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Weekes A, Wehr G, Pinto N, Jenkins J, Li Z, Meinert C, Klein TJ. Highly compliant biomimetic scaffolds for small diameter tissue-engineered vascular grafts (TEVGs) produced via melt electrowriting (MEW). Biofabrication 2023; 16:015017. [PMID: 37992322 DOI: 10.1088/1758-5090/ad0ee1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 11/22/2023] [Indexed: 11/24/2023]
Abstract
Biofabrication approaches toward the development of tissue-engineered vascular grafts (TEVGs) have been widely investigated. However, successful translation has been limited to large diameter applications, with small diameter grafts frequently failing due to poor mechanical performance, in particular mismatched radial compliance. Herein, melt electrowriting (MEW) of poly(ϵ-caprolactone) has enabled the manufacture of highly porous, biocompatible microfibre scaffolds with physiological anisotropic mechanical properties, as substrates for the biofabrication of small diameter TEVGs. Highly reproducible scaffolds with internal diameter of 4.0 mm were designed with 500 and 250µm pore sizes, demonstrating minimal deviation of less than 4% from the intended architecture, with consistent fibre diameter of 15 ± 2µm across groups. Scaffolds were designed with straight or sinusoidal circumferential microfibre architecture respectively, to investigate the influence of biomimetic fibre straightening on radial compliance. The results demonstrate that scaffolds with wave-like circumferential microfibre laydown patterns mimicking the architectural arrangement of collagen fibres in arteries, exhibit physiological compliance (12.9 ± 0.6% per 100 mmHg), while equivalent control geometries with straight fibres exhibit significantly reduced compliance (5.5 ± 0.1% per 100 mmHg). Further mechanical characterisation revealed the sinusoidal scaffolds designed with 250µm pores exhibited physiologically relevant burst pressures of 1078 ± 236 mmHg, compared to 631 ± 105 mmHg for corresponding 500µm controls. Similar trends were observed for strength and failure, indicating enhanced mechanical performance of scaffolds with reduced pore spacing. Preliminaryin vitroculture of human mesenchymal stem cells validated the MEW scaffolds as suitable substrates for cellular growth and proliferation, with high cell viability (>90%) and coverage (>85%), with subsequent seeding of vascular endothelial cells indicating successful attachment and preliminary endothelialisation of tissue-cultured constructs. These findings support further investigation into long-term tissue culture methodologies for enhanced production of vascular extracellular matrix components, toward the development of the next generation of small diameter TEVGs.
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Affiliation(s)
- Angus Weekes
- Centre for Biomedical Technologies, Queensland University of Technology (QUT), Brisbane, QLD, Australia
- School of Mechanical, Medical and Process Engineering, Faculty of Engineering, Queensland University of Technology (QUT), Brisbane, QLD, Australia
- Herston Biofabrication Institute, Metro North Hospital and Health Services, Herston, QLD, Australia
| | - Gabrielle Wehr
- Herston Biofabrication Institute, Metro North Hospital and Health Services, Herston, QLD, Australia
| | - Nigel Pinto
- Herston Biofabrication Institute, Metro North Hospital and Health Services, Herston, QLD, Australia
- Department of Vascular Surgery, The Royal Brisbane and Women's Hospital, Herston, QLD, Australia
| | - Jason Jenkins
- Herston Biofabrication Institute, Metro North Hospital and Health Services, Herston, QLD, Australia
- Department of Vascular Surgery, The Royal Brisbane and Women's Hospital, Herston, QLD, Australia
| | - Zhiyong Li
- Centre for Biomedical Technologies, Queensland University of Technology (QUT), Brisbane, QLD, Australia
- School of Mechanical, Medical and Process Engineering, Faculty of Engineering, Queensland University of Technology (QUT), Brisbane, QLD, Australia
| | - Christoph Meinert
- Centre for Biomedical Technologies, Queensland University of Technology (QUT), Brisbane, QLD, Australia
- Herston Biofabrication Institute, Metro North Hospital and Health Services, Herston, QLD, Australia
| | - Travis J Klein
- Centre for Biomedical Technologies, Queensland University of Technology (QUT), Brisbane, QLD, Australia
- School of Mechanical, Medical and Process Engineering, Faculty of Engineering, Queensland University of Technology (QUT), Brisbane, QLD, Australia
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Nguyen P, Stanislaus I, McGahon C, Pattabathula K, Bryant S, Pinto N, Jenkins J, Meinert C. Quality assurance in 3D-printing: A dimensional accuracy study of patient-specific 3D-printed vascular anatomical models. Front Med Technol 2023; 5:1097850. [PMID: 36824261 PMCID: PMC9941637 DOI: 10.3389/fmedt.2023.1097850] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 01/03/2023] [Indexed: 02/10/2023] Open
Abstract
3D printing enables the rapid manufacture of patient-specific anatomical models that substantially improve patient consultation and offer unprecedented opportunities for surgical planning and training. However, the multistep preparation process may inadvertently lead to inaccurate anatomical representations which may impact clinical decision making detrimentally. Here, we investigated the dimensional accuracy of patient-specific vascular anatomical models manufactured via digital anatomical segmentation and Fused-Deposition Modelling (FDM), Stereolithography (SLA), Selective Laser Sintering (SLS), and PolyJet 3D printing, respectively. All printing modalities reliably produced hand-held patient-specific models of high quality. Quantitative assessment revealed an overall dimensional error of 0.20 ± 3.23%, 0.53 ± 3.16%, -0.11 ± 2.81% and -0.72 ± 2.72% for FDM, SLA, PolyJet and SLS printed models, respectively, compared to unmodified Computed Tomography Angiograms (CTAs) data. Comparison of digital 3D models to CTA data revealed an average relative dimensional error of -0.83 ± 2.13% resulting from digital anatomical segmentation and processing. Therefore, dimensional error resulting from the print modality alone were 0.76 ± 2.88%, + 0.90 ± 2.26%, + 1.62 ± 2.20% and +0.88 ± 1.97%, for FDM, SLA, PolyJet and SLS printed models, respectively. Impact on absolute measurements of feature size were minimal and assessment of relative error showed a propensity for models to be marginally underestimated. This study revealed a high level of dimensional accuracy of 3D-printed patient-specific vascular anatomical models, suggesting they meet the requirements to be used as medical devices for clinical applications.
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Affiliation(s)
- Philip Nguyen
- School of Medicine, The University of Queensland, Brisbane, QLD, Australia
| | - Ivan Stanislaus
- Faculty of Engineering, Queensland University of Technology, Brisbane, QLD, Australia
| | - Clover McGahon
- Faculty of Engineering, Queensland University of Technology, Brisbane, QLD, Australia
| | - Krishna Pattabathula
- Vascular Surgery Department, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Services, Brisbane, QLD, Australia,Vascular Biofabrication Program, Herston Biofabrication Institute, Metro North Hospital and Health Services, Brisbane, QLD, Australia
| | - Samuel Bryant
- Vascular Surgery Department, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Services, Brisbane, QLD, Australia,Vascular Biofabrication Program, Herston Biofabrication Institute, Metro North Hospital and Health Services, Brisbane, QLD, Australia
| | - Nigel Pinto
- Vascular Surgery Department, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Services, Brisbane, QLD, Australia,Vascular Biofabrication Program, Herston Biofabrication Institute, Metro North Hospital and Health Services, Brisbane, QLD, Australia
| | - Jason Jenkins
- Vascular Surgery Department, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Services, Brisbane, QLD, Australia,Vascular Biofabrication Program, Herston Biofabrication Institute, Metro North Hospital and Health Services, Brisbane, QLD, Australia
| | - Christoph Meinert
- Faculty of Engineering, Queensland University of Technology, Brisbane, QLD, Australia,Vascular Biofabrication Program, Herston Biofabrication Institute, Metro North Hospital and Health Services, Brisbane, QLD, Australia,Faculty of Engineering, Architecture and Information Technology, University of Queensland, Brisbane, QLD, Australia,Correspondence: Christoph Meinert
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Arya B, Donofrio MT, Freud LR, Hornberger LK, Moon-Grady AJ, Morris SA, Pinto N, Simpson LL, Cuneo BF, Divanovic A, Jaeggi E, Peyvandi S, Puchalski MD, Rychik J, Schidlow DN, Srivastava S, Tacy TA, Tworetzky W, Walsh MJ. Implications of United States Supreme Court's ruling on Dobbs vs Jackson Women's Health Organization: perspective of physicians caring for critically ill fetuses and newborns. Ultrasound Obstet Gynecol 2022; 60:812-813. [PMID: 36353858 DOI: 10.1002/uog.26107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Affiliation(s)
- B Arya
- Seattle Children's Hospital and the University of Washington School of Medicine, Seattle, WA, USA
| | - M T Donofrio
- Children's National Hospital and George Washington School of Medicine, Washington, DC, USA
| | - L R Freud
- The Hospital for Sick Children and the University of Toronto, Toronto, Canada
| | | | - A J Moon-Grady
- University of California at San Francisco, San Francisco, CA, USA
| | - S A Morris
- Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA
| | - N Pinto
- Seattle Children's Hospital and the University of Washington School of Medicine, Seattle, WA, USA
| | - L L Simpson
- Columbia University Irving Medical School, New York, NY, USA
| | - B F Cuneo
- Children's Hospital of Colorado, Aurora, CO, USA
| | - A Divanovic
- Cincinnati Children's Hospital and the University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - E Jaeggi
- The Hospital for Sick Children and the University of Toronto, Toronto, Canada
| | - S Peyvandi
- University of California at San Francisco, San Francisco, CA, USA
| | - M D Puchalski
- Johns Hopkins All Children's Hospital, St Petersburg, FL, USA
| | - J Rychik
- The Children's Hospital of Philadelphia and Perelman, School of Medicine at University of Pennsylvania, Philadelphia, PA, USA
| | - D N Schidlow
- Boston Children's Hospital and Harvard School of Medicine, Boston, MA, USA
| | | | - T A Tacy
- Lucile Packard Children's Hospital at Stanford University, Palo Alto, CA, USA
| | - W Tworetzky
- Boston Children's Hospital and Harvard School of Medicine, Boston, MA, USA
| | - M J Walsh
- Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA
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Macy M, Cash T, Pinto N, Pressey J, Szalontay L, Furman W, Bukowinski A, Foster J, Friedman G, HaDuong J, Fox E, Weigel B, Grevel J, Huang F, Phelps C, Childs B, Chung J, Chaturvedi S, Schulz A, DuBois S. Phase I dose-escalation study of the pan-PI3 K inhibitor copanlisib in children and adolescents with relapsed/refractory solid tumors. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)00878-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Haymet AB, Pinto N, Peden S, Cohen T, Vallely MP, McGiffin D, Naidoo R, Jenkins J, Suen JY, Fraser JF. Current intraoperative storage and handling practices of autologous bypass conduit: A survey of the royal australasian college of surgeons. Front Surg 2022; 9:956177. [PMID: 36090334 PMCID: PMC9458927 DOI: 10.3389/fsurg.2022.956177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 08/09/2022] [Indexed: 11/28/2022] Open
Abstract
During bypass surgery for peripheral arterial occlusive disease and ischaemic heart disease, autologous graft conduit including great saphenous veins and radial arteries are frequently stored in solution. Endothelial damage adversely affects the performance and patency of autologous bypass grafts, and intraoperative graft storage solutions have been shown to influence this process. The distribution of storage solutions currently used amongst Cardiothoracic and Vascular Surgeons from Australia and New Zealand is not well defined in the literature. The aim of this study was to determine current practices regarding autologous graft storage and handling amongst this cohort of surgeons, and discuss their potential relevance in the context of early graft failure. From this survey, the most frequently used storage solutions were heparinized saline for great saphenous veins, and pH-buffered solutions for radial arteries. Duration of storage was 30–45 min for almost half of respondents, although responses to this question were limited. Further research is required to investigate whether ischaemic endothelial injury generates a prothrombotic state, whether different storage media can alter this state, and whether this is directly associated with clinical outcomes of interest such as early graft failure.
