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Nicolai J, Müller N, Noest S, Wilke S, Schultz JH, Gleißner CA, Eich W, Bieber C. To change or not to change - That is the question: A qualitative study of lifestyle changes following acute myocardial infarction. Chronic Illn 2018; 14:25-41. [PMID: 29226696 DOI: 10.1177/1742395317694700] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [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] [Indexed: 12/20/2022]
Abstract
Objective The purpose of this study was to investigate key factors related to lifestyle changes following acute myocardial infarction (AMI) by eliciting survivors' subjective needs for, attitudes towards and experiences with behaviour changes in their everyday life to improve future interventions promoting lifestyle changes. Methods Semi-structured interviews were conducted with 21 individuals who had recently experienced an AMI. The interviews were audio-recorded and transcribed verbatim. The data were analysed using qualitative content analysis. Results The data analysis revealed that lifestyle changes following AMI are influenced by a combination of individual (physical and psychological) and social factors that can be grouped into facilitators and barriers. The interviews indicated the need for more personalised information regarding the causes and risk factors of illness, the benefits of lifestyle changes and the importance of including significant others in lifestyle advice and education and of individualising support. Discussion Lifestyle change is a continuous process that is not completed within a few months after a cardiac event. Considering the identified themes when developing interventions to promote lifestyle changes following AMI may enhance the effectiveness and sustainability of such interventions.
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Affiliation(s)
- Jennifer Nicolai
- 1 Department of Psychology III - Cognition and Individual Differences, School of Social Sciences, University of Mannheim, Germany
| | - Nicole Müller
- 2 Department of General Internal Medicine and Psychosomatics, Center for Psychosocial Medicine, University of Heidelberg, Germany
| | - Stefan Noest
- 3 Department of General Practice and Health Services Research, University Hospital Heidelberg, Germany
| | - Stefanie Wilke
- 2 Department of General Internal Medicine and Psychosomatics, Center for Psychosocial Medicine, University of Heidelberg, Germany
| | - Jobst-Hendrik Schultz
- 2 Department of General Internal Medicine and Psychosomatics, Center for Psychosocial Medicine, University of Heidelberg, Germany
| | | | - Wolfgang Eich
- 2 Department of General Internal Medicine and Psychosomatics, Center for Psychosocial Medicine, University of Heidelberg, Germany
| | - Christiane Bieber
- 2 Department of General Internal Medicine and Psychosomatics, Center for Psychosocial Medicine, University of Heidelberg, Germany
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Wilke S, List J, Mekle R, Lindenberg R, Bukowski M, Ott S, Schubert F, Flöel A. EP 138. Impact of recurrent mild traumatic brain injury on GABA concentration and GABAB receptor activity. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2016.05.177] [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: 11/28/2022]
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Janssen DJA, Wilke S, Smid DE, Franssen FME, Augustin IM, Wouters EFM, Spruit MA. Relationship between pulmonary rehabilitation and care dependency in COPD. Thorax 2016; 71:1054-1056. [PMID: 27402003 DOI: 10.1136/thoraxjnl-2016-208836] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 06/17/2016] [Indexed: 11/04/2022]
Abstract
The aims of this study were to explore care dependency before and after pulmonary rehabilitation (PR) in patients with COPD (n=331) and to compare the response to PR between care dependent and independent patients. At baseline, 85 (25.7%) patients had a Care Dependency Scale (CDS) score ≤68 points and were considered as care dependent. CDS scores of these patients improved after PR (p<0.001). After PR, CDS score of 38 (44.7%) patients with a baseline CDS score ≤68 points increased to >68 points. Patients with a baseline CDS score ≤68 points or >68 points showed after PR a comparable improvement in COPD Assessment Test, Hospital Anxiety and Depression Scale and 6-min walk distance (all p<0.05). TRIAL REGISTRATION NUMBER NTR3416 (The Netherlands).
