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412 results on '"Dhital, K."'

1. Association between sternal wound complications and 10-year mortality following coronary artery bypass grafting

Author

Taggart, D., Ratnatunga, Westaby, S., Cook, J., Wallis, C., Wos, S., Jasinski, M., Deja, M., Widenka, K., Blach, A., Gocol, R., Hudziak, D., Zurek, P., Bachowski, R., Mrozek, R., Kargul, T., Domarardzki, W., Frackiewicz, J., Zamvar, V., Ezakadan, D., Buxton, B., Seevanayagam, S., Matalanis, G., Rosalion, A., Negri, J., Moten, S., Atkinson, V., Newcomb, A., Polidano, P., Pana, R., Gerbo, S., O'Keefe, P., von Oppell, U., Mehta, D., Azzu, A., Szafranek, A., Kulatilake, E., Evans, J., Martin, N., Banner, D., Trivedi, U., Forsyth, A., Hyde, J., Cohen, A., Lewis, M., Gardner, E., MacKenzie, A., Cooter, N., Joyce, E., Parker, J., Champney, F., Clark, S., Dark, J., Tocewicz, K., Pillay, T., Rowling, S., Adams-Hall, J., Bochenek, A., Cisowski, M., Bolkowski, M., Morawski, W., Guc, M., Krejca, M., Wilczynski, M., Duralek, A., Gerber, W., Skarysz, J., Shrestha, R., Swiech, W., Szmagala, X., Krzych, L., Pawlak, A., Kepa, K., Hasan, R., Keenan, D., Prendergast, B., Odom, N., McLaughlin, K., Cummings-Fosong, G., Mathew, C., Iles-Smith, H., Oomen, A., Desai, J., El-Gamel, A., John, L., Wendler, O., Andrews, M., Rance, K., Williams, R., Hogervorst, V., Gregory, J., Jessup, J., Knighton, A., Hoare, A., Ritchie, A., Choong, C., Nair, S., Sudarshan, C., Jenkins, D., Large, S., Barman, M., Dhital, K., Routledge, T., Rosengard, B., Munday, H., Rintoul, K., Jarrett, E., Lao-Sirieix, S., Wilkinson, A., Garner, L., Osmond, J., Holcombe, H., Cale, A., Griffin, S., Dickson, J., Spyt, T., Gershlick, A., Hickey, M., Sosnowski, A., Peek, G., Szostek, J., Hadjinikalaou, L., Logtens, E., Oakley, M., Leji, S., Gaer, J., Amrani, M., Dreyfus, G., Bahrami, T., de Robertis, F., Baig, K., Asimakopoulos, G., Vohra, H., Pai, V., Tadjkarimi, S., Soleimani, G., Stavri, G., Bull, H., Collappen, H., Sadowksi, J., Kapelak, B., Gaweda, B., Rudzinski, P., Stolinski, J., Konstanty-Kalandyk, J., Moraes, F., Moraes, C., Wanderley, J., Pepper, J., De Souza, A., Petrou, M., Trimlett, R., Morgan, T., Gavino, J., Wang, S.F., Chandrasekaran, V., Kanagasaby, R., Sarsam, M., Ryan, H., Billings, L., Ruddick, L., Achampong, A., Forster, E., Mohama, E., McDonnell, P., Pawlaczyk, R., Siondalski, P., Rogowski, J., Roszak, K., Jarmoszewicz, K., Jagielak, D., Gafka, S., Mannam, G., Naguboyin, Sajja, L. Rao, Dandu, B., Peddireddy, J., Adepu, A., Briffa, N., Braidley, P., Cooper, G., Allen, K., Sangha, G., Bridge, C., McMellon, H., Shaw, P., Casabona, R., Dato, G. Actis, Bardi, G., Del Ponte, S., Forsennati, F., Parisi, F., Punta, G., Flocco, R., Sansone, F., Zingarelli, E., Demartino, A., Dihmis, W., Kuduvali, M., Prince, C., Rogers, H., McQuade, L., Duran-Rosas, A., Anisimowicz, L., Bokszanski, M., Pawliszak, W., Kolakowski, J., Lau, G., Ogorzeja, W., Gumanska, I., Kulinski, P., Podesser, B., Trescher, K., Bernecker, O., Holzinger, C., Binder, K., Schor, I., Bergmann, P., Kassal, H., Dunkel, E., Motovova, B., Trehan, N., Meharwal, Z., Malhotra, R., Goel, M., Kumer, B., Bazaz, S., Bake, N., Singh, A., Mishka, Y., Gupta, R., Basumatary, S., Zembala, M., Szafron, B., Pacholewicz, J., Krason, M., Farmas, Wojarski, Zych, Szymanik, I., Kolwca, M., Mazur, W., Kurowicki, A., Zurek, S., Stacel, T., Jaworska, I., Gaudino, Mario, Audisio, Katia, Rahouma, Mohamed, Robinson, N. Bryce, Soletti, Giovanni J., Cancelli, Gianmarco, Masterson Creber, Ruth M., Gray, Alastair, Lees, Belinda, Gerry, Stephen, Benedetto, Umberto, Flather, Marcus, and Taggart, David P.

Published
2023
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2. Contributors

Author

Large, Stephen, primary, Messer, Simon, additional, Acun, Aylin, additional, Asthana, Amish, additional, Aziz, Justine M., additional, Brasile, Lauren, additional, Brüggenwirth, Isabel M.A., additional, Bussolati, Benedetta, additional, Clancy, Mark, additional, de Meijer, Vincent E., additional, Dhital, K., additional, Fujiyoshi, Masato, additional, Georgiades, Fanourios, additional, Grisales, Paula A., additional, Hameed, Ahmer, additional, Hawthorne, Wayne J., additional, Hosgood, Sarah A., additional, Keshavjee, Shaf, additional, La Pointe, Catherine, additional, Li, Jennifer, additional, Macdonald, P.S., additional, Marino, Domenica I., additional, Martins, Paulo N., additional, Mazilescu, Laura Ioana, additional, Muir, Sean M., additional, Nicholson, Michael L., additional, Orlando, Giuseppe, additional, Porporato, Paolo, additional, Porte, Robert J., additional, Raigani, Siavash, additional, Rogers, Natasha M., additional, Rossi, Andrea, additional, Scheuer, S.E., additional, Selzner, Markus, additional, Uygun, Basak, additional, Uygun, Korkut, additional, Yeh, Heidi, additional, and Zou, Oscar, additional

