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Sabbagh C, Beyer-Berjot L, Ouaissi M, Zerbib P, Bridoux V, Manceau G, Karoui M, Panis Y, Buscail E, Venara A, Khaoudy I, Gaillard M, Ortega-Deballon P, Viennet M, Thobie A, Menahem B, Eveno C, Bonnel C, Mabrut JY, Badic B, Godet C, Eid Y, Duchalais E, Lakkis Z, Cotte E, Laforest A, Defourneaux V, Maggiorri L, Rebibo L, Christou N, Talal A, Mege D, Bonnamy C, Germain A, Mauvais F, Tresallet C, Ahmed O, Regimbeau JM, Roudie J, Laurent A, Trilling B, Bertrand M, Massalou D, Romain B, Tranchart H, Giger U, Dejardin O, Pellegrin A, Alves A. Risk factors for severe morbidity and definitive stoma after elective surgery for sigmoid diverticulitis: a multicenter national cohort study. Tech Coloproctol 2024; 28:34. [PMID: 38369674 DOI: 10.1007/s10151-023-02906-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 12/18/2023] [Indexed: 02/20/2024]
Abstract
BACKGROUND In the decision to perform elective surgery, it is of great interest to have data about the outcomes of surgery to individualize patients who could safely undergo sigmoid resection. The aim of this study was to provide information on the outcomes of elective sigmoid resection for sigmoid diverticular disease (SDD) at a national level. METHODS All consecutive patients who had elective surgery for SDD (2010-2021) were included in this retrospective, multicenter, cohort study. Patients were identified from institutional review board-approved databases in French member centers of the French Surgical Association. The endpoints of the study were the early and the long-term postoperative outcomes and an evaluation of the risk factors for 90-day severe postoperative morbidity and a definitive stoma after an elective sigmoidectomy for SDD. RESULTS In total, 4617 patients were included. The median [IQR] age was 61 [18.0;100] years, the mean ± SD body mass index (BMI) was 26.8 ± 4 kg/m2, and 2310 (50%) were men. The indications for surgery were complicated diverticulitis in 50% and smoldering diverticulitis in 47.4%. The procedures were performed laparoscopically for 88% and with an anastomosis for 83.8%. The severe complication rate on postoperative day 90 was 11.7%, with a risk of anastomotic leakage of 4.7%. The independent risk factors in multivariate analysis were an American Society of Anesthesiologists (ASA) score ≥ 3, an open approach, and perioperative blood transfusion. Age, perioperative blood transfusion, and Hartmann's procedure were the three independent risk factors for a permanent stoma. CONCLUSIONS This series provides a real-life picture of elective sigmoidectomy for SDD at a national level. TRIAL REGISTRATION Comité National Information et Liberté (CNIL) (n°920361).
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Affiliation(s)
- C Sabbagh
- Department of Digestive Surgery Service, Amiens University Hospital, Rond Point du Pr Cabrol, 80054, Amiens Cedex 01, France.
| | - L Beyer-Berjot
- Department of Digestive Surgery Assistance Publique Hôpitaux de Marseille, North University Hospital, Marseille, France
| | - M Ouaissi
- Department of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, Tours, France
| | - P Zerbib
- Department of Digestive Surgery and Transplantation, Huriez Hospital, Universite Lille Nord de France, Lille, France
| | - V Bridoux
- Department of Digestive Surgery, University Hospital of Rouen, Rouen, France
| | - G Manceau
- Department of Surgery, European Georges Pompidou Hospital, AP-HP, Paris, France
| | - M Karoui
- Department of Surgery, European Georges Pompidou Hospital, AP-HP, Paris, France
| | - Y Panis
- Colorectal Surgery Center, Groupe Hospitalier Privé Ambroise Paré-Hartmann, Neuilly, France
| | - E Buscail
- Department of Surgery, CHU Toulouse-Rangueil and Toulouse University, Toulouse, France
| | - A Venara
- Department of Digestive Surgery, University Hospital of Angers, Angers, France
| | - I Khaoudy
- Department of Digestive Surgery, Le Havre Hospital, Le Havre, France
| | - M Gaillard
- Department of Digestive Surgery, Cochin Hospital, Paris, France
| | - P Ortega-Deballon
- Department of General Surgery, University Hospital of Bocage, Dijon, France
| | - M Viennet
- Department of General Surgery, University Hospital of Bocage, Dijon, France
| | - A Thobie
- Department of Digestive Surgery, Avranches-Granville Hospital, Avranches, France
| | - B Menahem
- Department of Digestive Surgery, University Hospital of Caen, Caen, France
| | - C Eveno
- Department of Digestive Surgery, University Hospital of Lille, Lille, France
| | - C Bonnel
- Department of Digestive Surgery, Nord-Essonne Hospital, Longjumeau, France
| | - J-Y Mabrut
- Department of Digestive Surgery and Transplantation, Croix Rousse University Hospital, Lyon, France
| | - B Badic
- Department of General and Digestive Surgery, University Hospital, Brest, France
| | - C Godet
- Department of Digestive Surgery, Memorial Hospital of Saint-Lô, Saint-Lô, France
| | - Y Eid
- Department of Digestive Surgery, Robert Bisson Hospital, Lisieux, France
| | - E Duchalais
- Department of Oncological, Digestive and Endocrine Surgery, University Hospital of Nantes, Nantes, France
| | - Z Lakkis
- Department of Digestive Surgical Oncology and Liver Transplantation, University Hospital of Besançon, Besançon, France
| | - E Cotte
- Department of Digestive Surgery, Hôpital Lyon Sud, Lyon, France
| | - A Laforest
- Department of Digestive Surgery, Montsouris Institut, Paris, France
| | - V Defourneaux
- Department of Digestive Surgery, CHU Rennes, Rennes, France
| | - L Maggiorri
- Department of Digestive Surgery, Hôpital Saint-Louis, Université Paris VII, APHP, Paris, France
| | - L Rebibo
- Department of Digestive, Oesogastric and Bariatric Surgery, Hôpital Bichat-Claude-Bernard, Paris, France
| | - N Christou
- Department of Digestive Surgery, Limoges Hospital, Limoges, France
| | - A Talal
- Department of Digestive Surgery, Argentan Hospital, Argentan, France
| | - D Mege
- Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, Marseille, France
| | - C Bonnamy
- Department of Digestive Surgery, Bayeux Hospital, Bayeux, France
| | - A Germain
- Department of Digestive Surgery, CHRU Nancy, Nancy, France
| | - F Mauvais
- Department of Digestive Surgery, Beauvais Hospital, Beauvais, France
| | - C Tresallet
- Department of Digestive Surgical Oncology, Avicenne University Hospital, Paris, France
| | - O Ahmed
- Department of Digestive Surgical Oncology, Avicenne University Hospital, Paris, France
| | - J-M Regimbeau
- Department of Digestive Surgery Service, Amiens University Hospital, Rond Point du Pr Cabrol, 80054, Amiens Cedex 01, France
| | - J Roudie
- Department of Digestive Surgery, Martinique Hospital, Fort-de-France, France
| | - A Laurent
- Department of Digestive Surgery, Créteil Hospital, Créteil, France
| | - B Trilling
- Department of Digestive and Emergency Surgery, Grenoble Alpes University Hospital, Grenoble, France
| | - M Bertrand
- Department of Digestive Surgery, Universitary Hospital of Nîmes, Nîmes, France
| | - D Massalou
- Department of Digestive Surgery, Hôpital L'Archet, Nice University, Nice, France
| | - B Romain
- Department of General and Digestive Surgery, Hautepierre Hospital, Strasbourg University Hospital, Strasbourg, France
| | - H Tranchart
- Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, Clamart, France
| | - U Giger
- ANTICIPE, Inserm Unity, UMR 1086, Caen, France
| | - O Dejardin
- ANTICIPE, Inserm Unity, UMR 1086, Caen, France
- Department of Clinical Research, University Hospital of Caen, Caen, France
| | - A Pellegrin
- Department of Digestive Surgery Service, Amiens University Hospital, Rond Point du Pr Cabrol, 80054, Amiens Cedex 01, France
| | - A Alves
- Department of Digestive Surgery, University Hospital of Caen, Caen, France
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Paixão C, Alves A, Grave AS, Ferreira PG, Brooks D, Marques A. Chester step test to identify functional impairment in interstitial lung disease. Pulmonology 2023:S2531-0437(23)00158-7. [PMID: 37743173 DOI: 10.1016/j.pulmoe.2023.08.002] [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: 06/08/2023] [Revised: 07/23/2023] [Accepted: 08/28/2023] [Indexed: 09/26/2023] Open
Affiliation(s)
- C Paixão
- Respiratory Research and Rehabilitation Laboratory (Lab3R), School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; iBiMED - Institute of Biomedicine, Department of Medical Sciences, University Aveiro, Aveiro, Portugal
| | - A Alves
- REMEO Home Department, Linde Healthcare, Porto, Portugal
| | - A S Grave
- Respiratory Research and Rehabilitation Laboratory (Lab3R), School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; iBiMED - Institute of Biomedicine, Department of Medical Sciences, University Aveiro, Aveiro, Portugal
| | - P G Ferreira
- ILD Outpatient Clinic, Pulmonology Department - Centro Hospitalar Universitário de Coimbra (CHUC), Coimbra, Portugal; Faculty of Medicine of University of Coimbra (FMUC), Coimbra, Portugal
| | - D Brooks
- School of Rehabilitation Science, McMaster University, Hamilton, Canada; West Park Healthcare Centre, Toronto, Canada
| | - A Marques
- Respiratory Research and Rehabilitation Laboratory (Lab3R), School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; iBiMED - Institute of Biomedicine, Department of Medical Sciences, University Aveiro, Aveiro, Portugal.
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Caron B, Del Manzo G, Villemant B, Bartolini A, Moreno E, Le Friant A, Bassinot F, Baudin F, Alves A. Marine records reveal multiple phases of Toba's last volcanic activity. Sci Rep 2023; 13:11575. [PMID: 37463958 DOI: 10.1038/s41598-023-37999-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 06/30/2023] [Indexed: 07/20/2023] Open
Abstract
The Indonesian Young Toba Tuff (YTT), classically dated around 74 ka BP, is considered as a short-lived explosive cataclysmic super-eruption. The huge amounts of ash and SO2 emitted are likely to have triggered a volcanic winter which accelerated the transition to the last glaciation, and may have induced a human genetic bottleneck. However, the global climatic impact of the YTT or its duration are hotly debated. The present work offers a new interpretation of the Toba volcanic complex eruptive history. Analysing the BAR94-25 marine core proximal to the Toba volcanic center and combining it with high-resolution tephrostratigraphy and δ18O stratigraphy, we show that the Toba complex produced a volcanic succession that consists of at least 17 distinct layers of tephra and cryptotephra. Textural and geochemical analyses show that the tephra layers can be divided in 3 main successive volcanic activity phases (VAP1 to VAP3) over a period of ~ 50 kyr. The main volcanic activity phase, VAP2, including the YTT, is likely composed of 6 eruptive events in an interval whose total duration is ~ 10 ka. Thus, we suggest that the eruptive model of the Toba volcano must be revised as the duration of the Toba volcanic activity was much longer than suggested by previous studies. The implications of re-estimating the emission rate and the dispersion of ashes and SO2 include global environmental reconstitutions, climate change modelling and possibly human migration and evolution.
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Affiliation(s)
- B Caron
- Institut des Sciences de la Terre de Paris, UMR 7193, Sorbonne Université, CNRS-INSU, 75252, Paris cedex 05, France.
| | - G Del Manzo
- Institut des Sciences de la Terre de Paris, UMR 7193, Sorbonne Université, CNRS-INSU, 75252, Paris cedex 05, France
- Université Paris Cité, Institut de Physique du Globe de Paris, CNRS, UMR 7154, 75005, Paris, France
| | - B Villemant
- Institut des Sciences de la Terre de Paris, UMR 7193, Sorbonne Université, CNRS-INSU, 75252, Paris cedex 05, France
| | - A Bartolini
- Centre de Recherche en Paléontologie-Paris, UMR 7207, Muséum National d'Histoire Naturelle, CNRS, Sorbonne Université, 75005, Paris, France
| | - E Moreno
- Laboratoire d'Océanographie et du Climat: Expérimentations et Approches Numériques, UMR 7159 CNRS, IRD, Sorbonne Université/MNHN/IPSL, 75252, Paris cedex 05, France
| | - A Le Friant
- Université Paris Cité, Institut de Physique du Globe de Paris, CNRS, UMR 7154, 75005, Paris, France
| | - F Bassinot
- Laboratoire des Sciences du Climat et de l'Environnement LSCE/IPSL, UMR CEA-CNRS-UVSQ 8212, 91191, Gif-sur-Yvette, France
| | - F Baudin
- Institut des Sciences de la Terre de Paris, UMR 7193, Sorbonne Université, CNRS-INSU, 75252, Paris cedex 05, France
| | - A Alves
- Centre de Recherche en Paléontologie-Paris, UMR 7207, Muséum National d'Histoire Naturelle, CNRS, Sorbonne Université, 75005, Paris, France
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Mulliri A, Gardy J, Dejardin O, Bouvier V, Pocard M, Alves A. Social inequalities in health: How do they influence the natural history of colorectal cancer? J Visc Surg 2023:S1878-7886(23)00031-0. [PMID: 37062638 DOI: 10.1016/j.jviscsurg.2023.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/18/2023]
Abstract
As regards colorectal cancer (CRC) in France, social inequalities in health (SIH) exist. Underprivileged patients are characterized by reduced incidence of CRC and, conversely, by excess mortality. The explanatory mechanisms of the SIHs influencing survival are complex, multidimensional and variable according to healthcare system. Among the most deprived compared to the least deprived patients, SIHs are reflected by lower participation in screening campaigns, and CRC diagnosis is more frequently given at a later stage in an emergency context. During treatment, disadvantaged patients are more at risk of having to undergo open surgery and of enduring severe postoperative complications and belated chemotherapy (when recommended). Study of SIHs poses unusual challenges, as it is necessary not only to pinpoint social deprivation, but also to locate the different treatment facilities existing in a given territorial expanse. In the absence of individualized socioeconomic information, research in France on the social determinants of health is based on duly constituted cancer registries, in which an ecological index of social deprivation, the European Deprivation Index (EDI), provides an aggregate measure of the socioeconomic environment of a given individual in a given geographical setting at a given point in time. All in all, studies on SIHs are justified as means of identification and comprehension of the mechanisms underlying social deprivation, the objective being to more precisely orient programs and practices aimed at combating SIH.
