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Afonso L, Pradhan J, Veeranna V, Niraj A, Jacob S. Global and regional left ventricular contractile impairment in patients with wolff-Parkinson-white syndrome. Indian Pacing Electrophysiol J 2009; 9:195-206. [PMID: 19652729 PMCID: PMC2705315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND To assess regional systolic function and global contractile function in patients with WPW Syndrome. METHOD Eleven cases with manifest Wolff-Parkinson-White (WPW) syndrome in sinus rhythm were compared to 11 age matched controls. 2D strain analysis was performed and peak segmental radial strain (pRS) values obtained from basal ventricular parasternal short-axis images (70 +/- 5 frames/sec) using a dedicated software package. Heterogeneity of radial strain pattern in six circumferential basal left ventricular segments was measured in terms of standard deviations of peak RS (SD(pRS)) or range (difference between maximum and minimum peak RS i.e. Range(pRS)). Spectral Doppler (continuous wave) measurements were acquired through the left ventricular outflow tract to determine Pre Ejection Period (PEP), Left Ventricular Ejection Time (LVET) and measures of left ventricular systolic performance. RESULTS LV segmental radial strain was profoundly heterogeneous in WPW cases in contrast to fairly homogenous strain pattern in normal subjects. Wide SD(pRS) values 17.5 +/- 8.9 vs 3.3 +/- 1.4, p<0.001 and Range(pRS) 42.7 +/- 20.8 vs.8.5 +/- 3.6 , p<0.001 were observed among WPW and healthy subjects respectively. PEP (132.4 +/- 14.7 vs 4.7 +/- 0.5ms, p<0.001) and corrected PEP (76.1 +/- 8.0 vs 2.7 +/- 0.4ms, p<0.001) were significantly longer in WPW patients compared to controls. The PEP/LVET ratio was also significantly greater in WPW cohort (0.49 +/- 0.04 vs. 0.28 +/- 0.05, p <0.001) suggesting global systolic dysfunction. CONCLUSIONS Patients with manifest preexcitation (predominantly those with right-sided pathways) have regional and global contractile dysfunction resulting from aberrant impulse propagation inherent to the preexcited state.
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Staedt U, Holm E, Leweling H, Jacob S, Striebel JP. Intrazelluläre Aminosäurenkonzentrationen der Muskulatur dreier Tierspezies unter physiologischen, pathophysiologischen und infusionstherapeutischen Bedingungen. Transfus Med Hemother 2009. [DOI: 10.1159/000222205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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203
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Parmar T, Nimbkar-Joshi S, Katkam R, Gadkar-Sable S, Chaudhari U, Manjramkar D, Savardekar L, Jacob S, Puri C, Sachdeva G. Differential expression of calreticulin, a reticuloplasmin in primate endometrium. Hum Reprod 2009; 24:2205-16. [DOI: 10.1093/humrep/dep187] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
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204
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Knebel B, Janssen OE, Hahn S, Jacob S, Nitzgen U, Haas J, Mack S, Müller-Wieland D, Kotzka J. Analyse von Paraoxogenase-1- und IGF-2-Polymorphismen in einem Kollektiv mit polycystischem Ovarien-Syndrom (PCOS). DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0029-1222056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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205
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Jacob S, Cherian PK, Dawe E. "Twiddler" in a canine model and a modified implant technique to prevent it. Indian Pacing Electrophysiol J 2009; 9:174-6. [PMID: 19471595 PMCID: PMC2683638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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206
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Knebel B, Janssen O, Hahn S, Nitzgen U, Jacob S, Haas J, Mack S, Müller-Wieland D, Kotzka J. Kombinierte Analyse von Paraoxonase-1- und IGF-2-Polymorphismen bei polyzystischem Ovarsyndrom. Dtsch Med Wochenschr 2009; 134:1040-6. [DOI: 10.1055/s-0029-1222564] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Ali F, Mohamad T, Elder M, Jacob S, Gardi DO. Left ventricular "temporary pacemaker wire": a viable option in emergency situation. Am J Emerg Med 2009; 27:374.e1-374.e2. [PMID: 19328400 DOI: 10.1016/j.ajem.2008.07.028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2008] [Accepted: 07/22/2008] [Indexed: 10/21/2022] Open
