Author: "A. Forte" / Topic: medicine.medical_specialty - Searchworks@Jio Institute Digital Library Search Results

1,917 results on '"A. Forte"'

1. Association between causative mutations and response to PCSK9 inhibitor therapy in subjects with familial hypercholesterolemia: A single center real-world study

Author: Alessio Buonaiuto, Maria Donata Di Taranto, Ilenia Calcaterra, Marco Gentile, Paolo Rubba, Giuliana Fortunato, Carola Giacobbe, M. Tripaldella, Matteo Nicola Dario Di Minno, Gabriella Iannuzzo, Francesco Forte, Iannuzzo, G., Buonaiuto, A., Calcaterra, I., Gentile, M., Forte, F., Tripaldella, M., Di Taranto, M. D., Giacobbe, C., Fortunato, G., Rubba, P. O., and Di Minno, M. N. D.
Subjects: Adult, medicine.medical_specialty, Endocrinology, Diabetes and Metabolism, Familial hypercholesterolemia, Medicine (miscellaneous), medicine.disease_cause, Single Center, Gastroenterology, Hyperlipoproteinemia Type II, Proprotein convertase subtilisin/kexin type 9 inhibitors, Internal medicine, Humans, Medicine, Low-density lipoprotein cholesterol, Aged, Mutation, Nutrition and Dietetics, business.industry, PCSK9, PCSK9 Inhibitors, Autosomal dominant trait, Middle Aged, Proprotein convertase, medicine.disease, Receptors, LDL, Low-density lipoprotein receptor gene, LDL receptor, Kexin, lipids (amino acids, peptides, and proteins), Proprotein Convertase 9, Cardiology and Cardiovascular Medicine, business
Abstract: Background and Aims Familial hypercholesterolemia (FH) is an autosomal dominant disease that leads to cardiovascular (CV) disease. Proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9-I) demonstrated efficacy in low-density lipoprotein cholesterol (LDL-C) reduction and in prevention of CV events. The aim of our study is to evaluate the relationship between LDL receptor (LDLR) mutations and response to PCSK9-I therapy. Methods and Results We evaluated total cholesterol (TC), LDL-C, high-density lipoprotein cholesterol (HDL-C) and triglycerides (TG) in consecutive patients with FH before PCSK9-I treatment and after 12 (T12w) and 36 (T36w) weeks of treatment. We evaluated LDL-C target achievement according to different mutations in LDLR. Eighty FH subjects (mean age:54±13.3 years), 39 heterozygous (He) with defective LDLR gene mutations, 30 He with null mutations and 11 compound-He or homozygotes (Ho) were recruited. At baseline, 69 subjects were under maximal lipid lowering therapy (MLLT) and 11 subjects had statin-intolerance. From baseline to T36w we observed an overall 51% reduction in LDL-C. We found no difference in LDL-C changes between subjects with He-defective mutation and He-null mutations both at T12w (p=1.00) and T36w (p=0.538). At T36w, LDL-C target was achieved in 59% of He-defective mutations subjects and in 36% of He-null mutations subgroup (p=0.069), whereas none of compound-He/Ho-FH achieved LDL-C target. Conclusions After 36 weeks there were no differences in response to PCSK9-I therapy between different groups of He-FH subjects. Response to PCSK9-I was significantly lower in carriers of compound-He/Ho mutations. Registration number for clinical trials: NCT04313270 extension.
Published: 2022

2. The Impact of implant-based reconstruction on persistent pain after breast cancer surgery: A systematic review

Author: Jamie Kaplan, Gunel Guliyeva, Antonio J. Forte, Xiaona Lu, Ricardo A. Torres, and Francisco R. Avila
Subjects: medicine.medical_specialty, Breast implantation, business.industry, Breast Implants, Mammaplasty, medicine.medical_treatment, Persistent pain, Chronic pain, Breast Neoplasms, CINAHL, medicine.disease, Surgery, Breast cancer, medicine, Humans, Female, Implant, Chronic Pain, business, Breast reconstruction, Breast Implantation, Mastectomy
Abstract: Summary Introduction With the increasing number of breast cancer survivors and reconstruction operations, persistent pain following breast cancer surgery (PPBCT) and its management is becoming a challenge for plastic surgeons. To date, most studies compared the difference in the level of PPBCT in reconstruction versus nonreconstruction groups. We systematically reviewed the literature to assess the impact of implant-based reconstruction on PPBCT levels. Materials and methods PubMed, Embase, CINAHL, and Scopus databases were searched for relevant articles. We used five search strategies: (persistent pain after breast cancer surgery AND reconstruction), (chronic postsurgical pain AND breast reconstruction), (Breast Implantation [MeSH Terms] AND "Chronic Pain" [MeSH Terms]), (breast reconstruction AND chronic pain), and (postmastectomy pain syndrome AND breast reconstruction). Results A total of 2281 articles were detected. After scanning for the title and abstract, full-text articles were reviewed to identify the eligible articles. Eleven articles were included in the final review, with seven of these reporting no increased chance of PPBCT following reconstruction with implants, whereas two articles described lower chances of PPBCT following implant-based reconstruction. Conclusion We discovered that implant-based reconstruction does not increase the risk of PPBCT in comparison to other surgical techniques or mastectomy alone. This relationship may facilitate doctors and their patients in the decision-making of the appropriate reconstruction technique to use. In addition, our results should prompt plastic surgeons to prescribe the same dosage and frequency of analgesics to patients undergoing implant reconstruction as they would to their patients not undergoing reconstruction.
Published: 2022

3. Use of Vascular Endothelial Growth Factor-D As a Targeted Therapy in Lymphedema Treatment: A Comprehensive Literature Review

Author: Maria T Huayllani, Antonio J. Forte, Sarah A. McLaughlin, Daniel Boczar, and Panos Z. Anastasiadis
Subjects: Vascular Endothelial Growth Factor A, Oncology, medicine.medical_specialty, medicine.medical_treatment, Vascular Endothelial Growth Factor D, Targeted therapy, Mice, chemistry.chemical_compound, Study Eligibility Criteria, Internal medicine, medicine, Animals, Humans, Lymphedema, Lymphangiogenesis, Lymph node, business.industry, medicine.disease, Vascular endothelial growth factor, medicine.anatomical_structure, chemistry, Seroma, Lymph Nodes, Cardiology and Cardiovascular Medicine, business
Abstract: Background: Lymphangiogenic growth factors, such as vascular endothelial growth factor (VEGF)-D, are subjects of interest in studies of targeted therapies in lymphedema treatment. Methods and Results: We conducted a systematic review assessing the use of VEGF-D as a targeted therapy in lymphedema treatment. We hypothesized that VEGF-D was a promising therapy to induce lymphangiogenesis. Our search yielded 90 studies in the literature, but only 4 articles fulfilled our study eligibility criteria, and they were all experimental studies using viral gene transfer. The majority of the studies were conducted on small animals (mice) and investigated the effects of VEGF-D on lymph node transfer. All authors agreed about VEGF-D's lymphangiogenic potential, but they noticed that VEGF-C induced a superior lymphangiogenesis, and one study noticed that VEGF-D induced seroma. Conclusions: The publications assessing the use of VEGF-D as a targeted therapy in lymphedema treatment were able to demonstrate its lymphangiogenic potential. Nonetheless, further studies are still necessary to investigate VEGF-D's efficacy and safety in lymphedema treatment on patients.
Published: 2022

4. The Impact of Optimism on Cancer-Related and Postsurgical Cancer Pain: A Systematic Review

Author: Antonio J. Forte, Heidi McLeod, Manisha Salinas, Adam Perlman, Abd Moain Abu Dabrh, Gunel Guliyeva, and Francisco R. Avila
Subjects: Optimism, Pain, Postoperative, medicine.medical_specialty, business.industry, media_common.quotation_subject, Postsurgical pain, Cancer, Cancer Pain, Negative association, medicine.disease, Coping techniques, Anesthesiology and Pain Medicine, Quality of life, Neoplasms, Quality of Life, medicine, Physical therapy, Humans, Neurology (clinical), Stage (cooking), Cancer pain, business, General Nursing, media_common
Abstract: Background The impact of psychological factors on pain levels continues to be of interest throughout a cancer patient's journey. The relationship between pain and optimism has been described previously in patients with various diseases. Objectives We further investigated the effect of optimism on pain levels felt by patients diagnosed and living with cancer before and after surgery. Materials and Methods The search strategy for relevant articles from inception through June 2020 included five databases. The main outcome of interest was the effect of optimism on cancer-related pain. Results We identified 482 studies. After the full-text screening, seven articles meeting the inclusion criteria were included. Seven studies were analyzed and are included in the data table. Of the seven included articles, four articles described the association of optimism with cancer pain; four articles studied the relationship between optimism and chronic postsurgical pain (CPSP), and one article investigated optimism's relationship with acute postsurgical pain (APSP). All articles observed a negative correlation between optimism and pain levels. Conclusion Despite the differences in the pathophysiology of pain types investigated, and which stage of the patient's journey pain was experienced, all studies reported a negative association with the level of optimism and pain described by patients. Therefore, promoting and supporting psychological coping techniques, including optimism for cancer patients may decrease patients’ suffering, increase their quality of life at different cancer stages, and reduce opioid use.
Published: 2022

5. Decision making and heart rate variability: A systematic review

Author: Matteo Morelli, Bernhard Grässler, Maria Casagrande, and Giuseppe Forte
Subjects: medicine.medical_specialty, Physical medicine and rehabilitation, Arts and Humanities (miscellaneous), Developmental and Educational Psychology, medicine, Heart rate variability, Experimental and Cognitive Psychology, Psychology
Published: 2022

6. Vocalization and other behaviors indicating pain in beef calves during the ear tagging procedure

Author: Adelaide Hercília Pescatori Silva, Marina Sucha Heidemann, Maria Alice Schnaider, Cesar Augusto Taconeli, and Carla Forte Maiolino Molento
Subjects: medicine.medical_specialty, General Veterinary, Animal welfare, otorhinolaryngologic diseases, medicine, Head movements, VOCAL PARAMETERS, Audiology, Stimulus (physiology), Biology
Abstract: Vocalization and other behavior signals are used as tools to assess animal welfare in beef calves. This paper aimed to compare vocal parameters and behavior signals expressed by beef calves submitted either to ear tagging procedure for identification (Effective Tagging - ET) or to a human touch on the ears (Simulated Tagging - ST), considering calf sex and age. A total of 52, 30 male and 22 female, 91.3 ± 28.1 d-old taurine beef calves participated in the study, in Santa Catarina, Southern Brazil. Calves were randomly divided into two treatments (ET and ST) and recorded for 1 minute after the beginning of the stimulus for both ET and ST situations, as this was the total time animals were restrained. We analysed the immediate vocal and behavioral responses to the procedure, following regular handling procedures used on the farm. Vocal data was further analysed using specific audacity software and behavioral signs were counted. More animals in the ET treatment vocalized during the trial (14 and 5 calves, respectively), with a higher average number of vocal calls (1.7 and 0.3 calls/animal), as well as of head movements (7.8 and 4.0 movements), tail flapping (56.1 and 29.8) and leg movements (28.4 and 16.4). Male vocalizations were longer than female (2.07 and 1.61 s), with higher fundamental frequency (249.6 and 178.6 Hz). Additionally, older calves vocalized with higher fundamental frequency (241.0 and 212.8 Hz) and showed more head movements (6.5 and 5.3 occurrences) than younger ones. The results suggest that the vocalization characteristics associated with other behavior signals may be used as tools to assess pain in beef calves during invasive procedures such as identification handling.
Published: 2022

7. Pathogenesis of Alzheimer's disease: Involvement of the choroid plexus

Author: Kateřina Sheardová, Gustavo Sevlever, Victoria David-Dirgo, Marian Hajduch, Patrick Pirrotte, Clara Limbäck-Stokin, Ritin Sharma, Durga Jha, Robert A. Rissman, Lucia Pertierra, Maria Carna, Richard A. G. Smith, Petr Kaňovsky, Nadine Bakkar, Valentina Lacovich, Hana Markova, Mojmir Vinkler, Giancarlo Forte, Jiri Damborsky, Jan Fric, Silvie Belaskova, Krystine Garcia-Mansfield, Hernan Chaves, Eric B. Dammer, Marketa Nezvedova, Ruben Houbrechts, Gorazd B. Stokin, Nicholas T. Seyfried, Robert Bowser, Martin Vyhnalek, Zuzana Nedelska, Stanislav Katina, Kateřina Texlova, Jan Laczó, Isaac G. Onyango, Thijs Vande Vyvere, Dusan Holub, Zdenek Spacil, and Jakub Hort
Subjects: Pathology, medicine.medical_specialty, Amyloid, Epidemiology, Inflammation, Pathogenesis, 03 medical and health sciences, Cellular and Molecular Neuroscience, 0302 clinical medicine, Cerebrospinal fluid, Developmental Neuroscience, aging, Alzheimer's disease, cerebrospinal fluid, choroid plexus, pathology, medicine, Cognitive decline, 030304 developmental biology, 0303 health sciences, business.industry, Health Policy, Inflammasome, medicine.disease, 3. Good health, Astrogliosis, Psychiatry and Mental health, Choroid plexus, sense organs, Neurology (clinical), medicine.symptom, Geriatrics and Gerontology, business, 030217 neurology & neurosurgery, medicine.drug
Abstract: Alzheimer’s disease is a neurodegenerative disorder characterized clinically by cognitive decline and pathologically by amyloid deposition and neurofibrillary changes. These neuropathological hallmarks are accompanied by reactive events including microglial activation and astrogliosis. The inflammatory response in Alzheimer’s disease brains is distinguished by a pro-inflammatory signature involving amyloid peptides1, inflammasome signaling2 and disrupted blood brain barrier3. Inflammatory changes are observed also in the cerebrospinal fluid in Alzheimer’s disease4,5. It remains unknown, however, whether the choroid plexus which produces cerebrospinal fluid and guards the brain from peripheral inflammatory insults6,7, contributes to the inflammation and pathogenesis of Alzheimer’s disease. Here we show that the choroid plexus in Alzheimer’s disease exhibits a pro-inflammatory signature with aberrant protein accumulations, which contribute to the age-dependent inflammatory changes observed in the cerebrospinal fluid. Magnetic resonance imaging reveals that the choroid plexus in patients with Alzheimer’s disease displays pathological signal and increased volume, which inversely correlates with cognitive decline. Our findings suggest that the choroid plexus, being unable to efficiently resolve inflammatory insults over the lifetime, eventually ignites and drives the aberrant inflammatory response observed in Alzheimer’s disease. These findings advance our understanding of the pathogenesis and open new vistas in the diagnostics and therapeutics of Alzheimer’s disease.
Published: 2023

8. Streptococcus mutans in atherosclerotic plaque: Molecular and immunohistochemical evaluations

Author: Clarissa Pessoa Fernandes Forte, Ândrea Kely Campos Ribeiro dos Santos, Mário Rogério Lima Mota, Paulo Goberlânio de Barros Silva, Ana Paula Negreiros Nunes Alves, Fabrício Bitu Sousa, Camile de Barros Lopes, Francisco Artur Forte Oliveira, José Glauco Lobo Filho, and Raquel Carvalho Montenegro
Subjects: Pathology, medicine.medical_specialty, Future studies, Dental Caries, Giemsa stain, law.invention, Streptococcus mutans, 03 medical and health sciences, 0302 clinical medicine, Streptococcus sp, law, medicine, Humans, General Dentistry, Polymerase chain reaction, Streptococcus sobrinus, biology, Tumor Necrosis Factor-alpha, 030206 dentistry, Atherosclerosis, biology.organism_classification, Plaque, Atherosclerotic, Real-time polymerase chain reaction, Otorhinolaryngology, 030220 oncology & carcinogenesis, Immunohistochemistry, Bacteria
Abstract: OBJECTIVES To verify the presence of Streptococcus mutans (S. mutans) in atherosclerotic plaque (AP) using techniques with different sensitivities, correlating with histological changes in plaque and immunoexpression of inflammatory markers. MATERIALS AND METHODS Thirteen AP samples were subjected to real-time polymerase chain reaction (qRT-PCR), histopathological analyses, histochemical analysis by Giemsa staining (GS), and immunohistochemical analysis for S. mutans, IL-1β, and TNF-α (streptavidin-biotin-peroxidase method). Ten necropsy samples of healthy vessels were used as controls. RESULTS All AP samples showed histopathological characteristics of severe atherosclerosis and were positive for S. mutans (100.0%) in qRT-PCR and immunohistochemical analyses. GS showed that Streptococcus sp. colonized the lipid-rich core regions and fibrous tissue, while the control group was negative for Streptococcus sp. IL-1β and TNF-α were expressed in 100% and 92.3% of the AP tested, respectively. The control samples were positive for S. mutans in qRT-PCR analysis, but negative for S. mutans, IL-1β, and TNF-α in immunohistochemical analyses. CONCLUSION The detection of S. mutans in AP and the visualization of Streptococcus sp. suggested a possible association between S. mutans and atherosclerosis. The results obtained from the control samples suggested the presence of DNA fragments or innocuous bacteria that were not associated with tissue alteration. However, future studies are necessary to provide more information.
Published: 2021

9. Handling benign interlobar lymphadenopathy during thoracoscopic lobectomy

Author: Alfonso Fiorelli, Stefano Forte, Giovanni Natale, Wentao Fang, Mario Santini, Fiorelli, Alfonso, Forte, Stefano, Natale, Giovanni, Santini, Mario, and Fang, Wentao
Subjects: 0301 basic medicine, Pulmonary and Respiratory Medicine, Male, medicine.medical_specialty, lobectomy, Lung Neoplasms, thoracoscopy, Dissection (medical), 03 medical and health sciences, 0302 clinical medicine, Suture (anatomy), medicine.artery, lymphadenopathy, Massive bleeding, Technical Note, medicine, Thoracoscopy, Humans, RC254-282, Aged, Bronchus, medicine.diagnostic_test, business.industry, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, General Medicine, medicine.disease, Anterior Temporal Lobectomy, Surgery, Lung Neoplasm, Interlobar, 030104 developmental biology, medicine.anatomical_structure, Oncology, 030220 oncology & carcinogenesis, Pulmonary artery, Female, Lymph, business, Human
Abstract: The presence of calcified or inflammatory lymph nodes between the target bronchus and pulmonary artery is a huge challenge when performing thoracoscopic lobectomy as it may frequently result in tearing of the vessel, and massive bleeding. Herein, we describe a simple strategy in which thoracoscopic lobectomy was safely completed in similar cases. After fissure dissection, the target pulmonary artery was exposed by more than two‐thirds of its circumference. A needle was passed across the nodes and the target vessel was closed with a proximal and distal suture. After dissection of lymphadenopathies, the target bronchus was exposed, and stapled. This strategy was applied with success to complete right lower lobectomies for cancer in three patients. No complications occurred during the operation. Only one patient had persistent air leaks that spontaneously ceased 11 days later. Final pathology showed pN0 disease in all cases., Calcified or inflammatory lymph nodes between the target bronchus and pulmonary artery is a huge challenge when performing thoracoscopic lobectomy. Here, we report a strategy to handle this clinical situation. A needle was passed across the nodes and the target vessel was closed with a proximal and distal suture, and then gradually transected with scissors. After dissection of adenopathies, the target bronchus was stapled.
Published: 2021

