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2. Predicting Left Atrial Appendage Thrombus from Left Atrial Volume and Confirmation by Computed Tomography with Delayed Enhancement.

Author

Osawa, Kazuhiro, Nakanishi, Rine, Ceponiene, Indre, Nezarat, Negin, French, William J, and Budoff, Matthew J

Subjects
Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Clinical Sciences, Clinical Research, Brain Disorders, Hematology, Heart Disease, Cardiovascular, Biomedical Imaging, Aged, Atrial Appendage, Atrial Fibrillation, Cardiac Volume, Female, Heart Atria, Heart Diseases, Humans, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, Thrombosis, Tomography, X-Ray Computed, Atrial appendage/diagnostic imaging, heart atria/diagnostic imaging, multidetector computed tomography/methods, risk assessment, thrombosis/diagnosis, Cardiovascular System & Hematology
Abstract

Assessing thromboembolic risk is crucial for proper management of patients with atrial fibrillation. Left atrial volume is a promising predictor of cardiac thrombosis. To determine whether left atrial volume can predict left atrial appendage thrombus in patients with atrial fibrillation, we conducted a prospective study of 73 patients. Left atrial and ventricular volumes were evaluated by cardiac computed tomography with retrospective electrocardiographic gating and then indexed to body surface area. Left atrial appendage thrombus was confirmed or excluded by cardiac computed tomography with delayed enhancement. Seven patients (9.6%) had left atrial appendage thrombus; 66 (90.4%) did not. Those with thrombus had a significantly higher mean left atrial end-systolic volume index (139 ± 55 vs 101 ± 35 mL/m2; P =0.0097) and mean left atrial end-diastolic volume index (122 ± 45 vs 84 ± 34 mL/m2; P =0.0077). On multivariate logistic regression analysis, left atrial end-systolic volume index (per 10 mL/m2 increase) was significantly associated with left atrial appendage thrombus (odds ratio [OR]=1.24; 95% CI, 1.03-1.50; P =0.02); so too was the left atrial end-diastolic volume index (per 10 mL/m2 increase) (OR=1.29; 95% CI, 1.05-1.60; P =0.02). These findings suggest that increased left atrial volume increases the risk of left atrial appendage thrombus. Therefore, patients with atrial fibrillation and an enlarged left atrium should be considered for cardiac computed tomography with delayed enhancement to confirm whether thrombus is present.

Published
2020

3. Clinical Update: Child and Adolescent Behavioral Health Care in Community Systems of Care

Author

Larson, Justine, Kazura, Allesandra, Fortuna, Lisa, French, William P., Hodas, Gordon R., Metz, Peter, McGinty, Kaye, Bellonci, Christopher, Lee, Terry, Lohr, W. David, Sharma, Pravesh, Zachik, Al, Varma, Chinedu, Kamarauche, Asuzu, Adade, Otema A., Bender, Edward, Brown, Kurt Anthony, Concepcion, Milangel, Naylor, Michael W., Pandhi, Shashwat, Ugorji, Onyi, Abright, A. Reese, Becker, Timothy, Diamond, John, Hayek, Munya, Keable, Helene, Ripperger-Suhler, Jane, Vasa, Roma, Bukstein, Oscar G., Rockhill, Carol, and Walter, Heather J.

Published
2023
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4. Regional “Call 911” Emergency Department Protocol to Reduce Interfacility Transfer Delay for Patients With ST‐Segment–Elevation Myocardial Infarction

Author

Bosson, Nichole, Baruch, Terrence, French, William J, Fang, Andrea, Kaji, Amy H, Gausche‐Hill, Marianne, Rock, Alisa, Shavelle, David, Thomas, Joseph L, and Niemann, James T

Subjects
Heart Disease - Coronary Heart Disease, Heart Disease, Clinical Research, Cardiovascular, Good Health and Well Being, Aged, Emergency Medical Service Communication Systems, Emergency Medical Services, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Transfer, Percutaneous Coronary Intervention, Registries, Retrospective Studies, ST Elevation Myocardial Infarction, Time Factors, Time-to-Treatment, emergency medical services, interfacility transfer, ST-segment-elevation myocardial infarction, ST‐segment–elevation myocardial infarction, Cardiorespiratory Medicine and Haematology
Abstract

We evaluated the first-medical-contact-to-balloon (FMC2B) time after implementation of a "Call 911" protocol for ST-segment-elevation myocardial infarction (STEMI) interfacility transfers in a regional system. This is a retrospective cohort study of consecutive patients with STEMI requiring interfacility transfer from a STEMI referring hospital, to one of 35 percutaneous coronary intervention-capable STEMI receiving centers (SRCs). The Call 911 protocol allows the referring physician to activate 911 to transport a patient with STEMI to the nearest SRC for primary percutaneous coronary intervention. Patients with interfacility transfers were identified over a 4-year period (2011-2014) from a registry to which SRCs report treatment and outcomes for all patients with STEMI transported via 911. The primary outcomes were median FMC2B time and the proportion of patients achieving the 120-minute goal. FMC2B for primary 911 transports were calculated to serve as a system reference. There were 2471 patients with STEMI transferred to SRCs by 911 transport during the study period, of whom 1942 (79%) had emergent coronary angiography and 1410 (73%) received percutaneous coronary intervention. The median age was 61 years (interquartile range [IQR] 52-71) and 73% were men. The median FMC2B time was 111 minutes (IQR 88-153) with 56% of patients meeting the 120-minute goal. The median STEMI referring hospital door-in-door-out time was 53 minutes (IQR 37-89), emergency medical services transport time was 9 minutes (IQR 7-12), and SRC door-to-balloon time was 44 minutes (IQR 32-60). For primary 911 patients (N=4827), the median FMC2B time was 81 minutes (IQR 67-97). Using a Call 911 protocol in this regional cardiac care system, patients with STEMI requiring interfacility transfers had a median FMC2B time of 111 minutes, with 56% meeting the 120-minute goal.

Published
2017

5. Collaborative Care to Improve Access and Quality in School-Based Behavioral Health

Author

Lyon, Aaron R., Whitaker, Kelly, Richardson, Laura P., French, William P., and McCauley, Elizabeth

Abstract

Background: Collaborative care (CC) is a well-established approach for the delivery of accessible behavioral health services in integrated health care settings. Substantial evidence supports its effectiveness in improving the quality and outcomes of adult services, and growing research indicates utility with child and adolescent populations. Methods: To date, studies examining CC models for youth have focused exclusively on primary-care settings. Nevertheless, as the most common integrated service delivery setting for youth, the education sector is an equally important context for improving access to behavioral health services for children and adolescents. Results: We provide a narrative review of the literature on CC, describes the relevance of CC to schools, and details its alignment with contemporary movements in education and school-based behavioral health. Conclusions: Potential adaptations of the CC model for use in schools are detailed to improve: (1) behavioral health service accessibility, (2) the capacity of schools to provide behavioral health services, and (3) school service effectiveness through use of evidence-based practices. Although little research has explored the applicability of CC in the education sector, the model holds potential promise to improve the quality and efficiency of school-based behavioral health services.

