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  1. Article ; Online: Perioperative and Anesthetic Considerations in Tetralogy of Fallot With Pulmonary Atresia.

    Quinlan, Casey A / Latham, Gregory J / Joffe, Denise / Ross, Faith J

    Seminars in cardiothoracic and vascular anesthesia

    2021  Volume 25, Issue 3, Page(s) 218–228

    Abstract: Tetralogy of Fallot with pulmonary atresia (ToF-PA) is a rare diagnosis that includes an extraordinarily heterogeneous group of complex anatomical findings with significant implications for physiology and prognosis. In addition to the classic findings of ...

    Abstract Tetralogy of Fallot with pulmonary atresia (ToF-PA) is a rare diagnosis that includes an extraordinarily heterogeneous group of complex anatomical findings with significant implications for physiology and prognosis. In addition to the classic findings of ToF, this particular diagnosis is characterized by complete failure of forward flow from the right ventricle to the pulmonary arterial system. As such, pulmonary blood flow is entirely dependent on shunting from the systemic circulation, most frequently via a patent ductus arteriosus, major aortopulmonary collaterals, or a combination of the two. The pathophysiology of ToF-PA is largely attributable to the abnormalities of the pulmonary vasculature. Ultimately, these patients require operative intervention to create a reliable, controlled source of pulmonary blood flow and ideally complete intracardiac repair. Even after operative correction, these patients remain at risk for pulmonary arterial stenoses and pulmonary hypertension. Although there have been significant advances in surgical and interventional management of ToF-PA leading to dramatic improvements in survival and long-term functional status, there is ongoing debate about the optimal management strategy given the risk of development of irreversible abnormalities of the pulmonary vasculature and the morbidity and mortality associated with sometimes multiple, complex operative interventions often occurring early in infancy. This review will discuss the findings in patients with ToF-PA with a focus on the perioperative and anesthetic management and will highlight challenges faced by the anesthesiologist in caring for these patients.
    MeSH term(s) Anesthetics ; Collateral Circulation ; Heart Septal Defects ; Humans ; Infant ; Pulmonary Atresia/surgery ; Retrospective Studies ; Tetralogy of Fallot/surgery
    Chemical Substances Anesthetics
    Language English
    Publishing date 2021-08-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2012371-1
    ISSN 1940-5596 ; 1089-2532
    ISSN (online) 1940-5596
    ISSN 1089-2532
    DOI 10.1177/10892532211027395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Clotting Dysfunction in Sepsis: A Role for ROS and Potential for Therapeutic Intervention.

    Lopes-Pires, Maria Elisa / Frade-Guanaes, Jéssica Oliveira / Quinlan, Gregory J

    Antioxidants (Basel, Switzerland)

    2021  Volume 11, Issue 1

    Abstract: Sepsis is regarded as one of the main causes of death among the critically ill. Pathogen infection results in a host-mediated pro-inflammatory response to fight infection; as part of this response, significant endogenous reactive oxygen (ROS) and ... ...

    Abstract Sepsis is regarded as one of the main causes of death among the critically ill. Pathogen infection results in a host-mediated pro-inflammatory response to fight infection; as part of this response, significant endogenous reactive oxygen (ROS) and nitrogen species (RNS) production occurs, instigated by a variety of sources, including activated inflammatory cells, such as neutrophils, platelets, and cells from the vascular endothelium. Inflammation can become an inappropriate self-sustaining and expansive process, resulting in sepsis. Patients with sepsis often exhibit loss of aspects of normal vascular homeostatic control, resulting in abnormal coagulation events and the development of disseminated intravascular coagulation. Diagnosis and treatment of sepsis remain a significant challenge for healthcare providers globally. Targeting the drivers of excessive oxidative/nitrosative stress using antioxidant treatments might be a therapeutic option. This review focuses on the association between excessive oxidative/nitrosative stress, a common feature in sepsis, and loss of homeostatic control at the level of the vasculature. The literature relating to potential antioxidants is also described.
    Language English
    Publishing date 2021-12-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2704216-9
    ISSN 2076-3921
    ISSN 2076-3921
    DOI 10.3390/antiox11010088
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Intrinsic motoneuron properties in typical human development.

