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Alonzo-Castillo T, Lugo-Marín J, Robles M, Rossich R, Gallego L, González M, Setién-Ramos I, Martínez-Ramírez M, Ramos-Quiroga JA, Gisbert-Gustemps L. [Autism spectrum disorder: the impact of an online training strategy on the knowledge of the healthcare staff of a tertiary care hospital]. Rev Neurol 2024; 78:1-7. [PMID: 38112651 DOI: 10.33588/rn.7801.2023244] [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: 12/21/2023]
Abstract
INTRODUCTION Autism spectrum disorder (ASD) often presents related medical disorders that require specialised healthcare. Professionals in the health sector therefore face difficulties that require specific training in the healthcare needs of this population. AIM The aim of this study is to quantify paediatric healthcare professionals' knowledge about ASD and to assess the impact of online training. SUBJECTS AND METHODS It is a quasi-experimental, longitudinal, prospective before-and-after study; study subjects: health professionals; independent variable: online training in ASD; dependent variable: knowledge about ASD. An online training course was held for paediatric professionals to address the core characteristics of diagnosis, as well as the needs they present in the hospital context and the adaptations it is recommended that should be carried out. Fifty-eight healthcare professionals took part. RESULTS An increase in knowledge about ASD was observed at the end of the intervention (from 73.9% to 85% according to the ASD background knowledge questionnaire), which showed that more than 90% of the participants had the highest level of knowledge about ASD. CONCLUSIONS Online training courses are a useful and effective way to increase knowledge about ASD and the adaptations that are recommended in the hospital setting. More training in ASD should be made available in these settings.
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Affiliation(s)
| | - J Lugo-Marín
- Hospital Universitari Vall d'Hebron, 08035 Barcelona, España
| | - M Robles
- Hospital Universitari Vall d'Hebron, 08035 Barcelona, España
| | - R Rossich
- Hospital Universitari Vall d'Hebron, 08035 Barcelona, España
| | - L Gallego
- Hospital Universitari Vall d'Hebron, 08035 Barcelona, España
| | - M González
- Hospital Universitari Vall d'Hebron, 08035 Barcelona, España
| | - I Setién-Ramos
- Hospital Universitari Vall d'Hebron, 08035 Barcelona, España
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Mañas-García A, González-Valverde I, Camacho-Ramos E, Alberich-Bayarri A, Maldonado JA, Marcos M, Robles M. Radiological Structured Report Integrated with Quantitative Imaging Biomarkers and Qualitative Scoring Systems. J Digit Imaging 2022; 35:396-407. [PMID: 35106674 PMCID: PMC9156634 DOI: 10.1007/s10278-022-00589-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 01/15/2022] [Accepted: 01/18/2022] [Indexed: 12/15/2022] Open
Abstract
The benefits of structured reporting (SR) in radiology are well-known and have been widely described. However, there are limitations that must be overcome. Radiologists may be reluctant to change the conventional way of reporting. Error rates could potentially increase if SR is used improperly. Interruption of the visual search pattern by keeping the eyes focused on the report rather than the images may increase reporting time. Templates that include unnecessary or irrelevant information may undermine the consistency of the report. Last, the lack of support for multiple languages may hamper the adaptation of the report to the target audience. This work aims to mitigate these limitations with a web-based structured reporting system based on templates. By including field validators and logical rules, the system avoids reporting mistakes and allows to automatically calculate values and radiological qualitative scores. The system can manage quantitative information from imaging biomarkers, combining this with qualitative radiological information usually present in the structured report. It manages SR templates as plugins (IHE MRRT compliant and compatible with RSNA's Radreport templates), ensures a seamless integration with PACS/RIS systems, and adapts the report to the target audience by means of natural language extracts generated in multiple languages. We describe a use case of SR template for prostate cancer including PI-RADS 2.1 scoring system and imaging biomarkers. For the time being, the system comprises 24 SR templates and provides service in 37 hospitals and healthcare institutions, endorsing the success of this contribution to mitigate some of the limitations of the SR.
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Affiliation(s)
- A. Mañas-García
- grid.157927.f0000 0004 1770 5832Dept. Computer and Communication Systems and Health Technology Economics, Universitat Politècnica de València, Valencia, Spain ,Quantitative Imaging Biomarkers in Medicine (Quibim), Valencia, Spain
| | | | - E. Camacho-Ramos
- Quantitative Imaging Biomarkers in Medicine (Quibim), Valencia, Spain
| | | | | | - M. Marcos
- grid.9612.c0000 0001 1957 9153Department of Computer Engineering and Science, Universitat Jaume I, Castellón, Spain
| | - M. Robles
- grid.157927.f0000 0004 1770 5832Dept. Computer and Communication Systems and Health Technology Economics, Universitat Politècnica de València, Valencia, Spain
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Benavides M, Alcaide-Garcia J, Torres E, Gil-Calle S, Sevilla I, Wolman R, Durán G, Álvarez M, Reyna-Fortes C, Ales I, Pereda T, Robles M, Kushnir M, Odegaard J, Faull I, Alba E. Clinical utility of comprehensive circulating tumor DNA genotyping compared with standard of care tissue testing in patients with newly diagnosed metastatic colorectal cancer. ESMO Open 2022; 7:100481. [PMID: 35525184 PMCID: PMC9271474 DOI: 10.1016/j.esmoop.2022.100481] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Revised: 03/21/2022] [Accepted: 03/23/2022] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Comprehensive biomarker testing is essential in selecting optimal treatment for patients with metastatic colorectal cancer (mCRC); however, incomplete genotyping is widespread, with most patients not receiving testing for all guideline-recommended biomarkers, in part due to reliance on burdensome sequential tissue-based single-biomarker tests with long waiting times or availability of only archival tissue samples. We aimed to demonstrate that liquid biopsy, associated with rapid turnaround time (TAT) and lower patient burden, effectively identifies guideline-recommended biomarkers in mCRC relative to standard of care (SOC) tissue testing. PATIENTS AND METHODS Prospectively enrolled patients with previously untreated mCRC undergoing physician discretion SOC tissue genotyping submitted pretreatment blood samples for comprehensive circulating tumor DNA (ctDNA) analysis with Guardant360 and targeted RAS and BRAF analysis with OncoBEAM. RESULTS Among 155 patients, physician discretion SOC tissue genotyping identified a guideline-recommended biomarker in 82 patients, versus 88 identified with comprehensive ctDNA (52.9% versus 56.8%, noninferiority demonstrated down to α = 0.005) and 69 identified with targeted PCR ctDNA analysis (52.9% versus 44.5%, noninferiority rejected at α = 0.05). Utilizing ctDNA in addition to tissue increased patient identification for a guideline-recommended biomarker by 19.5% by rescuing those without tissue results either due to tissue insufficiency, test failure, or false negatives. ctDNA median TAT was significantly faster than tissue testing when the complete process from sample acquisition to results was considered (median 10 versus 27 days, P < 0.0001), resulting in accelerated biomarker discovery, with 52.0% biomarker-positive patients identified by ctDNA versus 10.2% by SOC tissue 10 days after sample collection (P < 0.0001). CONCLUSIONS Comprehensive ctDNA genotyping accurately identifies guideline-recommended biomarkers in patients with mCRC at a rate at least as high as SOC tissue genotyping, in a much shorter time. Based on these findings, the addition of ctDNA genotyping to clinical practice has significant potential to improve the care of patients with mCRC.
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Affiliation(s)
- M Benavides
- Medical Oncology Intercenter Unit, Hospital Universitario Regional y Virgen de la Victoria, IBIMA, Málaga, Spain
| | - J Alcaide-Garcia
- Medical Oncology Intercenter Unit, Hospital Universitario Regional y Virgen de la Victoria, IBIMA, Málaga, Spain; Medical Oncology Department, Hospital Costa del Sol, IBIMA, Málaga, Spain.
| | - E Torres
- Medical Oncology Intercenter Unit, Hospital Universitario Regional y Virgen de la Victoria, IBIMA, Málaga, Spain
| | - S Gil-Calle
- Medical Oncology Intercenter Unit, Hospital Universitario Regional y Virgen de la Victoria, IBIMA, Málaga, Spain
| | - I Sevilla
- Medical Oncology Intercenter Unit, Hospital Universitario Regional y Virgen de la Victoria, IBIMA, Málaga, Spain
| | - R Wolman
- Medical Oncology Service, Hospital Xanit, Málaga, Spain
| | - G Durán
- Medical Oncology Intercenter Unit, Hospital Universitario Regional y Virgen de la Victoria, IBIMA, Málaga, Spain; Medical Oncology Department, Hospital Universitario San Cecilio, Granada, Spain
| | - M Álvarez
- Cancer Molecular Biology Laboratory (CIMES), University of Málaga, Málaga, Spain
| | - C Reyna-Fortes
- Medical Oncology Intercenter Unit, Hospital Universitario Regional y Virgen de la Victoria, IBIMA, Málaga, Spain
| | - I Ales
- Medical Oncology Intercenter Unit, Hospital Universitario Regional y Virgen de la Victoria, IBIMA, Málaga, Spain
| | - T Pereda
- Pathology Department, Hospital Costa del Sol, IBIMA, Marbella, Spain
| | - M Robles
- Medical Oncology Department, Hospital Costa del Sol, Marbella, Spain
| | | | | | - I Faull
- Guardant Health Inc, Redwood, USA
| | - E Alba
- Medical Oncology Intercenter Unit, Hospital Universitario Regional y Virgen de la Victoria, IBIMA, CIBERONC, Málaga, Spain
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Chavatte-Palmer P, Derisoud E, Robles M. Pregnancy and placental development in horses: an update. Domest Anim Endocrinol 2022; 79:106692. [PMID: 34823139 DOI: 10.1016/j.domaniend.2021.106692] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 08/16/2021] [Revised: 10/15/2021] [Accepted: 10/19/2021] [Indexed: 11/03/2022]
Abstract
Horses have been domesticated by man and historical information mostly associates horses with men. Nowadays, however, horse riding is essentially by women. Women are also very much involved in equine sciences, with a large contribution to the understanding of fetoplacental development. While highlighting the work of female scientists, this review describes the recent advances in equine fetoplacental studies, focusing on data obtained by new generation sequencing and progress on the understanding of the role of placental progesterone metabolites throughout gestation. A second emphasis is made on fetal programming, a currently very active field, where the importance of maternal nutrition, mare management or the use of embryo technologies has been shown to induce long term effects in the offspring that might affect progeny's performance. Finally, new perspectives for the study of equine pregnancy are drawn, that will rely on new methodologies applied to molecular explorations and imaging.
