483 results on '"INTERNATIONAL WORKING GROUP"'
Search Results
2. Validation of International Working Group response criteria in higher‐risk myelodysplastic syndromes: A report on behalf of the MDS Clinical Research Consortium
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Rami S. Komrokji, Najla H Al Ali, David Sallman, Eric Padron, Amy E. DeZern, John Barnard, Gail J. Roboz, Guillermo Garcia‐Manero, Alan List, David P. Steensma, and Mikkael A. Sekeres
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high‐risk disease ,international working group ,myelodysplastic syndromes ,response criteria ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract The utility of the International Working Group (IWG) 2006 response criteria for myelodysplastic syndromes (MDS) as a surrogate endpoint for outcomes is unclear. We assessed the validity of the IWG 2006 response criteria in a large cohort of higher‐risk MDS patients (pts) treated at centers from the MDS Clinical Research Consortium. The best overall response rate (ORR) by IWG 2006 criteria to first‐line therapy among 597 evaluable pts was 38% and include complete response (CR) 16%, marrow CR (mCR) 2%, partial response (PR) 10%, hematological improvement (HI) 10%, stable disease (SD) 33%, and progressive disease (PD) 24%. CR was associated with a better overall survival (OS) compared to all other response groups (P
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- 2021
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3. Palpable spleen size is differently prognostic in primary and secondary myelofibrosis
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Marko Lucijanic, Ivan Krecak, Ena Soric, Davor Galusic, Hrvoje Holik, Vlatka Perisa, Martina Moric Peric, Ivan Zekanovic, and Rajko Kusec
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BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Interna medicina ,POST-POLYCYTHEMIA-VERA ,Cancer Research ,BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Oncology ,Oncology ,INTERNATIONAL WORKING GROUP ,BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Onkologija ,Hematology ,myelofibrosis ,spleen size ,prognosis ,BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Internal Medicine ,PREDICT SURVIVAL ,NEOPLASMS - Abstract
Splenomegaly s a hallmark ol primary (PMF) and secondary myelofibrosis {;SMF};, developing mostly due to extramedullary hematopoiesis. It represents tumour burden and correlates with unfavourable disease features. PMF and SMF may have distinct molecular profiles and differ in the duration on of the myeloproliferative disease prior to the diagnosis, exposure to prior specific therapies and associated risks. Due to biological differences, distinct prognostic scores (although utilizing similar parameters) have been developed for PMF and SMF.
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- 2023
4. Clinical Manifestations of ITP in Children
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Takahashi, Yukihiro, Ishida, Yoji, editor, and Tomiyama, Yoshiaki, editor
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- 2017
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5. Differential Diagnosis: Hypoplastic Thrombocytopenia
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Tomiyama, Yoshiaki, Ishida, Yoji, editor, and Tomiyama, Yoshiaki, editor
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- 2017
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6. Validation of International Working Group response criteria in higher‐risk myelodysplastic syndromes: A report on behalf of the MDS Clinical Research Consortium.
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Komrokji, Rami S., Al Ali, Najla H, Sallman, David, Padron, Eric, DeZern, Amy E., Barnard, John, Roboz, Gail J., Garcia‐Manero, Guillermo, List, Alan, Steensma, David P., and Sekeres, Mikkael A.
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MYELODYSPLASTIC syndromes , *CONSORTIA , *HEMATOPOIESIS , *BONE marrow - Abstract
The utility of the International Working Group (IWG) 2006 response criteria for myelodysplastic syndromes (MDS) as a surrogate endpoint for outcomes is unclear. We assessed the validity of the IWG 2006 response criteria in a large cohort of higher‐risk MDS patients (pts) treated at centers from the MDS Clinical Research Consortium. The best overall response rate (ORR) by IWG 2006 criteria to first‐line therapy among 597 evaluable pts was 38% and include complete response (CR) 16%, marrow CR (mCR) 2%, partial response (PR) 10%, hematological improvement (HI) 10%, stable disease (SD) 33%, and progressive disease (PD) 24%. CR was associated with a better overall survival (OS) compared to all other response groups (P < 0.001). Among 470 pts treated with hypomethylating agent (HMA) as first‐line therapy, the overall Response Rate, defined as HI or better was 39%. The median OS from time of best response was 21 mo, 8 mo, 14 mo, 12 mo, 13 mo, and 8 mo for CR, mCR, PR, HI, SD, and PD, respectively (P < 0.001). We validated those results in a separate cohort of 539 higher‐risk MDS pts treated at Moffitt Cancer Center who received first‐line HMA therapy, particularly addressing the value of mCR and mCR+HI. mCR alone without HI, SD, and PD outcomes were inferior to CR, PR, mCR+HI, and HI. In conclusion, CR by IWG 2006 response criteria can be used as a surrogate endpoint for OS in higher‐risk MDS pts. Any response associated with restoration of effective hematopoiesis is associated with better outcome. [ABSTRACT FROM AUTHOR]
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- 2021
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7. The International Working Group on Data Protection in Telecommunications: Contributions to Transnational Privacy Enforcement
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Dix, Alexander, Casanovas, Pompeu, Series editor, Sartor, Giovanni, Series editor, Wright, David, editor, and De Hert, Paul, editor
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- 2016
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8. Chapter 7 International Legal Framework for Recognition of Foreign Judicial Sales of Ships
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Bleyen, Lief, Basedow, Jürgen, Series editor, Breuch-Moritz, Monika, Series editor, Ehlers, Peter, Series editor, Graßl, Hartmut, Series editor, Ilyina, Tatiana, Series editor, Jeßberger, Florian, Series editor, Kaleschke, Lars, Series editor, Koch, Hans-Joachim, Series editor, Koch, Robert, Series editor, König, Doris, Series editor, Lagoni, Rainer, Series editor, Lammel, Gerhard, Series editor, Magnus, Ulrich, Series editor, Mankowski, Peter, Series editor, Oeter, Stefan, Series editor, Paschke, Marian, Series editor, Pohlmann, Thomas, Series editor, Schneider, Uwe A., Series editor, Stammer, Detlef, Series editor, Sündermann, Jürgen, Series editor, Wolfrum, Rüdiger, Series editor, Zahel, Wilfried, Series editor, and Bleyen, Lief
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- 2016
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9. Global prevalence of sarcopenia and severe sarcopenia: a systematic review and meta‐analysis
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Jose Lara, Viktoria Balntzi, Fanny Petermann-Rocha, Jill P. Pell, Carlos Celis-Morales, Stuart R. Gray, and Frederick K. Ho
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Adult ,Male ,Sarcopenia ,medicine.medical_specialty ,Adolescent ,MEDLINE ,B100 ,Diseases of the musculoskeletal system ,Disease ,Muscle mass ,Absorptiometry, Photon ,Physiology (medical) ,Internal medicine ,Electric Impedance ,Prevalence ,medicine ,Humans ,Orthopedics and Sports Medicine ,Aged ,Hand Strength ,business.industry ,QM1-695 ,International working group ,musculoskeletal system ,medicine.disease ,C600 ,body regions ,RC925-935 ,Meta-analysis ,Human anatomy ,Systematic review ,Meta‐analysis ,Female ,business ,human activities ,Bioelectrical impedance analysis ,Cohort study - Abstract
