1
|
Descalzo JM, Frutos EL, Castro J, Lombardo VR, Gimenez C, Otero P, Luna D, Otero C. Improving Waiting Time for Chemotherapy with Ahead-of-Time Drug Preparation. Stud Health Technol Inform 2024; 310:144-148. [PMID: 38269782 DOI: 10.3233/shti230944] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2024]
Abstract
Waiting time for chemotherapy infusion is a fundamental factor to measure quality of care. It has been shown that a prolonged waiting time is related to a higher incidence of anticipatory nausea and poor patient adherence to scheduled appointments and recommended oncology treatment programs. Some chemotherapy regimens can be prepared hours ahead-of-time, due to long stability. We aimed to study the effect of an informatic-led workflow redesign intervention, facilitating workflow changes in the Oncology Pharmacy, on patient waiting time. This intervention included changes on EHR processes and the chemotherapy CPOE. Their main effect was allowing ahead-of-time preparation of selected chemotherapy regimes. We conducted a cross sectional study, comparing waiting times pre and post intervention periods. A total of 4600 programmed chemotherapy episodes were included. We found a 26.5 % decrease in the mean wait time in the post intervention period (p > 0.02). We were able to show a decrease in waiting time and a measurable impact of the intervention. This evaluation produced valuable and actionable data for Oncology units and adds a valuable, Latin American experience to the literature.
Collapse
Affiliation(s)
- Juan Marcos Descalzo
- Departamento de Informática en Salud, Hospital Italiano de Buenos Aires, Argentina
| | | | - Javier Castro
- Departamento de Informática en Salud, Hospital Italiano de Buenos Aires, Argentina
| | | | - Cintia Gimenez
- Departamento de Informática en Salud, Hospital Italiano de Buenos Aires, Argentina
| | - Paula Otero
- Departamento de Informática en Salud, Hospital Italiano de Buenos Aires, Argentina
| | - Daniel Luna
- Departamento de Informática en Salud, Hospital Italiano de Buenos Aires, Argentina
- Instituto de Medicina Traslacional e Ingeniería Biomédica (IMTIB), UE de triple dependencia CONICET - Instituto Universitario del Hospital Italiano (IUHI) - Hospital Italiano de Buenos Aires, Argentina
| | - Carlos Otero
- Departamento de Informática en Salud, Hospital Italiano de Buenos Aires, Argentina
| |
Collapse
|
2
|
Alvarado JL, Bermon A, Florez C, Castro J, Cruz M, Franco H, Martinez C, Villegas K, Shabbir N, Weisman AG, Weaver KN, Prada CE. Outcomes and Associated Extracardiac Malformations in Neonates from Colombia with Severe Congenital Heart Disease. Pediatr Cardiol 2024; 45:55-62. [PMID: 37814158 DOI: 10.1007/s00246-023-03308-5] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 09/14/2023] [Indexed: 10/11/2023]
Abstract
Congenital heart disease (CHD) is a common structural anomaly, affecting ~ 1% of live births worldwide. Advancements in medical and surgical management have significantly improved survival for children with CHD, however, extracardiac malformations (ECM) continue to be a significant cause of morbidity and mortality. Despite clinical significance, there is limited literature available on ECM in neonates with CHD, especially from Latin America. A cross-sectional study of neonates with severe CHD evaluated by the medical-surgical board team at Fundación Cardiovascular de Colombia from 2014 to 2019 was completed to characterize morbidity, mortality, surgical outcomes, and ECM. Demographics and surgical outcomes were compared between neonates with and without ECM. Medical record data were abstracted and descriptive statistical analysis was performed. Of 378 neonates with CHD, 262 had isolated CHD (69.3%) and 116 had ECM (30.7%). The most common ECM was gastrointestinal (n = 18, 15.5%) followed by central nervous system (n = 14, 12%). Most neonates required a biventricular surgical approach (n = 220, 58.2%). Genetic testing was performed more often for neonates with ECM (n = 65, 56%) than neonates with isolated CHD (n = 14, 5.3%). Neonates with ECM had lower birth weight, longer hospital stays, and higher postsurgical complications rates. There was no difference in survival between groups. Overall, Screening for ECM in neonates with CHD is important and identification of ECM can guide clinical decision-making. These findings have important implications for pediatric healthcare providers, especially in low- and middle-income countries, where the burden of CHD is high and resources for managing CHD and extracardiac malformations may be limited.
Collapse
Affiliation(s)
| | - Anderson Bermon
- Fundación Cardiovascular de Colombia, Floridablanca, Colombia
| | - Claudia Florez
- Fundación Cardiovascular de Colombia, Floridablanca, Colombia
| | - Javier Castro
- Fundación Cardiovascular de Colombia, Floridablanca, Colombia
| | - Monica Cruz
- Fundación Cardiovascular de Colombia, Floridablanca, Colombia
| | - Helena Franco
- Fundación Cardiovascular de Colombia, Floridablanca, Colombia
| | - Camilo Martinez
- Fundación Cardiovascular de Colombia, Floridablanca, Colombia
| | - Kathy Villegas
- Universidad Autonoma de Bucaramanga, Bucaramanga, Colombia
| | - Nisha Shabbir
- Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Allison Goetsch Weisman
- Division of Genetics, Genomics, and Metabolism, Ann and Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Ave, Chicago, IL, 60611, USA
- Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Kathryn N Weaver
- Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Carlos E Prada
- Fundación Cardiovascular de Colombia, Floridablanca, Colombia.
- Division of Genetics, Genomics, and Metabolism, Ann and Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Ave, Chicago, IL, 60611, USA.
- Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
| |
Collapse
|
3
|
Santiago J, Karl G, Florez C, Molina Y, Castro J, Hurtado A, García V. Infectious endarteritis in aortic coarctation: two spectra of an infrequent disease. Rev Paul Pediatr 2023; 42:e2023084. [PMID: 38126604 PMCID: PMC10742369 DOI: 10.1590/1984-0462/2024/42/2023084] [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: 05/15/2023] [Accepted: 09/14/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVE To describe two different degrees of clinical commitment and results in the evolution of infectious endarteritis in patients without a previous diagnosis of aortic coarctation. CASE DESCRIPTION Two male patients aged 13 and 9 years old were admitted. The first due to a fever for 2 months, which started after dental cleaning, and the second due to high blood pressure, both patients with asthenia and weight loss. In the first case, the transthoracic echocardiogram showed aortic coarctation, and the transesophageal echocardiogram showed the presence of vegetations in the post-coarctation area, without pseudoaneurysms, with blood culture positive for Streptococcus mitis. This patient was treated for six weeks with crystalline penicillin, resolving the infection without complications. The second case was assessed for high blood pressure with a history of fever, and was treated with antibiotics. When performing a transthoracic echocardiogram, aortic coarctation was observed with a saccular image classified as a pseudoaneurysm by angiography and tomography. Blood culture was negative, and the patient developed an episode of hematemesis whose initial etiology could not be determined. Before surgical repair, he had a second episode of copious hematemesis with hypovolemic shock and death. COMMENTS We need to have a high index of clinical suspicion to establish the diagnosis of aortic coarctation complicated by endarteritis and start the appropriate antibiotic treatment, always maintaining surveillance for the early detection of pseudoaneurysms.
Collapse
Affiliation(s)
- Justo Santiago
- Cardiovascular Foundation of Colombia, Bucaramanga, Santander, Colombia
| | - Gabriela Karl
- Cardiovascular Foundation of Colombia, Bucaramanga, Santander, Colombia
| | - Claudia Florez
- Cardiovascular Foundation of Colombia, Bucaramanga, Santander, Colombia
| | - Yudisay Molina
- Cardiovascular Foundation of Colombia, Bucaramanga, Santander, Colombia
| | - Javier Castro
- Cardiovascular Foundation of Colombia, Bucaramanga, Santander, Colombia
| | - Alexandra Hurtado
- Cardiovascular Foundation of Colombia, Bucaramanga, Santander, Colombia
| | - Valeria García
- Santander University Hospital, Bucaramanga, Santander, Colombia
| |
Collapse
|
4
|
Goughenour A, Kebede B, MacLennan G, Castro J, Stephenson L, Majithia L, Hetelekidis S, Parniani A, Fan J, Wang P, Chawla AK, Rao AD. Dosimetric and Clinical Results of a Volumetric-Based Skin-Sparing Planning Technique for Patients Treated to the Breast and Chest Wall with Pencil Beam Scanning Proton Therapy. Int J Radiat Oncol Biol Phys 2023; 117:S89-S90. [PMID: 37784598 DOI: 10.1016/j.ijrobp.2023.06.416] [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] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Given clinical concerns for more brisk acute skin toxicity with proton compared with photon RT due to differences in the energy deposition properties, our institution implemented a novel volumetric skin-sparing planning technique (SSPT) for intensity modulated proton therapy (IMPT) for patients treated to the breast or chest wall (CW). This study evaluates SSPT dosimetry and the hypothesis that a SSPT will reduce acute dermatitis during IMPT to the breast and CW. MATERIALS/METHODS Prior to the development of a consensus technique, skin dose evaluation in IMPT plans was limited to mitigation of skin hot spots and cropping off the skin surface by 3mm for CW and 5mm for intact breast targets (except indications for deliberate skin dosing). In January 2022 our center added volumetric-based skin sparing objectives in addition to hot-spot evaluation as a SSPT. A skin evaluation structure (skin-eval) was defined as a skin rind of 3 mm for CW and 5 mm for intact breast within 5mm of the CTV, bound by the patient's surface. The SSPT incorporated an objective to limit the volume of skin-eval receiving 95% of the prescription dose or more (V95%Rx) to ideally <50% (goal<60%) while still prioritizing CTV coverage and robustness. We compared target coverage, robustness, and skin-eval dosimetry as well as acute on-treatment skin toxicity in patients treated with and without incorporation of this SSPT. Patients with skin/dermal lymphatic invasion or inflammatory breast cancer were excluded. RESULTS 84 patients who were planned to receive breast or CW IMPT were included (43 planned without and 41 with the SSPT). There was no difference in percentages of patients treated to the intact breast/CW/immediate CW reconstruction between the groups (37%/23%/40% without and 34%/27%/39% with SSPT, p>0.05). Mean skin-evalV95%Rx was 72% vs. 30%, p<0.0001, for those treated without vs. with a SSPT. Maximum %Rx to the skin volume of 0.03 cc, 0.3cc, and 1cc, was higher in patients treated without compared to those with a SSPT (103.1% vs. 101.5%; 101.3% vs. 100.4%; and 101.8% vs. 99.7% (all p=<0.0001)), respectively. There was a small statistical difference in the mean CTV V97.5%Rx in patients treated without vs. with the SSPT (97.8% vs. 96.5%, p=0.0003). Patients planned utilizing the SSPT demonstrated reduced rates of Grade 1 breast pain at Week 2 (12% vs. 33%, p=0.0424) and Grade 2 and 3 dermatitis at Week 5 (grade 2 38% vs. 42%; grade 3, 0% vs. 11%, p=0.0016). There were numerically more patients requiring a treatment break or not completing full intended prescription (4 vs. 1) in the pre-SSPT cohort. CONCLUSION A volumetric-based SSPT appears to reduce the frequency of brisk onset dermatitis and near-end of RT significant dermatitis while still maintaining acceptable target coverage and robustness in patients receiving IMPT to the breast and CW.
