LIVIVO - Search results -

Search results

Result 1 - 10 of total 38

Search options

Book: Treatment of bipolar disorder in childhood and adolescence

Geller, Barbara

2008

Author's details	ed. by Barbara Geller
Keywords	Bipolar Disorder / drug therapy ; Bipolar Disorder / complications ; Bipolar Disorder / psychology ; Child ; Adolescent ; Manic-depressive illness in children ; Manic-depressive illness in adolescence
Language	English
Size	XIV, 418 S. : Ill., graph. Darst.
Publisher	Guilford Press
Publishing place	New York u.a.
Publishing country	United States
Document type	Book
HBZ-ID	HT015494076
ISBN	978-1-59385-678-6 ; 1-59385-678-4
Database	Catalogue ZB MED Medicine, Health

In stock of ZB MED Cologne/Königswinter

Shelf mark	Loan status	Location
2008 A 3636	order for loan	Magazin

Order via subito

This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

Details ▾
- See ZB MED holdings
- Order with fees

Book: Bipolar disorder in childhood and early adolescence

Geller, Barbara

2003

Author's details	ed. by Barbara Geller
Keywords	Bipolar Disorder ; Child ; Adolescent
Language	English
Size	X, 342 S. : Ill., graph. Darst.
Edition	1. print
Publisher	Guilford Press
Publishing place	New York u.a.
Publishing country	United States
Document type	Book
HBZ-ID	HT013657282
ISBN	1-57230-837-0 ; 978-1-57230-837-4
Database	Catalogue ZB MED Medicine, Health

In stock of ZB MED Cologne/Königswinter

Shelf mark	Loan status	Location
2003 A 1587	order for loan	Magazin

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Antipsychotics, Excess Deaths, and Paradoxes of Child Psychiatry.

Geller, Barbara

JAMA psychiatry

2018 Volume 76, Issue 2, Page(s) 111–112

MeSH term(s)	Adolescent ; Antipsychotic Agents ; Child ; Child Psychiatry ; Humans ; Psychiatry
Chemical Substances	Antipsychotic Agents
Language	English
Publishing date	2018-12-12
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2701203-7
ISSN	2168-6238 ; 2168-622X
ISSN (online)	2168-6238
ISSN	2168-622X
DOI	10.1001/jamapsychiatry.2018.3409
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Ui I Zs.235: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Book: Treatment of bipolar disorder in children and adolescents

Geller, Barbara / DelBello, Melissa P

2008

Author's details	edited by Barbara Geller, Melissa P. DelBello
MeSH term(s)	Bipolar Disorder/drug therapy ; Bipolar Disorder/complications ; Bipolar Disorder/psychology ; Child ; Adolescent
Language	English
Size	xiv, 418 p. :, ill.
Publisher	Guilford Press
Publishing place	New York
Document type	Book
ISBN	9781593856786 ; 1593856784
Database	Catalogue of the US National Library of Medicine (NLM)

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Diagnostic characteristics of child bipolar I disorder: does the "Treatment of Early Age Mania (team)" sample generalize?

Tillman, Rebecca / Geller, Barbara

The Journal of clinical psychiatry

2007 Volume 68, Issue 2, Page(s) 307–314

Abstract: Objective: To examine the representativeness of a randomized controlled trial (RCT) sample versus one obtained by consecutive new case ascertainment, for subjects with child bipolar I disorder.: Method: Subjects (N = 247) were outpatients who ... ...