Background Sarcopenia is defined as the loss of muscle mass and strength. Despite the seriousness of this disease, a single diagnostic criterion has not yet been established. Few studies have reported the prevalence of sarcopenia globally, and there is a high level of heterogeneity between studies, stemmed from the diagnostic criteria of sarcopenia and the target population. The aims of this systematic review and meta‐analysis were (i) to identify and summarize the diagnostic criteria used to define sarcopenia and severe sarcopenia and (ii) to estimate the global and region‐specific prevalence of sarcopenia and severe sarcopenia by sociodemographic factors. Methods Embase, MEDLINE, and Web of Science Core Collections were searched using relevant MeSH terms. The inclusion criteria were cross‐sectional or cohort studies in individuals aged ≥18 years, published in English, and with muscle mass measured using dual‐energy x‐ray absorptiometry, bioelectrical impedance, or computed tomography (CT) scan. For the meta‐analysis, studies were stratified by diagnostic criteria (classifications), cut‐off points, and instruments to assess muscle mass. If at least three studies reported the same classification, cut‐off points, and instrument to measure muscle mass, they were considered suitable for meta‐analysis. Following this approach, 6 classifications and 23 subgroups were created. Overall pooled estimates with inverse‐variance weights obtained from a random‐effects model were estimated using the metaprop command in Stata. Results Out of 19 320 studies, 263 were eligible for the narrative synthesis and 151 for meta‐analysis (total n = 692 056, mean age: 68.5 years). Using different classifications and cut‐off points, the prevalence of sarcopenia varied between 10% and 27% in the studies included for meta‐analysis. The highest and lowest prevalence were observed in Oceania and Europe using the European Working Group on Sarcopenia in Older People (EWGSOP) and EWGSOP2, respectively. The prevalence ranged from 8% to 36% in individuals
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- 2021
10. Sport-for-Development: Pessimism of the Intellect, Optimism of the Will
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Coalter, Fred, Schulenkorf, Nico, editor, and Adair, Daryl, editor
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- 2013
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11. Data Collection and Audit
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Nygren, Jonas O. M., Ljungqvist, Olle, Francis, Nader, editor, Kennedy, Robin H., editor, Ljungqvist, Olle, editor, and Mythen, Monty G., editor
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- 2012
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12. Nasal carriage of Methicillin-Resistant Coagulase-Negative Staphylocococci: A Reservoir of mecA Gene for Staphylococcus aureus
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Ruimy, Raymond, Barbier, François, Lebeaux, David, Ruppé, Etienne, Andremont, Antoine, Morand, Serge, editor, Beaudeau, François, editor, and Cabaret, Jacques, editor
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- 2012
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13. Pressure ulcers in patients with diabetes: a bibliometrics analysis
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Min Lu, Yucui Zhai, Lingxia Li, Xuejun Cheng, and Junhua Dong
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Pressure Ulcer ,Advanced and Specialized Nursing ,China ,medicine.medical_specialty ,business.industry ,Science Citation Index ,International working group ,Bibliometrics ,medicine.disease ,Diabetic foot ,United Kingdom ,United States ,Anesthesiology and Pain Medicine ,Diabetes mellitus ,Family medicine ,Diabetes Mellitus ,medicine ,Humans ,In patient ,Keyword analysis ,Foot ulcers ,business - Abstract
Background Pressure ulcers (PU) refer to local tissue ulceration and necrosis caused by long-term compression and friction brought on by tissue ischemia and hypoxia. Diabetic wounds do not easily heal, and once a pressure ulceration occurs, it is difficult to deal with. The purpose of this study was to analyze the current research status of PUs in diabetic patients. Methods The Science Citation Index Expanded (SCI-E) database was searched with terms of "Pressure Ulcer" and "Diabetes". Citespace software was used to analyze the annual distribution of the number of target documents and the distribution of countries, institutions, journals, authors, and keywords used in these works. Results In all, 1271 documents were retrieved, with a total citation frequency of 47,081, and an h-index of 101. The top 5 countries in terms of the number of publications were the United States, the United Kingdom, China, Australia, and the Netherlands; the top 5 countries in centrality were the Netherlands, the United States, Canada, Japan, and France. The institutions with the greatest number of publications were the University of Amsterdam, Cardiff University, The University of Washington, and the University of Manchester. The institutions with the highest centrality were the University of Amsterdam, the University of Groningen, the University of Washington, the University of Adelaide, Baylor College of Medicine, and Queensland University of Technology. The authors with a highest number of publications were Bus SA, Apelqvist J, and the International Working Group on the Diabetic Foot, and Hinchliffe RJ. Only 2 authors had a centrality score above 0.01. Journals such as Diabetes Metabolism Research and Reviews, Diabetes Care, and Journal of Wound Care showed considerable influence in this field. Keyword analysis indicated that the use of keywords in this field is not uniform, and the focus of research on PUs in diabetic patients lies the risk and management of foot ulcers. Conclusions There are few studies concerning PUs in patients with diabetes and little collaboration between authors. The current focus in this field is on the risk and management of foot ulcers.
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- 2021
14. An International Normative Framework for Sovereign Wealth Funds?
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Gramlich, Ludwig, Herrmann, Christoph, editor, and Terhechte, Jörg Philipp, editor
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- 2011
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15. The Political Economy of Australia’s Future Fund – The Political Dimension
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Eccleston, Richard, Yi-chong, Xu, editor, and Bahgat, Gawdat, editor
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- 2010
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16. Cardiac Database and Risk Factor Assessment. Outcomes Analysis for Congenital Cardiac Disease
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Jacobs, Jeffrey P., Munoz, Ricardo, editor, Morell, Victor, editor, Cruz, Eduardo, editor, and Vetterly, Carol, editor
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- 2010
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17. Sovereign Wealth Funds: Strategies of Geo-Economic Power Projections
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Csurgai, Gyula and Hieronymi, Otto, editor
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- 2009
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18. Sarcopenia Is Associated with Mortality in Adults: A Systematic Review and Meta-Analysis
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Kiriakos Ktoris, Jane Xu, Esmee M. Reijnierse, Ching S Wan, and Andrea B. Maier
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Gerontology ,Aging ,education.field_of_study ,business.industry ,Population ,Hazard ratio ,MEDLINE ,Odds ratio ,International working group ,musculoskeletal system ,medicine.disease ,mortality ,sarcopenia ,body regions ,muscular atrophy ,Sarcopenia ,Meta-analysis ,Risk of mortality ,Medicine ,population groups ,Geriatrics and Gerontology ,business ,education ,human activities - Abstract
Background: Sarcopenia can predispose individuals to falls, fractures, hospitalization, and mortality. The prevalence of sarcopenia depends on the population studied and the definition used for the diagnosis. Objective: This systematic review and meta-analysis aimed to investigate the association between sarcopenia and mortality and if it is dependent on the population and sarcopenia definition. Methods: A systematic search was conducted in MEDLINE, EMBASE, and Cochrane from 1 January 2010 to 6 April 2020 for articles relating to sarcopenia and mortality. Articles were included if they met the following criteria – cohorts with a mean or median age ≥18 years and either of the following sarcopenia definitions: Asian Working Group for Sarcopenia (AWGS and AWGS2019), European Working Group on Sarcopenia in Older People (EWGSOP and EWGSOP2), Foundation for the National Institutes of Health (FNIH), International Working Group for Sarcopenia (IWGS), or Sarcopenia Definition and Outcomes Consortium (SDOC). Hazard ratios (HR) and odds ratios (OR) were pooled separately in meta-analyses using a random-effects model, stratified by population (community-dwelling adults, outpatients, inpatients, and nursing home residents). Subgroup analyses were performed for sarcopenia definition and follow-up period. Results: Out of 3,025 articles, 57 articles were included in the systematic review and 56 in the meta-analysis (42,108 participants, mean age of 49.4 ± 11.7 to 86.6 ± 1.0 years, 40.3% females). Overall, sarcopenia was associated with a significantly higher risk of mortality (HR: 2.00 [95% CI: 1.71, 2.34]; OR: 2.35 [95% CI: 1.64, 3.37]), which was independent of population, sarcopenia definition, and follow-up period in subgroup analyses. Conclusions: Sarcopenia is associated with a significantly higher risk of mortality, independent of population and sarcopenia definition, which highlights the need for screening and early diagnosis in all populations.
