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Jouffroy R, Djossou F, Neviere R, Jaber S, Vivien B, Heming N, Gueye P. The chain of survival and rehabilitation for sepsis: concepts and proposals for healthcare trajectory optimization. Ann Intensive Care 2024; 14:58. [PMID: 38625453 PMCID: PMC11019190 DOI: 10.1186/s13613-024-01282-6] [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: 10/06/2023] [Accepted: 03/26/2024] [Indexed: 04/17/2024] Open
Abstract
This article describes the structures and processes involved in healthcare delivery for sepsis, from the prehospital setting until rehabilitation. Quality improvement initiatives in sepsis may reduce both morbidity and mortality. Positive outcomes are more likely when the following steps are optimized: early recognition, severity assessment, prehospital emergency medical system activation when available, early therapy (antimicrobials and hemodynamic optimization), early orientation to an adequate facility (emergency room, operating theater or intensive care unit), in-hospital organ failure resuscitation associated with source control, and finally a comprehensive rehabilitation program. Such a trajectory of care dedicated to sepsis amounts to a chain of survival and rehabilitation for sepsis. Implementation of this chain of survival and rehabilitation for sepsis requires full interconnection between each link. To date, despite regular international recommendations updates, the adherence to sepsis guidelines remains low leading to a considerable burden of the disease. Developing and optimizing such an integrated network could significantly reduce sepsis related mortality and morbidity.
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Affiliation(s)
- Romain Jouffroy
- Intensive Care Unit, Ambroise Paré Hospital, Assistance Publique - Hôpitaux de Paris, Boulogne Billancourt, France.
- Centre de recherche en Epidémiologie et Santé des Populations - U1018 INSERM - Paris Saclay University, Paris, France.
- EA 7329 - Institut de Recherche Médicale et d'Épidémiologie du Sport - Institut National du Sport, de l'Expertise et de la Performance, Paris, France.
- Service de Médecine Intensive Réanimation, Hôpital Universitaire Ambroise Paré, Assistance Publique - Hôpitaux de Paris, and Paris Saclay University, Saclay, France.
| | - Félix Djossou
- Service des Maladies Infectieuses et Tropicales, Guyane and Laboratoire Ecosystèmes Amazoniens et Pathologie Tropicale EA 3593, Centre Hospitalier de Cayenne, Université de Guyane, Cayenne, France
| | - Rémi Neviere
- Service des Explorations Fonctionnelles Centre Hospitalier Universitaire de Martinique et UR5_3 PC2E Pathologie Cardiaque, toxicité Environnementale et Envenimations (ex EA7525, Université des Antilles, Antilles, France
| | - Samir Jaber
- Anesthesiology and Intensive Care; Anesthesia and Critical Care Department B, Saint Eloi Teaching Hospital, University of Montpellier, INSERM U1046, Centre Hospitalier Universitaire Montpellier, Montpellier, 34295, France
| | - Benoît Vivien
- Service d'Anesthésie Réanimation, SAMU de Paris, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Université Paris Cité, Paris, France
| | - Nicholas Heming
- Department of Intensive Care, Raymond Poincaré Hospital, Laboratory of Infection & Inflammation - U1173, School of Medicine Simone Veil, FHU SEPSIS (Saclay and Paris Seine Nord Endeavour to PerSonalize Interventions for Sepsis), APHP University Versailles Saint Quentin - University Paris Saclay, University Versailles Saint Quentin - University Paris Saclay, INSERM, Garches, Garches, 92380, France
| | - Papa Gueye
- SAMU 972, Centre Hospitalier Universitaire de Martinique, Fort-de-France Martinique, University of the Antilles, French West Indies, Antilles, France
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Jouffroy R, Négrello F, Limery J, Gilbert B, Travers S, Bloch-Laine E, Ecollan P, Boularan J, Bounes V, Vivien B, Gueye P. The prehospital NEW score to assess septic shock in-hospital, 30-day and 90-day mortality. BMC Infect Dis 2024; 24:213. [PMID: 38365608 PMCID: PMC10873999 DOI: 10.1186/s12879-024-09104-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 02/06/2024] [Indexed: 02/18/2024] Open
Abstract
BACKGROUND The early identification of sepsis presenting a high risk of deterioration is a daily challenge to optimise patient pathway. This is all the most crucial in the prehospital setting to optimize triage and admission into the appropriate unit: emergency department (ED) or intensive care unit (ICU). We report the association between the prehospital National Early Warning Score 2 (NEWS-2) and in-hospital, 30 and 90-day mortality of SS patients cared for in the pre-hospital setting by a mobile ICU (MICU). METHODS Septic shock (SS) patients cared for by a MICU between 2016, April 6th and 2021 December 31st were included in this retrospective cohort study. The NEWS-2 is based on 6 physiological variables (blood pressure, heart rate, respiratory rate, temperature, oxygen saturation prior oxygen supplementation, and level of consciousness) and ranges from 0 to 20. The Inverse Probability Treatment Weighting (IPTW) propensity method was applied to assess the association with in-hospital, 30 and 90-day mortality. A NEWS-2 ≥ 7 threshold was chosen for increased clinical deterioration risk definition and usefulness in clinical practice based on previous reports. RESULTS Data from 530 SS patients requiring MICU intervention in the pre-hospital setting were analysed. The mean age was 69 ± 15 years and presumed origin of sepsis was pulmonary (43%), digestive (25%) or urinary (17%) infection. In-hospital mortality rate was 33%, 30 and 90-day mortality were respectively 31% and 35%. A prehospital NEWS-2 ≥ 7 is associated with an increase in-hospital, 30 and 90-day mortality with respective RRa = 2.34 [1.39-3.95], 2.08 [1.33-3.25] and 2.22 [1.38-3.59]. Calibration statistic values for in-hospital mortality, 30-day and 90-day mortality were 0.54; 0.55 and 0.53 respectively. CONCLUSION A prehospital NEWS-2 ≥ 7 is associated with an increase in in-hospital, 30 and 90-day mortality of septic shock patients cared for by a MICU in the prehospital setting. Prospective studies are needed to confirm the usefulness of NEWS-2 to improve the prehospital triage and orientation to the adequate facility of sepsis.
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Affiliation(s)
- Romain Jouffroy
- Intensive Care Unit, Ambroise Paré Hospital- Assistance Publique Hôpitaux Paris, 9 avenue Charles De Gaulle, 92100, Boulogne-Billancourt, Paris, France.
- IRMES - Institute for Research in Medicine and Epidemiology of Sport, INSEP, Paris, France.
- INSERM U-1018, Centre de recherche en Epidémiologie et Santé des Populations - U1018 INSERM, Paris Saclay University, Villejuif, France.
- SAMU 972, Centre Hospitalier Universitaire de Martinique, Fort-de-France Martinique, France.
- UR5_3 PC2E, University of the Antilles, French West Indies, France.
| | - Florian Négrello
- SAMU 972, Centre Hospitalier Universitaire de Martinique, Fort-de-France Martinique, France
- UR5_3 PC2E, University of the Antilles, French West Indies, France
| | - Jean Limery
- SAMU 972, Centre Hospitalier Universitaire de Martinique, Fort-de-France Martinique, France
- UR5_3 PC2E, University of the Antilles, French West Indies, France
| | - Basile Gilbert
- Department of Emergency Medicine, SAMU 31, University Hospital of Toulouse, Toulouse, France
| | | | - Emmanuel Bloch-Laine
- Emergency Department, Cochin Hospital, Paris, France
- Emergency Department, SMUR, Hôtel Dieu Hospital, Paris, France
| | - Patrick Ecollan
- Intensive Care Unit, SMUR, Pitie Salpêtriere Hospital, 47 Boulevard de l'Hôpital, 75013, Paris, France
| | - Josiane Boularan
- Centre Hospitalier Intercommunal Castres-Mazamet, Castres, France
| | - Vincent Bounes
- Department of Emergency Medicine, SAMU 31, University Hospital of Toulouse, Toulouse, France
| | - Benoit Vivien
- Intensive Care Unit, Anaesthesiology, SAMU, Necker Enfants Malades Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France
| | - Papa Gueye
- SAMU 972, Centre Hospitalier Universitaire de Martinique, Fort-de-France Martinique, France
- UR5_3 PC2E, University of the Antilles, French West Indies, France
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Jouffroy R, Gille S, Gilbert B, Travers S, Bloch-Laine E, Ecollan P, Boularan J, Bounes V, Vivien B, Gueye P. RELATIONSHIP BETWEEN SHOCK INDEX, MODIFIED SHOCK INDEX, AND AGE SHOCK INDEX AND 28-DAY MORTALITY AMONG PATIENTS WITH PREHOSPITAL SEPTIC SHOCK. J Emerg Med 2024; 66:144-153. [PMID: 38336569 DOI: 10.1016/j.jemermed.2023.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 11/05/2023] [Accepted: 11/16/2023] [Indexed: 02/12/2024]
Abstract
BACKGROUND A relative hypovolemia occurs during septic shock (SS); the early phase is clinically reflected by tachycardia and low blood pressure. In the prehospital setting, simple objective tools to assess hypovolemia severity are needed to optimize triaging. OBJECTIVE The aim of this study was to evaluate the relationship between shock index (SI), diastolic SI (DSI), modified SI (MSI), and age SI (ASI) and 28-day mortality of patients with SS initially cared for in a prehospital setting of a mobile intensive care unit (MICU). METHODS From April 6, 2016 through December 31, 2021, 530 patients with SS cared for at a prehospital MICU were analyzed retrospectively. Initial SI, MSI, DSI, and ASI values, that is, first measurement after MICU arrival to the scene were calculated. A propensity score analysis with inverse probability of treatment weighting (IPTW) method was used to assess the relationship between SI, DSI, MSI, and ASI and 28-day mortality. RESULTS SS resulted mainly from pulmonary, digestive, and urinary infections in 44%, 25%, and 17% of patients. The 28-day overall mortality was 31%. IPTW propensity score analysis indicated a significant relationship between 28-day mortality and SI (adjusted odds ratio [aOR] 1.13; 95% CI 1.01-1.26; p = 0.04), DSI (aOR 1.16; 95% CI 1.06-1.34; p = 0.03), MSI (aOR 1.03; 95% CI 1.01-1.17; p = 0.03), and ASI (aOR 3.62; 95% CI 2.63-5.38; p < 10-6). CONCLUSIONS SI, DSI, MSI, and ASI were significantly associated with 28-day mortality among patients with SS cared for at a prehospital MICU. Further studies are needed to confirm the usefulness of SI and SI derivates for prehospital SS optimal triaging.
