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Wabnitz K, von Gierke F, Gepp S, Jung L, Schneider F, Schwienhorst-Stich EM, Fast M. Visions for planetary health: Results from open-ended questions of survey participants after a virtual planetary health lecture series. Z Evid Fortbild Qual Gesundhwes 2024; 185:108-114. [PMID: 38508897 DOI: 10.1016/j.zefq.2023.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 12/06/2023] [Accepted: 12/07/2023] [Indexed: 03/22/2024]
Abstract
INTRODUCTION A profound transformation of all areas of human activities is urgently needed for planetary health. Developing a shared vision of the future that is grounded in values aligned with planetary health is indispensable in this regard. The Planetary Health Academy is the first open online lecture series in Germany aiming for transformative planetary health education. As part of a recent evaluation of the impact of the lecture series, participants' visions for planetary health were also examined. METHODS As part of a retrospective, cross-sectional, self-administered online survey, participants were asked to respond to an open-ended question on their visions for planetary health. Results were analysed using summarising qualitative content analysis according to Mayring. Sociodemographic details of those participants who provided a valid answer (n = 197) were calculated. RESULTS Eight main categories were developed to summarise participants' visions for planetary health. These were: Awareness for planetary health - Planetary health integrated in all types of education - Establishment and development of the concept - A different understanding of health (care) - A transformative movement and global community - Transforming human activities - Planetary health as a guiding principle - The future state of planetary health. DISCUSSION Broadly, the participants' visions were about planetary health as a goal and the means necessary to achieve this goal. Our findings can only be seen as a first explorative step in eliciting aspects of a common vision for planetary health, as our study design did not include a mechanism of building consensus towards one common vision. Besides the field of planetary health, similar concepts and associated movements exist or are emerging. Facilitating dialogue and exchange across disciplines and narratives about the prevailing future visions will be key to achieving what we call planetary health and what others might call Ubuntu or buen vivir. CONCLUSION The results of this study provide first insights into the planetary health visions of those whom we would consider members of a movement aligned behind the idea of planetary health. In future editions, the Planetary Health Academy could integrate more discursive elements with a particular focus on negotiating future visions to support the creation of a critical mass of change agents within the health community and beyond.
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Affiliation(s)
- Katharina Wabnitz
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair of Public Health and Health Services Research, Ludwig-Maximilians-Universität München, Munich, Germany; Centre for Planetary Health Policy (CPHP), Berlin, Germany
| | | | - Sophie Gepp
- Centre for Planetary Health Policy (CPHP), Berlin, Germany; German Alliance on Climate Change and Health (KLUG e.V.), Berlin, Germany; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Laura Jung
- Leipzig University Medical Center, Division of Infectious Diseases and Tropical Medicine, Leipzig, Germany
| | - Frederick Schneider
- Technical University of Munich, TUM School of Medicine, Department of Anaesthesiology and Intensive Care, München, Germany
| | - Eva-Maria Schwienhorst-Stich
- Department of General Practice & Family Medicine, University Hospital Würzburg, Würzburg, Germany; Teaching Clinic of the Faculty of Medicine and Institute of Medical Teaching and Medical Education Research, University Hospital Würzburg, Würzburg, Germany.
| | - Marischa Fast
- German Alliance on Climate Change and Health (KLUG e.V.), Berlin, Germany
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Hawks ZW, Beck ED, Jung L, Fonseca LM, Sliwinski MJ, Weinstock RS, Grinspoon E, Xu I, Strong RW, Singh S, Van Dongen HPA, Frumkin MR, Bulger J, Cleveland MJ, Janess K, Kudva YC, Pratley R, Rickels MR, Rizvi SR, Chaytor NS, Germine LT. Dynamic associations between glucose and ecological momentary cognition in Type 1 Diabetes. NPJ Digit Med 2024; 7:59. [PMID: 38499605 PMCID: PMC10948782 DOI: 10.1038/s41746-024-01036-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 02/14/2024] [Indexed: 03/20/2024] Open
Abstract
Type 1 diabetes (T1D) is a chronic condition characterized by glucose fluctuations. Laboratory studies suggest that cognition is reduced when glucose is very low (hypoglycemia) and very high (hyperglycemia). Until recently, technological limitations prevented researchers from understanding how naturally-occurring glucose fluctuations impact cognitive fluctuations. This study leveraged advances in continuous glucose monitoring (CGM) and cognitive ecological momentary assessment (EMA) to characterize dynamic, within-person associations between glucose and cognition in naturalistic environments. Using CGM and EMA, we obtained intensive longitudinal measurements of glucose and cognition (processing speed, sustained attention) in 200 adults with T1D. First, we used hierarchical Bayesian modeling to estimate dynamic, within-person associations between glucose and cognition. Consistent with laboratory studies, we hypothesized that cognitive performance would be reduced at low and high glucose, reflecting cognitive vulnerability to glucose fluctuations. Second, we used data-driven lasso regression to identify clinical characteristics that predicted individual differences in cognitive vulnerability to glucose fluctuations. Large glucose fluctuations were associated with slower and less accurate processing speed, although slight glucose elevations (relative to person-level means) were associated with faster processing speed. Glucose fluctuations were not related to sustained attention. Seven clinical characteristics predicted individual differences in cognitive vulnerability to glucose fluctuations: age, time in hypoglycemia, lifetime severe hypoglycemic events, microvascular complications, glucose variability, fatigue, and neck circumference. Results establish the impact of glucose on processing speed in naturalistic environments, suggest that minimizing glucose fluctuations is important for optimizing processing speed, and identify several clinical characteristics that may exacerbate cognitive vulnerability to glucose fluctuations.
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Affiliation(s)
- Z W Hawks
- Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA.
- Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
| | - E D Beck
- Department of Psychology, University of California Davis, Davis, CA, USA
| | - L Jung
- Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA
| | - L M Fonseca
- Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA
- Programa Terceira Idade (PROTER, Old Age Research Group), Department and Institute of Psychiatry, University of São Paulo School of Medicine, São Paulo, Brazil
| | - M J Sliwinski
- Department of Human Development and Family Studies, Center for Healthy Aging, Pennsylvania State University, State College, PA, USA
| | | | - E Grinspoon
- Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA
| | - I Xu
- Department of Psychology, University of Notre Dame, Notre Dame, IN, USA
| | - R W Strong
- The Many Brains Project, Belmont, MA, USA
| | - S Singh
- Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA
- Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - H P A Van Dongen
- Sleep and Performance Research Center & Department of Translational Medicine and Physiology, Washington State University, Spokane, WA, USA
| | - M R Frumkin
- Department of Psychiatry, Harvard Medical School, Boston, MA, USA
- Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
| | - J Bulger
- SUNY Upstate Medical University, Syracuse, NY, USA
| | - M J Cleveland
- Department of Human Development, Washington State University, Pullman, WA, USA
| | - K Janess
- Jaeb Center for Health Research, Tampa, FL, USA
| | - Y C Kudva
- Division of Endocrinology, Diabetes and Nutrition, Mayo Clinic, Rochester, MN, USA
| | - R Pratley
- AdventHealth Translational Research Institute, Orlando, FL, USA
| | - M R Rickels
- University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
| | - S R Rizvi
- Division of Endocrinology, Diabetes and Nutrition, Mayo Clinic, Rochester, MN, USA
| | - N S Chaytor
- Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA
| | - L T Germine
- Institute for Technology in Psychiatry, McLean Hospital, Belmont, MA, USA
- Department of Psychiatry, Harvard Medical School, Boston, MA, USA
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Arnold L, Kellermann L, Hommes F, Jung L, Gepp S, Fischer F, Szagun B, Starke D, Stratil JM. ["Having Impact, Making a Difference" Approaches to Increase the Attractiveness of the PHS as a Prospective Employer: Results and Recommendations from two Nationwide Online Surveys]. Gesundheitswesen 2023; 85:945-954. [PMID: 37793412 DOI: 10.1055/a-2125-5322] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
Abstract
ZusammenfassungUm Ansätze zu identifizieren, wie der ÖGD zu einem attraktiveren
Arbeitgeber werden kann, wurde im Rahmen des ÖGD-Studisurveys das
Interesse von Studierenden in Deutschland an einer Tätigkeit im
ÖGD erstmals empirisch exploriert. Unmittelbar vor und während
der COVID-19-Pandemie wurden zwei Onlinebefragungen unter Studierenden
ÖGD-relevanter Studienfächer durchgeführt. Beide
Befragungen enthielten Fragen zur Wahrnehmung des ÖGD, zum Wissen
über den ÖGD sowie zu Ansätzen, um die
Attraktivität des ÖGD zu steigern. Alle Analysen erfolgten
stratifiziert nach Studienfächern. Medizinstudierende wiesen ein
geringeres Interesse an einer Tätigkeit im ÖGD auf als Public
Health-Studierende und Studierende weiterer ÖGD-relevanter
Fachrichtungen. Unabhängig vom Studienfach war das Wissen über
den ÖGD gering. Ungeachtet der Wahrnehmung positiver Aspekte, wurden
häufig negative Aspekte struktureller Art wahrgenommen – dies
v. a. auch von Studierenden mit Interesse am ÖGD. Um gut
qualifizierte Personen für den ÖGD zu gewinnen und langfristig
zu halten, gilt es, die positiven Aspekte zu betonen und formulierte Kritik
ernst zu nehmen. Hierfür ergeben sich drei Ansätze: (1)
Strategien zur langfristigen Personalgewinnung sollten kompetenzorientiert
ausgerichtet werden und auf Personen mit ÖGD-Interesse fokussieren. (2)
Zur Sicherstellung erforderlicher Kompetenzen sollte der ÖGD in allen
relevanten Studienfächern verankert und bestehende Aus- und
Weiterbildungsstrukturen sollten erweitert werden. (3) Um die
Arbeitgeberattraktivität des ÖGD nachhaltig zu stärken,
muss die Verwaltungsmodernisierung vorangebracht und das Aufgabenspektrum
entsprechend des Leitbildes weiterentwickelt werden.
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Affiliation(s)
- Laura Arnold
- Department of International Health, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands
- Akademie für Öffentliches Gesundheitswesen (AÖGW), Düsseldorf, Germany
- Nachwuchsnetzwerk Öffentliche Gesundheit (NÖG), München, Germany
| | - Lisa Kellermann
- Nachwuchsnetzwerk Öffentliche Gesundheit (NÖG), München, Germany
| | - Franziska Hommes
- Nachwuchsnetzwerk Öffentliche Gesundheit (NÖG), München, Germany
| | - Laura Jung
- Nachwuchsnetzwerk Öffentliche Gesundheit (NÖG), München, Germany
- Infektions- und Tropenmedizin, Universitätsklinikum Leipzig, Leipzig, Germany
| | - Sophie Gepp
- Nachwuchsnetzwerk Öffentliche Gesundheit (NÖG), München, Germany
- Centre for Planetary Health Policy (CPHP), Berlin, Germany
| | - Florian Fischer
- Nachwuchsnetzwerk Öffentliche Gesundheit (NÖG), München, Germany
- Charité - Universitätsmedizin Berlin, Institut für Public Health, Berlin, Germany
- Bayerisches Zentrum Pflege Digital, Hochschule für angewandte Wissenschaften Kempten, Kempten, Germany
| | - Bertram Szagun
- Fakultät Soziale Arbeit, Gesundheit und Pflege, Hochschule Ravensburg-Weingarten, Weingarten, Germany
| | - Dagmar Starke
- Akademie für Öffentliches Gesundheitswesen (AÖGW), Düsseldorf, Germany
| | - Jan M Stratil
- Nachwuchsnetzwerk Öffentliche Gesundheit (NÖG), München, Germany
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Jung L, Kiwanuka J, Mbabazi L, Nakate V, Musaazi J, Nabajja H, Kajumbula H, Lübbert C, Mwaka E, Nsibirwa S, von Braun A. A case for routine microbial diagnostics: Results from antimicrobial susceptibility testing in post-traumatic wound infections at a Ugandan tertiary care hospital. PLOS Glob Public Health 2023; 3:e0001880. [PMID: 37582103 PMCID: PMC10427013 DOI: 10.1371/journal.pgph.0001880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 07/25/2023] [Indexed: 08/17/2023]
Abstract
The global spread of antimicrobial resistance (AMR) poses an increasing challenge for clinicians in Uganda, where microbiological diagnostics are not routinely available or accessible. The aim of this study was to determine pathogen prevalence and antibiotic resistance patterns in patients with wound infections following trauma at a national referral hospital in Kampala, Uganda. In addition, the suitability of currently used empirical treatment options in this setting was evaluated. This prospective, observational study analysed antimicrobial prescriptions, culture results and antimicrobial sensitivity testing (AST) of wound swabs and blood samples from patients with clinical signs of wound infections on the trauma ward. A total of 124 patients (n = 99, 79.8% male) with a median age of 30 years (IQR 23-39) were enrolled between October 2021 and January 2022. Wound infections were classified as nosocomial in 69% of the cases. Pathogens were isolated from 122 wound swabs, yielding 238 bacterial isolates. The most prevalent pathogens were gram-negative bacteria including Escherichia coli (n = 48, 20.2%) and Acinetobacter spp. (n = 43, 18.1%). Empiric treatment consisted of ceftriaxone and gentamicin which was administered to 67.2% (n = 78) and 62.1% (n = 72) of patients, respectively. High rates of antimicrobial resistance could be demonstrated across gram-negative and gram-positive species towards the most common empiric antibiotics. Following the AST results, over 95% (n = 111) of patients required a change of treatment. Our findings demonstrate that current empiric treatment for wound infections is missing its target in hospitalized patients in Kampala. To address the growing problem of AMR in Uganda, there is a pressing need to enhance diagnostic capacity and implement structured antimicrobial stewardship programs.