Collapse
Affiliation(s)
| | - B Kebede
- Inova Schar Cancer Institute, Fairfax, VA
| | | | - J Castro
- Inova Schar Cancer Institute, Fairfax, VA
| | | | - L Majithia
- Inova Schar Cancer Institute, Fairfax, VA; Radiation Oncology Associates of the National Capital Region, Fairfax, VA
| | - S Hetelekidis
- Inova Schar Cancer Institute, Fairfax, VA; Radiation Oncology Associates of the National Capital Region, Fairfax, VA
| | - A Parniani
- Inova Schar Cancer Institute, Fairfax, VA
| | - J Fan
- Inova Schar Cancer Institute, Fairfax, VA
| | - P Wang
- Inova Schar Cancer Institute, Fairfax, VA
| | - A K Chawla
- Inova Schar Cancer Institute, Fairfax, VA; Radiation Oncology Associates of the National Capital Region, Fairfax, VA
| | - A D Rao
- Inova Schar Cancer Institute, Fairfax, VA; Radiation Oncology Associates of the National Capital Region, Fairfax, VA
| |
Collapse
|
5
|
Sallabanda M, Vera JA, Pérez JM, De Pablo A, Montero M, Garrido MI, Matute R, Miralbell R, Cerron F, Castro J, Mazal A. Five-Fraction Proton Therapy for Chordomas and Chondrosarcomas of the Skull Base: Preliminary Results of a Prospective Series. Int J Radiat Oncol Biol Phys 2023; 117:e337. [PMID: 37785181 DOI: 10.1016/j.ijrobp.2023.06.2394] [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] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) To describe the first series of patients with clival chordomas and chondrosarcomas treated with extremely hypofractionated proton therapy in a single institution with focus on acute tolerance and dosimetric parameters. MATERIALS/METHODS A total of 11 consecutive patients with biopsy proven chordomas and chondrosarcomas were prospectively included in a five-fraction proton therapy protocol between June 2022 and January 2023. The inclusion criteria for this protocol were: Age > 18 yo., Karnofsky Performance Status (KPS) ≥ 70%, absence of metastases, no previous radiation courses, clinical target volume (CTV) up to 50 cc and CTV location relative to organs at risk that allowed compliance with the necessary dose restrictions for hypofractionated treatments in 5 fractions, according to the international guidelines. Treatment was delivered with a Proteus®ONE cyclotron using Pencil Beam Scanning (PBS) Intensity-Modulated Proton Therapy (IMPT). Patient setup was performed with CBCT imaging at isocenter and X-Ray obliques, allowing a robust planning with 1 mm setup uncertainty and 3.5% range uncertainty. IMPT plans were obtained with RayStation employing 4 to 6 non-coplanar beams. In 7 patients' apertures were used in 2 of the beams, to reduce lateral penumbra and to optimize dose gradient. RESULTS A total of 11 patients (7 males and 5 females) with an age range between 29 and 79 yo, were included. 6 patients with classic chordomas and 5 patients with grade I-II chondrosarcomas were treated with a total dose of 37.5 GyRBE and 35 GyRBE, respectively, in 5 daily fractions. All the patients had received previous surgery with complete resection in 2 patients, subtotal resection in 7 patients and partial resection in 2 patients. Most common symptoms at diagnosis were diplopia and headache and baseline median KPS after surgery was 90% (70 - 100%). Median CTV was 30.62 cc (10.56 - 47.47 cc). Median CTV coverage was V95% = D95.5%. Median maximal dose for the brainstem was 26.5 GyRBE (30 - 24.7 GyRBE) and for the optic pathway was 20.7 GyRBE (8.9 - 23.6 GyRBE). Median follow-up was 3 months (8 - 1 months). Acute toxicity during follow-up was mild, with grade I - II headache (64%), grade I asthenia (45%), grade I nausea (27%), grade I dysphagia (18%) and reversible alopecia (45%). Only one patient showed nystagmus and mild loss of strength in left lower limb related with an ischemic brainstem lesion, in a low dose region, not clearly radiation related. 8 patients had a 3-month follow-up MRI with no signs of progression. CONCLUSION Five-fraction proton therapy for the treatment of clival chordomas and chondrosarcomas is dosimetrically feasible and well tolerated for selected patients. Proton therapy remains a limited resource, consequently, reducing treatment time can have significant financial and psychosocial implications. Longer follow up is needed to validate these results.
Collapse
Affiliation(s)
- M Sallabanda
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - J A Vera
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - J M Pérez
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - A De Pablo
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - M Montero
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - M I Garrido
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - R Matute
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - R Miralbell
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - F Cerron
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - J Castro
- Centro de Protonterapia Quironsalud, Madrid, Spain
| | - A Mazal
- Centro de Protonterapia Quironsalud, Madrid, Spain
| |
Collapse
|
6
|
Ferraz-Amaro I, Santos-Concepción S, Castro J, Hernández-Hernández MV, Tejera-Segura B, Luna C, Delgado-Frias E, Díaz-González F. Tocilizumab-related hypertriglyceridemia is independent of key molecules regulating lipid metabolism. Eur J Clin Invest 2023; 53:e14006. [PMID: 37039742 DOI: 10.1111/eci.14006] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 04/02/2023] [Accepted: 04/06/2023] [Indexed: 04/12/2023]
Abstract
INTRODUCTION Tocilizumab (TCZ) treatment is associated with dyslipidaemia, including a rise in triglycerides through a mechanism poorly understood. Three molecules play key roles in the regulation of triglyceride metabolism: apolipoprotein C-III (ApoC-III), angiopoietin-like protein 4(ANGPLT4) and lipoprotein lipase (LPL). The aim of this work was to analyse whether the changes in triglycerides shown by TCZ-treated RA patients could stem from the dysregulation that can occur in these regulatory molecules. METHODS Twenty-seven RA patients included in the TOCRIVAR study who received TCZ (8 mg/kg IV/q4w) were evaluated at baseline and at Weeks 12, 24 and 52 of treatment. ANGPTL4, ApoC-III and LPL, a complete lipid profile and RA disease activity, were analysed at baseline and at each visit. Multivariable linear mixed models were performed to study changes over time in lipids and regulatory molecules. RESULTS After 24 weeks of TCZ treatment, HDL cholesterol, apolipoprotein A1 and triglycerides increased, whereas lipoprotein (a) decreased significantly from baseline values. However, 1 year after TCZ, no significant differences in lipid pattern were observed with respect to baseline. Serum ANGPTL4 and Apo-CIII levels decreased gradually over time, both being significantly lower than baseline values at Week 52. LPL concentration did not change significantly during TCZ treatment. Remarkably, the elevation of triglycerides at Week 24 maintained its statistical significance after adjusting for the changes in ApoC-III, ANGPTL4 and LPL. CONCLUSION In TCZ-treated RA patients basal serum levels of ANGPLT4 and ApoC-III, but not LPL, decreased significantly. However, the elevation of triglycerides after TCZ was not related to changes in these regulatory molecules.
Collapse
Affiliation(s)
- Iván Ferraz-Amaro
- Servicio de Reumatología, Hospital Universitario de Canarias, Tenerife, Spain
| | | | - Javier Castro
- Departamento de Medicina Física y Farmacología, área de Farmacología, Universidad de La Laguna, Tenerife, Spain
| | | | - Beatriz Tejera-Segura
- Hospital Universitario Insular-Materno infantil de Canarias, Las Palmas de Gran Canarias, Spain
| | - Cristina Luna
- Servicio de Reumatología, Hospital Nuestra Señora de la Candelaria, Tenerife, Spain
| | | | - Federico Díaz-González
- Servicio de Reumatología, Hospital Universitario de Canarias, Tenerife, Spain
- Departamento de Medicina Interna, Dermatología y Psiquiatría, Universidad de La Laguna, Tenerife, Spain
- Instituto Universitario de Tecnologías Biomédicas (ITB), Universidad de La Laguna, Santa Cruz de Tenerife, Spain
| |
Collapse
|
7
|
Klepper A, Kung A, Vazquez SE, Mitchell A, Mann S, Zorn K, Avila-Vargas I, Kari S, Tekeste M, Castro J, Lee B, Duarte M, Khalili M, Yang M, Wolters P, Price J, Perito E, Feng S, Maher JJ, Lai J, Weiler-Normann C, Lohse AW, DeRisi J, Tana M. Novel autoantibody targets identified in patients with autoimmune hepatitis (AIH) by PhIP-Seq reveals pathogenic insights. medRxiv 2023:2023.06.12.23291297. [PMID: 37398174 PMCID: PMC10312872 DOI: 10.1101/2023.06.12.23291297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/04/2023]
Abstract
Autoimmune hepatitis (AIH) is a severe autoimmune disease, characterized by the presence of autoantibodies. However, the role of autoantibodies in the pathophysiology of AIH remains uncertain. Here, we employed Phage Immunoprecipitation-Sequencing (PhIP-Seq) to identify novel autoantibodies in AIH. Using these results, a logistic regression classifier was able to predict which patients had AIH, indicating the presence of a distinct humoral immune signature. To further investigate the autoantibodies most specific to AIH, significant peptides were identified relative to a broad array of controls (298 patients with non-alcoholic fatty liver disease (NAFLD), primary biliary cholangitis (PBC), or healthy controls). Top ranked autoreactive targets included SLA, the target of a well-recognized autoantibody in AIH, and disco interacting protein 2 homolog A (DIP2A). The autoreactive fragment of DIP2A shares a 9-amino acid stretch nearly identical to the U27 protein of HHV-6B, a virus found in the liver. In addition, antibodies against peptides derived from the leucine rich repeat N-terminal (LRRNT) domain of the relaxin family peptide receptor 1 (RXFP1) were highly enriched and specific to AIH. The enriched peptides map to a motif adjacent to the receptor binding domain, which is required for RXFP1 signaling. RXFP1 is a G protein-coupled receptor that binds relaxin-2, an anti-fibrogenic molecule shown to reduce the myofibroblastic phenotype of hepatic stellate cells. Eight of nine patients with antibodies to RXFP1 had evidence of advanced fibrosis (F3 or greater). Furthermore, serum from AIH patients positive for anti-RFXP1 antibody was able to significantly inhibit relaxin-2 signaling in the human monocytic cell line, THP1. Depletion of IgG from anti-RXFP1 positive serum abrogated this effect. These data provide supporting evidence that HHV6 plays a role in the development of AIH and point to a potential pathogenic role for anti-RXFP1 IgG in some patients. Identification of anti-RXFP1 in patient serum may enable risk stratification of AIH patients for fibrosis progression and lead to the development of novel strategies for disease intervention.
Collapse
Affiliation(s)
| | - Andrew Kung
- University of California, San Francisco, USA
- Chan Zuckerberg Biohub; San Francisco, CA, USA
| | - Sara E Vazquez
- University of California, San Francisco, USA
- Chan Zuckerberg Biohub; San Francisco, CA, USA
| | - Anthea Mitchell
- University of California, San Francisco, USA
- Chan Zuckerberg Biohub; San Francisco, CA, USA
| | - Sabrina Mann
- University of California, San Francisco, USA
- Chan Zuckerberg Biohub; San Francisco, CA, USA
| | - Kelsey Zorn
- University of California, San Francisco, USA
| | | | - Swathi Kari
- University of California, San Francisco, USA
| | | | | | - Briton Lee
- University of California, San Francisco, USA
| | | | - Mandana Khalili
- University of California, San Francisco, USA
- UCSF Liver Center
| | - Monica Yang
- University of California, San Francisco, USA
| | | | - Jennifer Price
- University of California, San Francisco, USA
- UCSF Liver Center
| | - Emily Perito
- University of California, San Francisco, USA
- UCSF Liver Center
| | - Sandy Feng
- University of California, San Francisco, USA
- UCSF Liver Center
| | | | - Jennifer Lai
- University of California, San Francisco, USA
- UCSF Liver Center
| | | | - Ansgar W Lohse
- Medical Department, University Medical Center Hamburg-Eppendorf, Hamburg, DE
| | - Joseph DeRisi
- University of California, San Francisco, USA
- Chan Zuckerberg Biohub; San Francisco, CA, USA
| | - Michele Tana
- University of California, San Francisco, USA
- UCSF Liver Center
| |
Collapse
|
8
|
Araújo D, Castro J, Matos F, Oliveira R, Ramos C, Almeida C, Silva S. Exploring the prevalence and antibiotic resistance profile of Klebsiella pneumoniae and Klebsiella oxytoca isolated from clinically ill companion animals from North of Portugal. Res Vet Sci 2023; 159:183-188. [PMID: 37148737 DOI: 10.1016/j.rvsc.2023.04.009] [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: 12/15/2022] [Revised: 04/11/2023] [Accepted: 04/13/2023] [Indexed: 05/08/2023]
Abstract
Klebsiella spp. is an important pathogen in humans and animals and due to the indiscriminate use of antibiotics, its prevalence and antibiotic resistance has increased in companion animals. The main goal of this study was to investigate the prevalence and antibiotic resistance of Klebsiella spp. isolated from clinically ill cats and dogs admitted in veterinary clinics in the North of Portugal. A total of 255 clinical specimens were collected and, after isolation, the identification of Klebsiella strains was performed using the BBL Crystal™ identification system and confirmed by PCR-based sequencing with specific primers. Antibiotic resistance profile was determined through the disc diffusion method. Beta-lactam resistance genes were screened through a multiplex PCR assay. Fifty Klebsiella strains were isolated and, 39 were identified as Klebsiella pneumoniae and 11 as Klebsiella oxytoca. Thirty-one were recovered from dogs and 19 from cats. The Klebsiella isolates were recovered mainly from skin wounds, respiratory tract, and from urine. Fifty percent of K. oxytoca and K. pneumoniae isolates revealed to be Multidrug Resistant (MDR) strains, with most of them positive for the presence of blaTEM-like and blaSHV genes. This data shows that MDR Klebsiella are highly disseminated in companion animals and that extended-spectrum beta-lactamases can be easily found among these isolates. This highlights the potential role of dogs and cats as a reservoir of resistant Klebsiella spp. that have the potential to be transmitted to humans.