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- 2021
19. Validation of the international working group proposal for SF3B1 mutant myelodysplastic syndromes
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Andrew T. Kuykendall, David A. Sallman, Rami S. Komrokji, Najla Al Ali, David M Swoboda, Eric Padron, Onyee Chan, and Virginia O. Volpe
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Male ,Immunology ,Mutant ,MEDLINE ,Computational biology ,Biochemistry ,Cohort Studies ,hemic and lymphatic diseases ,medicine ,Humans ,Aged ,business.industry ,Myelodysplastic syndromes ,Basic Local Alignment Search Tool ,Cell Biology ,Hematology ,International working group ,Phosphoproteins ,Prognosis ,medicine.disease ,Survival Analysis ,Myelodysplastic Syndromes ,Mutation ,Mutation (genetic algorithm) ,Female ,RNA Splicing Factors ,business - Abstract
Komrokji et al examined the proposed international working group proposal to designate SF3B1-mutant myelodysplastic syndrome (MDS) as a unique disease entity, using a single-institution validation cohort of 1779 MDS patients, of whom 320 harbored SF3B1 mutations. They confirmed the demographics of older age, low-risk disease, ring sideroblasts, and low blast percentage. They further confirmed better overall survival that is negatively impacted in those patients with concomitant mutations, high variant allele fraction, and increased blast percentage.
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- 2021
20. Surgical management of the acute severely infected diabetic foot – The ‘infected diabetic foot attack’. An instructional review
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Ines L.H. Reichert and Raju Ahluwalia
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030222 orthopedics ,medicine.medical_specialty ,Debridement ,business.industry ,medicine.medical_treatment ,Osteomyelitis ,Soft tissue ,Acute infection ,International working group ,medicine.disease ,Diabetic foot ,Article ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,Chronic osteomyelitis ,Diabetes mellitus ,medicine ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,business - Abstract
Diabetic Foot Infection (DFI), in its severest form the acute infected ‘diabetic foot attack’, is a limb and life threatening condition if untreated. Acute infection may lead to tissue necrosis and rapid spread through tissue planes, in the patient with poorly controlled diabetes facilitated by the host status. A combination of soft tissue infection and osteomyelitis may co-exist, in particular if chronic osteomyelitis serves as a persistent source for recurrence of soft tissue infection. This “diabetic foot attack” is characterised by acutely spreading infection and substantial soft tissue necrosis. In the presence of ulceration, the condition is classified by the Infectious Diseases Society of America/International Working Group on the Diabetic Foot (IDSA/IWGDF Class 3 or 4) presentation requiring an urgent surgical intervention by radical debridement of the infection. Thus, ‘time is tissue’, referring to tissue salvage and maximal limb preservation. Emergent treatment is important for limb salvage and may be life-saving. We provide a narrative current treatment practices in managing severe DFI with severe soft tissue and osseous infection. We address the role of surgery and its adjuvants, the long term outcomes, potential complications and possible future treatment strategies.
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- 2021
21. Efficacy and safety of ruxolitinib in patients with myelofibrosis: a retrospective and multicenter experience in Turkey
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Filiz Vural, Melda Cömert Özkan, Emin Kaya, Mehmet Sönmez, Mehmet Turgut, İrfan YavaŞoĞlu, Idris Ince, Birol Guvenc, Mahmut Töbü, İsmet Aydoğdu, Güray Saydam, Gülsüm Özet, Volkan Karakuş, Fusun Gediz, Cem Kis, Nur Soyer, İbrahim C. Haznedaroğlu, Alİ Pİr, Gül İlhan, Rıdvan Ali, MÜzeyyen Aslaner, Gökhan Özgür, Fahri Şahin, Asu Fergun Yilmaz, Funda Ceran, Isabel Raika Durusoy Onmuş, OMÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, and Turgut, Mehmet
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Male ,medicine.medical_specialty ,Ruxolitinib ,Turkey ,ruxolitinib ,Constitutional symptoms ,Myelofibrosis ,myelofibrosis ,World-Health-Organization ,survival ,Gastroenterology ,Article ,Median follow-up ,General & Internal Medicine ,Internal medicine ,Diagnosis ,Nitriles ,medicine ,Overall survival ,Humans ,In patient ,Available Therapy ,Adverse effect ,International Working Group ,Retrospective Studies ,treatment ,business.industry ,General Medicine ,Comfort-Ii ,Classification ,medicine.disease ,adverse events ,Clinical Practice ,Pyrimidines ,Myeloid Neoplasms ,Primary Myelofibrosis ,Japanese Patients ,Pyrazoles ,Myeloproliferative Neoplasms ,Female ,Open-Label ,business ,medicine.drug - Abstract
Tam Metin / Full Text Q4 SCI-Expanded WOS:000668244900016 PMID: 33315343 The aim of this study is to assess the efficacy and safety of ruxolitinib in patients with myelofibrosis. Materials and methods: From 15 centers, 176 patients (53.4% male, 46.6% female) were retrospectively evaluated. Results: The median age at ruxolitinib initiation was 62 (28–87) and 100 (56.8%) of all were diagnosed as PMF. Constitutional symptoms were observed in 84.7%. The median initiation dose of ruxolitinib was 30 mg (10–40). Dose change was made in 69 (39.2%) patients. Forty seven (35.6%) and 20 (15.2%) of 132 patients had hematological and nonhematological adverse events, respectively. The mean spleen sizes before and after ruxolitinib treatment were 219.67 ± 46.79 mm versus 199.49 ± 40.95 mm, respectively (p < 0.001). There was no correlation between baseline features and subsequent spleen response. Overall survival at 1-year was 89.5% and the median follow up was 10 (1–55) months. We could not show any relationship between survival and reduction in spleen size (p = 0.73). Conclusion: We found ruxolitinib to be safe, well tolerated, and effective in real-life clinical practice in Turkey. Ruxolitinib dose titration can provide better responses in terms of not only clinical benefit but also for long term of ruxolitinib treatment
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- 2021
22. A 9-Year Comparison of Dementia Prevalence in Korea: Results of NaSDEK 2008 and 2017
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Kyung Won Park, You Joung Kim, Shin Gyeom Kim, Jong Il Park, Sang Joon Son, Seung Wan Suh, Jin Hyeong Jhoo, Ji Won Han, Seok Woo Moon, Maeng Je Cho, Joon Hyuk Park, Byung-Soo Kim, Dong Woo Lee, Moon Doo Kim, Kiwon Kim, Seong Jin Cho, Chang-Uk Lee, Kyung Phil Kwak, Jeong Lan Kim, Seungho Ryu, Tae Hui Kim, Il-Seon Shin, Ji-Yeong Seo, Hyun Ghang Jeong, Bong Jo Kim, Kang Joon Lee, Dong Young Lee, Jae Nam Bae, Sung Man Chang, Ki Woong Kim, Nam Jin Lee, Young Min Choe, Su Jeong Seong, and Seok Bum Lee
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Male ,Pediatrics ,medicine.medical_specialty ,Population ,Disease ,03 medical and health sciences ,0302 clinical medicine ,Alzheimer Disease ,Republic of Korea ,mental disorders ,Epidemiology ,Prevalence ,medicine ,Humans ,Dementia ,Cognitive Dysfunction ,030212 general & internal medicine ,education ,Vascular dementia ,Aged ,Aged, 80 and over ,education.field_of_study ,business.industry ,General Neuroscience ,General Medicine ,Odds ratio ,International working group ,medicine.disease ,Confidence interval ,Psychiatry and Mental health ,Clinical Psychology ,Disease Progression ,Female ,Geriatrics and Gerontology ,business ,030217 neurology & neurosurgery - Abstract
Background: In many high-income Western countries, the prevalence of dementia had been reduced over the past decades. Objective: We investigated whether the prevalence of all-cause dementia, Alzheimer’s disease, vascular dementia, and mild cognitive impairment (MCI) had changed in Korea from 2008 to 2017. Methods: Nationwide Survey on Dementia Epidemiology of Korea (NaSDEK) in 2008 and 2017 was conducted on representative elderly populations that were randomly sampled across South Korea. Both surveys employed a two-stage design (screening and diagnostic phases) and diagnosed dementia and MCI according to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders and the consensus criteria from the International Working Group, respectively. The numbers of participants aged 65 years or older in the screening and diagnostic phases were 6,141 and 1,673 in the NaSDEK 2008 and 2,972 and 474 in the NaSDEK 2017, respectively. Results: The age- and sex-standardized prevalence of all-cause dementia and Alzheimer’s disease showed nonsignificant decrease (12.3% to 9.8%, odds ratio [OR] = 0.89, 95% confidence interval [CI] = 0.54–1.48 for all-cause dementia; 7.6% to 6.8%, OR [95% CI] = 0.91 [0.58–1.42] for Alzheimer’s disease). Vascular dementia decreased in the young-old population aged less than 75 years (2.7% to 0.001%, OR [95% CI] = 0.04 [0.01–0.15]) and in women (1.9% to 0.5%, OR [95% CI] = 0.27 [0.10–0.72]) while MCI remained stable (25.3% to 26.2%, OR [95% CI] = 1.08 [0.67–1.73]). Conclusion: We found that the prevalence of dementia in Korea showed a nonsignificant decrease between 2008 and 2017.
