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Wild A, Fleming V, Rose L, Joseph A. The use of prophylactic nebulized liposomal amphotericin B to reduce the risk of CAPA in mechanically ventilated COVID-19 patients on ICU in a large UK tertiary teaching hospital trust. J Antimicrob Chemother 2023; 78:1129-1131. [PMID: 36879509 DOI: 10.1093/jac/dkad054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023] Open
Affiliation(s)
- Anna Wild
- Department of Medical Microbiology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK
| | - Vicki Fleming
- Department of Medical Microbiology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK
| | - Lauren Rose
- Department of Medical Microbiology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK
| | - Amelia Joseph
- Department of Medical Microbiology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH, UK
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Prusinski M, O’Connor C, Russell A, Sommer J, White J, Rose L, Falco R, Kokas J, Vinci V, Gall W, Tober K, Haight J, Oliver J, Meehan L, Sporn LA, Brisson D, Backenson PB. Associations of Anaplasma phagocytophilum Bacteria Variants in Ixodes scapularis Ticks and Humans, New York, USA. Emerg Infect Dis 2023; 29. [PMID: 36823761 PMCID: PMC9973697 DOI: 10.3201/eid2903.220320] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
Anaplasmosis, caused by the tickborne bacterium Anaplasma phagocytophilum, is an emerging public health threat in the United States. In the northeastern United States, the blacklegged tick (Ixodes scapularis) transmits the human pathogenic genetic variant of A. phagocytophilum (Ap-ha) and a nonpathogenic variant (Ap-V1). New York has recently experienced a rapid and geographically focused increase in cases of anaplasmosis. We analyzed A. phagocytophilum-infected I. scapularis ticks collected across New York during 2008-2020 to differentiate between variants and calculate an entomological risk index (ERI) for each. Ap-ha ERI varied between regions and increased in all regions during the final years of the study. Space-time scan analyses detected expanding clusters of Ap-ha located within documented anaplasmosis hotspots. Ap-ha ERI was more positively correlated with anaplasmosis incidence than non-genotyped A. phagocytophilum ERI. Our findings help elucidate the relationship between the spatial ecology of A. phagocytophilum variants and anaplasmosis.
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Affiliation(s)
| | | | - Alexis Russell
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | - Jamie Sommer
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | - Jennifer White
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | - Lauren Rose
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | - Richard Falco
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | | | - Vanessa Vinci
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | | | | | - Jamie Haight
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | - JoAnne Oliver
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | - Lisa Meehan
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | - Lee Ann Sporn
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | - Dustin Brisson
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
| | - P. Bryon Backenson
- New York State Department of Health, Albany, New York, USA (M. Prusinski, A. Russell, J. Sommer, J. White, L. Rose, L. Meehan, P.B. Backenson)
- University at Buffalo Department of Geography, Buffalo, New York, USA (C. O’Connor)
- New York State Department of Health, Buffalo (C. O’Connor, W. Gall, K. Tober)
- New York State Department of Health, Armonk, New York, USA (R. Falco, J. Kokas, V. Vinci)
- New York State Department of Health, Falconer, New York, USA (J. Haight)
- New York State Department of Health, Syracuse, New York, USA (J. Oliver)
- Paul Smith's College, Paul Smiths, New York, USA (L.A. Sporn)
- University of Pennsylvania, Philadelphia, Pennsylvania, USA (D. Brisson)
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Bergereau H, Hassoun D, Rose L, Rousselle M, Blanc FX, Loirand G, Sauzeau V. Impact de l’activation de la GTPase Rac dans la maturation et les fonctions de l’éosinophile dans l’asthme sévère. Rev Mal Respir 2023. [DOI: 10.1016/j.rmr.2022.11.010] [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: 02/18/2023]
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Draughon Moret J, Todd A, Rose L, Pollitt E, Anderson J. Mobile Phone Apps for Intimate Partner and Sexual Violence Prevention and Response: Systematic Search on App Stores. JMIR Form Res 2022; 6:e28959. [PMID: 35133285 PMCID: PMC8864520 DOI: 10.2196/28959] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 10/06/2021] [Accepted: 11/30/2021] [Indexed: 01/17/2023] Open
Abstract
Background Since the 2008 advent of the smartphone, more than 180 billion copies of apps have been downloaded from Apple App Store, with more than 2.6 million apps available for Android and 2.2 million apps available for iOS. Many violence prevention and response apps have been developed as part of this app proliferation. Objective This study aims to evaluate the prevalence and quality of freely available mobile phone apps targeting intimate partner violence (IPV) and sexual violence (SV) prevention and response. Methods We conducted a systematic search of violence prevention and response mobile phone apps freely available in Apple App Store (iOS; March 2016) and Google Play Store (Android; July 2016). Search terms included violence prevention, sexual assault, domestic violence, intimate partner violence, sexual violence, forensic nursing, wife abuse, and rape. Apps were included for review if they were freely available, were available in English, and had a primary purpose of prevention of or response to SV or IPV regardless of app target end users. Results Using the Mobile Application Rating Scale (MARS), we evaluated a total of 132 unique apps. The majority of included apps had a primary purpose of sharing information or resources. Included apps were of low-to-moderate quality, with the overall subjective quality mean for the reviewed apps being 2.65 (95% CI 2.58-2.72). Quality scores for each of the 5 MARS categories ranged from 2.80 (engagement) to 4.75 (functionality). An incidental but important finding of our review was the difficulty in searching for apps and the plethora of nonrelated apps that appear when searching for keywords such as “rape” and “domestic violence” that may be harmful to people seeking help. Conclusions Although there are a variety of mobile apps available designed to provide information or other services related to SV and IPV, they range greatly in quality. They are also challenging to find, given the current infrastructure of app store searches, keyword prioritization, and highlighting based on user rating. It is important for providers to be aware of these resources and be knowledgeable about how to review and recommend mobile phone apps to patients, when appropriate.
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Affiliation(s)
- Jessica Draughon Moret
- Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, United States
| | - Angela Todd
- Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, United States
| | - Lauren Rose
- College of Nursing, Pennsylvania State University, University Park, PA, United States
| | - Erin Pollitt
- District of Columbia Forensic Nurse Examiners, Washington, DC, United States
| | - Jocelyn Anderson
- College of Nursing, Pennsylvania State University, University Park, PA, United States
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Hassoun D, Rose L, Rousselle M, Magnan A, Blanc FX, Loirand G, Sauzeau V. Rôle de la GTPase Rac dans les mécanismes inflammatoires dans l’asthme sévère. Rev Mal Respir 2022. [DOI: 10.1016/j.rmr.2022.02.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Prisco SZ, Hartweck LM, Rose L, Lima PDA, Thenappan T, Archer SL, Prins KW. Inflammatory Glycoprotein 130 Signaling Links Changes in Microtubules and Junctophilin-2 to Altered Mitochondrial Metabolism and Right Ventricular Contractility. Circ Heart Fail 2022; 15:e008574. [PMID: 34923829 PMCID: PMC8766918 DOI: 10.1161/circheartfailure.121.008574] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [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] [Indexed: 01/03/2023]
Abstract
BACKGROUND Right ventricular dysfunction (RVD) is the leading cause of death in pulmonary arterial hypertension (PAH), but no RV-specific therapy exists. We showed microtubule-mediated junctophilin-2 dysregulation (MT-JPH2 pathway) causes t-tubule disruption and RVD in rodent PAH, but the druggable regulators of this critical pathway are unknown. GP130 (glycoprotein 130) activation induces cardiomyocyte microtubule remodeling in vitro; however, the effects of GP130 signaling on the MT-JPH2 pathway and RVD resulting from PAH are undefined. METHODS Immunoblots quantified protein abundance, quantitative proteomics defined RV microtubule-interacting proteins (MT-interactome), metabolomics evaluated the RV metabolic signature, and transmission electron microscopy assessed RV cardiomyocyte mitochondrial morphology in control, monocrotaline, and monocrotaline-SC-144 (GP130 antagonist) rats. Echocardiography and pressure-volume loops defined the effects of SC-144 on RV-pulmonary artery coupling in monocrotaline rats (8-16 rats per group). In 73 patients with PAH, the relationship between interleukin-6, a GP130 ligand, and RVD was evaluated. RESULTS SC-144 decreased GP130 activation, which normalized MT-JPH2 protein expression and t-tubule structure in the monocrotaline RV. Proteomics analysis revealed SC-144 restored RV MT-interactome regulation. Ingenuity pathway analysis of dysregulated MT-interacting proteins identified a link between microtubules and mitochondrial function. Specifically, SC-144 prevented dysregulation of electron transport chain, Krebs cycle, and the fatty acid oxidation pathway proteins. Metabolomics profiling suggested SC-144 reduced glycolytic dependence, glutaminolysis induction, and enhanced fatty acid metabolism. Transmission electron microscopy and immunoblots indicated increased mitochondrial fission in the monocrotaline RV, which SC-144 mitigated. GP130 antagonism reduced RV hypertrophy and fibrosis and augmented RV-pulmonary artery coupling without altering PAH severity. In patients with PAH, higher interleukin-6 levels were associated with more severe RVD (RV fractional area change 23±12% versus 30±10%, P=0.002). CONCLUSIONS GP130 antagonism reduces MT-JPH2 dysregulation, corrects metabolic derangements in the RV, and improves RVD in monocrotaline rats.
