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Pleguezuelos E, Del Carmen A, Moreno E, Miravitlles M, Serra M, Garnacho-Castaño MV. Effects of a telerehabilitation program and detraining on cardiorespiratory fitness in patients with post-COVID-19 sequelae: A randomized controlled trial. Scand J Med Sci Sports 2024; 34:e14543. [PMID: 38009852 DOI: 10.1111/sms.14543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Revised: 10/11/2023] [Accepted: 11/14/2023] [Indexed: 11/29/2023]
Abstract
BACKGROUND This study aimed to evaluate the effects of a 15-week telerehabilitation program and a detraining period on cardiorespiratory fitness and mechanical efficiency in patients with post-COVID-19 sequelae. METHODS 131 patients with post-COVID-19 sequelae were randomly assigned to one of two groups: patients who carried out the supervised telerehabilitation program (TRG, n = 66) and a control group (CG, n = 65). An incremental cardiopulmonary exercise testing (CPET) was performed on cycle ergometer to compare cardioventilatory responses between experimental groups. RESULTS A significant increase in the CPET duration, peak power output, and mechanical efficiency was observed in TRG compared to CG after the telerehabilitation program (p ≤ 0.001). A significant increase in the CPET duration, peak power output, and mechanical efficiency was verified at 3 months compared to the pretest and after detraining in TRG (p < 0.001). A significant increase in peak oxygen uptake (V̇O2peak ) was identified after the intervention and in the detraining period compared to the pretest in both experimental groups (p < 0.001). A higher ventilatory efficiency was observed after the telerehabilitation program (p = 0.021) than in pretest only in TRG. CONCLUSIONS A 15-week supervised home telerehabilitation program improved exercise capacity, power output, and mechanical efficiency in TRG compared to a CG. The telerehabilitation program was not more effective in improving V̇O2peak than the activities of the CG. However, ventilatory efficiency was improved only after the telerehabilitation program. The reported results after the detraining period highlight the need to maintain the rehabilitation program over time.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
- Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, Barcelona, Spain
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | - Mateu Serra
- Research Unit, Consorci Sanitari del Maresme, Barcelona, Spain
| | - Manuel V Garnacho-Castaño
- DAFNiS Research Group (Pain, Physical Activity, Nutrition and Health), Campus Docent Sant Joan de Déu, Universitat de Barcelona, Sant Boi de Llobregat, Barcelona, Spain
- Facultad de Ciencias de la Salud, Universidad Internacional de Valencia (VIU), Valencia, Spain
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Moreno E, Ortega MS, Pohler KG. Corrigendum to: 65 Functional ablation of pregnancy-associated glycoprotein 7 affects attachment and growth of trophectoderm cell lines. Reprod Fertil Dev 2024; 36:NULL. [PMID: 38270607 DOI: 10.1071/rdv36n2ab65_co] [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: 01/26/2024] Open
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Pleguezuelos E, Sánchez-Nuño S, Del Carmen A, Serra-Payá N, Moreno E, Molina-Raya L, Robleda G, Benet M, Santos-Ruiz S, Garrido AB, Jerez-Molina C, Miravitlles M, Serra-Prat M, Viñals X, Farrés MG, Carbonell T, Garnacho-Castaño MV. Effect of different types of supervised exercise programs on cardiorespiratory and muscular fitness, pain, fatigue, mental health and inflammatory and oxidative stress biomarkers in older patients with post-COVID-19 sequelae "EJerSA-COVID-19": a randomized controlled trial. BMC Geriatr 2023; 23:865. [PMID: 38102536 PMCID: PMC10724883 DOI: 10.1186/s12877-023-04544-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Accepted: 11/30/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND Many patients with COVID-19 present the so-called post-acute sequelae of COVID-19 such as fatigue, post-stress discomfort, dyspnea, headache, pain mental impairment, incapacity to perform daily physical tasks ant exercise intolerance. This study aims to investigate the effects of different exercise programs on physical and mental fitness, physical condition and biomarkers of the immune system and oxidative stress in older patients with post-COVID-19 sequelae. METHODS The sample will be made up of 120 eligible participants, over the age of 60 years who have had COVID-19 disease and are survivors and present persistent COVID-19 symptomatology diagnosed by the corresponding physician. The participants will be randomly assigned to the experimental groups: supervised endurance group (SEG, n = 30), supervised strength group (SSG, n = 30), supervised concurrent group (SCG, n = 30), which will perform the corresponding exercise program 3 days a week compared to the control group (CG, n = 30), which will not carry out a supervised exercise program. The design of this project will include measurements of four relevant dimensions; 1) Cardiorespiratory fitness; 2) Muscle fitness; 3) Pain and mental health; and 4) Biomarkers of inflammation and oxidative stress. CONCLUSIONS The results of this study will provide insights into the effects of different exercise programs on physical and mental fitness, physical condition and biomarkers of the immune system and oxidative stress in older patients with post-COVID-19 sequelae. These findings may be the basis for the formulation of health plans and rehabilitation programs that allow healthy aging and a reduction in the associated morbidity in patients with post-COVID-19 sequelae. TRIAL REGISTRATION NCT05848518. Registered on May 8, 2023.
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Affiliation(s)
- Eulogio Pleguezuelos
- Departamento de Medicina Física y Rehabilitación, Hospital de Mataró, Barcelona, Spain
- Departamento de Ciencias Experimentales y Sanitarias. Facultad de Ciencias de la Salud, Universitat Pompeu Fabra, Barcelona, Spain
| | - Sergio Sánchez-Nuño
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Amin Del Carmen
- Departamento de Medicina Física y Rehabilitación, Hospital de Mataró, Barcelona, Spain
| | - Noemí Serra-Payá
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Eva Moreno
- Servicio de Medicina Física y Rehabilitación, Hospital General de Hospitalet, L´Hospitalet de Llobregat, Barcelona, Spain
| | - Lorena Molina-Raya
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Gemma Robleda
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Marta Benet
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Susana Santos-Ruiz
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Ainoa Biurrun Garrido
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Carmen Jerez-Molina
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Marc Miravitlles
- Servicio de Neumología. Hospital Universitari Vall d'HebronVall d'Hebron Institut de Recerca (VHIR), Campus Hospital Barcelona, CIBER de Enfermedades Respiratorias (CIBERES) Barcelona, Barcelona, Spain
| | - Mateu Serra-Prat
- Unidad de InvestigaciónConsorci Sanitari del Maresme, Mataró, Barcelona, Spain
| | - Xavier Viñals
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Montserrat Girabent Farrés
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain
| | - Teresa Carbonell
- Departamento de Biología Celular, Fisiología e Inmunología, Universitat de Barcelona, Barcelona, Spain
| | - Manuel V Garnacho-Castaño
- Grupo de Investigación DAFNiS (Dolor, Actividad Física, Nutrición y Salud), Campus Docent Sant Joan de Déu, Universitat de Barcelona, C/ Sant, C. de Sta. Benito Menni, 18-20, Sant Boi de Llobregat, 08830, Barcelona, Spain.
- Facultad de Ciencias de la Salud, Universidad Internacional de Valencia (VIU), 46002, Valencia, Spain.
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Bayona A, Manea VC, Manea M, Yoshioka S, Moreno E, Suenaga N. The geodynamic origin of Los Humeros volcanic field in Mexico: insights from numerical simulations. Sci Rep 2023; 13:22284. [PMID: 38097667 PMCID: PMC10721639 DOI: 10.1038/s41598-023-49292-x] [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: 02/20/2023] [Accepted: 12/05/2023] [Indexed: 12/17/2023] Open
Abstract
Compared to normal arc-related volcanic eruptions, the formation of a volcanic caldera is a relatively atypical event. During caldera formation a series of large volumes of magma are erupted, reducing the structural support for the rock above the magma chamber and creating a large depression at the surface called caldera. Los Humeros volcanic field (LHVF) represents one of the largest volcanic calderas in Mexico. It is located some 400 km from the trench at the eastern edge of the Trans Mexican Volcanic Belt where the depth to the Cocos slab is more than 300 km. In this study we employ high-resolution two-dimensional thermomechanical numerical simulations of magma intrusions and a horizontal tectonic strain rate to better understand the influence of crustal deformation for the formation of Los Humeros caldera. A minimum number of three thermal anomaly pulses of hydrated mantle material (with diameter of 15 km or more) and a regional strain rate of 7.927 × 10-16 s-1 are required for magma to reach the surface. Modeling results show that regional extension coupled with deep thermal anomalies (with a temperature excess of ΔT ≥ 100 °C) that come in a specific chain-type sequence produce surface deformation patterns similar to LHVF. We propose an asthenospheric sub-slab deep source (> 300 km depth) for the thermal anomalies where previous studies showed the existence of a gap or tear in the Cocos slab.
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Affiliation(s)
- A Bayona
- Computational Geodynamics Laboratory, Centro de Geociencias, Universidad Nacional Autónoma de México, Campus Juriquilla, 76230, Querétaro, Mexico
- Research Center for Urban Safety and Security, Kobe University, Kobe, 657-8501, Japan
| | - V C Manea
- Computational Geodynamics Laboratory, Centro de Geociencias, Universidad Nacional Autónoma de México, Campus Juriquilla, 76230, Querétaro, Mexico.
- Research Center for Urban Safety and Security, Kobe University, Kobe, 657-8501, Japan.
| | - M Manea
- Computational Geodynamics Laboratory, Centro de Geociencias, Universidad Nacional Autónoma de México, Campus Juriquilla, 76230, Querétaro, Mexico
- Research Center for Urban Safety and Security, Kobe University, Kobe, 657-8501, Japan
| | - S Yoshioka
- Research Center for Urban Safety and Security, Kobe University, Kobe, 657-8501, Japan
- Department of Planetology, Graduate School of Science, Kobe University, Kobe, 657-8501, Japan
| | - E Moreno
- Research Center for Urban Safety and Security, Kobe University, Kobe, 657-8501, Japan
| | - N Suenaga
- Research Center for Urban Safety and Security, Kobe University, Kobe, 657-8501, Japan
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Blasco JM, Moreno E, Muñoz PM, Conde-Álvarez R, Moriyón I. A review of three decades of use of the cattle brucellosis rough vaccine Brucella abortus RB51: myths and facts. BMC Vet Res 2023; 19:211. [PMID: 37853407 PMCID: PMC10583465 DOI: 10.1186/s12917-023-03773-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 10/04/2023] [Indexed: 10/20/2023] Open
Abstract
Cattle brucellosis is a severe zoonosis of worldwide distribution caused by Brucella abortus and B. melitensis. In some countries with appropriate infrastructure, animal tagging and movement control, eradication was possible through efficient diagnosis and vaccination with B. abortus S19, usually combined with test-and-slaughter (T/S). Although S19 elicits anti-smooth lipopolysaccharide antibodies that may interfere in the differentiation of infected and vaccinated animals (DIVA), this issue is minimized using appropriate S19 vaccination protocols and irrelevant when high-prevalence makes mass vaccination necessary or when eradication requisites are not met. However, S19 has been broadly replaced by vaccine RB51 (a rifampin-resistant rough mutant) as it is widely accepted that is DIVA, safe and as protective as S19. These RB51 properties are critically reviewed here using the evidence accumulated in the last 35 years. Controlled experiments and field evidence shows that RB51 interferes in immunosorbent assays (iELISA, cELISA and others) and in complement fixation, issues accentuated by revaccinating animals previously immunized with RB51 or S19. Moreover, contacts with virulent brucellae elicit anti-smooth lipopolysaccharide antibodies in RB51 vaccinated animals. Thus, accepting that RB51 is truly DIVA results in extended diagnostic confusions and, when combined with T/S, unnecessary over-culling. Studies supporting the safety of RB51 are flawed and, on the contrary, there is solid evidence that RB51 is excreted in milk and abortifacient in pregnant animals, thus being released in abortions and vaginal fluids. These problems are accentuated by the RB51 virulence in humans, lack diagnostic serological tests detecting these infections and RB51 rifampicin resistance. In controlled experiments, protection by RB51 compares unfavorably with S19 and lasts less than four years with no evidence that RB51-revaccination bolsters immunity, and field studies reporting its usefulness are flawed. There is no evidence that RB51 protects cattle against B. melitensis, infection common when raised together with small ruminants. Finally, data acumulated during cattle brucellosis eradication in Spain shows that S19-T/S is far more efficacious than RB51-T/S, which does not differ from T/S alone. We conclude that the assumption that RB51 is DIVA, safe, and efficaceous results from the uncritical repetition of imperfectly examined evidence, and advise against its use.
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Affiliation(s)
- J M Blasco
- Instituto Agroalimentario de Aragón-IA2 (CITA-Universidad de Zaragoza), Zaragoza, España
| | - E Moreno
- Programa de Investigación en Enfermedades Tropicales, Escuela de Medicina Veterinaria, Universidad Nacional, Heredia, Costa Rica
| | - P M Muñoz
- Instituto Agroalimentario de Aragón-IA2 (CITA-Universidad de Zaragoza), Zaragoza, España
- Departamento de Ciencia Animal, Centro de Investigación y Tecnología Agroalimentaria de Aragón (CITA), Zaragoza, España
| | - R Conde-Álvarez
- Instituto de Investigación Sanitaria de Navarra and Departamento de Microbiología y Parasitología, Universidad de Navarra, Pamplona, Spain
| | - I Moriyón
- Instituto de Investigación Sanitaria de Navarra and Departamento de Microbiología y Parasitología, Universidad de Navarra, Pamplona, Spain.
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Albert A, Alfaro R, Alvarez C, Arteaga-Velázquez JC, Avila Rojas D, Ayala Solares HA, Babu R, Belmont-Moreno E, Brisbois C, Caballero-Mora KS, Capistrán T, Carramiñana A, Casanova S, Chaparro-Amaro O, Cotti U, Cotzomi J, Coutiño de León S, De la Fuente E, Diaz Hernandez R, Dingus BL, DuVernois MA, Durocher M, Díaz-Vélez JC, Ellsworth RW, Engel K, Espinoza C, Fan KL, Fang K, Fernández Alonso M, Fleischhack H, Fraija N, García-González JA, Garfias F, González MM, Goodman JA, Harding JP, Hernandez S, Hinton J, Huang D, Hueyotl-Zahuantitla F, Hüntemeyer P, Iriarte A, Joshi V, Kaufmann S, Lee J, Linnemann JT, Longinotti AL, Luis-Raya G, Malone K, Martinez O, Martínez-Castro J, Matthews JA, Miranda-Romagnoli P, Morales-Soto JA, Moreno E, Mostafá M, Nayerhoda A, Nellen L, Nisa MU, Noriega-Papaqui R, Olivera-Nieto L, Omodei N, Pérez Araujo Y, Pérez-Pérez EG, Rho CD, Rosa-González D, Ruiz-Velasco E, Salazar H, Salazar-Gallegos D, Sandoval A, Schneider M, Serna-Franco J, Smith AJ, Son Y, Springer RW, Tibolla O, Tollefson K, Torres I, Torres-Escobedo R, Turner R, Ureña-Mena F, Varela E, Villaseñor L, Wang X, Watson IJ, Willox E, Yun-Cárcamo S, Zhou H, de León C, Beacom JF, Linden T, Ng KCY, Peter AHG, Zhou B. Discovery of Gamma Rays from the Quiescent Sun with HAWC. Phys Rev Lett 2023; 131:051201. [PMID: 37595214 DOI: 10.1103/physrevlett.131.051201] [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] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 01/27/2023] [Accepted: 06/23/2023] [Indexed: 08/20/2023]
Abstract
We report the first detection of a TeV γ-ray flux from the solar disk (6.3σ), based on 6.1 years of data from the High Altitude Water Cherenkov (HAWC) observatory. The 0.5-2.6 TeV spectrum is well fit by a power law, dN/dE=A(E/1 TeV)^{-γ}, with A=(1.6±0.3)×10^{-12} TeV^{-1} cm^{-2} s^{-1} and γ=3.62±0.14. The flux shows a strong indication of anticorrelation with solar activity. These results extend the bright, hard GeV emission from the disk observed with Fermi-LAT, seemingly due to hadronic Galactic cosmic rays showering on nuclei in the solar atmosphere. However, current theoretical models are unable to explain the details of how solar magnetic fields shape these interactions. HAWC's TeV detection thus deepens the mysteries of the solar-disk emission.