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Affiliation(s)
- Laura Jung
- Department of Medicine I, Division of Infectious Diseases and Tropical Medicine, Leipzig University Medical Center, Leipzig, Germany
| | - James Kiwanuka
- Department of Orthopedics/Trauma, Mulago National Referral Hospital, Kampala, Uganda
| | - Leah Mbabazi
- Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Vivian Nakate
- Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Joseph Musaazi
- Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Hawah Nabajja
- Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Henry Kajumbula
- Department of Medical Microbiology, Makerere University, Kampala, Uganda
| | - Christoph Lübbert
- Department of Medicine I, Division of Infectious Diseases and Tropical Medicine, Leipzig University Medical Center, Leipzig, Germany
| | - Erisa Mwaka
- Department of Orthopedics/Trauma, Mulago National Referral Hospital, Kampala, Uganda
| | - Sara Nsibirwa
- Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Amrei von Braun
- Department of Medicine I, Division of Infectious Diseases and Tropical Medicine, Leipzig University Medical Center, Leipzig, Germany
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Smitherman EA, Chahine RA, Beukelman T, Lewandowski LB, Rahman AKMF, Wenderfer SE, Curtis JR, Hersh AO, Abulaban K, Adams A, Adams M, Agbayani R, Aiello J, Akoghlanian S, Alejandro C, Allenspach E, Alperin R, Alpizar M, Amarilyo G, Ambler W, Anderson E, Ardoin S, Armendariz S, Baker E, Balboni I, Balevic S, Ballenger L, Ballinger S, Balmuri N, Barbar‐Smiley F, Barillas‐Arias L, Basiaga M, Baszis K, Becker M, Bell‐Brunson H, Beltz E, Benham H, Benseler S, Bernal W, Beukelman T, Bigley T, Binstadt B, Black C, Blakley M, Bohnsack J, Boland J, Boneparth A, Bowman S, Bracaglia C, Brooks E, Brothers M, Brown A, Brunner H, Buckley M, Buckley M, Bukulmez H, Bullock D, Cameron B, Canna S, Cannon L, Carper P, Cartwright V, Cassidy E, Cerracchio L, Chalom E, Chang J, Chang‐Hoftman A, Chauhan V, Chira P, Chinn T, Chundru K, Clairman H, Co D, Confair A, Conlon H, Connor R, Cooper A, Cooper J, Cooper S, Correll C, Corvalan R, Costanzo D, Cron R, Curiel‐Duran L, Curington T, Curry M, Dalrymple A, Davis A, Davis C, Davis C, Davis T, De Benedetti F, De Ranieri D, Dean J, Dedeoglu F, DeGuzman M, Delnay N, Dempsey V, DeSantis E, Dickson T, Dingle J, Donaldson B, Dorsey E, Dover S, Dowling J, Drew J, Driest K, Du Q, Duarte K, Durkee D, Duverger E, Dvergsten J, Eberhard A, Eckert M, Ede K, Edelheit B, Edens C, Edens C, Edgerly Y, Elder M, Ervin B, Fadrhonc S, Failing C, Fair D, Falcon M, Favier L, Federici S, Feldman B, Fennell J, Ferguson I, Ferguson P, Ferreira B, Ferrucho R, Fields K, Finkel T, Fitzgerald M, Fleming C, Flynn O, Fogel L, Fox E, Fox M, Franco L, Freeman M, Fritz K, Froese S, Fuhlbrigge R, Fuller J, George N, Gerhold K, Gerstbacher D, Gilbert M, Gillispie‐Taylor M, Giverc E, Godiwala C, Goh I, Goheer H, Goldsmith D, Gotschlich E, Gotte A, Gottlieb B, Gracia C, Graham T, Grevich S, Griffin T, Griswold J, Grom A, Guevara M, Guittar P, Guzman M, Hager M, Hahn T, Halyabar O, Hammelev E, Hance M, Hanson A, Harel L, Haro S, Harris J, Harry O, Hartigan E, Hausmann J, Hay A, Hayward K, Heiart J, Hekl K, Henderson L, Henrickson M, Hersh A, Hickey K, Hill P, Hillyer S, Hiraki L, Hiskey M, Hobday P, Hoffart C, Holland M, Hollander M, Hong S, Horwitz M, Hsu J, Huber A, Huggins J, Hui‐Yuen J, Hung C, Huntington J, Huttenlocher A, Ibarra M, Imundo L, Inman C, Insalaco A, Jackson A, Jackson S, James K, Janow G, Jaquith J, Jared S, Johnson N, Jones J, Jones J, Jones J, Jones K, Jones S, Joshi S, Jung L, Justice C, Justiniano A, Karan N, Kaufman K, Kemp A, Kessler E, Khalsa U, Kienzle B, Kim S, Kimura Y, Kingsbury D, Kitcharoensakkul M, Klausmeier T, Klein K, Klein‐Gitelman M, Kompelien B, Kosikowski A, Kovalick L, Kracker J, Kramer S, Kremer C, Lai J, Lam J, Lang B, Lapidus S, Lapin B, Lasky A, Latham D, Lawson E, Laxer R, Lee P, Lee P, Lee T, Lentini L, Lerman M, Levy D, Li S, Lieberman S, Lim L, Lin C, Ling N, Lingis M, Lo M, Lovell D, Lowman D, Luca N, Lvovich S, Madison C, Madison J, Manzoni SM, Malla B, Maller J, Malloy M, Mannion M, Manos C, Marques L, Martyniuk A, Mason T, Mathus S, McAllister L, McCarthy K, McConnell K, McCormick E, McCurdy D, Stokes PM, McGuire S, McHale I, McMonagle A, McMullen‐Jackson C, Meidan E, Mellins E, Mendoza E, Mercado R, Merritt A, Michalowski L, Miettunen P, Miller M, Milojevic D, Mirizio E, Misajon E, Mitchell M, Modica R, Mohan S, Moore K, Moorthy L, Morgan S, Dewitt EM, Moss C, Moussa T, Mruk V, Murphy A, Muscal E, Nadler R, Nahal B, Nanda K, Nasah N, Nassi L, Nativ S, Natter M, Neely J, Nelson B, Newhall L, Ng L, Nicholas J, Nicolai R, Nigrovic P, Nocton J, Nolan B, Oberle E, Obispo B, O'Brien B, O'Brien T, Okeke O, Oliver M, Olson J, O'Neil K, Onel K, Orandi A, Orlando M, Osei‐Onomah S, Oz R, Pagano E, Paller A, Pan N, Panupattanapong S, Pardeo M, Paredes J, Parsons A, Patel J, Pentakota K, Pepmueller P, Pfeiffer T, Phillippi K, Marafon DP, Phillippi K, Ponder L, Pooni R, Prahalad S, Pratt S, Protopapas S, Puplava B, Quach J, Quinlan‐Waters M, Rabinovich C, Radhakrishna S, Rafko J, Raisian J, Rakestraw A, Ramirez C, Ramsay E, Ramsey S, Randell R, Reed A, Reed A, Reed A, Reid H, Remmel K, Repp A, Reyes A, Richmond A, Riebschleger M, Ringold S, Riordan M, Riskalla M, Ritter M, Rivas‐Chacon R, Robinson A, Rodela E, Rodriquez M, Rojas K, Ronis T, Rosenkranz M, Rosolowski B, Rothermel H, Rothman D, Roth‐Wojcicki E, Rouster – Stevens K, Rubinstein T, Ruth N, Saad N, Sabbagh S, Sacco E, Sadun R, Sandborg C, Sanni A, Santiago L, Sarkissian A, Savani S, Scalzi L, Schanberg L, Scharnhorst S, Schikler K, Schlefman A, Schmeling H, Schmidt K, Schmitt E, Schneider R, Schollaert‐Fitch K, Schulert G, Seay T, Seper C, Shalen J, Sheets R, Shelly A, Shenoi S, Shergill K, Shirley J, Shishov M, Shivers C, Silverman E, Singer N, Sivaraman V, Sletten J, Smith A, Smith C, Smith J, Smith J, Smitherman E, Soep J, Son M, Spence S, Spiegel L, Spitznagle J, Sran R, Srinivasalu H, Stapp H, Steigerwald K, Rakovchik YS, Stern S, Stevens A, Stevens B, Stevenson R, Stewart K, Stingl C, Stokes J, Stoll M, Stringer E, Sule S, Sumner J, Sundel R, Sutter M, Syed R, Syverson G, Szymanski A, Taber S, Tal R, Tambralli A, Taneja A, Tanner T, Tapani S, Tarshish G, Tarvin S, Tate L, Taxter A, Taylor J, Terry M, Tesher M, Thatayatikom A, Thomas B, Tiffany K, Ting T, Tipp A, Toib D, Torok K, Toruner C, Tory H, Toth M, Tse S, Tubwell V, Twilt M, Uriguen S, Valcarcel T, Van Mater H, Vannoy L, Varghese C, Vasquez N, Vazzana K, Vehe R, Veiga K, Velez J, Verbsky J, Vilar G, Volpe N, von Scheven E, Vora S, Wagner J, Wagner‐Weiner L, Wahezi D, Waite H, Walker J, Walters H, Muskardin TW, Waqar L, Waterfield M, Watson M, Watts A, Weiser P, Weiss J, Weiss P, Wershba E, White A, Williams C, Wise A, Woo J, Woolnough L, Wright T, Wu E, Yalcindag A, Yee M, Yen E, Yeung R, Yomogida K, Yu Q, Zapata R, Zartoshti A, Zeft A, Zeft R, Zhang Y, Zhao Y, Zhu A, Zic C. Childhood-Onset Lupus Nephritis in the Childhood Arthritis and Rheumatology Research Alliance Registry: Short-Term Kidney Status and Variation in Care. Arthritis Care Res (Hoboken) 2023; 75:1553-1562. [PMID: 36775844 PMCID: PMC10500561 DOI: 10.1002/acr.25002] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 07/14/2022] [Accepted: 08/16/2022] [Indexed: 11/10/2022]
Abstract
OBJECTIVE The goal was to characterize short-term kidney status and describe variation in early care utilization in a multicenter cohort of patients with childhood-onset systemic lupus erythematosus (cSLE) and nephritis. METHODS We analyzed previously collected prospective data from North American patients with cSLE with kidney biopsy-proven nephritis enrolled in the Childhood Arthritis and Rheumatology Research Alliance (CARRA) Registry from March 2017 through December 2019. We determined the proportion of patients with abnormal kidney status at the most recent registry visit and applied generalized linear mixed models to identify associated factors. We also calculated frequency of medication use, both during induction and ever recorded. RESULTS We identified 222 patients with kidney biopsy-proven nephritis, with 64% class III/IV nephritis on initial biopsy. At the most recent registry visit at median (interquartile range) of 17 (8-29) months from initial kidney biopsy, 58 of 106 patients (55%) with available data had abnormal kidney status. This finding was associated with male sex (odds ratio [OR] 3.88, 95% confidence interval [95% CI] 1.21-12.46) and age at cSLE diagnosis (OR 1.23, 95% CI 1.01-1.49). Patients with class IV nephritis were more likely than class III to receive cyclophosphamide and rituximab during induction. There was substantial variation in mycophenolate, cyclophosphamide, and rituximab ever use patterns across rheumatology centers. CONCLUSION In this cohort with predominately class III/IV nephritis, male sex and older age at cSLE diagnosis were associated with abnormal short-term kidney status. We also observed substantial variation in contemporary medication use for pediatric lupus nephritis between pediatric rheumatology centers. Additional studies are needed to better understand the impact of this variation on long-term kidney outcomes.
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Schönherr S, Jung L, Lübbert C. [Clostridioides difficile - New Insights and Therapy Recommendations]. Dtsch Med Wochenschr 2023; 148:752-758. [PMID: 37257477 DOI: 10.1055/a-1970-9211] [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: 06/02/2023]
Abstract
After an increase in Clostridioides difficile infections (CDI) until 2013 due to epidemic ribotypes such as 027 and 078, CDI incidence in Germany is now declining, as confirmed by recent epidemiological data. Despite this success through antimicrobial stewardship and hospital hygiene, the burden of disease remains high, especially in older patients (>65 years) with comorbidities. The main risk factor for CDI is the use of broad-spectrum antibiotics, which disrupt the gut microbiota, allowing C. difficile colonization. Coinfection with other intestinal pathogens such as enterococci can further increase the virulence of C. difficile. The updated 2021 ESCMID guidelines recommend fidaxomicin instead of vancomycin as the antibiotic of choice for the treatment of CDI because of its lower recurrence rate. Vancomycin remains a good alternative; however, metronidazole should only be used if neither antibiotic is available. In the future, ridinilazole may be available as another therapeutic option that has a narrow spectrum of activity and low intestinal absorption. For the treatment of recurrent CDI, the new guidelines also include the use of the monoclonal antibody bezlotoxumab. In addition, a new oral microbiome therapy, SER-109 (capsules containing purified Firmicutes spores), which showed promising results in a phase 3 study, may provide an easy-to-administer alternative to fecal microbiota transplantation. Hopes for a well-performing toxoid vaccine for primary and secondary prevention of CDI have unfortunately not been fulfilled in the CLOVER trial.
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Affiliation(s)
- Sebastian Schönherr
- Bereich Infektiologie und Tropenmedizin, Klinik und Poliklinik für Hämatologie, Zelltherapie, Hämostaseologie und Infektiologie, Universitätsklinikum Leipzig, Leipzig
- Interdisziplinäres Zentrum für Infektionsmedizin, Universitätsklinikum Leipzig, Leipzig
| | - Laura Jung
- Bereich Infektiologie und Tropenmedizin, Klinik und Poliklinik für Hämatologie, Zelltherapie, Hämostaseologie und Infektiologie, Universitätsklinikum Leipzig, Leipzig
- Interdisziplinäres Zentrum für Infektionsmedizin, Universitätsklinikum Leipzig, Leipzig
| | - Christoph Lübbert
- Bereich Infektiologie und Tropenmedizin, Klinik und Poliklinik für Hämatologie, Zelltherapie, Hämostaseologie und Infektiologie, Universitätsklinikum Leipzig, Leipzig
- Interdisziplinäres Zentrum für Infektionsmedizin, Universitätsklinikum Leipzig, Leipzig
- Klinik für Infektiologie und Tropenmedizin, Klinikum St. Georg, Leipzig
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Schwienhorst-Stich EM, Wabnitz K, Geck E, Gepp S, Jung L, Mumm A, Schmid J, Simmenroth A, Simon J, Eichinger M. Initiatives promoting planetary health education in Germany: An overview. GMS J Med Educ 2023; 40:Doc38. [PMID: 37377567 PMCID: PMC10291351 DOI: 10.3205/zma001620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 08/08/2022] [Accepted: 11/23/2022] [Indexed: 06/29/2023]
Abstract
Planetary health education focuses on the climate and ecological crises and their adverse health effects. Given the acceleration of these crises, nationwide integration of planetary health education into undergraduate and graduate education, postgraduate training and continuing education for all health professionals has repeatedly been called for. Since 2019, planetary health education has been promoted by several national initiatives in Germany that are summarized in this commentary: 1. National Working Group Planetary Health Education, 2. Manual for planetary health education, 3. Catalog of National Planetary Health Learning Objectives in the National Competency-Based Catalog of Learning Objectives for Medical Education, 4. Working Group Climate, Environment and Health Impact Assessment at the Institute for Medical and Pharmaceutical Examinations, 5. Planetary Health Report Card, and 6. PlanetMedEd study: planetary health education in medical schools in Germany. We hope these initiatives promote collaboration across institutions involved in educating and training health professionals, inter-professional cooperation as well as rapid implementation of planetary health education.
