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5. Does time matter? Intraspecific diversity of ribosomal RNA genes in lineages of the allopolyploid model grass Brachypodium hybridum with different evolutionary ages

Author

Dana Trunova, Natalia Borowska-Zuchowska, Serhii Mykhailyk, Kai Xia, Yuanbin Zhu, Ruben Sancho, Magdalena Rojek-Jelonek, Sònia Garcia, Kai Wang, Pilar Catalan, Ales Kovarik, Robert Hasterok, and Bozena Kolano

Subjects
rDNA loci, Brachypodium hybridum, 5S rDNA NTS, nrITS, 35S rDNA IGS, FISH, Botany, QK1-989
Abstract

Abstract Background Polyploidisation often results in genome rearrangements that may involve changes in both the single-copy sequences and the repetitive genome fraction. In this study, we performed a comprehensive comparative analysis of repetitive DNA, with a particular focus on ribosomal DNA (rDNA), in Brachypodium hybridum (2n = 4x = 30, subgenome composition DDSS), an allotetraploid resulting from a natural cross between two diploid species that resemble the modern B. distachyon (2n = 10; DD) and B. stacei (2n = 20; SS). Taking advantage of the recurrent origin of B. hybridum, we investigated two genotypes, Bhyb26 and ABR113, differing markedly in their evolutionary age (1.4 and 0.14 Mya, respectively) and which resulted from opposite cross directions. To identify the origin of rDNA loci we employed cytogenetic and molecular methods (FISH, gCAPS and Southern hybridisation), phylogenetic and genomic approaches. Results Unlike the general maintenance of doubled gene dosage in B. hybridum, the rRNA genes showed a remarkable tendency towards diploidisation at both locus and unit levels. While the partial elimination of 35S rDNA units occurred in the younger ABR113 lineage, unidirectional elimination of the entire locus was observed in the older Bhyb26 lineage. Additionally, a novel 5S rDNA family was amplified in Bhyb26 replacing the parental units. The 35S and 5S rDNA units were preferentially eliminated from the S- and D-subgenome, respectively. Thus, in the more ancient B. hybridum lineage, Bhyb26, 5S and 35S rRNA genes are likely expressed from different subgenomes, highlighting the complexity of polyploid regulatory networks. Conclusion Comparative analyses between two B. hybridum lineages of distinct evolutionary ages revealed that although the recent lineage ABR113 exhibited an additive pattern of rDNA loci distribution, the ancient lineage Bhyb26 demonstrated a pronounced tendency toward diploidisation manifested by the reduction in the number of both 35S and 5S loci. In conclusion, the age of the allopolyploid appears to be a decisive factor in rDNA turnover in B. hybridum.

Published
2024
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6. Real‐world outcomes of intensive induction approaches in core binding factor acute myeloid leukemia

Author

Alexandra E. Rojek, Benjamin J. McCormick, Joanna Cwykiel, Oluwatobi Odetola, Yasmin Abaza, Nhi Nai, Charles E. Foucar, Rohan K. Achar, Rory M. Shallis, Danielle Bradshaw, Meaghan Standridge, Vamsi Kota, Guru Subramanian Guru Murthy, Talha Badar, and Anand A. Patel

Subjects
acute myeloid leukemia, core binding factor, intensive chemotherapy, Diseases of the blood and blood-forming organs, RC633-647.5
Abstract

Abstract Core‐binding factor acute myeloid leukemia (CBF‐AML) is characterized by the presence of inv(16)/t(16;16) or t(8;21) and is classified as a favorable risk by the 2022 European LeukemiaNet (ELN) guidelines. The CD33‐targeting antibody‐drug conjugate, gemtuzumab ozogamicin (GO), is commonly added to intensive chemotherapy (IC) in CBF‐AML. We sought to compare outcomes in patients treated with IC with or without GO in CBF‐AML. We included 200 patients with CBF‐AML treated with IC across seven academic centers. Induction treatment regimens were categorized as IC alone, IC with GO, or IC with KIT inhibitor (dasatinib or midostaurin). Median follow‐up for the whole cohort was 2.5 years. Three‐year overall survival (OS) was 70% and 3‐year event‐free survival (EFS) was 51%. Patients treated with IC with GO experienced a 3‐year EFS of 50% compared to those treated with IC alone who experienced a 3‐year EFS of 47%, with no statistically significant difference (p = 0.62). Similarly, those treated with IC with GO did not experience an improved OS compared to those treated with IC alone (p = 0.67). Patients treated with IC with KIT inhibitor experienced a significantly improved 3‐year EFS of 85% compared to those with IC with or without GO (p = 0.04). We find in our study that there is no survival benefit in patients treated with IC with the addition of GO; improved EFS was seen in patients with CBF‐AML treated with IC plus KIT inhibitors, consistent with outcomes noted in prospective studies utilizing this approach.

Published
2024
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9. Redefining social impact

Author

Bachnik, Katarzyna, primary, Kaźmierczak, Magdalena, additional, Rojek-Nowosielska, Magdalena, additional, Stefańska, Magdalena, additional, and Szumniak-Samolej, Justyna, additional

Published
2024
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11. Osimertinib tolerance in a patient with Stevens Johnson syndrome during osimertinib therapy after treatment with pembrolizumab.

Author

Lopez, Michael, Hagopian, Garo, Lee, Benjamin, Rojek, Nathan, Smith, Janellen, Ou, Sai-Hong, Demirdag, Yesim, Nagasaka, Misako, and Doan, Linda

Abstract

BACKGROUND: Osimertinib has emerged as an important tool in the treatment of non-small cell lung cancers (NSCLC) with certain activating mutations of epidermal growth factor receptor (EGFR). However, Osimertinib may cause adverse effects, including severe cutaneous adverse reactions (SCARs) such as Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). The risk of certain adverse effects may be increased in the setting of recent use of immune checkpoint inhibitor (ICI) therapy, although it is unclear whether recent use of ICI therapy is a risk factor for Osimertinib-induced SJS specifically. CASE PRESENTATION: We present a patient with EGFR L858R mutation-positive metastatic NSCLC who developed Osimertinib-induced SJS after recent administration of eight cycles of a pembrolizumab-containing chemotherapy regimen. Osimertinib, which was the best treatment targeting his lung cancer, was avoided due to history of SJS. Four years later, because of unresponsiveness or side effects of alternative treatments, he underwent Osimertinib challenge and tolerated it. CONCLUSION: This case highlights the importance of multi-disciplinary care and supports the hypothesis that the risk of SJS to Osimertinib is significantly higher in the context of recent administration of ICI therapy and, patients may tolerate Osimertinib after certain time has elapsed after the last dose of ICI.

Published
2023

12. Systematic Review of Scales for Measuring Infectious Disease--Related Stigma

Author

Paterson, Amy, Cheyne, Ashleigh, Jones, Benjamin, Schilling, Stefan, Sigfrid, Louise, Stolow, Jeni, Moses, Lina, Olliaro, Piero, and Rojek, Amanda

Subjects
Epidemics -- Surveys -- Social aspects -- Psychological aspects -- United Kingdom, Communicable diseases -- Surveys -- Social aspects -- Psychological aspects, Health surveys -- Evaluation, Stigma (Social psychology) -- Surveys, Health
Abstract

Infectious disease outbreaks are typically accompanied by stigma (1-4). Stigma can be defined as the denial of social acceptance to a person or group due to an attribute deemed discrediting [...]

Published
2024
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13. Application of Artificial Neural Networks in the Prediction of Tire Manufacturing Defects

Author

Majewski, Wojciech, Dostatni, Ewa, Diakun, Jacek, Mikołajewski, Dariusz, Rojek, Izabela, Chaari, Fakher, Series Editor, Gherardini, Francesco, Series Editor, Ivanov, Vitalii, Series Editor, Haddar, Mohamed, Series Editor, Cavas-Martínez, Francisco, Editorial Board Member, di Mare, Francesca, Editorial Board Member, Kwon, Young W., Editorial Board Member, Trojanowska, Justyna, Editorial Board Member, Xu, Jinyang, Editorial Board Member, Burduk, Anna, editor, Batako, Andre D. L., editor, Machado, José, editor, Wyczółkowski, Ryszrad, editor, Dostatni, Ewa, editor, and Rojek, Izabela, editor

Published
2024
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14. Relapsing toxic epidermal necrolysis following COVID-19

Author

Feben Messele, BS, Luke Horton, MD, Ajay N. Sharma, MD, MBA, Michelle S. Min, MD, MS, Nathan W. Rojek, MD, and Kenneth G. Linden, MD, PhD

Subjects
COVID-19, relapsing, SJS, Stevens-Johnson syndrome, TEN, toxic epidermal necrolysis, Dermatology, RL1-803
Published
2024
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16. Real world predictors of response and 24-month survival in high-grade TP53-mutated myeloid neoplasms