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- 2021
23. Pathologic Spectrum and Molecular Landscape of Myeloid Disorders Harboring SF3B1 Mutations
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Mechelle A Miller, Kaaren K. Reichard, Mark R. Litzow, Phuong L. Nguyen, James D. Hoyer, Elise R. Venable, Kurt R Bessonen, Constance P Chen, Aref Al-Kali, David S. Viswanatha, Dong Chen, Simon D Althoff, Jennifer L. Oliveira, Kebede H. Begna, Mrinal M. Patnaik, Rong He, and Dana J Roh
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0301 basic medicine ,Oncology ,Adult ,Male ,medicine.medical_specialty ,Multivariate analysis ,Myeloid ,medicine.disease_cause ,Myeloid disorders ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,hemic and lymphatic diseases ,Medicine ,Humans ,Aged ,Retrospective Studies ,Aged, 80 and over ,Mutation ,business.industry ,Myelodysplastic syndromes ,SF3B1 ,Clinical course ,General Medicine ,Original Articles ,International working group ,Middle Aged ,medicine.disease ,Phosphoproteins ,Prognosis ,030104 developmental biology ,medicine.anatomical_structure ,International Prognostic Scoring System ,030220 oncology & carcinogenesis ,Myelodysplastic Syndromes ,Next-generation sequencing ,Female ,RNA Splicing Factors ,Transcription factor ,business ,Myelodysplastic syndrome ,AcademicSubjects/MED00690 ,Cohort study - Abstract
Objectives SF3B1 mutations are the most common mutations in myelodysplastic syndromes (MDS). The International Working Group for the Prognosis of MDS (IWG-PM) recently proposed SF3B1-mutant MDS (SF3B1-mut-MDS) as a distinct disease subtype. We evaluated the spectrum and molecular landscape of SF3B1-mutated myeloid disorders and assessed the prognostication in MDS harboring SF3B1 mutations (MDS-SF3B1). Methods Cases were selected by retrospective review. Clinical course and laboratory and clinical findings were collected by chart review. SF3B1-mut-MDS was classified following IWG-PM criteria. Results SF3B1 mutations were identified in 75 of 955 patients, encompassing a full spectrum of myeloid disorders. In MDS-SF3B1, Revised International Prognostic Scoring System (IPSS-R) score greater than 3 and transcription factor (TF) comutations were adverse prognostic markers by both univariate and multivariate analyses. We confirmed the favorable outcome of IWG-PM-defined SF3B1-mut-MDS. Interestingly, it did not show sharp prognostic differentiation within MDS-SF3B1. Conclusions SF3B1 mutations occur in the full spectrum of myeloid disorders. We independently validated the favorable prognostication of IWG-PM-defined SF3B1-mut-MDS. However it may not provide sharp prognostication within MDS-SF3B1 where IPSS-R and TF comutations were prognostic-informative. Larger cohort studies are warranted to verify these findings and refine MDS-SF3B1 prognostication.
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- 2021
24. Diabetic Foot
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Arnold, Wolfgang, editor, Ganzer, Uwe, editor, Liapis, Christos D., editor, Balzer, Klaus, editor, Benedetti-Valentini, Fabrizio, editor, and Fernandes e Fernandes, José, editor
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- 2007
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25. Overall survival in the SIMPLIFY-1 and SIMPLIFY-2 phase 3 trials of momelotinib in patients with myelofibrosis
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Ruben Mesa, Claire Harrison, Stephen T. Oh, Aaron T. Gerds, Vikas Gupta, John Catalano, Francisco Cervantes, Timothy Devos, Marek Hus, Jean-Jacques Kiladjian, Ewa Lech-Maranda, Donal McLornan, Alessandro M. Vannucchi, Uwe Platzbecker, Mei Huang, Bryan Strouse, Barbara Klencke, and Srdan Verstovsek
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Cancer Research ,OUTCOMES ,Science & Technology ,INTERNATIONAL WORKING GROUP ,IMPACT ,Anemia ,Hematology ,Janus Kinase 2 ,DISEASE ,HEPCIDIN ,Pyrimidines ,Oncology ,Primary Myelofibrosis ,AVAILABLE THERAPY ,Benzamides ,Nitriles ,Humans ,Janus Kinase Inhibitors ,RUXOLITINIB ,ANEMIA ,Protein Kinase Inhibitors ,Life Sciences & Biomedicine ,Retrospective Studies - Abstract
Janus kinase inhibitors (JAKi) approved for myelofibrosis provide spleen and symptom improvements but do not address anemia, a negative prognostic factor. Momelotinib, an inhibitor of ACVR1/ALK2, JAK1 and JAK2, demonstrated activity against anemia, symptoms, and splenomegaly in the phase 3 SIMPLIFY trials. Here, we report mature overall survival (OS) and leukemia-free survival (LFS) from both studies, and retrospective analyses of baseline characteristics and efficacy endpoints for OS associations. Survival distributions were similar between JAKi-naïve patients randomized to momelotinib, or ruxolitinib then momelotinib, in SIMPLIFY-1 (OS HR = 1.02 [0.73, 1.43]; LFS HR = 1.08 [0.78, 1.50]). Two-year OS and LFS were 81.6% and 80.7% with momelotinib and 80.6% and 79.3% with ruxolitinib then momelotinib. In ruxolitinib-exposed patients in SIMPLIFY-2, two-year OS and LFS were 65.8% and 64.2% with momelotinib and 61.2% and 59.7% with best available therapy then momelotinib (OS HR = 0.98 [0.59, 1.62]; LFS HR = 0.97 [0.59, 1.60]). Baseline transfusion independence (TI) was associated with improved survival in both studies (SIMPLIFY-1 HR = 0.474, p = 0.0001; SIMPLIFY-2 HR = 0.226, p = 0.0005). Week 24 TI response in JAKi-naïve, momelotinib-randomized patients was associated with improved OS in univariate (HR = 0.323; p p
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- 2022
26. Approaches to Preimplantation Genetic Diagnosis
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Verlinsky, Yury and Kuliev, Anver
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- 2005
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27. Scientific and Regulatory Policy Committee Best Practices: Documentation of Sexual Maturity by Microscopic Evaluation in Nonclinical Safety Studies
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Michael S. Thibodeau, Manoj Bhaskaran, Aleksandra Zalewska, Balasubramanian Manickam, Justin D. Vidal, Jonathan Werner, Wendy G. Halpern, Karyn Colman, Sean McKeag, Benjamin Sefing, Darren Fegley, Karen S. Regan, Binod Jacob, Eveline de Rijk, Vimala Vemireddi, George A. Parker, and Hitoshi Kandori
- Subjects
Male ,040301 veterinary sciences ,Best practice ,Documentation ,Toxicology ,Pathology and Forensic Medicine ,0403 veterinary science ,03 medical and health sciences ,Toxicity Tests ,Animals ,Humans ,Sexual maturity ,Molecular Biology ,030304 developmental biology ,0303 health sciences ,Potential risk ,Nonclinical safety ,04 agricultural and veterinary sciences ,Cell Biology ,Regulatory policy ,International working group ,Test (assessment) ,Pathologists ,Policy ,Research Design ,Female ,Psychology ,Clinical psychology - Abstract
