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Spiessberger A, Gruter B, Prashant G, Haegler J, Eisenberg M, Cohen-Gadol AA, Dehdashti AR. A Contemporary Clinico-Anatomical Guide to Craniovertebral Junction Surgery. J Neurol Surg B Skull Base 2023; 84:413-420. [PMID: 37405236 PMCID: PMC10317559 DOI: 10.1055/s-0042-1755600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 06/20/2022] [Indexed: 10/14/2022] Open
Abstract
Background Surgical treatment of ventral and ventrolateral lesions of the craniocervical junction are among the most challenging neurosurgical pathologies to treat. Three surgical techniques, the far lateral approach (and its variations), the anterolateral approach, and the endoscopic far medial approach can be used to approach and resect lesions in this area. Objective The aim of the study is to examine the surgical anatomy of three skull base approaches to the craniocervical junction and review surgical cases to better understand the indications and possible complications for each of these approaches. Methods Cadaveric dissections with standard microsurgical and endoscopic instruments were performed for each of the three surgical approaches, and key steps and surgically relevant anatomy were documented. Six patients with appropriate pre-, post-, and intraoperative imaging and video documentation are presented and discussed accordingly. Results Based on our institutional experience, all three approaches can be utilized to safely and effectively approach a wide variety of neoplastic and vascular pathology. Unique anatomical characteristics, lesion morphology and size, and tumor biology should all be considered when determining the optimal approach. Conclusion Preoperative assessment of surgical corridors with 3D illustrations helps to define the best surgical corridor. 360 degree knowledge of the anatomy of craniovertebral junction allows safe surgical approach and treatment of ventral and ventrolateral located lesions using one of the three approaches.
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Affiliation(s)
| | - Basil Gruter
- Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland
| | - Giyarpuram Prashant
- Department of Neurosurgery, North Shore University Hospital, Manhasset, New York, United States
| | - Joshua Haegler
- Department of Neurosurgery, Kantonsspital Aarau AG, Aarau, Aargau, Switzerland
| | - Mark Eisenberg
- Department of Neurosurgery, North Shore University Hospital, Manhasset, New York, United States
| | - Aaron A. Cohen-Gadol
- Department of Neurological Surgery, Indiana University School of Medicine, Goodman Campbell Brain and Spine, Indianapolis, Indiana, United States
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Deboever N, Eisenberg M, Hofstetter W, Mehran R, Rajaram R, Rice D, Swisher S, Walsh G, Vaporciyan A, Sepesi B, Antonoff M. 113P Clinical overstaging in pathologic stage I non-small cell lung cancer: Prognostic implications. J Thorac Oncol 2023. [DOI: 10.1016/s1556-0864(23)00368-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
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Belladelli F, Pozzi E, Fallara G, Cilio S, Corsini C, Lanzaro F, Candela L, Bertini A, Raffo M, Negri F, Cella L, Fantin M, Capogrosso P, Boeri L, D’Arma A, Eisenberg M, Pagliardini L, Montorsi F, Salonia A. A Machine Learning-derived Nomogram to predict pregnancy in Infertile couples with male factor infertility undergoing medically assisted reproduction techniques. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00277-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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4
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Unadkat P, Vitkovski T, Zaidi R, Eisenberg M. Meningothelial Hamartoma Overlying a Prior Craniotomy: A Case Report and Review of Literature. Asian J Neurosurg 2022; 17:137-140. [PMID: 35873844 PMCID: PMC9298592 DOI: 10.1055/s-0042-1749129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
AbstractMeningothelial hamartomas are benign lesions of the scalp with a handful of case reports published. Usually thought to be congenital lesions, they have, on occasion, been seen in older adults. In this report, we describe the first ever reported case of a patient diagnosed with a meningothelial hamartoma overlying a prior craniotomy performed two decades prior. We also briefly describe the literature surrounding these rare lesions, as well as their management and differential diagnosis.
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Affiliation(s)
- Prashin Unadkat
- Department of Neurosurgery, North Shore University Hospital, Northwell Health, Manhasset, New York, United States
- Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, New York, United States
| | - Taisia Vitkovski
- Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, New York, United States
- Department of Pathology, North Shore University Hospital, Northwell Health, Manhasset, New York, United States
| | - Raza Zaidi
- Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, New York, United States
- Department of Pathology, North Shore University Hospital, Northwell Health, Manhasset, New York, United States
| | - Mark Eisenberg
- Department of Neurosurgery, North Shore University Hospital, Northwell Health, Manhasset, New York, United States
- Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, New York, United States
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5
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d’Entremont MA, Wee CC, Nguyen M, Couture ÉL, Lemaire-Paquette S, Kouz S, Afilalo M, Rinfret S, Schampaert E, Mansour S, Montigny M, Eisenberg M, Lauzon C, Déry JP, L’Allier P, Tardif JC, Huynh T. Racial Disparities in Acute Coronary Syndrome Management Within a Universal Healthcare Context: Insights From the AMI-OPTIMA Trial. CJC Open 2021; 3:S28-S35. [PMID: 34993431 PMCID: PMC8712605 DOI: 10.1016/j.cjco.2021.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 07/07/2021] [Indexed: 11/30/2022] Open
Abstract
Background Although prior studies have demonstrated racial disparities regarding acute coronary syndrome (ACS) care within private or mixed healthcare systems, few researchers have explored such disparities within universal healthcare systems. We aimed to evaluate the quality and outcomes of in-hospital ACS management for White patients vs patients of colour, within a universal healthcare context. Methods We performed a post hoc analysis of the Acute Myocardial Infarction - Knowledge Translation to Optimize Adherence to Evidence-Based Therapy study, a cluster-randomized trial evaluating a knowledge-translation intervention at 24 hospitals in Quebec, Canada (years: 2009 and 2012). The primary endpoint was coronary catheterization. The secondary endpoints included in-hospital mortality, percutaneous and surgical coronary revascularization, major bleeding, total stroke, and discharge prescription of evidence-based medical therapy. Results Of 3444 included patients, 2738 were White, and 706 were people of colour. The mean age was 68.2 years (33.3% women) among White patients and 69.5 years (36.0% women) among patients of colour. Patients of colour were less likely to undergo in-hospital coronary catheterization than were White patients (74.5% vs 80.3%, P = 0.001). This difference was attenuated after adjusting for patient-level characteristics (odds ratio 0.89; 95% confidence interval 0.73-1.09), and it was eliminated after adjusting for hospital-level characteristics (odds ratio 1.04; 95% confidence interval 0.73-1.49). Conclusions Racial disparity in coronary catheterization for ACS persists within a universal healthcare context. Patients’ comorbidities and hospital-level factors may be partially responsible for this inequality. Future research on cardiovascular healthcare in patients with diverse racial/ethnic backgrounds in universal healthcare systems is needed to remediate racial inequality in ACS management.