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Affiliation(s)
- Sasha Z. Prisco
- Cardiovascular Division, Lillehei Heart Institute, Department of Medicine, University of Minnesota, Minneapolis, MN
| | - Lynn M. Hartweck
- Cardiovascular Division, Lillehei Heart Institute, Department of Medicine, University of Minnesota, Minneapolis, MN
| | - Lauren Rose
- Cardiovascular Division, Lillehei Heart Institute, Department of Medicine, University of Minnesota, Minneapolis, MN
| | | | - Thenappan Thenappan
- Cardiovascular Division, Lillehei Heart Institute, Department of Medicine, University of Minnesota, Minneapolis, MN
| | - Stephen L. Archer
- Queen’s CardioPulmonary Unit, Kingston, ON, Canada,Department of Medicine, Queen’s University, Kingston, ON, Canada
| | - Kurt W. Prins
- Cardiovascular Division, Lillehei Heart Institute, Department of Medicine, University of Minnesota, Minneapolis, MN
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Rose L, Hassoun D, Dilasser F, Taille C, Dombret MC, Di-Candia L, Heddebaut N, Pretolani M, Magnan A, Loirand G, Sauzeau V. Essential role of smooth muscle Rac1 in severe asthma associated-airway remodelling. Rev Mal Respir 2021. [DOI: 10.1016/j.rmr.2021.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Rose L, Dilasser F, Rio M, Guignabert C, Loirand G, Sauzeau V. Smooth muscle Rac1 contributes to pulmonary hypertension. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2021.04.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Anderson JC, Pollitt EN, Schildbach C, MacDonald R, Rose L, Sheridan DJ. Alternate Light Source Findings of Common Topical Cosmetics and Three Removal Methods. J Forensic Nurs 2021; 17:14-23. [PMID: 33060415 PMCID: PMC7889613 DOI: 10.1097/jfn.0000000000000300] [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] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Alternate light sources (ALSs) are a tool used by forensic nurses to aid in the physical examination of patients. Prior research has shown some topical makeup products absorb alternate light similar to the absorption noted in bruises. Therefore, the purposes of this study were (a) to further examine the ALS findings of multiple brands and types of makeup products and (b) to compare the efficacy of three methods of makeup removal. METHODS Fourteen makeup products were applied to the forearms of 100 healthy adult volunteers with varying skin tones and then assessed under white light, six alternate light wavelengths, and three color filters, producing 19 total wavelength-and-filter combinations. The results were recorded before and after removal procedures by forensic nurse examiners who were blinded to the removal method. A three-arm randomized controlled trial of makeup removal methods (soap and water, isopropyl alcohol swab, makeup removal wipe) was conducted with the participants. RESULTS All 14 makeup products produced absorption in at least 10% of the observations. Fluorescence was observed in more than 10% of the observations for only two products. After product removal, four products continued to produce statistically significant absorption findings when viewed under an ALS. One product produced significant fluorescence after removal procedures. There were no statistically significant differences between the removal methods noted in any of these analyses. CONCLUSION Our findings support the importance of using alternate light as one component of a comprehensive forensic examination, including history taking and physical examination.
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Affiliation(s)
- Jocelyn C. Anderson
- Pennsylvania State University College of Nursing, University Park, PA
- Mercy Medical Center, Baltimore, MD
| | - Erin N. Pollitt
- Mercy Medical Center, Baltimore, MD
- District of Columbia Forensic Nurse Examiners, Washington, DC
| | - Caroline Schildbach
- Mercy Medical Center, Baltimore, MD
- Virginia Mason Medical Center, Seattle, WA
| | | | - Lauren Rose
- Pennsylvania State University College of Nursing, University Park, PA
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Prisco SZ, Rose L, Potus F, Tian L, Wu D, Hartweck L, Al-Qazazi R, Neuber-Hess M, Eklund M, Hsu S, Thenappan T, Archer SL, Prins KW. Excess Protein O-GlcNAcylation Links Metabolic Derangements to Right Ventricular Dysfunction in Pulmonary Arterial Hypertension. Int J Mol Sci 2020; 21:E7278. [PMID: 33019763 PMCID: PMC7582480 DOI: 10.3390/ijms21197278] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 09/22/2020] [Accepted: 09/23/2020] [Indexed: 12/17/2022] Open
Abstract
The hexosamine biosynthetic pathway (HBP) converts glucose to uridine-diphosphate-N-acetylglucosamine, which, when added to serines or threonines, modulates protein function through protein O-GlcNAcylation. Glutamine-fructose-6-phosphate amidotransferase (GFAT) regulates HBP flux, and AMP-kinase phosphorylation of GFAT blunts GFAT activity and O-GlcNAcylation. While numerous studies demonstrate increased right ventricle (RV) glucose uptake in pulmonary arterial hypertension (PAH), the relationship between O-GlcNAcylation and RV function in PAH is unexplored. Therefore, we examined how colchicine-mediated AMP-kinase activation altered HBP intermediates, O-GlcNAcylation, mitochondrial function, and RV function in pulmonary artery-banded (PAB) and monocrotaline (MCT) rats. AMPK activation induced GFAT phosphorylation and reduced HBP intermediates and O-GlcNAcylation in MCT but not PAB rats. Reduced O-GlcNAcylation partially restored the RV metabolic signature and improved RV function in MCT rats. Proteomics revealed elevated expression of O-GlcNAcylated mitochondrial proteins in MCT RVs, which fractionation studies corroborated. Seahorse micropolarimetry analysis of H9c2 cardiomyocytes demonstrated colchicine improved mitochondrial function and reduced O-GlcNAcylation. Presence of diabetes in PAH, a condition of excess O-GlcNAcylation, reduced RV contractility when compared to nondiabetics. Furthermore, there was an inverse relationship between RV contractility and HgbA1C. Finally, RV biopsy specimens from PAH patients displayed increased O-GlcNAcylation. Thus, excess O-GlcNAcylation may contribute to metabolic derangements and RV dysfunction in PAH.
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MESH Headings
- AMP-Activated Protein Kinases/genetics
- AMP-Activated Protein Kinases/metabolism
- Acylation
- Adult
- Aged
- Animals
- Cell Line
- Cohort Studies
- Colchicine/pharmacology
- Diabetes Mellitus/diagnostic imaging
- Diabetes Mellitus/genetics
- Diabetes Mellitus/metabolism
- Diabetes Mellitus/physiopathology
- Disease Models, Animal
- Echocardiography
- Gene Expression Regulation
- Glutamine-Fructose-6-Phosphate Transaminase (Isomerizing)/genetics
- Glutamine-Fructose-6-Phosphate Transaminase (Isomerizing)/metabolism
- Hexosamines/metabolism
- Humans
- Hypertrophy, Right Ventricular/diagnostic imaging
- Hypertrophy, Right Ventricular/genetics
- Hypertrophy, Right Ventricular/metabolism
- Hypertrophy, Right Ventricular/physiopathology
- Male
- Metabolome
- Middle Aged
- Mitochondria/drug effects
- Mitochondria/metabolism
- Monocrotaline/administration & dosage
- Myocytes, Cardiac/drug effects
- Myocytes, Cardiac/metabolism
- Protein Processing, Post-Translational
- Rats
- Rats, Sprague-Dawley
- Ventricular Dysfunction, Right/diagnostic imaging
- Ventricular Dysfunction, Right/genetics
- Ventricular Dysfunction, Right/metabolism
- Ventricular Dysfunction, Right/physiopathology
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Affiliation(s)
- Sasha Z. Prisco
- Cardiovascular Division, Lillehei Heart Institute, University of Minnesota, Minneapolis, MN 55455, USA; (S.Z.P.); (L.R.); (L.H.); (M.E.); (T.T.)
| | - Lauren Rose
- Cardiovascular Division, Lillehei Heart Institute, University of Minnesota, Minneapolis, MN 55455, USA; (S.Z.P.); (L.R.); (L.H.); (M.E.); (T.T.)
| | - Francois Potus
- Department of Medicine, Queen’s University, Kingston, ON K7L3N6, Canada; (F.P.); (L.T.); (D.W.); (R.A.-Q.); (M.N.-H.); (S.L.A.)
| | - Lian Tian
- Department of Medicine, Queen’s University, Kingston, ON K7L3N6, Canada; (F.P.); (L.T.); (D.W.); (R.A.-Q.); (M.N.-H.); (S.L.A.)
| | - Danchen Wu
- Department of Medicine, Queen’s University, Kingston, ON K7L3N6, Canada; (F.P.); (L.T.); (D.W.); (R.A.-Q.); (M.N.-H.); (S.L.A.)
| | - Lynn Hartweck
- Cardiovascular Division, Lillehei Heart Institute, University of Minnesota, Minneapolis, MN 55455, USA; (S.Z.P.); (L.R.); (L.H.); (M.E.); (T.T.)
| | - Ruaa Al-Qazazi
- Department of Medicine, Queen’s University, Kingston, ON K7L3N6, Canada; (F.P.); (L.T.); (D.W.); (R.A.-Q.); (M.N.-H.); (S.L.A.)
| | - Monica Neuber-Hess
- Department of Medicine, Queen’s University, Kingston, ON K7L3N6, Canada; (F.P.); (L.T.); (D.W.); (R.A.-Q.); (M.N.-H.); (S.L.A.)
| | - Megan Eklund
- Cardiovascular Division, Lillehei Heart Institute, University of Minnesota, Minneapolis, MN 55455, USA; (S.Z.P.); (L.R.); (L.H.); (M.E.); (T.T.)
| | - Steven Hsu
- Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD 21287, USA;
| | - Thenappan Thenappan
- Cardiovascular Division, Lillehei Heart Institute, University of Minnesota, Minneapolis, MN 55455, USA; (S.Z.P.); (L.R.); (L.H.); (M.E.); (T.T.)
| | - Stephen L. Archer
- Department of Medicine, Queen’s University, Kingston, ON K7L3N6, Canada; (F.P.); (L.T.); (D.W.); (R.A.-Q.); (M.N.-H.); (S.L.A.)
| | - Kurt W. Prins
- Cardiovascular Division, Lillehei Heart Institute, University of Minnesota, Minneapolis, MN 55455, USA; (S.Z.P.); (L.R.); (L.H.); (M.E.); (T.T.)
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Rose L, Dilasser F, Rio M, Guignabert C, Loirand G, Sauzeau V. Role of smooth muscle Rac1 in the vascular remodeling associated with pulmonary hypertension. Archives of Cardiovascular Diseases Supplements 2020. [DOI: 10.1016/j.acvdsp.2020.03.037] [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: 11/28/2022]
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Prins KW, Kalra R, Rose L, Assad TR, Archer SL, Bajaj NS, Weir EK, Prisco SZ, Pritzker M, Lutsey PL, Brittain EL, Thenappan T. Hypochloremia Is a Noninvasive Predictor of Mortality in Pulmonary Arterial Hypertension. J Am Heart Assoc 2020; 9:e015221. [PMID: 32079477 PMCID: PMC7335577 DOI: 10.1161/jaha.119.015221] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Background Pulmonary arterial hypertension (PAH) is a lethal disease. In resource‐limited countries PAH outcomes are worse because therapy costs are prohibitive. To improve global outcomes, noninvasive and widely available biomarkers that identify high‐risk patients should be defined. Serum chloride is widely available and predicts mortality in left heart failure, but its prognostic utility in PAH requires further investigation. Methods and Results In this study 475 consecutive PAH patients evaluated at the University of Minnesota and Vanderbilt University PAH clinics were examined. Clinical characteristics were compared by tertiles of serum chloride. Both the Kaplan‐Meier method and Cox regression analysis were used to assess survival and predictors of mortality, respectively. Categorical net reclassification improvement and relative integrated discrimination improvement compared prediction models. PAH patients in the lowest serum chloride tertile (≤101 mmol/L: hypochloremia) had the lowest 6‐minute walk distance and highest right atrial pressure despite exhibiting no differences in pulmonary vascular disease severity. The 1‐, 3‐, and 5‐year survival was reduced in hypochloremic patients when compared with the middle‐ and highest‐tertile patients (86%/64%/44%, 95%/78%/59%, and, 91%/79%/66%). After adjustment for age, sex, diuretic use, serum sodium, bicarbonate, and creatinine, the hypochloremic patients had increased mortality when compared with the middle‐tertile and highest‐tertile patients. The Minnesota noninvasive model (functional class, 6‐minute walk distance, and hypochloremia) was as effective as the French noninvasive model (functional class, 6‐minute walk distance, and elevated brain natriuretic peptide or N‐terminal pro–brain natriuretic peptide) for predicting mortality. Conclusions Hypochloremia (≤101 mmol/L) identifies high‐risk PAH patients independent of serum sodium, renal function, and diuretic use.
