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Ibáñez JP, Monteverde ML, Diaz MA, Goldberg J, Turconi AF. Sirolimus in chronic allograft nephropathy in pediatric recipients. Pediatr Transplant 2007; 11:777-80. [PMID: 17910656 DOI: 10.1111/j.1399-3046.2007.00749.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
CAN is a common cause of late graft loss. Nephrotoxicity due to CNIs is known to contribute to CAN. We retrospectively evaluated the efficacy and safety of SRL in pediatric renal Tx recipients showing CAN in their allograft biopsy. Twenty-one patients aged 10.4 +/- 4.6 yr at Tx time receiving CNIs as primary immunosuppression were converted to SRL at 58.9 +/- 49.1 months after Tx, due to progressive decline of renal function and biopsy proven CAN. Mean follow-up after switch was 19.7 +/- 9.5 months. All patients received CsA as part of the immunosuppressive regimen, at a mean dose 4.4 +/- 1.2 mg/kg/day. Mean daily dose of SRL three month after conversion was 2.6 +/- 0.8 mg/body surface area/day and the mean through levels where 6.9 +/- 2.5 ng/mL. Graft biopsies showed Grade I CAN in 12 children and Grade II CAN in nine. After SRL introduction, there were neither acute rejection episodes nor graft losses. GFR improved at three months and was sustained thereafter only in children with Grade I CAN. Post-Tx time at conversion was the only significant variable between patients who had Grade I CAN and Grade II CAN (33.6 +/- 33.3 vs. 92.7 +/- 47.5 months, p = 0.003). Nine patients had no AEs, six patients had nine SAE: five diarrhea, one herpes zoster, one pancreatic pseudo cyst, one pneumonia, and one Influenza A infection; 11 patients had 13 AEs: six oral aphthous ulcers, three urinary tract infections, two herpes simplex, one lymphedema, and one nephrotic proteinuria. Significant improvement of GFR occurred in Grade I CAN group at three months from conversion and was sustained during follow-up. Those who had Grade II CAN experienced no change in GFR. The incidence of AEs and SAE is of concern and further studies are necessary to assess their relevance.
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McConnell S, Goldberg J. 351: Myometrial Air Infiltration Following Postpartum Uterine Artery Embolization. J Minim Invasive Gynecol 2007. [DOI: 10.1016/j.jmig.2007.08.330] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Abstract
OBJECTIVE Self-everting ileostomy. METHOD After delivering the small bowel through the trephine wound the bowel is opened and with time the mucosa migrates to the skin edge forming a spouted ileostomy. RESULTS Five patients underwent the self-everting ileostomy with no stomal complications experienced. The end result is indistinguishable from a primarily sutured stoma. CONCLUSION The self-everting ileostomy can be a useful technique to get out of a difficult situation.
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Mansour G, Radwan E, Sharma R, Agarwal A, Falcone T, Goldberg J. DNA damage to embryos incubated in the peritoneal fluid of patients with endometriosis: role in infertility. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.1046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Mansour G, Falcone T, Shahaat A, Sharma R, Goldberg J, Agarwal A. Response of immature and mature mouse cytoskeleton to endometriosis – role of oxidative stress. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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106
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Abdelrazik H, Mansour G, Falcone T, Sharma R, Goldberg J, Agarwal A. Reduction in cytoskeleton damage by incubation of oocytes in peritoneal fluid supplemented with L-Carnitine. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.1017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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107
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Kader A, Abdelrazik H, Sharma R, Falcone T, Goldberg J, Agarwal A. Effect of zonal hatching on expanded and non-expanded blastocysts vitrification. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.307] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Goldberg J, Jordan M, Chan S. 208: Ski Injuries in the United States: Before and After the Introduction of the Shape Ski. Ann Emerg Med 2007. [DOI: 10.1016/j.annemergmed.2007.06.360] [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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Mansour G, Goldberg J, Agarwal A, Sharma R, Mahfouz R, Falcone T. Correlation between sperm DNA damage, stage of endometriosis and the duration of infertility. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Bedaiwy M, Mahfouz R, Goldberg J, Miller K, Agarwal A, Falcone T. Relationship of reactive oxygen species levels in day 3 culture media with the outcome of IVF/ICSI cycles. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Mansour G, Goldberg J, Agarwal A, Sharma R, Mahfouz R, Falcone T. Sperm chromatin damage and its role in the pathogenesis of infertility in patients with endometriosis. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.1209] [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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112
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Mansour G, Sharma R, Lotfy G, Agarwal A, Goldberg J, Falcone T. Endometriosis induced alterations in the mouse oocyte cytoskeleton. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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113
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Kader A, Abdelrazik H, Sharma R, Falcone T, Goldberg J, Agarwal A. Vitrification vs. slow cryopreservation of expanded and non expanded blastocysts — effect on DNA damage. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Kader A, Agarwal A, Abdelrazik H, Falcone T, Goldberg J, Sharma R. Routine use of blastocele aspiration of expanded blastocysts and assisted hatching of non-expanded blastocysts before vitrification. Fertil Steril 2007. [DOI: 10.1016/j.fertnstert.2007.07.309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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115
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Herasme O, Goldberg J, Sandoval R, Harris C, Ortiz-Pride Y, Jacobson J, Schmitt K, Kumah C, Hershman D, Grann V. Barriers to participation in breast cancer trials. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.6593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
6593 Background: Clinical cancer trials allow investigators to test the effectiveness and safety of new cancer drugs and treatments. Historically, fewer that 5% of cancer patients have participated in clinical trials. The purpose of this study was to assess attitudes, beliefs, and practical barriers to clinical trial recruitment. Methods: Women were recruited in the Herbert Irving Comprehensive Cancer Center while waiting for routine breast screening or for oncology care in connection with a diagnosis of breast cancer. The 29-item survey questionnaire covered demographic factors, prior cancer diagnosis or risk factors, past experience with clinical trials if any, willingness to participate in different types of trials, and attitudinal and practical barriers to participation. Results: Of 329 respondents, 48.9% were non- Hispanic white, 10.9% non-Hispanic black, 34.9% Hispanic, and 5.30% other/unknown. The mean age of participants was 52.5 (SD=12.1). Of 131 (39.8%) participants reporting that they had been asked to participate in clinical trial, 82 were white, 17 black and 32 Hispanic. Of those who enrolled, 64 were white, 14 were black, and 19 Hispanic. Of those asked to participate 56/63 breast cancer patients (88.9%) and 44/68 others (64.7%) enrolled (P=0.002). Of 48 who reported that they had child care responsibilities, 33 enrolled (68.8) compared to 67/83 (80.7%) of those without such responsibilities (P=0.07). Of the total sample, 88/220 (40.0%) of those without childcare responsibilities but only 32/109 (29.4) said they would be willing to participate in a placebo-controlled trial. Respondents were twice as likely to say they would participate in a trial comparing two active agents as a placebo-controlled trial. Conclusion: Our findings suggest that being asked to participate in a clinical trial may be associated with demographic factors, and that specific circumstances, such as child care responsibilities, may also affect trial participation. Awareness of these barriers may help investigators to develop effective strategies for overcoming them and for improving trial participation overall. No significant financial relationships to disclose.