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Affiliation(s)
- A Mulliri
- Inserm-UCN, ANTICIPE U1086, 14000 Caen, France; Department of visceral and digestive surgery, Caen University Hospital Center, 14000 Caen, France.
| | - J Gardy
- Inserm-UCN, ANTICIPE U1086, 14000 Caen, France; Registry of Digestive Tumors of Calvados, Caen University Hospital Center Center, 14000 Caen, France; François-Baclesse Cancer Center, 14000 Caen, France
| | - O Dejardin
- Inserm-UCN, ANTICIPE U1086, 14000 Caen, France; Research unit, Caen University Hospital Center, 14000 Caen, France
| | - V Bouvier
- Inserm-UCN, ANTICIPE U1086, 14000 Caen, France; Registry of Digestive Tumors of Calvados, Caen University Hospital Center Center, 14000 Caen, France
| | - M Pocard
- Inserm, U1275 CAP Paris-Tech, Paris Cité University, 75010 Paris, France; Digestive and Hepato-Bilio-Pancreatic Surgery, Liver Transplantation, Pitié Salpêtrière Hospital, AP-HP, 75013 Paris, France
| | - A Alves
- Inserm-UCN, ANTICIPE U1086, 14000 Caen, France; Department of visceral and digestive surgery, Caen University Hospital Center, 14000 Caen, France; Registry of Digestive Tumors of Calvados, Caen University Hospital Center Center, 14000 Caen, France
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Alves A, Oliveira A, Ferreira PG, Martins V, Marques A. Reliability and validity of the Chester step test in patients with interstitial lung disease. Pulmonology 2022:S2531-0437(22)00254-9. [PMID: 36473829 DOI: 10.1016/j.pulmoe.2022.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Revised: 10/19/2022] [Accepted: 10/22/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND The Chester Step Test (CST) is a simple and inexpensive field test, which requires minimal physical space to assess exercise capacity. Such characteristics make the CST suitable to be used in different settings, however, its measurement properties in patients with interstitial lung diseases (ILD) are unknown. METHODS A cross-sectional study was conducted in patients with ILD. First, a CST-1 and a 6-minute walk test (6MWT) were performed. After 48-72 hours, a CST-2 was repeated. A 2nd rater was present in one of the sessions. Relative reliability was measured using intraclass correlation coefficient (ICC1,1 and ICC2,1). Absolute reliability was determined using standard error of measurement (SEM), minimal detectable change at 95% confidence interval (MDC95) and the Bland-Altman method. The values of SEM and MDC95 were also expressed as a percentage of the mean. Construct validity was explored using Spearman correlation coefficient (rs) between the number of steps taken in the best CST and the distance performed in the 6MWT. RESULTS Sixty-six patients with ILD (65.5±12.9 years; 48.5%men; FVC 79.4±18.8pp; DLCO 49.0±18.3pp) participated in the study. Relative (ICC 0.95-1.0) and absolute reliability were excellent without evidence of systematic bias. The SEM and MDC95 were 11.8 (14.7%) and 32.6 steps (40.7%), respectively. The correlation between CST and 6MWT was significant, positive, and high (rs=0.85, p=0.001). CONCLUSION The CST is a reliable and valid test and might be especially useful to assess exercise capacity in patients with ILD in limited space environments.
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Affiliation(s)
- A Alves
- Lab3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal; REMEO Home Department, Linde Healthcare, Porto, Portugal
| | - A Oliveira
- Lab3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal; iBiMED - Institute of Biomedicine, Department of Medical Sciences, University of Aveiro, Aveiro, Portugal; Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada; School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
| | - P G Ferreira
- ILD Outpatient Clinic, Pulmonology Department - Centro Hospitalar Universitário de Coimbra (CHUC), Coimbra, Portugal; Faculty of Medicine of the University of Coimbra (FMUC), Coimbra, Portugal
| | - V Martins
- Pulmonology Department - Hospital Distrital da Figueira da Foz, Figueira da Foz, Portugal
| | - A Marques
- Lab3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal; iBiMED - Institute of Biomedicine, Department of Medical Sciences, University of Aveiro, Aveiro, Portugal.
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Abstract
Lower gastrointestinal bleeding (LGIB), originating mainly in the colon, rectum and anus, occurs most often in older patients (7th decade) with co-morbidity, half of whom have coagulation abnormalities due to anti-coagulant or anti-aggregant therapy. In three cases out of four, bleeding regresses spontaneously but can recur in up to one third of patients. The main causes are diverticular disease, vascular disorders (hemorrhoids, angiodysplasia) and colitis. Ten to 15% of patients present in hypovolemic shock. The main problem is to determine the precise location and etiology of bleeding. First-line steps include correction of hemodynamics, correction of coagulation disorders and transfusion, as necessary. Rectal digital examination allows differentiation between melena and hematochezia. In patients with severe LGIB, upper endoscopy can eliminate upper gastro-intestinal bleeding (UGIB). Computerized tomography (CT) angiography can pinpoint the source. If contrast material extravasates, the therapeutic strategy depends on the cause of bleeding and the general status of the patient: therapeutic colonoscopy, arterial embolization and/or surgery. In the absence of severity criteria (Oakland score≤10), ambulatory colonoscopy should be performed within 14 days. Discontinuation of anticoagulant and/or antiplatet therapy should be discussed case by case according to the original indications.
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Affiliation(s)
- M Boullier
- Digestive surgery department, university hospital center, avenue de la Côte-de-Nacre, 14000 Caen, France.
| | - A Fohlen
- Uro-digestive imaging and interventional radiology department, university hospital center, avenue de la Côte-de-Nacre, 14000 Caen, France; Équipe CERVOxy, ISTCT UMR 6030-CNRS, CEA, University of Caen-Normandie, GIP Cycéron, boulevard H. Becquerel, BP5229, 14074 Caen cedex, France
| | - S Viennot
- Gastroenterology department, university hospital center, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - A Alves
- Digestive surgery department, university hospital center, avenue de la Côte-de-Nacre, 14000 Caen, France; Unité Inserm 1086 "ANTICIPE", Centre François Baclesse "Cancers & Préventions", avenue du Général Harris, BP5026, 14076 Caen cedex, France
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Saraiva CMA, Iantas SR, Xavier JTL, Centrone RT, Trunkel AT, Alves A. PONATINIBE PARA TRATAMENTO DE LLA PH+ RECAÍDA: RELATO DE CASO E REVISÃO DA LITERATURA. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.293] [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: 11/06/2022] Open
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Centrone RT, Seguro FS, Bellesso M, Nardinelli L, Bendit I, Alves A, Rocha V. TREATMENT-FREE RESPONSE USING BRAZILIAN IMATINIB COPIES AS FIRST LINE -RESULTS FROM TWO PROSPECTIVE CLINICAL TRIALS. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.362] [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: 11/07/2022] Open
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Argani IL, Centrone R, Sapelli J, Duarte GO, Alves A, Souza CA, Pagnano K. ANÁLISE RETROSPECTIVA DE PACIENTES COM LEUCEMIA MIELOIDE CRÔNICA COM FALHA DE TRATAMENTO A DOIS INIBIDORES DE TIROSINA QUINASE. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.385] [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: 11/11/2022] Open
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Centrone RT, Bellesso M, Santucci R, Dias DF, Bendit I, Aranha J, Bruniera F, Trunkel AT, Alves A. TREATMENT- FREE REMISSION IN CHRONIC MYELOID LEUKEMIA -EXPERIENCE OF A SINGLE BRAZILIAN PRIVATE INSTITUTION USING IMATINIB COPIE. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.359] [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: 11/07/2022] Open
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Alves A, Duarte L, Kovalenko S, Oviedo-Torres Y, Queiroz F, Villamizar Y. Constraining 3-3-1 models at the LHC and future hadron colliders. Int J Clin Exp Med 2022. [DOI: 10.1103/physrevd.106.055027] [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: 11/07/2022]
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Johnston EW, Alves A, Messiou C, Napolitano A, Strauss D, Hayes A, Smith MJ, Benson C, Jones RL, Gennatas S, Fotiadis N. Percutaneous cryoablation for desmoid fibromatosis: initial experience at a UK centre. Clin Radiol 2022; 77:784-793. [PMID: 35850865 DOI: 10.1016/j.crad.2022.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 05/13/2022] [Accepted: 06/11/2022] [Indexed: 11/03/2022]
Abstract
AIM To report the first UK experience of cryoablation in desmoid fibromatosis (DF) with particular focus on technique, safety, and efficacy. MATERIALS AND METHODS Patients were selected at multidisciplinary tumour board meetings at a specialist cancer hospital. Radiation dose, procedure duration, and number of cryoprobes were compared for small versus large tumours (>10 cm long axis). Response at magnetic resonance imaging (MRI) was evaluated using different criteria, and percentage agreement with clinical response as assessed in oncology clinic calculated. RESULTS Thirteen procedures were performed in 10 patients (eight women, median age 51 years, IQR 42-69 years) between February 2019 and August 2021. Procedures for large tumours had higher radiation dose (2,012 ± 1,012 versus 1,076 ± 519 mGy·cm, p=0.048) used more cryoprobes (13 ± 7 versus 4 ± 2, p=0.009), and were more likely to have residual unablated tumour (38 ± 37% versus 7.5 ± 10%, p=0.045). Adverse events were minor apart from one transient radial nerve palsy. Eight of 10 patients had symptomatic benefit at clinical follow-up (median 353 days, IQR 86-796 days), and three started systemic therapy mean 393 days later. All patients who had complete ablation demonstrated symptomatic response, with no instances of repeat treatment, recurrence, or need for systemic therapy during the study period. All progression occurred outside ablation zones. CONCLUSION Cryoablation for symptomatic DF is a reproducible technique with low, transient toxicity, where one or two treatments can achieve a meaningful response. Where possible, the ablation ice ball should fully cover DF tumours.
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Affiliation(s)
- E W Johnston
- Interventional Radiology, Royal Marsden Hospital, London, UK.
| | - A Alves
- Medial Oncology, Royal Marsden Hospital, London, UK
| | - C Messiou
- Diagnostic Radiology, Royal Marsden Hospital, London, UK
| | - A Napolitano
- Medial Oncology, Royal Marsden Hospital, London, UK
| | - D Strauss
- Academic Surgical Unit, Royal Marsden Hospital, London, UK
| | - A Hayes
- Academic Surgical Unit, Royal Marsden Hospital, London, UK
| | - M J Smith
- Academic Surgical Unit, Royal Marsden Hospital, London, UK
| | - C Benson
- Medial Oncology, Royal Marsden Hospital, London, UK
| | - R L Jones
- Medial Oncology, Royal Marsden Hospital, London, UK
| | - S Gennatas
- Medial Oncology, Royal Marsden Hospital, London, UK
| | - N Fotiadis
- Interventional Radiology, Royal Marsden Hospital, London, UK.
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13
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Auge M, Menahem B, Savey V, Lee Bion A, Alves A. Long-term complications after gastric bypass and sleeve gastrectomy: What information to give to patients and practitioners, and why? J Visc Surg 2022; 159:298-308. [PMID: 35304081 DOI: 10.1016/j.jviscsurg.2022.02.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Bariatric surgery is now recognized as the most effective treatment of morbid obesity, leading to durable weight loss and resolution of associated co-morbidities. Roux-en-Y gastric bypass and sleeve gastrectomy are the two most widely used operations today. However, potentially serious medical, surgical, and/or psychiatric complications can occur that raise questions regarding the benefits of this type of surgery. These complications can lead to surgical re-operations, iterative hospitalizations, severe nutritional deficiencies and psychological disorders. Indeed, death from suicide is said to be three times higher than in non-operated obese patients. These results are of concern, all the more because of the high prevalence of patients lost to follow-up (for various and multifactorial reasons) after bariatric surgery. However, better knowledge of post-surgical sequelae could improve the information provided to patients, the preoperative evaluation of the benefit/risk ratio, and, for patients undergoing surgery, the completeness and quality of follow-up as well as the detection and management of complications. The development of new strategies for postoperative follow-up such as telemedicine but also the mobilization of all the actors along the healthcare pathway can make inroads and warrant further study.