Collapse
Affiliation(s)
- D Araújo
- INIAV, IP - National Institute for Agrarian and Veterinary Research, Rua dos Lagidos, Lugar da Madalena, 4485-655 Vairão, Portugal
| | - J Castro
- INIAV, IP - National Institute for Agrarian and Veterinary Research, Rua dos Lagidos, Lugar da Madalena, 4485-655 Vairão, Portugal; Centre of Biological Engineering, University of Minho, 4710-057 Braga, Portugal
| | - F Matos
- INIAV, IP - National Institute for Agrarian and Veterinary Research, Rua dos Lagidos, Lugar da Madalena, 4485-655 Vairão, Portugal
| | - R Oliveira
- INIAV, IP - National Institute for Agrarian and Veterinary Research, Rua dos Lagidos, Lugar da Madalena, 4485-655 Vairão, Portugal; LEPABE - Laboratory for Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal; ALiCE - Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal
| | - C Ramos
- Clínica Veterinária das Glicínias - Vets On The Road, Rua Dr. Edgardo Sá Malheiro 175, 4705-267 Braga, Portugal
| | - C Almeida
- INIAV, IP - National Institute for Agrarian and Veterinary Research, Rua dos Lagidos, Lugar da Madalena, 4485-655 Vairão, Portugal; Centre of Biological Engineering, University of Minho, 4710-057 Braga, Portugal; ALiCE - Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal
| | - S Silva
- INIAV, IP - National Institute for Agrarian and Veterinary Research, Rua dos Lagidos, Lugar da Madalena, 4485-655 Vairão, Portugal; Centre of Biological Engineering, University of Minho, 4710-057 Braga, Portugal.
| |
Collapse
|
9
|
Perea S, Mendes SL, Sousa-Santos C, Ondina P, Amaro R, Castro J, San-Miguel E, Lima CS, Garcia M, Velasquez V, Garcia-Roves P, Fernández D, Araujo R, Sousa VC, Reis J. Applying genomic approaches to delineate conservation strategies using the freshwater mussel Margaritifera margaritifera in the Iberian Peninsula as a model. Sci Rep 2022; 12:16894. [PMID: 36207367 PMCID: PMC9546909 DOI: 10.1038/s41598-022-20947-5] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 09/21/2022] [Indexed: 11/09/2022] Open
Abstract
Effective conservation actions to counteract the current decline of populations and species require a deep knowledge on their genetic structure. We used Single Nucleotide Polymorphisms (SNPs) to infer the population structure of the highly threatened freshwater pearl mussel Margaritifera margaritifera in the Iberian Peninsula. A total of 130 individuals were collected from 26 locations belonging to 16 basins. We obtained 31,692 SNPs through Genotyping by Sequencing (GBS) and used this dataset to infer population structure. Genetic diversity given as observed heterozygosity was low. Pairwise FST comparisons revealed low levels of genetic differentiation among geographically close populations. Up to 3 major genetic lineages were determined: Atlantic, Cantabrian and Douro. This structure suggests a close co-evolutionary process with brown trout (Salmo trutta), the primordial fish host of this mussel in the studied area. Some sub-basins showed some genetic structuring, whereas in others no intrapopulation differentiation was found. Our results confirm that genetic conservation units do not match individual basins, and that knowledge about the genetic structure is necessary before planning recovery plans that may involve relocation or restocking. The same reasoning should be applied to strictly freshwater species that are sessile or have restricted dispersal abilities and are currently imperiled worldwide.
Collapse
Affiliation(s)
- S Perea
- MARE-Marine and Environmental Sciences Centre/ARNET-Aquatic Research Network, Faculdade de Ciências da Universidade de Lisboa, Campo Grande, 1749-016, Lisbon, Portugal.,Instituto de Biología, Departamento de Zoología, Universidad Nacional Autónoma de México, Tercer Circuito Exterior S/N, C.P. 04510, Mexico City, Mexico
| | - S L Mendes
- MARE-Marine and Environmental Sciences Centre/ARNET-Aquatic Research Network, Faculdade de Ciências da Universidade de Lisboa, Campo Grande, 1749-016, Lisbon, Portugal.,cE3c-Centre for Ecology, Evolution and Environmental Changes, Department of Animal Biology, Faculdade de Ciências da Universidade de Lisboa, Campo Grande, 1749-016, Lisbon, Portugal
| | - C Sousa-Santos
- MARE-Marine and Environmental Sciences Centre/ARNET-Aquatic Research Network, ISPA-Instituto Superior de Ciências Psicológicas, Sociais e da Vida, Rua Jardim do Tabaco, 34, 1149-041, Lisbon, Portugal
| | - P Ondina
- Departamento de Zooloxía, Xenética e Antropoloxía Física, Universidade de Santiago de Compostela, Campus Terra, 27002, Lugo, Spain.,IBADER-Instituto de Biodiversidade Agraria E Desenvolvemento Rural, Campus, Universidade de Santiago de Compostela, Campus Terra, 27002, Lugo, Spain
| | - R Amaro
- Departamento de Zooloxía, Xenética e Antropoloxía Física, Universidade de Santiago de Compostela, Campus Terra, 27002, Lugo, Spain.,IBADER-Instituto de Biodiversidade Agraria E Desenvolvemento Rural, Campus, Universidade de Santiago de Compostela, Campus Terra, 27002, Lugo, Spain
| | - J Castro
- Departamento de Zooloxía, Xenética e Antropoloxía Física, Universidade de Santiago de Compostela, Campus Terra, 27002, Lugo, Spain.,IBADER-Instituto de Biodiversidade Agraria E Desenvolvemento Rural, Campus, Universidade de Santiago de Compostela, Campus Terra, 27002, Lugo, Spain
| | - E San-Miguel
- Departamento de Zooloxía, Xenética e Antropoloxía Física, Universidade de Santiago de Compostela, Campus Terra, 27002, Lugo, Spain.,IBADER-Instituto de Biodiversidade Agraria E Desenvolvemento Rural, Campus, Universidade de Santiago de Compostela, Campus Terra, 27002, Lugo, Spain
| | - C S Lima
- MARE-Marine and Environmental Sciences Centre/ARNET-Aquatic Research Network, ISPA-Instituto Superior de Ciências Psicológicas, Sociais e da Vida, Rua Jardim do Tabaco, 34, 1149-041, Lisbon, Portugal
| | - M Garcia
- MARE-Marine and Environmental Sciences Centre/ARNET-Aquatic Research Network, Faculdade de Ciências da Universidade de Lisboa, Campo Grande, 1749-016, Lisbon, Portugal
| | - V Velasquez
- Dirección General del Medio Natural y Desarrollo Rural, Oviedo, Principado de Asturias, Spain
| | - P Garcia-Roves
- Dirección General del Medio Natural y Desarrollo Rural, Oviedo, Principado de Asturias, Spain
| | - D Fernández
- Biosfera-Consultoría Medioambiental, C/Candamo no. 5,, C.P. 33012, Oviedo, Asturias, Spain
| | - R Araujo
- Museo Nacional de Ciencias Naturales - CSIC, C/José Gutierrez Abascal, 2, 28006, Madrid, Spain
| | - V C Sousa
- cE3c-Centre for Ecology, Evolution and Environmental Changes, Department of Animal Biology, Faculdade de Ciências da Universidade de Lisboa, Campo Grande, 1749-016, Lisbon, Portugal
| | - J Reis
- MARE-Marine and Environmental Sciences Centre/ARNET-Aquatic Research Network, Faculdade de Ciências da Universidade de Lisboa, Campo Grande, 1749-016, Lisbon, Portugal.
| |
Collapse
|
10
|
Flores-Vidal P, Gómez D, Castro J, Montero J. New Aggregation Approaches with HSV to Color Edge Detection. INT J COMPUT INT SYS 2022. [DOI: 10.1007/s44196-022-00137-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
AbstractThe majority of edge detection algorithms only deal with grayscale images, while their use with color images remains an open problem. This paper explores different approaches to aggregate color information of RGB and HSV images for edge extraction purposes through the usage of the Sobel operator and Canny algorithm. This paper makes use of Berkeley’s image data set, and to evaluate the performance of the different aggregations, the F-measure is computed. Higher potential of aggregations with HSV channels than with RGB channels is found. This article also shows that depending on the type of image used, RGB or HSV, some methods are more appropriate than others.
Collapse
|
11
|
Savage A, Snowdon CT, Soto L, Castro J, Medina F, Emeris G, Garcia LC, Guillen R. The impacts of seasonal variation and climate on food utilization in a population of critically endangered cotton-top tamarins (Saguinus oedipus) in Colombia: A 22-year longitudinal study. Am J Primatol 2022; 84:e23415. [PMID: 35856471 DOI: 10.1002/ajp.23415] [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: 09/16/2021] [Revised: 06/06/2022] [Accepted: 06/15/2022] [Indexed: 11/09/2022]
Abstract
To examine how precipitation patterns and climate change impact feeding choices made by a population of critically endangered cotton-top tamarins (Saguinus oedipus), we examined 22 years of feeding data (1999-2020) from 21 groups collected at Parque Natural Regional Bosque Seco El Ceibal Mono Tití in Santa Catalina, Colombia. We describe the diet and examine the role of seasonal rainfall and annual variation in rainfall on diet. Rainfall is highly seasonal (mean annual rainfall 1562 mm [range 940-2680 mm]) with a dry, early rainy, and late rainy season in each year. Over 80 species of plants formed part of the fruit, nectar, and exudate components of the diet. Fruits, although available year-round, were more commonly available and consumed during the late rainy seasons (August-November). Exudates were consumed more frequently in the dry season (December-March) and invertebrate consumption was stable across the year. Nectar feeding from a single species (Combretum fruticosum) peaked in November. Rainfall varied over the years, with 13 years exceeding the 99% confidence intervals for mean rainfall. Ten of these extreme years (both drought and extremely wet) occurred in the last 11 years. Fruit consumption did not vary between extreme and average years, but cotton-top tamarins consumed more invertebrates and exudates in wet years. Presently, cotton-top tamarins appear to be able to cope with these extreme variations in rainfall due to their highly varied diet. However, the forests that these primates depend upon for survival are threatened by human exploitation making it critically important to maintain a generalist feeding strategy for survival as many fruiting trees that compose a large proportion of the diet are removed. As conservation efforts continue, plant species consumed by cotton-top tamarins provide useful data when selecting species for habitat restoration programs.
Collapse
Affiliation(s)
- A Savage
- Proyecto Tití, Inc, Orlando, Florida, USA
| | - C T Snowdon
- Department of Psychology, University of Wisconsin, Madison, Wisconsin, USA
| | - L Soto
- Fundación Proyecto Tití, Barranquilla, Colombia
| | - J Castro
- Fundación Proyecto Tití, Barranquilla, Colombia
| | - F Medina
- Fundación Proyecto Tití, Barranquilla, Colombia
| | - G Emeris
- Fundación Proyecto Tití, Barranquilla, Colombia
| | - L C Garcia
- Fundación Proyecto Tití, Barranquilla, Colombia
| | - R Guillen
- Fundación Proyecto Tití, Barranquilla, Colombia
| |
Collapse
|
12
|
Descalzo J, Castro J, Smith M, Luna D. Evaluation of a Personal Digital Assistant Device Implementation for Barcode Medication Administration with Nurses Using a Likert Questionnaire. Stud Health Technol Inform 2022; 294:189-193. [PMID: 35612054 DOI: 10.3233/shti220435] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The majority of preventable medication errors occur at the administration stage. BCMA systems are used to improve safety and prevent errors in this stage. A variety of devices can be used for this purpose. Hospital Italiano de Buenos Aires is a high complexity medical center implementing a BCMA project since 2015. It is currently migrating to PDA devices for nurses. The objective of this work is to evaluate the implementation of these new devices in selected wards at HIBA using a self-reported questionnaire. From 318 contacted nurses, 58 answered the questionnaire (18.2% response rate). Overall, agreement was high among all statements regarding the new devices. Nurses valued especially the increased safety to reduce errors, improvements in previous hospital processes and achieving improvements in the flow and quality of patient care. Nurses recommended the use of the device in their sector, with a mean score of 4.6/5 and 91.3% agreement, highest in total. This proved to be a cost-effective method of evaluation of the newly implemented devices and acceptance by nurses. Measures to incorporate the remaining nurses' feedback should be considered.
Collapse
Affiliation(s)
- Juan Descalzo
- Health Informatics Department, Hospital Italiano de Buenos Aires
| | - Javier Castro
- Health Informatics Department, Hospital Italiano de Buenos Aires
| | - María Smith
- Health Informatics Department, Hospital Italiano de Buenos Aires
| | - Daniel Luna
- Health Informatics Department, Hospital Italiano de Buenos Aires
| |
Collapse
|
13
|
Verdugo-Paiva F, Vergara C, Ávila C, Castro J, Cid J, Contreras V, Jara I, Jiménez V, Lee MH, Muñoz M, Rojas-Gómez AM, Rosón-Rodríguez P, Serrano-Arévalo K, Silva-Ruz I, Vásquez-Laval J, Zambrano-Achig P, Zavadzki G, Rada G. COVID-19 L·OVE repository is highly comprehensive and can be used as a single source for COVID-19 studies. J Clin Epidemiol 2022; 149:195-202. [PMID: 35597369 PMCID: PMC9116966 DOI: 10.1016/j.jclinepi.2022.05.001] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 04/05/2022] [Accepted: 05/04/2022] [Indexed: 11/15/2022]
Abstract
Background and Objective The coronavirus disease 2019 Living OVerview of Evidence (COVID-19 L·OVE) is a public repository and classification platform for COVID-19 articles. The repository contains more than 430,000 articles as of September 20, 2021 and intends to provide a one-stop shop for COVID-19 evidence. Considering that systematic reviews conduct high-quality searches, this study assesses the comprehensiveness and currency of the repository against the total number of studies in a representative sample of COVID-19 systematic reviews. Methods Our sample was generated from all the studies included in the systematic reviews of COVID-19 published during April 2021. We estimated the comprehensiveness of COVID-19 L·OVE repository by determining how many of the individual studies in the sample were included in the COVID-19 L·OVE repository. We estimated the currency as the percentage of studies that was available in the COVID-19 L·OVE repository at the time the systematic reviews conducted their own search. Results We identified 83 eligible systematic reviews that included 2,132 studies. COVID-19 L·OVE had an overall comprehensiveness of 99.67% (2,125/2,132). The overall currency of the repository, that is, the proportion of articles that would have been obtained if the search of the reviews was conducted in COVID-19 L·OVE instead of searching the original sources, was 96.48% (2,057/2,132). Both the comprehensiveness and the currency were 100% for randomized trials (82/82). Conclusion The COVID-19 L·OVE repository is highly comprehensive and current. Using this repository instead of traditional manual searches in multiple databases can save a great amount of work to people conducting systematic reviews and would improve the comprehensiveness and timeliness of evidence syntheses. This tool is particularly important for supporting living evidence synthesis processes.
