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Levine D, Noda K, Pham C, Zhou M, Sanchez P. Lack of Correlation Between Both Percent and Absolute Count Dd-CfDNA and Primary Graft Dysfunction. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1455] [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: 04/05/2023] Open
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Noda K, Sanchez P. The Role of Heparanase Activation on Ischemia-Reperfusion Injury in Mice. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.031] [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: 04/05/2023] Open
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Villavicencio M, Kashem A, Loor G, D'Silva E, Hartwig M, Ghadimi K, Ius F, Jawad S, Langer N, Osho A, Chandrashekaran S, Machuca T, Sanchez P, Subramaniam K, Van Raemdonck D, Neyrinck A, Huddleston S, Shaffer A, Lahr B, Toyoda Y. International Multicenter Extracorporeal Life Support in Lung Transplantation Registry. Impact of Cold Ischemic Time on Primary Graft Dysfunction and One-Year Mortality. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.113] [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: 04/05/2023] Open
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Xu Q, Roux A, Elrefaei M, Hitchman K, TAUPIN J, Gareau A, Lucas D, Bettinotti M, Marrari M, Narula T, Alvarez F, Iasella C, Sanchez P, Levine D, Zeevi A. Chronic Lung Allograft Dysfunction is Associated with an Increased Number of Autoantibodies. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.056] [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: 04/05/2023] Open
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McKenna DB, Sanchez P, Powers J, Brower J, Wang L, Mueller R, Symecko H, Hamilton JG, Wildman T, Domchek SM, Couch FJ, Garber JE, Offit K, Robson ME, Katona BW. Summary of the experiences, knowledge, medical management, and family communication of monoallelic MUTYH carriers. J Genet Couns 2023; 32:342-350. [PMID: 36245263 PMCID: PMC10436665 DOI: 10.1002/jgc4.1641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 09/07/2022] [Accepted: 09/08/2022] [Indexed: 11/10/2022]
Abstract
Germline genetic testing for inherited cancer risk is increasingly being performed with multigene panel testing with MUTYH often included on colorectal cancer- and polyposis-focused panels, as well as on broader pan-cancer panels. With up to 1%-2% of the general population being monoallelic MUTYH carriers, pathogenic/likely pathogenic (P/LP) variants in MUTYH are one of the most common findings on multigene cancer panels. However, little is known about patient experience and understanding of monoallelic MUTYH P/LP variants, nor whether such findings influence medical management recommendations and familial communication, which this study aims to better understand. Monoallelic P/LP MUTYH carriers were recruited from the Prospective Registry of Multiplex Testing (PROMPT) and completed a cross-sectional self-report survey on sociodemographic characteristics, medical and family history, experiences with MUTYH genetic testing, genetics and MUTYH knowledge, perceived cancer risk, and familial communication. Of 115 eligible PROMPT participants, 49 (43%) completed the survey who were primarily female (94%), white (96%), had a history of cancer (61%), and a median age of 51.4 years. Most participants (61%) reported satisfaction with how their healthcare provider managed their genetic test result and care, and 65% of survey participants reported their provider recommended colonoscopy based on their genetic test results. Participants' responses also reflected variable levels of knowledge regarding cancer risks and screening recommendations for MUTYH carriers. The majority (98%) of participants shared their genetic test results with at least some of their relatives; however, only 13% of eligible relatives reportedly underwent cascade testing. Taken together, this study provides needed insight into the overall experiences of monoallelic MUTYH carriers and highlights numerous areas for improvement in clinician education, communication, and management of these individuals.
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Affiliation(s)
- Danielle B. McKenna
- Basser Center for BRCA, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Pauleen Sanchez
- Basser Center for BRCA, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Jacquelyn Powers
- Basser Center for BRCA, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Jamie Brower
- Basser Center for BRCA, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Louise Wang
- Division of Gastroenterology and Hepatology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
| | - Rebecca Mueller
- Basser Center for BRCA, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Heather Symecko
- Basser Center for BRCA, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Jada G. Hamilton
- Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA
- Weill Cornell Medical College, New York, New York, USA
| | - Temima Wildman
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA
| | - Susan M. Domchek
- Basser Center for BRCA, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Fergus J. Couch
- Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA
| | - Judy E. Garber
- Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | - Kenneth Offit
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA
- Weill Cornell Medical College, New York, New York, USA
| | - Mark E. Robson
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA
- Weill Cornell Medical College, New York, New York, USA
| | - Bryson W. Katona
- Division of Gastroenterology and Hepatology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
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Iasella C, Smith A, Sacha L, Zhuang M, Sanchez P, Hage C, McDyer J, Moore C. Safety and Effectiveness of Extended Duration Cytomegalovirus Prophylaxis in High-Risk Lung Transplant Recipients: A Retrospective Cohort Study. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1376] [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: 04/05/2023] Open
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Haney J, Hartwig M, Langer N, Sanchez P, Bush E. Not Too Warm, Not Too Cold: Real-World Multi-Center Outcomes with Elevated Hypothermic Preservation of Donor Lungs. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.084] [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: 04/05/2023] Open
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de Manna N, Van Raemdonck D, Hartwig M, Bottiger B, Loor G, Leon A, Villavicencio M, Langer N, Emtiazjoo A, Chandrashekaran S, Neyrinck A, Toyoda Y, Kashem A, Huddleston S, Sanchez P, Subramaniam K, Warnecke G, Ius F. Effect of Surgical Exposure on Short-Term Outcomes after Bilateral Lung Transplantation. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1033] [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: 04/05/2023] Open
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Deitz R, Clifford S, Ryan J, Chan E, Coster J, Furukawa M, Hage C, Sanchez P. Predicting Long-Term Functional Status after Lung Retransplantation. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1624] [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: 04/05/2023] Open
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Mallea J, Kon Z, Brown A, Hartwig M, Sanchez P, Keller C, Erasmus D, Dilling D, D'Cunha J, Roberts M, Sketch M, Johnson D, McCurry K. Utilization and Outcomes with Single Lung Transplantation Following Ex Vivo Lung Perfusion Using a Centralized Lung Evaluation System at a Dedicated Facility. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1443] [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: 04/05/2023] Open
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Sacha L, Werner T, Moore C, McDyer J, Sanchez P, Iasella C. Immune Globulin Repletion for Hypogammaglobulinemia Does not Improve Outcomes Post-Lung Transplant. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1706] [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: 04/05/2023] Open
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Coster J, Ryan J, Furukawa M, Sanchez P. Identifying Characteristics of Expediated Warm Ischemia Times in Donation after Circulatory Death Lung Donors. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1022] [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: 04/05/2023] Open
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13
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Kashem A, Villavicencio M, Ius F, Loor G, Hartwig M, Ghadimi K, Salman J, Chandrashekaran S, Machuca T, Sanchez P, Subramaniam K, Van Raemdonck D, Neyrinck A, Warnick M, Huddleston S, Osho A, D'Silva E, Ramamurthy U, Pena AL, Shaffer A, Langer N, Emtiazjoo A, Toyoda Y. Results of ECLS Support Comparing DCD and DBD Lung Transplantation. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1564] [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: 04/05/2023] Open
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Gutierrez-Espinosa De Los Monteros L, Martinez F, Cruz FM, Moreno-Manuel AI, Sanchez P, Vera-Pedrosa ML, Martinez-Carrascoso I, Bermudez-Jimenez F, Macias A, Jalife J. Three dimensional modelling of mutant Kir2.1 channel PIP2 interactions help stratify arrhythmia severity in Andersen Tawil syndrome type 1. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Andersen-Tawil type 1 (ATS1) is associated with loss-of-function mutations in the inward rectifier potassium channel Kir2.1, which controls cardiac excitability and impulse conduction. Phosphatidylinositol-4,5-bisphosphate (PIP2) acts as an essential cofactor regulating the opening of Kir2.1 channels. Fifty percent of reported ATS1 mutations affect Kir2.1-PIP2 interactions, leading to ECG defects, ventricular arrhythmias and sudden cardiac death (SCD) by mechanisms that are poorly understood.
