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  1. Article ; Online: Genomics and multimorbidity.

    Masoli, Jane A H / Pilling, Luke C / Frayling, Timothy M

    Age and ageing

    2022  Volume 51, Issue 12

    Abstract: Multimorbidity has increased in prevalence world-wide. It is anticipated to affect over 1 in 6 of the UK population by 2035 and is now recognised as a global priority for health research. Genomic medicine has rapidly advanced over the last 20 years from ... ...

    Abstract Multimorbidity has increased in prevalence world-wide. It is anticipated to affect over 1 in 6 of the UK population by 2035 and is now recognised as a global priority for health research. Genomic medicine has rapidly advanced over the last 20 years from the first sequencing of the human genome to integration into clinical care for rarer conditions. Genetic studies help identify new disease mechanisms as they are less susceptible to the bias and confounding that affects epidemiological studies, as genetics are assigned from conception. There is also genetic variation in the efficacy of medications and the risk of side effects, pharmacogenetics. Genomic approaches offer the potential to improve our understanding of mechanisms underpinning multiple long-term conditions/multimorbidity and guide precision approaches to risk, diagnosis and optimisation of management. In this commentary as part of the Age and Ageing 50th anniversary commentary series, we summarise genomics and the potential utility of genomics in multimorbidity.
    MeSH term(s) Humans ; Multimorbidity ; Genomics ; Pharmacogenetics ; Aging/genetics
    Language English
    Publishing date 2022-12-05
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 186788-x
    ISSN 1468-2834 ; 0002-0729
    ISSN (online) 1468-2834
    ISSN 0002-0729
    DOI 10.1093/ageing/afac285
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: "Difficult asthma": not as easy as you think.

    Masoli, Matthew

    Chest

    2015  Volume 148, Issue 4, Page(s) 843–844

    MeSH term(s) Anti-Asthmatic Agents/therapeutic use ; Asthma/therapy ; Disease Management ; Female ; Hospitalization/trends ; Humans ; Male ; Primary Health Care/utilization ; Quality Improvement ; Quality of Life
    Chemical Substances Anti-Asthmatic Agents
    Language English
    Publishing date 2015-10
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1378/chest.15-0954
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Systolic blood pressure and outcomes in frail older adults.

    Masoli, Jane Ah / Todd, Oliver M / Clark, Christopher E

    British journal of hospital medicine (London, England : 2005)

    2021  Volume 82, Issue 5, Page(s) 1–4

    Abstract: Hypertension is diagnosed in the majority of older people with frailty, in whom blood pressure prognosis is not well understood. This editorial describes recent evidence on blood pressure and outcomes in older people with frailty. ...

    Abstract Hypertension is diagnosed in the majority of older people with frailty, in whom blood pressure prognosis is not well understood. This editorial describes recent evidence on blood pressure and outcomes in older people with frailty.
    MeSH term(s) Aged ; Blood Pressure ; Frail Elderly ; Frailty/diagnosis ; Frailty/epidemiology ; Geriatric Assessment ; Humans ; Hypertension/epidemiology ; Prognosis
    Language English
    Publishing date 2021-05-26
    Publishing country England
    Document type Editorial
    ISSN 1750-8460
    ISSN 1750-8460
    DOI 10.12968/hmed.2021.0181
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Moving towards patient-centred outcomes: the Severe Asthma Questionnaire.

    Davies, Drew / Hyland, Michael E / Lanario, Joseph W / Jones, Rupert C / Masoli, Matthew

    The European respiratory journal

    2023  Volume 61, Issue 5

    MeSH term(s) Humans ; Child ; Adult ; Asthma/diagnosis ; Surveys and Questionnaires ; Outcome Assessment, Health Care
    Language English
    Publishing date 2023-05-05
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.02305-2022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A new perspective on an old method: gated SPECT imaging for left ventricular contractile function assessment.

    San Miguel, Lucas / Goldschmidt, Ezequiel / Brisbin, Alyssa K / Redruello, Marcela / Masoli, Osvaldo H

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2023  Volume 30, Issue 6, Page(s) 2658–2665

    Abstract: The ejection fraction (LVEF) is a commonly used marker of left ventricular function. However, because it is strongly influenced by loading conditions, it can be inaccurate in representing cardiac contractility. We therefore evaluated a gated SPECT based ... ...

