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Prieto I, Klimm A, Roldán F, Vetter W, Arbeli Z. Evidence for cometabolic transformation of weathered toxaphene under aerobic conditions using camphor as a co-substrate. J Appl Microbiol 2020; 131:221-235. [PMID: 33305511 DOI: 10.1111/jam.14963] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Revised: 11/29/2020] [Accepted: 12/04/2020] [Indexed: 11/30/2022]
Abstract
AIMS Toxaphene is a persistent organic pollutant, composed of approximately 1000 highly chlorinated bicyclic terpenes. The purpose of this study was to evaluate if camphor, a structural analogue of toxaphene, could stimulate aerobic biotransformation of weathered toxaphene. METHODS AND RESULTS Two enrichment cultures that degrade camphor as the sole carbon source were established from contaminated soil and biosolids. These cultures were used to evaluate aerobic transformation of weathered toxaphene. Only the biosolids culture could transform compounds of technical toxaphene (CTTs) in the presence of camphor, while no transformation was observed in the presence of glucose or with toxaphene as a sole carbon source. The transformed toxaphene had lower concentration of CTTs with longer retention times, and higher concentration of compounds with lower retention times. Gas chromatography with electron capture negative ion mass spectrometry (GC/ECNI-MS) showed that aerobic biotransformation mainly occurred with Cl8 - and Cl9 -CTTs compounds. The patterns of Cl6 - and Cl7 -CTTs were also simplified albeit to a much lesser extent. Seven camphor-degrading bacteria were isolated from the enrichment culture but none of them could degrade toxaphene. CONCLUSION Camphor degrading culture can aerobically transform CCTs via reductive pathway probably by co-metabolism using camphor as a co-substrate. SIGNIFICANCE AND IMPACT OF THE STUDY Since camphor is naturally produced by different plants, this study suggests that stimulation of aerobic transformation of toxaphene may occur in nature. Moreover plants, which produce camphor or similar compounds, might be used in bioremediation of contaminated soils.
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Affiliation(s)
- I Prieto
- Departamento de Biología, Facultad de Ciencias, Unidad de Saneamiento y Biotecnología Ambiental (USBA), Pontificia Universidad Javeriana, Bogotá, D.C., Colombia
| | - A Klimm
- Institute of Food Chemistry, University of Hohenheim, Stuttgart, Germany
| | - F Roldán
- Departamento de Biología, Facultad de Ciencias, Unidad de Saneamiento y Biotecnología Ambiental (USBA), Pontificia Universidad Javeriana, Bogotá, D.C., Colombia
| | - W Vetter
- Institute of Food Chemistry, University of Hohenheim, Stuttgart, Germany
| | - Z Arbeli
- Departamento de Biología, Facultad de Ciencias, Unidad de Saneamiento y Biotecnología Ambiental (USBA), Pontificia Universidad Javeriana, Bogotá, D.C., Colombia
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Krätschmer K, Schächtele A, Malisch R, Vetter W. Chlorinated paraffins (CPs) in salmon sold in southern Germany: Concentrations, homologue patterns and relation to other persistent organic pollutants. Chemosphere 2019; 227:630-637. [PMID: 31009870 DOI: 10.1016/j.chemosphere.2019.04.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Revised: 04/01/2019] [Accepted: 04/02/2019] [Indexed: 05/22/2023]
Abstract
Chlorinated paraffins (CPs) are complex mixtures of persistent contaminants present throughout the aquatic food web. In this study 122 farmed and 11 wild salmon samples were collected over the course of four years (2014-2017). The ratio of short-chain CP and medium-chain CP and the corresponding homologue patterns were determined by means of gas chromatography (GC) with high resolution, accurate mass Orbitrap mass spectrometry (MS) technology. Characteristic patterns were observed, enabling differentiation between European and non-European (Chilean) samples. Concentration ranges of short-chain CPs (0.97-170 ng/g ww) and medium-chain CPs (1.1-79 ng/g ww) were similarly widespread over three orders of magnitude. Yet, both the mean and median concentrations of MCCPs were usually higher than those of the SCCP. CP levels were generally higher than those of marker polychlorinated biphenyls (PCBs) and hexabromocyclododecanes (HBCDDs). An age- and gender-dependent estimated intake range of 4.6-35 ng/kg bw/week for short and medium-chain CPs via the consumption of salmon was calculated for adults in Germany.
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Affiliation(s)
- K Krätschmer
- European Union Reference Laboratory (EURL) for Halogenated Persistent Organic Pollutants (POPs) in Feed and Food, 79114, Freiburg, Germany; University of Hohenheim, Institute of Food Chemistry (170b), 70599, Stuttgart, Germany.