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Affiliation(s)
- A Albert
- Physics Division, Los Alamos National Laboratory, Los Alamos, NM 87544, USA
| | - R Alfaro
- Instituto de F'isica, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - C Alvarez
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, México
| | | | - D Avila Rojas
- Instituto de F'isica, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - H A Ayala Solares
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - R Babu
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - E Belmont-Moreno
- Instituto de F'isica, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - C Brisbois
- Department of Physics, University of Maryland, College Park, MD, USA
| | | | - T Capistrán
- Instituto de Astronom'ia, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - A Carramiñana
- Instituto Nacional de Astrof'isica, Óptica y Electrónica, Puebla, Mexico
| | - S Casanova
- Instytut Fizyki Jadrowej im Henryka Niewodniczanskiego Polskiej Akademii Nauk, IFJ-PAN, Krakow, Poland
| | - O Chaparro-Amaro
- Centro de Investigaci'on en Computaci'on, Instituto Polit'ecnico Nacional, M'exico City, M'exico
| | - U Cotti
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - J Cotzomi
- Facultad de Ciencias F'isico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - S Coutiño de León
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - E De la Fuente
- Departamento de F'isica, Centro Universitario de Ciencias Exactase Ingenierias, Universidad de Guadalajara, Guadalajara, Mexico
| | - R Diaz Hernandez
- Instituto Nacional de Astrof'isica, Óptica y Electrónica, Puebla, Mexico
| | - B L Dingus
- Physics Division, Los Alamos National Laboratory, Los Alamos, NM 87544, USA
- Department of Physics, University of Maryland, College Park, MD, USA
| | - M A DuVernois
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - M Durocher
- Physics Division, Los Alamos National Laboratory, Los Alamos, NM 87544, USA
| | - J C Díaz-Vélez
- Departamento de F'isica, Centro Universitario de Ciencias Exactase Ingenierias, Universidad de Guadalajara, Guadalajara, Mexico
| | - R W Ellsworth
- Department of Physics, University of Maryland, College Park, MD, USA
| | - K Engel
- Department of Physics, University of Maryland, College Park, MD, USA
| | - C Espinoza
- Instituto de F'isica, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - K L Fan
- Department of Physics, University of Maryland, College Park, MD, USA
| | - K Fang
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - M Fernández Alonso
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - H Fleischhack
- Department of Physics, Catholic University of America, 620 Michigan Avenue NE, Washington, DC 20064
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
- Center for Research and Exploration in Space Science and Technology, NASA/GSFC, Greenbelt, MD 20771
| | - N Fraija
- Instituto de Astronom'ia, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - J A García-González
- Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Avenue Eugenio Garza Sada 2501, Monterrey, N.L., Mexico, 64849
| | - F Garfias
- Instituto de Astronom'ia, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - M M González
- Instituto de Astronom'ia, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - J A Goodman
- Department of Physics, University of Maryland, College Park, MD, USA
| | - J P Harding
- Physics Division, Los Alamos National Laboratory, Los Alamos, NM 87544, USA
| | - S Hernandez
- Instituto de F'isica, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - J Hinton
- Max-Planck Institute for Nuclear Physics, 69117 Heidelberg, Germany
| | - D Huang
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | | | - P Hüntemeyer
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - A Iriarte
- Instituto de Astronom'ia, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - V Joshi
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - S Kaufmann
- Universidad Politecnica de Pachuca, Pachuca, Hgo, Mexico
| | - J Lee
- University of Seoul, Seoul, Rep. of Korea
| | - J T Linnemann
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - A L Longinotti
- Instituto de Astronom'ia, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - G Luis-Raya
- Universidad Politecnica de Pachuca, Pachuca, Hgo, Mexico
| | - K Malone
- Space Science and Applications Group, Los Alamos National Laboratory, Los Alamos, NM 87544, USA
| | - O Martinez
- Facultad de Ciencias F'isico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - J Martínez-Castro
- Centro de Investigaci'on en Computaci'on, Instituto Polit'ecnico Nacional, M'exico City, M'exico
| | - J A Matthews
- Dept of Physics and Astronomy, University of New Mexico, Albuquerque, NM, USA
| | | | - J A Morales-Soto
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - E Moreno
- Facultad de Ciencias F'isico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - M Mostafá
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - A Nayerhoda
- Instytut Fizyki Jadrowej im Henryka Niewodniczanskiego Polskiej Akademii Nauk, IFJ-PAN, Krakow, Poland
| | - L Nellen
- Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de Mexico, Ciudad de Mexico, Mexico
| | - M U Nisa
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | | | - L Olivera-Nieto
- Max-Planck Institute for Nuclear Physics, 69117 Heidelberg, Germany
| | - N Omodei
- Department of Physics, Stanford University: Stanford, CA 94305-4060, USA
| | - Y Pérez Araujo
- Instituto de Astronom'ia, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | | | - C D Rho
- Department of Physics, Sungkyunkwan University, Suwon 16419, South Korea
| | - D Rosa-González
- Instituto Nacional de Astrof'isica, Óptica y Electrónica, Puebla, Mexico
| | - E Ruiz-Velasco
- Max-Planck Institute for Nuclear Physics, 69117 Heidelberg, Germany
| | - H Salazar
- Facultad de Ciencias F'isico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - D Salazar-Gallegos
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - A Sandoval
- Instituto de F'isica, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - M Schneider
- Department of Physics, University of Maryland, College Park, MD, USA
| | - J Serna-Franco
- Instituto de F'isica, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - A J Smith
- Department of Physics, University of Maryland, College Park, MD, USA
| | - Y Son
- University of Seoul, Seoul, Rep. of Korea
| | - R W Springer
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | - O Tibolla
- Universidad Politecnica de Pachuca, Pachuca, Hgo, Mexico
| | - K Tollefson
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - I Torres
- Instituto Nacional de Astrof'isica, Óptica y Electrónica, Puebla, Mexico
| | - R Torres-Escobedo
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - R Turner
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - F Ureña-Mena
- Instituto Nacional de Astrof'isica, Óptica y Electrónica, Puebla, Mexico
| | - E Varela
- Facultad de Ciencias F'isico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - L Villaseñor
- Facultad de Ciencias F'isico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - X Wang
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - I J Watson
- University of Seoul, Seoul, Rep. of Korea
| | - E Willox
- Department of Physics, University of Maryland, College Park, MD, USA
| | - S Yun-Cárcamo
- Department of Physics, University of Maryland, College Park, MD, USA
| | - H Zhou
- Tsung-Dao Lee Institute & School of Physics and Astronomy, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - C de León
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - J F Beacom
- Center for Cosmology and AstroParticle Physics (CCAPP), Ohio State University, Columbus, Ohio 43210, USA
- Department of Physics, Ohio State University, Columbus, Ohio 43210, USA
- Department of Astronomy, Ohio State University, Columbus, Ohio 43210, USA
| | - T Linden
- The Oskar Klein Centre, Department of Physics, Stockholm University, AlbaNova, SE-10691 Stockholm, Sweden
| | - K C Y Ng
- Department of Physics, The Chinese University of Hong Kong, Sha Tin, Hong Kong, China
| | - A H G Peter
- Center for Cosmology and AstroParticle Physics (CCAPP), Ohio State University, Columbus, Ohio 43210, USA
- Department of Physics, Ohio State University, Columbus, Ohio 43210, USA
- Department of Astronomy, Ohio State University, Columbus, Ohio 43210, USA
- School of Natural Sciences, Institute for Advanced Study, 1 Einstein Drive, Princeton, NJ 08540, USA
| | - B Zhou
- William H. Miller III Department of Physics and Astronomy, Johns Hopkins University, Baltimore, Maryland 21218, USA
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7
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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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8
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Ginard-Vicens D, Tornero-Molina J, Fernández-Fuente-Bursón L, González Gómez ML, Moreno E, Salleras M, Guigini MA, Burniol-Garcia A, Crespo C. Patient preferences in chronic immune-mediated inflammatory diseases potentially treated with biological drugs: discrete choice analysis using real-world data analysis. Expert Rev Pharmacoecon Outcomes Res 2023; 23:959-965. [PMID: 37395007 DOI: 10.1080/14737167.2023.2232109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 06/08/2023] [Indexed: 07/04/2023]
Abstract
OBJECTIVES Immune-mediated inflammatory diseases (IMIDs) represent a high burden due to their chronicity, high prevalence, and associated comorbidities. Chronic patients' preferences must be considered in IMIDs treatment and follow-up. The objective of this study was to further understand patient's preferences in private settings. METHODS A literature review was performed to choose the most relevant criteria for patients. A D-efficient discrete choice experiment was designed to elicit preferences of adult patients with IMIDs and potential biological treatment prescription. Participants were collected from private practices (rheumatology, dermatology, and gastroenterology) from February to May 2022. Patients chose between option pairs, characterized by six health-care attributes, as well as monthly out-of-pocket drug price. Responses were analyzed through a conditional logit model. RESULTS Eighty-seven patients answered the questionnaire. The most frequent pathologies were Rheumatoid Arthritis (31%) and Psoriatic Arthritis (26%). The most relevant criteria were choosing the preferred physician (OR 2.25 [SD0.26]); reducing time until visit with specialist (OR 1.79 [SD0.20]), access through primary care (OR 1.60 [SD0.08]), and an increase in monthly out-of-pocket price from 100€ to 300€ (OR 0.55 [SD0.06]) and to 600€ (OR 0.08 [SD0.02]). CONCLUSIONS Chronic IMIDs patients showed a preference toward a faster, personalized service, even with a trade-off in terms of out-of-pocket price.
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Affiliation(s)
| | | | | | - M L González Gómez
- Rheumatologist, Hospital Universitario Quironsalud Pozuelo, Madrid, Spain
| | - E Moreno
- Rheumatologist, Hospital Quironsalud Barcelona, Barcelona, Spain
| | - M Salleras
- Dermatologist, Hospital Sagrat Cor, Barcelona, Spain
| | - M A Guigini
- Medical department, Fresenius Kabi España, S.A.U, Barcelona, Spain
| | | | - C Crespo
- Axentiva Solutions, Barcelona, Spain
- Department of Statistics, University of Barcelona, Barcelona, Spain
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9
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Pleguezuelos E, Del Carmen A, Moreno E, Ortega P, Robles A, Serra-Prat M, Miravitlles M, Yebenes JC, Garnacho-Castaño MV. Impaired pulmonary and muscle function during moderate exercise in female patients recovered from SARS-CoV-2. Sci Rep 2022; 12:20943. [PMID: 36464697 PMCID: PMC9719894 DOI: 10.1038/s41598-022-24941-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 11/22/2022] [Indexed: 12/05/2022] Open
Abstract
This study aimed to assess pulmonary and muscle dysfunction by analyzing the slow component of oxygen uptake (VO2SC), and mechanical and ventilatory efficiency in adult women recovered from the severe acute respiratory syndrome coronavirus type II (SARS-CoV-2) during a constant load test. 32 women (N = 17 patients with SARS-CoV-2; N = 15 control group) performed two cardiopulmonary exercise tests (CPX) on a cycle ergometer. In the first test, the participants performed incremental CPX until extenuation. In the second test the participants performed a 10-min CPX at a constant load intensity (watts) corresponding to the first ventilatory threshold. There was a 48-72 h rest period between the two tests. There was a significant increase in the VO2SC in the patients recovered from SARS-CoV-2 (160.4 ± 60 mL min-1) in comparison with the healthy participants (59.6 ± 65 mL min-1) (P < 0.001). Mechanical efficiency significantly decreased in patients recovered from SARS-CoV-2 compared to the control group (P = 0.04). Ventilatory inefficiency significantly increased in the patients recovered from SARS-CoV-2 compared with the control group (P < 0.001). Adult women recovered from SARS-CoV-2 infection have important pulmonary and muscular dysfunction and fatigue which contributes to increasing the VO2SC and reducing mechanical and ventilatory efficiency during mild-moderate exercise at a constant load.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
- Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Pilar Ortega
- Pneumology Department, Hospital de Mataró, Barcelona, Spain
| | | | - Mateo Serra-Prat
- Research Unit, Consorci Sanitari del Maresme, Mataró, Barcelona, Spain
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | | | - Manuel V Garnacho-Castaño
- Campus Docent Sant Joan de Déu, Fundación Privada, Universitat de Barcelona, Carrer de Miret i Sans, 10, 08034, Barcelona, Spain.
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10
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Moreno E, Matondo AB, Bongiovanni L, van de Lest CHA, Molenaar MR, Toussaint MJM, van Essen SC, Houweling M, Helms JB, Westendorp B, de Bruin A. Inhibition of polyploidization in Pten-deficient livers reduces steatosis. Liver Int 2022; 42:2442-2452. [PMID: 35924448 PMCID: PMC9826152 DOI: 10.1111/liv.15384] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 07/23/2022] [Accepted: 07/24/2022] [Indexed: 01/11/2023]
Abstract
The tumour suppressor PTEN is a negative regulator of the PI3K/AKT signalling pathway. Liver-specific deletion of Pten in mice results in the hyper-activation PI3K/AKT signalling accompanied by enhanced genome duplication (polyploidization), marked lipid accumulation (steatosis) and formation of hepatocellular carcinomas. However, it is unknown whether polyploidization in this model has an impact on the development of steatosis and the progression towards liver cancer. Here, we used a liver-specific conditional knockout approach to delete Pten in combination with deletion of E2f7/8, known key inducers of polyploidization. As expected, Pten deletion caused severe steatosis and liver tumours accompanied by enhanced polyploidization. Additional deletion of E2f7/8 inhibited polyploidization, alleviated Pten-induced steatosis without affecting lipid species composition and accelerated liver tumour progression. Global transcriptomic analysis showed that inhibition of polyploidization in Pten-deficient livers resulted in reduced expression of genes involved in energy metabolism, including PPAR-gamma signalling. However, we find no evidence that deregulated genes in Pten-deficient livers are direct transcriptional targets of E2F7/8, supporting that reduction in steatosis and progression towards liver cancer are likely consequences of inhibiting polyploidization. Lastly, flow cytometry and image analysis on isolated primary wildtype mouse hepatocytes provided further support that polyploid cells can accumulate more lipid droplets than diploid hepatocytes. Collectively, we show that polyploidization promotes steatosis and function as an important barrier against liver tumour progression in Pten-deficient livers.
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Affiliation(s)
- Eva Moreno
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - Augustine B. Matondo
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - Laura Bongiovanni
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - Chris H. A. van de Lest
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - Martijn R. Molenaar
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - Mathilda J. M. Toussaint
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - Saskia C. van Essen
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - Martin Houweling
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - J. Bernd Helms
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - Bart Westendorp
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands
| | - Alain de Bruin
- Departments of Biomolecular Health Sciences, Division Cell Biology, Metabolism & Cancer, Faculty of Veterinary MedicineUtrecht UniversityUtrechtThe Netherlands,Pediatrics, Division Molecular GeneticsUniversity Medical Center Groningen, University of GroningenGroningenThe Netherlands
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11
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Taboada M, Rodríguez N, Diaz-Vieito M, Domínguez MJ, Casal A, Riveiro V, Cariñena A, Moreno E, Pose A, Valdés L, Alvarez J, Seoane-Pillado T. Quality of life and persistent symptoms after hospitalization for COVID-19. A prospective observational study comparing ICU with non-ICU patients. Revista Española de Anestesiología y Reanimación (English Edition) 2022; 69:326-335. [PMID: 35760688 PMCID: PMC9186450 DOI: 10.1016/j.redare.2022.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 05/14/2021] [Indexed: 12/15/2022]
Abstract
Background Hospitalized COVID-19 patients are prone to develop persistent symptoms and to show reduced quality of life following hospital admission. Methods Prospective cohort study of COVID-19 patients admitted to a hospital from March 1 to April 30, 2020. The primary outcome was to compare health related quality of life and persistent symptoms six months after hospital admission, of COVID-19 patients who required ICU admission with those who did not. Results Among the 242 patients hospitalized during the defined period of time, 44 (18.2%) needed ICU admission. Forty (16.5%) patients died during hospital admission. Two hundred and two (83.5%) patients were discharged alive from the hospital. At six months, 183 (75.6%) patients completed the questionnaires (32 ICU patients and 151 non ICU patients). Ninety-six (52.4%) reported decreased quality of life and 143 (78.1%) described persistent symptoms. More ICU patients showed worsening of their quality of life (71.9% vs 43.7%, P = 0.004). There were no differences in the proportion of patients with persistent symptoms between ICU and non ICU patients (87.5% vs 76.2%, P = 0.159). ICU patients showed more frequently dyspnea on exertion (78.1% vs 47.7%, P = 0.02), dyspnea on light exertion (37.5% vs 4.6%, P < 0.001), and asthenia (56.3 vs 29.1, P = 0.003). Conclusions Survivors of COVID-19 needing hospitalization had persistent symptoms and a decline in the quality of life. ICU patients referred a large decrease of their quality of life compared with non ICU patients.