Purpose
To test the hypothesis that the degree of arrhythmogenic severity of ATS1 mutations disrupting PIP2-Kir2.1 binding may be predicted by the level of polarization of the mutant Kir2.1 channel pore.
Methods
We first used a statistical mean value approach to classify the 40 known arrhythmogenic ATS1 mutations impacting Kir2.1-PIP2 interaction (N=260 individuals) according to arrhythmogenic severity, ranging from SCD through ventricular bigeminy and QT prolongation. We then generated 3D in-silico atomic models of the wildtype channel and the 10 mutant channels with the most severe arrhythmic phenotype to assess the mechanism of the structural defects associated with Kir2.1-PIP2 disruption.
Results
Our cardiac lethality scoring stratifying Kir2.1 mutations according to arrhythmogenic severity was validated by three additional biostatical quantitative measures. On in-silico modelling, wildtype Kir2.1 channels without PIP2 binding had transmembrane and cytoplasmic pore radius of 1.5 and 3 Å, respectively. Kir2.1-PIP2 interactions increased transmembrane and cytoplasmic pore radius to 3 and 6 Å, respectively. All 10 Kir2.1 mutations had similar transmembrane and cytoplasmic pore radius of ∼1.0 and ∼3.0 Å, respectively. The most severe mutations yielded pore channels with highly polarized electrostatic forces. Remarkably, simulations showed a descending electrostatic pattern at the transmembrane region of PIP2 binding, where the more severe the mutation, the more positive that region was. Structural changes produced by mutations correlated with cardiac severity (R2=0.51; p<0.005) in that the most drastically altered protein structure correlated with the most severe arrhythmic phenotype.
Conclusions
Computer simulations of mutant Kir2.1 channel structure from the most arrhythmogenic to the least arrhythmogenic predict a gradual decrease in polarization of electrostatic forces along the Kir2.1 channel pore. The results reveal a novel mechanistic stratification of arrhythmogenic severity of ATS1 mutant Kir2.1 channel-PIP2 interactions and open new pathways for developing more personalized ATS1 patient therapies.
Funding Acknowledgement
Type of funding sources: Private grant(s) and/or Sponsorship. Main funding source(s): La Caixa Banking Foundation under the project code HR18-00304Fundaciόn La Marato TV3: Ayudas a la investigaciόn en enfermedades raras 2020
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Affiliation(s)
| | - F Martinez
- Spanish National Centre for Cardiovascular Research , Madrid , Spain
| | - F M Cruz
- Spanish National Centre for Cardiovascular Research , Madrid , Spain
| | - A I Moreno-Manuel
- Spanish National Centre for Cardiovascular Research , Madrid , Spain
| | - P Sanchez
- Spanish National Centre for Cardiovascular Research , Madrid , Spain
| | - M L Vera-Pedrosa
- Spanish National Centre for Cardiovascular Research , Madrid , Spain
| | | | | | - A Macias
- Spanish National Centre for Cardiovascular Research , Madrid , Spain
| | - J Jalife
- University of Michigan , Ann Arbor , United States of America
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Tous-Espelosin M, Iriarte-Yoller N, Sanchez P, Maldonado-Martin S. Effects of concurrent training on cardiorespiratory fitness and body composition in adults with schizophrenia: CORTEX-SP study. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Spanish Ministry of Economy and Competitiveness “Fondo de Investigación Sanitaria del Insti-tuto de Salud Carlos III”
Background
Concurrent training (i.e. a combination of aerobic and resistance exercise in the same session) is emerging as a time-efficient exercise strategy for improving cardiorespiratory fitness and controlling body composition parameters.
Purpose
The purpose of this study was to determine the effectiveness of a concurrent exercise program on cardiorespiratory fitness and body composition in adults with schizophrenia (SP).
Methods
Participants (n=98, 20.4% women, 41.4±10.1 yr old) with SP were randomly assigned into an attention control group (usual care) or a supervised exercise group (concurrent training, 3 days/week). All variables were assessed pre- and post-intervention (20 weeks). For the assessment of cardiorespiratory fitness, a peak cardiopulmonary exercise test on a cycle ergometer and the Modified Shuttle Walk Test (MSWT) were used.
