1
|
McGeoch LJ, Ross S, Massa MS, Lewington S, Clarke R. Cigarette smoking and risk of severe infectious respiratory diseases in UK adults: 12-year follow-up of UK biobank. J Public Health (Oxf) 2023; 45:e621-e629. [PMID: 37347589 PMCID: PMC10687597 DOI: 10.1093/pubmed/fdad090] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Indexed: 06/24/2023] Open
Abstract
BACKGROUND The relevance of tobacco smoking for infectious respiratory diseases (IRD) is uncertain. We investigated the associations of cigarette smoking with severe IRD resulting in hospitalization or death in UK adults. METHODS We conducted a prospective study of cigarette smoking and risk of severe IRD in UK Biobank. The outcomes included pneumonia, other acute lower respiratory tract infections (OA-LRTI) and influenza. Multivariable Cox regression analyses were used to estimate hazard ratios (HRs) of severe IRD associated with smoking habits after adjusting for confounding factors. RESULTS Among 341 352 participants with no prior history of major chronic diseases, there were 12 384 incident cases with pneumonia, 7054 with OA-LRTI and 795 with influenza during a 12-year follow-up. Compared with non-smokers, current smoking was associated with ⁓2-fold higher rates of severe IRD (HR 2.40 [2.27-2.53] for pneumonia, 1.99 [1.84-2.14] for OA-LRTI and 1.82 [95% confidence interval: 1.47-2.24] for influenza). Incidence of all severe IRDs were positively associated with amount of cigarettes smoked. The HRs for each IRD (except influenza) also declined with increasing duration since quitting. CONCLUSIONS Current cigarette smoking was positively associated with higher rates of IRD and the findings extend indications for tobacco control measures and vaccination of current smokers for prevention of severe IRD.
Collapse
Affiliation(s)
- Luke J McGeoch
- Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
| | - Stephanie Ross
- Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
| | - M Sofia Massa
- Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
| | - Sarah Lewington
- Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
- MRC Population Health Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
| | - Robert Clarke
- Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
- MRC Population Health Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
| |
Collapse
|
2
|
Desai T, Clarke R, Ross S, Grimsgaard S, Njølstad I, Lewington S. Trends in prevalence, treatment and control of hypertension in 38,825 adults over 36 years in Tromsø prospective study. Scand J Public Health 2023; 51:1033-1041. [PMID: 37227102 PMCID: PMC10599076 DOI: 10.1177/14034948221122395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 07/30/2022] [Accepted: 08/02/2022] [Indexed: 05/26/2023]
Abstract
AIMS/BACKGROUND Serial blood pressure surveys in cohort studies can inform public health policies to control blood pressure for prevention of cardiovascular diseases. METHODS Mean levels of systolic blood pressure (SBP) were collected in six sequential surveys, involving 38,825 individuals aged 30-79 years (51% female), between 1979 and 2015 in the Tromsø Study in Norway. Mean levels of SBP, prevalence of hypertension and use of blood pressure-lowering treatment were estimated by age, sex and calendar year of survey. RESULTS Age-specific mean levels of SBP in each decade of age increased by 20-25 mmHg in men and 30-35 mmHg in women and the prevalence of hypertension increased from 25% to 75% among adults aged 30-79 years. Among successive cohorts of adults aged 40-49 years at the time of the six surveys between 1979 and 2015, the mean levels of SBP declined by about 10 mmHg and the prevalence of hypertension declined from 46% to 25% in men and from 30% to 14% in women. The proportion of individuals with hypertension who were treated increased sixfold (from 7% to 42%) between 1979 and 2015, and the proportion of adults with hypertension that were successfully controlled also increased sixfold from 10% to 60% between 1979 and 2015. CONCLUSIONS Although this study demonstrated a halving in the age-specific prevalence of hypertension in men and women and a sixfold increase in treatment and control of hypertension, the burden of hypertension remains high among older people in Norway.
Collapse
Affiliation(s)
- Trishna Desai
- Clinical Trial Service Unit and Epidemiological Studies, Nuffield Department of Population Health, University of Oxford, UK
| | - Robert Clarke
- Clinical Trial Service Unit and Epidemiological Studies, Nuffield Department of Population Health, University of Oxford, UK
| | - Stephanie Ross
- Clinical Trial Service Unit and Epidemiological Studies, Nuffield Department of Population Health, University of Oxford, UK
- Medical Research Council Population Health Research Unit, University of Oxford, UK
| | - Sameline Grimsgaard
- Department of Community Medicine, Faculty of Health Sciences, UiT the Arctic University of Norway, Norway
| | - Inger Njølstad
- Department of Community Medicine, Faculty of Health Sciences, UiT the Arctic University of Norway, Norway
| | - Sarah Lewington
- Clinical Trial Service Unit and Epidemiological Studies, Nuffield Department of Population Health, University of Oxford, UK
- Medical Research Council Population Health Research Unit, University of Oxford, UK
| |
Collapse
|
3
|
Bohrmann B, Massa MS, Ross S, Lewington S, Lacey B. Body Mass Index and Risk of Hospitalization or Death Due to Lower or Upper Respiratory Tract Infection. JAMA 2023; 329:1512-1514. [PMID: 37129662 PMCID: PMC10155062 DOI: 10.1001/jama.2023.2619] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
This study assesses the associations between body mass index and risk of hospitalization for or death due to COVID-19, lower respiratory tract infections, and upper respiratory tract infections.
Collapse
Affiliation(s)
- Bastian Bohrmann
- Nuffield Department of Population Health, University of Oxford, Oxford, England
| | - M Sofia Massa
- Nuffield Department of Population Health, University of Oxford, Oxford, England
| | - Stephanie Ross
- Nuffield Department of Population Health, University of Oxford, Oxford, England
| | - Sarah Lewington
- Nuffield Department of Population Health, University of Oxford, Oxford, England
| | - Ben Lacey
- Nuffield Department of Population Health, University of Oxford, Oxford, England
| |
Collapse
|
4
|
Kalra S, Peyser R, Ho J, Babbin C, Bohan N, Cortes A, Erley J, Fatima M, Flinn J, Horwitz E, Hsu R, Lee W, Lu V, Narch A, Navas D, Okoroafor K, Ouanemalay E, Ross S, Sowole F, Specht E, Woo J, Yu K, Coolon JD. Genome-wide gene expression responses to experimental manipulation of Saccharomyces cerevisiae repressor activator protein 1 (Rap1) expression level. Genomics 2023; 115:110625. [PMID: 37068644 DOI: 10.1016/j.ygeno.2023.110625] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 02/24/2023] [Accepted: 04/13/2023] [Indexed: 04/19/2023]
Abstract
Precise regulation of transcription in gene expression is critical for all aspects of normal organism form, fitness, and function and even minor alterations in the level, location, and timing of gene expression can result in phenotypic variation within and between species including evolutionary innovations and human disease states. Eukaryotic transcription is regulated by a complex interplay of multiple factors working both at a physical and molecular levels influencing this process. In Saccharomyces cerevisiae, the TF with the greatest number of putative regulatory targets is the essential gene Repressor Activator Protein 1 (RAP1). While much is known about the roles of Rap1 in gene regulation and numerous cellular processes, the response of Rap1 target genes to systematic titration of RAP1 expression level remains unknown. To fill this knowledge gap, we used a strain with a tetracycline-titratable promoter replacing wild-type regulatory sequences of RAP1 to systematically reduce the expression level of RAP1 and followed this with RNA sequencing (RNA-seq) to measure genome-wide gene expression responses. Previous research indicated that Rap1 plays a significant regulatory role in particular groups of genes including telomere-proximal genes, homothallic mating (HM) loci, glycolytic genes, DNA repair genes, and ribosomal protein genes; therefore, we focused our analyses on these groups and downstream targets to determine how they respond to reductions in RAP1 expression level. Overall, despite being known as both an activator and as a repressor of its target genes, we found that Rap1 acts as an activator for more target genes than as a repressor. Additionally, we found that Rap1 functions as an activator of ribosomal protein genes and a repressor of the silent mating locus genes consistent with predictions from the literature. Unexpectedly, we found that Rap1 functions as a repressor of glycolytic enzyme genes contrary to prior reports of it having the opposite effect. We also compared the expression of RAP1 to five different genes related to DNA repair pathway and found that decreasing RAP1 downregulated four of those five genes. Finally, we found no effect of RAP1 depletion on telomere-proximal genes despite its functioning to silence telomeric repeat-containing RNAs. Together our results enrich our understanding of this important transcriptional regulator. The graphical abstract is provided as a supplementary fig. (S-Fig 1).
Collapse
Affiliation(s)
- S Kalra
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - R Peyser
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - J Ho
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - C Babbin
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - N Bohan
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - A Cortes
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - J Erley
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - M Fatima
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - J Flinn
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - E Horwitz
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - R Hsu
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - W Lee
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - V Lu
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - A Narch
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - D Navas
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - K Okoroafor
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - E Ouanemalay
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - S Ross
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - F Sowole
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - E Specht
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - J Woo
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - K Yu
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America
| | - J D Coolon
- Department of Biology, Wesleyan University, Middletown, CT 06457, United States of America.
| |
Collapse
|
5
|
Abstract
There is considerable interindividual variability in the response to antiplatelet and anticoagulant therapies, and this variation may be attributable to genetic variants. There has been an increased understanding of the genetic architecture of stroke and cardiovascular disease, which has been driven by advancements in genomic technologies and this has raised the possibility of more targeted pharmaceutical treatments. Pharmacogenetics promises to use a patient's genetic profile to treat those who are more likely to benefit from a particular intervention by selecting the best possible therapy. Although there are numerous studies indicating strong evidence for the effect of specific genotypes on the outcomes of vascular drugs, the adoption of pharmacogenetic testing in clinical practice has been slow. This resistance may stem from sometimes conflicting findings among pharmacogenetic studies, a lack of stroke-specific randomized controlled trials to test the effectiveness of genetically-guided therapies, and the practical and cost-effective implementation of genetic testing within the clinic. Thus, this review provides an overview of the genetic variants that influence the individual responses to aspirin, clopidogrel, warfarin and statins and the different methods for pharmacogenetic testing and guidelines for clinical implementation for stroke patients.
Collapse
Affiliation(s)
- Stephanie Ross
- Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ontario, Canada (S.R., G.P.)
| | - Kristi Krebs
- Estonian Genome Centre, Institute of Genomics, University of Tartu, Estonia (K.K., L.M.)
| | - Guillaume Paré
- Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Ontario, Canada (S.R., G.P.).,Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada (G.P.).,Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada (G.P.).,Thrombosis and Atherosclerosis Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Canada (G.P.)
| | - Lili Milani
- Estonian Genome Centre, Institute of Genomics, University of Tartu, Estonia (K.K., L.M.)
| |
Collapse
|
6
|
Ross S, Armas Rojas N, Sawatzky J, Varona-Pérez P, Burrett JA, Calderón Martínez M, Lorenzo-Vázquez E, Bess Constantén S, Sherliker P, Morales Rigau JM, Hernández López OJ, Martínez Morales MÁ, Alonso Alomá I, Achiong Estupiñan F, Díaz González M, Rosquete Muñoz N, Cendra Asencio M, Emberson J, Peto R, Lewington S, Lacey B. Educational inequalities and premature mortality: the Cuba Prospective Study. Lancet Public Health 2022; 7:e923-e931. [PMID: 36334608 DOI: 10.1016/s2468-2667(22)00237-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 08/26/2022] [Accepted: 09/06/2022] [Indexed: 11/06/2022]
Abstract
BACKGROUND Although socioeconomic status is a major determinant of premature mortality in many populations, the impact of social inequalities on premature mortality in Cuba, a country with universal education and health care, remains unclear. We aimed to assess the association between educational level and premature adult mortality in Cuba. METHODS The Cuba Prospective Study (a cohort study) enrolled 146 556 adults aged 30 years and older from the general population in five provinces from Jan 1, 1996, to Nov 24, 2002. Participants were followed up until Jan 1, 2017, for cause-specific mortality. Deaths were identified through linkage to the Cuban Public Health Ministry's national mortality records. Cox regression models yielded rate ratios (RRs) for the effect of educational level (a commonly used measure for social status) on mortality at ages 35-74 years, with assessment for the mediating effects of smoking, alcohol consumption, and BMI. FINDINGS A total of 127 273 participants aged 35-74 years were included in the analyses. There was a strong inverse association between educational level and premature mortality. Compared with a university education, men who did not complete primary education had an approximately 60% higher risk of premature mortality (RR 1·55, 95% CI 1·40-1·72), while the risk was approximately doubled in women (1·96, 1·81-2·13). Overall, 28% of premature deaths could be attributed to lower education levels. Excess mortality in women was primarily due to vascular disease, while vascular disease and cancer were equally important in men. 31% of the association with education in men and 18% in women could be explained by common modifiable risk factors, with smoking having the largest effect. INTERPRETATION This study highlights the value of understanding the determinants of health inequalities in different populations. Although many major determinants lie outside the health system in Cuba, this study has identified the diseases and risk factors that require targeted public health interventions, particularly smoking. FUNDING UK Medical Research Council, British Heart Foundation, Cancer Research UK, CDC Foundation (with support from Amgen).
