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Rank	Citation Analysis	Article Type	Number of Years	Citation(s) in RCA
1	Chapman SJ, Clerc D, Blanco-Colino R, Otto A, Nepogodiev D, Pagano G, Schaeff V, Soares A, Zaffaroni G, Žebrák R, Hodson J, Blanco-Colino R, Chapman SJ, Glasbey JC, Pata P, Pellino G, Sgrò A, Soares A, Elst T, Van Straten S, Knowles CH, Nepogodiev D, Hodson J, Borakati A, Bath MF, Yasin IH, Mclean K, Arthur T, Kovacevic M, Delibegovic S, Karamanliev M, Swamad M, Žebrák R, Paramasivam R, Martensen A, Larsen HM, Rädeker L, Frey PE, Kechagias A, Venara A, Duchalais E, Ioannidis A, Pata F, Pellino G, Pasquali S, Sgrò A, Simioni A, Farina V, Podda M, Lorenzon L, Schaeff V, Otto A, Jakubauskas M, Elst TR, Chu M, Fagan PVB, Wells CI, Alagoa João A, Soares A, Juloski J, Clerc D, Ciubotaru C, Popescu S, Yanishev A, Lee S, Ozkan BB, Yagız Sen A, Aktas MK, Baki BE, Yüksek B, Glasbey JC, Kamarajah S, Mclean K, Borakati A, Yasin IH, Khaw RA, Mills E, Goodson R, Thakral N, Ablett AD, Adra M, Kwek I, Khan SM, Quinn P, Manley LR, Badran A, Ramjeeawon A, Campbell A, Tan HL, Rye DS, Rajaraman N, Norman JG, Vutipongsatorn K, Solomou G, Akhbari M, Ali A, Murray V, Baker DM, Brandao BD, Stainer B, et alChapman SJ, Clerc D, Blanco-Colino R, Otto A, Nepogodiev D, Pagano G, Schaeff V, Soares A, Zaffaroni G, Žebrák R, Hodson J, Blanco-Colino R, Chapman SJ, Glasbey JC, Pata P, Pellino G, Sgrò A, Soares A, Elst T, Van Straten S, Knowles CH, Nepogodiev D, Hodson J, Borakati A, Bath MF, Yasin IH, Mclean K, Arthur T, Kovacevic M, Delibegovic S, Karamanliev M, Swamad M, Žebrák R, Paramasivam R, Martensen A, Larsen HM, Rädeker L, Frey PE, Kechagias A, Venara A, Duchalais E, Ioannidis A, Pata F, Pellino G, Pasquali S, Sgrò A, Simioni A, Farina V, Podda M, Lorenzon L, Schaeff V, Otto A, Jakubauskas M, Elst TR, Chu M, Fagan PVB, Wells CI, Alagoa João A, Soares A, Juloski J, Clerc D, Ciubotaru C, Popescu S, Yanishev A, Lee S, Ozkan BB, Yagız Sen A, Aktas MK, Baki BE, Yüksek B, Glasbey JC, Kamarajah S, Mclean K, Borakati A, Yasin IH, Khaw RA, Mills E, Goodson R, Thakral N, Ablett AD, Adra M, Kwek I, Khan SM, Quinn P, Manley LR, Badran A, Ramjeeawon A, Campbell A, Tan HL, Rye DS, Rajaraman N, Norman JG, Vutipongsatorn K, Solomou G, Akhbari M, Ali A, Murray V, Baker DM, Brandao BD, Stainer B, Thavayogan R, Jones D, Onafowokan OO, Gharooni A, Dabab N, Carlton-Carew S, Kungwengwe G, Gabriel M, Sewart E, Shortland TC, Lawday S, Pockney P, Dawson A, Arthur T, Brumfitt CD, Stewart P, Ng B, Luong JK, Delibegovic S, Ivanov V, Borisova A, Neykov V, Kunčarová K, Kološová B, Antonova T, Farkašová M, Žebrák R, Harbjerg JL, Brandsborg S, Brinck S, Kjaer MD, Mark-Christensen A, Unbehaun KP, Dalsgaard P, Lycke KD, Kechagias A, LeNaoures P, Duchalais E, Brigand C, Dumange E, Gout M, Moehwald C, Prem M, Alhalabi O, Sliwinski S, Krupp J, Gablenz E, Schmitzer L, Kopp A, Steinle J, Gsenger J, Pohl LJ, Riccardi M, Christodoulou IM, Konstantinidis M, Machairas N, Zoikas A, Balalis D, Manatakis DK, Aguilera ML, Sgrò A, Simioni A, Marano L, Fleres F, Lovisetto F, Sasia D, Segalini E, Pata G, Lucchi A, Sagnotta A, Campagnaro T, Petrelli F, Gallo G, Papandrea M, Testa V, Sinibaldi G, Di Candido F, Colombo F, Perrone G, Aresu S, Biancafarina A, Canonico G, Pagnanelli M, Curletti G, Bini R, Manzoni Garberini A, Impellizzeri H, Cillara N, Tutino R, Picciariello A, Coletta D, Savino G, Ferrara F, Tamini N, Talamo G, Parini D, Giamundo P, lo Conte A, Pagano G, Ripetti V, Pesce A, Menduni N, Pellino G, Giudicissi R, Podda M, Goldin E, Rega D, Belli A, Andriola V, Gordini L, Pata F, Foppa C, Piccolo G, Birindelli A, Ferrari C, Ballarini Z, Tirelli F, Milone M, De Rosa M, Pipitone Federico NS, Molteni B, Tilocca PL, Sancini G, Piozzi GN, Lauretta A, Poillucci G, Mulas S, Schaeff V, Otto A, Jakubauskas M, Simcikas D, Portelli L, Wijnbergen JWM, Dinger TL, Doesschate SFH, Dalen ASHM, Bos DD, Hansmann M, Medina Feliz J, Kuiper SZ, Abdulrahman Z, Pruijssers SR, Farik S, Elliott BM, Geneta VP, Chu M, Wilton S, Kandelaki H, Peng SL, Campbell S, Lim YK, Yassaie SS, Murray M, Fagan PVB, Haran C, Tan J, Castro J, Laranjeira A, Catarino S, Neves-Marques C, Correia JG, Vieira BN, Quintela AC, Serra ML, Maciel J, Cunha M, Aparício DJ, Neves J, Azevedo J, Romano M, Eiró F, Romano J, Monteiro C, Claro M, Almeida MR, Peyroteo M, Machado ND, Capote H, Ferreira M, Sousa X, Devesa H, Cavadas D, Guerreiro I, Costa M, Salman M, English C, Mohammed N, Popescu S, Yanishev A, Litvin A, Ćuk VV, Mészárosová K, Van Straten S, Jaich R, De Lima H, Brooks S, Marx M, Nshalati Salvation M, Clerc D, Blaser B, Piazza G, Gagliardi B, Serin H, Yagız Sen A, Yurdaor SS, Aktas MK, Arslan E, Kopac O, Uyanik A, Ozmen BB, Tiftik E, Aksoy B, Yalcinkaya A, Ozoglu F, Kocer MD, Bilicen G, Cinar EN, Uslu Ö, Kaya Y, Wong J, Farhan-Alanie MMH, Suresh G, Asif A, Finch BJ, Bhahirathan Y, Herron J, Yi Tew Z, Obukofe R, Russell C, Suchett-Kay I, Netke T, Williams L, Kisiel A, Liu FY, Claireaux H, James P, Mondal A, Kalderon R, Nadama HH, Al-Saraff Z, Tam JPH, Powell-Chandler A, Wood F, Campbell A, Gorgievska R, Ragavoodoo A, Thakrar C, Rojoa D, Palmer C, Davidson K, Giacci L, Hale J, Gan FW, Makin-Taylor R, Hey CY, Toh C, Findlay JM, Griffiths N, Ganesananthan S, Jasionowska S, Poustie M, Wong C, Turner T, Pyc W, Sloper W, Warner C, Coey J, Mason D, Sait S, Kowal M, Shortland TC, Owen M, Saiyed A, Ashworth I, Akbari K, Curran M, Martin P, Parker D, Dawson A, Kwok K, Lye C, Pockney P, Ghaly M, Sammour T, Lewis D, Mundasad R, Wilkes A, Ctercteko G, Stewart P, Delibegovic S, Maslyankov S, Dimov R, Iliev S, Dimitrov D, Marek F, Örhalmi J, Skalický P, Skalický T, Chrz K, Christensen P, Worsøe J, Kristensen ES, Emmertsen KJ, Loeve US, Duchalais E, Mihaljevic AL, Herrle F, Konstantinidis KM, Manatakis DK, Korkolis D, Karanikas I, Aguilera ML, Vincenti L, Anania G, Borghi F, Agresta F, Maretto I, Parisi A, Bucci L, De Palma G, Guglielmi A, Cucinotta E, La Torre F, Cianchi F, Guerrieri M, Lauretta A, Trompetto M, Persiani R, Micheletto G, Rega D, Belli A, Cantafio S, Lovisetto F, Ronconi M, Bisagni PAG, De Prizio M, Tamini N, Sinibaldi G, Franceschi A, Galleano R, Cavallini M, Brescia A, D'Ambra L, Benevento A, Niolu P, Calgaro M, Colangelo E, Grottola T, Altomare DF, Puleo S, Salamone G, Pietrabissa A, Poggioli G, Ripetti V, Erdas E, Ottonello