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  1. Article: Influence of fumed silicon dioxide on the stabilization of Eudragit RS/RL 30 D film-coated theophylline pellets.

    Kucera, Shawn A / Stimpel, Doreen / Shah, Navnit H / Malick, A Waseem / Infeld, Martin H / McGinity, James W

    Pharmaceutical development and technology

    2008  Volume 13, Issue 3, Page(s) 245–253

    Abstract: ... silicon dioxide on the drug release rate and physical aging of theophylline pellets coated with Eudragit RS 30 D ... and RL 30 D. Free films were assessed for both physicomechanical properties and water vapor ... containing Eudragit RS 30 D, 15% triethyl citrate (TEC), and 30% Aeroperl 300 was attributed ...

    Abstract The objective of this study was to investigate the influence of various grades of fumed silicon dioxide on the drug release rate and physical aging of theophylline pellets coated with Eudragit RS 30 D and RL 30 D. Free films were assessed for both physicomechanical properties and water vapor permeability with respect to time and storage conditions. The release rate of theophylline was influenced by the physical properties of the silicon dioxide employed. As the particle size of the silica dioxide decreased, there was an increase in dispersion viscosity, as well as a decrease in the theophylline release rate from the coated pellets. Films prepared from formulas containing Aeroperl 300 had twice the water vapor transmission rate of films prepared from formulas containing Aerosil 200 VV and Cab-O-Sil M-5P and showed consistent moisture permeability values during storage for up to 1 month at 25 degrees C/0% relative humidity (RH). Scanning electron microscopy (SEM) imaging of pellets coated with a formulation containing Aerosil 200 VV or Cab-O-Sil M-5P demonstrated film structures that were homogenous, while those coated with a formulation containing Aeroperl 300 produced heterogeneous films with large particles of the excipient present within the polymeric matrix of the film. Stability in the drug release rate exhibited by pellets coated with a formulation containing Eudragit RS 30 D, 15% triethyl citrate (TEC), and 30% Aeroperl 300 was attributed to the stabilization of the moisture vapor transmission rate of the acrylic films. Increasing the concentration of Aeroperl 300 in the coating formulation increased the theophylline release rate from coated pellets.
    MeSH term(s) Acrylates ; Chemical Phenomena ; Chemistry, Physical ; Drug Stability ; Excipients ; Latex ; Microscopy, Electron, Scanning ; Particle Size ; Permeability ; Polymethacrylic Acids/chemistry ; Powders ; Silicon Dioxide/chemistry ; Tablets, Enteric-Coated ; Tensile Strength ; Theophylline/administration & dosage ; Theophylline/chemistry ; Viscosity ; Water/chemistry
    Chemical Substances Acrylates ; Excipients ; Latex ; Polymethacrylic Acids ; Powders ; Tablets, Enteric-Coated ; Water (059QF0KO0R) ; methylmethacrylate-methacrylic acid copolymer (25086-15-1) ; Silicon Dioxide (7631-86-9) ; Theophylline (C137DTR5RG)
    Language English
    Publishing date 2008-05-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 1331774-x
    ISSN 1097-9867 ; 1083-7450
    ISSN (online) 1097-9867
    ISSN 1083-7450
    DOI 10.1080/10837450801949665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Lower heart rates and beta-blockers are associated with new-onset atrial fibrillation.

    Habel, Nicole / du Fay de Lavallaz, Jeanne / Infeld, Margaret / Koehler, Jodi L / Ziegler, Paul D / Lustgarten, Daniel L / Meyer, Markus

    International journal of cardiology. Cardiovascular risk and prevention

    2023  Volume 17, Page(s) 200182

    Abstract: Background: Lower heart rates (HRs) prolong diastole, which increases filling pressures and wall stress. As a result, lower HRs may be associated with higher brain natriuretic peptide (BNP) levels and incident atrial fibrillation (AF). Beta-blockers may ...