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Affiliation(s)
- Romain Jouffroy
- Intensive Care Unit, University Hospital Ambroise Paré, Assistance Publique-Hôpitaux de Paris, Boulogne Billancourt, France; Intensive Care Unit, Anaesthesiology, Service d'Aide Médicale Urgente, Necker Enfants Malades Hospital, Assistance Publique-Hôpitaux de Paris, Université de Paris, Paris, France; EA 7329-Institut de Recherche Médicale et d'Épidémiologie du Sport, Institut National du Sport, de l'Expertise et de la Performance, Paris, France
| | - Sonia Gille
- SAMU 972, University Hospital of Martinique, Pierre Zobda Quitman Hospital, Fort-de-France Martinique, France
| | - Basile Gilbert
- Department of Emergency Medicine, SAMU 31, University Hospital of Toulouse, Toulouse, France
| | | | - Emmanuel Bloch-Laine
- Emergency Department, Cochin Hospital, Paris, France; Emergency Department, Service Mobile d'Urgence et Reanimation, Hôtel Dieu Hospital, Paris, France
| | - Patrick Ecollan
- Intensive Care Unit, Service Mobile d'Urgence et Reanimation, La Pitié-Salpêtrière Hospital, Paris, France
| | | | - Vincent Bounes
- Department of Emergency Medicine, SAMU 31, University Hospital of Toulouse, Toulouse, France
| | - Benoît Vivien
- Intensive Care Unit, Anaesthesiology, Service d'Aide Médicale Urgente, Necker Enfants Malades Hospital, Assistance Publique-Hôpitaux de Paris, Université de Paris, Paris, France
| | - Papa Gueye
- SAMU 972, University Hospital of Martinique, Pierre Zobda Quitman Hospital, Fort-de-France Martinique, France
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Jouffroy R, Gueye P. Do prehospital sepsis alerts decrease time to complete CMS sepsis measures? Am J Emerg Med 2023; 72:201-202. [PMID: 37596201 DOI: 10.1016/j.ajem.2023.08.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 08/09/2023] [Indexed: 08/20/2023] Open
Affiliation(s)
- Romain Jouffroy
- Intensive Care Unit, Ambroise Paré Hospital, Assistance Publique Hôpitaux Paris and Paris Saclay University, Boulogne Billancourt, France; Institut de Recherche bioMédicale et d'Epidémiologie du Sport - EA7329, INSEP - Paris University, France; Centre de recherche en Epidémiologie et Santé des Populations - U1018 INSERM - Paris Saclay University, France.
| | - Papa Gueye
- SAMU 972, Centre Hospitalier Universitaire de Martinique, Fort-de-France Martinique, France; EA 7525 University of the Antilles, French West Indies, France
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Jouffroy R, Gilbert B, Tourtier JP, Bloch-Laine E, Ecollan P, Boularan J, Bounes V, Vivien B, Gueye P. Prehospital pulse pressure and mortality of septic shock patients cared for by a mobile intensive care unit. BMC Emerg Med 2023; 23:97. [PMID: 37626302 PMCID: PMC10464421 DOI: 10.1186/s12873-023-00864-0] [Citation(s) in RCA: 1] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 08/03/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Septic shock medical treatment relies on a bundle of care including antibiotic therapy and hemodynamic optimisation. Hemodynamic optimisation consists of fluid expansion and norepinephrine administration aiming to optimise cardiac output to reach a mean arterial pressure of 65mmHg. In the prehospital setting, direct cardiac output assessment is difficult because of the lack of invasive and non-invasive devices. This study aims to assess the relationship between 30-day mortality and (i) initial pulse pressure (iPP) as (ii) pulse pressure variation (dPP) during the prehospital stage among patients cared for SS by a prehospital mobile intensive care unit (MICU). METHODS From May 09th, 2016 to December 02nd, 2021, septic shock patients requiring MICU intervention were retrospectively analysed. iPP was calculated as the difference between systolic blood pressure (SBP) and diastolic blood pressure (DBP) at the first contact between the patient and the MICU team prior to any treatment and, dPP as the difference between the final PP (the difference between SBP and DBP at the end of the prehospital stage) and iPP divided by prehospital duration. To consider cofounders, the propensity score method was used to assess the relationship between (i) iPP < 40mmHg, (ii) positive dPP and 30-day mortality. RESULTS Among the 530 patients analysed, pulmonary, digestive, and urinary infections were suspected among 43%, 25% and 17% patients, respectively. The 30-day overall mortality rate reached 31%. Cox regression analysis showed an association between 30-day mortality and (i) iPP < 40mmHg; aHR of 1.61 [1.03-2.51], and (ii) a positive dPP; aHR of 0.56 [0.36-0.88]. CONCLUSION The current study reports an association between 30-day mortality rate and iPP < 40mmHg and a positive dPP among septic shock patients cared for by a prehospital MICU. A negative dPP could be helpful to identify septic shock with higher risk of poor outcome despite prehospital hemodynamic optimization.
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Affiliation(s)
- Romain Jouffroy
- Intensive Care Unit, Ambroise Paré Hospital, Assistance Publique Hôpitaux Paris and Paris Saclay University, 9 avenue Charles De Gaulle, Boulogne-Billancourt, 92100, France.
- Intensive Care Unit, Anaesthesiology, SAMU, Necker Enfants Malades Hospital, Assistance Publique - Hôpitaux Paris, Paris, France.
- Centre de recherche en Epidémiologie et Santé des Populations - U1018 INSERM, Paris Saclay University, Villejuif, France.
- Institut de Recherche bioMédicale et d'Epidémiologie du Sport - EA7329, INSEP - Paris University, Paris, France.
- EA 7525 Université des Antilles, Fort de France, France.
| | - Basile Gilbert
- Department of Emergency Medicine, SAMU 31, University Hospital of Toulouse, Toulouse, France
| | | | - Emmanuel Bloch-Laine
- Emergency Department, Cochin Hospital, Paris, France
- Emergency Department, SMUR, Hôtel Dieu Hospital - Assistance Publique - Hôpitaux Paris, Paris, France
| | - Patrick Ecollan
- Intensive Care Unit, SMUR, Pitie Salpêtriere Hospital, 47 Boulevard de l'Hôpital, Paris - Assistance Publique - Hôpitaux Paris, Paris, 75013, France
| | - Josiane Boularan
- SAMU 31, Centre Hospitalier Intercommunal Castres-Mazamet, Castres, France
| | - Vincent Bounes
- Department of Emergency Medicine, SAMU 31, University Hospital of Toulouse, Toulouse, France
| | - Benoit Vivien
- Intensive Care Unit, Anaesthesiology, SAMU, Necker Enfants Malades Hospital, Assistance Publique - Hôpitaux Paris, Paris, France
| | - Papa Gueye
- EA 7525 Université des Antilles, Fort de France, France
- SAMU 972, Centre Hospitalier Universitaire de Martinique, Fort-de-France Martinique, France
- EA 7525 University of the Antilles, Martinique, France
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Jouffroy R, Gueye P. Comment on: Evidence for Use of Validated Sepsis Screening Tools in the Prehospital Population. PREHOSP EMERG CARE 2023; 28:494. [PMID: 37494276 DOI: 10.1080/10903127.2023.2240901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 07/18/2023] [Indexed: 07/28/2023]
Affiliation(s)
- Romain Jouffroy
- Service de Médecine Intensive Réanimation, Hôpital Universitaire Ambroise Paré, Assistance Publique - Hôpitaux de Paris, and Paris Saclay University
| | - Papa Gueye
- SAMU 972, Centre Hospitalier Universitaire de Martinique, Fort-de-France Martinique, France, and EA 7525 University of the Antilles, French West Indies
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Jouffroy R, Gueye P, Djossou F, Vivien B. Usefulness of Prehospital Care for Patients with Septic Shock: Experience and Evidence-Based Medicine Are Mounting. PREHOSP EMERG CARE 2023; 27:767-768. [PMID: 37307225 DOI: 10.1080/10903127.2023.2225093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 06/10/2023] [Indexed: 06/14/2023]
Affiliation(s)
- Romain Jouffroy
- Service de Médecine Intensive Réanimation, Hôpital Universitaire Ambroise Paré, Assistance Publique - Hôpitaux de Paris, Paris Saclay University, Gif-sur-Yvette, France
| | - Papa Gueye
- SAMU 972 Centre Hospitalier Universitaire de Hôpital de Martinique, Université des Antilles, Pointe-à-Pitre, Guadeloupe
| | - Félix Djossou
- Service des Maladies Infectieuses et Tropicales, Centre Hospitalier de Cayenne, Guyane and Laboratoire Ecosystèmes Amazoniens et Pathologie Tropicale, Université de Guyane, Cayenne, French Guiana
| | - Benoît Vivien
- SAMU de Paris, Service d'Anesthésie Réanimation, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, Université Paris Cité, Paris, France
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Jouffroy R, Gueye P, Vivien B. Turning Back the Clock: Prehospital Antibiotics for Patients With Septic Shock: Let Us Act at the Right Time. Crit Care Med 2023; 51:e97-e98. [PMID: 36928019 DOI: 10.1097/ccm.0000000000005773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Affiliation(s)
- Romain Jouffroy
- Intensive Care Unit, Service de Médecine Intensive Réanimation, Hôpital Universitaire Ambroise Paré, Assistance Publique - Hôpitaux de Paris, and Paris Saclay University, Boulogne-Billancourt, France
| | - Papa Gueye
- Intensive Care Unit, SAMU 972 Hôpital Universitaire de Martinique, Fort-de-France Martinique, France
| | - Benoît Vivien
- Intensive Care Unit, SAMU de Paris, Service d'Anesthésie Réanimation, Hôpital Universitaire Necker - Enfants Malades, Assistance Publique - Hôpitaux de Paris, and Université Paris Cité, Paris, France
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Resiere D, Florentin J, Kallel H, Banydeen R, Valentino R, Dramé M, Barnay JL, Gueye P, Mégarbane B, Mehdaoui H, Neviere R. Chlordecone (Kepone) poisoning in the French Territories in the Americas. Lancet 2023; 401:916. [PMID: 36933939 DOI: 10.1016/s0140-6736(23)00180-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 01/23/2023] [Indexed: 03/18/2023]
Affiliation(s)
- Dabor Resiere
- Department of Critical Care, CHU Martinique (University Hospital of Martinique), Fort-de-France 97261, France; Cardiovascular EA7525 Research Team, Université des Antilles (University of the French West Indies), Fort-de-France, France.
| | - Jonathan Florentin
- Emergency Department, CHU Martinique (University Hospital of Martinique), Fort-de-France 97261, France
| | - Hatem Kallel
- Intensive Care Unit, Cayenne General Hospital, Cayenne, French Guiana, France
| | - Rishika Banydeen
- Clinical Research Department, CHU Martinique (University Hospital of Martinique), Fort-de-France 97261, France; Cardiovascular EA7525 Research Team, Université des Antilles (University of the French West Indies), Fort-de-France, France
| | - Ruddy Valentino
- Department of Critical Care, CHU Martinique (University Hospital of Martinique), Fort-de-France 97261, France
| | - Moustapha Dramé
- Clinical Research Department, CHU Martinique (University Hospital of Martinique), Fort-de-France 97261, France
| | - José-Louis Barnay
- Department of Rehabilitation and Physiotherapy, CHU Martinique (University Hospital of Martinique), Fort-de-France 97261, France
| | - Papa Gueye
- Emergency Department, CHU Martinique (University Hospital of Martinique), Fort-de-France 97261, France
| | - Bruno Mégarbane
- Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris Cité University, INSERM UMRS-1144, Paris, France
| | - Hossein Mehdaoui
- Department of Critical Care, CHU Martinique (University Hospital of Martinique), Fort-de-France 97261, France; Cardiovascular EA7525 Research Team, Université des Antilles (University of the French West Indies), Fort-de-France, France
| | - Rémi Neviere
- Cardiology Department, CHU Martinique (University Hospital of Martinique), Fort-de-France 97261, France; Cardiovascular EA7525 Research Team, Université des Antilles (University of the French West Indies), Fort-de-France, France
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Resiere D, Kallel H, Florentin J, Banydeen R, Compton K, Gueye P, Mehdaoui H, Neviere R. Sargassum seaweed in the Caribbean: A major public health problem still unsolved. J Glob Health 2023; 13:03017. [PMID: 36929738 PMCID: PMC10024476 DOI: 10.7189/jogh.13.03017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Affiliation(s)
- Dabor Resiere
- Department of Critical Care Medicine, University Hospital of Martinique, Fort-de-France, Martinique, France
| | - Hatem Kallel
- Department of Critical Care Medicine, General Hospital of Cayenne, Cayenne, France
| | - Jonathan Florentin
- Department of Critical Care Medicine, University Hospital of Martinique, Fort-de-France, Martinique, France
| | - Rishika Banydeen
- Department of Clinical Research, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Keats Compton
- Department of Critical Care Medicine, University Hospital of Martinique, Fort-de-France, Martinique, France
| | - Papa Gueye
- Department of Critical Care Medicine, University Hospital of Martinique, Fort-de-France, Martinique, France
| | - Hossein Mehdaoui
- Department of Critical Care Medicine, University Hospital of Martinique, Fort-de-France, Martinique, France
| | - Remi Neviere
- Department of Clinical Research, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- Department of Cardiology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
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Jouffroy R, Gueye P. Intensive care unit versus high-dependency care unit admission on mortality in patients with septic shock: let's think to the survival chain concept for septic shock. J Intensive Care 2022; 10:52. [PMID: 36471435 PMCID: PMC9721083 DOI: 10.1186/s40560-022-00643-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 11/01/2022] [Indexed: 12/09/2022] Open
Affiliation(s)
- Romain Jouffroy
- grid.50550.350000 0001 2175 4109Intensive Care Unit, Ambroise Paré University Hospital, Assistance Publique-Hôpitaux de Paris, and Paris Saclay University, Paris, France
| | - Papa Gueye
- grid.412874.c0000 0004 0641 4482SAMU 972 University Hospital of Martinique, Fort-de-France, Martinique France
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Florentin J, Neviere R, Gueye P, Mégarbane B, Mehdaoui H, Resiere D. Acute Rubigine ® Poisoning in Martinique a French Overseas Department of America: Clinical Characteristics and Prognostic Factors. Toxics 2022; 10:453. [PMID: 36006132 PMCID: PMC9413589 DOI: 10.3390/toxics10080453] [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] [Figures] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 07/28/2022] [Accepted: 07/30/2022] [Indexed: 06/15/2023]
Abstract
Rubigine® is an anti-rust stain remover containing fluorides which is believed to have been the cause of many deaths in Martinique. However, after the modification of its composition in 2006, serious poisoning from old formulas containing fluorides persisted. Our main objective was to determine the clinical characteristics and prognostic factors of these intoxications. Methods: Any patient admitted to the Martinique University Hospital for acute Rubigine® poisoning was included from 1 January 2000 to 31 December 2016. Usual demographic and clinical data were collected and comparisons between surviving and deceased patients made using a univariate analysis and logistic regression. Results: Fifty-five patients were included (mean age: 43 years; sex ratio M/F: 1.1), and the main clinical characteristics were: changes in electrocardiogram (ECG) (80%), digestive system disorders (75%), and neurological disorders (12%). The main features linked to death were the presence of hydrofluoric acid (p < 0.0001), age over 55 years (p = 0.01), hypocalcemia after the initial intravenous calcium supplementation (p = 0.0003), diarrhea (p < 0.0001), hypersialorrhea (p < 0.0001), myocardial excitability (p < 0.0001), and state of shock (p < 0.0001). Three patients required circulatory support by venous-arterial ECMO. Mortality was 10.9%. Conclusions: Rubigine® poisoning is responsible for significant morbidity and mortality. Fortunately, its incidence as well as mortality has sharply decreased in Martinique thanks to the measures taken by the French state. This retrospective work nevertheless shows that acute intoxication by the old formula of Rubigine® remains the main factor of poor prognosis.