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Affiliation(s)
- Eva-Maria Schwienhorst-Stich
- University Hospital Würzburg, Department of General Practice, Würzburg, Germany
- University of Würzburg, Teaching Clinic of the Faculty of Medicine & University Hospital Würzburg, Institute of Medical Teaching and Medical Education Research, Würzburg, Germany
| | - Katharina Wabnitz
- Ludwig-Maximilians-University Munich, Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Munich, Germany
- Centre for Planetary Health Policy (CPHP), Berlin, Germany
| | - Eva Geck
- University of Würzburg, Würzburg, Germany
| | - Sophie Gepp
- Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
- German Alliance on Climate Change and Health (KLUG), Berlin, Germany
| | - Laura Jung
- Leipzig University Medical Center, Division of Infectious Diseases and Tropical Medicine, Leipzig, Germany
| | | | - Jörg Schmid
- University Hospital Würzburg, Department of General Practice, Würzburg, Germany
| | - Anne Simmenroth
- University Hospital Würzburg, Department of General Practice, Würzburg, Germany
| | | | - Michael Eichinger
- Heidelberg University, Medical Faculty Mannheim, Center for Preventive Medicine and Digital Health, Mannheim, Germany
- University Medical Center of the Johannes Gutenberg-University Mainz, Institute of Medical Biostatistics, Epidemiology and Informatics, Mainz, Germany
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Khorsand P, Dada S, Jung L, Law S, Patil P, Wangari MC, Omrani OE, Daalen KV. A planetary health perspective on menstruation: menstrual equity and climate action. Lancet Planet Health 2023; 7:e347-e349. [PMID: 37164506 DOI: 10.1016/s2542-5196(23)00081-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/02/2023] [Accepted: 03/31/2023] [Indexed: 05/12/2023]
Affiliation(s)
| | - Sara Dada
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | - Laura Jung
- Leipzig University Medical Center, Division of Infectious Diseases and Tropical Medicine, Leipzig, Germany
| | - Siufung Law
- Department of Women's, Gender and Sexuality Studies, Emory University, Atlanta, GA, USA
| | - Poorvaprabha Patil
- Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, India; London School of Hygiene and Tropical Medicine, University of London, London, UK
| | | | - Omnia El Omrani
- Plastic, Reconstructive and Aesthetic Surgery Department, Ain Shams University Teaching Hospital, Cairo, Egypt
| | - Kim van Daalen
- British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK; Heart and Lung Research Institute, University of Cambridge, Cambridge, UK; Barcelona Supercomputing Center, Department of Earth Sciences, Barcelona, Spain
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Gepp S, Jung L, Wabnitz K, Schneider F, V Gierke F, Otto H, Hartmann S, Gemke T, Schulz C, Gabrysch S, Fast M, Schwienhorst-Stich EM. The Planetary Health Academy-a virtual lecture series for transformative education in Germany. Lancet Planet Health 2023; 7:e68-e76. [PMID: 36608952 DOI: 10.1016/s2542-5196(22)00253-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 03/03/2022] [Revised: 09/15/2022] [Accepted: 10/10/2022] [Indexed: 06/17/2023]
Abstract
The planetary crises require health professionals to understand the interlinkages between health and environmental changes, and how to reduce ecological harm (ie, ecological footprint) and promote positive change (ie, ecological handprint). However, health professions' education and training are mostly lacking these aspects. In this Viewpoint, we report findings from the evaluation of the Planetary Health Academy, the first open online lecture series for transformative planetary health education in Germany. In a retrospective online survey, 458 of 3656 Planetary Health Academy participants reported on their emotions towards climate change, attitudes towards health professionals' responsibilities, self-efficacy, and the contribution of the Planetary Health Academy to their knowledge and actions. Additionally, motivators and barriers to acting were assessed. Our findings provide insights that can inform future efforts for transformative education. Combined with network and movement building, education could act as a social tipping element toward actions to mitigate global environmental changes.
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Affiliation(s)
- Sophie Gepp
- Research Department 2, Potsdam Institute for Climate Impact Research (PIK), Potsdam, Germany; Institute of Public Health, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; German Alliance on Climate Change and Health (KLUG), Berlin, Germany; Centre for Planetary Health Policy, Deutsche Allianz Klimawandel und Gesundheit, Berlin, Germany
| | - Laura Jung
- German Alliance on Climate Change and Health (KLUG), Berlin, Germany; Division of Infectious Diseases and Tropical Medicine, Leipzig University Medical Center, Leipzig, Germany.
| | - Katharina Wabnitz
- Centre for Planetary Health Policy, Deutsche Allianz Klimawandel und Gesundheit, Berlin, Germany; Lehrstuhl für Public Health und Versorgungsforschung, Institute for Medical Information Processing, Biometry, and Epidemiology (IBE), Ludwig-Maximilians-Universität München, Munich, Germany
| | - Frederick Schneider
- Department of Anaesthesiology and Intensive Care, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | | | - Hannah Otto
- German Alliance on Climate Change and Health (KLUG), Berlin, Germany; Medical Faculty, Albert-Ludwigs-Universität Freiburg, Freiburg, Germany
| | - Sylvia Hartmann
- AG Computational Medicine, Berlin Institute of Health, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; German Alliance on Climate Change and Health (KLUG), Berlin, Germany
| | - Theresa Gemke
- German Alliance on Climate Change and Health (KLUG), Berlin, Germany; Medical Faculty, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Christian Schulz
- German Alliance on Climate Change and Health (KLUG), Berlin, Germany; Department of Anaesthesiology and Intensive Care, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Sabine Gabrysch
- Research Department 2, Potsdam Institute for Climate Impact Research (PIK), Potsdam, Germany; Institute of Public Health, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany
| | - Marischa Fast
- German Alliance on Climate Change and Health (KLUG), Berlin, Germany
| | - Eva-Maria Schwienhorst-Stich
- Department of General Practice and Family Medicine, University Hospital Würzburg, Würzburg, Germany; Teaching Clinic of the Faculty of Medicine and Institute of Medical Teaching and Medical Education Research, University of Würzburg, Würzburg, Germany
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Lee MW, Kang J, Logan NC, Choi MJ, Jung L, Kim J, Choi MG, Kim MH, Grierson BA, Smith SP, Meneghini O, Romanelli M, Sung C. A New Integrated Analysis Suite for Fast-Ion Study in KSTAR. Fusion Science and Technology 2022. [DOI: 10.1080/15361055.2022.2126292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- M. W. Lee
- Korea Advanced Institute of Science and Technology, 291 Daehak-ro, Yuseong-gu, Daejeon 34141, Korea
| | - J. Kang
- Korea Institute of Fusion Energy, 169-148 Gwahangno, Yuseong-gu, Daejeon 34113 Korea
| | - N. C. Logan
- Lawrence Livermore National Laboratory, Livermore, California 94551
| | - M. J. Choi
- Korea Institute of Fusion Energy, 169-148 Gwahangno, Yuseong-gu, Daejeon 34113 Korea
| | - L. Jung
- Korea Institute of Fusion Energy, 169-148 Gwahangno, Yuseong-gu, Daejeon 34113 Korea
| | - J. Kim
- Korea Institute of Fusion Energy, 169-148 Gwahangno, Yuseong-gu, Daejeon 34113 Korea
| | - M. G. Choi
- Korea Advanced Institute of Science and Technology, 291 Daehak-ro, Yuseong-gu, Daejeon 34141, Korea
| | - M. H. Kim
- Korea Institute of Fusion Energy, 169-148 Gwahangno, Yuseong-gu, Daejeon 34113 Korea
| | | | - S. P. Smith
- General Atomics, San Diego, California 92121
| | | | - M. Romanelli
- UKAEA, Culham Science Centre, Abingdon OX143DB, United Kingdom
| | - C. Sung
- Korea Advanced Institute of Science and Technology, 291 Daehak-ro, Yuseong-gu, Daejeon 34141, Korea
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Na B, Kang J, Lee M, Jung L, Hahn S, Yoo J, Jeong J, Ko J, Sung C. Experimental and numerical evaluation of the neutral beam deposition profile in KSTAR. Fusion Engineering and Design 2022. [DOI: 10.1016/j.fusengdes.2022.113320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Jung L, Schneider A, Lübbert C. Gelbfieber. Z Gastroenterol 2022. [DOI: 10.1055/a-1965-4267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Hahn T, Daymont C, Beukelman T, Groh B, Hays K, Bingham CA, Scalzi L, Abel N, Abulaban K, Adams A, Adams M, Agbayani R, Aiello J, Akoghlanian S, Alejandro C, Allenspach E, Alperin R, Alpizar M, Amarilyo G, Ambler W, Anderson E, Ardoin S, Armendariz S, Baker E, Balboni I, Balevic S, Ballenger L, Ballinger S, Balmuri N, Barbar-Smiley F, Barillas-Arias L, Basiaga M, Baszis K, Becker M, Bell-Brunson H, Beltz E, Benham H, Benseler S, Bernal W, Beukelman T, Bigley T, Binstadt B, Black C, Blakley M, Bohnsack J, Boland J, Boneparth A, Bowman S, Bracaglia C, Brooks E, Brothers M, Brown A, Brunner H, Buckley M, Buckley M, Bukulmez H, Bullock D, Cameron B, Canna S, Cannon L, Carper P, Cartwright V, Cassidy E, Cerracchio L, Chalom E, Chang J, Chang-Hoftman A, Chauhan V, Chira P, Chinn T, Chundru K, Clairman H, Co D, Confair A, Conlon H, Connor R, Cooper A, Cooper J, Cooper S, Correll C, Corvalan R, Costanzo D, Cron R, Curiel-Duran L, Curington T, Curry M, Dalrymple A, Davis A, Davis C, Davis C, Davis T, De Benedetti F, De Ranieri D, Dean J, Dedeoglu F, DeGuzman M, Delnay N, Dempsey V, DeSantis E, Dickson T, Dingle J, Donaldson B, Dorsey E, Dover S, Dowling J, Drew J, Driest K, Du Q, Duarte K, Durkee D, Duverger E, Dvergsten J, Eberhard A, Eckert M, Ede K, Edelheit B, Edens C, Edens C, Edgerly Y, Elder M, Ervin B, Fadrhonc S, Failing C, Fair D, Falcon M, Favier L, Federici S, Feldman B, Fennell J, Ferguson I, Ferguson P, Ferreira B, Ferrucho R, Fields K, Finkel T, Fitzgerald M, Fleming C, Flynn O, Fogel L, Fox E, Fox M, Franco L, Freeman M, Fritz K, Froese S, Fuhlbrigge R, Fuller J, George N, Gerhold K, Gerstbacher D, Gilbert M, Gillispie-Taylor M, Giverc E, Godiwala C, Goh I, Goheer H, Goldsmith D, Gotschlich E, Gotte A, Gottlieb B, Gracia C, Graham T, Grevich S, Griffin T, Griswold J, Grom A, Guevara M, Guittar P, Guzman M, Hager M, Hahn T, Halyabar O, Hammelev E, Hance M, Hanson A, Harel L, Haro S, Harris J, Harry O, Hartigan E, Hausmann J, Hay A, Hayward K, Heiart J, Hekl K, Henderson L, Henrickson M, Hersh A, Hickey K, Hill P, Hillyer S, Hiraki L, Hiskey M, Hobday P, Hoffart C, Holland M, Hollander M, Hong S, Horwitz M, Hsu J, Huber A, Huggins J, Hui-Yuen J, Hung C, Huntington J, Huttenlocher A, Ibarra M, Imundo L, Inman C, Insalaco A, Jackson A, Jackson S, James K, Janow G, Jaquith J, Jared S, Johnson N, Jones J, Jones J, Jones J, Jones K, Jones S, Joshi S, Jung L, Justice C, Justiniano A, Karan N, Kaufman K, Kemp A, Kessler E, Khalsa U, Kienzle B, Kim S, Kimura Y, Kingsbury D, Kitcharoensakkul M, Klausmeier T, Klein K, Klein-Gitelman M, Kompelien B, Kosikowski A, Kovalick L, Kracker J, Kramer S, Kremer C, Lai J, Lam J, Lang B, Lapidus S, Lapin B, Lasky A, Latham D, Lawson E, Laxer R, Lee P, Lee P, Lee T, Lentini L, Lerman M, Levy D, Li S, Lieberman S, Lim L, Lin C, Ling N, Lingis M, Lo M, Lovell D, Lowman D, Luca N, Lvovich S, Madison C, Madison J, Manzoni SM, Malla B, Maller J, Malloy M, Mannion M, Manos C, Marques L, Martyniuk A, Mason T, Mathus S, McAllister L, McCarthy K, McConnell K, McCormick E, McCurdy D, Stokes PMC, McGuire S, McHale I, McMonagle A, McMullen-Jackson C, Meidan E, Mellins E, Mendoza E, Mercado R, Merritt A, Michalowski L, Miettunen P, Miller M, Milojevic D, Mirizio E, Misajon E, Mitchell M, Modica R, Mohan S, Moore K, Moorthy L, Morgan S, Dewitt EM, Moss C, Moussa T, Mruk V, Murphy A, Muscal E, Nadler R, Nahal B, Nanda K, Nasah N, Nassi L, Nativ S, Natter M, Neely J, Nelson B, Newhall L, Ng L, Nicholas J, Nicolai R, Nigrovic P, Nocton J, Nolan B, Oberle E, Obispo B, O’Brien B, O’Brien T, Okeke O, Oliver M, Olson J, O’Neil K, Onel K, Orandi A, Orlando M, Osei-Onomah S, Oz R, Pagano E, Paller A, Pan N, Panupattanapong S, Pardeo M, Paredes J, Parsons A, Patel J, Pentakota K, Pepmueller P, Pfeiffer T, Phillippi K, Marafon DP, Phillippi K, Ponder L, Pooni R, Prahalad S, Pratt S, Protopapas S, Puplava B, Quach J, Quinlan-Waters M, Rabinovich C, Radhakrishna S, Rafko J, Raisian J, Rakestraw A, Ramirez C, Ramsay E, Ramsey S, Randell R, Reed A, Reed A, Reed A, Reid H, Remmel K, Repp A, Reyes A, Richmond A, Riebschleger M, Ringold S, Riordan M, Riskalla M, Ritter M, Rivas-Chacon R, Robinson A, Rodela E, Rodriquez M, Rojas K, Ronis T, Rosenkranz M, Rosolowski B, Rothermel H, Rothman D, Roth-Wojcicki E, Rouster-Stevens K, Rubinstein T, Ruth N, Saad N, Sabbagh S, Sacco E, Sadun R, Sandborg C, Sanni A, Santiago L, Sarkissian A, Savani S, Scalzi L, Schanberg L, Scharnhorst S, Schikler K, Schlefman A, Schmeling H, Schmidt K, Schmitt E, Schneider R, Schollaert-Fitch K, Schulert G, Seay T, Seper C, Shalen J, Sheets R, Shelly A, Shenoi S, Shergill K, Shirley J, Shishov M, Shivers C, Silverman E, Singer N, Sivaraman V, Sletten J, Smith A, Smith C, Smith J, Smith J, Smitherman E, Soep J, Son M, Spence S, Spiegel L, Spitznagle J, Sran R, Srinivasalu H, Stapp H, Steigerwald K, Rakovchik YS, Stern S, Stevens A, Stevens B, Stevenson R, Stewart K, Stingl C, Stokes J, Stoll M, Stringer E, Sule S, Sumner J, Sundel R, Sutter M, Syed R, Syverson G, Szymanski A, Taber S, Tal R, Tambralli A, Taneja A, Tanner T, Tapani S, Tarshish G, Tarvin S, Tate L, Taxter A, Taylor J, Terry M, Tesher M, Thatayatikom A, Thomas B, Tiffany K, Ting T, Tipp A, Toib D, Torok K, Toruner C, Tory H, Toth M, Tse S, Tubwell V, Twilt M, Uriguen S, Valcarcel T, Van Mater H, Vannoy L, Varghese C, Vasquez N, Vazzana K, Vehe R, Veiga K, Velez J, Verbsky J, Vilar G, Volpe N, von Scheven E, Vora S, Wagner J, Wagner-Weiner L, Wahezi D, Waite H, Walker J, Walters H, Muskardin TW, Waqar L, Waterfield M, Watson M, Watts A, Weiser P, Weiss J, Weiss P, Wershba E, White A, Williams C, Wise A, Woo J, Woolnough L, Wright T, Wu E, Yalcindag A, Yee M, Yen E, Yeung R, Yomogida K, Yu Q, Zapata R, Zartoshti A, Zeft A, Zeft R, Zhang Y, Zhao Y, Zhu A, Zic C. Intraarticular steroids as DMARD-sparing agents for juvenile idiopathic arthritis flares: Analysis of the Childhood Arthritis and Rheumatology Research Alliance Registry. Pediatr Rheumatol Online J 2022; 20:107. [PMID: 36434731 PMCID: PMC9701017 DOI: 10.1186/s12969-022-00770-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 11/08/2022] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Children with juvenile idiopathic arthritis (JIA) who achieve a drug free remission often experience a flare of their disease requiring either intraarticular steroids (IAS) or systemic treatment with disease modifying anti-rheumatic drugs (DMARDs). IAS offer an opportunity to recapture disease control and avoid exposure to side effects from systemic immunosuppression. We examined a cohort of patients treated with IAS after drug free remission and report the probability of restarting systemic treatment within 12 months. METHODS We analyzed a cohort of patients from the Childhood Arthritis and Rheumatology Research Alliance (CARRA) Registry who received IAS for a flare after a period of drug free remission. Historical factors and clinical characteristics and of the patients including data obtained at the time of treatment were analyzed. RESULTS We identified 46 patients who met the inclusion criteria. Of those with follow up data available 49% had restarted systemic treatment 6 months after IAS injection and 70% had restarted systemic treatment at 12 months. The proportion of patients with prior use of a biologic DMARD was the only factor that differed between patients who restarted systemic treatment those who did not, both at 6 months (79% vs 35%, p < 0.01) and 12 months (81% vs 33%, p < 0.05). CONCLUSION While IAS are an option for all patients who flare after drug free remission, it may not prevent the need to restart systemic treatment. Prior use of a biologic DMARD may predict lack of success for IAS. Those who previously received methotrexate only, on the other hand, are excellent candidates for IAS.