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Affiliation(s)
- Marc-André d’Entremont
- Sherbrooke University Hospital Centre (CHUS), Department of Medicine, Division of Cardiology, Sherbrooke, Quebec, Canada
- Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Christina C. Wee
- Beth Israel Deaconess Medical Centre, Department of Medicine, Division of General Medicine, Boston, Massachusetts, USA
- Harvard Medical School, Boston, Massachusetts, USA
| | - Michel Nguyen
- Sherbrooke University Hospital Centre (CHUS), Department of Medicine, Division of Cardiology, Sherbrooke, Quebec, Canada
| | - Étienne L. Couture
- Sherbrooke University Hospital Centre (CHUS), Department of Medicine, Division of Cardiology, Sherbrooke, Quebec, Canada
| | - Samuel Lemaire-Paquette
- Sherbrooke University Hospital Centre (CHUS), Department of Medicine, Division of Cardiology, Sherbrooke, Quebec, Canada
| | - Simon Kouz
- Centre Hospitalier Régional de Lanaudière, Department of Medicine, Saint-Charles-Borromée, Quebec, Canada
| | - Marc Afilalo
- Jewish General Hospital, Department of Emergency Medicine, Montreal, Quebec, Canada
| | - Stéphane Rinfret
- McGill Health University Centre, Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada
| | - Erick Schampaert
- Hôpital du Sacré-Cœur de Montreal, Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada
| | - Samer Mansour
- Montreal University Hospital Centre (CHUM), Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada
| | - Martine Montigny
- Cité-de-la-Santé, Department of Medicine, Division of Cardiology, Laval, Quebec, Canada
| | - Mark Eisenberg
- McGill Health University Centre, Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada
| | - Claude Lauzon
- Centre Hospitalier Régional de l’Amiante, Department of Medicine, Thetford Mines, Quebec, Canada
| | - Jean-Pierre Déry
- Quebec Heart and Lung Institute, Department of Medicine, Division of Cardiology, Quebec City, Quebec, Canada
| | - Philippe L’Allier
- Montreal Heart Institute, Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada
| | - Jean-Claude Tardif
- Montreal Heart Institute, Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada
| | - Thao Huynh
- McGill Health University Centre, Department of Medicine, Division of Cardiology, Montreal, Quebec, Canada
- Corresponding author: Dr Thao Huynh, McGill University Health Centre, 1650 Ave, Cedar, Rm E-5200, Montréal, Quebec H3G 1A4, Canada. Tel.: +1-514-934-8075.
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Goodman S, Bagai A, Tan M, Andrade J, Spindler C, Malek-Marzban P, Har B, Yip A, Paniagua M, Elbarouni B, Bainey K, Paradis J, Maranda R, Cantor W, Doucet M, Khan R, Eisenberg M, Dery J, Schwalm J, Madan M, Lam A, Hameed A, Noronha L, Cieza T, Matteau A, Roth S, So D, Lavi S, Glanz A, Gao D, Tahiliani R, Welsh R, Kim H, Robinson S, Daneault B, Chong A, Le May M, Ahooja V, Gregoire J, Nadeau P, Laksman Z, Heilbron B, Bonakdar H, Yung D, Yan A. ANTITHROMBOTIC THERAPIES IN CANADIAN ATRIAL FIBRILLATION PATIENTS WITH CONCOMITANT CORONARY ARTERY DISEASE: INSIGHTS FROM THE CONNECT AF+PCI-I AND -II PROGRAMS. Can J Cardiol 2021. [DOI: 10.1016/j.cjca.2021.07.030] [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: 11/24/2022] Open
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Eisenberg M, Ibn Essayed W, Al-Mefty O. Extirpation of Recurrent Petrous Apex Cholesterol Granuloma Through the Zygomatic Approach: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown) 2021; 21:E229-E230. [PMID: 34114037 DOI: 10.1093/ons/opab156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 03/14/2021] [Indexed: 11/14/2022] Open
Abstract
Petrous apex cholesterol granulomas are believed to result from blockage of the normal aeration of the petrous air cells, resulting in a repetitive cycle of mucosal engorgement, hemorrhage, and granuloma formation.1 The lesion usually progressively expands causing compressive symptoms. The thick granulomatous wall envelopes various ages of breakdown products, including a cholesterol-containing fluid, which is typically hyperintense on T1 and T2 weighted magnetic resonance imaging. Drainage procedures, regardless of the route (endoscopic, endonasal, or transtemporal), with or without stenting or marsupialization, will only temporarily drain this cholesterol-containing fluid, with consequently frequent recurrences.2-5 A total exoneration of the granuloma and obliteration of the cavity with vascularized tissue will assure a more durable outcome.1 The extradural zygomatic/middle fossa approach provides a short distance to the petrous apex and is purely extradural. By sectioning the zygoma, temporal lobe retraction is avoided.6 We present a case of a 29-yr-old male who presented in the year 2000 with progression of a left petrous apex cholesterol granuloma despite 2 previous drainage and stenting procedures. The patient consented for surgery and photo publication. Images in video at 2:41 © JNSPG, republished from Eisenberg et al1 with permission.