Abstract	Objective: To examine the representativeness of a randomized controlled trial (RCT) sample versus one obtained by consecutive new case ascertainment, for subjects with child bipolar I disorder. Method: Subjects (N = 247) were outpatients who participated in either the National Institute of Mental Health-funded Phenomenology and Course of Pediatric Bipolar Disorders study or the Treatment of Early Age Mania (TEAM) study. Both studies required that subjects have current DSM-IV bipolar I disorder (manic or mixed phase) and a Children's Global Assessment Scale (CGAS) score <or=60. All subjects had elation and/or grandiosity. Subjects in the Phenomenology study were obtained from 1995 to 1998 by consecutive new case ascertainment from designated pediatric and psychiatric facilities. Subjects in the TEAM RCT were recruited from media and community sources between March 2003 and March 2005. Assessment instruments included the Washington University in St. Louis Kiddie Schedule for Affective Disorders and Schizophrenia, given separately to parents about their children and to children about themselves, and the CGAS. Logistic regression was used for comparisons.<br />Results: The TEAM and Phenomenology groups were similar in age (10.4 [SD = 2.3], 10.9 [SD = 2.3] years, respectively) and other demography. Both had long current episode duration (4.8 [SD = 2.4], 3.2 [SD = 2.3] years) and low lifetime use of any mood stabilizer (23.6%, 35.0%). Many mania symptoms and ultradian rapid cycling, psychosis, and suicidality were significantly more prevalent in the RCT sample. Conclusions: Generalization of the RCT sample was supported, because only 7.8% of Phenomenology subjects did not fit the RCT criteria. Nevertheless, because the RCT subjects were more severely ill, it is unclear if treatment findings from the RCT will be applicable to children with less severe mania. Clinical trials registration: ClinicalTrials.gov identifier NCT00057681 (TEAM study).
MeSH term(s)	Adolescent ; Bipolar Disorder/diagnosis ; Bipolar Disorder/psychology ; Bipolar Disorder/therapy ; Child ; Female ; Humans ; Male ; Matched-Pair Analysis ; Reference Values ; Reproducibility of Results ; Severity of Illness Index
Language	English
Publishing date	2007-01-01
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural
ZDB-ID	716287-x
ISSN	1555-2101 ; 0160-6689
ISSN (online)	1555-2101
ISSN	0160-6689
DOI	10.4088/jcp.v68n0218
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.B 108: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
Zs.MO 247: Show issues

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article: Controlled study of switching from attention-deficit/hyperactivity disorder to a prepubertal and early adolescent bipolar I disorder phenotype during 6-year prospective follow-up: rate, risk, and predictors.

Tillman, Rebecca / Geller, Barbara

Development and psychopathology

2006 Volume 18, Issue 4, Page(s) 1037–1053

Abstract: Rate, risk, and predictors of switching from attention-deficit/hyperactivity disorder (ADHD) to a prepubertal and early adolescent bipolar I disorder phenotype (PEA-BP-I) were examined in a blindly rated, controlled, prospective 6-year follow-up that ... ...

Abstract	Rate, risk, and predictors of switching from attention-deficit/hyperactivity disorder (ADHD) to a prepubertal and early adolescent bipolar I disorder phenotype (PEA-BP-I) were examined in a blindly rated, controlled, prospective 6-year follow-up that included assessments at 2-year intervals. Subjects were outpatients obtained by consecutive new case ascertainment. There were 81 subjects who were 9.7 +/- 2.0 years. Subjects had DSM-IV ADHD (hyperactive or combined subtypes); a Children's Global Assessment Scale (CGAS) score of < or =60, consistent with moderate-severe impairment; and no BP or major depressive disorder (MDD) diagnoses. PEA-BP-I was defined as DSM-IV BP I (manic or mixed phase), with cardinal symptoms (elation and/or grandiosity), to avoid diagnosing mania by symptoms that overlapped with those of ADHD, and by a CGAS score of < or =60. Morbid risk of switching to PEA-BP-I was 28.5%. Significant predictors of switching in a multivariate Cox model were more severe baseline CGAS, paternal recurrent MDD, and less stimulant use. BP I in first-degree relatives, antidepressants, psychosocial measures, and life events were not predictive.
MeSH term(s)	Adolescent ; Aging/genetics ; Aging/psychology ; Antidepressive Agents/therapeutic use ; Attention Deficit Disorder with Hyperactivity/drug therapy ; Attention Deficit Disorder with Hyperactivity/psychology ; Bipolar Disorder/drug therapy ; Bipolar Disorder/genetics ; Bipolar Disorder/psychology ; Central Nervous System Stimulants/therapeutic use ; Child ; Female ; Follow-Up Studies ; Humans ; Male ; Nuclear Family ; Outpatients ; Phenotype ; Puberty ; Social Behavior
Chemical Substances	Antidepressive Agents ; Central Nervous System Stimulants
Language	English
Publishing date	2006
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1036173-x
ISSN	1469-2198 ; 0954-5794
ISSN (online)	1469-2198
ISSN	0954-5794
DOI	10.1017/S0954579406060512
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.A 2601: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (2.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

Article ; Online: Pharmacological and non-drug treatment of child bipolar I disorder during prospective eight-year follow-up.