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Affiliation(s)
- M Taboada
- Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain.
| | - N Rodríguez
- Servicio de Neumología, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain
| | - M Diaz-Vieito
- Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain
| | - M J Domínguez
- Servicio de Medicina Interna, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain
| | - A Casal
- Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain
| | - V Riveiro
- Servicio de Neumología, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain
| | - A Cariñena
- Servicio de Neumología, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain
| | - E Moreno
- Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Ferrol, Ferrol, La Coruña, Spain
| | - A Pose
- Servicio de Medicina Interna, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain
| | - L Valdés
- Servicio de Neumología, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain
| | - J Alvarez
- Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Spain
| | - T Seoane-Pillado
- Unidad de Medicina Preventiva y Salud Pública, Depatamento de Ciencias de la Salud, Universidade de A Coruña-INIBIC, A Coruña, Spain
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12
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Romero S, Moreno E, Suarez V, Gonsalves D, De La Torre-Luque A, Lopez E. PO-1070 Impact of COVID-19 in cancer patients: Analysis of the first 20 months in 13 Spanish Centers. Radiother Oncol 2022. [PMCID: PMC9153891 DOI: 10.1016/s0167-8140(22)03034-1] [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: 11/24/2022]
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13
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Cerrolaza M, Puertas M, Escuin C, Alonso V, De las Cuevas D, Lanuza A, García B, Moreno E, Tejedor M. PO-1266 Evaluation of acute cardiac toxicity in locally advanced lung cancer patients. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03230-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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14
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Sobrino-García M, Muñoz-Bellido FJ, Moreno E, Gracia-Bara MT, Laffond E, Lázaro-Sastre M, Martín-García C, Dávila I. A prospective study of costs associated with the evaluation of allergic reactions to radiological contrast media. J Investig Allergol Clin Immunol 2022; 33:102-108. [PMID: 35029155 DOI: 10.18176/jiaci.0774] [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: 11/20/2022] Open
Abstract
BACKGROUND AND OBJECTIVE The prevalence of hypersensitivity reactions to radiological contrast media (RCM) is increasing due to the greater performance of diagnostic and therapeutic tests that require RCMs. Objective: We carried out a year-long real-life observational study to prospectively evaluate the patients referred to the Allergy Service from Primary Care, Emergency Room, and other Services with suspected moderate to severe RCM hypersensitivity. METHODS To study the costs of RCM hypersensitivity evaluation, we systematically recorded direct and indirect costs. RESULTS Sixty-nine patients with previous reactions to RCM were evaluated in the Allergy Service from June 1st, 2017, to May 31st, 2018. Total direct health care costs were € 10715.84, with a mean cost per patient of € 155.30 ± 77.08. Specifically, direct non-health costs reached € 1605.42 (mean € 23.27 ± 41.14), and indirect costs were € 6490.85 (mean € 94.07 ± 110.61). In summary, the total cost was € 18812.11, which means a mean cost of € 272.64 ± 164.77. CONCLUSION Our study reflects that the costs of an elective evaluation of hypersensitivity to RCM are low. This fact reaffirms that correct and safe management of these patients could be cost-effective, so our efforts should be directed to implement the necessary logistics.
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Affiliation(s)
- M Sobrino-García
- Allergy Service, University Hospital of Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain
| | - F J Muñoz-Bellido
- Allergy Service, University Hospital of Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences. Faculty of Medicine. University of Salamanca, Spain
| | - E Moreno
- Allergy Service, University Hospital of Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences. Faculty of Medicine. University of Salamanca, Spain.,Asthma, Allergic and Adverse Reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Salamanca University Hospital, Salamanca, Spain
| | - M T Gracia-Bara
- Allergy Service, University Hospital of Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain
| | - E Laffond
- Allergy Service, University Hospital of Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences. Faculty of Medicine. University of Salamanca, Spain
| | - M Lázaro-Sastre
- Allergy Service, University Hospital of Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain
| | - C Martín-García
- Allergy Service, University Hospital of Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain
| | - I Dávila
- Allergy Service, University Hospital of Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences. Faculty of Medicine. University of Salamanca, Spain.,Asthma, Allergic and Adverse Reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Salamanca University Hospital, Salamanca, Spain
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15
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Blasco JM, Moreno E, Moriyón I. Efficacy of Brucella abortus S19 and RB51 vaccine strains: A systematic review and meta-analysis. Transbound Emerg Dis 2021; 69:1670-1673. [PMID: 34964556 DOI: 10.1111/tbed.14440] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 10/27/2021] [Indexed: 11/27/2022]
Affiliation(s)
- J M Blasco
- Unidad de Producción y Sanidad Animal, Centro de Investigación y Tecnología Agroalimentaria de Aragón (CITA) e Instituto Agroalimentario de Aragón-IA2, Universidad de Zaragoza, Zaragoza, Spain
| | - E Moreno
- Escuela de Medicina Veterinaria, Universidad Nacional, Heredia, Costa Rica
| | - I Moriyón
- Instituto de Salud Tropical, Instituto de Investigación Sanitaria de Navarra and Departamento de Microbiología y Parasitología, Universidad de Navarra, Spain
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Moreno E, Klochok G, García S. Active Versus Passive Flow Control in UVC FILTERs for COVID-19 Containment. Ann Biomed Eng 2021; 49:2554-2565. [PMID: 34191181 PMCID: PMC8244464 DOI: 10.1007/s10439-021-02819-7] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 06/16/2021] [Indexed: 11/29/2022]
Abstract
Ultraviolet radiation as a germicide is widely used in the health field and even in domestic hygiene. Here, we propose an improvement in low-cost portable units of filtration for indoor air, which is based on ultraviolet radiation. In the current technology, to carry out an air filtration with a suspension of aerosols in which there is a likely concentration of pathogens, whether viral, bacterial or molds, the air is forced to pass as close as possible to the ionizing radiation source (near field). Since the optical mass is very small, the desired effect can be achieved in a considerably short time, deactivating the infective potential of these biological agents. The proposal of this work is the regulation of the flow or speed control of passage through these filters by passive elements instead of by electronic control systems. For this, two devices have been designed, simulated, and built, obtaining similar net pathogen inactivation rates under different flow rates. The passive flow control device has demonstrated higher performance in terms of flow rate and lower cost of production since they do not require electronics and are produced with fewer diodes. This passive device has also shown a lower projection of maintenance cost, lower energy consumption rate (higher efficiency), and longer projection of useful life.
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Affiliation(s)
- E Moreno
- Univ Lyon, UJM-Saint-Etienne, CNRS, Institute of Optics Graduate School, Laboratoire Hubert Curien UMR5516, 42023, St-Etienne, France.
| | - G Klochok
- Moscow State University of Civil Engineering, National Research University, Yaroslavskoye Shosse, Moscow, Russia
| | - S García
- EULEN Group, Neurotraumatology and Rehabilitation Hospital, Granada, Spain
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17
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Pleguezuelos E, Del Carmen A, Llorensi G, Carcole J, Casarramona P, Moreno E, Ortega P, Serra-Prat M, Palomera E, Miravitlles MM, Yebenes JC, Boixeda R, Campins L, Villelabeitia-Jaureguizar K, Garnacho-Castaño MV. Severe loss of mechanical efficiency in COVID-19 patients. J Cachexia Sarcopenia Muscle 2021; 12:1056-1063. [PMID: 34102017 PMCID: PMC8242734 DOI: 10.1002/jcsm.12739] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Revised: 04/30/2021] [Accepted: 05/21/2021] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND There is limited information about the impact of coronavirus disease (COVID-19) on the muscular dysfunction, despite the generalized weakness and fatigue that patients report after overcoming the acute phase of the infection. This study aimed to detect impaired muscle efficiency by evaluating delta efficiency (DE) in patients with COVID-19 compared with subjects with chronic obstructive pulmonary disease (COPD), ischaemic heart disease (IHD), and control group (CG). METHODS A total of 60 participants were assigned to four experimental groups: COVID-19, COPD, IHD, and CG (n = 15 each group). Incremental exercise tests in a cycle ergometer were performed to obtain peak oxygen uptake (VO2 peak). DE was obtained from the end of the first workload to the power output where the respiratory exchange ratio was 1. RESULTS A lower DE was detected in patients with COVID-19 and COPD compared with those in CG (P ≤ 0.033). However, no significant differences were observed among the experimental groups with diseases (P > 0.05). Lower VO2 peak, peak ventilation, peak power output, and total exercise time were observed in the groups with diseases than in the CG (P < 0.05). A higher VO2 , ventilation, and power output were detected in the CG compared with those in the groups with diseases at the first and second ventilatory threshold (P < 0.05). A higher power output was detected in the IHD group compared with those in the COVID-19 and COPD groups (P < 0.05) at the first and second ventilatory thresholds and when the respiratory exchange ratio was 1. A significant correlation (P < 0.001) was found between the VO2 peak and DE and between the peak power output and DE (P < 0.001). CONCLUSIONS Patients with COVID-19 showed marked mechanical inefficiency similar to that observed in COPD and IHD patients. Patients with COVID-19 and COPD showed a significant decrease in power output compared to IHD during pedalling despite having similar response in VO2 at each intensity. Resistance training should be considered during the early phase of rehabilitation.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain.,Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain
| | - Gemma Llorensi
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain
| | - Jessica Carcole
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain
| | - Paula Casarramona
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Mataró, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L'Hospitalet de Llobregat, Spain
| | - Pilar Ortega
- Pneumology Department, Hospital de Mataró, Mataró, Spain
| | | | | | - Marc M Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | | | - Ramón Boixeda
- Department of Internal Medicine, Hospital de Mataró, CSDM, Mataró, Spain.,Grup d'Estudi al Maresme de la Pneumònia Adquirida en la Comunitat i la MPOC (GEMP@C), Mataró, Spain
| | - Lluis Campins
- Department of Pharmacy, Hospital de Mataró, CSdM, Mataró, Spain
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18
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Abstract
Recent advances in understanding T2 inflammation have broadened the diseases in which T2 inflammation can be involved. Dupilumab is a recently developed monoclonal antibody blocking the signaling of both IL-4 and IL13, two crucial cytokines of the T2 responses. New possible indications are increasingly exploring. Among them are skin diseases, such as prurigo nodularis, nummular eczema, allergic contact dermatitis, chronic hand eczema, spontaneous chronic urticaria, bullous pemphigoid, alopecia areata, and Netherton syndrome, among other several cutaneous diseases. Also, respiratory diseases, such as allergic bronchopulmonary aspergillosis, chronic eosinophilic pneumonia, and allergic rhinitis. In addition, eosinophilic gastrointestinal disorders, particularly eosinophilic esophagitis, and food allergy are two more research fields. Here we review the published data and clinical trials about the use of dupilumab in these disorders.
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Affiliation(s)
- F J Muñoz-Bellido
- Allergy Service. Hospital Universitario de Salamanca.,Instituto Biosanitario de Salamanca, Salamanca.,Department of Biomedical and Diagnostic Sciences. University of Salamanca, Salamanca.,RETIC Asma, Reacciones adversas y Alérgicas ARADyAL
| | - E Moreno
- Allergy Service. Hospital Universitario de Salamanca.,Instituto Biosanitario de Salamanca, Salamanca.,Department of Biomedical and Diagnostic Sciences. University of Salamanca, Salamanca.,RETIC Asma, Reacciones adversas y Alérgicas ARADyAL
| | - I Dávila
- Allergy Service. Hospital Universitario de Salamanca.,Instituto Biosanitario de Salamanca, Salamanca.,Department of Biomedical and Diagnostic Sciences. University of Salamanca, Salamanca
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19
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Doña I, Blanca-López N, Boteanu C, Cueva-Oliver B, Fernández-Sánchez FJ, Gajate P, García-Avilés MC, García-Núñez I, Lobera T, Moreno E, Rojas P, Rosado A. Clinical Practice Guidelines for Diagnosis and Management of Hypersensitivity Reactions to Quinolones. J Investig Allergol Clin Immunol 2021; 31:292-307. [PMID: 33461956 DOI: 10.18176/jiaci.0669] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The consumption of quinolones as first-line treatment has increased in recent years, leading to an increase in the incidence of hypersensitivity reactions (HSRs) to this antibiotic group. Both diagnosis and management of HSRs to quinolones are complex and controversial. These practical guidelines aim to provide recommendations for effective clinical practice. The recommendations were drafted by an expert panel that reviewed the literature regarding HSRs to quinolones and analyzed controversies in this area. Most HSRs to quinolones are immediate and severe. The risk for HSRs is higher in patients who report allergy to ß-lactams, moxifloxacininduced anaphylaxis, and immediate reactions than in patients who report reactions to quinolones inducing other symptoms. The usefulness of skin tests in diagnosing HSRs to quinolones is controversial, with sensitivity and specificity varying between studies. Most in vitro tests are produced in-house, with no validated commercial options. The basophil activation test has proven useful for diagnosing immediate reactions, albeit with diverse results regarding sensitivity. Drug provocation testing is currently the gold standard for confirming or excluding the diagnosis and for finding safe alternatives, although it is contraindicated in patients with severe reactions. Cross-reactivity between quinolones has proven controversial in several studies, with the lowest cross-reactivity reported for levofloxacin. Desensitization may be considered in allergy to quinolones when no other alternatives are available.
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Affiliation(s)
- I Doña
- Allergy Unit, Hospital Regional Universitario de Málaga, Allergy Research Group, Instituto de Investigación Biomédica de Málaga-IBIMA, Hospital Regional Universitario de Málaga, Málaga, Spain
| | - N Blanca-López
- Allergy Service, Infanta Leonor University Hospital, Madrid, Spain
| | - C Boteanu
- Allergy Service, Hospital Central De la Cruz Roja San José y Santa Adela, Madrid, Spain
| | - B Cueva-Oliver
- Allergy Section, Hospital General Universitario de Alicante, ISABIAL, Alicante, Spain
| | - F J Fernández-Sánchez
- Allergy Section, Hospital General Universitario de Alicante, UMH-ISABIAL, Alicante, Spain
| | - P Gajate
- Allergy Service, Hospital Rey Juan Carlos, Móstoles (Madrid), Spain
| | | | - I García-Núñez
- Allergy and Pulmonology Department, Hospital Quirón Salud Campo de Gibraltar, Cádiz, Spain.,Allergy Department, Hospital Quirónsalud Córdoba, Córdoba, Spain
| | - T Lobera
- Department of Allergy, San Pedro University Hospital, Logroño (La Rioja), Spain
| | - E Moreno
- Allergy Service, University Hospital of Salamanca, Institute for Biomedical Research of Salamanca (IBSAL), Salamanca, Spain
| | - P Rojas
- Allergy Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - A Rosado
- Allergy Unit, Hospital Universitario Fundación Alcorcón, Madrid, Spain
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20
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Moreno E, Toussaint MJ, van Essen SC, Bongiovanni L, van Liere EA, Koster MH, Yuan R, van Deursen JM, Westendorp B, de Bruin A. E2F7 Is a Potent Inhibitor of Liver Tumor Growth in Adult Mice. Hepatology 2021; 73:303-317. [PMID: 32259305 PMCID: PMC7898887 DOI: 10.1002/hep.31259] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 03/12/2020] [Accepted: 03/19/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND AND AIMS Up-regulation of the E2F-dependent transcriptional network has been identified in nearly every human malignancy and is an important driver of tumorigenesis. Two members of the E2F family, E2F7 and E2F8, are potent repressors of E2F-dependent transcription. They are atypical in that they do not bind to dimerization partner proteins and are not controlled by retinoblastoma protein. The physiological relevance of E2F7 and E2F8 remains incompletely understood, largely because tools to manipulate their activity in vivo have been lacking. APPROACH AND RESULTS Here, we generated transgenic mice with doxycycline-controlled transcriptional activation of E2f7 and E2f8 and induced their expression during postnatal development, in adulthood, and in the context of cancer. Systemic induction of E2f7 and, to lesser extent, E2f8 transgenes in juvenile mice impaired cell proliferation, caused replication stress, DNA damage, and apoptosis, and inhibited animal growth. In adult mice, however, E2F7 and E2F8 induction was well tolerated, yet profoundly interfered with DNA replication, DNA integrity, and cell proliferation in diethylnitrosamine-induced liver tumors. CONCLUSION Collectively, our findings demonstrate that atypical E2Fs can override cell-cycle entry and progression governed by other E2F family members and suggest that this property can be exploited to inhibit proliferation of neoplastic hepatocytes when growth and development have subsided during adulthood.