Collapse
Affiliation(s)
- Stephanie Ross
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Nurys Armas Rojas
- National Institute of Cardiology and Cardiovascular Surgery, Havana, Cuba
| | - Julia Sawatzky
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Patricia Varona-Pérez
- Institute of Hygiene, Epidemiology and Microbiology, Ministry of Public Health, Havana, Cuba
| | - Julie Ann Burrett
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Marcy Calderón Martínez
- Institute of Hygiene, Epidemiology and Microbiology, Ministry of Public Health, Havana, Cuba
| | | | - Sonia Bess Constantén
- Directorate of Medical Records and Health Statistics, Ministry of Public Health, Havana, Cuba
| | - Paul Sherliker
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK; MRC Population Health Research Unit, NDPH, University of Oxford, Oxford, UK
| | | | | | | | - Ismell Alonso Alomá
- Directorate of Medical Records and Health Statistics, Ministry of Public Health, Havana, Cuba
| | | | - Mayda Díaz González
- Municipal Center of Hygiene, Epidemiology and Microbiology, Colón, Matanzas, Cuba
| | | | | | - Jonathan Emberson
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK; MRC Population Health Research Unit, NDPH, University of Oxford, Oxford, UK
| | - Richard Peto
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Sarah Lewington
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK; MRC Population Health Research Unit, NDPH, University of Oxford, Oxford, UK.
| | - Ben Lacey
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| |
Collapse
|
7
|
Hayden H, Nelson M, Ross S, Vo A, Penewit K, Eng A, Salipante S, Hoffman L, Sanders D. 541 Effect of therapeutic antibiotic exposure on oropharyngeal and fecal microbiota in infants with cystic fibrosis. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)01231-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
|
8
|
Felín MS, Wang K, Raggi C, Moreira A, Pandey A, Grose A, Caballero Z, Rengifo-Herrera C, Ramirez M, Moossazadeh D, Castro C, Montalvo JLS, Leahy K, Zhou Y, Clouser FA, Siddiqui M, Leong N, Goodall P, Michalowski M, Ismail M, Christmas M, Schrantz S, Norero X, Estripeaut D, Ellis D, Ashi K, Dovgin S, Dixon A, Li X, Begeman I, Heichman S, Lykins J, Villalobos-Cerrud D, Fabrega L, Mendivil C, Quijada MR, Fernández-Pirla S, de La Guardia V, Wong D, de LadrónGuevara M, Flores C, Borace J, García A, Caballero N, de Saez MTM, Politis M, Ross S, Dogra M, Dhamsania V, Graves N, Kirchberg M, Mathur K, Aue A, Restrepo CM, Llanes A, Guzman G, Rebollon A, Boyer K, Heydemann P, Noble AG, Swisher C, Rabiah P, Withers S, Hull T, Su C, Blair M, Latkany P, Mui E, Vasconcelos-Santos DV, Villareal A, Perez A, Galvis CAN, Montes MV, Perez NIC, Ramirez M, Chittenden C, Wang E, Garcia-López LL, Muñoz-Ortiz J, Rivera-Valdivia N, Bohorquez-Granados MC, de-la-Torre GC, Padrieu G, Hernandez JDV, Celis-Giraldo D, Acosta Dávila JA, Torres E, Oquendo MM, Arteaga-Rivera JY, Nicolae D, Rzhetsky A, Roizen N, Stillwaggon E, Sawers L, Peyron F, Wallon M, Chapey E, Levigne P, Charter C, De Frias M, Montoya J, Press C, Ramirez R, Contopoulos-Ioannidis D, Maldonado Y, Liesenfeld O, Gomez C, Wheeler K, Holfels E, Frim D, McLone D, Penn R, Cohen W, Zehar S, McAuley J, Limonne D, Houze S, Abraham S, Piarroux R, Tesic V, Beavis K, Abeleda A, Sautter M, El Mansouri B, El Bachir A, Amarir F, El Bissati K, de-la-Torre A, Britton G, Motta J, Ortega-Barria E, Romero IL, Meier P, Grigg M, Gómez-Marín J, Kosagisharaf JR, Llorens XS, Reyes O, McLeod R. Building Programs to Eradicate Toxoplasmosis Part III: Epidemiology and Risk Factors. Curr Pediatr Rep 2022; 10:109-124. [PMID: 37744780 PMCID: PMC10516319 DOI: 10.1007/s40124-022-00265-0] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/29/2022] [Indexed: 11/25/2022]
Abstract
Purpose of Review Review comprehensive data on rates of toxoplasmosis in Panama and Colombia. Recent Findings Samples and data sets from Panama and Colombia, that facilitated estimates regarding seroprevalence of antibodies to Toxoplasma and risk factors, were reviewed. Summary Screening maps, seroprevalence maps, and risk factor mathematical models were devised based on these data. Studies in Ciudad de Panamá estimated seroprevalence at between 22 and 44%. Consistent relationships were found between higher prevalence rates and factors such as poverty and proximity to water sources. Prenatal screening rates for anti-Toxoplasma antibodies were variable, despite existence of a screening law. Heat maps showed a correlation between proximity to bodies of water and overall Toxoplasma seroprevalence. Spatial epidemiological maps and mathematical models identify specific regions that could most benefit from comprehensive, preventive healthcare campaigns related to congenital toxoplasmosis and Toxoplasma infection.
Collapse
Affiliation(s)
| | - Kanix Wang
- Institute for Genomics and Systems Biology, The University
of Chicago, Chicago, IL, USA
| | - Catalina Raggi
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Ciudad de Panamá, Panama
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Aliya Moreira
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Abhinav Pandey
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Andrew Grose
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Zuleima Caballero
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | | | - Margarita Ramirez
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Davina Moossazadeh
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
- Department of Statistics, The University of Chicago,
Chicago, IL, USA
| | - Catherine Castro
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - José Luis Sanchez Montalvo
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
| | - Karen Leahy
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Ying Zhou
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | | | - Maryam Siddiqui
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Nicole Leong
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Perpetua Goodall
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Morgan Michalowski
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Mahmoud Ismail
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Monica Christmas
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Stephen Schrantz
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Ximena Norero
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Ciudad de Panamá, Panama
| | - Dora Estripeaut
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Ciudad de Panamá, Panama
| | - David Ellis
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Ciudad de Panamá, Panama
| | - Kevin Ashi
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Samantha Dovgin
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
| | - Ashtyn Dixon
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Xuan Li
- Rush University Medical School/Rush University Medical
Center, Chicago, IL, USA
| | - Ian Begeman
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Sharon Heichman
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Joseph Lykins
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Delba Villalobos-Cerrud
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Lorena Fabrega
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Connie Mendivil
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Mario R. Quijada
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Silvia Fernández-Pirla
- Toxoplasmosis Programs and Initiatives in Panamá,
Ciudad de Panamá, Panama
- Academia Interamericana de Panamá, Ciudad de
Panamá, Panama
| | - Valli de La Guardia
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Digna Wong
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Mayrene de LadrónGuevara
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | | | | | - Anabel García
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | | | - Maria Theresa Moreno de Saez
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Ciudad de Panamá, Panama
| | - Michael Politis
- Toxoplasmosis Programs and Initiatives in Panamá,
Ciudad de Panamá, Panama
| | - Stephanie Ross
- Rush University Medical School/Rush University Medical
Center, Chicago, IL, USA
| | - Mimansa Dogra
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Vishan Dhamsania
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Capstone Program, Global Health Center, The University of
Chicago, Chicago, IL, USA
| | - Nicholas Graves
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Capstone Program, Global Health Center, The University of
Chicago, Chicago, IL, USA
| | - Marci Kirchberg
- Capstone Program, Global Health Center, The University of
Chicago, Chicago, IL, USA
- Harris School of Public Policy, The University of
Chicago, Chicago, IL, USA
| | - Kopal Mathur
- Capstone Program, Global Health Center, The University of
Chicago, Chicago, IL, USA
- Harris School of Public Policy, The University of
Chicago, Chicago, IL, USA
| | - Ashley Aue
- Harris School of Public Policy, The University of
Chicago, Chicago, IL, USA
| | - Carlos M. Restrepo
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Alejandro Llanes
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - German Guzman
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Arturo Rebollon
- Sanofi Aventis de Panamá S.A, University of South
Florida, Ciudad de Panamá, Panama
| | - Kenneth Boyer
- Rush University Medical School/Rush University Medical
Center, Chicago, IL, USA
| | - Peter Heydemann
- Rush University Medical School/Rush University Medical
Center, Chicago, IL, USA
| | - A. Gwendolyn Noble
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- Northwestern University Feinberg School of Medicine,
Chicago, IL, USA
| | - Charles Swisher
- Northwestern University Feinberg School of Medicine,
Chicago, IL, USA
| | | | - Shawn Withers
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Teri Hull
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Chunlei Su
- Department of Microbiology, The University of Tennessee,
Knoxville, TN, USA
| | - Michael Blair
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Paul Latkany
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Ernest Mui
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | | | - Alcibiades Villareal
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Ambar Perez
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | | | | | | | - Morgan Ramirez
- The College, The University of Chicago, Chicago, IL,
USA
| | - Cy Chittenden
- The College, The University of Chicago, Chicago, IL,
USA
| | - Edward Wang
- The College, The University of Chicago, Chicago, IL,
USA
| | | | - Juliana Muñoz-Ortiz
- Grupo de Investigación en Neurociencias,
Universidad del Rosario, Bogotá, Colombia
| | | | | | | | - Guillermo Padrieu
- The University of South Florida College of Public Health,
Tampa, FL, USA
| | | | - Daniel Celis-Giraldo
- Grupo de Investigación en Neurociencias,
Universidad del Rosario, Bogotá, Colombia
| | | | - Elizabeth Torres
- Grupo de Investigación en Neurociencias,
Universidad del Rosario, Bogotá, Colombia
| | | | | | - Dan Nicolae
- Department of Statistics, The University of Chicago,
Chicago, IL, USA
| | - Andrey Rzhetsky
- Institute for Genomics and Systems Biology, The University
of Chicago, Chicago, IL, USA
| | - Nancy Roizen
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | | | - Larry Sawers
- Department of Economics, American University, Washington,
D.C, USA
| | - Francois Peyron
- Institut Des Agents Infectieux, Hôpital de La
Croix-Rousse, Lyon, France
| | - Martine Wallon
- Institut Des Agents Infectieux, Hôpital de La
Croix-Rousse, Lyon, France
| | - Emanuelle Chapey
- Institut Des Agents Infectieux, Hôpital de La
Croix-Rousse, Lyon, France
| | - Pauline Levigne
- Institut Des Agents Infectieux, Hôpital de La
Croix-Rousse, Lyon, France
| | | | | | - Jose Montoya
- Remington Specialty Laboratory, Palo Alto, CA, USA
| | - Cindy Press
- Remington Specialty Laboratory, Palo Alto, CA, USA
| | | | - Despina Contopoulos-Ioannidis
- Department of Pediatrics, Division of Infectious
Diseases, Stanford University College of Medicine, Stanford, CA, USA
| | - Yvonne Maldonado
- Department of Pediatrics, Division of Infectious
Diseases, Stanford University College of Medicine, Stanford, CA, USA
| | | | - Carlos Gomez
- Department of Economics, Gettysburg College, Gettysburg,
PA, USA
| | - Kelsey Wheeler
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Ellen Holfels
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - David Frim
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - David McLone
- Northwestern University Feinberg School of Medicine,
Chicago, IL, USA
| | - Richard Penn
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - William Cohen
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Samantha Zehar
- Northwestern University Feinberg School of Medicine,
Chicago, IL, USA
| | - James McAuley
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | | | - Sandrine Houze
- Laboratory of Parasitologie, Bichat-Claude Bernard
Hopital, Paris, France
| | - Sylvie Abraham
- Laboratory of Parasitologie, Bichat-Claude Bernard
Hopital, Paris, France
| | | | - Vera Tesic
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Kathleen Beavis
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Ana Abeleda
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Mari Sautter
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | | | | | - Fatima Amarir
- Faculty of Sciences Aïn Chok, University Hassan
II, Casablanca, Morocco
| | - Kamal El Bissati
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- INH, Rabat, Morocco
| | | | - Gabrielle Britton
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
- Sistema Nacional de Investigadores de Panamá
(SNI), Clayton, Panama
| | - Jorge Motta
- Tecnología E Innovación (SENACYT),
Secretaría Nacional de Ciencia, Ciudad de Panamá, Panama
| | - Eduardo Ortega-Barria
- Tecnología E Innovación (SENACYT),
Secretaría Nacional de Ciencia, Ciudad de Panamá, Panama
- GSK Vaccines, Panamá, Panama
| | - Isabel Luz Romero
- Tecnología E Innovación (SENACYT),
Secretaría Nacional de Ciencia, Ciudad de Panamá, Panama
| | - Paul Meier
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Michael Grigg
- Molecular Parasitology Section Laboratory of Parasitic
Diseases, National Institutes of Health, NIAID, Bethesda, MD, USA
| | | | - Jagannatha Rao Kosagisharaf
- Instituto de Investigaciones Científicas Y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Ciudad de Panamá, Panama
| | - Xavier Sáez Llorens
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Ciudad de Panamá, Panama
- Sistema Nacional de Investigadores de Panamá
(SNI), Clayton, Panama
| | - Osvaldo Reyes
- Academia Interamericana de Panamá, Ciudad de
Panamá, Panama
- Hospital Santo Tomás, Ciudad de Panamá,
Panama
- Sistema Nacional de Investigadores de Panamá
(SNI), Clayton, Panama
| | - Rima McLeod
- Toxoplasmosis Programs and Initiatives in Panamá,
Ciudad de Panamá, Panama
- Institute for Genomics and Systems Biology, The University
of Chicago, Chicago, IL, USA
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
- Toxoplasmosis Center, The University of Chicago, and
Toxoplasmosis Research Institute, Chicago, IL, USA
- Department of Pediatrics (Infectious Diseases), The
University of Chicago, Chicago, IL, USA
| |
Collapse
|
9
|
Rosen J, Sacher A, Pham NA, Weiss J, Li Q, Koga T, Tucker S, Radulovich N, Koers A, Niedbala M, Ross S, Tsao MS. EP08.02-079 The Use of Lung Adenocarcinoma Patient-Derived Xenografts and Organoids to Study GDP-KRAS G12C Inhibitor Resistance. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
10
|
SRIVASTAVA S, O’Brien M, Cheema P, Grohe C, Carcereny E, Girard N, Chiappori A, Ross S, Rossetti M, Dubois F, Lager J, Velcheti V. EP08.01-021 Phase 2 Study Evaluating Inupadenant in Combination with Chemotherapy in Adults with NSCLC who Progressed on Immunotherapy. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.593] [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: 11/26/2022]
|
11
|
Ross S, Chadha K, Mishra S, Lewington S, Shepperd S, Gathani T. The burden of risk factors for non-communicable disease in rural Bihar, India: a comparative study with national health surveys. BMC Public Health 2022; 22:1538. [PMID: 35962330 PMCID: PMC9375264 DOI: 10.1186/s12889-022-13818-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 07/13/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The incidence of non-communicable diseases (NCDs) is increasing in rural India. The National Family Health Survey-5 (NFHS-5) provides estimates of the burden of NCDs and their risk factors in women aged 15-49 and men aged 15-54 years. The aim of this study is to estimate the prevalence of hypertension and body-mass index (BMI) in adults aged 35-70 years in rural India and to compare these estimates, where age ranges overlap, to routinely available data. METHODS The Non-Communicable Disease in Rural India (NCDRI) Study was a cross-sectional household survey of 1005 women and 1025 men aged 35-70 conducted in Bihar in July 2019. Information was collected on personal characteristics, self-reported medical history and physical measurements (blood pressure, height and weight). Prevalence estimates for hypertension (systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg, or diagnosed and treated for hypertension), and for underweight (body-mass index < 18.5 kg/m2), normal weight (18.5-25.0 kg/m2) and overweight (≥ 25.0 kg/m2) were calculated. Where age ranges overlapped, estimates from the NCDRI Study were compared to the NFHS-5 Survey. RESULTS In the NCDRI Study, the estimated prevalence of hypertension was 27.3% (N = 274) in women and 27.6% (N = 283) in men aged 35-70, which was three-times higher in women and over two-times higher in men than in the NFHS-5 Survey. One-quarter (23.5%; N = 236) of women and one-fifth (20.2%; N = 207) of men in the NCDRI Study were overweight, which was approximately 1.5 times higher than in the NFHS-5 Survey. However, where age groups overlapped, similar age-standardized estimates were obtained for hypertension and weight in both the NCDRI Study and the NFHS-5 Survey. CONCLUSION The prevalence of NCDs in rural India is higher than previously reported due to the older demographic in our survey. Future routine national health surveys must widen the age range of participants to reflect the changing disease profile of rural India, and inform the planning of health services.
