2,550 results on '"BARAN, A."'
Search Results
2. Effect of High-Risk Obstructive Sleep Apnea on Clinical Outcomes in Adults with Coronavirus Disease 2019: A Multicenter, Prospective, Observational Clinical Trial
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Yüksel Peker, Yeliz Celik, Semih Arbatli, Sacide Rana Isik, Baran Balcan, Ferhan Karataş, Fatma Işıl Uzel, Levent Tabak, Betül Çetin, Arzu Baygül, Ayşe Bilge Öztürk, Elif Altuğ, Sinem İliaz, Cetin Atasoy, Mahir Kapmaz, Duygu Yazici, Hasan Bayram, Birsen Durmaz Çetin, Benan Çağlayan, Önder Ergönül, Şiran Keske, Suda Tekin, Pelin İrkören, Mehmet Karaca, Bilgin Sait, Nahit Çakar, Evren Şentürk, Gülay Kır, Semra Ugur, Ayla Esin, Fatma Yurdakul, Boğaç Özserezli, İpek Erus, Zeynep Atçeken, Saide Aytekin, Gökhan Erdoğan, Nur Konyalilar, Özgecan Kayalar, Peker, Yüksel (ORCID 0000-0001-9067-6538 & YÖK ID 234103), Çelik, Yeliz, Arbatlı, Semih, Baygül, Arzu (ORCID 0000-0003-0392-6709 & YÖK ID 272290), Yazıcı, Duygu, Bayram, Hasan (ORCID 0000-0002-5236-766X & YÖK ID 4890), Karataş, Ferhan, Uzel, Fatma Işıl, İliaz, Sinem (ORCID & YÖK ID 168584), Tabak, Levent, Öztürk, Ayşe Bilge (ORCID 0000-0003-0166-424X & YÖK ID 147629), Atasoy, Kayhan Çetin (ORCID 0000-0002-2365-5224 & YÖK ID), Kapmaz, Mahir, Çetin, Birsen Durmaz (ORCID 0000-0002-0745-393X & YÖK ID 111719), Çağlayan, Benan Niku (ORCID 0000-0002-6131-157X & YÖK ID 230719), Işık, Sacide Rana, Balcan, Baran, Çetin, Betül, OSACOVID-19 Study Collaborators, Ertuğ, Elif, Koç University Research Center for Translational Medicine (KUTTAM) / Koç Üniversitesi Translasyonel Tıp Araştırma Merkezi (KUTTAM), Koç University Hospital, School of Medicine, and Graduate School of Health Sciences
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Adult ,Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Obstructive sleep apnea ,COVID-19 ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Interquartile range ,Internal medicine ,Intensive care ,medicine ,Humans ,030212 general & internal medicine ,obstructive sleep apnea ,Original Research ,intensive care ,Sleep Apnea, Obstructive ,SARS-CoV-2 ,business.industry ,Snoring ,Hazard ratio ,Odds ratio ,Middle Aged ,medicine.disease ,clinical outcomes ,respiratory tract diseases ,Clinical trial ,030228 respiratory system ,Cohort ,Medicine ,Female ,business ,hospitalization ,Cohort study - Abstract
Rationale: obstructive sleep apnea (OSA) may contribute to poor outcomes in adults with Coronavirus Disease 2019 (COVID-19). Objective: to determine the effect of OSA on clinical outcomes in patients with COVID-19. Methods: the current prospective observational study was conducted in three hospitals in Istanbul, Turkey from March 10 to June 22, 2020. The participants were categorized as modified high-risk (mHR), or low-risk (mLR)-OSA according to a modified version of the Berlin questionnaire. Snoring patterns (intensity and/or frequency), breathing pauses and morning/daytime sleepiness, without taking obesity and hypertension into account, were used in the regression models. Results: the primary outcome was clinical improvement defined as a decline of 2 categories from admission on a 7-category ordinal scale. Secondary outcomes included worsening (increase of 1 category), need for hospitalization, supplemental oxygen and intensive care. In total, 320 eligible patients were enrolled. According to the modified scoring, 70 (21.9%) had mHR-OSA. Among 242 patients requiring hospitalization, clinical improvement within 2 weeks occurred in 75.4 % of the mHR-OSA group compared to 88.4 % of the modified low-risk (mLR-OSA) group (P = 0.014). In multivariate regression analyses, mHR-OSA (adjusted OR 0.42; 95% CI 0.19-0.92) predicted the delayed clinical improvement. In the entire study population (n=320), mHR-OSA was associated with clinical worsening and need for supplemental oxygen. Snoring patterns, especially louder snoring, were significantly predicted delayed clinical improvement, worsening, need for hospitalization, supplemental oxygen, and intensive care. Conclusions: adults with mHR-OSA in our Covid-19 cohort had poorer clinical outcomes than those with mLR OSA independent of age, sex and comorbidities., NA
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- 2021
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3. The Crohn's disease exclusion diet for induction and maintenance of remission in adults with mild-to-moderate Crohn's disease (CDED-AD): an open-label, pilot, randomised trial
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Naomi Fliss-Isakov, Lee Abramas, Tomer Ziv-Baran, Nathaniel A. Cohen, Iris Dotan, Arie Levine, Yulia Ron, Tamar Pfeffer Gik, Eran Zittan, H Leibovitzh, Joram Wardi, Uri Kopylov, Hagar Banai Eran, Ayal Hirsch, Rotem Sigall Boneh, Barbara Raykhel, Henit Yanai, Nitsan Maharshak, and Idan Goren
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Adult ,Male ,medicine.medical_specialty ,Population ,Colonoscopy ,Pilot Projects ,Severity of Illness Index ,Endoscopy, Gastrointestinal ,law.invention ,Feces ,Young Adult ,Enteral Nutrition ,Crohn Disease ,Randomized controlled trial ,law ,Internal medicine ,Clinical endpoint ,medicine ,Humans ,education ,Adverse effect ,education.field_of_study ,Crohn's disease ,Hepatology ,medicine.diagnostic_test ,business.industry ,Remission Induction ,Gastroenterology ,medicine.disease ,Faecal calprotectin ,Intention to Treat Analysis ,C-Reactive Protein ,Treatment Outcome ,Parenteral nutrition ,Female ,business ,Leukocyte L1 Antigen Complex - Abstract
Summary Background The Crohn's disease exclusion diet (CDED) with partial enteral nutrition is effective for induction of remission in children with mild-to-moderate Crohn's disease. We aimed to assess the CDED in adults with Crohn's disease. Methods We did an open-label, pilot randomised trial at three medical centres in Israel. Eligible patients were biologic naive adults aged 18–55 years with mild-to-moderate Crohn's disease (defined by a Harvey–Bradshaw Index score of 5–14 points), a maximal disease duration of 5 years, with active disease on colonoscopy, or imaging with elevated inflammatory markers (C-reactive protein >5 mg/L or faecal calprotectin concentration >200 μ/g). Patients were randomly assigned (1:1) to CDED plus partial enteral nutrition or CDED alone for 24 weeks. Randomisation was via block randomisation (block sizes of six) using sealed, numbered, and opaque envelopes. Patients and investigators were aware of which group patients were assigned to due to the nature of the different interventions. The primary endpoint was clinical remission, defined as a Harvey–Bradshaw Index score of less than 5 at week 6. The primary endpoint was assessed in the intention-to-treat (ITT) population, which included all patients who used the dietary therapy for at least 48 h. We report results of the final analysis. This trial is registered with ClinicalTrials.gov , NCT02231814 . Findings Between Jan 12, 2017, and May 11, 2020, 91 patients were screened, of whom 44 were randomly assigned to the CDED plus partial enteral nutrition group (n=20) or CDED alone group (n=24). 19 patients in the CDED plus partial enteral nutrition group and 21 patients in the CDED alone group received the allocated intervention for at least 48 h and thus were included in the ITT analysis. At week 6, 13 (68%) of 19 patients in the CDED plus partial enteral nutrition group and 12 (57%) of 21 patients in the CDED group had achieved clinical remission (p=0·4618). Among the 25 patients in remission at week 6, 20 (80%) were in sustained remission at week 24 (12 patients in the CDED plus partial enteral nutrition group and eight in the CDED alone group). 14 (35%) of 40 patients were in endoscopic remission at week 24 (eight patients in the CDED plus partial enteral nutrition group and six in the CDED alone group). No serious adverse events or treatment-related adverse events were reported in either group. Interpretation CDED with or without partial enteral nutrition was effective for induction and maintenance of remission in adults with mild-to-moderate biologic naive Crohn's disease and might lead to endoscopic remission. These data suggest that CDED could be used for mild-to-moderate active Crohn's disease and should be assessed in a powered randomised controlled trial. Funding Azrieli Foundation and Nestle Health Science.
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- 2022
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4. Biallelic Form of a Known CD3E Mutation in a Patient with Severe Combined Immunodeficiency
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Baran Erman, Ceyhun Bozkurt, Funda Erol Cipe, Sinem Firtina, Tunç Fışgın, İstinye Üniversitesi, Mühendislik ve Doğa Bilimleri Fakültesi, Moleküler Biyoloji ve Genetik Bölümü, Ceyhun Bozkurt / 0000-0001-6771-9894, Erman Baran / 0000-0001-9398-8465, Funda Erol Cipe / 0000-0002-9718-7507, Erman, Baran, Bozkurt, Ceyhun, and Erol Cipe, Funda
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Severe combined immunodeficiency ,medicine.medical_specialty ,business.industry ,Immunology ,medicine.disease ,Virology ,Medical microbiology ,Cd3 Epsilon Deficiency ,Mutation (genetic algorithm) ,Primary immunodeficiency ,Immunology and Allergy ,Medicine ,Severe Combined Immunodeficiency ,business ,Primary Immunodeficiency - Abstract
BOZKURT, CEYHUN/0000-0001-6771-9894; FIRTINA, Sinem/0000-0002-3370-8545; Erman, Baran/0000-0001-9398-8465 Erman, Baran ; Firtina, Sinem ; Bozkurt, Ceyhun ; Cipe, Funda Erol (isu author) T cell receptor (TCR) complex consists of αβ or γδ TCR chains in combination with four CD3 subunits, CD3ε, CD3γ, CD3δ, and CDζ [1]. This complex is required for thymocyte development and the initiation of T cell-mediated adaptive immune responses. Although TCR chains bind antigenic peptides presented by MHC molecules, the CD3 subunits provide transduction of signals into the cytosol for the activation and differentiation of T lymphocytes [2]. CD3 deficiencies can cause a rare form of severe combined immunodeficiency (SCID). Although CD3ε, CD3δ, and CDζ mutations usually result in a T- B+ +NK+ SCID phenotype, CD3γ deficiency leads to a milder phenotype with autoimmunity [3]. Only 2% of patients with SCID have TCR defects [3]. The T cell antigen receptor epsilon subunit (CD3E) gene is located at 11q23.3 and has been associated with autosomal recessive SCID [4]. Only a few mutations of the CD3E gene have been identified so far [4–8]. Here, we identified the biallelic form of a known CD3E mutation in a patient with a severe T- B+ NK+ phenotype Can Sucak Candan Biseyler Foundation (CSCBF) This study was partly supported by the "Can Sucak Candan Biseyler" Foundation (CSCBF). WOS:000515758800001 32016651 Q1
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- 2020
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5. Impact of Gender on Symptoms and Comorbidities in Obstructive Sleep Apnea
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Omur Dascı, Ozge Can Bostan, Baran Balcan, Beyza Akcan, Muhammet Tekin, Cihan Durmus Saydam, Bostan, Ozge Can, Akcan, Beyza, Saydam, Cihan Durmus, Tekin, Muhammet, Dasci, Omur, and Balcan, Baran
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medicine.medical_specialty ,medicine.medical_treatment ,comorbidities ,Very frequent ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,medicine ,EPIDEMIOLOGY ,Nocturia ,Sleep study ,POPULATION ,lcsh:R5-920 ,business.industry ,CLINICAL PRESENTATION ,Cardiorespiratory fitness ,General Medicine ,medicine.disease ,Obstructive sleep apnea ,respiratory tract diseases ,Tonsillectomy ,SEVERITY ,030228 respiratory system ,Apnea–hypopnea index ,DAYTIME SLEEPINESS ,gender difference ,symptoms ,Original Article ,SEX ,medicine.symptom ,lcsh:Medicine (General) ,business ,030217 neurology & neurosurgery - Abstract
Objective: Obstructive sleep apnea (OSA) is more common in men than in women. In this study, we aimed to address the impact of gender on symptoms and comorbidities in patients with OSA. Materials and Methods: This cross-sectional study was conducted among 1,317 consecutive patients, who were admitted to the Sleep Apnea Clinic of the Marmara University Hospital between November 2015 and October 2018, and who completed questionnaires and a sleep study with cardiorespiratory polygraphy. OSA was defined as Apnea Hypopnea Index (AHI) >= 15/hour. Results: In all, 1,042 patients (334 women) fulfilled the inclusion criteria. OSA was observed in 589 patients (56.5%). Women were older than men (50.2 +/- 12.5 versus 45.6 +/- 15.1 years) and had lower AHI (22.1 +/- 20.1 versus 26.8 +/- 21.9 events/h). In the OSA group, women were older (53.7 +/- 11.5 versus 47.8 +/- 12.8 years) and more obese (BMI 34.6 versus 31.8 kg/m(2)). Symptoms were categorized as frequent/very frequent, and women with OSA complained more about daytime fatigue (74.6% versus 63.7%), nocturia (69.7% versus 51.8%), headache in the morning (50.0% versus 28.4%), depressive mood (49.0% versus 19.5%), and restless legs symptoms (43.1% versus 17.2%), than did men (all p values
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- 2021
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6. Serum Concentration and Skin Expression of S100A7 (Psoriasin) in Patients Suffering from Hidradenitis Suppurativa
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Maria Koziol-Gałczyńska, Łukasz Matusiak, Aleksandra Batycka-Baran, Jacek C Szepietowski, Łukasz Łaczmański, Danuta Nowicka-Suszko, Wojciech Baran, and Andrzej Bieniek
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S100A7 ,Innate immune system ,Reverse Transcriptase Polymerase Chain Reaction ,business.industry ,Dermatology ,Disease ,medicine.disease ,Severity of Illness Index ,S100 Calcium Binding Protein A7 ,Hidradenitis Suppurativa ,Proinflammatory cytokine ,Pathogenesis ,C-Reactive Protein ,ROC Curve ,Downregulation and upregulation ,Predictive Value of Tests ,Case-Control Studies ,Psoriasis ,Immunology ,Humans ,Medicine ,Hidradenitis suppurativa ,RNA, Messenger ,business ,Skin - Abstract
Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease. An important role of innate immune dysregulation in the pathogenesis of HS has been highlighted. S100A7 (psoriasin) is an innate, antimicrobial protein that exerts proinflammatory and chemotactic action. Objectives: The objective of the study was to investigate serum concentrations of S100A7 in individuals with HS as compared to healthy controls. Further, we evaluated the expression of S100A7 in lesional HS skin as compared to perilesional (clinically uninvolved) HS skin and normal skin. Methods: Serum concentrations of S100A7 were evaluated with a commercially available ELISA kit. The expression of S100A7 in the skin was assessed using qRT-PCR and immunofluorescence staining. Results: We found increased expression of S100A7 in lesional HS skin as compared to perilesional HS skin (p = 0.0017). The expression of S100A7 in lesional HS skin was positively associated with serum C-reactive protein concentration and the severity of disease according to Hurley staging. The serum concentration of S100A7 in individuals with HS was decreased as compared to healthy controls and patients with psoriasis. Conclusions: Upregulated in lesional HS skin, S100A7 may enhance the inflammatory process and contribute to the HS pathogenesis.
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- 2020
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7. Seizure Outcome in Adult Patients with Supratentorial Cavernomas
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Orkhan Alizada, Tugce Ayman, Rahsan Kemerdere, Seher Naz Yeni, Oguz Baran, Taner Tanriverdi, Baran, Oğuz, Kemerdere, R., Alizada, O., Ayman, T., Yeni, S. N., Tanrıverdi, T., Koç University Hospital, İÜC, Cerrahpaşa Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kemerdere, Rahşan, Alizada, Orkhan, Ayman, Tuğçe, Yeni, Seher Naz, and Tanrıverdi, Taner
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medicine.medical_specialty ,seizure ,Neurosciences. Biological psychiatry. Neuropsychiatry ,cavernous angioma ,03 medical and health sciences ,Epilepsy ,0302 clinical medicine ,Cavernoma ,Cavernous angioma ,Cavernous hemangioma ,Seizure ,Medicine ,Neurosciences ,Neurology ,Seizure semiology ,cavernoma ,Adult patients ,business.industry ,General Neuroscience ,Medical record ,Seizure outcome ,Mean age ,medicine.disease ,Surgery ,030220 oncology & carcinogenesis ,Hemosiderin ,epilepsy ,Original Article ,Surgical excision ,Neurology (clinical) ,business ,Clinical neurology ,cavernous hemangioma ,030217 neurology & neurosurgery ,RC321-571 - Abstract
Background: cavernomas are usually found in the supratentorial area, and epileptic seizures are one of the presenting symptoms. Objective: this study aims to provide the seizure outcome in adult patients who underwent surgical excision of single supratentorial cavernomas. Materials and methods: a total of 23 patients with single supratentorial cavernomas were operated between May 2011 and January 2019. Pre- and postoperative seizure semiology, clinical, and radiological findings were collected from medical records. At the last follow-up, each patient was seen during regular visits and clinical variables were noted. Results: the mean age was 37.08 10.5 years, and 11 (57.8%) and 12 (52.2%) were females and males, respectively. Headache (43.5%) and seizure (43.5%) were the most common presenting symptoms. Cavernomas were located on the right side in 13 and on the left side in 10 patients. The most common locations were the frontal (43.5%) and temporal (43.5%) lobes. The mean follow-up in this series was 41.4 +/- 30.8 months. Our results showed that surgery was effective in seizure outcome, as almost 70% of patients who had seizure before surgery was seizure free after surgery, and the difference between those who had seizure pre- and postoperative periods was statistically significant (p=0.0001). Conclusion: surgery is safe and effective for supratentorial cavernomas. The excision of cavernoma together with the surrounding hemosiderin should be performed to obtain a satisfactory seizure outcome., NA
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- 2020
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8. Increased Serum Level and High Tissue Immunoexpression of Interleukin 17 in Cutaneous Lichen Planus: A Novel Therapeutic Target for Recalcitrant Cases?
