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Padilha JAG, Santos S, Willems T, Souza-Kasprzyk J, Leite A, Cunha LST, Costa ES, Pessôa AR, Eens M, E P, Torres JPM, Das K, Lepoint G, Dorneles PR, Bervoets L, Groffen T. Assessing the trophic ecology and migration on the exposure of cape petrels and Wilson's storm petrels from Antarctica to perfluoroalkylated substances, trace and major elements. Environ Res 2024; 244:117827. [PMID: 38072112 DOI: 10.1016/j.envres.2023.117827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 11/28/2023] [Accepted: 11/29/2023] [Indexed: 12/19/2023]
Abstract
Chemical pollution is a global concern as contaminants are transported and reach even the remote regions of Antarctica. Seabirds serve as important sentinels of pollution due to their high trophic position and wide distribution. This study examines the influence of migration and trophic ecology on the exposure of two Antarctic seabirds, Wilson's storm petrel (Oceanites oceanicus - Ooc), and Cape petrel (Daption capense - Dca), to chemical elements and perfluoroalkyl substances (PFAS). Our methodology involved assessing the concentration of these pollutants in feather samples obtained from carcasses, offering a practical means for monitoring contamination. Trace and major element concentrations were comparable in both species, suggesting that migratory patterns have a minimal impact on exposure levels. However, Ooc had higher concentration of PFAS compared to Dca (mean, ng g-1dry weight, PFOA: Ooc:0.710, Dca:0.170; PFTrDA: Ooc:0.550, Dca:0.360, and PFTeDA: Ooc:1.01, Dca:0.190), indicating that migration to the more polluted Northern Hemisphere significantly affects PFAS exposure. Furthermore, while no strong associations were found between either trace elements or PFAS and the three stable isotopes (δ13C, δ15N, and δ34S), a negative association was observed between PFUnDA and δ15N, hinting at potential biodilution. The research concludes that the migratory patterns of these seabird species affect their PFAS exposure, underscoring the critical need for further exploration and understanding of these relationships to better inform conservation strategies.
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Affiliation(s)
- J A G Padilha
- Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil; CBMA - Centre for Molecular and Environmental Biology/ARNET-Aquatic Research Network, Portugal; IB-S, Institute of Science and Innovation for Bio-Sustainability, Department of Biology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal.
| | - S Santos
- CBMA - Centre for Molecular and Environmental Biology/ARNET-Aquatic Research Network, Portugal; IB-S, Institute of Science and Innovation for Bio-Sustainability, Department of Biology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal
| | - T Willems
- ECOSPHERE, Department of Biology, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium; Integrated Molecular Plant Physiology Research (IMPRES), Department of Biology, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium
| | - J Souza-Kasprzyk
- Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil; Department of Analytical Chemistry, Faculty of Chemistry, Adam Mickiewicz University, Ul. Uniwersytetu Poznańskiego 8, 61-614, Poznan, Poland
| | - A Leite
- CBMA - Centre for Molecular and Environmental Biology/ARNET-Aquatic Research Network, Portugal; IB-S, Institute of Science and Innovation for Bio-Sustainability, Department of Biology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal
| | - L S T Cunha
- Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - E S Costa
- Environment and Sustainability, State University of Rio Grande do Sul, Assis Brasil Street, 842, Downtown, São Francisco de Paula, Rio Grande do Sul, Brazil
| | - A R Pessôa
- Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - M Eens
- Behavioural Ecology and Ecophysiology Group (BECO), Department of Biology, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium
| | - Prinsen E
- Integrated Molecular Plant Physiology Research (IMPRES), Department of Biology, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium
| | - J P M Torres
- Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - K Das
- Freshwater and Oceanic ScienCes Unit of ReSearch (FOCUS), Laboratory of Oceanology, University of Liège, 4000, Liège, Belgium
| | - G Lepoint
- Freshwater and Oceanic ScienCes Unit of ReSearch (FOCUS), Laboratory of Trophic and Isotope Ecology, University of Liège, 4000, Liège, Belgium
| | - P R Dorneles
- Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil; Freshwater and Oceanic ScienCes Unit of ReSearch (FOCUS), Laboratory of Oceanology, University of Liège, 4000, Liège, Belgium
| | - Lieven Bervoets
- ECOSPHERE, Department of Biology, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium
| | - T Groffen
- ECOSPHERE, Department of Biology, University of Antwerp, Groenenborgerlaan 171, 2020, Antwerp, Belgium; Behavioural Ecology and Ecophysiology Group (BECO), Department of Biology, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Belgium
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Sousa S, Santos S, Alves CM, Gonçalves G, Carvalho C, Duarte R. Impact of annual TB screening on stone quarry workers in high-incidence Portuguese municipalities. Int J Tuberc Lung Dis 2024; 28:136-141. [PMID: 38454185 DOI: 10.5588/ijtld.23.0350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024] Open
Abstract
SETTING The Portuguese municipalities of Penafiel and Marco de Canaveses are high TB incidence areas, where stone quarry workers represent a vulnerable population.OBJECTIVE To assess the annual rate of TB infection (ARI) in stone quarry workers and to compare it with the TB notification rate in the general community.DESIGN An annual TB infection screening strategy using interferon-gamma release assay (IGRA) was implemented in 2018 for workers from high-risk stone quarries. A prospective cohort was enrolled and workers screened in periods of 2 years were included. IGRA-positive workers were referred for preventive treatment. ARI was calculated as the proportion of workers with IGRA conversion.RESULTS Of the 232 IGRA-negative workers in 2018, 20 tested positive in 2019 (8.6% ARI). Of 171 IGRA-negative workers in 2019, eight tested positive in 2021 (4.7% in 2 years). Two of the 150 IGRA-negative workers in 2021 tested positive in 2022 (1.3% ARI). ARI decreased by 84.9% between 2019 and 2022. In the two municipalities, the TB notification rate declined 23.9% between 2018 and 2021.CONCLUSION A more pronounced reduction in ARI was observed among stone quarry workers regularly screened for TB infection compared to the notification rate among the general population in high-incidence municipalities. A screening strategy for high-risk populations, together with enforced community measures, could foster risk reduction in the community..
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Affiliation(s)
- S Sousa
- Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Porto, Estudo das Populações, ICBAS, Universidade do Porto, Porto
| | - S Santos
- Northern Regional Health Administration, Porto
| | - C M Alves
- Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Porto, Instituto Superior Ave, Amares
| | - G Gonçalves
- Public Health Unit, Unidade Local de Saúde do Médio Ave, Vila Nova de Famalicão
| | - C Carvalho
- Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Porto
| | - R Duarte
- Estudo das Populações, ICBAS, Universidade do Porto, Porto, EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Serviço de Pneumologia, Unidade Local de Saúde de Gaia/Espinho, Vila Nova de Gaia, Portugal
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Martins Dos Santos G, Simão Coelho P, Gaspar Marques J, Serranho S, Santos S, Brito A, Carreiro Martins P, Leiria Pinto P. Obstructive Sleep Apnea: a risk for uncontrolled and more severe asthma in adults that we should keep an eye on. Eur Ann Allergy Clin Immunol 2024. [PMID: 38223952 DOI: 10.23822/eurannaci.1764-1489.324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2024]
Abstract
Summary Background. Asthma control can be influenced by several factors, including obstructive sleep apnea (OSA). The literature reports variable prevalence and magnitude of OSA impact on asthma outcomes. The aim of our study is to analyze the frequency of high-risk for OSA in asthma patients and its impact on disease severity and control. Methods. We conducted a cross-sectional study at an Allergy Department with adult asthma patients recruited while undergoing routine lung function tests. Data on sex, age, body mass index, allergen sensitization, smoking habits, risk of OSA (using the Berlin questionnaire), rhinitis control (through CARAT), asthma severity (based on GINA 2023), asthma control (using the ACT), adherence to asthma treatment (through Treatment Adherence Measure) and pulmonary function test results were collected. Results. We included 216 patients, predominantly women (70.4%), with a median (P25-P75) age of 29.0 (21.0-45.0) years, of whom 28.2% were on GINA treatment levels 4-5. In 75.5% of cases asthma was controlled. High-risk for OSA was identified in 21.8% of patients. Asthma patients with high-risk for OSA were more likely to have uncontrolled [(47.8%; n = 22) vs (15.8%; n = 26); p less than 0.001] and more severe disease [(44.7%; n = 21) vs (23.7%; n = 40), p = 0.006]. In multivariable analysis, high-risk for OSA (OR 2.81 [95%CI 1.1.28-6.17], p = 0.010), sex (women) (OR 5.21 [95% CI 1.70-15.96], p = 0.004), uncontrolled rhinitis (OR 3.65 [95%CI 1.38-9.64], p = 0.009) and GINA asthma treatment steps 4-5 (OR 2.46 [95%CI 1.15-5.26], p = 0.020) were associated with uncontrolled asthma. Conclusions. It is crucial to actively investigate OSA, especially in patients with uncontrolled and more severe forms of asthma.
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Affiliation(s)
- G Martins Dos Santos
- Department of Allergy and Clinical Immunology, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- Centro Clínico Académico de Lisboa, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
| | - P Simão Coelho
- Department of Allergy and Clinical Immunology, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- Centro Clínico Académico de Lisboa, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
| | - J Gaspar Marques
- Department of Allergy and Clinical Immunology, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- Centro Clínico Académico de Lisboa, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- NOVA Medical School-Comprehensive Health Research Center (CHRC), Lisbon, Portugal
| | - S Serranho
- Department of Allergy and Clinical Immunology, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- Centro Clínico Académico de Lisboa, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
| | - S Santos
- Department of Allergy and Clinical Immunology, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- Centro Clínico Académico de Lisboa, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
| | - A Brito
- Department of Allergy and Clinical Immunology, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- Centro Clínico Académico de Lisboa, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
| | - P Carreiro Martins
- Department of Allergy and Clinical Immunology, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- Centro Clínico Académico de Lisboa, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- NOVA Medical School-Comprehensive Health Research Center (CHRC), Lisbon, Portugal
| | - P Leiria Pinto
- Department of Allergy and Clinical Immunology, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- Centro Clínico Académico de Lisboa, Centro Hospitalar Universitário de Lisboa Central EPE, Lisbon, Portugal
- NOVA Medical School-Comprehensive Health Research Center (CHRC), Lisbon, Portugal
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Padilha JAG, Souza-Kasprzyk J, Pinzoni M, Prohaska G, Espejo W, Leite A, Santos S, Cunha LST, Costa ES, Pessôa AR, Torres JPM, Lepoint G, Das K, Dorneles PR. Mercury exposure in Antarctic seabirds: Assessing the influence of trophic position and migration patterns. Chemosphere 2023; 340:139871. [PMID: 37611760 DOI: 10.1016/j.chemosphere.2023.139871] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 08/11/2023] [Accepted: 08/17/2023] [Indexed: 08/25/2023]
Abstract
Although naturally present in the environment, mercury (Hg) input is significantly amplified by anthropogenic activities on a global scale, leading to a growing concern about the recent increase in Hg levels observed in Antarctica. This study investigated total mercury (THg) concentrations in feathers and eggs of resident and migratory Antarctic seabirds. Stable isotope data (δ15N, δ13C, and δ34S) were employed to ascertain the key factors influencing the exposure of these species to Hg. We gathered feathers and eggs from three resident species - Adélie, Gentoo, and Chinstrap penguins, as well as five migratory species - Snowy Sheathbill, Antarctic Tern, Southern Giant Petrel, Kelp Gull, and South Polar Skua. These samples were collected from Admiralty Bay, King George Island, in the Antarctica Peninsula. For all species, THg concentrations were higher in feathers (mean ± SD: 2267 ± 2480 ng g-1 dw) than in eggs (906 ± 1461 ng g-1 dw). Species occupying higher trophic positions, such as the Southern Giant Petrel (5667 ± 1500 ng g-1 dw) and South Polar Skua (4216 ± 1101 ng. g-1 dw), exhibited higher THg levels in their feathers than those at lower positions, like Antarctic Tern (1254 ± 400 ng g-1 dw) and Chinstrap Penguin (910 ± 364 ng g-1 dw). The δ15N values, which serve as a proxy for the trophic position, significantly correlated with THg concentrations. These findings reveal that trophic position influences THg concentrations in Antarctic seabirds. Migration did not appear to significantly affect the exposure of seabirds to THg, contrary to initial expectations. This research highlights the importance of evaluating the impacts of THg contamination on the Antarctic ecosystem by considering a variety of species. This multi-species approach offers critical insights into the factors that may potentially influence the exposure of these species to contaminants.
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Affiliation(s)
- J A G Padilha
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil; CBMA - Centre for Molecular and Environmental Biology/ARNET-Aquatic Research Network & IB-S, Institute of Science and Innovation for Bio-Sustainability, Department of Biology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal; IB-S, Institute of Science and Innovation for Bio-Sustainability, Department of Biology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal.
| | - J Souza-Kasprzyk
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil; Department of Analytical Chemistry, Faculty of Chemistry, Adam Mickiewicz University, Ul. Uniwersytetu Poznańskiego 8, 61-614, Poznan, Poland
| | - M Pinzoni
- Freshwater and Oceanic ScienCes Unit of ReSearch (FOCUS), Laboratory of Oceanology, University of Liège, 4000, Liège, Belgium
| | - G Prohaska
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - W Espejo
- Department of Animal Science, Facultad de Ciencias Veterinarias, Universidad de Concepción, P.O. Box 537, Chillán, Chile
| | - A Leite
- CBMA - Centre for Molecular and Environmental Biology/ARNET-Aquatic Research Network & IB-S, Institute of Science and Innovation for Bio-Sustainability, Department of Biology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal; IB-S, Institute of Science and Innovation for Bio-Sustainability, Department of Biology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal
| | - S Santos
- CBMA - Centre for Molecular and Environmental Biology/ARNET-Aquatic Research Network & IB-S, Institute of Science and Innovation for Bio-Sustainability, Department of Biology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal; IB-S, Institute of Science and Innovation for Bio-Sustainability, Department of Biology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal
| | - L S T Cunha
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - E S Costa
- Mestrado Profissional Em Ambiente e Sustentabilidade. Universidade Estadual Do Rio Grande Do Sul, Rua Assis Brasil, 842, Centro, São Francisco de Paula, Rio Grande do Sul, Brazil
| | - A R Pessôa
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - J P M Torres
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - G Lepoint
- Department of Analytical Chemistry, Faculty of Chemistry, Adam Mickiewicz University, Ul. Uniwersytetu Poznańskiego 8, 61-614, Poznan, Poland
| | - K Das
- Department of Analytical Chemistry, Faculty of Chemistry, Adam Mickiewicz University, Ul. Uniwersytetu Poznańskiego 8, 61-614, Poznan, Poland
| | - P R Dorneles
- Radioisotope Laboratory, Biophysics Institute, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil; Department of Analytical Chemistry, Faculty of Chemistry, Adam Mickiewicz University, Ul. Uniwersytetu Poznańskiego 8, 61-614, Poznan, Poland
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Rodrigues J, Sá A, Fontes R, Barbosa A, Barbosa-Martins J, Oliveira C, Peixoto M, Santos S, Rocha J, Almeida M, Carvalho C, Queiroz L, Fernandes R, Faustino I, Portela C, Coutinho C, Nabiço R. Anxiety and depression screening during neoadjuvant chemotherapy treatment in early breast cancer patients: a multicenter longitudinal observational study. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)01446-0] [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: 11/19/2022]
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Teixeira C, Santos S, Guerra J, Barros H. Maternal care experience and postpartum depressive symptoms among migrant and native in Portugal. Eur J Public Health 2022. [DOI: 10.1093/eurpub/ckac130.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Migration is a risk factor for both, poor maternal experience with healthcare services (MEHCS) and postpartum depressive symptoms (PPDS), a matter of concern due to their adverse consequences. We aimed to assess the association between MEHCS and PPDS taking into account the migration status.
Methods
This is part of a population-based study (baMBINO project), enrolling native (PT; n = 1568), permanent migrant (PM; n = 676) and temporary migrant (TM; n = 757) women recruited at delivery (2017-2019) in 32 Portuguese public hospitals. MEHCS was assessed based on 39 items of the Migrant Friendly Maternal Care Questionnaire asking about how women have experienced maternal care during pregnancy, during delivery and after birth. Items were grouped into 9 components each one assessing a different issue of MEHCS. For each component women were classified as having “good” or “less than good” experience. PPDS were assessed using the Edinburgh Postnatal Depression Scale (cut-off≥12). Multivariate logistic regression model was fitted to estimate the association between MEHCS and PPDS. Adjusted odds ratio (aOR) and respective 95% confidence interval were obtained.