Results
Following the intervention, in the control group, there was a significant (P <0.05) increased in body mass (Δ = 2.54%), body mass index, BMI (Δ = 2.82%), waist circumference (Δ = 2.70%) and a decreased in MSWT (Δ = - 7.54%). However, in the exercise group, there was a significant (P<0.001) increased in first ventilatory threshold, VT1 (Δ = 28.69%), peak oxygen uptake, V̇O2peak (L∙min-1) (Δ = 19.58%), V̇O2peak (mL∙kg.1∙min-1) (Δ = 21.52%) and MSWT-distance (Δ = 11.43%), with no significant changes in body composition (P>0.05). When both groups were compared, body mass, and BMI was significantly (P<0.05) more reduced, and VT1, V̇O2peak, and MSWT more increased in the exercise group.
Conclusion
A supervised concurrent exercise program in people with SP helps to maintain body composition values and leads to improvements in cardiorespiratory fitness levels. Exercise should be considered as a co-adjuvant program in the treatment of population with SP.
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Affiliation(s)
- M Tous-Espelosin
- University of the Basque Country, GIKAFIT-Department of Physical Education and Sport, Vitoria-Gasteiz, Spain
| | - N Iriarte-Yoller
- ÁLAVA PSYCHIATRIC HOSPITAL, Mental Health Service, VITORIA-GASTEIZ, Spain
| | - P Sanchez
- ÁLAVA PSYCHIATRIC HOSPITAL, Mental Health Service, VITORIA-GASTEIZ, Spain
| | - S Maldonado-Martin
- University of the Basque Country, GIKAFIT-Department of Physical Education and Sport, Vitoria-Gasteiz, Spain
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Garcia Mayén H, Kergomard J, Vergez C, Guillemain P, Jousserand M, Pachebat M, Sanchez P. Characterization of open woodwind toneholes by the tube reversed method. J Acoust Soc Am 2021; 150:3763. [PMID: 34852613 DOI: 10.1121/10.0007131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Accepted: 10/22/2021] [Indexed: 06/13/2023]
Abstract
Woodwind tonehole's linear behavior is characterized by two complex quantities: the series and shunt acoustic impedances. A method to determine experimentally these two quantities is presented for the case of open toneholes. It is based on two input impedance measurements. The method can be applied to clarinet-like instruments, and can be used for undercut toneholes as well as toneholes with pads above their output, under the condition that a symmetry axis exists. The robustness of the method proposed is explored numerically through the simulation of the experiment when considering geometrical and measurement uncertainties. Experimental results confirm the relevance of the method proposed to estimate the shunt impedance. Even the effect of small changes in the hole's geometry, such as those induced by undercutting, are characterized experimentally. The main effect of undercutting is shown to be a decrease in the tonehole's acoustic mass, in agreement with theoretical considerations based on the shape of the tonehole. Investigation on the effects of pads will be studied in a further work. Experimental results also reveal that losses in toneholes are significantly higher than those predicted by the theory. Therefore, the method is suitable for the experimental determination of the shunt impedance, but it is not convenient for the characterization of the series impedance.
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Affiliation(s)
- H Garcia Mayén
- Buffet Crampon, 5 rue Maurice Berteaux, Mantes-la-Ville, 78711, France
| | - J Kergomard
- Aix Marseille Univ., CNRS, Centrale Marseille, LMA UMR 7031, Marseille, France
| | - C Vergez
- Aix Marseille Univ., CNRS, Centrale Marseille, LMA UMR 7031, Marseille, France
| | - P Guillemain
- Aix Marseille Univ., CNRS, Centrale Marseille, LMA UMR 7031, Marseille, France
| | - M Jousserand
- Buffet Crampon, 5 rue Maurice Berteaux, Mantes-la-Ville, 78711, France
| | - M Pachebat
- Aix Marseille Univ., CNRS, Centrale Marseille, LMA UMR 7031, Marseille, France
| | - P Sanchez
- Aix Marseille Univ., CNRS, Centrale Marseille, LMA UMR 7031, Marseille, France
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Audo R, Sanchez P, Mielle J, Macia L, Rivière B, Lukas C, Combe B, Morel J, Daien C. OP0035 ASSESSMENT OF THE INTESTINAL PERMEABILITY IN PATIENTS WITH RHEUMATOID ARTHRITIS USING COLONIC TISSUES AND SERA. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.2642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Patients with rheumatoid arthritis (RA) have an altered gut microbiota (dysbiosis) (1-3). This microbiota interacts with intestinal epithelium which can lead to an increased intestinal permeability, responsible for the passage of antigens and inflammatory molecules, and can therefore promote systemic inflammation. Gut microbiota tends to normalize with disease control (2), suggesting that systemic inflammation may directly influence the composition of microbiota and the gut barrier. It was shown in many inflammatory diseases that intestinal permeability is impaired, but to date there is very little data in RA.Objectives:In the present study, we evaluate the intestinal permeability in RA patients by analyzing tight junctions in colonic biopsies and serum markers.Methods:Colonic biopsies from 20 RA patients who underwent coloscopy for screening with normal histology were compared with those from 20 age and sex matched controls. ZO-1, occludin and claudin 2 junction proteins were evaluated by immunohistochemistry. The staining intensity was assessed by two blinded independent readers. The serum concentrations of LPS-binding protein (LBP), CD14s and zonulin were evaluated by ELISA in 25 patients naive of DMARDs, 41 patients before and after introduction of a DMARDs and 21 controls. Elevated zonulin in serum indicates an increase in intestinal permeability while LBP and CD14s indicate bacterial translocation.Results:ZO-1 expression was significantly lower in biopsies from patients with RA than controls (mean score ± SD of 1.6 ± 0.56 vs 2.0 ± 0.43; p = 0.01). Age, sex, disease duration and immunological status did not significantly influence the expression of colonic junction proteins. LBP and CD14s were higher in serum from RA patients naive of DMARDs than controls (p = 0.002 and p = 0.003). LBP, CD14s and zonulin levels significantly correlated with DAS28 (r = 0.61, p = 0.005; r = 0.51, p = 0.030 and r = 0.46, p = 0.049, respectively). After treatment, unlike non-responders, LBP and CD14s were significantly reduced in DMARD responders and variations in LBP and CD14s significantly correlated with changes in DAS28 (r = 0.46, p = 0.002 and r = 0, 33 and p = 0.030, respectively).Conclusion:This work is one of the first to explore intestinal permeability in RA and to show altered tight junction in colonic tissue from RA. This increased intestinal permeability appears to be related to the systemic inflammation. Improving the gut microbiota through food or probiotics could enhance the effect of treatments by limiting this amplification loop of inflammation.References:[1]Horta-Baas G, Romero-Figueroa MDS, Montiel-Jarquin AJ, Pizano-Zarate ML, Garcia-Mena J, Ramirez-Duran N. Intestinal Dysbiosis and Rheumatoid Arthritis: A Link between Gut Microbiota and the Pathogenesis of Rheumatoid Arthritis. J Immunol Res. 2017;2017:4835189.