10. Current trends in breast reduction: an international analysis

Author: Martin Colombo, Rodney J Rohrich, Paul I. Heidekrueger, Lukas Prantl, Milomir Ninkovic, Thiha Aung, Antonio J. Forte, Peter Niclas Broer, Dirk F. Richter, and Charlotte Topka
Subjects: Response rate (survey), International level, medicine.medical_specialty, Surgical approach, business.industry, medicine.medical_treatment, Evidence-based medicine, Resection, Plastic Surgical Procedures, Family medicine, Medicine, Surgery, South east asia, Breast reduction, business
Abstract: Breastand reductions mastopexies continue to rank among the most frequently performed plastic surgical procedures worldwide. While there exists a consensus on several aspects of the procedure, a plethora of controversies remain. This study aims to compare the most relevant peri- and intra-operative factors on an international level to standardize this common procedure according to evidence-based guidelines. A questionnaire was sent to over five thousand surgeons in 77 countries. The survey was divided into three categories according to the volume of removed breast tissue (50–500 g, 500–1000 g, and > 1000 g) and inquired about standard practices, secondary procedures, use of new technologies, current controversies, and surgeon demographics. The results were evaluated and correlated with evidence-based literature. A total of 1431 surveys were gathered, corresponding to a response rate of 29%. It was found that specific surgical approaches and standard practices prevail on an international basis. Still, there exist controversies that seem to be linked to geographic locations. For instance, irrespective of resection weight, in the majority of countries, a superior or superomedial pedicle is used most frequently, while in North America and South East Asia, the inferior-based pedicle is preferred. We identified common traits in several aspects of breast reduction surgery. However, in this study, it became apparent that international practice patterns remain incoherent. Seen from a global perspective, plastic surgeons would thus still benefit from high-quality studies to further establish evidence-based, standardized, and universally applicable practice guidelines. Level of Evidence: Not gradable
Published: 2021

11. Functional Precision Medicine Provides Clinical Benefit in Advanced Aggressive Hematologic Cancers and Identifies Exceptional Responders

Author: Leopold Öhler, Philipp B. Staber, Julius Salamon, Edit Porpaczy, Gerhard Krajnik, Gregory I. Vladimer, Harald Esterbauer, Ulrich Jaeger, Christian Sillaber, Gerald W. Prager, Katrina Vanura, Stefan Kubicek, Peter Valent, Michael Panny, Alexander W. Hauswirth, Edgar Selzer, Verena Felsleitner-Hauer, Emiel van der Kouwe, Nikolaus Krall, Marius E. Mayerhoefer, Bernd Lorenz Hartmann, Alexander Gaiger, Sandra Eder, Klaus Geissler, Mir Alireza Hoda, Dominik Wolf, Simone Lubowitzki, Peter Neumeister, Barbara Kiesewetter, Ruth Exner, Giulio Superti-Furga, Thomas Noesslinger, Elisabeth Menschel, Katsuhiro Miura, Wolfgang Gstöttner, Reinhard Ruckser, Ingrid Simonitsch-Klupp, Hildegard Greinix, Ana-Iris Schiefer, Ann-Sofie Schmolke, Cora Waldstein, Georg Hopfinger, Christoph C. Zielinski, Wolfgang R. Sperr, Marcus Hacker, Trang Le, Robin Ristl, Christoph Kornauth, Lukas Kazianka, Tea Pemovska, Günther Bayer, Cathrin Skrabs, Markus Raderer, Ruth Eichner, Alexander Pichler, Lukas Kenner, Maurizio Forte, Renate Thalhammer, Stefan Vogt, Leonhard Müllauer, Katharina Ocko, Niklas Zojer, Berend Snijder, Ilse Schwarzinger, Olaf Merkel, Martin Erl, Daniel Heintel, Michael Bergmann, Tim Heinemann, and Ismet Srndic
Subjects: Oncology, Drug, 0303 health sciences, medicine.medical_specialty, business.industry, media_common.quotation_subject, Cancer, Disease, Drug profiling, Precision medicine, medicine.disease, 3. Good health, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Internal medicine, Medicine, Personalized medicine, Personalized therapy, business, 030304 developmental biology, media_common
Abstract: Personalized medicine aims to match the right drug with the right patient by using specific features of the individual patient's tumor. However, current strategies of personalized therapy matching provide treatment opportunities for less than 10% of patients with cancer. A promising method may be drug profiling of patient biopsy specimens with single-cell resolution to directly quantify drug effects. We prospectively tested an image-based single-cell functional precision medicine (scFPM) approach to guide treatments in 143 patients with advanced aggressive hematologic cancers. Fifty-six patients (39%) were treated according to scFPM results. At a median follow-up of 23.9 months, 30 patients (54%) demonstrated a clinical benefit of more than 1.3-fold enhanced progression-free survival compared with their previous therapy. Twelve patients (40% of responders) experienced exceptional responses lasting three times longer than expected for their respective disease. We conclude that therapy matching by scFPM is clinically feasible and effective in advanced aggressive hematologic cancers. Significance: This is the first precision medicine trial using a functional assay to instruct n-of-one therapies in oncology. It illustrates that for patients lacking standard therapies, high-content assay-based scFPM can have a significant value in clinical therapy guidance based on functional dependencies of each patient's cancer. See related commentary by Letai, p. 290. This article is highlighted in the In This Issue feature, p. 275
Published: 2021

12. Use of adipose-derived stem cells in lymphatic tissue engineering and regeneration

Author: Alfredo Quiñones-Hinojosa, Thiha Aung, Daniel Boczar, Antonio J. Forte, Gunel Guliyeva, Francisco R. Avila, Rachel Sarabia-Estrada, Maria T Huayllani, and Ricardo A. Torres
Subjects: Oncology, medicine.medical_specialty, RD1-811, business.industry, Regeneration (biology), MEDLINE, Adipose tissue, Review Article, Research/Experimental, Breast Cancer Lymphedema, medicine.disease, Regenerative medicine, Lymphangiogenesis, Lymphedema, Lymphatic vessels, Internal medicine, Adipose-derived mesenchymal stem cells, Medicine, Surgery, Stem cell, business
Abstract: The potential to differentiate into different cell lines, added to the easy and cost-effective method of extraction, makes adipose-derived stem cells (ADSCs) an object of interest in lymphedema treatment. Our study’s goal was to conduct a comprehensive systematic review of the use of ADSCs in lymphatic tissue engineering and regeneration. On July 23, 2019, using PubMed/MEDLINE, Cochrane Clinical Answers, Cochrane Central Register of Controlled Trials, and Embase databases, we conducted a systematic review of published literature on the use of ADSCs in lymphatic tissue engineering and regeneration. There were no language or time frame limitations, and the following search strategy was applied: ((Adipose stem cell) OR Adipose-derived stem cell)) AND ((Lymphedema) OR Breast Cancer Lymphedema). Only original research manuscripts were included. Fourteen studies fulfilled the inclusion criteria. Eleven studies were experimental (in vitro or in vivo in animals), and only three were clinical. Publications on the topic demonstrated that ADSCs promote lymphangiogenesis, and its effect could be enhanced by modulation of vascular endothelial growth factor-C, interleukin-7, prospero homeobox protein 1, and transforming growth factor-β1. Pilot clinical studies included 11 patients with breast cancer-related lymphedema, and no significant side effects were present at 12-month follow-up. Literature on the use of ADSCs in lymphatic tissue engineering and regeneration demonstrated promising data. Clinical evidence is still in its infancy, but the scientific community agrees that ADSCs can be useful in regenerative lymphangiogenesis. Data collected in this review indicate that unprecedented advances in lymphedema treatment can be anticipated in the upcoming years.
Published: 2021

13. A ressonância magnética de corpo inteiro no diagnóstico de metástases em crianças e adolescentes: uma revisão sistemática e meta-análise

Author: Rita Mattiello, Gabriele Carra Forte, Simone Gianella Valduga, Tássia Machado Medeiros, Klaus L. Irion, Diego Gomez Abreu, Ricardo Pessini Paganin, and Bruno Hochhegger
Subjects: medicine.medical_specialty, Neoplasms/diagnostic imaging, MEDLINE, R895-920, Review Article, Pediatrics, Metastasis, Metanálise, Medical physics. Medical radiology. Nuclear medicine, Medicine, Radiology, Nuclear Medicine and imaging, Magnetic resonance imaging/methods, Stage (cooking), Imagem corporal total/métodos, Pediatria, medicine.diagnostic_test, business.industry, Whole body imaging/methods, Neoplasias/diagnóstico por imagem, Area under the curve, Magnetic resonance imaging, medicine.disease, Primary tumor, Meta-analysis, Radiology, business, Ressonância magnética/métodos, Biomedical sciences
Abstract: Whole-body magnetic resonance imaging (WB-MRI) is a noninvasive imaging method that can be used to diagnose and stage tumors, as well as to assess therapeutic responses in oncology. The objective of this meta-analysis was to evaluate the accuracy of WB-MRI for the diagnosis of metastases in pediatric patients. The following electronic databases were searched: Medline, Embase, Cochrane Central Register of Controlled Trials, Scientific Electronic Library Online, Latin-American and Caribbean Health Sciences Literature, Cumulative Index to Nursing and Allied Health Literature, Web of Science, and ClinicalTrials.gov. All of the selected studies included children and adolescents with histopathological confirmation of a primary tumor. Collectively, the studies included 118 patients ranging in age from 7 months to 19 years. The pooled sensitivity and specificity of WB-MRI were, respectively, 0.964 (95% CI: 0.944-0.978; I2 = 0%) and 0.902 (95% CI: 0.882-0.919; I2 = 98.4%), with an area under the curve (AUC) of 0.991. We found that WB-MRI had good accuracy for the diagnosis of metastases in pediatric patients and could therefore provide an alternative to complete the staging of tumors in such patients, being a safer option because it does not involve the use of ionizing radiation. Resumo A ressonância magnética de corpo inteiro (WB-MRI) é um método de imagem não invasivo que pode ser usado para diagnosticar, estadiar e avaliar a resposta terapêutica em oncologia. O objetivo desta meta-análise foi avaliar a precisão do diagnóstico de WB- MRI no diagnóstico de metástases em crianças. Foram pesquisadas as seguintes bastes de dados: Medline, Embase, Cochrane Central Register of Controlled Trials, Scientific Electronic Library Online, Latin-American and Caribbean Health Sciences Literature, Cumulative Index to Nursing and Allied Health Literature, Web of Science, and ClinicalTrials.gov. Todos os estudos incluíram crianças e adolescentes com prova histopatológica de um tumor original. Os estudos selecionados incluíram 118 pacientes com idade variando de 7 meses a 19 anos. A sensibilidade e especificidade combinadas de WB-MRI foram, respectivamente, 0,964 (IC 95%: 0,944-0,978; I2 = 0%) e 0,902 (IC 95%: 0,882-0,919; I2 = 98,4%), com AUC de 0,991. A WB-MRI tem uma boa precisão para o diagnóstico de metástases em pediatria e pode potencialmente fornecer um método alternativo não ionizante mais seguro para completar o estadiamento da doença maligna em crianças.
Published: 2021

14. Latissimus dorsi detrusor myoplasty for bladder acontractility: a systematic review

Author: Maria T Huayllani, Milomir Ninkovic, Oluwaferanmi O. Okanlami, Antonio J. Forte, Daniel Boczar, Peter Niclas Broer, and Steven L. Moran
Subjects: medicine.medical_specialty, superficial back muscles, Urinary bladder, RD1-811, business.industry, Urinary system, Standard treatment, MEDLINE, Review Article, Clean Intermittent Catheterization, medicine.disease, Surgery, Plastic surgery, medicine.anatomical_structure, Extremity/Lymphedema, Medicine, free tissue flaps, business, Prospective cohort study, Spinal cord injury, urinary bladder, neurogenic
Abstract: Bladder acontractility affects several thousand patients in the United States, but the available therapies are limited. Latissimus dorsi detrusor myoplasty (LDDM) is a therapeutic option that allows patients with bladder acontractility to void voluntarily. Our goal was to conduct a systematic review of the literature to determine whether LDDM is a better option than clean intermittent catheterization (CIC) (standard treatment) in patients with bladder acontractility. On January 17, 2020, we conducted a systematic review of the PubMed/MEDLINE, Cochrane Clinical Answers, Cochrane Central Register of Controlled Trials, Embase, and ClinicalTrials.gov databases, without time frame limitations, to identify articles on the use of LDDM for bladder acontractility. Of 75 potential articles, 4 fulfilled the eligibility criteria. The use of LDDM to treat patients with bladder acontractility was reported in four case series by the same group in Europe. Fifty-eight patients were included, and no comparison groups were included. The most common cause of bladder acontractility was spinal cord injury (n=36). The mean (±standard deviation) operative time was 536 (±22) minutes, postoperative length of hospital stay ranged from 10 to 13 days, and follow-up ranged from 9 to 68 months. Most patients had complete response, were able to void voluntarily, and had post-void residual volume less than 100 mL. Although promising outcomes have been obtained, evidence is still weak regarding whether LDDM is better than CIC to avoid impairment of the urinary tract among patients with bladder acontractility. Further prospective studies with control groups are necessary.
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. I., Cardoso, N., Sousa, S., Martins dos Santos, G., Carvalho, L., Osório, C., Antunes, J., Lourenço, S., Balau, P., Godinho, M., Pereira, A., Silva, N., Kam da Silva Andrade, A., Pereira Rodrigues, A., Borges, N., Correia, J., Vieira, I., Ribeiro, T., Catarino, J., Correia, R., Pais, F., Carreira Garcia, R., Bento, R., Cardoso, J., Luis, M., Henriques, J., Patena Forte, J., Maciel, J., Pinheiro Santos, J., Silva, T. P., Branquinho, A., Caiado, A., Miranda, P., Garrido, R., Peralta Ferreira, M., Ascensão, J., Costeira, B., Cunha, C., Rio Rodrigues, L., Sousa Fernandes, M., Azevedo, P., Ribeiro, J., Lourenço, I., Gomes, H., Mendinhos, G., Nobre Pinto, A., Ribeiro, A., Gil, C. G., Lima-da-Silva, C., Pereira, C., Tavares, F., Ferraz, I., Almeida, J. I., Marialva, J., Lopes, L., Costa, M. J. M. A., Nunes-Coelho, M., Teixeira, M. J., Machado, N., Alfonso, J. P., Saraiva, P., Silva, R. L., Santos, R., Almeida-Reis, R., Correia-de-Sá, T., Fernandes, V., Almeida-Pinto, J., Gonçalves, J. P., Santos-Sousa, H., Cavaleiro, S., Leite-Moreira, A. M., Pereira-Neves, A., Faria, C. S., Monteiro, J. M., Nogueiro, J., Sampaio-Alves, M., Magalhães Maia, M., Vieira, P., Pina-Vaz, T., Jácome, F., Devezas, V., Almeida, A., Silveira, H., Vaz, S., Castanheira Rodrigues, S., Costa Santos, D., Grilo, J. V., Abreu da Silva, A., Claro, M., Deus, A. C., Branquinho, R., Santos, P. M. D. D., Patrício, B., Vieira Paiva Lopes, A. C., Mendes, J. M., Carvalho, M. F., Oliveira, C. M., Tojal, A., Pinto, J., Abutaka, A., Zarour, A., Abdelkareem, M., Ali, S. M., Al Tarakji, M., Alfkey, R., Mukhtar, K., Wani, I. R., Singh, R., Bouchiba, N., Mahdi, H., Abdelaziem Mustafa, S., Al Ansari, A., Drasovean, R., Caziuc, A., Galliamov, E., Agapov, M., Kakotkin, V., Semina, E., Kubyshkin, V., Kamalov, A., Efetov, S. K., Kochetkov, V. 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. 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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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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., Dean, H., Higgs, S., Stanger, S., Abdalaziz, H., Constable, J., Ishii, H., Gopi reddy, R., Madhuri, T. K., Tailor, A., Flavin, M., Walker, D., Humphries, S., Assalaarachchi, H., Curl-Roper, T., Westwood, E., Delimpalta, C., Liao, C. C. L., Velchuru, V., Raptis, D. A., Pollok, J. M., Machairas, N., Davidson, B., Fusai, G., Soggiu, F., Xyda, S., Hidalgo Salinas, C., Tzerbinis, H., Pissanou, T., Gilliland, J., Varcada, M., Hart, C., Mirnezami, R., Knowles, J., Angamuthu, N., Vijay, V., Shakir, T., Hasan, R., Tansey, R., Hardie, C., Powell-Smith, E., Kashora, F., Siddique, M. H., Singh, A., Barmpagianni, C., Basgaran, A., Basha, A., Okechukwu, V., Bartsch, A., Gallagher, P., Maqsood, A., Sahnan, K., Leo, C. A., Lewis, S. E., Ubhi, H. K., Exley, R., Khan, U., Shah, P., Saxena, S., Zafar, N., Abdul-Jabar, H., Patel, M., Shabana, A., Alanbuki, A., Usman, O., Ong, C. T., Butterworth, W., Budha Magar, O., El Hadi, M., Abas, S., Annett, J., Ross, E., Loubani, M., Wilkins, A., Cao, H., Capitelli-McMahon, H., Hitchman, L., Ikram, H., Andronic, A., Aboelkassem Ibrahim, A., Totty, J., Blanco, J., Vanker, R., Ghobrial, M., Jones, G., Kanthasamy, S., Fawi, H., Awadallah, M., Chen, F., Cheung, J., Moscalu, A., Bhuvanakrishna, T., Bibby, L., Sinclair, M., Nahid, M. A. K., Williams, L., Basnyat, P. S., Shrestha, A. K., Kumaran, N. K., Sambhwani, S., Sheikh, N. A., Taylor, O. M., Liew, I., Al-Sukaini, A., Mediratta, S., Saxena, D., Sgrò, A., Rashid, M. M., Milne, K., McIntyre, J., Akhtar, M. A., Turnbull, A., Brunt, A., Stewart, K. E., Wilson, M. S. J., Rutherford, D., McGivern, K., Massie, E., Ho, M., Wade, R. G., Johnstone, J., Bourke, G., Brunelli, A., Elkadi, H., Otify, M., Pompili, C., Burke, J. 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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., Rogers, L. 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. 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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. 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I., Mallabiabarrena Ormaechea G., Garcia Gutierrez J.J., Barbier L., Pesantez Peralta M.A., Jimenez Jimenez M., Municio Martin J.A., Gomez Suarez J., Garcia Opere G., Pascua Gomez L.A., Onate 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 Cabus S., Molina Santos V., Gonzalez Lopez J.A., Medrano Caviedes R., Moral Duarte A., Espin-Basany E., Blanco-Colino R., Turrado-Rodriguez V., Lacy A.M., de Lacy F.B., Morales X., Carreras-Castaner 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., Fernandez Gomez Cruzado L., Begona E., Lecumberri D., Acosta Merida M.A., Yepes Cano A.F., Estaire Gomez M., Padilla-Valverde D., Sanchez-Garcia S., Sanchez-Pelaez D., Jimenez Higuera E., Picon Rodriguez R., Fernandez Camunas A., Martinez-Pinedo C., Garcia Santos E.P., Munoz-Atienza V., Moreno Perez A., Lopez de la Manzanara Cano C.A., Ugarte-Sierra B., Ibanez-Aguirre F.J., De Andres Olabarria U., Fernandez Pablos F.J., Duran Ballesteros M., Sanz Larrainzar A., Jimenez Carneros V., Valle Rubio A., Alonso-Lamberti L., Garcia-Quijada J., Leon R., Rodriguez J.L., Jimenez Miramon J., Jover J.M., Martin Salamanca M.B., Assaf M., Perez Simon V., Landeo Aguero 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 Frigole J., Noriego Munoz D., Navarro-Sanchez A., Enjuto D., Perez Gonzalez M., Diaz Pena P., Gonzalez J., Marqueta De Salas M., Martinez Pascual P., Rodriguez Gomez L., Garces Garcia R., Ramos Bonilla A., Herrera-Merino N., Fernandez Bernabe P., Cagigal Ortega E.P., Hernandez I., Garcia de Castro Rubio E., Cervera I., Sanchez-Guillen L., Fernandez-Candela A., Curtis-Martinez C., Soler-Silva A., Oller A., Triguero-Canovas D., Bosch-Ramirez M., Lillo C., Lario S., Arroyo A., Espino Segura-Illa M., Sanchez Aniceto G., Castano-Leon A.M., Jimenez-Roldan L., Delgado Fernandez J., Perez Nunez A., Lagares A., Garcia Perez D., Santas M., Paredes I., Esteban Sinovas O., Moreno-Gomez L., Rubio E., Vega V., Vivas Lopez A., 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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-Vazquez C., Yebes A., Hernandez-Garcia M., Losada M., Dieguez B., Garcia-Conde M., Alonso Poza A., Marquez L., Becerra R., Martin M., Jorgensen T., Muguerza J.M., Dziakova J., Sanchez del Pueblo C., Saez Carlin P., Camarero E., Picazo S., Pizarro M.J., Avellana R., Catalan V., Lopez Antonanzas 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., Ocana J., Nunez 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 Mendez C., Galvan Perez A., Gonzalez-Gonzalez E., Robin Valle de Lersundi A., Calcerrada Alises E., Garcia-Urena M.A., Cruz Cidoncha A., Troncoso Pereira P., Alcaide Matas F., Garcia Perez J.M., Munoz Vives J.M., Osorio A., Gomez Diaz C.J., Guariglia C.A., Soto Montesinos C., Sanchon L., Xicola Martinez M., Guardia 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., Pingarron-Martin L., Ruiz Martin I., Moliner Sanchez C., Carrasco-Prats M., Gimenez-Frances C., Ruiz-Marin M., Fernandez-Lopez A.J., Garcia-Escudero D., Garcia-Porcel V., Lax-Perez R., Sanchez-Robles M., Valero-Soriano M., Medina-Manuel E., Garcia-Soria V., Gurrea-Almela E., Marco-Garrido A., Martinez-Alonso J.A., Gonzalez-Valverde F.M., Fernandez-Fernandez P.V., Sanchez- Rodriguez C., Aguilar-Jimenez J., Baeza-Murcia M., Aguayo-Albasini J.L., Nicolas-Lopez T., Alconchel F., Fernandez 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Uludag S.S., Zengin A.K., Cebi S., Demirkiran F., Bese T., Acikgoz A.S., Kayan B., Aykanat Y., Mutlu D., Goksoy B., Kara Y., Bozkurt M.A., Kocatas A., Ogucu H., Uslu G., Arican C., Tugmen C., Aydin C., Yesilyurt D., Avci E.K., Kebapci E., Kilinc G., Sert I., Tuncer K., Akalin M., Emiroglu M., Demirli Atici S., Salimoglu S., Kaya T., Kirmizi Y., Tatar O.C., Yuksel E., Guler S.A., Yildirim A., Utkan N.Z., Gozal K., Koken H., Yabas A., Gonullu E., Altintoprak F., Akin E., Kamburoglu B., Capoglu R., Kucuk F., Demir H., Cakmak G., Firat N., Celebi F., Kocer B., Mantoglu B., Bayhan Z., Dikicier E., Colak E., Kucuk G.O., Karaman E., Kolusab A., Karaaslan O., Majid I., Abbas F., Abbas F.M.A., Mohammed D., Tahlak M.A., Yammahi A., Albaroudi A.A., Elyafawi B., Saber A., Khansaheb H., Alsaadi H., Alzarooni N., Bekheit M., Kamera B.S., Elhusseini M., Sharma P., Ahmeidat A., Cymes W., Hannah A., Mignot G., Shaikh S., Agilinko J., Angelou D., Neely D., McCanny A., McAree B., Baldwin A.J., West R., Gammeri E., Catton A., Marinos Kouris S., Pereca J., Singh J., Seymour Z., Jones R., Leeson S., Peevor R., Lala A.K., Houlden C., Kahiu J., Hossain N., Hosny S., Patel P., Handa S., Kaushal M., Kler A., Reghuram V., Tezas S., Fairhurst K., Yates C., Mitchell S., Bunni J., Richards S., George R., Lee S.M., Phull J., Frost J., Burnard S., Crowley R., Airey A., Bevan K., Makin-Taylor R., Ong C.S., Callan R., Bloom O., Aljanadi F., Moawad N., Jones M., Gregg A., Jeganathan R., Pachl M., Martin B., Archer J.E., Odeh A., Siddaiah N., Singhal R., Naumann D.N., Karandikar S., Syed A., Tucker O.N., Alam R., Kalkat M., Mak J.K.C., Kulkarni R., Sharma N., Nankivell P., Tirotta F., Parente A., Breik O., Kisiel A., Cato L.D., Saeed S., Pathanki A.M., Almond M., Kamal M., Leung E.Y.L., Kaur R., Brett-Miller C., Buruiana F.E., Markose G., De Gea Rico A., Taib A., Myatt D., Sulaiman Khaled A., Younis F., Sultana A., Taggarsi M., Vitone L., Lambert J., Vaz O.P., Sarantitis I., Shrestha D., Timbrell S., 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Dean H., Higgs S., Stanger S., Abdalaziz H., Constable J., Ishii H., Gopi reddy R., Madhuri T.K., Tailor A., Flavin M., Walker D., Humphries S., Assalaarachchi H., Curl-Roper T., Westwood E., Delimpalta C., Liao C.C.L., Velchuru V., Raptis D.A., Pollok J.M., Machairas N., Davidson B., Fusai G., Soggiu F., Xyda S., Hidalgo Salinas C., Tzerbinis H., Pissanou T., Gilliland J., Varcada M., Hart C., Mirnezami R., Knowles J., Angamuthu N., Vijay V., Shakir T., Hasan R., Tansey R., Hardie C., Powell-Smith E., Kashora F., Siddique M.H., Singh A., Barmpagianni C., Basgaran A., Basha A., Okechukwu V., Bartsch A., Gallagher P., Maqsood A., Sahnan K., Leo C.A., Lewis S.E., Ubhi H.K., Exley R., Khan U., Shah P., Saxena S., Zafar N., Abdul-Jabar H., Patel M., Shabana A., Alanbuki A., Usman O., Ong C.T., Butterworth W., Budha Magar O., El Hadi M., Abas S., Annett J., Ross E., Loubani M., Wilkins A., Cao H., Capitelli-McMahon H., Hitchman L., Ikram H., Andronic A., Aboelkassem Ibrahim A., Totty J., Blanco J., Vanker R., Ghobrial M., Jones G., Kanthasamy S., Fawi H., Awadallah M., Chen F., Cheung J., Moscalu A., Bhuvanakrishna T., Bibby L., Sinclair M., Nahid M.A.K., Williams L., Basnyat P.S., Shrestha A.K., Kumaran N.K., Sambhwani S., Sheikh N.A., Taylor O.M., Liew I., Al-Sukaini A., Mediratta S., Saxena D., Sgro A., Rashid M.M., Milne K., McIntyre J., Akhtar M.A., Turnbull A., Brunt A., Stewart K.E., Wilson M.S.J., Rutherford D., McGivern K., Massie E., Ho M., Wade R.G., Johnstone J., Bourke G., Brunelli A., Elkadi H., Otify M., Pompili C., Burke J.R., Bagouri E., Chowdhury M., Abual-Rub Z., Kaufmann A., Munot S., Lo T., Young A., Kowal M., Wall J., Peckham-Cooper A., Layton G.R., Karki B., Jeong H., Pankhania S., Asher S., Folorunso A., Mistry S., Singh B., Winyard J., Mangwani J., Mohammad A., Acharya M., Chandarana K., Ang K., Chowdhry M.F., Rathinam S., Nakas A., Boddy A., Hossain T., Ashmore C., Annamalai S., Kourdouli A., Irvine E., Al-Harbawi A., Kassam K., Al-Harbawee 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, 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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., 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., 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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. Association of apolipoprotein levels with peripheral arterial disease: a meta-analysis of literature studies