Collapse
Affiliation(s)
- Stephanie Ross
- grid.4991.50000 0004 1936 8948Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | | | | | - Sarah Lewington
- grid.4991.50000 0004 1936 8948Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Sasha Shepperd
- grid.4991.50000 0004 1936 8948Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Toral Gathani
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK. .,Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
| | | |
Collapse
|
12
|
Felín MS, Wang K, Moreira A, Grose A, Leahy K, Zhou Y, Clouser FA, Siddiqui M, Leong N, Goodall P, Michalowski M, Ismail M, Christmas M, Schrantz S, Caballero Z, Norero X, Estripeaut D, Ellis D, Raggi C, Castro C, Rengifo-Herrera C, Moossazadeh D, Ramirez M, Pandey A, Ashi K, Dovgin S, Dixon A, Li X, Begeman I, Heichman S, Lykins J, Villalobos-Cerrud D, Fabrega L, Montalvo JLS, Mendivil C, Quijada MR, Fernández-Pirla S, de La Guardia V, Wong D, de Guevara ML, Flores C, Borace J, García A, Caballero N, de Saez MTM, Politis M, Ross S, Dogra M, Dhamsania V, Graves N, Kirchberg M, Mathur K, Aue A, Restrepo CM, Llanes A, Guzman G, Rebellon A, Boyer K, Heydemann P, Noble AG, Swisher C, Rabiah P, Withers S, Hull T, Frim D, McLone D, Su C, Blair M, Latkany P, Mui E, Vasconcelos-Santos DV, Villareal A, Perez A, Galvis CAN, Montes MV, Perez NIC, Ramirez M, Chittenden C, Wang E, Garcia-López LL, Muñoz-Ortiz J, Rivera-Valdivia N, Bohorquez-Granados MC, de-la-Torre GC, Padrieu G, Hernandez JDV, Celis-Giraldo D, Dávila JAA, Torres E, Oquendo MM, Arteaga-Rivera JY, Nicolae DL, Rzhetsky A, Roizen N, Stillwaggon E, Sawers L, Peyron F, Wallon M, Chapey E, Levigne P, Charter C, De Frias M, Montoya J, Press C, Ramirez R, Contopoulos-Ioannidis D, Maldonado Y, Liesenfeld O, Gomez C, Wheeler K, Zehar S, McAuley J, Limonne D, Houze S, Abraham S, Piarroux R, Tesic V, Beavis K, Abeleda A, Sautter M, El Mansouri B, El Bachir A, Amarir F, El Bissati K, Holfels E, Penn R, Cohen W, de-la-Torre A, Britton G, Motta J, Ortega-Barria E, Romero IL, Meier P, Grigg M, Gómez-Marín J, Kosagisharaf JR, Llorens XS, Reyes O, McLeod R. Building Programs to Eradicate Toxoplasmosis Part II: Education. Curr Pediatr Rep 2022; 10:93-108. [PMID: 36969368 PMCID: PMC10035399 DOI: 10.1007/s40124-022-00267-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Abstract
Purpose of Review
Review work to create and evaluate educational materials that could serve as a primary prevention strategy to help both providers and patients in Panama, Colombia, and the USA reduce disease burden of Toxoplasma infections.
Recent Findings
Educational programs had not been evaluated for efficacy in Panama, USA, or Colombia.
Summary
Educational programs for high school students, pregnant women, medical students and professionals, scientists, and lay personnel were created. In most settings, short-term effects were evaluated. In Panama, Colombia, and USA, all materials showed short-term utility in transmitting information to learners. These educational materials can serve as a component of larger public health programs to lower disease burden from congenital toxoplasmosis. Future priorities include conducting robust longitudinal studies of whether education correlates with reduced adverse disease outcomes, modifying educational materials as new information regarding region-specific risk factors is discovered, and ensuring materials are widely accessible.
Collapse
Affiliation(s)
| | - Kanix Wang
- Institute for Genomics and Systems Biology, The University
of Chicago, Chicago, IL, USA
| | - Aliya Moreira
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Panama City, Panama
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Andrew Grose
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Karen Leahy
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Ying Zhou
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | | | - Maryam Siddiqui
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Nicole Leong
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Perpetua Goodall
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Morgan Michalowski
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Mahmoud Ismail
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Monica Christmas
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Stephen Schrantz
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Zuleima Caballero
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - Ximena Norero
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Panama City, Panama
| | - Dora Estripeaut
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Panama City, Panama
| | - David Ellis
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Panama City, Panama
| | - Catalina Raggi
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Catherine Castro
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Claudia Rengifo-Herrera
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
- Universidad de Panamá, Panama City, Panama
| | - Davina Moossazadeh
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
- Department of Statistics, The University of Chicago,
Chicago, IL, USA
| | - Margarita Ramirez
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Abhinav Pandey
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Kevin Ashi
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Samantha Dovgin
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
| | - Ashtyn Dixon
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Xuan Li
- Rush University Medical School/Rush University Medical
Center, Chicago, IL, USA
| | - Ian Begeman
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Sharon Heichman
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Joseph Lykins
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Delba Villalobos-Cerrud
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - Lorena Fabrega
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - José Luis Sanchez Montalvo
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Connie Mendivil
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - Mario R. Quijada
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - Silvia Fernández-Pirla
- Toxoplasmosis Programs and Initiatives in Panamá,
Panama City, Panama
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
- Academia Interamericana de Panamá, Panama City,
Panama
- Hospital Santo Tomás, Panama City, Panama
| | - Valli de La Guardia
- Toxoplasmosis Programs and Initiatives in Panamá,
Panama City, Panama
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
- Hospital Santo Tomás, Panama City, Panama
- Hospital San Miguel de Arcangel, Ciudad de Panama,
Panama
| | - Digna Wong
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - Mayrene Ladrón de Guevara
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
- Hospital Santo Tomás, Panama City, Panama
| | | | | | - Anabel García
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | | | - Maria Theresa Moreno de Saez
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Panama City, Panama
| | - Michael Politis
- Toxoplasmosis Programs and Initiatives in Panamá,
Panama City, Panama
| | - Stephanie Ross
- Rush University Medical School/Rush University Medical
Center, Chicago, IL, USA
| | - Mimansa Dogra
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
| | - Vishan Dhamsania
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
- Capstone Program, Global Health Center, The University of
Chicago, Chicago, IL, USA
| | - Nicholas Graves
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
- Capstone Program, Global Health Center, The University of
Chicago, Chicago, IL, USA
| | - Marci Kirchberg
- Capstone Program, Global Health Center, The University of
Chicago, Chicago, IL, USA
- Harris School of Public Policy, The University of
Chicago, Chicago, IL, USA
| | - Kopal Mathur
- Capstone Program, Global Health Center, The University of
Chicago, Chicago, IL, USA
- Harris School of Public Policy, The University of
Chicago, Chicago, IL, USA
| | - Ashley Aue
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
- Harris School of Public Policy, The University of
Chicago, Chicago, IL, USA
| | - Carlos M. Restrepo
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - Alejandro Llanes
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - German Guzman
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - Arturo Rebellon
- Sanofi Aventis de Panamá S.A., University of South
Florida, Panama City, Panama
| | - Kenneth Boyer
- Rush University Medical School/Rush University Medical
Center, Chicago, IL, USA
| | - Peter Heydemann
- Rush University Medical School/Rush University Medical
Center, Chicago, IL, USA
| | - A. Gwendolyn Noble
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- Northwestern University Feinberg School of Medicine,
Chicago, IL, USA
| | - Charles Swisher
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- Northwestern University Feinberg School of Medicine,
Chicago, IL, USA
| | - Peter Rabiah
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- NorthShore Evanston Hospital, Evanston, IL, USA
| | - Shawn Withers
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Teri Hull
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - David Frim
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - David McLone
- Northwestern University Feinberg School of Medicine,
Chicago, IL, USA
| | - Chunlei Su
- Department of Microbiology, The University of Tennessee,
Knoxville, TN, USA
| | - Michael Blair
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Paul Latkany
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Ernest Mui
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | | | - Alcibiades Villareal
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | - Ambar Perez
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
| | | | | | | | - Morgan Ramirez
- The College, The University of Chicago, Chicago, IL,
USA
| | - Cy Chittenden
- The College, The University of Chicago, Chicago, IL,
USA
| | - Edward Wang
- The College, The University of Chicago, Chicago, IL,
USA
| | | | - Juliana Muñoz-Ortiz
- Grupo de Investigación en Neurociencias,
Universidad del Rosario, Bogotá, Colombia
| | | | | | | | - Guillermo Padrieu
- Toxoplasmosis Programs and Initiatives in Panamá,
Panama City, Panama
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
- Grupo de Investigación en Neurociencias,
Universidad del Rosario, Bogotá, Colombia
| | | | | | | | | | | | | | - Dan L. Nicolae
- Department of Statistics, The University of Chicago,
Chicago, IL, USA
| | - Andrey Rzhetsky
- Institute for Genomics and Systems Biology, The University
of Chicago, Chicago, IL, USA
| | - Nancy Roizen
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | | | - Larry Sawers
- Department of Economics, American University, D,
Washington .C, USA
| | - Francois Peyron
- Institut des agents infectieux, Hôpital de la
Croix-Rousse, Lyon, France
| | - Martine Wallon
- Institut des agents infectieux, Hôpital de la
Croix-Rousse, Lyon, France
| | - Emanuelle Chapey
- Institut des agents infectieux, Hôpital de la
Croix-Rousse, Lyon, France
| | - Pauline Levigne
- Institut des agents infectieux, Hôpital de la
Croix-Rousse, Lyon, France
| | | | | | - Jose Montoya
- Remington Specialty Laboratory, Palo Alto, CA, USA
| | - Cindy Press
- Remington Specialty Laboratory, Palo Alto, CA, USA
| | | | - Despina Contopoulos-Ioannidis
- Department of Pediatrics, Division of Infectious
Diseases, Stanford University College of Medicine, Stanford, CA, USA
| | - Yvonne Maldonado
- Department of Pediatrics, Division of Infectious
Diseases, Stanford University College of Medicine, Stanford, CA, USA
| | | | - Carlos Gomez
- Department of Pediatrics, Division of Infectious
Diseases, Stanford University College of Medicine, Stanford, CA, USA
| | - Kelsey Wheeler
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
| | - Samantha Zehar
- Northwestern University Feinberg School of Medicine,
Chicago, IL, USA
| | - James McAuley
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | | | - Sandrine Houze
- Laboratory of Parasitologie, Bichat-Claude Bernard
Hopital, Paris, France
| | - Sylvie Abraham
- Laboratory of Parasitologie, Bichat-Claude Bernard
Hopital, Paris, France
| | | | - Vera Tesic
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Kathleen Beavis
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Ana Abeleda
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Mari Sautter
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | | | | | - Fatima Amarir
- Faculty of Sciences Ain Chock, University Hassan II,
Casablanca, Morocco
| | - Kamal El Bissati
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- INH, Rabat, Morocco
| | - Ellen Holfels
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
| | - Richard Penn
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - William Cohen
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
| | | | - Gabrielle Britton
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
- Sistema Nacional de investigadores de Panamá
(SNI), Panama City, Panama
| | - Jorge Motta
- Sistema Nacional de investigadores de Panamá
(SNI), Panama City, Panama
- Secretaría Nacional de Ciencia, Tecnología
e Innovación (SENACYT), Panama City, Panama
| | - Eduardo Ortega-Barria
- Sistema Nacional de investigadores de Panamá
(SNI), Panama City, Panama
- Secretaría Nacional de Ciencia, Tecnología
e Innovación (SENACYT), Panama City, Panama
- GSK Vaccines, Panama City, Panama
| | - Isabel Luz Romero
- Secretaría Nacional de Ciencia, Tecnología
e Innovación (SENACYT), Panama City, Panama
| | - Paul Meier
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
| | - Michael Grigg
- Molecular Parasitology Section, Laboratory of Parasitic
Diseases, National Institutes of Health, NIAID, Bethesda, MD, USA
| | - Jorge Gómez-Marín
- Universidad del Quindío, Armenia, Colombia
- Jorge Gómez-Marín,
, Jagannatha Rao Kosagisharaf,
, Xavier Sáez Llorens,
, Osvaldo Reyes,
, Rima McLeod,
| | - Jagannatha Rao Kosagisharaf
- Instituto de Investigaciones Científicas y Servicios
de Alta Tecnología AIP (INDICASAT-AIP), Panama City, Panama
- Sistema Nacional de investigadores de Panamá
(SNI), Panama City, Panama
- Jorge Gómez-Marín,
, Jagannatha Rao Kosagisharaf,
, Xavier Sáez Llorens,
, Osvaldo Reyes,
, Rima McLeod,
| | - Xavier Sáez Llorens
- Department of Pediatrics Infectious Diseases/Department of
Neonatology, Hospital del Niño Doctor José Renán Esquivel,
Panama City, Panama
- Sistema Nacional de investigadores de Panamá
(SNI), Panama City, Panama
- Jorge Gómez-Marín,
, Jagannatha Rao Kosagisharaf,
, Xavier Sáez Llorens,
, Osvaldo Reyes,
, Rima McLeod,
| | - Osvaldo Reyes
- Universidad de Panamá, Panama City, Panama
- Hospital Santo Tomás, Panama City, Panama
- Sistema Nacional de investigadores de Panamá
(SNI), Panama City, Panama
- Jorge Gómez-Marín,
, Jagannatha Rao Kosagisharaf,
, Xavier Sáez Llorens,
, Osvaldo Reyes,
, Rima McLeod,
| | - Rima McLeod
- Toxoplasmosis Programs and Initiatives in Panamá,
Panama City, Panama
- Institute for Genomics and Systems Biology, The University
of Chicago, Chicago, IL, USA
- Pritzker School of Medicine, The University of Chicago,
Chicago, IL, USA
- Department of Ophthalmology and Visual Sciences, The
University of Chicago, Chicago, IL, USA
- The College, The University of Chicago, Chicago, IL,
USA
- The Global Health Center, The University of Chicago,
Chicago, IL, USA
- Toxoplasmosis Center, The University of Chicago, and
Toxoplasmosis Research Institute, Chicago, IL, USA
- Department of Pediatrics (Infectious Diseases), The
University of Chicago, Chicago, IL, USA
- Jorge Gómez-Marín,
, Jagannatha Rao Kosagisharaf,
, Xavier Sáez Llorens,
, Osvaldo Reyes,
, Rima McLeod,
| |
Collapse
|
13
|
Bateman KS, Stentiford GD, Kerr R, Hooper C, White P, Edwards M, Ross S, Hazelgrove R, Daumich C, Green MJ, Ivory D, Evans C, Bass D. Amoebic crab disease (ACD) in edible crab Cancer pagurus from the English Channel, UK. Dis Aquat Organ 2022; 150:1-16. [PMID: 35796507 DOI: 10.3354/dao03668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
The genera Paramoeba and Neoparamoeba (Amoebozoa, Dactylopodida, Paramoebidae) include well-known opportunistic pathogens associated with fish (N. peruans; amoebic gill disease), lobsters, molluscs and sea urchins, but only rarely with crabs (grey crab disease of blue crabs). Following reports of elevated post-capture mortality in edible crabs Cancer pagurus captured from a site within the English Channel fishery in the UK, a novel disease (amoebic crab disease, ACD) was detected in significant proportions of the catch. We present histopathological, transmission electron microscopy and molecular phylogenetic data, showing that this disease is defined by colonization of haemolymph, connective tissues and fixed phagocytes by amoeboid cells, leading to tissue destruction and presumably death in severely diseased hosts. The pathology was strongly associated with a novel amoeba with a phylogenetic position on 18S rRNA gene trees robustly sister to Janickina pigmentifera (which groups within the current circumscription of Paramoeba/Neoparamoeba), herein described as Janickina feisti n. sp. We provide evidence that J. feisti is associated with ACD in 50% of C. pagurus sampled from the mortality event. A diversity of other paramoebid sequence types, clustering with known radiations of N. pemaquidensis and N. aestuarina and a novel N. aestuarina sequence type, was detected by PCR in most of the crabs investigated, but their detection was much less strongly associated with clinical signs of disease. The discovery of ACD in edible crabs from the UK is discussed relative to published historical health surveys for this species.
