoking is associated with major depression, schizophrenia, anxiety and compulsive disorders, personality disorders, or substance abuse disorders [1,2]. More than that, smokers often report higher levels of novelty seeking, anxiety or depressive symptoms without fulfilling full diagnostic criteria for a psychiatric disorder.In a former study, Batra et al. [3] had shown that smokers reporting higher levels of novelty seeking/hyperactivity, depressivity, and nicotine dependence evince higher relapse rates after completion of a six-weeks behavioural treatment program than smokers reporting low scores on self-report psychological symptom measures.Another study [4] showed that a modified smoking cessation program matched to at-risk smokers’ needs with n = 268 adult smokers leads to higher long-term abstinence rates.All at-risk smokers had been randomly assigned to receive either a standard or modified treatment. Best results were shown for smokers with mild depressive symptoms. The talk reports results of former and recent studies and focuses on the German treatment guidelines for tobacco related disorders.These [5] recommend to assess tobacco use among patients with mental disorders and should be offered smoking cessation support under consideration of the acuteness and the particularities of the mental disorder using the same psychotherapeutic and pharmaceutical measures as for smokers without additional mental disorders.Disclosure of interestFinancial support by Pfizer, Parexel, SKB, Novartis for smoking cessation studies.
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Stiegler A, Bieber L, Karacay K, Wernz F, Batra A. [Barriers to Addressing Pregnant Patients' Cigarette and Alcohol Use: A Focus Group Study with Gynecologists]. Gesundheitswesen 2016; 78:816-821. [PMID: 28008576 DOI: 10.1055/s-0035-1548935] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Objectives/Purpose: Alcohol drinking and tobacco smoking pose high health risks for the unborn child. Even though routine testing during the course of pregnancy facilitates early intervention, addressing substance use in pregnancy seems to be more difficult. The aim of the study was to identify barriers to addressing pregnant patients' cigarette and alcohol use. Methods: 2 focus groups (in total N=10 participants) were conducted with gynaecologists. The transcripts of the discussions were analysed using Mayring's approach of qualitative text analysis. Results: Avoidance of addressing substance abuse directly, the social and educational background of patients influencing the communication in this matter and the physicians' ambivalence about their limits of responsibility were barriers often mentioned by the participants. Conclusion: In view of the several structural and individual barriers among gynaecologists identified in this study, gynaecologists obviously cannot be the only health professionals taking responsibility for coping with substance abuse among pregnant women. Strategies should be designed, e. g., to standardise the identification, counselling and referral process. Physicians should receive more support in improving their competences, and effective low-threshold treatment programmes for the women affected are required.
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Affiliation(s)
- A Stiegler
- Universitätsklinikum Tübingen, Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen
| | - L Bieber
- Universitätsklinikum Tübingen, Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen
| | - K Karacay
- Universitätsklinikum Tübingen, Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen
| | - F Wernz
- Universitätsklinikum Tübingen, Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen
| | - A Batra
- Universitätsklinikum Tübingen, Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen
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35
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Havemann-Reinecke U, Hoch E, Preuss UW, Kiefer F, Batra A, Gerlinger G, Hauth I. [On the legalization debate of non-medical cannabis consumption : Position paper of the German Association for Psychiatry, Psychotherapy and Psychosomatics]. Nervenarzt 2016; 88:291-298. [PMID: 27981374 DOI: 10.1007/s00115-016-0248-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Calls are increasing for the legalization of cannabis. Some legal experts, various politicians, political parties and associations are demanding a change in drug policy. The legalization debate is lively and receiving wide coverage in the media. The German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) comments on the most important questions from a medical scientific perspective: can cannabis consumption trigger mental illnesses, what consequences would legalization have for the healthcare system and where is more research needed?