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Affiliation(s)
- Jonathan Florentin
- Service des Urgences Adultes, Centre Hospitalier Universitaire de Martinique (Fort-de-France), CEDEX, 97261 Fort-de-France, France
| | - Remi Neviere
- Service de Réanimation Polyvalente, Centre Hospitalier Universitaire de Martinique (Fort-de-France), CEDEX, 97261 Fort-de-France, France
| | - Papa Gueye
- SAMU Centre 15, Centre Hospitalier Universitaire de Martinique (Fort-de-France), CEDEX, 97261 Fort-de-France, France
| | - Bruno Mégarbane
- Soins Intensifs Médicaux et Toxicologiques, Hôpital Lariboisière, Université Paris-Diderot, 75011 Paris, France
| | - Hossein Mehdaoui
- Service de Réanimation Polyvalente, Centre Hospitalier Universitaire de Martinique (Fort-de-France), CEDEX, 97261 Fort-de-France, France
| | - Dabor Resiere
- Service de Réanimation Polyvalente, Centre Hospitalier Universitaire de Martinique (Fort-de-France), CEDEX, 97261 Fort-de-France, France
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13
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Jouffroy R, Gueye P. Impact of posture on capillary refilling time: Intravascular fluid also affects results. Am J Emerg Med 2022; 57:187. [PMID: 34972586 DOI: 10.1016/j.ajem.2021.12.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 12/21/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- Romain Jouffroy
- EA 7525 Université des Antilles, France; Intensive Care Unit, Ambroise Paré Hospital, Assistance Publique Hôpitaux Paris and Paris Saclay University, Boulogne Billancourt, France; Centre de recherche en Epidémiologie et Santé des Populations, U1018 INSERM, Paris Saclay University, France; Institut de Recherche bioMédicale et d'Epidémiologie du Sport, EA7329, INSEP, Paris University, France.
| | - Papa Gueye
- EA 7525 Université des Antilles, France; SAMU 972 University Hospital of Martinique, Fort-de-France Martinique, France
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14
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Jouffroy R, Gueye P. Initial fluid resuscitation in patients with septic shock: Is fluid expansion achievement the real objective? Am J Emerg Med 2022; 57:172-173. [PMID: 34972585 DOI: 10.1016/j.ajem.2021.12.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 12/06/2021] [Indexed: 12/15/2022] Open
Affiliation(s)
- Romain Jouffroy
- Intensive Care Unit, Ambroise Paré Hospital, Assistance Publique Hôpitaux Paris and Paris Saclay University, Boulogne Billancourt, France; Centre de recherche en Epidémiologie et Santé des Populations, U1018 INSERM, Paris Saclay University, France; Institut de Recherche bioMédicale et d'Epidémiologie du Sport, EA7329, INSEP, Paris University, France; EA 7525 Université des Antilles - France.
| | - Papa Gueye
- SAMU 972 University Hospital of Martinique, Fort-de-France Martinique, France; EA 7525 Université des Antilles - France
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15
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Ayyad Y, Mittig W, Tang T, Olaizola B, Potel G, Rijal N, Watwood N, Alvarez-Pol H, Bazin D, Caamaño M, Chen J, Cortesi M, Fernández-Domínguez B, Giraud S, Gueye P, Heinitz S, Jain R, Kay BP, Maugeri EA, Monteagudo B, Ndayisabye F, Paneru SN, Pereira J, Rubino E, Santamaria C, Schumann D, Surbrook J, Wagner L, Zamora JC, Zelevinsky V. Evidence of a Near-Threshold Resonance in ^{11}B Relevant to the β-Delayed Proton Emission of ^{11}Be. Phys Rev Lett 2022; 129:012501. [PMID: 35841541 DOI: 10.1103/physrevlett.129.012501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 04/29/2022] [Accepted: 06/01/2022] [Indexed: 06/15/2023]
Abstract
A narrow near-threshold proton-emitting resonance (E_{x}=11.4 MeV, J^{π}=1/2^{+}, and Γ_{p}=4.4 keV) was directly observed in ^{11}B via proton resonance scattering. This resonance was previously inferred in the β-delayed proton emission of the neutron halo nucleus ^{11}Be. The good agreement between both experimental results serves as a ground to confirm the existence of such exotic decay and the particular behavior of weakly bound nuclei coupled to the continuum. R-matrix analysis shows a sizable partial decay width for both, proton and α (Γ_{α}=11 keV) emission channels.
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Affiliation(s)
- Y Ayyad
- IGFAE, Universidade de Santiago de Compostela, E-15782 Santiago de Compostela, Spain
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - W Mittig
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - T Tang
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - B Olaizola
- ISOLDE-EP, CERN, CH-1211 Geneva 23, Switzerland
| | - G Potel
- Lawrence Livermore National Lab., P.O. Box 808, Livermore, California 94550, USA
| | - N Rijal
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - N Watwood
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - H Alvarez-Pol
- IGFAE, Universidade de Santiago de Compostela, E-15782 Santiago de Compostela, Spain
| | - D Bazin
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - M Caamaño
- IGFAE, Universidade de Santiago de Compostela, E-15782 Santiago de Compostela, Spain
| | - J Chen
- Physics Division, Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - M Cortesi
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - B Fernández-Domínguez
- IGFAE, Universidade de Santiago de Compostela, E-15782 Santiago de Compostela, Spain
| | - S Giraud
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - P Gueye
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - S Heinitz
- Laboratory of Radiochemistry, Paul Scherrer Institute, Forschungsstrasse 111, 5232 Villigen PSI, Switzerland
| | - R Jain
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - B P Kay
- Physics Division, Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - E A Maugeri
- Laboratory of Radiochemistry, Paul Scherrer Institute, Forschungsstrasse 111, 5232 Villigen PSI, Switzerland
| | - B Monteagudo
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - F Ndayisabye
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - S N Paneru
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Pereira
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - E Rubino
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - C Santamaria
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - D Schumann
- Laboratory of Radiochemistry, Paul Scherrer Institute, Forschungsstrasse 111, 5232 Villigen PSI, Switzerland
| | - J Surbrook
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - L Wagner
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - J C Zamora
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - V Zelevinsky
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
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16
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Cano-Sanchez M, Ben-Hassen K, Louis OP, Dantin F, Gueye P, Roques F, Mehdaoui H, Resiere D, Neviere R. Bothrops lanceolatus snake venom impairs mitochondrial respiration and induces DNA release in human heart preparation. PLoS Negl Trop Dis 2022; 16:e0010523. [PMID: 35727836 PMCID: PMC9249236 DOI: 10.1371/journal.pntd.0010523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 07/01/2022] [Accepted: 05/20/2022] [Indexed: 11/17/2022] Open
Abstract
Introduction Envenomations by Bothrops snakebites can induce overwhelming systemic inflammation ultimately leading to multiple organ system failure and death. Release of damage-associated molecular pattern molecules (DAMPs), in particular of mitochondrial origin, has been implicated in the pathophysiology of the deregulated innate immune response. Objective To test whether whole Bothrops lanceolatus venom would induce mitochondrial dysfunction and DAMPs release in human heart preparations. Methods Human atrial trabeculae were obtained during cannulation for cardiopulmonary bypass from patients who were undergoing routine coronary artery bypass surgery. Cardiac fibers were incubated with vehicle and whole Bothrops lanceolatus venom for 24hr before high-resolution respirometry, mitochondrial membrane permeability evaluation and quantification of mitochondrial DNA. Results Compared with vehicle, incubation of human cardiac muscle with whole Bothrops lanceolatus venom for 24hr impaired respiratory control ratio and mitochondrial membrane permeability. Levels of mitochondrial DNA increased in the medium of cardiac cell preparation incubated with venom of Bothrops lanceolatus. Conclusion Our study suggests that whole venom of Bothrops lanceolatus impairs mitochondrial oxidative phosphorylation capacity and increases mitochondrial membrane permeability. Cardiac mitochondrial dysfunction associated with mitochondrial DAMPs release may alter myocardium function and engage the innate immune response, which may both participate to the cardiotoxicity occurring in patients with severe envenomation. Despite initial symptomatic management and adequate antivenin strategy, highly venomous Bothrops snakebites frequently induce overwhelming inflammation leading to multiple organ system failure and death. We state that recognition of venom-associated molecular patterns and cellular damage-associated molecular pattern molecules (DAMPs) by pattern-recognition receptors will engage inflammation and cell-mediated immune response. Due to endosymbiotic bacterial origin of mitochondria, mitochondrial DAMPs released from injured envenomed tissues are recognized as danger signals and exacerbate the innate inflammatory host response. Hence, mitochondrial DAMPs will engage a vicious circle, which deregulates inflammation via aberrant mitochondrial signaling, impaired mitophagy and disruption of mitochondrial dynamics. Delineating critical factors that elicit mtDAMPs release will generate hypothesis for new treatments.
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Affiliation(s)
- Mariola Cano-Sanchez
- Cardiovascular Research Team EA7525, University of the French West Indies (Université des Antilles), Fort de France, France
| | - Kais Ben-Hassen
- Department of Cardiovascular Surgery, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Olivier Pierre Louis
- Cardiovascular Research Team EA7525, University of the French West Indies (Université des Antilles), Fort de France, France
| | - Fabienne Dantin
- Department of Biology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Papa Gueye
- Department of Critical Care Medicine, Toxicology and Emergency, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Francois Roques
- Department of Cardiovascular Surgery, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Hossein Mehdaoui
- Department of Critical Care Medicine, Toxicology and Emergency, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Dabor Resiere
- Department of Critical Care Medicine, Toxicology and Emergency, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Remi Neviere
- Cardiovascular Research Team EA7525, University of the French West Indies (Université des Antilles), Fort de France, France
- * E-mail:
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17
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Portecop P, Chavet F, Haegaert V, Pujo JM, Gueye P, Kallel H. Contribution aéronavale à l’évacuation COVID-19 en outre-mer. Médecine de Catastrophe - Urgences Collectives 2022. [PMCID: PMC8603001 DOI: 10.1016/j.pxur.2021.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
La mission Résilience Dixmude des Armées a réalisé 12 transferts inter-hospitaliers durant la première vague de la crise COVID-19 en 25 jours de patrouilles actives dans l’arc antillais permettant de réduire les pertes de chances des patients COVID+ et non COVID hospitalisés dans les îles du nord et les îles du sud de la Guadeloupe. Le principe de délestage des patients des établissements en double insularité en cas de situation sanitaire exceptionnel doit être retenu et opéré avec des moyens opérationnels adaptés.