Collapse
Affiliation(s)
- K S Bateman
- International Centre of Excellence for Aquatic Animal Health, Centre for Environment, Fisheries and Aquaculture Science (Cefas), Barrack Road, The Nothe, Weymouth DT4 8UB, UK
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
14
|
Birt J, Tillett W, Cavanaugh C, Jung Y, Vadhariya A, Ross S, Paulus J, Sprabery AT, Lubrano E. POS1060 CHANGES IN DISEASE ACTIVITY AND PATIENT-REPORTED OUTCOMES IN PSORIATIC ARTHRITIS PATIENTS TREATED WITH IXEKIZUMAB IN A REAL-WORLD US COHORT. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.4829] [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: 11/03/2022]
Abstract
BackgroundIxekizumab (IXE), an IL-17A inhibitor, has demonstrated efficacy in clinical trials1-3 but real-world effectiveness (RWE) data are limited.4ObjectivesTo describe changes in disease activity and patient-reported outcomes (PROs) at 6 and 12 months follow-up among psoriatic arthritis (PsA) patients initiating IXE in a routine clinical setting.MethodsThis retrospective cohort study included patients from the OM1 PsA Registry (OM1, Boston, MA), a linked electronic medical record and administrative claims dataset with over 50,000 patients. Eligible patients had ≥1 prescription for IXE (first = index), were ≥18 years old at index, had ≥1 diagnosis code for PsA in the 12 months before or on index, and had ≥12 months of baseline and ≥6 months of follow-up data as of June 2021. For patients with baseline and follow-up measures available, changes in Clinical Disease Activity Index (CDAI), PROs, and other clinical outcomes from baseline to 6 and 12 months were described. For patients on IXE monotherapy, change in CDAI score from baseline to 6 and 12 months was assessed using mixed effects linear models adjusted for age, sex, and baseline CDAI score.ResultsThe study population included 1,812 patients with a mean age of 53.7 years (Table 1). Psoriasis was present in 82% and enthesitis in 28%. Over 60% of patients were obese, and the mean Charlson Comorbidity Index was 1.3. Most patients (84%) had prior treatment with a biologic disease-modifying antirheumatic drug (bDMARD) and 40% with a targeted synthetic DMARD (tsDMARD). The mean number of bDMARDs and tsDMARDs used during all available prior history was 2.3 and 1.1, respectively. The most common prior bDMARDs were secukinumab (n=428, 24%) and adalimumab (n=245, 14%).Table 1.Demographic and Clinical Characteristics by Therapy StatusAll Patients(N=1,812)Monotherapy(N=1,485)Combination Therapy(N=327)Age (years)Mean (s.d.)53.7 (12.2)53.9 (12.3)52.9 (11.7)Median (Q1-Q3)55 (46-62)55 (46-62)54 (45-61)SexFemale1,108 (61.1%)909 (61.2%)199 (60.9%)Male704 (38.9%)576 (38.8%)128 (39.1%)Charlson Comorbidity IndexMean (s.d.)1.3 (1.6)1.3 (1.6)1.5 (1.7)Median (Q1-Q3)1 (0-2)1 (0-2)1 (0-2)BMIUnderweight: <18.510 (0.6%)10 (0.7%)0 (0.0%)Normal weight: 18.5-24.9210 (12.2%)172 (12.2%)38 (12.1%)Overweight: 25-29.9455 (26.5%)379 (27.0%)76 (24.2%)Obese: >= 301,045 (60.8%)845 (60.1%)200 (63.7%)Missing927913Domains of PsA: PsoriasisYes1,490 (82.2%)1,222 (82.3%)268 (82.0%)No322 (17.8%)263 (17.7%)59 (18.0%)Domains of PsA: EnthesitisYes510 (28.1%)409 (27.5%)101 (30.9%)No1,302 (71.9%)1,076 (72.5%)226 (69.1%)Of patients with a baseline CDAI score, 61% had moderate or severe disease activity. For all patients, CDAI scores improved (decreased) by an average of 3.4 and 3.7 points at 6 and 12 months, respectively, from a baseline mean of 15.4. All disease activity measures and PROs improved from baseline to 6 and 12 months (Figure 1). In patients persistent with IXE, 35.3% and 33.7% were in CDAI remission or low disease activity at 6 and 12 months after initiation, respectively. For IXE monotherapy users (82% of patients), at baseline, patients had a mean CDAI of 14.3 (n=131) and 15.1 (n=105) for the 6 and 12 month analyses, respectively. Adjusted mean changes in CDAI from baseline to 6 months (-3.6 points, p < 0.0001) and 12 months (-4.9 points, p < 0.0001) were statistically significant.ConclusionIn this cohort of PsA patients with multiple prior b/tsDMARD failures, improvements in disease activity and PROs were observed at 6 and 12 months after initiating treatment with IXE. Improvements were observed in patients overall and in the monotherapy subgroup. More real-world research on IXE and other bDMARDs are important to understand the effect of treatment choices on clinical and PROs in both bDMARD-naive and experienced PsA patients.References[1]Mease PJ. Ann. Rheum. Dis. 2017;76(1):79-87[2]Nash P. Lancet. 2017;389(10086):2317-2327[3]Mease PJ. Ann. Rheum. Dis. 2020;79(1):123-131[4]Berman J. Biologics. 2021 Nov 18;15:463-470Disclosure of InterestsJulie Birt Shareholder of: Shareholder of Eli Lilly and Company, Employee of: Employee of Eli Lilly and Company, William Tillett Speakers bureau: Abbvie, Amgen, Celgene, Eli-Lilly, Janssen, MSD, Novartis,, Pfizer, UCB, Consultant of: Abbvie, Amgen, Celgene, Eli-Lilly, Janssen, MSD, Novartis, Pfizer, UCB, Grant/research support from: Abbvie, Amgen, Celgene, Eli-Lilly, Janssen, UCB, Cristi Cavanaugh: None declared, Yoojin Jung: None declared, Aisha Vadhariya Shareholder of: Shareholder of Eli Lilly and Company, Employee of: Employee of Eli Lilly and Company, Sarah Ross Shareholder of: Shareholder of Eli Lilly and Company, Employee of: Employee of Eli Lilly and Company, Jess Paulus: None declared, Aubrey Trevelin Sprabery Shareholder of: Shareholder of Eli Lilly and Company, Employee of: Employee of Eli Lilly and Company, Ennio Lubrano: None declared
Collapse
|
15
|
Georgiou I, Bhatt P, Bodkin P, Giamouriadis A, Ross S, Walkden J, Olson S, Neelakantan A, Torgersen A, Whibley M, Moleron R. PO-1165 Pattern of recurrence of glioblastoma treated with non-coplanar volumetric modulated arc therapy. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03129-2] [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]
|
16
|
Carrington S, Baez-Hernandez N, Bano M, Butts R, Davies R, McGill A, Power A, Ross S, Sutcliffe D, Lantz J. When a Single Choice Impacts a Single Ventricle: Paracorporeal Pediatric VAD Support at 544 Days. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1318] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
17
|
Diggles BK, Bass D, Bateman KS, Chong R, Daumich C, Hawkins KA, Hazelgrove R, Kerr R, Moody NJG, Ross S, Stentiford GD. Haplosporidium acetes n. sp. infecting the hepatopancreas of jelly prawns Acetes sibogae australis from Moreton Bay, Australia. J Invertebr Pathol 2022; 190:107751. [DOI: 10.1016/j.jip.2022.107751] [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] [Received: 12/18/2021] [Revised: 03/22/2022] [Accepted: 03/24/2022] [Indexed: 11/29/2022]
|
18
|
Lim S, Mangala M, Holliday M, Ross S, Liang W, Ranpura G, Cserne Szappanos H, Hill A, Semsarian C, Hool L. Slow Conduction Velocity Revealed in Hypertrophic Cardiomyopathy Modelled With Patient-Derived Induced Pluripotent Stem Cell Cardiomyocytes. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.04.024] [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: 11/29/2022]
|
19
|
Ross S, Korostynska O, Cordova-Lopez L, Mason A. A review of unilateral grippers for meat industry automation. Trends Food Sci Technol 2022. [DOI: 10.1016/j.tifs.2021.12.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
20
|
Meyer J, Thompson M, Ross S. 90: Improving research awareness and engagement in a pediatric cystic fibrosis center. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)01515-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
21
|
Ross S, Kopp B, Siracusa C, Chmiel J, Sanders D. 538: Noninvasive measurement of inflammation using nasal filter paper. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)01961-5] [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: 11/29/2022]
|
22
|
Mahmoodi BK, Eriksson N, Ross S, Claassens DMF, Asselbergs FW, Meijer K, Siegbahn A, James S, Pare G, Wallentin L, Ten Berg JM. Factor V Leiden and the Risk of Bleeding in Patients With Acute Coronary Syndromes Treated With Antiplatelet Therapy: Pooled Analysis of 3 Randomized Clinical Trials. J Am Heart Assoc 2021; 10:e021115. [PMID: 34459239 PMCID: PMC8649290 DOI: 10.1161/jaha.120.021115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background Whether factor V Leiden is associated with lower bleeding risk in patients with acute coronary syndromes using (dual) antiplatelet therapy has yet to be investigated. Methods and Results We pooled data from 3 randomized clinical trials, conducted in patients with acute coronary syndromes, with adjudicated bleeding outcomes. Cox regression models were used to obtain overall and cause‐specific hazard ratios (HRs) to account for competing risk of atherothrombotic outcomes (ie, composite of ischemic stroke, myocardial infarction, and cardiovascular death) in each study. Estimates from the individual studies were pooled using fixed effect meta‐analysis. The 3 studies combined included 17 623 patients of whom 969 (5.5%) were either heterozygous or homozygous (n=23) carriers of factor V Leiden. During 1 year of follow‐up, a total of 1289 (7.3%) patients developed major (n=559) or minor bleeding. Factor V Leiden was associated with a lower risk of combined major and minor bleeding (adjusted cause‐specific HR, 0.75; 95% CI, 0.56–1.00; P=0.046; I2=0%) but a comparable risk of major bleeding (adjusted cause‐specific HR, 0.93; 95% CI, 0.62–1.39; P=0.73; I2=0%). Adjusted pooled cause‐specific HRs for the association of factor V Leiden with atherothrombotic events alone and in combination with bleeding events were 0.75 (95% CI, 0.55–1.02; P=0.06; I2=0%) and 0.75 (95% CI, 0.61–0.92; P=0.007; I2=0%), respectively. Conclusions Given that the lower risk of bleeding conferred by factor V Leiden was not counterbalanced by a higher risk of atherothrombotic events, these findings warrant future assessment for personalized medicine such as selecting patients for extended or intensive antiplatelet therapy.
Collapse
Affiliation(s)
- Bakhtawar K Mahmoodi
- Department of Cardiology St. Antonius Hospital Nieuwegein the Netherlands.,Division of Hemostasis and Thrombosis Department of Hematology University Medical Center GroningenUniversity of Groningen the Netherlands
| | - Niclas Eriksson
- Uppsala Clinical Research Center Uppsala University Uppsala Sweden
| | - Stephanie Ross
- Department of Clinical Epidemiology and Biostatistics McMaster University Hamilton Ontario Canada
| | | | - Folkert W Asselbergs
- Division Heart & Lungs Department of Cardiology University Medical Center UtrechtUtrecht University Utrecht the Netherlands.,Institute of Cardiovascular Science Faculty of Population Health Sciences University College London London United Kingdom.,Health Data Research UK and Institute of Health Informatics University College London London United Kingdom
| | - Karina Meijer
- Division of Hemostasis and Thrombosis Department of Hematology University Medical Center GroningenUniversity of Groningen the Netherlands
| | - Agneta Siegbahn
- Uppsala Clinical Research Center Uppsala University Uppsala Sweden.,Laboratory for Coagulation Research Department of Medical Sciences Clinical Chemistry University Hospital Uppsala Sweden
| | - Stefan James
- Uppsala Clinical Research Center Uppsala University Uppsala Sweden.,Department of Medical Sciences Cardiology Uppsala University Uppsala Sweden
| | - Guillaume Pare
- Department of Pathology and Molecular Medicine McMaster University Hamilton Ontario Canada.,Population Health Research Institute Hamilton Health SciencesMcMaster University Hamilton Ontario Canada
| | - Lars Wallentin
- Uppsala Clinical Research Center Uppsala University Uppsala Sweden.,Department of Medical Sciences Cardiology Uppsala University Uppsala Sweden
| | - Jurriën M Ten Berg
- Department of Cardiology St. Antonius Hospital Nieuwegein the Netherlands
| |
Collapse
|
23
|
Ross S, Rodriguez F. Self-perceived problems in daily activities and strategy building in people without, with mild and severe dementia. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S Ross
- Deutsches Zentrum für Neurodegenerative Erkrankungen e.V., Psychosoziale Epidemiologie und Versorgungsforschung
| | - F Rodriguez
- Deutsches Zentrum für Neurodegenerative Erkrankungen e.V., Psychosoziale Epidemiologie und Versorgungsforschung
| |
Collapse
|
24
|
Armas Rojas NB, Lacey B, Soni M, Charles S, Carter J, Varona-Pérez P, Burrett JA, Martínez MC, Lorenzo-Vázquez E, Constantén SB, Taylor H, Sherliker P, Rigau JMM, Ross S, Massa MS, López OJH, Islam N, Morales MÁM, Alomá IA, Estupiñan FA, González MD, Muñoz NR, Asencio MC, Díaz-Diaz O, Iglesias-Marichal I, Emberson J, Peto R, Lewington S. Body-mass index, blood pressure, diabetes and cardiovascular mortality in Cuba: prospective study of 146,556 participants. BMC Public Health 2021; 21:963. [PMID: 34039286 PMCID: PMC8157418 DOI: 10.1186/s12889-021-10911-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 04/26/2021] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND Cardiovascular disease accounts for about one-third of all premature deaths (ie, age < 70) in Cuba. Yet, the relevance of major risk factors, including systolic blood pressure (SBP), diabetes, and body-mass index (BMI), to cardiovascular mortality in this population remains unclear. METHODS In 1996-2002, 146,556 adults were recruited from the general population in five areas of Cuba. Participants were interviewed, measured (height, weight and blood pressure) and followed up by electronic linkage to national death registries until Jan 1, 2017; in 2006-08, 24,345 participants were resurveyed. After excluding all with missing data, cardiovascular disease at recruitment, and those who died in the first 5 years, Cox regression (adjusted for age, sex, education, smoking, alcohol and, where appropriate, BMI) was used to relate cardiovascular mortality rate ratios (RRs) at ages 35-79 years to SBP, diabetes and BMI; RR were corrected for regression dilution to give associations with long-term average (ie, 'usual') levels of SBP and BMI. RESULTS After exclusions, there were 125,939 participants (mean age 53 [SD12]; 55% women). Mean SBP was 124 mmHg (SD15), 5% had diabetes, and mean BMI was 24.2 kg/m2 (SD3.6); mean SBP and diabetes prevalence at recruitment were both strongly related to BMI. During follow-up, there were 4112 cardiovascular deaths (2032 ischaemic heart disease, 832 stroke, and 1248 other). Cardiovascular mortality was positively associated with SBP (>=120 mmHg), diabetes, and BMI (>=22.5 kg/m2): 20 mmHg higher usual SBP about doubled cardiovascular mortality (RR 2.02, 95%CI 1.88-2.18]), as did diabetes (2.15, 1.95-2.37), and 10 kg/m2 higher usual BMI (1.92, 1.64-2.25). RR were similar in men and in women. The association with BMI and cardiovascular mortality was almost completely attenuated following adjustment for the mediating effect of SBP. Elevated SBP (>=120 mmHg), diabetes and raised BMI (>=22.5 kg/m2) accounted for 27%, 14%, and 16% of cardiovascular deaths, respectively. CONCLUSIONS This large prospective study provides direct evidence for the effects of these major risk factors on cardiovascular mortality in Cuba. Despite comparatively low levels of these risk factors by international standards, the strength of their association with cardiovascular death means they nevertheless exert a substantial impact on premature mortality in Cuba.
