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Toma I, Dinu A, Abu-Awwad A, Sandesc MA, Abu-Awwad SA, Nitu R, Popean M. Patterned Sensory Enhancement, a Music Rehabilitation Therapy for Elderly Patients with Neuromotor Deficit during the COVID-19 Pandemic: A Pilot Study. Diseases 2023; 12:11. [PMID: 38248362 PMCID: PMC10814683 DOI: 10.3390/diseases12010011] [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: 12/02/2023] [Revised: 12/25/2023] [Accepted: 12/27/2023] [Indexed: 01/23/2024] Open
Abstract
(1) Background: The Patterned Sensory Enhancement (PSE) technique refers to a music-based rehabilitation therapy strategy used in neurological pathologies. (2) Methods: This study aims at developing a music-drill protocol for recovery in elderly patients with neuromuscular degenerative pathologies. Each music drill is based on a number of specific music-composition parameters. The conclusions represent suggestions for further enhancing the PSE technique through collaborations between the rehabilitation team and the musicians involved due to the importance of the music stimuli used as a therapy. (3) Results: The music-composition parameters used in this study relate to the existence of music homogeneity factors such as the key signature and rhythm; the importance of the major scale and the tonal system in general; the obvious music suggestions of movement, repetition or absence of movement; the importance of rhythm; the introduction of musical instruments in order to harmonize the music material as much as possible; the connection between PSE music along with patients' musical taste and the musical recording as a therapy during patient outcare; (4) Conclusions: The therapy efficiency was observed by measurements taken before and after the therapeutic intervention by means of a Takei dynamometer. The present study asserts that for a patient undergoing the PSE technique, the researcher should compose personalized music material adapted to each patient's peculiarities.
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Affiliation(s)
- Iulia Toma
- Faculty of Music and Theatre, West University of Timisoara, 300223 Timisoara, Romania; (I.T.); (M.P.)
- Department XVI—Medical Recovery, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Anca Dinu
- Department XVI—Medical Recovery, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Research Center for Assessment of Human Motion and Functionality and Disability, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania
- “Pius Brinzeu” Emergency Clinical County Hospital, Bld Liviu Rebreanu, No. 156, 300723 Timisoara, Romania; (A.A.-A.); (M.-A.S.); (S.-A.A.-A.); (R.N.)
| | - Ahmed Abu-Awwad
- “Pius Brinzeu” Emergency Clinical County Hospital, Bld Liviu Rebreanu, No. 156, 300723 Timisoara, Romania; (A.A.-A.); (M.-A.S.); (S.-A.A.-A.); (R.N.)
- Department XV—Discipline of Orthopedics-Traumatology, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania
- Research Center Professor Doctor Teodor Șora, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania
| | - Mihai-Alexandru Sandesc
- “Pius Brinzeu” Emergency Clinical County Hospital, Bld Liviu Rebreanu, No. 156, 300723 Timisoara, Romania; (A.A.-A.); (M.-A.S.); (S.-A.A.-A.); (R.N.)
- Department XV—Discipline of Orthopedics-Traumatology, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania
- Research Center Professor Doctor Teodor Șora, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania
| | - Simona-Alina Abu-Awwad
- “Pius Brinzeu” Emergency Clinical County Hospital, Bld Liviu Rebreanu, No. 156, 300723 Timisoara, Romania; (A.A.-A.); (M.-A.S.); (S.-A.A.-A.); (R.N.)
- Department XII—Discipline of Obstetrics and Gynecology, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania
| | - Razvan Nitu
- “Pius Brinzeu” Emergency Clinical County Hospital, Bld Liviu Rebreanu, No. 156, 300723 Timisoara, Romania; (A.A.-A.); (M.-A.S.); (S.-A.A.-A.); (R.N.)
- Department XII—Discipline of Obstetrics and Gynecology, Victor Babes University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania
| | - Mihai Popean
- Faculty of Music and Theatre, West University of Timisoara, 300223 Timisoara, Romania; (I.T.); (M.P.)