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Anderson BD, Goldberg J, Adler J, Covington L, Olson D, Gordon B, Reaman G, Everett J, Smith M, Christian M. The NCI pediatric central institutional review board (PedCIRB) initiative: Progress and impact. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.6632] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
6632 NCI has developed a central IRB (PedCIRB) to review NCI-sponsored pediatric clinical trials conducted by the Children's Oncology Group (COG). COG comprises ∼200 U.S. medical institutions and protocol activation traditionally requires separate protocol review by each local IRB (LIRB) and, subsequently, a review of each protocol amendment and significant adverse event. The PedCIRB model seeks to increase patient protection by improving the expertise of protocol reviewers and making their review available to all PedCIRB participating institutions. The PedCIRB consists of experts in pediatric oncology, pediatric medicine, nursing, pharmacy, bioethics, biostatistics, as well as patient advocates and childhood cancer survivors. The PedCIRB model also eliminates redundant reviews, reduces administrative burdens on local COG investigators and LIRBs, and can accelerate the pace of local protocol activation, thus increasing the availability of clinical trials to children with cancer. The PedCIRB conducts a full board protocol review that is available via a confidential website to participating LIRBs. LIRBs can choose to perform a facilitated review, using PedCIRB materials, that focuses on local concerns, rather than a full LIRB protocol review. If the LIRB accepts the PedCIRB review, the PedCIRB becomes the IRB of record for that protocol and takes responsibility for the review of subsequent protocol amendments, adverse events and continuing reviews. Since starting in November 2004, the PedCIRB has reviewed 59 protocols. Initial reviews resulted in 44 approvals pending modification and 15 protocols being tabled for further information. The time from protocol submission to final approval by the PedCIRB has ranged from 3 to 28 weeks with an average time of 16.9 weeks during year one and 12.7 weeks during year two of the project. As of November 2006, 117 of a possible 197 U.S. COG institutions (59%) have signed on to the PedCIRB initiative and 70% of the participating institutions have conducted facilitated reviews (total 750) for the 30 protocols available on the PedCIRB website. The PedCIRB's influence on protocol development and patient accrual timelines will be discussed. No significant financial relationships to disclose.
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Wernicke A, Gidea-Addeo D, Magnolfi C, Fenton-Kerimian M, Goldberg J, Formenti S. 54. Int J Radiat Oncol Biol Phys 2006. [DOI: 10.1016/j.ijrobp.2006.07.083] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Davis I, Coxon A, Goldberg J, Burgess T, Fisher D. 620 POSTER Identification of the receptor tyrosine kinase c-Met and its ligand, HGF, as therapeutic targets in clear cell sarcoma. EJC Suppl 2006. [DOI: 10.1016/s1359-6349(06)70625-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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119
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Mansour G, Agarwal A, Goldberg J, Gupta S, Sharma R, Falcone T. P-472. Fertil Steril 2006. [DOI: 10.1016/j.fertnstert.2006.07.834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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120
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Rodgers A, Falcone T, Goldberg J, Hammel J. P-446. Fertil Steril 2006. [DOI: 10.1016/j.fertnstert.2006.07.807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Adeney KL, Goldberg J, Noonan C, Afari N. A Twin Study of Posttraumatic Stress Disorder Symptoms and Chronic Widespread Pain. Am J Epidemiol 2006. [DOI: 10.1093/aje/163.suppl_11.s221-b] [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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122
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Adeney KL, Goldberg J, Noonan C, Afari N. Twin Study of Migraine and Post-Traumatic Stress Disorder in Females. Am J Epidemiol 2006. [DOI: 10.1093/aje/163.suppl_11.s221-a] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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123
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Goldberg J, Fischer M, Goodwin R. Are Post-Traumatic Stress Disorder Symptoms a Risk Factor for Asthma? A Twin Study. Am J Epidemiol 2006. [DOI: 10.1093/aje/163.suppl_11.s210-b] [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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124
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Re L, Cicora F, Petroni J, Goldberg J, Rial MC, Casadei D. Comparison Between Clinical and Histopathological Scoring in Cadaveric Kidney Transplantation and Its Correlation With Posttransplant Evolution. Transplant Proc 2006; 38:903-4. [PMID: 16647504 DOI: 10.1016/j.transproceed.2006.02.042] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
INTRODUCTION There are several scoring systems, both clinical (Deceased Donor Score [DDS]) and histopathological (Remuzzi [REM]), that attempt to determine acceptability criteria for deceased donor kidney transplant. A retrospective study was performed among a group of kidney transplant recipients to evaluate posttransplant evolution with clinical and histopathological scores. MATERIALS AND METHODS Among 107 first deceased donor kidney transplant patients, 95 had undergone a pretransplant biopsy. Donor age was 38.46 +/- 16.9 years; recipient age: 49.2 +/- 16.3 years; DDS was 15.58 +/- 7.29. REM was 2.89 +/- 1.7. Delayed graft function was 64.2%. Induction therapy was administered to 49.5%. Cold ischemia time (CIT) was 1364 +/- 348 minute. Time on dialysis was 2275 +/- 1501 days. Induction therapy, immunosuppressive regimens, CIT, and time on dialysis were not significantly different among the groups. One-year patient and graft survival were 94.5% and 86%, respectively and 2-year values, 92.6% and 81%, respectively. CONCLUSION DDS showed a significant correlation with serum creatinine values over 1 and 2 years. REM did not show a significant association with any events. The differences were sustained after adjusting for other variables. Graft survival maintained a strong correlation with DDS categories and no association with REM. The clinical characteristics of a deceased donor appeared to be of greater importance than the biopsy findings in terms of posttransplant events.