Collapse
Affiliation(s)
| | - C Vergara
- Epistemonikos Foundation, Santiago, Chile
| | - C Ávila
- Epistemonikos Foundation, Santiago, Chile
| | - J Castro
- Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - J Cid
- School of Dentistry, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | | | - I Jara
- Epistemonikos Foundation, Santiago, Chile
| | - V Jiménez
- Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - M H Lee
- Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - M Muñoz
- Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - A M Rojas-Gómez
- Epistemonikos Foundation, Santiago, Chile; Unidad de investigación en medicina estomatológica preventiva y social (UIMEPS), Universidad del Magdalena, Santa Marta, Colombia
| | | | | | - I Silva-Ruz
- School of Dentistry, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | | | | | - G Zavadzki
- School of Medicine, Federal University of São Paulo, São Paulo, Brazil
| | - G Rada
- Epistemonikos Foundation, Santiago, Chile; UC Evidence Center, Cochrane Chile Associated Center, Pontificia Universidad Católica de Chile, Santiago, Chile; Internal Medicine Department, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
| |
Collapse
|
14
|
Bortoluzzi M, Castro J, Ferraro V. Dual emission from Mn(II) complexes with carbazolyl-substituted phosphoramides. Inorganica Chim Acta 2022. [DOI: 10.1016/j.ica.2022.120896] [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: 11/05/2022]
|
15
|
Hidalgo D, Martín-Marroquín JM, Castro J, Gómez M, Garrote L. Influence of cavitation, pelleting, extrusion and torrefaction petreatments on anaerobic biodegradability of barley straw and vine shoots. Chemosphere 2022; 289:133165. [PMID: 34883126 DOI: 10.1016/j.chemosphere.2021.133165] [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: 09/22/2021] [Revised: 11/23/2021] [Accepted: 12/02/2021] [Indexed: 06/13/2023]
Abstract
When dealing with lignocellulosic biomass in anaerobic digestion, a pretreatment stage is always required to open the structure of the material, facilitating its degradation. Numerous methods have been developed to pretreat lignocellulosic biomass. Four of them: cavitation, pelleting, extrusion and torrefaction have been comparatively studied in this paper as ways to improve the production of methane by anaerobic digestion of two different feedstocks: barley straw and vine shoots. Additionally, how the selected pretreatments and the nature of the feedstock influence the formation of individual volatile fatty acids was examined. Cavitation was revealed as the most efficient pretreatment, increasing 240% and 360% the methane production for barley straw and vine shoots, respectively, although in absolute terms, barley straw has higher production rate and yield than vine shoots. Torrefaction carried out at 180 °C increased methane production, 81% for straw and 25% for vine shoots, while the process at higher temperatures (220 °C) negatively affected biogas production from both feedstocks. Finally, volatile fatty acids accumulation seems to neutralize any potential positive effects of densification pretreatments.
Collapse
Affiliation(s)
- D Hidalgo
- CARTIF Technology Centre, Boecillo, Valladolid, 47151, Spain.
| | | | - J Castro
- CARTIF Technology Centre, Boecillo, Valladolid, 47151, Spain.
| | - M Gómez
- CARTIF Technology Centre, Boecillo, Valladolid, 47151, Spain.
| | - L Garrote
- CARTIF Technology Centre, Boecillo, Valladolid, 47151, Spain.
| |
Collapse
|
16
|
Castro D, Pérez-Rivero P, Quintero Lesmes DC, Castro J. Design of a mobile application for home monitoring of babies with complex congenital heart disease. Rev Cuid 2022. [DOI: 10.15649/cuidarte.2335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Introduction: Congenital heart diseases are related to heart defects that develop during pregnancy and are present at birth. Children must regularly attend specialized clinical centers for treatment, which includes medical check-ups, hemodynamic procedures, and surgery. Nevertheless, the success of interventions largely depends on the education of parents and caregivers about the symptoms and warning signs that babies with complex congenital heart disease may present during the period between stages. Likewise, it is necessary for caregivers to have tools to face the barriers of the health system, such as, obstacles or delays in obtaining healthcare services. This facilitates timely health care for patients and avoids fatal outcomes or deterioration in quality of life. Materials and Methods: This document presents a system that provides support to patients with complex congenital heart disease in follow-up by a home monitoring program. The system consists of a mobile application that allows parents/caregivers to monitor physiological variables of the patients (weight, intake, and oximetry). The information registered in the application is sent for real-time evaluation by the medical team. Results:The application provides an effective means for sending data and communicating with the medical control center, in addition to offering educational and informative material. In this way, parents/caregivers get constant help and feedback about their baby's condition. Conclusions: The mobile application could help mitigate the costs of medical care and overcome the limitations of follow-up at home, giving doctors the possibility to see the patient's evolution and give timely recommendations.
Collapse
|
17
|
Leao I, Garcia C, Antunes P, Campolargo A, Dias I, Coimbra E, Zenha H, Castro J, Oliveira P, Giesteira M, Costa H, Alves A, Capela A, Joaquim A. 918P Impact of locally advanced head and neck cancer treatment: Is there a role for exercise? FIT4TREAT. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
18
|
Mazal A, Castro J, Vera J, Perez J, Pascual E, Ares C, Miralbell R, Cremades M. PO-1713 Risk analysis and quality assurance for a standalone single-room protontherapy facility. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)08164-0] [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: 11/25/2022]
|
19
|
Langer CE, Mitchell DC, Armitage TL, Moyce SC, Tancredi DJ, Castro J, Vega-Arroyo AJ, Bennett DH, Schenker MB. Are Cal/OSHA Regulations Protecting Farmworkers in California From Heat-Related Illness? J Occup Environ Med 2021; 63:532-539. [PMID: 33741829 PMCID: PMC8893044 DOI: 10.1097/jom.0000000000002189] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [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] [Indexed: 12/24/2022]
Abstract
OBJECTIVE Determine compliance with and effectiveness of California regulations in reducing farmworkers' heat-related illness (HRI) risk and identify main factors contributing to HRI. METHODS In a cross-sectional study of Latino farmworkers, core body temperature (CBT), work rate, and environmental temperature (WBGT) were monitored over a work shift by individual ingestible thermistors, accelerometers, and weather stations, respectively. Multiple logistic modeling was used to identify risk factors for elevated CBT. RESULTS Although farms complied with Cal/OSHA regulations, worker training of HRI prevention and hydration replacement rates were insufficient. In modeling (AOR [95% CI]) male sex (3.74 [1.22 - 11.54]), WBGT (1.22 [1.08 - 1.38]), work rate (1.004 [1.002 - 1.006]), and increased BMI (1.11 [1.10 - 1.29]) were all independently associated with elevated CBT. CONCLUSION Risk of HRI was exacerbated by work rate and environmental temperature despite farms following Cal/OSHA regulations.
Collapse
Affiliation(s)
- Chelsea Eastman Langer
- Center for Health and the Environment, University of California, Davis, Davis, California, USA (Dr Langer, Castro); Department of Public Health Sciences, School of Medicine, University of California, Davis, Davis, California, USA (Dr Mitchell, Armitage, Dr Vega-Arroyo, Dr Bennett, Dr Schenker); Betty Irene Moore School of Nursing, University of California, Davis, Davis, California, USA (Dr Moyce); College of Nursing, Montana State University, Bozeman, Montana, USA (Dr Moyce); Department of Pediatrics , Center for Healthcare Policy and Research, School of Medicine, University of California, Davis, Sacramento, California, USA (Dr Tancredi)
| | | | | | | | | | | | | | | | | |
Collapse
|
20
|
Blondon M, Jimenez D, Robert‐Ebadi H, Del Toro J, Lopez‐Jimenez L, Falga C, Skride A, Font L, Vazquez FJ, Bounameaux H, Monreal M, Prandoni P, Brenner, B, Farge‐Bancel D, Barba R, Di Micco P, Bertoletti L, Schellong S, Tzoran I, Reis A, Bosevski M, Malý R, Verhamme P, Caprini JA, My Bui H, Adarraga MD, Agud M, Aibar J, Aibar MA, Alfonso J, Amado C, Arcelus JI, Baeza C, Ballaz A, Barba R, Barbagelata C, Barrón M, Barrón‐Andrés B, Blanco‐Molina A, Botella E, Camon AM, Castro J, Caudevilla MA, Cerdà P, Chasco L, Criado J, de Ancos C, de Miguel J, Demelo‐Rodríguez P, Díaz‐Peromingo JA, Díez‐Sierra J, Díaz‐Simón R, Domínguez IM, Encabo M, Escribano JC, Falgá C, Farfán AI, Fernández‐Capitán C, Fernández‐Reyes JL, Fidalgo MA, Flores K, Font C, Francisco I, Gabara C, Galeano‐Valle F, García MA, García‐Bragado F, García‐Mullor MM, Gavín‐Blanco O, Gavín‐Sebastián O, Gil‐Díaz A, Gómez‐Cuervo C, González‐Martínez J, Grau E, Guirado L, Gutiérrez J, Hernández‐Blasco L, Jara‐Palomares L, Jaras MJ, Jiménez D, Joya MD, Jou I, Lacruz B, Lecumberri R, Lima J, Lobo JL, López‐Brull H, López‐Jiménez L, López‐Miguel P, López‐Núñez JJ, López‐Reyes R, López‐Sáez JB, Lorente MA, Lorenzo A, Loring M, Madridano O, Maestre A, Marchena PJ, Martín del Pozo M, Martín‐Martos F, Martínez‐Baquerizo C, Mella C, Mellado M, Mercado MI, Moisés J, Morales MV, Muñoz‐Blanco A, Muñoz‐Guglielmetti D, Muñoz‐Rivas N, Nart E, Nieto JA, Núñez MJ, Olivares MC, Ortega‐Michel C, Ortega‐Recio MD, Osorio J, Otalora S, Otero R, Parra P, Parra V, Pedrajas JM, Pellejero G, Pérez‐Jacoiste A, Peris ML, Pesántez D, Porras JA, Portillo J, Reig L, Riera‐Mestre A, Rivas A, Rodríguez‐Cobo A, Rodríguez‐Matute C, Rogado J, Rosa V, Rubio CM, Ruiz‐Artacho P, Ruiz‐Giménez N, Ruiz‐Ruiz J, Ruiz‐Sada P, Sahuquillo JC, Salgueiro G, Sampériz A, Sánchez‐Muñoz‐Torrero JF, Sancho T, Sigüenza P, Sirisi M, Soler S, Suárez S, Suriñach JM, Tiberio G, Torres MI, Tolosa C, Trujillo‐Santos J, Uresandi F, Usandizaga E, Valle R, Vela JR, Vidal G, Vilar C, Villares P, Zamora C, Gutiérrez P, Vázquez FJ, Vanassche T, Vandenbriele C, Verhamme P, Hirmerova J, Malý R, Salgado E, Benzidia I, Bertoletti L, Bura‐Riviere A, Crichi B, Debourdeau P, Espitia O, Farge‐Bancel D, Helfer H, Mahé I, Moustafa F, Poenou G, Schellong S, Braester A, Brenner B, Tzoran I, Amitrano M, Bilora F, Bortoluzzi C, Brandolin B, Ciammaichella M, Colaizzo D, Dentali F, Di Micco P, Giammarino E, Grandone E, Mangiacapra S, Mastroiacovo D, Maida R, Mumoli N, Pace F, Pesavento R, Pomero F, Prandoni P, Quintavalla R, Rocci A, Siniscalchi C, Tufano A, Visonà A, Vo Hong N, Zalunardo B, Kalejs RV, Maķe K, Ferreira M, Fonseca S, Martins F, Meireles J, Bosevski M, Zdraveska M, Mazzolai L, Caprini JA, Tafur AJ, Weinberg I, Wilkins H, Bui HM. Comparative clinical prognosis of massive and non-massive pulmonary embolism: A registry-based cohort study. J Thromb Haemost 2021; 19:408-416. [PMID: 33119949 DOI: 10.1111/jth.15146] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 09/29/2020] [Accepted: 10/21/2020] [Indexed: 01/16/2023]
Abstract
AIMS Little is known about the prognosis of patients with massive pulmonary embolism (PE) and its risk of recurrent venous thromboembolism (VTE) compared with non-massive PE, which may inform clinical decisions. Our aim was to compare the risk of recurrent VTE, bleeding, and mortality after massive and non-massive PE during anticoagulation and after its discontinuation. METHODS AND RESULTS We included all participants in the RIETE registry who suffered a symptomatic, objectively confirmed segmental or more central PE. Massive PE was defined by a systolic hypotension at clinical presentation (<90 mm Hg). We compared the risks of recurrent VTE, major bleeding, and mortality using time-to-event multivariable competing risk modeling. There were 3.5% of massive PE among 38 996 patients with PE. During the anticoagulation period, massive PE was associated with a greater risk of major bleeding (subhazard ratio [sHR] 1.72, 95% confidence interval [CI] 1.28-2.32), but not of recurrent VTE (sHR 1.15, 95% CI 0.75-1.74) than non-massive PE. An increased risk of mortality was only observed in the first month after PE. After discontinuation of anticoagulation, among 11 579 patients, massive PE and non-massive PE had similar risks of mortality, bleeding, and recurrent VTE (sHR 0.85, 95% CI 0.51-1.40), but with different case fatality of recurrent PE (11.1% versus 2.4%, P = .03) and possibly different risk of recurrent fatal PE (sHR 3.65, 95% CI 0.82-16.24). CONCLUSION In this large prospective registry, the baseline hemodynamic status of the incident PE did not influence the risk of recurrent VTE, during and after the anticoagulation periods, but was possibly associated with recurrent PE of greater severity.
