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Salem M, Friedrich C, Herbers L, Reimers J, Friedrichs A, Lutter G, Thiem A, Panholzer B, Puehler T, Schoettler J, Frank D, Schoeneich F, Cremer J, Haneya A. Surgical Treatment for Active Infective Prosthetic Valve Endocarditis: A Single-Center Experience. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725753] [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: 10/21/2022]
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Tulun A, Hillmer J, Kolat P, Grothusen C, Panholzer B, Schoeneich F, Haneya A, Cremer J, Schöttler J. Outcomes of Surgery for Cardiac Myxoma with Cerebral Embolism. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725852] [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: 10/21/2022]
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Kapahnke J, Huenges K, Salem M, Kolat P, Schoettler J, Schoeneich F, Puehler T, Friedrich C, Cremer J, Haneya A. The Circulatory Arrest Time in Patients with Acute Type A Aortic Dissection: Does It Influence the Outcome? Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705505] [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: 10/24/2022]
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Tulun A, Panholzer B, Schoeneich F, Schoettler J, Puehler T, Cremer J, Haneya A. Outcome of Postinfarction Ventricular Septal Defect Repair in the Era of Mechanical Circulatory Support. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705347] [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: 10/24/2022]
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Huenges K, Salem M, Panholzer B, Friedrich C, Schöttler J, Schoeneich F, Pühler T, Cremer J, Haneya A. Influence of Acute Kidney Injury in Patients with Acute Aortic Dissection Type A. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678855] [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: 10/27/2022]
Affiliation(s)
- K. Huenges
- Department of Cardiovascular Surgery, UKSH Kiel, Kiel, Germany
| | - M. Salem
- Department of Cardiovascular Surgery, UKSH Kiel, Kiel, Germany
| | - B. Panholzer
- Department of Cardiovascular Surgery, UKSH Kiel, Kiel, Germany
| | - C. Friedrich
- Department of Cardiovascular Surgery, UKSH Kiel, Kiel, Germany
| | - J. Schöttler
- Department of Cardiovascular Surgery, UKSH Kiel, Kiel, Germany
| | - F. Schoeneich
- Department of Cardiovascular Surgery, UKSH Kiel, Kiel, Germany
| | - T. Pühler
- Department of Cardiovascular Surgery, UKSH Kiel, Kiel, Germany
| | - J. Cremer
- Department of Cardiovascular Surgery, UKSH Kiel, Kiel, Germany
| | - A. Haneya
- Department of Cardiovascular Surgery, UKSH Kiel, Kiel, Germany
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Puehler T, Salem M, Huenges K, Panholzer B, Friedrich C, Schoettler J, Schoeneich F, Cremer J, Haneya A. Is Total Arch Replacement Associated with an Increased Risk for 30-day Mortality after Surgery for Acute Type A Dissection. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1627889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- T. Puehler
- Department of Cardiovascular Surgery, University Schleswig-Holstein Campus Kiel, Kiel, Germany
| | - M. Salem
- Department of Cardiovascular Surgery, University Schleswig-Holstein Campus Kiel, Kiel, Germany
| | - K. Huenges
- Department of Cardiovascular Surgery, University Schleswig-Holstein Campus Kiel, Kiel, Germany
| | - B. Panholzer
- Department of Cardiovascular Surgery, University Schleswig-Holstein Campus Kiel, Kiel, Germany
| | - C. Friedrich
- Department of Cardiovascular Surgery, University Schleswig-Holstein Campus Kiel, Kiel, Germany
| | - J. Schoettler
- Department of Cardiovascular Surgery, University Schleswig-Holstein Campus Kiel, Kiel, Germany
| | - F. Schoeneich
- Department of Cardiovascular Surgery, University Schleswig-Holstein Campus Kiel, Kiel, Germany
| | - J. Cremer
- Department of Cardiovascular Surgery, University Schleswig-Holstein Campus Kiel, Kiel, Germany
| | - A. Haneya
- Department of Cardiovascular Surgery, University Schleswig-Holstein Campus Kiel, Kiel, Germany
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Salem M, Salem A, Düver S, Erdal Y, Psykalla N, Friedrich C, Panholzer B, Huenges K, Pühler T, Schoettler J, Schoeneich F, Cremer J, Haneya A. Effect of Deep Hypothermia Circulatory Arrest on Neurological Outcomes in Patients Undergoing Replacement of Ascending Aorta: A Comparison between Young and Elderly Adults. Thorac Cardiovasc Surg 2018. [DOI: 10.1055/s-0038-1628051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- M. Salem
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - A. Salem
