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Carrier FM, Girard M, Zuo RM, Ziegler D, Trottier H, Chassé M. Intraoperative Vasoactive Medications and Perioperative Outcomes in Liver Transplantation: A Systematic Review and Network Meta-analyses. Transplantation 2024; 108:854-873. [PMID: 37525360 DOI: 10.1097/tp.0000000000004744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/02/2023]
Abstract
We conducted a systematic review and network meta-analyses evaluating the effects of different intraoperative vasoactive drugs on acute kidney injury (AKI) and other perioperative outcomes in adult liver transplant recipients. We searched multiple electronic databases using words from the "liver transplantation" and "vasoactive drug" domains. We included all randomized controlled trials conducted in adult liver transplant recipients comparing 2 different intravenous vasoactive drugs or 1 against a standard of care that reported AKI, intraoperative blood loss, or any other postoperative outcome. We conducted 4 frequentist network meta-analyses using random effect models, based on the interventions' mechanism of action, and evaluated the quality of evidence (QoE) using Grading of Recommendations, Assessment, Development, and Evaluations recommendations. We included 9 randomized controlled trials comparing different vasopressor drugs (vasoconstrictor or inotrope), 3 comparing a somatostatin infusion (or its analogues) to a standard of care, 11 comparing different vasodilator infusions together or against a standard of care, and 2 comparing vasoconstrictor boluses at graft reperfusion. Intravenous clonidine was associated with shorter duration of mechanical ventilation, intensive care unit, and hospital length of stay (very low QoE), and some vasodilators were associated with lower creatinine level 24 h after surgery (low to very low QoE). Phenylephrine and terlipressin were associated with less intraoperative blood loss when compared with norepinephrine (low and moderate QoE). None of the vasoactive drugs improve any other postoperative outcomes, including AKI. There is still important equipoise regarding the best vasoactive drug to use in liver transplantation for most outcomes. Further studies are required to better inform clinical practice.
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Affiliation(s)
- François Martin Carrier
- Department of Anesthesiology, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada
- Department of Medicine, Critical Care Division, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada
- Health Innovation and Evaluation Hub, Centre de recherche du CHUM, Montréal, QC, Canada
- Department of Anesthesiology and Pain Medicine, Université de Montréal, Montréal, QC, Canada
| | - Martin Girard
- Department of Anesthesiology, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada
- Department of Medicine, Critical Care Division, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada
- Health Innovation and Evaluation Hub, Centre de recherche du CHUM, Montréal, QC, Canada
- Department of Anesthesiology and Pain Medicine, Université de Montréal, Montréal, QC, Canada
| | - Rui Min Zuo
- Department of Medicine, Université de Montréal, Montréal, QC, Canada
| | - Daniela Ziegler
- Library, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada
| | - Helen Trottier
- Department of Social and Preventive Medicine, École de Santé Publique de l'Université de Montréal, Centre hospitalier universitaire Sainte-Justine, Montréal, QC, Canada
| | - Michaël Chassé
- Department of Medicine, Critical Care Division, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada
- Health Innovation and Evaluation Hub, Centre de recherche du CHUM, Montréal, QC, Canada
- Department of Medicine, Université de Montréal, Montréal, QC, Canada
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Sacks E, Brizuela V, Javadi D, Kim Y, Elmi N, Finlayson K, Crossland N, Langlois EV, Ziegler D, Parmar SM, Bonet M. Immigrant women's and families' views and experiences of routine postnatal care: findings from a qualitative evidence synthesis. BMJ Glob Health 2024; 8:e014075. [PMID: 38351019 PMCID: PMC10897958 DOI: 10.1136/bmjgh-2023-014075] [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: 09/26/2023] [Accepted: 01/06/2024] [Indexed: 02/16/2024] Open
Abstract
BACKGROUND Uptake of postnatal care (PNC) is low and inequitable in many countries, and immigrant women may experience additional challenges to access and effective use. As part of a larger study examining the views of women, partners, and families on routine PNC, we analysed a subset of data on the specific experiences of immigrant women and families. METHODS This is a subanalysis of a larger qualitative evidence synthesis. We searched MEDLINE, PUBMED, CINAHL, EMBASE, EBM-Reviews and grey literature for studies published until December 2019 with extractable qualitative data with no language restrictions. For this analysis, we focused on papers related to immigrant women and families. Two reviewers screened each study independently; inclusion was agreed by consensus. Data abstraction and quality assessment were carried out using a study-specific extraction form and established quality assessment tools. Study findings were identified using thematic analysis. Findings are presented by confidence in the finding, applying the GRADE-CERQual approach. FINDINGS We included 44 papers, out of 602 full-texts, representing 11 countries where women and families sought PNC after immigrating. All but one included immigrants to high-income countries. Four themes were identified: resources and access, differences from home country, support needs, and experiences of care. High confidence study findings included: language and communication challenges; uncertainty about navigating system supports including transportation; high mental health, emotional, and informational needs; the impact of personal resources and social support; and the quality of interaction with healthcare providers. These findings highlight the importance of care experiences beyond clinical care. More research is also needed on the experiences of families migrating between low-income countries. CONCLUSIONS Immigrant families experience many challenges in getting routine PNC, especially related to language, culture, and communication. Some challenges may be mitigated by improving comprehensive and accessible information on available services, as well as holistic social support. TRIAL REGISTRATION NUMBER CRD42019139183.
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Affiliation(s)
- Emma Sacks
- Department of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA
| | - Vanessa Brizuela
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland
| | - Dena Javadi
- Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA
| | - Yoona Kim
- Department of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA
| | - Nika Elmi
- School of Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Kenneth Finlayson
- School of Nursing and Midwifery, University of Central Lancashire, Preston, UK
| | - Nicola Crossland
- School of Nursing and Midwifery, University of Central Lancashire, Preston, UK
| | - Etienne V Langlois
- Partnership for Maternal, Newborn, and Child Health, World Health Organization, Geneva, Switzerland
| | - Daniela Ziegler
- Centre Hospitalier de l'Universite de Montreal, Montreal, Quebec, Canada
| | | | - Mercedes Bonet
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland
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Rouleau G, Wu K, Ramamoorthi K, Boxall C, Liu RH, Maloney S, Zelmer J, Scott T, Larsen D, Wijeysundera HC, Ziegler D, Bhatia S, Kishimoto V, Steele Gray C, Desveaux L. Mapping Theories, Models, and Frameworks to Evaluate Digital Health Interventions: Scoping Review. J Med Internet Res 2024; 26:e51098. [PMID: 38315515 PMCID: PMC10877497 DOI: 10.2196/51098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 11/10/2023] [Accepted: 12/27/2023] [Indexed: 02/07/2024] Open
Abstract
BACKGROUND Digital health interventions (DHIs) are a central focus of health care transformation efforts, yet their uptake in practice continues to fall short of their potential. In order to achieve their desired outcomes and impact, DHIs need to reach their target population and need to be used. Many factors can rapidly intersect between this dynamic of users and interventions. The application of theories, models, and frameworks (TMFs) can facilitate the systematic understanding and explanation of the complex interactions between users, practices, technology, and health system factors that underpin research questions. There remains a gap in our understanding of how TMFs have been applied to guide the evaluation of DHIs with real-world health system operations. OBJECTIVE This study aims to map TMFs used in studies to guide the evaluation of DHIs. The objectives are to (1) describe the TMFs and the constructs they target, (2) identify how TMFs have been prospectively used (ie, their roles) in primary studies to evaluate DHIs, and (3) to reflect on the relevance and utility of our findings for knowledge users. METHODS This scoping review was conducted in partnership with knowledge users using an integrated knowledge translation approach. We included papers (eg, reports; empirical quantitative, qualitative, and mixed methods studies; conference proceedings; and dissertations) if primary insights resulting from the application of TMFs were presented. Any type of DHI was eligible. Papers published from 2000 and onward were mainly identified from the following databases: MEDLINE (Ovid), CINAHL Complete (EBSCOhost), PsycINFO (Ovid), EBM Reviews (Ovid), and Embase (Ovid). RESULTS A total of 156 studies published between 2000 and 2022 were included. A total of 68 distinct TMFs were identified across 85 individual studies. In more than half (85/156, 55%) of the included studies, 1 of following 6 prevailing TMFs were reported: Consolidated Framework for Implementation Research (n=39); the Reach, Effectiveness, Adoption, Implementation, and Maintenance Framework (n=17); the Technology of Acceptance Model (n=16); the Unified Theory on Acceptance and Use of Technology (n=12); the Diffusion of Innovation Theory (n=10); and Normalization Process Theory (n=9). The most common intended roles of the 6 TMFs were to inform data collection (n=86), to inform data analysis (n=69), and to identify key constructs that may serve as barriers and facilitators (n=52). CONCLUSIONS As TMFs are most often reported to be applied to support data collection and analysis, researchers should consider more clearly synthesizing key insights as practical use cases to both increase the relevance and digestibility of their findings. There is also a need to adapt or develop guidelines for better reporting DHIs and the use of TMFs to guide evaluation. Hence, it would contribute to ensuring ongoing technology transformation efforts are evidence and theory informed rather than anecdotally driven.
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Affiliation(s)
- Geneviève Rouleau
- Nursing department, Université du Québec en Outaouais, Saint-Jérôme, QC, Canada
- Institute for Health System Solutions and Virtual Care Toronto, Women's College Hospital, Toronto, ON, Canada
- Institut du Savoir Montfort, Montfort Hospital, Ottawa, ON, Canada
| | - Kelly Wu
- Institute for Health System Solutions and Virtual Care Toronto, Women's College Hospital, Toronto, ON, Canada
| | - Karishini Ramamoorthi
- Institute for Health System Solutions and Virtual Care Toronto, Women's College Hospital, Toronto, ON, Canada
| | - Cherish Boxall
- Southampton Clinical Trials Unit, University of Southampton, Southampton, United Kingdom
| | - Rebecca H Liu
- Institute for Health System Solutions and Virtual Care Toronto, Women's College Hospital, Toronto, ON, Canada
| | | | | | - Ted Scott
- School of Nursing, Hamilton Health Sciences, McMaster University, Hamilton, ON, Canada
| | - Darren Larsen
- Telus Healthcare Delivery, Women's College Hospital, Toronto, ON, Canada
- Women's College Hospital Family Health Team, Women's College Hospital, Toronto, ON, Canada
| | | | - Daniela Ziegler
- Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada
| | - Sacha Bhatia
- Ontario Health, Toronto, ON, Canada
- Peter Munk Cardiac Centre, University Health Network, Toronto, ON, Canada
| | - Vanessa Kishimoto
- Institute for Health System Solutions and Virtual Care Toronto, Women's College Hospital, Toronto, ON, Canada
| | - Carolyn Steele Gray
- Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
| | - Laura Desveaux
- Institute for Health System Solutions and Virtual Care Toronto, Women's College Hospital, Toronto, ON, Canada
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
- Institute for Better Health, Trillium Health Partners, Toronto, ON, Canada
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Sharafi H, Bakouni H, McAnulty C, Drouin S, Coronado-Montoya S, Bahremand A, Bach P, Ezard N, Le Foll B, Schütz CG, Siefried KJ, Tardelli VS, Ziegler D, Jutras-Aswad D. Prescription psychostimulants for the treatment of amphetamine-type stimulant use disorder: A systematic review and meta-analysis of randomized placebo-controlled trials. Addiction 2024; 119:211-224. [PMID: 37880829 DOI: 10.1111/add.16347] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Accepted: 08/10/2023] [Indexed: 10/27/2023]
Abstract
BACKGROUND AND AIMS There is currently no standard of care for pharmacological treatment of amphetamine-type stimulant (ATS) use disorder (ATSUD). This systematic review with meta-analysis (PROSPERO CRD42022354492) aimed to pool results from randomized placebo-controlled trials (RCTs) to evaluate efficacy and safety of prescription psychostimulants (PPs) for ATSUD. METHODS Major indexing sources and trial registries were searched to include records published before 29 August 2022. Eligible studies were RCTs evaluating efficacy and safety of PPs for ATSUD. Risk of bias (RoB) was assessed using the Cochrane RoB 2 tool. Risk ratio (RR) and risk difference were calculated for random-effect meta-analysis of dichotomous variables. Mean difference and standardized mean difference (SMD) were calculated for random-effect meta-analysis of continuous variables. RESULTS Ten RCTs (n = 561 participants) were included in the meta-analysis. Trials studied methylphenidate (n = 7), with daily doses of 54-180 mg, and dextroamphetamine (n = 3), with daily doses of 60-110 mg, for 2-24 weeks. PPs significantly decreased end-point craving [SMD -0.29; 95% confidence interval (CI) = -0.55, -0.03], while such a decrease did not reach statistical significance for ATS use, as evaluated by urine analysis (UA) (RR = 0.93; 95% CI = 0.85-1.01). No effect was observed for self-reported ATS use, retention in treatment, dropout following adverse events, early-stage craving, withdrawal and depressive symptoms. In a sensitivity analysis, treatment was associated with a significant reduction in UA positive for ATS (RR = 0.89; 95% CI = 0.79-0.99) after removing studies with a high risk of bias. In subgroup analyses, methylphenidate and high doses of PPs were negatively associated with ATS use by UA, while higher doses of PPs and treatment duration (≥ 20 weeks) were positively associated with longer retention. CONCLUSIONS Among individuals with amphetamine-type stimulant use disorder, treatment with prescription psychostimulants may decrease ATS use and craving. While effect size is limited, it may increase with a higher dosage of medications.