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Affiliation(s)
- Eva Moreno
- Department of Biomolecular Health SciencesFaculty of Veterinary MedicineUtrecht UniversityUtrechtthe Netherlands
| | - Mathilda J.M. Toussaint
- Department of Biomolecular Health SciencesFaculty of Veterinary MedicineUtrecht UniversityUtrechtthe Netherlands
| | - Saskia C. van Essen
- Department of Biomolecular Health SciencesFaculty of Veterinary MedicineUtrecht UniversityUtrechtthe Netherlands
| | - Laura Bongiovanni
- Department of Biomolecular Health SciencesFaculty of Veterinary MedicineUtrecht UniversityUtrechtthe Netherlands
| | - Elsbeth A. van Liere
- Department of Biomolecular Health SciencesFaculty of Veterinary MedicineUtrecht UniversityUtrechtthe Netherlands
| | - Mirjam H. Koster
- Division Molecular GeneticsDepartment of PediatricsUniversity Medical Center GroningenUniversity of GroningenGroningenthe Netherlands
| | - Ruixue Yuan
- Department of Biomolecular Health SciencesFaculty of Veterinary MedicineUtrecht UniversityUtrechtthe Netherlands,Department of PathologyAcademic Medical CenterAmsterdamthe Netherlands
| | - Jan M. van Deursen
- Department of Biochemistry and Molecular BiologyMayo ClinicRochesterMN,Department of Pediatric and Adolescent MedicineMayo ClinicRochesterMN
| | - Bart Westendorp
- Department of Biomolecular Health SciencesFaculty of Veterinary MedicineUtrecht UniversityUtrechtthe Netherlands
| | - Alain de Bruin
- Department of Biomolecular Health SciencesFaculty of Veterinary MedicineUtrecht UniversityUtrechtthe Netherlands,Division Molecular GeneticsDepartment of PediatricsUniversity Medical Center GroningenUniversity of GroningenGroningenthe Netherlands
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21
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Taboada M, Rama P, Pita-Romero R, Moreno E, Leal S, Varela M, Cid M, Caruezo V, Alvarado de la Torre S, Corujeira M, Sarmiento A, Domínguez B, Diaz P, Cánovas L, López Sánchez M, Vilas E, Rodríguez A, Freire L, Domínguez S, Baluja A, Atanassoff PG. Critically ill COVID-19 patients attended by anesthesiologists in northwestern Spain: a multicenter prospective observational study. Rev Esp Anestesiol Reanim (Engl Ed) 2021; 68:10-20. [PMID: 33077309 PMCID: PMC7473389 DOI: 10.1016/j.redar.2020.08.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 07/24/2020] [Accepted: 08/27/2020] [Indexed: 01/08/2023]
Abstract
BACKGROUND AND OBJECTIVES There are limited information on outcome, complications and treatments of critically ill COVID-19 patients requiring admission to an intensive care unit (ICU). The aim of this study is to describe the clinical ICU course, treatments used, complications and outcomes, of critically ill COVID-19 patients admitted in seven ICU in Galicia region during the 2020 March-April pandemic peak. METHODS Between March 21 and April 19, 2020, we evaluated critically ill COVID-19 patients admitted to the ICU of Anesthesia of seven hospitals in Galicia, northwestern Spain. Outcome, complications, and treatments were monitored until May 6, 2020, the final date of follow-up. RESULTS A total of 97 critically ill COVID-19 patients were included. During ICU stay, mechanical ventilation became necessary in 80 (82.5%) patients, and tracheostomy in 22 (22.7%) patients. Prone position was used frequently in both intubated (67.5%) and awake (27.8%) patients. Medications consisted of antivirals agents (92.7%), corticosteroids (93.8%), tocilizumab (57.7%), and intermediate or high doses of anticoagulants (83.5%). The most frequent complications were ICU-acquired infection (52.6%), thrombosis events (16.5%), and reintubation (9.3%). After a median follow-up of 42 (34-45) days, 15 patients (15.5%) deceased, 73 patients (75.2%) had been discharged from ICU, and nine patients (9.3%) were still in the ICU. CONCLUSIONS A high proportion of our critically ill COVID-19 patients required mechanical ventilation, prone positioning, antiviral medication, corticosteroids, and anticoagulants. ICU complications were frequent, mainly infections and thrombotic events. We had a relatively low mortality of 15,5%.
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Affiliation(s)
- M Taboada
- Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Santiago, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, España.
| | - P Rama
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario A Coruña, La Coruña, España
| | - R Pita-Romero
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Vigo, Vigo, España
| | - E Moreno
- Servicio de Anestesiología y Reanimación, Hospital Arquitecto Marcide de Ferrol, Ferrol, España
| | - S Leal
- Servicio de Anestesiología y Reanimación, Hospital POVISA de Vigo, Vigo, España
| | - M Varela
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario Pontevedra, Pontevedra, España
| | - M Cid
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario Ourense, Orense, España
| | - V Caruezo
- Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Santiago, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, España
| | - S Alvarado de la Torre
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario A Coruña, La Coruña, España
| | - M Corujeira
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Vigo, Vigo, España
| | - A Sarmiento
- Servicio de Anestesiología y Reanimación, Hospital Arquitecto Marcide de Ferrol, Ferrol, España
| | - B Domínguez
- Servicio de Anestesiología y Reanimación, Hospital POVISA de Vigo, Vigo, España
| | - P Diaz
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario Pontevedra, Pontevedra, España
| | - L Cánovas
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario Ourense, Orense, España
| | - M López Sánchez
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario A Coruña, La Coruña, España
| | - E Vilas
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Vigo, Vigo, España
| | - A Rodríguez
- Servicio de Anestesiología y Reanimación, Hospital Arquitecto Marcide de Ferrol, Ferrol, España
| | - L Freire
- Servicio de Anestesiología y Reanimación, Hospital POVISA de Vigo, Vigo, España
| | - S Domínguez
- Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario Pontevedra, Pontevedra, España
| | - A Baluja
- Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Santiago, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, España
| | - P G Atanassoff
- Servicio de Anestesiología, Universidad de Basilea, Basilea, Suiza
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22
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Taboada M, Rama P, Pita-Romero R, Moreno E, Leal S, Varela M, Cid M, Caruezo V, Alvarado de la Torre S, Corujeira M, Sarmiento A, Domínguez B, Diaz P, Cánovas L, López Sánchez M, Vilas E, Rodríguez A, Freire L, Domínguez S, Baluja A, Atanassoff P. Critically ill COVID-19 patients attended by anesthesiologists in northwestern Spain: A multicenter prospective observational study. Revista Española de Anestesiología y Reanimación (English Edition) 2021. [PMCID: PMC7768214 DOI: 10.1016/j.redare.2020.08.003] [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] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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23
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Lengerke-Diaz P, Velez MG, DeWees T, Golafshar M, Wong W, Daniels T, Rwigema J, Keole S, Moreno E, Schild S, Bhangoo R, Thorpe C, Castro J, Vargas C, Khera N. Association Between Inflammatory Biomarkers and Financial Toxicity in Prostate Cancer Patients Treated with Definitive Radiation. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.1483] [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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24
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Pleguezuelos E, Del Carmen A, Moreno E, Ortega P, Vila X, Ovejero L, Serra-Prat M, Palomera E, Garnacho-Castaño MV, Loeb E, Farago G, Miravitlles M. The Experience of COPD Patients in Lockdown Due to the COVID-19 Pandemic. Int J Chron Obstruct Pulmon Dis 2020; 15:2621-2627. [PMID: 33122900 PMCID: PMC7591044 DOI: 10.2147/copd.s268421] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 09/28/2020] [Indexed: 12/22/2022] Open
Abstract
Purpose On March 16, 2020, the Spanish government declared a state of alarm due to the rapid spread of coronavirus disease 2019 (COVID-19). Patients with chronic obstructive pulmonary disease (COPD) were restricted to remain confined at home, and medical visits were cancelled for 3 months. The impact of this lockdown on the manifestations of COPD and the quality-of-life of these patients has not been explored. Patients and Methods One hundred patients with COPD were interviewed by telephone from May 2–18, 2020. The interviews included questions about the lockdown, missed medical appointments, fears of the disease, possible COVID-19 infection, and exacerbations of COPD suffered during this period and their management. In addition, the COPD Assessment Test, the Hospital Anxiety and Depression, and the 5-Dimension Euro Quality-of-Life questionnaires were administered. Results Sixty-four (64%) patients claimed to have strictly complied with the lockdown, and only 42 (42%) stated they had left home at least once during lockdown. Only one patient (1%) was hospitalized due to COVID-19, and 13 (13%) patients presented an exacerbation of COPD self-managed at home with no admissions due to exacerbation of COPD during this period. A medical consultation or complementary test was cancelled in 90% of the patients, but 61% had a medical telephone visit with a high degree of satisfaction (mean 9.3/10). Most patients declared that their feeling regarding lung disease and general health was similar or even better during lockdown (82% and 81%, respectively). Conclusion Our results indicate that in general lockdown had a low impact on COPD patients. Only one patient was affected by COVID-19, but moderate exacerbations of COPD were not infrequent. Although many medical visits and test were cancelled, patients were very satisfied with the medical telephone visits.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain.,Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L´Hospitalet de Llobregat, Barcelona, Spain
| | - Pilar Ortega
- Pneumology Department, Hospital de Mataró Mataró, Barcelona, Spain
| | - Xavier Vila
- Pneumology Department, Hospital de Mataró Mataró, Barcelona, Spain
| | - Laura Ovejero
- Pneumology Department, Hospital de Mataró Mataró, Barcelona, Spain
| | | | | | - Manuel Vicente Garnacho-Castaño
- TGRI-AFIRS, Department of Physical Activity and Sports Science, School of Health Sciences, Tecno Campus, Universitat Pompeu Fabra, Barcelona, Spain
| | - Eduardo Loeb
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | - Georgina Farago
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, CIBER de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
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25
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Albert A, Alfaro R, Alvarez C, Angeles Camacho JR, Arteaga-Velázquez JC, Arunbabu KP, Avila Rojas D, Ayala Solares HA, Baghmanyan V, Belmont-Moreno E, BenZvi SY, Brisbois C, Caballero-Mora KS, Capistrán T, Carramiñana A, Casanova S, Cotti U, Cotzomi J, Coutiño de León S, De la Fuente E, de León C, Dingus BL, DuVernois MA, Díaz-Vélez JC, Ellsworth RW, Engel K, Espinoza C, Fleischhack H, Fraija N, Galván-Gámez A, Garcia D, García-González JA, Garfias F, González MM, Goodman JA, Harding JP, Hernandez S, Hona B, Huang D, Hueyotl-Zahuantitla F, Hüntemeyer P, Iriarte A, Joshi V, Lara A, Lee WH, León Vargas H, Linnemann JT, Longinotti AL, Luis-Raya G, Lundeen J, López-Coto R, Malone K, Marinelli SS, Martinez-Castellanos I, Martínez-Castro J, Martínez-Huerta H, Matthews JA, Miranda-Romagnoli P, Morales-Soto JA, Moreno E, Nayerhoda A, Nellen L, Newbold M, Nisa MU, Noriega-Papaqui R, Omodei N, Peisker A, Pérez-Pérez EG, Rho CD, Rivière C, Rosa-González D, Rosenberg M, Ruiz-Velasco E, Salazar H, Salesa Greus F, Sandoval A, Schneider M, Schoorlemmer H, Sinnis G, Smith AJ, Springer RW, Surajbali P, Tabachnick E, Tanner M, Tibolla O, Tollefson K, Torres I, Torres-Escobedo R, Weisgarber T, Yodh G, Zepeda A, Zhou H. Constraints on Lorentz Invariance Violation from HAWC Observations of Gamma Rays above 100 TeV. Phys Rev Lett 2020; 124:131101. [PMID: 32302173 DOI: 10.1103/physrevlett.124.131101] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Revised: 02/07/2020] [Accepted: 03/04/2020] [Indexed: 06/11/2023]
Abstract
Because of the high energies and long distances to the sources, astrophysical observations provide a unique opportunity to test possible signatures of Lorentz invariance violation (LIV). Superluminal LIV enables the decay of photons at high energy. The high altitude water Cherenkov (HAWC) observatory is among the most sensitive gamma-ray instruments currently operating above 10 TeV. HAWC finds evidence of 100 TeV photon emission from at least four astrophysical sources. These observations exclude, for the strongest of the limits set, the LIV energy scale to 2.2×10^{31} eV, over 1800 times the Planck energy and an improvement of 1 to 2 orders of magnitude over previous limits.
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Affiliation(s)
- A Albert
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - R Alfaro
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - C Alvarez
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas 29050, Mexico
| | - J R Angeles Camacho
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | | | - K P Arunbabu
- Instituto de Geofísica, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - D Avila Rojas
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - H A Ayala Solares
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - V Baghmanyan
- Institute of Nuclear Physics Polish Academy of Sciences, PL-31342 IFJ-PAN, Krakow 31342, Poland
| | - E Belmont-Moreno
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - S Y BenZvi
- Department of Physics & Astronomy, University of Rochester, Rochester, New York 14627, USA
| | - C Brisbois
- Department of Physics, Michigan Technological University, Houghton, Michigan 49931-1295, USA
| | - K S Caballero-Mora
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas 29050, Mexico
| | - T Capistrán
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla 72840, Mexico
| | - A Carramiñana
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla 72840, Mexico
| | - S Casanova
- Institute of Nuclear Physics Polish Academy of Sciences, PL-31342 IFJ-PAN, Krakow 31342, Poland
| | - U Cotti
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia 58040, Mexico
| | - J Cotzomi
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla 72570, Mexico
| | - S Coutiño de León
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla 72840, Mexico
| | - E De la Fuente
- Departamento de Física, CUCEI, Universidad de Guadalajara, Guadalajara 44430, Mexico
| | - C de León
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia 58040, Mexico
| | - B L Dingus
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - M A DuVernois
- Department of Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
| | - J C Díaz-Vélez
- Departamento de Física, Centro Universitario de los Valles, Universidad de Guadalajara, Guadalajara 46600, Mexico
| | - R W Ellsworth
- Department of Physics, University of Maryland, College Park, Maryland 20742-4111, USA
| | - K Engel
- Department of Physics, University of Maryland, College Park, Maryland 20742-4111, USA
| | - C Espinoza
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - H Fleischhack
- Department of Physics, Michigan Technological University, Houghton, Michigan 49931-1295, USA
| | - N Fraija
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - A Galván-Gámez
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - D Garcia
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - J A García-González
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - F Garfias
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - M M González
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - J A Goodman
- Department of Physics, University of Maryland, College Park, Maryland 20742-4111, USA
| | - J P Harding
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - S Hernandez
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - B Hona
- Department of Physics, Michigan Technological University, Houghton, Michigan 49931-1295, USA
| | - D Huang
- Department of Physics, Michigan Technological University, Houghton, Michigan 49931-1295, USA
| | | | - P Hüntemeyer
- Department of Physics, Michigan Technological University, Houghton, Michigan 49931-1295, USA
| | - A Iriarte
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - V Joshi
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, 91058 Erlangen, Germany
| | - A Lara
- Instituto de Geofísica, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - W H Lee
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - H León Vargas
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - J T Linnemann
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - A L Longinotti
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla 72840, Mexico
| | - G Luis-Raya
- Universidad Politecnica de Pachuca, Pachuca, Hgo 42083, Mexico
| | - J Lundeen
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - R López-Coto
- INFN and Universita di Padova, via Marzolo 8, I-35131, Padova, Italy
| | - K Malone
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - S S Marinelli
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | | | - J Martínez-Castro
- Centro de Investigación en Computación, Instituto Politécnico Nacional, México City 07738, Mexico
| | - H Martínez-Huerta
- Instituto de Física de São Carlos, Universidade de São Paulo, São Carlos, Sao Paolo 13566-590, Brasil
| | - J A Matthews
- Dept of Physics and Astronomy, University of New Mexico, Albuquerque, New Mexico 87131, USA
| | | | - J A Morales-Soto
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia 58040, Mexico
| | - E Moreno
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla 72570, Mexico
| | - A Nayerhoda
- Institute of Nuclear Physics Polish Academy of Sciences, PL-31342 IFJ-PAN, Krakow 31342, Poland
| | - L Nellen
- Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de Mexico, Ciudad de Mexico 04510, Mexico
| | - M Newbold
- Department of Physics and Astronomy, University of Utah, Salt Lake City, Utah 84112, USA
| | - M U Nisa
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | | | - N Omodei
- Stanford University, Stanford, California 94305, USA
| | - A Peisker
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - E G Pérez-Pérez
- Universidad Politecnica de Pachuca, Pachuca, Hgo 42083, Mexico
| | - C D Rho
- Department of Physics & Astronomy, University of Rochester, Rochester, New York 14627, USA
| | - C Rivière
- Department of Physics, University of Maryland, College Park, Maryland 20742-4111, USA
| | - D Rosa-González
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla 72840, Mexico
| | - M Rosenberg
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - E Ruiz-Velasco
- Max-Planck Institute for Nuclear Physics, 69117 Heidelberg, Germany
| | - H Salazar
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla 72570, Mexico
| | - F Salesa Greus
- Institute of Nuclear Physics Polish Academy of Sciences, PL-31342 IFJ-PAN, Krakow 31342, Poland
| | - A Sandoval
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico
| | - M Schneider
- Department of Physics, University of Maryland, College Park, Maryland 20742-4111, USA
| | - H Schoorlemmer
- Max-Planck Institute for Nuclear Physics, 69117 Heidelberg, Germany
| | - G Sinnis
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - A J Smith
- Department of Physics, University of Maryland, College Park, Maryland 20742-4111, USA
| | - R W Springer
- Department of Physics and Astronomy, University of Utah, Salt Lake City, Utah 84112, USA
| | - P Surajbali
- Max-Planck Institute for Nuclear Physics, 69117 Heidelberg, Germany
| | - E Tabachnick
- Department of Physics, University of Maryland, College Park, Maryland 20742-4111, USA
| | - M Tanner
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania 16802, USA
| | - O Tibolla
- Universidad Politecnica de Pachuca, Pachuca, Hgo 42083, Mexico
| | - K Tollefson
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - I Torres
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla 72840, Mexico
| | - R Torres-Escobedo
- Departamento de Física, CUCEI, Universidad de Guadalajara, Guadalajara 44430, Mexico
- Department of Physics and Astronomy, Texas Tech University, Lubbock, Texas 79409-1051, USA
| | - T Weisgarber
- Department of Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
| | - G Yodh
- Department of Physics and Astronomy, University of California, Irvine, Irvine, California 92697, USA
| | - A Zepeda
- Physics Department, Centro de Investigacion y de Estudios Avanzados del IPN, Mexico City 07360, Mexico
| | - H Zhou
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
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26
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Moret P, Barragán Á, Moreno E, Cauvy-Fraunié S, Gobbi M. When the Ice Has Gone: Colonisation of Equatorial Glacier Forelands by Ground Beetles (Coleoptera: Carabidae). Neotrop Entomol 2020; 49:213-226. [PMID: 31916201 DOI: 10.1007/s13744-019-00753-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Accepted: 12/18/2019] [Indexed: 06/10/2023]
Abstract
Ground beetles (Coleoptera: Carabidae) are among the early colonisers of recently deglaciated terrains. While patterns of carabid colonisation along forelands of retreating glaciers have been thoroughly investigated in temperate climates, information remains scarce in tropical mountains. This study aimed to describe for the first time the carabid beetle species assemblages along the chronosequence of two tropical Andean glaciers (Antisana and Carihuairazo, Ecuador). Shannon index, taxonomic distinctness and species assemblage composition did not reveal deterministic and directional patterns. Only the principal coordinate analysis performed on the Antisana dataset showed that some species had a clear preference for terrains deglaciated for more than 200 years. Our results showed that equatorial glacier forelands are colonised by pioneer species that persist from the recently deglaciated terrains (less than 25 years) to terrains deglaciated since more than 200 years. This pattern fits the 'addition and persistence model' of high-latitude glacier forelands, rather than the 'species replacement model' of the Alps. The pioneer species observed are high-altitude specialists adapted to constantly cold environments, but not specifically ice-related. In the current context of climate warming, pioneer and cold-adapted species living near the glaciers of equatorial mountains are therefore only threatened by the 'summit trap' risk, unlike in temperate regions, as they are not strictly linked to the glacier microclimate.