| | - A Schächtele
- European Union Reference Laboratory (EURL) for Halogenated Persistent Organic Pollutants (POPs) in Feed and Food, 79114, Freiburg, Germany
| | - R Malisch
- European Union Reference Laboratory (EURL) for Halogenated Persistent Organic Pollutants (POPs) in Feed and Food, 79114, Freiburg, Germany
| | - W Vetter
- University of Hohenheim, Institute of Food Chemistry (170b), 70599, Stuttgart, Germany
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3
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Estrella LF, Ferreira VB, Gallistl C, Alves MGR, Vetter W, Malm O, Abadio Finco FDB, Torres JPM. Occurrence of halogenated natural products in highly consumed fish from polluted and unpolluted tropical bays in SE Brazil. Environ Pollut 2018; 242:684-691. [PMID: 30025342 DOI: 10.1016/j.envpol.2018.07.030] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 06/26/2018] [Accepted: 07/09/2018] [Indexed: 05/24/2023]
Abstract
Natural compounds from the metabolism of marine organisms have been detected at high concentrations in environmental samples which are not the producers of these compounds. These natural substances are known as halogenated natural products (HNPs). HNPs are possibly toxic halogenated compounds analogous to POPs that may bioaccumulate and biomagnify along the food web and pose a further risk to human and environmental health. The present study analyzed the occurrence of HNPs in the edible muscle of the three most consumed commercial fish species in the state of Rio de Janeiro: sardine (Sardinella brasiliensis), whitemouth croaker (Micropogonias furnieri) and mullet (Mugil liza) from the highly polluted Guanabara Bay (GB) and the less polluted Ilha Grande Bay (IGB). The analytical steps included Soxhlet extraction, clean-up step and injection in a gas chromatography system coupled to a mass spectrometer operated in the electron-capture negative ion mode (GC/ECNI-MS). The compounds 2,4,6-TBP, 2,4,6-TBA, MHC-1, Q1, 6-MeO-BDE 47 and 2'-MeO-BDE 68 were found in the analyzed fish from both studied areas. Q1, 6-MeO-BDE 47 and 2'-MeO-BDE 68 showed the highest concentrations in samples. Q1 concentrations in the sardines from IGB were higher than the sardines from GB (p < 0.05) and higher than the other IGB species (p < 0.05). The differences found among the species may be related to their characteristic habitat and diet. It is noteworthy that most of these compounds do not have any toxicological reference value. Moreover, the HNPs are being detected in species of low trophic level and since this study has worked only with commercial species, these fish may be considered as a source for human exposure to these natural compounds.
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Affiliation(s)
- L F Estrella
- Federal University of Rio de Janeiro (UFRJ), Radioisotopes Laboratory Eduardo Penna Franca, Institute of Biophysics Carlos Chagas Filho, Av. Carlos Chagas Filho n. 373 Bl G ss 061, 21941-902, Rio de Janeiro, Brazil
| | - V B Ferreira
- Federal University of Rio de Janeiro (UFRJ), Radioisotopes Laboratory Eduardo Penna Franca, Institute of Biophysics Carlos Chagas Filho, Av. Carlos Chagas Filho n. 373 Bl G ss 061, 21941-902, Rio de Janeiro, Brazil; Federal Rural University of Rio de Janeiro (UFRRJ), Post-Graduation Program in Food Science and Technology, Rodovia BR 465 Km 7, 23890-000, Seropédica, Brazil
| | - C Gallistl
- University of Hohenheim, Institute of Food Chemistry, Garbenstraße 28, 70599, Stuttgart, Germany
| | - M G R Alves
- Federal University of Rio de Janeiro (UFRJ), Radioisotopes Laboratory Eduardo Penna Franca, Institute of Biophysics Carlos Chagas Filho, Av. Carlos Chagas Filho n. 373 Bl G ss 061, 21941-902, Rio de Janeiro, Brazil; State University Centre of the Western Zone (UEZO), Post-Graduation Program in Environmental Science and Technology, Avenida Manuel Caldeira de Alvarenga, 1203, 23070-200, Rio de Janeiro, Brazil
| | - W Vetter
- University of Hohenheim, Institute of Food Chemistry, Garbenstraße 28, 70599, Stuttgart, Germany
| | - O Malm
- Federal University of Rio de Janeiro (UFRJ), Radioisotopes Laboratory Eduardo Penna Franca, Institute of Biophysics Carlos Chagas Filho, Av. Carlos Chagas Filho n. 373 Bl G ss 061, 21941-902, Rio de Janeiro, Brazil
| | - F D B Abadio Finco
- Federal University of Rio de Janeiro (UFRJ), Radioisotopes Laboratory Eduardo Penna Franca, Institute of Biophysics Carlos Chagas Filho, Av. Carlos Chagas Filho n. 373 Bl G ss 061, 21941-902, Rio de Janeiro, Brazil; Federal University of Tocantins (UFT), Food and Nutrition Security Laboratory, Quadra 109 Norte, Avenida NS-15, ALCNO-14, 77001-090, Palmas, Brazil.
| | - J P M Torres
- Federal University of Rio de Janeiro (UFRJ), Radioisotopes Laboratory Eduardo Penna Franca, Institute of Biophysics Carlos Chagas Filho, Av. Carlos Chagas Filho n. 373 Bl G ss 061, 21941-902, Rio de Janeiro, Brazil
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González EU, Ovaska K, Seethaler B, Basrai M, Yahiaoui-Doktor M, Lehnert K, Vetter W, Engel C, Halle M, Siniatchkin M, Kiechle M, Bischoff S. Effects of a lifestyle intervention study for mediterranean diet on the fatty acid composition in plasma and erythrocyte membrane. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1319] [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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Abstract
The effect of partial (50 mI/min/kg) left heart bypass (LHBP) on renal function, plasma renin activity (PRA), aldosterone, arginine vasopressin and atrial natriuretic peptide (ANP) response was studied in ten anesthetized, open-chested mongrel dogs (weight 23-50 kg) over a period of 6 h. Standard equipment with systemic heparinization (control), initially 300 IU/kg, was employed in five dogs, and heparin-coated equipment without additional heparin in the other five (heparin coated). Urine was continuously collected through a transurethral catheter. Urine samples and pulmonary artery blood samples for hormonal assays were taken at preset intervals before and during LHBP. The results in each group were summarized as median (25th-75th) and compared using the Mann-Whitney U test. In the control group higher blood loss required higher volume substitution. Urine output was maintained in heparin coated and slightly decreased at 3-4 h in control LHBP. Creatinine clearance at 3-5 h and free-water clearance at 3-6 h were significantly higher with heparin-coated LHBP. PRA, aldosterone and vasopressin peaked at 1-2 h of LHBP similarly in both groups, not exceeding the values before perfusion. PRA and aldosterone response was sustained during 6 h and the percentage changes corrected for hemodilution indicated a stronger response with standard equipment. Vasopressin concentrations were slightly but significantly higher in the control group at 1 and 6 h of perfusion. Corrected for hemodilution, vasopressin percentage changes were not different in the two groups. ANP, despite atrial unloading, rose similarly in both groups. There was a tendency to poorly sustained ANP response (control > heparin-coated) after 6 h of perfusion. In conclusion, preserved renal function and attenuated hormonal response during canine partial LHBP are results of better hemostasis and circulatory integrity of perfusion without systemic heparinization.
