Author: "Couture A." / Topic: business.industry - Searchworks@Jio Institute Digital Library Search Results

1,705 results on '"Couture A."'

1. Socioeconomic and demographic factors in the diagnosis and treatment of Chiari malformation type I and syringomyelia

Author: Robert F. Keating, Gerald F. Tuite, Alexander K. Powers, James M. Johnston, W. Jerry Oakes, Daniel E. Couture, Stephanie Greene, Jacob K. Greenberg, Michael S. Muhlbauer, Nickalus R. Khan, Robert C. Dauser, Jeffrey R. Leonard, Asad A Rizvi, Gerald A. Grant, Robert C. McKinstry, David J. Daniels, Toba N. Niazi, Arnold H. Menezes, Bruce A. Kaufman, Travis S. CreveCoeur, Rowland H. Han, Scellig S D Stone, Prithvi Narayan, John C. Wellons, Richard G. Ellenbogen, Karin S. Bierbrauer, Francesco T. Mangano, Bermans J. Iskandar, Philipp R. Aldana, J. Gordon McComb, Daniel J. Guillaume, Brent R. O'Neill, Douglas L. Brockmeyer, Jeffrey G. Ojemann, Laurie L. Ackerman, Mark Iantosca, Andrew Jea, David D. Limbrick, William R. Boydston, Joshua S. Shimony, Tae Sung Park, Richard C. E. Anderson, Raheel Ahmed, Lissa C Baird, Nathan R. Selden, Matthew D. Smyth, Eric M. Jackson, Jennifer Strahle, P. David Adelson, Joshua J. Chern, Chevis N. Shannon, Naina L. Gross, Ralph G. Dacey, Todd C. Hankinson, Manish N. Shah, Syed Hassan A Akbari, Herbert E. Fuchs, James C. Torner, William E. Whitehead, Tord D. Alden, Cormac O. Maher, Susan R Durham, Paul Klimo, John Ragheb, Jodi L. Smith, and Gregory W. Albert
Subjects: Platybasia, Pediatrics, medicine.medical_specialty, business.industry, Hearing loss, Basilar invagination, General Medicine, medicine.disease, medicine, Gait Ataxia, medicine.symptom, business, Socioeconomic status, Medicaid, Syringomyelia, Chiari malformation
Abstract: OBJECTIVE The goal of this study was to assess the social determinants that influence access and outcomes for pediatric neurosurgical care for patients with Chiari malformation type I (CM-I) and syringomyelia (SM). METHODS The authors used retro- and prospective components of the Park-Reeves Syringomyelia Research Consortium database to identify pediatric patients with CM-I and SM who received surgical treatment and had at least 1 year of follow-up data. Race, ethnicity, and insurance status were used as comparators for preoperative, treatment, and postoperative characteristics and outcomes. RESULTS A total of 637 patients met inclusion criteria, and race or ethnicity data were available for 603 (94.7%) patients. A total of 463 (76.8%) were non-Hispanic White (NHW) and 140 (23.2%) were non-White. The non-White patients were older at diagnosis (p = 0.002) and were more likely to have an individualized education plan (p < 0.01). More non-White than NHW patients presented with cerebellar and cranial nerve deficits (i.e., gait ataxia [p = 0.028], nystagmus [p = 0.002], dysconjugate gaze [p = 0.03], hearing loss [p = 0.003], gait instability [p = 0.003], tremor [p = 0.021], or dysmetria [p < 0.001]). Non-White patients had higher rates of skull malformation (p = 0.004), platybasia (p = 0.002), and basilar invagination (p = 0.036). Non-White patients were more likely to be treated at low-volume centers than at high-volume centers (38.7% vs 15.2%; p < 0.01). Non-White patients were older at the time of surgery (p = 0.001) and had longer operative times (p < 0.001), higher estimated blood loss (p < 0.001), and a longer hospital stay (p = 0.04). There were no major group differences in terms of treatments performed or complications. The majority of subjects used private insurance (440, 71.5%), whereas 175 (28.5%) were using Medicaid or self-pay. Private insurance was used in 42.2% of non-White patients compared to 79.8% of NHW patients (p < 0.01). There were no major differences in presentation, treatment, or outcome between insurance groups. In multivariate modeling, non-White patients were more likely to present at an older age after controlling for sex and insurance status (p < 0.01). Non-White and male patients had a longer duration of symptoms before reaching diagnosis (p = 0.033 and 0.004, respectively). CONCLUSIONS Socioeconomic and demographic factors appear to influence the presentation and management of patients with CM-I and SM. Race is associated with age and timing of diagnosis as well as operating room time, estimated blood loss, and length of hospital stay. This exploration of socioeconomic and demographic barriers to care will be useful in understanding how to improve access to pediatric neurosurgical care for patients with CM-I and SM.
Published: 2022

2. Interpreting and Appraising Noninferiority Trials: A Guide for Urologists and Clinicians

Author: Patrick O. Richard, Félix Couture, Philippe D. Violette, and Philipp Dahm
Subjects: medicine.medical_specialty, business.industry, Urologists, Urology, 030232 urology & nephrology, food and beverages, Clinical Practice, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, medicine, Humans, Medical physics, business
Abstract: Noninferiority trials are increasingly used in urology. Understanding the methodology and assessment of such trials can be challenging for clinicians. We provide an approach to interpreting the results, validity, and applicability of noninferiority studies in clinical practice.
Published: 2022

3. Analysis of naloxone access and primary medication nonadherence in a community pharmacy setting

Author: Meghan Felton, Brian J. Piper, Jeffrey Bratberg, Chunhao Tu, Sara Couture, Erin Connolly, and Kenneth L. McCall
Subjects: Adult, Male, medicine.medical_specialty, Narcotic Antagonists, Pharmacology (nursing), Pharmacy, Medicare, Medication Adherence, Internal medicine, Naloxone, Humans, Medicine, Medical prescription, Aged, Retrospective Studies, Pharmacies, Pharmacology, business.industry, Public health, Opioid overdose, Middle Aged, Opioid-Related Disorders, medicine.disease, United States, Concomitant, Female, Drug Overdose, business, Medicaid, Buprenorphine, medicine.drug
Abstract: BACKGROUND Access to naloxone is a primary public health strategy to prevent opioid overdose death. Factors associated with primary medication nonadherence (PMN) to naloxone are underreported in the literature. OBJECTIVE The objective of this study was to evaluate naloxone dispensing trends and PMN in a community pharmacy setting. METHODS This retrospective analysis included patients of a community pharmacy chain in Maine and New Hampshire (57 and 29 pharmacy locations, respectively) for whom a claim for a naloxone prescription was billed between January 1, 2019, and July 31, 2020. RESULTS A total of 2152 patients associated with 2606 naloxone claims were identified for analysis. A majority of the subjects were women (52.7%) and the mean age of all the subjects was 46.4 ± 16.0 years. Of the 2606 naloxone claims, 565 prescriptions were returned to stock and never dispensed to the patient for a PMN rate of 21.7%. Gender and age were not associated with naloxone PMN. Factors associated with naloxone PMN were urban location [x2(1) = 12.49, P = 0.0004], concomitant opioid analgesic [x2(1) = 4.56, P = 0.0328], and payment method [x2(4) = 251.07, P < 0.0001]. Regarding payment method, nonadherence was higher among cash (138 of 386, 35.8%) and private insurance (191 of 455, 42.0%) transactions whereas lower among Medicare (132 of 681, 19.4%) and Medicaid (89 of 899, 9.9%) transactions. Concomitant buprenorphine [x2(1) = 44.57, P < 0.0001] and the use of a naloxone standing order [x2(1) = 4.79, P = 0.0162] were associated with primary adherence to take-home naloxone. CONCLUSION A notable portion of naloxone prescribed and filled in the community pharmacy setting was never obtained by the patient. Factors associated with PMN in this study included geographic location, use of a standing order, concomitant prescriptions for buprenorphine or opioid analgesic medications, and payment method. Underlying causes of PMN must be addressed (e.g., removing financial barriers and optimizing the use of standing orders) to increase naloxone access for persons at risk of opioid overdose.
Published: 2022

4. Dietary Mediators of the Genetic Susceptibility to Obesity—Results from the Quebec Family Study

Author: Angelo Tremblay, Vicky Drapeau, Raphaëlle Jacob, Claude Bouchard, Clare H. Llewellyn, Christian Couture, Marie-Ève Labonté, Catherine Bertrand, and Louis Pérusse
Subjects: Adult, Male, Mediation (statistics), Waist, 030309 nutrition & dietetics, Medicine (miscellaneous), 030209 endocrinology & metabolism, Body Mass Index, Nutrient density, Food group, 03 medical and health sciences, 0302 clinical medicine, Environmental health, Genetic predisposition, Humans, Medicine, Genetic Predisposition to Disease, Genomics, Proteomics, and Metabolomics, Obesity, 2. Zero hunger, 0303 health sciences, Nutrition and Dietetics, Snacking, business.industry, Quebec, Feeding Behavior, Middle Aged, medicine.disease, Diet, Cross-Sectional Studies, Female, Snacks, Energy Intake, business, Body mass index
Abstract: BACKGROUND Recent studies showed that eating behaviors such as disinhibition, emotional and external eating, and snacking mediate genetic susceptibility to obesity. It remains unknown if diet quality and intake of specific food groups also mediate the genetic susceptibility to obesity. OBJECTIVE This study aimed to assess if diet quality and intakes of specific food groups mediate the association between a polygenic risk score (PRS) for body mass index (BMI) and BMI and waist circumference (WC). We hypothesized that poor diet quality, high intakes of energy-dense food groups and low intakes of nutrient-dense food groups mediate the genetic susceptibility to obesity. METHODS This cross-sectional study included 750 participants (56.3% women, age 41.5 ± 14.9 years, BMI 27.8 ± 7.5 kg/m2) from the Quebec Family Study. A PRSBMI based on > 500,000 genetic variants was calculated using LDpred2. Dietary intakes were assessed with a 3-day food record from which a diet quality score (i.e., Nutrient Rich Food Index 6.3) and food groups were derived. Mediation analyses were conducted using a regression-based and bootstrapping approach. RESULTS : The PRSBMI explained 25.7% and 19.8% of the variance in BMI and WC, respectively. The association between PRSBMI and BMI was partly mediated by poor diet quality (β = 0.33 ± 0.12; 95% CI: 0.13, 0.60), high intakes of fat and high-fat foods (β = 0.46 ± 0.16; 95% CI: 0.19, 0.79) and sugar-sweetened beverages (β = 0.25 ± 0.14; 95% CI: 0.05, 0.60), and low intakes of vegetables (β = 0.15 ± 0.08; 95% CI: 0.03, 0.32), fruits (β = 0.37 ± 0.12; 95% CI: 0.17, 0.64) and dairy products (β = 0.17 ± 0.09; 95% CI: 0.02, 0.37). The same trends were observed for WC. CONCLUSIONS The genetic susceptibility to obesity was partly mediated by poor diet quality and intakes of specific food groups. These results suggest that improvement in diet quality may reduce obesity risk among individuals with high genetic susceptibility and emphasize the need to intervene on diet quality among these individuals.
Published: 2022

5. Radial-to-femoral pressure gradient quantification in cardiac surgery

Author: Jean-Sébastien Lebon, André Y. Denault, Marco Julien, Alain Deschamps, Philippe Pérusse, Nicolas Rousseau-Saine, Yoan Lamarche, Georges Desjardins, Sylvie Levesque, Marie-Ève Chamberland, Loay Kontar, Athanase Courbe, Maria Rosal Martins, Christian Ayoub, Antoine Rochon, Jennifer Cogan, Meggie Raymond, Pierre Couture, Vincent Bouchard-Dechêne, and William Beaubien-Souligny
Subjects: medicine.medical_specialty, Mean arterial pressure, business.industry, Ultrasound, Arterial catheter, Cardiac surgery, Blood pressure, Internal medicine, medicine.artery, Vasoactive, medicine, Cardiology, Radial artery, business, Pressure gradient
Abstract: A radial-to-femoral pressure gradient (RFPG) can occur in roughly one-third of cardiac surgical patients. Such a gradient has been associated with smaller stature and potentially smaller radial artery diameter. We hypothesized that preoperative radial artery diameter could be a predictor of RFPG. We also investigated the clinical impact of using a femoral versus a radial arterial catheter in terms of vasoactive support.Using ultrasound, we measured the bilateral radial artery diameters of 160 cardiac surgical patients. All arterial pressure values were continuously recorded. Significant RFPG was defined as ≥25 mm Hg in systolic and/or ≥10 mm Hg in mean arterial pressure. One hundred and forty-nine additional patients were used to validate the impact of our observations.Using 78,013 pressure datapoints in 129 patients, 34.8% of patients had an RFPG with a mean duration of 54 ± 48 minutes. Patients with a radial artery diameter1.8 mm were more likely to have an RFPG (n = 14 [48.3%] vs 12 [22.2%];A significant RFPG occurs in one-third of cardiac surgical patients and in 48% of those with a radial artery diameter1.8 mm. The use of a single radial arterial catheter instead of dual radial and femoral catheters was associated with greater vasopressor requirements in the operating room and in the intensive care unit. We do not recommend the use of a single radial artery catheter in cardiac surgery.
Published: 2021

6. Resource utilization and costs during the initial years of lung cancer screening with computed tomography in Canada

Author: Alain Tremblay, Christian Couture, John R. Goffin, Paul MacEachern, Zhaolin Xu, Annette McWilliams, Dean A. Regier, Garth Nicholas, Kayvan Amjadi, Frances A. Shepherd, William K. Evans, Paul Burrowes, Ian Cromwell, Jean M. Seely, Glenwood D. Goss, Michael R. Johnston, Rick Bhatia, John Yee, Martin C. Tammemägi, Richard J. Finley, Serge Puksa, Heidi C. Roberts, Ming-Sound Tsao, John R. Mayo, Sonya Cressman, Stephen Lam, Simon Martel, Natasha B. Leighl, Corneliu Bolbocean, Kazuhiro Yasufuku, Stefan J. Urbanski, S. Atkar-Khattra, Harmanjatinder S. Sekhon, Diana N. Ionescu, Stuart Peacock, Daria Manos, Geoffrey Liu, Wan C. Tan, Don D. Sin, Kamyar Soghrati, John C. English, David M. Hwang, Jean-Claude Cutz, and Team, Pan-Canadian Early Detection of Lung Cancer
Subjects: Pulmonary and Respiratory Medicine, Male, medicine.medical_specialty, Canada, Lung Neoplasms, Cost effectiveness, Cost-Benefit Analysis, Population, Treatment of lung cancer, Lung cancer screening, medicine, Cost analysis, Humans, Mass Screening, Lung cancer, education, Mass screening, Average cost, Early Detection of Cancer, Randomized Controlled Trials as Topic, education.field_of_study, business.industry, Cancer, Original Articles, Middle Aged, medicine.disease, Surgery, Oncology, Emergency medicine, Screening, Female, Cost-effectiveness, business, Tomography, X-Ray Computed
Abstract: Background It is estimated that millions of North Americans would qualify for lung cancer screening and that billions of dollars of national health expenditures would be required to support population-based computed tomography lung cancer screening programs. The decision to implement such programs should be informed by data on resource utilization and costs. Methods Resource utilization data were collected prospectively from 2059 participants in the Pan-Canadian Early Detection of Lung Cancer Study using low-dose computed tomography (LDCT). Participants who had 2% or greater lung cancer risk over 3 years using a risk prediction tool were recruited from seven major cities across Canada. A cost analysis was conducted from the Canadian public payer's perspective for resources that were used for the screening and treatment of lung cancer in the initial years of the study. Results The average per-person cost for screening individuals with LDCT was USD453 (95% confidence interval [CI], USD400–USD505) for the initial 18-months of screening following a baseline scan. The screening costs were highly dependent on the detected lung nodule size, presence of cancer, screening intervention, and the screening center. The mean per-person cost of treating lung cancer with curative surgery was USD33,344 (95% CI, USD31,553–USD34,935) over 2 years. This was lower than the cost of treating advanced-stage lung cancer with chemotherapy, radiotherapy, or supportive care alone, (USD47,792; 95% CI, USD43,254–USD52,200; p = 0.061). Conclusion In the Pan-Canadian study, the average cost to screen individuals with a high risk for developing lung cancer using LDCT and the average initial cost of curative intent treatment were lower than the average per-person cost of treating advanced stage lung cancer which infrequently results in a cure.
Published: 2022

7. New creatinine- And cystatin C-based equations to estimate GFR without race

Author: Lesley A, Inker, Nwamaka D, Eneanya, Josef, Coresh, Hocine, Tighiouart, Dan, Wang, Yingying, Sang, Deidra C, Crews, Alessandro, Doria, Michelle M, Estrella, Marc, Froissart, Morgan E, Grams, Tom, Greene, Anders, Grubb, Vilmundur, Gudnason, Orlando M, Gutiérrez, Roberto, Kalil, Amy B, Karger, Michael, Mauer, Gerjan, Navis, Robert G, Nelson, Emilio D, Poggio, Roger, Rodby, Peter, Rossing, Andrew D, Rule, Elizabeth, Selvin, Jesse C, Seegmiller, Michael G, Shlipak, Vicente E, Torres, Wei, Yang, Shoshana H, Ballew, Sara J, Couture, Neil R, Powe, Andrew S, Levey, Chronic Kidney Disease Epidemiology Collaboration, Andresdottir, M.B., Gudmundsdottir, H., Indridason, O.S., Palsson, R., Kasiske, B., Weir, M., Pesavento, T., Kalil, R., Feldman, H., Anderson, A., Go, A., Hsu, C.Y., Chapman, A.B., Landsittel, D.P., Mrug, M., Yu, ASL, Steffes, M., Braffett, B.H., Wyatt, C., Krishnasami, Z., Hellinger, J., Abraham, A., Lieske, J.C., Shafi, T., Post, W., Rossing, P., Rossert, J., Stengel, B., Galecki, A., Spino, C., Mauer, M., Karger, A., Zinman, B., Klein, R., Parving, H.H., Looker, H.C., Knowler, W.C., Klintmalm, G.B., Velez, R., Selvin, E., Wang, D., Value, Affordability and Sustainability (VALUE), and Groningen Kidney Center (GKC)
Subjects: Male, Kidney Disease, 030232 urology & nephrology, Datasets as Topic, urologic and male genital diseases, Medical and Health Sciences, GLOMERULAR-FILTRATION-RATE, chemistry.chemical_compound, 0302 clinical medicine, 030212 general & internal medicine, Renal Insufficiency, Chronic, Adult, African Continental Ancestry Group, Aged, Algorithms, Continental Population Groups, Creatinine/blood, Cystatin C/blood, Female, Glomerular Filtration Rate, Humans, Middle Aged, Renal Insufficiency, Chronic/blood, Renal Insufficiency, Chronic/epidemiology, Renal Insufficiency, Chronic/ethnology, Renal Insufficiency, Chronic/physiopathology, United States/epidemiology, CALIBRATION, biology, General Medicine, female genital diseases and pregnancy complications, PREVALENCE, Background current, Creatinine, Lower prevalence, NATIONAL-HEALTH, medicine.medical_specialty, Urology, Renal and urogenital, Renal function, Black People, 03 medical and health sciences, Clinical Research, Diabetes mellitus, General & Internal Medicine, medicine, Cystatin C, Renal Insufficiency, Chronic, SERUM CREATININE, business.industry, Prevention, Racial Groups, Chronic Kidney Disease Epidemiology Collaboration, medicine.disease, Confidence interval, United States, chemistry, biology.protein, business, Kidney disease
Abstract: New Equations for Estimating GFR without Race Equations for estimating GFR with serum creatinine overestimate measured GFR in Blacks. The authors report new equations, without race as an inflation factor, using cystatin C and creatinine that reduced errors in estimation between Black participants and non-Black participants.Background Current equations for estimated glomerular filtration rate (eGFR) that use serum creatinine or cystatin C incorporate age, sex, and race to estimate measured GFR. However, race in eGFR equations is a social and not a biologic construct. Methods We developed new eGFR equations without race using data from two development data sets: 10 studies (8254 participants, 31.5% Black) for serum creatinine and 13 studies (5352 participants, 39.7% Black) for both serum creatinine and cystatin C. In a validation data set of 12 studies (4050 participants, 14.3% Black), we compared the accuracy of new eGFR equations to measured GFR. We projected the prevalence of chronic kidney disease (CKD) and GFR stages in a sample of U.S. adults, using current and new equations. Results In the validation data set, the current creatinine equation that uses age, sex, and race overestimated measured GFR in Blacks (median, 3.7 ml per minute per 1.73 m(2) of body-surface area; 95% confidence interval [CI], 1.8 to 5.4) and to a lesser degree in non-Blacks (median, 0.5 ml per minute per 1.73 m(2); 95% CI, 0.0 to 0.9). When the adjustment for Black race was omitted from the current eGFR equation, measured GFR in Blacks was underestimated (median, 7.1 ml per minute per 1.73 m(2); 95% CI, 5.9 to 8.8). A new equation using age and sex and omitting race underestimated measured GFR in Blacks (median, 3.6 ml per minute per 1.73 m(2); 95% CI, 1.8 to 5.5) and overestimated measured GFR in non-Blacks (median, 3.9 ml per minute per 1.73 m(2); 95% CI, 3.4 to 4.4). For all equations, 85% or more of the eGFRs for Blacks and non-Blacks were within 30% of measured GFR. New creatinine-cystatin C equations without race were more accurate than new creatinine equations, with smaller differences between race groups. As compared with the current creatinine equation, the new creatinine equations, but not the new creatinine-cystatin C equations, increased population estimates of CKD prevalence among Blacks and yielded similar or lower prevalence among non-Blacks. Conclusions New eGFR equations that incorporate creatinine and cystatin C but omit race are more accurate and led to smaller differences between Black participants and non-Black participants than new equations without race with either creatinine or cystatin C alone. (Funded by the National Institute of Diabetes and Digestive and Kidney Diseases.)
Published: 2021

8. Effects of Vancomycin on Persistent Pain-Stimulated and Pain-Depressed Behaviors in Female Fischer Rats With or Without Voluntary Access to Running Wheels

Author: Jung-Jin Lee, Francesca Asmus, Kylee Harrington, Rebecca Brackin, Ravin Davis, Jacob Liff, Kyle Bittinger, Bahman Rostama, Glenn W. Stevenson, Anyssa Fisher, Sarah Couture, Meghan May, Denise Giuvelis, Philomena Richard, Sebastien Sannajust, Tamara King, Emily Payne, Elizabeth Mutina, Lisa M. Mattei, and Elliot S. Friedman
Subjects: Arginine, medicine.drug_class, Antibiotics, Pain, Motor Activity, Pharmacology, Article, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Vancomycin, 030202 anesthesiology, Valine, medicine, Animals, Amino Acids, Inflammation, Methionine, Behavior, Animal, business.industry, Therapeutic effect, Rats, Inbred F344, Anti-Bacterial Agents, Gastrointestinal Microbiome, Disease Models, Animal, Anesthesiology and Pain Medicine, Neurology, chemistry, Glycine, Female, Neurology (clinical), Leucine, business, 030217 neurology & neurosurgery, medicine.drug
Abstract: The present experiments determined the effects of the narrow-spectrum antibiotic vancomycin on inflammatory pain-stimulated and pain-depressed behaviors in rats. Persistent inflammatory pain was modeled using dilute formalin (0.5%). Two weeks of oral vancomycin administered in drinking water attenuated Phase II formalin pain-stimulated behavior, and prevented formalin pain-depressed wheel running. Fecal microbiota transplantation produced a non-significant trend toward reversal of the vancomycin effect on pain-stimulated behavior. Vancomycin depleted Firmicutes and Bacteroidetes populations in the gut while having a partial sparing effect on Lactobacillus species and Clostridiales. The vancomycin treatment effect was associated with an altered profile in amino acid concentrations in the gut with increases in arginine, glycine, alanine, proline, valine, leucine, and decreases in tyrosine and methionine. These results indicate that vancomycin may have therapeutic effects against persistent inflammatory pain conditions that are distal to the gut. Perspective The narrow-spectrum antibiotic vancomycin reduces pain-related behaviors in the formalin model of inflammatory pain. These data suggest that manipulation of the gut microbiome may be one method to attenuate inflammatory pain amplitude.
Published: 2021

9. Estimating the impact on the inventory of implementing pathogen‐reduced platelets in Canada

Author: John T. Blake, Ken McTaggart, and Chantal Couture
Subjects: Blood Platelets, Immunology, 0211 other engineering and technologies, Pathogen reduction, Economic shortage, Platelet Transfusion, 02 engineering and technology, 030204 cardiovascular system & hematology, Shelf life, Toxicology, 03 medical and health sciences, 0302 clinical medicine, Platelet product, Humans, Immunology and Allergy, Customer service, Medicine, Blood Transfusion, Computer Simulation, Platelet, 021103 operations research, business.industry, Hematology, Apheresis, Pooled platelets, Blood Component Removal, business
Abstract: BACKGROUND Pathogen reduction (PR) technology will be implemented in pooled platelets in Canada. It is anticipated that PR platelets will be licensed in Canada for a maximum shelf life of 5 days, while non-treated apheresis platelet products will continue to be licensed for 7 days. STUDY DESIGN AND METHODS This study evaluates the impact on inventory, wastage, and shortages of implementing PR platelets. A custom-built simulation model was used to represent a regional distribution network. Experiments with the model were used to estimate product wastage and shortages when a 5-day PR pooled platelet product is introduced alongside a 7-day apheresis platelet product. RESULTS Pooled platelet waste and shortages both increase as pooled shelf life decreases. Apheresis platelets, however, show a different response: While shortages of apheresis platelets increase as the shelf life of pooled units decreases, apheresis waste declines as pooled shelf life decreases. CONCLUSION Additional platelet collections will be necessary to accommodate the shorter PR platelet shelf life and to cover increased patient transfusion needs due to a lower platelet yield in PR units. Increases of 9% for pooled units and 6% for apheresis units beyond expected demand, were found to be sufficient to ensure a non-inferior level of customer service while minimizing waste.
Published: 2021

10. Canadian ROS proto-oncogene 1 study (CROS) for multi-institutional implementation of ROS1 testing in non-small cell lung cancer

Author: Tracy Tucker, Margaret M. Kelly, Jean-Claude Cutz, Ming-Sound Tsao, Ranjit Waghray, Weei-Yuan Huang, Doha Itani, Christian Couture, Adam C. Smith, Carol C. Cheung, Fariboz Rashid-Kolvear, Emina Torlakovic, Yasushi Yatabe, Anna Bojarski, Michel R. Nasr, Aly Karsan, Zhaolin Xu, Gefei Qing, Iyare Izevbaye, Roula Albadine, Gilbert Bigras, Harmanjatinder S. Sekhon, Joan H.M. Knoll, Alan Spatz, H. Wang, Keith Kwan, Diana N. Ionescu, Tracy Stockley, and Danh Tran-Thanh
Subjects: Pulmonary and Respiratory Medicine, Canada, Cancer Research, Lung Neoplasms, Proto-Oncogene Mas, Carcinoma, Non-Small-Cell Lung, Proto-Oncogene Proteins, Proto-Oncogenes, ROS1, Humans, Medicine, Lung cancer, In Situ Hybridization, Fluorescence, Cellular localization, Crizotinib, Oncogene, medicine.diagnostic_test, biology, business.industry, Protein-Tyrosine Kinases, medicine.disease, Oncology, Cancer research, biology.protein, Immunohistochemistry, Antibody, Reactive Oxygen Species, business, medicine.drug, Fluorescence in situ hybridization
Abstract: Patients with non-small cell lung cancer (NSCLC) harboring ROS proto-oncogene 1 (ROS1) gene rearrangements show dramatic response to the tyrosine kinase inhibitor (TKI) crizotinib. Current best practice guidelines recommend that all advanced stage non-squamous NSCLC patients be also tested for ROS1 gene rearrangements. Several studies have suggested that ROS1 immunohistochemistry (IHC) using the D4D6 antibody may be used to screen for ROS1 fusion positive lung cancers, with assays showing high sensitivity but moderate to high specificity. A break apart fluorescence in situ hybridization (FISH) test is then used to confirm the presence of ROS1 gene rearrangement. The goal of Canadian ROS1 (CROS) study was to harmonize ROS1 laboratory developed testing (LDT) by using IHC and FISH assays to detect ROS1 rearranged lung cancers across Canadian pathology laboratories. Cell lines expressing different levels of ROS1 (high, low, none) were used to calibrate IHC protocols after which participating laboratories ran the calibrated protocols on a reference set of 24 NSCLC cases (9 ROS1 rearranged tumors and 15 ROS1 non-rearranged tumors as determined by FISH). Results were compared using a centralized readout. The stained slides were evaluated for the cellular localization of staining, intensity of staining, the presence of staining in non-tumor cells, the presence of non-specific staining (e.g. necrosis, extracellular mater, other) and the percent positive cells. H-score was also determined for each tumor. Analytical sensitivity and specificity harmonization was achieved by using low limit of detection (LOD) as either any positivity in the U118 cell line or H-score of 200 with the HCC78 cell line. An overall diagnostic sensitivity and specificity of up to 100% and 99% respectively was achieved for ROS1 IHC testing (relative to FISH) using an adjusted H-score readout on the reference cases. This study confirms that LDT ROS1 IHC assays can be highly sensitive and specific for detection of ROS1 rearrangements in NSCLC. As NSCLC can demonstrate ROS1 IHC positivity in FISH-negative cases, the degree of the specificity of the IHC assay, especially in highly sensitive protocols, is mostly dependent on the readout cut-off threshold. As ROS1 IHC is a screening assay for a rare rearrangements in NSCLC, we recommend adjustment of the readout threshold in order to balance specificity, rather than decreasing the overall analytical and diagnostic sensitivity of the protocols.
Published: 2021

11. MR Imaging Differences in the Circle of Willis between Healthy Children and Adults

Author: S. Srinivasan, H. An, Lars E. Couture, J. Gross, Adam N. Wallace, Kristin P. Guilliams, Jin-Moo Lee, Michael M. Binkley, Manu S. Goyal, Katie D. Vo, Robert C. McKinstry, C. Ying, and Niket Gupta
Subjects: Adult, business.industry, Anatomy, medicine.disease, Magnetic Resonance Imaging, Pediatrics, Mr imaging, Cerebral circulation, Cross-Sectional Studies, Flip angle, medicine.artery, Circle of Willis, Humans, Medicine, Spin Labels, Radiology, Nuclear Medicine and imaging, Neurology (clinical), Cerebral perfusion pressure, Child, business, Stroke, Magnetic Resonance Angiography
Abstract: BACKGROUND AND PURPOSE: Asymmetries in the circle of Willis have been associated with several conditions, including migraines and stroke, but they may also be age-dependent. This study examined the impact of age and age-dependent changes in cerebral perfusion on circle of Willis anatomy in healthy children and adults. MATERIALS AND METHODS: We performed an observational, cross-sectional study of bright and black-blood imaging of the proximal cerebral vasculature using TOF-MRA and T2 sampling perfection with application-optimized contrasts by using different flip angle evolution (T2-SPACE) imaging at the level of the circle of Willis in 23 healthy children and 43 healthy adults (4–74 years of age). We compared arterial diameters measured manually and cerebral perfusion via pseudocontinuous arterial spin-labeling between children and adults. RESULTS: We found that the summed cross-sectional area of the circle of Willis is larger in children than in adults, though the effect size was smaller with T2-SPACE-based measurements than with TOF-MRA. The circle of Willis is also more symmetric in children, and nonvisualized segments occur more frequently in adults than in children. Moreover, the size and symmetry of the circle of Willis correlate with cerebral perfusion. CONCLUSIONS: Our results demonstrate that the circle of Willis is different in size and symmetry in healthy children compared with adults, likely associated with developmental changes in cerebral perfusion. Further work is needed to understand why asymmetric vasculature develops in some but not all adults.
Published: 2021

12. Right Ventricular Outflow Tract Obstruction in Adults: A Systematic Review and Meta-analysis

Author: André Y. Denault, Yu Hao Zeng, Yoan Lamarche, Mahsa Elmi-Sarabi, Lachlan F Miles, William Beaubien-Souligny, Etienne J. Couture, Jean-François Dorval, Matthew P. Aldred, Stéphanie Jarry, Nicolas Rousseau-Saine, and Alexander Calderone
Subjects: medicine.medical_specialty, business.industry, medicine.medical_treatment, Retrospective cohort study, Intracardiac injection, Cardiac surgery, Surgery, Cardiothoracic surgery, RC666-701, Systematic Review/Meta-analysis, medicine, Etiology, Diseases of the circulatory (Cardiovascular) system, Lung transplantation, Cardiology and Cardiovascular Medicine, Adverse effect, business, Prospective cohort study
Abstract: Background Right ventricular outflow tract obstruction (RVOTO) is a cause of hemodynamic instability that can occur in several situations, including cardiac surgery, lung transplantation, and thoracic surgery, and in critically ill patients. The timely diagnosis of RVOTO is important because it requires specific considerations, including the adverse effects of positive inotropes, and depending on the etiology, the requirement for urgent surgical intervention. Methods The objective of this systematic review and meta-analysis was to determine the prevalence of RVOTO in adult patients, and the distribution of all reported cases by etiology. Results Of 233 available reports, there were 229 case reports or series, and 4 retrospective cohort studies, with one study also reporting a prospective cohort. Of 291 reported cases of RVOTO, 61 (21%) were congenital, 56 (19%) were iatrogenic, and 174 (60%) were neither congenital nor iatrogenic (including intracardiac tumour). The mechanism of RVOTO was an intrinsic obstruction in 169 cases (58%), and an extrinsic obstruction in 122 cases (42%). A mechanical obstruction causing RVOTO was present in 262 cases (90%), and 29 cases of dynamic RVOTO (10%) were reported. In the 5 included cohorts, with a total of 1122 patients, the overall prevalence was estimated to be 4.0% (1%-9%). Conclusions RVOTO, though rare, remains clinically important, and therefore, multicentre studies are warranted to better understand the prevalence, causes, and consequences of RVOTO., Graphical Abstract Image, graphical abstract
Published: 2021

13. Safety and immunogenicity of a plant-derived rotavirus-like particle vaccine in adults, toddlers and infants

Author: Sonia Trépanier, Michèle Dargis, Monica M. McNeal, Yutaka Kawaguchi, Michelle K. Robinson, Yoshito Koujin, Manon Couture, Catherine Bernard, Shabir A. Madhi, Bruce D. Forrest, Anthonet Koen, Natsuki Kurokawa, Naohisa Tsutsui, and Thomas M. Polasek
Subjects: Adult, Rotavirus, Pediatrics, medicine.medical_specialty, viruses, Antibodies, Viral, medicine.disease_cause, Placebo, Immunogenicity, Vaccine, Double-Blind Method, medicine, Humans, Vaccines, Virus-Like Particle, Reactogenicity, General Veterinary, General Immunology and Microbiology, business.industry, Immunogenicity, Australia, Rotavirus Vaccines, Public Health, Environmental and Occupational Health, Infant, virus diseases, Antibodies, Neutralizing, Rotavirus vaccine, Clinical trial, Infectious Diseases, Tolerability, Child, Preschool, Molecular Medicine, Intramuscular injection, business
Abstract: Background This study is the first clinical trial for a parenteral non-replicating rotavirus vaccine developed using virus-like particle (VLP) technology. Methods This open-labeled, randomized, placebo-controlled trial was conducted in two parts: Part A (a first-in-human study in Australian adults) and Part B (ascending dose and descending age in South African adults, toddlers and infants). In Part A, two cohorts of 10 adults were assigned to receive a single intramuscular injection of 1 of 2 escalating dose levels of the rotavirus VLP (Ro-VLP) vaccine (7 μg or 21 μg) or placebo. In Part B, one cohort of 10 adults was assigned to receive a single injection of the Ro-VLP vaccine (21 μg) or placebo, two cohorts of 10 toddlers were assigned to receive 2 injections of 1 of 2 escalating dose levels of the Ro-VLP vaccine (7 μg or 21 μg) or placebo 28 days apart, and three cohorts of 20 infants were assigned to receive 3 injections of 1 of 3 escalating dose levels of the Ro-VLP vaccine (2.5 μg, 7 μg or 21 μg) or placebo or 2 doses of oral Rotarix 28 days apart. Safety, reactogenicity and immunogenicity were assessed. Results There were no safety or tolerability concerns after administration of the Ro-VLP vaccine. The Ro-VLP vaccine induced an anti-G1P[8] IgG response in infants 4 weeks after the second and third doses. Neutralizing antibody responses against homologous G1P[8] rotavirus were higher in all Ro-VLP infant groups than in the placebo group 4 weeks after the third dose. No heterotypic immunity was elicited by the Ro-VLP vaccine. Conclusions The Ro-VLP vaccine was well tolerated and induced a homotypic immune response in infants, suggesting that this technology platform is a favorable approach for a parenteral non-replicating rotavirus vaccine. Clinical Trial Registration: NCT03507738.
Published: 2021

14. Accuracy of Clarius, Handheld Wireless Point-of-Care Ultrasound, in Evaluating Prostate Morphology and Volume Compared to Radical Prostatectomy Specimen Weight: Is There a Difference between Transabdominal vs Transrectal Approach?