    Abstract Background: Lower heart rates (HRs) prolong diastole, which increases filling pressures and wall stress. As a result, lower HRs may be associated with higher brain natriuretic peptide (BNP) levels and incident atrial fibrillation (AF). Beta-blockers may increase the risk for AF due to suppression of resting HRs.
    Objective: Examine the relationships of HR, BNP, beta-blockers and new-onset AF in the REVEAL-AF and SPRINT cohort of subjects at risk for developing AF.
    Methods: In REVEAL-AF, 383 subjects without a history of AF and a mean CHA
    Results: The median daytime HR in the REVEAL-AF cohort was 75bpm [IQR 68-83]. Subjects with below-median HRs had 2.4-fold higher BNP levels compared to subjects with above-median HRs (median BNP [IQR]: 62 pg/dl [37-112] vs. 26 pg/dl [13-53], p < 0.001). HRs <75bpm were associated with a higher incidence of AF: 37% vs. 27%, p < 0.05. This was validated in the SPRINT cohort after adjusting for AF risk factors. Both a HR < 75bpm and beta-blocker use were associated with a higher rate of AF: 1.9 vs 0.7% (p < 0.001) and 2.5% vs. 0.6% (p < 0.001), respectively. The hazard ratio for patients on beta-blockers to develop AF was 3.72 [CI 2.32, 5.96], p < 0.001.
    Conclusions: Lower HRs are associated with higher BNP levels and incident AF, mimicking the hemodynamic effects of diastolic dysfunction. Suppression of resting HR by beta-blockers could explain their association with incident AF.
    Language English
    Publishing date 2023-02-25
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2772-4875
    ISSN (online) 2772-4875
    DOI 10.1016/j.ijcrp.2023.200182
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Congenital left ventricular wall defects presenting with ventricular arrhythmias: A case series.

    Infeld, Margaret / Nicoli, Charles D / Khadanga, Sherrie / VanBuren, Peter / Correa de Sa, Daniel D

    HeartRhythm case reports

    2020  Volume 6, Issue 10, Page(s) 715–719

    Language English
    Publishing date 2020-07-03
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2834871-0
    ISSN 2214-0271
    ISSN 2214-0271
    DOI 10.1016/j.hrcr.2020.06.026
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  4. Article ; Online: Platelet reactivity in response to aspirin and ticagrelor in African-Americans and European-Americans.

    Infeld, Margaret / Friede, Kevin A / San, Tan Ru / Knickerbocker, Holly J / Ginsburg, Geoffrey S / Ortel, Thomas L / Voora, Deepak

    Journal of thrombosis and thrombolysis

    2020  Volume 51, Issue 2, Page(s) 249–259

    Abstract: Platelet gene polymorphisms are associated with variable on-treatment platelet reactivity and vary by race. Whether differences in platelet reactivity and aspirin or ticagrelor exist between African-American and European-Americans remains poorly ... ...