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Affiliation(s)
| | | | | | - K. Gautschi
- Institute of Clinical Chemistry, University Hospital, Zürich - Switzerland
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Vetter W, Winterberg B, Vetter H, Fischer M. 131I-Metaiodobenzylguanidine – A New Agent for Scintigraphic Imaging and Treatment of Pheochromocytoma. Nuklearmedizin 2018. [DOI: 10.1055/s-0038-1624175] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
SummaryIn 91 patients with a suspicion of pheochromocytoma 96 scintigraphies with 131I-metaiodobenzylguanidine were performed. The distribution of this radiopharmaceutical agent was studied. In about 71% we found uptake in the liver, in about 20% in the spleen and in about 6% in the gastrointestinal tract. In 13% of our patients a normal tracer uptake in the adrenal medulla was observed. In 23 patients adrenal or extra-adrenal lesion (s) were localized correctly, whereas one false-positive and one false-negative scintigramme was obtained. The 131I-MIBG imaging of adrenal and extra-adrenal, benign and malignant pheochromocytomas and adrenomedullary hyperplasia is highly specific. In the treatment of pheochromocytomas more experience is needed to present final results, but especially in malignant pheochromocytomas 131I-MIBG therapy may be useful.
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Barón E, Hauler C, Gallistl C, Giménez J, Gauffier P, Castillo JJ, Fernández-Maldonado C, de Stephanis R, Vetter W, Eljarrat E, Barceló D. Halogenated Natural Products in Dolphins: Brain-Blubber Distribution and Comparison with Halogenated Flame Retardants. Environ Sci Technol 2015; 49:9073-83. [PMID: 26148182 DOI: 10.1021/acs.est.5b02736] [Citation(s) in RCA: 4] [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] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Halogenated natural products (MHC-1, TriBHD, TetraBHD, MeO-PBDEs, Q1, and related PMBPs) and halogenated flame retardants (PBDEs, HBB, Dec 602, Dec 603, and DP) in blubber and brain are reported from five Alboran Sea delphinids (Spain). Both HNPs and HFRs were detected in brain, implying that they are able to surpass the blood-brain barrier and reach the brain, which represents a new finding for some compounds, such as Q1 and PMBPs, MHC-1, TriBHD, TetraBHD, or Dec 603. Moreover, some compounds (TetraBHD, BDE-153, or HBB) presented higher levels in brain than in blubber. This study evidence the high concentrations of HNPs in the marine environment, especially in top predators. It shows the importance of further monitoring these natural compounds and evaluating their potential toxicity, when most studies focus on anthropogenic compounds only. While no bioaccumulation was found for ∑HNPs, ∑HFRs increased significantly with body size for both common and striped dolphins. Studies evaluating BBB permeation mechanisms of these compounds together with their potential neurotoxic effects in dolphins are recommended.
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Affiliation(s)
- E Barón
- †Institute of Environmental Assessment and Water Research Studies (IDAEA), Spanish Council for Scientific Research (CSIC), Jordi Girona 18-26, 08034 Barcelona, Spain
| | - C Hauler
- ‡University of Hohenheim, Institute of Food Chemistry, Garbenstraße 28, 70599 Stuttgart, Germany
| | - C Gallistl
- ‡University of Hohenheim, Institute of Food Chemistry, Garbenstraße 28, 70599 Stuttgart, Germany
| | - J Giménez
- §Department of Conservation Biology, Estación Biológica de Doñana-Consejo Superior de Investigaciones Científicas (EBD-CSIC), Americo Vespucio s/n, Isla Cartuja, 42092, Seville, Spain
| | - P Gauffier
- ∥Conservation, Information, and Research on Cetaceans (CIRCE), Cabeza de Manzaneda 3, Algeciras-Pelayo, 11390 Cádiz, Spain
| | - J J Castillo
- ⊥Centro de Recuperación de Especies Marinas Amenazadas (CREMA), Aula del Mar de Málaga, Pacífico 80, 29004 Málaga, Spain
| | - C Fernández-Maldonado
- #Agencia de Medio Ambiente y Agua de Andalucía, Consejería de Medio Ambiente y Ordenación del Territorio, Junta de Andalucía, Johan Gütemberg, 1, Isla de la Cartuja, 41092, Seville, Spain
| | - R de Stephanis
- ∥Conservation, Information, and Research on Cetaceans (CIRCE), Cabeza de Manzaneda 3, Algeciras-Pelayo, 11390 Cádiz, Spain
| | - W Vetter
- ‡University of Hohenheim, Institute of Food Chemistry, Garbenstraße 28, 70599 Stuttgart, Germany
| | - E Eljarrat
- †Institute of Environmental Assessment and Water Research Studies (IDAEA), Spanish Council for Scientific Research (CSIC), Jordi Girona 18-26, 08034 Barcelona, Spain
| | - D Barceló
- †Institute of Environmental Assessment and Water Research Studies (IDAEA), Spanish Council for Scientific Research (CSIC), Jordi Girona 18-26, 08034 Barcelona, Spain
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Schiller KF, Preuss S, Kaffarnik S, Vetter W, Rodehutscord M, Bennewitz J. Concentration of three branched-chain fatty acids in adipose tissue does not affect meat sensory traits in crossbred and purebred German "Merinolandschaf" lambs. Arch Anim Breed 2015. [DOI: 10.5194/aab-58-159-2015] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Abstract. Intense sheep odour and flavour in lamb is often associated with lower consumer acceptance. Branched-chain fatty acids (BCFAs) are suggested as possible reasons. Therefore, muscle and subcutaneous adipose tissue samples of 98 lamb chops were analysed for three BCFAs (4-methyloctanoic, 4-ethyloctanoic and 4-methylnonanoic fatty acid). Samples were derived from a previous study, in which lambs were raised and fattened under intensive conditions and tested for sensory quality. BCFA contents of fat extracts from muscle tissue were very low and quantification was not possible. In subcutaneous adipose tissue different concentrations of BCFA and differences between crosses were detected. The sex of lambs had a significant influence. The BCFA correlations were significant, while correlations between BCFA of adipose tissue and sensory traits were not significant. Therefore, it seems likely that BCFA concentrations were too low and/or other substances are involved in causing the lamb flavour detected through sensory analysis.