Published
2021
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4. Incidence and clinical implications of intraoperative bilateral internal thoracic artery graft conversion: Insights from the Arterial Revascularization Trial

Author

Ratnatunga, C., Westaby, S., Cook, J., Wallis, C., Wos, S., Jasinski, M., Widenka, K., Blach, A., Gocol, R., Hudziak, D., Zurek, P., Deja, M., Bachowski, R., Mrozek, R., Kargul, T., Domarardzki, W., Frackiewicz, J., Zamvar, V., Ezakadan, D., Buxton, B., Seevanayagam, S., Matalanis, G., Rosalion, A., Negri, J., Moten, S., Atkinson, V., Newcomb, A., Polidano, P., Pana, R., Gerbo, S., O'Keefe, P., von Oppell, U., Mehta, D., Azzu, A., Szafranek, A., Kulatilake, E., Evans, J., Martin, N., Banner, D., Trivedi, U., Forsyth, A., Hyde, J., Cohen, A., Lewis, M., Gardner, E., MacKenzie, A., Cooter, N., Joyce, E., Parker, J., Champney, F., Clark, S., Dark, J., Tocewicz, K., Pillay, T., Rowling, S., Adams-Hall, J., Bochenek, A., Cisowski, M., Bolkowski, M., Morawski, W., Guc, M., Krejca, M., Wilczynski, M., Duralek, A., Gerber, W., Skarysz, J., Shrestha, R., Swiech, W., Szmagala, P., Krzych, L., Pawlak, A., Kepa, K., Hasan, R., Keenan, D., Prendergast, B., Odom, N., McLaughlin, K., Cummings-Fosong, G., Mathew, C., Iles-Smith, H., Oomen, A., Desai, J., El-Gamel, A., John, L., Wendler, O., Andrews, M., Rance, K., Williams, R., Hogervorst, V., Gregory, J., Jessup, J., Knighton, A., Hoare, A., Ritchie, A., Choong, C., Nair, S., Jenkins, D., Large, S., Sudarshan, C., Barman, M., Dhital, K., Routledge, T., Rosengard, B., Munday, H., Rintoul, K., Jarrett, E., Lao-Sirieix, S., Wilkinson, A., Garner, L., Osmond, J., Holcombe, H., Cale, A., Griffin, S., Dickson, J., Spyt, T., Hickey, M., Sosnowski, A., Peek, G., Szostek, J., Hadjinikalaou, L., Logtens, E., Oakley, M., Leji, S., Gaer, J., Amrani, M., Dreyfus, G., Bahrami, T., de Robertis, F., Baig, K., Asimakopoulos, G., Vohra, H., Pai, V., Tadjkarimi, S., Soleimani, B., Stavri, G., Bull, G., Collappen, H., Sadowksi, J., Gaweda, B., Rudzinski, P., Stolinski, J., Konstanty-Kalandyk, J., Moraes, F., Moraes, C., Wanderley, J., Pepper, J., De Souza, A., Petrou, M., Trimlett, R., Morgan, T., Gavino, J., Wang, S.F., Chandrasekaran, V., Kanagasaby, R., Sarsam, M., Ryan, H., Billings, L., Ruddick, L., Achampong, A., Forster, E., Pawlaczyk, R., Siondalski, P., Rogowski, J., Roszak, K., Jarmoszewicz, K., Jagielak, D., Gafka, S., Mannam, G., Naguboyin, G., Rao Sajja, L., Dandu, B., Briffa, N., Braidley, P., Cooper, G., Allen, K., Sangha, G., Bridge, C., McMellon, H., Casabona, R., Actis Dato, G., Bardi, G., Del Ponte, S., Forsennati, P., Parisi, F., Punta, G., Flocco, R., Sansone, F., Zingarelli, E., Dihmis, W., Kuduvali, M., Prince, C., Rogers, H., McQuade, L., Anisimowicz, L., Bokszanski, M., Pawliszak, W., Kolakowski, J., Lau, G., Ogorzeja, W., Gumanska, I., Kulinski, P., Podesser, B., Trescher, K., Bernecker, O., Holzinger, C., Binder, K., Schor, I., Bergmann, P., Kassal, H., Motovova, B., Trehan, N., Meharwal, Z., Malhotra, R., Goel, M., Kumer, B., Bazaz, S., Bake, N., Singh, A., Mishka, Y., Gupta, R., Basumatary, S., Zembala, M., Szafron, B., Pacholewicz, J., Krason, M., Farmas, A., Wojarski, J., Zych, B., Szymanik, I., Kolwca, M., Mazur, W., Kurowicki, A., Zurek, S., Stacel, T., Jaworska, I., Sleight, P., Channon, K., Farrell, B., Stables, R., Vermes, G., Pearson, J., Pitman, M., Yusuf, S., Pocock, S., Julian, D., Treasure, T., Von Oppel, U., Kanagasabay, R., Collinson, J., Bakhai, A., O'Hanlon, R., Kotecha, D., Qureshi, K., Geisler, T., Manzano-Espinosa, L., Benedetto, Umberto, Altman, Douglas G., Flather, Marcus, Gerry, Stephen, Gray, Alastair, Lees, Belinda, and Taggart, David P.

Published
2018
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5. Heart Transplantation From DCD Donors in Australia: Lessons Learned From the First 74 Cases.