The sexual maturity status of animals in nonclinical safety studies can have a significant impact on the microscopic assessment of the reproductive system, the interpretation of potential test article–related findings, and ultimately the assessment of potential risk to humans. However, the assessment and documentation of sexual maturity for animals in nonclinical safety studies is not conducted in a consistent manner across the pharmaceutical and chemical industries. The Scientific and Regulatory Policy Committee of the Society of Toxicologic Pathology convened an international working group of pathologists and nonclinical safety scientists with expertise in the reproductive system, pathology nomenclature, and Standard for Exchange of Nonclinical Data requirements. This article describes the best practices for documentation of the light microscopic assessment of sexual maturity in males and females for both rodent and nonrodent nonclinical safety studies. In addition, a review of the microscopic features of the immature, peripubertal, and mature male and female reproductive system and general considerations for study types and reporting are provided to aid the study pathologist tasked with documentation of sexual maturity.
- Published
- 2021
28. How German Companies Employ Knowledge Management. An OECD Survey on Usage, Motivations and Effects
- Author
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Edler, Jakob, Mertins, Kai, editor, Heisig, Peter, editor, and Vorbeck, Jens, editor
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- 2003
- Full Text
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29. Location Information Privacy
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Cuellar, Jorge R and Sarikaya, Behcet, editor
- Published
- 2002
- Full Text
- View/download PDF
30. Validation of International Working Group response criteria in higher‐risk myelodysplastic syndromes: A report on behalf of the MDS Clinical Research Consortium
- Author
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John Barnard, Najla Al Ali, Amy E. DeZern, Mikkael A. Sekeres, Eric Padron, Guillermo Garcia-Manero, Alan F. List, Gail J. Roboz, Rami S. Komrokji, David P. Steensma, and David A. Sallman
- Subjects
Male ,0301 basic medicine ,Oncology ,Cancer Research ,medicine.medical_specialty ,response criteria ,lcsh:RC254-282 ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Response criteria ,Response Evaluation Criteria in Solid Tumors ,high‐risk disease ,Original Research ,Aged ,Retrospective Studies ,Surrogate endpoint ,business.industry ,international working group ,Myelodysplastic syndromes ,Remission Induction ,Hematopoietic Stem Cell Transplantation ,Clinical Cancer Research ,International working group ,medicine.disease ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Combined Modality Therapy ,myelodysplastic syndromes ,Survival Rate ,030104 developmental biology ,Clinical research ,Hypomethylating agent ,030220 oncology & carcinogenesis ,Cohort ,Female ,business ,Progressive disease ,Follow-Up Studies - Abstract
The utility of the International Working Group (IWG) 2006 response criteria for myelodysplastic syndromes (MDS) as a surrogate endpoint for outcomes is unclear. We assessed the validity of the IWG 2006 response criteria in a large cohort of higher‐risk MDS patients (pts) treated at centers from the MDS Clinical Research Consortium. The best overall response rate (ORR) by IWG 2006 criteria to first‐line therapy among 597 evaluable pts was 38% and include complete response (CR) 16%, marrow CR (mCR) 2%, partial response (PR) 10%, hematological improvement (HI) 10%, stable disease (SD) 33%, and progressive disease (PD) 24%. CR was associated with a better overall survival (OS) compared to all other response groups (P, In higher risk MDS patients responses associated with restoration of effective hematopoiesis namely complete remission (CR) are associated with better outcomes.Marrow CR without hematological improvement outside context of allogeneic hematopoietic stem cell transplant should not be included in response criteria assessing new therapeutic agents in MDS.
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- 2021
31. Dementia: Trial Design and Experience with Large Multicentre Trials
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Harvey, R. J., Rossor, M. N., and Guiloff, Roberto J., editor
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- 2001
- Full Text
- View/download PDF
32. Outcome Variables in Dementia Trials: Conceptual and Practical Issues
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Lawrence, A. D., Sahakian, B. J., and Guiloff, Roberto J., editor
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- 2001
- Full Text
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33. Comparison of Agreement between Several Diagnostic Criteria of Sarcopenia in Community-Dwelling Older Adults
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Natalia Sosowska, Tomasz Kostka, Agnieszka Guligowska, Bartlomiej Soltysik, and Małgorzata Pigłowska
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Gerontology ,Sarcopenia ,Physical function ,Muscle mass ,03 medical and health sciences ,0302 clinical medicine ,McNemar's test ,medicine ,Prevalence ,Humans ,030212 general & internal medicine ,Muscle Strength ,Medical diagnosis ,Aged ,Aged, 80 and over ,Hand Strength ,business.industry ,Diagnostic algorithms ,General Medicine ,International working group ,musculoskeletal system ,medicine.disease ,Walking Speed ,Cross-Sectional Studies ,Independent Living ,business ,human activities ,030217 neurology & neurosurgery ,Kappa - Abstract
Purpose: Several diagnostic algorithms exist to detect sarcopenia in older adults. We compared the prevalence of sarcopenia according to the selected diagnostic algorithms. Methods: This cross-sectional study compared the European Working Group of Sarcopenia in Older People (EWGSOP) 2010, updated EWGSOP 2019, the Foundation for National Institutes of Health (FNIH) and the International Working Group on Sarcopenia (IWGS) criteria in 778 outpatients of the Geriatric Clinic aged 60 to 89 years. Bioimpedance analysis (BIA) to estimate muscle mass, hand-held hydraulic dynamometer to measure muscle strength, the TUG test and gait speed to assess physical function were used. Results: The prevalence of sarcopenia varied from 0% to 6.43% depending on the algorithm. For the majority of associations between the different definitions of sarcopenia the agreement was null or fair (Cohen’s kappa between 0.2 and 0.4). Moderate agreement (Cohen’s kappa between 0.4 and 0.6) was found for only three relationships. Nevertheless, for these three relationships, McNemar’s test has given different results, indicating that even in the moderately agreeing algorithms, the shared diagnoses of sarcopenia concerned only part of subjects. Conclusions: According to diagnostic algorithms the prevalence of sarcopenia is low in independent community-dwelling older adults. The agreement between the different definitions is poor.