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Affiliation(s)
- Heidar Sharafi
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada
- Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Hamzah Bakouni
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada
- Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Christina McAnulty
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada
- Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Sarah Drouin
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada
| | - Stephanie Coronado-Montoya
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada
- Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Arash Bahremand
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada
- Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montreal, Canada
| | - Paxton Bach
- Department of Medicine, University of British Columbia, Vancouver, Canada
- British Columbia Centre on Substance Use, St Paul's Hospital, Vancouver, Canada
| | - Nadine Ezard
- National Centre for Clinical Research on Emerging Drugs (NCCRED), University of New South Wales, Sydney, Australia
- St Vincent's Hospital Sydney Alcohol and Drug Service, Darlinghurst, Australia
- National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Randwick, Australia
| | - Bernard Le Foll
- Department of Pharmacology and Toxicology, Faculty of Medicine, University of Toronto, Toronto, Canada
- Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Canada
- Department of Psychiatry, University of Toronto, Toronto, Canada
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
- Translational Addiction Research Laboratory, Campbell Family Mental Health Research Institute, Center for Addiction and Mental Health, Toronto, Canada
- Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, Canada
| | - Christian G Schütz
- Department of Psychiatry, University of British Columbia, Vancouver, Canada
| | - Krista J Siefried
- National Centre for Clinical Research on Emerging Drugs (NCCRED), University of New South Wales, Sydney, Australia
- St Vincent's Hospital Sydney Alcohol and Drug Service, Darlinghurst, Australia
- National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Randwick, Australia
| | - Vitor S Tardelli
- Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Daniela Ziegler
- Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Canada
| | - Didier Jutras-Aswad
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada
- Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montreal, Canada
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5
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Bakouni H, Sharafi H, Bahremand A, Drouin S, Ziegler D, Bach P, Le Foll B, Schütz CG, Tardelli V, Ezard N, Siefried K, Jutras-Aswad D. Bupropion for treatment of amphetamine-type stimulant use disorder: A systematic review and meta-analysis of placebo-controlled randomized clinical trials. Drug Alcohol Depend 2023; 253:111018. [PMID: 37979478 DOI: 10.1016/j.drugalcdep.2023.111018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 10/25/2023] [Accepted: 10/26/2023] [Indexed: 11/20/2023]
Abstract
BACKGROUND This meta-analysis (PROSPERO-ID: CRD42022362962), pooled effect estimates of outcomes, from placebo-controlled randomized clinical trials (RCTs) examining bupropion efficacy and safety for amphetamine-type stimulant use disorder (ATSUD) treatment. METHOD Electronic databases were searched for records published to October 31st, 2022, including MEDLINE, CINAHL, PsycINFO, EBM Reviews, EMBASE, PubMed, Web of Science, trial registries. Inclusion criteria were RCTs comparing bupropion to placebo in ATSUD. Cochrane RoB2 tool and GRADE evidence certainty assessment were employed. Outcomes included amphetamine-type stimulant (ATS) use by urinalysis, retention in treatment, treatment adherence, ATS craving, addiction severity, depressive symptom severity, drop-out following adverse events (AEs), and serious AEs. Random-effect meta-analysis was conducted presenting standardized mean difference (SMD), risk ratio (RR), and risk difference (RD). RESULTS Eight RCTs (total N=1239 participants) were included. Bupropion compared to placebo was associated with reduced ATS use (RR: 0.90; 95% CI: 0.84, 0.96), end-of-treatment ATS craving (SMD: -0.38; 95%CI: -0.63, -0.13), and adherence (RR: 0.91; 95%CI: 0.84, 0.99). Subgroup analysis showed greater reduction in ATS use with longer trial duration (12 weeks) (RR: 0.85; 95%CI: 0.78, 0.93) and greater reduction in end-of-treatment ATS craving in studies with mixed ATS use frequency (SMD: -0.46; 95%CI: -0.70, -0.22) and male-only samples (SMD: -1.26; 95%CI: -1.87, -0.65). CONCLUSION Bupropion showed a significant modest reduction in ATS use and ATS craving (both rated as very low-quality evidence), larger in males (craving), and with longer treatment (ATS use). These results may inform future studies. More research is warranted on who might benefit from bupropion as ATSUD treatment.
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Affiliation(s)
- Hamzah Bakouni
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Québec, Canada; Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
| | - Heidar Sharafi
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Québec, Canada; Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
| | - Arash Bahremand
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Québec, Canada; Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
| | - Sarah Drouin
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Québec, Canada; Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
| | - Daniela Ziegler
- Centre hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada
| | - Paxton Bach
- University of British Columbia, Department of Medicine; British Columbia Centre on Substance Use, Vancouver, British Columbia, Canada
| | - Bernard Le Foll
- Department of Pharmacology and Toxicology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Translational Addiction Research Laboratory, Campbell Family Mental Health Research Institute, Center for Addiction and Mental Health, Toronto, Ontario, Canada; Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada
| | - Christian G Schütz
- British Columbia Mental Health and Substance Use Services, Provincial Health Service Authority, University of British Columbia, Vancouver, Vancouver, British Columbia, Canada
| | - Vitor Tardelli
- Translational Addictions Research Lab (TARL), Centre for Addiction and Mental Health, University of Toronto, Toronto, Canada; Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Nadine Ezard
- St Vincent's Hospital Sydney Alcohol and Drug Service, Darlinghurst, Australia; The National Centre for Clinical Research on Emerging Drugs (NCCRED), The University of New South Wales (UNSW), Sydney, Australia; National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Randwick, Australia
| | - Krista Siefried
- St Vincent's Hospital Sydney Alcohol and Drug Service, Darlinghurst, Australia; The National Centre for Clinical Research on Emerging Drugs (NCCRED), The University of New South Wales (UNSW), Sydney, Australia; National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Randwick, Australia
| | - Didier Jutras-Aswad
- Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Québec, Canada; Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.
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Thibeault F, Plourde G, Fellouah M, Ziegler D, Carrier FM. Preoperative fibrinogen level and blood transfusions in liver transplantation: A systematic review. Transplant Rev (Orlando) 2023; 37:100797. [PMID: 37778295 DOI: 10.1016/j.trre.2023.100797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 09/03/2023] [Accepted: 09/23/2023] [Indexed: 10/03/2023]
Abstract
BACKGROUND Orthotopic liver transplantation (OLT) is a major surgery often associated with significant bleeding. We conducted a systematic review to explore the association between preoperative fibrinogen level and intraoperative blood products transfusion, blood loss and clinical outcomes in patients undergoing OLT. METHODS We included observational studies conducted in patients undergoing an OLT mostly for end-stage liver disease that reported an association between the preoperative fibrinogen level and our outcomes of interest. Our primary outcome was the intraoperative red blood cell (RBC) transfusion requirements. Our secondary outcomes were intraoperative blood loss, intraoperative transfusion of any blood product, postoperative RBC transfusion, postoperative thrombotic or hemorrhagic complications, and mortality. We used a standardized search strategy. We reported our results mostly descriptively but conducted meta-analyses using random-effect models when judged feasible. RESULTS We selected 24 cohort studies reporting at least one of our outcomes. We found that a high preoperative fibrinogen level was associated with fewer intraoperative RBC and other blood products transfusions, and lower blood loss. We also found a lower overall survival in patients with a higher fibrinogen level (pooled hazard ratio [95% CI] of 1.50 [1.23 to 1.84]; 5 studies, n = 1012, I2 = 48%). Only one study formally explored a fibrinogen level threshold effect. Overall, reporting was heterogeneous, and risk of bias was variable mostly because of uncontrolled confounding. CONCLUSION A higher preoperative fibrinogen level was associated with fewer intraoperative RBC and other blood products transfusions, lower blood loss, and higher mortality. Further studies may help clarify observed associations and inform guidelines.
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Affiliation(s)
| | - Guillaume Plourde
- Department of Medicine, Critical Care service, Centre hospitalier de l'Université de Montréal (CHUM), Canada; Health evaluation and innovation hub, Centre de Recherche du CHUM, Canada; Department of Medicine, Université de Montréal, Canada
| | | | - Daniela Ziegler
- Library, Centre hospitalier de l'Université de Montréal (CHUM), Canada
| | - François Martin Carrier
- Department of Medicine, Critical Care service, Centre hospitalier de l'Université de Montréal (CHUM), Canada; Health evaluation and innovation hub, Centre de Recherche du CHUM, Canada; Department of Anesthesiology, Centre hospitalier de l'Université de Montréal (CHUM), Canada; Department of Anesthesiology and Pain Medicine, Université de Montréal, Canada.
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Boulton AJM, Jensen TS, Luecke T, Petersen EA, Pop-Busui R, Taylor RS, Tesfaye S, Vileikyte L, Ziegler D. Where does spinal cord stimulation fit into the international guidelines for refractory painful diabetic neuropathy? a consensus statement. Diabetes Res Clin Pract 2023; 206 Suppl 1:110763. [PMID: 38245326 DOI: 10.1016/j.diabres.2023.110763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 05/30/2023] [Indexed: 01/22/2024]
Abstract
BACKGROUND Although pharmacotherapy with anticonvulsants and/or antidepressants can be effective for many people with painful diabetic neuropathy (PDN), albeit with frequent side-effects, a critical juncture occurs when neuropathic pain no longer responds to standard first- and second-step mono- and dual therapy and becomes refractory. Subsequent to these pharmacotherapeutic approaches, third-line treatment options for PDN may include opioids (short-term), capsaicin 8% patches, and spinal cord stimulation (SCS). AIM This document summarizes consensus recommendations regarding appropriate treatment for refractory peripheral diabetic neuropathy (PDN), based on outcomes from an expert panel convened on December 10, 2022, as part of the Worldwide Initiative for Diabetes Education Virtual Global Summit, "Advances in the Management of Painful Diabetic Neuropathy." PARTICIPANTS Nine attendees, eminent physicians and academics, comprising six diabetes specialists, two pain specialists, and one health services expert. EVIDENCE For individuals with refractory PDN, opioids are a high-risk option that do not provide a long-term solution and should not be used. For appropriately selected individuals, SCS is an effective, safe, and durable treatment option. In particular, high-frequency (HF) SCS (10 kHz) shows strong efficacy and improves quality of life. To ensure treatment success, strict screening criteria should be used to prioritize candidates for SCS. CONSENSUS PROCESS Each participant voiced their opinion after reviewing available data, and a verbal consensus was reached during the meeting. CONCLUSION Globally, the use of opioids should rarely be recommended for refractory, severe PDN. Based on increasing clinical evidence, SCS, especially HF-SCS, should be considered as a treatment for PDN that is not responsive to first- or second-line monotherapy/dual therapy.