Author: Martina Chiurazzi, M. Tripaldella, Matteo Nicola Dario Di Minno, Ilenia Calcaterra, Francesco Forte, Roberta Clara Orsini, Roberta Lupoli, Gabriella Iannuzzo, Forte, F., Calcaterra, I., Lupoli, R., Orsini, R. C., Chiurazzi, M., Tripaldella, M., Iannuzzo, G., and Di Minno, M. N. D.
Subjects: medicine.medical_specialty, Inverse Association, Apolipoprotein B, Epidemiology, Arterial disease, 030204 cardiovascular system & hematology, Gastroenterology, Lower limb, Mean difference, Peripheral Arterial Disease, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Internal medicine, Humans, Medicine, 030212 general & internal medicine, Apolipoproteins B, Apolipoprotein A-I, Peripheral artery disease, biology, business.industry, ApoA-I, nutritional and metabolic diseases, Atherosclerosis, ApoB/apoA-I ratio, Confidence interval, Peripheral, body regions, Apolipoproteins, Meta-analysis, biology.protein, lipids (amino acids, peptides, and proteins), ApoB, Cardiology and Cardiovascular Medicine, business
Abstract: Aims Lower limb peripheral artery disease (PAD) is a leading cause of atherosclerotic cardiovascular disease (ASCVD). Discordant data are available on the association between apolipoprotein and PAD. We performed a meta-analyses on the association between apolipoprotein (apo)B, apoA-I, and apoB/apoA-I ratio with PAD. Methods and results PubMed, Web of Science, Scopus databases were systematically searched. Studies providing data about apoB, apoA-I, apoB/apoA-I ratio in PAD subjects and non-PAD controls were included. Differences between PAD and non-PAD subjects were expressed as mean difference (MD) with pertinent 95% confidence intervals (95%CI). Twenty-two studies were included. Peripheral artery disease subjects showed higher apoB (MD: 12.5 mg/dL, 95%CI: 2.14, 22.87) and lower apoA-I levels (MD: −7.11 mg/dL, 95%CI: −11.94, −2.28) than non-PAD controls. Accordingly, ApoB/ApoA-I ratio resulted higher in PAD subjects than non-PAD controls (MD: 0.11, 95% CI: 0.00, 0.21). Non-HDL-C showed a direct association with the difference in apoB (z-value: 4.72, P Conclusions Our meta-analysis suggests that PAD subjects exhibit increased apoB and reduced apoA-I levels, accompanied by an increased apoB/apoA-I ratio as compared with non-PAD controls.
Published: 2020

17. Speckle tracking echocardiography in patients with systemic lupus erythematosus: A meta-analysis

Author: Agostino Buonauro, Amato de Paulis, Francesca Wanda Rossi, Antonella Tufano, Francesco Forte, Matteo Nicola Dario Di Minno, Maurizio Galderisi, Di Minno, M. N. D., Forte, F., Tufano, A., Buonauro, A., Rossi, F. W., De Paulis, A., and Galderisi, M.
Subjects: cardiovascular risk, medicine.medical_specialty, Longitudinal strain, myocardial dysfunction, Heart Ventricles, Speckle tracking echocardiography, 030204 cardiovascular system & hematology, Ventricular Function, Left, 03 medical and health sciences, 0302 clinical medicine, systemic lupus erythematosus, immune system diseases, Internal medicine, Internal Medicine, Humans, Lupus Erythematosus, Systemic, Medicine, In patient, 030212 general & internal medicine, skin and connective tissue diseases, Subclinical infection, Left ventricle global longitudinal strain, business.industry, Reproducibility of Results, Myocardial function, Quantitative ultrasound, medicine.anatomical_structure, Echocardiography, Ventricle, Meta-analysis, Cardiology, Female, Cardiomyopathies, business
Abstract: Systemic lupus erythematosus (SLE), is characterized by a systemic involvement including myocardial dysfunction. Being standard echocardiography not able at fully detecting subclinical alterations, speckle tracking echocardiography (STE) has recently emerged as a quantitative ultrasound technique to accurately estimate myocardial function.We conducted a systematic review with meta-analysis of studies reporting STE parameters in patients with SLE.A total of 9 studies were included in the analysis. Left ventricle global longitudinal strain (GLS) was significantly lower in SLE patients than in non-SLE controls (MD: -2.331, 95% CI: -3.083, -1.580, p 0.001). In addition, we found significant differences between SLE patients and non-SLE controls in left ventricle GLS rate (MD: -0.115, 95% CI: -0.177 to 0.063, p 0.001), left ventricle circumferential strain(MD: -1.841, 95% CI: -3.160 to 0.521, p = 0.006) and left ventricle radial strain(MD: -11.03, 95% CI: -13.819 to 8.241, p 0.001). Right ventricle strain was significantly lower in SLE patients than in non-SLE controls (MD: -5.814, 95% CI: -7.347, -4.281, p 0.001). Meta-regression models showed a lower difference in left ventricle GLS between SLE cases and controls for studies with a higher prevalence of female gender and higher prevalence of hypertension.SLE patients have lower STE parameters than controls, thus suggesting the presence of an impaired myocardial function involving both left and right ventricle.
Published: 2020

18. Effect of Rehabilitation Treatments on Disability in Persons With Disorders of Consciousness: A Propensity Score Study

Author: Sattin D., Leonardi M., Nelli B., Bramanti P., Marino S., Ferro S., Basaglia N., Guido D., Dolce G., Lucca L. F, Cortese M. D., Ermio C., Dattilo T. L., Capomolla S., Di Iasi G., Estraneo A., De Tanti A., Maradini N., Piperno R., Ferri A., Basaglia N, Bergonzoni A., Chiavaroli F., Di Marco F., Carli S., Biasutti E., Marin D., Formisano R., Rizza F., Pisarri F. M., Vichi R., D'Urso A., Grillo G., Leto A., Guerrasio M., Taliento C., Napolitano F., Castelli E., Lispi M. L., Diverio M., Barbieri C., Bini P. P., Angelino G., Dada O., Orlandi A., Pistarini C., Pisoni C., Manera M., Compostini A., Aiachini B., Pessina A., Musio A., Colombetti E., Taraschi S., Aluas M., Croci M., Negri M., Zucchella M. A., Guizzetti G. B., Salamone E., De Valle G., Caroppi S. M., Ramorino E., Salina D., Spannocchi G., Strazzer S., Villa F., Guarnerio C., Chiambretto P., Dartizio R., Feller S., Franzoni L., Giunco F., Massironi L., Azimonti R., Marcolli S. S., Meinecke C., Buse G., Marchesi V, Molteni F., Gramigna C., Lanfranchi M., Pisani L., Sozzi M., Borri G., Cannata A. P., Grillo A., Roca S., Locati D., Arenare F., Magnoni A., Perin C., Sussele M., Quintana T. Y., Camici M. E., Magistrelli F., Samueli T., San Felici L., Manganelli F., Vignati M., Bellanova L., Cattaneo N., Ferraro F., Olgiati E., Brizioli E., Vallasciani M., Gironelli L., Calderisi E., Novelli A., Scaramuzzo R., Perino C., Forno R., Zamponi E., Corna S., Ferrario S., Lamberti G., Rosso S., Colonna F., Navarro J., Trabacca A., Gennaro L., Bertolini A., Addante L., Amenduni M. T., Fiore P., Amoruso M. T., Colella D., Angelillo M. T., Melis G., Desogus G., Baglieri A., Galardi G., Sant'Angelo A., Posteraro F., Forte F., Logi F., Potenza F., Lino M., Zaccara G., Ragazzoni A., Chiaramonti R., March A., Grober G., Kaczor M., Zelger P, Mazzini N., Monti A., Zampolini M., Scarponi F., Avesani R., Salvi L., Tonin P., Cosentino E., Furlanetto N., Bordin M., Martinuzzi A., Buffoni M., Boldrini P., Semerjian M., Sattin, D, Leonardi, M, Nelli, B, Bramanti, P, Marino, S, Ferro, S, Basaglia, N, Guido, D, Dolce, G, Lucca, L, Cortese, M, Ermio, C, Dattilo, T, Capomolla, S, Di Iasi, G, Estraneo, A, De Tanti, A, Maradini, N, Piperno, R, Ferri, A, Bergonzoni, A, Chiavaroli, F, Di Marco, F, Carli, S, Biasutti, E, Marin, D, Formisano, R, Rizza, F, Pisarri, F, Vichi, R, D'Urso, A, Grillo, G, Leto, A, Guerrasio, M, Taliento, C, Napolitano, F, Castelli, E, Lispi, M, Diverio, M, Barbieri, C, Bini, P, Angelino, G, Dada, O, Orlandi, A, Pistarini, C, Pisoni, C, Manera, M, Compostini, A, Aiachini, B, Pessina, A, Musio, A, Colombetti, E, Taraschi, S, Aluas, M, Croci, M, Negri, M, Zucchella, M, Guizzetti, G, Salamone, E, De Valle, G, Caroppi, S, Ramorino, E, Salina, D, Spannocchi, G, Strazzer, S, Villa, F, Guarnerio, C, Chiambretto, P, Dartizio, R, Feller, S, Franzoni, L, Giunco, F, Massironi, L, Azimonti, R, Marcolli, S, Meinecke, C, Buse, G, Marchesi, V, Molteni, F, Gramigna, C, Lanfranchi, M, Pisani, L, Sozzi, M, Borri, G, Cannata, A, Grillo, A, Roca, S, Locati, D, Arenare, F, Magnoni, A, Perin, C, Sussele, M, Quintana, T, Camici, M, Magistrelli, F, Samueli, T, San Felici, L, Manganelli, F, Vignati, M, Bellanova, L, Cattaneo, N, Ferraro, F, Olgiati, E, Brizioli, E, Vallasciani, M, Gironelli, L, Calderisi, E, Novelli, A, Scaramuzzo, R, Perino, C, Forno, R, Zamponi, E, Corna, S, Ferrario, S, Lamberti, G, Rosso, S, Colonna, F, Navarro, J, Trabacca, A, Gennaro, L, Bertolini, A, Addante, L, Amenduni, M, Fiore, P, Amoruso, M, Colella, D, Angelillo, M, Melis, G, Desogus, G, Baglieri, A, Galardi, G, Sant'Angelo, A, Posteraro, F, Forte, F, Logi, F, Potenza, F, Lino, M, Zaccara, G, Ragazzoni, A, Chiaramonti, R, March, A, Grober, G, Kaczor, M, Zelger, P, Mazzini, N, Monti, A, Zampolini, M, Scarponi, F, Avesani, R, Salvi, L, Tonin, P, Cosentino, E, Furlanetto, N, Bordin, M, Martinuzzi, A, Buffoni, M, Boldrini, P, and Semerjian, M
Subjects: Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Propensity score, medicine.medical_treatment, Physical Therapy, Sports Therapy and Rehabilitation, Disorders of consciousness, Severity of Illness Index, Disability Evaluation, 03 medical and health sciences, 0302 clinical medicine, Clinical Protocols, Severity of illness, medicine, Humans, Longitudinal Studies, Aged, Vegetative state, Rehabilitation, business.industry, Minimally conscious state, Recovery of Function, Disability Rating Scale, Middle Aged, medicine.disease, Treatment Outcome, Italy, Propensity score matching, Physical therapy, Consciousness Disorders, Female, Observational study, 0305 other medical science, business, 030217 neurology & neurosurgery
Abstract: To evaluate the effects of rehabilitation (physical and cognitive) treatments on the diagnosis severity and Disability Rating Scale (DRS) scores, adjusted for a number of potential confounders measured at baseline, in a large cohort of patients with disorders of consciousness across time.An observational, longitudinal (2 evaluations), multicenter project was made in 90 Italian centers.Patients (N=364) with a diagnosis of disorders of consciousness.Primary outcome was the severity of diagnosis, expressed on an ordinal scale (OtherMCSVSdeath). In the Other group were included patients who emerged from an MCS and recovered consciousness. The secondary outcome was the DRS score (range of 0-30 with 30 being the worst value). The DRS is a tool used to define the level of residual disability, commonly used to classify the level of functional impairment in patients with acquired brain injury. Both outcomes were measured for each wave.A total of 364 subjects having a complete set of demographic, clinical, and pharmacologic data were included in the propensity score (PS) analysis. Results showed that the rehabilitation treatments (physical and cognitive) reduced the clinical worsening over time in both severity diagnosis and DRS (around 6.5 points) in patients with disorders of consciousness across different propensity score strategies (ie, PS matching, PS adjustment, and PS-weighted procedures). In addition, cognitive protocols seem to be limited to patients with a median value of DRS=23.Our propensity score analysis suggests that rehabilitation treatment protocols seem effective and should be applied to a broader spectrum of patients with disorders of consciousness.
Published: 2020