Author: Cristina Negrean, Russell N Schwartz, Naeem Bhojani, Côme Tholomier, Dean Elterman, Ahmed S. Zakaria, Félix Couture, Kevin C. Zorn, Thomas R. W. Herrmann, David-Dan Nguyen, Adel Arezki, Ghizlane Moussaoui, Vincent Misrai, and Iman Sadri
Subjects: medicine.medical_specialty, Transrectal approach, Prostatectomy, business.industry, Urology, medicine.medical_treatment, Point of care ultrasound, Transabdominal ultrasound, medicine.disease, Prostate size, Specimen weight, Prostate cancer, medicine.anatomical_structure, Prostate, medicine, Radiology, business
Abstract: Background: Prostate size estimation is a valuable clinical measure widely utilized in urology. This study evaluated the accuracy of preoperative transabdominal ultrasound (TAUS) compared to radica...
Published: 2021

15. Early outcomes and complications following cardiac surgery in patients testing positive for coronavirus disease 2019: An international cohort study

Author: Akowuah, Enoch, Benson, Ruth A., Caruana, Edward J., Chetty, Govind, Edwards, John, Forlani, Stefano, Gradinariu, George, Murphy, Gavin J., Oo, Aung Ye, Patel, Akshay J., Ridley, Brenda, Rogers, Luke J., Sanders, Julie, Tyson, Nathan, Vaja, Ricky, Siaw-Acheampong, Kwabena, Argus, Leah, Chaudhry, Daoud, Dawson, Brett E., Glasbey, James C., Gujjuri, Rohan R., Jones, Conor S., Kamarajah, Sivesh K., Khatri, Chetan, Keatley, James M., Lawday, Samuel, Li, Elizabeth, Mann, Harvinder, Marson, Ella J., Mclean, Kenneth A., Picciochi, Maria, Taylor, Elliott H., Tiwari, Abhinav, Simoes, Joana FF., Trout, Isobel M., Venn, Mary L., Wilkin, Richard JW., Bhangu, Aneel, Nepogodiev, Dmitri, Dajti, Irida, Gjata, Arben, Boccalatte, Luis, Modolo, Maria Marta, Cox, Daniel, Pockney, Peter, Townend, Philip, Aigner, Felix, Kronberger, Irmgard, Hossain, Kamral, VanRamshorst, Gabrielle, Lawani, Ismail, Ataide, Gustavo, Baiocchi, Glauco, Buarque, Igor, Gohar, Muhammad, Slavchev, Mihail, Agarwal, Arnav, Brar, Amanpreet, Martin, Janet, Olivos, Maricarmen, Calvache, Jose, Perez Rivera, Carlos Jose, Hadzibegovic, Ana Danic, Kopjar, Tomislav, Mihanovic, Jakov, Klat, Jaroslav, Novysedlak, René, Christensen, Peter, El-Hussuna, Alaa, Batista, Sylvia, Lincango, Eddy, Emile, Sameh H., Mengesha, Mengistu Gebreyohanes, Hailu, Dr. Samuel, Tamiru, Hailu, Kauppila, Joonas, Laukkarinen, Johanna, Arnaud, Alexis, Albertsmeiers, Markus, Lederhuber, Hans, Loffler, Markus, Tabiri, Stephen, Metallidis, Symeon, Tsoulfas, Georgios, Lorena, Maria Aguilera, Grecinos, Gustavo, Mersich, Tamas, Wettstein, Daniel, Ghosh, Dhruv, Kembuan, Gabriele, Brouk, Peiman, Khosravi, Mohammad, Mozafari, Masoud, Adil, Ahmed, Mohan, Helen M., Zmora, Oded, Fiore, Marco, Gallo, Gaetano, Pata, Francesco, Pellino, Gianluca, Satoi, Sohei, Ayasra, Faris, Chaar, Mohammad, Fakhradiyev, Ildar R., Jamal, Mohammad, Elhadi, Muhammed, Gulla, Aiste, Roslani, April, Martinez, Laura, Ramos De La Medina, Antonio, Outani, Oumaima, Jonker, Pascal, Kruijff, Schelto, Noltes, Milou, Steinkamp, Pieter, van der Plas, Willemijn, Ademuyiwa, Adesoji, Osinaike, Babatunde, Seyi-olajide, Justina, Williams, Emmanuel, Pejkova, Sofija, Augestad, Knut Magne, Soreide, Kjetil, Al Balushi, Zainab, Qureshi, Ahmad, Sayyed, Raza, Mohsen Daraghmeh, Mustafa Abu, Abukhalaf, Sadi, Cukier, Moises, Gomez, Hugo, Shu, Sebastian, Vasquez, Ximena, Parreno-Sacdalan, Marie Dione, Major, Piotr, Azevedo, José, Cunha, Miguel, Santos, Irene, Zarour, Ahmad, Bonci, Eduard-Alexandru, Negoi, Ionut, Efetov, Sergey, Litvin, Andrey, Ntirenganya, Faustin, AlAmeer, Ehab, Radenkovic, Dejan, Hong Xiang, Frederick Koh, Hoe, Chew Min, Chi Yong, James Ngu, Moore, Rachel, Nhlabathi, Ncamsile, Colino, Ruth Blanco, Bravo, Ana Minaya, Minaya-Bravo, Ana, Jayarajah, Umesh, Wickramasinghe, Dakshitha, Elmujtaba, Mohammed, Jebril, William, Rutegård, Martin, Sund, Malin, Isik, Arda, Leventoğlu, Sezai, Abbott, Tom EF., Benson, Ruth, Caruna, Ed, Chakrabortee, Sohini, Demetriades, Andreas, Desai, Anant, Drake, Thomas D., Edwards, John G., Evans, Jonathan P., Ford, Samuel, Fotopoulou, Christina, Griffiths, Ewen, Hutchinson, Peter, Jenkinson, Michael D., Khan, Tabassum, Knight, Stephen, Kolias, Angelos, Leung, Elaine, McKay, Siobhan, Norman, Lisa, Ots, Riinu, Raghavan, Vidya, Roberts, Keith, Schache, Andrew, Shaw, Richard, Shaw, Katie, Smart, Neil, Stewart, Grant, Sundar, Sudha, Vimalchandran, Dale, Wright, Naomi, Alshryda, Sattar, Alser, Osaid, Breen, Kerry, Ganly, Ian, Kaafarani, Haytham, Kendall, Brittany, Mashbari, Hassan, Al Naggar, Hamza, Mazingi, Dennis, Simoes, Joana F. F., Dajti, I., Valenzuela, J. I., Boccalatte, L. A., Gemelli, N. A., Smith, D. E., Dudi-Venkata, N. N., Kroon, H. M., Sammour, T., Roberts, M., Mitchell, D., Lah, K., Pearce, A., Morton, A., Dawson, A. C., Drane, A., Sharpin, C., Nataraja, R. M., Pacilli, M., Cox, D. R. A., Muralidharan, V., Riddiough, G. E., Clarke, E. M., Jamel, W., Qin, K. R., Pockney, P., Cope, D., Egoroff, N., Lott, N., Putnis, S., De Robles, S., Ang, Z., Mitteregger, M., Uranitsch, S., Stiegler, M., Seitinger, G., Aigner, F., Lumenta, D. B., Nischwitz, S. P., Richtig, E., Pau, M., Srekl-Filzmaier, P., Eibinger, N., Michelitsch, B., Fediuk, M., Papinutti, A., Seidel, G., Kahn, J., Cohnert, T. U., Messner, F., Öfner, D., Presl, J., Varga, M., Weitzendorfer, M., Emmanuel, K., Binder, A. D., Zimmermann, M., Holawe, S., Nkenke, E., Grimm, C., Kranawetter, M., Rahman Mitul, A., Islam, N., Karim, S., Komen, N., Ang, E., De Praetere, H., Tollens, T., Schols, G., Smets, C., Haenen, L., Quintens, J., Van Belle, K., Van Ramshorst, G. H., Pattyn, P., Desender, L., Martens, T., Van de putte, D., Lerut, P., Grimonprez, A., Janssen, M., De Smul, G., Wallaert, P., Van den Eynde, J., Oosterlinck, W., Van den Eynde, R., Sermon, A., Boeckxstaens, A., Cordonnier, A., De Coster, J., Jaekers, J., Politis, C., Miserez, M., Duchateau, N., De Gheldere, C., Flamey, N., Christiano, A., Guidi, B., Minussi, A. L., Castro, S., Okoba, W., Maldonado, F. H. R., Oliveira, P., Baldasso, T., Santos, L., Gomes, G. M. A., Buarque, I. L., Pol-Fachin, L., Bezerra, T. S., Barros, A. V., da Silva, A. M. R., Leite, A. L. S., Silvestre, D. W. A., Ferro, C. C., Araujo, M. S., Lopes, L. M., Damasceno, P. D., Araujo, D. H. S., Laporte, G., Salem, M. C., Guimaraes-Filho, M. A. C., Nacif, L., Flumignan, R. L. G., Nakano, L. C. U., Kuramoto, D. A. B., Aidar, A. L. S., Pereda, M. R., Correia, R. M., Santos, B. C., Carvalho, A. A., Amorim, J. E., Guedes Neto, H. J., Areias, L. L., Sousa, A. F., Flumignan, C. D. Q., Lustre, W. G., Moreno, D. H., Barros, N., Baptista-Silva, J. C. C., Matos, L. L., Kowaski, L. P., Kulcsar, M. A. V., Nunes, K. S., Teixeira, M. F., Nunes, R. L., Ijichi, T. R., Kim, N. J., Marreiro, A., Muller, B., Barakat Awada, J., Baiocchi, G., Kowalski, L. P., Vartanian, J. G., Makdissi, F. B., Aguiar, S., Marques, N., Carvalho, G. B., Marques, T. M. D. M., Abdallah, E. A., Zurstrassen, C. E., Gross, J. L., Zequi, S. C., Gonçalves, B. T., Santos, S. S., Duprat, J. P., Coimbra, F. J. F., Cicco, R., Takeda, F., Cecconello, I., Ribeiro, U., Gatti, A., Oliva, R., Nardi, C., Slavchev, M., Atanasov, B., Belev, N., Dell, A., Bigam, D., Dajani, K., Al Riyami, S., Martin, J., Cheng, D., Yang, H., Fayad, A., Carrier, F. M., Amzallag, E., Desroches, J., Ruel, M., Caminsky, N. G., Boutros, M., Moon, J., Wong, E. G., Vanounou, T., Pelletier, J., Wong, S., Girsowicz, E., Bayne, J., Obrand, D., Gill, H., Steinmetz, O., MacKenzie, K., Lukaszewski, M., Jamjoum, G., Richebé, P., Verdonck, O., Discepola, S., Godin, N., Idrissi, M., Briatico, D., Sharma, S., Talwar, G., Bailey, K., Lecluyse, V., Côté, G., Demyttenaere, S., Garfinkle, R., Kouyoumdjian, A., Dumitra, S., Khwaja, K., Luo, L., Berry, G., Liberman, A. S., Schmid, S., Spicer, J., Al Farsi, M., Abou-Khalil, J., Couture, E., Mohammadi, S., Tremblay, H., Gagné, N., Bergeron, A., Turgeon, Af, Costerousse, O., Bellemare, D., Babin, C., Blier, C., Wood, M. L., Persad, A., Groot, G., Pham, H., D'Aragon, F., Carbonneau, E., Bouchard, M., Masse, M., Pesant, F., Héroux, J., Karanicolas, P., Hallet, J., Nadler, A., Nathens, A., Ko, M., Brar, A., Mayson, K., Kidane, B., Srinathan, S., Escudero, M. I., Reyes, J. T., Modolo, M. M., Ramirez Nieto, P., Sepulveda, R., Bolbarán, A., Molero, A., Ruiz, I., Reyes, G. P., Salas, R., Suazo, C., Muñoz, R., Grasset, E., Inzunza, M., Besser, N., Irarrázaval, M. J., Jarry, C., Bellolio, F., Romero Manqui, C. A., Ruiz Esquide, M., Fuentes, T., Campos, J., Perez Rivera, C. J., Cabrera, P. A., Pinilla, R. E., Guevara, O., Jimenez Ramirez, L. J., Velasquez Cuasquen, B. G., Herrera Mora, D. R., Bonilla, A., Diaz, S., Manrique, E., Facundo, H., Velez Bernal, J. L., Ángel, J., García, M., Guzmán, L., Lehmann, C., Cervera, S., Trujillo Sanchez, L. M., Guevara, R., Valbuena, D., Suarez, L., Jimenez, G., Velandia, A., Vargas, J., Espinosa, J., Rey, S., Mendoza Quevedo, Jairo, Calvache, J. A., Orozco-Chamorro, C. M., Sánchez-Gómez, T. A., Rojas-Tejada, D. A., Mihanovic, J., Bakmaz, B., Rakvin, I., Sulen, N., Andabaka, T., Luksic, I., Mamic, M., Martinek, L., Skrovina, M., Žatecký, J., Peteja, M., Kristensen, H. Ø., Mekhael, M., Christensen, P., Westh, L., Smith, H., Haugstvedt, A. F., Jönsson, M. L., Crespo, A., Batista, S., Rodriguez-Abreu, J., Tactuk, N., Diaz-Delgado, P. J., Rivas, R., Sarmiento-Bobadilla, J. A., Ashoush, F., Samir Abdelaal, A., Qatora, M. S., Elsayed Hewalla, M. E., Metwalli, M., Atta, R., Abdelmajeed, A., Abosamak, N. E., Sabry, A., Shehata, S., Sallam, I., Amira, G., Sherief, M., Sherif, A., Salem, H., Hamdy, R., Aboulkassem, H., Ghaly, G., Sherif, G., Morsi, A., Abdelrahman, A., Omnia, Ahmed, Tawheed, A., El Kassas, M., Omar, W., Abdelsamed, A., Seleim, A., Azzam, A. Y., ElFiky, M., Nabil, A., Ibraheem, M., ELDeeb, M., Fawzy, M., Hamed, H., Emile, S., Elfallal, A., Elfeki, H., Shalaby, M., Sakr, A., Alrahawy, M., Atif, H., Soltan, H., Sayed, A. K., Salah, A., Atiya, A., Wassim, K., Abbas, A. M., Abd Elazeem, H. A. S., Abd-Elkariem, A. Y., Abd-Elkarem, M. M., Alaa, S., Ali, A. K., Ashraf, M., Ayman, A., Azizeldine, M. G., Elkhayat, H., Emad Mashhour, A., Gaber, M., Hamza, H. M., Hawal, I., Hetta, H. F., Elghazaly, S. M., Mohammed, M. M., Monib, F. A., Nageh, M. A., Saad, A., Saad, M. M., Shahine, M., Yousof, E. A., Youssef, A., Esmail, E., Khalaf, M., Eldaly, A., Ghoneim, A., Hawila, A., Badr, H., Elhalaby, I., Abdel-bari, M., Elbahnasawy, M., Hamada, M. K., Morsy, M. S., Hammad, M., Essa, M., Fayed, M. T., Elzoghby, M., Rady, M., Hamad, O., Salman, S., Sarsik, S., Abd-elsalam, S., Gamal Badr, S., El-Masry, Y., Moahmmed, M. M. H., Hailu, S., Wolde, A., Mengesha, M., Nida, S., Workneh, M., Y Ahmed, M., Fisseha, T., Kassa, D., Zeleke, H., Admasu, A., Laeke, T., Tirsit, A., Gessesse, M., Addissie, A., Bekele, D., Kauppila, J. H., Sarjanoja, E., Testelin, S., Dakpé, S., Devauchelle, B., Bettoni, J., Lavagen, N., Schmitt, F., Lemée, J. M., Boucher, S., Breheret, R., Kün-Darbois, J. D., Kahn, A., Gueutier, A., Bigot, P., Borraccino, B., Lakkis, Z., Doussot, A., Heyd, B., Manfredelli, S., Mathieu, P., Paquette, B., Turco, C., Barrabe, A., Louvrier, A., Moszkowicz, D., Giovinazzo, D., Bretagnol, F., Police, A., Charre, L., Volpin, E., Braham, H., El Arbi, N., Villefranque, V., Bendjemar, L., Girard, E., Abba, J., Trilling, B., Chebaro, A., Lecolle, K., Truant, S., El Amrani, M., Zerbib, P., Pruvot, F. R., Mathieu, D., Surmei, E., Mattei, L., Marin, H., Christou, N., Ballouhey, Q., Ferrero, P., Coste Mazeau, P., Tricard, J., Barrat, B., Taibi, A., Usseglio, J., Laloze, J., Salle, H., Fourcade, L., Duchalais, E., Regenet, N., Rigaud, J., Waast, D., Denis, W., Malard, O., Buffenoir, K., Espitalier, F., Ferron, C., Varenne, Y., Crenn, V., De Vergie, S., Cristini, J., Samarut, E., Tzedakis, S., Bouche, P. A., Gaujoux, S., Kantor, E., Gossot, D., Seguin-Givelet, A., Fuks, D., Grigoroiu, M., Sanchez Salas, R., Cathelineau, X., Macek, P., Barbé, Y., Rozet, F., Barret, E., Mombet, A., Cathala, N., Brian, E., Zadegan, F., Conso, C., Blanc, T., Broch, A., Sarnacki, S., Ali, L., Bonnard, A., Peycelon, M., Hervieux, E., Clermidi, P., Maisonneuve, E., Aubry, E., Thomin, A., Langlais, T., Passot, G., Glehen, O., Cotte, E., Lifante, J. C., De Simone, B., Chouillard, E., Arnaud, A. P., Violas, P., Bergeat, D., Merdrignac, A., Scalabre, A., Perotto, L. O., Le Roy, B., Haddad, E., Vermersch, S., Ezanno, A. C., Barbier, O., Vigouroux, F., Malgras, B., Aime, A., Seeliger, B., Mutter, D., Philouze, G., Pessaux, P., Germain, A., Chanty, H., Ayav, A., Kassir, R., Von theobald, P., Sauvat, F., O'Connor, J., Mayombo Idiata, M., O'Connor, Z., Tchoba, S., Modabber, A., Winnand, P., Hölzle, F., Sommer, B., Shiban, E., Wolf, S., Anthuber, M., Sommer, F., Kaemmerer, D., Schreiber, T., Kamphues, C., Lauscher, J. C., Schineis, C., Loch, F. N., Beyer, K., Nasser, S., Sehouli, J., Höhn, P., Braumann, C., Reinkemeier, F., Uhl, W., Weitz, J., Bork, U., Welsch, T., Praetorius, C., Korn, S., Distler, M., Fluegen, G., Knoefel, W. T., Vay, C., Golcher, H., Grützmann, R., Binder, J., Meister, P., Gallinat, A., Paul, A., Schnitzbauer, A. A., Thoenissen, P., El Youzouri, H., Schreckenbach, T., Nguyen, T. A., Eberbach, H., Bayer, J., Erdle, B., Sandkamp, R., Nitschke, C., Izbicki, J., Uzunoglu, F. G., Koenig, D., Gosau, M., Böttcher, A., Heuer, A., Klatte, T. O., Priemel, M., Betz, C. S., Burg, S., Möckelmann, N., Busch, C. J., Bewarder, J., Zeller, N., Smeets, R., Thole, S., Vollkommer, T., Speth, U., Stangenberg, M., Hakami, I., Boeker, C., Mall, J., Schardey, H. M., von Ahnen, T., von Ahnen, M., Brunner, U., Tapking, C., Kneser, U., Hirche, C., Jung, M., Kowalewski, K. F., Kienle, P., Reissfelder, C., Seyfried, S., Herrle, F., Hardt, J., Galata, C., Birgin, E., Rahbari, N., Vassos, N., Stoleriu, M. G., Hatz, R., Albertsmeier, M., Börner, N., Lampert, C., Werner, J., Kuehlmann, B., Prantl, L., Brunner, S. M., Schlitt, H. J., Brennfleck, F., Pfister, K., Oikonomou, K., Reinhard, T., Nowak, K., Ronellenfitsch, U., Kleeff, J., Delank, K. S., Michalski, C. W., Szabo, G., Widyaningsih, R., Stavrou, G. A., Bschorer, R., Mielke, J., Peschel, T., Königsrainer, A., Quante, M., Löffler, M. W., Yurttas, C., Doerner, J., Seiberth, R., Bouchagier, K., Klimopoulos, S., Paspaliari, D., Stylianidis, G., Syllaios, A., Baili, E., Schizas, D., Liakakos, T., Charalabopoulos, A., Zografos, C., Spartalis, E., Manatakis, D. K., Tasis, N., Antonopoulou, M. I., Xenaki, S., Xynos, E., Chrysos, E., Athanasakis, E., Tsiaousis, J., Lostoridis, E., Tourountzi, P., Tzovaras, G., Tepetes, K., Zacharoulis, D., Baloyiannis, I., Perivoliotis, K., Hajiioannou, J., Korais, C., Gkrinia, E., Skoulakis, C. E., Saratziotis, A., Koukoura, O., Symeonidis, D., Diamantis, A., Tsoulfas, G., Christou, C. D., Tooulias, A., Papadopoulos, V., Anthoulakis, C., Grimbizis, G., Zouzoulas, D., Tsolakidis, D., Tatsis, D., Christidis, P., Loutzidou, L., Ioannidis, O., Astreidis, I., Antoniou, A., Antoniadis, K., Vachtsevanos, K., Paraskevopoulos, K., Kalaitsidou, I., Alexoudi, V., Stavroglou, A., Mantevas, A., Michailidou, D., Grivas, T., Deligiannidis, D., Politis, S., Barrios Duarte, A., Portilla, A. L., Lowey, M. J., Recinos, G., Lopez Muralles, I., Siguantay, M. A., Estrada, E. E., Aguilera-Arévalo, M. L., Cojulun, J. M., Echeverría-Dávila, G., Marín, C., Icaza de Marín, G. C., Kok, S. Y., Joeng, H. K. M., Chan, L. L., Lim, D., Novak, Z., Echim, T., Suszták, N., Banky, B., Kembuan, G., Pajan, H., Islam, A. A., Rahim, F., Safari, H., Mozafari, M., Brouki Milan, P., Tizmaghz, A., Rezaei Tavirani, M., Ahmed, A., Hussein, R., Fleming, C., O'Brien, S., Kayyal, M. Y., Daly, A., Killeen, S., Corrigan, M., De Marchi, J., Hill, A., Farrell, T., Davis, N. F., Kearney, D., Nelson, T., Maguire, P. J., Barry, C., Farrell, R., Smith, L. A., Mohan, H. M., Mehigan, B. J., Mccormick, P., Larkin, J. O., Fahey, B. A., Rogers, A., Donlon, N., O'Sullivan, H., Nugent, T., Reynolds, J. V., Donohue, C., Shokuhi, P., Ravi, N., Fitzgerald, C., Lennon, P., Timon, C., Kinsella, J., Smith, J., Boyle, T., Alazawi, D., Connolly, E., Butt, W., Croghan, S. M., Manecksha, R. P., Fearon, N., Winter, D., Heneghan, H., Maguire, D., Gallagher, T., Conlon, K., Kennedy, N., Martin, S., Kennelly, R., Hanly, A., Ng, K. C., Fagan, J., Geary, E., Cullinane, C., Carrington, E., Geraghty, J., McDermott, E., Pritchard, R., McPartland, D., Boland, M., Stafford, A., Geoghegan, J., Elliott, J. A., Ridgway, P. F., Gillis, A. E., Bass, G. A., Neary, P. C., O'Riordan, J. M., Kavanagh, D. O., Reynolds, I. S., K, Conlon, Joyce, D. P., Boyle, E., Egan, B., Whelan, M., Elkady, R., Tierney, S., Connelly, T. M., Earley, H., Umair, M., O'Connell, C., Thomas, A. Z., Rice, D., Madden, A., Bashir, Y., Creavin, B., Cullivan, O., Owens, P., Canas-Martinez, A., Murphy, C., Pickett, L., Murphy, B., Mastrosimone, A., Beddy, D., Arumugasamy, M., Allen, M., Aremu, M., McCarthy, C., O’Connor, C., O'Connor, D. B., Kent, E., Malone, F., Geary, M., McKevitt, K. L., Lowery, A. J., Ryan, É. J., Aherne, T. M., Fowler, A., Hassanin, A., Hogan, A. M., Collins, C. G., Finnegan, L., Carroll, P. A., Kerin, M. J., Walsh, S. R., Nally, D., Peirce, C., Coffey, J. C., Cunningham, R. M., Tormey, S., Hardy, N. P., Neary, P. M., Muallem-Kalmovich, L., Kugler, N., Lavy, R., Zmora, O., Horesh, N., Vergari, R., Mochet, S., Barmasse, R., Usai, A., Morelli, L., Picciariello, A., Papagni, V., Altomare, D. F., Colledan, M., Zambelli, M. F., Tornese, S., Camillo, A., Rausa, E., Bianco, F., Lucianetti, A., Prucher, G. M., Baietti, A. M., Ruggiero, F., Maremonti, P., Neri, F., Ricci, S., Biasini, M., Zarabini, A. G., Belvedere, A., Bernante, P., Bertoglio, P., Boussedra, S., Brunocilla, E., Cipriani, R., Cisternino, G., De Crescenzo, E., De Iaco, P., Della Gatta, A. N., Dondi, G., Frio, F., Jovine, E., Mineo Bianchi, F., Neri, J., Parlanti, D., Perrone, A. M., Pezzuto, A. P., Pignatti, M., Pilu, G., Pinto, V., Poggioli, G., Ravaioli, M., Rottoli, M., Schiavina, R., Serenari, M., Serra, M., Solli, P., Taffurelli, M., Tanzanu, M., Tesei, M., Violante, T., Zanotti, S., Tonini, V., Sartarelli, L., Cervellera, M., Gori, A., Armatura, G., Scotton, G., Patauner, S., Frena, A., Podda, M., Pisanu, A., Esposito, G., Frongia, F., Abate, E., Laface, L., Casati, M., Schiavo, M., Casiraghi, T., Sammarco, G., Gallo, G., Vescio, G., Fulginiti, S., Scorcia, V., Giannaccare, G., Carnevali, A., Giuffrida, M. C., Marano, A., Palagi, S., Di Maria Grimaldi, S., Testa, V., Peluso, C., Borghi, F., Simonato, A., Puppo, A., D'Agruma, M., Chiarpenello, R., Pellegrino, L., Maione, F., Cianflocca, D., Pruiti Ciarello, V., Giraudo, G., Gelarda, E., Dalmasso, E., Abrate, A., Daniele, A., Ciriello, V., Rosato, F., Garnero, A., Leotta, L., Giacometti, M., Zonta, S., Lomiento, D., Taglietti, L., Dester, S., Compagnoni, B., Viotti, F., Cazzaniga, R., Del Giudice, R., Mazzotti, F., Pasini, F., Ugolini, G., Fabbri, N., Feo, C. V., Righini, E., Gennari, S., Chiozza, M., Anania, G., Urbani, A., Koleva Radica, M., Carcoforo, P., Portinari, M., Sibilla, M., Anastasi, A., Bartalucci, B., Bellacci, A., Canonico, G., Capezzuoli, L., Di Martino, C., Ipponi, P., Linari, C., Montelatici, M., Nelli, T., Spagni, G., Tirloni, L., Vitali, A., Agostini, C., Alemanno, G., Bartolini, I., Bergamini, C., Bruscino, A., Checcucci, C., De Vincenti, R., Di Bella, A., Fambrini, M., Fortuna, L., Maltinti, G., Muiesan, P., Petraglia, F., Prosperi, P., Ringressi, M. N., Risaliti, M., Sorbi, F., Taddei, A., Lizzi, V., Vovola, F., Arminio, A., Cotoia, A., Sarni, A. L., Familiari, P., D'Andrea, G., Picotti, V., Bàmbina, F., Fontana, T., Barra, F., Ferrero, S., Gustavino, C., Kratochwila, C., Ferraiolo, A., Costantini, S., Batistotti, P., Aprile, A., Almondo, C., Ball, L., Robba, C., Scabini, S., Pertile, D., Massobrio, A., Soriero, D., D'Ugo, S., Depalma, N., Spampinato, M. G., Lippa, L., Gambacciani, C., Santonocito, O. S., Aquila, F., Pieri, F., Ballabio, M., Bisagni, P., Longhi, M., Armao, T., Madonini, M., Gagliano, A., Pizzini, P., Costanzi, A., Confalonieri, M., Monteleone, M., Colletti, G., Frattaruolo, C., Mari, G., Spinelli, A., Mercante, G., Spriano, G., Gaino, F., Ferreli, F., De Virgilio, A., Rossi, V., Carvello, M. M., Di Candido, F., Kurihara, H., Marrano, E., Torzilli, G., Castoro, C., Carrano, F. M., Martinelli, F., Macchi, A., Fiore, M., Pasquali, S., Cioffi, S. P. B., Baia, M., Abatini, C., Sarre, C., Mosca, A., Biasoni, D., Gronchi, A., Citterio, D., Mazzaferro, V., Cadenelli, P., Gennaro, M., Capizzi, V., Guaglio, M., Sorrentino, L., Bogani, G., Sarpietro, G., Giannini, L., Comini, L. V., Rolli, L., Folli, S., Raspagliesi, F., Piazza, C., Cosimelli, M., Salvioni, R., Antonelli, B., Baldari, L., Boni, L., Cassinotti, E., Pignataro, L., Rossi, G., Torretta, S., Beltramini, G. A., Gianni', A., Tagliabue, M., De Berardinis, R., Pietrobon, G., Chu, F., Cenciarelli, S., Adamoli, L., Ansarin, M., Fumagalli Romario, U., Mastrilli, F., Mariani, N. M., Nicastro, V., Cellerino, P., Colombo, F., Frontali, A., Bondurri, A., Guerci, C., Maffioli, A., Ferrario, L., Candiani, M., Bonavina, G., Ottolina, J., Valsecchi, L., Mortini, P., Gagliardi, F., Piloni, M., Medone, M., Negri, G., Bandiera, A., De Nardi, P., Sileri, P., Carlucci, M., Pelaggi, D., Rosati, R., Vignali, A., Parise, P., Elmore, U., Tamini, N., Nespoli, L. C., Rennis, M., Pitoni, L., Chiappetta, M. F., Vico, E., Fruscio, R., Grassi, T., Sasia, D., Migliore, M., Gattolin, A., Rimonda, R., Travaglio, E., Olearo, E., Tufo, A., Marra, E., Maida, P., Marte, G., Tammaro, P., Incollingo, P., Izzo, F., Belli, A., Patrone, R., Albino, V., Leongito, M., Granata, V., Piccirillo, M., Palaia, R., Francone, E., Gentilli, S., Nikaj, H., Fiorini, A., Norcini, C., Chessa, A., Marino, M. V., Mirabella, A., Vaccarella, G., Musini, L., Ampollini, L., Bergonzani, M., Varazzani, A., Bellanti, L., Domenichini, M., Cabrini, E., Fornasari, A., Freyrie, A., Dejana, D. O., D'Angelo, G., Bertoli, G., Di Lella, F., Bocchialini, G., Falcioni, M., Lanfranco, D., Poli, T., Giuffrida, M., Annicchiarico, A., Perrone, G., Catena, F., Raffaele, A., De Manzoni Garberini, A., Baldini, E., Conti, L., Ribolla, M., Capelli, P., Isolani, S. M., Maniscalco, P., Cauteruccio, M., Ciatti, C., Puma Pagliarello, C., Gattoni, S., Galleano, R., Malerba, M., Ciciliot, M., Farnesi, F., Calabrò, M., Pipitone Federico, N. S., Lunghi, E. G., Muratore, A., Di Franco, G., Palmeri, M., Tartaglia, D., Coccolini, F., Chiarugi, M., Simoncini, T., Gadducci, A., Caretto, M., Giannini, A., Perutelli, A., Domenici, L., Garibaldi, S., Capanna, R., Andreani, L., Furbetta, N., Guadagni, S., Bianchini, M., Gianardi, D., Pinotti, E., Montuori, M., Carissimi, F., Baronio, G., Zizzo, M., Castro Ruiz, C., Annessi, V., Montella, M. T., Falco, G., Mele, S., Ferrari, G., Mastrofilippo, V., Mandato, V. D., Aguzzoli, L., Corbellini, C., Baldi, C., Sampietro, G. M., Palini, G. M., Zanini, N., Garulli, G., Barone, R., Murgese, A., Mungo, S., Grasso, M., Marafante, C., Birolo, S. L., Moggia, E., Caccetta, M., Masciandaro, A., Deirino, A., Garino, M., Perinotti, R., Maiello, F., Gordini, L., Lombardi, C. P., Marzi, F., Marra, A. A., Ratto, C., Di Muro, M., Litta, F., De Simone, V., Cozza, V., Rosa, F., Agnes, A., Parello, A., Alfieri, S., Sganga, G., Lapolla, P., Mingoli, A., De Toma, G., Fiori, E., La Torre, F., Sapienza, P., Brachini, G., Cirillo, B., Iannone, I., Zambon, M., Chiappini, A., Meneghini, S., Fonsi, G. B., Cicerchia, P. M., Bruzzaniti, P., Santoro, A., Frati, A., Marruzzo, G., Ribuffo, D., Sagnotta, A., Marino Cosentino, L., Mancini, S., Lisi, G., Spoletini, D., Bellato, V., Campanelli, M., Sica, G., Siragusa, L., Bonavina, L., Asti, E., Bernardi, D., Lovece, A., Perra, T., Porcu, A., Fancellu, A., Feo, C. F., Scanu, A. M., Tuminello, F., Franceschi, A., Langone, A., Fleres, F., Spolini, A., Bordoni, P., Franzini, M., Clarizia, G., Grechi, A., Longhini, A., Guaitoli, E., Manca, G., Grossi, U., Novello, S., Zanus, G., Romano, M., Rossi, S., Ferrara, F., La Torre, M., Pirozzolo, G., Recordare, A., Paiella, S., Turri, G., Rattizzato, S., Campagnaro, T., Guglielmi, A., Pedrazzani, C., Ruzzenente, A., Poletto, E., Conci, S., Casetti, L., Fontana, M., Salvia, R., Malleo, G., Esposito, A., Landoni, L., De Pastena, M., Bassi, C., Tuveri, M., Nobile, S., Marchegiani, G., Bortolasi, L., Sambugaro, E., Malavolta, M., Moretto, G., Impellizzeri, H., Inama, M., Barugola, G., Ascari, F., Ruffo, G., Granieri, S., Cotsoglou, C., Berselli, M., Desio, M., Marchionini, V., Cocozza, E., Di Saverio, S., Ietto, G., Iovino, D., Carcano, G., Ayasra, F., Qasem, A., Ayasra, Y., Al-Masri, M., Abou Chaar, M. K., Al-Najjar, H., Ghandour, K., Alawneh, F., Abdel Jalil, R., Abdel Al, S., Elayyan, M., Ghanem, R., Lataifeh, I., Alsaraireh, O., Abu Za’nouneh, F. J., Fahmawee, T., Ibrahim, A., Obeidat, K., Lee, K. J., Shin, S. J., Chung, H., Albader, I., Alabbad, J., Albader, M. A. S., Bouhuwaish, A., Taher, A. S., Omar, M. S. M., Abdulwahed, E., Biala, M., Morgom, M., Elhadi, A., Alarabi, A., Msherghi, A., Elhajdawe, F., Alsoufi, A., Salamah, A., Salama, H., Bulugma, M., Almabrouk, H., Venskutonis, D., Dainius, E., Kubiliute, E., Bradulskis, S., Parseliunas, A., Kutkevicius, J., Subocius, A., Cheong, Y. J., Masood, M. S., Ngo, C. W., Saravanan, R., Abdul Maei, N., Hayati, F., Amin Sahid, N., Yanowsky Reyes, G., Orozco Perez, J., Damian, R., Santana Ortiz, R., Colunga Tinajero, C. A., Cordera, F., Gómez-Pedraza, A., Maffuz-Aziz, A., Posada, J. A., De la Rosa Abaroa, M. A., Alvarez, M. R., Arrangoiz, R., Hernández, R., Bozada Gutierrez, K., Trejo-Avila, M., Valenzuela-Salazar, C., Herrera-Esquivel, J., Moreno-Portillo, M., Pinto-Angulo, V. M., Sosa-Duran, E. E., Ziad-Aboharp, H., Jimenez Villanueva, X., Soulé Martínez, C. E., Lupián-Angulo, A. I., Martínez Zarate J, Jacobo, Reyes Rodriguez, E., Montalvo Dominguez, G., Becerra García, F. C., Melchor-Ruan, J., Vilar-Compte, D., Romero-Bañuelos, E., Herrera-Gomez, A., Meneses-Garcia, A., Isla-Ortiz, D., Salcedo-Hernández, R. A., Hernández-Nava, J. M., Morales-Castelan, J. E., Posadas-Trujillo, O. E., Buerba, G. A., Alfaro-Goldaracena, A., Pena Gomez-Portugal, E., Lopez-Pena, G., Hinojosa, C. A., Mercado, M. A., Ramos-De la Medina, A., Martinez, L., Duran, I., Gonzalez, D. S., Martinez, M. J., Nayen Sainz de la Fuente, A., Miguelena, L., Hernández Miguelena, L., Louraoui, S. M., El Azhari, A., Rghioui, M., Khya, E., Ghannam, A., Souadka, A., El Ahmadi, B., Belkhadir, Z. H., Majbar, M. A., Benkabbou, A., Mohsine, R., Oudrhiri, M. Y., Bechri, H., Arkha, Y., El Ouahabi, A., Frima, H., Bachiri, S., Groen, L. C., Verhagen, T., ter Brugge, F. M., Scheijmans, J. C. G., Boermeester, M. A., Hompes, R., Meima-van Praag, E. M., Sharabiany, S., Borgstein, A. B. J., Gisbertz, S. S., van Berge Henegouwen, M. I., Gans, S., Van Duijvendijk, P., Herklots, T., De Hoop, T., De Graaff, M. R., Sloothaak, D., Bolster-van Eenennaam, M., Baaij, J., Klinkenbijl, J. H. G., Van Eekeren, R., Spillenaar Bilgen, E. J., Van der Burg, S. W., Harlaar, N. J., Jonker, F. H. W., Vermaas, M., Voigt, K. R., Nellensteijn, D., Bensi, E. A. B., Posma-Bouman, L., Van Sambeek, M., Holscher, M., Van den den Broek, W. T., HKruijff, S., De Vries, J. P. P. M., Steinkamp, P. J., Jonker, P. K. C., Van der Plas, W. Y., Bierman, W., Janssen, Y., Franken, J., Oosterling, S., Boerma, E. G., Schweitzer, D., Keulen, M. H. F., Ketting, S., Wegdam, J. A., Vries Reilingh, T. S., de Schipper, Teeuwen, P. H. E., Hendriks, E. R., Van Geloven, A. A. W., Emous, M., Poelstra, R., Teunissen, M., Gerritsen, S. L., Boerma, D., De Reuver, P. R., Thunnissen, F., Vermeulen, B. A. M., Groen, A., Van Ginhoven, T. M., Viëtor, C. L., van der Oest, M. J. W., Vriens, P. W. H. E., Houwen, T., Heisterkamp, J., van Petersen, A. S., van der Meij, W., Stevens, C. T., Pronk, A., Bakker, W. J., Richir, M. C., Vriens, M. R., Filipe, M. D., Uittenbogaart, M., Leclercq, W. K. G., Sijmons, J. M. L., Vancoillie, P. J., Konsten, J., Van Heinsbergen, M., Dekker, N. A. M., den Boer, F. C., Akinmade, A., Adeyeye, A., Enoch, E., Fayose, S., Okunlola, A. I., Adeniyi, A. A., Adeyemo, O. T., Adebara, I. O., Bakare, A., Babalola, O. F., Abiyere, O. H., Banjo, O. O., Olori, S., Akaba, O. G., Agida, E. T., Abdullahi, I. H., Egbuchulem, I. K., Olulana, D., Lawal, T. A., Ogundoyin, O., Oyelakin, O. A., Nwaorgu, O. G., Sule, S. O., Makwe, C. C., Afolabi, B. B., Seyi-Olajide, J. O., Ademuyiwa, A. O., Bode, C. O., Atoyebi, O., Elebute, O. A., Okunowo, A. A., Williams, O. M., Eke, N. G., Oshodi, O. A., Faboya, O. M., Adeniran, A. S., Omisanjo, O. A., Oshodi, Y. A., Ogunyemi, A. A., Atobatele, K. M., Aremu, I., Olasehinde, O., Abdur-Rahman, L., Bello, J., Popoola, A., Sayomi, T. O., Raji, H. O., Adeleke, N., Lawal, B., Habeeb, O., Agodirin, O., Tolani, M. A., Sholadoye, T. T., Nwabuoku, S. E., Abubakar, M., Risteski, T., Cvetanovska Naunova, V., Jovcheski, L., Lazova, E., Agledahl, I., Breuer, R. G., Massoud, J., Waqar, S. H., Rashid, I., Ayubi, A., Bhatti, A. B. H., Younis, M. U., Ghouri, A., Ayub, B., Sayyed, R. H., Saleem, A., Turk, K., Alvi, A., Abassy, J., Khan, S., Arshad, M., Ahmed, K., Siddiqui, T., Pirzada, A., Kerawala, A. A., Jamal, A., Rai, L., Nafees Ahmed, R., Memon, A. S., Qureshi, A. U., Ayyaz, M., Umar, M., Butt, U., Kashif, M., Khan, W. H., Waris Farooka, M., Wasim, T., Talat, N., Tahir, W., Naseem, J., Akbar, A., Afroze, S., Sultan, A., Ali, H. B., Janjua, M. H., Janjua, A., Asghar, S., Farooq, M. S., Sarwar, M. Z., Naqi, S. A., Gondal, K. M., Bukhari, S. I., Tariq, M., Javed, S., Yaqoob, E., Mahmood, U., Raja Shabbir, K., Abukhalaf, S. A., Amro, A., Cabada Lee, J. M., Aguilar, A., Rodriguez, E., Castillo, K., Cukier, M., Rodriguez-Zentner, H., Arrue, E., Isaacs Beron, R., Rodríguez Gonzalez, A., Panduro-Correa, V., Cornelio, D. K., Otiniano Alvarado, C. E., Caballero Sarabia, V. D., Vasquez-Ojeda, X. P., Lizzetti-Mendoza, G., Niquen-Jimenez, M., Shu-Yip, S. B., León Palacios, J. L., Borda-Luque, G., Zegarra, S. A., Huamán Egoávil, E., Suazo Carmelo, C., Castro de la Mata, R., Rivas, D., Targarona, J., Trujillo, Y., Olivera Villanueva, M., Lahoud-Velaochaga, A., Cabillas, K., Castañeda, W., Colina Casas, J., Betalleluz Pallardel, J., Camacho Zacarías, F., Vélez Segura, E., Cruz Condori, D. L., Huamán, E., Ugarte Oscco, R., Vergel Cabrera, C., Carpio Colmenares, Y. T., García Barrionuevo, L. A., Cárdenas Ruiz de Castilla, D., Mansilla Doria, P., Li Valencia, M. R., Salazar, A., Sarmiento, A., Díaz, C., Morales, E., Ore, E., Zegarra, H., Siccha, J., Guardia, M., Sandoval, M., Mendiola, G. C., Mimbela, M., Diaz-Ruiz, R., Zeta, L. A., Cordova-Calle, E., Nuñez, H. M., Ortiz-Argomedo, M. R., Caballero-Alvarado, J., Salazar-Tantaleán, A., Espinoza-Llerena, R., Aliaga-Ramos, M., Asodisen, O., Jabagat, E., Tedoy, C. M., Ramos, R. A., Lopez, M. P. J., Violago, K. L. E., Aram, R., Carlos Santos, P., Filarca, R. F., Carlos, A., Santos, P., Filarca, R. L., Domingo, E. J., Khu, K. J. O., Lapitan, M. C., Sacdalan, M. D. P., Kho, M. J. N., Baticulon, R. E., Bravo, S. L. R., Cueto, M. A. C., Ramos, C. L., Fuentes, J. R., Sadian, H., Gumarao, A., Barraquio, A., Cruz, E. M., Gonzales, A. D., Reyes, J. A. S., Salud, J. A., Tancinco, E. G., Rivera, R. D., Lim, J. A., Barcelon, J. C., Chiu, J. A., Carballo, M. I., Major, P., Gawron, I., Jach, R., Borges, F., Matos Costa, P., Henriques, S., Rodrigues, S. C., Gonçalves, N., Curvas, J. M., Cabeleira, A., Branco, C., Serralheiro, P., Alves, R., Teles, T., Lázaro, A., Canhoto, C., Simões, J., Costa, M., Almeida, A. C., Nogueira, O., Oliveira, A., Athayde Nemésio, R., Silva, M., Lopes, C., Amaral, M. J., Valente da Costa, A., Andrade, R., Martins, R., Guimarães, A., Guerreiro, P., Ruivo, A., Camacho, C., Duque, M., Santos, E., Breda, D., Oliveira, J. M., De Oliveira Lopez, A. L., Garrido, S., Colino, M., De Barros, J., Correia, S., Rodrigues, M., Cardoso, P., Teixeira, J., Soares, A. P., Morais, H., Pereira, R., Revez, T., Manso, M. I., Domingues, J. C., Henriques, P., Ribeiro, R., Ribeiro, V. 