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Relic D, Marelic M, Machala Poplasen L, Viskic J, Sedak K, Majer M, Vukusic Rukavina T. Attitudes of doctors of medicine and dental medicine towards contacting patients via social networks. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac131.170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
As the use of social networking sites (SNSs) has greatly increased among health professionals, it is necessary to investigate their use of SNSs. The aim of this study was to identify the patterns of SNS use for contact with patients between medical doctors (MD) and doctors of dental medicine (DMD) in Croatia.
Methods
In collaboration with the Croatian Medical Chamber and the Croatian Chamber of Dental Medicine, a quantitative cross-sectional study was conducted on the use of SNSs and the attitudes of MDs and DMDs towards e-professionalism. Data were collected using online questionnaires. The data were analyzed using descriptive statistics.
Results
A total of 753 responses were processed, 507 (67,3%) MDs and 246 (32,7%) DMDs. DMDs were significantly more likely to visit patients or their family members’ profiles on SNSs (60,6% vs 33,3%, P < 0.001). The main reason for visiting a patient’s or family member’s profile is social communication, which is significantly more common among DMDs (46,3% vs 29,0%, P < 0.002). DMDs are significantly more likely to send friend requests from private SNS profiles to patients or their family members (15,0% DMDs vs 3,4% MDs, P < 0.001). Patients are much more likely to send friendship and connection requests on SNS to DMDs (91,1% DMDs vs 62,7% MDs, P < 0.001) who are also significantly more likely to accept these requests (76,8% DMDs vs 41,5% MDs, P < 0.001). MDs and DMDs would find the presence of e-professionalism guidelines useful (72,2% MDS vs 78,0% DMDs, P = 0.103).
Conclusions
The results show that DMDs are more open to communicating with patients via SNSs. Results showed a difference between MDs and DMDs in both directions - in sending requests to patients or their family members and in positive responses to their requests for connection. The findings point to the need to develop guidelines for health professionals regarding e-professionalism.
Key messages
• There are differences between MDs and DMDs toward communicating with patients using SNSs, DMDs being more open to the communication with patients.
• There is a need to develop guidelines for health professionals on e-professionalism with emphasis regarding how to professionally communicate with patients on SNSs.
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Affiliation(s)
- D Relic
- Andrija Stampar School of Public Health, School of Medicine University of Zagreb , Zagreb, Croatia
| | - M Marelic
- Andrija Stampar School of Public Health, School of Medicine University of Zagreb , Zagreb, Croatia
| | - L Machala Poplasen
- Andrija Stampar School of Public Health, School of Medicine University of Zagreb , Zagreb, Croatia
| | - J Viskic
- Department of Fixed Prosthodontics, School of Dental Medicine University of Zagreb , Zagreb, Croatia
| | - K Sedak
- Department of Communication Sciences, Catholic University of Croatia , Zagreb, Croatia
| | - M Majer
- Andrija Stampar School of Public Health, School of Medicine University of Zagreb , Zagreb, Croatia
| | - T Vukusic Rukavina
- Andrija Stampar School of Public Health, School of Medicine University of Zagreb , Zagreb, Croatia
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Davídková M, Dasu A, De Angelis C, De Marzi L, De Saint-Hubert M, Ekendahl D, Michaelidesová AJ, Knežević Ž, Kukolowicz P, Liszka M, Lorentini S, Leite AM, Majer M, Michalec B, Navrátil M, Reniers B, Van Goethem M, Vestergaard A, Vilches-Freixas G, Vondráček V, Stolarczyk L, Olko P. FLASH Modalities Track (Oral Presentations) PRELIMINARY RESULTS OF DOSIMETRY AUDIT OF ACTIVE SCANNING PROTON BEAMS. Phys Med 2022. [DOI: 10.1016/s1120-1797(22)01562-9] [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: 10/19/2022] Open
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3
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Iurlaro G, Baranowska Z, Campani L, Bjelac OC, Ferrari P, Knežević Ž, Majer M, Mariotti F, Morelli B, Neumaier S, Nodilo M, Sperandio L, Vittoria F, Wołoszczuk K, Živanovic M. Study on the uncertainty of passive area dosimetry systems for environmental radiation monitoring in the framework of the EMPIR “Preparedness” project. RADIAT MEAS 2021. [DOI: 10.1016/j.radmeas.2021.106543] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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De Saint-Hubert M, De Angelis C, Knežević Ž, Michalec B, Reniers B, Pyszka E, Stolarczyk L, Swakon J, Foltynska G, Wochnik A, Parisi A, Majer M, Harrison RM, Kopec R, Vanhavere F, Olko P. Characterization of passive dosimeters in proton pencil beam scanning - A EURADOS intercomparison for mailed dosimetry audits in proton therapy centres. Phys Med 2021; 82:134-143. [PMID: 33611050 DOI: 10.1016/j.ejmp.2021.01.073] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 12/18/2020] [Accepted: 01/15/2021] [Indexed: 11/27/2022] Open
Abstract
The lack of mailed dosimetry audits of proton therapy centres in Europe has encouraged researchers of EURADOS Working Group 9 (WG9) to compare response of several existing passive detector systems in therapeutic pencil beam scanning. Alanine Electron Paramagnetic Resonance dosimetry systems from 3 different institutes (ISS, Italy; UH, Belgium and IFJ PAN, Poland), natLiF:Mg, Ti (MTS-N) and natLiF:Mg, Cu, P (MCP-N) thermoluminescent dosimeters (TLDs), GD-352M radiophotoluminescent glass dosimeters (RPLGDs) and Al2O3:C optically stimulated dosimeters (OSLDs) were evaluate. Dosimeter repeatability, batch reproducibility and response in therapeutic Pencil Beam Scanning were verified for implementation as mail auditing system. Alanine detectors demonstrated the lowest linear energy transfer (LET) dependence with an agreement between measured and treatment planning system (TPS) dose below 1%. The OSLDs measured on average a 6.3% lower dose compared to TPS calculation, with no significant difference between varying modulations and ranges. Both GD-352M and MCP-N measured a lower dose than the TPS and luminescent response was dependent on the LET of the therapeutic proton beam. Thermoluminescent response of MTS-N was also found to be dependent on the LET and a higher dose than TPS was measured with the most pronounced increase of 11%. As alanine detectors are characterized by the lowest energy dependence for different parameters of therapeutic pencil beam scanning they are suitable candidates for mail auditing in proton therapy. The response of luminescence detector systems have shown promises even though more careful calibration and corrections are needed for its implementation as part of a mailed dosimetry audit system.
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Affiliation(s)
- M De Saint-Hubert
- Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, BE-2400 Mol, Belgium.