[2]Zhang X, Zhang D, Jia H, Feng Q, Wang D, Liang D, et al. The oral and gut microbiomes are perturbed in rheumatoid arthritis and partly normalized after treatment. Nat Med. 2015;21(8):895-905.[3]Maeda Y, Kurakawa T, Umemoto E, Motooka D, Ito Y, Gotoh K, et al. Dysbiosis Contributes to Arthritis Development via Activation of Autoreactive T Cells in the Intestine. Arthritis Rheumatol. 2016;68(11):2646-61.Disclosure of Interests:Rachel Audo: None declared, Pauline Sanchez: None declared, Julie Mielle: None declared, Laurence Macia: None declared, Benjamin Rivière: None declared, Cédric Lukas: None declared, Bernard Combe: None declared, Jacques Morel: None declared, Claire Daien Speakers bureau: Pfizer roche chugai fresenius BMS msd Novartis galapagos, Consultant of: Abivax abbbvie BMS roche chugai, Grant/research support from: Pfizer, roche-chugai, fresenius, msd
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Kashem M, Loor G, Hartwig M, Villavicencio-Theoduloz M, Axtell A, Sanchez P, Ryssel N, Huddleston S, Bottiger B, Daoud D, Zhao H, Wei Q, Bussetty A, Ius F, Warnecke G, Machuca T, Van Raemdonck D, Frick A, Neyrinck A, Chandrashekaran S, Toyoda Y. Extracorporeal Life Support Registry: Analysis of Ex Vivo Lung Perfusion Utilization in Donor after Cardiac Death and Donor after Brain Death. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.875] [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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Le Bacquer O, Salles J, Sanchez P, Piscitelli F, Di Marzo V, Walrand S. Caractérisation des perturbations du système endocannabinoïde musculaire chez le rat âgé. NUTR CLIN METAB 2021. [DOI: 10.1016/j.nupar.2021.01.095] [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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Kashem M, Loor G, Hartwig M, Villavicencio-Theoduloz M, Axtell A, Sanchez P, Ryssel N, Huddleston S, Bottiger B, Daoud D, Zhao H, Wei Q, Bussetty A, Ius F, Warnecke G, Machuca T, Van Raemdonck D, Frick A, Neyrinck A, Chandrashekaran S, Toyoda Y. Interim Results - The Effect of Donor Type (Donor after Cardiac Death vs Donor after Brain Death) and Use of Intraoperative Extracorporeal Lung Support on Survival after Lung Transplantation. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1900] [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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21
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Arreseigor C, Arza-Spinzi F, Sanchez P, Berdugo JA, Konrad JL, Maldondo-Vargas P. 11 Effect of breed type on production of bovine embryos: Experience in Paraguay. Reprod Fertil Dev 2021. [DOI: 10.1071/rdv33n2ab11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
One of the parameters that has the most influence on invitro embryo production programs is the number of oocytes obtained in each follicular aspiration session (ovum pickup; OPU). A significant impact of the breed of the donor on this parameter has been reported. The objective of this work was to compare the parameters of an invitro embryo production program of cows of different breeds in Paraguay. A total of 4811 OPU sessions were performed between 2016 and 2019 in cows classified according to breed and type. Beef-type breeds: Nelore (Bos indicus): n=1569; Aberdeen Angus (Bos taurus): n=1276; and Brangus (Cross): n=182 OPU, and Gyr (Bos indicus): n=1086; dairy breeds: Holstein (Bos taurus): n=401, and Girolando (Cross): n=297. The oocytes were aspirated and transported to the same laboratory located in Asunción, Paraguay. The invitro embryo production protocol was similar in all types. Bull semen tested for IVF was used. The number of oocytes, percentage viability, and percentage embryo production were evaluated. Additionally, the mean and standard deviation of the variables were calculated to show the efficiency of the processes, according to the production aptitude of the donors (meat or milk) and the breed type (Bos indicus, Bos taurus, or crosses). Continuous data were analysed with ANOVA and Tukey’s post hoc comparisons. Categorical data were analysed using Chi-squared at a significance level of 0.05. In this work, the production aptitude had no significant effect over the studied variables. However, some significant differences were found considering the breed type of the oocyte donor cow, as shown in Table 1. When crosses with the pure breeds are compared with their crosses, we found that Brangus produced more pregnancies and a greater number of oocytes/OPU compared with Angus (P<0.05). When the same comparison was made between Girolando and Holstein, no significant differences were found. The results show that Bos indicus breeds and their crosses have a greater capacity to produce more oocytes and embryos and that Bos indicus and crossbreeds were more efficient in producing pregnancies (2-fold) per OPU session than Bos taurus breeds. Additionally, crossing with meat indicus breeds generates better quality embryos and increases efficiency in the system of embryo production.
Table 1.
Comparison of embryo production parameters
Item
Breed type
Bos indicus
Cross
Bos taurus
Oocytes/OPU (mean±SD)
29.8±2.7a
26.3±7.8a
14.6±1.4b
Viable oocytes, %
64.7±3a
64.6±3.4a
60.1±3.1a
Embryo produced/OPU, %
35.2±4.7a
32.8±9.4a
26.2±4a
Embryo/OPU
6.9±1.7a
5.4±1.7a
2.3±0.4b
Pregnancy rate, %
29.6±5.5a
33.1±6.3a
25.3±5a
Pregnancies/OPU
2.1±0.9a
1.9±1a
0.6±0.2b
a,bValues within a row different letters differ (P<0.05).
