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Ausserhofer D, Mahlknecht A, Engl A, Piccoliori G, Pfitscher G, Silbernagl P, Giacomoni F, Pycha R, Lombardo S, Gärtner T, Mian M, Meier H, Wiedermann CJ, Keim R. Relationship between depression, anxiety, stress, and SARS-CoV-2 infection: a longitudinal study. Front Psychol 2023; 14:1116566. [PMID: 37213392 PMCID: PMC10197902 DOI: 10.3389/fpsyg.2023.1116566] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 04/06/2023] [Indexed: 05/23/2023] Open
Abstract
Objectives We aimed to (1) describe the course of the emotional burden (i.e., depression, anxiety, and stress) in a general population sample during the coronavirus pandemic in 2020 and 2021 and (2) explore the association between emotional burden and a serologically proven infection with SARS-CoV-2. Study design This longitudinal study involved a sample of community-dwelling persons aged ≥14 years from the general population of South Tyrol (Province of Bolzano-Bozen, Northern Italy). Data were collected at two stages over a 1-year period in 2020 and 2021. Methods Persons were invited to participate in a survey on socio-demographic, health-related and psychosocial variables (e.g., age, chronic diseases, Depression Anxiety Stress Scale, DASS-21), as well as in the serological testing for of SARS-CoV-2-specific immunoglobulins. Results In 2020, 855 (23.8%) out of 3,600 persons participated; in 2021, 305 (35.7%) out of 855 were tested again. We observed a statistically significant decrease in mean DASS-21 scores for depression, stress, and total scores between 2020 and 2021, yet not for anxiety. Persons with a confirmed SARS-CoV-2-infection between the first and second data collection exhibited increased emotional burden compared to those without SARS-CoV-2-infection. The odds of participants with a self-reported diagnosis of mental disorder for future infection with SARS-CoV-2 was almost four times higher than that of participants without mental disorders (OR:3.75; 95%CI:1.79-7.83). Conclusion Our findings support to the hypothesis of a psycho-neuroendocrine-immune interplay in COVID-19. Further research is necessary to explore the mechanisms underlying the interplay between mental health and SARS-CoV-2 infections.
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Affiliation(s)
- Dietmar Ausserhofer
- Institute of General Practice and Public Health, College of Health Care-Professions Claudiana, Bolzano-Bozen, Italy
- Claudiana Research, College of Health Care-Professions Claudiana, Bolzano-Bozen, Italy
| | - Angelika Mahlknecht
- Institute of General Practice and Public Health, College of Health Care-Professions Claudiana, Bolzano-Bozen, Italy
| | - Adolf Engl
- Institute of General Practice and Public Health, College of Health Care-Professions Claudiana, Bolzano-Bozen, Italy
| | - Giuliano Piccoliori
- Institute of General Practice and Public Health, College of Health Care-Professions Claudiana, Bolzano-Bozen, Italy
| | - Gernot Pfitscher
- Hospital of Bressanone-Brixen (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bressanone-Brixen, Italy
| | - Philipp Silbernagl
- Hospital of Bressanone-Brixen (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bressanone-Brixen, Italy
| | - Francesca Giacomoni
- Hospital of Bressanone-Brixen (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bressanone-Brixen, Italy
| | - Roger Pycha
- Hospital of Bressanone-Brixen (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bressanone-Brixen, Italy
| | - Stefano Lombardo
- Statistical Institute of the Province of Bolzano (ASTAT), Bolzano-Bozen, Italy
| | - Timon Gärtner
- Statistical Institute of the Province of Bolzano (ASTAT), Bolzano-Bozen, Italy
| | - Michael Mian
- Innovation, Research and Teaching Service (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bolzano-Bozen, Italy
| | - Horand Meier
- Clinical Governance Unit, Administration of the Autonomous Province of Bolzano-Bozen, Bolzano-Bozen, Italy
| | - Christian J. Wiedermann
- Institute of General Practice and Public Health, College of Health Care-Professions Claudiana, Bolzano-Bozen, Italy
- Department of Public Health, Medical Decision Making and Health Technology Assessment, University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria
| | - Roland Keim
- Hospital of Bressanone-Brixen (SABES-ASDAA), Teaching Hospital of the Paracelsus Medical Private University (PMU), Bressanone-Brixen, Italy
- *Correspondence: Roland Keim,