Author

Kaur, Amandeep, Rojek, Alexandra E., Symes, Emily, Nawas, Mariam T., Patel, Anand A., Patel, Jay L., Sojitra, Payal, Aqil, Barina, Sukhanova, Madina, McNerney, Megan E., Wu, Leo P., Akmatbekov, Aibek, Segal, Jeremy, Tjota, Melissa Y., Gurbuxani, Sandeep, Cheng, Jason X., Yeon, Su-Yeon, Ravisankar, Harini V., Fitzpatrick, Carrie, Lager, Angela, Drazer, Michael W., Saygin, Caner, Wanjari, Pankhuri, Katsonis, Panagiotis, Lichtarge, Olivier, Churpek, Jane E., Ghosh, Sharmila B., Patel, Ami B., Menon, Madhu P., Arber, Daniel A., Wang, Peng, and Venkataraman, Girish

Published
2024
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18. Real world predictors of response and 24-month survival in high-grade TP53-mutated myeloid neoplasms

Author

Amandeep Kaur, Alexandra E. Rojek, Emily Symes, Mariam T. Nawas, Anand A. Patel, Jay L. Patel, Payal Sojitra, Barina Aqil, Madina Sukhanova, Megan E. McNerney, Leo P. Wu, Aibek Akmatbekov, Jeremy Segal, Melissa Y. Tjota, Sandeep Gurbuxani, Jason X. Cheng, Su-Yeon Yeon, Harini V. Ravisankar, Carrie Fitzpatrick, Angela Lager, Michael W. Drazer, Caner Saygin, Pankhuri Wanjari, Panagiotis Katsonis, Olivier Lichtarge, Jane E. Churpek, Sharmila B. Ghosh, Ami B. Patel, Madhu P. Menon, Daniel A. Arber, Peng Wang, and Girish Venkataraman

Subjects
Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Abstract

Abstract Current therapies for high-grade TP53-mutated myeloid neoplasms (≥10% blasts) do not offer a meaningful survival benefit except allogeneic stem cell transplantation in the minority who achieve a complete response to first line therapy (CR1). To identify reliable pre-therapy predictors of complete response to first-line therapy (CR1) and outcomes, we assembled a cohort of 242 individuals with TP53-mutated myeloid neoplasms and ≥10% blasts with well-annotated clinical, molecular and pathology data. Key outcomes examined were CR1 & 24-month survival (OS24). In this elderly cohort (median age 68.2 years) with 74.0% receiving frontline non-intensive regimens (hypomethylating agents +/- venetoclax), the overall cohort CR1 rate was 25.6% (50/195). We additionally identified several pre-therapy factors predictive of inferior CR1 including male gender (P = 0.026), ≥2 autosomal monosomies (P 25% (P = 0.002), TP53 splice junction mutations (P = 0.007) and antecedent treated myeloid neoplasm (P = 0.001). In addition, mutations/deletions in CUX1, U2AF1, EZH2, TET2, CBL, or KRAS (‘EPI6’ signature) predicted inferior OS24 (HR = 2.0 [1.5–2.8]; P

Published
2024
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20. What is a Cult?

Author

Baker, Stephanie Alice, primary, McLaughlin, Eugene, additional, and Rojek, Chris, additional

Published
2024
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21. Religious Cults

Author

Baker, Stephanie Alice, primary, McLaughlin, Eugene, additional, and Rojek, Chris, additional

Published
2024
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22. Celebrity Cults

Author

Baker, Stephanie Alice, primary, McLaughlin, Eugene, additional, and Rojek, Chris, additional

Published
2024
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23. Doomsday Cults

Author

Baker, Stephanie Alice, primary, McLaughlin, Eugene, additional, and Rojek, Chris, additional

Published
2024
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24. Self-Help Cults

Author

Baker, Stephanie Alice, primary, McLaughlin, Eugene, additional, and Rojek, Chris, additional

Published
2024
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27. Introduction

Author

Baker, Stephanie Alice, primary, McLaughlin, Eugene, additional, and Rojek, Chris, additional

Published
2024
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28. Road bike cycling and lower back pain - a literature review

Author

Wojciech Jan Mokot, Katarzyna Kutyła, Paulina Wasiewicz-Ciach, Marcelina Teresa Marzec, Maciej Choiński, Piotr Kuczyński, Anna Marszałek, Aleksandra Wydra-Rojek, Aleksandra Łakoma, and Weronika Zofia Marzec

Subjects
cycling, road bike, lower back pain, riding position, bike fit, Union Cycliste Internationale, Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

Introduction and Purpose This literature review endeavors to provide a current synthesis of the available literature regarding the relationship between road bike cycling and lower back pain (LBP). This review focuses on the aspects of bike fitting, riding position, preexisting LBP, cycling injuries and predisposing risk factors among others. Brief Description of the State of Knowledge Road bike cycling is a popular sport considered to be low-impact physically and easy to start with. So goes the proverb - „it’s as easy as riding a bike”. However the truth may be more complicated. There are many positive effects associated with this sport, such as overall health improvement and the ecological impact, and they are generally well-researched. However it is more difficult to find data regarding the dangers. Improper training program, incorrect bike fit or suboptimal riding position are all factors that can lead to lower back pain (LBP) connected with road bike cycling. Previous injuries and spine health should also be taken into account. Summary In consideration of the gathered evidence it is important to consider the above-mentioned interventions to prevent or stop lower back pain (LBP) from emerging. This literature review struggles to provide a starting point for both cyclists and physicians alike who encounter such a problem. The bike fit, adjusting the bike in accordance with the body of the cyclist, analyzing the cycling position and the training program should be principal points to provide for a pain-free road bike cycling. Further research is needed to determine the long-term effects of such actions and their ability to prevent or stop LBP while/after road bike cycling.

Published
2024
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29. Evaluation of Machine Learning to Detect Influenza Using Wearable Sensor Data and Patient-Reported Symptoms: Cohort Study

Author

Kamran Farooq, Melody Lim, Lawrence Dennison-Hall, Finn Janson, Aspen Hazel Olszewska, Muhammad Mamduh Ahmad Zabidi, Anna Haratym-Rojek, Karol Narowski, Barry Clinch, Marco Prunotto, Devika Chawla, Victoria Hunter, and Vincent Ukachukwu

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

BackgroundMachine learning offers quantitative pattern recognition analysis of wearable device data and has the potential to detect illness onset and monitor influenza-like illness (ILI) in patients who are infected. ObjectiveThis study aims to evaluate the ability of machine-learning algorithms to distinguish between participants who are influenza positive and influenza negative in a cohort of symptomatic patients with ILI using wearable sensor (activity) data and self-reported symptom data during the latent and early symptomatic periods of ILI. MethodsThis prospective observational cohort study used the extreme gradient boosting (XGBoost) classifier to determine whether a participant was influenza positive or negative based on 3 models using symptom-only data, activity-only data, and combined symptom and activity data. Data were collected from the Home Testing of Respiratory Illness (HTRI) study and FluStudy2020, both conducted between December 2019 and October 2020. The model was developed using the FluStudy2020 data and tested on the HTRI data. Analyses included participants in these studies with an at-home influenza diagnostic test result. Fitbit (Google LLC) devices were used to measure participants’ steps, heart rate, and sleep parameters. Participants detailed their ILI symptoms, health care–seeking behaviors, and quality of life. Model performance was assessed by area under the curve (AUC), balanced accuracy, recall (sensitivity), specificity, precision (positive predictive value), negative predictive value, and weighted harmonic mean of precision and recall (F2) score. ResultsAn influenza diagnostic test result was available for 953 and 925 participants in HTRI and FluStudy2020, respectively, of whom 848 (89%) and 840 (90.8%) had activity data. For the training and validation sets, the highest performing model was trained on the combined symptom and activity data (training AUC=0.77; validation AUC=0.74) versus symptom-only (training AUC=0.73; validation AUC=0.72) and activity-only (training AUC=0.68; validation AUC=0.65) data. For the FluStudy2020 test set, the performance of the model trained on combined symptom and activity data was closely aligned with that of the symptom-only model (combined symptom and activity test AUC=0.74; symptom-only test AUC=0.74). These results were validated using independent HTRI data (combined symptom and activity evaluation AUC=0.75; symptom-only evaluation AUC=0.74). The top features guiding influenza detection were cough; mean resting heart rate during main sleep; fever; total minutes in bed for the combined model; and fever, cough, and sore throat for the symptom-only model. ConclusionsMachine-learning algorithms had moderate accuracy in detecting influenza, suggesting that previous findings from research-grade sensors tested in highly controlled experimental settings may not easily translate to scalable commercial-grade sensors. In the future, more advanced wearable sensors may improve their performance in the early detection and discrimination of viral respiratory infections.