R, Canonico G, Tonini V, Selvaggi F, Sammarco G, Ceccarelli G, De Nisco C, Surgo D, Taglietti L, Ozolins A, Sivinš A, Poskus T, Psaila J, Bemelman WA, Graat LJ, Langenhoff B, Wijnhoven BPL, Ven AHW, Poelman M, Stassen LPS, Slooter G, Acherman YIZ, Hoff C, Gerhards MF, Stommel MWJ, Hazebroek EJ, Geloven AAW, Schasfoort RA, Leeuwen BL, Tuynman JB, Tilburg MWA, Boerma EG, Sharma P, Jenkins B, Bissett IP, Peng SL, Herd A, Gordon A, Vernon D, Omundsen M, Ly J, Reddy A, Bonnet G, Harmston C, Morales M, Francisco V, Costa S, Manso A, Amorim E, Pereira J, Cardoso J, Ourô S, Caratão M, Nascimento C, Ribeiro da Silva B, Taranu V, Dias R, Devesa H, Mendes J, Allen M, Silva A, Carlos S, Barbosa E, Carneiro C, Ramos L, Maciel J, Lencastre L, Martins R, Silva-Vaz P, Ridgway PF, McNamara DA, Cahill R, Hogan A, Larkin J, O'Connell PR, Negoi I, Abelevich A, Ćuk VM, Vician M, Ede C, Sardiwalla I, Mulira S, Montwedi D, Oyomno M, Hübner M, Petermann D, Sauvain MO, Ozben V, Geçim IE, Disçi E, Rencuzogullari A, Kurt A, Bisgin T, Pehlivan M, Isik A, Onur E, Leventoglu S, Haksal MC, Erturk MS, Keskin M, Guner A, Tutcu Sahin S, Ozbalci GS, Pergel A, Albayrak D, Bruce D, Fearnhead N, Arthur J, Harron M, Beattie G, Titu L, Ali A, Saunders M, Phillips J, Dindyal S, Cresswell B, Gercek Y, Lee J, Linn T, Faulkner G, Lockwood S, Rees J, Charalabopoulos A, Campbell B, Kontovounisios C, Amarnath T, Johnson M, Epanomeritakis E, Vigs S, Nastro P, Gilliam A, Smolarek S, Wilson T, Orbell J, McIntyre R, Agarwal T, Hainsworth P, Patel P, Vijay J, Liu B, Dhruva Rao P, Roxburgh C, Vipond M, Youssef H, Thorn C, Schizas A, Denley S, Bowley D, Das K, Cuming T, Saha A, Chung L, Pitt J, Davis P, Jones O, Taylor M, Bhargava A, Haji A, Watson N, Bloom I, Singh B, Norwood M, Gurjar S, Stylianides N, Mirza S, Evans M, Williams G, Patil P, Hernon J, Finch G, Green S, Chapple K, Fafemi O, Warusavitarne J, Samee A, Carden C, Ong L, Verma K, Joseph A, Rawat N, Pinkney T, Oke O, Glen P, Maxwell-Armstrong C, Oliphant R, Garner J, Moug SJ, Middleton S, Lund JN, Smart NJ, Osborn G, Moore T, Raymond T, Knowles CH, Hany TS, Clarke R, Khera G, Brady R, Sellahewa C, Mason C, Torrance A, Lasithiotakis K, Knight J, Pullybank A, Ainsworth P, Reid F, Ramwell A, Maslekar S, George R, Skull A, Holtham S, Muhammad K, Lal R, Varcada M, Smith FM, Howlader M, Defriend D, Kirk S, Richards T, Evans C, Borg C, Telford K, Sarfraz N, Busby K, Hollingshead J, Speake D, Pawa N, West D, Chadwick M, Komolafe O, Richardson S, Thornton M, Goede A, Osborne C, Bandyopadhyay D, Foong J, Lee YJ, Liebenberg P, Mijalkov D, Wells A, Bull N, Ajmera A, Warburton T, Morgan S, Mahmoud A, Schachtel M, Mikhail B, Fomin I, Mekaeil B, Taylor N, Stevenson C, Drane A, Pahalawatta U, Lai LT, Debiasio A, Wong J, Jun HJS, Hengpoonthana R, Mendis DM, Robb PM, Lee HJ, Wyche AAB, Davis LT, Lee HJ, Chrimes A, Agarwal A, Zhao J, Williams S, Jayalath JMSN, Liebenberg P, Khor S, Muddasani T, Childs S, Ridgway S, Blefari NDA, Tam H, Puchalski N, Ngai C, Mackenzie J, Johnson N, Holmes M, Zuzek R, Saluja T, Gould T, Goh YK, Selvaraj T, Brumfitt CD, Beh YZ, Dudi-Venkata NN, Horne D, Borrow JL, Campbell C, Cousins G, Jackson L, Maheepala K, Zhao S, Holden E, Tutt L, Thompson B, Collins H, Louie F, Buckland B, Smith D, Chong C, Chua TH, Nayak C, Redmond J, Tan RR, Gramlick M, Teh JS, Ng SY, Britten-Jones P, Mohd Rosli R, Pham HDV, Jegathees T, Coulter-Nile SMCJ, Gosselink MP, Luong JK, Wang YL, Maciaszek M, Chrapko PS, Nair A, Thirugnanasundralingam V, Muir K, Salibasic M, Pavlov V, Paycheva T, Borisova A, Lyulenina E, Kolev N, Ivanov V, Nguen D, Mitkov Y, Mitkov E, Vladova P, Dimitrov V, Hussain M, Gabarski A, Ivanov T, Yotsov T, Ilieva I, Karamanliev M, Akisheva A, Shoshkova M, Nawaz E, Feradova H, Mladenov T, Neykov V, Jozaf V, Farkašová M, Klail T, Pös M, Adel A, Sotona O, Bartoš M, Amjad T, Malý O, Berec S, Hanušová M, Hurný M, Riško J, Ludvik M, Stercz M, Treskoň R, Pospíšil M, Hlaváčová L, Kunčarová K, Tomanová D, Chodora S, Houdek O, Novický R, Antonova T, Sobotková K, Cha S, šuta Kimle K, Jirankova K, Bujda M, Paclík A, Trap A, Jürgens-Lahnstein J, Storm M, Dalsgaard P, Damgaard I, Olawi F, Ehlem F, Raos M, Kristensen FP, Lycke KD, Bønnerup K, Unbehaun KP, Kjaer MD, Brandsborg S, Amiri S, Enevoldsen M, Harbjerg JL, Højgaard Pedersen J, Jepsen BN, Hillgaard TK, Erichsen SB, Nielsen CV, Madsen CP, Bjerke J, Skejø CD, Aabling RR, Sørensen JS, Mark-Christensen A, Kechagias A, Turunen A, Katunin J, Niskakangas M, Vignaud T, Frey S, Ricolleau C, Chanut F, Magnin J, Gout M, Seiboldt T, Beck L, Pohl LJ, Zamzow K, Betge F, Poncelet A, Truant M, Hauschild H, Neugebauer N, Schöning L, Simon SCS, Galata C, Karampinis I, Thäwel T, Seckler AM, Kerem C, Durdevic S, Ioannidis A, Antonakopoulos F, Konstantinidis M, Mathioulaki A, Chrysoheris P, Athanasopoulos PG, Kalles V, Spyrou I, Barkolias C, Paspala A, Machairas N, Papaconstantinou D, Spartalis E, Arkadopoulos N, Prodromidou A, Garoufalia Z, Balalis D, Zoikas A, Christodoulou IM, Mendez D, Rosales J, Flores M, Garcia M, Garcia A, Garcia M, Noriega Z, Torselli D, Aguilera ML, Rodriguez J, Lafranceschina S, Artioli E, Giaccari S, Nevoso V, Schimera A, Marino S, Geretto P, Pellegrino L, Borghi B, Sasia D, Marano A, Corino C, Cannata G, Giuffrida MC, Landra F, Pata G, Ongaro D, Baronio G, Raimondo S, Casiraghi S, Salvadori R, Savino G, Finotti E, Ciccioli E, Galgano A, Zuin M, Simioni A, Bettella A, Barina A, Vendramin E, Palano G, Schiavone D, Di Cintio A, Gemini A, Trastulli S, De Luca M, Sagnotta A, Desiderio J, Gubbiotti F, Cigognini M, Zaffaroni G, Maffioli A, Colombo S, Bondurri A, Sampietro G, Foschi D, Colombo F, Manigrasso M, Danzi M, Amato R, Anastasio L, Mastella F, Basile R, Peltrini R, Marra E, Luglio G, Pagano G, Giglio M, Manigrasso M, Anoldo P, Vertaldi S, Grimaldi L, Tammaro N, Pedrazzani C, Campagnaro T, Turri G, Lazzarini E, Conti C, Vulcano I, Bertilone E, Pintabona G, Viscosi F, Cerasari S, Galiffa G, Lapolla P, Coletta D, Del Basso C, Cirillo B, De Toma G, Fazzi K, Bini S, Coratti F, Montanelli P, Grandi S, Nelli T, Ben Khaled N, Cammelli F, Ferrini E, Billo ME, Tilocca PL, Marrosu AG, Scognamillo F, Pala C, Attene F, Carboni L, Ruggiu MW, Gabbas G, Marziali I, Mazzocato S, Petrelli F, Vergari R, Piazzai F, Kubolli I, Aggiusti A, Paolucci A, Ortenzi M, Olivieri M, Belluco C, Antona