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Affiliation(s)
- P Chavatte-Palmer
- Université Paris-Saclay, UVSQ, INRAE, BREED, Jouy-en-Josas 78350, France; Ecole Nationale Vétérinaire d'Alfort, BREED, Maisons-Alfort 94700, France.
| | - E Derisoud
- Université Paris-Saclay, UVSQ, INRAE, BREED, Jouy-en-Josas 78350, France; Ecole Nationale Vétérinaire d'Alfort, BREED, Maisons-Alfort 94700, France
| | - M Robles
- Université Paris-Saclay, UVSQ, INRAE, BREED, Jouy-en-Josas 78350, France; Ecole Nationale Vétérinaire d'Alfort, BREED, Maisons-Alfort 94700, France; INRS Centre Armand-Frappier Santé Biotechnologie, Laval, Québec H7V1B7, Canada
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Affiliation(s)
- J. Montes
- Instituto de Energías Renovables, UNAM, Temixco, México
| | - M. Robles
- Instituto de Energías Renovables, UNAM, Temixco, México
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Maciá-Fernández G, Gómez-Hernández J, Robles M, García-Teodoro P. Blockchain-based forensic system for collection and preservation of network service evidences. DIGIT INVEST 2019. [DOI: 10.1016/j.diin.2019.01.023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Palmer E, Robles M, Ricard A, Chavatte-Palmer P. 89 Effect of embryo transfer and recipient breed on offspring performance in equine show jumping. Reprod Fertil Dev 2019. [DOI: 10.1071/rdv31n1ab89] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Maternal preconceptional, gestational, and postnatal environments alter offspring phenotype in humans and animals. In particular, embryo technologies were shown in horses and other species to affect offspring growth and metabolism. Quantitative genetic calculations in a database containing genealogy and a measured trait (performance) of individuals enable geneticists to estimate the respective contribution of (A) genetic aptitude for the trait (inherited from all parents), (B) genetic maternal aptitude (additional contribution of the mother and her ancestors, acting through pregnancy, lactation, and nursing), and (C) the permanent maternal environment (similarities between the offspring of a dam that are not attributed to genetics) to the variability of this trait in this population. Additionally, fixed effects can be introduced and estimated to take into account additional factors acting on individual performance. The aim of this project was to apply this method to estimate the respective contributions of A, B, and C as well as the fixed effects of maternal parity (D), age at foaling (E), foaling interval (F), embryo transfer (G), and breed of recipient mare (for ET recipients) on the adult offspring sport performance in show jumping horses. The data came from the French Horse Database established in 1976 for genealogy and performance; calculation was done using WOMBAT® software. The performance of 207,984 horses (4.5 years per horse), born to 90,438 dams (of which 4187 were ET recipients, the others being bred by AI or natural service), were studied. Performance was expressed as follows. For each event, points were distributed depending on the horse’s rank within the event and the event’s difficulty. The logarithm of the sum of points of the year has a Gaussian distribution and is then normalised to mean=0 and standard deviation=1. The genetic maternal aptitude and permanent maternal environment showed a small but significant contribution to the variance of performance (1.4 and 1.5%, respectively) compared to a direct genetic contribution of 24.4%. Within each age class of dam, offspring of primiparous mares have a handicap (−0.04 to −0.06) compared to multiparous mares. Within multiparous mares, a foaling interval of 1 year only provided a small advantage (+0.01, nonsignificant) compared to longer intervals (>2 years). The effect of embryo transfer was strong and significant (+0.24), which could reflect the better management of the horses produced by embryo transfer because of their genetic and financial value rather than a physiologic effect. The performance of offspring born to draft and warmblood recipients (+0.27v. +0.24, nonsignificant) were not different. In conclusion, although jumping performance occurs several years after birth, maternal effects are still measurable and embryo transfer is associated with a strongly increased performance independent of genetic value, probably due to better management of these horses. No effect of recipient mare’s breed was found.
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Ramos García I, Sanchez Gastaldo A, Barneto I, Ayala P, Berciano M, Bernabé R, Robles M, Collado R, Alonso M, García T, Cobo Dols M, Trigo J. P2.04-24 Nivolumab in the "Real World": Are the Results of Clinical Trials Reproducible? J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.1248] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Robles M, Dubois C, Gautier C, Dahirel M, Guenon I, Bouraima-Lelong H, Viguié C, Wimel L, Couturier-Tarrade A, Chavatte-Palmer P. Maternal parity affects placental development, growth and metabolism of foals until 1 year and a half. Theriogenology 2018; 108:321-330. [DOI: 10.1016/j.theriogenology.2017.12.019] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Revised: 12/01/2017] [Accepted: 12/07/2017] [Indexed: 01/21/2023]
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Robles M, Nouveau E, Gautier C, Mendoza L, Dubois C, Dahirel M, Lagofun B, Aubrière MC, Lejeune JP, Caudron I, Guenon I, Viguié C, Wimel L, Bouraima-Lelong H, Serteyn D, Couturier-Tarrade A, Chavatte-Palmer P. Maternal obesity increases insulin resistance, low-grade inflammation and osteochondrosis lesions in foals and yearlings until 18 months of age. PLoS One 2018; 13:e0190309. [PMID: 29373573 PMCID: PMC5786290 DOI: 10.1371/journal.pone.0190309] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Accepted: 12/12/2017] [Indexed: 12/14/2022] Open
Abstract
INTRODUCTION Obesity is a growing concern in horses. The effects of maternal obesity on maternal metabolism and low-grade inflammation during pregnancy, as well as offspring growth, metabolism, low-grade inflammation, testicular maturation and osteochondrotic lesions until 18 months of age were investigated. MATERIAL AND METHODS Twenty-four mares were used and separated into two groups at insemination according to body condition score (BCS): Normal (N, n = 10, BCS ≤4) and Obese (O, n = 14, BCS ≥4.25). BCS and plasma glucose, insulin, triglyceride, urea, non-esterified fatty acid, serum amyloid A (SAA), leptin and adiponectin concentrations were monitored throughout gestation. At 300 days of gestation, a Frequently Sampled Intravenous Glucose Tolerance Test (FSIGT) was performed. After parturition, foals' weight and size were monitored until 18 months of age with plasma SAA, leptin, adiponectin, triiodothyronine (T3), thyroxine (T4) and cortisol concentrations measured at regular intervals. At 6, 12 and 18 months of age, FSIGT and osteoarticular examinations were performed. Males were gelded at one year and expression of genes involved in testicular maturation analysed by RT-qPCR. RESULTS Throughout the experiment, maternal BCS was higher in O versus N mares. During gestation, plasma urea and adiponectin were decreased and SAA and leptin increased in O versus N mares. O mares were also more insulin resistant than N mares with a higher glucose effectiveness. Postnatally, there was no difference in offspring growth between groups. Nevertheless, plasma SAA concentrations were increased in O versus N foals until 6 months, with O foals being consistently more insulin resistant with a higher glucose effectiveness. At 12 months of age, O foals were significantly more affected by osteochondrosis than N foals. All other parameters were not different between groups. CONCLUSION In conclusion, maternal obesity altered metabolism and increased low-grade inflammation in both dams and foals. The risk of developing osteochondrosis at 12 months of age was also higher in foals born to obese dams.
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Affiliation(s)
- M. Robles
- UMR BDR, INRA, ENVA, Université Paris Saclay, Jouy en Josas, France
| | - E. Nouveau
- UMR BDR, INRA, ENVA, Université Paris Saclay, Jouy en Josas, France
| | - C. Gautier
- Normandie Univ, UNICAEN, EA2608, OeReCa, USC-INRA, Caen, France
| | - L. Mendoza
- Clinique Equine, Faculté de Médecine Vétérinaire, Université de Liège, Liège, Belgium
| | - C. Dubois
- IFCE, Station Expérimentale de la Valade, Chamberet, France
| | - M. Dahirel
- UMR BDR, INRA, ENVA, Université Paris Saclay, Jouy en Josas, France
| | - B. Lagofun
- UMR BDR, INRA, ENVA, Université Paris Saclay, Jouy en Josas, France
| | - M-C Aubrière
- UMR BDR, INRA, ENVA, Université Paris Saclay, Jouy en Josas, France
| | - J-P Lejeune
- Clinique Equine, Faculté de Médecine Vétérinaire, Université de Liège, Liège, Belgium
| | - I. Caudron
- Clinique Equine, Faculté de Médecine Vétérinaire, Université de Liège, Liège, Belgium
| | - I. Guenon
- Normandie Univ, UNICAEN, EA2608, OeReCa, USC-INRA, Caen, France
| | - C. Viguié
- INRA, UMR Toxalim, Research Center in Food Toxicology, Toulouse, France
| | - L. Wimel
- IFCE, Station Expérimentale de la Valade, Chamberet, France
| | | | - D. Serteyn
- Clinique Equine, Faculté de Médecine Vétérinaire, Université de Liège, Liège, Belgium
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Robles M, Peugnet P, Dubois C, Piumi F, Jouneau L, Aubrière MC, Dahirel M, Wimel L, Couturier-Tarrade A, Chavatte-Palmer P. 65 Placental Function at Term is Altered in Broodmares Fed with Cereals from Mid Gestation. Reprod Fertil Dev 2018. [DOI: 10.1071/rdv30n1ab65] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Recent data obtained in our laboratory suggest that feeding pregnant broodmares with cereal concentrates may affect both mare and foal metabolism in the short and long term. Here, we investigated feto-placental biometry and placental function at term in mares fed with cereals and forage or forage only. Twenty-two multiparous mares inseminated with the same stallion were allocated to 1 of 2 groups from 7 months of gestation: group F (n = 10) were fed forage only, whereas group B (n = 12) received forage and cracked barley until foaling. At 3 and 9 months of gestation, a glucose tolerance test (IVGTT) was performed to evaluate the insulin resistance of pregnant mares. At birth, placentas and foals were weighed and measured. Placental samples were collected above the umbilical cord insertion and snap frozen. An RNA sequencing (RNAseq) analysis was performed on 9 placentas of each group. After normalization, gene levels were analysed using the DESEqn 2 package of R software (https://www.r-project.org/). Enrichment of gene sets was analysed using the Gene Set Enrichment Analysis (GSEA) software using the Kyoto Encyclopaedia of Genes and Genomes (KEGG) and Gene Ontology [GO, biological processes (bp), molecular function (mf) and cellular components (cc)] databases. Gene analysis statistical results were considered significant for P-values < 0.05 after false rate discovery (fdr) correction. The IVGTT results were analysed using a type 3 ANOVA on a mixed linear model with group as fixed effect and age of the mare as random effect. At 3 months of gestation, maternal glucose metabolism was not different between groups. At 9 months, B mares had a higher insulin area under the curve (AUC) after glucose injection than F mares (P < 0.01), without any difference in glucose AUC, suggesting that B mares were more insulin resistant than F mares. At birth, no difference was observed for feto-placental biometry between groups. Gene-level analysis could not discern differences in gene expression between groups after fdr correction. The GSEA analysis, however, showed that 8 gene sets were down-regulated in C placentas (2 KEGG, 2 GObp, 3 GOmf, 1 GOcc) and 193 gene sets were up-regulated (15 KEGG, 144 GObp, 12 GOmf, 22 GOcc) in B placentas. The down-regulated gene sets were involved in neutral amino acids and anion transport, fatty acid oxidation, acetyl coA synthesis, cholesterol and folate degradation, and the up-regulated gene sets were involved in RNA expression, inflammation (activation and recruitment of immune cells, MAPK signalling, complement and coagulation cascades, pro-inflammatory cytokine production and signalling) and in vascularisation (vasculogenesis, angiogenesis and smooth muscle cells development). The results are consistent with the altered function observed in term placentas of women who suffer from gestational diabetes. In conclusion, feeding pregnant mares with cereal from mid gestation alters the placental function at term.
