Biomedical subjects

Helmut Küchenhoff

Publications and source records attributed to Helmut Küchenhoff.

7 recordsLinked to original sources

PubMed2006

Neurocognitive functioning in patients with first-episode schizophrenia : results of a prospective 5-year follow-up study.

To assess the course of neuropsychological (NP) impairment in schizophrenia, 71 patients with first episode (FE) schizophrenia and 71 healthy controls were given a comprehensive battery of NP tests at index assessment, after a 2-year and after a 5-year follow-up period. By means of the z-score standardization, summary scores for verbal intelligence (VBI), spatial organisation (SPT), verbal fluency (VBF), Verbal learning (VBL), semantic memory (SEM), visual memory (VIM), delay/retention rate (DEL), short-term memory (STM), visuomotor processing and attention (VSM) and abstraction/flexibility (ABS) were constructed. FE schizophrenia patients showed a worse performance compared to controls in all areas investigated, most pronounced in VSM, SEM and VBL. In the majority of cognitive domains, an improvement was found over the 5-year follow-up period without differences between the two groups. However, in VBF patients slightly deteriorated whilst controls improved and in memory functions patients improved less compared to controls. When controlling for relevant confounders, neither conventional nor atypical neuroleptics showed a deleterious influence on NP performance, except on VBF. Our data suggest that NP impairment is already present at the onset of the illness and remains stable over the early course of schizophrenia.

Adult↗

PubMed2006

Symmetrically dividing cells of the fission yeast schizosaccharomyces pombe do age.

Theories of the evolution of senescence state that symmetrically dividing organisms do not senesce. However, this view is challenged by experimental evidence. We measured by immunofluorescence the occurrence and intensity of protein carbonylation in single and symmetrically dividing cells of Schizosaccharomyces pombe. Cells of S. pombe show different levels of carbonylated proteins. Most cells have little damage, a few show a lot, an observation consistent with the gradual accumulation of carbonylation over time. At reproduction, oxidized proteins are shared between the two resulting cells. These results indicate that S. pombe does age, but does so in a different way from other studied species. Damaged cells give rise to damaged cells. The fact that cells with no or few carbonylated proteins constitute the main part of the population can explain why, although age is not reset to zero in one of the cells during division, the pool of young cells remains large enough to prevent the rapid extinction of the population.

Cell Division↗

PubMed2006

Impact of measurement error in exposures in german radon studies.

Case-control studies on lung cancer and residential radon exposure were conducted in West and East Germany. Odds ratio (OR) estimates from primary analysis are now subject to correction for measurement error in exposure. We apply the regression calibration method adopting a bivariate multiplicative error model of the classical type; that is, we investigate the impact of errors in the exposure of primary interest, radon, and of errors in the most potent confounder, smoking. The OR estimates per 100 Bq/m3 are throughout higher after correcting for errors in radon exposure (e.g., 1.02 and 1.11 for the West and the East German study, respectively, corrected for an error of size 0.4); ignoring the clear but small correlation between radon exposure and smoking of about -0.06 would lead to less conservative corrections (1.10 and 1.13 for West and East, respectively). Accounting for a realistically sized error in the smoking variable additionally increases the OR estimates slightly. Remarkable is the fact that the naive OR estimate of the West study of 0.97 exceeds unity after correcting for errors in radon exposure larger than 0.3. We conclude that correcting for errors in radon exposure has a meaningful impact on OR estimates, that the correlation between radon exposure and the smoking variable affects the correction even if the smoking variable was error-free, and that such an analysis is extremely valuable to grasp an important issue in epidemiology, that is, the dimension of residual confounding due to adjusting for an imprecisely measured smoking variable.

Air Pollutants, Radioactive↗

PubMed2006

A general method for dealing with misclassification in regression: the misclassification SIMEX.

We have developed a new general approach for handling misclassification in discrete covariates or responses in regression models. The simulation and extrapolation (SIMEX) method, which was originally designed for handling additive covariate measurement error, is applied to the case of misclassification. The statistical model for characterizing misclassification is given by the transition matrix Pi from the true to the observed variable. We exploit the relationship between the size of misclassification and bias in estimating the parameters of interest. Assuming that Pi is known or can be estimated from validation data, we simulate data with higher misclassification and extrapolate back to the case of no misclassification. We show that our method is quite general and applicable to models with misclassified response and/or misclassified discrete regressors. In the case of a binary response with misclassification, we compare our method to the approach of Neuhaus, and to the matrix method of Morrissey and Spiegelman in the case of a misclassified binary regressor. We apply our method to a study on caries with a misclassified longitudinal response.