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- 2022
34. Excursion: Sovereign Wealth Funds
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Mäntysaari, Petri and Mäntysaari, Petri
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- 2010
- Full Text
- View/download PDF
35. Calcium Binding to Extracellular Matrix Proteins, Functional and Pathological Effects
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Koch, Alexander W., Engel, Jürgen, Maurer, Patrik, Pochet, Roland, editor, Donato, Rosario, editor, Haiech, Jacques, editor, Heizmann, Claus, editor, and Gerke, Volker, editor
- Published
- 2000
- Full Text
- View/download PDF
36. Standardizing care to manage bleeding disorders in adolescents with heavy menses—A joint project from the ISTH pediatric/neonatal and women's health SSCs
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Susan Halimeh, Ayesha Zia, Emily Dao, Shoshana Revel-Vilk, Rezan A. Kadir, Michelle Lavin, Peter A. Kouides, Dvora Bauman, Dmitry Khodyakov, Rochelle Winikoff, and Maha Othman
- Subjects
medicine.medical_specialty ,Adolescent ,030204 cardiovascular system & hematology ,Hemorrhagic Disorders ,03 medical and health sciences ,Adolescent medicine ,0302 clinical medicine ,medicine ,Humans ,Child ,skin and connective tissue diseases ,Menorrhagia ,business.industry ,Infant, Newborn ,Hematology ,Hemostatic Disorders ,Blood Coagulation Disorders ,International working group ,Additional research ,Menstrual bleeding ,Family medicine ,Scale (social sciences) ,Women's Health ,Female ,business ,human activities ,Adolescent health - Abstract
Background Bleeding disorders (BD) are under-recognized in adolescents with heavy menstrual bleeding (HMB). Objectives The lack of clinical guidelines and variable symptomatic management of HMB created the imperative to standardize HMB care to identify and manage BD in adolescents. Methods We convened an international working group (WG), utilized the results of a literature review to define knowledge gaps in HMB care, and used the collective clinical experience of the WG to develop care considerations for adolescents with BD and HMB. We then solicited input on the appropriateness of HMB care considerations from expert stakeholders representing hematology, adolescent medicine, and obstetrics-gynecology. We conducted an expert panel online, using the ExpertLens platform. During a 3-round online modified-Delphi process, the expert panel rated the appropriateness of 21 care considerations using a 9-point scale to designate care as appropriate (7-9), uncertain (4-6), or inappropriate (1-3) covering screening for BD, the laboratory work-up, and management of adolescents with BD that present with HMB. We used the RAND/UCLA appropriateness method to determine the existence of consensus among the interdisciplinary panel of experts. Results Thirty-nine experts participated in the panel. The experts rated fifteen HMB care considerations as appropriate, six as uncertain, and none as inappropriate. Conclusions The HMB care statements represent the first set of HMB care considerations in adolescents with BD, developed with broad expert input on appropriateness. Although likely to be of interest to a range of clinicians who routinely manage adolescents with HMB, additional research is required in many key areas.
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- 2020
37. Investigation of perioperative hypersensitivity reactions: an update
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Birgitte Louise Bech Melchiors and Lene H. Garvey
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medicine.medical_specialty ,Clinical immunology ,business.industry ,Immunology ,MEDLINE ,Perioperative ,International working group ,Anesthesiology ,medicine ,Immunology and Allergy ,Position paper ,Allergists ,Intensive care medicine ,National audit ,business - Abstract
Purpose of review The purpose of this review is to provide an update on how best to manage the investigation of suspected perioperative hypersensitivity reactions based on recent literature and key publications. Recent findings In the past two years, several very important initiatives have been taken in the field of perioperative hypersensitivity. The 6th national audit project in the United Kingdom has provided new knowledge through a series of studies, including a nationwide prospective study, and the European Academy of Allergy and Clinical Immunology has commissioned a position paper with updated recommendations for investigations. Lastly, a large international working group comprising experts in anesthesiology, allergology, and immunology, the International Suspected Perioperative Allergic Reactions group, has published a series of articles providing updates and new insights into several different key areas of perioperative hypersensitivity. Summary The investigation of perioperative hypersensitivity reactions is highly complex and aims to identify the correct culprit to ensure future avoidance but also to disprove allergy to other suspected culprits, making them available for subsequent anesthesia. To achieve this, close collaboration between anesthesiologists and allergists is called upon to ensure the best possible outcome for the patient.
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- 2020
38. Sarcopenia Prevalence Using Different Definitions in Older Community-Dwelling Canadians
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Sarah A. Purcell, Thiago G Barbosa-Silva, M. Ye, Mario Siervo, Carla M. Prado, O. V. Olobatuyi, Michelle L. Mackenzie, Sunita Ghosh, and Isabelle J. Dionne
- Subjects
Male ,Canada ,Sarcopenia ,Longitudinal study ,030309 nutrition & dietetics ,Medicine (miscellaneous) ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Prevalence ,Humans ,Medicine ,030212 general & internal medicine ,Aged ,Aged, 80 and over ,0303 health sciences ,Nutrition and Dietetics ,business.industry ,Middle Aged ,International working group ,musculoskeletal system ,medicine.disease ,Gait speed ,Physical performance ,Lean body mass ,Female ,Independent Living ,Geriatrics and Gerontology ,business ,Older people ,human activities ,Demography ,Cohort study - Abstract
Sarcopenia is a debilitating condition affecting millions of individuals worldwide and is defined with different criteria. The objective of this study was to determine the prevalence of sarcopenia in older Canadians using three internationally accepted criteria. Observational cohort study. Data from 12,592 subjects [6,314 males (50.1%), 6,278 females (49.9%)] ≥65 years old in the Canadian Longitudinal Study on Aging were included. Measurements: Appendicular lean mass (ALM; kg) and appendicular lean mass index (ALM kg/height in m2) were collected from dual X-ray absorptiometry measurements. Physical performance was assessed using the 4-m gait speed test, and muscle strength was measured by hand dynamometry. Sarcopenia was defined according to criteria put forth by the International Working Group on Sarcopenia (IWGS), Foundation for the National Institutes of Health (FNIH) Sarcopenia Project, and revised European Working Group on Sarcopenia in Older People (EWGSOP). Positive and negative percent agreements and Cohen’s kappa (κ) described the agreement among sarcopenia definitions. Among the evaluated criteria, gait speed ≤ 1.0 m/s (IWGS definition of slowness) was the most frequently identified deficit (56.8% males, 57.2% females). The prevalence of sarcopenia ranged from 1.4 to 5.2% in males and 1.6 to 7.2 % in females among the different definitions. Positive percent agreement values among criteria were generally low (range: 1.5–55.3%) and corresponded to κ indicating none to minimal agreement (0.01–0.23). Negative percent agreement values were ≥ 95%. Sarcopenia prevalence was relatively low in older Canadian adults and current definitions had poor agreement in diagnosing individuals as sarcopenic.