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Affiliation(s)
- Timothy Hahn
- Department of Pediatrics, Penn State Children's Hospital, 500 University Dr, Hershey, 90 Hope Drive, P.O. Box 855, Hershey, PA, 17033-0855, USA.
| | - Carrie Daymont
- grid.240473.60000 0004 0543 9901Department of Pediatrics, Penn State Children’s Hospital, 500 University Dr, Hershey, 90 Hope Drive, P.O. Box 855, Hershey, PA 17033-0855 USA
| | - Timothy Beukelman
- grid.265892.20000000106344187Department of Pediatrics, University of Alabama at Birmingham, CPPN G10, 1600 7th Ave South, Birmingham, AL 35233 USA
| | - Brandt Groh
- grid.240473.60000 0004 0543 9901Department of Pediatrics, Penn State Children’s Hospital, 500 University Dr, Hershey, 90 Hope Drive, P.O. Box 855, Hershey, PA 17033-0855 USA
| | | | - Catherine April Bingham
- grid.240473.60000 0004 0543 9901Department of Pediatrics, Penn State Children’s Hospital, 500 University Dr, Hershey, 90 Hope Drive, P.O. Box 855, Hershey, PA 17033-0855 USA
| | - Lisabeth Scalzi
- grid.240473.60000 0004 0543 9901Department of Pediatrics, Penn State Children’s Hospital, 500 University Dr, Hershey, 90 Hope Drive, P.O. Box 855, Hershey, PA 17033-0855 USA
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Arnold L, Hommes F, Kellermann L, Fischer F, Jung L, Mohsenpour A, Stratil JM. Opportunities to increase the attractiveness of the German Public Health Service as an employer. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac129.180] [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: 11/13/2022] Open
Abstract
Abstract
For decades, the public health service in Germany (PHS) experienced shortages of young professionals and challenges in recruiting qualified personnel. To sustainably counteract this challenge, it is necessary to understand the reasons of the perceived low attractiveness of PHS as a potential employer among students and young professionals. Two cross-sectional online surveys were conducted to assess the attitudes of medical, public health, and health science students towards the PHS as a potential employer. Wave 1, conducted from 2019-12 to 2020-04, focused on factors associated with high and with low interest in working for the PHS. Wave 2 was conducted from 2020-06 to 2020-09 to capture changes that may have resulted from the newfound attention of the PHS during the SARS-CoV-2 pandemic. Participants in both waves were asked about opportunities to increase the attractiveness of the PHS, which were analyzed using qualitative content analysis. In total 3040 students participated. Low interest in the PHS was associated with limited knowledge about public health, primary interest in clinical medicine, and a negative image of the public service. The qualitative analysis indicated as major obstacles: low visibility of and low awareness about the PHS, a perception of hierarchical and bureaucratic workplaces, and perceptions of repetitive occupations, among others. The participants suggested: improving awareness about the PHS in the population, including PHS in curriculum, and reducing entry barriers for non-medical students. The results of the largest survey of students on the attractiveness of the ÖGD in Germany provide valuable insights for ongoing reform processes. In addition to approaches to increase external visibility, existing processes and procedures within the ÖGD should be considered.
Key messages
• To counteract the shortage of skilled workers, the PHS must become more attractive to young professionals. This requires both, greater external visibility and modernization of internal structures.
• Successful inclusion of the perspective of young professionals in the current modernization processes introduces opportunities to increase the attractiveness of the PHS in the long-term.
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Affiliation(s)
- L Arnold
- German Network of Young Professionals in Public Health , Berlin, Germany
- Applied Research and Transfer, Academy of Public Health Services , Duesseldorf, Germany
| | - F Hommes
- German Network of Young Professionals in Public Health , Berlin, Germany
| | - L Kellermann
- German Network of Young Professionals in Public Health , Berlin, Germany
| | - F Fischer
- German Network of Young Professionals in Public Health , Berlin, Germany
| | - L Jung
- German Network of Young Professionals in Public Health , Berlin, Germany
| | - A Mohsenpour
- German Network of Young Professionals in Public Health , Berlin, Germany
| | - JM Stratil
- German Network of Young Professionals in Public Health , Berlin, Germany
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Otieno MA, Moonga G, Nidens N, Magero NV, Jung L. Adapting to a changing environment: inspiration for planetary health from east African communities. Lancet Planet Health 2022; 6:e775-e776. [PMID: 36208638 DOI: 10.1016/s2542-5196(22)00193-0] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 07/28/2022] [Indexed: 06/16/2023]
Affiliation(s)
- Melvine Anyango Otieno
- Planetary Health Eastern Africa Hub, Eldoret, 30100, Kenya; Department of Environmental Biology and Health, University of Eldoret, Eldoret, Kenya.
| | - Given Moonga
- Centre for International Health, Ludwig-Maximilians-Universität München, Munich, Germany
| | - Nathalie Nidens
- German Alliance on Climate Change and Health, Berlin, Germany; Faculty of Medicine, Leipzig University, Leipzig, Germany
| | - Norah Vivian Magero
- Department of Economics and Social Sciences, Universität Potsdam, Potsdam, Germany
| | - Laura Jung
- German Alliance on Climate Change and Health, Berlin, Germany; Faculty of Medicine, Leipzig University, Leipzig, Germany; Department for Infectious Diseases and Tropical Medicine, Leipzig University, Leipzig, Germany
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Arnold L, Kellermann L, Fischer F, Gepp S, Hommes F, Jung L, Mohsenpour A, Starke D, Stratil JM. What Factors Influence the Interest in Working in the Public Health Service in Germany? Part I of the OeGD-Studisurvey. Int J Environ Res Public Health 2022; 19:ijerph191811838. [PMID: 36142111 PMCID: PMC9517554 DOI: 10.3390/ijerph191811838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 09/07/2022] [Accepted: 09/09/2022] [Indexed: 05/11/2023]
Abstract
As in many European countries, the Public Health Service (PHS) in Germany has had considerable difficulties in attracting well-qualified personnel for decades. Despite ongoing political and societal debate, limited empirical research on possible causes and explanations is available. To identify areas of action, we explored reasons for the (lack of) interest in working in the PHS by conducting two cross-sectional surveys among 3019 medical students (MS), public health students, and students from other PHS-relevant fields (PH&ONM) in Germany right before (wave 1, 2019/2020) and during the COVID-19 pandemic (wave 2, 2021). While interest in working in the PHS among MS was low, it was considerably higher among PH&ONM. The prevalent underestimation of the importance of public health and low levels of knowledge about the PHS were identified as potential barriers. Although core activities of the PHS were often considered attractive, they were repeatedly not attributed to the PHS. A negative perception of the PHS (e.g., it being too bureaucratic) was prevalent among students with and without PHS interest, indicating that both a negative image and potentially structural deficits need to be overcome to increase attractiveness. Based on the findings, we propose approaches on how to sustainably attract and retain qualified personnel.
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Affiliation(s)
- Laura Arnold
- Academy of Public Health Services, 40472 Duesseldorf, Germany
- Department of International Health, Care and Public Health Research Institute—CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6211 Maastricht, The Netherlands
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Correspondence:
| | - Lisa Kellermann
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
| | - Florian Fischer
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Institute of Public Health, Charité—Universitätsmedizin Berlin, 10117 Berlin, Germany
- Bavarian Research Center for Digital Health and Social Care, Kempten University of Applied Sciences, 87437 Kempten, Germany
| | - Sophie Gepp
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany
| | - Franziska Hommes
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
| | - Laura Jung
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Division of Infectious Diseases and Tropical Medicine, Medical Faculty, Leipzig University, 04103 Leipzig, Germany
| | - Amir Mohsenpour
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Department of Population Medicine and Health Services Research, Bielefeld University, 33615 Bielefeld, Germany
- Department for Psychiatry, Psychotherapy and Psychosomatic Medicine, Vitos Kurhessen, 34308 Kassel, Germany
| | - Dagmar Starke
- Academy of Public Health Services, 40472 Duesseldorf, Germany
| | - Jan M. Stratil
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
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Arnold L, Kellermann L, Fischer F, Hommes F, Jung L, Mohsenpour A, Stratil JM. How to Increase the Attractiveness of the Public Health Service in Germany as a Prospective Employer? Part II of the OeGD-Studisurvey. Int J Environ Res Public Health 2022; 19:ijerph191811733. [PMID: 36142004 PMCID: PMC9517236 DOI: 10.3390/ijerph191811733] [Citation(s) in RCA: 1] [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: 07/31/2022] [Revised: 09/07/2022] [Accepted: 09/09/2022] [Indexed: 05/25/2023]
Abstract
The Public Health Service (PHS) in Germany has had difficulties in recruiting enough qualified staff for years, but there is limited research on what factors drive decisions to (not) join the PHS workforce. We explored reasons for this perceived (lack of) attractiveness. We conducted two cross-sectional surveys among medical students (MS), public health students and students from other PHS-relevant fields (PH&ONM) in Germany before (2019/2020) and during the COVID-19 pandemic (2021). Both waves surveyed self-reported reasons for why students did (not) consider working in the PHS as attractive and how this could be improved, using open-question items. Qualitative and quantitative content analyses were conducted according to Mayring. In total, 948 MS and 445 PH&ONM provided valid written responses. Reasons for considering the PHS as attractive were, among others, the perception of a good work-life balance, high impact, population health focus, and generally interesting occupations. Suggestions to increase attractiveness included reducing bureaucracy, modernization/digitalization, and more acknowledgement of non-medical professionals. Among MS, reasons against were too little clinical/patient-related activities, low salary, and occupations regarded as boring. Our findings indicate areas for improvement for image, working conditions in, and institutional structures of the PHS in Germany to increase its attractiveness as an employer among young professionals.
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Affiliation(s)
- Laura Arnold
- Academy of Public Health Services, Kanzlerstraße 4, 40472 Duesseldorf, Germany
- Department of International Health, Care and Public Health Research Institute—CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6211 Maastricht, The Netherlands
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
| | - Lisa Kellermann
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
| | - Florian Fischer
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Institute of Public Health, Charité—Universitätsmedizin Berlin, 10117 Berlin, Germany
- Bavarian Research Center for Digital Health and Social Care, Kempten University of Applied Sciences, 87437 Kempten, Germany
| | - Franziska Hommes
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
| | - Laura Jung
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Division of Infectious Diseases and Tropical Medicine, Medical Faculty, Leipzig University, 04103 Leipzig, Germany
| | - Amir Mohsenpour
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
- Department of Population Medicine and Health Services Research, Bielefeld University, 33615 Bielefeld, Germany
- Department for Psychiatry, Psychotherapy and Psychosomatic Medicine, Vitos Kurhessen Kassel, 34131 Kassel, Germany
| | - Jan M. Stratil
- German Network of Young Professionals in Public Health, 80539 Munich, Germany
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Arnold L, Hommes F, Kellermann L, Fischer F, Jung L, Mohsenpour A, Stratil JM. How to improve the attractiveness of the German Public Health Service
as a future employer – Results of two cross-sectional surveys among
medical and public health students. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753741] [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: 12/12/2022]
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19
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van Daalen KR, Chowdhury M, Dada S, Khorsand P, El-Gamal S, Kaidarova G, Jung L, Othman R, O'Leary CA, Ashworth HC, Socha A, Olaniyan D, Azeezat FT, Abouhala S, Abdulkareem T, Dhatt R, Rajan D. Does global health governance walk the talk? Gender representation in World Health Assemblies, 1948-2021. BMJ Glob Health 2022; 7:bmjgh-2022-009312. [PMID: 35998979 PMCID: PMC9403126 DOI: 10.1136/bmjgh-2022-009312] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Accepted: 07/20/2022] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND While an estimated 70%-75% of the health workforce are women, this is not reflected in the leadership roles of most health organisations-including global decision-making bodies such as the World Health Assembly (WHA). METHODS We analysed gender representation in WHA delegations of Member States, Associate Members and Observers (country/territory), using data from 10 944 WHA delegations and 75 815 delegation members over 1948-2021. Delegates' information was extracted from WHO documentation. Likely gender was inferred based on prefixes, pronouns and other gendered language. A gender-to-name algorithm was used as a last resort (4.6%). Time series of 5-year rolling averages of the percentage of women across WHO region, income group and delegate roles are presented. We estimated (%) change ±SE of inferred women delegation members at the WHA per year, and estimated years±SE until gender parity from 2010 to 2019 across regions, income groups, delegate roles and countries. Correlations with these measures were assessed with countries' gender inequality index and two Worldwide Governance indicators. RESULTS While upwards trends could be observed in the percentage of women delegates over the past 74 years, men remained over-represented in most WHA delegations. Over 1948-2021, 82.9% of delegations were composed of a majority of men, and no WHA had more than 30% of women Chief Delegates (ranging from 0% to 30%). Wide variation in trends over time could be observed across different geographical regions, income groups and countries. Some countries may take over 100 years to reach gender parity in their WHA delegations, if current estimated trends continue. CONCLUSION Despite commitments to gender equality in leadership, women remain gravely under-represented in global health governance. An intersectional approach to representation in global health governance, which prioritises equity in participation beyond gender, can enable transformative policymaking that fosters transparent, accountable and just health systems.