AD, Basso S, Morino M, Mistrangelo M, Testa V, Gallo G, Clerico G, De Santi G, Bitonti MF, Trompetto M, Pipitone Federico NS, Frattalone M, Tirelli F, Fico V, Santullo F, Belia F, Spinelli A, Marco M, Di Candido F, Bevilacqua M, Tringali D, Bevilacqua E, Panizzo V, Piozzi GN, La Manna V, Migliore G, Aversano A, Fares Bucci A, Marino F, Carbone F, Incollingo P, Romano FM, Giudicissi R, Zalla T, Baraghini M, Romoli L, Calussi M, Vellei S, Genzano C, Feroci F, Vita M, Barberis A, Serra D, Lucchi A, Grassia M, Romelli M, Ruggiero S, Percassi A, Ferrari C, Molteni B, Magri Piccinini A, Segalini E, Monti M, Magnoli M, Romano S, Gaetano P, Pilotta F, Baldassarre L, Perrone G, Bonati E, Aresu S, Saba A, Moretto G, Bacchion M, Impellizzeri H, Casaril A, Inama M, Creciun M, Ferrara F, Stella M, Gobatti D, Biancafarina A, Angelini M, Andolfi E, Miranda E, Scricciolo M, Provenza G, Cavallina G, Frezza B, Fontani A, Malatesti R, Pellicanò GA, Podda M, Anania M, Pulighe F, Cruccu A, Murru ML, Massaiu C, Balestra F, Pazzona M, De Nisco C, Giannella A, Santangelo M, Olivieri M, Frangella F, Magagnano D, Liberatore P, Brenna R, Giani A, Tirotta F, Famularo S, Angrisani M, Ceresoli M, De Rosa M, Rondelli F, Ceccarelli G, Angelucci GP, Scaramuzzo R, Larcinese A, Fioriti C, Picone E, Nardi M, Marano L, Castagnoli G, Bartoli A, Bellochi R, Spaziani A, Conti D, Poponesi V, Trippetti M, Amicucci S, Tazza G, Procacci P, Giovannini F, Basile E, Franceschi A, Caristo G, Pagnanelli M, De Nardi P, Rosati R, Marcocci G, Vignali A, Curletti G, Galleano R, Badran A, Malerba M, Percivale A, Ghazouani O, Reggiani L, Spirito C, Moschetta G, Cosmi F, Romeo G, Gasparrini M, Sucameli F, Gennai A, Moggia E, Bianchi C, Bonfante P, Macina S, Feleppa C, Talamo G, Imperatore M, Tenconi SM, Rausei S, Maioli D, Marchionini V, Pata F, Sparta C, Mura FA, Barmina M, Lorettu A, Rettaroli C, Mastino G, Ruggiu GV, Mura GA, Perrone BA, De Angelis M, Mereu A, Adamo V, Bianco C, Manzoni Garberini A, Ricciardiello M, Campanaro C, Panaccio P, Esposito LM, D'Ascanio F, Pietroletti R, Picciariello A, Chetta N, Aquilino F, Di Marco F, Amico A, Schembari E, Puglisi S, Licari L, Campanella S, Profita G, Falco N, Rotolo G, Venturelli P, Tutino R, De Marco P, Marcianò M, Sgrò A, Argenti F, Milani MS, Malabarba S, Giambartolomei G, Vella I, Gronchi F, Ruggieri A, Sancini G, Roggiani A, Balsamo F, Gori A, Cuicchi D, D'Alessio R, Benvenuto D, Gordini L, Erdas E, Podda F, Cappellacci F, Salaris C, Sanna S, Marcialis J, Mosino L, Peddis M, Melis S, De Donno G, Aru AC, Falsetti E, Parini D, Lanari J, D'Errico U, Bianchini S, Birindelli A, Figà F, Caiazzo A, Selvaggi L, Capozzolo A, Cerra C, Pirillo M, Papandrea M, Cravano S, Libri I, Laquatra N, Isabello A, Truškovs A, Bartnick A, Malcevs E, Machatschek MJ, Alm J, Lapsa S, Delorme M, Zeynalov F, Larnovskis J, Sauka J, Bodrov D, Gailumsis R, Wiemann AM, Müller NL, Jelovskis I, Deksnis D, Bauermeister Potts O, Slimbajevs T, Samalavicius NE, Simcikas D, Nutautiene V, Zeromskas P, Jurgaitis J, Aliosin O, Slepavicius A, Eismontas V, Kybransiene M, Dulskas A, Kuliavas J, Kavaliauskas P, Kavaliauskaite R, Poškus E, Danys D, KryŽauskas M, Mikalauskas S, Rackauskas R, Drungilas M, Poškus T, Jotautas V, Strupas K, Cachia C, Cefai C, Portelli L, Youssef Y, Degaetano D, Debono S, Sammut M, Cassar J, Sammut K, Looyen R, Dalen ASHM, Becker MAJ, Comert D, Molder L, Tromp J, Matthee E, Tissen YM, Brinkhuis E, Vries HS, 't Hart E, Beckers K, Bekker Y, Kakar S, Doesschate SFH, Smaalen TC, Veen OC, Dingemans SA, Brink LC, Vijgen GHEJ, Voort EMF, Pool A, Rest KLC, Haak T, Sluijpers NRF, Pruijssers SR, Molenaar CJL, Gordinou de Gouberville MC, Saleh S, Mens MA, Hoeks EM, Nieuwenhuizen S, Praag EM, Westerduin E, Smit MPCM, Lely SJ, Nasimi B, Gerdsen M, Stijns RCH, Leow TYS, Penningnieuwland G, Ruiter A, Ribbers T, Aarts CAM, Tulek MS, Jonge J, Kocak S, Alqethami HJ, Constansia R, Elst PC, Tissink MW, Grüter A, Vroom Y, Voeten DM, Feenstra T, Azzahhafi J, Bofarid S, Kip M, Saleh W, Franssen S, Boon CL, Franssen RJM, Romaen I, Jense MTF, D'Souza J, Pascoe R, Scott A, Stark E, Mulholland K, Lau WK, Smith B, Adams SIB, Shah N, Ling E, Young J, Peng SL, Jacobson A, Macfater H, Farik S, Chen SY, Kilpatrick K, Kim DH, Dixon S, Yassaie S, Welman D, Coulter J, Morreau M, Li E, Rankin A, Winders J, Skipworth C, Fagan PVB, Stanfield B, Henderson N, Chuang A, Maskill L, Ker H, McLaughlin SJP, Kearney J, Wilton S, Sprosen H, Kerckhoffs P, Alsadat R, Cherry R, Chapman DA, Singh N, Clucas A, Gatenby G, Kelly B, Ruppeldt P, McIntosh ND, Koh S, Wilms H, Dalzell F, Tewhaiti-Smith J, Kader T, Yam ST, Dahya D, Hardie Boys M, Fleischl W, Tan J, Skavysh A, Mouldey K, Elliott BM, Hu R, Edwards S, Matthews C, Aitken E, Walker M, Guerreiro I, Tomé M, Patrocinio S, Amado F, Batista A, Seabra J, Praxedes V, Monteiro N, Martins I, Serra ML, Santos TC, Lages RR, Pimentel A, Machado ND, Sá TC, Bernardes FM, Saraiva P, Almeida J, Mendes M, Fernandes V, Ribeiro A, Soares D, Costa M, Rosete M, Martins T, Miguel I, Martins J, Cunha MF, Melo J, Veiga DN, Rachadell J, Amorim E, Vareda R, Roseira J, Catarino S, Aveiro D, Couto M, Loureiro AR, Louro H, Queiros T, Castro B, Fonseca S, Carvalho L, Torre AP, Amado A, Leite M, Miranda P, Cunha C, Ferreira M, Cavadas D, Silva R, Pina S, Paixão I, Orelhas L, Santos J, Pacheco A, Rocha AF, Jervis MJ, Pedro V, Paixão V, Guerreiro A, Melo D, Correia D, Capella V, Moinhos T, Monteiro C, Silva M, Vieira BN, Silva AG, Galvão D, Mora A, Bettencourt R, Costa F, Gil I, Morgado J, Neves J, Mónica I, Oliveira S, Ribeiro H, Ferreira M, Guimarães N, Duarte M, Miranda J, Martins SF, Almeida MR, Parreira R, Faustino A, Medeiros N, Castro R, Soares B, Resendes M, Almeida P, Cruz A, Claro M, Vaz Pinto G, Sousa D, Costa Santos D, Silva A, Silva F, Fialho G, Reia M, Pratas N, Capote H, Costa C, Costa J, Morais S, Machado A, Horta V, Rocha-Melo M, Patrício J, Pereira M, Lima R, Cinza AM, Oliveira J, Velez C, Ferreira M, Borges F, Simões J, Eiró F, Botelho P, Cismasiu B, Alves D, Dias B, Costa C, Gonçalves JP, Valente P, Oliveira J, Freire L, Saraiva R, Moreira M, Fragoso M, Guimarães J, Cruz G, Aparício DJ, Ribeiro J, Borges da Ponte I, Almeida S, Martins AR, Louro T, Morgado M, Ferreira AS, Alves M, Oliveira N, Lérias R, Neves-Marques C, Estalagem I, Botelho C, Bártolo J, Fidalgo Antunes C, Cabral 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Mutlu D, Akyol C, Uygur FA, Eray IC, Biyiklioglu O, Çetin MF, Isik AE, Karip B, Dogan H, Sarıgül L, Tunc E, Aydin T, Bodur S, Karabulut K, Francis AA, Al-hadithi A, To N, Lau ISF, Smith E, Mahapatra S, McAuliffe O, Francis AA, Imam L, Akram B, Hossaini S, Davies R, Ko M, Collins J, Pandya A, Reilly S, Archer J, Auty C, Roche CD, Livie J, Chaudhry FA, Ntakomyti E, Diallo R, Bylinski T, Wright J, Lawday S, Masiha E, Tung J, Shirazi B, Neilson A, Epton S, Patel N, Trussell S, Couldrey A, Donnelly C, Eftychiou S. Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery. Br J Surg 2020;107:e161-e169. [PMID: 31595986 DOI: 10.1002/bjs.11326] [Show More Authors] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Revised: 05/06/2019] [Accepted: 07/04/2019] [Indexed: 02/05/2023] Abstract BACKGROUND Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. METHODS A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre-specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. RESULTS A total of 4164 patients were included, with a median age of 68 (i.q.r. 57-75) years (54·9 per cent men). Some 1153 (27·7 per cent) received NSAIDs on postoperative days 1-3, of whom 1061 (92·0 per cent) received non-selective cyclo-oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4·6 versus 4·8 days; hazard ratio 1·04, 95 per cent c.i. 0·96 to 1·12; P = 0·360). There were no significant differences in anastomotic leak rate (5·4 versus 4·6 per cent; P = 0·349) or acute kidney injury (14·3 versus 13·8 per cent; P = 0·666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35·3 versus 56·7 per cent; P < 0·001). CONCLUSION NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement. Collapse Key Words Collapse MESH Headings Adult Aged Anti-Inflammatory Agents, Non-Steroidal/therapeutic use Colectomy Elective Surgical Procedures Female Humans Ileus/drug therapy Ileus/etiology Kaplan-Meier Estimate Male Middle Aged Patient Safety Postoperative Care/methods Postoperative Complications/drug therapy Proctectomy Proportional Hazards Models Prospective Studies Recovery of Function Time Factors Treatment Outcome Collapse Grants NIHR300175 Department of Health Collapse	Multicenter Study	5	43
2	Chapman SJ, Blanco-Colino R, Pérez-Ajates S, Bautista OA, Hodson J, Blanco-Colino R, Chapman SJ, Glasbey JC, Pata F, Pellino G, Soares ASA, van Elst T, Van Straten S, Nepogodiev D, Hodson J, Borakati A, Bath MF, Yasin IH, Mclean K, Arthur T, Kovacevic M, Delibegovic S, Karamanliev M, Swamad M, Žebrák R, Paramasivam R, Martensen A, Larsen HM, Rãdeker L, Frey PE, Kechagias A, Venara A, Duchalais E, Ioannidis A, Pata F, Pellino G, Pasquali S, Simioni ASA, Farina V, Podda M, Lorenzon L, ItSURG, Schaeff V, Otto A, Jakubauskas M, van Elst TR, Chu M, Fagan PVB, Wells CI, João AA, Soares A, Juloski J, Blanco-Colino R, Pérez-Ajates S, Bautista OA, El Kasmi YEK, Espin-Basany E, Clerc D, Ciubotaru C, Popescu S, Yanishev A, Lee S, Ozkan BB, Sen AY, Aktas MK, Baki BE, Yüksek B, Glasbey JC, Kamarajah S, Mclean K, Borakati A, Yasin IH, Khaw RA, Mills E, Goodson R, Thakral N, Ablett AD, Adra M, Kwek I, Khan SM, Quinn P, Manley LR, Badran A, Ramjeeawon A, Campbell A, Tan HL, Rye DS, Rajaraman N, Norman JG, Vutipongsatorn K, Solomou G, Akhbari M, Ali A, Brandao BD, Stainer B, Thavayogan R, Jones D, Onafowokan OO, Gharooni A, Dabab N, et alChapman SJ, Blanco-Colino R, Pérez-Ajates S, Bautista OA, Hodson J, Blanco-Colino R, Chapman SJ, Glasbey JC, Pata F, Pellino G, Soares ASA, van Elst T, Van Straten S, Nepogodiev D, Hodson J, Borakati A, Bath MF, Yasin IH, Mclean K, Arthur T, Kovacevic M, Delibegovic S, Karamanliev M, Swamad M, Žebrák R, Paramasivam R, Martensen A, Larsen HM, Rãdeker L, Frey PE, Kechagias A, Venara A, Duchalais E, Ioannidis A, Pata F, Pellino G, Pasquali S, Simioni ASA, Farina V, Podda M, Lorenzon L, ItSURG, Schaeff V, Otto A, Jakubauskas M, van Elst TR, Chu M, Fagan PVB, Wells CI, João AA, Soares A, Juloski J, Blanco-Colino R, Pérez-Ajates S, Bautista OA, El Kasmi YEK, Espin-Basany E, Clerc D, Ciubotaru C, Popescu S, Yanishev A, Lee S, Ozkan BB, Sen AY, Aktas MK, Baki BE, Yüksek B, Glasbey JC, Kamarajah S, Mclean K, Borakati A, Yasin IH, Khaw RA, Mills E, 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Westerman T, Evans E, Campbell L, Gillespie M, Cheong CM, Kulathevanayagam K, Varghese A, Ike SI, Chu TSM, Baljer B, Mogg JAW, Rai P, Claireaux HA, Williams M, Smillie R, Goetz J, Appleby E, Fadipe T, Vaughan-Burleigh S, Mondal A, Jovaisaite A, Shah SM, Khalid N, Gutmann D, Davison S, Alame YJ, Syed L, Owen WJ, Ahsan SD, Kalderon R, Anthony-Uzoeto U, Hall CM, Zheng S, Wynter K, James C, Sapre D, Ghosh R, Baird J, Cockburn L, Blackwood O, Nadama HH, Simpson W, Jeong S, Bishop S, Bate R, Hobson C, Adam AH, Redclift C, Do J, Adeleye O, Poli F, Batterham A, Brown S, Parekh JN, Clay W, Pieri K, Jackson A, Brown S, Saxena A, Gurung B, Oyebola T, O'Brien F, Djeugam B, Gardezi S, Ul-Hasan S, Martin-Hernandez MP, Sisley M, Modi S, Antakia R, Elbayouk A, Soh YJ, Mather J, Yusuf Z, Al-Sarraf Z, Naja M, Rassool SB, Convill J, Nikookam Y, Warsame A, Tam JPH, Pace C, Kiandee M, Ridwan R, Carey C, Hirri F, McMillan MJA, Ling JJ, Powell-Chandler A, Pendelbury L, Kerimzade K, Tang A, Howard EO, Humayun S, Wadsworth OJ, Tan K, Abdelhameed F, Haglund C, Radnaeva I, Hu N, Rambhatla S, Waldron D, Madahar P, Malik S, Campbell A, Meney LC, Ibrahim I, Kang CK, Chiu JZJ, Livie V, Ibrahim B, Khalil M, Pooley G, Shishkin B, Gorgievska R, Docherty J, Southgate A, Coomes A, McGee F, Flanagan S, Thakrar C, Tan QJ, Anwar H, Clough R, Chrisp B, Cassels J, Cross GWV, Ragavoodoo A, Mercer L, Mercer C, Refalo A, Hadley R, McTighe A, Farrow F, Brodie A, Davis G, Shah DR, Bowers C, Patel S, Morice O, Burzic A, Cheung J, Shashidhara A, Theodoraki G, Birk J, Ong A, Ng MPE, Wong RTW, Maese S, Yeap B, Iqbal Z, Melaugh T, Perchard W, Scurr T, Davidson K, Campbell E, Kelk L, Ghosh A, Gibbins A, Mala D, Loizidou A, Hall O, Mecia L, Hew C, Varathan K, Tong L, Chandrasekar B, Giacci L, Buchanan E, O'Connell M, Kwak SY, Ong EH, Gardner S, Lim J, Maden C, Illahi M, Hale J, Tan ZX, Edwards S, Stahl R, Stahl J, Hickman A, Collett D, Goolam-Mahomed Z, Allen B, Atiyah A, Ahmad H, Jones J, McGregor O, Ogundiya E, Gan 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D, Jain