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Affiliation(s)
- M Auge
- Department of visceral and digestive surgery, CHU Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - B Menahem
- Department of visceral and digestive surgery, CHU Caen, avenue de la Côte-de-Nacre, 14000 Caen, France; Unité INSERM UMR1086, Normandie University, UNICAEN, centre François-Baclesse, 14045 Caen cedex, France.
| | - V Savey
- Service de nutrition, CHU Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - A Lee Bion
- Department of visceral and digestive surgery, CHU Caen, avenue de la Côte-de-Nacre, 14000 Caen, France
| | - A Alves
- Department of visceral and digestive surgery, CHU Caen, avenue de la Côte-de-Nacre, 14000 Caen, France; Unité INSERM UMR1086, Normandie University, UNICAEN, centre François-Baclesse, 14045 Caen cedex, France
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14
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Pires M, Alves A, Machado J, Vieira L, Frada M, Dias I, Martins-Bessa A. A Case of Canine Prostatic Carcinoma: Histopathology as a Gold Standard. J Comp Pathol 2022. [DOI: 10.1016/j.jcpa.2021.11.074] [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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15
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Centrone R, Dias LFS, Travassos LC, Datoguia TS, Bellesso M, Alves A, Hamerschlak N, Santucci R, Santos FPS. APLICAÇÃO DO SCORE PROGNÓSTICO DIPSS-PLUS EM PACIENTES PORTADORES DE MIELOFIBROSE PRIMÁRIA E SECUNDÁRIA DE DUAS INSTITUIÇÕES PRIVADAS BRASILEIRAS. Hematol Transfus Cell Ther 2021. [DOI: 10.1016/j.htct.2021.10.215] [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] Open
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16
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Capela AB, Antunes P, Coelho A, Amorim R, Custodio S, Amarelo A, Silva J, Vilela E, Tavares A, Costa T, Garcia C, Catarino J, Travassos B, Mendes R, Joaquim A, Teixeira M, Viamonte S, Figueiredo P, Brito J, Alves A. 1682P Effects of a walking football program on muscle strength and balance of androgen deprived prostate cancer patients: The Prostata_Move trial. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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17
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Leao I, Garcia C, Antunes P, Campolargo A, Dias I, Coimbra E, Zenha H, Castro J, Oliveira P, Giesteira M, Costa H, Alves A, Capela A, Joaquim A. 918P Impact of locally advanced head and neck cancer treatment: Is there a role for exercise? FIT4TREAT. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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18
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Nunes S, Viana S, Preguiça I, Alves A, Fernandes R, Jarak I, Carvalho R, Cavadas C, Rolo A, Palmeira C, Pintado M, Reis F. Unraveling the hepatoprotective effects of blueberries in a hypercaloric diet-induced rat model of prediabetes by metabolomic and transcriptomic approaches. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab120.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
We previously described protective effects of blueberry juice (BJ) against hepatic steatosis evolution in a hypercaloric diet-induced rat model of prediabetes; however, the underlying mechanisms, are still scarcely explored. Herein, we aim to elucidate the molecular pathways underpinning BJ hepatoprotection on the dysmetabolism evolution in a rat model of prediabetes.
Methods
A rat model of evolutive prediabetes [Male Wistar rats, 8 weeks old] was developed by ingestion of a high-sucrose (HSu, 35%) diet for 9 weeks (W9), supplemented with a high-fat diet (HF, 60%) for further 14 weeks (HSuHF, W23), vs control with standard diet. Half of the animals (n = 10/group) daily received BJ (25g/Kg BW, orally) between W9 and W23. Along with metabolic characterization, BJ effects on serum and hepatic metabolic surrogates were elucidated using a 1H NMR based metabolomic approach. Moreover, the liver expression of genes (RT-PCR) involved in insulin signaling, lipid metabolism, inflammatory response and mitochondrial respiration was also explored. Values are means ± S.E.M (ANOVA followed by post-hoc tests).
Results
HSuHF+BJ rats restored hepatic levels of betaine and tend to recover the depletion of glutathione content found in HSuHF animals’ livers. Moreover, BJ positively affected the hepatic mRNA expression of key enzymes and mediators involved in fatty acid oxidation, insulin signalling, inflammatory response, as well as mitochondrial respiratory chain-related genes, which were all downregulated (P < 0.05) in HSuHF animals’ livers.
Conclusions
Altogether, these molecular findings contribute to explain the mechanisms by which BJ elicits protection against hepatic steatosis and mitochondrial dysfunction induced by hypercaloric diets in the frame of prediabetes evolution.
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Affiliation(s)
- S Nunes
- Institute of Pharmacology & Experimental Therapeutics, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine from University of Coimbra (FMUC)
- Center for Innovative Biomedicine and Biotechnology, UC
- Clinical Academic Center of Coimbra
| | - S Viana
- Institute of Pharmacology & Experimental Therapeutics, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine from University of Coimbra (FMUC)
- Center for Innovative Biomedicine and Biotechnology, UC
- Clinical Academic Center of Coimbra
- Polytechnic Institute of Coimbra, ESTESC-Coimbra Health School, Pharmacy
| | - I Preguiça
- Institute of Pharmacology & Experimental Therapeutics, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine from University of Coimbra (FMUC)
- Center for Innovative Biomedicine and Biotechnology, UC
- Clinical Academic Center of Coimbra
| | - A Alves
- Institute of Pharmacology & Experimental Therapeutics, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine from University of Coimbra (FMUC)
- Center for Innovative Biomedicine and Biotechnology, UC
- Clinical Academic Center of Coimbra
| | - R Fernandes
- Institute of Pharmacology & Experimental Therapeutics, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine from University of Coimbra (FMUC)
- Center for Innovative Biomedicine and Biotechnology, UC
- Clinical Academic Center of Coimbra
| | - I Jarak
- Dep. Microscopy, Lab. Cell Biology and Unit for Multidisciplinary Research in Biomedicine, Institute of Biomedical Sciences Abel Salazar, University of Porto (UP)
| | - R Carvalho
- Dep. Life Sciences, Faculty of Science and Technology, UC
- Associated Lab. for Green Chemistry-Clean Technologies and Processes, REQUIMTE, UP
| | - C Cavadas
- Center for Innovative Biomedicine and Biotechnology, UC
- Clinical Academic Center of Coimbra
- Faculty of Pharmacy, UC
- Center for Neurosciences and Cell Biology, UC
| | - A Rolo
- Dep. Microscopy, Lab. Cell Biology and Unit for Multidisciplinary Research in Biomedicine, Institute of Biomedical Sciences Abel Salazar, University of Porto (UP)
- Center for Neurosciences and Cell Biology, UC
| | - C Palmeira
- Dep. Microscopy, Lab. Cell Biology and Unit for Multidisciplinary Research in Biomedicine, Institute of Biomedical Sciences Abel Salazar, University of Porto (UP)
- Center for Neurosciences and Cell Biology, UC
| | - M Pintado
- CBQF - Center for Biotechnology and Fine Chemistry, Associated Lab., School of Biotechnology, Catholic University, Porto, Portugal
| | - F Reis
- Institute of Pharmacology & Experimental Therapeutics, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine from University of Coimbra (FMUC)
- Center for Innovative Biomedicine and Biotechnology, UC
- Clinical Academic Center of Coimbra
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De Almeida JM, Alves A. EVALUATION OF RESPONSE TO THE FIRST‐LINE THERAPY OF PATIENTS WITH CLASSICAL HODGKIN LYMPHOMA BASED ON INTERIM PET‐CT AT A PRIVATE BRAZILIAN INSTITUTION. Hematol Oncol 2021. [DOI: 10.1002/hon.68_2881] [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: 11/07/2022]
Affiliation(s)
- J. M. De Almeida
- Instituto Hemomed de Oncologia e Hematologia, Clinical Department São Paulo Brazil
| | - A. Alves
- Instituto Hemomed de Oncologia e Hematologia, Presidency São Paulo Brazil
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20
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Aubrion A, Alves A, Helye JP, Roupie E, Guittet L. Maintaining elective surgery capacity while freeing up resuscitation capacity: the challenge of COVID-19 epidemic resumption. Br J Surg 2021; 108:e156-e157. [PMID: 33793760 PMCID: PMC7929293 DOI: 10.1093/bjs/znab006] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 11/25/2020] [Accepted: 12/27/2020] [Indexed: 11/29/2022]
Affiliation(s)
- A Aubrion
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Emergency Medical Service (SAMU 14), Inserm ANTICIPE 1086, 14000 CAEN, France
| | - A Alves
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Digestive Surgery Department, Inserm ANTICIPE 1086, 14000 CAEN, France
| | - J P Helye
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Medical Information Unit, 14000 CAEN, France
| | - E Roupie
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Emergency Medical Service (SAMU 14), 14000 CAEN, France
| | - L Guittet
- Normandie Univ, UNICAEN, CHU de Caen Normandie, Public Health Unit, Inserm ANTICIPE 1086, 14000 CAEN, France
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21
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Garcia M, David B, Sierra-Garcia IN, Faustino MAF, Alves A, Esteves AC, Cunha A. Photodynamic inactivation of Lasiodiplodia theobromae: lighting the way towards an environmentally friendly phytosanitary treatment. Biol Lett 2021; 17:20200820. [PMID: 33878276 DOI: 10.1098/rsbl.2020.0820] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
The fungus Lasiodiplodia theobromae is one of the main causal agents of trunk canker and dieback of grapevine. The objective of this work was to evaluate the efficiency of photodynamic inactivation (PDI) of L. theobromae with synthetic and natural photosensitizers and irradiation with either sunlight or artificial photosynthetically active radiation. Although the growth of the mycelium could not be completely prevented with natural sunlight irradiation, phenothiazine dyes (methylene blue, MB; toluidine blue O, TBO), riboflavin and a cationic porphyrin (Tetra-Py+-Me) caused complete inhibition under continuous irradiation with artificial light. Free radicals were the main cytotoxic agents in the PDI with MB, indicating the predominance of the type I mechanism. PDI with MB or Tetra-Py+-Me may represent a promising approach for the sanitation of vine material in greenhouse nurseries, in order to reduce the risk of infection upon grafting.
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Affiliation(s)
- M Garcia
- Department of Biology, University of Aveiro, Campus de Santiago, 3810-193 Aveiro, Portugal
| | - B David
- Department of Biology, University of Aveiro, Campus de Santiago, 3810-193 Aveiro, Portugal
| | - I N Sierra-Garcia
- Department of Biology, University of Aveiro, Campus de Santiago, 3810-193 Aveiro, Portugal.,Department of Biology and CESAM, University of Aveiro, Campus de Santiago, 3810-193 Aveiro, Portugal
| | - M A F Faustino
- Department of Chemistry and LAQV-REQUIMTE, University of Aveiro, Campus de Santiago, 3810-193 Aveiro, Portugal
| | - A Alves
- Department of Biology and CESAM, University of Aveiro, Campus de Santiago, 3810-193 Aveiro, Portugal
| | - A C Esteves
- Department of Biology and CESAM, University of Aveiro, Campus de Santiago, 3810-193 Aveiro, Portugal
| | - A Cunha
- Department of Biology and CESAM, University of Aveiro, Campus de Santiago, 3810-193 Aveiro, Portugal
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22
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Ruiz-Jarabo I, Gregório SF, Alves A, Mancera JM, Fuentes J. Ocean acidification compromises energy management in Sparus aurata (Pisces: Teleostei). Comp Biochem Physiol A Mol Integr Physiol 2021; 256:110911. [PMID: 33647459 DOI: 10.1016/j.cbpa.2021.110911] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Revised: 01/18/2021] [Accepted: 01/18/2021] [Indexed: 11/19/2022]
Abstract
The effects of ocean acidification mediated by an increase in water pCO2 levels on marine organisms are currently under debate. Elevated CO2 concentrations in the seawater induce several physiological responses in teleost fish, including acid-base imbalances and osmoregulatory changes. However, the consequences of CO2 levels enhancement on energy metabolism are mostly unknown. Here we show that 5 weeks of exposure to hypercapnia (950 and 1800 μatm CO2) altered intermediary metabolism of gilthead seabream (Sparus aurata) compared to fish acclimated to current ocean values (440 μatm CO2). We found that seabream compromises its physiological acid-base balance with increasing water CO2 levels and the subsequent acidification. Intestinal regions (anterior, mid, and rectum) engaged in maintaining this balance are thus altered, as seen for Na+/K+-ATPase and the vacuolar-type H+-ATPase activities. Moreover, liver and muscle counteracted these effects by increasing catabolic routes e.g., glycogenolysis, glycolysis, amino acid turnover, and lipid catabolism, and plasma energy metabolites were altered. Our results demonstrate how a relatively short period of 5 weeks of water hypercapnia is likely to disrupt the acid-base balance, osmoregulatory capacity and intermediary metabolism in S. aurata. However, long-term studies are necessary to fully understand the consequences of ocean acidification on growth and other energy-demanding activities, such as reproduction.
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Affiliation(s)
- I Ruiz-Jarabo
- Centre of Marine Sciences (CCMar), University do Algarve, Campus de Gambelas, Faro, Portugal; Department of Biology, Faculty of Marine and Environmental Sciences, Instituto Universitario de Investigación Marina (INMAR), Universidad de Cádiz, Campus de Excelencia Internacional del Mar (CEI·MAR), Puerto Real, Cádiz, Spain; Department of Animal Physiology, Faculty of Biological Sciences, University Complutense, Madrid, Spain.
| | - S F Gregório
- Centre of Marine Sciences (CCMar), University do Algarve, Campus de Gambelas, Faro, Portugal
| | - A Alves
- Centre of Marine Sciences (CCMar), University do Algarve, Campus de Gambelas, Faro, Portugal
| | - J M Mancera
- Department of Biology, Faculty of Marine and Environmental Sciences, Instituto Universitario de Investigación Marina (INMAR), Universidad de Cádiz, Campus de Excelencia Internacional del Mar (CEI·MAR), Puerto Real, Cádiz, Spain
| | - J Fuentes
- Centre of Marine Sciences (CCMar), University do Algarve, Campus de Gambelas, Faro, Portugal.