    Abstract Platelet gene polymorphisms are associated with variable on-treatment platelet reactivity and vary by race. Whether differences in platelet reactivity and aspirin or ticagrelor exist between African-American and European-Americans remains poorly understood. Biological samples from three prior prospective antiplatelet challenge studies at the Duke Clinical Research Unit were used to compare platelet reactivity between African-American and European-American subjects. Platelet reactivity at baseline, on-aspirin, on-ticagrelor, and the treatment effect of aspirin or ticagrelor were compared between groups using an adjusted mixed effects model. Compared with European-Americans (n = 282; 50% female; mean ± standard deviation age, 50 ± 16), African-Americans (n = 209; 67% female; age 48 ± 12) had lower baseline platelet reactivity with platelet function analyzer-100 (PFA-100) (p < 0.01) and with light transmission aggregometry (LTA) in response to arachidonic acid (AA), adenosine diphosphate (ADP), and epinephrine agonists (p < 0.05). African-Americans had lower platelet reactivity on aspirin in response to ADP, epinephrine, and collagen (p < 0.05) and on ticagrelor in response to AA, ADP, and collagen (p < 0.05). The treatment effect of aspirin was greater in European-Americans with an AA agonist (p = 0.002). Between-race differences with in vitro aspirin mirrored those seen in vivo. The treatment effect of ticagrelor was greater in European-Americans in response to ADP (p < 0.05) but with collagen, the treatment effect was greater for African-Americans (p < 0.05). Platelet reactivity was overall lower in African-Americans off-treatment, on aspirin, and on ticagrelor. European-Americans experienced greater platelet suppression on aspirin and on ticagrelor. The aspirin response difference in vivo and in vitro suggests a mechanism intrinsic to the platelet. Whether the absolute level of platelet reactivity or the degree of platelet suppression after treatment is more important for clinical outcomes is uncertain.
    MeSH term(s) Adult ; Black or African American ; Aged ; Aspirin/pharmacology ; Blood Platelets/drug effects ; Dose-Response Relationship, Drug ; Female ; Humans ; Male ; Middle Aged ; Platelet Aggregation/drug effects ; Platelet Aggregation Inhibitors/pharmacology ; Platelet Function Tests ; Ticagrelor/pharmacology ; White People
    Chemical Substances Platelet Aggregation Inhibitors ; Ticagrelor (GLH0314RVC) ; Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2020-11-06
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article
    ZDB-ID 1230645-9
    ISSN 1573-742X ; 0929-5305
    ISSN (online) 1573-742X
    ISSN 0929-5305
    DOI 10.1007/s11239-020-02327-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Clinical impact of Bachmann's bundle pacing defined by electrocardiographic criteria on atrial arrhythmia outcomes.

    Infeld, Margaret / Nicoli, Charles D / Meagher, Sean / Tompkins, Bradley J / Wayne, Shawn / Irvine, Benjamin / Betageri, Omkar / Habel, Nicole / Till, Sean / Lobel, Jennings / Meyer, Markus / Lustgarten, Daniel L

    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

    2022  Volume 24, Issue 9, Page(s) 1460–1468

    Abstract: Aims: Evaluate whether Bachmann's bundle pacing (BBp) defined by electrocardiographic (ECG) criteria is associated with less atrial fibrillation/tachycardia (AF/AT) compared with anatomically defined right atrial septal pacing (RASp) and right atrial ... ...

    Abstract Aims: Evaluate whether Bachmann's bundle pacing (BBp) defined by electrocardiographic (ECG) criteria is associated with less atrial fibrillation/tachycardia (AF/AT) compared with anatomically defined right atrial septal pacing (RASp) and right atrial appendage pacing (RAAp).
    Methods and results: This is a retrospective study comparing BBp with non-specific RASp and RAAp on new incidence, burden, and recurrence of AF/AT. We included patients who underwent atrial lead placement between 2006 and 2019 and received > 20% atrial pacing. BBp was defined by paced P-wave morphology and fluoroscopic lead position. Compared with RASp (n = 107) and RAAp (n = 108), AF/AT burden was lower in the BBp (n = 134) group by repeated measures ANOVA (P < 0.001). Over 2-year follow-up, AF/AT burden increased in the RASp (P < 0.01) and RAAp (P < 0.01) groups but did not significantly change in the BBp group (P = 0.91). Atrial arrhythmia burden was lower in the BBp group than the RASp and RAAp groups at 12-15, 18-21, and 24-27 months (P < 0.05) after pacemaker placement. Risk of AF/AT recurrence was lower in BBp than RASp (HR 0.43; P < 0.01) and RAAp patients (HR 0.29, P < 0.01). Risk of de novo AF/AT was also lower in BBp than in RASp (OR 0.12; P < 0.01) and RAAp patients (OR 0.20, P < 0.01).
    Conclusion: Bachmann's bundle pacing defined using P-wave criteria was associated with decreased atrial arrhythmia burden, recurrence, and de novo incidence compared with right atrial septal pacing and right atrial appendage pacing.
    MeSH term(s) Humans ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/epidemiology ; Atrial Fibrillation/therapy ; Cardiac Pacing, Artificial/methods ; Electrocardiography ; Heart Septal Defects, Atrial ; Retrospective Studies ; Tachycardia
    Language English
    Publishing date 2022-03-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 1449879-0
    ISSN 1532-2092 ; 1099-5129
    ISSN (online) 1532-2092
    ISSN 1099-5129
    DOI 10.1093/europace/euac029
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  6. Article: Diabetic retinopathy screening.