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18
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Padelli M, Gueye P, Guilloux D, Banydeen R, Campana V, Cabie A, Neviere R. Soluble urokinase plasminogen activator receptor levels are predictive of COVID-19 severity in Afro-Caribbean patients. Biomark Med 2022; 16:169-177. [PMID: 35081737 PMCID: PMC8809376 DOI: 10.2217/bmm-2021-0669] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Aim: To investigate association between soluble urokinase plasminogen activator receptor (suPAR) plasma levels at admission and incidence of complications in COVID-19 patients. Patients & methods: We considered Afro-Caribbean patients (n = 64) admitted to the hospital between 1 February 2020 and 28 February 2021. Primary outcome was time from the hospital admission until intensive care unit care or death. Results: Primary outcome (hazard ratio, HR [95%CI]) was associated with higher CT scan severity score (3.18 [1.15-8.78], p = 0.025), National Early Warning Score (NEWS2; 1.43 [1.02-2.02], p = 0.041) and suPAR (1.28 [1.06-2.06], p = 0.041). Kaplan-Meier analysis indicated patients with suPAR level above 8.95 ng/ml had a worse outcome (7.95 [3.33-18.97], p < 0.001). Conclusion: Our study suggests that COVID-19 patients with increased baseline suPAR levels are at a high risk of complications.
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Affiliation(s)
- Mael Padelli
- University Hospital of Martinique, Department of Biochemistry, Fort-de-France, 97261, Martinique, France
| | - Papa Gueye
- University Hospital of Martinique, Department of Emergency Medicine, Fort-de-France, 97261, Martinique, France
| | - Diane Guilloux
- University Hospital of Martinique, Department of Critical Care Medicine, Fort-de-France, 97261, Martinique, France
| | - Rishika Banydeen
- University Hospital of Martinique, Department of Epidemiology & Biostatistics, Fort de France, 97261, Martinique, France
| | - Valentine Campana
- Centre d'Investigation Clinique Antilles Guyane, Inserm CIC 1424, Fort de France, 97261, Martinique, France
| | - Andre Cabie
- University Hospital of Martinique, Department of Infectious Diseases, Fort-de-France, 97261, Martinique, France
| | - Remi Neviere
- University Hospital of Martinique, Department of Cardiology, Fort de France, 97261, Martinique, France.,Université des Antilles, Cardiovascular Research Team EA7525, Fort de France, 97261, France
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Gogami T, Achenbach P, Akiyama T, Androic D, Asaturyan A, Brash E, Bukhari MH, Camsonne A, Covrig Dusa S, Ebata K, Elaasar MA, Fujii Y, Fujiwara T, Furic M, Garibaldi F, Gueye P, Higinbotham DW, Ishige T, Itabashi K, Kaneta M, Kino R, Lashley N, Markowitz P, Meekins D, Mizuno M, Mkrtchyan HG, Mkrtchyan AH, Nagafusa S, Nagano S, Nagao S, Nakamura SN, Nakamura YR, Niculescu G, Niculescu I, Okuyama K, Pandey B, Pochodzalla J, Reinhold J, Rodriguez VM, Samanta C, Sawatzky B, Shabestari MH, Shahinyan A, Sirca S, Suzuki KN, Tachibana K, Tang L, Toyama Y, Tsutsumi K, Uehara K, Umezaki E, Urciuoli GM, Watanabe D, Wood SA. High accuracy spectroscopy of 3- and 4-body Λ hypernuclei at Jefferson Lab. EPJ Web Conf 2022. [DOI: 10.1051/epjconf/202227101001] [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: 11/10/2022] Open
Abstract
JLab E12-19-002 Experiment is planned to measure the Λ-binding energies of 3ΛH [Jπ = 1/2+ or 3/2+(T = 0)] and 4ΛH (1+) at JLab Hall C. The expected accuracy for the binding-energy measurement is |ΔBtotal Λ | ≃ 70 keV. The accurate spectroscopy for these light hypernuclei would shed light on the puzzle of the small binding energy and short lifetime of 3ΛH, and the chargesymmetry breaking in the ΛN interaction. We aim to perform the experiment in 2025.
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20
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Itabashi K, Suzuki K, Pandey B, Okuyama K, Gogami T, Nagao S, Nakamura S, Tang L, Abrams D, Akiyama T, Androic D, Aniol K, Ayerbe Gayoso C, Bane J, Barcus S, Barrow J, Bellini V, Bhatt H, Bhetuwal D, Biswas D, Camsonne A, Castellanos J, Chen JP, Chen J, Covrig S, Chrisman D, Cruz-Torres R, Das R, Fuchey E, Gnanvo K, Garibaldi F, Gautam T, Gomez J, Gueye P, Hague T, Hansen O, Henry W, Hauenstein F, Higinbotham D, Hyde C, Kaneta M, Keppel C, Kutz T, Lashley-Colthirst N, Li S, Liu H, Mammei J, Markowitz P, McClellan RE, Meddi F, Meekins D, Michaels R, Mihovilovic M, Moyer A, Nguyen D, Nycz M, Owen V, Palatchi C, Park S, Petkovic T, Premathilake S, Reimer P, Reinhold J, Riordan S, Rodriguez V, Samanta C, Santiesteban S, Sawatzky B, Širca S, Slifer K, Su T, Tian Y, Toyama Y, Uehara K, Urciuoli G, Votaw D, Williamson J, Wojtsekhowski B, Wood S, Yale B, Ye Z, Zhang J, Zheng X. Study of Λ n FSI with Λ quasi-free productions on the 3H( e, e′K+) X reaction at JLab. EPJ Web Conf 2022. [DOI: 10.1051/epjconf/202227102006] [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: 11/10/2022] Open
Abstract
Abstract. An nnΛ is a neutral baryon system with no charge. The study of the pure Λ-neutron system such as nnΛ gives us information on the Λn interaction. The nnΛ search experiment (E12-17-003) was performed at JLab Hall A in 2018. In this article, the Λn FSI was investigated by a shape analysis of the 3H(e, e′K+)X missing mass spectrum, and a preliminary result for the Λn FSI study is given.
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21
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Gogami T, Suzuki KN, Pandey B, Itabashi K, Nagao S, Okuyama K, Nakamura SN, Tang L, Abrams D, Akiyama T, Androic D, Aniol K, Ayerbe Gayoso C, Bane J, Barcus S, Barrow J, Bellini V, Bhatt H, Bhetuwal D, Biswas D, Camsonne A, Castellanos J, Chen JP, Chen J, Covrig S, Chrisman D, Cruz-Torres R, Das R, Fuchey E, Gnanvo K, Garibaldi F, Gautam T, Gomez J, Gueye P, Hague TJ, Hansen O, Henry W, Hauenstein F, Higinbotham DW, Hyde CE, Kaneta M, Keppel C, Kutz T, Lashley-Colthirst N, Li S, Liu H, Mammei J, Markowitz P, McClellan RE, Meddi F, Meekins D, Michaels R, Mihovilovic M, Moyer A, Nguyen D, Nycz M, Owen V, Palatchi C, Park S, Petkovic T, Premathilake S, Reimer PE, Reinhold J, Riordan S, Rodriguez V, Samanta C, Santiesteban SN, Sawatzky B, Širca S, Slifer K, Su T, Tian Y, Toyama Y, Uehara K, Urciuoli GM, Votaw D, Williamson J, Wojtsekhowski B, Wood SA, Yale B, Ye Z, Zhang J, Zheng X. Cross-section measurement of virtual photoproduction of iso-triplet three-body hypernucleus, Λ nn. EPJ Web Conf 2022. [DOI: 10.1051/epjconf/202227102002] [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: 11/11/2022] Open
Abstract
Missing-mass spectroscopy with the 3H(e, e′K+) reaction was carried out at Jefferson Lab’s (JLab) Hall A in Oct–Nov, 2018. The differential cross section for the 3H(γ∗, K+)Λnn was deduced at ω = Ee − Ee′ = 2.102 GeV and at the forward K+-scattering angle (0° ≤ θγ∗K ≤ 5°) in the laboratory frame. Given typical predicted energies and decay widths, which are (BΛ, Γ) = (−0.25, 0.8) and (−0.55, 4.7) MeV, the cross sections were found to be 11.2 ± 4.8(stat.)+4.1−2.1(sys.) and 18.1 ± 6.8(stat.)+4.2−2.9(sys.) nb/sr, respectively. The obtained result would impose a constraint for interaction models particularly between Λ and neutron by comparing to theoretical calculations.
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22
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Florentin J, Athanase R, Gueye P. Pneumopéritoine extensif iatrogène postcoloscopie. Ann Fr Med Urgence 2022. [DOI: 10.3166/afmu-2022-0460] [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: 12/15/2022]
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23
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Okuyama K, Itabashi K, Nagao S, Nakamura SN, Suzuki KN, Gogami T, Pandey B, Tang L, Abrams D, Akiyama T, Androic D, Aniol K, Ayerbe Gayoso C, Bane J, Barcus S, Barrow J, Bellini V, Bhatt H, Bhetuwal D, Biswas D, Camsonne A, Castellanos J, Chen JP, Chen J, Covrig S, Chrisman D, Cruz-Torres R, Das R, Fuchey E, Gnanvo K, Garibaldi F, Gautam T, Gomez J, Gueye P, Hague TJ, Hansen O, Henry W, Hauenstein F, Higinbotham DW, Hyde CE, Kaneta M, Keppel C, Kutz T, Lashley-Colthirst N, Li S, Liu H, Mammei J, Markowitz P, McClellan RE, Meddi F, Meekins D, Michaels R, Mihovilovic M, Moyer A, Nguyen D, Nycz M, Owen V, Palatchi C, Park S, Petkovic T, Premathilake S, Reimer PE, Reinhold J, Riordan S, Rodriguez V, Samanta C, Santiesteban SN, Sawatzky B, Širca S, Slifer K, Su T, Tian Y, Toyama Y, Uehara K, Urciuoli GM, Votaw D, Williamson J, Wojtsekhowski B, Wood SA, Yale B, Ye Z, Zhang J, Zheng X. Study of the Λ/Σ 0 electroproduction in the low- Q2 region at JLab. EPJ Web Conf 2022. [DOI: 10.1051/epjconf/202227102003] [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: 11/10/2022] Open
Abstract
We performed an experiment using tritium and hydrogen cryogenic gas targets at Thomas Jefferson National Accelerator Facility (JLab) in 2018 (E12-17-003)[1, 2]. In this article, we discuss the Λ/Σ0 hyperon electroproduction from hydrogen target. Elementary Λ/Σ0 hyperon production processes are important not only for an absolute mass scale calibration in our experiment, but also for the study of the electroproduction mechanisms themselves. In this article, we reported the results of the differential cross section for the p(e, e’K+)Λ/Σ0 reaction at Q2 ∼ 0.5 (GeV/c)2.