Affiliation(s)
- Farhan Ali
- Division of Cardiology, Department of Internal Medicine, Wayne State University, Detroit, MI 48201, USA
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Soman A, Jacob S, Swanek F. Low Level Determination of 4-Amino-2-Ethoxy-Cinnamic Acid and its Ethyl Ester in a Drug Substance and its Formulation Prototypes by HPLC--UV-DAD. J Chromatogr Sci 2009; 47:315-9. [DOI: 10.1093/chromsci/47.4.315] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Meissner AM, Jacob S, Scholze J. Fehlende Unterstützung zu Änderungen des Lebensstils bei Übergewicht – wird hier eine Chance für Prävention vertan? DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0029-1222011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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210
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Birkemeyer R, Rillig A, Treusch F, Meyerfeldt U, Kunze M, Miljak T, Jung W, Jacob S, Schiel R. Outcome und Behandlungsqualität von Patienten mit Diabetes mellitus mit akutem ST-Hebungs-Infarkt (STEMI) im Rahmen eines regionalen Infarktnetzwerkes- Ergebnisse des Myokardinfarktregisters Schwarzwald-Baar. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0029-1221965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Abstract
BACKGROUND Both obesity and type 2 diabetes are associated with increased morbidity and mortality. Published data suggest that orlistat 120 mg, a lipase inhibitor used to treat obesity, may improve glycaemic parameters through weight loss-independent effects. AIM To investigate the effect of orlistat 120 mg on weight loss, and assess whether changes in glycaemic parameters [fasting plasma glucose (FPG) and haemoglobin A1c (HbA1c)] are independent of weight loss. METHODS This retrospective analysis of pooled data from seven multicentre, double-blind, placebo-controlled studies involved overweight or obese patients with type 2 diabetes (aged 18-70 years). Patients were required to have a body mass index of 27-43 kg/m2, HbA1c of 6.5 to <13%, and stable weight for > or =3 months. Subjects received orlistat 120 mg tid or placebo for 6 or 12 months. RESULTS A total of 2550 overweight or obese patients with type 2 diabetes were enrolled and randomized to treatment with orlistat 120 mg tid (n = 1279) or placebo (n = 1271). For the whole population, patients treated with orlistat 120 mg had significantly greater mean decreases in FPG compared with placebo-treated patients (-1.39 mmol/l vs. -0.47 mmol/l; p < 0.0001). In addition, orlistat 120 mg provided significantly larger mean decreases in HbA1c compared with placebo (-0.74% vs. -0.31%; p < 0.0001). For patients with minimal weight loss (< or =1% of baseline body weight), orlistat 120 mg still provided a significantly greater decrease in the least squares mean value for both FPG (-0.83 mmol/l vs. +/-0.02 mmol/l; p = 0.0052) and HbA1c -0.29% vs. +/-0.14%; p = 0.0008). This suggested that the improvement of glycaemic control with orlistat 120 mg was independent of weight loss. Using linear regression analysis, improvement in glycaemic control (FPG and HbA1c) with orlistat 120 mg was less strongly correlated with weight loss than for placebo. CONCLUSION Orlistat 120 mg appears to improve glycaemic control more than would be predicted by weight loss alone in overweight or obese patients with type 2 diabetes. Postulated mechanisms underlying this effect include an improvement of insulin sensitivity, a slower and incomplete digestion of dietary fat, reduction of postprandial plasma non-esterified fatty acids, decreased visceral adipose tissue, and stimulation of glucagon-like peptide-1 secretion in the lower small intestine.
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Affiliation(s)
- S Jacob
- Cardio-metabolic Institute, Villingen-Schwenningen, Germany.