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - S. Düver
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - Y. Erdal
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - N. Psykalla
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - C. Friedrich
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - B. Panholzer
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - K. Huenges
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - T. Pühler
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - J. Schoettler
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - F. Schoeneich
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - J. Cremer
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | - A. Haneya
- Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
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Salem M, Mohammad B, Huenges K, Panholzer B, Hoffmann G, Schöttler J, Schoeneich F, Cremer J, Haneya A. Severe Calcification of the Ascending Aorta Detected Incidentally in Patients Undergoing Coronary Artery Bypass Grafting. Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M. Salem
- University Hospital Schleswig-Holstein (UKSH), Cardiovascular Surgery, Kiel, Germany
| | - B. Mohammad
- University Hospital Schleswig-Holstein (UKSH), Cardiovascular Surgery, Kiel, Germany
| | - K. Huenges
- University Hospital Schleswig-Holstein (UKSH), Cardiovascular Surgery, Kiel, Germany
| | - B. Panholzer
- University Hospital Schleswig-Holstein (UKSH), Cardiovascular Surgery, Kiel, Germany
| | - G. Hoffmann
- University Hospital Schleswig-Holstein (UKSH), Cardiovascular Surgery, Kiel, Germany
| | - J. Schöttler
- University Hospital Schleswig-Holstein (UKSH), Cardiovascular Surgery, Kiel, Germany
| | - F. Schoeneich
- University Hospital Schleswig-Holstein (UKSH), Cardiovascular Surgery, Kiel, Germany
| | - J. Cremer
- University Hospital Schleswig-Holstein (UKSH), Cardiovascular Surgery, Kiel, Germany
| | - A. Haneya
- University Hospital Schleswig-Holstein (UKSH), Cardiovascular Surgery, Kiel, Germany
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Jussli-Melchers J, Berndt R, Haneya A, Heller C, Schoeneich F, Cremer J. Impact of Gender on Outcome in Octogenarians after Coronary Artery Bypass Grafting. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544522] [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]
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Haneya A, Jussli-Melchers J, Berndt R, Tautorat I, Schmidt K, Schoeneich F, Rahimi A, Grothusen C, Schöttler J, Cremer J. Outcome and quality of life following surgery for acute type A aortic dissection in the elderly: A single center experience. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367157] [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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Thiem A, Ernst K, Kowalski A, Hoffmann G, Haneya A, Schoeneich F, Cremer J, Schöttler J. Effects on antiarrhythmic and anticoagulation therapy after concomitant epicardial left atrial ablation procedure - one year results. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367439] [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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Schöttler J, Friedrich C, Osberghaus C, Grothusen C, Attmann T, Schoeneich F, Cremer J. Factors determining short term outcome after early coronary artery bypass grafting in acute myocardial infarction. Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332677] [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: 10/27/2022]
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Thiem A, Kowalski A, Schoeneich F, Buessow M, Friedrich C, Lutter G, Cremer J, Schöttler J. Concomitant surgical ablation in cardiac surgery patients: Does sinus rhythm 12 months postoperatively result in a better quality of life? Thorac Cardiovasc Surg 2013. [DOI: 10.1055/s-0032-1332670] [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: 10/27/2022]
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Schoeneich F, Rahimi A, Eide M, Grothusen C, Hoffmann G, Schöttler J, Cremer J. Transatrial left ventricular cannulation for arterial return to manage retrograde type A dissection in minimally invasive mitral valve surgery. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297652] [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: 10/14/2022]
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Schoeneich F, Rahimi-Barfeh A, Cremer J. Kieler transatriale Kanülierung des linken Ventrikels bei akuter Typ-A-Dissektion. Z Herz- Thorax- Gefäßchir 2012. [DOI: 10.1007/s00398-011-0905-3] [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: 10/14/2022]