Author

Joshi, Y, Scheuer, S, Chew, H, Ru Qiu, M, Soto, C, Villanueva, J, Gao, L, Doyle, A, Takahara, S, Jenkinson, C, Vaidhya, N, Matsumoto, Y, Hwang, B, Zhao, C, Iyer, A, Connellan, M, Watson, A, Granger, E, Muthiah, K, Jabbour, A, Kotlyar, E, Keogh, A, Bart, NK, Hayward, C, Dhital, K, Jansz, P, Macdonald, PS, Joshi, Y, Scheuer, S, Chew, H, Ru Qiu, M, Soto, C, Villanueva, J, Gao, L, Doyle, A, Takahara, S, Jenkinson, C, Vaidhya, N, Matsumoto, Y, Hwang, B, Zhao, C, Iyer, A, Connellan, M, Watson, A, Granger, E, Muthiah, K, Jabbour, A, Kotlyar, E, Keogh, A, Bart, NK, Hayward, C, Dhital, K, Jansz, P, and Macdonald, PS

Abstract

Heart transplantation from donation after circulatory death (DCD) donors has the potential to substantially increase overall heart transplant activity. The aim of this report is to review the first 8 y of our clinical heart transplant program at St Vincent's Hospital Sydney, to describe how our program has evolved and to report the impact that changes to our retrieval protocols have had on posttransplant outcomes. Since 2014, we have performed 74 DCD heart transplants from DCD donors utilizing a direct procurement protocol followed by normothermic machine perfusion. Changes to our retrieval protocol have resulted in a higher retrieval rate from DCD donors and fewer rejections of DCD hearts during normothermic machine perfusion. Compared with our previously reported early experience in the first 23 transplants, we have observed a significant reduction in the incidence of severe primary graft dysfunction from 35% (8/23) to 8% (4/51) in the subsequent 51 transplant recipients ( P < 0.01). The only withdrawal time interval significantly associated with severe primary graft dysfunction was the asystolic warm ischemic time: 15 (12-17) versus 13 (11-14) min ( P < 0.05). One- and 5-y survival of DCD heart transplant recipients was 94% and 88%, comparable to that of a contemporary cohort of donation after brain death recipients: 87 and 81% ( P -value was not significant). In conclusion, heart transplantation from DCD donors has become a major contributor to our overall transplant activity accounting for almost 30% of all transplants performed by our program in the last 2 y, with similar DCD and donation after brain death outcomes.

Published
2023

11. Chronic Thromboembolic Pulmonary Hypertension: An Analysis of the Australian and New Zealand Experience

Author

Kearney, K., primary, Gold, J., additional, Corrigan, C., additional, Dhital, K., additional, Boshell, D., additional, Haydock, D., additional, McGiffin, D., additional, Thomson, B., additional, Collins, N., additional, Cordina, R., additional, Dwyer, N., additional, Feenstra, J., additional, Lavender, M., additional, Wrobel, J., additional, Whitford, H., additional, Williams, T., additional, Keating, D., additional, Whyte, K., additional, McWilliams, T., additional, Keogh, A., additional, Strange, G., additional, Kotlyar, E., additional, Anderson, J., additional, and Lau, E.M., additional

Published
2021
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12. DCD donations and outcomes of heart transplantation: the Australian experience

Author

Dhital K, Ludhani P, Scheuer S, Connellan M, and Macdonald P

Abstract

Purpose:There is increasing clinical utilization of hearts from the donation after circulatory death (DCD) pathway with the aim of expanding the donor pool and mitigating the ever-present discrepancy between the inadequate availability of good quality donor hearts and the rising number of patients with end-stage heart failure. Methods:This article reviews the rationale, practice, logistical factors, and 5-year experience of DCD heart transplantation at St Vincent's Hospital, Sydney. Findings:Between July 2014 and July 2019, 69 DCD donor retrievals were undertaken resulting in 49 hearts being instrumented on an ex situ normothermic cardiac perfusion device. Seventeen (35%) of these hearts were declined and the remaining 32 (65%) were used for orthotopic DCD heart transplantation. At 5 years of follow-up, the 1-, 3-, and 5-year survival was 96%, 94%, and 94% for DCD hearts compared with 89%, 83%, and 82% respectively for donation after brain death (DBD) hearts (n.s). The immediate post-implant requirement for temporary extra-corporeal membrane oxygenation (ECMO) support for delayed graft function was 31% with no difference in rejection rates when compared with the contemporaneous cohort of patients transplanted with standard criteria DBD hearts. Summary:DCD heart transplantation has become routine and incorporated into standard clinical practice by a handful of pioneering clinical transplant centres. The Australian experience demonstrates that excellent medium-term outcomes are achievable from the use of DCD hearts. These outcomes are consistent across the other centres and consequently favour a more rapid and wider uptake of heart transplantation using DCD donor hearts, which would otherwise be discarded.

Published
2020

13. Outcomes of Patients with Chronic Thromboembolic Pulmonary Hypertension Risk Stratified by a Dedicated Heart Team to Receive Pulmonary Endarectomy or Balloon Pulmonary Angiogiplasty

Author

Bart, NK, Ambati, C, Kearney, K, Scheuer, S, Emmanuel, S, Wilson, M, Jabbour, A, Hayward, CS, Macdonald, PS, Kotlyar, E, Keogh, AM, Dhital, K, Boshell, D, Jansz, P, Bart, NK, Ambati, C, Kearney, K, Scheuer, S, Emmanuel, S, Wilson, M, Jabbour, A, Hayward, CS, Macdonald, PS, Kotlyar, E, Keogh, AM, Dhital, K, Boshell, D, and Jansz, P