Published
2019
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6. Sex Differences in Survival From Out‐of‐Hospital Cardiac Arrest in the Era of Regionalized Systems and Advanced Post‐Resuscitation Care

Author

Bosson, Nichole, Kaji, Amy H, Fang, Andrea, Thomas, Joseph L, French, William J, Shavelle, David, and Niemann, James T

Subjects
Heart Disease - Coronary Heart Disease, Heart Disease, Clinical Research, Neurosciences, Cardiovascular, Aged, Aged, 80 and over, Cardiopulmonary Resuscitation, Coronary Angiography, Databases, Factual, Emergency Medical Services, Health Status Disparities, Healthcare Disparities, Humans, Hypothermia, Induced, Los Angeles, Middle Aged, Multivariate Analysis, Odds Ratio, Out-of-Hospital Cardiac Arrest, Percutaneous Coronary Intervention, Registries, Retrospective Studies, ST Elevation Myocardial Infarction, Sex Factors, Survival Rate, heart arrest, men, mortality, resuscitation, women, Cardiorespiratory Medicine and Haematology
Abstract

The purpose of this study was to evaluate sex differences in out-of-hospital cardiac arrest (OHCA) characteristics, interventions, and outcomes. This is a retrospective analysis from a regionalized cardiac arrest system. Data on patients treated for OHCA are reported to a single registry, from which all adult patients were identified from 2011 through 2014. Characteristics, treatment, and outcomes were evaluated with stratification by sex. The adjusted odds ratio (OR) for survival with good neurological outcome (cerebral performance category 1 or 2) was calculated for women compared to men. There were 5174 out-of-hospital cardiac arrests (OHCAs; 3080 males and 2094 females). Women were older, median 71 (interquartile range [IQR], 59-82) versus 66 years (IQR, 55-78). Despite similar frequency of witnessed arrest, women were less likely to present with a shockable rhythm (22% vs 35%; risk difference [RD], 13%; 95% CI, 11-15), have ST-segment elevation myocardial infarction (23% vs 32%; RD, 13%; 95% CI, 7-11), or receive coronary angiography (11% vs 25%; RD, 14%; 95% CI, 12-16), percutaneous coronary intervention (5% vs 14%; RD, 9%; 95% CI, 7-11), or targeted temperature management (33% vs 40%; RD, 7%; 95% CI, 4-10). Women had decreased survival to discharge (33% vs 40%; RD, 7%; 95% CI, 4-10) and a lower proportion of good neurological outcome (16% vs 24%; RD, 8%; 95% CI, 6-10). In multivariable modeling, female sex was not associated with decreased survival with good neurological outcome (OR, 0.9; 95% CI, 0.8-1.1). Sex-related differences in OHCA characteristics and treatment are predictors of survival outcome disparities. With adjustment for these factors, sex was not associated with survival or neurological outcome after OHCA.

Published
2016

7. Probing the Statistical Validity of the Ductile-to-Brittle Transition in Metallic Nanowires Using GPU Computing

Author

French, William R., Pervaje, Amulya K., Santos, Andrew P., Iacovella, Christopher R., and Cummings, Peter T.

Subjects
Condensed Matter - Mesoscale and Nanoscale Physics, Condensed Matter - Materials Science
Abstract

We perform a large-scale statistical analysis (> 2000 independent simulations) of the elongation and rupture of gold nanowires, probing the validity and scope of the recently proposed ductile-to-brittle transition that occurs with increasing nanowire length [Wu et. al., Nano Lett., 12, 910-914 (2012)]. To facilitate a high-throughput simulation approach, we implement the second-moment approximation to the tight-binding (TB-SMA) potential within HOOMD-Blue, a molecular dynamics package which runs on massively parallel graphics processing units (GPUs). In a statistical sense, we find that the nanowires obey the ductile-to-brittle model quite well; however, we observe several unexpected features from the simulations that build on our understanding of the ductile-to-brittle transition. First, occasional failure behavior is observed that qualitatively differs from that predicted by the model prediction; this is attributed to stochastic thermal motion of the Au atoms and occurs at temperatures as low as 10 K. In addition, we also find that the ductile-to-brittle model, which was developed using classical dislocation theory, holds for nanowires as small as 3 nm in diameter. Finally, we demonstrate that the nanowire critical length is higher at 298 K relative to 10 K, a result that is not predicted by the ductile-to-brittle model. These results offer practical design strategies for adjusting nanowire failure and structure, and also demonstrate that GPU computing is an excellent tool for studies requiring a large number independent trajectories in order to fully characterize a system's behavior., Comment: To appear in Journal of Chemical Theory and Computation; 10 figures, 25 pages

Published
2013
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8. Atomistic Simulations of Highly Conductive Molecular Transport Junctions Under Realistic Conditions

Author

French, William R., Iacovella, Christopher R., Rungger, Ivan, Souza, Amaury Melo, Sanvito, Stefano, and Cummings, Peter T.

Subjects
Condensed Matter - Mesoscale and Nanoscale Physics, Physics - Atomic Physics, Physics - Chemical Physics, Physics - Computational Physics
Abstract

We report state-of-the-art atomistic simulations combined with high-fidelity conductance calculations to probe structure-conductance relationships in Au-benzenedithiolate(BDT)-Au junctions under elongation. Our results demonstrate that large increases in conductance are associated with the formation of monatomic chains (MACs) of Au atoms directly connected to BDT. An analysis of the electronic structure of the simulated junctions reveals that enhancement in the s-like states in Au MACs causes the increases in conductance. Other structures also result in increased conductance but are too short-lived to be detected in experiment, while MACs remain stable for long simulation times. Examinations of thermally evolved junctions with and without MACs show negligible overlap between conductance histograms, indicating that the increase in conductance is related to this unique structural change and not thermal fluctuation. These results, which provide an excellent explanation for a recently observed anomalous experimental result [Bruot et al., Nature Nanotech., 2012, 7, 35-40], should aid in the development of mechanically responsive molecular electronic devices., Comment: To appear in Nanoscale; 5 pages, 4 figures

Published
2013
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9. Structural Origins of Conductance Fluctuations in Gold-Thiolate Molecular Transport Junctions

Author

French, William R., Iacovella, Christopher R., Rungger, Ivan, Souza, Amaury Melo, Sanvito, Stefano, and Cummings, Peter T.

Subjects
Condensed Matter - Mesoscale and Nanoscale Physics, Condensed Matter - Materials Science, Physics - Computational Physics
Abstract

We report detailed atomistic simulations combined with high-fidelity conductance calculations to probe the structural origins of conductance fluctuations in thermally evolving Au-benzene-1,4-dithiolate-Au junctions. We compare the behavior of structurally ideal junctions (electrodes with flat surfaces) to structurally realistic, experimentally representative junctions resulting from break junction simulations. The enhanced mobility of metal atoms in structurally realistic junctions results in significant changes to the magnitude and origin of the conductance fluctuations. Fluctuations are larger by a factor of 2-3 in realistic junctions compared to ideal junctions. Moreover, in junctions with highly deformed electrodes, the conductance fluctuations arise primarily from changes in the Au geometry, in contrast to results for junctions with non-deformed electrodes, where the conductance fluctuations are dominated by changes in the molecule geometry. These results provide important guidance to experimentalists developing strategies to control molecular conductance for device applications, and also to theoreticians invoking simplified structural models of junctions to predict their behavior., Comment: 15 pages, 4 figures, to appear in Journal of Physical Chemistry Letters

Published
2013
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10. Large-Scale Atomistic Simulations of Environmental Effects on the Formation and Properties of Molecular Junctions

Author

French, William R., Iacovella, Christopher R., and Cummings, Peter T.