Results
PPDS were reported by 3.8%, 5.8% and 8.2% of PT, PM and TM women, respectively (p < 0.001). After adjustment, 4 out 9 components of MEHCS appeared related with PPDS, such that women reporting less than good experience with “understanding information” (aOR=1.72 95%CI:1.14-2.60), “decisions according to maternal wishes” (aOR=1.56 95% CI:1.04-2.34), “time waiting for healthcare” (aOR=1.50 95%CI:1.04-2.18) and “healthcare provider's attitudes during pregnancy” (aOR=1.58 95%CI:1.01-2.47) showed higher odds of PPDS than women reporting good experience.
Conclusions
Further than the migration status, poor experience with some issues of maternal care seems play a role in the risk of PPDS
Key messages
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Affiliation(s)
- C Teixeira
- EPIUnit, Instituto de Saúde Pública, Universidade do Porto , Porto, Portugal
- Escola Superior de Saúde, Instituto Politécnico de Bragança , Bragança, Portugal
| | - S Santos
- Departamento de Psiquiatria, Centro Hospitalar Universitário do Porto , Porto, Portugal
| | - J Guerra
- Departamento de Psiquiatria, Centro Hospitalar Universitário do Porto , Porto, Portugal
| | - H Barros
- EPIUnit, Instituto de Saúde Pública, Universidade do Porto , Porto, Portugal
- Ciências de Saúde Publica e Forenses, Faculdade de Medicina, Universidade do Porto , Porto, Portugal
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Barbosa C, Santos S, Pedro J. P-505 Mapping acceptance and commitment therapy (ACT) outcomes in the context of infertility: A systematic review. Hum Reprod 2022. [DOI: 10.1093/humrep/deac107.468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Study question
How ACT variables are associated or may impact mental health outcomes (i.e., anxiety, stress, and depression symptoms) in patients with an infertility diagnosis?
Summary answer
ACT variables seem to be associated with better mental health outcomes in patients with an infertility diagnosis.
What is known already
Evidence indicates that people with infertility face psychosocial challenges, with a significant number of studies finding that mental health seems to be negatively affected. ACT is part of the family of behavioral and cognitive therapies and was already established as having a beneficial effect on psychological issues in other health conditions. Since infertility is a relevant stressor, we expected that ACT had also a protective role on mental health. To date, no study tried to summarize this evidence, which might help to develop the intervention with ACT components for this population.
Study design, size, duration
A systematic review of the literature was conducted to identify studies assessing Infertility and ACT. A literature search was conducted from inception to October 2021 in the following electronic databases: Web of Science, Pubmed, and B-On. The PRISMA guidelines were followed.
Participants/materials, setting, methods
A search was conducted using combinations of keywords and MeSH (“infertility” AND “Acceptance and Commitment Therapy” AND “depression”; “anxiety”; “stress”). No limitation regarding the type of publication, date, or language was created during the searches. Empirical and quantitative studies were considered if they assessed mental health variables and ACT hexagon model components in patients with infertility.
Main results and the role of chance
Out of 137 studies initially identified, six of them met eligibility criteria and were included in the review. The studies were carried out between 2012 and 2020 and originated from two countries: four from Portugal and two from Iran. The samples were composed by women (three) and couples (three). The results revealed that couples dealing with infertility present higher psychological inflexibility and experiential avoidance scores, and lower scores of acceptance when compared with fertile couples and couples who pursued adoption. Psychological inflexibility seems to be positively correlated with depressive, anxiety, and stress symptoms. Gender differences were also found, i.e., women tend to show higher scores of depression symptoms, psychological inflexibility, and experiential avoidance than men. Women dealing with infertility have the tendency to avoid thoughts, emotions, and situations somehow associated with pregnancy and parenthood as a way of trying to escape from infertility’s painful experience. In general, studies suggest that ACT may be an adequate approach for patients dealing with infertility.
Limitations, reasons for caution
The number of studies was small and they were predominantly from Portugal, increasing the likelihood of a risk of bias of the findings. Cultural variables must be considered and conclusions need to be interpreted with caution.
Wider implications of the findings
Since ACT variables seem to be associated with better mental health outcomes, these results indicated that couples with infertility would benefit from intervention addressing ACT components. Future studies should explore the effectiveness of these interventions in this population.
Trial registration number
not applicable
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Affiliation(s)
- C Barbosa
- Portucalense University, Department of Psychology and Education , Porto, Portugal
| | - S Santos
- Portucalense University, Portucalense Institute for Human Development , Porto, Portugal
| | - J Pedro
- University of Porto, Centre for Psychology , Porto, Portugal
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Martin Inaraja M, Alonso S, Rodriguez C, Santos S, Iglesias M, Prieto B, Matorras R, Garcia-Quevedo L, Vidal F, Eguizabal C. P-803 DNA-FISH analysis in testicular tissue cells of prepuberal patients with Klinefelter Syndrome. Hum Reprod 2022. [DOI: 10.1093/humrep/deac104.059] [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
Study question
Can we accurately assess sex-chromosomes number in testicular cells (germ and somatic) of Klinefelter Syndrome (KS) prepuberal patients by DNA-FISH in paraffin embedded sections?
Summary answer
We have evaluated the sex-chromosomes content of testicular cells in KS prepuberal patients and the presence of XY lines evidenced a gonadal mosaicism status.
What is known already
Prepuberal boys with Klinefelter Syndrome usually have fertility problems in adulthood, mainly azoospermia. Due to the symptoms cause by the disease, Spermatogonial Stem Cells (SSCs) are less abundant and spermatogenesis does not occur. These patients do not have any alternative to restore the fertility in the future. When a boy has both XY and XXY cell lines, this patient is mosaic (46,XY/47,XXY). Meaning some cells could undergo spermatogenesis and generate gametes with normal sex-chromosomes number. The aim of this work is to test if KS patients diagnosed as pure can have testicular cell lines with XY chromosome number (mosaic).
Study design, size, duration
We obtained samples from human prepuberal patients diagnosed with pure Klinefelter Syndrome (47,XXY) for the last 5 years. Testicular biopsy fragments are fixed for histological studies and other fragments are cryopreserved. Some fragments are used for immunofluorescence and subsequently processed by DNA-FISH to determine the sex-chromosomes content of testicular cells.
Participants/materials, setting, methods
In this study, we used 10 prepuberal patients with KS and 5 prepuberal patients with other fertility problems with normal chromosome set as controls. We performed immunofluorescence to determine expression of germ cells (VASA) and SSCs (MAGEA4) markers and somatic cells markers such as Leydig cells (StAR) and Sertoli cells (SOX9). Afterwards, we perform DNA-FISH, with probes specific for chromosomes X and Y and chromosome 18 as a control.
Main results and the role of chance
The methodology used allows cytogenetic characterization of testicular tissue in paraffin embedded sections. Testicular mosaicism has been observed in all patients diagnosed as pure KS. We have observed a degree of mosaicism of 66-80% in SSCs, of 20-50% in Sertoli cells and of 30-50% in Leydig cells.
We pursued a protocol with a good FISH efficiency that allows colocalization of previous immunocharacterized testicular cells.
Limitations, reasons for caution
The DNA-FISH technique is made just in a single paraffin section of each KS patient testicular sample. Due to the limited and difficulty to obtain KS testicular tissue, we use a limited number of samples.
Wider implications of the findings
We succeed to demonstrate the mosaicism of testicular cells in prepuberal patients that are diagnosed with KS. Thus, the better understanding of the SSCs with normal chromosome set (XY) could be useful for future in vitro expansion and stem cell therapies.
Trial registration number
not applicable
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Affiliation(s)
- M Martin Inaraja
- Biocruces Bizkaia Health Research Center- Basque Centre for Blood Transfusion and Human Tissues, Cell Therapy--Stem Cells and Tissues Group , Galdakao, Spain
| | - S Alonso
- Biocruces Bizkaia Health Research Center- Basque Centre for Blood Transfusion and Human Tissues, Cell Therapy--Stem Cells and Tissues Group , Galdakao, Spain
| | - C Rodriguez
- Biocruces Bizkaia Health Research Center- Basque Centre for Blood Transfusion and Human Tissues, Cell Therapy--Stem Cells and Tissues Group , Galdakao, Spain
| | - S Santos
- Biocruces Bizkaia Health Research Center- Basque Centre for Blood Transfusion and Human Tissues, Cell Therapy--Stem Cells and Tissues Group , Galdakao, Spain
| | - M Iglesias
- Biocruces Bizkaia Health Research Center-Cruces University Hospital-Basque Country University-IVI Bilbao, Human Reproduction Unit , Barakaldo, Spain
| | - B Prieto
- Biocruces Bizkaia Health Research Center-Cruces University Hospital-Basque Country University-IVI Bilbao, Human Reproduction Unit , Barakaldo, Spain
- IVIRMA, IVI Bilbao , Lejona, Spain
| | - R Matorras
- Biocruces Bizkaia Health Research Center-Cruces University Hospital-Basque Country University-IVI Bilbao, Human Reproduction Unit , Barakaldo, Spain
- IVIRMA, IVI Bilbao , Lejona, Spain
| | - L Garcia-Quevedo
- Universitat Autònoma de Barcelona- Cell Biology Unit, Department of Cell Biology- Physiology and Immunology , Bellaterra, Spain
| | - F Vidal
- Universitat Autònoma de Barcelona- Cell Biology Unit, Department of Cell Biology- Physiology and Immunology , Bellaterra, Spain
| | - C Eguizabal
- Biocruces Bizkaia Health Research Center- Basque Centre for Blood Transfusion and Human Tissues, Cell Therapy--Stem Cells and Tissues Group , Galdakao, Spain
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Silva E, Tome I, Vasques-Novoa F, Silva A, Conceicao G, Miranda-Silva D, Pitrez P, Barros A, Leite-Moreira A, Pinto-Do-O P, Santos S, Pires IF, Ferreira L, Nascimento D. Pharmacological Targeting of Senescence with ABT-263 in Experimental Heart Failure with Preserved Ejection Fraction. Cardiovasc Res 2022. [DOI: 10.1093/cvr/cvac066.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Fundação Ciência e Tecnlogia
HFpEF is the most common form of heart disease in the elderly and is associated with high morbidity and mortality. Our understanding of HFpEF pathophysiology is limited and development of efficient therapies that alter the clinical course of the disease has proved greatly challenging. Although aging is a risk factor of HFpEF1, the involvement of aging hallmarks such as cell senescent and immunosenescence is unclear. Recently, a link between endothelial senescence and HFpEF development was demonstrated in mice with accelerated aging [1], endorsing anti-aging pharmacologic as potential new therapeutic alternatives for HFpEF. In fact, the senolytic (drugs that selectively promote apoptosis of senescent cells) ABT-263 has already proven efficacy in the context of cardiovascular diseases. Further studies are needed to clarify the relevance of aging and of anti-aging therapies in the context of HFpEF.
Using ZSF1 obese rats (ZSF1-Ob) as model of HFpEF we showed from 18 weeks signs of immunosenescence compared to ZSF1-Ln, namely an increased frequency of circulating myeloid cells and decreased frequency of T and B cells. Concomitantly, expression of pro-inflammatory factors (IL-6, IL-1, TGF-β, TNF-α) was upregulated in peripheral blood mononuclear cells (PBMCs) of ZSF1-Ob which also displayed characteristic features of cell senescence (p21 expression, lysosomal endogenous Beta-galactosidase (SA-B-Gal) senescence-associated secretory phenotype (SASP) and up-regulation of BCL-XL. Importantly, no signs of cellular senescence (SA-B-gal, pH2AX and senescence associated pathways) were found in the main hematopoietic organs (spleen and bone marrow). Alongside, these systemic alterations, an upsurge of cellular senescence was observed in myocardium of ZSF1-Ob rats, particularly in endothelial and hematopoietic cells. Serum of ZSF1-Ob rat was able to induce activation and cellular senescence of cardiac microvascular endothelial cells, indicating that systemic circulating factors may be the upstream mechanism of cellular senescence and dysfunction in HFpEF. Analysis of HFpEF patients and a control cohort adjusted to main co-morbidities further demonstrated accumulation of senescent monocytes in HFpEF patients. In these patients, the senescence marker SA-B-Gal correlated with plasmatic brain natriuretic peptide (BNP) levels and pulmonary artery systolic pressure. Targeting aging hallmarks through the treatment of ZSF1-Ob rat with ABT-263 resulted in a reduction in circulating senescent cells, decreased systemic and local inflammation, re-established immune proportions, restore the levels of circulating BNP and attenuated myocardial remodeling, particularly endothelial dysfunction and fibrosis.
Collectively these findings support that premature cellular senescence contributes to the establishment of a deleterious pro-inflammatory environment in HFpEF and that senolytic agents hold promise for the treatment of this syndrome.
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Affiliation(s)
- E Silva
- I3s (Institute for Research and Innovation in Health) , Porto , Portugal
| | - I Tome
- University of Coimbra, Biocant , Coimbra , Portugal
| | | | - A Silva
- I3s (Institute for Research and Innovation in Health) , Porto , Portugal
| | - G Conceicao
- Faculty of Medicine University of Porto , Porto , Portugal
| | | | - P Pitrez
- University of Coimbra, Biocant , Coimbra , Portugal
| | - A Barros
- Faculty of Medicine University of Porto , Porto , Portugal
| | | | - P Pinto-Do-O
- I3s (Institute for Research and Innovation in Health) , Porto , Portugal
| | - S Santos
- I3s (Institute for Research and Innovation in Health) , Porto , Portugal
| | - IF Pires
- Faculty of Medicine University of Porto , Porto , Portugal
| | - L Ferreira
- University of Coimbra, Biocant , Coimbra , Portugal
| | - D Nascimento
- I3s (Institute for Research and Innovation in Health) , Porto , Portugal
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10
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Pinto M, Rodrigues J, Santos S, Campainha S, Semedo L, Cardoso J. Relapse of Sarcoidosis After Lung Transplantation. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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11
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Pinto PI, Anjos L, Estêvão MD, Santos S, Santa C, Manadas B, Monsinjon T, Canário AVM, Power DM. Proteomics of sea bass skin-scales exposed to the emerging pollutant fluoxetine compared to estradiol. Sci Total Environ 2022; 814:152671. [PMID: 34968595 DOI: 10.1016/j.scitotenv.2021.152671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 12/20/2021] [Accepted: 12/20/2021] [Indexed: 06/14/2023]
Abstract
Teleost fish skin-scales are essential for protection and homeostasis and the largest tissue in direct contact with the environment, but their potential as early indicators of pollutant exposure are hampered by limited knowledge about this model. This study evaluated multi-level impacts of in vivo exposure of European sea bass to fluoxetine (FLX, a selective serotonin-reuptake inhibitor and an emerging pollutant) and 17β-estradiol (E2, a natural hormone and representative of diverse estrogenic endocrine-disrupting pollutants). Exposed fish had significantly increased circulating levels of FLX and its active metabolite nor-FLX that, in contrast to E2, did not have estrogenic effects on most fish plasma and scale indicators. Quantitative proteomics using SWATH-MS identified 985 proteins in the scale total proteome. 213 proteins were significantly modified 5 days after exposure to E2 or FLX and 31 were common to both treatments and responded in the same way. Common biological processes significantly affected by both treatments were protein turnover and cytoskeleton reorganization. E2 specifically up-regulated proteins related to protein production and degradation and down-regulated the cytoskeleton/extracellular matrix and innate immune proteins. FLX caused both up- and down-regulation of protein synthesis and energy metabolism. Multiple estrogen and serotonin receptor and transporter transcripts were altered in sea bass scales after E2 and/or FLX exposure, revealing complex disruptive effects in estrogen/serotonin responsiveness, which may account for the partially overlapping effects of E2 and FLX on the proteome. A large number (103) of FLX-specifically regulated proteins indicated numerous actions independent of estrogen signalling. This study provides the first quantitative proteome of the fish skin-scale barrier, elucidates routes of action and biochemical and molecular signatures of E2 or FLX-exposure and identifies potential physiological consequences and candidate biomarkers of pollutant exposure, for monitoring and risk assessment.