Bias↗

PubMed2006

Ambient endotoxin level in an area with intensive livestock production.

High levels of endotoxin are found inside and near to animal houses. However, there is a lack of data on environmental endotoxin in areas with intensive animal production facilities. We conducted a cross-sectional study of respiratory health in two villages of Lower Saxony with intensive livestock production. We assessed the level of endotoxin exposure in the backyards of 32 participants with two 24-hours measurements of inhalable fraction (one in winter and one in summer). The geometric mean (geometric standard deviation) of the levels of endotoxin varied between 2.0 (2.9) EU/m3 in winter and 2.9 (2.4) EU/m3 in summer. Potential predictors--season, sampling sites, and weather conditions--explained 24% of the variability in ambient endotoxin concentration in the study area. The results indicate that, compared with urban residents, exposure to endotoxin is greater among people living in rural areas with intensive animal production. This might affect their respiratory health. However, these exposures are characterized by a large spatial variability.

Air Pollutants, Occupational↗

PubMed2005

Meal frequency and childhood obesity.

OBJECTIVE: Previous studies have demonstrated an inverse association between meal frequency and the prevalence of obesity in adulthood. The aim of this study was to assess the relationship between meal frequency and childhood obesity. RESEARCH METHODS AND PROCEDURES: Stature and weight of 4,370 German children ages 5 to 6 years were determined in six Bavarian (Germany) public health offices during the obligatory school entry health examination in 2001/2002. An extensive questionnaire on risk factors for obesity was answered by their parents. Obesity was defined according to sex- and age-specific BMI cut-off points proposed by the International Obesity Task Force. The main exposure was daily meal frequency. RESULTS: The prevalence of obesity decreased by number of daily meals: three or fewer meals, 4.2% [95% confidence interval (CI), 2.8 to 6.1]; four meals, 2.8% (95% CI, 2.1 to 3.7); and 5 or more meals, 1.7% (95% CI, 1.2 to 2.4). These effects could not be explained by confounding due to a wide range of constitutional, sociodemographic, and lifestyle factors. The adjusted odds ratios for obesity were 0.73 (95% CI, 0.44 to 1.21) for four meals and 0.51 (95% CI, 0.29 to 0.89) for five or more meals. Additional analyses pointed to a higher energy intake in nibblers compared with gorgers. DISCUSSION: A protective effect of an increased daily meal frequency on obesity in children was observed and appeared to be independent of other risk factors for childhood obesity. A modulation of the response of hormones such as insulin might be instrumental.

Aging↗

PubMed2002

Bovine somatic cell nuclear transfer using recipient oocytes recovered by ovum pick-up: effect of maternal lineage of oocyte donors.

The efficiency of bovine nuclear transfer using recipient oocytes recovered by ultrasound-guided follicle aspiration (ovum pick-up [OPU]) was investigated. Oocyte donors were selected from 2 distinct maternal lineages (A and B) differing in 11 nucleotide positions of the mitochondrial DNA control region. A total of 1342 cumulus-oocyte complexes (COCs) were recovered. The numbers of total COCs and class I/II COCs recovered from donors of lineage A were higher (P < 0.001) than those obtained from lineage B. Follicle aspiration once per week yielded a higher (P < 0.001) total number of COCs per session than aspiration twice per week, whereas the reproduction status of donors (heifer vs. cow) had no effect on OPU results. Of the 1342 oocytes recovered, 733 (55%) were successfully matured in vitro and used for nuclear transfer. Fusion was achieved in 550 (75%) karyoplast-cytoplast complexes (KCCs), resulting in 277 (50%) cleaved embryos on Day 3. On Day 7 of culture, 84 transferable embryos (15% based on fused KCCs) were obtained. After 38 transfers (10 single, 22 double, and 6 triple transfers), 9 recipients (8 double and 1 triple transfer) were diagnosed as pregnant on Day 28, corresponding to a pregnancy rate of 24%. The proportion of transferable embryos on Day 7 was significantly (P < 0.05) influenced by maternal lineage of oocyte donors and by the frequency of follicle aspiration. Our study demonstrates the feasibility of generating nuclear transfer embryos with defined cytoplasmic background. These will be valuable tools to experimentally dissect the effects of nuclear and cytoplasmic components on embryonic, fetal, and postnatal development.

Animals↗