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Ferrer F, Pont A, De Blas R, Boladeras A, Garin O, Ventura M, Garcia E, Gutierrez C, Zardoya E, Rojas F, Bavestrello P, Laplana M, Mases J, Castells M, Guix I, Suarez J, Picon C, Pera J, Ferrer M, Guedea F. Toxicity and Quality of Life (QoL) Comparison between Two Escalation Dose Fractionation Protocols With Steroatactic Body Radiation Therapy in Prostate Cancer. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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David AM, Mercado SP, Klein JD, Kaundan MSK, Koong HN, Garcia E. Protecting children and families from tobacco and tobacco-related NCDs in the Western Pacific: good practice examples from Malaysia, Philippines and Singapore. Child Care Health Dev 2017; 43:774-778. [PMID: 28480578 DOI: 10.1111/cch.12472] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2016] [Revised: 03/03/2017] [Accepted: 04/03/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND Non-communicable diseases (NCDs) are generally considered diseases of adulthood, but NCD risk factors like tobacco use often are taken up during childhood and adolescence, and second-hand smoke exposure affects child survival and development. METHODS At a regional meeting of the Asia Pacific Child and Family Health Alliance for Tobacco Control, members reviewed existing good practices of child-focused tobacco control approaches using health promotion strategies. These interventions were implemented nationally in Malaysia, the Philippines and Singapore. RESULTS Three good practice national examples were identified that focused on creating supportive tobacco-free environments and upgrading cessation skills among paediatricians. These country examples highlight strategic areas to protect children and families from the harms of tobacco, as part of NCD prevention and control. Training paediatricians in brief cessation advice has enabled them to address tobacco-using parents. Fully enforcing smoke-free public areas has led to an increase in smoke-free homes. The Tobacco Free Generation is a tobacco control 'endgame' strategy that taps into a social movement to deglamorize tobacco use and empower youth born in and after year 2000 to reject tobacco and nicotine addiction. CONCLUSION Tobacco control is pivotal in the fight against NCDs; health promotion strategies to protect children and youth from tobacco have a critical role to play in NCD prevention and control. Frontline health workers, including primary care paediatricians, need to step up and actively advocate for full implementation of the WHO Framework Convention on Tobacco Control, including tobacco tax increases and smoke-free areas, while monitoring patients and their parents for tobacco use and second-hand smoke exposure, preventing adolescent smoking uptake, and offering cessation support. A life-course approach incorporating child-focused efforts to prevent initiation of smoking and second-hand smoke exposure with measures promoting cessation among parents will offer the greatest chance of overcoming future tobacco-related NCD burden.
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Kurnosov A, Cacciatore M, Pirani F, Laganà A, Martí C, Garcia E. Closer versus Long Range Interaction Effects on the Non-Arrhenius Behavior of Quasi-Resonant O 2 + N 2 Collisions. J Phys Chem A 2017; 121:5088-5099. [PMID: 28598167 DOI: 10.1021/acs.jpca.7b04204] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
We report in this paper an investigation on energy transfer processes from vibration to vibration and/or translation in thermal and subthermal regimes for the O2 + N2 system performed using quantum-classical calculations on different empirical, semiempirical, and ab initio potential energy surfaces. In particular, the paper focuses on the rationalization of the non-Arrhenius behavior (inversion of the temperature dependence) of the quasi-resonant vibration-to-vibration energy transfer transition rate coefficients at threshold. To better understand the microscopic nature of the involved processes, we pushed the calculations to the detail of the related cross sections and analyzed the impact of the medium and long-range components of the interaction on them. Furthermore, the variation with temperature of the dependence of the quasi-resonant rate coefficient on the vibrational energy gap between initial and final vibrational states and the effectiveness of quantum-classical calculations to overcome the limitations of the purely classical treatments were also investigated. These treatments, handled in an open molecular science fashion by chaining data and competencies of the various laboratories using a grid empowered molecular simulator, have allowed a rationalization of the dependence of the computed rate coefficients in terms of the distortion of the O2-N2 configuration during the diatom-diatom collisions. A way of relating such distortions to a smooth and continuous progress variable, allowing a proper evolution from both long to closer range formulation of the interaction and from its entrance to exit channel (through the strong interaction region) relaxed graphical representations, is also discussed in the paper.
