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Calé R, Ascenção R, Bulhosa C, Pereira H, Borges M, Costa J, Caldeira D. In-hospital mortality of high-risk pulmonary embolism: a nationwide population-based cohort study in Portugal from 2010 to 2018. Pulmonology 2024:S2531-0437(23)00200-3. [PMID: 38307782 DOI: 10.1016/j.pulmoe.2023.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 10/23/2023] [Accepted: 11/06/2023] [Indexed: 02/04/2024] Open
Abstract
BACKGROUND The mortality associated with high-risk pulmonary embolism (PE) is remarkably high, and reperfusion to unload right ventricle should be a priority. However, several registries report reperfusion underuse. In Portugal, epidemiological data about the incidence, rate of reperfusion and mortality of high-risk PE are not known. METHODS Nationwide population-based temporal trend study in the incidence and outcome of high-risk PE, who were admitted to hospitals of the National Health Service in Portugal between 2010 and 2018. High-risk PE was defined as patients with PE who developed cardiogenic shock or cardiac arrest. International Classification of Diseases (ICD), 9th and 10th revision, Clinical Modification codes, were used for data from the period between 2010 and 2016 (ICD-9-CM) and 2017-2018 (ICD-10-CM), respectively. The assessment focused on trends in the use of reperfusion treatment, which was defined by application of thrombolysis or pulmonary embolectomy. A comparison was made between the use or non-use of reperfusion therapy in order to examine trends in in-hospital mortality among high-risk PE cases. RESULTS From 2010 and 2018, there were 40.311 hospitalization episodes for PE in adult patients at hospitals of the National Health Service in mainland Portugal. There was a significant increase in the annual incidence of PE (41/100.000 inhabitants in 2010 to 46/100.000 in 2018; R2=0.582, p = 0.010). The average annual incidence was 45/100.000 inhabitants/year, with 2,7% of the PE episodes (1104) categorized as high-risk. The mortality rate associated with high-risk PE was high, although it has decreased over the years (74.2% in 2010 to 63.6% in 2018; R2=0.484; p = 0.022). Thrombolytic therapy was underused in high-risk PE, and its usage has not increased in recent years (17.3% in 2010 to 21.1% in 2018, R2=-0.127; p = 0.763). Surgical pulmonary embolectomy was used in 0.27% of cases, and there was no registry of catheter-directed thrombolysis. Patients with high-risk PE undergoing reperfusion therapy had lower in-hospital mortality compared to non-reperfused patients (OR=0.52; IC95% 0.38-0.70). CONCLUSION In Portugal, between 2010 and 2018, very few patients with PE developed high-risk forms of the disease, but the mortality rate among those patients was high. The low reperfusion rate could be associated with high in-hospital mortality and highlights the need to implement advanced therapies, as an alternative to systemic thrombolysis.
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Affiliation(s)
- R Calé
- Cardiology Department, Hospital Garcia de Orta, Almada, Portugal.
| | - R Ascenção
- Centro Cardiovascular da Universidade de Lisboa-CCUL (CCUL@RISE), CAML, Faculdade de Medicina, Universidade de Lisboa, Portugal; Laboratory of Clinical Pharmacology and Therapeutics, Faculdade de Medicina, Universidade de Lisboa, Portugal
| | - C Bulhosa
- Evigrade, an IQVIA company, Lisboa, Portugal
| | - H Pereira
- Cardiology Department, Hospital Garcia de Orta, Almada, Portugal; Centro Cardiovascular da Universidade de Lisboa-CCUL (CCUL@RISE), CAML, Faculdade de Medicina, Universidade de Lisboa, Portugal
| | - M Borges
- Laboratory of Clinical Pharmacology and Therapeutics, Faculdade de Medicina, Universidade de Lisboa, Portugal; Evigrade, an IQVIA company, Lisboa, Portugal
| | - J Costa
- Evigrade, an IQVIA company, Lisboa, Portugal
| | - D Caldeira
- Centro Cardiovascular da Universidade de Lisboa-CCUL (CCUL@RISE), CAML, Faculdade de Medicina, Universidade de Lisboa, Portugal; Evigrade, an IQVIA company, Lisboa, Portugal; Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal; Serviço de Cardiologia, Departamento do Coração e Vasos, Hospital Universitário de Santa Maria-CHULN, Lisboa, Portugal; Centro de Estudos de Medicina Baseada na Evidência (CEMBE), Faculdade de Medicina, Universidade de Lisboa, Portugal
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Ascenção R, Lopes Vaz P, Pereira Gomes C, Costa J, Broeiro-Gonçalves P. A medication reconciliation failure: A case report and incident analysis. Int J Risk Saf Med 2024; 35:19-24. [PMID: 37718852 DOI: 10.3233/jrs-230002] [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] [Indexed: 09/19/2023]
Abstract
BACKGROUND Medication reconciliation is advocated to ensure the continuity, safety, and effective use of medicines across transitions of care. CASE REPORT In this report, we describe the case of a 90-year-old female with previous diagnoses of atrial fibrillation and cutaneous metastatic breast cancer presenting with bilateral ulcerative lesions on the chest wall. The patient was diagnosed with Deep Vein Thrombosis at the Emergency Department and started on rivaroxaban, although the patient was already taking edoxaban. This therapeutic duplication was noticed only one week later, even though she was already experiencing significant bleeding managed through a prescribing cascade. Despite the technical error (action-based), it is possible to identify several weaknesses in the organisation's structure, which provided a trajectory of accident opportunity. CONCLUSION Anticoagulants are ranked first for the highest priority to receive a medication reconciliation. To achieve an optimal level of medication reconciliation, we ought to recognise and correct latent failures.
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Affiliation(s)
- R Ascenção
- Laboratório de Farmacologia Clínica e Terapêutica, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
| | - P Lopes Vaz
- USF Viriato - ACeS Dão Lafões, Administração Regional de Saúde Centro, Viseu, Portugal
| | - C Pereira Gomes
- USF Terras de Azurara - ACeS Dão Lafões, Administração Regional de Saúde Centro, Mangualde, Portugal
| | - J Costa
- Laboratório de Farmacologia Clínica e Terapêutica, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
| | - P Broeiro-Gonçalves
- Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, Évora, Portugal
- UCSP dos Olivais - ACeS Lisboa Central, Administração Regional de Saúde de Lisboa e Vale do Tejo, Lisbon, Portugal
- NOVA Medical School, Universidade Nova de Lisboa, Lisbon, Portugal
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Taboada M, Almeida X, Cariñena A, Costa J, Carmona-Monge J, Agilda A, Barreiro L, Castillo J, Williams K, Segurola J, Álvarez J, Seoane-Pillado T. Complications and degree of difficulty of orotracheal intubation in the Intensive Care Unit before and after the establishment of an intubation protocol for critically ill patients: a prospective, observational study. Rev Esp Anestesiol Reanim (Engl Ed) 2024; 71:17-27. [PMID: 38104962 DOI: 10.1016/j.redare.2023.12.004] [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] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 07/17/2023] [Indexed: 12/19/2023]
Abstract
OBJECTIVE The objective of our study was to compare the degree of difficulty and complications related to tracheal intubation in an Intensive Care Unit (ICU) before and after the introduction of an intubation protocol based on the Difficult Airway Society guidelines for the management of tracheal intubation in critically ill adults, published in 2018. METHODS Prospective, observational study comparing all intubations performed in our ICU over 2 periods: pre-protocol (January 2015-January 2019) and post-protocol (February 2019-July 2022). The material used for intubation, the degree of difficulty, and intubation-related complications were recorded. RESULTS During the study period, 661 patients were intubated - 437 in the pre-protocol period (96% by direct laryngoscopy) and 224 in the post-protocol period (53% with direct laryngoscopy, 46% with video laryngoscopy). We observed an improvement in laryngeal view in the post-protocol period compared to the pre-protocol period (Cormack-Lehane ≥ 2b in 7.6% vs. 29.8%, p < 0.001), and a decrease in the number of moderate-to-severely difficult intubations (6.7% vs. 17.4%, p < 0.001). The first-pass success rate was 92.8% in the post-protocol period compared to 90.2% pre-protocol (p = 0.508). We did not find significant differences in complications between the periods studied. CONCLUSIONS Intubations performed in the post-protocol period were associated with improved laryngeal view and fewer cases of difficult intubation compared with the pre-protocol period.
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Affiliation(s)
- M Taboada
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain.