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Affiliation(s)
- U Havemann-Reinecke
- Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen, Georg-August-Universität, Göttingen, Deutschland. .,Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Reinhardtstraße 27 B, 10117, Berlin, Deutschland.
| | - E Hoch
- Abt. Psychotherapie & Psychosomatik, Klinik und Poliklinik für Psychiatrie und Psychotherapie, LMU München, München, Deutschland.,Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Reinhardtstraße 27 B, 10117, Berlin, Deutschland
| | - U W Preuss
- Vitos Klinik für Psychiatrie und Psychotherapie Herborn, Herborn, Deutschland.,Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Reinhardtstraße 27 B, 10117, Berlin, Deutschland
| | - F Kiefer
- Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland.,Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Reinhardtstraße 27 B, 10117, Berlin, Deutschland
| | - A Batra
- Universitätsklinik für Psychiatrie und Psychotherapie, Eberhard-Karls-Universität Tübingen, Tübingen, Deutschland.,Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Reinhardtstraße 27 B, 10117, Berlin, Deutschland
| | - G Gerlinger
- Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Reinhardtstraße 27 B, 10117, Berlin, Deutschland
| | - I Hauth
- Zentrum für Neurologie, Psychiatrie, Psychotherapie und Psychosomatik, Alexianer St. Joseph Krankenhaus, Berlin, Deutschland.,Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (DGPPN), Reinhardtstraße 27 B, 10117, Berlin, Deutschland
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Stiegler A, Abele H, Batra A. IRIS - An Internet Based Intervention as a Suitable Path to Addictive Substance Use Prevention and Counselling in Pregnancy? Beneficiary Profiles and User Satisfaction. Geburtshilfe Frauenheilkd 2016; 76:1163-1171. [PMID: 27904166 DOI: 10.1055/s-0042-109867] [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] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
Alcohol or tobacco consumption in pregnancy can harm the unborn child. Counselling on this subject is therefore of major importance. The aim of the presented study was not only to develop an internet based, professionally e-mail accompanied platform for alcohol or tobacco consuming pregnant women ("IRIS Platform") but also to analyse the beneficiary profiles and investigate the practicability and acceptance of the platform among women and referring gynaecologists. The offer comprised three 12-week counselling programmes (alcohol, tobacco, combined consumption). Altogether 32 women registered within the recruitment period of 20 weeks, only 9 of them at the suggestion of gynaecologists. Thirty were enrolled. The average age was 31 years. Ten women were pregnant for the first time, 14 unplanned. Most of them were smokers (n = 29). 75 % (n = 12 of 16) of them had smoked in the previous pregnancies, 5 of 16 women had suffered miscarriages. Six women completed the entire 12 week programme. The abstinence rate after 3 months was min. 18.5 % (ITT) in the tobacco group, while in the alcohol programme 3 women achieved abstinence. Satisfaction was reported especially for the eCoach initiative. The results demonstrate that an internet-based service like IRIS can be a useful form of support for tobacco or alcohol consuming pregnant women. A particular challenge is the accessibility of the persons concerned and the form in which alcohol consuming pregnant women are approached in daily medical practice. The individual contact to the eCoach can be a decisive form of support and aid to motivation.
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Affiliation(s)
- A Stiegler
- Section for Addiction Medicine and Addiction Research, University Hospital Tübingen, University Department of Psychiatry and Psychotherapy, Tübingen, Germany
| | - H Abele
- University Gynaecology Department, University Hospital Tübingen, Tübingen, Germany
| | - A Batra
- Section for Addiction Medicine and Addiction Research, University Hospital Tübingen, University Department of Psychiatry and Psychotherapy, Tübingen, Germany