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S., Garmanova, T., Tsarkov, P., Tulina, I., Rodimov, S., Markaryan, D., Kazachenko, E., Yanishev, A., Abelevich, A., Bazaev, A., Kokobelyan, A., Zarubenko, P., Zakharenko, A., Novikova, A., Kim, G., Shmatov, D., Stoliarov, M., Kamenskikh, M., Nambi, G., Almulhim, A. S., Madkhali, T., Alzouhir, A., Alissa, A., Alameer, E., Badedi, M., Alnami, A. Q., Darraj, H., Alkhuzaie, A., Khadwardi, F., Abualjadayel, M., Tashkandi, W., Farsi, A., Malibary, N., Trabulsi, N., Farsi, S., Said bayazeed, A., Nasser, M., Siddiqui, M. S., Al Awwad, S., Alshahrani, M., Alsharif, F., Fahmi, M. W., Gudal, A., Alasmari, A., Alqahtani, S., Majrashi, S., Mashat, A., Al Raddadi, R., Alharbi, A., Nasser, Y., Hamayel, H., Alhojaili, A., Aljohani, R., Sogair, O., Alfarhan, O., Alzahrani, A., Alzomaili, B., A Azab, M., Alotaibi, M., Maashi, A., Zowgar, A., Alsakkaf, M., Alnemary, M., Khayat, S., Felmban, S., Almhmadi, A., Alqannas, M., Cortés Guiral, D., Alyami, M., Elawad, A., Alhefdhi, A., Alresaini, F., Kurdi, W., Tulbah, M., Aldakheel, M., Alsahan, N., Koussayer, S., Elsheikh, H., Al-qattan, M., Alshanafey, S., Rafique, A., Mahabbat, N., Saeed, B., Al-Kharashi, E., Alsowaina, K., Arab, N., Aljaber, F., Al Hasan, I., Alghamdi, A., Badahdah, F., Alghuliga, A., Abdulfattah, F., Alanazi, F., Albaqami, F., Alsuhaibani, A., AlFakhri, A., Alqasem, S., Alajaji, N., Nouh, T., Bin Nasser, A., Alowais, J., Alburakan, A., Alamri, O., Albdah, A., Alawi, K., Alshalhoub, M., ElSanhoury, K., Almofarreh, A., Ibrahim, S., Elshafie, H., Osman, I., Guzman, T., Mutair, H., Siddiqui, A., Chowdhury, S., Alghamdi, R., Almutrafi, S., Alfaifi, J., D'Souza, J., Alshitwi, A., Alkreedees, N., Alramadhan, M., Alshehri, M., Alobaysi, S., Alshahrani, A., Alshehri, A., Alrashed, M., Altahan, T., Alsabahi, T., Alhossaini, R., Sbaih, M., Alalawi, Y., Alnwijy, K., Al Ayed, A., Ghedan, S., Alharthi, R., Awad, S., I Sharara, M., Abdelrhman, S., Althobaiti, W., Srbinovic, L., Perovic, M., Mikovic, Z., Nikolic, B., Vasiljevic, M., Pazin, V., Mandic Markovic, V., Dimitrijevic, D., Zecevic, N., Gregoric, P., Micic, D., Loncar, Z., Doklestic, K., Ivancevic, N., Djukic, V., Stojakov, D., Ilic, R., Savic, P., Pijanovic, N., Milanovic, M., Radosavljevic, M., Dejanovic, T., Kostic, M., Paskas, J., Bojic, S., Stevanovic, P., Djuric, M., Kadija, M., Tulic, G., Glisovic Jovanovic, I., Lieske, B., Kayombo, E., Kruger, I., De Kock, M., Malan, A., Ferreira, C., Du Preez, H., Mulder, W., Noel, C., Le Grange, S., Lusawana, O., Kies, C., Steyn, E., Janson, J., Buitendag, J. J. P., Chu, K., Mihalik, M., Nel, R., Naidoo, S., Kloppers, C., Nel, D., Jonas, E., Pickard, H., Bernon, M., Almgla, N., Rayamajhi, S., Mugla, W., Carapinha, C., Hyman, G. Y., Fourtounas, M., Moore, R., Sánchez Mozo, A., Aguado Lopez, H., Zárate Pinedo, A., Jimenez Toscano, M., Alonso de la Fuente, N., Mancebo, G., Cecchini, L., Munarriz, M., Cazador Labat, M., López Campillo, A., Martorell, P., Espinosa, C. A., Caja Vivancos, P., Villalabeitia Ateca, I., Prieto Calvo, M., Marín, H., Martin Playa, P., Gainza, A., Aragon Achig, E. J., Rodriguez Fraga, A., Melchor Corcóstegui, I., Mallabiabarrena Ormaechea, G., Garcia Gutierrez, J. J., Barbier, L., Pesántez Peralta, M. A., Jiménez Jiménez, M., Municio Martín, J. A., Gómez Suárez, J., García Operé, G., Pascua Gómez, L. A., Oñate Aguirre, M., Fernandez-Colorado, A., De la Rosa-Estadella, M., Gasulla-Rodriguez, A., Serrano-Martin, M., Peig-Font, A., Junca-Marti, S., Juarez-Pomes, M., Garrido-Ondono, S., Blasco-Torres, L., Molina-Corbacho, M., Maldonado-Sotoca, Y., Gasset-Teixidor, A., Blasco-Moreu, J., Gomez Fernandez, L., Cayetano Paniagua, L., Izquierdo, O., Ventura, D., Castellanos, J., Ballester Vazquez, E., Sanchez Lopez, A., Balague Ponz, C., Targarona Soler, E. M., Sanchez Cabús, S., Molina Santos, V., Gonzalez Lopez, J. A., Medrano Caviedes, R., Moral Duarte, A., Espin-Basany, E., Pellino, G., Blanco-Colino, R., Turrado-Rodriguez, V., Lacy, A. M., de Lacy, F. B., Morales, X., Carreras-Castañer, A., Torner, P., Jornet-Gibert, M., Balaguer-Castro, M., Renau-Cerrillo, M., Camacho-Carrasco, P., Vives-Barquiel, M., Campuzano-Bitterling, B., Gracia, I., Pujol-Muncunill, R., Martin-Sole, O., Rubio-Palau, J., Tarrado, X., Garcia-Aparicio, L., De Haro Jorge, I., Martin, A., Rojas-Ticona, J., Perez-Bertolez, S., Cuesta Argos, M., Capdevila Vilaro, B., Coronas Soucheiron, M., Riba Martinez, M., Saura Garcia, L., Prat Ortells, J., Bejarano Serrano, M., Parri, P., Massaguer, C., Vicario, F., Palazon Bellver, P., Moraleda Gudayol, I., Lara, A., Escobar, D., Arrieta, M., Garcia de cortazar, U., Villamor Garcia, I., Landaluce-olavarria, A., Gonzalez De miguel, M., Fernández Gómez Cruzado, L., Begoña, E., Lecumberri, D., Acosta Mérida, M. A., Yepes Cano, A. F., Estaire Gómez, M., Padilla-Valverde, D., Sánchez-García, S., Sanchez-Pelaez, D., Jimenez Higuera, E., Picón Rodríguez, R., Fernández Camuñas, À., Martínez-Pinedo, C., Garcia Santos, E. P., Muñoz-Atienza, V., Moreno Pérez, A., López de la Manzanara Cano, C. A., Ugarte-Sierra, B., Ibáñez-Aguirre, F. J., De Andres Olabarria, U., Fernández Pablos, F. J., Durán Ballesteros, M., Sanz Larrainzar, A., Jiménez Carneros, V., Valle Rubio, A., Alonso-Lamberti, L., García-Quijada, J., Leon, R., Rodriguez, J. L., Jimenez Miramón, J., Jover, J. M., Martín Salamanca, M. B., Assaf, M., Pérez Simón, V., Landeo Agüero, S. A., Baeza Pintado, N., Huertas Fernandez, M. A., Carabias, A., Sosa, M. V., Lora-Cumplido, P., Lanuza, L., Galipienso Eri, M., Garcia Montesino, J. D., Dellonder Frigolé, J., Noriego Muñoz, D., Navarro-Sánchez, A., Enjuto, D., Perez Gonzalez, M., Díaz Peña, P., Gonzalez, J., Marqueta De Salas, M., Martinez Pascual, P., Rodríguez Gómez, L., Garcés García, R., Ramos Bonilla, A., Herrera-Merino, N., Fernández Bernabé, P., Cagigal Ortega, E. P., Hernández, I., García de Castro Rubio, E., Cervera, I., Sánchez-Guillén, L., Fernández-Candela, A., Curtis-Martínez, C., Soler-Silva, Á., Oller, Á., Triguero-Cánovas, D., Bosch-Ramírez, M., Lillo, C., Lario, S., Arroyo, A., Espino Segura-Illa, M., Sánchez Aniceto, G., Castaño-Leon, A. M., Jimenez-Roldan, L., Delgado Fernandez, J., Pérez Núñez, A., Lagares, A., Garcia Perez, D., Santas, M., Paredes, I., Esteban Sinovas, O., Moreno-Gomez, L., Rubio, E., Vega, V., Vivas Lopez, A., Labalde Martinez, M., García Villar, O., Pelaéz Torres, P. M., Garcia-Borda, J., Ferrero Herrero, E., Gomez, P., Eiriz Fernandez, C., Ojeda-Thies, C., Pardo Garcia, J. M., Di Martino, M., De la Hoz Rodriguez, A., García Septiem, J., Maqueda González, R., Delgado Búrdalo, L., Correa Bonito, A., Martin-Perez, E., García Villayzán, J. E., Albi Martin, B., Lozano Lominchar, P., Martin, L., Fernadez, M., Rey-Valcarcel, C., Tousidonis, M., Martin-Albo Caballero, L., Lowy, A., Alonso Ortuño, P., Ayuso Herrera, E., Caño Velasco, J., Aragon-Chamizo, J., Perez Diaz, M. D., Mateo-Sierra, O., Quintana-Villamandos, B., Barrio, J. M., Fanjul, M., Sanchez- Perez, C., Fernandez, M. L., Hernandez-Kakauridze, S., Rio, J., Díaz Pérez, D., Serrano González, J., Colao García, L., Gutierrez Samaniego, M., Hernandez Bartolome, M. A., Galindo Jara, P., Esteban Agustí, E., Ripollés-Melchor, J., Abad-Motos, A., Abad-Gurumeta, A., Martínez-Hurtado, E., Ruiz-Escobar, A. B., Rogly, N., Guasch, E., Hernandez Gutierrez, A., Bartha Rasero, J. L., Perez, Y., Garcia-Pineda, V., Gracia, M., Siegrist Ridruejo, J., Diestro, M. D., Sanchez-Mendez, J. I., Marti, C., Melendez, M., Moreno-Palacios, E., Loayza, A., Frias, L., Zapardiel, I., Rubio-Perez, I., Prieto Nieto, M. I., Guevara, J., Gegundez Simon, A., Gortazar, S., Chavarrias, N., Alvarez, E., Saavedra, J., Ramos-Martin, P., Urbieta, A., Gomez Rivas, J., Toribio-Vázquez, C., Yebes, A., Hernández-García, M., Losada, M., Diéguez, B., García-Conde, M., Alonso Poza, A., Marquez, L., Becerra, R., Martin, M., Jorgensen, T., Muguerza, J. M., Dziakova, J., Sánchez del Pueblo, C., Saez Carlin, P., Camarero, E., Picazo, S., Pizarro, M. J., Avellana, R., Catalán, V., Lopez Antoñanzas, L., Cano, O., Anula, R., Sanz Lopez, R., Sanz Ortega, G., Garcia Alonso, M., Torres, A. J., Martin Antona, E., Garcia Botella, S., Ramos, D., Barranquero, A. G., Ocaña, J., Núñez, J., Cerro Zaballos, C., Crego-Vita, D., Huecas-Martinez, M., Diez Alonso, M., Mendoza-Moreno, F., Vera Mansilla, C., Ovejero Merino, E., Hernandez, P., Blazquez Martin, A., Ruiz Grande, F., Morales Palacios, N., Garcia-Loarte Gomez, E., Garca Rico, E., Minaya-Bravo, A. M., San Miguel Méndez, C., Galvan Pérez, A., Gonzalez-Gonzalez, E., Robin Valle de Lersundi, A., Calcerrada Alises, E., García-Ureña, M. A., Cruz Cidoncha, A., Troncoso Pereira, P., Alcaide Matas, F., García Pérez, J. M., Muñoz Vives, J. M., Osorio, A., Gómez Díaz, C. J., Guariglia, C. A., Soto Montesinos, C., Sanchon, L., Xicola Martínez, M., Guàrdia, N., Collera, P., Diaz Del Gobbo, R., Sanchez Jimenez, R., Farre Font, R., Flores Clotet, R., Calvo Espino, P., Guillamot Ruano, P., Rey-Biel, J., Pingarrón-Martin, L., Ruiz Martin, I., Moliner Sanchez, C., Carrasco-Prats, M., Giménez-Francés, C., Ruiz-Marín, M., Fernández-López, A. J., García-Escudero, D., García-Porcel, V., Lax-Pérez, R., Sánchez-Robles, M., Valero-Soriano, M., Medina-Manuel, E., García-Soria, V., Gurrea-Almela, E., Marco-Garrido, A., Martínez-Alonso, J. A., González-Valverde, F. M., Fernández-Fernández, P. V., Sánchez- Rodríguez, C., Aguilar-Jimenez, J., Baeza-Murcia, M., Aguayo-Albasini, J. L., Nicolás-López, T., Alconchel, F., Fernández Martínez, D., Solar-Garcia, L., García Flórez, L. J., Llaquet Bayo, H., Pujol-Cano, N., Segura-Sampedro, J. J., Soldevila-Verdeguer, C., Jeri-McFarlane, S., Gil-Catalan, A., Craus-Miguel, A., Cruz, L., Valente, P., Afonso-Garcia, M., Ferrer-Inaebnit, E., Oseira-Reigosa, A., Fernandez-Vega, L., Villalonga-Ramirez, B., Gonzalez Argente, F. X., Mora-Guzmán, I., Landete Molina, F. J., Morera Ocón, F. J., Canelles Corell, E., Gavaldà Pellicé, M. T., Salinas Peña, J. R., Cavallé Busquets, P., Trebol, J., Sánchez-Casado, A. B., Munoz-Bellvis, L., Pérez-Sánchez, L. E., Concepción Martín, V., Díaz García, A., Vallve-Bernal, M., Calvo Rey, A., Prada hervella, G. M., Dos Santos Carregal, L., Rodriguez Fernandez, M. I., Freijeiro, M., El Drubi Vega, S., Picardo, A. L., Cuadrado-Garcia, A., Serralta de Colsa, D., Rojo Lopez, J. A., Sanchez Cabezudo Noguera, F., Ortega Vazquez, I., Garcia-Sancho Tellez, L., Mato, P., Heras Aznar, J., Jimeno Fraile, J., Morales-Garcia, D., Carrillo-Rivas, M., Toledo Martínez, E., Pascual, À., Senent-Boza, A., Sánchez-Arteaga, A., Benítez-Linero, I., Manresa-Manresa, F., Tallón-Aguilar, L., Melero-Cortés, L., Fernández-Marín, M. R., Durán-Muñoz-Cruzado, V. M., Ramallo-Solís, I., Beltrán-Miranda, P., Pareja-Ciuró, F., Antón-Eguía, B. T., Oliva Mompean, F., Gomez-Rosado, J., Reguera-Rosal, J., Valdes-Hernandez, J., Capitan-Morales, L., del Toro Lopez, M. D., Achalandabaso Boira, M., Memba Ikuga, R., Abellán, M., Sales, R., Olona, C., Jorba, R., Hernandez Gutierrez, J., Tébar Zamora, A., Sancho-Muriel, J., Cholewa, H., Frasson, M., Domenech, J., Roselló Añón, A., Sangüesa, M. J., Moro-Valdezate, D., Garcés-Albir, M., Lopez, F., Bernal-Sprekelsen, J. C., Catalá Bauset, J. C., Renovell Ferrer, P., Martínez Pérez, C., Gil-Albarova, O., Gilabert Estellés, J., Aghababyan, K., De Andrés-Asenjo, B., Beltrán de Heredia, J., Vázquez-Fernández, A., Ortiz de Solorzano-Aurusa, F. J., Trujillo-Díaz, J., Ruiz-Soriano, M., Jezieniecki, C., Gómez-Sanz, T., Núñez-Del Barrio, H., Romero-De Diego, A., García-Virto, V., Aguado, H. J., Fernández Martín, M. T., Tejero-Pintor, F. J., Pérez-Saborido, B., Choolani Bhojwani, E., Acebes García, F., Marcos-Santos, P., Bueno Cañones, A. D., Sanchez Gonzalez, J., Toledano, M., Bailón, M., Pacheco Sánchez, D., Paniagua Garcia Senorans, M., Sanchez-Santos, R., Vazquez Melero, A., Garcia, D., Díez, E., Herrero, I., Soeda, I. M., Camuera, M., Balluerca, M., Sánchez-Rubio, M., Paunero Vazquez, P., Martinez-German, A., Gracia-Roche, C., Gascon-Ferrer, I., Duque-Mallen, V., De Miguel-Ardevines, M. D. C., Sanchez-Fuentes, N., Santero-Ramirez, M. S., Matute-Najarro, M., Herrero-Lopez, M., Sanchez-Rubio, M., Cantalejo-Diaz, M., Gonzalez-Nicolas-Trebol, M. T., Saudi-Moro, S., Jariod-Ferrer, U. M., Rivas, F., Escartin, J., Blas Laina, J. L., Nogués, A., Cros, B., Talal El-Abur, I., Garcia Egea, J., Yanez, C., Jayarajah, U., Ravindrakumar, S., Rodrigo, V. S. D., Arulanantham, A., Bandara, G. B. K. D., Hamid, H. K. S., Ali, E. E., Widatalla, A. B. H., Bakheit, I., Awadelkarim, M., Ali karar, A. A., Saleh, M., Taflin, H., Myrelid, P., Amorim Braz, L., Hagander, L., Hambraeus, M., Omling, E., Salö, M., Arkani, S., Freedman, J., Montan, C., Lindqvist, E. K., Elbe, P., Hultgren, R., Älgå, A., Nordberg, M., Sandblom, G., Rutegård, M., Holmner, F., Sund, M., Löfgren, N., Tampakis, A., Kollmar, O., von Fluee, M., Balaphas, A., Toso, C., Colucci, N., Popeskou, S. G., Gass, M., Scheiwiller, A., Metzger, J., Gialamas, E., Chevallay, M., Sauvain, M., Dwidar, O., Kiessling, S. Y., Stoeckli, S. J., Mongelli, F., Bernasconi, M., Di Giuseppe, M., Christoforidis, D., La Regina, D., Arigoni, M., Adamina, M., Peros, G., Guglielmetti, L., Solimene, F., Giardini, M., Bächler, T., Crugnale, A. S., Gutschow, C. A., Turina, M., Ersen, O., Onan, M. A., Kozan, R., Erol, T., Dincer, H. A., Yildiz, A., Iflazoglu, N., Yalkın, O., Isik, A., Ozben, V., Aytac, E., Aliyeva, Z., Akaydin, E., Ozmen, B. B., Baca, B., Altinel, Y., Calikoglu, F., Tokocin, M., Hacim, N. A., Akbas, A., Meric, S., Vartanoglu, T., Yigitbas, H., Ercetin, C., Ercan, G., Ozgur, I., Keskin, M., Saracoglu, K. T., Cimenoglu, B., Demirhan, R., Kale, A., Simsek, T., Gundogdu, E. C., Abbasov, A., Tanal, M., Citgez, B., Bozkurt, E., Yetkin, S. G., Mihmanli, M., Alhamed, A., Ergun, S., Sanli, A. N., Velidedeoglu, M., OZcelik k, M. F., Uludag, S. S., Zengin, A. K., Cebi, S., Demirkiran, F., Bese, T., Acikgoz, A. S., Kayan, B., Aykanat, Y., Mutlu, D., Göksoy, B., Kara, Y., Bozkurt, M. 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M., Elawad A., Alhefdhi A., Alresaini F., Kurdi W., Tulbah M., Aldakheel M., Alsahan N., Koussayer S., Elsheikh H., Al-qattan M., Alshanafey S., Rafique A., Mahabbat N., Saeed B., Al-Kharashi E., Alsowaina K., Arab N., Aljaber F., Al Hasan I., Alghamdi A., Badahdah F., Alghuliga A., Abdulfattah F., Alanazi F., Albaqami F., Alsuhaibani A., AlFakhri A., Alqasem S., Alajaji N., Nouh T., Bin Nasser A., Alowais J., Alburakan A., Alamri O., Albdah A., Alawi K., Alshalhoub M., ElSanhoury K., Almofarreh A., Ibrahim S., Elshafie H., Osman I., Guzman T., Mutair H., Siddiqui A., Chowdhury S., Alghamdi R., Almutrafi S., Alfaifi J., D'Souza J., Alshitwi A., Alkreedees N., Alramadhan M., Alshehri M., Alobaysi S., Alshahrani A., Alshehri A., Alrashed M., Altahan T., Alsabahi T., Alhossaini R., Sbaih M., Alalawi Y., Alnwijy K., Al Ayed A., Ghedan S., Alharthi R., Awad S., I Sharara M., Abdelrhman S., Althobaiti W., Srbinovic L., Perovic M., Mikovic Z., Nikolic B., Vasiljevic M., Pazin V., Mandic Markovic V., Dimitrijevic D., Zecevic N., Gregoric P., Micic D., Loncar Z., Doklestic K., Ivancevic N., Djukic V., Stojakov D., Ilic R., Savic P., Pijanovic N., Milanovic M., Radosavljevic M., Dejanovic T., Kostic M., Paskas J., Bojic S., Stevanovic P., Djuric M., Kadija M., Tulic G., Glisovic Jovanovic I., Lieske B., Kayombo E., Kruger I., De Kock M., Malan A., Ferreira C., Du Preez H., Mulder W., Noel C., Le Grange S., Lusawana O., Kies C., Steyn E., Janson J., Buitendag J.J.P., Chu K., Mihalik M., Nel R., Naidoo S., Kloppers C., Nel D., Jonas E., Pickard H., Bernon M., Almgla N., Rayamajhi S., Mugla W., Carapinha C., Hyman G.Y., Fourtounas M., Sanchez Mozo A., Aguado Lopez H., Zarate Pinedo A., Jimenez Toscano M., Alonso de la Fuente N., Mancebo G., Cecchini L., Munarriz M., Cazador Labat M., Lopez Campillo A., Martorell P., Espinosa C.A., Caja Vivancos P., Villalabeitia Ateca I., Prieto Calvo M., Martin Playa P., Gainza A., Aragon Achig E.J., Rodriguez Fraga A., Melchor Corcostegui 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A.Z.E.D., Abood A., Habeeb A., Hudson V.E., Lamb B., Luke L., Mitrasinovic S., Murphy S., Ngu A.W.T., O'Neill J.R., Waseem S., Wong K., Georgiades F., Hutchinson P.J., Tan X.S., Pushpa-rajah J., Colquhoun A., Masterson L., Abu-Nayla I., Walker C., Balakrishnan A., Rooney S., Irune E., Byrne M.H.V., Durrani A., Simoes A., Eddy B., Streeter E., Ahmed I., Yao M., Wang W., Djouani A., Tait-Bailey J., Thomas M., Hassan F., Kommu S., Chopra S., Richards T., Sethuraman Venkatesan A., Combellack T., Williams J., Tahhan G., Mohammed M., Kornaszewska M., Valtzoglou V., Deglurkar I., Rahman M., Von Oppell U., Mehta D., Koutentakis M., Syed Nong Chek S.A.H., Hill G., Morris C., Shinkwin M., Torkington J., Cornish J., Houston R., Mannan S., Ayeni F., Tustin H., Bordenave M., Robson A., Dovell G., Preece R., Rolland P., Miranda B.H., Sobti A., Khaleel A., Unnithan A., Memon K., Pala Bhaskar R.R., Maqboul F., Kamel F., Al-Samaraee A., Madani R., Kumar L., Nisar P., Agrawal S., Vimalachandran D., Manu 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Henshall D.E., Drake T., Harrison E.M., Zamvar V., Tambyraja A., Skipworth R.J.E., Linder G., McGregor R., Brennan P., Mayes J., Ross L., Smith S., White T., Jamjoom A.A.B., Pasricha R., Gallagher K., Swan R., Paterson H., Maeda Y., Kwok A.M.F., Tsiaousidou A., Vaughan-Shaw P.G., Boyle C., Fernando D., Tham D., Leung S., Laird A., Holme T., Abbott S., Razik A., Thrumurthy S., Steinke J., Baker M., Howden D., Baxter Z., Osagie L., Bence M., Fowler G.E., Massey L., Rajaretnam N., Evans J., John J., Goubran A., Campain N., McDermott F.D., McGrath J.S., Ng M., Pascoe J., Phillips J.R.A., Daniels I.R., A'Court J., Konarski A., Faulkner G., Emerson H., Vejsbjerg K., Pearce L., McCormick W., Fisher A., Singisetti K., Aawsaj Y., Bajomo O., Rizvi S., Grimes C., Dusu K., Tint P.Y., Kirk A., Irvine V., Lammy S., O'Kane R., Elliott L., Mccabe G., Holroyd D., Jamieson N.B., Geddes A., McMahon J., McCaul J., Al-Azzawi M., Aitken E., Glen P., Sinan L.O.H., Grivas A., Tilling E.J., Brown O., Boal M., 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A., Miller A., Mair M., Lunevicius R., Sheel A.R.G., Sundhu M., Santini A.J.A., Fathelbab M.S.A.T., Hussein K.M.A., Nunes Q.M., Jones R.P., Shahzad K., Haq I., Baig M.M.A.S., Hughes J.L., Kattakayam A., Rajput K., Misra N., Shah S.B., Clynch A.L., Georgopoulou N., Sharples H.M., Apampa A.A., Nzenwa I.C., Sud A., Harky A., Kirmani B.H., Shackcloth M., Zakaria R., Elmoslemany T., Millward C.P., Baron R., Dunne D., Szatmary P., Thomas A., McNicol F., Gahunia S., Sochorova D., Nita G.E., McKinney R., Russ J., Tan J.R., Harwood R., Corbett H.J., Rossborough C., Skelly B.L., Che Bakri N.A., Nazarian S., Vashisht R., Jiao L., Jawad Z., Allan A.Y., Kontovounisios C., Grove T., Warren O., Fadel M.G., Chatzikonstantinou M., Sorelli P., Rahman S., Hadjipavlou M., Holbrook C., Chong C., Kufeji D., Rufai S.R., Lloyd I.C., James G., Chari A., Silva A.H.D., Stroman L., Challacombe B., Sayasneh A., Najdy M., Bille A., Fraser S., Agoston P., Rizzo V., King J., Nath R., McCrindle S., Mehra G., 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M.A., Jayasinghe J.D., Leal Silva I., Thakur B., Lebe M., Thet M.S., Hughes F., Rahman R., Fuwa O., Oo A., Bueser T., Curtis M., Stamenkovic S.A., Abbott T., Anwar S., Williams K., Chung E., Hagger R., Karim A., Hainsworth A., Flatman M., Trompeter A., Hing C., Tsinaslanidis P., Benjamin M.W., Leyte A., Tan C., Smelt J., Vaughan P., Santhirakumaran G., Hunt I., Raza M., Labib A., Luo X., Sudarsanam A., Rolls A., Lyons O., Onida S., Shalhoub J., Sugand K., Park C., Sarraf K.M., Erridge S., Kinross J., Denning M., Yalamanchili S., Abuown A., Ibrahim M., Martin G., Davenport D., Wheatstone S., Kasivisvanathan V., Kapriniotis K., Elhamshary A., Imam S.M.B., Kalavrezos N., Sinha D., Chand M., Green L., Beech N., McEwen R., Kiconco H., Andreani S.M., Bath M.F., Sahni A., Judkins N., Rigueros Springford L., Bacarese-Hamilton J., Taylor F.G., Parmar C., Mccluney S., Shah S., Talwar R., Patel K., Askari A., Jambulingam P.S., Shaw S., Maity A., Hatzantonis C., Sagar J., Kudchadkar S., Cirocchi N., Chan C.H., Reynolds J., Alexander M.E., Smart C.J., Jayasankar B., Balasubramaniam D., Abdelsaid K., Mundkur N., Gallagher B., Shah J., Anthoney J., Emmerson O., Stylianides N., Abdalla M., Newton K., Bhatia K., Edmondson R., Abdeh L., Jones D., Zeiton M., Ismail O., Naseem H., Advani R., Duff S., Moura F., Brown B.C., Khan A., Asaad P., Wadham B., Aneke I.A., Collis J., Warburton H., Fell A., Smith A., Halkias C., Nikolaou S., English C., Kristinsson S., Oni T., Ilahi N., Ballantyne K., Woodward Z., Merh R., Dunning J., Viswanath Y., Freystaetter K., Dixon J., Hadfield J.N., Hilley A., Egglestone A., Smith B., Hine T., Keeler B., Soulsby R.E., Taylor A., Davies E., Ryska O., Raymond T., Rogers S., Tong A., Hawkin P., Tingle S., Abbadessa F., Sachdeva A., Rai B., Chan C.D., McPherson I., Booth K., Mahmoud Ali F., Pandanaboyana S., Grainger T., Nandhra S., Patience A., Roy C., Williams T., Dawe N., McCaffer C., Riches J., Bhattacharya S., Moir J., Kalson N.S., Elamin Ahmed H., Mellor C., Saleh C., Koshy R.M., Hammond J., Sanderson L., Wahed S., Phillips A.W., Ghosh K., Tang A., Beamish A.J., Price C., Bosanquet D., Magowan D., Solari F., Williams G., Nassa H., Smith L., Robertson-Smith B., Mahmoud A., Ameerally P., Finch J.G., Gnanachandran C., Pop I., Rogers M., Yousef Y., Mohamed I., Woods R., Zahid H., Mundy G., Sreedharan L., Baskaran D., Shaikh I., Seebah K., Reid J., Watts D., Kouritas V., Chrastek D., Maryan G., Gill D.F., Khatun F., Gajjar K., Williamson K., Bratt D., Konstantinidi K., Walton T., Burnside N., Weaver H., Hawari M., Addae-Boateng E., Rollett R.A., Collins M.L., Tamimy M.S., Riyat H., Wen J., Neil-Dwyer J., Brewer H., Humes D., Worku D., Chowdhury A., Oyende O., Lewis-Lloyd C., Adiamah A., Koh A., Jackman J., Vohra R., Navarro A., Reilly J., Aujayeb A., Townshend D., McLarty N., Shenfine A., Jackson K., Johnson C., Dass D., Ford D., Winter S.C., Belcher E., Stavroulias D., Di Chiara F., Wallwork K., Qureishi A., Lami M., Sravanam S., Mastoridis S., Shah K., Chidambaram S., Smillie R., Shaw A.V., Bandyopadhyay S., Cernei C., Bretherton C., Jeyaretna D., Ganau M., Piper R.J., Duck E., Brown S., Jelley C., Tucker S.C., Bond-Smith G., Griffin X.L., Tebala G.D., Neal N., Vatish M., Noton T.M., Ghattaura H., Maher M., Fu H., Risk O.B.F., Soleymani majd H., Sinha S., Shankar S., Aggarwal A., Kharkar H., Lakhoo K., Verberne C., Dean B., Luney C., Myatt R., Williams M.A., McVeigh J., Labib P.L., Miller D., Minto G., Hope N., Marchbank A., Emslie K., Panahi P., Ho B., Perkins C., Clough E., Roy H., Enemosah I., Campbell R., Natale J., Gohil K., Rela M., Raza N., Biliatis I., Khan J., Thiruchandran G., Toh S.K.C., Ahmad Y., Allana A., Bellis C., Babawale O., Phan Y.C., Lokman U., Ismail M., Koc T., Witek A., Duggleby L., Shamoon S., Stefan S., Clancy H., Chadha R., Middleton S.B., Wilmott K., Hayden C., Mclaren C., Sutton J., Whyte A., Belgaumkar A., Day A., Gilbert C., Oyewole B., Narayan P., Dent H., Sandhya A., De Silva T., Waheed S., Kapoor K., Belgaumkar A.P., Fahim M., Gala T., Mithany R., Morgan R., Abdelkarim M., Maw A., Asqalan A., Sundaram Venkatesan G., Singh S., Mukherjee S., Ferguson D., Mansuri A., Thakrar A., Wickramarachchi L., Cuthbert R., Sivayoganathan S., Chui K., Karam E., Dott C., Madhvani K., Hampton M., Hormis A.P., Fountain D.M., Laurente R., Sigamoney K.V., Dasa M., George K., Naqui Z., Galhoum M., Lipede C., Gabr A., Radhakrishnan A., Hasan M.T., Kalenderov R., Pathmanaban O., Chelva R., Branagan G., Longstaff L., Ding D., Barlow C., Foster J., Ward A., Tadross D., Majkowski L., Blundell C., Nair R., Guha S., Brown S.R., Steele C., Kelty C.J., Newman T., Lee M., Lye G., Balasubramanian S.P., Sureshkumar Shah N., Sherif M., Al-mukhtar A., Whitehall E., Giblin A., Sharkey A., Adamec A., Madan S., Narice B., Sterrenburg M., Thompson A., Varley I., Stavrakas M., Rominiyi O., Ray J., Crank M., Bacon A., Al-Tamimi Y., Catto J., Saad S., Abd Kahar N.N., Sou A., Simpson D., Hamilton E., Blair J., Jallad S., Lord J., Anderson C., El Kafsi J., Logishetty K., Saadya A., Midha R., Ip M., Subbiah Ponniah H., Stockdale T., Bacarese-Hamilton T., Foster L., James A., Anjarwalla N., Marujo Henriques D., Hettige R., Baban C., Tenovici A., Salerno G., Lane J., Colvin H.V., Badran A., Cadersa A., Cumpstey A., Hamady Z., Aftab R., Wensley F., Byrne J., Morrison-Jones V., Sekhon G.K., Shields H., Shakoor Z., Yener A., Talbot T., Alzetani A., Cresner R., Babu B.H.B., Liyanage A.S.D., Newman S., Blake I., Weerasinghe C., Baumber R., Parry J., Menakaya C., Webb J.I., Antar M., Modi N., Sofat R., Noel J., Nunn R., Adegbola S., Eriberto F., Sharma V., Tanna R., Lodhia S., Johnson D., Hughes I., Hall J., Rooney J., Chatterji S., Zhang Y., Owen R., Rudic M., Hunt J., Zakai D., Aladeojebi A., Ali M., Gaunt A., Barmayehvar B., Kitchen M., Gowda M., Mansour F., Jarvis M., Halliday E., Lefroy R., Nanjaiah P., Lin D.J., Rajgor A.D., Scurrah R.J., Kang C., Watson L.J., Harris G., Royle T., Cunningham Y., Steel B., Luk A.C.O., Boulton A.J., Bakolas G., Herrod P., Gemmill E., Boyd-Carson H., Jibreel M., Lenzi E., Saafan T., Sapre D., Li Z., Parkins K., Spencer N., Harries R., Egan R.J., Motter D., Jenvey C., Mahoney R., Fine N., Minto T., Henry A., Hollyman M., Grieco C., Gemmell C., Whitmore H., Babar M.S., Goodrum S., Scott R., Collard B., Lau K., Thomas E., Patel A., Allison J., Bowen J., Dias A., Mahendran B., Gopalswamy S., Patil S., Scott L., Sarveswaran J., Michel M., Ravindran S., Subba K., Abou-Foul A.K., Khalefa M., Hossain F., Moores T., Pickering L., Stables G., Doorgakant A., Thiruvasagam V.G., Carter J., Reid S., Mohammed R., Marlow W., Ferguson H., Wilkin R., Konstantinou C., Yershov D., Vatish J., Denning A., Shah H.B., Cross G.W.V., Seyed-Safi P., Smart Y.W., Kuc A., Al-Yaseen M., Olivier J., Hanna M., Eskander P., Duncan R., Halaseh S., Das R., Wynn Jones H., Divecha H., Whelton C., Board T., Powell S., Magee C., Agarwal K., Mangos E., Nambirajan T., Vidya R., Chauhan G., Kaur J., Burahee A., Bleibleh S., Pigadas N., Snee D., Bhasin S., Crichton A., Habeebullah A., Bodla A.S., Yassin N., Mondragon M., Dewan V., Flindall I., Mahendran V., Hanson A., Jenner E., Richards J., Thomas-Fernandez K., Wall R., Alqallaf A., Ben-Sassi A., Mellor K., Joshi P., Joshi Y., Young R., Miu V., Sheridan K., MacDonald L., Green S., Onos L., Wong J.J., Napolitano L., Hemmila M., Amin D., Abramowicz S., Roser S.M., Olson K.A., Riley C., Heron C., Cardenas T., Leede E., Thornhill M., Haynes A.B., McElhinney K., Roward S., Trust M.D., Hill C.E., Teixeira P.G., Etchill E., Stevens K., Ladd M.R., Long C., Rose J., Kent A., Yesantharao P., Vervoort D., Jenny H., Gabre-Kidan A., Margalit A., Tsai L., Malapati H., Yesantharao L., Abdou H., Diaz J., Richmond M., Clark J., O'Meara L., Hanna N., Ying Y., Fleming J., Ovaitt A., Gigliotti J., Fuson A., Cooper Z., Salim A., Hirji S.A., Chung C., Hansen L., Okafor B.U., Roxo V., Raut C.P., Jolissaint J.S., Mahvi D.A., Bankhead-Kendall B., Velmahos G., Maurer L.R., El Moheb M., Gaitanidis A., Naar L., Christensen M.A., Kapoen C., Langeveld K., El Hechi M., Mokhtari A., Haqqani M.H., Drake F.T., Goldenberg-Sandau A., Galbreath B., Reinke C., Ross S., Thompson K., Manning D., Perkins R., Eriksson E., Evans H., Masrur M., Giulianotti P., Benedetti E., Chang G., Ourieff J., Dehart D., Dorafshar A., Price T., Bhama A.R., Torquati A., Cherullo E., Kennedy R., Myers J., Rubin K., Ban V.S., Aoun S.G., Batjer H.H., Caruso J., Carmichael H., Velopulos C.G., Wright F.L., Urban S., McIntyre R.C., Schroeppel T.J., Hennessy E.A., Dunn J., Zier L., Burlew C., Coleman J., Colling K.P., Hall B., Rice H.E., Hwang E.S., Olson S.A., Moris D., Verma R., Hassan R., Volpe A., Merola S., O'Banion L.A., Lilienstein J., Dirks R., Marwan H., Almasri M., Kulkarni G., Mehdi M., Abouassi A., Abdallah M., San Andres M., Eid J., Aigbivbalu E., Sundaresan J., George B., Ssentongo A., Ssentongo P., Oh J.S., Hazelton J., Maines J., Gusani N., Garner M., Horvath S., Zheng F., Ujiki M., Kinnaman G., Meagher A., Sharma I., Holler E., McKenzie K., Chan J., Fretwell K., Nugent W., Khalil A., Chen D., Post N., Rostkowski T., Brahmbhatt D., Huynh K., Hibbard M.L., Schellenberg M., Martin R.C.G., Bhutiani N., Giorgakis E., Laryea J., Bhavaraju A., Sexton K., Kost M., Kimbrough M., Burdine L., Kalkwarf K., Robertson R., Gosain A., Camp L., Lewit R., Kronenfeld J.P., Urrechaga E., Goel N., Rattan R., Hart V., Gilna G., Cioci A., Ruiz G., Rakoczy K., Pavlis W., Saberi R., Morris R., Karam B.S., Brathwaite C.E.M., Liu H., Petrone P., Hakmi H., Sohail A.H., Baltazar G., Heckburn R., Nygaard R.M., Colonna E.T., Endorf F.W., Hill M.J., Maiga A., Dennis B., Levin J.H., Lallemand M., Choron R., Peck G., Soliman F., Rehman S., Glass N., Juthani B., Deisher D., Ruzgar N.M., Ullrich S.J., Sion M., Paranjape C., Kar A.R., Gillezeau C., Rapp J., Taioli E., Miles B.A., Alpert N., Podolsky D., Coleman N.L., Callahan M.P., Brown L., Monson J.R.T., Dehal A., Abbas A., Soliman A., Kim B., Jones C Dauer M.D.E., Renza-Stingone E., Hernandez E., Gokcen E., Kropf E., Sufrin H., Hirsch H., Ross H., Engel J., Sewards J., Poggio J., Sanserino K., Rae L., Philp M., Metro M., McNelis P., Petrov R., Pazionis T., Till B., Lamm R., Rios-Diaz A.J., Palazzo F., Rosengart M., Nicholson K., Carrick M.M., Rodkey K., Suri A., Callcut R., Nicholson S., Talathoti N., Klaristenfeld D., Biffl W., Marsh C., Schaffer K., Berndtson A.E., Averbach S., Curry T., Kwan-Feinberg R., Consorti E., Gonzalez R., Grolman R., Liu T., Merzlikin O., Abel M.K., Ozgediz D., Boeck M., Kornblith L.Z., Nunez-Garcia B., Robinson B., Park P., Utria A.F., Rice-Townsend S.E., Javid P., Hauptman J., Kieran K., Nehra D., Walters A., Cuschieri J., Davidson G.H., Cosker R., Eckhouse S., Choudhry A., Marx W., Jamil T., Seegert S., Al-Embideen S., Quintana M., Jackson H., Wexner