| | - X Almeida
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - A Cariñena
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - J Costa
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - J Carmona-Monge
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - A Agilda
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - L Barreiro
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - J Castillo
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - K Williams
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - J Segurola
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - J Álvarez
- Unidad de Cuidados Intensivos, Servicio de Anestesia y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain; Fundación Instituto de Investigaciones Sanitarias (FIDIS), Santiago de Compostela, La Coruña, Spain
| | - T Seoane-Pillado
- Preventive Medicine and Public Health Unit, Department of Health Sciences, University of A Coruña-INIBIC, La Coruña, Spain
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Zou Y, Laothamatas K, Sonett J, Lemaitre P, Stanifer B, Magda G, Grewal H, Shah L, Robbins H, Patel S, Miller A, Anderson M, Costa J, D'Ovidio F, Arcasoy S, Benvenuto L. Effect of Age and Transplant Type on Survival and Hospital-Free Days in COPD Patients. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1462] [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: 04/05/2023] Open
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Greissman S, Laothamatas K, Costa J, D'Ovidio F, Grewal H, Lemaitre P, Magda G, Miller A, Patel S, Robbins H, Shah L, Sonnett J, Stanifer B, Arcasoy S, Benvenuto L. Comparison of Post-Transplant Survival Between Lung-Kidney and Lung Transplant Recipients. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1463] [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: 04/05/2023] Open
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Greissman S, Laothamatas K, Costa J, D'Ovidio F, Grewal H, Lemaitre P, Magda G, Miller A, Patel S, Robbins H, Shah L, Sonett J, Stanifer B, Arcasoy S, Benvenuto L. Lung Transplant Waitlist Outcomes Before and after 2021 LAS Revision. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1445] [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: 04/05/2023] Open
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Benvenuto L, Grewal H, Laothamatas K, Anderson M, Snyder M, Greissman S, Costa J, Shah L, Robbins H, Magda G, Sonett J, Lemaitre P, D'Ovidio F, Arcasoy S. Rapidly Declining Rates of Single Lung Transplant for COPD and ILD in the U.S. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1457] [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: 04/05/2023] Open
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Dentinho M, Paulos K, Costa C, Costa J, Fialho L, Cachucho L, Portugal A, Almeida J, Rehan I, Belo A, Jerónimo E, Santos-Silva J. Silages of agro-industrial by-products in lamb diets – Effect on growth performance, carcass, meat quality and in vitro methane emissions. Anim Feed Sci Technol 2023. [DOI: 10.1016/j.anifeedsci.2023.115603] [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: 02/16/2023]
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Costa J, Pierre M, Nazeyrollas P. Voltage/mass ratio (VMR) prognosis value in heart failure (HF) patients with transthyretin cardiac amyloidosis (ATTR-CA). Eur Heart J 2023. [DOI: 10.1093/eurheartj/ehac779.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction
Transthyretin cardiac amyloidosis (ATTR-CA) is an emerging cause of heart failure (HF) and is associated with cardiac mass hypertrophy and voltage impairment, but little is known on how theses markers interplay with survival.
Objective
To evaluate if cardiac voltage/mass ratio (VMR) is associated with prognosis in HF patients involving ATTR-CA.
Methods
Patients with confirmed mutated (m) or wild-type (wt) ATTR-CA addressed in a single cardiology center underwent retrospective ECG and echocardiographic study to define voltage with Sokolow indice (SV1+RV5, in mV) and left ventricular mass (LVM, g/m²) according to ASE definition. Two groups of patients were defined according to the median cardiac voltage/mass ratio (VMR in µV/g/m²) : Low (VMR < 6.1) or normal (VMR ≥ 6.1). Tc99m-HDP myocardial uptake (MU) on bone scintigraphy (BS) was described according to Perugini (P) classification : PI (MU < chest bones), PII (MU = chest bones) and PIII (MU > bones). Main end-point was overall mortality.
Results
Among the 74 patients included, mean age was 82±7 years, 80% were males (Graph 1) and 25 (34%) were classified as ATTRwt-CA, 3 (4%) as ATTRm-CA, and 46 (62%) had ongoing genetic exploration. Mean follow-up was 543±332 days. Overall mortality was 21%. On BS, 6 patients (8%) were ranked as PI, 30 (42%) PII and 36 (50%) PIII, with no difference on mortality rates. After ANOVA, mean VMRi significantly decreased with intensity of Tc99m-HDP myocardial uptake on BS (p=0.033, Graph 2A). After log-rank test, survival was impaired in the low VMR group (p=0.034, Graph 2B). After Cox regression, low voltage/masse ratio remained associated with increased risk of mortality (HR 4.6, 95% CI [1.1–18.6], p=0.03), after adjusting on age, sex, left ventricle ejection fraction and log(NT-proBNP).
Conclusion
VMR is a simple index to collect and significantly associated with impaired survival in HF patients with ATTR-CA. Further studies are needed to confirm these results.
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Affiliation(s)
- J Costa
- University Hospital of Reims, Cardiology , Reims , France
| | - M Pierre
- University Hospital of Reims, Cardiology , Reims , France
| | - P Nazeyrollas
- University Hospital of Reims, Cardiology , Reims , France
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Costa J, Pierre M, Nazeyrollas P, Metz D. Relationship between severity of HDP-99mTc myocardial uptake on bone scintigraphy (BS) and severity of cardiac involvement in transthyretine cardiac amyloïdosis (TTR-CA). Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.086] [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: 12/31/2022]
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Costa J, Trousselle L. High furosemide doses are a strong marker of long-term mortality in heart failure (HF) outpatient. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.098] [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: 12/31/2022]
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Soares De Pinho I, Simão D, Roldán Galanares M, Lopes-Brás R, Patel V, Esperança-Martins M, Gonçalves L, Alves L, Fernandes I, Gamez Casado S, Artacho Criado S, Baena Cañada J, Costa J, Fernandes A, Teixeira de Sousa R, Costa L, Luz P. Anthracycline versus no anthracycline neoadjuvant therapy for HER2 breast cancer: real world evidence. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)01516-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Costa J, Monti E, Latham L, Marzorati A, Odeh M, Colombo EM, Ballabio A, Zanchetta M, Inversini D, Ietto G, Carcano G. V-046 LAPAROSCOPIC SURGICAL MANAGEMENT OF AN HUGE DIAPHRAGMATIC HERNIA. Br J Surg 2022. [PMCID: PMC9619679 DOI: 10.1093/bjs/znac308.298] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Introduction Diaphragmatic hernias (DH) in most cases are the consequence of a diaphragmatic trauma causing a missed injury. Less frequently, DHs are congenital. Case Presentation A 52 years old patient came to our attention due to a worsening severe dyspnea. A chest CT scan were performed, showing an extensive left-side DH. We present the video of the surgical procedure. The patient mentioned a severe left hemithorax trauma occurred almost twenty years before due to a motorbike accident. Possibly, a diaphragmatic injury was not diagnosed at the time. Subsequently, a Covid-19-related chronic cough resulting in a persistently increased intra abdominal pressure may have caused the herniation of abdominal viscera. The surgical procedure was laparoscopic. The whole greater omentum and most of the transverse colon were herniated and, after a thorough adhesiolysis between the herniated tissues and the left diaphragmatic crus, the DH was reduced. It was confirmed the presence of a 8 cm defect of the left hemidiaphragm, it was repaired with a absorbable continuous suture. A 08×10 cm Bio-A patch was positioned over. The herniated tissues were meticulously examined and showed no signs of damage. Conclusions Diaphragm's injuries are unfortunately difficult to diagnose in an acute setting, thus remaining often unbeknownst to the surgeon. Some patients never develop any symptoms because of such missed diaphragmatic injuries. Some others instead, due to an increase in the intra abdominal pressure, may develop symptomatic DHs. In the latter case, surgical management becomes mandatory.
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Affiliation(s)
- J Costa
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - E Monti
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - L Latham
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - A Marzorati
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - M Odeh
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - E M Colombo
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - A Ballabio
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - M Zanchetta
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - D Inversini
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - G Ietto
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - G Carcano
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
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Latham L, Gianazza S, Garbarino S, Coriele SG, Fontana F, Timb Timb F, Facchini A, Marcelli Graziosi B, Rossini G, Ballabio A, Palillo A, Costa J, Inversini D, Ietto G, Carcano G. P-091 IMPROVEMENT OF RESPIRATORY PHYSIOLOGY AFTER POSTERIOR COMPONENT SEPARATION TAR: A PILOT STUDY. Br J Surg 2022. [DOI: 10.1093/bjs/znac308.189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Aim
Patients with incisional hernia with a width greater than 9 centimeters, submitted to Posterior Component Separation Trasversus Abdominis Release, by Department of Emergency and Transplantation Surgery in Varese Hospital, were analyzed to define the modifications in respiratory physiology after surgery.
Material and Methods
Patients that underwent Posterior Component Separation were prospectively analyzed by evaluating: volume of laparocele, volume of abdominal cavity and their ratio. Furthermore Pulmonary Peak pressures and Pulmonary Plateau pressures were measured in three different times: at the induction of the anaesthesia, when the mesh was placed and at the closure of the anterior muscular layer. All patients were submitted to a pre-operative simple spirometry, and re-examinated three months after the surgical procedure with the same procedure to check if modifications in their respiratory function were present.
Results
Primary results of the study will be shown to define how this surgical procedure impacts on the respiratory function of the patients. The expectation is that an improvement of the respiratory physiology happens independently from a pulmonary pressure elevation which is determinated by the re-allocation of the herniated viscera in the abdomen when the anterior muscular fascia is closed.
Conclusions
the aim of this study is to show how, the reconstitution of a functional abdominal wall with an efficient respiratory accessory musculature guaranteed by the laparocele correction with Posterior Component Separation, ensures an improvement of respiratory physiology visible with spirometry, independently from the development of a superior intrathoracic pressure.
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Affiliation(s)
- L Latham
- Emergency and Transplantation Surgery , Ospedale di Circolo, Varese , Italy
| | - S Gianazza
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - S Garbarino
- Emergency and Transplantation Surgery , Ospedale di Circolo, Varese , Italy
| | - S G Coriele
- General Surgery, University of Insubria , Cittiglio , Italy
| | - F Fontana
- Radiology , Ospedale di Circolo, Varese , Italy
| | - F Timb Timb
- Radiology, University of Insubria , Varese , Italy
| | - A Facchini
- Pneumology , Ospedale di Circolo, Varese , Italy
| | | | - G Rossini
- Anestesiology , Ospedale di Circolo, Varese , Italy
| | - A Ballabio
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - A Palillo
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - J Costa
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - D Inversini
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - G Ietto
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - G Carcano
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
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Garbarino S, Latham L, Gianazza S, Colombo EM, Odeh M, Palamara N, Vigezzi A, Costa J, Inversini D, Ietto G, Carcano G. P-092 LAPAROSCOPIC TRANS-PERITONEAL HERNIOPLASTY (TAPP) IN EMERGENCY. Br J Surg 2022. [DOI: 10.1093/bjs/znac308.190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
The aim efficacy and technical feasibility of TAPP operation by analyzing patients operated on incarcerated inguino-crural hernia in emergency setting.