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Affiliation(s)
- Kim Robin van Daalen
- Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, Cambridge University, Cambridge, UK
| | | | - Sara Dada
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | | | | | | | - Laura Jung
- Medical Faculty, Department for Infectious Diseases and Tropical Medicine, Leipzig University, Leipzig, Germany
| | | | | | - Henry Charles Ashworth
- Highland Hospital, Department of Emergency Medicine, Alameda Health System, Oakland, California, USA
| | - Anna Socha
- Systems for Health Research Group, Swiss Tropical and Public Health Institute, Basel, Switzerland
| | - Dolapo Olaniyan
- Institute of Development Studies, University of Sussex, Brighton, UK
| | | | - Siwaar Abouhala
- Department of Community Health, Tufts University, Medford, Massachusetts, USA
| | | | - Roopa Dhatt
- Women in Global Health, Washington, District of Columbia, USA.,Medstar, Georgetown University Hospital, Washington, District of Columbia, USA
| | - Dheepa Rajan
- Department of Health System Governance and Financing, WHO, Geneve, Switzerland
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20
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Paquet D, Jung L, Trawinski H, Wendt S, Lübbert C. Fever in the Returning Traveler. Dtsch Arztebl Int 2022; 119:400-407. [PMID: 35469592 PMCID: PMC9492913 DOI: 10.3238/arztebl.m2022.0182] [Citation(s) in RCA: 1] [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] [Received: 02/10/2022] [Revised: 02/10/2022] [Accepted: 04/01/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND It is predicted that approximately two billion tourist trips to foreign countries will be taken worldwide each year by 2030. Germany has long been among the most active countries in tourism. The frequency of illness among persons returning from developing and newly industrialized countries is 43-79%. The appropriate diagnosis of fever in returning travelers is a clinically important matter, as it can be a sign of a life-threatening illness. METHODS This review is based on publications (2001-2022) retrieved by a selective search in PubMed for studies on the epidemiology, diagnosis, and treatment of febrile illnesses in returning travelers, or on specific tropical diseases. RESULTS Diarrhea, fever, and skin changes are the most common manifestations of disease after travel to tropical and sub - tropical areas. The diagnostic evaluation should be performed in a series of steps, beginning with a precise travel history and the identification of specific risk factors. Among travelers returning from sub-Saharan Africa, Plasmodium falciparum malaria is the most common cause of fever on presentation to centers for infectious diseases and tropical medicine, affecting approximately 50 per 1000 travelers. Among persons returning from travel to Southeast Asia, dengue fever is the most common infectious disease, affecting 50-160 per 1000 travelers. Further potentially dangerous diseases include chikungunya and zika fever, typhoid and paratyphoid fever, amoebic liver abscess, visceral leishmaniasis (kala-azar), leptospirosis, and, very rarely, imported cases of viral hemorrhagic fever. COVID-19 and influenza are important differential diagnoses. CONCLUSION The differential diagnosis can be narrowed by thorough history-taking with particular attention to the patient's travel route, combined with a good knowledge of the geographic spread and incubation times of the main tropical diseases. Algorithms help clinicians to focus the diagnostic work-up and select the appropriate further laboratory tests and diagnostic procedures.
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Affiliation(s)
- Dennis Paquet
- Department of Infectious Diseases/Tropical Medicine, Nephrology and Rheumatology, Klinikum St. Georg gGmbH, Leipzig, Germany
| | - Laura Jung
- Interdisciplinary Center for Infectious Diseases (ZINF), Leipzig University Hospital, Leipzig, Germany
- Division of Infectious Diseases and Tropical Medicine, Department of Oncology, Gastroenterology, Hepatology, Pneumology and Infectious Diseases, Leipzig University Hospital, Leipzig, Germany
| | - Henning Trawinski
- Interdisciplinary Center for Infectious Diseases (ZINF), Leipzig University Hospital, Leipzig, Germany
- Division of Infectious Diseases and Tropical Medicine, Department of Oncology, Gastroenterology, Hepatology, Pneumology and Infectious Diseases, Leipzig University Hospital, Leipzig, Germany
| | - Sebastian Wendt
- Interdisciplinary Center for Infectious Diseases (ZINF), Leipzig University Hospital, Leipzig, Germany
- Division of Infectious Diseases and Tropical Medicine, Department of Oncology, Gastroenterology, Hepatology, Pneumology and Infectious Diseases, Leipzig University Hospital, Leipzig, Germany
- Division of Microbiology, Institute of Medical Microbiology and Virology, Leipzig University Hospital, Leipzig, Germany
| | - Christoph Lübbert
- Department of Infectious Diseases/Tropical Medicine, Nephrology and Rheumatology, Klinikum St. Georg gGmbH, Leipzig, Germany
- Interdisciplinary Center for Infectious Diseases (ZINF), Leipzig University Hospital, Leipzig, Germany
- Division of Infectious Diseases and Tropical Medicine, Department of Oncology, Gastroenterology, Hepatology, Pneumology and Infectious Diseases, Leipzig University Hospital, Leipzig, Germany
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van Daalen KR, Kallesøe SS, Davey F, Dada S, Jung L, Singh L, Issa R, Emilian CA, Kuhn I, Keygnaert I, Nilsson M. Extreme events and gender-based violence: a mixed-methods systematic review. Lancet Planet Health 2022; 6:e504-e523. [PMID: 35709808 PMCID: PMC10073035 DOI: 10.1016/s2542-5196(22)00088-2] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 03/25/2022] [Accepted: 03/29/2022] [Indexed: 05/03/2023]
Abstract
The intensity and frequency of extreme weather and climate events are expected to increase due to anthropogenic climate change. This systematic review explores extreme events and their effect on gender-based violence (GBV) experienced by women, girls, and sexual and gender minorities. We searched ten databases until February, 2022. Grey literature was searched using the websites of key organisations working on GBV and Google. Quantitative studies were described narratively, whereas qualitative studies underwent thematic analysis. We identified 26 381 manuscripts. 41 studies were included exploring several types of extreme events (ie, storms, floods, droughts, heatwaves, and wildfires) and GBV (eg, sexual violence and harassment, physical violence, witch killing, early or forced marriage, and emotional violence). Studies were predominantly cross-sectional. Although most qualitative studies were of reasonable quality, most quantitative studies were of poor quality. Only one study included sexual and gender minorities. Most studies showed an increase in one or several GBV forms during or after extreme events, often related to economic instability, food insecurity, mental stress, disrupted infrastructure, increased exposure to men, tradition, and exacerbated gender inequality. These findings could have important implications for sexual-transformative and gender-transformative interventions, policies, and implementation. High-quality evidence from large, ethnographically diverse cohorts is essential to explore the effects and driving factors of GBV during and after extreme events.
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Affiliation(s)
| | - Sarah Savić Kallesøe
- Department of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, Cambridge, UK; Centre for Infectious Disease Genomics and One Health, Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
| | - Fiona Davey
- Health Equity Network, University of Cambridge, Cambridge, UK
| | - Sara Dada
- UCD Centre for Interdisciplinary Research, Education, and Innovation in Health Systems, School of Nursing, Midwifery, and Health Systems, University College Dublin, Dublin, Ireland
| | - Laura Jung
- Medical Faculty, Leipzig University, Leipzig, Germany
| | - Lucy Singh
- London School of Hygiene & Tropical Medicine, London, UK
| | - Rita Issa
- Institute for Global Health, University College London, London, UK
| | - Christina Alma Emilian
- Department of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, Cambridge, UK
| | - Isla Kuhn
- Medical Library, School of Clinical Medicine, University of Cambridge, Cambridge, UK
| | - Ines Keygnaert
- International Centre for Reproductive Health, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Maria Nilsson
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
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Soulsby WD, Balmuri N, Cooley V, Gerber LM, Lawson E, Goodman S, Onel K, Mehta B, Abel N, Abulaban K, Adams A, Adams M, Agbayani R, Aiello J, Akoghlanian S, Alejandro C, Allenspach E, Alperin R, Alpizar M, Amarilyo G, Ambler W, Anderson E, Ardoin S, Armendariz S, Baker E, Balboni I, Balevic S, Ballenger L, Ballinger S, Balmuri N, Barbar-Smiley F, Barillas-Arias L, Basiaga M, Baszis K, Becker M, Bell-Brunson H, Beltz E, Benham H, Benseler S, Bernal W, Beukelman T, Bigley T, Binstadt B, Black C, Blakley M, Bohnsack J, Boland J, Boneparth A, Bowman S, Bracaglia C, Brooks E, Brothers M, Brown A, Brunner H, Buckley M, Buckley M, Bukulmez H, Bullock D, Cameron B, Canna S, Cannon L, Carper P, Cartwright V, Cassidy E, Cerracchio L, Chalom E, Chang J, Chang-Hoftman A, Chauhan V, Chira P, Chinn T, Chundru K, Clairman H, Co D, Confair A, Conlon H, Connor R, Cooper A, Cooper J, Cooper S, Correll C, Corvalan R, Costanzo D, Cron R, Curiel-Duran L, Curington T, Curry M, Dalrymple A, Davis A, Davis C, Davis C, Davis T, De Benedetti F, De Ranieri D, Dean J, Dedeoglu F, DeGuzman M, Delnay N, Dempsey V, DeSantis E, Dickson T, Dingle J, Donaldson B, Dorsey E, Dover S, Dowling J, Drew J, Driest K, Du Q, Duarte K, Durkee D, Duverger E, Dvergsten J, Eberhard A, Eckert M, Ede K, Edelheit B, Edens C, Edens C, Edgerly Y, Elder M, Ervin B, Fadrhonc S, Failing C, Fair D, Falcon M, Favier L, Federici S, Feldman B, Fennell J, Ferguson I, Ferguson P, Ferreira B, Ferrucho R, Fields K, Finkel T, Fitzgerald M, Fleming C, Flynn O, Fogel L, Fox E, Fox M, Franco L, Freeman M, Fritz K, Froese S, Fuhlbrigge R, Fuller J, George N, Gerhold K, Gerstbacher D, Gilbert M, Gillispie-Taylor M, Giverc E, Godiwala C, Goh I, Goheer H, Goldsmith D, Gotschlich E, Gotte A, Gottlieb B, Gracia C, Graham T, Grevich S, Griffin T, Griswold J, Grom A, Guevara M, Guittar P, Guzman M, Hager M, Hahn T, Halyabar O, Hammelev E, Hance M, Hanson A, Harel L, Haro S, Harris J, Harry O, Hartigan E, Hausmann J, Hay A, Hayward K, Heiart J, Hekl K, Henderson L, Henrickson M, Hersh A, Hickey K, Hill P, Hillyer S, Hiraki L, Hiskey M, Hobday P, Hoffart C, Holland M, Hollander M, Hong S, Horwitz M, Hsu J, Huber A, Huggins J, Hui-Yuen J, Hung C, Huntington J, Huttenlocher A, Ibarra M, Imundo L, Inman C, Insalaco A, Jackson A, Jackson S, James K, Janow G, Jaquith J, Jared S, Johnson N, Jones J, Jones J, Jones J, Jones K, Jones S, Joshi S, Jung L, Justice C, Justiniano A, Karan N, Kaufman K, Kemp A, Kessler E, Khalsa U, Kienzle B, Kim S, Kimura Y, Kingsbury D, Kitcharoensakkul M, Klausmeier T, Klein K, Klein-Gitelman M, Kompelien B, Kosikowski A, Kovalick L, Kracker J, Kramer S, Kremer C, Lai J, Lam J, Lang B, Lapidus S, Lapin B, Lasky A, Latham D, Lawson E, Laxer R, Lee P, Lee P, Lee T, Lentini L, Lerman M, Levy D, Li S, Lieberman S, Lim L, Lin C, Ling N, Lingis M, Lo M, Lovell D, Lowman D, Luca N, Lvovich S, Madison C, Madison J, Manzoni SM, Malla B, Maller J, Malloy M, Mannion M, Manos C, Marques L, Martyniuk A, Mason T, Mathus S, McAllister L, McCarthy K, McConnell K, McCormick E, McCurdy D, Stokes PMC, McGuire S, McHale I, McMonagle A, McMullen-Jackson C, Meidan E, Mellins E, Mendoza E, Mercado R, Merritt A, Michalowski L, Miettunen P, Miller M, Milojevic D, Mirizio E, Misajon E, Mitchell M, Modica R, Mohan S, Moore K, Moorthy L, Morgan S, Dewitt EM, Moss C, Moussa T, Mruk V, Murphy A, Muscal E, Nadler R, Nahal B, Nanda K, Nasah N, Nassi L, Nativ S, Natter M, Neely J, Nelson B, Newhall L, Ng L, Nicholas J, Nicolai R, Nigrovic P, Nocton J, Nolan B, Oberle E, Obispo B, O’Brien B, O’Brien T, Okeke O, Oliver M, Olson J, O’Neil K, Onel K, Orandi A, Orlando M, Osei-Onomah S, Oz R, Pagano E, Paller A, Pan N, Panupattanapong S, Pardeo M, Paredes J, Parsons A, Patel J, Pentakota K, Pepmueller P, Pfeiffer T, Phillippi K, Marafon DP, Phillippi K, Ponder L, Pooni R, Prahalad S, Pratt S, Protopapas S, Puplava B, Quach J, Quinlan-Waters M, Rabinovich C, Radhakrishna S, Rafko J, Raisian J, Rakestraw A, Ramirez C, Ramsay E, Ramsey S, Randell R, Reed A, Reed A, Reed A, Reid H, Remmel K, Repp A, Reyes A, Richmond A, Riebschleger M, Ringold S, Riordan M, Riskalla M, Ritter M, Rivas-Chacon R, Robinson A, Rodela E, Rodriquez M, Rojas K, Ronis T, Rosenkranz M, Rosolowski B, Rothermel H, Rothman D, Roth-Wojcicki E, Rouster-Stevens K, Rubinstein T, Ruth N, Saad N, Sabbagh S, Sacco E, Sadun R, Sandborg C, Sanni A, Santiago L, Sarkissian A, Savani S, Scalzi L, Schanberg L, Scharnhorst S, Schikler K, Schlefman A, Schmeling H, Schmidt K, Schmitt E, Schneider R, Schollaert-Fitch K, Schulert G, Seay T, Seper C, Shalen J, Sheets R, Shelly A, Shenoi S, Shergill K, Shirley J, Shishov M, Shivers C, Silverman E, Singer N, Sivaraman V, Sletten J, Smith A, Smith C, Smith J, Smith J, Smitherman E, Soep J, Son M, Spence S, Spiegel L, Spitznagle J, Sran R, Srinivasalu H, Stapp H, Steigerwald K, Rakovchik YS, Stern S, Stevens A, Stevens B, Stevenson R, Stewart K, Stingl C, Stokes J, Stoll M, Stringer E, Sule S, Sumner J, Sundel R, Sutter M, Syed R, Syverson G, Szymanski A, Taber S, Tal R, Tambralli A, Taneja A, Tanner T, Tapani S, Tarshish G, Tarvin S, Tate L, Taxter A, Taylor J, Terry M, Tesher M, Thatayatikom A, Thomas B, Tiffany K, Ting T, Tipp A, Toib D, Torok K, Toruner C, Tory H, Toth M, Tse S, Tubwell V, Twilt M, Uriguen S, Valcarcel T, Van Mater H, Vannoy L, Varghese C, Vasquez N, Vazzana K, Vehe R, Veiga K, Velez J, Verbsky J, Vilar G, Volpe N, von Scheven E, Vora S, Wagner J, Wagner-Weiner L, Wahezi D, Waite H, Walker J, Walters H, Muskardin TW, Waqar L, Waterfield M, Watson M, Watts A, Weiser P, Weiss J, Weiss P, Wershba E, White A, Williams C, Wise A, Woo J, Woolnough L, Wright T, Wu E, Yalcindag A, Yee M, Yen E, Yeung R, Yomogida K, Yu Q, Zapata R, Zartoshti A, Zeft A, Zeft R, Zhang Y, Zhao Y, Zhu A, Zic C. Social determinants of health influence disease activity and functional disability in Polyarticular Juvenile Idiopathic Arthritis. Pediatr Rheumatol Online J 2022; 20:18. [PMID: 35255941 PMCID: PMC8903717 DOI: 10.1186/s12969-022-00676-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Accepted: 02/07/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Social determinants of health (SDH) greatly influence outcomes during the first year of treatment in rheumatoid arthritis, a disease similar to polyarticular juvenile idiopathic arthritis (pJIA). We investigated the correlation of community poverty level and other SDH with the persistence of moderate to severe disease activity and functional disability over the first year of treatment in pJIA patients enrolled in the Childhood Arthritis and Rheumatology Research Alliance Registry. METHODS In this cohort study, unadjusted and adjusted generalized linear mixed effects models analyzed the effect of community poverty and other SDH on disease activity, using the clinical Juvenile Arthritis Disease Activity Score-10, and disability, using the Child Health Assessment Questionnaire, measured at baseline, 6, and 12 months. RESULTS One thousand six hundred eighty-four patients were identified. High community poverty (≥20% living below the federal poverty level) was associated with increased odds of functional disability (OR 1.82, 95% CI 1.28-2.60) but was not statistically significant after adjustment (aOR 1.23, 95% CI 0.81-1.86) and was not associated with increased disease activity. Non-white race/ethnicity was associated with higher disease activity (aOR 2.48, 95% CI: 1.41-4.36). Lower self-reported household income was associated with higher disease activity and persistent functional disability. Public insurance (aOR 1.56, 95% CI 1.06-2.29) and low family education (aOR 1.89, 95% CI 1.14-3.12) was associated with persistent functional disability. CONCLUSION High community poverty level was associated with persistent functional disability in unadjusted analysis but not with persistent moderate to high disease activity. Race/ethnicity and other SDH were associated with persistent disease activity and functional disability.