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Jouffroy R, Gilbert B, Hassan A, Tourtier JP, Bloch-Laine E, Ecollan P, Boularan J, Bounes V, Vivien B, Gueye P. Adequacy of probabilistic prehospital antibiotic therapy for septic shock. Am J Emerg Med 2021; 53:80-85. [PMID: 34995860 DOI: 10.1016/j.ajem.2021.12.062] [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: 09/22/2021] [Revised: 12/22/2021] [Accepted: 12/23/2021] [Indexed: 10/19/2022] Open
Abstract
BACKGROUND Guidelines on sepsis management recommend early recognition, diagnosis and treatment, especially early antibiotic therapy (ABT) administration in order to reduce septic shock (SS) mortality. However, the adequacy of probabilistic prehospital ABT remains unknown. METHODS From May 2016 to March 2021, all consecutive patients with SS cared for by a prehospital mICU intervention were retrospectively analyzed. RESULTS Among 386 patients retrospectively analyzed, 119 (33%) received probabilistic prehospital ABT, among which 74% received a 3rd generation cephalosporin: 31% cefotaxime and 42% ceftriaxone. No patient had a serious adverse effect related to ABT administration. Overall mortality rate on day-30 was 29%. Among the 119 patients with prehospital ABT, bacteriological identification was obtained for 81 (68%) patients with adequate prehospital ABT for 65 patients (80%) of which 10 (15%) deceased on day-30. Conversely, among the 16 (20%) patients with inadequate prehospital ABT, 9 patients (56%) were deceased on day-30. Prehospital adequate ABT was significantly different between alive and deceased patients on day-30 (p = 4.10-3). After propensity score matching, a significant association between adequate prehospital ABT administration and day-30 mortality was observed (aOR = 0.09 [0.01-0.47]). Inverse probability treatment weighting with multivariable logistic regression reported a day-30 mortality decrease in the adequate prehospital ABT group: aOR = 0.70 [0.53-0.93]. CONCLUSIONS Among SS cared for by a mICU, probabilistic prehospital ABT is adequate most of the time and associated with a day-30 mortality decrease. Further prospective studies are needed to confirm these results and the weight of prehospital ABT in the prehospital bundle of care for SS.
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Affiliation(s)
- Romain Jouffroy
- Intensive Care Unit, University Hospital Ambroise Paré, Boulogne Billancourt, France; Intensive Care Unit, Anaesthesiology, SAMU, Necker Enfants Malades Hospital, Assistance Publique - Hôpitaux de Paris, Université de Paris, Paris, France; Centre de recherche en Epidémiologie et Santé des Populations, U1018 INSERM, Université Paris Saclay, France; Institut de Recherche bioMédicale et d'Epidémiologie du Sport - EA7329, INSEP, Université de Paris, France; EA 7525 Université des Antilles, France.
| | - Basile Gilbert
- Department of Emergency Medicine, SAMU 31, University Hospital of Toulouse, Toulouse, France; Paris Fire Brigade, Paris, France
| | - Anna Hassan
- Intensive Care Unit, University Hospital Ambroise Paré, Boulogne Billancourt, France
| | - Jean-Pierre Tourtier
- Emergency Department, Cochin Hospital, Paris, France; Emergency Department, SMUR, Hôtel Dieu Hospital, Paris, France
| | - Emmanuel Bloch-Laine
- Intensive Care Unit, SMUR, Pitie Salpêtriere Hospital, 47 Boulevard de l'Hôpital, 75013 Paris, France
| | | | - Josiane Boularan
- SAMU 972 University Hospital of Martinique, Fort-de-France, Martinique, France
| | - Vincent Bounes
- Department of Emergency Medicine, SAMU 31, University Hospital of Toulouse, Toulouse, France; Paris Fire Brigade, Paris, France
| | - Benoit Vivien
- Intensive Care Unit, Anaesthesiology, SAMU, Necker Enfants Malades Hospital, Assistance Publique - Hôpitaux de Paris, Université de Paris, Paris, France
| | - Papa Gueye
- EA 7525 Université des Antilles, France; SAMU 972 University Hospital of Martinique, Fort-de-France, Martinique, France
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Resiere D, Mehdaoui H, Florentin J, Gueye P, Lebrun T, Blateau A, Viguier J, Valentino R, Brouste Y, Kallel H, Megarbane B, Cabie A, Banydeen R, Neviere R. Sargassum seaweed health menace in the Caribbean: clinical characteristics of a population exposed to hydrogen sulfide during the 2018 massive stranding. Clin Toxicol (Phila) 2021; 59:215-223. [PMID: 32633580 DOI: 10.1080/15563650.2020.1789162] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 06/20/2020] [Accepted: 06/23/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Since 2011, there have been ongoing massive unexplained increases of sargassum seaweed strandings along the coastlines of Caribbean countries. The objective of our study was to describe the clinical characteristics of patients exposed to noxious emissions of decomposing sargassum seaweed. METHODS This observational study included patients from January 2018 to December 2018 for complaints attributed to decomposing sargassum seaweed. History and geographical characteristics of sargassum seaweed strandings as well as detection of ambient air hydrogen sulfide (H2S) levels were documented during the inclusion period. FINDINGS A total of 154 patients were included. Mean exposure period was 3 months. Neurological (80%), digestive (77%) and respiratory (69%) disorders were the most frequent reasons for medical visit. Temporal distribution of medical visits was related to history of strandings. Geographical origins of patients were consistent with the most impacted areas of strandings as well as the most elevated ambient air H2S levels. INTERPRETATION The toxicological syndrome induced by sargassum seaweed exposure is close to the toxidrome associated with acute H2S exposure in the range of 0-10 ppm. Our study suggests that patients living in massive stranding areas may be exposed to H2S > 5 ppm for 50 days per year.
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Affiliation(s)
- Dabor Resiere
- Department of Toxicology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- Department of Critical Care Medicine, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- Cardiovascular Research Team EA7525, Université des Antilles (University of the French West Indies), Fort de France, France
| | - Hossein Mehdaoui
- Department of Critical Care Medicine, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- Cardiovascular Research Team EA7525, Université des Antilles (University of the French West Indies), Fort de France, France
| | - Jonathan Florentin
- Department of Toxicology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- Emergency Unit, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Papa Gueye
- Emergency Unit, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Thierry Lebrun
- Department of Anesthesiology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Alain Blateau
- Regional Health Agency of Martinique (ARS), Fort-de-France, France
| | - Jerome Viguier
- Regional Health Agency of Martinique (ARS), Fort-de-France, France
| | - Ruddy Valentino
- Department of Critical Care Medicine, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Yannick Brouste
- Emergency Unit, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Hatem Kallel
- Department of Critical Care Medicine, General Hospital of Cayenne, Cayenne, France
| | - Bruno Megarbane
- Department of Medical and Toxicological Critical Care, Assistance Publique des Hôpitaux de Paris (AP-HP), Lariboisière Hospital, Paris, France
- Federation of Toxicology APHP, Paris-Diderot University, Paris, France
| | - André Cabie
- Department of Infectious Diseases, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
- EA4537; INSERM CIC1424, Université des Antilles (University of the French West Indies), Fort-de-France, France
| | - Rishika Banydeen
- Cardiovascular Research Team EA7525, Université des Antilles (University of the French West Indies), Fort de France, France
- Department of Clinical Research, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
| | - Remi Neviere
- Cardiovascular Research Team EA7525, Université des Antilles (University of the French West Indies), Fort de France, France
- Department of Cardiology, CHU Martinique (University Hospital of Martinique), Fort-de-France, France
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Hilaire Schneider C, Saint-Cast A, Michelland L, de Stefano C, Radou L, Chouied T, Savary D, Gueye P, Jehel L, Lapostolle F. [Psychological effects of emergency calls management on medical dispatcher assistants in a SAMU-Center 15]. Encephale 2020; 47:388-394. [PMID: 33190817 DOI: 10.1016/j.encep.2020.06.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 06/08/2020] [Accepted: 06/19/2020] [Indexed: 11/29/2022]
Abstract
INTRODUCTION In France, the emergency call center is called SAMU (service d'aide médicale d'urgence). The Medical Dispatcher Assistant (MDA) is the first responder and is exposed to first calls of distress and has a high risk of stress disorder. AIM Psychological impact of emergency calls on MDA. METHOD National multicenter prospective study from January to August 2018 by electronic surveys, including all MDA of 13 SAMU, subdivided in 5 sections: population characteristics, PCL-5 scale (DSM-5) assessing post-traumatic stress disorder (PTSD), ProQOL assessing professional quality of life, call categories and an MDA's emotional perception, and work impacts on an MDA's quality of life. Univariate descriptive statistical analysis of the group with PCL-5≥34 (=complete PTSD group) and with PCL-5<34 (=group without complete PTSD). RESULTS Of 400 MDA asked to be interviewed, 283 (71 %) replied of whom 72 % (205) were women and 28 % (79) men. Age groups: 9 % (25) for 18-25 yrs, 39 % (110) for 26-35 yrs, 31 % (89) 36-45 yrs, 15 % (43) 46-55 yrs and 6 % (16) for more than 56 yrs. All MDA reported having been exposed to death experience. For 46 % (129) the most recent traumatic event occurred within the last 7 months. 78 % (219) have reported intense fear, feeling helpless, or even sensed horror when answering the calls. 97 % (273) could talk about it with colleagues but only 64 % (180) with family. 72 % (203) felt lack of recognition at work. 78 % (220) had no knowledge about psycho-traumatic disorder. While 11 % (30) suffered symptoms suggestive of a complete PTSD, 15 % (42) an incomplete PTSD, 3 % (8) suffer burnout and 4 % (11) compassion fatigue, none reported secondary traumatic stress. The only significant difference (P<0.05) between the two groups characteristics was on the education level. 74 % (22) of the MDA with a complete PTSD had a High School diploma or less. MDA with symptoms suggestive of complete PTSD developed significantly (P<0.001) more stress reduction strategies (alcohol, drugs, medication) (13 % vs 2 %), had more food disorders (80.5 % vs 38 %), more sleeping problems (75.5 % vs 21 %), more anxiety (67 % vs 17 %), and more sick leaves (13 % vs 4 %) than the group without complete PTSD. CONCLUSION Part of the surveyed MDAs showed symptoms suggestive of PTSD. The study highlights that MDAs is a vulnerable population, and PTSD prevention techniques should be systematically implemented for them. The study also highlights that a higher education level prevents the psycho traumatic process with its accompanying disorders.
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Affiliation(s)
- C Hilaire Schneider
- SAMU 93, UF recherche, enseignement, qualité, université Paris 13, Sorbonne-Paris cité, Inserm U942, hôpital Avicenne, AP-HP, 125, rue de Stalingrad, 93009 Bobigny, France.