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Affiliation(s)
- D J A Janssen
- Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands Centre of Expertise for Palliative Care, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands
| | - S Wilke
- Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands
| | - D E Smid
- Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands
| | - F M E Franssen
- Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands
| | - I M Augustin
- Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands
| | - E F M Wouters
- Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands Department of Respiratory Medicine, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands
| | - M A Spruit
- Department of Research & Education, CIRO, Centre of Expertise for Chronic Organ Failure, Horn, The Netherlands
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Wilke S, Krausze J, Büssow K. Crystal structure of human lysosome-associated membrane protein 3 (LAMP-3). Acta Crystallogr A 2012. [DOI: 10.1107/s0108767312099333] [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: 11/11/2022] Open
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Löwe B, Breining K, Wilke S, Wellmann R, Zipfel S, Eich W. Quantitative and Qualitative Effects of Feldenkrais, Progressive Muscle Relaxation, and Standard Medical Treatment in Patients After Acute Myocardial Infarction. Psychother Res 2010. [DOI: 10.1093/ptr/12.2.179] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kirschneck M, Gläßel A, Wilke S, Stucki G. Umsetzung der ICF und der ICF Core Sets für lumbale Rückenschmerzen in der Rehabilitation. ACTA ACUST UNITED AC 2007. [DOI: 10.1055/s-2007-963513] [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: 10/22/2022]
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Kirschneck M, Gläßel A, Wilke S, Stucki G. Umsetzung der ICF und der ICF-Core-Sets für lumbale Rückenschmerzen in der Rehabilitation. ACTA ACUST UNITED AC 2007. [DOI: 10.1055/s-2007-963310] [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: 10/23/2022]
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Bieber C, Müller KG, Blumenstiel K, Schneider A, Richter A, Wilke S, Hartmann M, Eich W. Long-term effects of a shared decision-making intervention on physician-patient interaction and outcome in fibromyalgia. A qualitative and quantitative 1 year follow-up of a randomized controlled trial. Patient Educ Couns 2006; 63:357-66. [PMID: 16872795 DOI: 10.1016/j.pec.2006.05.003] [Citation(s) in RCA: 103] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2006] [Revised: 05/02/2006] [Accepted: 05/02/2006] [Indexed: 05/11/2023]
Abstract
OBJECTIVE Fibromyalgia syndrome (FMS) patients and their doctors frequently complain on interaction difficulties. We investigated the effects of a shared decision-making (SDM) intervention on physician-patient interaction and health outcome. METHODS Sixty-seven FMS patients of an outpatient university setting that had been included in a randomized controlled trial were followed up. They were either treated in an SDM group or in an information group. Both groups saw a computer based information tool on FMS, but only the SDM group was treated by doctors which underwent a special SDM communication training. A comparison group of 44 FMS patients receiving treatment as usual was recruited in rheumatological practices. We assessed patients and their doctors using a combined qualitative and quantitative approach. Patients and doctors were followed-up after 3 months (T2) and after 1 year (T3). RESULTS The significantly best quality of physician-patient interaction was reported by patients and doctors of the SDM group, followed by the information group. Coping had more often improved in the SDM group than in the information group. However directly health related outcome variables had not improved in any of the groups at T3. CONCLUSION An SDM intervention can lead to an improved physician-patient relationship from the patients' and from the doctors' perspective. PRACTICE IMPLICATIONS It should be considered to include SDM in standard care for FMS patients.
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Affiliation(s)
- Christiane Bieber
- University of Heidelberg, Medical Hospital, Department of Psychosomatic and General Internal Medicine, Heidelberg, Germany.