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Magdalena Żychowska, Wojciech Baran, and Aleksandra Batycka-Baran
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Adult ,Male ,0301 basic medicine ,Medicine (General) ,Pathology ,medicine.medical_specialty ,Article Subject ,medicine.drug_class ,Clinical Biochemistry ,Monoclonal antibody ,Pathogenesis ,030207 dermatology & venereal diseases ,03 medical and health sciences ,R5-920 ,0302 clinical medicine ,Biopsy ,Genetics ,medicine ,Humans ,In patient ,Molecular Targeted Therapy ,Molecular Biology ,Aged ,Paraffin Embedding ,medicine.diagnostic_test ,business.industry ,Interleukin-17 ,Biochemistry (medical) ,Mucosal lesions ,Lichen Planus ,General Medicine ,Middle Aged ,medicine.disease ,Up-Regulation ,stomatognathic diseases ,030104 developmental biology ,Case-Control Studies ,Immunohistochemistry ,Female ,Oral lichen planus ,Interleukin 17 ,business ,Biomarkers ,Research Article - Abstract
Background. Interleukin-17 is supposed to play an important role in the pathogenesis of oral lichen planus (OLP). However, there is scarce data in the literature on its significance in the cutaneous variant of the disease. Objectives. To determine the serum level and tissue immunoexpression of IL-17 in cutaneous lichen planus (CLP). Methods. Fifty-two adult patients with CLP, without any significant autoimmune or inflammatory conditions, were included in the first part of the study. The control group consisted of 27 age- and sex-matched healthy volunteers. Serum concentration of IL-17 was quantified using enzyme-linked immunosorbent assay (ELISA) kit. In the second part of the study, the tissue expression of IL-17 was assessed in archival paraffin-embedded biopsy specimens from CLP (n=14) against normal control tissues (n=11) using immunohistochemical assays. The expression was evaluated using Zeiss Axio Imager A2 light microscope. Positively stained cells were counted in 10 fields of view for biopsy specimen at 200x magnification, and the mean value was calculated. Results. The serum level of IL-17 was significantly elevated in patients with CLP, compared with healthy volunteers (0.218±0.221 ng/ml versus 0.126±0.058 ng/ml, respectively; p=0.025). No correlation was found between the serum concentration of IL-17 and patient age, gender, disease duration, extent of skin involvement, the presence or intensity of pruritus, and coexistence of mucosal lesions. In tissue samples from CLP lesions, significantly higher numbers of cells expressing IL-17 were found when compared to a healthy skin (p<0.001). Conclusion. Elevated serum concentration of IL-17 and high expression in a lesional skin support the hypothesis that IL-17 is implicated in the immunopathogenesis of CLP. These findings may constitute a premise for the future use of anti-IL-17 monoclonal antibodies in the treatment of severe and recalcitrant forms of CLP.
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- 2020
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9. Impact of concomitant obstructive sleep apnea on pulmonary involvement and main pulmonary artery diameter in adults with scleroderma
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Haner Direskeneli, Sait Karakurt, Yüksel Peker, Baran Balcan, Yasemin Yalcinkaya, Tugce Yakut, Peker, Yüksel, Yakut, Tuğçe, Balcan, Baran, Karakurt, Sait, Direskeneli, Haner, Yalçınkaya, Yasemin, School of Medicine, Yakut, Tugce, Yalcinkaya, Yasemin, Peker, Yuksel, Peker, Yüksel (ORCID 0000-0001-9067-6538 & YÖK ID 234103), and Koç University Hospital
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Male ,Pulmonary Fibrosis ,Clinical neurology ,Respiratory system ,030204 cardiovascular system & hematology ,Scleroderma ,Pulmonary function testing ,0302 clinical medicine ,Medicine ,Obstructive sleep apnea ,Pulmonary involvement ,Pulmonary hypertension ,Sleep Apnea, Obstructive ,Sleep apnea ,Middle Aged ,Respiratory Function Tests ,DAYTIME SLEEPINESS ,Cardiology ,Female ,Neurosciences ,Neurology ,Adult ,medicine.medical_specialty ,DISORDERS ,Hypertension, Pulmonary ,Pulmonary Artery ,Skin Diseases ,Young Adult ,03 medical and health sciences ,Scleroderma, Limited ,Internal medicine ,Humans ,COMPUTED-TOMOGRAPHY ,COMMON ,Aged ,030203 arthritis & rheumatology ,HYPERTENSION ,business.industry ,Sleep Breathing Physiology and Disorders • Original Article ,SYSTEMIC-SCLEROSIS ,Odds ratio ,medicine.disease ,nervous system diseases ,respiratory tract diseases ,Cross-Sectional Studies ,Otorhinolaryngology ,Concomitant ,Scleroderma, Diffuse ,Neurology (clinical) ,Tomography, X-Ray Computed ,business ,Body mass index - Abstract
Purpose: pulmonary involvement is common in adults with scleroderma. The effect of concomitant obstructive sleep apnea (OSA) on risk for pulmonary hypertension in scleroderma is unknown. An enlarged main pulmonary artery diameter (mPAD) derived from chest computer tomography (CT) is a useful predictor of pulmonary hypertension. We addressed the effect of OSA on pulmonary involvement and enlarged mPAD in adults with scleroderma. Methods: all participants underwent pulmonary function testing, carbon monoxide diffusion capacity, chest CT, and overnight sleep recording with home sleep apnea testing. OSA diagnosis was based on an apnea-hypopnea index (AHI) >= 15/h. Oxygen desaturation index (ODI) was also recorded. Scleroderma involvement of the lungs was defined as the Warrick score >= 7 based on the CT findings. Enlarged mPAD was defined as an mPAD >= 29 mm in men and >= 27 mm in women. Results: after exclusions, 62 patients (58 women) were included. OSA was found among 20 (32%), 17/42 (38%) in the limited cutaneous type, and 3/20 (15%) in the diffuse cutaneous type (p = 0.08). Scleroderma involvement of the lungs was observed in 40 participants (65% in OSA vs 64% in no-OSA; n.s.). Enlarged mPAD was measured in 16 participants, 10 of 20 (50%) in the OSA group and 6 of 17 (14%) in the no-OSA group (p = 0.003). OSA was associated with enlarged mPAD (odds ratio 4.7, 95% confidence interval 1.1-20.9; p = 0.042) independent of age, body mass index, and pulmonary involvement. There was a linear relationship between mPAD and AHI (r = 0.37; p = 0.003) as well as ODI (r = 0.41; p < 0.001). Conclusions: in this cohort, OSA was associated with risk for pulmonary hypertension independent of pulmonary involvement. These findings suggest that assessing the effect of therapy for concomitant OSA in patients with scleroderma is warranted., University of Gothenburg
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- 2020
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10. Frequency of peripheral blood eosinophilia and obstructive airway disease in sarcoidosis
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İnsu Yılmaz, Fatma Sema Oymak, Nuri Tutar, Inci Gulmez, Burcu Baran Ketencioglu, and Belal Rabah
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Adult ,Male ,medicine.medical_specialty ,Allergy ,Adolescent ,Sarcoidosis ,Eczema ,Gastroenterology ,Pulmonary Disease, Chronic Obstructive ,Internal medicine ,Eosinophilia ,medicine ,Humans ,Respiratory function ,Stage (cooking) ,Nose ,Aged ,Asthma ,Aged, 80 and over ,business.industry ,General Medicine ,Middle Aged ,Airway obstruction ,medicine.disease ,Respiratory Function Tests ,respiratory tract diseases ,Airway Obstruction ,medicine.anatomical_structure ,Female ,medicine.symptom ,business - Abstract
Background/aim: There is limited information about peripheral blood eosinophilia (PBE) and airway obstruction in sarcoidosis. Since pulmonary sarcoidosis affects the airways, it is often confused with asthma. The aims of the study are to investigate airway obstruction and PBE in sarcoidosis patients and to examine the similarity of clinical presentation with asthma. Materials and methods: The patients matching the ATS/ERS/WASOG diagnosis criteria and were between 18 and 80 years of age were included consecutively between 2018 and 2020. Other diseases causing granulomas were excluded. Results: A total of 84 patients were included of which 26 (31%) had a PBE level of >= 300 mu L with no significant difference seen between sarcoidosis stage and PBE (p > 0.05). A significant (p < 0.05) decrease was only seen in FEV1 as the stage of sarcoidosis progressed. Respectively 31 (36.9%), 12 (14.3%) and 4 (4.8%) patients had an obstructive, restrictive and mixed respiratory function disorder. Twenty-four (28.6%) subjects with sarcoidosis had history of asthma. Spring fever, eczema, and skin/nose allergy were noticed in 17 (20.2%) of the patients. Conclusion: Mild PBE may be seen in sarcoidosis. Patients applying with PBE, airway obstruction, bronchial hyperreactivity along with spring fever, eczema, skin/nose allergy, wheezing, chest tightness, shortness of breath and cough may be also evaluated in terms of sarcoidosis.
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- 2021
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11. Anti-telomerase immune response predicts disease progression in chronic lymphocytic leukemia
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Thierry Huet, Fanny Baran-Marszak, Claire Germain, Julie Garibal, Maria Wehbe, Florence Cymbalista, Pierre Langlade-Demoyen, Julien Caumartin, and Valérie Doppler
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Oncology ,medicine.medical_specialty ,Telomerase ,biology ,business.industry ,cells ,T cell ,Chronic lymphocytic leukemia ,medicine.disease ,enzymes and coenzymes (carbohydrates) ,chemistry.chemical_compound ,Immune system ,medicine.anatomical_structure ,chemistry ,Internal medicine ,Ibrutinib ,embryonic structures ,biology.protein ,Medicine ,Telomerase reverse transcriptase ,biological phenomena, cell phenomena, and immunity ,Antibody ,Nivolumab ,business ,neoplasms - Abstract
Human telomerase reverse transcriptase (hTERT) is broadly expressed in many cancers. High hTERT expression have been described in chronic lymphocytic leukemia (CLL). Here we investigated the relationship between anti-hTERT immunity and disease progression in 49 CLL patients. Anti-hTERT T cell responses were evaluated by IFNγ-ELISpot. Complementary flow cytometry analyses were performed, and data were analyzed in regards of the treatment received by CLL patients afterward and disease progression. Anti-hTERT responses were more frequently observed in non-progressive watch and wait patients, and in progressive patients scheduled to receive ibrutinib, as compared to patients scheduled to receive other types of treatment. In vitro, addition of the anti-PD-1 antibody nivolumab increased anti-hTERT responses. Importantly, Kaplan Meier analyses showed significantly longer progression-free survival in patients with anti-hTERT immune responses at diagnosis as compared to non-responder patients. Our results show that anti-hTERT T cell responses represent a new potential biomarker predictive of CLL clinical outcome.
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- 2021
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12. The association between nondipper pattern and perioperative hypertension in patients with controlled hypertension
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Hande Arslan, Irfan Sahin, Ali Karagöz, Uğur Arslan, Mustafa Yenerçağ, Güney Erdoğan, Osman Zikrullah Sahin, and Mustafa baran Yavuz
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Male ,medicine.medical_specialty ,Ambulatory blood pressure ,Systole ,Diastole ,Blood Pressure ,Assessment and Diagnosis ,Diabetes mellitus ,Internal medicine ,Internal Medicine ,Humans ,Medicine ,Aged ,Advanced and Specialized Nursing ,biology ,business.industry ,Dipper ,General Medicine ,Odds ratio ,Blood Pressure Monitoring, Ambulatory ,Middle Aged ,biology.organism_classification ,medicine.disease ,Confidence interval ,Circadian Rhythm ,Blood pressure ,Hypertension ,Cardiology ,Cardiology and Cardiovascular Medicine ,Complication ,business - Abstract
BACKGROUND Perioperative hypertension is a frequent complication even in preoperatively normotensive or controlled hypertensive patients and there is a lack of data regarding the effect of nondipping pattern on perioperative hypertension. OBJECTIVE In this study, we aimed to investigate the possible effect of nondipping blood pressure pattern on the risk of perioperative hypertension. MATERIALS AND METHODS 234 hypertensive patients who underwent surgery with general anesthesia were evaluated prospectively. The study enrolled patients with well-controlled preoperative blood pressure. The 24-h ambulatory blood pressure monitoring results were used to classify patients as dippers and nondippers. Perioperative hypertension is defined as a systolic/diastolic arterial blood pressure greater than or equal to 160/90 mmHg or systolic blood pressure elevated by more than 20% from the patient's baseline level for more than 15 min perioperatively. RESULTS There were 61 (26%) nondipper patients [mean age: 62.1 ± 7.1 years, 25 (40.9%) men] and 173 (74%) dipper patients [mean age: 61.4 ± 8.1 years, 83 (47.9%) men]. In the nondipper group, perioperative hypertension was observed in 31 (51.3%) patients, whereas in the dipper group, 33 (19.3%) patients experienced a hypertensive attack (P < 0.001). The independent predictors of perioperative hypertension were the presence of the nondipping pattern [odds ratio (OR) 3.084; 95% confidence interval (CI) 1.831-5.195; P < 0.001], the presence of diabetes mellitus (OR 2.059; 95% CI 1.215-3.490; P = 0.007), and the number of drugs (OR 2.317; 95% CI 1.102-5.097; P = 0.027). CONCLUSION The frequency of perioperative hypertension was higher in preoperative normotensive and known hypertensive patients who were identified as nondippers. In addition, diabetes mellitus and number of drugs were found to be predictors of perioperative hypertension.
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- 2021
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13. Functional brain mapping in patients with chronic back pain shows age-related differences
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Feng Lin, Paul Geha, and Timothy M. Baran
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medicine.medical_specialty ,Brain activity and meditation ,Brain mapping ,Physical medicine and rehabilitation ,medicine ,Back pain ,Humans ,Prefrontal cortex ,Aged ,Pain Measurement ,Brain Mapping ,Fusiform gyrus ,Resting state fMRI ,business.industry ,Chronic pain ,medicine.disease ,Magnetic Resonance Imaging ,humanities ,Anesthesiology and Pain Medicine ,nervous system ,Neurology ,Chronic Disease ,Neurology (clinical) ,Chronic Pain ,medicine.symptom ,business ,Low Back Pain ,human activities ,Insula - Abstract
Low back pain is the most common pain condition and cause for disability in older adults. Older adults suffering from low back pain are more disabled than their healthy peers, are more predisposed to frailty, and tend to be undertreated. The cause of increased prevalence and severity of this chronic pain condition in older adults is unknown. Here, we draw on accumulating data demonstrating a critical role for brain limbic and sensory circuitries in the emergence and experience of chronic low back pain (CLBP) and the availability of resting-state brain activity data collected at different sites to study how brain activity patterns predictive of CLBP differ between age groups. We apply a data-driven multivariate searchlight analysis to amplitude of low-frequency fluctuation brain maps to classify patients with CLBP with70% accuracy. We observe that the brain activity pattern including the paracingulate gyrus, insula/secondary somatosensory area, inferior frontal, temporal, and fusiform gyrus predicted CLBP. When separated by age groups, brain patterns predictive of older patients with CLBP showed extensive involvement of limbic brain areas including the ventromedial prefrontal cortex, the nucleus accumbens, and hippocampus, whereas only anterior insula paracingulate and fusiform gyrus predicted CLBP in the younger patients. In addition, we validated the relationships between back pain intensity ratings and CLBP brain activity patterns in an independent data set not included in our initial patterns' identification. Our results are the first to directly address how aging affects the neural signature of CLBP and point to an increased role of limbic brain areas in older patients with CLBP.
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- 2021
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14. Accuracy of the methods used to estimate glomerular filtration rate compared to 24-hour urinary creatinine clearance in patients with chronic spinal cord injury
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Elif Yalcin, Mufit Akyuz, Neslihan Bilge Metli, Burcu Hazer, Sirin Baran Aslan, and Fatih Oguz Onder
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medicine.medical_specialty ,business.industry ,Urinary system ,Urology ,Renal function ,urologic and male genital diseases ,medicine.disease ,Standard technique ,female genital diseases and pregnancy complications ,Medicine ,In patient ,Neurology (clinical) ,business ,Urine sample ,Spinal cord injury ,reproductive and urinary physiology ,Research Article ,Kidney disease - Abstract
Objective To compare the accuracy of glomerular filtration rate (GFR) estimation by 24-hour urinary creatinine clearance with GFR estimation by the Modification of Diet in Renal Disease (MDRD) equation, the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation, the Mayo Clinic Quadratic equation (MCQE), and the modified Cockcroft-Gault formula in patients with spinal cord injury (SCI). Design Cross-sectional study. Participants Fifty-nine consecutive subjects, who were admitted to our hospital SCI rehabilitation and no additional acute medical disorders, were enrolled in this study. A 24-hour urine sample was collected for the determination of 24-hour urinary creatinine clearance, which was assumed as the standard technique for estimation of the GFR. The accuracy of several estimation formulas includes the 4-variable MDRD equation, the 6-variable MDRD equation, the Cockcroft and Gault equation, the CKD-EPI equation, and the MCQE. Results GFRs calculated by the Cockcroft-Gault equation and 4-variable MDRD were significantly different from the 24-hour urinary creatinine clearance, whereas there were no significant differences in GFRs calculated by CKD-EPI (P = 1.000), Mayo Clinic Quadratic formula (P = 0.794), and 6-variable MDRD equations (P = 0.435) and 24-hour urinary creatinine clearance. Both the 6-variable MDRD equation and CKD-EPI were accurate within ±20 of the reference methods in 52.54% of the subjects. Conclusions Among the methods used for estimation of the GFR including the 4- and 6-variable MDRD, the CKD-EPI, the modified Cockcroft-Gault equation, and the MCQE, the 6-variable MDRD equation and the CKD-EPI demonstrated best performance to estimate the GFR. However, none of the formulas were sufficient to estimate the GFR in SCI patients accurately.
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- 2021
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15. Better together: a reappraisal of heterotopic heart transplantation
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David A. Baran, Hannah Cockrell, Jack G. Copeland, Matthew E. Kutcher, Hannah Copeland, Robert O'Brien, Kristen T. Carter, and Taylor B. Shaw
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medicine.medical_specialty ,Cardiac output ,genetic structures ,Heart Ventricles ,medicine.medical_treatment ,Pulsatile flow ,Internal medicine ,otorhinolaryngologic diseases ,medicine ,Humans ,Retrospective Studies ,Heart Failure ,Heart transplantation ,Transplantation ,business.industry ,Heart ,Immunosuppression ,medicine.disease ,Pulmonary hypertension ,Transplant Recipients ,eye diseases ,Treatment Outcome ,medicine.anatomical_structure ,Ventricle ,Cohort ,Circulatory system ,Cardiology ,Heart Transplantation ,business - Abstract
Heterotopic heart transplantation (HHT) is rare in the modern era. When used as a biologic left ventricular assist, HHT provides pulsatile flow, supports the left ventricle with a physiologic cardiac output, responds to humoral stimuli, and with modern immunosuppression may offer long-term untethered survival. This study was undertaken to compare survival of HHT with orthotopic heart transplantation (OHT) to assess its viability in the modern era. In the United Network for Organ Sharing database, from January 1999 to December 2020, there were 27691 bicaval OHT, 13836 biatrial OHT, 1271 total OHT, and 51 HHT with sufficient follow-up. Survival was analyzed using restricted mean survival time (RMST) through 4 years as the outcome. In the first 4 years after transplant, compared with HHT, differences in RMST were 0.1 years (99% CI: -0.4 to 0.5 years) for bicaval OHT, 0.0 years (99% CI: -0.4 to 0.5 years) for biatrial OHT, and 0.0 years (99% CI: -0.5 to 0.4 years) for total OHT. In this cohort, survival was indistinguishable between HHT and OHT recipients in the first four years. Thus, HHT might be a viable alternative to durable mechanical circulatory assist particularly with size mismatched grafts or for patients with refractory pulmonary hypertension.