| | - A Saint-Cast
- SAMU 93, UF recherche, enseignement, qualité, université Paris 13, Sorbonne-Paris cité, Inserm U942, hôpital Avicenne, AP-HP, 125, rue de Stalingrad, 93009 Bobigny, France
| | - L Michelland
- SAMU 93, UF recherche, enseignement, qualité, université Paris 13, Sorbonne-Paris cité, Inserm U942, hôpital Avicenne, AP-HP, 125, rue de Stalingrad, 93009 Bobigny, France; Hôpital Saint-Louis, Inserm 1153, AP-HP, Paris, France
| | - C de Stefano
- SAMU 93, UF recherche, enseignement, qualité, université Paris 13, Sorbonne-Paris cité, Inserm U942, hôpital Avicenne, AP-HP, 125, rue de Stalingrad, 93009 Bobigny, France; Service de psychiatrie de l'enfant et de l'adolescent et psychiatrie générale, hôpital Avicenne, université Sorbonne-Paris 13, Paris Cité, laboratoire UTRPP (EA4403), AP-HP, Paris, France
| | - L Radou
- SAMU 72, CH de Le Mans, 194, avenue Rubillard, 72037 Le Mans cedex 9, France
| | - T Chouied
- SAMU 54, Emergency Department, University Hospital of Nancy, Nancy, France; Faculté de médecine, centre d'investigations cliniques plurithématique 1433, institut Lorrain-du cœur et des vaisseaux, France groupe choc, Inserm U1116, Université de Lorraine, 54500 Vandoeuvre-les-Nancy, France
| | - D Savary
- Centre hospitalier universitaire d'Angers, 4, rue Larrey, 49933 Angers, France
| | - P Gueye
- SAMU 972, CHU de Martinique, 97200 Fort-de-France, Martinique
| | - L Jehel
- Département de psychiatrie et psychologie médicale, CHU de Martinique, 97200 Fort-de-France, Martinique; Université des Antilles, CESP-Inserm U1178 équipe IPSOM, 97261 Fort-de-France cedex, Martinique
| | - F Lapostolle
- SAMU 93, UF recherche, enseignement, qualité, université Paris 13, Sorbonne-Paris cité, Inserm U942, hôpital Avicenne, AP-HP, 125, rue de Stalingrad, 93009 Bobigny, France
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Sylvestre E, Thuny RM, Cecilia-Joseph E, Gueye P, Chabartier C, Brouste Y, Mehdaoui H, Najioullah F, Pierre-François S, Abel S, Cabié A, Dramé M. Health informatics support for outbreak management: How to respond without an electronic health record? J Am Med Inform Assoc 2020; 27:1828-1829. [PMID: 32761100 PMCID: PMC7454605 DOI: 10.1093/jamia/ocaa183] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 07/18/2020] [Indexed: 11/12/2022] Open
Affiliation(s)
- Emmanuelle Sylvestre
- U1099, French Institute of Health and Medical Research, Rennes, France.,Laboratoire Traitement du Signal et de l'Image, Université de Rennes 1, Rennes, France.,Department of Infectious Diseases, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique.,Centre de Données Cliniques, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - René-Michel Thuny
- Information Technology Department, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Elsa Cecilia-Joseph
- Centre de Données Cliniques, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Papa Gueye
- SAMU de Martinique, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Cyrille Chabartier
- Intensive Care Unit, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Yannick Brouste
- Department of Emergency Medicine, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Hossein Mehdaoui
- Intensive Care Unit, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Fatiha Najioullah
- Virology Laboratory, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique.,EA 4537, French Institute of Health and Medical Research, Fort-de-France, Martinique
| | - Sandrine Pierre-François
- Department of Infectious Diseases, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - Sylvie Abel
- Department of Infectious Diseases, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
| | - André Cabié
- Department of Infectious Diseases, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique.,EA 4537, French Institute of Health and Medical Research, Fort-de-France, Martinique.,CIC-1424, Centre Hospitalier Universitaire de Martinique, French Institute of Health and Medical Research, Fort-de-France, Martinique
| | - Moustapha Dramé
- Department of Clinical Research and Innovation, Centre Hospitalier Universitaire de Martinique, Fort-de-France, Martinique
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Outin H, Gueye P, Alvarez V, Auvin S, Clair B, Convers P, Crespel A, Demeret S, Dupont S, Engels JC, Engrand N, Freund Y, Gelisse P, Girot M, Marcoux MO, Navarro V, Rossetti A, Santoli F, Sonneville R, Szurhaj W, Thomas P, Titomanlio L, Villega F, Lefort H, Peigne V. Recommandations Formalisées d’Experts SRLF/SFMU : Prise en charge des états de mal épileptiques en préhospitalier, en structure d’urgence et en réanimation dans les 48 premières heures (A l’exclusion du nouveau-né et du nourrisson). Ann Fr Med Urgence 2020. [DOI: 10.3166/afmu-2020-0232] [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: 11/20/2022]
Abstract
La Société de réanimation de langue française et la Société française de médecine d’urgence ont décidé d’élaborer de nouvelles recommandations sur la prise en charge de l’état mal épileptique (EME) avec l’ambition de répondre le plus possible aux nombreuses questions pratiques que soulèvent les EME : diagnostic, enquête étiologique, traitement non spécifique et spécifique. Vingt-cinq experts ont analysé la littérature scientifique et formulé des recommandations selon la méthodologie GRADE. Les experts se sont accordés sur 96 recommandations. Les recommandations avec le niveau de preuve le plus fort ne concernent que l’EME tonico-clonique généralisé (EMTCG) : l’usage des benzodiazépines en première ligne (clonazépam en intraveineux direct ou midazolam en intramusculaire) est recommandé, répété 5 min après la première injection (à l’exception du midazolam) en cas de persistance clinique. En cas de persistance 5 min après cette seconde injection, il est proposé d’administrer la seconde ligne thérapeutique : valproate de sodium, (fos-)phénytoïne, phénobarbital ou lévétiracétam. La persistance avérée de convulsions 30 min après le début de l’administration du traitement de deuxième ligne signe l’EMETCG réfractaire. Il est alors proposé de recourir à un coma thérapeutique au moyen d’un agent anesthésique intraveineux de type midazolam ou propofol. Des recommandations spécifiques à l’enfant et aux autres EME sont aussi énoncées.
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Jouffroy R, Pierre Tourtier J, Gueye P, Bloch-Laine E, Bounes V, Debaty G, Boularan J, Carli P, Vivien B. Prehospital shock index to assess 28-day mortality for septic shock. Am J Emerg Med 2020; 38:1352-1356. [DOI: 10.1016/j.ajem.2019.11.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 10/17/2019] [Accepted: 11/02/2019] [Indexed: 11/26/2022] Open
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30
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Resiere D, Kallel H, Oxybel O, Chabartier C, Florentin J, Brouste Y, Gueye P, Megarbane B, Mehdaoui H. Clinical and Epidemiological Characteristics of Severe Acute Adult Poisoning Cases in Martinique: Implicated Toxic Exposures and Their Outcomes. Toxics 2020; 8:toxics8020028. [PMID: 32283693 PMCID: PMC7356022 DOI: 10.3390/toxics8020028] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2020] [Revised: 04/07/2020] [Accepted: 04/08/2020] [Indexed: 12/27/2022]
Abstract
The epidemiology of severe acute poisonings in the French overseas departments of the Americas remains poorly reported. The main objective of this study was to determine the epidemiology and characteristics of severe acutely poisoned adult patients. METHODS A retrospective descriptive study was conducted from 1 January 2000 to 31 December 2010 in severely poisoned patients presenting to the emergency department (ED) of the University Hospital of Martinique, and the general public hospitals of Lamentin and Trinité. RESULTS During the study period, 291 patients were admitted for severe poisoning, giving an incidence rate of 7.7 severe cases/100,000 inhabitants. The mean age was 46 ± 19 years and 166 (57%) were male. Psychiatric disorders were recorded in 143 (49.8%) patients. Simplified Acute Psychological Score (SAPS II) at admission was 39 ± 23 points and Poisoning Severity Score (PSS) was 2.7 ± 0.8 points. Death was recorded in 30 (10.3%) patients and hospital length of stay was 6 ± 7 days. The mode of intoxication was intentional self-poisoning in 87% of cases and drug overdose was recorded in 13% of cases. The toxic agent involved was a therapeutic drug in 58% and a chemical product in 52% of cases. The predominant clinical manifestations were respiratory failure (59%), hemodynamic failure (27%), neurologic failure (45%), gastrointestinal manifestations (27%), and renal failure (11%). Polypnea, shock, ventricular fibrillation or tachycardia, and gastro-intestinal disorders were the main symptoms associated with death. The main biological abnormalities associated with death in our patients were metabolic acidosis, hypokalemia, hyperlactatemia, hypocalcemia, renal injury, rhabdomyolysis, increased aspartate aminotransferases, and thrombocytopenia. Extracorporal membrane oxygenation (ECMO) was used in three patients and specific antidotes were used in 21% of patients. CONCLUSIONS Acute poisonings remain a major public health problem in Martinique with different epidemiological characteristics to those in mainland France, with a high incidence of poisoning by rural and household toxins.
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Affiliation(s)
- Dabor Resiere
- Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (O.O.); (C.C.); (H.M.)
- Correspondence: ; Tel.: +1-(596)-6-9620-3184
| | - Hatem Kallel
- Intensive Care Unit, Cayenne General Hospital; 97300 Cayenne, French Guiana,
| | - Odile Oxybel
- Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (O.O.); (C.C.); (H.M.)
| | - Cyrille Chabartier
- Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (O.O.); (C.C.); (H.M.)
| | - Jonathan Florentin
- Department of Emergency Medicine, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (J.F.); (Y.B.)
| | - Yannick Brouste
- Department of Emergency Medicine, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (J.F.); (Y.B.)
| | - Papa Gueye
- Emergency Medical Services (Service d’aide médicale d’urgence 972), 97261 Martinique, France;
| | - Bruno Megarbane
- Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Paris-Diderot University, INSERM UMR-S 1144, 75013 Paris, France;
| | - Hossein Mehdaoui
- Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97261 Martinique, France; (O.O.); (C.C.); (H.M.)
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Resiere D, Valentino R, Nevière R, Banydeen R, Gueye P, Florentin J, Cabié A, Lebrun T, Mégarbane B, Guerrier G, Mehdaoui H. Sargassum seaweed on Caribbean islands: an international public health concern. Lancet 2019; 392:2691. [PMID: 30587359 DOI: 10.1016/s0140-6736(18)32777-6] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Accepted: 10/23/2018] [Indexed: 11/16/2022]
Affiliation(s)
- Dabor Resiere
- Critical Care Unit, University Hospital of Martinique, Fort-de-France 97200, France.
| | - Ruddy Valentino
- Critical Care Unit, University Hospital of Martinique, Fort-de-France 97200, France
| | - Rémi Nevière
- Department of Cardiology, University Hospital of Martinique, Fort-de-France 97200, France
| | - Rishika Banydeen
- Department of Clinical Research, University Hospital of Martinique, Fort-de-France 97200, France
| | - Papa Gueye
- Critical Care Unit, University Hospital of Martinique, Fort-de-France 97200, France
| | - Jonathan Florentin
- Critical Care Unit, University Hospital of Martinique, Fort-de-France 97200, France
| | - André Cabié
- Department of Infectious Diseases, University Hospital of Martinique, Fort-de-France 97200, France
| | - Thierry Lebrun
- Critical Care Unit, University Hospital of Martinique, Fort-de-France 97200, France
| | - Bruno Mégarbane
- Department of Medical and Toxicological Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Gilles Guerrier
- Anaesthesia and Intensive Care, Cochin Hospital, Paris Descartes University, Paris, France
| | - Hossein Mehdaoui
- Critical Care Unit, University Hospital of Martinique, Fort-de-France 97200, France
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Korover I, Muangma N, Hen O, Shneor R, Sulkosky V, Kelleher A, Gilad S, Higinbotham DW, Piasetzky E, Watson JW, Wood SA, Aguilera P, Ahmed Z, Albataineh H, Allada K, Anderson B, Anez D, Aniol K, Annand J, Armstrong W, Arrington J, Averett T, Badman T, Baghdasaryan H, Bai X, Beck A, Beck S, Bellini V, Benmokhtar F, Bertozzi W, Bittner J, Boeglin W, Camsonne A, Chen C, Chen JP, Chirapatpimol K, Cisbani E, Dalton MM, Daniel A, Day D, de Jager CW, De Leo R, Deconinck W, Defurne M, Flay D, Fomin N, Friend M, Frullani S, Fuchey E, Garibaldi F, Gaskell D, Gilman R, Glamazdin O, Gu C, Gueye P, Hamilton D, Hanretty C, Hansen JO, Hashemi Shabestari M, Holmstrom T, Huang M, Iqbal S, Jin G, Kalantarians N, Kang H, Khandaker M, LeRose J, Leckey J, Lindgren R, Long E, Mammei J, Margaziotis DJ, Markowitz P, Marti Jimenez-Arguello A, Meekins D, Meziani Z, Michaels R, Mihovilovic M, Monaghan P, Munoz Camacho C, Norum B, Pan K, Phillips S, Pomerantz I, Posik M, Punjabi V, Qian X, Qiang Y, Qiu X, Rakhman A, Reimer PE, Riordan S, Ron G, Rondon-Aramayo O, Saha A, Schulte E, Selvy L, Shahinyan A, Sirca S, Sjoegren J, Slifer K, Solvignon P, Sparveris N, Subedi R, Tireman W, Wang D, Weinstein LB, Wojtsekhowski B, Yan W, Yaron I, Ye Z, Zhan X, Zhang J, Zhang Y, Zhao B, Zhao Z, Zheng X, Zhu P, Zielinski R. Probing the repulsive core of the nucleon-nucleon interaction via the (4)He(e,e'pN) triple-coincidence reaction. Phys Rev Lett 2014; 113:022501. [PMID: 25062168 DOI: 10.1103/physrevlett.113.022501] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Indexed: 06/03/2023]
Abstract
We studied simultaneously the (4)He(e,e'p), (4)He(e,e'pp), and (4)He(e,e'pn) reactions at Q(2)=2(GeV/c)(2) and x(B)>1, for an (e,e'p) missing-momentum range of 400 to 830 MeV/c. The knocked-out proton was detected in coincidence with a proton or neutron recoiling almost back to back to the missing momentum, leaving the residual A=2 system at low excitation energy. These data were used to identify two-nucleon short-range correlated pairs and to deduce their isospin structure as a function of missing momentum, in a region where the nucleon-nucleon (NN) force is expected to change from predominantly tensor to repulsive. The abundance of neutron-proton pairs is reduced as the nucleon momentum increases beyond ∼500 MeV/c. The extracted fraction of proton-proton pairs is small and almost independent of the missing momentum. Our data are compared with calculations of two-nucleon momentum distributions in (4)He and discussed in the context of probing the elusive repulsive component of the NN force.