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Kettritz R, Wilke S, von Vietinghoff S, Luft F, Schneider W. Apoptosis, proliferation and inflammatory infiltration in ANCA-positive glomerulonephritis. Clin Nephrol 2006; 65:309-16. [PMID: 16724650 DOI: 10.5414/cnp65309] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
AIMS Antineutrophil cytoplasmic antibodies (ANCA) are detected in most patients with crescentic glomerulonephritis and necrotizing small vessel vasculitis. ANCA cause renal inflammation and proliferation. Apoptosis is necessary for resolution of inflammation. We studied apoptosis, apoptosis-regulating proteins, proliferation and infiltration with ANCA target antigen containing neutrophils and monocytes in renal biopsies from ANCA patients and disease controls. METHODS Skin biopsies from patients with leukocytoclastic vasculitis (n=6) and renal biopsies from patients with ANCA vasculitis (n=10), ANCA-negative crescentic glomerulonephritis (CGN, n=7), mesangio-proliferative GN (n=6), post-streptococcal GN (PSGN, n=4), diabetic nephropathy (n=6) and minimal change nephropathy (MCNP, n=6) were evaluated by immunohistochemistry. Biopsies were stained for apoptosis (TdT-mediated UTP nick-end labeling, TUNEL), proliferation (Ki-67), neutrophils (NP 57), and monocytes (KP 1). We also evaluated Fas and Bcl-2 expression. RESULTS Apoptosis was common in leukocytoclastic vasculitis skin biopsies, but was rare in renal biopsies. ANCA-positive NCGN showed the lowest apoptosis rate, similar to MCNP and diabetic nephropathy. The highest apoptosis rate was seen in PSGN. The highest glomerular Bcl-2 expression was present in ANCA-positive biopsies. The Bcl-2/TUNEL ratio was significantly increased in ANCA-positive necrotizing crescentic glomerulonephritis (NCGN) compared to ANCA-negative CGN and PSGN. When proliferation (Ki-67) and apoptosis were expressed as a ratio, we observed the highest index in biopsies from patients with ANCA-positive NCGN because of their low apoptosis rates. Finally, the glomerular inflammatory infiltrate in ANCA-positive NCGN showed a high percentage of neutrophils. CONCLUSIONS These preliminary results suggest an imbalance between apoptosis and proliferation, favoring proliferation, in renal biopsies from ANCA-positive NCGN patients.
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Affiliation(s)
- R Kettritz
- HELIOS-Klinikum Berlin, Franz Volhard Clinic, Germany.
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Hochlehnert A, Richter A, Bludau HB, Bieber C, Blumenstiel K, Mueller K, Wilke S, Eich W. A computer-based information-tool for chronic pain patients. Computerized information to support the process of shared decision-making. Patient Educ Couns 2006; 61:92-8. [PMID: 16533681 DOI: 10.1016/j.pec.2005.02.014] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2004] [Revised: 02/21/2005] [Accepted: 02/23/2005] [Indexed: 05/07/2023]
Abstract
OBJECTIVE Assessment of the use of a computerized information-tool in the context of a shared decision-making process with chronic pain patients. METHODS In the scope of a prospective and randomized study on shared decision-making with Fibromyalgia patients, a total of 75 patients had access to computer-based information about their illness. Fibromyalgia is a condition of chronic wide-spread pain, belonging to rheumatism, which mainly affects mature female patients. The majority of the patients in our study are female (93%) with an average age of 50 years. The computer-based information-tool provided the patients with detailed information about pathogenesis, typical symptoms, treatment options and prognosis. Six evaluative questions were posed to the participants concerning the assessment of the information presented, the handling of the programme, the need for an introduction to the programme, the quality of the layout and the assessment of the length of time spent in front of the computer and the assessment of the usefulness of such a tool in general practitioners' offices. Furthermore, psychological self-assessment questionnaires were filled out by the participants. RESULTS The patients highly appreciate the possibility of using computer-based information-tools and endorse the implementation of such tools in general practitioners' offices. CONCLUSION Computerized information leads to a better understanding of the illness and the treatment options on the part of the patient. PRACTICAL IMPLICATIONS For further practical use it is crucial to provide an introduction to the handling of a computer to unskilled patients.