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Affiliation(s)
- Kurt W Prins
- Cardiovascular Division University of Minnesota Minneapolis MN
| | - Rajat Kalra
- Cardiovascular Division University of Minnesota Minneapolis MN
| | - Lauren Rose
- Cardiovascular Division University of Minnesota Minneapolis MN
| | | | | | | | - E Kenneth Weir
- Cardiovascular Division University of Minnesota Minneapolis MN
| | - Sasha Z Prisco
- Cardiovascular Division University of Minnesota Minneapolis MN
| | - Marc Pritzker
- Cardiovascular Division University of Minnesota Minneapolis MN
| | - Pamela L Lutsey
- School of Public Health University of Minnesota Minneapolis MN
| | - Evan L Brittain
- Vanderbilt University Medical Center and Vanderbilt Translational and Clinical Cardiovascular Research Center Nashville TN
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Prins KW, Rose L, Archer SL, Pritzker M, Weir EK, Olson MD, Thenappan T. Clinical Determinants and Prognostic Implications of Right Ventricular Dysfunction in Pulmonary Hypertension Caused by Chronic Lung Disease. J Am Heart Assoc 2020; 8:e011464. [PMID: 30646788 PMCID: PMC6497344 DOI: 10.1161/jaha.118.011464] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Background Patients with pulmonary hypertension caused by chronic lung disease (Group 3 PH) have disproportionate right ventricle (RV) dysfunction, but the correlates and clinical implications of RV dysfunction in Group 3 PH are not well defined. Methods and Results We performed a cohort study of 147 Group 3 PH patients evaluated at the University of Minnesota. RV systolic function was quantified using right ventricular fractional area change (RVFAC) and +dP/dtmax/instantaneous pressure. Tau and RV diastolic stiffness characterized RV diastolic function. Multivariate linear regression was used to define correlates of RVFAC. Kaplan‐Meier and Cox proportional hazards analyses were used to examine freedom from heart failure hospitalization and death. Positive correlates of RVFAC on univariate analysis were pulmonary arterial compliance, cardiac index, and left ventricular diastolic dimension. Conversely, male sex, N‐terminal pro‐brain natriuretic peptide, heart rate, right atrial enlargement, mean pulmonary arterial pressure, and pulmonary vascular resistance were negative correlates. Male sex was the strongest predictor of lower RVFAC, after adjusting for pulmonary vascular resistance and pulmonary arterial compliance. When comparing sexes, males had lower RVFAC (26% versus 31%, P=0.03) both overall and for any given mean pulmonary arterial pressure and pulmonary vascular resistance value. Males exhibited a reduction in +dP/dtmax/instantaneous pressure as pulmonary vascular resistance increased, whereas females did not. There were no sex differences in RV diastolic function. RV dysfunction (RVFAC <28%) was associated with increased risk of heart failure hospitalization or death (hazard ratio: 1.84, 95% CI: 1.04–3.10, P=0.035). Conclusions Male sex is associated with RV dysfunction in Group 3 PH, even after adjusting for RV afterload. RV dysfunction (RVFAC <28%) identifies Group 3 PH patients at risk for poor outcomes.
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Affiliation(s)
- Kurt W Prins
- 1 Cardiovascular Division University of Minnesota Medical School Minneapolis MN
| | - Lauren Rose
- 1 Cardiovascular Division University of Minnesota Medical School Minneapolis MN
| | - Stephen L Archer
- 2 Department of Medicine Queen's University Kingston Ontario Canada
| | - Marc Pritzker
- 1 Cardiovascular Division University of Minnesota Medical School Minneapolis MN
| | - E Kenneth Weir
- 1 Cardiovascular Division University of Minnesota Medical School Minneapolis MN
| | - Matthew D Olson
- 1 Cardiovascular Division University of Minnesota Medical School Minneapolis MN
| | - Thenappan Thenappan
- 1 Cardiovascular Division University of Minnesota Medical School Minneapolis MN
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Ahmer S, Woolley S, Hale N, Rose L, Menzies D. Patient satisfaction following lung cancer surgery via virtual consultation in North Wales. Lung Cancer 2020. [DOI: 10.1016/s0169-5002(20)30237-3] [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: 10/25/2022]
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Prins KW, Rose L, Archer SL, Pritzker M, Weir EK, Kazmirczak F, Misialek JR, Thenappan T. Disproportionate Right Ventricular Dysfunction and Poor Survival in Group 3 Pulmonary Hypertension. Am J Respir Crit Care Med 2019; 197:1496-1499. [PMID: 29360393 DOI: 10.1164/rccm.201712-2405le] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Affiliation(s)
- Kurt W Prins
- 1 University of Minnesota Medical School Minneapolis, Minnesota and
| | - Lauren Rose
- 1 University of Minnesota Medical School Minneapolis, Minnesota and
| | | | - Marc Pritzker
- 1 University of Minnesota Medical School Minneapolis, Minnesota and
| | - E Kenneth Weir
- 1 University of Minnesota Medical School Minneapolis, Minnesota and
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Holthaus N, Prins KW, Rose L, Prisco S, Pritzker M, Thenappan T. EXPRESS: Transition from Parental Prostacyclin to Selexipag: A Case Series of Five Pulmonary Arterial Hypertension Patients. Pulm Circ 2019; 9:2045894019862167. [PMID: 31215322 PMCID: PMC6681254 DOI: 10.1177/2045894019862167] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2019] [Accepted: 06/12/2019] [Indexed: 01/02/2023] Open
Abstract
Parental prostacyclin is the only therapy with a proven survival benefit in pulmonary arterial hypertension (PAH). However, some patients are unable to tolerate continuous prostacyclin infusion because of central line infection, side effects, or sociocultural factors. Selexipag is a recently approved prostacyclin receptor agonist that is able to blunt PAH disease progression. Although in the same molecular pathway, the interchangeability of selexipag with prostacyclin infusions is relatively unexplored. Here, we present a case series of five stable PAH patients who were functional class (FC) I or II that were transitioned from prostacyclin infusion to selexipag using a standardized protocol in the inpatient setting. We show that the transition to selexipag in five highly selected patients was tolerated with no significant changes in FC, minimal changes in pulmonary vascular disease severity, and no significant PAH-related complications. However, there was a trend for a reduction in cardiac index after transition to selexipag. These data suggest that a transition from prostacyclin infusion to selexipag can be achieved in clinically stable PAH patients who are unable to tolerate continuous prostacyclin infusion. However, this approach should only be selectively implemented at specialized centers with close follow-up due to the trend for a reduction in cardiac index after transition to selexipag.
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Affiliation(s)
| | | | - Lauren Rose
- Cardiovascular Division, University of Minnesota
Medical School, Minneapolis, MN, USA
| | - Sasha Prisco
- Cardiovascular Division, University of Minnesota
Medical School, Minneapolis, MN, USA
| | - Marc Pritzker
- Cardiovascular Division, University of Minnesota
Medical School, Minneapolis, MN, USA
| | - Thenappan Thenappan
- Cardiovascular Division, University of Minnesota
Medical School, Minneapolis, MN, USA
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Affiliation(s)
- L. Rose
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada and Intensive Care Unit, St Vincent's Hospital, Department of Medicine, University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia and School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland
- Lawrence S. Bloomberg Limited Term Professor in Critical Care, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto
| | - J. J. Presneill
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada and Intensive Care Unit, St Vincent's Hospital, Department of Medicine, University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia and School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland
- Intensive Care Unit, St Vincent's Hospital and Associate Professor, Department of Medicine, University of Melbourne
| | - L. Johnston
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada and Intensive Care Unit, St Vincent's Hospital, Department of Medicine, University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia and School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland
- School of Nursing and Midwifery, Queen's University Belfast
| | - S. Nelson
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada and Intensive Care Unit, St Vincent's Hospital, Department of Medicine, University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia and School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto
| | - J. F. Cade
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada and Intensive Care Unit, St Vincent's Hospital, Department of Medicine, University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia and School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland
- Intensive Care Unit, Royal Melbourne Hospital
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Rose L, Cresta E, Day C, Dakpoe F, O’Flynn J, Segaran E. Audit of enteral nutrition provision during citrate anticoagulation of continuous renal replacement therapy in the intensive care units. Clin Nutr ESPEN 2018. [DOI: 10.1016/j.clnesp.2018.09.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Rose L, Prins KW, Archer SL, Pritzker M, Weir EK, Misialek JR, Thenappan T. Survival in pulmonary hypertension due to chronic lung disease: Influence of low diffusion capacity of the lungs for carbon monoxide. J Heart Lung Transplant 2018; 38:145-155. [PMID: 30391191 DOI: 10.1016/j.healun.2018.09.011] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 09/10/2018] [Accepted: 09/12/2018] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Patients with pulmonary hypertension (PH) due to chronic lung disease (Group 3 PH) have poor long-term outcomes. However, predictors of survival in Group 3 PH are not well described. METHODS We performed a cohort study of Group 3 PH patients (n = 143; mean age 65 ± 12 years, 52% female) evaluated at the University of Minnesota. The Kaplan-Meier method and Cox regression analysis were used to assess survival and predictors of mortality, respectively. The clinical characteristics and survival were compared in patients categorized by PH severity based on the World Health Organization (WHO) classification and lung disease etiology. RESULTS After a median follow-up of 1.4 years, there were 69 (48%) deaths. The 1-, 3-, and 5-year survival rates were 79%, 48%, and 31%. Age, coronary artery disease, atrial fibrillation, Charlson comorbidity index, serum N-terminal pro‒brain natriuretic peptide (NT-proBNP), creatinine, diffusion capacity of carbon monoxide (DLCO), total lung capacity, left ventricular ejection fraction, right atrial and right ventricular enlargement on echocardiography, cardiac index, and pulmonary vascular resistance (PVR) were univariate predictors of survival. On multivariable analysis, DLCO was the only predictor of mortality (adjusted hazard ratio [HR] for every 10% decrease in predicted value: 1.31 [95% confidence interval 1.12 to 1.47]; p = 0.003). The 1-/5-year survival by tertiles of DLCO was 84%/56%, 82%/44%, and 63%/14% (p = 0.01), respectively. On receiver-operating characteristic curve analysis, DLCO <32% of predicted had the highest sensitivity and specificity for predicting survival. The 1- and 5-year survival in patients with a DLCO ≥32% predicted was 84% and 60% vs 68% and 13% in patients with a DLCO <32% predicted (adjusted HR: 2.5 [95% confidence interval 1.3 to 5.0]; p = 0.007). Lung volumes and DLCO were not related, but higher PVR was strongly associated with reduced DLCO. There was increased mortality in interstitial lung disease‒PH as compared with chronic obstructive pulmonary disease‒PH, but PH severity based on the WHO classification did not alter survival. CONCLUSIONS Low DLCO is a predictor of mortality and should be used to risk-stratify Group 3 PH patients.