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Affiliation(s)
- Mark Eisenberg
- Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York, USA
| | - Walid Ibn Essayed
- Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Ossama Al-Mefty
- Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
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8
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D'Entremont MA, Wee CC, Couture ÉL, Nguyen M, Lemaire-Paquette S, Afilalo M, Déry JP, Eisenberg M, Kouz S, L'Allier P, Lauzon C, Mansour S, Montigny M, Rinfret S, Schampaert E, Tardif JC, Huynh T. RACIAL DISPARITIES IN ACUTE CORONARY SYNDROME MANAGEMENT WITHIN THE CANADIAN UNIVERSAL HEALTHCARE SYSTEM: INSIGHTS FROM THE AMI-OPTIMA TRIAL. J Am Coll Cardiol 2021. [DOI: 10.1016/s0735-1097(21)01412-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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9
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Peto I, Abou-Al-Shaar H, White TG, Abunimer AM, Kwan K, Zavadskiy G, Wagner K, Black K, Eisenberg M, Bruni M, Dehdashti AR. Sources of residuals after endoscopic transsphenoidal surgery for large and giant pituitary adenomas. Acta Neurochir (Wien) 2020; 162:2341-2351. [PMID: 32700080 DOI: 10.1007/s00701-020-04497-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Accepted: 07/14/2020] [Indexed: 12/13/2022]
Abstract
BACKGROUND Giant and large pituitary adenomas (PA) constitute a specific subset of PAs, with gross total resection (GTR) rates frequently not exceeding 50%. Both an anatomical inaccessibility and an inadequate tumor visualization are thought to play a role. This study analyzes risk factors for postoperative residuals after endoscopic transsphenoidal pituitary surgery for large and giant pituitary adenomas. METHODS A retrospective analysis of patients with giant and large PA operated between 2015 and 2018 was performed. RESULTS Forty patients (13 females, 27 males) were included in the analysis (30 large and 10 giant PAs). The mean MRI follow-up time was 5.9 ± 6.54 months. Overall, GTR was achieved in 29 patients (72.5%), subtotal resection in 9 (22.5%), and the inconclusive result was in 2 (5%). Unexpected residuals represented 7 (77.7%) of all 9 residual tumors. The most frequent intraoperative factor associated with unexpected residual tumors was improper identification of residual tumor due to obstruction of view in 2 (28.5%) cases and inability to distinguish normal tissue from tumor in the other two (28.5%). Sub-analysis based on tumor size revealed that with large PAs, GTR was achieved in 25 (83.3%), STR in 4 (13.3%), and inconclusive in 1 (3.3%) patient. In patients with giant PAs, GTR was achieved in 4 (40%), STR in 5 (50%), and inconclusive in 1 (10%). Analysis of preoperative factors showed a significant association of residual tumors with larger suprasellar AP distance (p = 0.041), retrosellar extension (p = 0.007), and higher Zurich Score (p = 0.029). CONCLUSION Large and giant PAs are challenging lesions with high subtotal resection rates. Suprasellar AP distance, retrosellar extension, and higher Zurich Score seem to be significant predictors of degree of resection in these tumors. Improving the intraoperative ability to distinguish tumor from a normal tissue might further decrease the number of unexpected residuals.
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Affiliation(s)
- Ivo Peto
- Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY, 11030, USA.
- Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL, 33606, USA.
| | - Hussam Abou-Al-Shaar
- Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY, 11030, USA
- Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
| | - Timothy G White
- Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY, 11030, USA
| | - Abdullah M Abunimer
- Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Kevin Kwan
- Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY, 11030, USA
| | | | - Katherine Wagner
- Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY, 11030, USA
| | - Karen Black
- Department of Neuroradiology, North Shore University Hospital, Hofstra Northwell School of Medicine, Manhasset, NY, USA
| | - Mark Eisenberg
- Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY, 11030, USA
| | - Margherita Bruni
- Department of Otolaryngology, New York Head & Neck Institute, New York, NY, USA
| | - Amir R Dehdashti
- Department of Neurosurgery, Hofstra Northwell School of Medicine, Manhasset, NY, 11030, USA.
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10
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Larson N, Loth K, Eisenberg M, Neumark-Sztainer D. Disordered Eating is Prevalent among Adolescents and Young Adults of Diverse Socioeconomic Backgrounds: Findings from the Population-based EAT 2010-2018 Cohort. J Acad Nutr Diet 2020. [DOI: 10.1016/j.jand.2020.06.064] [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: 10/23/2022]
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11
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Stojanovski K, King E, Amico KR, Eisenberg M, Geronimus A, Schmidt A. Stigmatizing policies’ influence on HIV risk through their effect on internalized homonegativity and health behaviors among men who have sex with men in Europe. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Men who have sex with men (MSM) in Europe are most affected by HIV disparities. Complex systems theory proposes that many health behaviors and risks arise from numerous cascading and interacting processes. Our aim was to explore how stigmatizing policies at the European country-level create pathways to HIV risk and disparities among MSM in Europe.
Methods
We used data from the 2017 European Men Who Have Sex with Men Internet Survey (EMIS-2017). The anonymous online survey recruited 126,090 European MSM. We assessed condom use with steady & non-steady partners as the outcome. Condom use was categorized from zero to 10 (10 or more partners). Abuse was scored zero to three and internalized homonegativity from zero to six. We used the International Gay and Lesbian Association's Rainbow Index as the main predictor, which ranks European countries' laws and policies regarding LGBTQ+ legal protections from zero (worst) to 100 (best). We used structural equation and multi-level modeling for analyses.
Results
The mean Rainbow Index score was 50.8 with a range from 6 to 88. The Rainbow Index scores were the highest in Western European (mean=62.5), then Central European (mean=45.9), then Eastern Europe (mean=21.4) (p < 0.000). Unadjusted regression models suggested that for every one-unit improvement in the Rainbow Index the number of condomless sexual acts with steady sexual partners was reduced [β=-0.0012, 95% CI (-0.0016, -0.0009)]. The unadjusted structural equation model showed that the relationship between the Rainbow Index and condom use with steady partners was mediated by 30% because of internalized homonegativity (p < 0.000).
Conclusions
The policy context influences HIV risk, especially through the policies' effects on condom use. HIV research and prevention efforts must recognize that structural determinants can shape people's risk for HIV and that the best individual and local efforts may be undermined by structural factors such as policies.