Published
2024
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30. Mitigating the Adverse Effects of Night Shifts: A Review of Strategies for Enhancing Health Outcomes in Shift Workers

Author

Paulina Wasiewicz, Marcelina Teresa Marzec, Maciej Choiński, Piotr Kuczyński, Anna Marszałek, Aleksandra Wydra-Rojek, Aleksandra Łakoma, Weronika Zofia Marzec, Katarzyna Kutyla, and Wojciech Jan Mokot

Subjects
work schedule, Ciricadian rhythm, healthcare workers, shift work, Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

Introduction and Purpose Shift work, essential for continuous operation in industries like healthcare, transportation, and security, disrupts circadian rhythms and adversely affects health. This review consolidates findings on the multifaceted impacts of night shift work, emphasizing interventions to mitigate these effects and improve worker health and well-being. Brief Description of the State of Knowledge Night shift work disrupts circadian rhythms, leading to cognitive decline, sleep disorders, mental health risks, cardiovascular issues, metabolic disturbances, and cancer susceptibility. Effective interventions include limiting shift lengths and frequency, incorporating rest breaks and napping, aligning meal times with circadian rhythms, using melatonin supplementation and light therapy to improve sleep quality, engaging in regular aerobic exercise, and employing stress management techniques. Summary Implementing proposed interventions can mitigate the adverse health effects of night shift work, enhancing worker well-being, efficiency, and job satisfaction. Tailoring strategies to different age groups optimizes effectiveness, with structured approaches beneficial for older workers and flexible options suitable for younger workers. Further research should explore long-term intervention effects and develop personalized strategies for diverse populations. This review provides comprehensive guidelines for managing the health impacts of night shift work, supporting improved patient safety, reduced accidents, and enhanced work performance across various industries.

Published
2024
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31. Impact of microplastics on human health: exposure mechanisms and potential health implications

Author

Anna Marszalek, Weronika Zofia Marzec, Aleksandra Łakoma, Marcelina Teresa Marzec, Maciej Choiński, Paulina Wasiewicz-Ciach, Piotr Kuczyński, Aleksandra Wydra-Rojek, Katarzyna Kutyła, and Wojciech Jan Mokot

Subjects
microplastic, inflammation, oxidative stress, respiratory diseases, inhalation, lung tissues, Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

Microplastics are a pervasive environmental contaminant and represent a newly emerging threat to human health. They enter the body through various pathways, including food consumption, drinking water, and inhalation. The present study is concerned with the issue of dietary and inhalational exposure to microplastics. The presence of microplastics has been identified in a range of food products and drinking water, with analyses of faecal samples also indicating their passage through the human digestive tract, thereby suggesting the potential for their absorption by the body. It is also important to consider the potential for inhalational exposure, given the presence of microplastics in the air. This suggests that inhalation by humans may also be a possibility. Furthermore, these particles have been identified in sputum samples from patients and lung tissues, indicating the potential for bioaccumulation and the induction of inflammatory responses. While there is documented evidence of microplastics in the human body, there is currently a lack of specific data on their impact on human health. The available evidence from animal studies and in vitro models indicates that microplastics have the potential to traverse epithelial barriers in the digestive and respiratory systems, resulting in inflammatory responses, oxidative stress, and, in extreme cases, tissue fibrosis. Furthermore, microplastics may act as carriers for heavy metals and toxic chemicals, thereby increasing the risk of neurotoxicity, nephrotoxicity, and potentially carcinogenic effects. Further research, including long-term clinical studies, is required to gain a full understanding of the impact of microplastics on human health.

Published
2024
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32. The Beneficial effects of alternative methods, with an emphasis on yoga, for patients affected by pain associated with endometriosis

Author

Katarzyna Kutyła, Anna Marszałek, Maciej Choiński, Paulina Wasiewicz-Ciach, Marcelina Teresa Marzec, Piotr Kuczyński, Aleksandra Wydra-Rojek, Aleksandra Łakoma, Weronika Zofia Marzec, and Wojciech Jan Mokot

Subjects
yoga, dysmenorrhea, endometriosis, pelvic pain, physical activity, Quality of Life, Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

Aim of the study The aim of this systematic review is to compare studies published since 2017 to evaluate whether yoga and other alternative methods should be recommended to patients with endometriosis and associated pain. As alternative methods, particularly yoga, have gained popularity in recent years, it is crucial for healthcare professionals to ensure that these approaches are scientifically valid. This systematic review examines the effects of practicing different types of yoga and possible advantages of other alternative methods that could be potentially beneficial on pain management for patients suffering form endometriosis. Methods This review synthesizes findings from twenty studies, including randomized controlled trials and observational studies. Conclusion The results consistently indicate significant improvements in the quality of life for patients with endometriosis. Yoga, as both a physical and mental practice, appears to be beneficial in managing pain. Although there are some limitations related to study design and variability, the evidence strongly supports the benefits of yoga in managing pelvic pain. Future research should focus on identifying which specific types of yoga practices offer the greatest benefits.

Published
2024
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33. Gestational Diabetes Mellitus: Prevalence, Management and Prevention

Author

Aleksandra Łakoma, Maciej Choiński, Weronika Zofia Marzec, Paulina Wasiewicz-Ciach, Anna Marszałek, Aleksandra Wydra-Rojek, Katarzyna Kutyła, Wojciech Jan Mokot, Marcelina Teresa Marzec, and Piotr Kuczyński

Subjects
Gestational diabetes mellitus, treatment, metformin, insulin, Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

Gestational diabetes mellitus (GDM) is a significant health concern for pregnant women, associated with various adverse outcomes for both the mother and the fetus. This systematic review consolidates the current understanding and research on GDM, focusing on its prevalence, prevention, and treatment strategies. The review aims to highlight key findings and areas for future research, emphasizing the need for high-quality, inclusive studies to substantiate the effectiveness of various interventions. The review discusses the pathophysiology of GDM, the impact of maternal and neonatal adverse effects, and the comparison of treatment options such as insulin and metformin. Additionally, the study examines lifestyle interventions, dietary supplementation, and the use of probiotics as preventive measures. Accurate prevalence estimates are essential for the effective allocation of health resources and the development of prevention and management policies to address the rising rates of GDM. This review underscores the importance of standardized diagnostic criteria and screening strategies to obtain accurate and comparable prevalence estimates, ultimately aiming to improve maternal and neonatal health outcomes.

Published
2024
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34. Diabetic kidney disease: what we know so far - literature review

Author

Piotr Kuczyński, Anna Marszałek, Maciej Choiński, Paulina Wasiewicz-Ciach, Marcelina Teresa Marzec, Aleksandra Wydra-Rojek, Aleksandra Łakoma, Weronika Zofia Marzec, Katarzyna Kutyła, and Wojciech Jan Mokot

Subjects
diabetes mellitus, diabetic kidney disease, oxidative stress, SGLT-2 inhibitors, hyperglycemia, Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

Diabetic Kidney Disease (DKD) is a major complication of diabetes mellitus, affecting approximately 40% of diabetic patients and representing the leading cause of chronic kidney disease and end-stage renal disease (ESRD). This review delves into the pathogenesis, diagnosis, and therapeutic advancements in DKD. Key pathological mechanisms include hyperglycemia, oxidative stress, and inflammation. Modern treatments, such as SGLT-2 inhibitors and GLP-1 agonists, offer renoprotective benefits by improving endothelial function, reducing inflammation, and mitigating oxidative stress. The review also highlights the importance of timely initiation and optimization of therapies to slow DKD progression and explores new avenues such as epigenetic therapies and autophagy enhancement. Further research is needed to fully understand the long-term benefits and optimal use of these treatments in DKD management.

Published
2024
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35. Creatine - the impact of supplementation on the human body

Author

Aleksandra Wydra-Rojek, Aleksandra Łakoma, Weronika Zofia Marzec, Maciej Choiński, Paulina Wasiewicz-Ciach, Piotr Kuczyński, Anna Marszałek, Marcelina Teresa Marzec, Katarzyna Kutyła, and Wojciech Jan Mokot

Subjects
Creatine, creatine supplementation, creatine monohydrate, creatine supplement, Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

Introduction Creatine is an endogenously occurring compound in the human body and one of the most extensively studied dietary supplements used worldwide. It is synthesized in the human body, primarily in the kidneys and liver, and is supplied through a diet rich in animal-based foods. Creatine is a nitrogenous compound composed of three amino acids: glycine, arginine, and methionine. It plays a crucial role in the body's metabolism, and therefore, the function of many organs and systems depends on its levels. Aim of the study The aim of this study was to discuss the role that creatine plays in the body. A summary of the effects of creatine supplementation in sports and various disease conditions was provided. The study also explored the metabolism of creatine and focused on the best available form of creatine and its dosing regimen. Materials and methods The study was based on articles searched in the PubMed database, published between 2006 and 2023. The following keywords were used for the search: "creatine," "creatine supplementation," "creatine monohydrate," "creatine supplement," and "creatine effects." Conclusion Creatine is one of the most popular chemical compounds that occur endogenously in the muscle cells of the body. It is a nitrogenous compound primarily produced in the liver, and its levels can be further increased with creatine supplements. The most widely available and well-studied form on the market is creatine monohydrate. Until recently, creatine supplementation was only associated with sports, but it is now used in various disease conditions and supports the function of many organs.