Collapse
Affiliation(s)
- Marc Blondon
- Division of Angiology and Hemostasis Geneva University Hospitals and Faculty of Medicine Geneva Switzerland
| | - David Jimenez
- Respiratory Department Hospital Ramón y Cajal and Medicine Department Universidad de Alcalá (IRYCIS) Madrid Spain
| | - Helia Robert‐Ebadi
- Division of Angiology and Hemostasis Geneva University Hospitals and Faculty of Medicine Geneva Switzerland
| | - Jorge Del Toro
- Department of Internal Medicine Hospital General Universitario Gregorio Marañón Madrid Spain
| | | | - Conxita Falga
- Department of Internal Medicine Hospital de Mataro Barcelona Spain
| | - Andris Skride
- Department of Cardiology Ospedale Pauls Stradins Clinical University Hospital Riga Latvia
| | - Llorenç Font
- Department of Haematology Hospital de Tortosa Verge de la Cinta Tarragona Spain
| | | | - Henri Bounameaux
- Division of Angiology and Hemostasis Geneva University Hospitals and Faculty of Medicine Geneva Switzerland
| | - Manuel Monreal
- Department of Internal Medicine Hospital Germans Trias i Pujol Badalona Spain
- Universidad Catolica de Murcia Murcia Spain
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
21
|
Davy L, Castro J, Wessels R, Rey-Bayle M, Merdrignac I, Celse B. Global Methodology for Catalyst Screening and Optimization Process. Application to Mild Hydrocracking. Ind Eng Chem Res 2020. [DOI: 10.1021/acs.iecr.0c04120] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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)
- Luc Davy
- IFP Energies Nouvelles, Rond-point de l’échangeur de Solaize, 69360 Solaize, France
| | - J. Castro
- Avantium Chemicals B.V., Zekeringstraat 29, 1014 BV Amsterdam, The Netherlands
| | - R. Wessels
- Avantium Chemicals B.V., Zekeringstraat 29, 1014 BV Amsterdam, The Netherlands
| | - M. Rey-Bayle
- IFP Energies Nouvelles, Rond-point de l’échangeur de Solaize, 69360 Solaize, France
| | - I. Merdrignac
- IFP Energies Nouvelles, Rond-point de l’échangeur de Solaize, 69360 Solaize, France
| | - B. Celse
- IFP Energies Nouvelles, Rond-point de l’échangeur de Solaize, 69360 Solaize, France
| |
Collapse
|
22
|
Gutiérrez I, Gómez D, Castro J, Espínola R. Fuzzy Measures: A solution to deal with community detection problems for networks with additional information. IFS 2020. [DOI: 10.3233/jifs-189091] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
In this work we introduce the notion of the weighted graph associated with a fuzzy measure. Having a finite set of elements between which there exists an affinity fuzzy relation, we propose the definition of a group based on that affinity fuzzy relation between the individuals. Then, we propose an algorithm based on the Louvain’s method to deal with community detection problems with additional information independent of the graph. We also provide a particular method to solve community detection problems over extended fuzzy graphs. Finally, we test the performance of our proposal by means of some detailed computational tests calculated in several benchmark models.
Collapse
Affiliation(s)
| | - Daniel Gómez
- Faculty of Statistics, Complutense University, Madrid
- Institute of Health Assessment, Complutense University, Madrid
| | - Javier Castro
- Faculty of Statistics, Complutense University, Madrid
- Institute of Health Assessment, Complutense University, Madrid
| | - Rosa Espínola
- Faculty of Statistics, Complutense University, Madrid
- Institute of Health Assessment, Complutense University, Madrid
| |
Collapse
|
23
|
San Miguel E, Amaro R, Castro J, Hermida M, Fernández C. Growth rates in two natural populations of Gasterosteus aculeatus in northwestern Spain: relationships with other life history parameters. Anim Biodiv Conserv 2020. [DOI: 10.32800/abc.2020.43.0233] [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] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
We analysed growth rates of two natural populations of the three–spined stickleback fish, Gasterosteus aculeatus, in Galicia (north–west of Spain) where it has a strictly annual life cycle. We used the von Bertalanffy growth model to estimate nonlinear function for length–at–age data sets. These European peripheral populations reach the highest growth rates (k of the von Bertalanffy model > 0.4 month–1) known for this species. Instantaneous mortality rates and fecundity were computed using von Bertalanffy model parameters for each population. Mortality rates found in Galician populations were 2.0–2.3 higher times than those observed in general for Gasterosteidae. Combining both mortality and fertility, different intermediate fitness optima in each population were obtained for mature females. Overall, these differences in life history compared to other studied populations of sticklebacks can be interpreted as local adaptations to a Mediterranean climate type with high degree–days. Consequently, these populations at the edges of the species’ range may have adapted to the unique environmental conditions and may be of interest in ecology and conservation.
Collapse
Affiliation(s)
| | - R. Amaro
- Universidad de Santiago de Compostela, Spain
| | - J. Castro
- Universidad de Santiago de Compostela, Spain
| | - M. Hermida
- Universidad de Santiago de Compostela, Spain
| | | |
Collapse
|
24
|
Castro J, Silva H, Coelho P, Pereira T. Obstructive Sleep Apnea Syndrome - Predictive Indicators of Severity. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa040.039] [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] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction Obstructive Sleep Apnea Syndrome (OSAS) is a public health issue, due to its increasing prevalence and associated morbidity and mortality, worsened by the underestimated diagnosis of this entity in clinical practice.
Objectives To correlate clinical, demographic and anthropometric indicators, and elaborate a predictive equation for OSAS severity and prevalence, in males and females.
Methodology In this cross-sectional study, all the included patients performed a type I Polysomnography in ULSM – HPH Neurophysiology Laboratory, between July 2011 and December 2017. Patient’s weight, height, body mass index (BMI), waist circumference (WC) and neck circumference (NC) were assessed. Daytime excessive sleepiness was rated through the Epworth Sleepiness Scale (ESS). The apnea-hypopnea index and the snoring presence were obtained through the polygraphic recording. Demographic, anthropometric, clinical variables and ESS punctuation were correlated with the presence of OSAS and its severity through a multivariable regression model.
Results The study included 472 patients (275 males and 197 females). OSAS prevalence was 65,7% (75,3% in males and 52,3% in females), being the males related to the most severe forms of OSAS (p < 0,001), the same happening with the age group 60-69 years. OSAS severity correlated directly with NC, WC, BMI and ESS increase. Snoring was present in 92,8% of the cases and did not correlate with OSAS severity. In females, severity correlated directly with age and BMI. Age and NC were identified as the strongest independent OSAS predictors (p-value=0,011 and p-value=0,006, respectively).
Conclusion In this study, OSAS severity predictors were gender, age, NC, WC, BMI, snoring and ESS result (NC and age were the strongest independent predictors). These findings should be confirmed in more robust studies, to identify patients at risk of severe OSAS, to allow earlier diagnostic evaluation and therefore preventing OSAS associated complications.
Collapse
Affiliation(s)
- J Castro
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Fisiologia Clínica, Portugal
| | - H Silva
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Fisiologia Clínica, Portugal
- Departamento de Neurologia, Unidade Local de Saúde de Matosinhos, Hospital Pedro Hispano
| | - P Coelho
- Departamento de Neurologia, Unidade Local de Saúde de Matosinhos, Hospital Pedro Hispano
| | - T Pereira
- Instituto Politécnico de Coimbra, ESTeSC – Coimbra Health School, Fisiologia Clínica, Portugal
| |
Collapse
|
25
|
Schweiger M, Everitt MD, Chen S, Nandi D, Castro J, Gupta D, Scheel J, Lal AK, Ablonczy L, Kirk R, Miera O, Davies RR, Dipchand AI. Review of the discard and/or refusal rate of offered donor hearts to pediatric waitlisted candidates. Pediatr Transplant 2020; 24:e13674. [PMID: 32198804 DOI: 10.1111/petr.13674] [Citation(s) in RCA: 4] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 01/20/2020] [Accepted: 01/21/2020] [Indexed: 12/01/2022]
Abstract
We aimed to review current literature on the discard rate of donor hearts offered to pediatric recipients and assess geographical differences. Consequences and ways to reduce the discard rate are discussed. A systemic review on published literature on pediatric transplantation published in English since 2010 was undertaken. Additionally, a survey was sent to international OPOs with the goal of incorporating responses from around the world providing a more global picture. Based on the literature review and survey, there is a remarkably wide range of discard and/or refusal for pediatric hearts offered for transplant, ranging between 18% and 57% with great geographic variation. The data suggest that that the overall refusal rate may have decreased over the last decade. Reasons for organ discard were difficult to identify from the available data. Although the refusal rate of pediatric donor hearts seems to be lower compared to that reported in adults, it is still as high as 57% with geographic variation.
Collapse
Affiliation(s)
- Martin Schweiger
- Division of Cardiac Surgery, Pediatric Heart Center, University Children's Hospital Zurich, Zurich, Switzerland
| | | | | | | | - Javier Castro
- Fundacion Cardiovascular de Colombia, Bucaramanga City, Colombia
| | - Dipankar Gupta
- Congenital Heart Center, University of Florida, Gainesville, FL, USA
| | - Janet Scheel
- Washington University School of Medicine, St Louis, MO, USA
| | | | - Laszlo Ablonczy
- Pediatric Cardiac Center, Hungarian Institute of Cardiology, Budapest, Hungary
| | - Richard Kirk
- Division of Pediatric Cardiology, University of Texas Southwestern Medical Center, Children's Medical Center, Dallas, TX, USA
| | - Oliver Miera
- Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum, Berlin, Germany
| | - Ryan R Davies
- Department of Cardiovascular and Thoracic Surgery, Children's Medical Center, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Anne I Dipchand
- Labatt Family Heart Centre, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
| |
Collapse
|
26
|
Kirk R, Dipchand AI, Davies RR, Miera O, Chapman G, Conway J, Denfield S, Gossett JG, Johnson J, McCulloch M, Schweiger M, Zimpfer D, Ablonczy L, Adachi I, Albert D, Alexander P, Amdani S, Amodeo A, Azeka E, Ballweg J, Beasley G, Böhmer J, Butler A, Camino M, Castro J, Chen S, Chrisant M, Christen U, Danziger-Isakov L, Das B, Everitt M, Feingold B, Fenton M, Garcia-Guereta L, Godown J, Gupta D, Irving C, Joong A, Kemna M, Khulbey SK, Kindel S, Knecht K, Lal AK, Lin K, Lord K, Möller T, Nandi D, Niesse O, Peng DM, Pérez-Blanco A, Punnoose A, Reinhardt Z, Rosenthal D, Scales A, Scheel J, Shih R, Smith J, Smits J, Thul J, Weintraub R, Zangwill S, Zuckerman WA. ISHLT consensus statement on donor organ acceptability and management in pediatric heart transplantation. J Heart Lung Transplant 2020; 39:331-341. [PMID: 32088108 DOI: 10.1016/j.healun.2020.01.1345] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [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: 01/22/2020] [Accepted: 01/24/2020] [Indexed: 12/14/2022] Open
Abstract
The number of potential pediatric heart transplant recipients continues to exceed the number of donors, and consequently the waitlist mortality remains significant. Despite this, around 40% of all donated organs are not used and are discarded. This document (62 authors from 53 institutions in 17 countries) evaluates factors responsible for discarding donor hearts and makes recommendations regarding donor heart acceptance. The aim of this statement is to ensure that no usable donor heart is discarded, waitlist mortality is reduced, and post-transplant survival is not adversely impacted.