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23
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Shaw M, Kenny J, Alves A, Davey C, Keehan S, Supple J, Brown R, Cole A, Kadeer F, Lye J. OC-0475: Cranial SRS dosimetry audits of complex treatments of multiple brain metastases. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00497-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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24
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Sekiya E, Bellesso M, Sarmento L, Rodrigues M, Rocha P, Moraes-Pinto M, Soares A, Levi J, Ribeiro L, Alves A. CHALLENGES IN THE PRODUCTION OF COVID-19 CONVALESCENT PLASMA – ANALYSIS OF DONOR RECRUITMENT. Hematol Transfus Cell Ther 2020. [PMCID: PMC7604117 DOI: 10.1016/j.htct.2020.10.879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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25
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Cardoso A, Faria B, Von Hafe P, Dias G, Pereira T, Ribeiro S, Calvo L, Rodrigues B, Alves A, Fernandes M, Sanfins V, Lourenco A. Device therapy guided by implantable loop recorders: predictors of bradyarrhythmic events. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Implantable loop recorders (ILR) improved diagnostic yield in unexplained syncope patients (pts). Data on possible predictive factors for bradycardia requiring device implantation in these pts is limited. We aim to identify clinical predictors for device implantation due to a significant bradyarrhythmia in patients who underwent ILR insertion for the study of syncopal/presyncopal (S/pS) events.
Methods
Single-center retrospective study of patients who implanted an ILR for the study of unexplained S/pS episodes between 2013 and 2018. The primary endpoint was a documented bradyarrhythmia requiring device implantation during the follow-up.
Results
A total of 251 pts were included. Mean age was 68±15 years and 53% were female. The majority of pts (220; 88%) had normal ejection fraction. Fifty-two (21%) pts had atrial fibrillation (AF). Regarding basal electrocardiographic characteristics, 34 (14%) pts had 1st degree auriculo-ventricular block (AVB), 31 (12%) pts had left bundle branch block (L-BBB), 22 (9%) pts had R-BBB and 13 (5%) pts had bifascicular block.
During a median follow-up of 20 (IQR 9–34) months, 74 (29%) pts required device implantation because of a significant bradyarrhythmia (92% pacemaker, 4% CRT, 4% ICD). Median duration from ILR until device implantation was 5 (IQR 1–10) months. The indications were sick-sinus-syndrome in 47 (64%) pts, advanced AV block in 23 (31%) pts and symptomatic slow AF in 4 (5%) pts.
Patients who required device implantation were older (73±12 vs 66±15 years, p <0.001), had more hypertension (73% vs 59% p=0.048), a higher prevalence of AF (34% vs 15% p=0.001) and a lower glomerular filtration rate (GFR<60 ml/min: 32% vs 21%, p=0.047). They also had more 1st AVB (22% vs 11%, p=0.026) and intraventricular conduction disturbances (38% vs 25%, p=0.025). There was a trend for a higher device implantation in pts with concomitant 1st AVB and left anterior fascicular block (7% vs 2%, p=0.063)
In a logistic regression model, age >75 years (HR: 1.7; 95% CI: 1.1–2.8) and the presence of AF (HR: 1.8; 95% CI: 1.1–3.0) were independent predictors for device implantation.
Conclusion
An older age and the presence of AF were independent predictors for device therapy in pts who implanted an ILR for the study of S/pS. These factors may identify a higher risk group and should be considered in the initial workup of these pts.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A Cardoso
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - B Faria
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - P Von Hafe
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - G Dias
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - T Pereira
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - S Ribeiro
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - L Calvo
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - B Rodrigues
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - A Alves
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - M Fernandes
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - V Sanfins
- Hospital Senhora da Oliveira, Guimaraes, Portugal
| | - A Lourenco
- Hospital Senhora da Oliveira, Guimaraes, Portugal
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26
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Ingen‐Housz‐Oro S, Le Floch R, Alves A, Colin A, Ouedraogo R, Welfringer A, Dereure O, Besnard N, Bodemer C, Bernier C, Hoffmann C, Tétart F, Carpentier D, Cordel N, Elie E, Tauber M, Soubiron L, Milpied B, Prost N. Carrying out local care for epidermal necrolysis: survey of practices. J Eur Acad Dermatol Venereol 2020; 35:e155-e157. [DOI: 10.1111/jdv.16884] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 07/11/2020] [Accepted: 08/13/2020] [Indexed: 12/22/2022]
Affiliation(s)
- S. Ingen‐Housz‐Oro
- Service de dermatologie AP‐HP, hôpital Henri Mondor Créteil France
- EA7379 EpidermE UPEC Créteil France
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
| | - R. Le Floch
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Réanimation chirurgicale et des brûlésPTMC, CHU Nantes Nantes France
| | - A. Alves
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Réanimation médicale AP‐HP, hôpital Henri Mondor Créteil France
| | - A. Colin
- Service de dermatologie AP‐HP, hôpital Henri Mondor Créteil France
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
| | - R. Ouedraogo
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Réanimation médicale AP‐HP, hôpital Henri Mondor Créteil France
| | - A. Welfringer
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Service de dermatologie AP‐HP, hôpital Necker Paris France
| | - O. Dereure
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Service de dermatologie Université de Montpellier Montpellier France
| | - N. Besnard
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Département de Médecine Intensive et Réanimation Hôpital Lapeyronie Montpellier France
| | - C. Bodemer
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Service de dermatologie AP‐HP, hôpital Necker Paris France
| | - C. Bernier
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Service de dermatologie CHU Nantes Nantes France
| | - C. Hoffmann
- Centre de Traitement des Brûlés Hôpital d'Instruction des Armées PERCY Clamart France
| | - F. Tétart
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Service de dermatologie CHU Charles Nicolle Rouen France
| | - D. Carpentier
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Réanimation médicale CHU Charles Nicolle Rouen France
| | - N. Cordel
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Unité de dermatologie et immunologie clinique CHU Guadeloupe Pointe‐à‐Pitre France
| | - E. Elie
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Centre de traitement des brûlés CHU de Guadeloupe Pointe‐à‐Pitre France
| | - M. Tauber
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Service de dermatologie CHU de Toulouse Toulouse France
| | - L. Soubiron
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- CFXM‐Brûlés Service d'anesthésie Réanimation GH Pellegrin Bordeaux France
| | - B. Milpied
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Service de dermatologie hôpital Saint‐André Bordeaux France
| | - N. Prost
- Centre de référence dermatoses bulleuses toxiques et toxidermies graves TOXIBUL Créteil France
- Réanimation médicale AP‐HP, hôpital Henri Mondor Créteil France
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27
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Abstract
Bariatric revisional surgery represents an important new issue for obese patients because of the considerable rate of failure and complications following bariatric surgery. As the frequency of bariatric procedures increases, so too does the incidence of revisional surgery, which has become becoming increasingly important. The surgeon must know the indications and the results of the various revisional procedures in order to best guide the therapeutic decision. The current challenge is to correctly select the patients for revisional surgery and to choose the appropriate procedure in each case. Multidisciplinary management is essential to patient re-assessment and to prepare the patient for a re- intervention. The objective of this update, based on data from all the most recent studies concerning revisional surgery, is to guide the surgeon in the choice of the revisional procedure, depending on patient characteristics, co-morbidities, the previously performed procedure, the type of failure or complication observed, but also on the surgeon's own habits and the center's expertise. The collected results show that revisional surgery is difficult, with higher complication rates and weight-loss results that are often lower than those of first-intent surgery. For these reasons, patient selection must be rigorous and multidisciplinary and the management in expert centers of these difficult situations must be encouraged.
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Affiliation(s)
- A Lee Bion
- Digestive surgery department, university hospital of Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex, France.
| | - Y Le Roux
- Digestive surgery department, university hospital of Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex, France
| | - A Alves
- Digestive surgery department, university hospital of Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex, France; Unicaen, Inserm, Anticipe, université de Normandie, 14000 Caen, France
| | - B Menahem
- Digestive surgery department, university hospital of Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex, France; Unicaen, Inserm, Anticipe, université de Normandie, 14000 Caen, France
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Abstract
Abdominal pelvic radiation therapy can induce acute or chronic lesions in the small bowel wall, called radiation enteritis. Treatment of acute radiation enteritis is essentially symptomatic; symptoms regress when radiation is discontinued. Conversely, late toxicity can occur up to 30 years after discontinuation of radiation therapy, posing diagnostic problems. Approximately one out of five patients treated by radiation therapy will present clinical signs of radiation enteritis, including obstruction, malabsorption, malnutrition and/or other complications. Management should be multidisciplinary, centered mainly on correction of malnutrition. Surgery is indicated in case of complications (i.e., abscess, perforation, fistula) and/or resistance to medical treatment; intestinal resection should be preferred over internal bypass. The main risk in case of iterative resections is the short bowel syndrome and the need for definitive nutritional assistance.
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Affiliation(s)
- L Loge
- Department of digestive surgery, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex, France
| | - C Florescu
- Department of radiotherapy, centre François-Baclesse, avenue du Général-Harris, 14045 Caen cedex, France
| | - A Alves
- Department of digestive surgery, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex, France; ANTICIPE Inserm U 1086, centre François-Baclesse, avenue du Général-Harris, 14045 Caen cedex, France; Health Training and Research Center, 2, rue des Rochambelles, 14032 Caen cedex, France
| | - B Menahem
- Department of digestive surgery, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex, France; ANTICIPE Inserm U 1086, centre François-Baclesse, avenue du Général-Harris, 14045 Caen cedex, France; Health Training and Research Center, 2, rue des Rochambelles, 14032 Caen cedex, France.
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Souto-Miranda S, Jácome C, Alves A, Machado A, Paixão C, Oliveira A, Marques A. Predictive equations of maximum respiratory mouth pressures: A systematic review. Pulmonology 2020; 27:219-239. [PMID: 32878743 DOI: 10.1016/j.pulmoe.2020.03.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Revised: 03/26/2020] [Accepted: 03/30/2020] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Maximum inspiratory (Pimax) and expiratory (Pemax) mouth pressures are commonly used to detect respiratory muscle weakness resorting to predictive equations established for healthy people. There are several predictive equations, but they are widespread in the literature. This study aimed to review the existent predictive equations of maximum inspiratory (Pimax) and expiratory (Pemax) mouth pressures for adults. Additionally, we aimed to identify which ones were generated based on international standards. METHODS A systematic review of predictive equations of Pimax and Pemax for healthy adults was conducted. A comprehensive search was performed of Cochrane Library, EBSCO, PubMed, Scopus and Web of Science to identify studies that presented at least one equation for Pimax or Pemax developed for healthy adults. The quality of studies was assessed by two reviewers with the Quality Assessment of Diagnostic Accuracy Studies (Quadas-2). RESULTS Risk of bias was high in 8 of the 20 studies included. Forty-two Pimax and 34 Pemax equations were found, mostly using the variables age (n=39), weight (n=20) and height (n=8). These equations explained 3 to 96% of the Pimax/Pemax variance. They were developed with individuals from 11 countries (Portugal not included). Twelve Pimax and eight Pemax equations complied with international standards. CONCLUSIONS This review gathered the predictive equations that have been developed for both Pimax and Pemax, however most were generated from unstandardized procedures. Future studies should explore the suitability of these equations for populations for which specific ones are not available, such as the Portuguese population, and develop new equations if necessary.
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Affiliation(s)
- S Souto-Miranda
- Lab 3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal
| | - C Jácome
- Lab 3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine of University of Porto, Porto, Portugal
| | - A Alves
- Lab 3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal
| | - A Machado
- Lab 3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal
| | - C Paixão
- Lab 3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal
| | - A Oliveira
- Lab 3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal
| | - A Marques
- Lab 3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, Aveiro, Portugal; Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal.
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Vasconcelos J, Siqueira R, Clementino I, Gama A, Alves A, Lucena R, Dantas A. Frequência das doenças de pele não tumorais em cães no município de João Pessoa, Paraíba, Brasil (2014-2016). ARQ BRAS MED VET ZOO 2020. [DOI: 10.1590/1678-4162-11248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Diante da carência de estudos sobre a frequência de dermatopatias que acometem cães por região geográfica no Brasil, o presente estudo objetivou conhecer a frequência das principais doenças cutâneas que afetam cães na região metropolitana de João Pessoa, Paraíba, Brasil. Os dados foram coletados de cães que passaram por atendimento dermatológico no período de setembro de 2014 a dezembro de 2016. Além dos exames clínicos e dermatológicos os cães foram submetidos a exames complementares (citológico, raspado de pele, parasitológico, tricograma, bacteriológico, micológico, histopatológico e molecular). No período do estudo, foram atendidos 1.083 cães, em que 18,65% (202/1.083) apresentavam algum tipo de dermatopatia não tumoral. Dos 202 cães acometidos, 51,49% (104/202) eram machos e 48,51% (98/202), fêmeas. Desses 202 cães, 13 tinham dois diagnósticos, totalizando 215 dermatopatias. Dos cães afetados, 62,87% (127/202) eram de raça definida e 37,13% (75/202), sem raça definida (SRD). As lesões observadas com mais frequência caracterizaram-se por áreas alopécicas, hipotricoicas, maculosas, erosivas e ulcerativas, placoides, eritematosas, assim como comedões, colaretes, seborreia. As dermatopatias parasitárias foram as mais frequentes (35,35%; 76/215), seguidas pelas dermatopatias bacterianas (24,19%; 52/215), dermatopatias alérgicas (20,00%; 43/215), dermatopatias fúngicas (17,21%; 37/215), dermatopatias por outras causas (2,32%; 5/215) e pelas dermatopatias autoimunes (0,93%; 2/215). Os exames físicos e dermatológicos, incluindo anamnese detalhada, histórico clínico apurado, associado a exames complementares, são ferramentas importantes para o diagnóstico das dermatopatias em cães. Presume-se que a frequência de dermatopatias em cães na região de estudo possa ser maior do que a observada.