Published
2020

17. Postoperative Atrial Fibrillation and Long-Term Risk of Stroke After Isolated Coronary Artery Bypass Graft Surgery

Author

Benedetto, Umberto, primary, Gaudino, Mario F., additional, Dimagli, Arnaldo, additional, Gerry, Stephen, additional, Gray, Alastair, additional, Lees, Belinda, additional, Flather, Marcus, additional, Taggart, David P., additional, Westaby, S., additional, Cook, J., additional, Wallis, C., additional, Wos, S., additional, Jasinski, M., additional, Widenka, K., additional, Blach, A., additional, Gocol, R., additional, Hudziak, D., additional, Zurek, P., additional, Deja, M., additional, Bachowski, R., additional, Mrozek, R., additional, Kargul, T., additional, Domarardzki, W., additional, Frackiewicz, J., additional, Zamvar, V., additional, Ezakadan, D., additional, Buxton, B., additional, Seevanayagam, S., additional, Matalanis, G., additional, Rosalion, A., additional, Negri, J., additional, Moten, S., additional, Atkinson, V., additional, Newcomb, A., additional, Polidano, P., additional, Pana, R., additional, Gerbo, S., additional, O’Keefe, P., additional, von Oppell, U., additional, Mehta, D., additional, Azzu, A., additional, Szafranek, A., additional, Kulatilake, E., additional, Evans, J., additional, Martin, N., additional, Banner, D., additional, Trivedi, U., additional, Forsyth, A., additional, Hyde, J., additional, Cohen, A., additional, Lewis, M., additional, Gardner, E., additional, MacKenzie, A., additional, Cooter, N., additional, Joyce, E., additional, Parker, J., additional, Champney, F., additional, Clark, S., additional, Dark, J., additional, Tocewicz, K., additional, Pillay, T., additional, Rowling, S., additional, Adams-Hall, J., additional, Bochenek, A., additional, Cisowski, M., additional, Bolkowski, M., additional, Morawski, W., additional, Guc, M., additional, Krejca, M., additional, Wilczynski, M., additional, Duralek, A., additional, Gerber, W., additional, Skarysz, J., additional, Shrestha, R., additional, Swiech, W., additional, Szmagala, P., additional, Krzych, L., additional, Pawlak, A., additional, Kepa, K., additional, Hasan, R., additional, Keenan, D., additional, Prendergast, B., additional, Odom, N., additional, McLaughlin, K., additional, Cummings-Fosong, G., additional, Mathew, C., additional, Iles-Smith, H., additional, Oomen, A., additional, Desai, J., additional, El-Gamel, A., additional, John, L., additional, Wendler, O., additional, Andrews, M., additional, Rance, K., additional, Williams, R., additional, Hogervorst, V., additional, Gregory, J., additional, Jessup, J., additional, Knighton, A., additional, Hoare, A., additional, Ritchie, A., additional, Choong, C., additional, Nair, S., additional, Jenkins, D., additional, Large, S., additional, Sudarshan, C., additional, Barman, M., additional, Dhital, K., additional, Routledge, T., additional, Rosengard, B., additional, Munday, H., additional, Rintoul, K., additional, Jarrett, E., additional, Lao-Sirieix, S., additional, Wilkinson, A., additional, Garner, L., additional, Osmond, J., additional, Holcombe, H., additional, Cale, A., additional, Griffin, S., additional, Dickson, J., additional, Spyt, T., additional, Hickey, M., additional, Sosnowski, A., additional, Peek, G., additional, Szostek, J., additional, Hadjinikalaou, L., additional, Logtens, E., additional, Oakley, M., additional, Leji, S., additional, Gaer, J., additional, Amrani, M., additional, Dreyfus, G., additional, Bahrami, T., additional, Baig, K., additional, Asimakopoulos, G., additional, Vohra, H., additional, Pai, V., additional, Tadjkarimi, Soleimani, S., additional, Stavri, G., additional, Bull, G., additional, Collappen, H., additional, Sadowksi, J., additional, Gaweda, B., additional, Rudzinski, P., additional, Stolinski, J., additional, Konstanty-Kalandyk, J., additional, Moraes, F., additional, Moraes, C., additional, Wanderley, J., additional, Pepper, J., additional, De Souza, A., additional, Petrou, M., additional, Trimlett, R., additional, Morgan, T., additional, Gavino, J., additional, Wang, S.F., additional, Chandrasekaran, V., additional, Kanagasaby, R., additional, Sarsam, M., additional, Ryan, H., additional, Billings, L., additional, Ruddick, L., additional, Achampong, A., additional, Forster, E., additional, Pawlaczyk, R., additional, Siondalski, P., additional, Rogowski, J., additional, Roszak, K., additional, Jarmoszewicz, K., additional, Jagielak, D., additional, Gafka, S., additional, Mannam, Naguboyin, G., additional, Rao Sajja, L., additional, Dandu, B., additional, Briffa, N., additional, Braidley, P., additional, Cooper, G., additional, Allen, K., additional, Sangha, G., additional, Bridge, C., additional, McMellon, H., additional, Casabona, R., additional, Actis Dato, G., additional, Bardi, G., additional, Del Ponte, Forsennati, S., additional, Parisi, F., additional, Punta, G., additional, Flocco, R., additional, Sansone, F., additional, Zingarelli, E., additional, Dihmis, W., additional, Kuduvali, M., additional, Rince, C., additional, Rogers, H., additional, McQuade, L., additional, Anisimowicz, L., additional, Bokszanski, M., additional, Pawliszak, W., additional, Kolakowski, J., additional, Lau, G., additional, Ogorzeja, W., additional, Gumanska, I., additional, Kulinski, P., additional, Podesser, B., additional, Trescher, K., additional, Bernecker, O., additional, Holzinger, C., additional, Binder, K., additional, Schor, I., additional, Bergmann, P., additional, Kassal, H., additional, Motovova, B., additional, Trehan, N., additional, Meharwal, Z., additional, Malhotra, R., additional, Goel, M., additional, Kumer, B., additional, Bazaz, S., additional, Bake, N., additional, Singh, A., additional, Mishka, Y., additional, Gupta, R., additional, Basumatary, S., additional, Zembala, M., additional, Szafron, B., additional, Pacholewicz, J., additional, Krason, M., additional, Szymanik, I., additional, Kolwca, M., additional, Mazur, W., additional, Kurowicki, A., additional, Zurek, S., additional, Stacel, T., additional, and Jaworska, I., additional

Published
2020
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18. Outcomes of Patients with Chronic Thromboembolic Pulmonary Hypertension Risk Stratified by a Dedicated Heart Team to Receive Pulmonary Endarectomy or Balloon Pulmonary Angiogiplasty

Author

Bart, N.K., primary, Ambati, C., additional, Kearney, K., additional, Scheuer, S., additional, Emmanuel, S., additional, Wilson, M., additional, Jabbour, A., additional, Hayward, C.S., additional, Macdonald, P.S., additional, Kotlyar, E., additional, Keogh, A.M., additional, Dhital, K., additional, Boshell, D., additional, and Jansz, P., additional

Published
2020
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20. 144 Outcomes of Patients With Chronic Thromboembolic Pulmonary Hypertension Risk Stratified by a Dedicated Heart Team to Receive Pulmonary Endarectomy or Balloon Pulmonary Angiogiplasty

Author

Bart, N., primary, Ambati, C., additional, Kearney, K., additional, Scheuer, S., additional, Emmanuel, S., additional, Wilsom, M., additional, Macdonald, P., additional, Keogh, A., additional, Boshell, D., additional, Kotlyar, E., additional, Dhital, K., additional, and Jansz, P., additional