19. The Versatility of the DCIA Free Flap: A Forgotten Flap? Systematic Review and Meta-Analysis

Author: Oscar J. Manrique, Pedro Ciudad, Beatriz Hatsue Kushida-Contreras, Valeria P. Bustos, Antonio J. Forte, Eric Santamaria, Howard N. Langstein, Joseph M. Escandón, Lauren Escandón, and Miguel Angel Gaxiola-García
Subjects: medicine.medical_specialty, Bone flap, business.industry, Limb defects, Tumor resection, Reproducibility of Results, Free flap, Deep circumflex iliac artery, Plastic Surgery Procedures, Free Tissue Flaps, Iliac Artery, Surgery, Postoperative Complications, Meta-analysis, medicine.artery, Humans, Medicine, Pooled data, business, Head and neck, Retrospective Studies
Abstract: Background Studies reporting on the deep circumflex iliac artery (DCIA) free flap are restricted to a limited number of patients and areas of application. The aim of this review was to assess the reliability and versatility of the DCIA free flap during reconstruction. Methods A comprehensive review was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines using PubMed, Web of Science, Cochrane CENTRAL, and SCOPUS. A critical analysis of pooled data was performed to assess outcomes employing the DCIA free flap. Results A total of 445 DCIA free flaps were included. The main recipient sites were head and neck (72.35%), lower extremity (20.67%), and upper extremity (6.74%). The main indications for reconstruction were tumor resection (73.8%) and trauma (17.43%). Fifty non-DCIA flaps were required to finalize the reconstruction of several defects. The pooled flap failure rate using the DCIA free flap was 4% (95% confidence interval: 1–8%). No significant heterogeneity was present across studies (Q statistic 22.12, p = 0.14; I 2 = 27.68%, p = 0.139). Complication rates for head and neck and limb reconstruction were 57.37 and 40.16%, respectively. The average length and surface area of bone flaps were 7.79 cm and 22.8 cm2, respectively. The area of the skin paddles was 117 cm2. Conclusion The DCIA free flap has shown to be a versatile reconstructive alternative for head and neck and short-medium size limb defects. However, the complexity of functions, the recipient site location, and a potential large defect can detract from the use of the DCIA free flap as an initial reconstructive option for head and neck and extensive limb defects.
Published: 2021

20. Pharmacokinetic, Safety, and Pharmacodynamic Properties of Teverelix Trifluoroacetate, a Novel Gonadotropin‐Releasing Hormone Antagonist, in Healthy Adult Subjects

Author: Finn Larsen, Pablo Soto-Forte, Zona Godsafe, and Carol Maclean
Subjects: Male, Pituitary gland, medicine.medical_specialty, business.industry, medicine.drug_class, Pharmaceutical Science, Hormone antagonist, Gonadotropin-releasing hormone antagonist, Gonadotropin-Releasing Hormone, Hormone Antagonists, medicine.anatomical_structure, Endocrinology, Pharmacokinetics, Hormone receptor, Internal medicine, medicine, Humans, Trifluoroacetic Acid, Pharmacology (medical), business, Luteinizing hormone, Oligopeptides, Testosterone, Aged, Hormone
Abstract: Teverelix trifluoroacetate is a decapeptide, gonadotropin-releasing hormone antagonist that binds competitively and reversibly to gonadotropin-releasing hormone receptors in the pituitary gland, resulting in immediate suppression of luteinizing hormone and follicle-stimulating hormone, which in turn causes a very rapid decrease in testosterone production in the Leydig cells of the testes in men and in estradiol in the ovaries in women. This phase 1 clinical study was an open-label, parallel-design, single-center, single-dose study in older, healthy male subjects. Following injection, teverelix is released into the systemic circulation in a biphasic manner. An initial rapid phase is followed by a slow-release phase thought to be due to the formation of a depot, which limits the diffusion of teverelix into the blood. The release characteristics differ significantly for the subcutaneous (SC) and intramuscular (IM) routes. Teverelix maximum concentration and exposure increased in an approximately dose-proportional manner across the 60 to 120 mg SC doses. All 3 pharmacodynamic end points (luteinizing hormone, follicle-stimulating hormone, and total testosterone) showed reductions that were more prolonged following the 90 mg IM administration compared to 90 mg SC administration.
Published: 2021

21. Transplante de microbiota como proposta para remissão da colite ulcerativa / Microbiota transplantation as a proposal for the remission of ulcerative colitis

Author: Lucas Gomes Magalhães, Vittorio Santos Tomaz, Daniel Kevin de Alencar Forte Feijó, Lara Paixão Rodrigues, Letícia Macedo Nicácio Andrade, Amanda Alencar De Carvalho, and Antônio Nilton Ferino Da Silva
Subjects: Marketing, Pharmacology, Organizational Behavior and Human Resource Management, medicine.medical_specialty, business.industry, Strategy and Management, Pharmaceutical Science, medicine.disease, Ulcerative colitis, Gastroenterology, Transplantation, Internal medicine, Drug Discovery, medicine, business
Published: 2021

22. Caring for nursing home residents with COVID-19: a 'hospital-at-nursing home' intermediate care intervention

Author: Giancarlo Landini, Guglielmo Bonaccorsi, Cecilia Piga, Letizia Martella, Paolo Carrai, Eleonora Barghini, L. Baggiani, Enrico Mossello, Riccardo Barucci, Giulia Bulli, Lorenzo Stacchini, Enrico Benvenuti, Simone Pupo, Gabriele Vaccaro, Sante Giardini, Giulia Rivasi, Claudia Cosma, Andrea Crociani, Serena Boni, M. Bulgaresi, Giulia Bandini, Irene Marozzi, Andrea Ungar, Daniela Balzi, Salvatore Gangemi, Antonio Faraone, Aldo Lo Forte, Ilaria Del Lungo, Primo Buscemi, Chiara Lorini, and Giacomo Fortini
Subjects: COVID-19, Hospital-at-home, Integrated medicine, Intermediate care, Mortality, Nursing home, Aging, medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Intervention (counseling), Health care, Pandemic, medicine, Infection transmission, Humans, Aged, Hospitalization, Hospitals, Nursing Homes, SARS-CoV-2, business.industry, Emergency medicine, Diagnostic assessment, Original Article, Geriatrics and Gerontology, Nursing homes, business
Abstract: Background Nursing home (NH) residents have been dramatically affected by COVID-19, with extremely high rates of hospitalization and mortality. Aims To describe the features and impact of an assistance model involving an intermediate care mobile medical specialist team (GIROT, Gruppo Intervento Rapido Ospedale Territorio) aimed at delivering “hospital-at-nursing home” care to NH residents with COVID-19 in Florence, Italy. Methods The GIROT activity was set-up during the first wave of the pandemic (W1, March–April 2020) and became a structured healthcare model during the second (W2, October 2020–January 2021). The activity involved (1) infection transmission control among NHs residents and staff, (2) comprehensive geriatric assessment including prognostication and geriatric syndromes management, (3) on-site diagnostic assessment and protocol-based treatment of COVID-19, (4) supply of nursing personnel to understaffed NHs. To estimate the impact of the GIROT intervention, we reported hospitalization and infection lethality rates recorded in SARS-CoV-2-positive NH residents during W1 and W2. Results The GIROT activity involved 21 NHs (1159 residents) and 43 NHs (2448 residents) during W1 and W2, respectively. The percentage of infected residents was higher in W2 than in W1 (64.5% vs. 38.8%), while both hospitalization and lethality rates significantly decreased in W2 compared to W1 (10.1% vs 58.2% and 23.4% vs 31.1%, respectively). Discussion Potentiating on-site care in the NHs paralleled a decrease of hospital admissions with no increase of lethality. Conclusions An innovative “hospital-at-nursing home” patient-centred care model based on comprehensive geriatric assessment may provide a valuable contribution in fighting COVID-19 in NH residents.
Published: 2021

23. COVID-Pain: Acute and Late-Onset Painful Clinical Manifestations in COVID-19 – Molecular Mechanisms and Research Perspectives

Author: Cira Antonietta Forte, Marco Cascella, Paola Del Prete, Alfredo Del Gaudio, Arturo Cuomo, Sabrina Bimonte, Elvio De Blasio, and Alessandro Vittori
Subjects: myalgia, medicine.medical_specialty, Abdominal pain, Coronavirus disease 2019 (COVID-19), SARS-CoV-2, business.industry, COVID-19 complications, COVID-19, Late onset, Review, Disease, Chest pain, COVID-pain, Anesthesiology and Pain Medicine, Joint pain, medicine, Sore throat, medicine.symptom, Intensive care medicine, business
Abstract: Although the respiratory manifestations of COVID-19 are predominant, signs and symptoms of an extra-pulmonary involvement are usually encompassed among the clinical picture of the disease. Several painful manifestations can occur during the acute phase but also as short- or long-term complications. Myalgia, joint pain, sore throat, abdominal pain, chest pain, and headache usually accompany respiratory symptoms, but they can also occur as isolated clinical findings or can be expressed regardless of the severity of COVID-19. On these premises, given the vast spectrum of clinical manifestations and the complexity of their pathogenesis, it would be more appropriate to refer to “COVID-pain”, an umbrella term useful for encompassing all these clinical manifestations in a separate chapter of the disease. In this scenario, we addressed the topic from a molecular perspective, trying to provide explanations for the underlying pathophysiological processes. Consequently, this narrative review is aimed at dissecting the mechanisms of acute and chronic painful manifestations, summarizing fundamental concepts on the matter, controversies, current research gaps, and potential developments in this field.
Published: 2021

24. Dance practice modifies functional fitness, lipid profile, and self-image in postmenopausal women

Author: Allice Santos Cruz Veras, Sylvia Seidinger Chedid, Giovana Rampazzo Teixeira, Camila Buonani, Luis Alberto Gobbo, Raul Antonio Fragoso Neto, Ana Paula Rodrigues Rocha, Ismael Forte Freitas Júnior, Universidade Estadual Paulista (UNESP), and Universidade Federal de São Carlos (UFSCar)
Subjects: medicine.medical_specialty, Functional training, Dance, General Mathematics, media_common.quotation_subject, Blood lipids, Internal medicine, Humans, Medicine, Dancing, Exercise, media_common, Postmenopausal women, medicine.diagnostic_test, business.industry, Applied Mathematics, Obstetrics and Gynecology, Middle Aged, Lipids, Self-image, Postmenopause, Physical Fitness, Body Composition, Lean body mass, Female, business, Lipid profile, Student's t-test
Abstract: Made available in DSpace on 2022-05-01T09:47:28Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-07-19 OBJECTIVE: The aim of the present study was to analyze the effects of dance practice on body composition, metabolic profile, functional fitness, and self-image/self-esteem in postmenopausal women. METHODS: A total of 36 postmenopausal participants (mean age 57 years) danced three times per week for 90 minutes each day and were evaluated before and after 16 weeks. The parameters evaluated were body composition (body fat and lean mass), blood lipids, functional fitness, self-image, and self-esteem. RESULTS: Statistical analysis was done using Student t test for paired samples and the Wilcoxon test with P values less than 0.05 considered statistically significant. Lower triglycerides (baseline = 156.5 ± 17.0 mg/dL; after 16-weeks = 131.5 ± 12.9 mg/dL; P
Published: 2021

25. Correlation of older age with severity of lymphedema in breast cancer survivors: A systematic review

Author: Antonio J. Forte, Maria T Huayllani, Francisco R. Avila, Daniel Boczar, and Gunel Guliyeva
Subjects: 0301 basic medicine, Cancer Research, medicine.medical_specialty, Ovid medline, Secondary lymphedema, business.industry, General Medicine, medicine.disease, Correlation, 03 medical and health sciences, 030104 developmental biology, 0302 clinical medicine, Lymphedema, Breast cancer, Oncology, Outcome reporting, 030220 oncology & carcinogenesis, Internal medicine, medicine, Population study, medicine.symptom, business, Breast Cancer Related Lymphedema
Abstract: BACKGROUND: Breast cancer is the most frequent cause of secondary lymphedema. Besides being progressive and chronic, lymphedema is usually hard to treat. That is why the clinicians are more focused on the prevention of its development and progression. OBJECTIVE: The aim of this study is to evaluate the possible relationship between the age of patients and the severity of breast cancer-related lymphedema (BCRL). METHODS: PubMed, Scopus, and Ovid MEDLINE databases were searched for articles, which described the relationship between aging and BCRL development. Two authors searched for and selected articles independently. RESULTS: Out of 562 studies selected, 8 studies met the inclusion criteria. However, 2 papers had the same study population, so only 7 were included in the final analysis. The total number of patients in those 7 studies was 3,904. Five out of 7 studies included in our review depicted the association of more severe forms of BCRL with older age. CONCLUSION: The final analysis showed that aging is related to the severity of BCRL. However, due to heterogeneity in study outcome reporting, the cause and effect relationship could not be determined.
Published: 2021

26. 2021 American College of Rheumatology/Vasculitis Foundation Guideline for the Management of Antineutrophil Cytoplasmic Antibody–Associated Vasculitis

Author: Yih Chang Lin, Maria Ibarra, Robert P. Sundel, Amy S. Turner, Ann Warner, Carol A. Langford, Andy Abril, Gordon H. Guyatt, Doyt L. Conn, Amy M. Archer, John H. Stone, Nedaa Husainat, Kathy A. Full, Reem A. Mustafa, Kevin Byram, Jason M. Springer, Rennie L. Rhee, Anisha B. Dua, Mohamad A. Kalot, Peter A. Merkel, Marat Turgunbaev, Sangeeta Sule, Mehrdad Maz, Susan Kim, Sharon A. Chung, Mark Gorelik, Peter C. Grayson, Omar I. Vitobaldi, Philip Seo, Alexandra Villa-Forte, Lisa Imundo, and Karen E. James
Subjects: medicine.medical_specialty, Consensus, Clinical Decision-Making, Immunology, Population, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis, Severity of Illness Index, Antibodies, Antineutrophil Cytoplasmic, Decision Support Techniques, Rheumatology, Maintenance therapy, medicine, Humans, Immunology and Allergy, Intensive care medicine, education, Anti-neutrophil cytoplasmic antibody, education.field_of_study, Evidence-Based Medicine, business.industry, Guideline, medicine.disease, Treatment Outcome, Adjunctive treatment, Microscopic polyangiitis, business, Granulomatosis with polyangiitis, Mepolizumab, Biomarkers, Immunosuppressive Agents, medicine.drug
Abstract: Objective To provide evidence-based recommendations and expert guidance for the management of antineutrophil cytoplasmic antibody-associated vasculitis (AAV), including granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA). Methods Clinical questions regarding the treatment and management of AAV were developed in the population, intervention, comparator, and outcome (PICO) format (47 for GPA/MPA, 34 for EGPA). Systematic literature reviews were conducted for each PICO question. The Grading of Recommendations Assessment, Development and Evaluation methodology was used to assess the quality of evidence and formulate recommendations. Each recommendation required ≥70% consensus among the Voting Panel. Results We present 26 recommendations and 5 ungraded position statements for GPA/MPA, and 15 recommendations and 5 ungraded position statements for EGPA. This guideline provides recommendations for remission induction and maintenance therapy as well as adjunctive treatment strategies in GPA, MPA, and EGPA. These recommendations include the use of rituximab for remission induction and maintenance in severe GPA and MPA and the use of mepolizumab in nonsevere EGPA. All recommendations are conditional due in part to the lack of multiple randomized controlled trials and/or low-quality evidence supporting the recommendations. Conclusion This guideline presents the first recommendations endorsed by the American College of Rheumatology and the Vasculitis Foundation for the management of AAV and provides guidance to health care professionals on how to treat these diseases.
Published: 2021

27. 2021 American College of Rheumatology/Vasculitis Foundation Guideline for the Management of Giant Cell Arteritis and Takayasu Arteritis

Author: Yih Chang Lin, Kevin Byram, Peter C. Grayson, Kathy A. Full, Jason M. Springer, Sharon A. Chung, Robert P. Sundel, Marat Turgunbaev, Maria Ibarra, Sangeeta Sule, Rennie L. Rhee, Amy S. Turner, Mark Gorelik, Mohamad A. Kalot, Peter A. Merkel, Carol A. Langford, Nedaa Husainat, Mehrdad Maz, Ann Warner, Amy M. Archer, Andy Abril, Doyt L. Conn, Karen E. James, Reem A. Mustafa, Anisha B. Dua, Philip Seo, Alexandra Villa-Forte, Gordon H. Guyatt, John H. Stone, Susan Kim, Lisa Imundo, and Omar I. Vitobaldi
Subjects: medicine.medical_specialty, Consensus, Clinical Decision-Making, Giant Cell Arteritis, Immunology, Population, MEDLINE, Decision Support Techniques, Rheumatology, Internal medicine, Humans, Immunology and Allergy, Medicine, Disease management (health), skin and connective tissue diseases, Intensive care medicine, education, Grading (education), Glucocorticoids, education.field_of_study, Evidence-Based Medicine, business.industry, Disease Management, Guideline, medicine.disease, Takayasu Arteritis, United States, Giant cell arteritis, Treatment Outcome, Drug Therapy, Combination, business, Vasculitis, Immunosuppressive Agents
Abstract: Objective To provide evidence-based recommendations and expert guidance for the management of giant cell arteritis (GCA) and Takayasu arteritis (TAK) as exemplars of large vessel vasculitis. Methods Clinical questions regarding diagnostic testing, treatment, and management were developed in the population, intervention, comparator, and outcome (PICO) format for GCA and TAK (27 for GCA, 27 for TAK). Systematic literature reviews were conducted for each PICO question. The Grading of Recommendations Assessment, Development and Evaluation methodology was used to rate the quality of the evidence. Recommendations were developed by the Voting Panel, comprising adult and pediatric rheumatologists and patients. Each recommendation required ≥70% consensus among the Voting Panel. Results We present 22 recommendations and 2 ungraded position statements for GCA, and 20 recommendations and 1 ungraded position statement for TAK. These recommendations and statements address clinical questions relating to the use of diagnostic testing, including imaging, treatments, and surgical interventions in GCA and TAK. Recommendations for GCA include support for the use of glucocorticoid-sparing immunosuppressive agents and the use of imaging to identify large vessel involvement. Recommendations for TAK include the use of nonglucocorticoid immunosuppressive agents with glucocorticoids as initial therapy. There were only 2 strong recommendations; the remaining recommendations were conditional due to the low quality of evidence available for most PICO questions. Conclusion These recommendations provide guidance regarding the evaluation and management of patients with GCA and TAK, including diagnostic strategies, use of pharmacologic agents, and surgical interventions.
Published: 2021