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Affiliation(s)
- P Moret
- Laboratoire TRACES UMR5608, CNRS - Université de Toulouse, 31000, Toulouse, France
| | - Á Barragán
- Museo QCAZ - Escuela de Ciencias Biológicas, Pontificia Universidad Católica del Ecuador, Quito, Ecuador
| | - E Moreno
- Museo QCAZ - Escuela de Ciencias Biológicas, Pontificia Universidad Católica del Ecuador, Quito, Ecuador
- Instituto de Fisiología, Biología Molecular y Neurociencias (IFIBYNE), CONICET - Universidad de Buenos Aires, Buenos Aires, Argentina
| | - S Cauvy-Fraunié
- IRSTEA, UR RIVERLY, Centre de Lyon-Villeurbanne, Villeurbanne Cedex, France
| | - M Gobbi
- Section of Invertebrate Zoology and Hydrobiology, MUSE-Science Museum, Corso del Lavoro e della Scienza 3, Trento, Italy.
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27
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Maestro-Izquierdo M, Gonzalez MB, Jimenez-Molinos F, Moreno E, Roldan JB, Campabadal F. Unipolar resistive switching behavior in Al 2O 3/HfO 2 multilayer dielectric stacks: fabrication, characterization and simulation. Nanotechnology 2020; 31:135202. [PMID: 31810070 DOI: 10.1088/1361-6528/ab5f9a] [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] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
In this work, the impact of different HfO2/Al2O3-based multilayer dielectric stack (DS) configurations on the electrical characteristics and on the resistive switching (RS) performance of Ni/Insulator/Silicon devices has been systematically investigated. Significant differences are observed in the electrical characteristics of the fabricated bilayer, trilayer and pentalayer stacks compared to a single HfO2 layer of the same physical thickness. The RS analysis has shown similar low resistance state currents and set voltages for all the DS combinations whereas currents at the high resistance state and reset voltages depend on the DS. The shift of the reset voltage to lower values for HfO2 and Al2O3/HfO2/Al2O3 cases is explained by the results from thermal simulations that reveal that these differences could be associated to the different temperature distributions at the narrowest part of the conductive filament immediately before the thermally triggered reset process occurs.
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Affiliation(s)
- M Maestro-Izquierdo
- Institut de Microelectrònica de Barcelona, IMB-CNM, CSIC, Carrer dels Til·lers s/n, Campus UAB. E-08193 Bellaterra, Spain
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28
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Abeysekara AU, Albert A, Alfaro R, Angeles Camacho JR, Arteaga-Velázquez JC, Arunbabu KP, Avila Rojas D, Ayala Solares HA, Baghmanyan V, Belmont-Moreno E, BenZvi SY, Brisbois C, Caballero-Mora KS, Capistrán T, Carramiñana A, Casanova S, Cotti U, Cotzomi J, Coutiño de León S, De la Fuente E, de León C, Dichiara S, Dingus BL, DuVernois MA, Díaz-Vélez JC, Ellsworth RW, Engel K, Espinoza C, Fleischhack H, Fraija N, Galván-Gámez A, Garcia D, García-González JA, Garfias F, González MM, Goodman JA, Harding JP, Hernandez S, Hinton J, Hona B, Huang D, Hueyotl-Zahuantitla F, Hüntemeyer P, Iriarte A, Jardin-Blicq A, Joshi V, Kaufmann S, Kieda D, Lara A, Lee WH, León Vargas H, Linnemann JT, Longinotti AL, Luis-Raya G, Lundeen J, López-Coto R, Malone K, Marinelli SS, Martinez O, Martinez-Castellanos I, Martínez-Castro J, Martínez-Huerta H, Matthews JA, Miranda-Romagnoli P, Morales-Soto JA, Moreno E, Mostafá M, Nayerhoda A, Nellen L, Newbold M, Nisa MU, Noriega-Papaqui R, Peisker A, Pérez-Pérez EG, Pretz J, Ren Z, Rho CD, Rivière C, Rosa-González D, Rosenberg M, Ruiz-Velasco E, Salesa Greus F, Sandoval A, Schneider M, Schoorlemmer H, Sinnis G, Smith AJ, Springer RW, Surajbali P, Tabachnick E, Tanner M, Tibolla O, Tollefson K, Torres I, Torres-Escobedo R, Villaseñor L, Weisgarber T, Wood J, Yapici T, Zhang H, Zhou H. Multiple Galactic Sources with Emission Above 56 TeV Detected by HAWC. Phys Rev Lett 2020; 124:021102. [PMID: 32004015 DOI: 10.1103/physrevlett.124.021102] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 11/21/2019] [Indexed: 06/10/2023]
Abstract
We present the first catalog of gamma-ray sources emitting above 56 and 100 TeV with data from the High Altitude Water Cherenkov Observatory, a wide field-of-view observatory capable of detecting gamma rays up to a few hundred TeV. Nine sources are observed above 56 TeV, all of which are likely galactic in origin. Three sources continue emitting past 100 TeV, making this the highest-energy gamma-ray source catalog to date. We report the integral flux of each of these objects. We also report spectra for three highest-energy sources and discuss the possibility that they are PeVatrons.
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Affiliation(s)
- A U Abeysekara
- Department of Physics and Astronomy, University of Utah, Salt Lake City, Utah, USA
| | - A Albert
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico, USA
| | - R Alfaro
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - J R Angeles Camacho
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | | | - K P Arunbabu
- Instituto de Geofísica, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - D Avila Rojas
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - H A Ayala Solares
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania, USA
| | - V Baghmanyan
- Institute of Nuclear Physics Polish Academy of Sciences, IFJ-PAN, Krakow, Poland
| | - E Belmont-Moreno
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - S Y BenZvi
- Department of Physics & Astronomy, University of Rochester, Rochester, New York, USA
| | - C Brisbois
- Department of Physics, University of Maryland, College Park, Maryland, USA
| | | | - T Capistrán
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - A Carramiñana
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - S Casanova
- Institute of Nuclear Physics Polish Academy of Sciences, IFJ-PAN, Krakow, Poland
| | - U Cotti
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - J Cotzomi
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - S Coutiño de León
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - E De la Fuente
- Departamento de Física, Centro Universitario de Ciencias Exactase Ingenierias, Universidad de Guadalajara, Guadalajara, Mexico
- Department of Physics and Astronomy, Texas Tech University, Lubbock, Texas, USA
| | - C de León
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - S Dichiara
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - B L Dingus
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico, USA
| | - M A DuVernois
- Department of Physics, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - J C Díaz-Vélez
- Departamento de Física, Centro Universitario de Ciencias Exactase Ingenierias, Universidad de Guadalajara, Guadalajara, Mexico
- Department of Physics and Astronomy, Texas Tech University, Lubbock, Texas, USA
| | - R W Ellsworth
- Department of Physics, University of Maryland, College Park, Maryland, USA
| | - K Engel
- Department of Physics, University of Maryland, College Park, Maryland, USA
| | - C Espinoza
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - H Fleischhack
- Department of Physics, Michigan Technological University, Houghton, Michigan, USA
| | - N Fraija
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - A Galván-Gámez
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - D Garcia
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - J A García-González
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - F Garfias
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - M M González
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - J A Goodman
- Department of Physics, University of Maryland, College Park, Maryland, USA
| | - J P Harding
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico, USA
| | - S Hernandez
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - J Hinton
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - B Hona
- Department of Physics, Michigan Technological University, Houghton, Michigan, USA
| | - D Huang
- Department of Physics, Michigan Technological University, Houghton, Michigan, USA
| | | | - P Hüntemeyer
- Department of Physics, Michigan Technological University, Houghton, Michigan, USA
| | - A Iriarte
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - A Jardin-Blicq
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - V Joshi
- Erlangen Centre for Astroparticle Physics, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - S Kaufmann
- Universidad Politecnica de Pachuca, Pachuca, Hgo, Mexico
| | - D Kieda
- Department of Physics and Astronomy, University of Utah, Salt Lake City, Utah, USA
| | - A Lara
- Instituto de Geofísica, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - W H Lee
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - H León Vargas
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - J T Linnemann
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan, USA
| | - A L Longinotti
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - G Luis-Raya
- Universidad Politecnica de Pachuca, Pachuca, Hgo, Mexico
| | - J Lundeen
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan, USA
| | - R López-Coto
- INFN and Universita di Padova, via Marzolo 8, Padova, Italy
| | - K Malone
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico, USA
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania, USA
| | - S S Marinelli
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan, USA
| | - O Martinez
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | | | - J Martínez-Castro
- Centro de Investigación en Computación, Instituto Politécnico Nacional, México City, México
| | - H Martínez-Huerta
- Instituto de Física de São Carlos, Universidade de São Paulo, São Carlos, São Paulo, Brasil
| | - J A Matthews
- Dept of Physics and Astronomy, University of New Mexico, Albuquerque, New Mexico, USA
| | | | - J A Morales-Soto
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - E Moreno
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - M Mostafá
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania, USA
| | - A Nayerhoda
- Institute of Nuclear Physics Polish Academy of Sciences, IFJ-PAN, Krakow, Poland
| | - L Nellen
- Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de Mexico, Ciudad de Mexico, Mexico
| | - M Newbold
- Department of Physics and Astronomy, University of Utah, Salt Lake City, Utah, USA
| | - M U Nisa
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan, USA
| | | | - A Peisker
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan, USA
| | | | - J Pretz
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania, USA
| | - Z Ren
- Dept of Physics and Astronomy, University of New Mexico, Albuquerque, New Mexico, USA
| | - C D Rho
- Department of Physics & Astronomy, University of Rochester, Rochester, New York, USA
| | - C Rivière
- Department of Physics, University of Maryland, College Park, Maryland, USA
| | - D Rosa-González
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - M Rosenberg
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania, USA
| | - E Ruiz-Velasco
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - F Salesa Greus
- Institute of Nuclear Physics Polish Academy of Sciences, IFJ-PAN, Krakow, Poland
| | - A Sandoval
- Instituto de Física, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
| | - M Schneider
- Department of Physics, University of Maryland, College Park, Maryland, USA
| | - H Schoorlemmer
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - G Sinnis
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico, USA
| | - A J Smith
- Department of Physics, University of Maryland, College Park, Maryland, USA
| | - R W Springer
- Department of Physics and Astronomy, University of Utah, Salt Lake City, Utah, USA
| | - P Surajbali
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - E Tabachnick
- Department of Physics, University of Maryland, College Park, Maryland, USA
| | - M Tanner
- Department of Physics, Pennsylvania State University, University Park, Pennsylvania, USA
| | - O Tibolla
- Universidad Politecnica de Pachuca, Pachuca, Hgo, Mexico
| | - K Tollefson
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan, USA
| | - I Torres
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - R Torres-Escobedo
- Departamento de Física, Centro Universitario de Ciencias Exactase Ingenierias, Universidad de Guadalajara, Guadalajara, Mexico
- Department of Physics and Astronomy, Texas Tech University, Lubbock, Texas, USA
| | - L Villaseñor
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - T Weisgarber
- Department of Physics, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - J Wood
- NASA Marshall Space Flight Center, Hunstville, Alabama, USA
| | - T Yapici
- Department of Physics & Astronomy, University of Rochester, Rochester, New York, USA
| | - H Zhang
- Department of Physics and Astronomy, Purdue University, West Lafayette, Indiana, USA
| | - H Zhou
- Physics Division, Los Alamos National Laboratory, Los Alamos, New Mexico, USA
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Sobrino-García M, Muñoz-Bellido FJ, Moreno E, Macías E, Gracia-Bara MT, Laffond E, Lázaro-Sastre M, Martín-García C, de Arriba-Méndez S, Campanón-Toro MV, Gallardo-Higueras A, Dávila I. A Comprehensive Prospective Study of the Costs Associated With Evaluation of ß-Lactam Allergy. J Investig Allergol Clin Immunol 2019; 31:52-57. [PMID: 31599727 DOI: 10.18176/jiaci.0457] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Being labeled as allergic to penicillin (unverified ß-lactam allergy) can result in patients receiving broader-spectrum antibiotics than necessary that may be more toxic, less effective, and/or more expensive than alternative options. Objective: We aimed to evaluate the real costs of evaluating ß-lactam allergy. METHODS We performed a prospective real-life observational study designed to evaluate all adult patients who consulted for suspected ß-lactam allergy over a 1-year period. Direct and indirect costs were systematically recorded. Direct health costs were calculated based on the number of visits and all additional and diagnostic tests performed, direct nonhealth costs based on the number of visits and the distance from their homes to the Allergy Department, and indirect costs based on absenteeism. RESULTS A total of 296 patients with suspected allergy to ß-lactams were evaluated in our outpatient clinic from June 1, 2017 to May 31, 2018. Total direct health care costs were €28 176.70, with a mean (SD) cost of €95.19 (37.20). Direct nonhealth costs reached €6551.73, that is, €22.13 (40.44) per patient. Indirect health costs reached €20 769.20, with a mean of €70.17 (127.40). In summary, the total cost was €55 497.63, that is, a cost per patient of €187.49 (148.14). CONCLUSIONS When all possible costs are taken into account, the evaluation of ß-lactam allergy is not expensive and can reduce future expense arising from unnecessary use of more expensive and less effective antibiotics.