Materials and methods
In 1 year, we enrolled 8 urgent incarcerated hernia patients operated using laparoscopic trans-peritoneal approach (TAPP) operated on acutely for inguino-crural incarcerated hernia associated with suspected visceral ischemic damage.
Results
We repaired 6 inguinal incarcerated hernia and 2 cases of crural hernia. Among 6 inguinal hernia, only one was recurrent. In one case the laparoscopic approach permitted to exclude an obstructed Spigelian hernia diagnosed through tomography. In another case, TAPP allowed to diagnose omental incarcerated Spigelian hernia. In 3 cases this approach permitted to diagnose concomitant unknown wall defects. All cases presented signs of small bowel obstruction. The content of the sac in three cases was small bowel, in other three cases it was omentum, and in other two cases it contained lipoma. None of the cases were converted to open technique. The operative average time was 95 min; the average hospital stay was 1.5 days. No chronic pain or recurrences were observed after a mean follow up time of 8 months.
Conclusions
The repair of complicated inguino-crural with TAPP in emergency is not a standard treatment. In our experience the laparoscopic approach allowed a safe reduction of hernia, the observation of the feature of hernia content, the diagnosis and repair of unknown wall defect, and a crural defects and contralateral inguinal hernia.
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Affiliation(s)
- S Garbarino
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - L Latham
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - S Gianazza
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - E M Colombo
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - M Odeh
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - N Palamara
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - A Vigezzi
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - J Costa
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - D Inversini
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - G Ietto
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - G Carcano
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
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Latham L, Ballabio A, Monti E, Costa J, Marzorati A, Colombo EM, Odeh M, Garbarino S, Gianazza S, Inversini D, Ietto G, Carcano G. V-045 SAFENESS OF LIQUIBAND FIX8® IN T.A.P.P. PROCEDURE: ANALYSIS OF COSTS, POST-OPERATIVE COMPLICATIONS AND RECURRENCES. Br J Surg 2022. [DOI: 10.1093/bjs/znac308.297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Aims
We tested the use of LiquiBand®FIX8™ versus standard TAPP procedure comparing costs, surgical time, complications, recurrence rate, chronic pain to check the feasibility of the procedure.
Materials and Methods
LiquiBand®FIX8™is a cyanoacrylic adhesive used to fix the mesh during laparoscopic procedures. It consents the avoidance of plastic or metallic fixing materials that can causes post-operative chronic pain or vascular damage
Discussion
We performer 54 TAPP procedures, 48 with standardized tack technique and 6 with LiquiBand®FIX8™. We checked the results after a 6 months follow-up and we found no difference in recurrence rate or chronic pain between the two techniques. Costs and surgical time were inferior in LiquiBand®FIX8™ group.
Conclusions
The use of LiquiBand®FIX8™is a safe and feasible procedure during TAPP to reduce the surgical time, to limit costs and to avoid intraoperative and postoperative complications that can occur with mechanical fixing materials.
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Affiliation(s)
- L Latham
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - A Ballabio
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - E Monti
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - J Costa
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - A Marzorati
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - E M Colombo
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - M Odeh
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - S Garbarino
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - S Gianazza
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - D Inversini
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - G Ietto
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
| | - G Carcano
- Emergency and Transplantation Surgery, University of Insubria , Varese , Italy
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Monti E, Latham L, Gianazza S, Zullo A, Odeh M, Colombo EM, Marzorati A, Fanelli M, Costa J, Inversini D, Ietto G, Carcano G. V-056 LAPAROSCOPIC VENTRAL HERNIA REPAIR WITH GORE SINECOR INTRAPERITONEAL BIOMATERIAL: OUR CENTER EXPERIENCE. Br J Surg 2022. [DOI: 10.1093/bjs/znac308.308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Aim
Ventral hernias including incisional ones are very common in our population. Mesh reinforcement options for ventral/incisional hernia repair continue to evolve with advances in polymer science and better understanding of the extracellular matrix. Consensus on the safety and efficacy of these various types of synthetic and biologic mesh has yet to be reached.
Intraperitoneal onlay mesh (IPOM) is the laparoscopic technique most frequently used in our center to treat umbilical and abdominal ventral defects sized 3 cm to 8 cm. Our equipe built an expertise with Gore DualMesh prosthesis (2% recurrence ratio in our center); we used the Gore Sinecor Intraperitoneal Biomaterial for the first time here.
Methods
Symptomatic supraumbilical incisional hernia in a 74 years old man; parietal defect sized 7×8 cm. We performed an Ipom repair procedure using a 20×25 cm Gore Sinecor Intraperitoneal Biomaterial, trimmed to 18×20 cm. Follow-up at one and six months from surgery.
Results
The patient was discharged the day after surgery. He did not complain severe pain in the first week after surgery and he only use Paracetamolo 1g die as antalgic therapy. After seven days he resumed his daily activities.
He did not experience any short-term sieroma nor long-term complication at follow up.
Conclusions
The Gore Sinecor Intraperitoneal Biomaterial, while maintaining a firm peritoneal adhesivity, has a better handling and feels lighter than the Gore DualMesh we routinely use. The transparency makes it possible to visualize the overlying abdominal wall, allowing a safer tacs positioning.
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Affiliation(s)
- E Monti
- Emergency and Transplantation Surgery, ospedale di Cittiglio , Cittiglio , Italy
| | - L Latham
- Emergency and Transplantation Surgery, Ospedale di Circolo , Varese , Italy
| | - S Gianazza
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
| | - A Zullo
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
| | - M Odeh
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
| | - E M Colombo
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
| | - A Marzorati
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
| | - M Fanelli
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
| | - J Costa
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
| | - D Inversini
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
| | - G Ietto
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
| | - G Carcano
- Emergency and Transplantation Surgery, Università dell'Insubria , Varese , Italy
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Ferreira M, Vasconcelos L, Lacerda M, Costa J. P09.07.A Signs and Symptoms in the last days of life of the glioblastoma patients - A Descriptive and Retrospective Study. Neuro Oncol 2022. [DOI: 10.1093/neuonc/noac174.165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Despite scientific advances to develop techniques for early diagnosis and treatment of glioblastoma, the disease continues to have a remarkably poor prognosis. Studies have shown that in patients with glioblastoma, not only the presence of end-of-life signs and symptoms but also their frequency differs from those in the rest of cancer patients. The complexity of glioblastoma symptoms makes the integration of a palliative care philosophy essential.
Objective
To identify the main signs and symptoms that occur in patients with glioblastoma in their last seven days of life in a neuro-oncology ward.
Material and Methods
This was a descriptive and retrospective study regarding the signs and symptoms in the last seven days of life of patients with glioblastoma who were admitted to the neurology ward of a national oncology reference center. The patients were admitted after neuro-oncologist consultations between 2019 and 2020. The data collection instrument used was based on the document “The Last Hours of Living”. Confidentiality of the participants was guaranteed, and authorization was obtained from the institution’s ethics committee.
Results
The sample had 17 patients (13 men and 4 women), with an average hospital stay of 17.3 days. The men and women had average ages of 61.8 and 63 years, respectively. Clinical and nursing records revealed that the most prevalent signs and symptoms were “decreased level of consciousness” (94%); “rare and unexpected events” (94%); “respiratory dysfunction” (88%); and “loss of ability to swallow” (76%). In the last seven days of life, the approximate times of presentation for these signs and symptoms were: decreased level of consciousness, 6 days; rare and unexpected events, 2 days; respiratory dysfunction, 3 days; and loss of ability to swallow, 6 days. Support was requested from the in-hospital palliative care support team for 76.4% of patients.
Conclusion
The identification of reduced level of consciousness and alterations in swallowing as the most prevalent symptoms is consistent with the findings of previous studies. The prevalence of rare and unexpected events (such as fever, myoclonus and seizures) aligns with previous studies that indicated a difference in the signs and symptoms presented by patients with glioblastoma in the last days of life and patients with other oncological diseases. In this sense, the instrument used for data collection may not be the most appropriate for the population with primary central nervous system tumors. The decreased level of consciousness and impaired communication can complicate the assessment of signs and symptoms, such as pain, nausea, anxiety and depression. It is essential to conduct research studies with more representative samples. The recording of the signs and symptoms presented, as well as interventions and the evaluation of their effectiveness, are essential to ensure the quality of end-of-life.
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Affiliation(s)
- M Ferreira
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - L Vasconcelos
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - M Lacerda
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - J Costa
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
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Ferreira M, Costa J, Antão D, Silva E, Passos J, Vilares M, Vasques H, Patrocínio I, Silva C, Santos F, Salgado D, Lacerda M. P11.74.A Plexiform Neurofibromas prevalence and treatment modalities in a referral comprehensive cancer center. Neuro Oncol 2022. [DOI: 10.1093/neuonc/noac174.263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Neurofibromatosis type 1 (NF1) is the most common tumor predisposition syndrome, with an incidence of 1/3500. Plexiform neurofibromas (PN) are benign tumors that can occur along the nerve sheath throughout the body, with unpredictable growth and with risk of malignant transformation. Symptoms will depend on their size and location, and include pain, deformity and functional impairment. There is a great variability in the PN severity and impact on quality-of-life (QOL). An unknown percentage of NF1 patients may need treatment, either medical and/or surgical.
Objectives
To assess the frequency of PN in a NF1 population followed in a comprehensive cancer center.
Material and Methods
Retrospective study. All patients with NF1 and PN followed in our center, between 31/12/2000 and 31/12/2021.
Results
Of 438 NF1 patients, 185 had PN (42%). 52 NF1 patients with PN were children (≤ 18). The most common symptoms were pain in 71 people (38,4%), deformity in 70 (37,8%) and functional impairment in 69 (37,3%). Several patients had a combination of these symptoms. Different treatment modalities were used for PN: medical, surgical or both. In this study, 54 patients (29,1%) were treated with MEK inhibitors (selumetinib), 74 patients (40%) were treated surgically and 12,4% (23) needed a combined approach (medical and surgical treatment).