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Affiliation(s)
- K Stojanovski
- Department of Health Behavior & Health Education, University of Michigan, Ann Arbor, USA
| | - E King
- Department of Health Behavior & Health Education, University of Michigan, Ann Arbor, USA
| | - K R Amico
- Department of Health Behavior & Health Education, University of Michigan, Ann Arbor, USA
| | - M Eisenberg
- Department of Epidemiology, University of Michigan, Ann Arbor, USA
| | - A Geronimus
- Department of Health Behavior & Health Education, University of Michigan, Ann Arbor, USA
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Pojskić M, Čustović O, Erwin KH, Dunn IF, Eisenberg M, Gienapp AJ, Arnautović KI. Microscopic and Endoscopic Skull Base Approaches Hands-On Cadaver Course at 30: Historical Vignette. World Neurosurg 2020; 142:434-440. [PMID: 32688034 DOI: 10.1016/j.wneu.2020.07.064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 04/24/2020] [Revised: 07/09/2020] [Accepted: 07/10/2020] [Indexed: 11/15/2022]
Abstract
Laboratory-based cadaveric training is essential for the development and refinement of neurosurgical technical skills in the operating room and has become an integral training component around the world. Postresidency fellowship-the first pillar of skull base surgery training-includes both hands-on clinical care and surgery supervised by an experienced skull base surgeon. Time is spent in a skull base laboratory practicing approaches and developing anatomic mastery. The second pillar includes formal skull-base courses-institutional dissection laboratories provide continuous anatomic and surgical education while complementary annual or semiannual cadaver courses gather recognized experts to share their knowledge and experience in an essential 2- to 3-day setting. In this paper, we present the history of the longest running annual skull-base cadaver microsurgical course, which was started by Dr. Ossama Al-Mefty: Annual Surgical Approaches to the Skull Base Course. At the Microscopic and Endoscopic Hands-on Cadaver Workshop, held in St. Louis, Missouri, we celebrated its 30th anniversary in April 2019. We also present the impact this course has had on neurosurgery and skull base surgery and on the professional and scientific developments of its participants in particular.
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Affiliation(s)
- Mirza Pojskić
- Department of Neurosurgery, University of Marburg, Marburg, Germany; Faculty of Medicine Osijek, Josip Juraj Strossmayer University, Osijek, Croatia
| | - Orhan Čustović
- Department of General Surgery, General Hospital "Prim.dr. Abdulah Nakaš" Sarajevo, Bosnia and Herzegovina
| | - Karen Hutsel Erwin
- Practical Anatomy and Surgical Education, St. Louis University, St. Louis, Missouri, United States
| | - Ian F Dunn
- Department of Neurosurgery, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma, United States
| | - Mark Eisenberg
- Department of Neurosurgery, Long Island Jewish Medical Center, Great Neck, New York, United States
| | - Andrew J Gienapp
- Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States; Neuroscience Institute, Le Bonheur Children's Hospital, Memphis, Tennessee, United States
| | - Kenan I Arnautović
- Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States; Semmes Murphey Neurologic & Spine Institute, Memphis, Tennessee, United States.
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Thomas JG, Gandhi S, White TG, Jocelyn C, Soo TM, Eisenberg M, Schulder M, Narayan RK. Letter: A Guide to the Prioritization of Neurosurgical Cases After the COVID-19 Pandemic. Neurosurgery 2020; 87:E411-E416. [PMID: 32504465 PMCID: PMC7313802 DOI: 10.1093/neuros/nyaa251] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Justin G Thomas
- Division of Neurosurgery Michigan State University College of Human Medicine Ascension Providence Hospital Southfield, Michigan
| | - Shashank Gandhi
- Department of Neurosurgery The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell North Shore University Hospital Manhasset, New York
| | - Timothy G White
- Department of Neurosurgery The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell North Shore University Hospital Manhasset, New York
| | - Christian Jocelyn
- Department of Neurosurgery The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell North Shore University Hospital Manhasset, New York
| | - Teck M Soo
- Division of Neurosurgery Michigan State University College of Human Medicine Ascension Providence Hospital Southfield, Michigan
| | - Mark Eisenberg
- Department of Neurosurgery The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell North Shore University Hospital Manhasset, New York
| | - Michael Schulder
- Department of Neurosurgery The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell North Shore University Hospital Manhasset, New York
| | - Raj K Narayan
- Department of Neurosurgery The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell North Shore University Hospital Manhasset, New York
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14
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Couture EL, Farand P, Nguyen M, Allard C, Wells GA, Mansour S, Rinfret S, Afilalo J, Eisenberg M, Montigny M, Kouz S, Afilalo M, Lauzon C, Dery JP, L'Allier P, Schampaert E, Tardif JC, Huynh T. Impact of an invasive strategy in the elderly hospitalized with acute coronary syndrome with emphasis on the nonagenarians. Catheter Cardiovasc Interv 2018; 92:E441-E448. [PMID: 30269415 DOI: 10.1002/ccd.27877] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2018] [Revised: 06/12/2018] [Accepted: 08/26/2018] [Indexed: 11/07/2022]
Abstract
BACKGROUND Published data about nonagenarians with acute coronary syndrome (ACS) were mainly descriptive and limited by small sample sizes and unadjusted outcomes. We aim to describe the characteristics, management, and the impact of an invasive strategy on major adverse events in elderly patients hospitalized with ACS with focus on the nonagerians. METHODS AND RESULTS We analyzed data collected as part of the AMI-OPTIMA study, a cluster-randomized study of knowledge translation intervention versus usual care on optimal discharge medications in patients admitted with ACS at 24 Canadian hospitals. To determine whether an invasive strategy improved outcomes in the elderly, we used inverse probability weighting to adjust for confounders between patients who underwent invasive versus conservative strategies. Of 4,569 consecutive patients: 2,395 (52%) were <70 years old, 1,031 (23%) were septuagenarians, 941 (21%) were octogenarians, and 202 (4.4%) were nonagenarians. An invasive strategy was associated with reduced in-hospital all-cause mortality in all age groups: 1.1% versus 3.8% in patients <70 years old (P < 0.001), 2.9% versus 7.4% in septuagenarians (P < 0.001), 5.1% versus 14.7% in octogenarians (P < 0.001), and 12.0% versus 25.1% in nonagenarians (P = 0.001). An invasive strategy was also associated with higher thrombolysis in myocardial infarction major bleeds in the nonagenarians (9.0% vs. 2.0%; P = 0.003). CONCLUSIONS The reduction in in-hospital mortality associated with an invasive strategy in elderly and nonagenarians presented with ACS is generating hypothesis and merits further studies to confirm these benefits and to guide clinicians in the management of these high-risk patients.
