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  1. Article ; Online: The human aldose reductase AKR1B1 qualifies as the primary prostaglandin F synthase in the endometrium.

    Bresson, Eva / Boucher-Kovalik, Sofia / Chapdelaine, Pierre / Madore, Eric / Harvey, Nathalie / Laberge, Philippe Y / Leboeuf, Mathieu / Fortier, Michel A

    The Journal of clinical endocrinology and metabolism

    2011  Volume 96, Issue 1, Page(s) 210–219

    Abstract: Context: Prostaglandins (PGs) E2 and PGF2α are produced in the endometrium and are important for menstruation and fertility. Dysmenorrhea is associated with increased production of PGF2α relative to PGE2, and the opposite is true for menorrhagia. The ... ...

    Abstract Context: Prostaglandins (PGs) E2 and PGF2α are produced in the endometrium and are important for menstruation and fertility. Dysmenorrhea is associated with increased production of PGF2α relative to PGE2, and the opposite is true for menorrhagia. The pathways leading to PGE2 biosynthesis are well described, but little is known for PGF2α. Aldoketoreductase (AKR)-1C3, the only PGF synthase identified in the human, cannot explain the production of PGF2α by endometrial cells. AKR1B1 appears to be an alternate candidate with promising therapeutic value.
    Objective: The objective of the study was to address whether AKR1B1 (gene ID 231) is a functional PGF2α synthase in the human endometrium and a valid therapeutic target for menstrual pain.
    Design: The design of the study was basic laboratory analyses to identify gene expression and protein levels associated with PGF2α production in endometrial tissues and endometrial cells from cycling women aged between 23 and 52 yr undergoing biopsies or hysterectomy for diverse gynecological disorders.
    Results: AKR1B1 is expressed at a high level during the menstrual cycle during the secretory phase and in both epithelial and stromal cells, whereas AKR1C3 was found only in epithelial cells. Purified recombinant AKR1B1 protein, gene silencing, and transient transfection experiments all concur to demonstrate that this enzyme is a functional PGF synthase. Ponalrestat, a specific inhibitor developed to block AKR1B1 activity, reduced PGF2α production in response to IL-1β in both cultured endometrial cells and endometrial explants.
    Conclusions: The human aldose reductase AKR1B1 currently associated with diabetes complications is also a highly functional PGF synthase responsible for PGF2α production in the human endometrium and a potential target for treatment of menstrual disorders.
    MeSH term(s) Adult ; Aldehyde Reductase/genetics ; Aldehyde Reductase/metabolism ; Analysis of Variance ; Blotting, Western ; Cell Line ; Endometrium/metabolism ; Epithelial Cells/metabolism ; Female ; Gene Expression ; Humans ; Hydroxyprostaglandin Dehydrogenases/genetics ; Hydroxyprostaglandin Dehydrogenases/metabolism ; Immunohistochemistry ; Menstrual Cycle/metabolism ; Middle Aged ; Reverse Transcriptase Polymerase Chain Reaction ; Stromal Cells/metabolism
    Chemical Substances Hydroxyprostaglandin Dehydrogenases (EC 1.1.1.-) ; prostaglandin-F synthase (EC 1.1.1.188) ; Aldehyde Reductase (EC 1.1.1.21)
    Language English
    Publishing date 2011-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3029-6
    ISSN 1945-7197 ; 0021-972X
    ISSN (online) 1945-7197
    ISSN 0021-972X
    DOI 10.1210/jc.2010-1589
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Assignment of weight-based antibody units for 13 serotypes to a human antipneumococcal standard reference serum, lot 89-S(f).

    Quataert, Sally A / Rittenhouse-Olson, Kate / Kirch, Carol S / Hu, Branda / Secor, Shelley / Strong, Nancy / Madore, Dace V

    Clinical and diagnostic laboratory immunology

    2004  Volume 11, Issue 6, Page(s) 1064–1069

    Abstract: ... J. Quackenbush Wiedl, D. C. Phipps, S. Strohmeyer, C. O. Cimino, J. Skuse, and D. V. Madore, Clin ...