Conclusion
PN are frequent in NF1 patients. A significant percentage is symptomatic and will require treatment, surgical, medical or both. There is no standard of care for PN NF1. The timing and sequence of medical and surgical treatment is yet to be defined.
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Affiliation(s)
- M Ferreira
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - J Costa
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - D Antão
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - E Silva
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - J Passos
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - M Vilares
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - H Vasques
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - I Patrocínio
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - C Silva
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - F Santos
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - D Salgado
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
| | - M Lacerda
- Lisbon Portuguese Institute of Oncology , Lisbon , Portugal
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Petrilli J, Strang L, Von Haunalter E, Costa J, Coughlin E, Mhaskar R. Factors Influencing Healthcare Utilization Among Patients at Three Free Clinics. J Community Health 2022; 47:604-609. [PMID: 35366126 DOI: 10.1007/s10900-022-01083-7] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/07/2022] [Indexed: 10/18/2022]
Abstract
Despite improvements in healthcare for uninsured persons, health disparities remain. We surveyed patients at three free clinics in an urban Florida community to better understand the factors that influence where they seek healthcare. Survey questions were developed based on factors previously demonstrated to affect healthcare utilization. A focus group validated the instrument. Patients self-administered written surveys over a 6-week period at three free clinics, including a student-run free clinic (SRFC). Results were compiled and analyzed using Chi-square and Fisher-Freeman-Halton Exact tests, Kruskal-Wallis test, Mann-Whitney U test, and Spearman's rho, as appropriate. Odds ratios were calculated for significant findings (p < 0.05). Patients completed 323 surveys. Free clinic visit frequency was positively related to female gender, Hispanic ethnicity, higher income, and poorer health. Black race was related to less frequent visits. Visit frequency differed among the clinic sites. Patients attending a SRFC were more likely to utilize another clinic. Patient satisfaction was not related to visit frequency. Seeking care at other clinics was related to employment. Emergency room utilization was positively related to male gender. Patients listed proximity and ability to receive care not offered at the free clinic as the primary reasons for seeking care at another clinic. In this sample, free clinic utilization was related to demographic and community factors. Free clinics should consider these factors when designing their care delivery. SRFC's should further evaluate how they function in the safety net.
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Affiliation(s)
- J Petrilli
- Department of Family Medicine, University of South Florida Morsani College of Medicine, 13330 USF Laurel Drive, Tampa, FL, 33612, USA.
| | - L Strang
- University of South Florida Morsani College of Medicine, Tampa, USA
| | - E Von Haunalter
- University of South Florida Morsani College of Medicine, Tampa, USA
| | - J Costa
- Department of Family Medicine, University of South Florida Morsani College of Medicine, 13330 USF Laurel Drive, Tampa, FL, 33612, USA
| | - E Coughlin
- Department of Medical Education, University of South Florida Morsani College of Medicine, Tampa, USA
| | - R Mhaskar
- Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA
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Leiva-Juarez M, Briganti D, Urso A, Russum S, Benvenuto L, Robbins H, Shah L, Costa J, Gomez EA, Arcasoy S, Sonett J, D'Ovidio F. Large Airway Bronchial Wash Lipidomics as Novel Biomarkers for Chronic Lung Allograft Dysfunction. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.244] [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] Open
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22
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Costa J, Pouy R, El Ali A, Semaan N, Bichon-Treulet L, Nazeyrollas P, Metz D. Perugini score corelates with electrical and echographic structural abnormalities in transthyretine cardiac amyloïdosis. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.080] [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: 10/19/2022]
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23
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Costa J, El Ali A, Semaan N, Barbe C, Nazeyrollas P, Morland D, Dejust S, Papathanassiou D, Metz D. Cardiac AMyloïdosis Prevalence and Outcome in aortic Stenosis patients undergoing Transcatheter Aortic Valve Implantation: First insight of the CAMPOS-TAVI study. Archives of Cardiovascular Diseases Supplements 2022. [DOI: 10.1016/j.acvdsp.2021.09.076] [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: 11/27/2022]
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24
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Breite C, Melnikov A, Turon A, de Morais A, Bourlot CL, Maire E, Schöberl E, Otero F, Mesquita F, Sinclair I, Costa J, Mayugo J, Guerrero J, Gorbatikh L, McCartney L, Hajikazemi M, Mehdikhani M, Mavrogordato M, Camanho P, Tavares R, Spearing S, Lomov S, Pimenta S, Van Paepegem W, Swolfs Y. A synchrotron computed tomography dataset for validation of longitudinal tensile failure models based on fibre break and cluster development. Data Brief 2021; 39:107590. [PMID: 34877374 PMCID: PMC8627998 DOI: 10.1016/j.dib.2021.107590] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Accepted: 11/15/2021] [Indexed: 11/18/2022] Open
Abstract
We performed in-situ tensile tests on two carbon fibre/epoxy composites with continuous scanning using synchrotron computed tomography (CT). Both composites were cross-ply laminates, and two specimens were tested for each composite. The voxel size was sufficiently small to recognize individual fibres and fibre breaks. For each test, 16-19 volumes were reconstructed, cropped down to the 0° plies and analysed to track fibre break and cluster development. This dataset provides the last CT volume before failure for each of the four specimens as well as the individual fibre break locations in all reconstructed volumes. These data are then plotted against predictions from six state-of-the-art strength models. The target is that these data become a benchmark for the development of new models, inspiring researchers to set up refined experiments and develop improved models.
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Affiliation(s)
- C. Breite
- Department of Materials Engineering, KU Leuven, Kasteelpark Arenberg 44 box 2450, Leuven 3001, Belgium
| | - A. Melnikov
- Department of Materials Engineering, KU Leuven, Kasteelpark Arenberg 44 box 2450, Leuven 3001, Belgium
| | - A. Turon
- Department of Materials Engineering, KU Leuven, Kasteelpark Arenberg 44 box 2450, Leuven 3001, Belgium
| | - A.B. de Morais
- Department of Mechanical Engineering, RISCO research unit, University of Aveiro, Campus Santiago, Aveiro 3810-193, Portugal
| | - C. Le Bourlot
- Universite de Lyon, INSA-Lyon, MATEIS, CNRS UMR5510, Villeurbanne F-69621, France
| | - E. Maire
- Universite de Lyon, INSA-Lyon, MATEIS, CNRS UMR5510, Villeurbanne F-69621, France
| | - E. Schöberl
- Engineering Materials, Faculty of Engineering and Physical Sciences, University of Southampton, Southampton SO17 1BJ, UK
| | - F. Otero
- INEGI, Rua Dr. Roberto Frias, 400, Porto 4200-465, Portugal
| | - F. Mesquita
- Department of Materials Engineering, KU Leuven, Kasteelpark Arenberg 44 box 2450, Leuven 3001, Belgium
| | - I. Sinclair
- Engineering Materials, Faculty of Engineering and Physical Sciences, University of Southampton, Southampton SO17 1BJ, UK
| | - J. Costa
- AMADE, Polytechnic School, University of Girona, Campus Montilivi s/n, Girona E-17003, Spain
| | - J.A. Mayugo
- AMADE, Polytechnic School, University of Girona, Campus Montilivi s/n, Girona E-17003, Spain
| | - J.M. Guerrero
- AMADE, Polytechnic School, University of Girona, Campus Montilivi s/n, Girona E-17003, Spain
| | - L. Gorbatikh
- Department of Materials Engineering, KU Leuven, Kasteelpark Arenberg 44 box 2450, Leuven 3001, Belgium
| | - L.N. McCartney
- Department of Engineering, Materials & Electrical Science, National Physical Laboratory, Teddington, Middlesex TW11 0LW, United Kingdom
| | - M. Hajikazemi
- Department of Materials, Textiles and Chemical Engineering, Faculty of Engineering and Architecture, Ghent University, Technologiepark Zwijnaarde 46, Ghent, Belgium
| | - M. Mehdikhani
- Department of Materials Engineering, KU Leuven, Kasteelpark Arenberg 44 box 2450, Leuven 3001, Belgium
| | - M.N. Mavrogordato
- Engineering Materials, Faculty of Engineering and Physical Sciences, University of Southampton, Southampton SO17 1BJ, UK
| | - P.P. Camanho
- INEGI, Rua Dr. Roberto Frias, 400, Porto 4200-465, Portugal
- DEMec, Faculdade de Engenharia, Universidade do Porto, Rua Dr. Roberto Frias, Porto 4200-465, Portugal
| | - R. Tavares
- INEGI, Rua Dr. Roberto Frias, 400, Porto 4200-465, Portugal
- DEMec, Faculdade de Engenharia, Universidade do Porto, Rua Dr. Roberto Frias, Porto 4200-465, Portugal
| | - S.M. Spearing
- Engineering Materials, Faculty of Engineering and Physical Sciences, University of Southampton, Southampton SO17 1BJ, UK
| | - S.V. Lomov
- Department of Materials Engineering, KU Leuven, Kasteelpark Arenberg 44 box 2450, Leuven 3001, Belgium
| | - S. Pimenta
- Department of Mechanical Engineering, Imperial College London, South Kensington Campus, London SW7 2AZ, United Kingdom
| | - W. Van Paepegem
- Department of Materials, Textiles and Chemical Engineering, Faculty of Engineering and Architecture, Ghent University, Technologiepark Zwijnaarde 46, Ghent, Belgium
| | - Y. Swolfs
- Department of Materials Engineering, KU Leuven, Kasteelpark Arenberg 44 box 2450, Leuven 3001, Belgium
- Corresponding author. @yentlswolfs
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Pouy R, Costa J, Robbins A. Délai diagnostique et de prise en charge des patients avec amylose cardiaque à transthyrétine en Champagne-Ardenne. Rev Med Interne 2021. [DOI: 10.1016/j.revmed.2021.10.153] [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: 12/01/2022]
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Virgolino A, Santos O, Fialho M, Heitor MJ, Costa A, Rasga C, Martiniano H, Costa J, Vicente A, Caldas de Almeida T. Addictive behaviours during the COVID-19 pandemic: results from a nationwide study in Portugal. Eur J Public Health 2021. [PMCID: PMC8574853 DOI: 10.1093/eurpub/ckab165.124] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Evidence shows that individuals can engage in maladaptive behaviours as a response to a pandemic context, which can compromise their health and wellbeing. This project aims to characterize self-reported changes in addiction-related behaviours and associated factors in the adult population during the first COVID-19 lockdown, in Portugal.