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Affiliation(s)
- AB Haymet
- Department of Vascular Surgery, The Royal Brisbane and Women’s Hospital, Herston, QLD, Australia
- Critical Care Research Group, The Prince Charles Hospital, Chermside, QLD, Australia
- Faculty of Medicine, University of Queensland, St Lucia, QLD, Australia
- Correspondence: Andrew B Haymet
| | - N Pinto
- Department of Vascular Surgery, The Royal Brisbane and Women’s Hospital, Herston, QLD, Australia
- Herston Biofabrication Institute, Royal Brisbane and Women’s Hospital, Herston, QLD, Australia
| | - S Peden
- Department of Vascular Surgery, The Royal Brisbane and Women’s Hospital, Herston, QLD, Australia
| | - T Cohen
- Department of Vascular Surgery, The Princess Alexandra Hospital, Woolloongabba, QLD, Australia
| | - MP Vallely
- Department of Cardiovascular Surgery, Mount Sinai Morningside/Icahn School of Medicine, New York, NY, United States
| | - D McGiffin
- Department of Cardiothoracic Surgery, The Alfred Hospital, Melbourne, VIC, Australia
- Faculty of Medicine, Monash University, Melbourne, Australia
| | - R Naidoo
- Department of Cardiothoracic Surgery, The Prince Charles Hospital, Chermside, QLD, Australia
| | - J Jenkins
- Department of Vascular Surgery, The Royal Brisbane and Women’s Hospital, Herston, QLD, Australia
- Herston Biofabrication Institute, Royal Brisbane and Women’s Hospital, Herston, QLD, Australia
| | - JY Suen
- Critical Care Research Group, The Prince Charles Hospital, Chermside, QLD, Australia
- Faculty of Medicine, University of Queensland, St Lucia, QLD, Australia
| | - JF Fraser
- Critical Care Research Group, The Prince Charles Hospital, Chermside, QLD, Australia
- Faculty of Medicine, University of Queensland, St Lucia, QLD, Australia
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Weekes A, Bartnikowski N, Pinto N, Jenkins J, Meinert C, Klein TJ. Biofabrication of small diameter tissue-engineered vascular grafts. Acta Biomater 2022; 138:92-111. [PMID: 34781026 DOI: 10.1016/j.actbio.2021.11.012] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 10/21/2021] [Accepted: 11/09/2021] [Indexed: 12/12/2022]
Abstract
Current clinical treatment strategies for the bypassing of small diameter (<6 mm) blood vessels in the management of cardiovascular disease frequently fail due to a lack of suitable autologous grafts, as well as infection, thrombosis, and intimal hyperplasia associated with synthetic grafts. The rapid advancement of 3D printing and regenerative medicine technologies enabling the manufacture of biological, tissue-engineered vascular grafts (TEVGs) with the ability to integrate, remodel, and repair in vivo, promises a paradigm shift in cardiovascular disease management. This review comprehensively covers current state-of-the-art biofabrication technologies for the development of biomimetic TEVGs. Various scaffold based additive manufacturing methods used in vascular tissue engineering, including 3D printing, bioprinting, electrospinning and melt electrowriting, are discussed and assessed against the biomechanical and functional requirements of human vasculature, while the efficacy of decellularization protocols currently applied to engineered and native vessels are evaluated. Further, we provide interdisciplinary insight into the outlook of regenerative medicine for the development of vascular grafts, exploring key considerations and perspectives for the successful clinical integration of evolving technologies. It is expected that continued advancements in microscale additive manufacturing, biofabrication, tissue engineering and decellularization will culminate in the development of clinically viable, off-the-shelf TEVGs for small diameter applications in the near future. STATEMENT OF SIGNIFICANCE: Current clinical strategies for the management of cardiovascular disease using small diameter vessel bypassing procedures are inadequate, with up to 75% of synthetic grafts failing within 3 years of implantation. It is this critically important clinical problem that researchers in the field of vascular tissue engineering and regenerative medicine aim to alleviate using biofabrication methods combining additive manufacturing, biomaterials science and advanced cellular biology. While many approaches facilitate the development of bioengineered constructs which mimic the structure and function of native blood vessels, several challenges must still be overcome for clinical translation of the next generation of tissue-engineered vascular grafts.
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Affiliation(s)
- Angus Weekes
- Centre for Biomedical Technologies, Queensland University of Technology (QUT), Brisbane, QLD, 4059, Australia; School of Mechanical, Medical and Process Engineering, Faculty of Engineering, Queensland University of Technology (QUT), Brisbane, QLD, 4059, Australia; Herston Biofabrication Institute, Metro North Hospital and Health Services, Herston, QLD, 4006, Australia.
| | - Nicole Bartnikowski
- Centre for Biomedical Technologies, Queensland University of Technology (QUT), Brisbane, QLD, 4059, Australia; School of Mechanical, Medical and Process Engineering, Faculty of Engineering, Queensland University of Technology (QUT), Brisbane, QLD, 4059, Australia; Critical Care Research Group, The Prince Charles Hospital, Brisbane, QLD, 4035, Australia.
| | - Nigel Pinto
- Herston Biofabrication Institute, Metro North Hospital and Health Services, Herston, QLD, 4006, Australia; Department of Vascular Surgery, The Royal Brisbane and Women's Hospital, Herston, QLD, 4006, Australia.
| | - Jason Jenkins
- Herston Biofabrication Institute, Metro North Hospital and Health Services, Herston, QLD, 4006, Australia; Department of Vascular Surgery, The Royal Brisbane and Women's Hospital, Herston, QLD, 4006, Australia.
| | - Christoph Meinert
- Centre for Biomedical Technologies, Queensland University of Technology (QUT), Brisbane, QLD, 4059, Australia; School of Mechanical, Medical and Process Engineering, Faculty of Engineering, Queensland University of Technology (QUT), Brisbane, QLD, 4059, Australia; Herston Biofabrication Institute, Metro North Hospital and Health Services, Herston, QLD, 4006, Australia.
| | - Travis J Klein
- Centre for Biomedical Technologies, Queensland University of Technology (QUT), Brisbane, QLD, 4059, Australia; School of Mechanical, Medical and Process Engineering, Faculty of Engineering, Queensland University of Technology (QUT), Brisbane, QLD, 4059, Australia.
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7
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Castro AB, Andrade C, Li X, Pinto N, Teughels W, Quirynen M. Impact of g force and timing on the characteristics of platelet-rich fibrin matrices. Sci Rep 2021; 11:6038. [PMID: 33727689 PMCID: PMC7971031 DOI: 10.1038/s41598-021-85736-y] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 03/04/2021] [Indexed: 02/08/2023] Open
Abstract
Recently, new centrifugation protocols for the preparation of platelet-rich fibrin (PRF) have been introduced in an attempt to further improve the beneficial impact of these 2nd generation platelet concentrate membranes. This in-vitro study aimed to compare the biological and physical characteristics of three types of PRF membranes using two different centrifuges with adapted relative centrifugal forces (RCF): leucocyte- and platelet-rich fibrin, advanced platelet-rich fibrin, and advanced platelet-rich fibrin+. Release of growth factors, macroscopic dimensions, cellular content and mechanical properties of the respective membranes, prepared from blood of the same individual were explored. Furthermore, the impact of timing (blood draw-centrifugation and centrifugation-membrane preparation) was assessed morphologically as well as by electron microscopy scanning. No statistically significant differences amongst the three PRF modifications could be observed, neither in their release of growth factors or the cellular content, nor in clot/membrane dimensions. The difference between both centrifuges were negligible when the same g-force was used. A lower g-force, however, reduced membrane tensile strength. Timing in the preparation process had a significant impact. Adaptation of RCF only had a minimal impact on the final characteristics of PRF membranes.