S.D., Kent I., Martins P.N., Alshehari M., Al-Naggar H., Alsayadi M., Alyazidi M., Shream S., Alhaddad W., Maqus A., Abu Hamra'a M., Alsayadi R., Ghannam R., Al-Maqtari S., Masdoos S., Al-Harazi Y., Bajjah H., Al-ameri S., Aldawbali M., Gwini G.P., Collaborative, Cardiothoracic Interdisciplinary Research Network and COVIDSurg, Laboratoire des sciences de l'ingénieur, de l'informatique et de l'imagerie (ICube), École Nationale du Génie de l'Eau et de l'Environnement de Strasbourg (ENGEES)-Université de Strasbourg (UNISTRA)-Institut National des Sciences Appliquées - Strasbourg (INSA Strasbourg), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de Recherche en Informatique et en Automatique (Inria)-Les Hôpitaux Universitaires de Strasbourg (HUS)-Centre National de la Recherche Scientifique (CNRS)-Matériaux et Nanosciences Grand-Est (MNGE), Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Réseau nanophotonique et optique, Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS), The Cardiothoracic Interdisciplinary Research Network and COVIDSurg Collaborative, Akowuah, E, Benson, R, Caruana, E, Chetty, G, Edwards, J, Forlani, S, Gradinariu, G, Murphy, G, Oo, A, Patel, A, Ridley, B, Rogers, L, Sanders, J, Tyson, N, Vaja, R, Siaw-Acheampong, K, Argus, L, Chaudhry, D, Dawson, B, Glasbey, J, Gujjuri, R, Jones, C, Kamarajah, S, Khatri, C, Keatley, J, Lawday, S, Li, E, Mann, H, Marson, E, Mclean, K, Picciochi, M, Taylor, E, Tiwari, A, Simoes, J, Trout, I, Venn, M, Wilkin, R, Bhangu, A, Nepogodiev, D, Dajti, I, Gjata, A, Boccalatte, L, Modolo, M, Cox, D, Pockney, P, Townend, P, Aigner, F, Kronberger, I, Hossain, K, Vanramshorst, G, Lawani, I, Ataide, G, Baiocchi, G, Buarque, I, Gohar, M, Slavchev, M, Agarwal, A, Brar, A, Martin, J, Olivos, M, Calvache, J, Perez Rivera, C, Hadzibegovic, A, Kopjar, T, Mihanovic, J, Klat, J, Novysedlak, R, Christensen, P, El-Hussuna, A, Batista, S, Lincango, E, Emile, S, Mengesha, M, Hailu, D, Tamiru, H, Kauppila, J, Laukkarinen, J, Arnaud, A, Albertsmeiers, M, Lederhuber, H, Loffler, M, Tabiri, S, Metallidis, S, Tsoulfas, G, Lorena, M, Grecinos, G, Mersich, T, Wettstein, D, Ghosh, D, Kembuan, G, Brouk, P, Khosravi, M, Mozafari, M, Adil, A, Mohan, H, Zmora, O, Fiore, M, Gallo, G, Pata, F, Pellino, G, Satoi, S, Ayasra, F, Chaar, M, Fakhradiyev, I, Jamal, M, Elhadi, M, Gulla, A, Roslani, A, Martinez, L, Ramos De La Medina, A, Outani, O, Jonker, P, Kruijff, S, Noltes, M, Steinkamp, P, van der Plas, W, Ademuyiwa, A, Osinaike, B, Seyi-olajide, J, Williams, E, Pejkova, S, Augestad, K, Soreide, K, Al Balushi, Z, Qureshi, A, Sayyed, R, Mohsen Daraghmeh, M, Abukhalaf, S, Cukier, M, Gomez, H, Shu, S, Vasquez, X, Parreno-Sacdalan, M, Major, P, Azevedo, J, Cunha, M, Santos, I, Zarour, A, Bonci, E, Negoi, I, Efetov, S, Litvin, A, Ntirenganya, F, Alameer, E, Radenkovic, D, Hong Xiang, F, Hoe, C, Chi Yong, J, Moore, R, Nhlabathi, N, Colino, R, Bravo, A, Minaya-Bravo, A, Jayarajah, U, Wickramasinghe, D, Elmujtaba, M, Jebril, W, Rutegard, M, Sund, M, Isik, A, Leventoglu, S, Abbott, T, Caruna, E, Chakrabortee, S, Demetriades, A, Desai, A, Drake, T, Evans, J, Ford, S, Fotopoulou, C, Griffiths, E, Hutchinson, P, Jenkinson, M, Khan, T, Knight, S, Kolias, A, Leung, E, Mckay, S, Norman, L, Ots, R, Raghavan, V, Roberts, K, Schache, A, Shaw, R, Shaw, K, Smart, N, Stewart, G, Sundar, S, Vimalchandran, D, Wright, N, Alshryda, S, Alser, O, Breen, K, Ganly, I, Kaafarani, H, Kendall, B, Mashbari, H, Al Naggar, H, Mazingi, D, Valenzuela, J, Gemelli, N, Smith, D, Dudi-Venkata, N, Kroon, H, Sammour, T, Roberts, M, Mitchell, D, Lah, K, Pearce, A, Morton, A, Dawson, A, Drane, A, Sharpin, C, Nataraja, R, Pacilli, M, Muralidharan, V, Riddiough, G, Clarke, E, Jamel, W, Qin, K, Cope, D, Egoroff, N, Lott, N, Putnis, S, De Robles, S, Ang, Z, Mitteregger, M, Uranitsch, S, Stiegler, M, Seitinger, G, Lumenta, D, Nischwitz, S, Richtig, E, Pau, M, Srekl-Filzmaier, P, Eibinger, N, Michelitsch, B, Fediuk, M, Papinutti, A, Seidel, G, Kahn, J, Cohnert, T, Messner, F, Ofner, D, Presl, J, Varga, M, Weitzendorfer, M, Emmanuel, K, Binder, A, Zimmermann, M, Holawe, S, Nkenke, E, Grimm, C, Kranawetter, M, Rahman Mitul, A, Islam, N, Karim, S, Komen, N, Ang, E, De Praetere, H, Tollens, T, Schols, G, Smets, C, Haenen, L, Quintens, J, Van Belle, K, Van Ramshorst, G, Pattyn, P, Desender, L, Martens, T, Van de putte, D, Lerut, P, Grimonprez, A, Janssen, M, De Smul, G, Wallaert, P, Van den Eynde, J, Oosterlinck, W, Van den Eynde, R, Sermon, A, Boeckxstaens, A, Cordonnier, A, De Coster, J, Jaekers, J, Politis, C, Miserez, M, Duchateau, N, De Gheldere, C, Flamey, N, Christiano, A, Guidi, B, Minussi, A, Castro, S, Okoba, W, Maldonado, F, Oliveira, P, Baldasso, T, Santos, L, Gomes, G, Pol-Fachin, L, Bezerra, T, Barros, A, da Silva, A, Leite, A, Silvestre, D, Ferro, C, Araujo, M, Lopes, L, Damasceno, P, Araujo, D, Laporte, G, Salem, M, Guimaraes-Filho, M, Nacif, L, Flumignan, R, Nakano, L, Kuramoto, D, Aidar, A, Pereda, M, Correia, R, Santos, B, Carvalho, A, Amorim, J, Guedes Neto, H, Areias, L, Sousa, A, Flumignan, C, Lustre, W, Moreno, D, Barros, N, Baptista-Silva, J, Matos, L, Kowaski, L, Kulcsar, M, Nunes, K, Teixeira, M, Nunes, R, Ijichi, T, Kim, N, Marreiro, A, Muller, B, Barakat Awada, J, Kowalski, L, Vartanian, J, Makdissi, F, Aguiar, S, Marques, N, Carvalho, G, Marques, T, Abdallah, E, Zurstrassen, C, Gross, J, Zequi, S, Goncalves, B, Santos, S, Duprat, J, Coimbra, F, Cicco, R, Takeda, F, Cecconello, I, Ribeiro, U, Gatti, A, Oliva, R, Nardi, C, Atanasov, B, Belev, N, Dell, A, Bigam, D, Dajani, K, Al Riyami, S, Cheng, D, Yang, H, Fayad, A, Carrier, F, Amzallag, E, Desroches, J, Ruel, M, Caminsky, N, Boutros, M, Moon, J, Wong, E, Vanounou, T, Pelletier, J, Wong, S, Girsowicz, E, Bayne, J, Obrand, D, Gill, H, Steinmetz, O, Mackenzie, K, Lukaszewski, M, Jamjoum, G, Richebe, P, Verdonck, O, Discepola, S, Godin, N, Idrissi, M, Briatico, D, Sharma, S, Talwar, G, Bailey, K, Lecluyse, V, Cote, G, Demyttenaere, S, Garfinkle, R, Kouyoumdjian, A, Dumitra, S, Khwaja, K, Luo, L, Berry, G, Liberman, A, Schmid, S, Spicer, J, Al Farsi, M, Abou-Khalil, J, Couture, E, Mohammadi, S, Tremblay, H, Gagne, N, Bergeron, A, Turgeon, A, Costerousse, O, Bellemare, D, Babin, C, Blier, C, Wood, M, Persad, A, Groot, G, Pham, H, D'Aragon, F, Carbonneau, E, 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A, Rodriguez-Abreu, J, Tactuk, N, Diaz-Delgado, P, Rivas, R, Sarmiento-Bobadilla, J, Ashoush, F, Samir Abdelaal, A, Qatora, M, Elsayed Hewalla, M, Metwalli, M, Atta, R, Abdelmajeed, A, Abosamak, N, Sabry, A, Shehata, S, Sallam, I, Amira, G, Sherief, M, Sherif, A, Salem, H, Hamdy, R, Aboulkassem, H, Ghaly, G, Sherif, G, Morsi, A, Abdelrahman, A, Omnia, A, Tawheed, A, El Kassas, M, Omar, W, Abdelsamed, A, Seleim, A, Azzam, A, Elfiky, M, Nabil, A, Ibraheem, M, Eldeeb, M, Fawzy, M, Hamed, H, Elfallal, A, Elfeki, H, Shalaby, M, Sakr, A, Alrahawy, M, Atif, H, Soltan, H, Sayed, A, Salah, A, Atiya, A, Wassim, K, Abbas, A, Abd Elazeem, H, Abd-Elkariem, A, Abd-Elkarem, M, Alaa, S, Ali, A, Ashraf, M, Ayman, A, Azizeldine, M, Elkhayat, H, Emad Mashhour, A, Gaber, M, Hamza, H, Hawal, I, Hetta, H, Elghazaly, S, Mohammed, M, Monib, F, Nageh, M, Saad, A, Saad, M, Shahine, M, Yousof, E, Youssef, A, Esmail, E, Khalaf, M, Eldaly, A, Ghoneim, A, Hawila, A, Badr, H, Elhalaby, I, Abdel-bari, M, Elbahnasawy, 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Gjata, Arben, Boccalatte, Lui, Modolo, Maria Marta, Cox, Daniel, Pockney, Peter, Townend, Philip, Aigner, Felix, Kronberger, Irmgard, Hossain, Kamral, VanRamshorst, Gabrielle, Lawani, Ismail, Ataide, Gustavo, Baiocchi, Glauco, Buarque, Igor, Gohar, Muhammad, Slavchev, Mihail, Agarwal, Arnav, Brar, Amanpreet, Martin, Janet, Olivos, Maricarmen, Calvache, Jose, Perez Rivera, Carlos Jose, Hadzibegovic, Ana Danic, Kopjar, Tomislav, Mihanovic, Jakov, Klat, Jaroslav, Novysedlak, René, Christensen, Peter, El-Hussuna, Alaa, Batista, Sylvia, Lincango, Eddy, Emile, Sameh H., Mengesha, Mengistu Gebreyohane, Hailu, Dr.Samuel, Tamiru, Hailu, Kauppila, Joona, Laukkarinen, Johanna, Arnaud, Alexi, Albertsmeiers, Marku, Lederhuber, Han, Loffler, Marku, Tabiri, Stephen, Metallidis, Symeon, Tsoulfas, Georgio, Lorena, Maria Aguilera, Grecinos, Gustavo, Mersich, Tama, Wettstein, Daniel, Ghosh, Dhruv, Kembuan, Gabriele, Brouk, Peiman, Khosravi, Mohammad, Mozafari, Masoud, Adil, Ahmed, Mohan, Helen M., Zmora, Oded, Fiore, Marco, Gallo, Gaetano, Pata, Francesco, Pellino, Gianluca, Satoi, Sohei, Ayasra, Fari, Chaar, Mohammad, Fakhradiyev, Ildar R., Jamal, Mohammad, Elhadi, Muhammed, Gulla, Aiste, Roslani, April, Martinez, Laura, Ramos De La Medina, Antonio, Outani, Oumaima, Jonker, Pascal, Kruijff, Schelto, Noltes, Milou, Steinkamp, Pieter, van der Plas, Willemijn, Ademuyiwa, Adesoji, Osinaike, Babatunde, Seyi-olajide, Justina, Williams, Emmanuel, Pejkova, Sofija, Augestad, Knut Magne, Soreide, Kjetil, Al Balushi, Zainab, Qureshi, Ahmad, Sayyed, Raza, Mohsen Daraghmeh, Mustafa Abu, Abukhalaf, Sadi, Cukier, Moise, Gomez, Hugo, Shu, Sebastian, Vasquez, Ximena, Parreno-Sacdalan, Marie Dione, Major, Piotr, Azevedo, José, Cunha, Miguel, Santos, Irene, Zarour, Ahmad, Bonci, Eduard-Alexandru, Negoi, Ionut, Efetov, Sergey, Litvin, Andrey, Ntirenganya, Faustin, AlAmeer, Ehab, Radenkovic, Dejan, Hong Xiang, Frederick Koh, Hoe, Chew Min, Chi Yong, James Ngu, Moore, Rachel, Nhlabathi, Ncamsile, Colino, Ruth Blanco, Bravo, Ana Minaya, Minaya-Bravo, Ana, Jayarajah, Umesh, Wickramasinghe, Dakshitha, Elmujtaba, Mohammed, Jebril, William, Rutegård, Martin, Sund, Malin, Isik, Arda, Leventoğlu, Sezai, Abbott, Tom EF., Benson, Ruth, Caruna, Ed, Chakrabortee, Sohini, Demetriades, Andrea, Desai, Anant, Drake, Thomas D., Edwards, John G., Evans, Jonathan P., Ford, Samuel, Fotopoulou, Christina, Griffiths, Ewen, Hutchinson, Peter, Jenkinson, Michael D., Khan, Tabassum, Knight, Stephen, Kolias, Angelo, Leung, Elaine, McKay, Siobhan, Norman, Lisa, Ots, Riinu, Raghavan, Vidya, Roberts, Keith, Schache, Andrew, Shaw, Richard, Shaw, Katie, Smart, Neil, Stewart, Grant, Sundar, Sudha, Vimalchandran, Dale, Wright, Naomi, Alshryda, Sattar, Alser, Osaid, Breen, Kerry, Ganly, Ian, Kaafarani, Haytham, Kendall, Brittany, Mashbari, Hassan, Al Naggar, Hamza, Mazingi, Denni, Simoes, Joana F.F., Dajti, I., Valenzuela, J.I., Boccalatte, L.A., Gemelli, N.A., Smith, D.E., Dudi-Venkata, N.N., Kroon, H.M., Sammour, T., Roberts, M., Mitchell, D., Lah, K., Pearce, A., Morton, A., Dawson, A.C., Drane, A., Sharpin, C., Nataraja, R.M., Pacilli, M., Cox, D.R.A., Muralidharan, V., Riddiough, G.E., Clarke, E.M., Jamel, W., Qin, K.R., Pockney, P., Cope, D., Egoroff, N., Lott, N., Putnis, S., De Robles, S., Ang, Z., Mitteregger, M., Uranitsch, S., Stiegler, M., Seitinger, G., Aigner, F., Lumenta, D.B., Nischwitz, S.P., Richtig, E., Pau, M., Srekl-Filzmaier, P., Eibinger, N., Michelitsch, B., Fediuk, M., Papinutti, A., Seidel, G., Kahn, J., Cohnert, T.U., Messner, F., Öfner, D., Presl, J., Varga, M., Weitzendorfer, M., Emmanuel, K., Binder, A.D., Zimmermann, M., Holawe, S., Nkenke, E., Grimm, C., Kranawetter, M., Rahman Mitul, A., Islam, N., Karim, S., Komen, N., Ang, E., De Praetere, H., Tollens, T., Schols, G., Smets, C., Haenen, L., Quintens, J., Van Belle, K., Van Ramshorst, G.H., Pattyn, P., Desender, L., Martens, T., Van de putte, D., Lerut, P., Grimonprez, A., Janssen, M., De Smul, G., Wallaert, P., 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Awada, J., Baiocchi, G., Kowalski, L.P., Vartanian, J.G., Makdissi, F.B., Aguiar, S., Marques, N., Carvalho, G.B., Marques, T.M.D.M., Abdallah, E.A., Zurstrassen, C.E., Gross, J.L., Zequi, S.C., Gonçalves, B.T., Santos, S.S., Duprat, J.P., Coimbra, F.J.F., Cicco, R., Takeda, F., Cecconello, I., Ribeiro, U., Gatti, A., Oliva, R., Nardi, C., Slavchev, M., Atanasov, B., Belev, N., Dell, A., Bigam, D., Dajani, K., Al Riyami, S., Martin, J., Cheng, D., Yang, H., Fayad, A., Carrier, F.M., Amzallag, E., Desroches, J., Ruel, M., Caminsky, N.G., Boutros, M., Moon, J., Wong, E.G., Vanounou, T., Pelletier, J., Wong, S., Girsowicz, E., Bayne, J., Obrand, D., Gill, H., Steinmetz, O., MacKenzie, K., Lukaszewski, M., Jamjoum, G., Richebé, P., Verdonck, O., Discepola, S., Godin, N., Idrissi, M., Briatico, D., Sharma, S., Talwar, G., Bailey, K., Lecluyse, V., Côté, G., Demyttenaere, S., Garfinkle, R., Kouyoumdjian, A., Dumitra, S., Khwaja, K., Luo, L., Berry, G., Liberman, A.S., Schmid, S., Spicer, J., Al Farsi, M., Abou-Khalil, J., Couture, E., Mohammadi, S., Tremblay, H., Gagné, N., Bergeron, A., Turgeon, Af, Costerousse, O., Bellemare, D., Babin, C., Blier, C., Wood, M.L., Persad, A., Groot, G., Pham, H., D'Aragon, F., Carbonneau, E., Bouchard, M., Masse, M., Pesant, F., Héroux, J., Karanicolas, P., Hallet, J., Nadler, A., Nathens, A., Ko, M., Brar, A., Mayson, K., Kidane, B., Srinathan, S., Escudero, M.I., Reyes, J.T., Modolo, M.M., Ramirez Nieto, P., Sepulveda, R., Bolbarán, A., Molero, A., Ruiz, I., Reyes, G.P., Salas, R., Suazo, C., Muñoz, R., Grasset, E., Inzunza, M., Besser, N., Irarrázaval, M.J., Jarry, C., Bellolio, F., Romero Manqui, C.A., Ruiz Esquide, M., Fuentes, T., Campos, J., Perez Rivera, C.J., Cabrera, P.A., Pinilla, R.E., Guevara, O., Jimenez Ramirez, L.J., Velasquez Cuasquen, B.G., Herrera Mora, D.R., Bonilla, A., Diaz, S., Manrique, E., Facundo, H., Velez Bernal, J.L., Ángel, J., García, M., Guzmán, L., Lehmann, C., Cervera, S., Trujillo Sanchez, L.M., Guevara, R., Valbuena, D., Suarez, L., Jimenez, G., Velandia, A., Vargas, J., Espinosa, J., Rey, S., Mendoza Quevedo, Jairo, Calvache, J.A., Orozco-Chamorro, C.M., Sánchez-Gómez, T.A., Rojas-Tejada, D.A., Mihanovic, J., Bakmaz, B., Rakvin, I., Sulen, N., Andabaka, T., Luksic, I., Mamic, M., Martinek, L., Skrovina, M., Žatecký, J., Peteja, M., Kristensen, H.Ø., Mekhael, M., Christensen, P., Westh, L., Smith, H., Haugstvedt, A.F., Jönsson, M.L., Crespo, A., Batista, S., Rodriguez-Abreu, J., Tactuk, N., Diaz-Delgado, P.J., Rivas, R., Sarmiento-Bobadilla, J.A., Ashoush, F., Samir Abdelaal, A., Qatora, M.S., Elsayed Hewalla, M.E., Metwalli, M., Atta, R., Abdelmajeed, A., Abosamak, N.E., Sabry, A., Shehata, S., Sallam, I., Amira, G., Sherief, M., Sherif, A., Salem, H., Hamdy, R., Aboulkassem, H., Ghaly, G., Sherif, G., Morsi, A., Abdelrahman, A., Omnia, Ahmed, Tawheed, A., El Kassas, M., Omar, W., Abdelsamed, A., Seleim, A., Azzam, A.Y., ElFiky, M., Nabil, A., Ibraheem, M., ELDeeb, M., Fawzy, M., Hamed, H., Emile, S., Elfallal, A., Elfeki, H., Shalaby, M., Sakr, A., Alrahawy, M., Atif, H., Soltan, H., Sayed, A.K., Salah, A., Atiya, A., Wassim, K., Abbas, A.M., Abd Elazeem, H.A.S., Abd-Elkariem, A.Y., Abd-Elkarem, M.M., Alaa, S., Ali, A.K., Ashraf, M., Ayman, A., Azizeldine, M.G., Elkhayat, H., Emad Mashhour, A., Gaber, M., Hamza, H.M., Hawal, I., Hetta, H.F., Elghazaly, S.M., Mohammed, M.M., Monib, F.A., Nageh, M.A., Saad, A., Saad, M.M., Shahine, M., Yousof, E.A., Youssef, A., Esmail, E., Khalaf, M., Eldaly, A., Ghoneim, A., Hawila, A., Badr, H., Elhalaby, I., Abdel-bari, M., Elbahnasawy, M., Hamada, M.K., Morsy, M.S., Hammad, M., Essa, M., Fayed, M.T., Elzoghby, M., Rady, M., Hamad, O., Salman, S., Sarsik, S., Abd-elsalam, S., Gamal Badr, S., El-Masry, Y., Moahmmed, M.M.H., Hailu, S., Wolde, A., Mengesha, M., Nida, S., Workneh, M., Y Ahmed, M., Fisseha, T., Kassa, D., Zeleke, H., Admasu, A., Laeke, T., Tirsit, A., Gessesse, M., Addissie, A., Bekele, D., Kauppila, J.H., Sarjanoja, E., Testelin, S., Dakpé, S., Devauchelle, B., Bettoni, J., Lavagen, N., Schmitt, F., Lemée, J.M., Boucher, S., Breheret, R., Kün-Darbois, J.D., Kahn, A., Gueutier, A., Bigot, P., Borraccino, B., Lakkis, Z., Doussot, A., Heyd, B., Manfredelli, S., Mathieu, P., Paquette, B., Turco, C., Barrabe, A., Louvrier, A., Moszkowicz, D., Giovinazzo, D., Bretagnol, F., Police, A., Charre, L., Volpin, E., Braham, H., El Arbi, N., Villefranque, V., Bendjemar, L., Girard, E., Abba, J., Trilling, B., Chebaro, A., Lecolle, K., Truant, S., El Amrani, M., Zerbib, P., Pruvot, F.R., Mathieu, D., Surmei, E., Mattei, L., Marin, H., Christou, N., Ballouhey, Q., Ferrero, P., Coste Mazeau, P., Tricard, J., Barrat, B., Taibi, A., Usseglio, J., Laloze, J., Salle, H., Fourcade, L., Duchalais, E., Regenet, N., Rigaud, J., Waast, D., Denis, W., Malard, O., Buffenoir, K., Espitalier, F., Ferron, C., Varenne, Y., Crenn, V., De Vergie, S., Cristini, J., Samarut, E., Tzedakis, S., Bouche, P.A., Gaujoux, S., Kantor, E., Gossot, D., Seguin-Givelet, A., Fuks, D., Grigoroiu, M., Sanchez Salas, R., Cathelineau, X., Macek, P., Barbé, Y., Rozet, F., Barret, E., Mombet, A., Cathala, N., Brian, E., Zadegan, F., Conso, C., Blanc, T., Broch, A., Sarnacki, S., Ali, L., Bonnard, A., Peycelon, M., Hervieux, E., Clermidi, P., Maisonneuve, E., Aubry, E., Thomin, A., Langlais, T., Passot, G., Glehen, O., Cotte, E., Lifante, J.C., De Simone, B., Chouillard, E., Arnaud, A.P., Violas, P., Bergeat, D., Merdrignac, A., Scalabre, A., Perotto, L.O., Le Roy, B., Haddad, E., Vermersch, S., Ezanno, A.C., Barbier, O., Vigouroux, F., Malgras, B., Aime, A., Seeliger, B., Mutter, D., Philouze, G., Pessaux, P., Germain, A., Chanty, H., Ayav, A., Kassir, R., Von theobald, P., Sauvat, F., O'Connor, J., Mayombo Idiata, M., O'Connor, Z., Tchoba, S., Modabber, A., Winnand, P., Hölzle, F., Sommer, B., Shiban, E., Wolf, S., Anthuber, M., Sommer, F., Kaemmerer, D., Schreiber, T., Kamphues, C., Lauscher, J.C., Schineis, C., Loch, F.N., Beyer, K., Nasser, S., Sehouli, J., Höhn, P., Braumann, C., Reinkemeier, F., Uhl, W., Weitz, J., Bork, U., Welsch, T., Praetorius, C., Korn, S., Distler, M., Fluegen, G., Knoefel, W.T., Vay, C., Golcher, H., Grützmann, R., Binder, J., Meister, P., Gallinat, A., Paul, A., Schnitzbauer, A.A., Thoenissen, P., El Youzouri, H., Schreckenbach, T., Nguyen, T.A., Eberbach, H., Bayer, J., Erdle, B., Sandkamp, R., Nitschke, C., Izbicki, J., Uzunoglu, F.G., Koenig, D., Gosau, M., Böttcher, A., Heuer, A., Klatte, T.O., Priemel, M., Betz, C.S., Burg, S., Möckelmann, N., Busch, C.J., Bewarder, J., Zeller, N., Smeets, R., Thole, S., Vollkommer, T., Speth, U., Stangenberg, M., Hakami, I., Boeker, C., Mall, J., Schardey, H.M., von Ahnen, T., von Ahnen, M., Brunner, U., Tapking, C., Kneser, U., Hirche, C., Jung, M., Kowalewski, K.F., Kienle, P., Reissfelder, C., Seyfried, S., Herrle, F., Hardt, J., Galata, C., Birgin, E., Rahbari, N., Vassos, N., Stoleriu, M.G., Hatz, R., Albertsmeier, M., 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M., Clarizia, G., Grechi, A., Longhini, A., Guaitoli, E., Manca, G., Grossi, U., Novello, S., Zanus, G., Romano, M., Rossi, S., Ferrara, F., La Torre, M., Pirozzolo, G., Recordare, A., Paiella, S., Turri, G., Rattizzato, S., Campagnaro, T., Guglielmi, A., Pedrazzani, C., Ruzzenente, A., Poletto, E., Conci, S., Casetti, L., Fontana, M., Salvia, R., Malleo, G., Esposito, A., Landoni, L., De Pastena, M., Bassi, C., Tuveri, M., Nobile, S., Marchegiani, G., Bortolasi, L., Sambugaro, E., Malavolta, M., Moretto, G., Impellizzeri, H., Inama, M., Barugola, G., Ascari, F., Ruffo, G., Granieri, S., Cotsoglou, C., Berselli, M., Desio, M., Marchionini, V., Cocozza, E., Di Saverio, S., Ietto, G., Iovino, D., Carcano, G., Ayasra, F., Qasem, A., Ayasra, Y., Al-Masri, M., Abou Chaar, M.K., Al-Najjar, H., Ghandour, K., Alawneh, F., Abdel Jalil, R., Abdel Al, S., Elayyan, M., Ghanem, R., Lataifeh, I., Alsaraireh, O., Abu Za’nouneh, F.J., Fahmawee, T., Ibrahim, A., Obeidat, K., Lee, K.J., Shin, S.J., 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García, F.C., Melchor-Ruan, J., Vilar-Compte, D., Romero-Bañuelos, E., Herrera-Gomez, A., Meneses-Garcia, A., Isla-Ortiz, D., Salcedo-Hernández, R.A., Hernández-Nava, J.M., Morales-Castelan, J.E., Posadas-Trujillo, O.E., Buerba, G.A., Alfaro-Goldaracena, A., Pena Gomez-Portugal, E., Lopez-Pena, G., Hinojosa, C.A., Mercado, M.A., Ramos-De la Medina, A., Martinez, L., Duran, I., Gonzalez, D.S., Martinez, M.J., Nayen Sainz de la Fuente, A., Miguelena, L., Hernández Miguelena, L., Louraoui, S.M., El Azhari, A., Rghioui, M., Khya, E., Ghannam, A., Souadka, A., El Ahmadi, B., Belkhadir, Z.H., Majbar, M.A., Benkabbou, A., Mohsine, R., Oudrhiri, M.Y., Bechri, H., Arkha, Y., El Ouahabi, A., Frima, H., Bachiri, S., Groen, L.C., Verhagen, T., ter Brugge, F.M., Scheijmans, J.C.G., Boermeester, M.A., Hompes, R., Meima-van Praag, E.M., Sharabiany, S., Borgstein, A.B.J., Gisbertz, S.S., van Berge Henegouwen, M.I., Gans, S., Van Duijvendijk, P., Herklots, T., De Hoop, T., De Graaff, M.R., Sloothaak, 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Rashid, I., Ayubi, A., Bhatti, A.B.H., Younis, M.U., Ghouri, A., Ayub, B., Sayyed, R.H., Saleem, A., Turk, K., Alvi, A., Abassy, J., Khan, S., Arshad, M., Ahmed, K., Siddiqui, T., Pirzada, A., Kerawala, A.A., Jamal, A., Rai, L., Nafees Ahmed, R., Memon, A.S., Qureshi, A.U., Ayyaz, M., Umar, M., Butt, U., Kashif, M., Khan, W.H., Waris Farooka, M., Wasim, T., Talat, N., Tahir, W., Naseem, J., Akbar, A., Afroze, S., Sultan, A., Ali, H.B., Janjua, M.H., Janjua, A., Asghar, S., Farooq, M.S., Sarwar, M.Z., Naqi, S.A., Gondal, K.M., Bukhari, S.I., Tariq, M., Javed, S., Yaqoob, E., Mahmood, U., Raja Shabbir, K., Abukhalaf, S.A., Amro, A., Cabada Lee, J.M., Aguilar, A., Rodriguez, E., Castillo, K., Cukier, M., Rodriguez-Zentner, H., Arrue, E., Isaacs Beron, R., Rodríguez Gonzalez, A., Panduro-Correa, V., Cornelio, D.K., Otiniano Alvarado, C.E., Caballero Sarabia, V.D., Vasquez-Ojeda, X.P., Lizzetti-Mendoza, G., Niquen-Jimenez, M., Shu-Yip, S.B., León Palacios, J.L., Borda-Luque, G., Zegarra, 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N.N., Sou, A., Simpson, D., Hamilton, E., Blair, J., Jallad, S., Lord, J., Anderson, C., El Kafsi, J., Logishetty, K., Saadya, A., Midha, R., Ip, M., Subbiah Ponniah, H., Stockdale, T., Bacarese-Hamilton, T., Foster, L., James, A., Anjarwalla, N., Marujo Henriques, D., Hettige, R., Baban, C., Tenovici, A., Salerno, G., Lane, J., Colvin, H.V., Badran, A., Cadersa, A., Cumpstey, A., Hamady, Z., Aftab, R., Wensley, F., Byrne, J., Morrison-Jones, V., Sekhon, G.K., Shields, H., Shakoor, Z., Yener, A., Talbot, T., Alzetani, A., Cresner, R., Babu, B.H.B., Liyanage, A.S.D., Newman, S., Blake, I., Weerasinghe, C., Baumber, R., Parry, J., Menakaya, C., Webb, J.I., Antar, M., Modi, N., Sofat, R., Noel, J., Nunn, R., Adegbola, S., Eriberto, F., Sharma, V., Tanna, R., Lodhia, S., Johnson, D., Hughes, I., Hall, J., Rooney, J., Chatterji, S., Zhang, Y., Owen, R., Rudic, M., Hunt, J., Zakai, D., Aladeojebi, A., Ali, M., Gaunt, A., Barmayehvar, B., Kitchen, M., Gowda, M., Mansour, F., Jarvis, M., Halliday, E., Lefroy, R., Nanjaiah, P., Lin, D.J., Rajgor, A.D., Scurrah, R.J., Kang, C., Watson, L.J., Harris, G., Royle, T., Cunningham, Y., Steel, B., Luk, A.C.O., Boulton, A.J., Khan, T., Bakolas, G., Herrod, P., Gemmill, E., Boyd-Carson, H., Jibreel, M., Lenzi, E., Saafan, T., Sapre, D., Li, Z., Parkins, K., Spencer, N., Harries, R., Egan, R.J., Motter, D., Jenvey, C., Mahoney, R., Fine, N., Minto, T., Henry, A., Hollyman, M., Grieco, C., Gemmell, C., Whitmore, H., Babar, M.S., Goodrum, S., Scott, R., Collard, B., Lau, K., Thomas, E., Patel, A., Allison, J., Bowen, J., Dias, A., Mahendran, B., Gopalswamy, S., Patil, S., Scott, L., Sarveswaran, J., Michel, M., Ravindran, S., Subba, K., Abou-Foul, A.K., Khalefa, M., Hossain, F., Moores, T., Pickering, L., Stables, G., Doorgakant, A., Thiruvasagam, V.G., Carter, J., Reid, S., Mohammed, R., Marlow, W., Ferguson, H., Wilkin, R., Konstantinou, C., Yershov, D., Vatish, J., Denning, A., Shah, H.B., Cross, G.W.V., Seyed-Safi, P., Smart, Y.W., Kuc, A., Al-Yaseen, M., Olivier, J., Hanna, M., Eskander, P., Duncan, R., Halaseh, S., Das, R., Wynn Jones, H., Divecha, H., Whelton, C., Board, T., Powell, S., Magee, C., Agarwal, K., Mangos, E., Nambirajan, T., Vidya, R., Chauhan, G., Kaur, J., Burahee, A., Bleibleh, S., Pigadas, N., Snee, D., Bhasin, S., Crichton, A., Habeebullah, A., Bodla, A.S., Yassin, N., Mondragon, M., Dewan, V., Flindall, I., Mahendran, V., Hanson, A., Jenner, E., Richards, J., Thomas-Fernandez, K., Wall, R., Alqallaf, A., Ben-Sassi, A., Mellor, K., Joshi, P., Joshi, Y., Young, R., Miu, V., Sheridan, K., MacDonald, L., Green, S., Onos, L., Wong, J.J., Napolitano, L., Hemmila, M., Amin, D., Abramowicz, S., Roser, S.M., Olson, K.A., Riley, C., Heron, C., Cardenas, T., Leede, E., Thornhill, M., Haynes, A.B., McElhinney, K., Roward, S., Trust, M.D., Hill, C.E., Teixeira, P.G., Etchill, E., Stevens, K., Ladd, M.R., Long, C., Rose, J., Kent, A., Yesantharao, P., Vervoort, D., Jenny, H., Gabre-Kidan, A., Margalit, A., Tsai, L., Malapati, H., Yesantharao, L., Abdou, H., Diaz, J., Richmond, M., Clark, J., O'Meara, L., Hanna, N., Ying, Y., Fleming, J., Ovaitt, A., Gigliotti, J., Fuson, A., Cooper, Z., Salim, A., Hirji, S.A., Chung, C., Hansen, L., Okafor, B.U., Roxo, V., Raut, C.P., Jolissaint, J.S., Mahvi, D.A., Kaafarani, H., Breen, K., Bankhead-Kendall, B., Alser, O., Mashbari, H., Velmahos, G., Maurer, L.R., El Moheb, M., Gaitanidis, A., Naar, L., Christensen, M.A., Kapoen, C., Langeveld, K., El Hechi, M., Mokhtari, A., Haqqani, M.H., Drake, F.T., Goldenberg-Sandau, A., Galbreath, B., Reinke, C., Ross, S., Thompson, K., Manning, D., Perkins, R., Eriksson, E., Evans, H., Masrur, M., Giulianotti, P., Benedetti, E., Chang, G., Ourieff, J., Dehart, D., Dorafshar, A., Price, T., Bhama, A.R., Torquati, A., Cherullo, E., Kennedy, R., Myers, J., Rubin, K., Ban, V.S., Aoun, S.G., Batjer, H.H., Caruso, J., Carmichael, H., Velopulos, C.G., Wright, F.L., Urban, S., McIntyre, R.C., Schroeppel, T.J., Hennessy, E.A., Dunn, J., Zier, L., Burlew, C., Coleman, J., Colling, K.P., Hall, B., Rice, H.E., Hwang, E.S., Olson, S.A., Moris, D., Verma, R., Hassan, R., Volpe, A., Merola, S., O'Banion, L.A., Lilienstein, J., Dirks, R., Marwan, H., Almasri, M., Kulkarni, G., Mehdi, M., Abouassi, A., Abdallah, M., San Andrés, M., Eid, J., Aigbivbalu, E., Sundaresan, J., George, B., Ssentongo, A., Ssentongo, P., Oh, J.S., Hazelton, J., Maines, J., Gusani, N., Garner, M., Horvath, S., Zheng, F., Ujiki, M., Kinnaman, G., Meagher, A., Sharma, I., Holler, E., McKenzie, K., Chan, J., Fretwell, K., Nugent, W., Khalil, A., Chen, D., Post, N., Rostkowski, T., Brahmbhatt, D., Huynh, K., Hibbard, M.L., Schellenberg, M., Martin, R.C.G., Bhutiani, N., Giorgakis, E., Laryea, J., Bhavaraju, A., Sexton, K., Kost, M., Kimbrough, M., Burdine, L., Kalkwarf, K., Robertson, R., Gosain, A., Camp, L., Lewit, R., Kronenfeld, J.P., Urrechaga, E., Goel, N., Rattan, R., Hart, V., Gilna, G., Cioci, A., Ruiz, G., Rakoczy, K., Pavlis, W., Saberi, R., Morris, R., Karam, B.S., Brathwaite, C.E.M., Liu, H., Petrone, P., Hakmi, H., Sohail, A.H., Baltazar, G., Heckburn, R., Nygaard, R.M., Colonna, E.T., Endorf, F.W., Hill, M.J., Maiga, A., Dennis, B., Levin, J.H., Lallemand, M., Choron, R., Peck, G., Soliman, F., Rehman, S., Glass, N., Juthani, B., Deisher, D., Ruzgar, N.M., Ullrich, S.J., Sion, M., Paranjape, C., Kar, A.R., Gillezeau, C., Rapp, J., Taioli, E., Miles, B.A., Alpert, N., Podolsky, D., Coleman, N.L., Callahan, M.P., Ganly, I., Brown, L., Monson, J.R.T., Dehal, A., Abbas, A., Soliman, A., Kim, B., Jones C Dauer, M.D.E., Renza-Stingone, E., Hernandez, E., Gokcen, E., Kropf, E., Sufrin, H., Hirsch, H., Ross, H., Engel, J., Sewards, J., Poggio, J., Sanserino, K., Rae, L., Philp, M., Metro, M., McNelis, P., Petrov, R., Pazionis, T., Till, B., Lamm, R., Rios-Diaz, A.J., Palazzo, F., Rosengart, M., Nicholson, K., Carrick, M.M., Rodkey, K., Suri, A., Callcut, R., Nicholson, S., Talathoti, N., Klaristenfeld, D., Biffl, W., Marsh, C., Schaffer, K., Berndtson, A.E., Averbach, S., Curry, T., Kwan-Feinberg, R., Consorti, E., Gonzalez, R., Grolman, R., Liu, T., Merzlikin, O., Abel, M.K., Ozgediz, D., Boeck, M., Kornblith, L.Z., Nunez-Garcia, B., Robinson, B., Park, P., Utria, A.F., Rice-Townsend, S.E., Javid, P., Hauptman, J., Kieran, K., Nehra, D., Walters, A., Cuschieri, J., Davidson, G.H., Nunez, J., Cosker, R., Eckhouse, S., Choudhry, A., Marx, W., Jamil, T., Seegert, S., Al-Embideen, S., Quintana, M., Jackson, H., Wexner, S.D., Kent, I., Martins, P.N., Alshehari, M., Al-Naggar, H., Alsayadi, M., Alyazidi, M., Shream, S., Alhaddad, W., Maqus, A., Abu Hamra'a, M., Alsayadi, R., Ghannam, R., Al-Maqtari, S., Masdoos, S., Al-Harazi, Y., Bajjah, H., Al-ameri, S., Aldawbali, M., Gwini, G.P., and Mazingi, D.
Subjects: Pulmonary and Respiratory Medicine, Male, 2019-20 coronavirus outbreak, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), complication, Article, NO, Cohort Studies, outcomes, complications, following cardiac surgery, coronavirus disease 2019, Postoperative Complications, Cardiovascular Diseases, Female, Humans, Middle Aged, SARS-CoV-2, COVID-19, Cardiac Surgical Procedures, Internal medicine, Cardiovascular Disease, medicine, Cardiac Surgical Procedure, In patient, LS7_4, business.industry, Cardiac surgery, outcome, Surgery, Cohort Studie, Cardiology and Cardiovascular Medicine, business, cardiac surgery, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, Cohort study, Human
Abstract: The outbreak of severe acute respiratory syndromecoronavirus-2, the cause of coronavirus disease 2019 (COVID-19) in December 2019 represented a global emergency accounting for more than 2.5 million deaths worldwide.1 It has had an unprecedented influence on cardiac surgery internationally, resulting in cautious delivery of surgery and restructuring of services.2 Understanding the influence of COVID-19 on patients after cardiac surgery is based on assumptions from other surgical specialties and single-center studies. The COVIDSurg Collaborative conducted a multicenter cohort study, including 1128 patients, across 235 hospitals, from 24 countries demonstrating perioperative COVID-19 infection was associated with an overall mortality of 24% and postoperative pulmonary complications in half of all patients.3 Cardiac surgery arguably represents a higher risk population than general or orthopedic surgery due to the high American Society of Anesthesiologists grades and multiple comorbidities usually seen. We present a subgroup analysis of COVIDSurg data, including patients who underwent cardiac surgery between March 1, 2020, and July 31, 2020, across 13 countries, with a confirmed perioperative (7 days preoperative up to 30 days postoperative) diagnosis of COVID-19 infection. This is presented in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology statement for cohort studies.4 Categorical variables were expressed as frequency and percentages and c2 or Fisher exact test was used to compare categorical variables. Only anonymized data were collected. Patient consent was obtained unless it was waived by local research committees. In the United Kingdom, the study was registered at each site as either a clinical audit or service evaluation and consent was waived. In other countries, local investigators were responsible for contacting research ethics committees to obtain local or national approvals in line with applicable regulations.
Published: 2021