    Abstract The ejection fraction (LVEF) is a commonly used marker of left ventricular function. However, because it is strongly influenced by loading conditions, it can be inaccurate in representing cardiac contractility. We therefore evaluated a gated SPECT based tool to simultaneously assess preload, afterload, and contractility. Using gated SPECT-determined ventricular volumes and arterial tension measurements, we calculated ventricular and arterial elastance (Ev and Ea), as well as end-diastolic volumes, which are surrogates for contractility, afterload, and preload, respectively. We applied this protocol to 1462 consecutive patients and assessed the ventricular function in patients with and without myocardial infarction. The median LVEF was 68% (IQR 62-74%). Patients with infarction exhibited decreased contractility (ventricular elastance of 3 mmHg/ml vs. 6 mmHg/ml), compensated by an increase of preload (end-diastolic volume of 100 ml vs. 78 ml) and a decrease in afterload (arterial elastance of 1.8 mmHg/ml vs. 2.2 ml/mmHg). These interactions yielded a preserved ejection fraction in both groups. Gated SPECT-measured volumes were consistent with values reported in the literature. In addition, the combination of nuclear imaging and arterial tension measurement accounted for not only the ejection fraction but also the loading context, providing a more accurate representation of cardiac contractility.
    MeSH term(s) Humans ; Ventricular Function, Left ; Stroke Volume ; Myocardial Contraction ; Heart Ventricles/diagnostic imaging ; Tomography, Emission-Computed, Single-Photon/methods
    Language English
    Publishing date 2023-07-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-023-03340-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Seguimiento no invasivo del tratamiento ajustado en pacientes con angina microvascular.

    Gobbo, Magali / Meretta, Alejandro / Sciancalepore, M Agustina / Roccella, Giuliana / Masoli, Osvaldo

    Medicina

    2022  Volume 82, Issue 4, Page(s) 621–625

    Abstract: There are currently multiple invasive and non-invasive methods that can be used to establish the diagnosis of microvascular dysfunction (MVD) in patients with INOCA (Ischemia with Non-Obstructive Coronary Arteries) and microvascular angina. However, we ... ...

    Title translation Non-invasive follow-up of adjusted treatment in patients with microvascular angina.
    Abstract There are currently multiple invasive and non-invasive methods that can be used to establish the diagnosis of microvascular dysfunction (MVD) in patients with INOCA (Ischemia with Non-Obstructive Coronary Arteries) and microvascular angina. However, we still do not have a specific treatment approach for this group of patients. The current trend is to adjust the treatment to the pathophysiological mechanism involved, adding calcium blockers in those patients where endothelial dysfunction is demonstrated or beta blockers in those patients who present smooth muscle-dependent dysfunction. We present three clinical cases of INOCA with suspected microvascular angina. Two of them underwent a non-invasive diagnosis of MVD by CZT-SPECT, using dipyridamole to evaluate the smooth muscle-dependent mechanism and cold pressor test to evaluate the endothelium-dependent mechanism. According to the results obtained, the treatment was adju sted, clinical follow-up was carried out and angina was assessed using the Seattle scale, with a new microcirculation assessment at 6 months. The third clinical case, on the other hand, was a patient who began empirical treatment for both mechanisms and subsequently abandoned the established treatment. Microvascular function was evaluated under pharmacological treatment and without it.
    MeSH term(s) Coronary Circulation ; Coronary Vessels ; Follow-Up Studies ; Humans ; Microcirculation/physiology ; Microvascular Angina/diagnosis ; Microvascular Angina/drug therapy
    Language Spanish
    Publishing date 2022-07-29
    Publishing country Argentina
    Document type Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Anti-interleukin-5 therapy in patients with severe asthma: from clinical trials to clinical practice.

    Beasley, Richard / Harper, James / Masoli, Matthew

    The Lancet. Respiratory medicine

    2020  Volume 8, Issue 5, Page(s) 425–427

    MeSH term(s) Anti-Asthmatic Agents ; Asthma ; Humans ; Immunotherapy
    Chemical Substances Anti-Asthmatic Agents
    Language English
    Publishing date 2020-02-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2686754-0
    ISSN 2213-2619 ; 2213-2600
    ISSN (online) 2213-2619
    ISSN 2213-2600
    DOI 10.1016/S2213-2600(20)30051-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Computational models of neurotransmission at cerebellar synapses unveil the impact on network computation.

    Masoli, Stefano / Rizza, Martina Francesca / Tognolina, Marialuisa / Prestori, Francesca / D'Angelo, Egidio

    Frontiers in computational neuroscience

    2022  Volume 16, Page(s) 1006989

    Abstract: The neuroscientific field benefits from the conjoint evolution of experimental and computational techniques, allowing for the reconstruction and simulation of complex models of neurons and synapses. Chemical synapses are characterized by presynaptic ... ...

    Abstract The neuroscientific field benefits from the conjoint evolution of experimental and computational techniques, allowing for the reconstruction and simulation of complex models of neurons and synapses. Chemical synapses are characterized by presynaptic vesicle cycling, neurotransmitter diffusion, and postsynaptic receptor activation, which eventually lead to postsynaptic currents and subsequent membrane potential changes. These mechanisms have been accurately modeled for different synapses and receptor types (AMPA, NMDA, and GABA) of the cerebellar cortical network, allowing simulation of their impact on computation. Of special relevance is short-term synaptic plasticity, which generates spatiotemporal filtering in local microcircuits and controls burst transmission and information flow through the network. Here, we present how data-driven computational models recapitulate the properties of neurotransmission at cerebellar synapses. The simulation of microcircuit models is starting to reveal how diverse synaptic mechanisms shape the spatiotemporal profiles of circuit activity and computation.
    Language English
    Publishing date 2022-10-28
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2452964-3
    ISSN 1662-5188
    ISSN 1662-5188
    DOI 10.3389/fncom.2022.1006989
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: "Life-changing": the experience of super-responders to biologics in severe asthma.