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Affiliation(s)
| | - T S Jensen
- International Diabetic Neuropathy Consortium, Aarhus University, Aarhus, Denmark
| | - T Luecke
- Pain Center, Franziskus Hospital Linz, Vice President, German Pain Society, Linz am Rhein, Germany
| | - E A Petersen
- University of Arkansas for Medical Sciences, AR, USA
| | - R Pop-Busui
- Metabolism, Endocrinology, and Diabetes, University of Michigan, MI, USA
| | | | - S Tesfaye
- Sheffield Teaching Hospitals and the University of Sheffield, Sheffield, UK
| | | | - D Ziegler
- Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Düsseldorf, Germany
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Javadi D, Sacks E, Brizuela V, Finlayson K, Crossland N, Langlois EV, Ziegler D, Chandra-Mouli V, Bonet M. Factors that influence the uptake of postnatal care among adolescent girls: a qualitative evidence synthesis. BMJ Glob Health 2023; 8:e011560. [PMID: 37137533 PMCID: PMC10163540 DOI: 10.1136/bmjgh-2022-011560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 03/21/2023] [Indexed: 05/05/2023] Open
Abstract
BACKGROUND Adolescent pregnancy is associated with increased risk of maternal and child morbidity and mortality globally. Access to safe, appropriate and affordable antenatal, childbirth and postnatal care (PNC) is essential in mitigating this risk. PNC is an often undervalued, underused, and understudied component of the continuum of maternal health services; however, it provides an important opportunity for adolescent girls to have access to health information and resources as they navigate the transition to motherhood and/or recovery from childbirth. This qualitative evidence synthesis seeks to highlight the experiences and perspectives of adolescent girls and their partners in accessing and using routine PNC. METHODS Papers were selected from a primary review on PNC where a global search of databases was conducted to identify studies with qualitative data focused on PNC utilisation. Within this primary review, a subset of studies focused on adolescents was tagged for subanalysis. A data extraction form drawing on an a priori framework was used to extract data from each study. Review findings were grouped across studies and mapped onto relevant themes, which were then adapted, as appropriate, to best reflect emergent themes from included studies. RESULTS Of 662 papers identified for full text review, 15 were included in this review on adolescents' experiences. Fourteen review findings were mapped onto four themes including: resources and access, social norms, experiences of care, and tailored support needs. CONCLUSION Improving uptake of PNC by adolescent girls requires multipronged approaches in improving availability of and access to adolescent-sensitive maternal health services and reducing feelings of shame and stigma in the postpartum period. Much should be done to address structural barriers to access, but tangible steps to improving the quality and responsiveness of available services can be taken immediately. PROSPERO REGISTRATION NUMBER CRD42019139183.
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Affiliation(s)
- Dena Javadi
- Social and Behavioral Sciences, Harvard University T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Emma Sacks
- Department of International Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Vanessa Brizuela
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland
| | - Kenneth Finlayson
- Research in Childbirth and Health (ReaCH) Unit, School of Community Health and Midwifery, University of Central Lancashire, Preston, UK
| | - Nicola Crossland
- Research in Childbirth and Health (ReaCH) Unit, School of Community Health and Midwifery, University of Central Lancashire, Preston, UK
| | - Etienne V Langlois
- Partnership for Maternal, Newborn & Child Health (PMNCH), World Health Organization, Geneva, Switzerland
| | - Daniela Ziegler
- Library, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada
| | - Venkatraman Chandra-Mouli
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland
| | - Mercedes Bonet
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland
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9
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Finlayson K, Sacks E, Brizuela V, Crossland N, Cordey S, Ziegler D, Langlois EV, Javadi D, Comrie-Thomson L, Downe S, Bonet M. Factors that influence the uptake of postnatal care from the perspective of fathers, partners and other family members: a qualitative evidence synthesis. BMJ Glob Health 2023; 8:e011086. [PMID: 37137532 PMCID: PMC10163465 DOI: 10.1136/bmjgh-2022-011086] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [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: 10/28/2022] [Accepted: 03/14/2023] [Indexed: 05/05/2023] Open
Abstract
BACKGROUND Postnatal care (PNC) is a key component of maternity provision and presents opportunities for healthcare providers to optimise the health and well-being of women and newborns. However, PNC is often undervalued by parents, family members and healthcare providers. As part of a larger qualitative review exploring the factors that influence PNC uptake by relevant stakeholders, we examined a subset of studies highlighting the views of fathers, partners and family members of postpartum women. METHODS We undertook a qualitative evidence synthesis using a framework synthesis approach. We searched multiple databases and included studies with extractable qualitative data focusing on PNC utilisation. We identified and labelled a subset of articles reflecting the views of fathers, partners and other family members. Data abstraction and quality assessment were carried out using a bespoke data extraction form and established quality assessment tools. The framework was developed a priori based on previous research on the topic and adapted accordingly. Findings were assessed for confidence using the GRADE-CERQual approach and are presented by country income group. RESULTS Of 12 678 papers identified from the original search, 109 were tagged as 'family members views' and, of these, 30 were eligible for this review. Twenty-nine incorporated fathers' views, 7 included the views of grandmothers or mothers-in-law, 4 incorporated other family member views and 1 included comothers. Four themes emerged: access and availability; adapting to fatherhood; sociocultural influences and experiences of care. These findings highlight the significant role played by fathers and family members on the uptake of PNC by women as well as the distinct concerns and needs of fathers during the early postnatal period. CONCLUSION To optimise access to postnatal care, health providers should adopt a more inclusive approach incorporating flexible contact opportunities, the availability of more 'family-friendly' information and access to psychosocial support services for both parents.
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Affiliation(s)
- Kenneth Finlayson
- School of Community Health and Midwifery, University of Central Lancashire, Preston, UK
| | - Emma Sacks
- Department of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA
| | - Vanessa Brizuela
- Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland
| | - Nicola Crossland
- School of Community Health and Midwifery, University of Central Lancashire, Preston, UK
| | - Sarah Cordey
- School of Community Health and Midwifery, University of Central Lancashire, Preston, UK
| | - Daniela Ziegler
- Direction de l'enseignement et l'Académie CHUM | Bibliothèque du CHUM, Centre Hospitalier de l'Universite de Montreal, Montreal, Québec, Canada
| | - Etienne V Langlois
- Partnership for Maternal, Newborn and Child Health (PMNCH), World Health Organization, Geneva, Switzerland
| | - Dena Javadi
- Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA
| | - Liz Comrie-Thomson
- Global Women's and Newborn's Health Group, Burnet Institute, Melbourne, Victoria, Australia
| | - Soo Downe
- School of Community Health and Midwifery, University of Central Lancashire, Preston, UK
| | - Mercedes Bonet
- Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland
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10
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Huber K, Dreos R, Geller S, Barquissau V, Ziegler D, Tavernari D, Giralt A, Gallart-Ayala H, Ciriello G, Ivanisevic J, Pichler M, Fajas L. 57P Deciphering the role of E2F transcription factor-1 in glutamine metabolism. ESMO Open 2023. [DOI: 10.1016/j.esmoop.2023.100915] [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: 03/11/2023] Open
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11
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Sacks E, Finlayson K, Brizuela V, Crossland N, Ziegler D, Sauvé C, Langlois ÉV, Javadi D, Downe S, Bonet M. Factors that influence uptake of routine postnatal care: Findings on women's perspectives from a qualitative evidence synthesis. PLoS One 2022; 17:e0270264. [PMID: 35960752 PMCID: PMC9374256 DOI: 10.1371/journal.pone.0270264] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 06/07/2022] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Effective postnatal care is important for optimal care of women and newborns-to promote health and wellbeing, identify and treat clinical and psychosocial concerns, and to provide support for families. Yet uptake of formal postnatal care services is low and inequitable in many countries. As part of a larger study examining the views of women, partners, and families requiring both routine and specialised care, we analysed a subset of data on the views and experiences of women related to routine postnatal care. METHODS We undertook a qualitative evidence synthesis, using a framework analysis approach. We included studies published up to December 2019 with extractable qualitative data, with no language restriction. We focused on women in the general population and their accounts of routine postnatal care utilization. We searched MEDLINE, PUBMED, CINAHL, EMBASE, EBM-Reviews, and grey literature. Two reviewers screened each study independently; inclusion was agreed by consensus. Data abstraction and scientific quality assessment were carried out using a study-specific extraction form and established quality assessment tools. The analysis framework was developed a priori based on previous knowledge and research on the topic and adapted. Due to the number of included texts, the final synthesis was developed inductively from the initial framework by iterative sampling of the included studies, until data saturation was achieved. Findings are presented by high versus low/middle income country, and by confidence in the finding, applying the GRADE-CERQual approach. FINDINGS Of 12,678 papers, 512 met the inclusion criteria; 59 articles were sampled for analysis. Five themes were identified: access and availability; physical and human resources; external influences; social norms; and experience of care. High confidence study findings included the perceived low value of postnatal care for healthy women and infants; concerns around access and quality of care; and women's desire for more emotional and psychosocial support during the postnatal period. These findings highlight multiple missed opportunities for postnatal care promotion and ensuring continuity of care. CONCLUSIONS Factors that influence women's utilization of postnatal care are interlinked, and include access, quality, and social norms. Many women recognised the specific challenges of the postnatal period and emphasised the need for emotional and psychosocial support in this time, in addition to clinical care. While this is likely a universal need, studies on mental health needs have predominantly been conducted in high-income settings. Postnatal care programmes and related research should consider these multiple drivers and multi-faceted needs, and the holistic postpartum needs of women and their families should be studied in a wider range of settings. REGISTRATION This protocol is registered in the PROSPERO database for systematic reviews: CRD42019139183.
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Affiliation(s)
- Emma Sacks
- Department of International Health, Johns Hopkins School of Public Health, Baltimore, Maryland, United States of America
| | - Kenneth Finlayson
- School of Community Health and Midwifery, University of Central Lancashire, Preston, United Kingdom
| | - Vanessa Brizuela
- Department of Reproductive Health and Research, World Health Organization, Genève, Switzerland
| | - Nicola Crossland
- School of Community Health and Midwifery, University of Central Lancashire, Preston, United Kingdom
| | - Daniela Ziegler
- Centre Hospitalier de l’Universite de Montreal, Montreal, Canada
| | - Caroline Sauvé
- Centre Hospitalier de l’Universite de Montreal, Montreal, Canada
| | - Étienne V. Langlois
- Partnership for Maternal, Newborn, and Child Health, World Health Organization, Genève, Switzerland
| | - Dena Javadi
- Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America
| | - Soo Downe
- School of Community Health and Midwifery, University of Central Lancashire, Preston, United Kingdom
| | - Mercedes Bonet
- Department of Reproductive Health and Research, World Health Organization, Genève, Switzerland
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Deblois S, Zhu L, Mastropasqua B, Thibaudeau S, Ziegler D, Pomp A. The clinical effectiveness and safety of intravenous unfractionated heparin following digital replantation and revascularization: A narrative systematic review. Microsurgery 2022; 42:622-630. [PMID: 35553450 DOI: 10.1002/micr.30895] [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] [Received: 03/14/2021] [Revised: 02/16/2022] [Accepted: 04/29/2022] [Indexed: 11/07/2022]
Abstract
BACKGROUND Digital replants and revascularization (DRV) have been performed since the 1960s but there are no recognized standard peri-operative anticoagulation practices. A narrative systematic review of the clinical effectiveness and safety of therapeutic peri-operative unfractionated heparin following DRV was undertaken. METHODS A review of the literature from 1985 to March 2022 was conducted using Medline, Embase, CINAHL and EBM reviews. Unfractionated heparin (UFH) use following DRV was compared to low-molecular weight heparin, other anticoagulants or no anticoagulation. Randomized trials, observational studies as well as guidelines were selected and independently screened. The Revised Cochrane risk-of-bias (RoB 2) tool and ROBINS-I were used to appraise risk of bias. RESULTS While the search strategy identified 1490 references, only six studies met the inclusion criteria. Significant heterogeneity and the low methodological quality of the evidence precluded a meta-analysis. Among the four studies that documented the surgical success rate associated with the use of a therapeutic dose of UFH post DRV, only two reported improved clinical outcomes. Evidence of a higher complication rate related to UFH use was found in four studies. Low quality evidence suggests that a therapeutic dose of unfractionated heparin leads to a higher risk of complications when compared with heparin given as an intermittent bolus of unfractionated heparin or subcutaneous heparin, or prostaglandin E1 or no heparin. CONCLUSIONS Current evidence suggests that IV UFH use following DRV has no significant impact on the success of the intervention. Heparin use may not be innocuous as some studies showed increased bleeding complications.