Methods
Cross-sectional study, with an online survey conducted between May 22 and July 20, 2020, targeting a non-probabilistic sample of adults (18 years of age or more) dwelling in Portugal (mainland and autonomous regions). The following data were collected: alcohol drinking, smoking, use of cannabis and other substances, gambling, and sugar-sweetened food intake, work-related variables, and sociodemographics. After data cleaning and weighting (by sex, age group, NUTS II and educational level), logistic regression models were conducted to assess potential determinants of addiction-related behaviours.
Results
Overall, 3.982 individuals participated in the study (79.1% women; mean age of 45.15 years). Women, young adults (18-34 years) and individuals with difficulties in work-life balance had higher odds for self-reported increase of sweets intake. Men, young adults (18-34 years) and those with work-life balance difficulties presented higher odds for alcohol drinking increase. Those unemployed (or with suspended activity or in layoff) and those with lower income had higher odds for gambling behaviour increase.
Conclusions
Some segments of the Portuguese population reported to have increased their engagement in addictive-related behaviours, during the COVID-19 lockdown, which can have negative consequences for mental health. The study of the correlates of maladaptive responses under this scenario is pivotal to inform public health interventions and alleviate the potential deleterious impacts of this pandemic.
Key messages
COVID-19 pandemic can increase maladaptive coping behaviours in some segments of the population. Public health interventions are needed to mitigate the negative consequences of this pandemic.
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Affiliation(s)
- A Virgolino
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
| | - O Santos
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
- Unbreakable Idea Research, Lisbon, Portugal
| | - M Fialho
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
| | - MJ Heitor
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
- Departamento de Psiquiatria e Saúde Mental, Hospital Beatriz Ângelo, Loures, Portugal
- Sociedade Portuguesa de Psiquiatria e Saúde Mental, Lisbon, Portugal
| | - A Costa
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal
| | - C Rasga
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal
| | - H Martiniano
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal
| | - J Costa
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
| | - A Vicente
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal
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Santos O, Virgolino A, Heitor MJ, Fialho M, Costa A, Rasga C, Martiniano H, Costa J, Vicente A, Caldas de Almeida T. Mental health during the COVID-19 pandemic in Portugal. Eur J Public Health 2021. [PMCID: PMC8574839 DOI: 10.1093/eurpub/ckab165.119] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Mental health is being impacted by COVID-19, as a result of both the globalized perception of health risk and the massive social and economic measures, required to control the pandemic. A main goal of this study, the SM-COVID19, was to characterize the mental health of the general population and to identify vulnerable groups, during the first lockdown in Portugal.
Methods
Cross-sectional online survey, conducted between May 22 and July 20, 2020, with a nationwide non-probabilistic sample of adults residing in Portugal (≥18 years old). Data were collected with sound psychometric scales for symptoms of anxiety, depression and post-traumatic stress disorder (PTSD), work-life balance, resilience, work-related variables, and sociodemographics. Logistic regression models were used to assess risk and protective factors for mental health suffering.
Results
Overall, 3982 individuals participated in the study (female, 79.1%; mean age, 45.15±12.31 years; 71.0% completed higher education studies). The prevalence of symptoms of moderate to severe anxiety was 26.5% (95% Confidence Interval (CI): 24.0-29.1), of depression symptoms was 26.0% (95%CI, 23.6-28.7), and of PTSD symptoms was 26.5% (95%CI, 24.0-29.2). Moreover, more than one third of the respondents (41.2%; 95%CI: 38.3-44.1) reported symptomatology for at least one of these three psychiatric disorders. Women, individuals who suspended their professional activity (or in layoff or unemployed) during the lockdown, and those with difficulties in managing work and family demands had higher odds for psychological suffering.
Conclusions
The COVID-19 pandemic is a public health crisis with major interpersonal, social and economic impacts at the individual level. Mental health and wellbeing are being severely affected, as confirmed by the high prevalence of symptoms of psychological suffering herein. Mental health protection measures need to be defined and implemented, mainly targeting the most vulnerable groups.
Key messages
COVID-19 pandemic is associated with high prevalence of anxiety, depression and PTSD. Observed mental health inequities imply effective vulnerable-groups-focused mental health promotion programs.
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Affiliation(s)
- O Santos
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
- Unbreakable Idea Research, Lisbon, Portugal
| | - A Virgolino
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
| | - MJ Heitor
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
- Departamento de Psiquiatria e Saúde Mental, Hospital Beatriz Ângelo, Loures, Portugal
- Sociedade Portuguesa de Psiquiatria e Saúde Mental, Lisbon, Portugal
| | - M Fialho
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
| | - A Costa
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal
| | - C Rasga
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal
| | - H Martiniano
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal
| | - J Costa
- Instituto de Saúde Ambiental, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal
| | - A Vicente
- Instituto Nacional de Saúde Doutor Ricardo Jorge, Lisbon, Portugal
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Mane FG, Flores R, Silva R, Conde I, Rodrigues C, Medeiros P, Oliveira C, Campos I, Ferreira AS, Costa J, Quina C, Braga C, Marques J. On- vs off-hours primary percutaneous coronary intervention: a single-centre experience. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
In ST-segment elevation myocardial infarction (STEMI) patients, emergency medical system delays importantly affect outcomes. The effect of admission time in STEMI patients is dubious when percutaneous coronary intervention (PCI) is the preferred reperfusion strategy.
Aims
The authors aimed to retrospectively describe the association between admission time and STEMI patient's care standards and outcomes.
Methods
Characteristics and outcomes of 1222 consecutive STEMI patients treated in a PCI-centre were collected. On-hours were defined as admission on non-national-holidays from Monday to Friday from 8 AM to 6 PM. Time delays, in-hospital and one-year all-cause mortality were assessed.
Results
A total of 439 patients (36%) were admitted on-hours and 783 patients (64%) were admitted off-hours. Baseline characteristics were well-balanced between groups, including the percentage of patients admitted in cardiogenic shock (on-hours: 4.6% vs off-hours 4%; p=0.62).
Median emergency system dependent time to reperfusion (i.e. first-medical contact to reperfusion) did not differ between the two groups (on-hours: 120 min vs. off-hours 123 min, p=0.54). The authors observed no association between admission time and in-hospital mortality (on-hours: 5% vs. off-hours 4.9%, p=0.90) or 1-year mortality (on-hours: 10% vs. off-hours 10%, p=0.97).
In patients admitted directly in the PCI-centre, median time from first-medical contact to reperfusion (on-hours: 87 min vs off-hours: 88 min, p=0.54), in-hospital mortality (on-hours: 4% vs off-hours: 7%, p=0.30) and 1 year mortality (on-hours: 9% vs off-hours: 13%, p=0.27) did not differ between the two groups.
Survival analysis showed no survival benefit of on-hours PCI over off-hours PCI (HR 1.01; 95% CI [0.77–1.46], p=0.95).
Conclusion
In a contemporary well-organized emergency network, STEMI patients admission time in the PCI-centre was not associated with reperfusion delays or increased mortality.
Funding Acknowledgement
Type of funding sources: None. Kaplan-Meier curve
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Affiliation(s)
- F G Mane
- Hospital de Braga, Braga, Portugal
| | - R Flores
- Hospital de Braga, Braga, Portugal
| | - R Silva
- Hospital de Braga, Braga, Portugal
| | - I Conde
- Hospital de Braga, Braga, Portugal
| | | | | | | | - I Campos
- Hospital de Braga, Braga, Portugal
| | - A S Ferreira
- ULSAM - Hospital de Santa Luzia, Internal Medicine, Viana do Castelo, Portugal
| | - J Costa
- Hospital de Braga, Braga, Portugal
| | - C Quina
- Hospital de Braga, Braga, Portugal
| | - C Braga
- Hospital de Braga, Braga, Portugal
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Oliveira CC, Vilela F, Flores R, Medeiros P, Pires C, Mane F, Braga C, Marques J, Costa J. ST-segment elevation myocardial infarction: are women being discriminated? Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Although outcomes in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary interventions (PCI) have improved, a gender disparity exists, with women showing higher mortality.
Objectives
To assess gender differences in presentation, management and in-hospital, at 30-days, 6-months and 1-year after STEMI mortality.
Methods
We collected data from 809 consecutive patients treated with primary PCI and compared the females versus males.