The authors thank the GeT platform (Toulouse, France) for the sequencing of the samples.
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Robles M, Peugnet PM, Valentino SA, Dubois C, Dahirel M, Aubrière MC, Reigner F, Serteyn D, Wimel L, Tarrade A, Chavatte-Palmer P. Placental structure and function in different breeds in horses. Theriogenology 2017; 108:136-145. [PMID: 29207294 DOI: 10.1016/j.theriogenology.2017.11.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [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: 07/20/2017] [Revised: 09/25/2017] [Accepted: 11/09/2017] [Indexed: 12/15/2022]
Abstract
Ponies and sometimes draft horses are often used as experimental models for horses although size and metabolic parameters are known to vary between horse breeds. So far, there is little information about differences of placental structure and no information about differences of placental function between breeds. The aim of this study was to investigate differences in placental size, structure and function at birth in relation to foal size and weight in ponies, Saddlebred and draft horses. Pony, Saddlebred and draft horse pregnancies were obtained by artificial insemination over 2 successive breeding seasons. Foals and total fetal membranes (TFM) were weighed and placentas measured for surface area at term. Placentas were sampled above the umbilical cord insertion. Surface density and volume fraction of the different cellular components of the placenta were measured on histological sections using stereology. The expression of genes involved in growth and development, nutrient transfer and vascularization was compared between groups. Foals and TFM were lighter at birth in ponies than Saddlebred horses, and both were lighter compared to draft horses. The surface density and volume fraction of microcotyledonary vessels was increased in pony compared to Saddlebred placentas. The relative expression of genes involved in growth and development was different between breeds and increased with maternal, fetal and placental weight. Primiparous dams produced lighter foals and smaller placentas, associated with a decreased volume fraction of microcotyledonary vessels and genes involved in growth and development and vascularization. Foal sex had little effect on placental structure and function as the expression of only one gene differed according to sex, with EGFR expression being decreased in placentas of females compared to males. In conclusion, foal and placental weight, as well as placental expression of genes involved in growth and development were correlated with maternal size. Placental structure also differed between breeds, with a stronger difference between ponies and both breeds of horses.
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Affiliation(s)
- M Robles
- UMR BDR, INRA, ENVA, Université Paris Saclay, Domaine de Vilvert, 78350, Jouy en Josas, France
| | - P M Peugnet
- UMR BDR, INRA, ENVA, Université Paris Saclay, Domaine de Vilvert, 78350, Jouy en Josas, France
| | - S A Valentino
- UMR BDR, INRA, ENVA, Université Paris Saclay, Domaine de Vilvert, 78350, Jouy en Josas, France
| | - C Dubois
- IFCE, Station Expérimentale, La Valade, 19370, Chamberet, France
| | - M Dahirel
- UMR BDR, INRA, ENVA, Université Paris Saclay, Domaine de Vilvert, 78350, Jouy en Josas, France
| | - M-C Aubrière
- UMR BDR, INRA, ENVA, Université Paris Saclay, Domaine de Vilvert, 78350, Jouy en Josas, France
| | - F Reigner
- INRA UE1297, UEPAO, INRA centre de Tours, 37380, Nouzilly, France
| | - D Serteyn
- Clinique équine, Faculté de Médecine Vétérinaire, CORD, Université de Liège, Liège, Belgium
| | - L Wimel
- IFCE, Station Expérimentale, La Valade, 19370, Chamberet, France
| | - A Tarrade
- UMR BDR, INRA, ENVA, Université Paris Saclay, Domaine de Vilvert, 78350, Jouy en Josas, France
| | - P Chavatte-Palmer
- UMR BDR, INRA, ENVA, Université Paris Saclay, Domaine de Vilvert, 78350, Jouy en Josas, France.
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Robles M, Peugnet PM, Valentino SA, Dubois C, Dahirel M, Aubrière MC, Reigner F, Serteyn D, Wimel L, Couturier-Tarrade A, Chavatte-Palmer P. Placental alterations in structure and function in intra-uterine growth-retarded horses. Equine Vet J 2017; 50:405-414. [DOI: 10.1111/evj.12761] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Accepted: 09/21/2017] [Indexed: 01/01/2023]
Affiliation(s)
- M. Robles
- UMR, BDR, INRA, ENVA, Université Paris Saclay; Jouy en Josas France
| | - P. M. Peugnet
- UMR, BDR, INRA, ENVA, Université Paris Saclay; Jouy en Josas France
| | - S. A. Valentino
- UMR, BDR, INRA, ENVA, Université Paris Saclay; Jouy en Josas France
| | - C. Dubois
- IFCE, Station Expérimentale; Chamberet France
| | - M. Dahirel
- UMR, BDR, INRA, ENVA, Université Paris Saclay; Jouy en Josas France
| | - M.-C. Aubrière
- UMR, BDR, INRA, ENVA, Université Paris Saclay; Jouy en Josas France
| | | | - D. Serteyn
- Clinique équine; Faculté de Médecine Vétérinaire; CORD; Université de Liège; Liège Belgique
| | - L. Wimel
- IFCE, Station Expérimentale; Chamberet France
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Stamatopoulos A, Tsinganis A, Colonna N, Vlastou R, Kokkoris M, Schillebeeckx P, Plompen A, Heyse J, Žugec P, Barbagallo M, Calviani M, Berthoumieux E, Chiaveri E, Aberle O, Andrzejewski J, Audouin L, Bécares V, Bacak M, Balibrea J, Barros S, Bečvář F, Beinrucker C, Belloni F, Billowes J, Boccone V, Bosnar D, Brugger M, Caamaño M, Calviño F, Cano-Ott D, Cerutti F, Cortés G, Cortés-Giraldo M, Cosentino L, Damone L, Deo K, Diakaki M, Domingo-Pardo C, Dressler R, Dupont E, Durán I, Fernández-Domínguez B, Ferrari A, Ferreira P, Finocchiaro P, Frost R, Furman V, Göbel K, Gómez-Hornillos M, García A, Gheorghe I, Glodariu T, Gonçalves I, González E, Goverdovski A, Griesmayer E, Guerrero C, Gunsing F, Harada H, Heftrich T, Heinitz S, Hernández-Prieto A, Jenkins D, Jericha E, Käppeler F, Kadi Y, Katabuchi T, Kavrigin P, Ketlerov V, Khryachkov V, Kimura A, Kivel N, Krtička M, Leal-Cidoncha E, Lederer C, Leeb H, Lerendegui-Marco J, Licata M, Meo SL, Losito R, Macina D, Marganiec J, Martínez T, Massimi C, Mastinu P, Mastromarco M, Matteucci F, Mendoza E, Mengoni A, Milazzo P, Mingrone F, Mirea M, Montesano S, Musumarra A, Nolte R, Palomo-Pinto F, Paradela C, Patronis N, Pavlik A, Perkowski J, Porras J, Praena J, Quesada J, Rauscher T, Reifarth R, Riego-Perez A, Robles M, Rubbia C, Ryan J, Sabaté-Gilarte M, Saxena A, Schmidt S, Schumann D, Sedyshev P, Smith A, Suryanarayana S, Tagliente G, Tain J, Tarifeño-Saldivia A, Tassan-Got L, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Vlachoudis V, Wallner A, Warren S, Weigand M, Weiss C, Wright T. Measurement of the240Pu(n,f) cross-section at the CERN n_TOF facility: First results from experimental area II (EAR-2). EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201714604030] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Balibrea-Correa J, Mendoza E, Cano-Ott D, Krtička M, Altstadt S, Andrzejewski J, Audouin L, Bécares V, Barbagallo M, Bečvář F, Belloni F, Berthoumieux E, Billowes J, Boccone V, Bosnar D, Brugger M, Calviño F, Calviani M, Carrapiço C, Cerutti F, Chiaveri E, Chin M, Colonna N, Cortés G, Cortés-Giraldo M, Diakaki M, Domingo-Pardo C, Dressler R, Durán I, Eleftheriadis C, Ferrari A, Fraval K, Furman V, Göbel K, Guerrero C, Gómez-Hornillos M, Ganesan S, García A, Giubrone G, Gonçalves I, González E, Goverdovski A, Griesmayer E, Gunsing F, Heftrich T, Heinitz S, Hernández-Prieto A, Heyse J, Jenkins D, Jericha E, Käppeler F, Kadi Y, Karadimos D, Katabuchi T, Ketlerov V, Khryachkov V, Kivel N, Koehler P, Kokkoris M, Kroll J, Lampoudis C, Langer C, Leal-Cidoncha E, Lederer C, Leeb H, Leong L, Lerendegui-Marco J, Licata M, Losito R, Mallick A, Manousos A, Marganiec J, Martínez T, Massimi C, Mastinu P, Mastromarco M, Mengoni A, Milazzo P, Mingrone F, Mirea M, Mondelaers W, Paradela C, Pavlik A, Perkowski J, Plompen A, Praena J, Quesada J, Rauscher T, Reifarth R, Riego-Perez A, Robles M, Rubbia C, Ryan J, Sabaté-Gilarte M, Sarmento R, Saxena A, Schillebeeckx P, Schmidt S, Schumann D, Sedyshev P, Tagliente G, Tain J, Tarifeño-Saldivia A, Tarrío D, Tassan-Got L, Tsinganis A, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Vermeulen M, Vlachoudis V, Vlastou R, Wallner A, Ware T, Weigand M, Weiss C, Wright T, Žugec P. Measurement of the neutron capture cross section of the fissile isotope 235U with the CERN n_TOF total absorption calorimeter and a fission tagging based on micromegas detectors. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201714611021] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Chen Y, Tassan-Got L, Audouin L, Le Naour C, Durán I, Casarejos E, Aberle O, Andrzejewski J, Bécares V, Bacak M, Balibrea J, Barbagallo M, Barros S, Bečvář F, Beinrucker C, Berthoumieux E, Billowes J, Bosnar D, Brugger M, Caamaño M, Calviño F, Calviani M, Cano-Ott D, Cardella R, Casanovas A, Castelluccio D, Cerutti F, Chiaveri E, Colonna N, Cortés G, Cortés-Giraldo M, Cosentino L, Damone L, Diakaki M, Domingo-Pardo C, Dressler R, Dupont E, Fernández-Domínguez B, Ferrari A, Ferreira P, Finocchiaro P, Furman V, Göbel K, Gómez-Hornillos M, García A, Gawlik A, Glodariu T, Gonçalves I, González E, Goverdovski A, Griesmayer E, Guerrero C, Gunsing F, Harada H, Heftrich T, Heinitz S, Heyse J, Jenkins D, Jericha E, Käppeler F, Kadi Y, Katabuchi T, Kavrigin P, Ketlerov V, Khryachkov V, Kimura A, Kivel N, Kokkoris M, Krtička M, Leal-Cidoncha E, Lederer C, Leeb H, Lerendegui-Marco J, Meo SL, Lonsdale S, Losito R, Macina D, Marganiec J, Martínez T, Massimi C, Mastinu P, Mastromarco M, Matteucci F, Maugeri E, Mendoza E, Mengoni A, Milazzo P, Mingrone F, Mirea M, Montesano S, Musumarra A, Nolte R, Oprea A, Patronis N, Pavlik A, Perkowski J, Porras J, Praena J, Quesada J, Rajeev K, Rauscher T, Reifarth R, Riego-Perez A, Robles M, Rout P, Rubbia C, Ryan J, Sabaté-Gilarte M, Saxena A, Schillebeeckx P, Schmidt S, Schumann D, Sedyshev P, Smith A, Stamatopoulos A, Tagliente G, Tain J, Tarifeño-Saldivia A, Tsinganis A, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Vlachoudis V, Vlastou R, Wallner A, Warren S, Weigand M, Weiss C, Wolf C, Woods P, Wright T, Žugec P. Characterization of the n_TOF EAR-2 neutron beam. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201714603020] [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: 11/14/2022] Open