| | - C De Angelis
- Istituto Superiore di Sanità (ISS), Viale Regina Elena 299, 00161 Rome, Italy
| | - Ž Knežević
- Ruđer Bošković Institute (RBI), Bijenička 54, Zagreb, Croatia
| | - B Michalec
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - B Reniers
- Research Group NuTeC, University Hasselt (UH), Agoralaan Gebouw H, B-3590 Diepenbeek, Belgium
| | - E Pyszka
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - L Stolarczyk
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - J Swakon
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - G Foltynska
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - A Wochnik
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - A Parisi
- Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, BE-2400 Mol, Belgium
| | - M Majer
- Ruđer Bošković Institute (RBI), Bijenička 54, Zagreb, Croatia
| | - R M Harrison
- University of Newcastle, Newcastle Upon Tyne NE2 4HH, UK
| | - R Kopec
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
| | - F Vanhavere
- Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, BE-2400 Mol, Belgium
| | - P Olko
- Institute of Nuclear Physics Polish Academy of Sciences (IFJ PAN), Radzikowskiego 152, 31-342 Krakow, Poland
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Wochnik A, Stolarczyk L, Ambrožová I, Davídková M, De Saint-Hubert M, Domański S, Domingo C, Knežević Ž, Kopeć R, Kuć M, Majer M, Mojżeszek N, Mares V, Martínez-Rovira I, Caballero-Pacheco MÁ, Pyszka E, Swakoń J, Trinkl S, Tisi M, Harrison R, Olko P. Out-of-field doses for scanning proton radiotherapy of shallowly located paediatric tumours-a comparison of range shifter and 3D printed compensator. Phys Med Biol 2021; 66:035012. [PMID: 33202399 DOI: 10.1088/1361-6560/abcb1f] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The lowest possible energy of proton scanning beam in cyclotron proton therapy facilities is typically between 60 and 100 MeV. Treatment of superficial lesions requires a pre-absorber to deliver doses to shallower volumes. In most of the cases a range shifter (RS) is used, but as an alternative solution, a patient-specific 3D printed proton beam compensator (BC) can be applied. A BC enables further reduction of the air gap and consequently reduction of beam scattering. Such pre-absorbers are additional sources of secondary radiation. The aim of this work was the comparison of RS and BC with respect to out-of-field doses for a simulated treatment of superficial paediatric brain tumours. EURADOS WG9 performed comparative measurements of scattered radiation in the Proteus C-235 IBA facility (Cyclotron Centre Bronowice at the Institute of Nuclear Physics, CCB IFJ PAN, Kraków, Poland) using two anthropomorphic phantoms-5 and 10 yr old-for a superficial target in the brain. Both active detectors located inside the therapy room, and passive detectors placed inside the phantoms were used. Measurements were supplemented by Monte Carlo simulation of the radiation transport. For the applied 3D printed pre-absorbers, out-of-field doses from both secondary photons and neutrons were lower than for RS. Measurements with active environmental dosimeters at five positions inside the therapy room indicated that the RS/BC ratio of the out-of-field dose was also higher than one, with a maximum of 1.7. Photon dose inside phantoms leads to higher out-of-field doses for RS than BC to almost all organs with the highest RS/BC ratio 12.5 and 13.2 for breasts for 5 and 10 yr old phantoms, respectively. For organs closest to the isocentre such as the thyroid, neutron doses were lower for BC than RS due to neutrons moderation in the target volume, but for more distant organs like bladder-conversely-lower doses for RS than BC were observed. The use of 3D printed BC as the pre-absorber placed in the near vicinity of patient in the treatment of superficial tumours does not result in the increase of secondary radiation compared to the treatment with RS, placed far from the patient.
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Affiliation(s)
- A Wochnik
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - L Stolarczyk
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland.,Skandionkliniken, von Kraemers Allé 26, Uppsala 752 37, Sweden.,Dansk Center for Partikelterapi, Palle Juul-Jensens Boulevard 25, 8200 Aarhus N, Denmark
| | - I Ambrožová
- Department of Radiation Dosimetry, Nuclear Physics Institute Czech Academy of Sciences, Prague CZ-250 68 Řež, Czech Republic
| | - M Davídková
- Department of Radiation Dosimetry, Nuclear Physics Institute Czech Academy of Sciences, Prague CZ-250 68 Řež, Czech Republic
| | - M De Saint-Hubert
- Belgium Nuclear Research Centre (SCK CEN), Boeretang 200, Mol BE-2400, Belgium
| | - S Domański
- National Centre for Nuclear Research, Otwock-Świerk 05-400, Poland
| | - C Domingo
- Departament de Física, Universitat Autònoma de Barcelona (UAB), Bellaterra E-08193, Spain
| | - Ž Knežević
- Ruđer Bošković Institute, Bijenička c. 54, Zagreb 10000, Croatia
| | - R Kopeć
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - M Kuć
- National Centre for Nuclear Research, Otwock-Świerk 05-400, Poland
| | - M Majer
- Ruđer Bošković Institute, Bijenička c. 54, Zagreb 10000, Croatia
| | - N Mojżeszek
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - V Mares
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstraße 1, Neuherberg 85764, Germany
| | - I Martínez-Rovira
- Departament de Física, Universitat Autònoma de Barcelona (UAB), Bellaterra E-08193, Spain
| | - M Á Caballero-Pacheco
- Departament de Física, Universitat Autònoma de Barcelona (UAB), Bellaterra E-08193, Spain
| | - E Pyszka
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - J Swakoń
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
| | - S Trinkl
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstraße 1, Neuherberg 85764, Germany.,Technische Universität München, Physik-Department, Garching 85748, Germany
| | - M Tisi
- Helmholtz Zentrum München, Institute of Radiation Medicine, Ingolstädter Landstraße 1, Neuherberg 85764, Germany
| | - R Harrison
- University of Newcastle upon Tyne, Tyne and Wear, Newcastle upon Tyne NE1 7RU, United Kingdom
| | - P Olko
- Institute of Nuclear Physics PAN, Radzikowskiego 152, Krakow 31-342, Poland
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Musil V, Majer M, Kujundžić Tiljak M, Jureša V. Community based medical education – specific needs of elderly population. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.327] [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: 11/14/2022] Open
Abstract
Abstract
Background
Many countries in the world are facing problem of population ageing. As a part of medical education regarding that matter, The Community Health Course, based on line that main fields of work for physicians are communities, not physician's consulting rooms, has been conducted at School of Medicine University of Zagreb.
Objectives
Students of last (sixth) year of study attend The Course through one week in rural and semi-urban areas of Croatia. They have insight in living conditions and needs of elderly population trough participation in work with community nurses, family doctors/general practitioners and gerontology house helpers. Students evaluate activities by anonymous questionnaire, giving a grade (from one-very bad to five-outstanding) and writing a short description of experience. For the purpose of this paper we analysed student's evaluation from academic year 2018./19.
Results
Very good and outstanding found 94% of students (N = 299) work with community nurse, 92% with gerontology helpers and 87% with physicians. The value of activities they described as: “ we got an insight into functioning and organization of healthcare outside clinical hospital centres and Zagreb, we entered homes of people and saw how and in what conditions they live”, “being able to participate in work with gerontology helpers and community nurses, first-hand learning, we learned a lot about community”, “extremely valuable insight into lives of people in very difficult life situations and evidenced value of gerontology home helpers”, “I saw differences of living conditions and health care between countryside and city”.
Conclusions
The results of evaluation showed students recognition of importance community oriented medical education, emphasising awareness about specific needs of elderly population.
Key messages
Community oriented medical education could motivate students to choose work in countryside areas in future carriers. Students recognized importance of community oriented medical education, emphasising awareness about specific needs of elderly population.
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Affiliation(s)
- V Musil
- Department of Social Medicine and Health Care Organization, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - M Majer
- Department of Social Medicine and Health Care Organization, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - M Kujundžić Tiljak
- Department of Medical Statistics, Epidemiology and Medical I, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - V Jureša
- Department of Social Medicine and Health Care Organization, University of Zagreb, School of Medicine, Zagreb, Croatia
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Majer M, Musil V, Sović S, Musić Milanović S, Jureša V, Kujundžić Tiljak M. Project on monitoring persistence of body mass index of school aged children. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1146] [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
Issue
Childhood obesity is one of the most important public health issues today. In Croatia every third school aged child are overweight. Monitoring of nutritional status of school aged children in Croatia is a part of routine health examinations provided by School health service, while Project on tracking BMI from early school aged to adolescence provided insight into the risk of overweight in adolescence. Risk assessment for overweight is important in planning interventions in Croatia, as well in other countries.
Description of the Problem
Objective of the project was to collect and analyze anthropometric data of representative sample of Croatian school aged children, to determine tracking of BMI from early school age to adolescence and to assess the risk for overweight in adolescence. Longitudinal follow up included period from first to eight grade of primary school. Data of date of birth, body weight and height were obtained from medical records, and BMI was evaluate according to the national reference values.