Collapse
Affiliation(s)
| | - Ben Lacey
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Monica Soni
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
- Georgetown University School of Medicine, Washington, D.C, USA
| | - Shaquille Charles
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
- University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Jennifer Carter
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Patricia Varona-Pérez
- Institute of Hygiene, Epidemiology and Microbiology, Ministry of Public Health, Havana, Cuba
| | - Julie Ann Burrett
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Marcy Calderón Martínez
- Institute of Hygiene, Epidemiology and Microbiology, Ministry of Public Health, Havana, Cuba
| | | | - Sonia Bess Constantén
- Directorate of Medical Records and Health Statistics, Ministry of Public Health, Havana, Cuba
| | - Hannah Taylor
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Paul Sherliker
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
- MRC Population Health Research Unit, NDPH, University of Oxford, Oxford, UK
| | | | - Stephanie Ross
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - M Sofia Massa
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | | | - Nazrul Islam
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | | | - Ismell Alonso Alomá
- Directorate of Medical Records and Health Statistics, Ministry of Public Health, Havana, Cuba
| | | | - Mayda Díaz González
- Municipal Center of Hygiene, Epidemiology and Microbiology, Colón, Matanzas, Cuba
| | | | | | | | | | - Jonathan Emberson
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
- MRC Population Health Research Unit, NDPH, University of Oxford, Oxford, UK
| | - Richard Peto
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK
| | - Sarah Lewington
- Nuffield Department of Population Health (NDPH), University of Oxford, Oxford, UK.
- MRC Population Health Research Unit, NDPH, University of Oxford, Oxford, UK.
- UKM Medical Molecular Biology Institute (UMBI), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
| |
Collapse
|
25
|
Odland H, Ross S, Gammelsrud LO, Cornelussen R, Kongsgard E. Impact of homeometric autoregulation using a stepwise change in heart rate on dP/dtmax and time to peak dP/dt with resynchronization therapy. Europace 2021. [DOI: 10.1093/europace/euab116.454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Norwegian South East heath Authorities
Background
We investigated the homeometric autoregulation utilizing a stepwise change in heart rate on dP/dtmax and time to peak dP/dt (Td) with biventricular pacing (BIVP) and the LV lead positioned in the apical, anterior and lateral positions. Pacing at low HR (LHR) and high heart rates (HHR) changes contractility through homeometric autoregulation (Bowditch effect) without changing the resynchronization itself.
Purpose
To determine the effect of a change in contractility through homeometric autoregulation on two different effect measures of resynchronization therapy.
Methods
Twenty-nine patients in heart failure with LBBB underwent CRT implantation with continuous LV pressure registration. The LV lead was first placed in either apical or anterior position followed by a permanent placement in a lateral position. Sequential BIVP pacing was performed for one minute, at a rate 10% above intrinsic heart rate (LHR = 75 ± 9bpm), before dP/dtmax measurements were recorded, and the sequence was repeated with pacing rate increased by 30% (HHR = 98 ± 11bpm). Td was defined as the time from pacemaker stimuli to peak dP/dt. Mixed linear models were used for statistics, numbers are estimated marginal means ± SEM. Significance was set at p < 0.05.
Results
DP/dtmax was higher with HHR in lateral position (1036 ± 41mmHg/s) than with LHR (933mmHg/s). The same was observed for all other lead positions. However, there was no difference between lateral position with LHR and apical position with HHR (930 ± 44mmHg/s). There were no differences in Td between LHR and HHR, but Td was shorter with BIVP in lateral position at pacing LHR (158 ± 4ms) and HHR (155 ± 4ms) than in all other positions. Overall dP/dtmax increased by 10% from LHR to HHR (888 ± 41mmHg/s vs. 980 ± 41 mmHg/s), while overall Td decreased by 2.4% from 168 ± 4ms to 164 ± 4ms. We found a linear relationship between Td and dP/dtmax (R = 0.7) with β=-0.07 that would indicate a 6ms reduction in Td going from LHR to HHR. The overall change in Td from LHR to HHR could therefore be attributed to the change in dP/dtmax.
Conclusion
Homeometric regulation does not influence Td, but Td is sensitive to changes in resynchronization and pacing lead position. Td is shorter with BIVP in lateral position at both high and low HR as would be expected from a biomarker of resynchronization. HR influences dP/dtmax so distinction between optimal and non-optimal positions using dP/dtmax may be difficult without knowledge of homeometric state.
Collapse
Affiliation(s)
- H Odland
- Oslo University Hospital Rikshospitalet, Department of Pediatric Cardiology and Cardiology, Oslo, Norway
| | - S Ross
- Oslo University Hospital, Department of Cardiology, Oslo, Norway
| | | | - R Cornelussen
- Bakken Research Center, Maastricht, Netherlands (The)
| | - E Kongsgard
- Oslo University Hospital, Department of Cardiology, Oslo, Norway
| |
Collapse
|
26
|
Odland H, Ross S, Gammelsrud LO, Cornelussen R, Kongsgard E. The missing link- time to maximal rate of left ventricular pressure rise reflects resynchronization with biventricular pacing in patients with heart failure and left bundle branch block. Europace 2021. [DOI: 10.1093/europace/euab116.455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Norwegian South East Health Authorities
Introduction
Resynchronization therapy effectively restores myocardial function. No measures exist that specifically quantifies resynchronization. A parameter that quantifies resynchronization should be able to detect effective resynchronization and should not respond to changes in contractility caused by heterometric regulation. Left ventricular pacing (LVP) is associated with dyssynchronous contraction patterns, while biventricular pacing (BIVP) promotes resynchronization dependent on the pacing position of the LV electrode.
Purpose
We compared the acute differences between BIVP and LVP with regards to the preload dependent maximum rate of the LV pressure rise (dP/dtmax), and time to peak dP/dt (Td) to determine which better reflect dyssynchrony and resynchronization.
Methods
Twenty nine patients in heart failure with LBBB underwent CRT implantation with continuous LV pressure registration. The LV lead was first placed in either apical or anterior position followed by a permanent placement in a lateral position. Sequential LVP and BIVP pacing were performed for one minute, at a rate 10% above intrinsic heart rate, before dP/dtmax measurements were recorded. For LVP, BIVP and RVP a patient specific AV delay was used to avoid fusion with intrinsic conduction. Td was defined as the time from pacemaker stimuli to peak dP/dt. Mixed linear models were used for statistics, numbers are estimated marginal means ± SEM and are only reported when with significance set at p < 0.05.
Results
We found no differences in dP/dtmax between BIVP (899 ± 37mmHg/s) and LVP (910 ± 37mmHg/s), while RVP (799 ± 37mmHg/s) was lower. Td was lower with BIVP (165 ± 4ms) than LVP (178 ± 4ms) and RVP (184 ± 4ms). We found no differences in dP/dtmax between lateral (890 ± 35mmHg/s) and anterior (874 ± 38mmHg/s) while apical (824 ± 38mmHg/s) was lower. Td was lower in lateral (171 ± 4ms) than in anterior (179 ± 4ms) and apical (182 ± 4ms) positions. BIVP in lateral position (158 ± 4ms) was lower than any other pacingmode*position, with BIVP*anterior at 173 ± 4ms) and LVP*lateral at 170 ± 2ms. No difference was seen in dP/dtmax between (BIVP + LVP)*(lateral + anterior) that was higher than all other pacingmode*positions.
Conclusion
Td shortens with BIVP and lateral position, and even more so with BIVP in lateral position and thus reflects resynchronization compared to all other combinations tested. DP/dtmax did not reflect resynchronization as BIVP/LVP and lateral/anterior performs equally good. There are no differences between dP/dtmax with any combination of pacing mode (BIVP + LVP) with position (anterior + lateral). This suggests that Td reflects resynchronization while dP/dtmax does not. Resynchronization with biventricular pacing in lateral position translates into a shorter Td and hence links electrical and mechanical events. Td could be the missing link between electrical and mechanical dyssynchrony and may serve as a biomarker for cardiac resynchronization therapy.
Collapse
Affiliation(s)
- H Odland
- Oslo University Hospital Rikshospitalet, Department of Pediatric Cardiology and Cardiology, Oslo, Norway
| | - S Ross
- Oslo University Hospital, Department of Cardiology, Oslo, Norway
| | | | - R Cornelussen
- Bakken Research Center, Maastricht, Netherlands (The)
| | - E Kongsgard
- Oslo University Hospital, Department of Cardiology, Oslo, Norway
| |
Collapse
|
27
|
Odland H, Holm T, Ross S, Gammelsrud LO, Cornelussen R, Kongsgard E. Time delay to peak left ventricular pressure rise identifies the substrate for dyssynchronous heart failure and detects disease modification with resynchronization- an observational clinical study. Europace 2021. [DOI: 10.1093/europace/euab116.456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Norwegian South East Health Authorities
Introduction
Identification of disease modification prior to implantation of Cardiac Resynchronization Therapy may help select the right patients, increase responder-rates and promote the utilization of CRT. We tested the hypothesis that shortening of time-to-peak left ventricular pressure rise (Td) with CRT is useful to predict long-term volumetric response (End-systolic volume (ESV) decrease >15%) to CRT.
Methods
Forty-five heart failure patients admitted for CRT implantation with a class I/IIa indication according to current ESC/AHA guidelines were included in the study. Td was measured from onset QRS at baseline and from onset of pacing with CRT.
Results
Baseline characteristics were mean age 63 ± 10 years , 71% males, NYHA class 2.5, 87% LBBB, QRS duration 173 ± 15ms, EF biplane 31 ± 1%, ESV 144 ± 12mL and end-diastolic volume 2044 ± 14mL. At 6-months follow-up six patients increased ESV by 5 ± 8%, while 37 responders (85%) had a mean ESV decrease of 40 ± 2%. Responders presented with a higher Td at baseline compared to non-responders (163 ± 4ms vs 119 ± 9ms, p < 0.01). Td decreased to 156 ± 4ms (p = 0.02) with CRT in responders, while in non-responders Td increased to 147 ± 10ms (p < 0.01) with CRT. A decrease in Td of less than +3.5ms from baseline accurately identified responders to therapy (AUC 0.98, p < 0.01, sensitivity 97%, specificity 100%). AUC was 0.92 for baseline Td and a cut-off at 120ms yielded a sensitivity of 100% and specificity of 80% to identify volumetric responders. A linear relationship between the change in Td from baseline and ESV decrease on long term was found (β=-61, R = 0.58, P < 0.01).
Conclusions
Td at baseline and the shortening of Td with CRT accurately identifies responders to CRT, with incremental value on top of current guidelines, in a population with already high response rates. Td carries the potential to become the marker for prediction of long-term volumetric response in CRT candidates. Abstract Figure.
Collapse
Affiliation(s)
- H Odland
- Oslo University Hospital Rikshospitalet, Department of Pediatric Cardiology and Cardiology, Oslo, Norway
| | - T Holm
- Oslo University Hospital, Department of Cardiology, Oslo, Norway
| | - S Ross
- Oslo University Hospital, Department of Cardiology, Oslo, Norway
| | | | - R Cornelussen
- Bakken Research Center, Maastricht, Netherlands (The)
| | - E Kongsgard
- Oslo University Hospital, Department of Cardiology, Oslo, Norway
| |
Collapse
|
28
|
Manousaki D, Harroud A, Mitchell RE, Ross S, Forgetta V, Timpson NJ, Smith GD, Polychronakos C, Richards JB. Correction: Vitamin D levels and risk of type 1 diabetes: A Mendelian randomization study. PLoS Med 2021; 18:e1003624. [PMID: 33914743 PMCID: PMC8084145 DOI: 10.1371/journal.pmed.1003624] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
[This corrects the article DOI: 10.1371/journal.pmed.1003536.].
Collapse
|
29
|
Armas Rojas NB, Lacey B, Simadibrata DM, Ross S, Varona-Pérez P, Burrett JA, Calderón Martínez M, Lorenzo-Vázquez E, Bess Constantén S, Thomson B, Sherliker P, Morales Rigau JM, Carter J, Massa MS, Hernández López OJ, Islam N, Martínez Morales MÁ, Alonso Alomá I, Achiong Estupiñan F, Díaz González M, Rosquete Muñoz N, Cendra Asencio M, Emberson J, Peto R, Lewington S. Alcohol consumption and cause-specific mortality in Cuba: prospective study of 120 623 adults. EClinicalMedicine 2021; 33:100692. [PMID: 33768200 PMCID: PMC7980059 DOI: 10.1016/j.eclinm.2020.100692] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 11/30/2020] [Accepted: 12/03/2020] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND The associations of cause-specific mortality with alcohol consumption have been studied mainly in higher-income countries. We relate alcohol consumption to mortality in Cuba. METHODS In 1996-2002, 146 556 adults were recruited into a prospective study from the general population in five areas of Cuba. Participants were interviewed, measured and followed up by electronic linkage to national death registries until January 1, 2017. After excluding all with missing data or chronic disease at recruitment, Cox regression (adjusted for age, sex, province, education, and smoking) was used to relate mortality rate ratios (RRs) at ages 35-79 years to alcohol consumption. RRs were corrected for long-term variability in alcohol consumption using repeat measures among 20 593 participants resurveyed in 2006-08. FINDINGS After exclusions, there were 120 623 participants aged 35-79 years (mean age 52 [SD 12]; 67 694 [56%] women). At recruitment, 22 670 (43%) men and 9490 (14%) women were current alcohol drinkers, with 15 433 (29%) men and 3054 (5%) women drinking at least weekly; most alcohol consumption was from rum. All-cause mortality was positively and continuously associated with weekly alcohol consumption: each additional 35cl bottle of rum per week (110g of pure alcohol) was associated with ∼10% higher risk of all-cause mortality (RR 1.08 [95%CI 1.05-1.11]). The major causes of excess mortality in weekly drinkers were cancer, vascular disease, and external causes. Non-drinkers had ∼10% higher risk (RR 1.11 [1.09-1.14]) of all-cause mortality than those in the lowest category of weekly alcohol consumption (<1 bottle/week), but this association was almost completely attenuated on exclusion of early follow-up. INTERPRETATION In this large prospective study in Cuba, weekly alcohol consumption was continuously related to premature mortality. Reverse causality is likely to account for much of the apparent excess risk among non-drinkers. The findings support limits to alcohol consumption that are lower than present recommendations in Cuba. FUNDING Medical Research Council, British Heart Foundation, Cancer Research UK, CDC Foundation (with support from Amgen).