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Keim R, Pfitscher G, Leitner S, Burger K, Giacomoni F, Wiedermann C. Teachers’ emotional well-being during the SARS-CoV-2 pandemic with long school closures: A large-scale cross-sectional survey in Northern Italy. Public Health 2022; 208:1-8. [PMID: 35659680 PMCID: PMC9058056 DOI: 10.1016/j.puhe.2022.04.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 04/05/2022] [Accepted: 04/21/2022] [Indexed: 11/25/2022]
Abstract
Objectives This study aimed to evaluate the magnitude of emotional burden on teaching staff during the SARS-CoV-2 pandemic in a significantly impacted region. In addition, the correlates of emotional burden were analysed to enable the design of targeted interventions. Study design This study was a cross-sectional survey. Methods An electronic survey was administered to the teaching staff at public schools and kindergartens in a specific geographical area. Cross-sectional assessments of pandemic-specific variables were performed using the Pandemic Fatigue Scale, the Depression Anxiety Stress Scale (DASS)-21, the Satisfaction with Life Scale, and the Resilient Coping Scale. DASS-21 results were compared with results from a parallel survey that was representative of the local general population. Results In total, 3251 teaching staff members participated in the survey. Teachers showed a higher emotional burden for depression, anxiety and stress than the general population during the pandemic. According to a linear regression model, this burden is correlated with the language in which the questionnaires were answered, mistrust towards institutions, specific SARS-CoV-2 anxiety, past infection with SARS-CoV-2, avoidance of information about the pandemic and pandemic fatigue; emotional burden was negatively correlated with measures for life satisfaction, resilience and team atmosphere. Some independent variables were shown to contribute differentially to the variance of depression, anxiety or stress. Conclusions Emotional distress during the pandemic among teachers is higher than in the general population and correlates with variables that could, at least in principle, be targeted for specific interventions.
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Deledda G, Riccardi N, Gori S, Poli S, Giansante M, Geccherle E, Mazzi C, Silva R, Desantis N, Giovannetti AM, Solari A, Confalonieri P, Grazzi L, Sarcletti E, Biffa G, Biagio AD, Sestito C, Keim R, Gangi Hermis AMRD, Mazzoldi M, Failo A, Scaglione A, Faldetta N, Dorangricchia P, Moschetto M, Soto Parra HJ, Faietti J, Profio AD, Rusconi S, Giacomelli A, Marchioretto F, Alongi F, Marchetta A, Molon G, Bisoffi Z, Angheben A. The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The "ImpACT-COVID-19 for Patients" Multi-Centre Observational Study. Int J Environ Res Public Health 2021; 18:E340. [PMID: 33466374 PMCID: PMC7794735 DOI: 10.3390/ijerph18010340] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 12/24/2020] [Accepted: 12/29/2020] [Indexed: 12/13/2022]
Abstract
Psychological distress imposed by the SARS-CoV-2 outbreak particularly affects patients with pre-existing medical conditions, and the progression of their diseases. Patients who fail to keep scheduled medical appointments experience a negative impact on care. The aim of this study is to investigate the psychosocial factors contributing to the cancellation of medical appointments during the pandemic by patients with pre-existing health conditions. Data were collected in eleven Italian hospitals during the last week of lockdown, and one month later. In order to assess the emotional impact of the SARS-CoV-2 outbreak and the subject's degree of psychological flexibility, we developed an ad hoc questionnaire (ImpACT), referring to the Acceptance and Commitment Therapy (ACT) model. The Impact of Event Scale-Revised (IES-R), the Depression, Anxiety and Stress Scale (DASS) and the Cognitive Fusion Questionnaire (CFQ) were also used. Pervasive dysfunctional use of experiential avoidance behaviours (used with the function to avoid thought, emotions, sensations), feelings of loneliness and high post-traumatic stress scores were found to correlate with the fear of COVID-19, increasing the likelihood of cancelling medical appointments. Responding promptly to the information and psychological needs of patients who cancel medical appointments can have positive effects in terms of psychological and physical health.