Results
Project included 641 participant (49.8% girls) with the data of three measurements within health examination in primary school. Normal weight in all free measurements were 226 (71%, CI95% 66-76%) girls, and 192 (60%, CI95% 54-65%) boys, while overweight were 18 (6%, CI95% 4-9%) girls and 26 boys (8%, CI95% 5-12%), respectively. Probabilities of being overweight in eight grade for girls and boys normal weight in first grade were 10% (CI95% 7-14%) and 13% (CI95% 10-18%), while for overweight in first grade probabilities were 63% (CI95% 46-78%) and 69% (CI95% 54-81%), respectively. Risk of being overweight in eighth grade started increasing at 75th BMI centile value in first grade.
Lessons
Project showed importance of monitoring persistence of BMI of school age children. Intervention should target normal weight children as well, in order to maintain normal weight during the lifespan.
Key messages
Monitoring of nutritional status and risk assessment for overweight is important in planning interventions. Intervention should target not only overweight children, but normal weight children as well.
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Affiliation(s)
- M Majer
- Andrija Stampar School of Public Health, University of Zagreb, Zagreb, Croatia
| | - V Musil
- Andrija Stampar School of Public Health, University of Zagreb, Zagreb, Croatia
| | - S Sović
- Andrija Stampar School of Public Health, University of Zagreb, Zagreb, Croatia
| | - S Musić Milanović
- Andrija Stampar School of Public Health, University of Zagreb, Zagreb, Croatia
| | - V Jureša
- Andrija Stampar School of Public Health, University of Zagreb, Zagreb, Croatia
| | - M Kujundžić Tiljak
- Andrija Stampar School of Public Health, University of Zagreb, Zagreb, Croatia
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Jureša V, Posavec M, Latković Prugovečki S, Musil V, Majer M, Vidović Petričević T. Adolescent mental health: analysis using YP-CORE test in School health services in Croatia. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.1057] [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
Issue
Adolescent mental health problems are a leading health problem in this population and remain unrecognized for a long time. The aim of this study was to examine the mental health problems with YP-CORE test as a part of regular school health periodic examination of first-year secondary school students (ages 15-16).
Description of Problem
Study included 392 first-year Zagreb secondary school students (74.5% girls) academic year 2019/2020. Data were collected by YP-CORE test ten questions about feeling over the last week. The students provided informed consent, and testing was done during regular periodic examinations. Data were analyzed using descriptive statistics.
Results
At risk of mental health problems were 7.5% of girls (22/292) and 2.0% of boys. Nine girls (3.1%) had a low overall score, ≤ 19 points, which would mean little risk but had a positive answer to the question 'I've thought of hurting myself'. Ten girls (3.3%) had a score of ≥ 20, which meant an increased risk and a particularly positive answer was the 'I've thought of hurting myself' question. Three girls (1%) had a score of ≥ 20, which meant an increased risk with no additional risk of auto-aggression. The results in the boys are completely different. Two students, 2% (2/100) had a total score of ≥ 17, which meant an increased risk and a particularly positive answer was the 'I've thought of hurting myself' question. All recognized risk students are immediately involved in the counseling of the School and University Medicine Counseling Services provided by every secondary school in Croatia.
Lessons
The results of the study showed that mental health problems have 6.1% secondary school students with gender differences, girls 7.5%, boys 2%. School health service developed a protocol for students at increased risk. The first step is school medicine specialist interview with the student, then with the parents and the student, and second step including school staff and other professionals.
Key messages
Early identification of mental health problems, timely intervention and continuous monitoring of mental health among secondary school students in Croatia. Counseling service for students should be available within the school health service, implementing preventative measures and working closely with other services and professionals.
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Affiliation(s)
- V Jureša
- Andrija Štampar School of Public Health, University of Zagreb, School of Medicine, Zagreb, Croatia
- Department of School and Adolescent Medicine, Andrija Štampar Teaching Institute of Public health, Zagreb, Croatia
| | - M Posavec
- Department of School and Adolescent Medicine, Andrija Štampar Teaching Institute of Public health, Zagreb, Croatia
| | - S Latković Prugovečki
- Department of School and Adolescent Medicine, Andrija Štampar Teaching Institute of Public health, Zagreb, Croatia
| | - V Musil
- Andrija Štampar School of Public Health, University of Zagreb, School of Medicine, Zagreb, Croatia
- Department of School and Adolescent Medicine, Andrija Štampar Teaching Institute of Public health, Zagreb, Croatia
| | - M Majer
- Andrija Štampar School of Public Health, University of Zagreb, School of Medicine, Zagreb, Croatia
| | - T Vidović Petričević
- Department of School and Adolescent Medicine, Andrija Štampar Teaching Institute of Public health, Zagreb, Croatia
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Abstract
Abstract
Background
Sexual behaviour of youth could have reproductive health outcomes with an impact on individual and general population health. The aim of this study was to determine sexual behaviour and attitudes among first year university students in city of Zagreb, Croatia.
Methods
Study included 298 first year students (61% of females) of Medical School University of Zagreb and 124 students (75% of females) of Catholic University of Zagreb in academic year 2017/2018. Data were collected by anonymous questionnaire School Health Survey, and analysed by descriptive statistics.
Results
Significantly higher proportion of Catholic University students have had sexual intercourse comparing to medical students of University of Zagreb (48% vs. 36%, P = 0.019). The age of first sexual intercourse for the most of students was from 16-18 years (73% of Catholic University students, and 79% of medical students). Contraception was always used among 54% of Catholic University students, and 67% of medical students, and never used among 11% and 4% of them respectively. Most of the students have gained information about human sexuality from the internet (26% of Catholic University students, and 30% of medical students), followed by friends (18%) and parents (11%) for Catholic University students, and television (25%) and friends (14%) for medical students. Most students expressed the attitude that sex education should be introduced in secondary schools (31% and 36%, respectively), followed by both, in primary and secondary schools (21%, and 30% respectively). Fourteen percent of Catholic University students and 7% of medical students thought that sex education should not be introduced to schools.
Conclusions
Results showed risky sexual behaviour of university students, especially Catholic University students, indicating the need of continuous education on reproductive health among youth.
Key messages
Results indicate the need of intervention and continuous education on reproductive health among university students in Zagreb, Croatia. Results showed insufficient use of contraception especially among Catholic University students indicating the need of education on reproductive health among medical and nonmedical students.