    Mohammadalinejad, Ghazaleh / Afsharipour, Babak / Yacyshyn, Alex / Duchcherer, Jennifer / Bashuk, Jack / Bennett, Erin / Pearcey, Gregory E P / Negro, Francesco / Quinlan, Katharina A / Bennett, David J / Gorassini, Monica A

    The Journal of physiology

    2024  

    Abstract: Motoneuron properties and their firing patterns undergo significant changes throughout development and in response to neuromodulators such as serotonin. Here, we examined the age-related development of self-sustained firing and general excitability of ... ...

    Abstract Motoneuron properties and their firing patterns undergo significant changes throughout development and in response to neuromodulators such as serotonin. Here, we examined the age-related development of self-sustained firing and general excitability of tibialis anterior motoneurons in a young development (7-17 years), young adult (18-28 years) and adult (32-53 years) group, as well as in a separate group of participants taking selective serotonin reuptake inhibitors (SSRIs, aged 11-28 years). Self-sustained firing, as measured by ΔF, was larger in the young development (∼5.8 Hz, n = 20) compared to the young adult (∼4.9 Hz, n = 13) and adult (∼4.8 Hz, n = 8) groups, consistent with a developmental decrease in self-sustained firing mediated by persistent inward currents (PIC). ΔF was also larger in participants taking SSRIs (∼6.5 Hz, n = 9) compared to their age-matched controls (∼5.3 Hz, n = 26), consistent with increased levels of spinal serotonin facilitating the motoneuron PIC. Participants in the young development and SSRI groups also had higher firing rates and a steeper acceleration in initial firing rates (secondary ranges), consistent with the PIC producing a steeper acceleration in membrane depolarization at the onset of motoneuron firing. In summary, both the young development and SSRI groups exhibited increased intrinsic motoneuron excitability compared to the adults, which, in the young development group, was also associated with a larger unsteadiness in the dorsiflexion torque profiles. We propose several intrinsic and extrinsic factors that affect both motoneuron PICs and cell discharge which vary during development, with a time course similar to the changes in motoneuron firing behaviour observed in the present study. KEY POINTS: Neurons in the spinal cord that activate muscles in the limbs (motoneurons) undergo increases in excitability shortly after birth to help animals stand and walk. We examined whether the excitability of human ankle flexor motoneurons also continues to change from child to adulthood by recording the activity of the muscle fibres they innervate. Motoneurons in children and adolescents aged 7-17 years (young development group) had higher signatures of excitability that included faster firing rates and more self-sustained activity compared to adults aged ≥18 years. Participants aged 11-28 years of age taking serotonin reuptake inhibitors had the highest measures of motoneuron excitability compared to their age-matched controls. The young development group also had more unstable contractions, which might partly be related to the high excitability of the motoneurons.
    Language English
    Publishing date 2024-03-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 3115-x
    ISSN 1469-7793 ; 0022-3751
    ISSN (online) 1469-7793
    ISSN 0022-3751
    DOI 10.1113/JP285756
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Phagomimetic action of antibiotics: Revisited. How do antibiotics know where to go?

    Gutteridge, John M C / Quinlan, Gregory J / Kovacic, Peter

    Biochemical and biophysical research communications

    2019  Volume 521, Issue 3, Page(s) 721–724

    Abstract: Phagocytic cells know exactly where an infection is by following chemotactic signals. The phagocytosis of bacteria results in a 'respiratory burst' in which superoxide radicals are released. We have previously compared the release of reactive oxygen ... ...