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Affiliation(s)
- Giuseppe Deledda
- Clinical Psychology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (S.P.); (M.G.); (E.G.)
| | - Niccolò Riccardi
- Department of Infectious—Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (N.R.); (Z.B.); (A.A.)
| | - Stefania Gori
- Oncology Department, IRCCS Sacro Cuore Don Calabria Hospital, Negrar, 37024 Verona, Italy;
| | - Sara Poli
- Clinical Psychology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (S.P.); (M.G.); (E.G.)
| | - Matteo Giansante
- Clinical Psychology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (S.P.); (M.G.); (E.G.)
| | - Eleonora Geccherle
- Clinical Psychology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (S.P.); (M.G.); (E.G.)
| | - Cristina Mazzi
- Clinical Research Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (C.M.); (R.S.); (N.D.)
| | - Ronaldo Silva
- Clinical Research Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (C.M.); (R.S.); (N.D.)
| | - Nicoletta Desantis
- Clinical Research Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (C.M.); (R.S.); (N.D.)
| | - Ambra Mara Giovannetti
- Unit of Neuroepidemiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20145 Milan, Italy; (A.M.G.); (A.S.)
- Multiple Sclerosis Centre, Neuroimmunology Unit, Clinical Neurology Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20145 Milan, Italy;
- School of Psychology, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, 4072 QLD, Australia
| | - Alessandra Solari
- Unit of Neuroepidemiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20145 Milan, Italy; (A.M.G.); (A.S.)
| | - Paolo Confalonieri
- Multiple Sclerosis Centre, Neuroimmunology Unit, Clinical Neurology Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20145 Milan, Italy;
| | - Licia Grazzi
- Headache Center, Neurology Department, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20145 Milan, Italy;
| | - Elena Sarcletti
- Clinical Psychology and Psychotherapy Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (E.S.); (G.B.)
| | - Gabriella Biffa
- Clinical Psychology and Psychotherapy Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy; (E.S.); (G.B.)
| | - Antonio Di Biagio
- Infectious Diseases Clinic, Policlinico San Martino Hospital-IRCCS, 16132 Genoa, Italy;
- Infectious Diseases Clinic, Department of Health Sciences, University of Genoa, 16132 Genoa, Italy
| | - Carlo Sestito
- Service of Psycho Oncology, San Giovanni di Dio Hospital, Azienda Sanitaria Provinciale di Crotone, 88900 Crotone, Italy;
| | - Roland Keim
- General Hospital Bressanone, Azienda Sanitaria dell’Alto Adige, Bressanone, 39042 Bolzano, Italy; (R.K.); (A.M.R.D.G.H.)
| | - Alida M. R. Di Gangi Hermis
- General Hospital Bressanone, Azienda Sanitaria dell’Alto Adige, Bressanone, 39042 Bolzano, Italy; (R.K.); (A.M.R.D.G.H.)
| | - Mariantonietta Mazzoldi
- General Hospital Bolzano Azienda Sanitaria dell’Alto Adige, 39100 Bolzano, Italy; (M.M.); (A.F.)
| | - Alessandro Failo
- General Hospital Bolzano Azienda Sanitaria dell’Alto Adige, 39100 Bolzano, Italy; (M.M.); (A.F.)
| | - Anna Scaglione
- CFU-Italia ODV (Fybromyalgia Association), Castenaso, 40085 Bologna, Italy;
| | - Naida Faldetta
- Department of Oncoplastic Surgery of Breast Unit. V. Cervello Hospital, 90100 Palermo, Italy; (N.F.); (P.D.)
| | - Patrizia Dorangricchia
- Department of Oncoplastic Surgery of Breast Unit. V. Cervello Hospital, 90100 Palermo, Italy; (N.F.); (P.D.)