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Affiliation(s)
- Etienne L Couture
- University of Ottawa Heart Institute, Ottawa (ON), Canada.,Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke (QC), Canada
| | - Paul Farand
- Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke (QC), Canada
| | - Michel Nguyen
- Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke (QC), Canada
| | - Catherine Allard
- Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke (QC), Canada
| | - George A Wells
- University of Ottawa Heart Institute, Ottawa (ON), Canada
| | - Samer Mansour
- Centre Hospitalier Universitaire de l'Universite de Montreal, Montréal (QC), Canada
| | | | | | | | | | - Simon Kouz
- Centre Hospitalier Regional de Lanaudiere, Saint-Charles-Borromée (QC), Canada
| | - Marc Afilalo
- McGill Health University Center, Montreal (QC), Canada
| | - Claude Lauzon
- Centre Hospitalier de l'Amiante, Thedford Mines (QC), Canada
| | | | | | | | | | - Thao Huynh
- McGill Health University Center, Montreal (QC), Canada
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15
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Huynh T, Montigny M, Iftikhar U, Gagnon R, Eisenberg M, Lauzon C, Mansour S, Rinfret S, Afilalo M, Nguyen M, Kouz S, Déry JP, Harvey R, De LaRocheliere R, Cantin B, Schampaert E, Tardif JC. Recurrent Cardiovascular Events in Survivors of Myocardial Infarction With ST-Segment Elevation (from the AMI-QUEBEC Study). Am J Cardiol 2018; 121:897-902. [PMID: 29452691 DOI: 10.1016/j.amjcard.2017.12.037] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Revised: 12/19/2017] [Accepted: 12/29/2017] [Indexed: 11/18/2022]
Abstract
The characteristics and predictors of long-term recurrent ischemic cardiovascular events (RICEs) after myocardial infarction with ST-segment elevation (STEMI) have not yet been clarified. We aimed to characterize the 10-year incidence, types, and predictors of RICE. We obtained 10-year follow-up of STEMI survivors at 17 Quebec hospitals in Canada (the AMI-QUEBEC Study) in 2003. There were 858 patients; mean age was 60 years and 73% were male. The majority of patients receive reperfusion therapy; 53.3% and 39.2% of patients received primary percutaneous coronary intervention (PCI) and fibrinolytic therapy, respectively. Seventy-five percent of patients underwent in-hospital PCI (elective, rescue, and primary). At 10 years, 42% of patients suffered a RICE, with most RICEs (88%) caused by recurrent cardiac ischemia. The risk of RICE was the highest during the first year (23.5 per patient-year). At 10 years, the all-cause mortality was 19.3%, with 1/3 of deaths being RICE-related. Previous cardiovascular event, heart failure during the index STEMI hospitalization, discharge prescription of calcium blocker increased the risk of RICE by almost twofold. Each point increase in TIMI (Thrombolysis In Myocardial Infarction) score augmented the risk of RICE by 6%, whereas discharge prescription of dual antiplatelets reduced the risk of RICE by 23%. Our findings suggested that survivors of STEMI remain at high long-term risk of RICE despite high rate of reperfusion therapy and in-hospital PCI. Patients with previous cardiovascular event, in-hospital heart failure, and high TIMI score were particularly susceptible to RICE. Future studies are needed to confirm the impacts of calcium blocker and dual antiplatelets on long-term risk of RICE.
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Affiliation(s)
- Thao Huynh
- McGill Health University Center, Montreal, Canada.
| | | | | | | | | | - Claude Lauzon
- Centre Hospitalier de l'Amiante, Thetford Mines, Canada
| | - Samer Mansour
- Centre Hospitalier de l'Université de Montréal, Montreal, Canada
| | | | | | - Michel Nguyen
- Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Canada
| | - Simon Kouz
- Centre Hospitalier Régional de Joliette, Joliette, Canada
| | - Jean-Pierre Déry
- Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Quebec, Canada
| | - Richard Harvey
- Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Canada
| | | | - Bernard Cantin
- Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Quebec, Canada
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16
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Huynh T, Montigny M, Nguyen M, Eisenberg M, Lauzon C, Mansour S, Rinfret S, Afilalo M, Kouz S, Dery JP, L’Allier P, Schampaert E, Tardif JC. INDEPENDENT PREDICTORS OF LIPID-LOWERING THERAPY INTENSIFICATION AMONG PATIENTS HOSPITALIZED FOR AN ACUTE CORONARY SYNDROME: INSIGHTS FROM THE AMI-OPTIMA STUDY. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)30589-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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17
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Chakraborty S, Klironomos G, Eisenberg M, Dehdashti A. Evaluation of Outcomes after Endoscopic Endonasal Surgery for Large and Giant Pituitary Macroadenoma: A Retrospective Review of 39 Consecutive Patients. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633556] [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)
- Shamik Chakraborty
- Hofstra Northwell School of Medicine, Hempstead, New York, United States
| | | | - Mark Eisenberg
- Hofstra Northwell School of Medicine, Hempstead, New York, United States
| | - Amir Dehdashti
- Hofstra Northwell School of Medicine, Hempstead, New York, United States
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18
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Pastuszak A, Kohn T, Eisenberg M. Increased risk of cancer among men with peyronie’s disease. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.129] [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: 11/29/2022]
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19
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Andalib A, Chetrit M, Eberg M, Filion KB, Thériault-Lauzier P, Lange R, Buithieu J, Martucci G, Eisenberg M, Bolling SF, Piazza N. A Systematic Review and Meta-Analysis of Outcomes Following Mitral Valve Surgery in Patients with Significant Functional Mitral Regurgitation and Left Ventricular Dysfunction. J Heart Valve Dis 2016; 25:696-707. [PMID: 28290169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND AND AIM OF THE STUDY The surgical correction of functional mitral regurgitation (MR) remains challenging and controversial. The study aim was to systematically review the outcomes of surgical mitral valve repair (MVRpr) and mitral valve replacement (MVR) in patients with significant functional MR and left ventricular (LV) dysfunction. METHODS A meta-analysis was performed of published data acquired from patients with moderate to severe functional MR and LV ejection fraction (LVEF) <40% who underwent surgical MVRpr or MVR. The data were meta-analyzed across studies using Bayesian hierarchical models when feasible. RESULTS The search yielded 36 observational studies. The pooled proportion of operative mortality following MVRpr was 5% (33 studies; 2,231 patients; 95% credible interval (CrI) 4-7%), while that following MVR was 10% (10 studies; 389 patients; 95% CrI 5-18%). For patients undergoing MVRpr, pooled proportions of postoperative cerebrovascular accidents and renal failure were 2% (11 studies; 750 patients; 95% CrI 1-3%) and 9% (11 studies; 756 patients; 95% CrI 5-16%), respectively. The five-year actuarial survival rates following MVRpr across 12 studies ranged from 47% to 78% (median 66%). CONCLUSIONS In selected patients with significant functional MR and LV dysfunction, surgical MVRpr and MVR can be performed with acceptable intermediate operative mortality risks.