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Affiliation(s)
- Patricia I Pinto
- CCMAR - Centro de Ciências do Mar (CCMAR), Universidade do Algarve, 8005-139 Faro, Portugal.
| | - L Anjos
- CCMAR - Centro de Ciências do Mar (CCMAR), Universidade do Algarve, 8005-139 Faro, Portugal
| | - M D Estêvão
- CCMAR - Centro de Ciências do Mar (CCMAR), Universidade do Algarve, 8005-139 Faro, Portugal; Escola Superior de Saúde da Universidade do Algarve, Campus de Gambelas, 8005-139 Faro, Portugal
| | - S Santos
- CCMAR - Centro de Ciências do Mar (CCMAR), Universidade do Algarve, 8005-139 Faro, Portugal
| | - C Santa
- CNC - Center for Neuroscience and Cell Biology, Universidade de Coimbra, 3004-517 Coimbra, Portugal; Institute for Interdisciplinary Research (IIIUC), Universidade de Coimbra, 3004-517 Coimbra, Portugal
| | - B Manadas
- CNC - Center for Neuroscience and Cell Biology, Universidade de Coimbra, 3004-517 Coimbra, Portugal; Institute for Interdisciplinary Research (IIIUC), Universidade de Coimbra, 3004-517 Coimbra, Portugal
| | - T Monsinjon
- Normandy University, Environmental Stress and Aquatic Biomonitoring (SEBIO), Université Le Havre Normandie, 76600 Le Havre, France
| | - Adelino V M Canário
- CCMAR - Centro de Ciências do Mar (CCMAR), Universidade do Algarve, 8005-139 Faro, Portugal
| | - D M Power
- CCMAR - Centro de Ciências do Mar (CCMAR), Universidade do Algarve, 8005-139 Faro, Portugal.
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12
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Santos S, Neu CP, Grady JJ, Pierce DM. Genipin does not reduce the initiation or propagation of microcracks in collagen networks of cartilage. Osteoarthritis and Cartilage Open 2022; 4:100233. [DOI: 10.1016/j.ocarto.2022.100233] [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: 05/27/2021] [Revised: 12/12/2021] [Accepted: 01/07/2022] [Indexed: 10/19/2022] Open
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13
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Luis Izquierdo J, Casanova C, Celli B, Santos S, Sibila O, Sobradillo P, Agusti A. The 7 cardinal sins of COPD in Spain. Arch Bronconeumol 2022; 58:498-503. [DOI: 10.1016/j.arbres.2021.12.008] [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: 11/23/2021] [Revised: 12/16/2021] [Accepted: 12/17/2021] [Indexed: 11/26/2022]
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14
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Norte AC, Araújo PM, Augusto L, Guímaro H, Santos S, Lopes RJ, Núncio MS, Ramos JA, Lopes de Carvalho I. Effects of stress exposure in captivity on physiology and infection in avian hosts: no evidence of increased Borrelia burgdorferi s.l. infectivity to vector ticks. Microb Ecol 2022; 83:202-215. [PMID: 33758979 DOI: 10.1007/s00248-021-01738-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 03/12/2021] [Indexed: 06/12/2023]
Abstract
Exposure to environmental stressors, an increasingly recurring event in natural communities due to anthropogenic-induced environmental change, profoundly impacts disease emergence and spread. One mechanism through which this occurs is through stress-induced immunosuppression increasing disease susceptibility, prevalence, intensity and reactivation in hosts. We experimentally evaluated how exposure to stressors affected both the physiology of avian hosts and the prevalence of the zoonotic bacteria Borrelia burgdorferi sensu lato (s.l.), in two model species-the blackbird Turdus merula and the robin Erithacus rubecula captured in the wild, using xenodiagnoses and analysis of skin biopsies and blood. Although exposure to stressors in captivity induced physiological stress in birds (increased the number of circulating heterophils), there was no evidence of increased infectivity to xenodiagnostic ticks. However, Borrelia detection in the blood for both experimental groups of blackbirds was higher by the end of the captivity period. The infectivity and efficiency of transmission were higher for blackbirds than robins. When comparing different methodologies to determine infection status, xenodiagnosis was a more sensitive method than skin biopsies and blood samples, which could be attributed to mild levels of infection in these avian hosts and/or dynamics and timing of Borrelia infection relapses and redistribution in tissues.
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Affiliation(s)
- A C Norte
- Department of Life Sciences, MARE-Marine and Environmental Sciences Centre, Calçada Martim de Freitas, Faculty of Sciences and Technology, University of Coimbra, 3000-456, Coimbra, Portugal.
- Centre for Vector and Infectious Diseases Research, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal.
| | - P M Araújo
- Department of Life Sciences, MARE-Marine and Environmental Sciences Centre, Calçada Martim de Freitas, Faculty of Sciences and Technology, University of Coimbra, 3000-456, Coimbra, Portugal
- Centro de Investigação em Biodiversidade e Recursos Genéticos, CIBIO-InBIO, Universidade do Porto, Porto, Portugal
| | - L Augusto
- Centre for Vector and Infectious Diseases Research, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
- Department of Veterinary Sciences, University of Évora, Évora, Portugal
| | - H Guímaro
- Department of Life Sciences, MARE-Marine and Environmental Sciences Centre, Calçada Martim de Freitas, Faculty of Sciences and Technology, University of Coimbra, 3000-456, Coimbra, Portugal
| | - S Santos
- Department of Life Sciences, MARE-Marine and Environmental Sciences Centre, Calçada Martim de Freitas, Faculty of Sciences and Technology, University of Coimbra, 3000-456, Coimbra, Portugal
| | - R J Lopes
- Centro de Investigação em Biodiversidade e Recursos Genéticos, CIBIO-InBIO, Universidade do Porto, Porto, Portugal
| | - M S Núncio
- Centre for Vector and Infectious Diseases Research, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
| | - J A Ramos
- Department of Life Sciences, MARE-Marine and Environmental Sciences Centre, Calçada Martim de Freitas, Faculty of Sciences and Technology, University of Coimbra, 3000-456, Coimbra, Portugal
| | - I Lopes de Carvalho
- Centre for Vector and Infectious Diseases Research, National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal
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15
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Mao Y, Icyuz M, Santos S, Rab A, Hong J, Sorscher E, Hartman J, Oliver K. 614: Discovery of novel epistatic interactions that influence CFTR folding trajectory. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)02037-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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16
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Ascencio M, Munoz-Esquerre M, Pascual Y, Iglesias M, Sabater J, Murillo O, Sosa SG, Gomez-Hospital JA, Santos S, Comin-Colet J, Ferreiro JL. Impact of COVID-19 disease on platelet reactivity and association with inflammatory parameters. Eur Heart J 2021. [PMCID: PMC8767575 DOI: 10.1093/eurheartj/ehab724.3430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the coronavirus disease 2019 (COVID-19) pandemic. Aside from the pulmonary manifestations, COVID-19 is associated with increased risk of venous and arterial thrombotic complications. The actual impact of SARS-CoV-2 infection on platelet reactivity and whether this is mediated by a hyperinflammatory status has not been fully elucidated to date. Objective To evaluate platelet reactivity in COVID-19 patients compared to healthy subjects and to assess the association between platelet reactivity and levels of inflammatory biomarkers among COVID-19 patients. Methods This prospective observational investigation included COVID-19 patients admitted into a tertiary care hospital and adult healthy volunteers, all of them not receiving any antiplatelet therapy. Subjects were classified in three groups: 1) Healthy subjects (HS group); 2) COVID-19 patients in a pulmonary phase (viral pneumonia and bilateral infiltrates) but without meeting criteria for systemic hyperinflammation (C19-Pulm group); and 3) COVID-19 patients in a hyperinflammation phase (C19-Infl group) meeting at least 2 of the following criteria: CRP>100mg/l, D-dimer >1000mcg/l, LDH>400U/l, ferritin>1000ng/ml, IL-6>70ng/l. Blood samples for platelet function testing and quantification of inflammatory parkers were collected at a single visit. Platelet function was measured with multiple electrode aggregometry using ADP (MEA-ADP, primary endpoint), arachidonic acid (AA) and thrombin receptor activating peptide (TRAP) as stimuli. Unadjusted analyses are presented. Results A total of 60 patients were included in the present investigation (20 in each group). A significantly greater platelet reactivity, measured with MEA-ADP, was observed in both groups of COVID-patients compared to healthy subjects (HS: 634,9±53,5, C19-Pulm: 919,9±53,5 and C19-Infl: 931,6±53,5 AU*min; p for C19-Pulm vs. HS <0,001, p for C19-Infl vs. HS <0,001, p for C19-Pulm vs. C19-Infl 0,878; Figure 1). Parallel findings were found when using AA as stimulus for platelet aggregation showing greater platelet aggregation in COVID-19 patients compared to healthy subjects, but numerical differences were not statistically significant when using TRAP. Among COVID-19 patients, when stratified by IL-6 levels splitted into tertiles, greater platelet reactivity was observed in patients with higher IL-6 concentrations (mid and upper tertile together) compared to those with values in the lower tertile, as assessed with MEA-ADP (lower tertile: 829,0±75,8, mid and upper tertile: 1028,7±56,2; p=0,043); a similar trend was observed with AA and TRAP as stimuli. Conclusion Patients with severe COVID-19 disease have greater platelet reactivity than healthy subjects. Increased IL-6 levels might be associated with the observed heightened platelet reactivity among COVID-19 patients. Funding Acknowledgement Type of funding sources: None.
Figure 1 ![]()
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Affiliation(s)
- M Ascencio
- University Hospital of Bellvitge, Department of Cardiology, Hospitalet De Llobregat, Spain
| | - M Munoz-Esquerre
- University Hospital of Bellvitge, Department of Respiratory Medicine, Hospitalet De Llobregat, Spain
| | - Y Pascual
- University Hospital of Bellvitge, Department of Respiratory Medicine, Hospitalet De Llobregat, Spain
| | - M Iglesias
- University Hospital of Bellvitge, Department of Cardiology, Hospitalet De Llobregat, Spain
| | - J Sabater
- University Hospital of Bellvitge, Department of Intensive Care Medicine, Hospitalet De Llobregat, Spain
| | - O Murillo
- University Hospital of Bellvitge, Department of Infectious Diseases, Hospitalet De Llobregat, Spain
| | - S G Sosa
- University Hospital of Bellvitge, Department of Cardiology, Hospitalet De Llobregat, Spain
| | - J A Gomez-Hospital
- University Hospital of Bellvitge, Department of Cardiology, Hospitalet De Llobregat, Spain
| | - S Santos
- University Hospital of Bellvitge, Department of Respiratory Medicine, Hospitalet De Llobregat, Spain
| | - J Comin-Colet
- University Hospital of Bellvitge, Department of Cardiology, Hospitalet De Llobregat, Spain
| | - J L Ferreiro
- University Hospital of Bellvitge, Department of Cardiology, Hospitalet De Llobregat, Spain
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17
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Oliveira I, Antunes Meireles P, Pereira C, Rodrigues P, Duarte T, Santos S, Mira B, Opinião A, Luís A, Miguel I, Fragoso S, Vaz F. 770P Wild-type BRCA1/2 ovarian cancer: Prospective follow-up data from a multidisciplinary program. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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18
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Antunes Meireles P, Oliveira I, Rodrigues P, Duarte T, Santos S, Mira B, Bexiga C, Pereira C, Opinião A, Luís A, Miguel I, Fragoso S, Vaz F. 765P Prognosis of BRCA1 and BRCA2 ovarian cancer: Prospective follow-up data from a multidisciplinary program. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1207] [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: 11/17/2022] Open
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19
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Morales, Junior R, Leite F, Juodinis V, Santos I, Okumura P, Ribeiro B, Lima B, Barbosa L, Moura R, Santos S. Vancomycin area under the curve–guided monitoring in critically ill patients. Int J Antimicrob Agents 2021. [DOI: 10.1016/j.ijantimicag.2021.106421.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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20
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Díez-Ferrer M, Martin-Cabeza C, Cubero N, Sabater-Riera J, Santos S, López-Lisbona RM. Role of bronchoscopy in critically ill patients with COVID-19 pneumonia. Rev Clin Esp 2021; 221:430-431. [PMID: 34103278 PMCID: PMC8179621 DOI: 10.1016/j.rceng.2020.12.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 12/20/2020] [Indexed: 11/27/2022]
Affiliation(s)
- M Díez-Ferrer
- Servicio de Neumología, Hospital Universitario de Bellvitge - IDIBELL - Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain.
| | - C Martin-Cabeza
- Servicio de Neumología, Hospital Universitario de Bellvitge - IDIBELL - Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - N Cubero
- Servicio de Neumología, Hospital Universitario de Bellvitge - IDIBELL - Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - J Sabater-Riera
- Servicio de Medicina Intensiva, Hospital Universitario de Bellvitge - IDIBELL - Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - S Santos
- Servicio de Neumología, Hospital Universitario de Bellvitge - IDIBELL - Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - R M López-Lisbona
- Servicio de Neumología, Hospital Universitario de Bellvitge - IDIBELL - Universitat de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
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21
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Gamelas V, Borges V, Santos S, Santos J, Silva MJ, Bernardes C, Ramos J. Gastrointestinal: Olmesartan-induced enterocolopathy: A new presentation of a known entity. J Gastroenterol Hepatol 2021; 36:1150. [PMID: 33305434 DOI: 10.1111/jgh.15332] [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: 06/01/2020] [Revised: 10/07/2020] [Accepted: 11/03/2020] [Indexed: 12/09/2022]
Affiliation(s)
- V Gamelas
- Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
| | - V Borges
- Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
| | - S Santos
- Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
| | - J Santos
- Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
| | - M J Silva
- Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
| | - C Bernardes
- Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
| | - J Ramos
- Gastroenterology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
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Caputo M, Amador MA, Sala A, Riveiro Dos Santos A, Santos S, Corach D. Ancestral genetic legacy of the extant population of Argentina as predicted by autosomal and X-chromosomal DIPs. Mol Genet Genomics 2021; 296:581-590. [PMID: 33580820 DOI: 10.1007/s00438-020-01755-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 12/14/2020] [Indexed: 12/01/2022]
Abstract
Aiming to determine their ancestry diagnostic potential, we selected two sets of nuclear deletion/insertion polymorphisms (DIPs), including 30 located on autosomal chromosomes and 33 on the X chromosome. We analysed over 200 unrelated Argentinean individuals living in urban areas of Argentina. As in most American countries, the extant Argentinean population is the result of tricontinental genetic admixture. The peopling process within the continent was characterised by mating bias involving Native American and enslaved African females and European males. Differential results were detected between autosomal DIPs and X-DIPs. The former showed that the European component was the largest (77.8%), followed by the Native American (17.9%) and African (4.2%) components, in good agreement with the previously published results. In contrast, X-DIPs showed that the European genetic contribution was also predominant but much smaller (52.9%) and considerably larger Native American and African contributions (39.6% and 7.5%, respectively). Genetic analysis revealed continental genetic contributions whose associated phenotypic traits have been mostly lost. The observed differences between the estimated continental genetic contribution proportions based on autosomal DIPs and X-DIPs reflect the effects of autosome and X-chromosome transmission behaviour and their different recombination patterns. This work shows the ability of the tested DIP panels to infer ancestry and confirm mating bias. To the best of our knowledge, this is the first study focusing on ancestry-informative autosomal DIP and X-DIP comparisons performed in a sample representing the entire Argentinean population.
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Affiliation(s)
- M Caputo
- Departamento de Microbiología, Inmunología, Biotecnología y Genética, Cátedra de Genética Forense Y Servicio de Huellas Digitales Genéticas, Facultad de Farmacia Y Bioquímica, Universidad de Buenos Aires, Junín 956, C1113AAD, Buenos Aires, Argentina. .,CONICET - Consejo Nacional de Investigaciones Científicas y Tecnológicas, C1033AAJ, Buenos Aires, Argentina. .,Department of Forensic Genetics and DNA Fingerprinting Service, School of Pharmacy and Biochemistry, Junin 956, 7th floor, C1113AAD, CABA, Argentina.
| | - M A Amador
- Laboratorio de Genética Humana E Médica, Departamento de Patologia, Universidade Federal Do Pará, Belém, Pará, Brazil
| | - A Sala
- Departamento de Microbiología, Inmunología, Biotecnología y Genética, Cátedra de Genética Forense Y Servicio de Huellas Digitales Genéticas, Facultad de Farmacia Y Bioquímica, Universidad de Buenos Aires, Junín 956, C1113AAD, Buenos Aires, Argentina.,CONICET - Consejo Nacional de Investigaciones Científicas y Tecnológicas, C1033AAJ, Buenos Aires, Argentina
| | - A Riveiro Dos Santos
- Laboratorio de Genética Humana E Médica, Departamento de Patologia, Universidade Federal Do Pará, Belém, Pará, Brazil
| | - S Santos
- Laboratorio de Genética Humana E Médica, Departamento de Patologia, Universidade Federal Do Pará, Belém, Pará, Brazil
| | - D Corach
- Departamento de Microbiología, Inmunología, Biotecnología y Genética, Cátedra de Genética Forense Y Servicio de Huellas Digitales Genéticas, Facultad de Farmacia Y Bioquímica, Universidad de Buenos Aires, Junín 956, C1113AAD, Buenos Aires, Argentina.,CONICET - Consejo Nacional de Investigaciones Científicas y Tecnológicas, C1033AAJ, Buenos Aires, Argentina
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23
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Santos S, Richard K, Fisher MC, Dealy CN, Pierce DM. Chondrocytes respond both anabolically and catabolically to impact loading generally considered non-injurious. J Mech Behav Biomed Mater 2020; 115:104252. [PMID: 33385951 DOI: 10.1016/j.jmbbm.2020.104252] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2020] [Revised: 11/25/2020] [Accepted: 12/03/2020] [Indexed: 11/24/2022]
Abstract
We aimed to determine the longitudinal effects of low-energy (generally considered non-injurious) impact loading on (1) chondrocyte proliferation, (2) chondroprogenitor cell activity, and (3) EGFR signaling. In an in vitro study, we assessed 127 full-thickness, cylindrical osteochondral plugs of bovine cartilage undergoing either single, uniaxial unconfined impact loads with energy densities in the range of 1.5-3.2mJ/mm3 or no impact (controls). We quantified cell responses at two, 24, 48, and 72 h via immunohistochemical labeling of Ki67, Sox9, and pEGFR antibodies. We compared strain, stress, and impact energy density as predictors for mechanotransductive responses from cells, and fit significant correlations using linear regressions. Our study demonstrates that low-energy mechanical impacts (1.5-3.2mJ/mm3) generally stimulate time-dependent anabolic responses in the superficial zone of articular cartilage and catabolic responses in the middle and deep zones. We also found that impact energy density is the most consistent predictor of cell responses to low-energy impact loading. These spatial and temporal changes in chondrocyte behavior result directly from low-energy mechanical impacts, revealing a new level of mechanotransductive sensitivity in chondrocytes not previously appreciated.