Subjects
Condensed Matter - Mesoscale and Nanoscale Physics, Condensed Matter - Materials Science
Abstract

Using an updated simulation tool, we examine molecular junctions comprised of benzene-1,4-dithiolate bonded between gold nanotips, focusing on the importance of environmental factors and inter-electrode distance on the formation and structure of bridged molecules. We investigate the complex relationship between monolayer density and tip separation, finding that the formation of multi-molecule junctions is favored at low monolayer density, while single-molecule junctions are favored at high density. We demonstrate that tip geometry and monolayer interactions, two factors that are often neglected in simulation, affect the bonding geometry and tilt angle of bridged molecules. We further show that the structures of bridged molecules at 298 and 77 K are similar., Comment: To appear in ACS Nano, 30 pages, 5 figures

Published
2012
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11. The Role of Polytetrahedral Structures in the Elongation and Rupture of Gold Nanowires

Author

Iacovella, Christopher R., French, William R., Cook, Brandon G., Kent, Paul R. C., and Cummings, Peter T.

Subjects
Condensed Matter - Materials Science, Condensed Matter - Mesoscale and Nanoscale Physics
Abstract

We report comprehensive high-accuracy molecular dynamics simulations using the ReaxFF forcefield to explore the structural changes that occur as Au nanowires are elongated, establishing trends as a function of both temperature and nanowire diameter. Our simulations and subsequent quantitative structural analysis reveal that polytetrahedral structures (e.g., icosahedra) form within the "amorphous" neck regions, most prominently for systems with small diameter at high temperature. We demonstrate that the formation of polytetrahedra diminishes the conductance quantization as compared to systems without this structural motif. We demonstrate that use of the ReaxFF forcefield, fitted to high-accuracy first principles calculations of Au, combines the accuracy of quantum calculations with the speed of semi-empirical methods., Comment: 26 pages (double spaced), 5 figures

Published
2011
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12. The Influence of Molecular Adsorption on Elongating Gold Nanowires

Author

French, William R., Iacovella, Christopher R., and Cummings, Peter T.

Subjects
Condensed Matter - Materials Science, Condensed Matter - Mesoscale and Nanoscale Physics
Abstract

Using molecular dynamics simulations, we study the impact of physisorbing adsorbates on the structural and mechanical evolution of gold nanowires (AuNWs) undergoing elongation. We used various adsorbate models in our simulations, with each model giving rise to a different surface coverage and mobility of the adsorbed phase. We find that the local structure and mobility of the adsorbed phase remains relatively uniform across all segments of an elongating AuNW, except for the thinning region of the wire where the high mobility of Au atoms disrupts the monolayer structure, giving rise to higher solvent mobility. We analyzed the AuNW trajectories by measuring the ductile elongation of the wires and detecting the presence of characteristic structural motifs that appeared during elongation. Our findings indicate that adsorbates facilitate the formation of high-energy structural motifs and lead to significantly higher ductile elongations. In particular, our simulations result in a large number of monatomic chains and helical structures possessing mechanical stability in excess of what we observe in vacuum. Conversely, we find that a molecular species that interacts weakly (i.e., does not adsorb) with AuNWs worsens the mechanical stability of monatomic chains., Comment: To appear in Journal of Physical Chemistry C

Published
2011
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13. Draft Genome Sequence of Enterobacter cloacae Strain JD6301

Author

Wilson, Jessica G, French, William T, Lipzen, Anna, Martin, Joel, Schackwitz, Wendy, Woyke, Tanja, Shapiro, Nicole, Bullard, James W, Champlin, Franklin R, and Donaldson, Janet R

Subjects
Microbiology, Biological Sciences, Genetics, Biotechnology, Human Genome
Abstract

Enterobacter cloacae strain JD6301 was isolated from a mixed culture with wastewater collected from a municipal treatment facility and oleaginous microorganisms. A draft genome sequence of this organism indicates that it has a genome size of 4,772,910 bp, an average G+C content of 53%, and 4,509 protein-coding genes.

Published
2014

14. Dose-Response Effects of Long-Acting Liquid Methylphenidate in Children with Attention Deficit/Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD): A Pilot Study

Author

Kim, Soo-Jeong, Shonka, Sophia, French, William P., Strickland, Jennifer, Miller, Lindsey, and Stein, Mark A.

Abstract

Attention deficit/hyperactivity disorder (ADHD) symptoms are common in youth with autism spectrum disorders (ASD) and are frequently treated with stimulant medications. Twenty-seven children were randomized to different dose titration schedules, and ADHD symptoms, tolerability, and aberrant behaviors were assessed weekly during a 6-week trial with long-acting liquid methylphenidate (MPH). MPH at low to moderate doses was effective in reducing ADHD symptoms and was well tolerated in young children with ASD and ADHD. Future studies are needed to assess generalization and maintenance of efficacy.

Published
2017
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17. Impact of chronic renal insufficiency on clinical outcomes in patients undergoing saphenous vein graft intervention with drug‐eluting stents: A multicenter Southern Californian Registry

Author

Lee, Michael S, Hu, Patrick P, Aragon, Joseph, Shah, Atman, Bhatia, Ravi, Jones, Nathaniel, Penny, William, French, William, Tobis, Jonathan, and Mahmud, Ehtisham

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Trials and Supportive Activities, Cardiovascular, Clinical Research, Kidney Disease, Aged, Aged, 80 and over, Angioplasty, Balloon, Coronary, Biomarkers, California, Chi-Square Distribution, Coronary Angiography, Coronary Artery Bypass, Creatinine, Disease-Free Survival, Drug-Eluting Stents, Female, Graft Occlusion, Vascular, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Myocardial Infarction, Proportional Hazards Models, Prosthesis Design, Registries, Renal Insufficiency, Chronic, Retrospective Studies, Risk Assessment, Risk Factors, Saphenous Vein, Thrombosis, Time Factors, Treatment Outcome, drug-eluting stent, renal insufficiency, saphenous vein graft, Cardiorespiratory Medicine and Haematology, Cardiovascular System & Hematology, Cardiovascular medicine and haematology
Abstract

ObjectivesTo evaluate the clinical outcomes in patients with chronic renal insufficiency (CRI) who undergo saphenous vein graft (SVG) intervention with drug-eluting stents (DES).BackgroundPatients with CRI have higher rates of major adverse cardiac events (MACE) after percutaneous revascularization. SVG intervention is associated with increased rates of MACE compared with percutaneous revascularization of native arteries. However, the impact of CRI on SVG intervention with DES has not been well delineated.MethodsConsecutive patients who underwent SVG intervention with DES at five medical centers from April 2003 to December 2007 were included in this analysis.ResultsA total of 172 patients, 39 patients with CRI and a serum creatinine > or =1.5 mg dL(-1), and 133 patients without CRI, underwent SVG intervention with DES. Patients with CRI were more often older, diabetic, and had a longer mean total stent length. At 1 year, patients with CRI had a higher MACE rate (35.9% vs. 15.8%, hazard ratio [HR] 2.48, 95% confidence interval [CI] 1.26-4.88, log rank P = 0.009), mainly driven by higher mortality (20.5% vs. 9.8%, HR 3.41, 95% CI 1.10-10.58, log rank P = 0.024). There was a trend toward higher rates of target vessel revascularization in the CRI group (21.8% vs. 10.3%, HR 2.42, 95% CI 0.94-6.24, log rank P = 0.059). Stent thrombosis rates were not different between patients with and without CRI (2.6% vs. 2.3%, P = 0.8). Multivariable analysis revealed that CRI was the only significant predictor of 1-year MACE (HR 2.2, 95% CI 1.1-4.3; P = 0.03).ConclusionsPatients with CRI who underwent SVG intervention with DES had higher risks of MACE and death compared with patients with preserved renal function. Further treatment strategies are needed in this high-risk group who undergo SVG intervention with DES.