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Affiliation(s)
- Ali Andalib
- Department of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - Michael Chetrit
- Department of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - Masha Eberg
- Centre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada
| | - Kristian B Filion
- Centre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada
| | | | - Ruediger Lange
- Department of Cardiac Surgery, German Heart Center, Munich, Germany
| | - Jean Buithieu
- Department of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - Giuseppe Martucci
- Department of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - Mark Eisenberg
- Centre for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, Quebec, Canada
| | - Steven F Bolling
- Department of Cardiac Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA
| | - Nicolo Piazza
- Department of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada
- Department of Cardiac Surgery, German Heart Center, Munich, Germany. Electronic correspondence:
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20
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Couture E, Farand P, Nguyen M, Allard C, Afilalo J, Afilalo M, Schampaert E, Eisenberg M, Montigny M, Mansour S, Kouz S, Tardif J, Huynh T. IMPACT OF AN INVASIVE STRATEGY ON IN-HOSPITAL OUTCOMES IN NONAGENARIANS WITH ACUTE CORONARY SYNDROME: INSIGHTS FROM THE AMI-OPTIMA STUDY. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.086] [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: 10/20/2022] Open
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21
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Shah M, Lathi R, Eisenberg M. Paternally derived embryonic aneuploidy is common but not associated with male factor infertility. Fertil Steril 2016. [DOI: 10.1016/j.fertnstert.2016.07.667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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22
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Shimony A, Pilote L, Al Lawati H, Bagai A, Behlouli H, Eisenberg M, So D, Karp I, Cheema A. Spontaneous Coronary Artery Dissection in Young Women Presenting with Acute Coronary Syndrome. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.02.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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23
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van Horn J, Eisenberg M, Uzieblo K. [The importance of (research into) risk assessment in the outpatient forensic sector of mental health care]. Tijdschr Psychiatr 2016; 58:583-592. [PMID: 27527884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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24
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Radwan H, Eisenberg M, Knisely J, Ghaly M, Schulder M. SURG-23OUTCOMES IN PATIENTS WITH VESTIBULAR SCHWANOMA AFTER SUBTOTAL RESECTION AND ADJUVANT RADIOSURGERY. Neuro Oncol 2015. [DOI: 10.1093/neuonc/nov235.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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25
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Huynh T, Gagnon R, Mansour S, Rinfret S, Montigny M, Afilalo M, Kouz S, Lauzon C, Nguyen M, Eisenberg M, Harvey R, Dery J, L'Allier P, Schampaert E, Tardif J. LONG-TERM STATIN USE AND ADHERENCE IN PATIENTS WITH ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION: INSIGHTS FROM THE AMI-QUÉBEC REGISTRY. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.628] [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: 11/29/2022] Open
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26
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Choi J, Winters N, Pelletier R, Eisenberg M, Bacon S, Cox J, Daskalopoulou S, Lavoie K, Karp I, Shimony A, So D, Thanassoulis G, Pilote L. SEX DIFFERENCES IN CLINICAL OUTCOMES AFTER PREMATURE ACUTE CORONARY SYNDROME. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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27
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Huynh T, Gagnon R, Iftikhar U, Rinfret S, Mansour S, Montigny M, Afilalo M, Kouz S, Lauzon C, Nguyen M, Harvey R, Eisenberg M, L'Allier P, Tardif J, Schampaert E. LONGTERM RECURRENT ISCHEMIC CARDIOVASCULAR EVENTS AMONG PATIENTS WITH ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION: INSIGHTS FROM THE AMI-QUÉBEC REGISTRY. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.144] [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] Open
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28
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Sapra K, Kim S, Eisenberg M, Chen Z, Buck Louis G. Male underwear and semen quality in a population-based preconception cohort. Fertil Steril 2015. [DOI: 10.1016/j.fertnstert.2015.07.136] [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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29
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Eisenberg M, Li S, Behr B, Nakajima S, Baker V. The relationship between a man’s somatic health and ART outcomes. Fertil Steril 2015. [DOI: 10.1016/j.fertnstert.2015.07.921] [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: 10/23/2022]
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30
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Nossek E, Costantino PD, Eisenberg M, Dehdashti AR, Setton A, Chalif DJ, Ortiz RA, Langer DJ. Internal maxillary artery-middle cerebral artery bypass: infratemporal approach for subcranial-intracranial (SC-IC) bypass. Neurosurgery 2015; 75:87-95. [PMID: 24618804 PMCID: PMC4053591 DOI: 10.1227/neu.0000000000000340] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND: Internal maxillary artery (IMax)–middle cerebral artery (MCA) bypass has been recently described as an alternative to cervical extracranial-intracranial bypass. This technique uses a “keyhole” craniectomy in the temporal fossa that requires a technically challenging end-to-side anastomosis. OBJECTIVE: To describe a lateral subtemporal craniectomy of the middle cranial fossa floor to facilitate wide exposure of the IMax to facilitate bypass. METHODS: Orbitozygomatic osteotomy is used followed by frontotemporal craniotomy and subsequently laterotemporal fossa craniectomy, reaching its medial border at a virtual line connecting the foramen rotundum and foramen ovale. The IMax was identified by using established anatomic landmarks, neuronavigation, and micro Doppler probe (Mizuho Inc. Tokyo, Japan). Additionally, we studied the approach in a cadaveric specimen in preparation for microsurgical bypass. RESULTS: There were 4 cases in which the technique was used. One bypass was performed for flow augmentation in a hypoperfused hemisphere. The other 3 were performed as part of treatment paradigms for giant middle cerebral artery aneurysms. Vein grafts were used in all patients. The proximal anastomosis was performed in an end-to-side fashion in 1 patient and end-to-end in 3 patients. Intraoperative graft flow measured with the Transonic flow probe ranged from 20 to 60 mL/min. Postoperative angiography demonstrated good filling of the graft with robust distal flow in all cases. All patients tolerated the procedure well. CONCLUSION: IMax to middle cerebral artery subcranial-intracranial bypass is safe and efficacious. The laterotemporal fossa craniectomy technique resulted in reliable identification and wide exposure of the IMax, facilitating the proximal anastomosis. ABBREVIATIONS: EC-IC, extracranial-intracranial IMax, internal maxillary artery MCA, middle cerebral artery SC-IC, subcranial-intracranial STA, superficial temporal artery