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Affiliation(s)
- Achim Hochlehnert
- Department of General Internal and Psychosomatic Medicine, Internal Medicine II, University of Heidelberg, Medical University Hospital, Im Neuenheimer Feld 410, D-69120 Heidelberg, Germany.
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Rothe M, Benedikt G, Schäfert R, Wilke S, Henningsen P, Sauer N, Szecsenyi J, Zipfel S, Herzog W. Die Arzthelferin und der schwierige Patient. Eine qualitative Studie zu mentalen Konstrukten bei Arzthelferinnen über schwierige Patienten in der Hausarztpraxis. Psychother Psychosom Med Psychol 2006. [DOI: 10.1055/s-2006-934299] [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: 10/23/2022]
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Benedikt G, Schäfert R, Henningsen P, Sattel H, Sauer N, Wilke S, Szecsenyi J, Zipfel S, Herzog W. FUNKTIONAL – Erste Ergebnisse zur Kurzzeitevaluation eines leitlinienbasierten Curriculums zur Früherkennung und Behandlung somatoformer/funktioneller Beschwerden in der Allgemeinarztpraxis. Psychother Psych Med 2006. [DOI: 10.1055/s-2006-934226] [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: 10/23/2022]
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Schäfert R, Benedikt G, Sauer N, Wilke S, Herzog W, Szecscenyi J, Zipfel S, Henningsen P. FUNKTIONAL-Forschungsprojekt - Früherkennung und Behandlung funktioneller/somatoformer Beschwerden in der Allgemeinarztpraxis. ACTA ACUST UNITED AC 2006. [DOI: 10.1055/s-2006-932384] [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: 10/25/2022]
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Abstract
BACKGROUND Understanding medical patients' attitudes toward emotional problems and their management is crucial to overcoming obstacles to efficient depression treatment. OBJECTIVE To investigate attitudes toward emotional problems, psychotherapy, antidepressants, alternative treatment approaches, and self-management techniques in depressed and nondepressed medical outpatients. DESIGN Cross-sectional interview study, including quantitative and qualitative methods. PATIENTS Eighty-seven depressed subjects (mean age, 41.0 years; 66% female) and 91 nondepressed subjects (mean age, 41.4 years; 67% female) from 7 internal medicine outpatient clinics and 12 family practices (participation rate, 91%). MEASUREMENTS Depression diagnoses were established using a structured diagnostic interview, and patient attitudes were investigated with open-ended interview questions regarding treatment preferences, factors improving and impairing emotional well-being, and patients' self-management to improve well-being. RESULTS Among the depressed patients, psychotherapy was the most frequently preferred treatment (29%) and the most common factor reported to improve emotional well-being (36%). Twenty-two percent of the depressed patients desired depression treatment within their current medical system, but requested substantially more time to communicate with their physician. Antidepressants were rarely mentioned as a preferred treatment (6%) or factor improving well-being (11%). Thirty-eight percent of the depressed patients attributed their impaired mood to health problems. Compared with the depressed patients, the nondepressed controls preferred significantly less frequent depression-specific therapies. CONCLUSIONS The vast majority of medical outpatients prefer treatment approaches for emotional problems that go beyond antidepressant medication therapy. Health care providers should consider providing sufficient time to communicate with their patients, the strong preference for psychotherapy, and an appropriate treatment of comorbid physical conditions.
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Affiliation(s)
- Bernd Löwe
- Department of Psychosomatic and General Internal Medicine, University of Heidelberg Medical Center, Heidelberg, Germany.