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Affiliation(s)
- M Majer
- University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
| | - B Puškarić Saić
- Andrija Štampar Teaching Institute of Public Health, Department of School and Adolescent Medicine, Zagreb, Croatia
| | - V Musil
- University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
| | - R Mužić
- University of Zagreb, School of Medicine, Zagreb, Croatia
| | - N Pjevač
- University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
| | - V Jureša
- University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
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Lassau N, Estienne T, de Vomecourt P, Azoulay M, Cagnol J, Garcia G, Majer M, Jehanno E, Renard-Penna R, Balleyguier C, Bidault F, Caramella C, Jacques T, Dubrulle F, Behr J, Poussange N, Bocquet J, Montagne S, Cornelis F, Faruch M, Bresson B, Brunelle S, Jalaguier-Coudray A, Amoretti N, Blum A, Paisant A, Herreros V, Rouviere O, Si-Mohamed S, Di Marco L, Hauger O, Garetier M, Pigneur F, Bergère A, Cyteval C, Fournier L, Malhaire C, Drape JL, Poncelet E, Bordonne C, Cauliez H, Budzik JF, Boisserie M, Willaume T, Molière S, Peyron Faure N, Caius Giurca S, Juhan V, Caramella T, Perrey A, Desmots F, Faivre-Pierre M, Abitbol M, Lotte R, Istrati D, Guenoun D, Luciani A, Zins M, Meder JF, Cotten A. Five simultaneous artificial intelligence data challenges on ultrasound, CT, and MRI. Diagn Interv Imaging 2019; 100:199-209. [DOI: 10.1016/j.diii.2019.02.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Accepted: 02/04/2019] [Indexed: 12/18/2022]
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Siiskonen T, Ciraj-Bjelac O, Dabin J, Diklic A, Domienik-Andrzejewska J, Farah J, Fernandez J, Gallagher A, Hourdakis C, Jurkovic S, Järvinen H, Järvinen J, Knežević Ž, Koukorava C, Maccia C, Majer M, Malchair F, Riccardi L, Rizk C, Sanchez R, Sandborg M, Merce MS, Segota D, Sierpowska J, Simantirakis G, Sukupova L, Thrapsanioti Z, Vano E. Establishing the European diagnostic reference levels for interventional cardiology. Phys Med 2018; 54:42-48. [DOI: 10.1016/j.ejmp.2018.09.012] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Revised: 09/19/2018] [Accepted: 09/23/2018] [Indexed: 11/29/2022] Open
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Kneževic Ž, Ambrozova I, Domingo C, De Saint-Hubert M, Majer M, Martínez-Rovira I, Miljanic S, Mojzeszek N, Porwol P, Ploc O, Romero-Expósito M, Stolarczyk L, Trinkl S, Harrison RM, Olko P. COMPARISON OF RESPONSE OF PASSIVE DOSIMETRY SYSTEMS IN SCANNING PROTON RADIOTHERAPY-A STUDY USING PAEDIATRIC ANTHROPOMORPHIC PHANTOMS. Radiat Prot Dosimetry 2018; 180:256-260. [PMID: 29165619 DOI: 10.1093/rpd/ncx254] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Proton beam therapy has advantages in comparison to conventional photon radiotherapy due to the physical properties of proton beams (e.g. sharp distal fall off, adjustable range and modulation). In proton therapy, there is the possibility of sparing healthy tissue close to the target volume. This is especially important when tumours are located next to critical organs and while treating cancer in paediatric patients. On the other hand, the interactions of protons with matter result in the production of secondary radiation, mostly neutrons and gamma radiation, which deposit their energy at a distance from the target. The aim of this study was to compare the response of different passive dosimetry systems in mixed radiation field induced by proton pencil beam inside anthropomorphic phantoms representing 5 and 10 years old children. Doses were measured in different organs with thermoluminescent (MTS-7, MTS-6 and MCP-N), radiophotoluminescent (GD-352 M and GD-302M), bubble and poly-allyl-diglycol carbonate (PADC) track detectors. Results show that RPL detectors are the less sensitive for neutrons than LiF TLDs and can be applied for in-phantom dosimetry of gamma component. Neutron doses determined using track detectors, bubble detectors and pairs of MTS-7/MTS-6 are consistent within the uncertainty range. This is the first study dealing with measurements on child anthropomorphic phantoms irradiated by a pencil scanning beam technique.
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Affiliation(s)
- Ž Kneževic
- Ruder Boškovic Institute, Bijenicka cesta 54, Zagreb, Croatia
| | - I Ambrozova
- Nuclear Physics Institute of the CAS, Department of Radiation Dosimetry, Na Truhlárce 39/64, Praha, Czech Republic
| | - C Domingo
- Departament de Física, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - M De Saint-Hubert
- Belgium Nuclear Research Center (SCK-CEN), Boeretang 200, Mol, Belgium
| | - M Majer
- Ruder Boškovic Institute, Bijenicka cesta 54, Zagreb, Croatia
| | - I Martínez-Rovira
- Departament de Física, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - S Miljanic
- Ruder Boškovic Institute, Bijenicka cesta 54, Zagreb, Croatia
| | - N Mojzeszek
- Cyclotron Centre Bronowice, Institute of Nuclear Physics, PAN (IFJPAN), Radzikowskiego 152, Krakow, Poland
| | - P Porwol
- Radiology therapeutic Center Poland SP. Z O.O., Centrum Radioterapii Amethyst w Krakowie, Zlotej Jesieni 1, Krakow, Poland
| | - O Ploc
- Nuclear Physics Institute of the CAS, Department of Radiation Dosimetry, Na Truhlárce 39/64, Praha, Czech Republic
| | - M Romero-Expósito
- Departament de Física, Universitat Autònoma de Barcelona, Bellaterra, Spain
| | - L Stolarczyk
- Cyclotron Centre Bronowice, Institute of Nuclear Physics, PAN (IFJPAN), Radzikowskiego 152, Krakow, Poland
| | - S Trinkl
- Helmholtz Zentrum München, Institute of Radiation Protection, Ingolstädter Landstraße 1, Neuherberg, Germany
- Technische Universität München, Physik-Department, James-Franck-Str. 1, Garching bei München, Germany
| | - R M Harrison
- University of Newcastle upon Tyne, Tyne and Wear, Newcastle upon Tyne, UK
| | - P Olko
- Cyclotron Centre Bronowice, Institute of Nuclear Physics, PAN (IFJPAN), Radzikowskiego 152, Krakow, Poland
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Stolarczyk L, Trinkl S, Romero-Expósito M, Mojżeszek N, Ambrozova I, Domingo C, Davídková M, Farah J, Kłodowska M, Knežević Ž, Liszka M, Majer M, Miljanić S, Ploc O, Schwarz M, Harrison RM, Olko P. Dose distribution of secondary radiation in a water phantom for a proton pencil beam-EURADOS WG9 intercomparison exercise. Phys Med Biol 2018; 63:085017. [PMID: 29509148 DOI: 10.1088/1361-6560/aab469] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Systematic 3D mapping of out-of-field doses induced by a therapeutic proton pencil scanning beam in a 300 × 300 × 600 mm3 water phantom was performed using a set of thermoluminescence detectors (TLDs): MTS-7 (7LiF:Mg,Ti), MTS-6 (6LiF:Mg,Ti), MTS-N (natLiF:Mg,Ti) and TLD-700 (7LiF:Mg,Ti), radiophotoluminescent (RPL) detectors GD-352M and GD-302M, and polyallyldiglycol carbonate (PADC)-based (C12H18O7) track-etched detectors. Neutron and gamma-ray doses, as well as linear energy transfer distributions, were experimentally determined at 200 points within the phantom. In parallel, the Geant4 Monte Carlo code was applied to calculate neutron and gamma radiation spectra at the position of each detector. For the cubic proton target volume of 100 × 100 × 100 mm3 (spread out Bragg peak with a modulation of 100 mm) the scattered photon doses along the main axis of the phantom perpendicular to the primary beam were approximately 0.5 mGy Gy-1 at a distance of 100 mm and 0.02 mGy Gy-1 at 300 mm from the center of the target. For the neutrons, the corresponding values of dose equivalent were found to be ~0.7 and ~0.06 mSv Gy-1, respectively. The measured neutron doses were comparable with the out-of-field neutron doses from a similar experiment with 20 MV x-rays, whereas photon doses for the scanning proton beam were up to three orders of magnitude lower.