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Kroczek AM, Häußinger FB, Rohe T, Schneider S, Plewnia C, Batra A, Fallgatter AJ, Ehlis AC. Effects of transcranial direct current stimulation on craving, heart-rate variability and prefrontal hemodynamics during smoking cue exposure. Drug Alcohol Depend 2016; 168:123-127. [PMID: 27639130 DOI: 10.1016/j.drugalcdep.2016.09.006] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [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: 04/10/2016] [Revised: 09/02/2016] [Accepted: 09/03/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Drug-related cue exposure elicits craving and risk for relapse during recovery. Transcranial direct current stimulation is a promising research tool and possible treatment for relapse prevention. Enhanced functional neuroconnectivity is discussed as a treatment target. The goal of this research was to examine whether transcranial direct current stimulation affected cortical hemodynamic indicators of functional connectivity, craving, and heart rate variability during smoking-related cue exposure in non-treatment-seeking smokers. METHOD In vivo smoking cue exposure supported by a 2mA transcranial direct current stimulation (anode: dorsolateral prefrontal cortex, cathode: orbitofrontal cortex; placebo-controlled, randomized, double-blind) in 29 (age: M=25, SD=5) German university students (smoking at least once a week). Cue reactivity was assessed on an autonomous (heart rate variability) and a subjective level (craving ratings). Functional near-infrared spectroscopy measured changes in the concentration of deoxygenated hemoglobin, and seed-based correlation analysis was used to quantify prefrontal connectivity of brain regions involved in cue reactivity. RESULTS Cue exposure elicited increased subjective craving and heart rate variability changes in smokers. Connectivity between the orbitofrontal and dorsolateral prefrontal cortex was increased in subjects receiving verum compared to placebo stimulation (d=0.66). Hemodynamics in the left dorsolateral prefrontal cortex, however, increased in the group receiving sham stimulation (η2=0.140). Transcranial direct current stimulation did not significantly alter craving or heart rate variability during cue exposure. CONCLUSION Prefrontal connectivity - between regions involved in the processing of reinforcement value and cognitive control - was increased by anodal transcranial direct current stimulation during smoking cue exposure. Possible clinical implications should be considered in future studies.
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Affiliation(s)
- A M Kroczek
- Department of Psychiatry and Psychotherapy Tuebingen, University of Tuebingen, Germany; Graduate School of Neural and Behavioural Sciences Tuebingen, Germany.
| | - F B Häußinger
- Department of Psychiatry and Psychotherapy Tuebingen, University of Tuebingen, Germany; Graduate School of Neural and Behavioural Sciences Tuebingen, Germany
| | - T Rohe
- Department of Psychiatry and Psychotherapy Tuebingen, University of Tuebingen, Germany
| | - S Schneider
- Department of Psychiatry and Psychotherapy Tuebingen, University of Tuebingen, Germany
| | - C Plewnia
- Department of Psychiatry and Psychotherapy Tuebingen, University of Tuebingen, Germany; Werner Reichardt Centre for Integrative Neuroscience, Tuebingen, Germany
| | - A Batra
- Department of Psychiatry and Psychotherapy Tuebingen, University of Tuebingen, Germany
| | - A J Fallgatter
- Department of Psychiatry and Psychotherapy Tuebingen, University of Tuebingen, Germany; LEAD Graduate School Tuebingen, Germany; Werner Reichardt Centre for Integrative Neuroscience, Tuebingen, Germany
| | - A-C Ehlis
- Department of Psychiatry and Psychotherapy Tuebingen, University of Tuebingen, Germany; LEAD Graduate School Tuebingen, Germany
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Abstract
The coincidence of tobacco smoking and psychiatric disorders is of great epidemiological and therapeutic importance. Tobacco smoking by people with mental disorders leads to disproportionately high somatic health risks, an adverse clinical course, poorer clinical outcomes and reduced quality of life (QoL). The etiological causes of the high comorbidity between smoking and mental disorders are still unclear: currently, tobacco smoking is discussed as being either the consequence or contributory cause of psychological disorders or both disorders share common antecedents and interactions. Psychiatric patients are motivated to quit and smoking cessation is not generally less effective with smokers with mental disorders than with mentally healthy individuals. Specific smoking cessation programs in the inpatient and outpatient settings are time-consuming and complex but effective. Within the framework of the current S3 guidelines the international evidence has been updated and transformed into treatment guidelines following an elaborate consensus process. Basically the same interventional measures should be used as with mentally healthy individuals; however, smokers with a psychological comorbidity often need more intensive adjuvant psychotherapeutic interventions and often need pharmaceutical support, (bupropion, varenicline and nicotine replacement therapy). Due to the overall unsatisfactory findings the treatment guidelines are partially based on clinical consensus decisions. In this field, a considerable need for research has been determined.