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Affiliation(s)
- Ana B Castro
- Department of Oral Health Sciences, Periodontology, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, blok a - bus 07001, 3000, Leuven, Belgium.
| | - C Andrade
- Department of Periodontology and Oral Implantology, Faculty of Dentistry, School of Dentistry, University of Los Andes, Santiago, Chile
| | - X Li
- Department of Oral Health Sciences, KU Leuven, BIOMAT and University Hospitals Leuven Dentistry, Leuven, Belgium
| | - N Pinto
- Department of Periodontology and Oral Implantology, Faculty of Dentistry, School of Dentistry, University of Los Andes, Santiago, Chile
| | - W Teughels
- Department of Oral Health Sciences, Periodontology, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, blok a - bus 07001, 3000, Leuven, Belgium
| | - M Quirynen
- Department of Oral Health Sciences, Periodontology, KU Leuven and Dentistry, University Hospitals Leuven, Kapucijnenvoer 7, blok a - bus 07001, 3000, Leuven, Belgium
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Pattabathula K, Peden S, Jenkins J, Pinto N. Concurrent chronic contained rupture of abdominal aortic and popliteal artery aneurysms: a case report and review of the literature. ANZ J Surg 2020; 91:E393-E395. [PMID: 33186478 DOI: 10.1111/ans.16418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 09/25/2020] [Accepted: 10/16/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Krishna Pattabathula
- Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Samantha Peden
- Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Jason Jenkins
- Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Nigel Pinto
- Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
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9
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Leiria-Pinto P, Marques J, Finelli E, Alves C, Alves M, Trincão D, Pinto N, Carreiro-Martins P, Papoila AL, Neuparth N. Cross-cultural validation of the Portuguese from Portugal version of the test for respiratory and asthma control in kids questionnaire. Eur Ann Allergy Clin Immunol 2020; 53:214-220. [PMID: 33182989 DOI: 10.23822/eurannaci.1764-1489.174] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Summary Objective. The Test for Respiratory and Asthma Control in Kids (TRACK) is a tool to assess asthma control in preschool children. This study aims to validate the Portuguese from Portugal version of the TRACK questionnaire. Methods. A prospective cohort study was carried out to assess their psychometric characteristics. Caregivers of 141 children under age 5 with asthma symptoms were enrolled. Results. Internal reliability was close to 0.70 (Cronbach's α). The test-retest reliability was 0.87. TRACK scores were different between well, partially, and non-controlled asthma groups (p less than 0.001). Patients rated as having better control showed an increase in TRACK scores. Conclusions. The Portuguese version of the TRACK questionnaire is accurate and reliable for monitoring asthma control. Its use may help to overcome challenges with the management of this age group.
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Affiliation(s)
- P Leiria-Pinto
- Department of Immunoallergology, Hospital Dona Estefânia, University Hospital of Central Lisbon (CHULC), EPE, Lisbon, Portugal.,CHRC/CEDOC, Integrated Pathophysiological Mechanisms Research Group, Comprehensive Health Research Center/Chronic Diseases Research Center, Nova Medical School, Lisbon, Portugal
| | - J Marques
- Department of Immunoallergology, Hospital Dona Estefânia, University Hospital of Central Lisbon (CHULC), EPE, Lisbon, Portugal.,CHRC/CEDOC, Integrated Pathophysiological Mechanisms Research Group, Comprehensive Health Research Center/Chronic Diseases Research Center, Nova Medical School, Lisbon, Portugal
| | - E Finelli
- Department of Immunoallergology, Hospital Dona Estefânia, University Hospital of Central Lisbon (CHULC), EPE, Lisbon, Portugal
| | - C Alves
- Department of Immunoallergology, Hospital Dona Estefânia, University Hospital of Central Lisbon (CHULC), EPE, Lisbon, Portugal
| | - M Alves
- Research Centre (CHULC), EPE, Lisbon, Portugal.,Centre of Statistics and its Applications (CEAUL), Lisbon, Portugal
| | - D Trincão
- Department of Immunoallergology, Hospital Dona Estefânia, University Hospital of Central Lisbon (CHULC), EPE, Lisbon, Portugal
| | - N Pinto
- Department of Immunoallergology, Hospital Dona Estefânia, University Hospital of Central Lisbon (CHULC), EPE, Lisbon, Portugal
| | - P Carreiro-Martins
- Department of Immunoallergology, Hospital Dona Estefânia, University Hospital of Central Lisbon (CHULC), EPE, Lisbon, Portugal.,CHRC/CEDOC, Integrated Pathophysiological Mechanisms Research Group, Comprehensive Health Research Center/Chronic Diseases Research Center, Nova Medical School, Lisbon, Portugal
| | - A L Papoila
- Research Centre (CHULC), EPE, Lisbon, Portugal.,Centre of Statistics and its Applications (CEAUL), Lisbon, Portugal
| | - N Neuparth
- Department of Immunoallergology, Hospital Dona Estefânia, University Hospital of Central Lisbon (CHULC), EPE, Lisbon, Portugal.,CHRC/CEDOC, Integrated Pathophysiological Mechanisms Research Group, Comprehensive Health Research Center/Chronic Diseases Research Center, Nova Medical School, Lisbon, Portugal
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Jácome C, Pereira R, Almeida R, Amaral R, Correia MA, Mendes S, Vieira-Marques P, Ferreira JA, Lopes I, Gomes J, Vidal C, López Freire S, Méndez Brea P, Arrobas A, Valério M, Chaves Loureiro C, Santos LM, Couto M, Araujo L, Todo Bom A, Azevedo JP, Cardoso J, Emiliano M, Gerardo R, Lozoya C, Pinto PL, Castro Neves A, Pinto N, Palhinha A, Teixeira F, Ferreira-Magalhães M, Alves C, Coelho D, Santos N, Menezes F, Gomes R, Cidrais Rodrigues JC, Oliveira G, Carvalho J, Rodrigues Alves R, Moreira AS, Costa A, Abreu C, Silva R, Morête A, Falcão H, Marques ML, Câmara R, Cálix MJ, Bordalo D, Silva D, Vasconcelos MJ, Fernandes RM, Ferreira R, Freitas P, Lopes F, Almeida Fonseca J. Validation of App and Phone Versions of the Control of Allergic Rhinitis and Asthma Test (CARAT). J Investig Allergol Clin Immunol 2020; 31:270-273. [PMID: 32856596 DOI: 10.18176/jiaci.0640] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- C Jácome
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - R Pereira
- Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - R Almeida
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - R Amaral
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Dept. of Cardiovascular and Respiratory Sciences, Porto Health School, Polytechnic Institute of Porto, Porto, Portugal
| | - M A Correia
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - S Mendes
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - P Vieira-Marques
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
| | - J A Ferreira
- Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - I Lopes
- Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - J Gomes
- Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - C Vidal
- Servicio de Alergia, Complejo Hospitalario Universitario de Santiago, Santiago De Compostela, Spain
| | - S López Freire
- Servicio de Alergia, Complejo Hospitalario Universitario de Santiago, Santiago De Compostela, Spain
| | - P Méndez Brea
- Servicio de Alergia, Complejo Hospitalario Universitario de Santiago, Santiago De Compostela, Spain
| | - A Arrobas
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Valério
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Chaves Loureiro
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L M Santos
- Serviço de Pneumologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Couto
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - L Araujo
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - A Todo Bom
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J P Azevedo
- Imunoalergologia, Centro Hospitalar de Leiria, Leiria, Portugal
| | - J Cardoso
- Serviço de Pneumologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - M Emiliano
- Serviço de Pneumologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - R Gerardo
- Serviço de Pneumologia, Hospital Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - C Lozoya
- Serviço de Imunoalergologia, Hospital Amato Lusitano, Unidade Local de Saúde de Castelo Branco, Castelo Branco, Portugal
| | - P L Pinto
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - A Castro Neves
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - N Pinto
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - A Palhinha
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - F Teixeira
- Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - M Ferreira-Magalhães
- Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - C Alves
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | - D Coelho
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | - N Santos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Algarve, Portimão, Portugal
| | - F Menezes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - R Gomes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - J C Cidrais Rodrigues
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - G Oliveira
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - J Carvalho
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - R Rodrigues Alves
- Serviço de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | - A S Moreira
- Serviço de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | - A Costa
- Serviço de Pediatria, Hospital da Senhora da Oliveira, Guimarães, Portugal