Collapse
Affiliation(s)
| | - Ben Lacey
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
| | - Daniel Martin Simadibrata
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
- Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
| | - Stephanie Ross
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
| | - Patricia Varona-Pérez
- Institute of Hygiene, Epidemiology and Microbiology, Ministry of Public Health, Havana, Cuba
| | - Julie Ann Burrett
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
| | - Marcy Calderón Martínez
- Institute of Hygiene, Epidemiology and Microbiology, Ministry of Public Health, Havana, Cuba
| | | | - Sonia Bess Constantén
- Directorate of Medical Records and Health Statistics, Ministry of Public Health, Havana, Cuba
| | - Blake Thomson
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
- George Institute for Global Health, University of Oxford, UK
| | - Paul Sherliker
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
- MRC Population Health Research Unit, NDPH, University of Oxford, UK
| | | | - Jennifer Carter
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
| | - M. Sofia Massa
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
| | | | - Nazrul Islam
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
| | | | - Ismell Alonso Alomá
- Directorate of Medical Records and Health Statistics, Ministry of Public Health, Havana, Cuba
| | | | - Mayda Díaz González
- Municipal Center of Hygiene, Epidemiology and Microbiology, Colón, Matanzas, Cuba
| | | | | | - Jonathan Emberson
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
- MRC Population Health Research Unit, NDPH, University of Oxford, UK
| | - Richard Peto
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
| | - Sarah Lewington
- Nuffield Department of Population Health (NDPH), University of Oxford, UK
- MRC Population Health Research Unit, NDPH, University of Oxford, UK
- UKM Medical Molecular Biology Institute (UMBI), Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| |
Collapse
|
30
|
Manousaki D, Harroud A, Mitchell RE, Ross S, Forgetta V, Timpson NJ, Smith GD, Polychronakos C, Richards JB. Vitamin D levels and risk of type 1 diabetes: A Mendelian randomization study. PLoS Med 2021; 18:e1003536. [PMID: 33630834 PMCID: PMC7906317 DOI: 10.1371/journal.pmed.1003536] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 01/12/2021] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Vitamin D deficiency has been associated with type 1 diabetes in observational studies, but evidence from randomized controlled trials (RCTs) is lacking. The aim of this study was to test whether genetically decreased vitamin D levels are causally associated with type 1 diabetes using Mendelian randomization (MR). METHODS AND FINDINGS For our two-sample MR study, we selected as instruments single nucleotide polymorphisms (SNPs) that are strongly associated with 25-hydroxyvitamin D (25OHD) levels in a large vitamin D genome-wide association study (GWAS) on 443,734 Europeans and obtained their corresponding effect estimates on type 1 diabetes risk from a large meta-analysis of 12 type 1 diabetes GWAS studies (Ntot = 24,063, 9,358 cases, and 15,705 controls). In addition to the main analysis using inverse variance weighted MR, we applied 3 additional methods to control for pleiotropy (MR-Egger, weighted median, and mode-based estimate) and compared the respective MR estimates. We also undertook sensitivity analyses excluding SNPs with potential pleiotropic effects. We identified 69 lead independent common SNPs to be genome-wide significant for 25OHD, explaining 3.1% of the variance in 25OHD levels. MR analyses suggested that a 1 standard deviation (SD) decrease in standardized natural log-transformed 25OHD (corresponding to a 29-nmol/l change in 25OHD levels in vitamin D-insufficient individuals) was not associated with an increase in type 1 diabetes risk (inverse-variance weighted (IVW) MR odds ratio (OR) = 1.09, 95% CI: 0.86 to 1.40, p = 0.48). We obtained similar results using the 3 pleiotropy robust MR methods and in sensitivity analyses excluding SNPs associated with serum lipid levels, body composition, blood traits, and type 2 diabetes. Our findings indicate that decreased vitamin D levels did not have a substantial impact on risk of type 1 diabetes in the populations studied. Study limitations include an inability to exclude the existence of smaller associations and a lack of evidence from non-European populations. CONCLUSIONS Our findings suggest that 25OHD levels are unlikely to have a large effect on risk of type 1 diabetes, but larger MR studies or RCTs are needed to investigate small effects.
Collapse
Affiliation(s)
- Despoina Manousaki
- Department of Pediatrics, Faculty of Medicine, University of Montreal, Montreal, Quebec, Canada
- Research Center of the Sainte-Justine University Hospital, Montreal, Quebec, Canada
- * E-mail:
| | - Adil Harroud
- Department of Neurology, University of California San Francisco, San Francisco, California, United States of America
- Weill Institute for Neurosciences, University of California San Francisco, San Francisco, California, United States of America
| | - Ruth E. Mitchell
- Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom
| | - Stephanie Ross
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Vince Forgetta
- Centre for Clinical Epidemiology, Department of Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
| | - Nicholas J. Timpson
- Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom
| | - George Davey Smith
- Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom
| | - Constantin Polychronakos
- Department of Human Genetics, McGill University, Montreal, Quebec, Canada
- Department of Pediatrics, McGill University, Montreal, Quebec, Canada
- Centre of Excellence in Translational Immunology (CETI), Montréal, Quebec, Canada
| | - J Brent Richards
- Centre for Clinical Epidemiology, Department of Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
- Department of Human Genetics, McGill University, Montreal, Quebec, Canada
- Department of Medicine, McGill University, Montreal, Quebec, Canada
- Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada
- Department of Twin Research and Genetic Epidemiology, King’s College London, United Kingdom
| |
Collapse
|
31
|
Casey DT, MacGowan BJ, Sater JD, Zylstra AB, Landen OL, Milovich J, Hurricane OA, Kritcher AL, Hohenberger M, Baker K, Le Pape S, Döppner T, Weber C, Huang H, Kong C, Biener J, Young CV, Haan S, Nora RC, Ross S, Robey H, Stadermann M, Nikroo A, Callahan DA, Bionta RM, Hahn KD, Moore AS, Schlossberg D, Bruhn M, Sequoia K, Rice N, Farrell M, Wild C. Evidence of Three-Dimensional Asymmetries Seeded by High-Density Carbon-Ablator Nonuniformity in Experiments at the National Ignition Facility. Phys Rev Lett 2021; 126:025002. [PMID: 33512229 DOI: 10.1103/physrevlett.126.025002] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 10/22/2020] [Accepted: 11/30/2020] [Indexed: 06/12/2023]
Abstract
Inertial confinement fusion implosions must achieve high in-flight shell velocity, sufficient energy coupling between the hot spot and imploding shell, and high areal density (ρR=∫ρdr) at stagnation. Asymmetries in ρR degrade the coupling of shell kinetic energy to the hot spot and reduce the confinement of that energy. We present the first evidence that nonuniformity in the ablator shell thickness (∼0.5% of the total thickness) in high-density carbon experiments is a significant cause for observed 3D ρR asymmetries at the National Ignition Facility. These shell-thickness nonuniformities have significantly impacted some recent experiments leading to ρR asymmetries on the order of ∼25% of the average ρR and hot spot velocities of ∼100 km/s. This work reveals the origin of a significant implosion performance degradation in ignition experiments and places stringent new requirements on capsule thickness metrology and symmetry.
Collapse
Affiliation(s)
- D T Casey
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - B J MacGowan
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - J D Sater
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - A B Zylstra
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - O L Landen
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - J Milovich
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - O A Hurricane
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - A L Kritcher
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - M Hohenberger
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - K Baker
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - S Le Pape
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - T Döppner
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - C Weber
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - H Huang
- General Atomics, San Diego, California 92186, USA
| | - C Kong
- General Atomics, San Diego, California 92186, USA
| | - J Biener
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - C V Young
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - S Haan
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - R C Nora
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - S Ross
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - H Robey
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - M Stadermann
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - A Nikroo
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - D A Callahan
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - R M Bionta
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - K D Hahn
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - A S Moore
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - D Schlossberg
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - M Bruhn
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - K Sequoia
- General Atomics, San Diego, California 92186, USA
| | - N Rice
- General Atomics, San Diego, California 92186, USA
| | - M Farrell
- General Atomics, San Diego, California 92186, USA
| | - C Wild
- Diamond Materials, 79108 Freiburg, Germany
| |
Collapse
|
32
|
Ross S, Holliday M, Lim S, Mangala M, Perry M, Gray B, Fraser S, Hill A, Hudson J, Semsarian C. Functional Analysis of a Novel Heterozygous Variant in CASQ2 as a Distinct Cause of Catecholaminergic Polymorphic Ventricular Tachycardia. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.06.016] [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: 11/29/2022]
|
33
|
Shen JJ, Wortmann SB, de Boer L, Kluijtmans LAJ, Huigen MCDG, Koch J, Ross S, Collins CD, van der Lee R, van Karnebeek CDM, Hegde MR. The role of clinical response to treatment in determining pathogenicity of genomic variants. Genet Med 2020; 23:581-585. [PMID: 33087887 DOI: 10.1038/s41436-020-00996-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [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: 05/27/2020] [Accepted: 09/24/2020] [Indexed: 12/19/2022] Open
Abstract
PURPOSE The 2015 American College of Medical Genetics and Genomics/Association for Molecular Pathology (ACMG/AMP) guidelines for the interpretation of sequence variants provide a framework to standardize terminology in the classification of variants uncovered through genetic testing. We aimed to assess the validity of utilizing clinical response to therapies specifically targeted to a suspected disease in clarifying variant pathogenicity. METHODS Five families with disparate clinical presentations and different genetic diseases evaluated and treated in multiple diagnostic settings are summarized. RESULTS Extended evaluations indicated possible genetic diagnoses and assigned candidate causal variants, but the cumulative clinical, biochemical, and molecular information in each instance was not completely consistent with the identified disease. Initiation of treatment specific to the suspected diagnoses in the affected individuals led to clinical improvement in all five families. CONCLUSION We propose that the effect of therapies that are specific and targeted to treatable genetic diseases embodies an in vivo physiological response and could be considered as additional criteria within the 2015 ACMG/AMP guidelines in determining genomic variant pathogenicity.
Collapse
Affiliation(s)
- Joseph J Shen
- Division of Genetics, Department of Pediatrics, UCSF Fresno, Fresno, CA, USA.
| | - Saskia B Wortmann
- University Children's Hospital, PMU Salzburg, Salzburg, Austria.,Radboud Centre for Mitochondrial Medicine, Department of Paediatrics, Amalia Children's Hospital, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Lonneke de Boer
- Radboud Centre for Mitochondrial Medicine, Department of Paediatrics, Amalia Children's Hospital, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Leo A J Kluijtmans
- Department of Laboratory Medicine, Translational Metabolic Laboratory, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Marleen C D G Huigen
- Department of Laboratory Medicine, Translational Metabolic Laboratory, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Johannes Koch
- University Children's Hospital, PMU Salzburg, Salzburg, Austria
| | | | | | - Robin van der Lee
- Department of Medical Genetics, University of British Columbia, Vancouver, BC, Canada
| | - Clara D M van Karnebeek
- Radboud Centre for Mitochondrial Medicine, Department of Paediatrics, Amalia Children's Hospital, Radboud University Medical Centre, Nijmegen, The Netherlands.,Department of Medical Genetics, University of British Columbia, Vancouver, BC, Canada.,Department of Pediatrics, Centre for Molecular Medicine and Therapeutics, BC Children's Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada.,Department of Paediatrics, Emma Children's Hospital, Amsterdam University Medical Centre, Amsterdam, The Netherlands
| | - Madhuri R Hegde
- PerkinElmer Genomics, Duluth, GA, USA.,Department of Applied Biology, Georgia Institute of Technology, Atlanta, GA, USA
| |
Collapse
|
34
|
Ortel TL, Neumann I, Ageno W, Beyth R, Clark NP, Cuker A, Hutten BA, Jaff MR, Manja V, Schulman S, Thurston C, Vedantham S, Verhamme P, Witt DM, D Florez I, Izcovich A, Nieuwlaat R, Ross S, J Schünemann H, Wiercioch W, Zhang Y, Zhang Y. American Society of Hematology 2020 guidelines for management of venous thromboembolism: treatment of deep vein thrombosis and pulmonary embolism. Blood Adv 2020; 4:4693-4738. [PMID: 33007077 PMCID: PMC7556153 DOI: 10.1182/bloodadvances.2020001830] [Citation(s) in RCA: 530] [Impact Index Per Article: 132.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 07/27/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), occurs in ∼1 to 2 individuals per 1000 each year, corresponding to ∼300 000 to 600 000 events in the United States annually. OBJECTIVE These evidence-based guidelines from the American Society of Hematology (ASH) intend to support patients, clinicians, and others in decisions about treatment of VTE. METHODS ASH formed a multidisciplinary guideline panel balanced to minimize potential bias from conflicts of interest. The McMaster University GRADE Centre supported the guideline development process, including updating or performing systematic evidence reviews. The panel prioritized clinical questions and outcomes according to their importance for clinicians and adult patients. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess evidence and make recommendations, which were subject to public comment. RESULTS The panel agreed on 28 recommendations for the initial management of VTE, primary treatment, secondary prevention, and treatment of recurrent VTE events. CONCLUSIONS Strong recommendations include the use of thrombolytic therapy for patients with PE and hemodynamic compromise, use of an international normalized ratio (INR) range of 2.0 to 3.0 over a lower INR range for patients with VTE who use a vitamin K antagonist (VKA) for secondary prevention, and use of indefinite anticoagulation for patients with recurrent unprovoked VTE. Conditional recommendations include the preference for home treatment over hospital-based treatment for uncomplicated DVT and PE at low risk for complications and a preference for direct oral anticoagulants over VKA for primary treatment of VTE.
Collapse
Affiliation(s)
- Thomas L Ortel
- Division of Hematology, Department of Medicine, Duke University, Durham NC
| | | | - Walter Ageno
- Department of Medicine and Surgery, University of Insurbria, Varese, Italy
| | - Rebecca Beyth
- Division of General Internal Medicine, Department of Medicine, University of Florida, Gainesville, FL
- Malcolm Randall Veterans Affairs Medical Center, Gainesville, FL
| | - Nathan P Clark
- Clinical Pharmacy Anticoagulation Service, Kaiser Permanente, Aurora, CO
| | - Adam Cuker
- Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - Barbara A Hutten
- Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | | | - Veena Manja
- University of California Davis, Sacramento, CA
- Veterans Affairs Northern California Health Care System, Mather, CA
| | - Sam Schulman
- Department of Medicine, Thrombosis and Atherosclerosis Research Institute, McMaster University, Hamilton, ON, Canada
- Department of Obstetrics and Gynecology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia
| | | | - Suresh Vedantham
- Division of Diagnostic Radiology, Washington University School of Medicine in St. Louis, St. Louis, MO
| | - Peter Verhamme
- KU Leuven Department of Cardiovascular Sciences, University of Leuven, Leuven, Belgium
| | - Daniel M Witt
- Department of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT
| | - Ivan D Florez
- Department of Pediatrics, University of Antioquia, Medellin, Colombia
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Ariel Izcovich
- Internal Medicine Department, German Hospital, Buenos Aires, Argentina; and
| | - Robby Nieuwlaat
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Stephanie Ross
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Holger J Schünemann
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
- Department of Medicine, McMaster University, Hamilton, ON, Canada
| | - Wojtek Wiercioch
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Yuan Zhang
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| | - Yuqing Zhang
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
| |
Collapse
|
35
|
Leone FT, Zhang Y, Evers-Casey S, Evins AE, Eakin MN, Fathi J, Fennig K, Folan P, Galiatsatos P, Gogineni H, Kantrow S, Kathuria H, Lamphere T, Neptune E, Pacheco MC, Pakhale S, Prezant D, Sachs DPL, Toll B, Upson D, Xiao D, Cruz-Lopes L, Fulone I, Murray RL, O’Brien KK, Pavalagantharajah S, Ross S, Zhang Y, Zhu M. Initiating Pharmacologic Treatment in Tobacco-Dependent Adults. An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med 2020; 202:e5-e31. [PMID: 32663106 PMCID: PMC7365361 DOI: 10.1164/rccm.202005-1982st] [Citation(s) in RCA: 103] [Impact Index Per Article: 25.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Background: Current tobacco treatment guidelines have established the efficacy of available interventions, but they do not provide detailed guidance for common implementation questions frequently faced in the clinic. An evidence-based guideline was created that addresses several pharmacotherapy-initiation questions that routinely confront treatment teams. Methods: Individuals with diverse expertise related to smoking cessation were empaneled to prioritize questions and outcomes important to clinicians. An evidence-synthesis team conducted systematic reviews, which informed recommendations to answer the questions. The GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach was used to rate the certainty in the estimated effects and the strength of recommendations. Results: The guideline panel formulated five strong recommendations and two conditional recommendations regarding pharmacotherapy choices. Strong recommendations include using varenicline rather than a nicotine patch, using varenicline rather than bupropion, using varenicline rather than a nicotine patch in adults with a comorbid psychiatric condition, initiating varenicline in adults even if they are unready to quit, and using controller therapy for an extended treatment duration greater than 12 weeks. Conditional recommendations include combining a nicotine patch with varenicline rather than using varenicline alone and using varenicline rather than electronic cigarettes. Conclusions: Seven recommendations are provided, which represent simple practice changes that are likely to increase the effectiveness of tobacco-dependence pharmacotherapy.