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Conteduca V, Scarpi E, Wetterskog D, Brighi N, Schepisi G, Romanel A, Casadei C, Lolli C, Gurioli G, Toma I, Poti G, Farolfi A, Demichelis F, Attard G, De Giorgi U. 583P Baseline plasma tumour DNA (ptDNA) correlates with PSA kinetics in metastatic castration-resistant prostate cancer (mCRPC) treated with abiraterone or enzalutamide. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Conteduca V, Caffo O, Scarpi E, Sepe P, Galli L, Fratino L, Maines F, Chiuri V, Santoni M, Zanardi E, Massari F, Toma I, Schepisi G, Sbrana A, Kinspergher S, Cursano M, Modonesi C, Santini D, Procopio G, De Giorgi U. Time to castration resistant prostate cancer (CRPC) and the risk of developing immune disorders. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz248.018] [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: 11/14/2022] Open
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Martella L, Daniel F, Moretti A, Toma I, Lancia F, Tiberi E, Mauro E, Schirone A, Santini A, Frassoldati A. Scalp cooling: a real opportunity to prevent alopecia in breast cancer women undergoing chemotherapy? Ann Oncol 2017. [DOI: 10.1093/annonc/mdx424.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Daniel F, Bannò E, Belluomini L, Martella L, Lancia F, Toma I, Moretti A, Mentrasti G, Carandina I, Marzola M, Frassoldati A. The regorafenib issue: focus on efficacy and safety in pre-treated metastatic colorectal cancer from a real world experience. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx422.044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Belluomini L, Fiorica F, Stefanelli A, Santini A, Urbini B, Daniel F, Martella L, Toma I, Lancia F, Moretti A, Bannò E, Giorgi C, Frassoldati A. Efficacy and safety of immune checkpoint inhibitor nivolumab and radiotherapy combination in advanced NSCLC. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx426.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Toma I, Lancia F, Scapoli D, Frassoldati A, Panareo S, Santi I, Cittanti C, Bartolomei M, Daniel F, Moretti A, Martella L, Belluomini L, Mentrasti G. Bone pain control in Castration resistant prostate cancer (CRPC): retrospective analysis of first patients trated with Radium 223. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx423.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Moretti A, Lupini L, Carandina I, Bassi C, Martella L, Lancia F, Daniel F, Belluomini L, Toma I, Bannò E, Nisi C, Da Ros L, Querzoli P, Negrini M, Frassoldati A. Estrogen receptor mutation: a new strategy to overcome endocrine resistance. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx424.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Carandina I, Belluomini L, Bonetti F, Urbini B, Daniel F, Lancia F, Martella L, Toma I, Moretti A, Bannò E, Nisi C, Da Ros L, Frassoldati A. Efficacy of anti-EGFR antibodies combined with chemotherapy for elderly patients with RAS wild-type metastatic colorectal cancer: a systematic review and metanalysis. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx422.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Belluomini L, Carandina I, Bonetti F, Urbini B, Daniel F, Lancia F, Martella L, Toma I, Moretti A, Bannò E, Nisi C, Da Ros L, Frassoldati A. Efficacy of anti-EGFR antibodies combined with chemotherapy for elderly patients with RAS wild-type metastatic colorectal cancer: A systematic review and metanalysis. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx393.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Daniel F, Belluomini L, Lancia F, Martella L, Toma I, Moretti A, Bannò E, Carandina I, Marzola M, Fabbri M, Frassoldati A. Can irinotecan dose reduction according to ugt1a1 genotype avoid severe toxicities? Ann Oncol 2016. [DOI: 10.1093/annonc/mdw345.30] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Lancia F, Marzola M, Martinello R, Borghi C, Bernardi G, Toma I, Martella L, Belluomini L, Daniel F, Moretti A, Da Ros L, Bannò E, Nisi C, Frassoldati A. Multidisciplinary management in ovarian cancer. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw338.09] [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: 11/14/2022] Open
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Belluomini L, Daniel F, Carandina I, Galli G, Lancia F, Toma I, Martella L, Da Ros L, Marzola M, Lanza G, Frassoldati A. BRAF mutation and Microsatellite status in stage II and III colorectal cancers: does the combination have a prognostic role? Ann Oncol 2016. [DOI: 10.1093/annonc/mdw335.16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Martella L, Toma I, Belluomini L, Lancia F, Daniel F, Carandina I, Frassoldati A. Trastuzumab plus chemotherapy in the treatment of HER-2 –positive, advanced, gastric or gastro-esophageal junction cancer: a single center experience. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw333.37] [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: 11/14/2022] Open
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Schweitzer M, Lasierra N, Oberbichler S, Toma I, Fensel A, Hoerbst A. Structuring clinical workflows for diabetes care: an overview of the OntoHealth approach. Appl Clin Inform 2014; 5:512-26. [PMID: 25024765 PMCID: PMC4081752 DOI: 10.4338/aci-2014-04-ra-0039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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: 04/07/2014] [Accepted: 04/30/2014] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Electronic health records (EHRs) play an important role in the treatment of chronic diseases such as diabetes mellitus. Although the interoperability and selected functionality of EHRs are already addressed by a number of standards and best practices, such as IHE or HL7, the majority of these systems are still monolithic from a user-functionality perspective. The purpose of the OntoHealth project is to foster a functionally flexible, standards-based use of EHRs to support clinical routine task execution by means of workflow patterns and to shift the present EHR usage to a more comprehensive integration concerning complete clinical workflows. OBJECTIVES The goal of this paper is, first, to introduce the basic architecture of the proposed OntoHealth project and, second, to present selected functional needs and a functional categorization regarding workflow-based interactions with EHRs in the domain of diabetes. METHODS A systematic literature review regarding attributes of workflows in the domain of diabetes was conducted. Eligible references were gathered and analyzed using a qualitative content analysis. Subsequently, a functional workflow categorization was derived from diabetes-specific raw data together with existing general workflow patterns. RESULTS This paper presents the design of the architecture as well as a categorization model which makes it possible to describe the components or building blocks within clinical workflows. The results of our study lead us to identify basic building blocks, named as actions, decisions, and data elements, which allow the composition of clinical workflows within five identified contexts. CONCLUSIONS The categorization model allows for a description of the components or building blocks of clinical workflows from a functional view.