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Knebel B, Haas J, Jacob S, Nitzgen U, Müller-Wieland D, Kotzka J. Einfluss einer Lipodystrophie auf die Genexpression in der Leber. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0029-1221846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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213
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Kottam A, Jacob S, Lieberman RA. Successful left ventricular lead placement via an anomalous coronary sinus draining into the right atrial appendage. J Cardiovasc Electrophysiol 2009; 20:1070. [PMID: 19298556 DOI: 10.1111/j.1540-8167.2009.01452.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Anupama Kottam
- Division of Cardiology, Wayne State University, Detroit, Michigan 48201, USA
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Jacob S, Sebastian JC, Cherian PK, Abraham A, John SK. Pericardial effusion impending tamponade: a look beyond Beck's triad. Am J Emerg Med 2009; 27:216-9. [DOI: 10.1016/j.ajem.2008.01.056] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2008] [Accepted: 01/27/2008] [Indexed: 12/01/2022] Open
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215
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Mathew A, Afonso L, Jacob S. An unusual case of diaphragmatic stimulation following cardiac resynchronization therapy. Europace 2008; 11:411. [DOI: 10.1093/europace/eup059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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216
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Dubuisson J, Bekri T, Jacob S, Yaron M, Lam T, Abou M. Methotrexate Prophylaxis for Persistent Trophoblast after Laparoscopic Salpingostomy for Ectopic Pregnancy. J Minim Invasive Gynecol 2008. [DOI: 10.1016/j.jmig.2008.09.390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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217
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Dubuisson J, Vlastos A, Dubuisson J, Wenger J, Jacob S. Salpingostomy: The Appropriate Laparoscopic Conservative Treatment for Ectopic Pregnancy. J Minim Invasive Gynecol 2008. [DOI: 10.1016/j.jmig.2008.09.201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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218
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Affiliation(s)
- Sony Jacob
- Krannert Institute of Cardiology, Indiana University, Indianapolis, IN, USA.
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219
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Abstract
Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) syndrome is a rare headache syndrome classified among the trigeminal autonomic cephalalgias. It is usually idiopathic, although infrequent secondary forms have been described. Recently the term short-lasting unilateral headache with cranial autonomic symptoms (SUNA) has been defined by the International Headache Society (ICHD-2) as similar to SUNCT with less prominent or absent conjunctival injection and lacrimation. We report two patients with paroxysmal orbito-fronto-temporal pains, phenotypically suggesting SUNA, occurring after traumatic head injury.
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Affiliation(s)
- S Jacob
- Department of Neurology, University Hospitals of Leicester, Leicester General Hospital, Leicester
| | - AR Saha
- Department of Neurology, The Royal Sussex County Hospital, Brighton, UK
| | - YA Rajabally
- Department of Neurology, University Hospitals of Leicester, Leicester General Hospital, Leicester
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Jarius S, Jacob S, Waters P, Jacob A, Littleton E, Vincent A. Neuromyelitis optica in patients with gluten sensitivity associated with antibodies to aquaporin-4. J Neurol Neurosurg Psychiatry 2008; 79:1084. [PMID: 18708571 DOI: 10.1136/jnnp.2007.143263] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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221
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Vanoli M, Jacob S, Eccher Zerbini P, Rizzolo A, Spinelli L, Torricelli A. TIME-RESOLVED REFLECTANCE SPECTROSCOPY AS A TOOL FOR SELECTING AT-HARVEST 'AMBRA' NECTARINES FOR AROMA QUALITY. ACTA ACUST UNITED AC 2008. [DOI: 10.17660/actahortic.2008.796.31] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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222
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Kumbala D, Jacob S, Kamalesh M, Das M. Echocardiographic demonstration of the effect of varying paced a-v intervals on ventricular filling pattern. Indian Pacing Electrophysiol J 2008; 8:218-21. [PMID: 18679522 PMCID: PMC2490805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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223
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Abstract
Chondroid hamartomas of the lung are uncommon lesions which are generally small sized and asymptomatic. Herein we describe a case of a large-sized pulmonary chondroid hamartoma which clinically mimicked bronchogenic carcinoma. A large hilar growth was detected in the left lung on radiological studies. Left upper lobectomy was done. The growth was well defined with a lobulated bluish cut surface. Histopathology disclosed lobules of mature cartilage rimmed by long slit-like epithelial channels admixed with mature adipose tissue.
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Affiliation(s)
- S Jacob
- Department of Pathology, Christian Medical College and Hospital, Ludhiana, Punjab, India.