C, Garofalidou T, Novotny SA, Locke S, Bowman C, Begaj A, Murphy C, Radcliffe K, Chong JT, Poustie M, Jeffrey E, Chaudhury N, Rajendran K, Akbar Z, Walters B, Kulendrarajah B, Tran N, Shrestha S, Parmar S, Gallagher C, Hennessy L, Pentti E, Badhrinarayanan S, Fung A, Mansoor M, Kenny R, Kan P, Lee DE, Khosla S, Samake M, Shaban F, Aftab R, Gough M, Woodburn B, Vayalapra S, McMurrugh K, Wong C, Jimulia D, Deol S, Pike S, Embury-Young Y, Turner T, Patel M, Kilgallon E, Keating R, Walsh A, Khan H, Logue G, Orekoya M, Alasmar M, Charalambides M, Llavall AC, Williamson E, Bharwada Y, Zearmal S, Evans H, Panikkar M, de la Cruz G, Caplan J, Ruparelia A, Tanvir T, Soare C, Pang YL, Trotter J, Zaidi A, Thakrar V, Pulickal P, Ahmed H, Parnell J, Khan H, Lennock S, Ford V, Pyc W, Brignall R, O'Neill D, Hanna R, Kane R, Nicola M, Rajput K, Xiao Y, Warner C, Michael S, Wright E, Juniper S, Thompson E, Hoskyns L, Kanitkar A, Ross C, Unsworth A, Rshaidat H, Demarre K, Chiang A, Bareh A, van 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Chaudhry FA, Ntakomyti E, Diallo R, Bylinski T, Wright J, Lawday S, Masiha E, Tung J, Shirazi B, Neilson A, Epton S, Patel N, Trussell S, Couldrey A, Donnelly C, Eftychiou S. Safety of hospital discharge before return of bowel function after elective colorectal surgery. Br J Surg 2020;107:552-559. [PMID: 31976560 DOI: 10.1002/bjs.11422] [Show More Authors] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Revised: 10/06/2019] [Accepted: 10/08/2019] [Indexed: 02/05/2023] Abstract BACKGROUND Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. METHODS A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system. RESULTS A total of 3288 patients were included in the analysis, of whom 301 (9·2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P < 0·001). There were no significant differences in rates of readmission between these groups (6·6 versus 8·0 per cent; P = 0·499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0·90, 95 per cent c.i. 0·55 to 1·46; P = 0·659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34·7 versus 39·5 per cent; major 3·3 versus 3·4 per cent; P = 0·110). CONCLUSION Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients. Collapse Key Words Collapse MESH Headings Adult Colectomy Colostomy Elective Surgical Procedures Female Follow-Up Studies Humans Ileostomy Ileus/etiology Ileus/physiopathology Male Middle Aged Multivariate Analysis Patient Discharge/standards Patient Readmission/statistics & numerical data Patient Safety/standards Patient Safety/statistics & numerical data Postoperative Complications/epidemiology Postoperative Complications/etiology Postoperative Complications/physiopathology Proctectomy Prospective Studies Recovery of Function Collapse Grants MR/K02325X/1 Medical Research Council NIHR300175 Department of Health Collapse	Multicenter Study	5	18
3	Taquette SR, Matos HJ, Rodrigues ADO, Bortolotti LR, Amorim E. [The AIDS epidemic in adolescents between the ages of 13 and 19 in the City of Rio de Janeiro, Brazil: space-time description]. Rev Soc Bras Med Trop 2012;44:467-70. [PMID: 21860892 DOI: 10.1590/s0037-86822011000400013] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2010] [Accepted: 03/17/2011] [Indexed: 11/21/2022] Open Abstract INTRODUCTION The purpose of this study was to analyze the dynamics of the AIDS epidemic affecting adolescents in Rio de Janeiro to establish healthy prevention strategies. The incidence of AIDS in Brazil is declining among men who have sex with men (MSM) except in individuals between 13 and 19 years of age, and the feminization phenomenon is more pronounced among adolescents. METHODS We evaluated data from Sistema de Informações de Agravos de Notificação (SINAN) regarding cases of AIDS in patients aged between 13 and 19 years through November 2009. RESULTS This study includes 656 cases. The incidence of AIDS increased until 1998, and, since 1996, more cases have been diagnosed in girls than in boys. The homo/bisexual exposure category predominantly consisted of boys (50.8%), and the heterosexual category predominantly consisted of girls (88.9%). The geographic distribution of the cases by year of diagnosis revealed that the increase was proportionally larger in the poorest area and that there was a large decrease in the wealthiest area. A decreasing linear tendency was observed in the relationship between the year of diagnosis and the human development index (HDI). CONCLUSIONS This study demonstrates the need for greater investment in sexual health and reproductive services in the poorest areas of the city and in the promotion of healthy sexual practices directed to MSM and female adolescents. Collapse Key Words Collapse MESH Headings Collapse Grants Collapse	Research Support, Non-U.S. Gov't	13	13
4	Calabrese E, Gandhi S, Shih J, Otero M, Randazzo D, Hemphill C, Huie R, Talbott JF, Amorim E. Parieto-Occipital Injury on Diffusion MRI Correlates with Poor Neurologic Outcome following Cardiac Arrest. AJNR Am J Neuroradiol 2023;44:254-260. [PMID: 36797027 PMCID: PMC10187825 DOI: 10.3174/ajnr.a7779] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 01/03/2023] [Indexed: 02/18/2023] Abstract BACKGROUND AND PURPOSE MR imaging of the brain provides unbiased neuroanatomic evaluation of brain injury and is useful for neurologic prognostication following cardiac arrest. Regional analysis of diffusion imaging may provide additional prognostic value and help reveal the neuroanatomic underpinnings of coma recovery. The purpose of this study was to evaluate global, regional, and voxelwise differences in diffusion-weighted MR imaging signal in patients in a coma after cardiac arrest. MATERIALS AND METHODS We retrospectively analyzed diffusion MR imaging data from 81 subjects who were comatose for >48 hours following cardiac arrest. Poor outcome was defined as the inability to follow simple commands at any point during hospitalization. ADC differences between groups were evaluated across the whole brain, locally by using voxelwise analysis and regionally by using ROI-based principal component analysis. RESULTS Subjects with poor outcome had more severe brain injury as measured by lower average whole-brain ADC (740 [SD, 102] × 10-6 mm2/s versus 833 [SD, 23] × 10-6 mm2/s, P < .001) and larger average volumes of tissue with ADC below 