28. Wearable electronic devices for chronic pain intensity assessment: A systematic review

Author: Maria T Huayllani, Christopher J. McLeod, Rickey E. Carter, Antonio J. Forte, Davide Giardi, Daniel Boczar, Francisco R. Avila, and Charles J. Bruce
Subjects: Psychomotor learning, medicine.medical_specialty, business.industry, Chronic pain, CINAHL, medicine.disease, Intensity (physics), Smartwatch, Sleep patterns, Wearable Electronic Devices, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology and Pain Medicine, Physical medicine and rehabilitation, Time frame, Heart Rate, 030202 anesthesiology, Medicine, business, Wearable Electronic Device, 030217 neurology & neurosurgery, Monitoring, Physiologic, Pain Measurement
Abstract: Wearable electronic devices are a convenient solution to pain intensity assessment as they can provide continuous monitoring for more precise medication adjustments. However, there is little evidence regarding the use of wearable electronic devices for chronic pain intensity assessment. Our primary objective was to examine the physiologic parameters used by wearable electronic devices for chronic pain intensity assessment. We initially inquired PubMed, CINAHL, and Embase for studies evaluating the use of wearable electronic devices for chronic pain intensity assessment. We updated our inquiry by searching on PubMed, Embase, Scopus, and Google Scholar. English peer-reviewed studies were included, with no exclusions based on time frame or publication status. Of 348 articles that were identified on the first inquiry, 8 fulfilled the eligibility criteria. Of 179 articles that were identified on the last inquiry, only 1 fulfilled the eligibility criteria. We found articles evaluating wristbands, smartwatches, and belts. Parameters evaluated were psychomotor and sleep patterns, space and time mobility, heart rate variability, and skeletal muscle electrical activity. Most of the studies found significant positive associations between physiological parameters measured by wearable electronic devices and self-reporting pain scales. Wearable electronic devices reliably reflect physiologic or biometric parameters, providing a physiological correlation for pain. Early stage investigation suggests that the degree of pain intensity can be discerned, which ideally will reduce the bias inherent to existing numeric/verbal scales. Further research on the use of these devices is vital.
Published: 2021

29. ARE THERE DIFFERENCES BETWEEN MALE AND FEMALE BADMINTON ATHLETES IN SLEEP, PHYSICAL ACTIVITY AND SEDENTARY TIME?

Author: Arilene Maria da Silva Santos, Sérgio Luiz Galan Ribeiro, Antônio Valdeci Marreiro de Sousa Junior, Dionis de Castro Dutra Machado, Paula Alves Monteiro, Pedro Moura, Clarice Maria de Lucena Martins, Ismael Forte Freitas Junior, Marcos Antônio Pereira dos Santos, Fabrício Eduardo Rossi, Immunometabolism of Skeletal Muscle and Exercise Research Group, Universidade Estadual Paulista (UNESP), Universidade Federal da Paraíba (UFPB), Campus Ministro Petrônio Portela, and Postgraduate Program in Health Sciences
Subjects: medicine.medical_specialty, Physical activity, Physical Therapy, Sports Therapy and Rehabilitation, Exercício físico, 03 medical and health sciences, 0302 clinical medicine, Esportes com raquete, medicine, Orthopedics and Sports Medicine, Young male, Sedentary time, Racquet sports, biology, business.industry, Athletes, 030229 sport sciences, Atletas, biology.organism_classification, Ejercicio físico, Sleep time, Sleep in non-human animals, Time in bed, Sports medicine, Physical therapy, Sleep onset, Deportes de raqueta, business, RC1200-1245, 030217 neurology & neurosurgery
Abstract: Introduction: High-performance athletes often undergo periods of exhaustive training and insufficient recovery, which can lead to decreased performance, but it is not clear whether there are any differences between the sexes in the level of habitual physical activity, sedentary time or sleep quantity and quality in young highly trained badminton athletes. Objectives: The aim of this study was to compare the habitual physical activity (PA), sedentary time and sleep quantity and quality of highly trained young male and female badminton athletes and non-athletes. Methods: Twenty-seven young badminton athletes and twenty-one non-athletes (control group) were recruited. Sleep duration and quality (total time in bed, total sleep time, wake after sleep onset, sleep efficiency and latency), total counts, vigorous activity time and sedentary time were measured using a tri-axial accelerometer. Results: Male athletes spent less sedentary time (p=0.028), more time in vigorous activity (p=0.016) and had higher total counts (p 0.05). Conclusion: Among males but not females, young highly trained badminton athletes had less sedentary time and more time in vigorous activity than the non-athletes, however, there were no significant differences between the sexes or groups in sleep quantity and quality. Level of evidence III; Case-control study . RESUMEN Introducción: Los atletas de alto rendimiento con frecuencia son sometidos a períodos de entrenamiento exhaustivo y recuperación insuficiente, lo que puede llevar a una disminución del desempeño, pero no está claro si hay diferencia entre los sexos en cuanto al nivel de actividad física habitual, tiempo sedentario, cantidad y calidad del sueño en jóvenes atletas de bádminton altamente entrenados. Objetivos: El objetivo de este estudio fue comparar la actividad física habitual (AF), el tiempo de sedentarismo y la duración y calidad del sueño en jóvenes atletas de bádminton altamente entrenados y de no atletas, del sexo femenino y masculino. Métodos: Fueron reclutados veintisiete jóvenes atletas de bádminton y veintiuno no atletas (grupo control). La duración y la calidad del sueño (tiempo total en la cama, tiempo total de sueño, vigilia después del inicio del sueño, eficiencia y latencia del sueño), counts totales, el tiempo en actividad vigorosa y el tiempo de sedentarismo fueron medidos con un acelerómetro triaxial. Resultados: Los atletas del sexo masculino tuvieron menos tiempo de sedentarismo (p = 0,028), más tiempo de actividad vigorosa (p = 0,016) y mayor cantidad de counts totales (p 0,05). Conclusiones: Entre hombres, pero no entre mujeres, los jóvenes atletas de bádminton altamente entrenados tuvieron menor tiempo de sedentarismo y mayor tiempo en actividades vigorosas que los no atletas; entretanto, no hubo diferencia significativa entre los sexos o grupos en la cantidad y calidad del sueño. Nivel de evidencia III; Estudio de caso control . RESUMO Introdução: Atletas de alto rendimento com frequência são submetidos a períodos de treinamento exaustivo e recuperação insuficiente, o que pode levar à diminuição do desempenho, mas não está claro se há diferença entre os sexos quanto ao nível de atividade física habitual, tempo sedentário, quantidade e qualidade do sono em jovens atletas de badminton altamente treinados. Objetivos: O objetivo deste estudo foi comparar a atividade física habitual (AF), o tempo de sedentarismo e a duração e qualidade do sono em jovens atletas de badminton altamente treinados e de não atletas, do sexo masculino e feminino. Métodos: Vinte e sete jovens atletas de badminton e vinte e um não atletas (grupo controle) foram recrutados. A duração e a qualidade do sono (tempo total na cama, tempo total de sono, vigília após o início do sono, eficiência e latência do sono), counts totais, tempo em atividade vigorosa e tempo de sedentarismo foram medidos com um acelerômetro triaxial. Resultados: Atletas do sexo masculino tiveram menos tempo de sedentarismo (p = 0,028), mais tempo de atividade vigorosa(p = 0,016) e maior quantidade de counts totais (p < 0,001) do que o grupo controle masculino. Não houve diferença significante no tempo de sedentarismo (p = 0,702) ou tempo de atividade vigorosa (p = 0,205) entre as atletas e não atletas, mas as atletas do sexo feminino acumularam maior quantidade de counts totais que o grupo controle feminino (p = 0,003). Não houve diferença significante entre os sexos ou grupos para tempo na cama, tempo total de sono, eficiência do sono, vigília após o início do sono e latência (p> 0,05). Conclusões: Entre homens, mas não entre mulheres, os jovens atletas de badminton altamente treinados tiveram menor tempo de sedentarismo e maior tempo em atividades vigorosas do que os não atletas; entretanto, não houve diferença significante entre os sexos ou grupos na quantidade e qualidade do sono. Nível de evidência III; Estudo de caso controle .
Published: 2021

30. Airway Growth in Preoperative Patients with Crouzon Syndrome

Author: Omar Allam, Michael Alperovich, John A. Persing, Derek M. Steinbacher, Antonio J. Forte, Cristiano Tonello, John Smetona, Kitae E Park, Nivaldo Alonso, and Xiaona Lu
Subjects: Adult, Male, Pediatrics, medicine.medical_specialty, Adolescent, MEDLINE, SISTEMA RESPIRATÓRIO, Nose, Young Adult, medicine, Humans, In patient, Child, Retrospective Studies, business.industry, Craniofacial Dysostosis, Age Factors, Infant, Newborn, Infant, Crouzon syndrome, Organ Size, Middle Aged, medicine.disease, respiratory tract diseases, Airway Obstruction, Natural history, Obstructive sleep apnea, Multiple factors, Case-Control Studies, Child, Preschool, Pharynx, Female, Surgery, Tomography, X-Ray Computed, Airway, business
Abstract: Background: Obstructive sleep apnea is common in patients with Crouzon syndrome, yet it may be caused by multiple factors. This study aims to investigate the natural history of airway development i...
Published: 2021

31. Biomechanical and cognitive interactions during Visuo Motor Targeting Task

Author: Hossein Mokhtarzadeh, Jason D. Forte, and Peter Vee Sin Lee
Subjects: Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Biophysics, Task (project management), Postural control, Young Adult, 03 medical and health sciences, Cognition, 0302 clinical medicine, Physical medicine and rehabilitation, Gait (human), medicine, Postural Balance, Humans, Orthopedics and Sports Medicine, Gait, Visual search, Rehabilitation, Repeated measures design, 030229 sport sciences, Biomechanical Phenomena, Psychology, 030217 neurology & neurosurgery
Abstract: Background Biomechanical analyses primarily focus on physical aspects of human movement; however, it is not understood how walking is affected while simultaneously performing a demanding cognitive task - a form of Cognitive-Motor Interference (CMI). CMI occurs when performance of a primary task (e.g. walking) is affected following the introduction of a cognitive task (e.g. visual search). Research question Would Visuo Motor Targeting Task (VMTT) impair visual search performance and reduce the margin of stability (MoS) at higher gait speeds? Methods A protocol was developed to investigate responses of the neuromuscular system while performing a complex visual search task. The Computer Assisted Rehabilitation ENvironment (CAREN, Motekforce Link, Netherlands) system was used for the experimental design. Twenty male participants (Age = 24.2 ± 2.5yrs, Weight = 70.3 ± 10.6 kg, Height = 178.0 ± 9.1 cm) located and pointed towards targets in complex scenes while walking at different gait speeds (0.55, 1.11 and 1.67 m/s.) or while stationary. The cost of visual search during a Visuo Motor Targeting Task (VMTT) was based on the pointing accuracy during the visual search task. Results A two-way repeated measure ANOVA showed that MoS in the ML direction significantly improved with increased gait speed and during the visual search task. There was also a significant interaction with MoS improvement being greater during the visual search task at high gait speeds. MoS in the AP was only affected by gait speed. Visual performance and cost of visual search were enhanced during walking versus standing up to 25 %. Significance This study investigated CMI at different gait speeds, which may have implications in postural control, falls and other neurological disorders.
Published: 2021

32. Effect of Reduction Mammoplasty on Pulmonary Function Tests

Author: Daniel Boczar, Gunel Guliyeva, Maria T Huayllani, Antonio J. Forte, Joseph Y. Cheung, Francisco R. Avila, and Peter Niclas Broer
Subjects: Thorax, medicine.medical_specialty, business.industry, Mammaplasty, Breast hypertrophy, Mammoplasty, Hypertrophy, medicine.disease, Reduction Mammoplasty, Respiratory Function Tests, Pulmonary function testing, Internal medicine, medicine, Humans, Surgery, Respiratory function, Breast, Respiratory system, business, Lung, Lung function
Abstract: In patients with breast hypertrophy, excessive breast weight applies pressure on the thorax, which may disrupt the normal breathing. The purpose of this study is to evaluate the impact of the breast hypertrophy and reduction mammoplasty on respiratory function. A comprehensive search of 3 databases, PubMed, Ovid, and Scopus databases, was performed. "Mammoplasty" and "respiration or pulmonary function tests" were the keywords used to search for relevant articles. Ten studies involving 280 patients with breast hypertrophy were included in the final review. Seven articles demonstrated an increase in at least 1 pulmonary function test value after the surgery. This systematic review revealed that, preoperatively, pulmonary function test values of the patients are usually in the normal range. Nonetheless, reduction mammoplasty still improves lung function parameters. Additionally, patients with respiratory complaints felt improvement in their symptoms after the surgery. However, future studies are needed, as heterogeneity among studies was observed.
Published: 2021

33. Prevalence and risk factors of psychiatric symptoms and diagnoses before and during the COVID-19 pandemic: findings from the ELSA-Brasil COVID-19 mental health cohort

Author: Lais B. Razza, Pamela Marques Forte, Maria Angélica Nunes, Pedro Starzynski Bacchi, Leonardo Afonso Dos Santos, Marcia Cristina de Altisent Oliveira Cardoso, Leandro Valiengo, Sarah Bauermeister, Paulo Jeng Chian Suen, Priscila V. Bueno, Paulo A. Lotufo, Maria Carmen Viana, Izio Klein, Isabela M. Benseñor, Márcio Sommer Bittencourt, Bianca Silva Pinto, Ives Cavalcante Passos, Jordan W. Smoller, Helena Bellini, Andre R. Brunoni, Marina Moreno, Jose Gallucci-Neto, Juliana Pereira de Sousa, Luciana Lima de Siqueira, Larissa de Cássia Silva Félix, Daniel Fatori, Giovanni Abrahão Salum, Itamar S. Santos, and Rebeca Pelosof
Subjects: medicine.medical_specialty, Longitudinal study, Anxiety, 03 medical and health sciences, 0302 clinical medicine, cohort study, Medicine, 030212 general & internal medicine, Psychiatry, Applied Psychology, Depression (differential diagnoses), business.industry, pandemic, COVID-19, Mental health, Confidence interval, Psychiatry and Mental health, depression, Cohort, Original Article, medicine.symptom, business, mental health, 030217 neurology & neurosurgery, Psychopathology, Cohort study
Abstract: Background There is mixed evidence on increasing rates of psychiatric disorders and symptoms during the coronavirus disease 2019 (COVID-19) pandemic in 2020. We evaluated pandemic-related psychopathology and psychiatry diagnoses and their determinants in the Brazilian Longitudinal Study of Health (ELSA-Brasil) São Paulo Research Center. Methods Between pre-pandemic ELSA-Brasil assessments in 2008–2010 (wave-1), 2012–2014 (wave-2), 2016–2018 (wave-3) and three pandemic assessments in 2020 (COVID-19 waves in May–July, July–September, and October–December), rates of common psychiatric symptoms, and depressive, anxiety, and common mental disorders (CMDs) were compared using the Clinical Interview Scheduled-Revised (CIS-R) and the Depression Anxiety Stress Scale-21 (DASS-21). Multivariable generalized linear models, adjusted by age, gender, educational level, and ethnicity identified variables associated with an elevated risk for mental disorders. Results In 2117 participants (mean age 62.3 years, 58.2% females), rates of CMDs and depressive disorders did not significantly change over time, oscillating from 23.5% to 21.1%, and 3.3% to 2.8%, respectively; whereas rate of anxiety disorders significantly decreased (2008–2010: 13.8%; 2016–2018: 9.8%; 2020: 8%). There was a decrease along three wave-COVID assessments for depression [β = −0.37, 99.5% confidence interval (CI) −0.50 to −0.23], anxiety (β = −0.37, 99.5% CI −0.48 to −0.26), and stress (β = −0.48, 99.5% CI −0.64 to −0.33) symptoms (all ps < 0.001). Younger age, female sex, lower educational level, non-white ethnicity, and previous psychiatric disorders were associated with increased odds for psychiatric disorders, whereas self-evaluated good health and good quality of relationships with decreased risk. Conclusion No consistent evidence of pandemic-related worsening psychopathology in our cohort was found. Indeed, psychiatric symptoms slightly decreased along 2020. Risk factors representing socioeconomic disadvantages were associated with increased odds of psychiatric disorders.
Published: 2021

34. Giant Cell Arteritis: A Systematic Review and Meta‐Analysis of Test Accuracy and Benefits and Harms of Common Treatments

Author: Mehrdad Maz, Jason M. Springer, Anisha B. Dua, Karen E. James, Kevin Byram, Reem A. Mustafa, Nedaa Husainat, Marat Turgunbaev, Carol A. Langford, Mohamad A. Kalot, Andy Abril, Yih Chang Lin, Alexandra Villa-Forte, and Sharon A. Chung
Subjects: medicine.medical_specialty, education.field_of_study, business.industry, Population, Diseases of the musculoskeletal system, Review Article, Odds ratio, Cochrane Library, medicine.disease, Confidence interval, Giant cell arteritis, RC925-935, Rheumatology, Internal medicine, Relative risk, Meta-analysis, medicine, business, Vasculitis, education, Review Articles
Abstract: This systematic review compares treatment options for patients with giant cell arteritis (GCA) and evaluates the test accuracy of studies used in diagnosing and monitoring GCA. These studies were used to inform evidence‐based recommendations for the American College of Rheumatology (ACR)/Vasculitis Foundation (VF) vasculitis management guidelines. A systematic review and search of articles in English in Ovid Medline, PubMed, Embase, and the Cochrane Library was conducted. Articles were screened for suitability, and studies presenting the highest level of evidence were given preference. Three hundred ninety‐nine full‐text articles addressing GCA questions were reviewed to inform 27 Population, Intervention, Comparison, and Outcome questions. No benefit was found with intravenous glucocorticoids (GCs) compared with high‐dose oral GCs in patients with cranial ischemic symptoms (27.4% vs 12.3%; odds ratio [OR] 2.39 [95% confidence interval (CI) 0.75‐7.62], [very low certainty of evidence]). Weekly tocilizumab with a 26‐week GC taper was superior to a 52‐week GC taper in patients achieving remission (risk ratio 4.00 [95% CI 1.97‐8.12], [low certainty of evidence]). Non‐GC immunosuppressive therapies with GCs compared with GCs alone showed no statistically significant in relapse at 1 year (OR 0.87 [95% CI 0.73‐1.04], [moderate certainty of evidence]) or serious adverse events (OR 0.81 [95% CI 0.54‐1.20]; [moderate certainty of evidence]). Temporal artery biopsy has a sensitivity of 61% (95% CI 38%‐79%) and a specificity of 98% (95% CI 95%‐99%) in patients with a clinical diagnosis of suspected GCA. This comprehensive systematic review synthesizes and evaluates the benefits and harms of different treatment options and the accuracy of commonly used tests for the diagnosis and monitoring of GCA.
Published: 2021

35. Swept-Source OCTA Imaging of a Presumed Solitary Circumscribed Retinal Astrocytic Proliferation

Author: Francesca Amoroso, Alexandra Miere, Meryem Filali Ansary, Raimondo Forte, Salomon Y. Cohen, and Eric H Souied
Subjects: Male, Pathology, medicine.medical_specialty, genetic structures, Nerve fiber layer, Lesion, Benign retinal tumor, chemistry.chemical_compound, Oct angiography, Retinal Diseases, Optical coherence tomography, medicine, Humans, Fluorescein Angiography, Cell Proliferation, Aged, 80 and over, Retina, medicine.diagnostic_test, business.industry, Retinal, eye diseases, medicine.anatomical_structure, chemistry, Astrocytes, sense organs, medicine.symptom, business, Tomography, Optical Coherence
Abstract: Presumed solitary circumscribed retinal astrocytic proliferation (pSCRAP) is a rare, benign retinal tumor, typically presenting as a yellow-white, well-defined lesion. It was first qualified as astrocytic, but thanks to the development of optical coherence tomography (OCT), the lesion was identified as a deep glial lesion, as the nerve fiber layer appeared to be spared. Herein, the authors report the case of a 90-year-old man with inferopapillary pSCRAP who benefited from swept-source OCT angiography images. [ Ophthalmic Surg Lasers Imaging Retina. 2021;52:232–235.]
Published: 2021