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- 2021
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16. Relative decrease in hemoglobin and outcomes in patients undergoing kidney transplantation surgery: A retrospective cohort study
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Sarah MacIsaac, J. Tchervenkov, Agnihotram V. Ramanakumar, Chee Saw, Prosanto Chaudhury, Steven Paraskevas, Dana Baran, Marcelo Cantarovich, Nasim Saberi, Veronique Naessens, and Shaifali Sandal
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Male ,medicine.medical_specialty ,Graft failure ,Blood transfusion ,Anemia ,medicine.medical_treatment ,030232 urology & nephrology ,Blood Component Transfusion ,030230 surgery ,Hemoglobins ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Predictive Value of Tests ,Risk Factors ,Internal medicine ,medicine ,Humans ,In patient ,Kidney transplantation ,Retrospective Studies ,business.industry ,Retrospective cohort study ,General Medicine ,Perioperative ,Middle Aged ,medicine.disease ,Kidney Transplantation ,Transplant Recipients ,Female ,Surgery ,Hemoglobin ,business - Abstract
Background Recent surgical literature suggests that a relative decrease in hemoglobin (ΔHb) is predictive of adverse outcomes regardless of the absolute level. We aimed to examine the association between perioperative ΔHb and kidney transplantation (KT) outcomes. Methods This was a retrospective cohort study of transplant recipients, where ΔHb = [ Hb 0 – Hb 1 Hb 0 ] x 100 (Hb0 = hemoglobin pre-KT and Hb1 = lowest hemoglobin 24-h post-KT). The main outcome of interest was immediate graft function (IGF). Results Of the 899 eligible patients, 38% experienced IGF, and ΔHb was associated with 36% lower odds of IGF. Also, ΔHb was associated with higher all-cause graft failure and longer length of stay but not death-censored graft failure or mortality. ΔHb ≥30% was the threshold beyond which the odds of IGF were significantly lower even if Hb1 was ≥7 g/dL. Conclusion ΔHb is associated with inferior outcomes independent of Hb1; whether it can be used to guide transfusion practices should be explored.
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- 2021
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17. Impact of COVID-19 outbreak on patients with ST-segment elevation myocardial infarction (STEMI) in Turkey: results from TURSER study (TURKISH St-segment elevation myocardial infarction registry)
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Zihni Aktaş, Sefa Gül, Mustafa Karabacak, Eyup Avci, Baris Kilicaslan, Bektas Murat, Mücahit Tiryaki, Tuba Ekin, Rojhad Altindag, Selda Murat, Tarik Yildirim, Arafat Yidirim, Baran Arik, Kutluhan Hazir, Tuncay Güzel, Mehtap Yeni, Ahmet Öz, Asım Oktay Ergene, Didar Elif Akgün, Tuncay Kırış, Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı, Arık, Baran, and Tıp Fakültesi
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medicine.medical_specialty ,Turkey ,Primary percutaneous coronary ,Context (language use) ,Intervention ,030204 cardiovascular system & hematology ,Article ,Ventricular Function, Left ,Time-to-Treatment ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,ST segment ,Registries ,030212 general & internal medicine ,Myocardial infarction ,cardiovascular diseases ,Thrombus ,Mortality ,Pandemics ,Ejection fraction ,SARS-CoV-2 ,business.industry ,Cardiogenic shock ,COVID-19 ,Stroke Volume ,Hematology ,medicine.disease ,Hospitalization ,Cross-Sectional Studies ,ST elevation myocardial infarction ,Propensity score matching ,SARS-CoV2 ,Population study ,Cardiology and Cardiovascular Medicine ,business - Abstract
Avcı, Eyüp (Balikesir Author), Objective We aimed to investigate both the impact of COVID-19 pandemic on ST-segment elevation myocardial infarction (STEMI) admission, and demographic, angiographic, procedural characteristics, and in-hospital clinical outcomes of patients with COVID-19 positive STEMI in Turkey. Methods This was a multi-center and cross-sectional observational study. The study population included 1788 STEMI patients from 15 centers in Turkey. The patients were divided into two groups: COVID-19 era (March 11st-May 15st, 2020; n = 733) or pre- COVID-19 era group (March 11st-May 15st, 2019; n = 1055). Also, the patients in COVID-19 era were grouped as COVID-19 positive (n = 65) or negative (n = 668). Results There was a 30.5% drop in STEMI admission during COVID-19 era in comparison to pre-COVID-19 era. The patients admitted to the medical centers during COVID-19 era had a longer symptom-to-first medical contact time [120 (75-240) vs. 100 (60-180) minutes, p < 0.001]. COVID-19 positive STEMI patients had higher thrombus grade and lower left ventricular ejection fraction compared to COVID-19 negative patients. COVID-19 positive patients had higher mortality (28% vs. 6%, p < 0.001) and cardiogenic shock (20% vs. 7%, p < 0.001) rates compared with those without COVID-19. Matching based on propensity scores showed higher mortality and high thrombus grade in STEMI patients who were infected by SARS-COV-2 (each p < 0.05). Conclusions We detected significantly lower STEMI hospitalization rates and significant delay in duration of symptom onset to first medical contact in the context of Turkey during the COVID-19 outbreak. Moreover, high thrombus grade and mortality were more common in COVID-19 positive STEMI patients.
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- 2022
18. Substance use and mental health burden in head and neck and other cancer survivors: A National Health Interview Survey analysis
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Elizabeth Mayfield Arnold, Rebecca Lee, Simon J. Craddock Lee, Andrew T. Day, Baran D. Sumer, Rebecca L. Eary, Sanjana Balachandra, Jasmin A. Tiro, Brittny N. Tillman, David J. Sher, Teena Sura, Yulun Liu, and Erin Wynings
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Cancer Research ,medicine.medical_specialty ,Substance-Related Disorders ,business.industry ,Psychological intervention ,Alcohol abuse ,Odds ratio ,medicine.disease ,Mental health ,Substance abuse ,Mental Health ,Cancer Survivors ,Oncology ,Head and Neck Neoplasms ,Surveys and Questionnaires ,Internal medicine ,Humans ,Marital status ,Medicine ,National Health Interview Survey ,business ,Depression (differential diagnoses) - Abstract
Background Tobacco dependence, alcohol abuse, depression, distress, and other adverse patient-level influences are common in head and neck cancer (HNC) survivors. Their interrelatedness and precise burden in comparison with survivors of other cancers are poorly understood. Methods National Health Interview Survey data from 1997 to 2016 were pooled. The prevalence of adverse patient-level influences among HNC survivors and matched survivors of other cancers were compared using descriptive statistics. Multivariable logistic regressions evaluating covariate associations with the primary study outcomes were performed. These included 1) current cigarette smoking and/or heavy alcohol use (>14 drinks per week) and 2) high mental health burden (severe psychological distress [Kessler Index ≥ 13] and/or frequent depressive/anxiety symptoms). Results In all, 918 HNC survivors and 3672 matched survivors of other cancers were identified. Compared with other cancer survivors, more HNC survivors were current smokers and/or heavy drinkers (24.6% [95% CI, 21.5%-27.7%] vs 18.0% [95% CI, 16.6%-19.4%]) and exhibited a high mental health burden (18.6% [95% CI, 15.7%-21.5%] vs 13.0% [95% CI, 11.7%-14.3%]). In multivariable analyses, 1) a high mental health burden predicted for smoking and/or heavy drinking (odds ratio [OR], 1.4; 95% CI, 1.0-1.9), and 2) current cigarette smoking predicted for a high mental health burden (OR, 1.7; 95% CI, 1.2-2.3). Furthermore, nonpartnered marital status and uninsured/Medicaid insurance status were significantly associated with both cigarette smoking and/or heavy alcohol use (ORs, 1.9 [95% CI, 1.4-2.5] and 1.5 [95% CI, 1.0-2.1], respectively) and a high mental health burden (ORs, 1.4 [95% CI, 1.1 -1.8] and 3.0 [95% CI, 2.2-4.2], respectively). Conclusions Stakeholders should allocate greater supportive care resources to HNC survivors. The interdependence of substance abuse, adverse mental health symptoms, and other adverse patient-level influences requires development of novel, multimodal survivorship care interventions.
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- 2021
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19. Treatment and follow-up results of WHO grade II meningiomas
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Murat İmre Usseli, M. Necmettin Pamir, Mustafa Güdük, Baran Bozkurt, Ayça Erşen Danyeli, and Murat Şakir Ekşi
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Male ,medicine.medical_specialty ,medicine.medical_treatment ,Follow up results ,World Health Organization ,Meningioma ,Physiology (medical) ,Statistical significance ,Grade II Meningioma ,Meningeal Neoplasms ,otorhinolaryngologic diseases ,medicine ,Humans ,Child ,neoplasms ,Retrospective Studies ,Chemotherapy ,business.industry ,Standard treatment ,Infant, Newborn ,General Medicine ,Who grade ,medicine.disease ,nervous system diseases ,Radiation therapy ,Treatment Outcome ,Neurology ,Female ,Surgery ,Neurology (clinical) ,Radiology ,Neoplasm Recurrence, Local ,business ,Follow-Up Studies - Abstract
Meningiomas are the most common primary intracranial tumors. They have three pathologic grades. Surgical resection aiming Simpson I resection is the standard treatment for meningiomas. Radiotherapy and Gamma Knife radiosurgery are the main adjuvant and salvage treatments. Chemotherapy has limited use. Grade II, and III meningiomas have a higher recurrence rate, and adjuvant radiotherapy is usually the standard treatment for grade III meningiomas but there is not a consensus regarding grade II meningiomas. In this paper, we analyzed our meningioma series of 1401 patients and presented the treatment and follow-up results of 170 grade II meningioma cases. The median follow-up of grade II meningiomas was 61 (range = 1–231) months. The mean age of patients was 52.5 ± 15.0 years, 102 of them were female and 68 were male (female/male ratio = 1.5). The median progression-free survival (PFS) of them was 109 months, and the cumulative overall survival (OS) rate was 85% at 10 years. Meningiomas with gross total resection, non-skull base meningiomas, and primary grade II meningiomas had longer PFS with statistical significance, while non-skull base meningiomas, younger group of patients, and primary grade II meningiomas had longer OS with a statistical significance.
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- 2021
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20. Hurdle in taxonomy: A case of malaria parasites and other Haemosporidia
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Fatik Baran Mandal
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phylogenetics ,plasmodium ,cytochrome b ,Taxonomy (general) ,Veterinary medicine ,SF600-1100 ,medicine ,hemoproteus ,Zoology ,Biology ,medicine.disease ,Malaria - Abstract
A crucial progress in taxonomy matches with the growth of various branches of biological sciences. This validates the taxonomic positions of many organisms. Haemoproteus, Leucocytozoon and Plasmodium, the members of the Haemosporidia, are the well recognized parasitic genera. Revisiting the progress in animal taxonomy appears to be important to evaluate our studies. Haemosporidia being microscopic, their taxonomy specially the morphotaxonomy has sometimes created confusion. Therefore, analysis of progression of the taxonomy of the avian Haemosporidia demands special attention. Modern phylogenetic analyses revealed a wealth of information, which is undoubtedly useful for protozoology and other related sciences. Techniques of molecular taxonomy are applied to draw the phylogeny covering members of Haemosporidia. The study of the life cycles of both hosts and parasites are absorbing. Besides, analysis of their evolution through molecular phylogenetics appears to be vital in studying haemosporidians and to gain insight for basic and applied sciences. This article examines the potential of molecular phylogenetics in refining systematics of avian Haemosporidia and to explain a holistic view of the group.
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- 2021
21. Improving CT assessment for pulmonary hypertension in patients with severe aortic stenosis, correlation with right heart catheterization
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Abhishek Chaturvedi, Robert Ambrosini, Vijay Krishnamoorthy, and Timothy M. Baran
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Male ,Thorax ,Cardiac Catheterization ,medicine.medical_specialty ,Hypertension, Pulmonary ,Pulmonary Artery ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Aortic valve replacement ,Internal medicine ,medicine.artery ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Retrospective Studies ,business.industry ,Aortic Valve Stenosis ,Left pulmonary artery ,medicine.disease ,Pulmonary hypertension ,Right pulmonary artery ,Stenosis ,medicine.anatomical_structure ,Ventricle ,030220 oncology & carcinogenesis ,Pulmonary artery ,Cardiology ,Female ,Tomography, X-Ray Computed ,business - Abstract
To identify CT parameters useful for assessment of pulmonary hypertension (PH) in patients with severe aortic stenosis (AS).Retrospective study of 165 patients who had undergone right heart catheterization (RHC), and CTA of the thorax for preoperative aortic valve replacement (TAVR) planning. These were divided into groups based on mean pulmonary artery (PA) pressure (mPAP) of 25 mm Hg on RHC (85 cases and 80 controls). Diameters of main pulmonary artery diameter (MPAD), left pulmonary artery (LPA), right pulmonary artery (RPA), and maximal long axis and short axis diameters of the right atrium (RA) and ventricle (RV) were measured on the axial plane. Univariate and multivariate statistical analysis was utilized to identify metrics predictive of PH.MPAD, LPA, and RPA were higher in subjects with mPAP25 mm Hg (p 0.0001 for all). Thresholds of 30.5 mm for MPAD (68.4% sensitivity, 82.7% specificity), and 27.5 mm for LPA and RPA (LPA: 51.9% sensitivity, 78.8% specificity; RPA: 62.0% sensitivity, 78.8% specificity) provided the best discrimination of elevated mPAP. Compared to literature values for MPAD (28.9 mm in men and 26.9 mm in women), these thresholds provide lower sensitivity but greatly increased specificity. Inclusion of RA enlargement to MPAD increased specificity to 98.5%, while inclusion of RV enlargement increased specificity to 100%.Threshold to identify PH in patients with AS using PA enlargement is higher than previously reported range for normal. Inclusion of RA and RV enlargement improves the ability of CT to more accurately identify PH in patients with AS.
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- 2021
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22. Amniotic fluid index measurements in the second and third trimester and correlation to fetal biometric parameters – new reference based on a big retrospective data
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Michal Kirshenbaum, Eldad Katorza, and Tomer Ziv-Baran
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medicine.medical_specialty ,Percentile ,Pregnancy Trimester, Third ,Gestational Age ,Ultrasonography, Prenatal ,Body Mass Index ,Pregnancy ,Humans ,Medicine ,Mass index ,Amniotic fluid index ,Generalized estimating equation ,Retrospective Studies ,business.industry ,Obstetrics ,Infant, Newborn ,Obstetrics and Gynecology ,Gestational age ,Retrospective cohort study ,Nomogram ,Amniotic Fluid ,medicine.disease ,Fetal Weight ,Pediatrics, Perinatology and Child Health ,Female ,business - Abstract
Introduction Estimation of amniotic fluid volume (AFV) is part of routine obstetric sonography which reflects maternal-fetal circulation efficiency, fetal hemodynamic status, and a parameter for predicting adverse neonatal outcome. Fetal weight is positively correlated with AFV. Therefore, our objective is to provide a new nomogram of AFV indices and to evaluate the relation between AFV and fetal biometric parameters. Materials and methods Retrospective cohort study between 2011 and 2018, at a large tertiary medical center. Data were collected from medical charts of prenatal sonographic evaluation of normal pregnancies, including routine estimation of AFV by using amniotic fluid index (AFI). Generalized estimating equations model was used to study the association between AFI, gestational age and fetal biometric parameters. Centiles were calculated using the Generalized Additive Models for Location, Scale, and Shape model. Box-Cox-t distribution and smoothing splines were used. Results Analysis included 28,650 pregnancies. From 25 to 41 weeks gestation, the median and fifth percentile AFI gradually decreased from 174 (IQR 157-193) to 138 mm (IQR 107-173) and from 125 to 68 mm, respectively. The change in the 95th percentile was less significant, ranging around 230 mm throughout pregnancy. Multivariate regression analysis demonstrated a significant correlation between AFI and maternal body mass index (B = -0.147; CI = -0.27 to -0.02), gestational age (B = -11.8; CI = -12.5 to -11.4), estimated fetal weight (EFW) (B = 0.05; CI = 0.049-0.053) and abdominal circumference (AC) (B = 0.94; CI = 0.95-1). There was no correlation between AFI and other fetal biometric parameters. Conclusions We suggest new AFI indices of singleton pregnancies. We found a positive correlation between AFI and EFW and AC.
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- 2021
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23. Pediatric extracorporeal cardiopulmonary resuscitation: single-center study
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Zeynep Eyileten, Merve Havan, Özlem Selvi Can, Ahmet Rüçhan Akar, Tanıl Kendirli, Ercan Tutar, Çağdaş Baran, Mehmet Cakici, Tayfun Uçar, Burcu Arıcı, and Serhan Özcan
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Male ,medicine.medical_treatment ,Population ,Return of spontaneous circulation ,Single Center ,Article ,children ,medicine ,Extracorporeal membrane oxygenation ,Humans ,Extracorporeal cardiopulmonary resuscitation ,Cardiopulmonary resuscitation ,education ,Retrospective Studies ,Body surface area ,education.field_of_study ,business.industry ,Septic shock ,Infant ,General Medicine ,extracorporeal membrane oxygenation ,medicine.disease ,Cardiopulmonary Resuscitation ,Heart Arrest ,Survival Rate ,Treatment Outcome ,Child, Preschool ,Anesthesia ,Female ,business - Abstract
Background/aim Extracorporeal cardiopulmonary resuscitation (ECPR) is defined as the veno-arterial extracorporeal membrane oxygenation (VA-ECMO) support in a patient who experienced a sudden pulseless condition attributable to cessation of cardiac mechanical activity and circulation. We aimed to evaluate the clinical outcomes of our ECPR experience in a pediatric patient population. Materials and methods Between September 2014 and November 2017, fifteen children were supported with ECPR following in-hospital cardiac arrest (IHCA) in our hospitals. VA-ECMO setting was established for all patients. Pediatric cerebral performance category (PCPC) scales and long-term neurological prognosis of the survivors were assessed. Results The median age of the study population was 60 (4-156) months. The median weight was 18 (4.8-145) kg, height was 115 (63-172) cm, and body surface area was 0.73 (0.27-2.49) m2. The cause of cardiac arrest was a cardiac and circulatory failure in 12 patients (80%) and non-cardiac in 20%. Dysrhythmia was present in 46%, septic shock in 13%, bleeding in 6%, low cardiac output syndrome in 13%, and airway disease in 6% of the study population. Median low-flow time was 95 (range 20-320) minutes. Central VA-ECMO cannulation was placed in only 2 (13.3%) cases. However, the return of spontaneous circulation (ROSC) was obtained in 10 (66.6%) patients, and 5 (50%) of them survived. Overall, five patients discharged from the hospital. Finally, survival following ECPR was 33.3%, and all survivors were neurologically intact at hospital-discharge. Conclusion ECPR can be a life-saving therapeutic strategy using a promising technology in the pediatric IHCA population. For better survival rates, early initiation, well-coordinated, skilled, and dedicated ECMO team is the mainstay.