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Affiliation(s)
- L Stolarczyk
- Institute of Nuclear Physics PAN, Radzikowskiego 152, 31-342 Krakow, Poland. Skandionkliniken, von Kraemers Allé 26, 752 37 Uppsala, Sweden. Author to whom any correspondence should be addressed
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Jureša V, Musil V, Majer M. Boys and young men preventive reproductive health care in Croatia. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx186.297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- V Jureša
- University of Zagreb Medical School, Andrija Štampar School of Public Health, Zagreb, Croatia
| | - V Musil
- University of Zagreb Medical School, Andrija Štampar School of Public Health, Zagreb, Croatia
| | - M Majer
- University of Zagreb Medical School, Andrija Štampar School of Public Health, Zagreb, Croatia
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Liu H, Liu Q, Qiu J, Majer M, Knezevic Z, Miljanic S, Hrsak H, Zhuo W. SU-F-I-32: Organ Doses from Pediatric Head CT Scan. Med Phys 2016. [DOI: 10.1118/1.4955860] [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: 11/07/2022] Open
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Dabin J, Negri A, Farah J, Ciraj-Bjelac O, Clairand I, De Angelis C, Domienik J, Jarvinen H, Kopec R, Majer M, Malchair F, Novák L, Siiskonen T, Vanhavere F, Trianni A, Knežević Ž. Characterisation of grids of point detectors in maximum skin dose measurement in fluoroscopically-guided interventional procedures. Phys Med 2015; 31:1112-1117. [DOI: 10.1016/j.ejmp.2015.08.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Revised: 08/26/2015] [Accepted: 08/28/2015] [Indexed: 10/22/2022] Open
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Farah J, Mares V, Romero-Expósito M, Trinkl S, Domingo C, Dufek V, Klodowska M, Kubancak J, Knežević Ž, Liszka M, Majer M, Miljanić S, Ploc O, Schinner K, Stolarczyk L, Trompier F, Wielunski M, Olko P, Harrison RM. Measurement of stray radiation within a scanning proton therapy facility: EURADOS WG9 intercomparison exercise of active dosimetry systems. Med Phys 2015; 42:2572-84. [DOI: 10.1118/1.4916667] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
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Farah J, Trianni A, Carinou E, Ciraj-Bjelac O, Clairand I, Dabin J, De Angelis C, Domienik J, Jarvinen H, Kopec R, Majer M, Malchair F, Negri A, Novák L, Siiskonen T, Vanhavere F, Knežević Ž. Measurement of maximum skin dose in interventional radiology and cardiology and challenges in the set-up of European alert thresholds. Radiat Prot Dosimetry 2015; 164:138-142. [PMID: 25316909 DOI: 10.1093/rpd/ncu314] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
To help operators acknowledge patient dose during interventional procedures, EURADOS WG-12 focused on measuring patient skin dose using XR-RV3 gafchromic films, thermoluminescent detector (TLD) pellets or 2D TL foils and on investigating possible correlation to the on-line dose indicators such as fluoroscopy time, Kerma-area product (KAP) and cumulative air Kerma at reference point (CK). The study aims at defining non-centre-specific European alert thresholds for skin dose in three interventional procedures: chemoembolization of the liver (CE), neuroembolization (NE) and percutaneous coronary interventions (PCI). Skin dose values of >3 Gy (ICRP threshold for skin injuries) were indeed measured in these procedures confirming the need for dose indicators that correlate with maximum skin dose (MSD). However, although MSD showed fairly good correlation with KAP and CK, several limitations were identified challenging the set-up of non-centre-specific European alert thresholds. This paper presents preliminary results of this wide European measurement campaign and focuses on the main challenges in the definition of European alert thresholds.
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Affiliation(s)
- J Farah
- Laboratoire de Dosimétrie des Rayonnements Ionisants, Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, PRP-HOM/SDE/LDRI BP 17, Fontenay-aux-Roses Cedex 92262, France
| | - A Trianni
- Udine University Hospital (AOUD), Ple S. Maria della Misericordia, 15, Udine 33100, Italy
| | - E Carinou
- Greek Atomic Energy Commission (GAEC), PO Box 60092, Ag. Paraskevi, Athens 15310, Greece
| | - O Ciraj-Bjelac
- VINCA Institute of Nuclear Sciences (VINCA), PO Box 522, Belgrade 11001, Serbia
| | - I Clairand
- Laboratoire de Dosimétrie des Rayonnements Ionisants, Institut de Radioprotection et de Sûreté Nucléaire (IRSN), BP17, PRP-HOM/SDE/LDRI BP 17, Fontenay-aux-Roses Cedex 92262, France
| | - J Dabin
- Belgian Nuclear Research Centre (SCK-CEN), Boeretang 200, Mol BE-2400, Belgium
| | - C De Angelis
- Istituto Superiore di Sanità (ISS), Viale Regina Elena 299, Rome 00161, Italy
| | - J Domienik
- Nofer Institute of Occupational Medicine (NIOM), 8 Sw. Teresy, Str., Łódź 91-348, Poland
| | - H Jarvinen
- Radiation and Nuclear Safety Authority (STUK), PO Box 14, Helsinki 00881, Finland
| | - R Kopec
- Institute of Nuclear Physics (IFJ PAN), ul Radzikowskiego 152, Kraków PL-31-342, Poland
| | - M Majer
- Ruđer Bošković Institute (RBI), Bijenička c. 54, Zagreb 10000, Croatia
| | - F Malchair
- Centre Hospitalier Universitaire de Liège (CHUL), Avenue de l'Hôpital, Liège 4000, Belgium
| | - A Negri
- Istituto Oncologico Veneto (IOV), Via Gattamelata 64, Padova 35124, Italy
| | - L Novák
- National Radiation Protection Institute (NRPI), Bartoškova 28, Prague 4 140 00, Czech Republic
| | - T Siiskonen
- Radiation and Nuclear Safety Authority (STUK), PO Box 14, Helsinki 00881, Finland
| | - F Vanhavere
- Belgian Nuclear Research Centre (SCK-CEN), Boeretang 200, Mol BE-2400, Belgium
| | - Ž Knežević
- Ruđer Bošković Institute (RBI), Bijenička c. 54, Zagreb 10000, Croatia
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Kopeć R, Novák L, Carinou E, Clairand I, Dabin J, Datz H, De Angelis C, Farah J, Huet C, Knežević Ž, Järvinen H, Majer M, Malchair F, Negri A, Waschitz SH, Siiskonen T, Szumska A, Trianni A, Vanhavere F. Intercomparison of Gafchromic™ films, TL detectors and TL foils for the measurements of skin dose in interventional radiology. RADIAT MEAS 2014. [DOI: 10.1016/j.radmeas.2014.04.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Farah J, Stolarczyk L, Algranati C, Domingo C, Dufek V, Fellin F, Frojdh E, George S, Harrison R, Klodowska M, Kubancak J, Knezevic Z, Liszka M, Majer M, Mares V, Miljanic S, Ploc O, Romero-Exposito M, Ruhm W, Schinner K, Schwarz M, Trinkl S, Trompier F, Wielunski M, Olko P. WE-D-17A-05: Measurement of Stray Radiation Within An Active Scanning Proton Therapy Facility: EURADOS WG9 Intercomparison Exercise of Active Dosimetry Systems. Med Phys 2014. [DOI: 10.1118/1.4889408] [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: 11/07/2022] Open
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Stolarczyk L, Knežević Ž, Adamek N, Algranati C, Ambrozova I, Domingo C, Dufek V, Farah J, Fellin F, Klodowska M, Kubancak J, Liszka M, Majer M, Mares V, Miljanić S, Ploc O, Romero-Expósito M, Schinner K, Schwarz M, Trinkl S, Trompier F, Wielunski M, Harrison R, Olko P. Comparison of passive dosimeters for secondary radiation measurements in scanning proton radiotherapy. Phys Med 2014. [DOI: 10.1016/j.ejmp.2014.07.197] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Miljanić S, Hršak H, Knežević Ž, Majer M, Heinrich Z. Peripheral doses in children undergoing Gamma Knife radiosurgery and second cancer risk. RADIAT MEAS 2013. [DOI: 10.1016/j.radmeas.2012.09.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Biersack MG, Majer M, Piazena H, Braun T, Hoehne-Zimmer V, Burmester GR, Buttgereit F, Uebelhack R, Detert J. AB0637 Uv-b skin exposure: a possible mode of treatment for vitamin d deficiency and mood disorders. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.2959] [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: 11/03/2022]
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Majer M, Biersack M, Piazena H, Braun T, Höhne-Zimmer V, Burmester GR, Buttgereit F, Uebelhack R, Detert J. AB0636 Alteration of vitamin d after a whole body uv-b exposure in context of a diet. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.2958] [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: 11/03/2022]
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Krainick-Strobel U, Majer M, Heinemann A, Wallwiener D, Wietek B. Onkologie. Ist die Dichte des Drüsenparenchyms die Achillesferse des Mammografie-Screenings? Geburtshilfe Frauenheilkd 2010. [DOI: 10.1055/s-0030-1250416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Binder EB, Künzel HE, Nickel T, Kern N, Pfennig A, Majer M, Uhr M, Ising M, Holsboer F. HPA-axis regulation at in-patient admission is associated with antidepressant therapy outcome in male but not in female depressed patients. Psychoneuroendocrinology 2009; 34:99-109. [PMID: 18829172 DOI: 10.1016/j.psyneuen.2008.08.018] [Citation(s) in RCA: 96] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2008] [Revised: 08/13/2008] [Accepted: 08/20/2008] [Indexed: 11/15/2022]
Abstract
A concatenation of data implicates a hyperactivity of the hypothalamus pituitary adrenal (HPA)-axis in the pathogenesis of depression and its normalization as a necessary predecessor of clinical response to antidepressant drugs. In addition, regulation of the HPA-axis has been shown to be dependent on sex hormones. We therefore investigated gender differences in HPA-axis regulation in depression and its normalization during remission of clinical symptoms. We used the combined dexamethasone suppression/CRH stimulation (Dex-CRH) test to evaluate the degree of HPA-axis dysregulation in 194 in-patients with unipolar depression from the Munich Antidepressant Response Signature (MARS) study at both admission and discharge. The Hamilton Depression (HAM-D) Rating Scale was used to monitor clinical response to antidepressant treatment. For both genders, we observed a normalization of HPA-axis dysregulation in remitters but not in non-remitters, both after 5 weeks of treatment and at discharge. The pattern of HPA-axis normalization with remission of depressive symptoms, however, showed gender-specific differences. In male patients, remission after 5 weeks of in-patient treatment was associated with a significantly higher cortisol response in the Dex-CRH test at admission. In female patients, 5-week remitters and non-remitters had a comparable cortisol response at admission. Cortisol response at admission was not correlated with gonadal steroid levels at this time point and the results were similar for pre-menopausal women vs. post-menopausal women. Gender-associated biological characteristics, likely independent of circulating gonadal steroids, thus seem to influence HPA-axis regulation in depression. In male patients, a single measure of HPA-axis dysregulation at admission may serve as a predictor of response to antidepressant treatment in addition to the previously reported repeated measure of the Dex-CRH test.