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Kleinert R, Hallmann C, Steup A, Black P, Goldberg J, Desjardins P. (773). THE JOURNAL OF PAIN 2006. [DOI: 10.1016/j.jpain.2006.01.175] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Vaccarino V, Goldberg J, Cheema F, Reddy U, Maisano C, Jones L, Murrah N, Quyyumi A, Bremner J. We-W39:5 Flow-mediated vasodilation predicts occult coronary artery disease detected by positron emission tomography. ATHEROSCLEROSIS SUPP 2006. [DOI: 10.1016/s1567-5688(06)81292-4] [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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Formenti S, Mitchell J, Goldberg J, Magnolfi C, Rosenstein B, Remon S, DeWyngaert K. NYU 03-30: Accelerated IMRT with Concomitant Boost after Breast Conservation Surgery. Preliminary Clinical Results in 70 Patients. Int J Radiat Oncol Biol Phys 2005. [DOI: 10.1016/j.ijrobp.2005.07.316] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Abstract
Side effects of calcineurin inhibitors (CNIs) include nephrotoxicity and hypertension. Moreover, children have a higher risk of infections and posttransplantation lymphoproliferative disorders. We retrospectively evaluated the efficacy and safety of Sirolimus (SRL) in 18 patients, who were 10.52 +/- 5.03 years at time of transplantation and received a CNI as the core immunosuppression. The most common indications for starting SRL therapy were chronic allograft nephropathy, Epstein-Barr virus-associated neoplasia, and thrombotic microangiopathy. The patients were converted to SRL at 49.14 +/- 45.9 months posttransplantation. Mean follow-up after the switch to SRL was 13.83 +/- 7.24 months. All patients who began SRL therapy remained on that medication. We observed a significant improvement (P < .05) in glomerular filtration rate assessed using the Schwartz formula at 3 months, which was sustained thereafter. There were no changes in proteinuria, plasma lipids, and platelet number. Although the prevalence of hypertensive patients decreased during follow-up, it was not significant. There was one steroid-sensitive, acute rejection episode. Serious adverse events included 1 death due to a relapse of B lymphoma, 1 sepsis, and 1 pancreatic pseudo-cyst. Adverse events were present in 17% of patients: 3 Herpes Simplex infections, and 1 dose-related lymphedema. Further studies are necessary to assess the impact of adverse events in the pediatric transplant population receiving SRL as immunosuppression.
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Turconi A, Rilo LR, Goldberg J, de Boccardo G, Garsd A, Otero A. Open-Label, Multicenter Study on the Safety, Tolerability, and Efficacy of Simulect in Pediatric Renal Transplant Recipients Receiving Triple Therapy With Cyclosporin, Mycophenolate, and Corticosteroids. Transplant Proc 2005; 37:672-4. [PMID: 15848497 DOI: 10.1016/j.transproceed.2005.02.022] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Basiliximab is a monoclonal antibody directed to the interleukin-2 receptor. Several studies have demonstrated both its efficacy and safety. Even with the use of polyclonal antibodies in renal pediatric transplant recipients, the local incidence of steroid-resistant rejections has been close to 10% of the total incidence of acute rejection episodes (AREs). An open, multicenter prospective study was performed to assess the safety tolerability, and efficacy of induction with basiliximab in renal pediatric transplant patients receiving cyclosporine, mycophenolate, and steroids. MATERIALS AND METHODS Eighteen patients (8 boys) of mean age 11.9 +/- 4.5 years and body weight 32 +/- 15 kg received cadaveric (n = 7) or living (n = 11) donor grafts. Simulect was administered on days 0 and 4. Efficacy was assessed by the incidence of biopsy-proven acute rejection (BPAR). Safety assessment consisted of a description of the adverse events (AEs). RESULTS Six BPAR (Banff I and II) occurred in 5, (27.7%) children all of which were steroid responsive. Creatinine levels at day 7 and months 3, 6, and 12 were 1.6 +/- 1.5 mg/dL, 1.0 +/- 0.4 mg/dL, 1.0 +/- 0.5 mg/dL, and 1.0 +/- 0.4 mg/dL, respectively. Schwartz calculation at 12 months was 71 +/- 15 mL/1.73 m2 AEs were hypertension (12), anemia (9), abdominal pain (8), metabolic acidosis (8), nausea (7), diarrhea (2), gingival hypertrophy (2), hirsutism (2), lymphocele (2), and infections (15). No deaths, graft losses, PTLDs, or malignancies were observed. CONCLUSIONS No steroid-resistant AREs, were observed in this pediatric group using basiliximab. The Schwartz calculation at 12 months was 71 +/- 15 mL/min/1.73 m2.