36. The impact of a telemedicine intervention on home non‐invasive ventilation in a rural population with advanced COPD

Author: Michael Forte, Robert Stansbury, Rachel Leonard, Hassan Mujahid, and Devanshi Mehta
Subjects: Male, Rural Population, Pulmonary and Respiratory Medicine, Telemedicine, medicine.medical_specialty, Pilot Projects, Pulmonary Disease, Chronic Obstructive, 03 medical and health sciences, 0302 clinical medicine, Intervention (counseling), medicine, Humans, Immunology and Allergy, Non-invasive ventilation, Prospective Studies, 030212 general & internal medicine, Genetics (clinical), COPD, Noninvasive Ventilation, business.industry, medicine.disease, Obstructive lung disease, Health equity, 030228 respiratory system, Respiratory failure, Emergency medicine, Breathing, Female, business
Abstract: INTRODUCTION Rural regions have unique challenges with the implementation of new therapies upon discharge from the hospital due to multiple barriers. OBJECTIVES We investigated the effect of home non-invasive ventilation (NIV) plus the implementation of a call center following hospitalization for acute exacerbations of COPD (chronic obstructive lung disease) on NIV usage and readmissions. METHODS In this prospective pilot study, consecutive patients were screened at our institution for diagnosis of hypercarbic respiratory failure or COPD exacerbation from 2018 to 2019. Patients with more than two admissions in the last year were reviewed for eligibility. Of the 82 patients screened, 22 were eligible. There were 10 participants randomized to the intervention (NIV and call center) arm and 10 to NIV alone. RESULTS A total of 20 patients were randomized (mean age of 64, 45% males, BMI of 32). At three months, average usage was 32.1 days out of 90, 35%. When comparing the call center group to the standard group, there was a statistically significant difference in total days of device usage 48.7 compared to 15.5 (significant U-value of 16, critical value of U at p
Published: 2021

37. A prospective, randomized, multi-centre trial on the efficiency and effectiveness of proficiency based progression robotic surgical skills training

Author: R. De Groote, M. Lassel, F. Migliorini, Andrea Mari, Rui Farinha, Giuseppe Rosiello, S. Forte, P. Kiely, S. Puliatti, L. Langhendries, Alexandre Mottrie, Bernardo Rocco, Marco Amato, Luca Bianchi, Artur de Oliveira Paludo, Pietro Piazza, Anthony G. Gallagher, B. Van Cleynenbreugel, and E. Mazzone
Subjects: medicine.medical_specialty, business.industry, Urology, Surgical skills, Medicine, Medical physics, Multi centre, business
Published: 2021

38. Diagnóstico de angioedema hereditario después de treinta años de manifestaciones clínicas

Author: Wilma Carvalho Neves-Forte, Tainá Mosca, Mariana Camargo, Ana Luisa Vieira, and Luiz Fernando Bacarini
Subjects: medicine.medical_specialty, Angioedema, medicine.diagnostic_test, business.industry, Acquired angioedema, Physical examination, medicine.disease, Dermatology, immune system diseases, Androgen Therapy, Hereditary angioedema, medicine, Immunology and Allergy, medicine.symptom, Family history, skin and connective tissue diseases, business
Abstract: Introduction Diagnosis and treatment of hereditary angioedema (HAE) are necessary to improve the quality of life and even the survival of patients. Case report A 52-year-old woman with angioedema for 30 years, which affects the face, tongue, and hands. It is asymmetric, with neither pruritus nor urticaria, without response to antihistamines or corticosteroids, with spontaneous resolution in 48 hours to 72 hours; with a family history of angioedema. Normal physical examination between exacerbations. Autoimmune and lymphoproliferative diseases were ruled out. Values of C1q, C4, C1-INH were normal. The diagnosis of HAE type C1-INH normal subtype Unknown was established. The total resolution of the crises was achieved after two months with androgen therapy. Outpatient follow-up has been given for four years and no angioedema crisis has been reported, which is associated with a radical change in the quality of life. Conclusion The patient was diagnosed with HAE after 30 years of clinical manifestations, after acquired angioedema was ruled out.
Published: 2021

39. Sports biomechanics: monitoring health and performance

Author: Pedro Forte, Daniel A. Marinho, and Henrique P. Neiva
Subjects: medicine.medical_specialty, Engineering, Medicine (General), Physical medicine and rehabilitation, R5-920, business.industry, medicine, business, Sports biomechanics
Abstract: No abstract present.
Published: 2021

40. Granulomatosis With Polyangiitis and Microscopic Polyangiitis: A Systematic Review and Meta‐Analysis of Benefits and Harms of Common Treatments

Author: Anisha B. Dua, Sharon A. Chung, Marat Turgunbaev, Nedaa Husainat, Karen E. James, Mohamad A. Kalot, Mehrdad Maz, Jason M. Springer, Kevin Byram, Alexandra Villa-Forte, Yih Chang Lin, Carol A. Langford, Andy Abril, and Reem A. Mustafa
Subjects: medicine.medical_specialty, lcsh:Diseases of the musculoskeletal system, business.industry, Hazard ratio, Azathioprine, Original Articles, Cochrane Library, medicine.disease, End stage renal disease, Rheumatology, Maintenance therapy, Internal medicine, medicine, Original Article, Rituximab, lcsh:RC925-935, Microscopic polyangiitis, Granulomatosis with polyangiitis, business, medicine.drug
Abstract: Objective The aim of this systemic review is to compare different treatments for patients with granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA) to inform evidence-based recommendations for the American College of Rheumatology (ACR)/Vasculitis Foundation (VF) Vasculitis Management Guidelines. Methods A systemic review was conducted by searching articles in English using OVID Medline, PubMed, Embase, and the Cochrane Library. Articles were screened for suitability in addressing PICO questions, with studies presenting the highest level of evidence given preference. Results A total of 729 full-text articles addressing GPA and MPA PICO questions were reviewed. For remission induction, rituximab was shown to be noninferior to cyclophosphamide (CYC) (odds ratio [OR]: 1.55, moderate certainty of evidence). The addition of plasma exchange to induction therapy in severe disease did not improve the composite end point of death or end stage renal disease (hazard ratio [HR]: 0.86 [95% confidence interval CI: 0.65, 1.13], moderate certainty of evidence). In nonsevere disease, methotrexate was noninferior to CYC for induction of remission (remission at 6 months of 90% vs. 94%). For maintenance of remission, methotrexate and azathioprine showed no difference in the risk of relapse over a mean follow-up of 29 months (HR: 0.92, [95% CI: 0.52, 1.65]low certainty of evidence). As maintenance therapy, rituximab was superior to a tapering azathioprine strategy in major relapse-free survival at 28 months (HR: 6.61, [95% CI: 1.56, 27.96], moderate certainty of evidence). In two randomized trials, longer-term azathioprine maintenance therapy (>24 months) is associated with fewer relapses without an increase in adverse events. Conclusion This comprehensive systematic review synthesizes and evaluates the benefits and toxicities of different treatment options for GPA and MPA.
Published: 2021

41. Is <scp>video‐assisted</scp> thoracoscopic lobectomy associated with higher overall costs compared with open surgery? Results of best evidence topic analysis

Author: Stefano Forte, Alfonso Fiorelli, Francesco Ferrigno, René Horsleben Petersen, Wentao Fang, Mario Santini, and Francesco Paolo Caronia
Subjects: Male, 0301 basic medicine, Pulmonary and Respiratory Medicine, lobectomy, medicine.medical_specialty, Lung Neoplasms, Total cost, Mini Review, medicine.medical_treatment, thoracoscopy, thoracotomy, lcsh:RC254-282, 03 medical and health sciences, Indirect costs, 0302 clinical medicine, Thoracoscopy, Humans, Medicine, Thoracotomy, Hospital Costs, Stage (cooking), Pneumonectomy, Lung cancer, health care economics and organizations, medicine.diagnostic_test, Thoracic Surgery, Video-Assisted, business.industry, Open surgery, General surgery, General Medicine, lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens, medicine.disease, lung cancer, 030104 developmental biology, Oncology, 030220 oncology & carcinogenesis, Female, Best evidence, business
Abstract: Thoracoscopic lobectomy has become the preferred approach for surgical management of early stage lung cancer, but the potential higher operative costs limit its widespread use. Theoretically, higher direct costs may be significantly counterbalanced by lower indirect costs, resulting in lower overall costs for thoracoscopic than for open lobectomy. To support this hypothesis, we reviewed the literature until May 2020, analyzing all papers comparing the cost of thoracoscopic versus open lobectomy.A total of 20 studies provided the most applicable evidence to evaluate this issue. In all the studies apart from one, thoracoscopic lobectomy was associated with higher operative costs due to the increased use of disposable instruments, and prolonged operative time. By contrast, in 17 studies the increased operative costs were significantly offset by indirect costs which were lower in thoracoscopic than in open lobectomy due to fewer postoperative complications, faster recovery, and lower readmission rates. It translated into lower overall costs for thoracoscopic than for open lobectomy in 10 studies, similar costs in seven, and higher in three, despite the lower hospitalization costs. The low bed fees and high prices of disposable instruments in these three studies may explain the discordance. The careful use of disposable instruments, and the minimizing hospitalization costs can reduce the total costs of thoracoscopic lobectomy to levels similar or to below those of open lobectomy. The worry that video‐assisted thoracoscopic surgery lobectomy (VATSL) might be associated with an increased overal cost is thus not warranted, and should not be used as an excuse against the use of VATS in surgery for early stage lung cancers., Is video‐assisted thoracoscopic lobectomy associated with higher overall costs compared with open surgery? A review of the literature until May 2020 was performed, and 20 studies provided the most applicable evidence to evaluate this issue.Thoracoscopic lobectomy was associated with higher operative costs than open lobectomy, but lower indirect costs. It translated into lower overall costs for thoracoscopic than for open lobectomy in 10 studies, similar in seven, and higher in three studies.The worry that thoracoscopic lobectomy might be associated with increased total cost is thus not warranted, and should not be used as an excuse against the use of thoracoscopy in surgery for early stage lung cancers.
Published: 2021

42. Eosinophilic Granulomatosis with Polyangiitis: A Systematic Review and Meta‐Analysis of Test Accuracy and Benefits and Harms of Common Treatments

Author: Reem A. Mustafa, Kevin Byram, Mohamad A. Kalot, Mehrdad Maz, Anisha B. Dua, Sharon A. Chung, Carol A. Langford, Andy Abril, Yih Chang Lin, Nedaa Husainat, Marat Turgunbaev, Alexandra Villa-Forte, Karen E. James, and Jason M. Springer
Subjects: education.field_of_study, medicine.medical_specialty, lcsh:Diseases of the musculoskeletal system, Polyarteritis nodosa, business.industry, Population, Original Articles, medicine.disease, Dermatology, Rheumatology, medicine, Kawasaki disease, Original Article, lcsh:RC925-935, Vasculitis, Microscopic polyangiitis, Granulomatosis with polyangiitis, education, business, Anti-neutrophil cytoplasmic antibody, Systemic vasculitis
Abstract: OBJECTIVE Eosinophilic granulomatosis with polyangiitis (EGPA) is part of a group of vasculitides commonly referred to as antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), in addition to granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and renal-limited vasculitis. Patients with EGPA characteristically have asthma and marked peripheral eosinophilia with only approximately 30% to 35% of patients being myeloperoxidase (MPO)-ANCA positive, distinguishing it from other forms of AAV (1,2). The aim of this systematic review is to support the development of the American College of Rheumatology/Vasculitis Foundation guideline for the management of EGPA. METHODS A systematic review was conducted of the literature for seven forms of primary systemic vasculitis (GPA, MPA, EGPA, polyarteritis nodosa, Kawasaki disease, giant cell arteritis, and Takayasu arteritis). The search was done for articles in English using Ovid Medline, PubMed, Embase, and the Cochrane Library. Articles were screened for suitability in addressing population/patients, intervention, comparator, and outcomes (PICO) questions, with studies presenting the highest level of evidence given preference. Two independent reviewers conducted a title/abstract screen and full-text review for each eligible study. RESULTS The initial search, conducted in August 2019, included 13 800 articles, of which 2596 full-text articles were reviewed. There were 190 articles (addressing 34 PICO questions) reporting on the diagnosis and management of EGPA. CONCLUSION This comprehensive systematic review synthesizes and evaluates the accuracy of commonly used tests for EGPA as well as benefits and toxicities of different treatment options.
Published: 2021

43. Age as a risk factor for breast cancer-related lymphedema: a systematic review

Author: Maria T Huayllani, Antonio J. Forte, Francisco R. Avila, Daniel Boczar, Gunel Guliyeva, and Xiaona Lu
Subjects: Pediatrics, medicine.medical_specialty, Oncology (nursing), business.industry, Public health, Evidence-based medicine, medicine.disease, Health informatics, 03 medical and health sciences, 0302 clinical medicine, Breast cancer, Lymphedema, Oncology, 030220 oncology & carcinogenesis, medicine, 030212 general & internal medicine, Risk factor, business, Breast Cancer Related Lymphedema, Medical literature
Abstract: Breast cancer-related lymphedema (BCRL) has been widely reported in the medical literature. Various patient characteristics, including age, have been investigated as possible risk factors for this disease entity, but the existence and direction of the cause-and-effect relationship are still unclear. In this review, we aimed to evaluate the effect of age on development of BRCL. PubMed, Scopus, and Ovid MEDLINE were searched for relevant articles, which were found to be published between 1974 and 2020. Twenty-six studies involving 19,396 patients were selected. The average age of patients was 54.9. 26 studies were included in the final analysis, and 13 articles reported no association between age and BCRL development. Though studies presented different findings, the majority did not identify age as a risk factor for development of lymphedema. However, the level of evidence of individual studies was low. In this article, we call attention to the need for uniform design of lymphedema studies and diagnosis. All patients should be informed and screened regularly for lymphedema during and after the treatment independent of their age.
Published: 2021

44. Electronic Cigarettes and Vaping-Associated Lung Injury (EVALI): A Rural Appalachian Experience

Author: Antonios Tasoglou, Rafia Zulfikar, I. Mark Olfert, Sunil Sharma, Nicole Prince, Travis Goldsmith, Jonathan W. Boyd, Gary S. Casuccio, Michael Forte, Rahul Sangani, Melina Flanagan, and Edward Rojas
Subjects: Adult, Male, Rural Population, medicine.medical_specialty, Adolescent, Electronic Nicotine Delivery Systems, 030204 cardiovascular system & hematology, Lung injury, Tertiary care, Article, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Humans, Medicine, 030212 general & internal medicine, Aged, Appalachian Region, business.industry, Vaping, Lung Injury, Pneumonia, General Medicine, Consecutive case series, Middle Aged, medicine.disease, Respiratory failure, Concomitant, Breathing, Female, business, Zones of the lung
Abstract: BACKGROUND: Electronic cigarette use has increased dramatically since their introduction in 2007. Respiratory complications, particularly lipoid pneumonia, have been reported as early as 2012. An outbreak of pulmonary injury in 2019 has been reported in patients using vaping products. RESEARCH QUESTION: To describe a rural Appalachian tertiary center’s experience of EVALI and to identify novel mechanisms of pulmonary injury patterns. STUDY DESIGN AND METHODS: We present a consecutive case series of 17 patients admitted to our rural, academic, tertiary care institution with EVALI from August 2019 to March 2020. Demographics, baseline characteristics, co-morbidities, vaping behavior, and hospital course were recorded. Broncho-alveolar lavage specimens were assessed for lipid-laden macrophages and hemosiderin-laden macrophages with stains for Oil-Red-O (n = 15) and Prussian Blue (n = 14) respectively. The patient volunteered e-liquid materials (n = 6), and vapors were analyzed using a proton transfer reaction time-of-flight mass spectrometer (PTR-TOF-MS) to describe the chemical profile. Post-discharge interviews were conducted. RESULTS: The most common CT finding was bilateral ground-glass opacities with a predilection for lower lung zones. The most frequent pulmonary injury pattern was lipoid pneumonia. The majority of EVALI patients were critically ill requiring ventilation or ECMO. The most severely ill patients were noted to be positive for iron stains in macrophages and showed higher volatile organic compound (VOC) levels in chemical analysis. INTERPRETATION: Based on our experience, EVALI in rural Appalachia presented with relatively severe respiratory failure. Worse outcomes appear to be correlated to high levels of VOCs, iron deposition in lungs, and concomitant infection.
Published: 2021

45. Clear cell degeneration associated with endometriosis of abdominal wall after cesarean section: A case report and systematic review of literature

Author: Franco Odicino, Federico Ferrari, Marco Iraci Sareri, Laura Ardighieri, Gaetano Valenti, Fabio Barra, Sara Forte, and Enrico Sartori
Subjects: medicine.medical_specialty, medicine.medical_treatment, Endometriosis, Abdominal wall, Lesion, Cicatrix, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, Laparotomy, Humans, Medicine, Retrospective Studies, 030219 obstetrics & reproductive medicine, Cesarean Section, business.industry, Abdominal Wall, Obstetrics and Gynecology, Retrospective cohort study, medicine.disease, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Clear cell carcinoma, Female, Radiology, Neoplasm Recurrence, Local, medicine.symptom, business, Clear cell
Abstract: AIM: The scar of cesarean section (CS) is the most common site of abdominal wall endometriosis (AWE), whose tumor degeneration has been reported in an increasing number of cases; the most frequent histological type is clear cell carcinoma (CCC). METHODS: We conducted a systematic research of the literature, collecting data regarding the evidence on tumor degeneration from AWE after CS. Moreover, we reported a case of clear cell borderline tumor (CCBT) originating from AWE. RESULTS: We included data of 37 patients with diagnosis of CCC. The average time between the last CS and the diagnosis of CCC was around 15 years. Overall, 26.0% and 73.9% patients received exclusive local abdominal resection of the lesion and additional surgery, respectively. Lymph nodes involvement was detected in 26.0 % patients and adjuvant chemotherapy was administered in 52.0 % cases. During follow-up period, 15.2% patients died of disease, 32.6% had no evidence of disease, and 17.4% recurred. We diagnosed a CCBT arose in a patients with AWE and a personal history of several surgical procedures for endometriosis, a CS and a subsequent transverse laparotomy. We performed an open bilateral ovariectomy and a large excision of the endometriotic abdominal lesion. CONCLUSION: Tumor degeneration from AWE seems to be a real occurrence with an increasing number of events. Considering the lack of risk factors and diagnostic instruments for tumor degeneration, the removal of AWE localization could be advisable, even though there was long average time between the trigger surgery and the tumor finding.
Published: 2021

46. T2238C atrial natriuretic peptide gene variant and cardiovascular events in patients with atrial fibrillation: A substudy from the ATHERO-AF cohort