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Affiliation(s)
- S Mühlig
- Institut für Psychologie, Klinische Psychologie und Psychotherapie, Technische Universität Chemnitz, Wilhelm-Raabe-Str. 43, 09107, Chemnitz, Deutschland.
| | - S Andreas
- Lungenfachklinik Immenhausen, Pneumologische Lehrklinik der Universitätsmedizin Göttingen, Immenhausen, Deutschland
| | - A Batra
- Lungenfachklinik Immenhausen, Pneumologische Lehrklinik der Universitätsmedizin Göttingen, Immenhausen, Deutschland
| | - K U Petersen
- Allgemeine Psychiatrie und Psychotherapie mit Poliklinik, Universitätsklinikum Tübingen, Eberhard Karis Universität Tübingen, Tübingen, Deutschland
| | - E Hoch
- Abteilung Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Mannheim, Deutschland
| | - T Rüther
- Klinik für Psychiatrie und Psychotherapie, Klinikum der Universität München, München, Deutschland
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Pannell M, Labuz D, Celik MÖ, Keye J, Batra A, Siegmund B, Machelska H. Adoptive transfer of M2 macrophages reduces neuropathic pain via opioid peptides. J Neuroinflammation 2016; 13:262. [PMID: 27717401 PMCID: PMC5055715 DOI: 10.1186/s12974-016-0735-z] [Citation(s) in RCA: 77] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 09/28/2016] [Indexed: 12/14/2022] Open
Abstract
Background During the inflammation which occurs following nerve damage, macrophages are recruited to the site of injury. Phenotypic diversity is a hallmark of the macrophage lineage and includes pro-inflammatory M1 and anti-inflammatory M2 populations. Our aim in this study was to investigate the ability of polarized M0, M1, and M2 macrophages to secrete opioid peptides and to examine their relative contribution to the modulation of neuropathic pain. Methods Mouse bone marrow-derived cells were cultured as unstimulated M0 macrophages or were stimulated into an M1 phenotype using lipopolysaccharide and interferon-γ or into an M2 phenotype using interleukin-4. The macrophage phenotypes were verified using flow cytometry for surface marker analysis and cytokine bead array for cytokine profile assessment. Opioid peptide levels were measured by radioimmunoassay and enzyme immunoassay. As a model of neuropathic pain, a chronic constriction injury (CCI) of the sciatic nerve was employed. Polarized M0, M1, and M2 macrophages (5 × 105 cells) were injected perineurally twice, on days 14 and 15 following CCI or sham surgery. Mechanical and heat sensitivity were measured using the von Frey and Hargreaves tests, respectively. To track the injected macrophages, we also transferred fluorescently stained polarized cells and analyzed the surface marker profile of endogenous and injected cells in the nerves ex vivo. Results Compared to M0 and M1 cells, M2 macrophages contained and released higher amounts of opioid peptides, including Met-enkephalin, dynorphin A (1–17), and β-endorphin. M2 cells transferred perineurally at the nerve injury site reduced mechanical, but not heat hypersensitivity following the second injection. The analgesic effect was reversed by the perineurally applied opioid receptor antagonist naloxone methiodide. M2 cells did not affect sensitivity following sham surgery. Neither M0 nor M1 cells altered mechanical and heat sensitivity in CCI or sham-operated animals. Tracing the fluorescently labeled M0, M1, and M2 cells ex vivo showed that they remained in the nerve and preserved their phenotype. Conclusions Perineural transplantation of M2 macrophages resulted in opioid-mediated amelioration of neuropathy-induced mechanical hypersensitivity, while M1 macrophages did not exacerbate pain. Therefore, rather than focusing on macrophage-induced pain generation, promoting opioid-mediated M2 actions may be more relevant for pain control.
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Affiliation(s)
- Maria Pannell
- Department of Anesthesiology and Critical Care Medicine, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany
| | - Dominika Labuz
- Department of Anesthesiology and Critical Care Medicine, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany
| | - Melih Ö Celik
- Department of Anesthesiology and Critical Care Medicine, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany
| | - Jacqueline Keye
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany
| | - Arvind Batra
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany
| | - Britta Siegmund
- Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany
| | - Halina Machelska
- Department of Anesthesiology and Critical Care Medicine, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Germany.