Published
2010

18. Comparison of Sirolimus-Eluting Stents With Paclitaxel-Eluting Stents in Saphenous Vein Graft Intervention (from a Multicenter Southern California Registry)

Author

Lee, Michael S, Hu, Patrick P, Aragon, Joseph, Shah, Atman P, Oyama, Jared, Dhoot, Jashdeep, Iqbal, Zahid, Jones, Nathaniel, Penny, William, Tobis, Jonathan, Mahmud, Ehtisham, and French, William

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Assistive Technology, Heart Disease - Coronary Heart Disease, Bioengineering, Cardiovascular, Atherosclerosis, Heart Disease, Clinical Trials and Supportive Activities, Aged, California, Chi-Square Distribution, Comorbidity, Coronary Angiography, Coronary Artery Bypass, Coronary Restenosis, Drug-Eluting Stents, Female, Graft Occlusion, Vascular, Humans, Immunosuppressive Agents, Male, Paclitaxel, Proportional Hazards Models, Registries, Retrospective Studies, Saphenous Vein, Sirolimus, Survival Rate, Treatment Outcome, Cardiorespiratory Medicine and Haematology, Cardiovascular System & Hematology, Cardiovascular medicine and haematology
Abstract

This study was designed to compare the safety and efficacy of sirolimus-eluting stents (SESs) to paclitaxel-eluting stents (PESs) in percutaneous intervention of saphenous vein graft (SVG) lesions. SVGs develop atherosclerosis at high rates and often require repeat revascularization. Percutaneous intervention with drug-eluting stents has become the preferred method of revascularization due to higher restenosis with bare metal stents and increased morbidity and mortality with repeat coronary artery bypass grafting. We sought to compare the rate of major adverse cardiac events and stent thrombosis between SESs and PESs in patients undergoing SVG intervention. A multicenter analysis of 172 patients with SVG lesions treated with SESs or PESs was performed. The 30-day and 1-year clinical outcomes of 102 patients receiving SESs were compared to those of 70 patients receiving PESs. There was no significant difference in baseline demographic, angiographic, and procedural characteristics between the SES and PES treatment groups. There was no statistical difference in major adverse cardiac events at 30 days and at 1 year (hazard ratio [HR] 1.58, 95% confidence interval [CI] 0.77 to 3.23, log-rank p = 0.21). There was also no difference in survival (HR 1.28, 95% CI 0.39 to 4.25, log-rank p = 0.69) or target vessel revascularization (HR 2.54, 95% CI 0.84 to 7.72, log-rank p = 0.09). In conclusion, this multicenter analysis of real-world patients demonstrated that SESs and PESs have similar clinical outcomes when used in SVG intervention.

Published
2010

19. Collaborative Care in Schools: Enhancing Integration and Impact in Youth Mental Health

Author

Lyon, Aaron R., Whitaker, Kelly, French, William P., Richardson, Laura P., Wasse, Jessica Knaster, and McCauley, Elizabeth

Abstract

Collaborative care (CC) is an innovative approach to integrated mental health service delivery that focuses on reducing access barriers, improving service quality and lowering health care expenditures. A large body of evidence supports the effectiveness of CC models with adults and, increasingly, for youth. Although existing studies examining these models for youth have focused exclusively on primary care, the education sector is also an appropriate analogue for the accessibility that primary care offers to adults. CC aligns closely with the practical realities of the education sector and may represent a strategy to achieve some of the objectives of increasingly popular multi-tiered systems of supports frameworks. Unfortunately, no resources exist to guide the application of CC models in schools. Based on the existing evidence for CC models, the current paper (1) provides a rationale for the adaptation of CC models to improve mental health service accessibility and effectiveness in the education sector; (2) presents a preliminary CC model for use in schools; and (3) describes avenues for research surrounding school-based CC, including the currently funded "Accessible, Collaborative Care for Effective School-based Services" project.

Published
2016
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26. Clinical Update: Child and Adolescent Behavioral Health Care in Community Systems of Care

Author

Larson, Justine, primary, Kazura, Allesandra, additional, Fortuna, Lisa, additional, French, William P., additional, Hodas, Gordon R., additional, Metz, Peter, additional, McGinty, Kaye, additional, Bellonci, Christopher, additional, Lee, Terry, additional, Lohr, W. David, additional, Sharma, Pravesh, additional, Zachik, Al, additional, Varma, Chinedu, additional, Kamarauche, Asuzu, additional, Adade, Otema A., additional, Bender, Edward, additional, Brown, Kurt Anthony, additional, Concepcion, Milangel, additional, Naylor, Michael W., additional, Pandhi, Shashwat, additional, Ugorji, Onyi, additional, Abright, A. Reese, additional, Becker, Timothy, additional, Diamond, John, additional, Hayek, Munya, additional, Keable, Helene, additional, Ripperger-Suhler, Jane, additional, Vasa, Roma, additional, Bukstein, Oscar G., additional, Rockhill, Carol, additional, and Walter, Heather J., additional

Published
2022
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27. Treatment for Anxiety Disorders in the Pediatric Primary Care Setting

Author

Blossom, Jennifer B., Jungbluth, Nathaniel, Dillon-Naftolin, Erin, and French, William

Abstract

Anxiety disorders are among the most diagnosed mental health problems in children and adolescents. Without intervention, anxiety disorders in youth are chronic, debilitating, and amplify risk of negative sequelae. Youth with anxiety present to primary care frequently and often families choose to first discuss mental health concerns with their pediatricians. Both behavioral and pharmacologic interventions can be effectively implemented in primary care, and research demonstrates the effectiveness of both approaches.

Published
2023
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30. Obsessive compulsive disorder.

Author

Simmons, Shannon, French, William P., Boydston, Lauren, and Varley, Christopher K.

Subjects
*DIAGNOSIS of obsessive-compulsive disorder, *PRIMARY health care, *BEHAVIOR disorders in children, *SYMPTOMS, *OBSESSIVE-compulsive disorder, *MEDICAL needs assessment, *CHILDREN
Abstract

Obsessive-compulsive disorder (OCD) is a psychiatric condition which commonly begins in childhood or adolescence and can become chronic and lead to significant functional impairments across the lifespan. Despite the severity of symptoms and impairment, often the disorder takes years to be appropriately identified and treated. Primary care providers (PCPs) can play an important role in identifying OCD through careful history taking and screening. While many PCPs may not feel adequately trained to provide treatment, appropriate referral to specialty clinicians can lead to favorable clinical outcomes. This review provides a concise review of the typical presentation, assessment, and treatment of OCD in children and will include relevant information regarding its epidemiology, etiology, clinical features, and typical course. [ABSTRACT FROM AUTHOR]

Published
2022

31. Anxiety disorders.

Author

Simmons, Shannon, Boydston, Lauren, French, William P., and Varley, Christopher K.