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Affiliation(s)
| | | | | | - A. Gama
- Universidade de Trás-os-Montes e Alto Douro, Portugal
| | - A. Alves
- Universidade de Trás-os-Montes e Alto Douro, Portugal
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Alves A, Civet A, Laurent A, Parc Y, Penna C, Msika S, Hirsch M, Pocard M. Social deprivation aggravates post-operative morbidity in carcinologic colorectal surgery: Results of the COINCIDE multicenter study. J Visc Surg 2020; 158:211-219. [PMID: 32747307 DOI: 10.1016/j.jviscsurg.2020.07.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
AIM OF THE STUDY Evaluate the impact of social deprivation on morbidity and mortality in surgery for colorectal cancer. METHODS The COINCIDE prospective cohort included nearly 2,000 consecutive patients operated on for colorectal cancer at the Assistance Publique-Hospitals of Paris (AP-HP) from 2008 to 2010. The data on these patients were crossed with the PMSI administrative database. The European Social Deprivation Index (EDI) was calculated for each patient and classified into five quintiles (quintiles 4 and 5 being the most disadvantaged patients). Thirty-day post-operative morbidity was determined according to the Dindo-Clavien classification, with a Had®Hoc re-analysis of each file. Statistical analysis was performed using the proprietary Q-finder® algorithm. RESULTS One thousand two hundred and fifty nine curative colorectal resections were analyzed. Mortality was 2.7% and severe morbidity (Dindo-Clavien≥3) occurred in 16.4%. Mortality was not statistically significantly increased among the most disadvantaged who made up almost two thirds of the population (64.2%). Patients in quintiles 4 and 5 had a statistically significant increase in severe morbidity. The relative risk remained 1.5 even after adjustment for the known risk factors found in the analysis: age>70 years, ASA score, urgency, and laparotomy. CONCLUSIONS The EDI represents an independent risk factor for severe morbidity after carcinologic colorectal resection. This study suggests that the determinants of health are multidimensional and do not depend solely on the quality and performance of the care system. The inclusion of this index in our surgical databases is therefore necessary, as is its use in health policy for the distribution of resources.
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Affiliation(s)
- A Alves
- Service de chirurgie digestive CHU Caen, registre des tumeurs digestive du calvados, Inserm U1086 ANTICIPE, 14000 Caen, France
| | - A Civet
- Quinten-France, 8, rue Vernier, 75017 Paris, France
| | - A Laurent
- AP-HP, groupe hospitalier Henri-Mondor, service de chirurgie digestive et hépatobiliaire, 94000 Créteil, France
| | - Y Parc
- AP-HP, service de chirurgie generale et digestive, hôpital Saint-Antoine, Sorbonne Université, 184 rue du Faubourg Saint-Antoine, 75012 Paris, France
| | - C Penna
- AP-HP, service de chirurgie digestive, hôpital Bicètre, Le Kremlin-Bicètre, France, Université Paris Sud, Orsay, 94270 Le Kremlin-Bicètre, France
| | - S Msika
- AP-HP, service de chirurgie digestive, oeso-gastrique et bariatrique. CHU Bichat, HUPNVS Université Paris Diderot, PRES Sorbonne Paris Cité, 46, rue Henri Huchard, 75018 Paris, France
| | - M Hirsch
- AP-HP, Avenue Victoria, 75004 Paris, France
| | - M Pocard
- AP-HP, service de chirurgie digestive et cancérologique, hôpital Lariboisière, université de Paris, Unité Inserm U1275 CAP Paris-Tech, Carcinose péritoine Paris technologiques, 2, rue Ambroise-Paré, 75010 Paris, France.
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Alves A, Silva E, Teixeira T, Figueiredo C, Lameirão A, Vanzeller M, Ribeiro C. Rhodococcus equi infection as inaugural manifestation of idiopathic CD4 + lymphopenia: A rare entity and a therapeutic challenge. Pulmonology 2020; 27:75-77. [PMID: 32622733 DOI: 10.1016/j.pulmoe.2020.06.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2020] [Revised: 05/31/2020] [Accepted: 06/02/2020] [Indexed: 11/16/2022] Open
Abstract
We report a case of disseminated infection by Rhodococcus equi as the inaugural manifestation of idiopathic T-CD4+ lymphopenia. We aim to demonstrate our diagnostic and therapeutic approach and focus on the major dilemmas arising from the lack of scientific evidence regarding best clinical practice of this infection in humans.
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Affiliation(s)
- A Alves
- Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Portugal.
| | - E Silva
- Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Portugal
| | - T Teixeira
- Infectious Diseases Unit of Internal Medicine Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, Portugal
| | - C Figueiredo
- Infectious Diseases Unit of Internal Medicine Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, Portugal
| | - A Lameirão
- Department of Clinical Pathology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, Portugal
| | - M Vanzeller
- Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Portugal
| | - C Ribeiro
- Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Portugal
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Alves A, Preguiça I, Barbosa A, Vieira P, Martins D, Nunes S, Viana S, Reis F. Blueberries effects in experimental diet-induced prediabetes: a focus on renal impairment. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa040.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction Benefits arising from blueberry (BB) consumption are well-described in type 2 diabetes evolution and inherent complications. Lending further support to this thesis, previous work from our group unequivocally demonstrates BB supplementation efficacy to manage prediabetic hepatic liver steatosis. Whether a similar effect also holds truth in early renal impairment is an unsolved issue.
Objectives To address blueberry juice (BJ) ability to exert renoprotective effects in experimental prediabetes.
Methodology Diet-induced prediabetes [high-sucrose (35% Hsu) and high-fat (60% HF)] was developed in adult male Wistar rats through the ingestion of HSu for 9 weeks supplemented by HF for another 14 weeks (HSuHF, n = 16). On W9, half of the former animals orally received BJ (25g/kg BW, HSuHF+BJ). Control animals (n = 8) received standard diet during the entire protocol. Functional [serum and urinary creatinine, uric acid, glucose; glomerular filtration rate (GFR)], structural [H&E and Oil Red O staining] and molecular [triglycerides content and inflammation (RT-qPCR, WB)] markers of renal injury were assessed along with metabolic profile.
Results Even though diet-induced glucose intolerance, insulin insensitivity and plasmatic hypertriglyceridemia were significantly ameliorated upon BJ treatment, this nutraceutical intervention was unable to halt or slow down renal lipidosis and glomerular crescent-like lesions apart from a slight amelioration of both GFR and IL-6 levels in HSuHF-treated rats.
Conclusion Unlike previous results clearly demonstrating the ability of BJ nutraceutical intervention to afford protection against metabolic impairment and hepatic steatosis evolution in experimentally diet-induced prediabetes, only a modest renoprotective effect was observed in functional and morphological renal endpoints. Future studies are warranted to dissect the divergent effects of BJ on early liver and kidney impairment.
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Affiliation(s)
- A Alves
- Institute of Pharmacology & Experimental Therapeutics & Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Portugal
| | - I Preguiça
- Institute of Pharmacology & Experimental Therapeutics & Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Portugal
| | - A Barbosa
- Institute of Pharmacology & Experimental Therapeutics & Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Portugal
| | - P Vieira
- Institute of Pharmacology & Experimental Therapeutics & Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Portugal
- Instituto Politécnico de Coimbra, ESTeSC-Coimbra Health School, Farmácia/Ciências Biomédicas Laboratoriais, Coimbra, Portugal
| | - D Martins
- Instituto Politécnico de Coimbra, ESTeSC-Coimbra Health School, Farmácia/Ciências Biomédicas Laboratoriais, Coimbra, Portugal
- i3S - Institute for Research and Innovation in Health, University of Porto, Porto, Portugal
| | - S Nunes
- Institute of Pharmacology & Experimental Therapeutics & Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Portugal
- Faculty of Pharmacy, University of Coimbra, Portugal
| | - S Viana
- Institute of Pharmacology & Experimental Therapeutics & Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Portugal
- Instituto Politécnico de Coimbra, ESTeSC-Coimbra Health School, Farmácia/Ciências Biomédicas Laboratoriais, Coimbra, Portugal
| | - F Reis
- Institute of Pharmacology & Experimental Therapeutics & Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Portugal
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Ingen‐Housz‐Oro S, Alves A, Colin A, Ouedraogo R, Layese R, Canoui‐Poitrine F, Chosidow O, Mekontso‐Dessap A, Wolkenstein P, Prost N. 表皮坏死松解症幸存者的健康相关生活质量和长期相关疾病:一项针对 57 例患者的研究. Br J Dermatol 2020. [DOI: 10.1111/bjd.18931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ingen‐Housz‐Oro S, Alves A, Colin A, Ouedraogo R, Layese R, Canoui‐Poitrine F, Chosidow O, Mekontso‐Dessap A, Wolkenstein P, Prost N. Health‐related quality of life and long‐term related conditions in survivors of epidermal necrolysis: a study of 57 patients. Br J Dermatol 2020. [DOI: 10.1111/bjd.18912] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Alonso JDM, Rosa GDS, Santos B, Guerra S, Ribeiro M, Watanabe MJ, Alves A, Rodrigues C, Takahira RK, Hussni CA. Adjuvant intraperitoneal ceftriaxone in the treatment of septic peritonitis in horses. Vet Rec 2020; 187:e29. [PMID: 32234866 DOI: 10.1136/vr.105570] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Revised: 03/10/2020] [Accepted: 03/15/2020] [Indexed: 11/04/2022]
Abstract
BACKGROUND Intraperitoneal administration of ceftriaxone maintains therapeutic abdominal concentrations for 24 hours in healthy horses. Therefore, it is a possible treatment for septic peritonitis. The aim of this study was to evaluate the efficacy of ceftriaxone as an adjuvant treatment in horses with septic peritonitis. METHODS Twenty-six horses with clinical signs, sonography and/or laboratory findings of septic peritonitis were included. Peritoneal fluid was collected for microbiological culture and in vitro microbial sensitivity profile assessment. Daily intraperitoneal administration of ceftriaxone (25 mg/kg) was initiated with supportive and systemic antimicrobial treatment. The animals were divided into three groups: group 1-gastrointestinal tract injuries and abdominal surgery (excluding perforations/ruptures); group 2-not related to changes in the gastrointestinal tract; group 3-secondary to intestinal rupture and/or faeces contamination. RESULTS The mean success rate of the treatment was 77 per cent (20/26 animals), with success rates of 84.6 per cent in group 1; 87.5 per cent, group 2; and 40 per cent, group 3. CONCLUSIONS This is the first study to report adjuvant intraperitoneal treatment ceftriaxone for septic peritonitis in horses and indicates that this treatment can successfully treat septic peritonitis in horses.