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Batra A, Dhawan D, Bakhshi S. Psychosocial quality of life in 30 survivors of bilateral retinoblastoma. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw386.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Ord H, Harper C, Pearson F, Marino LV, Saha A, Batra A. Low vitamin A levels in preterm neonates receiving long-term parenteral vitamin A supplementation. Arch Dis Child Fetal Neonatal Ed 2016; 101:F481. [PMID: 27335382 DOI: 10.1136/archdischild-2016-310584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/31/2016] [Indexed: 11/04/2022]
Affiliation(s)
- H Ord
- Department of Paediatrics, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - C Harper
- Department of Paediatrics, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - F Pearson
- Department of Paediatrics, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - L V Marino
- Department of Paediatrics, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - A Saha
- Department of Paediatrics, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - A Batra
- Department of Paediatrics, University Hospital Southampton NHS Foundation Trust, Southampton, UK
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Rath G, Jawanjal P, Batra A, Sharma U. Significance and association of human papilloma virus infection with notch signaling pathway in ovarian cancer. J ANAT SOC INDIA 2016. [DOI: 10.1016/j.jasi.2016.08.287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Rausch P, Basic M, Batra A, Bischoff SC, Blaut M, Clavel T, Gläsner J, Gopalakrishnan S, Grassl GA, Günther C, Haller D, Hirose M, Ibrahim S, Loh G, Mattner J, Nagel S, Pabst O, Schmidt F, Siegmund B, Strowig T, Volynets V, Wirtz S, Zeissig S, Zeissig Y, Bleich A, Baines JF. Analysis of factors contributing to variation in the C57BL/6J fecal microbiota across German animal facilities. Int J Med Microbiol 2016; 306:343-355. [PMID: 27053239 DOI: 10.1016/j.ijmm.2016.03.004] [Citation(s) in RCA: 118] [Impact Index Per Article: 14.8] [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: 01/31/2016] [Revised: 03/04/2016] [Accepted: 03/07/2016] [Indexed: 12/18/2022] Open
Abstract
The intestinal microbiota is involved in many physiological processes and it is increasingly recognized that differences in community composition can influence the outcome of a variety of murine models used in biomedical research. In an effort to describe and account for the variation in intestinal microbiota composition across the animal facilities of participating members of the DFG Priority Program 1656 "Intestinal Microbiota", we performed a survey of C57BL/6J mice from 21 different mouse rooms/facilities located at 13 different institutions across Germany. Fresh feces was sampled from five mice per room/facility using standardized procedures, followed by extraction and 16S rRNA gene profiling (V1-V2 region, Illumina MiSeq) at both the DNA and RNA (reverse transcribed to cDNA) level. In order to determine the variables contributing to bacterial community differences, we collected detailed questionnaires of animal husbandry practices and incorporated this information into our analyses. We identified considerable variation in a number of descriptive aspects including the proportions of major phyla, alpha- and beta diversity, all of which displayed significant associations to specific aspects of husbandry. Salient findings include a reduction in alpha diversity with the use of irradiated chow, an increase in inter-individual variability (beta diversity) with respect to barrier access and open cages and an increase in bacterial community divergence with time since importing from a vendor. We further observe a high degree of facility-level individuality, which is likely due to each facility harboring its own unique combination of multiple varying attributes of animal husbandry. While it is important to account and control for such differences between facilities, the documentation of such diversity may also serve as a valuable future resource for investigating the origins of microbial-driven host phenotypes.