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Affiliation(s)
- M Sobrino-García
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain
| | - F J Muñoz-Bellido
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | - E Moreno
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse Reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Salamanca University Hospital, Salamanca, Spain
| | - E Macías
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | - M T Gracia-Bara
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain
| | - E Laffond
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | - M Lázaro-Sastre
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain
| | - C Martín-García
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain
| | - S de Arriba-Méndez
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | | | | | - I Dávila
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Institute for Biomedical Research of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse Reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Salamanca University Hospital, Salamanca, Spain
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Gámez F, Fernández JM, Moreno E, Tejeda G, Hernández MI, Montero S. Inelastic Collisions of O 2 with He at Low Temperatures. J Phys Chem A 2019; 123:8496-8505. [DOI: 10.1021/acs.jpca.9b06165] [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: 11/28/2022]
Affiliation(s)
- F. Gámez
- Laboratory of Molecular Fluid Dynamics, Instituto de Estructura de la Materia, IEM-CSIC, Serrano 121, 28006 Madrid, Spain
- Departamento de Química Física Aplicada, Universidad Autónoma de Madrid, Francisco Tomás y Valiente 7, 28049 Madrid, Spain
| | - J. M. Fernández
- Laboratory of Molecular Fluid Dynamics, Instituto de Estructura de la Materia, IEM-CSIC, Serrano 121, 28006 Madrid, Spain
| | - E. Moreno
- Laboratory of Molecular Fluid Dynamics, Instituto de Estructura de la Materia, IEM-CSIC, Serrano 121, 28006 Madrid, Spain
| | - G. Tejeda
- Laboratory of Molecular Fluid Dynamics, Instituto de Estructura de la Materia, IEM-CSIC, Serrano 121, 28006 Madrid, Spain
| | - M. I. Hernández
- Instituto de Física Fundamental, IFF-CSIC, Serrano 123, 28006 Madrid, Spain
| | - S. Montero
- Laboratory of Molecular Fluid Dynamics, Instituto de Estructura de la Materia, IEM-CSIC, Serrano 121, 28006 Madrid, Spain
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Rivera-Reigada ML, Moreno E, Sanz C, García-Sánchez A, Cornejo-García JA, Dávila I, Isidoro-García M. Atopy Can Be an Interfering Factor in Genetic Association Studies of ß-Lactam Allergy. J Investig Allergol Clin Immunol 2019; 30:63-65. [PMID: 31530517 DOI: 10.18176/jiaci.0441] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- M L Rivera-Reigada
- Department of Clinical Biochemistry, University Hospital of Salamanca, Salamanca, Spain.,Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain
| | - E Moreno
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Allergy, University Hospital of Salamanca, Salamanca, Spain.,Department of Biomedical Sciences and Diagnostics, University of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain
| | - C Sanz
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Microbiology and Genetics. University of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain
| | - A García-Sánchez
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Biomedical Sciences and Diagnostics, University of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain
| | - J A Cornejo-García
- Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain.,Allergy Research Group, Instituto de Investigación Biomédica de Málaga-IBIMA, Málaga, Spain
| | - I Dávila
- Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Allergy, University Hospital of Salamanca, Salamanca, Spain.,Department of Biomedical Sciences and Diagnostics, University of Salamanca, Salamanca, Spain
| | - M Isidoro-García
- Department of Clinical Biochemistry, University Hospital of Salamanca, Salamanca, Spain.,Biomedical Research Institute of Salamanca, IBSAL, Salamanca, Spain.,Department of Medicine, University Hospital of Salamanca, Salamanca, Spain.,Asthma, Allergic and Adverse reactions (ARADyAL) Network for Cooperative Research in Health of Instituto de Salud Carlos III, Madrid, Spain
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Lázaro M, Vázquez L, Laffond E, Moreno E, Macias EM, Dávila I. Resolution of Type IV Hypersensitivity After Bone Marrow Transplantation. J Investig Allergol Clin Immunol 2019; 28:190. [PMID: 29939137 DOI: 10.18176/jiaci.0226] [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: 11/20/2022] Open
Affiliation(s)
- M Lázaro
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain
| | - L Vázquez
- Hematology Service, University Hospital, Salamanca, Spain.,Biomedical Research Institute, Salamanca, Spain
| | - E Laffond
- Biomedical Research Institute, Salamanca, Spain
| | - E Moreno
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Biomedical Research Institute, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | - E M Macias
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Biomedical Research Institute, Salamanca, Spain
| | - I Dávila
- Allergy Service, University Hospital of Salamanca, Salamanca, Spain.,Biomedical Research Institute, Salamanca, Spain.,Department of Biomedical and Diagnostic Sciences, Faculty of Medicine, University of Salamanca, Salamanca, Spain
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Cernicharo J, Gallego JD, López-Pérez JA, Tercero F, Tanarro I, Beltrán F, de Vicente P, Lauwaet K, Alemán B, Moreno E, Herrero VJ, Doménech JL, Ramírez SI, Bermúdez C, Peláez RJ, Patino-Esteban M, López-Fernández I, García-Álvaro S, García-Carreño P, Cabezas C, Malo I, Amils R, Sobrado J, Diez-González C, Hernandéz J, Tercero B, Santoro G, Martínez L, Castellanos M, Vaquero Jiménez B, Pardo JR, Barbas L, López-Fernández J, Aja B, Leuther A, Martín-Gago JA. Broad band high resolution rotational spectroscopy for Laboratory Astrophysics. Astron Astrophys 2019; 626:10.1051/0004-6361/201935197. [PMID: 31186577 PMCID: PMC6557716 DOI: 10.1051/0004-6361/201935197] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
We present a new experimental setup devoted to the study of gas phase molecules and processes using broad band high spectral resolution rotational spectroscopy. A reactor chamber has been equipped with radio receivers similar to those used by radio astronomers to search for molecular emission in space. The whole Q (31.5-50 GHz) and W bands (72-116.5 GHz) are available for rotational spectroscopy observations. The receivers are equipped with 16×2.5 GHz Fast Fourier Transform spectrometers with a spectral resolution of 38.14 kHz allowing the simultaneous observation of the complete Q band and one third of the W band. The whole W band can be observed in three settings in which the Q band is always observed. Species such as CH3CN, OCS, and SO2 are detected, together with many of their isotopologues and vibrationally excited states, in very short observing times. The system permits automatic overnight observations and integration times as long as 2.4×105 seconds have been reached. The chamber is equipped with a radiofrequency source to produce cold plasmas and with four ultraviolet lamps to study photochemical processes. Plasmas of CH4, N2, CH3CN, NH3, O2, and H2, among other species, have been generated and the molecular products easily identified by their rotational spectrum, and mass spectrometry and optical spectroscopy. Finally, the rotational spectrum of the lowest energy conformer of CH3CH2NHCHO (N-Ethylformamide), a molecule previously characterized in microwave rotational spectroscopy, has been measured up to 116.5 GHz allowing the accurate determination of its rotational and distortion constants and its search in space.
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Affiliation(s)
- J. Cernicharo
- Instituto de Física Fundamental (IFF. CSIC). Group of Molecular Astrophysics, C/Serrano 123, 28006 Madrid, Spain
| | - J. D. Gallego
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - J. A. López-Pérez
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - F. Tercero
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - I. Tanarro
- Instituto de Estructura de la Materia (IEM. CSIC). Molecular Physics Department. C/Serrano 123, 28006 Madrid, Spain
| | - F. Beltrán
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - P. de Vicente
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - K. Lauwaet
- Instituto de Ciencia de Materiales de Madrid (ICMM. CSIC). Materials Science Factory. Structure of Nanoscopic Systems Group, ESISNA. C/Sor Juana Inés de la Cruz 3, 28049 Cantoblanco, Madrid, Spain
- IMDEA Nanociencia, Ciudad Universitaria de Cantoblanco, 28049 Cantoblanco, Madrid, Spain
| | - B. Alemán
- Instituto de Ciencia de Materiales de Madrid (ICMM. CSIC). Materials Science Factory. Structure of Nanoscopic Systems Group, ESISNA. C/Sor Juana Inés de la Cruz 3, 28049 Cantoblanco, Madrid, Spain
- IMDEA Materiales, C/Eric Kandel 2, Tecnogetafe, 28906 Getafe, Madrid, Spain
| | - E. Moreno
- Instituto de Física Fundamental (IFF. CSIC). Group of Molecular Astrophysics, C/Serrano 123, 28006 Madrid, Spain
| | - V. J. Herrero
- Instituto de Estructura de la Materia (IEM. CSIC). Molecular Physics Department. C/Serrano 123, 28006 Madrid, Spain
| | - J. L. Doménech
- Instituto de Estructura de la Materia (IEM. CSIC). Molecular Physics Department. C/Serrano 123, 28006 Madrid, Spain
| | - S. I. Ramírez
- Instituto de Física Fundamental (IFF. CSIC). Group of Molecular Astrophysics, C/Serrano 123, 28006 Madrid, Spain
- Centro de Investigaciones Químicas, UAEM. Av. Universidad, 1001 Col. Chamilpa 62209, Cuernavaca, Morelos Mexico
| | - C. Bermúdez
- Instituto de Física Fundamental (IFF. CSIC). Group of Molecular Astrophysics, C/Serrano 123, 28006 Madrid, Spain
| | - R. J. Peláez
- Instituto de Estructura de la Materia (IEM. CSIC). Molecular Physics Department. C/Serrano 123, 28006 Madrid, Spain
| | - M. Patino-Esteban
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - I. López-Fernández
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - S. García-Álvaro
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - P. García-Carreño
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - C. Cabezas
- Instituto de Física Fundamental (IFF. CSIC). Group of Molecular Astrophysics, C/Serrano 123, 28006 Madrid, Spain
| | - I. Malo
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - R. Amils
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - J. Sobrado
- Centro de Astrobiología (CSIC-INTA), Crta. de Torrejón de Ardoz a Ajalvir, km 4. Torrejón de Ardoz, 28850, Spain
| | - C. Diez-González
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - J.M. Hernandéz
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - B. Tercero
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - G. Santoro
- Instituto de Ciencia de Materiales de Madrid (ICMM. CSIC). Materials Science Factory. Structure of Nanoscopic Systems Group, ESISNA. C/Sor Juana Inés de la Cruz 3, 28049 Cantoblanco, Madrid, Spain
| | - L. Martínez
- Instituto de Ciencia de Materiales de Madrid (ICMM. CSIC). Materials Science Factory. Structure of Nanoscopic Systems Group, ESISNA. C/Sor Juana Inés de la Cruz 3, 28049 Cantoblanco, Madrid, Spain
| | - M. Castellanos
- Instituto de Física Fundamental (IFF. CSIC). Group of Molecular Astrophysics, C/Serrano 123, 28006 Madrid, Spain
| | - B. Vaquero Jiménez
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - J. R. Pardo
- Instituto de Física Fundamental (IFF. CSIC). Group of Molecular Astrophysics, C/Serrano 123, 28006 Madrid, Spain
| | - L. Barbas
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - J.A. López-Fernández
- Centro de Desarrollos Tecnológicos, Observatorio de Yebes (IGN), 19141 Yebes, Guadalajara, Spain
| | - B. Aja
- Universidad de Cantabria, Department of Communication Engineering, Avda. Los Castros, 39005 Santander, Spain
| | - A. Leuther
- Fraunhofer Institut fur Angewandte Festkorperphysik, Tullastresse 72, 79108 Freiburg, Germany
| | - J. A. Martín-Gago
- Instituto de Ciencia de Materiales de Madrid (ICMM. CSIC). Materials Science Factory. Structure of Nanoscopic Systems Group, ESISNA. C/Sor Juana Inés de la Cruz 3, 28049 Cantoblanco, Madrid, Spain
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Podlipnik S, Carrera C, Boada A, Richarz NA, López-Estebaranz JL, Pinedo-Moraleda F, Elosua-González M, Martín-González MM, Carrillo-Gijón R, Redondo P, Moreno E, Malvehy J, Puig S. Early outcome of a 31-gene expression profile test in 86 AJCC stage IB-II melanoma patients. A prospective multicentre cohort study. J Eur Acad Dermatol Venereol 2019; 33:857-862. [PMID: 30702163 PMCID: PMC6483866 DOI: 10.1111/jdv.15454] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2018] [Accepted: 01/04/2019] [Indexed: 12/23/2022]
Abstract
Background The clinical and pathological features of primary melanoma are not sufficiently sensitive to accurately predict which patients are at a greater risk of relapse. Recently, a 31‐gene expression profile (DecisionDx‐Melanoma) test has shown promising results. Objectives To evaluate the early prognostic performance of a genetic signature in a multicentre prospectively evaluated cohort. Methods Inclusion of patients with AJCC stages IB and II conducted between April 2015 and December 2016. All patients were followed up prospectively to assess their risk of relapse. Prognostic performance of this test was evaluated individually and later combined with the AJCC staging system. Prognostic accuracy of disease‐free survival was determined using Kaplan–Meier curves and Cox regression analysis. Results of the gene expression profile test were designated as Class 1 (low risk) and Class 2 (high risk). Results Median follow‐up time was 26 months (IQR 22–30). The gene expression profile test was performed with 86 patients; seven had developed metastasis (8.1%) and all of them were in the Class 2 group, representing 21.2% of this group. Gene expression profile was an independent prognostic factor for relapse as indicated by multivariate Cox regression analysis, adjusted for AJCC stages and age. Conclusions This prospective multicentre cohort study, performed in a Spanish Caucasian cohort, shows that this 31‐gene expression profile test could correctly identify patients at early AJCC stages who are at greater risk of relapse. We believe that gene expression profile in combination with the AJCC staging system could well improve the detection of patients who need intensive surveillance and optimize follow‐up strategies.
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Affiliation(s)
- S Podlipnik
- Department of Dermatology, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain
| | - C Carrera
- Department of Dermatology, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain
| | - A Boada
- Department of Dermatology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
| | - N A Richarz
- Department of Dermatology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
| | - J L López-Estebaranz
- Department of Dermatology, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain
| | - F Pinedo-Moraleda
- Department of Dermatology, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain
| | - M Elosua-González
- Department of Dermatology, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain
| | - M M Martín-González
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - R Carrillo-Gijón
- Department of Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - P Redondo
- Department of Dermatology, University Clinic of Navarra, Pamplona, Spain
| | - E Moreno
- Department of Dermatology, University Clinic of Navarra, Pamplona, Spain
| | - J Malvehy
- Department of Dermatology, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain
| | - S Puig
- Department of Dermatology, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain
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Fariña R, Moreno E, Lolas J, Silva F, Martínez B. Three-dimensional skeletal changes after early proportional condylectomy for condylar hyperplasia. Int J Oral Maxillofac Surg 2019; 48:941-951. [PMID: 30755358 DOI: 10.1016/j.ijom.2019.01.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Revised: 10/17/2018] [Accepted: 01/21/2019] [Indexed: 11/19/2022]
Abstract
The purpose of this study was to evaluate volumetric and dentoskeletal changes in 21 patients with active unilateral condylar hyperplasia (AUCH) after proportional condylectomy. A split-mouth design was used: control group healthy joints (HS, healthy side) and test group affected joints (AS, affected side) (21 per group). Cone beam tomography scans were obtained at T0 (preoperative), T1 (10days after the intervention), and T2 (approximately 12 months post-surgery). The condylar unit volume (CUV), articular cavity volume (ACV), and dentoalveolar units (DAUs) were measured. CUV showed a difference of 1.12cm3 between T0 and T1, increasing 0.4cm3 between T1 and T2 on AS. There was no difference between T0 and T2 on HS. ACV increased 0.65cm3 between T0 and T1 on AS, after which it decreased by 0.36cm3 at T2 (0.30cm3 larger than the initial articular cavity at T0). ACV showed no post-surgery differences on HS. Midline DAU showed extrusion of 0.20mm for maxilla and 0.52mm for mandible, while in the lateral area, maxilla was extruded by 0.3mm on HS and was intruded 0.12mm on AS. For the mandible, both sides showed extrusion (0.4-0.6mm). In the distal to canine and molar areas, intrusion of 0.2mm and 0.9mm, respectively, was observed on AS; there was extrusion of 0.6mm distal to the canine on HS. At the mandibular level, AS distal to the canine showed extrusion of 1mm, while intrusion of 0.2mm was observed in the molars. For HS, only extrusion at the molar level (0.2mm) was observed. In conclusion, after proportional condylectomy, a neocondyle forms within 12 months to equal the healthy contralateral side. The articular cavity, which is reduced in the initial stage, increases in size after surgery and the volume gradually approaches that of the healthy side. Dentoalveolar changes occur at the anterior and posterior levels, causing intrusion and extrusion of the interdental crests. An early proportional condylectomy as the sole surgical treatment for patients with AUCH allows normalization of the maxillomandibular relationship.
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Affiliation(s)
- R Fariña
- Department of Oral and Maxillofacial Surgery, Hospital del Salvador, Providencia, Región Metropolitana, Chile; Department of Oral and Maxillofacial Surgery, Hospital San Borja Arriarán, Santiago, Chile; Oral and Maxillofacial Surgery, Universidad de Chile, Santiago, Chile.
| | - E Moreno
- Department of Oral and Maxillofacial Surgery, Hospital del Salvador, Providencia, Región Metropolitana, Chile
| | - J Lolas
- Department of Oral and Maxillofacial Surgery, Hospital del Salvador, Providencia, Región Metropolitana, Chile
| | - F Silva
- Department of Oral and Maxillofacial Surgery, Hospital de Punta Arenas, Punta Arenas, Chile
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Torres MJ, Moreno E, Fernandez-Santamaría R, Doña I, Fernandez TD. Diagnostic Approximation to Delabeling Beta-Lactam Allergic Patients. Curr Treat Options Allergy 2019. [DOI: 10.1007/s40521-019-0202-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Abeysekara AU, Albert A, Alfaro R, Alvarez C, Álvarez JD, Arceo R, Arteaga-Velázquez JC, Avila Rojas D, Ayala Solares HA, Belmont-Moreno E, BenZvi SY, Brisbois C, Caballero-Mora KS, Capistrán T, Carramiñana A, Casanova S, Castillo M, Cotti U, Cotzomi J, Coutiño de León S, De León C, De la Fuente E, Díaz-Vélez JC, Dichiara S, Dingus BL, DuVernois MA, Ellsworth RW, Engel K, Espinoza C, Fang K, Fleischhack H, Fraija N, Galván-Gámez A, García-González JA, Garfias F, González-Muñoz A, González MM, Goodman JA, Hampel-Arias Z, Harding JP, Hernandez S, Hinton J, Hona B, Hueyotl-Zahuantitla F, Hui CM, Hüntemeyer P, Iriarte A, Jardin-Blicq A, Joshi V, Kaufmann S, Kar P, Kunde GJ, Lauer RJ, Lee WH, León Vargas H, Li H, Linnemann JT, Longinotti AL, Luis-Raya G, López-Coto R, Malone K, Marinelli SS, Martinez O, Martinez-Castellanos I, Martínez-Castro J, Matthews JA, Miranda-Romagnoli P, Moreno E, Mostafá M, Nayerhoda A, Nellen L, Newbold M, Nisa MU, Noriega-Papaqui R, Pretz J, Pérez-Pérez EG, Ren Z, Rho CD, Rivière C, Rosa-González D, Rosenberg M, Ruiz-Velasco E, Salesa Greus F, Sandoval A, Schneider M, Schoorlemmer H, Seglar Arroyo M, Sinnis G, Smith AJ, Springer RW, Surajbali P, Taboada I, Tibolla O, Tollefson K, Torres I, Vianello G, Villaseñor L, Weisgarber T, Werner F, Westerhoff S, Wood J, Yapici T, Yodh G, Zepeda A, Zhang H, Zhou H. Publisher Correction: Very-high-energy particle acceleration powered by the jets of the microquasar SS 433. Nature 2018; 564:E38. [PMID: 30482938 DOI: 10.1038/s41586-018-0688-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
In this Letter, owing to a production error, the penultimate version of the PDF was published. The HTML version was always correct. The PDF has been corrected online.