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Schäfert R, Benedikt G, Sauer N, Wilke S, Herzog W, Szecscenyi J, Zipfel S, Henningsen P. FUNKTIONAL-Forschungsprojekt - Früherkennung und Behandlung funktioneller/somatoformer Beschwerden in der Allgemeinarztpraxis. ACTA ACUST UNITED AC 2005. [DOI: 10.1055/s-2006-932396] [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: 10/25/2022]
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Benedikt G, Herzog W, Sauer N, Schäfert R, Schell T, Szecsenyi J, Wilke S, Zipfel S, Henningsen P. FUNKTIONAL - Ein Curriculum zur Früherkennung und Behandlung somatoformer/funktioneller Beschwerden für Allgemeinärzte. ACTA ACUST UNITED AC 2005. [DOI: 10.1055/s-2005-836349] [Citation(s) in RCA: 3] [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: 10/25/2022]
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Löwe B, Schulz U, Gräfe K, Wilke S. Einstellungen und Erwartungen von Patienten zu depressiven Störungen und deren Behandlungsmöglichkeiten - Einstellungen zu depressiven Störungen. Psychother Psychosom Med Psychol 2005. [DOI: 10.1055/s-2005-863519] [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: 10/26/2022]
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Benedikt G, Sauer N, Schäfert RM, Wilke S, Herzog W, Szecsenyi J, Henningsen P. FUNKTIONAL - ein Projekt zur verbesserten Umsetzung leitlinienbasierten Wissens zu somatoformen/ funktionellen Störungen in der Allgemeinarztpraxis - Kooperative Entwicklung eines Curriculums. Psychother Psychosom Med Psychol 2005. [DOI: 10.1055/s-2005-863445] [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: 10/26/2022]
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Bieber C, Müller KG, Blumenstiel K, Schuller-Roma B, Richter A, Hochlehnert A, Wilke S, Eich W. Partizipative Entscheidungsfindung PEF) mit chronischen Schmerzpatienten. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2004; 47:985-91. [PMID: 15521115 DOI: 10.1007/s00103-004-0914-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [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: 10/26/2022]
Abstract
Fibromyalgia syndrome (FMS) is an exemplary condition of chronic widespread pain that is difficult to control and often leads to frustration and resignation on the part of both the patient and the doctor. Shared decision making (SDM) could be a means to facilitate doctor-patient interaction and might therefore influence therapeutic decisions taken. We conducted a prospective study to evaluate the effects of SDM with FMS patients. We developed a communication train-ing program for physicians and a computer-based information tool on FMS for patients. The study included 133 FMS patients. Intervention group I (IG I) was treated by communication-trained doctors and had access to a computer-based information tool on FMS,intervention group II (IG II) was treated by standard doctors and received the information tool, and the control group (CG) was treated by standard doctors and got no additional information. All three groups we-re offered the same evidence-based treatment options for FMS. Patients of the IGs were more willing to become involved in exercise, to enroll in integrated group therapy for FMS patients (IGTF), and to take analgesics. Patients of the CG preferred anti-depressants. More patients from IG II and CG opted for relaxation techniques. Patients in IG I and IG II choose significantly more therapeutic options than patients in the CG. SDM is one means to increase FMS patients' readiness for treatment. Especially the element of providing sufficient medical information seems to account for this effect. The readiness to enroll in physical activities, to take analgesics, and to participate in psychotherapeutic elements was most likely to be raised through SDM.
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Affiliation(s)
- C Bieber
- Universitätsklinikum Heidelberg, Heidelberg.
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Müller KG, Richter A, Bieber C, Blumenstiel K, Wilke S, Hochlehnert A, Eich W. [The process of shared decision making in chronic pain patients. Evaluation and modification of treatment decisions]. Z Arztl Fortbild Qualitatssich 2004; 98:95-100. [PMID: 15106487] [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: 04/29/2023]
Abstract
Conditions affecting the musculoskeletal system are the cause of approximately 25% of absenteeism from work. Fibromyalgia syndrome is an exemplary condition of chronic widespread pain which most physicians consider difficult to manage. The physician-patient relationship is burdened with resignation and frustration on both sides. Initial agreement regarding the aims of treatment is rare. The patient's active involvement in the decision making process is expected to improve the physician-patient relationship. One aspect of this shared decision making process is the evaluation and possibly modification of treatment decisions. In the present study 39 consultations of physicians who had undergone special communication training were examined as to whether these physicians actually exercised the option of revising their treatment decisions. In 87.2% of the consultations the therapy decisions were modified within three months after the first encounter. Patients considered to be "difficult" were less likely to modify their decisions. The shared decision making process usually takes more than one consultation.