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Hughes PJ, Evans RON, Miller B, Goldberg J, Sonnabend DH, Walsh WR. Boundary conditions at the tendon-bone interface. Knee Surg Sports Traumatol Arthrosc 2005; 13:55-9. [PMID: 14689169 DOI: 10.1007/s00167-003-0461-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2003] [Accepted: 09/16/2003] [Indexed: 11/30/2022]
Abstract
The reconstruction of a tendon-bone interface, as in rotator-cuff repairs, remains a challenging surgical problem. There is however, little data to show what effect joint position or repair loading under physiological conditions have on the repaired tendon-bone interface. A change in the amount of contact area or load at the tendon-bone interface may influence healing. In this study we investigated the effect of limb position and boundary conditions on the tendon-bone interface in an in vitro rabbit tendon-bone repair model using both unlinked and linked suture repairs.
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Formenti S, Truong M, Goldberg J, Rosenstein B, DeWeyngaert K. Phase I-II study of prone accelerated partial breast irradiation. Int J Radiat Oncol Biol Phys 2004. [DOI: 10.1016/j.ijrobp.2004.07.269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Abbiendi G, Ainsley C, Åkesson PF, Alexander G, Allison J, Amaral P, Anagnostou G, Anderson KJ, Asai S, Axen D, Azuelos G, Bailey I, Barberio E, Barillari T, Barlow RJ, Batley RJ, Bechtle P, Behnke T, Bell KW, Bell PJ, Bella G, Bellerive A, Benelli G, Bethke S, Biebel O, Boeriu O, Bock P, Boutemeur M, Braibant S, Brigliadori L, Brown RM, Buesser K, Burckhart HJ, Campana S, Carnegie RK, Carter AA, Carter JR, Chang CY, Charlton DG, Ciocca C, Csilling A, Cuffiani M, Dado S, De Roeck A, De Wolf EA, Desch K, Dienes B, Donkers M, Dubbert J, Duchovni E, Duckeck G, Duerdoth IP, Etzion E, Fabbri F, Feld L, Ferrari P, Fiedler F, Fleck I, Ford M, Frey A, Gagnon P, Gary JW, Gaycken G, Geich-Gimbel C, Giacomelli G, Giacomelli P, Giunta M, Goldberg J, Gross E, Grunhaus J, Gruwé M, Günther PO, Gupta A, Hajdu C, Hamann M, Hanson GG, Harel A, Hauschild M, Hawkes CM, Hawkings R, Hemingway RJ, Herten G, Heuer RD, Hill JC, Hoffman K, Horváth D, Igo-Kemenes P, Ishii K, Jeremie H, Jovanovic P, Junk TR, Kanaya N, Kanzaki J, Karlen D, Kawagoe K, Kawamoto T, Keeler RK, Kellogg RG, Kennedy BW, Kluth S, Kobayashi T, Kobel M, Komamiya S, Krämer T, Krieger P, von Krogh J, Kruger K, Kuhl T, Kupper M, Lafferty GD, Landsman H, Lanske D, Layter JG, Lellouch D, Letts J, Levinson, Lillich J, Lloyd SL, Loebinger FK, Lu J, Ludwig A, Ludwig J, Mader W, Marcellini S, Martin AJ, Masetti G, Mashimo T, Mättig P, McKenna, McPherson RA, Meijers F, Menges W, Merritt FS, Mes H, Meyer N, Michelini A, Mihara S, Mikenberg G, Miller DJ, Moed S, Mohr W, Mori T, Mutter A, Nagai K, Nakamura I, Nanjo H, Neal HA, Nisius R, O’Neale SW, Oh A, Oreglia MJ, Orito S, Pahl C, Pásztor G, Pater JR, Pilcher JE, Pinfold J, Plane DE, Poli B, Pooth O, Przybycień M, Quadt A, Rabbertz K, Rembser C, Renkel P, Roney JM, Rozen Y, Runge K, Sachs K, Saeki T, Sarkisyan EKG, Schaile AD, Schaile O, Scharff-Hansen P, Schieck J, Schörner-Sadenius T, Schröder M, Schumacher M, Scott WG, Seuster R, Shears TG, Shen B, Sherwood P, Skuja A, Smith AM, Sobie R, Söldner-Rembold S, Spano F, Stahl A, Strom D, Ströhmer R, Tarem S, Tasevsky M, Teuscher R, Thomson MA, Torrence E, Toya D, Tran P, Trigger I, Trócsányi Z, Tsur E, Turner-Watson MF, Ueda I, Ujvári B, Vollmer CF, Vannerem P, Vértesi R, Verzocchi M, Voss H, Vossebeld J, Ward CP, Ward DR, Watkins PM, Watson AT, Watson NK, Wells PS, Wengler T, Wermes N, Wilson GW, Wilson JA, Wolf G, Wyatt TR, Yamashita S, Zer-Zion D, Zivkovic L. Constraints on anomalous quartic gauge boson couplings fromνν¯γγandqq¯γγevents at CERN LEP2. Int J Clin Exp Med 2004. [DOI: 10.1103/physrevd.70.032005] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Formenti SC, Goldberg J, Rosenstein B, Dewyngaert K. Prone accelerated partial breast irradiation (five fractions) after breast conservation therapy with heart and lung sparing. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Acton D, Perry A, Evans R, Butler A, Stephens P, Bruce W, Goldberg J, Sonnabend D, Walsh WR. The effect of two nonresorbable suture types on the mechanical performance over a metal suture anchor eyelet. Knee Surg Sports Traumatol Arthrosc 2004; 12:165-8. [PMID: 13680105 DOI: 10.1007/s00167-003-0399-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2002] [Accepted: 04/08/2003] [Indexed: 11/25/2022]