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Affiliation(s)
- E B Binder
- Max-Planck Institute of Psychiatry, Kraepelinstrasse 2-10, D80804 Munich, Germany.
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Schupp W, Haslbeck M, Scholz O, Fujak A, Majer M, Spitzer A, Steigleder T, Vollus E, Watzek I, Hecht M. Erlanger Modell der Spastiktherapie (EMOS) – Aufbau eines regionalen Versorgungsnetzwerkes für Patienten mit Spastik – Struktur und erste Ergebnisse. KLIN NEUROPHYSIOL 2007. [DOI: 10.1055/s-2007-1032245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Uroić M, Majer M, Pašić S, Bokulić T, Vuković B, Ilakovac K. Effects in K X-ray fluorescence spectra due to Compton scattering in the target. Radiat Phys Chem Oxf Engl 1993 2006. [DOI: 10.1016/j.radphyschem.2005.07.028] [Citation(s) in RCA: 2] [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: 11/25/2022]
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Pašić S, Uroić M, Tocilj Z, Majer M, Gamulin O, Bokulić T, Ilakovac K. Experimental determination of absolute-scale compton cross sections using the K X-ray escape and a comparison with three versions of the impulse approximation. Radiat Phys Chem Oxf Engl 1993 2005. [DOI: 10.1016/j.radphyschem.2005.04.001] [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: 11/26/2022]
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Akerley W, Maul S, Majer M, Fitzpatrick F. P-442 Erlotinib for good prognosis patients with untreated, advanced stage NSCLC. Lung Cancer 2005. [DOI: 10.1016/s0169-5002(05)80935-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Majer M, Ising M, Künzel H, Binder EB, Holsboer F, Modell S, Zihl J. Impaired divided attention predicts delayed response and risk to relapse in subjects with depressive disorders. Psychol Med 2004; 34:1453-1463. [PMID: 15724876 DOI: 10.1017/s0033291704002697] [Citation(s) in RCA: 131] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND This study addresses the complex relationship between cognitive function and the course of depression. METHOD A sample of patients (n=73) in a depressive episode (major depression or bipolar disorder) was tested with a comprehensive battery of attention and executive tasks at both admission and discharge. In addition, response to pharmacological treatment and remission was assessed with standardized rating scales. Nineteen patients, recovered from depression, were re-investigated 6 months after discharge to determine whether specific cognitive parameters were related to subsequent relapse. RESULTS On admission, patients were impaired in almost all cognitive tasks. At discharge, we found a significant reduction in psychopathology, but only marginal cognitive improvements. Non-responders after 4 weeks of antidepressive medication and subjects who did not achieve remission prior to discharge were specifically impaired in divided attention on admission (p < 0.05). In addition, a trend was found for the association between impaired divided attention at discharge and an elevated risk to relapse (p < 0.10). CONCLUSIONS We observed generalized cognitive impairment in most cognitive domains in acute depression. Cognitive impairments were still within abnormal ranges at discharge but less distinct. Divided attention performance predicted response to treatment, remission of symptoms, and risk to relapse. Impaired divided attention capacity can be explained either by reduced attentional resources or impaired activation and/or top-down control of attentional resources by the central executive.
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Affiliation(s)
- M Majer
- Max Planck Institute of Psychiatry, Munich, Germany
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Ising M, Binder E, Brunner J, Fuchs B, Kern N, Künzel HE, Majer M, Nickel T, Pfennig A, Modell S, Holsboer F. Subsyndromal AMDP scales to distinguish pathogenetically homogenous subgroups of affective disorders. Pharmacopsychiatry 2004. [DOI: 10.1055/s-2003-825388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Brunner J, Ising M, Binder EB, Künzel HE, Nickel T, Pfennig A, Kern N, Fuchs B, Majer M, Holsboer F, Modell S. Prediction of response to antidepressant monotherapy. Pharmacopsychiatry 2004. [DOI: 10.1055/s-2003-825284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Majer M, Modell S, Holsboer F, Zihl J. Neuropsychological deficits and long-term outcomes in patients with affective disorders. Pharmacopsychiatry 2004. [DOI: 10.1055/s-2003-825433] [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] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Künzel HE, Binder EB, Nickel T, Ising M, Fuchs B, Majer M, Pfennig A, Ernst G, Kern N, Schmid DA, Uhr M, Holsboer F, Modell S. Pharmacological and nonpharmacological factors influencing hypothalamic-pituitary-adrenocortical axis reactivity in acutely depressed psychiatric in-patients, measured by the Dex-CRH test. Neuropsychopharmacology 2003; 28:2169-78. [PMID: 12931142 DOI: 10.1038/sj.npp.1300280] [Citation(s) in RCA: 113] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The most consistent biological findings in patients with depression are abnormalities in the hypothalamic-pituitary-adrenal (HPA)-axis, which can be measured using the combined dexamethasone-suppression/CRH-stimulation (Dex-CRH) test. The reactivity of the HPA-axis in this test, however, ranges over several orders of magnitude in depressed patients with comparable severity of symptoms. In this present study, we investigate which factors influence the magnitude of the response in the Dex-CRH test in 235 acutely depressed in-patients. We first examined the effects of common confounders shown to influence the HPA-axis, such as caffeine and nicotine consumption, acute stressors during the test, weight, gender, and age. Of all these variables, only female sex and nicotine consumption were positively correlated with the cortisol or ACTH response, respectively. As for the effects of psychopharmacological treatment, only the intake of carbamazepine and the fact of having relapsed under an established pharmacotherapy significantly increased the response in the Dex-CRH test, whereas the presence or absence of antidepressant treatment, the type of antidepressant treatment, or the number of ineffective antidepressant treatment trials during the index episode up to admission did not have any effect. We also found a positive correlation of the number of previous episodes, the overall HAM-D score and the severity of somatic/vegetative symptoms with the results in the Dex-CRH test. These results underline that in depressed patients this test is not majorly influenced by disease-unrelated factors. In addition, current antidepressant treatment does not appear to affect test outcome in the absence of clinical response. The influence of the number of previous episodes and relapse under pharmacotherapy suggests that HPA-axis reactivity may be altered by repetitive states of hypercortisolemia or continuous antidepressant treatment. Finally, more severe vegetative symptoms are associated with an enhanced HPA-axis activity.