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Dupont E, Otuka N, Cabellos O, Aberle O, Aerts G, Altstadt S, Alvarez H, Alvarez-Velarde F, Andriamonje S, Andrzejewski J, Audouin L, Bacak M, Badurek G, Balibrea J, Barbagallo M, Barros S, Baumann P, Bécares V, Bečvář F, Beinrucker C, Belloni F, Berthier B, Berthoumieux E, Billowes J, Boccone V, Bosnar D, Brown A, Brugger M, Caamaño M, Calviani M, Calviño F, Cano-Ott D, Capote R, Cardella R, Carrapiço C, Casanovas A, Castelluccio D, Cennini P, Cerutti F, Chen Y, Chiaveri E, Chin M, Colonna N, Cortés G, Cortés-Giraldo M, Cosentino L, Couture A, Cox J, Damone L, David S, Deo K, Diakaki M, Dillmann I, Domingo-Pardo C, Dressler R, Dridi W, Duran I, Eleftheriadis C, Embid-Segura M, Fernández-Domínguez B, Ferrant L, Ferrari A, Ferreira P, Finocchiaro P, Fraval K, Frost R, Fujii K, Furman W, Ganesan S, Garcia A, Gawlik A, Gheorghe I, Gilardoni S, Giubrone G, Glodariu T, Göbel K, Gomez-Hornillos M, Goncalves I, Gonzalez-Romero E, Goverdovski A, Gramegna F, Griesmayer E, Guerrero C, Gunsing F, Gurusamy P, Haight R, Harada H, Heftrich T, Heil M, Heinitz S, Hernández-Prieto A, Heyse J, Igashira M, Isaev S, Jenkins D, Jericha E, Kadi Y, Kaeppeler F, Kalamara A, Karadimos D, Karamanis D, Katabuchi T, Kavrigin P, Kerveno M, Ketlerov V, Khryachkov V, Kimura A, Kivel N, Kokkoris M, Konovalov V, Krtička M, Kroll J, Kurtulgil D, Lampoudis C, Langer C, Leal-Cidoncha E, Lederer C, Leeb H, Naour CL, Lerendegui-Marco J, Leong L, Licata M, Meo SL, Lonsdale S, Losito R, Lozano M, Macina D, Manousos A, Marganiec J, Martinez T, Marrone S, Masi A, Massimi C, Mastinu P, Mastromarco M, Matteucci F, Maugeri E, Mazzone A, Mendoza E, Mengoni A, Milazzo P, Mingrone F, Mirea M, Mondelaers W, Montesano S, Moreau C, Mosconi M, Musumarra A, Negret A, Nolte R, O’Brien S, Oprea A, Palomo-Pinto F, Pancin J, Paradela C, Patronis N, Pavlik A, Pavlopoulos P, Perkowski J, Perrot L, Pigni M, Plag R, Plompen A, Plukis L, Poch A, Porras I, Praena J, Pretel C, Quesada J, Radeck D, Rajeev K, Rauscher T, Reifarth R, Riego A, Robles M, Roman F, Rout P, Rudolf G, Rubbia C, Rullhusen P, Ryan J, Sabaté-Gilarte M, Salgado J, Santos C, Sarchiapone L, Sarmento R, Saxena A, Schillebeeckx P, Schmidt S, Schumann D, Sedyshev P, Smith A, Sosnin N, Stamatopoulos A, Stephan C, Suryanarayana S, Tagliente G, Tain J, Tarifeño-Saldivia A, Tarrío D, Tassan-Got L, Tavora L, Terlizzi R, Tsinganis A, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Versaci R, Vermeulen M, Villamarin D, Vicente M, Vlachoudis V, Vlastou R, Voss F, Wallner A, Walter S, Ware T, Warren S, Weigand M, Weiß C, Wolf C, Wiesher M, Wisshak K, Woods P, Wright T, Žugec P. Dissemination of data measured at the CERN n_TOF facility. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201714607002] [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: 11/14/2022] Open
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Mendoza E, Cano-Ott D, Altstadt S, Andriamonje S, Andrzejewski J, Audouin L, Balibrea J, Bécares V, Barbagallo M, Bečvář F, Belloni F, Berthier B, Berthoumieux E, Billowes J, Boccone V, Bosnar D, Brugger M, Calviño F, Calviani M, Carrapiço C, Cerutti F, Chiaveri E, Chin M, Colonna N, Cortés G, Cortés-Giraldo M, Diakaki M, Dillmann I, Domingo-Pardo C, Durán I, Dzysiuk N, Eleftheriadis C, Fernández-Ordóñez M, Ferrari A, Fraval K, Furman V, Gómez-Hornillos M, Ganesan S, García A, Giubrone G, Gonçalves I, González E, Goverdovski A, Gramegna F, Griesmayer E, Guerrero C, Gunsing F, Gurusamy P, Heftrich T, Heinitz S, Hernández-Prieto A, Heyse J, Jenkins D, Jericha E, Käppeler F, Kadi Y, Karadimos D, Katabuchi T, Ketlerov V, Khryachkov V, Koehler P, Kokkoris M, Kroll J, Krtička M, Lampoudis C, Langer C, Leal-Cidoncha E, Lederer C, Leeb H, Leong L, Lerendegui-Marco J, Licata M, Losito R, Manousos A, Marganiec J, Martínez T, Massimi C, Mastinu P, Mastromarco M, Mengoni A, Milazzo P, Mingrone F, Mirea M, Mondelaers W, Paradela C, Pavlik A, Perkowski J, Plompen A, Praena J, Quesada J, Rauscher T, Reifarth R, Riego-Perez A, Robles M, Roman F, Rubbia C, Ryan J, Sabaté-Gilarte M, Sarmento R, Saxena A, Schillebeeckx P, Schmidt S, Schumann D, Sedyshev P, Tagliente G, Tain J, Tarifeño-Saldivia A, Tarrío D, Tassan-Got L, Tsinganis A, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Vermeulen M, Versaci R, Vlachoudis V, Vlastou R, Wallner A, Ware T, Weigand M, Weiss C, Wright T, Žugec P. Measurement of the 241Am neutron capture cross section at the n_TOF facility at CERN. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201714611022] [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: 11/15/2022] Open
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Robles M, Nouveau E, Wimel L, Dubois C, Dahirel M, Tarrade A, Chavatte-Palmer P. 67 MATERNAL OBESITY AT CONCEPTION AND INSULIN SENSITIVITY IN LATE GESTATION ALTERS PLACENTAL STRUCTURE BUT NOT FETAL BIOMETRY AT BIRTH IN THE HORSE. Reprod Fertil Dev 2017. [DOI: 10.1071/rdv29n1ab67] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Obesity is a major health issue in the horse industry, often associated with insulin resistance. This study aimed to analyse effects of maternal obesity at insemination and insulin resistance during late gestation on term placenta and foals at term. A total of 24 multiparous saddlebred mares were allocated to 1 of 2 groups at insemination: group obese (O) had a body condition score (BCS, French scale 1–5) >4 (N = 15), and group normal (N) had a BCS = 4 (N = 9). From insemination until the sixth month of gestation, all the mares had access to pasture. From wintering, they were housed in box stalls and fed the same amount of energy, proteins, and fibre as a percentage of their body weight. During all the gestation, BCS, basal blood glucose, insulin, triglycerides, and nonesterified fatty acid plasma concentrations were measured each month. At 300 days of gestation, a frequent sampling glucose tolerance test, enabling the simultaneous evaluation of insulin sensitivity (IS) and glucose tolerance, was performed. At birth, placentas and foals were measured. Placentas were sampled around the umbilical cord to perform structural and functional analyses by stereology and RT-qPCR. Results were analysed using a type 3 ANOVA taking into account mare group and foal sex. Effects were considered significant when P < 0.05. At 300 days of gestation, the frequent sampling glucose tolerance test indicated that half of the O mares were insulin resistant (IS <1; N = 8), whereas the other half were insulin sensitive (IS >1; N = 7). Based on these results, O mares were subdivided in 2 groups: obese resistant and obese sensitive (OS). Obese resistant mares were 61% less insulin sensitive than N mares and 59% less insulin sensitive than OS mares (P < 0.0001, P < 0.01, respectively). There was no difference for IS between N and OS mares. All analyses were thus performed comparing the 3 groups. In the N group, 3 mares were insulin resistant (one-third of the mares of the N group). Feed intake during wintering was not different between groups. Mares of both O groups maintained a high BCS (>4) during pregnancy, whereas N mares lost BCS down 2.75 at birth (<0.001). Basal glucose, insulin, triglycerides, and nonesterified fatty acid plasma were not different during gestation. At birth, no difference was observed for placental weight, surface and volume, nor for foal weight and withers height. The volume of allantoic vessels was reduced in placentas of OS mares compared with those of OR (P = 0.03; 78%) and N mares (P = 0.005; 65%). Moreover, placentas from OS mares had an increased volume of haemotrophic trophoblast (P = 0.03) and microcotyledonary vessels (P = 0.03) compared with N mares. No difference of expression was observed for 11 genes related to nutrient transfer, vascularization, growth, and development. Mare that are obese at insemination and insulin sensitive in late gestation appear to develop placental structural adaptations during gestation, possibly to increase fetoplacental exchanges, compared with obese, insulin resistant mares and lean mares. The monitoring of foal development (growth, metabolism, and osteoarticular status) is ongoing.