    Infeld, D

    Eye (London, England)

    2001  Volume 15, Issue Pt 1, Page(s) 128

    MeSH term(s) Diabetic Retinopathy/diagnosis ; Fluorescein Angiography/adverse effects ; Humans ; Mass Screening/methods
    Language English
    Publishing date 2001-02
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 91001-6
    ISSN 1476-5454 ; 0950-222X
    ISSN (online) 1476-5454
    ISSN 0950-222X
    DOI 10.1038/eye.2001.40
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  7. Article: Giant cell (temporal) arteritis and temporal artery biopsy.

    Infeld, D

    Postgraduate medical journal

    2001  Volume 77, Issue 907, Page(s) 358–359

    MeSH term(s) Aged ; Biopsy ; Blood Sedimentation ; Giant Cell Arteritis/blood ; Giant Cell Arteritis/complications ; Giant Cell Arteritis/diagnosis ; Humans ; Middle Aged ; Predictive Value of Tests
    Language English
    Publishing date 2001-02-06
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1136/pmj.77.907.358b
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Analysis of methods of ocular examination in screening for diabetic retinopathy.

    Infeld, D

    Diabetic medicine : a journal of the British Diabetic Association

    2001  Volume 18, Issue 2, Page(s) 166–167

    MeSH term(s) Diabetic Retinopathy/diagnosis ; Diabetic Retinopathy/prevention & control ; Humans ; Macular Edema/diagnosis ; Mass Screening/methods ; Ophthalmoscopy ; Photography
    Language English
    Publishing date 2001-02
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 605769-x
    ISSN 1464-5491 ; 0742-3071 ; 1466-5468
    ISSN (online) 1464-5491
    ISSN 0742-3071 ; 1466-5468
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  9. Article ; Online: Influence of Sex on Platelet Reactivity in Response to Aspirin.

    Friede, Kevin A / Infeld, Margaret M / Tan, Ru San / Knickerbocker, Holly J / Myers, Rachel A / Dubois, Laura G / Thompson, J Will / Kaddurah-Daouk, Rima / Ginsburg, Geoffrey S / Ortel, Thomas L / Voora, Deepak

    Journal of the American Heart Association

    2020  Volume 9, Issue 14, Page(s) e014726

    Abstract: Background There are sex differences in the efficacy and safety of aspirin for the prevention of myocardial infarction and stroke. Whether this is explained by underlying differences in platelet reactivity and aspirin response remains poorly understood. ... ...