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Cardenas D, Díaz G, Cadavid Sierra J, Lipovestky F, Canicoba M, Duarte Vera Y, Gutierrez Reyes J, Sanchez P, Maza C, Calvo I, Garcia Y, Jimenez M, Arenas H, Bermúdez C. Nutrition education in Latin-American medical schools: Results of an international survey. Clin Nutr ESPEN 2020. [DOI: 10.1016/j.clnesp.2020.09.257] [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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23
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Paton-Carrero A, de la Osa A, Sanchez P, Rodriguez-Gomez A, Romero A. Towards new routes to increase the electrocatalytic activity for oxygen reduction reaction of n-doped graphene nanofibers. J Electroanal Chem (Lausanne) 2020. [DOI: 10.1016/j.jelechem.2020.114631] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Diaz M, Reyes S, Adur A, Cuartero V, Leon T, Raffa I, Sanchez P, Dioca M. P-7 Induction chemotherapy in locally advanced rectal cancer: Retrospective report of efficacy and safety in an Argentinean university institution, a feasibility perspective. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.089] [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] Open
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25
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Quinto L, Alarcon F, Sanchez P, Garre P, Zaraket F, Guasch E, Tolosana JM, Prat-Gonzalez S, Ortiz-Perez JT, Berruezo A, Brugada J, Sitges M, Mont L, Roca-Luque I. 129Magnetic resonance predictors of ventricular tachycardia recurrence after radiofrequency substrate ablation: septal and transmural channels. Europace 2020. [DOI: 10.1093/europace/euaa162.321] [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: 11/12/2022] Open
Abstract
Abstract
Ventricular tachycardia (VT) substrate-based ablation has become a gold standard in patients with structural heart disease. Success of VT ablation is related with mortality reduction.
Late gadolinium enhancement cardiac magnetic resonance (LGE-CMR) is a powerful technique to assess substrate of VT. Myocardial fibrosis is electrically inert (Core) but it is surrounded by a ‘‘border-zone (BZ)’’ where normal cardiomyocytes intermingle with dense bundles of fibrosis. Slow impulse conduction in the BZ allows for the re-entry circuits leading to VT. Both the presence and extent of LGE have been associated with VT and SCD risk. LGE-CMR tissue characterization can be depicted as pixel signal intensity (PSI) maps and can guide VT ablation.
The aim of this study was to analyze possible VT recurrence predictors in a long term follow-up of patients that underwent VT ablation (endo and/or epicardial) related with LGE-CMR PSI maps.
We analyzed 234 consecutive patients (age: 63.2 ± 14 years, follow-up: 3.14 years ±1.8) undergoing VT ablation with scar-dechannelling technique at a single center from 2013 to 2018. 110 patients underwent a preprocedural LGE-CMR, and in 94 patients (85,5%) a CMR-aided ablation using the PSI maps was performed.
All LGE-CMR images were semi-automatically processed using a dedicated software. PSI-based algorithm was applied to characterize the hyperenhanced area as core or BZ, using fixed threshold of the maximum intensity. A LV 3D shell was obtained and were imported into the navigation system. In the PSI maps, heterogenous tissue channels were defined as a continuous corridor of BZ surrounded by scar core or an anatomic barrier that connects 2 areas of healthy tissue.
Results
Overall recurrence of VT was 41.8 %. There was ICD shock reduction, from 43,6% to a 28,2% (ICD shocks before ablation 2,23 ± 7,32, after: 1,10 ± 2,92).
Left ventricle mass predicted significantly VT recurrence (Mean 168,3 ± 53,3 vs 152,3 ± 46,4 g, HR 1,02 [1,01-1,02], p < 0.001). LGE distribuition was predictive of VT recurrence when a more than 40% of the interventricular septum was involved (62,5% vs 37,8%; HR 1,6 [1,01-1,02]; p = 0,044). No differences in recurrence were found among the patterns of LGE distribution (transmural/epicardial/subendocardial or peculiar segments localizations). The amount of BZ and the total amont of Core + BZ was related with VT recurrence (BZ 26,6 ± 13,9 vs 19,56 ± 9,69 g, HR 1,03 [1,01-1,06], p = 0,012; total Core + BZ 37,1 ± 18,2 vs 29,0 ± 16,3 g, HR 1,02 [1,00-1,04], p = 0,033). Finally VT recurrence was higher in patients with channels with transmural path (66,7% vs 31,4%, HR 3,25 [1,70-6,23], p < 0,001) or midmural channels (54,3% vs 27,6%, HR 2,49 [1,21–5,13], p = 0,013).
CMR-aided scar dechanneling is a helpful and feasible technique which could identify patients with high risk of VT recurrence. High left ventricular mass, septal LGE distribution, transmural and midmural heterogeneous tissue channels were predictive factors of post ablation VT recurrence.