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Affiliation(s)
- Juliana de Moura Alonso
- Department of Veterinary Surgery and Anaesthesiology, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
| | - Gustavo Dos Santos Rosa
- Department of Veterinary Surgery and Anaesthesiology, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
| | - Bruna Santos
- Department of Veterinary Clinics, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
| | - Simony Guerra
- Department of Veterinary Hygiene and Public Health, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
| | - Márcio Ribeiro
- Department of Veterinary Hygiene and Public Health, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
| | - Marcos Jun Watanabe
- Department of Veterinary Surgery and Anaesthesiology, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
| | - A Alves
- Department of Veterinary Surgery and Anaesthesiology, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
| | - Celso Rodrigues
- Department of Veterinary Surgery and Anaesthesiology, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
| | - Regina Kiomi Takahira
- Department of Veterinary Clinics, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
| | - Carlos Alberto Hussni
- Department of Veterinary Surgery and Anaesthesiology, Univ Estadual Paulista (UNESP)-School of Veterinary Medicine and Animal Science (FMVZ), Botucatu, Brazil
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Crous PW, Wingfield MJ, Lombard L, Roets F, Swart WJ, Alvarado P, Carnegie AJ, Moreno G, Luangsaard J, Thangavel R, Alexandrova AV, Baseia IG, Bellanger JM, Bessette AE, Bessette AR, De la Peña-Lastra S, García D, Gené J, Pham THG, Heykoop M, Malysheva E, Malysheva V, Martín MP, Morozova OV, Noisripoom W, Overton BE, Rea AE, Sewall BJ, Smith ME, Smyth CW, Tasanathai K, Visagie CM, Adamčík S, Alves A, Andrade JP, Aninat MJ, Araújo RVB, Bordallo JJ, Boufleur T, Baroncelli R, Barreto RW, Bolin J, Cabero J, Caboň M, Cafà G, Caffot MLH, Cai L, Carlavilla JR, Chávez R, de Castro RRL, Delgat L, Deschuyteneer D, Dios MM, Domínguez LS, Evans HC, Eyssartier G, Ferreira BW, Figueiredo CN, Liu F, Fournier J, Galli-Terasawa LV, Gil-Durán C, Glienke C, Gonçalves MFM, Gryta H, Guarro J, Himaman W, Hywel-Jones N, Iturrieta-González I, Ivanushkina NE, Jargeat P, Khalid AN, Khan J, Kiran M, Kiss L, Kochkina GA, Kolařík M, Kubátová A, Lodge DJ, Loizides M, Luque D, Manjón JL, Marbach PAS, Massola NS, Mata M, Miller AN, Mongkolsamrit S, Moreau PA, Morte A, Mujic A, Navarro-Ródenas A, Németh MZ, Nóbrega TF, Nováková A, Olariaga I, Ozerskaya SM, Palma MA, Petters-Vandresen DAL, Piontelli E, Popov ES, Rodríguez A, Requejo Ó, Rodrigues ACM, Rong IH, Roux J, Seifert KA, Silva BDB, Sklenář F, Smith JA, Sousa JO, Souza HG, De Souza JT, Švec K, Tanchaud P, Tanney JB, Terasawa F, Thanakitpipattana D, Torres-Garcia D, Vaca I, Vaghefi N, van Iperen AL, Vasilenko OV, Verbeken A, Yilmaz N, Zamora JC, Zapata M, Jurjević Ž, Groenewald JZ. Fungal Planet description sheets: 951-1041. Persoonia 2019; 43:223-425. [PMID: 32214501 PMCID: PMC7085856 DOI: 10.3767/persoonia.2019.43.06] [Citation(s) in RCA: 80] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2019] [Accepted: 10/09/2019] [Indexed: 11/25/2022]
Abstract
Novel species of fungi described in this study include those from various countries as follows: Antarctica, Apenidiella antarctica from permafrost, Cladosporium fildesense from an unidentified marine sponge. Argentina, Geastrum wrightii on humus in mixed forest. Australia, Golovinomyces glandulariae on Glandularia aristigera, Neoanungitea eucalyptorum on leaves of Eucalyptus grandis, Teratosphaeria corymbiicola on leaves of Corymbia ficifolia, Xylaria eucalypti on leaves of Eucalyptus radiata. Brazil, Bovista psammophila on soil, Fusarium awaxy on rotten stalks of Zea mays, Geastrum lanuginosum on leaf litter covered soil, Hermetothecium mikaniae-micranthae (incl. Hermetothecium gen. nov.) on Mikania micrantha, Penicillium reconvexovelosoi in soil, Stagonosporopsis vannaccii from pod of Glycine max. British Virgin Isles, Lactifluus guanensis on soil. Canada, Sorocybe oblongispora on resin of Picea rubens. Chile, Colletotrichum roseum on leaves of Lapageria rosea. China, Setophoma caverna from carbonatite in Karst cave. Colombia, Lareunionomyces eucalypticola on leaves of Eucalyptus grandis. Costa Rica, Psathyrella pivae on wood. Cyprus, Clavulina iris on calcareous substrate. France, Chromosera ambigua and Clavulina iris var. occidentalis on soil. French West Indies, Helminthosphaeria hispidissima on dead wood. Guatemala, Talaromyces guatemalensis in soil. Malaysia, Neotracylla pini (incl. Tracyllales ord. nov. and Neotracylla gen. nov.) and Vermiculariopsiella pini on needles of Pinus tecunumanii. New Zealand, Neoconiothyrium viticola on stems of Vitis vinifera, Parafenestella pittospori on Pittosporum tenuifolium, Pilidium novae-zelandiae on Phoenix sp. Pakistan, Russula quercus-floribundae on forest floor. Portugal, Trichoderma aestuarinum from saline water. Russia, Pluteus liliputianus on fallen branch of deciduous tree, Pluteus spurius on decaying deciduous wood or soil. South Africa, Alloconiothyrium encephalarti, Phyllosticta encephalarticola and Neothyrostroma encephalarti (incl. Neothyrostroma gen. nov.) on leaves of Encephalartos sp., Chalara eucalypticola on leaf spots of Eucalyptus grandis × urophylla, Clypeosphaeria oleae on leaves of Olea capensis, Cylindrocladiella postalofficium on leaf litter of Sideroxylon inerme, Cylindromonium eugeniicola (incl. Cylindromonium gen. nov.) on leaf litter of Eugenia capensis, Cyphellophora goniomatis on leaves of Gonioma kamassi, Nothodactylaria nephrolepidis (incl. Nothodactylaria gen. nov. and Nothodactylariaceae fam. nov.) on leaves of Nephrolepis exaltata, Falcocladium eucalypti and Gyrothrix eucalypti on leaves of Eucalyptus sp., Gyrothrix oleae on leaves of Olea capensis subsp. macrocarpa, Harzia metrosideri on leaf litter of Metrosideros sp., Hippopotamyces phragmitis (incl. Hippopotamyces gen. nov.) on leaves of Phragmites australis, Lectera philenopterae on Philenoptera violacea, Leptosillia mayteni on leaves of Maytenus heterophylla, Lithohypha aloicola and Neoplatysporoides aloes on leaves of Aloe sp., Millesimomyces rhoicissi (incl. Millesimomyces gen. nov.) on leaves of Rhoicissus digitata, Neodevriesia strelitziicola on leaf litter of Strelitzia nicolai, Neokirramyces syzygii (incl. Neokirramyces gen. nov.) on leaf spots of Syzygium sp., Nothoramichloridium perseae (incl. Nothoramichloridium gen. nov. and Anungitiomycetaceae fam. nov.) on leaves of Persea americana, Paramycosphaerella watsoniae on leaf spots of Watsonia sp., Penicillium cuddlyae from dog food, Podocarpomyces knysnanus (incl. Podocarpomyces gen. nov.) on leaves of Podocarpus falcatus, Pseudocercospora heteropyxidicola on leaf spots of Heteropyxis natalensis, Pseudopenidiella podocarpi, Scolecobasidium podocarpi and Ceramothyrium podocarpicola on leaves of Podocarpus latifolius, Scolecobasidium blechni on leaves of Blechnum capense, Stomiopeltis syzygii on leaves of Syzygium chordatum, Strelitziomyces knysnanus (incl. Strelitziomyces gen. nov.) on leaves of Strelitzia alba, Talaromyces clemensii from rotting wood in goldmine, Verrucocladosporium visseri on Carpobrotus edulis. Spain, Boletopsis mediterraneensis on soil, Calycina cortegadensisi on a living twig of Castanea sativa, Emmonsiellopsis tuberculata in fluvial sediments, Mollisia cortegadensis on dead attached twig of Quercus robur, Psathyrella ovispora on soil, Pseudobeltrania lauri on leaf litter of Laurus azorica, Terfezia dunensis in soil, Tuber lucentum in soil, Venturia submersa on submerged plant debris. Thailand, Cordyceps jakajanicola on cicada nymph, Cordyceps kuiburiensis on spider, Distoseptispora caricis on leaves of Carex sp., Ophiocordyceps khonkaenensis on cicada nymph. USA, Cytosporella juncicola and Davidiellomyces juncicola on culms of Juncus effusus, Monochaetia massachusettsianum from air sample, Neohelicomyces melaleucae and Periconia neobrittanica on leaves of Melaleuca styphelioides × lanceolata, Pseudocamarosporium eucalypti on leaves of Eucalyptus sp., Pseudogymnoascus lindneri from sediment in a mine, Pseudogymnoascus turneri from sediment in a railroad tunnel, Pulchroboletus sclerotiorum on soil, Zygosporium pseudomasonii on leaf of Serenoa repens. Vietnam, Boletus candidissimus and Veloporphyrellus vulpinus on soil. Morphological and culture characteristics are supported by DNA barcodes.
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Affiliation(s)
- P W Crous
- Westerdijk Fungal Biodiversity Institute, P.O. Box 85167, 3508 AD Utrecht, The Netherlands
- Department of Biochemistry, Genetics and Microbiology, Forestry and Agricultural Biotechnology Institute (FABI), Faculty of Natural and Agricultural Sciences, University of Pretoria, Private Bag X20, Hatfield 0028, Pretoria, South Africa
| | - M J Wingfield
- Department of Biochemistry, Genetics and Microbiology, Forestry and Agricultural Biotechnology Institute (FABI), Faculty of Natural and Agricultural Sciences, University of Pretoria, Private Bag X20, Hatfield 0028, Pretoria, South Africa
| | - L Lombard
- Westerdijk Fungal Biodiversity Institute, P.O. Box 85167, 3508 AD Utrecht, The Netherlands
| | - F Roets
- Department of Conservation Ecology and Entomology, Stellenbosch University, Stellenbosch 7600, South Africa
| | - W J Swart
- Department of Plant Sciences (Division of Plant Pathology), University of the Free State, P.O. Box 339, Bloemfontein 9300, South Africa
| | - P Alvarado
- ALVALAB, La Rochela 47, 39012 Santander, Spain
| | - A J Carnegie
- Forest Health & Biosecurity, Forest Science, NSW Department of Primary Industries, Level 12, 10 Valentine Ave, Parramatta NSW 2150, Australia
| | - G Moreno
- Departamento de Ciencias de la Vida (Área de Botánica), Facultad de Ciencias, Universidad de Alcalá, E-28805 Alcalá de Henares, Madrid, Spain
| | - J Luangsaard
- National Center for Genetic Engineering and Biotechnology (BIOTEC), 113 Thailand Science Park, Phahonyothin Rd., Khlong Nueng, Khlong Luang, Pathum Thani 12120, Thailand
| | - R Thangavel
- Plant Health and Environment Laboratory, Ministry for Primary Industries, P.O. Box 2095, Auckland 1140, New Zealand
| | - A V Alexandrova
- Lomonosov Moscow State University (MSU), Faculty of Biology, 119234, 1, 12 Leninskie Gory Str., Moscow, Russia
- Joint Russian-Vietnamese Tropical Research and Technological Center, Hanoi, Vietnam
- Peoples' Friendship University of Russia (RUDN University) 6 Miklouho-Maclay Str., 117198, Moscow, Russia
| | - I G Baseia
- Departamento Botânica e Zoologia, Centro de Biociências, Universidade Federal do Rio Grande do Norte, Campus Universitário, 59072-970 Natal, RN, Brazil
| | - J-M Bellanger
- CEFE, CNRS, Université de Montpellier, Université Paul-Valéry Montpellier 3, EPHE, IRD, INSERM, 1919 route de Mende, F-34293 Montpellier Cedex 5, France
| | | | | | - S De la Peña-Lastra
- Departamento de Edafoloxía e Química Agrícola, Facultade de Biología, Universidade de Santiago de Compostela, 15782-Santiago de Compostela, Spain
| | - D García
- Mycology Unit, Medical School and IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Spain
| | - J Gené
- Mycology Unit, Medical School and IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Spain
| | - T H G Pham
- Joint Russian-Vietnamese Tropical Research and Technological Center, Hanoi, Vietnam
- Saint Petersburg State Forestry University, 194021, 5U Institutsky Str., Saint Petersburg, Russia
| | - M Heykoop
- Departamento de Ciencias de la Vida (Área de Botánica), Facultad de Ciencias, Universidad de Alcalá, E-28805 Alcalá de Henares, Madrid, Spain
| | - E Malysheva
- Komarov Botanical Institute of the Russian Academy of Sciences, Prof. Popov Str. 2, RUS-197376, Saint Petersburg, Russia
| | - V Malysheva
- Komarov Botanical Institute of the Russian Academy of Sciences, Prof. Popov Str. 2, RUS-197376, Saint Petersburg, Russia
| | - M P Martín
- Real Jardín Botánico RJB-CSIC, Plaza de Murillo 2, 28014 Madrid, Spain
| | - O V Morozova
- Joint Russian-Vietnamese Tropical Research and Technological Center, Hanoi, Vietnam
- Komarov Botanical Institute of the Russian Academy of Sciences, Prof. Popov Str. 2, RUS-197376, Saint Petersburg, Russia
| | - W Noisripoom
- National Center for Genetic Engineering and Biotechnology (BIOTEC), 113 Thailand Science Park, Phahonyothin Rd., Khlong Nueng, Khlong Luang, Pathum Thani 12120, Thailand
| | - B E Overton
- Department of Biology, 205 East Campus Science Center, Lock Haven University, Lock Haven, PA 17745 USA
| | - A E Rea
- Department of Biology, 205 East Campus Science Center, Lock Haven University, Lock Haven, PA 17745 USA
| | - B J Sewall
- Department of Biology, 1900 North 12th Street, Temple University, Philadelphia, PA 19122 USA
| | - M E Smith
- Department of Plant Pathology & Florida Museum of Natural History, 2527 Fifield Hall, Gainesville FL 32611, USA
| | - C W Smyth
- Department of Biology, 205 East Campus Science Center, Lock Haven University, Lock Haven, PA 17745 USA
| | - K Tasanathai
- National Center for Genetic Engineering and Biotechnology (BIOTEC), 113 Thailand Science Park, Phahonyothin Rd., Khlong Nueng, Khlong Luang, Pathum Thani 12120, Thailand
| | - C M Visagie
- Department of Biochemistry, Genetics and Microbiology, Forestry and Agricultural Biotechnology Institute (FABI), Faculty of Natural and Agricultural Sciences, University of Pretoria, Private Bag X20, Hatfield 0028, Pretoria, South Africa
- Biosystematics Division, Agricultural Research Council - Plant Health and Protection, P. Bag X134, Queenswood, Pretoria 0121, South Africa
| | - S Adamčík
- Institute of Botany, Plant Science and Biodiversity Centre, Slovak Academy of Sciences, Dúbravská cesta 9, SK-84523, Bratislava, Slovakia
| | - A Alves
- Departamento de Biologia, CESAM, Universidade de Aveiro, 3810-193 Aveiro, Portugal
| | - J P Andrade
- Universidade Estadual de Feira de Santana, Bahia, Brazil and Faculdades Integradas de Sergipe, Sergipe, Brazil
| | - M J Aninat