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224
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Renggli V, De Ryck I, Jacob S, Yeneneh H, Sirgu S, Sebuyira LM, Pfitzer A, Downing J, Portillo C, Murray J, Gove S, Colebunders R. HIV education for health-care professionals in high prevalence countries: time to integrate a pre-service approach into training. Lancet 2008; 372:341-3. [PMID: 18657714 DOI: 10.1016/s0140-6736(08)61119-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- V Renggli
- Institute of Tropical Medicine, Antwerp, Belgium
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225
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Ng WL, Delaney G, Jacob S, Barton M. Optimal chemotherapy utilisation rate in breast cancer: setting an evidence-based benchmark for the best-quality cancer care. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.6613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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226
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Petignat P, Stucki D, Altermatt HJ, Seydoux J, Jacob S, Brioschi PA, Fink D, Fehr M, Delaloye JF, Loubeyre P, Hohl M, Mueller M, Dubuisson JB. [Laparoscopy in the management of endometrial cancer]. Rev Med Suisse 2008; 4:995-998. [PMID: 18549088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Recent advance in laparoscopy have changed the surgical approach of endometrial cancer patients. The Swissendos Center, Fribourg, in collaboration with AGO (Groupe de travail pour la gynécologie oncologique) and AGE (groupe de travail pour la gynécologie endoscopique) have established a consensus based on the available evidence for the use of laparoscopy in the management of patients with endometrial cancer The main objective was to define Swiss clinical practice guidelines appropriate to the country and consistent with the needs of the physicians.
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Affiliation(s)
- P Petignat
- Département de gynécologie et d'obstétrique, Genève.
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Knebel B, Jacob S, Nitzgen U, Müller-Wieland D, Kotzka J. Identifizierung neuer Mutationen im Glukokinase-Gen (MODY2) und HNF1alpha-Gen (MODY3). DIABETOL STOFFWECHS 2008. [DOI: 10.1055/s-2008-1004713] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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228
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Deshaies I, Jacob S, Provencher L, Cote G, Robert J, Desbiens C, Morin J, Poirier B. Factors associated to upstaging at surgery of atypical ductal hyperplasia diagnosed at percutaneous breast biopsy. EJC Suppl 2008. [DOI: 10.1016/s1359-6349(08)70631-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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229
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Knebel B, Janssen O, Hahn S, Jacob S, Gleich J, Kotzka J, Muller-Wieland D. Increased Low Grade Inflammatory Serum Markers in Patients with Polycystic Ovary Syndrome (PCOS) and their Relationship to PPARγ Gene Variants. Exp Clin Endocrinol Diabetes 2008; 116:481-6. [DOI: 10.1055/s-2008-1058085] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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230
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Jacob S, Jacobson A, Alwan R, Miller C. Evaluation of warfarin prescription labels. J Thromb Thrombolysis 2008. [DOI: 10.1007/s11239-007-0122-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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231
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Jacob S, Irani SR, Rajabally YA, Grubneac A, Walters RJ, Yazaki M, Clover L, Vincent A. Hypothermia in VGKC antibody-associated limbic encephalitis. J Neurol Neurosurg Psychiatry 2008; 79:202-4. [PMID: 18202210 DOI: 10.1136/jnnp.2007.130039] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Voltage-gated potassium channel antibody (VGKC-Ab)-associated limbic encephalitis (LE) is a recently described syndrome that broadens the spectrum of immunotherapy-responsive central nervous system disorders. Limbic encephalitis is typically characterised by a sub-acute onset of disorientation, amnesia and seizures, but the clinical spectrum is not yet fully defined and the syndrome could be under-diagnosed. We here describe the clinical profile of four patients with VGKC-Ab-associated LE who had intermittent, episodic hypothermia. One of the patients also described a prodrome of severe neuropathic pain preceding the development of limbic symptoms. Both of these novel symptoms responded well to immunosuppressive therapy, with concurrent amelioration of amnesia/seizures.
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Affiliation(s)
- S Jacob
- Department of Clinical Neurology, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Headington, Oxford OX3 9DS, UK
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Laurier D, Jacob S, Bernier MO, Leuraud K, Metz C, Samson E, Laloi P. Epidemiological studies of leukaemia in children and young adults around nuclear facilities: a critical review. Radiat Prot Dosimetry 2008; 132:182-90. [PMID: 18922823 DOI: 10.1093/rpd/ncn262] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
The existence of an increased risk of childhood leukaemia near nuclear installations is a recurrent issue. A review of the related epidemiological literature is presented here. Results for 198 nuclear sites throughout 10 countries were included in the review. In addition to local studies, 25 multi-site studies have been published for eight countries. A large variability was noticed in the quality of the data as well as in the definition of the study population and in the methods of analysis. Many studies present important limits that make the results difficult to interpret. The review confirms that some clusters of childhood leukaemia cases exist locally. However, results based on multi-site studies around nuclear installations do not indicate an increased risk globally. Many studies were launched to investigate possible origins of the observed clusters around specific sites, but up to now, none of the proposed hypotheses have explained them.