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- 2021
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24. Left ventriculo-pulmonary artery fistula
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Baran Simsek, Volkan Yüksel, Serhat Hüseyin, and Orkut Güçlü
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,business.industry ,Fistula ,Artery fistula ,Case Report ,Vascular surgery ,medicine.disease ,Surgery ,Cardiac surgery ,Cardiothoracic surgery ,medicine.artery ,Pulmonary artery ,medicine ,Endocarditis ,Medical history ,Cardiology and Cardiovascular Medicine ,business - Abstract
The morbidity and mortality of complicated endocarditis remains a serious problem. Left ventriculo-pulmonary artery fistula after culture-negative native aortic valve endocarditis is quite rare. A very rare case of left ventriculo-pulmonary artery fistula arising as a result of culture-negative native aortic valve endocarditis in a 70-year-old patient with no underlying medical history other than acute cholangitis has been reviewed in the light of literature.
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- 2021
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25. Does Larger Fetal Ascending Aorta Than the Pulmonary Artery Indicate Major Cardiac Anomaly?
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Seda Yüksel Şimşek, Şafak Yılmaz Baran, Alev Arslan, Hakan Kalaycı, Songül Alemdaroğlu, and Gülşen Doğan Durdağ
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medicine.medical_specialty ,Fetus ,medicine.diagnostic_test ,Heart disease ,business.industry ,medicine.disease ,Double outlet right ventricle ,medicine.artery ,Internal medicine ,Ascending aorta ,Pulmonary artery ,Pulmonary valve stenosis ,cardiovascular system ,medicine ,Cardiology ,business ,Fetal echocardiography ,Tetralogy of Fallot - Abstract
OBJECTIVE: This study investigated the cases in which the fetal ascending aorta is larger than the main pulmonary artery on the three-vessel view and aimed to determine the relationship between the larger ascending aorta and major cardiac anomalies.STUDY DESIGN: Pregnancies between 18-24 gestational weeks who underwent detailed second-trimester screening during 2015-2019 were evaluated. Cases whose fetal ascending aorta diameter was larger than fetal main pulmonary artery diameter on the three-vessel view despite normal four-chamber view were analyzed. Prenatal and postnatal echocardiography studies were performed for each case.RESULTS: Fetal ascending aorta diameter larger than fetal main pulmonary artery diameter on the three-vessel view despite normal four-chamber view was detected in 21 fetuses in a total of 3810 pregnancies (0.55%), and 10 (47.6%) of them had major congenital heart disease. The diagnosis of Tetralogy of Fallot, double outlet right ventricle, ventricular septal defect, pulmonary valve stenosis, and moderate to severe tricuspid regurgitation were confirmed with prenatal/postnatal echocardiography studies. The highest ratio of ascending aorta/main pulmonary artery was 1.4 in a fetus with a double outlet right ventricle and pulmonary valve stenosis.CONCLUSION: The fetal ratio of ascending aorta/main pulmonary artery larger than 1 on the three-vessel view may be a sign of certain cardiac anomalies. Nevertheless, this rate is not an indicator of a serious cardiac defect in all cases. Fetal advanced echocardiography and early postnatal cardiac evaluation should be done to confirm the diagnosis.
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- 2021
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26. Vaginal cuff dehiscence: report of two cases
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Brian Midkiff and Baran Vardar
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medicine.medical_specialty ,medicine.medical_treatment ,R895-920 ,VCD, Vaginal cuff dehiscence ,Case Report ,complication ,Hysterectomy ,Omental fat ,Medical physics. Medical radiology. Nuclear medicine ,Vaginal cuff dehiscence ,Pneumoperitoneum ,postoperative ,Medicine ,Radiology, Nuclear Medicine and imaging ,CBC, Complete blood count ,business.industry ,iatrogenic ,ER, Emergency room ,bleeding ,musculoskeletal system ,medicine.disease ,Vaginal cuff ,Surgery ,Bowel obstruction ,Vaginal canal ,CT, Computed tomography ,pneumoperitoneum ,Complication ,business - Abstract
Vaginal cuff dehiscence is a rare but potentially life-threatening post-hysterectomy complication. Here we report two cases of vaginal cuff dehiscence with distinct imaging features and describe the CT findings of vaginal cuff dehiscence. Both patients underwent repair surgery, and the diagnoses were confirmed. Radiologic features of vaginal cuff dehiscence are uncommonly described in the literature. Vaginal cuff mural discontinuity and omental fat tissue or bowel herniation into the vaginal canal are the most common appearances of vaginal cuff dehiscence. Pelvic hematoma, bowel obstruction, and pneumoperitoneum can accompany. These two cases highlight the CT appearances, potential presentations, and management of vaginal cuff dehiscence in the emergency setting.
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- 2021
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27. Does the etiology of infertility have any effect on perinatal outcomes?
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Erhan Simsek, Gülşen Doğan Durdağ, Songül Alemdaroğlu, Tayfun Çok, Esra Bulgan Kilicdag, Şafak Yılmaz Baran, and Ebru Tarim
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Infertility ,Pediatrics ,medicine.medical_specialty ,business.industry ,Etiology ,medicine ,RG1-991 ,General Medicine ,Gynecology and obstetrics ,medicine.disease ,business ,RJ1-570 - Abstract
Objective Pregnancies after in vitro fertilization (IVF) are associated with a less favorable outcome compared to natural conception as consistently shown in various studies. However, etiologic factors behind this issue remain to be elucidated. We aimed to demonstrate whether the etiology of infertility has a role on poor pregnancy outcomes in IVF pregnancies. Methods In this retrospective case control study; IVF and spontaneous singleton pregnancies were investigated. The infertile patients were divided into six groups according to the etiology of their infertility (anovulation, male factor, tubal factor, endometriosis, unexplained infertility and poor ovarian reserve). The incidence of preeclampsia, gestational diabetes mellitus, intrahepatic cholestasis of pregnancy, preterm birth and birth weight discrepancies was examined between the groups and subgroups. After adjusting the confounding variables for each infertility subgroup such as demographic data, embryo stage in transfer (blastocyst against cleavage stage) and fresh and frozen embryo transfer status, the effect on pregnancy outcomes was investigated using multinomial logistic regression analysis. Results The study included 934 patients in the IVF group and 1009 patients in the control group. While adverse pregnancy outcomes were more frequent in the general infertility group in comparison to the control group, after elimination of the confounding variables, the direct effect of the etiology of infertility on these outcomes could not be shown. Conclusion In the IVF pregnancies, most of the increased risk of poor pregnancy outcomes appeared to be explained by maternal characteristics (such as age, body mass index) and by treatment protocols rather than infertility etiology. Physicians should consider these risks while counselling patients.
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- 2021
28. Extracapsular extension, pathologic node status, and adjuvant treatment in primary surgery patients with human papillomavirus <scp>‐mediated</scp> oropharyngeal cancer: National h <scp>ospital‐based</scp> retrospective cohort analysis
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Saad A. Khan, James-Michael Blackwell, Alex M. Yang, Ellen Wang, Priscilla J. Tanamal, Justin A. Bishop, David J. Sher, Randall S. Hughes, Andrew T. Day, and Baran D. Sumer
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Hazard ratio ,Cancer ,Retrospective cohort study ,Disease ,medicine.disease ,Confidence interval ,Surgery ,Clinical trial ,Otorhinolaryngology ,medicine ,Human papillomavirus ,business ,Adjuvant - Abstract
BACKGROUND The significance of extracapsular extension (ECE) and adjuvant treatment paradigm in patients with surgically managed human papillomavirus-positive (HPV+) oropharyngeal cancer (OPC) is debated. METHODS National, hospital-based, retrospective cohort study of 2663 patients pN+ HPV+ OPC who underwent primary surgery. RESULTS Patients with ECE had a 1.74-times risk of death (95% confidence interval [CI]: 1.26-2.40, p = 0.001) compared to patients without ECE. Among patients with pN1, ECE-positive disease, risk of overall mortality was similar across treatment paradigms (surgery alone: ref; adjuvant radiation therapy [RT]: aHR: 0.81; 95% CI: 0.36-1.85; p = 0.62; adjuvant CRT: aHR: 0.66; 95% CI: 0.34-1.32; p = 0.24). Patients with pN2 ECE-positive disease treated with adjuvant RT alone exhibited similar risk of all-cause mortality (hazard ratio: 1.04, 95% CI: 0.24-4.47, p = 0.96) compared to adjuvant chemoradiation (CRT). In patients with advanced, ECE-positive disease (e.g., pT3-T4pN2), adjuvant CRT did not reduce the risk of overall mortality relative to adjuvant RT. CONCLUSION Although pathologic ECE negatively predicts for survival in patients with HPV+ OPC, our analyses support expansion of postoperative de-intensification clinical trial eligibility criteria in patients with ECE-positive disease.
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- 2021
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29. Calculated versus measured pure tone bone conduction 3 kHz thresholds in sudden sensorineural hearing loss
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Shahaf Shilo, T Ziv-Baran, Rani Abu Eta, Ophir Handzel, Oren Cavel, Yahav Oron, Nidal Muhanna, and Omer J Ungar
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Adult ,Male ,medicine.medical_specialty ,Hearing loss ,Hearing Loss, Sensorineural ,Schwannoma ,Audiology ,Young Adult ,Bone conduction ,otorhinolaryngologic diseases ,medicine ,Humans ,Meniere Disease ,Aged ,Retrospective Studies ,Aged, 80 and over ,Vestibular system ,medicine.diagnostic_test ,business.industry ,Pure tone ,Reproducibility of Results ,Auditory Threshold ,Neuroma, Acoustic ,General Medicine ,Audiogram ,Hearing Loss, Sudden ,Middle Aged ,medicine.disease ,Otorhinolaryngology ,Audiometry, Pure-Tone ,Female ,Sensorineural hearing loss ,medicine.symptom ,Audiometry ,business ,Bone Conduction - Abstract
ObjectiveTo compare the measured bone conduction threshold at 3 kHz with the calculated threshold in newly diagnosed sudden sensorineural hearing loss.MethodsA retrospective chart review was conducted of pure tone audiograms in confirmed sudden sensorineural hearing loss cases.ResultsOf 157 patients with sudden sensorineural hearing loss, 144 had idiopathic hearing loss, 8 had vestibular schwannoma and 5 had Ménière's disease. The r value for the correlation between the two methods of 3 kHz assessment for all patients was 0.887 (p < 0.001). The mean difference between the measured and calculated 3 kHz thresholds was 0.76 ± 7.96 dB, 0.4 ± 8.08 dB and 1.5 ± 1.8 dB in the sudden sensorineural hearing loss, idiopathic and Ménière's disease groups, respectively. The mean difference between the measured and calculated 3 kHz thresholds was significantly greater in the vestibular schwannoma group (6.86 ± 4.38 dB) than in the idiopathic group (p = 0.013).ConclusionThe 3 kHz frequency may encompass important audiometric information. A discrepancy between the measured and calculated bone conduction 3 kHz thresholds raises suspicion of an underlying vestibular schwannoma as an aetiology for sudden sensorineural hearing loss, and these thresholds should therefore be measured independently and routinely.
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- 2021
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30. A rare and preventable aetiology of neurodevelopmental delay and epilepsy: familial glucocorticoid deficiency
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Meliha Demiral, Edip Unal, Huseyin Demirbilek, Nezahat Doğan Karaşin, Riza Taner Baran, and Mehmet Nuri Ozbek
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0301 basic medicine ,endocrine system ,Pediatrics ,medicine.medical_specialty ,Psychomotor retardation ,business.industry ,Endocrinology, Diabetes and Metabolism ,030209 endocrinology & metabolism ,Adrenocorticotropic hormone ,medicine.disease ,03 medical and health sciences ,Epilepsy ,030104 developmental biology ,0302 clinical medicine ,Endocrinology ,Pediatrics, Perinatology and Child Health ,Convulsion ,medicine ,Etiology ,ACTH receptor ,medicine.symptom ,Isolated Glucocorticoid Deficiency ,business ,Hydrocortisone ,medicine.drug - Abstract
Objectives Familial glucocorticoid deficiency (FGD) is a rare autosomal recessive disorder characterised by isolated glucocorticoid deficiency. Melanocortin receptor 2 (MC2R) mediates the functions of adrenocorticotropic hormone (ACTH) in the adrenal cortex. MC2R accessory protein (MRAP) is a transmembrane protein involved in the trafficking of MC2R to the cell surface. Mutations in MC2R and MRAP genes cause FGD type 1 and 2. In the present case series, we evaluate the clinical characteristics and long-term follow-up of six cases with FGD due to mutations in MC2R and MRAP. Case presentation Data of six cases with FGD (five with mutations in MC2R and one with a mutation in MRAP) who were being followed at our paediatric endocrine centre was evaluated. Diagnosis of FGD was considered in case of elevated ACTH and inappropriately low cortisol level, and exclusion of other aetiologies. The main presenting complaints were hyperpigmentation and hypoglycaemic convulsion in all cases. During a follow-up period of 26–115 months, one patient with homozygous 560delT mutation in MC2R, one female with G226R mutation in MC2R and one female with IVS3ds+1delG mutation in MRAP had a neurodevelopmental delay (NDD), while the other three patients had normal neurodevelopment. Conclusions FGD patients due to MC2R and MRAP mutations with early diagnosis and compliance to the hydrocortisone therapy had normal neurodevelopment, while delay in diagnosis and poor compliance was associated with severe hypoglycaemic convulsions and subsequent complications NDD.
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- 2021
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31. Treatment of Ruptured Infected Abdominal Aortic Aneurysm Caused by Salmonella spp.: A Case Report
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Katarzyna Napiórkowska-Baran, Tomasz Rosada, Zbigniew Bartuzi, Ewa Alska, and Adam Wawrzeńczyk
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Microbiology (medical) ,medicine.medical_specialty ,Salmonella ,Diagnostic methods ,business.industry ,Bleeding ,Abdominal aorta ,Case Report ,medicine.disease ,medicine.disease_cause ,Abdominal aortic aneurysm ,Surgery ,Sepsis ,Infectious Diseases ,Inflammatory aneurysm ,Age groups ,medicine.artery ,medicine ,Etiology ,business ,Infected aneurysm ,Salmonella spp - Abstract
Despite significant advances in diagnostic methods, sepsis is still a current medical problem, and its complications contribute to increased mortality among different age groups. The article presents the case of a 71-year-old man who developed an inflammatory aneurysm of the abdominal aorta in the course of sepsis of Salmonella spp. etiology, followed by its rupture. The case confirms that we must not forget about rare, especially unusual complications, which may depend on the type of microorganism. Properly quick diagnosis allowed for the implementation of appropriate treatment and survival of the patient.
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- 2021
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32. Assessment of abuse and related factors in older patients with cancer
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Yusuf Kemal Arslan, Eren Duzgun, Deniz Can Guven, Zeynep Altın, Muhammet Ozer, Fatih Ozcicek, Muhammed Mustafa Atci, İbrahim Çil, Azad Gunderci, Levent Demirtas, and Baran Akagunduz
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Male ,Polypharmacy ,medicine.medical_specialty ,business.industry ,Cancer ,Elder abuse ,Elder Abuse ,medicine.disease ,Malnutrition ,Cross-Sectional Studies ,Oncology ,Risk Factors ,Informed consent ,Neoplasms ,Internal medicine ,Prevalence ,medicine ,Educational Status ,Humans ,Outpatient clinic ,Observational study ,business ,Depression (differential diagnoses) ,Aged - Abstract
Older cancer patients are more likely to present with functional dependency, multiple comorbidities, polypharmacy, malnutrition, and cognitive dysfunction than their younger counterparts which increases the risk of elder abuse. Herein, in this single-institution observational study, we aimed to determine the frequency and risk factors of abuse in cancer patients aged 70 and above. A total of 217 cancer patients aged ≥ 70 years who applied to the medical oncology outpatient clinic between June 2020 and January 2021 were included in this study. Informed consent was obtained before data collection. The Hwalek-Sengstock Elder Abuse Screening Test (H–S/EAST) was used to evaluate elder abuse. Sociodemographic characteristics and clinical measurements were collected. The mean age was 75.5, and 59.4% were male. The prevalence of abuse risk in older patients with cancer was 39.2%. In the multivariate logistic regression model, applying to the outpatient clinic for treatment (OR: 3.369, 95% CI: 1.455–7.802, p = 0.005), living in urban (OR: 5.787, 95% CI: 2.377–14.090, p
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- 2021
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33. Highlighting selected research conducted in older patients presented at the 23rd European Society for Medical Oncology (ESMO) World Congress on Gastrointestinal Cancer (2021): Young International Society of Geriatric Oncology Report
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Gabor Liposits, Baran Akagunduz, Ishwaria Mohan Subbiah, Mukul Roy, Rogelio N. Velasco, Lisa Rodgers, and Joana Marinho
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medicine.medical_specialty ,business.industry ,Medical Oncology ,medicine.disease ,Oncology ,Older patients ,Geriatric oncology ,Family medicine ,medicine ,Humans ,Gastrointestinal cancer ,Geriatrics and Gerontology ,business ,Aged ,Gastrointestinal Neoplasms - Published
- 2022
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34. Unilateral papular granuloma annulare in a type I diabetic child: a case report and literature review
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Jacek C Szepietowski, Wojciech Baran, and Aleksandra A Stefaniak
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medicine.medical_specialty ,business.industry ,medicine ,Immunology and Allergy ,Dermatology ,medicine.disease ,business ,Granuloma annulare - Published
- 2022
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35. Risk of second cancer among young prostate cancer survivors
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Andrea Baran, Hong Zhang, Edward M. Messing, and Andrew T. Yu
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Prostatectomy ,medicine.medical_specialty ,Prostate cancer ,Bladder cancer ,Radiotherapy ,business.industry ,medicine.medical_treatment ,Incidence (epidemiology) ,Brachytherapy ,Urology ,Cancer ,medicine.disease ,Rate ratio ,Radiation therapy ,Oncology ,Second cancer ,Medicine ,Original Article ,Radiology, Nuclear Medicine and imaging ,Cumulative incidence ,Clinical Investigation ,business - Abstract
Purpose About 40% of men diagnosed with prostate cancer (Pca) are ≤65 years of age. This study evaluates the risk of second cancer among young Pca patients treated with surgery or radiation. Materials and methods This is a retrospective review of 150,915 men aged ≤65 years at Pca diagnosis treated with surgery or radiation registered in the Surveillance, Epidemiology, and End Results (SEER) database between 1973 and 2014. Incidence rates of second rectum/rectosigmoid junction (RJ), bladder, and lung cancer in each treatment group were reported with adjustment for potential confounders. Cumulative incidence functions were used to summarize the risk of second cancer after completing initial treatment. Results Men treated with external beam radiation (BEAM), brachytherapy (SEED), or combined radiation all exhibited a statistically significant increased incidence of second bladder cancer compared to men treated with surgery (adjusted incidence rate ratio [IRR]: 2.09, 1.91, and 2.04, respectively). Incidence of rectum/RJ cancer was also significantly increased in men receiving BEAM and combined radiation (adjusted IRR: 1.58 and 1.98, respectively). There were also significant differences in the cumulative incidence of second bladder cancer after receiving any form of radiation compared to surgery. Conclusion Pca survivors ≤65 years of age at Pca diagnosis had an increased risk of second bladder and rectum/RJ cancer after BEAM and combined radiation treatment after adjusting for confounding factors. Second bladder cancer incidence after either form of radiation treatment was increased even at 5 years after a Pca diagnosis.