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Affiliation(s)
- Simon Deblois
- Health Technology Assessment Professional, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada
| | - Linda Zhu
- Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Bruno Mastropasqua
- Department of Surgery, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
| | - Stephanie Thibaudeau
- Plastic Surgery Division McGill, University Health Center, Montréal, Québec, Canada
| | - Daniela Ziegler
- Library, Centre hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada
| | - Alfons Pomp
- Health Technology Assessment Professional, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Québec, Canada.,Department of Surgery, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada
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13
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Chicoine G, Côté J, Pepin J, Fontaine G, Maheu-Cadotte MA, Hong QN, Rouleau G, Ziegler D, Jutras-Aswad D. Effectiveness and experiences of the Extension for Community Healthcare Outcomes (ECHO) Model in developing competencies among healthcare professionals: a mixed methods systematic review protocol. Syst Rev 2021; 10:313. [PMID: 34911579 PMCID: PMC8675457 DOI: 10.1186/s13643-021-01832-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 10/10/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Extension for Community Healthcare Outcomes (ECHO) Model of continuing tele-education is an innovative guided-practice model aiming at amplifying healthcare professionals' competencies in the management of chronic and complex health conditions. While data on the impact of the ECHO model is increasingly available in the literature, what influences the model effectiveness remains unclear. Therefore, the overarching aim of this systematic review is to identify, appraise, and synthesize the available quantitative (QUAN) and qualitative (QUAL) evidence regarding the ECHO Model effectiveness and the experiences/views of ECHO's participants about what influences the development of competencies in healthcare professionals. METHODS The proposed systematic review was inspired by the Joanna Briggs Institute (JBI) methodology for Mixed Methods Systematic Reviews (MMSR) and will follow a convergent segregated approach. A systematic search will be undertaken using QUAN, QUAL and mixed methods (MM) studies of ECHO-affiliated programs identified in six databases. A publication date filter will be applied to find the articles published from 2003 onwards. Sources of unpublished studies and gray literature will be searched as well. Retrieved citations will independently be screened by two reviewers. Disagreements will be resolved through discussion until a consensus is reached or by including a third reviewer. Studies meeting the predefined inclusion criteria will be assessed on methodological quality and the data will be extracted using standardized data extraction forms. Separate QUAN and QUAL synthesis will be performed, and findings will be integrated using a matrix approach for the purpose of comparison and complementarity. DISCUSSION This MMSR will fulfill important gaps in the current literature on the ECHO Model as the first to provide estimates on its effectiveness and consider simultaneously the experiences/views of ECHO's participants. As each replication of the ECHO Model greatly varies depending on the context, topic, and targeted professionals, a better understanding of what influences the model effectiveness in developing healthcare professionals' competencies is crucial to inform future implementation. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42020197579.
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Affiliation(s)
- Gabrielle Chicoine
- Faculty of Nursing, Université de Montréal, Pavillon Marguerite-d’Youville, C.P. 6128 succ. Centre-ville, Montreal, QC H3C 3J7 Canada
- Université de Montréal Hospital Research Centre, Montreal, QC Canada
| | - José Côté
- Faculty of Nursing, Université de Montréal, Pavillon Marguerite-d’Youville, C.P. 6128 succ. Centre-ville, Montreal, QC H3C 3J7 Canada
- Université de Montréal Hospital Research Centre, Montreal, QC Canada
- Research Chair in Innovative Nursing Practices, Université de Montréal Hospital Research Centre, Montreal, QC Canada
| | - Jacinthe Pepin
- Faculty of Nursing, Université de Montréal, Pavillon Marguerite-d’Youville, C.P. 6128 succ. Centre-ville, Montreal, QC H3C 3J7 Canada
- FUTUR Team-FRQSC, Faculty of Nursing, Université de Montréal, Montreal, QC Canada
| | - Guillaume Fontaine
- Centre for Implementation Research, Psychology and Health Research Group, Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON Canada
| | - Marc-André Maheu-Cadotte
- Faculty of Nursing, Université de Montréal, Pavillon Marguerite-d’Youville, C.P. 6128 succ. Centre-ville, Montreal, QC H3C 3J7 Canada
- Research Centre, Montreal Heart Institute, Montreal, QC Canada
| | - Quan Nha Hong
- EPPI-Centre, UCL Social Research Institute, University College London, London, England
| | - Geneviève Rouleau
- FUTUR Team-FRQSC, Faculty of Nursing, Université de Montréal, Montreal, QC Canada
- Women’s College Hospital, Toronto, ON Canada
| | - Daniela Ziegler
- Université de Montréal Hospital Research Centre, Montreal, QC Canada
| | - Didier Jutras-Aswad
- Université de Montréal Hospital Research Centre, Montreal, QC Canada
- Faculty of Medicine, Department of Psychiatry and Addiction, Université de Montréal, Montreal, QC Canada
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14
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Hamasaki T, Harris PG, Bureau NJ, Gaudreault N, Ziegler D, Choinière M. Efficacy of Surgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review. Journal of Hand Surgery Global Online 2021; 3:139-148. [PMID: 35415551 PMCID: PMC8991854 DOI: 10.1016/j.jhsg.2021.02.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Accepted: 02/16/2021] [Indexed: 11/01/2022] Open
Abstract
Purpose Methods Results Conclusions Type of study/level of evidence
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15
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Hamasaki T, Laprise S, Harris PG, Bureau NJ, Gaudreault N, Ziegler D, Choinière M. Efficacy of Nonsurgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review. Arthritis Care Res (Hoboken) 2020; 72:1719-1735. [DOI: 10.1002/acr.24084] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Accepted: 10/01/2019] [Indexed: 02/06/2023]
Affiliation(s)
- Tokiko Hamasaki
- Centre Hospitalier de l’Université de Montréal and Université de Montréal Montreal Quebec Canada
| | | | - Patrick G. Harris
- Centre Hospitalier de l’Université de Montréal and Université de Montréal Montreal Quebec Canada
| | - Nathalie J. Bureau
- Centre Hospitalier de l’Université de Montréal and Université de Montréal Montreal Quebec Canada
| | - Nathaly Gaudreault
- Université de Sherbrooke and Centre Hospitalier Universitaire de Sherbrooke Sherbrooke Quebec Canada
| | - Daniela Ziegler
- Centre Hospitalier de l’Université de Montréal Montreal Quebec Canada
| | - Manon Choinière
- Centre Hospitalier de l’Université de Montréal and Université de Montréal Montreal Quebec Canada
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16
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Dahine J, Hébert PC, Ziegler D, Chenail N, Ferrari N, Hébert R. Practices in Triage and Transfer of Critically Ill Patients: A Qualitative Systematic Review of Selection Criteria. Crit Care Med 2020; 48:e1147-e1157. [PMID: 32858530 PMCID: PMC7493782 DOI: 10.1097/ccm.0000000000004624] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVES To identify and appraise articles describing criteria used to prioritize or withhold a critical care admission. DATA SOURCES PubMed, Embase, Medline, EBM Reviews, and CINAHL Complete databases. Gray literature searches and a manual review of references were also performed. Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were followed. STUDY SELECTION We sought all articles and abstracts of original research as well as local, provincial, or national policies on the topic of ICU resource allocation. We excluded studies whose population of interest was neonatal, pediatric, trauma, or noncritically ill. Screening of 6,633 citations was conducted. DATA EXTRACTION Triage and/or transport criteria were extracted, based on type of article, methodology, publication year, and country. An appraisal scale was developed to assess the quality of identified articles. We also developed a robustness score to further appraise the robustness of the evidence supporting each criterion. Finally, all criteria were extracted, evaluated, and grouped by theme. DATA SYNTHESIS One-hundred twenty-nine articles were included. These were mainly original research (34%), guidelines (26%), and reviews (21%). Among them, we identified 200 unique triage and transport criteria. Most articles highlighted an exclusion (71%) rather than a prioritization mechanism (17%). Very few articles pertained to transport of critically ill patients (4%). Criteria were classified in one of four emerging themes: patient, condition, physician, and context. The majority of criteria used were nonspecific. No study prospectively evaluated the implementation of its cited criteria. CONCLUSIONS This systematic review identified 200 criteria classified within four themes that may be included when devising triage programs including the coronavirus disease 2019 pandemic. We identified significant knowledge gaps where research would assist in improving existing triage criteria and guidelines, aiming to decrease arbitrary decisions and variability.
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Affiliation(s)
- Joseph Dahine
- Département de médecine spécialisée, Centre intégré de santé et services sociaux de Laval (CISSS de Laval), Hôpital Cité-de-la-Santé, Université de Montréal, Laval, QC, Canada
| | - Paul C. Hébert
- Département de médecine, Centre Hospitalier de l’Université de Montréal, Université de Montréal et Centre de Recherche, Montreal, QC, Canada
| | - Daniela Ziegler
- Bibliothèque, Centre hospitalier de l’Université de Montréal, Montreal, QC, Canada
| | | | - Nicolay Ferrari
- Centre de recherche du Centre hospitalier de l’Université de Montréal, Montreal, QC, Canada
| | - Réjean Hébert
- Department of Health Management, Evaluation and Policy, School of Public Health, Université de Montréal, Montreal, QC, Canada
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17
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Dufort G, Chen BY, Jacquin G, Keezer M, Labrie M, Rioux B, Stapf C, Ziegler D, Poppe AY. Acute carotid stenting in patients undergoing thrombectomy: a systematic review and meta-analysis. J Neurointerv Surg 2020; 13:141-145. [PMID: 32532859 DOI: 10.1136/neurintsurg-2020-015817] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [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: 01/14/2020] [Revised: 05/08/2020] [Accepted: 05/12/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND The benefit of acute carotid stenting compared with no acute stenting on clinical outcomes among patients with tandem lesions (TL) undergoing endovascular thrombectomy (EVT) remains unknown. METHODS We conducted a a systematic review and meta-analysis of studies comparing acute carotid stenting versus no stenting among TL patients undergoing EVT with regards to 90 day modified Rankin Scale (mRS) score, symptomatic intracerebral hemorrhage (sICH), and mortality. Four reviewers screened citations for eligibility and two assessed retained studies for risk of bias and data extraction. A random effects model was used for the synthesis of aggregated data. RESULTS 21 studies (n=1635 patients) were identified for the systematic review; 19 were cohort studies, 1 was a post-hoc analysis of an EVT trial, and 1 was a pilot randomized controlled trial. 16 studies were included in the meta-analysis. Acute stenting was associated with a favorable 90 day mRS score: OR 1.43 (95% CI 1.07, 1.91). No significant heterogeneity between studies was found for this outcome (I2=17.0%; χ2=18.07, p=0.26). There were no statistically significant differences for 3 month mortality (OR 0.80 (95% CI 0.50, 1.28)) or sICH (OR 1.41 (95% CI 0.91, 2.19)). CONCLUSIONS This meta-analysis suggests that among TL patients undergoing EVT, acute carotid stenting is associated with a greater likelihood of favorable outcome at 90 days compared with no stenting.
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Affiliation(s)
- Gabrielle Dufort
- Neurosciences, Universite de Montreal, Montreal, Quebec, Canada.,Neurology, Centre Hospitalier de L'Universite de Montreal, Montreal, Quebec, Canada
| | - Bing Yu Chen
- Medicine, McGill University, Montreal, Quebec, Canada
| | - Grégory Jacquin
- Neurosciences, Universite de Montreal, Montreal, Quebec, Canada.,Neurology, Centre Hospitalier de L'Universite de Montreal, Montreal, Quebec, Canada.,Axe Neurosciences, Centre de Recherche du CHUM (CRCHUM), Montreal, Quebec, Canada
| | - Mark Keezer
- Neurosciences, Universite de Montreal, Montreal, Quebec, Canada.,Neurology, Centre Hospitalier de L'Universite de Montreal, Montreal, Quebec, Canada.,Axe Neurosciences, Centre de Recherche du CHUM (CRCHUM), Montreal, Quebec, Canada
| | - Marilyn Labrie
- Neurosciences, Universite de Montreal, Montreal, Quebec, Canada
| | - Bastien Rioux
- Neurosciences, Universite de Montreal, Montreal, Quebec, Canada.,Neurology, Centre Hospitalier de L'Universite de Montreal, Montreal, Quebec, Canada
| | - Christian Stapf
- Neurosciences, Universite de Montreal, Montreal, Quebec, Canada.,Neurology, Centre Hospitalier de L'Universite de Montreal, Montreal, Quebec, Canada.,Axe Neurosciences, Centre de Recherche du CHUM (CRCHUM), Montreal, Quebec, Canada
| | - Daniela Ziegler
- Bibliothèque du Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
| | - Alexandre Y Poppe
- Neurosciences, Universite de Montreal, Montreal, Quebec, Canada .,Neurology, Centre Hospitalier de L'Universite de Montreal, Montreal, Quebec, Canada.,Axe Neurosciences, Centre de Recherche du CHUM (CRCHUM), Montreal, Quebec, Canada
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Magro E, Darsaut TE, Mezui EDO, Bojanowski MW, Ziegler D, Gentric JC, Roy D, Raymond J. Arteriovenous malformations of the posterior fossa: a systematic review. Acta Neurochir (Wien) 2020; 162:905-910. [PMID: 32067118 DOI: 10.1007/s00701-020-04260-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 02/10/2020] [Indexed: 10/25/2022]
Abstract
BACKGROUND Posterior fossa arteriovenous malformations (pfAVMs) can be challenging lesions to manage. AVMs in this location may have distinct features compared with supratentorial AVMs. Our aim was to systematically review the literature on the presenting characteristics of pfAVMs and compare clinical and angiographic outcomes after the various types of treatment employed. METHODS The review was conducted according to the Cochrane Collaboration guidelines. Electronic databases from 1900 to March 2018 were searched and complemented by hand-searching and cross-referencing. Articles were categorized into (i) AVM studies that included those in the posterior fossa, (ii) those that focused exclusively on pfAVM, and (iii) those that further specified a cerebellar or brainstem location of the AVM. RESULTS Seventy-seven articles with 4512 pfAVM patients were retained for analyses. Compared with historical supratentorial controls, pfAVMs were reported to more frequently present with rupture, to more commonly have associated arterial aneurysms, and to more frequently lead to poor clinical and angiographic outcomes. The quality of the literature and lack of standardization of outcome reporting precluded performing a meta-analysis on the results of the various different treatment modalities. CONCLUSIONS Posterior fossa AVMs may have some distinct features compared with supratentorial AVMs. The available reports on pfAVMs are not sufficiently standardized to provide reliable guidance for patient management decisions. This goal will require future studies to be multicentric and to focus on standardized, repeatable clinical and angiographic outcomes.