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Schoeneich F, Rahimi A, Eide M, Grothusen C, Hoffmann G, Schöttler J, Cremer J. Transatrial left ventricular cannulation for arterial return in CABG with severe aortic calcification. Thorac Cardiovasc Surg 2012. [DOI: 10.1055/s-0031-1297707] [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: 10/14/2022]
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Schoeneich F, Rahimi A, Hoffmann G, Eide M, Schöttler J, Cremer J. Transatrial left-ventricular cannulation in acute typ A aortic dissection: Save, easy and effective! Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Schöttler J, Jussli-Melchers J, Stracke L, Stohn S, Schoeneich F, Rahimi A, Hagemann A, Lutter G, Cremer J. Support of saphenous vein grafts externally with a Nitinol mesh (eSVS™, Kips Bay Medical, Minneapolis, USA) during coronary artery bypass grafting. Thorac Cardiovasc Surg 2011. [DOI: 10.1055/s-0030-1269362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Schöttler J, Lutter G, Böning A, Soltau D, Bein B, Caliebe D, Haake N, Schoeneich F, Cremer J. Is There Really a Clinical Benefit of Using Minimized Extracorporeal Circulation for Coronary Artery Bypass Grafting? Thorac Cardiovasc Surg 2008; 56:65-70. [DOI: 10.1055/s-2007-989336] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Kowalski A, Schoeneich F, Ernst M, Haake N, Cremer J. Emergency resternotomy after open cardiac surgery in the ICU is not a risk factor for deep wound infections. Thorac Cardiovasc Surg 2008. [DOI: 10.1055/s-2008-1037770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schöttler J, Lutter G, Soltau D, Schoeneich F, Haake N, Fraund S, Cremer J, Böning A. Hemodilution, oncotic pressure and extravascular lung water during minimized extracorporeal circulation (MECC) for coronary artery bypass grafting. Thorac Cardiovasc Surg 2007. [DOI: 10.1055/s-2007-967643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schoeneich F, Boening A, Sch�ttler J, Lichtenberg A, Bagaev E, Klima U, Cremer J. First clinical results with a 30° end-to-side coronary anastomosis coupler. Thorac Cardiovasc Surg 2004. [DOI: 10.1055/s-2004-816673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Weber C, Bronner E, Thier P, Schoeneich F, Walter O, Klapp BF, Kingreen D. Body experience and mental representation of body image in patients with haematological malignancies and cancer as assessed with the Body Grid. Br J Med Psychol 2001; 74:507-21. [PMID: 11780798 DOI: 10.1348/000711201161154] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The domain of body image plays a central role in the quality of life of patients with haematological malignancies and metastasized cancer, since the disease itself as well as the enrolled therapies interfere with psychological and bodily well-being. We approached this highly subjective field by using the repertory grid technique and hypothesized that patients would display a restricted body image, focusing on functional aspects of the body. In all, 55 in-patients (27 men, 28 women, M age = 45.7 yrs, N = 46 with haematological malignancies, N = 9 with metastasized cancer), at the time of initial diagnosis, were included in the study and assessed with the Body Grid, an instrument specifically designed by us for the exploration of body image. The data were analysed by principal component analysis (PCA) and construct categorization. Further, 42 chronic tinnitus sufferers (20 male, 22 female, M age = 46.5 yrs) served as a comparison group. Based on the constructs elicited, six construct categories were formulated in the sense of a first attempt of a hierarchical model (emotion, control, activity, strength, function, appearance). The central constructs (373 construct pairs) were assigned to these categories by three inter-raters. The categories appeared in the following order of frequency: function (27.1%), emotion (20.4%), strength (20.1%), activity (15%), control (10.2%) and appearance (7.2%). PCA indicated that the patients mainly demonstrated a restricted view of their body. In the tinnitus group, the most frequent category proved to be activity (21.3%), closely followed by function (21.1%) and control (20.9%). The body image was also restricted (PCA). The restriction of body image, together with the specific construct choice, seen in the haematology and cancer patients reflects the existential threat of the disease and may serve as a coping strategy. The high percentage of emotional constructs may mirror the patients' need for further support. The distinct distribution of construct categories in the two different patient samples supports the applicability of the proposed preliminary model.