    Abstract Phagocytic cells know exactly where an infection is by following chemotactic signals. The phagocytosis of bacteria results in a 'respiratory burst' in which superoxide radicals are released. We have previously compared the release of reactive oxygen species (ROS) by antibiotics, during electron transfer reactions, to this event. Antibiotics in their normal bacterial environment, and ROS, are both increasingly implicated in purposeful signalling functions, rather than their more widely known roles in bacterial killing and molecular damage. Here, we extend our comparison between antibiotics and phagocytic cells to propose that antibiotics actively accumulate at a site of pathogen infection or tumour growth. A common link being virulent cellular growth. When this occurs, new proteins are secreted, aberrant iron acquisition takes place, and lipocalins are released. Each provide a mechanism by which antibiotics can bind, and be retained, at an active site of pathogen infection or tumour growth.
    MeSH term(s) Animals ; Anti-Bacterial Agents/pharmacokinetics ; Anti-Bacterial Agents/pharmacology ; Antibiotics, Antineoplastic/pharmacokinetics ; Antibiotics, Antineoplastic/pharmacology ; Bacteria/drug effects ; Bacteria/metabolism ; Bacterial Infections/drug therapy ; Bacterial Infections/metabolism ; Humans ; Iron/metabolism ; Neoplasms/drug therapy ; Neoplasms/metabolism ; Phagocytes/drug effects ; Phagocytes/metabolism ; Phagocytosis/drug effects ; Reactive Oxygen Species/metabolism
    Chemical Substances Anti-Bacterial Agents ; Antibiotics, Antineoplastic ; Reactive Oxygen Species ; Iron (E1UOL152H7)
    Language English
    Publishing date 2019-11-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 205723-2
    ISSN 1090-2104 ; 0006-291X ; 0006-291X
    ISSN (online) 1090-2104 ; 0006-291X
    ISSN 0006-291X
    DOI 10.1016/j.bbrc.2019.10.152
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The Use of Social Media by Plastic Surgery Journals.

    Quinlan, Christine S / Collins, Anne M / Nason, Gregory J / Dempsey, M

    Plastic and reconstructive surgery. Global open

    2016  Volume 4, Issue 1, Page(s) e605

    Language English
    Publishing date 2016-02-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000000587
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Clotting Dysfunction in Sepsis: A Role for ROS and Potential for Therapeutic Intervention

    Lopes-Pires, Maria Elisa / Frade-Guanaes, Jéssica Oliveira / Quinlan, Gregory J.

    Antioxidants. 2021 Dec. 30, v. 11, no. 1

    2021  

    Abstract: Sepsis is regarded as one of the main causes of death among the critically ill. Pathogen infection results in a host-mediated pro-inflammatory response to fight infection; as part of this response, significant endogenous reactive oxygen (ROS) and ... ...

    Abstract Sepsis is regarded as one of the main causes of death among the critically ill. Pathogen infection results in a host-mediated pro-inflammatory response to fight infection; as part of this response, significant endogenous reactive oxygen (ROS) and nitrogen species (RNS) production occurs, instigated by a variety of sources, including activated inflammatory cells, such as neutrophils, platelets, and cells from the vascular endothelium. Inflammation can become an inappropriate self-sustaining and expansive process, resulting in sepsis. Patients with sepsis often exhibit loss of aspects of normal vascular homeostatic control, resulting in abnormal coagulation events and the development of disseminated intravascular coagulation. Diagnosis and treatment of sepsis remain a significant challenge for healthcare providers globally. Targeting the drivers of excessive oxidative/nitrosative stress using antioxidant treatments might be a therapeutic option. This review focuses on the association between excessive oxidative/nitrosative stress, a common feature in sepsis, and loss of homeostatic control at the level of the vasculature. The literature relating to potential antioxidants is also described.
    Keywords antioxidants ; coagulation ; death ; disseminated intravascular coagulation ; endothelium ; health services ; inflammation ; neutrophils ; nitrogen ; oxygen ; pathogens ; therapeutics
    Language English
    Dates of publication 2021-1230
    Publishing place Multidisciplinary Digital Publishing Institute
    Document type Article
    ZDB-ID 2704216-9
    ISSN 2076-3921
    ISSN 2076-3921
    DOI 10.3390/antiox11010088
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: The use of social media by plastic surgery journals.

    Quinlan, Christine S / Collins, Anne M / Nason, Gregory J / Dempsey, Marlese

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2016  Volume 69, Issue 7, Page(s) 1009–1011

    MeSH term(s) Humans ; Periodicals as Topic ; Social Media/statistics & numerical data ; Surgery, Plastic/methods ; Surgery, Plastic/organization & administration
    Language English
    Publishing date 2016-07
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2016.04.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Phagomimetic action of antibiotics: Revisited. How do antibiotics know where to go?

    Gutteridge, John M.C / Quinlan, Gregory J / Kovacic, Peter

    Biochemical and biophysical research communications. 2020 Jan. 15, v. 521, no. 3

    2020  

    Abstract: Phagocytic cells know exactly where an infection is by following chemotactic signals. The phagocytosis of bacteria results in a ‘respiratory burst’ in which superoxide radicals are released. We have previously compared the release of reactive oxygen ... ...