| | - C Abreu
- Serviço de Imunoalergologia, Hospital São Pedro de Vila Real, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - R Silva
- Serviço de Imunoalergologia, Hospital São Pedro de Vila Real, Centro Hospitalar De Trás-Os-Montes E Alto Douro, Vila Real, Portugal
| | - A Morête
- Serviço de Imunoalergologia, Hospital Infante D. Pedro, Centro Hospitalar Baixo Vouga, Aveiro, Portugal
| | - H Falcão
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - M L Marques
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - R Câmara
- Serviço de Imunoalergologia, Serviço de Saúde da Região Autónoma da Madeira, Funchal, Portugal
| | - M J Cálix
- Serviço de Pediatria, Hospital de São Teotónio, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
| | - D Bordalo
- Serviço de Pediatria, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão, Portugal
| | - D Silva
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal
| | - M J Vasconcelos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal
| | - R M Fernandes
- Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.,Farmacologia Clínica e Terapêutica, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - R Ferreira
- Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.,Clínica Universitária de Pediatria, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - P Freitas
- Bloco operatório, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
| | - F Lopes
- MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal
| | - J Almeida Fonseca
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal.,MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal
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Derboghossian T, Cavaye T, Quinn S, Pinto N. Symptomatic infrarenal aortic aneurysm sac expansion 5 years post‐endovascular repair without an identifiable endoleak. Australas J Ultrasound Med 2020; 23:144-148. [DOI: 10.1002/ajum.12194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Affiliation(s)
- Teal Derboghossian
- Professor Philip Walker Vascular Laboratory Royal Brisbane & Women's Hospital Level 7 Ned Hanlon BuildingHerston Queensland Australia
| | - Thomas Cavaye
- Department of Vascular Surgery Royal Brisbane & Women's Hospital Level 3 James Mayne BuildingHerston Queensland Australia
| | - Simon Quinn
- Department of Vascular Surgery Royal Brisbane & Women's Hospital Level 3 James Mayne BuildingHerston Queensland Australia
| | - Nigel Pinto
- Department of Vascular Surgery Royal Brisbane & Women's Hospital Level 3 James Mayne BuildingHerston Queensland Australia
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McGill A, Pinto N, Zweedyck M, Jenkins J. Outcomes from our model for a nurse-led vascular renal access surveillance clinic. Indian J Vasc Endovasc Surg 2020. [DOI: 10.4103/ijves.ijves_22_20] [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: 11/04/2022] Open
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13
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Antão-Sousa S, Conde-Sousa E, Gusmão L, Amorim A, Pinto N. Underestimation and misclassification of mutations at X chromosome STRs depend on population’s allelic profile. Forensic Science International: Genetics Supplement Series 2019. [DOI: 10.1016/j.fsigss.2019.10.150] [Citation(s) in RCA: 3] [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: 11/16/2022]
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14
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Antão-Sousa S, Amorim A, Gusmão L, Pinto N. Mutation in Y STRs: Repeat motif gains vs. losses. Forensic Science International: Genetics Supplement Series 2019. [DOI: 10.1016/j.fsigss.2019.09.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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15
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Pinto N, Pizarro V, Rivera K, Schnettler C, Nasabun Flores V. PCN2 EFECTIVIDAD DE LA MAMOGRAFIA EN MUJERES MENORES DE 40 AÑOS: REVISION SISTEMATICA. Value Health Reg Issues 2019. [DOI: 10.1016/j.vhri.2019.08.070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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16
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Regateiro F, Rezende I, Pinto N, Abreu C, Carreiro-Martins P, Gomes E. Short and extended provocation tests have similar negative predictive value in non-immediate hypersensitivity to beta-lactams in children. Allergol Immunopathol (Madr) 2019; 47:477-483. [PMID: 30910271 DOI: 10.1016/j.aller.2019.01.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2018] [Revised: 01/02/2019] [Accepted: 01/04/2019] [Indexed: 10/27/2022]
Abstract
INTRODUCTION AND OBJECTIVES Drug provocation tests (DPTs) are the gold-standard method to diagnose non-immediate hypersensitivity reactions (NIHSR) to beta-lactam antibiotics (BL) in children. Our aim was to compare the negative predictive value (NPV) of one-day (short) DPT versus 3-7 days (extended) DPT for the diagnosis of NIHSR to BL in paediatric age. A secondary aim was to compare confidence on drug re-exposure after short and extended negative DPTs. METHODS The occurrence of HSR on drug re-exposure and drug refusal after negative diagnostic DPTs were evaluated in children/adolescents with a history of NIHSR to BL using a questionnaire performed six months to ten years after DPT. Patients were divided into two groups according to the protocol performed: short DPT vs. extended DPT. RESULTS We enrolled 212 children and adolescents (86 females, 126 males, mean age at DPT 5.52 years, p25=3 years, p75=7.25 years): 69 tested with short DPT, and 143 with extended DPT. The NPV of both types of DPT together was 95.2%. The NPV of short DPT was 97.5% and the NPV of extended DPT was 93.8% (p=0.419). After negative DPT, beta-lactams were refused by carers in 14.75% of the children requiring subsequent treatment, 6.98% in the short DPT group and 18.99% in the extended DPT group (p=0.074). CONCLUSIONS In our paediatric sample, prolonging drug administration did not increase the NPV of diagnostic DPT for NIHSR to BL or reduce drug refusal. Altogether, the data here reported suggest that, however intuitive, prolonging DPT is not beneficial in the parameters analysed.
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Sá I, Pinto N, Vaz Patto M. P22 Health literacy challenges in neurodegenerative diseases: apropos a case study. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz095.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- I Sá
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
| | - N Pinto
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
- Dr. Lopes Dias School of Health, Polytechnic Institute of Castelo Branco, Castelo Branco, PORTUGAL
| | - M Vaz Patto
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
- Health Sciences Research Centre (CICS), University of Beira Interior, Covilhã, PORTUGAL
- Sousa Martins Hospital, Local Healthcare Unit of Guarda, Guarda, PORTUGAL
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18
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Ferraz S, Fernandes F, Gama J, Pinto N, Vaz Patto M. O20 Memory and Geriatric Depression: how health literacy can help patients to make choices. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz093.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S Ferraz
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
| | - F Fernandes
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
| | - J Gama
- Department of Mathematics, University of Beira Interior, Covilhã, PORTUGAL
| | - N Pinto
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
- Dr. Lopes Dias School of Health, Polytechnic Institute of Castelo Branco, Castelo Branco, PORTUGAL
| | - M Vaz Patto
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
- Health Sciences Research Centre (CICS), Covilhã, PORTUGAL
- Dr. Lopes Dias School of Health, Polytechnic Institute of Castelo Branco, Castelo Branco, PORTUGAL
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Fernandes F, Ferraz S, Gama J, Pinto N, Vaz Patto M. P20 Cognitive impairment and verbal fluency: re-evaluation of the geriatric survey to Covilhã and the way health literacy limits patients choices. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz095.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- F Fernandes
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
| | - S Ferraz
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
| | - J Gama
- Department of Mathematics, University of Beira Interior, Covilhã, PORTUGAL
| | - N Pinto
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
- Dr. Lopes Dias School of Health, Polytechnic Institute of Castelo Branco, Castelo Branco, PORTUGAL
| | - M Vaz Patto
- Faculty of Health Sciences, University of Beira Interior, Covilhã, PORTUGAL
- Health Sciences Research Centre (CICS), Covilhã, PORTUGAL
- Dr. Lopes Dias School of Health, Polytechnic Institute of Castelo Branco, Castelo Branco, PORTUGAL
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20
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Ferragut JF, Pinto N, Amorim A, Picornell A. Improving publication quality and the importance of Post Publication Peer Review: The illustrating example of X chromosome analysis and calculation of forensic parameters. Forensic Sci Int Genet 2018; 38:e5-e7. [PMID: 30455113 DOI: 10.1016/j.fsigen.2018.11.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 10/22/2018] [Accepted: 11/06/2018] [Indexed: 01/17/2023]
Affiliation(s)
- J F Ferragut
- Institut Universitari d'Investigació en Ciències de la Salut (IUNICS) i Laboratori de Genètica, Departament de Biologia, Universitat de les Illes Balears, Spain.