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Affiliation(s)
- Philipp Rausch
- Max Planck Institute for Evolutionary Biology, Evolutionary Genomics, August-Thienemann-Str. 2, 24306, Plön, Germany; Institute for Experimental Medicine, Evolutionary Genomics, Christian-Albrechts-University of Kiel, Arnold-Heller-Str. 3, Haus 17, 24105 Kiel, Germany
| | - Marijana Basic
- Institute for Laboratory Animal Science and Central Animal Facility, Hannover Medical School, Carl-Neuberg-Str.1, 30625 Hannover, Germany
| | - Arvind Batra
- Charité-Universitätsklinikum Berlin, Medical Department, Division of Gastroenterology, Infectiology and Rheumatology, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Stephan C Bischoff
- Department of Nutritional Medicine, University of Hohenheim, Fruwirthstr. 12, 70593 Stuttgart, Germany
| | - Michael Blaut
- Department of Gastrointestinal Microbiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Arthur-Scheunert-Allee 114-116, 14558, Nuthetal, Germany
| | - Thomas Clavel
- ZIEL Institute for Food and Health, Technische Universität München, Gregor-Mendel-Str. 2, 85354, Freising-Weihenstephan, Germany
| | - Joachim Gläsner
- Institute for Medical Microbiology and Hygiene, Franz-Josef-Strauß-Allee 11, 93053 Regensburg, Germany
| | - Shreya Gopalakrishnan
- Department of Internal Medicine I, University Medical Center Schleswig-Holstein, Arnold-Heller-Str. 3, 24105 Kiel, Germany
| | - Guntram A Grassl
- German Center for Infection Research (DZIF), Hannover-Braunschweig Site, Carl-Neuberg-Str. 1, 30625 Hannover, Germany; Institute of Medical Microbiology and Hospital Epidemiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany; Research Center Borstel, Parkallee 1-40, 23845, Borstel, Germany
| | - Claudia Günther
- Medical Clinic 1, Friedrich Alexander University, Ulmenweg 18, 91054 Erlangen, Germany
| | - Dirk Haller
- ZIEL Institute for Food and Health, Technische Universität München, Gregor-Mendel-Str. 2, 85354, Freising-Weihenstephan, Germany; Chair of Nutrition and Immunology, Technische Universität München, Gregor-Mendel-Str. 2, 85354 Freising-Weihenstephan, Germany
| | - Misa Hirose
- Lübeck Institute of Experimental Dermatology, University of Lübeck, Ratzeburger Allee 160, 23562 Lübeck, Germany
| | - Saleh Ibrahim
- Lübeck Institute of Experimental Dermatology, University of Lübeck, Ratzeburger Allee 160, 23562 Lübeck, Germany
| | - Gunnar Loh
- Department of Gastrointestinal Microbiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Arthur-Scheunert-Allee 114-116, 14558, Nuthetal, Germany
| | - Jochen Mattner
- Mikrobiologisches Institut - Klinische Mikrobiologie, Immunologie und Hygiene, Lehrstuhl für Mikrobiologie und Infektionsimmunologie, Wasserturmstr. 3/5, 91054 Erlangen, Germany
| | - Stefan Nagel
- Charité - Universitätsklinikum Berlin, Research Institutes for Experimental Medicine, Krahmerstr. 6-10, 12207 Berlin, Germany
| | - Oliver Pabst
- Institute of Molecular Medicine, RWTH University, Pauwelsstraße 30, 52074, Aachen, Germany
| | - Franziska Schmidt
- Charité-Universitätsklinikum Berlin, Medical Department, Division of Gastroenterology, Infectiology and Rheumatology, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Britta Siegmund
- Charité-Universitätsklinikum Berlin, Medical Department, Division of Gastroenterology, Infectiology and Rheumatology, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Till Strowig
- Helmholtz Centre for Infection Research, Inhoffenstraße 7, 38124 Braunschweig, Germany
| | - Valentina Volynets
- Department of Nutritional Medicine, University of Hohenheim, Fruwirthstr. 12, 70593 Stuttgart, Germany
| | - Stefan Wirtz
- Medical Clinic 1, Friedrich Alexander University, Ulmenweg 18, 91054 Erlangen, Germany
| | - Sebastian Zeissig
- Department of Internal Medicine I, University Medical Center Schleswig-Holstein, Arnold-Heller-Str. 3, 24105 Kiel, Germany; Department of Medicine I, University Medical Center Dresden and Center for Regenerative Therapies, Technical University Dresden, 01307 Dresden, Germany
| | - Yvonne Zeissig
- Department of Internal Medicine I, University Medical Center Schleswig-Holstein, Arnold-Heller-Str. 3, 24105 Kiel, Germany; Department of General Pediatrics, University Medical Center Dresden, Technical University Dresden, 01307 Dresden, Germany
| | - André Bleich
- Institute for Laboratory Animal Science and Central Animal Facility, Hannover Medical School, Carl-Neuberg-Str.1, 30625 Hannover, Germany
| | - John F Baines
- Max Planck Institute for Evolutionary Biology, Evolutionary Genomics, August-Thienemann-Str. 2, 24306, Plön, Germany; Institute for Experimental Medicine, Evolutionary Genomics, Christian-Albrechts-University of Kiel, Arnold-Heller-Str. 3, Haus 17, 24105 Kiel, Germany.