Collapse
|
36
|
Han J, Bilgrami S, Ross S, Broadhead H, Attar N. Real-world lipid lowering effects of proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors: A single-centre study. Int J Cardiol 2020; 322:240-244. [PMID: 32827563 DOI: 10.1016/j.ijcard.2020.08.056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 08/13/2020] [Accepted: 08/17/2020] [Indexed: 10/23/2022]
Affiliation(s)
- J Han
- Department of Cardiology, Royal Lancaster Infirmary, Lancaster, United Kingdom.
| | - S Bilgrami
- Department of Cardiology, Royal Lancaster Infirmary, Lancaster, United Kingdom
| | - S Ross
- Department of Cardiology, Royal Lancaster Infirmary, Lancaster, United Kingdom
| | | | - N Attar
- Department of Cardiology, Royal Lancaster Infirmary, Lancaster, United Kingdom
| |
Collapse
|
37
|
Abstract
This article reviews research and other work that suggests that congenital total blindness during infancy retards motor functions, most notably reaching for sound-making stimuli. Since there is a correlation between when infants who are blind begin to reach for rattles, bells, and the like and when sighted infants search for hidden toys in Piagetian experiments, it has been argued that for sound cues alone to elicit reaching, infants must first develop an object concept. Problems with this formulation are highlighted, and an alternative explanation is proposed that suggests possible interventions to redress the effects of congenital blindness on development.
Collapse
Affiliation(s)
- S. Ross
- Department of Psychology, Nene College, Northampton, NN2 7AL, England
| | - M.J. Tobin
- Research Centre for the Education of the Visually Handicapped, School of Education, University of Birmingham, Birmingham B15 2TT England
| |
Collapse
|
38
|
Forgetta V, Manousaki D, Istomine R, Ross S, Tessier MC, Marchand L, Li M, Qu HQ, Bradfield JP, Grant SFA, Hakonarson H, Paterson AD, Piccirillo C, Polychronakos C, Richards JB. Rare Genetic Variants of Large Effect Influence Risk of Type 1 Diabetes. Diabetes 2020; 69:784-795. [PMID: 32005708 PMCID: PMC7085253 DOI: 10.2337/db19-0831] [Citation(s) in RCA: 53] [Impact Index Per Article: 13.3] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Accepted: 01/24/2020] [Indexed: 12/15/2022]
Abstract
Most replicated genetic determinants for type 1 diabetes are common (minor allele frequency [MAF] >5%). We aimed to identify novel rare or low-frequency (MAF <5%) single nucleotide polymorphisms with large effects on risk of type 1 diabetes. We undertook deep imputation of genotyped data followed by genome-wide association testing and meta-analysis of 9,358 type 1 diabetes case and 15,705 control subjects from 12 European cohorts. Candidate variants were replicated in a separate cohort of 4,329 case and 9,543 control subjects. Our meta-analysis identified 27 independent variants outside the MHC, among which 3 were novel and had MAF <5%. Three of these variants replicated with P replication < 0.05 and P combined < P discovery In silico analysis prioritized a rare variant at 2q24.3 (rs60587303 [C], MAF 0.5%) within the first intron of STK39, with an effect size comparable with those of common variants in the INS and PTPN22 loci (combined [from the discovery and replication cohorts] estimate of odds ratio [ORcombined] 1.97, 95% CI 1.58-2.47, P combined = 2.9 × 10-9). Pharmacological inhibition of Stk39 activity in primary murine T cells augmented effector responses through enhancement of interleukin 2 signaling. These findings provide insight into the genetic architecture of type 1 diabetes and have identified rare variants having a large effect on disease risk.
Collapse
Affiliation(s)
- Vincenzo Forgetta
- Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
| | - Despoina Manousaki
- Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
- Department of Human Genetics, McGill University, Montreal, Quebec, Canada
| | - Roman Istomine
- Department of Microbiology and Immunology, McGill University, Montreal, Quebec, Canada
- Program in Infectious Diseases and Immunology in Global Health, Centre for Translational Biology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
- Centre of Excellence in Translational Immunology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
| | - Stephanie Ross
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Marie-Catherine Tessier
- Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
| | - Luc Marchand
- Department of Pediatrics, McGill University, Montreal, Quebec, Canada
| | - Min Li
- The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China
- Child Health and Human Development Program, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
| | - Hui-Qi Qu
- Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Jonathan P Bradfield
- Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA
| | - Struan F A Grant
- Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA
- Division of Endocrinology and Diabetes, Children's Hospital of Philadelphia, Philadelphia, PA
- Division of Human Genetics, Children's Hospital of Philadelphia, Pliladelphia, PA
- Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
- Department of Genetics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Hakon Hakonarson
- Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA
- Division of Human Genetics, Children's Hospital of Philadelphia, Pliladelphia, PA
- Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
- Department of Genetics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | | | - Andrew D Paterson
- Genetics and Genome Biology, The Hospital for Sick Children Research Institute, The Hospital for Sick Children, Dalla Lana School of Public Health, Toronto, Ontario, Canada
| | - Ciriaco Piccirillo
- Department of Microbiology and Immunology, McGill University, Montreal, Quebec, Canada
- Program in Infectious Diseases and Immunology in Global Health, Centre for Translational Biology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
- Centre of Excellence in Translational Immunology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
- Department of Medicine, McGill University, Montreal, Quebec, Canada
| | - Constantin Polychronakos
- Department of Human Genetics, McGill University, Montreal, Quebec, Canada
- Centre of Excellence in Translational Immunology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
- Department of Pediatrics, McGill University, Montreal, Quebec, Canada
| | - J Brent Richards
- Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
- Department of Human Genetics, McGill University, Montreal, Quebec, Canada
- Centre of Excellence in Translational Immunology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
- Department of Medicine, McGill University, Montreal, Quebec, Canada
- Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada
- Department of Twin Research and Genetic Epidemiology, King's College London, London, U.K
| |
Collapse
|
39
|
Khatib R, Ross S, Kennedy SA, Florez ID, Ortel TL, Nieuwlaat R, Neumann I, Witt DM, Schulman S, Manja V, Beyth R, Clark NP, Wiercioch W, Schünemann HJ, Zhang Y. Home vs hospital treatment of low-risk venous thromboembolism: a systematic review and meta-analysis. Blood Adv 2020; 4:500-513. [PMID: 32040553 PMCID: PMC7013254 DOI: 10.1182/bloodadvances.2019001223] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Accepted: 12/20/2019] [Indexed: 12/22/2022] Open
Abstract
Increasing evidence supports the safety and effectiveness of managing low-risk deep vein thrombosis (DVT) or pulmonary embolism (PE) in outpatient settings. We performed a systematic review to assess safety and effectiveness of managing patients with DVT or PE at home compared with the hospital. Medline, Embase, and Cochrane databases were searched up to July 2019 for relevant randomized clinical trials (RCTs), and prospective cohort studies. Two investigators independently screened titles and abstracts of identified citations and extracted data from relevant full-text papers. Risk ratios (RRs) were calculated, and certainty of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Seven RCTs (1922 patients) were included in meta-analyses on managing patients with DVT. Pooled estimates indicated decreased risk of PE (RR = 0.64; 95% confidence interval [CI], 0.44-0.93) and recurrent DVT (RR = 0.61; 95% CI, 0.42-0.90) for home management, both with moderate certainty of the evidence. Reductions in mortality and major bleeding were not significant, both with low certainty of the evidence. Two RCTs (445 patients) were included in meta-analyses on home management of low-risk patients with PE. Pooled estimates indicated no significant difference in all-cause mortality, recurrent PE, and major bleeding, all with low certainty of the evidence. Results of pooled estimates from 3 prospective cohort studies (234 patients) on home management of PE showed similar results. Our findings indicate that low-risk DVT patients had similar or lower risk of patient-important outcomes with home treatment compared with hospital treatment. In patients with low-risk PE, there was important uncertainty about a difference between home and hospital treatment.
Collapse
Affiliation(s)
- Rasha Khatib
- Advocate Research Institute, Advocate Health Care, Downers Grove, IL
| | - Stephanie Ross
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
| | - Sean Alexander Kennedy
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
| | - Ivan D Florez
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
- Department of Pediatrics, University of Antioquia, Medellin, Colombia
| | - Thomas L Ortel
- Division of Hematology, Medicine and Pathology, Duke University Medical Center, Durham, NC
| | - Robby Nieuwlaat
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
| | - Ignacio Neumann
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
| | - Daniel M Witt
- Department of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT
| | - Sam Schulman
- Department of Medicine, McMaster University, Hamilton, ON, Canada
- Department of Obstetrics and Gynecology, The First I. M. Sechenov Moscow State Medical University, Moscow, Russia
| | - Veena Manja
- Department of Surgery, University of California Davis, Sacramento, CA
| | - Rebecca Beyth
- Division of General Internal Medicine, Department of Medicine, University of Florida, Gainesville, FL
- Malcom Randall Veterans Affairs Medical Center, Gainesville, FL
| | - Nathan P Clark
- Clinical Pharmacy Anticoagulation Service, Kaiser Permanente Colorado, Aurora, CO; and
| | - Wojtek Wiercioch
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
| | - Holger J Schünemann
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
- Department of Medicine, McMaster University, Hamilton, ON, Canada
| | - Yuqing Zhang
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
- Guang' anmen Hospital, China Academy of Chinese Medical Science, Xicheng District, Beijing, China
| |
Collapse
|
40
|
Jain AV, Ross PF, Carlson MP, Barger T, Barr C, Booth M, Brown W, Buckley C, Coatuey C, Colvin B, Everson R, Holt K, Kinker J, Landgraf W, Lecrone E, Medlin M, Ross S, Rumbler P, Sanchez D, Short A, Shockley M, Tahara J, Warner D, Weiband L. Screening Nitrate in Forages with a Test Strip: Collaborative Study. J AOAC Int 2020. [DOI: 10.1093/jaoac/82.1.9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
A collaborative study was conducted for screening nitrate in forages with a commercially available test strip. The method involves extracting a finely ground sample with deionized water. The test strip is dipped in the sample extract. The color of the reaction zone on the test strip changes from white to pink or purple depending on the nitrate concentration in sample extract. The nitrate present in the extract is determined by comparing the color of the test strip to the color scale on the test strip container. Six blind quintuplicates of forage samples were analyzed by 20 collaborators. Nitrate concentrations in forage samples tested ranged from <1000 ppm nitrate to >10 000 ppm nitrate on dry matter basis. Each collaborator was asked to assign each sample to one of the 4 following nitrate concentration ranges: (1) <1000 ppm, (2) 1000 to 5000 ppm, (3)>5000 ppm to 10 000 ppm, and (4) >10 000 ppm. Nineteen of 20 collaborators reported results. Results from 2 laboratories were rejected as outliers by inspection and χ2 test. Sensitivity rates (p+) ranged from 0.965 to 0.998, with standard errors of 0.006 to 0.16. Specificity rates (p−) ranged from 0.991 to 0.997 for the 4 ranges, with standard errors of 0.003 to 0.006. False-positive rates (pf+) ranged from 0.006 to 0.046, with standard errors of 0.006 to 0.025. False-negative rates (pf−) ranged from 0.003 to 0.007, with standard errors of 0.003 to 0.006. Screening nitrate in forages with a test strip has been adopted first action by AOAC INTERNATIONAL.
Collapse
Affiliation(s)
- Anant V Jain
- The University of Georgia, College of Veterinary Medicine, Athens Veterinary Diagnostic Laboratory, Athens, GA 30602-7383
| | - P Frank Ross
- U.S. Department of Agriculture, National Veterinary Services Laboratory, Toxicology Section, PO Box 844, Ames, IA 50010
| | - Michael P Carlson
- University of Nebraska–Lincoln, Veterinary Diagnostic Center, Lincoln, NE 68583-0907
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
41
|
Ross S, Singer E, Driscoll E, Nowak N, Yeates L, Puranik R, Barratt A, Ingles J, Bagnall R, Semsarian C. 579 Absence of Pathogenic Variants in Patients With Isolated Left Ventricular Trabeculations After Deep Phenotyping. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
42
|
Bainey KR, Gupta M, Ali I, Bangalore S, Chiu M, Kaila K, Kaul P, Khan N, King-Shier KM, Palaniappan L, Pare G, Ramanathan K, Ross S, Shah BR. The Burden of Atherosclerotic Cardiovascular Disease in South Asians Residing in Canada: A Reflection From the South Asian Heart Alliance. CJC Open 2019; 1:271-281. [PMID: 32159121 PMCID: PMC7063609 DOI: 10.1016/j.cjco.2019.09.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Accepted: 09/25/2019] [Indexed: 12/15/2022] Open
Abstract
South Asians (SAs), originating from the Indian subcontinent (India, Pakistan, Sri Lanka, Bangladesh, Nepal, and Bhutan), represent one quarter of the global population and are the largest visible minority in Canada. SAs experience the highest rates of coronary artery disease in Canada. Although conventional cardiovascular risk factors remain predictive in SA, the excess risk is not fully explained by these risk factors alone. Abdominal obesity, metabolic syndrome, and insulin resistance likely contribute a greater risk in SAs than in other populations. The South Asian Heart Alliance has been recently formed to investigate and recommend the best strategies for the prevention of cardiometabolic disease in SAs in Canada. This topic review represents a comprehensive overview of the magnitude of cardiovascular disease in SAs in Canada, with a review of conventional and novel risk markers in the SA population. Both primary and secondary prevention strategies are suggested and when possible, adapted specifically for the SA population. The need for SAs and their healthcare professionals to be more aware of the problem and potential solutions, along with the need for population-specific research, is highlighted.
