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Cohen A, Friedman D, Stankard B, Li T, Stevens G, Nelson M. 37 Point-of-Care Lung Ultrasound to Predict Hospital Re-admission Rates in Patients With Acute Heart Failure Exacerbations. Ann Emerg Med 2019. [DOI: 10.1016/j.annemergmed.2019.08.040] [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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77
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Cohen A, Rice J, Dattilo D, Cillo J. Multivariate Analysis of Factors Associated with Postoperative Complications from Adult Maxillomandibular Advancement for Obstructive Sleep Apnea. J Oral Maxillofac Surg 2019. [DOI: 10.1016/j.joms.2019.06.017] [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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78
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Gohil M, Dai A, Mackey S, Negorev D, Hennesy N, O'Rourke M, Lamontagne A, Holland D, Leskowitz R, Xu J, Ozerova M, McKee J, Pequignot E, Siegel D, Schuster S, Svoboda J, Garfall A, Cohen A, Stadtmauer E, Gladney W, Levine B, Fraietta J, Davis M. Myeloid derived suppressor cells (MDSCS) reduce the manufacturing feasibilty of gene modified T cells. Cytotherapy 2019. [DOI: 10.1016/j.jcyt.2019.03.315] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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79
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Lattuca B, Boccara F, Cohen A. Un risque thrombotique persistant malgré les traitements de référence. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2019. [DOI: 10.1016/s1878-6480(19)30444-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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80
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Cottin Y, Cohen A. Coronariens « stables » ou chroniques : vers de nouvelles pratiques. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2019. [DOI: 10.1016/s1878-6480(19)30443-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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81
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Bahr NJ, Herzberg S, Lambert W, Hansen M, McNulty JJ, Cohen A, Gorman PN, Guise JM. Modeling variation of clinical team processes with multiple sequence alignment. METHODOLOGICAL INNOVATIONS 2019; 12. [PMID: 35465616 PMCID: PMC9024196 DOI: 10.1177/2059799119840985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Our objective was to model process variation of Emergency Medical Service teams responding to simulated pediatric emergencies and determine if sequence alignment distinguishes performance quality. We performed a retrospective process analysis by watching and coding activities in videos from standardized simulations of 42 Emergency Medical Service teams. Teams were classified into high- or low-performing groups based on the Clinical Teamwork Scale™. Activities were coded according to resuscitation tasks, performer, and times. We used ClustalG to align task sequences within and between groups, and measured similarity. Teams within and between performance levels had an average sequence similarity of 52 ± 7% and 50 ± 7%. Teams performed clinically appropriate tasks that varied in prioritization, for example, performing compressions or connecting the EKG monitor early. There was no statistical difference in gross similarity between groups but specific differences in prioritization may have had clinically meaningful implications. Alignment could improve by accounting for task duration and concurrency.
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Eltchaninoff H, Cohen A, Gilard M. Éditorial. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2019. [DOI: 10.1016/j.acvdsp.2019.01.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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83
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Eltchaninoff H, Cohen A, Gilard M. Editorial. ARCHIVES OF CARDIOVASCULAR DISEASES SUPPLEMENTS 2019. [DOI: 10.1016/j.acvdsp.2019.01.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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84
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Sandow T, Nunez K, Gimenez J, Ramalingam V, Gulotta P, Robertson S, Gilbert P, Marsala A, DeVun D, Kay D, Cohen A, Thevenot P. 03:45 PM Abstract No. 213 Synthetic liver function and absolute lymphocyte count are associated with tumor response to locoregional therapy as well as immunosuppressive cell populations in transplant waitlist patients with hepatocellular carcinoma: single-center, prospective, observational trial. J Vasc Interv Radiol 2019. [DOI: 10.1016/j.jvir.2018.12.270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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85