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Ghabrash MF, Bahremand A, Veilleux M, Blais-Normandin G, Chicoine G, Sutra-Cole C, Kaur N, Ziegler D, Dubreucq S, Juteau LC, Lestage L, Jutras-Aswad D. Depression and Outcomes of Methadone and Buprenorphine Treatment Among People with Opioid Use Disorders: A Literature Review. J Dual Diagn 2020; 16:191-207. [PMID: 32089124 DOI: 10.1080/15504263.2020.1726549] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Objective: Depression is the most common psychiatric comorbidity among people with opioid use disorders (OUDs). However, whether and how comorbid depression is associated with the outcomes of opioid agonist therapy (OAT) remains poorly understood. The objective of this review was to identify and describe the association between depression and main outcomes (opioid use and treatment retention) of methadone and buprenorphine treatment among people with OUDs. Methods: A literature review was conducted by searching five electronic databases (MEDLINE, PubMed, Embase, Evidence-Based Medicine Reviews [EBMR], and Cumulative Index of Nursing and Allied Health Literature [CINAHL] Complete) from January 1970 to April 2019. Two independent reviewers screened titles and abstracts of the identified records by using pre-established eligibility criteria. Next, full texts were reviewed and studies that met inclusion criteria were selected. Finally, a descriptive synthesis of extracted data was performed. Results: In total, 12,296 records were identified and 18 studies that met inclusion criteria were retained. Of these, six studies reported reduced opioid use and seven reported increased opioid use during methadone or buprenorphine treatment. In addition, three studies reported an increased retention rate and four documented a decreased retention rate during methadone or buprenorphine treatment. The remaining studies did not find any significant association between depression and opioid use or treatment retention. Overall, the evidence did not demonstrate a consistent association between depression and outcomes of methadone or buprenorphine treatment. Conclusions: Although the inconsistent nature of the current evidence prohibited us from drawing definitive conclusions, we posit that the presence of depression among OUDs patients may not always predict negative outcomes related to retention and drug use during the course of OAT. Particularly, the hypothesis that adequate treatment of depression can improve treatment retention is promising and is in line with the call for increased efforts to provide integrated care for comorbid mental health disorders and addiction. Future studies with rigorous methodology are essential to better characterize the complex interplay between depression, OAT, and OUDs.
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Affiliation(s)
- Maykel Farag Ghabrash
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada.,Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada
| | - Arash Bahremand
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada.,Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada
| | - Martine Veilleux
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada.,Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada
| | - Geneviève Blais-Normandin
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada.,Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada
| | - Gabrielle Chicoine
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada
| | - Catherine Sutra-Cole
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada.,Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada
| | - Navdeep Kaur
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada
| | - Daniela Ziegler
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada
| | - Simon Dubreucq
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada.,Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada
| | - Louis-Christophe Juteau
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada.,Department of Family and Emergency Medicine, Université de Montréal, Montréal, Canada
| | - Laurent Lestage
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada.,Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada
| | - Didier Jutras-Aswad
- Centre de Recherche, Centre Hospitalier, Université de Montréal (CRCHUM), Montréal, Canada.,Department of Psychiatry and Addictology, Université de Montréal, Montréal, Canada
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Abstract
Approximately one of three people with diabetes is affected by distal symmetric sensorimotor polyneuropathy (DSPN) which is associated with marked impairment in quality of life due to partly excruciating neuropathic pain on the one hand and painless foot ulcers on the other hand. The prevalence of painful DSPN may reach up to one quarter of patients with diabetes, while DSPN may be asymptomatic in up to half of the patients affected. Regrettably, DSPN still remains underdiagnosed. Typical neuropathic symptoms include pain, paresthesias and numbness particularly in the feet and calves. The management of DSPN includes three cornerstones: (1) lifestyle modification, causal treatment aimed at near-normoglycemia and multifactorial cardiovascular risk intervention, (2) pathogenesis-derived treatment and (3) symptomatic treatment of neuropathic pain. Multimodal pain treatment should not only aim at pain relief, but also allow for improvement in quality of sleep, mobility, and general quality of life.
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Affiliation(s)
- D Ziegler
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetesforschung an der Heinrich Heine-Universität, Auf'm Hennekamp 65, 40225, Düsseldorf, Deutschland. .,Klinik für Endokrinologie und Diabetologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
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21
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Ducroux C, Fahed R, Khoury NN, Gevry G, Kalsoum E, Labeyrie MA, Ziegler D, Sauve C, Chagnon M, Darsaut TE, Raymond J. Intravenous thrombolysis and thrombectomy decisions in acute ischemic stroke: An interrater and intrarater agreement study. Rev Neurol (Paris) 2019; 175:380-389. [PMID: 31047687 DOI: 10.1016/j.neurol.2018.10.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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: 05/22/2018] [Revised: 09/23/2018] [Accepted: 10/19/2018] [Indexed: 11/20/2022]
Abstract
PURPOSE We aimed to assess agreement on intravenous tissue-plasminogen activator (IV tPA) and mechanical thrombectomy (MT) management decisions in acute ischemic stroke (AIS) patients. Secondary objectives were to assess agreement on Diffusion-Weighted-Imaging-Alberta-Stroke-Program-EArly-CT-Score (DWI-ASPECTS), and clinicians' willingness to recruit patients in a randomized controlled trial (RCT) comparing medical management with or without MT. MATERIALS AND METHODS Studies assessing agreement of IV tPA and MT were systematically reviewed. An electronic portfolio of 41 AIS patients was sent to randomly selected providers at French stroke centers. Raters were asked 4 questions for each case: (1) What is the DWI-ASPECTS? (2) Would you perform IV tPA? (3) Would you perform MT? (4) Would you include the patient in a RCT comparing standard medical therapy with or without MT? Twenty responders were randomly selected to study intrarater agreement. Agreement was assessed using Fleiss' Kappa statistics. RESULTS The review yielded two single center studies involving 2-5 raters, with various results. The electronic survey was answered by 86 physicians (60 vascular neurologists and 26 interventional neuroradiologists). The interrater agreement was moderate for IV tPA treatment decisions (κ=0.565 [0.420-0.680]), but only fair for MT (κ=0.383 [0.289-0.491]) and for combined treatment decisions (κ=0.399 [0.320-0.486]). The intrarater agreement was at least substantial for the majority of raters. The interrater agreement for DWI-ASPECTS was fair (κ=0.325 [0.276-0.387]). Physicians were willing to include a mean of 14±9 patients (33.1%±21.7%) in a RCT. CONCLUSION Disagreements regarding the use of IVtPA or MT in the management of AIS patients remain frequent. Further trials are needed to resolve the numerous areas of uncertainty.
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Affiliation(s)
- C Ducroux
- Interventional Neuroradiology Department-Fondation Ophtalmologique Adolphe de Rothschild Hospital, 75019 Paris, France; Radiology Department-Centre Hospitalier de l'Université de Montréal (CHUM), Notre-Dame Hospital, H2X 3E4 Montreal, Canada
| | - R Fahed
- Interventional Neuroradiology Department-Fondation Ophtalmologique Adolphe de Rothschild Hospital, 75019 Paris, France; Radiology Department-Centre Hospitalier de l'Université de Montréal (CHUM), Notre-Dame Hospital, H2X 3E4 Montreal, Canada
| | - N N Khoury
- HSHS Neuroscience Center - HSHS St. John's Hospital, 62769 Springfield, IL, USA
| | - G Gevry
- Radiology Department-Centre Hospitalier de l'Université de Montréal (CHUM), Notre-Dame Hospital, H2X 3E4 Montreal, Canada
| | - E Kalsoum
- Neuroadiology Department-Henri Mondor Hospital, 94010 Créteil, France
| | - M-A Labeyrie
- Neuroadiology Department-Lariboisière Hospital, 75010 Paris, France
| | - D Ziegler
- CHUM Library - Centre Hospitalier de l'Université de Montréal (CHUM), Notre-Dame Hospital, H2X 3E4 Montreal-Québec, Canada
| | - C Sauve
- CHUM Library - Centre Hospitalier de l'Université de Montréal (CHUM), Notre-Dame Hospital, H2X 3E4 Montreal-Québec, Canada
| | - M Chagnon
- Department of Mathematics and Statistic-Université de Montréal, H2X 3E4 Montreal-Québec, Canada
| | - T E Darsaut
- Department of Surgery, Division of Neurosurgery - University of Alberta Hospital, Mackenzie Health Sciences Centre, T6G 2B7 Edmonton-Alberta, Canada
| | - J Raymond
- Radiology Department-Centre Hospitalier de l'Université de Montréal (CHUM), Notre-Dame Hospital, H2X 3E4 Montreal, Canada.