Published
2022

37. Apolipoprotein B, Residual Cardiovascular Risk After Acute Coronary Syndrome, and Effects of Alirocumab

Author

Hagström, Emil, Steg, P. Gabriel, Szarek, Michael, Bhatt, Deepak L., Bittner, Vera A., Danchin, Nicolas, Diaz, Rafael, Goodman, Shaun G., Harrington, Robert A., Jukema, J. Wouter, Liberopoulos, Evangelos, Marx, Nikolaus, McGinniss, Jennifer, Manvelian, Garen, Pordy, Robert, Scemama, Michel, White, Harvey D., Zeiher, Andreas M., Schwartz, Gregory G., Schwartz, Gregory G., Bhatt, Deepak L., Bittner, Vera A., Diaz, Rafael, Goodman, Shaun G., Harrington, Robert A., Jukema, J. Wouter, Szarek, Michael, White, Harvey D., Zeiher, Andreas M., Tricoci, Pierluigi, Roe, Matthew T., Mahaffey, Kenneth W., Edelberg, Jay M., Hanotin, Corinne, Lecorps, Guillaume, Moryusef, Angèle, Pordy, Robert, Sasiela, William J., Tamby, Jean-François, Diaz, Rafael, Aylward, Philip E, Drexel, Heinz, Sinnaeve, Peter, Dilic, Mirza, Lopes, Renato D., Gotcheva, Nina N, Goodman, Shaun G., Prieto, Juan-Carlos, Yong, Huo, López-Jaramillo, Patricio, Pećin, Ivan, Reiner, Zeljko, Ostadal, Petr, Poulsen, Steen Hvitfeldt, Viigimaa, Margus, Nieminen, Markku S, Danchin, Nicolas, Chumburidze, Vakhtang, Marx, Nikolaus, Liberopoulos, Evangelos, Carlos, Pablo, Valdovinos, Montenegro, Tse, Hung-Fat, Kiss, Robert Gabor, Xavier, Denis, Zahger, Doron, Valgimigli, Marco, Kimura, Takeshi, Kim, Hyo Soo, Kim, Sang-Hyun, Erglis, Andrejs, Laucevicius, Aleksandras, Kedev, Sasko, Yusoff, Khalid, Ramos López, Gabriel Arturo, Alings, Marco, White, Harvey D., Halvorsen, Sigrun, Correa Flores, Roger M, Sy, Rody G., Budaj, Andrzej, Morais, Joao, Dorobantu, Maria, Karpov, Yuri, Ristic, Arsen D., Chua, Terrance, Murin, Jan, Fras, Zlatko, Dalby, Anthony J, Tuñón, José, de Silva, H. 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Nimali, Fernando, Kaputella, Jayawardena, Jayanthimala, Wijeyasingam, Santharaj, Ranasinghe, Gotabhaya, Ekanayaka, Ruvan, Mendis, Sepalika, Senaratne, Vajira, Mayurathan, Gnanamoorthy, Rajapaksha, Ajantha, Sirisena, Thilak, Herath, Jagath I, Amarasena, Naomali, Berglund, Stefan, Rasmanis, Gundars, Hagström, Emil, Vedin, Ola, Witt, Nils, Mourtzinis, Georgios, Nicol, Peter, Hansen, Ole, Romeo, Stefano, Jensen, Steen Agergaard, Torstensson, Ingemar, Ahremark, Ulf, Sundelin, Torbjörn, Moccetti, Tiziano, Müller, Christian, Mach, Francois, Binde, Ronald, Landmesser, Ulf, Gämperli, Oliver, Chiang, Chern-En, Tsai, Wei- Chuan, Ueng, Kwo-Chang, Lai, Wen-Ter, Liu, Ming-En, Hwang, Juey- Jen, Yin, Wei-Hsian, Hsieh, I-Chang, Hsieh, Ming-Jer, Hsiang Lin, Wei, Kuo, Jen-Yuan, Huang, Tsuei-Yuan, Fang, Chih-Yuan, Kaewsuwanna, Pinij, Soonfuang, Wasant, Jintapakorn, Woravut, Sukonthasarn, Apichard, Sritara, Piyamitr, Wongpraparut, Nattawut, Sastravaha, Krisada, Sansanayudh, Nakarin, Kehasukcharoen, Wirash, Piyayotai, Dilok, Chotnoparatpat, Paiboon, Camsari, Ahmet, Kultursay, Hakan, Guneri, Sema, Mutlu, Bulent, Ersanli, Murat, Demirtas, Mustafa, Kirma, Cevat, Ural, Ertan, Koldas, Lale, Karpenko, Oleksandr, Prokhorov, Alexander, Vakaluyk, Ihor, Myshanych, Halyna, Reshotko, Dmytro, Batushkin, Valeriy, Rudenko, Leonid, Kovalskyi, Ihor, Kushnir, Mykola, Tseluyko, Vira, Mostovoy, Yuriy, Stanislavchuk, Mykola, Kyiak, Yulian, Karpenko, Yuriy, Malynovsky, Yaroslav, Klantsa, Andriy, Kutniy, Oles, Amosova, Ekaterina, Tashchuk, Viktor, Leshchuk, Oleh, Parkhomenko, Alexander, Rishko, Mykola, Kopytsya, Mykola, Yagensky, Andriy, Vatutin, Mykola, Bagriy, Andriy, Barna, Olga M, Ushakov, Olexiy, Dzyak, Georgiy, Goloborodko, Borys, Rudenko, Anatolii, Zheleznyy, Volodymyr, Trevelyan, Jasper, Zaman, Azfar, Lee, Kaeng, Moriarty, Andrew, Aggarwal, Rajesh K, Clifford, Piers, Wong, Yuk- Ki, Iqbal, Syed MR, Subkovas, Eduardas, Braganza, Denise, Sarkar, David, Storey, Robert, Griffiths, Huw, Mcclure, Sam, Muthusamy, Rangasamy, Smith, Simon, Kurian, John, Levy, Terry, Barr, Craig, Kadr, Honer, Gerber, Robert, Simaitis, Audrius, Soran, Handrean, Brodison, Adrian, Ayaz, Mohammad, Cheema, Muhammad, Oliver, Richard, Thackray, Simon, Mudawi, Telal, Rahma, Gohar, Sultan, Ayyaz, Reynolds, Timothy, Sharman, David, Spriging, david, Butler, Rob, Wilkinson, Peter, Lip, Gregory YH, Ossei-Gerning, Nicholas, Vardi, Gil, Baldari, Duccio, Brabham, David, Treasure II, Charles, Dahl, Charles, Palmer, Bruce, Wiseman, Alan, Khan, Abul, Puri, Sanjeev, Mohart, Ann Elizabeth, Ince, Carlos, Flores, Enrique, Wright, Scott, Cheng, Shi-Chi, Rosenberg, Michael, Rogers, William, Kosinski, Edward, Forgosh, Les, Waltman, Jonathan, Shoukfeh, Mohammad, Dagher, Georges, Cambier, Patrick, Lieber, Ira, Kumar, Priya, East, Cara, Krichmar, Perry, Hasan, Mian, White, Lindsey, Knickelbine, Thomas, Haldis, Thomas, Gillespie, Eve, Amidon, Thomas, Suh, David, Arif, Imran, Abdallah, mouhamad, Akhter, Faiq, Carlson, Eric, D’Urso, Michael, El- Ahdab, Fadi, Nelson, William, Moriarty, Katie, Harris, Barry, Cohen, Steven, Carter, Luther, Doty, Daniel, Sabatino, Kenneth, Haddad, Tariq, Rao, Sunder, Mulkay, Angel, Jovin, Ion, Klancke, Kim, Malhotra, Vinay, Devarapalli, Sai K, Koren, Michael, Chandna, Harish, Dodds III, George, Goraya, Tauqir, Bengston, James, Janik, Matthew, Moran, Joseph, Sumner, Andrew, Kobayashi, John, Davis, William, Yazdani, Shahram, Pasquini, John, Thakkar, Maitreya, Vedere, Amarnath, Leimbach, Wayne, Rider, James, fenton, Sarah, Singh, Narendra, Shah, Anil V, Moriarty, Patrick M., Janosik, Denise, Pepine, Carl, Berman, Brett, Gelormini, Joseph, Daniels, Christopher, Richard, Kerensky, Keating, Friederike, Kondo, Nicholas