Published
2020
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21. Outcomes of Donation After Circulatory Death Heart Transplantation in Australia

Author

Chew, HC, Iyer, A, Connellan, M, Scheuer, S, Villanueva, J, Gao, L, Hicks, M, Harkness, M, Soto, C, Dinale, A, Nair, P, Watson, A, Granger, E, Jansz, P, Muthiah, K, Jabbour, A, Kotlyar, E, Keogh, A, Hayward, C, Graham, R, Spratt, P, Macdonald, P, Dhital, K, Chew, HC, Iyer, A, Connellan, M, Scheuer, S, Villanueva, J, Gao, L, Hicks, M, Harkness, M, Soto, C, Dinale, A, Nair, P, Watson, A, Granger, E, Jansz, P, Muthiah, K, Jabbour, A, Kotlyar, E, Keogh, A, Hayward, C, Graham, R, Spratt, P, Macdonald, P, and Dhital, K

Published
2019

32. Frailty Predicts Mortality After Heart Transplantation

Author

Offen, S, Jha, S, Connellan, M, Dhital, K, Granger, E, Harkness, M, Hayward, C, Jabbour, A, Jansz, P, Kotlyar, E, Montgomery, E, Muthiah, K, Spratt, P, MacDonald, P, Offen, S, Jha, S, Connellan, M, Dhital, K, Granger, E, Harkness, M, Hayward, C, Jabbour, A, Jansz, P, Kotlyar, E, Montgomery, E, Muthiah, K, Spratt, P, and MacDonald, P

Published
2018

33. Reversibility of Frailty After Bridge-to-Transplant Ventricular Assist Device Implantation or Heart Transplantation

Author

Jha, SR, Hannu, MK, Newton, PJ, Wilhelm, K, Hayward, CS, Jabbour, A, Kotlyar, E, Keogh, A, Dhital, K, Granger, E, Connellan, M, Jansz, P, Spratt, PM, Montgomery, E, Smith, A, Harkess, M, Tunicliff, P, Davidson, PM, and Macdonald, PS

Abstract

BACKGROUND: We recently reported that frailty is independently predictive of increased mortality in patients with advanced heart failure referred for heart transplantation (HTx). The aim of this study was to assess the impact of frailty on short-term outcomes after bridge-to-transplant ventricular assist device (BTT-VAD) implantation and/or HTx and to determine if frailty is reversible after these procedures. METHODS: Between August 2013 and August 2016, 100 of 126 consecutive patients underwent frailty assessment using Fried's Frailty Phenotype before surgical intervention: 40 (21 nonfrail, 19 frail) BTT-VAD and 77 (60 nonfrail, 17 frail) HTx-including 17 of the 40 BTT-VAD supported patients. Postprocedural survival, intubation time, intensive care unit, and hospital length of stay were compared between frail and nonfrail groups. Twenty-six frail patients were reassessed at 2 months or longer postintervention. RESULTS: Frail patients had lower survival (63 ± 10% vs 94 ± 3% at 1 year, P = 0.012) and experienced significantly longer intensive care unit (11 vs 5 days, P = 0.002) and hospital (49 vs 25 days, P = 0.003) length of stay after surgical intervention compared with nonfrail patients. Twelve of 13 frail patients improved their frailty score after VAD (4.0 ± 0.8 to 1.4 ± 1.1, P < 0.001) and 12 of 13 frail patients improved their frailty score after HTx (3.2 ± 0.4 to 0.9 ± 0.9, P < 0.001). Handgrip strength and depression improved postintervention. Only a slight improvement in cognitive function was seen postintervention. CONCLUSIONS: Frail patients with advanced heart failure experience increased mortality and morbidity after surgical intervention with BTT-VAD or HTx. Among those who survive frailty is partly or completely reversible underscoring the importance of considering this factor as a dynamic not fixed entity.

Published
2017

34. Incidence and clinical implications of intraoperative bilateral internal thoracic artery graft conversion: Insights from the Arterial Revascularization Trial