16. Predicting the Hard to Predict: How Mitral Regurgitation, General Anesthesia, and 3D TEE Can Form a Reliable Team

Author: Olivier Royer, Etienne J. Couture, and Christoph S. Nabzdyk
Subjects: medicine.medical_specialty, Mitral regurgitation, Anesthesiology and Pain Medicine, business.industry, Internal medicine, Cardiology, Medicine, Cardiology and Cardiovascular Medicine, business
Published: 2022

17. Systematic Quantification of Hypertrophic Scar in Adult Burn Survivors

Author: Elisabeth Marois-Pagé, B Nedelec, Zoë Edger-Lacoursière, Ana de Oliveira, Valerie Calva, Marie-Andrée Couture, and José A. Correa
Subjects: Burn injury, medicine.medical_specialty, Erythema, Scars, burns, 030207 dermatology & venereal diseases, 03 medical and health sciences, Hypertrophic scar, 0302 clinical medicine, cutometer, Medicine, Pliability, business.industry, Ultrasound, 030208 emergency & critical care medicine, hypertrophic scar, high-frequency ultrasound, medicine.disease, Trunk, Surgery, mexameter, skin injuries, medicine.symptom, business, Normal skin, burn injury
Abstract: Very few objective scar evaluations have been conducted with burn survivors, which limits our knowledge of the clinical recovery profile of hypertrophic scars (HSc) and donor site scars (D). The purpose of this study was to prospectively quantify the skin characteristics of post-burn HSc in different anatomical locations (D) and normal skin (N) using objective instrumentation. The skin characteristics of HSc, D, and N in 44 burn survivors were measured at 2, 3, 4, 5, 6, and 7 months post-burn using validated instrumentation: a high-frequency ultrasound (for thickness), Cutometer® (for pliability), and Mexameter® (for erythema and pigmentation). Up to five sites were assessed on the same participant, if their scar was located on the upper extremity (UE), lower extremity (LE), and trunk. A mixed model two-way analysis of variance was used to investigate the differences in means between sites at each time point and between time points at each site. The results revealed that the HSc sites were thicker than the D and N at all time points, the UE and trunk HSc were thicker than the LE HSc at 7 months post-burn, the pliability of the trunk HSc did not improve over time, and the UE HSc was more erythematous at 7 months, compared to other anatomical sites, whereas the D erythema decreased from 2 to 7 months. As clinicians have prioritized UE treatments due to their functional importance, this study provides objective measurements to further support this practice and encourages clinicians to also prioritize trunk HSc treatments after burn injuries.
Published: 2021

18. The Future of Renewable Energy Policy: Adapting to the Rise of Low-Cost Renewables

Author: Toby D. Couture, Owen Zinaman, Jaquelin Cochran, and David Jacobs
Subjects: Renewable energy policy, Environmental law, Energy law, Natural resource economics, business.industry, Economics, business, Renewable energy
Published: 2021

19. The feasibility, reliability, and incremental value of two-dimensional speckle-tracking for the detection of significant coronary stenosis after treadmill stress echocardiography

Author: Etienne Croteau, Etienne L Couture, Serge Lepage, Michel Nguyen, Marie-Claude Brochu, Paul Farand, Marc-André d’Entremont, Warner M. Mampuya, Btissama Essadiqi, Thao Huynh, Doan Hoa Do, Gabriel Fortin, and Samuel Lemaire-Paquette
Subjects: Male, medicine.medical_specialty, Strain-imaging, 030204 cardiovascular system & hematology, Coronary artery disease, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine, Stress Echocardiography, Heart rate variability, Humans, Diseases of the circulatory (Cardiovascular) system, Radiology, Nuclear Medicine and imaging, 030212 general & internal medicine, Treadmill, Angiology, Aged, business.industry, Research, Speckle-tracking, Area under the curve, Coronary Stenosis, Reproducibility of Results, General Medicine, medicine.disease, Stenosis, medicine.anatomical_structure, Case-Control Studies, RC666-701, Cardiology, Feasibility Studies, Female, Exercise stress echocardiography, Cardiology and Cardiovascular Medicine, business, Artery, Echocardiography, Stress
Abstract: Background Two-dimensional speckle-tracking echocardiography (STE) may help detect coronary artery disease (CAD) when combined with dobutamine stress echocardiography. However, few studies have explored STE with exercise stress echocardiography (ESE). We aimed to evaluate the feasibility, reliability, and incremental value of STE combined with treadmill ESE compared to treadmill ESE alone to detect CAD. Methods We conducted a case–control study of all consecutive patients with abnormal ESE in 2018–2020 who subsequently underwent coronary angiography within a six-month interval. We 1:1 propensity score-matched these patients to those with a normal ESE. Two blinded operators generated a 17-segment bull's-eye map of longitudinal strain (LS). We utilized the mean differences between stress and baseline LS values in segments 13–17, segment 17, and segments 15–16 to create receiver operator curves for the overall examination, the left anterior descending artery (LAD), and the non-LAD territories, respectively. Results We excluded 61 STEs from 201 (30.3%) eligible ESEs; 47 (23.4%) because of suboptimal image quality and 14 (7.0%) because of excessive heart rate variability precluding the calculation of a bull's-eye map. After matching, a total of 102 patients were included (51 patients in each group). In the group with abnormal ESE patients (mean age 66.4 years, 39.2% female), 64.7% had significant CAD (> 70% stenosis) at coronary angiogram. In the group with normal ESE patients (mean age 65.1 years, 35.3% female), 3.9% were diagnosed with a new significant coronary stenosis within one year. The intra-class correlation for global LS was 0.87 at rest and 0.92 at stress, and 0.84 at rest, and 0.89 at stress for the apical segments. The diagnostic accuracy of combining ESE and STE was superior to visual assessment alone for the overall examination (area under the curve (AUC) = 0.89 vs. 0.84, p = 0.025), the non-LAD territory (AUC = 0.83 vs. 0.70, p = 0.006), but not the LAD territory (AUC = 0.79 vs. 0.73, p = 0.11). Conclusions Two-dimensional speckle-tracking combined with treadmill ESE is relatively feasible, reliable, and may provide incremental diagnostic value for the detection and localization of significant CAD.
Published: 2021

20. Standard-Dose Pembrolizumab Plus Alternate-Dose Ipilimumab in Advanced Melanoma: KEYNOTE-029 Cohort 1C, a Phase 2 Randomized Study of Two Dosing Schedules

Author: Félix Couture, Victoria Atkinson, Steven L. McCune, Alexander M. Menzies, Geoffrey T. Gibney, Andrew G. Hill, Georgina V. Long, Cuizhen Niu, Michael P. Brown, Blanca Homet Moreno, Stéphane Dalle, Steven J. O'Day, Caroline Robert, Matteo S. Carlino, Marcus O. Butler, Nageatte Ibrahim, Adi Diab, and Jonathan Cebon
Subjects: Cancer Research, medicine.medical_specialty, Skin Neoplasms, Ipilimumab, Pembrolizumab, Antibodies, Monoclonal, Humanized, Gastroenterology, Article, law.invention, Randomized controlled trial, law, Internal medicine, Antineoplastic Combined Chemotherapy Protocols, medicine, Humans, Adverse effect, Melanoma, business.industry, medicine.disease, Regimen, Oncology, Cohort, Toxicity, business, medicine.drug
Abstract: Purpose: Standard-dose pembrolizumab plus alternative-dose ipilimumab (1 mg/kg Q3W for 4 doses) were tolerable and had robust antitumor activity in advanced melanoma in cohort B of the phase 1 KEYNOTE-029 study. Cohort C evaluated standard-dose pembrolizumab with two other alternative ipilimumab regimens. Patients and Methods: Patients with treatment-naive unresectable stage III/IV melanoma were randomly assigned 1:1 to pembrolizumab 200 mg Q3W for ≤24 months plus ipilimumab 50 mg Q6W for 4 doses (PEM200+IPI50), or the same pembrolizumab regimen plus ipilimumab 100 mg Q12W for 4 doses (PEM200+IPI100). Primary end points were incidence of grade 3–5 treatment-related adverse events (TRAE) and objective response rate (ORR) per RECIST v1.1 by independent central review. Per protocol-defined thresholds, grade 3–5 TRAE incidence ≤26% indicated meaningful toxicity reduction and ORR ≥48% indicated no decrease in efficacy versus data reported for other PD-1 inhibitor/ipilimumab combinations. Results: Median follow-up on February 18, 2019, was 16.3 months in PEM200+IPI50 (N = 51) and 16.4 months in PEM200+IPI100 (N = 51). Grade 3–5 TRAEs occurred in 12 (24%) patients in PEM200+IPI50 and 20 (39%) in PEM200+IPI100. One patient in PEM200+IPI50 died from treatment-related autoimmune myocarditis. Immune-mediated AEs or infusion reactions occurred in 21 (42%) patients in PEM200+IPI50 and 28 (55%) in PEM200+IPI100. ORR was 55% in PEM200+IPI50; 61% in PEM200+IPI100. Conclusions: Pembrolizumab 200 mg Q3W plus ipilimumab 50 mg Q6W or 100 mg Q12W demonstrated antitumor activity above the predefined threshold; pembrolizumab plus ipilimumab 50 mg Q6W had lower incidence of grade 3–5 TRAEs than the predefined threshold, suggesting a reduction in toxicity. See related commentary by Jameson-Lee and Luke, p. 5153
Published: 2021

21. Short and Mid Term Outcomes of Cryopreserved Abdominal Aortic Allografts Used as a Substitute for Infected Prosthetic Grafts in 200 Patients

Author: Jérémie Jayet, Laurent Chiche, Thibault Couture, Julien Gaudric, Fabien Koskas, Jean-Michel Davaine, Sophie Tezenas du Montcel, Dorian Verscheure, Mohamed Jarraya, CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Algorithms, models and methods for images and signals of the human brain (ARAMIS), Sorbonne Université (SU)-Inria de Paris, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-Institut du Cerveau = Paris Brain Institute (ICM), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Laboratoire de Physique et Mécanique Textiles - LPMT - UR4365 (LPMT), Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Matériaux et Nanosciences Grand-Est (MNGE), Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), Pôle des Cardiopathies Congénitales du Nouveau-Né à L'adulte - Centre Constitutif Cardiopathies Congénitales Complexes M3C, Groupe Hospitalier Paris Saint-Joseph, Hôpital Marie-Lannelongue, Inserm U999, Université Paris-Saclay, Sorbonne Université - Faculté de Médecine (SU FM), Sorbonne Université (SU), Hopital Saint-Louis [AP-HP] (AP-HP), Laboratoire Génie électrique et électronique de Paris (GeePs), and CentraleSupélec-Sorbonne Université (SU)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)
Subjects: medicine.medical_specialty, medicine.medical_treatment, 030204 cardiovascular system & hematology, 030230 surgery, 03 medical and health sciences, 0302 clinical medicine, Aneurysm, medicine.artery, medicine, Abdominal aorta, Prosthesis-Related Infection, Aorta, business.industry, Retrospective cohort study, Allografts, medicine.disease, Prosthesis-related infection, Thrombosis, Surgery, Stenosis, Amputation, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Cardiology and Cardiovascular Medicine, business
Abstract: International audience; Objective: To investigate the use of cryopreserved arterial allografts (CAA) as a substitute for infected infrarenal aortic prostheses, and its outcomes.Methods: A single centre retrospective study of consecutive patients receiving an abdominal aortic CAA after removal of an infected graft was conducted between January 1997 and December 2013. The primary outcome was the rate of allograft related revision surgery. Secondary outcomes were the 30 day mortality rate, survival, primary patency, limb salvage, and infection recurrence. Allograft ruptures secondary to infection and risk factors for allograft failure were also investigated.Results: Two hundred patients (mean age 64.2 ± 9.4 years) were included. In 56 (28%) cases, infection was related to an enteric fistula. The mean follow up duration was 4.1 years. The 30 day mortality rate was 11%. Early revision surgery was needed in 59 patients (29.5%). Among them, 15 (7.5%) were allograft related and led to the death of three patients (1.5%), corresponding to a 7.5% 30 day allograft related revision surgery rate. During the first six months, 17 (8.5%) patients experienced 21 events with complete or partial rupture (pseudo-aneurysm) of the allograft responsible for five (2.5%) deaths, corresponding to a re-infection rate of 8.5%. The multivariable analysis showed that diabetes and pseudo-aneurysm of the native aorta on presentation were predictive factors for short term allograft rupture. After six months, 25 (12.5%) patients experienced long term allograft complications (rupture, n = 2, 1%; pseudo-aneurysm, n = 6, 3%; aneurysm, n = 2, 1%; thrombosis, n = 11, 5.5%; stenosis, n = 4, 2%;) requiring revision surgery resulting in one death. The five year rates of survival, allograft related revision surgery, limb salvage, primary patency, and infection recurrence were 56%, 30%, 89%, 80%, and 12%, respectively.Conclusion: CAAs provide acceptable results to treat aortic graft infection with few early graft related fatal complications. Long term allograft related complications are quite common but are associated with low mortality and amputation rates.
Published: 2021

22. Double-lumen endotracheal tubes and bronchial blockers exhibit similar lung collapse physiology during lung isolation

Author: Jens Lohser, François Lellouche, Olivier Moreault, Jean S. Bussières, Etienne J. Couture, Jacques Somma, Paula A. Ugalde, Jerôme Lemieux, and Steeve Provencher
Subjects: Pulmonary Atelectasis, medicine.medical_specialty, Lung, Lung Collapse, Thoracic Surgery, Video-Assisted, business.industry, Lumen (anatomy), Bronchi, General Medicine, respiratory system, Double-lumen endobronchial tube, Bronchial blocker, Confidence interval, One-Lung Ventilation, respiratory tract diseases, Anesthesiology and Pain Medicine, medicine.anatomical_structure, Cardiothoracic surgery, Anesthesia, Intubation, Intratracheal, medicine, Breathing, Humans, business
Abstract: Double-lumen endotracheal tubes (DL-ETT) and bronchial blockers (BB) are frequently used to allow one-lung ventilation (OLV) during video-assisted thoracic surgery (VATS). Recently, faster lung collapse has been documented with a BB than with a DL-ETT. The physiologic mechanisms behind this faster collapse remained unknown. We aimed to measure ambient air absorption (Vresorb) and intra-bronchial pressure (Pairway) into the non-ventilated lung during OLV using DL-ETT and BB. Patients undergoing VATS and OLV for lung resection were randomly assigned to have measurements made of Vresorb or Pairway within the non-ventilated lung using either a DL-ETT or BB. Thirty-nine patients were included in the analyses. The mean (standard error of the mean [SEM]) Vresorb was similar in the DL-ETT and BB groups [504 (85) vs 630 (86) mL, respectively; mean difference, 126; 95% confidence interval [CI], -128 to 380; P = 0.31]. The mean (SEM) Pairway became progressively negative in the non-ventilated lung in both the DL-ETT and the BB groups reaching [-20 (5) and -31 (10) cmH2O, respectively; mean difference, -11; 95% CI, -34 to 12; P = 0.44] at the time of the pleural opening. During OLV before pleural opening, entrainment of ambient air into the non-ventilated lung occurs when the lumen of the lung isolation device is kept open. This phenomenon is prevented by occluding the lumen of the isolation device before pleural opening, resulting in a progressive build-up of negative pressure in the non-ventilated lung. Future clinical studies are needed to confirm these physiologic results and their impact on lung collapse and operative outcomes. www.clinicaltrials.gov (NCT02919267); registered 28 September 2016.
Published: 2021

23. Evaluation of self-report screening measures in the detection of depressive and anxiety disorders among children and adolescents with systemic lupus erythematosus

Author: Earl D. Silverman, Lawrence Ng, Daphne J. Korczak, Linda T. Hiraki, Kate M Neufeld, Daniela Dominguez, Deborah M. Levy, Andrea M Knight, Reva Schachter, Julie Couture, Katherine Tombeau Cost, Ashley N Danguecan, and Michelle Quilter
Subjects: Pediatric Lupus, Adolescent, Anxiety, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, systemic lupus erythematosus, Medicine, Humans, Lupus Erythematosus, Systemic, Mass Screening, 0501 psychology and cognitive sciences, Self report, Depression (differential diagnoses), 030203 arthritis & rheumatology, business.industry, Depression, screening, 05 social sciences, Anxiety Disorders, pediatric, Self Report, medicine.symptom, business, 050104 developmental & child psychology, Screening measures, Clinical psychology
Abstract: Background There are no validated screening measures for depressive or anxiety disorders in childhood Systemic Lupus Erythematosus (cSLE). We investigated cross-sectionally (1) the prevalence of depressive and anxiety disorder in cSLE. (2) the validity of the Centre for Epidemiologic Studies Depression Scale for Children (CES-DC) and the Screen for Childhood Anxiety and Related Disorders (SCARED) measures in identifyingthese disorders. Methods Participants 8-18 years with cSLE/incipient cSLE completed CES-DC, SCARED, and Quality OfMy Life (QOML) measures. Parents completed the SCARED-Parent measure. Diagnosis was by gold-standard psychiatric interview and determined prevalence of psychiatric disorder. Receiver Operating Characteristics Area under the Curve (ROCAUC) evaluated screening measure diagnostic performance. Results Ofseventy-two parent-child dyads, 56 interviews were completed. Mean screen scores were: CES-DC = 15 (range 1-49, SD 12), SCARED-C = 22 (range 2-61, SD 14), SCARED-P = 13 (range 0-36, SD 8). Depressive disorder screen positivity (CES-DC ≥ 15) was 35% (vs. prevalence 5%). Anxiety disorder screen positivity (SCARED ≥ 25) was 39% (vs. prevalence 16%). CES-DC ROCAUC = 0.98 and SCARED-C ROCAUC = 0.7 (cut-points 38 and 32 respectively). Conclusions Diagnostic thresholds for depressive and anxiety disorderscreening measures are high for both CES-DC and SCARED-C in cSLE. Brief focused interview should follow to determine whether psychiatric evaluation is warranted.
Published: 2021

24. Global perspective of familial hypercholesterolaemia: a cross-sectional study from the EAS Familial Hypercholesterolaemia Studies Collaboration (FHSC)