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Briongos Figuero S, Sanchez A, Estevez A, Perez ML, Martinez-Ferrer JB, Garcia E, Vinolas X, Arenal A, Alzueta J, Basterra N, Rodriguez A, Fernandez-Lozano I, Munoz-Aguilera R. P1741Arrhythmic risk among ischemic and non-ischemic heart failure patients with narrow QRS: insigths from the umbrella registry. Europace 2017. [DOI: 10.1093/ehjci/eux161.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Briongos Figuero S, Sanchez A, Estevez A, Perez ML, Martinez Ferre JB, Garcia E, Vinolas X, Arenal A, Alzueta J, Basterra N, Rodriguez A, Lozano I, Munoz-Aguilera R. P1744Inappropriate therapies in primary prevention ICD patients with narrow QRS: dual or single chamber ICD? The question remains. Europace 2017. [DOI: 10.1093/ehjci/eux161.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Delnoy PPHM, Brugada J, Singh J, Degand B, De Sousa J, Tercedor L, Fernandez Lozano I, Garcia E, Ziglio F, Ritter P. P1535Weekly CRT optimization success with the SonR contractility sensor. Europace 2017. [DOI: 10.1093/ehjci/eux158.161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Garcia E, Fisher PB. The American Society for Clinical Pathology’s 2015 Wage Survey of Medical Laboratories in the United States. Lab Med 2017; 48:113-136. [DOI: 10.1093/labmed/lmx031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Debonnel CS, Wang TX, Suzuki M, Garcia E, Peterson PF. Visual TSUNAMI: A Versatile, User-Friendly, Multidimensional Ablation and Gas-Dynamics Design Code. FUSION SCIENCE AND TECHNOLOGY 2017. [DOI: 10.13182/fst05-a844] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Garcia E, Fisher PB. The American Society for Clinical Pathology's 2015 Wage Survey of Medical Laboratories in the United States. Am J Clin Pathol 2017; 147:334-356. [PMID: 28339797 DOI: 10.1093/ajcp/aqw220] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES To inform the pathology and laboratory field of the most recent national wage data from the American Society for Clinical Pathology (ASCP). Historically, the results of this biennial survey have served as a basis for additional research on laboratory recruitment, retention, education, marketing, certification, and advocacy. METHODS The 2015 wage survey was conducted through collaboration between the ASCP's Institute of Science, Technology, & Policy in Washington, DC, and the ASCP Board of Certification in Chicago, Illinois. Electronic survey invitations were sent to individuals who are currently practicing in the field. RESULTS Data reveal increased salaries since 2013 for all staff-level laboratory professionals surveyed except phlebotomists and pathologists' assistants. Laboratory assistants and phlebotomists, regardless of level, continue to have lower salaries while pathologists' assistants and administration personnel have higher salaries than the rest of the laboratory professions surveyed. CONCLUSIONS Survey results put emphasis on strategic recruitment and retention by laboratory training programs and institutions that hire laboratory professionals.
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Garcia E, Moreno R, Tarjuelo B. The link between developmental psychiatry and dual disorders from early attachment to first drugs abuse. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Since Dual Disorders expression was used for the first time, the old dilemma between cathegorial and dimensional grew again as a main issue because many authors wondered about its utility. The question was how far we can speak about two different entities, because doing so we are assuming comorbidity instead of a complex syndrome, with different clinical presentations (i.e. Talking about fever and cough instead of pneumonia). Child and adolescence psychiatry uses developmental psychiatry as a very useful tool to understand patients. Syndromes are seen as dynamic as patients. At the same time that patients grow their clinical presentations, evolves new symptoms or signs. We have reviewed retrospectively a group of twenty parents that were named as dual disorders, with different substance abuse but a common path in their childhood; all of them were diagnosed of ADHD and Conduct Disorder. We chose them because of the differences that DSM, ICD and main researchers have about this group, which some consider better described as a Disocial hiperquinetic disorder (ICD) than a AHDH with a conduct disorder associated (DSM), comorbidity again. We agreed with ICD opinion and will discuss how in some way we are somehow as those blind people describing different parts of the same elephant when we talk sometimes about dual. Truth is that opposite dual view or its syndromic treatment developmental psychiatry has all the time underlined the role of reward circuits/executive functions as epigenetic issues, both modulated by gene and environment.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Hernando B, Aliaga I, Fernandez C, Garcia E, Gomez A, Vera V. Caries in Mount Classification: clinical and radiological concordance. J Clin Exp Dent 2017. [DOI: 10.4317/medoral.176438700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Sparks H, Görlitz F, Kelly DJ, Warren SC, Kellett PA, Garcia E, Dymoke-Bradshaw AKL, Hares JD, Neil MAA, Dunsby C, French PMW. Characterisation of new gated optical image intensifiers for fluorescence lifetime imaging. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2017; 88:013707. [PMID: 28147687 DOI: 10.1063/1.4973917] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
We report the characterisation of gated optical image intensifiers for fluorescence lifetime imaging, evaluating the performance of several different prototypes that culminate in a new design that provides improved spatial resolution conferred by the addition of a magnetic field to reduce the lateral spread of photoelectrons on their path between the photocathode and microchannel plate, and higher signal to noise ratio conferred by longer time gates. We also present a methodology to compare these systems and their capabilities, including the quantitative readouts of Förster resonant energy transfer.
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Fantaneanu TA, Tillman G, Garcia E, Grady T, Dworetzky BA. Preserved vagus nerve stimulator function after radiation therapy. Acta Neurol Scand 2017; 135:142-144. [PMID: 26968442 DOI: 10.1111/ane.12584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2016] [Indexed: 11/27/2022]
Abstract
BACKGROUND Epilepsy and breast cancer are both prevalent conditions. A subset of women with medically refractory epilepsy and vagus nerve stimulators (VNS) may later develop breast cancer and may require adjuvant radiation as part of their treatment regimen. However, to date, little data are available on the effects of radiation on VNS function. CASE PRESENTATION We present a young woman with tuberous sclerosis, developmental delay, and medically refractory epilepsy who developed left-sided breast cancer. Her epilepsy became controlled with a recent addition of a VNS implanted in her left chest wall. She required adjuvant radiation therapy to her left breast, and this raised the novel question of the safety of radiation on the integrity and functioning of the device, which we explore in this article. CONCLUSION This case is the first report of a patient with VNS for epilepsy and breast cancer who received radiation therapy proximal to the device. The device continued to function properly despite the exposure.