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Affiliation(s)
- A U Abeysekara
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | - A Albert
- Physics and Theoretical Divisions, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - R Alfaro
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - C Alvarez
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Mexico
| | - J D Álvarez
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - R Arceo
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Mexico
| | | | - D Avila Rojas
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - H A Ayala Solares
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - E Belmont-Moreno
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - S Y BenZvi
- Department of Physics and Astronomy, University of Rochester, Rochester, NY, USA
| | - C Brisbois
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | | | - T Capistrán
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - A Carramiñana
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - S Casanova
- Institute of Nuclear Physics Polish Academy of Sciences, IFJ-PAN, Krakow, Poland.,Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - M Castillo
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - U Cotti
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - J Cotzomi
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - S Coutiño de León
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - C De León
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - E De la Fuente
- Departamento de Física, Centro Universitario de Ciencias Exactas e Ingenierías, Universidad de Guadalajara, Guadalajara, Mexico
| | - J C Díaz-Vélez
- Departamento de Física, Centro Universitario de Ciencias Exactas e Ingenierías, Universidad de Guadalajara, Guadalajara, Mexico.,Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin-Madison, Madison, WI, USA
| | - S Dichiara
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - B L Dingus
- Physics and Theoretical Divisions, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - M A DuVernois
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin-Madison, Madison, WI, USA
| | - R W Ellsworth
- School of Physics, Astronomy, and Computational Sciences, George Mason University, Fairfax, VA, USA
| | - K Engel
- Department of Physics, University of Maryland, College Park, MD, USA
| | - C Espinoza
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - K Fang
- Department of Astronomy, University of Maryland, College Park, MD, USA.,Joint Space-Science Institute, University of Maryland, College Park, MD, USA
| | - H Fleischhack
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - N Fraija
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - A Galván-Gámez
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - J A García-González
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - F Garfias
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - A González-Muñoz
- Departamento de Física, Centro Universitario de Ciencias Exactas e Ingenierías, Universidad de Guadalajara, Guadalajara, Mexico
| | - M M González
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - J A Goodman
- Department of Physics, University of Maryland, College Park, MD, USA
| | - Z Hampel-Arias
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin-Madison, Madison, WI, USA.,Inter-university Institute for High Energies, Université Libre de Bruxelles, Brussels, Belgium
| | - J P Harding
- Physics and Theoretical Divisions, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - S Hernandez
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - J Hinton
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - B Hona
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | | | - C M Hui
- NASA Marshall Space Flight Center, Astrophysics Office, Huntsville, AL, USA
| | - P Hüntemeyer
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - A Iriarte
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - A Jardin-Blicq
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - V Joshi
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - S Kaufmann
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Mexico
| | - P Kar
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | - G J Kunde
- Physics and Theoretical Divisions, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - R J Lauer
- Department of Physics and Astronomy, University of New Mexico, Albuquerque, NM, USA
| | - W H Lee
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - H León Vargas
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - H Li
- Physics and Theoretical Divisions, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - J T Linnemann
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - A L Longinotti
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - G Luis-Raya
- Universidad Politecnica de Pachuca, Pachuca, Mexico
| | | | - K Malone
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - S S Marinelli
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - O Martinez
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | | | - J Martínez-Castro
- Centro de Investigación en Computación, Instituto Politécnico Nacional, Mexico City, Mexico
| | - J A Matthews
- Department of Physics and Astronomy, University of New Mexico, Albuquerque, NM, USA
| | | | - E Moreno
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - M Mostafá
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - A Nayerhoda
- Institute of Nuclear Physics Polish Academy of Sciences, IFJ-PAN, Krakow, Poland
| | - L Nellen
- Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de Mexico, Mexico City, Mexico
| | - M Newbold
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | - M U Nisa
- Department of Physics and Astronomy, University of Rochester, Rochester, NY, USA
| | | | - J Pretz
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | | | - Z Ren
- Department of Physics and Astronomy, University of New Mexico, Albuquerque, NM, USA
| | - C D Rho
- Department of Physics and Astronomy, University of Rochester, Rochester, NY, USA.
| | - C Rivière
- Department of Physics, University of Maryland, College Park, MD, USA
| | - D Rosa-González
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - M Rosenberg
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - E Ruiz-Velasco
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - F Salesa Greus
- Institute of Nuclear Physics Polish Academy of Sciences, IFJ-PAN, Krakow, Poland
| | - A Sandoval
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - M Schneider
- Santa Cruz Institute for Particle Physics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - H Schoorlemmer
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - M Seglar Arroyo
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - G Sinnis
- Physics and Theoretical Divisions, Los Alamos National Laboratory, Los Alamos, NM, USA
| | - A J Smith
- Department of Physics, University of Maryland, College Park, MD, USA
| | - R W Springer
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | - P Surajbali
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - I Taboada
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, GA, USA
| | - O Tibolla
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Mexico
| | - K Tollefson
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - I Torres
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - G Vianello
- Department of Physics, Stanford University, Stanford, CA, USA
| | - L Villaseñor
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - T Weisgarber
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin-Madison, Madison, WI, USA
| | - F Werner
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - S Westerhoff
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin-Madison, Madison, WI, USA
| | - J Wood
- Department of Physics and Wisconsin IceCube Particle Astrophysics Center, University of Wisconsin-Madison, Madison, WI, USA
| | - T Yapici
- Department of Physics and Astronomy, University of Rochester, Rochester, NY, USA
| | - G Yodh
- Department of Physics and Astronomy, University of California, Irvine, Irvine, CA, USA
| | - A Zepeda
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Mexico.,Physics Department, Centro de Investigación y de Estudios Avanzados del IPN, Mexico City, Mexico
| | - H Zhang
- Department of Physics and Astronomy, Purdue University, West Lafayette, IN, USA
| | - H Zhou
- Physics and Theoretical Divisions, Los Alamos National Laboratory, Los Alamos, NM, USA.
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Pleguezuelos E, Casarramona P, Guirao L, Samitier B, Ortega P, Vila X, Carmen AD, Ovejero L, Moreno E, Serra N, Gomís M, Garnacho-Castaño MV, Miravitlles M. How whole-body vibration can help our COPD patients. Physiological changes at different vibration frequencies. Int J Chron Obstruct Pulmon Dis 2018; 13:3373-3380. [PMID: 30425467 PMCID: PMC6203116 DOI: 10.2147/copd.s165058] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective Evaluate cardiac, metabolic, and ventilatory changes during a training session with whole-body vibration training (WBVT) with 3 different frequencies in patients with chronic obstructive pulmonary disease (COPD). Methods This was a prospective, interventional trial in outpatients with severe COPD. Participants performed 3 vertical WBVT sessions once a week using frequencies of 35, 25 Hz and no vibration in squatting position (isometric). Cardiac, metabolic, and ventilator parameters were monitored during the sessions using an ergospirometer. Changes in oxygen pulse response (VO2/HR) at the different frequencies were the primary outcome of the study. Results Thirty-two male patients with a mean forced expiratory volume in 1 second of 39.7% completed the study. Compared to the reference of 35 Hz, VO2/HR at no vibration was 10.7% lower (P=0.005); however, no statistically significant differences were observed on comparing the frequencies of 35 and 25 Hz. The median oxygen uptake (VO2) at 25 Hz and no vibration was 9.43% and 13.9% lower, respectively, compared to that obtained at 35 Hz (both comparisons P<0.0001). The median expiratory volume without vibration was 9.43% lower than the VO2 at the end of the assessment at 35 Hz vibration (P=0.002). Conclusion Vertical WBVT training sessions show greater cardiac, metabolic, and respiratory responses compared with the squat position. On comparing the 2 frequencies used, we observed that the frequency of 35 Hz provides higher cardiorespiratory adaptation.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain, .,Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain, .,School of Sciences, Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain,
| | - Paula Casarramona
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain,
| | - Lluis Guirao
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain, .,School of Sciences, Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain,
| | - Beatriz Samitier
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain,
| | - Pilar Ortega
- Pneumology Department, Mataró Hospital, Barcelona, Spain
| | - Xavier Vila
- Pneumology Department, Mataró Hospital, Barcelona, Spain
| | - Amin Del Carmen
- Physical Medicine and Rehabilitation Department, Mataró Hospital, Barcelona, Spain,
| | - Laura Ovejero
- Pneumology Department, Mataró Hospital, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Noemi Serra
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Manuel Gomís
- School of Sciences, Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain,
| | - Manuel V Garnacho-Castaño
- School of Sciences, Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain,
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Ciber de Enfermedades Respiratorias (CIBERES), Barcelona, Spain
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Pleguezuelos E, Guirao L, Moreno E, Samitier B, Ortega P, Vila X, Garnacho-Castaño MV, Majó M, Ovejero L, Miravitlles M. Ischiocrural Strength May Be a Better Prognostic Marker Than Quadriceps Strength in COPD. Lung 2018; 196:665-668. [PMID: 30242510 DOI: 10.1007/s00408-018-0164-0] [Citation(s) in RCA: 3] [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: 04/22/2018] [Accepted: 09/16/2018] [Indexed: 11/30/2022]
Abstract
It is well known that chronic obstructive pulmonary disease (COPD) patients present with muscle dysfunction that may not correlate with the degree of severity of airflow obstruction. Historically, the strength deficit of the knee extensor musculature (quadriceps) has been described as an independent factor of mortality in COPD. We present the results of a retrospective study with longitudinal follow-up of 60 patients with severe COPD followed for 7 years. During follow-up 22 patients died, mainly of respiratory cause. We have observed that the strength of knee flexor muscles (ischiocrural) and dominant handgrip were independent predictors of mortality in severe COPD patients. However, knee extensor strength (quadriceps) was not an independent predictor of mortality. This is the first study which highlights the importance of knee flexor musculature as a prognostic factor in COPD.
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Affiliation(s)
- Eulogio Pleguezuelos
- Physical Medicine and Rehabilitation Department, Hospital Mataró, Mataró, Barcelona, Spain.,Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain.,Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain
| | - Lluis Guirao
- Physical Medicine and Rehabilitation Department, Hospital Mataró, Mataró, Barcelona, Spain.,Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain
| | - Eva Moreno
- Physical Medicine and Rehabilitation Department, Hospitalet General Hospital, L´Hospitalet de Llobregat, Barcelona, Spain
| | - Beatriz Samitier
- Physical Medicine and Rehabilitation Department, Hospital Mataró, Mataró, Barcelona, Spain.,Tecnocampus-School of Health Sciencies, Pompeu Fabra University, Mataro, Barcelona, Spain
| | - Pilar Ortega
- Pneumology Department, Hospital Mataró, Mataró, Barcelona, Spain
| | - Xavier Vila
- Pneumology Department, Hospital Mataró, Mataró, Barcelona, Spain
| | | | - María Majó
- Physical Medicine and Rehabilitation Department, Hospital Mataró, Mataró, Barcelona, Spain
| | - Laura Ovejero
- Pneumology Department, Hospital Mataró, Mataró, Barcelona, Spain
| | - Marc Miravitlles
- Pneumology Department, Hospital Universitari Vall d'Hebron, Ciber de Enfermedades Respiratorias (CIBERES), P. Vall d'Hebron 119-129, 08035, Barcelona, Spain.
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Lacombe-Barrios J, Gómez F, Pérez N, Barrionuevo E, Doña I, Fernández Tahía D, Mayorga C, Torres MJ, Moreno E, Bogas B, Salas M. Accuracy of the Diagnosis of Allergic Reactions in the Emergency Department. J Investig Allergol Clin Immunol 2018; 29:222-230. [PMID: 30183657 DOI: 10.18176/jiaci.0313] [Citation(s) in RCA: 3] [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: 11/20/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Suspicion of an acute allergic reaction is a common reason for attending the emergency department (ED). However, there are few comparisons between the initial diagnosis of suspected allergic reaction made in the ED with the definitive diagnosis made subsequently in the allergy department (AD). Objective: To compare details of the initial diagnosis made in the ED relating to allergy with the final diagnosis made in the AD. METHODS Patients attending the ED of 2 hospitals with suspected allergic reactions were prospectively enrolled based on key words. A certified allergy specialist reviewed the ED records of these patients and, if these were suggestive of an allergic reaction, the patients were scheduled for further evaluation at the allergy clinic. RESULTS In total, 2000 patients were enrolled between April 2013 and October 2015. Of these, 1333 passed the initial assessment and underwent further evaluation. Of the 1333 patients, 528 underwent an allergological study, and 206 were confirmed as being allergic. With respect to drug allergy, nonsteroidal anti-inflammatory drugs were the most common triggers, followed by β-lactams; in food allergy, plant-based foods were the most common. Only 16.4% of patients confirmed as having anaphylaxis in the AD were initially diagnosed with the condition in the ED. CONCLUSION Of the 528 patients who finally underwent the full allergological study, fewer than half were confirmed as allergic. Moreover, anaphylaxis appears to be underdiagnosed in the ED. Better communication between the ED and the AD is necessary to improve the diagnosis and management of these patients.
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Affiliation(s)
- J Lacombe-Barrios
- Allergy Unit, IBIMA-Regional University Hospital of Malaga UMA, Malaga, Spain
| | - F Gómez
- Allergy Unit, IBIMA-Regional University Hospital of Malaga UMA, Malaga, Spain
| | - N Pérez
- Allergy Unit, IBIMA-Regional University Hospital of Malaga UMA, Malaga, Spain
| | - E Barrionuevo
- Allergy Unit, IBIMA-Regional University Hospital of Malaga UMA, Malaga, Spain
| | - I Doña
- Allergy Unit, IBIMA-Regional University Hospital of Malaga UMA, Malaga, Spain
| | - D Fernández Tahía
- Research Laboratory, IBIMA-Regional University Hospital of Malaga UMA, Málaga, Spain
| | - C Mayorga
- Research Laboratory, IBIMA-Regional University Hospital of Malaga UMA, Málaga, Spain.,BIONAND-Andalusian Centre for Nanomedicine and Biotechnology
| | - M J Torres
- Allergy Unit, IBIMA-Regional University Hospital of Malaga UMA, Malaga, Spain.,Research Laboratory, IBIMA-Regional University Hospital of Malaga UMA, Málaga, Spain
| | - E Moreno
- Allergy Unit, University Hospital of Salamanca, Salamanca, Spain
| | - B Bogas
- Allergy Unit, IBIMA-Regional University Hospital of Malaga UMA, Malaga, Spain
| | - M Salas
- Allergy Unit, IBIMA-Regional University Hospital of Malaga UMA, Malaga, Spain
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P, Dinning L, Rahman S, Ray S, Dimicri C, Guppy S, Nielsen H, Vogel C, Ariza C, Morales L, Chang Y, Gabbay R, Ambrocio L, Manley L, Nemery R, Charlton W, Smith P, Kerr L, Steindel-Kopp B, Alamaguer M, Tabisola-Nuesca E, Pendersen A, Larson N, Cooper-Olviver H, Chan D, Fitz-Patrick D, Carreira T, Park Y, Ruhaak R, Liljenquist D. A Type 1 Diabetes Genetic Risk Score Predicts Progression of Islet Autoimmunity and Development of Type 1 Diabetes in Individuals at Risk. Diabetes Care 2018; 41:1887-1894. [PMID: 30002199 PMCID: PMC6105323 DOI: 10.2337/dc18-0087] [Citation(s) in RCA: 86] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2018] [Accepted: 06/06/2018] [Indexed: 02/03/2023]
Abstract
OBJECTIVE We tested the ability of a type 1 diabetes (T1D) genetic risk score (GRS) to predict progression of islet autoimmunity and T1D in at-risk individuals. RESEARCH DESIGN AND METHODS We studied the 1,244 TrialNet Pathway to Prevention study participants (T1D patients' relatives without diabetes and with one or more positive autoantibodies) who were genotyped with Illumina ImmunoChip (median [range] age at initial autoantibody determination 11.1 years [1.2-51.8], 48% male, 80.5% non-Hispanic white, median follow-up 5.4 years). Of 291 participants with a single positive autoantibody at screening, 157 converted to multiple autoantibody positivity and 55 developed diabetes. Of 953 participants with multiple positive autoantibodies at screening, 419 developed diabetes. We calculated the T1D GRS from 30 T1D-associated single nucleotide polymorphisms. We used multivariable Cox regression models, time-dependent receiver operating characteristic curves, and area under the curve (AUC) measures to evaluate prognostic utility of T1D GRS, age, sex, Diabetes Prevention Trial-Type 1 (DPT-1) Risk Score, positive autoantibody number or type, HLA DR3/DR4-DQ8 status, and race/ethnicity. We used recursive partitioning analyses to identify cut points in continuous variables. RESULTS Higher T1D GRS significantly increased the rate of progression to T1D adjusting for DPT-1 Risk Score, age, number of positive autoantibodies, sex, and ethnicity (hazard ratio [HR] 1.29 for a 0.05 increase, 95% CI 1.06-1.6; P = 0.011). Progression to T1D was best predicted by a combined model with GRS, number of positive autoantibodies, DPT-1 Risk Score, and age (7-year time-integrated AUC = 0.79, 5-year AUC = 0.73). Higher GRS was significantly associated with increased progression rate from single to multiple positive autoantibodies after adjusting for age, autoantibody type, ethnicity, and sex (HR 2.27 for GRS >0.295, 95% CI 1.47-3.51; P = 0.0002). CONCLUSIONS The T1D GRS independently predicts progression to T1D and improves prediction along T1D stages in autoantibody-positive relatives.