Author: Jie Lin, Snejana Tisheva, Ishwar C. Verma, Francesco Cipollone, Liam R. Brunham, Florentina Predica, Perla A.C. Gonzalez, Jocelyne Inamo, André R. Miserez, Belma Pojskic, Michel Farnier, Avishay Ellis, Katia Bonomo, Ibrahim Al-Zakwani, Maria Grazia Zenti, Humberto A. Lopez, Khairul Shafiq Ibrahim, Erkin M. Mirrakhimov, Alexey Meshkov, Jose P. de Moura, Muthukkaruppan Annamalai, Raul D. Santos, F. Paillard, Maria Del Ben, Jan Lacko, Miguel T. Rico, Ximena Reyes, Laura E.G. de Leon, Noor Shafina Mohd Nor, Ulrich Julius, Mohammed A. Batais, Dieter Böhm, Ta-Chen Su, Takuya Kobayashi, Magdalena Chmara, Marco Gebauer, Marcos M. Lima-Martínez, Ravshanbek D. Kurbanov, Daisaku Masuda, Amro El-Hadidy, Melanie Schüler, Francisco Fuentes, Florian J. Mayer, Helena Vaverkova, F. Ulrich Beil, Juraj Bujdak, Mario Stoll, Isabelle Ruel, Elena Dorn, Thomas M. Stulnig, Abubaker Elfatih, Rano B. Alieva, Jiri Vesely, Valérie Carreau, Cristina M. Sibaja, Sophie Béliard, Olivier Ziegler, Adriana Branchi, Daniel Schurr, G.B. John Mancini, Tai E. Shyong, Eric L.T. Siang, Mafalda Bourbon, Zerrin Yigit, Meral Kayıkçıoğlu, Jacques Genest, Wei Yu, Michal Vrablík, Shavkat U. Hoshimov, Dan Gaita, Antonio Pipolo, Ashraf H.A. AlQudaimi, Walter Speidl, Gianfranco Parati, Zaliha Ismail, Victoria M. Zubieta, René Valéro, Tomas Salek, Hana Halamkova, Gustavs Latkovskis, Nicole Allendorf-Ostwald, Agnes Perrin, Vladimir Soska, Anastasia Garoufi, Francisco Araujo, Nacu C. Portilla, Thomas Segiet, Charalambos Koumaras, Hila Knobler, Fatih Sivri, Hani Altaradi, Ivan Pećin, Long Jiang, Alexander Dressel, Marlena Woś, Jana Franekova, D. Agapakis, Quitéria Rato, Dirk J. Blom, Marcin A. Bartlomiejczyk, Krzysztof Dyrbuś, Maurizio Averna, Phivos Symeonides, Yung A. Chua, Asim Rana, András Nagy, Juan C.G. Cuellar, Alexander Jäkel, Maya Safarova, Neama Luqman, Amalia-Despoina Koutsogianni, Patrick Tounian, Jose A. Alvarez, Ada Cuevas, Corinna Richter, Sybil Charrieres, Vitaliy Zafiraki, Michalis Doumas, Angela Lux, Thanh Huong Truong, Elaine Chow, José Luis Díaz-Díaz, Jesus R.H. Almada, Sabine Füllgraf-Horst, Gustavo G. Retana, Claudio Borghi, Gianni Biolo, Ivajlo Tzvetkov, Patrícia Pais, Mehmet Akbulut, Kumiko Nagahama, Oner Ozdogan, Frank Leistikow, Jianxun He, Alexander R.M. Lyons, Poranee Ganokroj, Luis E.S. Mendia, Ann-Cathrin Koschker, Gabriela A.G. Ramirez, Dainus Gilis, Karin Balinth, José Ramiro Cruz, Paolo Calabrò, Alberico L. Catapano, Emmanouil Skalidis, Hamida Al-Barwani, Genovefa Kolovou, Carolyn S.P. Lam, Yoto Yotov, Yaacov Henkin, Gabriella Iannuzzo, Aimi Z. Razman, Alma B.M. Rodriguez, Hans Dieplinger, Darlington E. Obaseki, Ursulo J. Herrera, Arcangelo Iannuzzi, Christoph Säly, Elena Olmastroni, Francisco G. Padilla, S.A. Nazli, Ioanna Gouni-Berthold, Miriam Kozárová, Urh Groselj, Igor Shaposhnik, Lorenzo Iughetti, Nawal Rwaili, Cinthia E. Jannes, Andrea Bartuli, Mikhail Voevoda, Marat V. Ezhov, Yanyu Duan, Alper Sonmez, Mustafa Yenercag, Ariane Sultan, Natasza Gilis-Malinowska, Tavintharan Subramaniam, Mohamed Ashraf, Jing Pang, Kota Matsuki, Tao Jiang, Gerald Klose, Eduardo A.R. Rodriguez, Lucie Solcova, Riccardo Sarzani, Mahmoud Traina, Alejandra Vázquez Cárdenas, Gordon A. Francis, Adolat V. Ziyaeva, Ronen Durst, Maciej Banach, Francisco Silva, Heribert Schunkert, Børge G. Nordestgaard, Ziyou Liu, Ahmad Bakhtiar Md Radzi, Hana Rosolova, Andrea Bäßler, Abdulhalim Jamal Kinsara, Noël Peretti, Victor Gurevich, Margarita T. Tamayo, Abdullah Tuncez, Florian Höllerl, Ljubica Stosic, Jianguang Qi, Anja Kirschbaum, Jitendra P.S. Sawhney, Michael Scholl, Kausik K. Ray, Mohamed Bendary, Hapizah Nawawi, Adrienne Tarr, Barbora Nussbaumerova, B.C. Brice, Kurt Huber, Noor Alicezah Mohd Kasim, A. Rahman A. Jamal, Vaclava Palanova, Giacomo Biasucci, Pucong Ye, Eva Cubova, Roopa Mehta, Rüdiger Schweizer, Veronica Zampoleri, Jacek Jóźwiak, Alyaa Al-Khateeb, Jing Hong, Katarina Raslova, Kirsten B. Holven, Tatiana Rozkova, Reinhold Busch, Alexander Klabnik, Konrad Hein, Eloy A.Z. Carrillo, Robin Urbanek, Livia Pisciotta, Fatma Y. Coskun, Jose J.G. Garcia, Valerio Pecchioli, Azra D. Nalbantic, Weerapan Khovidhunkit, Jernej Kovac, Michaela Kadurova, Mohammed Al-Jarallah, Vita Saripo, Christos V. Rizos, Jie Peng, Ang L. Chua, Dorothee Deiss, Nor A.A. Murad, Aneta Stróżyk, See Kwok, Gökhan Alici, Gillian J. Pilcher, John J.P. Kastelein, Dmitry Duplyakov, Calin Lengher, Milena Budikova, C. Azzopardi, Christina Antza, Luis E.V. Arroyo, Khalid Al-Jumaily, Ahmad Al-Sarraf, Carlos A. Aguilar-Salinas, Erkayim Bektasheva, Arta Upena-RozeMicena, Qian Wang, Xumin Wang, Leah Leavit, Radzi Rahmat, Selim Topcu, Željko Reiner, Lorenzo Maroni, Matija Cevc, Elizabeth R. Cooremans, Masatsune Ogura, Tevfik Sabuncu, Ruy D Arjona Villicaña, Andrea Giaccari, Xuesong Fan, Auryan Szalat, Sanjaya Dissanayake, Etienne Khoury, Anja Vogt, Hermann Toplak, Alexis Baass, Isabel Palma, Gaelle Sablon, Dana A. Hay, Ya Yang, Margus Viigimaa, Erik S.G. Stroes, Dror Harats, Konstantin Krychtiuk, Zesen Liu, Aleksandra Parczewska, Yves Cottin, Yichen Qu, Mathilde Di-Fillipo, Agnieszka Konopka, Lamija Pojskic, Guadalupe J. Dominguez, Ahmet Temizhan, Roberto C. Chacon, Ibrahim E. Dural, Qiang Yong, G. Kees Hovingh, Kang Meng, Sandra Kutkiene, Julie Lemale, Reinhold Innerhofer, Alexandros D. Tselepis, Handrean Soran, Wolfgang König, Bassam Atallah, Olena Mitchenko, Jana Cepova, Eduardo M. Rodriguez, Ulrich Laufs, Norhidayah Rosman, Alena Lubasova, V. Durlach, Frederick J. Raal, Elyor Khodzhiboboev, Cristina Pederiva, Hui Yuan, Ashraf Reda, Fahad Alnouri, Konstantinos Tziomalos, Thanh T. Le, Jana Sirotiakova, Régis Hankard, Hector E.A. Cazares, Betsabel Rodriguez, Lenka Pavlickova, Assen Goudev, Julius Katzmann, Diana Boger, Wael Almahmeed, Katarina T. Podkrajsek, Sabina Zambon, Fahri Bayram, Nadia Citroni, Samir Rafla, Vincent Rigalleau, Aleksandr B. Shek, Hani Sabbour, Berenice G. Guzman, Shoshi Shpitzen, Eric Tarantino, Ahmed Bendary, Fedya Nikolov, Jean Bergeron, Stefan Kopf, Iva Rasulic, Gerald F. Watts, Muhammad I.A. Hafidz, Mehmet B. Yilmaz, Kathrin Biolik, Ira A. Haack, Robert A. Hegele, Sonia Dulong, Bartosz Wasąg, Osama Sanad, Susana Correia, Zhenjia Wang, Dana Biedermann, Christel König, Helena Podzimkova, Ihab Daoud, Mohammad Alghamdi, Dražen Perica, László Márk, Iosif Koutagiar, Volkan Dogan, Vladimir Blaha, Chandrashekhar K. Ponde, Katerina Valoskova, Amer A. Jabbar, Azhari Rosman, Sazzli Kasim, Mesut Demir, Ulugbek I. Nizamov, Aldo Ferreira-Hermosillo, Dilek Yesilbursa, Atef Elbahry, Arshad Abdulrasheed, Omer A. Elamin, Vasileios Athyros, Joanna Lewek, Gergely Nagy, Ursula Kassner, Jian Jiao, Klaus G. Parhofer, Charlotte Nzeyimana, Marcin Pajkowski, Stanislav Zemek, Jose J.C. Macías, Cornelius Müller, G. Sfikas, Leopoldo Pérez de Isla, Yulia Ragino, Fahad Al-Zadjali, Abdul Rais Sanusi, Anna Rita Roscini, Jean Ferrières, Selim Jambart, Jean Pierre Rabes, Laura Schreier, Hofit Cohen, Olivier S. Descamps, N. Lalic, Christine Stumpp, Antonio J. Vallejo-Vaz, Jutta Christmann, Manuela Casula, Mariko Harada-Shiba, Olga Lunegova, Ewa Starostecka, Nicolas D. Oca, Alain Carrié, Achilleas Attilakos, Savas Ozer, Andreea Dumitrescu, Jürgen Merke, Urte Aliosaitiene, Evangelos Liberopoulos, Manuel O. De los Rios Ibarra, Maria J. Virtuoso, Alessandro Lupi, Panagiotis Anagnostis, Ruth Agar, Dorota Ferrieres, George Liamis, José Eduardo Krieger, Mariann Harangi, Fouzia Sadiq, Francois Schiele, Saif Kamal, Mária Audikovszky, Peter Baumgartner, Marta Gazzotti, Daniel Gaudet, Ashanty F. Ortega, Marcin Gruchała, Philippe Moulin, Ljiljana Popovic, Luca Bonanni, E. Kiouri, Mika Hori, Chiara Trenti, Elena Repetti, Carlo Sabbà, Sophie Bernard, Alejandro R. Zazueta, Mirac Vural, Jesus R. Gonzalez, C. Stevens, Francesca Carubbi, Wenhui Wen, Sabri Demircan, Kanika I. Dharmayat, Anne Tybjærg-Hansen, Elizabete Terauda, Claudia Zemmrich, Alphonsus Isara, Fabiola L. Sobrevilla, Anell Hernandez Garcia, Ibrahim Sisic, Justin T. I-Shing, Yvonne Winhofer-Stöckl, Luya Wang, Manfred Mayer, Mohanad Al-ageedi, Judith Wiener, Mohammed Al-Kindi, Anis Safura Ramli, Yan Chen, Denis Angoulvant, Aytekin Oguz, K.H. Wolmarans, Claudio Ferri, Tomáš Freiberger, Lubomira Cermakova, Julieta D.M. Portano, Pierre Henri Ducluzeau, Katerina Vonaskova, Levent H. Can, Mario H.F. Andrade, György Paragh, C. Ebenbichler, Karina J.A. Rivera, Alia Khudari, Elisabeth Steinhagen-Thiessen, Ana C. Alves, Victoria Korneva, Sandra Singh, Georgia Anastasiou, Nur S. Hamzan, Massimo Federici, Lale Tokgozoglu, Hector G. Alcala, Oana Moldovan, Giuseppe Mandraffino, Swarup A.V. Shah, Lukas Burda, Ersel Onrat, Manuel de los Reyes Barrera Bustillo, Mirjana Radovic, Arman Postadzhiyan, Nien-Tzu Chang, Aylin Yildirir, Martin Mäser, Bruno Fink, Svetlana Mosteoru, Ulrike Schatz, Luis A.V. Talavera, Magdalena Dusejovska, Richard Ceska, Faisal A. Al-Allaf, T.F. Ashavaid, Gereon Böll, Sona Machacova, Gonzalo C. Vargas, Antonio Gallo, Elina Pantchechnikova, Lukas Tichy, Gersina Rega-Kaun, Moses Elisaf, Branislav Vohnout, Antonio Bossi, Suad Al-Mukhaini, Natasa Rajkovic, Ursa Sustar, Merih Kutlu, Mohamed Sobhy, Britta Otte, Ana M. Medeiros, Borut Jug, Patrick Couture, Rodrigo Alonso, Wolfgang Seeger, Guzal J. Abdullaeva, Ahmet Celik, Nasreen Al-Sayed, Béla Benczúr, Petra E. Khoury, Rafezah Razali, Ma L.R. Osorio, Ruiying Zhang, Monica M.N. Usme, Humberto Garcia Aguilar, Ceyhun Ceyhan, Antje Spens, Christoph J. Binder, Volker Schrader, Terrance C.S. Jin, Neftali E.A. Villa, Aleksandra Michalska-Grzonkowska, Francesco Purrello, Marshima M. Rosli, Vincent Maher, Dilshad Rasul, Ines Colaço, Ornella Guardamagna, Giuliana Mombelli, Khalid F. AlHabib, Fahmi Alkaf, Marianne Benn, Youmna Ghaleb, Arsenio V. Vazquez, Lakshmi L. Reddy, Salih Kilic, Siti Hamimah Sheikh Abdul Kadir, E. Bilianou, Rossella Marcucci, Sandro Muntoni, Kurt Widhalm, Evangelos A. Zacharis, Kuznetsova T. Yu, Eric Bruckert, Antonia Sonntag, Katerina Rehouskova, Josè Pablo Werba, Leobardo Sauque-Reyna, Myra Tilney, Dov Gavishv, A.M. Fiorenza, Zdenka Krejsova, Hong A. Le, Andrey V. Susekov, Isabel Klein, Mai N.T. Nguyen, Andrejs Erglis, Muge Ildizli, Diane Brisson, Salmi Razali, Winfried März, Ovidio Muñiz-Grijalvo, Justyna Borowiec-Wolna, Ingrid Buganova, Ngoc T. Kim, Yue Wu, István Reiber, Jose C.A. Martinez, Pavel Malina, Sandy Elbitar, Stephan Matthias, Ali F. Abdalsahib, Zlatko Fras, Wilson E Sadoh, Lucas Kleemann, Tayfun Sahin, Martin P. Bogsrud, Fabio Pellegatta, Mohamed A. Shafy, Yuntao Li, Martine Paquette, Zuhier Awan, Arturo Pujia, Xiantao Song, Renata Cifkova, Alexandre C. Pereira, Ioannis Skoumas, Roman Cibulka, Tadej Battelino, Mariusz Gąsior, Ghada Kazamel, Lahore S.U. Shah, Eran Leitersdorf, Niki Katsiki, Daniel Elías-López, Khalid Al-Rasadi, Grete Talviste, Sarka Mala, Rocio M. Alvarado, Pavel Kraml, Gerret Paulsen, Angelina Passaro, Zsolt Karányi, Carine Ayoub, Vera Adamkova, Ivo Petrov, Turky H. Almigbal, Rohana Abdul Ghani, Franck Boccara, Brian W. McCrindle, François Martin, Jamshed J. Dalal, Shitong Cheng, Khalid Al-Waili, Chaoyi Zhang, Ramon M. Prado, Lubica Cibickova, Lubomira Fabryova, Tobias Wiesner, Thuhairah Hasrah Abdul Rahman, Tan J. Le, Marcello Arca, Sabine Scholl-Bürgi, Juan R. Saucedo, Georgijs Nesterovics, Carla V.M. Valencia, Alexander Stadelmann, Vasileios Kotsis, Lina Badimon, Shizuya Yamashita, Jose C.M. Oyervides, Lay K. Teh, Susanne Greber-Platzer, Marianne Abifadel, Ruta Meiere, Wibke Reinhard, Pablo Corral, Nina Schmidt, Alain Pradignac, A. David Marais, Marta Jordanova, Marzena Romanowska-Kocejko, Johannes Scholl, Brian Tomlinson, Laura G.G. Herrera, Loukianos S. Rallidis, Pedro Mata, Sameh Emil, Matej Mlinaric, Emile Ferrari, Suraya Abdul Razak, Alexandra Ershova, Andrie G. Panayiotou, Alinna Y.R. Garcia, Kairat Davletov, Katarina Lalic, Doan L. Do, Krzysztof Chlebus, Ricardo A. Carrera, Daniel I.P. Vazquez, Nikolaos Sakkas, Liyuan Xu, Mays Altaey, Aysa Hacioglu, Alexandro J. Martagon, Marta Żarczyńska-Buchowiecka, Michael Schömig, Jürgen Homberger, Andrea Benso, Bertrand Cariou, Ardon Rubinstein, Omer Gedikli, Emre Durakoglugil, Mei Chong, Bahadir Kirilmaz, Suhaila Abd Muid, Jose M. Salgado, Berenice P. Aparicio, Mutaz Alkhnifsawi, Bruno Vergès, Cécile Yelnik, Goreti Lobarinhas, Zaneta Petrulioniene, Sylvia Asenjo, Aytul B. Yildirim, László Bajnok, Vallejo-Vaz A.J., Stevens C.A.T., Lyons A.R.M., Dharmayat K.I., Freiberger T., Hovingh G.K., Mata P., Raal F.J., Santos R.D., Soran H., Watts G.F., Abifadel M., Aguilar-Salinas C.A., Alhabib K.F., Alkhnifsawi M., Almahmeed W., Alnouri F., Alonso R., Al-Rasadi K., Al-Sarraf A., Al-Sayed N., Araujo F., Ashavaid T.F., Banach M., Beliard S., Benn M., Binder C.J., Bogsrud M.P., Bourbon M., Chlebus K., Corral P., Davletov K., Descamps O.S., Durst R., Ezhov M., Gaita D., Genest J., Groselj U., Harada-Shiba M., Holven K.B., Kayikcioglu M., Khovidhunkit W., Lalic K., Latkovskis G., Laufs U., Liberopoulos E., Lima-Martinez M.M., Lin J., Maher V., Marais A.D., Marz W., Mirrakhimov E., Miserez A.R., Mitchenko O., Nawawi H., Nordestgaard B.G., Panayiotou A.G., Paragh G., Petrulioniene Z., Pojskic B., Postadzhiyan A., Raslova K., Reda A., Reiner, Sadiq F., Sadoh W.E., Schunkert H., Shek A.B., Stoll M., Stroes E., Su T.-C., Subramaniam T., Susekov A.V., Tilney M., Tomlinson B., Truong T.H., Tselepis A.D., Tybjaerg-Hansen A., Vazquez Cardenas A., Viigimaa M., Wang L., Yamashita S., Kastelein J.J.P., Bruckert E., Vohnout B., Schreier L., Pang J., Ebenbichler C., Dieplinger H., Innerhofer R., Winhofer-Stockl Y., Greber-Platzer S., Krychtiuk K., Speidl W., Toplak H., Widhalm K., Stulnig T., Huber K., Hollerl F., Rega-Kaun G., Kleemann L., Maser M., Scholl-Burgi S., Saly C., Mayer F.J., Sablon G., Tarantino E., Nzeyimana C., Pojskic L., Sisic I., Nalbantic A.D., Jannes C.E., Pereira A.C., Krieger J.E., Petrov I., Goudev A., Nikolov F., Tisheva S., Yotov Y., Tzvetkov I., Baass A., Bergeron J., Bernard S., Brisson D., Brunham L.R., Cermakova L., Couture P., Francis G.A., Gaudet D., Hegele R.A., Khoury E., Mancini G.B.J., McCrindle B.W., Paquette M., Ruel I., Cuevas A., Asenjo S., Wang X., Meng K., Song X., Yong Q., Jiang T., Liu Z., Duan Y., Hong J., Ye P., Chen Y., Qi J., Li Y., Zhang C., Peng J., Yang Y., Yu W., Wang Q., Yuan H., Cheng S., Jiang L., Chong M., Jiao J., Wu Y., Wen W., Xu L., Zhang R., Qu Y., He J., Fan X., Wang Z., Chow E., Pecin I., Perica D., Symeonides P., Vrablik M., Ceska R., Soska V., Tichy L., Adamkova V., Franekova J., Cifkova R., Kraml P., Vonaskova K., Cepova J., Dusejovska M., Pavlickova L., Blaha V., Rosolova H., Nussbaumerova B., Cibulka R., Vaverkova H., Cibickova L., Krejsova Z., Rehouskova K., Malina P., Budikova M., Palanova V., Solcova L., Lubasova A., Podzimkova H., Bujdak J., Vesely J., Jordanova M., Salek T., Urbanek R., Zemek S., Lacko J., Halamkova H., Machacova S., Mala S., Cubova E., Valoskova K., Burda L., Bendary A., Daoud I., Emil S., Elbahry A., Rafla S., Sanad O., Kazamel G., Ashraf M., Sobhy M., El-Hadidy A., Shafy M.A., Kamal S., Bendary M., Talviste G., Angoulvant D., Boccara F., Cariou B., Carreau V., Carrie A., Charrieres S., Cottin Y., Di-Fillipo M., Ducluzeau P.H., Dulong S., Durlach V., Farnier M., Ferrari E., Ferrieres D., Ferrieres J., Gallo A., hankard R., Inamo J., Lemale J., Moulin P., Paillard F., Peretti N., Perrin A., Pradignac A., Rabes J.P., Rigalleau V., Sultan A., Schiele F., Tounian P., Valero R., Verges B., Yelnik C., Ziegler O., Haack I.A., Schmidt N., Dressel A., Klein I., Christmann J., Sonntag A., Stumpp C., Boger D., Biedermann D., Usme M.M.N., Beil F.U., Klose G., Konig C., Gouni-Berthold I., Otte B., Boll G., Kirschbaum A., Merke J., Scholl J., Segiet T., Gebauer M., Predica F., Mayer M., Leistikow F., Fullgraf-Horst S., Muller C., Schuler M., Wiener J., Hein K., Baumgartner P., Kopf S., Busch R., Schomig M., Matthias S., Allendorf-Ostwald N., Fink B., Bohm D., Jakel A., Koschker A.-C., Schweizer R., Vogt A., Parhofer K., Konig W., Reinhard W., Bassler A., Stadelmann A., Schrader V., Katzmann J., Tarr A., Steinhagen-Thiessen E., Kassner U., Paulsen G., Homberger J., Zemmrich C., Seeger W., Biolik K., Deiss D., Richter C., Pantchechnikova E., Dorn E., Schatz U., Julius U., Spens A., Wiesner T., Scholl M., Rizos C.V., Sakkas N., Elisaf M., Skoumas I., Tziomalos K., Rallidis L., Kotsis V., Doumas M., Athyros V., Skalidis E., Kolovou G., Garoufi A., Bilianou E., Koutagiar I., Agapakis D., Kiouri E., Antza C., Katsiki N., Zacharis E., Attilakos A., Sfikas G., Koumaras C., Anagnostis P., Anastasiou G., Liamis G., Koutsogianni A.-D., Karanyi Z., Harangi M., Bajnok L., Audikovszky M., Mark L., Benczur B., Reiber I., Nagy G., Nagy A., Reddy L.L., Shah S.A.V., Ponde C.K., Dalal J.J., Sawhney J.P.S., Verma I.C., Altaey M., Al-Jumaily K., Rasul D., Abdalsahib A.F., Jabbar A.A., Al-ageedi M., Agar R., Cohen H., Ellis A., Gavishv D., Harats D., Henkin Y., Knobler H., Leavit L., Leitersdorf E., Rubinstein A., Schurr D., Shpitzen S., Szalat A., Casula M., Zampoleri V., Gazzotti M., Olmastroni E., Sarzani R., Ferri C., Repetti E., Sabba C., Bossi A.C., Borghi C., Muntoni S., Cipollone F., Purrello F., Pujia A., Passaro A., Marcucci R., Pecchioli V., Pisciotta L., Mandraffino G., Pellegatta F., Mombelli G., Branchi A., Fiorenza A.M., Pederiva C., Werba J.P., Parati G., Carubbi F., Iughetti L., Iannuzzi A., Iannuzzo G., Calabro P., Averna M, Biasucci G., Zambon S., Roscini A.R., Trenti C., Arca M., Federici M., Del Ben M., Bartuli A., Giaccari A., Pipolo A., Citroni N., Guardamagna O., Bonomo K., Benso A., Biolo G., Maroni L., Lupi A., Bonanni L., Zenti M.G., Matsuki K., Hori M., Ogura M., Masuda D., Kobayashi T., Nagahama K., Al-Jarallah M., Radovic M., Lunegova O., Bektasheva E., Khodzhiboboev E., Erglis A., Gilis D., Nesterovics G., Saripo V., Meiere R., Upena-RozeMicena A., Terauda E., Jambart S., Khoury P.E., Elbitar S., Ayoub C., Ghaleb Y., Aliosaitiene U., Kutkiene S., Kasim N.A.M., Nor N.S.M., Ramli A.S., Razak S.A., Al-Khateeb A., Kadir S.H.S.A., Muid S.A., Rahman T.A., Kasim S.S., Radzi A.B.M., Ibrahim K.S., Razali S., Ismail Z., Ghani R.A., Hafidz M.I.A., Chua A.L., Rosli M.M., Annamalai M., Teh L.K., Razali R., Chua Y.A., Rosman A., Sanusi A.R., Murad N.A.A., Jamal A.R.A., Nazli S.A., Razman A.Z., Rosman N., Rahmat R., Hamzan N.S., Azzopardi C., Mehta R., Martagon A.J., Ramirez G.A.G., Villa N.E.A., Vazquez A.V., Elias-Lopez D., Retana G.G., Rodriguez B., Macias J.J.C., Zazueta A.R., Alvarado R.M., Portano J.D.M., Lopez H.A., Sauque-Reyna L., Herrera L.G.G., Mendia L.E.S., Aguilar H.G., Cooremans E.R., Aparicio B.P., Zubieta V.M., Gonzalez P.A.C., Ferreira-Hermosillo A., Portilla N.C., Dominguez G.J., Garcia A.Y.R., Cazares H.E.A., Gonzalez J.R., Valencia C.V.M., Padilla F.G., Prado R.M., De los Rios Ibarra M.O., Villicana R.D.A., Rivera K.J.A., Carrera R.A., Alvarez J.A., Martinez J.C.A., de los Reyes Barrera Bustillo M., Vargas G.C., Chacon R.C., Andrade M.H.F., Ortega A.F., Alcala H.G., de Leon L.E.G., Guzman B.G., Garcia J.J.G., Cuellar J.C.G., Cruz J.R.G., Garcia A.H., Almada J.R.H., Herrera U.J., Sobrevilla F.L., Rodriguez E.M., Sibaja C.M., Rodriguez A.B.M., Oyervides J.C.M., Vazquez D.I.P., Rodriguez E.A.R., Osorio M.L.R., Saucedo J.R., Tamayo M.T., Talavera L.A.V., Arroyo L.E.V., Carrillo E.A.Z., Isara A., Obaseki D.E., Al-Waili K., Al-Zadjali F., Al-Zakwani I., Al-Kindi M., Al-Mukhaini S., Al-Barwani H., Rana A., Shah L.S.U., Starostecka E., Konopka A., Lewek J., Bartlomiejczyk M., Gasior M., Dyrbus K., Jozwiak J., Gruchala M., Pajkowski M., Romanowska-Kocejko M., Zarczynska-Buchowiecka M., Chmara M., Wasag B., Parczewska A., Gilis-Malinowska N., Borowiec-Wolna J., Strozyk A., Wos M., Michalska-Grzonkowska A., Medeiros A.M., Alves A.C., Silva F., Lobarinhas G., Palma I., de Moura J.P., Rico M.T., Rato Q., Pais P., Correia S., Moldovan O., Virtuoso M.J., Salgado J.M., Colaco I., Dumitrescu A., Lengher C., Mosteoru S., Meshkov A., Ershova A., Rozkova T., Korneva V., Yu K.T., Zafiraki V., Voevoda M., Gurevich V., Duplyakov D., Ragino Y., Safarova M., Shaposhnik I., Alkaf F., Khudari A., Rwaili N., Al-Allaf F., Alghamdi M., Batais M.A., Almigbal T.H., Kinsara A., AlQudaimi A.H.A., Awan Z., Elamin O.A., Altaradi H., Rajkovic N., Popovic L., Singh S., Stosic L., Rasulic I., Lalic N.M., Lam C., Le T.J., Siang E.L.T., Dissanayake S., I-Shing J.T., Shyong T.E., Jin T.C.S., Balinth K., Buganova I., Fabryova L., Kadurova M., Klabnik A., Kozarova M., Sirotiakova J., Battelino T., Kovac J., Mlinaric M., Sustar U., Podkrajsek K.T., Fras Z., Jug B., Cevc M., Pilcher G.J., Blom D.J., Wolmarans K.H., Brice B.C., Muniz-Grijalvo O., Diaz-Diaz J.L., de Isla L.P., Fuentes F., Badimon L., Martin F., Lux A., Chang N.-T., Ganokroj P., Akbulut M., Alici G., Bayram F., Can L.H., Celik A., Ceyhan C., Coskun F.Y., Demir M., Demircan S., Dogan V., Durakoglugil E., Dural I.E., Gedikli O., Hacioglu A., Ildizli M., Kilic S., Kirilmaz B., Kutlu M., Oguz A., Ozdogan O., Onrat E., Ozer S., Sabuncu T., Sahin T., Sivri F., Sonmez A., Temizhan A., Topcu S., Tuncez A., Vural M., Yenercag M., Yesilbursa D., Yigit Z., Yildirim A.B., Yildirir A., Yilmaz M.B., Atallah B., Traina M., Sabbour H., Hay D.A., Luqman N., Elfatih A., Abdulrasheed A., Kwok S., Oca N.D., Reyes X., Alieva R.B., Kurbanov R.D., Hoshimov S.U., Nizamov U.I., Ziyaeva A.V., Abdullaeva G.J., Do D.L., Nguyen M.N.T., Kim N.T., Le T.T., Le H.A., Tokgozoglu L., Catapano A.L., Ray K.K., Vallejo-Vaz, A. J., Stevens, C. A. T., Lyons, A. R. M., Dharmayat, K. I., Freiberger, T., Hovingh, G. K., Mata, P., Raal, F. J., Santos, R. D., Soran, H., Watts, G. F., Abifadel, M., Aguilar-Salinas, C. A., Alhabib, K. F., Alkhnifsawi, M., Almahmeed, W., Alnouri, F., Alonso, R., Al-Rasadi, K., Al-Sarraf, A., Al-Sayed, N., Araujo, F., Ashavaid, T. F., Banach, M., Beliard, S., Benn, M., Binder, C. J., Bogsrud, M. P., Bourbon, M., Chlebus, K., Corral, P., Davletov, K., Descamps, O. S., Durst, R., Ezhov, M., Gaita, D., Genest, J., Groselj, U., Harada-Shiba, M., Holven, K. B., Kayikcioglu, M., Khovidhunkit, W., Lalic, K., Latkovskis, G., Laufs, U., Liberopoulos, E., Lima-Martinez, M. M., Lin, J., Maher, V., Marais, A. D., Marz, W., Mirrakhimov, E., Miserez, A. R., Mitchenko, O., Nawawi, H., Nordestgaard, B. G., Panayiotou, A. G., Paragh, G., Petrulioniene, Z., Pojskic, B., Postadzhiyan, A., Raslova, K., Reda, A., Sadiq, F., Sadoh, W. E., Schunkert, H., Shek, A. B., Stoll, M., Stroes, E., Su, T. -C., Subramaniam, T., Susekov, A. V., Tilney, M., Tomlinson, B., Truong, T. H., Tselepis, A. D., Tybjaerg-Hansen, A., Vazquez Cardenas, A., Viigimaa, M., Wang, L., Yamashita, S., Kastelein, J. J. P., Bruckert, E., Vohnout, B., Schreier, L., Pang, J., Ebenbichler, C., Dieplinger, H., Innerhofer, R., Winhofer-Stockl, Y., Greber-Platzer, S., Krychtiuk, K., Speidl, W., Toplak, H., Widhalm, K., Stulnig, T., Huber, K., Hollerl, F., Rega-Kaun, G., Kleemann, L., Maser, M., Scholl-Burgi, S., Saly, C., Mayer, F. J., Sablon, G., Tarantino, E., Nzeyimana, C., Pojskic, L., Sisic, I., Nalbantic, A. D., Jannes, C. E., Pereira, A. C., Krieger, J. E., Petrov, I., Goudev, A., Nikolov, F., Tisheva, S., Yotov, Y., Tzvetkov, I., Baass, A., Bergeron, J., Bernard, S., Brisson, D., Brunham, L. R., Cermakova, L., Couture, P., Francis, G. A., Gaudet, D., Hegele, R. A., Khoury, E., Mancini, G. B. J., Mccrindle, B. W., Paquette, M., Ruel, I., Cuevas, A., Asenjo, S., Wang, X., Meng, K., Song, X., Yong, Q., Jiang, T., Liu, Z., Duan, Y., Hong, J., Ye, P., Chen, Y., Qi, J., Li, Y., Zhang, C., Peng, J., Yang, Y., Yu, W., Wang, Q., Yuan, H., Cheng, S., Jiang, L., Chong, M., Jiao, J., Wu, Y., Wen, W., Xu, L., Zhang, R., Qu, Y., He, J., Fan, X., Wang, Z., Chow, E., Pecin, I., Perica, D., Symeonides, P., Vrablik, M., Ceska, R., Soska, V., Tichy, L., Adamkova, V., Franekova, J., Cifkova, R., Kraml, P., Vonaskova, K., Cepova, J., Dusejovska, M., Pavlickova, L., Blaha, V., Rosolova, H., Nussbaumerova, B., Cibulka, R., Vaverkova, H., Cibickova, L., Krejsova, Z., Rehouskova, K., Malina, P., Budikova, M., Palanova, V., Solcova, L., Lubasova, A., Podzimkova, H., Bujdak, J., Vesely, J., Jordanova, M., Salek, T., Urbanek, R., Zemek, S., Lacko, J., Halamkova, H., Machacova, S., Mala, S., Cubova, E., Valoskova, K., Burda, L., Bendary, A., Daoud, I., Emil, S., Elbahry, A., Rafla, S., Sanad, O., Kazamel, G., Ashraf, M., Sobhy, M., El-Hadidy, A., Shafy, M. A., Kamal, S., Bendary, M., Talviste, G., Angoulvant, D., Boccara, F., Cariou, B., Carreau, V., Carrie, A., Charrieres, S., Cottin, Y., Di-Fillipo, M., Ducluzeau, P. H., Dulong, S., Durlach, V., Farnier, M., Ferrari, E., Ferrieres, D., Ferrieres, J., Gallo, A., Hankard, R., Inamo, J., Lemale, J., Moulin, P., Paillard, F., Peretti, N., Perrin, A., Pradignac, A., Rabes, J. P., Rigalleau, V., Sultan, A., Schiele, F., Tounian, P., Valero, R., Verges, B., Yelnik, C., Ziegler, O., Haack, I. A., Schmidt, N., Dressel, A., Klein, I., Christmann, J., Sonntag, A., Stumpp, C., Boger, D., Biedermann, D., Usme, M. M. N., Beil, F. U., Klose, G., Konig, C., Gouni-Berthold, I., Otte, B., Boll, G., Kirschbaum, A., Merke, J., Scholl, J., Segiet, T., Gebauer, M., Predica, F., Mayer, M., Leistikow, F., Fullgraf-Horst, S., Muller, C., Schuler, M., Wiener, J., Hein, K., Baumgartner, P., Kopf, S., Busch, R., Schomig, M., Matthias, S., Allendorf-Ostwald, N., Fink, B., Bohm, D., Jakel, A., Koschker, A. -C., Schweizer, R., Vogt, A., Parhofer, K., Konig, W., Reinhard, W., Bassler, A., Stadelmann, A., Schrader, V., Katzmann, J., Tarr, A., Steinhagen-Thiessen, E., Kassner, U., Paulsen, G., Homberger, J., Zemmrich, C., Seeger, W., Biolik, K., Deiss, D., Richter, C., Pantchechnikova, E., Dorn, E., Schatz, U., Julius, U., Spens, A., Wiesner, T., Scholl, M., Rizos, C. V., Sakkas, N., Elisaf, M., Skoumas, I., Tziomalos, K., Rallidis, L., Kotsis, V., Doumas, M., Athyros, V., Skalidis, E., Kolovou, G., Garoufi, A., Bilianou, E., Koutagiar, I., Agapakis, D., Kiouri, E., Antza, C., Katsiki, N., Zacharis, E., Attilakos, A., Sfikas, G., Koumaras, C., Anagnostis, P., Anastasiou, G., Liamis, G., Koutsogianni, A. -D., Karanyi, Z., Harangi, M., Bajnok, L., Audikovszky, M., Mark, L., Benczur, B., Reiber, I., Nagy, G., Nagy, A., Reddy, L. L., Shah, S. A. V., Ponde, C. K., Dalal, J. J., Sawhney, J. P. S., Verma, I. C., Altaey, M., Al-Jumaily, K., Rasul, D., Abdalsahib, A. F., Jabbar, A. A., Al-ageedi, M., Agar, R., Cohen, H., Ellis, A., Gavishv, D., Harats, D., Henkin, Y., Knobler, H., Leavit, L., Leitersdorf, E., Rubinstein, A., Schurr, D., Shpitzen, S., Szalat, A., Casula, M., Zampoleri, V., Gazzotti, M., Olmastroni, E., Sarzani, R., Ferri, C., Repetti, E., Sabba, C., Bossi, A. C., Borghi, C., Muntoni, S., Cipollone, F., Purrello, F., Pujia, A., Passaro, A., Marcucci, R., Pecchioli, V., Pisciotta, L., Mandraffino, G., Pellegatta, F., Mombelli, G., Branchi, A., Fiorenza, A. M., Pederiva, C., Werba, J. P., Parati, G., Carubbi, F., Iughetti, L., Iannuzzi, A., Iannuzzo, G., Calabro, P., Averna, M., Biasucci, G., Zambon, S., Roscini, A. R., Trenti, C., Arca, M., Federici, M., Del Ben, M., Bartuli, A., Giaccari, A., Pipolo, A., Citroni, N., Guardamagna, O., Bonomo, K., Benso, A., Biolo, G., Maroni, L., Lupi, A., Bonanni, L., Zenti, M. G., Matsuki, K., Hori, M., Ogura, M., Masuda, D., Kobayashi, T., Nagahama, K., Al-Jarallah, M., Radovic, M., Lunegova, O., Bektasheva, E., Khodzhiboboev, E., Erglis, A., Gilis, D., Nesterovics, G., Saripo, V., Meiere, R., Upena-RozeMicena, A., Terauda, E., Jambart, S., Khoury, P. E., Elbitar, S., Ayoub, C., Ghaleb, Y., Aliosaitiene, U., Kutkiene, S., Kasim, N. A. M., Nor, N. S. M., Ramli, A. S., Razak, S. A., Al-Khateeb, A., Kadir, S. H. S. A., Muid, S. A., Rahman, T. A., Kasim, S. S., Radzi, A. B. M., Ibrahim, K. S., Razali, S., Ismail, Z., Ghani, R. A., Hafidz, M. I. A., Chua, A. L., Rosli, M. M., Annamalai, M., Teh, L. K., Razali, R., Chua, Y. A., Rosman, A., Sanusi, A. R., Murad, N. A. A., Jamal, A. R. A., Nazli, S. A., Razman, A. Z., Rosman, N., Rahmat, R., Hamzan, N. S., Azzopardi, C., Mehta, R., Martagon, A. J., Ramirez, G. A. G., Villa, N. E. A., Vazquez, A. V., Elias-Lopez, D., Retana, G. G., Rodriguez, B., Macias, J. J. C., Zazueta, A. R., Alvarado, R. M., Portano, J. D. M., Lopez, H. A., Sauque-Reyna, L., Herrera, L. G. G., Mendia, L. E. S., Aguilar, H. G., Cooremans, E. R., Aparicio, B. P., Zubieta, V. M., Gonzalez, P. A. C., Ferreira-Hermosillo, A., Portilla, N. C., Dominguez, G. J., Garcia, A. Y. R., Cazares, H. E. A., Gonzalez, J. R., Valencia, C. V. M., Padilla, F. G., Prado, R. M., De los Rios Ibarra, M. O., Villicana, R. D. A., Rivera, K. J. A., Carrera, R. A., Alvarez, J. A., Martinez, J. C. A., de los Reyes Barrera Bustillo, M., Vargas, G. C., Chacon, R. C., Andrade, M. H. F., Ortega, A. F., Alcala, H. G., de Leon, L. E. G., Guzman, B. G., Garcia, J. J. G., Cuellar, J. C. G., Cruz, J. R. G., Garcia, A. H., Almada, J. R. H., Herrera, U. J., Sobrevilla, F. L., Rodriguez, E. M., Sibaja, C. M., Rodriguez, A. B. M., Oyervides, J. C. M., Vazquez, D. I. P., Rodriguez, E. A. R., Osorio, M. L. R., Saucedo, J. R., Tamayo, M. T., Talavera, L. A. V., Arroyo, L. E. V., Carrillo, E. A. Z., Isara, A., Obaseki, D. E., Al-Waili, K., Al-Zadjali, F., Al-Zakwani, I., Al-Kindi, M., Al-Mukhaini, S., Al-Barwani, H., Rana, A., Shah, L. S. U., Starostecka, E., Konopka, A., Lewek, J., Bartlomiejczyk, M., Gasior, M., Dyrbus, K., Jozwiak, J., Gruchala, M., Pajkowski, M., Romanowska-Kocejko, M., Zarczynska-Buchowiecka, M., Chmara, M., Wasag, B., Parczewska, A., Gilis-Malinowska, N., Borowiec-Wolna, J., Strozyk, A., Wos, M., Michalska-Grzonkowska, A., Medeiros, A. M., Alves, A. C., Silva, F., Lobarinhas, G., Palma, I., de Moura, J. P., Rico, M. T., Rato, Q., Pais, P., Correia, S., Moldovan, O., Virtuoso, M. J., Salgado, J. M., Colaco, I., Dumitrescu, A., Lengher, C., Mosteoru, S., Meshkov, A., Ershova, A., Rozkova, T., Korneva, V., Yu, K. T., Zafiraki, V., Voevoda, M., Gurevich, V., Duplyakov, D., Ragino, Y., Safarova, M., Shaposhnik, I., Alkaf, F., Khudari, A., Rwaili, N., Al-Allaf, F., Alghamdi, M., Batais, M. A., Almigbal, T. H., Kinsara, A., Alqudaimi, A. H. A., Awan, Z., Elamin, O. A., Altaradi, H., Rajkovic, N., Popovic, L., Singh, S., Stosic, L., Rasulic, I., Lalic, N. M., Lam, C., Le, T. J., Siang, E. L. T., Dissanayake, S., I-Shing, J. T., Shyong, T. E., Jin, T. C. S., Balinth, K., Buganova, I., Fabryova, L., Kadurova, M., Klabnik, A., Kozarova, M., Sirotiakova, J., Battelino, T., Kovac, J., Mlinaric, M., Sustar, U., Podkrajsek, K. T., Fras, Z., Jug, B., Cevc, M., Pilcher, G. J., Blom, D. J., Wolmarans, K. H., Brice, B. C., Muniz-Grijalvo, O., Diaz-Diaz, J. L., de Isla, L. P., Fuentes, F., Badimon, L., Martin, F., Lux, A., Chang, N. -T., Ganokroj, P., Akbulut, M., Alici, G., Bayram, F., Can, L. H., Celik, A., Ceyhan, C., Coskun, F. Y., Demir, M., Demircan, S., Dogan, V., Durakoglugil, E., Dural, I. E., Gedikli, O., Hacioglu, A., Ildizli, M., Kilic, S., Kirilmaz, B., Kutlu, M., Oguz, A., Ozdogan, O., Onrat, E., Ozer, S., Sabuncu, T., Sahin, T., Sivri, F., Sonmez, A., Temizhan, A., Topcu, S., Tuncez, A., Vural, M., Yenercag, M., Yesilbursa, D., Yigit, Z., Yildirim, A. B., Yildirir, A., Yilmaz, M. B., Atallah, B., Traina, M., Sabbour, H., Hay, D. A., Luqman, N., Elfatih, A., Abdulrasheed, A., Kwok, S., Oca, N. D., Reyes, X., Alieva, R. B., Kurbanov, R. D., Hoshimov, S. U., Nizamov, U. I., Ziyaeva, A. V., Abdullaeva, G. J., Do, D. L., Nguyen, M. N. T., Kim, N. T., Le, T. T., Le, H. A., Tokgozoglu, L., Catapano, A. L., Ray, K. K., and EAS Familial Hypercholesterolaemia Studies Collaboration (FHSC), Borghi C
Subjects: Male, Settore MED/09 - Medicina Interna, Arterial disease, Cross-sectional study, Adult population, Coronary Disease, Disease, Global Health, Medical and Health Sciences, Doenças Cardio e Cérebro-vasculares, Anticholesteremic Agent, Monoclonal, Prevalence, Registries, Familial Hypercholesterolemia, Humanized, Stroke, 11 Medical and Health Sciences, LS2_9, Studies Collaboration, Anticholesteremic Agents, General Medicine, Heart Disease Risk Factor, Middle Aged, FHSC global registry data, Europe, Treatment Outcome, Lower prevalence, Guidance, lipids (amino acids, peptides, and proteins), Female, Proprotein Convertase 9, Familial hypercholesterolaemia, Life Sciences & Biomedicine, Human, Adult, medicine.medical_specialty, Combination therapy, FHSC global registry, heterozygous familial hypercholesterolaemia, Cardiovascular risk factors, Antibodies, Monoclonal, Humanized, Insights, Antibodies, NO, Hyperlipoproteinemia Type II, Clinician, Medicine, General & Internal, Internal medicine, General & Internal Medicine, Health Sciences, medicine, Humans, EAS Familial Hypercholesterolaemia Studies Collaboration (FHSC), Cross-Sectional Studie, Science & Technology, Global Perspective, business.industry, Cholesterol, LDL, medicine.disease, Cross-Sectional Studies, Heart Disease Risk Factors, Hydroxymethylglutaryl-CoA Reductase Inhibitor, Hydroxymethylglutaryl-CoA Reductase Inhibitors, business
Abstract: Background The European Atherosclerosis Society Familial Hypercholesterolaemia Studies Collaboration (FHSC) global registry provides a platform for the global surveillance of familial hypercholesterolaemia through harmonisation and pooling of multinational data. In this study, we aimed to characterise the adult population with heterozygous familial hypercholesterolaemia and described how it is detected and managed globally. Methods Using FHSC global registry data, we did a cross-sectional assessment of adults (aged 18 years or older) with a clinical or genetic diagnosis of probable or definite heterozygous familial hypercholesterolaemia at the time they were entered into the registries. Data were assessed overall and by WHO regions, sex, and index versus non-index cases. Findings Of the 61 612 individuals in the registry, 42 167 adults (21 999 [53.6%] women) from 56 countries were included in the study. Of these, 31 798 (75.4%) were diagnosed with the Dutch Lipid Clinic Network criteria, and 35 490 (84.2%) were from the WHO region of Europe. Median age of participants at entry in the registry was 46.2 years (IQR 34.3-58.0); median age at diagnosis of familial hypercholesterolaemia was 44.4 years (32.5-56.5), with 40.2% of participants younger than 40 years when diagnosed. Prevalence of cardiovascular risk factors increased progressively with age and varied by WHO region. Prevalence of coronary disease was 17.4% (2.1% for stroke and 5.2% for peripheral artery disease), increasing with concentrations of untreated LDL cholesterol, and was about two times lower in women than in men. Among patients receiving lipid-lowering medications, 16 803 (81.1%) were receiving statins and 3691 (21.2%) were on combination therapy, with greater use of more potent lipid-lowering medication in men than in women. Median LDL cholesterol was 5.43 mmol/L (IQR 4.32-6.72) among patients not taking lipid-lowering medications and 4.23 mmol/L (3.20-5.66) among those taking them. Among patients taking lipid-lowering medications, 2.7% had LDL cholesterol lower than 1.8 mmol/L; the use of combination therapy, particularly with three drugs and with proprotein convertase subtilisin-kexin type 9 inhibitors, was associated with a higher proportion and greater odds of having LDL cholesterol lower than 1.8 mmol/L. Compared with index cases, patients who were non-index cases were younger, with lower LDL cholesterol and lower prevalence of cardiovascular risk factors and cardiovascular diseases (all p, Pfizer Independent Grant for Learning Change [16157823]; Amgen; Merck Sharp Dohme; Sanofi-Aventis; Daiichi Sankyo; Regeneron; National Institute for Health Research (NIHR) Imperial Biomedical Research Centre, UK; NIHR; Czech Ministry of Health [NU20-02-00261]; Canadian Institutes of Health Research; Austrian Heart Foundation; Tyrolean Regional Government; Gulf Heart Association, The EAS FHSC is an academic initiative that has received funding from a Pfizer Independent Grant for Learning & Change 2014 (16157823) and from investigator-initiated research grants to the European Atherosclerosis Society-Imperial College London from Amgen, Merck Sharp & Dohme, Sanofi-Aventis, Daiichi Sankyo, and Regeneron. KKR acknowledges support from the National Institute for Health Research (NIHR) Imperial Biomedical Research Centre, UK. KID acknowledges support from a PhD Studentship from NIHR under the Applied Health Research programme for Northwest London, UK (the views expressed in this publication are those of the authors and not necessarily those of the National Health Service, the NIHR, or the Department of Health). TF was supported by a grant from the Czech Ministry of Health (NU20-02-00261). JG receives support from the Canadian Institutes of Health Research. The Austrian Familial Hypercholesterolaemia registry has been supported by funds from the Austrian Heart Foundation and the Tyrolean Regional Government. The Gulf Familial Hypercholesterolaemia registry was done under the auspices of the Gulf Heart Association.
Published: 2021