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Affiliation(s)
- Stephany Santos
- Department of Biomedical Engineering, University of Connecticut, Storrs, CT, United States of America
| | - Kelsey Richard
- Department of Global Health, University of Connecticut, Storrs, CT, United States of America
| | - Melanie C Fisher
- Center for Regenerative Medicine and Skeletal Development, Department of Reconstructive Services, University of Connecticut Health Center, Farmington, CT, United States of America
| | - Caroline N Dealy
- Center for Regenerative Medicine and Skeletal Development, Department of Reconstructive Services, University of Connecticut Health Center, Farmington, CT, United States of America; Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT, United States of America
| | - David M Pierce
- Department of Biomedical Engineering, University of Connecticut, Storrs, CT, United States of America; Department of Mechanical Engineering, University of Connecticut, Storrs, CT, United States of America.
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24
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Inglés-Ferrándiz M, Martin-Inaraja M, Herrera L, Villaverde M, Santos S, Vesga MA, Garreta E, Martín-Ruiz I, Aransay AM, Anguita J, Barreña B, Allende LM, Gonzalez-Granado LI, Eguizabal C. Generation, establishment and characterization of a pluripotent stem cell line (CVTTHi001-A) from primary fibroblasts isolated from a patient with activated PI3 kinase delta syndrome (APDS2). Stem Cell Res 2020; 49:102082. [PMID: 33221676 DOI: 10.1016/j.scr.2020.102082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 11/01/2020] [Indexed: 11/27/2022] Open
Abstract
APDS2 is caused by mutations in PIK3R1 gene resulting in constitutive PI3Kδ activation. PI3Kδ is predominantly expressed in leukocytes and plays critical roles in regulating immune responses. Here we first derived fibroblast primary cells from a skin biopsy of a patient carrying a heterozygous single T deletion in intron 11 of the PIK3R1 gene. We next present the derivation of an induced pluripotent stem cell (iPS) line using a non-integrative reprogramming technology. Pluripotent-related hallmarks are further shown, including: iPSCs self-renewal and expression of pluripotent and differentiation markers after in vitro differentiation towards embryonic germ layers, assessed by RT-PCR and immunofluorescence.
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Affiliation(s)
- M Inglés-Ferrándiz
- Cell Therapy, Stem Cells and Tissues Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; Research Unit, Basque Center for Blood Transfusion and Human Tissues, Osakidetza, Galdakao, Spain
| | - M Martin-Inaraja
- Cell Therapy, Stem Cells and Tissues Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; Research Unit, Basque Center for Blood Transfusion and Human Tissues, Osakidetza, Galdakao, Spain
| | - L Herrera
- Cell Therapy, Stem Cells and Tissues Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; Research Unit, Basque Center for Blood Transfusion and Human Tissues, Osakidetza, Galdakao, Spain
| | - M Villaverde
- Cell Therapy, Stem Cells and Tissues Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; Research Unit, Basque Center for Blood Transfusion and Human Tissues, Osakidetza, Galdakao, Spain
| | - S Santos
- Cell Therapy, Stem Cells and Tissues Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; Research Unit, Basque Center for Blood Transfusion and Human Tissues, Osakidetza, Galdakao, Spain
| | - M A Vesga
- Cell Therapy, Stem Cells and Tissues Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; Research Unit, Basque Center for Blood Transfusion and Human Tissues, Osakidetza, Galdakao, Spain
| | - E Garreta
- Pluripotency for Organ Regeneration, Institute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Science and Technology (BIST), 08028 Barcelona, Spain. University of Barcelona, Barcelona, Spain
| | - I Martín-Ruiz
- Inflammation and Macrophage Plasticity Laboratory, CIC bioGUNE-BRTA (Basque Research and Technology Alliance), Derio 48160, Spain
| | - A M Aransay
- Genomic Analysis Platform, CIC bioGUNE-BRTA, Derio, 48160, Spain; CIBERehd, Instituto de Salud Carlos III, Madrid 28029, Spain
| | - J Anguita
- Inflammation and Macrophage Plasticity Laboratory, CIC bioGUNE-BRTA (Basque Research and Technology Alliance), Derio 48160, Spain; Ikerbasque, Basque Foundation for Science, Bilbao 48013, Spain
| | - B Barreña
- Genetics Unit, Hospital de Basurto, Bilbao, Spain
| | - L M Allende
- Immunology Department, University Hospital 12 de Octubre, Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), School of Medicine, University Hospital 12 de Octubre, Complutense University of Madrid, Madrid, Spain
| | - L I Gonzalez-Granado
- Primary Immunodeficiencies Unit, Pediatrics, Hospital 12 Octubre (imas12), Complutense University School of Medicine, Madrid, Spain
| | - C Eguizabal
- Cell Therapy, Stem Cells and Tissues Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain; Research Unit, Basque Center for Blood Transfusion and Human Tissues, Osakidetza, Galdakao, Spain.
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25
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Maier F, Siri S, Santos S, Chen L, Feng B, Pierce DM. The heterogeneous morphology of networked collagen in distal colon and rectum of mice quantified via nonlinear microscopy. J Mech Behav Biomed Mater 2020; 113:104116. [PMID: 33049619 DOI: 10.1016/j.jmbbm.2020.104116] [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] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 09/14/2020] [Accepted: 09/24/2020] [Indexed: 02/06/2023]
Abstract
Visceral pain from the distal colon and rectum (colorectum) is a major complaint of patients with irritable bowel syndrome. Mechanotransduction of colorectal distension/stretch appears to play a critical role in visceral nociception, and further understanding requires improved knowledge of the micromechanical environments at different sub-layers of the colorectum. In this study, we conducted nonlinear imaging via second harmonic generation to quantify the thickness of each distinct through-thickness layer of the colorectum, as well as the principal orientations, corresponding dispersions in orientations, and the distributions of diameters of collagen fibers within each of these layers. From C57BL/6 mice of both sexes (8-16 weeks of age, 25-35 g), we dissected the distal 30 mm of the large bowel including the colorectum, divided these into three even segments, and harvested specimens (~8 × 8 mm2) from each segment. We stretched the specimens either by colorectal distension to 20 mmHg (reference) or 80 mmHg (deformed) or by biaxial stretch to 10 mN (reference) or 80 mN (deformed), and fixed them with 4% paraformaldehyde. We then conducted SHG imaging through the wall thickness and analyzed post-hoc using custom-built software to quantify the orientations of collagen fibers in all distinct layers. We also quantified the thickness of each layer of the colorectum, and the corresponding distributions of collagen density and diameters of fibers. We found collagen concentrated in the submucosal layer. The average diameter of collagen fibers was greatest in the submucosal layer, followed by the serosal and muscular layers. Collagen fibers aligned with muscle fibers in the two muscular layers, whereas their orientation varied greatly with location in the serosal layer. In colonic segments, thick collagen fibers in the submucosa presented two major orientations aligned approximately ±30° to the axial direction, and form a patterned network. Our results indicate the submucosa is likely the principal passive load-bearing structure of the colorectum. In addition, afferent endings in those collagen-rich regions present likely candidates of colorectal nociceptors to encode noxious distension/stretch.
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Affiliation(s)
- Franz Maier
- Department of Mechanical Engineering, University of Connecticut, CT, 06269, USA
| | - Saeed Siri
- Department of Biomedical Engineering, University of Connecticut, CT, 06269, USA
| | - Stephany Santos
- Department of Biomedical Engineering, University of Connecticut, CT, 06269, USA
| | - Longtu Chen
- Department of Biomedical Engineering, University of Connecticut, CT, 06269, USA
| | - Bin Feng
- Department of Biomedical Engineering, University of Connecticut, CT, 06269, USA.
| | - David M Pierce
- Department of Mechanical Engineering, University of Connecticut, CT, 06269, USA; Department of Biomedical Engineering, University of Connecticut, CT, 06269, USA.
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26
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Carvalho Sousa S, Magalhães Alves C, Santos S, Marques F, Duarte R, Gonçalves G, Carvalho C. Tuberculosis: where and how fast are stone quarry workers infected? Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.796] [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
Background
In 2018 an annual tuberculosis (TB) screening program targeting stone quarry workers was implemented in two municipalities in Northern Portugal. These have been hotspots for TB (76 and 59 cases per 100 000 population per year in 2012-2016, well above the 18 cases per 100 000 population observed in Portugal in 2016), with 30% of active TB cases occurring among stone quarry workers. Screening in this setting is recommended by the World Health Organization, as exposure to silica and silicosis increase the risk of TB. Occupational health services, TB outpatient centers, the hospital, a laboratory, primary health care and public health services work closely together with employers, employees, municipal council and the community promoting meetings and continuous training.
Screening activities included a symptom questionnaire, chest X-ray and sputum exam; and, after exclusion of active TB, interferon-gamma release assay (IGRA) for latent tuberculosis infection (LTBI). Preventive treatment was offered.
Objective
Assess annual rate of TB infection
Methods
Workers without history of TB/LTBI were IGRA tested in 2018, and retested in 2019. Annual rate of infection was calculated as the proportion of workers IGRA negative in 2018 becoming positive in 2019.
Results
In 2018-2019, 274 workers were screened yearly. In 2018, 22 were diagnosed with LTBI and 26 had previous history of TB/LTBI. Out of 226 IGRA negative workers in 2018, 19 tested positive in 2019 (8.4% annual rate of infection). These individuals were not identified as close contacts of any new TB case and no cases of active TB were reported in their stone quarries. Some active TB cases were regular customers of specific bars.
Conclusions
Active transmission of TB seems to be occurring among stone quarry workers. Workers that converted from IGRA negative to positive had no co-workers with active TB in the study period, suggesting they could have been infected away from the workplace, possibly in community public places.
Key messages
Stone quarry workers in a high-risk TB sub-region were infected at an 8.4% annual rate, and could have been infected in community public places such as bars. Besides screening close contacts and at workplace, more efforts should be made identifying social contacts of active TB cases.
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Affiliation(s)
- S Carvalho Sousa
- Public Health Unit, Northern Regional Health Administration, Paredes, Portugal
- Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - C Magalhães Alves
- Public Health Unit Low Tâmega, Northern Regional Health Administration, Marco de Canaveses, Portugal
- Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - S Santos
- Laboratory of Pneumological Diagnostic Center, Northern Regional Health Administration, Porto, Portugal
| | - F Marques
- Public Health Unit South Sousa Valley, Northern Regional Health Administration, Paredes, Portugal
| | - R Duarte
- Pulmonology Department, Hospital Centre of Vila Nova de Gaia/Espinho EPE, Vila Nova de Gaia, Portugal
- EPIUnit, Public Health Institute, University of Porto, Porto, Portugal
- Public Health Science and Medical Education Department, School of Medicine, University of Porto, Porto, Portugal
| | - G Gonçalves
- Multidisciplinary Unit for Biomedical Research, Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - C Carvalho
- Department of Public Health, Northern Regional Health Administration, Porto, Portugal
- Multidisciplinary Unit for Biomedical Research, Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
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27
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Silva C, Abreu L, Santos K, Santos S, Figueiredo A. Interprofessional health education and its impact on integral healthcare. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.857] [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
Background
Interprofessionality is a tool for optimizing the human resources available towards the consolidation of a resolutive healthcare. However, applying it is a challenge due to the fragmented training of health professionals.
Objective
to describe the experience of planning and executing an interprofessional health education activity.
Methods
An educational workshop was developed aiming at interprofessional health practice. A clinical case was distributed, which addressed the story of an elderly person who suffered a stroke and lived with the sequels of this episode in addition to emotional trauma from the experience. Each professional was asked to define a therapeutic proposal for the case and one of them was invited to present his proposal and complement it based on the suggestions of the other members.
Results
the workshop enabled the perception that, in isolation, no profession would be able to fully contemplate the patient's needs. Therefore, it encouraged the use of integrated action between different professionals by demonstrating that punctual and disjointed actions would not be sufficient to act effectively in the care and needs related to the individual's health.
Conclusions
the final product of this workshop resulted in a consistent activity contemplated by multiple perspectives, experiences and knowledges which would not be so successful if planned in isolation by a single professional group.
Key messages
Due to its low cost, interprofessional action responds to the new health needs of contemporary times and its implementation is of great value in combating the fragmented trend in health training. The interprofessional view is a common ground to health not only where the study took place but worldwide, consolidating itself as a valuable asset to the construction of integral healthcare.