Geller, Barbara / Tillman, Rebecca / Bolhofner, Kristine / Zimerman, Betsy

Bipolar disorders

2010 Volume 12, Issue 2, Page(s) 164–171

Abstract: Objectives: The Phenomenology and Course of Pediatric Bipolar Disorders study, a National Institute of Mental Health-funded study of child bipolar I disorder (BP-I) begun in 1995, is a prospective follow-up study that included collecting pharmacological ...

Abstract	Objectives: The Phenomenology and Course of Pediatric Bipolar Disorders study, a National Institute of Mental Health-funded study of child bipolar I disorder (BP-I) begun in 1995, is a prospective follow-up study that included collecting pharmacological and non-drug treatment data. Methods: There were 115 first-episode subjects who fit full DSM-IV criteria for BP-I, mixed or manic phase, with severity scores in the clinically impaired range, ascertained by consecutive new case ascertainment. Subjects were assessed with the Washington University in St. Louis Kiddie Schedule for Affective Disorders and Schizophrenia (WASH-U-KSADS), given separately to parents about their children and to children about themselves. All treatment was provided by the subjects' own community practitioners, exactly as if they had not been in the research study. Thus, families were only seen for research assessments, and research staff were not at all involved in their treatment. Data on type, dose, and duration of pharmacological and non-drug treatment were collected. During follow-up, 93.9% (n = 108) were assessed at each of the nine assessment times. Results: During the eight years, only 62.6% received any antimanic medication (antipsychotic, anticonvulsant, lithium) at any time. Percents who received non-antimanic medication included 77.4% medication for attention-deficit hyperactivity disorder and 64.3% antidepressants. A total of 67.8% of subjects were taking two or more concurrent medication classes. Subjects ascertained from psychiatric versus pediatric sites received antimanics significantly more frequently (p = 0.006). Earlier recovery during eight-year follow-up was predicted by greater percent of weeks on lithium (p = 0.017). Conclusions: Given these findings, and the poor prognosis from prospective follow-up of this sample reported elsewhere, there is a need for further research that informs the development of effective treatment strategies.
MeSH term(s)	Anticonvulsants/therapeutic use ; Antidepressive Agents/therapeutic use ; Antimanic Agents/therapeutic use ; Antipsychotic Agents/therapeutic use ; Attention Deficit Disorder with Hyperactivity/drug therapy ; Bipolar Disorder/drug therapy ; Bipolar Disorder/psychology ; Child ; Depression/drug therapy ; Diagnostic and Statistical Manual of Mental Disorders ; Drug Therapy, Combination ; Female ; Follow-Up Studies ; Humans ; Lithium Compounds/therapeutic use ; Male ; National Institute of Mental Health (U.S.) ; Prognosis ; Prospective Studies ; Psychiatric Status Rating Scales ; Severity of Illness Index ; Treatment Outcome ; United States
Chemical Substances	Anticonvulsants ; Antidepressive Agents ; Antimanic Agents ; Antipsychotic Agents ; Lithium Compounds
Language	English
Publishing date	2010-04-15
Publishing country	Denmark
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1472242-2
ISSN	1399-5618 ; 1398-5647
ISSN (online)	1399-5618
ISSN	1398-5647
DOI	10.1111/j.1399-5618.2010.00791.x
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.A 5604: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (2.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

Article: Prepubertal and early adolescent bipolar I disorder: review of diagnostic validation by Robins and Guze criteria.

Geller, Barbara / Tillman, Rebecca

The Journal of clinical psychiatry

2005 Volume 66 Suppl 7, Page(s) 21–28

Abstract: The phenomenology of pediatric bipolar disorder is a controversial topic in the field of child psychiatry. The first National Institute of Mental Health-funded study in the field, Phenomenology and Course of Pediatric Bipolar Disorders, selected a ... ...