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Affiliation(s)
- Lauren Rose
- Cardiovascular Division, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Kurt W Prins
- Cardiovascular Division, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Stephen L Archer
- Department of Medicine, Queen's University, Kingston, Ontario, Canada
| | - Marc Pritzker
- Cardiovascular Division, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - E Kenneth Weir
- Cardiovascular Division, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Jeffrey R Misialek
- Cardiovascular Division, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Thenappan Thenappan
- Cardiovascular Division, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
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Cox M, Gaffing S, Rose L, Ramanath R. 114IMPROVING THE RECOGNITION OF CONSTIPATION IN ELDERLY HOSPITAL INPATIENTS. Age Ageing 2018. [DOI: 10.1093/ageing/afy126.30] [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)
- M Cox
- Doncaster Royal Infirmary
| | | | - L Rose
- Doncaster Royal Infirmary
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Oudemans PV, Alexander HM, Antonovics J, Altizer S, Thrall PH, Rose L. The distribution of mating-type bias in natural populations of the anther-smutUstilago violaceaonSilene albain Virginia. Mycologia 2018. [DOI: 10.1080/00275514.1998.12026921] [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: 10/28/2022]
Affiliation(s)
- P. V. Oudemans
- Departments of Botany, and Systematics and Ecology, University of Kansas, Lawrence, Kansas 66045
| | - H. M. Alexander
- Departments of Botany, and Systematics and Ecology, University of Kansas, Lawrence, Kansas 66045
| | - J. Antonovics
- Department of Botany, Duke University, Durham, North Carolina 27708
| | - S. Altizer
- Department of Botany, Duke University, Durham, North Carolina 27708
| | - P. H. Thrall
- Department of Botany, Duke University, Durham, North Carolina 27708
| | - L. Rose
- Department of Botany, Duke University, Durham, North Carolina 27708
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Ryan L, Golparian D, Fennelly N, Rose L, Walsh P, Lawlor B, Mac Aogáin M, Unemo M, Crowley B. Antimicrobial resistance and molecular epidemiology using whole-genome sequencing of Neisseria gonorrhoeae in Ireland, 2014-2016: focus on extended-spectrum cephalosporins and azithromycin. Eur J Clin Microbiol Infect Dis 2018; 37:1661-1672. [PMID: 29882175 DOI: 10.1007/s10096-018-3296-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [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: 04/02/2018] [Accepted: 05/31/2018] [Indexed: 12/21/2022]
Abstract
High-level resistance and treatment failures with ceftriaxone and azithromycin, the first-line agents for gonorrhoea treatment are reported and antimicrobial-resistant Neisseria gonorrhoeae is an urgent public health threat. Our aims were to determine antimicrobial resistance rates, resistance determinants and phylogeny of N. gonorrhoeae in Ireland, 2014-2016. Overall, 609 isolates from four University Hospitals were tested for susceptibility to extended-spectrum cephalosporins (ESCs) and azithromycin by the MIC Test Strips. Forty-three isolates were whole-genome sequenced based on elevated MICs. The resistance rate to ceftriaxone, cefixime, cefotaxime and azithromycin was 0, 1, 2.1 and 19%, respectively. Seven high-level azithromycin-resistant (HLAzi-R) isolates were identified, all susceptible to ceftriaxone. Mosaic penA alleles XXXIV, X and non-mosaic XIII, and G120K plus A121N/D/G (PorB1b), H105Y (MtrR) and A deletion (mtrR promoter) mutations, were associated with elevated ESC MICs. A2059G and C2611T mutations in 23S rRNA were associated with HLAzi-R and azithromycin MICs of 4-32 mg/L, respectively. The 43 whole-genome sequenced isolates belonged to 31 NG-MAST STs. All HLAzi-R isolates belonged to MLST ST1580 and some clonal clustering was observed; however, the isolates differed significantly from the published HLAzi-R isolates from the ongoing UK outbreak. There is good correlation between previously described genetic antimicrobial resistance determinants and phenotypic susceptibility categories for ESCs and azithromycin in N. gonorrhoeae. This work highlights the advantages and potential of whole-genome sequencing to be applied at scale in the surveillance of antibiotic resistant strains of N. gonorrhoeae, both locally and internationally.
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Affiliation(s)
- L Ryan
- Department of Clinical Microbiology, St James's Hospital, Dublin, Ireland.
| | - D Golparian
- WHO Collaborating Centre for Gonorrhoea and other Sexually Transmitted Infections, Department of Laboratory Medicine, Clinical Microbiology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - N Fennelly
- Department of Clinical Microbiology, St James's Hospital, Dublin, Ireland
| | - L Rose
- Department of Clinical Microbiology, St James's Hospital, Dublin, Ireland
| | - P Walsh
- Department of Computing, Cork Institute of Technology, Cork, Ireland
| | - B Lawlor
- Department of Computing, Cork Institute of Technology, Cork, Ireland
| | - M Mac Aogáin
- Department of Clinical Microbiology, Trinity Translational Medicine Institute, School of Medicine, Trinity College Dublin, Dublin, Ireland
| | - M Unemo
- WHO Collaborating Centre for Gonorrhoea and other Sexually Transmitted Infections, Department of Laboratory Medicine, Clinical Microbiology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - B Crowley
- Department of Clinical Microbiology, St James's Hospital, Dublin, Ireland.,Department of Virology, St James's Hospital, Dublin, Ireland
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Bain S, Araki E, Desouza C, Garg S, Rose L, Tsoukas G, Bergan EQ, Derving Karsbøl J, Devries JH, Nauck M. Semaglutid reduzierte den HbA1c in allen Subgruppen des Ausgangs-HbA1c (SUSTAIN 1 – 5). DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641897] [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: 10/28/2022]
Affiliation(s)
- S Bain
- Swansea University Medical School, Swansea, United Kingdom
| | - E Araki
- Kumamoto University, Kumamoto, Japan
| | - C Desouza
- University of Nebraska Medical Center, Omaha, United States
| | - S Garg
- Aurora, Colorado, United States
| | - L Rose
- Diabetes Münster, Münster, Germany
| | - G Tsoukas
- Department of Medicine, Montreal, Canada
| | | | | | - JH Devries
- University of Amsterdam, Amsterdam, Netherlands
| | - M Nauck
- Universitätsklinikum St. Josef-Hospital, Bochum, Germany
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Lüdemann J, Mathieu C, Bode B, Franek E, Philis-Tsimikas A, Rose L, Graungaard T, Birk Østerskov A, Russell-Jones D. Wirksamkeit und Sicherheit von schnell wirksamem Insulin aspart versus Insulin aspart über 52 Wochen. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641842] [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: 10/28/2022]
Affiliation(s)
- J Lüdemann
- Diabeteszentrum und Zentrum für Klinische Studien, Falkensee, Germany
| | - C Mathieu
- Klinische und experimentelle Endokrinologie, UZ Leuven, Leuven, Belgium
| | - B Bode
- Atlanta Diabetes Associates, Atlanta, United States
| | - E Franek
- Mossakowski Medical Research Center, Polnische Akademie der Wissenschaften, Warschau, Poland
| | - A Philis-Tsimikas
- Scripps Whittier Diabetes Institute, Scripps Health, San Diego, United States
| | - L Rose
- Institut für Diabetesforschung Münster, Diabetes Forschungszentrum, Münster, Germany
| | - T Graungaard
- Biostatistics Aalborg 2, Novo Nordisk A/S, Aalborg, Denmark
| | - A Birk Østerskov
- Medical & Science, Insulin & Digital Health, Novo Nordisk A/S, Søborg, Denmark
| | - D Russell-Jones
- Russell-Jones, Royal Surrey County Hospital, Guildford, United Kingdom
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Lüdemann J, Philis-Tsimikas A, Bode B, Franek E, Rose L, Buchholtz K, Pieber T. Verbesserung der Blutzuckereinstellung durch Ermittlung des Kohlenhydratgehalts zur Anpassung von schnell wirksamem Insulin aspart versus Insulin aspart bei Patienten mit Typ 1 Diabetes. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641848] [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: 10/28/2022]
Affiliation(s)
- J Lüdemann
- Diabeteszentrum und Zentrum für Klinische Studien, Falkensee, Germany
| | - A Philis-Tsimikas
- Scripps Whittier Diabetes Institute, Scripps Health, San Diego, United States
| | - B Bode
- Atlanta Diabetes Associates, Atlanta, United States
| | - E Franek
- Mossakowski Medical Research Center, Polnische Akademie der Wissenschaften, Warschau, Poland
| | - L Rose
- Institut für Diabetesforschung Münster, Diabetes Forschungszentrum, Münster, Germany
| | - K Buchholtz
- Global Medical Affairs, Novo Nordisk A/S, Søborg, Denmark
| | - T Pieber
- Abteilung für Endokrinologie und Diabetologie, Medizinische Universität Graz, Graz, Austria