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Natzeck C, Vetter W, Luckas B, Moskopp G, Buijten J. Quantitative determination of toxic mono- and non-ortho polychlorinated biphenyls in cod liver oil after selective liquid chromatographic separation. Chromatographia 2014. [DOI: 10.1007/bf02688090] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [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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Vetter W. Utility of Stable Isotopes of Hydrogen and Carbon as Tracers of POPs and Related Polyhalogenated Compounds in the Environment. Advances in Isotope Geochemistry 2012. [DOI: 10.1007/978-3-642-10637-8_32] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Bengtson Nash SM, Poulsen AH, Kawaguchi S, Vetter W, Schlabach M. Persistent organohalogen contaminant burdens in Antarctic krill (Euphausia superba) from the eastern Antarctic sector: a baseline study. Sci Total Environ 2008; 407:304-14. [PMID: 18848720 DOI: 10.1016/j.scitotenv.2008.08.034] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2008] [Revised: 08/13/2008] [Accepted: 08/14/2008] [Indexed: 05/22/2023]
Abstract
A baseline for persistent organohalogen compound (POC) accumulation in the Antarctic keystone species, Antarctic krill (Euphausia superba) has been established for a 50 degrees longitudinal range of the eastern Antarctic sector. Samples of adult krill, caught from 12 sites distributed between 30 degrees and 80 degrees E (60-70 degrees S), were analysed for >100 organohalogen compounds including chlorinated pesticides, polychlorinated biphenyls (PCBs), polybrominated organic compounds and polychlorinated dibenzo-p-dioxins/furans (PCDD/Fs). Organochlorine pesticides dominated measured krill contaminant burdens with hexachlorobenzene (HCB) as the single most abundant compound quantified. Krill HCB concentrations were comparable to those detected at this trophic level in both the Arctic and temperate northwest Atlantic, lending support for the hypothesis that HCB will approach global equilibrium at a faster rate than other POCs. Para, para'-dichlorodiphenylethene (p,p'-DDE) was detected at notable concentrations. Measurements of DDT and its degradation products provide an important baseline for monitoring the temporal and geographical influence of renewed, DDT usage for malaria-control in affected southern hemisphere countries. In contrast to the Arctic, PCBs did not feature prominently in contaminant burdens of Antarctic krill. The major commercial polybrominated diphenyl ether (PBDE) congeners -99 and -47 were quantified at low background levels with clear concentration spikes observed at around 70 degrees E , in the vicinity of modern, active research stations. The likelihood that local anthropogenic activities are supplementing low PBDE levels, delivered otherwise primarily via long range environmental transport, is discussed. The suspected naturally occurring brominated organic compound, 2,4,6-tribromoanisole (TBA), was a ubiquitous contaminant in all samples whereas the only PCDD/Fs quantifiable were trace levels of octachlorodibenzo-p-dioxin (OCDD) and 1,2,3,4,7,8/1,2,3,4,7,9-hexachlorodibenzofuran (HxCDF). With the aims of; i) Generating a robust and broadly applicable POC auditing platform for the scarcely studied eastern Antarctic sector; ii) Determining the compounds accumulating in Antarctic krill for further toxicity evaluation studies and iii) Establishing a baseline for Antarctic predator exposure to POCs, this study represents one of the most comprehensive reports of POC contamination of the Antarctic food web to date.
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Affiliation(s)
- S M Bengtson Nash
- The University of Queensland, The National Research Centre for Environmental Toxicology, Coopers Plains, Queensland 4180, Australia.