Author

Benedetto, Umberto, primary, Altman, Douglas G., additional, Flather, Marcus, additional, Gerry, Stephen, additional, Gray, Alastair, additional, Lees, Belinda, additional, Taggart, David P., additional, Ratnatunga, C., additional, Westaby, S., additional, Cook, J., additional, Wallis, C., additional, Wos, S., additional, Jasinski, M., additional, Widenka, K., additional, Blach, A., additional, Gocol, R., additional, Hudziak, D., additional, Zurek, P., additional, Deja, M., additional, Bachowski, R., additional, Mrozek, R., additional, Kargul, T., additional, Domarardzki, W., additional, Frackiewicz, J., additional, Zamvar, V., additional, Ezakadan, D., additional, Buxton, B., additional, Seevanayagam, S., additional, Matalanis, G., additional, Rosalion, A., additional, Negri, J., additional, Moten, S., additional, Atkinson, V., additional, Newcomb, A., additional, Polidano, P., additional, Pana, R., additional, Gerbo, S., additional, O'Keefe, P., additional, von Oppell, U., additional, Mehta, D., additional, Azzu, A., additional, Szafranek, A., additional, Kulatilake, E., additional, Evans, J., additional, Martin, N., additional, Banner, D., additional, Trivedi, U., additional, Forsyth, A., additional, Hyde, J., additional, Cohen, A., additional, Lewis, M., additional, Gardner, E., additional, MacKenzie, A., additional, Cooter, N., additional, Joyce, E., additional, Parker, J., additional, Champney, F., additional, Clark, S., additional, Dark, J., additional, Tocewicz, K., additional, Pillay, T., additional, Rowling, S., additional, Adams-Hall, J., additional, Bochenek, A., additional, Cisowski, M., additional, Bolkowski, M., additional, Morawski, W., additional, Guc, M., additional, Krejca, M., additional, Wilczynski, M., additional, Duralek, A., additional, Gerber, W., additional, Skarysz, J., additional, Shrestha, R., additional, Swiech, W., additional, Szmagala, P., additional, Krzych, L., additional, Pawlak, A., additional, Kepa, K., additional, Hasan, R., additional, Keenan, D., additional, Prendergast, B., additional, Odom, N., additional, McLaughlin, K., additional, Cummings-Fosong, G., additional, Mathew, C., additional, Iles-Smith, H., additional, Oomen, A., additional, Desai, J., additional, El-Gamel, A., additional, John, L., additional, Wendler, O., additional, Andrews, M., additional, Rance, K., additional, Williams, R., additional, Hogervorst, V., additional, Gregory, J., additional, Jessup, J., additional, Knighton, A., additional, Hoare, A., additional, Ritchie, A., additional, Choong, C., additional, Nair, S., additional, Jenkins, D., additional, Large, S., additional, Sudarshan, C., additional, Barman, M., additional, Dhital, K., additional, Routledge, T., additional, Rosengard, B., additional, Munday, H., additional, Rintoul, K., additional, Jarrett, E., additional, Lao-Sirieix, S., additional, Wilkinson, A., additional, Garner, L., additional, Osmond, J., additional, Holcombe, H., additional, Cale, A., additional, Griffin, S., additional, Dickson, J., additional, Spyt, T., additional, Hickey, M., additional, Sosnowski, A., additional, Peek, G., additional, Szostek, J., additional, Hadjinikalaou, L., additional, Logtens, E., additional, Oakley, M., additional, Leji, S., additional, Gaer, J., additional, Amrani, M., additional, Dreyfus, G., additional, Bahrami, T., additional, de Robertis, F., additional, Baig, K., additional, Asimakopoulos, G., additional, Vohra, H., additional, Pai, V., additional, Tadjkarimi, S., additional, Soleimani, B., additional, Stavri, G., additional, Bull, G., additional, Collappen, H., additional, Sadowksi, J., additional, Gaweda, B., additional, Rudzinski, P., additional, Stolinski, J., additional, Konstanty-Kalandyk, J., additional, Moraes, F., additional, Moraes, C., additional, Wanderley, J., additional, Pepper, J., additional, De Souza, A., additional, Petrou, M., additional, Trimlett, R., additional, Morgan, T., additional, Gavino, J., additional, Wang, S.F., additional, Chandrasekaran, V., additional, Kanagasaby, R., additional, Sarsam, M., additional, Ryan, H., additional, Billings, L., additional, Ruddick, L., additional, Achampong, A., additional, Forster, E., additional, Pawlaczyk, R., additional, Siondalski, P., additional, Rogowski, J., additional, Roszak, K., additional, Jarmoszewicz, K., additional, Jagielak, D., additional, Gafka, S., additional, Mannam, G., additional, Naguboyin, G., additional, Rao Sajja, L., additional, Dandu, B., additional, Briffa, N., additional, Braidley, P., additional, Cooper, G., additional, Allen, K., additional, Sangha, G., additional, Bridge, C., additional, McMellon, H., additional, Casabona, R., additional, Actis Dato, G., additional, Bardi, G., additional, Del Ponte, S., additional, Forsennati, P., additional, Parisi, F., additional, Punta, G., additional, Flocco, R., additional, Sansone, F., additional, Zingarelli, E., additional, Dihmis, W., additional, Kuduvali, M., additional, Prince, C., additional, Rogers, H., additional, McQuade, L., additional, Anisimowicz, L., additional, Bokszanski, M., additional, Pawliszak, W., additional, Kolakowski, J., additional, Lau, G., additional, Ogorzeja, W., additional, Gumanska, I., additional, Kulinski, P., additional, Podesser, B., additional, Trescher, K., additional, Bernecker, O., additional, Holzinger, C., additional, Binder, K., additional, Schor, I., additional, Bergmann, P., additional, Kassal, H., additional, Motovova, B., additional, Trehan, N., additional, Meharwal, Z., additional, Malhotra, R., additional, Goel, M., additional, Kumer, B., additional, Bazaz, S., additional, Bake, N., additional, Singh, A., additional, Mishka, Y., additional, Gupta, R., additional, Basumatary, S., additional, Zembala, M., additional, Szafron, B., additional, Pacholewicz, J., additional, Krason, M., additional, Farmas, A., additional, Wojarski, J., additional, Zych, B., additional, Szymanik, I., additional, Kolwca, M., additional, Mazur, W., additional, Kurowicki, A., additional, Zurek, S., additional, Stacel, T., additional, Jaworska, I., additional, Sleight, P., additional, Channon, K., additional, Farrell, B., additional, Stables, R., additional, Vermes, G., additional, Pearson, J., additional, Pitman, M., additional, Yusuf, S., additional, Pocock, S., additional, Julian, D., additional, Treasure, T., additional, Von Oppel, U., additional, Kanagasabay, R., additional, Collinson, J., additional, Bakhai, A., additional, O'Hanlon, R., additional, Kotecha, D., additional, Qureshi, K., additional, Geisler, T., additional, and Manzano-Espinosa, L., additional

Published
2018
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35. Frailty Predicts Mortality After Heart Transplantation

Author

Offen, S., primary, Jha, S., additional, Connellan, M., additional, Dhital, K., additional, Granger, E., additional, Harkness, M., additional, Hayward, C., additional, Jabbour, A., additional, Jansz, P., additional, Kotlyar, E., additional, Montgomery, E., additional, Muthiah, K., additional, Newton, P., additional, Smith, A., additional, Spratt, P., additional, and Macdonald., P., additional

Published
2018
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36. Negative Impact of Ischemia on Short and Long Term Outcomes in Standard Criteria Double Lung Transplants Prospective Evidence from the OCS Lung INSPIRE International Trial Results

Author

Warnecke, G., primary, Van Raemdonck, D., additional, Kukreja, J., additional, Smith, M., additional, Loor, G., additional, Rea, F., additional, Massard, G., additional, De Robertis, F., additional, Nagendran, J., additional, Moradiellos, J., additional, Dhital, K., additional, Knosalla, C., additional, Bermudez, C., additional, Tsui, S., additional, Madsen, J., additional, Wang, I., additional, McCurry, K., additional, Deuse, T., additional, Thomas, P., additional, Tudorache, I., additional, Wiegmann, B., additional, Schiavon, M., additional, Calabrese, F., additional, Santelmo, N., additional, Olland, A., additional, Falcoz, P., additional, Varela, A., additional, Hertz, M., additional, Simon, A., additional, Resichenspurner, H., additional, Haverich, A., additional, and Ardehali, A., additional