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Affiliation(s)
- I Korover
- Tel Aviv University, Tel Aviv 69978, Israel
| | - N Muangma
- Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - O Hen
- Tel Aviv University, Tel Aviv 69978, Israel
| | - R Shneor
- Tel Aviv University, Tel Aviv 69978, Israel
| | - V Sulkosky
- Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA and Longwood University, Farmville, Virginia 23909, USA
| | - A Kelleher
- Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - S Gilad
- Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - D W Higinbotham
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | | | - J W Watson
- Kent State University, Kent, Ohio 44242, USA
| | - S A Wood
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - P Aguilera
- Institut de Physique Nucléaire (UMR 8608), CNRS/IN2P3-Université Paris-Sud, F-91406 Orsay Cedex, France
| | - Z Ahmed
- Syracuse University, Syracuse, New York 13244, USA
| | - H Albataineh
- Old Dominion University, Norfolk, Virginia 23529, USA
| | - K Allada
- University of Kentucky, Lexington, Kentucky 40506, USA
| | - B Anderson
- Kent State University, Kent, Ohio 44242, USA
| | - D Anez
- Saint Mary's University, Halifax, Nova Scotia, Canada
| | - K Aniol
- California State University, Los Angeles, Los Angeles, California 90032, USA
| | - J Annand
- University of Glasgow, Glasgow G12 8QQ, Scotland, United Kingdom
| | - W Armstrong
- Temple University, Philadelphia, Pennsylvania 19122, USA
| | - J Arrington
- Physics Division, Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - T Averett
- College of William and Mary, Williamsburg, Virginia 23187, USA
| | - T Badman
- University of New Hampshire, Durham, New Hampshire 03824, USA
| | - H Baghdasaryan
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - X Bai
- China Institute of Atomic Energy, Beijing, China
| | - A Beck
- Nuclear Research Center Negev, Beer-Sheva, Israel
| | - S Beck
- Nuclear Research Center Negev, Beer-Sheva, Israel
| | - V Bellini
- Universita di Catania, Catania, Italy
| | - F Benmokhtar
- Carnegie Mellon University, Pittsburgh, Pennsylvania 15213, USA
| | - W Bertozzi
- Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J Bittner
- Longwood University, Farmville, Virginia 23909, USA
| | - W Boeglin
- Florida International University, Miami, Florida 33199, USA
| | - A Camsonne
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - C Chen
- Hampton University, Hampton, Virginia 23668, USA
| | - J-P Chen
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - K Chirapatpimol
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - E Cisbani
- INFN, Sezione Sanità and Istituto Superiore di Sanità, 00161 Rome, Italy
| | - M M Dalton
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - A Daniel
- Ohio University, Athens, Ohio 45701, USA
| | - D Day
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - C W de Jager
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA and University of Virginia, Charlottesville, Virginia 22904, USA
| | - R De Leo
- INFN, Sezione di Bari and University of Bari, I-70126 Bari, Italy
| | - W Deconinck
- Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - M Defurne
- CEA Saclay, F-91191 Gif-sur-Yvette, France
| | - D Flay
- Temple University, Philadelphia, Pennsylvania 19122, USA
| | - N Fomin
- University of Tennessee, Knoxville, Tennessee 37996, USA
| | - M Friend
- Carnegie Mellon University, Pittsburgh, Pennsylvania 15213, USA
| | - S Frullani
- INFN, Sezione Sanità and Istituto Superiore di Sanità, 00161 Rome, Italy
| | - E Fuchey
- Temple University, Philadelphia, Pennsylvania 19122, USA
| | - F Garibaldi
- INFN, Sezione Sanità and Istituto Superiore di Sanità, 00161 Rome, Italy
| | - D Gaskell
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - R Gilman
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA and Rutgers, The State University of New Jersey, Piscataway, New Jersey 08855, USA
| | - O Glamazdin
- Kharkov Institute of Physics and Technology, Kharkov 61108, Ukraine
| | - C Gu
- Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - P Gueye
- Hampton University, Hampton, Virginia 23668, USA
| | - D Hamilton
- University of Glasgow, Glasgow G12 8QQ, Scotland, United Kingdom
| | - C Hanretty
- Florida State University, Tallahassee, Florida 32306, USA
| | - J-O Hansen
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | | | - T Holmstrom
- Longwood University, Farmville, Virginia 23909, USA
| | - M Huang
- Duke University, Durham, North Carolina 27708, USA
| | - S Iqbal
- California State University, Los Angeles, Los Angeles, California 90032, USA
| | - G Jin
- University of Virginia, Charlottesville, Virginia 22904, USA
| | | | - H Kang
- Seoul National University, Seoul, Korea
| | - M Khandaker
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - J LeRose
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - J Leckey
- Indiana University, Bloomington, Indiana 47405, USA
| | - R Lindgren
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - E Long
- University of New Hampshire, Durham, New Hampshire 03824, USA
| | - J Mammei
- Virginia Polytechnic Institute and State University, Blacksburg, Virginia 24061, USA
| | - D J Margaziotis
- California State University, Los Angeles, Los Angeles, California 90032, USA
| | - P Markowitz
- Florida International University, Miami, Florida 33199, USA
| | | | - D Meekins
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - Z Meziani
- Temple University, Philadelphia, Pennsylvania 19122, USA
| | - R Michaels
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | | | - P Monaghan
- Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA and Hampton University, Hampton, Virginia 23668, USA
| | | | - B Norum
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - K Pan
- Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - S Phillips
- University of New Hampshire, Durham, New Hampshire 03824, USA
| | - I Pomerantz
- Tel Aviv University, Tel Aviv 69978, Israel and The University of Texas at Austin, Austin, Texas 78712, USA
| | - M Posik
- Temple University, Philadelphia, Pennsylvania 19122, USA
| | - V Punjabi
- Norfolk State University, Norfolk, Virginia 23504, USA
| | - X Qian
- Duke University, Durham, North Carolina 27708, USA
| | - Y Qiang
- Duke University, Durham, North Carolina 27708, USA
| | - X Qiu
- Lanzhou University, Lanzhou, China
| | - A Rakhman
- Syracuse University, Syracuse, New York 13244, USA
| | - P E Reimer
- Physics Division, Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - S Riordan
- University of Virginia, Charlottesville, Virginia 22904, USA and University of Massachusetts, Amherst, Massachusetts 01006, USA
| | - G Ron
- Racah Institute of Physics, Hebrew University of Jerusalem, Jerusalem, Israel
| | - O Rondon-Aramayo
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - A Saha
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - E Schulte
- Rutgers, The State University of New Jersey, Piscataway, New Jersey 08855, USA
| | - L Selvy
- Kent State University, Kent, Ohio 44242, USA
| | - A Shahinyan
- Yerevan Physics Institute, Yerevan 375036, Armenia
| | - S Sirca
- University of Ljubljana, Ljubljana, Slovenia
| | - J Sjoegren
- University of Glasgow, Glasgow G12 8QQ, Scotland, United Kingdom
| | - K Slifer
- University of New Hampshire, Durham, New Hampshire 03824, USA
| | - P Solvignon
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - N Sparveris
- Temple University, Philadelphia, Pennsylvania 19122, USA
| | - R Subedi
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - W Tireman
- Northern Michigan University, Marquette, Michigan 49855, USA
| | - D Wang
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - L B Weinstein
- Old Dominion University, Norfolk, Virginia 23529, USA
| | - B Wojtsekhowski
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - W Yan
- University of Science and Technology, Hefei, China
| | - I Yaron
- Tel Aviv University, Tel Aviv 69978, Israel
| | - Z Ye
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - X Zhan
- Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - J Zhang
- Thomas Jefferson National Accelerator Facility, Newport News, Virginia 23606, USA
| | - Y Zhang
- Rutgers, The State University of New Jersey, Piscataway, New Jersey 08855, USA
| | - B Zhao
- College of William and Mary, Williamsburg, Virginia 23187, USA
| | - Z Zhao
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - X Zheng
- University of Virginia, Charlottesville, Virginia 22904, USA
| | - P Zhu
- University of Science and Technology, Hefei, China
| | - R Zielinski
- University of New Hampshire, Durham, New Hampshire 03824, USA
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Tesfamicael B, Gueye P, Lyons D, Avery S, Mahesh M. SU-E-T-290: Secondary Dose Monitoring Using Scintillating Fibers in Proton Therapy of Prostate Cancer: A Geant4 Monte Carlo Simulation. Med Phys 2014. [DOI: 10.1118/1.4888622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Tesfamicael B, Gueye P, Mahesh M, Avery S, Lyons D. SU-E-T-289: Scintillating Fiber Based In-Vivo Dose Monitoring System to the Rectum in Proton Therapy of Prostate Cancer: A Geant4 Monte Carlo Simulation. Med Phys 2014. [DOI: 10.1118/1.4888621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Sideris G, Voicu S, Yannopoulos D, Dillinger JG, Adjedj J, Deye N, Gueye P, Manzo-Silberman S, Malissin I, Logeart D, Magkoutis N, Capan DD, Makhloufi S, Megarbane B, Vivien B, Cohen-Solal A, Payen D, Baud FJ, Henry P. Favourable 5-year postdischarge survival of comatose patients resuscitated from out-of-hospital cardiac arrest, managed with immediate coronary angiogram on admission. Eur Heart J Acute Cardiovasc Care 2014; 3:183-91. [PMID: 24569450 DOI: 10.1177/2048872614523348] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
AIMS On-admission coronary angiogram (CA) with angioplasty (percutaneous coronary intervention, PCI) may improve survival in patients resuscitated from out-of-hospital cardiac arrest (OHCA), but long-term survival data are scarce. We assessed long-term survival in OHCA patients managed with on-admission CA and PCI if indicated and compared survival rates in patients with/without acute coronary syndrome (ACS). METHODS Retrospective single-centre study including patients aged ≥18 years resuscitated from an OHCA without noncardiac cause, with sustained return of spontaneous circulation, undergoing on-admission CA with PCI if indicated. ACS was diagnosed angiographically. Survival was recorded at hospital discharge and at 5-year follow up. Survival probability was estimated by Kaplan-Meier survival curves. RESULTS A total of 300 comatose patients aged 56 years (IQR 48-67 years) were included, 36% with ST-segment elevation. All had on-admission CA; 31% had ACS. PCI was attempted in 91% of ACS patients and was successful in 93%. Hypothermia was performed in 84%. Survival to discharge was 32.3%. After discharge, 5-year survival was 81.7 ± 5.4%. Survival from admission to 5 years was 26.2 ± 2.8%. ACS patients had better survival to discharge (40.8%) compared with non-ACS patients (28.5%, p=0.047). After discharge, 5-year survival was 92.2 ± 5.4% for patients with ACS and 73.4 ± 8.6% without ACS (hazard ratio, HR, 2.7, 95% CI 0.8-8.9, p=0.1). Survival from admission to 5 years was 37.4 ± 5.2% for ACS patients, 20.7 ± 3.0%, for non-ACS patients (HR 1.5, 95% CI 1.12-2.0, p=0.0067). CONCLUSIONS OHCA patients undergoing on-admission CA had a very favourable postdischarge survival. Patients with OHCA due to ACS had better survival to discharge at 5-year follow up than patients with OHCA due to other causes.