Abstract Figure. VTchannel & heterogeoneus tissue channel
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Affiliation(s)
- L Quinto
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - F Alarcon
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - P Sanchez
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - P Garre
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - F Zaraket
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - E Guasch
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - J M Tolosana
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - S Prat-Gonzalez
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - J T Ortiz-Perez
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - A Berruezo
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - J Brugada
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - M Sitges
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - L Mont
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
| | - I Roca-Luque
- Hospital Clinic de Barcelona, Arrhythmia Section, Cardiovascular Clinic Institute, University of Barcelona, Barcelona, Spain
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Ding J, Feld E, Le A, Sanchez P, Powers J, Doucette A, Gabriel PE, McLaughlin M, Kember R, Weaver J, Judy R, Rader D, Damrauer S, Lee D, Narayan V, Domchek SM, Schwartz L, Maxwell KN. Burden of genetic testing in an academic biobank by pathological and family history-based criteria in prostate cancer (PCa). J Clin Oncol 2020. [DOI: 10.1200/jco.2020.38.15_suppl.1576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
1576 Background: Approximately 5% of localized PCa and 12% of metastatic PCa are associated with germline mutations in DNA repair genes. The National Comprehensive Cancer Network (NCCN) issued genetic testing guidelines to identify PCa patients (pts) likely to harbor a germline DNA repair mutation. The overall burden of this guideline-based, resource-intensive genetic testing is unknown. Using supervised phenotype-genotype information extraction algorithms, we determined the projected genetic testing burden at a single institution adhering to NCCN PCa genetic testing guidelines. Methods: A PCa cohort of 2127 pts was identified from the Penn Medicine BioBank via ICD 9/10 codes. Phenotypic data were extracted from the Penn Medicine Cancer Registry and electronic health record systems via natural language processing and manual chart review. Pts were classified based on 9 germline genetic testing criteria outlined in the NCCN PCa guidelines (Version 4.2019). Results: 895/2127 pts met at least 1 of the 9 NCCN genetic testing criteria, corresponding to a 42.1% overall genetic testing burden. 35.2% qualified for testing via high-risk localized PCa and 6.4% qualified via metastatic disease. Of the pts with localized PCa (n=2014), 15.1% qualified for genetic testing via high Gleason score, 5.1% via high-risk family history, 3.7% via PSA>20ng/mL, 8.7% via Ashkenazi Jewish descent, and 0.8% via intraductal/ductal histology. Conclusions: In this single-center PCa cohort, germline genetic testing was NCCN-guideline recommended for a larger proportion of pts than would otherwise be expected based on previously published reports. Future studies are needed to validate the sensitivity and specificity of these criteria for identifying germline mutations. Our study also highlights a need for novel methods to improve the efficiency of genetic testing for a large cohort. [Table: see text]
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Affiliation(s)
- James Ding
- University of Pennsylvania, Philadelphia, PA
| | - Emily Feld
- University of Pennsylvania, Philadelphia, PA
| | - Anh Le
- University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | | | - Jacquelyn Powers
- University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Abigail Doucette
- University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA
| | | | | | | | | | - Renae Judy
- University of Pennsylvania, Philadelphia, PA
| | | | | | - Daniel Lee
- University of Pennsylvania, Philadelphia, PA
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27
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Hamilton JG, Brower J, Clark D, Ebrahimzadeh JE, Kane SR, Sanchez P, Wildman T, Merrill M, Couch F, Garber JE, Offit K, Robson ME, Domchek SM. Genetic testing experiences and emotional reactions among individuals with variant of uncertain significance results from cancer multiplex genetic testing. J Clin Oncol 2020. [DOI: 10.1200/jco.2020.38.15_suppl.e13680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e13680 Background: Multiplex genetic testing (MGT) simultaneously analyzes multiple cancer susceptibility genes and can reveal genetic variants of uncertain significance (VUS) that have unclear associations with cancer risks. Little is known about how people are prepared for receiving VUS results from MGT, or whether their emotional reactions differ based on the levels of cancer risk to which they may be susceptible. Methods: We recruited participants from the online Prospective Registry of Multiplex Testing (PROMPT). Those with only a VUS in a cancer predisposition gene completed a survey including measures of their MGT experience, distress (range 0-30; α = .87), uncertainty (0-45; α = .83), and positive experiences (0-20; α = .75). We used generalized linear modeling to examine how demographics, awareness of the possibility of VUS before testing, and level of cancer risks associated with their VUS gene were related to emotional outcomes. Results: Data were available from 661 individuals (40% response rate, 95% female, 90% white, 78% college graduate, 69% cancer history, age 23-93) with VUS in a gene of high risk (47%), moderate/low risk (35%) or limited evidence of risk (18%). Among the sample, 80.8% reported ever receiving cancer genetic counseling, and only 50.8% reported being aware of the possibility of VUS when deciding about testing. Participants reported low current distress ( M± SD= 3.25±5.19), uncertainty (9.18±8.35) and positive experiences (7.83±5.98). Distress was associated with younger age, less family cancer history, and being unaware of the possibility of VUS before testing; distress was also higher among those with VUS in a gene of high risk than those with VUS in a gene of moderate/low risk or limited evidence of risk ( ps≤.023). Uncertainty was associated with younger age, non-white race, less education, and being unaware of the possibility of VUS; uncertainty was also higher among those with VUS in a gene of high risk than those with VUS in a gene with limited evidence of risk ( ps≤.05). Fewer positive experiences were associated with more education and more family cancer history; those with VUS in a gene of high risk had fewer positive experiences than those with VUS in a gene with limited evidence of risk ( ps≤.03). Conclusions: Many individuals undergoing MGT may not fully understand the prospect of receiving VUS. Clinicians should consider patients’ background, preparation, and level of cancer risk to which they are potentially susceptible, as these factors may affect their emotional adaptation.
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Affiliation(s)
| | - Jamie Brower
- Basser Center for BRCA, University of Pennsylvania, Philadelphia, PA
| | - Dana Clark
- University of Pennsylvania, Philadelphia, PA
| | | | - Sarah R. Kane
- Memorial Sloan Kettering Cancer Center, New York, NY
| | | | | | | | - Fergus Couch
- Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN
| | - Judy Ellen Garber
- Cancer Genetics and Prevention, Dana-Farber Cancer Institute, Boston, MA
| | - Kenneth Offit
- Memorial Sloan Kettering Cancer Center, New York, NY
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Kiel S, Marrari M, Robinson K, Zeevi A, Sanchez P, Morrell M, Pilewski J, Nolley E. Association between MRSA Colonization and Chronic Lung Allograft Dysfunction in Lung Transplantation for Cystic Fibrosis. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.688] [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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29
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Fontenaille C, Meunier B, Ebbo M, Faucher B, Soare S, Zandotti C, Petit C, Coulon A, Sanchez P, Ernest V, Durand J, Schleinitz N, Harlé J, Bernit E. La ponction lombaire pose le diagnostic. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.10.321] [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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30
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Iasella C, Ensor C, Marrari M, Mangiola M, Moore C, Morrell M, Pilewski J, D'Cunha J, Sanchez P, McDyer J, Zeevi A. Increased Hazard of Chronic Lung Allograft Dysfunction in the Presence of Persistent and Complement Fixing Donor-Specific Antibodies. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.027] [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] Open
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31
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Grape A, Rhee H, Sanchez P. Evaluation of a Peer-led Asthma Self-management Group Intervention for Urban Adolescents. J Pediatr Nurs 2019; 45:1-6. [PMID: 30594886 PMCID: PMC6501823 DOI: 10.1016/j.pedn.2018.12.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Revised: 12/12/2018] [Accepted: 12/14/2018] [Indexed: 10/27/2022]
Abstract
PURPOSE This paper describes the acceptability and generalizability of an evidenced-based peer-led asthma self-management program. DESIGN AND METHODS Adolescents with persistent asthma (n = 259, ages 12-17 years) from three urban cities participated in a one day camp led by either trained peer leaders (n = 35, ages 16-20 years; intervention group) or healthcare professionals (control group). Participants completed a camp evaluation form, and the peer leader quality survey. RESULTS Overall program evaluation showed high acceptability with average score of 4.5 (±0.87) out of 5 and no treatment group differences were found. Campers highly rated peer leaders' qualification, particularly trustworthiness (98%), knowledge (97%), and sense of humor (95%). Participants from low income families (annual income < $30,000) reported higher satisfaction with their camp experience being enjoyable compared to their counterparts from higher income families (X2 = 4.23, p ≤ .04). CONCLUSIONS This study supports the acceptability and generalizability of a peer-led asthma self-management program across different urban community locations, seasons and venues. PRACTICE IMPLICATIONS Trained peers can be as effective as adult educators in teaching adolescents asthma self-management.