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- 2021
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36. Semiquantitative Chest Computed Tomography Assessment Identifies Expiratory Central Airway Collapse in Symptomatic Military Personnel Deployed to Iraq and Afghanistan
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Cecile S. Rose, Tony V Macedonia, Camille M. Moore, Andrea Oh, Silpa D. Krefft, Lauren M. Zell-Baran, and Jenna Wolff
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Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Population ,Air trapping ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Expiration ,education ,Collapse (medical) ,education.field_of_study ,business.industry ,Afghanistan ,Reproducibility of Results ,Middle Aged ,medicine.disease ,Confidence interval ,Obstructive sleep apnea ,Cross-Sectional Studies ,Military Personnel ,Iraq ,Emergency medicine ,medicine.symptom ,Tomography, X-Ray Computed ,business ,Body mass index ,Military deployment - Abstract
PURPOSE We noted incidental findings on chest computed tomography (CT) imaging of expiratory central airway collapse (ECAC) in dyspneic patients after military deployment to southwest Asia (mainly Iraq and Afghanistan). We developed a standardized chest CT protocol with dynamic expiration to enhance diagnostic reliability and investigated demographic, clinical, and deployment characteristics possibly associated with ECAC. MATERIALS AND METHODS We calculated ECAC in 62 consecutive post-9/11 deployers with dyspnea who underwent multi-detector chest CT acquisition. ECAC was defined as ≥70% reduction in the cross-sectional tracheal area at dynamic expiration. We compared demographics (age, smoking, body mass index), comorbid conditions (gastroesophageal reflux, obstructive sleep apnea [OSA]), and clinical findings (air trapping, forced expiratory volume in 1 second percent predicted) in deployers with and without ECAC. We examined associations between ECAC and forced expiratory volume in 1 second percent predicted, air trapping, OSA, deployment duration, and blast exposure. RESULTS Among 62 consecutive deployers with persistent dyspnea, 37% had ECAC. Three had severe (>85%) collapse. Those with ECAC were older (mean age 46 vs. 40 y, P=0.02), but no other demographic or clinical characteristics were statistically different among the groups. Although not statistically significant, ECAC odds were 1.5 times higher (95% confidence interval: 0.9, 2.5) for each additional year of southwest Asia deployment. Deployers with ECAC had 1.6 times greater odds (95% confidence interval: 0.5, 4.8) of OSA. CONCLUSIONS Findings suggest that ECAC is common in symptomatic southwest Asia deployers. Chest high-resolution CT with dynamic expiration may provide an insight into the causes of dyspnea in this population, although risk factors for ECAC remain to be determined. A standardized semiquantitative approach to CT-based assessment of ECAC should improve reliable diagnosis in dyspneic patients.
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- 2021
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37. Familial Mediterranean Fever Mutation Analysis in Pediatric Patients With İnflammatory Bowel Disease: A Multicenter Study
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Kalaycı, Ayhan Gazi, Yüksekkaya, Hasan, Baran, Maşallah, Kuloğlu, Zarife, Ozgenc, Funda, Balamtekin, Necati, Study Group, Turkish Ibd, Aydoğan, Ayşen, Urgancı, Nafiye, Artan, Reha, Ugraş, Meltem, Arslan, Nur, Tutar, Engin, Tümgör, Gökhan, Özkan, Tanju, Ünal, Fatih, Öztürk, Yeşim, Üstündağ, Gonca, Sarı, Sinan, Erkan, Tülay, Önal, Zerrin, Çaltepe, Gönül, Akçam, Mustafa, Arslan, DURAN, Baysoy, Gökhan, Çakır, Murat, Dalgıç, Buket, Doğan, Yaşar, Durmaz, Özlem, Ecevıt, Çiğdem, Eren, Makbule, Gökçe, Selim, Gülerman, Fulya, Yaman, Aytaç, Bekem Soylu, Özlem, Gürakan, Figen, Hızlı, Samil, Işık, Ishak, Özen, Hasan, Özbay Hoşnut, Ferdağ, Kutluk, Günsel, Kasırga, Erhun, Karabiber, Hamza, Kutlu, Tufan, and Kansu, Aydan
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medicine.medical_specialty ,Adolescent ,MEFV ,Familial Mediterranean fever ,Colonoscopy ,Disease ,medicine.disease_cause ,Inflammatory bowel disease ,Gastroenterology ,Severity ,Association ,Crohn Disease ,familial Mediterranean fever ,inflammatory bowel disease ,Internal medicine ,medicine ,Humans ,Modifier ,Child ,Ulcerative-Colitis ,Children ,mutation analysis ,Mutation ,Disorders ,medicine.diagnostic_test ,business.industry ,Turkish Children ,Frequency ,Inflammatory Bowel Diseases ,medicine.disease ,Childhood ,Ulcerative colitis ,digestive system diseases ,Mutation testing ,Colitis, Ulcerative ,Original Article ,Activity Index ,business ,Mefv Gene-Mutations - Abstract
BACKGROUND: The aim of the study was to evaluate familial Mediterranean fever (FMF) mutation analysis in pediatric patients with inflammatory bowel disease (IBD). The relation between MEFV mutations and chronic inflammatory diseases has been reported previously. METHODS: Children with IBD (334 ulcerative colitis (UC), 224 Crohn’s disease (CD), 39 indeterminate colitis (IC)) were tested for FMF mutations in this multicenter study. The distribution of mutations according to disease type, histopathological findings, and disease activity indexes was determined. RESULTS: A total of 597 children (mean age: 10.8 ± 4.6 years, M/F: 1.05) with IBD were included in the study. In this study, 41.9% of the patients had FMF mutations. E148Q was the most common mutation in UC and CD, and M694V in IC (30.5%, 34.5%, 47.1%, respectively). There was a significant difference in terms of endoscopic and histopathological findings according to mutation types (homozygous/heterozygous) in patients with UC (P < .05). There was a statistically significant difference between colonoscopy findings in patients with or without mutations (P = .031, P = .045, respectively). The patients with UC who had mutations had lower Pediatric Ulcerative Colitis Activity Index (PUCAI) scores than the patients without mutations (P = .007). Conclusion: Although FMF mutations are unrelated to CD patients, but observed in UC patients with low PUCAI scores, it was established that mutations do not have a high impact on inflammatory response and clinical outcome of the disease.
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- 2021
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38. Evaluation of avascular necrosis risk factors after closed reduction for developmental dysplasia of the hip before walking age
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Serkan Sipahioğlu, Pelin Zeynep Bekin Sarikaya, Celal Bozkurt, Ahmet Yiğit Kaptan, Mehmet Akif Altay, Baran Sarikaya, and Baki Volkan Çetin
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Hip dysplasia ,medicine.medical_specialty ,Developmental dysplasia ,business.industry ,medicine.medical_treatment ,Spica cast ,Infant ,Avascular necrosis ,Walking ,medicine.disease ,Surgery ,Femoral head ,medicine.anatomical_structure ,Femur Head Necrosis ,Risk Factors ,Radiological weapon ,Pediatrics, Perinatology and Child Health ,medicine ,Developmental Dysplasia of the Hip ,Humans ,Orthopedics and Sports Medicine ,Significant risk ,business ,Reduction (orthopedic surgery) ,Retrospective Studies - Abstract
Avascular necrosis (AVN) of the femoral head is one of the most important complications after closed reduction and spica cast application in developmental dysplasia of the hip (DDH) treatment. This study aims to put forth the impact of closed reduction age and other factors which can cause AVN. Inclusion criteria of the study were: closed reduction and spica cast application before walking age (12 months) and minimum 2 years duration of follow-up. The presence of femoral head ossific nucleus, International Hip Dysplasia Institute (IHDI) score, acetabular indices and AVN were evaluated from radiographies. Hip abduction angles were evaluated on CT images. The absence of the ossific nucleus at the closed reduction time and preoperative IHDI grade were not significant risk factors for AVN (respectively OR = 2.83; 95% CI, 0.99-8.07; P = 0.052; OR = 2.5; 95% CI, 0.85-7.32; P = 0.094). For the patients older than 10 months, (1) the absence of the ossific nucleus was a significant risk factor for grade 2 or higher AVN according to the Bucholz Ogden criteria (P = 0.020) and (2) the higher preoperative IHDI grade (IHDI 3-4) was a significant risk factor for AVN (P = 0.032). AVN of the femoral head was a significant risk factor for fair or poor clinical outcome (P = 0.001). It is not reasonable to wait for radiological visibility of the ossific nucleus to prevent femoral head AVN before applying closed reduction and spica cast, irrespective of the age interval.
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- 2021
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39. Clinical outcomes of older adults listed for heart transplantation in the <scp>United States</scp>
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Naga Vaishnavi Gadela, William L. Baker, Sabeena Arora, Douglas L. Jennings, Jonathan Hammond, Ayyaz Ali, David A. Baran, Kathir Balakumaran, A. Scatola, Jason Gluck, Abhishek Jaiswal, and Joseph Radojevic
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Adult ,Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Psychological intervention ,030204 cardiovascular system & hematology ,Lower risk ,Cohort Studies ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Humans ,030212 general & internal medicine ,Contraindication ,Aged ,Retrospective Studies ,Heart transplantation ,business.industry ,Mortality rate ,Age Factors ,Retrospective cohort study ,Middle Aged ,medicine.disease ,United States ,Confidence interval ,Survival Rate ,Treatment Outcome ,Heart failure ,Heart Transplantation ,Female ,Geriatrics and Gerontology ,business - Abstract
OBJECTIVE To examine if older age (>70 years) should be a relative contraindication for heart transplantation, we evaluated the characteristics and outcomes of patients with age ≥70 years listed for heart transplantation; and whether post-transplantation survival was inferior to younger counterparts. DESIGN Retrospective cohort analysis. SETTING The scientific registry of transplant recipients (SRTR). PARTICIPANTS Adults (≥18 years) listed for heart transplantation in the SRTR between 2000 and 2018. INTERVENTIONS Heart transplantation. MEASUREMENTS Characteristics and outcomes were compared for adults ≥70 years and
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- 2021
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40. Outcomes of cesarean scar pregnancy treatment: Do we have options?
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Şafak Yılmaz Baran, Esra Bulgan Kilicdag, Seda Yüksel Şimşek, Erhan Simsek, Didem Alkaş Yağınç, and Tayfun Çok
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medicine.medical_specialty ,Modalities ,Medical treatment ,Ectopic pregnancy ,cesarean scar pregnancy ,business.industry ,Psychological intervention ,Obstetrics and Gynecology ,Cesarean Scar Pregnancy ,medicine.disease ,Hysteroscopic resection ,Surgery ,cesarean scar ectopic pregnancy ,medicine ,Complication rate ,Methotrexate ,Clinical Investigation ,business ,medicine.drug - Abstract
Objective: To investigate the success and complications of medical and surgical modalities used in the treatment of cesarean scar pregnancies. Materials and Methods: Medical and surgical approaches that have been used to treat cesarean scar pregnancies were evaluated retrospectively, Local, systemic, and combined methotrexate treatments were grouped as the medical approach, and dilatation and evacuation, hysteroscopic resection, laparoscopic and laparotomic approaches were grouped as the surgical approach. Fifty-three patients were diagnosed as having cesarean scar pregnancy during the study period, 48 of whom were included in the final analysis. Eighteen patients were treated with medical interventions and 30 patients were treated surgically. Results: The success rate of surgical modalities was 96.6% and the medical treatment success was 33% (p
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- 2021
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41. Behçet’s Disease in a Polish Patient: A Case Report
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Julia Nowowiejska, Anna Baran, Julita A. Krahel, and Iwona Flisiak
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medicine.medical_specialty ,Case Report ,Dermatology ,Behcet's disease ,Disease ,Pathergy ,Aphta ,Behçet’s disease ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Family history ,business.industry ,medicine.disease ,Erosion ,030220 oncology & carcinogenesis ,Poland ,Headaches ,medicine.symptom ,Differential diagnosis ,Vasculitis ,business ,Rare disease - Abstract
Behçet’s disease (BD) is a systemic autoinflammatory vasculitis. It occurs predominantly in Turkey but very rarely in Europe. The clinical manifestations of BD involve the skin and mucosal membranes; cardiovascular, gastrointestinal and nervous systems; and the eyes and joints. A 26-year-old man was repeatedly hospitalized at the Department of Dermatology of the Medical University of Bialystok. He had a family history of family members' deaths from unknown cause and a long personal history of recurring headaches and nonspecific pain in the chest as well as a 2-year history of recurring painful erosions on the oral mucosa. Recently, before admission to hospital, another erosion had appeared on the scrotum, which rapidly evolved into a painful ulceration. The patient also presented a large erosion in the area of the right hip and acne lesions. He consulted doctors of different specialties and underwent laboratory and imaging tests. Considering the symptoms, BD was diagnosed. Azathioprine was introduced, along with topical treatment. Great improvement of the skin lesions was achieved. He was later admitted to the department a few times for follow-up visits and remains in good general condition. BD is an extremely rare disease in Europe, especially in Poland. The fact that BD is a rare disease outside Asia leads to lower awareness and the possibility of not considering it in the differential diagnosis. The great diversity of symptoms also causes difficulties in tracking this disease. The various manifestations of BD require a broad spectrum of additional tests and an interdisciplinary approach to the patient.
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- 2021
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42. A Prospective Evaluation of Quality of Life in Patients Undergoing Extended Endoscopic Endonasal Surgery for Benign Pituitary Gland Lesion
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Dan M. Fliss, Omri Dominsky, Gilad Horowitz, Anat Wengier, Zvi Ram, Rachel Grossman, Tomer Ziv Baran, Anton Warshavsky, Barak Ringel, Narin N Carmel Neiderman, and Abergel Avraham
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Pituitary gland ,medicine.medical_specialty ,Endoscopic endonasal surgery ,business.industry ,Pituitary tumors ,medicine.disease ,Surgery ,Lesion ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Quality of life ,Pituitary adenoma ,medicine ,In patient ,Neurology (clinical) ,medicine.symptom ,030223 otorhinolaryngology ,Prospective cohort study ,business ,030217 neurology & neurosurgery - Abstract
Introduction Endoscopic endonasal surgery (EES) has become the preferred approach for pituitary tumor resection. Nevertheless, research on quality of life related to pituitary adenoma surgery is scarce. Objective The aim of the study is to evaluate short-term quality of life in patients after endoscopic endonasal resection of pituitary tumors and to find predictors for poor quality of life (QOL) outcome. Materials and Methods A prospective cohort study was conducted, including all patients who underwent EES for pituitary tumors in a tertiary medical referral center. Recruited patients completed the Anterior Skull Base Disease-Specific QOL (ASBS-Q) questionnaire and the Sinonasal Outcome Test 22 (SNOT-22) questionnaire before surgery, 2 and 4 to 6 months after surgery. Demographic and clinical data was collected. Results Our study included 49 patients. The overall ASBS-Q scores significantly improved 4 to 6 months after surgery (4.46 vs. 4.2, p Conclusion We found that patients after EES reported improved QOL 4 to 6 months post surgery. Specific improvement was noted in the QOL related to pain and vitality.
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- 2021
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43. Assessment of the left atrial appendage morphology in patients after ischemic stroke — The ASSAM study
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Urszula Stachnio, Katarzyna Dudzińska-Szczerba, Ilona Michałowska, Ilona Kowalik, Piotr Kułakowski, Agnieszka Sikorska, Roman Piotrowski, Jakub Baran, and Agnieszka Paszkowska
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medicine.medical_specialty ,Computed tomography ,030204 cardiovascular system & hematology ,Brain Ischemia ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Left atrial ,Internal medicine ,Atrial Fibrillation ,medicine ,Humans ,Atrial Appendage ,In patient ,cardiovascular diseases ,030212 general & internal medicine ,Significant risk ,Stroke ,Ischemic Stroke ,medicine.diagnostic_test ,business.industry ,Atrial fibrillation ,medicine.disease ,Ostium ,Ischemic stroke ,Cardiology ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
Background The ASSAM study was designed to evaluate the association between left atrial appendage (LAA) morphology and stroke risk in patients with atrial fibrillation (AF). Methods The study included 85 randomly chosen AF patients with acute ischemic stroke matched with 84 AF without stroke. All patients had left atrial (LA) computed tomography performed to analyze LAA anatomy. Results Patients in the stroke group had a larger LAA volume (10.22 [7.83–13.62] vs. 9.33 cm3 [7.33–11.47], p = 0.046], greater distance from LAA ostium to the first LAA bend (9.25 ± 3.85 vs. 7.23 ± 2.95 mm, p = 0.0002), and more frequently had round LAA ostium shape (11.8 vs. 1.2%, p = 0.005). According to a multivariable model, significant predictors of ischemic stroke were distance from LAA ostium to the first LAA bend (OR 1.202 [1.065–1.356], p = 0.003), LAA ostium round shape of (OR 16.813 [1.857–152.231], p = 0.012), LAA ostium surface area (OR 0.612 [0.457–0.819], p = 0.009), and cactus LAA morphology (OR 2.739 [1.176–6.380], p = 0.016). After adjusting for CHA2DS2-VASc score, only the distance from LAA ostium to the first LAA bend remained a significant risk factor for stroke (OR 1.154 [1.014–1.314], p = 0.03). Conclusions The distance from LAA ostium to the first bend of the LAA was independently associated with stroke risk in patients with AF. Whether this parameter may help improve identification of patients at risk of ischemic stroke, needs to be confirmed in larger studies.