Author: Francesco Violi, Franca Bianchi, Francesco Versaci, Simona Marchitti, Daniele Pastori, Roberto Carnevale, Sebastiano Sciarretta, Maria Cotugno, Daniele Vecchio, Giuseppe Biondi-Zoccai, Speranza Rubattu, Rosita Stanzione, Massimo Volpe, Maurizio Forte, Giacomo Frati, Pasquale Pignatelli, Cristina Nocella, Sonia Schiavon, and Valentina Valenti
Subjects: medicine.medical_specialty, Myocardial Infarction, 030204 cardiovascular system & hematology, Settore MED/06, Cohort Studies, cardiovascular events, 03 medical and health sciences, 0302 clinical medicine, Atrial natriuretic peptide, Internal medicine, Atrial Fibrillation, Genotype, medicine, Humans, genetics, Prospective Studies, 030212 general & internal medicine, Myocardial infarction, Allele, Risk factor, Stroke, ANP, atrial fibrillation, stroke, T2238C, business.industry, Atrial fibrillation, medicine.disease, Cohort, Cardiology, Cardiology and Cardiovascular Medicine, business, Atrial Natriuretic Factor
Abstract: Background: The T2238C variant of the atrial natriuretic peptide (ANP) gene has emerged as a novel risk factor for the incidence of cardiovascular events. However, the impact of this variant on cardiovascular outcome in patients with atrial fibrillation (AF) is unknown. Methods: We included 557 anticoagulated patients with non-valvular AF randomly selected from the prospective ATHERO-AF cohort. Patients underwent genetic analysis for the T2238C/ANP variant and were grouped as wild type or heterozygous or homozygous for C2238 variant allele. Primary endpoint was a composite of cardiovascular events (CVEs) including cardiovascular death, fatal/non-fatal ischemic stroke and myocardial infarction. Overall, 429 patients carried the TT wild type genotype, 110 patients (19.7%) were heterozygous (T/C) and 18 patients (3.2%) were homozygous (CC). Results: Incidence of CVEs was higher in homozygous patients for C2238 allele at unadjusted analysis (log-rank test, p = 0.042 for additive model, p = 0.043 for recessive model). The multivariable Cox proportional hazards regression analysis confirmed that C2238 ANP allele was associated with CVEs in the additive (p = 0.008) and recessive models (p = 0.005). Conclusions: Carrier status for the C2238/ANP variant allele is associated with an increased risk of CVEs in anticoagulated AF patients.
Published: 2021

47. Impact of endometrial sampling technique and biopsy volume on the diagnostic accuracy of endometrial cancer

Author: Fabio Barra, Enrico Sartori, Giulia Arrigoni, Franco Odicino, Sara Forte, Federica Salinaro, Laura Ardighieri, Federico Ferrari, and Maria Consuelo Coppola
Subjects: hysteroscopy, Cancer Research, medicine.medical_specialty, medicine.diagnostic_test, Endometrial biopsy, business.industry, Endometrial cancer, Endometrial sampling, grading, Diagnostic accuracy, medicine.disease, Oncology, endometrial cancer, Biopsy, medicine, Original Article on Endometrial Cancer, Radiology, Nuclear Medicine and imaging, Radiology, business, Volume (compression)
Abstract: Background Histotype and tumor grading of endometrial cancer are the most important factors that have to be assessed by preoperative endometrial sampling, and their concordance with the final surgical and definitive histological findings is of paramount importance. We aim to compare histotype and tumor grading concordance of various endometrial sampling techniques (ESTs) and to investigate the role of endometrial volume biopsy. Methods We performed a retrospective analysis of patients with apparent early stage endometrial cancer collecting demographic, clinical data, type of EST, pathological characteristics of endometrial biopsies and final specimens. We classified ESTs as dilation and curettage (D&C), diagnostic hysteroscopy with D&C, outpatient hysteroscopy and operative hysteroscopy with or without D&C. Diagnostic and operative hysteroscopy were performed with Bettocchi’s 5 mm hysteroscope. We evaluated concordance for histotype, and tumor grading, and we performed subgroup analysis based on the technique and final tumor grading. Concordance was classified from good, moderate, sufficient, fair, poor and none using Cohen k-statistic. Finally, we investigated the existence of independent risk factors for discordant tumor grading using multivariate binary logistic regression. Results We collected 148 patients and of these 131 (88.5%) were diagnosed with endometrioid histotype and 65 (44%), 46 (31%) and 37 (25%) respectively with well, moderate and poor differentiated tumors. Atypical hyperplasia (AH) was detected preoperatively in 28 patients (19%). Histotype concordance was fair (k=0.35) and tumor grading concordance was moderate (k=0.45); particularly, concordance was fair in well-differentiated cases (k=0.38); concordance was moderate in moderate- and poor-differentiated cases (k=0.52) and good (k=0.71). Operative hysteroscopy showed moderate concordance for histotype (k=0.41), while grading concordance was fair for G1 (k=0.41), moderate for G2 (k=0.58) and good for G3 (k=0.72), regardless the use of D&C. Preoperative volume biopsy did not impact the concordance of tumor grading, while the adoption of operative hysteroscopy (with or without D&C) decreased the risk of grading discordance in G3 tumors (HR 0.17; 95% CI: 0.03–0.94; P=0.04). Conversely, time elapsed from diagnosis to treatment in well-differentiated tumors increased the risk of discordant results (HR 1.06; 95% CI: 1.02–1.52; P=0.04). Conclusions Operative hysteroscopy demonstrated the best tumor grading concordance, especially in poor-differentiated tumors. The volume of biopsy did not affect the tumor grading concordance.
Published: 2020

48. Younger Age as a Risk Factor for Gynecologic Cancer–related Lymphedema: A Systematic Review

Author: Daniel Boczar, Maria T Huayllani, Francisco R. Avila, Antonio J. Forte, Gunel Guliyeva, and Xiaona Lu
Subjects: Cancer Research, medicine.medical_specialty, Younger age, Genital Neoplasms, Female, Secondary lymphedema, Risk Factors, hemic and lymphatic diseases, Internal medicine, medicine, Humans, Lymphedema, Risk factor, Aged, business.industry, Incidence, Incidence (epidemiology), Hazard ratio, Age Factors, General Medicine, Odds ratio, Middle Aged, medicine.disease, body regions, Oncology, Female, medicine.symptom, Risk assessment, business
Abstract: Background/aim Treatment of gynecologic cancers may lead to the development of lower limb lymphedema. As the course of lymphedema is chronic and progressive, early diagnosis plays a significant role in decreasing morbidity. Therefore, risk assessment is of utmost importance. In this study, we aimed to investigate the impact of age on lymphedema development after treatment for gynecologic cancers. Materials and methods The search of 3 databases (PubMed, Scopus, and Cochrane) revealed 7 relevant articles, which reported either odds ratios or hazard ratios as an outcome measure. Results A positive relationship between younger age and lower limb lymphedema was shown by 3 articles, while 2 noted increased incidence with older age. The remaining articles reported no significant relationship. Conclusion Younger age is a risk factor for gynecologic cancer-related lymphedema. However, as individual studies have not included all types of gynecologic cancers, results may not be generalizable.
Published: 2020

49. MÉTODO PONSETI NO BRASIL: 10 ANOS DE UM SITE SOBRE PÉ TORTO - PERFIL DE USUÁRIOS

Author: FORTE, OSIAS FERREIRA and NOGUEIRA, MONICA PASCHOAL
Subjects: medicine.medical_specialty, Clubfoot, 020205 medical informatics, Higher education, Physical Therapy, Sports Therapy and Rehabilitation, 02 engineering and technology, 03 medical and health sciences, 0302 clinical medicine, Information, 0202 electrical engineering, electronic engineering, information engineering, Health insurance, Medicine, Family, Orthopedics and Sports Medicine, Minimum wage, Orthopedic surgery, Internet, 030222 orthopedics, business.industry, Rehabilitation, Retrospective cohort study, Original Articles, Evidence-based medicine, medicine.disease, Ponseti method, Family member, Pé Torto Equinovaro, Family medicine, Família, Foot and Ankle, Informação, business, RD701-811
Abstract: Objective: To analyze the profiles of the individuals who access the website regarding congenital clubfoot (CC) information and the first ten years of Ponseti method implementation in Brazil. Methods: This is a retrospective documentary study, with quantitative database analysis, from 2002 to 2012. Parents or caregivers completed a semi-structured questionnaire regarding the main difficulties encountered, the search for different professionals in the area, and what were the main questions the reader might have when searching on a technical website. Results: In total, 94% of participants had a family member or acquaintance with CC, most participants were women (74%), higher education level (40%), married (75%), income above one minimum wage (80%), working in administrative positions (21%,) and living in the urban area (99%). Of the participants, 44% sought three or more physicians at the beginning of treatment, and an average of 77% of the participants used health insurance or a private physician. Conclusion: The participants’ profile regarding CC is composed of women, married, living in urban areas, predominantly from Southeastern Brazil, higher education level, with income above 1.5 minimum wages, and who were treating their children with a private physician. Level of Evidence II, Retrospective study. RESUMO Objetivo: Analisar o perfil de indivíduos que acessam o site de informações sobre o pé torto congênito (PTC) e o tratamento do Método Ponseti nos primeiros dez anos da implantação do método no Brasil. Métodos: Trata-se de um estudo retrospectivo com análise de bases de dados, de caráter quantitativo, de 2002 a 2012. Aplicou-se um questionário semiestruturado que abordou as dificuldades encontradas, busca por diferentes profissionais e quais eram as principais dúvidas. Resultados: dos respondentes, 94% tinham algum familiar com PTC, os respondentes foram 74% do sexo feminino, 40% com ensino superior, 75% casados(as), 80% com renda acima de um salário mínimo, 21% de cargos administrativos e 99% residentes em área urbana. Dos respondentes, 44% procuraram três ou mais médicos no início do tratamento, e, em média, 77% fizeram o tratamento usando convênio médico ou usando médico particular. Conclusão: O perfil de indivíduos que acessam o site de informações sobre PTC e o tratamento do Método Ponseti é composto de respondentes do sexo feminino, casadas, residentes em área urbana, predominantemente do sudeste do Brasil, com ensino superior, com renda acima de 1,5 salários mínimos, e que estavam tratando seus filhos pela rede de saúde particular. Nível de Evidencia II, Estudo retrospectivo.
Published: 2020