650 × 10-6 mms/s (464 [SD, 469] mL versus 62 [SD, 51] mL, P < .001). Voxelwise analysis showed lower ADC in the bilateral parieto-occipital areas and perirolandic cortices for the poor outcome group. ROI-based principal component analysis showed an association between lower ADC in parieto-occipital regions and poor outcome. CONCLUSIONS Brain injury affecting the parieto-occipital region measured with quantitative ADC analysis was associated with poor outcomes after cardiac arrest. These results suggest that injury to specific brain regions may influence coma recovery. Collapse Key Words Collapse MESH Headings Humans Coma/diagnostic imaging Coma/etiology Retrospective Studies Heart Arrest/complications Heart Arrest/diagnostic imaging Prognosis Brain/diagnostic imaging Diffusion Magnetic Resonance Imaging/methods Craniocerebral Trauma/complications Brain Injuries Collapse Grants K23 NS119794 NINDS NIH HHS KL2 TR001870 NCATS NIH HHS UL1 TR001872 NCATS NIH HHS American Heart Association Hellman Foundation Collapse	Research Support, N.I.H., Extramural	2	3
5	Costa Martins D, Amorim E, Matias AC. Paroxysmal sympathetic hyperactivity. An underdiagnosed entity. Rehabilitacion (Madr) 2023;57:100726. [PMID: 36216614 DOI: 10.1016/j.rh.2022.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Accepted: 01/03/2022] [Indexed: 06/16/2023] Abstract Collapse Key Words Collapse MESH Headings Humans Brain Injuries Autonomic Nervous System Diseases/diagnosis Autonomic Nervous System Diseases/etiology Collapse Grants Collapse	Letter	2
6	Sampaio C, Amorim E, Sampaio G, Bohrer W, Vasconcelos C, Oliveira I, Pires AC. Case report: multisystem inflammatory syndrome associated with SARS-CoV-2 infection in pediatrics. RESIDÊNCIA PEDIÁTRICA 2020. [DOI: 10.25060/residpediatr-2020.v10n3-391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open Abstract INTRODUCTION: The multisystemic inflammatory syndrome in pediatrics is a new entity with acute and severe presentation, which association with SARS-CoV-2 infection virus from COVID-19 has been questioned. The criteria to define a case of such syndrome were determined and published by Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO). One form of presentation of this entity is Kawasaki disease, either in the classic or incomplete forms, and/or associated with toxic shock. OBJECTIVES: Report a case of a SARS-CoV-2 seropositive patient, who developed Multisystemic Inflammatory Syndrome, Kawasaki-like disease. CASE REPORT: Preschooler, 4-years-old, male, arrives at the pediatric consultation with a history of 12-hours fever without other associated symptoms, but previously infected by SARS-CoV-2. On physical examination, he was feverish 38.3ºC, active, eupneic, with mild oropharyngeal hyperemia. In the subsequent 24 hours, fever persisted, and complaints of abdominal pain started, thus he was taken to a pediatric emergency room for diagnostic investigation. A worsening of the pain and significant reduction in activity were observed, with prostration, decreased food acceptance and diuresis. Four days after the onset of the fever, he developed signs of cardiac decompensation (shock), liver lowering, tachycardia with the presence of third sound, HR 186bpm, being taken to the pediatric ICU and a laboratory investigation was started to confirm a post-COVID-19 multisystemic inflammatory syndrome pediatric. CONCLUSION: Improving knowledge about the COVID-19 infection manifestations in children and its complications is necessary, since it is believed that there is a relationship between multisystemic inflammatory syndrome and SARS-CoV-2 infection in children. Collapse Key Words Collapse MESH Headings Collapse Grants Collapse		5
7	Diniz RM, Fernandes TGF, Mendonça JSP, Silva LDS, Saminez WFDS, de Oliveira PV, Amorim EADF, Figueiredo CSSES, Bezerra Filho CM, Correia MTDS, da Silva MV, de Sá Sousa JC, Zagmignan A, Nascimento da Silva LC. Antimicrobial and anti-inflammatory effects of Eugenia brejoensis essential oil in mice wounds infected by Staphylococcus aureus. Front Pharmacol 2022;13:999131. [PMID: 36313341 PMCID: PMC9613942 DOI: 10.3389/fphar.2022.999131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 09/30/2022] [Indexed: 11/23/2022] Open Abstract Eugenia brejoensis Mazine (Myrtaceae) is source of an essential oil (EbEO) with anti-infective activities against Staphylococcus aureus. This study evaluated the antimicrobial and anti-inflammatory potentials of EbEO in S. aureus-infected skin wounds. The excisional lesions (64 mm²) were induced on Swiss mice back (6 to 8-week-old) that were allocated into 3 groups (n = 12): 1) non-infected wounds (CON); 2) wounds infected with S. aureus ATCC 6538 (Sa); 3) S. aureus-infected wounds and treated with EbEO (Sa + EbEO). The infected groups received approximately 10⁴ CFU/wound. The animals were treated with EbEO (10 µg/wound/day) or vehicle from the 1-day post-infection (dpi) until the 10th dpi. The clinical parameters (wound area, presence of exudate, edema intensity, etc.) were daily analyzed. The levels of inflammatory mediators (cytokines, nitric oxide, VEGF) and bacterial load were measured at the cutaneous tissue at 4th dpi and 10th dpi. Topical application of EbEO accelerated wound contraction with an average contraction of 83.48 ± 11.27 % of the lesion area until 6th dpi. In this period, the rates of lesion contraction were 54.28 ± 5.57% and 34.5 ± 2.67% for CON and Sa groups, respectively. The positive effects of EbEO on wound contraction were associated with significantly (p < 0.05) reduction on bacterial load and the release of inflammatory mediators (IL-6, IL-17A, TNF-α, NO and VEGF). Taken together, these data confirm the antimicrobial potential of EbEO and provide insights into its anti-inflammatory effects, making this essential oil an interesting candidate for the development of new therapeutic alternatives for infected cutaneous wounds. Collapse Key Words Collapse MESH Headings Collapse Grants Fundação de Amparo à Pesquisa e ao Desenvolvimento Científico e Tecnológico do Maranhão Conselho Nacional de Desenvolvimento Científico e Tecnológico Collapse		3