Collapse
Affiliation(s)
- Richard Kirk
- Division of Pediatric Cardiology, University of Texas Southwestern Medical Center, Children's Medical Center, Dallas, Texas.
| | - Anne I Dipchand
- Labatt Family Heart Centre, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
| | - Ryan R Davies
- Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Children's Medical Center, Dallas, Texas
| | - Oliver Miera
- Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany
| | | | - Jennifer Conway
- Department of Pediatrics, Division of Pediatric Cardiology, Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada
| | - Susan Denfield
- Texas Children's Hospital, Baylor College of Medicine, Houston, Texas
| | - Jeffrey G Gossett
- University of California Benioff Children's Hospitals, San Francisco, California
| | - Jonathan Johnson
- Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota
| | - Michael McCulloch
- University of Virginia Children's Hospital, Charlottesville, Virginia
| | - Martin Schweiger
- Division of Pediatric Cardiology, Pediatric Heart Center, University Children's Hospital Zurich, Zurich, Switzerland
| | - Daniel Zimpfer
- Department of Cardiac Surgery, Vienna and Pediatric Heart Center Vienna, Vienna, Austria
| | - László Ablonczy
- Pediatric Cardiac Center, Hungarian Institute of Cardiology, Budapest, Hungary
| | - Iki Adachi
- Texas Children's Hospital, Baylor College of Medicine, Houston, Texas
| | - Dimpna Albert
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Peta Alexander
- Department of Cardiology, Boston Children's Hospital Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
| | | | | | - Estela Azeka
- Heart Institute (InCor) University of São Paulo, São Paulo, Brazil
| | - Jean Ballweg
- Department of Pediatrics, Division of Pediatric Cardiology, Children's Hospital and Medical Center University of Nebraska Medical Center, Omaha, Nebraska
| | - Gary Beasley
- Le Bonheur Children's Hospital, Memphis, Tennessee
| | - Jens Böhmer
- Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Alison Butler
- Carnegie Mellon University, Pittsburgh, Pennsylvania
| | | | - Javier Castro
- Fundacion Cardiovascular de Colombia, Santander, Bucaramanga City, Colombia
| | | | - Maryanne Chrisant
- Heart Institute, Joe Dimaggio Children's Hospital, Hollywood, Florida
| | - Urs Christen
- Oslo University Hospital Rikshospitalet, Oslo, Norway
| | - Lara Danziger-Isakov
- Pediatric Infectious Diseases, Cincinnati Children's Hospital Medical Center & University of Cincinnati, Cincinnati, Ohio
| | - Bibhuti Das
- Heart Institute, Joe Dimaggio Children's Hospital, Hollywood, Florida
| | | | - Brian Feingold
- Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Matthew Fenton
- Great Ormond Street Hospital for Children Foundation Trust, London, United Kingdom
| | | | - Justin Godown
- Vanderbilt University Medical Center, Nashville, Tennessee
| | - Dipankar Gupta
- Congenital Heart Center, University of Florida, Gainesville, Florida
| | - Claire Irving
- Children's Hospital Westmead, Sydney, New South Wales, Australia
| | - Anna Joong
- Ann and Robert H. Lurie Children's Hospital, Chicago, Illinois
| | | | | | - Steven Kindel
- Children's Hospital of Wisconsin, Milwaukee, Wisconsin
| | | | | | - Kimberly Lin
- The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Karen Lord
- New England Organ Bank, Boston, Massachusetts
| | - Thomas Möller
- Oslo University Hospital Rikshospitalet, Oslo, Norway
| | - Deipanjan Nandi
- Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio
| | - Oliver Niesse
- Division of Pediatric Cardiology, Pediatric Heart Center, University Children's Hospital Zurich, Zurich, Switzerland
| | | | | | - Ann Punnoose
- Children's Hospital of Wisconsin, Milwaukee, Wisconsin
| | | | | | - Angie Scales
- Pediatric and Neonatal Donation and Transplantation, Organ Donation and Transplantation, NHS Blood and Transplant, London, United Kingdom
| | - Janet Scheel
- Washington University School of Medicine, St. Louis, Missouri
| | - Renata Shih
- Congenital Heart Center, University of Florida, Gainesville, Florida
| | | | | | - Josef Thul
- Children's Heart Center, University of Giessen, Giessen, Germany
| | | | | | - Warren A Zuckerman
- Columbia University Medical Center, Morgan Stanley Children's Hospital of New York, New York, New York
| |
Collapse
|
27
|
Avnery O, Martin M, Bura-Riviere A, Barillari G, Mazzolai L, Mahé I, Marchena PJ, Verhamme P, Monreal M, Ellis MH, Aibar MA, Aibar J, Amado C, Arcelus JI, Ballaz A, Barba R, Barrón M, Barrón‐Andrés B, Bascuñana J, ina A, Camon AM, Cañas I, Carrasco C, Castro J, Ancos C, Toro J, Demelo P, Díaz‐Peromingo JA, Falgá C, Farfán AI, Fernández‐Capitán C, Fernández‐Criado MC, Fernández‐Núñez S, Fidalgo MA, Font C, Font L, Freire M, Gallego M, García MA, García‐Bragado F, García‐Morillo M, García‐Raso A, Gavín O, Gayol MC, Gil‐Díaz A, Gómez V, Gómez‐Cuervo C, González‐Martínez J, Grau E, Gutiérrez J, Hernández‐Blasco LM, Iglesias M, Jara‐Palomares L, Jaras MJ, Jiménez R, Jiménez‐Castro D, Jiménez‐López J, Joya MD, Lima J, Llamas P, Lobo JL, López‐Jiménez L, López‐Miguel P, López‐Núñez JJ, López‐Reyes R, López‐Sáez JB, Lorente MA, Lorenzo A, Loring M, Madridano O, Maestre A, Martín del Pozo M, Martín‐Guerra JM, Martín‐Romero M, Mellado M, Morales MV, Muñoz N, Nieto‐Cabrera MA, Nieto‐Rodríguez JA, Núñez‐Ares A, Núñez MJ, Olivares MC, Otalora S, Otero R, Pedrajas JM, Pellejero G, Pérez‐Rus G, Peris ML, Porras JA, Rivas A, Rodríguez‐Dávila MA, Rodríguez‐Hernández A, Rubio CM, Ruiz‐Artacho P, Ruiz‐Ruiz J, Ruiz‐Torregrosa P, Ruiz‐Sada P, Sahuquillo JC, Salazar V, Sampériz A, Sánchez‐Muñoz‐Torrero JF, Sancho T, Soler S, Sopeña B, Suriñach JM, Tolosa C, Torres MI, Trujillo‐Santos J, Uresandi F, Valle R, Vidal G, Villares P, Gutiérrez P, Vázquez FJ, Vilaseca A, Vanassche T, Vandenbriele C, Hirmerova J, Malý R, Salgado E, Benzidia I, Bertoletti L, Debourdeau P, Farge‐Bancel D, Hij A, Moustafa F, Schellong S, Braester A, Brenner B, Tzoran I, Sharif‐Kashani B, Bilora F, Bortoluzzi C, Bucherini E, Ciammaichella M, Dentali F, Di Micco P, Di Pangrazio M, Maida R, Mastroiacovo D, Pace F, Pallotti G, Parisi R, Pesavento R, Prandoni P, Quintavalla R, Rocci A, Siniscalchi C, Tufano A, Visonà A, Vo Hong N, Gibietis V, Skride A, Strautmane S, Bosevski M, Zdraveska M, Bounameaux H, Fresa M, Ney B, Caprini J, Bui HM, Pham KQ. D-dimer levels and risk of recurrence following provoked venous thromboembolism: findings from the RIETE registry. J Intern Med 2020; 287:32-41. [PMID: 31394000 DOI: 10.1111/joim.12969] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
BACKGROUND Patients with venous thromboembolism (VTE) secondary to transient risk factors may develop VTE recurrences after discontinuing anticoagulation. Identifying at-risk patients could help to guide the duration of therapy. METHODS We used the RIETE database to assess the prognostic value of d-dimer testing after discontinuing anticoagulation to identify patients at increased risk for recurrences. Transient risk factors were classified as major (postoperative) or minor (pregnancy, oestrogen use, immobilization or recent travel). RESULTS In December 2018, 1655 VTE patients with transient risk factors (major 460, minor 1195) underwent d-dimer measurements after discontinuing anticoagulation. Amongst patients with major risk factors, the recurrence rate was 5.74 (95% CI: 3.19-9.57) events per 100 patient-years in those with raised d-dimer levels and 2.68 (95% CI: 1.45-4.56) in those with normal levels. Amongst patients with minor risk factors, the rates were 7.79 (95% CI: 5.71-10.4) and 3.34 (95% CI: 2.39-4.53), respectively. Patients with major risk factors and raised d-dimer levels (n = 171) had a nonsignificantly higher rate of recurrences (hazard ratio [HR]: 2.14; 95% CI: 0.96-4.79) than those with normal levels. Patients with minor risk factors and raised d-dimer levels (n = 382) had a higher rate of recurrences (HR: 2.34; 95% CI: 1.51-3.63) than those with normal levels. On multivariate analysis, raised d-dimers (HR: 1.74; 95% CI: 1.09-2.77) were associated with an increased risk for recurrences in patients with minor risk factors, not in those with major risk factors. CONCLUSIONS Patients with raised d-dimer levels after discontinuing anticoagulant therapy for VTE provoked by a minor transient risk factor were at an increased risk for recurrences.
Collapse
Affiliation(s)
- O Avnery
- Meir Medical Center, Hematology Institute and Blood Bank, Kfar Saba, Israel.,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - M Martin
- Hospital Infanta Sofia San Sebastian de los Reyes and Universidad Europea de Madrid, Madrid, Spain
| | - A Bura-Riviere
- Department of Vascular Medicine, Hôpital de Rangueil, Toulouse, France
| | - G Barillari
- Department of Internal Medicine, Ospedale S. Maria della Misericordia, Udine, Italy
| | - L Mazzolai
- Department of Angiology, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland
| | - I Mahé
- Department of Internal Medicine, Hôpital Louis Mourier, Colombes (APHP), University Paris 7, Colombes, France
| | - P J Marchena
- Department of Internal Medicine and Emergency, Parc Sanitari Sant Joan de Deu-Hospital General, Barcelona, Spain
| | - P Verhamme
- Vascular Medicine and Haemostasis, University of Leuven, Leuven, Belgium
| | - M Monreal
- Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
| | - M H Ellis
- Meir Medical Center, Hematology Institute and Blood Bank, Kfar Saba, Israel.,Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
28
|
Gutiérrez I, Gómez D, Castro J, Espínola R. Multiple Bipolar Fuzzy Measures: An Application to Community Detection Problems for Networks with Additional Information. INT J COMPUT INT SYS 2020. [DOI: 10.2991/ijcis.d.201012.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
|
29
|
Barroso M, Gutiérrez I, Gómez D, Castro J, Espínola R. Group Definition Based on Flow in Community Detection. Information Processing and Management of Uncertainty in Knowledge-Based Systems 2020. [PMCID: PMC7274715 DOI: 10.1007/978-3-030-50153-2_39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Community detection problems are one of the hottest disciplines in social network analysis. Nevertheless, most of the related algorithms are specific for non-directed networks, or are based on a density concept of group. In this paper, we deal with a new concept of community for directed networks that is based on the classical flow concept. A community is strong and cohesive if their members can communicate among them. With the aim of dealing with the identification of this new class of groups, in this work, we propose the use of fuzzy measures to represent the flow capacity of a group. We also provide a competitive community detection algorithm that focus on the identification of these new class of flow-based community.