Results
Women were older than man (69,1±14,6 vs. 58,5±12,7 years; p<0.001) with higher prevalence of age over 75 years (36.7% vs. 11.7%; p<0.001), diabetes (30,6% vs. 18,5%; p=0.001), hypertension (60.5% vs. 45.9%; p=0.001), chronic kidney disease (3.4% vs. 0.6%; p=0.010) and acute ischemic stroke (6.8% vs. 3.0%; p=0.021). At presentation, women had more atypical symptoms, less chest pain (90.3% vs. 95.6%; p=0.014) and greater clinical severity (cardiogenic shock (10.7% vs. 5.4%; p=0.011). There were no differences in the symptom-first medical contact me (95.0 min vs. 80.5 min; p=0.215); however, women had longer time until reperfusion (264.0 min vs. 212.5 min; p=0.001) and were less likely to receive optimal medical therapy (aspirin-93.1% vs. 99.2%; p<0.001; P2Y12 inhibitors 91.9% vs. 98.2%; p<0.001; beta-blockers-90.8% vs. 95.1%; p=0.032; ACEIs- 88.1% vs. 94.8%; p=0.003). In-hospital mortality (9.6% vs. 3.5%; p=0.001), at 30-days (11.3% vs. 4.0%; p<0.001), 6-months (14.1% vs. 4.7%; p<0.001) and 1-year (16.4% vs. 6.3%; p<0.001) was significantly higher in women. The multivariate analysis identified age over 75 years (HR=4.25; 95% CI [1.67–10.77]; p=0.002), Killip class II (HR=8.80; 95% CI [2.72–28.41]; p<0.001), III (HR=5.88; 95% CI [0.99–34.80]; p=0.051) and IV (HR=9.60; 95% CI [1.86–48.59]; p=0.007), acute kidney injury (HR=2.47; 95% CI [1.00–6.13]; p=0.051) and days of hospitalization (HR=1.04; 95% CI [1.01–1.08]; p=0.030) but not female gender (HR=0.83; 95% CI [0.33–2.10]; p=0.690) as independent prognostic factors of mortality.
Conclusions
Compared to men, women with STEMI undergoing primary PCI have higher mortality rates. Our results suggest that this is not due to the gender itself, but due to the women worse risk profile, the higher reperfusion time related with system delays and the minor probability of receiving the recommended therapy. Efforts should be made to reduce these gender differences.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
| | - F Vilela
- University of Minho - Life and Health Sciences Research Institute (ICVS), Braga, Portugal
| | - R Flores
- Hospital de Braga, Braga, Portugal
| | | | - C Pires
- Hospital de Braga, Braga, Portugal
| | - F Mane
- Hospital de Braga, Braga, Portugal
| | - C Braga
- Hospital de Braga, Braga, Portugal
| | | | - J Costa
- Hospital de Braga, Braga, Portugal
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Costa J, Bichon L, Maouche A, Durdon P, Pouy R, Robbins A. Evaluation of Perugini score and myocardial mass and voltage abnormalities in transthyretine cardiac amyloidosis. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Transthyretine cardiac amyloidosis (TTR-CA) is an emerging treatable disease in cardiology. Severity of TTR infiltration can be assessed by bone scintigraphy with Perugini score, depending on HPD-Tc99M myocardial intensity uptake. Less is known on how Perugini score interplays with routine cardiac structural parameters, especially cardiac mass and voltage.
Aim
To evaluate correlation between Perugini score and myocardial mass and voltage abnormalities in patients with TTR-CA.
Methods
Patients diagnosed with ATTR-CA and addressed to our center for treatment underwent complete evaluation including electrocardiogram (ECG) and transthoracic echocardiography (TTE). Routine electrical and echographic parameters were obtained such as: Sokolow indice (SV1+RV5) in millivolt (mV), PR delay (ms), QRS width (in ms), left ventricular mass (LVM, in grams) and diastolic interventricular septum (dIVS) thickness (in mm). Patients were classified in three categories according to Perugini score: I (cardiac uptake < chest bones), II (cardiac uptake = chest bones) and III (cardiac uptake > bones). Main end-point were LVM and Voltage/Mass ratio (VMR) variations, depending on Perugini score.
Results
Among the 17 patients included, 14 were male (82.4%) and mean age was 82±8 years old. On ECG, 6 patients (35.3%) had permanent atrial fibrillation (AF). Mean voltage according to Sokolow index, mean PR delay and mean QRS width were respectively 1.5±0.5 mV, 212±54 ms and 113±19 ms. On TTE, mean LVM and mean dIVS width were respectively 333±98 g (188±55 g/m2) and 19±4 mm. Mean voltage/mass ratio (VMR) was 0.48±0.26 uV/g (see table). On bone scintigraphy, 3 patients were scored with Perugini I (17.6%), 4 with Perugini II (23.5%) and 10 with Perugini III (58.8%). According to Pearson test, there was a strong correlation between Perrugini score and LVM (r=+0.56, p=0.03) (graph A), and a strong negative correlation between Perrugini score and VMR (r=−0.70, p=0.003) (graph B). There were a trend for correlation between Perugini score and Voltage according to Sokolow (r=−0.46, p=0.07) and between Perugini score and dIVS width (r=0.49, p=0.07).
Conclusion
In TTR-CA patients, Perugini score appears to strongly correlate with left ventricle mass and voltage. Larger scale studies are needed to confirm these results.
Funding Acknowledgement
Type of funding sources: None. ECG and TEE trends according to PeruginiCardiac mass and voltage with Perugini
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Affiliation(s)
- J Costa
- University Hospital of Reims, Cardiology, Reims, France
| | - L Bichon
- University Hospital of Reims, Cardiology, Reims, France
| | - A Maouche
- University Hospital of Reims, Cardiology, Reims, France
| | - P Durdon
- University Hospital of Reims, Cardiology, Reims, France
| | - R Pouy
- Hospital Robert Debre - University Hospital Centre of Reims, Internal medicine, Reims, France
| | - A Robbins
- Hospital Robert Debre - University Hospital Centre of Reims, Internal medicine, Reims, France
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Araujo Leite Medeiros P, Braga C, Campos I, Oliveira C, Pires C, Flores R, Mane F, Silva R, Costa J, Marques J, Braga C. Managing bifurcations: are two stents better than one? Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Bifurcation percutaneous coronary intervention (PCI) is associated with a higher degree of complexity when compared with non-bifurcation procedures. Although 1-stent PCI remains the standard approach for most bifurcation lesions, data is constantly being published on 2-stent PCI.
Aim
To evaluate and compare the characteristics and outcomes of patients that underwent bifurcation PCI with one or two stents.
Methods
Single center, retrospective observational study including all patients who underwent bifurcation PCI between January 2015-December 2018. We defined two groups: 1-stent PCI group (1s-PCI) and 2-stent PCI group (2s-PCI). The 2s-PCI group included PCI patients with all the different techniques used in our center: provisional stenting with 2 stents, Cullote, crushing stent and DK Crush.
Results
1s-PCI group included 376 individuals and 2s-PCI group included 26. Overall baseline clinical characteristics were balanced between groups. There was no statistically significant difference in age (mean 64 vs 66; p=0.388), gender (79% vs 85% males; p=0.622) and comorbidities (hypertension, diabetes mellitus, hypercholesterolemia, chronic kidney disease, smoking and previous history of coronary artery disease). Also, there was no difference in clinical status (NSTEMI 36% vs 38%; stable disease 32% vs 42%; STEMI 28% vs 19%; unstable angina 5% vs 0%; p=0.419). Coronary angiography and lesion distribution were similar in both groups (p=0.367). However, radiation dose (median 90.5 [IQR=79] vs 156 [IQR=84] mGy cm2; p<0,001) and contrast volume (median 150 [IQR=100] vs 156 [IQR=83] ml; p<0,001) were significantly higher in 2s-PCI group. At 12-month follow-up, mortality rate was higher in 1s-PCI group, but without statistical significance (8% vs 4%; p=0.71); the same is true for acute myocardial infarction at 12 months (3% vs 0%; p=0.368). Target-lesion failure was only reported in 4 patients in the 1s-PCI group. Survival tests showed no significant difference between groups (χ2(1,n=402)=0.634; p=0.426).
Conclusion
Individuals that underwent 1s-PCI were overall similar to those who underwent 2s-PCI. Predictably, deploying more than 1 stent required more contrast volume and implied a higher radiation dose. We should note that our studied is greatly limited by the 2s-PCI group size, which may justify the lack of difference in the evaluated outcomes.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
| | - C Braga
- Hospital de Braga, Braga, Portugal
| | - I Campos
- Hospital de Braga, Braga, Portugal
| | | | - C Pires
- Hospital de Braga, Braga, Portugal
| | - R Flores
- Hospital de Braga, Braga, Portugal
| | - F Mane
- Hospital de Braga, Braga, Portugal
| | - R Silva
- Hospital de Braga, Braga, Portugal
| | - J Costa
- Hospital de Braga, Braga, Portugal
| | | | - C Braga
- Hospital de Braga, Braga, Portugal
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De Negri F, Galiezz R, Miranda P, Koeller P, Zucoloto G, Costa J, Farias CM, Travassos GH, Medronho RA. Socioeconomic factors and the probability of death by Covid-19 in Brazil. J Public Health (Oxf) 2021; 43:493-498. [PMID: 33501982 PMCID: PMC7928781 DOI: 10.1093/pubmed/fdaa279] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [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: 12/18/2020] [Revised: 12/18/2020] [Accepted: 12/29/2020] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND To design better measures to contain the Covid-19 epidemics, it is relevant to know whether socioeconomic factors are associated with a higher risk of death by Covid-19. This work estimates the effects of individual socioeconomic characteristics on the risk of death by Covid-19. METHODS Logistic models were estimated to assess the effect of socioeconomic characteristics (income, race/ethnicity, schooling, occupation and economic activity) on the risk of death from Covid-19. For this purpose, Covid-19 individual death records in Rio de Janeiro state, Brazil were combined with the Annual Register of Social Information, which contains socioeconomic information about formal workers. FINDINGS Workers employed in establishments in the health and public safety sectors present a risk of dying 2.46 and 2.25 times higher than those employed in other activities. Non-white people, men, and those who work in the Metropolitan Region are also more likely to die from Covid-19. People with higher education are 44% less likely to die from the disease. CONCLUSIONS Some population groups are more vulnerable to the Covid-19 pandemic and individual socioeconomic conditions play a relevant role in the probability of death by the disease. That should be considered in the design of prevention policies to be adopted.