- Servicio Agrícola y Ganadero, Laboratorio Regional Valparaíso, Unidad de Fitopatología, Antonio Varas 120, Valparaíso, Código Postal 2360451, Chile
| | - R V B Araújo
- Instituto de Biologia, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - J J Bordallo
- Laboratorio de Investigacion, San Vicente Raspeig, 03690 Alicante, Spain
| | - T Boufleur
- Departamento de Fitopatologia e Nematologia, Escola Superior de Agricultura "Luiz de Queiroz", Universidade de São Paulo, Caixa Postal 09, CEP 13418-900, Piracicaba-SP, Brazil
| | - R Baroncelli
- Instituto Hispano-Luso de Investigaciones Agrarias (CIALE), University of Salamanca, Calle del Duero, 12; 37185 Villamayor (Salamanca), Spain
| | - R W Barreto
- Departamento de Fitopatologia, Universidade Federal de Viçosa, Viçosa, 36570-900, MG, Brazil
| | - J Bolin
- 7340 Viale Sonata, Lake Worth, FL 33467, USA
| | - J Cabero
- Asociación Micológica Zamorana, 49080 Zamora, Spain
| | - M Caboň
- Institute of Botany, Plant Science and Biodiversity Centre, Slovak Academy of Sciences, Dúbravská cesta 9, SK-84523, Bratislava, Slovakia
| | - G Cafà
- CABI Europe-UK, Bakeham Lane, Egham, Surrey TW20 9TY, UK
| | - M L H Caffot
- Instituto de Ecorregiones Andinas (INECOA), CONICET-Universidad Nacional de Jujuy, CP 4600, San Salvador de Jujuy, Jujuy, Argentina
| | - L Cai
- State Key Laboratory of Mycology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China
| | - J R Carlavilla
- Departamento de Ciencias de la Vida (Área de Botánica), Facultad de Ciencias, Universidad de Alcalá, E-28805 Alcalá de Henares, Madrid, Spain
| | - R Chávez
- Facultad de Química y Biología, Universidad de Santiago de Chile (USACH), Alameda 3363, Estación Central, 917002, Santiago, Chile
| | - R R L de Castro
- Departamento de Fitopatologia e Nematologia, Escola Superior de Agricultura "Luiz de Queiroz", Universidade de São Paulo, Caixa Postal 09, CEP 13418-900, Piracicaba-SP, Brazil
| | - L Delgat
- Department of Biology, Ghent University, Karel Lodewijk Ledeganckstraat 35, Ghent, Belgium
| | | | - M M Dios
- Departamento de Biología, Facultad de Ciencias Exactas y Naturales, Universidad Nacional de Catamarca, Av. Belgrano 300, San Fernando del Valle de Catamarca, Catamarca, Argentina
| | - L S Domínguez
- Laboratorio de Micología, Instituto Multidisciplinario de Biología Vegetal, CONICET, Universidad Nacional de Córdoba, CC 495, 5000, Córdoba, Argentina
| | - H C Evans
- CAB International, UK Centre, Egham, Surrey TW20 9TY, UK
| | - G Eyssartier
- Attaché honoraire au Muséum national d'histoire naturelle de Paris, 180 allée du Château, F-24660 Sanilhac, France
| | - B W Ferreira
- Departamento de Fitopatologia, Universidade Federal de Viçosa, Viçosa, 36570-900, MG, Brazil
| | | | - F Liu
- State Key Laboratory of Mycology, Institute of Microbiology, Chinese Academy of Sciences, Beijing, 100101, China
| | | | | | - C Gil-Durán
- Facultad de Química y Biología, Universidad de Santiago de Chile (USACH), Alameda 3363, Estación Central, 917002, Santiago, Chile
| | - C Glienke
- Federal University of Paraná, Curitiba, Brazil
| | - M F M Gonçalves
- Departamento de Biologia, CESAM, Universidade de Aveiro, 3810-193 Aveiro, Portugal
| | - H Gryta
- Université Paul Sabatier, CNRS, IRD, UMR5174 EDB (Laboratoire Évolution et Diversité Biologique), 118 route de Narbonne, F-31062 Toulouse, France
| | - J Guarro
- Mycology Unit, Medical School and IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Spain
| | - W Himaman
- Forest Entomology and Microbiology Research Group, Department of National Parks, Wildlife and Plant Conservation, 61 Phaholyothin Road, Chatuchak, Bangkok 10900, Thailand
| | - N Hywel-Jones
- BioAsia Life Sciences Institute, 1938 Xinqun Rd, Pinghu, Zhejiang 314200, PR China
| | - I Iturrieta-González
- Mycology Unit, Medical School and IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Spain
| | - N E Ivanushkina
- All-Russian collection of microorganisms (VKM), IBPM RAS, prospect Nauki, 5, Pushchino, Moscow Region, Russia
| | - P Jargeat
- Université Paul Sabatier, CNRS, IRD, UMR5174 EDB (Laboratoire Évolution et Diversité Biologique), 118 route de Narbonne, F-31062 Toulouse, France
| | - A N Khalid
- Department of Botany, University of Punjab, Quaid e Azam campus, Lahore 54590, Pakistan
| | - J Khan
- Center for Plant Sciences and Biodiversity, University of Swat, KP, Pakistan
| | - M Kiran
- Department of Botany, University of Punjab, Quaid e Azam campus, Lahore 54590, Pakistan
| | - L Kiss
- Centre for Crop Health, University of Southern Queensland, Toowoomba 4350, Queensland, Australia
| | - G A Kochkina
- All-Russian collection of microorganisms (VKM), IBPM RAS, prospect Nauki, 5, Pushchino, Moscow Region, Russia
| | - M Kolařík
- Laboratory of Fungal Genetics and Metabolism, Institute of Microbiology of the CAS, v.v.i., Vídeňská 1083, 142 20 Prague 4, Czech Republic
- Department of Botany, Faculty of Science, Charles University, Benátská 2, 12801 Prague 2, Czech Republic
| | - A Kubátová
- Department of Botany, Faculty of Science, Charles University, Benátská 2, 12801 Prague 2, Czech Republic
| | - D J Lodge
- Department of Plant Pathology, 2105 Miller Plant Sciences Bldg., University of Georgia, Athens, GA 30606, USA
| | | | - D Luque
- C/Severo Daza 31, 41820 Carrión de los Céspedes (Sevilla), Spain
| | - J L Manjón
- Departamento de Ciencias de la Vida (Área de Botánica), Facultad de Ciencias, Universidad de Alcalá, E-28805 Alcalá de Henares, Madrid, Spain
| | - P A S Marbach
- Federal University of Recôncavo da Bahia, Bahia, Brazil
| | - N S Massola
- Departamento de Fitopatologia e Nematologia, Escola Superior de Agricultura "Luiz de Queiroz", Universidade de São Paulo, Caixa Postal 09, CEP 13418-900, Piracicaba-SP, Brazil
| | - M Mata
- Departamento de Ciencias de la Vida (Área de Botánica), Facultad de Ciencias, Universidad de Alcalá, E-28805 Alcalá de Henares, Madrid, Spain
| | - A N Miller
- University of Illinois Urbana-Champaign, Illinois Natural History Survey, 1816 South Oak Street, Champaign, Illinois, 61820, USA
| | - S Mongkolsamrit
- National Center for Genetic Engineering and Biotechnology (BIOTEC), 113 Thailand Science Park, Phahonyothin Rd., Khlong Nueng, Khlong Luang, Pathum Thani 12120, Thailand
| | - P-A Moreau
- Université de Lille, Faculté de pharmacie de Lille, EA 4483, F-59000 Lille, France
| | - A Morte
- Departamento de Biología Vegetal (Botánica), Facultad de Biología, Universidad de Murcia, 30100 Murcia, Spain
| | - A Mujic
- Department of Biology, Fresno State University, 2555 East San Ramon Ave, Fresno CA 93740, USA
| | - A Navarro-Ródenas
- Departamento de Biología Vegetal (Botánica), Facultad de Biología, Universidad de Murcia, 30100 Murcia, Spain
| | - M Z Németh
- Plant Protection Institute, Centre for Agricultural Research, Hungarian Academy of Sciences, Budapest H-1022, Herman Otto út 15, Hungary
| | - T F Nóbrega
- Departamento de Fitopatologia, Universidade Federal de Viçosa, Viçosa, 36570-900, MG, Brazil
| | - A Nováková
- Laboratory of Fungal Genetics and Metabolism, Institute of Microbiology of the CAS, v.v.i., Vídeňská 1083, 142 20 Prague 4, Czech Republic
| | - I Olariaga
- Biology and Geology Physics and Inorganic Chemistry Department, Rey Juan Carlos university, C/Tulipán s/n, 28933 Móstoles, Madrid, Spain
| | - S M Ozerskaya
- All-Russian collection of microorganisms (VKM), IBPM RAS, prospect Nauki, 5, Pushchino, Moscow Region, Russia
| | - M A Palma
- Servicio Agrícola y Ganadero, Laboratorio Regional Valparaíso, Unidad de Fitopatología, Antonio Varas 120, Valparaíso, Código Postal 2360451, Chile
| | | | - E Piontelli
- Universidad de Valparaíso, Facultad de Medicina, Profesor Emérito Cátedra de Micología, Angámos 655, Reñaca, Viña del Mar, Código Postal 2540064, Chile
| | - E S Popov
- Joint Russian-Vietnamese Tropical Research and Technological Center, Hanoi, Vietnam
- Komarov Botanical Institute of the Russian Academy of Sciences, Prof. Popov Str. 2, RUS-197376, Saint Petersburg, Russia
| | - A Rodríguez
- Departamento de Biología Vegetal (Botánica), Facultad de Biología, Universidad de Murcia, 30100 Murcia, Spain
| | - Ó Requejo
- Grupo Micológico Gallego, San Xurxo, A Laxe 12b, 36470, Salceda de Caseleas, Spain
| | - A C M Rodrigues
- Programa de Pós-Graduação em Biologia de Fungos, Departamento de Micologia, Universidade Federal de Pernambuco, 50670-420 Recife, PE, Brazil
| | - I H Rong
- Biosystematics Division, Agricultural Research Council - Plant Health and Protection, P. Bag X134, Queenswood, Pretoria 0121, South Africa
| | - J Roux
- Department of Plant and Soil Sciences, Forestry and Agricultural Biotechnology Institute (FABI), Faculty of Natural and Agricultural Sciences, University of Pretoria, Private Bag X20, Hatfield 0028, Pretoria, South Africa
| | - K A Seifert
- Biodiversity (Mycology), Agriculture and Agri-Food Canada, 960 Carling Avenue, Ottawa, ON K1A 0C6, Canada
| | - B D B Silva
- Instituto de Biologia, Universidade Federal da Bahia, Salvador, Bahia, Brazil
| | - F Sklenář
- Laboratory of Fungal Genetics and Metabolism, Institute of Microbiology of the CAS, v.v.i., Vídeňská 1083, 142 20 Prague 4, Czech Republic
- Department of Botany, Faculty of Science, Charles University, Benátská 2, 12801 Prague 2, Czech Republic
| | - J A Smith
- School of Forest Resources and Conservation, University of Florida, Gainesville, Florida 32611-0680, USA
| | - J O Sousa
- Departamento Botânica e Zoologia, Centro de Biociências, Universidade Federal do Rio Grande do Norte, Campus Universitário, 59072-970 Natal, RN, Brazil
| | - H G Souza
- Federal University of Recôncavo da Bahia, Bahia, Brazil
| | - J T De Souza
- Federal University of Lavras, Minas Gerais, Brazil
| | - K Švec
- Laboratory of Fungal Genetics and Metabolism, Institute of Microbiology of the CAS, v.v.i., Vídeňská 1083, 142 20 Prague 4, Czech Republic
- Department of Botany, Faculty of Science, Charles University, Benátská 2, 12801 Prague 2, Czech Republic
| | - P Tanchaud
- 2 rue des Espics, F-17250 Soulignonne, France
| | - J B Tanney
- Pacific Forestry Centre, Canadian Forest Service, Natural Resources Canada, 506 Burnside Road, Victoria, BC V8Z 1M5, Canada
| | - F Terasawa
- Federal University of Paraná, Curitiba, Brazil
| | - D Thanakitpipattana
- National Center for Genetic Engineering and Biotechnology (BIOTEC), 113 Thailand Science Park, Phahonyothin Rd., Khlong Nueng, Khlong Luang, Pathum Thani 12120, Thailand
| | - D Torres-Garcia
- Mycology Unit, Medical School and IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Spain
| | - I Vaca
- Facultad de Ciencias, Universidad de Chile, Las Palmeras 3425, Ñuñoa, Santiago, Chile
| | - N Vaghefi
- Centre for Crop Health, University of Southern Queensland, Toowoomba 4350, Queensland, Australia
| | - A L van Iperen
- Westerdijk Fungal Biodiversity Institute, P.O. Box 85167, 3508 AD Utrecht, The Netherlands
| | - O V Vasilenko
- All-Russian collection of microorganisms (VKM), IBPM RAS, prospect Nauki, 5, Pushchino, Moscow Region, Russia
| | - A Verbeken
- Department of Biology, Ghent University, Karel Lodewijk Ledeganckstraat 35, Ghent, Belgium
| | - N Yilmaz
- Department of Biochemistry, Genetics and Microbiology, Forestry and Agricultural Biotechnology Institute (FABI), Faculty of Natural and Agricultural Sciences, University of Pretoria, Private Bag X20, Hatfield 0028, Pretoria, South Africa
| | - J C Zamora
- Museum of Evolution, Uppsala University, Norbyvägen 16, SE-75236 Uppsala, Sweden
- Departamento de Biología Vegetal II, Facultad de Farmacia, Universidad Complutense de Madrid, Ciudad Universitaria, plaza de Ramón y Cajal s/n, E-28040, Madrid, Spain
| | - M Zapata
- Servicio Agrícola y Ganadero, Laboratorio Regional Chillán, Unidad de Fitopatología, Claudio Arrau 738, Chillán, Código Postal 3800773, Chile
| | - Ž Jurjević
- EMSL Analytical, Inc., 200 Route 130 North, Cinnaminson, NJ 08077, USA
| | - J Z Groenewald
- Westerdijk Fungal Biodiversity Institute, P.O. Box 85167, 3508 AD Utrecht, The Netherlands
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Tabchouri N, Barbier L, Menahem B, Perarnau JM, Muscari F, Fares N, D'Alteroche L, Valette PJ, Dumortier J, Alves A, Lubrano J, Bureau C, Salamé E. Original Study: Transjugular Intrahepatic Portosystemic Shunt as a Bridge to Abdominal Surgery in Cirrhotic Patients. J Gastrointest Surg 2019; 23:2383-2390. [PMID: 30820792 DOI: 10.1007/s11605-018-4053-x] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Accepted: 11/08/2018] [Indexed: 01/31/2023]
Abstract
BACKGROUND Transjugular intrahepatic portosystemic shunt (TIPS) has been suggested to reduce portal hypertension-associated complications in cirrhotic patients undergoing abdominal surgery. The aim of this study was to compare postoperative outcome in cirrhotic patients with and without specific preoperative TIPS placement, following elective extrahepatic abdominal surgery. METHODS Patients were retrospectively included from 2005 to 2016 in four centers. Patients who underwent preoperative TIPS (n = 66) were compared to cirrhotic control patients without TIPS (n = 68). Postoperative outcome was analyzed using propensity score with inverse probability of treatment weighting analysis. RESULTS Overall, colorectal surgery accounted for 54% of all surgical procedure. TIPS patients had a higher initial Child-Pugh score (6[5-12] vs. 6[5-9], p = 0.043) and received more beta-blockers (65% vs. 22%, p < 0.001). In TIPS group, 56 (85%) patients managed to undergo planned surgery. Preoperative TIPS was associated with less postoperative ascites (hazard ratio = 0.330 [0.140-0.780]). Severe postoperative complications (Clavien-Dindo > 2) and 90-day mortality were similar between TIPS and no-TIPS groups (18% vs. 23%, p = 0.392, and 7.5% vs. 7.8%, p = 0.644, respectively). CONCLUSIONS Preoperative TIPS placement yielded an 85% operability rate with satisfying postoperative outcomes. No significant differences were found between TIPS and no-TIPS groups in terms of severe postoperative complications and mortality, although TIPS patients probably had worse initial portal hypertension.