Collapse
|
30
|
Rodrigues V, Almeida C, Castro J, Martins D, Freitas F, Carvalho A, Raimundo F, Antunes C. O27 Health of tourists who make river cruises on the Douro river. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz095.004] [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: 11/13/2022] Open
Affiliation(s)
- V Rodrigues
- School of Health, University of Trás-os-Montes and Alto Douro, Vila Real, PORTUGAL
- Research Center in Sports Sciences, Health Sciences and Human Development, University of Trás-os-Montes and Alto Douro, Vila Real, PORTUGAL
| | - C Almeida
- School of Health, University of Trás-os-Montes and Alto Douro, Vila Real, PORTUGAL
| | - J Castro
- School of Health, University of Trás-os-Montes and Alto Douro, Vila Real, PORTUGAL
| | - D Martins
- School of Health, University of Trás-os-Montes and Alto Douro, Vila Real, PORTUGAL
| | - F Freitas
- School of Health, University of Trás-os-Montes and Alto Douro, Vila Real, PORTUGAL
| | - A Carvalho
- School of Health, University of Trás-os-Montes and Alto Douro, Vila Real, PORTUGAL
- Research Centre on Child Studies, University of Minho, Braga, PORTUGAL
| | - F Raimundo
- School of Health, University of Trás-os-Montes and Alto Douro, Vila Real, PORTUGAL
| | - C Antunes
- School of Health, University of Trás-os-Montes and Alto Douro, Vila Real, PORTUGAL
| |
Collapse
|
31
|
Campos M, Vial R, Castro J, Urrutia J. Prevalence of lumbar high-intensity zone: assessment using a screening tool independent of spinal symptoms. Acta Orthop Belg 2019; 85:47-53. [PMID: 31023199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
High-intensity zone is an area of high-intensity signal within the posterior annulus fibrosus observed in magnetic resonance imaging; initially described in painful discs, recent studies have described similar prevalence in symptomatic and asymptomatic subjects. Since its' prevalence in the general population has not been established, we used a screening tool independent of spinal symptoms to determine high-intensity zone prevalence. We studied 217 patients evaluated with abdominal-pelvic magnetic resonance imaging; we looked for high-intensity zone, disc degeneration, spondylolysis, spondylolisthesis, Modic changes and scoliosis. We determined if these variables, age and sex affected the presence of high-intensity zone; through a logistic regression analysis we evaluated their independent effect. Patients' mean age was 56.3±17.4 years; 66.8% were females. Prevalence of high-intensity zone (11.06%) was larger in males (18.06%) than females (7.59%), p = 0.02. Patients with and without high-intensity zone did not differ in age or presence of scoliosis. High-intensity zone was more frequent in degenerated discs, but not in levels with spondylolisis, spondylolisthesis or Modic changes. Male sex (OR = 2.3, 1.04-5.38) and disc degeneration (OR = 6.76, 1.77-25.81) independently influenced the presence of high-intensity zone. The prevalence of high-intensity zone in this sample of the general population, including 217 subjects, was 11.06%. Similarly, a recent meta-analysis mentioned a 9.5% prevalence in asymptomatic subjects; on the other hand it stressed a 10.4% prevalence in symptomatic subjects. All these data do not plead for a strict correlation between high-intensity zone and low back pain complaints.
Collapse
|
32
|
Blanco-Ward D, Ribeiro A, Barreales D, Castro J, Verdial J, Feliciano M, Viceto C, Rocha A, Carlos C, Silveira C, Miranda AA. Climate change potential effects on grapevine bioclimatic indices: A case study for the Portuguese demarcated Douro Region (Portugal). BIO Web Conf 2019. [DOI: 10.1051/bioconf/20191201013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
In this work, bioclimatic parameters and indices relevant to the grapevine are estimated for the years 2000 (recent-pat), 2049 (medium-term future) and 2097 (long-term future), based on very high resolution (1 km × 1 km) MPI-WRF RCP8.5 climate simulations. The selected parameters and indices are the mean temperature during the grapevine growing season period (April to October, Tgs), the cumulative rainfall during the grapevine growing season period (Pgs), the Winkler index (WI), the Huglin heliothermic index (HI), the night cold index (CI) and the dryness index (DI). In general, a significant increase in mean temperature during the grapevine growing season period is observed, together with a significant decrease in precipitation. The recent-past WI is associated with the production of high-quality wines; the higher values predicted for the future represent intensive production of wines of intermediate quality. The HI shows the passage of a grapevine growing region considered as temperate-warm to a warm category of higher helio-thermicity. The recent-past CI indicates very cool conditions (associated with quality wines), while in the future there is a tendency for temperate or warmer nights. Finally, DI indicates an increase in water stress considered already high under the recent-past climate conditions. These results point to an increased climatic stress on the Douro region wine production and increased vulnerability of its vine varieties, providing evidence to support strategies aimed to preserve the high-quality wines in the region and their typicality in a sustainable way.
Collapse
|
33
|
Adair S, Baus M, Bell R, Boero M, Bussy C, Cardenas F, Casey T, Castro J, Davis W, Erskine M, Farr R, Fischer A, Forbes B, Ford T, Genovese R, Gottschalk R, Hoge M, Honnas C, Hunter G, Joyce J, Kaneps A, Keegan K, Kramer J, Labens R, Lischer C, Marshall J, Oosterlinck M, Radue P, Redding R, Reed S, Rick M, Santschi E, Schoonover M, Schramme M, Schumacher J, Stephenson R, Thaler R, Nielsen JV, Wilson D. Letter to the Editor: A response to 'What is lameness and what (or who) is the gold standard to detect it?'. Equine Vet J 2018; 51:270-272. [PMID: 30570777 DOI: 10.1111/evj.13043] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- S Adair
- University of Tennessee, Knoxville, Tennessee, USA
| | - M Baus
- Gran Prix Equine, Hawleyville, Connecticut, USA
| | - R Bell
- Park Equine Hospital, Lexington, Kentucky, USA
| | | | - C Bussy
- Clinique Vétérinaire du Grand Renaud, Saint Saturnin, France
| | - F Cardenas
- 3H Equine Hospital and Mobile Veterinary Services, New Hill, North Carolina, USA
| | - T Casey
- Fourways Equine Clinic, Johannesburg, South Africa
| | - J Castro
- Davie County Large Animal Hospital, Mocksville, North Carolina, USA
| | - W Davis
- Palm Beach Equine Clinic, Wellington, Florida, USA
| | - M Erskine
- Virginia Tech, Leesburg, Virginia, USA
| | - R Farr
- Farr and Pursey Equine Veterinary Services, Aldbury, Hertfordshire, UK
| | - A Fischer
- Chino Valley Equine Hospital, Chino Hills, California, USA
| | - B Forbes
- Singapore Turf Club, Singapore, Singapore
| | - T Ford
- Ford Veterinary Surgery Center, Clovis, California, USA
| | - R Genovese
- Cleveland Equine Clinic, Ravenna, Ohio, USA
| | - R Gottschalk
- Witbos Veterinary Clinic, Blue Hills AH, South Africa
| | - M Hoge
- Murrieta Equine, Murrieta, California, USA
| | - C Honnas
- Texas Equine Hospital, Bryan, Texas, USA
| | - G Hunter
- Ardene House Veterinary Practice, Aberdeen, UK
| | - J Joyce
- Total Equine Veterinary Associates, Leesburg, Virginia, USA
| | - A Kaneps
- Kaneps Equine Sports Medicine and Surgery, Beverly, Massachusetts, USA
| | - K Keegan
- University of Missouri, Columbia, Missouri, USA
| | - J Kramer
- University of Missouri, Columbia, Missouri, USA
| | - R Labens
- Charles Sturt University, Albury, New South Wales, Australia
| | - C Lischer
- Freie Universität Berlin, Berlin, Germany
| | | | | | - P Radue
- Damascus Equine Associates, Mount Airy, Maryland, USA
| | - R Redding
- North Carolina State University, Raleigh, North Carolina, USA
| | - S Reed
- Ohio State University, Columbus, Ohio, USA
| | - M Rick
- Alamo Pintado Equine Medical Centre, Los Olivos, California, USA
| | - E Santschi
- Kansas State University, Manhattan, Kansas, USA
| | - M Schoonover
- Oklahoma State University, Stillwater, Oklahoma, USA
| | | | | | | | - R Thaler
- Metamora Equine PC, Metamora, Michigan, USA
| | - J V Nielsen
- Ansager Veterinary Hospital, Ansager, Denmark
| | - D Wilson
- University of Missouri, Columbia, Missouri, USA
| |
Collapse
|
34
|
Mitchell DC, Castro J, Armitage TL, Tancredi DJ, Bennett DH, Schenker MB. Physical activity and common tasks of California farm workers: California Heat Illness Prevention Study (CHIPS). J Occup Environ Hyg 2018; 15:857-869. [PMID: 30183551 DOI: 10.1080/15459624.2018.1519319] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [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: 04/11/2018] [Revised: 08/14/2018] [Accepted: 08/23/2018] [Indexed: 05/21/2023]
Abstract
Farm workers are at risk of heat related illness (HRI), but their work rates that contribute to HRI have not been objectively assessed. The CHIPS study collected accelerometer data and characterized the physical activity of major farm tasks. Demographic information, work characteristics, and accelerometer data were collected from 575 farm workers in California. Each participating worker contributed measurements over one work shift. An Actical accelerometer was attached securely to a belt worn at the hip. Data were collected at one-minute intervals throughout the work shift. A total of 13 major work-task categories were defined. The mean physical activity counts per minute (cpm) and percentage of the shift spent at moderate and/or vigorous levels of activity were described for each task. Multiple linear regression models were constructed to determine the worker and environmental characteristics contributing to the physical activity level. Mean levels of physical activity ranged from 700 cpm (workers who carry produce) to a low of 150 cpm "ground pruners" who tend low-level plants, with an overall mean of 345 cpm or "light" activity (2 to ≤3 metabolic equivalents). The environmental temperature was the major factor associated with physical activity. A 10°C increase in the median temperature reduced the mean cpm by 135 (95% CI = 87, 193). Age and the tasks of sorting, ground pruning, and harvesting low-level crops were also negatively and independently associated with mean cpm. Incentivized (piece rate) pay, multi-task work, and irrigator work were positively associated with cpm. An interaction was found between piece rate and sex. Men's activity significantly increased (p < 0.001) by a mean of 95 cpm, (95% CI = 38.3, 150.7) if they were paid by the piece, but there was a non-significant association with women's activity level. Workers conducting multiple tasks, irrigators, men, and those earning incentivized (piece rate) pay had higher adjusted mean physical activity levels and are likely at increased risk of heat-related illness on hot days.
Collapse
Affiliation(s)
- Diane C Mitchell
- a Department of Public Health Sciences, School of Medicine , University of California , Davis , Davis , Caifornia
| | - Javier Castro
- b Center for Health and the Environment, University of California , Davis , Davis , California
| | - Tracey L Armitage
- a Department of Public Health Sciences, School of Medicine , University of California , Davis , Davis , Caifornia
| | - Daniel J Tancredi
- c Department of Pediatrics and Center for Healthcare Policy and Research, School of Medicine , University of California , Davis , Sacramento , California
| | - Deborah H Bennett
- a Department of Public Health Sciences, School of Medicine , University of California , Davis , Davis , Caifornia
| | - Marc B Schenker
- a Department of Public Health Sciences, School of Medicine , University of California , Davis , Davis , Caifornia
| |
Collapse
|
35
|
Porcile R, Zuñiga M, Salvaggio F, Levin R, Perez Baztarrica G, Botbol A, Castro J, Vaca I. PO098 Reverse Myocardial Remodeling and Reduction of Inflammatory Markers In Patients With Heart Failure Treated With Sacubitril / Valsartan. Glob Heart 2018. [DOI: 10.1016/j.gheart.2018.09.111] [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: 10/28/2022] Open
|
36
|
Chiappori A, Williams C, Creelan B, Tanvetyanon T, Gray J, Haura E, Chen D, Thapa R, Beg A, Boyle T, Sangani M, Morris E, Tao A, Hurtado F, Manenti L, Castro J, Antonia S. P1.04-32 Phase I/II Study of the A2AR Antagonist NIR178 (PBF-509), an Oral Immunotherapy, in Patients (pts) with Advanced NSCLC. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.747] [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: 10/28/2022]
|
37
|
Criollo-Rayo A, Bohórquez M, Lott P, Carracedo A, Tomlinson I, Mateus G, Castro J, Echeverry M, Carvajal L. The Role of Colorectal Cancer Risk Chromosomal Regions in Colombian Admixed Populations. J Glob Oncol 2018. [DOI: 10.1200/jgo.18.83800] [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] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Several colorectal cancer susceptibility disease loci have been discovered through genome-wide association studies. However most of the variants were originally identified in Caucasian populations. Aim: To analyze the role of 20 known risk SNPs for colorectal cancer. Methods: Given that linkage disequilibrium is highly dependent on population demographic history and admixture background, we studied 20 risk SNPs in a pooled sample of 955 cases and 968 controls from admixed populations in Colombia. Results: The replication was reached for 11 out of 20 nominally associated SNPs; with allelic odds ratios (OR) ranging from 1.14 to 1.41, indicating a minimal increase in risk individually, however coinheritance of those SNPs resulted in an overall OR = 5.4 (95% CI: 3.052-9.731, P = 1.16E−08). Most of the variants followed a recessive model consistent with significant homozygous ORs distributed between 1.3 and 1.65. Among the most associated markers we found: rs4939827 (18q21.1, P = 7.35E−6), rs10411210 (19q13.11, P = 0.001), rs10795668 (10p14, P = 0.0024), rs4444235 (14q.2.2, P = 0.005), rs961253 (20p12.3, P = 0.006), rs16892766 (8q23.3, P = 0.011) and rs1050547 (8q24.21, P = 0.017). Conclusion: Our findings in Colombia have addressed the admixture and how this has influenced the risk associated with the known/unknown colorectal cancer regions, providing a comprehensive vision about several CRC-susceptibility SNPs identified in European populations, which also resulted, associated with an increased risk to CRC in the Colombian population, even though frequency and genetic structure differences accounted for those nonreplicated SNPs.