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Affiliation(s)
- D Laurier
- Institute for Radiological Protection and Nuclear Safety, IRSN, DRPH/SRBE, BP17, F-92262 Fontenay-aux-Roses Cedex, France.
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Tutdibi E, Hunecke A, Monz D, Lindner U, Jacob S, Gortner G. Zytokinkonzentration im Nabelschnurblut reifer Neugeborener nach primärer Sectio im Vergleich zur Spontangeburt. Z Geburtshilfe Neonatol 2008. [DOI: 10.1055/s-2008-1078938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Abstract
Percutaneous embolotherapy has now assumed an important role in the management of massive colonic haemorrhage. However, this therapeutic option is associated with a significant risk of irreversible segmental colonic ischaemia. We present a case where distal segmental ischaemia led to a colocutaneous fistula, a complication not reported so far in the literature.
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Kehinde E, Al-Mulla F, Jacob S, Kapila K, Anim J, Jerin V. POD-09.04: A comparison of specificity of urine cytology, urinary nuclear matrix protein 22 [NMP22] and multi-target fluorescent in situ hybridization [FISH] assay in bladder cancer patients with no recurrence at surveillance. Urology 2007. [DOI: 10.1016/j.urology.2007.06.110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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238
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Leschke M, Jacob S. Koronare Herzkrankheit und Diabetes mellitus. DIABETOL STOFFWECHS 2007. [DOI: 10.1055/s-2007-981284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abstract
Totally extra-peritoneal (TEP) laparoscopic repair of an inguinalhernia involves the creation of an extra-peritoneal space by blunt dissection or the use of commercial balloons. This new technique demonstrates the use of a device to create this extra-peritoneal space, without the need for any commercial balloons. The extra-peritoneal space was created using a glove-balloon. A total of 107 consecutive TEP repairs were carried out using the glove-balloon technique, these included ten bilateral and 17 recurrent inguinal hernias. This method is simple, cost-effective and easy to teach.
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Affiliation(s)
- M Z Ullah
- Department of Surgery, King George Hospital, Barley Lane, Goodmayes, Essex.
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241
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Camprodon R, Jacob S, Malkawi A, Al-Ghnaniem R. CMV colitis presenting as acute abdomen requires early diagnosis and treatment to avoid mortality. Acta Chir Belg 2007; 107:378-81. [PMID: 17966529 DOI: 10.1080/00015458.2007.11680077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Acute CMV-colitis is an unusual cause of emergency colectomy in a general surgical department. The aim of this article is to report our experience on CMV colitis as a cause of acute abdomen. METHODS Five patients were referred to general surgery during a three-year period with acute abdomen due to gastrointestinal CMV disease. All patients underwent serology for CMV except case 5. In all patients a gastroscopy or colonoscopy or both, based on individual clinical symptoms, was performed. Abdominal CT scan was requested in patients 1 and 2. Antiviral therapy was instituted in all patients. One patient (case 5) underwent surgery without prior diagnosis of CMV. RESULTS There were four men and a woman with a median age of 56 years. Abdominal CT revealed perforation in one patient, later confirmed at laparotomy. Four patients had a positive CMV diagnosis either on serology or tissue biopsy or both. Three patients were treated surgically of whom two died of multiorgan failure. CONCLUSIONS CMV may behave in the intestine as a non-pathogenic bystander. However, any condition that compromises the immune status may be sufficient to trigger its virulence. Severe colitis commits clinicians to start or increase immunosuppression regimens, whereas in gastrointestinal CMV disease such an approach inevitably aggravates the clinical picture. Tissue biopsy remains the gold standard test in CMV colitis. However, a positive diagnosis by 'any means' should prompt early antiviral treatment. Surgery should be limited to acute complications of CMV colitis and to unresponsive disease.