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Penaranda A, Garcia E, Barragan A, Rondon M, Perez A, Rojas M, Caraballo L, Dennis R. Factors associated with Allergic Rhinitis in Colombian subpopulations aged 1 to 17 and 18 to 59. Rhinology 2016. [DOI: 10.4193/rhin14.234] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Garcia E, Osornio-Vargas A. In vitro study of the interaction of particulate matter with human brain-derived astrocytes: Effect on the aryl hydrocarbon receptor (AHR/CYP1A1) pathway. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.07.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Aguirre E, Mele M, Tuset N, Velasco A, Tarragona J, Sampayo M, Serrano S, Riu F, Rodriguez-Balada M, Matias-Guiu X, Garcia E, Ortega E, BalmaÑa J. Screening for Lynch syndrome among endometrial cancer patients less than 60 years. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw374.34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Ferrer F, Pont A, Letelier H, Garin O, De Blas R, Boladeras A, Garcia E, Zardoya E, Najjari D, Gonzalo P, Castells M, Mariño A, Gutierrez C, Ventura M, Rojas F, Bavestrello P, Suarez J, Picon C, Guedea F. Early Experience and Quality of Life Comparison in Prostate Cancer Brachytherapy Versus Phase I-II Stereotactic Body Radiation Therapy Trials. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.1285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Leroy P, Mathis C, Iskandar A, Frentzel S, Elamin A, Keyur T, Garcia E, Knorr A, Ivanov N, Hoeng J, Peitsch M. Comparative systems toxicology assessment of the Tobacco Heating System 2.2 and reference cigarettes (3R4F), on human organotypic respiratory tissue cultures. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.06.1588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Mena-Serrano AP, Garcia E, Luque-Martinez I, Grande RHM, Loguercio AD, Reis A. A Single-Blind Randomized Trial About the Effect of Hydrogen Peroxide Concentration on Light-Activated Bleaching. Oper Dent 2016; 41:455-464. [DOI: 10.2341/15-077-c] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objective: To compare the bleaching efficacy and tooth sensitivity (TS) of two hydrogen peroxide (HP) concentrations (20% and 35%) used for in-office bleaching associated or not with a light-emitting diode (LED)/laser light activation.
Method: Seventy-seven patients with a right maxillary canine darker than A3 were selected for this single-blind randomized trial. The participants were distributed in four groups: bleaching with 35% HP, 35% HP + LED/laser, 20% HP, and 20% HP + LED/laser. The anterior teeth were bleached in two sessions, using a 35% or 20% HP gel with a one-week interval. Each session had three applications of 15 minutes. For the light-activated groups, the LED/laser energy (Whitening Laser Light Plus, DMC) was employed according to the manufacturer's instructions. The color change was evaluated by subjective and objective methods. Participants recorded TS with five-point verbal and visual analog scales. Color change in ΔE was evaluated by analysis of variance and Tukey tests (α=0.05) and in ΔSGU with Kruskall-Wallis and Dunn test. The absolute risk of TS and TS intensity were evaluated by Fisher exact test and Kruskall-Wallis test, respectively (α=0.05).
Results: All groups achieved the same level of whitening, except for the 20% HP group, which showed the lowest degree of whitening in the subjective analysis. The use of light did not increase the absolute risk or intensity of TS. No significant difference among groups was observed when color changes were assessed with the spectrophotometer.
Conclusion: According to the value-oriented shade guide, the use of LED/laser light activation was able to increase the degree of whitening of the 20% HP group, but this association was not useful for the 35% HP gel. The spectrophotometer, however, did not detect significant differences among groups.
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Garcia E, Laganà A, Pirani F, Bartolomei M, Cacciatore M, Kurnosov A. Enhanced Flexibility of the O2 + N2 Interaction and Its Effect on Collisional Vibrational Energy Exchange. J Phys Chem A 2016; 120:5208-19. [PMID: 26982814 DOI: 10.1021/acs.jpca.6b00962] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Prompted by a comparison of measured and computed rate coefficients of Vibration-to-Vibration and Vibration-to-Translation energy transfer in O2 + N2 non-reactive collisions, extended semiclassical calculations of the related cross sections were performed to rationalize the role played by attractive and repulsive components of the interaction on two different potential energy surfaces. By exploiting the distributed concurrent scheme of the Grid Empowered Molecular Simulator we extended the computational work to quasiclassical techniques, investigated in this way more in detail the underlying microscopic mechanisms, singled out the interaction components facilitating the energy transfer, improved the formulation of the potential, and performed additional calculations that confirmed the effectiveness of the improvement introduced.
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von Segesser L, Leskosek B, Redha F, Garcia E, Turina M. Experimental evaluation of the Dideco Masterflo paediatric hollow-fibre membrane oxygenator. Perfusion 2016. [DOI: 10.1177/026765918900400308] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Nine mongrel dogs (mean bodyweight: 29 ± 6kg) were connected to cardiopulmonary bypass byfemorojugularvenous and femoral arterial cannulation, classic roller pump and the integrated Dideco D702 Masterflo hollow-fibre membrane oxygenatorwith a mean flow rate of 70ml/kg/min for six hours. Then the animals were weaned from cardiopulmonary bypass and thereafter weaned from the ventilator. After seven days all animals were sacrificed electively for necropsy. A standard battery of blood samples was taken before the bypass, after mixing (10 minutes), after two hours, five hours and six hours of perfusion. Further samples were taken 30 minutes after bypass (spontaneous breathing), 60 minutes after bypass (after extubation), 24 hours after bypass, 48 hours after bypass and seven days after bypass. Physiologic blood gas values could be maintained throughout perfusion in all animals. Mean arterial oxygen saturation varied between 99.7% and 99.9% for the arterial side of the oxygenator compared to 77.8% and 86.6% on the venous side. Post bypass blood gas analyses showed physiologic values and no evidence of major lung trauma or pulmonary oedema in relation to the six hours' bypass. Red blood count was 5.84 ± 0.02 before and 4.63 + 0.1 million/mm3 after mixing and dropped to 3.89 ± 0.52 till the end of the bypass. After seven days the red blood count was practically normalized with over 5,000,000 erythrocytes per mm3 at the end of the observation. Blood trauma evaluated in function of plasma haemoglobin and (thrombocyte) depletion showed the following results: prebypass: 2.3 ± 0.7 μmol/l plasma haemoglobin and (220 ± 24 thousand thrombocytes per mm3); after six hours perfusion: 26.2 ± 15.5 and (137 ± 12); after seven days: 9.3 ± 4.1 and (400 ± 125). Post mortem studies did not demonstrate any deleterious lesions.