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Nadkarni N, Snitz B, Perera S, Cohen A, Lopresti B, Barinas-Mitchell E, Klunk W, Lopez O. MOBILITY, BRAIN BLOOD FLOW, SYSTEMIC INFLAMMATION AND, CARDIAC AND ARTERIAL STIFFNESS IN COGNITIVELY NORMAL ELDERS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.1350] [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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86
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Cohen A, Pacis M. Essentials of Patient Positioning in Laparoscopic Gynecologic Surgery. J Minim Invasive Gynecol 2018. [DOI: 10.1016/j.jmig.2018.09.528] [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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87
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Fouks Y, Cohen A, Almog B, Shapira U, Levin I. Surgical Intervention in Patients with Tubo-Ovarian Abscess Clinical Predictors and a Simple Risk Score. J Minim Invasive Gynecol 2018. [DOI: 10.1016/j.jmig.2018.09.476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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88
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Fouks Y, Levin I, Almog B, Tulandi T, Cohen A. Complicated Clinical Course and Poor Reproductive Outcomes of Women with Tuboovarian Abscess Following Fertility Treatments. J Minim Invasive Gynecol 2018. [DOI: 10.1016/j.jmig.2018.09.579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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89
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Resende Salgado L, Cohen A, Germano I, Tseng T, Lin J, Moshier E, Buckstein M, Bakst R, Green S. Biologic Subtypes as a Predictor of Local Control of Breast Cancer Brain Metastases after Stereotactic Radiosurgery. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1658] [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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90
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Soomro M, Withall A, Cohen A, Turner R. The evolving definition of Concussion over time. J Sci Med Sport 2018. [DOI: 10.1016/j.jsams.2018.09.217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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91
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Lemberger J, Sternberg S, Alon S, Rasooly I, Cohen A, Cohen N. ISRAEL’S DEMENTIA PLAN: PRIMARY CARE INTERVENTIONS IMPROVING CARE OF OLDER PEOPLE WITH DEMENTIA. Innov Aging 2018. [DOI: 10.1093/geroni/igy031.3428] [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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Regev GJ, Lador R, Salame K, Mangel L, Cohen A, Lidar Z. Minimally invasive spinal decompression surgery in diabetic patients: perioperative risks, complications and clinical outcomes compared with non-diabetic patients' cohort. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2018; 28:55-60. [PMID: 30099670 DOI: 10.1007/s00586-018-5716-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Revised: 04/15/2018] [Accepted: 08/04/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Prior studies have documented an increased complication rate in diabetic patients undergoing spinal surgery. However, the impact of diabetes on the risk of postoperative complications and clinical outcome following minimally invasive spinal (MIS) decompression is not well understood. OBJECTIVES To compare complication rates and outcomes of MIS decompression in diabetic patients with a cohort of non-diabetic patients undergoing similar procedures. METHODS Medical records of 48 patients with diabetes and 151 control patients that underwent minimally invasive lumbar decompression between April 2009 and July 2014 at our institute were reviewed and compared. Past medical history, the American Society of Anesthesiologists score, perioperative mortality, complication and revision surgeries rates were analyzed. Patient outcomes included: the visual analog scale and the EQ-5D scores. RESULTS The mean age was 68.58 ± 11 years in the diabetic group and 51.7 ± 17.7 years in the control group. No major postoperative complications were recorded in either group. Both groups were statistically equivalent in their postoperative length of stay, minor complications and revision rates. Both groups showed significant improvement in their outcome scores following surgery. CONCLUSIONS Our results indicate that minimally invasive decompressive surgery is a safe and effective treatment for diabetic patients and does not pose an increased risk of complications. Future prospective studies are necessary to validate the specific advantages of the minimally invasive techniques in the diabetic population. These slides can be retrieved under Electronic Supplementary Material.