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Affiliation(s)
- Annette Grape
- The College at Brockport, Brockport Downtown, Rochester, NY, United States of America.
| | - Hyekyun Rhee
- University of Rochester, School of Nursing, Rochester, NY, United States of America.
| | - Pauleen Sanchez
- University of Rochester, School of Nursing, Rochester, NY, United States of America.
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Poggiogalle E, Carayon A, Salles J, Giraudet C, Rigaudière JP, de Saint-Vincent S, Sanchez P, LeBacquer O, Capel F, Walrand S, Boirie Y, Guillet C. Effets d’un régime à haute teneur en protéines dans un contexte de surnutrition lipidique et calorique sur la synthèse protéique musculaire et l’infiltration lipidique chez les rats adultes et âgés. NUTR CLIN METAB 2019. [DOI: 10.1016/j.nupar.2019.01.352] [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: 12/01/2022]
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33
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O’Connor J, Huertas E, Loria FS, Brancato F, Grondona J, Fauda M, Andriani O, Sanchez P, Barros Schelotto P, Ardiles V, de Santibañes E. Prognostic impact of K-RAS mutational status and primary tumour location in patients undergoing resection for colorectal cancer liver metastases: A METHEPAR analysis (multicentre study in Argentina). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.270] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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34
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Whitson B, Shukrallah B, Mulligan M, D'Cunha J, Daneshmand M, Wozniak T, Kon Z, Machuca T, Jessen M, Sanchez P, Cantu E. Ex-Vivo Lung Perfusion in Donation After Circulatory Death Lung Transplantation Increases Donor Utilization: Analysis of the NOVEL Extension Trial. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.358] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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35
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Valencia O, Sanchez P, Acuña L, Uribe D. Prevalence of cancer in Colombia: What kind of methodologies has been used to obtain prevalence? Eur J Cancer 2017. [DOI: 10.1016/s0959-8049(17)30539-7] [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] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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36
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Kim J, Barr E, Terrin M, Timofte I, Sanchez P, Kon Z, Pierson R, Wijesinha M, Pham S, Iacono A. Change in Body Mass Index at Listing from Primary Transplant to Re-Transplantation Predicts Re-Transplant Survival. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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37
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Timofte I, Terrin M, Wijesinha M, Sanchez P, Pierson R, Barr E, Kim J, Kon Z, Pham S, Iacono A. Pulmonary Hypertension in COPD: A Survival Analysis of Patients Listed for Lung Transplantation. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.870] [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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38
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Toro R, Sanchez P, Ruiz-Estevez B, Monsalvo M, Aragon V, Quezada M, Tinoco I, Cabeza P, Leal C, Lagares A, Rosety-Rodriguez M, Ordonez F, Otero E, Mangas A. GDF-15 and other new markers for clinical and dyastolic function in hipertrophic cardiomiopathy (HCM). Atherosclerosis 2015. [DOI: 10.1016/j.atherosclerosis.2015.04.765] [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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39
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Salvà A, Roqué M, Vallès E, Bustins M, Bullich I, Sanchez P. Prognostic factors of functional status improvement in individuals admitted to convalescence care units. Eur Geriatr Med 2015. [DOI: 10.1016/j.eurger.2014.11.012] [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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40
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Arango Tomas E, Sanchez P, Davis R, Cantu E, Weyant M, Lederer D, Camp P, Griffith B, D’Ovidio F. Post EVLP Cold Preservation Period Is Associated With Clinical Outcomes. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.256] [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: 11/30/2022] Open
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41
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Ruiz de Gauna B, Sanchez P, Pineda L, Utrilla-Layna J, Juez L, Alcázar JL. Reply: To PMID 24265132. Ultrasound Obstet Gynecol 2015; 45:238-239. [PMID: 25627098 DOI: 10.1002/uog.14724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Affiliation(s)
- B Ruiz de Gauna
- Barcelona Center for Maternal Fetal and Neonatal Medicine, Hospital Sant Joan de Deu and Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
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Ruiz de Gauna B, Sanchez P, Pineda L, Utrilla-Layna J, Juez L, Alcázar JL. Interobserver agreement in describing adnexal masses using the International Ovarian Tumor Analysis simple rules in a real-time setting and using three-dimensional ultrasound volumes and digital clips. Ultrasound Obstet Gynecol 2014; 44:95-99. [PMID: 24265132 DOI: 10.1002/uog.13254] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2013] [Revised: 10/30/2013] [Accepted: 11/15/2013] [Indexed: 06/02/2023]
Abstract
OBJECTIVE To estimate the agreement between an expert and a non-expert examiner using the International Ovarian Tumor Analysis (IOTA) simple rules for classifying adnexal masses on real-time ultrasound and when using three-dimensional (3D) ultrasound volumes and digital clips. METHODS Forty-two non-consecutive women diagnosed as having an adnexal mass were evaluated by transvaginal power Doppler ultrasound as part of their diagnostic work-up. In each woman, examination was first performed by a non-expert examiner (a trainee) and immediately afterwards by an expert examiner. Both used the IOTA simple rules to describe the mass, blinded to each other's results. After finishing the examination, each examiner classified the mass as benign, malignant or inconclusive, according to the IOTA simple rules. Additionally, the expert recorded a short videoclip and acquired a static 3D volume of each mass, which were subsequently assessed by four trainees in obstetrics and gynecology with different levels of training, who also classified the mass as benign, malignant or inconclusive according to the IOTA simple rules. Agreement was assessed by calculating weighted and standard kappa index values with 95% CI and the percentage of agreement between observers. RESULTS Agreement between the observers who performed real-time ultrasound examination was good (weighted kappa = 0.76; 95% CI, 0.61-0.90; agreement = 78.6%). Agreement between trainees using videoclips plus 3D volumes was moderate (kappa values ranged from 0.45 to 0.58, depending on pair comparison). CONCLUSION Interobserver agreement of the IOTA simple rules for classifying adnexal masses as benign, malignant or inconclusive using real-time ultrasound, between an expert and a non-expert examiner, might be considered good. Agreement using a videoclip plus a 3D volume was moderate for trainees with different degrees of training.