| | - N Pinto
- IPATIMUP, Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal; I3s, Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal; CMUP, Center of Mathematics of the University of Porto, Porto, Portugal
| | - A Amorim
- IPATIMUP, Institute of Molecular Pathology and Immunology of the University of Porto, Porto, Portugal; I3s, Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal; FCUP - Faculty of Sciences of the University of Porto, Portugal
| | - A Picornell
- Institut Universitari d'Investigació en Ciències de la Salut (IUNICS) i Laboratori de Genètica, Departament de Biologia, Universitat de les Illes Balears, Spain
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21
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Pivi G, Moraes D, Silva G, Ponte J, Rodrigues R, Vieira N, Pinto N, Pato M, Gama J, Bertolucci P. Effectiveness of nutritional supplementation of nutrient components of the neural membrane in the cognition of patients with mild cognitive impairment (MCI). Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1086] [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: 11/25/2022]
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22
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McGill A, Pinto N, Jenkins J, Favot D, Ogg M, Boyne N, Quinn S, Kruger A, Rowbotham S. The predictive accuracy of the american college of surgeons national surgical quality improvement program surgical risk calculator in patients undergoing major vascular surgery. Indian J Vasc Endovasc Surg 2018. [DOI: 10.4103/ijves.ijves_18_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023] Open
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23
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Antão-Sousa S, Sánchez-Diz P, Abovich M, Alvarez J, Carvalho E, Silva C, Domingues P, Farfán M, Gutierrez A, Pontes L, Porto M, Posada Y, Restrepo T, Rodenbusch R, Santapá O, Schumacher S, Suárez D, Silva C, Vullo C, Pinto N, Gusmão L. Mutation rates and segregation data on 16 Y-STRs: An update to previous GHEP-ISFG studies. Forensic Science International: Genetics Supplement Series 2017. [DOI: 10.1016/j.fsigss.2017.10.008] [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: 10/18/2022]
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24
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Machado P, Gusmão L, Conde-Sousa E, Pinto N. The influence of the different mutation models in kinship evaluation. Forensic Science International: Genetics Supplement Series 2017. [DOI: 10.1016/j.fsigss.2017.09.093] [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: 10/18/2022]
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25
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García M, Gusmão L, Catanesi C, Penacino G, Pinto N. Mutation rate of 12 X-STRs from investigator Argus X-12 kit in Argentine population. Forensic Science International: Genetics Supplement Series 2017. [DOI: 10.1016/j.fsigss.2017.09.219] [Citation(s) in RCA: 4] [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: 11/25/2022]
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26
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Mendes R, Pinto N, Silva J, Chedier L, Scio E. The potential of the essential oil from the Brazilian spice Xylopia sericea A. St.-Hil. (Annonaceae) in the treatment of skin inflammation. Am J Transl Res 2017. [DOI: 10.1055/s-0037-1608172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- R Mendes
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - N Pinto
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - J Silva
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - L Chedier
- Department of Botany, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - E Scio
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
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Pinto N, Mendes R, Silva J, Duque Ana P, Castañon Maria C, Scio E. Antipsoriatic potential of Pereskia aculeata Miller leaves. Am J Transl Res 2017. [DOI: 10.1055/s-0037-1608173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- N Pinto
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - R Mendes
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - J Silva
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - P Duque Ana
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - C Castañon Maria
- Department of Morphology, Institute of Biological Sciences, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - E Scio
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
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Nardin S, Pinto N, Bensadoun RJ. Mise en place de l’audit patient traceur au sein d’un centre privé de radiothérapie. Cancer Radiother 2017; 21:662-664. [DOI: 10.1016/j.canrad.2017.07.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Revised: 07/25/2017] [Accepted: 07/29/2017] [Indexed: 10/18/2022]
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Conegundes J, Fernandes Maria F, Mendes R, Pinto N, Silva J, Scio E. Lacistema pubescens Mart.: A species with antinociceptive activity. Am J Transl Res 2017. [DOI: 10.1055/s-0037-1608453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- J Conegundes
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - F Fernandes Maria
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - R Mendes
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - N Pinto
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - J Silva
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
| | - E Scio
- Laboratory of Bioactive Natural Products, Department of Biochemistry, Federal University of Juiz de Fora, Juiz de Fora, Brazil
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Coble M, Buckleton J, Butler J, Egeland T, Fimmers R, Gill P, Gusmão L, Guttman B, Krawczak M, Morling N, Parson W, Pinto N, Schneider P, Sherry S, Willuweit S, Prinz M. DNA Commission of the International Society for Forensic Genetics: Recommendations on the validation of software programs performing biostatistical calculations for forensic genetics applications. Forensic Sci Int Genet 2016; 25:191-197. [DOI: 10.1016/j.fsigen.2016.09.002] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Accepted: 09/02/2016] [Indexed: 10/21/2022]
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Rezvani SJ, Gunnella R, Neilson D, Boarino L, Croin L, Aprile G, Fretto M, Rizzi P, Antonioli D, Pinto N. Effect of carrier tunneling on the structure of Si nanowires fabricated by metal assisted etching. Nanotechnology 2016; 27:345301. [PMID: 27420163 DOI: 10.1088/0957-4484/27/34/345301] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The metal assisted etching mechanism for Si nanowire fabrication, triggered by doping type and level and coupled with choice of metal catalyst, is still very poorly understood. We explain the different etching rates and porosities of wires we observe based on extensive experimental data, using a new empirical model we have developed. We establish as a key parameter, the tunneling through the space charge region (SCR) which is the result of the reduction of the SCR width by level of the Si wafer doping in the presence of the opposite biases of the p- and n-type wafers. This improved understanding should permit the fabrication of high quality wires with predesigned structural characteristics, which hitherto has not been possible.
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Affiliation(s)
- S J Rezvani
- Scuola di Scienze e Tecnologie, Sezione di Fisica, Università di Camerino, Camerino, Italy. Istituto Nazionale di Ricerca Metrologica, INRiM, Torino, Italy
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Jeon J, D'Souza R, Pinto N, Ryu C, Park J, Yong D, Lee K. Characterization and complete genome sequence analysis of two
Myoviral
bacteriophages infecting clinical carbapenem‐resistant
Acinetobacter baumannii
isolates. J Appl Microbiol 2016; 121:68-77. [DOI: 10.1111/jam.13134] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 02/16/2016] [Accepted: 03/03/2016] [Indexed: 12/25/2022]
Affiliation(s)
- J. Jeon
- Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University College of Medicine Seoul Korea
| | - R. D'Souza
- Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University College of Medicine Seoul Korea
| | - N. Pinto
- Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University College of Medicine Seoul Korea
| | - C.‐M. Ryu
- Molecular Phytobacteriology Laboratory KRIBB Daejeon Korea
- Biosystems and Bioengineering Program School of Science University of Science and Technology (UST) Daejeon Korea
| | - J. Park
- Laboratory Animal Medicine College of Veterinary Medicine Chonnam National University Gwang‐ju Korea
| | - D. Yong
- Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University College of Medicine Seoul Korea
| | - K. Lee
- Department of Laboratory Medicine and Research Institute of Bacterial Resistance Yonsei University College of Medicine Seoul Korea
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Parr JM, Pinto N, Hanson M, Meehan A, Moore PT. Medical Graduates, Tertiary Hospitals, and Burnout: A Longitudinal Cohort Study. Ochsner J 2016; 16:22-26. [PMID: 27046399 PMCID: PMC4795494] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
BACKGROUND Burnout among junior doctors can affect patient care. We conducted a longitudinal cohort study designed to explore the incidence of burnout in medical interns and to examine the changes in burnout during the course of the intern year. METHODS Interns were recruited at two tertiary hospitals in Brisbane, Australia (n=180). Participants completed surveys at four time points during their internship year. All interns (100%) completed the baseline survey during their orientation. Response rates were 85%, 88%, and 79%, respectively, at 5-week, 6-month, and 12-month follow-up. RESULTS Interns reported high levels of personal and work-related burnout throughout the year that peaked at 6 months with mean scores of 42.53 and 41.81, respectively. Increases of 5.1 points (confidence interval [CI] 2.5,7.7; P=0.0001) and 3.5 points (CI 1.3,5.6; P=0.0015) were seen at 6 months for personal and work-related burnout, respectively. The mean score for patient-related burnout at 12 months was 25.57, and this number had increased significantly by 5.8 points (CI 3.2,8.5; P<0.0001) throughout the year. Correlation with demographic variables (age, sex) were found. The total incidence of burnout was 55.9%. CONCLUSION Our study showed that burnout is a common problem among interns. The high incidence of burnout demonstrates the need for appropriate strategies to prevent adverse effects on doctors' quality of life and on the quality of care patients receive.