Abstract
An understanding of the mechanical properties of different suture materials is valuable when selecting the most appropriate suture and repair technique. Sutures should be strong, easy to handle and have high knot security. The introduction of suture anchors adds an additional variable regarding the effect of stress risers over the eyelet. Improving the mechanical properties of a suture may be a possible method to help avoid failure over stress risers such as the eyelet of suture anchor. This study examined the static and viscoelastic properties of a new polyethylene based non-resorbable suture (Fibrewire) over the eyelet of a standard anchor compared to braid polyester non-resorbable suture (Ethibond). Fibrewire had superior ultimate load properties compared to Ethibond (360.2 N+/-23.8 vs 191.9 N+/-17.3) as well as greater stiffness (61.3 N/mm+/-9.7 vs 8.1 N/mm+/-0.4) when tested in uniaxial tension through a metal anchor eyelet (Mitek) ( p<0.001). Fibrewire demonstrated greater stress relaxation than Ethibond ( p<0.05). Differences in the static and viscoelastic properties of suture may have implications in the post-operative period or during rehabilitation.
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Abbiendi G, Ainsley C, Åkesson PF, Alexander G, Allison J, Amaral P, Anagnostou G, Anderson KJ, Arcelli S, Asai S, Axen D, Azuelos G, Bailey I, Barberio E, Barillari T, Barlow RJ, Batley RJ, Bechtle P, Behnke T, Bell K, Bell P, Bella G, Bellerive A, Benelli G, Bethke S, Biebel O, Boeriu O, Bock P, Boutemeur M, Braibant S, Brigliadori L, Brown R, Buesser K, Burckhart HJ, Campana S, Carnegie R, Caron B, Carter AA, Carter JR, Chang CY, Charlton DG, Ciocca C, Csilling A, Cuffiani M, Dado S, De Roeck A, De Wolf E, Desch K, Dienes B, Donkers M, Dubbert J, Duchovni E, Duckeck G, Duerdoth IP, Etzion E, Fabbri F, Feld L, Ferrari P, Fiedler F, Fleck I, Ford M, Frey A, Fürtjes A, Gagnon P, Gary JW, Gaycken G, Geich-Gimbel C, Giacomelli G, Giacomelli P, Giunta M, Goldberg J, Gross E, Grunhaus J, Gruwé M, Günther PO, Gupta A, Hajdu C, Hamann M, Hanson GG, Harel A, Hauschild M, Hawkes CM, Hawkings R, Hemingway RJ, Hensel C, Herten G, Heuer RD, Hill JC, Hoffman K, Horváth D, Igo-Kemenes P, Ishii K, Jeremie H, Jovanovic P, Junk TR, Kanaya N, Kanzaki J, Karlen D, Kawagoe K, Kawamoto T, Keeler RK, Kellogg RG, Kennedy BW, Klein K, Klier A, Kluth S, Kobayashi T, Kobel M, Komamiya S, Kormos L, Krämer T, Krieger P, von Krogh J, Kruger K, Kuhl T, Kupper M, Lafferty GD, Landsman H, Lanske D, Layter JG, Lellouch D, Letts J, Levinson L, Lillich J, Lloyd SL, Loebinger FK, Lu J, Ludwig A, Ludwig J, Macpherson A, Mader W, Marcellini S, Martin AJ, Masetti G, Mashimo T, Mättig P, McDonald WJ, McKenna J, McMahon TJ, McPherson RA, Meijers F, Menges W, Merritt FS, Mes H, Michelini A, Mihara S, Mikenberg G, Miller DJ, Moed S, Mohr W, Mori T, Mutter A, Nagai K, Nakamura I, Nanjo H, Neal HA, Nisius R, O’Neale SW, Oh A, Okpara A, Oreglia M, Orito S, Pahl C, Pásztor G, Pater J, Pilcher JE, Pinfold J, Plane D, Poli B, Polok J, Pooth O, Przybycień M, Quadt A, Rabbertz K, Rembser C, Renkel P, Roney JM, Rosati S, Rozen Y, Runge K, Sachs K, Saeki T, Sarkisyan E, Schaile A, Schaile O, Scharff-Hansen P, Schieck J, Schörner-Sadenius T, Schröder M, Schumacher M, Schwick C, Scott WG, Seuster R, Shears TG, Shen BC, Sherwood P, Skuja A, Smith AM, Sobie R, Söldner-Rembold S, Spano F, Stahl A, Stephens K, Strom D, Ströhmer R, Tarem S, Tasevsky M, Teuscher R, Thomson MA, Torrence E, Toya D, Tran P, Trigger I, Trócsányi Z, Tsur E, Turner-Watson MF, Ueda I, Ujvári B, Vollmer C, Vannerem P, Vértesi R, Verzocchi M, Voss H, Vossebeld J, Waller D, Ward CP, Ward DR, Watkins PM, Watson AT, Watson NK, Wells PS, Wengler T, Wermes N, Wetterling D, Wilson GW, Wilson JA, Wolf G, Wyatt TR, Yamashita S, Zer-Zion D, Zivkovic L. Experimental studies of unbiased gluon jets frome+e−annihilations using the jet boost algorithm. Int J Clin Exp Med 2004. [DOI: 10.1103/physrevd.69.032002] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Roy-Byrne P, Smith WR, Goldberg J, Afari N, Buchwald D. Post-traumatic stress disorder among patients with chronic pain and chronic