| | - Maria Moschetto
- Oncology Unit, Azienda Ospedaliero Universitaria (A.O.U.) Policlinico Vittorio Emanuele, 95123 Catania, Italy; (M.M.); (H.J.S.P.)
| | - Hector Josè Soto Parra
- Oncology Unit, Azienda Ospedaliero Universitaria (A.O.U.) Policlinico Vittorio Emanuele, 95123 Catania, Italy; (M.M.); (H.J.S.P.)
| | - Jennifer Faietti
- Cardiac Surgery Unit, Salus Hospital GVM Care & Research, 42123 Regio Emilia, Italy;
| | - Anna Di Profio
- Clinical Oncology Unit, S.S. Annunziata Hospital, 66100 Chieti, Italy;
| | - Stefano Rusconi
- Infectious Diseases Unit, Department of Biomedical and Clinical Sciences (DIBIC) Luigi Sacco, University of Milan, 20157 Milan, Italy; (S.R.); (A.G.)
| | - Andrea Giacomelli
- Infectious Diseases Unit, Department of Biomedical and Clinical Sciences (DIBIC) Luigi Sacco, University of Milan, 20157 Milan, Italy; (S.R.); (A.G.)
| | - Fabio Marchioretto
- Neurological Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;
| | - Filippo Alongi
- Advanced Radiation Oncology Department, Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;
- University of Brescia, 25121 Brescia, Italy
| | - Antonio Marchetta
- Rheumatology Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;
| | - Giulio Molon
- Cardiology Deparment, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy;
| | - Zeno Bisoffi
- Department of Infectious—Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (N.R.); (Z.B.); (A.A.)
| | - Andrea Angheben
- Department of Infectious—Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, 37024 Verona, Italy; (N.R.); (Z.B.); (A.A.)
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Abutalebi J, Della Rosa PA, Gonzaga AKC, Keim R, Costa A, Perani D. The role of the left putamen in multilingual language production. Brain Lang 2013; 125:307-315. [PMID: 22538086 DOI: 10.1016/j.bandl.2012.03.009] [Citation(s) in RCA: 83] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2010] [Revised: 01/04/2012] [Accepted: 03/29/2012] [Indexed: 05/31/2023]
Abstract
Subcortical structures are a key component of bilingual language processing. For instance, there is now evidence that the head of the left caudate is involved in controlling languages in bilingual individuals. On the other hand, the left putamen is hypothesized to be involved in articulatory processes but little is known on its engagement in bilingual language processing. Here, our hypothesis was that the left putamen of multilinguals is engaged when producing words in the less proficient language. We investigated this issue with event-related functional Magnetic Resonance (er-fMRI) in a group of multilinguals (n = 14) and in monolinguals (n = 14) during a picture-naming task. Further, we hypothesized increased grey matter density in the left putamen as an effect of experience since multilinguals constantly face a major articulatory load (i.e., speaking multiple languages) during life. To test these hypotheses we measured structural differences between multilinguals and monolinguals using voxel-based morphometry (VBM). Our results indicate that multilinguals have increased activation in the left putamen for a non-native language, but only if they are not highly proficient in that language. In addition, we found increased grey matter density in the left putamen of multilinguals compared to monolinguals. These findings highlight that the multilingual brain handles a complex articulatory repertoire (i.e., dealing with multiple languages) by inducing structural plasticity in the left putamen.
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Affiliation(s)
- Jubin Abutalebi
- Centre for Cognitive Neuroscience, Vita Salute San Raffaele University, Milan, Italy.
