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Rauschenberg C, Goetzl C, Schick A, Koppe G, Durstewitz D, Krumm S, Reininghaus U. Living lab AI4U - artificial intelligence for personalized digital mental health promotion and prevention in youth. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Youth are particularly affected by mental health problems, but their use of preventive interventions remains limited. The advances in Artificial Intelligence (AI) enable the development of digital interventions for mental health promotion and prevention. This applies to ecological momentary interventions (EMI), which offer adaptive training components in daily life.
Methods
In a preparatory phase, focus groups (N = 2, aged: 15-21 years) and a representative survey (N = 666, aged: 16-24) with young individuals as well as qualitative interviews with stakeholders in routine public mental health provision were conducted.
Results
None of the stakeholders used digital interventions in their everyday work but were interested in their use. The importance of data protection and security, usability, and participation of the target population in all stages of the research process was emphasized. The risk of a digital divide, acceptance of used terminology, and difficulties of structural embedding were mentioned as important barriers for successful implementation. Young individuals had a positive attitude toward digitization and AI and their use in mental health promotion and prevention and underlined the importance of practical benefits for users. They had a pragmatic attitude toward data use policies. Around 70% of young individuals were already using mHealth apps. Psychological distress was associated with the use of, and positive attitude towards, mHealth apps.
Discussion
Findings have contributed to the ongoing main phase. The living lab AI4U will be carried out in transdisciplinary projects involving direct participation of relevant stakeholders, users from the target population and an interdisciplinary research group. Each of these projects includes one or more real-world experiments. These will be embedded in a transdisciplinary infrastructure, which will ensure ongoing quality assurance, sustainability assessment, public relations and networking.
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Affiliation(s)
- C Rauschenberg
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands
- Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
| | - C Goetzl
- Department of Psychiatry II, University of Ulm and BKH Guenzburg, Ulm, Germany
| | - A Schick
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands
| | - G Koppe
- Department of Theoretical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg, Mannheim, Germany
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
| | - D Durstewitz
- Department of Theoretical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg, Mannheim, Germany
| | - S Krumm
- Department of Psychiatry II, University of Ulm and BKH Guenzburg, Ulm, Germany
| | - U Reininghaus
- Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
- Centre for Epidemiology and Public Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK
- ESRC Centre for Society and Mental Health, King’s College London, London, Germany
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Abstract
AbstractProliferative angiopathy (PA) is a rare cerebral vascular disease in which anomalous vessels continually recruit additional feeder arteries, amid a functional brain parenchyma. We report the case of a young woman with progressive history of headache, motor deficit, seizures and drowsiness. She received a misdiagnosis of brain arteriovenous malformation (AVM) and evolved with dysarthria and cognitive decline after an unsuccessful embolization performed at another institution. We opted for conservative treatment with periodic control by imaging tests. Proliferative angiopathy differs in natural history, prognosis, histopathology and treatment of the usual AVMs. Endovascular procedures aggravate the neurological deficits, which are usually progressive and tend to worsen over time.
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Affiliation(s)
- Luana Gatto
- Hospital Universitário Cajuru, Curitiba, PR, Brazil
| | - Rodrigo Brisson
- Division of Neurology, Department of Interventional Neuroradiology, Hospital Universitário Cajuru, Curitiba, PR, Brazil
| | - Zeferino Demartini
- Department of Neurosurgery and Interventional Neuroradiology, Hospital Universitário Cajuru, Curitiba, PR, Brazil
| | - Gelson Koppe
- Department of Interventional Neuroradiology, Hospital Universitário Cajuru, Curitiba, PR, Brazil
| | - Carlos Rocha
- Department of Neurology, Neurosurgery, Interventional Neuroradiology, Campo Grande, MS, Brazil
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Koppe G, Heidel A, Sammer G, Bohus M, Gallhofer B, Kirsch P, Lis S. Temporal unpredictability of a stimulus sequence and the processing of neutral and emotional stimuli. Neuroimage 2015; 120:214-24. [DOI: 10.1016/j.neuroimage.2015.06.081] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2014] [Revised: 06/24/2015] [Accepted: 06/28/2015] [Indexed: 10/23/2022] Open
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Hagenhoff M, Franzen N, Gerstner L, Koppe G, Sammer G, Netter P, Gallhofer B, Lis S. Reduced sensitivity to emotional facial expressions in borderline personality disorder: effects of emotional valence and intensity. J Pers Disord 2013; 27:19-35. [PMID: 23342955 DOI: 10.1521/pedi.2013.27.1.19] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
A heightened sensitivity towards negative emotional stimuli has been described for Borderline Personality Disorder (BPD). We investigated whether a faster and more accurate detection of negatively valent information in BPD can be confirmed by means of a visual search task which required subjects to detect a face with an incongruent emotional expression within a crowd of neutral faces. Twenty eight BPD patients and 28 nonpatients were asked to indicate whether a set of schematic neutral faces (3 × 3, 4 × 4 matrices) contained a happy or an angry face. Besides valence, the intensity of the target's emotion was varied in two steps. BPD patients and nonpatients both demonstrated an anger-superiority effect. However, no higher sensitivity towards negative stimuli was observed in BPD compared to nonpatients. BPD patients seem to rely to a stronger extent on controlled, i.e., serial, attention demanding processes when searching more subtle social-emotional information with positive valence.