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- 2021
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44. Variability in reporting of key outcome predictors in acute myocardial infarction cardiogenic shock trials
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Timothy D. Henry, Santiago Garcia, Jacob C. Jentzer, David A. Baran, Sean van Diepen, Scott W. Sharkey, Christopher L. Brown, Navin K. Kapur, Jeffrey M Tyler, and Ross Garberich
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medicine.medical_specialty ,medicine.medical_treatment ,Myocardial Infarction ,Shock, Cardiogenic ,Cardiac index ,030204 cardiovascular system & hematology ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Internal medicine ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,030212 general & internal medicine ,Myocardial infarction ,Cause of death ,Mechanical ventilation ,Ejection fraction ,business.industry ,Cardiogenic shock ,Stroke Volume ,General Medicine ,medicine.disease ,Clinical trial ,Treatment Outcome ,Cardiology ,Heart-Assist Devices ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background Among acute myocardial infarction patients with cardiogenic shock (AMICS), a number of key variables predict mortality, including cardiac arrest (CA) and shock classification as proposed by Society for Cardiovascular Angiography and Intervention (SCAI). Given this prognostic importance, we examined the frequency of reporting of high risk variables in published randomized controlled trials (RCTs) of AMICS patients. Methods We identified 15 RCTs enrolling 2,500 AMICS patients and then reviewed rates of CA, baseline neurologic status, right heart catheterization data, lactate levels, inotrope and vasopressor requirement, hypothermia, mechanical ventilation, left ventricular ejection fraction (LVEF), mechanical circulatory support, and specific cause of death based on the primary manuscript and Data in S1. Results A total of 2,500 AMICS patients have been enrolled in 15 clinical trials over 21 years with only four trials enrolling >80 patients. The reporting frequency and range for key prognostic factors was: neurologic status (0% reported), hypothermia (28% reported, prevalence 33-75%), specific cause of death (33% reported), cardiac index and wedge pressure (47% reported, range 1.6-2.3 L min-1 m-2 and 15-24 mmHg), lactate (60% reported, range 4-7.7 mmol/L), LVEF (73% reported, range 25-45%), CA (80% reported, prevalence 0-92%), MCS (80% reported, prevalence 13-100%), and mechanical ventilation (93% reported, prevalence 35-100%). This variability was reflected in the 30-day mortality which ranged from 20-73%. Conclusions In a comprehensive review of seminal RCTs in AMICS, important predictors of outcome were frequently not reported. Future efforts to standardize CS trial data collection and reporting may allow for better assessment of novel therapies for AMICS.
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- 2021
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45. The benefits of inferolateral transtubercular route on intradural surgical exposure using the endoscopic endonasal transclival approach
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Baran Bozkurt, Ali Karadag, Baris Kucukyuruk, Karim ReFaey, Pinar Gokdogan Kirgiz, Mehmet Senoglu, Erik H. Middlebrooks, and Necmettin Tanriover
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business.industry ,Cranial nerves ,Anatomy ,Fourth ventricle ,Cerebellopontine angle ,medicine.disease ,030218 nuclear medicine & medical imaging ,Jugular tubercle ,Lateral recess ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Clivus ,Foramen ,medicine ,Surgery ,Neurology (clinical) ,Chordoma ,business ,030217 neurology & neurosurgery - Abstract
Surgical access to the ventral pontomedullary junction (PMJ) can be achieved through various corridors depending on the location and extension of the lesion. The jugular tubercle (JT), a surgically challenging obstacle to access the PMJ, typically needs to be addressed in transcranial exposures. We describe the endoscopic endonasal transclival approach (EETCA) and its inferolateral transtubercular extension to assess the intradural surgical field gained through JT removal. We also complement the dissections with an illustrative case. EETCA was surgically simulated, and the anatomical landmarks were assessed in eight cadaveric heads. Microsurgical dissections were additionally performed along the endoscopic surgical path. Lastly, we present an intraoperative video of the trans-JT approach in a patient with lower clival chordoma. The EETCA allowed adequate extracranial visualization and removal of the JT. The surgical bony window—obtained along the clivus and centered at the JT via the EETCA—measured 11 × 9 × 7 mm. Removal of the JT provided an improved intradural field within the lower third of the cerebellopontine cistern to expose an area bordered by the cranial nerves VII/VIII and flocculus superior and anterior margin of the lateral recess of the fourth ventricle and cranial nerves IX–XI inferiorly, centered on the foramen of Luschka. Removal of the JT via EETCA improves exposure along the lower third of the cerebellopontine and upper cerebellomedullary cisterns. The inferolateral transtubercular extension of the EETCA provides access to the lateral recess of the fourth ventricle, in combination with the ventral midline pontomedullary region.
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- 2021
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46. Cutaneous Paraneoplastic Syndromes with Nail Involvement
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Athina Fonia and Robert Baran
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medicine.medical_specialty ,Paraneoplastic Syndromes ,Early detection ,Dermatology ,Malignancy ,Skin Diseases ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Tripe palms ,medicine ,Humans ,Skin ,business.industry ,Cancer ,Necrolytic migratory erythema ,medicine.disease ,Tumor recurrence ,medicine.anatomical_structure ,Nails ,030220 oncology & carcinogenesis ,Malignant acanthosis nigricans ,Nail (anatomy) ,Neoplasm Recurrence, Local ,medicine.symptom ,business - Abstract
The cutaneous paraneoplastic syndromes are rare and intrinsically devoid of any neoplastic nature. The manifestations on the skin and the nails are due to various mechanisms caused by the tumor, either due to production of bioactive substances or in response to it. These disorders evolve in parallel to the malignancy, in that, they regress when the tumor is removed and reappear in the case of tumor recurrence. The aim of this article is to aid with the early recognition of the signs, leading to the early detection of cancer and therefore to better clinical outcomes for the patients.
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- 2021
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47. Upper limb sensory evaluations and ultrasonographic skin measurements in breast cancer–related lymphedema receiving complex decongestive physiotherapy
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Levent Özçakar, Emine Baran, Sercan Aksoy, Türkan Akbayrak, and Serap Özgül
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medicine.medical_specialty ,Breast Cancer Lymphedema ,Breast Neoplasms ,Sensory system ,Upper Extremity ,03 medical and health sciences ,Two-point discrimination ,0302 clinical medicine ,Sensation ,Tactile localization ,Ultrasound ,medicine ,Humans ,030212 general & internal medicine ,Lymphedema ,Stage (cooking) ,Physical Therapy Modalities ,Pressure pain threshold ,business.industry ,medicine.disease ,medicine.anatomical_structure ,Oncology ,030220 oncology & carcinogenesis ,Physical therapy ,Semmes–Weinstein ,Upper limb ,Female ,Original Article ,business ,Tape measure - Abstract
Purpose The aims of this study were to investigate if/how the presence of lymphedema affects the sensation of the upper limb and to assess whether complex decongestive physiotherapy (CDP) has a favorable impact on sensory testing. Methods A total of 27 patients with unilateral stage 2 breast cancer–related lymphedema (BCRL) were included in the study. Bilateral circumferential measurements were taken with a tape measure at different levels. Based on these measurements, limb volumes were determined by summing segment volumes derived from the truncated cone formula. Circumferential measurements and ultrasonographic evaluations (epidermis, dermis, and subcutaneous fat thicknesses) were performed at 10 cm distal to the elbow crease. The Semmes–Weinstein monofilament (SWM), static and moving two-point discrimination, pressure pain threshold (PPT), and tactile localization tests were also applied at the same site. After an initial evaluation, all patients underwent CDP phase 1 program. All the evaluations were repeated at the end of the treatment period. Results Before CDP, affected sides had significantly higher values than the unaffected sides in terms of SWM (p
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- 2021
48. Does methylprednisolone affect time to recovery in COVID–19 Pneumonia?
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Sehnaz Olgun Yildizeli, Emel Eryuksel, Sait Karakurt, Baran Balcan, Derya Kocakaya, Kocakaya, Derya, Yildizeli, Sehnaz Olgun, Balcan, Mehmet Baran, Balcan, Baran, Eryuksel, Emel, and Karakurt, Sait
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Oxygen supplementation ,Coronavirus disease 2019 (COVID-19) ,business.industry ,Lymphocyte ,Medical record ,COVID-19 ,medicine.disease ,Affect (psychology) ,Tıp ,Pneumonia ,medicine.anatomical_structure ,Methylprednisolone ,Patient age ,Anesthesia ,COVID-19,Steroids,Length of stay ,medicine ,Length of stay ,Medicine ,Steroids ,business ,medicine.drug - Abstract
Objective: Current literature has conflicting results on the role of steroids in the treatment of coronavirus disease 2019 (COVID-19) pneumonia. This study aims to evaluate the effects of steroids on clinical recovery, duration of hospitalization, and time needed for the cessation of oxygen treatment. Patients and Methods: We retrospectively analyzed the medical records of patients hospitalized for COVID-19 between March and May 2020. Patient age, laboratory parameters, clinical stages, radiologic scores, length of hospital stay, and time needed for the cessation of oxygen supplementation were compared. Results: Thirteen patients were treated with steroids, and 12 controls were included in the analysis. Regarding the laboratory parameters, the groups were similar except for lymphocyte percentage (9.8 ± 3.2, 7.0 ± 2.9; p=0.033), which was higher, and D-dimer levels (0.75 (0.60-1.43), 1.57 (0.91-2.29); p=0.047), which were lower in the steroid group on admission. Steroid treatment provided a tendency of decrease in time to cessation of oxygen supplementation (6.23 ± 3.4 vs 7.67 ± 2.1, p=0.217). Conclusion: Although, systemic steroids, started in the subacute period, did not affect the length of hospital stay, they provided a tendency of decrease in the time until the cessation of oxygen supplementation in the subacute period.
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- 2021
49. Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight
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Maryam Sharafkhah, Emanuel Zitt, Majid Ezzati, Luxia Zhang, Young-Ho Khang, Ellina Rakhimova, Kairit Mikkel, Tiina Vlasoff, Eruke E. Egbagbe, Sidsel Graff-Iversen, Ilona Nenko, Magdalena Klimek, Mathilde Savy, Sanjib Kumar Sharma, Alfonso Siani, Luís Lopes, Vanina Bongard, Gregor Jurak, Jacqueline F. Price, Christina-Paulina Lambrinou, Maria Lc Iurilli, Rainford J. Wilks, Bontha V. Babu, Fereidoun Azizi, Harunobu Nakamura, Marialaura Bonaccio, Angela Döring, Zhenyu Zhang, Naser Ahmadi, Jolanta Słowikowska-Hilczer, Ana Paula Carlos Cândido, Clive Osmond, Thirunavukkarasu Sathish, Robert J. Adams, Themistoklis Tzotzas, Reina Engle-Stone, Atul Trivedi, Shoichiro Tsugane, Niels Møller, Jorge Bezerra, Dénes Molnár, Muhammad Fadhli Mohd Yusoff, Badreya Al-Lahou, J. Jaime Miranda, Bahram Mohajer, Sigmund A. Anderssen, Lital Keinan Boker, Eero Kajantie, Martin Gulliford, Maties Torrent, Sumit Bharadwaj, Toshiharu Ninomiya, Zbigniew Gaciong, Nayu Ikeda, Li Juan Wu, Adrian Richter, Licia Iacoviello, Marc J. Gunter, Wenbin Wei, Norsyamlina Che Abdul Rahim, Eman Aly, Ambady Ramachandran, Nils Lehmann, Soile E. Puhakka, Giovanni Veronesi, Hongsheng Bi, Eiji Oda, Jia Li Duan, Per Tynelius, José María Huerta, Janne Schurmann Tolstrup, Rodrigo M. Carrillo-Larco, Rosangela Fernandes Lucena Batista, Victoria E Soto-Rojas, Hanno Ulmer, Shukri F. Mohamed, Anthony Kafatos, Suyeon Park, Mohsen Ibrahim, Hamed Pouraram, Bin Zhou, May Soe Aung, Lars Bo Andersen, Erfan Ghasemi, René Charles Sylva, Himanshu K. Chaturvedi, Luc Dauchet, Ahmad Ali Zainuddin, Angela Chetrit, Dan Zhu, Valérie Deschamps, Ko Ko Zaw, Peter Vollenweider, Tomas Vega, Yves Martin-Prével, Mahfuzar Rahman, Dorja Vočanec, Roman Topor-Madry, Vinay Nangia, Herculina S. Kruger, Asher Fawwad, Emily Sonestedt, Elena Pahomova, Aleksander Giwercman, Elżbieta Dziankowska-Zaborszczyk, Cecilia Björkelund, Tatjana Hejgaard, Maria Puiu, Maria Benedetta Donati, Andrew Wong, Carlos P. Boissonnet, Santosh K. Bhargava, Patrick Kolsteren, Dermot O'Reilly, Bahareh Kheiri, Wolfgang Kratzer, Susanne R. de Rooij, H. Bas Bueno-de-Mesquita, Günther Fink, José R. Banegas, Michele Monroy-Valle, Drude Molbo, Mahmudur Rahman, Hynek Pikhart, Rafael N. Pichardo, Massimo Salvetti, Hui Cai, Sarah Filippi, Georg Posch, Hung-Kwan So, Yonghua Hu, Katsuyasu Kouda, Joana Carvalho, Gailute Bernotiene, Hannu Uusitalo, Thein Thein Htay, Felix Kaducu, Maigeng Zhou, Lars Ängquist, Thi Tuyet-Hanh Tran, Charles Lunogelo, Michel Joffres, Sabina Zambon, Ronald D. Gregor, Vayia Rarra, Seyed Mohammad Hashemi-Shahri, Loreto Santa Marina, Galina Obreja, Rudolf Kaaks, Aya Mostafa, Maria do Carmo Franco, Beata Gurzkowska, Chien-Jen Chen, Marie Moitry, Nizal Sarrafzadegan, Xiangjun Wang, Diego Giulliano Destro Christofaro, Imperia Brajkovich, Fangfang Chen, Francesco Panza, Ling Yang, Holly E. Syddall, Cecily Kelleher, Michael Tornaritis, Ningli Wang, Lutgarde Thijs, Marjolein Visser, Angelika Schaffrath Rosario, María José Tormo, Jostein Steene-Johannessen, Norbert Amougou, Emmanuella Magriplis, Mar Alvarez-Pedrerol, Jingli Gao, Stig E. Bojesen, Giuseppe Grosso, Seongjun Ha, Lauren Lissner, Mikhail Benet, Anastasia Markaki, Sanjay Rampal, Antônio Augusto Moura da Silva, Maria Lorenza Muiesan, Angelique Chan, Yvonne T. van der Schouw, Annamari Lundqvist, Philippe Amouyel, Kristyna Zejglicova, Charalambos Hadjigeorgiou, João Breda, Jørgen Meisfjord, Fatima Zahra Laamiri, Carl Lachat, Kai-Uwe Saum, Vilma Irazola, Leng Huat Foo, Óscar Lopes, Dickman Gareta, Flavio Nervi, Imre Janszky, Ruzena Kubinova, Terho Lehtimäki, Mario V. Capanzana, Moyses Szklo, Ramfis Nieto-Martínez, Viswanathan Mohan, Shuohua Chen, Arvind Pandey, Luigi Palmieri, Roya Kelishadi, Srinivasan Kannan, Jie Mi, Robert Beaglehole, Liliana Dacica, Jyrki K. Virtanen, Mohan Deepa, Peter Ueda, Isti Ilmiati Fujiati, Hermann Pohlabeln, Morten Sodemann, Jytte Halkjær, Zbigniew Kułaga, Sophie Visvikis-Siest, Farshad Farzadfar, Mohsen Azimi-Nezhad, Henry Völzke, Karolina Milkowska, Zahra Mohammadi, Belgin Ünal, Magda Gasull, George S. Stergiou, Marshall K. Tulloch-Reid, Seppo Koskinen, James E. Bennett, Marcela González-Gross, Virginija Dulskiene, Idris Guessous, Assembekov Batyrbek, Kamarul Imran Musa, Jeannette