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Robles M, Chavatte-Palmer P. Does maternal size, nutrition and metabolic status affect offspring production traits in domestic species? Anim Reprod 2017. [DOI: 10.21451/1984-3143-ar996] [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: 11/06/2022] Open
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Mingrone F, Altstadt S, Andrzejewski J, Audouin L, Bécares V, Barbagallo M, Bečvář F, Belloni F, Berthoumieux E, Billowes J, Boccone V, Bosnar D, Brugger M, Calviño F, Calviani M, Cano-Ott D, Carrapiço C, Cerutti F, Chiaveri E, Chin M, Colonna N, Cortés G, Cortés-Giraldo M, Diakaki M, Domingo-Pardo C, Dressler R, Durán I, Eleftheriadis C, Ferrari A, Fraval K, Furman V, Göbel K, Gómez-Hornillos M, Ganesan S, García A, Giubrone G, Gonçalves I, González E, Goverdovski A, Griesmayer E, Guerrero C, Gunsing F, Heftrich T, Hernández-Prieto A, Heyse J, Jenkins D, Jericha E, Käppeler F, Kadi Y, Karadimos D, Katabuchi T, Ketlerov V, Khryachkov V, Kivel N, Koehler P, Kokkoris M, Kroll J, Krtička M, Lampoudis C, Langer C, Leal-Cidoncha E, Lederer C, Leeb H, Leong L, Lerendegui-Marco J, Losito R, Mallick A, Manousos A, Marganiec J, Martínez T, Massimi C, Mastinu P, Mastromarco M, Mendoza E, Mengoni A, Milazzo P, Mirea M, Mondelaers W, Paradela C, Pavlik A, Perkowski J, Plompen A, Praena J, Quesada J, Rauscher T, Reifarth R, Riego-Perez A, Robles M, Rubbia C, Ryan J, Sabaté-Gilarte M, Sarmento R, Saxena A, Schillebeeckx P, Schmidt S, Schumann D, Sedyshev P, Tagliente G, Tain J, Tarifeño-Saldivia A, Tarrío D, Tassan-Got L, Tsinganis A, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Vermeulen M, Vlachoudis V, Vlastou R, Wallner A, Ware T, Weigand M, Weiss C, Wright T, Žugec P. High precision measurement of the radiative capture cross section of 238U at the n_TOF CERN facility. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201714611028] [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: 11/15/2022] Open
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Gunsing F, Aberle O, Andrzejewski J, Audouin L, Bécares V, Bacak M, Balibrea-Correa J, Barbagallo M, Barros S, Bečvář F, Beinrucker C, Belloni F, Berthoumieux E, Billowes J, Bosnar D, Brown A, Brugger M, Caamaño M, Calviño F, Calviani M, Cano-Ott D, Cardella R, Casanovas A, Castelluccio D, Cerutti F, Chen Y, Chiaveri E, Colonna N, Cortés-Giraldo M, Cortés G, Cosentino L, Damone L, Deo K, Diakaki M, Domingo-Pardo C, Dressler R, Dupont E, Durán I, Fernández-Domínguez B, Ferrari A, Ferreira P, Finocchiaro P, Frost R, Furman V, Ganesan S, García A, Gawlik A, Gheorghe I, Gilardoni S, Glodariu T, Gonçalves I, González E, Goverdovski A, Griesmayer E, Guerrero C, Göbel K, Harada H, Heftrich T, Heinitz S, Hernández-Prieto A, Heyse J, Jenkins D, Jericha E, Käppeler F, Kadi Y, Kalamara A, Katabuchi T, Kavrigin P, Ketlerov V, Khryachkov V, Kimura A, Kivel N, Kokkoris M, Krtička M, Kurtulgil D, Leal-Cidoncha E, Lederer C, Leeb H, Lerendegui J, Licata M, Meo SL, Lonsdale S, Losito R, Macina D, Marganiec J, Martínez T, Masi A, Massimi C, Mastinu P, Mastromarco M, Matteucci F, Maugeri E, Mazzone A, Mendoza E, Mengoni A, Milazzo P, Mingrone F, Mirea M, Montesano S, Musumarra A, Nolte R, Negret A, Oprea A, Palomo-Pinto F, Paradela C, Patronis N, Pavlik A, Perkowski J, Porras I, Praena J, Quesada J, Radeck D, Rajeev K, Rauscher T, Reifarth R, Riego-Perez A, Robles M, Rout P, Rubbia C, Ryan J, Sabaté-Gilarte M, Saxena A, Schillebeeckx P, Schmidt S, Schumann D, Sedyshev P, Smith A, Sosnin N, Stamatopoulos A, Suryanarayana S, Tagliente G, Tain J, Tarifeño-Saldivia A, Tarrío D, Tassan-Got L, Tsinganis A, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Vlachoudis V, Vlastou R, Wallner A, Warren S, Weigand M, Weiss C, Wolf C, Woods P, Wright T, Žugec P. The measurement programme at the neutron time-of-flight facility n_TOF at CERN. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201714611002] [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: 11/14/2022] Open
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Mastromarco M, Barbagallo M, Vermeulen M, Colonna N, Altstadt S, Andrzejewski J, Audouin L, Bécares V, Bečvář F, Belloni F, Berthoumieux E, Billowes J, Bosnar D, Brugger M, Calviño F, Calviani M, Cano-Ott D, Carrapiço C, Cerutti F, Chiaveri E, Chin M, Cortés G, Cortés-Giraldo M, Diakaki M, Domingo-Pardo C, Durán I, Dzysiuk N, Eleftheriadis C, Ferrari A, Fraval K, Furman V, Gómez-Hornillos M, Ganesan S, García A, Giubrone G, Gonçalves I, González E, Goverdovski A, Griesmayer E, Guerrero C, Gunsing F, Gurusamy P, Heftrich T, Heinitz S, Hernández-Prieto A, Heyse J, Jenkins D, Jericha E, Käppeler F, Kadi Y, Karadimos D, Katabuchi T, Ketlerov V, Khryachkov V, Koehler P, Kokkoris M, Kroll J, Krtička M, Lampoudis C, Langer C, Leal-Cidoncha E, Lederer C, Leeb H, Leong L, Lerendegui-Marco J, Licata M, Losito R, Manousos A, Marganiec J, Martínez T, Massimi C, Mastinu P, Mendoza E, Mengoni A, Milazzo P, Mingrone F, Mirea M, Mondelaers W, Paradela C, Pavlik A, Perkowski J, Plompen A, Praena J, Quesada J, Rauscher T, Reifarth R, Riego-Perez A, Robles M, Roman F, Rubbia C, Ryan J, Sabaté-Gilarte M, Sarmento R, Saxena A, Schillebeeckx P, Schmidt S, Schumann D, Sedyshev P, Tagliente G, Tain J, Tarifeño-Saldivia A, Tarrío D, Tassan-Got L, Tsinganis A, Valenta S, Vannini G, Variale V, Vaz P, Ventura A, Versaci R, Vlachoudis V, Vlastou R, Wallner A, Ware T, Weigand M, Weiss C, Wright T, Žugec P. The 236U neutron capture cross-section measured at the n_TOF CERN facility. EPJ Web Conf 2017. [DOI: 10.1051/epjconf/201714611054] [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: 11/14/2022] Open
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Abstract
A theoretical study on the equation of state and the critical point behavior of hard-core double-Yukawa fluids is presented. Thermodynamic perturbation theory, restricted to first order in the inverse temperature and having the hard-sphere fluid as the reference system, is used to derive a relatively simple analytical equation of state of hard-core multi-Yukawa fluids. Using such an equation of state, the compressibility factor and phase behavior of six representative hard-core double-Yukawa fluids are examined and compared with available simulation results. The effect of varying the parameters of the hard-core double-Yukawa intermolecular potential on the location of the critical point is also analyzed using different perspectives. The relevance of this analysis for fluids whose molecules interact with realistic potentials is also pointed out.
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Affiliation(s)
- J Montes
- Instituto de Energías Renovables, Universidad Nacional Autóinoma de México, Privada Xochicalco S/N 62580, Temixco, Morelos, Mexico
| | - M Robles
- Instituto de Energías Renovables, Universidad Nacional Autóinoma de México, Privada Xochicalco S/N 62580, Temixco, Morelos, Mexico
| | - M López de Haro
- Instituto de Energías Renovables, Universidad Nacional Autóinoma de México, Privada Xochicalco S/N 62580, Temixco, Morelos, Mexico
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Giménez-Solano VM, Maldonado JA, Salas-García S, Boscá D, Robles M. Implementation of an Execution Engine for SNOMED CT Expression Constraint Language. Stud Health Technol Inform 2016; 228:466-470. [PMID: 27577426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The need to achieve high levels of semantic interoperability in the health domain is regarded as a crucial issue. Nowadays, one of the weaknesses when working in this direction is the lack of a coordinated use of information and terminological models to define the meaning and content of clinical data. IHTSDO is aware of this problem and has recently developed the SNOMED CT Expression Constraint Language to specify subsets of concepts. In this paper, we describe an implementation of an execution engine of this language. Our final objective is to allow advanced terminological binding between archetypes and SNOMED CT as a fundamental pillar to get semantically interoperable systems. The execution engine is available at http://snquery.veratech.es.