    Abstract Phagocytic cells know exactly where an infection is by following chemotactic signals. The phagocytosis of bacteria results in a ‘respiratory burst’ in which superoxide radicals are released. We have previously compared the release of reactive oxygen species (ROS) by antibiotics, during electron transfer reactions, to this event. Antibiotics in their normal bacterial environment, and ROS, are both increasingly implicated in purposeful signalling functions, rather than their more widely known roles in bacterial killing and molecular damage. Here, we extend our comparison between antibiotics and phagocytic cells to propose that antibiotics actively accumulate at a site of pathogen infection or tumour growth. A common link being virulent cellular growth. When this occurs, new proteins are secreted, aberrant iron acquisition takes place, and lipocalins are released. Each provide a mechanism by which antibiotics can bind, and be retained, at an active site of pathogen infection or tumour growth.
    Keywords active sites ; cell growth ; chemotaxis ; electron transfer ; neoplasms ; pathogens ; phagocytosis ; research ; virulence
    Language English
    Dates of publication 2020-0115
    Size p. 721-724.
    Publishing place Elsevier Inc.
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 205723-2
    ISSN 0006-291X ; 0006-291X
    ISSN (online) 0006-291X
    ISSN 0006-291X
    DOI 10.1016/j.bbrc.2019.10.152
    Database NAL-Catalogue (AGRICOLA)

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  9. Article: Pulmonary Arterial Hypertension: Iron Matters.

    Ramakrishnan, Latha / Pedersen, Sofia L / Toe, Quezia K / Quinlan, Gregory J / Wort, Stephen J

    Frontiers in physiology

    2018  Volume 9, Page(s) 641

    Abstract: The interplay between iron and oxygen is longstanding and central to all aerobic life. Tight regulation of these interactions including homeostatic regulation of iron utilization ensures safe usage of this limited resource. However, when control is lost ... ...

    Abstract The interplay between iron and oxygen is longstanding and central to all aerobic life. Tight regulation of these interactions including homeostatic regulation of iron utilization ensures safe usage of this limited resource. However, when control is lost adverse events can ensue, which are known to contribute to an array of disease processes. Recently, associations between disrupted iron homeostasis and pulmonary artery hypertension (PAH) have been described with the suggestion that there is a contributory link with disease. This review provides a background for iron regulation in humans, describes PAH classifications, and discusses emerging literature, which suggests a role for disrupted iron homeostatic control in various sub-types of PAH, including a role for decompartmentalization of hemoglobin. Finally, the potential for therapeutic options to restore iron homeostatic balance in PAH are discussed.
    Language English
    Publishing date 2018-05-31
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2564217-0
    ISSN 1664-042X
    ISSN 1664-042X
    DOI 10.3389/fphys.2018.00641
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Using FDA-approved drugs as off-label fluorescent dyes for optical biopsies: from in silico design to

    Larson, Michael C / Gmitro, Arthur F / Utzinger, Urs / Rouse, Andrew R / Woodhead, Gregory J / Carlson, Quinlan / Hennemeyer, Charles T / Barton, Jennifer K

    Methods and applications in fluorescence

    2021  Volume 9, Issue 3

    Abstract: Optical biopsies bring the microscope to the patient rather than the tissue to the microscope, and may complement or replace the tissue-harvesting component of the traditional biopsy process with its associated risks. In general, optical biopsies are ... ...

    Abstract Optical biopsies bring the microscope to the patient rather than the tissue to the microscope, and may complement or replace the tissue-harvesting component of the traditional biopsy process with its associated risks. In general, optical biopsies are limited by the lack of endogenous tissue contrast and the small number of clinically approved
    MeSH term(s) Animals ; Biopsy/methods ; Cattle ; Computer Simulation ; Fluorescent Dyes/chemistry ; Humans ; Lung/diagnostic imaging ; Off-Label Use ; Optical Imaging/methods ; Pharmaceutical Preparations/chemistry ; Proof of Concept Study ; Sheep
    Chemical Substances Fluorescent Dyes ; Pharmaceutical Preparations
    Language English
    Publishing date 2021-06-04
    Publishing country England
    Document type Journal Article
    ISSN 2050-6120
    ISSN (online) 2050-6120
    DOI 10.1088/2050-6120/ac0619
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