Published
2024
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36. Systematic Review on Cesarean Scar Pregnancy (CSP) Diagnosis, Treatment and Management

Author

Marcelina Teresa Marzec, Aleksandra Łakoma, Weronika Zofia Marzec, Maciej Choiński, Paulina Wasiewicz-Ciach, Piotr Kuczyński, Anna Marszałek, Aleksandra Wydra-Rojek, Katarzyna Kutyła, and Wojciech Jan Mokot

Subjects
Cesarean scar pregnancy (CSP), CSP treatment, Cesarean cut, Ectopic Pregnancy, Methotrexate (MTX), Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

Introduction Cesarean scar pregnancy (CSP) is a rare but increasingly recognized complication where an embryo implants on the cesarean section scar. The incidence of CSP is rising in parallel with increasing global cesarean rates, posing significant health risks such as severe bleeding and uterine rupture. Early and accurate identification using criteria like the gestational sac's position within the scar and specific ultrasound features is crucial for preventing severe outcomes. Aim of the Study To evaluate the diagnostic criteria and various treatment strategies for CSP, assessing their effectiveness and challenges. Materials and Methods A review of the literature collected in the PubMed database was performed to gather information found under the key words cesarean scar pregnancy," “ectopic pregnancy,” "CSP treatment," "uterine artery embolization," "methotrexate," "hysteroscopy," "dilation and curettage," and "chemoembolization." Summary The review discusses various treatment strategies, including methotrexate administration, UAE, and surgical options like hysteroscopy and laparoscopy, highlighting their effectiveness and associated challenges. It emphasizes the importance of tailoring treatments to individual patient conditions, with newer methods like chemoembolization showing promise in minimizing complications. The findings underscore the need for a personalized treatment approach, considering patient-specific factors and health goals. Further research is needed to refine these strategies and improve outcomes for those affected by CSP.

Published
2024
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37. The Issue of antibiotic-resistant bacterial infections in intensive care units (ICUs) – epidemiology, risk factors and prevention. Literature review.

Author

Maciej Choiński, Paulina Wasiewicz-Ciach, Marcelina Teresa Marzec, Piotr Kuczyński, Anna Marszałek, Aleksandra Wydra-Rojek, Weronika Zofia Marzec, Katarzyna Kutyła, Wojciech Jan Mokot, and Aleksandra Łakoma

Subjects
antibiotic resistance, multidrug-resistant bacteria, risk factors, infection control, intensive care units, Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

Abstract Infections caused by antibiotic-resistant pathogens in intensive care units (ICUs) present significant challenges for modern medicine. ICU patients are particularly vulnerable to HAI due to: severe conditions, frequent invasive procedures and extensive antibiotic use. It is estimated that about 9-20% of patients in intensive care units are affected by healthcare-associated infections (HAIs) and half of all hospital-acquired infections occur in the ICU. The antibiotic resistance is becoming a widespread issue. The incidence of HAIs caused by multi-dtug pathogens, especially Gram-negative bacteria, is dramatically rising. Uderstanding risk factors, epidemiology, routes of transmission, preventive measures may form the basis for limiting the spread of health-associated infections (HAI) caused by multidrug-resistance pathogens. Effective prevention measures comprise proper antibiotic management, personnel control and elimination of risk factors. Additional strategies like selective digestive decontamination (SDD), pathogen screening and isolation of infected patients may be considered to the successful control of outbreaks. Further studies are needed to better understand the transmission, epidemiology and prevention of multidrug-resistance infections. This review summarizes current knowledge on antibiotic resistance, risk factors, epidemiology and prevention methods of healthcare-associated infections (HAIs) in ICUs.

Published
2024
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38. The Effects of Oral Collagen Supplementation on Skin Aging

Author

Weronika Zofia Marzec, Marcelina Teresa Marzec, Aleksandra Łakoma, Aleksandra Wydra-Rojek, Anna Marszałek, Katarzyna Kutyła, Wojciech Jan Mokot, Paulina Wasiewicz-Ciach, Piotr Kuczyński, and Maciej Choiński

Subjects
collagen, skin aging, supplements, marine collagen, Sports, GV557-1198.995, Sports medicine, RC1200-1245
Abstract

This systematic review evaluates the effects of oral collagen supplementation on skin hydration, elasticity, and wrinkle reduction. Collagen, a key protein in the skin, decreases with age, causing visible signs of aging. The review synthesizes findings from 31 articles, including randomized controlled trials, systematic reviews, and meta-analyses, focusing on the efficacy of hydrolyzed collagen (HC), collagen tripeptides (CP), and low molecular weight collagen peptides (LMWCP). The review also highlights collagen peptides' role in stimulating collagen synthesis, improving skin barrier function, and promoting hydration. Despite some limitations, the evidence supports collagen supplements, as a non-invasive option for improving skin health. Aim of the Study The study aims to evaluate the impact of oral collagen supplementation, particularly hydrolyzed collagen (HC), collagen tripeptides (CP), and low molecular weight collagen peptides (LMWCP), on improving skin hydration, elasticity, and wrinkle reduction. Materials and methods A review of the literature collected in the PubMed database was performed to gather information found under the key words “collagen supplementation," "skin aging," "hydrolyzed collagen," "collagen peptides," "skin hydration," "skin elasticity," and "wrinkle reduction."

Published
2024
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41. Unleashing the Potential of Mixed Precision in AI-Accelerated CFD Simulation on Intel CPU/GPU Architectures

Author

Halbiniak, Kamil, Rojek, Krzysztof, Iserte, Sergio, Wyrzykowski, Roman, Hartmanis, Juris, Founding Editor, van Leeuwen, Jan, Series Editor, Hutchison, David, Editorial Board Member, Kanade, Takeo, Editorial Board Member, Kittler, Josef, Editorial Board Member, Kleinberg, Jon M., Editorial Board Member, Kobsa, Alfred, Series Editor, Mattern, Friedemann, Editorial Board Member, Mitchell, John C., Editorial Board Member, Naor, Moni, Editorial Board Member, Nierstrasz, Oscar, Series Editor, Pandu Rangan, C., Editorial Board Member, Sudan, Madhu, Series Editor, Terzopoulos, Demetri, Editorial Board Member, Tygar, Doug, Editorial Board Member, Weikum, Gerhard, Series Editor, Vardi, Moshe Y, Series Editor, Goos, Gerhard, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Woeginger, Gerhard, Editorial Board Member, Franco, Leonardo, editor, de Mulatier, Clélia, editor, Paszynski, Maciej, editor, Krzhizhanovskaya, Valeria V., editor, Dongarra, Jack J., editor, and Sloot, Peter M. A., editor

Published
2024
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42. Toward ML-Based Application for Vehicles Operation Cost Management

Author

Rojek, Izabela, Mikołajewski, Dariusz, Przybyliński, Sławomir, Dostatni, Ewa, Sapietová, Alžbeta, Chaari, Fakher, Series Editor, Gherardini, Francesco, Series Editor, Ivanov, Vitalii, Series Editor, Haddar, Mohamed, Series Editor, Cavas-Martínez, Francisco, Editorial Board Member, di Mare, Francesca, Editorial Board Member, Kwon, Young W., Editorial Board Member, Tolio, Tullio A. M., Editorial Board Member, Trojanowska, Justyna, Editorial Board Member, Schmitt, Robert, Editorial Board Member, Xu, Jinyang, Editorial Board Member, Diering, Magdalena, editor, Wieczorowski, Michał, editor, and Harugade, Mukund, editor

Published
2024
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43. Artificial Intelligence in the Implementation of Didactic Principles in a Novel Mobility Platform: The Case of the eMediator Project

Author

Gawlik-Kobylińska, Małgorzata, Rojek, Marcin, Kacprzyk, Janusz, Series Editor, Gomide, Fernando, Advisory Editor, Kaynak, Okyay, Advisory Editor, Liu, Derong, Advisory Editor, Pedrycz, Witold, Advisory Editor, Polycarpou, Marios M., Advisory Editor, Rudas, Imre J., Advisory Editor, Wang, Jun, Advisory Editor, Kabashkin, Igor, editor, Yatskiv, Irina, editor, and Prentkovskis, Olegas, editor

Published
2024
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46. Systematic Review of Scales for Measuring Infectious Disease–Related Stigma

Author

Amy Paterson, Ashleigh Cheyne, Benjamin Jones, Stefan Schilling, Louise Sigfrid, Jeni Stolow, Lina Moses, Piero Olliaro, and Amanda Rojek

Subjects
COVID-19, Ebola virus, HIV/AIDS and other retroviruses, communicable diseases, disease outbreaks, epidemics, Medicine, Infectious and parasitic diseases, RC109-216
Abstract

Infectious disease outbreaks are associated with substantial stigma, which can have negative effects on affected persons and communities and on outbreak control. Thus, measuring stigma in a standardized and validated manner early in an outbreak is critical to disease control. We reviewed existing scales used to assess stigma during outbreaks. Our findings show that many different scales have been developed, but few have been used more than once, have been adequately validated, or have been tested in different disease and geographic contexts. We found that scales were usually developed too slowly to be informative early during an outbreak and were published a median of 2 years after the first case of an outbreak. A rigorously developed, transferable stigma scale is needed to assess and direct responses to stigma during infectious disease outbreaks.