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van Houten CB, Oved K, Eden E, Cohen A, Engelhard D, Boers S, Kraaij R, Karlsson R, Fernandez D, Gonzalez E, Li Y, Stubbs A, Moore ERB, Hays JP, Bont LJ. Observational multi-centre, prospective study to characterize novel pathogen-and host-related factors in hospitalized patients with lower respiratory tract infections and/or sepsis - the "TAILORED-Treatment" study. BMC Infect Dis 2018; 18:377. [PMID: 30086729 PMCID: PMC6081806 DOI: 10.1186/s12879-018-3300-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 08/01/2018] [Indexed: 12/29/2022] Open
Abstract
Background The emergence and spread of antibiotic resistant micro-organisms is a global concern, which is largely attributable to inaccurate prescribing of antibiotics to patients presenting with non-bacterial infections. The use of ‘omics’ technologies for discovery of novel infection related biomarkers combined with novel treatment algorithms offers possibilities for rapidly distinguishing between bacterial and viral infections. This distinction can be particularly important for patients suffering from lower respiratory tract infections (LRTI) and/or sepsis as they represent a significant burden to healthcare systems. Here we present the study details of the TAILORED-Treatment study, an observational, prospective, multi-centre study aiming to generate a multi-parametric model, combining host and pathogen data, for distinguishing between bacterial and viral aetiologies in children and adults with LRTI and/or sepsis. Methods A total number of 1200 paediatric and adult patients aged 1 month and older with LRTI and/or sepsis or a non-infectious disease are recruited from Emergency Departments and hospital wards of seven Dutch and Israeli medical centres. A panel of three experienced physicians adjudicate a reference standard diagnosis for all patients (i.e., bacterial or viral infection) using all available clinical and laboratory information, including a 28-day follow-up assessment. Nasal swabs and blood samples are collected for multi-omics investigations including host RNA and protein biomarkers, nasal microbiota profiling, host genomic profiling and bacterial proteomics. Simplified data is entered into a custom-built database in order to develop a multi-parametric model and diagnostic tools for differentiating between bacterial and viral infections. The predictions from the model will be compared with the consensus diagnosis in order to determine its accuracy. Discussion The TAILORED-Treatment study will provide new insights into the interplay between the host and micro-organisms. New host- or pathogen-related biomarkers will be used to generate a multi-parametric model for distinguishing between bacterial and viral infections. This model will be helpful to better guide antimicrobial therapy for patients with LRTI and sepsis. This study has the potential to improve patient care, reduce unnecessary antibiotic prescribing and will contribute positively to institutional, national and international healthcare economics. Trial Registration NCT02025699. Registration Date: January, 1, 2014. Electronic supplementary material The online version of this article (10.1186/s12879-018-3300-9) contains supplementary material, which is available to authorized users.
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Cacciatore C, Riviere S, Cohen A, Gatfosse M, Ederhy S, Fain O, Mekinian A. Sclérodermie systémique : efficacité des immunoglobulines intraveineuses pour l’atteinte cardiaque sévère ? Rev Med Interne 2018; 39:594-596. [DOI: 10.1016/j.revmed.2017.12.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Revised: 12/28/2017] [Accepted: 12/28/2017] [Indexed: 01/22/2023]
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Sandow T, Thevenot P, Gimenez J, Arndt S, Nunez K, DeVun D, Gulotta P, Ramalingam V, Gilbert P, Kirsch D, Bohorquez H, Kay D, Cohen A. 3:18 PM Abstract No. 35 ■ DISTINGUISHED ABSTRACT Lymphopenia selects poor DEB-TACE response in transplant waitlist patients: prospective, single-center, observational study. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.043] [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] Open
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97
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Goldman D, Sandow T, Gimenez J, Arndt S, Thevenot P, Nunez K, DeVun D, Gulotta P, Ramalingam V, Gilbert P, Kirsch D, Bohorquez H, Galliano G, Cohen A, Kay D. 3:00 PM Abstract No. 33 Pre-TACE immune status correlates with treatment response and necrosis rates in HCC as a bridge to liver transplant. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.041] [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] Open
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98
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Arndt S, Sandow T, Kay D, DeVun D, Gulotta P, Kirsch D, Ramalingam V, Nunez K, Bohorquez H, Cohen A, Thevenot P, Gimenez J. 3:27 PM Abstract No. 274 A prospective study of lung shunt fraction as a determinant of DEB-TACE response and metastasis and determinants of lung shunt fraction. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.306] [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] Open
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Keisari Y, Cohen A, Efrati M, Schmidt M, Galalae R, Kelson I. PO-1033: Activation of specific anti-tumor immunity by alpha radiation based brachytherapy and immunotherapy. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31343-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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100
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Heron V, Golden C, Battat R, Galiatsatos P, Stein BL, Wyse J, Cohen A. A212 ENDOSCOPIST-DIRECTED PROPOFOL AS AN ADJUNCT TO STANDARD SEDATION: A CANADIAN EXPERIENCE. J Can Assoc Gastroenterol 2018. [DOI: 10.1093/jcag/gwy009.212] [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: 11/14/2022] Open
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