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Abstract
Overweight and obesity are the most important modulators in the development of chronic diseases. Body weight status in adulthood is often already determined in childhood and adolescence. In this study we evaluate possible threats and the prevalence of overweight and obesity among students of the Kantonsschule Burggraben in St.Gallen. Different anthropometric parameters (e.g. size, weight, circumference of waist and hip, body composition by BIA) were assessed among 552 students and different life-style factors as well as risk factors were assessed with a self-administered questionnaire. Using the IOTF-definitions between 6.12-8.18% of students were overweight and 1.08-2.23% were obese. Male students with the highest media consumption (MC) (around 4 h/d) had a higher BMI (kg/m2) than students with lower MC (around 2 h/d) or the lowest level of MC (approximately 1 h/d) (22.83 +/- 0.46 kg/m2 vs. 21.51 +/- 0.21 kg/m2 and 21.60 +/- 0.39 kg/m2; ANOVA p = 0.008). Similarly body composition was affected: students with the highest media consumption had the highest amount of body-fat mass: 12.69 +/- 0.66% vs. 11.05 +/- 0.34% and 10.69 +/- 0.62% (ANOVA p = 0.026) compared to medium and low MC, respectively. There was no correlation between the BMI, the body fat mass and the MC among female students. According to the level of activity male students with a high level showed a significant lower BMI than students with a lower level of physical activity (21.70 +/- 0.21 kg/m2 vs. 22.05 +/- 0.33 kg/m2; p = 0.016). The body fat mass was also lower for higher levels of physical activity (9.57 +/- 0.65% vs. 12.69 +/- 0.86%). Among female students the level of physical activity modulated the body fat mass (high level 20.66 +/- 0.52% vs. low level 23.53 +/- 0.58; p = 0.005) but had no effect on the BMI. Risk factors for obesity such as physical activity patterns are established in childhood and early adolescence. Preventive strategies have to be implemented as early as possible.
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Affiliation(s)
- A Bärlocher
- Medizinische Poliklinik, Universitätsspital Zürich
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Krayenbühl P, Naumann UK, Käser L, Vetter W. [Hemochromatosis (hereditary, "primary" hemochromatosis)]. Praxis (Bern 1994) 2007; 96:2029-2037. [PMID: 18217648 DOI: 10.1024/1661-8157.96.51.2029] [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: 05/25/2023]
Affiliation(s)
- P Krayenbühl
- Klinik und Poliklinik für Innere Medizin, Universitätsspital Zürich.
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Naumann UK, Suter PM, Käser L, Vetter W. [Sprue (in the adult)]. Praxis (Bern 1994) 2007; 96:1979-1987. [PMID: 18179105 DOI: 10.1024/1661-8157.96.50.1979] [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: 05/25/2023]
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Steurer-Stey C, Kolyvanos Naumann U, Käser L, Vetter W. [Hemoptysis. Clinical picture]. Praxis (Bern 1994) 2007; 96:1885-1894. [PMID: 18072577 DOI: 10.1024/1661-8157.96.48.1885] [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: 05/25/2023]
Affiliation(s)
- C Steurer-Stey
- Klinik und Poliklinik für Innere Medizin, Universitätsspital Zürich, Zürich
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Nigg C, Kolyvanos Naumann U, Käser L, Vetter W. [Giant cell arteritis]. Praxis (Bern 1994) 2007; 96:1795-1803. [PMID: 18065047 DOI: 10.1024/1661-8157.96.46.1795] [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: 05/25/2023]
Affiliation(s)
- C Nigg
- Medizinische Poliklinik, Universitätsspital Zürich
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Abstract
Overweight and obesity rates are increasing worldwide. In this study 409 adolescents and young adults (age range 15-22 years) in a Swiss college were studied. The prevalence of overweight was 6.13% in the girls and 5.95% in the boys. 9.52% of the boys and 16.51% of the girls were underweight (BMI < 18.5 kg/m2). 16.98% of the girls had a fat mass > 30%. 2.98% of the boys had a fat mass of > 20%. Male adolescents with a fat mass > 15% judged their physical activity on a visual analogue scale (VAS) significantly lower than male adolescents with a fat mass of < 15% (mean +/- SD VAS score: 4.49 +/- 2.08 vs. 6.00 +/- 2.08, p = 0.03). The same was found in female adolescents: girls with a fat mass > 30% reported a lower physical activity level than females with a fat mass < 30% (mean +/- SD VAS score: 4.84 +/- 1.74 vs. 5.68 +/- 1.82, p = 0.04). Obesity and fatness, but also underweight, is a serious problem in Swiss adolescents. Well chosen public health strategies to address both sides of the energy balance equation are strongly needed.