I, Shetty, Sanjay, Levite, Howard, Waider, Winfried, Takata, Theodore, Abu-Fadel, Mazen, Shah, Vipul, Aggarwal, Rahul, Kumar, Anil, Hattler, Brack, Do, Rose, Link, Chad, Bortnick, Anna, Kinzfogl III, George, Ghitis, Arnold, Larry, John, Teufel, Edward, Kuhlman, Peter, Mclaurin, Brent, Zhang, Wenwu, Thew, Stephen, Abbas, Jalal, White, Matthew, Islam, Othman, Subherwal, Sumeet, Ranadive, Nandkishore, Vakili, Babak, Gring, Christian, Henderson, David, Schuchard, Timothy, Farhat, Naim, Kline, Geoffrey, Mahal, Sharan, Whitaker, Jack, Speirs, Shawn, Andersen, Rolf, Daboul, Nizar, Horwitz, Phillip, Zahr, Firas, Ponce, George, Jafar, Zubair, Mcgarvey, Joseph, Panchal, Vipul, Voyce, Stephen, Blok, Thomas, Sheldon, William, Azizad, Masoud M, Schmalfuss, Carsten, Picone, Mark, Pederson, Robert, Herzog, William, Friedman, Keith, Lindsey, Jason, Timothy, Eichenlaub, Leonard, Parilak, Lepor, Norman, El Shahawy, Mahfouz, Weintraub, Howard, Irimpen, Anand, Alonso, Alvaro, May, Wade, Christopher, Daniels, Galski, Thomas, Chu, Alan, Mody, Freny, Ramin, Ebrahimi, Hodes, Zachary, Rossi, Joseph, Rose, Gregory, Fairlamb, James, Lambert, Charles, Raisinghani, Ajit, Abbate, Antonio, Vetrovec, George, King, Marilyn, Carey, Charles, Gerber, Jaime, Younis, Liwa, Park, Hyeun (Tom), Vidovich, Mladen, Knutson, Thomas, Friedman, Dennis, Chaleff, Fred, Loussararian, Arthur, Rozeman, Phillip, Kimmelstiel, Carey, Kuvin, Jeffrey, Silver, Kevin, Foster, Malcolm, Tonnessen, Glen, Espinoza, Andrey, Amlani, Mohamadali, Wali, Andreas, Malozzi, Christopher, Jong, Geert T, Massey, Clara, Wattanakit, Keattiyoat, O’Donnell, Philip J., Singal, Dinesh, Jaffrani, Naseem, Banuru, Sridhar, Fisher, Daniel, Xenakis, Mark, Perlmutter, Neal, Bhagwat, Ravi, Strader, James, Blonder, Ronald, Akyea-Djamson, Ayim, Labroo, Ajay, Lee, Kwan, Marais, H. John, Claxton, Edmund, Weiss, Robert, Kathryn, Rohr, Berk, Martin, Rossi, Peter, Joshi, Parag, Khera, Amit, Khaira, Ajit S, Kumkumian, Greg, Lupovitch, Steven, Purow, Joshua, Welka, Stephen, Hoffman, David, Fischer, Stuart, Soroka, Eugene, Eagerton, Donald, Pancholy, Samir, Ray, Michael, Erenrich, Norman, Farrar, Michael, Pollock, Stewart, French, William J, Diamantis, Steve, Guy, Douglas, Gimple, Lawrence, Neustel, Mark, Schwartz, Steven, Pereira, Edward, Albert, Seals, Spriggs, Douglas, Strain, Janet, Mittal, Suneet, Vo, Anthony, Chane, Majed, Hall, Jason, Vijay, Nampalli, Lotun, Kapildeo, Lester, F. Martin, Nahhas, Ahed, Pope, Theodore, Nager, Paul, Vohra, Rakesh, Sharma, Mukesh, Bashir, Riyaz, Ahmed, Hinan, Berlowitz, Michael, Fishberg, Robert, Barrucco, Robert, Yang, Eric, Radin, Michael, Sporn, Daniel, Stapleton, Dwight, Eisenberg, Steven, Landzberg, Joel, Mcgough, Martin, Turk, Samir, Schwartz, Michael, Sundram, P. Sandy, Jain, Diwakar, Zainea, Mark, Bayron, Carlos, Karlsberg, Ronald, Dohad, Suhail, Lui, Henry, Keen, William, Westerhausen, Donald, Khurana, Sandeep, Agarwal, Himanshu, Birchem, Jessica, Penny, William, Chang, Mark, Murphy, Sherrill, Henry, John, Schifferdecker, Branislav, Gilbert, John M, Chalavarya, Gopal, Eaton, Charles, Schmedtje, John F, Christenson, Stuart, Dotani, Imran, Denham, Douglas, Macdonell, Alexander, Gibson, Paul, Rahman, Aref, Al Joundi, Tammam, Assi, Nizar, Conrad, Gary, Kotha, Purushotham, Love, Michael, Giesler, Gregory, Rubenstein, Howard, Gamil, Dawood, Akright, Laura, Krawczyk, Justine, Cobler, Joanne, Wells, Terry, Welker, James, Foster, Robert, Gilmore, Richard, Anderson, Jay, Jacoby, Douglas, Harris, Bill, Gardner, Geraldine, Dandillaya, Ramprasad, Vora, Kishor, Kostis, John, Hunter, John, Laxson, David, Ball, Eric, Anderson, Jay, Wells, Terry, Vora, Kishor, Ball, Eric, Welker, James, Lopes, Renato D., Egydio, Flavia, Kawakami, Anelise, Oliveira, Janaina, Goodman, Shaun G., Wozniak, Julianna, Matthews, Alexander, Ratky, Caroline, Valiris, Janine, Berdan, Lisa, Hepditch, Anita, Quintero, Kirby, Roe, Matthew T., Rorick, Tyrus, Westbrook, Melissa, Danchin, Nicolas, Bezault, Madeleine, Drouet, Elodie, Simon, Tabassome, White, Harvey D., Alsweiler, Caroline, Sinnaeve, Peter, Luyten, Anne, Aylward, Philip E, Butters, Julie, Griffith, Liddy, Shaw, Michelle, Hagström, Emil, Grunberg, Lena, Szarek, Michael, Islam, Shahidul, Brégeault, Marie-France, Bougon, Nathalie, Faustino, Douglas, Fontecave, Sylvie, Murphy, Judith, Tamby, Jean- Francois, Verrier, Melanie, Agnetti, Veronique, Andersen, Dorthe, Badreddine, Emmy, Bekkouche, Mhamed, Bouancheau, Cecile, Brigui, Imane, Brocklehurst, Maddy, Cianciarulo, Joseph, Devaul, Dawn, Domokos, Szilvia, Gache, Cecile, Gobillot, Caroline, Guillou, Severine, Healy, Jan, Heath, Megan, Jaiwal, Gayatri, Javierre, Carine, Labeirie, Julien, Monier, Myriam, Morales, Ulises, Mrabti, Asmaa, Mthombeni, Bicky, Okan, Betim, Smith, Lucile, Sheller, Jennifer, Sopena, Sebastien, Pellan, Valerie, Benbernou, Fadela, Bengrait, Nafissa, Lamoureux, Maud, Kralova, Katarina, Scemama, Michel, Bejuit, Raphael, Coulange, Anthony, Berthou, Christelle, Repincay, Jérôme, Lorenzato, Christelle, Etienne, Alexis, Gouet, Valerie, Lecorps, Guillaume, Loizeau, Virginie, Normand, Mickael, Ourliac, Anne, Rondel, Christelle, Adamo, Antony, Beltran, Pascale, Barraud, Pauline, Dubois-Gache, Helene, Halle, Benjamin, Metwally, Lamia, Mourgues, Maxime, Sotty, Marc, Vincendet, Marion, Cotruta, Raluca, Chengyue, Zhu, Fournie-Lloret, Dominique, Morrello, Christine, Perthuis, Aurelie, Picault, Patrick, Zobouyan, Isabelle, Colhoun, Helen M., Dempsey, Michael A., and McClanahan, Mark A.