    Abstract Weight-based immunoglobulin G (IgG), IgM, IgA, and total Ig antibody assignments were made to human antipneumococcal standard reference serum lot 89-S, also known as lot 89-SF, for Streptococcus pneumoniae capsular polysaccharide (PnPs) serotypes 2, 6A, 8, 9N, 10A, 11A, 12F, 15B, 19A, 17F, 20, 22F, and 33F, as well as for C-polysaccharide (C-Ps), extending the standard's usefulness for pneumococcal vaccine evaluation beyond the original serotype 1, 3, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, and 23F assignments (S. A. Quataert, C. S. Kirch, L. J. Quackenbush Wiedl, D. C. Phipps, S. Strohmeyer, C. O. Cimino, J. Skuse, and D. V. Madore, Clin. Diagn. Lab. Immunol. 2:590-597, 1995). The additional 14 assignments were determined using an equivalence of absorbance method with an anti-PnPs serotype 6B reference enzyme-linked immunosorbent assay (EIA). To assure accuracy, anti-PnPs EIA for serotype 14 antibodies, a previously assigned serotype, was performed concurrently. This method assures consistency of the new microgram-per-microliter assignments with previous antiserotype assignments to lot 89-S. The sum of the experimentally derived isotype assignments for anti-PnPs serotypes in lot 89-S agrees well with the separately determined total Ig assignment for each serotype. The lot 89-S assignments for serotypes 1, 5, 6B, 14, 18C, 19F, and 23F were used for pneumococcal conjugate vaccine clinical trial evaluation and to generate data in efficacy trials where serological correlates for protection have been proposed. The assignment of antibody concentrations to additional pneumococcal serotypes in this reference reagent facilitates the consistent and accurate comparison of serum antibody concentrations across clinical trials.
    MeSH term(s) Antibodies, Bacterial/immunology ; Enzyme-Linked Immunosorbent Assay/standards ; Humans ; Immune Sera ; Reference Standards ; Streptococcus pneumoniae/immunology
    Chemical Substances Antibodies, Bacterial ; Immune Sera
    Language English
    Publishing date 2004-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1193675-7
    ISSN 1098-6588 ; 1071-412X
    ISSN (online) 1098-6588
    ISSN 1071-412X
    DOI 10.1128/CDLI.11.6.1064-1069.2004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Bench Building during COVID-19: Creating Capabilities and Training Teams.

    Madore, Alicia A / Lopez, Fernando

    Medical journal (Fort Sam Houston, Tex.)

    2021  , Issue PB 8-21-01/02/03, Page(s) 79–82

    Abstract: Background: Keller Army Community Hospital, a 12-bed community hospital located in the Hudson Valley of New York State, within the pandemic epicenter anticipated the surge of critically ill patients, which would overwhelm local resources during the ... ...

    Abstract Background: Keller Army Community Hospital, a 12-bed community hospital located in the Hudson Valley of New York State, within the pandemic epicenter anticipated the surge of critically ill patients, which would overwhelm local resources during the coronavirus pandemic sweeping across the globe. In this facility, there were no Intensive Care Unit (ICU) beds and resources were mobilized in order to create a negative pressure Corona Virus Unit (CVU) consisting of seven ICU beds and two step-down beds. Although the creation of the CVU decreased the non-COVID inpatient capacity to five beds, the hospital also formulated a plan to expand overall bed capacity from 12 inpatient beds to 45 beds within 24 hours.
    Objective: To create a ICU embedded within a CVU and implement a three day curriculum to prepare four mixed teams of critical care and non-critical care staff nurses to manage critically ill patients with the novel coronavirus disease 2019 (COVID-19).
    Methods: Nursing leaders and hospital education staff developed a critical care curriculum utilizing Elsevier didactic, the DoD COVID-19 Practice Guide, and hands-on training for 34 nurses.1,2 Nurses had varied scope of practice levels from licensed practical nurses to advance practice nurses, with diverse critical care expertise to non-critical care nursing staff from the primary care medical home (PCMH), all of which participated in the cross-leveling to the CVU unit during the pandemic response. Educational elements included PPE donning and doffing, mechanical ventilation, central venous catheter maintenance, arterial catheter management, hemodynamics, and critical care pharmacotherapy. A medical model skills station with common critical care equipment such as ventilators allowed for instantaneous feedback and 13 hands-on skills training.
    Results: A fully functional ICU and CVU was created with thirty-four nurses who completed training within seven days with a didactic completing rate of 94.65 % and 100% hands-on skills. The program endures with monthly tailored re-fresher training to improve efficiency and maintain critical competencies. The team maintained operational readiness through the surge and remain resolute for the next surge.
    Conclusions: On-going program execution and evaluation continues to develop new staff members due to permanent change of station, recent on-boarding, or because of evidence based clinical guideline changes. Training has continued, but shifted to include normal inpatient operations over the summer of 2020. Re-fresher classes covering the treatment and care of COVID patients continue with the anticipation of a second wave surge of COVID-19 cases emerges this fall based on epidemiology predictions.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/therapy ; Capacity Building/organization & administration ; Critical Care/organization & administration ; Curriculum ; Hospital Bed Capacity ; Hospitals, Community ; Hospitals, Military ; Humans ; New York ; Surge Capacity/organization & administration
    Language English
    Publishing date 2021-03-05
    Document type Journal Article
    ISSN 2694-3611
    ISSN (online) 2694-3611
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Plasmapheresis in cast nephropathy: yes or no?