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Soliman P, Garcia E, Lang K, Villanueva V, Westin S, Fleming N, Feeley T, Lu K, Meyer L. Evaluation of resource utilization using time-derived activity-based costing results in more effective processes and cost reduction. Gynecol Oncol 2016. [DOI: 10.1016/j.ygyno.2016.04.505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Garcia E, Kurnosov A, Laganà A, Pirani F, Bartolomei M, Cacciatore M. Efficiency of Collisional O2 + N2 Vibrational Energy Exchange. J Phys Chem B 2016; 120:1476-85. [PMID: 26292835 DOI: 10.1021/acs.jpcb.5b06423] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
By following the scheme of the Grid Empowered Molecular Simulator (GEMS), a new O2 + N2 intermolecular potential, built on ab initio calculations and experimental (scattering and second virial coefficient) data, has been coupled with an appropriate intramolecular one. On the resulting potential energy surface detailed rate coefficients for collision induced vibrational energy exchanges have been computed using a semiclassical method. A cross comparison of the computed rate coefficients with the outcomes of previous semiclassical calculations and kinetic experiments has provided a foundation for characterizing the main features of the vibrational energy transfer processes of the title system as well as a critical reading of the trajectory outcomes and kinetic data. On the implemented procedures massive trajectory runs for the proper interval of initial conditions have singled out structures of the vibrational distributions useful to formulate scaling relationships for complex molecular simulations.
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Garcia E, Vicente I, Martínez R. Case report: Hallucinations as depressive equivalents. Eur Psychiatry 2016. [DOI: 10.1016/j.eurpsy.2016.01.281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
We comment the case of a 12 years old girl who started with visual and auditive hallucinations. Hallucinations are not a common symptom between children. They may also be linked to many conditions, some of them with poor outcome as schizophrenia. Symptoms appeared in a short time, after a previous normal development. She talked about a man who followed her and that was always behind, she also had heard some insults of undeterminated voices. These symptoms were just of one-month duration and made her feel anxious and very afraid. After a normal organical study and a first proposal of medication they asked for our consultation. We found that the patient was alone at home every afternoon. Family, from other country, hadn’t any social support, and the father had had to travel away some days before the child began to suffer hallucinations. Suspecting an affective disorder as the basis of anxious symptoms, and hallucinations as a cultural presentation of them, we started with a social intervention mixed with support therapy. After some sessions the patient could talk about her loneliness and fears, disappearing the other symptoms. We will resume this case and literature about other cultural presentations that may difficult diagnosis or treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Ros-Cucurull E, Daigre C, Grau-Lopez L, Barral C, Abad A, Ortiz M, Martinez-Arias R, Garcia E, Cardona C, Jacas C, Casas M, Roncero C. Related factors with substance use in old adults. Eur Psychiatry 2016. [DOI: 10.1016/j.eurpsy.2016.01.1076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
IntroSubstance use disorder is a growing phenomenon among the elderly. It is undervalued, misidentified, underdiagnosed and poorly treated.AimStudy prevalence, characteristics and risk factors associated with drug use among the elderly.MethodA 6-month prospective study of substance use in elderly patients (65+) who attended the addiction and dual diagnosis unit, Vall d’Hebron University Hospital.ResultsFifty-nine patients evaluated, mean age 70.04 years, 60% men. A total of 49.1% are married, 35.8% divorced and 53.8% live with a partner and/or children. A total of 67.3% have basic studies and 78.8% are pensioners. A total of 82.7% have no criminal record.Medical comorbidity presents in 90.4% of the sample, psychiatric and addictive family background in 42.3% and 37.3%. A total of 67.3% have comorbid Axis I (mainly affective disorders) and 25% Axis II (cluster B most). A total of 7.7% attempted suicide at least once.The main substance is alcohol (76.9%), followed by prescription drugs (19.3%). A total of 28.8% are multi-drug users. A total of 67.3% have used tobacco in their life and 63.5% are currently dependent. The average age of onset for a disorder for any substance consumption is 28.19, being lower for alcohol and illegal substances and higher for prescription drugs.A total of 61.5% have gone through treatment before but only 32.7% has been admitted because of addiction. The adherence rate is 90.4% and the relapse rate 8.3% at first month and 13% at 6 months.ConclusionsOld adults present differences compared to overall drug user population: prevalence by gender is almost equal, lower Axis II, less multi-drug consumption and both dropout and relapse rate are drastically lower.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Garcia E, Leon M, Polo F. Multifactorial Ethiopathogenic In Eating Disorders. Eur Psychiatry 2016. [DOI: 10.1016/j.eurpsy.2016.01.1552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Eating Disorders is a heterogeneous group of syndromes which includes many factors in their develop. The three main syndromes, AN, BN and EDNOS has been defined in last DSM as independent entities. However is well known that a group of patients may change its presentation along time, so also been at first diagnosed of AN, lately will fulfil criteria for BN or EDNOS.In the other hand, if we compare two patients with the same syndrome, as BN, or AN…We may easily find big differences in personality, stressors…and in some cases the only common factor is the clinical presentation.Behind all of this is the fact that syndromic classification drives to empiric treatments that are far the most validated.But although there is a well known evolution in this disorders, with a not so bad income as one could think initially (in some cases one third could recover without treatment), what may we do with those patients that are resistant for empiric treatments?And it is our opinion that a deeper knowledge of all the factors that contribute to the syndrome or its presentation, as well as those related to treatments results, should be taken into account.We have reviewed all knowledge about these issues and we have completed it with our clinical practise using a 50 patients data base, here we will show our results, that are basically that even the same factors interact in different ways in each patient, so it is not just the ingredients but the recipe.