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Affiliation(s)
- F De Negri
- Institute for Applied Economic Research (IPEA), Rio de Janeiro, Brazil
| | - R Galiezz
- Faculty of Medicine, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - P Miranda
- Institute for Applied Economic Research (IPEA), Rio de Janeiro, Brazil
| | - P Koeller
- Institute for Applied Economic Research (IPEA), Rio de Janeiro, Brazil
| | - G Zucoloto
- Institute for Applied Economic Research (IPEA), Rio de Janeiro, Brazil
| | - J Costa
- Institute for Applied Economic Research (IPEA), Rio de Janeiro, Brazil
| | - C M Farias
- Institute Tercio Pacitti of Computational Applications and Research, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - G H Travassos
- Alberto Luiz Coimbra Institute for Graduate Studies and Research in Engineering (COPPE), Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - R A Medronho
- Faculty of Medicine, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
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Roriz D, Abrantes J, Condesso D, Fernandes TC, Couto T, Costa J, Costa JC. Added Value of Dual-energy CT in Musculoskeletal Trauma. Semin Musculoskelet Radiol 2021. [DOI: 10.1055/s-0041-1731547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ouknin M, Aghraz A, Chibane M, Boumezzourh A, Costa J, Majidi L. Enzyme inhibitory, antioxidant activity and phytochemical analysis of essential oil from cultivated Rosmarinus officinalis. Food Measure 2021. [DOI: 10.1007/s11694-021-00952-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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35
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Leiva-Juarez M, Benvenuto L, Costa J, Urso A, Stanifer B, Lemaitre P, Sonett J, Aversa M, Robbins H, Shah L, Arcasoy S, D'Ovidio F. Histologic Phenotypes and Outcomes in Single vs Double Lung Transplantation among Recipients with Interstitial Lung Disease. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.910] [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] Open
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36
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Mahoney I, Anderson M, Leiva-Juarez M, Costa J, Stanifer B, Lemaitre P, Sonett J, Aversa M, Robbins H, Qayum S, Shah L, D'Ovidio F, Arcasoy S, Benvenuto L. Mortality and Development of Cancer in Lung Transplant Recipients with Advanced Age. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1025] [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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37
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Jácome C, Almeida R, Pereira AM, Araújo L, Correia MA, Pereira M, Couto M, Lopes C, Chaves Loureiro C, Catarata MJ, Santos LM, Ramos B, Mendes A, Pedro E, Cidrais Rodrigues JC, Oliveira G, Aguiar AP, Arrobas AM, Costa J, Dias J, Todo Bom A, Azevedo J, Ribeiro C, Alves M, Pinto PL, Neuparth N, Palhinha A, Marques JG, Martins P, Trincão D, Neves A, Todo Bom F, Santos MA, Branco J, Loyoza C, Costa A, Silva Neto A, Silva D, Vasconcelos MJ, Teixeira MF, Ferreira-Magalhães M, Taborda Barata L, Carvalhal C, Santos N, Sofia Pinto C, Rodrigues Alves R, Moreira AS, Morais Silva P, Fernandes R, Ferreira R, Alves C, Câmara R, Ferraz de Oliveira J, Bordalo D, Calix MJ, Marques A, Nunes C, Menezes F, Gomes R, Almeida Fonseca J. Asthma App Use and Interest Among Patients With Asthma: A Multicenter Study. J Investig Allergol Clin Immunol 2021; 30:137-140. [PMID: 32327403 DOI: 10.18176/jiaci.0456] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- C Jácome
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal
| | - R Almeida
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal
| | - A M Pereira
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - L Araújo
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - M A Correia
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - M Pereira
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.,MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal
| | - M Couto
- Allergy Unit, Instituto and Hospital CUF, Porto, Portugal
| | - C Lopes
- Unidade de Imunoalergologia, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal.,Imunologia Básica e Clínica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal
| | - C Chaves Loureiro
- Serviço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M J Catarata
- Serviço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - L M Santos
- Serviço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - B Ramos
- Serviço de Pneumologia A, Hospital Universitário de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Mendes
- Serviço de Imunoalergologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal
| | - E Pedro
- Serviço de Imunoalergologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal
| | - J C Cidrais Rodrigues
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - G Oliveira
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - A P Aguiar
- Serviço de Pediatria, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Matosinhos, Portugal
| | - A M Arrobas
- Serviço de Pneumologia B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Costa
- Serviço de Pneumologia B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Dias
- Serviço de Pneumologia B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - A Todo Bom
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - J Azevedo
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - C Ribeiro
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - M Alves
- Serviço de Imunoalergologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - P L Pinto
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - N Neuparth
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal.,Pathophysiology, CEDOC, Integrated Pathophysiological Mechanisms Research Group, Nova Medical School, Lisboa, Portugal
| | - A Palhinha
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - J G Marques
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - P Martins
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal.,Pathophysiology, CEDOC, Integrated Pathophysiological Mechanisms Research Group, Nova Medical School, Lisboa, Portugal
| | - D Trincão
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - A Neves
- Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal
| | - F Todo Bom
- Serviço de Pneumologia, Hospital Beatriz Ângelo, Loures, Portugal
| | - M A Santos
- Serviço de Pneumologia, Hospital Beatriz Ângelo, Loures, Portugal
| | - J Branco
- Serviço de Pneumologia, Hospital Beatriz Ângelo, Loures, Portugal
| | - C Loyoza
- Serviço de Imunoalergologia, Hospital Amato Lusitano, Unidade Local de Saúde de Castelo Branco, Castelo Branco, Portugal
| | - A Costa
- Serviço de Pediatria, Hospital da Senhora da Oliveira, Guimarães, Portugal
| | - A Silva Neto
- Serviço de Pediatria, Hospital da Senhora da Oliveira, Guimarães, Portugal
| | - D Silva
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - M J Vasconcelos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - M F Teixeira
- Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - M Ferreira-Magalhães
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.,Serviço de Pediatria, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - L Taborda Barata
- Serviço de Imunoalergologia, Hospital Pêro da Covilhã, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
| | - C Carvalhal
- Serviço de Imunoalergologia, Hospital Pêro da Covilhã, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal
| | - N Santos
- Serviço de Imunoalergologia, Centro Hospitalar Universitário do Algarve, Portimão, Portugal
| | - C Sofia Pinto
- Serviço de Pneumologia, Hospital São Pedro de Vila Real, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal
| | - R Rodrigues Alves
- Unidade de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | - A S Moreira
- Unidade de Imunoalergologia, Hospital do Divino Espirito Santo, Ponta Delgada, Portugal
| | | | - R Fernandes
- Serviço de Pediatria, Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal.,Laboratório de Farmacologia Clínica e Terapêutica, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Portugal
| | - R Ferreira
- Serviço de Pediatria, Departamento de Pediatria, Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, Lisboa, Portugal
| | - C Alves
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | - R Câmara
- Serviço de Pneumologia, Hospital Nossa Senhora do Rosário, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal
| | | | - D Bordalo
- Serviço de Pediatria, Unidade Hospitalar de Famalicão, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão, Portugal
| | - M J Calix
- Serviço de Pediatria, Hospital de São Teotónio, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
| | - A Marques
- Serviço de Pediatria, Hospital de São Teotónio, Centro Hospitalar Tondela-Viseu, Viseu, Portugal
| | - C Nunes
- Imunoalergologia, Centro de Imunoalergologia do Algarve, Portimão, Portugal
| | - F Menezes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - R Gomes
- Serviço de Pneumologia, Hospital Garcia de Orta, Almada, Portugal
| | - J Almeida Fonseca
- Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto (FMUP), Porto, Portugal.,Allergy Unit, Instituto and Hospital CUF, Porto, Portugal.,MEDIDA - Medicina, Educação, Investigação, Desenvolvimento e Avaliação, Porto, Portugal.,Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Porto, Portugal
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Waniek PJ, Araújo CAC, Jansen AM, Costa J. First genotyping of Trypanosoma cruzi from naturally infected Triatoma juazeirensis, Triatoma melanica and Triatoma sherlocki from Bahia State, Brazil. Med Vet Entomol 2021; 35:134-140. [PMID: 32648329 DOI: 10.1111/mve.12459] [Citation(s) in RCA: 3] [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: 02/02/2020] [Revised: 05/04/2020] [Accepted: 05/27/2020] [Indexed: 06/11/2023]
Abstract
Many previous studies have shown a great phylogenetic and biological variability of Trypanosoma cruzi using different molecular and biochemical methods. Populations of T. cruzi were initially clustered into two main lineages called TcI and TcII by the size of the mini-exon PCR product. In the present study, 33 isolates derived from three triatomine taxa, which belong to the Triatoma brasiliensis species complex (Triatoma juazeirensis, Triatoma melanica and Triatoma sherlocki); collected in three distinct areas of Bahia state were characterized by PCR. The isolates were identified by the size of the mini-exon gene, 18S rRNA and 24Sα rRNA amplicons. T. cruzi isolates obtained in sylvatic and intradomiciliar ecotopes, derived from T. juazeirensis and T. melanica, were identified as TcI while the parasites originated from T. sherlocki were characterized as TcI and TcII genotypes, respectively. Those species are present in sylvatic ecotopes but are able to infest intradomiciliar areas. Therefore, it would be important to maintain studies in those localities of Bahia and further investigate the possibilities of Chagas disease transmission. Human disease may occur by any T. cruzi genotype and not only by TcII as it is the case in Amazonia.