    Lanario, Joseph W / Cartwright, Lucy / Jones, Rupert C / Sayers, Ross / Hyland, Michael E / Masoli, Matthew

    BMC pulmonary medicine

    2022  Volume 22, Issue 1, Page(s) 445

    Abstract: Background: There is limited information on the patient's perspective of how biologic treatments impact their lives. We conducted a qualitative study to explore the patient's experience of being considered a super-responder from a quality of life ... ...

    Abstract Background: There is limited information on the patient's perspective of how biologic treatments impact their lives. We conducted a qualitative study to explore the patient's experience of being considered a super-responder from a quality of life perspective.
    Methods: Patients with severe asthma identified as super-responders were invited to semi-structured interviews conducted online. Participants could bring a family member/friend to the interview. The interviews explored experiences of biologic treatment, were transcribed and underwent thematic analysis.
    Results: Twenty-five participants took part in this study. Themes emerged on the impact of biologic treatment for participants and for their friends/family: (i) Words used to describe their often life-changing experiences and (ii) the positive changes noted. Biologic treatment stopped the disruption of family life and social life caused by exacerbations. Improvements in mental health were also noted. Marked individual variations in the way it affected their lives were noted. Most participants noticed improvements 2-3 months after starting their biologic, but some noticed improvement within a few days and others after 6 months.
    Conclusions: Super-responders reported profound but heterogeneous improvements following biologic treatment beyond asthma symptoms and exacerbations including important benefits to social and family life. Improvements may be underestimated as social and family benefits are not reliably measured in current studies with implications for health economic evaluations. Not all patients are super-responders, and excellent responses may be lost in group mean data in trials. Individual time course and response patterns need further elucidation to identify who will respond best to biologics.
    MeSH term(s) Humans ; Quality of Life ; Asthma/drug therapy ; Qualitative Research ; Family/psychology ; Biological Products/therapeutic use
    Chemical Substances Biological Products
    Language English
    Publishing date 2022-11-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2059871-3
    ISSN 1471-2466 ; 1471-2466
    ISSN (online) 1471-2466
    ISSN 1471-2466
    DOI 10.1186/s12890-022-02241-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Prevalence of transthyretin amyloid cardiomyopathy in patients admitted for acute heart failure.

    Spaccavento, Ana / Rodríguez, María Del Rosario / Meretta, Alejandro / Elissamburu, Pablo / Carvelli, Victoria / Gobbo, Magalí / Rosa, Daniel / Masoli, Osvaldo / Conde, Diego / Costabel, Juan Pablo

    Current problems in cardiology

    2024  Volume 49, Issue 3, Page(s) 102385

    Abstract: Introduction: Transthyretin amyloid cardiomyopathy (ATTR-CM) is an underdiagnosed cause of AHF that benefits from a specific approach. The aim was to determine the prevalence of ATTR-CM among patients hospitalized for AHF.: Methods: A prospective ... ...

    Abstract Introduction: Transthyretin amyloid cardiomyopathy (ATTR-CM) is an underdiagnosed cause of AHF that benefits from a specific approach. The aim was to determine the prevalence of ATTR-CM among patients hospitalized for AHF.
    Methods: A prospective study was conducted on consecutive patients aged 60 or older admitted for acute AHF without cardiogenic shock.
    Results: The study included 103 patients, a total of 16 patients (15.5 %) were compatible with ATTR-CM. The ATTR-CM group showed a higher septal wall thickness (18.1 mm vs. 11.8 mm; P = 0.001), lower systolic excursion of the tricuspid annular plane (15 mm vs. 18.3 mm, P = 0.014), and S wave of the right ventricle (8 cm/s vs. 9.2 cm/s P=0.032).
    Conclusion: ATTR-CM is an underdiagnosed condition, there are some variables associated with its diagnosis. The coexistence with other comorbidities causing AHF, highlights the importance of considering screening for this cardiomyopathy in adults hospitalized for AHF.
    MeSH term(s) Adult ; Humans ; Amyloid Neuropathies, Familial/complications ; Amyloid Neuropathies, Familial/diagnosis ; Amyloid Neuropathies, Familial/epidemiology ; Cardiomyopathies/diagnosis ; Cardiomyopathies/epidemiology ; Cardiomyopathies/complications ; Heart Failure/diagnosis ; Heart Failure/epidemiology ; Heart Failure/complications ; Prealbumin ; Prevalence ; Prospective Studies
    Chemical Substances Prealbumin ; TTR protein, human
    Language English
    Publishing date 2024-01-04
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 441230-8
    ISSN 1535-6280 ; 0146-2806
    ISSN (online) 1535-6280
    ISSN 0146-2806
    DOI 10.1016/j.cpcardiol.2024.102385
    Database MEDical Literature Analysis and Retrieval System OnLINE

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