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Affiliation(s)
- C Silva
- Medical School, Superior School of Health Sciences - ESCS, Brasilia, Brazil
| | - L Abreu
- Medical School, Superior School of Health Sciences - ESCS, Brasilia, Brazil
| | - K Santos
- Medical School, Superior School of Health Sciences - ESCS, Brasilia, Brazil
| | - S Santos
- Health Sciences, University of Brasilia - UnB, Brasilia, Brazil
| | - A Figueiredo
- Epidemiologic Surveilance, Federal District's Department of Health, Brasilia, Brazil
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28
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Rosenthal VD, Bat-Erdene I, Gupta D, Belkebir S, Rajhans P, Zand F, Myatra SN, Afeef M, Tanzi VL, Muralidharan S, Gurskis V, Al-Abdely HM, El-Kholy A, AlKhawaja SAA, Sen S, Mehta Y, Rai V, Hung NV, Sayed AF, Guerrero-Toapanta FM, Elahi N, Morfin-Otero MDR, Somabutr S, De-Carvalho BM, Magdarao MS, Velinova VA, Quesada-Mora AM, Anguseva T, Ikram A, Aguilar-de-Moros D, Duszynska W, Mejia N, Horhat FG, Belskiy V, Mioljevic V, Di-Silvestre G, Furova K, Gamar-Elanbya MO, Gupta U, Abidi K, Raka L, Guo X, Luque-Torres MT, Jayatilleke K, Ben-Jaballah N, Gikas A, Sandoval-Castillo HR, Trotter A, Valderrama-Beltrán SL, Leblebicioglu H, Riera F, López M, Maurizi D, Desse J, Pérez I, Silva G, Chaparro G, Golschmid D, Cabrera R, Montanini A, Bianchi A, Vimercati J, Rodríguez-del-Valle M, Domínguez C, Saul P, Chediack V, Piastrelini M, Cardena L, Ramasco L, Olivieri M, Gallardo P, Juarez P, Brito M, Botta P, Alvarez G, Benchetrit G, Caridi M, Stagnaro J, Bourlot I, García M, Arregui N, Saeed N, Abdul-Aziz S, ALSayegh S, Humood M, Mohamed-Ali K, Swar S, Magray T, Aguiar-Portela T, Sugette-de-Aguiar T, Serpa-Maia F, Fernandes-Alves-de-Lima L, Teixeira-Josino L, Sampaio-Bezerra M, Furtado-Maia R, Romário-Mendes A, Alves-De-Oliveira A, Vasconcelos-Carneiro A, Anjos-Lima JD, Pinto-Coelho K, Maciel-Canuto M, Rocha-Batista M, Moreira T, Rodrigues-Amarilo N, Lima-de-Barros T, Guimarães KA, Batista C, Santos C, de-Lima-Silva F, Santos-Mota E, Karla L, Ferreira-de-Souza M, Luzia N, de-Oliveira S, Takeda C, Azevedo-Ferreira-Lima D, Faheina J, Coelho-Oliveira L, do-Nascimento S, Machado-Silva V, Bento-Ferreira, Olszewski J, Tenorio M, Silva-Lemos A, Ramos-Feijó C, Cardoso D, Correa-Barbosa M, Assunção-Ponte G, Faheina J, da-Silva-Escudero D, Servolo-Medeiros E, Andrade-Oliveira-Reis M, Kostadinov E, Dicheva V, Petrov M, Guo C, Yu H, Liu T, Song G, Wang C, Cañas-Giraldo L, Marin-Tobar D, Trujillo-Ramirez E, Andrea-Rios P, Álvarez-Moreno C, Linares C, González-Rubio P, Ariza-Ayala B, Gamba-Moreno L, Gualtero-Trujill S, Segura-Sarmiento S, Rodriguez-Pena J, Ortega R, Olarte N, Pardo-Lopez Y, Luis Marino Otela-Baicue A, Vargas-Garcia A, Roncancio E, Gomez-Nieto K, Espinosa-Valencia M, Barahona-Guzman N, Avila-Acosta C, Raigoza-Martinez W, Villamil-Gomez W, Chapeta-Parada E, Mindiola-Rochel A, Corchuelo-Martinez A, Martinez A, Lagares-Guzman A, Rodriguez-Ferrer M, Yepes-Gomez D, Muñoz-Gutierrez G, Arguello-Ruiz A, Zuniga-Chavarria M, Maroto-Vargas L, Valverde-Hernández M, Solano-Chinchilla A, Calvo-Hernandez I, Chavarria-Ugalde O, Tolari G, Rojas-Fermin R, Diaz-Rodriguez C, Huascar S, Ortiz M, Bovera M, Alquinga N, Santacruz G, Jara E, Delgado V, Salgado-Yepez E, Valencia F, Pelaez C, Gonzalez-Flores H, Coello-Gordon E, Picoita F, Arboleda M, Garcia M, Velez J, Valle M, Unigarro L, Figueroa V, Marin K, Caballero-Narvaez H, Bayani V, Ahmed S, Alansary A, Hassan A, Abdel-Halim M, El-Fattah M, Abdelaziz-Yousef R, Hala A, Abdelhady K, Ahmed-Fouad H, Mounir-Agha H, Hamza H, Salah Z, Abdel-Aziz D, Ibrahim S, Helal A, AbdelMassih A, Mahmoud AR, Elawady B, El-sherif R, Fattah-Radwan Y, Abdel-Mawla T, Kamal-Elden N, Kartsonaki M, Rivera D, Mandal S, Mukherjee S, Navaneet P, Padmini B, Sorabjee J, Sakle A, Potdar M, Mane D, Sale H, Abdul-Gaffar M, Kazi M, Chabukswar S, Anju M, Gaikwad D, Harshe A, Blessymole S, Nair P, Khanna D, Chacko F, Rajalakshmi A, Mubarak A, Kharbanda M, Kumar S, Mathur P, Saranya S, Abubakar F, Sampat S, Raut V, Biswas S, Kelkar R, Divatia J, Chakravarthy M, Gokul B, Sukanya R, Pushparaj L, Thejasvini A, Rangaswamy S, Saini N, Bhattacharya C, Das S, Sanyal S, Chaudhury B, Rodrigues C, Khanna G, Dwivedy A, Binu S, Shetty S, Eappen J, Valsa T, Sriram A, Todi S, Bhattacharyya M, Bhakta A, Ramachandran B, Krupanandan R, Sahoo P, Mohanty N, Sahu S, Misra S, Ray B, Pattnaik S, Pillai H, Warrier A, Ranganathan L, Mani A, Rajagopal S, Abraham B, Venkatraman R, Ramakrishnan N, Devaprasad D, Siva K, Divekar D, Satish Kavathekar M, Suryawanshi M, Poojary A, Sheeba J, Patil P, Kukreja S, Varma K, Narayanan S, Sohanlal T, Agarwal A, Agarwal M, Nadimpalli G, Bhamare S, Thorat S, Sarda O, Nadimpalli P, Nirkhiwale S, Gehlot G, Bhattacharya S, Pandya N, Raphel A, Zala D, Mishra S, Patel M, Aggarwal D, Jawadwal B, Pawar N, Kardekar S, Manked A, Tamboli A, Manked A, Khety Z, Singhal T, Shah S, Kothari V, Naik R, Narain R, Sengupta S, Karmakar A, Mishra S, Pati B, Kantroo V, Kansal S, Modi N, Chawla R, Chawla A, Roy I, Mukherjee S, Bej M, Mukherjee P, Baidya S, Durell A, Vadi S, Saseedharan S, Anant P, Edwin J, Sen N, Sandhu K, Pandya N, Sharma S, Sengupta S, Palaniswamy V, Sharma P, Selvaraj M, Saurabh L, Agarwal M, Punia D, Soni D, Misra R, Harsvardhan R, Azim A, Kambam C, Garg A, Ekta S, Lakhe M, Sharma C, Singh G, Kaur A, Singhal S, Chhabra K, Ramakrishnan G, Kamboj H, Pillai S, Rani P, Singla D, Sanaei A, Maghsudi B, Sabetian G, Masjedi M, Shafiee E, Nikandish R, Paydar S, Khalili H, Moradi A, Sadeghi P, Bolandparvaz S, Mubarak S, Makhlouf M, Awwad M, Ayyad O, Shaweesh A, Khader M, Alghazawi A, Hussien N, Alruzzieh M, Mohamed Y, ALazhary M, Abdul Aziz O, Alazmi M, Mendoza J, De Vera P, Rillorta A, de Guzman M, Girvan M, Torres M, Alzahrani N, Alfaraj S, Gopal U, Manuel M, Alshehri R, Lessing L, Alzoman H, Abdrahiem J, Adballah H, Thankachan J, Gomaa H, Asad T, AL-Alawi M, Al-Abdullah N, Demaisip N, Laungayan-Cortez E, Cabato A, Gonzales J, Al Raey M, Al-Darani S, Aziz M, Al-Manea B, Samy E, AlDalaton M, Alaliany M, Alabdely H, Helali N, Sindayen G, Malificio A, Al-Dossari H, Kelany A, Algethami A, Mohamed D, Yanne L, Tan A, Babu S, Abduljabbar S, Al-Zaydani M, Ahmed H, Al Jarie A, Al-Qathani A, Al-Alkami H, AlDalaton M, Alih S, Alaliany M, Gasmin-Aromin R, Balon-Ubalde E, Diab H, Kader N, Hassan-Assiry I, Kelany A, Albeladi E, Aboushoushah S, Qushmaq N, Fernandez J, Hussain W, Rajavel R, Bukhari S, Rushdi H, Turkistani A, Mushtaq J, Bohlega E, Simon S, Damlig E, Elsherbini S, Abraham S, Kaid E, Al-Attas A, Hawsawi G, Hussein B, Esam B, Caminade Y, Santos A, Abdulwahab M, Aldossary A, Al-Suliman S, AlTalib A, Albaghly N, HaqlreMia M, Kaid E, Altowerqi R, Ghalilah K, Alradady M, Al-Qatri A, Chaouali M, Shyrine E, Philipose J, Raees M, AbdulKhalik N, Madco M, Acostan C, Safwat R, Halwani M, Abdul-Aal N, Thomas A, Abdulatif S, Ali-Karrar M, Al-Gosn N, Al-Hindi A, Jaha R, AlQahtani S, Ayugat E, Al-Hussain M, Aldossary A, Al-Suliman S, Al-Talib A, Albaghly N, Haqlre-Mia M, Briones S, Krishnan R, Tabassum K, Alharbi L, Madani A, Al-Hindi A, Al-Gethamy M, Alamri D, Spahija G, Gashi A, Kurian A, George S, Mohamed A, Ramapurath R, Varghese S, Abdo N, Foda-Salama M, Al-Mousa H, Omar A, Salama M, Toleb M, Khamis S, Kanj S, Zahreddine N, Kanafani Z, Kardas T, Ahmadieh R, Hammoud Z, Zeid I, Al-Souheil A, Ayash H, Mahfouz T, Kondratas T, Grinkeviciute D, Kevalas R, Dagys A, Mitrev Z, Bogoevska-Miteva Z, Jankovska K, Guroska S, Petrovska M, Popovska K, Ng C, Hoon Y, Hasan YM, Othman-Jailani M, Hadi-Jamaluddin M, Othman A, Zainol H, Wan-Yusoff W, Gan C, Lum L, Ling C, Aziz F, Zhazali R, Abud-Wahab M, Cheng T, Elghuwael I, Wan-Mat W, Abd-Rahman R, Perez-Gomez H, Kasten-Monges M, Esparza-Ahumada S, Rodriguez-Noriega E, Gonzalez-Diaz E, Mayoral-Pardo D, Cerero-Gudino A, Altuzar-Figueroa M, Perez-Cruz J, Escobar-Vazquez M, Aragon D, Coronado-Magana H, Mijangos-Mendez J, Corona-Jimenez F, Aguirre-Avalos G, Lopez-Mateos A, Martinez-Marroquin M, Montell-Garcia M, Martinez-Martinez A, Leon-Sanchez E, Gomez-Flores G, Ramirez M, Gomez M, Lozano M, Mercado V, Zamudio-Lugo I, Gomez-Gonzalez C, Miranda-Novales M, Villegas-Mota I, Reyes-Garcia C, Ramirez-Morales M, Sanchez-Rivas M, Cureno-Diaz M, Matias-Tellez B, Gonzalez-Martinez J, Juarez-Vargas R, Pastor-Salinas O, Gutierrez-Munoz V, Conde-Mercado J, Bruno-Carrasco G, Manrique M, Monroy-Colin V, Cruz-Rivera Z, Rodriguez-Pacheco J, Cruz N, Hernandez-Chena B, Guido-Ramirez O, Arteaga-Troncoso G, Guerra-Infante F, Lopez-Hurtado M, Caleco JD, Leyva-Medellin E, Salamanca-Meneses A, Cosio-Moran C, Ruiz-Rendon R, Aguilar-Angel L, Sanchez-Vargas M, Mares-Morales R, Fernandez-Alvarez L, Castillo-Cruz B, Gonzalez-Ma M, Zavala-Ramír M, Rivera-Reyna L, del-Moral-Rossete L, Lopez-Rubio C, Valadez-de-Alba M, Bat-Erdene A, Chuluunchimeg K, Baatar O, Batkhuu B, Ariyasuren Z, Bayasgalan G, Baigalmaa S, Uyanga T, Suvderdene P, Enkhtsetseg D, Suvd-Erdene D, Chimedtseye E, Bilguun G, Tuvshinbayar M, Dorj M, Khajidmaa T, Batjargal G, Naranpurev M, Bat-Erdene A, Bolormaa T, Battsetseg T, Batsuren C, Batsaikhan N, Tsolmon B, Saranbaatar A, Natsagnyam P, Nyamdawa O, Madani N, Abouqal R, Zeggwagh A, Berechid K, Dendane T, Koirala A, Giri R, Sainju S, Acharya S, Paul N, Parveen A, Raza A, Nizamuddin S, Sultan F, Imran X, Sajjad R, Khan M, Sana F, Tayyab N, Ahmed A, Zaman G, Khan I, Khurram F, Hussain A, Zahra F, Imtiaz A, Daud N, Sarwar M, Roop Z, Yusuf S, Hanif F, Shumaila X, Zeb J, Ali S, Demas S, Ariff S, Riaz A, Hussain A, Kanaan A, Jeetawi R, Castaño E, Moreno-Castillo L, García-Mayorca E, Prudencio-Leon W, Vivas-Pardo A, Changano-Rodriguez M, Castillo-Bravo L, Aibar-Yaranga K, Marquez-Mondalgo V, Mueras-Quevedo J, Meza-Borja C, Flor J, Fernandez-Camacho Y, Banda-Flores C, Pichilingue-Chagray J, Castaneda-Sabogal A, Caoili J, Mariano M, Maglente R, Santos S, de-Guzman G, Mendoza M, Javellana O, Tajanlangit A, Tapang A, Sg-Buenaflor M, Labro E, Carma R, Dy A, Fortin J, Navoa-Ng J, Cesar J, Bonifacio B, Llames M, Gata H, Tamayo A, Calupit H, Catcho V, Bergosa L, Abuy M, Barteczko-Grajek B, Rojek S, Szczesny A, Domanska M, Lipinska G, Jaroslaw J, Wieczoreka A, Szczykutowicza A, Gawor M, Piwoda M, Rydz-Lutrzykowska J, Grudzinska M, Kolat-Brodecka P, Smiechowicz K, Tamowicz B, Mikstacki A, Grams A, Sobczynski P, Nowicka M, Kretov V, Shalapuda V, Molkov A, Puzanov S, Utkin I, Tchekulaev A, Tulupova V, Vasiljevic S, Nikolic L, Ristic G, Eremija J, Kojovic J, Lekic D, Simic A, Hlinkova S, Lesnakova A, Kadankunnel S, Abdo-Ali M, Pimathai R, Wanitanukool S, Supa N, Prasan P, Luxsuwong M, Khuenkaew Y, Lamngamsupha J, Siriyakorn N, Prasanthai V, Apisarnthanarak A, Borgi A, Bouziri A, Cabadak H, Tuncer G, Bulut C, Hatipoglu C, Sebnem F, Demiroz A, Kaya A, Ersoz G, Kuyucu N, Karacorlu S, Oncul O, Gorenek L, Erdem H, Yildizdas D, Horoz O, Guclu E, Kaya G, Karabay O, Altindis M, Oztoprak N, Sahip Y, Uzun C, Erben N, Usluer G, Ozgunes I, Ozcelik M, Ceyda B, Oral M, Unal N, Cigdem Y, Bayar M, Bermede O, Saygili S, Yesiler I, Memikoglu O, Tekin R, Oncul A, Gunduz A, Ozdemir D, Geyik M, Erdogan S, Aygun C, Dilek A, Esen S, Turgut H, Sungurtekin H, Ugurcan D, Yarar V, Bilir Y, Bayram N, Devrim I, Agin H, Ceylan G, Yasar N, Oruc Y, Ramazanoglu A, Turhan O, Cengiz M, Yalcin A, Dursun O, Gunasan P, Kaya S, Senol G, Kocagoz A, Al-Rahma H, Annamma P, El-Houfi A, Vidal H, Perez F, D-Empaire G, Ruiz Y, Hernandez D, Aponte D, Salinas E, Vidal H, Navarrete N, Vargas R, Sanchez E, Ngo Quy C, Thu T, Nguyet L, Hang P, Hang T, Hanh T, Anh D. International Nosocomial Infection Control Consortium (INICC) report, data summary of 45 countries for 2012-2017: Device-associated module. Am J Infect Control 2020; 48:423-432. [PMID: 31676155 DOI: 10.1016/j.ajic.2019.08.023] [Citation(s) in RCA: 61] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 08/20/2019] [Accepted: 08/21/2019] [Indexed: 12/18/2022]
Abstract
BACKGROUND We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2012 to December 2017 in 523 intensive care units (ICUs) in 45 countries from Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. METHODS During the 6-year study period, prospective data from 532,483 ICU patients hospitalized in 242 hospitals, for an aggregate of 2,197,304 patient days, were collected through the INICC Surveillance Online System (ISOS). The Centers for Disease Control and Prevention-National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI) were applied. RESULTS Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the medical-surgical ICUs, the pooled central line-associated bloodstream infection rate was higher (5.05 vs 0.8 per 1,000 central line-days); the ventilator-associated pneumonia rate was also higher (14.1 vs 0.9 per 1,000 ventilator-days,), as well as the rate of catheter-associated urinary tract infection (5.1 vs 1.7 per 1,000 catheter-days). From blood cultures samples, frequencies of resistance, such as of Pseudomonas aeruginosa to piperacillin-tazobactam (33.0% vs 18.3%), were also higher. CONCLUSIONS Despite a significant trend toward the reduction in INICC ICUs, DA-HAI rates are still much higher compared with CDC-NHSN's ICUs representing the developed world. It is INICC's main goal to provide basic and cost-effective resources, through the INICC Surveillance Online System to tackle the burden of DA-HAIs effectively.