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Affiliation(s)
- Justin M. Parr
- School of Medicine, University of Queensland, Brisbane, Queensland, Australia
- Junior Doctor Society, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
| | - Nigel Pinto
- Resident Medical Officer Society, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Martin Hanson
- Junior Doctor Society, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
| | - Ashlea Meehan
- Resident Medical Officer Society, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Peter T. Moore
- Junior Doctor Society, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
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Gillen A, Munsterman A, Pinto N, Caldwell F, Wooldridge A, Cuming R, Hanson R. Management of apposing, full-thickness tracheal perforations in two horses. EQUINE VET EDUC 2015. [DOI: 10.1111/eve.12440] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A. Gillen
- College of Veterinary Medicine; Auburn University; JT Vaughan Large Animal Teaching Hospital; Alabama USA
| | - A. Munsterman
- College of Veterinary Medicine; Auburn University; JT Vaughan Large Animal Teaching Hospital; Alabama USA
| | - N. Pinto
- North Carolina State University - Veterinary Medicine; Raleigh USA
| | - F. Caldwell
- College of Veterinary Medicine; Auburn University; JT Vaughan Large Animal Teaching Hospital; Alabama USA
| | - A. Wooldridge
- College of Veterinary Medicine; Auburn University; JT Vaughan Large Animal Teaching Hospital; Alabama USA
| | - R. Cuming
- College of Veterinary Medicine; Auburn University; JT Vaughan Large Animal Teaching Hospital; Alabama USA
| | - R. Hanson
- College of Veterinary Medicine; Auburn University; JT Vaughan Large Animal Teaching Hospital; Alabama USA
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Bousquet J, Bourret R, Camuzat T, Augé P, Domy P, Bringer J, Best N, Jonquet O, de la Coussaye JE, Noguès M, Robine JM, Avignon A, Blain H, Combe B, Dray G, Dufour V, Fouletier M, Giraudeau N, Hève D, Jeandel C, Laffont I, Larrey D, Laune D, Laurent C, Mares P, Marion C, Pastor E, Pélissier JY, Radier-Pontal F, Reynes J, Royère E, Ychou M, Bedbrook A, Granier S, Abecassis F, Albert S, Adnet PA, Alomène B, Amouyal M, Arnavielhe S, Asteriou T, Attalin V, Aubas P, Azevedo C, Badin M, Bakhti, Baptista G, Bardy B, Battesti MP, Bénézet O, Bernard PL, Berr C, Berthe J, Bobia X, Bockaert J, Boegner C, Boichot S, Bonnin HY, Boulet P, Bouly S, Boubakri C, Bourdin A, Bourrain JL, Bourrel G, Bouix V, Breuker C, Bruguière V, Burille J, Cade S, Caimmi D, Calmels MV, Camu W, Canovas G, Carre V, Cavalli G, Cayla G, Chiron R, Claret PG, Coignard P, Coroian F, Costa DJ, Costa P, Cottalorda, Coulet B, Coupet AL, Courrouy-Michel MC, Courtet P, Cristol JP, Cros V, Cuisinier F, Daien C, Danko M, Dauenhauer P, Dauzat M, David M, Davy JM, Delignières D, Demoly P, Desplan J, Dhivert-Donnadieu H, Dujols P, Dupeyron A, Dupeyron G, Engberink O, Enjalbert M, Fattal C, Fernandes J, Fesler P, Fraisse P, Froger J, Gabrion P, Galano E, Gellerat-Rogier M, Gellis A, Goucham AY, Gouzi F, Gressard F, Gris JC, Guillot B, Guiraud D, Handweiler V, Hantkié H, Hayot M, Hérisson C, Heroum C, Hoa D, Jacquemin S, Jaber S, Jakovenko D, Jorgensen C, Journot L, Kaczorek M, Kouyoudjian P, Labauge P, Landreau L, Lapierre M, Leblond C, Léglise MS, Lemaitre JM, Le Moing V, Le Quellec A, Leclercq F, Lehmann S, Lognos B, Lussert JM, Makinson A, Mandrick K, Marmelat V, Martin-Gousset P, Matheron A, Mathieu G, Meissonnier M, Mercier G, Messner P, Meunier C, Mondain M, Morales R, Morel J, Morquin D, Mottet D, Nérin P, Nicolas P, Ninot G, Nouvel F, Ortiz JP, Paccard D, Pandraud G, Pasdelou MP, Pasquié JL, Patte K, Perrey S, Pers YM, Picot MC, Pin JP, Pinto N, Porte E, Portejoie F, Pujol JL, Quantin X, Quéré I, Raffort N, Ramdani S, Ribstein J, Rédini-Martinez I, Richard S, Ritchie K, Riso JP, Rivier F, Rolland C, Roubille F, Sablot D, Savy JL, Schifano L, Senesse P, Sicard R, Soua B, Stephan Y, Strubel D, Sultan A, Taddei-Ologeanu, Tallon G, Tanfin M, Tassery H, Tavares I, Torre K, Touchon J, Tribout V, Uziel A, Van de Perre P, Vasquez X, Verdier JM, Vergne-Richard C, Vergotte G, Vian L, Viarouge-Reunier C, Vialla F, Viart F, Villain M, Villiet M, Viollet E, Wojtusciszyn A, Aoustin M, Bourquin C, Mercier J. Introduction. Presse Med 2015; 44 Suppl 1:S1-5. [DOI: 10.1016/j.lpm.2015.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Blain H, Léglise MS, Bernard PL, Dupeyron A, Pastor E, Strubel D, Akbaraly T, Abecassis F, Adnet PA, Alomène B, Amouyal M, Bardy B, Battesti MP, Baptista G, Boubakri C, Burille J, Calmels MV, Canovas G, Combe B, Delignières D, Dupeyron G, Engberink O, Gressard F, Heve D, Jakovenko D, Jeandel C, Lapierre M, Laffont I, Laurent C, Lognos B, Lussert JM, Mandrick K, Marmelat V, Martin-Gousset P, Matheron A, Mercier G, Meunier C, Morel J, Ninot G, Nouvel F, Pasdelou MP, Pélissier JY, Perrey S, Picot MC, Pinto N, Raffort N, Ramdani S, Radier-Pontal F, Royère E, Rédini-Martinez I, Robine JM, Roux E, Savy JL, Stephan Y, Tallon G, Torre K, Verdier JM, Vergotte G, Viollet E, Bedbrook A, Granier S, Camuzat T, Bourret R, Jonquet O, de la Coussaye JE, Noguès M, Aoustin M, Domy P, Bringer J, Mercier J, Bousquet J. [Living Lab MACVIA-LR. Equilibrium and the prevention of falls]. Presse Med 2015; 44 Suppl 1:S23-30. [PMID: 26482487 DOI: 10.1016/j.lpm.2015.07.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- H Blain
- CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France; Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France.
| | - M-S Léglise
- CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France
| | - P-L Bernard
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France; Université de Montpellier, UFR-Staps, 34090 Montpellier, France
| | - A Dupeyron
- CHRU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France
| | - E Pastor
- Conseil régional de l'Ordre des masseurs kinésithérapeutes, Maison des professions libérales, 34000 Montpellier, France; L'ETAPE, pôle autonomie santé, CCAS de Lattes, 34970 Lattes, France
| | - D Strubel
- CHRU de Nîmes, département de gériatrie, 30029 Nîmes, France
| | - T Akbaraly
- CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France
| | - F Abecassis
- Fédération pharmaceutique méditerranéenne (FEDMED), 34320 Roujan, France
| | - P-A Adnet
- CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France
| | - B Alomène
- CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France
| | - M Amouyal
- Faculté de médecine de Montpellier, département de médecine générale, 34090 Montpellier, France
| | - B Bardy
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France
| | - M-P Battesti
- Agence régionale de santé, 34000 Montpellier, France
| | - G Baptista
- CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France
| | - C Boubakri
- CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France
| | - J Burille
- Société publique locale d'exploitation de Balaruc-les-Bains, 34540 Ballaruc les Bains, France
| | - M-V Calmels
- Centre communal d'action sociale, 34990 Juvignac, France
| | | | - B Combe
- CHRU de Montpellier, département de rhumatologie, 34090 Montpellier, France
| | - D Delignières
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France
| | - G Dupeyron
- CHRU de Nîmes, ARAMAV (Association réinsertion aveugles malvoyants), département d'ophtalmologie, 30029 Nîmes, France
| | - O Engberink
- Université Montpellier, EA4556 Epsylon, 34090 Montpellier, France
| | - F Gressard
- L'ETAPE, pôle autonomie santé, CCAS de Lattes, 34970 Lattes, France
| | - D Heve
- Agence régionale de santé, 34000 Montpellier, France
| | - D Jakovenko
- Union régionale des professions de soins infirmiers libéraux du Languedoc-Roussillon, Maison des professions libérales, 34000 Montpellier, France
| | - C Jeandel
- CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France
| | - M Lapierre
- CHRU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France
| | - I Laffont
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France; CHRU de Montpellier, département de médecine physique et de réadaptation, 34090 Montpellier, France
| | - C Laurent
- I2ML, Fondation Institut méditerranéen des métiers de la longévité, 30000 Nîmes, France
| | - B Lognos
- Faculté de médecine de Montpellier, département de médecine générale, 34090 Montpellier, France; Union départementale des professions de soins médecins libéraux, 34000 Montpellier, France
| | - J-M Lussert
- Centre communal d'action sociale (CCAS), 34730 Prades-Le-Lez, France
| | - K Mandrick
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France
| | - V Marmelat
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France
| | - P Martin-Gousset
- L'ETAPE, pôle autonomie santé, CCAS de Lattes, 34970 Lattes, France
| | - A Matheron
- Centre communal d'action sociale (CCAS), 34730 Prades-Le-Lez, France
| | - G Mercier
- CHRU de Montpellier, département de l'information médicale, unité médico-économie, 34090 Montpellier, France
| | - C Meunier
- L'ETAPE, pôle autonomie santé, CCAS de Lattes, 34970 Lattes, France; Agglomération de Montpellier, 34970 Lattes, France
| | - J Morel
- CHRU de Montpellier, département de rhumatologie, 34090 Montpellier, France
| | - G Ninot
- Université Montpellier, EA4556 Epsylon, 34090 Montpellier, France
| | - F Nouvel
- CHRU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France; Association française des ergothérapeutes français, 34160 Boisseron, France; CHRU de Nîmes, clinique du positionnement et de la mobilité, 30029 Nîmes, France
| | - M-P Pasdelou
- Centre communal d'action sociale, 34990 Juvignac, France
| | - J-Y Pélissier
- CHRU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France
| | - S Perrey
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France