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Garcia E, Leon M, Polo F, Martinez R. Brief psychotherapy in eating disorders. Eur Psychiatry 2016. [DOI: 10.1016/j.eurpsy.2016.01.2290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
First time we began to work with eating disorders, we used to hear the chronic course of the illness and the long-term treatment that our patients would need. When you have a team trained in brief psychotherapy, but not in this specific area, it sounds as just the opposite you try to reach with your patients. National guidelines however are full of psycho-educational and cognitive-conduct treatment's models, without any other validated kind of treatment. However, it was our experience that solution focused or problem focused therapy were also two clinical effective approaches to many psychiatric problems. In fact, we had a mature consult, in which as far as two thirds of patients had become, some way chronic. Problem was, as far as we can imagine, if that was a disease's effect or a lack of a deeper intervention, which were wider than those classic. So, we classified our patients in resistant or not resistant, and doing so we add brief therapy to the first group, reevaluating every week each intervention and the course of the illness. By doing so, we found that chronicity was, in same cases, just the result of limited treatments. Here we have analysed some chronic patients with a bad course and the alternatives that let them to recover.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Ren B, Sturmberger T, Ancona R, Schwartz SL, Del Val Martin D, Szymanski P, Islas F, Muratori M, Mcghie J, Van Weenen S, Rodriguez-Olivares R, Van Gils L, Geleijnse ML, De Jaegere PPT, Van Mieghem NMDA, Ebner C, Tkalec W, Eder V, Aichinger J, Comenale Pinto S, Caso P, Monteforte I, Coppola MG, Sellitto V, Macrino M, Ferro A, Calabro R, Rozenbaum RZ, Topilsky Y, Fraile Sanz C, Salido Tahoces L, Hernandez-Antolin R, Fernandez-Golfin C, Mestre Barcelo JL, Casas Rojo E, Zamorano Gomez JL, Hryniewiecki T, Jastrzebski J, Dabrowski M, Sorysz D, Kochman J, Kukulski T, Zembala M, Almeria C, Olmos C, Garcia E, Nombela L, Marcos-Alberca P, De Agustin JA, Mahia P, Macaya C, Perez De Isla L, Fusini L, Ghulam Ali S, Tamborini G, Gripari P, Salvi L, Bartorelli AL, Alamanni F, Pepi M. Rapid Fire Abstract session: new insights in TAVI334Transcatheter heart valve underexpansion patterns335Echocardiography after TAVI with directflow medical prosthesis: small leaks and high gradients336Effects of transcatheter aortic valve implantation on left ventricular and atrial function evaluated by two and three-dimensional speckle tracking at eighteen-month follow-up337Impact of tricuspid regurgitation and right ventricular dysfunction on outcome of patients undergoing trans-catheter aortic valve replacement338Significant mitral regurgitation evolution in patients with severe aortic stenosis after transcatheter aortic valve implantation (TAVI): results and prognostic implications339An impact of pre- and postprocedural mitral regurgitation on mortality following TAVI340Immediate and one-year changes in systolic echocardiographic parameters after TAVI. Are there significant differences between patients with low and normal ejection fraction?341Long term echocardiographic follow-up (5-year) in transcatheter aortic valve implantation: morpho-functional changes of the implanted aortic valve: Table. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Garcia E, Ali AM, Soles RM, Lewis DG. The American Society for Clinical Pathology's 2014 vacancy survey of medical laboratories in the United States. Am J Clin Pathol 2015; 144:432-43. [PMID: 26276774 DOI: 10.1309/ajcpn7g0mxmstxcd] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVES To determine the extent and distribution of workforce shortages within the nation's medical laboratories. Historically, the results of this biennial survey have served as a basis for additional research on laboratory recruitment, retention, education, marketing, certification, and advocacy. METHODS The 2014 Vacancy Survey was conducted through collaboration between American Society for Clinical Pathology's Institute of Science, Technology, and Policy in Washington, DC, and the Evaluation, Measurement, and Assessment Department and Board of Certification in Chicago, Illinois. Data were collected via an Internet survey that was distributed to individuals who were able to report on staffing and certifications for their laboratories. RESULTS Data reveal increased overall vacancy rates since 2012 for all departments surveyed except cytology and cytogenetics. Also, results show higher anticipated retirement rates for both staff and supervisors. Overall certification rates are highest among laboratory personnel in cytogenetics, hematology/coagulation, and flow cytometry departments and lowest among phlebotomy, specimen processing, and anatomic pathology. CONCLUSIONS Factors such as retirement and the improving economy are driving the need for more laboratory professionals. Recruitment of qualified laboratory professionals in the workforce and students in laboratory programs will be the key in fulfilling the higher vacancies revealed from the survey results in 2014.