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Affiliation(s)
- William Daniel Soulsby
- University of California, San Francisco, 550 16th Street, 4th Floor, Box #0632, San Francisco, CA, 94158, USA.
| | - Nayimisha Balmuri
- grid.239915.50000 0001 2285 8823Hospital for Special Surgery, New York, NY USA ,grid.5386.8000000041936877XWeill Cornell Medicine, New York, NY USA
| | - Victoria Cooley
- grid.5386.8000000041936877XWeill Cornell Medicine, New York, NY USA
| | - Linda M. Gerber
- grid.5386.8000000041936877XWeill Cornell Medicine, New York, NY USA
| | - Erica Lawson
- grid.266102.10000 0001 2297 6811University of California, San Francisco, 550 16th Street, 4th Floor, Box #0632, San Francisco, CA 94158 USA
| | - Susan Goodman
- grid.239915.50000 0001 2285 8823Hospital for Special Surgery, New York, NY USA ,grid.5386.8000000041936877XWeill Cornell Medicine, New York, NY USA
| | - Karen Onel
- grid.239915.50000 0001 2285 8823Hospital for Special Surgery, New York, NY USA ,grid.5386.8000000041936877XWeill Cornell Medicine, New York, NY USA
| | - Bella Mehta
- grid.239915.50000 0001 2285 8823Hospital for Special Surgery, New York, NY USA ,grid.5386.8000000041936877XWeill Cornell Medicine, New York, NY USA
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Guinto RR, Deivanayagam TA, Chuji PT, Hossan A, Jensen A, Jung L, Njuguna E, Osborne R, Otieno MA, Siddiqa A, Singh A, Taomia BKE. Achieving climate justice, safeguarding planetary health: Diagnosis and demands from next generation leaders for COP27 and beyond. PLOS Glob Public Health 2022; 2:e0001304. [PMID: 36962659 PMCID: PMC10021356 DOI: 10.1371/journal.pgph.0001304] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Renzo R Guinto
- Planetary and Global Health Program, St. Luke's Medical Center College of Medicine-William H. Quasha Memorial, Quezon City, Philippines
- Sunway Centre for Planetary Health, Sunway University, Selangor, Malaysia
| | - Thilagawathi Abi Deivanayagam
- Institute for Global Health, University College London, London, United Kingdom
- Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancaster, United Kingdom
| | - Paccha Turner Chuji
- Faculty of Human, Social and Political Sciences, University of Cambridge, Cambridge, United Kingdom
| | - Azmal Hossan
- Department of Sociology, Colorado State University, Fort Collins, Colorado, United States of America
- Interdisciplinary Training, Education and Research in Food-Energy-Water Systems, Colorado State University, Fort Collins, Colorado, United States of America
| | - Anpotowin Jensen
- Department of Civil and Environmental Engineering, Stanford University, California, United States of America
| | - Laura Jung
- German Alliance on Climate Change and Health, Germany
- Leipzig University Hospital, Division of Infectious Diseases and Tropical Medicine, Leipzig, Germany
| | | | - Rhiannon Osborne
- School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom
- The People's Health Movement, Global and United Kingdom
| | - Melvine Anyango Otieno
- Planetary Health Eastern Africa Hub, Eldoret, Kenya
- Department of Environmental Biology and Health, University of Eldoret, Eldoret, Kenya
| | - Ayisha Siddiqa
- Fridays for Future MAPA
- Polluters Out and Fossil Free University
- Centre for Human Rights and Global Justice, New York University, New York, NY, United States of America
| | - Amiteshwar Singh
- Norwich Medical School, University of East Anglia, Norwich, United Kingdom
- Health for a Green New Deal, London, United Kingdom
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Dada S, van Daalen KR, Barrios-Ruiz A, Wu KT, Desjardins A, Bryce-Alberti M, Castro-Varela A, Khorsand P, Santamarta Zamorano A, Jung L, Malolos G, Li J, Vervoort D, Hamilton NC, Patil P, El Omrani O, Wangari MC, Sibanda T, Buggy C, Mogo ERI. Challenging the "old boys club" in academia: Gender and geographic representation in editorial boards of journals publishing in environmental sciences and public health. PLOS Glob Public Health 2022; 2:e0000541. [PMID: 36962476 PMCID: PMC10021803 DOI: 10.1371/journal.pgph.0000541] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Accepted: 05/05/2022] [Indexed: 11/19/2022]
Abstract
In light of global environmental crises and the need for sustainable development, the fields of public health and environmental sciences have become increasingly interrelated. Both fields require interdisciplinary thinking and global solutions, which is largely directed by scientific progress documented in peer-reviewed journals. Journal editors play a critical role in coordinating and shaping what is accepted as scientific knowledge. Previous research has demonstrated a lack of diversity in the gender and geographic representation of editors across scientific disciplines. This study aimed to explore the diversity of journal editorial boards publishing in environmental science and public health. The Clarivate Journal Citation Reports database was used to identify journals classified as Public, Environmental, and Occupational (PEO) Health, Environmental Studies, or Environmental Sciences. Current EB members were identified from each journal's publicly available website between 1 March and 31 May 2021. Individuals' names, editorial board roles, institutional affiliations, geographic locations (city, country), and inferred gender were collected. Binomial 95% confidence intervals were calculated for the proportions of interest. Pearson correlations with false discovery rate adjustment were used to assess the correlation between journal-based indicators and editorial board characteristics. Linear regression and logistic regression models were fitted to further assess the relationship between gender presence, low- and middle-income country (LMIC) presence and several journal and editor-based indicators. After identifying 628 unique journals and excluding discontinued or unavailable journals, 615 journal editorial boards were included. In-depth analysis was conducted on 591 journals with complete gender and geographic data for their 27,772 editors. Overall, the majority of editors were men (65.9%), followed by women (32.9%) and non-binary/other gender minorities (0.05%). 75.5% journal editorial boards (n = 446) were composed of a majority of men (>55% men), whilst only 13.2% (n = 78) demonstrated gender parity (between 45-55% women/gender minorities). Journals categorized as PEO Health had the most gender diversity. Furthermore, 84% of editors (n = 23,280) were based in high-income countries and only 2.5% of journals (n = 15) demonstrated economic parity in their editorial boards (between 45-55% editors from LMICs). Geographically, the majority of editors' institutions were based in the United Nations (UN) Western Europe and Other region (76.9%), with 35.2% of editors (n = 9,761) coming solely from the United States and 8.6% (n = 2,373) solely from the United Kingdom. None of the editors-in-chief and only 27 editors in total were women based in low-income countries. Through the examination of journal editorial boards, this study exposes the glaring lack of diversity in editorial boards in environmental science and public health, explores the power dynamics affecting the creation and dissemination of knowledge, and proposes concrete actions to remedy these structural inequities in order to inform more equitable, just and impactful knowledge creation.
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Affiliation(s)
- Sara Dada
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | - Kim Robin van Daalen
- Department of Public Health and Primary Care, Cardiovascular Epidemiology Unit, Cambridge University, Cambridge, United Kingdom
| | - Alanna Barrios-Ruiz
- Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey, Monterrey, México
| | - Kai-Ti Wu
- Leibniz Institute for Freshwater Ecology and Inland Fisheries, Berlin, Germany
- Faculty of Mathematics and Natural Science, Department of Geography, Humboldt University of Berlin, Berlin, Germany
| | - Aidan Desjardins
- Department of Microbiology, School of Genetics and Microbiology, Moyne Institute of Preventive Medicine, Trinity College Dublin, Dublin, Ireland
| | | | | | - Parnian Khorsand
- Women in Global Health, Washington, District of Columbia, United States of America
| | | | - Laura Jung
- Leipzig University, Medical Faculty, Leipzig, Germany
| | - Grace Malolos
- College of Medicine, University of the Philippines Manila, Manila, Philippines
| | - Jiaqi Li
- University of Cambridge, School of Clinical Medicine, Addenbrooke's Hospital, Cambridge, United Kingdom
| | - Dominique Vervoort
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Nikita Charles Hamilton
- NCH Strategy Group, Nassau, The Bahamas
- The Department of Environmental Planning and Protection (DEPP), Nassau, Bahamas
| | - Poorvaprabha Patil
- Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | | | | | - Telma Sibanda
- Zimbabwe Red Cross Society, Harare, Gokwe South and North, Zimbabwe
| | - Conor Buggy
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - Ebele R I Mogo
- MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
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25
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Gepp S, Gök S, Jung L, Kreitlow A, Machleid F, Nordmann K, Weber L. Global health from home - results from a German student-led online lecture series during COVID-19. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.228] [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: 11/15/2022] Open
Abstract
Abstract
Background
The COVID-19 pandemic calls for a skilled health workforce, yet global health is largely missing in the medical curriculum in Germany. The interdisciplinary national student “Global Health Network” therefore initiated an online lecture series. “Global Health - perspectives, opportunities and challenges” included 14 lectures on a range of topics held by German and international academics from October 2020 to January 2021.
Methods
Evaluations were performed prior to, at midterm and after the series, including 5-point likert scales and open questions. Using quantitative and qualitative approaches, participants' motivation and learning outcomes of global health education were analysed.
Results
A total of 1393 students registered for the series. Individual lectures attracted on average 400 participants, mainly female medical students between 20-25 years, but also a variety of ages, genders and disciplines. Main reasons for participation included interest in COVID-19-related developments, learning about global health-specific topics, and professional development. More than 40% of participants reported to know little about global health before attending; after the lecture series, only 10% made this statement. In addition, 90% of participants perceived an increase of motivation to learn more about the topics, while about 40% gained motivation to become practically involved in the field. The lecture series was accredited in the curriculum at some universities, thus innovating the curriculum and enabling formal credits.
Conclusions
The new model of student-led online teaching proved to be feasible and demonstrated students' interest and positive impact on global health knowledge. Further institutional change and inclusion of global health in the curricula have to follow.
Key messages
Students need global health education to respond to global health-related challenges. Volunteer student-led initiatives can increase knowledge and interest and be an important driver for change towards improving global health education.
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Affiliation(s)
- S Gepp
- German Medical Students’ Association - bvmd, Berlin, Germany
| | - S Gök
- German Medical Students’ Association - bvmd, Berlin, Germany
| | - L Jung
- German Medical Students’ Association - bvmd, Berlin, Germany
| | - A Kreitlow
- German Medical Students’ Association - bvmd, Berlin, Germany
| | - F Machleid
- German Medical Students’ Association - bvmd, Berlin, Germany
| | - K Nordmann
- German Medical Students’ Association - bvmd, Berlin, Germany
| | - L Weber
- German Medical Students’ Association - bvmd, Berlin, Germany
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van Daalen KR, Dada S, Issa R, Chowdhury M, Jung L, Singh L, Stokes D, Orcutt M, Singh NS. A Scoping Review to Assess Sexual and Reproductive Health Outcomes, Challenges and Recommendations in the Context of Climate Migration. Front Glob Womens Health 2021; 2:757153. [PMID: 34816251 PMCID: PMC8594026 DOI: 10.3389/fgwh.2021.757153] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 09/21/2021] [Indexed: 11/13/2022] Open
Abstract
Background: As growing numbers of people may be forced to migrate due to climate change and variability, it is important to consider the disparate impacts on health for vulnerable populations, including sexual and reproductive health (SRH). This scoping review aims to explore the relationship between climate migration and SRH. Methods: We searched PubMed/MEDLINE, CINAHL Plus, EMBASE, Web of Science, Scopus, Global Health and Google for peer-reviewed and gray literature published before 2nd July 2021 in English that reported on SRH in the context of climate migration. Data were extracted using a piloted extraction tool and findings are reported in a narrative synthesis. Results: We screened 1,607 documents. Ten full-text publications were included for analysis: five peer-reviewed articles and five gray literature documents. Reported SRH outcomes focused on maternal health, access to family planning and antiretroviral therapy, sexual and gender-based violence, transactional sex, and early/forced marriage. Recommendations to improve SRH in the context of climate migration called for gender-transformative health systems, education and behavior change programmes, and the involvement of local women in policy planning and programme implementation. Discussion: While the disparate impacts of climate change and migration are well-established, primary data on the scope of impact due to climate migration is limited. The SRH outcomes reported in the literature focus on a relatively narrow range of SRH domains, emphasizing women and girls, over men. Achieving holistic and equitable SRH in the context of climate migration requires engaging all genders across the range of SRH outcomes and migration contexts. This review highlights the need for further empirical evidence on the effect of climate migration on SRH, with research that is context-specific and engages communities in order to reflect the heterogeneity of outcomes and impact in the climate-migration-SRH nexus.