25. Altered Theory of Mind in Parkinson’s Disease and Impact on Caregivers: A Pilot Study

Author: Ariane Giguère-Rancourt, Marianne Couture, Martine Simard, Nicolas Dupré, Mélanie Langlois, Eva Racine, and Marika Plourde
Subjects: Parkinson's disease, Theory of Mind, Pilot Projects, Disease, 03 medical and health sciences, 0302 clinical medicine, Cost of Illness, Theory of mind, Humans, Medicine, Cognitive Dysfunction, 030212 general & internal medicine, Cognitive impairment, business.industry, Parkinson Disease, Cognition, General Medicine, Caregiver burden, medicine.disease, Distress, Caregivers, Neurology, Faux pas, Neurology (clinical), business, 030217 neurology & neurosurgery, Clinical psychology
Abstract: Mild cognitive impairment (MCI) in Parkinson’s disease (PD) includes deficits in theory of mind (ToM). However, associations between ToM and caregiver burden and distress are still unclear. The objective of this pilot study was to preliminarily explore the relation between ToM and caregiver burden and distress in a sample of PD-MCI patients. Twelve PD-MCI patients were evaluated on a ToM task (Faux Pas), whereas their caregivers were assessed on caregiver burden (Zarit Burden Interview-12 items) and distress (Neuropsychiatric Inventory–Distress). Cognitive ToM was significantly associated with caregiver distress, but caregiver burden was associated with the severity of patient psychiatric symptoms.
Published: 2021

26. Factors associated with phosphatidylethanol (PEth) sensitivity for detecting unhealthy alcohol use: An individual patient data meta‐analysis

Author: Tekeda F Ferguson, Robert L. Cook, Judith A. Hahn, Sarah E. Woolf-King, Gregory M. Marcus, Saidi Kapiga, Mark S. Sulkowski, Gabriel Chamie, Kimberly Page, Richard Saitz, Kendall J. Bryant, Kaku So-Armah, Scott H. Stewart, Karen R. Jacobson, David A. Fiellin, David A. Welsh, Pamela M. Murnane, Nneka Emenyonu, Robin Fatch, Jessica E. Haberer, Winnie Muyindike, Majid Afshar, Patricia E. Molina, Jennifer L. Brown, Kathleen A. McGinnis, Mariann R. Piano, Veronica L Richards, Eric Vittinghoff, Bronwyn Myers, Shane A. Phillips, Joel M. Francis, Marie-Claude Couture, Amy C. Justice, and Ralph J. DiClemente
Subjects: Alcohol Drinking, analysis, Clinical Sciences, Ethnic group, 030508 substance abuse, Medicine (miscellaneous), Alcohol, Glycerophospholipids, Toxicology, Article, Oral and gastrointestinal, Odds, Alcohol Use and Health, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Clinical Research, Humans, Psychology, Medicine, individual participant data meta&#8208, alcohol, business.industry, Liver Disease, Substance Abuse, Neurosciences, Patient data, sensitivity, individual participant data meta-analysis, Alcoholism, Psychiatry and Mental health, chemistry, Meta-analysis, Mixed effects, phosphatidylethanol, Phosphatidylethanol, Hiv status, Digestive Diseases, 0305 other medical science, business, 030217 neurology & neurosurgery, Demography
Abstract: Author(s): Hahn, Judith A; Murnane, Pamela M; Vittinghoff, Eric; Muyindike, Winnie R; Emenyonu, Nneka I; Fatch, Robin; Chamie, Gabriel; Haberer, Jessica E; Francis, Joel M; Kapiga, Saidi; Jacobson, Karen; Myers, Bronwyn; Couture, Marie Claude; DiClemente, Ralph J; Brown, Jennifer L; So-Armah, Kaku; Sulkowski, Mark; Marcus, Gregory M; Woolf-King, Sarah; Cook, Robert L; Richards, Veronica L; Molina, Patricia; Ferguson, Tekeda; Welsh, David; Piano, Mariann R; Phillips, Shane A; Stewart, Scott; Afshar, Majid; Page, Kimberly; McGinnis, Kathleen; Fiellin, David A; Justice, Amy C; Bryant, Kendall; Saitz, Richard | Abstract: BackgroundObjective measurement of alcohol consumption is important for clinical care and research. Adjusting for self-reported alcohol use, we conducted an individual participant data (IPD) meta-analysis to examine factors associated with the sensitivity of phosphatidylethanol (PEth), an alcohol metabolite, among persons self-reporting unhealthy alcohol consumption.MethodsWe identified 21 eligible studies and obtained 4073 observations from 3085 participants with Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) positive scores (≥3 for women and ≥4 for men) and PEth measurements. We conducted 1-step IPD meta-analysis using mixed effects models with random intercepts for study site. We examined the associations between demographic (sex, race/ethnicity, and age) and biologic (body mass index-BMI, hemoglobin, HIV status, liver fibrosis, and venous versus finger-prick blood collection) variables with PEth sensitivity (PEth≥8nng/ml), adjusting for the level of self-reported alcohol use using the AUDIT-C score.ResultsOne third (31%) of participants were women, 32% were African, 28% African American, 28% White, and 12% other race/ethnicity. PEth sensitivity (i.e., ≥8nng/ml) was 81.8%. After adjusting for AUDIT-C, we found no associations of sex, age, race/ethnicity, or method of blood collection with PEth sensitivity. In models that additionally included biologic variables, those with higher hemoglobin and indeterminate and advanced liver fibrosis had significantly higher odds of PEth sensitivity; those with higher BMI and those living with HIV had significantly lower odds of PEth sensitivity. African Americans and Africans had higher odds of PEth sensitivity than whites in models that included biologic variables.ConclusionsAmong people reporting unhealthy alcohol use, several biological factors (hemoglobin, BMI, liver fibrosis, and HIV status) were associated with PEth sensitivity. Race/ethnicity was associated with PEth sensitivity in some models but age, sex, and method of blood collection were not. Clinicians should be aware of these factors, and researchers should consider adjusting analyses for these characteristics where possible.
Published: 2021

27. Endovascular Vena Cavae Occlusion Technique in Minimally Invasive Tricuspid Valve Surgery in Patients With Previous Cardiac Surgery

Author: Georges Desjardins, José Coddens, Nidal El Yamani, Denis Bouchard, Pierre Couture, Jean-Sébastien Lebon, and Éric Laliberté
Subjects: medicine.medical_specialty, medicine.medical_treatment, 030204 cardiovascular system & hematology, Balloon, law.invention, 03 medical and health sciences, 0302 clinical medicine, 030202 anesthesiology, law, Occlusion, Humans, Minimally Invasive Surgical Procedures, Medicine, cardiovascular diseases, Thoracotomy, Cardiac Surgical Procedures, Retrospective Studies, Tricuspid valve, business.industry, Balloon catheter, Intensive care unit, Tricuspid Valve Insufficiency, Cardiac surgery, Surgery, Treatment Outcome, Anesthesiology and Pain Medicine, medicine.anatomical_structure, Concomitant, cardiovascular system, Tricuspid Valve, Cardiology and Cardiovascular Medicine, business
Abstract: Objectives The aim of the present study was to describe a bicaval endovascular occlusion technique in minimally invasive tricuspid valve (TV) surgery in patients with previous cardiac surgery. Design Case series. Setting Single tertiary university center. Participants The study comprised ten patients. Interventions Endovascular occlusion of vena cavae for minimally invasive TV redo surgery. Measurements and Main Results Between 2008 and 2017, ten patients with previous cardiac surgery underwent TV minimally invasive surgery (repair or replacement; isolated or with concomitant procedures) using the Coda balloon catheter (Cook Medical, Bloomington, IN) to occlude both vena cavae. Data were collected retrospectively from electronic medical records. Superior and inferior vena cava occlusion with Coda balloon catheters was successful with no complications. The drainage of the vena cavae was optimal with excellent surgical exposure. Cardiopulmonary bypass time was 131 ± 119 minutes, with 30% of patients undergoing aortic clamping (two with a Chitwood clamp, one with an endoaortic balloon). Intensive care unit length of stay was 3.9 ± 2.7 days, and the in-hospital mortality rate was 30%. Conclusion Bicaval endovascular occlusion of vena cavae is a feasible and effective technique in patients with previous cardiac surgery who are undergoing a minimally invasive TV procedure. The high mortality rate is associated with the inherent risk of a redo surgery involving the TV.
Published: 2021

28. Phase 1 randomized trial of a plant-derived virus-like particle vaccine for COVID-19

Author: Karen Hager, Nathalie Landry, Pierre-Yves Charbonneau, Matthew P. Cheng, Marc-André D'Aoust, Alexander I. Makarkov, Judith Atkins, Asif Mahmood, Carolyn Finkle, Stéphane Pillet, Manon Couture, Iohann Boulay, Patricia Schimke, Annie Séguin, Sylvie St-Martin, Brian J. Ward, Jiwanjeet Dhaliwall, Philipe Gobeil, and Sonia Trépanier
Subjects: 0301 basic medicine, Adult, Male, Canada, COVID-19 Vaccines, Adolescent, Drug-Related Side Effects and Adverse Reactions, Drug development, medicine.disease_cause, Antibodies, Viral, General Biochemistry, Genetics and Molecular Biology, Article, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Immunogenicity, Vaccine, Medicine, Humans, 030212 general & internal medicine, AS03, Vaccines, Virus-Like Particle, Adverse effect, Neutralizing antibody, COVID-19 Serotherapy, Coronavirus, biology, business.industry, SARS-CoV-2, Immunogenicity, Immunization, Passive, COVID-19, General Medicine, Translational research, Middle Aged, Interim analysis, Antibodies, Neutralizing, Vaccination, 030104 developmental biology, Tolerability, Immunology, Spike Glycoprotein, Coronavirus, biology.protein, Female, business
Abstract: Several severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines are being deployed, but the global need greatly exceeds the supply, and different formulations might be required for specific populations. Here we report Day 42 interim safety and immunogenicity data from an observer-blinded, dose escalation, randomized controlled study of a virus-like particle vaccine candidate produced in plants that displays the SARS-CoV-2 spike glycoprotein (CoVLP: NCT04450004). The co-primary outcomes were the short-term tolerability/safety and immunogenicity of CoVLP formulations assessed by neutralizing antibody (NAb) and cellular responses. Secondary outcomes in this ongoing study include safety and immunogenicity assessments up to 12 months after vaccination. Adults (18–55 years, n = 180) were randomized at two sites in Quebec, Canada, to receive two intramuscular doses of CoVLP (3.75 μg, 7.5 μg, and 15 μg) 21 d apart, alone or adjuvanted with AS03 or CpG1018. All formulations were well tolerated, and adverse events after vaccination were generally mild to moderate, transient and highest in the adjuvanted groups. There was no CoVLP dose effect on serum NAbs, but titers increased significantly with both adjuvants. After the second dose, NAbs in the CoVLP + AS03 groups were more than tenfold higher than titers in Coronavirus 2019 convalescent sera. Both spike protein-specific interferon-γ and interleukin-4 cellular responses were also induced. This pre-specified interim analysis supports further evaluation of the CoVLP vaccine candidate., Safety and immunogenicity results in humans of a two-dose SARS-CoV-2 vaccine made from plants support further assessment of potential efficacy.
Published: 2021

29. Helicobacter pylori Infection of the Gastric Mucosa and Ocular Adnexa—Lack of Association With Ocular Adnexal Lymphoma

Author: François Codère, Patrick R. Boulos, Eric Frost, Evan Kalin-Hajdu, Jamie Wong, Annie-Claude Labbé, Simon Couture, Félix Bernier-Turmel, and Isabelle Hardy
Subjects: DNA, Bacterial, medicine.medical_specialty, Lymphoma, Population, Gastroenterology, Helicobacter Infections, Serology, Ocular Adnexal Lymphoma, Internal medicine, Gastric mucosa, medicine, Humans, Prospective Studies, education, Chlamydia psittaci, education.field_of_study, Helicobacter pylori, biology, business.industry, Cancer, Lymphoma, B-Cell, Marginal Zone, General Medicine, medicine.disease, biology.organism_classification, eye diseases, Ophthalmology, medicine.anatomical_structure, Gastric Mucosa, Case-Control Studies, Surgery, business
Abstract: PURPOSE Helicobacter pylori could theoretically induce ocular adnexal lymphoma (OAL) via 2 mechanisms: the first is that of infection within the ocular adnexa and the second is that of infection within the gastric mucosa, leading to the malignant transformation of lymphocytes that migrate to the ocular adnexa, forming a primary "ectopic" cancer. This study investigated if an association exists between gastric H. pylori or ocular adnexal H. pylori and OAL. METHODS Prospective case-control study including cases with OAL and controls with nonlymphomatous pathologies. Gastric H. pylori infection was assessed via serologic antibody testing. Ocular adnexal infection was assessed via polymerase chain reaction testing for H. pylori and Chlamydia psittaci within ocular adnexal samples. RESULTS Seventy-two patients were enrolled, of whom 18 had lymphoma and 54 nonlymphomatous pathologies. H. pylori antibodies were present in 5 cases (28%) and 18 controls (33%) (95% CI, 0.24%-2.50%, p = 0.78). All ocular adnexal specimens were negative for H. pylori and C. psittaci infection. The only relevant statistically significant difference between cases and controls was a history of gastric ulcer (95% CI, 1.23%-44.80%, p = 0.03). CONCLUSIONS In the study's population, infection of gastric mucosa with H. pylori does not appear to influence the development of OAL. Also, H. pylori or C. psittaci infection within the ocular adnexa does not appear to influence the development of OAL. In the study's practice, authors do not recommend antibiotic administration or routine gastroscopy for patients with OAL. The authors do recommend referral of OAL patients with gastric symptoms to a gastroenterologist.
Published: 2021

30. Above the Clavicle: A Simplified Screening Method for Asymptomatic Blunt Cerebral Vascular Injury

Author: Andrew M. Nunn, Mary A. McCullough, Rachel D. Appelbaum, Daniel E. Couture, Ashley L. Cairns, Samuel P. Carmichael, Preston R. Miller, Robert S. Martin, and Jaewook Shin
Subjects: Adult, medicine.medical_specialty, Adolescent, Wounds, Nonpenetrating, Asymptomatic, 03 medical and health sciences, 0302 clinical medicine, Blunt, medicine, Screening method, Humans, Acute care surgery, Cerebrovascular Trauma, Retrospective Studies, business.industry, 030208 emergency & critical care medicine, General Medicine, Vascular System Injuries, Cerebral Angiography, Acs nsqip, Surgery, Stroke, medicine.anatomical_structure, Clavicle, 030220 oncology & carcinogenesis, medicine.symptom, Carotid Artery Injuries, business
Abstract: Introduction Blunt cerebrovascular injury (BCVI) is an increasingly detected pattern in trauma with significant morbidity, putting patients at risk for subsequent stoke. Complex screening protocols exist to determine who should undergo CT angiography of the neck (CTAN) to evaluate for BCVI. Once identified, stroke incidence may be reduced with appropriate treatment across grades. We hypothesize that an expanded and simplified method for identifying patients with clinical suspicion for BCVI based upon injury above the clavicle (ATC) will illustrate a previously undiagnosed cohort of patients. Methods A single-institution retrospective review of adult (age ≥18 years) blunt trauma patients with BCVI from January 1, 2010 to December 31, 2019 was conducted at a tertiary academic medical center. Patients undergoing CTAN were divided into 2 groups based upon qualification by either the expanded Denver criteria or clinical evidence of any injury ATC. Results A total of 219 patients were diagnosed with BCVI (25 566 blunt trauma admissions, .9% incidence). Seventeen patients (8%) who did not satisfy expanded Denver were diagnosed with BCVI by ATC, most commonly undergoing CTAN due to facial trauma (n = 8). There were no differences in distribution of carotid artery injuries (CAI) and vertebral artery injuries (VAI) in the expanded Denver criteria group compared to the ATC group. Conclusions CTAN for blunt trauma with any injury ATC is an easy-to-use screening tool and may be seamlessly included with initial whole-body imaging.
Published: 2021

31. Global Greenlight Group: largest international Greenlight experience for benign prostatic hyperplasia to assess efficacy and safety

Author: Giovanni Ferrari, David Bouhadana, David-Dan Nguyen, Edgardo F. Becher, Maximilian Reimann, Franck Bruyère, Naeem Bhojani, Carlos Vasquez-Lastra, Dean Elterman, Kyle W Law, Iman Sadri, Vincent Misrai, Félix Couture, Côme Tholomier, Hannes Cash, Ahmed S. Zakaria, Kevin C. Zorn, Luca Cindolo, and Tiago Borelli-Bovo
Subjects: Nephrology, medicine.medical_specialty, business.industry, Urology, Laser treatment, 030232 urology & nephrology, Perioperative, Hyperplasia, medicine.disease, Pooling data, 03 medical and health sciences, Catheter, 0302 clinical medicine, medicine.anatomical_structure, Prostate, Interquartile range, 030220 oncology & carcinogenesis, Internal medicine, medicine, business
Abstract: Greenlight photo-selective vaporization of the prostate (GL-PVP) has gained international acceptance as a safe and effective alternative procedure for the treatment of benign prostatic hyperplasia (BPH), especially in anticoagulated men. This descriptive analysis aims to characterize the current state of GL-PVP, pooling data from international centers. Data from 3627 patients who underwent GL-PVP with the XPS-180 W system in seven international centers performed by eight expert surgeons between 2011 and 2019 were retrospectively analyzed. Demographic, perioperative, and postoperative data were collected, including IPSS, QoL, Qmax, PVR, and PSA, and complications. At baseline, median age, prostate volume, PSA, and IPSS were 70 years (interquartile range 64–77), 64 (47–90), 3.1 ng/mL (1.8–6), and 22 (19–27), respectively. Median lasing and operative time were 34 (23–48) and 62 min (46–85), respectively. Median energy use was 250.0 kJ (168.4–367.9), with 92.6% of procedures being completed with one laser fiber. In 60.1% of cases, catheter was removed on postoperative day 1 with median length of 2 days. All-cause mortality within 30 days was 0.3%. Median PSA reduction at 3 months and 60 months compared to baseline was 43.9 and 46.4%, respectively (p
Published: 2021

32. Dural augmentation approaches and complication rates after posterior fossa decompression for Chiari I malformation and syringomyelia: a Park-Reeves Syringomyelia Research Consortium study

Author: Cormac O. Maher, Daniel E. Couture, Stephanie Greene, Joshua S. Shimony, Tord D. Alden, Jeffrey P. Greenfield, John C. Wellons, Gerald A. Grant, James C. Torner, Nathan R. Selden, Jeffrey R. Leonard, Jennifer Strahle, David D. Limbrick, Bermans J. Iskandar, David J. Daniels, John Ragheb, Philipp R. Aldana, Brent R. O'Neill, Scott D. Wait, Eric M. Jackson, P. David Adelson, Joshua J. Chern, Chevis N. Shannon, Patrick Graupman, James M. Johnston, Brian J. Dlouhy, Naina L. Gross, William E. Whitehead, Timothy M. George, Robert F. Keating, David F Bauer, Daniel J. Guillaume, Tammy Bethel-Anderson, Susan R. Durham, Mark Iantosca, Alexander T. Yahanda, S. Hassan, Tae Sung Park, Ramin Eskandari, Gerald F. Tuite, Todd C. Hankinson, Gregory W. Albert, Greg Olavarria, Francesco T. Mangano, Matthew D. Smyth, J. Gordon McComb, Richard C. E. Anderson, Arnold H. Menezes, Scellig S D Stone, Richard G. Ellenbogen, Thanda Meehan, Sean D. McEvoy, Manish N. Shah, Gregory G. Heuer, Mark D. Krieger, and Douglas L. Brockmeyer
Subjects: Male, medicine.medical_specialty, Adolescent, Decompression, Transplantation, Heterologous, Transplants, Transplantation, Autologous, Neurosurgical Procedures, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, medicine, Humans, Syrinx (medicine), Child, business.industry, General Medicine, Decompression, Surgical, medicine.disease, Syringomyelia, Arnold-Chiari Malformation, Surgery, Hydrocephalus, Pseudomeningocele, surgical procedures, operative, 030220 oncology & carcinogenesis, Female, Dura Mater, Headaches, medicine.symptom, Complication, business, Meningitis, 030217 neurology & neurosurgery
Abstract: OBJECTIVE Posterior fossa decompression with duraplasty (PFDD) is commonly performed for Chiari I malformation (CM-I) with syringomyelia (SM). However, complication rates associated with various dural graft types are not well established. The objective of this study was to elucidate complication rates within 6 months of surgery among autograft and commonly used nonautologous grafts for pediatric patients who underwent PFDD for CM-I/SM. METHODS The Park-Reeves Syringomyelia Research Consortium database was queried for pediatric patients who had undergone PFDD for CM-I with SM. All patients had tonsillar ectopia ≥ 5 mm, syrinx diameter ≥ 3 mm, and ≥ 6 months of postoperative follow-up after PFDD. Complications (e.g., pseudomeningocele, CSF leak, meningitis, and hydrocephalus) and postoperative changes in syrinx size, headaches, and neck pain were compared for autograft versus nonautologous graft. RESULTS A total of 781 PFDD cases were analyzed (359 autograft, 422 nonautologous graft). Nonautologous grafts included bovine pericardium (n = 63), bovine collagen (n = 225), synthetic (n = 99), and human cadaveric allograft (n = 35). Autograft (103/359, 28.7%) had a similar overall complication rate compared to nonautologous graft (143/422, 33.9%) (p = 0.12). However, nonautologous graft was associated with significantly higher rates of pseudomeningocele (p = 0.04) and meningitis (p < 0.001). The higher rate of meningitis was influenced particularly by the higher rate of chemical meningitis (p = 0.002) versus infectious meningitis (p = 0.132). Among 4 types of nonautologous grafts, there were differences in complication rates (p = 0.02), including chemical meningitis (p = 0.01) and postoperative nausea/vomiting (p = 0.03). Allograft demonstrated the lowest complication rates overall (14.3%) and yielded significantly fewer complications compared to bovine collagen (p = 0.02) and synthetic (p = 0.003) grafts. Synthetic graft yielded higher complication rates than autograft (p = 0.01). Autograft and nonautologous graft resulted in equal improvements in syrinx size (p < 0.0001). No differences were found for postoperative changes in headaches or neck pain. CONCLUSIONS In the largest multicenter cohort to date, complication rates for dural autograft and nonautologous graft are similar after PFDD for CM-I/SM, although nonautologous graft results in higher rates of pseudomeningocele and meningitis. Rates of meningitis differ among nonautologous graft types. Autograft and nonautologous graft are equivalent for reducing syrinx size, headaches, and neck pain.
Published: 2021

33. Amyloid and Tau Pathology Associations With Personality Traits, Neuropsychiatric Symptoms, and Cognitive Lifestyle in the Preclinical Phases of Sporadic and Autosomal Dominant Alzheimer’s Disease

Author: Alexa Pichet Binette, Étienne Vachon-Presseau, John Morris, Randall Bateman, Tammie Benzinger, D. Louis Collins, Judes Poirier, John C.S. Breitner, Sylvia Villeneuve, Ricardo Allegri, Fatima Amtashar, Randy Bateman, Sarah Berman, Courtney Bodge, Susan Brandon, William (Bill) Brooks, Jill Buck, Virginia Buckles, Sochenda Chea, Jasmeer Chhatwal, Patricio Chrem, Helena Chui, Jake Cinco, Jack Clifford, Carlos Cruchaga, Mirelle D‘Mello, Tamara Donahue, Jane Douglas, Noelia Edigo, Nilufer Erekin-Taner, Anne Fagan, Marty Farlow, Angela Farrar, Howard Feldman, Gigi Flynn, Nick Fox, Erin Franklin, Hisako Fujii, Cortaiga Gant, Samantha Gardener, Bernardino Ghetti, Alison Goate, Jill Goldman, Brian Gordon, Neill Graff-Radford, Julia Gray, Jenny Gurney, Jason Hassenstab, Mie Hirohara, David Holtzman, Russ Hornbeck, Siri Houeland DiBari, Takeshi Ikeuchi, Snezana Ikonomovic, Gina Jerome, Mathias Jucker, Celeste Karch, Kensaku Kasuga, Takeshi Kawarabayashi, William (Bill) Klunk, Robert Koeppe, Elke Kuder-Buletta, Christoph Laske, Jae-Hong Lee, Johannes Levin, Daniel Marcus, Ralph Martins, Neal Scott Mason, Colin Masters, Denise Maue-Dreyfus, Eric McDade, Lucy Montoya, Hiroshi Mori, Akem Nagamatsu, Katie Neimeyer, James Noble, Joanne Norton, Richard Perrin, Marc Raichle, John Ringman, Jee Hoon Roh, Stephen Salloway, Peter Schofield, Hiroyuki Shimada, Tomoyo Shiroto, Mikio Shoji, Wendy Sigurdson, Hamid Sohrabi, Paige Sparks, Kazushi Suzuki, Laura Swisher, Kevin Taddei, Jen Wang, Peter Wang, Mike Weiner, Mary Wolfsberger, Chengjie Xiong, Xiong Xu, Angela Tam, Anne Labonté, Anne-Marie Faubert, Axel Mathieu, Cécile Madjar, Charles Edouard Carrier, Christian Dansereau, Christina Kazazian, Claude Lepage, Cynthia Picard, David Maillet, Diane Michaud, Doris Couture, Doris Dea, Claudio Cuello, Alan Barkun, Alan Evans, Blandine Courcot, Christine Tardif, Clément Debacker, Clifford R. Jack, David Fontaine, David S. Knopman, Gerhard Maultaup, Jamie Near, Jeannie-Marie Leoutsakos, Jean-Robert Maltais, Jason Brandt, Jens Pruessner, John C. Morris, Laksanun Cheewakriengkrai, Lisa-Marie Münter, Louis Collins, Mallar Chakravarty, Mark A. Sager, Marina Dauar-Tedeschi, Mark Eisenberg, Natasha Rajah, Paul Aisen, Joanne Toussaint, Pedro Rosa-Neto, Pierre Bellec, Penelope Kostopoulos, Pierre Etienne, Pierre N. Tariot, Pierre Orban, Reisa A. Sperling, Rick Hoge, Ronald G. Thomas, Serge Gauthier, Suzanne Craft, Thomas J. Montine, Vasavan Nair, Véronique Bohbot, Vinod Venugopalan, Vladimir Fonov, Yasser Ituria-Medina, Zaven S. Khachaturian, Eduard Teigner, Elena Anthal, Elsa Yu, Fabiola Ferdinand, Galina Pogossova, Ginette Mayrand, Guerda Duclair, Guylaine Gagné, Holly Newbold-Fox, Illana Leppert, Isabelle Vallée, Jacob W. Vogel, Jennifer Tremblay-Mercier, Joanne Frenette, Josée Frappier, Justin Kat, Justin Miron, Karen Wan, Laura Mahar, Leopoldina Carmo, Louise Théroux, Mahsa Dadar, Marianne Dufour, Marie-Elyse Lafaille-Magnan, Melissa Appleby, Mélissa Savard, Miranda Tuwaig, Mirela Petkova, Pierre Rioux, Pierre-François Meyer, Rana El-Khoury, Renee Gordon, Renuka Giles, Samir Das, Seqian Wang, Shirin Tabrizi, Sulantha Mathotaarachchi, Sylvie Dubuc, Tanya Lee, Thomas Beaudry, Valérie Gervais, Véronique Pagé, Julie Gonneaud, Gülebru Ayranci, Tharick A. Pascoal, René Desautels, Fatiha Benbouhoud, Eunice Farah Saint-Fort, Sander C.J. Verfaillie, Sarah Farzin, Alyssa Salaciak, Stephanie Tullo, Etienne Vachon-Presseau, Leslie-Ann Daoust, Theresa Köbe, Nathan Spreng, Melissa McSweeney, Nathalie Nilsson, Morteza Pishnamazi, and Christophe Bedetti
Subjects: 0301 basic medicine, Oncology, medicine.medical_specialty, tau Proteins, Disease, Article, 03 medical and health sciences, Cognition, 0302 clinical medicine, Alzheimer Disease, Internal medicine, mental disorders, medicine, Humans, Dementia, Big Five personality traits, Family history, Life Style, Biological Psychiatry, Aged, Amyloid beta-Peptides, Extraversion and introversion, business.industry, medicine.disease, Neuroticism, 3. Good health, 030104 developmental biology, Positron-Emission Tomography, Cohort, Alzheimer's disease, business, 030217 neurology & neurosurgery
Abstract: Background Major prevention trials for Alzheimer’s disease (AD) are now focusing on multidomain lifestyle interventions. However, the exact combination of behavioral factors related to AD pathology remains unclear. In 2 cohorts of cognitively unimpaired individuals at risk of AD, we examined which combinations of personality traits, neuropsychiatric symptoms, and cognitive lifestyle (years of education or lifetime cognitive activity) related to the pathological hallmarks of AD, amyloid-β, and tau deposits. Methods A total of 115 older adults with a parental or multiple-sibling family history of sporadic AD (PREVENT-AD [PRe-symptomatic EValuation of Experimental or Novel Treatments for AD] cohort) underwent amyloid and tau positron emission tomography and answered several questionnaires related to behavioral attributes. Separately, we studied 117 mutation carriers from the DIAN (Dominant Inherited Alzheimer Network) study group cohort with amyloid positron emission tomography and behavioral data. Using partial least squares analysis, we identified latent variables relating amyloid or tau pathology with combinations of personality traits, neuropsychiatric symptoms, and cognitive lifestyle. Results In PREVENT-AD, lower neuroticism, neuropsychiatric burden, and higher education were associated with less amyloid deposition (p = .014). Lower neuroticism and neuropsychiatric features, along with higher measures of openness and extraversion, were related to less tau deposition (p = .006). In DIAN, lower neuropsychiatric burden and higher education were also associated with less amyloid (p = .005). The combination of these factors accounted for up to 14% of AD pathology. Conclusions In the preclinical phase of both sporadic and autosomal dominant AD, multiple behavioral features were associated with AD pathology. These results may suggest potential pathways by which multidomain interventions might help delay AD onset or progression.
Published: 2021