8	Tong C, Jamous N, Schmitz ND, Szwarcensztein K, Morton DG, Pinkney TD, El-Hussuna A, Battersby N, Bhangu A, Blackwell S, Buchs N, Chaudhri S, Dardanov D, Dulskas A, El-Hussuna A, Frasson M, Gallo G, Glasbey J, Keatley J, Kelly M, Knowles C, Li YE, McCourt V, Minaya-Bravo A, Neary P, Negoi I, Nepogodiev D, Pata F, Pellino G, Poskus T, Sanchez-Guillen L, Singh B, Sivrikoz E, van Ramshorst G, Zmora O, Pinkney TD, Perry R, Magill EL, Keatley J, Tong C, Ahmed SE, Abdalkoddus M, Abelevich A, Abraham S, Abraham-Nordling M, Achkasov SI, Adamina M, Agalar C, Agalar F, Agarwal T, Agcaoglu O, Agresta F, Ahmad G, Ainkov A, Aiupov R, Aledo VS, Aleksic A, Aleotti F, Alias D, Allison AS, Alonso A, Alonso S, Alós R, Altinel Y, Alvarez-Gallego M, Amorim E, Anania G, Andreev PS, Andrejevic P, Andriola V, Antonacci N, Antos F, Anwer M, Aonzo P, Arenal JJ, Arencibia B, Argeny S, Arnold SJ, Arolfo S, Artioukh DY, Ashraf MA, Aslam MI, Asteria CR, Atif M, Avital S, Bacchion M, Bach SM, Balestri R, Balfour A, Balik E, Baloyiannis I, Banipal GS, Baral JEM, Barišić B, Bartella I, Barugola G, Bass GA, Bedford MR, Bedzhanyan A, Belli A, et alTong C, Jamous N, Schmitz ND, Szwarcensztein K, Morton DG, Pinkney TD, El-Hussuna A, Battersby N, Bhangu A, Blackwell S, Buchs N, Chaudhri S, Dardanov D, Dulskas A, El-Hussuna A, Frasson M, Gallo G, Glasbey J, Keatley J, Kelly M, Knowles C, Li YE, McCourt V, Minaya-Bravo A, Neary P, Negoi I, Nepogodiev D, Pata F, Pellino G, Poskus T, Sanchez-Guillen L, Singh B, Sivrikoz E, van Ramshorst G, Zmora O, Pinkney TD, Perry R, Magill EL, Keatley J, Tong C, Ahmed SE, Abdalkoddus M, Abelevich A, Abraham S, Abraham-Nordling M, Achkasov SI, Adamina M, Agalar C, Agalar F, Agarwal T, Agcaoglu O, Agresta F, Ahmad G, Ainkov A, Aiupov R, Aledo VS, Aleksic A, Aleotti F, Alias D, Allison AS, Alonso A, Alonso S, Alós R, Altinel Y, Alvarez-Gallego M, Amorim E, Anania G, Andreev PS, Andrejevic P, Andriola V, Antonacci N, Antos F, Anwer M, Aonzo P, Arenal JJ, Arencibia B, Argeny S, Arnold SJ, Arolfo S, Artioukh DY, Ashraf MA, Aslam MI, Asteria CR, Atif M, Avital S, Bacchion M, Bach SM, Balestri R, Balfour A, Balik E, Baloyiannis I, Banipal GS, Baral JEM, Barišić B, Bartella I, Barugola G, Bass GA, Bedford MR, Bedzhanyan A, Belli A, Beltrán de Heredia J, Bemelman WA, Benčurik V, Benevento A, Bergkvist DJ, Bernal-Sprekelsen JC, Besznyák I, Bettencourt V, Beveridge AJ, Bhan C, Bilali S, Bilali V, Binboga E, Bintintan V, Birindelli A, Birsan T, Blanco-Antona F, Blom RLGM, Boerma EG, Bogdan M, Boland MZ, Bondeven P, Bondurri A, Broadhurst J, Brown SA, Buccianti P, Buchs NC, Buchwald P, Bugra D, Bursics A, Burton HLE, Buskens CJ, Bustamante Recuenco C, Cagigas-Fernandez C, Calero-Lillo A, Calu V, Camps I, Canda AE, Canning L, Cantafio S, Carpelan A, Carrillo Lopez MJ, Carvas JM, Carvello M, Castellvi J, Castillo J, Castillo-Diego J, Cavenaile V, Cayetano Paniagua L, Ceccotti AA, Cervera-Aldama J, Chabok A, Chandrasinghe PC, Chandratreya N, Chaudhri SS, Chaudhry ZU, Chirletti P, Chi-Yong Ngu J, Chouliaras C, Chowdhary M, Chowdri NA, Christiano AB, Christiansen P, Citores MA, Ciubotaru C, Ciuce C, Clemente N, Clerc D, Codina-Cazador A, Colak E, Colao García L, Coletta D, Colombo F, Connelly TM, Cornaglia S, Corte Real J, Costa Pereira J, Costa S, Cotte E, Courtney ED, Coveney AP, Crapa P, Cristian DA, Cuadrado M, Cuinas K, Cuk MV, Cuk VV, Cunha MF, Curinga R, Curtis N, Dainius E, d'Alessandro A, Dalton RSJ, Daniels IR, Dardanov D, Dauser B, Davydova O, De Andrés-Asenjo B, de Graaf EJR, De la Portilla F, de Lacy FB, De Laspra ECD, Defoort B, Dehli T, Del Prete L, Delrio P, Demirbas S, Demirkiran A, Den Boer FC, Di Saverio S, Diego A, Dieguez B, Diez-Alonso M, Dimitrijevic I, Dimitrios B, Dimitriou N, Dindelegan G, Dindyal S, Domingos H, Doornebosch PG, Dorot S, Draga M, Drami I, Dulskas A, Dzulkarnaen Zakaria A, Echazarreta-Gallego E, Edden Y, Egenvall M, Eismontas V, El Nakeeb A, El Sorogy M, Elfike H, Elgeidie A, El-Hussuna A, Elía Guedea M, Ellul S, El-Masry S, Elmore U, Emile SH, Enciu O, Enriquez-Navascues JM, Epstein JC, Escolà Ripoll D, Espina B, Espin-Basany E, Estévez Diz AM, Evans MD, Farina PA, Fatayer, Feliu F, Feo C, Feo CV, Fernando J, Feroci F, Ferreira L, Feryn T, Flor-Lorente B, Forero-Torres A, Francis N, Frasson M, Freund MR, Fróis Borges M, Frontali A, Gallardo AB, Galleano R, Gallo G, Garcia D, García Flórez LJ, García Marín JA, García Septiem J, Garcia-Cabrera AM, García-González JM, Garcia-Granero E, Garipov M, Gefen R, Gennadiy P, Gerkis S, Germain A, Germanos S, Gianotti L, Gil Santos M, Gingert C, Glehen O, Golda T, Gómez Ruiz M, Gonçalves D, González JS, Grainger J, Grama F, Grant C, Griniatsos J, Grolich T, Grosek J, Guevara-Martínez J, Gulcu B, Gupta SK, Gurjar SV, Haapaniemi S, Hamad Y, Hamid M, Hardt J, Harries RL, Harris GJC, Harsanyi L, Hayes J, Hendriks ER, Herbst F, Hermann N, Heuberger A, Hompes R, Hrora A, Hübner M, Huhtinen H, Hunt L, Hyöty M, Ibañez N, Ignjatovic D, Ilkanich A, Inama M, Infantino MS, Iqbal MR, Isik A, Isik O, Ismaiel M, Ivanovich SO, Jadhav V, Jajtner D, Jiménez Carneros V, Jimenez-Rodriguez RM, Jotautas V, Jukka K, Juloski J, Jung B, Kara Y, Karabacak U, Karachun A, Karagul S, Kassai M, Katorkin Sergei E, Katsaounis D, Katsoulis IE, Kelly ME, Kenjić B, Keogh-Bootland S, Khasan D, Khazov A, Kho SH, Khrykov GN, Kivelä AJ, Kjaer MD, Knight JS, Kocián P, Koëter T, Konsten JLM, Korček J, Korkolis D, Korsgen S, Kostić IS, Krarup PM, Krastev P, Krdzic I, Kreisler Moreno E, Krivokapic Z, Krones CJ, Kršul D, Kumar Kaul N, La Torre F, Lahodzich N, Lai CW, Laina JLB, Lakkis Z, Lamas S, Lange CP, Lauretta A, Lee KA, Lefèvre J, Lehtonen T, Leo CA, Leong KJ, Lepistö A, Licari L, Lizdenis P, Loftås P, Longhi M, Lopez-Dominguez J, López-Fernández J, Lovén H, Lozoya Trujillo R, Lunin R, Luzzi AP, Lydrup ML, Lykke J, Maderuelo-Garcia VM, Madsboell T, Madsen AH, Maffioli A, Majbar MA, Makhmudov A, Makhmudov D, Malik KI, Malik SS, Mamedli ZZ, Manatakis DK, Mankotia R, Maria J, Mariani NM, Marimuthu K, Marinello F, Marino F, Marom G, Maroni N, Maroulis I, Marsanic P, Marsman HA, Martí-Gallostra M, Martin ST, Martinez Alegre J, Martinez Manzano A, Martins R, Maslyankov S, McArdle K, McArthur DR, McFaul C, McWhirter D, Mege D, Mehraj A, Metwally MZ, Metwally IH, Millan M, Miller AS, Minaya-Bravo A, Mingoli A, Minguez Ruiz G, Minusa C, Mirshekar-Syahkal B, Mistrangelo M, Mogoanta SS, Mohamed I, Möller PH, Möller T, Molteni M, Mompart S, Monami B, Mondragon-Pritchard M, Moniz-Pereira P, Montesdeoca Cabrera D, Morais M, Moran