fatigue. Psychol Med 2004; 34:363-368. [PMID: 14982142 DOI: 10.1017/s0033291703008894] [Citation(s) in RCA: 76] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND Fibromyalgia (FM), a chronic pain condition of unknown aetiology often develops following a traumatic event. FM has been associated with post-traumatic stress disorder (PTSD) and major depression disorder (MDD). METHOD Patients seen in a referral clinic (N=571) were evaluated for FM and chronic fatigue syndrome (CFS) criteria. Patients completed questionnaires, and underwent a physical examination and a structured psychiatric evaluation. Critical components of the diagnostic criteria of FM (tender points and diffuse pain) and CFS (persistent debilitating fatigue and four of eight associated symptoms) were examined for their relationship with PTSD. RESULTS The prevalence of lifetime PTSD was 20% and lifetime MDD was 42%. Patients who had both tender points and diffuse pain had a higher prevalence of PTSD (OR=3.4, 95% CI 2.0-5.8) compared with those who had neither of these FM criteria. Stratification by MDD and adjustment for sociodemographic factors and chronic fatigue revealed that the association of PTSD with FM criteria was confined to those with MDD. Patients with MDD who met both components of the FM criteria had a three-fold increase in the prevalence of PTSD (95% CI 1.5-7.1); conversely, FM patients without MDD showed no increase in PTSD (OR=1.3, 95% CI 0.5-3.2). The components of the CFS criteria were not significantly associated with PTSD. CONCLUSION Optimal clinical care for patients with FM should include an assessment of trauma in general, and PTSD in particular. This study highlights the importance of considering co-morbid MDD as an effect modifier in analyses that explore PTSD in patients with FM.
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Hinchliffe RJ, Goldberg J, Macsweeney STR. A UK Multi-centre Experience with a Second-generation Endovascular Stent-graft: Results from the Zenith Users Group. Eur J Vasc Endovasc Surg 2004; 27:51-5. [PMID: 14652837 DOI: 10.1016/j.ejvs.2003.10.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
BACKGROUND Endovascular aneurysm repair has been criticised for high rates of technical failure and secondary intervention. Second generation stent-grafts have been developed in an attempt to reduce these problems. The results of a UK multi-centre experience with a second generation device (Zenith) are presented. METHODS Data were collected retrospectively from five experienced UK vascular centres in patients undergoing endovascular aneurysm repair with the Zenith stent-graft. RESULTS A total of 269 patients underwent attempted aneurysm repair with the Zenith device. Median aneurysm diameter was 65 (interquartile range 52-78) mm. There were no conversions to open repair. Peri-operative mortality was 4.1% (11/269). On the initial post-operative scan, 94.1% of aneurysms were successfully excluded. During a median follow-up of 363 (interquartile range 154-720) days there were 19 secondary interventions and two aneurysm ruptures. CONCLUSIONS Second generation endovascular stent-graft designs such as the Zenith are associated with low rates of intra-operative technical complications. Few secondary interventions have been necessary during follow-up; however, surveillance is essential to ensure they continue to perform.
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Nightingale EJ, Allen CP, Sonnabend DH, Goldberg J, Walsh WR. Mechanical properties of the rotator cuff: response to cyclic loading at varying abduction angles. Knee Surg Sports Traumatol Arthrosc 2003; 11:389-92. [PMID: 12897985 DOI: 10.1007/s00167-003-0404-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2003] [Accepted: 04/09/2003] [Indexed: 10/26/2022]
Abstract
The rotator cuff is loaded under static as well as dynamic conditions. Whilst the static properties of the rotator cuff muscle-tendon junctions have been reported, the dynamic mechanical behaviour has not. This study reports the dynamic mechanical properties with varying abduction angles in a human cadaver rotator cuff. No significant effect was found with varying the angle of testing or in the presence of a tear in the tendon. The supraspinatus was found to be the stiffest of the rotator cuff tendons followed by the subscapularis and infraspinatus.