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Nejo P, Bexiga C, Fragoso S, Mayer A, Santos S, Louro P, Luis A, Moura C, Clara A, Vaz F. Abstract P6-08-36: Uptake of preventive surgeries in a prospective cohort of BRCA1/2 healthy women. Cancer Res 2020. [DOI: 10.1158/1538-7445.sabcs19-p6-08-36] [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: 11/16/2022]
Abstract
Abstract
PURPOSE
Previous studies referred to uptake of preventive surgeries (PS) in BRCA1/2 healthy carriers in ages older than recommended (35yrs). Since our population has a higher prevalence of BRCA2 mutations (usually associated with an older age at Breast Cancer diagnosis) we proposed to study ages and type of preventive surgeries uptaken by BRCA1/2 women included in prospective follow up.
PATIENTS AND METHODS
Review of all healthy (without a previous cancer diagnosis) BRCA1/2 carriers included in our program from January 2000 to June 2019. Follow-up started after genetic testing. Men were excluded from this analysis.
RESULTS
A total of 5504 cases (4021 index, 1483 relatives) consented for BRCA1/2 testing. We identified 238 healthy BRCA1/2 carriers (BRCA2:158 (66.4%) vs BRCA1 80 (33.6%). Median age at genetic diagnosis was 38.9 yrs (16-78). With a median follow up of 4yrs, bilateral adnexectomy (BA) was the most frequent PS observed (45 BRCA2 and 28 BRCA1 cases) with 15/45 % and 6/28% undergoing BA and bilateral mastectomy (BM) simultaneously. Bilateral mastectomy was uptaken by 14% BRCA2 women and 10% BRCA1 women. Median ages for PS were: BRCA2-AB: 47,4 (28-71), BRCA1-AB: 46.7 (37-59); BRCA2-BM: 36.6 (31-52) and BRCA1-BM:42.5 (30-55). Isolated BM was observed in 7 BRCA2 cases and 2 BRCA1 cases. Most of women submitted to BA, also underwent total hysterectomy (HT): 65% for BRCA2 and 61% BRCA1. Most cases (88% non-adherent) adhere to radiological surveillance, 111/238 with annual breast S MRI and mammography. All pts submitted to BM are prescribed at least one breast MRI to check for remaining breast tissue.
CONCLUSION
Our data reveal that even if, in general, BRCA1/2 women uptake preventive surgeries at a later age that recommended, we observed a strong adherence to radiological (most with breast MRI) surveillance. BA is the PS most frequently observed but, surprisingly for healthy women, most cases also underwent TH. BRCA2 healthy women uptaken bilateral mastectomy at an earlier age than BRCA1 women. It´s possible that BRCA1 women, when deciding for BM also decided for BA.
Citation Format: Priscila Nejo, Catarina Bexiga, S. Fragoso, A Mayer, S Santos, P Louro, A Luis, C Moura, Ana Clara, Fatima Vaz. Uptake of preventive surgeries in a prospective cohort of BRCA1/2 healthy women [abstract]. In: Proceedings of the 2019 San Antonio Breast Cancer Symposium; 2019 Dec 10-14; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2020;80(4 Suppl):Abstract nr P6-08-36.
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Affiliation(s)
- Priscila Nejo
- Instituto Portugês de Oncologia Lisboa, Lisbon, Portugal
| | | | - S. Fragoso
- Instituto Portugês de Oncologia Lisboa, Lisbon, Portugal
| | - A Mayer
- Instituto Portugês de Oncologia Lisboa, Lisbon, Portugal
| | - S Santos
- Instituto Portugês de Oncologia Lisboa, Lisbon, Portugal
| | - P Louro
- Instituto Portugês de Oncologia Lisboa, Lisbon, Portugal
| | - A Luis
- Instituto Portugês de Oncologia Lisboa, Lisbon, Portugal
| | - C Moura
- Instituto Portugês de Oncologia Lisboa, Lisbon, Portugal
| | - Ana Clara
- Instituto Portugês de Oncologia Lisboa, Lisbon, Portugal
| | - Fatima Vaz
- Instituto Portugês de Oncologia Lisboa, Lisbon, Portugal
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Herrera L, Santos S, Vesga MA, Anguita J, Martin-Ruiz I, Carrascosa T, Juan M, Eguizabal C. Adult peripheral blood and umbilical cord blood NK cells are good sources for effective CAR therapy against CD19 positive leukemic cells. Sci Rep 2019; 9:18729. [PMID: 31822751 PMCID: PMC6904575 DOI: 10.1038/s41598-019-55239-y] [Citation(s) in RCA: 54] [Impact Index Per Article: 10.8] [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: 03/13/2019] [Accepted: 11/25/2019] [Indexed: 12/13/2022] Open
Abstract
Among hematological cancers, Acute Lymphoblastic Leukemia (ALL) and Chronic Lymphocytic Leukemia (CLL) are the most common leukemia in children and elderly people respectively. Some patients do not respond to chemotherapy treatments and it is necessary to complement it with immunotherapy-based treatments such as chimeric antigen receptor (CAR) therapy, which is one of the newest and more effective treatments against these cancers and B-cell lymphoma. Although complete remission results are promising, CAR T cell therapy presents still some risks for the patients, including cytokine release syndrome (CRS) and neurotoxicity. We proposed a different immune cell source for CAR therapy that might prevent these side effects while efficiently targeting malignant cells. NK cells from different sources are a promising vehicle for CAR therapy, as they do not cause graft versus host disease (GvHD) in allogenic therapies and they are prompt to attack cancer cells without prior sensitization. We studied the efficacy of NK cells from adult peripheral blood (AB) and umbilical cord blood (CB) against different target cells in order to determine the best source for CAR therapy. AB CAR-NK cells are slightly better at killing CD19 presenting target cells and CB NK cells are easier to stimulate and they have more stable number from donor to donor. We conclude that CAR-NK cells from both sources have their advantages to be an alternative and safer candidate for CAR therapy.
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Affiliation(s)
- L Herrera
- Cell Therapy, Stem Cells and Tissues Group, Basque Centre for Blood Transfusion and Human Tissues, Galdakao, Spain.,Biocruces Bizkaia Health Research Institute, Barkaldo, Spain
| | - S Santos
- Cell Therapy, Stem Cells and Tissues Group, Basque Centre for Blood Transfusion and Human Tissues, Galdakao, Spain.,Biocruces Bizkaia Health Research Institute, Barkaldo, Spain
| | - M A Vesga
- Cell Therapy, Stem Cells and Tissues Group, Basque Centre for Blood Transfusion and Human Tissues, Galdakao, Spain.,Biocruces Bizkaia Health Research Institute, Barkaldo, Spain
| | - J Anguita
- Macrophage and Tick Vaccine Laboratory, CIC bioGUNE, Derio, Biscay, Spain.,Ikerbasque, Basque Foundation for Science, Bilbao, Biscay, Spain
| | - I Martin-Ruiz
- Macrophage and Tick Vaccine Laboratory, CIC bioGUNE, Derio, Biscay, Spain
| | - T Carrascosa
- Servicio de Hematología, Hospital Galdakao-Usansolo, Galdakao, Spain.,Biocruces Bizkaia Health Research Institute, Barkaldo, Spain
| | - M Juan
- Servei d´Immunologia, Hospital Clínic de Barcelona, Hospital Sant Joan de Déu, Institut d'Investigacions Biomèdiques August Pi i Sunyer Hospital, Universitat de Barcelona, Barcelona, Spain
| | - C Eguizabal
- Cell Therapy, Stem Cells and Tissues Group, Basque Centre for Blood Transfusion and Human Tissues, Galdakao, Spain. .,Biocruces Bizkaia Health Research Institute, Barkaldo, Spain.
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Füeg F, Santos S, Haslinger C, Stoiber B, Schäffer L, Grünblatt E, Zimmermann R, Simões-Wüst AP. Influence of oxytocin receptor single nucleotide sequence variants on contractility of human myometrium: an in vitro functional study. BMC Med Genet 2019; 20:178. [PMID: 31718582 PMCID: PMC6852767 DOI: 10.1186/s12881-019-0894-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Accepted: 09/16/2019] [Indexed: 11/25/2022]
Abstract
Background Oxytocin receptor (OXTR) gene variants have been shown to affect the prevalence of preterm birth, mode of delivery and oxytocin (OXT) requirements for labor induction and augmentation. We hypothesized that this might be associated with different myometrium responses to oxytocin. Our aim was to investigate the influence of a selection of eight OXTR gene single nucleotide variants on oxytocin-induced stimulation of human myometrium contractility in vitro. Methods Human myometrium biopsies were collected during elective cesarean sections at term, if patients had given informed consent. Myometrial strips were submerged under tension in an organ bath and allowed to contract; the remaining material was stored at − 80 °C for further determination of relevant genetics and mRNA level. The area under the curve (AUC) of all contractions taking place in the absence of OXT and of those occurring upon OXT addition (for 30 min each) was measured. OXT stimulation, defined as the ratio between AUC measurements after OXT addition and those in the absence of OXT was calculated for each strip. TaqMan™ Assays were used to detect the allele distribution of the eight OXTR variants and to determine the relative amounts of OXTR-mRNA in the samples. For each variant, oxytocin stimulation of contractility was compared between samples homozygous for the reference allele (reference group) and samples with at least one variant allele (variant group) by linear regression. Results Sixty samples were included in the present study. For rs1042778, rs11706648, rs4686301, rs53576, rs237895, and rs237902, OXT stimulation was similar in the reference and in the variant groups. However, the values of OXT stimulation differed significantly between the reference and the variant groups for rs4686302 (3.1 vs. 4.1 times; p = 0.022) and rs237888 (3.2 vs. 5.5 times; p = 0.001). No significant differences between the levels of OXTR-mRNA in the various reference and corresponding variant groups were detected. Conclusions Patients with variant alleles of rs237888 and/or rs4686302 may be more sensitive to oxytocin stimulation, explaining why these sequence variants have been associated with lower cesarean section prevalence and premature birth, respectively.
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Affiliation(s)
- F Füeg
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091, Zurich, Switzerland
| | - S Santos
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091, Zurich, Switzerland
| | - C Haslinger
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091, Zurich, Switzerland
| | - B Stoiber
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091, Zurich, Switzerland
| | - L Schäffer
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091, Zurich, Switzerland
| | - E Grünblatt
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich, University of Zurich, Zurich, Switzerland.,Neuroscience Centre Zurich, University of Zurich and ETH Zurich, Zurich, Switzerland
| | - R Zimmermann
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091, Zurich, Switzerland
| | - A P Simões-Wüst
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091, Zurich, Switzerland.
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Santos S, Haslinger C, Mennet M, von Mandach U, Hamburger M, Simões-Wüst AP. Bryophyllum pinnatum enhances the inhibitory effect of atosiban and nifedipine on human myometrial contractility: an in vitro study. BMC Complement Altern Med 2019; 19:292. [PMID: 31685022 PMCID: PMC6830012 DOI: 10.1186/s12906-019-2711-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Accepted: 10/10/2019] [Indexed: 12/27/2022]
Abstract
BACKGROUND The herbal medicine Bryophyllum pinnatum has been used as a tocolytic agent in anthroposophic medicine and, recently, in conventional settings alone or as an add-on medication with tocolytic agents such as atosiban or nifedipine. We wanted to compare the inhibitory effect of atosiban and nifedipine on human myometrial contractility in vitro in the absence and in the presence of B. pinnatum press juice (BPJ). METHODS Myometrium biopsies were collected during elective Caesarean sections. Myometrial strips were placed under tension into an organ bath and allowed to contract spontaneously. Test substances alone and at concentrations known to moderately affect contractility in this setup, or in combination, were added to the organ bath, and contractility was recorded throughout the experiments. Changes in the strength (measured as area under the curve (AUC) and amplitude) and frequency of contractions after the addition of all test substances were determined. Cell viability assays were performed with the human myometrium hTERT-C3 and PHM1-41 cell lines. RESULTS BPJ (2.5 μg/mL), atosiban (0.27 μg/mL), and nifedipine (3 ng/mL), moderately reduced the strength of spontaneous myometrium contractions. When BPJ was added together with atosiban or nifedipine, inhibition of contraction strength was significantly higher than with the tocolytics alone (p = 0.03 and p < 0.001, respectively). In the case of AUC, BPJ plus atosiban promoted a decrease to 48.8 ± 6.3% of initial, whereas BPJ and atosiban alone lowered it to 70.9 ± 4.7% and to 80.9 ± 4.1% of initial, respectively. Also in the case of AUC, BPJ plus nifedipine promoted a decrease to 39.9 ± 4.6% of initial, at the same time that BPJ and nifedipine alone lowered it to 78.9 ± 3.8% and 71.0 ± 3.4% of initial. Amplitude data supported those AUC data. The inhibitory effects of BPJ plus atosiban and of BPJ plus nifedipine on contractions strength were concentration-dependent. None of the test substances, alone or in combination, decreased myometrial cell viability. CONCLUSIONS BPJ enhances the inhibitory effect of atosiban and nifedipine on the strength of myometrial contractions, without affecting myometrium tissue or cell viability. The combination treatment of BPJ with atosiban or nifedipine has therapeutic potential.
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Affiliation(s)
- S. Santos
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091 Zurich, Switzerland
- Division of Pharmaceutical Biology, University of Basel, Basel, Switzerland
| | - C. Haslinger
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091 Zurich, Switzerland
| | | | - U. von Mandach
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091 Zurich, Switzerland
| | - M. Hamburger
- Division of Pharmaceutical Biology, University of Basel, Basel, Switzerland
| | - A. P. Simões-Wüst
- Department of Obstetrics, University Hospital Zurich, Schmelzbergstrasse 12/PF 125, 8091 Zurich, Switzerland
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Oliveira I, Fernandes S, Pereira P, Fragoso S, Santos S, Rodrigues P, Parreira J, Louro P, Coelho I, Rodrigues F, Clara A, Luís A, Vaz F. Gastric cancer screening in BRCA 2 gene mutation carriers: Should it be recommended? Ann Oncol 2019. [DOI: 10.1093/annonc/mdz247.145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Pereira P, Oliveira I, Fernandes S, Clara A, Miguel I, Bento S, Fragoso S, Santos S, Rodrigues P, Parreira J, Rodrigues F, Silva I, Louro P, Vaz F, Luis A. Biliary tract cancers in Portuguese families with BRCA gene mutation: A retrospective study. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz247.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Sa Mendes G, Durazzo A, Moreno L, Santos S, Neto M, Mendes M. P6324Contribution of muscle efficiency in heart failure patients post phase 2 cardiac rehabilitation. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Muscle efficiency (ME), can help explain the observed improvement in patients without increase in oxygen uptake (VO2) after cardiac rehabilitation programme (CRP). The better use of energy, independent to the oxygen delivery to muscle, may improve the functional capacity in Heart failure (HF) patients. Our aim was to evaluate the contribution of muscle efficiency improvement after CR on functional capacity.
Methods
We analyse consecutive patients data that had their phase 2 CR concluded, with HF as admission indication with no medical therapy changes and CRT implantation during this period. The aetiology of HF and biometric data, functional class, BNP, Minnesotta and EuroQol questionnaires and cardiorespiratory test pre and post 4 months of CRP were collected. The average of the exercise load in the first two and last two training sessions were recorded. ME was calculated at peak exercise during cardiopulmonary exercise test in pre and post CRP (see formula above).
Results
From 55 HF patients sequentially admitted in our CRP, during the last 24 months, 45 were included, since 2 were transplanted, 1 died and the 7 didn't concluded the program or not had all the data mentioned in the methods. The mean age was 60,5±10,3 years and 78% were male. Ischemic aetiology with depressed ejection fraction (64%) was the main admission indication, followed by cardiomyopathies (18%). Betablockers, ACEi or ARBs or ARNi and MRA were taken in 91%, 93%, 46%, respectively. ICD and CRT were previously implanted in 44% of the patients. Comparing pre and post CRP VO2 at peak exercise and aerobic threshold levels no statically differences were found. In this cohort 27 (60%) patients increased ME. At the end of the CRP, this group had a higher improvement in METs (p=0,021), higher gain in lean mass (p=0,041), in EuroQoL (p=0,002) and in physical dimension of Minnesotta questionnaire (p=0,032), when compared with patients that didn't improve the ME in at least 5%. In 22 patients that increased ME, the VO2 at aerobic threshold level didn't improve by at least 5% and in this group the same benefits were confirmed.
Formula of Muscle Efficiency
Conclusions
The improvement in exercise load reached in the post CRP cardiopulmonary test, independently of possible cardiac output changes (VO2 peak), seems to be explained in part by the increase in ME improvement.