Published
2024
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48. Challenges in clinical diagnosis of Clade I Mpox: Highlighting the need for enhanced diagnostic approaches.

Author

Josephine Bourner, Esteban Garcia-Gallo, Festus Mbrenga, Yap Boum, Emmanuel Nakouné, Amy Paterson, Benjamin Jones, Piero Olliaro, and Amanda Rojek

Subjects
Arctic medicine. Tropical medicine, RC955-962, Public aspects of medicine, RA1-1270
Abstract

BackgroundDue to limited diagnostic capacity and availability of point-of-care tests, diagnosis of Clade I mpox in the geographical regions most affected is usually on clinical grounds. This may be complicated due to the similarity between mpox and varicella (chickenpox) lesions. Visual assessment of lesions is also used for determining clinical progress and to assess patient outcomes in clinical trials. However, there has been no investigation into whether clinicians can (i) identify Clade I mpox compared to other viral lesions (ii) differentiate between Clade I mpox lesion stages.Methodology/principle findingsThe objective of this study was to evaluate inter-rater reliability and agreement between clinicians assessing lesions in patients with Clade I mpox. We presented experienced clinicians with 17 images of Clade I mpox or varicella and asked them to independently indicate the most likely diagnosis-mpox or varicella-and to categorise the lesions according to their stage. When selecting the most likely diagnosis, accuracy varied across all images, the inter-rater reliability was poor (κ = 0.223; z = 10.1) and agreement was moderate (Po = 68%). When categorising lesions according to their type, if a single lesion type was present in the image, inter-rater reliability was moderate (κ = 0.671, z = 40.6) and agreement was good (Po = 78%), but when multiple lesion types were shown in an image, both inter-rater reliability (κ = 0.153, z = 10.5) and agreement (Po = 29%) decreased substantially.ConclusionsThis study demonstrates that there are presently limitations in using visual assessment to diagnose Clade I mpox and evaluate lesion stage and treatment outcomes, which have an impact on clinical practice, public health and clinical trials. More robust indicators and tools are required to inform clinical, public-health, and research priorities, but these must be implementable in countries affected by mpox.

Published
2024
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49. Characteristics and outcomes of COVID-19 patients admitted to hospital with and without respiratory symptoms