Collapse
Affiliation(s)
| | | | - P. Lott
- University of California, Davis, Davis, CA
| | - A. Carracedo
- Universidad de Santiago de Compostela, Santiago de Compostela, Spain
| | - I. Tomlinson
- University of Birmingham, Birmingham, United Kingdom
| | - G. Mateus
- Grupo de Citogenética, Filogenia y Evolución de Poblaciones, Ibagué, Colombia
| | - J. Castro
- Grupo de Citogenética, Filogenia y Evolución de Poblaciones, Ibagué, Colombia
| | | | | | | |
Collapse
|
38
|
Conceição I, Miranda B, Castro J, de Carvalho M. Hereditary amyloidosis related to transthyretin V30M: disease progression in treated and untreated patients. Eur J Neurol 2018; 25:1320-e115. [DOI: 10.1111/ene.13724] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 06/19/2018] [Indexed: 01/14/2023]
Affiliation(s)
- I. Conceição
- Department of Neurosciences and Mental Health, Neurology; Hospital de Santa Maria-CHLN; Lisbon Portugal
- Faculty of Medicine; Institute of Physiology, Instituto de Medicina Molecular; University of Lisbon; Lisbon Portugal
| | - B. Miranda
- Department of Neurosciences and Mental Health, Neurology; Hospital de Santa Maria-CHLN; Lisbon Portugal
- Faculty of Medicine; Institute of Physiology, Instituto de Medicina Molecular; University of Lisbon; Lisbon Portugal
| | - J. Castro
- Department of Neurosciences and Mental Health, Neurology; Hospital de Santa Maria-CHLN; Lisbon Portugal
- Faculty of Medicine; Institute of Physiology, Instituto de Medicina Molecular; University of Lisbon; Lisbon Portugal
| | - M. de Carvalho
- Department of Neurosciences and Mental Health, Neurology; Hospital de Santa Maria-CHLN; Lisbon Portugal
- Faculty of Medicine; Institute of Physiology, Instituto de Medicina Molecular; University of Lisbon; Lisbon Portugal
| |
Collapse
|
39
|
Zunino F, Bentz DP, Castro J. Reducing setting time of blended cement paste containing high-SO 3 fly ash (HSFA) using chemical/physical accelerators and by fly ash pre-washing. Cem Concr Compos 2018; 90:14-26. [PMID: 29881143 PMCID: PMC5986105 DOI: 10.1016/j.cemconcomp.2018.03.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Reducing the carbon footprint of the cement industry has become one of the main concerns of researchers in the field. This study explores different strategies to reduce the setting retardation effect of high-SO3 fly ash (HSFA) on cement paste. The SO3 phase was found to correspond to hannebachite (CaSO3·0.5H2O). Chemical (calcium chloride), physical (fine limestone powder), and pre-washing strategies were investigated as means to reduce or eliminate the retardation. Each of these strategies showed some potential to decrease the retardation effect. A combination of fine limestone powder and HSFA pre-washing showed almost the same accelerating power as the calcium chloride, offering a good alternative when chloride incorporation is restricted. The retardation effect can be associated with a combined extension of the induction period and a depression of the initial silicate reactions of the clinker phases. A methodology to assess the hannebachite content based on a thermogravimetric analysis (TGA) technique is proposed, allowing a good alternative control approach for field conditions or for where X-ray (XRD or XRF) equipment is not readily available.
Collapse
Affiliation(s)
- Franco Zunino
- Laboratory of Construction Materials, EPFL STI IMX LMC Station 12, CH-1015 Lausanne, Switzerland
| | - Dale P Bentz
- National Institute of Standards and Technology, 100 Bureau Drive, Stop 8615, Gaithersburg, MD 20899, USA
| | - Javier Castro
- Faculty of Engineering, Universidad del Desarrollo, Chile
| |
Collapse
|
40
|
Castro J, Benito A, Vilanova M, Ribó M, Tornillo G, Smalley M. PO-427 A nuclear-directed human pancreatic ribonuclease variant is cytotoxic for breast cancer cells cultured in 3D and kills cancer stem cells. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.453] [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] Open
|
41
|
Adair S, Baus M, Belknap J, Bell R, Boero M, Bussy C, Cardenas F, Casey T, Castro J, Davis W, Erskine M, Farr R, Fischer T, Forbes B, Ford T, Genovese R, Gottschalk R, Hoge M, Honnas C, Hunter G, Joyce J, Kaneps A, Keegan K, Kramer J, Lischer C, Marshall J, Oosterlinck M, Radue P, Redding R, Reed SK, Rick M, Santschi E, Schoonover M, Schramme M, Schumacher J, Stephenson R, Thaler R, Vedding Neilsen J, Wilson DA. Response to Letter to the Editor: Do we have to redefine lameness in the era of quantitative gait analysis. Equine Vet J 2018; 50:415-417. [PMID: 29633362 DOI: 10.1111/evj.12820] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- S Adair
- University of Tennessee, USA
| | - M Baus
- Gran Prix Equine, Connecticut, USA
| | | | - R Bell
- Park Equine Hospital, Kentucky, USA
| | | | | | - F Cardenas
- 3H Equine Hospital and Mobile Veterinary Services, North Carolina, USA
| | - T Casey
- Fourways Equine Clinic, South Africa
| | | | - W Davis
- Palm Beach Equine Clinic, Florida, USA
| | | | - R Farr
- Farr and Pursey Equine Veterinary Services, Hertfordshire, UK
| | - T Fischer
- Chino Valley Equine Hospital, California, USA
| | | | - T Ford
- Ford Veterinary Surgery Center, California, USA
| | | | | | - M Hoge
- Murrieta Equine, California, USA
| | | | - G Hunter
- Ardene House Veterinary Practice, Aberdeen, UK
| | - J Joyce
- Total Equine Veterinary Associates, Virginia, USA
| | - A Kaneps
- Kaneps Equine Sports Medicine and Surgery, Massachusetts, USA
| | | | | | | | | | | | - P Radue
- Damascus Equine Associates, Maryland, USA
| | - R Redding
- North Carolina State University, USA
| | | | - M Rick
- Alamo Pintado Equine Medical Centre, California, USA
| | | | | | | | | | | | - R Thaler
- Metamora Equine PC, Michigan, USA
| | | | | |
Collapse
|
42
|
|
43
|
Affiliation(s)
- M Jiménez-Sáenz
- Department of Internal Medicine, Hospital Virgen Macarena, University of Seville, Spain
| | | | | | | | | |
Collapse
|
44
|
Gong F, Jelinek M, Castro J, Coller J, McGrady M, Boffa U, Shiel L, Liew D, Wolfe R, Stewart S, Owen A, Krum H, Reid C, Prior D, Campbell D. Risk Factors for Incident Heart Failure with Preserved or Reduced Ejection Fraction in a Community-Based Cohort. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.189] [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: 10/28/2022]
|
45
|
Vila A, Movilla R, Castro J, Mallol C, Novellas R, Espada Y, Roura X. Successful medical management of pseudomembranous cystitis in three cats with lower urinary tract obstruction. Aust Vet J 2017; 96:33-38. [PMID: 29226304 DOI: 10.1111/avj.12657] [Citation(s) in RCA: 2] [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: 02/01/2017] [Revised: 05/18/2017] [Accepted: 06/03/2017] [Indexed: 12/17/2022]
Abstract
CASE REPORT The present case series describes the clinical course and outcome of three cats diagnosed with pseudomembranous cystitis. This is an uncommon presentation of lower urinary tract obstruction but can be easily be identified by ultrasonography, revealing severe bladder wall thickening and thin hyperechoic luminal strips. The condition can be secondary to severe bacterial urinary tract infection. All cats were successfully treated with medical management only, mainly based on antimicrobials and individualised supportive therapy. CONCLUSION Further evaluation of this condition is necessary in order to determine potential underlying aetiologies, pathophysiological mechanisms and the most appropriate standardised treatment.
Collapse
Affiliation(s)
- A Vila
- Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Spain
| | - R Movilla
- Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Spain
| | - J Castro
- Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Spain
| | - C Mallol
- Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Spain
| | - R Novellas
- Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Spain.,Departament de Medicina i Cirurgia Animal, Universitat Autònoma de Barcelona, Spain
| | - Y Espada
- Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Spain.,Departament de Medicina i Cirurgia Animal, Universitat Autònoma de Barcelona, Spain
| | - X Roura
- Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Spain
| |
Collapse
|
46
|
Ponte C, Rodriguez E, Castro J. P3416Impact of the current drugs and medical supplies shortage on prescription habits for antihypertensive therapy in venezuela. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3416] [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: 11/14/2022] Open
|
47
|
Mitchell DC, Castro J, Armitage TL, Vega-Arroyo AJ, Moyce SC, Tancredi DJ, Bennett DH, Jones JH, Kjellstrom T, Schenker MB. Recruitment, Methods, and Descriptive Results of a Physiologic Assessment of Latino Farmworkers: The California Heat Illness Prevention Study. J Occup Environ Med 2017; 59:649-658. [PMID: 28414703 PMCID: PMC5503787 DOI: 10.1097/jom.0000000000000988] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [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] [Indexed: 01/08/2023]
Abstract
OBJECTIVE The California heat illness prevention study (CHIPS) devised methodology and collected physiological data to assess heat related illness (HRI) risk in Latino farmworkers. METHODS Bilingual researchers monitored HRI across a workshift, recording core temperature, work rate (metabolic equivalents [METs]), and heart rate at minute intervals. Hydration status was assessed by changes in weight and blood osmolality. Personal data loggers and a weather station measured exposure to heat. Interviewer administered questionnaires were used to collect demographic and occupational information. RESULTS California farmworkers (n = 588) were assessed. Acceptable quality data was obtained from 80% of participants (core temperature) to 100% of participants (weight change). Workers (8.3%) experienced a core body temperature more than or equal to 38.5 °C and 11.8% experienced dehydration (lost more than 1.5% of body weight). CONCLUSIONS Methodology is presented for the first comprehensive physiological assessment of HRI risk in California farmworkers.
Collapse
Affiliation(s)
- Diane C Mitchell
- Department of Public Health Sciences, School of Medicine, University of California, Davis CA 95616
| | - Javier Castro
- Center for Health and the Environment, University of California, Davis CA 95616
| | - Tracey L Armitage
- Department of Public Health Sciences, School of Medicine, University of California, Davis CA 95616
| | - Alondra J Vega-Arroyo
- Department of Public Health Sciences, School of Medicine, University of California, Davis CA 95616
| | - Sally C Moyce
- Betty Irene Moore School of Nursing, University of California, Davis, 4610 X St, Sacramento CA 95617 and Samuel Merritt School of Nursing, 2710 N Gateway Oaks Drive, Sacramento, CA 95833
| | - Daniel J Tancredi
- Department of Pediatrics and Center for Healthcare Policy and Research, University of California, Davis, School of Medicine, 2103 Stockton Blvd, Suite 2224 Sacramento, California 95817
| | - Deborah H Bennett
- Department of Public Health Sciences, School of Medicine, University of California, Davis CA 95616
| | - James H Jones
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis CA 95616
| | - Tord Kjellstrom
- Health and Environmental International Trust, Mapua, Nelson 7005 New Zealand and University College London, London WC1E 6BT United Kingdom
| | - Marc B Schenker
- Department of Public Health Sciences, School of Medicine, University of California, Davis CA 95616
| |
Collapse
|
48
|
Carmo P, Adragao P, Cavaco D, Morgado F, Costa F, Castro J, Mendes M. P1813Best voltage threshold to localize ablation targets in patients with ventricular tachycardia using rhythmia mapping system. Europace 2017. [DOI: 10.1093/ehjci/eux161.122] [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: 11/13/2022] Open
|
49
|
Soares M, Azevedo J, Pereira A, Araújo A, Castro J, Chaves B, Roque C, Bajouco M, Macedo A. Confirmatory Factor Analysis of the Frost et al Multidimensional Perfectionism Scale-24 (F-MPS 24). Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.01.1525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionThe F-Multidimensional Perfectionism Scale is a widely used instrument to assess perfectionism trait. The original scale comprises 35-items that measure the six dimensions of Frost et al (1990) conceptualization of perfectionism: personal standards (PS), concern over mistakes (CM), doubts about actions (DA), parental criticism (PC), Parental expectations (PE) and Organization (O).ObjectiveTo examine the factor structure of the 24-items short form of the F-MPS using confirmatory factor analysis (CFA), in a sample of Portuguese university students.MethodsThe sample comprises 344 university students (68.4% females), with an average age of 20.69 years (SD = 1.59; range = 17–24). They completed a version of F-MPS with 24 items that results from the selection of the four items with highest loadings in the respective six dimensions of the original Portuguese version (Amaral et al., 2013).ResultsAfter correlated errors, we obtained a good fit for the FMPS with six factors (X2/df = 2.125; CFI = .936; GFI = .891, RMSEA = .057; P[rmsea≤ .05] = .043). The 24-item F-MPS short form revealed good internal consistency (α = .825). The six dimensions showed acceptable or good internal consistency, as revealed by Cronbach's alpha (α: PS = .80; CM = .76; DA = .82; PC = .84; PE = .89, O = .85).ConclusionsThe F-MPS 24 items short form CFA confirmed the six factor model as a reliable and valid measure to assess multidimensional perfectionism in Portuguese university students.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Collapse
|
50
|
Castro J, Tortosa, FS, Jimenez J, Carpio AJ. Spring evaluation of three sampling methods to estimate family richness and abundance of arthropods in olive groves. Anim Biodiv Conserv 2017. [DOI: 10.32800/abc.2017.40.0193] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|