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Affiliation(s)
- M. Schweitzer
- UMIT – University for Health Sciences, Medical Informatics and Technology, Research Division for eHealth and Telemedicine, Hall in Tirol, Austria
| | - N. Lasierra
- University of Innsbruck, STI – Semantic Technology Institute, Innsbruck, Austria
| | - S. Oberbichler
- UMIT – University for Health Sciences, Medical Informatics and Technology, Research Division for eHealth and Telemedicine, Hall in Tirol, Austria
| | - I. Toma
- University of Innsbruck, STI – Semantic Technology Institute, Innsbruck, Austria
| | - A. Fensel
- University of Innsbruck, STI – Semantic Technology Institute, Innsbruck, Austria
| | - A. Hoerbst
- UMIT – University for Health Sciences, Medical Informatics and Technology, Research Division for eHealth and Telemedicine, Hall in Tirol, Austria
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Petri M, Ufer K, Toma I, Becher C, Liodakis E, Brand S, Haas P, Liu C, Richter B, Haasper C, von Lewinski G, Jagodzinski M. Effects of perfusion and cyclic compression on in vitro tissue engineered meniscus implants. Knee Surg Sports Traumatol Arthrosc 2012; 20:223-31. [PMID: 21750950 DOI: 10.1007/s00167-011-1600-3] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2011] [Accepted: 06/27/2011] [Indexed: 10/18/2022]
Abstract
PURPOSE The purpose of this study was to investigate the influence of continuous perfusion and mechanical stimulation on bone marrow stromal cells seeded on a collagen meniscus implant. METHODS Bone marrow aspirates from 6 donors were amplified in vitro. 10(6) human BMSC were distributed on a collagen meniscus implant. Scaffolds were cultured under static conditions (control) or placed into a bioreactor system where continuous perfusion (10 ml/min) or perfusion and mechanical stimulation (8 h of 10% cyclic compression at 0.5 Hz) were administered daily. After 24 h, 7 and 14 days, cell proliferation, synthesis of procollagen I and III peptide (PIP, PIIIP), histology, and the equilibrium modulus of the constructs were analyzed. RESULTS Proliferation demonstrated a significant increase over time in all groups (p < 0.001). PIP synthesis was found to increase from 0.1 ± 0.0 U/ml/g protein after 24 h to 2.0 ± 0.5 (perfusion), 3.8 ± 0.3 (mechanical stimulation), and 1.8 ± 0.2 U/ml/g protein (static control, lower than perfusion and mechanical stimulation, p < 0.05). These differences were also evident after 2 weeks (2.7 ± 0.3, 4.0 ± 0.6, and 1.8 ± 0.2 U/ml/g protein, p < 0.01); PIIIP synthesis was found to increase from 0.1 ± 0.0 U/ml/g protein after 24 h to 2.9 ± 0.7 (perfusion), 3.1 ± 0.9 (mechanical stimulation), and 1.6 ± 0.3 U/ml/g protein (controls) after 1 week and remained significantly elevated under the influence of perfusion and mechanical stimulation (p < 0.01) after 2 weeks. Mechanical stimulation increased the equilibrium modulus more than static culture and perfusion after 2 weeks (24.7 ± 7.6; 12.3 ± 3.7; 15.4 ± 2.6 kPa; p < 0.02). CONCLUSION Biomechanical stimulation and perfusion have impact on collagen scaffolds seeded with BMSCs. Cell proliferation can be enhanced using continuous perfusion and differentiation is fostered by mechanical stimulation.