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Affiliation(s)
- T Thaler
- Medizinische Poliklinik, Universitätsspital Zürich
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Nigg C, Naumann UK, Käser L, Vetter W. [Polymyalgia rheumatica. Primary symptoms: muscle pain, malaise]. Praxis (Bern 1994) 2007; 96:1705-1713. [PMID: 18018947 DOI: 10.1024/1661-8157.96.44.1705] [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: 05/25/2023]
Affiliation(s)
- C Nigg
- Medizinische Poliklinik, Universitätsspital Zürich
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19
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Suter PM, Kolyvanos NU, Käser L, Vetter W. [Obesity in adults]. Praxis (Bern 1994) 2007; 96:1617-1626. [PMID: 17974121 DOI: 10.1024/1661-8157.96.42.1617] [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: 05/25/2023]
Affiliation(s)
- P M Suter
- Medizinische Poliklinik, Universitätsspital Zürich
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20
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Kolyvanos NU, Furrer J, Käser L, Vetter W. [Hyperthyroidism]. Praxis (Bern 1994) 2007; 96:1505-1513. [PMID: 17966822 DOI: 10.1024/1661-8157.96.40.1505] [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: 05/25/2023]
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21
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Kolyvanos Naumann U, Furer J, Käser L, Vetter W. [Hypothyroidism. Main symptoms: fatigue, weight gain, depression, myalgia, edema]. Praxis (Bern 1994) 2007; 96:1411-1419. [PMID: 17933284 DOI: 10.1024/1661-8157.96.38.1411] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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22
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Nigg C, Kolyvanos Naumann U, Käser L, Vetter W. [Pruritus. Leading symptom: itching]. Praxis (Bern 1994) 2007; 96:1333-7; quiz 1338-9. [PMID: 17894116 DOI: 10.1024/1661-8157.96.36.1333] [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: 05/17/2023]
Affiliation(s)
- C Nigg
- Medizinische Poliklinik, Universitätsspital Zürich, Zürich
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23
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Krayenbuehl PA, Naumann KU, Käser L, Vetter W. [Iron deficiency anemia in adults. Main symptoms: fatigue, pallor, (stress-) dyspnea, headache, concentration disorders]. Praxis (Bern 1994) 2007; 96:1241-7; quiz 1248. [PMID: 17853781 DOI: 10.1024/1661-8157.96.34.1241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
MESH Headings
- Administration, Oral
- Adult
- Aged
- Anemia, Iron-Deficiency/blood
- Anemia, Iron-Deficiency/diagnosis
- Anemia, Iron-Deficiency/drug therapy
- Anemia, Iron-Deficiency/epidemiology
- Anemia, Iron-Deficiency/etiology
- Anemia, Iron-Deficiency/therapy
- Diagnosis, Differential
- Erythrocyte Transfusion
- Female
- Ferritins/blood
- Follow-Up Studies
- Humans
- Iron, Dietary/administration & dosage
- Iron-Dextran Complex/administration & dosage
- Iron-Dextran Complex/therapeutic use
- Male
- Middle Aged
- Pregnancy
- Pregnancy Complications, Hematologic/drug therapy
- Prognosis
- Time Factors
- Treatment Outcome
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24
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Naumann UK, Nigg C, Suter P, Käser L, Vetter W. [Fatigue]. Praxis (Bern 1994) 2007; 96:1159-65; quiz 1166-7. [PMID: 17726855 DOI: 10.1024/1661-8157.96.31.1159] [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: 05/17/2023]
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25
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Krayenbuehl PA, Wiesli P, Schmid M, Schmid C, Ehses JA, Hersberger M, Vetter W, Schulthess G. TNF-alpha -308G>A polymorphism modulates cytokine serum concentrations and macrovascular complications in diabetic patients on aspirin. Exp Clin Endocrinol Diabetes 2007; 115:322-6. [PMID: 17516296 DOI: 10.1055/s-2007-960493] [Citation(s) in RCA: 5] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Tumor necrosis factor (TNF)-alpha has pleiotropic effects in cytokine-mediated inflammation underlying atherogenesis. Activation of this inflammatory process is assumed to be different in diabetic and non-diabetic individuals. Previous studies in non-diabetic subjects showed no association between TNF-alpha -308G>A polymorphism and coronary artery disease. METHODS Vascular complications and cytokine serum concentrations were assessed as a function of the TNF-alpha -308G>A polymorphism in 76 diabetic patients on low-dose aspirin. RESULTS Of 76 adult diabetic patients, 18 (24%) carried the TNF-alpha -308A allele (17 AG, 1 AA) and 58 (76%) carried wild-type alleles (GG). Prevalence of macrovascular complications was 33% in TNF-alpha -308A allele carriers (AG+AA) and 78% in wild-type allele carriers (GG) (p<0.001). In contrast, prevalence of microvascular complications was 78% and 84%, respectively, and did not significantly differ between the study groups. TNF-alpha -308A allele carriers (AG+AA) compared to wild-type allele carriers (GG) had significantly lower median serum concentrations of hs-C-reactive protein (1.5 vs 2.9 mg/L, p=0.030), interleukin 1-beta (0.9 vs 1.2 ng/L, p=0.046), and interleukin-6 (3.6 vs 4.9 ng/L, p=0.023). In multiple regression analysis, the prevalence of macrovascular diabetic complications was significantly associated with TNF-alpha -308G>A polymorphism (p<0.001) and serum concentrations of HDL-cholesterol (p=0.007) while confounding effects of further variables were excluded. CONCLUSION TNF-alpha -308G>A polymorphism modulates cytokine serum concentrations and macrovascular complications in diabetic patients on aspirin. Diabetic carriers of the TNF-alpha -308A allele might benefit more from a prophylaxis with low dose aspirin than non-carriers.