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Garcia E, Nistal A, Khalifa A, Essa Y, Martín de la Escalera F, Osendi MI, Miranzo P. Highly Electrically Conducting Glass-Graphene Nanoplatelets Hybrid Coatings. ACS APPLIED MATERIALS & INTERFACES 2015. [PMID: 26222837 DOI: 10.1021/acsami.5b02553] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Hybrid coatings consisting of a heat resistant Y2O3-Al2O3-SiO2 (YAS) glass containing 2.3 wt % of graphene nanoplatelets (GNPs) were developed by flame spraying homogeneous ceramic powders-GNP granules. Around 40% of the GNPs survived the high spraying temperatures and were distributed along the splat-interfaces, forming a percolated network. These YAS-GNP coatings are potentially interesting in thermal protection systems and electromagnetic interference shields for aerospace applications; therefore silicon carbide (SiC) materials at the forefront of those applications were employed as substrates. Whereas the YAS coatings are nonconductive, the YAS-GNP coatings showed in-plane electrical conductivity (∼10(2) S·m(-1)) for which a low percolation limit (below 3.6 vol %) is inferred. Indentation tests revealed the formation of a highly damaged indentation zone showing multiple shear displacements between adjacent splats probably favored by the graphene sheets location. The indentation radial cracks typically found in brittle glass coatings are not detected in the hybrid coatings that are also more compliant.
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Garcia E, König K, Allesen-Holm B, Klaas I, Amigo J, Bro R, Enevoldsen C. Experienced and inexperienced observers achieved relatively high within-observer agreement on video mobility scoring of dairy cows. J Dairy Sci 2015; 98:4560-71. [DOI: 10.3168/jds.2014-9266] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2014] [Accepted: 03/26/2015] [Indexed: 11/19/2022]
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Hashimoto A, Nakata T, Moroi M, Tamaki N, Nishimura T, Hasebe N, Kikuchi K, Salgado C, Jimenez-Heffernan A, Lopez-Martin J, Ramos-Font C, Sanchez De Mora E, Rivera F, Lopez-Aguilar R, Martinez A, Manovel A, Soriano E, Mushtaq S, Pontone G, Bertella E, Conte E, Segurini C, Volpato V, Beltrama V, Pepi M, Annoni A, Andreini D, Leen A, Scholte A, De Graaf M, Van Den Hoogen I, Kharagjitsingh A, Wolterbeek R, Kroft L, Jukema J, Bax J, Piccinelli M, Santana C, Sirineni G, Cooke C, Aguade Bruix S, Keidar Z, Frenkel A, Israel O, Candell Riera J, Garcia E, Sharma A, Bajwa A, Bhatnagar U, Thompson E, Patil S, Thompson R, Khoorshed A, Spencer F, Farncombe T, Tandon V, Singnurkar A, Gulenchyn K, Benito Gonzalez TF, Delgado Sanchez-Gracian C, Trinidad Lopez C, Mera Fernandez D, Villanueva Campos AM, Bustos Fiore A, Alonso Fernandez V, Mayorga Bajo A, Martinez Paz E, Iglesias Garriz I. Moderated Poster Session 1: Sunday 3 May 2015, 10:00-11:00 * Room: Moderated Poster Area. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Garcia E, Li Q, Sun X, Lozano K, Mao Y. TiO2 Fibers: Tunable Polymorphic Phase Transformation and Electrochemical Properties. JOURNAL OF NANOSCIENCE AND NANOTECHNOLOGY 2015; 15:3750-3756. [PMID: 26505001 DOI: 10.1166/jnn.2015.9545] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
A series of one-dimensional (1 D) nanoparticle-assembled TiO2 fibers with tunable polymorphs were prepared via a novel and large scale ForceSpinning process of titanium tetraisopropoxide (TTIP)/polyvinylpyrrolidone (PVP) precursor fibers followed with a thermal treatment at various calcination temperatures. The thermal and structural transformations were characterized by thermogravimetric analysis/differential scanning calorimetry, scanning electron microscopy, and X-ray diffraction. The influence of polymorphic phase of the TiO2 fibers on the electrochemical performance in neutral aqueous 1 M Na2SO4 electrolyte was investigated. The polymorphic amorphous/anatase/rutile TiO2 fibers prepared at 450 degrees C achieved a highest capacitance of 21.2 F g(-1) (6.61 mF cm(-2)) at a current density of 200 mA g(-1), for which the improved electronic conductivity and activated pseudocapacitance mechanism may be responsible. This work helps bridge the gap between nanoscience and manufacturing. It also makes polymorphism control of functional materials a potential strategy for further improving supercapacitive output of metal oxides.