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Rose L, Prins K, Archer S, Pritzker M, Weir E, Thenappan T. Right Ventricular Dysfunction in Group 3 PH: Male Gender is Associated With RV-PA Uncoupling. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Elias F, Kosgodagan Acharige S, Rose L, Gay C, Leroy V, Derec C. Vibration of soap films and Plateau borders, as elementary blocks of a vibrating liquid foam. Colloids Surf A Physicochem Eng Asp 2017. [DOI: 10.1016/j.colsurfa.2017.02.091] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Wizemann E, Russell-Jones D, Bode BW, De Block C, Franek E, Heller S, Mathieu C, Philis-Tsimikas A, Rose L, Woo V, Kretzschmar Y, Østerskov AB, Graungaard T, Bergenstal R. Schnell wirksames Insulin aspart (Faster aspart) vs. Insulin aspart zur Mahlzeit im Rahmen einer Basal-Bolus-Behandlung verbesserte die Blutzuckereinstellung bei T1D: die doppelblinde onset® 1-Studie. DIABETOL STOFFWECHS 2017. [DOI: 10.1055/s-0037-1601689] [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: 10/19/2022]
Affiliation(s)
- E Wizemann
- Gemeinschaftspraxis Herrenberg, Herrenberg, Germany
| | | | - BW Bode
- Atlanta Diabetes Associates, Atlanta, United States
| | - C De Block
- Universitätsklinik Antwerpen, Antwerpen, Belgium
| | - E Franek
- Polnische Akademie der Wissenschaften, Warschau, Poland
| | - S Heller
- University of Sheffield, Sheffield, United Kingdom
| | - C Mathieu
- Universitätsklinik, Katholische Universität Leuven, Leuven, Belgium
| | - A Philis-Tsimikas
- Scripps Whittier Diabetes Institute, Scripps Health, San Diego, United States
| | - L Rose
- Institut für Diabetesforschung, Münster, Germany
| | - V Woo
- University of Manitoba, Winnipeg, Canada
| | | | - AB Østerskov
- Insulin & Devices, Global Development, Novo Nordisk A/S, Søborg, Denmark
| | - T Graungaard
- Biostatistics Aalborg 2, Novo Nordisk A/S, Aalborg, Denmark
| | - R Bergenstal
- International Diabetes Center, Minneapolis, United States
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Prins K, Rose L, Carlson C, Pritzker M, Weir K, Kazmirczak F, Thenappan T. Clinical Characteristics and Survival in Pulmonary Hypertension Due to Chronic Lung Disease. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Prins K, Rose L, Archer S, Sharma A, Pritzker M, Thenappan T. Right Ventricle on Fire: Interleukin-6 Is Independently Associated with Right Ventricular Function in Pulmonary Arterial Hypertension. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.441] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Rose L, Rose J, Gosling S, Holmes M. Efficacy of a Probiotic-Prebiotic Supplement on Incidence of Diarrhea in a Dog Shelter: A Randomized, Double-Blind, Placebo-Controlled Trial. J Vet Intern Med 2017; 31:377-382. [PMID: 28186660 PMCID: PMC5354029 DOI: 10.1111/jvim.14666] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [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: 09/05/2016] [Revised: 12/05/2016] [Accepted: 01/05/2017] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Diarrhea is the most frequent morbidity affecting kenneled dogs in animal shelters. Diarrhea impacts animal welfare and the finances of the shelter as they must treat, clean, and house affected animals until recovered. HYPOTHESIS/OBJECTIVES Supplementing dogs entering an animal shelter with a probiotic-prebiotic, known as a synbiotic, will decrease the incidence of diarrhea. ANIMALS Seven hundred and seventy-three dogs entering an animal shelter in the United Kingdom. METHODS A prospective double-blind, randomized, placebo-controlled trial. RESULTS Statistical difference was found between the groups across 3 measures of diarrhea incidence. First, the mean percentage of scored days per dog that were scored as diarrhea throughout their stay was 2.0% in the synbiotic group and 3.2% in the placebo group (P = .0022). Second, the occurrence of diarrhea within the first 14 days' stay was 18.8% in the synbiotic product group and 27.2% in the placebo group (P = .0008). Third, the occurrence of ≥2 consecutive days of diarrhea within the first 14 days' stay was 4.6% in the synbiotic product group and 8.0% in the placebo group (P = .0300). CONCLUSIONS AND CLINICAL IMPORTANCE Supplementing healthy dogs entering an animal shelter with a synbiotic supplement significantly decreased the incidence of diarrhea in this trial. Animal shelters can use synbiotic supplements to improve animal welfare and decrease costs involved in cleaning and housing animals as well as potentially decreasing veterinary intervention.
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Affiliation(s)
- L Rose
- Probiotics International Ltd, Lopen Head, Somerset, UK
| | - J Rose
- School of Veterinary Sciences, University of Bristol, Bristol, UK
| | - S Gosling
- Wood Green The Animals Charity, Godmanchester, UK
| | - M Holmes
- Department of Veterinary Medicine, Universtity of Cambridge, Cambridge, UK
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Rodbard HW, Bode BW, Harris SB, Rose L, Lehmann L, Jarlov H, Thurman J. Safety and efficacy of insulin degludec/liraglutide (IDegLira) added to sulphonylurea alone or to sulphonylurea and metformin in insulin-naïve people with Type 2 diabetes: the DUAL IV trial. Diabet Med 2017; 34:189-196. [PMID: 27589252 PMCID: PMC5811787 DOI: 10.1111/dme.13256] [Citation(s) in RCA: 79] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/31/2016] [Indexed: 12/23/2022]
Abstract
AIM To investigate the safety and efficacy of insulin degludec/liraglutide (IDegLira), a novel combination product, as add-on therapy for people with Type 2 diabetes uncontrolled on sulphonylurea therapy. METHODS In this 26-week, double-blind trial, adults with Type 2 diabetes [HbA1c 53-75 mmol/mol (7.0-9.0%)] were randomized to IDegLira (n = 289) or placebo (n = 146) as add-on to pre-trial sulphonylurea ± metformin, titrating to a fasting glycaemic target of 4.0-6.0 mmol/l. Treatment initiation was at 10 dose steps, and maximum dose was 50 dose steps (50 units insulin degludec/1.8 mg liraglutide). RESULTS The mean HbA1c decreased from 63 mmol/mol (7.9%) to 46 mmol/mol (6.4%) with IDegLira and to 57 mmol/mol (7.4%) with placebo [estimated treatment difference -11 mmol/mol (95% CI -13; -10) or -1.02% (95% CI -1.18; -0.87); P < 0.001]. The HbA1c target of 53 mmol/mol (<7%) was achieved by 79.2% of participants in the IDegLira group vs 28.8% in the placebo group [estimated odds ratio 11.95 (95% CI 7.22; 19.77); P < 0.001]. Mean weight change was +0.5 kg with IDegLira vs -1.0 kg with placebo [estimated treatment difference 1.48 kg (95% CI 0.90; 2.06); P < 0.001]. Confirmed hypoglycaemia occurred in 41.7 and 17.1% of IDegLira- and placebo-treated participants, respectively, with rates of 3.5 vs 1.4 events/patient-years of exposure [estimated rate ratio 3.74 (95% CI 2.28; 6.13); P < 0.001]. IDegLira was generally well tolerated. The rates of serious adverse events were 20.3 and 8.0 per 100 patient-years of exposure with IDegLira and placebo, respectively, without obvious patterns in the type of events. CONCLUSIONS IDegLira can be used in people uncontrolled with sulphonylurea ± metformin to improve efficacy with a safety profile in line with previous DUAL trials.
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Affiliation(s)
| | | | - S. B. Harris
- Centre for Studies in Family MedicineLondonONCanada
| | - L. Rose
- Institute for Diabetes ResearchMünsterGermany
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Prins KW, Weir EK, Archer SL, Markowitz J, Rose L, Pritzker M, Madlon-Kay R, Thenappan T. Pulmonary pulse wave transit time is associated with right ventricular-pulmonary artery coupling in pulmonary arterial hypertension. Pulm Circ 2017; 6:576-585. [PMID: 28090301 DOI: 10.1086/688879] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [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: 11/04/2022] Open
Abstract
Pulmonary pulse wave transit time (pPTT), defined as the time for the systolic pressure pulse wave to travel from the pulmonary valve to the pulmonary veins, has been reported to be reduced in pulmonary arterial hypertension (PAH); however, the underlying mechanism of reduced pPTT is unknown. Here, we investigate the hypothesis that abbreviated pPTT in PAH results from impaired right ventricular-pulmonary artery (RV-PA) coupling. We quantified pPTT using pulsed-wave Doppler ultrasound from 10 healthy age- and sex-matched controls and 36 patients with PAH. pPTT was reduced in patients with PAH compared with controls. Univariate analysis revealed the following significant predictors of reduced pPTT: age, right ventricular fractional area change (RV FAC), tricuspid annular plane excursion (TAPSE), pulmonary arterial pressures (PAP), diastolic pulmonary gradient, transpulmonary gradient, pulmonary vascular resistance, and RV-PA coupling (defined as RV FAC/mean PAP or TAPSE/mean PAP). Although the correlations between pPTT and invasive markers of pulmonary vascular disease were modest, RV FAC (r = 0.64, P < 0.0001), TAPSE (r = 0.67, P < 0.0001), and RV-PA coupling (RV FAC/mean PAP: r = 0.72, P < 0.0001; TAPSE/mean PAP: r = 0.74, P < 0.0001) had the strongest relationships with pPTT. On multivariable analysis, only RV FAC, TAPSE, and RV-PA coupling were independent predictors of pPTT. We conclude that shortening of pPTT in patients with PAH results from altered RV-PA coupling, probably occurring as a result of reduced pulmonary arterial compliance. Thus, pPTT allows noninvasive determination of the status of both the pulmonary vasculature and the response of the RV in patients with PAH, thereby allowing monitoring of disease progression and regression.