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Pagé MG, Kudrina I, Ngangue P, Fortier M, Martin E, Ewusi-Boisvert E, Zomahoun HTV, Croteau J, Ziegler D, Beaulieu P, Charbonneau C, Cogan J, Daoust R, Martel MO, Néron A, Richebé P, Clarke H. Relative Frequency and Risk Factors for Prolonged Opioid Therapy after Surgery and Trauma: A Systematic Review and Meta-Analysis. Can J Pain 2019. [DOI: 10.1080/24740527.2019.1591853] [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: 10/27/2022] Open
Affiliation(s)
- M Gabrielle Pagé
- Centre de recherche, Centre hospitalier de l’Université de Montréal, Montreal, Quebec, Canada
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada
| | - Irina Kudrina
- Department of Family Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
| | - Patrice Ngangue
- Faculty of medicine and health sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Maude Fortier
- Centre de recherche, Centre hospitalier de l’Université de Montréal, Montreal, Quebec, Canada
| | - Elisabeth Martin
- Centre de recherche, Centre hospitalier de l’Université de Montréal, Montreal, Quebec, Canada
| | - Esthelle Ewusi-Boisvert
- Centre de recherche, Centre hospitalier de l’Université de Montréal, Montreal, Quebec, Canada
| | - Hervé T V Zomahoun
- Department of social and preventive medicine, Faculty of medicine, Université Laval, Québec, Quebec, Canada
- Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit, Health and Social Services Systems, Québec, Quebec, Canada
| | - Jordie Croteau
- Knowledge Translation and Implementation component of the Quebec SPOR-SUPPORT Unit, Health and Social Services Systems, Québec, Quebec, Canada
| | - Daniela Ziegler
- Direction de l’enseignement et l’Académie, Centre hospitalier de l’Université de Montréal, Montreal, Quebec, Canada
| | - Pierre Beaulieu
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada
- Department of anesthesiology, Centre Hospitalier de l’Université de Montréal, Montreal, Quebec, Canada
| | - Céline Charbonneau
- Association Québécoise de la douleur chronique (AQDC), Montreal, Quebec, Canada
| | - Jennifer Cogan
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada
- Department of anesthesiology, Montreal Heart Institute, Montreal, Quebec, Canada
| | - Raoul Daoust
- Emergency Medicine, Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada
| | - Marc O Martel
- Faculty of Dentistry & Department of Anesthesia, McGill University, Montreal, Quebec, Canada
| | - Andrée Néron
- Pain clinic, Department of pharmacy, Centre Hospitalier de l’Université de Montréal, Montreal, Quebec, Canada
| | - Philippe Richebé
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada
- Department of anesthesiology, Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada
| | - Hance Clarke
- Department of anesthesia and pain management, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada
- Transitional Pain Service, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada
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Rauba J, Heins B, Chester-Jones H, Diaz H, Ziegler D, Linn J, Broadwater N. Relationships between protein and energy consumed from milk replacer and starter and calf growth and first-lactation production of Holstein dairy cows. J Dairy Sci 2019; 102:301-310. [DOI: 10.3168/jds.2018-15074] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Accepted: 09/08/2018] [Indexed: 11/19/2022]
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24
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Pagé MG, Kudrina I, Zomahoun HTV, Ziegler D, Beaulieu P, Charbonneau C, Cogan J, Daoust R, Martel MO, Néron A, Richebé P, Clarke H. Relative frequency and risk factors for long-term opioid therapy following surgery and trauma among adults: a systematic review protocol. Syst Rev 2018; 7:97. [PMID: 30021647 PMCID: PMC6052591 DOI: 10.1186/s13643-018-0760-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Accepted: 06/24/2018] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND When patients have been on opioid therapy for more than 90 days, more than half of them continue using opioids years later. Knowing that long-term opioid consumption could lead to harmful side effects including misuse, abuse, and addiction, it is important to understand the risks of transitioning to prolonged opioid therapy to reduce its occurrence. Perioperative and trauma contexts are ideal models commonly used to study such transition. Long-term use of opioids might be associated with transformation of acute pain to chronic, which might be an example of a risk factor. The objectives of this knowledge synthesis are to examine the relative frequency and the risk factors for transitioning to long-term opioid therapy among patients who have undergone a surgical procedure or experienced a trauma. METHODS The proposed study methodology is based on Preferred ReportIng Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) statements on the conduct of systematic review and meta-analysis, the MOOSE Guidelines for Meta-Analyses and Systematic Reviews of Observational Studies, and the Cochrane Handbook for Systematic Review of Interventions. A systematic literature search will include multiple databases: Cochrane Central, EMBASE, MEDLINE, PsycINFO, CINHAL, PubMed, and the grey literature. We will identify studies related to opioid use beyond acute/subacute pain control after surgery or trauma. Two of the reviewers will screen all retrieved articles for eligibility and data extraction then critically appraise all identified studies. We will compile a narrative synthesis of all results and conduct a meta-analysis when feasible. As available data permits, we will perform a subgroup analysis of vulnerable populations. DISCUSSION This systematic review will contribute to the prevention and harm reduction strategies associated with prescription opioids by identifying risk factors leading to the unwarranted long-term opioid therapy. The identification of common risk factors for long-term opioid therapy will help to orient further research on pain management as well as offer key therapeutic targets for the development of strategies to prevent prolonged opioid use. SYSTEMATIC REVIEW REGISTRATION This protocol was registered in PROSPERO on March 2, 2018; registration number CRD42012018089907 .
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Affiliation(s)
- M. Gabrielle Pagé
- Centre de recherche du Centre hospitalier de l’Université de Montréal (CRCHUM), Tour Saint-Antoine S01-112, 850 rue St-Denis, Montreal, QC H2X 0A9 Canada
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, Pavillon Roger-Gaudry, local S-712, C.P. 6128, Succ. Centre-ville, Montréal, QC H3C 3J7 Canada
| | - Irina Kudrina
- Department of Family Medicine, Faculty of Medicine, McGill University, 5858 Ch de la Côte des Neiges, Montreal, QC H3S 1Z1 Canada
| | - Hervé Tchala Vignon Zomahoun
- Department of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Pavillon Ferdinand-Vandry, 1050 ave de la Médecine, local 2431, Québec, QC G1V 0A6 Canada
- Health and Social Services Systems, Knowledge Translation and Implementation Component of the Quebec SPOR-SUPPORT Unit, Pavillon Landry-Poulin, 2525, Chemin de la Canardiere, Quebec, QC G1J 0A4 Canada
| | - Daniela Ziegler
- Department of Information Science, Hotel Dieu, 3840 Saint-Urbain Pavillon Olier 4e étage porte 2-428, Montreal, QC H2W 1T8 Canada
| | - Pierre Beaulieu
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, Pavillon Roger-Gaudry, local S-712, C.P. 6128, Succ. Centre-ville, Montréal, QC H3C 3J7 Canada
- Anesthesiology Department, Centre hospitalier de l’Université de Montréal, 1051 rue Sanguinet, Montreal, QC H2X 0C1 Canada
| | - Céline Charbonneau
- Association Québécoise de la douleur chronique (AQDC), bureau 403, 2030 boul. Pie-IX, Montreal, QC H1V 2C8 Canada
| | - Jennifer Cogan
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, Pavillon Roger-Gaudry, local S-712, C.P. 6128, Succ. Centre-ville, Montréal, QC H3C 3J7 Canada
- Department of Anesthesiology, Montreal Heart Institute, 5000 Bélanger, Montreal, QC H1T 1C8 Canada
| | - Raoul Daoust
- Emergency medicine, Hôpital du Sacré-Coeur de Montréal, 5400 Boul. Gouin Ouest, Montreal, QC H4J 1C5 Canada
| | - Marc O. Martel
- Faculty of Dentistry, McGill University, 2001 Avenue McGill College, |500, Montreal, QC H3A 1G1 Canada
| | - Andrée Néron
- Clinique de la douleur, Département de pharmacie, Centre hospitalier de l’Université de Montréal, 5e, Pav C – C0550, 1051 rue Sanguinet, Montreal, QC H2X 0C1 Canada
| | - Philippe Richebé
- Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, Pavillon Roger-Gaudry, local S-712, C.P. 6128, Succ. Centre-ville, Montréal, QC H3C 3J7 Canada
- Department of Anesthesiology, Hôpital Maisonneuve-Rosemont, 5415 Assumption Blvd, Montreal, QC H1T 2M4 Canada
| | - Hance Clarke
- Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, 200 Elizabeth St 3EN-464, Toronto, ON M5G 2C4 Canada
- Transitional Pain Service, Toronto General Hospital, University Health Network, 200 Elizabeth St 3EN-464, Toronto, ON M5G 2C4 Canada
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Gyawali P, Ziegler D, Cailhier JF, Denault A, Cloutier G. Quantitative Measurement of Erythrocyte Aggregation as a Systemic Inflammatory Marker by Ultrasound Imaging: A Systematic Review. Ultrasound Med Biol 2018; 44:1303-1317. [PMID: 29661483 DOI: 10.1016/j.ultrasmedbio.2018.02.020] [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] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2017] [Revised: 02/21/2018] [Accepted: 02/28/2018] [Indexed: 06/08/2023]
Abstract
This systematic review is aimed at answering two questions: (i) Is erythrocyte aggregation a useful biomarker in assessing systemic inflammation? (ii) Does quantitative ultrasound imaging provide the non-invasive option to measure erythrocyte aggregation in real time? The search was executed through bibliographic electronic databases CINAHL, EMB Review, EMBASE, MEDLINE, PubMed and the grey literature. The majority of studies correlated elevated erythrocyte aggregation with inflammatory blood markers for several pathologic states. Some studies used "erythrocyte aggregation" as an established marker of systemic inflammation. There were limited but promising articles regarding the use of quantitative ultrasound spectroscopy to monitor erythrocyte aggregation. Similarly, there were limited studies that used other ultrasound techniques to measure systemic inflammation. The quantitative measurement of erythrocyte aggregation has the potential to be a routine clinical marker of inflammation as it can reflect the cumulative inflammatory dynamics in vivo, is relatively simple to measure, is cost-effective and has a rapid turnaround time. Technologies like quantitative ultrasound spectroscopy that can measure erythrocyte aggregation non-invasively and in real time may offer the advantage of continuous monitoring of the inflammation state and, thus, may help in rapid decision making in a critical care setup.
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Affiliation(s)
- Prajwal Gyawali
- Laboratory of Biorheology and Medical Ultrasonics, University of Montreal Hospital Research Center (CRCHUM), Montréal, Québec, Canada
| | - Daniela Ziegler
- Documentation Center, University of Montreal Hospital, Montréal, Québec, Canada
| | - Jean-François Cailhier
- University of Montreal Hospital Research Center (CRCHUM), Montréal, Québec, Canada; Department of Medicine, University of Montreal, Montréal, Québec, Canada
| | - André Denault
- University of Montreal Hospital, Montreal, Québec, Canada; Montreal Heart Institute, Montreal, Québec, Canada; Department of Anesthesiology, University of Montreal, Montréal, Québec, Canada
| | - Guy Cloutier
- Laboratory of Biorheology and Medical Ultrasonics, University of Montreal Hospital Research Center (CRCHUM), Montréal, Québec, Canada; Department of Radiology, Radio-Oncology and Nuclear Medicine, Montréal, Québec, Canada; Institute of Biomedical Engineering, University of Montreal, Montréal, Québec, Canada.