    Abstract Background There are sex differences in the efficacy and safety of aspirin for the prevention of myocardial infarction and stroke. Whether this is explained by underlying differences in platelet reactivity and aspirin response remains poorly understood. Methods and Results Healthy volunteers (n=378 208 women) and patients with coronary artery disease or coronary artery disease risk factors (n=217 112 women) took aspirin for 4 weeks. Light transmittance aggregometry using platelet-rich plasma was used to measure platelet reactivity in response to epinephrine, collagen, and ADP at baseline, 3 hours after the first aspirin dose, and after 4 weeks of daily aspirin therapy. A subset of patients underwent pharmacokinetic and pharmacodynamic assessment with levels of salicylate and cyclooxygenase-1-derived prostaglandin metabolites and light transmittance aggregometry in response to arachidonic acid and after ex vivo exposure to aspirin. At baseline, women had increased platelet aggregation in response to ADP and collagen. Innate platelet response to aspirin, assessed with ex vivo aspirin exposure of baseline platelets, did not differ by sex. Three hours after the first oral aspirin dose, platelet aggregation was inhibited in women to a greater degree in response to epinephrine and to a lesser degree with collagen. After 4 weeks of daily therapy, despite higher salicylate concentrations and greater cyclooxygenase-1 inhibition, women exhibited an attenuation of platelet inhibition in response to epinephrine and ADP. Conclusions We observed agonist-dependent sex differences in platelet responses to aspirin. Despite higher cyclooxygenase-1 inhibition, daily aspirin exposure resulted in a paradoxical attenuation of platelet inhibition in response to epinephrine and ADP over time in women but not in men.
    MeSH term(s) Adult ; Aged ; Aspirin/pharmacology ; Case-Control Studies ; Cohort Studies ; Female ; Humans ; Male ; Middle Aged ; Platelet Aggregation/drug effects ; Platelet Aggregation Inhibitors/pharmacology ; Sex Characteristics ; Young Adult
    Chemical Substances Platelet Aggregation Inhibitors ; Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2020-07-11
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2653953-6
    ISSN 2047-9980 ; 2047-9980
    ISSN (online) 2047-9980
    ISSN 2047-9980
    DOI 10.1161/JAHA.119.014726
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  10. Article: Cell-matrix interactions in gland development in the lung.

    Infeld, M D

    Experimental lung research

    1997  Volume 23, Issue 2, Page(s) 161–169

    Abstract: The tubulo-acinar glands of the conducting airways participate in lung host defense and the pathogenesis of chronic inflammatory airway disease. Models of gland development may provide clues to mechanisms that promote hypersecretion in diseases such as ... ...

    Abstract The tubulo-acinar glands of the conducting airways participate in lung host defense and the pathogenesis of chronic inflammatory airway disease. Models of gland development may provide clues to mechanisms that promote hypersecretion in diseases such as chronic bronchitis and cystic fibrosis. The developmental anatomy of airway glands was described 30 years ago, but the regulation of gland formation remains a mystery. During the pseudoglandular stage of lung development, poorly differentiated surface epithelial cells grow radially from the lumen and invade the airway submucosa. The basal lamina is remodeled during this process and animal studies indicate a correlation between the expression of the 72-kD gelatinase (MMP-2) and gland morphogenesis. Cell culture models with lung epithelial and mesenchymal elements mimic early gland morphogenesis. Studies using this model have corroborated the involvement of 72-kD gelatinase in the formation of gland-like structures. While the secretion and activation of 72-kD gelatinase is correlated with epithelial matrix invasion, the presence of activated 72-kD gelatinase is not by itself sufficient to permit epithelial matrix invasion. Whether the 72-kD gelatinase participates in a more complex proteolytic cascade or whether appropriate localization of the enzyme is critical to airway epithelial morphogenesis is the focus of ongoing investigation.
    MeSH term(s) Animals ; Bronchi/embryology ; Bronchi/enzymology ; Embryonic and Fetal Development ; Epithelial Cells ; Epithelium/embryology ; Epithelium/enzymology ; Extracellular Matrix/physiology ; Gelatinases/metabolism ; Humans ; Lung/cytology ; Lung/embryology ; Lung/enzymology ; Matrix Metalloproteinase 2 ; Metalloendopeptidases/metabolism ; Trachea/embryology ; Trachea/enzymology
    Chemical Substances Gelatinases (EC 3.4.24.-) ; Metalloendopeptidases (EC 3.4.24.-) ; Matrix Metalloproteinase 2 (EC 3.4.24.24)
    Language English
    Publishing date 1997-03
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S. ; Review
    ZDB-ID 603791-4
    ISSN 1521-0499 ; 0190-2148
    ISSN (online) 1521-0499
    ISSN 0190-2148
    DOI 10.3109/01902149709074028
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