Collapse
Affiliation(s)
- Kevin R. Bainey
- Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada
- Corresponding author: Dr Kevin R. Bainey, Mazankowski Alberta Heart Institute, University of Alberta, 2C2.12 WMC, 8440 112 St, Edmonton, Alberta T6G 2B7, Canada. Tel.: +1-780-407-2176; fax: +1-780-4076452.
| | - Milan Gupta
- Department of Medicine, McMaster University, Hamilton, and Canadian Collaborative Research Network, Brampton, Ontario, Canada
| | - Imtiaz Ali
- Department of Cardiac Sciences, Division of Cardiac Surgery, University of Calgary, Calgary, Alberta, Canada
| | - Sripal Bangalore
- Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, New York, USA
| | - Maria Chiu
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario
| | - Kendeep Kaila
- Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Padma Kaul
- Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada
| | - Nadia Khan
- Nursing and Community Health Sciences, University of Calgary, Calgary, Canada
| | | | - Latha Palaniappan
- Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, California, USA
| | - Guillaume Pare
- Department of Pathology and Molecular Medicine, Department of Clinical Epidemiology and Biostatistics, Population Health Research Institute and Thrombosis and Atherosclerosis Research Institute, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Krish Ramanathan
- Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Stephanie Ross
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Baiju R. Shah
- Division of Endocrinology, University of Toronto, Toronto, Ontario, Canada
| |
Collapse
|
43
|
Howell S, Campone M, Cortés J, Duhoux F, Ross S, Morris T, Franklin S. Final results of the STEM trial: SFX-01 in the treatment and evaluation of ER+ Her2- metastatic breast cancer (mBC). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz242.036] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
44
|
Affiliation(s)
- Stephanie Ross
- From the Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada (S.R., G.P.).,Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada (G.P.).,Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada (G.P.).,Thrombosis and Atherosclerosis Research Institute, Hamilton Health Sciences and McMaster University, Canada (G.P.)
| | - Guillaume Paré
- From the Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada (S.R., G.P.).,Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada (G.P.).,Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada (G.P.).,Thrombosis and Atherosclerosis Research Institute, Hamilton Health Sciences and McMaster University, Canada (G.P.)
| |
Collapse
|
45
|
Flood S, Kuwabara H, Hussey J, Fraga B, Kinsora T, Ross S, Allen D. B-50 Frequency of Sports-Related Concussion in Athletes with Neurodevelopmental Conditions. Arch Clin Neuropsychol 2019. [DOI: 10.1093/arclin/acz034.133] [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: 11/14/2022] Open
Abstract
Abstract
Objective
Research demonstrates that athletes with neurodevelopmental diagnoses may have a higher frequency of lifetime concussions (Iverson et al., 2016; Alosco, Fedor & Gunstad, 2014) possibly due to underlying attention, processing speed, or reaction time difficulties. The present study investigates concussion history and sports-related concussions between athletes with and without a history of neurodevelopmental disorders in a longitudinal, state-wide sample.
Method
Participants included 39,586 high school athletes (Mage = 15.18; 56.2% males) who were assessed pre and post-concussion with ImPACT between 2008 and 2016. There were 36,880 athletes (55.1% males) who did not report neurodevelopmental disorders and served as the control group and 2,706 athletes (71.4% males) in the clinical group who self-reported diagnosis of ADHD (55.6%), Learning Disability (LD;13.6%), Autism (3.2%), ADHD+LD (4.5%), and athletes in special education but no reported diagnosis (SpEd; 22%). Concussion frequency in each group was analyzed using chi-square analysis.
Results
Athletes were more likely to report prior concussions if they had a self-reported neurodevelopmental diagnosis (17%) compared to the control group (9%, χ2(1) = 112.11, p < .001). Odds ratios indicated that athletes with neurodevelopmental conditions were 1.43 times more likely to have a sports-related concussion.
Conclusions
Consistent with past research, results indicate that neurodevelopmental conditions are associated with greater lifetime risk of concussion, including sport-related concussions. Future studies may expand this research by examining underlaying causes of this increased risk in order to develop specific interventions to help reduce rates of concussion for this population.
Collapse
|
46
|
Hussey J, Kuwabara H, Ng W, Kinsora T, Ross S, Allen D. B-55 Performance of ImPACT Validity Indices for Athletes with Neurodevelopmental Disorders. Arch Clin Neuropsychol 2019. [DOI: 10.1093/arclin/acz034.138] [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: 11/12/2022] Open
Abstract
Abstract
Objective
Research demonstrates neurodevelopmental diagnoses may increase likelihood of failing scores on ImPACT embedded validity indicators that flag questionable effort. New criteria have been proposed to enhance sensitivity of these indicators although their utility in athletes with neurodevelopmental diagnosis have not been thoroughly examined. This study investigates the effect of neurodevelopmental history on frequency of invalid performance on the standard and three proposed validity indicators.
Methods
Participants included 41,214 high school athletes (Mage = 15.1; 44.2% female; Meducation = 9.1) who completed baseline ImPACT testing. Athletes included these groups: ADHD (3.7%), Learning Disability (LD; 1.5%), Autism (0.2%), ADHD+LD (0.6%), Autism+ADHD/LD (0.1%), athletes with special education history but no diagnosis reported (SpEd; 2.8%), and healthy athletes (91.1%). Odds ratios were calculated to determine differences in invalid performance by both standard and proposed cutoffs.
Results
Neurodevelopmental disorder was associated with increased invalid performance using standard and proposed cutoffs with odds ratios ranging from 1.32 to 3.25. Invalid performance differed significantly across groups for both standard and two sets of proposed criteria (chi square p < .00001). For standard cutoffs, athletes with ADHD, LD, and ADHD/LD were significantly more likely than healthy athletes to have invalid performance. This pattern remained similar across the two sets of proposed criteria.
Conclusions
Results indicate increased incidence of invalid ImPACT performance based on standard and proposed validity indicators in athletes who self-report neurodevelopmental disorders. Findings indicate current and proposed cutoffs may not accurately capture low effort for neurodevelopmental populations. Future research should examine utility of separate cutoff criteria and expanded norms for athletes with neurodevelopmental history.
Collapse
|
47
|
Shaikh A, Hilaya LA, Wilma G, Forster A, Ross S. P81 Intraoperative MEP recordings from a urethral sphincter electrode for spinal conus tumour surgery and its importance. J Neurol Neurosurg Psychiatry 2019. [DOI: 10.1136/jnnp-2019-abn.139] [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] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
ObjectivesTo emphasise the importance of motor evoked potential (MEP) recordings from a simple urethral sphincter electrode along with routine use of bulbocavernosus reflex recordings, anal sphincter and other lower limb muscle free running and stimulated EMG and MEP’s, and SEP techniques for sphincter preservation.DesignCase report.SubjectsPatients with conus or other spinal lesions at risk of postoperative sphincter disturbance.MethodsTranscranial ‘train of 5’ stimulation (5 pulses, interstimulus interval 4msec, 200 µsec pulse width) was applied, with recordings from the urethral sphincter (small electrode taped to Foley catheter to lie just inside the urethra, referred to nearby needle anteriorly in mons pubis) and anal sphincter (paired needle electrodes in both left and right sides of external sphincter).ResultsIntraoperative stimuli of structures during dissection at one point gave a motor response confined to the urethral sphincter suggesting that these fibres may have been considered non-functional and cut had these not been assessed separately. Urethral sphincter MEP’s during the dissection confirmed that these motor fibres remained in continuity throughout.. The patient was intact after tumour removal.ConclusionsThis is an avant-garde technique by which we managed to save the nerve supply to the urethral sphincter and eventually urinary continence which would have been compromised if separate urethral monitoring was not attempted along with usual intraoperative nerve monitoring. We believe its first in the UK.
Collapse
|
48
|
Abstract
The incidence of color deficient vision was investigated using the Pseudo-Isochromatic Plates on a relatively large and representative group. in the sample of 112 adults aged 20 to 80 yr. and comprised of 53% women and 12% minorities, 8% of men and 3% of women were color deficient. Over-all performance indicated no effects for sex or race. Nearly half of the plates were nondiscriminating among sex, minority/majority, and ”normal” and ”defective” color vision groups. Named color preferences within the ”normal” group strongly favored blues and reflected no sex differences.
Collapse
|
49
|
Ross S, Semsarian C, Jones K, Blanch B, Puranik R, McGeechan K, Barratt A. A Systematic Review and Meta-Analysis of the Prevalence of Left Ventricular Non-Compaction in Adults. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
50
|
Busse JW, Wang L, Kamaleldin M, Craigie S, Riva JJ, Montoya L, Mulla SM, Lopes LC, Vogel N, Chen E, Kirmayr K, De Oliveira K, Olivieri L, Kaushal A, Chaparro LE, Oyberman I, Agarwal A, Couban R, Tsoi L, Lam T, Vandvik PO, Hsu S, Bala MM, Schandelmaier S, Scheidecker A, Ebrahim S, Ashoorion V, Rehman Y, Hong PJ, Ross S, Johnston BC, Kunz R, Sun X, Buckley N, Sessler DI, Guyatt GH. Opioids for Chronic Noncancer Pain: A Systematic Review and Meta-analysis. JAMA 2018; 320:2448-2460. [PMID: 30561481 PMCID: PMC6583638 DOI: 10.1001/jama.2018.18472] [Citation(s) in RCA: 397] [Impact Index Per Article: 66.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
IMPORTANCE Harms and benefits of opioids for chronic noncancer pain remain unclear. OBJECTIVE To systematically review randomized clinical trials (RCTs) of opioids for chronic noncancer pain. DATA SOURCES AND STUDY SELECTION The databases of CENTRAL, CINAHL, EMBASE, MEDLINE, AMED, and PsycINFO were searched from inception to April 2018 for RCTs of opioids for chronic noncancer pain vs any nonopioid control. DATA EXTRACTION AND SYNTHESIS Paired reviewers independently extracted data. The analyses used random-effects models and the Grading of Recommendations Assessment, Development and Evaluation to rate the quality of the evidence. MAIN OUTCOMES AND MEASURES The primary outcomes were pain intensity (score range, 0-10 cm on a visual analog scale for pain; lower is better and the minimally important difference [MID] is 1 cm), physical functioning (score range, 0-100 points on the 36-item Short Form physical component score [SF-36 PCS]; higher is better and the MID is 5 points), and incidence of vomiting. RESULTS Ninety-six RCTs including 26 169 participants (61% female; median age, 58 years [interquartile range, 51-61 years]) were included. Of the included studies, there were 25 trials of neuropathic pain, 32 trials of nociceptive pain, 33 trials of central sensitization (pain present in the absence of tissue damage), and 6 trials of mixed types of pain. Compared with placebo, opioid use was associated with reduced pain (weighted mean difference [WMD], -0.69 cm [95% CI, -0.82 to -0.56 cm] on a 10-cm visual analog scale for pain; modeled risk difference for achieving the MID, 11.9% [95% CI, 9.7% to 14.1%]), improved physical functioning (WMD, 2.04 points [95% CI, 1.41 to 2.68 points] on the 100-point SF-36 PCS; modeled risk difference for achieving the MID, 8.5% [95% CI, 5.9% to 11.2%]), and increased vomiting (5.9% with opioids vs 2.3% with placebo for trials that excluded patients with adverse events during a run-in period). Low- to moderate-quality evidence suggested similar associations of opioids with improvements in pain and physical functioning compared with nonsteroidal anti-inflammatory drugs (pain: WMD, -0.60 cm [95% CI, -1.54 to 0.34 cm]; physical functioning: WMD, -0.90 points [95% CI, -2.69 to 0.89 points]), tricyclic antidepressants (pain: WMD, -0.13 cm [95% CI, -0.99 to 0.74 cm]; physical functioning: WMD, -5.31 points [95% CI, -13.77 to 3.14 points]), and anticonvulsants (pain: WMD, -0.90 cm [95% CI, -1.65 to -0.14 cm]; physical functioning: WMD, 0.45 points [95% CI, -5.77 to 6.66 points]). CONCLUSIONS AND RELEVANCE In this meta-analysis of RCTs of patients with chronic noncancer pain, evidence from high-quality studies showed that opioid use was associated with statistically significant but small improvements in pain and physical functioning, and increased risk of vomiting compared with placebo. Comparisons of opioids with nonopioid alternatives suggested that the benefit for pain and functioning may be similar, although the evidence was from studies of only low to moderate quality.
Collapse
Affiliation(s)
- Jason W. Busse
- Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Ontario, Canada
- Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
- Michael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University, Hamilton, Ontario, Canada
| | - Li Wang
- Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Ontario, Canada
- Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada
- Chinese Cochrane Centre, West China Hospital, Sichuan University, Chengdu
| | | | - Samantha Craigie
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - John J. Riva
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
- Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Luis Montoya
- Krembil Research Institute, University Health Network, University of Toronto, Toronto, Ontario, Canada
| | - Sohail M. Mulla
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
- Now with the Canadian Agency for Drugs and Technologies in Health (CADTH), Toronto, Ontario, Canada
| | - Luciane C. Lopes
- Pharmaceutical Science, University of Sorocaba, Sao Paulo, Brazil
| | - Nicole Vogel
- Leonardo Hirslanden Klinik Birshof, Münchenstein, Switzerland
| | - Eric Chen
- Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Karin Kirmayr
- Department of Internal Medicine, Hospital Alemán de Buenos Aires, Buenos Aires, Argentina
| | - Kyle De Oliveira
- Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Lori Olivieri
- Department of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Alka Kaushal
- Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Ontario, Canada
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
- Department of Family Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada
| | - Luis E. Chaparro
- Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada
| | - Inna Oyberman
- Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada
| | - Arnav Agarwal
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
- Department of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Rachel Couban
- Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Ontario, Canada
| | - Ludwig Tsoi
- Accident and Emergency Department, Queen Mary Hospital, Pokfulam, Hong Kong, China
| | - Tommy Lam
- Accident and Emergency Department, Tuen Mun Hospital, Hong Kong, China
| | - Per Olav Vandvik
- Department of Medicine, Gjøvik, Innlandet Hospital Trust, Norway
| | - Sandy Hsu
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Malgorzata M. Bala
- Department of Hygiene and Dietetics, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland
| | - Stefan Schandelmaier
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
- Institute for Clinical Epidemiology and Biostatistics, University of Basel Hospital, Basel, Switzerland
- Department of Clinical Research, University of Basel Hospital, Basel, Switzerland
| | - Anne Scheidecker
- Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada
- Department of Anesthesiology, Operative Intensive Care, Preclinical Emergency Medicine and Pain Management, University of Basel Hospital, Basel, Switzerland
| | - Shanil Ebrahim
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Vahid Ashoorion
- Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Ontario, Canada
- Isfahan Medical Education Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Yasir Rehman
- Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Ontario, Canada
- Canadian Academy of Osteopathy, Hamilton, Ontario, Canada
| | - Patrick J. Hong
- Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Stephanie Ross
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| | - Bradley C. Johnston
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
- Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Regina Kunz
- Department of Clinical Research, University of Basel Hospital, Basel, Switzerland
| | - Xin Sun
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
- Chinese Cochrane Centre, West China Hospital, Sichuan University, Chengdu
| | - Norman Buckley
- Michael G. DeGroote Institute for Pain Research and Care, McMaster University, Hamilton, Ontario, Canada
- Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada
| | - Daniel I. Sessler
- Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio
| | - Gordon H. Guyatt
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
| |
Collapse
|