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Affiliation(s)
- Maria J. Redondo
- Texas Children’s Hospital, Baylor College of Medicine, Houston, TX
| | | | - Andrea K. Steck
- Barbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO
| | - Seth Sharp
- Institute of Biomedical and Clinical Science, University of Exeter, Exeter, U.K
| | - John M. Wentworth
- Walter and Eliza Hall Institute of Medical Research and Royal Melbourne Hospital, Parkville, Victoria, Australia
| | - Michael N. Weedon
- Institute of Biomedical and Clinical Science, University of Exeter, Exeter, U.K
| | | | | | | | | | - Richard A. Oram
- Institute of Biomedical and Clinical Science, University of Exeter, Exeter, U.K
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Laguna JJ, Archilla J, Doña I, Corominas M, Gastaminza G, Mayorga C, Berjes-Gimeno P, Tornero P, Martin S, Planas A, Moreno E, Torres MJ. Practical Guidelines for Perioperative Hypersensitivity Reactions. J Investig Allergol Clin Immunol 2018; 28:216-232. [DOI: 10.18176/jiaci.0236] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Abeysekara A, Albert A, Alfaro R, Alvarez C, Álvarez J, Arceo R, Arteaga-Velázquez J, Avila Rojas D, Ayala Solares H, Belmont-Moreno E, BenZvi S, Braun J, Brisbois C, Caballero-Mora K, Capistrán T, Carramiñana A, Casanova S, Castillo M, Cotti U, Cotzomi J, Coutiño de León S, De León C, De la Fuente E, Diaz Hernandez R, Dichiara S, Dingus B, DuVernois M, Ellsworth R, Engel K, Enríquez-Rivera O, Fleischhack H, Fraija N, Galván-Gámez A, García-González J, González Muñoz A, González M, Hampel-Arias Z, Harding J, Hernandez S, Hona B, Hueyotl-Zahuantitla F, Hui C, Hüntemeyer P, Iriarte A, Jardin-Blicq A, Joshi V, Kaufmann S, Lara A, Lee W, León Vargas H, Linnemann J, Longinotti A, Luis-Raya G, Luna-García R, López-Coto R, Malone K, Marinelli S, Martinez O, Martinez-Castellanos I, Martínez-Castro J, Martínez-Huerta H, Matthews J, Miranda-Romagnoli P, Moreno E, Mostafá M, Nellen L, Newbold M, Nisa M, Noriega-Papaqui R, Pelayo R, Pretz J, Pérez-Pérez E, Ren Z, Rho C, Rivière C, Rosa-González D, Rosenberg M, Ruiz-Velasco E, Salesa Greus F, Sandoval A, Schneider M, Schoorlemmer H, Seglar Arroyo M, Sinnis G, Smith A, Springer R, Surajbali P, Taboada I, Tibolla O, Torres I, Villaseñor L, Weisgarber T, Westerhoff S, Wood J, Yapici T, Yodh G, Zepeda A, Zhou H. Constraining the
p¯/p
ratio in TeV cosmic rays with observations of the Moon shadow by HAWC. Int J Clin Exp Med 2018. [DOI: 10.1103/physrevd.97.102005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [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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Doña I, Caubet JC, Brockow K, Doyle M, Moreno E, Terreehorst I, Torres MJ. An EAACI task force report: recognising the potential of the primary care physician in the diagnosis and management of drug hypersensitivity. Clin Transl Allergy 2018; 8:16. [PMID: 29760877 PMCID: PMC5944153 DOI: 10.1186/s13601-018-0202-2] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 04/04/2018] [Indexed: 01/20/2023] Open
Abstract
Adverse drug reactions include drug hypersensitivity reactions (DHRs), which can be immunologically mediated (allergy) or non-immunologically mediated. The high number of DHRs that are unconfirmed and often self-reported is a frequent problem in daily clinical practice, with considerable impact on future prescription choices and patient health. It is important to distinguish between hypersensitivity and non-hypersensitivity reactions by adopting a structured diagnostic approach to confirm or discard the suspected drug, not only to avoid life-threatening reactions, but also to reduce the frequent over-diagnosis of DHRs. Primary care physicians are often the first point of contact for the sufferer of a reaction, as such they have a key role in deciding whether to discard the diagnosis or send the patient for further investigation. In this review, we highlight the importance of diagnosing DHRs, analysing in detail the role of primary care physicians. We describe the common patterns of DHRs and signs of its progression, as well as the indications and contraindications for referring the patient to an allergist. The diagnostic process is described and the possible tests are discussed, which often depend on the drug involved and the type of DHR suspected. We also describe recommendations regarding the avoidance of medication suspected to have caused the reaction and the use of alternatives.
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Affiliation(s)
- I. Doña
- Allergy Unit (Pavilion C), Regional University Hospital of Malaga, UMA, IBIMA, National Network ARADyAL, Plaza del Hospital Civil, 29009 Malaga, Spain
| | - J. C. Caubet
- Department of Child and Adolescent, Medical School of the University of Geneva, University Hospitals of Geneva, Geneva, Switzerland
| | - K. Brockow
- Department of Dermatology and Allergy Biederstein, Technische Universität München, Munich, Germany
| | - M. Doyle
- Indigo Medical, Saint Helier, Jersey
| | - E. Moreno
- Allergy Service, University Hospital of Salamanca, National Network ARADyAL, Salamanca, Spain
- Biosanitary Institute of Salamanca, Salamanca, Spain
- Department of Biomedical and Diagnostics Sciences, Salamanca Medical School, Salamanca, Spain
| | - I. Terreehorst
- Department of ENT, Academisch Medisch Centrum, Amsterdam, The Netherlands
| | - M. J. Torres
- Allergy Unit (Pavilion C), Regional University Hospital of Malaga, UMA, IBIMA, National Network ARADyAL, Plaza del Hospital Civil, 29009 Malaga, Spain
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45
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Abeysekara AU, Albert A, Alfaro R, Alvarez C, Álvarez JD, Arceo R, Arteaga-Velázquez JC, Avila Rojas D, Ayala Solares HA, Barber AS, Bautista-Elivar N, Becerril A, Belmont-Moreno E, BenZvi SY, Berley D, Bernal A, Braun J, Brisbois C, Caballero-Mora KS, Capistrán T, Carramiñana A, Casanova S, Castillo M, Cotti U, Cotzomi J, Coutiño de León S, De León C, De la Fuente E, Dingus BL, DuVernois MA, Díaz-Vélez JC, Ellsworth RW, Engel K, Enríquez-Rivera O, Fiorino DW, Fraija N, García-González JA, Garfias F, Gerhardt M, González Muñoz A, González MM, Goodman JA, Hampel-Arias Z, Harding JP, Hernández S, Hernández-Almada A, Hinton J, Hona B, Hui CM, Hüntemeyer P, Iriarte A, Jardin-Blicq A, Joshi V, Kaufmann S, Kieda D, Lara A, Lauer RJ, Lee WH, Lennarz D, Vargas HL, Linnemann JT, Longinotti AL, Luis Raya G, Luna-García R, López-Coto R, Malone K, Marinelli SS, Martinez O, Martinez-Castellanos I, Martínez-Castro J, Martínez-Huerta H, Matthews JA, Miranda-Romagnoli P, Moreno E, Mostafá M, Nellen L, Newbold M, Nisa MU, Noriega-Papaqui R, Pelayo R, Pretz J, Pérez-Pérez EG, Ren Z, Rho CD, Rivière C, Rosa-González D, Rosenberg M, Ruiz-Velasco E, Salazar H, Salesa Greus F, Sandoval A, Schneider M, Schoorlemmer H, Sinnis G, Smith AJ, Springer RW, Surajbali P, Taboada I, Tibolla O, Tollefson K, Torres I, Ukwatta TN, Vianello G, Weisgarber T, Westerhoff S, Wisher IG, Wood J, Yapici T, Yodh G, Younk PW, Zepeda A, Zhou H, Guo F, Hahn J, Li H, Zhang H. Extended gamma-ray sources around pulsars constrain the origin of the positron flux at Earth. Science 2018; 358:911-914. [PMID: 29146808 DOI: 10.1126/science.aan4880] [Citation(s) in RCA: 211] [Impact Index Per Article: 35.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Accepted: 10/09/2017] [Indexed: 11/02/2022]
Abstract
The unexpectedly high flux of cosmic-ray positrons detected at Earth may originate from nearby astrophysical sources, dark matter, or unknown processes of cosmic-ray secondary production. We report the detection, using the High-Altitude Water Cherenkov Observatory (HAWC), of extended tera-electron volt gamma-ray emission coincident with the locations of two nearby middle-aged pulsars (Geminga and PSR B0656+14). The HAWC observations demonstrate that these pulsars are indeed local sources of accelerated leptons, but the measured tera-electron volt emission profile constrains the diffusion of particles away from these sources to be much slower than previously assumed. We demonstrate that the leptons emitted by these objects are therefore unlikely to be the origin of the excess positrons, which may have a more exotic origin.
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Affiliation(s)
- A U Abeysekara
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | - A Albert
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - R Alfaro
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - C Alvarez
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, Mexico
| | - J D Álvarez
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - R Arceo
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, Mexico
| | | | - D Avila Rojas
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - H A Ayala Solares
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - A S Barber
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | | | - A Becerril
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - E Belmont-Moreno
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - S Y BenZvi
- Department of Physics and Astronomy, University of Rochester, Rochester, NY, USA
| | - D Berley
- Department of Physics, University of Maryland, College Park, MD, USA
| | - A Bernal
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - J Braun
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - C Brisbois
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | | | - T Capistrán
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - A Carramiñana
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - S Casanova
- Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland.,Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - M Castillo
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - U Cotti
- Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Mexico
| | - J Cotzomi
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - S Coutiño de León
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - C De León
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - E De la Fuente
- Departamento de Física, Centro Universitario de Ciencias Exactas e Ingenierías, Universidad de Guadalajara, Guadalajara, Mexico
| | - B L Dingus
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - M A DuVernois
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - J C Díaz-Vélez
- Departamento de Física, Centro Universitario de Ciencias Exactas e Ingenierías, Universidad de Guadalajara, Guadalajara, Mexico
| | - R W Ellsworth
- School of Physics, Astronomy, and Computational Sciences, George Mason University, Fairfax, VA, USA
| | - K Engel
- Department of Physics, University of Maryland, College Park, MD, USA
| | - O Enríquez-Rivera
- Instituto de Geofísica, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - D W Fiorino
- Department of Physics, University of Maryland, College Park, MD, USA
| | - N Fraija
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - J A García-González
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - F Garfias
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - M Gerhardt
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - A González Muñoz
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - M M González
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - J A Goodman
- Department of Physics, University of Maryland, College Park, MD, USA
| | - Z Hampel-Arias
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - J P Harding
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - S Hernández
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - A Hernández-Almada
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - J Hinton
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - B Hona
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - C M Hui
- Astrophysics Office, NASA Marshall Space Flight Center Huntsville, AL, USA
| | - P Hüntemeyer
- Department of Physics, Michigan Technological University, Houghton, MI, USA
| | - A Iriarte
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - A Jardin-Blicq
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - V Joshi
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - S Kaufmann
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, Mexico
| | - D Kieda
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | - A Lara
- Instituto de Geofísica, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - R J Lauer
- Department of Physics and Astronomy, University of New Mexico, Albuquerque, NM, USA
| | - W H Lee
- Instituto de Astronomía, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - D Lennarz
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, GA, USA
| | - H León Vargas
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - J T Linnemann
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - A L Longinotti
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - G Luis Raya
- Universidad Politecnica de Pachuca, Pachuca, Hidalgo, Mexico
| | - R Luna-García
- Centro de Investigación en Computación, Instituto Politécnico Nacional, Mexico City, Mexico
| | - R López-Coto
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany.
| | - K Malone
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - S S Marinelli
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - O Martinez
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | | | - J Martínez-Castro
- Centro de Investigación en Computación, Instituto Politécnico Nacional, Mexico City, Mexico
| | - H Martínez-Huerta
- Physics Department, Centro de Investigacion y de Estudios Avanzados del IPN, Mexico City, Mexico
| | - J A Matthews
- Department of Physics and Astronomy, University of New Mexico, Albuquerque, NM, USA
| | | | - E Moreno
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - M Mostafá
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - L Nellen
- Instituto de Ciencias Nucleares, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - M Newbold
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | - M U Nisa
- Department of Physics and Astronomy, University of Rochester, Rochester, NY, USA
| | | | - R Pelayo
- Centro de Investigación en Computación, Instituto Politécnico Nacional, Mexico City, Mexico
| | - J Pretz
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - E G Pérez-Pérez
- Universidad Politecnica de Pachuca, Pachuca, Hidalgo, Mexico
| | - Z Ren
- Department of Physics and Astronomy, University of New Mexico, Albuquerque, NM, USA
| | - C D Rho
- Department of Physics and Astronomy, University of Rochester, Rochester, NY, USA
| | - C Rivière
- Department of Physics, University of Maryland, College Park, MD, USA
| | - D Rosa-González
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - M Rosenberg
- Department of Physics, Pennsylvania State University, University Park, PA, USA
| | - E Ruiz-Velasco
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - H Salazar
- Facultad de Ciencias Físico Matemáticas, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico
| | - F Salesa Greus
- Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland.
| | - A Sandoval
- Instituto de Física, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - M Schneider
- Santa Cruz Institute for Particle Physics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - H Schoorlemmer
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - G Sinnis
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - A J Smith
- Department of Physics, University of Maryland, College Park, MD, USA
| | - R W Springer
- Department of Physics and Astronomy, University of Utah, Salt Lake City, UT, USA
| | - P Surajbali
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - I Taboada
- School of Physics and Center for Relativistic Astrophysics, Georgia Institute of Technology, Atlanta, GA, USA
| | - O Tibolla
- Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, Mexico
| | - K Tollefson
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - I Torres
- Instituto Nacional de Astrofísica, Óptica y Electrónica, Puebla, Mexico
| | - T N Ukwatta
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - G Vianello
- Hansen Experimental Physics Laboratory Stanford University, Stanford, CA, USA
| | - T Weisgarber
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - S Westerhoff
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - I G Wisher
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - J Wood
- Department of Physics, University of Wisconsin-Madison, Madison, WI, USA
| | - T Yapici
- Department of Physics and Astronomy, Michigan State University, East Lansing, MI, USA
| | - G Yodh
- Department of Physics and Astronomy, University of California, Irvine, Irvine, CA, USA
| | - P W Younk
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - A Zepeda
- Physics Department, Centro de Investigacion y de Estudios Avanzados del IPN, Mexico City, Mexico.,Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chiapas, Mexico
| | - H Zhou
- Los Alamos National Laboratory, Los Alamos, NM, USA.
| | - F Guo
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - J Hahn
- Max-Planck Institute for Nuclear Physics, Heidelberg, Germany
| | - H Li
- Los Alamos National Laboratory, Los Alamos, NM, USA
| | - H Zhang
- Los Alamos National Laboratory, Los Alamos, NM, USA
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Chang A, Nsair A, Kwon M, Kamath M, Salimbangon A, Vucicivec D, Cadeiras M, Deng M, Moreno E, Bellam N, Iyengar A, Shah S, Ardehali A, Depasquale E. Survival Post Heart Transplant by Listing Strategy. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.860] [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] Open
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Vucicevic D, Salimbangon A, Chang A, Moreno E, Kamath M, Iyengar A, Shah S, Deng M, Ardehali A, Cadeiras M, DePasquale E. Redo Heart Transplantation: The Comparison of Survival Based on the Time Interval Between Transplants. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1116] [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: 10/17/2022] Open
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Vucicevic D, Chang A, Salimbangon A, Kamath M, Moreno E, Iyengar A, Shah S, Cadeiras M, Ardehali A, Deng M, DePasquale E. Impaired Kidney Function and Impact on Survival After Left Ventricular Assist Device Implantation as a Bridge to Transplantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Meguerdijian R, Chang A, Moreno E, Salimbangon A, Kamath M, Khuu T, Kwon M, Moore M, Nsair A, Pandya K, Vucicevic D, Ardehali A, Deng M, DePasquale E. Improving Utility of MELD-XI Prognostication in Heart Transplant. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1104] [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: 10/17/2022] Open
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Kamath M, Salimbangon A, Chang A, Moreno E, Cadeiras M, Deng M, Khuu T, Nsair A, Ardehali A, Kwon M, Depasquale E. LVAD Patients with CKD: Are Two Organs Better than One? J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.277] [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: 10/17/2022] Open
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