| | - M-C Picot
- CHRU de Montpellier, département de santé publique, 34090 Montpellier, France
| | - N Pinto
- Caisse assurance retraite et santé au travail Languedoc-Roussillon (CARSAT-LR), 34000 Montpellier, France
| | - N Raffort
- Société publique locale d'exploitation de Balaruc-les-Bains, 34540 Ballaruc les Bains, France
| | - S Ramdani
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France
| | - F Radier-Pontal
- Conseil départemental de l'Ordre des pharmaciens, Maison des professions libérales, 34000 Montpellier, France
| | - E Royère
- Pôle de compétitivité Eurobiomed PAC-Languedoc-Roussillon, 34000 Marseille, France
| | | | - J-M Robine
- Inserm U 988, 75006 Paris, France; Inserm U 710, 34095 Montpellier cedex 05, France; École pratique des Hautes Études (EPHE), 75014 Paris, France
| | - E Roux
- Groupe des infirmières libérales, 30460 Lasalle, France
| | - J-L Savy
- Centre communal d'action sociale, 34990 Juvignac, France
| | - Y Stephan
- Université Montpellier, EA4556 Epsylon, 34090 Montpellier, France
| | - G Tallon
- CHRU de Montpellier, département de gériatrie, 34090 Montpellier, France
| | - K Torre
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France
| | - J-M Verdier
- Université Montpellier, EA4556 Epsylon, 34090 Montpellier, France; EPHE, Section des sciences de la vie et de la terre, 75014 Paris, France; Université Montpellier, UMR S 710, 34095 Montpellier cedex 05, France; Institut transdisciplinaire d'études du vieillissement, 34095 Montpellier cedex 05, France
| | - G Vergotte
- Université de Montpellier, EA 2991 Movement To Health, Euromov, 34090 Montpellier, France
| | - E Viollet
- CHRU de Nîmes, hôpital Carémeau et du Grau du Roi, département de médecine physique et de réadaptation, 30029 Nîmes, France
| | - A Bedbrook
- BJ2. MACVIA-LR, contre les maladies chroniques pour un vieillissement actif en Languedoc-Roussillon, 34000 Montpellier, France
| | | | - T Camuzat
- Région Languedoc-Roussillon, 34000 Montpellier, France
| | - R Bourret
- CHRU de Montpellier, 34090 Montpellier, France
| | - O Jonquet
- CHRU de Montpellier, Commission médicale d'établissement, 34090 Montpellier, France
| | | | - M Noguès
- Caisse assurance retraite et santé au travail Languedoc-Roussillon (CARSAT-LR), 34000 Montpellier, France
| | - M Aoustin
- Agence régionale de santé, 34000 Montpellier, France
| | - P Domy
- CHRU de Montpellier, 34090 Montpellier, France
| | - J Bringer
- Montpellier-Nîmes, faculté de médecine, 34090 Montpellier, France
| | - J Mercier
- Université Montpellier 1, 34090 Montpellier, France
| | - J Bousquet
- BJ2. MACVIA-LR, contre les maladies chroniques pour un vieillissement actif en Languedoc-Roussillon, 34000 Montpellier, France; CHRU de Montpellier, 34090 Montpellier, France
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Noguès M, Jeandel C, Touchon J, Pinto N, Blain H, Léglise M, Paccard D, Bruguière V, Coupet AL, Marchand D, Coste O, Compas B, Perrot M, Cholley D, Bourret R, Mercier J, Camuzat T, Michel JP, Bousquet J, Marc M, Reuzeau JC. [Living Lab MACVIA-LR. Frailty]. Presse Med 2015; 44 Suppl 1:S36-46. [PMID: 26476756 DOI: 10.1016/j.lpm.2015.07.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Affiliation(s)
- M Noguès
- Institut régional du vieillissement, Carsat Languedoc-Roussillon, 34000 Montpellier, France
| | - C Jeandel
- CHU, 34000 Montpellier, France; Université Montpellier I, 34000 Montpellier, France
| | - J Touchon
- Université Montpellier I, 34000 Montpellier, France; Inserm U1061, neuropsychiatrie : recherche épidémiologique et clinique, 34000 Montpellier, France
| | - N Pinto
- Institut régional du vieillissement, Carsat Languedoc-Roussillon, 34000 Montpellier, France
| | - H Blain
- CHU, 34000 Montpellier, France; Université Montpellier I, 34000 Montpellier, France
| | | | - D Paccard
- Institut régional du vieillissement, Carsat Languedoc-Roussillon, 34000 Montpellier, France
| | - V Bruguière
- Institut régional du vieillissement, Carsat Languedoc-Roussillon, 34000 Montpellier, France
| | - A-L Coupet
- Institut régional du vieillissement, Carsat Languedoc-Roussillon, 34000 Montpellier, France
| | - D Marchand
- Agence régionale de santé Languedoc-Roussillon (ARS), 34000 Montpellier, France
| | - O Coste
- Directions régionales de la jeunesse, des sports et de la cohésion sociale (DRJSCS), 34000 Montpellier, France
| | - B Compas
- Conseil régional Languedoc-Roussillon, 34000 Montpellier, France
| | - M Perrot
- Régime social des indépendants (RSI), 34000 Montpellier, France
| | - D Cholley
- Direction régionale du service médical (DRSM), 34000 Montpellier, France
| | | | - J Mercier
- Institut régional du vieillissement, Carsat Languedoc-Roussillon, 34000 Montpellier, France; Université Montpellier I, 34000 Montpellier, France; Inserm U1046, physiologie et médecine expérimentale, cœur et muscles, université Montpellier I et II, 34000 Montpellier, France
| | - T Camuzat
- Conseil régional Languedoc-Roussillon, 34000 Montpellier, France
| | - J-P Michel
- Université de Genève, European Union Geriatric Medicine Society (EUGMS), Genève, Suisse
| | | | - M Marc
- Institut régional du vieillissement, Carsat Languedoc-Roussillon, 34000 Montpellier, France
| | - J-C Reuzeau
- Institut régional du vieillissement, Carsat Languedoc-Roussillon, 34000 Montpellier, France
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Blain H, Abecassis F, Adnet P, Alomène B, Amouyal M, Bardy B, Battesti M, Baptista G, Bernard P, Berthe J, Boubakri C, Burille J, Calmels M, Combe B, Delignières D, Dupeyron A, Dupeyron G, Engberink O, Gressard F, Hève D, Jakovenko D, Jeandel C, Lapierre M, Léglise M, Laffont I, Laurent C, Lognos B, Lussert J, Mandrick K, Marmelat V, Martin-Gousset P, Matheron A, Mercier G, Meunier C, Morel J, Ninot G, Nouvel F, Ortiz J, Pasdelou M, Pastor E, Pélissier J, Perrey S, Picot M, Pinto N, Ramdani S, Radier-Pontal F, Royère E, Rédini-Martinez I, Robine J, Roux E, Savy J, Stephan Y, Strubel D, Tallon G, Torre K, Verdier J, Vergotte G, Viollet E, Albinet C, Ankri J, Annweiler C, Benetos A, Beauchet O, Berrut G, Dargent P, Decker L, Hanon O, Joël M, Nourashemi F, Puisieux F, Rolland Y, Ruault G, Vellas B, Vuillemin A, Becker C, Holand N, Michel J, Strandberg T, Bedbrook A, Granier S, Camuzat T, Bourret R, Best N, Jonquet O, de la Coussaye J, Mercier J, Noguès M, Aoustin M, Domy P, Bringer J, Augé P, Bourquin C, Bousquet J. Living Lab Falls-MACVIA-LR: The falls prevention initiative of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) in Languedoc-Roussillon. Eur Geriatr Med 2014. [DOI: 10.1016/j.eurger.2014.07.010] [Citation(s) in RCA: 23] [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] [Indexed: 01/21/2023]
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Bousquet J, Bourquin C, Augé P, Domy P, Bringer J, Aoustin M, Camuzat T, Bourret R, Best N, Jonquet O, de la Coussaye J, Robine J, Avignon A, Blain H, Giraudeau N, Hève D, Jeandel C, Laffont I, Larrey D, Laurent C, Noguès M, Pélissier J, Radier-Pontal F, Royère E, Bedbrook A, Granier S, Abecassis F, Albert S, Adnet P, Alomène B, Amouyal M, Arnavieilhe S, Attalin V, Aubas P, Badin M, Baptista G, Bardy B, Battesti M, Bénézet O, Bernard P, Berr C, Berthe J, Bockaert J, Boubakri C, Bourdin A, Bourrain J, Bourrel G, Bouix V, Burille J, Cade S, Caimmi D, Calmels M, Camu W, Cavalli G, Cayla G, Chiron R, Combe B, Costa D, Costa P, Courrouy-Michel M, Courtet P, Cristol J, Cuisinier F, Daien C, Danko M, Dauenhauer P, Dauzat M, David M, Davy J, Delignières D, Demoly P, Dhivert-Donnadieu H, Dray G, Dujols P, Dupeyron A, Dupeyron G, Engberink O, Fesler P, Gellerat-Rogier M, Gouzi F, Gressard F, Hoa D, Jacquemin S, Gris J, Guillot B, Handweiler V, Hayot M, Jaber S, Jakovenko D, Jorgensen C, Journot L, Kaczorek M, Lapierre M, Laune D, Léglise M, Le Quellec A, Leclerc F, Lehmann S, Lognos B, Lussert J, Mandrick K, Marmelat V, Martin-Gousset P, Matheron A, Mathieu G, Mercier G, Messner P, Meunier C, Mondain M, Morel J, Morquin D, Nérin P, Ninot G, Nouvel F, Ortiz J, Pandraud G, Pasdelou M, Pasquié J, Pastor E, Perrey S, Pers Y, Picot M, Pin J, Pinto N, Portejoie F, Pujol J, Quantin X, Quéré I, Raffort N, Ramdani S, Reynes J, Ribstein J, Rédini-Martinez I, Richard S, Ritchie K, Rolland C, Roubille F, Roux E, Salvat A, Savy J, Stephan Y, Strubel D, Sultan A, Tallon G, Tassery H, Torre K, Uziel A, Van de Perre P, Vasquez X, Verdier J, Vergotte G, Vian L, Viarouge-Reunier C, Vialla F, Viart F, Villain M, Viollet E, Ankri J, Berrut G, Crooks G, Joël M, Michel J, Samolinski B, Strandberg T, Vellas B, Mercier J. MACVIA-LR, Reference site of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) in Languedoc Roussillon. Eur Geriatr Med 2014. [DOI: 10.1016/j.eurger.2014.07.013] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Rezvani SJ, Pinto N, Boarino L, Celegato F, Favre L, Berbezier I. Diffusion induced effects on geometry of Ge nanowires. Nanoscale 2014; 6:7469-7473. [PMID: 24881677 DOI: 10.1039/c4nr01084a] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
We report diffusion induced germanium nanowire growth and its dependence on the Ge evaporation flux. The wires show a growth rate (dL/dt) in agreement with the previously reported models, but detection of anomalies in the grown wires may indicate the prevalence of the direct Ge impinging effect on large diameter wires. Additionally, we demonstrate that change in deposition flux could directly affect the diffusion length of the Ge adatoms on the wire sidewalls. This in turn modifies the geometry of the grown wires by introducing a lateral growth starting from the base of the wire. A detailed understanding of the deposition flux effect on the growth and geometry of wires will result in improved knowledge of physical properties of wires.