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Affiliation(s)
- V M Giménez-Solano
- Institute for the Applications of Advanced Information and Communication Technologies (ITACA), Universitat Politècnica de València, Valencia, Spain
| | - J A Maldonado
- Institute for the Applications of Advanced Information and Communication Technologies (ITACA), Universitat Politècnica de València, Valencia, Spain
| | | | - D Boscá
- Institute for the Applications of Advanced Information and Communication Technologies (ITACA), Universitat Politècnica de València, Valencia, Spain
| | - M Robles
- Institute for the Applications of Advanced Information and Communication Technologies (ITACA), Universitat Politècnica de València, Valencia, Spain
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Robles M, Citera G, Rillo O, Smecuol E, Millán A, Mantilla R. AB0860 Prevalence of Risk Factors for Gastrointestinakl Side Effects Of Drugs for the Treatment of Pain in Rheumatic Diseases and the Provisions of Gastroprotective Treatment – Results of a Large Non Intervention Study. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.5346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Robles M, Peugnet P, Dubois C, Wimel L, Tarrade A, Chavatte-Palmer P. 110 BARLEY SUPPLEMENTATION AT MID-GESTATION IN BROODMARES DOES NOT AFFECT FETAL DEVELOPMENT AND IS ACCOMPANIED BY MINIMAL PLACENTAL ADAPTATIONS. Reprod Fertil Dev 2015. [DOI: 10.1071/rdv27n1ab110] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Modifications of maternal environment could alter fetal growth and development through the placenta and thus health in adulthood. The developmental origins of health and disease suggest that maternal nutrition during pregnancy may affect offspring development and subsequent energy metabolism. To understand the effect of common feeding practices during gestation, 24 saddlebred mares were allocated to 1 of 2 groups: group B was supplemented twice a day with barley (B) and group F was fed only with fodder (F) between month 7 of gestation and foaling. B mares maintained an optimal body condition score through gestation, with an increase in glycaemia and insulinemia after each meal and insulin resistance in month 9 of gestation. F mares lost condition as assessed by body condition score in the last part of gestation, leading to a moderate undernutrition and a transitional increase in nonesterified fatty acid plasma concentrations. Diets had no effect on feto-placental biometry or on placental structure. In contrast, an increase in microcotyledonary vessel volume was observed in F placentas, indicating placental adaptation, possibly to increase fetomaternal exchanges. There was no overall difference in the expression of genes involved in vascularization, nutrient transfer, growth, and development between placentas from B and F mares. Nevertheless, as seen in other species, sex-specific effects of maternal nutrition were observed in placentas from female foals, with differences in the expression of endogline, kinase insert domain receptor, insulin-like growth factor 2 and insulin-like growth factor 1 receptor genes. This study demonstrates that breeding practices such as supplementation in concentrate at mid-gestation do not seem to affect fetal development. More work is ongoing to evaluate postnatal health.
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Robles M, Merino ML, Moreno C, Torremocha O. [Behaviour disorder as a presentation of fat embolism syndrome]. Rev Esp Anestesiol Reanim 2013; 60:412-414. [PMID: 23121707 DOI: 10.1016/j.redar.2012.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2012] [Revised: 08/21/2012] [Accepted: 09/08/2012] [Indexed: 06/01/2023]
Affiliation(s)
- M Robles
- Servicio de Anestesiología y Reanimación, Hospital de la Axarquía, Vélez-Málaga, España.
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Trasmonte M, Jiménez J, Santiago M, Gálvez E, Jerez V, Pérez D, Robles M, Farje V, Martínez P, Nieto P, Rubio J. Association of Topical Amphotericin B Lipid Complex Treatment to Standard Therapy for Rhinomaxillary Mucormycosis After Liver Transplantation: A Case Report. Transplant Proc 2012; 44:2120-3. [DOI: 10.1016/j.transproceed.2012.07.081] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Murray J, Braly E, Head H, Donahue D, Rush S, Stence N, Liu A, Kleinhenz J, Bison B, Pietsch T, von Hoff K, von Bueren A, Rutkowski S, Warmuth-Metz M, Jaspan T, Brisse H, Potepan P, Warmuth-Metz M, Berg F, Bison B, Pietsch T, Gerber N, Rutkowski S, Warmuth-Metz M, Sugiyama K, Kurisu K, Kajiwara Y, Takayasu T, Saito T, Hanaya R, Yamasaki F, Vicente J, Fuster-Garcia E, Tortajada S, Garcia-Gomez JM, Davies N, Natarajan K, Wilson M, Grundy RG, Wesseling P, Monleon D, Celda B, Robles M, Peet AC, Perret C, Boltshauser E, Scheer I, Kellenberger C, Grotzer M, Steffen-Smith E, Venzon D, Bent R, Baker E, Shandilya S, Warren K, Shih CS, West J, Ho C, Porter D, Wang Y, Saykin A, McDonald B, Arfanakis K, Warren K, Vezina G, Hargrave D, Poussaint TY, Goldman S, Packer R, Wen P, Pollack I, Zurakowski D, Kun L, Prados M, Kieran M, Eckel L, Keating G, Giannini C, Wetjen N, Patton A, Steffen-Smith E, Sarlls J, Pierpaoli C, Walker L, Venzon D, Bent R, Warren K, Perreault S, Lober R, Yeom K, Carret AS, Vogel H, Partap S, Fisher P, Gill SK, Wilson M, Davies NP, MacPherson L, Arvanitis TN, Peet AC, Davies N, Gill S, Wilson M, MacPherson L, Arvanitis T, Peet A, Hayes L, Jones R, Mazewski C, Aguilera D, Palasis S, Bendel A, Patterson R, Petronio J, Meijer L, Jaspan T, Grundy RGG, Walker DA, Robison N, Grant F, Treves ST, Bandopadhayay P, Manley P, Chi S, Zimmerman MA, Chordas C, Goumnerova L, Smith E, Scott M, Ullrich NJ, Poussaint T, Kieran M, Yang JC, Lightner DD, Khakoo Y, Wolden SL, Smee R, Zhao C, Spencer-Trotter B, Hallock A, Konski A, Bhambani K, Mahajan A, Jones J, Ketonen L, Paulino A, Ater J, Grosshans D, Dauser R, Weinberg J, Chintagumpala M, Dvir R, Elhasid R, Corn B, Tempelhoff H, Matceyevsky D, Makrin V, Shtraus N, Yavetz D, Constantini S, Gez E, Yu ES, Kim YJ, Park HJ, Kim HJ, Shin SH, Kim JH, Kim JY, Lee YK, Fiore MR, Sanne C, Mandeville HC, Saran FH, Greenspoon J, Duckworth J, Singh S, Scheinemann K, Whitton A, Gauvain K, Geller T, Elbabaa S, Dombrowski J, Wong K, Olch A, Davidson TB, Venkatramani R, Haley K, Zaky W, Dhall G, Finlay J, Bishop MW, Hummel TR, Leach J, Minturn J, Breneman J, Stevenson C, Wagner L, Sutton M, Miles L, Fouladi M, Goldman S. RADIOLOGY. Neuro Oncol 2012. [DOI: 10.1093/neuonc/nos107] [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: 11/12/2022] Open
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Cordova E, Gonzalo X, Boschi A, Lossa M, Robles M, Poggi S, Ambroggi M. Human Mycobacterium bovis infection in Buenos Aires: epidemiology, microbiology and clinical presentation [Short communication]. Int J Tuberc Lung Dis 2012; 16:415-7. [DOI: 10.5588/ijtld.10.0605] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Bathon J, Robles M, Ximenes AC, Nayiager S, Wollenhaupt J, Durez P, Gomez-Reino J, Grassi W, Haraoui B, Shergy W, Park SH, Genant H, Peterfy C, Becker JC, Covucci A, Moniz Reed D, Helfrick R, Westhovens R. Sustained disease remission and inhibition of radiographic progression in methotrexate-naive patients with rheumatoid arthritis and poor prognostic factors treated with abatacept: 2-year outcomes. Ann Rheum Dis 2011; 70:1949-56. [PMID: 21821865 DOI: 10.1136/ard.2010.145268] [Citation(s) in RCA: 63] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To assess the efficacy and safety of abatacept plus methotrexate versus methotrexate alone in early erosive rheumatoid arthritis (RA). METHODS The AGREE was a 2-year phase IIIb multinational study in early (≤ 2 years) RA. During the double-blind period (year 1), patients were randomly assigned 1:1 to receive abatacept+methotrexate or methotrexate alone; all patients received open-label abatacept+methotrexate during year 2. Clinical outcomes assessed included 28-joint disease activity score (DAS28) defined remission, low disease activity score (LDAS), American College of Rheumatology (ACR) responses and physical function. Radiographic outcomes were assessed using the Genant-modified Sharp total score (TS). Safety was monitored throughout. RESULTS Of the 459 patients completing year 1, 433 patients (94.3%) completed year 2. DAS28-defined remission, LDAS, ACR and physical function were sustained through year 2 in the original abatacept+methotrexate group, with 55.2% in remission at 2 years. Upon introduction of abatacept in the methotrexate-alone group, additional patients achieved DAS28-defined remission (44.5% vs 26.9%), LDAS (60.4% vs 43.2%) and improved ACR 70 (49.8% vs 31.7%) for year 2 versus year 1. Less radiographic progression was observed at 2 years in the original abatacept+methotrexate group than the methotrexate-alone group (change in TS 0.84 vs 1.75, p<0.001). No new safety issues were seen. Similar rates of serious adverse events, serious infections and autoimmune events were observed in years 1 and 2. CONCLUSIONS The AGREE trial was the first to examine the impact of T-cell co-stimulation modulation with abatacept in patients with early erosive RA. Early treatment with abatacept+methotrexate resulted in greater sustainable clinical, functional and radiographic benefits than methotrexate alone, with acceptable safety and tolerability. TRIAL REGISTRATION NCT00122382.
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Affiliation(s)
- J Bathon
- College of Physician and Surgeons, Columbia University, 630 West 168th Street, P&S 10-445, New York, NY 10023, USA.