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Abutalebi J, Della Rosa PA, Green DW, Hernandez M, Scifo P, Keim R, Cappa SF, Costa A. Bilingualism Tunes the Anterior Cingulate Cortex for Conflict Monitoring. Cereb Cortex 2011; 22:2076-86. [PMID: 22038906 DOI: 10.1093/cercor/bhr287] [Citation(s) in RCA: 281] [Impact Index Per Article: 21.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
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Keim R, Ferguson DJ. Contralateral recurrence and prognostic factors in familial non-BRCA1/2-associated breast cancer (Br J Surg 2006; 93: 961-968). Br J Surg 2007; 94:121; author reply 121-2. [PMID: 17205501 DOI: 10.1002/bjs.5743] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Abstract
With event-related functional MRI (fMRI) and with behavioral measures we studied the brain processes underlying the acquisition of native language literacy. Adult dialect speakers were scanned while reading words belonging to three different conditions: dialect words, i.e., the native language in which subjects are illiterate (dialect), German words, i.e., the second language in which subjects are literate, and pseudo-words. Investigating literacy acquisition of a dialect may reveal how novel readers of a language build an orthographic lexicon, i.e., establish a link between already available semantic and phonological representations and new orthographic word forms. The main results of the study indicate that a set of regions, including the left anterior hippocampal formation and subcortical nuclei, is involved in the buildup of orthographic representations. The repeated exposure to written dialect words resulted in a convergence of the neural substrate to that of the language in which these subjects were already proficient readers. The latter result is compatible with a "fast" brain plasticity process that may be related to a shift of reading strategies.
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Affiliation(s)
- Jubin Abutalebi
- Department of Neuroscience, Vita‐Salute San Raffaele University and Scientific Institute H San Raffaele, Milan, Italy
- Institute of Linguistics and Interdisciplinary Center for Cognitive Studies, University of Potsdam, Germany
| | - Roland Keim
- Neuropsychology Unit, Sanitaetsbetrieb Brixen, Suedtirol, Italy
| | - Simona M. Brambati
- Department of Neuroscience, Vita‐Salute San Raffaele University and Scientific Institute H San Raffaele, Milan, Italy
| | - Marco Tettamanti
- Department of Neuroscience, Vita‐Salute San Raffaele University and Scientific Institute H San Raffaele, Milan, Italy
| | - Stefano F. Cappa
- Department of Neuroscience, Vita‐Salute San Raffaele University and Scientific Institute H San Raffaele, Milan, Italy
- Institute of Bioimaging and Molecular Physiology, National Research Council, Milan, Italy
| | - Ria De Bleser
- Institute of Linguistics and Interdisciplinary Center for Cognitive Studies, University of Potsdam, Germany
| | - Daniela Perani
- Department of Neuroscience, Vita‐Salute San Raffaele University and Scientific Institute H San Raffaele, Milan, Italy
- Institute of Bioimaging and Molecular Physiology, National Research Council, Milan, Italy
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Shehata-Dieler WE, Dieler R, Wenzel G, Keim R, Singer D, von Deuster C. [Universal newborn hearing screening program in Würzburg. Experience with more than 4000 newborns and the influence of non-pathological factors on the test results]. Laryngorhinootologie 2002; 81:204-10. [PMID: 11967773 DOI: 10.1055/s-2002-25040] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
BACKGROUND The BERAphon(R) method employing a special headphone and the time-course step-stimulus algorithm offers a quick and reliable tool for universal hearing screening in newborns. An ABR-based universal newborn hearing screening program has been established in Würzburg since August, 1997. Until August 2001, 4115 newborns have undergone primary and/or control-screening with the BERAphon(R). The validity of this method was further examined by testing the effects of non-pathological factors such as gender, age, Apgar score, pH value of the umbilical cord, head circumference and duration of pregnancy on the ABR wave V latency in 415 infants. RESULTS Out of 3930 infants who were primary screened, 27 infants were diagnosed to have hearing loss. Furthermore, hearing loss was detected in 35 out of 185 infants referred for control screening. Non-pathological factors showed a minor effect on the test results. Apgar score, gender or chronological age did not have any significant effects on the latency of wave V. Duration of pregnancy, pH value of the umbilical cord or head circumference showed a significant but weak correlation with wave V latency. CONCLUSIONS Only non-pathological factors related to maturation had a minor effect on ABR measurements using the time-course-step-stimulus algorithm. The BERAphon(R) method has proven to be a reliable, robust method giving information related to the hearing threshold and accordingly can be used reliably for hearing screening in newborn infants.