Lee, Josep Redon, Bihungum Bista, Luisa M Macieira, Johan Sundström, Andres Metspalu, Lariane M Ono, Flora A. Ukoli, Salar Rahimikazerooni, Andrea Gualtieri, Trevor S. Ferguson, Félicité Tchibindat, Eliza Cinteza, Ha Tp Do, Tajana Zeljkovic Vrkic, Tuyen D Le, Alison J. Hayes, Abdul Basit, Chandini Nekkantti, Teresa Norat, Eunice Ugel, Gulmira Aitmurzaeva, Mariachiara Di Cesare, Abdul Hamid Zargar, Vincenzo Solfrizzi, Garry L. Jennings, Aline Meirhaeghe, Kaare Christensen, Päivi Mäki, Xu Lin, Ali Esmaeili, Joanna Baran, Aneta Grajda, Renata Cifkova, Alexandre C. Pereira, Martin Bobak, Iuliia A Rusakova, Keiu Nelis, Damian K Francis, Guansheng Ma, Axel C. Carlsson, Alejandro Diaz, Alireza Ansari-Moghaddam, N Capkova, Zumin Shi, Maria Turley, Imelda A. Agdeppa, Helena I. S. Nogueira, Marcia Scazufca, Katharina Maruszczak, Natascia Rinaldo, Paulo A. Lotufo, Nuno Lunet, Thor Aspelund, Caroline H.D. Fall, Antonio Cabrera de León, Ahmad Faudzi Yusoff, Holger Theobald, Beatriz D'Agord Schaan, Pedro Marques-Vidal, William A. Neal, Mihai Gafencu, Tandi E. Matsha, Ana B. Crujeiras, Ahmad Reza Dorosty, Alain Morejon, Weili Yan, Dominique Hange, Bekbolat Zholdin, Frédéric Gottrand, Jorge Mota, Jana Námešná, Stevo Popovic, Louise Eriksen, Line Lund Kårhus, Cihangir Erem, Juergen Breckenkamp, Mathilde Kersting, Yi Song, Martin McKee, Aleksandra Gomula, Rafaela Rosário, Enzo Manzato, S. Goya Wannamethee, Sounnia Mediene Benchekor, Azim Nejatizadeh, Krishna Kumar Aryal, Juan P. González-Rivas, Vedrana Sember, Stephen T. McGarvey, Jukka T. Salonen, Patrick Pasquet, Patricia Varona-Pérez, Amelia C. Crampin, Ramin Heshmat, Violeta Iotova, Juvenal Soares Dias-da-Costa, Oye Gureje, Aletta E. Schutte, João Luiz Bastos, Anelise Reis Gaya, Konrad Jamrozik, Dalia Luksiene, Amina Barkat, Maria Paula Santos, José Camolas, Azli Baharudin, Diego Vanuzzo, Doris Stöckl, Rosalynn Siantar, Jouko Saramies, Albertino Damasceno, Davood Khalili, Simona Bo, Martina Müller-Nurasyid, Dominique Cottel, Markku Peltonen, Fikru Tullu, Ana Isabel Rito, Angélica Ochoa-Avilés, Annette J. Dobson, Christopher T. Cowell, Charumathi Sabanayagam, Rildo de Souza Wanderley Júnior, Oanh T. H. Trinh, Farahnaz Joukar, Mostafa K. Mohamed, Mostafa Qorbani, Jeongseon Kim, Helmut Schröder, Machi Suka, Natasja M. van Schoor, Jussi Kauhanen, Teresa Haugsgjerd, Goodarz Danaei, M. Fernanda Lima-Costa, Yong Tao, Elisabetta L. Romeo, Grazyna Jasienska, Victor Guillermo Sequera, Kazem Mohammad, Yanina Zócalo, Fernanda Cunha Soares, Jianfeng Wu, Mohammad Esmaeel Motlagh, María Elena Díaz-Sánchez, Monika Zuziak, Eldridge Ferrer, Anette Varbo, Leila Beltrami Moreira, Jeremy M. Jacobs, Kenneth James, Elena Sacchini, Pascal Bovet, Mahboubeh Parsaeian, Tania Lopez, Ya Xing Wang, Wojciech Drygas, Jody C Miller, Svetlana A. Shalnova, Maria Elisa Zapata, Chung T Nguyen, Nimmathota Arlappa, Edwige Landais, Thorkild I. A. Sørensen, Jeannette Klimont, Amirabbas Momenan, Erik J. Timmermans, Mari-Liis Tammesoo, Jost B. Jonas, Stefania Toselli, Maria Teresa Anselmo Olinto, Bahman Cheraghian, Kouamelan Doua, Esteban Carmuega, Marjeta Mišigoj-Duraković, Bo Werner, M. Arfan Ikram, Breige A. McNulty, Christa Meisinger, Clara Homs, Namuna Shrestha, Alina Kerimkulova, Youcef Laid, Claes Ohlsson, Alicia Matijasevich, Alison J Price, Ala'a Alkerwi, Kristine H. Allin, Lorenza Pilotto, Mohannad Al Nsour, Ingunn Holden Bergh, Marianna Noale, Heba Fouad, Vilnis Dzerve, Novie O. Younger-Coleman, Peter Willeit, Andrea R. V. R. Horimoto, Freda Pitakaka, Habiba Ben Romdhane, Savvas C. Savva, Rajeev Gupta, Jennifer Servais, Cristina Padez, Sarah P. Garnett, Maria del Cristo Rodriguez-Perez, Michala Lustigová, Tien Yin Wong, Rosa Haghshenas, Jonathan Giovannelli, Christina Howitt, Marleen E. Hendriks, Fadia AlBuhairan, Huashuai Chen, Gretchen A Stevens, Luís B. Sardinha, David Goltzman, Jenny M. Kindblom, Karina Mary de Paiva, Yousef Khader, Eric Monterrubio-Flores, Rajendra Pradeepa, Yi-Ting Lin, Martin Neovius, Juan Francisco Miquel, Ellis Owusu-Dabo, Anil Poudyal, Marzieh Katibeh, Tanja Stocks, Veronica Mocanu, Ulla Roggenbuck, Robespierre Ribeiro, Gabriele Eiben, Mary Simon, Christine Cameron, Hamid Hakimi, Kamel Ajlouni, Jakub Stokwiszewski, Iulia Jurca Simina, Pietro Amedeo Modesti, Frederick C. W. Wu, Peter Kristensen, Charles Mondo, Felix Gutzwiller, Mariana Sbaraini, Martijn Huisman, Betina H. Thuesen, Queenie Chan, Antonisamy Belavendra, Artur Mazur, Ulf Ekelund, Laura A. Rodríguez-Villamizar, Marcos André Moura-dos-Santos, Jean Ferrières, Farhad Zamani, Shina Avi, Yves Kameli, Luis Paulo Gomes Mascarenhas, Aluísio J D Barros, Thomas Meinertz Dantoft, Hossein Poustchi, Farid Najafi, Giovanni de Gaetano, Azaliia M Tuliakova, Vera Lanska, Tint Swe Latt, Matthias Bopp, Abbas Rezaianzadeh, Rod Jackson, Johan Van der Heyden, Reecha Sofat, Koen Van Herck, Allan G. Hill, Con Burns, Emanuela Pettenuzzo, Ming-Dong Wang, Stela McLachlan, Ulrike Gehring, Ranko Stevanovic, Nagalla Balakrishna, Lekhraj Rampal, Marjolijn C. E. Bragt, Saeid Eslami, Napoleón Pérez-Farinós, G. K. Mini, Viktoria Anna Kovacs, Rosemarie Martin, Nahla Hwalla, Wei Zheng, Hoang Van Minh, Edward D Janus, Laetitia Huiart, Farhad Pourfarzi, Sudha Ramachandra Rao, Fred Paccaud, Marcia Makdisse, Aye Aye Sein, Enrique Gutiérrez-González, Yang Yang, Anneke Blokstra, Henrike Galenkamp, Jaume Marrugat, Nazan Yardim, Wan Nazaimoon Wan Mohamud, Jesús Ibarluzea, Julio Zuñiga Cisneros, Laura Lauria, Argyro Karakosta, Dragana P Jovic, Jun Hata, Elio Riboli, Piotr Bandosz, Xun Tang, Parvina Mukhtorova, Jean Dallongeville, Jean-Bernard Ruidavets, Anne Tjønneland, Guillermo Frontera, Rahul Malhotra, Thomas Ferrao, Aleksandra Piwońska, Dusan Grafnetter, Mette Rasmussen, Daniel Weghuber, Sherali Rakhmatulloev, Martine Vrijheid, Johann Willeit, Motahareh Kheradmand, Małgorzata Mossakowska, Lechaba Tshepo, Dongfeng Gu, Hyeon Chang Kim, Vilmundur Gudnason, Maria Forsner, Peter Bjerregaard, Leon A. Simons, Rachael McLean, Japhet Killewo, Ramón Suárez-Medina, Y Nikitin, Eng Joo Tan, Jean Claude Mbanya, Aroor Bhagyalaxmi, Renata Kuciene, Kairat Davletov, Jose Eugenio Lozano, Afshin Ostovar, Niloofar Peykari, Guy De Backer, Soheir H Ahmed, Nicholas J. Wareham, Sai Yin Ho, Constanta Huidumac Petrescu, Maria Hassapidou, Iris Pigeot, Myriam Galfo, Susana Cararo Confortin, Blanca Sandra Ruiz-Betancourt, W. M. Monique Verschuren, Catterina Ferreccio, Fabio Galvano, Leila Houti, Daniel Bia, Annika Rosengren, Marcin Rutkowski, Biruta Velika, Joana Araújo, Fernando Rigo, Angela Spinelli, Scott B. McLean, Shirin Djalalinia, Marie Kunešová, Boban Mugoša, Sania Nishtar, Mangesh S. Pednekar, Shahla AlDhukair, Helle-Mai Loit, Antonis Zampelas, Altan Onat, Maciej Banach, Shohreh Naderimagham, Hajer Aounallah-Skhiri, Maja Bæksgaard Jørgensen, Yin Guo, Ewelina Czenczek-Lewandowska, Parasmani Dasgupta, Elvis Oa Wambiya, Inge Huybrechts, Raimund Erbel, Jari Jokelainen, Ana P. Ortiz, Stefan Kiechl, Emmanuel Cohen, Caleb Ochimana, Shynar Abdrakhmanova, Laura Censi, Iqbal Bata, Geetha R Menon, Snehalatha Chamukuttan, Pedro Plans-Rubio, Domenico Palli, Ana Azevedo, Slawomir Koziel, Benoît Salanave, Parinaz Mehdipour, Shu Ti Chiou, Lela Sturua, Lubica Ticha, Felipe Vogt Cureau, Jin Soo Moon, Ming-Hui Zhao, Urho M. Kujala, Nathalie Michels, Ertugrul Celikcan, Jaakko Tuomilehto, Judith Benedics, Tobias F. Rinke de Wit, Agnès Le Port, Reza Homayounfar, Andrea Rodriguez-Martinez, Tai Hing Lam, Yn-Tz Sung, Jürgen König, Kodavanti Mallikharjuna Rao, Hazzaa M. Al-Hazzaa, Karen Morgan, Bogdan Wojtyniak, Cynthia M. Pérez, Ilse Khouw, Manoli Garcia-de-la-Hera, Dong Wook Shin, Genc Burazeri, Ausra Petrauskiene, Charles Sossa Jérome, Kenisha Russell Jonsson, José Boggia, Daniela Galeone, Alice Bonilla-Vargas, Han Cg Kemper, Rahman Shiri, Stefaan Demarest, Else Karin Grøholt, San-Lin You, Adelheid Weber, Juha Auvinen, Aida Pilav, Sibel Gogen, Suzanne N Morin, Wan Mohamad Wan Bebakar, Viviane Cunha Cardoso, Kavumpurathu Raman Thankappan, Hana Zamrazilová, Frank Claessens, Karien Stronks, Helen Gonçalves, Tahir Aris, Luis Revilla, Sérgio Viana Peixoto, Zhamilya Battakova, Jing Liu, Eliza Markidou Ioannidou, Leticia Hernandez Cadena, Priscilla Duboz, Sandjaja, Tiina Laatikainen, Rafel Ramos, Sareh Eghtesad, Judith Simons, Orn Olafsson, E. Shyong Tai, Louise A. Baur, Nihal Thomas, Aung Soe Htet, Bente Sparboe-Nilsen, Paul Elliott, Soon-Woo Park, Angel R. Gonzalez, Ying-Wei Wang, Rob M. van Dam, Ryutaro Ohtsuka, Ludmila Sevcikova, Suhaila Abdul Ghaffar, Lynell V Maniego, Fariborz Mansour-Ghanaei, Maria Dorobantu, Giovanni Viegi, Xiaoguang Yang, Honor Bixby, Prakash C. Gupta, Ofra Kalter-Leibovici, Eugene Sobngwi, Ričardas Radišauskas, Jurate Medzioniene, Roy A Wong-McClure, Kim F. Michaelsen, Antonia Trichopoulou, Tania Tello, Francesco Branca, Johanna Gunnlaugsdottir, Els Clays, Wei-Yen Lim, Suzanne C. Ho, Toomas Veidebaum, Rebecca Goldsmith, Margot González-León, Matthias Nauck, Alibek Mereke, Marta Buoncristiano, Jakob Tarp, Rosalba Rojas-Martínez, Maya Tanrygulyyeva, Reza Malekzadeh, Abdonas Tamosiunas, Dimitrios Poulimeneas, Pedro Ordunez, Isabelle Herter-Aeberli, Khanh Le Nguyen Bao, Anne Juolevi, Vassilis Zafiropulos, Emanuela Gualdi-Russo, Jordi Sunyer, Manu Raj, Chaoqiang Jiang, Sofia Malyutina, Efthymios Kapantais, Maria Lazo-Porras, Maung Maung Than Htike, Michael Hobbs, Ranjit Mohan Anjana, Merike Liivak, Johan G. Eriksson, Margarita Samoutian, Andreia N. Pizarro, Mohammed Rasoul Tarawneh, Jean Woo, Kaspar Staub, Maria Teresa Menzano, Mojtaba Farjam, Adroaldo Cesar Araujo Gaya, Mohammad El-khateeb, Zulfiqar A Bhutta, Mukharram M. Bikbov, Hsien-Ho Lin, Oscar Noboa, Thomas Waldhör, Garry Brian, Simona Costanzo, Frank Tanser, Nor Azwany Yaacob, Michelle Cilia, Ivo Rakovac, Bill Stavreski, Ioannis Pagkalos, Ivan Pećin, Carlo M. Barbagallo, Abla M. Sibai, Yuna He, Matsuda Fumihiko, Bharathi Viswanathan, Ali Reza Safarpour, Wei Cheng Lo, Abdullatif Husseini, Jiang He, Liv Elin Torheim, Nipa Rojroongwasinkul, Aicha Soumare, Astrid Petersmann, Tomasz Grodzicki, Davide Noto, Panayiotis K. Yiallouros, Kelias P. Msyamboza, William R. Tebar, Yingfeng Zheng, Eha Nurk, Bhawesh Koirala, Ana Jelakovic, Suhad Bahijri, Freja B Kampmann, Qi Sheng You, Marika Ferrari, María-Elena González-Villalpando, Aline Wagner, Olfa Saidi, Anwar Batieha, Eduardo Capuano, Coimbatore Subramaniam Shanthirani, Dong Wook Kim, Albina A Fakhretdinova, Tom Wilsgaard, Maria Avdicova, Moesijanti Soekatri, Chiara Donfrancesco, Salim Mohanna, Paola Russo, Uruwan Yamborisut, Rafael dos Santos Henrique, Martin Nankap, Allan Linneberg, Khairil Si-Ramlee, Kirsten Mehlig, Christina Mavrogianni, Raluca Pop, Lèlita Santos, Graziella Bruno, Valentina Peterkova, Iná S. Santos, Georg Lappas, Alberto Palloni, Malay K. Mridha, Andrzej Pajak, Marta García-Solano, Stefaan De Henauw, Daniel Ferrante, Rute Santos, Anders Grøntved, Lucjan Szponar, Mihaela Vladulescu, Chien-An Sun, Jan A. Staessen, Paula Duarte de Oliveira, Norazizah Ibrahim Wong, Maria Nordendahl, Elaine M. Dennison, Jeonghee Lee, Diego Salmerón, Ida Maria Schmidt, Gao Pei, Noushin Mohammadifard, Igor Spiroski, Fernando Rodríguez-Artalejo, Xu Ma, Elin Pettersen Sørgjerd, Valéria Regecová, Cláudia S. Minderico, Johanna A. Otero, Jamila Abubakar Garba, Vesselka Duleva, Rui Ornelas, Ilpo Huhtaniemi, Cesar G. Victora, Lijuan Liu, Rody G. Sy, Mahmood Moosazadeh, Ali Ahmadi, Antonio Pedro Graça, Natalia Nowak-Szczepanska, Miao Li Chee, Michael Sjöström, Charles Agyemang, Shiqi Zhen, Xiu-Hua Guo, Pawel Kurjata, Jardena J. Puder, Mehrdad Azmin, Neil Murphy, Kaosar Afsana, Alireza Sadjadi, Johanna M. Geleijnse, Prashant Mathur, Elysée Claude Bika Lele, Raphael Mendes Ritti-Dias, Yannis Manios, Majid Shirani, Rosemary B. Duda, Liis Nelis, Jurate Klumbiene, Zhengming Chen, Wichai Aekplakorn, Alun Evans, Andrzej Wiecek, Lars Lind, Denise Eldemire-Shearer, Bernardo L. Horta, Macia Enguerran, Seyed Rasoul Zakavi, Daniel Fernández-Bergés, Kumiko Ohara, Ursula Kiechl-Kohlendorfer, Hermann Brenner, Przemyslaw Slusarczyk, Espen Bjertness, Jutta Stieber, Augusto Di Castelnuovo, Joel G. R. Roy, Aryeh D. Stein, Ruth Frikke-Schmidt, Vera Musil, Amaneh Shayanrad, Marcel Goldberg, Ramon O. Jimenez, Mohammad Reza Fattahi, Jolanda Hyska, Amir Houshang Mehrparvar, Elin Kolle, Mohamed Bamoshmoosh, Michelle Holdsworth, Felipe F. Casanueva, Børge G. Nordestgaard, Niels Wedderkopp, Eva Corpeleijn, Elias F. Gudmundsson, Antonio Mistretta, Daniel Lemogoum, Larissa Pruner Marques, Slavica Sović, Olli T. Raitakari, Marco Aurélio Peres, Alexandra Cucu, Gregorio Varela-Moreiras, Janine Clarke, Andrea Gazzinelli, Mieczysław Litwin, Sara Schramm, Xenophon Theodoridis, Harshpal Singh Sachdev, Mohammad Reza Mirjalili, Dimitrios Papandreou, Peter T. Katzmarzyk, Benjamin Acosta-Cazares, Ben Schöttker, Prabhdeep Kaur, Norlaila Mustafa, Shariq Rashid Masoodi, Sadaf G. Sepanlou, Adolfo Rubinstein, Francis Delpeuch, Julianne Williams, Abbas Dehghan, Leanne M. Riley, Heloisa Bettiol, Gabriele Nagel, Ellisiv B. Mathiesen, Ekaterina Stoyanova, Alisha N. Wade, Zhamyila Usupova, Arnaud Chiolero, Oonagh Markey, Jacqueline Ramke, Elena Bogova, Niveen M E Abu-Rmeileh, Nguyen D Nguyen, Tomasz Zdrojewski, Marjo-Riitta Järvelin, Jose Sanchez-Abanto, Rômulo Araújo Fernandes, Lourdes Ribas-Barba, Nalan Uysal, Mohamad Hasnan Ahmad, Krista Fischer, Maria Wany Louzada Strufaldi, Ramiro Guerrero, Farnam Mohebi, Tran Quoc Bao, Flávio Danni Fuchs, Salim Berkinbayev, Enisa Kujundzic, Sari Voutilainen, Farzad Hadaegh, Robert Lundqvist, Saeid Safiri, Iraj Mohebbi, George Luiz Lins Machado-Coelho, Annette Peters, Gonzalo Valdivia, Magdalena Korzycka, Rajiv T Erasmus, Masanori Iwasaki, Charmaine A. Duante, Sheikh Mohammed Shariful Islam, Quang Ngoc La, Ricky Eddie, Petra Rust, Daniela Rodrigues, Dirk De Bacquer, Karen Sparrenberger, Agneta Sjöberg, Thet Thet Mu, Katarzyna Dereń, Cora L. Craig, Jorge Motta, Janina Petkeviciene, Boyd Swinburn, Paibul Suriyawongpaisal, Visnja Djordjic, Ramón Alberto Rascón-Pacheco, Pradeep Joshi, Daan Kromhout, Marius B. Bjertness, Stefano Marventano, Juel Jarani, Alireza Khosravi, Eva Martos, David De Ridder, Lizzy M. Brewster, Nico Dragano, Liam Smeeth, Kenji Shibuya, Emma Ruiz Moreno, Hashem Jaddou, Grzegorz Sobek, Dimitrios Trichopoulos, Marvin Cervantes-Loaiza, Abu Am Hanif, Elaine M. Murtagh, Carlos A. Aguilar-Salinas, Graziella D'Arrigo, Kyungwon Oh, Heiner Boeing, Regina Heidinger-Felso, André Luiz Sena Guimarães, Balkish M. Naidu, Avula Laxmaiah, Ana M. B. Menezes, Marie Eliasen, Francesco Pistelli, Yuan He, Dusko Bjelica, José A. Casajús, Guang Ning, Lutgart Braeckman, Dirk Vanderschueren, Jochanan Stessman, Ivana Radic, Yi Zeng, Hans Concin, Damaskini Valvi, Sari Hantunen, Catherine Kyobutungi, Diego Augusto Santos Silva, Wenhua Zhao, Sok King Ong, Anne W. Taylor, Iraj Nabipour, Justyna Godos, Cyrus Cooper, Mattias Johansson, Samuel C. Dumith, Magdalena Muc, Sabine Schipf, Idowu O Senbanjo, Jim Mann, Rajaa Al-Raddadi, Yih Chung Tham, Kay-Tee Khaw, Joseph Cacciottolo, Ana Henriques, Sahar Saeedi Moghaddam, Reza Mohammadpourhodki, Bernhard O. Boehm, Songhomitra Panda-Jonas, Iveta Pudule, Elisabete Ramos, Lacramioara Aurelia Brinduse, Paul H. Lee, Terence W O'Neill, Javad Aghazadeh-Attari, Margus Punab, Bojan Jelaković, Camilla T. Damsgaard, Takafumi Ishida, Ekaterina Chikova-Iscener, Mirjam M. Heinen, Tazeen H. Jafar, Semánová Csilla, Constance Schultsz, Santiago F. Gomez, Raija Korpelainen, Edward W. Gregg, Laura Gutierrez, Pierre Traissac, Victor M. Herrera, Aristides M. Machado-Rodrigues, Fatemeh