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Beigelman R, Izaguirre A, Robles M, Grana D, Ambrosio G, Milei J. Kinking of carotid arteries is not a mechanism of cerebral ischemia: a functional evaluation by Doppler echography. INT ANGIOL 2011; 30:342-348. [PMID: 21747353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
AIM The aim of this paper was to evaluate the hemodynamic behavior of carotid kinking, as assessed by color Doppler ultrasonography at baseline and during neck movements, and their relation to neurological symptoms. METHODS In this cross-sectional study, 60 consecutive patients with non-atheromatous carotid kinking in whom diagnostic color Doppler ultrasonography investigation of neck vessels had been requested for clinical suspicion of atherosclerotic disease were evaluated. To evaluate if there were significant changes of blood velocities as a consequence of kinking, for each carotid artery we recorded systolic and diastolic velocities both in the segments proximal to kinking, as well as intra-kinking. The effects of postural changes and neck movements on carotid blood flow were also studied. RESULTS Flow in carotid arteries with kinking was always normal, and no differences were found between flow velocity measured at the level of kinking compared to the normal tract of the vessel. During head rotation tests, flow remained largely unaffected, a substantial reduction in the velocities in the ophthalmic artery was found in 13.5% of the cases, while an increase was recorded in 27%; and no symptoms or events were recorded during the study. None of the patients referred symptoms, nor were neurological events or signs detected during the maneuvers. CONCLUSION Our results show that carotid kinks are not a mechanism of acute cerebral ischemia, and therefore are unlikely to be a cause of neurological events or symptoms.
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Affiliation(s)
- R Beigelman
- Cardiologic Investigation Institute, Faculty of Medicine, University of Buenos Aires - CONICET, Buenos Aires, Argentina
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de la Iglesia-Vayá M, Molina-Mateo J, Escarti-Fabra MJ, Martí-Bonmatí L, Robles M, Meneu T, Aguilar EJ, Sanjuán J. [Magnetic resonance imaging postprocessing techniques in the study of brain connectivity]. Radiologia 2011; 53:236-45. [PMID: 21477826 DOI: 10.1016/j.rx.2010.11.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2010] [Revised: 11/23/2010] [Accepted: 11/29/2010] [Indexed: 11/29/2022]
Abstract
Brain connectivity is a key concept for understanding brain function. Current methods to detect and quantify different types of connectivity with neuroimaging techniques are fundamental for understanding the pathophysiology of many neurologic and psychiatric disorders. This article aims to present a critical review of the magnetic resonance imaging techniques used to measure brain connectivity within the context of the Human Connectome Project. We review techniques used to measure: a) structural connectivity b) functional connectivity (main component analysis, independent component analysis, seed voxel, meta-analysis), and c) effective connectivity (psychophysiological interactions, causal dynamic models, multivariate autoregressive models, and structural equation models). These three approaches make it possible to combine and use different statistical techniques to elaborate mathematical models in the attempt to understand the functioning of the brain. The findings obtained with these techniques must be validated by other techniques for analyzing structural and functional connectivity. This information is integrated in the Human Connectome Project where all these approaches converge to provide a representation of all the different models of connectivity.
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Affiliation(s)
- M de la Iglesia-Vayá
- Grupo de Informática Biomédica, IBIME, Instituto de Aplicaciones de las Tecnologías de la Información y de las Comunicaciones avanzadas, Instituto ITACA, Universidad Politécnica de Valencia, Centro de Excelencia de Imagen Biomédica. Hospital la Fe, Conselleria de Sanitat, Valencia.
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Nishikawa M, Owaki H, Fuji T, Soliman MM, Ashcroft DM, Watson KD, Lunt M, Symmons D, Hyrich KL, Atkinson F, Malik S, Heycock C, Saravanan V, Rynne M, Hamilton J, Kelly C, Burmester G, Kary S, Unnebrink K, Guerette B, Oezer U, Kupper H, Dennison E, Jameson K, Hyrich K, Watson K, Landewe R, Keystone E, Smolen J, Goldring M, Guerette B, Patra K, Cifaldi M, van der Heijde D, Lloyd LA, Owen C, Breslin A, Ahmad Y, Emery P, Matteson EL, Genovese M, Sague S, Hsia EC, Doyle MK, Fan H, Elashoff M, Kirkham B, Wasco MC, Bathon J, Hsia EC, Fleischmann R, Genovese MC, Matteson EL, Liu H, Fleischmann R, Goldman J, Leirisalo-Repo M, Zanetakis E, El-Kadi H, Kellner H, Bolce R, Wang J, Dehoratius R, Decktor D, Kremer J, Taylor P, Mendelsohn A, Baker D, Kim L, Ritchlin C, Taylor P, Mariette X, Matucci Cerenic M, Pavelka K, van Vollenhoven R, Heatley R, Walsh C, Lawson R, Reynolds A, Emery P, Iaremenko O, Mikitenko G, Smolen J, van Vollenhoven R, Kavanaugh A, Luijtens K, van der Heijde D, Curtis J, van der Heijde D, Schiff M, Keystone E, Landewe R, Kvien T, Curtis J, Khanna D, Luijtens K, Furst D, Behrens F, Koehm M, Scharbatke EC, Kleinert S, Weyer G, Tony HP, Burkhardt H, Blunn KJ, Williams RB, Young A, McDowell J, Keystone E, Weinblatt M, Haraoui B, Guerette B, Mozaffarian N, Patra K, Kavanaugh A, Khraishi M, Alten R, Gomez-Reino J, Rizzo W, Schechtman J, Kahan A, Vernon E, Taylor M, Smolen J, Hogan V, Holweg C, Kummerfeld S, Teng O, Townsend M, van Laar JM, Gullick NJ, De Silva C, Kirkham BW, van der Heijde D, Landewe R, Guerette B, Roy S, Patra K, Keystone E, Emery P, Fleischmann R, van der Heijde D, Keystone E, Genovese MC, Conaghan PG, Hsia EC, Xu W, Baratelle A, Beutler A, Rahman MU, Nikiphorou E, Kiely P, Walsh DA, Williams R, Young A, Shah D, Knight GD, Hutchinson DG, Dass S, Atzeni F, Vital EM, Bingham SJ, Buch M, Beirne P, Emery P, Keystone E, Fleischmann R, Emery P, Dougados M, Williams S, Reynard M, Blackler L, Gullick NJ, Zain A, Oakley S, Rees J, Jones T, Mistlin A, Panayi G, Kirkham BW, Westhovens R, Durez P, Genant H, Robles M, Becker JC, Covucci A, Bathon J, Genovese MC, Schiff M, Luggen M, Le Bars M, Becker JC, Aranda R, Li T, Elegbe A, Dougados M, Smolen J, van Vollenhoven R, Kavanaugh A, Fichtner A, Strand V, Vencovsky J, van der Heijde D, Davies R, Galloway J, Watson KD, Lunt M, Hochberg M, Westhovens R, Aranda R, Kelly S, Khan N, Qi K, Pappu R, Delaet I, Luo A, Torbeyns A, Moreland L, Cohen R, Gujrathi S, Weinblatt M, Bykerk VP, Alvaro-Gracia J, Andres Roman Ivorra J, Nurmohamed MT, Pavelka K, Bernasconi C, Stancati A, Sibilia J, Ostor A, Strangfeld A, Eveslage M, Listing J, Herzer P, Liebhaber A, Krummel-Lorenz B, Zink A, Haraoui B, Emery P, Mozaffarian N, Guerette B, Kupper H, Patra K, Keystone E, Genovese MC, Breedveld FC, Emery P, Cohen SB, Keystone E, Matteson EL, Burke L, Chai A, Reiss W, Sweetser M, Shaw T, Ellis SD, Ehrenstein MR, Notley CA, Yazici Y, Curtis J, Ince A, Baraf H, Malamet R, Chung CY, Kavanaugh A, Hughes C, Faurholm B, Dell'Accio F, Manzo A, Seed M, Eltawil N, Marrelli A, Gould D, Subang C, Al-Kashi A, De Bari C, Winyard P, Chernajovsky Y, Nissim A, van Vollenhoven R, Emery P, Bingham C, Keystone E, Fleischmann RM, Furst DE, Macey KM, Sweetser MT, Lehane P, Farmer P, Long SG, Kremer JM, Furst DE, Burgos-Vargas R, Dudler J, Mela CM, Vernon E, Fleischmann RM, Wegner N, Lugli H, Quirke AM, Guo Y, Potempa J, Venables P. Rheumatoid arthritis - treatment: 180. Utility of Body Weight Classified Low-Dose Leflunomide in Japanese Rheumatoid Arthritis. Rheumatology (Oxford) 2011. [DOI: 10.1093/rheumatology/ker031] [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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Gallego M, Robles M, Palacios R, Ruiz J, Nuño E, Márquez M, Andrade R, Santos J. Impact of Acute Hepatitis A Virus (HAV) Infection on HIV Viral Load in HIV-Infected Patients and Influence of HIV Infection on Acute HAV Infection. ACTA ACUST UNITED AC 2011; 10:40-2. [DOI: 10.1177/1545109710385692] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose: To assess the effect of hepatitis A virus (HAV) infection on HIV viral load (VL) and the influence of HIV on the clinical expression of HAV infection. Methods: Single-center study of 23 HIV-positive patients and 41 HIV-negative patients diagnosed with acute HAV infection during 2008-2009. The impact of HAV on HIV VL was defined as an increase of >0.5 log10 during the event, or a detectable VL for those previously suppressed patients. Results: The impact of acute HAV on VL was observed in 37.5% patients. HIV-negative patients were younger (27 vs 34 years, P < .0001), and serum transaminases levels normalized earlier than in the HIV-positive patients (121 vs 178 days, P < .05). Conclusions: Acute HAV infection may have an impact on HIV VL. The interactions between the 2 viruses may not only prolong the HAV viremia, with a potential increase in the transmission of infection, but the impact on HIV may increase the risk of HIV transmission. Studies with higher sample size are needed to confirm our results.
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Affiliation(s)
- M. Gallego
- Unidad de Gestión Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - M. Robles
- Unidad de Gestión Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen de la Victoria, Málaga, Spain, Servicio de Digestivo, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - R. Palacios
- Unidad de Gestión Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - J. Ruiz
- Unidad de Gestión Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - E. Nuño
- Unidad de Gestión Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - M. Márquez
- Unidad de Gestión Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - R. Andrade
- Unidad de Gestión Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen de la Victoria, Málaga, Spain
| | - J. Santos
- Unidad de Gestión Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen de la Victoria, Málaga, Spain,
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Affiliation(s)
- C D Estrada
- Centro de Investigación en Energía, Universidad Nacional Autónoma de México, Priv. Xochicalco S/N, Col. Centro 62580 Temixco Mor., México.