Author

Barbara Wanjiru Citarella, Christiana Kartsonaki, Elsa D. Ibáñez-Prada, Bronner P. Gonçalves, Joaquin Baruch, Martina Escher, Mark G. Pritchard, Jia Wei, Fred Philippy, Andrew Dagens, Matthew Hall, James Lee, Demetrios James Kutsogiannis, Evert-Jan Wils, Marília Andreia Fernandes, Bharath Kumar Tirupakuzhi Vijayaraghavan, Prasan Kumar Panda, Ignacio Martin-Loeches, Shinichiro Ohshimo, Arie Zainul Fatoni, Peter Horby, Jake Dunning, Jordi Rello, Laura Merson, Amanda Rojek, Michel Vaillant, Piero Olliaro, Luis Felipe Reyes, S.A. Moharam, Sabriya Abdalasalam, Alaa Abdalfattah Abdalhadi, Naana Reyam Abdalla, Walaa Abdalla, Almthani Hamza Abdalrheem, Ashraf Abdalsalam, Saedah Abdeewi, Esraa Hassan Abdelgaum, Mohamed Abdelhalim, Mohammed Abdelkabir, Israa Abdelrahman, Sheryl Ann Abdukahil, Lamees Adil Abdulbaqi, Salaheddin Abdulhamid, Widyan Abdulhamid, Nurul Najmee Abdulkadir, Eman Abdulwahed, Rawad Abdunabi, Ryuzo Abe, Laurent Abel, Ahmed Mohammed Abodina, Amal Abrous, Lara Absil, Kamal Abu Jabal, Nashat Abu Salah, Abdurraouf Abusalama, Tareg Abdallah Abuzaid, Subhash Acharya, Andrew Acker, Elisabeth Adam, Safia Adem, Manuella Ademnou, Francisca Adewhajah, Diana Adrião, Anthony Afum-Adjei Awuah, Melvin Agbogbatey, Saleh Al Ageel, Aya Mustafa Ahmed, Musaab Mohammed Ahmed, Shakeel Ahmed, Zainab Ahmed Alaraji, Abdulrahman Ahmed Elhefnawy Enan, Reham Abdelhamid Ahmed Khalil, Ali Mostafa Ahmed Mohamed Abdelaziz, Kate Ainscough, Eka Airlangga, Tharwat Aisa, Ali Aisha, Bugila Aisha, Ali Ait Hssain, Younes Ait Tamlihat, Takako Akimoto, Ernita Akmal, Chika Akwani, Eman Al Qasim, Ahmed Alajeeli, Ahmed Alali, Razi Alalqam, Aliya Mohammed Alameen, Mohammed Al-Aquily, Zinah A. Alaraji, Khalid Albakry, Safa Albatni, Angela Alberti, Osama Aldabbourosama, Tala Al-dabbous, Amer Aldhalia, Abdulkarim Aldoukali, Senthilkumar Alegesan, Marta Alessi, Beatrice Alex, Kévin Alexandre, Abdulrahman Al-Fares, Asil Alflite, Huda Alfoudri, Qamrah Alhadad, Hoda Salem Alhaddad, Maali Khalid Mohamed Abdalla Alhasan, Ahmad Nabil Alhouri, Hasan Alhouri, Adam Ali, Imran Ali, Maha TagElser Mohammed Ali, Syed Ali Abbas, Yomna Ali Abdelghafar, Naseem Ali Sheikh, Kazali Enagnon Alidjnou, Mahmoud Aljadi, Sarah Aljamal, Mohammed Alkahlout, Akram Alkaseek, Qabas Alkhafajee, Clotilde Allavena, Nathalie Allou, Lana Almasri, Abdulrahman Almjersah, Raja Ahmed Alqandouz, Walaa Alrfaea, Moayad Alrifaee, Rawan Alsaadi, Yousef Al-Saba'a, Entisar Alshareea, Eslam Alshenawy, Aneela Altaf, João Melo Alves, João Alves, Rita Alves, Joana Alves Cabrita, Maria Amaral, Amro Essam Amer, Nur Amira, Amos Amoako Adusei, John Amuasi, Roberto Andini, Claire Andrejak, Andrea Angheben, François Angoulvant, Sophia Ankrah, Séverine Ansart, Sivanesen Anthonidass, Massimo Antonelli, Carlos Alexandre Antunes de Brito, Ardiyan Apriyana, Yaseen Arabi, Irene Aragao, Francisco Arancibia, Carolline Araujo, Antonio Arcadipane, Patrick Archambault, Lukas Arenz, Jean-Benoît Arlet, Christel Arnold-Day, Lovkesh Arora, Rakesh Arora, Elise Artaud-Macari, Diptesh Aryal, Angel Asensio, Elizabeth A. Ashley, Muhammad Ashraf, Muhammad Sheharyar Ashraf, Abir Ben Ashur, Franklin Asiedu-Bekoe, Namra Asif, Mohammad Asim, Grace Assi, Jean Baptiste Assie, Amirul Asyraf, Fouda Atangana, Ahmed Atia, Minahel Atif, Asia Atif Abdelrhman Abdallahrs, Anika Atique, Moad Atlowly, AM Udara Lakshan Attanyake, Johann Auchabie, Hugues Aumaitre, Adrien Auvet, Abdelmalek Awad Ali Mohammed, Eyvind W. Axelsen, Ared Ayad, Ahmed Ayman Hassan Helmi, Laurène Azemar, Mohammed Azizeldin, Cecile Azoulay, Hakeem Babatunde, Benjamin Bach, Delphine Bachelet, Claudine Badr, Roar Bævre-Jensen, Nadia Baig, John Kenneth Baillie, J Kevin Baird, Erica Bak, Agamemnon Bakakos, Nazreen Abu Bakar, Hibah Bileid Bakeer, Ashraf Bakri, Andriy Bal, Mohanaprasanth Balakrishnan, Irene Bandoh, Firouzé Bani-Sadr, Renata Barbalho, Nicholas Yuri Barbosa, Wendy S. Barclay, Saef Umar Barnett, Michaela Barnikel, Helena Barrasa, Cleide Barrigoto, Marie Bartoli, Joaquín Baruch, Romain Basmaci, Muhammad Fadhli Hassin Basri, AbdAlkarim Batool, Denise Battaglini, Jules Bauer, Diego Fernando Bautista Rincon, Denisse Bazan Dow, Abigail Beane, Alexandra Bedossa, Ker Hong Bee, Husna Begum, Sylvie Behilill, Albertus Beishuizen, Aleksandr Beljantsev, David Bellemare, Anna Beltrame, Beatriz Amorim Beltrão, Marine Beluze, Nicolas Benech, Lionel Eric Benjiman, Suzanne Bennett, Luís Bento, Jan-Erik Berdal, Lamis Berdeweel, Delphine Bergeaud, Hazel Bergin, Giulia Bertoli, Lorenzo Bertolino, Simon Bessis, Sybille Bevilcaqua, Karine Bezulier, Amar Bhatt, Krishna Bhavsar, Isabella Bianchi, Claudia Bianco, Sandra Bichoka, Farah Nadiah Bidin, Felwa Bin Humaid, Mohd Nazlin Bin Kamarudin, Muhannud Binnawara, Zeno Bisoffi, Patrick Biston, Laurent Bitker, Mustapha Bittaye, Jonathan Bitton, Pablo Blanco-Schweizer, Catherine Blier, Frank Bloos, Mathieu Blot, Filomena Boccia, Laetitia Bodenes, Debby Bogaert, Anne-Hélène Boivin, Ariel Bolanga, Isabela Bolaños, Pierre-Adrien Bolze, François Bompart, Aurelius Bonifasius, Joe Bonney, Diogo Borges, Raphaël Borie, Hans Martin Bosse, Elisabeth Botelho-Nevers, Lila Bouadma, Olivier Bouchaud, Sabelline Bouchez, Damien Bouhour, Kévin Bouiller, Laurence Bouillet, Camile Bouisse, Latsaniphone Bountthasavong, Anne-Sophie Boureau, John Bourke, Maude Bouscambert, Aurore Bousquet, Marielle Boyer-Besseyre, Maria Boylan, Fernando Augusto Bozza, Axelle Braconnier, Cynthia Braga, Timo Brandenburger, Filipa Brás Monteiro, Luca Brazzi, Dorothy Breen, Patrick Breen, David Brewster, Kathy Brickell, Tessa Broadley, Helen Brotherton, Alex Browne, Nicolas Brozzi, Sonja Hjellegjerde Brunvoll, Marjolein Brusse-Keizer, Petra Bryda, Nina Buchtele, Polina Bugaeva, Marielle Buisson, Danilo Buonsenso, Erlina Burhan, Donald Buri, Aidan Burrell, Ingrid G. Bustos, Denis Butnaru, André Cabie, Susana Cabral, Joana Cabrita, Eder Caceres, Cyril Cadoz, Rui Caetano Garcês, Kate Calligy, Jose Andres Calvache, João Camões, Valentine Campana, Paul Campbell, Josie Campisi, Cecilia Canepa, Mireia Cantero, Janice Caoili, Pauline Caraux-Paz, Sheila Cárcel, Filipa Cardoso, Filipe Cardoso, Nelson Cardoso, Sofia Cardoso, Simone Carelli, Nicolas Carlier, Thierry Carmoi, Gayle Carney, Inês Carqueja, Marie-Christine Carret, François Martin Carrier, Ida Carroll, Gail Carson, Maire-Laure Casanova, Mariana Cascão, Siobhan Casey, José Casimiro, Bailey Cassandra, Silvia Castañeda, Nidyanara Castanheira, Guylaine Castor-Alexandre, Ivo Castro, Ana Catarino, François-Xavier Catherine, Paolo Cattaneo, Roberta Cavalin, Giulio Giovanni Cavalli, Alexandros Cavayas, Adrian Ceccato, Masaneh Ceesay, Shelby Cerkovnik, Minerva Cervantes-Gonzalez, Muge Cevik, Anissa Chair, Catherine Chakveatze, Adrienne Chan, Meera Chand, Jean-Marc Chapplain, Charlotte Charpentier, Julie Chas, Muhammad Mobin Chaudry, Jonathan Samuel Chávez Iñiguez, Anjellica Chen, Yih-Sharng Chen, Léo Chenard, Matthew Pellan Cheng, Antoine Cheret, Thibault Chiarabini, Julian Chica, Suresh Kumar Chidambaram, Leong Chin Tho, Catherine Chirouze, Davide Chiumello, Sung-Min Cho, Bernard Cholley, Danoy Chommanam, Marie-Charlotte Chopin, Yock Ping Chow, Ting Soo Chow, Nathaniel Christy, Hiu Jian Chua, Jonathan Chua, Jose Pedro Cidade, José Miguel Cisneros Herreros, Anna Ciullo, Jennifer Clarke, Rolando Claure-Del Granado, Sara Clohisey, Cassidy Codan, Caitriona Cody, Jennifer Coles, Megan Coles, Gwenhaël Colin, Michael Collins, Pamela Combs, Jennifer Connolly, Marie Connor, Anne Conrad, Elaine Conway, Graham S. Cooke, Hugues Cordel, Amanda Corley, Sabine Cornelis, Alexander Daniel Cornet, Arianne Joy Corpuz, Andrea Cortegiani, Grégory Corvaisier, Camille Couffignal, Sandrine Couffin-Cadiergues, Roxane Courtois, Stéphanie Cousse, Juthaporn Cowan, Rachel Cregan, Gloria Crowl, Jonathan Crump, Claudina Cruz, Marc Csete, Ailbhe Cullen, Matthew Cummings, Gerard Curley, Elodie Curlier, Colleen Curran, Paula Custodio, Ana da Silva Filipe, Charlene Da Silveira, Al-Awwab Dabaliz, John Arne Dahl, Darren Dahly, Umberto D'Alessandro, Peter Daley, Zaina Dalloul, Heidi Dalton, Jo Dalton, Seamus Daly, Juliana Damas, Joycelyn Dame, Cammandji Damien, Nick Daneman, Jorge Dantas, Frédérick D'Aragon, Gillian de Loughry, Diego de Mendoza, Etienne De Montmollin, Rafael Freitas de Oliveira França, Ana Isabel de Pinho Oliveira, Rosanna De Rosa, Cristina De Rose, Thushan de Silva, Peter de Vries, Jillian Deacon, David Dean, Alexa Debard, Bianca DeBenedictis, Marie-Pierre Debray, Nathalie DeCastro, William Dechert, Romain Decours, Eve Defous, Isabelle Delacroix, Alexandre Delamou, Eric Delaveuve, Karen Delavigne, Nathalie M. Delfos, Ionna Deligiannis, Andrea Dell'Amore, Christelle Delmas, Pierre Delobel, Corine Delsing, Elisa Demonchy, Emmanuelle Denis, Dominique Deplanque, Pieter Depuydt, Diane Descamps, Mathilde Desvallées, Santi Dewayanti, Pathik Dhangar, Alpha Diallo, Souleymane Taran Diallo, Sylvain Diamantis, André Dias, Fernanda Dias Da Silva, Rodrigo Diaz, Juan Jose Diaz, Priscila Diaz, Bakary K. Dibba, Kévin Didier, Jean-Luc Diehl, Wim Dieperink, Jérôme Dimet, Vincent Dinot, Fara Diop, Alphonsine Diouf, Yael Dishon, Cedric Djadda, Félix Djossou, Annemarie B. Docherty, Helen Doherty, Arjen M. Dondorp, Christl A. Donnelly, Yoann Donohue, Sean Donohue, Peter Doran, Céline