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Klucken T, Schweckendiek J, Koppe G, Merz C, Kagerer S, Walter B, Sammer G, Vaitl D, Stark R. Neural correlates of disgust- and fear-conditioned responses. Neuroscience 2012; 201:209-18. [DOI: 10.1016/j.neuroscience.2011.11.007] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2011] [Revised: 10/28/2011] [Accepted: 11/02/2011] [Indexed: 11/28/2022]
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Freitas JMM, Zenteno M, Aburto-Murrieta Y, Koppe G, Abath C, Nunes JA, Raupp E, Hidalgo R, Pieruccetti MA, Lee A. Intracranial arterial stenting for symptomatic stenoses: a Latin American experience. ACTA ACUST UNITED AC 2007; 68:378-86. [PMID: 17905061 DOI: 10.1016/j.surneu.2006.11.062] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2006] [Accepted: 11/28/2006] [Indexed: 11/27/2022]
Abstract
BACKGROUND The proportionally higher incidence of intracranial atherosclerosis among Asian and black patients and a greater proclivity for intracranial artery stenosis in the Hispanic population merit drawing attention to a Latin American experience with intracranial arterial stenting. METHODS This is a retrospective analysis of an observational study of 33 intracranial lesions (each >50% stenosis) in 32 patients treated by intracranial angioplasty in 6 Latin American centers over a 3-year period. The investigation used a unique device, a balloon-expandable stent (Lekton Motion stent system, now Pharos, Biotronik, AG, Bülach, Switzerland). RESULTS The treated patients ranged in age from 30 to 81 years (mean, 59.3 years; SD, 12 years), including 24 male and 8 female patients (sex ratio, 4:1). Two were Asians, 4 were blacks, and the rest were white Hispanic. Our mean follow-up is of 10.2 months (SD, 7.84 months), with a mortality rate of 9.4% (3/32), a nonfatal complication rate of 6.2%, and a stroke rate (rate of recurrence) of 0%. The mean pretreatment stenosis of 68.75% (SD, 14%) was reduced to a residual of 5.16% (SD, 16%) (P = .000; 95% confidence interval, 56.8%-70.3%). A control angiogram was performed in 82% of patients, and in that case, the restenosis 50% or greater was of 8.7% during the follow-up period. CONCLUSION The treatment of intracranial stenosis with the Lekton Motion stent (Pharos) is feasible with a high technical success rate. Restenosis as well as the rate of new neurologic events during follow-up suggests some efficacy of stroke prevention by using the latest-generation, highly trackable, balloon-expandable stents.