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Srivastava R, Batra A, Tyagi A, Dhawan D, Ramakrishnan L, Bakhshi S. Adiponectin correlates with obesity: A study of 159 childhood acute leukemia survivors from India. Indian J Cancer 2016; 52:195-7. [PMID: 26853401 DOI: 10.4103/0019-509x.175824] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Acute lymphoblastic leukemia survivors are predisposed to obesity. However, the exact underlying mechanisms are not known. AIMS The study was done to assess the role of biomarkers of obesity in acute leukemia survivors. SETTINGS AND DESIGNS This is a cross-sectional study conducted at All India Institute of Medical Sciences in survivors of acute leukemia who had completed treatment at least 1 year before enrollment in this study. MATERIALS AND METHODS Obesity was studied by determining the body mass index. Potential biomarkers were studied by assessing serum leptin, resistin, and adiponectin by enzyme-linked immunosorbant assay, and the results were compared in obese versus nonobese survivors. STATISTICAL ANALYSIS Descriptive analysis for baseline demographic factors and Student's t-test for comparing the mean levels of biomarkers among the obese and nonobese survivors. RESULTS One hundred and fifty-nine acute leukemia patients were enrolled in this study with a median follow-up of 36.8 months. The median age was 10 (range: 3-18) years, and 123 (77.3%) patients were males. The overall prevalence of overweight/obesity was 26.4%, and this was similar in acute myeloid leukemia and acute lymphoblastic leukemia sub-groups (26.2% vs. 27.3%, P = 0.9). Mean serum leptin and resistin were similar in obese and nonobese leukemia survivors (3.7 vs. 2.85 pg/mL, P = 0.064; 8.01 vs. 9.33 ng/mL, P = 0.36). However, mean serum adiponectin was significantly lower in obese leukemia survivors (7.97 vs. 11.5 μg/mL, P = 0.023). CONCLUSIONS Obese leukemic survivors had lower serum adiponectin levels than nonobese survivors. However, serum resistin and leptin levels were similar in the two groups.
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Affiliation(s)
| | | | | | | | | | - S Bakhshi
- Department of Medical Oncology, Dr. B. R. A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India
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Mann K, Batra A. [S3 guidelines on alcohol and tobacco-related disorders]. Nervenarzt 2016; 87:4-5. [PMID: 26670022 DOI: 10.1007/s00115-015-0029-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- K Mann
- Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J 5, 68159, Mannheim, Deutschland.
| | - A Batra
- Sektion Suchtforschung und Suchttherapie, Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Tübingen, Calwer Str. 14, 72076, Tübingen, Deutschland.