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Affiliation(s)
- H E Künzel
- Department of Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany
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Zielinska-Rohozanska E, Gronkowski J, Regulska M, Majer M, Pakula K. X-ray Diffraction Study of Composition Inhomogeneities in Ga1-xInxN Thin Layers. Cryst Res Technol 2001. [DOI: 10.1002/1521-4079(200110)36:8/10<903::aid-crat903>3.0.co;2-v] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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39
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Lang CJ, Majer M, Balan P, Reischies FM. Recall and recognition in Huntington's disease. Arch Clin Neuropsychol 2000; 15:361-71. [PMID: 14590232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023] Open
Abstract
We assessed 19 patients with Huntington's disease (HD) at early to moderately advanced stages of their disease using memory tests that investigated verbal and visual recall and recognition. In those tests where identical material was subject to recall and recognition the standardized results (z scores) were lower for recognition. Performance was better with pictorial than with verbal material. While recognition bias and savings scores did not differ significantly from controls, all other recognition parameters did so. This is in contrast to the claim that defective retrieval in HD is greatly enhanced by multiple choice recognition. One major reason for maintaining this assumption was apparently the disregard of false-positive responses. Our results indicate that verbal and visual recognition are impaired in HD, and the notion of a salient deficit of free recall is not supported.
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Affiliation(s)
- C J Lang
- Neurological Hospital, University of Erlangen-Nuremberg, Erlangen, Germany.
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40
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Abstract
We compared 24 patients in various stages of Huntington disease (HD) with 26 control patients free from cerebral disorders using a simple visual saccadic tracking test. The two groups were well matched in regard to age, sex, verbal IQ and years of schooling. Test results differed widely. On a time versus error plot, sensitivity (96%) and specificity (100%) were high and the results did not depend on age, education, or disease duration, although an influence of disease stage could be observed. This study shows that a simple saccadic tracking task may be useful in detecting visuomotor disturbances in HD.
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Affiliation(s)
- C J Lang
- Neurological Hospital, University of Erlangen-Nuremberg at Erlangen, Germany.
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42
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Majer M, Popov KM, Harris RA, Bogardus C, Prochazka M. Insulin downregulates pyruvate dehydrogenase kinase (PDK) mRNA: potential mechanism contributing to increased lipid oxidation in insulin-resistant subjects. Mol Genet Metab 1998; 65:181-6. [PMID: 9787110 DOI: 10.1006/mgme.1998.2748] [Citation(s) in RCA: 89] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Oxidative metabolism of glucose is regulated by pyruvate dehydrogenase (PDH) that can be inhibited by isoforms of PDH kinase (PDK). Recently, increased PDK activity has been implicated in the pathogenesis of insulin resistance and non-insulin-dependent diabetes mellitus (NIDDM) in obese subjects. Using quantitative RT-PCR, we measured mRNA of PDK2 and PDK4 isoforms in skeletal muscle biopsies from nondiabetic Pima Indians, a population with a high prevalence of NIDDM associated with obesity. PDK2 and PDK4 mRNAs were positively correlated with fasting plasma insulin concentration, 2-h plasma insulin concentration in response to oral glucose, and percentage body fat, whereas both isoforms were negatively correlated with insulin-mediated glucose uptake rates. Measurements of PDK2 and PDK4 mRNA during the hyperinsulinemic-euglycemic clamp and of PDK2 in cell culture indicated that both transcripts decrease in response to insulin. Increased fatty acid (FA) oxidation has been traditionally viewed as the cause for increased PDK activity contributing to insulin resistance in obese subjects. In contrast, our data indicate that insufficient downregulation of PDK mRNA in insulin-resistant individuals could be a cause of increased PDK expression leading to impaired glucose oxidation followed by increased FA oxidation.
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Affiliation(s)
- M Majer
- Phoenix Epidemiology and Clinical Research Branch, National Institutes of Health, Phoenix, Arizona, 85016, USA
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43
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Xia J, Scherer SW, Cohen PT, Majer M, Xi T, Norman RA, Knowler WC, Bogardus C, Prochazka M. A common variant in PPP1R3 associated with insulin resistance and type 2 diabetes. Diabetes 1998; 47:1519-24. [PMID: 9726244 DOI: 10.2337/diabetes.47.9.1519] [Citation(s) in RCA: 69] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Selected candidate genes have been analyzed in the Pima Indians of Arizona based on evidence that insulin resistance and type 2 diabetes have significant genetic determinants. An amino acid substitution at codon 905 of the glycogen-targeting subunit of type 1 protein phosphatase that regulates skeletal muscle glycogenesis was recently reported to be associated with changes in insulin action in Danish subjects. In addition to the variant at 905, we report here a novel substitution at codon 883 and common variant of an "ATTTA" element in the 3'-untranslated region (UTR) of the corresponding gene (PPP1R3). The 3'-UTR variant resembled the mRNA-destabilizing AT(AU)-rich elements (AREs) and resulted in a 10-fold difference in reporter mRNA half-life, was correlated with PPP1R3 transcript and protein concentrations in vivo, and was associated with insulin resistance and type 2 diabetes in the Pimas. The variant is more common in Pimas (0.56) than in Caucasians (0.40). Because of its apparent effect on expression of PPP1R3, it may, in part, contribute to the higher prevalence of type 2 diabetes in this Native American population.
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Affiliation(s)
- J Xia
- Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, Arizona 85016, USA
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44
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Mochizuki H, Scherer SW, Xi T, Nickle DC, Majer M, Huizenga JJ, Tsui LC, Prochazka M. Human PON2 gene at 7q21.3: cloning, multiple mRNA forms, and missense polymorphisms in the coding sequence. Gene 1998; 213:149-57. [PMID: 9714608 DOI: 10.1016/s0378-1119(98)00193-0] [Citation(s) in RCA: 127] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
We report the cloning and characterization of human PON2, a paraoxonase-related gene-2 that is physically linked with PON1 and PON3 on 7q2l.3. PON2 is ubiquitously expressed and we identified several mRNA forms produced by alternative splicing, or by the use of a second transcription start site. We also describe two polymorphisms in the coding sequences that, in the protein deduced from the longest open reading frame, predict an alanine-to-glycine substitution at residue 147 and a serine-to-cysteine substitution at residue 310.
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Affiliation(s)
- H Mochizuki
- Clinical Diabetes and Nutrition Section, Phoenix Epidemiology and Clinical Research Branch, National Institutes of Health, Phoenix, AZ 85016, USA
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Barz S, Hummel T, Pauli E, Majer M, Lang CJ, Kobal G. Chemosensory event-related potentials in response to trigeminal and olfactory stimulation in idiopathic Parkinson's disease. Neurology 1997; 49:1424-31. [PMID: 9371933 DOI: 10.1212/wnl.49.5.1424] [Citation(s) in RCA: 95] [Impact Index Per Article: 3.5] [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] [Indexed: 02/05/2023] Open
Abstract
Decrease of olfactory function in patients with Parkinson's disease (PD) has been reported by several authors. The current study investigated olfaction in PD patients using olfactory event-related potentials (OERPs) as an electrophysiologic correlate of olfactory function in combination with psychophysical testing. A specific focus was the influence of antiparkinsonian drugs. We investigated PD patients treated with antiparkinsonian drugs (n = 13) and PD patients who received no pharmacologic treatment (n = 18). They were compared to age- and sex-matched control subjects (n = 38). To obtain OERPs, stimulants were chosen to stimulate specifically the olfactory nerve (2.1 ppm vanillin, 0.8 ppm H2S). In addition, chemosomatosensory event-related potentials were recorded after trigeminal stimulation with 52% v/v CO2. Moreover, the subjects' ability to identify and to discriminate odorants was tested by means of a "squeeze bottle" technique. The study yielded the following major results: (1) Odor identification was impaired in PD patients. It was not influenced by treatment with antiparkinsonian drugs. (2) The OERP latencies were prolonged in both PD patients taking and not taking antiparkinsonian drugs; however, this effect was more pronounced in PD patients taking antiparkinsonian drugs. (3) The intranasal chemosensory trigeminal system seemingly was neither affected by the neuronal degeneration seen in PD nor by treatment with antiparkinsonian drugs.