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Affiliation(s)
- Kim Robin van Daalen
- Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, Cambridge University, Cambridge, United Kingdom
| | - Sara Dada
- UCD Centre for Interdisciplinary Research, Education and Innovation in Health Systems, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | - Rita Issa
- Institute for Global Health, University College London, London, United Kingdom
| | | | - Laura Jung
- Faculty of Medicine, Leipzig University, Leipzig, Germany
| | - Lucy Singh
- EGA Institute for Women's Health, University College London, London, United Kingdom
| | | | - Miriam Orcutt
- Institute for Global Health, University College London, London, United Kingdom
| | - Neha S. Singh
- Health in Humanitarian Crises Centre, London School of Tropical Hygiene and Medicine, London, United Kingdom
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Sell K, Kuhn E, Arnold L, Boehm C, Gepp S, Havemann M, Herrmann L, Hommes F, Jung L, Mathé P, Mörschel K, Stratil J, Fischer F. [Correction: COVID-19 and Its Potential for Disruption and Transformation in Public Health: Lessons Learned from the Perspective of Young Professionals]. Gesundheitswesen 2021; 83:e57. [PMID: 34638160 DOI: 10.1055/a-1659-9197] [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)
- Kerstin Sell
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Ludwig-Maximilians-Universität München, Lehrstuhl für Public Health und Versorgungsforschung, Institut für medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Munchen, Deutschland.,Pettenkofer School of Public Health, München, Deutschland
| | - Eva Kuhn
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Universitätsklinikum Bonn Institut für Hygiene und öffentliche Gesundheit, Sektion Global Health, Bonn, Deutschland
| | - Laura Arnold
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Akademie für öffentliches Gesundheitswesen, Akademie für Öffentliches Gesundheitswesen, Duesseldorf, Deutschland
| | - Claudia Boehm
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland
| | - Sophie Gepp
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland
| | - Matthias Havemann
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Universitätsklinikum Gießen und Marburg, Standort Marburg, Klinik für Anästhesie und Intensivmedizin, Marburg, Deutschland
| | - Lukas Herrmann
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Unified for Health e.V., Gießen, Deutschland.,Justizvollzugskrankenhaus Berlin in der JVA Plötzensee, Berlin, Deutschland
| | - Franziska Hommes
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institut für Tropenmedizin und internationale Gesundheit, Berlin, Deutschalnd
| | - Laura Jung
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland
| | - Philipp Mathé
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland
| | - Katharina Mörschel
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Deutschland
| | - Jan Stratil
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Ludwig-Maximilians-Universität München, Lehrstuhl für Public Health und Versorgungsforschung, Institut für medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Munchen, Deutschland.,Pettenkofer School of Public Health, München, Deutschland
| | - Florian Fischer
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Hochschule Ravensburg-Weingarten, Institut für Gerontologische Versorgungs- und Pflegeforschung, Weingarten, Deutschland.,Charité - Universitätsmedizin Berlin, Institut für Public Health, Berlin, Deutschland
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Sell K, Kuhn E, Arnold L, Boehm C, Gepp S, Havemann M, Herrmann L, Hommes F, Jung L, Mathé P, Mörschel K, Stratil J, Fischer F. [COVID-19 and Its Potential for Disruption and Transformation in Public Health: Lessons Learned from the Perspective of Young Professionals]. Gesundheitswesen 2021; 83:894-899. [PMID: 34571555 DOI: 10.1055/a-1630-7155] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The COVID-19 pandemic has both exposed and intensified various challenges for Public Health and the Public Health service (ÖGD) in Germany. However, it also offers a window of opportunity for effective long-term transformation of the country's Public Health system. Against this backdrop, an online survey was carried out among the members of the German Network of Young Professionals in Public Health (Nachwuchsnetzwerk Öffentliche Gesundheit (NÖG)) in October and November 2020. It sought to elicit members' experiences and views related to Public Health during the COVID-19 pandemic. The resulting preliminary "lessons learned" for the German Public Health context are presented in this article. Based on the results of the survey, recommendations were formulated which are intended to provide targeted and concrete advice for the strengthening and transformation of Public Health in Germany. The main issues that preoccupied the young professionals were the increased public and political attention to Public Health and the narrow focus on infectious disease control, the standing of Public Health in Germany and the strengths and weaknesses of Public Health structures and workforce. The recommendations are aimed at promoting long-term and holistic strengthening of Public Health, with the training of an interdisciplinary workforce of young professionals presenting a key focus.
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Affiliation(s)
- Kerstin Sell
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Ludwig-Maximilians-Universität München, Lehrstuhl für Public Health und Versorgungsforschung, Institut für medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Munchen, Deutschland.,Pettenkofer School of Public Health, München, Deutschland
| | - Eva Kuhn
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Universitätsklinikum Bonn Institut für Hygiene und öffentliche Gesundheit, Sektion Global Health, Bonn, Deutschland
| | - Laura Arnold
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Akademie für öffentliches Gesundheitswesen, Akademie für Öffentliches Gesundheitswesen, Duesseldorf, Deutschland
| | - Claudia Boehm
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland
| | - Sophie Gepp
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland
| | - Matthias Havemann
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Universitätsklinikum Gießen und Marburg, Standort Marburg, Klinik für Anästhesie und Intensivmedizin, Marburg, Deutschland
| | - Lukas Herrmann
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Unified for Health e.V., Gießen, Deutschland.,Justizvollzugskrankenhaus Berlin in der JVA Plötzensee, Berlin, Deutschland
| | - Franziska Hommes
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institut für Tropenmedizin und internationale Gesundheit, Berlin, Deutschalnd
| | - Laura Jung
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland
| | - Philipp Mathé
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland
| | - Katharina Mörschel
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Deutschland
| | - Jan Stratil
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Ludwig-Maximilians-Universität München, Lehrstuhl für Public Health und Versorgungsforschung, Institut für medizinische Informationsverarbeitung, Biometrie und Epidemiologie (IBE), Munchen, Deutschland.,Pettenkofer School of Public Health, München, Deutschland
| | - Florian Fischer
- Nachwuchsnetzwerk Öffentliche Gesundheit, Deutschland.,Hochschule Ravensburg-Weingarten, Institut für Gerontologische Versorgungs- und Pflegeforschung, Weingarten, Deutschland.,Charité - Universitätsmedizin Berlin, Institut für Public Health, Berlin, Deutschland
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Yoo JW, Kim J, Lee MW, Kang J, Ko WH, Oh SG, Ko J, Lee JH, Nam YU, Jung L, Park BH, Yoon SW. Fast-ion D α spectroscopy diagnostic at KSTAR. Rev Sci Instrum 2021; 92:043504. [PMID: 34243446 DOI: 10.1063/5.0040559] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 03/10/2021] [Indexed: 06/13/2023]
Abstract
A fast-ion Dα (FIDA) diagnostics system was installed for core and edge measurements on KSTAR. This system has two tangential FIDA arrays that cover both blue- and redshifted Dα lines (cold: 656.09 nm) in active views along the neutral beam 1 A centerline. The spectral band is 647-662.5 nm, and it covers the Doppler shift of the emission from the maximum energy of the neutral beam (100 keV). A curved filter strip with a motorized stage adequately prevents saturation of the electron multiplying charge-coupled device signal by the cold Dα line from the plasma edge. From comparisons of the measured spectra and FIDASIM modeling code, the FIDA spectra are well matched quantitatively. Moreover, the first measurements show that the FIDA radiance agrees with the neutron rate in the time trace during external heating and perturbation. In addition, responses are observed in the core FIDA radiance during the edge-localized mode cycle.
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Affiliation(s)
- J W Yoo
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - J Kim
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - M W Lee
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - J Kang
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - W-H Ko
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - S G Oh
- Ajou University, 206, World Cup-ro, Yeongtong-gu, Suwon-si, Gyeonggi-do 16499, Republic of Korea
| | - J Ko
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - J H Lee
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - Y U Nam
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - L Jung
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - B H Park
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
| | - S W Yoon
- Korea Institute of Fusion Energy, 169-148 Gwahak-ro, Yuseong-gu, Daejeon 34133, Republic of Korea
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de Paula N, Jung L, Mar K, Bowen K, Maglakelidze M, Fünderich M, Otieno M, El Omrani O, Baunach S, Gepp S. A planetary health blind spot: the untapped potential of women to safeguard nature and human resilience in LMICs. Lancet Planet Health 2021; 5:e109-e110. [PMID: 33691087 DOI: 10.1016/s2542-5196(21)00007-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 01/13/2021] [Indexed: 06/12/2023]
Affiliation(s)
- Nicole de Paula
- Women Leaders for Planetary Health, Berlin, Germany; Institute for Advanced Sustainability Studies, Potsdam 14467, Germany.
| | - Laura Jung
- Women Leaders for Planetary Health, Berlin, Germany; Faculty of Medicine, Leipzig University, Leipzig, Germany
| | - Kathleen Mar
- Women Leaders for Planetary Health, Berlin, Germany; Institute for Advanced Sustainability Studies, Potsdam 14467, Germany
| | - Kathryn Bowen
- Women Leaders for Planetary Health, Berlin, Germany; Institute for Advanced Sustainability Studies, Potsdam 14467, Germany; Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia; School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia
| | - Mariam Maglakelidze
- Women Leaders for Planetary Health, Berlin, Germany; School of Medicine, Petre Shotadze Tbilisi Medical Academy, Tbilisi, Georgia
| | - Meike Fünderich
- Women Leaders for Planetary Health, Berlin, Germany; Department of Mathematics and Statistics, University of Limerick, Limerick, Ireland
| | - Melvine Otieno
- Women Leaders for Planetary Health, Berlin, Germany; Department of Environmental Biology and Health, University of Eldoret, Eldoret, Kenya
| | - Omnia El Omrani
- Women Leaders for Planetary Health, Berlin, Germany; Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Sabine Baunach
- Women Leaders for Planetary Health, Berlin, Germany; Faculty of Medicine, Technical University of Munich, Munich, Germany
| | - Sophie Gepp
- Women Leaders for Planetary Health, Berlin, Germany; Charité-Universitätsmedizin Berlin, Berlin, Germany
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31
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Issoufaly I, Petit C, Guihard S, Eugene R, Jung L, Clavier J, Servagi Vernat S, Bellefquih S, Rivera S. Normo Versus Hypofractionated Whole Breast Radiation-Related Acute Toxicities: Evolution over Time in Systematic Multicentric Real Life Data. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.1102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Guihard S, Petit C, Clavier J, Jung L, Vernat SS, Bellefquih S, Ruffier A, Brusadin G, Remi E, Rivera S. PH-0598: Normo versus hypofractionated whole breast irradiation: Are real life data what we expect? Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00620-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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van Daalen KR, Bajnoczki C, Chowdhury M, Dada S, Khorsand P, Socha A, Lal A, Jung L, Alqodmani L, Torres I, Ouedraogo S, Mahmud AJ, Dhatt R, Phelan A, Rajan D. Symptoms of a broken system: the gender gaps in COVID-19 decision-making. BMJ Glob Health 2020; 5:bmjgh-2020-003549. [PMID: 33004348 PMCID: PMC7533958 DOI: 10.1136/bmjgh-2020-003549] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 08/22/2020] [Accepted: 08/24/2020] [Indexed: 11/18/2022] Open
Affiliation(s)
- Kim Robin van Daalen
- Cardiovascular Epidemiology Unit, Cambridge University, Cambridge, UK .,Women in Global Health, Washington, District of Columbia, USA
| | - Csongor Bajnoczki
- UHC2030 Alliance, Health Systems Governance Collaborative, World Health Organization, Geneva, Switzerland
| | | | - Sara Dada
- Women in Global Health, Washington, District of Columbia, USA.,Vayu Global Health Foundation, Boston, Massachusetts, USA
| | | | - Anna Socha
- UHC2030 Alliance, Health Systems Governance Collaborative, World Health Organization, Geneva, Switzerland
| | - Arush Lal
- Women in Global Health, Washington, District of Columbia, USA
| | - Laura Jung
- Women in Global Health, Washington, District of Columbia, USA.,Leipzig University, Leipzig, Germany
| | - Lujain Alqodmani
- Education and Agriculture Together (EAT) Foundation, Oslo, Norway
| | | | - Samiratou Ouedraogo
- McGill University, Montreal, Quebec, Canada.,Institut National de Santé Publique du Québec (INSPQ), Montreal, Quebec, Canada
| | - Amina Jama Mahmud
- Women in Global Health, Garowe, Somalia.,Department of Women's and Children's Health, Uppsala University Department of International Maternal and Child Health, Uppsala, Sweden
| | - Roopa Dhatt
- Women in Global Health, Washington, District of Columbia, USA
| | - Alexandra Phelan
- Center for Global Health Science & Security, Georgetown University, Washington, District of Columbia, USA
| | - Dheepa Rajan
- UHC2030 Alliance, Health Systems Governance Collaborative, World Health Organization, Geneva, Switzerland
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Huwer SI, Jung L, Huwer H, Juhasz-Böss I, Solomayer EF, Breitbach GP. Therapie eines rezidivierenden und metastasierenden Endometriumkarzinoms: Ein Fallbericht. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718280] [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: 10/23/2022] Open
Affiliation(s)
- SI Huwer
- Albert-Ludwigs-Universität Freiburg, Gynäkologie
| | - L Jung
- Albert-Ludwigs-Universität Freiburg, Gynäkologie
| | - H Huwer
- SHG-Kliniken, Herz-Thoraxchirurgie
| | | | - EF Solomayer
- Universität des Saarlandes, Medizinische Fakultät, Gynäkologie
| | - GP Breitbach
- Universität des Saarlandes, Medizinische Fakultät, Gynäkologie
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35
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Clavier J, Jung L, Eugène R, Mazzara C, Servagi S, Rivera S, Issoufaly I, Bellefqih S, Hannoun-Lévi JM, Petit C, Feuillade J, Fontbonne JM, Bonnet N, Jou A, Piot M, Liem X, Thariat J, Guihard S. Capture, restitution et exploitation multicentrique des données de vie réelle en radiothérapie. Cancer Radiother 2020. [DOI: 10.1016/j.canrad.2020.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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36
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Jung L, Huwer S, Sklavounos P, Solomayer EF, Juhasz-Böss I. Perioperatves Management im Rahmen der gynäkologischen Laparoskopie bei Darmleckagen. Zwei Case-Reports und Literaturrecherche. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718025] [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: 10/23/2022] Open
Affiliation(s)
- L Jung
- Albert-Ludwigs-Universität Freiburg, Frauenheilkunde
- Uniklinikum Homburg, Frauenheilkunde
| | - S.I Huwer
- Albert-Ludwigs-Universität Freiburg, Frauenheilkunde
- Uniklinikum Homburg, Frauenheilkunde
| | | | | | - I Juhasz-Böss
- Albert-Ludwigs-Universität Freiburg, Frauenheilkunde
- Uniklinikum Homburg, Frauenheilkunde
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37
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Romero-Guzmán M, Jung L, Kyriakopoulou K, Boom R, Nikiforidis C. Efficient single-step rapeseed oleosome extraction using twin-screw press. J FOOD ENG 2020. [DOI: 10.1016/j.jfoodeng.2019.109890] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Affiliation(s)
- Kim van Daalen
- Department of Public Health and Primary Care, Strangeways Research Laboratory, Cambridge, CB1 8RN, UK.