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Ferrer Gonzalez F, Letelier H, De Blas R, Boladeras A, Piñeiro R, Galdeano M, Najjari D, Castells M, Garcia E, Zardoya E, Suarez J, Martinez E, Gutierrez C, Pera J, Picon C, Guedea F. EP-1258: Early experience in SBRT with VMAT and flattening filterfree (FFF) beams. Phase I-II trial. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)41250-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Jung Y, Cho M, O'Connor A, Chang C, Koozehchian M, Goodenough C, Barringer N, Ayadi F, Walker D, Simbo S, Galvan E, Dalton R, Levers K, Garcia E, Mitchell C, Rasmussen C, Greenwood M, Murano P, Earnest C, Kreider R. Effects of Pre‐Workout Supplement on Strength, Anaerobic Power, and Body Composition. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Galvan E, Jung Y, Cho M, O'Connor A, Chang C, Koozehchian M, Goodenough C, Barringer N, Ayadi F, Walker D, Simbo S, Dalton R, Levers K, Garcia E, Mitchell C, Rasmussen C, Greenwood M, Murano P, Earnest C, Kreider R. Acute Hemodynamic, Hematologic and Dose Effects of Ingesting Two Creatine Nitrate Based Dietary Supplements. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Jung Y, Cho M, O'Connor A, Chang C, Koozehchian M, Goodenough C, Barringer N, Ayadi F, Walker D, Simbo S, Galvan E, Dalton R, Levers K, Garcia E, Mitchell C, Rasmussen C, Greenwood M, Murano P, Earnest C, Kreider R. Effects of 8 Weeks Ingestion of a Pre‐Workout Supplement With and Without Synephrine on Cognitive Function, and Perceptions of Readiness to Perform. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Bergonzini S, Mendoza A, Paz MA, Garcia E, Aguilar JM, Arlati FG, Galletti L, Comas JV. Feasibility and safety of biventricular repair in neonates with hypoplastic left heart complex. Pediatr Cardiol 2015; 36:274-80. [PMID: 25096907 DOI: 10.1007/s00246-014-0995-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2014] [Accepted: 07/23/2014] [Indexed: 11/25/2022]
Abstract
Hypoplastic left heart syndrome is a spectrum of structural cardiac malformations characterized by variable underdevelopment of the left heart-aorta complex. A minority of patients having a milder degree of left ventricular hypoplasia, described as hypoplastic left heart complex (HLHC), may be selected for biventricular repair. The objective of this study was to assess the outcome of the biventricular approach in HLHC. We evaluated retrospectively 30 neonates diagnosed with HLHC from the "12 de Octubre" University Hospital, following established criteria. We analyzed the echocardiographic data recorded just after birth and at last follow-up after surgery. All patients were operated on in the neonatal period using various surgical techniques. There were no early deaths and only 1 late death after a mean follow-up of 62.9 ± 43.8 months. All patients presented a significant growth of the left ventricular structures, with a Z-score increase of 1.17 ± 1.05 for mitral annulus, 1.72 ± 1.23 for aortic annulus, and 1.33 ± 1.46 for left ventricular end-diastolic diameter. Postoperatively, 18 patients showed a left valvular stenosis, and 17 patients underwent a reoperation and/or an interventional procedure. Freedom from surgery or interventional catheterizations at 1, 3 and 5 years was 53, 49 and 43%, respectively. The 29 current survivors are all in a good functional status. In our experience, we achieved good results from biventricular repair in patients with HLHC, with a significant growth of left heart structures and an excellent clinical status at a medium-term follow-up. Nevertheless, there was a high rate of reoperations and/or interventional catheterizations.
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Garcia E, Klaas I, Amigo J, Bro R, Enevoldsen C. Lameness detection challenges in automated milking systems addressed with partial least squares discriminant analysis. J Dairy Sci 2014; 97:7476-86. [DOI: 10.3168/jds.2014-7982] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2014] [Accepted: 08/20/2014] [Indexed: 11/19/2022]
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Balaña M, Fabregas M, Meca-Lallana J, Mendibe M, Garcia E. Factors Associated with Caregiver's Burden in Relapsing-Remitting Multiple Sclerosis and Satisfaction with Current Therapies. MS-Feeling Study. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2014; 17:A402. [PMID: 27200963 DOI: 10.1016/j.jval.2014.08.920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Balaña M, Galera J, López-Góngora M, Escartín A, Izquierdo G, Borges M, Garcia E. Cognitive Impairment and Health Related Quality of Life in Relapsing Remitting Multiple Sclerosis. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2014; 17:A403. [PMID: 27200969 DOI: 10.1016/j.jval.2014.08.925] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Galeazzi M, Bazzichi L, Sebastiani GD, Neri D, Garcia E, Ravenni N, Giovannoni L, Wilton J, Bardelli M, Baldi C, Selvi E, Iuliano A, Minisola G, Caporali R, Prisco E, Bombardieri S. A phase IB clinical trial with Dekavil (F8-IL10), an immunoregulatory 'armed antibody' for the treatment of rheumatoid arthritis, used in combination wiIh methotrexate. THE ISRAEL MEDICAL ASSOCIATION JOURNAL : IMAJ 2014; 16:666. [PMID: 25438467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Tassies D, Martin L, Martinez-Zamora M, Garcia E, Monteagudo J, Creus M, Carmona F, Balasch J, Reverter J. C0527: Circulating Procoagulant Cell-Derived Microparticles in Women with Recurrent Miscarriage Associated with the Antiphospholipid Syndrome. Thromb Res 2014. [DOI: 10.1016/s0049-3848(14)50104-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Reverter J, Garcia E, Martinez-Zamora M, Martin L, Casals G, Monteagudo J, Civico S, Carmona F, Balasch J, Tassies D. C0514: Increased Circulating Procoagulant Microparticles are Associated with Recurrent Implantation Failure After In Vitro Fertilization and Embryo Transfer. Thromb Res 2014. [DOI: 10.1016/s0049-3848(14)50353-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Bennett A, Garcia E, Schulze M, Bailey M, Doyle K, Finn W, Glenn D, Holladay EB, Jacobs J, Kroft S, Patterson S, Petersen J, Tanabe P, Zaleski S. Building a laboratory workforce to meet the future: ASCP Task Force on the Laboratory Professionals Workforce. Am J Clin Pathol 2014; 141:154-67. [PMID: 24436262 DOI: 10.1309/ajcpiv2og8teghhz] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
OBJECTIVES To analyze the demand for services from the nation's medical laboratories, which is predicted to dramatically increase as our citizens age and millions receive insurance coverage through the Affordable Care Act. METHODS A systematic review of relevant publications and databases was conducted to assess the current state of the nation's medical laboratory workforce and to examine the impact of population demographics and health reform on workforce development to address the future demand for laboratory services. RESULTS Building a Laboratory Workforce to Meet the Future, a new report from the American Society for Clinical Pathology (ASCP), provides a comprehensive strategy to address the future workforce needs of the nation's medical laboratories to meet this demand to provide timely, accurate, and safe patient care and to fully realize the benefits of personalized medicine. CONCLUSIONS The report, from the ASCP Task Force on the Laboratory Professionals Workforce, is a comprehensive review of the myriad of factors affecting recruitment and retention of qualified laboratory professionals and provides a set of thoughtful recommendations outlining a multifaceted approach to bolster the pipeline of potential candidates for the profession as well as leadership in health care.