Published
2022
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45. Systems of Care for ST-Segment–Elevation Myocardial Infarction: A Policy Statement From the American Heart Association

Author

Jacobs, Alice K., Ali, Murtuza J., Best, Patricia J., Bieniarz, Mark C., Bufalino, Vincent J., French, William J., Henry, Timothy D., Hollowell, Lori, Jauch, Edward C., Kurz, Michael C., Levy, Michael, Patel, Puja, Spier, Travis, Stone, R. Harper, Tataris, Katie L., Thomas, Randal J., and Zègre-Hemsey, Jessica K.

Abstract

The introduction of Mission: Lifeline significantly increased timely access to percutaneous coronary intervention for patients with ST-segment–elevation myocardial infarction (STEMI). In the years since, morbidity and mortality rates have declined, and research has led to significant developments that have broadened our concept of the STEMI system of care. However, significant barriers and opportunities remain. From community education to 9-1-1 activation and emergency medical services triage and from emergency department and interfacility transfer protocols to postacute care, each critical juncture presents unique challenges for the optimal care of patients with STEMI. This policy statement sets forth recommendations for how the ideal STEMI system of care should be designed and implemented to ensure that patients with STEMI receive the best evidence-based care at each stage in their illness.

Published
2021
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46. Sex Differences in Ischemic and Bleeding Outcomes in Patients With Non-ST-Segment-Elevation Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention: Insights From the TAO Trial.

Author

Dillinger, Jean-Guillaume, Ducrocq, Gregory, Elbez, Yedid, Cohen, Marc, Bode, Christoph, Pollack Jr, Charles, Petrauskiene, Birute, Henry, Patrick, Dorobantu, Maria, French, William J., Wiviott, Stephen D., Sabatine, Marc S., Mehta, Shamir R., and Steg, Philippe Gabriel

Abstract

BACKGROUND: Previous studies have observed poorer outcomes in females with myocardial infarction, but older age and lower use of percutaneous coronary intervention in females are factors that potentially explain the worse outcome. This study sought to determine if female sex is an independent factor of ischemic and bleeding outcomes in non-ST-segment-elevation acute coronary syndrome treated with a systematic invasive approach. METHODS: The TAO trial (Treatment of Acute Coronary Syndrome With Otamixaban) randomized patients with non-STsegment-elevation acute coronary syndrome treated invasively to heparin plus eptifibatide versus otamixaban. In this post hoc analysis, the primary ischemic end point (all-cause death, myocardial infarction within 180 days) and the primary safety end point (Thrombolysis in Myocardial Infarction major or minor bleeding within 30 days) were analyzed according to sex. RESULTS: Of 13 229 randomized patients, 3980 (30.1%) were females and 9249 (69.9%) were males. Females were older (64.8±11.0 versus 60.7±11.1 years), had more comorbidities, received less peri-procedural antithrombotic therapy, and underwent less frequently revascularization. Overall, females experienced a higher risk of ischemic (10.2% versus 9.1%; odds ratio [OR], 1.15 [1.01-1.30]) and bleeding events (4.2% versus 3.4%; OR, 1.23 [1.02-1.49]) than males. After multivariate analysis, the risk of ischemic outcomes (OR, 1.04 [0.90-1.19]), death (OR, 1.00 [0.75-1.23]), or bleeding (OR, 1.05 [0.85-1.28]), were similar between females and males. Only, noncoronary artery bypass graft related Thrombolysis in Myocardial Infarction major bleeding were increased in females (OR, 1.69 [1.11-2.56]). CONCLUSIONS: In patients with non-ST-segment-elevation acute coronary syndrome with systematic invasive management, ischemic outcomes, bleeding events, and mortality were higher in females. After multivariate analyses, female sex was not an independent predictor of ischemic and bleeding events although noncoronary artery bypass graft related Thrombolysis in Myocardial Infarction major bleeding was higher in females. [ABSTRACT FROM AUTHOR]

Published
2021
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47. Outcomes in non-ST-segment elevation myocardial infarction patients according to heart failure at admission: Insights from a large trial with systematic early invasive strategy

Author

Popovic, Batric, Sorbets, Emmanuel, Abtan, Jeremie, Cohen, Marc, Pollack, Charles V, Bode, Christoph, Wiviott, Stephen D, Sabatine, Marc S, Mehta, Shamir R, Ruzyllo, Witold, Rao, Sunil V, French, William J, Kerkar, Prafulla, Kiss, Robert G, Estrada, Jose Luis N, Elbez, Yedid, Ducrocq, Gregory, and Steg, Philippe Gabriel

Published
2021
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48. Ertugliflozin and Slope of Chronic eGFR