Published
2018
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39. Reversibility of Fried’s Physical Frailty Domains Post- Ventricular-Assist Device Implantation Among Patients with Advanced Heart Failure

Author

Jha, S.R., primary, Robson, D., additional, Jansz, P., additional, Spratt, P., additional, Granger, E., additional, Dhital, K., additional, Connellan, M., additional, Hayward, C., additional, Muthiah, K., additional, Jabbour, A., additional, Kotlyar, E., additional, Montgomery, E., additional, Newton, P.J., additional, and Macdonald, P.S., additional

Published
2018
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41. Negative Impact of Primary Graft Dysfunction Grade 3 within the Initial 72 Hours on Short and Long Term Clinical Outcomes in Standard Criteria Double Lung Transplants: Prospective Evidence from the OCS Lung INSPIRE International Trial Results

Author

Ardehali, A., primary, Van Raemdonck, D., additional, Kukreja, J., additional, Smith, M., additional, Loor, G., additional, Rea, F., additional, Massard, G., additional, De Robertis, F., additional, Nagendran, J., additional, Moradiellos, J., additional, Dhital, K., additional, Knosalla, C., additional, Bermudez, C., additional, Tsui, S., additional, Madsen, J., additional, Wang, I., additional, McCurry, K., additional, Deuse, T., additional, Thomas, P., additional, Tudorache, I., additional, Wiegmann, B., additional, Schiavon, M., additional, Calabrese, F., additional, Santelmo, N., additional, Olland, A., additional, Falcoz, P., additional, Varela, A., additional, Hertz, M., additional, Simon, A., additional, Resichenspurner, H., additional, Haverich, A., additional, and Warnecke, G., additional

Published
2018
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42. Safety of Perioperative Aprotinin Administration During Isolated Coronary Artery Bypass Graft Surgery: Insights From the ART (Arterial Revascularization Trial)

Author

Benedetto, Umberto, primary, Altman, Douglas G., additional, Gerry, Stephen, additional, Gray, Alastair, additional, Lees, Belinda, additional, Angelini, Gianni D., additional, Flather, Marcus, additional, Taggart, David P., additional, Ratnatunga, C., additional, Westaby, S., additional, Cook, J., additional, Wallis, C., additional, Wos, S., additional, Jasinski, M., additional, Widenka, K., additional, Blach, A., additional, Gocol, R., additional, Hudziak, D., additional, Zurek, P., additional, Deja, M., additional, Bachowski, R., additional, Mrozek, R., additional, Kargul, T., additional, Domarardzki, W., additional, Frackiewicz, J., additional, Zamvar, V., additional, Ezakadan, D., additional, Buxton, B., additional, Seevanayagam, S., additional, Matalanis, G., additional, Rosalion, A., additional, Negri, J., additional, Moten, S., additional, Atkinson, V., additional, Newcomb, A., additional, Polidano, P., additional, Pana, R., additional, Gerbo, S., additional, O'Keefe, P., additional, von Oppell, U., additional, Mehta, D., additional, Azzu, A., additional, Szafranek, A., additional, Kulatilake, E., additional, Evans, J., additional, Martin, N., additional, Banner, D., additional, Trivedi, U., additional, Forsyth, A., additional, Hyde, J., additional, Cohen, A., additional, Lewis, M., additional, Gardner, E., additional, MacKenzie, A., additional, Cooter, N., additional, Joyce, E., additional, Parker, J., additional, Champney, F., additional, Clark, S., additional, Dark, J., additional, Tocewicz, K., additional, Pillay, T., additional, Rowling, S., additional, Adams‐Hall, J., additional, Bochenek, A., additional, Cisowski, M., additional, Bolkowski, M., additional, Morawski, W., additional, Guc, M., additional, Krejca, M., additional, Wilczynski, M., additional, Duralek, A., additional, Gerber, W., additional, Skarysz, J., additional, Shrestha, R., additional, Swiech, W., additional, Szmagala, P., additional, Krzych, L., additional, Pawlak, A., additional, Kepa, K., additional, Hasan, R., additional, Keenan, D., additional, Prendergast, B., additional, Odom, N., additional, McLaughlin, K., additional, Cummings‐Fosong, G., additional, Mathew, C., additional, Iles‐Smith, H., additional, Oomen, A., additional, Desai, J., additional, El‐Gamel, A., additional, John, L., additional, Wendler, O., additional, Andrews, M., additional, Rance, K., additional, Williams, R., additional, Hogervorst, V., additional, Gregory, J., additional, Jessup, J., additional, Knighton, A., additional, Hoare, A., additional, Ritchie, A., additional, Choong, C., additional, Nair, S., additional, Jenkins, D., additional, Large, S., additional, Sudarshan, C., additional, Barman, M., additional, Dhital, K., additional, Routledge, T., additional, Rosengard, B., additional, Munday, H., additional, Rintoul, K., additional, Jarrett, E., additional, Lao‐Sirieix, S., additional, Wilkinson, A., additional, Garner, L., additional, Osmond, J., additional, Holcombe, H., additional, Cale, A., additional, Griffin, S., additional, Dickson, J., additional, Spyt, T., additional, Hickey, M., additional, Sosnowski, A., additional, Peek, G., additional, Szostek, J., additional, Hadjinikalaou, L., additional, Logtens, E., additional, Oakley, M., additional, Leji, S., additional, Gaer, J., additional, Amrani, M., additional, Dreyfus, G., additional, Bahrami, T., additional, de Robertis, F., additional, Baig, K., additional, Asimakopoulos, G., additional, Vohra, H., additional, Pai, V., additional, Tadjkarimi, S., additional, Soleimani, B., additional, Stavri, G., additional, Bull, G., additional, Collappen, H., additional, Sadowksi, J., additional, Gaweda, B., additional, Rudzinski, P., additional, Stolinski, J., additional, Konstanty‐Kalandyk, J., additional, Moraes, F., additional, Moraes, C., additional, Wanderley, J., additional, Pepper, J., additional, De Souza, A., additional, Petrou, M., additional, Trimlett, R., additional, Morgan, T., additional, Gavino, J., additional, Wang, S.F., additional, Chandrasekaran, V., additional, Kanagasaby, R., additional, Sarsam, M., additional, Ryan, H., additional, Billings, L., additional, Ruddick, L., additional, Achampong, A., additional, Forster, E., additional, Pawlaczyk, R., additional, Siondalski, P., additional, Rogowski, J., additional, Roszak, K., additional, Jarmoszewicz, K., additional, Jagielak, D., additional, Gafka, S., additional, Mannam, G., additional, Naguboyin, G., additional, Rao Sajja, L., additional, Dandu, B., additional, Briffa, N., additional, Braidley, P., additional, Cooper, G., additional, Allen, K., additional, Sangha, G., additional, Bridge, C., additional, McMellon, H., additional, Casabona, R., additional, Actis Dato, G., additional, Bardi, G., additional, Del Ponte, S., additional, Forsennati, P., additional, Parisi, F., additional, Punta, G., additional, Flocco, R., additional, Sansone, F., additional, Zingarelli, E., additional, Dihmis, W., additional, Kuduvali, M., additional, Prince, C., additional, Rogers, H., additional, McQuade, L., additional, Anisimowicz, L., additional, Bokszanski, M., additional, Pawliszak, W., additional, Kolakowski, J., additional, Lau, G., additional, Ogorzeja, W., additional, Gumanska, I., additional, Kulinski, P., additional, Podesser, B., additional, Trescher, K., additional, Bernecker, O., additional, Holzinger, C., additional, Binder, K., additional, Schor, I., additional, Bergmann, P., additional, Kassal, H., additional, Motovova, B., additional, Trehan, N., additional, Meharwal, Z., additional, Malhotra, R., additional, Goel, M., additional, Kumer, B., additional, Bazaz, S., additional, Bake, N., additional, Singh, A., additional, Mishka, Y., additional, Gupta, R., additional, Basumatary, S., additional, Zembala, M., additional, Szafron, B., additional, Pacholewicz, J., additional, Krason, M., additional, Farmas, A., additional, Wojarski, J., additional, Zych, B., additional, Szymanik, I., additional, Kolwca, M., additional, Mazur, W., additional, Kurowicki, A., additional, Zurek, S., additional, Stacel, T., additional, Jaworska, I., additional, Sleight, P., additional, Channon, K., additional, Farrell, B., additional, Stables, R., additional, Vermes, G., additional, Pearson, J., additional, Pitman, M., additional, Yusuf, S., additional, Pocock, S., additional, Julian, D., additional, Treasure, T., additional, Von Oppel, U., additional, Kanagasabay, R., additional, Collinson, J., additional, Bakhai, A., additional, O'Hanlon, R., additional, Kotecha, D., additional, Qureshi, K., additional, Geisler, T., additional, and Manzano‐Espinosa, L., additional