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Affiliation(s)
- C Weber
- Clinic for Internal Medicine-Psychosomatics, Medical School of Humboldt-University, Berlin, Germany.
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Ennker J, Schoeneich R, Schröder T, Schoeneich F, Ennker IC. [The impact of morbid obesity on the peri- and postoperative course after aortocoronary bypass surgery]. Dtsch Med Wochenschr 2001; 126:419-23. [PMID: 11347003 DOI: 10.1055/s-2001-12730] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
BACKGROUND AND OBJECTIVE Excessive obesity is considered to be a risk factor in coronary bypass grafting. The aim of the current study was to examine if grossly overweight patients with a body mass index (BMI) > 35 suffer from higher morbidity and mortality when compared with patients with normal body weight (BMI = 20-25). PATIENTS AND METHODS 206 extremely obese patients (group A) and 206 patients with normal body weight (group B) originating from a total of 5614 patients undergoing coronary bypass grafting in the time span between 1.4.1996-1.10.2000 were studied retrospectively and consecutively. The data were obtained from case histories, questionnaires and interviews. Statistical analysis was performed by the chi 2 test after Pearson, the t test and the Kaplan-Meier method depending on the statistical problem analysed using the SPSS software v. 8.0. RESULTS The comparison of group A with group B revealed a significantly higher incidence of diabetes mellitus (p < 0.001), hypertension (p < 0.001) and hyperlipidaemia (p < 0.01) in group A. The only significant differences regarding the surgical procedure were the longer operation time (212.3 +/- 44.6 min, mean +/- SD) and aortic cross-clamp time (53.8 +/- 17.4 min, mean +/- SD) in group A (p < 0.05). The duration of mechanical ventilation, the incidence of respiratory insufficiency and the stay in the intensive care unit were not significantly different. The disorders of wound healing both in the sternal and the graft removal regions occurred significantly more frequently in group A (p < 0.001). The 30 days mortality rate in group A (1.5%) was not significantly different from group B (p < 0.001). The 30 days mortality rate in group A (1.5%) was not significantly different from group B (2.9%). The follow-up analysis of the 30 days mortality rate in different age groups revealed no significant differences in patients aged between 60 and 75 years. The mean survival rate after 4 years was 87.2% in group A and 86.4% in group B. CONCLUSION In spite of higher morbidity our results did not reveal significantly higher mortality in extremely obese patients. After operation the patients considered their state improved, therefore elective coronary surgery in grossly overweight patients seems to be indicated also without previous weight reduction.
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Böker H, Hell D, Budischewski K, Eppel A, Härtling F, Rinnert H, von Schmeling F, Will H, Schoeneich F, Northoff G. Personality and object relations in patients with affective disorders: idiographic research by means of the repertory grid technique. J Affect Disord 2000; 60:53-9. [PMID: 10940448 DOI: 10.1016/s0165-0327(99)00161-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
BACKGROUND This paper presents an idiographic approach to evaluate the self concept and the self-object-relationship of patients suffering from affective disorders. METHODS Significant dimensions of the personality and the object relations of 127 depressive patients and 34 orthopaedic patients were investigated with the repertory grid-technique. The self concept and the object relations were compared by means of nomothetically used idiographic results after recovery from manifest depression. RESULTS 'Low self esteem' was frequently found in patients with a long lasting course of illness and the ICD-10-diagnoses of 'bipolar affective disorder' and 'dysthymia'. The object relations of the depressive sample were characterised by the dimension 'symbiotic near'; 'ambivalent' and 'indifferent' partnership relationships were found much more frequently in the controls. CONCLUSIONS The idiographic results help to differentiate the spectrum of affective disorders. They underline the importance of the interpersonal dimension of depression and may be used as a basis of a therapeutic appraisal. LIMITATIONS The repertory grid-technique may not be used as a diagnostic instrument. However, the combination of idiographic results with further clinical informations enables the multidimensional assessment of the self concept and psychosocial coping mechanisms.