Author

Cherney, David Z.I., Cosentino, Francesco, Dagogo-Jack, Samuel, McGuire, Darren K., Pratley, Richard, Frederich, Robert, Maldonado, Mario, Liu, Chih-Chin, Liu, Jie, Pong, Annpey, Cannon, Christopher P., Pozzi, Jose Maria, Maffei, Laura, Nardone, Lucrecia, Sessa, Horacio, Brasca, Daniela Garcia, Aizenberg, Diego, Baccaro, Claudia Emilce, Gelersztein, Elizabeth Silvana, Rosario, Fabian Calella Pedro, Leon de la Fuente, Ricardo, de Lapertosa, Silvia Gorban, Maldonado, Natacha, Cruciani, Adrian, Bartolacci, Ines, Hasbani, Eduardo, Frechtel, Gustavo, Papini, Nelson Rodriguez, Pereyra, Alejandro, Montana, Oscar, Zaidman, Cesar, Mansilla, Maria, Ayres, Bronte, Simpson, Richard, Glastras, Sarah, William, Maged, Davis, Timothy, Colquhoun, David, Proietto, Joseph, Roberts, Adam, Roberts, Anthony, Stuckey, Bronwyn, Wittert, Gary, Soldatos, Georgia, Vora, Parind, Kusljugic, Zumreta, Avdagic, Azra, Durak-Nalbantic, Azra, Ibrahimpasic, Kanita, Horozic, Bosanko, Spuzic, Muhamed, Soldat-Stankovic, Valentina, Stevanovic, Dragan, Koco, Damir, Jatic, Zaim, Terzic, Ibrahim, Potkonjak, Ljiljana Markovic, Prnjavorac, Besim, Radanovic, Aleksandar, Salihbasic, Muhamed, Dimitrov, Dimitar, Stoikov, Anastas, Damyanova, Velichka, Vasileva, Darina, Kirilov, Kiril, Lefterov, Ivailo, Lyubenova, Lyudmila, Raev, Dimitar, Tsanova, Veska, Mitkov, Mitko, Shumkova, Rositsa, Kichukov, Kostadin, Simeonova-Nikolova, Tatyana, Ekoe, Jean-Marie, Pandey, Shekhar A., Dumas, Richard, Woo, Vincent, Saunders, Kevin, Conway, James, Breger, Laurie, Constance, Christian, O'Mahony, Michael, Perron, Patrice, Garceau, Claude, Csanadi, Michael, Bourgeois, Ronald, Salter, Timothy, Frechette, Andre, Diaz, Ariel, Ransom, Thomas, Sanchez-Vallejo, Gregorio, Silva, Sandra Isabel Barrera, Mendoza, Jose Accini, Ortiz, Luis Garcia, Lozno, Hernan Yupanqui, de Salazar, Dora Molina, Arroyo, Julian Coronel, Orozco Linares, Luis Alejandro, Lenis Rendon, Claudia Patricia, Darko, Pocanic, Tusek, Srecko, Weiss, Sonja Slosic, Silvija, Canecki-Varzic, Velimir, Altabas, Sidbela, Zukanovic, Cikac, Tatjana, Vucak, Jasna, Cenan, Ljiljana, Boljkovac, Zrinka, Margetic, Srecko, Kranjcevic, Ksenija, Cop, Renata, Adamkova, Vera, Pavlina, Kyselova, Wasserburger, Bedrich, Hrdina, Tomas, Smolenakova, Katerina, Ketevan, Chagunava, Pagava, Zurab, Mamatsashvili, Merab, Burnadze, Koba, Chumburidze, Vakhtang, Lominadze, Zaza, Nikoleishvili, Lali, Kobulia, Bondo, Koberidze, Nana, Emukhvari, Nodar, Kipiani, Zviad, Metreveli, David, Glonti, Salome, Giorgadze, Elene, Shaburishvili, Tamaz, Chapidze, Gulnara, Gulua, Julieta, Gogorishvili, Irakli, Berukashvili, Ekaterine, Petriashvili, Shalva, Kurashvili, Givi, Elisaf, Moses, Bousboulas, Stavros, Tentolouris, Nikolaos, Tsioufis, Konstantinos, Lymperi, Sotiria, Luk, Andrea, Yiu, Kelvin Kai Hang, Tsang, Chiu Chi, Yeung, Vincent Tok Fai, Lee, Alex Pui-Wai, Tan, Kathryn Choon Beng, Wan Ma, Ronald Ching, Wudi, Krisztina Beatrix, Bujtor, Zoltan, Feher, Zsuzsanna, Koranyi, Laszlo, Paragh, Gyorgy, Vasas, Szilard, Pauker, Zsolt, Kesmarki, Nora, Takacs, Janos, Nagy, Laszlo, Salamon, Csaba, Papp, Zsuzsanna, Hajdu, Csaba, Abramov, Galina, Hussein, Osamah, Vishlitzky, Victor, Dicker, Dror, Darawsha, Mahmud, Itzhak, Baruch, Gavish, Dov, Wainstein, Julio, Lewis, Basil, Klainman, Eliezer, Katz, Amos, Elias, Mazen, Ness-Abramof, Rosane, Hayek, Tony, Orsi, Emanuela, Lembo, Giuseppe, Piatti, Piermarco, Consoli, Agostino, Berti, Sergio, Pugliese, Giuseppe, Derosa, Giuseppe, Paolisso, Giuseppe, Limone, Paolo Piero, Jang, Hak Chul, Lee, Moon-Kyu, Kim, Nam Hoon, Cha, Bong-Soo, Park, Kyong Soo, Yoon, Kun Ho, Ahn, Chul Woo, Lee, Kwan Woo, Baik, Sei Hyun, Pirags, Valdis, Pastare, Sigita, Kavaliauskiene, Jurate, Augusteniene, Audrone, Navickas, Antanas, Urbanavicius, Vaidotas, Kavaliauskiene, Roma, Sirutaviciene, Ausra, Llamas Esperon, Guillermo Antonio, Mesa, Juan Villagordoa, Garcia Hernandez, Pedro Alberto, Ceballos, Rosa Luna, Salinas, Carlos Aguilar, Galvez, Guillermo Gonzalez, Melendez-Mier, 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Published
2021
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49. Advances in the diagnostic options for prostate cancer.

Author

French, William W. and Wallen, Eric M.

Subjects
PROSTATE cancer, PROSTATE-specific antigen, OVERTREATMENT of cancer, EARLY detection of cancer, CANCER diagnosis
Abstract

Over the past decade, despite the controversies surrounding prostate cancer screening, significant refinements have improved its application. PSA screening, although it has been questioned, appears to confer a mortality benefit and remains the most effective way to identify the possible presence of prostate cancer. Methods to improve the specificity of PSA screening and limit overdiagnosis of indolent cancers, including risk-stratified screening regimens, are currently being utilized. Certain imaging modalities, such as multiparametric MRI, have proven to be excellent adjuncts providing improved risk stratification and the ability for targeted biopsies; however, concerns over variability in interpretation and generalizability persist. A number of novel biomarkers have become available with nearly all demonstrating the ability to improve upon the specificity of PSA screening; however, optimal timing, direct comparisons, and usefulness in conjunction with imaging modalities remain to be elucidated. With the improvement in testing options and recognition of the risk/benefit ratio for men undergoing screening for prostate cancer, the increasing role of shared decision making in the process is emphasized. [ABSTRACT FROM AUTHOR]

Published
2020
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