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Affiliation(s)
- S J Rezvani
- School of Science and Technology, University of Camerino, I-62032 Camerino, Italy.
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Mesa L, Valderrama M, Pinto N, Arrunategui A, Manzi E, Duran C, Schweineberg J, Posada J, Echeverri G, Villegas J, Caicedo L. Kidney Transplant Survival After BK Virus Associated Nephropathy and BK Virus Associated Nephropathy and Acute Rejection. Transplantation 2014. [DOI: 10.1097/00007890-201407151-01884] [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: 11/25/2022]
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Pinto N, Silva A, Festas M, Pereira F. Understanding botulinum toxin type A action in obstetric brachial plexus injury. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Pinto N, Pimentel S, lopes I, Barroso J. Un cas unique de spasme du muscle temporal pendant le travail. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.1338] [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: 11/25/2022]
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Pinto N, Pimentel S, Lopes I, Barroso J. An unique case of temporalis muscle spasm during labour. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.1326] [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: 11/25/2022]
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Abstract
BACKGROUND the aim of the study was to analyze all-cause mortality and predictors of long-term survival after myocardial revascularization for ischemic cardiomyopathy. METHOD data of 101 patients (mean age, 63.86 years; age range, 30-85 years; 92% male), operated on with stable coronary artery disease and left ventricular ejection fraction <30% between April 2000 and June 2010, were analyzed. RESULTS operative mortality was 1.9% (2/101). There was a significant improvement in left ventricular ejection fraction from 25.99% ± 3.8% preoperatively to 34% ± 12% postoperatively (p <0.0001). The mean duration of follow-up was 56.3 ± 33 months, and it was 97% complete (98/101). There were 18/96 (18.75%) late deaths. Overall actuarial survival at 1, 3, 5, and 10 years was 96%, 89%, 83% and 75%, respectively. Univariate predictors of late death were preoperative arrhythmia, cerebrovascular disease, peripheral vascular disease, and logistic EuroSCORE. Multivariate predictors of late death were cerebrovascular disease and preoperative arrhythmia. CONCLUSION our study suggests that myocardial revascularization for ischemic cardiomyopathy improves left ventricular ejection fraction and is associated with favorable long-term survival. Patients with cerebrovascular disease and preoperative arrhythmias had poorer outcomes.
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Affiliation(s)
- Nigel Pinto
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
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Pereira V, Tomas C, Pietroni C, Andersen J, Fordyce S, Pinto N, Mikkelsen M, Børsting C, Amorim A, Gusmão L, Prata M, Morling N. Assessing the potential application of X-chromosomal haploblocks in population genetics and forensic studies. Forensic Science International: Genetics Supplement Series 2013. [DOI: 10.1016/j.fsigss.2013.10.004] [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: 11/27/2022]
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Pautier P, Floquet A, Gladieff L, Bompas E, Ray-Coquard I, Piperno-Neumann S, Selle F, Guillemet C, Weber B, Largillier R, Bertucci F, Opinel P, Duffaud F, Reynaud-Bougnoux A, Delcambre C, Isambert N, Kerbrat P, Netter-Pinon G, Pinto N, Duvillard P, Haie-Meder C, Lhommé C, Rey A. A randomized clinical trial of adjuvant chemotherapy with doxorubicin, ifosfamide, and cisplatin followed by radiotherapy versus radiotherapy alone in patients with localized uterine sarcomas (SARCGYN study). A study of the French Sarcoma Group. Ann Oncol 2012; 24:1099-104. [PMID: 23139262 DOI: 10.1093/annonc/mds545] [Citation(s) in RCA: 88] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND There is no proven benefit of adjuvant treatment of uterine sarcoma (US). SARCGYN phase III study compared adjuvant polychemotherapy followed by pelvic radiotherapy (RT) (arm A) versus RT alone (arm B) conducted to detect an increase ≥ 20% of 3-year PFS. METHODS Patients with FIGO stage ≤ III US, physiological age ≤ 65 years; chemotherapy: four cycles of doxorubicin 50 mg/m² d1, ifosfamide 3 g/m²/day d1-2, cisplatin 75 mg/m² d3, (API) + G-CSF q 3 weeks. Study was stopped because of lack of recruitment. RESULTS Eighty-one patients were included: 39 in arm A and 42 in arm B; 52 stage I, 16 stage II, 13 stage III; 53 leiomyosarcomas, 9 undifferenciated sarcomas, 19 carcinosarcomas. Gr 3-4 toxicity during API (/37 patients): thrombopenia (76%), febrile neutropenia (22%) with two toxic deaths; renal gr 3 (1 patient). After a median follow-up of 4.3 years, 41/81 patients recurred, 15 in arm A, 26 in arm B. The 3 years DFS is 55% in arm A, 41% in arm B (P = 0.048). The 3-year overall survival (OS) is 81% in arm A and 69% in arm B (P = 0.41). CONCLUSION API adjuvant CT statistically increases the 3 year-DFS of patients with US.
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Affiliation(s)
- P Pautier
- Department of Medical Oncology, Institut Gustave-Roussy, Villejuif, Cedex, France.
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Pinto N, Shah P, Haluska B, Griffin R, Holliday J, Mundy J. Return to work after coronary artery bypass in patients aged under 50 years. Asian Cardiovasc Thorac Ann 2012; 20:387-91. [DOI: 10.1177/0218492312437881] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: This study was designed to identify factors associated with return to work and quality of life in patients undergoing primary coronary artery bypass at age <50 years. Methods: 172 patients <50-years old underwent primary coronary artery bypass between January 2000 and December 2006. Predictors of return to work were analysed from variables in a prospectively collected database and on follow-up by the SF-36 questionnaire in 129 (75%) patients. Results: 136 (79%) patients were working prior to surgery. The educational level was: primary 14.5%, secondary 47%, trade 22%, tertiary 13%, and postgraduate 3%. Type of occupation was blue collar 51%, white collar 41%, pensioner 27%, and unspecfied 8%. The mean follow-up was 86.4 ± 23.4 months. One hundred and twenty-six (69%) patients attended cardiac rehabilitation. Forty (23%) patients experienced recurrence of symptoms; 11 (6%) required reintervention. One hundred and twenty-seven (93%) patients returned to work postoperatively. Univariate predictors of return to work were male sex, blue-collar work, and working prior to surgery. Independent predictors of return to work were working prior to surgery and blue-collar work. Patients who returned to work had significantly higher scores in all 8 domains on the SF36-Questionnaire compared to those who did not return to work. Conclusions: Preoperative employment and blue collar occupation were associated with a higher rate of return to work after coronary artery bypass in patients of working age. Patients who returned to work had significantly better measured quality of life than those who did not.
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Affiliation(s)
- Nigel Pinto
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
| | - Pallav Shah
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
| | - Brian Haluska
- Department of Medicine, University of Queensland, Brisbane, Australia
| | - Rayleene Griffin
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
| | - Julie Holliday
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
| | - Julie Mundy
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
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Yeates A, Hawley C, Mundy J, Pinto N, Haluska B, Shah P. Treatment outcomes for ischemic heart disease in dialysis-dependent patients. Asian Cardiovasc Thorac Ann 2012; 20:281-91. [DOI: 10.1177/0218492312437383] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: To compare outcomes following intervention in dialysis-dependent patients with ischemic heart disease. Background: Ischemic heart disease is a major cause of mortality in dialysis-dependent patients. Coronary revascularization and medical modification to relieve symptoms is common, however, there is no clear consensus regarding optimal treatment. Method: Ninety dialysis-dependent patients with ischemic heart disease were prospectively assessed between 1999 and 2009, with a median follow-up of 24 months; 35 received best medical management, 31 had percutaneous coronary angioplasty and stenting, and 24 had coronary artery bypass grafting. Results: By multivariate analysis, higher body mass index and lower logistic EuroSCORE were associated with having either procedure compared to medical management. Using the time-to-event Kaplan-Meier method, both stenting and coronary bypass grafting had lower risks of an adverse outcome than best medical management. Mortality was 40/90 (44.4%). Multivariate predictors of mortality were smoking and a logistic EuroSCORE of 7–14. Overall mortality was not different among groups, however, the stent group had a survival advantage at 30-days and 1-year compared to the coronary bypass group. Composite median survival was 52.3 months. SF-36 questionnaires showed quality of life after bypass grafting was significantly better than medical management or stenting. Physical function was better after bypass grafting compared to medical management or stenting. Conclusion: Dialysis-dependent patients with ischemic heart disease have poor survival despite intervention. Coronary artery bypass achieves fewer composite adverse events and better quality of life than stenting. Symptoms and coronary anatomy should dictate treatment decisions in dialysis-dependent patients.
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Affiliation(s)
- Alexander Yeates
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
| | - Carmel Hawley
- Department of Renal Medicine, Princess Alexandra Hospital, Brisbane, Australia
| | - Julie Mundy
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
| | - Nigel Pinto
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
| | - Brian Haluska
- Department of Medicine, University of Queensland, Brisbane, Australia
| | - Pallav Shah
- Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Brisbane, Australia
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