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Affiliation(s)
- Knut Georg Müller
- Abteilung Innere Medizin II, Allgemeine Klinische und Psychosomatische Medizin, Universitätsklinikum Heidelberg.
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Hillers A, Quenter A, Friederich HC, Schild S, Wilke S, Herzog W, Zipfel S. Vorzeitiger Behandlungsabbruch von Patienten mit Adipositas und Binge Eating Disorder – Subjektive Gründe und Prädiktoren für einen Therapieabbruch. Psychother Psychosom Med Psychol 2004. [DOI: 10.1055/s-2004-819811] [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: 10/18/2022]
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Nikendei C, Faber R, Völkl M, Wilke S, Herzog W, Zipfel S. www.anorexia-nervosa.de–Evaluation eines internetbasierten Therapieführers für Essstörungen. Psychother Psychosom Med Psychol 2004. [DOI: 10.1055/s-2004-819847] [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: 10/18/2022]
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Nikendei C, Faber R, Völkl M, Wilke S, Herzog W, Zipfel S. www.anorexia-nervosa.de–Evaluation eines internetbasierten Therapieführers für Essstörungen. Psychother Psychosom Med Psychol 2004. [DOI: 10.1055/s-2004-822542] [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: 10/18/2022]
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Hillers A, Quenter A, Friederich HC, Schild S, Wilke S, Herzog W, Zipfel S. Vorzeitiger Behandlungsabbruch von Patienten mit Adipositas und Binge Eating Disorder – Subjektive Gründe und Prädiktoren für einen Therapieabbruch. Psychother Psych Med 2004. [DOI: 10.1055/s-2004-822506] [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: 10/18/2022]
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Brodersen S, Wilke S, Leusen FJJ, Engel G. A study of different approaches to the electrostatic interaction in force field methods for organic crystalsElectronic supplementary information (ESI) available: The full results for Tables 2 and 4. See http://www.rsc.org/suppdata/cp/b3/b306396h/. Phys Chem Chem Phys 2003. [DOI: 10.1039/b306396h] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Petrukhin OM, Dunaeva AA, Wilke S, Müller H, Kolycheva NV, Shipulo EV, Genkina GK, Mastryukova TA. Journal of Analytical Chemistry 2002; 57:240-247. [DOI: 10.1023/a:1014448400258] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Wilke S, Hoffmann R, Happle R, Freyschmidt-Paul P. Guess what! Comèl-Netherton syndrome. Eur J Dermatol 2001; 11:381-2. [PMID: 11458927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Affiliation(s)
- S Wilke
- Department of Dermatology, Philipp University of Marburg, Deutschhausstr. 9, D-35033 Marburg, Germany.
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Neumann MA, Engel GE, Wilke S, Leusen FJJ. Powder Solve - a complete package for structure determination from powder diffraction data. Acta Crystallogr A 2000. [DOI: 10.1107/s0108767300029135] [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: 11/10/2022] Open
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Engel GE, Wilke S, König O, Harris KDM, Leusen FJJ. PowderSolve– a complete package for crystal structure solution from powder diffraction patterns. J Appl Crystallogr 1999. [DOI: 10.1107/s0021889899009930] [Citation(s) in RCA: 204] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Powder diffraction techniques are becoming increasingly popular as tools for the determination of crystal structures. The authors of this paper have developed a software package, namedPowderSolve, to solve crystal structures from experimental powder diffraction patterns and have applied this package to solve the crystal structures of organic compounds with up to 18 variable degrees of freedom (defined in terms of the positions, orientations, and internal torsions of the molecular fragments in the asymmetric unit). The package employs a combination of simulated annealing and rigid-body Rietveld refinement techniques to maximize the agreement between calculated and experimental powder diffraction patterns. The agreement is measured by a full-profile comparison (using theRfactorRwp). As an additional check at the end of the structure solution process, accurate force-field energies may be used to confirm the stability of the proposed structure solutions. To generate the calculated powder diffraction pattern, lattice parameters, peak shape parameters and background parameters must be determined accurately before proceeding with the structure solution calculations. For this purpose, a novel variant of the Pawley algorithm is proposed, which avoids the instabilities of the original Pawley method. The successful application and performance ofPowderSolvefor crystal structure solution of 14 organic compounds of differing complexity are discussed.