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- 2020
39. THE FREQUENCY OF SARCOPENIA IN OLDER AGE GROUPS: EVALUATION OF DIAGNOSTIC CRITERIA
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Yu. A. Safonova and E. G. Zotkin
- Subjects
medicine.medical_specialty ,elderly age ,Immunology ,Population ,Short Physical Performance Battery ,skeletal muscle function ,Diseases of the musculoskeletal system ,Muscle mass ,sarcopenia ,Low muscle mass ,Rheumatology ,medicine ,Immunology and Allergy ,In patient ,education ,education.field_of_study ,business.industry ,International working group ,musculoskeletal system ,medicine.disease ,muscle mass ,RC925-935 ,Sarcopenia ,muscle strength ,Muscle strength ,Physical therapy ,business ,human activities - Abstract
The prevalence of sarcopenia in different countries of the world has been well studied. However, the criteria of different international professional groups are used to diagnose the disease, which leads to large variability in data on the frequency of sarcopenia in the population. The paper presents the results of studying the frequency of sarcopenia, by using the diagnostic criteria of different working groups. The measures characterizing muscle strength and skeletal muscle function were analyzed; the components that are most important for the diagnosis of sarcopenia were identified in the studied patient group. Objective: to determine the detection rates of sarcopenia among people aged over 65 years in accordance with the guidelines of different international professional groups and to identify the most significant component for its diagnosis. Subjects and methods. The investigation enrolled 230 people older than 65 years (mean age, 74.0±6.5 years) who were followed up in an outpatient setting. Sarcopenia was diagnosed according to the 2010 European Working Group on Sarcopenia in Older People (EWGSOP) criteria. To confirm its diagnosis, the appendicular muscle mass index (AMMI) was calculated using dual-energy X-ray absorptiometry (DXA) on a HOLOGIC QDR Explorer; muscle strength was measured with a Jamar-J00105 handheld dynamometer (Sammons Preston Inc., USA). Muscle function was also examined using the short physical performance battery (SPPB). The frequency of sarcopenia diagnosed by the criteria of the International Working Group on Sarcopenia (IWGS), the Foundation for the National Institutes of Health (FNIH), and EWGSOP were comparatively analyzed. Results and discussion. The frequency of sarcopenia in the sample of people aged over 65 years was the same when using the diagnostic EWGSOP and IWGS criteria (30%) and was significantly higher than when applying the FNIN criteria (19.8%). The frequency of sarcopenia increased from 21.4% at the age of 65–74 years to 52.9% at the age of over 85 years according to the EWGSOP and IWGS criteria and from 16.2% to 29.4%, respectively, by the FNIN criteria. Dynamometry showed that the muscle strength was significantly lower in patients with low muscle mass than in those with normal muscle mass (the average mass was 15.1±5.4 and 18.2±5.4 kg, respectively; p
- Published
- 2020
40. Acute exacerbations of idiopathic pulmonary fibrosis (AE-IPF): an overview of current and future therapeutic strategies
- Author
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Elisabetta Cocconcelli, Davide Biondini, Nicol Bernardinello, Paolo Spagnolo, Elisabetta Balestro, Christopher J. Ryerson, and Nicola Sverzellati
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Poor prognosis ,Disease ,03 medical and health sciences ,Idiopathic pulmonary fibrosis ,0302 clinical medicine ,Humans ,Immunology and Allergy ,Medicine ,Clinical significance ,030212 general & internal medicine ,Intensive care medicine ,Idiopathic interstitial pneumonia ,treatment ,business.industry ,Public Health, Environmental and Occupational Health ,Clinical course ,respiratory system ,International working group ,medicine.disease ,Acute exacerbation ,idiopathic pulmonary fibrosis ,Idiopathic Pulmonary Fibrosis ,humanities ,respiratory tract diseases ,030228 respiratory system ,Etiology ,business - Abstract
Introduction: Idiopathic pulmonary fibrosis (IPF), the most common of the idiopathic interstitial pneumonias, is a disease with a poor prognosis, and a highly heterogeneous and unpredictable clinical course. While most patients experience a relatively slow clinical, functional and radiological deterioration, a significant minority develops episodes of acute respiratory worsening termed acute exacerbations of IPF (AE-IPF). AE-IPF cannot be predicted or prevented and precede approximately half of IPF-related deaths. An international working group has recently proposed new diagnostic criteria and definition of AE-IPF.Areas covered: Despite their clinical significance, the optimal treatment of AE-IPF remains undetermined. In this review, we discuss the huge unmet need for an improved understanding of AE-IPF, with emphasis on current and potential therapeutic strategies.Expert opinion: The recently revised definition and diagnostic criteria of AE-IPF will facilitate future research into the etiology, pathobiology and clinical management of these life-threatening events. Efforts should be made to identify patients at higher risk for AE-IPF and detect early signs of these events. Potential treatment options should be studied in randomized, controlled trials. To this end, the importance of international collaborations cannot be overemphasized.
- Published
- 2020
41. An International Collaborative Study on Surgical Education for Quality Improvement (ASSURED): A Project by the 2017 International Society of Surgery (ISS/SIC) Travel Scholars International Working Group
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Mariyah Anwer, Diem Nguyen Ngoc Le, Oluwaseun Ladipo-Ajayi, Andrew G. Hill, Michael G. Sarr, Bernardo Borraez-Segura, Francisco Schlottmann, and Anip Joshi
- Subjects
Quality management ,International Cooperation ,media_common.quotation_subject ,education ,Training (civil) ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Medicine ,Quality (business) ,Developing Countries ,Societies, Medical ,media_common ,Surgeons ,Medical education ,business.industry ,International working group ,Quality Improvement ,Surgical training ,General Surgery ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Surgery ,Surgical education ,Apprenticeship ,business - Abstract
There is a huge difference in the standard of surgical training in different countries around the world. The disparity is more obvious in the various models of surgical training in low- and middle-income countries (LMICs) compared to high-income countries. Although the global training model of surgeons is evolving from an apprenticeship model to a competency-based model with additional training using simulation, the training of surgeons in LMICs still lacks a standard pathway of training. This is a qualitative, descriptive, and collaborative study conducted in six LMICs across Asia, Africa, and South America. The data were collected on the status of surgical education in these countries as per the guidelines designed for the ASSURED project along with plans for quality improvement in surgical education in these countries. The training model in these selected LMICs appears to be a hybrid of the standard models of surgical training. The training models were tailored to the country’s need, but many fail to meet international standards. There are many areas identified that can be addressed in order to improve the quality of surgical education in these countries. Many areas need to be improved for a better quality of surgical training in LMICs. There is a need of financial, technical, and research support for the improvement in these models of surgical education in LMICs.