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Affiliation(s)
- S Barz
- Department of Experimental and Clinical Pharmacology and Toxicology, University of Erlangen-Nürnberg, Germany
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46
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Rowles J, Scherer SW, Xi T, Majer M, Nickle DC, Rommens JM, Popov KM, Harris RA, Riebow NL, Xia J, Tsui LC, Bogardus C, Prochazka M. Cloning and characterization of PDK4 on 7q21.3 encoding a fourth pyruvate dehydrogenase kinase isoenzyme in human. J Biol Chem 1996; 271:22376-82. [PMID: 8798399 DOI: 10.1074/jbc.271.37.22376] [Citation(s) in RCA: 139] [Impact Index Per Article: 5.0] [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] [Indexed: 02/02/2023] Open
Abstract
Different isoenzymes of pyruvate dehydrogenase kinase (PDK) inhibit the mitochondrial pyruvate dehydrogenase complex by phosphorylation of the E1alpha subunit, thus contributing to the regulation of glucose metabolism. By positional cloning in the 7q21.3-q22.1 region linked with insulin resistance and non-insulin-dependent diabetes mellitus in the Pima Indians, we identified a gene encoding an additional human PDK isoform, as evidenced by its amino acid sequence identity (>65%) with other mammalian PDKs, and confirmed by biochemical analyses of the recombinant protein. We performed detailed comparative analyses of the gene, termed PDK4, in insulin-resistant and insulin-sensitive Pima Indians, and detected five DNA variants with comparable frequencies in both subject groups. Using quantitative reverse transcription polymerase chain reaction, we found that the variants identified in the promoter and 5'-untranslated region did not correlate with differences in mRNA level in skeletal muscle and adipose tissue. We conclude that alterations in PDK4 are unlikely to be the molecular basis underlying the observed linkage at 7q21.3-q22.1 in the Pima Indians. Information about the genomic organization and promoter sequences of PDK4 will be useful in studies of other members of this family of mitochondrial protein kinases that are important for the regulation of glucose metabolism.
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MESH Headings
- Adipose Tissue/chemistry
- Amino Acid Sequence
- Base Sequence
- Chromosomes, Human, Pair 7
- Cloning, Molecular
- DNA, Complementary/chemistry
- Diabetes Mellitus, Type 2/enzymology
- Diabetes Mellitus, Type 2/genetics
- Humans
- Indians, North American
- Isoenzymes/genetics
- Molecular Sequence Data
- Muscle, Skeletal/chemistry
- Polymerase Chain Reaction
- Protein Kinases/genetics
- Protein Serine-Threonine Kinases
- Pyruvate Dehydrogenase Acetyl-Transferring Kinase
- RNA, Messenger/analysis
- Sequence Homology, Amino Acid
- Tissue Distribution
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Affiliation(s)
- J Rowles
- Clinical Diabetes and Nutrition Section, Phoenix Epidemiology and Clinical Research Branch, NIDDK, National Institutes of Health, Phoenix, Arizona 85016, USA
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47
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Majer M, Mott DM, Mochizuki H, Rowles JC, Pedersen O, Knowler WC, Bogardus C, Prochazka M. Association of the glycogen synthase locus on 19q13 with NIDDM in Pima Indians. Diabetologia 1996; 39:314-21. [PMID: 8721777 DOI: 10.1007/bf00418347] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Skeletal muscle glycogen synthase (encoded by GYS1 on chromosome 19q13.3) is the rate-limiting enzyme in insulin-mediated non-oxidative glucose disposal. Our previous studies have demonstrated an impairment of insulin-stimulated GYS1 activities in insulin-resistant Pima Indians, and associations of non-insulin-dependent diabetes mellitus (NIDDM) with the GYS1 locus were reported recently in Finnish and Japanese populations. We have performed linkage and association analyses of GYS1 and seven additional DNA markers on 19q with NIDDM, and with parameters of insulin action in the Pima Indians. We have found a significant association of NIDDM with GYS1 genotypes (p = 0.009), and with common GYS1 alleles (p = 0.022) in the Pima Indians. We have performed a detailed comparative analysis of the GYS1 gene, mRNA, and protein product in insulin-sensitive and insulin-resistant Pima Indians. No mutations in GYS1 coding sequences were detected; nor did we find alterations of GYS1 mRNA expression or of its basal enzymatic activity in insulin-resistant Pima Indians. These results contrasted with a 25% reduction of immunoreactive protein in insulin-resistant subjects as detected by Western blotting with an antibody specific for the C-terminal end of GYS1 (t-test p = 0.024; Wilcoxon's rank-sum test, p = 0.04). Because no mutations were detected in the DNA encoding this epitope, the difference in immunoreactivity may reflect post-translational modification(s) of the protein rather than a difference in the gene itself, or it could have occurred by chance. We conclude that our data do not indicate alterations in the GYS1 gene as the cause for the observed association, and that a different locus near GYS1 may be the contributing genetic element.
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Affiliation(s)
- M Majer
- Clinical Diabetes and Nutrition Section, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, AZ 85016, USA
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Majer M, Gerdes B, Zühlke C, Thies U. PCR detection of a biallelic polymorphism at D4S43. Nucleic Acids Res 1992; 20:926. [PMID: 1542595 PMCID: PMC312056 DOI: 10.1093/nar/20.4.926] [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: 12/27/2022] Open
Affiliation(s)
- M Majer
- Institut für Humangenetik, Universität Göttingen, FRG
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49
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König H, Majer M, Konermann M, Sell S. [Potentials of high-resolution native computed tomography in meniscal diagnosis]. ROFO-FORTSCHR RONTG 1989; 150:39-43. [PMID: 2536494 DOI: 10.1055/s-2008-1046970] [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: 01/01/2023]
Abstract
42 patients with symptoms suggestive of meniscus abnormalities were examined by CT immediately before undergoing arthroscopy. The appearances of normal menisci, various types of rupture, primary degeneration and congenital and acquired abnormalities are described. Using arthroscopy for reference, CT had an accuracy of 83%. The place of CT in relation to other non-invasive forms of tomography is discussed.
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Affiliation(s)
- H König
- Radiologische Klinik der Universität Tübingen
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50
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Wolf H, Welzel D, Kaiser H, Majer M, Schäfer D, Husfeldt KJ, Voigt J, Sunder-Plassmann L. [Evaluation of the prevention of perioperative thromboembolism with low molecular weight heparin and dihydroergotamine. A study of the incidence of lethal pulmonary embolisms and undesired symptoms, especially the risk of vasospasm and myocardial infarction]. Arzneimittelforschung 1988; 38:1516-9. [PMID: 3196393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
In a prospective trial 33,421 patients receiving a combination of low molecular weight heparin and dihydroergotamine (LMWH/DHE; Embolex NM) as a routine antithrombotic agent were observed. The patients were recruited from surgical, traumatological, orthopedic, gynecological and urological departments. During the observation period 17 patients suffered from myocardial infarction leading to death in 7 cases. In 63 patients pulmonary embolism occurred, causing death in 12 cases. No irreversible vasospastic reaction due to DHE was seen. In one case a reversible ischaemic reaction in a lower limb was described which might have possibly been due to DHE. The low rate of complications suggests that LMWH/DHE is a safe and highly effective combination with a low risk of vasospastic reactions.
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