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Nakamura SN, Matsumura A, Okayasu Y, Seva T, Rodriguez VM, Baturin P, Yuan L, Acha A, Ahmidouch A, Androic D, Asaturyan A, Asaturyan R, Baker OK, Benmokhtar F, Bosted P, Carlini R, Chen C, Christy M, Cole L, Danagoulian S, Daniel A, Dharmawardane V, Egiyan K, Elaasar M, Ent R, Fenker H, Fujii Y, Furic M, Gan L, Gaskell D, Gasparian A, Gibson EF, Gogami T, Gueye P, Han Y, Hashimoto O, Hiyama E, Honda D, Horn T, Hu B, Hungerford EV, Jayalath C, Jones M, Johnston K, Kalantarians N, Kanda H, Kaneta M, Kato F, Kato S, Kawama D, Keppel C, Lan KJ, Luo W, Mack D, Maeda K, Malace S, Margaryan A, Marikyan G, Markowitz P, Maruta T, Maruyama N, Miyoshi T, Mkrtchyan A, Mkrtchyan H, Nagao S, Navasardyan T, Niculescu G, Niculescu MI, Nomura H, Nonaka K, Ohtani A, Oyamada M, Perez N, Petkovic T, Randeniya S, Reinhold J, Roche J, Sato Y, Segbefia EK, Simicevic N, Smith G, Song Y, Sumihama M, Tadevosyan V, Takahashi T, Tang L, Tsukada K, Tvaskis V, Vulcan W, Wells S, Wood SA, Yan C, Zhamkochyan S. Observation of the (Λ)(7)He hypernucleus by the (e, e'K+) reaction. Phys Rev Lett 2013; 110:012502. [PMID: 23383783 DOI: 10.1103/physrevlett.110.012502] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2012] [Indexed: 06/01/2023]
Abstract
An experiment with a newly developed high-resolution kaon spectrometer and a scattered electron spectrometer with a novel configuration was performed in Hall C at Jefferson Lab. The ground state of a neutron-rich hypernucleus, (Λ)(7)He, was observed for the first time with the (e, e'K+) reaction with an energy resolution of ~0.6 MeV. This resolution is the best reported to date for hypernuclear reaction spectroscopy. The (Λ)(7)He binding energy supplies the last missing information of the A = 7, T = 1 hypernuclear isotriplet, providing a new input for the charge symmetry breaking effect of the ΛN potential.
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Affiliation(s)
- S N Nakamura
- Graduate School of Science, Tohoku University, Sendai, Miyagi 980-8578, Japan
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Gueye P, Ka O, Diagne M. WE-C-224-03: Medical Physics in Senegal: Status and Prospects. Med Phys 2011. [DOI: 10.1118/1.3613315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Duchateau FX, Gueye P, Curac S, Tubach F, Broche C, Plaisance P, Payen D, Mantz J, Ricard-Hibon A. Utilisation de la ceinture thoracique Autopulse™, dispositif automatisé de massage cardiaque externe, dans la réanimation de l’arrêt cardiaque extrahospitalier: quel impact sur l’hémodynamique ? Ann Fr Med Urgence 2011. [DOI: 10.1007/s13341-011-0033-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Govindarajan N, Nazaryan V, Gueye P, Keppel C. SU-GG-T-49: Real Time Dose Verification for Novel Shielded Balloon Brachytherapy. Med Phys 2010. [DOI: 10.1118/1.3468435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Gueye P, Prilepskiy Y, Keppel C, Britten R. SU-GG-T-96: Energy Differential Response of Cancer Cells for Low Dose Irradiation:Impact of Monoenergetic Brachytherapy Sources. Med Phys 2010. [DOI: 10.1118/1.3468484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Govindarajan N, Nazaryan V, Keppel C, Gueye P. SU-FF-T-19: Accelerated Partial Breast Irradiation With Shielded MammoSite-Type Applicator. Med Phys 2009. [DOI: 10.1118/1.3181490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Gueye P, Velasco C, Keppel C, Murphy B, Sinesi C. SU-FF-T-390: In-Vivo Prostate Brachytherapy Absorbed Dose Measurements. Med Phys 2009. [DOI: 10.1118/1.3181871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Gueye P, Keppel C, Munden A. SU-FF-T-469: Energy Spectra Reconstruction From Beta Emitters: A Study of the Sr-90/Y-90 Case. Med Phys 2009. [DOI: 10.1118/1.3181951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Nie X, Nazaryan V, Gueye P, Keppel C. SU-FF-T-668: A Simple Algorithm for Range Modulation Wheel Design in Proton Therapy. Med Phys 2009. [DOI: 10.1118/1.3182166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Borras C, Martel M, Vickers S, Brateman L, Okuno E, Gueye P. WE-E-342-02: (Part II) 50 Years of Women in Medical Physics - Symposium organized by the AAPM Minority Recruitment Subcommittee. Med Phys 2008. [DOI: 10.1118/1.2962801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Mazouz M, Camsonne A, Camacho CM, Ferdi C, Gavalian G, Kuchina E, Amarian M, Aniol KA, Beaumel M, Benaoum H, Bertin P, Brossard M, Chen JP, Chudakov E, Craver B, Cusanno F, de Jager CW, Deur A, Feuerbach R, Fieschi JM, Frullani S, Garçon M, Garibaldi F, Gayou O, Gilman R, Gomez J, Gueye P, Guichon PAM, Guillon B, Hansen O, Hayes D, Higinbotham D, Holmstrom T, Hyde CE, Ibrahim H, Igarashi R, Jiang X, Jo HS, Kaufman LJ, Kelleher A, Kolarkar A, Kumbartzki G, Laveissiere G, Lerose JJ, Lindgren R, Liyanage N, Lu HJ, Margaziotis DJ, Meziani ZE, McCormick K, Michaels R, Michel B, Moffit B, Monaghan P, Nanda S, Nelyubin V, Potokar M, Qiang Y, Ransome RD, Réal JS, Reitz B, Roblin Y, Roche J, Sabatié F, Saha A, Sirca S, Slifer K, Solvignon P, Subedi R, Sulkosky V, Ulmer PE, Voutier E, Wang K, Weinstein LB, Wojtsekhowski B, Zheng X, Zhu L. Deeply virtual compton scattering off the neutron. Phys Rev Lett 2007; 99:242501. [PMID: 18233443 DOI: 10.1103/physrevlett.99.242501] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2007] [Indexed: 05/25/2023]
Abstract
The present experiment exploits the interference between the deeply virtual Compton scattering (DVCS) and the Bethe-Heitler processes to extract the imaginary part of DVCS amplitudes on the neutron and on the deuteron from the helicity-dependent D(e,e'gamma)X cross section measured at Q2=1.9 GeV2 and xB=0.36. We extract a linear combination of generalized parton distributions (GPDs) particularly sensitive to E_{q}, the least constrained GPD. A model dependent constraint on the contribution of the up and down quarks to the nucleon spin is deduced.
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Affiliation(s)
- M Mazouz
- LPSC, Université Joseph Fourier, CNRS/IN2P3, INPG, F-38026 Grenoble, France
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Camacho CM, Camsonne A, Mazouz M, Ferdi C, Gavalian G, Kuchina E, Amarian M, Aniol KA, Beaumel M, Benaoum H, Bertin P, Brossard M, Chen JP, Chudakov E, Craver B, Cusanno F, de Jager CW, Deur A, Feuerbach R, Fieschi JM, Frullani S, Garçon M, Garibaldi F, Gayou O, Gilman R, Gomez J, Gueye P, Guichon PAM, Guillon B, Hansen O, Hayes D, Higinbotham D, Holmstrom T, Hyde-Wright CE, Ibrahim H, Igarashi R, Jiang X, Jo HS, Kaufman LJ, Kelleher A, Kolarkar A, Kumbartzki G, Laveissière G, Lerose JJ, Lindgren R, Liyanage N, Lu HJ, Margaziotis DJ, Meziani ZE, McCormick K, Michaels R, Michel B, Moffit B, Monaghan P, Nanda S, Nelyubin V, Potokar M, Qiang Y, Ransome RD, Réal JS, Reitz B, Roblin Y, Roche J, Sabatié F, Saha A, Sirca S, Slifer K, Solvignon P, Subedi R, Sulkosky V, Ulmer PE, Voutier E, Wang K, Weinstein LB, Wojtsekhowski B, Zheng X, Zhu L. Scaling tests of the cross section for deeply virtual Compton scattering. Phys Rev Lett 2006; 97:262002. [PMID: 17280421 DOI: 10.1103/physrevlett.97.262002] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2006] [Indexed: 05/13/2023]
Abstract
We present the first measurements of the e[over -->]p-->epgamma cross section in the deeply virtual Compton scattering (DVCS) regime and the valence quark region. The Q(2) dependence (from 1.5 to 2.3 GeV(2)) of the helicity-dependent cross section indicates the twist-2 dominance of DVCS, proving that generalized parton distributions (GPDs) are accessible to experiment at moderate Q(2). The helicity-independent cross section is also measured at Q(2)=2.3 GeV(2). We present the first model-independent measurement of linear combinations of GPDs and GPD integrals up to the twist-3 approximation.
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48
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Gueye P, Britten R, Keppel C. SU-FF-T-39: Mono-Energetic Brachytherapy Sources. Med Phys 2005. [DOI: 10.1118/1.1997710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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49
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Dohrmann F, Ahmidouch A, Armstrong CS, Arrington J, Asaturyan R, Avery S, Bailey K, Bitao H, Breuer H, Brown DS, Carlini R, Cha J, Chant N, Christy E, Cochran A, Cole L, Crowder J, Danagoulian S, Elaasar M, Ent R, Fenker H, Fujii Y, Gan L, Garrow K, Geesaman DF, Gueye P, Hafidi K, Hinton W, Juengst H, Keppel C, Liang Y, Liu JH, Lung A, Mack D, Markowitz P, Mitchell J, Miyoshi T, Mkrtchyan H, Mtingwa SK, Mueller B, Niculescu G, Niculescu I, Potterveld D, Raue BA, Reimer PE, Reinhold J, Roche J, Sarsour M, Sato Y, Segel RE, Semenov A, Stepanyan S, Tadevosian V, Tajima S, Tang L, Uzzle A, Wood S, Yamaguchi H, Yan C, Yuan L, Zeidman B, Zeier M, Zihlmann B. Angular distributions for (3,4)(Lambda)H bound states in the (3,4)He(e,e(')K+) reaction. Phys Rev Lett 2004; 93:242501. [PMID: 15697799 DOI: 10.1103/physrevlett.93.242501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2004] [Indexed: 05/24/2023]
Abstract
The (3,4)(Lambda)H and (4)(Lambda)H hypernuclear bound states have been observed for the first time in kaon electroproduction on (3,4)He targets. The production cross sections have been determined at Q(2)=0.35 GeV2 and W=1.91 GeV. For either hypernucleus the nuclear form factor is determined by comparing the angular distribution of the (3,4)He(e,e(')K+)(3,4)(Lambda)H processes to the elementary cross section 1H(e,e K+)Lambda on the free proton, measured during the same experiment.
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Affiliation(s)
- F Dohrmann
- Argonne National Laboratory, Argonne, IL 60439, USA.
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50
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Rohe D, Armstrong CS, Asaturyan R, Baker OK, Bueltmann S, Carasco C, Day D, Ent R, Fenker HC, Garrow K, Gasparian A, Gueye P, Hauger M, Honegger A, Jourdan J, Keppel CE, Kubon G, Lindgren R, Lung A, Mack DJ, Mitchell JH, Mkrtchyan H, Mocelj D, Normand K, Petitjean T, Rondon O, Segbefia E, Sick I, Stepanyan S, Tang L, Tiefenbacher F, Vulcan WF, Warren G, Wood SA, Yuan L, Zeier M, Zhu H, Zihlmann B. Correlated strength in the nuclear spectral function. Phys Rev Lett 2004; 93:182501. [PMID: 15525158 DOI: 10.1103/physrevlett.93.182501] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2004] [Indexed: 05/24/2023]
Abstract
We have carried out an (e,e'p) experiment at high momentum transfer and in parallel kinematics to measure the strength of the nuclear spectral function S(k,E) at high nucleon momenta k and large removal energies E. This strength is related to the presence of short-range and tensor correlations, and was known hitherto only indirectly and with considerable uncertainty from the lack of strength in the independent-particle region. This experiment locates by direct measurement the correlated strength predicted by theory.
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Affiliation(s)
- D Rohe
- University of Basel, CH-4056 Basel, Switzerland
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