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Affiliation(s)
- P J Waniek
- Laboratório de Biologia de Insetos, Departamento de Biologia Geral, Universidade Federal Fluminense, Rio de Janeiro, Brazil
- Laboratório de Biologia de Tripanosomatídeos, Instituto Oswaldo Cruz-FIOCRUZ, Rio de Janeiro, Brazil
| | - C A C Araújo
- Laboratório de Biologia de Insetos, Departamento de Biologia Geral, Universidade Federal Fluminense, Rio de Janeiro, Brazil
- Laboratório de Biodiversidade Entomológica, Instituto Oswaldo Cruz-FIOCRUZ, Rio de Janeiro, Brazil
| | - A M Jansen
- Laboratório de Biologia de Tripanosomatídeos, Instituto Oswaldo Cruz-FIOCRUZ, Rio de Janeiro, Brazil
| | - J Costa
- Laboratório de Biodiversidade Entomológica, Instituto Oswaldo Cruz-FIOCRUZ, Rio de Janeiro, Brazil
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Freitas C, Veiga F, Costa J, Araújo D, Novais-Bastos H, Santos V, Magalhães A, Hespanhol V, Queiroga H, Fernandes G. P01.15 Immune-Related Adverse Effects of Immunotherapy in Patients With Advanced Non-Small Cell Lung Carcinoma. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.339] [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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Costa J, Vanhove P, George E, Simon J, Horrer I, Metz D. High furosemide doses and survival in heart failure patients: A propensity score study. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.114] [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: 10/22/2022]
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41
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Vanhove P, Costa J, Metz D. Comorbidities and survival after acute decompensated heart failure hospitalisation. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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42
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Costa J, Mesrar H, Chapoutot L, Maillier B, Metz D. Prevalence and prognosis of iron deficiency in acute myocardial infarction. Archives of Cardiovascular Diseases Supplements 2021. [DOI: 10.1016/j.acvdsp.2020.10.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Madeira-Ott T, Thyssen PJ, Costa J. Phasmatodea (Arthropoda, Insecta) in Brazil: Status, New Record, and Proposal for Using Molecular Tools to Assist in Species Identification. Neotrop Entomol 2020; 49:916-922. [PMID: 32700190 DOI: 10.1007/s13744-020-00798-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 06/22/2020] [Indexed: 06/11/2023]
Abstract
Phasmatodea (Arthropoda, Insecta) comprises phytophagous insects, popularly known as stick bugs because most of them resemble dry branches. Currently, more than 3000 species are known, the majority of which can be found in tropical regions of the world. In Brazil, it is estimated that there are approximately 200 species, but these numbers may not truly reflect the group's richness. A high degree of intraspecific polymorphism, a low number of specimens sampled, a shortage of specialized literature, and having only a small number of experts have amplified the difficulties in studying this order. Therefore, this study aims to present a historical survey of the Phasmatodea studies that have been conducted in Brazil thus far, indicating gaps in knowledge and discussing perspectives to expand understanding within this group. Furthermore, to the best our knowledge, the molecular characterization of the cytochrome oxidase subunit I gene of mitochondrial DNA of two species of phasmids found in Brazil, Cladomorphus phyllinus Gray, 1835, and Pseudophasma missionum Piza, 1981, is presented for the first time. In addition, this study records for the first time the occurrence of P. missionum in Brazilian territory.
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Affiliation(s)
- T Madeira-Ott
- Lab of Integrative Entomology, Dept of Animal Biology, IB, Univ of Campinas (UNICAMP), Campinas, São Paulo State, Brasil
| | - P J Thyssen
- Lab of Integrative Entomology, Dept of Animal Biology, IB, Univ of Campinas (UNICAMP), Campinas, São Paulo State, Brasil.
| | - J Costa
- Lab of Entomological Biodiversity, Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, Rio de Janeiro State, Brasil
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Mendenhall N, Bryant C, Hoppe B, Nichols R, Mendenhall W, Morris C, Li Z, Su Z, Liang X, Balaji K, Bandyk M, Costa J, Henderson R. Ten-Year Outcomes From Three Prospective Clinical Trials Of Image-Guided Proton Therapy In Prostate Cancer. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.553] [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: 11/16/2022]
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45
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Gouveia P, Bessa S, Oliveira H, Batista E, Aleluia M, Ip J, Costa J, Nuno L, Pinto D, Mavioso C, Anacleto J, Abreu N, Morgado P, Martinho M, Teixeira J, Carvalho P, Cardoso J, Alves C, Cardoso F, Cardoso M. A Breast 3D model as a possible tool for non-invasive tumour localization in breast surgery. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)30736-x] [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: 11/27/2022]
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Ribeiro J, Machado S, Natal R, Costa J, Oliveira M, Gomes R, Fereira L. CHRONIC EOSINOPHILIC PNEUMONIA AND SARCOIDOSIS: AN UNUSUAL ASSOCIATION. Chest 2020. [DOI: 10.1016/j.chest.2020.05.189] [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: 10/24/2022] Open
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Mashayekhi Sardoo A, Sobral D, Domingues L, Rodrigues-Manica S, Pinheiro Torres R, Neto A, Alves P, Costa J, Grosso AR, Branco J, Pimentel Dos Santos F. THU0021 IDENTIFICATION OF MUSCLE ASSOCIATED KEY GENES TO SUPPORT AXIAL SPONDYLOARTHRITIS DIAGNOSIS BY TRANSCRIPTOMIC APPROACH, THE MYOSPA STUDY. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.5331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:Early diagnosis of axial Spondyloarthritis (axSpA) represents a major clinical challenge nowadays. Increasing evidence has determined that early diagnosis, prompt treatment initiation and early achievement of remission are the best predictors of long-term clinical, functional and radiographic outcomes. New tools to support the diagnosis are needed.Objectives:This study aims to identify differentially expressed genes that may improve the current clinical diagnosis approach for early axSpA.Methods:A cross-sectional study was conducted on 50 participants, 25 patients with axSpA (according to ASAS criteria) and 25 Healthy Controls, matched by gender, age and levels of physical activity. Peripheral blood samples were collected and RNA-Seq technology was performed. Normalization of raw data, and identification of differentially expressed genes was obtained using edgeR and limma-voom R packages. Gene Set Enrichment Analysis (GSEA) and Functional Enrichment analysis using Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) annotations were also performed. A number of Differently Expressed Genes were highlighted.Results:311 genes were identified as being significantly differentially expressed between patients and controls. In details, 129 downregulated (7 genes have fold change more than 1) and 182 upregulated genes (3 genes have fold change more than 1) are highlighted. These genes are mostly involved in Myogenesis, Innate Immune Signalling and JAK/STAT pathways. Several genes with functions of skeletal muscle development and muscle contraction were identified.Conclusion:The evidence disclosed that regulation of muscle development and contraction may be also engaged in physiopathology mechanisms of axSpA. These new cues open new perspectives for diagnosis and therapeutic approaches in axSpA.Acknowledgments:To all patients and healthy people who participate in MyoSpA studyDisclosure of Interests:Atlas Mashayekhi Sardoo: None declared, Daniel Sobral: None declared, Lucia Domingues: None declared, Santiago Rodrigues-Manica Speakers bureau: Jansse, MSD, Novartis, Rita Pinheiro Torres: None declared, Agna Neto: None declared, Patricia Alves: None declared, Julia Costa: None declared, Ana Rita Grosso: None declared, Jaime Branco Speakers bureau: Vitoria, Fernando Pimentel dos Santos Speakers bureau: Novartis, Pfizer, Biogen, Vitoria,
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Furfaro D, Aversa M, Shah L, Robbins H, Anderson M, Sonett J, D'Ovidio F, Stanifer B, Kim H, Costa J, Arcasoy S, Benvenuto L. Low Lung Allocation Score Predicts Poor Waitlist Outcomes for Patients on Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplantation. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.852] [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: 10/24/2022] Open
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49
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Esteve M, Carreras R, Casas I, Peña P, Guixeras A, Torrecillas S, Bretau F, Subirats P, Alonso A, Soldevila N, Costa J, Domínguez A. The immune status against tetanus and diphtheria in healthcare workers in Catalonia. Vaccine 2020; 38:2646-2650. [DOI: 10.1016/j.vaccine.2020.01.076] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 01/23/2020] [Accepted: 01/24/2020] [Indexed: 01/02/2023]
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Björklund E, Pallaroni L, Holst CV, Unglaub W, Bosch J, Calderon-Alvarez F, Costa J, Cowles J, Gaede W, Krause M, Marmo S, Pecoraro S, Reaney S, Sutton M, Thiele D, Wolf C. Method of Determination of Appropriate Heat Treatment of Animal Meal by Immunoassay Developed for Detection of Cooked Beef: Interlaboratory Study. J AOAC Int 2019. [DOI: 10.1093/jaoac/84.6.1839] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
An interlaboratory trial was conducted for the validation of an enzyme-linked immunosorbent assay (ELISA) method for determination of appropriate heat treatment of animal meal. A commercially available ELISA test kit developed for the identification of beef in cooked food was used in the study. Twelve laboratories from 7 European countries examined 2 different analytical protocols to establish the most appropriate analytical method. Three different samples were used, 2 animal waste materials sterilized at 129 and 134°C (wet conditions), respectively, and a meat and bone meal material processed at dry conditions (maximum temperature, 140°C). Statistical evaluation applying t-statistics showed that the animal meal treated according to European legislation (>133°C) was clearly distinguishable from the 2 other test materials at a 99% confidence level using both analytical protocols. This method can be considered as a complementary test to the immunoassay developed for the detection of pork in cooked food that is already applied in routine analysis for the surveillance of rendering plants.
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Affiliation(s)
- Erland Björklund
- European Commission, Joint Research Centre, Food Products and Consumer Goods Unit, I-21020 Ispra (VA), Italy
| | - Lea Pallaroni
- European Commission, Joint Research Centre, Food Products and Consumer Goods Unit, I-21020 Ispra (VA), Italy
| | - Christoph von Holst
- European Commission, Joint Research Centre, Food Products and Consumer Goods Unit, I-21020 Ispra (VA), Italy
| | - Wolfgang Unglaub
- Staatliches Tieraerztliches Untersuchungsamt Aulendorf, Centre for Diagnostic Baden-Wuerttemberg, Loewenbreitestrasse 18-20, D-88326 Aulendorf, Germany
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