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26
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Heins BJ, Chester-Jones H, Ziegler D, Broadwater N. 75 Relationships between Early-Life Growth and Protein and Energy Intake with First-Lactation Performance of Holstein Dairy Cows. J Anim Sci 2018. [DOI: 10.1093/jas/sky073.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- B J Heins
- University of Minnesota West Central Research and Outreach Center, Morris, MN
| | - H Chester-Jones
- University of Minnesota Southern Research and Outreach Center, Waseca, MN
| | - D Ziegler
- University of Minnesota Southern Research and Outreach Center, Waseca, MN
| | - N Broadwater
- University of Minnesota Extension, Rochester, MN
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Bódis K, Lundbom J, Jelenik T, Markgraf D, Strom A, Zaharia OP, Karusheva Y, Burkart V, Müssig K, Kupriyanova Y, Ouni M, Hwang JH, Ziegler D, Schürmann A, Roden M, Szendroedi J. Reduzierte Stearoyl-CoA-Desaturase-1 und hormonsensitive Lipase-Genexpression im oberflächlichen subkutanen Fettgewebe bei männlichen, aber nicht weiblichen Patienten mit Typ-2-Diabetes. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641829] [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)
- K Bódis
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - J Lundbom
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - T Jelenik
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - D Markgraf
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - A Strom
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - OP Zaharia
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - Y Karusheva
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - V Burkart
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - K Müssig
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Klinik für Endokrinologie und Diabetologie, Medizinische Fakultät, Heinrich-Heine-Universität, Düsseldorf, Germany
| | - Y Kupriyanova
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - M Ouni
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Deutsches Institut für Ernährungsforschung (DIfE), Potsdam-Rehbrücke, Germany
| | - JH Hwang
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - D Ziegler
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - A Schürmann
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Deutsches Institut für Ernährungsforschung (DIfE), Potsdam-Rehbrücke, Germany
| | - M Roden
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Klinik für Endokrinologie und Diabetologie, Medizinische Fakultät, Heinrich-Heine-Universität, Düsseldorf, Germany
| | - J Szendroedi
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetes-Forschung, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Klinik für Endokrinologie und Diabetologie, Medizinische Fakultät, Heinrich-Heine-Universität, Düsseldorf, Germany
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Bönhof G, Strom A, Rathmann W, Heier M, Meisinger C, Peters A, Roden M, Thorand B, Herder C, Ziegler D. Unterschiedliche Assoziationen von inflammatorischen Markern und Wachstumsfaktoren bei Typ-2-Diabetes und Polyneuropathie. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641791] [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)
- G Bönhof
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetesforschung an der Heinrich-Heine-Universität, Düsseldorf, Germany
| | - A Strom
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetesforschung an der Heinrich-Heine-Universität, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München, Germany
| | - W Rathmann
- Deutsches Zentrum für Diabetesforschung (DZD), München, Germany
- Institut für Biometrie und Epidemiologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetesforschung an der Heinrich-Heine-Universität, Düsseldorf, Germany
| | - M Heier
- Deutsches Zentrum für Diabetesforschung (DZD), München, Germany
- Institut für Epidemiologie, Helmholtz Zentrum München, Neuherberg, Germany
| | - C Meisinger
- Deutsches Zentrum für Diabetesforschung (DZD), München, Germany
- Institut für Epidemiologie, Helmholtz Zentrum München, Neuherberg, Germany
| | - A Peters
- Deutsches Zentrum für Diabetesforschung (DZD), München, Germany
- Institut für Epidemiologie, Helmholtz Zentrum München, Neuherberg, Germany
| | - M Roden
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetesforschung an der Heinrich-Heine-Universität, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München, Germany
- Klinik für Endokrinologie und Diabetologie, Medizinische Fakultät, Heinrich-Heine-Universität, Düsseldorf, Germany
| | - B Thorand
- Deutsches Zentrum für Diabetesforschung (DZD), München, Germany
- Institut für Epidemiologie, Helmholtz Zentrum München, Neuherberg, Germany
| | - C Herder
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetesforschung an der Heinrich-Heine-Universität, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München, Germany
| | - D Ziegler
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetesforschung an der Heinrich-Heine-Universität, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München, Germany
- Klinik für Endokrinologie und Diabetologie, Medizinische Fakultät, Heinrich-Heine-Universität, Düsseldorf, Germany
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Herder C, Kannenberg JM, Huth C, Carstensen-Kirberg M, Rathmann W, Koenig W, Strom A, Bönhof GJ, Heier M, Thorand B, Peters A, Roden M, Meisinger C, Ziegler D. Assoziationen von Myeloperoxidase und Superoxid-Dismutase-3 mit sensomotorischer distal-symmetrischer Polyneuropathie: KORA F4/FF4-Studie. DIABETOL STOFFWECHS 2018. [DOI: 10.1055/s-0038-1641868] [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)
- C Herder
- Deutsches Diabetes-Zentrum, Institut für Klinische Diabetologie, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - JM Kannenberg
- Deutsches Diabetes-Zentrum, Institut für Klinische Diabetologie, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - C Huth
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Helmholtz Zentrum München, Institut für Epidemiologie, Neuherberg, Germany
| | - M Carstensen-Kirberg
- Deutsches Diabetes-Zentrum, Institut für Klinische Diabetologie, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - W Rathmann
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Deutsches Diabetes-Zentrum, Institut für Biometrie und Epidemiologie, Düsseldorf, Germany
| | - W Koenig
- Technische Universität München, Deutsches Herzzentrum München, München, Germany
- Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK), Standort München, München, Germany
| | - A Strom
- Deutsches Diabetes-Zentrum, Institut für Klinische Diabetologie, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
| | - GJ Bönhof
- Deutsches Diabetes-Zentrum, Institut für Klinische Diabetologie, Düsseldorf, Germany
| | - M Heier
- Helmholtz Zentrum München, Institut für Epidemiologie, Neuherberg, Germany
| | - B Thorand
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Helmholtz Zentrum München, Institut für Epidemiologie, Neuherberg, Germany
| | - A Peters
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Helmholtz Zentrum München, Institut für Epidemiologie, Neuherberg, Germany
| | - M Roden
- Deutsches Diabetes-Zentrum, Institut für Klinische Diabetologie, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Heinrich-Heine-Universität Düsseldorf, Klinik für Endokrinologie und Diabetologie, Düsseldorf, Germany
| | - C Meisinger
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Helmholtz Zentrum München, Institut für Epidemiologie, Neuherberg, Germany
- Ludwig-Maximilians-Universität München am UNIKA-T Augsburg, Augsburg, Germany
| | - D Ziegler
- Deutsches Diabetes-Zentrum, Institut für Klinische Diabetologie, Düsseldorf, Germany
- Deutsches Zentrum für Diabetesforschung (DZD), München-Neuherberg, Germany
- Heinrich-Heine-Universität Düsseldorf, Klinik für Endokrinologie und Diabetologie, Düsseldorf, Germany
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Maynou G, Migura-Garcia L, Chester-Jones H, Ziegler D, Bach A, Terré M. Effects of feeding pasteurized waste milk to dairy calves on phenotypes and genotypes of antimicrobial resistance in fecal Escherichia coli isolates before and after weaning. J Dairy Sci 2017; 100:7967-7979. [PMID: 28755935 DOI: 10.3168/jds.2017-13040] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [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: 04/18/2017] [Accepted: 05/29/2017] [Indexed: 01/19/2023]
Abstract
The aim of this study was to evaluate the effects of feeding pasteurized waste milk (pWM) to calves on antimicrobial resistance of fecal Escherichia coli at both phenotypic and genotypic levels. Fifty-two Holstein female calves (3 ± 1.3 d of age) were fed 1 of the 2 different types of milk: milk replacer (MR) without antimicrobials or pWM with β-lactam residues until weaning at 49 d of age. Fecal swabs of all calves were obtained on d 0, 35, and 56 of the study and 3 E. coli isolates per sample were studied. Phenotypic resistance was tested by the disk diffusion method against a panel of 12 antimicrobials. A total of 13 resistance genes consisting of β-lactam, sulfonamide, tetracycline, and aminoglycoside families were examined by PCR. Feeding pWM to calves increased the presence of phenotypic resistance to ampicillin, cephalotin, ceftiofur, and florfenicol in fecal E. coli compared with MR-fed calves. However, the presence of resistance to sulfonamides, tetracyclines, and aminoglycosides was common in dairy calves independent of their milk-feeding source, suggesting other factors apart from the feeding source are involved in the emergence of antimicrobial resistance.
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Affiliation(s)
- G Maynou
- Department of Ruminant Production, Institute of Agrifood Research and Technology (IRTA), 08140 Caldes de Montbui, Spain
| | - L Migura-Garcia
- Department of Bacterial and Endoparasitic Infections, Centre de Recerca en Sanitat Animal (CReSA)-IRTA, 08193 Barcelona, Spain
| | - H Chester-Jones
- Department of Animal Science, Southern Research and Outreach Center, Waseca, MN 56093
| | - D Ziegler
- Department of Animal Science, Southern Research and Outreach Center, Waseca, MN 56093
| | - A Bach
- Department of Ruminant Production, Institute of Agrifood Research and Technology (IRTA), 08140 Caldes de Montbui, Spain; Institució Catalana de Recerca i Estudis Avançats (ICREA), 08010 Barcelona, Spain
| | - M Terré
- Department of Ruminant Production, Institute of Agrifood Research and Technology (IRTA), 08140 Caldes de Montbui, Spain.
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Bönhof G, Strom A, Püttgen S, Bódis K, Herder C, Müssig K, Szendroedi J, Roden M, Ziegler D. Assoziation der kardiovagalen autonomen Funktion mit Insulinsensitivität und des Sympathikotonus mit Insulinsekretion bei neu diagnostiziertem Typ 1 und Typ 2 Diabetes. DIABETOL STOFFWECHS 2017. [DOI: 10.1055/s-0037-1601600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- G Bönhof
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - A Strom
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - S Püttgen
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - K Bódis
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - C Herder
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - K Müssig
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - J Szendroedi
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - M Roden
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - D Ziegler
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
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Püttgen S, Bönhof G, Strom A, Bódis K, Müssig K, Szendroedi J, Roden M, Ziegler D. Zunahme der Verzweigungen von Nervenfasern in der Kornea bei schmerzhafter gegenüber schmerzloser diabetischer Polyneuropathie. DIABETOL STOFFWECHS 2017. [DOI: 10.1055/s-0037-1601755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- S Püttgen
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - G Bönhof
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - A Strom
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - K Bódis
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - K Müssig
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - J Szendroedi
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - M Roden
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
| | - D Ziegler
- Institut für klinische Diabetologie, Deutsches Diabetes-Zentrum, Leibniz-Zentrum für Diabetes-Forschung an der Heinrich-Heine-Universität Düsseldorf, Neuropathie, Düsseldorf, Germany
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Chester-Jones H, Heins B, Ziegler D, Schimek D, Schuling S, Ziegler B, de Ondarza M, Sniffen C, Broadwater N. Relationships between early-life growth, intake, and birth season with first-lactation performance of Holstein dairy cows. J Dairy Sci 2017; 100:3697-3704. [DOI: 10.3168/jds.2016-12229] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2016] [Accepted: 01/22/2017] [Indexed: 11/19/2022]
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Langlois ÉV, Miszkurka M, Zunzunegui MV, Ghaffar A, Ziegler D, Karp I. Inequities in postnatal care in low- and middle-income countries: a systematic review and meta-analysis. Bull World Health Organ 2017; 93:259-270G. [PMID: 26229190 PMCID: PMC4431556 DOI: 10.2471/blt.14.140996] [Citation(s) in RCA: 115] [Impact Index Per Article: 16.4] [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: 05/04/2014] [Revised: 12/21/2014] [Accepted: 01/04/2015] [Indexed: 01/25/2023] Open
Abstract
Objective To assess the socioeconomic, geographical and demographic inequities in the use of postnatal health-care services in low- and middle-income countries. Methods We searched Medline, Embase and Cochrane Central databases and grey literature for experimental, quasi-experimental and observational studies that had been conducted in low- and middle-income countries. We summarized the relevant studies qualitatively and performed meta-analyses of the use of postnatal care services according to selected indicators of socioeconomic status and residence in an urban or rural setting. Findings A total of 36 studies were included in the narrative synthesis and 10 of them were used for the meta-analyses. Compared with women in the lowest quintile of socioeconomic status, the pooled odds ratios for use of postnatal care by women in the second, third, fourth and fifth quintiles were: 1.14 (95% confidence interval, CI : 0.96–1.34), 1.32 (95% CI: 1.12–1.55), 1.60 (95% CI: 1.30–1.98) and 2.27 (95% CI: 1.75–2.93) respectively. Compared to women living in rural settings, the pooled odds ratio for the use of postnatal care by women living in urban settings was 1.36 (95% CI: 1.01–1.81). A qualitative assessment of the relevant published data also indicated that use of postnatal care services increased with increasing level of education. Conclusion In low- and middle-income countries, use of postnatal care services remains highly inequitable and varies markedly with socioeconomic status and between urban and rural residents.
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Affiliation(s)
- Étienne V Langlois
- Alliance for Health Policy and Systems Research, World Health Organization, avenue Appia 20, 1211 Geneva, Switzerland
| | | | | | - Abdul Ghaffar
- Alliance for Health Policy and Systems Research, World Health Organization, avenue Appia 20, 1211 Geneva, Switzerland
| | - Daniela Ziegler
- Library of the University of Montreal Hospital Centre, Quebec, Canada
| | - Igor Karp
- Department of Epidemiology and Biostatistics, University of Western Ontario, London, Canada
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Chapman CE, Chester-Jones H, Ziegler D, Clapper JA, Erickson PS. Effects of cinnamaldehyde or monensin on performance of weaned Holstein dairy heifers. J Dairy Sci 2016; 100:1712-1719. [PMID: 28041730 DOI: 10.3168/jds.2016-11893] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [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: 08/19/2016] [Accepted: 11/10/2016] [Indexed: 12/25/2022]
Abstract
The objective of this 70-d study was to determine the effects of the essential oil cinnamaldehyde compared with the ionophore monensin on performance of weaned Holstein dairy heifers. Eighty-four Holstein dairy heifers (91 ± 3.33 d of age; 109 ± 7.55 kg) were housed in a naturally ventilated curtain sidewall, straw-bedded barn in 12 pens with 7 heifers/pen (3.98 m2/head). Heifers were randomly assigned to 1 of 4 treatments in a completely randomized design: (1) control (CON; carrier, 908 g of ground corn), (2) monensin sodium [MON; 1 mg/kg of body weight (BW) + carrier], (3) cinnamaldehyde (CIN1; 1 mg/kg of BW + carrier), or (4) cinnamaldehyde (CIN2; 2 mg/kg of BW + carrier). The treatments were hand-mixed into a 20% crude protein (CP) whole shelled corn and protein pellet mix fed at 2.21 kg/heifer daily. Heifers had access to free-choice hay and water daily. Initial BW and hip heights were taken at the start of the study and every other week thereafter until calves reached 23 wk of age. Blood samples were also taken on each weigh day to determine plasma urea nitrogen, glucose, and insulin-like growth factor-1 concentrations. Fecal samples were taken from the same 3 heifers/pen initially and then at d 28, 56, and 70 of the study for coccidia counts. Cinnamaldehyde had no performance effects on growth, hay intake, hip height, or blood metabolites compared with MON or CON. Average daily gains were 0.98, 0.99, 1.01, and 1.03 kg/d, and average hay intakes per pen were 17.08, 16.34, 18.11, and 17.60 kg/d for CON, MON, CIN1, and CIN2, respectively. Fecal samples by pens indicated the presence of viable coccidia, but the counts were low and not consistent across heifers within each pen. No benefits were associated with supplementing cinnamaldehyde or monensin into grain mixes for weaned heifers.