Malekzadeh, Shouling Wu, Jennifer L. Baker, Clicerio González-Villalpando, Eleonora d'Orsi, Irene G. M. van Valkengoed, Anna Fijałkowska, Wen-Harn Pan, Gregor Starc, Meghnath Dhimal, Murat Topbaş, George Moschonis, Robert Eggertsen, Abdullah Alkandari, Quang Ngoc Nguyen, Janette Walton, Elnaz Faramarzi, Saeed Dastgiri, Lien Braeckevelt, Nasheeta Peer, Radka Taxová Braunerová, Mohamed M. Ali, Steiner Krokstad, Harald Geiger, Morteza Shamshirgaran, Lela Shengelia, María Ángeles Dal Re Saavedra, Silvana Donoso, Khem Bahadur Karki, Timothy J. Key, Maria G. Grammatikopoulou, Susana Vale, Felix K. Assah, Juan A Rivera, Peter H. Whincup, Oana-Florentina Gheorghe-Fronea, Cassiano Ricardo Rech, Paul Ferdinand M. Reganit, Rachakulla Hari Kumar, Jaakko Mursu, Luis A. Moreno, Glen Gironella, Jelena Kos, Tilema Cama, Haakon E. Meyer, Jun Ma, Raphael E. Arku, Ziad Abdeen, Dianna J. Magliano, Jitendra Jonnagaddala, Konstantinos Gkiouras, Paola Nardone, Alberto Barceló, Tomi-Pekka Tuomainen, Francesco Gianfagna, Stefania Maggi, Mohammad Hossein Somi, Behrooz Hamzeh, Miquel Porta, Vesna Jureša, Alexander D. Deev, David Faeh, Antonio Bernabe-Ortiz, Sirkka Keinänen-Kiukaanniemi, Ian Hambleton, Stefan Savin, Andre Pascal Kengne, R. Krishna Kumar, Kurt Widhalm, Marco M Ferrario, Parisa Amiri, Anjani Kumar Jha, Thamara Hubler Figueiró, Jana Kratenova, Claudia M. Hormiga, Maria Tsigga, Zivka Dika, Indrapal I. Meshram, Ei Ei K. Nang, Ian Rouse, Rusidah Selamat, Paul Korrovits, Grethe S. Tell, Julie Taylor, Anabela Mota-Pinto, Paolo Vineis, Kotsedi D Monyeki, Khuong Quynh Long, Frank J Rühli, Shelly R. McFarlane, Sara Santos Sanz, Edyta Łuszczki, Maria G. Stathopoulou, Tara Coppinger, Karin De Ridder, Lucie Viet, Anna Bugge, Mehdi Yaseri, Safiah Md Yusof, Sandra C. Fuchs, Muhammad Islam, Irfan Nuhoglu, Rui Providência, Bernard Maire, Leandra Abarca-Gómez, Sinead Brophy, Maria Ruiz-Castell, Daniela Pierannunzio, Cristina Taddei, Gowri Mahasampath, Gustavo Velasquez-Melendez, Hanna Tolonen, Sudhir Kowlessur, Bagher Larijani, Laura Torres-Collado, Susi Kriemler, Ali Akbar Shayesteh, Cynthia Robitaille, Jorge Escobedo-de la Peña, Yufang Bi, Chinh Nguyen Huu, Line Tang Møllehave, Vincent Jr DeGennaro, Noor Ani Ahmad, Anar Dushpanova, Agustinus Soemantri, Susana Sans, Ionela Pascanu, Gwenaëlle Le Coroller, Inger Ariansen, Kodanda R Kanala, Gert B. M. Mensink, Abhijit Sen, Sergej M. Ostojic, Hanan F. Abdul Rahim, Hélène Delisle, Francisco J. Félix-Redondo, Yadlapalli S. Kusuma, Michael Knoflach, Moein Yoosefi, Tanja G. M. Vrijkotte, Wolfgang Ahrens, Osvaldo Santos, Bethlehem D. Solomon, Erik Lykke Mortensen, Nikhil D. Patel, Reynaldo Martorell, Ching-Yu Cheng, Stine Schramm, Hana Shimizu-Furusawa, Jacek Jóźwiak, Radwan Qasrawi, Herman Borghs, Zhanna Kalmatayeva, Heidi Klakk, Akram Pourshams, Naomi S. Levitt, Son Thai Pham, Simona Giampaoli, Dong Zhao, Indah Suci Widyahening, Merete Osler, Paula Margozzini, Silvia Bel-Serrat, Dora Romaguera, Monira Alarouj, Winsome R. Parnell, Marloes Cardol, Giota Touloumi, Janice Luisa Lukrafka, Adela Chirita-Emandi, Maryam Kavousi, Sanja Musić Milanović, Jean-Michel Gaspoz, Jalila El Ati, Sauli Herrala, Liang Xu, Pilar Guallar-Castillón, Bee Koon Poh, Luis Serra-Majem, Jonathan E. Shaw, Belong Cho, Daphne Mirkopoulou, Salvador Villalpando, Yuki Fujita, Tiffany K. Gill, Nish Chaturvedi, Erkin M. Mirrakhimov, Günay Can, Mark Woodward, Esther Lopez-Garcia, Mauro Virgílio Gomes de Barros, Ahmed A. Madar, Shoaib Afzal, Melanie J. Cowan, Gareth Stratton, Eduardo Salazar Martinez, Sameer Narake, Norie Sawada, Deepak Amarapurkar, Deepa Weerasekera, Diana A. 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Chan School of Public Health, Middlesex University [London], Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO), Montpellier Interdisciplinary center on Sustainable Agri-food systems (Social and nutritional sciences) (UMR MoISA), Centre de Coopération Internationale en Recherche Agronomique pour le Développement (Cirad)-Institut de Recherche pour le Développement (IRD)-Centre International de Hautes Etudes Agronomiques Méditerranéennes - Institut Agronomique Méditerranéen de Montpellier (CIHEAM-IAMM), Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Institut national d’études supérieures agronomiques de Montpellier (Montpellier SupAgro), Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Interactions Gène-Environnement en Physiopathologie Cardio-Vasculaire (IGE-PCV), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Wellcome TrustEuropean Commission, Clinical Developmental Psychology, APH - Mental Health, Sociology, The Social Context of Aging (SoCA), Nutrition and Health, Iurilli, Maria LC [0000-0003-0409-1635], Zhou, Bin [0000-0002-1741-8628], Ezzati, Majid [0000-0002-2109-8081], Apollo - University of Cambridge Repository, Epidemiology and Data Science, APH - Aging & Later Life, APH - Societal Participation & Health, Public and occupational health, APH - Health Behaviors & Chronic Diseases, VU University medical center, APH 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Ltd, Orebro University, University of London, Universitas Indonesia, Institute of Food and Nutrition Development of Ministry of Agriculture and Rural Affairs, Children’s Hospital of Fudan University, University of Cyprus, Niigata University, International Medical University, Iran University of Medical Sciences, Center for Diabetes and Endocrine Care, Peking University First Hospital, Jiangsu Provincial Center for Disease Control and Prevention, Sun Yat-sen University, West Kazakhstan Medical University, Inner Mongolia Medical University, University of Ghana, Maria Lc Iurilli , Bin Zhou , James E Bennett , Rodrigo M Carrillo-Larco , Marisa K Sophiea , Andrea Rodriguez-Martinez , Honor Bixby , Bethlehem D Solomon , Cristina Taddei , Goodarz Danaei , Mariachiara Di Cesare , Gretchen A Stevens , Leanne M Riley , Stefan Savin , Melanie J Cowan , Pascal Bovet , Albertino Damasceno , Adela Chirita-Emandi , Alison J Hayes , Nayu Ikeda , Rod T Jackson , Young-Ho Khang , Avula Laxmaiah , Jing 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Lind , Allan Linneberg , Lauren Lissner , Mieczyslaw Litwin , Lijuan Liu , Wei-Cheng Lo , Helle-Mai Loit , Khuong Quynh Long , Luis Lopes , Oscar Lopes , Esther Lopez-Garcia , Tania Lopez , Paulo A Lotufo , José Eugenio Lozano , Janice L Lukrafka , Dalia Luksiene , Annamari Lundqvist , Robert Lundqvist , Nuno Lunet , Charles Lunogelo , Michala Lustigová , Edyta Łuszczki , Guansheng Ma , Jun Ma , Xu Ma , George Ll Machado-Coelho , Aristides M Machado-Rodrigues , Luisa M Macieira , Ahmed A Madar , Stefania Maggi , Dianna J Magliano , Sara Magnacca , Emmanuella Magriplis , Gowri Mahasampath , Bernard Maire , Marjeta Majer , Marcia Makdisse , Päivi Mäki , Fatemeh Malekzadeh , Reza Malekzadeh , Rahul Malhotra , Kodavanti Mallikharjuna Rao , Sofia K Malyutina , Lynell V Maniego , Yannis Manios , Jim I Mann , Fariborz Mansour-Ghanaei , Enzo Manzato , Paula Margozzini , Anastasia Markaki , Oonagh Markey , Eliza Markidou Ioannidou , Pedro Marques-Vidal , Larissa Pruner Marques , Jaume Marrugat 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Tran, Thi Tuyet-Hanh, Trichopoulos, Dimitrio, Trichopoulou, Antonia, Trinh, Oanh TH, Trivedi, Atul, Tshepo, Lechaba, Tsigga, Maria, Tsugane, Shoichiro, Tuliakova, Azaliia M, Tulloch-Reid, Marshall K, Tullu, Fikru, Tuomainen, Tomi-Pekka, Tuomilehto, Jaakko, Turley, Maria L, Twig, Gilad, Tynelius, Per, Tzotzas, Themistokli, Tzourio, Christophe, Ueda, Peter, Ugel, Eunice, Ukoli, Flora AM, Ulmer, Hanno, Unal, Belgin, Usupova, Zhamyila, Uusitalo, Hannu MT, Uysal, Nalan, Vaitkeviciute, Justina, Valdivia, Gonzalo, Vale, Susana, Valvi, Damaskini, van Dam, Rob M, Van der Heyden, Johan, van der Schouw, Yvonne T, Van Herck, Koen, Van Minh, Hoang, Van Schoor, Natasja M, van Valkengoed, Irene GM, Vanderschueren, Dirk, Vanuzzo, Diego, Varbo, Anette, Varela-Moreiras, Gregorio, Varona-Pérez, Patricia, Vasan, Senthil K, Vega, Toma, Veidebaum, Tooma, Velasquez-Melendez, Gustavo, Velika, Biruta, Veronesi, Giovanni, Verschuren, WM Monique, Victora, Cesar G, Viegi, Giovanni, Viet, Lucie, Villalpando, Salvador, Vineis, Paolo, Vioque, Jesu, Virtanen, Jyrki K, Visser, Marjolein, Visvikis-Siest, Sophie, Viswanathan, Bharathi, Vladulescu, Mihaela, Vlasoff, Tiina, Vocanec, Dorja, Vollenweider, Peter, Völzke, Henry, Voutilainen, Ari, Voutilainen, Sari, Vrijheid, Martine, Vrijkotte, Tanja GM, Wade, Alisha N, Wagner, Aline, Waldhör, Thoma, Walton, Janette, Wambiya, Elvis OA, Bebakar, Wan Mohamad Wan, Mohamud, Wan Nazaimoon Wan, de Souza Wanderley Júnior, Rildo, Wang, Ming-Dong, Wang, Ningli, Wang, Qian, Wang, Xiangjun, Wang, Ya Xing, Wang, Ying-Wei, Wannamethee, S Goya, Wareham, Nichola, Weber, Adelheid, Wedderkopp, Niel, Weerasekera, Deepa, Weghuber, Daniel, Wei, Wenbin, Weres, Aneta, Werner, Bo, Whincup, Peter H, Widhalm, Kurt, Widyahening, Indah S, Wiecek, Andrzej, Wilks, Rainford J, Willeit, Johann, Willeit, Peter, Williams, Julianne, Wilsgaard, Tom, Wojtyniak, Bogdan, Wong-McClure, Roy A, Wong, Andrew, Wong, Jyh Eiin, Wong, Tien Yin, Woo, Jean, Woodward, Mark, Wu, Frederick C, Wu, Jianfeng, Wu, Li Juan, Wu, Shouling, Xu, Haiquan, Xu, Liang, Yaacob, Nor Azwany, Yamborisut, Uruwan, Yan, Weili, Yang, Ling, Yang, Xiaoguang, Yang, Yang, Yardim, Nazan, Yaseri, Mehdi, Yasuharu, Tabara, Ye, Xingwang, Yiallouros, Panayiotis K, Yoosefi, Moein, Yoshihara, Akihiro, You, Qi Sheng, You, San-Lin, Younger-Coleman, Novie O, Md Yusof, Safiah, Yusoff, Ahmad Faudzi, Zaccagni, Luciana, Zafiropulos, Vassili, Zainuddin, Ahmad A, Zakavi, Seyed Rasoul, Zamani, Farhad, Zambon, Sabina, Zampelas, Antoni, Zamrazilová, Hana, Zapata, Maria Elisa, Zargar, Abdul Hamid, Ko Zaw, Ko, Zdrojewski, Tomasz, Zejglicova, Kristyna, Vrkic, Tajana Zeljkovic, Zeng, Yi, Zhang, Luxia, Zhang, Zhen-Yu, Zhao, Dong, Zhao, Ming-Hui, Zhao, Wenhua, Zhen, Shiqi, Zheng, Wei, Zheng, Yingfeng, Zholdin, Bekbolat, Zhou, Maigeng, Zhu, Dan, Zins, Marie, Zitt, Emanuel, Zocalo, Yanina, Cisneros, Julio Zuñiga, Zuziak, Monika, Ezzati, Majid, Filippi, Sarah, Cohortes épidémiologiques en population (CONSTANCES), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université Paris Cité (UPCité), Université Paris Cité (UPCité), Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Centre International de Hautes Études Agronomiques Méditerranéennes (CIHEAM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut Agro - Montpellier SupAgro, and Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)-Institut national d'enseignement supérieur pour l'agriculture, l'alimentation et l'environnement (Institut Agro)
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Population -- Health aspects ,Leanness ,Baixo peso/Underweight ,none ,Double burden ,alipainoisuus ,tulotaso ,global health ,systematic analysis ,Sedentary behaviors ,RC1200 ,Prospective associations ,0302 clinical medicine ,underweight ,nälänhätä ,Biology (General) ,skin and connective tissue diseases ,Children ,ComputingMilieux_MISCELLANEOUS ,Body mass index ,Human Nutrition & Health ,education.field_of_study ,Humane Voeding & Gezondheid ,ylipaino ,General Medicine ,kansainvälinen vertailu ,3. Good health ,World health ,Medicine ,A100 Pre-clinical Medicine ,Population distribution ,medicine.medical_specialty ,QH301-705.5 ,Science ,Socio-culturale ,Nursing ,Social sciences ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,Thinness ,SDG 3 - Good Health and Well-being ,BMI ,epidemiology ,obesity ,None ,Humans ,Obesidade/Obesity ,SDG 2 - Zero Hunger ,education ,VLAG ,US adults ,Omvårdnad ,body mass index ,malnutrition ,obesity, underweight ,nutritional and metabolic diseases ,medicine.disease ,terveellisyys ,Obesity ,Faculdade de Ciências Sociais ,Body Mass Index ,Prevalence ,Risk Factors ,General Biochemistry ,WIAS ,lihavuus ,RA ,Demography ,N.A ,double burden ,Settore MED/09 - Medicina Interna ,alueelliset erot ,Nutrition and Disease ,Animal Nutrition ,[SDV]Life Sciences [q-bio] ,Medizin ,030204 cardiovascular system & hematology ,0601 Biochemistry and Cell Biology ,Change distribution of body mass index ,RA0421 ,Voeding en Ziekte ,Epidemiology ,Medicine and Health Sciences ,Global health ,Índice de massa corporal/Body Mass Index ,030212 general & internal medicine ,Underweight ,painoindeksi ,2. Zero hunger ,General Neuroscience ,aliravitsemus ,elintarvikkeet ,health ,Public Health, Global Health, Social Medicine and Epidemiology ,Diervoeding ,3142 Public health care science, environmental and occupational health ,purl.org/pe-repo/ocde/ford#3.01.03 [https] ,Chinese adults ,pooled analysis ,medicine.symptom ,Diet quality ,B120 Physiology ,Research Article ,trends ,purl.org/pe-repo/ocde/ford#1.06.03 [https] ,prevalence ,Population ,Mothers ,Genetics and Molecular Biology ,3121 Internal medicine ,medicine ,Life Science ,ddc:610 ,3125 Otorhinolaryngology, ophthalmology ,kehonkoostumus ,Nutrition ,Australian adults ,General Immunology and Microbiology ,purl.org/pe-repo/ocde/ford#3.01.04 [https] ,Ciências sociais ,Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi ,Malnutrition ,Epidemiology and Global Health ,sense organs ,Estilos de Vida e Impacto na Saúde - Abstract
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions., Wellcome Trust, Medical Research Council, peer-reviewed
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- 2021
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50. Increased Serum Levels of S100A4 and S100A15 in Individuals Suffering from Hidradenitis Suppurativa
- Author
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Wojciech Baran, Danuta Nowicka-Suszko, Łukasz Matusiak, Aleksandra Batycka-Baran, and Jacek C Szepietowski
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medicine.medical_specialty ,business.industry ,Inflammatory skin disease ,hidradenitis suppurativa ,General Medicine ,Disease ,Stage ii ,medicine.disease ,Gastroenterology ,Article ,Pathogenesis ,S100A15 ,Fibrosis ,Serum biomarkers ,Internal medicine ,medicine ,S100A4 ,Medicine ,Hidradenitis suppurativa ,business - Abstract
Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease. Recently, some S100 proteins have been suggested to play an important role in the pathogenesis of chronic immune-mediated inflammatory diseases and they may constitute valuable biomarkers for these diseases’ diagnosis and monitoring. The objective of the current study was to investigate, for the first time, serum levels of S100A4 and S100A15 in individuals suffering from HS. Furthermore, we assessed the associations between S100A4 and S100A15 serum levels and the severity of disease, CRP serum concentration and some demographic and clinical data. Serum levels of S100A4 and S100A15 were evaluated with the commercially available ELISA kit according to the manufacturer’s instructions. The serum level of S100A4 in individuals with HS was significantly elevated as compared to controls, with the highest level found in the individuals in Hurley stage II. The S100A15 serum level was positively correlated with the CRP concentration and was associated with the severity of the disease. The serum level of S100A15 in the individuals in Hurley stage III was significantly elevated compared to that of the controls and the individuals with HS in Hurley stages I and II. S100A4 and S100A15 may be considered as new serum biomarkers for the monitoring of HS progression, and they may play a role in the pathogenesis of HS by promoting inflammatory process and fibrosis.
- Published
- 2021
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