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Radisic M, Lattes R, Chapman JF, del Carmen Rial M, Guardia O, Seu F, Gutierrez P, Goldberg J, Casadei DH. Risk factors for Pneumocystis carinii pneumonia in kidney transplant recipients: a case-control study. Transpl Infect Dis 2003; 5:84-93. [PMID: 12974789 DOI: 10.1034/j.1399-3062.2003.00018.x] [Citation(s) in RCA: 102] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To analyze risk factors for Pneumocystis carinii pneumonia (PCP) in kidney transplant recipients. STUDY DESIGN In a case-control study, 17 PCP cases diagnosed between July 1994 and July 2000 were matched with two controls each (previous and subsequent kidney transplant recipients who did not develop PCP during the same follow-up period). Demographics, organ origin, human leukocyte antigen (HLA) mismatches, use of poly- or monoclonal anti-CD3 antibodies (Po/MoAb) for induction or rejection treatment, rejection episodes, cumulative steroid dose for rejection treatment, immunosuppressive regimens, and other infections were analyzed. RESULTS No significant differences were seen in gender (male 10 vs. 15), mean age (39.7 vs. 35.4 years), organ origin (cadaver donor 13 vs. 19), HLA mismatches, or Po/MoAb use in induction treatment. Significant differences were observed in PCP cases for rejection history (P=0.02), and median and total number of rejection episodes (P=0.0018). The relative risks for PCP for 1, 2, and > or =3 rejection treatments vs. no such treatment were 1, 1.05, and 6.30, respectively (P=0.021). The relative risk for PCP for steroid-resistant rejection was 4.34 (95% confidence interval [CI], 1.04-18.89) (P=0.019), and that for the use of Po/MoAb for rejection treatment was 7.23 (95% CI, 1.28-49.34) (P=0.006). The relative risk for PCP for 0, 1, and > or =2 previous or concomitant cytomegalovirus (CMV) infection vs. no such infections were 1.0, 2.32, and 13.0, respectively (P=0.012). The relative risks for PCP for tuberculosis (TB) was 18 (95% CI, 1.76-852.03), that for bacterial pneumonia was 14.22 (95% CI, 2.16-150.23), and that for hepatitis C virus infection was 5.25 (95% CI, 1.03-28.91). Immunosuppressive regimens with tacrolimus, mycophenolate mofetil (MMF), steroids (P=0.06), and MMF as a single variable (P=0.05) were more frequently used in cases. Primary trimethoprim-sulfamethoxazole prophylaxis failure was observed in 12 patients in association with heavy immunosuppression and concomitant infections. CONCLUSIONS The risk of PCP in kidney transplant recipients is related to the number and type of rejection treatments. It is also related to the occurrence of CMV infection, and to other immunomodulating infections such as TB and hepatitis C, and might also be increased with the use of newer and more potent immunosuppressive agents. Primary prophylaxis failure may occur in association with some of these risk factors.
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Schnizlein-Bick C, Durkin M, Kohler S, Connolly P, LeMonte A, Garringer T, Goldberg J, Smedema M, Brizendine E, Wheat LJ. Effects of CD4 and CD8 T lymphocyte depletion on the course of histoplasmosis following pulmonary challenge. Med Mycol 2003; 41:189-97. [PMID: 12964710 DOI: 10.1080/1369378031000137279] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
Use of a pulmonary model of histoplasmosis in CD4/CD8 lymphocyte depleted animals offers an opportunity to study pathogenesis in a setting resembling AIDS. Flow cytometric analysis demonstrated that administration of anti-CD4 and anti-CD8 antibodies reduced CD4 and CD8 T cell subsets in the lungs, lymph nodes and spleen. Depletion of these cells transformed the infection from a self-limited course in normal mice to a progressive, fatal course in CD4/CD8 depleted mice. CD4 depletion alone had a lesser effect on survival, but increased fungal burden, while CD4/CD8 depletion had the greatest effect. Histopathologic studies showed marked differences in the inflammatory response between the dually depleted animals and the non-depleted controls. In conclusion, the course of histoplasmosis in CD4/CD8 depleted animals is progressive and fatal, resembling that observed in immunosuppressed patients. This model appears suitable for investigation of immunity to H. capsulatum, and should be useful for evaluation of treatment in the immunocompromised host.
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Wheat LJ, Durkin M, Schnizlein-Bick C, Bassey E, Kohler S, Connolly P, Goldberg J, Garringer T, Brizendine E, Thomas EK. Effect of CD40 ligand on the course of murine histoplasmosis. Med Mycol 2002; 40:501-5. [PMID: 12462530 DOI: 10.1080/mmy.40.5.501.505] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
CD40 ligand-CD40 ligation is important in the development of T-cell-mediated immune responses. The purpose of this study was to examine the role of CD40L in recovery from histoplasmosis using a murine model of intratracheally induced infection. B6C3F1 mice were infected intratracheally with Histoplasma capsulatum yeast and monitored for clearance of the organism from the lungs and spleen. CD40L treatment was begun on either day -2 or +2 post inoculation and continued until day 14 in CD4-depleted animals and from day -2 to day +4 in non-immunosuppressed animals. Amphotericin B treatment was begun four days following inoculation and given every other day for 10 days. CD40L reduced fungal burden by less than one log when started two days before infection but did not act synergistically with low-dosage amphotericin B (0.2 mg kg(-1) qod) in CD4 depleted mice. Low-dose amphotericin B, CD40L, and the combination of the two failed to lower the fungal burden in a second experiment using a more virulent isolate of the same strain of H. capsulatum in CD4-depleted mice. Furthermore, CD40L did not increase the concentrations of IFN-gamma, IL-12 or IL-10 in the lungs or spleens of infected animals. In summary, CD40L had minimal or no effect on the course of infection in this murine model of histoplasmosis.