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Affiliation(s)
- C E Chapman
- Department of Biological Sciences, University of New Hampshire, Durham 03824
| | - H Chester-Jones
- University of Minnesota Southern Research and Outreach Center, Waseca 56093
| | - D Ziegler
- University of Minnesota Southern Research and Outreach Center, Waseca 56093
| | - J A Clapper
- South Dakota State University, Brookings 57007
| | - P S Erickson
- Department of Biological Sciences, University of New Hampshire, Durham 03824.
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Ziegler D, Keller J, Maier C, Pannek J. Diabetische Neuropathie. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0042-113785] [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: 10/20/2022]
Affiliation(s)
- D. Ziegler
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetesforschung; Klinik für Endokrinologie und Diabetologie, Universitätsklinikum Düsseldorf
| | - J. Keller
- Medizinische Klinik, Israelitisches Krankenhaus, Hamburg
| | - C. Maier
- Abteilung für Schmerzmedizin, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Ruhr-Universität, Bochum
| | - J. Pannek
- Neuro-Urologie, Schweizer Paraplegiker-Zentrum Nottwil, Schweiz
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Chapman CE, Ziegler D, Chester-Jones H, Clapper JA, Erickson PS. 1560 Effects of cinnamaldehyde on performance of postweaned Holstein dairy heifers. J Anim Sci 2016. [DOI: 10.2527/jam2016-1560] [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: 11/13/2022] Open
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38
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Chester-Jones H, Heins BJ, Ziegler D, Schimek D, Schuling SE, Ziegler B, De Ondarza MB, Sniffen CJ, Broadwater N. 1235 Relationships between early life milk replacer and starter intake and first lactation performance of Holstein dairy cows. J Anim Sci 2016. [DOI: 10.2527/jam2016-1235] [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: 11/13/2022] Open
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Chester-Jones H, Ziegler D, Blome R, Wood D. 1214 Performance and health of calves pre- and post-weaning when fed milk replacers formulated with alternative protein sources. J Anim Sci 2016. [DOI: 10.2527/jam2016-1214] [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: 11/13/2022] Open
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Heins BJ, Ziegler D, Schimek D, Schuling SE, Ziegler B, Chester-Jones H, De Ondarza MB, Sniffen CJ, Broadwater N. 1244 Relationships between birth season versus early life starter intake and growth and first lactation performance of Holstein dairy cows. J Anim Sci 2016. [DOI: 10.2527/jam2016-1244] [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: 11/13/2022] Open
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Heins BJ, Chester-Jones H, Ziegler D, De Ondarza MB, Schuling SE, Ziegler B, Schimek D, Broadwater N, Sniffen CJ. 1243 Relationships between early life growth and first lactation performance of Holstein dairy cows. J Anim Sci 2016. [DOI: 10.2527/jam2016-1243] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Schimek D, Ziegler B, Ziegler D, Chester-Jones H. 1215 Performance and health of calves pre- and post-weaning when fed milk replacer supplemented with algae. J Anim Sci 2016. [DOI: 10.2527/jam2016-1215] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Maynou G, Migura-Garcia L, Subirats J, Chester-Jones H, Ziegler D, Bach A, Terré M. 1232 Impact of milk-feeding programs on fecal bacteria population and antimicrobial resistance genes in Escherichia coli isolated from feces in preweaned calves. J Anim Sci 2016. [DOI: 10.2527/jam2016-1232] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Ziegler D, Chester-Jones H, Cook DL, Olson JL, McCusker SM. 1213 Performance and health of calves pre- and post-weaning when fed pasteurized whole milk and whole milk supplemented with differing milk replacer protein sources. J Anim Sci 2016. [DOI: 10.2527/jam2016-1213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Krishnan S, Ziegler D, Arnaut V, Martin TG, Kapsner K, Henneberg K, Bausch AR, Dietz H, Simmel FC. Molecular transport through large-diameter DNA nanopores. Nat Commun 2016; 7:12787. [PMID: 27658960 PMCID: PMC5036142 DOI: 10.1038/ncomms12787] [Citation(s) in RCA: 130] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2016] [Accepted: 08/02/2016] [Indexed: 01/10/2023] Open
Abstract
DNA-based nanopores are synthetic biomolecular membrane pores, whose geometry and chemical functionality can be tuned using the tools of DNA nanotechnology, making them promising molecular devices for applications in single-molecule biosensing and synthetic biology. Here we introduce a large DNA membrane channel with an ≈4 nm diameter pore, which has stable electrical properties and spontaneously inserts into flat lipid bilayer membranes. Membrane incorporation is facilitated by a large number of hydrophobic functionalizations or, alternatively, streptavidin linkages between biotinylated channels and lipids. The channel displays an Ohmic conductance of ≈3 nS, consistent with its size, and allows electrically driven translocation of single-stranded and double-stranded DNA analytes. Using confocal microscopy and a dye influx assay, we demonstrate the spontaneous formation of membrane pores in giant unilamellar vesicles. Pores can be created both in an outside-in and an inside-out configuration. Artificial DNA membrane channels are promising molecular devices for biotechnology but suffer from low affinity for lipid bilayers. Here, the authors report a large DNA nanopore that spontaneously inserts into a flat lipid membrane, driven by engineered hydrophobic or streptavidin-biotin interactions.
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Affiliation(s)
- Swati Krishnan
- Physik-Department E14, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany.,Zentrum für Nanotechnologie und Nanomaterialien/WSI, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany
| | - Daniela Ziegler
- Physik-Department E14, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany.,Zentrum für Nanotechnologie und Nanomaterialien/WSI, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany
| | - Vera Arnaut
- Physik-Department E14, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany.,Zentrum für Nanotechnologie und Nanomaterialien/WSI, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany
| | - Thomas G Martin
- Zentrum für Nanotechnologie und Nanomaterialien/WSI, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany.,Physik-Department E69, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany
| | - Korbinian Kapsner
- Physik-Department E14, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany.,Zentrum für Nanotechnologie und Nanomaterialien/WSI, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany
| | - Katharina Henneberg
- Physik-Department E27, Technische Universität München, James-Franck-Straße 1, 85748 Garching, Germany
| | - Andreas R Bausch
- Physik-Department E27, Technische Universität München, James-Franck-Straße 1, 85748 Garching, Germany
| | - Hendrik Dietz
- Zentrum für Nanotechnologie und Nanomaterialien/WSI, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany.,Physik-Department E69, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany
| | - Friedrich C Simmel
- Physik-Department E14, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany.,Zentrum für Nanotechnologie und Nanomaterialien/WSI, Technische Universität München, Am Coulombwall 4a, 85748 Garching, Germany
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Abstract
Purpose of review Healthcare costs have exploded in the past 30 years and they are a major concern for governments worldwide. Care management of musculoskeletal disorders and advanced imaging account for a large part of this socioeconomic burden. Recent findings Musculoskeletal ultrasound is now performed primarily by nonradiologists. Both musculoskeletal ultrasound and MRI total utilization rates continue to increase. Despite the existence of evidence-based diagnostic recommendations and the potential cost-savings of using musculoskeletal ultrasound instead of MRI in certain clinical situations, ensuring appropriate use of imaging among health professionals remains difficult for various reasons. Summary In the context of healthcare budgets restraints, use of imaging must be shown scientifically, to improve patient outcomes and be cost-effective. Current evidence recommends musculoskeletal ultrasound as the primary imaging modality in the investigation of rotator cuff disease. Policies aiming at ensuring the application of imaging guidelines among physicians are needed.
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Affiliation(s)
- Nathalie J Bureau
- Department of Radiology, Centre hospitalier de l'Université de Montréal, 1058 St-Denis street, Montreal, QC H2X 3J4 Canada ; Research center, Centre Hospitalier de l'Université de Montréal, Montreal, QC Canada
| | - Daniela Ziegler
- Library, Centre Hospitalier de l'Université de Montréal, Montreal, QC Canada
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Magro E, Gentric JC, Darsaut TE, Ziegler D, Msi, Bojanowski MW, Raymond J. Responses to ARUBA: a systematic review and critical analysis for the design of future arteriovenous malformation trials. J Neurosurg 2016; 126:486-494. [PMID: 27128584 DOI: 10.3171/2015.6.jns15619] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE The ARUBA study (A Randomized Trial of Unruptured Brain Arteriovenous Malformations [AVMs]) on unruptured brain AVMs has been the object of comments and editorials. In the present study the authors aim to systematically review critiques, discuss design issues, and propose a framework for future trials. METHODS The authors performed a systematic review of the French and English literature on the ARUBA study published between January 2006 and February 2015. The electronic search, including the Cochrane Library, MEDLINE (PubMed and Ovid), CINAHL, and EMBASE databases, was complemented by hand searching and cross-referencing. The comments were categorized as items related to the design, the conduct, and the analysis and interpretation of the trial. RESULTS Thirty-one articles or letters were identified. The pragmatic design, with heterogeneity of patients and lack of standardization of the treatment arm, were frequently stated concerns. The choice of outcome measures was repeatedly criticized. During the trial, low enrollment rates, selection bias, and premature interruption of enrollment were frequent comments. The short follow-up period, the lack of subgroup analyses, the lack of details on the results of the various treatments, and a contentious interpretation of results were noted at the analysis stage. A fundamental problem was the primary hypothesis testing conservative management. The authors believe that other trials are needed. Future trials could be pragmatic, test interventions stratified at the time of randomization, and look for long-term, hard clinical outcomes in a large number of patients. CONCLUSIONS In the authors' view, the ARUBA trial is a turning point in the history of brain AVM management; future trials should aim at integrating trial methodology and clinical care in the presence of uncertainty.
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Affiliation(s)
- Elsa Magro
- Department of Surgery, Service of Neurosurgery, Centre Hospitalier de l'Université de Montréal (CHUM), Notre-Dame Hospital.,Service de Neurochirurgie, CHU Cavale Blanche, INSERM UMR 1101 LaTIM, Brest; and
| | - Jean-Christophe Gentric
- Department of Surgery, Service of Neurosurgery, Centre Hospitalier de l'Université de Montréal (CHUM), Notre-Dame Hospital.,Groupe d'étude de la Thrombose en Bretagne Occidentale, Brest, France
| | - Tim E Darsaut
- Department of Surgery, Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada
| | | | - Msi
- Direction de l'Enseignement et de l'Académie CHUM
- Bibliothèque; and
| | - Michel W Bojanowski
- Department of Surgery, Service of Neurosurgery, Centre Hospitalier de l'Université de Montréal (CHUM), Notre-Dame Hospital
| | - Jean Raymond
- Department of Radiology, Service of Neuroradiology, CHUM, Notre-Dame Hospital, Montreal, Quebec
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Bönhof G, Strom A, Püttgen S, Ringel B, Brüggemann J, Bódis K, Müssig K, Szendrödi J, Roden M, Ziegler D, PROPANE DDS. Nachweis dermaler Nervenregeneration trotz vermehrtem Faserverlust bei schmerzhafter und schmerzloser diabetischer Polyneuropathie. DIABETOL STOFFWECHS 2016. [DOI: 10.1055/s-0036-1580934] [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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Fahed R, Raymond J, Ducroux C, Gentric JC, Salazkin I, Ziegler D, Gevry G, Darsaut TE. Testing flow diversion in animal models: a systematic review. Neuroradiology 2016; 58:375-82. [DOI: 10.1007/s00234-015-1635-0] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2015] [Accepted: 12/16/2015] [Indexed: 01/31/2023]
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Ziegler D, Keller J, Maier C, Pannek J. Diabetische Neuropathie. DIABETOL STOFFWECHS 2015. [DOI: 10.1055/s-0035-1553876] [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: 10/22/2022]
Affiliation(s)
- D. Ziegler
- Institut für Klinische Diabetologie, Deutsches Diabetes-Zentrum an der Heinrich-Heine-Universität, Leibniz-Zentrum für Diabetesforschung; Klinik für Endokrinologie und Diabetologie, Universitätsklinikum Düsseldorf
| | - J. Keller
- Medizinische Klinik, Israelitisches Krankenhaus, Hamburg
| | - C. Maier
- Abteilung für Schmerzmedizin, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Ruhr-Universität, Bochum
| | - J. Pannek
- Neuro-Urologie, Schweizer Paraplegiker-Zentrum Nottwil, Schweiz
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