| | - Laura Jung
- Faculty of Medicine, Leipzig University, Leipzig, Germany
| | | | - Alexandra L Phelan
- Center for Global Health Science & Security, Georgetown University, Washington, DC, USA; O'Neill Institute for National and Global Health Law, Georgetown University, Washington, DC, USA
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39
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Kim S, Chae J, Jung L, Lee S, Lee S, Rhee K, Kim W, Ko J, Lee J, Kim Y. Cytochrome Epoxygenase P450 2j Promote Ppar Α -Mediated Autophagy In Ob-/Ob- Rats. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.353] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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40
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Gustafsson S, Westermann F, Hanrieder T, Jung L, Ruppach H, Mihranyan A. Comparative Analysis of Dry and Wet Porometry Methods for Characterization of Regular and Cross-Linked Virus Removal Filter Papers. Membranes (Basel) 2018; 9:E1. [PMID: 30577520 PMCID: PMC6359513 DOI: 10.3390/membranes9010001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Revised: 12/02/2018] [Accepted: 12/14/2018] [Indexed: 11/17/2022]
Abstract
Pore-size distribution (PSD) is the most critical parameter for size-exclusion virus removal filters. Yet, different dry- and wet-state porometry methods yield different pore-size values. The goal of this work is to conduct comparative analysis of nitrogen gas sorption (NGSP), liquid-liquid and cryoporometry with differential scanning calorimetry (CP-DSC) methods with respect to characterization of regular and cross-linked virus removal filter paper based on cellulose nanofibers, i.e. the mille-feuille filter. The filters were further characterized with atomic force and scanning electron microscopy. Finally, the removal of the worst-case model virus, i.e. minute virus of mice (MVM; 20 nm, nonenveloped parvovirus) was evaluated. The results revealed that there is no difference of the obtained PSDs between the wet methods, i.e. DSC and liquid-liquid porometry (LLP), as well as no difference between the regular and cross-linked filters regardless of method. MVM filtration at different trans membrane pressure (TMP) revealed strong dependence of the virus removal capability on applied pressure. It was further observed that cross-linking filters showed enhanced virus removal, especially at lower TMP. In all, the results of this study highlight the complex nature of virus capture in size-exclusion filters.
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Affiliation(s)
- Simon Gustafsson
- Division for Nanotechnology and Functional Materials, Department for Engineering Sciences, Uppsala University, Box 534, SE-751 21 Uppsala, Sweden.
| | - Frank Westermann
- Charles River Biopharmaceutical Services, Gottfried Hagen Str. 20, 51105 Köln, Germany.
| | - Tobias Hanrieder
- Charles River Biopharmaceutical Services, Gottfried Hagen Str. 20, 51105 Köln, Germany.
| | - Laura Jung
- Charles River Biopharmaceutical Services, Gottfried Hagen Str. 20, 51105 Köln, Germany.
| | - Horst Ruppach
- Charles River Biopharmaceutical Services, Gottfried Hagen Str. 20, 51105 Köln, Germany.
| | - Albert Mihranyan
- Division for Nanotechnology and Functional Materials, Department for Engineering Sciences, Uppsala University, Box 534, SE-751 21 Uppsala, Sweden.
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41
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Gonzales E, Jung L, Lee Y, Wang Y. CUMULATIVE INEQUALITY: A LENS TO UNDERSTAND STRUCTURAL DISCRIMINATION AND ITS EFFECT ON HEALTH. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - L Jung
- Boston University, School of Public Health
| | - Y Lee
- Boston University, School of Social Work
| | - Y Wang
- Washington University in St. Louis
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42
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Huwer SI, Jung L, Solomayer EF, Breitbach GP, Schmidt G. Postradiogenes Angiosarkom der Mamma – Case Report. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- SI Huwer
- Uniklinik Homburg/Saar, Homburg, Deutschland
| | - L Jung
- Uniklinik Homburg/Saar, Homburg, Deutschland
| | | | | | - G Schmidt
- Uniklinik Homburg/Saar, Homburg, Deutschland
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Iordache II, Schmidt G, Leingartner A, Sima R, Benndorf D, Jung L, Juhasz-Böss I, Solomayer EF. Dermatofibrosarcoma protuberans der Mamma – ein Fallbericht. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- II Iordache
- Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - G Schmidt
- Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - A Leingartner
- Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - R Sima
- Medizinische Fakultät der Universität Bukarest, Sf. Ioan Krankenhaus, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Bukarest, Rumänien
| | - D Benndorf
- Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - L Jung
- Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - I Juhasz-Böss
- Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - EF Solomayer
- Universitätsklinikum des Saarlandes und Medizinische Fakultät der Universität des Saarlandes, Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
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44
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Jung L, Breitbach GP, Solomayer EF, Juhasz-Böss I. Maligner Phylloidestumor als Rezidiv in der Brust – ein Fallbericht. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- L Jung
- Uniklinik Homburg/Saar, Frauenheilkunde und Geburtshilfe, Homburg, Deutschland
| | - GP Breitbach
- Uniklinik Homburg/Saar, Frauenheilkunde und Geburtshilfe, Homburg, Deutschland
| | - EF Solomayer
- Uniklinik Homburg/Saar, Frauenheilkunde und Geburtshilfe, Homburg, Deutschland
| | - I Juhasz-Böss
- Uniklinik Homburg/Saar, Frauenheilkunde und Geburtshilfe, Homburg, Deutschland
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Zambelli F, Mertens J, Dziedzicka D, Sterckx J, Markouli C, Keller A, Tropel P, Jung L, Viville S, Van de Velde H, Geens M, Seneca S, Sermon K, Spits C. Random Mutagenesis, Clonal Events, and Embryonic or Somatic Origin Determine the mtDNA Variant Type and Load in Human Pluripotent Stem Cells. Stem Cell Reports 2018; 11:102-114. [PMID: 29910126 PMCID: PMC6117474 DOI: 10.1016/j.stemcr.2018.05.007] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Revised: 05/10/2018] [Accepted: 05/15/2018] [Indexed: 01/13/2023] Open
Abstract
In this study, we deep-sequenced the mtDNA of human embryonic and induced pluripotent stem cells (hESCs and hiPSCs) and their source cells and found that the majority of variants pre-existed in the cells used to establish the lines. Early-passage hESCs carried few and low-load heteroplasmic variants, similar to those identified in oocytes and inner cell masses. The number and heteroplasmic loads of these variants increased with prolonged cell culture. The study of 120 individual cells of early- and late-passage hESCs revealed a significant diversity in mtDNA heteroplasmic variants at the single-cell level and that the variants that increase during time in culture are always passenger to the appearance of chromosomal abnormalities. We found that early-passage hiPSCs carry much higher loads of mtDNA variants than hESCs, which single-fibroblast sequencing proved pre-existed in the source cells. Finally, we show that these variants are stably transmitted during short-term differentiation.
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Affiliation(s)
- Filippo Zambelli
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium; S.I.S.Me.R. Reproductive Medicine Unit, Via Mazzini 12, Bologna 40100, Italy
| | - Joke Mertens
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium
| | - Dominika Dziedzicka
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium
| | - Johan Sterckx
- Centre for Reproductive Medicine, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, Brussels, Belgium
| | - Christina Markouli
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium
| | - Alexander Keller
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium
| | | | - Laura Jung
- Institut de Parasitologie et Pathologie Tropicale, EA 7292, Fédérationde Médecine Translationelle, Université de Strasbourg, 3 rue Koeberlé, Strasbourg 67000, France
| | - Stephane Viville
- Institut de Parasitologie et Pathologie Tropicale, EA 7292, Fédérationde Médecine Translationelle, Université de Strasbourg, 3 rue Koeberlé, Strasbourg 67000, France; Laboratoire de Diagnostic Génétique, UF3472-génétique de l'infertilité, Hôpitaux Universitaires de Strasbourg, Strasbourg 67000, France
| | - Hilde Van de Velde
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium; Centre for Reproductive Medicine, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, Brussels, Belgium
| | - Mieke Geens
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium
| | - Sara Seneca
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium; Centre for Medical Genetics, UZ Brussel, Laarbeeklaan 101, Brussels, Belgium
| | - Karen Sermon
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium
| | - Claudia Spits
- Research Group Reproduction and Genetics, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, Brussels 1090, Belgium.
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Jung L, Chae J, Kim I, Kim Y, Lee S, Lee S, Rhee K, Kim W, Ko J, Lee J. P784Can differential ventricular pacing be an alternative method when the para-hisian pacing is failed? Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx501.p784] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Jung L, Lee J, Kim I, Lee S, Lee S, Rhee K, Chae J, Kim W. P785Ablation of only the ends of the cavotricuspid isthmus in typical atrial flutter. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx501.p785] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Sellier C, Buijsen RAM, He F, Natla S, Jung L, Tropel P, Gaucherot A, Jacobs H, Meziane H, Vincent A, Champy MF, Sorg T, Pavlovic G, Wattenhofer-Donze M, Birling MC, Oulad-Abdelghani M, Eberling P, Ruffenach F, Joint M, Anheim M, Martinez-Cerdeno V, Tassone F, Willemsen R, Hukema RK, Viville S, Martinat C, Todd PK, Charlet-Berguerand N. Translation of Expanded CGG Repeats into FMRpolyG Is Pathogenic and May Contribute to Fragile X Tremor Ataxia Syndrome. Neuron 2017; 93:331-347. [PMID: 28065649 PMCID: PMC5263258 DOI: 10.1016/j.neuron.2016.12.016] [Citation(s) in RCA: 152] [Impact Index Per Article: 21.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2016] [Revised: 10/06/2016] [Accepted: 12/02/2016] [Indexed: 11/26/2022]
Abstract
Fragile X-associated tremor/ataxia syndrome (FXTAS) is a neurodegenerative disorder caused by a limited expansion of CGG repeats in the 5′ UTR of FMR1. Two mechanisms are proposed to cause FXTAS: RNA gain-of-function, where CGG RNA sequesters specific proteins, and translation of CGG repeats into a polyglycine-containing protein, FMRpolyG. Here we developed transgenic mice expressing CGG repeat RNA with or without FMRpolyG. Expression of FMRpolyG is pathogenic, while the sole expression of CGG RNA is not. FMRpolyG interacts with the nuclear lamina protein LAP2β and disorganizes the nuclear lamina architecture in neurons differentiated from FXTAS iPS cells. Finally, expression of LAP2β rescues neuronal death induced by FMRpolyG. Overall, these results suggest that translation of expanded CGG repeats into FMRpolyG alters nuclear lamina architecture and drives pathogenesis in FXTAS. CGG repeats in the 5′ UTR of FMR1 are translated through initiation to an ACG codon Translation of CGG repeats in the polyglycine protein, FMRpolyG, is toxic in mice FMRpolyG binds and disrupts protein of the nuclear lamina
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Affiliation(s)
- Chantal Sellier
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France.
| | - Ronald A M Buijsen
- Department of Clinical Genetics, Erasmus MC, 3015 Rotterdam, the Netherlands
| | - Fang He
- Department of Neurology, University of Michigan, Ann Arbor, MI 48109, USA; Veteran Association Health System, Ann Arbor, MI 48105, USA; Department of Biological and Health Sciences, Texas A&M University - Kingsville, Kingsville, TX 78363, USA
| | - Sam Natla
- Department of Neurology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Laura Jung
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Philippe Tropel
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Angeline Gaucherot
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Hugues Jacobs
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France; PHENOMIN, Institut Clinique de la Souris (ICS), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Hamid Meziane
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France; PHENOMIN, Institut Clinique de la Souris (ICS), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Alexandre Vincent
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Marie-France Champy
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France; PHENOMIN, Institut Clinique de la Souris (ICS), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Tania Sorg
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France; PHENOMIN, Institut Clinique de la Souris (ICS), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Guillaume Pavlovic
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France; PHENOMIN, Institut Clinique de la Souris (ICS), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Marie Wattenhofer-Donze
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France; PHENOMIN, Institut Clinique de la Souris (ICS), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Marie-Christine Birling
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France; PHENOMIN, Institut Clinique de la Souris (ICS), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Mustapha Oulad-Abdelghani
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Pascal Eberling
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Frank Ruffenach
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Mathilde Joint
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France
| | - Mathieu Anheim
- Department of Neurology, University Hospital of Strasbourg, Hôpital de Hautepierre, 67200 Strasbourg, France
| | - Veronica Martinez-Cerdeno
- Department of Pathology and Laboratory Medicine, University of California, Davis, Sacramento, CA 95817, USA; Institute for Pediatric Regenerative Medicine and Shriners Hospitals for Children Northern California, Sacramento, CA 95817, USA; M.I.N.D. Institute, University of California, Davis, Health System, Sacramento, CA 95817, USA
| | - Flora Tassone
- M.I.N.D. Institute, University of California, Davis, Health System, Sacramento, CA 95817, USA
| | - Rob Willemsen
- Department of Clinical Genetics, Erasmus MC, 3015 Rotterdam, the Netherlands
| | - Renate K Hukema
- Department of Clinical Genetics, Erasmus MC, 3015 Rotterdam, the Netherlands
| | - Stéphane Viville
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France; Laboratoire de Diagnostic Génétique, UF3472 - Infertilité, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67091 Strasbourg, France; IPPTS, 3 rue Koeberlé, 67000 Strasbourg, France
| | | | - Peter K Todd
- Department of Neurology, University of Michigan, Ann Arbor, MI 48109, USA; Veteran Association Health System, Ann Arbor, MI 48105, USA
| | - Nicolas Charlet-Berguerand
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U964, CNRS UMR7104, University of Strasbourg, 67400 Illkirch, France; Université de Strasbourg, 67000 Strasbourg, France; Centre National de la Recherche Scientifique, UMR7104, 67400 Illkirch, France; Institut National de la Santé et de la Recherche Médicale, U964, 67400 Illkirch, France.
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Solyom A, Ehlert K, Hügle B, Magnusson B, Grigelioniene G, Guelbert N, Gardner-Medwin J, Tanpaiboon P, Jung L, Puri R, DiRocco M, Mitchell J, Beck M, Simonaro C, Schuchman E. SAT0493 Farber Disease: First Natural History Cohort Demonstrates a Broad Clinical Spectrum with Implications for Juvenile Idiopathic Arthritis Patients. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.6024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Kim S, Lee S, Jung L, Kim Y, Yun H, Lee S, Kim W, Ko J, Chae J. Inhibition of calpain restores cytochrome p450 2J3 mediated cardioprotection in ob-/ob- rats. Atherosclerosis 2014. [DOI: 10.1016/j.atherosclerosis.2014.05.077] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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