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Goldberg J. Clonidine and methylphenidate were effective for attention deficit hyperactivity disorder in children with comorbid tics. ACTA ACUST UNITED AC 2002. [DOI: 10.1136/ebm.7.5.157] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Goldberg J. Clonidine and methylphenidate were effective for attention deficit hyperactivity disorder in children with comorbid tics. ACP JOURNAL CLUB 2002; 137:70. [PMID: 12207448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
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Goldberg J, Sacks R. Direct determination of metallic elements in solid, powder samples with electrically vaporized thin film atomic emission spectrometry. Anal Chem 2002. [DOI: 10.1021/ac00250a011] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Veronese FV, Noronha IL, Manfro RC, Edelweiss MI, Goldberg J, Oliveira SG, Oliveira IB, Leitão TG, Gonçalves LF. Protocol biopsies in renal transplant patients: three-years' follow-up. Transplant Proc 2002; 34:500-1. [PMID: 12009604 DOI: 10.1016/s0041-1345(02)02608-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Bedaiwy M, Falcone T, Sharma R, Goldberg J, Attaran M, Nelson D. Effect of ovarian involvement on peritoneal fluid cytokine levels in endometriosis patients. Fertil Steril 2002. [DOI: 10.1016/s0015-0282(01)03039-4] [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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Goldberg J, Gonzalez H, Jensen TE, Corpe WA. Quantitative analysis of the elemental composition and the mass of bacterial polyphosphate bodies using STEM EDX. MICROBIOS 2002; 106:177-88. [PMID: 11522129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
The quantitative analysis of laboratory grown organisms (Plectonema boryanum and Staphylococcus aureus) revealed that a typical in vivo polyphosphate body (PPB) contains O (4.3 x 10(-8) microg), C (1.2 x 10(-8) microg), P (6.7 x 10(-9) microg), Mg (1.3 x 10(-9) microg), Ca (6.7 x 10(-10) microg), K (6.7 x 10(-10) microg), Fe (6.0 x 10(-10) microg), S (5.4 x 10(-10) microg) and Al (5.9 x 10(-10) microg). Quantitative X-ray analysis of samples from nature showed PPB contain O (1.63 x 10(-8) microg), C (4.75 x 10(-9) microg), P (2.50 x 10(-9) microg), Mg (5.0 x 10(-10) microg), Ca (2.50 x 10(-10) microg), K (2.50 x 10(-10) microg), Fe (2.25 x 10(-10) microg) and S (2.0 x 10(-10) microg). The mass of an average polyphosphate body was 6.7 x 10(-8) microg for P. boryanum, 2.5 x 10(-8) microg for S. aureus and for microbes from the natural environment 6.3 x 10(-8) microg. The results indicate that the PPB may have other unknown functions in addition to essential element storage, acting as a detoxification method by sequestering heavy metals and providing a homeostasis system in the cell.
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Matillon Y, Lachenaye-Llanas C, Goldberg J, Bruneau C, Mounic V. [The accreditation procedure: An external recognition of quality in public and private health centres in France. ]. WORLD HOSPITALS AND HEALTH SERVICES : THE OFFICIAL JOURNAL OF THE INTERNATIONAL HOSPITAL FEDERATION 2002; 38:19-23, 46. [PMID: 12402748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
Abstract
Since early 1990, the structures and financing of various health systems have been reformed. For the first time, some western Europe countries have admitted that quality insurance within the health system can become a governmental responsibility and, as in the past, simply the responsibility of the professionals and/or the health service administrators. During the last decade of the XXth century, pressure has gradually been increased for governments to become more involved in health system quality. This focus on quality was linked to human safety. In this historical perspective, the emergence of AIDS and the difficulty to control this epidemic, and the consequences of contamination by injection needles have probably played a part in this collective awareness. In this context, quality has become a major concern in Europe.
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Fu Q, Heath AC, Bucholz KK, Nelson EC, Glowinski AL, Goldberg J, Lyons MJ, Tsuang MT, Jacob T, True MR, Eisen SA. A twin study of genetic and environmental influences on suicidality in men. Psychol Med 2002; 32:11-24. [PMID: 11883722 DOI: 10.1017/s0033291701004846] [Citation(s) in RCA: 151] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND Previous studies that have examined genetic influences on suicidal behaviour were confounded by genetic vulnerability for psychiatric risk factors. The present study examines genetic influences on suicidality (i.e. suicidal ideation and/or suicide attempt) after controlling for the inheritance of psychiatric disorders. METHODS Sociodemographics, combat exposure, lifetime DSM-III-R major depression, bipolar disorder, childhood conduct disorder, adult antisocial personality disorder, panic disorder, post-traumatic stress disorder, drug dependence, alcohol dependence and lifetime suicidal ideation and attempt were assessed in 3372 twin pairs from the Vietnam Era Twin Registry who were assessed in 1987 and 1992. Genetic risk factors for suicidality were examined in a multinomial logistic regression model. Additive genetic, shared environmental and non-shared environmental effects on suicidality were estimated using structural equation modelling, controlling for other risk factors. RESULTS The prevalence of suicidal ideation and suicide attempt were 16.1% and 2.4% respectively. In a multinomial regression model, co-twin's suicidality, being white, unemployment, being other than married, medium combat exposure and psychiatric disorders were significant predictors for suicidal ideation. Co-twin's suicidality, unemployment, marital disruption, low education attainment and psychiatric disorders (except childhood conduct disorder) were significant predictors for suicide attempt. Model-fitting suggested that suicidal ideation was influenced by additive genetic (36%) and non-shared environmental (64%) effects, while suicide attempt was affected by additive genetic (17%), shared environmental (19%) and non-shared environmental (64%) effects. CONCLUSIONS There may be a genetic susceptibility specific to both suicidal ideation and suicide attempt in men, which is not explained by the inheritance of common psychiatric disorders.
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Goldberg J, Weinstein M, Fagan M, Nagy M, Nyirjesy P. Gluteal necrotizing myofascitis: an unusual delayed complication of abdominal sacrocolpopexy. Am J Obstet Gynecol 2001; 185:1273-4. [PMID: 11717673 DOI: 10.1067/mob.2001.118154] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Persistent low back pain developed in a 51-year-old woman after she had undergone abdominal sacrocolpopexy. Four months postoperatively, necrotizing myofascitis developed in her gluteal muscles. The infected mesh, which had eroded into the vagina, was removed. Cultures of the infected mesh and abscesses grew common vaginal flora, including Gardnerella vaginalis and Actinomyces.
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