Abstract	The phenomenology of pediatric bipolar disorder is a controversial topic in the field of child psychiatry. The first National Institute of Mental Health-funded study in the field, Phenomenology and Course of Pediatric Bipolar Disorders, selected a conservative phenotype for credibility in a contentious field. To address the problems of differentiation of mania from attention-deficit/hyperactivity disorder (ADHD) and of the ubiquitous manifestation of irritability across child psychiatry diagnoses, a prepubertal and early adolescent bipolar I disorder phenotype (PEA-BP) was defined by DSM-IV bipolar I disorder (manic or mixed phase) with elation and/or grandiosity as one criterion. This criterion avoided diagnosing mania by symptoms that overlapped with those of ADHD (e.g., hyperactivity, distractibility) and ensured that subjects had at least 1 of the cardinal symptoms of mania (i.e., elation or grandiosity). This definition was analogous to the requirement that DSM-IV major depressive disorder include at least 1 of the cardinal symptoms of depression (i.e., sad mood or anhedonia). Subjects were 93 children with a mean +/- SD age of 10.9 +/- 2.6 years. Validation of the phenotype was shown according to Robins and Guze criteria: unique symptoms that did not overlap with those of ADHD, stability of the diagnosis (did not become ADHD or other disorders on follow-up) as shown by a 4-year prospective longitudinal study, significantly higher familial aggregation of bipolar disorder in relatives of PEA-BP versus ADHD and healthy control probands, and family-based linkage disequilibrium of the brain-derived neurotrophic factor Val66 allele in PEA-BP probands. Furthermore, PEA-BP resembled the most severe adult bipolar disorder, manifested by a chronic, ultradian-cycling, mixed manic, psychotic course. A conservatively defined child mania phenotype met the Robins and Guze criteria for establishing diagnostic validity in psychiatric illness. Continuities between PEA-BP and adult bipolar disorder and relationships of PEA-BP to other descriptions of child mania are discussed.
MeSH term(s)	Adolescent ; Age Factors ; Attention Deficit Disorder with Hyperactivity/diagnosis ; Attention Deficit Disorder with Hyperactivity/genetics ; Bipolar Disorder/classification ; Bipolar Disorder/diagnosis ; Bipolar Disorder/genetics ; Child ; Child Psychiatry/statistics & numerical data ; Diagnosis, Differential ; Diagnostic and Statistical Manual of Mental Disorders ; Family Health ; Follow-Up Studies ; Humans ; Irritable Mood ; Linkage Disequilibrium ; Pedigree ; Phenotype ; Psychiatric Status Rating Scales/statistics & numerical data ; Psychometrics ; Reproducibility of Results
Language	English
Publishing date	2005
Publishing country	United States
Document type	Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S. ; Review
ZDB-ID	716287-x
ISSN	1555-2101 ; 0160-6689
ISSN (online)	1555-2101
ISSN	0160-6689
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.B 108: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
Zs.MO 247: Show issues

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article: A brief screening tool for a prepubertal and early adolescent bipolar disorder phenotype.

Tillman, Rebecca / Geller, Barbara

The American journal of psychiatry

2005 Volume 162, Issue 6, Page(s) 1214–1216

Abstract: Objective: Although there has recently been increased interest in child mania, there is as yet no brief screening tool that separates a prepubertal and early adolescent bipolar disorder phenotype from attention deficit hyperactivity disorder (ADHD), the ...