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Affiliation(s)
- P-A Krayenbuehl
- Department of Internal Medicine, Medical Policlinic, University Hospital of Zurich, Zurich, Switzerland
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26
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Kolyvanos Naumann U, Käser L, Vetter W. [Multiple myeloma]. Praxis (Bern 1994) 2007; 96:1111-8; quiz 1119. [PMID: 17691446 DOI: 10.1024/1661-8157.96.29.1111] [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: 05/16/2023]
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27
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Nigg C, Kolyvanos Naumann U, Käser L, Vetter W. [Somatoform disorders]. Praxis (Bern 1994) 2007; 96:1061-7; quiz 1068-9. [PMID: 17655076 DOI: 10.1024/1661-8157.96.27.1061] [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: 05/16/2023]
Affiliation(s)
- C Nigg
- Medizinische Poliklinik, Universitatsspital Zürich, Zürich
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28
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Naumann UK, Käser L, Vetter W. [Incidentaloma (adrenal). Chief symptoms: incidental radiologically detected, asymptomatic adrenal space occupying (mostly) > 1 cm]. Praxis (Bern 1994) 2007; 96:1009-14; quiz 1015-6. [PMID: 17639963 DOI: 10.1024/1661-8157.96.25.1009] [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: 05/16/2023]
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29
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Naumann UK, Steurer-Stey C, Käser L, Vetter W. [Brochiectasis (in the adult)]. Praxis (Bern 1994) 2007; 96:963-70; quiz 971-2. [PMID: 17616034 DOI: 10.1024/1661-8157.96.24.963] [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: 05/16/2023]
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30
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Naumann UK, Ruggieri F, Käser L, Vetter W. [Monoclonal gammopathy of uncertain significance (MGUS)]. Praxis (Bern 1994) 2007; 96:797, 802; quiz 803-4. [PMID: 17566415 DOI: 10.1024/1661-8157.96.20.797] [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: 05/15/2023]
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31
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Ruckstuhl N, Vetter W, Suter PM. [Every step counts: what is the physical activity level of our patients? A pedometer study]. Praxis (Bern 1994) 2007; 96:805-10. [PMID: 17566416 DOI: 10.1024/1661-8157.96.20.805] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
The prevalence of obesity is increaseing worldwide and thus enhancing the development of the chronic diseases. Physical activity represents not only an important modulator of the energy balance but physical exercise represents a key feature for chronic disease risk reduction independently from body weight. In this study we assessed physical activity by counting the steps with the help of a pedometer in 49 consecutive patients (33 women and 16 men) of the obesity- and hypertension clinic at the Medical Policlinic at the University Hospital in Zurich. 29 of the patients were obese (mean +/- SD BMI 35.3 +/- 5.5 kg/m(2)), eleven overweight (27.6 +/- 1.1 kg/m(2)) and eight of normal body weight (22.7 +/- 1.5 kg/m(2)) according to the WHO-classification. The mean +/- SD steps per week of the whole population was 67917 +/- 33856. Patients with a normal weight had more steps per week, but the difference did not reach significance as compared to the overweight or obese subjects. Only on Sunday the normal weighted patients had significantly more steps than the other groups. The data suggest that strategies to enhance physical activity on the weekend should be encouraged in all subjects, especially however in those with an increased body weight.
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Affiliation(s)
- N Ruckstuhl
- Medizinische Poliklinik, Universitätsspital Zürich
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32
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Gehringer S, Suter PM, Vetter W, Häsler E. [Body weight and physical activity: how much is too little? How much is enough?--a study in recreational cyclists]. Praxis (Bern 1994) 2007; 96:767-73. [PMID: 17571632 DOI: 10.1024/1661-8157.96.19.767] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Body weight and body mass index (BMI) were studied in non professional cyclists. BMI increased from 22.2 +/- 2.3 kg/m2 (20 to 29 y) to 23.8 +/- 1.7 kg/m2 (55 to 77 y) (mean +/- SD). The mean increase per decade was 0.5 kg/m2, markedly less than in the general Swiss population (0.8 to 1.0 kg/m2). Overweight (BMI 25.1-29.9 kg/m2) prevalence increased from 7.4% (20 to 29 y) to 25.5% (55 to 77 y) and obesity (BMI +/- 30.0 kg/m2) was rare (0.2%, n = 1). The amount of sport correlated negatively with BMI change. A high amount of moderate to heavy physical activity (five hours weekly) was required to avoid an increase in BMI. This amount is to high for the general population. Thus, control of energy intake should be advised together with physical activity.
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Affiliation(s)
- S Gehringer
- Medizinische Poliklinik, Universitätsspital Zürich, Service d'Angiologie, CHUV, Lausanne
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33
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Nigg C, Kolyvanos Naumann U, Käser L, Vetter W. [Situs inversus, situs inversus totalis (in adults)]. Praxis (Bern 1994) 2007; 96:713-8; quiz 719-20. [PMID: 17520839 DOI: 10.1024/1661-8157.96.18.713] [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: 05/15/2023]
Affiliation(s)
- C Nigg
- Medizinische Poliklinik, Universitätsspital Zürich
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34
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Kolyvanos NU, Nigg C, Käser L, Vetter W. [Erythema nodosum]. Praxis (Bern 1994) 2007; 96:621-6; quiz 627. [PMID: 17474288 DOI: 10.1024/1661-8157.96.16.621] [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: 05/15/2023]
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35
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Kolyvanos Naumann U, Nigg C, Käser L, Vetter W. [Chronic heart failure. Main symptoms: (exertional) dyspnea, orthopnea, decreased performance]. Praxis (Bern 1994) 2007; 96:527-35; quiz 536-7. [PMID: 17455564 DOI: 10.1024/1661-8157.96.14.527] [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: 05/15/2023]
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36
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Nigg C, Naumann UK, Käser L, Vetter W. [Anorexia nervosa]]. Praxis (Bern 1994) 2007; 96:441-7; quiz 448. [PMID: 17425168 DOI: 10.1024/1661-8157.96.12.441] [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: 05/14/2023]
Affiliation(s)
- C Nigg
- Medizinische Poliklinik, Universitätsspital Zürich
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Marti F, Nigg C, Naumann UK, Käser L, Vetter W. [Osteitis deformans (Osteodystrophia deformans)--Pagent disease of bone. Leading symptoms: bone pain, bone deformities, fractures]. Praxis (Bern 1994) 2007; 96:359-65; quiz 366-7. [PMID: 17385279 DOI: 10.1024/1661-8157.96.10.359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Affiliation(s)