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Mickler W, Mönner A, Uhlemann E, Wilke S, Müller H. Transfer of β-diketone and 4-acylpyrazolone anions across the electrified water ∣ nitrobenzene interface. J Electroanal Chem (Lausanne) 1999. [DOI: 10.1016/s0022-0728(99)00175-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Wilke S, Wang H, Muraczewska M, Müller H. Amperometric detection of heavy metal ions in ion pair chromatography at an array of water/nitrobenzene micro interfaces. Anal Bioanal Chem 1996; 356:233-6. [PMID: 15048359 DOI: 10.1007/s0021663560233] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/1995] [Accepted: 02/20/1996] [Indexed: 11/25/2022]
Abstract
A novel amperometric detector for heavy metal ions has been developed and successfully applied for ion pair chromatography. The detector is based on the electrochemical transfer of the metal ions across an array of water/nitrobenzene micro interfaces. The ion transfer is facilitated by the neutral ionophores methylenebis(diphenylphosphineoxide) and methylenebis(di- phenylphosphinesulfide). More than eight metals are separated in less than 15 min on an RP18 column using octyl sulfonate as ion pair reagent. For the heavy metals, the limits of decision are 19(Pb(2+)), 9(Zn(2+)), 9l (Co(2+)), 8(Cd(2+)) and 1.6(Mn(2+)) microg/L. The applicability of the new method for water samples is demonstrated.
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Affiliation(s)
- S Wilke
- Fachbereich Chemie, Martin-Luther-Universität Halle-Wittenberg, D-06217, Merseburg, Germany
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Petersen M, Wilke S, Ruggerone P, Kohler B, Scheffler M. Scattering of rare-gas atoms at a metal surface: Evidence of anticorrugation of the helium-atom potential energy surface and the surface electron density. Phys Rev Lett 1996; 76:995-998. [PMID: 10061604 DOI: 10.1103/physrevlett.76.995] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Gross A, Wilke S, Scheffler M. Six-dimensional quantum dynamics of adsorption and desorption of H2 at Pd(100): Steering and steric effects. Phys Rev Lett 1995; 75:2718-2721. [PMID: 10059387 DOI: 10.1103/physrevlett.75.2718] [Citation(s) in RCA: 182] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Meyer H, Radicke S, Kienzle E, Wilke S, Kleffken D, Illenseer M. Investigations on preileal digestion of starch from grain, potato and manioc in horses. Zentralbl Veterinarmed A 1995; 42:371-81. [PMID: 7495169 DOI: 10.1111/j.1439-0442.1995.tb00389.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
In this study preileal starch digestibility of starchy feeds (oats, corn, barley, potatoes, manioc) was determined in seven jejunofistulated horses. The grains were fed whole (oats, corn), rolled (oats, barley), crushed, ground and expanded (corn); the potatoes were fresh, the manioc rolled. Ground corn was also fed in combination with amylase. The feeds were fed partly isolated or in combination with alfalfa meal or hay (Table 1). At least four horses with a cannula in the terminal jejunum were used for each diet. Two meals per day were offered at 12 h intervals. The starch intake was mostly about 2 g/kg bw/meal, except one period with oats (3.9 g starch/kg bw) and with expanded corn (1.4 g/kg bw). Jejunal chyme was postprandially collected 11 times (from 1st to the 11th h after the morning meal for 15 min). Starch was determined polarimetrically. The preileal digestibility of starch was calculated by the marker method (chronic oxide 0.25% DM) and by estimating the total jejunoileal chyme flow during 12 h postprandially extrapolating the sample volume from the 15 min sampling periods. The results of both methods agreed quite well. Preileal digestibility of oat starch (80-90%) was (independent of doses or preparation or of the combination with hay, Table 4) significantly higher than that of whole or crushed corn (30%) or barley (26%). Grinding of corn significantly increased preileal digestibility to 51%, expanding to 90%. The addition of amylase improved digestion of ground corn by 10% (absolute). The preileal digestibility of potato or manioc was less than 10%. Individual factors in the horse (chewing intensity, amylase activity) had also considerable influence on preileal starch digestibility.