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Affiliation(s)
- Kurt W Prins
- Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - E Kenneth Weir
- Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Stephen L Archer
- Department of Medicine, Queen's University, Kingston, Ontario, Canada
| | - Jeremy Markowitz
- Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Lauren Rose
- Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Marc Pritzker
- Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Richard Madlon-Kay
- Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA
| | - Thenappan Thenappan
- Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA
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Burry LD, Hutton B, Guenette M, Williamson D, Mehta S, Egerod I, Kanji S, Adhikari NK, Moher D, Martin CM, Rose L. Comparison of pharmacological and non-pharmacological interventions to prevent delirium in critically ill patients: a protocol for a systematic review incorporating network meta-analyses. Syst Rev 2016; 5:153. [PMID: 27609018 PMCID: PMC5016934 DOI: 10.1186/s13643-016-0327-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Accepted: 08/24/2016] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Delirium is characterized by acute changes in mental status including inattention, disorganized thinking, and altered level of consciousness, and is highly prevalent in critically ill adults. Delirium has adverse consequences for both patients and the healthcare system; however, at this time, no effective treatment exists. The identification of effective prevention strategies is therefore a clinical and research imperative. An important limitation of previous reviews of delirium prevention is that interventions were considered in isolation and only direct evidence was used. Our systematic review will synthesize all existing data using network meta-analysis, a powerful statistical approach that enables synthesis of both direct and indirect evidence. METHODS We will search Ovid MEDLINE, CINAHL, Embase, PsycINFO, and Web of Science from 1980 to March 2016. We will search the PROSPERO registry for protocols and the Cochrane Library for published systematic reviews. We will examine reference lists of pertinent reviews and search grey literature and the International Clinical Trials Registry Platform for unpublished studies and ongoing trials. We will include randomized and quasi-randomized trials of critically ill adults evaluating any pharmacological, non-pharmacological, or multi-component intervention for delirium prevention, administered in or prior to (i.e., peri-operatively) transfer to the ICU. Two authors will independently screen search results and extract data from eligible studies. Risk of bias assessments will be completed on all included studies. To inform our network meta-analysis, we will first conduct conventional pair-wise meta-analyses for primary and secondary outcomes using random-effects models. We will generate our network meta-analysis using a Bayesian framework, assuming a common heterogeneity parameter across all comparisons, and accounting for correlations in multi-arm studies. We will perform analyses using WinBUGS software. DISCUSSION This systematic review will address the existing knowledge gap regarding best practices for delirium prevention in critically ill adults by synthesizing evidence from trials of pharmacological, non-pharmacological, and multi-component interventions administered in or prior to transfer to the ICU. Use of network meta-analysis will clarify which delirium prevention strategies are most effective in improving clinical outcomes while causing least harm. The network meta-analysis is a novel approach and will provide knowledge users and decision makers with comparisons of multiple interventions of delirium prevention strategies. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42016036313.
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Affiliation(s)
- L D Burry
- Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.,Department of Pharmacy, Mount Sinai Hospital, 600 University Ave, Rm 18-377, Toronto, ON, M5G1X5, Canada
| | - B Hutton
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, The Ottawa Hospital - General Campus, 501 Smyth Rd, Room L1288, Ottawa, ON, K1H8L6, Canada. .,School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada.
| | - M Guenette
- Department of Pharmacy, Mount Sinai Hospital, 600 University Ave, Rm 18-377, Toronto, ON, M5G1X5, Canada
| | - D Williamson
- Faculté de pharmacie, Université de Montréal, Montreal, QC, Canada.,Département de pharmacie, hôpital du Sacré-Coeur, Montreal, QC, Canada
| | - S Mehta
- Department of Medicine, Interdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada.,Department of Medicine, Division of Critical Care, Mount Sinai Hospital, Toronto, ON, Canada
| | - I Egerod
- University of Copenhagen, Rigshospitalet, Neurointensive Intensive Care, Blegdamsvej 9, DK-2100, Copenhagen O, Denmark
| | - S Kanji
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, The Ottawa Hospital - General Campus, 501 Smyth Rd, Room L1288, Ottawa, ON, K1H8L6, Canada.,Department of Pharmacy, The Ottawa Hospital, Ottawa, ON, Canada
| | - N K Adhikari
- Department of Medicine, Interdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada.,Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.,Evaluative Clinical Sciences, Trauma, Emergency & Critical Care Research Program, Sunnybrook Research Institute, Toronto, ON, Canada
| | - D Moher
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, The Ottawa Hospital - General Campus, 501 Smyth Rd, Room L1288, Ottawa, ON, K1H8L6, Canada.,School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada
| | - C M Martin
- Department of Medicine, Division of Critical Care, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.,Lawson Health Research Institute, London Health Sciences Centre, London, ON, Canada
| | - L Rose
- Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.,Evaluative Clinical Sciences, Trauma, Emergency & Critical Care Research Program, Sunnybrook Research Institute, Toronto, ON, Canada.,Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.,Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.,Provincial Centre of Weaning Excellence, Toronto East General Hospital, Toronto, ON, Canada
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Jones A, Horsnell J, Kum F, Rose L, Foxall G, Irvine T. 74. Post-operative pain in breast patients: Use of the pectoral nerve II blocks. Eur J Surg Oncol 2016. [DOI: 10.1016/j.ejso.2016.06.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Sivakumar S, Taccone FS, Desai KA, Lazaridis C, Skarzynski M, Sekhon M, Henderson W, Griesdale D, Chapple L, Deane A, Williams L, Strickland R, Lange K, Heyland D, Chapman M, Rowland MJ, Garry P, Westbrook J, Corkill R, Antoniades CA, Pattinson KT, Fatania G, Strong AJ, Myers RB, Lazaridis C, Jermaine CM, Robertson CS, Rusin CG, Hofmeijer J, Sondag L, Tjepkema-Cloostermans MC, Beishuizen A, Bosch FH, van Putten MJAM, Carteron L, Patet C, Solari D, Oddo M, Ali MA, Dias C, Almeida R, Vaz-Ferreira A, Silva J, Monteiro E, Cerejo A, Rocha AP, Elsayed AA, Abougabal AM, Beshey BN, Alzahaby KM, Pozzebon S, Ortiz AB, Cristallini S, Lheureux O, Brasseur A, Vincent JL, Creteur J, Taccone FS, Hravnak M, Yousef K, Chang Y, Crago E, Friedlander RM, Abdelmonem SA, Tahon SA, Helmy TA, Meligy HS, Puig F, Dunn-Siegrist I, Pugin J, Gupta S, Govil D, Srinivasan S, Patel SJ, N JK, Gupta A, Tomar DS, Shafi M, Harne R, Arora DP, Talwar N, Mazumdar S, Papakrivou EE, Makris D, Manoulakas E, Tsolaki B, Karadodas B, Zakynthinos E, Garcia IP, Martin AD, Encinares VS, Ibañez MP, Montero JG, Labrador G, Cangueiro TC, Poulose V, Koh J, Kam JW, Yeter H, Stepinska J, Pérez AG, Ordoñez PF, Giribet A, Cuervo MAA, Cuervo RA, Esteban MAR, Fraile LI, Mittelbrum CP, Albaiceta GM, Kara A, Koeze J, Keus F, Dieperink W, van der Horst ICC, van Meurs M, Zijlstra JG, Roberts S, Caballero CH, Isgro G, Hall D, Aktepe O, Beitland S, Trøseid AMS, Brusletto BS, Waldum-Grevbo BE, Berg JP, Sunde K, Huertas DG, Manzano F, Quintana MMJ, Osuna A, Topeli A, Santiago-Ruiz F, Rodríguez-Mejías C, Wangensteen R, Jamaati HR, Masjedi M, Zand F, Hashemian SMR, Sabetian G, Abbasi G, Khaloo V, Tsolakoglou I, Tabei SH, Kafilzadeh A, Bakhodaei HH, Diaz JA, Silva R, Garcia DJ, Luis E, Gomez MN, Soriano R, Gonzalez PL, Intas G, Ibrahim IA, Rafik MM, Al-Ansary AM, Algendi MA, Ali AA, Fuhrmann V, Roedl K, Horvatits T, Drolz A, Rutter K, Stergiannis P, Benten D, Kluwe J, Siedler S, Kluge S, Adedugbe I, Bird GT, Kennedy RM, Sharma S, Butler MB, Yugi G, Kolaros AA, Haroon BA, Witter T, Khaliq W, Singer M, Havaldar AA, Krishna B, Sriram S, Espinoza EDV, Pozo MO, Edul VSK, Chalari E, Furche M, Motta MF, Vazquez AR, Birri PNR, Ince C, Dubin A, Dogliotti A, Ramos A, Lovesio C, Delile E, Athanasiadou E, Nevière R, Thiébaut PA, Maupoint J, Mulder P, Coquerel D, Renet S, do Rego JC, Rieusset J, Richard V, Tamion F, Martika A, Khaliq W, Andreis DT, Singer M, Smit B, Smulders YM, de Waard MC, van Straaten HMO, Girbes ARJ, Eringa EC, Man AMESD, Fildisis G, Alegría L, Soto D, Luengo C, Gomez J, Jarufe N, Bruhn A, Castro R, Kattan E, Tapia P, Rebolledo R, Faivre V, Achurra P, Ospina-Tascón G, Bakker J, Hernández G, Bertini P, Guarracino F, Baldassarri R, Pinsky MR, Alegría L, Vera M, Mengelle C, Dreyse J, Carpio D, Henriquez C, Gajardo D, Bravo S, Castro R, Ospina-Tascón G, Bakker J, Hernández G, Kim S, Favier B, Lee M, Park SY, So S, Lee H, Kačar MB, Kačar SM, Uddin I, Belhaj AM, Aydın MA, Avsec D, Payen D, Kapuağası A, Kaymak Ç, Kovach L, Şencan İ, Meço B, Özçelik M, Ünal N, Lazaridis C, Jenni-Moser