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Affiliation(s)
- N Tabchouri
- Department of Digestive Surgery, Hepatobiliary Surgery and Liver Transplantation, University Hospital of Tours, CHU Tours, Avenue de la République, F37042, Tours, France.,FHU Support, F37000, Tours, France
| | - L Barbier
- Department of Digestive Surgery, Hepatobiliary Surgery and Liver Transplantation, University Hospital of Tours, CHU Tours, Avenue de la République, F37042, Tours, France.,FHU Support, F37000, Tours, France
| | - B Menahem
- Department of Digestive Surgery, University Hospital of Caen, Caen Cedex, France
| | - J-M Perarnau
- Department of Hepatology, University Hospital of Tours, CHU Tours, F37042, Tours, France
| | - F Muscari
- Department of Surgery, Hôpital Rangueil, Toulouse, France
| | - N Fares
- Department of Hepatology and Gastroenterology, Purpan Hospital, University Hospital of Toulouse, Place du Docteur Baylac TSA 40031, 31059, Toulouse Cedex 9, France
| | - L D'Alteroche
- Department of Hepatology, University Hospital of Tours, CHU Tours, F37042, Tours, France
| | - P-J Valette
- Department of Digestive Diseases, Hospices Civils de Lyon, Hôpital Edouard Herriot, Université Claude Bernard Lyon 1, Lyon, France
| | - J Dumortier
- Department of Digestive Diseases, Hospices Civils de Lyon, Hôpital Edouard Herriot, Université Claude Bernard Lyon 1, Lyon, France
| | - A Alves
- Department of Digestive Surgery, University Hospital of Caen, Caen Cedex, France
| | - J Lubrano
- Department of Digestive Surgery, University Hospital of Caen, Caen Cedex, France
| | - C Bureau
- Department of Hepatology and Gastroenterology, Purpan Hospital, University Hospital of Toulouse, Place du Docteur Baylac TSA 40031, 31059, Toulouse Cedex 9, France
| | - Ephrem Salamé
- Department of Digestive Surgery, Hepatobiliary Surgery and Liver Transplantation, University Hospital of Tours, CHU Tours, Avenue de la République, F37042, Tours, France. .,FHU Support, F37000, Tours, France.
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Lye J, Shaw M, Alves A, Supple J, Davey C, Brown R, Cole A, Kadeer F, Kenny J, Lehmann J. OC-016: Results from ACDS end-to-end dosimetry audit of spine and lung SBRT. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(20)30422-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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41
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Ingen-Housz-Oro S, Alves A, Colin A, Ouedraogo R, Layese R, Canoui-Poitrine F, Chosidow O, Mekontso-Dessap A, Wolkenstein P, de Prost N. Health-related quality of life and long-term sequelae in survivors of epidermal necrolysis: an observational study of 57 patients. Br J Dermatol 2019; 182:916-926. [PMID: 31385287 DOI: 10.1111/bjd.18387] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/31/2019] [Indexed: 12/18/2022]
Abstract
BACKGROUND Few studies have investigated the global burden of sequelae and health-related quality of life (HRQoL) for survivors of epidermal necrolysis (EN). OBJECTIVES To investigate the long-term HRQoL for survivors of EN using validated instruments. METHODS We conducted a single-centre study that enrolled patients who were admitted for EN between 2010 and 2017. HRQoL was assessed via phone interview using the Short Form (SF)-36 questionnaire, Hospital Anxiety and Depression (HAD) scale, Impact of Event Scale-Revised, and general quality-of-life outcomes, including EN-specific sequelae. The primary outcome measure was the physical component summary (PCS) score of the SF-36. RESULTS In total, 57 survivors of EN [19 (33%) with intensive care unit (ICU) admission] were interviewed via telephone at a median of 3·6 years (1·9-6·1) after hospital discharge. The median PCS score was 0·44 SDs below that of the age- and sex-matched reference population and was significantly lower for survivors of EN who were admitted to the ICU vs. those who were not [43·7 (28·7-49·3) vs. 51·2 (39·4-56·5), P = 0·042]. The proportion of patients with EN who had HAD-anxiety score ≥ 8 or HAD-depression score ≥ 5 was 54% and 21%, respectively. Physical and mental outcomes did not differ between patients with EN who were admitted to the ICU and survivors of septic shock. Reported EN-specific sequelae were cutaneous (77%), ocular (70%), psychological (60%), dental/oral (49%), genital (30%) and respiratory (18%), with median intensity on a visual analogue scale. CONCLUSIONS Our study confirms the major burden and long-term impact of EN on quality of life for survivors and emphasizes the need for prolonged close follow-up after the acute phase. What's already known about this topic? Long-term sequelae have been reported in 90% of survivors of epidermal necrolysis (EN). Few studies have investigated the global burden of sequelae and health-related quality of life (HRQoL) in survivors of EN. What does this study add? Survivors of EN, particularly those admitted to the intensive care unit, had poorer physical HRQoL than the French reference population but had comparable HRQoL to survivors of septic shock. Survivors of EN exhibited symptoms of anxiety, depression and post-traumatic stress syndrome. The most frequent sequelae were cutaneous, ocular and psychological, with visual analogue scale scores of 5/10 and 6/10. These results confirm the burden of EN on quality of life.
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Affiliation(s)
- S Ingen-Housz-Oro
- Service de Dermatologie, Créteil, France.,Centre National de Référence des Dermatoses Bulleuses Toxiques, Créteil, France.,EA7379 EpidermE, UPEC, Créteil, France
| | - A Alves
- Service de Réanimation Médicale, Créteil, France
| | - A Colin
- Service de Dermatologie, Créteil, France.,Centre National de Référence des Dermatoses Bulleuses Toxiques, Créteil, France
| | - R Ouedraogo
- Service de Réanimation Médicale, Créteil, France
| | - R Layese
- Service de Santé Publique, Hôpital Henri Mondor, Hôpitaux Universitaires Henri Mondor-Albert Chenevier, Assistance Publique-Hôpitaux de Paris, Créteil, France.,Clinical Epidemiology And Ageing Unit, DHU A-TVB, IMRB-EA 7376 CEpiA, Université Paris-Est UPEC, Créteil, France
| | - F Canoui-Poitrine
- Service de Santé Publique, Hôpital Henri Mondor, Hôpitaux Universitaires Henri Mondor-Albert Chenevier, Assistance Publique-Hôpitaux de Paris, Créteil, France.,Clinical Epidemiology And Ageing Unit, DHU A-TVB, IMRB-EA 7376 CEpiA, Université Paris-Est UPEC, Créteil, France
| | - O Chosidow
- Service de Dermatologie, Créteil, France.,Centre National de Référence des Dermatoses Bulleuses Toxiques, Créteil, France
| | - A Mekontso-Dessap
- Service de Réanimation Médicale, Créteil, France.,Groupe de Recherche Clinique CARMAS, Université Paris-Est Créteil, IMRB, Créteil, France
| | - P Wolkenstein
- Service de Dermatologie, Créteil, France.,Centre National de Référence des Dermatoses Bulleuses Toxiques, Créteil, France
| | - N de Prost
- Centre National de Référence des Dermatoses Bulleuses Toxiques, Créteil, France.,Service de Réanimation Médicale, Créteil, France.,Groupe de Recherche Clinique CARMAS, Université Paris-Est Créteil, IMRB, Créteil, France
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Neri V, Rosas C, Figueiredo L, Nunes A, Chagas L, Menezes A, Britto R, Alves A, Da Silva J. Neurophobia in medical schools: A current issue. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.445] [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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Joaquim A, Antunes P, Garcia C, Afreixo V, Amarelo A, Duarte B, Vieira M, Lopes R, Leão I, Baptista Capela A, Helguero L, Alves A. Effects of supervised and adapted exercise program in the quality of life and strength of breast cancer survivors: MAMA MOVE Gaia trial. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz240.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Eid Y, Menahem B, Bouvier V, Lebreton G, Thobie A, Bazille C, Finochi M, Fohlen A, Galais M, Dupont B, Lubrano J, Dejardin O, Morello R, Alves A. Has adherence to treatment guidelines for mid/low rectal cancer affected the management of patients? A monocentric study of 604 consecutive patients. J Visc Surg 2019; 156:281-290. [DOI: 10.1016/j.jviscsurg.2019.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Bellesso M, Santucci R, Centrone R, Dias D, Alves A. REAL LIFE DATA ABOUT CHARACTERISTICS, STANDARD TREATMENT AND OUTCOMES IN BRAZILIAN ELDERLY PATIENTS WITH DIFFUSE LARGE B-CELL LYMPHOMA - A SINGLE CENTER ANALYSIS. Hematol Oncol 2019. [DOI: 10.1002/hon.89_2631] [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: 11/09/2022]
Affiliation(s)
- M. Bellesso
- Hematology; Instituto Hemomed; Sao Paulo Brazil
| | - R. Santucci
- Hematology; Instituto Hemomed; Sao Paulo Brazil
| | - R. Centrone
- Hematology; Instituto Hemomed; Sao Paulo Brazil
| | - D. Dias
- Hematology; Instituto Hemomed; Sao Paulo Brazil
| | - A. Alves
- Hematology; Instituto Hemomed; Sao Paulo Brazil
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Szabla N, Alves A, Tillou X. Pyelo-colic fistula: CT-scan. J Visc Surg 2019; 156:533-535. [PMID: 31101547 DOI: 10.1016/j.jviscsurg.2019.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- N Szabla
- Urology and transplantation unit at the CHU of Caen, avenue de la Côte de Nacre, 14033 Caen cedex, France.
| | - A Alves
- Digestive surgery unit at the CHU of Caen, 14033 Caen cedex, France
| | - X Tillou
- Urology and transplantation unit at the CHU of Caen, avenue de la Côte de Nacre, 14033 Caen cedex, France
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Corrêa R, Sartoretto S, Rodrigues E, Silva F, Caetano D, Merly F, Louro R, Torres M, Meirelles S, Alves A. Arteriovenous malformation of the face: surgical management. Int J Oral Maxillofac Surg 2019. [DOI: 10.1016/j.ijom.2019.03.728] [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: 11/24/2022]
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Amaral A, Silva C, Alves A, Prata C, Fernandes C, Simões P, Nascimento M, Rocha C. Associations between quality of life and central auditory processing in seniors: preliminary results. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz034.069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Amaral
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - C Silva
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - A Alves
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - C Prata
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - C Fernandes
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - P Simões
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - M Nascimento
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - C Rocha
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
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Lye J, Shaw M, Lehmann J, Alves A, Brown R, Davey C, Kadeer F, Kenny J, Supple J. PO-0902 The ACDS approach to measuring dose to bone and comparing to TPS reported dose to water and medium. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31322-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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50
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Shaw M, Alves A, Davey C, Geso M, Kadeer F, Lehmann J, Supple J, Lye J. EP-2116 End-to-end dosimetry audits of Stereotactic Ablative Radiotherapy. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)32536-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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