- F Marti
- Medizinische Poliklinik, Universitätsspital Zürich
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Naumann UK, Krayenbühl PA, Käser L, Vetter W. [Chronic peri-aortitis: retroperitoneal fibrosis (Ormond disease), inflammatory abdominal aortic aneurysm and peri-aneurysmic retroperitoneal fibrosis]. Praxis (Bern 1994) 2007; 96:271-7; quiz 278. [PMID: 17375651 DOI: 10.1024/1661-8157.96.8.271] [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: 05/14/2023]
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Schulthess G, Naumann UK, Käser L, Vetter W. [Abdominal aortic aneurysm]. Praxis (Bern 1994) 2007; 96:173-9; quiz 180-1. [PMID: 17330408 DOI: 10.1024/1661-8157.96.6.173] [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: 05/14/2023]
Affiliation(s)
- G Schulthess
- Medizinische Poliklinik, Universitätsspital Zürich
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Steurer-Stey C, Fletcher M, Vetter W, Steurer J. Patient education in asthma: a survey of physicians' knowledge of the principles and implementation of self management in practice. Swiss Med Wkly 2007; 136:561-5. [PMID: 17043948 DOI: 2006/35/smw-11377] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Therapeutic patient education, particularly when including written instructions in self-management, improves outcomes in asthma. The education of patients in self-management requires specific knowledge and skills, which are not generally taught in under- or postgraduate training programmes. PURPOSE To investigate physicians' knowledge of the principles and implementation of self-management in asthma care. METHOD A 14-item questionnaire was developed, piloted and subsequently sent to 1039 general physicians (general practitioners and internists) and pulmonologists registered as members of the Medical Society of Zurich. RESULTS 368 (35%) of the physicians returned the questionnaire. 352 (96%) stated that they care for patients with asthma, 312 (87%) provided asthma education, 264 (75%) gave information about the mechanisms of illness, 272 (77%) provided instructions on how to use inhalers although only 212 (60%) checked inhaler technique. 170 (48%) instructed patients in home measurement of peak flow recordings (PEFR). 21% of general physicians and 52% of pulmonologists provided written action plans outlining what actions to take if PEFR or symptoms deteriorated. The majority of physicians were aware of positive benefits of patient education and over 80% stated that all asthmatic patients should be offered education. Only 32% felt that they should personally be educating the patients whilst two-thirds expressed a preference for the education to be provided by a specialist centre. 66% of the physicians expressed a desire to undertake further training in effective patient education. CONCLUSION Whilst most physicians in this study state to be aware of the benefits of patient education in asthma, only 24% actually provide their patients with asthma self-management plans. With a low response rate, our study is likely to be biased towards those physicians with a greater interest in asthma; hence actual use of self-management plans is likely be lower than in our sample.
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Affiliation(s)
- C Steurer-Stey
- University Hospital Zurich, Department of Internal Medicine, Medical Policlinic and Centre for interdisciplinary patient education, Zurich, Switzerland.
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Naumann UK, Suter PM, Käser W, Vetter W. [Lactose intolerance. Main symptoms: abdominal pain, bloating, flatulence, diarrhea (after consuming products with lactose)]. Praxis (Bern 1994) 2007; 96:89-96; quiz 97. [PMID: 17294583 DOI: 10.1024/1661-8157.96.4.89] [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: 05/13/2023]
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42
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Suter-Meyer E, Nigg C, Naumann UK, Käser L, Vetter W. [Common variable immunodeficiency (CVID) -- variable immunodeficiency syndrome]. Praxis (Bern 1994) 2007; 96:3-10; quiz 11-2. [PMID: 17256555 DOI: 10.1024/1661-8157.96.1.3] [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: 05/13/2023]
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43
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Naumann UK, Krayenbühl PA, Steurer-Stey C, Käser L, Vetter W. [Churg-Strauss syndrome. Main symptoms: asthma, eosinophilia, vasculitis symptoms (especially mononeuritis multiplex)]. Praxis (Bern 1994) 2006; 95:2003-10; quiz 2011-2. [PMID: 17294588 DOI: 10.1024/1661-8157.95.51.2003] [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: 05/13/2023]
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Affiliation(s)
- F Marti
- Medizinische Poliklinik, Universitätsspital Zürich
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45
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Naumann UK, Käser L, Vetter W. [Aortic valve insufficiency]. Praxis (Bern 1994) 2006; 95:1861-7; quiz 1868. [PMID: 17176924 DOI: 10.1024/1661-8157.95.48.1861] [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: 05/13/2023]
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46
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Naumann UK, Käser L, Vetter W. [Sjogren's syndrome]. Praxis (Bern 1994) 2006; 95:1783-89; quiz 1790. [PMID: 17136826 DOI: 10.1024/1661-8157.95.46.1783] [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: 05/12/2023]
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47
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Naumann UK, Käser L, Vetter W. [Hodgkin lymphoma (Hodgkin disease)]. Praxis (Bern 1994) 2006; 95:1697-703; quiz 1704, 1706. [PMID: 17111877 DOI: 10.1024/1661-8157.95.44.1697] [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: 05/12/2023]
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48
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Naumann UK, Käser L, Vetter W. [Malignant lyphomas/non-Hodgkin lymphomas. Chief symptoms: lymph node swelling, occasionally B-symptoms]. Praxis (Bern 1994) 2006; 95:1611-8; quiz 1619-20. [PMID: 17111844 DOI: 10.1024/1661-8157.95.42.1611] [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: 05/12/2023]
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49
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Naumann UK, Suter PM, Käser L, Vetter W. [Asymptomatic increase of creatine kinase and rhabdomyolysis]. Praxis (Bern 1994) 2006; 95:1525-31; quiz 1532. [PMID: 17048409 DOI: 10.1024/1661-8157.95.40.1525] [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: 05/12/2023]
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50
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Naumann UK, Nigg C, Käser L, Vetter W. [Hereditary periodic fever. Chief symptoms: recurrent fever, (poly-)serositis and synovitis, exanthema]. Praxis (Bern 1994) 2006; 95:1441-8; quiz 1449. [PMID: 17058594 DOI: 10.1024/1661-8157.95.38.1441] [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: 05/12/2023]
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