- Published
- 2020
42. 당뇨병성 발궤양 위험분류체계의 타당도 검증
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김묘성 ( Kim Myo Sung ) and 이은주 ( Lee Eun Joo )
- Subjects
Predictive validity ,medicine.medical_specialty ,Receiver operating characteristic ,business.industry ,Secondary data ,Type 2 diabetes ,International working group ,medicine.disease ,Diabetic foot ,Diabetic foot ulcer ,Internal medicine ,medicine ,Foot ulcers ,business - Abstract
Purpose: The aim of this study was to validate the predictive accuracy of three international risk classification systems for diabetic foot ulcer occurrence. Methods: A secondary data analysis was conducted. The data were collected from a case-control study that recruited 367 patients with Type 2 diabetes (118 with existing foot ulcers and 261 without foot ulcers). The risk of foot ulcer occurrence was classified in accordance with the American Diabetes Association (ADA), the International Working Group on the Diabetic Foot (IWGDF), and the Scottish Intercollegiate Guidelines Network (SIGN) risk classification systems. The predictive validity of the classification systems was calculated to evaluate the systems’ performance. Results: The ADA, IWGDF, and SIGN systems had area under the receiver operating curve (AUC) with values of .91, .90, and .80, respectively, and the predictive accuracy of each classification system was 73.4~84.7% for ADA, 74.4~85.5% for IWGDF, and 49.6~73.9% for SIGN, depending on the cut-off points. Conclusion: All of the three classification systems showed good predictive accuracy. Further studies are needed to select one that is most accurate and cost-effective
- Published
- 2020
43. International league of associations for rheumatology recommendations for the management of psoriatic arthritis in resource-poor settings
- Author
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Adewale Adebajo, Claudia Goldenstein-Schainberg, Melanie Anderson, Laura C. Coates, Alex G. Ortega-Loayza, Musaab Elmamoun, F Hernandez-Velasco, U Ima-Edomwonyi, T Narang, A Abogamal, L Vega-Espinoza, A Lima, Aman Sharma, Vinod Chandran, Girish M. Mody, J Medina-Rosas, Sueli Carneiro, Sergio Toloza, A Ajibade, A Maharaj, V. F. Azevedo, Wilson Bautista-Molano, M Eraso, O Vega-Hinojosa, Olusola Ayanlowo, Roberto Ranza, and Group, ILAR-PsA Recommendations
- Subjects
medicine.medical_specialty ,Dermatology ,League ,Psoriatic arthritis ,Resource (project management) ,Rheumatology ,Internal medicine ,Spondyloarthritis ,medicine ,Psoriasis ,Humans ,Developing Countries ,Resource poor ,business.industry ,Arthritis, Psoriatic ,General Medicine ,Guideline ,International working group ,medicine.disease ,Treatment ,Latin America ,Family medicine ,Africa ,Practice Guidelines as Topic ,Original Article ,business ,Rheumatism - Abstract
Background Psoriatic arthritis (PsA) is a challenging heterogeneous disease. The European League Against Rheumatism (EULAR) and the Group for Research and Assessment of Psoriasis and PsA (GRAPPA) last published their respective recommendations for the management of PsA in 2015. However, these guidelines are primarily based on studies conducted in resource replete countries and may not be applicable in countries in the Americas (except Canada and USA) and Africa. We sought to adapt the existing recommendations for these regions under the auspices of the International League of Associations for Rheumatology (ILAR). Process The ADAPTE Collaboration (2009) process for guideline adaptation was followed to adapt the EULAR and GRAPPA PsA treatment recommendations for the Americas and Africa. The process was conducted in three recommended phases: set-up phase; adaptation phase (defining health questions, assessing source recommendations, drafting report), and finalization phase (external review, aftercare planning, and final production). Result ILAR recommendations have been derived principally by adapting the GRAPPA recommendations, additionally, EULAR recommendations where appropriate and supplemented by expert opinion and literature from these regions. A paucity of data relevant to resource-poor settings was found in PsA management literature. Conclusion The ILAR Treatment Recommendations for PsA intends to serve as reference for the management of PsA in the Americas and Africa. This paper illustrates the experience of an international working group in adapting existing recommendations to a resource-poor setting. It highlights the need to conduct research on the management of PsA in these regions as data are currently lacking.Key Points• The paper presents adapted recommendations for the management of psoriatic arthritis in resource-poor settings.• The ADAPTE process was used to adapt existing GRAPPA and EULAR recommendations by collaboration with practicing clinicians from the Americas and Africa.• The evidence from resource-poor settings to answer clinically relevant questions was scant or non-existent; hence, a research agenda is proposed.
- Published
- 2020
44. COVID19 impact on women on both sides of the frontline: The American College of Cardiology Women in Cardiology Section’s International Working Group perspective
- Author
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Biljana Parapid, Manal Alasnag, Sharonne Hayes, Sondos Samargandy, Shrilla Banerjee, Mirvat Alasnag, Toniya Singh, and WIC ACC
- Subjects
sex differences ,medicine.medical_specialty ,2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,lcsh:Medicine ,02 engineering and technology ,Women Physicians ,5. Gender equality ,Internal medicine ,Pandemic ,Health care ,0202 electrical engineering, electronic engineering, information engineering ,Medicine ,women in cardiology ,business.industry ,pandemic ,Perspective (graphical) ,lcsh:R ,020206 networking & telecommunications ,General Medicine ,International working group ,3. Good health ,covid-19 ,Cardiology ,020201 artificial intelligence & image processing ,pregnancy ,business ,discrimination - Abstract
At the beginning of the SARS Co V2 (COVID-19) pandemic, women worldwide represented the majority of health care workers As part of the fight against the pandemic, women health care workers became a part of the significant frontline response This led to unique challenges that affected women physicians as well as the women patients they were taking care of The American College of Cardiology Women in Cardiology International Working Group set up a webinar to discuss the challenges being faced by women physicians and women patients in various parts of the world and look towards finding possible solutions for these issues in a webinar themed “WIC Global Perspectives: COVID-19 © 2020, Serbia Medical Society All rights reserved
- Published
- 2020
45. International Working Group for the Harmonization of Dementia Drug Guidelines: A Progress Report
- Author
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Whitehouse, Peter J., Giacobini, Ezio, editor, Becker, Robert, editor, Becker, Robert E., editor, Barton, Joyce M., editor, and Brown, Mona, editor
- Published
- 1997
- Full Text
- View/download PDF
46. NGMS — Next Generation Manufacturing Systems (IMS Project)
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Bunce, P., Limoges, R., Okabe, T., Kosanke, Kurt, editor, and Nell, James G., editor
- Published
- 1997
- Full Text
- View/download PDF
47. Meaningful response criteria for myelodysplastic syndromes
- Author
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Kelly J. Norsworthy, Steven Z. Pavletic, and Nina Kim
- Subjects
Blood Platelets ,medicine.medical_specialty ,Heterogeneous group ,business.industry ,Neutrophils ,Myelodysplastic syndromes ,Disease Management ,Hematology ,International working group ,medicine.disease ,Survival Analysis ,Clinical trial ,Treatment Outcome ,Erythroid Cells ,Myelodysplastic Syndromes ,medicine ,Quality of Life ,Humans ,Intensive care medicine ,business ,Response criteria ,Set (psychology) - Abstract
Standardizing response criteria for myelodysplastic syndromes (MDS), a clinically and biologically heterogeneous group of disorders, has been historically challenging. The International Working Group (IWG) response criteria, first proposed in 2000 and modified in 2006 and 2018, represent the best effort by a group of international experts to define a set of clinically meaningful end-points in MDS. These criteria have been adopted in many MDS clinical trials, allowing for comparisons of response across trials. However, clinical experience has also revealed some limitations of these criteria, and most of the end-points proposed by the IWG require further validation. In this review, we present a critical analysis of the current MDS response criteria from both a practical standpoint and based on currently available clinical trial data. Potential areas for improvement in the criteria are highlighted, which may be considered in future iterations of the response criteria.
- Published
- 2021
48. Rhizomania
- Author
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Asher, M. J. C., Cooke, D. A., editor, and Scott, R. K., editor
- Published
- 1993
- Full Text
- View/download PDF
49. Victims of Genocide
- Author
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Leiser, Burton M., Sank, Diane, editor, and Caplan, David I., editor
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- 1991
- Full Text
- View/download PDF
50. LLNL International Working Group on Gamma Spectrometry - Preparation of IDB Dataset
- Author
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J Dreyer
- Subjects
Engineering ,business.industry ,Library science ,International working group ,business ,Mass spectrometry - Published
- 2021
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