50. Understanding Factors Associated With Psychomotor Subtypes of Delirium in Older Inpatients With Dementia

Author: Morandi, A, Zambon, A, Di Santo SG, Mazzone, A, Cherubini, A, Mossello, E, Bo, M, Marengoni, A, Bellelli, G, Rispoli, V, Malara, A, Spadea, F, Di Cello, S, Ceravolo, F, Fabiano, F, Chiaradia, G, Amedeo, G, Peluso, L, Taristano, A, Settembrini, V, Capomolla, D, Citrino, A, Scriva, A, Bruno, I, Secchi, R, De Martino, E, Muccinelli, R, Lupi, G, Paonessa, P, Fabbri, A, Passuti, Mt, Castellari, S, Po, A, Gaggioli, G, Varesi, M, Moneti, P, Capurso, S, Latini, V, Ghidotti, S, Riccardelli, F, Macchi, M, Rigo, R, Pascale, C, Bosio, A, Cerrato, F, Bardelli, B, Boffelli, S, Cassinadri, A, Franzoni, S, Spazzini, E, Andretto, D, Tonini, G, Andreani, L, Coralli, M, Balotta, A, Cancelliere, R, Ballardini, G, Simoncelli, M, Mancini, A, Strazzacapa, M, Cavallino, P, Fabio, S, De Filippi, F, Giudice, C, Floris, P, D’Elia, K, Dentizzi, C, Azzini, M, Cazzadori, M, Mastroeni, V, Bertassello, P, Santana, H, Benati, C, Nesta, E, Tobaldini, C, Antonioli, A, Guerini, F, Tambare, E, Mombelloni, P, Fontanini, F, Lassa, G, Pizzorni, C, Oliverio, M, Del Grosso LL, Giavedoni, C, Bidoli, G, Mazzei, B, Corsonello, A, Fusco, S, Vena, S, De Vuono, T, Maiuri, G, Fimognari, Fl, Arone, A, Sgrò, G, Nicolazzo, R, Castegnaro, E, De Rosa, S, Bazzano Sechi, R, Benvenuti, E, Del Lungo, I, Giardini, S, Giulietti, C, Di Bari, M, Barghini, E, Paoli, M, Fiordelli, I, Barucci, R, Sgrilli, F, Bertoletti, E, D'Amico, F, Caronzolo, F, Grippa, A, Lombardo, G, Pipicella, T, Satta, A, Corica, F, Prestipino, Gv, Larosa, D, Cucinotta, D, Basile, G, March, A, Nitti, Mt, Felici, A, Pavan, S, Piazzani, F, Lunelli, A, Dimori, S, Margotta, A, Soglia, T, Postacchini, D, Brunelli, R, Santini, S, Francavilla, M, Macchiati, I, Sorvillo, F, Giuli, C, Mecocci, P, Longo, A, Conestabile della Staffa, M, Perticone, F, Addesi, D, Cella Rosa, P, Bencardino, G, Falbo, T, Grillo, N, Marco, F, Mirella, F, Fantò, F, Isaia, G, Pezzilli, S, Bergamo, D, Furno, E, Rrodhe, S, Lucarini, S, Dijk, B, Dall'Acqua, F, Cappelletto, F, Calvani, D, Becheri, D, Mottino, G, Mitidieri, C, Vito, A, Bartalucci, F, Magherini, L, Malin, N, Boni, F, Gambardella, L, Valente, C, Bracali, I, Foschini, A, Porrino, P, Ceci, G, Bottignole, G, Tibaldi, M, Coppo, E, Ettore, E, Camellini, C, Servello, A, Grassi, A, Rozzini, R, Tironi, S, Grassi, Mg, Troisi, E, Caltagirone, C, Franchini, F, Ratto, F, Pavani, B, Toniolo, S, Gabutto, A, Quazzo, L, Rosatello, A, Suraci, D, Tagliabue, B, Perrone, C, Ferrara, L, Castagna, A, Tremolada, Ml, Castoldi, G, Barbero, S, Oltramonti, D, Piano, S, Serviddio, G, Lo Buglio, A, Gurrera, T, Merlo, V, Rovai, C, Cotroneo, Am, Carlucci, R, Abbaldo, A, Monzani, F, Qasem, Aa, Bini, G, Tafuto, S, Galli, G, Bruni, Ac, Mancuso, G, Calipari, D, De Luca GM, Bernardini, B, Corsini, C, Ciccarelli, M, Dal Farra, S, Cagnin, A, Fragiacomo, F, Pompanin, S, Amodio, P, Cagnin, M, Zurlo, A, Guerra, G, Pala, M, Menozzi, L, Delli Gatti, C, Magon, S, Manfredini, R, De Giorgi, A, Fabbian, F, Tiseo, R, Misurati, E, Boari, B, Molino, C, Gallerani, M, Di Francesco, V, Faccioli, S, Pellizzari, L, Fontana, G, Barbagallo, G, Limone, G, Lunardelli, Ml, Martini, E, Ferrari, E, Macchiarulo, M, Corneli, M, Bacci, M, Battaglia, G, Anastasio, L, Lo Storto MS, Seresin, C, Simonato, M, Loreggian, M, Cestonaro, F, Durando, M, Latella, R, Mazzoleni, M, Russo, G, Ponte, M, Valchera, A, Salustri, G, Petritola, D, Costa, A, Sinforiani, E, Cotta, Mr, Pizio, Rn, Cester, A, Formilan, M, Bonometto, P, Carbone, P, Cazzaniga, I, Appollonio, I, Cereda, D, Stabile, A, Xhani, R, Acampora, R, Tremolizzo, L, Pieruzzi, F, Ciaccio, A, Pontecorvi, V, Butti, C, Mokini, Z, Vitale, G, Amigoni, M, Sparacino, M, Bottacchi, E, Bucciantini, E, Di Giovanni, M, Franchi, F, Lucchetti, L, Mariani, C, Grande, G, Rapazzini, P, Mauri, M, Romanelli, G, Nicosia, F, Margola, A, Bonardelli, A, Latronico, N, Porcella, L, Portolani, N, Concoreggi, C, Grassini, C, Salvi, A, Banchetti, L, Spagnoli, F, Apuzzo, R, Fontanella, M, Ceraso, A, Castelli, F, Fugazza, 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A., Morandi A., Zambon A., Di Santo S.G., Mazzone A., Cherubini A., Mossello E., Bo M., Marengoni A., Piccoli T., Bellelli G., Rispoli V., Malara A., Spadea F., Di Cello S., Ceravolo F., Fabiano F., Chiaradia G., Gabriele A., Lenino P., Andrea T., Settembrini V., Capomolla D., Citrino A., Scriva A., Bruno I., Secchi R., De Martino E., Muccinelli R., Lupi G., Paonessa P., Fabbri A., Passuti M.T., Castellari S., Po A., Gaggioli G., Varesi M., Moneti P., Capurso S., Latini V., Ghidotti S., Riccardelli F., Macchi M., Rigo R., Claudio P., Angelo B., Flavio C., Benedetta B., Boffelli S., Cassinadri A., Franzoni S., Spazzini E., Andretto D., Tonini G., Andreani L., Coralli M., Balotta A., Cancelliere R., Ballardini G., Simoncelli M., Mancini A., Strazzacapa M., Fabio S., De Filippi F., Giudice C., Dentizzi C., Azzini M., Cazzadori M., Mastroeni V., Bertassello P., Claudia Benati H.S., Nesta E., Tobaldini C., Guerini F., Elena T., Mombelloni P., Fontanini F., Gabriella L., Pizzorni C., Oliverio M., Del Grosso L.L., Giavedoni C., Bidoli G., Mazzei B., Corsonello A., Fusco S., Vena S., De Vuono T., Maiuri G., Luca F.F., Andrea A., Giovanni S., Rossella N., Castegnaro E., De Rosa S., Sechi R.B., Benvenuti E., Del Lungo I., Giardini S., Giulietti C., Mauro D.B., Eleonora B., Martina P., Irene F., Riccardo B., Federica S., Ilaria D.L., Bertoletti E., D'Amico F., Caronzolo F., Grippa A., Lombardo G., Pipicella T., Antonino S., Francesco C., Valeria P.G., Daniela L., Domenico C., Giorgio B., March A., Nitti M.T., Felici A., Pavan S., Piazzani F., Lunelli A., Dimori S., Margotta A., Soglia T., Postacchini D., Brunelli R., Santini S., Francavilla M., Macchiati I., Sorvillo F., Giuli C., Mecocci P., Longo A., Perticone F., Addesi D., Rosa P.C., Bencardino G., Falbo T., Grillo N., Marco F., Mirella F., Fanto F., Isaia G., Pezzilli S., Bergamo D., Furno E., Rrodhe S., Lucarini S., Dijk B., Dall'Acqua F., Cappelletto F., Calvani D., Becheri D., Giuseppe M., Costanza M., Vito A., Francesca B., Magherini L., Novella M., Franca B., Lucia Gambardella P.M., Valente C., Ilaria B., Alice F., Porrino P., Ceci G., Giuliana B., Michela T., Eleonora C., Ettore E., Camellini C., Servello A., Grassi A., Rozzini R., Tironi S., Grassi M.G., Troisi E., Carlo C., Simona Gabriella D.S., Flaminia F., Federica R., Beatrice P., Sofia T., Gabutto A., Quazzo L., Rosatello A., Suraci D., Tagliabue B., Perrone C., Ferrara L., Castagna A., Tremolada M.L., Giuseppe C., Stefano B., Davide O., Piano S., Serviddio G., Lo Buglio A., Gurrera T., Merlo V., Rovai C., Cotroneo A.M., Carlucci R., Abbaldo A., Monzani F., Qasem A.A., Bini G., Tafuto S., Galli G., Bruni A.C., Mancuso G., Calipari D., Giuseppe Massimiliano D.L., Bernardini B., Corsini C., Michele C., Sara D.F., Cagnin A., Fragiacomo F., Pompanin S., Piero A., Marco C., Zurlo A., Guerra G., Pala M., Menozzi L., Gatti C.D., Magon S., Roberto M., Alfredo D.G., Fabio F., Ruana T., Elisa M., Christian M., Marco P., Massimo G., Di Francesco V., Faccioli S., Pellizzari L., Giorgia F., Barbagallo G., Lunardelli M.L., Martini E., Ferrari E., Macchiarulo M., Corneli M., Bacci M., Battaglia G., Anastasio L., Lo Storto M.S., Seresin C., Simonato M., Loreggian M., Cestonaro F., Durando M., Latella R., Mazzoleni M., Russo G., Ponte M., Valchera A., Salustri G., Petritola D., Costa A., Sinforiani E., Cotta M.R., Pizio R.N., Cester A., Formilan M., Pietro B., Carbone P., Cazzaniga I., Appollonio I., Cereda D., Stabile A., Xhani R., Acampora R., Tremolizzo L., Federico P., Antonio C., Valerio P., Cesare B., Zhirajr M., Giovanni V., Maria A., Mariaelena S., Bottacchi E., Bucciantini E., Di Giovanni M., Franchi F., Lucchetti L., Mariani C., Grande G., Rapazzini P., Marco M., Romanelli G., Franco N., Alessio M., Nicola L., Laura P., Nazario P., Chiara G., Soccorso P., Andrea S., Luca B., Francesca S., Roberto A., Anna C., Fugazza L., Guerrini C., De Paduanis G., Iallonardo L., Palumbo P., Zuliani G., Ortolani B., Capatti E., Soavi C., Bianchi L., Francesconi D., Miselli A., Gloria B., Tommaso R., Chiara P., Agata M.M., Marco D.A., Luca M., Gianluca G., Suardi T., Zaccarini C., Manuela R., Mirra G., Muti E., Bottura R., Gianpaolo M., Secreto P., Bisio E., Cecchettani M., Naldi T., Pallavicino A., Pugliese M., Iozzo R.C., Grassi G., Michele B., Raffaella D.O., Fosca Q.T., Giorgio G.C., Giovanni P., Ernesto C., Mannironi A., Giorli E., Oberti S., Fierro B., Giacalone F., Mandas A., Serchisu L., Costaggiu D., Pinna E., Orru F., Mannai M., Cordioli Z., Pelizzari L., Turcato E., Arduini P., Cacace C., Chiloiro R., Cimino R., Ruberto C., Giovanni R., Pietro G., Laura G., Alberto C., Carmen R., Santo P.D., Andriolli A., Burattin G., Rossi L., Andreolli Antonino C.G., Tezza F., Maddalena P., Laura S., Crippa P., Aloisio P., Di Monda T., Malighetti A., Galbassini G., Salutis D., Ivaldi C., Russo A.M., Bennati E., Pino E., Zavarise G., Pesci A., Suigo G., Faverio P., Andrea G., Sabrina P., Zanasi M., Moniello G., Rostagno C., Cartei A., Polidori G., Ungar A., Melis M.R., Martellini E., Enrico M., Monica T., Antonella G., Giovanna L., Migliorini M., Caramelli F., Battiston B., Berardino M., Cavallo S., Alessandro M., Anna S., Lombardi B., D'Ippolito P., Furini A., Villani D., Clara R., Guarneri M., Paolucci S., Bassi A., Coiro P., De Angelis D., Morone G., Venturiero V., Palleschi L., Raganato P., Di Niro G., Rosa C.A., Loredana B., Imoscopi A., Tibaldi V., Bottignole G G., Calvi E., Clementi C., Zanocchi M., Agosta L., Nortarelli A., Provenzano G., Mari D., Romano F.Y., Rosini F., Mansi M., Rossi S., Geriatria A.R., Inzaghi L., Bonini G., Rossi P., Potena A., Lichii M., Candiani T., Grimaldi W., Bertani E., Alessandra P., Calogero P., Pinto D., Bernardi R., Nicolino F., Galetti C., Gianstefani A., Giulia C., Lorenzo M., Odetti P., Monacelli F., Prefumo M., Fiammetta M., Canepa M., Minaglia C., Paolisso G., Rizzo M.R., Prestano R., Dalise A.M., Barra D., Bosco L.D., Asprinio V., Dallape L., Perina E., Incalzi R.A., Bartoli I.R., Pluderi A., Maina A., Pecoraro E., Sciarra M., Prudente A., Paola M., Francesca M., Manuel V., Luisella C., Maria P.L., Tina S., Benini L., Levato F., Mhiuta V., Alius F., Davidoaia D., Giardini V., Garancini M., Bellamoli C., Terranova L., Bozzini C., Tosoni P., Provoli E., Cascone L., Dioli A., Ferrarin G., Bucci A., Bua G., Fenu S., Bianchi G., Casella S., Romano V., Maurizio P., Mascherona I., Belotti G., Cavaliere S., Cuni E., Merciuc N., Oberti R., Veneziani S., Capoferri E., De Bernardi E., Colombo K., Bravi M., Nicoletta N., D'Arcangelo P., Montenegro N., Montanari R., Lamanna P., Gasperini B., Isabella M., Stefania D., Gaia A., Filippo C., Palama C., Di Emidio C., Scarpini E., Arighi A., Fumagalli G., Basilico P., De Amicis Margherita M., Marta M., Diletta M., Granata A., Ranalli C., Cammilli A., Cavallini M.C., Tricca M., Natella D., Gabbani L., Tesi F., Martella L., Imbrici R., Guerrini G., Scotuzzi A.M., Sozzi F., Valenti L., Chiarello A., Monia M., Pilotto A., Prete C., Senesi B., Meta A.C., Pendenza E., Pasqualetti G., Polini A., Tognini S., Ballino E., Dell'Aquila G., Gasparrini P.M., Marotti E., Migale M., Scrimieri A., Falsetti L., Salvi A., Toigo G., Ceschia G., Rosso A., Tongiorgi C., Scarpa C., De Dominicis L., Pucci E., Renzi S., Cartechini E., Tomassini P.F., Del Gobbo M., Ugenti F., Romeo P., Nardelli A., Lauretani F., Visioli S., Montanari I., Ermini F., Giordano A., Pigato G., Simeone E., Barbujani M., Giampieri M., Amoruso R., Piccinini M., Ferrari C., Gambetti C., Sfrappini M., Semeraro L., Striuli R., Pelliccioni G., Marinelli D., Fabi K., Rossi T., Pesallaccia M., Sabbatini D., Gobbi B., Cerqua R., Tagliani G., Schlauser E., Caser L., Caramello E., Sandigliano F., Rosso G., Ferrari A., Bendini C., Luisa D.M., Casella M., Prampolini R., Scevola M., Vitale E., Roberto B., Carlo F., Sergio F., Alberto S., Daniela Z., Giulia B., Serena G., Maugeri D., Sorace R., Anzaldi M., De Gesu R., Morrone G., Davolio F., Fabbo A., Palmieri M., Zoli M., Forti P., Pirazzoli L., Fabbri E., Terenzi L., Bergolari F., Wenter C., Ruffini I., Insam M., Abraham E., Kirchlechner C., Cucinotta D., Antonino L., Basile G., Grazia A.M., Parise P., Boccali A., Amici S., Gambacorta M., Lasagni A., Lovati R., Giovinazzo F., Kimak E., Zappa P., Medici F., Lo Castro M., Mauro F., De Luca A., Sancesario G., Martorana A., Scaricamazza B., Toniolo S., Di Lorenzo F., Liguori C., Lasco A., Vita N., Giomi M., Forte F., Padovani A., Rozzini L., Ceraso A., Salvatore C., Cottino M., Vitali S., Marelli E., Tripi G., Miceli S., Urso G., Grioni G., Vezzadini G., Misaggi G., Forlani C., Avanzi S., Serena S., Claudia C., Marilena V., Alberto L., Diego G., Alessandro G., Iemolo F., Sanzaro E., D'Asta G., Proietto M., Carnemolla A., Razza G., Spadaro D., Bertolotti M., Mussi C., Neviani F., Roberto C., Valentina G., Linda M., Francesca V., Tarozzi A., Balestri F., Mannarino G., Bigolari M., Natale A., Grassi S., Bottaro C., Stefanelli S., Bovone U., Tortorolo U., Quadri R., Leone G., Ponzetto M., Frasson P., Annoni G., Bruni A., Confalonieri R., Corsi M., Moretti D., Teruzzi F., Umidi S., Mazzola P., Perego S., Persico I., Olivieri G., Bonfanti A., Hajnalka S., Galeazzi M., Massariello F., Anzuini A., Caffarra P., Barocco F., Spallazzi M., Paolo C.G., Simonetta M., Chioatto P., Bortolamei S., Soattin L., Ruotolo G., Beneamino B., Giuseppe B., Bertazzoli M., Rota E., Adobati A., Scarpa A., Granziera S., Zuccher P., Fabbro A.D., Zara D., Lo Nigro A., Franchetti L., Toniolo M., Marcuzzo C., Rollone M., Guerriero F., Sgarlata C., Masse A., Zatti G., Piatti M., Graci J., Benati G., Boschi F., Biondi M., Fiumi N., Erika T., Locatelli S.M., Mauri S., Beretta M., Margheritis L., Desideri G., Liberatore E., Carucci A.C., Bonino P., Caput M., Antonietti M.P., Polistena G., De la Pierre F., Mari M., Massignani P., Tombesi F., Selvaggio F., Verbo B., Bodoni P., Marchionni N., Sabatini T., Mussio E., Magni E., Bianchetti A., Crucitti A., Titoldini G., Cossu B., Fascendini S., Licini C., Tomasoni A., Calderazzo M., Daniela T., Valentina L., Melotti R.M., Lilli A., Buda S., Adversi M., Noro G., Turco R., Ubezio M.C., Mantovani A.R., Viola M.C., Serrati C., Pretta S., Infante M., Gentile S., D'Ambrosio V., Mazzanti P., Brambilla C., Sportelli S., Platto C., Faraci B., Quattrocchi D., Pernigotti L.M., Pisu C., Sicuro F., Zagnoni P., Ghiglia S., Mosca M., Corazzin I., Deola M., Biagini C.A., Bencini F., Cantini C., Tonon E., Pierinelli S., Onofrj M., Thomas A., Filomena B., Bonanni L., Gabriella C., Comi G., Magnani G., Santangelo R., Mazzeo S., Francesca C., Giordano C., Roberto S.A., Barbieri C., Giroldi L., Bandini F., Masina M., Malservisi S., Cicognani A., Ricca L., Piccininni M., Tassinari T., Brogi D., Sugo A., Alessandra F., Sonia M., Valerio V., Andrea U.C., Enrico C., Vera R.F., Assunta S., Gianmaria Z., Mauro P., Barone A., Razzano M., Giuseppe I., Angela B., Francesco S., Valeria D.A., Federico G., Lucia P., Antonella V., Elisabetta D.C., Cristina R., Nadia C., Maria S., Luciano A., Chiara C., Bini P., Pignata M., Enrico B., Maria V., Giovanni C., Giorgio C., Piera R., Alberto Z., Ceccon A., Magrin L., Marin S., Barbara S., Matteo M., Caterina P.M., Carla R., Federica G., Clara T., Melania C., Giampaolo B., Stefano G., Valeria G., Lucia M., Giovambattista D., Ester L., Cecilia C.A., Maurizio T., Nadia B., Grillo A., Arenare F., Tonino M., David K., Giorgio V.P., Ubaldo B., Vincenzo S., Stefano M., Marino F., Busonera Flavio M.T., Paolo A., Monica M., Francesco B., Roberto F., Paolo B., DuranteMangoni E., Testoni M., Fabio D.S., Loredana S., Valeria S., Fabiano M., Annabella D.G., Salvatore D.C., Greco A., Grazia D.O., Daniele S., Gianluca R., Renzo G., Sergio M., Morena B., Vitali M., Marina P., Paolo D.C., Cristina S., Orlandini F., La Regina M., Desiree A., Mario B., Paola P., Padulo F., Cristina M., Dario R., Giancarla M., Guido R., Elena M., Marileda N., Igor B., Nicole B., Elena R., Paolillo C., Riccardi A., Claudia B., Barbara R., Silvia V., Oliver B., Mauro C., Eleonora M., Giuseppe P., Rosaria T., Maria C., Davide D.A., Stefania C., Massimo P., Luca S., Martina D.F., Paola V., Lia S., Sandro C., Valentina D.S., Erminia B., Paola C., Romina R., Minisola S., Luciano C., Pasquale A., Ilaria L., Guglielmo S., Marco E., Sara R., Paola A., Claudio A., Francesco R., Alessandro C., Simona M., Lara F., Paola R., Simonetta C., Antonella C., Generoso U., Fernando G., Giuliano C., Emanuela S., Mariolina S., Alessandro D., Giulia L., Famularo S., Sandini M., Pinotti E., Gianotti L., Antonella B., Giulia P., Sante G., Rossi A., Rubele S., Sant S., Marco V., Danila C., Fabio R., Bandirali M.P., Nicoletta C., Laura B., Paolo T., Luciano T., Leonello A., Margherita S., Stefania D.N., Pierluigi D.S., Laura R., Fabiana T., Giovanna C., Antonino A., Felice C., Danilo F., Giovanna D.B., Francesco L., Salini S., Angela B.M., Giorgetta C., Giovanni G., Gerardo B., Silvio R., Letizia S., Davide B., Rosaria R.M., Maria D.A., Raffaele P., Palmieri V.O., Palasciano G., Belfiore A., Portincasa P., Carlo S., Alessia D., Valiani V., Carolina B., Tiziana C., Paola T., Ugo P., Giacomo P., Castellano M., Anna G., Elisa C., Federica C., Antonietta C.M., Luigi M., Fabio L., Salvatore B., Gelosa G., Viviana A.T., Piras V., Andrea C., Alessandra B., Coen D., Magliola R., Milanesio D., Muzzulini C.L., Paolo F., Marinella T., Sofia C.M., Marta B., Siano P., Capo G., Napoletano R., Cecilia P., Mancini C., Del Buono C., De Bartolomeo G., Addolorata M., Carmen C., Giovanni V.A., Moschettini G., Franco M., Daniela R., D'Amico G., Mirella P., Endrizzi C., Trotta L., Ciarambino T., Orazio Z., Emanuela T., Marta S., Thomas F., Giacomo T., Ignazio D.F., Andrea B., Giuseppe O., Emanuela F., Serena A., Elena D.I., Serena B., Erika N., Roberto S., Elena S., Manuela P., Francesca A., Angelo T., Morandi, A, Zambon, A, Di Santo, S, Mazzone, A, Cherubini, A, 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P, Perego, S, Persico, I, Olivieri, G, Bonfanti, A, Hajnalka, S, Galeazzi, M, Massariello, F, Anzuini, A, Caffarra, P, Barocco, F, Spallazzi, M, Paolo, C, Simonetta, M, Chioatto, P, Bortolamei, S, Soattin, L, Ruotolo, G, Beneamino, B, Giuseppe, B, Bertazzoli, M, Rota, E, Adobati, A, Scarpa, A, Granziera, S, Zuccher, P, Fabbro, A, Zara, D, Lo Nigro, A, Franchetti, L, Toniolo, M, Marcuzzo, C, Rollone, M, Guerriero, F, Sgarlata, C, Masse, A, Zatti, G, Piatti, M, Graci, J, Benati, G, Boschi, F, Biondi, M, Fiumi, N, Erika, T, Locatelli, S, Mauri, S, Beretta, M, Margheritis, L, Desideri, G, Liberatore, E, Carucci, A, Bonino, P, Caput, M, Antonietti, M, Polistena, G, De la Pierre, F, Mari, M, Massignani, P, Tombesi, F, Selvaggio, F, Verbo, B, Bodoni, P, Marchionni, N, Sabatini, T, Mussio, E, Magni, E, Bianchetti, A, Crucitti, A, Titoldini, G, Cossu, B, Fascendini, S, Licini, C, Tomasoni, A, Calderazzo, M, Daniela, T, Valentina, L, Melotti, R, Lilli, A, Buda, S, Adversi, M, Noro, G, Turco, R, 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Antonietta, C, Luigi, M, Fabio, L, Salvatore, B, Gelosa, G, Viviana, A, Piras, V, Andrea, C, Alessandra, B, Coen, D, Magliola, R, Milanesio, D, Muzzulini, C, Paolo, F, Marinella, T, Sofia, C, Marta, B, Siano, P, Capo, G, Napoletano, R, Cecilia, P, Mancini, C, Del Buono, C, De Bartolomeo, G, Addolorata, M, Carmen, C, Moschettini, G, Franco, M, Daniela, R, D'Amico, G, Mirella, P, Endrizzi, C, Trotta, L, Ciarambino, T, Orazio, Z, Emanuela, T, Marta, S, Thomas, F, Giacomo, T, Ignazio, D, Andrea, B, Giuseppe, O, Emanuela, F, Serena, A, Elena, D, Serena, B, Erika, N, Elena, S, Manuela, P, Francesca, A, Angelo, T, Di Santo SG, Rizzo, Maria Rosaria, Paolisso, Giuseppe, and Italian Study Group on Delirium, (ISGoD).
Subjects: Rehabilitation hospital, medicine.medical_specialty, Urinary system, Socio-culturale, dementia, elderly, Motor subtypes of delirium, Aged, Cross-Sectional Studies, Humans, Inpatients, Italy, Delirium, Dementia, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, mental disorders, medicine, Motor subtypes of delirium, dementia, elderly, dementia, elderly, Motor subtypes of delirium, 030212 general & internal medicine, LS4_4, Medical prescription, General Nursing, Psychomotor learning, business.industry, Health Policy, Medical record, Memantine, General Medicine, medicine.disease, Settore MED/26 - NEUROLOGIA, Geriatrics and Gerontology, medicine.symptom, business, 030217 neurology & neurosurgery, medicine.drug
Abstract: Objectives Few studies have analyzed factors associated with delirium subtypes. In this study, we investigate factors associated with subtypes of delirium only in patients with dementia to provide insights on the possible prevention and treatments. Design This is a cross-sectional study nested in the "Delirium Day" study, a nationwide Italian point-prevalence study. Setting and participants Older patients admitted to 205 acute and 92 rehabilitation hospital wards. Measures Delirium was evaluated with the 4-AT and the motor subtypes with the Delirium Motor Subtype Scale. Dementia was defined by the presence of a documented diagnosis in the medical records and/or prescription of acetylcholinesterase inhibitors or memantine prior to admission. Results Of the 1057 patients with dementia, 35% had delirium, with 25.6% hyperactive, 33.1% hypoactive, 34.5% mixed, and 6.7% nonmotor subtype. There were higher odds of having venous catheters in the hypoactive (OR 1.82, 95% CI 1.18-2.81) and mixed type of delirium (OR 2.23, CI 1.43-3.46), whereas higher odds of urinary catheters in the hypoactive (OR 2.91, CI 1.92-4.39), hyperactive (OR 1.99, CI 1.23-3.21), and mixed types of delirium (OR 2.05, CI 1.36-3.07). We found higher odds of antipsychotics both in the hyperactive (OR 2.87, CI 1.81-4.54) and mixed subtype (OR 1.84, CI 1.24-2.75), whereas higher odds of antibiotics was present only in the mixed subtype (OR 1.91, CI 1.26-2.87). Conclusions and implications In patients with dementia, the mixed delirium subtype is the most prevalent followed by the hypoactive, hyperactive, and nonmotor subtype. Motor subtypes of delirium may be triggered by clinical factors, including the use of venous and urinary catheters, and the use of antipsychotics. Future studies are necessary to provide further insights on the possible pathophysiology of delirium in patients with dementia and to address the optimization of the management of potential risk factors.
Published: 2020

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