B, Jeitziner MM, Poppe A, Galassi MS, Sales FL, de Moraes KCL, Batista CL, Júnior JADS, Marcari TB, Lobato R, Castro CSAA, de Souza LM, Rodrigues FFP, Winkler MS, Correa NG, Pelegrini AM, Eid RAC, Timenetsky KT, Cazati D, Lobato M, Diniz PS, Rocha LL, Cavalheiro AM, Lucinio NM, Mudersbach E, Santos ER, Norrenberg M, Gleize A, Preiser JC, Simón IF, Carmona SA, Valhonrat IL, Domínguez JP, Abellán AN, Almudévar PM, Schreiber J, Dávila F, Rubio JJ, Ramos AJ, Reina ÁJR, López NP, Pérez MA, Apolo DXC, Villén LM, López FMP, García IP, Wruck ML, Izurieta JRN, Guerrero JJE, Calvert S, Quint M, Adeniji K, Young R, Shevill DD, Robertson E, Garside P, Walter E, Schwedhelm E, Isotti P, De Vecchi MM, Perduca AE, Negro A, Villa G, Manara DF, Cabrini L, Zangrillo A, Frencken JF, van Baal L, Kluge S, Peelen LM, Donker DW, Horn J, van der Poll T, van Klei WA, Bonten MJM, Cremer OL, Menard CE, Kumar A, Rimmer E, Zöllner C, Doucette S, Turgeon AF, Houston BL, Houston DS, Zarychanski R, Pinto BB, Carrara M, Ferrario M, Bendjelid K, Nunes J, Tavladaki T, Diaz P, Silva G, Escórcio S, Chaves S, Jardim M, Fernandes N, Câmara M, Duarte R, Pereira CA, Vieira J, Spanaki AM, Nóbrega JJ, Robles CMC, de Oca-Sandoval MAM, Sánchez-Rodríguez A, Joya-Galeana JG, Correa-Morales A, Camarena-Alejo G, Aguirre-Sánchez J, Franco-Granillo J, Soliman M, Dimitriou H, Al Azab A, El Hossainy R, Nagy H, Nirmalan M, Crippa IA, Cavicchi FZ, Vincent JL, Creteur J, Taccone FS, Chaari A, Kondili E, Hakim KA, Hassanein H, Etman M, El Bahr M, Bousselmi K, Khalil ES, Kauts V, Casey WF, Imahase H, Sakamoto Y, Choulaki C, Inoue S, Yamada KC, Koami H, Miike T, Nagashima F, Iwamura T, Boscolo A, Lucchetta V, Piasentini E, Bertini D, Meleti E, Manesso L, Spiezia L, Simioni P, Ori C, Souza RB, Martins AM, Liberatore AMA, Kang YR, Nakamae MN, Vieira JCF, Kafetzopoulos D, Koh IHJ, Hanslin K, Wilske F, Skorup P, Sjölin J, Lipcsey M, Long WJ, Zhen CE, Vakalos A, Avramidis V, Georgopoulos D, Wu SH, Shyu LJ, Li CH, Yu CH, Chen HC, Wang CH, Lin KH, Aray ZE, Gómez CF, Tejero AP, Briassoulis G, Monge DD, Losada VM, Tarancón CM, Cortés SD, Gutiérrez AM, Álvarez TP, Rouze A, Jaffal K, Six S, Stolz K, la Torre AGD, Cattoen V, Nseir S, Arnal JM, Saoli M, Novotni D, Garnero A, Becher T, Buchholz V, Schädler D, Frerichs I, de la Torre-Prados MV, Weiler N, Eronia N, Mauri T, Gatti S, Maffezzini E, Bronco A, Alban L, Sasso T, Marenghi C, Grasselli G, Tsvetanova-Spasova T, Pesenti A, Bellani G, Al-Fares A, Del Sorbo L, Anwar S, Facchin F, Azad S, Zamel R, Ferguson N, Cypel M, Nuevo-Ortega P, Keshavjee S, Fan E, Durlinger E, Spoelstra-de Man A, Smit B, de Grooth HJ, Girbes A, Straaten HOV, Smulders Y, Alfaro MA, Rueda-Molina C, Parrilla F, Meli A, Pellegrini M, Rodriguez N, Goyeneche JM, Morán I, Aguirre H, Mancebo J, Heines SJH, Strauch U, Fernández-Porcel A, Bergmans DCJJ, Blankman P, Shono A, Hasan D, Gommers D, Chung WY, Lee KS, Jung YJ, Park JH, Sheen SS, Camara-Sola E, Park KJ, Worral R, Denham S, Isherwood P, Rees SE, Larraza S, Dey N, Spadaro S, Brohus JB, Winding RW, Salido-Díaz L, Volta CA, Karbing DS, Ampatzidou F, Vlachou A, Kehagioglou G, Karaiskos T, Madesis A, Mauromanolis C, Michail N, Drossos G, García-Alcántara A, Saraj N, Rijkenberg S, Feijen HM, Endeman H, Donnelly AAJ, Morgan E, Garrard H, Buckley H, Russell L, Haase N, Tavladaki T, Perner A, Goh C, Mouyis K, Woodward CLN, Halliday J, Encina GB, Ros J, Lagunes L, Tabernero J, Bosch F, Spanaki AM, Rello J, Huertas DG, Manzano F, Morente-Constantin E, Rivera-Ginés B, Colmenero-Ruiz M, Abellán AN, Pérez LP, Lucendo AP, Almudévar PM, Dimitriou H, Domínguez JP, Villamizar PR, Sanz JG, Simon IF, Valbuena BL, Carmona SA, Pais M, Ramalingam S, Díaz C, Fox L, Kondili E, Santafe M, Barba P, García M, Leal S, Pérez M, Pérez MLP, Abellán AN, Lucendo AP, Almudevar PM, Domínguez JP, Choulaki C, Villamizar PR, Veganzones J, Simón IF, Valbuena BL, Martínez N, 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ESICM LIVES 2016: part two. Intensive Care Med Exp 2016. [PMCID: PMC5042923 DOI: 10.1186/s40635-016-0099-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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McKim D, Rose L. Efficacy of Mechanical Insufflation-Exsufflation in Extubating Unweanable Subjects With Restrictive Pulmonary Disorders. Respir Care 2015; 60:621-2. [DOI: 10.4187/respcare.04051] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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Wrenn C, O'Brien D, Keating D, Roche C, Rose L, Ronayne A, Fenelon L, Fitzgerald S, Crowley B, Schaffer K. Investigation of the first outbreak of OXA-48-producing Klebsiella pneumoniae in Ireland. J Hosp Infect 2014; 87:41-6. [PMID: 24746608 DOI: 10.1016/j.jhin.2014.03.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [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: 09/20/2013] [Accepted: 03/07/2014] [Indexed: 01/08/2023]
Abstract
BACKGROUND Carbapenemase-producing Enterobacteriaceae (CPE) strains are encountered with increasing frequency in Europe. In November 2010 the European Centre for Disease Control (ECDC) graded Ireland as only having sporadic occurrence of CPE. AIM To describe the epidemiological and molecular typing analysis of the first outbreak of OXA-48-producing Klebsiella pneumoniae in an Irish tertiary care referral centre. METHODS Sixteen OXA-48-producing K. pneumoniae isolates were detected, from both clinical and screening specimens, and analysed by pulsed-field gel electrophoresis and by multi-locus sequence typing. FINDINGS Typing analysis revealed that two outbreak strains were circulating in the hospital, one among surgical patients and one among medical patients. The 'medical strain' ST13 had already been identified as an internationally disseminated clone, whereas the 'surgical strain' ST221 had not previously been reported as an OXA-48-carrying strain. CONCLUSION Although the outbreak on surgical wards was successfully controlled by implementing strict infection control measures, intermittent detection of individual patients carrying the 'medical strain' of OXA-48 K. pneumoniae has persisted since then. The experience from this outbreak suggests that OXA-48 K. pneumoniae is endemic at low level in the healthcare setting in the Dublin region.
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Affiliation(s)
- C Wrenn
- Department of Microbiology, St Vincent's University Hospital & UCD School of Medicine and Medical Science, Dublin, Ireland
| | - D O'Brien
- Department of Microbiology, St Vincent's University Hospital & UCD School of Medicine and Medical Science, Dublin, Ireland
| | - D Keating
- Department of Microbiology, St Vincent's University Hospital & UCD School of Medicine and Medical Science, Dublin, Ireland
| | - C Roche
- St James's Hospital, Dublin, Ireland
| | - L Rose
- St James's Hospital, Dublin, Ireland
| | - A Ronayne
- Department of Microbiology, St Vincent's University Hospital & UCD School of Medicine and Medical Science, Dublin, Ireland
| | - L Fenelon
- Department of Microbiology, St Vincent's University Hospital & UCD School of Medicine and Medical Science, Dublin, Ireland
| | - S Fitzgerald
- Department of Microbiology, St Vincent's University Hospital & UCD School of Medicine and Medical Science, Dublin, Ireland
| | - B Crowley
- St James's Hospital, Dublin, Ireland
| | - K Schaffer
- Department of Microbiology, St Vincent's University Hospital & UCD School of Medicine and Medical Science, Dublin, Ireland.
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Sneyers B, Luk E, Perreault M, Williamson D, Rose L, Mehta S, Burry L. Factors influencing the use of physical restraints in Canadian ICUs. Crit Care 2013. [DOI: 10.1186/cc12332] [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: 11/10/2022] Open
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Rose L, Dunn ME, Bédard C. Effect of canine hyperadrenocorticism on coagulation parameters. J Vet Intern Med 2012; 27:207-11. [PMID: 23278831 DOI: 10.1111/jvim.12005] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2011] [Revised: 07/30/2012] [Accepted: 09/24/2012] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Hyperadrenocorticism (HAC) has been associated with thrombotic disease in dogs. HYPOTHESIS The purpose of this study was to use thromboelastography (TEG) and measurement of thrombin generation (TG) to characterize the hypercoagulable state in dogs with HAC. We hypothesized that dogs with HAC would have a hypercoagulable profile on TEG tracings and an increase in thrombin generation as measured by endogenous thrombin potential (ETP). ANIMALS Sixteen dogs with HAC. Dogs were compared with a population of normal dogs used to obtain reference intervals. METHODS TEG tracings on citrated whole blood were obtained from 15 dogs, and TG measurements on frozen-thawed platelet-poor plasma (PPP) were obtained from 15 dogs. RESULTS For the TEG analysis, when results of individual dogs were compared with the reference interval, 12/15 dogs had at least 1 parameter associated with hypercoagulability. When the population of HAC dogs was compared with a population of healthy dogs, HAC dogs had decreases in R and K and increases in α and MA values. The ETP was increased when the HAC group was compared with a population of normal dogs. However, only 3/15 dogs had an ETP above reference interval, and 1/15 had a decreased lag time. CONCLUSION AND CLINICAL IMPORTANCE Of 16 dogs with HAC, 12/15 had evidence of hypercoagulability when evaluated by TEG, 4/15 when evaluated by TG, and 2 dogs had increases in ETP and MA.
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Affiliation(s)
- L Rose
- Université de Montréal, Montreal, Quebec, Canada.