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Sanz-Merodio D, Cestari M, Arevalo J, Carrillo X, Garcia E. Generation and control of adaptive gaits in lower-limb exoskeletons for motion assistance. Adv Robot 2014. [DOI: 10.1080/01691864.2013.867284] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Franch C, Calzada E, Gomez R, Martinez C, Medina G, De Santiago J, Serrano A, Ugidos A, Garcia E, Manso C. EPA-1214 – Metabolic syndrom in psychotic patients treated with atypical antipsychotics. Could psycho-educational interventions control it? Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78460-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Papanna R, Block-Abraham D, Mann LK, Buhimschi IA, Bebbington M, Garcia E, Kahlek N, Harman C, Johnson A, Baschat A, Moise KJ. Risk factors associated with preterm delivery after fetoscopic laser ablation for twin-twin transfusion syndrome. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2014; 43:48-53. [PMID: 24013922 PMCID: PMC4142227 DOI: 10.1002/uog.13206] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/02/2013] [Indexed: 06/02/2023]
Abstract
OBJECTIVE Despite improved perinatal survival following fetoscopic laser ablation (FLA) for twin-twin transfusion syndrome (TTTS), prematurity remains an important contributor to perinatal mortality and morbidity. The objective of the study was to identify risk factors for complicated preterm delivery after FLA. METHODS Retrospective cohort study of prospectively collected data on maternal/fetal demographics and pre-operative, operative and postoperative variables of 459 patients treated with FLA in three USA fetal centers. Multivariate linear regression was performed to identify significant risk factors associated with preterm delivery, which were cross-validated using the k-fold method. Multivariate logistic regression was performed to identify risk factors for early compared with late preterm delivery based on median gestational age at delivery of 32 weeks. RESULTS There were significant differences in case selection and outcomes between the centers. After controlling for the center of surgery, multivariate analysis indicated that a lower maternal age at procedure, a history of previous prematurity, shortened cervical length, use of amnioinfusion, a cannula diameter of 12 French (Fr), lack of a collagen plug placement and iatrogenic preterm premature rupture of membranes (iPPROM) were significantly associated with a lower gestational age at delivery. CONCLUSIONS Specific fetal/maternal and operative variables are associated with preterm delivery after FLA for the treatment of TTTS. Further studies to modify some of these variables may decrease the perinatal morbidity after laser therapy.
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Hernando Dumaraog B, De Paz JF, Corchado JM, Garcia E, Aliaga I, Campo L, Vera V. Application of Bioinformatics in the Mount/Hume classificacition of caries and his relationship with Orthopantomography. J Clin Exp Dent 2014. [DOI: 10.4317/jced.17643816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Reeves SL, Garcia E, Kleyn M, Housey M, Stottlemyer R, Lyon-Callo S, Dombkowski KJ. Identifying sickle cell disease cases using administrative claims. Acad Pediatr 2014; 14:S61-7. [PMID: 24882379 PMCID: PMC7197254 DOI: 10.1016/j.acap.2014.02.008] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2013] [Revised: 02/18/2014] [Accepted: 02/20/2014] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To develop and test the accuracy of administrative claims method for identifying children with sickle cell disease (SCD) to enable quality of care assessments among children enrolled in Medicaid. METHODS All administrative claims with an SCD diagnosis were obtained from Michigan Medicaid from 2008 to 2011 for children ≤18 years, representing 1828 individuals. All Medicaid claims were obtained for these children and classified into categories on the basis of SCD care; these classifications were used to develop 37 alternative case definitions for identifying children with SCD. Children with ≥1 SCD claim in 2010 or 2011 were identified as confirmed SCD or not SCD using the gold standard of Michigan newborn screening administrative records. Measures of performance were calculated for each case definition for eligible children in 2010. Further validation of the case definitions was performed among eligible children in 2011. RESULTS In 2010, a total of 938 children met eligibility criteria and were linked to newborn screening records; 605 (59%) were confirmed SCD, and 333 (32%) were not SCD. Measures of performance varied among the 37 case definitions, and the 4 best case definitions on the basis of the sensitivity, specificity, and area under the receiver operating characteristic (ROC) curve were validated among 924 children meeting eligibility criteria in 2011. The case definition of at least 3 SCD claims in any position identified children with SCD with the most accuracy, with an area under the ROC curve of 0.91 (95% confidence interval 0.89, 0.93). CONCLUSIONS This definition can be used to facilitate a more accurate identification of children with SCD in future studies. Further investigation is necessary to determine whether this method translates to other populations besides Michigan Medicaid-insured children.
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