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Affiliation(s)
- M Petri
- Trauma Department, Hanover Medical School (MHH), OE 6230, Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
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Marcus-Braun N, Birk O, Manor E, Segal D, Harari G, Toma I, Shalev S, Borochowitz ZU, Yaron Y, Sharony R, Itzhaky D, Shtoyerman R, Appelman Z, Braun G. Dependence of maternal serum [AFP]/[hCG] median ratios on age of gestation: comparison of trisomy 21 to euploid pregnancies. Prenat Diagn 2010; 29:1130-4. [PMID: 19777489 DOI: 10.1002/pd.2366] [Citation(s) in RCA: 4] [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: 11/10/2022]
Abstract
BACKGROUND Current risk calculations for trisomy 21, which are based on multiples of median (MoM), do not take into account possible differences between euploid and trisomy 21 pregnancies that may develop with gestational age. In order to optimize the predictive value of screening tests, we calculated the ratio between maternal serum concentration of alpha-fetoprotein (AFP) and that of human chorionic gonadotropin (hCG) in euploid and in trisomy 21 pregnancies. METHODS The medians of the concentration ratios, [AFP]/[hCG] at 16-21 weeks of gestation, were plotted as a function of gestational age for 307 cases of trisomy 21 and were compared with the medians of 30 549 normal karyotype cases. RESULTS [AFP]/[hCG] ratio medians were independent of body weight and maternal age. There was a significant difference in the [AFP]/[hCG] ratio when comparing trisomy 21 and euploid pregnancies at each week. This difference became greater with advancing gestational age (P < 0.01). CONCLUSION There is a significant difference in ratios of [AFP]/[hCG] between euploid and trisomy 21 pregnancies, which may be used to improve detection rates of Down syndrome screening.
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Affiliation(s)
- N Marcus-Braun
- Division of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
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Ali Sakr Esa W, Toma I, Tetzlaff J, Barsoum S. Epidural analgesia in labor for a woman with an intrathecal baclofen pump. Int J Obstet Anesth 2009; 18:64-6. [DOI: 10.1016/j.ijoa.2008.07.001] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2008] [Revised: 06/24/2008] [Accepted: 07/01/2008] [Indexed: 11/30/2022]
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Abstract
Multiphoton excitation fluorescence microscopy is a state-of-the-art confocal imaging technique ideal for deep optical sectioning of living tissues. It is capable of performing ultrasensitive, quantitative imaging of organ functions in health and disease with high spatial and temporal resolution which other imaging modalities cannot achieve. For more than a decade, multiphoton microscopy has been successfully used with various in vitro and in vivo experimental approaches to study many functions of different organs, including the kidney. This study focuses on recent advances in our knowledge of renal (patho)physiological processes made possible by the use of this imaging technology. Visualization of cellular variables like cytosolic calcium, pH, cell-to-cell communication and signal propagation, interstitial fluid flow in the juxtaglomerular apparatus (JGA), real-time imaging of tubuloglomerular feedback (TGF), and renin release mechanisms are reviewed. A brief summary is provided of kidney functions that can be measured by in vivo quantitative multiphoton imaging including glomerular filtration and permeability, concentration, dilution, and activity of the intrarenal renin-angiotensin system using this minimally invasive approach. New visual data challenge a number of existing paradigms in renal (patho)physiology. Also, quantitative imaging of kidney function with multiphoton microscopy has tremendous potential to eventually provide novel non-invasive diagnostic and therapeutic tools for future applications in clinical nephrology.
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Affiliation(s)
- A Sipos
- Department of Physiology and Biophysics, Zilkha Neurogenetic Institute, University of Southern California, Los Angeles, California 90033, USA
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Toma I, Theilacker C, Sava I, Kropec A, Hammer F, Huebner J. P1799 Antibodies against LTA isolated from E. faecalis 12030 recog-nize LTA from heterologous enterococcal strains but mediate opsonophagocytic killing only to CPS-A and CPS-B strains. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)71638-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Sax B, Nagy A, Toma I, Rusvai M, Barát E, Huszár E, Kékesi V, Juhász-Nagy A. The pericardial space: a new possible route for influencing cardiac activity. Thorac Cardiovasc Surg 2007. [DOI: 10.1055/s-2007-967677] [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: 10/21/2022]
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Kékesi V, Toma I, Nagy A, Rusvai M, Barát E, Huszár É, Juhász-Nagy A. Pericardial effects of catecholamines on cardiovascular function and pericardial endothelin-1 and adenine nucleoside levels. J Mol Cell Cardiol 2002. [DOI: 10.1016/s0022-2828(02)90854-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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