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Abstract
BACKGROUND From 2010 until 2015 two interdisciplinary evidence-based guidelines were developed to summarize the current knowledge regarding screening, diagnostics and treatment of alcohol and tobacco-related disorders. METHODS Both guidelines were prepared under the auspices of the German Society for Psychiatry, Psychotherapy and Psychosomatics (Deutsche Gesellschaft für Psychiatrie, Psychotherapie, Psychosomatik und Nervenheilkunde, DGPPN) and the German Society for Addiction Research and Therapy (Deutsche Gesellschaft für Suchtforschung und -therapie, DG-Sucht). To meet the methodological criteria for the highest quality guidelines (S3 criteria) as defined by the Association of the Scientific Medical Societies in Germany (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF) the following criteria were realized: (1) a systematic search, selection and appraisal of the international literature, (2) a structured process to reach consensus and (3) inclusion of all relevant representatives of future guideline users. RESULTS More than 60 clinical experts and researchers analyzed the scientific literature. In total 41 international and national guidelines (23 for alcohol and 18 for tobacco) were used. Moreover, 83 systematic Cochrane reviews (alcohol 28, tobacco 55) and 5863 articles (alcohol 2213, tobacco 3650) were analyzed. A total of 7 expert groups formulated 174 recommendations for the screening, diagnosis and treatment of alcohol-related disorders. Six expert groups created 81 recommendations for the screening, diagnosis and treatment of tobacco-related disorders. Approximately 50 scientific associations, professional organizations, patient and family initiatives, as well as representatives of the healthcare system formed a consensus group. In seven 1 and 2-day conferences, all clinical recommendations were discussed and approved by this group. Both guidelines will be revised on a regular basis to guarantee that the clinical recommendations are kept up to date. CONCLUSIONS Both systematically developed, evidence-based treatment guidelines are comprehensive instruments to provide orientation and assist the decision-making process for physicians, psychologists and other therapists as well as patients and their families in the diagnosis and treatment of alcohol and tobacco use related disorders.
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Affiliation(s)
- E Hoch
- Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J 5, 68159, Mannheim, Deutschland.,Abt. Psychotherapie und Psychosomatik, Klinik und Poliklinik für Psychiatrie und Psychotherapie der LMU München, München, Deutschland
| | - K Petersen
- Sektion Suchtforschung und Suchttherapie, Klinik für Psychiatrie und Psychotherapie, Universitätsklinik Tübingen, Tübingen, Deutschland
| | - I Kopp
- AWMF-Institut für Medizinisches Wissensmanagement, Philipps-Universität, Marburg, Deutschland
| | - A Batra
- Sektion Suchtforschung und Suchttherapie, Klinik für Psychiatrie und Psychotherapie, Universitätsklinik Tübingen, Tübingen, Deutschland
| | - K Mann
- Klinik für Abhängiges Verhalten und Suchtmedizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J 5, 68159, Mannheim, Deutschland.
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Batra A, Pushker N, Venkatesh P, Bakhshi S. 507P Visual outcomes and ocular coherence tomography in patients with intraocular retinoblastoma with eye preservation. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv535.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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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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Hoch E, Petersen K, Batra A, Mann K. Messbare Qualitätsverbesserung in der Praxis?! Entwicklung von sektorenübergreifenden Qualitätsindikatoren aus der S3-Leitlinie Alkohol. Suchttherapie 2015. [DOI: 10.1055/s-0035-1557569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Batra A, Patekar M, Bakhshi S. Short stature in retinoblastoma survivors: a cross-sectional study of 138 patients. Clin Transl Oncol 2015; 18:381-4. [PMID: 26286069 DOI: 10.1007/s12094-015-1380-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 06/08/2015] [Accepted: 08/05/2015] [Indexed: 11/25/2022]
Abstract
PURPOSE Short stature has been reported in pediatric cancer survivors. Data on retinoblastoma survivors are limited. We conducted a cross-sectional study to assess the height in retinoblastoma survivors. METHOD The recorded height was compared with median height for age and sex as per the Indian Academy of Pediatrics. Z-score less than -2 was considered short statured. RESULT Thirty percent of the survivors were short statured. The mean height was shorter than the mean 50th percentile height (119.7 ± 14.8 vs 128.7 ± 15 cm, p < 0.001). Previous chemotherapy showed a trend toward association (p = 0.09). CONCLUSION Short stature affects a significant number of retinoblastoma survivors.
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Affiliation(s)
- A Batra
- Department of Medical Oncology, Dr. B.R.A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - M Patekar
- Department of Medical Oncology, Dr. B.R.A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, 110029, India
| | - S Bakhshi
- Department of Medical Oncology, Dr. B.R.A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, 110029, India.
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