Published
2018
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43. Putting Donor Heart Preservation to the Acid Test

Author

Scheuer, S., primary, Gao, L., additional, Hicks, M., additional, Chew, H., additional, Villanueva, J., additional, Doyle, A., additional, Jabbour, A., additional, King, G., additional, Macdonald, P., additional, and Dhital, K., additional

Published
2018
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45. Cognitive impairment improves the predictive validity of physical frailty for mortality in patients with advanced heart failure referred for heart transplantation

Author

Jha, SR, Hannu, MK, Gore, K, Chang, S, Newton, P, Wilhelm, K, Hayward, CS, Jabbour, A, Kotlyar, E, Keogh, A, Dhital, K, Granger, E, Jansz, P, Spratt, PM, Montgomery, E, Harkess, M, Tunicliff, P, Davidson, PM, and Macdonald, PS

Subjects
Male, Heart Failure, Frailty, Frail Elderly, Humans, Heart Transplantation, Surgery, Female, Cognitive Dysfunction, Aged
Abstract

© 2016 International Society for Heart and Lung Transplantation Background The aim of this study was to identify whether the addition of cognitive impairment, depression, or both, to the assessment of physical frailty provides better outcome prediction in patients with advanced heart failure referred for heart transplantation (HT). Methods Beginning in March 2013, all patients with advanced heart failure referred to our Transplant Unit have undergone a physical frailty assessment using the Fried frailty phenotype. Cognition was assessed with the Montreal Cognitive Assessment and depression with the Depression in Medical Illness questionnaire. We assessed the value of 4 composite frailty measures: physical frailty (PF ≥ 3 of 5 = frailty), “cognitive frailty” (CogF ≥ 3 of 6 = frail), “depressive frailty” (DepF ≥ 3 of 6 = frail), and “cognitive-depressive frailty” (ComF ≥ 3 of 7 = frail) in predicting outcomes. Results Frailty was assessed in 156 patients (109 men, 47 women), aged 53 ± 13 years, and with a left ventricular ejection fraction of 27% ± 14%. Inclusion of cognitive impairment or depression in the definition of frailty increased the proportion classified as frail from 33% using PF to 42% using ComF. During follow-up, 28 patients died before ventricular assist device implantation or HT. Frailty was associated with significantly lower ventricular assist device- and HT-free survival, with CogF best capturing early mortality: 12-month survival for non-frail and frail cohorts was 81% ± 5% vs 58% ± 10% (p < 0.02) using PF and 85% ± 5% vs 56% ± 9% (p < 0.002) using CogF. Combining the Depression in Medical Illness score with PF or CogF did not strengthen the relationship between frailty and mortality. Conclusions The addition of cognitive impairment to the assessment of PF strengthened its capacity to identify advanced heart failure patients referred for HT who are at high risk of early death.

Published
2016

47. Outcome After Warm Machine Perfusion (WMP) Recovery of Marginal Brain Dead (MBD) and Donation After Circulatory Death (DCD) Heart Transplantation

Author

Chew, H., primary, Cheong, C., additional, Fulton, M., additional, Shah, M., additional, Doyle, A., additional, Gao, L., additional, Villanueva, J., additional, Soto, C., additional, Hicks, M., additional, Connellan, M., additional, Granger, E., additional, Jansz, P., additional, Spratt, P., additional, Hayward, C., additional, Keogh, A., additional, Kotlyar, E., additional, Jabbour, A., additional, Dhital, K., additional, and Macdonald, P., additional

Published
2017
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