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Affiliation(s)
- H Böker
- Psychiatric University Hospital, Postfach 68, CH-8029 Zürich, Switzerland.
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Schoeneich F, Rose M, Danzer G, Thier P, Weber C, Klapp BF. [Narcissism inventory-90 (NI-90). Empirically-based reduction and identification of items sensitive for change--a questionnaire particularly suited for measuring self-regulatory parameters]. Psychother Psychosom Med Psychol 2000; 50:396-405. [PMID: 11076173 DOI: 10.1055/s-2000-9095] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
By analysing Narcissism Inventories [1] gathered by the admission from 639 consecutive in-patients, as well as a related sample of inventories gathered from 397 consecutive patients (7/93-7/96) by admission and discharge, we examined the possibility of reducing the number of items of the Narcissism Inventory without losing significant information. This examination shows that reducing the inventory to a total of 5 items per scale is reasonable, without a relevant loss of metric quality in the item-reduced scales. In addition, items particularly sensitive to change could be identified and pointedly kept in the new, reduced scales. Through the deliberate selection of these items, it was possible to produce an empirically-guided short-version of the Narcissism Inventory, suited particularly for the examination of clinical process and regulatory parameters. With persistence of the original 18 scales proposed by the authors of the original test, a reduction to a total of 90 items results. The name "Narcissism Inventory-90 (NI-90)" is, therefore, suggested for this new version.
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Affiliation(s)
- F Schoeneich
- Medizinische Klinik mit Schwerpunkt Psychosomatik und Psychotherapie, Charité, Medizinische Fakultät der Humboldt-Universität zu Berlin
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Böker H, Budischewski K, Eppel A, Härtling F, Rinnert J, von Schmeling C, Will H, Northoff G, Schoeneich F. [Self concept and object relations of patients with affective disorders--individual centered diagnosis with the repertory-grid technique]. Psychother Psychosom Med Psychol 2000; 50:328-34. [PMID: 11004888 DOI: 10.1055/s-2000-9094] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Significant dimensions of the self concept and the object relations of 127 depressive patients and 34 orthopaedic patients were investigated with the repertory-grid-technique. Self concept and object relations were compared by means of nomothethically used idiographic results after recovery from manifest depression. The object relations of the depressive sample were characterised by the dimension "symbiotic near"; "ambivalent" and "indifferent" partnership relationships were found much more frequently in the controls. The idiographic results contribute to a differentiation of the spectrum of affective disorders. They underline the importance of the interpersonal dimension of depression and may be used as a basis of a therapeutic orientation.
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Affiliation(s)
- H Böker
- Psychiatrische Universitätsklinik Zürich.
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Abstract
We report a case study of a 38-year-old woman who had been suffering from anorexia nervosa (AN) since the age of 26. Before admittance to our clinic, she weighed 23.8 kg (at a height of 164 cm, 8.8 body mass index [BMI]) but still carried out strenuous physical activities. After good psychotherapeutic response and weight gain (34.4 kg), she accidentally fell and broke her femoral neck-favored as it was by osteoporosis. The X-ray taken before dynamic hip screw implantation coincidentally showed signs of pulmonary tuberculosis (TB), which could then be proven by computed tomography (CT) scans and cultures from a bronchoscopy. Other than lack of appetite and loss of weight, which we attributed to AN, there were no other clinical or biochemical indicators which could have pointed to an earlier TB diagnosis. As a result, the need for screening procedures is discussed. The manifestation of TB during the first weight gain after 12 years of severe malnutrition, during which there were no serious infections, seems to endorse former observations that AN patients appear to be "resistant" to some extent against infectious diseases, a "protection" which may be lost with convalescence and weight gain.
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Affiliation(s)
- M Rose
- Department of Psychosomatic Medicine and Psychotherapy, Charité, Humboldt University, Berlin, Germany.
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