Dorival, Eric D'Ortenzio, Yash Doshi, Phouvieng Douangdala, James Joshua Douglas, Renee Douma, Nathalie Dournon, Joanne Downey, Mark Downing, Thomas Drake, Aoife Driscoll, Ibrahim Kwaku Duah, Claudio Duarte Fonseca, Vincent Dubee, François Dubos, Audrey Dubot-Pérès, Alexandre Ducancelle, Toni Duculan, Susanne Dudman, Abhijit Duggal, Paul Dunand, Mathilde Duplaix, Emanuele Durante-Mangoni, Lucian Durham, III, Bertrand Dussol, Juliette Duthoit, Xavier Duval, Anne Margarita Dyrhol-Riise, Sim Choon Ean, Ada Ebo, Marco Echeverria-Villalobos, Michael Edelstein, Siobhan Egan, Linn Margrete Eggesbø, Khadeja Ehzaz, Carla Eira, Mohammed El Sanharawi, Marwan El Sayed, Mohammed Elabid, Mohamed Bashir Elagili, Subbarao Elapavaluru, Mohammad Elbahnasawy, Sohail Elboshra, Brigitte Elharrar, Jacobien Ellerbroek, Merete Ellingjord-Dale, Hamida ELMagrahi, Mohammad Muatasm Elmubark, Loubna Elotmani, Lauren Eloundou, Philippine Eloy, Basma Elshaikhy, Tarek Elshazly, Wafa Elsokni, Aml Ahmed Eltayeb, Iqbal Elyazar, Zarief Kamel Emad, Hussein Embarek, Isabelle Enderle, Tomoyuki Endo, Gervais Eneli, Chan Chee Eng, Ilka Engelmann, Vincent Enouf, Olivier Epaulard, Haneen Esaadi, Mariano Esperatti, Hélène Esperou, Catarina Espírito Santo, Marina Esposito-Farese, Rachel Essaka, Lorinda Essuman, João Estevão, Manuel Etienne, Anna Greti Everding, Mirjam Evers, Isabelle Fabre, Marc Fabre, Ismaila Fadera, Asgad Osman Abdalla Fadlalla, Amna Faheem, Arabella Fahy, Cameron J. Fairfield, Zul Fakar, Komal Fareed, Pedro Faria, Ahmed Farooq, Hanan Fateena, Mohamed Fathi, Salem Fatima, Karine Faure, Raphaël Favory, Mohamed Fayed, Niamh Feely, Jorge Fernandes, Susana Fernandes, François-Xavier Ferrand, Eglantine Ferrand Devouge, Joana Ferrão, Mário Ferraz, Benigno Ferreira, Isabel Ferreira, Bernardo Ferreira, Sílvia Ferreira, Nicolas Ferriere, Céline Ficko, Claudia Figueiredo-Mello, William Finlayson, Thomas Flament, Tom Fletcher, Aline-Marie Florence, Letizia Lucia Florio, Brigid Flynn, Deirdre Flynn, Jean Foley, Victor Fomin, Tatiana Fonseca, Patricia Fontela, Karen Forrest, Simon Forsyth, Denise Foster, Giuseppe Foti, Berline Fotso, Erwan Fourn, Robert A. Fowler, Marianne Fraher, Diego Franch-Llasat, Christophe Fraser, John F. Fraser, Marcela Vieira Freire, Ana Freitas Ribeiro, Craig French, Caren Friedrich, Ricardo Fritz, Stéphanie Fry, Nora Fuentes, Masahiro Fukuda, G. Argin, Valérie Gaborieau, Rostane Gaci, Massimo Gagliardi, Jean-Charles Gagnard, Amandine Gagneux-Brunon, Abdou Gai, Sérgio Gaião, Linda Gail Skeie, Adham Mohamed Galal Mohamed Ramadan, Phil Gallagher, Carrol Gamble, Yasmin Gani, Arthur Garan, Rebekha Garcia, Julia Garcia-Diaz, Esteban Garcia-Gallo, Navya Garimella, Denis Garot, Valérie Garrait, Basanta Gauli, Anatoliy Gavrylov, Alexandre Gaymard, Johannes Gebauer, Eva Geraud, Louis Gerbaud Morlaes, Nuno Germano, Malak Ghemmeid, Praveen Kumar Ghisulal, Jade Ghosn, Marco Giani, Tristan Gigante, Elaine Gilroy, Guillermo Giordano, Michelle Girvan, Valérie Gissot, Gezy Giwangkancana, Daniel Glikman, Petr Glybochko, Eric Gnall, Geraldine Goco, François Goehringer, Siri Goepel, Jean-Christophe Goffard, Jin Yi Goh, Brigitta Golács, Jonathan Golob, Kyle Gomez, Joan Gómez-Junyent, Marie Gominet, Alicia Gonzalez, Patricia Gordon, Isabelle Gorenne, Laure Goubert, Cécile Goujard, Tiphaine Goulenok, Margarite Grable, Jeronimo Graf, Edward Wilson Grandin, Pascal Granier, Giacomo Grasselli, Lorenzo Grazioli, Christopher A. Green, Courtney Greene, William Greenhalf, Segolène Greffe, Domenico Luca Grieco, Matthew Griffee, Fiona Griffiths, Ioana Grigoras, Albert Groenendijk, Fassou Mathias Grovogui, Heidi Gruner, Yusing Gu, Jérémie Guedj, Martin Guego, Anne-Marie Guerguerian, Daniela Guerreiro, Romain Guery, Anne Guillaumot, Laurent Guilleminault, Maisa Guimarães de Castro, Thomas Guimard, Marieke Haalboom, Daniel Haber, Ali Hachemi, Abdurrahman Haddud, Nadir Hadri, Wael Hafez, Fakhir Raza Haidri, Fatima Mhd Rida Hajij, Sheeba Hakak, Adam Hall, Sophie Halpin, Shaher Hamdan, Abdelhafeez Hamdi, Jawad Hameed, Ansley Hamer, Raph L. Hamers, Rebecca Hamidfar, Bato Hammarström, Naomi Hammond, Terese Hammond, Lim Yuen Han, Matly Hanan, Rashan Haniffa, Kok Wei Hao, Hayley Hardwick, Ewen M. Harrison, Janet Harrison, Samuel Bernard Ekow Harrison, Alan Hartman, Sulieman Hasan, Mohammad Ali Nabil Hasan, Mohd Shahnaz Hasan, Junaid Hashmi, Madiha Hashmi, Amoni Hassan, Ebtisam Hassanin, Muhammad Hayat, Ailbhe Hayes, Leanne Hays, Jan Heerman, Lars Heggelund, Ahmed Helmi, Ross Hendry, Martina Hennessy, Aquiles Rodrigo Henriquez-Trujillo, Maxime Hentzien, Diana Hernandez, Andrew Hershey, Liv Hesstvedt, Astarini Hidayah, Eibhlin Higgins, Rupert Higgins, Samuel Hinton, Hiroaki Hiraiwa, Haider Hirkani, Hikombo Hitoto, Antonia Ho, Yi Bin Ho, Alexandre Hoctin, Isabelle Hoffmann, Wei Han Hoh, Oscar Hoiting, Rebecca Holt, Jan Cato Holter, Juan Pablo Horcajada, Ikram Houas, Mabrouka Houderi, Catherine L. Hough, Stuart Houltham, Jimmy Ming-Yang Hsu, Jean-Sébastien Hulot, Abby Hurd, Iqbal Hussain, Aliae Mohamed Hussein, Mahmood Hussein, Fatima Ibrahim, Bashir Ibran, Samreen Ijaz, M. Arfan Ikram, Carlos Cañada Illana, Patrick Imbert, Muhammad Imran Ansari, Rana Imran Sikander, Hugo Inácio, Carmen Infante Dominguez, Yun Sii Ing, Mariachiara Ippolito, Vera Irawany, Sarah Isgett, Tiago Isidoro, Nadiah Ismail, Margaux Isnard, Mette Stausland Istre, Junji Itai, Daniel Ivulich, Danielle Jaafar, Salma Jaafoura, Hamza Jaber, Julien Jabot, Clare Jackson, Abubacarr Jagne, Stéphane Jaureguiberry, Denise Jaworsky, Florence Jego, Anilawati Mat Jelani, Synne Jenum, Ruth Jimbo-Sotomayor, Ong Yiaw Joe, Ruth Noemí Jorge García, Silje Bakken Jørgensen, Cédric Joseph, Mark Joseph, Swosti Joshi, Mercé Jourdain, Philippe Jouvet, Anna Jung, Hanna Jung, Dafsah Juzar, Ouifiya Kafif, Florentia Kaguelidou, Neerusha Kaisbain, Thavamany Kaleesvran, Sabina Kali, Karl Trygve Kalleberg, Smaragdi Kalomoiri, Muhammad Aisar Ayadi Kamaluddin, Armand Saloun Kamano, Zul Amali Che Kamaruddin, Nadiah Kamarudin, Kavita Kamineni, Darshana Hewa Kandamby, Kong Yeow Kang, Darakhshan Kanwal, Dyah Kanyawati, Mohamed Karghul, Pratap Karpayah, Todd Karsies, Daisuke Kasugai, Kevin Katz, Christy Kay, Lamees Kayyali, Seán Keating, Pulak Kedia, Andrea Kelly, Aoife Kelly, Claire Kelly, Niamh Kelly, Sadie Kelly, Yvelynne Kelly, Maeve Kelsey, Kalynn Kennon, Sommay Keomany, Maeve Kernan, Younes Kerroumi, Sharma Keshav, Shams Khail, Sarah Khaled, Imrana Khalid, Antoine Khalil, Irfan Khan, Quratul Ain Khan, Sushil Khanal, Abid Khatak, Krish Kherajani, Michelle E. Kho, Denisa Khoo, Ryan Khoo, Saye Khoo, Muhammad Nasir Khoso, Amin Khuwaja, Khor How Kiat, Yuri Kida, Peter Kiiza, Beathe Kiland Granerud, Anders Benjamin Kildal, Jae Burm Kim, Antoine Kimmoun, Detlef Kindgen-Milles, Nobuya Kitamura, Eyrun Floerecke Kjetland Kjetland, Paul Klenerman, Rob Klont, Gry Kloumann Bekken, Stephen R. Knight, Robin Kobbe, Paa Kobina Forson, Chamira Kodippily, Malte Kohns Vasconcelos, Sabin Koirala, Mamoru Komatsu, Franklina Korkor Abebrese, Volkan Korten, Stephanie Kouba, Mohamed Lamine Kourouma, Karifa Kourouma, Arsène Kpangon, Karolina Krawczyk, Ali Kredan, Vinothini Krishnan, Sudhir Krishnan, Oksana Kruglova, Anneli Krund, Pei Xuan Kuan, Ashok Kumar, Deepali Kumar, Ganesh Kumar, Mukesh Kumar, Dinesh Kuriakose, Ethan Kurtzman, Demetrios Kutsogiannis, Galyna Kutsyna, Ama Kwakyewaa Bedu-Addo, Sylvie Kwedi, Konstantinos Kyriakoulis, Marie Lachatre, Marie Lacoste, John G. 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Uyeki, Cristinava Vajdovics, Piero Valentini, Luís Val-Flores, Stijn Van de Velde, Marcel van den Berge, Machteld van der Feltz, Job van der Palen, Paul van der Valk, Nicky Van Der Vekens, Peter Van der Voort, Sylvie Van Der Werf, Laura van Gulik, Jarne Van Hattem, Carolien van Netten, Ilonka van Veen, Noémie Vanel, Henk Vanoverschelde, Michael Varrone, Shoban Raj Vasudayan, Charline Vauchy, Pavan Kumar Vecham, Shaminee Veeran, Aurélie Veislinger, Sebastian Vencken, Sara Ventura, Annelies Verbon, José Ernesto Vidal, César Vieira, Deepak Vijayan, Judit Villar, Pierre-Marc Villeneuve, Andrea Villoldo, Gayatri Vishwanathan, Benoit Visseaux, Hannah Visser, Chiara Vitiello, Manivanh Vongsouvath, Harald Vonkeman, Fanny Vuotto, Suhaila Abdul Wahab, Noor Hidayu Wahab, Nadirah Abdul Wahid, Marina Wainstein, Laura Walsh, Wan Fadzlina Wan Muhd Shukeri, Chih-Hsien Wang, Steve Webb, Katharina Weil, Tan Pei Wen, Hassi Wesam, Sanne Wesselius, T. Eoin West, Murray Wham, Bryan Whelan, Nicole White, Paul Henri Wicky, Aurélie Wiedemann, Surya Otto Wijaya, Keith Wille, Sue Willems, Bailey Williams, Patricia J. Williams, Virginie Williams, Jessica Wittman, Calvin Wong, Xin Ci Wong, Yew Sing Wong, Teck Fung Wong, Natalie Wright, Lim Saio Xian, Ioannis Xynogalas, Siti Rohani Binti Mohd Yakop, Masaki Yamazaki, Elizabeth Yarad, Yazdan Yazdanpanah, Nicholas Yee Liang Hing, Abdelrahman Yehia Mahmoud Abdelaal, Cécile Yelnik, Chian Hui Yeoh, Stephanie Yerkovich, Touxiong Yiaye, Toshiki Yokoyama, Hodane Yonis, Obada Yousif, Saptadi Yuliarto, Akram Zaaqoq, Marion Zabbe, Gustavo E. Zabert, Kai Zacharowski, Masliza Zahid, Maram Zahran, Nor Zaila Binti Zaidan, Maria Zambon, Miguel Zambrano, Alberto Zanella, Nurul Zaynah, Hiba Zayyad, Alexander Zoufaly, and David Zucman