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Affiliation(s)
| | - A Durazzo
- Hospital de Santa Cruz, Lisbon, Portugal
| | - L Moreno
- Hospital de Santa Cruz, Lisbon, Portugal
| | - S Santos
- Hospital de Santa Cruz, Lisbon, Portugal
| | - M Neto
- Hospital de Santa Cruz, Lisbon, Portugal
| | - M Mendes
- Hospital de Santa Cruz, Lisbon, Portugal
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Pinto J, Santos S, Fragoso S, Luis A, Clara A, Rodrigues P, Parreira J, Bento S, Louro P, Vaz F. Large genomic rearrangements in BRCA1 and BRCA2 genes in the Portuguese population. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz269.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Macedo P, Rueda P, Serafim L, Oliveira E, Santos S, Henz B, Leite L. P3747Does pulmonary vein isolation have similar results for treating AF in Chagas disease? Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
AF is reported in up to 20% of patients with Chagas, a prevalent disease in Latin-America. PV isolation (PVI) in the cornerstone of AF ablation. However, in Chagas cardiopathy (ChC), microvascular and autonomic abnormalities, atrial fibrosis and sinoatrial dysfunction are possible mechanisms of AF. Therefore, the results of PVI may be different in this subgroup.
Objectives
To describe long-term results of AF ablation in pts with Chagas versus non-Chagas disease (ChC x NonCh) and evaluate risk factors for post-ablation recurrence.
Methods
This is a prospective, single-center study that included pts with nonvalvular AF who underwent PVI between 2013 and 2016. All procedures were guided by eletroanatomic mapping and intracardiac echocardiogram. Categorical variables were analyzed using chi-square test and numerical variables with t-student test. Binary logistic regression was performed to identify independent predictors of recurrence of any sustained atrial tachyarrhythmias.
Results
Ablation was performed in 160 pts (54±15 yo, 59% male): 42 pts with ChC (26%, 62±8 yo) and 118 NonChC (74%, 53±15 yo; p<0,001)). There was no difference in AF type (38x34% paroxysmal, 42x43% persistent, and 19x23% long-term persistent, p=NS) and left atrium diameter (38±5 vs 40±8mm, p=NS). In ChC the mean CHADSVASC score was higher (2.4 vs 1.4, p<0,001) and LVEF was lower (52±18% vs 64±8%, p=0.02). After a follow-up of 31±14 mo and 1.1 ablation per group, recurrence of AF/AT was higher in ChC (33% vs 14%, p=0.03) although more pts with Chagas were on AAD (71 vs 31%, p<0,001). During follow-up, occurrence of embolic events and cardiac or all-cause mortality were not different between groups (0% vs 1.7%, p=NS and 2.4 vs 1.7% p=NS; for ChC vs and NonChC, respectively).
At multivariate analysis, long-term persistent AF, hypertension and Chagas disease (HR= 2.21, 3.36 and 3.16, respectively) were independent predictors of recurrence.
Conclusions
Chagas disease is an independent predictor of recurrence after PVI. Further studies should address which strategy is more appropriate to this group of patients.
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Affiliation(s)
- P Macedo
- Hospital de Base Institute, Brasilia, Brazil
| | - P Rueda
- Hospital de Base Institute, Brasilia, Brazil
| | - L Serafim
- Catholic University of Brasilia, Brasilia, Brazil
| | - E Oliveira
- Hospital de Base Institute, Brasilia, Brazil
| | - S Santos
- Instituto Brasilia de Arritmias, Brasilia, Brazil
| | - B Henz
- Instituto Brasilia de Arritmias, Brasilia, Brazil
| | - L Leite
- Instituto Brasilia de Arritmias, Brasilia, Brazil
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Monteiro A, Machado P, Clara A, Opinião A, Luis A, Miguel I, Louro P, Santos S, Fragoso S, Rodrigues P, Rodrigues F, Coelho I, Parreira J, Vaz F. Non-BRCA1/2 hereditary breast and ovarian cancer: Findings from a multidisciplinary program. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz269.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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39
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Siri S, Maier F, Santos S, Pierce DM, Feng B. Load-bearing function of the colorectal submucosa and its relevance to visceral nociception elicited by mechanical stretch. Am J Physiol Gastrointest Liver Physiol 2019; 317:G349-G358. [PMID: 31268771 PMCID: PMC6774086 DOI: 10.1152/ajpgi.00127.2019] [Citation(s) in RCA: 15] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Mechanical distension beyond a particular threshold evokes visceral pain from distal colon and rectum (colorectum), and thus biomechanics plays a central role in visceral nociception. In this study we focused on the layered structure of the colorectum through the wall thickness and determined the biomechanical properties of layer-separated colorectal tissue. We harvested the distal 30 mm of mouse colorectum and dissected this tissue into inner and outer composite layers. The inner composite consists of the mucosa and submucosa, whereas the outer composite includes the muscular layers and serosa. We divided each composite axially into three 10-mm-long segments and conducted biaxial mechanical extension tests and opening-angle measurements for each tissue segment. In addition, we quantified the thickness of the rich collagen network in the submucosa by nonlinear imaging via second-harmonic generation (SHG). Our results reveal that the inner composite is slightly stiffer in the axial direction, whereas the outer composite is stiffer circumferentially. The stiffness of the inner composite in the axial direction is about twice that in the circumferential direction, consistent with the orientations of collagen fibers in the submucosa approximately ±30° to the axial direction. Submucosal thickness measured by SHG showed no difference from proximal to distal colorectum under the load-free condition, which likely contributes to the comparable tension stiffness of the inner composite along the colorectum. This, in turn, strongly indicates the submucosa as the load-bearing structure of the colorectum. This further implies nociceptive roles for the colorectal afferent endings in the submucosa, which likely encode tissue-injurious mechanical distension.NEW & NOTEWORTHY Visceral pain from distal colon and rectum (colorectum) is usually elicited from mechanical distension/stretch, rather than from heating, cutting, or pinching, which usually evoke pain from the skin. We conducted layer-separated biomechanical tests on mouse colorectum and identified an unexpected role of submucosa as the load-bearing structure of the colorectum. Outcomes of this study will focus attention on sensory nerve endings in the submucosa that likely encode tissue-injurious distension/stretch to cause visceral pain.
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Affiliation(s)
- Saeed Siri
- 1Department of Biomedical Engineering, University of Connecticut, Storrs, Connecticut
| | - Franz Maier
- 2Department of Mechanical Engineering, University of Connecticut, Storrs, Connecticut
| | - Stephany Santos
- 1Department of Biomedical Engineering, University of Connecticut, Storrs, Connecticut
| | - David M. Pierce
- 1Department of Biomedical Engineering, University of Connecticut, Storrs, Connecticut,2Department of Mechanical Engineering, University of Connecticut, Storrs, Connecticut
| | - Bin Feng
- 1Department of Biomedical Engineering, University of Connecticut, Storrs, Connecticut
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Silva CCV, Vehmeijer FOL, El Marroun H, Felix JF, Jaddoe VWV, Santos S. Maternal psychological distress during pregnancy and childhood cardio-metabolic risk factors. Nutr Metab Cardiovasc Dis 2019; 29:572-579. [PMID: 30956027 DOI: 10.1016/j.numecd.2019.02.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 02/13/2019] [Accepted: 02/26/2019] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND AIMS Previous studies suggest that psychological distress during pregnancy may lead to fetal developmental adaptations, which programme cardio-metabolic disease of the offspring. We examined the associations of maternal overall psychological distress, depression and anxiety during pregnancy with cardio-metabolic risk factors in 10-year-old children and explore potential sex-specific differences. METHODS AND RESULTS In a population-based prospective cohort study among 4,088 mothers and their children, information about overall psychological distress, including depression and anxiety was obtained through the Brief Symptom Inventory during pregnancy. We measured child blood pressure and heart rate and insulin, glucose, serum lipids and C-reactive protein blood concentrations at 10 years. Analyses were performed in the total group and in boys and girls separately. Psychological distress during pregnancy was associated with higher childhood heart rate among boys only (differences 0.34 (95% Confidence Interval (CI) 0.18, 0.50) standard deviation scores (SDS), 0.22 (95% CI 0.06, 0.38) SDS, 0.33 (95% CI 0.19, 0.48) SDS, for overall psychological distress, depression and anxiety, respectively). Maternal anxiety during pregnancy was associated with higher childhood triglycerides among girls (difference 0.35 (95% CI 0.17, 0.53) SDS). Maternal psychological distress was not associated with childhood blood pressure, cholesterol, insulin, glucose and C-reactive protein concentrations. CONCLUSIONS Maternal psychological distress may influence their offspring heart rate and triglycerides concentrations. Further studies are needed to replicate these findings and assess the long-term cardio-metabolic consequences of maternal psychological distress.
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Affiliation(s)
- C C V Silva
- Erasmus MC, University Medical Center Rotterdam, The Generation R Study Group, Rotterdam, the Netherlands; Erasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, Department of Pediatrics, Rotterdam, the Netherlands
| | - F O L Vehmeijer
- Erasmus MC, University Medical Center Rotterdam, The Generation R Study Group, Rotterdam, the Netherlands; Erasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, Department of Pediatrics, Rotterdam, the Netherlands; Erasmus MC, University Medical Center Rotterdam, Department of Epidemiology, Rotterdam, the Netherlands
| | - H El Marroun
- Erasmus MC, University Medical Center Rotterdam, The Generation R Study Group, Rotterdam, the Netherlands; Erasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, Department of Pediatrics, Rotterdam, the Netherlands; Erasmus MC, University Medical Center Rotterdam, Department of Child and Adolescent Psychiatry/Psychology, Rotterdam, the Netherlands; Erasmus University Rotterdam, Department of Psychology, Education and Child Studies, Rotterdam, the Netherlands
| | - J F Felix
- Erasmus MC, University Medical Center Rotterdam, The Generation R Study Group, Rotterdam, the Netherlands; Erasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, Department of Pediatrics, Rotterdam, the Netherlands; Erasmus MC, University Medical Center Rotterdam, Department of Epidemiology, Rotterdam, the Netherlands
| | - V W V Jaddoe
- Erasmus MC, University Medical Center Rotterdam, The Generation R Study Group, Rotterdam, the Netherlands; Erasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, Department of Pediatrics, Rotterdam, the Netherlands; Erasmus MC, University Medical Center Rotterdam, Department of Epidemiology, Rotterdam, the Netherlands.
| | - S Santos
- Erasmus MC, University Medical Center Rotterdam, The Generation R Study Group, Rotterdam, the Netherlands; Erasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, Department of Pediatrics, Rotterdam, the Netherlands
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41
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Siri S, Maier F, Chen L, Santos S, Pierce DM, Feng B. Differential biomechanical properties of mouse distal colon and rectum innervated by the splanchnic and pelvic afferents. Am J Physiol Gastrointest Liver Physiol 2019; 316:G473-G481. [PMID: 30702901 PMCID: PMC6483024 DOI: 10.1152/ajpgi.00324.2018] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Visceral pain is one of the principal complaints of patients with irritable bowel syndrome, and this pain is reliably evoked by mechanical distension and stretch of distal colon and rectum (colorectum). This study focuses on the biomechanics of the colorectum that could play critical roles in mechanical neural encoding. We harvested the distal 30 mm of the colorectum from mice, divided evenly into three 10-mm-long segments (colonic, intermediate and rectal), and conducted biaxial mechanical stretch tests and opening-angle measurements for each tissue segment. In addition, we determined the collagen fiber orientations and contents across the thickness of the colorectal wall by nonlinear imaging via second harmonic generation (SHG). Our results reveal a progressive increase in tissue compliance and prestress from colonic to rectal segments, which supports prior electrophysiological findings of distinct mechanical neural encodings by afferents in the lumbar splanchnic nerves (LSN) and pelvic nerves (PN) that dominate colonic and rectal innervations, respectively. The colorectum is significantly more viscoelastic in the circumferential direction than in the axial direction. In addition, our SHG results reveal a rich collagen network in the submucosa and orients approximately ±30° to the axial direction, consistent with the biaxial test results presenting almost twice the stiffness in axial direction versus the circumferential direction. Results from current biomechanical study strongly indicate the prominent roles of local tissue biomechanics in determining the differential mechanical neural encoding functions in different regions of the colorectum. NEW & NOTEWORTHY Mechanical distension and stretch-not heat, cutting, or pinching-reliably evoke pain from distal colon and rectum. We report different local mechanics along the longitudinal length of the colorectum, which is consistent with the existing literature on distinct mechanotransduction of afferents innervating proximal and distal regions of the colorectum. This study draws attention to local mechanics as a potential determinant factor for mechanical neural encoding of the colorectum, which is crucial in visceral nociception.
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Affiliation(s)
- Saeed Siri
- 1Department of Biomedical Engineering, University of Connecticut, Storrs, Connecticut
| | - Franz Maier
- 2Department of Mechanical Engineering, University of Connecticut, Storrs, Connecticut
| | - Longtu Chen
- 1Department of Biomedical Engineering, University of Connecticut, Storrs, Connecticut
| | - Stephany Santos
- 2Department of Mechanical Engineering, University of Connecticut, Storrs, Connecticut
| | - David M. Pierce
- 1Department of Biomedical Engineering, University of Connecticut, Storrs, Connecticut,2Department of Mechanical Engineering, University of Connecticut, Storrs, Connecticut
| | - Bin Feng
- 1Department of Biomedical Engineering, University of Connecticut, Storrs, Connecticut
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42
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Almeida J, Santos S, Figueiredo J, Ferreira A. Evaluation of sound pressure levels of infrassons and low frequency noise in Coentral Grande. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz034.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Almeida
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - S Santos
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - J Figueiredo
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
| | - A Ferreira
- ESTeSC - Coimbra Health School, Instituto Politécnico de Coimbra, Portugal
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43
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Santos S, Voerman E, Amiano P, Barros H, Beilin LJ, Bergström A, Charles MA, Chatzi L, Chevrier C, Chrousos GP, Corpeleijn E, Costa O, Costet N, Crozier S, Devereux G, Doyon M, Eggesbø M, Fantini MP, Farchi S, Forastiere F, Georgiu V, Godfrey KM, Gori D, Grote V, Hanke W, Hertz-Picciotto I, Heude B, Hivert MF, Hryhorczuk D, Huang RC, Inskip H, Karvonen AM, Kenny LC, Koletzko B, Küpers LK, Lagström H, Lehmann I, Magnus P, Majewska R, Mäkelä J, Manios Y, McAuliffe FM, McDonald SW, Mehegan J, Melén E, Mommers M, Morgen CS, Moschonis G, Murray D, Ní Chaoimh C, Nohr EA, Nybo Andersen AM, Oken E, Oostvogels A, Pac A, Papadopoulou E, Pekkanen J, Pizzi C, Polanska K, Porta D, Richiardi L, Rifas-Shiman SL, Roeleveld N, Ronfani L, Santos AC, Standl M, Stigum H, Stoltenberg C, Thiering E, Thijs C, Torrent M, Tough SC, Trnovec T, Turner S, van Gelder M, van Rossem L, von Berg A, Vrijheid M, Vrijkotte T, West J, Wijga AH, Wright J, Zvinchuk O, Sørensen T, Lawlor DA, Gaillard R, Jaddoe V. Impact of maternal body mass index and gestational weight gain on pregnancy complications: an individual participant data meta-analysis of European, North American and Australian cohorts. BJOG 2019; 126:984-995. [PMID: 30786138 DOI: 10.1111/1471-0528.15661] [Citation(s) in RCA: 211] [Impact Index Per Article: 42.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/06/2019] [Indexed: 01/06/2023]
Abstract
OBJECTIVE To assess the separate and combined associations of maternal pre-pregnancy body mass index (BMI) and gestational weight gain with the risks of pregnancy complications and their population impact. DESIGN Individual participant data meta-analysis of 39 cohorts. SETTING Europe, North America, and Oceania. POPULATION 265 270 births. METHODS Information on maternal pre-pregnancy BMI, gestational weight gain, and pregnancy complications was obtained. Multilevel binary logistic regression models were used. MAIN OUTCOME MEASURES Gestational hypertension, pre-eclampsia, gestational diabetes, preterm birth, small and large for gestational age at birth. RESULTS Higher maternal pre-pregnancy BMI and gestational weight gain were, across their full ranges, associated with higher risks of gestational hypertensive disorders, gestational diabetes, and large for gestational age at birth. Preterm birth risk was higher at lower and higher BMI and weight gain. Compared with normal weight mothers with medium gestational weight gain, obese mothers with high gestational weight gain had the highest risk of any pregnancy complication (odds ratio 2.51, 95% CI 2.31- 2.74). We estimated that 23.9% of any pregnancy complication was attributable to maternal overweight/obesity and 31.6% of large for gestational age infants was attributable to excessive gestational weight gain. CONCLUSIONS Maternal pre-pregnancy BMI and gestational weight gain are, across their full ranges, associated with risks of pregnancy complications. Obese mothers with high gestational weight gain are at the highest risk of pregnancy complications. Promoting a healthy pre-pregnancy BMI and gestational weight gain may reduce the burden of pregnancy complications and ultimately the risk of maternal and neonatal morbidity. TWEETABLE ABSTRACT Promoting a healthy body mass index and gestational weight gain might reduce the population burden of pregnancy complications.