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Robles M, Rodríguez E, Rojas MA, Sarmiento MA. [Anesthesia for a man with bullous amyloidosis as the first sign of advanced primary amyloidosis]. Rev Esp Anestesiol Reanim 2010; 57:671-672. [PMID: 22283021 DOI: 10.1016/s0034-9356(10)70305-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Martínez LJ, Robles M, Isach N, Ribell M. [Acute iatrogenic meningitis due to Streptococcus salivarius after spinal anesthesia]. ACTA ACUST UNITED AC 2010; 57:252-3. [PMID: 20499807 DOI: 10.1016/s0034-9356(10)70216-4] [Citation(s) in RCA: 2] [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: 11/26/2022]
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Cecchini D, Paz S, Poggi S, Robles M, Ambroggi M. [Tuberculous peritonitis in HIV-infected patients]. Rev Argent Microbiol 2010; 42:172-175. [PMID: 21186670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
UNLABELLED In order to describe the clinical and laboratory findings of Mycobacterium tuberculosis peritonitis M. tuberculosis in HIV+ patients, we conducted a retrospective analysis of the medical records of HIV+ patients with isolation of M. tuberculosis from ascitic fluid (AF), assisted at Hospital Muñiz, Buenos Aires, Argentina (1996-2005). RESULTS 21 patients were included. Median age: 33, male sex: 52%; peripheral blood CD4-T lymphocyte count (median): 85/mm3; prior history of tuberculosis: 40%; cirrhosis: 65%; enolism: 45%; HCV coinfection: 85%. The most frequent symptoms were abdominal distension (71%), fever (62%) and abdominal pain (19%). The chemical characteristics of the AF were (median): leukocyte count: 751/mm3 (mononuclear predominance: 79%), protein: 3.1 g/dl, LDH: 351 IU/l. AF samples positive for acid fast bacilli at direct microscopic examination: 14%. Infection with multidrug resistant M. tuberculosis (TB-MR): 20%. M. tuberculosis was isolated from other clinical samples in 79%. Fifteen patients received treatment for tuberculosis; in 30% of cases, it was not appropriate due to the susceptibility of the isolated strain. Overall mortality was 66.4%. CONCLUSION high mortality was observed, which may be attributable to the high frequency of TB-MR, the level of immunosuppression and the prevalence of cirrhosis secondary to enolism and/or HCV coinfection.
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Affiliation(s)
- D Cecchini
- Unidad 4, Hepatopatías Infecciosas, Hospital Francisco J. Muñiz, Uspallata 2272 (1282), Ciudad Autónoma de Buenos Aires, Argentina
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Fajardo M, Hidalgo R, Rodríguez S, Garduno E, Rodríguez FF, Robles M. [Activity of daptomycin, ciprofloxacin, clindamycin and cotrimoxazole against coagulase-negative Staphylococcus strains with diminished susceptibility to vancomycin]. Rev Esp Quimioter 2010; 23:81-86. [PMID: 20559606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
INTRODUCTION Coagulase Negative Staphylococci (CNS) have become one of the most common nosocomial pathogens and it has a high mortality rate due to the increased of seriously ill patients survival, long states immunosuppression and presence of foreign bodies, such as catheters, prostheses, pacemakers, etc. In addition, there is a significant increase in resistance to antimicrobial drugs, especially beta-lactams, and the increase in the MIC for vancomycin leads to a loss of clinical efficacy. This necessitates the search for new therapeutic alternatives, such as daptomycin. The aim of this paper is to study the activity of daptomycin, ciprofloxacin, clindamycin and cotrimoxazole in two groups of clinically significant CNS: a MIC₉₀with vancomycin ≤ 1 mg/L and the other with MIC₉₀ 2 mg/L. METHODS We identified and studied MIC₉₀ to ciprofloxacin, clindamycin and cotrimoxazole from 54 strains of clinically significant by the CNS Combo 22 Microscan panels (Dade Behring, Siemens). The MIC₉₀for daptomycin was performed using Etest (AB BioMérieux, Solna, Sweden) on Mueller Hinton plates (BioMérieux, France). RESULTS In Group I (vancomycin MIC₉₀ ≤ 1 mg/L) were 19 strains whereas in Group II (vancomycin MIC₉₀ =2 mg/L) were 35 strains. Expressed in mg/L, MIC₉₀ ranges for daptomycin were 0.047-0.5 in Group I and 0.064-0.5 in Group II. for ciprofloxacin were 8 sensitive strains and 11 resistant in Group I and 10 sensitive and 25 resistant in Group II. For clindamycin were 7 sensitive strains and 12 resistant in Group I and 16 sensitive and 19 resistant in Group II. Finally, for cotrimoxazole were 10 sensitive strains and 9 resistant in Group I and 19 sensitive and 16 resistant in Group II. CONCLUSIONS The MIC levels to daptomycin were not influenced by the increase in the MIC for vancomycin. There was no statistically significant difference for the sensitivity of ciprofloxacin between the two groups of vancomycin. Regardless of vancomycin, there were a clear relationship between the sensitivity of ciprofloxacin with clindamycin and cotrimoxazole.
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Affiliation(s)
- M Fajardo
- Servicio de Microbiología, Hospital Universitario Infanta Cristina, Ctra de Portugal s/n, 06080 Badajoz, Spain
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Lull N, Noé E, Lull J, García-Panach J, García-Martí G, Chirivella J, Ferri J, Sopena R, de La Cueva L, Robles M. Thalamic metabolism and neurological outcome after traumatic brain injury. A voxel-based morphometric FDG-PET study. Neurología (English Edition) 2010. [DOI: 10.1016/s2173-5808(10)70034-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
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Lull N, Noé E, Lull JJ, García-Panach J, García-Martí G, Chirivella J, Ferri J, Sopena R, de La Cueva L, Robles M. [Thalamic metabolism and neurological outcome after traumatic brain injury. A voxel-based morphometric FDG-PET study]. Neurologia 2010; 25:174-180. [PMID: 20492864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
Abstract
OBJECTIVE to study the relationship between thalamic metabolism and neurological outcome in patients who had sustained a traumatic brain injury (TBI). METHODS nineteen patients who had sustained a severe TBI and ten control subjects were included in this study. Six of the 19 patients had a low level of consciousness (vegetative state or minimally conscious state), while thirteen showed normal consciousness. All patients underwent a PET with 18F-FDG, 459.4 +/- 470.9 days after the TBI. The FDG-PET images were normalized in intensity, with a metabolic template being created from data derived from all subjects. The thalamic trace was generated automatically with a mask of the region of interest in order to evaluate its metabolism. A comparison between the two groups was carried out by a two sample voxel-based T-test, under the General Linear Model (GLM) framework. RESULTS patients with low consciousness had lower thalamic metabolism (MNI-Talairach coordinates: 12, -24, 18; T = 4.1) than patients with adequate awareness (14, -28, 6; T = 5.5). Control subjects showed the greatest thalamic metabolism compared to both patients groups. These differences in metabolism were more pronounced in the internal regions of the thalamus. CONCLUSIONS the applied method may be a useful ancillary tool to assess neurological outcomes after a TBI, since it permits an objective quantitative assessment of metabolic function for groups of subjects. Our results confirm the vulnerability of the thalamus to suffering the effects of the acceleration-deceleration forces generated during a TBI. It is hypothesized that patients with low thalamic metabolism represent a subset of subjects highly vulnerable to neurological and functional disability after TBI.
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Affiliation(s)
- N Lull
- ITACA Grupo de Informática Biomédica, Instituto ITACA, Universidad Politécnica de Valencia, Valencia, España Universidad CEU Cardenal Herrera, Valencia, España
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Robles M, Torres J, Rojas A. [Anesthesia for elective cesarean section in a patient with idiopathic pulmonary hemosiderosis]. ACTA ACUST UNITED AC 2010; 56:577-8. [PMID: 20112552 DOI: 10.1016/s0034-9356(09)70465-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Robles M, Sarmiento MA, Rojas A, Villarejo MA. [Bladder rupture during transurethral prostate resection]. Rev Esp Anestesiol Reanim 2010; 57:131. [PMID: 20337012 DOI: 10.1016/s0034-9356(10)70185-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- M Robles
- *Servicio de Anestesiología y Reanimación, Hospital de la Axarquía, Vélez-Málaga.
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Coupé P, Manjón J, Gedamu E, Arnold D, Robles M, Collins D. Object-based Rician Noise Estimation for MR Images. Neuroimage 2009. [DOI: 10.1016/s1053-8119(09)70571-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Coupé P, Manjón J, Robles M, Collins D. Adaptive Multiresolution Denoising Filter for 3D MR Images. Neuroimage 2009. [DOI: 10.1016/s1053-8119(09)70119-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Westhovens R, Robles M, Ximenes AC, Nayiager S, Wollenhaupt J, Durez P, Gomez-Reino J, Grassi W, Haraoui B, Shergy W, Park SH, Genant H, Peterfy C, Becker JC, Covucci A, Helfrick R, Bathon J. Clinical efficacy and safety of abatacept in methotrexate-naive patients with early rheumatoid arthritis and poor prognostic factors. Ann Rheum Dis 2009; 68:1870-7. [PMID: 19124524 PMCID: PMC2770104 DOI: 10.1136/ard.2008.101121] [Citation(s) in RCA: 236] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Objectives: To assess the efficacy and safety of abatacept in methotrexate-naive patients with early rheumatoid arthritis (RA) and poor prognostic factors. Methods: In this double-blind, phase IIIb study, patients with RA for 2 years or less were randomly assigned 1 : 1 to receive abatacept (∼10 mg/kg) plus methotrexate, or placebo plus methotrexate. Patients were methotrexate-naive and seropositive for rheumatoid factor (RF), anti-cyclic citrullinated protein (CCP) type 2 or both and had radiographic evidence of joint erosions. The co-primary endpoints were the proportion of patients achieving disease activity score in 28 joints (DAS28)-defined remission (C-reactive protein) and joint damage progression (Genant-modified Sharp total score; TS) at year 1. Safety was monitored throughout. Results: At baseline, patients had a mean DAS28 of 6.3, a mean TS of 7.1 and mean disease duration of 6.5 months; 96.5% and 89.0% of patients were RF or anti-CCP2 seropositive, respectively. At year 1, a significantly greater proportion of abatacept plus methotrexate-treated patients achieved remission (41.4% vs 23.3%; p<0.001) and there was significantly less radiographic progression (mean change in TS 0.63 vs 1.06; p = 0.040) versus methotrexate alone. Over 1 year, the frequency of adverse events (84.8% vs 83.4%), serious adverse events (7.8% vs 7.9%), serious infections (2.0% vs 2.0%), autoimmune disorders (2.3% vs 2.0%) and malignancies (0.4% vs 0%) was comparable for abatacept plus methotrexate versus methotrexate alone. Conclusions: In a methotrexate-naive population with early RA and poor prognostic factors, the combination of abatacept and methotrexate provided significantly better clinical and radiographic efficacy compared with methotrexate alone and had a comparable, favourable safety profile.
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Affiliation(s)
- R Westhovens
- UZ Gasthuisberg, Department of Rheumatology, B-3000 Leuven, Belgium.
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