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Affiliation(s)
- R.A.M. Camprodon
- Department of Surgery, King’s College Hospital, Denmark Hill, London SE5 9RS, U.K
| | - S. Jacob
- Department of Surgery, King’s College Hospital, Denmark Hill, London SE5 9RS, U.K
| | - A. Malkawi
- Department of Surgery, King’s College Hospital, Denmark Hill, London SE5 9RS, U.K
| | - R. Al-Ghnaniem
- Department of Surgery, King’s College Hospital, Denmark Hill, London SE5 9RS, U.K
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242
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Jacob S, Héry M, Protois JC, Rossert J, Stengel B. New insight into solvent-related end-stage renal disease: occupations, products and types of solvents at risk. Occup Environ Med 2007; 64:843-8. [PMID: 17567724 PMCID: PMC2095352 DOI: 10.1136/oem.2007.032482] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2007] [Indexed: 11/04/2022]
Abstract
OBJECTIVES It has been shown that all-solvent exposure is associated with the progression of primary glomerulonephritis to end-stage renal disease (ESRD), but little is known about the type of solvents that are high risk. The aim of this study was to investigate the role of solvents by occupation, product and type. METHODS Using a retrospective cohort design, the authors studied 269 patients with non-end-stage and biopsy-proven primary glomerulonephritis diagnosed between 1994 and 2001 in Paris and its suburbs. Two industrial hygienists evaluated patients' exposures from lifetime occupational histories collected by interview from 2002-4, and using a list of the 30 most common solvents. The studied outcome was ESRD, defined as glomerular filtration rate <15 ml/mn/1.73 m(2) or dialysis. It was recorded during a mean follow-up of five years. Cox models were used to estimate adjusted hazard ratios (HR) of ESRD related to exposures. RESULTS Eighteen per cent of the patients had ever been exposed to solvents. Those with the highest risk of progression to ESRD were exposed machinery fitters and machine assemblers (HR 4.7, 95% CI 1.2 to 17.4) and plumbers/welders (HR 4.2, 95% CI 1.3 to 13.6), as compared to never exposed patients, as well as those who ever handled printing inks and petroleum products (HR 12.6 (95% CI 1.7 to 94.9) and 3.2 (95% CI 1.4 to 7.2), respectively). Among solvents, the highest risks were found for: toluene/xylene (HR 5.1, 95% CI 1.8 to 14.8), gasoline, fuel and gas-oil (HR 8.6, 95% CI 2.7 to 27.4), and ketones (HR 13.3, 95% CI 1.4 to 123.5). CONCLUSION This study highlights the potential nephrotoxicity of several solvents. Intervention to promote screening for proteinuria in exposed workers may prevent the progression of glomerulonephritis to ESRD.
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Affiliation(s)
- S Jacob
- INSERM Unit 780, IFR69, University Paris-Sud, Faculty of Medicine, 94807 Villejuif, France.
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Jacob S, Ertan K, Weber S, Martin T, Schmidt W. Fallbericht über ein Mosaik Trisomie 13 mit unauffälliger fetaler Sonoanatomie. Geburtshilfe Frauenheilkd 2007. [DOI: 10.1055/s-2007-984654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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244
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Laufs K, Jacob S, Schmidt W, Ertan K. Fallbericht einer Geminigravidität mit kompletter Mole. Geburtshilfe Frauenheilkd 2007. [DOI: 10.1055/s-2007-984660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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245
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Noll S, Munz W, di Liberto A, Jacob S, Gleissner B, Schmidt W. Peripartales Management bei einer Patientin mit paroxysmaler nächtlicher Hämoglobinurie (PNH) in der Schwangerschaft. Ein Fallbericht. Geburtshilfe Frauenheilkd 2007. [DOI: 10.1055/s-2007-984668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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246
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Grundmann U, Ertan AK, Jacob S, Kreuer S. [Placenta praevia totalis et increta. Cause of life-threatening haemorrhaging during a caesarean section]. Anaesthesist 2007; 56:793-6. [PMID: 17520227 DOI: 10.1007/s00101-007-1203-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Placenta increta is a rare but potentially life-threatening risk constellation after a previous caesarean section. We present the case of a 29-year-old gravida 2 para 1 patient, who developed dramatic haemorrhaging caused by this abnormal placentation, which could only be resolved by a postpartal hysterectomy. This demonstrates that in the case of a combination of the two most common predisposing factors, repeat caesarean section and placenta praevia, the possibility of a placenta increta should be considered and suitable precautions should be taken.