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Affiliation(s)
- S Santos
- The Generation R Study Group, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.,Department of Pediatrics, Erasmus MC, University Medical Center, Rotterdam, the Netherlands
| | - E Voerman
- The Generation R Study Group, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.,Department of Pediatrics, Erasmus MC, University Medical Center, Rotterdam, the Netherlands
| | - P Amiano
- Public Health Division of Gipuzkoa, San Sebastián, Spain.,BioDonostia Research Institute, San Sebastián, Spain.,CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - H Barros
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.,Department of Public Health and Forensic Sciences and Medical Education, Unit of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal
| | - L J Beilin
- Medical School, Royal Perth Hospital Unit, The University of Western Australia, Perth, WA, Australia
| | - A Bergström
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.,Centre for Occupational and Environmental Medicine, Stockholm County Council, Stockholm, Sweden
| | - M-A Charles
- INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), ORCHAD Team, Villejuif, France.,Paris Descartes University, Villejuif, France
| | - L Chatzi
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.,Faculty of Medicine, Department of Social Medicine, University of Crete, Heraklion, Greece.,Department of Genetics and Cell Biology, Maastricht University, Maastricht, the Netherlands
| | - C Chevrier
- Inserm UMR 1085, Irset - Research Institute for Environmental and Occupational Health, Rennes, France
| | - G P Chrousos
- First Department of Pediatrics, Athens University Medical School, 'Aghia Sophia' Children's Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - E Corpeleijn
- Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
| | - O Costa
- Epidemiology and Environmental Health Joint Research Unit, FISABIO-Universitat Jaume I-Universitat de València, Valencia, Spain
| | - N Costet
- Inserm UMR 1085, Irset - Research Institute for Environmental and Occupational Health, Rennes, France
| | - S Crozier
- MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
| | - G Devereux
- Liverpool School of Tropical Medicine, Liverpool, UK
| | - M Doyon
- Centre de Recherche du Centre Hospitalier de l'Universite de Sherbrooke, Sherbrooke, QC, Canada
| | - M Eggesbø
- Department of Exposure and Environmental Epidemiology, Norwegian Institute of Public Health, Oslo, Norway
| | - M P Fantini
- The Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - S Farchi
- Department of Epidemiology, Lazio Regional Health Service, Rome, Italy
| | - F Forastiere
- Department of Epidemiology, Lazio Regional Health Service, Rome, Italy
| | - V Georgiu
- Faculty of Medicine, Department of Social Medicine, University of Crete, Heraklion, Greece
| | - K M Godfrey
- MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.,NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - D Gori
- The Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - V Grote
- Division of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, Ludwig-Maximilian-Universität Munich, Munich, Germany
| | - W Hanke
- Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, Lodz, Poland
| | - I Hertz-Picciotto
- Department of Public Health Sciences, School of Medicine, University of California Davis, Davis, CA, USA
| | - B Heude
- INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), ORCHAD Team, Villejuif, France.,Paris Descartes University, Villejuif, France
| | - M-F Hivert
- Centre de Recherche du Centre Hospitalier de l'Universite de Sherbrooke, Sherbrooke, QC, Canada.,Department of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, MA, USA.,Diabetes Unit, Massachusetts General Hospital, Boston, MA, USA
| | - D Hryhorczuk
- Center for Global Health, University of Illinois College of Medicine, Chicago, IL, USA
| | - R-C Huang
- Telethon Kids Institute, The University of Western Australia, Perth, WA, Australia
| | - H Inskip
- MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.,NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - A M Karvonen
- Department of Health Security, National Institute for Health and Welfare, Kuopio, Finland
| | - L C Kenny
- Irish Centre for Fetal and Neonatal Translational Research, Cork University Maternity Hospital, University College Cork, Cork, Ireland.,Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, Ireland
| | - B Koletzko
- Division of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, Ludwig-Maximilian-Universität Munich, Munich, Germany
| | - L K Küpers
- Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.,MRC Integrative Epidemiology Unit, Oakfield House, Oakfield Grove, University of Bristol, Bristol, UK.,Population Health Science, Bristol Medical School, University of Bristol, Bristol, UK.,Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, the Netherlands
| | - H Lagström
- Department of Public Health, University of Turku, Turku, Finland
| | - I Lehmann
- Department of Environmental Immunology/Core Facility Studies, Helmholtz Centre for Environmental Research - UFZ, Leipzig, Germany
| | - P Magnus
- Division of Health Data and Digitalization, Norwegian Institute of Public Health, Oslo, Norway
| | - R Majewska
- Department of Epidemiology, Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Krakow, Poland
| | - J Mäkelä
- Turku Centre for Biotechnology, University of Turku and Abo Akademi University, Turku, Finland
| | - Y Manios
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
| | - F M McAuliffe
- UCD Perinatal Research Centre, Obstetrics& Gynaecology, School of Medicine, National Maternity Hospital, University College Dublin, Dublin, Ireland
| | - S W McDonald
- Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - J Mehegan
- UCD Perinatal Research Centre, School of Public Health and Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - E Melén
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.,Sach's Children Hospital, Stockholm, Sweden
| | - M Mommers
- Department of Epidemiology, Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands
| | - C S Morgen
- National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.,Department of Public Health, Section of Epidemiology, University of Copenhagen, Copenhagen, Denmark
| | - G Moschonis
- Department of Rehabilitation, Nutrition and Sport, La Trobe University, Melbourne, Vic, Australia
| | - D Murray
- Irish Centre for Fetal and Neonatal Translational Research, Cork University Maternity Hospital, University College Cork, Cork, Ireland.,Paediatrics & Child Health, University College Cork, Cork, Ireland
| | - C Ní Chaoimh
- Irish Centre for Fetal and Neonatal Translational Research, Cork University Maternity Hospital, University College Cork, Cork, Ireland.,Cork Centre for Vitamin D and Nutrition Research, School of Food and Nutritional Sciences, University College Cork, Cork, Ireland
| | - E A Nohr
- Research Unit for Gynaecology and Obstetrics, Institute for Clinical Research, University of Southern Denmark, Odense, Denmark
| | - A-M Nybo Andersen
- Department of Public Health, Section of Epidemiology, University of Copenhagen, Copenhagen, Denmark
| | - E Oken
- Department of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, MA, USA
| | - Ajjm Oostvogels
- Department of Public Health, Amsterdam Public Health Research Institute, Academic Medical Center, Amsterdam, the Netherlands
| | - A Pac
- Department of Epidemiology, Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Krakow, Poland
| | - E Papadopoulou
- Department of Environmental Exposures and Epidemiology, Domain of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - J Pekkanen
- Department of Health Security, National Institute for Health and Welfare, Kuopio, Finland.,Department of Public Health, University of Helsinki, Helsinki, Finland
| | - C Pizzi
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - K Polanska
- Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, Lodz, Poland
| | - D Porta
- Department of Epidemiology, Lazio Regional Health Service, Rome, Italy
| | - L Richiardi
- Department of Medical Sciences, University of Turin, Turin, Italy
| | - S L Rifas-Shiman
- Department of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, MA, USA
| | - N Roeleveld
- Department for Health Evidence, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands
| | - L Ronfani
- Institute for Maternal and Child Health - IRCCS 'Burlo Garofolo', Trieste, Italy
| | - A C Santos
- EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.,Department of Public Health and Forensic Sciences and Medical Education, Unit of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal
| | - M Standl
- Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany
| | - H Stigum
- Department of Non-communicable Diseases, Norwegian Institute of Public Health, Oslo, Norway
| | - C Stoltenberg
- Norwegian Institute of Public Health, Oslo, Norway.,Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - E Thiering
- Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany.,Dr. von Hauner Children's Hospital, Ludwig-Maximilians-University Munich, Munich, Germany
| | - C Thijs
- Department of Epidemiology, Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands
| | - M Torrent
- Ib-salut, Area de Salut de Menorca, Menorca, Spain
| | - S C Tough
- Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.,Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - T Trnovec
- Department of Environmental Medicine, Slovak Medical University, Bratislava, Slovak Republic
| | - S Turner
- Child Health, Royal Aberdeen Children's Hospital, Aberdeen, UK
| | - Mmhj van Gelder
- Department for Health Evidence, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.,Radboud REshape Innovation Center, Radboud University Medical Center, Nijmegen, the Netherlands
| | - L van Rossem
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
| | - A von Berg
- Department of Pediatrics, Research Institute, Marien-Hospital Wesel, Wesel, Germany
| | - M Vrijheid
- CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.,ISGlobal, Institute for Global Health, Barcelona, Spain.,Universitat Pompeu Fabra (UPF), Barcelona, Spain
| | - Tgm Vrijkotte
- Department of Public Health, Amsterdam Public Health Research Institute, Academic Medical Center, Amsterdam, the Netherlands
| | - J West
- Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK
| | - A H Wijga
- National Institute for Public Health and the Environment, Bilthoven, the Netherlands
| | - J Wright
- Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK
| | - O Zvinchuk
- Department of Medical and Social Problems of Family Health, Institute of Pediatrics, Obstetrics and Gynecology, Kyiv, Ukraine
| | - Tia Sørensen
- Department of Public Health, Section of Epidemiology, University of Copenhagen, Copenhagen, Denmark.,Section of Metabolic Genetics, Faculty of Health and Medical Sciences, The Novo Nordisk Foundation Center for Basic Metabolic Research, University of Copenhagen, Copenhagen, Denmark
| | - D A Lawlor
- MRC Integrative Epidemiology Unit, Oakfield House, Oakfield Grove, University of Bristol, Bristol, UK.,Population Health Science, Bristol Medical School, University of Bristol, Bristol, UK
| | - R Gaillard
- The Generation R Study Group, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.,Department of Pediatrics, Erasmus MC, University Medical Center, Rotterdam, the Netherlands
| | - Vwv Jaddoe
- The Generation R Study Group, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.,Department of Pediatrics, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.,Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, the Netherlands
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Gomes VL, Machado P, Fragoso S, Santos S, Coelho I, Parreira J, Rodrigues P, Rodrigues F, Clara A, Bento S, Luís A, Opinião A, Vaz F. Abstract P5-09-09: CHEK2: the third susceptibility BReast CAncer (BC) gene? Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p5-09-09] [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: 11/16/2022]
Abstract
Abstract
INTRODUTION:
Considered a medium penetrance gene, CHEK2 codes for a kinase that is a key component of the DNA damage-signaling pathway. CHEK2 pathogenic variants were previously associated with breast and colorectal families and also with Li-Fraumeni phenotypes. Next generation sequencing (NGS) allowed for systematic inclusion of CHEK2 into gene panels. In here, we characterize the growing subgroup of CHECK2 BC families identified through our multidisciplinary program.
METHODS: Identification and review of CHEK2 families identified between 01/2000-06/2018 (until 2014 only the c.1100delC was tested (MLPA, MRC Holland); since 2014 NGS methods used were either,Trusight Cancer sequencing panel (Illumina, San Diego, CA, USA) or BRCA MASTR Dx (Multiplicom, Niel, Belgium). Carriers were included in a prospective follow up program.
RESULTS: 3646 index pts consented on gene testing. Most hereditary families (HF) were BRCA1/2 (374) (92%) but among non-BRCA HF bigger subgroups were 16 CHEK2, 10 Tp53 and 5 PALB2 HF. All CHEK2 index pts were diagnosed with only 3 different pathogenic variants: c.1100delC (9) c.319+2T>A (6) and c.593-1G>T (1 case of the only male BC pt in all CHEK2 pedigrees).
Index pts: mostly (93,8%) to females, with a mean age at first cancer diagnosis of 39 years (yrs) (30-52), 62,5% between 30-39yrs. With the exception of a Non Hodgking's Lymphoma index case, all index pts had BC(93,8%), 68,8% of which were ductal carcinomas and 12,5% of intraductal, all strongly positive for the estrogen receptor. With a mean follow up of 8,26yrs (3-15), secondary cancer cases occurred in 37,5% of index pts (mostly, 12,5%, BC at a mean of 53yrs (41-59).
Family phenotypes: data form 98 relatives (53,5% females) revealed diagnoses of BC (31,6%), prostate (8,1%), colorectal (7,1%) cancers. Only 22,2% of family cancers were diagnosed before 50yrs.
VUS: Among several complex variants of unknown significance, c.1036C>T;p.Arg346Cys co-segregates in a predominantly male family with 3 prostate, 1 male and 1 female BC.
DISCUSSION AND CONCLUSIONS:
In the Portuguese population, emerging recurrent pathogenic variants in the CHEK2 gene, make it the most important non-BRCA BC gene so far. Carriers are included in prospective follow up but non-CHEK2 relatives are a challenge to genetic testing, as well as pedigree review, that questions its classification as a medium penetrance gene (or suggest the role of modifier factors).
Citation Format: Gomes VL, Machado P, Fragoso S, Santos S, Coelho I, Parreira J, Rodrigues P, Rodrigues F, Clara A, Bento S, Luís A, Opinião A, Vaz F. CHEK2: the third susceptibility BReast CAncer (BC) gene? [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P5-09-09.
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Affiliation(s)
- VL Gomes
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - P Machado
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - S Fragoso
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - S Santos
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - I Coelho
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - J Parreira
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - P Rodrigues
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - F Rodrigues
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - A Clara
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - S Bento
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - A Luís
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - A Opinião
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
| | - F Vaz
- Portuguese Oncology Institute Francisco Gentil of Lisbon/ Departamento de Oncologia Médica, Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Clínica de Risco Familiar (CRF), Lisbon, Portugal; Portuguese Oncology Institute Francisco Gentil of Lisbon/ Unidade de Investigação em Patobiologia Molecular (UIPM), Lisbon, Portugal
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Borges A, Brasileiro A, Santos S, Saiote J. Erythema Annulare Centrifugum in a Patient With Budd-Chiari Syndrome. Actas Dermo-Sifiliográficas (English Edition) 2018. [DOI: 10.1016/j.adengl.2018.06.019] [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] Open
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Mira M, Miguel I, Fragoso S, Opinião A, Luís A, Clara A, Bento S, Machado P, Santos S, Rodrigues P, Parreira J, Vaz F. Individual and familial phenotype in hereditary ovarian cancer. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy285.200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Machado D, Fragoso S, Opinião A, Clara A, Bento S, Luís A, Miguel I, Santos S, Machado P, Rodrigues P, Parreira J, Vaz F. Index BRCA1/2 testing under a multidisciplinary program. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy270.232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Santos S, Rodrigo A, Gomes F. Is quality of life a priority in Portugal? Assessing the quality of life of adults with intellectual disability and higher support needs. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.1273] [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: 10/28/2022]
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49
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Vidal M, De Castro R, Bonet G, Martin G, Santos S, Quintern V, Gonzalez M, Peiro O, Dominguez F, Camprubi M, Sanz E, Serrano I, Guillen M, Merce J, Bardaji A. P1179Do we follow the recommendation of anticoagulation withdrawal after electrical cardioversion, in patients with atrial fibrillation? Europace 2018. [DOI: 10.1093/europace/euy015.664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Vidal
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - R De Castro
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - G Bonet
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - G Martin
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - S Santos
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - V Quintern
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - M Gonzalez
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - O Peiro
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - F Dominguez
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - M Camprubi
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - E Sanz
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - I Serrano
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - M Guillen
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - J Merce
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
| | - A Bardaji
- Hospital Universitario Joan XXIII, cardiology, Tarragona, Spain
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Alfaro T, Barata F, Elphinstone M, Sutter S, Santos S, Mitchell S, Maciel R, Casas A, G AC, Migliori GB, Migliori B, Cordeiro CR. Greek Gods and Portuguese Pneumology: implementing HERMES. Rev Port Pneumol (2006) 2018; 21:291-2. [PMID: 26653070 DOI: 10.1016/j.rppnen.2015.10.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Indexed: 10/22/2022] Open
Affiliation(s)
- T Alfaro
- Portuguese National Board of Pneumology
| | - F Barata
- Portuguese National Board of Pneumology
| | | | - S Sutter
- European Board for Accreditation in Pneumology, Senior Coordinator
| | - S Santos
- Portuguese Society of Pneumology, Secretariat
| | - S Mitchell
- European Respiratory Society, HERMES Programme
| | - R Maciel
- Brazilian Society of Pneumology and Phthisiology, President
| | | | - A Casas G
- Latin American Thoracic Association, President
| | | | - B Migliori
- European Respiratory Society, Secretary General
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