BJ, Moretto G, Morino M, Moscovici A, Muench S, Mukhtar H, Muller P, Muñoz-Duyos A, Muratore A, Muriel P, Myrelid P, Nachtergaele M, Nadav H, Nastos K, Navarro-Sánchez A, Negoi I, Nesbakken A, Nestler G, Nicholls J, Nicol D, Nikberg M, Nobre JMS, Nonner J, Norčič G, Norderval S, Norwood MGA, Nygren J, O’Brien JW, O’Connell PR, O'Kelly J, Okkabaz N, Oliveira-Cunha M, Omar GEEI, Onody P, Opocher E, Orhalmi J, Orts-Micó FJ, Ozbalci GS, Ozgen U, Ozkan BB, Ozturk E, Pace K, Padín MH, Pandey SB, Pando JA, Papaconstantinou I, Papadopoulos A, Papadopoulos G, Papp G, Paraskakis S, Parc Y, Parra Baños P, Parray FQ, Parvuletu R, Pascariello A, Pascual Migueláñez I, Pata F, Patel H, Patel PK, Paterson HM, Patrón Uriburu JC, Pattacini GC, Pavlov V, Pcolkins A, Pellicer-Franco EM, Peña Ros E, Pérez HD, Petkov P, Picarella P, Pikarsky AJ, Pisani Ceretti A, Platt E, Pletinckx P, Podda M, Popov D, Poskus E, Poskus T, Prats MC, Pravosudov I, Primo-Romaguera V, Prochazka V, Pros Ribas I, Proud D, Psaila J, Pullig F, Qureshi Jinnah MS, Rachadell Montero J, Radovanovic D, Radovanovic Z, Rahman MM, Rainho R, Rama N, Ramos D, Ramsanahie A, Rantala A, Rasulov A, Rautio T, Raymond T, Raza A, Reddy A, Refky B, Regusci L, Reissman P, Rems M, Reyes-Diaz ML, Riccardo R, Richiteanu G, Richter F, Rios A, Ris F, Rodriguez FL, Rodriguez Garcia P, Rojo Lopez JA, Romaniszyn M, Romano GM, Romero AS, Romero-Simó M, Roshan Lal A, Rossi B, Ruano Poblador A, Rubbini M, Rubio-Perez I, Ruiz H, Rullier E, Ryska O, Sabia D, Sacchi M, Saffaf N, Sakr A, Saladzinskas Z, Sales I, Salomon M, Salvans S, Samalavicius NE, Sammarco G, Sampietro GM, Samsonov D, Sanchez-Garcia JL, Sánchez-Guillén L, Sanchiz E, Šantak G, Santos Torres J, Saraceno F, Sarici IS, Sarmah PB, Savino G, Scabini S, Schafmayer C, Schiltz B, Schofield A, Scurtu R, Segalini E, Segelman J, Segura Sampedro JJ, Seicean R, Sekulic A, Selwyn D, Serrano Paz P, Shabbir J, Shaikh IA, Shalaby M, Sharma A, Shukla A, Shussman N, Siddiqui ZA, Siironen P, Sileri P, Silva-Vaz P, Simoes JF, Sinan H, Singh B, Sivins A, Skroubis G, Skrovina M, Skull AJ, Slavchev M, Slavin M, Slesser AAP, Smart CJ, Smart NJ, Smedh K, Smolarek S, Sokolov M, Sotona O, Spacca D, Spinelli A, Stanojevic G, Stearns A, Stefan S, Stift A, Stijns J, Stoyanov V, Straarup D, Strouhal R, Stubbs BM, Suero Rodríguez C, Sungurtekin U, Svagzdys S, Svastics I, Syk I, Tabares MJM, Tamelis A, Tamhane RG, Tamini N, Tamosiunas A, Tan SA, Tanis PJ, Tate SJ, Tercioti Junior V, Terzi C, Testa V, Thaha MA, Tham JC, Thavanesan N, Theodore JE, Tinoco C, Todorovic M, Tomazic A, Tomulescu V, Tonini V, Toorenvliet BR, Torkington J, Torrance A, Toscano MJ, Tóth I, Trampus S, Travaglio E, Trostchanky I, Truan N, Tulchinsky H, Turrado-Rodriguez V, Tutino R, Tzivanakis A, Tzovaras GA, Unger LW, Vaccari S, Vaizey CJ, Valero-Navarro G, Valverde Nuñez I, Van Belle K, Van Belle K, van den Berg I, van Geloven AAW, Van Loon YT, van Steensel L, Varcada M, Vardanyan AV, Varpe P, Velchuru VR, Vencius J, Venskutonis D, Vermaas M, Vertruyen M, Vicente-Ruiz M, Vignali A, Vigorita V, Vila Tura M, Vimalachandran D, Vincenti L, Viso L, Visschers RGJ, Voronin YS, Walega P, Wan Zainira WZ, Wang JH, Wang X, Wani R, Warusavitarne J, Warwick A, Wasserberg N, Weiss DJ, Westerduin E, Wheat JR, White I, Williams G, Williams GL, Wilson TR, Wilson JM, Winter D, Wolthuis AM, Wong MPK, Worsøe J, Xynos E, Yahia S, Yamamoto T, Yanishev A, Zaidi Z, Zairul Azwan MA, Zaman S, Zaránd A, Zarco A, Zawadzki M, Zelic M, Žeromskas P, Zilvetti M, Zmora O. Anastomotic leak after manual circular stapled left-sided bowel surgery: analysis of technology-, disease-, and patient-related factors. BJS Open 2024;8:zrae089. [PMID: 39441693 PMCID: PMC11498054 DOI: 10.1093/bjsopen/zrae089] [Show More Authors] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Revised: 06/09/2024] [Accepted: 07/09/2024] [Indexed: 10/25/2024] Open Abstract BACKGROUND Anastomotic leak rates after colorectal surgery remain high. In most left-sided colon and rectal resection surgeries, a circular stapler is utilized to create the primary bowel anastomosis. However, it remains unclear whether a relationship between circular stapler technology and anastomotic leak in left-sided colorectal surgery exists. METHODS A post-hoc analysis was conducted using a prospectively collected data set of patients from the 2017 European Society of Coloproctology snapshot audit who underwent elective left-sided resection (left hemicolectomy, sigmoid colectomy, or rectal resection) with a manual circular stapled anastomosis. Rates of anastomotic leak and unplanned intensive care unit stay in association with manual circular stapling were assessed. Patient-, disease-, geographical-, and surgeon-related factors as well as stapler brand were explored using multivariable regression models to identify predictors of adverse outcomes. RESULTS Across 3305 procedures, 8.0% of patients had an anastomotic leak and 2.1% had an unplanned intensive care unit stay. Independent predictors of anastomotic leak were male sex, minimal-access surgery converted to open surgery, and anastomosis height C11 (lower third rectum) (all P < 0.050). Independent predictors of unplanned intensive care unit stay were minimal-access surgery converted to open surgery and American Society of Anesthesiologists grade IV (all P < 0.050). Stapler device brand was not a predictor of anastomotic leak or unplanned intensive care unit stay in multivariable regression analysis. There were no differences in rates of anastomotic leak and unplanned intensive care unit stay according to stapler head diameter, geographical region, or surgeon experience. CONCLUSION In patients undergoing left-sided bowel anastomosis, choice of manual circular stapler, in terms of manufacturer or head diameter, is not associated with rates of anastomotic leak and unplanned intensive care unit stay. Collapse Key Words Collapse MESH Headings Humans Anastomotic Leak/etiology Anastomotic Leak/epidemiology Male Female Surgical Stapling/adverse effects Aged Middle Aged Anastomosis, Surgical/adverse effects Anastomosis, Surgical/methods Colectomy/adverse effects Colectomy/methods Prospective Studies Length of Stay Risk Factors Surgical Staplers Rectum/surgery Collapse Grants Collapse	research-article	1

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