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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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