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Affiliation(s)
- U Grundmann
- Klinik für Anaesthesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, 66421 Homburg/Saar.
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Pfützner A, Forst T, März W, Jacob S. Evidenzbasierte Medizin. Internist (Berl) 2007; 48:426-35. [PMID: 17364168 DOI: 10.1007/s00108-007-1830-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Founded on evidence based medicine (EBM), medical decisions should involve the best possible external scientific evidence as well as the expertise of the individual physician, while taking into consideration the subjective perspective of the patient. The Institute for Quality and Cost Effectiveness (Institut für Qualität und Wirtschaftlichkeit, IQWIG), which is financed through membership contributions to the statutory health insurance, deviates drastically in its evaluations for innovative medications from this concept. All publications on a medication are reduced to only a few "relevant" studies so that the statistics from the resulting meta-analysis are invalid. The resulting method dependent lack of statistical significance is considered by IQWIG authors to show the non-superiority of the test products, which are then speculatively discredited in terms of their safety. The "recommendations" of the IQWIG are accepted uncritically by the cost carriers. The aim of this article is to evaluate IQWIG-EBM in comparison with international standards on the basis of published IQWIG reports on metabolically active medications. The example of the reports on statins, short-term insulin analogues and inhaled insulin shows a methodology which suggests the misuse of study results and can best be characterized by the term "evidently biased medicine."
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Affiliation(s)
- A Pfützner
- IKFE Institut für Klinische Forschung und Entwicklung, Mainz, Deutschland
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248
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Miquel C, Jacob S, Grandjouan S, Aimé A, Viguier J, Sabourin JC, Sarasin A, Duval A, Praz F. Frequent alteration of DNA damage signalling and repair pathways in human colorectal cancers with microsatellite instability. Oncogene 2007; 26:5919-26. [PMID: 17384679 DOI: 10.1038/sj.onc.1210419] [Citation(s) in RCA: 97] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Accumulation of frameshift mutations at genes containing coding mononucleotide repeats is thought to be the major molecular mechanism by which mismatch repair-deficient cells accumulate functional alterations. These mutations resulting from microsatellite instability (MSI) can affect genes involved in pathways with a putative oncogenic role, but may also arise in genes without any expected role in MSI carcinogenesis because of the high mutation background of these tumours. We here screened 39 MSI colorectal tumours for the presence of mutations in 25 genes involved in DNA damage signalling and repair pathways. Using a maximum likelihood statistical method, these genes were divided into two different groups that differed significantly in their mutation frequencies, and likely represent mutations that do or do not provide selective pressure during MSI tumour progression. Interestingly, the so-called real-target mutational events were found to be distributed among genes involved in different functional pathways of the DNA metabolism, for example, DNA damage signalling (DNA-PKcs, ATR), double-strand break (DSB) repair (DNA-PKcs, RAD50), mismatch repair (MSH3, MSH6, MBD4) and replication (POLD3). In particular, mutations in MRE11 and/or RAD50 were observed in the vast majority of the tumours and resulted in the concomitant loss of immunohistochemical expression of both proteins. These data might explain why MSI colorectal cancers (CRC) behave differently in response to a wide variety of chemotherapeutic agents, notably those targeting DNA. More generally, they give further insights into how MSI leads to functional changes with synergistic effects in oncogenic pathways.
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Affiliation(s)
- C Miquel
- Genetic Instability and Cancer, Centre National de la Recherche Scientifique, Paris, France
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Jacob S, Héry M, Protois JC, Martel P, Rossert J, Stengell B. Exposition professionnelle aux solvants organiques et risque d’insuffisance rénale chronique terminale. ARCH MAL PROF ENVIRO 2007. [DOI: 10.1016/s1775-8785(07)88883-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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250
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Fandino J, Fathi A, Graupner T, Jacob S, Landolt H. Perspectivas en el tratamiento del vasospasmo cerebral inducido por hemorragia subaracnoidea. Neurocirugia (Astur) 2007. [DOI: 10.4321/s1130-14732007000100002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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