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Affiliation(s)
- Erez Nossek
- *Department of Neurosurgery, North Shore - Long Island Jewish/Hofstra School of Medicine North Shore University Hospital, Manhasset, NY; ‡Department of Neurosurgery, North Shore - Long Island Jewish/Hofstra School of Medicine North Shore University Hospital Lenox Hill Hospital; New York, NY; §The New York Head & Neck Institute, North Shore- Long Island Jewish/Hofstra School of Medicine Lenox Hill Hospital, New York, NY
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Huynh T, Kouz S, Afilalo M, Rinfret S, Schampaert E, Mansour S, Montigny M, Eisenberg M, Lauzon C, Dery JP, Nguyen M, L’Allier P, Harvey R, Boudreault C, Tardif JC. KNOWLEDGE TRANSLATION TO IMPROVE PRESCRIPTION OF EVIDENCE-BASED MEDICAL THERAPY FOR PATIENTS ADMITTED WITH ACUTE CORONARY SYNDROMES: INSIGHTS FROM THE AMI-OPTIMA STUDY. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)60005-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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32
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Huynh T, Tardif JC, Segal E, L’Allier P, Nguyen M, Dery JP, Afilalo M, Mansour S, Montigny M, Eisenberg M, Ross D, Whittom L, Kouz S, Harvey R, Vadeboncoeur A, Lauzon C, Lynch A, Schampaert E. KNOWLEDGE TRANSLATION TO REDUCE DELAYS OF PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN PATIENTS WITH MYOCARDIAL INFARCTION WITH ST-SEGMENT ELEVATION: INSIGHTS FROM THE AMI-ON TIME STUDY. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)60134-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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33
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Kwan K, Colantonio S, Safir S, Loven T, Li J, Black K, Schaeffer B, Eisenberg M. Primary Solitary Retroclival Amyloidoma: A Case Report and Review of the Literature. Skull Base Surg 2015. [DOI: 10.1055/s-0035-1546683] [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: 10/24/2022]
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34
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Pelletier R, Humphries K, Khan N, Eisenberg M, Cox J, Norris C, Pilote L. GENDER, SEX, AND OUTCOMES IN PATIENTS WITH PREMATURE ACUTE CORONARY SYNDROME. Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.252] [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: 10/24/2022] Open
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35
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Huynh T, Tardif J, Segal E, Nguyen M, Dery J, Afilalo M, Mansour S, Montigny M, Harvey R, Kouz S, Eisenberg M, Lynch A, Whittom L, Vadeboncoeur A, Lauzon C, Schampaert E. KNOWLEDGE TRANSLATION TO REDUCE DELAYS OF PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN PATIENTS IN QUÉBEC - INSIGHTS FROM THE AMI ON TIME STUDY. Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.429] [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: 10/24/2022] Open
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36
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Gannon J, Williams L, Warner L, O’Neil M, Aston K, Carrell D, Grigorescu V, Jamieson D, Eisenberg M, Hotaling J. Back-up contraception after vasectomy: insights from the pregnancy risk assessment monitoring system (PRAMS), 2007-2010. Fertil Steril 2014. [DOI: 10.1016/j.fertnstert.2014.07.376] [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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37
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Cheema AN, Lawati HA, Bagai A, Eisenberg M, Shimony A, So D, Karp I, Pilote L. SPONTANEOUS CORONARY ARTERY DISSECTION IN YOUNG WOMEN PRESENTING WITH ACUTE CORONARY SYNDROME: ANGIOGRAPHIC FINDINGS FROM THE GENESIS PRAXY STUDY. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)60003-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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38
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Nossek E, Costantino P, Eisenberg M, Langer D. Internal Maxillary to MCA Bypass: Infratemporal Approach to the Internal Maxillary Artery. Anatomy and Technique. Skull Base Surg 2014. [DOI: 10.1055/s-0034-1370671] [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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39
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Zhang D, Eisenberg M, Grandi S, Joseph L, Pilote L, Filion K. Bupropion, Smoking Cessation, and Health-Related Quality of Life Following an Acute Myocardial Infarction. Can J Cardiol 2013. [DOI: 10.1016/j.cjca.2013.07.485] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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40
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Isaac Davis M, Filion KB, Zhang D, Eisenberg M, Afilalo J, Joyal D. EFFECTIVENESS OF RENAL DENERVATION THERAPY FOR THE TREATMENT OF RESISTANT HYPERTENSION: A SYSTEMATIC REVIEW AND META-ANALYSIS. J Am Coll Cardiol 2013. [DOI: 10.1016/s0735-1097(13)61377-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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41
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Tsadok MA, Jackevicius C, Essebag V, Eisenberg M, Rahme E, Humphries K, Tu J, Pilote L. STROKE AND BLEEDING IN OLDER PATIENTS WITH ATRIAL FIBRILLATION TREATED WITH WARFARIN. J Am Coll Cardiol 2013. [DOI: 10.1016/s0735-1097(13)60372-1] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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42
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Tsadok MA, Jackevicius C, Eisenberg M, Shah M, Essebag V, Rahme E, Humphries K, Tu J, Pilote L. WARFARIN AND THE RISK OF STROKE AND BLEEDING IN ATRIAL FIBRILLATION PATIENTS UNDERGOING DIALYSIS. J Am Coll Cardiol 2013. [DOI: 10.1016/s0735-1097(13)60340-x] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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43
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Tsadok MA, Jackevicius C, Eisenberg M, Essebag V, Rahme E, Humphries K, Tu J, Pilote L. RURAL-URBAN DISPARITIES IN WARFARIN TREATMENT AND OUTCOMES IN PATIENTS WITH ATRIAL FIBRILLATION. J Am Coll Cardiol 2013. [DOI: 10.1016/s0735-1097(13)60306-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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44
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Sperinde J, Lara J, Michaelson R, Sun X, Conte P, Guarneri V, Barbieri E, Ali S, Leitzel K, Weidler J, Lie Y, Cook J, Haddad M, Paquet A, Winslow J, Howitt J, Hurley L, Eisenberg M, Petropoulos C, Huang W, Lipton A. Abstract P2-10-16: Quantitative HER3 protein expression and PIK3CA mutation status in matched samples from primary and metastatic breast cancer tissues and correlation with time to recurrence. Cancer Res 2012. [DOI: 10.1158/0008-5472.sabcs12-p2-10-16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: HER3 is thought to play a prominent role in resistance to HER2-directed breast cancer therapies. Recent data suggest that HER3 levels also influence HER2-normal breast tumor biology. HER3 and PI3K signaling are linked in that in HER3 signaling activates PI3K and inhibition of PI3K activity can upregulate HER3 expression. Here, we measured quantitative HER3 protein expression levels and PIK3CA mutation status in matched tissues from the primary tumor and site of metastasis to assess correlations with time to recurrence.
