TY  - JOUR
A1  - Köhler, Kai
A1  - Eggert, Patrick
A1  - Lorenz, Sebastian
A1  - Herr, Kerstin
A1  - Willmund, Gerd
A1  - Zimmermann, Peter
A1  - Alliger-Horn, Christina
T1  - Effectiveness of eye movement desensitization and reprocessing in German Armed Forces Soldiers with post-traumatic stress disorder under routine inpatient care conditions
JF  - Military medicine : the official journal of AMSUS
N2  - Background: Post-traumatic stress disorder (PTSD) is one of the more commonly occurring mental disorders following potentially traumatizing events soldiers may encounter when deployed abroad. One of the first-line recommended treatment options is eye movement desensitization and reprocessing (EMDR). The number of studies assessing the effectiveness of EMDR in German soldiers under routine conditions is currently almost nil. Methods: A retrospective, quasi-experimental effectiveness study on EMDR in an inpatient setting is presented using a prepost design. The study compares symptom reduction in soldiers (N = 78) with a wait-list (N = 18). Effect sizes of EMDR were measured for PTSD, symptoms of depression, and general mental health. Results: Effect size for EMDR treatment of PTSD was d = 0.77; 95% confidence interval (CI): 0.51 to 1.36, for symptoms of depression d = 0.99; 95% CI: 0.31 to 1.36, and for general psychiatric symptoms d = 0.53; 95% CI: 0.17 to 1.21. The effects resulting from EMDR treatment were somewhat weaker than those reported in comparable studies in civilians. Conclusion: EMDR therapy is an effective treatment to reduce symptoms of PTSD and depression. However, in the military context it needs to be complemented by treatment options that specifically address further conditions perpetuating the disorders.
Y1  - 2017
U6  - https://doi.org/10.7205/MILMED-D-16-00307
SN  - 0026-4075
SN  - 1930-613X
VL  - 182
SP  - E1672
EP  - E1680
PB  - Oxford University Press
CY  - Oxford
ER  - 
TY  - JOUR
A1  - Moser, Othmar
A1  - Tschakert, Gerhard
A1  - Müller, Alexander
A1  - Groeschl, Werner
A1  - Pieber, Thomas R.
A1  - Obermayer-Pietsch, Barbara
A1  - Köhler, Gerd
A1  - Hofmann, Peter
T1  - Effects of High-Intensity Interval Exercise versus Moderate Continuous Exercise on Glucose Homeostasis and Hormone Response in Patients with Type 1 Diabetes Mellitus Using Novel Ultra-Long-Acting Insulin
JF  - PLoS one
N2  - Introduction
 We investigated blood glucose (BG) and hormone response to aerobic high-intensity interval exercise (HIIE) and moderate continuous exercise (CON) matched for mean load and duration in type 1 diabetes mellitus (T1DM).
 Material and Methods
 Seven trained male subjects with T1DM performed a maximal incremental exercise test and HIIE and CON at 3 different mean intensities below (A) and above (B) the first lactate turn point and below the second lactate turn point (C) on a cycle ergometer. Subjects were adjusted to ultra-long-acting insulin Degludec (Tresiba/Novo Nordisk, Denmark). Before exercise, standardized meals were administered, and short-acting insulin dose was reduced by 25% (A), 50% (B), and 75% (C) dependent on mean exercise intensity. During exercise, BG, adrenaline, noradrenaline, dopamine, cortisol, glucagon, and insulin-like growth factor-1, blood lactate, heart rate, and gas exchange variables were measured. For 24 h after exercise, interstitial glucose was measured by continuous glucose monitoring system.
 Results
 BG decrease during HIIE was significantly smaller for B (p = 0.024) and tended to be smaller for A and C compared to CON. No differences were found for post-exercise interstitial glucose, acute hormone response, and carbohydrate utilization between HIIE and CON for A, B, and C. In HIIE, blood lactate for A (p = 0.006) and B (p = 0.004) and respiratory exchange ratio for A (p = 0.003) and B (p = 0.003) were significantly higher compared to CON but not for C.
 Conclusion
 Hypoglycemia did not occur during or after HIIE and CON when using ultra-long-acting insulin and applying our methodological approach for exercise prescription. HIIE led to a smaller BG decrease compared to CON, although both exercises modes were matched for mean load and duration, even despite markedly higher peak workloads applied in HIIE. Therefore, HIIE and CON could be safely performed in T1DM.
Y1  - 2015
U6  - https://doi.org/10.1371/journal.pone.0136489
SN  - 1932-6203
VL  - 10
IS  - 8
PB  - PLoS
CY  - San Fransisco
ER  -