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Affiliation(s)
- B Ruiz de Gauna
- Barcelona Center for Maternal Fetal and Neonatal Medicine, Hospital Sant Joan de Deu and Hospital Clinic, Universitat de Barcelona, Barcelona, Spain
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Johnson M, Sanchez P, Suominen H, Basilakis J, Dawson L, Kelly B, Hanlen L. Comparing nursing handover and documentation: forming one set of patient information. Int Nurs Rev 2013; 61:73-81. [DOI: 10.1111/inr.12072] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M. Johnson
- School of Nursing & Midwifery; University of Western Sydney; Sydney NSW Australia
- Centre for Applied Nursing Research (a joint facility of the South Western Sydney Local Health District and the University of Western Sydney); Sydney NSW Australia
| | - P. Sanchez
- Centre for Applied Nursing Research; Sydney NSW Australia
| | - H. Suominen
- NICTA; Canberra ACT Australia
- The Australian National University; Canberra ACT Australia
- University of Canberra; Canberra ACT Australia
| | - J. Basilakis
- University of Western Sydney; Sydney NSW Australia
| | - L. Dawson
- University of Wollongong; Wollongong NSW Australia
| | - B. Kelly
- The University of Melbourne; Melbourne Vic. Australia
| | - L. Hanlen
- NICTA; Canberra ACT Australia
- The Australian National University; Canberra ACT Australia
- University of Canberra; Canberra ACT Australia
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Debarle C, Puybasset L, Brondel M, Caron E, Picq C, Sanchez P, Pradat-Diehl P. Long-term functional outcome of a cohort of severe traumatic brain injury patients after neurosurgical reanimation. Ann Phys Rehabil Med 2013. [DOI: 10.1016/j.rehab.2013.07.129] [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: 10/26/2022]
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Dinkel J, Drier A, Khalilzadeh O, Perlbarg V, Czernecki V, Gupta R, Gomas F, Sanchez P, Dormont D, Galanaud D, Stevens RD, Puybasset L. Long-term white matter changes after severe traumatic brain injury: a 5-year prospective cohort. AJNR Am J Neuroradiol 2013; 35:23-9. [PMID: 23846796 DOI: 10.3174/ajnr.a3616] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Extensive white matter damage has been documented in patients with severe traumatic brain injury, yet how this damage evolves in the long term is not well understood. We used DTI to study white matter changes at 5 years after traumatic brain injury. MATERIALS AND METHODS There were 8 healthy control participants and 13 patients with severe traumatic brain injury who were enrolled in a prospective observational study, which included clinical assessment and brain MR imaging in the acute setting (< 6 weeks) and 2 years and 5 years after injury. Only subjects with mild to moderate disability or no disability at 1 year were included in this analysis. DTI parameters were measured in 20 different brain regions and were normalized to values obtained in an age-matched control group. RESULTS In the acute setting, fractional anisotropy was significantly lower in the genu and body of the corpus callosum and in the bilateral corona radiata in patients compared with control participants, whereas radial diffusivity was significantly (P < .05) higher in these tracts. At 2 years, fractional anisotropy in these tracts had further decreased and radial diffusivity had increased. No significant changes were detected between 2 and 5 years after injury. The baseline radial diffusivity and fractional anisotropy values in the anterior aspect of the brain stem, genu and body of the corpus callosum, and the right and left corona radiata were significantly (P < .05) associated with neurocognitive sequelae (including amnesia, aphasia, and dyspraxia) at year 5. CONCLUSIONS DTI changes in major white matter tracts persist up to 5 years after severe traumatic brain injury and are most pronounced in the corpus callosum and corona radiata. Limited structural change is noted in the interval between 2 and 5 years.
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Affiliation(s)
- J Dinkel
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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Julian R, Castell V, Gomez I, Mateo C, Sanchez M, Lopez-Gonzalez P, Sanchez P. PC0003 Prevalence of musculoskeletal diseases and its treatment in the elderly. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.3433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Caballero L, Magariños M, García del Castillo I, Elizagárate E, Sanchez P, Hernando D. 2869 – Preliminary results of a controlled clinical trial with a group technique for cognitive training in schizophrenia based in the understanting of fictions films. Eur Psychiatry 2013. [DOI: 10.1016/s0924-9338(13)77447-9] [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: 10/26/2022] Open
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Oelstrom M, Núñez R, Sanchez P, Sanchez-Saugar E, Garcia-Cañamaque L, Duran I. [Clinical application of fluorocholine positron emission tomography in relapsed prostate cancer]. Actas Urol Esp 2012; 36:444-6. [PMID: 22710092 DOI: 10.1016/j.acuro.2011.11.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2011] [Revised: 11/20/2011] [Accepted: 11/24/2011] [Indexed: 11/15/2022]
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Leclercq D, Perlbarg V, Fave G, Sanchez P, Menjot De Champfleur N, Tollard E, Ibarolla D, Soto Ares G, Bracard S, Tshibanda L, Dormont D, Benali H, Puybasset L, Galanaud D. Étude prospective multicentrique du tenseur de diffusion dans l’hémorragie méningée grave. Résultats préliminaires. J Neuroradiol 2012. [DOI: 10.1016/j.neurad.2012.01.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Udintsev V, Vayakis G, Bora D, Direz MF, Encheva A, Giacomin T, Henderson M, Patel K, Portalès M, Prakash A, Snipes J, Walker C, Walsh M, Watts C, Austin M, Pandya H, Hanson G, Popova E, Sanchez P, Shelukhin D, Conway G, Oosterbeek J. Extending the physics studied by ECE on ITER. EPJ Web of Conferences 2012. [DOI: 10.1051/epjconf/20123203013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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