Methods: 44 pairs (8 HER2+ by HERmark®) of matched tissues from the primary tumor and the site of metastasis were evaluated for HER3 protein expression using a sensitive, quantitative assay for HER3 protein expression in FFPE tissue sections (VeraTag®). Matched samples were also evaluated for quantitative HER2 expression (HERmark) and for PIK3CA mutations at exon 9 (E542K and E545K) and exon 20 (H1047R).
Results: HER3 protein expression at the metastatic site was largely independent of HER3 levels at the primary site (Spearman p = 0.50) in contrast to HER2 expression (Spearman p = 0.0004). HER3 expression in the primary tumor correlated with time to recurrence (TTR) (HR = 2.0 per 2-fold increase in HER3; p < 0.0001). Conversely, HER3 expression measured at the site of metastasis was not correlated with TTR (p = 0.55). Estrogen receptor negative tumors were less likely to have PIK3CA mutations (p = 0.023). In cases of primary tumors with PIK3CA mutations, no reversions to wild-type PIK3CA were observed in the metastatic sites. In metastatic tumors, mutations detected in the primary tumor as well as new mutations were observed. A gain of an exon 9 mutation at the metastatic site correlated with shorter TTR (HR = 2.5; p = 0.043). Excluding the 8 samples that were HER2+ by HERmark, longer TTR was observed for patients with PIK3CA mutations in the primary tumor (HR = 0.47; p = 0.042), which is consistent with previous reports. Interestingly, the longer TTR for those with PIK3CA mutations appeared to be dependent on quantitative HER3 protein level (interaction p = 0.065).
Conclusions: HER3 protein expression in matched primary and metastatic breast cancer tissues were unrelated. This may indicate that HER3 protein is influenced by the different tumor microenvironments of the primary and metastatic sites. PIK3CA mutations were either maintained or acquired at metastatic sites. Both low HER3 protein expression and the presence of PIK3CA mutations in the primary tumor but not the metastatic tumor were associated with longer TTR. These observations suggest that HER3 protein expression may be an important prognostic factor for breast cancer progression.
Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P2-10-16.
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Affiliation(s)
- J Sperinde
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - J Lara
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - R Michaelson
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - X Sun
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - P Conte
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - V Guarneri
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - E Barbieri
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - S Ali
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - K Leitzel
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - J Weidler
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - Y Lie
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - J Cook
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - M Haddad
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - A Paquet
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - J Winslow
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - J Howitt
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - L Hurley
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - M Eisenberg
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - C Petropoulos
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - W Huang
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
| | - A Lipton
- Monogram Biosciences/Integrated Oncology/LabCorp, South San Francisco, CA; Saint Barnabas Medical Center, Livingston, NJ; University of Modena, Modena, Italy; Penn State/Hershey Medical Center, Hershey, PA; Lebanon VA Medical Center, Lebanon, PA; Laboratory Corporation of America, Research Triangle Park, NC
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Del Gaudio F, Hichenberg S, Eisenberg M, Kerr E, Zaider TI, Kissane DW. Latino values in the context of palliative care: illustrative cases from the Family Focused Grief Therapy trial. Am J Hosp Palliat Care 2012; 30:271-8. [PMID: 22669936 DOI: 10.1177/1049909112448926] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Clinicians meet a variety of ethnicities among patients and families in hospice programs. This article focuses on Latino families. METHODS Within a controlled trial of family therapy in the context of palliative care, 17 families identified as Hispanic. Five were examined qualitatively herein. RESULTS A synopsis of each family's narrative is presented here. Patterns of strong family loyalty (Familismo), the gender roles of Machismo and Marianismo, the importance of family tradition, expectations about caregiving, and the place of faith and religion emerged as prominent and able potentially to impact on the therapy. CONCLUSIONS Family therapists need to be thoughtful about cultural issues as they strive to support families.
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Affiliation(s)
- F Del Gaudio
- Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10022, USA
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Grandi S, Filion K, Gervais A, Joseph L, O'Loughlin J, Paradis G, Pilote L, Rinfret S, Eisenberg M. THE EFFECT OF ADHERENCE TO TREATMENT ON SMOKING ABSTINENCE IN PATIENTS POST-ACUTE MYOCARDIAL INFARCTION. J Am Coll Cardiol 2012. [DOI: 10.1016/s0735-1097(12)61750-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Gurvitz M, Pilote L, Lawler P, Eisenberg M, lonescu-Ittu R, Marelli A. CANCER IN ADULTS WITH CONGENITAL HEART DISEASE COMPARED TO THE GENERAL POPULATION. J Am Coll Cardiol 2012. [DOI: 10.1016/s0735-1097(12)60795-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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nosair M, Joyal D, Eisenberg M. THE EVALUATION OF ADMINISTERING A FIXED BOLUS OF UNFRACTIONATED HEPARIN PRIOR TO PRIMARY PERCUTANEOUS CORONARY INTERVENTION. J Am Coll Cardiol 2012. [DOI: 10.1016/s0735-1097(12)60477-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Windle SB, Grandi S, Shimony A, Gervais A, Joseph L, O'Loughlin J, Paradis G, Rinfret S, Pilote L, Eisenberg M. USE OF MEDICAL THERAPY IN PATIENTS 12 MONTHS POST-ACUTE MYOCARDIAL INFARCTION. J Am Coll Cardiol 2012. [DOI: 10.1016/s0735-1097(12)60365-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Scheffer C, Blanckenberg M, Garth-Davis B, Eisenberg M. Biomedical engineering education through global engineering teams. Annu Int Conf IEEE Eng Med Biol Soc 2012; 2012:5058-5061. [PMID: 23367065 DOI: 10.1109/embc.2012.6347130] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Most industrial projects require a team of engineers from a variety of disciplines. The team members are often culturally diverse and geographically dispersed. Many students do not acquire sufficient skills from typical university courses to function efficiently in such an environment. The Global Engineering Teams (GET) programme was designed to prepare students such a scenario in industry. This paper discusses five biomedical engineering themed projects completed by GET students. The benefits and success of the programme in educating students in the field of biomedical engineering are discussed.
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Affiliation(s)
- C Scheffer
- Department of Electrical & Electronic Engineering, at Stellenbosch University, South Africa.
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