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Silvera SAN, Goldfarb E, Birnbaum AS, Kaplan A, Bavaro J, Guzman M, Lieberman L. Racial and ethnic differences in perceptions of campus climate related to sexual violence. J Am Coll Health 2024; 72:645-653. [PMID: 35348421 DOI: 10.1080/07448481.2022.2054277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 03/09/2022] [Accepted: 03/13/2022] [Indexed: 06/14/2023]
Abstract
Objective: To assess perceptions of university institutional climate related to sexual violence and whether these differed by race/ethnicity. Participants: Matriculated undergraduates > age 18 (n = 1028). Methods: Students were invited via campus email to participate in an online survey. Results: Overall, only 20% agreed that the university is creating an environment in which unwanted sexual experiences seemed common or normal, but these findings differed by race. Black students were more likely than their white peers to feel the university is creating an environment in which unwanted sexual experiences seem common or normal (37.3% vs. 19.7%, p < .001) and creating an environment in which such instances were more likely to occur (33.3% vs. 13.4%, p < .001). Conclusions: Data suggest that while students generally perceive that the university is working to create a positive and safe climate, these perceptions vary by race. Further investigation is necessary to better understand the concerns of students of color.
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Affiliation(s)
- S A N Silvera
- Department of Public Health, Montclair State University, Montclair, New Jersey, USA
| | - E Goldfarb
- Department of Public Health, Montclair State University, Montclair, New Jersey, USA
| | - A S Birnbaum
- Department of Public Health, Montclair State University, Montclair, New Jersey, USA
| | - A Kaplan
- Indiana School of Public Health, Indiana University - Bloomington, Bloomington, Indiana, USA
| | - J Bavaro
- New Jersey YMCA State Alliance, Hamilton, New Jersey, USA
| | - M Guzman
- Department of Public Health, Montclair State University, Montclair, New Jersey, USA
| | - L Lieberman
- Department of Public Health, Montclair State University, Montclair, New Jersey, USA
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2
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Alberdi Koki J, Martin G, Risso L, Kaplan A. "Effect of Heat Generated by Endodontic Obturation Techniques on Bond Strength of Bioceramic Sealers to Dentine". J Endod 2023:S0099-2399(23)00579-4. [PMID: 37678751 DOI: 10.1016/j.joen.2023.08.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 08/13/2023] [Accepted: 08/29/2023] [Indexed: 09/09/2023]
Abstract
INTRODUCTION Gutta-percha combined with an endodontic sealer remains the most widely used obturation technique. Bioceramic sealers (BS) were developed for root canal obturation in combination with gutta-percha cones using the cold single-cone technique. Few studies have assessed the effect of thermal treatment on the performance of BS. The present study evaluated the effect of heat on BS adhesion to root dentine in the apical third of the root canal of extracted human lower premolars. MATERIALS AND METHODS Three BS combined with a hydraulic condensation technique, a warm vertical compaction technique, and a carrier-based technique were evaluated. Sixty three lower premolars were prepared following the same surgical protocol to standardize root canal shape at the level of the apex, randomly assigned to one of nine groups, and obturated accordingly. One millimeter-thick sections were subjected to a push-out test using a universal testing machine and classified according to mode of failure. Two-way ANOVA was applied using SPSS software (IBM Corp). RESULTS No significant differences in maximum load or failure mode were observed among BS, techniques, or when considering the interaction between sealers and techniques. CONCLUSIONS The heat generated by the obturation techniques used here did not affect BS adhesion to the dentinal wall.
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Affiliation(s)
- Jorge Alberdi Koki
- Facultad de Ciencias de la Salud, Universidad Católica de Córdoba, Argentina; Círculo Odontológico de Rosario, Rosario, Argentina.
| | - Gabriela Martin
- Facultad de Ciencias de la Salud, Universidad Católica de Córdoba, Argentina; Facultad de Odontología, Universidad Nacional de Córdoba, Argentina
| | | | - Andrea Kaplan
- Facultad de Odontología, Universidad Nacional de Buenos Aires, Argentina
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3
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Şekerci M, Özdoğan H, Kaplan A. A study on the cross-section data of 43,44m,46,47Sc isotopes via (d,x) reactions on natural abundance targets under the effects of deuteron optical models. Appl Radiat Isot 2023; 194:110714. [PMID: 36774823 DOI: 10.1016/j.apradiso.2023.110714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 02/01/2023] [Accepted: 02/04/2023] [Indexed: 02/06/2023]
Abstract
Many studies have investigated the influence of theoretical models and factors involved in the acquisition of cross-section data of a nuclear reaction. The implications of different models of various variables such as level density, gamma strength function, and optical potentials on cross-section calculations whether used solo or jointly are investigated in a significant portion of the works conducted in this perspective. The aim of this particular study is to investigate the influence of different optical models on the cross-section calculations in production of several scandium isotopes, known for various medical uses, from several targets with natural abundances by (d,x) reactions. For this purpose, the cross-section calculations using five available deuteron optical models of TALYS code in natTi(d,x)43Sc, natTi(d,x)44mSc, natTi(d,x)46Sc, natTi(d,x)47Sc, natV(d,x)47Sc and natCr(d,x)47Sc reactions were performed and the obtained calculation results were compared with the experimental cross-section data gathered from the literature. To understand whether there is a significant and consistent relationship between the experimental data and the calculation results, both have been plotted together and analyzed with the naked-eye. In addition, the calculations of the mean standardized deviation, the mean relative deviation, the mean ratio and the mean square logarithmic deviation were performed in order to evaluate the results numerically.
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Affiliation(s)
- M Şekerci
- Süleyman Demirel University, Department of Physics, 32260, Isparta, Turkey
| | - H Özdoğan
- Antalya Bilim University, Vocational School of Health Services, Department of Medical Imaging Techniques, 07190, Antalya, Turkey
| | - A Kaplan
- Süleyman Demirel University, Department of Physics, 32260, Isparta, Turkey.
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4
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Hladky V, Kaplan A, Smetanova J, Havlas V. Assessing Knee Stability in Adolescent Athletes with Osgood-Schlatter Disease Using the Y-Balance Test. Acta Chir Orthop Traumatol Cech 2023; 90:108-115. [PMID: 37155999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
PURPOSE OF THE STUDY Osgood-Schlatter disease develops secondary to chronic patellar tendon overloading. The present study was designed to determine whether athletes with Osgood-Schlatter disease perform significantly worse in the Y-Balance Test compared to healthy subjects in a control group. MATERIAL AND METHODS The study involved ten boys (average age 13.7 years). Seven participants had bilateral knee pain, swelling and tenderness whereas three had unilateral knee pain, swelling and tenderness (left knee in two cases, and right knee in one). Overall, 17 knees were assessed (left knee in nine cases and right knee in eight).Ten healthy adolescent professional football players (mean age 14.6 years) were selected as a control group. In both groups, complex knee stability was assessed using the Y-Balance Test and their data were analyzed using the methodology developed by Plisky et al. The test outcome was expressed in indexed (normalized) values for the right and left lower extremities, and averaged values for the individual directions were compared. RESULTS Significant differences between both groups were shown in the posteromedial and posterolateral directions. CONCLUSIONS Using the Y-Balance Test, our study documented reduced performance in the above directions in patients with OsgoodSchlatter disease. Key words: Osgood-Schlatter disease, knee, balance test, movement patterns patellar tendon overload.
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Affiliation(s)
- V Hladky
- Department of Orthopaedics and Traumatology, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
| | - A Kaplan
- Department of Track and Field, Faculty of Physical Education and Sport, Charles University Prague, Czech Republic
| | - J Smetanova
- Department of Rehabilitation and Sports Medicine, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
| | - V Havlas
- Department of Orthopaedics and Traumatology, 2nd Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
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Aragones A, Gany F, Kaplan A, Bruno D. An opportunity to increase human papillomavirus vaccination rates: Change the guidelines. Hum Vaccin Immunother 2022; 18:2136444. [PMID: 36282533 PMCID: PMC9746429 DOI: 10.1080/21645515.2022.2136444] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 09/27/2022] [Accepted: 10/07/2022] [Indexed: 02/09/2023] Open
Abstract
Given the low rates of Human Papillomavirus (HPV) vaccination initiation and timely series completion in 11- and 12-year old children, we sought to assess potential opportunities for initiating routine vaccination at a younger age. A cross-sectional study of Latino parents of HPV vaccine-eligible 9- or 10-year-old children in New York City assessed whether there were opportunities to discuss the HPV vaccine during their most recent primary care provider (PCP) visit. Parents were approached between November, 2016 and January, 2018. Of 86 parents who participated, 97% reported having visited the child's PCP in the previous year for an annual checkup and 85% reported that they had neither discussed the HPV vaccine nor received a recommendation for the vaccine during that visit. In a population of Latino parents, predominantly Mexican immigrants with less than a high school education and limited English proficiency, most 9- to 10-year-old children followed the recommendation for an annual PCP visit. Lowering the recommended age for routine vaccination with the HPV vaccine to 9 - 10 years of age should be considered as an important strategy to increase HPV vaccination rates in this and other populations.
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Affiliation(s)
- Abraham Aragones
- Immigrant Health & Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
- School of Public Health, Downstate Health Sciences University, State University of New York, Brooklyn, NY, USA
| | - Francesca Gany
- Immigrant Health & Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
| | | | - Denise Bruno
- School of Public Health, Downstate Health Sciences University, State University of New York, Brooklyn, NY, USA
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6
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Garcia Bolao I, Gras D, D'Onofrio A, Mark G, Nair D, Lellouche N, Novak M, Lo R, Chew E, Wright D, Kaplan A, Veraghtert S, Hu Y, Yong P, Gardner RS. Strategic management to optimize response to cardiac resynchronization therapy registry. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/13/2022] Open
Abstract
Abstract
Background
Cardiac resynchronization therapy (CRT) is guideline-recommended for the treatment of symptomatic heart failure (HF) in patients (pts) with reduced LVEF and prolonged QRS. Clinical trials report Clinical Composite Score (CCS) response rates from 60 to 75%. However, patients with common comorbidities, such as atrial fibrillation, are often under-represented in clinical trials. The Strategic MAnagement to optimize response to cardiac Resynchronization Therapy (SMART) Registry (NCT03075215) was designed to examine outcomes in CRT patients in the real world.
Methods
The SMART Registry was a global, multicenter, prospective, clinical registry that enrolled subjects undergoing a de novo CRT-D implant or upgrade from pacemaker to CRT-D using a quadripolar LV lead. CCS was assessed at 12 months post-implant.
Results
For study design and CCS outcomes see Figure 1. CCS at 12 months showed that 58.8% of pts improved and 20.1% stabilized. Of the 21.1% of pts that worsened, 8.4% were due to death, 7.8% non-fatal heart failure event, and 5% worsening of NYHA or patient global assessment. Notably, this registry had a high prevalence of pts with NYHA I/II (51%), Non-LBBB (50%), AF (37%), diabetes (35%), and bradycardia (31%) at baseline. Age (>65), diabetes, ischemia, non-LBBB, atrial fibrillation (AF) and renal dysfunction correlated with worsened CCS outcomes. NYHA III/IV patients had significantly higher HF hospitalization (HFH) rates than NYHA I/II (P-value <0.001) (Figure 2a) and patients with AF had higher HFH rates than those without (P-value <0.001) (Figure 2b). Similar effects of NYHA score and AF were seen on mortality. The use of ACE/ARB, or ARNI, and MRA correlated with better outcomes, whereas diuretics and anticoagulants correlated with poorer outcomes.
Conclusions
In this large registry, clinical outcomes across important sub-populations are in line with expectations, with older age, ischemia, renal dysfunction, AF, non-LBBB, and diabetes associated with a lower likelihood of response to CRT. By including these patients, this study provides a clearer picture of the effectiveness of CRT in the real world. Future studies should examine optimization approaches to facilitate CRT effectiveness in these under studied patient populations.
Funding Acknowledgement
Type of funding sources: Private company. Main funding source(s): This registry was funded by Boston Scientific (BSC)
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Affiliation(s)
| | - D Gras
- L'Hopital Prive du Confluent , Nantes , France
| | - A D'Onofrio
- AORN Ospedali dei Colli - Monaldi Hospital , Naples , Italy
| | - G Mark
- Cardiology Associates of the Delaware Valley, PA , Haddon Heights , United States of America
| | - D Nair
- Arrhythmia Research Group , Jonesboro , United States of America
| | | | - M Novak
- Faculty Hospital U sv Anny , Brno , Czechia
| | - R Lo
- VA Loma Linda , Loma Linda , United States of America
| | - E Chew
- Belfast City Hospital Trust , Belfast , United Kingdom
| | - D Wright
- Liverpool Heart and Chest Hospital , Liverpool , United Kingdom
| | - A Kaplan
- Cardiovascular Associates of Mesa , Mesa , United States of America
| | - S Veraghtert
- Boston Scientific Corporation , St. Paul , United States of America
| | - Y Hu
- Boston Scientific Corporation , St. Paul , United States of America
| | - P Yong
- Boston Scientific Corporation , St. Paul , United States of America
| | - R S Gardner
- Golden Jubilee National Hospital, Scottish National Advanced Heart Failure Service , Clydebank , United Kingdom
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7
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Tsaban G, Shalev A, Katz A, Yaskolka Meir A, Rinott E, Zelicha H, Kaplan A, Bluher M, Ceglarek U, Stumvoll M, Stampfer MJ, Shai I. The effect of distinct dietary interventions on proximal aortic stiffness; the DIRECT-PLUS randomized controlled trial. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/14/2022] Open
Abstract
Abstract
Background
Proximal aortic stiffness (PAS) reflects arterial aging and is strongly associated with increased cardiovascular risk. Plant-rich, specifically Mediterranean-style, diets are associated with reduced cardiovascular risk. The effect of dietary interventions on PAS remains unclear.
Methods
We randomized participants with abdominal-obesity/dyslipidemia to healthy-dietary-guidelines (HDG), Mediterranean, or green-Mediterranean diets combined with physical activity (PA). Both Mediterranean diets were similarly hypocaloric and included 28g/day walnuts. The green-Mediterranean group also consumed green tea (3–4 cups/day) and a Wolffia-globosa (Mankai) plant green-shake. PAS was estimated based on aortic-arch pulse-wave-velocity using magnetic resonance imaging (MRI) at baseline and after 18-months.
Results
Among 294 participants [age=51±10.6 years, body-mass-index 31.3±4.0 kg/m2, PAS = 6.1±2.7 m/sec, retention rate = 89.8%], 281 had valid PAS measurements. Higher PAS was mostly associated with aging, hypertension, dyslipidemia, diabetes, and increased visceral adiposity (p<0.05 for all). After 18-months of intervention, all diet groups significantly reduced their PAS ([HDG: −4.8% (interquartile-range [IQR]: −22.3 to 8.7); Mediterranean: −7.3%, IQR (−20.8 to 11.9); green-Mediterranean: −14.0%, IQR (−27.0 to 2.4); p<0.05 for within-groups changes).
Green-Mediterranean dieters had significantly greater PAS reduction than HDG dieters (p=0.007), also after controlling for age, sex, baseline-PAS, and Δweight. Further adjustment to baseline dyslipidemia, diabetes, and hypertension also revealed significant differences in PAS reduction between green-Mediterranean and Mediterranean groups (p=0.027). Specifically, greater green tea consumption was associated with greater PAS regression (p=0.04). ΔPAS was significantly associated with improvements in Δlow-density-lipoprotein cholesterol and Δtotal-cholesterol (p<0.05, multivariable models). All lifestyle intervention showed aortic age regression as compared to the expected (1.8±0.14 years vs.: HDG: −2.9±7.5 years; MED: −4.1±7.4 years; green-MED:-4.9±8.0 years; p<0.001).
Conclusions
Higher PAS is strongly related to aging and is associated with traditional cardiovascular risk factors. Lifestyle intervention promotes PAS reduction. Green-Mediterranean diet may be associated with more remarkable aortic rejuvenation.
Funding Acknowledgement
Type of funding sources: Foundation. Main funding source(s): The Deutsche Forschungsgemeinschaft (DFG, German Research Foundation); the Israel Ministry of Health
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Affiliation(s)
- G Tsaban
- Soroka University Medical Center, Heart Institute , Beer Sheva , Israel
| | - A Shalev
- Soroka University Medical Center, Heart Institute , Beer Sheva , Israel
| | - A Katz
- Ben Gurion University of the Negev, Faculty of Health Sciences , Beer Sheva , Israel
| | - A Yaskolka Meir
- Ben Gurion University of the Negev, Faculty of Health Sciences , Beer Sheva , Israel
| | - E Rinott
- Ben Gurion University of the Negev, Faculty of Health Sciences , Beer Sheva , Israel
| | - H Zelicha
- Ben Gurion University of the Negev, Faculty of Health Sciences , Beer Sheva , Israel
| | - A Kaplan
- Ben Gurion University of the Negev, Faculty of Health Sciences , Beer Sheva , Israel
| | - M Bluher
- University of Leipzig, Department of Medicine , Leipzig , Germany
| | - U Ceglarek
- University of Leipzig, Department of Medicine , Leipzig , Germany
| | - M Stumvoll
- University of Leipzig, Department of Medicine , Leipzig , Germany
| | - M J Stampfer
- Harvard T. H. Chan School of Public Health, Division of Network Medicine , Boston , United States of America
| | - I Shai
- Ben Gurion University of the Negev, Faculty of Health Sciences , Beer Sheva , Israel
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8
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Moshkovits Y, Tiosano S, Kaplan A, Kalstein M, Bayshtok G, Kivity S, Segev S, Grossman E, Segev A, Maor E, Fardman A. Serum uric acid levels significantly improve the accuracy of cardiovascular risk score models. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/14/2022] Open
Abstract
Abstract
Background
This study evaluated the impact of serum uric acid (sUA) on the accuracy of atherosclerotic cardiovascular disease (ASCVD) pooled cohort equations (PCE) model, Systematic Coronary Risk Evaluation score 2 (SCORE2) and SCORE2-Older Persons (OP).
Methods
We evaluated 19,789 asymptomatic self-referred adults aged 40–79 years who were screened annually in a preventive healthcare setting. All subjects were free of cardiovascular disease and diabetes at baseline. sUA levels were expressed as a continuous as well as dichotomous variable (categorized into sex-specific tertiles, with the upper tertiles defined as high sUA). Mortality and cancer data were available for all subjects from nationwide registries. The primary endpoint was the composite of death, acute coronary syndrome and stroke, after excluding subjects diagnosed with lymphatic spread cancer during follow up.
Results
Mean age of study population was 50±8 years and 69% were men. During median follow up of 6 years [2.0–13.1], 1,658 (8%) subjects reached the study endpoint. ASCVD, SCORE2 risk and high sUA were all independently associated with the study endpoint in the multivariable Cox regression model (p<0.001 for all). Continuous net reclassification improvement analysis showed an improvement of 13% in the accuracy of classification when high sUA was added to the PCE and SCORE2 models (p<0.001 for both). sUA remained independently associated with the study endpoint among normal-weight subjects in the SCORE 2 model (HR 1.3, 95% CI 1.1–1.6) but not among overweight individuals (p for interaction = 0.01). Addition of sUA to the models in normal-weight subgroup (N=6,624) resulted in a significant 20% improvement in the model performance for both SCORE2 and ASCVD when sUA was incorporated as dichotomous variable (p<0.001 for ASCVD and p=0.026 for SCORE2 model).
Conclusions
sUA significantly improves classification accuracy of PCE and SCORE 2 models. This effect is especially pronounced among normal weight subjects.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
| | - S Tiosano
- Sheba Medical Center , Tel Aviv , Israel
| | - A Kaplan
- Sheba Medical Center , Tel Aviv , Israel
| | - M Kalstein
- Sheba Medical Center , Tel Aviv , Israel
| | | | - S Kivity
- Tel Aviv University , Tel Aviv , Israel
| | - S Segev
- Sheba Medical Center , Tel Aviv , Israel
| | - E Grossman
- Sheba Medical Center , Tel Aviv , Israel
| | - A Segev
- Sheba Medical Center , Tel Aviv , Israel
| | - E Maor
- Sheba Medical Center , Tel Aviv , Israel
| | - A Fardman
- Sheba Medical Center , Tel Aviv , Israel
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9
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Coster D, Kodesh A, Fardman A, Tiosano S, Moshkovits Y, Bernstein D, Kaplan A, Shamir R, Maor E. Decreasing albumin within normal range is associated with increased likelihood of ischemic heart disease. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/13/2022] Open
Abstract
Abstract
Background
Albumin (ALB) is a known biomarker of frailty, and cardiovascular disease and frailty are interdependent. Epidemiological evidence demonstrates that low serum albumin levels are linked to events of ischemic heart disease (IHD), venous thromboembolism, heart failure, atrial fibrillation, and stroke.
Purpose
We aimed to investigate the association of variations in ALB levels that are within normal range with IHD events among apparently healthy adults.
Methods
A case-control retrospective study of self-referred adults participating in an executive screening program between 2002 and 2017. All subjects were free of IHD and diabetes at baseline and had their ALB documented in each visit. Only subjects with at least two ALB measurements and whose ALB levels were within the normal range at all visits were included. Relationships between ALB trend and occurrence of IHD (acute coronary syndrome or percutaneous coronary intervention) within 2 years from the last visit were investigated.
Results
The final study cohort included 16,386 subjects. Median age was 53 (IQR 45–60), 11,461 (70%) were men. Analysis included a total of 99,127 visits. Median number of visits per subject was 5 (IQR 3–9, median inter-visit time 1.02 years) and median ALB level was 4.4 (IQR 4.2–4.6). IHD within 2 years was diagnosed in 545 (3%) subjects. Of those, only 36 were female and they tended to have lower variations in ALB throughout the years. Hence, we conducted an analysis of the 509 males only, and created an equal-size age-matched cohort of IHD-free subjects. Our analysis demonstrated a progressive and significant decrease in ALB levels among IHD cases, but not among controls (mean decrease of 0.021 g/DL vs. 0.004 g/DL per year, p<0.01; OR [CI] = 0.82 [0.72–0.93]; Figure 1). Similar results were found among subjects with at least 3 or 4 visits (0.015 g/DL vs. 0.006 g/DL per year, p=0.027, and 0.009 g/DL vs. 0.003 g/DL per year, p=0.045, respectively).
Conclusions
Kinetics of ALB within the normal range can identify men at risk for IHD in preventive healthcare screening programs.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- D Coster
- Tel Aviv University, Computer Science , Tel Aviv , Israel
| | - A Kodesh
- Tel Aviv University, Sackler Faculty of Medicine , Tel Aviv , Israel
| | - A Fardman
- Tel Aviv University, Sackler Faculty of Medicine , Tel Aviv , Israel
| | - S Tiosano
- Tel Aviv University, Sackler Faculty of Medicine , Tel Aviv , Israel
| | - Y Moshkovits
- Tel Aviv University, Sackler Faculty of Medicine , Tel Aviv , Israel
| | - D Bernstein
- Tel Aviv University, Sackler Faculty of Medicine , Tel Aviv , Israel
| | - A Kaplan
- Tel Aviv University, Sackler Faculty of Medicine , Tel Aviv , Israel
| | - R Shamir
- Tel Aviv University, Computer Science , Tel Aviv , Israel
| | - E Maor
- Tel Aviv University, Sackler Faculty of Medicine , Tel Aviv , Israel
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10
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Paprcka S, Sridhar S, Goshayeshi A, Park E, Liu S, Flores R, Rocha L, Miles D, Lamani M, Cho S, Wang N, Guan Y, Chandrasekar S, Kushwaha R, Jafri S, Kaplan A, Stagnaro E, Seitz L, Kline J, Fernandez-Salas E. AB801 is a potent and selective AXL inhibitor that demonstrates significant anti-tumor activity in combination with standard of care therapeutics. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)01093-0] [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: 11/03/2022]
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11
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Özdoğan H, Üncü Y, Şekerci M, Kaplan A. Mass excess estimations using artificial neural networks. Appl Radiat Isot 2022; 184:110162. [DOI: 10.1016/j.apradiso.2022.110162] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 02/18/2022] [Accepted: 02/22/2022] [Indexed: 11/27/2022]
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12
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Şekerci M, Özdoğan H, Kaplan A. Effects of combining some theoretical models in the cross-section calculations of some alpha-induced reactions for natSb. Appl Radiat Isot 2022; 186:110255. [PMID: 35523086 DOI: 10.1016/j.apradiso.2022.110255] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 04/06/2022] [Accepted: 04/20/2022] [Indexed: 11/26/2022]
Abstract
In cases where it is not possible to obtain the cross-section values experimentally due to various factors, the importance of obtaining them with theoretical models has been explained in many studies available in the literature. In this context, the comparison of the cross-section values obtained by using the theoretical models with the experimental data will also be very beneficial for updating and developing these models. Existing studies, which also serve this purpose, have given inspiration to this study and it is aimed to examine the effects of the simultaneous use of the alpha optical model potentials and the level density models on the cross-section calculations for some alpha-particle-induced reactions on natural antimony. The effects of theoretical models on the cross-section calculations were investigated by comparing the obtained calculation results with the experimental data taken from the literature. The TALYS code, which is frequently preferred in the literature, was used in all calculations within the scope of this study. For the comparison of the calculated results with the experimental data, not only a visual analysis by graphing the outcomes, but also a mean-weighted-deviation calculation was used, and the findings were interpreted by accounting for both of them.
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Affiliation(s)
- M Şekerci
- Süleyman Demirel University, Department of Physics, 32260, Isparta, Turkey
| | - H Özdoğan
- Antalya Bilim University, Vocational School of Health Services, Department of Medical Imaging Techniques, 07190, Antalya, Turkey
| | - A Kaplan
- Süleyman Demirel University, Department of Physics, 32260, Isparta, Turkey.
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13
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Fardman A, Tiosano S, Kaplan A, Kalstein M, Moshkovits Y, Segev S, Klempfner R, Segev A, Grossman E, Maor E. Incident cardiovascular events among middle-age men are associated with increased risk of subsequent prostate cancer diagnosis. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/13/2022] Open
Abstract
Abstract
Introduction
Prostate cancer is the second most common malignancy in men worldwide, but incidence is highly dependent on screening.
Purpose
We aimed to examine whether incident cardiovascular disease (CVD) events are associated with increased risk of future prostate cancer in middle-aged men.
Methods
We evaluated asymptomatic self-referred men who participated in a screening program. All subjects were free of CVD and cancer at baseline. CVD was defined as the composite of acute coronary syndrome, percutaneous coronary intervention, or stroke. Study endpoint was the development of cancer during follow up. Cancer and mortality data were available for all subjects from national registries. Cox regression models were applied with CVD as a time-dependent covariate and death as a competing risk event.
Results
Final study population included 18,282 subjects. Median age was 47 years (Interquartile range [IQR] 41–54). During median follow up time of 12 years (IQR 4–17) 2,047 (11%) subjects developed CVD, 406 (2.2%) developed prostate cancer and 694 (4%) died. Compared with patients who were free of CVD or prostate cancer during follow up, risk of death was 4, 6 and 15 times higher for patients who developed CVD event, prostate cancer, or both during follow up, respectively (p <.001 for all). Time dependent survival analysis showed that subjects who developed CVD during follow up were 60% more likely to develop prostate cancer (95% Confidence Interval [CI] 1.2–2.1, p=.001). However, after multivariable adjustment, this association was no longer significant. Interaction analysis demonstrated that the association of incident CVD with the risk of future cancer diagnosis was age dependent such that in middle-aged men (age≤55 years; N=14,473) incident CVD was associated with a significant 70% increased risk of subsequent cancer diagnosis in multivariable model (95% CI 1.13–2.6, p=.011, p for interaction=.002). Exploratory analysis of men younger than 55 showed that independent association of incident CVD with subsequent cancer diagnosis was different among subjects with normal body mass index (BMI) (≤25 kg/m2) compared with those with increased BMI (HR 0.55; 95% CI [0.22–1.42]; p value=0.23 vs. 1.6; 95% CI [1.007–2.54]; p value=.047; p for interaction=.058, respectively).
Conclusion
Incident CVD is independently associated with increased risk of subsequent prostate cancer diagnosis among men ≤55 years. Routine prostate cancer surveillance should be considered after CVD event in this population.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- A Fardman
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - S Tiosano
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - A Kaplan
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - M Kalstein
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Y Moshkovits
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - S Segev
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - R Klempfner
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - A Segev
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - E Grossman
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - E Maor
- Chaim Sheba Medical Center, Tel Hashomer, Israel
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14
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Kaplan A, Fardman A, Tiosano S, Segev S, Scheinowitz M, Segev A, Klempfner R, Grossman E, Maor E. Predictors of deterioration in cardiorespiratory fitness among healthy adults: the importance of sex and obesity. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/12/2022] Open
Abstract
Abstract
Introduction
Cardiorespiratory fitness (CRF) is associated with cardiovascular co-morbidities and is a strong predictor of adverse cardiovascular outcomes. However, data on the natural history of cardiorespiratory fitness among healthy subjects is limited.
Purpose
This study investigated what are the predictors of deterioration in CRF over time.
Methods
We investigated 36,239 men and women who were annually screened in a tertiary medical center and completed an exercise stress test in all visits, with a total of 175,596 annual visits. Subjects who failed to complete maximal exercise stress test according to the Bruce protocol at their first baseline visit were excluded. In addition, subjects with less than five visits to the center or those who developed ischemic heart disease during follow-up were excluded. Fitness was categorized into age- and sex-specific quintiles (Q) according to Bruce protocol treadmill time. Change in CRF between the first baseline visit and the fifth visit was used to calculate fitness deterioration. The primary study endpoint was defined as the lower sex-specific quintile of change in metabolic equivalents (METS) between visits 1 and 5. Logistic regression models were applied.
Results
Final study population included 10,841 subjects. The mean age of the study population was 49±10 years, the mean BMI was 26±4, and 8107 (75%) were men. Median METS at baseline were 10.8 (IQR 9–12.6) and 11.1 (IQR 9.4–13) at the first and fifth visit, respectively (p<0.001 for METS between visits). Overall, 2189 (20%) subjects met the study endpoint. CFR deterioration was higher among women as compared to men (p=0.023). Out of obesity, hypertension, fasting blood glucose, LDL, and HDL cholesterol, after adjustments for age, sex, and baseline CFR, only obesity was independently associated with fitness deterioration in the multivariate model (OR=1.4 95% CI 1.2–1.5, p<0.001). The association of obesity with fitness deterioration was modified by sex such that the risk of CRF deterioration was more pronounced in women (OR=1.6 95% CI 1.3–2, p<0.001) than in men (OR=1.3 95% CI 1.1–1.4, p<0.001).
Conclusion
Obesity is an independent predictor of future CRF deterioration. The effect of obesity on future CRF deterioration is more pronounced among women as compared to men.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- A Kaplan
- Sheba Medical Center, Tel Aviv, Israel
| | - A Fardman
- Sheba Medical Center, Tel Aviv, Israel
| | - S Tiosano
- Sheba Medical Center, Tel Aviv, Israel
| | - S Segev
- Sheba Medical Center, Tel Aviv, Israel
| | | | - A Segev
- Sheba Medical Center, Tel Aviv, Israel
| | | | | | - E Maor
- Sheba Medical Center, Tel Aviv, Israel
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15
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Fardman A, Tiosano S, Kaplan A, Kalstein M, Moshkovits Y, Segev S, Klempfner R, Segev A, Grossman E, Maor E. Incident cardiovascular events among healthy subjects are associated with increased risk of subsequent cancer diagnosis. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/14/2022] Open
Abstract
Abstract
Introduction
While Cardiovascular disease (CVD) and cancer share common risk factors, data on the temporal association between the occurrence of CVD and cancer is limited.
Purpose
This study investigated the association between incident CVD events future cancer among apparently healthy subjects.
Methods
We evaluated asymptomatic self-referred adults who participated in a screening program. All subjects were free of CVD and cancer at baseline. CVD was defined as the composite of acute coronary syndrome, percutaneous coronary intervention, or stroke. Study endpoint was the development of cancer during follow up. Cancer and mortality data were available for all subjects from national registries. Cox regression models were applied with CVD as a time-dependent covariate and death as a competing risk event.
Results
Final study population included 26,574 subjects. Median age was 46 years (Interquartile range [IQR] 40–53) and 69% were men. During median follow up time of 10 years (IQR 3–16) 2,463 (9%) subjects developed CVD, 2,040 (8%) developed cancer and 869 (3%) died. Most common cancer types were prostate among men (N=406, 2.2%) and breast among women (N=283, 3.4%). Compared with patients who were free of CVD and cancer during follow up, risk of death was 5, 34 and 54 times higher for patients who developed CVD event, cancer, or both during follow up, respectively (p <.001 for all). Time dependent survival analysis showed that subjects who developed CVD during follow up were 50% more likely to develop cancer in a univariate model (95% Confidence Interval [CI] 1.3–1.7, p<.001). Interaction analysis demonstrated that the association of incident CVD with the risk of future cancer diagnosis was age dependent such that in younger subjects (≤52 years; N=19,052) incident CVD was associated with a significant 30% increased risk of subsequent cancer diagnosis (95% CI 1.03–1.67, p=.027) while in older subjects incident CVD was not associated with increased risk of cancer in the multivariable model (p for interaction =.018).
Conclusion
Incident CVD is independently associated with increased risk of subsequent cancer diagnosis among young adults. Active cancer surveillance should be considered among young patients recovering from a CVD event.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- A Fardman
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - S Tiosano
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - A Kaplan
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - M Kalstein
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - Y Moshkovits
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - S Segev
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - R Klempfner
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - A Segev
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - E Grossman
- Chaim Sheba Medical Center, Tel Hashomer, Israel
| | - E Maor
- Chaim Sheba Medical Center, Tel Hashomer, Israel
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16
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Şekerci M, Özdoğan H, Kaplan A. Effects of deuteron optical models on the cross-section calculations of deuteron induced reactions on natural germanium. Appl Radiat Isot 2021; 176:109875. [PMID: 34311220 DOI: 10.1016/j.apradiso.2021.109875] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 07/05/2021] [Accepted: 07/20/2021] [Indexed: 02/06/2023]
Abstract
A common feature of scientific studies is that when experimental observation data are not available, theoretical calculations are used to obtain information about the subject under investigation. In this context, many parameters and theoretical models have been developed that can be used in nuclear physics studies just as it is in other branches of sciences. It is intended that by doing so, theoretical models can be improved using recent experimental data while also learning about outcomes where experimental data is unavailable or difficult to access. Among the many theoretical models available, there are also deuteron optical models whose effects are examined in this study. The objective of this study is to examine the effects of different deuteron optical models on the cross-section calculations of deuteron induced reactions on natural germanium. The cross-section values of natGe(d,x)70As, natGe(d,x)71As, natGe(d,x)72As, natGe(d,x)73As, natGe(d,x)74As and natGe(d,x)76As reactions were calculated using five deuteron optical models in the TALYS code's v1.95 for this aim, and the results were compared to the experimental data available in the database known as Experimental Nuclear Reaction Data (EXFOR) library. Graphics and quantitative analyses were also used to present the findings and interpretations of the outcomes.
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Affiliation(s)
- M Şekerci
- Süleyman Demirel University, Department of Physics, 32260, Isparta, Turkey
| | - H Özdoğan
- Antalya Bilim University, Vocational School, Department of Medical Imaging Techniques Program, 07190, Antalya, Turkey
| | - A Kaplan
- Süleyman Demirel University, Department of Physics, 32260, Isparta, Turkey.
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17
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Tsaban G, Yaskolka-Meir A, Rinott E, Zelicha H, Kaplan A, Shalev A, Katz A, Shai I. Metabolic determinants of proximal aortic stiffness among healthy people with abdominal obesity. Eur J Prev Cardiol 2021. [DOI: 10.1093/eurjpc/zwab061.301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/15/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): (1) the Deutsche Forschungsgemeinschaft; (2) Israel Ministry of Health
Background
Increased proximal aortic stiffness (PAS) is directly associated with cardiovascular risk. Likewise, metabolic syndrome (MS) and abdominal obesity are associated with cardiovascular risk. The direct association between MS determinants and PAS among a healthy population with abdominal obesity remains to be examined.
Purpose
To examine the association between MS determinants and PAS among healthy participants with abdominal obesity.
Methods
We utilized the cross-sectional baseline data of the DIRECT-PLUS study (clinicaltrials.gov NCT03020186), where we recruited healthy participants with abdominal obesity/dyslipidemia. Along with anthropometric measurements and blood tests, all participants underwent magnetic-resonance-imaging from which PAS we assessed by calculating the aortic arch pulse-wave-velocity (from the ascending to the descending aorta). We defined MS according to the NCEP-ATP-III criteria.
Results
Of 282 participants who had a valid PAS estimation [mean-age: 51.0, 88.3% male, mean-body-mass-index: 31.2kg/m2, mean-waist circumference (WC): 109.5cm] 171 (60.9%) had MS. PAS was mainly associated with age (r = 0.735, p < 0.001). PAS was associated with an increased 10-year Framingham Risk Score (β=0.165,p = 0.008 after adjustment for age and gender). Participants with MS had higher PAS than non-MS participants (6.6m/sec vs. 5.4m/sec, p = 0.002 after adjusting for age and gender). PAS increased along with cumulative number of MS criteria (p-of-trend < 0.001). In multivariate models, adjusted for gender, age, and dichotomous-components of the MS, worse PAS remained significantly associated with high-density lipoprotein cholesterol (HDL-c; β=0.-116,p = 0.007) and increased blood-pressure (β=0.165,p < 0.001), but not with fasting-glucose, waist-circumference or plasma-triglycerides (p > 0.05 for all). In models adjusted for age, gender, and continuous determinants of MS, worse PAS remained associated with mean-arterial pressure (β=0.218,p < 0.001) and HDL-c (β=0.-126,p = 0.004).
Conclusions
Among a healthy population with abdominal obesity, reduced HDL-c levels and increased blood pressure might be the more dominant predictors of poor PAS state, out of the MS components.
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Affiliation(s)
- G Tsaban
- Ben Gurion University of the Negev, Medicine & Public Health, Beer Sheva, Israel
| | - A Yaskolka-Meir
- Ben Gurion University of the Negev, Medicine & Public Health, Beer Sheva, Israel
| | - E Rinott
- Ben Gurion University of the Negev, Medicine & Public Health, Beer Sheva, Israel
| | - H Zelicha
- Ben Gurion University of the Negev, Medicine & Public Health, Beer Sheva, Israel
| | - A Kaplan
- Ben Gurion University of the Negev, Medicine & Public Health, Beer Sheva, Israel
| | - A Shalev
- Soroka University Medical Center, Beer Sheva, Israel
| | - A Katz
- Ben Gurion University of the Negev, Medicine & Public Health, Beer Sheva, Israel
| | - I Shai
- Ben Gurion University of the Negev, Medicine & Public Health, Beer Sheva, Israel
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18
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Javor D, Kaplan H, Kaplan A, Puchner SB, Krestan C, Baltzer P. Deep learning analysis provides accurate COVID-19 diagnosis on chest computed tomography. Eur J Radiol 2020; 133:109402. [PMID: 33190102 PMCID: PMC7641539 DOI: 10.1016/j.ejrad.2020.109402] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 10/13/2020] [Accepted: 11/02/2020] [Indexed: 12/26/2022]
Abstract
INTRODUCTION Computed Tomography is an essential diagnostic tool in the management of COVID-19. Considering the large amount of examinations in high case-load scenarios, an automated tool could facilitate and save critical time in the diagnosis and risk stratification of the disease. METHODS A novel deep learning derived machine learning (ML) classifier was developed using a simplified programming approach and an open source dataset consisting of 6868 chest CT images from 418 patients which was split into training and validation subsets. The diagnostic performance was then evaluated and compared to experienced radiologists on an independent testing dataset. Diagnostic performance metrics were calculated using Receiver Operating Characteristics (ROC) analysis. Operating points with high positive (>10) and low negative (<0.01) likelihood ratios to stratify the risk of COVID-19 being present were identified and validated. RESULTS The model achieved an overall accuracy of 0.956 (AUC) on an independent testing dataset of 90 patients. Both rule-in and rule out thresholds were identified and tested. At the rule-in operating point, sensitivity and specificity were 84.4 % and 93.3 % and did not differ from both radiologists (p > 0.05). At the rule-out threshold, sensitivity (100 %) and specificity (60 %) differed significantly from the radiologists (p < 0.05). Likelihood ratios and a Fagan nomogram provide prevalence independent test performance estimates. CONCLUSION Accurate diagnosis of COVID-19 using a basic deep learning approach is feasible using open-source CT image data. In addition, the machine learning classifier provided validated rule-in and rule-out criteria could be used to stratify the risk of COVID-19 being present.
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Affiliation(s)
- D Javor
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria
| | - H Kaplan
- Deepinsights Study Group for Artificial Intelligence, Vienna, Austria
| | - A Kaplan
- Deepinsights Study Group for Artificial Intelligence, Vienna, Austria
| | - S B Puchner
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
| | - C Krestan
- Department of Radiology, Sozialmedizinisches Zentrum Süd - Kaiser-Franz-Josef Spital, Vienna, Austria
| | - P Baltzer
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria
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19
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Rothschild E, Baruch G, Kaplan A, Kapusta L, Topilsky Y. Right ventricular strain for prediction of mortality in patients with preserved ejection fraction. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/13/2022] Open
Abstract
Abstract
Introduction
Right Ventricular (RV) dysfunction is highly prevalent and has major prognostic implication in patients with Heart Failure (HF) with Preserved Ejection Fraction (HFpEF). Different functional indices have been proposed to evaluate RV function, most common are TEI-index, TAPSE and RVFAC%. Recent works suggested that 2-dimensional speckle tracking echocardiography (2DSTE) for RV global longitudinal strain (RVGLS) and free wall strain (RVFWS) are more sensitive in evaluating RV (dys)function than other functional and hemodynamic parameters in specific populations, such as HF with reduced EF.
Purpose
We aimed to assess if endocardial RVGLS, RVFWS, and RV Septal Wall Strain (RVSWS), might have a prognostic and additive value (on top of the conventional measurements) on the outcome of patients with preserved EF.
Methods
Retrospective analysis of RV parameters including Peak and End Systolic Strain of RVGLS, RVFWS and RVSWS, RV functional indices (RVFAC% and Machine like TAPSE), Systolic Pulmonary Artery Pressure, in 375 consecutive patients with Preserved Ejection Fraction (EF ≥50%; age 69.1±19; 51% female; Co-morbidity Charlson index 1 (3)). Multivariate Cox regression hazards model was used to determine the association between RV strain parameters to all-cause mortality.
Results
RVFWS, RVSWS and RVFAC% were strong predictors of mortality in univariate analysis (HR 1.07 [1.03–1.1]; p≤0.0001, HR 1.08 [1.05–1.12]; p≤0.0001, HR 0.97 [0.95–0.99]; p≤0.0002, respectively). Moreover, after adjustment for clinical (age, gender, Charlson index) and echocardiographic parameters (LA volume, E/e' average, systolic pulmonary pressure), all three parameters remained statistically significant predictors of all-cause mortality (p=0.004, p=0.024, p=0.026, respectively).
The best strain univariate predictor of mortality was RVGLS (HR 1.09 [1.05–1.13]; p≤0.0001), being superior to other RV functional indices and systolic pulmonary pressure. Also, after multivariate analysis it remained a statistically significant predictor of mortality (p=0.007).
All measurements had good intra-observer and inter-observer reproducibility (Single Measures ICC = 0.90 and ICC = 0.88, respectively).
Conclusions
2DSTE of RVGLS, RVFWS, RVSWS provides significant prognostic value to predict overall mortality in patients with Preserved Ejection Fraction with excellent reproducibility, incremental to routine clinical, hemodynamic and diastolic parameters.
Moreover, the strain results of the septal wall showed to be significant, thereover challenging the known hypothesis that the septal wall is mainly influenced by LV function.
Figure 1
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- E Rothschild
- Ben-Gurion University of the Negev, Faculty of Health Sciences, Beer Sheva, Israel
| | - G.N Baruch
- Ben-Gurion University of the Negev, Faculty of Health Sciences, Beer Sheva, Israel
| | - A Kaplan
- Ben-Gurion University of the Negev, Faculty of Health Sciences, Beer Sheva, Israel
| | - L Kapusta
- Tel Aviv Sourasky Medical Center, Paediatric Cardiology, Tel Aviv, Israel
| | - Y Topilsky
- Tel Aviv Sourasky Medical Center, Cardiology, Tel Aviv, Israel
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20
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Özdoğan H, Şekerci M, Kaplan A. Photo-neutron cross-section calculations of 54,56Fe, 90,91,92,94Zr, 93Nb and 107Ag Isotopes with newly obtained Giant Dipole Resonance parameters. Appl Radiat Isot 2020; 165:109356. [PMID: 32810729 DOI: 10.1016/j.apradiso.2020.109356] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 07/22/2020] [Indexed: 11/17/2022]
Abstract
The knowledge of the interaction of photons with matter is of vital importance to investigate fundamental nuclear physics problems. Giant dipole resonance (GDR) mechanism is dominant up to 30 MeV at photo-absorption cross-section. The photo-absorption cross-section curve against the photon energy displays one or multi-peak Lorentzian functions according to the deformation of the nucleus. Theoretical photo-absorption cross-section calculations generally focus on the estimation of GDR parameters. Theoretical reaction codes use GDR parameters to reproduce photon-induced nuclear reactions. In this study, photo-neutron cross-section calculations of 54,56Fe, 90,91,92,94Zr, 93Nb, and 107Ag isotopes have been done with the TALYS 1.8 and EMPIRE 3.2.2 nuclear reaction codes in the GDR region. During these calculations, both codes were firstly operated by using the predefined and existing GDR parameters within the codes. Later on, a new set of GDR parameters have been obtained by running a Lorentzian model based code in where the available experimental data are also considered. Levenberg-Marquardt algorithm has been used with 10-6 function tolerances and 400 iterations for optimization. These new obtained GDR parameters then replaced with the existing GDR parameters within the TALYS code and the photo-neutron cross-section calculations for the investigated isotopes have been repeated. Ultimately, in order to discuss the outcomes and the effects of using new GDR parameters, obtained results were analyzed by comparing them with the experimental data from the Experimental Nuclear Reaction Data (EXFOR) library.
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Affiliation(s)
- H Özdoğan
- Antalya Bilim University, Vocational School of Health Services, Department of Medical Imaging Techniques, 07190, Antalya, Turkey
| | - M Şekerci
- Süleyman Demirel University, Department of Physics, 32260, Isparta, Turkey
| | - A Kaplan
- Süleyman Demirel University, Department of Physics, 32260, Isparta, Turkey.
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21
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Cevik S, Kaplan A, Katar S. Correlation of Cervical Spinal Degeneration with Rise in Smartphone Usage Time in Young Adults. Niger J Clin Pract 2020; 23:1748-1752. [DOI: 10.4103/njcp.njcp_605_19] [Citation(s) in RCA: 1] [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: 11/04/2022]
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22
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Özdoğan H, Şekerci M, Kaplan A. Investigation of gamma strength functions and level density models effects on photon induced reaction cross-section calculations for the fusion structural materials 46,50Ti, 51V, 58Ni and 63Cu. Appl Radiat Isot 2018; 143:6-10. [PMID: 30368053 DOI: 10.1016/j.apradiso.2018.10.011] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Revised: 10/05/2018] [Accepted: 10/08/2018] [Indexed: 10/28/2022]
Abstract
Scientists have been focused on fusion reactor studies to overcome the increasing energy demand. The materials, which have the potential to be used in fusion reactors must be resistant to the harmful effects of radiation in the manner of material itself. Selection of the appropriate materials to be used in nuclear reactors has a crucial importance to achieve the maximum efficiency and security. Ti, V, Ni and Cu are known as some of the constructional fusion materials. Existence of many knowledge about those materials provides countless advantages to the researchers and one of them is the cross-section, which basically means the probability of a nuclear reaction's occurrence. In addition to the cross-section, there exist some other parameters, which could be pointed as gamma strength function and level density models that affect the theoretical calculations. In this study, photon induced reaction cross-sections of 46,50Ti, 51V, 58Ni and 63Cu target isotopes have been calculated by using TALYS 1.8 code with different gamma strength functions in the giant dipole resonance region. For gamma strength functions Kopecky-Uhl generalised Lorentzian Model, Brink-Axel Lorentzian Model, Hartree-Fock BCS tables, Hartree-Fock-Bogolyubov tables and Goriely's Hybrid Model have been employed. To appoint the best gamma strength function model, the relative variance calculations have been performed. Also, reaction cross-sections have been recalculated by using the best gamma strength function models through the different level density options. Constant Temperature Fermi Gas Model, Back Shifted Fermi Gas Model and Generalised Super Fluid Model have been employed for level density calculations. Experimental data for the investigated reactions have been taken from EXFOR library and used for comparisons of the obtained calculation results.
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Affiliation(s)
- H Özdoğan
- Biophysics Department, Akdeniz University, Antalya, Turkey.
| | - M Şekerci
- Physics Department, Süleyman Demirel University, Isparta, Turkey
| | - A Kaplan
- Physics Department, Süleyman Demirel University, Isparta, Turkey
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23
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Özdoğan H, Şekerci M, Sarpün İ, Kaplan A. Investigation of level density parameter effects on (p,n) and (p,2n) reaction cross–sections for the fusion structural materials 48Ti, 63Cu and 90Zr. Appl Radiat Isot 2018; 140:29-34. [DOI: 10.1016/j.apradiso.2018.06.013] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Revised: 04/29/2018] [Accepted: 06/13/2018] [Indexed: 12/01/2022]
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Zuberbier T, Aberer W, Asero R, Abdul Latiff AH, Baker D, Ballmer-Weber B, Bernstein JA, Bindslev-Jensen C, Brzoza Z, Buense Bedrikow R, Canonica GW, Church MK, Craig T, Danilycheva IV, Dressler C, Ensina LF, Giménez-Arnau A, Godse K, Gonçalo M, Grattan C, Hebert J, Hide M, Kaplan A, Kapp A, Katelaris CH, Kocatürk E, Kulthanan K, Larenas-Linnemann D, Leslie TA, Magerl M, Mathelier-Fusade P, Meshkova RY, Metz M, Nast A, Nettis E, Oude-Elberink H, Rosumeck S, Saini SS, Sánchez-Borges M, Schmid-Grendelmeier P, Staubach P, Sussman G, Toubi E, Vena GA, Vestergaard C, Wedi B, Werner RN, Zhao Z, Maurer M. The EAACI/GA²LEN/EDF/WAO guideline for the definition, classification, diagnosis and management of urticaria. Allergy 2018; 73:1393-1414. [PMID: 29336054 DOI: 10.1111/all.13397] [Citation(s) in RCA: 767] [Impact Index Per Article: 127.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/18/2017] [Indexed: 02/06/2023]
Abstract
This evidence- and consensus-based guideline was developed following the methods recommended by Cochrane and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group. The conference was held on 1 December 2016. It is a joint initiative of the Dermatology Section of the European Academy of Allergology and Clinical Immunology (EAACI), the EU-founded network of excellence, the Global Allergy and Asthma European Network (GA²LEN), the European Dermatology Forum (EDF) and the World Allergy Organization (WAO) with the participation of 48 delegates of 42 national and international societies. This guideline was acknowledged and accepted by the European Union of Medical Specialists (UEMS). Urticaria is a frequent, mast cell-driven disease, presenting with wheals, angioedema, or both. The lifetime prevalence for acute urticaria is approximately 20%. Chronic spontaneous urticaria and other chronic forms of urticaria are disabling, impair quality of life and affect performance at work and school. This guideline covers the definition and classification of urticaria, taking into account the recent progress in identifying its causes, eliciting factors and pathomechanisms. In addition, it outlines evidence-based diagnostic and therapeutic approaches for the different subtypes of urticaria.
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Affiliation(s)
- T. Zuberbier
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Department of Dermatology and Allergy; Allergy-Centre-Charité; Berlin Germany
| | - W. Aberer
- Department of Dermatology; Medical University of Graz; Graz Austria
| | - R. Asero
- Department of Allergology; Clinica San Carlo; Paderno Dugnano MI Italy
| | - A. H. Abdul Latiff
- Allergy& Immunology Centre; Pantai Hospital Kuala Lumpur; Kuala Lumpur Malaysia
| | - D. Baker
- Baker Allergy Asthma and Dermatology Clinic; Portland OR USA
| | - B. Ballmer-Weber
- Allergy Unit; Department of Dermatology; University Hospital; Zürich Switzerland
| | - J. A. Bernstein
- University of Cincinnati Physicians Immunology Research Center; Cincinnati OH USA
| | - C. Bindslev-Jensen
- Department of Dermatology and Allergy Centre; Odense University Hospital and University of Southern Denmark; Odense Denmark
| | - Z. Brzoza
- Department of Internal Diseases, Allergology and Clinical Immunology in Katowice; Medical University of Silesia; Katowice Poland
| | | | - G. W. Canonica
- Personalized Medicine Asthma and Allergy Clinic-Humanitas University & Research Hospital; Milano Italy
| | - M. K. Church
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Department of Dermatology and Allergy; Allergy-Centre-Charité; Berlin Germany
| | - T. Craig
- Department of Medicine and Pediatrics; Penn State University; Hershey Medical Center; Hershey PA USA
| | - I. V. Danilycheva
- National Research Center-Institute of Immunology Federal Medical-Biological Agency of Russia; Moscow Russia
| | - C. Dressler
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Division of Evidence Based Medicine; Department of Dermatology; Berlin Germany
| | - L. F. Ensina
- Federal University of Sao Paulo; Sao Paulo Brazil
| | - A. Giménez-Arnau
- Hospital del Mar; IMIM; Universitat Autònoma Barcelona; Barcelona Spain
| | - K. Godse
- Department of Dermatology; Dr. D. Y. Patil Medical College & Hospital; Nerul Navi Mumbai India
| | - M. Gonçalo
- Clinic of Dermatology; Faculty of Medicine and University Hospital; Coimbra Portugal
| | - C. Grattan
- St John's’ Institute of Dermatology; Guy's’ and St. Thomas’ Hospital; NHS Foundation Trust; London UK
| | - J. Hebert
- Service d'allergie; Centre Hospitalier Université Laval/Centre Hospitalier Universitaire de Québec; Québec QC Canada
| | - M. Hide
- Department of Dermatology; Institute of Biomedical and Health Sciences; Hiroshima University; Hiroshima Japan
| | - A. Kaplan
- Department of Medicine; Division of Pulmonary and Critical Care Medicine; Allergy and Clinical Immunology; Medical University of South Carolina; Charleston SC USA
| | - A. Kapp
- Department of Dermatology and Allergy; Hannover Medical School; Hannover Germany
| | - C. H. Katelaris
- Campbelltown Hospital and Western Sydney University; Sydney Australia
| | - E. Kocatürk
- Department of Dermatology; Okmeydani Training and Research Hospital; Istanbul Turkey
| | - K. Kulthanan
- Department of Dermatology; Faculty of Medicine Siriraj Hospital; Mahidol University; Bangkok Thailand
| | | | | | - M. Magerl
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Department of Dermatology and Allergy; Allergy-Centre-Charité; Berlin Germany
| | - P. Mathelier-Fusade
- Department of Dermatology and Allergy; University Hospital of Tenon; Paris France
| | - R. Y. Meshkova
- Department of Clinical Immunology and Allergy; Smolensk State Medical University; Smolensk Russia
| | - M. Metz
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Department of Dermatology and Allergy; Allergy-Centre-Charité; Berlin Germany
| | - A. Nast
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Division of Evidence Based Medicine; Department of Dermatology; Berlin Germany
| | - E. Nettis
- Scuola e Cattedra di Allergologia e Immunologia Clinica; Dipartimento dell'Emergenza e dei Trapianti d'Organo; Università di Bari; Bari Italy
| | | | - S. Rosumeck
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Division of Evidence Based Medicine; Department of Dermatology; Berlin Germany
| | - S. S. Saini
- Johns Hopkins Asthma and Allergy Center; Baltimore MD USA
| | - M. Sánchez-Borges
- Allergy and Clinical Immunology Department; Centro Médico-Docente La Trinidad; Caracas Venezuela
| | | | - P. Staubach
- Department of Dermatology; University Medical Center Mainz; Mainz Germany
| | - G. Sussman
- Division of Allergy and Clinical Immunology; University of Toronto; Toronto ON Canada
| | - E. Toubi
- Bnai-Zion Medical Center; Faculty of Medicine; Technion Haifa Israel
| | - G. A. Vena
- Dermatology and Venereology Private Practice; Bari and Barletta Italy
| | - C. Vestergaard
- Department of Dermatology and Venereology; Aarhus University Hospital; Aarhus Denmark
| | - B. Wedi
- Department of Dermatology and Allergy; Hannover Medical School; Hannover Germany
| | - R. N. Werner
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Division of Evidence Based Medicine; Department of Dermatology; Berlin Germany
| | - Z. Zhao
- Department of Dermatology and Venereology; Peking University; First Hospital; Beijing China
| | - M. Maurer
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health; Department of Dermatology and Allergy; Allergy-Centre-Charité; Berlin Germany
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Bozal CB, Kaplan A, Ortolani A, Cortese SG, Biondi AM. Ultrastructure of the surface of dental enamel with molar incisor hypomineralization (MIH) with and without acid etching. Acta Odontol Latinoam 2017; 28:192-8. [PMID: 26355892 DOI: 10.1590/s1852-48342015000200016] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
The aim of the present work was to analyze the ultrastructure and mineral composition of the surface of the enamel on a molar with MIH, with and without acid etching. A permanent tooth without clinical MIH lesions (control) and a tooth with clinical diagnosis of mild and moderate MIH, with indication for extraction, were processed with and without acid etching (H3PO4 37%, 20") for observation with scanning electron microscope (SEM) ZEISS (Supra 40) and mineral composition analysis with an EDS detector (Oxford Instruments). The control enamel showed normal prismatic surface and etching pattern. The clinically healthy enamel on the tooth with MIH revealed partial loss of prismatic pattern. The mild lesion was porous with occasional cracks. The moderate lesion was more porous, with larger cracks and many scales. The mineral composition of the affected surfaces had lower Ca and P content and higher O and C. On the tooth with MIH, even on normal looking enamel, the demineralization does not correspond to an etching pattern, and exhibits exposure of crystals with rods with rounded ends and less demineralization in the inter-prismatic spaces. Acid etching increased the presence of cracks and deep pores in the adamantine structure of the enamel with lesion. In moderate lesions, the mineral composition had higher content of Ca, P and Cl. Enamel with MIH, even on clinically intact adamantine surfaces, shows severe alterations in the ultrastructure and changes in ionic composition, which affect the acid etching pattern and may interfere with adhesion.
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Affiliation(s)
- Carola B Bozal
- Deparment of Histology and Embriology, School of Dentistry, University of Buenos Aires, Argentina
| | - Andrea Kaplan
- Deparment of Dental Materials, School of Dentistry, University of Buenos Aires, Argentina
| | - Andrea Ortolani
- Deparment of Pediatric Dentistry, School of Dentistry, University of Buenos Aires, Argentina
| | - Silvina G Cortese
- Deparment of Pediatric Dentistry, School of Dentistry, University of Buenos Aires, Argentina
| | - Ana M Biondi
- Deparment of Pediatric Dentistry, School of Dentistry, University of Buenos Aires, Argentina
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Halevy S, Bochlin Y, Kadosh Y, Kaplan A, Avraham H, Nissim A, Ben Hamo R, Ohaion-Raz T, Korin E, Bettelheim A. Graphene Oxide Sheets Combine into Conductive Coatings by Direct Oxidative Electropolymerization. Sci Rep 2017; 7:4987. [PMID: 28694454 PMCID: PMC5504004 DOI: 10.1038/s41598-017-05269-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Accepted: 05/25/2017] [Indexed: 11/17/2022] Open
Abstract
New coatings are obtained when graphene oxide is further oxidized at moderate anodic potentials (≤~1.3 V vs. Ag/AgCl). Based on a variety of spectroscopic and electrochemical observations, the coatings are attributed to the direct electropolymerization of graphene oxide sheets via oxidation of the phenol edge groups on graphene. Depending on the applied potential, ether or carboxylic groups are formed. The coatings obtained via further oxidation are characterized by a lower O/C ratio due to decarboxylation and a higher content of C=C bonds. These bonds extend aromatic conjugation into the combined graphene oxide sheets and are responsible for the highly conductive nature of these coatings.
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Affiliation(s)
- S Halevy
- Chemical Engineering Department, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel
| | - Y Bochlin
- Chemical Engineering Department, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel
| | - Y Kadosh
- Chemical Engineering Department, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel
| | - A Kaplan
- Chemical Engineering Department, MIT, Cambridge, MA, 02139, USA
| | - H Avraham
- Chemistry Department, NRCN, P.O. Box 9001, Beer-Sheva, 84190, Israel
| | - A Nissim
- Chemistry Department, NRCN, P.O. Box 9001, Beer-Sheva, 84190, Israel
| | - R Ben Hamo
- Chemical Engineering Department, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel
| | - T Ohaion-Raz
- Chemistry Department, NRCN, P.O. Box 9001, Beer-Sheva, 84190, Israel
| | - E Korin
- Chemical Engineering Department, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel
| | - A Bettelheim
- Chemical Engineering Department, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel.
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Kaplan A, Erel H. MEANING OF LIFE AND PRESERVATION OF COGNITIVE ABILITIES: LINKAGE TO THE PLACE OF LIVING IN OLD AGE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4316] [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] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- A. Kaplan
- Behavioral Science, NAC, Netanya, Israel,
| | - H. Erel
- Behavioral Science, NAC, Netanya, Israel,
- IDC, Herzliya, Israel
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Erel H, Kaplan A. MEANING OF LIFE IN OLD AGE AND THE PRESERVATION OF COGNITIVE ABILITIES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4300] [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] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- H. Erel
- NAC, Netanya, Israel,
- IDC, Herzliya, Israel
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Reyhan N, Goksu E, Kaplan A, Senfer A, Sevil H. Comparison of C-MAC, McGrath and Macintosh laryngoscope use in a standardized airway manikin with immobilized cervical spine by novice intubators. Am J Emerg Med 2017; 35:1368-1370. [PMID: 28404213 DOI: 10.1016/j.ajem.2017.03.016] [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: 02/14/2017] [Revised: 03/08/2017] [Accepted: 03/10/2017] [Indexed: 11/16/2022] Open
Affiliation(s)
- N Reyhan
- Akdeniz University School of Medicine, Department of Emergency Medicine, Antalya, Turkey
| | - E Goksu
- Akdeniz University School of Medicine, Department of Emergency Medicine, Antalya, Turkey.
| | - A Kaplan
- Akdeniz University School of Medicine, Department of Emergency Medicine, Antalya, Turkey
| | - A Senfer
- Akdeniz University School of Medicine, Department of Emergency Medicine, Antalya, Turkey
| | - H Sevil
- Akdeniz University School of Medicine, Department of Emergency Medicine, Antalya, Turkey
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Kaplan A, Rao K, Bhatnagar A, Changkija N, Mullen P. Community Participation in Health: Factors Associated with Active Health
Facility Committees in Nagaland, India. Ann Glob Health 2017. [DOI: 10.1016/j.aogh.2017.03.036] [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: 11/27/2022] Open
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Rossi G, Squassi A, Mandalunis P, Kaplan A. Effect of silver diamine fluoride (SDF) on the dentin-pulp complex: ex vivo histological analysis on human primary teeth and rat molars. Acta Odontol Latinoam 2017; 30:5-12. [PMID: 28688180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The aim of this study was to determine the effect of SDF on the dentin-pulp complex using two models: teeth after SDF application (ex vivo) and experimental animal molars. A descriptive study was performed using two models. In the first model, primary teeth (ex vivo) with enamel-dentin caries, without pulp involvement and previously treated with 38% SDF, were evaluated by means of two techniques: (a) Scanning Electron Microscopy (SEM) and energy-dispersive X-ray detector (EDS) to determine qualitative and quantitative composition, and (b) brightfield optical microscopy (OM) after decalcification. The second model used laboratory animal molars from 12 male Wistar rats. Standardized enamel-dentin cavities approximately 0.5 mm deep were made the distal fossa of the occlusal face of both first lower molars, to one of which a 38% SDF solution was applied, while the other was used as a control. Histological sections were prepared and dental pulp was evaluated qualitatively in both groups. SEM on ex vivo teeth showed areas of hypermineralization in the intertubular dentin and few blocked tubules, while EDS detected Ag in the center of the lesion (7.34%), its concentration declining at the edges (1.71%), with none in the areas farthest from the lesion. OM showed SDF sealing the tubules only at the site where it had been placed, with limited penetration beneath, the tubules appeared normal and the pulp tissue associated to treated caries showed chronic inflammatory infiltrate and formation of tertiary dentin, with no Ag precipitate. In the experimental animal model, pulp histology was not significantly altered in the molar cavities exposed to SDF. The observations using the different techniques on dental tissues suggest that SDF causes minimal adverse effects. The results of this study may contribute to further studies on the suitability of SDF as a cost-effective strategy for treating caries.
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Affiliation(s)
- Glenda Rossi
- Universidad de Buenos Aires, Facultad de Odontología, Cátedra de Odontología Preventiva y Comunitaria.
| | - Aldo Squassi
- Universidad de Buenos Aires, Facultad de Odontología, Cátedra de Odontología Preventiva y Comunitaria
| | - Patricia Mandalunis
- Universidad de Buenos Aires, Facultad de Odontología, Cátedra de Histología y Embriología
| | - Andrea Kaplan
- Universidad de Buenos Aires, Facultad de Odontología, Cátedra de Materiales Dentales
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Sarpün I, Tel E, Aydin A, Kaplan A. Preface. EPJ Web Conf 2016. [DOI: 10.1051/epjconf/201612800001] [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: 11/15/2022] Open
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Akkucuk S, Aydogan A, Yetim I, Ugur M, Oruc C, Kilic E, Paltaci I, Kaplan A, Temiz M. Surgical outcomes of a civil war in a neighbouring country. J ROY ARMY MED CORPS 2015; 162:256-60. [PMID: 26055069 DOI: 10.1136/jramc-2015-000411] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Accepted: 05/10/2015] [Indexed: 11/04/2022]
Abstract
OBJECTIVES The civil war in Syria began on 15 March 2011, and many of the injured were treated in the neighbouring country of Turkey. This study reports the surgical outcomes of this war, in a tertiary centre in Turkey. METHODS 159 patients with civilian war injuries in Syria who were admitted to the General Surgery Department in the Research and Training Hospital of the Medical School of Mustafa Kemal University, Hatay, Turkey, between 2011 and 2012 were analysed regarding the age, sex, injury type, history of previous surgery for the injury, types of abdominal injuries (solid or luminal organ), the status of isolated abdominal injuries or multiple injuries, mortality, length of hospital stay and injury severity scoring. RESULTS The median age of the patients was 30.05 (18-66 years) years. Most of the injuries were gunshot wounds (99 of 116 patients, 85.3%). Primary and previously operated patients were transferred to our clinic in a median time of 6.28±4.44 h and 58.11±44.08 h, respectively. Most of the patients had intestinal injuries; although a limited number of patients with colorectal injuries were treated with primary repair, stoma was the major surgical option due to the gross peritoneal contamination secondary to prolonged transport time. Two women and 21 men died. The major cause of death was multiorgan failure secondary to sepsis (18 patients). CONCLUSIONS In the case of civil war in the bordering countries, it is recommended that precautions are taken, such as transformation of nearby civilian hospitals into military ones and employment of experienced trauma surgeons in these hospitals to provide effective medical care. Damage control procedures can avoid fatalities especially before the lethal triad of physiological demise occurs. Rapid transport of the wounded to the nearest medical centre is the key point in countries neighbouring a civil war.
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Affiliation(s)
- Seckin Akkucuk
- Department of General Surgery, Medicine School of Mustafa Kemal University, Hatay, Turkey
| | - A Aydogan
- Department of General Surgery, Medicine School of Mustafa Kemal University, Hatay, Turkey
| | - I Yetim
- Department of General Surgery, Medicine School of Mustafa Kemal University, Hatay, Turkey
| | - M Ugur
- Department of General Surgery, Medicine School of Mustafa Kemal University, Hatay, Turkey
| | - C Oruc
- Department of General Surgery, Medicine School of Mustafa Kemal University, Hatay, Turkey
| | - E Kilic
- Department of General Surgery, Medicine School of Mustafa Kemal University, Hatay, Turkey
| | - I Paltaci
- Department of General Surgery, Medicine School of Mustafa Kemal University, Hatay, Turkey
| | - A Kaplan
- Department of General Surgery, Medicine School of Mustafa Kemal University, Hatay, Turkey
| | - M Temiz
- Department of General Surgery, Medicine School of Mustafa Kemal University, Hatay, Turkey
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Demir B, Kaplan A, Çapalı V, Sarpün İH, Aydın A, Tel E. Production cross–section calculations of medical 32P, 117Sn, 153Sm and 186,188Re radionuclides used in bone pain palliation treatment. KERNTECHNIK 2015. [DOI: 10.3139/124.110477] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
In this study, production cross–section calculations of 32P, 117Sn, 153Sm and 186,188Re radionuclides used in bone pain palliation treatment produced by 30Si(d,γ)32P, 118Sn(γ,n)117Sn, 116Sn(n,γ)117Sn, 150Nd(α,n)153Sm, 154Sm(n,2n)153Sm, 152Sm(n,γ)153Sm, 186W(d,2n)186Re, 187Re(γ,n)186Re, 185Re(n,γ)186Re and 187Re(n,γ)188Re reactions have been investigated in the different incident energy range of 0.003–34 MeV. Two-component exciton and generalised superfluid models of the TALYS 1.6 and exciton and generalised superfluid models of the EMPIRE 3.1 computer codes have been used to pre-equilibrium (PEQ) reaction calculations. The calculated production cross–section results have been compared with available experimental results existing in the experimental nuclear reaction database (EXFOR). Except the 118Sn(γ,n)117Sn, 150Nd(α,n)153Sm and 185Re(n,γ)186Re reactions, the two-component exciton model calculations of TALYS 1.6 code exhibit generally good agreement with the experimental measurements for all reactions used in this present study.
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Affiliation(s)
- B. Demir
- İstanbul University , Faculty of Science, Physics Department, 34134 İstanbul , Turkey
| | - A. Kaplan
- Süleyman Demirel University , Arts and Sciences Faculty, Physics Department, 32260 Isparta , Turkey
| | - V. Çapalı
- Süleyman Demirel University , Arts and Sciences Faculty, Physics Department, 32260 Isparta , Turkey
| | - İ. H. Sarpün
- Afyon Kocatepe University , Arts and Sciences Faculty, Physics Department, 03200 Afyonkarahisar , Turkey
| | - A. Aydın
- Kırıkkale University , Arts and Sciences Faculty, Physics Department, 71450 Kırıkkale , Turkey
| | - E. Tel
- Osmaniye Korkut Ata University , Arts and Sciences Faculty, Physics Department, 80000 Osmaniye , Turkey
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Demir B, Kaplan A, Çapalı V, Özdoğan H, Sarpün İH, Aydın A, Tel E. Neutron Production Cross-Section and Geant4 Calculations of the Structural Fusion Material 59Co for (α,xn) and (γ,xn) Reactions. J Fusion Energ 2015. [DOI: 10.1007/s10894-015-9860-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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P. VIO, Kaplan A, Gomez MP, Pumarega MIL, Nieva N. Characterization of Metal/Ceramic Interfaces in Dental Materials by Acoustic Emission. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.mspro.2015.04.125] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Price D, Engel M, Moroni-Zentgraf P, Schmidt H, Dahl R, Paggiaro P, Vandewalker M, Kerstjens H, Kaplan A. S91 Once-daily tiotropium Respimat(R) add-on to ICS + LABA improves symptom control and reduces exacerbations in patients with symptomatic asthma. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.97] [Citation(s) in RCA: 1] [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: 11/04/2022]
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Price D, Bateman E, Paggiaro P, Kaplan A, Engel M, Schmidt H, Moroni-Zentgraf P, Kerstjens H. S92 Efficacy Of Once-daily Tiotropium Respimat(R) 5 g From Five Phase Iii Trials In Adults With Symptomatic Asthma. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.98] [Citation(s) in RCA: 1] [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: 11/03/2022]
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Yardim MS, Cilingiroglu N, Yaman N, Koc AS, Kaplan A, Aydın B, Umutlu MR, Tanriover MD, Turhan O. Inappropriate Utilization of Emergency Services as a Health System Provision Challenge: An Example from a University Hospital in Ankara, Turkey between 1-7 February 2014. Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku165.004] [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: 11/13/2022] Open
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Castaño P, Vander Haar E, Brown K, Alyafi M, Velasco M, Kaplan A, Westhoff C. Yes we can: QuickStart initiation of levonorgestrel-releasing intrauterine system (LNG-IUS). Contraception 2014. [DOI: 10.1016/j.contraception.2014.05.135] [Citation(s) in RCA: 1] [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: 11/27/2022]
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Rosén K, Maurer M, Hsieh H, Saini S, Grattan C, Gimenéz-Arnau A, Agarwal S, Doyle R, Canvin J, Kaplan A, Casale T. Response to: ‘Omalizumab for the treatment of chronic idiopathic or spontaneous urticaria: a critical appraisal’. Br J Dermatol 2014; 171:15-6. [DOI: 10.1111/bjd.13075] [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] [Indexed: 11/30/2022]
Affiliation(s)
- K. Rosén
- Genentech, Inc.; 1 DNA Way South San Francisco CA 94080 U.S.A
| | - M. Maurer
- Department of Dermatology, and Allergy; Charité-Universitätsmedizin; Berlin Germany
| | - H. Hsieh
- Genentech, Inc.; 1 DNA Way South San Francisco CA 94080 U.S.A
| | - S. Saini
- Johns Hopkins Asthma and Allergy Center; Baltimore MA U.S.A
| | - C. Grattan
- Department of Dermatology; Norfolk and Norwich University Hospital; Norwich U.K
| | - A. Gimenéz-Arnau
- Department of Dermatology; Hospital del Mar; Universitat Autònoma; Barcelona Spain
| | - S. Agarwal
- Genentech, Inc.; 1 DNA Way South San Francisco CA 94080 U.S.A
| | - R. Doyle
- Genentech, Inc.; 1 DNA Way South San Francisco CA 94080 U.S.A
| | - J. Canvin
- Novartis Pharmaceuticals; Horsham West Sussex U.K
| | - A. Kaplan
- Medical University of South Carolina; Charleston SC U.S.A
| | - T. Casale
- University of South Florida; Tampa FL U.S.A
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Zuberbier T, Aberer W, Asero R, Bindslev-Jensen C, Brzoza Z, Canonica GW, Church MK, Ensina LF, Giménez-Arnau A, Godse K, Gonçalo M, Grattan C, Hebert J, Hide M, Kaplan A, Kapp A, Abdul Latiff AH, Mathelier-Fusade P, Metz M, Saini SS, Sánchez-Borges M, Schmid-Grendelmeier P, Simons FER, Staubach P, Sussman G, Toubi E, Vena GA, Wedi B, Zhu XJ, Nast A, Maurer M. Methods report on the development of the 2013 revision and update of the EAACI/GA2 LEN/EDF/WAO guideline for the definition, classification, diagnosis, and management of urticaria. Allergy 2014; 69:e1-29. [PMID: 24898678 DOI: 10.1111/all.12370] [Citation(s) in RCA: 58] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2014] [Indexed: 10/25/2022]
Abstract
This methods report describes the process of guideline development in detail. It is the result of a systematic literature review using the 'Grading of Recommendations Assessment, Development and Evaluation' (GRADE) methodology and a structured consensus conference held on 28 and 29 November 2012, in Berlin. It is a joint initiative of the Dermatology Section of the European Academy of Allergy and Clinical Immunology (EAACI), the EU-funded network of excellence, the Global Allergy and Asthma European Network (GA(2) LEN), the European Dermatology Forum (EDF), and the World Allergy Organization (WAO) with the participation of delegates of 21 national and international societies. This guideline covers the definition and classification of urticaria, taking into account the recent progress in identifying its causes, eliciting factors and pathomechanisms. In addition, it outlines evidence-based diagnostic and therapeutic approaches for the different subtypes of urticaria. This guideline was acknowledged and accepted by the European Union of Medical Specialists (UEMS) and is published in Allergy 2014; 69:868-887.
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Affiliation(s)
- T. Zuberbier
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
| | - W. Aberer
- Department of Dermatology; Medical University of Graz; Graz Austria
| | - R. Asero
- Allergy Clinic; Clinica San Carlo; Paderno Dugnano Italy
| | - C. Bindslev-Jensen
- Department of Dermatology and ; Allergy Centre; Odense University Hospital and University of Southern Denmark; Odense Denmark
| | - Z. Brzoza
- Department of Internal Diseases, Allergology and Clinical Immunology in Katowice; Medical University of Silesia; Katowice Poland
| | - G. W. Canonica
- Respiratory Diseases & Allergy; University of Genoa; IRCCS AOU SanMartino; Genoa Italy
| | - M. K. Church
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
| | - L. F. Ensina
- Federal University of Sao Paulo; Sao Paulo Brazil
| | - A. Giménez-Arnau
- Hospital del Mar. Parc de Salut Mar; Universitat Autònoma; Barcelona Spain
| | - K. Godse
- Department of Dermatology; Dr. D. Y. Patil Medical College & Hospital; Nerul Navi Mumbai India
| | - M. Gonçalo
- Clinic of Dermatology; Faculty of Medicine and University Hospital; Coimbra Portugal
| | - C. Grattan
- St John's' Institute of Dermatology; Guy's' and St Thomas' Hospitals NHS Foundation Trust; London UK
| | - J. Hebert
- Center for Applied Research on Allergy Québec; Québec QC Canada
| | - M. Hide
- Department of Dermatology; Institute of Biomedical and Health Sciences; Hiroshima University; Hiroshima Japan
| | - A. Kaplan
- Division of Pulmonary and Critical Care Medicine, Allergy and Clinical Immunology; Department of Medicine; Medical University of South Carolina; Charleston SC USA
| | - A. Kapp
- Department of Dermatology and Allergy; Hannover Medical School; Hannover Germany
| | - A. H. Abdul Latiff
- Department of Paediatrics; Pantai Hospital Kuala Lumpur; Bangsar Malaysia
| | - P. Mathelier-Fusade
- Department of Dermatology and Allergy; University Hospital of Tenon; Paris France
| | - M. Metz
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
| | - S. S. Saini
- Johns Hopkins Asthma and Allergy Center; Baltimore MD USA
| | - M. Sánchez-Borges
- Allergy and Clinical Immunology Department; Centro Médico-Docente La Trinidad; Caracas Venezuela
| | | | - F. E. R. Simons
- Department of Pediatrics & Child Health; University of Manitoba; Winnipeg MB Canada
- Department of Immunology; University of Manitoba; Winnipeg MB Canada
| | - P. Staubach
- Department of Dermatology; University Medical Center Mainz; Mainz Germany
| | - G. Sussman
- Division of Allergy and Clinical Immunology; University of Toronto; Toronto ON Canada
| | - E. Toubi
- Bnai-Zion Medical Center; Faculty of Medicine; Technion; Haifa Israel
| | - G. A. Vena
- Unit of Dermatology and Venereology; Department of Biomedical Sciences and Human Oncology; University of Bari; Bari Italy
| | - B. Wedi
- Department of Dermatology and Allergy; Hannover Medical School; Hannover Germany
| | - X. J. Zhu
- Department of Dermatology; Peking University First Hospital; Beijing China
| | - A. Nast
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
| | - M. Maurer
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
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Zuberbier T, Aberer W, Asero R, Bindslev-Jensen C, Brzoza Z, Canonica GW, Church MK, Ensina LF, Giménez-Arnau A, Godse K, Gonçalo M, Grattan C, Hebert J, Hide M, Kaplan A, Kapp A, Abdul Latiff AH, Mathelier-Fusade P, Metz M, Nast A, Saini SS, Sánchez-Borges M, Schmid-Grendelmeier P, Simons FER, Staubach P, Sussman G, Toubi E, Vena GA, Wedi B, Zhu XJ, Maurer M. The EAACI/GA(2) LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update. Allergy 2014; 69:868-87. [PMID: 24785199 DOI: 10.1111/all.12313] [Citation(s) in RCA: 666] [Impact Index Per Article: 66.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2013] [Indexed: 12/13/2022]
Abstract
This guideline is the result of a systematic literature review using the 'Grading of Recommendations Assessment, Development and Evaluation' (GRADE) methodology and a structured consensus conference held on 28 and 29 November 2012, in Berlin. It is a joint initiative of the Dermatology Section of the European Academy of Allergy and Clinical Immunology (EAACI), the EU-funded network of excellence, the Global Allergy and Asthma European Network (GA(2) LEN), the European Dermatology Forum (EDF), and the World Allergy Organization (WAO) with the participation of delegates of 21 national and international societies. Urticaria is a frequent, mast cell-driven disease, presenting with wheals, angioedema, or both. The life-time prevalence for acute urticaria is approximately 20%. Chronic spontaneous urticaria and other chronic forms of urticaria do not only cause a decrease in quality of life, but also affect performance at work and school and, as such, are members of the group of severe allergic diseases. This guideline covers the definition and classification of urticaria, taking into account the recent progress in identifying its causes, eliciting factors and pathomechanisms. In addition, it outlines evidence-based diagnostic and therapeutic approaches for the different subtypes of urticaria. This guideline was acknowledged and accepted by the European Union of Medical Specialists (UEMS).
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Affiliation(s)
- T. Zuberbier
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
| | - W. Aberer
- Department of Dermatology; Medical University of Graz; Graz Austria
| | - R. Asero
- Allergy Clinic; Clinica San Carlo; Paderno Dugnano MI Italy
| | - C. Bindslev-Jensen
- Department of Dermatology and Allergy Centre; Odense University Hospital; University of Southern Denmark; Odense Denmark
| | - Z. Brzoza
- Department of Internal Diseases, Allergology and Clinical Immunology in Katowice; Medical University of Silesia; Zabrze Poland
| | - G. W. Canonica
- Respiratory Diseases & Allergy; University of Genoa; IRCCS AOU SanMartino; Genoa Italy
| | - M. K. Church
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
| | - L. F. Ensina
- Department of Clinical Immunology and Allergy; Federal University of Sao Paulo; Sao Paulo Brazil
| | - A. Giménez-Arnau
- Hospital del Mar. Parc de Salut Mar; Universitat Autònoma Barcelona; Barcelona Spain
| | - K. Godse
- Department of Dermatology; Dr. D. Y. Patil Medical College & Hospital; Nerul Navi Mumbai India
| | - M. Gonçalo
- Clinic of Dermatology; Faculty of Medicine and University Hospital; Coimbra Portugal
| | - C. Grattan
- St John's Institute of Dermatology; Guy's and St Thomas' Hospitals NHS Foundation Trust; London UK
| | - J. Hebert
- Center for Applied Research on Allergy Québec; Québec QC Canada
| | - M. Hide
- Department of Dermatology; Institute of Biomedical and Health Sciences; Hiroshima University; Hiroshima Japan
| | - A. Kaplan
- Division of Pulmonary and Critical Care Medicine, Allergy and Clinical Immunology; Department of Medicine; Medical University of South Carolina; Charleston SC USA
| | - A. Kapp
- Department of Dermatology and Allergy; Hannover Medical School; Hannover Germany
| | - A. H. Abdul Latiff
- Department of Paediatrics; Pantai Hospital Kuala Lumpur; Bangsar Kuala Lumpur Malaysia
| | - P. Mathelier-Fusade
- Department of Dermatology and Allergy; University Hospital of Tenon; Paris France
| | - M. Metz
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
| | - A. Nast
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
| | - S. S. Saini
- Johns Hopkins Asthma and Allergy Center; Baltimore MD USA
| | - M. Sánchez-Borges
- Allergy and Clinical Immunology Department Centro Médico-Docente La Trinidad; Caracas Venezuela
| | | | - F. E. R. Simons
- Departments of Pediatrics & Child Health, Immunology; University of Manitoba; Winnipeg MB Canada
| | - P. Staubach
- Department of Dermatology; University Medical Center Mainz; Mainz Germany
| | - G. Sussman
- Division of Allergy and Clinical Immunology; University of Toronto; Toronto ON Canada
| | - E. Toubi
- Bnai-Zion Medical Center; Faculty of Medicine; Technion; Haifa Israel
| | - G. A. Vena
- Unit of Dermatology and Venereology; Department of Biomedical Sciences and Human Oncology; University of Bari; Bari Italy
| | - B. Wedi
- Department of Dermatology and Allergy; Hannover Medical School; Hannover Germany
| | - X. J. Zhu
- Department of Dermatology; Peking University First Hospital; Beijing China
| | - M. Maurer
- Department of Dermatology and Allergy; Allergy-Centre-Charité; Charité - University Hospital Berlin; Berlin Germany
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Shofty B, Bokstein F, Ram Z, Ben-Sira L, Freedman S, Kesler A, Constantini S, Shofty B, Mauda-Havakuk M, Ben-Bashat D, Dvir R, Pratt LT, Weizman L, Joskowicz L, Tal M, Ravid L, Ben-Sira L, Constantini S, Dodgshun A, Maixner W, Sullivan M, Hansford J, Ma J, Wang B, Toledano H, Muhsinoglu O, Luckman J, Michowiz S, Goldenberg-Cohen N, Schroeder K, Rosenfeld A, Grant G, McLendon R, Cummings T, Becher O, Gururangan S, Aguilera D, Mazewski C, Janss A, Castellino RC, Schniederjan M, Hayes L, Brahma B, MacDonald T, Osugi Y, Kiyotani C, Sakamoto H, Yanagisawa T, Kanno M, Kamimura S, Kosaka Y, Hirado J, Takimoto T, Nakazawa A, Hara J, Hwang E, Mun A, Kilburn L, Chi S, Knipstein J, Oren M, Dvir R, Hardy K, Rood B, Packer R, Kandels D, Schmidt R, Geh M, Breitmoser-Greiner S, Gnekow AK, Bergthold G, Bandopadhayay P, Rich B, Chan J, Santagata S, Hoshida Y, Ramkissoon S, Ramkissoon L, Golub T, Tabak B, Ferrer-Luna R, Weng PY, Stiles C, Grill J, Kieran MW, Ligon KL, Beroukhim R, Fisher MJ, Levin MH, Armstrong GT, Broad JH, Zimmerman R, Bilaniuk LT, Feygin T, Liu GT, Gan HW, Phipps K, Spoudeas HA, Kohorst M, Warad D, Keating G, Childs S, Giannini C, Wetjen N, Rao; AN, Nakamura H, Makino K, Hide T, Kuroda JI, Shinojima N, Yano S, Kuratsu JI, Rush S, Madden J, Hemenway M, Foreman N, Sie M, den Dunnen WFA, Lourens HJ, Meeuwsen-de Boer TGJ, Scherpen FJG, Kampen KR, Hoving EW, de Bont ESJM, Gnekow AK, Kandels D, Walker DA, Perilongo G, Grill J, Stokland T, Sehested AM, van Schouten AYN, de Paoli A, de Salvo GL, Pache-Leschhorn S, Geh M, Schmidt R, Gnekow AK, Gass D, Rupani K, Tsankova N, Stark E, Anderson R, Feldstein N, Garvin J, Deel M, McLendon R, Becher O, Karajannis M, Wisoff J, Muh C, Schroeder K, Gururangan S, del Bufalo F, Carai A, Macchiaiolo M, Messina R, Cacchione A, Palmiero M, Cambiaso P, Mastronuzzi A, Anderson M, Leary S, Sun Y, Buhrlage S, Pilarz C, Alberta J, Stiles C, Gray N, Mason G, Packer R, Hwang E, Biassoni V, Schiavello E, Bergamaschi L, Chiaravalli S, Spreafico F, Massimino M, Krishnatry R, Kroupnik T, Zhukova N, Mistry M, Zhang C, Bartels U, Huang A, Adamski J, Dirks P, Laperriere N, Silber J, Hawkins C, Bouffet E, Tabori U, Riccardi R, Rizzo D, Chiaretti A, Piccardi M, Dickmann A, Lazzareschi I, Ruggiero A, Guglielmi G, Salerni A, Manni L, Colosimo C, Falsini B, Rosenfeld A, Etzl M, Miller J, Carpenteri D, Kaplan A, Sieow N, Hoe R, Tan AM, Chan MY, Soh SY, Orphanidou-Vlachou E, MacPherson L, English M, Auer D, Jaspan T, Arvanitis T, Grundy R, Peet A, Bandopadhayay P, Bergthold G, Sauer N, Green A, Malkin H, Dabscheck G, Marcus K, Ullrich N, Goumnerova L, Chi S, Beroukhim R, Kieran M, Manley P, Donson A, Kleinschmidt-DeMasters B, Aisner D, Bemis L, Birks D, Mulcahy-Levy J, Smith A, Handler M, Rush S, Foreman N, Davidson A, Figaji A, Pillay K, Kilborn T, Padayachy L, Hendricks M, van Eyssen A, Parkes J, Gass D, Dewire M, Chow L, Rose SR, Lawson S, Stevenson C, Jones B, Pai A, Sutton M, Pruitt D, Fouladi M, Hummel T, Cruz O, de Torres C, Sunol M, Morales A, Santiago C, Alamar M, Rebollo M, Mora J, Sauer N, Dodgshun A, Malkin H, Bergthold G, Manley P, Chi S, Ramkissoon S, MacGregor D, Beroukhim R, Kieran M, Sullivan M, Ligon K, Bandopadhayay P, Hansford J, Messina R, De Benedictis A, Carai A, Mastronuzzi A, Rebessi E, Palma P, Procaccini E, Marras CE, Aguilera D, Castellino RC, Janss A, Schniederjan M, McNall R, Kim S, MacDOnald T, Mazewski C, Zhukova N, Pole J, Mistry M, Fried I, Krishnatry R, Stucklin AG, Bartels U, Huang A, Laperriere N, Dirks P, Zelcer S, Sylva M, Johnston D, Scheinemann K, An J, Hawkins C, Nathan P, Greenberg M, Bouffet E, Malkin D, Tabori U, Kiehna E, Da Silva S, Margol A, Robison N, Finlay J, McComb JG, Krieger M, Wong K, Bluml S, Dhall G, Ayyanar K, Moriarty T, Moeller K, Farber D. LOW GRADE GLIOMAS. Neuro Oncol 2014; 16:i60-i70. [PMCID: PMC4046289 DOI: 10.1093/neuonc/nou073] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/13/2023] Open
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Kaplan A, Çapalı V, Özdoğan H, Aydın A, Tel E, Sarpün İH. (3He,xn) Reaction Cross-Section Calculations for the Structural Fusion Material 181Ta in the Energy Range of 14–75 MeV. J Fusion Energ 2014. [DOI: 10.1007/s10894-014-9705-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Dasdag S, Balci K, Celik M, Batun S, Kaplan A, Bolaman Z, Tekes S, Akdag Z. Neurologic and Biochemical Findings and CD4/CD8 Ratio in People Occupationally Exposed to RF and Microwave. BIOTECHNOL BIOTEC EQ 2014. [DOI: 10.1080/13102818.1992.10818674] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Barnes N, Calverley PMA, Kaplan A, Rabe KF. Chronic obstructive pulmonary disease and exacerbations: clinician insights from the global Hidden Depths of COPD survey. Curr Med Res Opin 2014; 30:667-84. [PMID: 24256026 DOI: 10.1185/03007995.2013.867842] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE This real-life, global study aimed to investigate current views of and clinical practice in the management of COPD and its exacerbations, among clinicians from both the primary and secondary care settings. METHODOLOGY We devised an online questionnaire about COPD management and invited 13,613 general practitioners (GPs) and respiratory specialists to respond. Participating clinicians, recruited from an established research panel, treated a minimum of 10 (GPs) or 20 (respiratory specialists) patients with COPD per month. Completed responses were collected from 1400 clinicians from 14 countries. RESULTS A third of GPs and respiratory specialists reported that the main goal of COPD management was to improve patients' quality of life; only 14% of GPs thought that the prevention of exacerbations was a priority. The study showed a strong preference for inhaled corticosteroids in combination with other treatments, rather than as sole therapy, in line with global guidelines. Fewer GPs than respiratory specialists routinely recommended anticholinergics, pulmonary rehabilitation or oxygen therapy. Clinicians reported that 55% (GPs) and 57% (respiratory specialists) of their COPD patients had experienced an exacerbation in the previous 12 months. Although higher than those reported in clinical trials, these rates were lower than patients' own estimates from a corresponding patient survey, even in mild COPD patients (62%; 80% in severe patients). Despite this, 74% of GPs and 67% of respiratory physicians reported satisfaction with therapies to prevent exacerbations. CONCLUSIONS This global survey revealed that clinicians' main goal when managing COPD was to improve the lives of their patients, and that few viewed reducing exacerbations as a priority. Despite a relatively high level of adherence to treatment recommendations, it appears that clinicians, particularly GPs, underestimate the frequency and impact of exacerbations. These results suggest a need to raise awareness of exacerbations among both GPs and respiratory specialists.
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Affiliation(s)
- N Barnes
- GSK Stockley Park, West Uxbridge , Middlesex , United Kingdom
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Sparks S, Kaplan A, DeCambre M, Kaplan G, Holmes N. Eosinophilic cystitis in the pediatric population: a case series and review of the literature. J Pediatr Urol 2013; 9:738-44. [PMID: 23391564 DOI: 10.1016/j.jpurol.2012.11.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2012] [Accepted: 11/06/2012] [Indexed: 11/18/2022]
Abstract
PURPOSE Eosinophilic cystitis is a rarely seen condition in the pediatric population with indistinct symptomatology and non-standardized treatment protocols. We review our experience of treating patients with this condition. MATERIALS AND METHODS We retrospectively reviewed the records of four patients from a single institution who have been diagnosed and treated for eosinophilic cystitis. In addition, the literature was reviewed for cases of pediatric eosinophilic cystitis. Our patients were added and compared to this cohort. RESULTS Our patients included 3 females and 1 male who range in age from 5 days to 18 years (5 days, 1 month, 7 years, 18 years). Both of the infants presented with a suprapubic mass and bilateral hydroureteronephrosis. The two older patients both had dysuria while the 18 yo also complained of fatigue, flank pain, and hematuria. Only 2 of the 4 patients were found to have significant peripheral eosinophilia and only one patient had eosinophiluria. All of the patients were diagnosed via cystourethroscopy with biopsy. Treatment in each case consisted of a combination of steroids, antihistamines, and antibiotics. CONCLUSIONS The presentation of eosinophilic cystitis is varied and diagnosis requires a high index of suspicion. Cystourethroscopy with biopsy is essential to establish the diagnosis as there is no typical appearance of the lesions or presenting signs/symptoms. Most cases of eosinophilic cystitis are responsive to medical therapy although in some cases recurrence may be noted.
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Affiliation(s)
- S Sparks
- Children's National Medical Center, 111 Michigan Ave NW, Washington, DC 20010, USA.
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Ortonne JP, Viguier M, Casale T, Maurer M, Hsieh HJ, Canvin J, Saini S, Grattan C, Giménez-Arnau A, Kaplan A, Rosén K. Efficacité et tolérance de l’omalizumab dans l’urticaire chronique spontanée (UCS) : résultats d’une étude de phase 3, randomisée, en double-insu, versus placebo. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.451] [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: 10/26/2022]
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Kaplan A, Stulik DC. The first scientific investigation of Niépce’s images from UK and US collections: image substrate. The Imaging Science Journal 2013. [DOI: 10.1179/1743131x12y.0000000008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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