34. Circulating Galectin-3 Levels Are Not Associated With Nonalcoholic Fatty Liver Disease: A Mendelian Randomization Study

Author: Christian Couture, Benoit J. Arsenault, Émilie Gobeil, Sébastien Thériault, Maxime Tremblay, Nicolas Perrot, Patricia L. Mitchell, and Nooshin Ghodsian
Subjects: 0301 basic medicine, Oncology, medicine.medical_specialty, Endocrinology, Diabetes and Metabolism, Clinical Biochemistry, Context (language use), Single-nucleotide polymorphism, Disease, Biochemistry, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, Internal medicine, Mendelian randomization, Nonalcoholic fatty liver disease, medicine, business.industry, Biochemistry (medical), Fatty liver, medicine.disease, Biobank, 030104 developmental biology, 030220 oncology & carcinogenesis, Cohort, business
Abstract: Context The impact of galectin-3 inhibitors on nonalcoholic fatty liver diseases (NAFLD)-related outcomes is currently under investigation in randomized clinical trials. Whether there is a causal association between plasma galectin-3 levels and NAFLD is unknown. Objective To evaluate the causal effect of circulating galectin-3 levels on NAFLD as well as >800 other human diseases. Design Inverse variance-weighted (IVW) Mendelian randomization (MR) and phenome-wide MR. Setting Summary statistics of genome-wide association studies. Patients Participants of the UK Biobank, Electronic Medical Records and Genomics (eMERGE), FinnGen, Prevention of Renal and Vascular End-Stage Disease (PREVEND), and IMPROVE cohorts. Intervention Identification of independent single-nucleotide polymorphisms (SNPs) associated with galectin-3 levels (P Main outcome measures Presence of NAFLD in a meta-analysis of genome-wide association study of the eMERGE, UK Biobank, and FinnGen cohorts (3042 NAFLD cases and 504 853 controls), as well as >800 other human diseases in the UK Biobank and FinnGen. Results Using IVW-MR, we found no causal association between galectin-3 levels and NAFLD in the meta-analysis of the 3 cohorts or in each individual cohort. After correction for multiple testing, we found no causal association between galectin-3 levels and >800 human disease-related traits. Conclusions This MR study revealed no causal associations between circulating galectin-3 levels and NAFLD or any other disease traits, suggesting that plasma galectin-3 levels may not be directly implicated in the pathogenesis of NAFLD or other human diseases.
Published: 2021

35. Connecting the Countryside via E-Commerce: Evidence from China

Author: Lizhi Liu, Victor Couture, Yizhen Gu, and Benjamin Faber
Subjects: business.industry, 05 social sciences, Microdata (statistics), E-commerce, 010501 environmental sciences, 01 natural sciences, 0502 economics and business, General Earth and Planetary Sciences, Demographic economics, 050207 economics, Cost of living, Rural area, China, business, Rural population, 0105 earth and related environmental sciences, General Environmental Science
Abstract: This paper estimates the impact of the first nationwide e-commerce expansion program on rural households. To do so, we combine a randomized control trial with new survey and administrative microdata. In contrast to existing case studies, we find little evidence for income gains to rural producers and workers. Instead, the gains are driven by a reduction in cost of living for a minority of rural households that tend to be younger, richer, and in more remote markets. These effects are mainly due to overcoming logistical barriers to e-commerce rather than additional investments to adapt e-commerce to the rural population. (JEL I31, L81, O12, O18, P25, P36)
Published: 2021

36. 72 Identifying Perinatal and Neonatal Factors Associated with Autism Spectrum Disorder among Preterm Infants Born < 29 Weeks’ Gestation

Author: Élise Couture, May Khairy, Marc Beltempo, Elias Jabbour, Andrée-Anne Busque, Sharina Patel, Jarred Garfinkle, and Martine Claveau
Subjects: Pediatrics, medicine.medical_specialty, business.industry, Autism spectrum disorder, Pediatrics, Perinatology and Child Health, Medicine, Gestation, business, medicine.disease
Abstract: Primary Subject area Neonatal-Perinatal Medicine Background Preterm infants born 2 years. Perinatal and neonatal factors, including interventions and morbidities during neonatal intensive care unit admission, may contribute to the risk of ASD among these infants. Objectives We aimed to assess the incidence of and risk factors for, ASD among preterm infants born < 29 weeks’ GA. Design/Methods 18 months of corrected age. Patient data and 18-month developmental outcomes were obtained from the local Canadian Neonatal Follow Up Network database and from chart review. Stepwise logistic regression was used to identify significant perinatal, neonatal, and socio-economic factors associated with ASD. Results Among 300 eligible infants, 47 (15.7%) developed ASD (Figure 1, Table 1). Mean follow-up duration was 3.9 ± 1.4 years and mean age at diagnosis was 3.7 ± 1.5 years. Male sex (adjusted odds ratio [aOR] 4.63, 95% CI 2.12, 10.10), small for gestational age status (aOR 3.03, 95% CI 1.02, 9.01), maternal age ≥ 35 years at delivery (aOR 2.22, 95% CI 1.08, 4.57), and tobacco use in utero (aOR 5.67, 95% CI 1.86, 17.29) were significantly associated with ASD. Major neonatal morbidities (retinopathy of prematurity, bronchopulmonary dysplasia, necrotizing enterocolitis, late-onset sepsis, severe neurological injury) were not associated with ASD. Among infants with a complete 18-month corrected age developmental assessment and later diagnosed with ASD, 46% (19/41) did not have significant neurodevelopment impairment (Bayley-III < 70, deafness, blindness, or cerebral palsy). Conclusion ASD is a significant morbidity among infants born < 29 weeks’ GA. ASD was associated with infant and prenatal risk factors but not with neonatal morbidities or socio-economic factors. These findings emphasize the need for ASD evaluation among preterm infants < 29 weeks and for reporting developmental outcomes beyond 18-months corrected age.
Published: 2021

37. Obstacles to the transition to adulthood of people with severe to profound intellectual disability and potential solutions: Perspectives of professionals in one region of Quebec

Author: Frances Gallagher, Camille Gauthier-Boudreault, and Mélanie Couture
Subjects: Gerontology, 030506 rehabilitation, Rehabilitation, business.industry, medicine.medical_treatment, Transition (fiction), 05 social sciences, macromolecular substances, medicine.disease, Education, 03 medical and health sciences, Arts and Humanities (miscellaneous), Work (electrical), Turnover, Intellectual disability, medicine, 0501 psychology and cognitive sciences, 0305 other medical science, Human resources, business, Psychology, General Psychology, 050104 developmental & child psychology
Abstract: Planning the transition to adulthood of youth with severe to profound intellectual disability (ID) requires professionals from different institutions to work together. However, there are few studie...
Published: 2021

38. 'No weight for height' case detection strategies for therapeutic feeding programs: sensitivity to acute malnutrition and target composition based on representative surveys in humanitarian settings

Author: Elise Lesieur, Alexia Couture, Benjamin Guesdon, and Oleg O. Bilukha
Subjects: Pediatrics, medicine.medical_specialty, WAZ, Endocrinology, Diabetes and Metabolism, Severe Acute Malnutrition, Population, RUTF, Medicine (miscellaneous), lcsh:TX341-641, Clinical nutrition, Disease cluster, Medicine, education, Survey, Wasting, Nutrition, education.field_of_study, Stunting, lcsh:R5-920, Nutrition and Dietetics, Case detection, lcsh:TP368-456, business.industry, WHZ, MUAC, Humanitarian, Public Health, Environmental and Occupational Health, medicine.disease, Malnutrition, lcsh:Food processing and manufacture, medicine.symptom, business, lcsh:Medicine (General), lcsh:Nutrition. Foods and food supply, Weight for height, Research Article
Abstract: Background One newly proposed approach to determining eligibility of children aged 6–59 months for therapeutic feeding programs (TFPs) is to use mid-upper arm circumference (MUAC) Methods We analyzed data from 558 population representative cross-sectional cluster surveys conducted since 2007. We retrieved all children classified as severe acute malnutrition (SAM), moderate acute malnutrition (MAM), and those who are both wasted and stunted (WA + ST), and calculated proportions of previously eligible children who would now be excluded from treatment, as well as proportions of non-malnourished children among those who would become eligible. We also analyzed the expected changes in the number and demographics (sex, age) of the selected populations of children according to the different admission approaches. Results Both MUAC+SWAZ and Expanded MUAC case detection approaches substantially increase the sensitivity in detecting SAM, as compared to an approach which restricts detection of SAM cases to MUAC Conclusions These results suggest that recently promoted approaches to case detection inflate TFPs’ targets through the allocation of treatment to large numbers of children who have not been shown to require this type of support, including a significant proportion of non-acutely malnourished children in the MUAC+SWAZ approach. Considering the scarcity of resources for the implementation of TFPs, the rationale of abandoning the use of WHZ and of these alternative case detection strategies need to be critically reviewed.
Published: 2021

39. Results of cryopreserved arterial allograft replacement for thoracic and thoracoabdominal aortic infections

Author: Thibault Couture, Fabien Koskas, Jean-Michel Davaine, Jérémie Jayet, Mohamed Jarraya, Laurent Chiche, and Julien Gaudric
Subjects: Male, medicine.medical_specialty, Prosthesis-Related Infections, Time Factors, Fistula, medicine.medical_treatment, Aorta, Thoracic, 030204 cardiovascular system & hematology, Anastomosis, Risk Assessment, Ischemic colitis, law.invention, Blood Vessel Prosthesis Implantation, 03 medical and health sciences, 0302 clinical medicine, Aneurysm, Risk Factors, law, medicine.artery, medicine, Humans, Thoracic aorta, Aorta, Abdominal, Hospital Mortality, 030212 general & internal medicine, Device Removal, Aged, Retrospective Studies, Colectomy, Cryopreservation, business.industry, Arteries, Length of Stay, Middle Aged, Allografts, medicine.disease, Intensive care unit, Blood Vessel Prosthesis, Surgery, Treatment Outcome, Reinfection, Female, Tamponade, Cardiology and Cardiovascular Medicine, business
Abstract: Background Primary and secondary thoracic aortic infections are rare but associated with high morbidity and mortality. There is currently no consensus on their optimal treatment. Arterial allografts have been shown to be resistant to bacterial colonization. Complete excision of infected material, especially synthetic grafts, combined with in situ aortic repair is considered the best treatment of abdominal aortic infections. The aim of this study was to assess the management of thoracic and thoracoabdominal aortic infections using arterial allografts. Methods Between January 2009 and December 2017, all patients with thoracic and thoracoabdominal aortic native or graft infections underwent complete excision of infected material and in situ arterial allografting. The end points were the early mortality and morbidity rates and early and late rates of reinfection, graft degeneration, and graft-related morbidity. Results Thirty-five patients with a mean age of 65.6 ± 9.2 years were included. Twenty-one (60%) cases experienced graft infections and 14 (40%) experienced native aortic infections. Eight (22.8%) patients had visceral fistulas: 5 (14.4%) prosthetic-esophageal, 1 (2.8%) prosthetic-bronchial, 1 (2.8%) prosthetic-duodenal, and 1 (2.8%) native aortobronchial. In 12 (34.3%) cases, only the descending thoracic aorta was involved; in 23 (65.7%) cases, the thoracoabdominal aorta was involved. Fifteen (42.8%) patients died during the first month or before discharge: 5 of hemorrhage, 4 of multiorgan failure, 3 of ischemic colitis, 2 of pneumonia, and 1 of anastomotic disruption. Eleven (31.5%) patients required early revision surgery: 6 (17.1%) for nongraft-related hemorrhage, 3 (8.6%) for colectomy, 1 (2.9%) for proximal anastomotic disruption, and 1 (2.9%) for tamponade. One (2.9%) patient who died before discharge experienced paraplegia. One (2.9%) patient experienced stroke. Six (17.1%) patients required postoperative dialysis. Among them, four died before discharge. The mean length of stay in the intensive care unit was 11 ± 10.5 days; the mean length of hospital stay was 32 ± 14 days. During a mean follow-up of 32.3 ± 23.7 months, three allograft-related complications occurred in survivors (15% of late survivors): one proximal and one distal false aneurysm with no evidence of reinfection and one allograft-enteric fistula. The 1-year and 2-year survival rates were 49.3% and 42.5%, respectively. Conclusions Although rare, aortic infections are highly challenging. Surgical management includes complete excision of infected tissues or grafts. Allografts offer a promising solution to aortic graft infection because they appear to resist reinfection; however, the grafts must be observed indefinitely because of the risk of late graft complications.
Published: 2021

40. Facilitators and obstacles to the use of a cognitive orthosis for meal preparation within the homes of adults with a moderate to severe traumatic brain injury: Informal caregivers and health-care professionals’ perspectives

Author: Sylvain Giroux, Nathalie Bier, Carolina Bottari, Mélanie Couture, Sareh Zarshenas, Mireille Gagnon-Roy, and Hélène Pigot
Subjects: Adult, Moderate to severe, Orthotic Devices, 030506 rehabilitation, Traumatic brain injury, Health Personnel, medicine.medical_treatment, Physical Therapy, Sports Therapy and Rehabilitation, Context (language use), 03 medical and health sciences, Cognition, 0302 clinical medicine, Nursing, Brain Injuries, Traumatic, Health care, medicine, Humans, Rehabilitation, business.industry, medicine.disease, Caregivers, Meal preparation, 0305 other medical science, business, Psychology, 030217 neurology & neurosurgery, Qualitative research
Abstract: A cognitive orthosis named COOK was developed and implemented to facilitate meal preparation for adults with severe traumatic brain injury (TBI) living in an alternative housing unit. This study aimed to explore facilitators and barriers to the potential use and implementation of COOK in a new context (i.e., within the homes of people living with a TBI in the community). For this purpose, 20 stakeholders (e.g., health-care professionals, clinical coordinators, informal caregivers of individuals with TBI) were interviewed. Participants identified various potential benefits of this technology (e.g., improving independence and confidence of people with TBI) and facilitators (e.g., clinical and technical supports, helpful functionalities) that could facilitate the use and implementation of COOK within a home environment. However, numerous questions remained unanswered regarding the logistics surrounding the implementation of such technology. Thus, further studies and modifications are required to facilitate future implementation of this technology among individuals living in their own homes.
Published: 2021

41. Fate and Fathead Minnow Embryotoxicity of Weathering Crude Oil in a Pilot‐Scale Spill Tank

Author: Charles Gauthier, Félix Dupont, Gaëlle Triffault-Bouchet, Patrice Couture, Qin Xin, Linda Ramona Lara-Jacobo, Heather D. Dettman, and Valerie S. Langlois
Subjects: Health, Toxicology and Mutagenesis, Cyprinidae, Weathering, 010501 environmental sciences, 01 natural sciences, 03 medical and health sciences, Petroleum product, biology.animal, Animals, Environmental Chemistry, Petroleum Pollution, Weather, Oil toxicity, 030304 developmental biology, 0105 earth and related environmental sciences, 0303 health sciences, biology, Hatching, business.industry, Minnow, Contamination, Petroleum, Environmental chemistry, Toxicity, Environmental science, Female, Pimephales promelas, business, Water Pollutants, Chemical
Abstract: For several years now, the Natural Resources Canada research facility at CanmetENERGY Devon (AB, Canada) has been performing experiments in a pilot-scale spill tank using 1200 L of river water to examine the physical and chemical behaviors of various crude oil/water mixtures under varying water temperature regimes. Because oil toxicity can be modulated by weathering of the petroleum products, the present study aimed to assess changes in fish embryotoxicity to mixed sweet blend crude oil as it weathered at air and water temperatures of 14 °C and 15 °C, respectively, for 28 d. The physicochemical behavior of the oil was also monitored. Water samples were taken from the spill tank 5 times during the 28-d experiment on days 1, 6, 14, 21, and 28 and were used to perform toxicity exposures using fathead minnow embryos (Pimephales promelas). For each water sampling day, newly fertilized embryos were exposed to a serial dilution of the spill tank water, noncontaminated river water (used in the spill tank), and a reconstituted water laboratory control. Embryos were raised until hatching. Although mortality was not significantly altered by the oil contamination over the time period, malformation occurrence and severity showed concentration-dependent responses to all contaminated water collected. The results suggest that days 14, 21, and 28 were the most toxic time periods for the fish embryos, which corresponded to increasing concentrations of unidentified oxidized organic compounds detected by a quadropole-time-of-flight system. The present study highlights a novel area for oil research, which could help us to better understand the toxicity associated with oil weathering for aquatic species. Environ Toxicol Chem 2021;40:127-138. © 2020 Her Majesty the Queen in Right of Canada. Reproduced with the permission of the Minister of Natural Resources Canada.
Published: 2020

42. Joint effects of alcohol and stimulant use disorders on self-reported sexually transmitted infections in a prospective study of Cambodian female entertainment and sex workers

Author: Ellen Stein, Lisa Maher, Yuthea Neak, Maly Phou, Kimberly Page, Sophal Chhit, Sokunny Muth, Len Aynar, Adam W. Carrico, Ngak Song, Marie-Claude Couture, and Jennifer L. Evans
Subjects: medicine.medical_treatment, Human immunodeficiency virus (HIV), Alcohol, medicine.disease_cause, Drug Users, Substance Misuse, Alcohol Use and Health, chemistry.chemical_compound, 0302 clinical medicine, risk factors, Medicine, Pharmacology (medical), Prospective Studies, 030212 general & internal medicine, Prospective cohort study, High rate, sexual behaviour, Alcoholism, Infectious Diseases, Medical Microbiology, Public Health and Health Services, HIV/AIDS, Female, women, Public Health, Infection, Cambodia, 0305 other medical science, Alcohol-Related Disorders, Adult, Clinical Sciences, Amphetamine-Related Disorders, Sexually Transmitted Diseases, Sex workers, Dermatology, Article, 03 medical and health sciences, Asian People, Clinical Research, Environmental health, Behavioral and Social Science, mental disorders, Sexually transmitted infections, Humans, sex workers, Sex Workers, 030505 public health, Unsafe Sex, business.industry, Prevention, Amphetamines, Public Health, Environmental and Occupational Health, Brain Disorders, Stimulant, Increasing risk, Good Health and Well Being, chemistry, Self Report, business
Abstract: Female entertainment and sex workers (FESW) have high rates of alcohol and amphetamine-type stimulant (ATS) use, increasing risk for HIV/sexually transmitted infections (STI), and other negative outcomes. A prospective cohort of 1,198 FESW in a HIV/ATS use prevention intervention in Cambodia was assessed for alcohol and stimulant use disorders (AUD and SUD) using the Alcohol and Substance Use Involvement (ASSIST) scale. STI history was measured by self-report at baseline and at quarterly follow-up visits. Participants were asked if they had been diagnosed with an STI by a medical provider in the past 3 months. Marginal structural models were used to estimate joint effects of AUD and SUD on recent STI. At baseline, one-in-four screened AUD positive and 7% screened positive for SUD. At 18-months, 26% reported ≥1 recent STI. Accounting for time-varying and other known confounders, the adjusted odds ratio (AOR) for recent STI associated with AUD alone and SUD alone were 2.8 (95% CI:1.5–5.1) and 3.5 (95% CI:1.1–11.3), respectively. The AOR for joint effects of AUD and SUD was 5.7 (95% CI:2.2–15.2). AUD and SUD are independently and jointly associated with greater odds of STI among Cambodian FESW. Further research is critical for understanding how AUD and SUD potentiate biological and behavioural pathways that influence STI acquisition and to inform HIV risk-reduction interventions in FESW.
Published: 2020

43. Occipital-Cervical Fusion and Ventral Decompression in the Surgical Management of Chiari-1 Malformation and Syringomyelia: Analysis of Data From the Park-Reeves Syringomyelia Research Consortium

Author: Richard C E Anderson, Gabrielle W. Johnson, Gabe Haller, Joshua S. Shimony, Michael P. Kelly, W. Jerry Oakes, Nickalus Khan, Scott D. Wait, Joshua J. Chern, James M. Johnston, Gregory W. Albert, Laurie L. Ackerman, Michael S. Muhlbauer, Douglas L. Brockmeyer, Jennifer M. Strahle, Francesco T. Mangano, Gregory G. Heuer, John C. Wellons, J. Gordon McComb, Jeffrey P. Greenfield, Timothy M. George, Daniel E. Couture, Jodi L. Smith, David J. Daniels, Mark D. Krieger, Herbert E. Fuchs, Brent R. O'Neill, James C. Torner, Bermans J. Iskandar, Jeffrey R. Leonard, John Ragheb, Eric M. Jackson, David F. Bauer, Ramin Eskandari, Andrew Jea, Mandeep S. Tamber, Phillipp R. Aldana, Robert F. Keating, Lissa C. Baird, Matthew D. Smyth, Mark Iantosca, Stephanie Greene, Greg Olavarria, Todd C. Hankinson, Cormac O. Maher, Raheel Ahmed, Karin S. Bierbrauer, Tord D. Alden, P. David Adelson, Chevis N. Shannon, Nathan R. Selden, Tae Sung Park, Richard G. Ellenbogen, Susan R Durham, Naina L. Gross, Travis S. CreveCoeur, Arnold H. Menezes, Scellig S D Stone, Timothy B. Mapstone, David D. Limbrick, Robert C. Dauser, Daniel J. Guillaume, Alexander T. Yahanda, Manish N. Shah, William E. Whitehead, Gerald A. Grant, Gerald F. Tuite, and Patrick Graupman
Subjects: Male, Peanut butter, Decompression, Basilar invagination, 030218 nuclear medicine & medical imaging, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Syrinx (medicine), Cervical fusion, Child, Chiari malformation, Platybasia, business.industry, Decompression, Surgical, medicine.disease, Syringomyelia, Arnold-Chiari Malformation, Spinal Fusion, Treatment Outcome, Research—Human—Clinical Studies, Female, Surgery, Neurology (clinical), Nuclear medicine, business, 030217 neurology & neurosurgery
Abstract: BACKGROUND: Occipital-cervical fusion (OCF) and ventral decompression (VD) may be used in the treatment of pediatric Chiari-1 malformation (CM-1) with syringomyelia (SM) as adjuncts to posterior fossa decompression (PFD) for complex craniovertebral junction pathology. OBJECTIVE: To examine factors influencing the use of OCF and OCF/VD in a multicenter cohort of pediatric CM-1 and SM subjects treated with PFD. METHODS: The Park-Reeves Syringomyelia Research Consortium registry was used to examine 637 subjects with cerebellar tonsillar ectopia ≥ 5 mm, syrinx diameter ≥ 3 mm, and at least 1 yr of follow-up after their index PFD. Comparisons were made between subjects who received PFD alone and those with PFD + OCF or PFD + OCF/VD. RESULTS: All 637 patients underwent PFD, 505 (79.2%) with and 132 (20.8%) without duraplasty. A total of 12 subjects went on to have OCF at some point in their management (PFD + OCF), whereas 4 had OCF and VD (PFD + OCF/VD). Of those with complete data, a history of platybasia (3/10, P = .011), Klippel-Feil (2/10, P = .015), and basilar invagination (3/12, P
Published: 2020

44. Reflections from the ‘Strava-sphere’: Kudos, community, and (self-)surveillance on a social network for athletes

Author: Jesse Couture
Subjects: Health (social science), Social Psychology, Social network, biology, business.industry, Athletes, 05 social sciences, Applied psychology, Physical activity, Self tracking, Physical Therapy, Sports Therapy and Rehabilitation, 030229 sport sciences, biology.organism_classification, Self-Surveillance, 03 medical and health sciences, 0302 clinical medicine, 0502 economics and business, business, Psychology, 050212 sport, leisure & tourism
Abstract: In recent years, there has been a growing interest in the practice of digital self-tracking. Researchers have drawn attention to who self-tracks, why people self-track, and what it feels like to se...
Published: 2020

45. Phospho-histone-H3 immunostaining for pulmonary carcinoids: impact on clinical appraisal, interobserver correlation, and diagnostic processing efficiency

Author: Babak Khoshkrood Mansoori, Philippe Joubert, Venkata S. K. Manem, Philippe Laflamme, Sylvain Trahan, Michèle Orain, Serge Simard, Olga Sazanova, and Christian Couture
Subjects: Adult, Male, 0301 basic medicine, Pathology, medicine.medical_specialty, Lung Neoplasms, Intraclass correlation, Carcinoid tumors, H&E stain, Mitosis, Carcinoid Tumor, Stain, Pathology and Forensic Medicine, Histones, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, Biomarkers, Tumor, Mitotic Index, medicine, Humans, Phosphorylation, Aged, Observer Variation, Reproducibility, Lung, business.industry, Reproducibility of Results, Middle Aged, medicine.disease, Immunohistochemistry, Staining, 030104 developmental biology, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Female, business, Immunostaining
Abstract: Summary Lung carcinoid tumors are classified as either typical or atypical based on the presence of necrosis and the maximum mitotic count per 2 mm2 area. Determining the mitotic count, which is manually conducted on slides stained with hematoxylin and eosin (HE), is time-consuming and subject to high interobserver variability. The objective of this study was to test the sensitivity and specificity of a surrogate mitosis marker, phospho-histone-H3 (PHH3) immunostaining, in the processing of pulmonary carcinoids as compared with the standard HE evaluation. Carcinoid tissue blocks that were available from lung resection specimens were analyzed using HE and PHH3 stains. Two thoracic pathologists and two residents determined the mitotic count on HE and PHH3 stains in accordance with the 2015 WHO guidelines and recorded the time required to complete this task. For both methods, the interobserver agreement among raters for the mitotic count/2 mm2 was assessed by conducting intraclass correlation analyses. We found that for both pathologists and residents, the time required to determine the mitotic count using the PHH3 method was reduced compared with the traditional HE method. Furthermore, residents detected more mitoses/2 mm2 using the PHH3 stain compared with the HE method. More importantly, the PHH3 method yielded better interobserver agreement than the HE method in terms of mitoses/mm2 detection. Overall, our data confirmed that histologic assessments of carcinoid tumors using PHH3 staining provides practical benefits in terms of scoring times, mitosis detection, and reproducibility of mitotic counts. In addition, we found that the benefit was even greater for less experienced pathologists.
Published: 2020

46. Mendelian Randomization Analysis Identifies Blood Tyrosine Levels as a Biomarker of Non-Alcoholic Fatty Liver Disease

Author: Erik Abner, Nele Taba, Éloi Gagnon, André Tchernof, Jacques Corbeil, Marie-Claude Vohl, Émilie Gobeil, Ina Maltais-Payette, François Julien, Patrick Mathieu, Hasanga D. Manikpurage, Christian Couture, Francis Briere, Tõnu Esko, Jérôme Bourgault, Benoit J. Arsenault, Nooshin Ghodsian, Patricia L. Mitchell, and Sébastien Thériault
Subjects: medicine.medical_specialty, education.field_of_study, non-alcoholic fatty liver disease, tyrosine, biomarker, metabolites, obesity, Mendelian randomization, business.industry, Endocrinology, Diabetes and Metabolism, Population, Fatty liver, Blood lipids, nutritional and metabolic diseases, Mendelian Randomization Analysis, Odds ratio, medicine.disease, Gastroenterology, Biochemistry, digestive system, digestive system diseases, Internal medicine, Medicine, Biomarker (medicine), Steatohepatitis, business, education, Molecular Biology
Abstract: Non-alcoholic fatty liver disease (NAFLD) is a complex cardiometabolic disease associated with premature mortality. The diagnosis of NAFLD is challenging and the identification of biomarkers causally influenced by NAFLD may be clinically useful. We aimed at identifying blood metabolites causally impacted by NAFLD using two-sample Mendelian randomization (MR) with validation in a population-based biobank and a cohort of patients undergoing bariatric surgery. Our instrument for genetically-predicted NAFLD (the study exposure) included all independent genetic variants (n=7 SNPs) from a recent genome-wide association study on NAFLD. The study outcomes included 123 blood lipids, lipoproteins and metabolites measured in 24,925 individuals from 10 European cohorts. After correction for multiple testing, we identified a positive effect of NAFLD on plasma tyrosine levels but not on other metabolites. The association between NAFLD and tyrosine levels was consistent across MR methods and robust to outliers and pleiotropy. In observational analyses performed in the Estonian Biobank (10,809 individuals including 359 patients with NAFLD), after multivariable adjustment, tyrosine levels were positively associated with the presence of NAFLD (odds ratio per 1-SD increment = 1.23 (95% confidence interval = 1.12-1.36, p = 2.19e-05). In a sample of 138 patients undergoing bariatric surgery, compared to patients without NAFLD, blood tyrosine levels were higher in those with NAFLD, but were comparable among patients with or without non-alcoholic steatohepatitis. This analysis revealed a potentially causal effect of NAFLD on blood tyrosine levels, suggesting that blood tyrosine levels may represent a new biomarker of NAFLD.Graphical abstract
Published: 2022
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47. Perioperative Right Ventricular Pressure Monitoring in Cardiac Surgery

Author: Christian Ayoub, Georges Desjardins, Antoine Rochon, Etienne J. Couture, Hanne Berg Ravn, Alain Deschamps, Lars Grønlykke, Marco Julien, Jean-Sébastien Lebon, Yoan Lamarche, Philippe L. L’Allier, Jennifer Cloutier, André Y. Denault, Marie-Ève Chamberland, Meggie Raymond, Pierre Couture, Jean Taillefer, and Jennifer Cogan
Subjects: medicine.medical_specialty, Resuscitation, Ventricular Dysfunction, Right, medicine.medical_treatment, Diastole, Perioperative Care, law.invention, law, Pressure waveform, Monitoring, Intraoperative, Internal medicine, Ventricular Pressure, medicine, Humans, Cardiac Surgical Procedures, business.industry, Pulmonary artery catheter, Perioperative, Intensive care unit, Cardiac surgery, Anesthesiology and Pain Medicine, Ventricular Function, Right, Cardiology, Ventricular pressure, Cardiology and Cardiovascular Medicine, business
Abstract: Right ventricular (RV) dysfunction is a cause of increased morbidity and mortality in both cardiac surgery and noncardiac surgery and in the intensive care unit. Early diagnosis of this condition still poses a challenge. The diagnosis of RV dysfunction traditionally is based on a combination of echocardiography, hemodynamic measurements, and clinical symptoms. This review describes the method of using RV pressure waveform analysis to diagnose and grade the severity of RV dysfunction. The authors describe the technique, optimal use, and pitfalls of this method, which has been used at the Montreal Heart Institute since 2002, and review the current literature on this method. The RV pressure waveform is obtained using a pulmonary artery catheter with the capability of measuring RV pressure by connecting a pressure transducer to the pacemaker port. The authors describe how RV pressure waveform analysis can facilitate the diagnosis of systolic and diastolic RV dysfunction, the evaluation of RV-arterial coupling, and help diagnose RV outflow tract obstruction. RV pressure waveform analysis also can be used to guide pharmacologic treatment and fluid resuscitation strategies for RV dysfunction.
Published: 2019

48. Acute Right Ventricular Failure in Cardiac Surgery During Cardiopulmonary Bypass Separation: A Retrospective Case Series of 12 Years’ Experience With Intratracheal Milrinone Administration

Author: Caroline E. Gebhard, Antoine Rochon, André Y. Denault, Mahsa Elmi-Sarabi, Georges Desjardins, Alain Deschamps, Sylvie Levesque, Christian Ayoub, Jennifer Cogan, Hosham Ased, Paul Gavra, Jean-Sébastien Lebon, Pierre Couture, and Etienne J. Couture
Subjects: Male, medicine.medical_specialty, Cardiotonic Agents, Time Factors, Ventricular Dysfunction, Right, 030204 cardiovascular system & hematology, law.invention, 03 medical and health sciences, 0302 clinical medicine, Bolus (medicine), 030202 anesthesiology, law, Internal medicine, Intubation, Intratracheal, Cardiopulmonary bypass, Humans, Medicine, Weaning, Aged, Retrospective Studies, Heart Failure, Cardiopulmonary Bypass, business.industry, Central venous pressure, Odds ratio, Middle Aged, Confidence interval, Cardiac surgery, Anesthesiology and Pain Medicine, Acute Disease, Cardiology, Milrinone, Female, Cardiology and Cardiovascular Medicine, business, Echocardiography, Transesophageal, medicine.drug
Abstract: Objective To report the authors’ 12 years of experience with intratracheal milrinone administration and to assess the efficacy and limitations of intratracheal milrinone bolus administration for the treatment of unexpected acute right ventricular (RV) failure in patients undergoing cardiac surgery. Design Retrospective analysis. Setting Single-center university hospital. Participants One hundred seventy-six patients (4.6%) undergoing on-pump cardiac surgery. Interventions Endotracheal tube administration of milrinone (5-mg bolus) after unexpected acute RV failure during separation from cardiopulmonary bypass (CPB) weaning. RV failure was defined as the simultaneous presence of all of the following criteria: (1) hemodynamic instability or difficult separation from CPB with associated elevated central venous pressure or abnormal RV pressure waveform, (2) >20% reduction of RV fractional area change from baseline evaluated by transesophageal echocardiography, and (3) anatomical visualization of impaired or absent RV wall motion by direct intraoperative visual inspection. Measurements and Main Results Intratracheal milrinone administration was found to improve RV failure in 109 patients (61.9%) whereas RV failure persisted in 67 patients (38.1%). Using a multiple logistic regression model, severely decreased left ventricular ejection fraction ( 50%) (adjusted odds ratio [OR] 3.72; 95% confidence interval [CI] 1.2-11.3; p = 0.012), longer CPB time (adjusted OR 1.014; CI 1.01-1.02; p = 0.001) and elevated postoperative fluid balance (adjusted OR 1.39; CI 1.1-1.8; p = 0.02) were found to be significant predictors of persistent RV failure. Conclusion Intratracheal instillation of milrinone was associated with clinical improvement of RV failure occurring during separation from CPB in almost two-thirds of patients. Factors limiting its therapeutic efficacy include severe left ventricular dysfunction, increased fluid balance, and long CPB time.
Published: 2019

49. Preface: Restoration of eutrophic lakes: current practices and future challenges

Author: Raoul-Marie Couture, Tom Jilbert, Brian J. Huser, and Kalevi Salonen
Subjects: 0106 biological sciences, Biomanipulation, business.industry, 010604 marine biology & hydrobiology, Lake ecosystem, Aquatic Science, 010603 evolutionary biology, 01 natural sciences, Industrialisation, Agriculture, Urbanization, parasitic diseases, Environmental science, Hypolimnion, Eutrophication, Literature survey, business, Environmental planning
Abstract: Eutrophication of lake ecosystems is a pervasive global environmental problem, exacerbated by urbanization, industrialization, and intensification of agriculture. Excess loading of the macronutrients nitrogen and phosphorus from a myriad of human activities in catchment areas has forced many lake ecosystems into turbid, eutrophic states from which natural recovery is slow. A wide array of tools is available to lake managers to accelerate the process of lake restoration. These range from external measures to reduce nutrient loading, to internal measures designed to either retain nutrients in sediments or remove them from the lake ecosystem. In this preface to the Special Issue Restoration of eutrophic lakes: current practices and future challenges, we briefly review the currently available approaches to lake restoration and assess their global prevalence through a literature survey. The results show that traditional restoration methods such as aeration and chemical inactivation of phosphorus by aluminum continue to be widely used and reported in the scientific literature. The popularity of biomanipulation appears to be in decline, while studies into newly developed, in-lake nutrient inactivation methods are expanding. Hypolimnetic withdrawal, on the other hand, remains a comparatively rare technique. The 16 original research articles in the Special Issue showcase the current state-of-the-art in knowledge of these approaches and their efficacy. We conclude by discussing the key relevant future challenges in the field of lake restoration science. Of these, the need to unite diverse fields of knowledge to develop quantitative models of lake ecosystem responses to restoration measures under a changing climate is paramount. We also emphasize the ongoing need for interaction between scientists, managers, and stakeholders in lake restoration.
Published: 2020

50. Potential advantages, barriers, and facilitators of implementing a cognitive orthosis for cooking for individuals with traumatic brain injury: the healthcare providers’ perspective

Author: Karl Zabjek, Mireille Gagnon-Roy, Sareh Zarshenas, Sylvain Giroux, Guylaine Le Dorze, Nathalie Bier, Mélanie Couture, Suzanne McKenna, Frédérique Poncet, Carolina Bottari, Deirdre R. Dawson, Hélène Pigot, and Emily Nalder
Subjects: Adult, Orthotic Devices, 030506 rehabilitation, Activities of daily living, Traumatic brain injury, Health Personnel, Biomedical Engineering, Physical Therapy, Sports Therapy and Rehabilitation, Clinical settings, 03 medical and health sciences, Speech and Hearing, Cognition, 0302 clinical medicine, Nursing, Brain Injuries, Traumatic, Health care, medicine, Humans, Orthopedics and Sports Medicine, Cooking, Cognitive rehabilitation therapy, Qualitative Research, Ontario, business.industry, Rehabilitation, Perspective (graphical), medicine.disease, 0305 other medical science, business, Healthcare providers, 030217 neurology & neurosurgery
Abstract: Considering the key role of health care providers in integrating assistive technologies into clinical settings (e.g., in/outpatient rehabilitation) and home, this study explored the care providers' perspectives onUsing a qualitative descriptive approach, semi-structured individual interviews and focus groups were carried out with experienced care providers of adults with TBI (According to the participants, COOK could potentially be used with individuals with cognitive impairments (TBI and non-TBI) to increase safety and independence in meal preparation and support healthcare providers. However, limited access to funding, clients' lack of motivation/knowledge, and the severity of their cognitive and motor impairments were perceived as potential barriers. Facilitators to the use of COOK include training sessions, availability of private/provincial financing, and comprehensive assessments by a clinical team prior to use.Health care providers' perspectives will help develop implementation strategies to facilitate the adoption of COOK within homes and clinical contexts for individuals with TBI and improve the next version of this technology.IMPLICATIONS FOR REHABILITATIONCOOK shows a high potential for increasing independence and safety during meal preparation with its sensor-based monitoring of the environment and cognitive-based assistance, for adults with TBI.Comprehensive clinical assessments to identify individuals' therapeutic goals, clinical characteristics, and living environments are necessary to facilitate the deployment of COOK.
Published: 2020

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