Subjects
COVID-19, Non-respiratory symptoms, Respiratory symptoms, Risk factors, Mortality, Science (General), Q1-390, Social sciences (General), H1-99
Abstract

Background: COVID-19 is primarily known as a respiratory illness; however, many patients present to hospital without respiratory symptoms. The association between non-respiratory presentations of COVID-19 and outcomes remains unclear. We investigated risk factors and clinical outcomes in patients with no respiratory symptoms (NRS) and respiratory symptoms (RS) at hospital admission. Methods: This study describes clinical features, physiological parameters, and outcomes of hospitalised COVID-19 patients, stratified by the presence or absence of respiratory symptoms at hospital admission. RS patients had one or more of: cough, shortness of breath, sore throat, runny nose or wheezing; while NRS patients did not. Results: Of 178,640 patients in the study, 86.4 % presented with RS, while 13.6 % had NRS. NRS patients were older (median age: NRS: 74 vs RS: 65) and less likely to be admitted to the ICU (NRS: 36.7 % vs RS: 37.5 %). NRS patients had a higher crude in-hospital case-fatality ratio (NRS 41.1 % vs. RS 32.0 %), but a lower risk of death after adjusting for confounders (HR 0.88 [0.83–0.93]). Conclusion: Approximately one in seven COVID-19 patients presented at hospital admission without respiratory symptoms. These patients were older, had lower ICU admission rates, and had a lower risk of in-hospital mortality after adjusting for confounders.

Published
2024
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50. Availability, scope and quality of monkeypox clinical management guidelines globally: a systematic review.

Author

Webb, Eika, Rigby, Ishmeala, Michelen, Melina, Dagens, Andrew, Cheng, Vincent, Rojek, Amanda, Dahmash, Dania, Khader, Susan, Gedela, Keerti, Norton, Alice, Cevik, Muge, Cai, Erhui, Harriss, Eli, Lipworth, Samuel, Nartowski, Robert, Groves, Helen, Hart, Peter, Blumberg, Lucille, Fletcher, Tom, Jacob, Shevin, Sigfrid, Louise, and Horby, Peter

Subjects
health policy, infections, diseases, disorders, injuries, systematic review, Adult, Antiviral Agents, Child, Databases, Factual, Disease Outbreaks, Female, Humans, Mpox (monkeypox), Pregnancy
Abstract

BACKGROUND: Monkeypox (MPX) is an important human Orthopoxvirus infection. There has been an increase in MPX cases and outbreaks in endemic and non-endemic regions in recent decades. We appraised the availability, scope, quality and inclusivity of clinical management guidelines for MPX globally. METHODS: For this systematic review, we searched six databases from inception until 14 October 2021, augmented by a grey literature search until 17 May 2022. MPX guidelines providing treatment and supportive care recommendations were included, with no exclusions for language. Two reviewers assessed the guidelines. Quality was assessed using the Appraisal of Guidelines for Research and Evaluation II tool. RESULTS: Of 2026 records screened, 14 guidelines were included. Overall, most guidelines were of low-quality with a median score of 2 out of 7 (range: 1-7), lacked detail and covered a narrow range of topics. Most guidelines focused on adults, five (36%) provided some advice for children, three (21%) for pregnant women and three (21%) for people living with HIV. Treatment guidance was mostly limited to advice on antivirals; seven guidelines advised cidofovir (four specified for severe MPX only); 29% (4/14) tecovirimat, and 7% (1/14) brincidofovir. Only one guideline provided recommendations on supportive care and treatment of complications. All guidelines recommended vaccination as post-exposure prophylaxis (PEP). Three guidelines advised on vaccinia immune globulin as PEP for severe cases in people with immunosuppression. CONCLUSION: Our results highlight a lack of evidence-based clinical management guidelines for MPX globally. There is a clear and urgent need for research into treatment and prophylaxis including for different risk populations. The current outbreak provides an opportunity to accelerate this research through coordinated high-quality studies. New evidence should be incorporated into globally accessible guidelines, to benefit patient and epidemic outcomes. A living guideline framework is recommended. PROSPERO REGISTRATION NUMBER: CRD42020167361.

Published
2022

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