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Affiliation(s)
- H Meyer
- Institute of Animal Nutrition, Tierärztliche Hochschule Hannover, Germany
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Wilke S, Hennig D, Löber R. Ab initio calculations of hydrogen adsorption on (100) surfaces of palladium and rhodium. Phys Rev B Condens Matter 1994; 50:2548-2560. [PMID: 9976476 DOI: 10.1103/physrevb.50.2548] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Block S, Suhrke M, Wilke S, Menschig A, Schweizer H, Grützmacher D. Anomalous magnetoresistance peak in quantum wires: Evidence for boundary-scattering mechanisms. Phys Rev B Condens Matter 1993; 47:6524-6528. [PMID: 10004620 DOI: 10.1103/physrevb.47.6524] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Wilke S. Psychosomatic Liaison-Consultation Service in a Bone Marrow Transplantation Unit. Oncol Res Treat 1993. [DOI: 10.1159/000218223] [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: 11/19/2022]
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Wilke S, Maek J, Velick B. Influence of alloy disorder on the vibrational properties of Si/Ge superlattices. Phys Rev B Condens Matter 1990; 41:3769-3777. [PMID: 9994180 DOI: 10.1103/physrevb.41.3769] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Waylonis GW, Wilke S, O'Toole D, Waylonis DA, Waylonis DB. Chronic myofascial pain: management by low-output helium-neon laser therapy. Arch Phys Med Rehabil 1988; 69:1017-20. [PMID: 3063230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Therapeutic benefits of low-output helium-neon laser therapy have not been established, but laser therapy has been suggested as an effective means of treating many acute and chronic musculoskeletal pain syndromes. Although not released for general clinical use by the FA, the helium-neon laser has been promoted to physical therapists and athletic trainers as potentially useful for the treatment of pain syndromes. In particular, it has been proposed that it may be more effective than conventional measures such as medication and conventional physical therapy in the treatment of myofascial pain syndromes (fibrositis, fibromyalgia). The citations in the literature include only case reports. Sixty-two patients were treated by using acupuncture points. Two sessions of five treatments were given six weeks apart. A crossover double-blind technique was used in the treatments. The clinical responses were assessed using portions of the McGill Pain Questionnaire. No statistical difference between the treatment and the placebo groups could be determined.
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Affiliation(s)
- G W Waylonis
- Physical Medicine Department, Riverside Methodist Hospital, Columbus, OH
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Abstract
The synthesis of an 11 membered ring bis-lactam, a system which is designed as a conformationally restricted mimetic of type I and type II beta-turns is described. Computer assisted molecular modeling was used to compare the predicted low energy conformers of the turn mimetic with idealized type I and type II turn structures. Initial computational analysis indicates that the basic ring structure will provide an excellent foundation for the development of a varieity of beta-turn mimetics.
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Affiliation(s)
- M Kahn
- University of Illinois, Department of Chemistry, Chicago 60680
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