Abstract	Objective: Although there has recently been increased interest in child mania, there is as yet no brief screening tool that separates a prepubertal and early adolescent bipolar disorder phenotype from attention deficit hyperactivity disorder (ADHD), the most relevant differential diagnosis. Method: Parents of 268 consecutively ascertained subjects (93 with a prepubertal and early adolescent bipolar disorder phenotype, 81 with ADHD, 94 in a healthy comparison group) completed the 10-item Conners' Abbreviated Parent Questionnaire, before separate Washington University in St. Louis Kiddie Schedule for Affective Disorders and Schizophrenia interviews of parents and children. Data from the Conners' Abbreviated Parent Questionnaire were analyzed by using receiver operating characteristic methods. Results: A screening algorithm that yielded a sensitivity of 0.73 and a specificity of 0.86 was developed from the Conners' Abbreviated Parent Questionnaire. Conclusions: The Conners' Abbreviated Parent Questionnaire is a promising tool as a screen for a prepubertal and early adolescent bipolar disorder phenotype and has similar sensitivity and specificity to screening tools for adult bipolar disorder.
MeSH term(s)	Adolescent ; Age Factors ; Algorithms ; Attention Deficit Disorder with Hyperactivity/diagnosis ; Attention Deficit Disorder with Hyperactivity/epidemiology ; Bipolar Disorder/diagnosis ; Bipolar Disorder/epidemiology ; Bipolar Disorder/genetics ; Child ; Comorbidity ; Diagnosis, Differential ; Female ; Humans ; Male ; Mass Screening/methods ; Parents/psychology ; Phenotype ; Psychiatric Status Rating Scales ; Psychometrics ; ROC Curve ; Sensitivity and Specificity ; Surveys and Questionnaires
Language	English
Publishing date	2005-06
Publishing country	United States
Document type	Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	280045-7
ISSN	1535-7228 ; 0002-953X
ISSN (online)	1535-7228
ISSN	0002-953X
DOI	10.1176/appi.ajp.162.6.1214
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Ui I Zs.30: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Family-based association study of early growth response gene 3 with child bipolar I disorder.

Gallitano, Amelia L / Tillman, Rebecca / Dinu, Valentin / Geller, Barbara

Journal of affective disorders

2012 Volume 138, Issue 3, Page(s) 387–396

Abstract: Background: The risk for relapse of child bipolar I disorder (BP-I) is highly correlated with environmental factors. Immediate early genes of the early growth response (EGR) gene family are activated at high levels in the brain in response to ... ...

Abstract	Background: The risk for relapse of child bipolar I disorder (BP-I) is highly correlated with environmental factors. Immediate early genes of the early growth response (EGR) gene family are activated at high levels in the brain in response to environmental events, including stress, and mediate numerous neurobiological processes that have been associated with mental illness risk. The objective of this study is to evaluate whether single nucleotide polymorphisms (SNPs) in EGR genes are associated with the risk to develop child bipolar I disorder. Methods: To investigate whether EGR genes may influence susceptibility to child bipolar I disorder (BP-I), we used Family Based Association Tests to examine whether SNPs in each of the EGR genes were associated with illness in 49 families. Results: Two SNPs in EGR3 displayed nominally significant associations with child BP-I (p=0.027 and p=0.028); though neither was statistically significant following correction for multiple comparisons. Haplotype association analysis indicated that these SNPs are in linkage disequilibrium (LD). None of the SNPs tested in EGR1, EGR2, or EGR4 was associated with child BP-I. Limitations: This study was limited by small sample size, which resulted in it being underpowered to detect a significant association after correction for multiple comparisons. Conclusions: Our study revealed a preliminary finding suggesting that EGR3, a gene that translates environmental stimuli into long-term changes in the brain, warrants further investigation for association with risk for child BP-I disorder in a larger sample. Such studies may help reveal mechanisms by which environment can interact with genetic predisposition to influence this severe mental illness.
MeSH term(s)	Adolescent ; Bipolar Disorder/genetics ; Child ; Early Growth Response Protein 3/genetics ; Early Growth Response Transcription Factors/genetics ; Family ; Female ; Genetic Association Studies ; Genetic Predisposition to Disease ; Humans ; Male ; Polymorphism, Single Nucleotide ; Risk Factors
Chemical Substances	Early Growth Response Transcription Factors ; Early Growth Response Protein 3 (144516-98-3)
Language	English
Publishing date	2012-02-25
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	135449-8
ISSN	1573-2517 ; 0165-0327
ISSN (online)	1573-2517
ISSN	0165-0327
DOI	10.1016/j.jad.2012.01.011
Database	MEDical Literature Analysis and Retrieval System OnLINE

Full text online

Accessible to users with ZB MED library card

In stock of ZB MED Cologne/Königswinter

Zs.A 1485: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾

To top

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito