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Martinez I, Mielke B, Rutherford L, Cantatore M, Cinti F, Charlesworth T, de la Puerta B, Rossanese M. Clinical findings, surgical treatment and outcome in dogs with parotid duct ectasia: 14 cases (2010-2023). J Small Anim Pract 2024; 65:198-205. [PMID: 37936527 DOI: 10.1111/jsap.13685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 09/20/2023] [Accepted: 10/10/2023] [Indexed: 11/09/2023]
Abstract
OBJECTIVES To describe the clinical presentation, diagnostic findings, surgical treatment and outcome of dogs diagnosed with parotid duct ectasia. MATERIALS AND METHODS Medical records of dogs diagnosed with parotid duct ectasia between 2010 and 2023 at six small animal referral hospitals were retrospectively reviewed. Outcome was assessed by contacting the owners or referring veterinarians. RESULTS Fourteen dogs were included. Lateral facial swelling was the most common clinical presentation. CT revealed a tortuous cavitary tubular fluid-filled structure consistent with a dilated parotid duct in all dogs. Surgical treatment included marsupialisation of the parotid duct papilla, surgical exploration of the duct alone, parotid duct marsupialisation with surgical exploration of the duct, parotidectomy or en-bloc parotid duct resection. The aetiology of parotid duct ectasia was not established in 13 of 14 dogs. In one case, a foreign body was retrieved from the duct. No recurrence of clinical signs was noted during the follow-up period (range 21 to 2900 days). CLINICAL SIGNIFICANCE Parotid duct ectasia should be considered for dogs with a lateralised fluctuant non-painful tubular facial swelling. Surgical management was associated with a favourable prognosis without evidence of recurrence in all cases reported in the case series.
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Affiliation(s)
| | - B Mielke
- Southpaws Speciality Surgery for Animals, Melbourne, Victoria, Australia
| | - L Rutherford
- Department of Clinical Science and Services, The Royal Veterinary College, Hatfield, UK
| | - M Cantatore
- Anderson Moores Veterinary Specialists, Winchester, UK
| | - F Cinti
- Surgery Department, San Marco Veterinary Clinic and Laboratory, Veggiano, Italy
| | - T Charlesworth
- Eastcott Referrals, Edison Business Park, Dorcan Way, Swindon, UK
| | - B de la Puerta
- North Down Specialist Referrals, Bletchingley, United Kingdom
| | - M Rossanese
- Department of Clinical Science and Services, The Royal Veterinary College, Hatfield, UK
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Alfonso M, Llombart R, Gil L, Martinez I, Rodríguez C, Álvarez L, Gallego J. Tumor ablation and vertebral augmentation in the treatment of vertebral metastases: A multicenter study. Rev Esp Cir Ortop Traumatol (Engl Ed) 2023; 67:480-486. [PMID: 37084999 DOI: 10.1016/j.recot.2023.04.005] [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: 01/03/2023] [Revised: 04/06/2023] [Accepted: 04/16/2023] [Indexed: 04/23/2023] Open
Abstract
INTRODUCTION Treatment of metastatic vertebral fractures without neural compression is performed with percutaneous cementation techniques. The increase in intratumoral pressure by these techniques can send tumor cells into the bloodstream. To prevent this dissemination and improve pain treatment, ablation techniques have been introduced that would allow the creation of a cavity in the tumor prior to cementation or directly necrosing the metastasis when its size is small. MATERIAL We present the experience with ablation of two hospitals and two different ablation techniques. The first group used radiofrequency ablation (A) in 14 patients (26 vertebrae), 4 of whom underwent vertebral arthrodesis. The second group used microwave ablation (B) in 93 patients (129 lesions) without associated vertebral instrumentation. RESULTS In group A pain improvement in VAS was 7.7-2.6 at 6 weeks. There were no complications derived from the ablation. In most cases cementation was associated. In the group B pain improvement in VAS went from 6.8-1.7 at 6 weeks. Cementation was associated in all cases. There were no complications derived from the ablation. CONCLUSION The association of ablation techniques with vertebral cementation is a safe technique that significantly improves the patient's pain and can help control the disease.
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Affiliation(s)
- M Alfonso
- Departamento de Cirugía Ortopédica y Traumatología. Clínica Universidad de Navarra, Pamplona, España.
| | - R Llombart
- Departamento de Cirugía Ortopédica y Traumatología. Clínica Universidad de Navarra, Pamplona, España
| | - L Gil
- Departamento de Cirugía Ortopédica y Traumatología. Clínica Universidad de Navarra, Pamplona, España
| | - I Martinez
- Departamento de Cirugía Ortopédica y Traumatología. Clínica Universidad de Navarra, Pamplona, España
| | - C Rodríguez
- Neurorradiologia Intervencionista. Grupo Quirón Hospitales, Madrid, España
| | - L Álvarez
- Departamento de Cirugía Ortopédica y Traumatología. Fundación Jiménez Díaz, Madrid, España
| | - J Gallego
- Departamento de Cirugía Ortopédica y Traumatología. Fundación Jiménez Díaz, Madrid, España
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Alfonso M, Llombart R, Gil L, Martinez I, Rodríguez C, Álvarez L, Gallego J. [Translated article] Tumor ablation and vertebral augmentation in the treatment of vertebral metastases: A multicenter study. Rev Esp Cir Ortop Traumatol (Engl Ed) 2023; 67:S480-S486. [PMID: 37541348 DOI: 10.1016/j.recot.2023.08.003] [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: 01/03/2023] [Accepted: 04/16/2023] [Indexed: 08/06/2023] Open
Abstract
INTRODUCTION Treatment of metastatic vertebral fractures without neural compression is performed with percutaneous cementation techniques. The increase in intratumoral pressure by these techniques can send tumor cells into the bloodstream. To prevent this dissemination and improve pain treatment, ablation techniques have been introduced that would allow the creation of a cavity in the tumor prior to cementation or directly necrosing the metastasis when its size is small. MATERIAL We present the experience with ablation of two hospitals and two different ablation techniques. The first group used radiofrequency ablation (A) in 14 patients (26 vertebrae), 4 of whom underwent vertebral arthrodesis. The second group used microwave ablation (B) in 93 patients (129 lesions) without associated vertebral instrumentation. RESULTS In group A pain improvement in VAS was 7.7-2.6 at 6 weeks. There were no complications derived from the ablation. In most cases cementation was associated. In the group B pain improvement in VAS went from 6.8 to 1.7 at 6 weeks. Cementation was associated in all cases. There were no complications derived from the ablation. CONCLUSION The association of ablation techniques with vertebral cementation is a safe technique that significantly improves the patient's pain and can help control the disease.
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Affiliation(s)
- M Alfonso
- Departamento de Cirugía Ortopédica y Traumatología, Clínica Universidad de Navarra, Pamplona, Spain.
| | - R Llombart
- Departamento de Cirugía Ortopédica y Traumatología, Clínica Universidad de Navarra, Pamplona, Spain
| | - L Gil
- Departamento de Cirugía Ortopédica y Traumatología, Clínica Universidad de Navarra, Pamplona, Spain
| | - I Martinez
- Departamento de Cirugía Ortopédica y Traumatología, Clínica Universidad de Navarra, Pamplona, Spain
| | - C Rodríguez
- Neurorradiologia Intervencionista, Grupo Quirón Hospitales, Madrid, Spain
| | - L Álvarez
- Departamento de Cirugía Ortopédica y Traumatología, Fundación Jiménez Díaz, Madrid, Spain
| | - J Gallego
- Departamento de Cirugía Ortopédica y Traumatología, Fundación Jiménez Díaz, Madrid, Spain
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Del Palacio A, Corallo B, Simoens M, Cea J, de Aurrecoechea I, Martinez I, Sanchez A, Stewart S, Pan D. Major Fusarium species and mycotoxins associated with freshly harvested maize grain in Uruguay. Mycotoxin Res 2023; 39:379-391. [PMID: 37442904 DOI: 10.1007/s12550-023-00498-y] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 05/22/2023] [Accepted: 06/27/2023] [Indexed: 07/15/2023]
Abstract
Fusarium species are common fungal pathogens of maize. Fusarium graminearum and Fusarium verticillioides, among others, can cause maize ear rot, and they are also mycotoxin producers. The aims of this work were to determine the frequency and diversity of Fusarium species in Uruguayan maize kernels, evaluate the toxigenic potential of the isolates, determine toxin contamination levels on freshly harvested grain, and assess the sensitivity of main Fusarium species against fungicides. Fusarium verticillioides was the most frequent species isolated, followed by Fusarium graminearum sensu stricto. Of F. verticillioides isolates studied for fumonisin production, 72% produced fumonisin B1 and 32% fumonisin B2. Considering in vitro toxin production by F. graminearum sensu stricto isolates, deoxynivalenol was the main toxin produced, followed by zearalenone and nivalenol. Fumonisins were the most frequently found toxins on freshly harvested maize samples (98% in 2018 and 86% in 2019), and also, fumonisin B1 was the toxin with highest concentration in both years studied (4860 µg/kg in 2018 and 1453 µg/kg in 2019). Deoxynivalenol and zearalenone were also found as contaminants. Metconazole and epoxiconazole were the most effective fungicides tested on F. verticillioides isolates. Fusarium graminearum sensu stricto isolates also were more sensitive to metconazole compared to other fungicides; nevertheless, epoxiconazole was less efficient in controlling this species. This is the first study that reports Fusarium species and mycotoxin contamination levels associated with maize grain in Uruguay. Its detection is the main step to develop management strategies in order to minimize fungal infection in maize crops.
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Affiliation(s)
- A Del Palacio
- Laboratorio de Micología, Facultad de Ciencias-Facultad de Ingeniería, UdelaR, 565, 11200, Montevideo, Julio Herreray Reissig , Uruguay
| | - B Corallo
- Laboratorio de Micología, Facultad de Ciencias-Facultad de Ingeniería, UdelaR, 565, 11200, Montevideo, Julio Herreray Reissig , Uruguay
| | - M Simoens
- Departamento de Análisis de Productos Agropecuarios, Laboratorio Tecnológico del Uruguay, Montevideo, Uruguay
| | - Jacqueline Cea
- Departamento de Análisis de Productos Agropecuarios, Laboratorio Tecnológico del Uruguay, Montevideo, Uruguay
| | - I de Aurrecoechea
- Departamento de Granos, Ministerio de Ganadería, Dirección General de Servicios Agrícolas, Agricultura y Pesca, Montevideo, Uruguay
| | - I Martinez
- Fundación del Laboratorio Tecnológico del Uruguay, Montevideo, Uruguay
| | - A Sanchez
- Fundación del Laboratorio Tecnológico del Uruguay, Montevideo, Uruguay
| | - S Stewart
- Programa Cultivos de Secano, Instituto Nacional de Investigación Agropecuaria, Estación Experimental La Estanzuela, Colonia, Uruguay
| | - D Pan
- Laboratorio de Micología, Facultad de Ciencias-Facultad de Ingeniería, UdelaR, 565, 11200, Montevideo, Julio Herreray Reissig , Uruguay.
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Zaman A, Mena PR, Adams LD, Contreras M, Lacroix FC, Tejada S, Starks TD, Feliciano‐Astacio BE, Silva C, Caban‐Holt AM, Byrd GS, Martinez I, Ayodele T, Baez P, Blackshire G, Kennedy S, Reitz C, Haines JL, Vance JM, Vance MA, Cuccaro ML. Depressive Symptoms Associated with an Earlier Age at Onset Differ as a Function of Race‐Ethnicity: An Exploratory Analysis. Alzheimers Dement 2022. [DOI: 10.1002/alz.067156] [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: 12/24/2022]
Affiliation(s)
- Andrew Zaman
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Pedro Ramon Mena
- John P. Hussman Institute for Human Genomics, University of Miami Miami FL USA
| | - Larry D. Adams
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Maricarmen Contreras
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Faina C Lacroix
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Sergio Tejada
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Takiyah D. Starks
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | | | | | - Allison M Caban‐Holt
- Maya Angelou Center for Health Equity, Wake Forest School of Medicine Winston‐Salem NC USA
| | - Goldie S. Byrd
- Maya Angelou Center for Health Equity, Wake Forest School of Medicine Winston‐Salem NC USA
| | | | | | | | - Gabrielle Blackshire
- Department of Population and Quantitative Health Sciences, Case Western Reserve University Cleveland OH USA
| | - Sara Kennedy
- Department of Population and Quantitative Health Sciences, Case Western Reserve University Cleveland OH USA
| | - Christiane Reitz
- Columbia University, The Taub Institute for Research on Alzheimer’s Disease and the Aging Brain, The Gertrude H. Sergievsky Center and Departments of Neurology and Epidemiology New York NY USA
| | - Jonathan L. Haines
- Cleveland Institute for Computational Biology, Department of Population and Quantitative Health Sciences, Case Western Reserve University Cleveland OH USA
- Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine Cleveland OH USA
| | - Jeffery M. Vance
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Margaret A. Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Michael L. Cuccaro
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
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Akgun B, Hamilton‐Nelson KL, Kushch NA, Adams LD, Starks TD, Martinez I, Laux RA, Whitehead PL, Kunkle BW, Cuccaro ML, Vance JM, Reitz C, Byrd GS, Haines JL, Beecham GW, Pericak‐Vance MA, Rajabli F. African‐ancestry based polygenic risk scores improve Alzheimer disease risk prediction in individuals of African Ancestry. Alzheimers Dement 2022. [DOI: 10.1002/alz.067457] [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: 12/24/2022]
Affiliation(s)
- Bilcag Akgun
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Kara L. Hamilton‐Nelson
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Nicholas A. Kushch
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Larry D. Adams
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Takiyah D. Starks
- Maya Angelou Center for Health Equity, Wake Forest School of Medicine, Winston‐Salem NC USA
| | | | - Renee A. Laux
- Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine Cleveland OH USA
| | - Patrice L. Whitehead
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Brian W. Kunkle
- John P. Hussman Institute for Human Genomics, Miller School of Medicine Miami FL USA
| | - Michael L. Cuccaro
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Jeffery M. Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miami FL USA
| | | | - Goldie S. Byrd
- Maya Angelou Center for Health Equity, Wake Forest School of Medicine, Winston‐Salem NC USA
| | | | - Gary W. Beecham
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Margaret A. Pericak‐Vance
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami Miami FL USA
| | - Farid Rajabli
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
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Arregui M, Garcia M, Martinez I, Aparicio I, Tirado V, Galera M, Alvarez R, Calles A. EP08.02-110 Plasma-based Molecular Profiling to Guide Treatment Decisions in Patients with Advanced NSCLC and Limited Tissue Biopsy. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.793] [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: 10/14/2022]
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8
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Griswold AJ, Rajabli F, Garcia‐Serje C, Hamilton‐Nelson KL, Adams LD, Tejada S, Mena PR, Starks TD, Whitehead PL, Silva‐Vergara C, Cuccaro ML, Martinez I, Illanes‐Manrique M, Cornejo‐Olivas MR, Laux RA, Caywood LJ, Reitz C, Beecham GW, Byrd GS, Feliciano‐Astacio BE, Scott WK, Haines JL, Vance JM, Pericak‐Vance MA. Assessment of AD‐related plasma biomarkers in diverse ancestral populations. Alzheimers Dement 2021. [DOI: 10.1002/alz.056258] [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: 11/08/2022]
Affiliation(s)
- Anthony J. Griswold
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
| | - Farid Rajabli
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Catherine Garcia‐Serje
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Kara L. Hamilton‐Nelson
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Larry D. Adams
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Sergio Tejada
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Pedro Ramon Mena
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Takiyah D. Starks
- Maya Angelou Center for Health Equity (MACHE) / Wake Forest School of Medicine Winston Salem NC USA
| | - Patrice L. Whitehead
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | | | - Michael L. Cuccaro
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
| | | | | | | | - Renee A. Laux
- Department of Population and Quantitative Health Sciences, Case Western Reserve University Cleveland OH USA
| | - Laura J. Caywood
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | | | - Gary W. Beecham
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
| | - Goldie S. Byrd
- Maya Angelou Center for Health Equity (MACHE) / Wake Forest School of Medicine Winston Salem NC USA
| | | | - William K. Scott
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
| | - Jonathan L. Haines
- Department of Population and Quantitative Health Sciences, Case Western Reserve University Cleveland OH USA
- Cleveland Institute for Computational Biology, Case Western Reserve University Cleveland OH USA
| | - Jeffery M. Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
| | - Margaret A. Pericak‐Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
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Johnson FS, Lacroix FC, Contreras M, Baez P, Ayodele T, Martinez I, Fonseca S, Adams LD, Welch J, Jean‐Francois MN, Mena PR, Reitz C, Vance JM, Pericak‐Vance MA, Cuccaro ML, Beecham GW. Leveraging videoconferencing supports the continuity of Alzheimer research during the COVID‐19 pandemic and beyond. Alzheimers Dement 2021. [PMCID: PMC9011423 DOI: 10.1002/alz.056484] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background The COVID‐19 pandemic has placed a demand on researchers to limit in‐person contact with participants, greatly impacting Alzheimer Disease (AD) research. To address this problem, we describe here an approach to using digital technology to continue nationwide clinical recruitment and ascertainment of biological samples while adhering to COVID‐19 guidelines and travel restrictions. Method To accomplish this, we considered a videoconferencing approach for remote delivery of cognitive assessments. A multi‐site panel of neurologists and clinical psychologists and a detailed literature review ensured a protocol that captures the best‐practices for administering assessments through videoconferencing while ensuring consistency between remote and in‐person administration. Clinical coordinators underwent training to ensure good agreement with in‐person administration. Most aspects of the cognitive assessments easily transferred to videoconferencing, though Trail Making A and B, and Digit Symbol‐Coding were removed to protect the integrity of the evaluation. Additionally, we coordinated the collection of biological samples with a national company, Quest Diagnostics, to provide phlebotomy services at the participant’s residence. All protocols were developed under the guidance of the Human Subjects Research Office at the University of Miami and with approval of local IRB. Result Our clinical coordinators completed over two dozen remote assessments using these protocols. Both cases and controls were enrolled, across various ethnic populations within our study. The distributions of age and 3MS were similar between in‐person and remote assessments. The uptake of videoconferencing enrollment varied among the age groups, level of impairment, at‐home support system and telemedicine readiness. For example, earlier‐onset groups had the best uptake, while older‐onset groups showed the least uptake due to a higher prevalence of telemedicine unreadiness (Lam et al., 2020; Bossen et al.,2015). Conclusion This study demonstrates that remote enrollment and ascertainment of biological samples through videoconferencing and partnering with national mobile phlebotomy services is feasible. This approach allows researchers to continue ascertainment efforts while maintaining their participants’ autonomy through informed consent and privacy throughout the process and minimizing their exposure to COVID‐19.
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Affiliation(s)
- Francelethia S Johnson
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- University of Miami Miami FL USA
| | - Faina C Lacroix
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- University of Miami Miami FL USA
| | - Maricarmen Contreras
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | | | - Temitope Ayodele
- Columbia University New York NY USA
- Columbia University Medical Center New York NY USA
| | - Izri Martinez
- Columbia University New York NY USA
- Columbia University Medical Center New York NY USA
| | | | - Larry D Adams
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
| | - Jacob Welch
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Melissa N Jean‐Francois
- University of Miami, Miller School of Medicine, John P. Hussman Institute for Human Genomics Miami FL USA
| | - Pedro Ramon Mena
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
| | - Christiane Reitz
- Columbia University, Depts. of Neurology and Epidemiology New York NY USA
| | - Jeffery M Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
| | - Margaret A Pericak‐Vance
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
| | - Michael L Cuccaro
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
| | - Gary W Beecham
- John P. Hussman Institute for Human Genomics, University of Miami Miller School of Medicine Miami FL USA
- Dr. John T. Macdonald Foundation Department of Human Genetics, University of Miami Miller School of Medicine Miami FL USA
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Ferrera Duran C, Vilacosta I, Perez-Villacastin J, Busca P, Carrero A, Martin Martinez A, Martin Sanchez F, Dominguez Garcia M, Martinez I, Cobiella J, Viana Tejedor A, Cortes Martinez A, Serrano J, Bas Villalobos M, Maroto-Castellanos L. 'Aorta code' implementation and preliminary results of a multidisciplinary protocol for patients with acute aortic syndrome. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2341] [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
Expediting life-saving care for patients with acute aortic syndrome (AAS) through multi-disciplinary code protocols is a potential method to improve outcomes. Other code protocols for cardiovascular emergencies, such as ST-elevation myocardial infarction and stroke have shown excellent results.
Aim
To examine the implementation and preliminary results of a code protocol “Aorta Code” for patients with AAS in a healthcare framework of a 4-hospital network in our city by reviewing the number of patients detected, patient's transference time, aortic surgery and patient's outcome during a trial period of 10 months (April 2019-January 2020). A comparison with a previous 2-year period with standard of care management of AAS was performed.
Methods
“Aorta Code” uses a specific diagnostic algorithm to improve detection of patients with AAS at the emergency room, facilitates their quick transfer to the referral hospital by activating a paging system, and places acute cardiovascular care unit, operating room and surgeons specialized in aortic pathology on standby.
Results
Compared to a previous 2-year period (2017–2018) (group I), the current implementation of “Aorta Code” in a period of 10 months (group II) in our 4-hospital network involving the healthcare of 1.100000 inhabitants resulted in the detection of more patients with AAS (group-I: n=18 patients (0.8 patients/month), group-II: n=19 patients (1.9 patients/month); p=0.013). AAS detection in secondary hospitals importantly increased (33.3% vs 63.8%, p=0.07). The “Aorta Code” achieved a significant decrease in patient's transference time to referral hospital (group-I: median 259 min (IQR 150–1911), group-II: median 129 min (IQR 95.5–167.25); p=0.035). There was a marked reduction in the number of surgeons involved in the “Aorta Code” (group-I= 7 cardiac, 6 vascular, group-II= 2 cardiac, 2 vascular). Thirty-day mortality was lower in group-II in the whole AAS cohort (group-I= 22.2%, group-II= 12.5%; p=0.660) and in type A AAS (28.6% vs 18.2%, p=0.661). Misdiagnosis rate (false-calls): 11 patients (7 of them with non-acute aortic disease).
Conclusion
“Aorta Code” facilitates detecting patients with AAS at the emergency room, speeds them to the referral hospital center, allows patients to be treated by surgeons specialized in aortic surgery and improves patient's outcome. Further prospective studies examining the utility of “Aorta Code” are warranted.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- C Ferrera Duran
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - I Vilacosta
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | | | - P Busca
- Servicio de Urgencia Medica de la Comunidad de Madrid (SUMMA 112), Madrid, Spain
| | - A Carrero
- Principe de Asturias University Hospital - Madrid Health Service, Emergency, Alcala de Henares, Spain
| | | | | | | | - I Martinez
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - J Cobiella
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - A Viana Tejedor
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - A Cortes Martinez
- Hospital Clinic San Carlos, Innovation Unit-San Carlos Investigation Institute, Madrid, Spain
| | - J Serrano
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
| | - M Bas Villalobos
- Hospital Clinic San Carlos, Cardiovascular Institute, Madrid, Spain
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Martín-Granizo R, Ramos E, Celotti C, Naranjo N, Colorado L, Martinez I, Varela E, Alonso M, De Pedro M. Infiltration of botulinum toxin type a associated with arthroscopy in patients with temporomandibular joint dysfunction. Int J Oral Maxillofac Surg 2019. [DOI: 10.1016/j.ijom.2019.03.866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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12
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DeLaTorre A, Perkinson M, Cannon M, Claver M, Dobson E, Martinez I, Özer E, Sweatman M. AGE-FRIENDLY DESIGN: COMMUNITY DESIGN CHARRETTES CONDUCTED WITH AGHE HOST SITES (2016–18). Innov Aging 2018. [DOI: 10.1093/geroni/igy023.555] [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: 11/12/2022] Open
Affiliation(s)
- A DeLaTorre
- Portland State University, Institute on Aging
| | | | | | - M Claver
- Gerontology Program, California State University, Long Beach
| | | | - I Martinez
- College of Health and Human Services, California State University, Long Beach
| | - E Özer
- Landscape Architecture + Environmental and Urban Design
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13
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Cheng R, Tang M, Martinez I, Ayodele T, Baez P, Reyes-Dumeyer D, Lantigua R, Medrano M, Jimenez-Velazquez I, Lee JH, Beecham GW, Reitz C. Linkage analysis of multiplex Caribbean Hispanic families loaded for unexplained early-onset cases identifies novel Alzheimer's disease loci. Alzheimers Dement (Amst) 2018; 10:554-562. [PMID: 30406174 PMCID: PMC6215058 DOI: 10.1016/j.dadm.2018.07.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Introduction Less than 10% of early-onset Alzheimer's disease (EOAD) is explained by known mutations. Methods We conducted genetic linkage analysis of 68 well-phenotyped Caribbean Hispanic families without clear inheritance patterns or mutations in APP, PSEN1, and PSEN2 and with two or more individuals with EOAD. Results We identified 16 (logarithm of odds > 3.6) linked regions, including eight novel loci for EOAD (2p15, 5q14.1, 11p15.1, 13q21.22, 13q33.1, 16p12.1, 20p12.1, and 20q11.21) and eight regions previously associated with late-onset Alzheimer's disease. The strongest signal was observed at 16p12.1 (25 cM, 33 Mb; heterogeneity logarithm of odds = 5.3), ∼3 Mb upstream of the ceroid lipofuscinosis 3 (CLN3) gene associated with juvenile neuronal ceroid lipofuscinosis (JNCL), which functions in retromer trafficking and has been reported to alter intracellular processing of the amyloid precursor protein. Discussion This study supports the notion that the genetic architectures of unexplained EOAD and late-onset AD overlap partially, but not fully.
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Affiliation(s)
- Rong Cheng
- The Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, USA.,The Gertrude H. Sergievsky Center, Columbia University, New York, NY, USA
| | - Min Tang
- The Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, USA.,The Gertrude H. Sergievsky Center, Columbia University, New York, NY, USA
| | - Izri Martinez
- The Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, USA
| | - Temitope Ayodele
- The Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, USA
| | - Penelope Baez
- The Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, USA
| | - Dolly Reyes-Dumeyer
- The Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, USA
| | - Rafael Lantigua
- Department of Medicine, Columbia University, New York, NY, USA
| | - Martin Medrano
- School of Medicine, Pontificia Universidad Catolica Madre y Maestra, Santiago, Dominican Republic
| | - Ivonne Jimenez-Velazquez
- Department of Internal Medicine, University of Puerto Rico School of Medicine, San Juan, Puerto Rico
| | - Joseph H Lee
- The Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, USA.,The Gertrude H. Sergievsky Center, Columbia University, New York, NY, USA.,Department of Epidemiology, Columbia University, New York, NY, USA
| | - Gary W Beecham
- John P. Hussman Institute for Human Genomics, Miller School of Medicine, University of Miami, Miami, FL, USA
| | - Christiane Reitz
- The Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University, New York, NY, USA.,The Gertrude H. Sergievsky Center, Columbia University, New York, NY, USA.,Department of Epidemiology, Columbia University, New York, NY, USA.,Department of Neurology, Columbia University, New York, NY, USA
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Ruibal A, Fernández Llana B, Alba A, Nuñez MI, Martinez I, Allende MT. CYFRA 21.1 Cytosolic Levels in Breast Diseases. Correlation with Other Clinical and Biological Parameters. Int J Biol Markers 2018; 11:90-2. [PMID: 8776609 DOI: 10.1177/172460089601100205] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Cortes-Trivino E, Martinez I. Wheat gluten/montmorillonite biocomposites: Effect of pH on the mechanical properties and clay dispersion. EXPRESS POLYM LETT 2018. [DOI: 10.3144/expresspolymlett.2018.52] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Gutierrez Sanz L, Salas C, Martinez I, García D, Franco F, Curto I, Mendez M, Gonzalez L, Provencio M, Martin P. PIK3CA mutation and PDL1 expression in lung squamous cell carcinoma surgically resected. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx391.014] [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: 11/14/2022] Open
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17
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Arrones-Olmo S, Genoves A, Martinez I, Cuevas I. Importance of multinucleation at the two-cell stage in embryo development. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.459] [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: 10/18/2022]
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18
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Zanichelli A, Longhurst HJ, Maurer M, Bouillet L, Aberer W, Fabien V, Andresen I, Caballero T, Grumach A, Bygum A, Blanchard Delaunay C, Bouillet L, Coppere B, Fain O, Goichot B, Gompel A, Guez S, Jeandel P, Kanny G, Launay D, Maillard H, Martin L, Masseau A, Ollivier Y, Sobel A, Arnolds J, Aygören-Pürsün E, Baş M, Bauer A, Bork K, Martinez I, Maurer M, Papadopoulou-Alataki E, Psarros F, Graif Y, Kivity S, Reshef A, Toubi E, Arcoleo F, Cicardi M, Manconi P, Marone G, Montinaro V, Baeza M, Caballero T, Cabañas R, Guilarte M, Hernandez de Rojas D, Hernando de Larramendi C, Lleonart R, Lobera T, Sáenz de San Pedro B, Bjorkander J, Helbert M, Longhurst H. Misdiagnosis trends in patients with hereditary angioedema from the real-world clinical setting. Ann Allergy Asthma Immunol 2017; 117:394-398. [PMID: 27742086 DOI: 10.1016/j.anai.2016.08.014] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Revised: 08/05/2016] [Accepted: 08/10/2016] [Indexed: 10/20/2022]
Abstract
BACKGROUND Hereditary angioedema due to C1 inhibitor deficiency (C1-INH-HAE) causes swelling in the skin and upper airways and pain in the abdomen because of mucosal swelling. C1-INH-HAE is frequently misdiagnosed, leading to delays in diagnosis, inadequate treatment, and unnecessary procedures. OBJECTIVE To evaluate the history of misdiagnosis in patients participating in the Icatibant Outcome Survey (IOS). METHODS The IOS is an observational study in which safety and effectiveness of icatibant have been evaluated since 2009. As part of the IOS, patients record any misdiagnoses received before being diagnosed as having C1-INH-HAE. RESULTS In January 2016, a total of 418 of 633 IOS patients with C1-INH-HAE type I or II had provided misdiagnosis data. Of these, 185 of 418 (44.3%) received 1 or more prior misdiagnoses. The most common misdiagnoses were allergic angioedema (103 of 185) and appendicitis (50 of 185). A variety of other misdiagnoses were reported, including a substantial number of gastrointestinal disorders (excluding appendicitis). Misdiagnosis rates were similar between males (41.1%) and females (46.5%) and between C1-INH-HAE type I (43.7%) and type II (51.6%). Patients with family members diagnosed as having C1-INH-HAE were significantly less likely to be misdiagnosed than patients without a family history (140 of 366 [41.7%] vs 38 of 58 [65.5%], respectively; P = .001). Patients with a prior misdiagnosis had longer median delay to C1-INH-HAE diagnosis (13.3 years) than patients without (1.7 years; P < .001). CONCLUSION From this large database, approximately 50% of patients with C1-INH-HAE type I or II have previously had their conditions misdiagnosed, most commonly as allergic angioedema or appendicitis. Misdiagnosis results in marked delays in receiving the correct diagnosis, during which time patients cannot access effective, lifesaving treatment. TRIAL REGISTRATION ClinicalTrials.gov: NCT01034969.
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Affiliation(s)
- Andrea Zanichelli
- Department of Biomedical and Clinical Sciences Luigi Sacco, University of Milan, ASST Fatebenefratelli Sacco, Milan, Italy.
| | - Hilary J Longhurst
- Department of Immunology, Barts Health NHS Trust, London, United Kingdom
| | - Marcus Maurer
- Department of Dermatology and Allergy, Allergie-Centrum-Charité, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Laurence Bouillet
- National Reference Centre for Angioedema, Internal Medicine Department, Grenoble University Hospital, Grenoble, France
| | - Werner Aberer
- Department of Dermatology and Venereology, Medical University of Graz, Graz, Austria
| | | | | | - Teresa Caballero
- Allergy Department, Hospital La Paz Institute for Health Research, Biomedical Research Network on Rare Diseases (CIBERER, U754), Madrid, Spain
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van den Noort JC, Bar-On L, Aertbeliën E, Bonikowski M, Braendvik SM, Broström EW, Buizer AI, Burridge JH, van Campenhout A, Dan B, Fleuren JF, Grunt S, Heinen F, Horemans HL, Jansen C, Kranzl A, Krautwurst BK, van der Krogt M, Lerma Lara S, Lidbeck CM, Lin JP, Martinez I, Meskers C, Metaxiotis D, Molenaers G, Patikas DA, Rémy-Néris O, Roeleveld K, Shortland AP, Sikkens J, Sloot L, Vermeulen RJ, Wimmer C, Schröder AS, Schless S, Becher JG, Desloovere K, Harlaar J. European consensus on the concepts and measurement of the pathophysiological neuromuscular responses to passive muscle stretch. Eur J Neurol 2017; 24:981-e38. [DOI: 10.1111/ene.13322] [Citation(s) in RCA: 64] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Accepted: 04/06/2017] [Indexed: 12/27/2022]
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Martin-Granizo R, Varela E, Martinez I, Naranjo N, Millon A, Gonzalez A, De Pedro M. Resorbable pin effectively maintains disc repositioned in arthroscopy of the temporomandibular joint, two years later. A case report. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.1214] [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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Martin-Granizo R, Martinez I, Varela E, Naranjo N, Falahat F, Alonso A, De Pedro M. Electromyographic and ultrasonographic analysis before and after infiltration with botulinum toxin for myofascial syndrome — a prospective study. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.1213] [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: 10/19/2022]
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22
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Martin-Granizo R, Maniegas L, Varela E, Martinez I, Naranjo N, De Pedro M. Arthroscopic infiltration of the pterygoid muscle with botulinum toxin instead of standard myotomy to reposition the disc in the temporomandibular joint — preliminary results. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.782] [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: 10/19/2022]
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Martin-Granizo R, Varela E, Martinez I, Naranjo N, Colorado L, Sanchez Gutierrez J. Synovitis of the temporomandibular joint in arthroscopy — a retrospective analysis in 378 cases. Int J Oral Maxillofac Surg 2017. [DOI: 10.1016/j.ijom.2017.02.783] [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: 10/19/2022]
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Carames C, Cristobal I, Minguez P, Moreno V, Leon A, Callata-Carhuapoma H, Martin J, Domine M, Hernandez R, Pedregal M, Martinez I, Moreno I, Correa A, Rojo F, López JGF. MicroRNA-31 overexpression is able to predict pathological response and outcome in locally advanced rectal cancer. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw370.90] [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: 11/14/2022] Open
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Chalmeta I, Ivorra J, Marcos B, Diaz C, Beltran E, Negueroles R, Valero J, Feced C, Ortiz F, Gonazlez L, Martinez I, Labrador E, Arevalo K, Grau E, Alcañiz C, Fragio J, Roman J. FRI0490 Infertility and Pregnancy in Rheumatic Diseases: The Utility of A Multidisciplinary Protocol for The Management of These Patients. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.6064] [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: 11/04/2022]
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26
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Diaz MA, Pérez-Martínez A, Herrero B, Deltoro N, Martinez I, Ramirez M, Abad L, Sevilla J, Merino E, Ruiz J, Vicario JL, Gonzalez-Vicent M. Prognostic factors and outcomes for pediatric patients receiving an haploidentical relative allogeneic transplant using CD3/CD19-depleted grafts. Bone Marrow Transplant 2016; 51:1211-6. [DOI: 10.1038/bmt.2016.101] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2015] [Revised: 03/07/2016] [Accepted: 03/11/2016] [Indexed: 11/09/2022]
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Tilsed JVT, Casamassima A, Kurihara H, Mariani D, Martinez I, Pereira J, Ponchietti L, Shamiyeh A, Al-Ayoubi F, Barco LAB, Ceolin M, D'Almeida AJG, Hilario S, Olavarria AL, Ozmen MM, Pinheiro LF, Poeze M, Triantos G, Fuentes FT, Sierra SU, Soreide K, Yanar H. ESTES guidelines: acute mesenteric ischaemia. Eur J Trauma Emerg Surg 2016; 42:253-70. [PMID: 26820988 PMCID: PMC4830881 DOI: 10.1007/s00068-016-0634-0] [Citation(s) in RCA: 176] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
PURPOSE Acute mesenteric ischaemia (AMI) accounts for about 1:1000 acute hospital admissions. Untreated, AMI will cause mesenteric infarction, intestinal necrosis, an overwhelming inflammatory response and death. Early intervention can halt and reverse this process leading to a full recovery, but the diagnosis of AMI is difficult and failure to recognize AMI before intestinal necrosis has developed is responsible for the high mortality of the disease. Early diagnosis and prompt treatment are the goals of modern therapy, but there are no randomized controlled trials to guide treatment and the published literature contains a high ratio of reviews to original data. Much of that data comes from case reports and often small, retrospective series with no clearly defined treatment criteria. METHODS A study group of the European Society for Trauma and Emergency Surgery (ESTES) was formed in 2013 with the aim of developing guidelines for the management of AMI. A comprehensive literature search was performed using the Medical Subject Heading (MeSH) thesaurus keywords "mesenteric ischaemia", "bowel ischaemia" and "bowel infarction". The bibliographies of relevant articles were screened for additional publications. After an initial systematic review of the literature by the whole group, a steering group formulated questions using a modified Delphi process. The evidence was then reviewed to answer these questions, and recommendations formulated and agreed by the whole group. RESULTS The resultant recommendations are presented in this paper. CONCLUSIONS The aim of these guidelines is to provide recommendations for practice that will lead to improved outcomes for patients.
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Affiliation(s)
- J V T Tilsed
- Surgery Health Care Group, Hull and East Yorkshire Hospitals NHS Trust, Hull, UK.
| | - A Casamassima
- Emergency Department, Istituto Clinico Città Studi, Milan, Italy
| | - H Kurihara
- Emergency Surgery and Trauma Unit, Humanitas Research Hospital, Rozzano, Italy
| | - D Mariani
- Department of General Surgery, Ospedale di Legnano, Milan, Italy
| | - I Martinez
- Servicio de Cirugía General y Digestiva, Hospital Universitario de Torrevieja, Torrevieja, Spain
| | - J Pereira
- Surgery 1-Tondela-Viseu Hospital Centre, Viseu, Portugal
| | - L Ponchietti
- Department of Surgery, Milton Keynes Hospital NHS Foundation Trust, Milton Keynes, UK
| | - A Shamiyeh
- 2nd Surgical Department, Kepler University Clinic Linz, Linz, Austria
| | - F Al-Ayoubi
- Division of Trauma and Acute Care Surgery, Mafraq Hospital, Abu Dhabi, United Arab Emirates
| | - L A B Barco
- Department of Angiology and Vacular Surgery, University Hospital of Torrevieja, Torrevieja, Spain
| | - M Ceolin
- Emergency Surgery and Trauma Unit, Humanitas Research Hospital, Rozzano, Italy
| | - A J G D'Almeida
- Department of General Surgery, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - S Hilario
- 2nd Surgical Department, Santo André Hospital, Leiria, Portugal
| | - A L Olavarria
- Servicio de Cirugía General y Digestiva, Hospital Galdakao Usansolo, Vizcaya, Spain
| | - M M Ozmen
- Department of Surgery, Medical School, Hacettepe University, 06100, Ankara, Turkey
| | - L F Pinheiro
- General Surgery Department, Hospital São Teotónio, Viseu, Portugal
| | - M Poeze
- Department of Surgery/Intensive Care Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
| | - G Triantos
- Department of General Surgery, Rhodes General Hospital, Rhodes, Greece
| | - F T Fuentes
- General Surgery 2 and Emergency Surgery, University General Hospital Gregorio Marañón, Madrid, Spain
| | - S U Sierra
- Department of Surgery, Galdakao-Usansolo Hospital, Galdakao, Vizcaya, Spain
| | - K Soreide
- Department of Clinical Medicine, University of Bergen, Bergen, Norway
- Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway
| | - H Yanar
- Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Çapa, Istanbul, Turkey
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Martinez I, Rozas F, Ramos-Cillan S, González M, Castellote M. Chloride Electroremediation in reinforced structures: preliminary electrochemical tests to detect the steel repassivation during the treatment. Electrochim Acta 2015. [DOI: 10.1016/j.electacta.2015.06.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [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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Chincha O, Martinez I, Curaca V, Acevedo M. Is Varicella Still an Incident Infectious Disease in the Vaccine Era? Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv096.028] [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: 11/14/2022] Open
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López-Vilanova L, Martinez I, Corrales T, Catalina F. Photoreversible crosslinking of poly-(ethylene-butyl-acrylate) copolymers functionalized with coumarin chromophores using microwave methodology. REACT FUNCT POLYM 2014. [DOI: 10.1016/j.reactfunctpolym.2014.10.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Arsuaga JL, Martinez I, Arnold LJ, Aranburu A, Gracia-Tellez A, Sharp WD, Quam RM, Falgueres C, Pantoja-Perez A, Bischoff J, Poza-Rey E, Pares JM, Carretero JM, Demuro M, Lorenzo C, Sala N, Martinon-Torres M, Garcia N, Alcazar de Velasco A, Cuenca-Bescos G, Gomez-Olivencia A, Moreno D, Pablos A, Shen CC, Rodriguez L, Ortega AI, Garcia R, Bonmati A, Bermudez de Castro JM, Carbonell E. Neandertal roots: Cranial and chronological evidence from Sima de los Huesos. Science 2014; 344:1358-63. [DOI: 10.1126/science.1253958] [Citation(s) in RCA: 305] [Impact Index Per Article: 30.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Clemente D, Martinez I, de la Torre M, Caballero F, Lopez Robledillo J. FRI0533 Primary Pyomyositis in Children: A Retrospective Review of 25 Cases. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.4467] [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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Marin M, Rubio G, Jurado R, Ponce G, Martinez I, Alvarez M, Moratti S. EPA-0843 - Relationship between psychophysiological processes involved in alcohol dependence. Eur Psychiatry 2014. [DOI: 10.1016/s0924-9338(14)78180-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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López-Vilanova L, Espí E, Martinez I, Fierro J, Corrales T, Catalina F. Photostabilization study of ethylene-butyl acrylate copolymers functionalized in the molten state with hindered amine light stabilizers (HALS). Polym Degrad Stab 2013. [DOI: 10.1016/j.polymdegradstab.2013.09.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [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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Abstract
For the Norwegian fish industry, it is an objective to increase the production of value added products in order to improve profitability. This paper will briefly present four areas of important research tasks in this field. To aid in the identification of the species present in a product, we have applied the method called Random Amplification of Polymorphic DNA (RAPD). This technique is used to produce a fingerprint of DNA contained in the sample. The application of DNA typing for species identification in fish products is presented. The nutritional aspects of foods are important. Although the low death rate from coronary heart disease among the Eskimos of Greenland has been suggested to stem in large part from their consumption of fish, one should keep in mind that the daily diet of Eskimos living in the traditional way consists of substantial quantities of meat and fat (blubber) from seals and whales. A recent study as to whether seal and whale oils are more effective than cod liver oil in changing biological parameters that might be important in explaining low incidence of coronary heart disease, asthma and psoriasis among Greenland Eskimos will be presented. Commercial processing of fish must take the development of rigor mortis into consideration since it affects yield and fish flesh quality. Influence of early processing (pre-rigor) on fish quality and yield is also discussed. There are significant differences among fish species in gross chemical composition and morphological structure. Depending on the properties of the flesh and the way it is treated, it may gain or lose water. The relationship between structure and liquid-holding properties of cod and salmon muscle as a function of temperature is presented.
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Affiliation(s)
- E O Elvevoll
- Norwegian Institute of Fisheries and Aquaculture Ltd, Tromsø, Norway
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Rial R, Hervas LS, Monux G, Galindo A, Martin A, Hernando M, Martinez I, Hernando A, Serrano FJ. Polidocanol foam stability in terms of its association with glycerin. Phlebology 2013; 29:304-9. [DOI: 10.1177/0268355513477858] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2012] [Indexed: 11/16/2022]
Abstract
Objectives: Foam sclerotherapy effectiveness mainly depends on the concentration of the sclerosing agent and foam stability. The objective of this study was to determine if the addition of glycerol at different concentrations contributes to the stability of polidocanol foam. Materials and methods: Control Group: 3% polidocanol. Group 1: polidocanol 3% + glycerin 1.66%. Group 2: polidocanol 3% + glycerin 3.3%. Group 3: polidocanol 3% + Glycerin 5%. Tessari standard method. Five recordings were made for each mixture. Early visual liquefaction time and half liquid time decay were recorded in seconds. Microscopic measurement of the foams. Mixtures surface tension measurement (N/m). Results: Early visual liquefaction: Control Group: 27 (± 3.11); Group 1: 67.8 (± 6.49); Group 2:48.6 (± 8.2); and Group 3: 35.8 (± 4.49). Half-liquid time: Control: 129.2 (± 11.00); Group 1: 260.4 (±18.99); Group 2: 224.6 (±13.03); and Group 3: 189.2 (±8.52). Bubbles/mm2–diameter–wall thickness: Control: 68–98 μm-7 μm; Group 1: 189–60 μm-9 μm; Group 2: 76–92 μm-12 μm; and Group 3: 49–112 μm-20 μm. Surface tension: Control = 5.54 N/m; Group 1 = 5.45 N/m; Group 2 = 5.35 N/m; and Group 3 = 5.21 N/m. Conclusions: Small amounts of glycerin highly increase the stability and quality of polidocanol foam. This simple chemical method is easily reproducible and applicable.
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Affiliation(s)
- R Rial
- Angiology and Vascular Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain
| | - L S Hervas
- Angiology and Vascular Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain
| | - G Monux
- Angiology and Vascular Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain
| | - A Galindo
- Angiology and Vascular Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain
| | - A Martin
- Angiology and Vascular Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain
| | - M Hernando
- Angiology and Vascular Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain
| | - I Martinez
- Angiology and Vascular Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain
| | - A Hernando
- Physics Department, Universidad Complutense, 28040 Madrid, Spain
| | - F J Serrano
- Angiology and Vascular Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain
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Andrade C, Fullea J, Toro L, Martinez I, Rebolledo N. Reinforcement corrosion in alkaline chloride media with reduced oxygen concentrations. EPJ Web of Conferences 2013. [DOI: 10.1051/epjconf/20135606002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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MacLeod Carey D, Adams C, Muñoz-Castro A, Morales-Verdejo C, Araneda J, Chavez I, Manríquez J, Castel A, Rivière P, Rivière-Baudet M, Matioszek D, Septelean R, Martinez I, Arratia-Pérez R. A new method to radical anions derived from s-Indacene organobimetallic complexes, their ESR characterization. Inorganica Chim Acta 2012. [DOI: 10.1016/j.ica.2012.05.033] [Citation(s) in RCA: 3] [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: 11/30/2022]
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Meneses J, Gámez P, Mariscal A, Marrón C, Díaz-Hellín V, Cortes M, de Pablo A, Lopez E, Perez V, Gonzalez O, Juarros L, Martinez I, Hermoso F, Ávila R, Zuluaga M, de Nicolás J. Development of a Non–Heart-Beating Donor Program and Results After the First Year. Transplant Proc 2012; 44:2047-9. [DOI: 10.1016/j.transproceed.2012.07.092] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Trigo JD, Martinez I, Alesanco A, Kollmann A, Escayola J, Hayn D, Schreier G, Garcia J. An Integrated Healthcare Information System for End-to-End Standardized Exchange and Homogeneous Management of Digital ECG Formats. ACTA ACUST UNITED AC 2012; 16:518-29. [DOI: 10.1109/titb.2012.2191296] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Galvez ME, Beyssac O, Benzerara K, Bernard S, Menguy N, Cox SC, Martinez I, Johnston MR, Brown GE. Morphological preservation of carbonaceous plant fossils in blueschist metamorphic rocks from New Zealand. Geobiology 2012; 10:118-129. [PMID: 22299653 DOI: 10.1111/j.1472-4669.2011.00316.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Morphological and chemical evidence of ancient life is widespread in sedimentary rocks retrieved from shallow depths in the Earth's crust. Metamorphism is highly detrimental to the preservation of biological information in rocks, thus limiting the geological record in which traces of life might be found. Deformation and increasing pressure/temperature during deep burial may alter the morphology as well as the composition and structure of both the organic and mineral constituents of fossils. However, microspore fossils have been previously observed in intensely metamorphosed rocks. It has been suggested that their small size, and/or the nature of the polymer composing their wall, and/or the mineralogy of their surrounding matrix were key parameters explaining their exceptional preservation. Here, we describe the remarkable morphological preservation of plant macrofossils in blueschist metamorphic rocks from New Zealand containing lawsonite. Leaves and stems can be easily identified at the macroscale. At the microscale, polygonal structures with walls mineralized by micas within the leaf midribs and blades may derive from the original cellular ultrastructure or, alternatively, from the shrinkage during burial of the gelified remnants of the leaves in an abiotic process. Processes and important parameters involved in the remarkable preservation of these fossils during metamorphism are discussed. Despite the excellent morphological preservation, the initial biological polymers have been completely transformed to graphitic carbonaceous matter down to the nanometer scale. This occurrence demonstrates that plant macrofossils may experience major geodynamic processes such as metamorphism and exhumation involving deep changes and homogenization of their carbon chemistry and structure but still retain their morphology with remarkable integrity even if they are not shielded by any hard-mineralized concretion.
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Vazquez J, Sastre I, Tembl J, Martinez I, Sahuquillo P, Parkhutik V, Lago A, Burguera J. 2.143 THE MESENCEPHALIC AREA MEASURED BY BRAIN SONOGRAPHY IN THE DIFFERENTIAL DIAGNOSIS OF PARKINSONISMS. Parkinsonism Relat Disord 2012. [DOI: 10.1016/s1353-8020(11)70515-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Rosencher J, Mirault T, Martinez I, Zhu T, Messas E, Emmerich J. [Risk factors for recurrent venous thromboembolism]. Rev Mal Respir 2011; 28:453-62. [PMID: 21549901 DOI: 10.1016/j.rmr.2010.10.036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2010] [Accepted: 10/01/2010] [Indexed: 11/19/2022]
Abstract
Recurrent venous thromboembolism (VTE) is frequent and can be fatal. Long-term antithrombotic treatment reduces the risk of recurrent VTE but increases the risk of bleeding and, therefore, cannot be proposed for all patients. Predicting the probability of recurrence in an individual patient is of utmost importance for assessing the risk-benefit ratio of long-term anticoagulation. Multiple clinical risk factors for recurrent VTE have been identified which include: unprovoked first episode, anatomical proximal location, male gender, residual venous thrombosis, cancer and antiphospholipid syndrome. d-dimer level after discontinuation of oral anticoagulation can help to predict the risk of recurrence with a good negative predictive value. Finally, genetic polymorphisms and rare inherited deficiencies of natural anticoagulant proteins do not seem to be strongly associated to recurrence. New antithrombotic drugs may, in the near future, improve the safety and of long-term anticoagulation treatment.
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Affiliation(s)
- J Rosencher
- Unité Inserm U765, université Paris Descartes, faculté de médecine, 75508 Paris cedex, France
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Martinez I, Escayola J, Trigo J, Garcia J, Espronceda MM, Led S, Serrano L. Recent innovative advances in telemedicine: standard-based designs for personal health. IJBET 2011. [DOI: 10.1504/ijbet.2011.039197] [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: 11/21/2022]
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Martinez I, Del Valle P, Munoz P, Trigo JD, Escayola J, Martínez-Espronceda M, Muñoz A, Serrano L, Garcia J. Interoperable and standard e-Health solution over Bluetooth. Annu Int Conf IEEE Eng Med Biol Soc 2010; 2010:2192-5. [PMID: 21095688 DOI: 10.1109/iembs.2010.5626053] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The new paradigm of e-Health demands open sensors and middleware components that permit transparent integration and end-to-end interoperability of new personal health devices. The use of standards seems to be the internationally adopted way to solve these problems. This paper presents the implementation of an end-to-end standards-based e-Health solution. This includes ISO/IEEE11073 standard for the interoperability of the medical devices in the patient environment and EN13606 standard for the interoperable exchange of the Electronic Healthcare Record. The design strictly fulfills all the technical features of the most recent versions of both standards. The implemented prototype has been tested in a laboratory environment to demonstrate its feasibility for its further transfer to the healthcare system.
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Affiliation(s)
- I Martinez
- Communications Technologies Group (GTC), Aragón Institute of Engineering Research (I3A), University of Zaragoza UZ), c/María de Luna, 1 - 50018, Spain
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Martinez I, Escayola J, Martinez-Espronceda M, Serrano L, Trigo JD, Led S, Garcia J. Implementation experiences of ISO/IEEE11073 standard applied to new use cases for e-health environments. Annu Int Conf IEEE Eng Med Biol Soc 2010; 2009:1679-82. [PMID: 19964548 DOI: 10.1109/iembs.2009.5333883] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Recent advances in biomedical engineering and continuous technological innovations in last decade are promoting new challenges, especially in e-Health environments. In this context, the medical devices interoperability is one of the interest fields wherein these improvements require a standard-based design in order to achieve homogeneous solutions. Furthermore, the spreading of wearable devices, oriented to the paradigm of patient environment and supported by wireless technologies as Bluetooth or ZigBee, is bringing new medical use cases based on Ambient Assisted Living, home monitoring of elderly, heart failure, chronic, under palliative care or patients who have undergone surgery, urgencies and emergencies, or even fitness auto-control and health follow-up. In this paper, several implementation experiences based on ISO/IEEE11073 standard are detailed. These evolved e-Health services can improve the quality of the patient's care, increase the user's interaction, and assure these e-Health applications to be fully compatible with global telemedicine systems.
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Affiliation(s)
- I Martinez
- Communications Technologies Group (GTC), Aragon Institute for Engineering Research (I3A), University of Zaragoza (UZ), c/ María de Luna, 3, 50018 Zaragoza, Spain
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Marin M, Martinez I, Ponce G, López J, Rubio G. PW01-235 - Impairments on the startle reflex and the prepulse inhibition in abstinent alcoholic males. Eur Psychiatry 2010. [DOI: 10.1016/s0924-9338(10)71642-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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