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Affiliation(s)
- José Maria Modenesi Freitas
- Department of Neuroradiology and Neurological Endovascular Therapy, Hospital Santa Rita, São Paulo, Brazilia, CEP: 04013-004, Brazil
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Zenteno M, Modenesi Freitas JM, Aburto-Murrieta Y, Koppe G, Machado E, Lee A. Balloon-expandable stenting with and without coiling for wide-neck and complex aneurysms. ACTA ACUST UNITED AC 2007; 66:603-10; discussion 610. [PMID: 17145321 DOI: 10.1016/j.surneu.2006.05.058] [Citation(s) in RCA: 20] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2006] [Accepted: 05/03/2006] [Indexed: 11/25/2022]
Abstract
BACKGROUND Wide-necked, saccular, dissecting, and fusiform intracranial aneurysms are poor coil retainers. Retention can be improved by parent-artery stenting across the aneurysm. METHODS We used a balloon-expandable stent and delivery system, intending to treat 38 aneurysms in 36 patients. Stents could not be advanced across the neck of 2 aneurysms near the ophthalmic artery origin. These cases were managed by temporary balloon remodeling and coiling. Stenting alone was done for 15 aneurysms, including 7 in vertebral artery V4 segments. Stenting with immediate or delayed coiling was done in 21 aneurysms. RESULTS Stenting alone caused immediate and complete obliteration of 1 treated aneurysm (7%), subtotal obliteration in 13 treated (86%) aneurysms, and was associated with 1 failure. Stenting and coiling yielded a significantly better 57% complete obliteration rate, 43% subtotal obliteration, and no failures. There were 5 complications: 1 wire perforation, 2 cavernous-carotid-sinus fistulae, and 2 partial in-stent thromboses. All were controlled or cleared with no long-term sequelae or deaths. Contrast imaging at 1 to 12 months was available for 30 patients (13 stent-only, 17 stent-plus-coiling), demonstrating complete obliteration in 25 (83%) and subtotal obliteration in 5. A total of 7 stent-only aneurysms (4 V4s) were completely obliterated, and 3 (all V4s) were > or = 90% obliterated. CONCLUSION Stenting and coiling through the wall of the stent resulted in 88% (15/17) complete obliteration when imaged 1 to 12 months after treatment. Stenting alone effectively closed off V4-segment wide-necked aneurysms but was inferior to stenting and coiling in less mobile vessels.
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Affiliation(s)
- Marco Zenteno
- Department of Neurological Endovascular Therapy, Instituto Nacional de Neurologia y Neurocirugía, Mexico City, 14269 Mexico
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Dhooge W, Stuyvaert S, Kaufman JM, Koppe G, Nele V, Schoeters G, van Larebeke N, Comhaire F. Observations as to male fertility in the Flemish environment and health studies. Folia Histochem Cytobiol 2002; 39 Suppl 2:38-9. [PMID: 11820620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023] Open
Abstract
We report the observations made on 101 healthy non-smoking men aged 21-40 (50 from two industrial suburbs of the big city of Antwerp and 51 from Peer, a predominantly rural municipality with 14,622 inhabitants, 70 km east of Antwerp, chosen as the "control" area in spite of its intensive agriculture). Persons with known occupational exposures, persons working in a region with characteristics clearly different from the area of residence, and people commuting over long distances were excluded from the study. Sperm morphology was significantly worse in Peer than in Antwerp. Serum testosterone levels were significantly lower in Peer than in Antwerp. The proportions of men with very low and low serum testosterone levels, of men with very low and low spermatozoa concentrations and of men with very low and low percentages of spermatozoa with normal morphology, were all higher in Peer than in Antwerp. We speculate that both the lower testosterone concentrations and the poorer sperm quality are due to disturbance of the hypothalamic-pituitary-testicular function by hormone disrupters. Our data suggest that exposure to levels of environmental pollution which are widespread in developed nations, can have unfavourable effects on endocrine equilibrium and may disturb male fertiline disrupters.
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Affiliation(s)
- W Dhooge
- Department of Endocrinology, Ghent University Hospital, Gent, Belgium
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Abstract
In 3 pregnant women oestrogen excretion in the urine was very low. The pregnancies were otherwise uncomplicated and the 3 infants, boys, were normal at birth, but later developed ichthyosis of the X-linked inherited type. Histochemically, the placenta in each case showed deficiency in arylsulphatase-type C activity. In all three children the skin showed the same enzyme deficiency. In the skin of 9 other unrelated (adult) patients with proved X-linked inherited ichthyosis vulgaris, arylsulphatase C activity was deficient. Skin from 5 normal adults and 5 normal children showed arylsulphatase C activity to be present. It is concluded that a sulphatase deficiency is a factor in the causation of ichthyosis of the X-linked inherited type.
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