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Zask A, Barnett LM, Rose L, Brooks LO, Molyneux M, Hughes D, Adams J, Salmon J. Three year follow-up of an early childhood intervention: is movement skill sustained? Int J Behav Nutr Phys Act 2012; 9:127. [PMID: 23088707 PMCID: PMC3520827 DOI: 10.1186/1479-5868-9-127] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2012] [Accepted: 10/10/2012] [Indexed: 11/10/2022] Open
Abstract
Background Movement skill competence (e.g. the ability to throw, run and kick) is a potentially important physical activity determinant. However, little is known about the long-term impact of interventions to improve movement skills in early childhood. This study aimed to determine whether intervention preschool children were still more skill proficient than controls three years after a 10 month movement skill focused intervention: ‘Tooty Fruity Vegie in Preschools’. Methods Children from 18 intervention and 13 control preschools in NSW, Australia were assessed at ages four (Time1), five (T2) and eight years (T3) for locomotor (run, gallop, hop, leap, horizontal jump, slide) and object control proficiency (strike, bounce, catch, kick, overhand throw, underhand roll) using the Test of Gross Motor Development-2. Multi-level object control and locomotor regression models were fitted with variables time, intervention (yes/no) and a time*intervention interaction. Both models added sex of child and retained if significant, in which case interactions of sex of child with other variables were modelled and retained. SPSS (Version 17.0) was used. Results Overall follow-up rate was 29% (163/560). Of the 137 students used in the regression models, 53% were female (n = 73). Intervention girls maintained their object control skill advantage in comparison to controls at T3 (p = .002), but intervention boys did not (p = .591). At T3, there were no longer intervention/control differences in locomotor skill (p = .801). Conclusion Early childhood settings should implement movement skill interventions and more intensively target girls and object control skills.
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Affiliation(s)
- Avigdor Zask
- Health Promotion Unit, Northern New South Wales Local Health District, Lismore, NSW, Australia
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Van Beurden EK, Kia AM, Zask A, Dietrich U, Rose L. Making sense in a complex landscape: how the Cynefin Framework from Complex Adaptive Systems Theory can inform health promotion practice. Health Promot Int 2011; 28:73-83. [PMID: 22128193 DOI: 10.1093/heapro/dar089] [Citation(s) in RCA: 116] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Health promotion addresses issues from the simple (with well-known cause/effect links) to the highly complex (webs and loops of cause/effect with unpredictable, emergent properties). Yet there is no conceptual framework within its theory base to help identify approaches appropriate to the level of complexity. The default approach favours reductionism--the assumption that reducing a system to its parts will inform whole system behaviour. Such an approach can yield useful knowledge, yet is inadequate where issues have multiple interacting causes, such as social determinants of health. To address complex issues, there is a need for a conceptual framework that helps choose action that is appropriate to context. This paper presents the Cynefin Framework, informed by complexity science--the study of Complex Adaptive Systems (CAS). It introduces key CAS concepts and reviews the emergence and implications of 'complex' approaches within health promotion. It explains the framework and its use with examples from contemporary practice, and sets it within the context of related bodies of health promotion theory. The Cynefin Framework, especially when used as a sense-making tool, can help practitioners understand the complexity of issues, identify appropriate strategies and avoid the pitfalls of applying reductionist approaches to complex situations. The urgency to address critical issues such as climate change and the social determinants of health calls for us to engage with complexity science. The Cynefin Framework helps practitioners make the shift, and enables those already engaged in complex approaches to communicate the value and meaning of their work in a system that privileges reductionist approaches.
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Affiliation(s)
- Eric K Van Beurden
- North Coast Health Promotion, New South Wales Health, 31 Uralba Street, Lismore, NSW 2480, Australia.
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O'Brien DJ, Wrenn C, Roche C, Rose L, Fenelon C, Flynn A, Murphy V, FitzGerald SF, Fenelon LE, Crowley B, Schaffer K. First isolation and outbreak of OXA-48-producing Klebsiella pneumoniae in an Irish hospital, March to June 2011. Euro Surveill 2011; 16:19921. [PMID: 21801694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
Five OXA-48-producing Klebsiella pneumoniae were detected in a tertiary referral hospital in Ireland between March and June 2011. They were found in the clinical isolates of five cases that were inpatients on general surgical wards. None of the cases had received healthcare at a facility outside of Ireland in the previous 12 months. This is the first report of OXA-48-producing K. pneumoniae in Ireland.
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Affiliation(s)
- D J O'Brien
- Department of Microbiology, St. Vincent's University Hospital, Dublin, Ireland.
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O’Brien DJ, Wrenn C, Roche C, Rose L, Fenelon C, Flynn A, Murphy V, FitzGerald SF, Fenelon LE, Crowley B, Schaffer K. First isolation and outbreak of OXA-48-producing Klebsiella pneumoniae in an Irish hospital, March to June 2011. Euro Surveill 2011. [DOI: 10.2807/ese.16.29.19921-en] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [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
Five OXA-48-producing Klebsiella pneumoniae were detected in a tertiary referral hospital in Ireland between March and June 2011. They were found in the clinical isolates of five cases that were inpatients on general surgical wards. None of the cases had received healthcare at a facility outside of Ireland in the previous 12 months. This is the first report of OXA-48-producing K. pneumoniae in Ireland.
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Affiliation(s)
- D J O’Brien
- Department of Microbiology, St. Vincent’s University Hospital, Dublin, Ireland
| | - C Wrenn
- Department of Microbiology, St. Vincent’s University Hospital, Dublin, Ireland
| | - C Roche
- St. James’s Hospital, Dublin, Ireland
| | - L Rose
- St. James’s Hospital, Dublin, Ireland
| | - C Fenelon
- Department of Microbiology, St. Vincent’s University Hospital, Dublin, Ireland
| | - A Flynn
- Department of Microbiology, St. Vincent’s University Hospital, Dublin, Ireland
| | - V Murphy
- Department of Microbiology, St. Vincent’s University Hospital, Dublin, Ireland
| | - S F FitzGerald
- Department of Microbiology, St. Vincent’s University Hospital, Dublin, Ireland
| | - L E Fenelon
- Department of Microbiology, St. Vincent’s University Hospital, Dublin, Ireland
| | - B Crowley
- St. James’s Hospital, Dublin, Ireland
| | - K Schaffer
- Department of Microbiology, St. Vincent’s University Hospital, Dublin, Ireland
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Abstract
Our objective was to describe, in Australian and New Zealand adult intensive care units, the relative frequency in which various clinical criteria were used to predict weaning and extubation, and the weaning methods employed. Participant intensivists at 55 intensive care units completed a self-administered questionnaire, using visual analogue scales (0=not at all predictive, 10=perfectly predictive, not used=null score) to record the perceived utility of 30 potential predictors. Survey response rate was 71% (164/230). Those variables thought most predictive of weaning readiness were respiratory rate (median score 8.0, interquartile range 7.0 to 8.6) effective cough (7.3, 5.9 to 8.2) and pressure support setting (7.2, 6.0 to 8.0). The most highly rated predictors of extubation success were effective cough (8.0, 7.0 to 9.0), respiratory rate (8.0, 7.0 to 8.5) and Glasgow Coma Score (7.9, 6.1 to 8.3). Variables perceived least predictive of weaning and extubation success were P0.1, Acute Physiological and Chronic Health Evaluation score II, mean arterial pressure, electrolytes and maximum inspiratory pressure (individual median scores <5). Most popular clinical criteria were those perceived to have high predictive accuracy, both for weaning (respiratory rate 96%, pressure support setting 94% and Glasgow coma score 91%) and extubation readiness (respiratory rate 98%, effective cough 94% and Glasgow Coma Score 92%). Weaning mostly employed pressure support ventilation (55%), with less use of synchronised intermittent mandatory ventilation (32%) and spontaneous breathing trials (13%). Classic ventilatory performance predictors including respiratory rate and effective cough were reported to be of greater clinical utility than other more recently proposed measures.
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Affiliation(s)
- L. Rose
- Intensive Care Unit, Royal Melbourne Hospital, Melbourne, Victoria, Australia
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada
| | - J. J. Presneill
- Intensive Care Unit, Royal Melbourne Hospital, Melbourne, Victoria, Australia
- Intensive Care Unit, Mater Hospital, Brisbane, Queensland
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Gallwitz B, Haupt A, Kraus P, Peters N, Petto H, Dotta F, Petto H, Poll L, Rose L, Schernthaner G. Changes in body composition after 9 months of treatment with exenatide twice daily versus glimepiride: comment letter on Jendle et al. Diabetes Obes Metab 2010; 12:1127-8. [PMID: 20977586 DOI: 10.1111/j.1463-1326.2010.01309.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Schernthaner G, Guerci B, Gallwitz B, Rose L, Nicolay C, Kraus P, Kazda C. Impact of postprandial and fasting glucose concentrations on HbA1c in patients with type 2 diabetes. Diabetes & Metabolism 2010; 36:389-94. [DOI: 10.1016/j.diabet.2010.04.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2009] [Revised: 04/20/2010] [Accepted: 04/21/2010] [Indexed: 10/19/2022]
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Kolassa R, Mühlen H, Maraun M, Rose L, Hellenkamp A, Eberlein G, Donaubauer B, Busch K, Häußler RU, Jung R, Göbel R, Jansen I, Semmler S, Kohn W, Schulze-Schleppinghof B, Sack A, Bonnermann S, Thomas A. Nutzung des kontinuierlichen Glukosemonitorings (CGM) zur Ausschöpfung des Bolusmanagements von modernen Insulinpumpen. DIABETOL STOFFWECHS 2010. [DOI: 10.1055/s-0030-1253847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Funk M, Winker C, May J, Stephens K, Fennie K, Feder S, Laragy M, Rose L, Turkman Y, Drew B. 43 Oral Deficiencies in Nurses Knowledge and Substandard Practice Related to ECG Monitoring: Baseline Results of the Pulse Trial. Eur J Cardiovasc Nurs 2010. [DOI: 10.1016/s1474-5151(10)60025-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- M. Funk
- Yale University School of Nursing, New Haven, United States of America
| | - C.G. Winker
- Yale University School of Nursing, New Haven, United States of America
| | - J.L. May
- Yale University School of Nursing, New Haven, United States of America
| | - K. Stephens
- University of California San Francisco, San Francisco, United States of America
| | - K.P. Fennie
- Yale University School of Nursing, New Haven, United States of America
| | - S. Feder
- Yale University School of Nursing, New Haven, United States of America
| | - M. Laragy
- Yale University School of Nursing, New Haven, United States of America
| | - L. Rose
- Yale University School of Nursing, New Haven, United States of America
| | - Y. Turkman
- Yale University School of Nursing, New Haven, United States of America
| | - B.J. Drew
- University of California San Francisco, San Francisco, United States of America
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