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Affiliation(s)
- W E Shehata-Dieler
- Bayerische Julius-Maximilians-Universität, Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke, Würzburg, Germany.
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Keim R. Certification suggestions make sense. Am J Orthod Dentofacial Orthop 2001; 120:13A. [PMID: 11742295 DOI: 10.1067/mod.2001.121575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Shehata-Dieler WE, Dieler R, Keim R, Finkenzeller P, Dietl J, Helms J. [Universal hearing screening of newborn infants with the BERA-phone]. Laryngorhinootologie 2000; 79:69-76. [PMID: 10738712 DOI: 10.1055/s-2000-8792] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
BACKGROUND Unidentified and untreated early infant hearing loss leads to speech-language deficits as well as to cognitive, intellectual, emotional and psychosocial handicaps. Targeted hearing screening programs may miss approximately 50% of all hearing impaired children. METHODS In an universal hearing screening program with a two stage protocol, 1349 newborns were examined using the CRESCENDO Newborn Hearing Screener according to Finkenzeller and a clinical ABR system operating with a time course step stimulus algorithm. RESULTS Five newborns that failed the two stage screening protocol were diagnosed as hearing impaired so that therapy was initiated before the age of six months. The specificity of the method was 98.8%. The CRESCENDO method only required a short examination time and was easy to apply. CONCLUSIONS Hearing screening programs using ABR offer advantages when compared to evoked otoacoustic emission testing. ABR threshold detection with the time course step stimulus algorithm is a quick and easy to apply method with high specificity that can be recommended for newborn hearing screening.
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Affiliation(s)
- W E Shehata-Dieler
- Bayerische Julius-Maximilians-Universität, Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke, Würzburg.
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Marcolin R, Cugno M, Pesenti A, Uziel L, Giuffrida A, Vitale G, Keim R, Meda F, Fabrizi I, Gattinoni L. Extracorporeal circulation in sheep with normal bleeding time using a surface heparinized circuit. ASAIO Trans 1991; 37:584-7. [PMID: 1768493] [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: 12/28/2022]
Abstract
Bleeding due to systemic heparinization represents the major side effect of extracorporeal respiratory support. In the present animal study, a surface heparinized system (Carmeda Biological Active Surface) was applied to assess the feasibility of prolonged perfusion at low circulating heparin levels. Eight sheep divided into two groups: group A (5 animals) and group B (3 animals) underwent venovenous bypass using a heparin coated surface circuit. The following protocol was used: a) 24 hours at high heparin dose (30 to 100 U/kg/hr with an ACT [activated coagulation time] three to four times normal); b) 24 hours at low heparin dose (3 to 8 U/kg/hr with an ACT within the normal range); c) 24 hours at high heparin dose. Group B animals also received fresh frozen sheep plasma (14 ml/kg/day). During Period b, the clotting times were within baseline range. The bleeding time showed a dramatic decrease after change from a to b (27.9 +/- 3 minutes vs. 10.2 +/- 5.6 minutes). There was a negative relationship between antithrombin III (AT III) and thrombin coagulase time (TC); the latter is considered to be an aspecific indicator of circulating fibrin(ogen) degradation products. Maintaining AT III over 70%, TC changes were only minor. The use of the bioactive heparin surface allowed the performance of a 24 hour bypass, with normal coagulation times, at low circulating heparin levels.
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Affiliation(s)
- R Marcolin
- Istituto di Anestesiologia e Rianimazione, Universita' degli Studi di Milano, Italy
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Keim R, Webster RK, Wick CM. Quantitative effects of incorporating rice residue on populations of soil microflora. Mycologia 1975; 67:280-92. [PMID: 1117883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Keim R, Webster RK, Wick CM. Quantitative Effects of Incorporating Rice Residue on Populations of Soil Microflora. Mycologia 1975. [DOI: 10.1080/00275514.1975.12019750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- R. Keim
- Department of Plant Pathology, University of California, Davis 95616
| | - R. K. Webster
- Department of Plant Pathology, University of California, Davis 95616
| | - C. M. Wick
- Department of Plant Pathology, University of California, Davis 95616
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