    Madore, François

    Current opinion in nephrology and hypertension

    2015  Volume 24, Issue 2, Page(s) 177–182

    Abstract: Purpose of review: Renal failure is a frequent complication of multiple myeloma and portends a poor prognosis. Plasmapheresis has been suggested as an adjunct to chemotherapy to halt or reverse renal injury associated with multiple myeloma. The purpose ... ...

    Abstract Purpose of review: Renal failure is a frequent complication of multiple myeloma and portends a poor prognosis. Plasmapheresis has been suggested as an adjunct to chemotherapy to halt or reverse renal injury associated with multiple myeloma. The purpose of this article is to review the rationale for using plasmapheresis for this indication and then provide a discussion of the evidence regarding its use.
    Recent findings: The outcome of patients with multiple myeloma has improved considerably in recent years, mostly owing to the introduction of new highly effective chemotherapeutic agents. However, patients with renal failure who do not recover independent renal function continue to have very poor prognosis. Recent evidence now indicates that an early and sustained reduction in circulating free light chains (FLCs) is associated with improved renal recovery in patients with myeloma kidney. Extracorporeal removal of FLCs with plasmapheresis, or other techniques, can achieve rapid and sustained reduction in serum FLC concentration in patients with acute myeloma kidney. Unfortunately, there is currently no convincing evidence in the literature that the addition of mechanical removal of FLC to standard chemotherapy translates into clinical benefits for patients.
    Summary: Plasmapheresis is theoretically attractive as a means of rapidly lowering serum FLC burden in the hope of reducing nephrotoxicity in patients with multiple myeloma. However, the role of plasmapheresis in improving renal prognosis and patient survival remains to be demonstrated.
    MeSH term(s) Animals ; Antineoplastic Agents/therapeutic use ; Humans ; Immunoglobulin Light Chains/blood ; Kidney/drug effects ; Kidney Diseases/diagnosis ; Kidney Diseases/drug therapy ; Kidney Diseases/mortality ; Plasmapheresis/methods ; Prognosis
    Chemical Substances Antineoplastic Agents ; Immunoglobulin Light Chains
    Language English
    Publishing date 2015-03
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1151092-4
    ISSN 1473-6543 ; 1535-3842 ; 1062-4813 ; 1062-4821
    ISSN (online) 1473-6543 ; 1535-3842
    ISSN 1062-4813 ; 1062-4821
    DOI 10.1097/MNH.0000000000000101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Expression of cyclooxygenase-II (COX-II) and 20alpha-hydroxysteroid dehydrogenase (20alpha-HSD)/prostaglandin F-synthase (PGFS) in bovine placentomes: implications for the initiation of parturition in cattle.

    Schuler, G / Teichmann, U / Kowalewski, M P / Hoffmann, B / Madore, E / Fortier, M A / Klisch, K

    Placenta

    2006  Volume 27, Issue 9-10, Page(s) 1022–1029

    Abstract: ... Prostaglandin F(2alpha) (PGF(2alpha)) seems to be a major factor involved. However, only little information is ...

    Abstract The chain of events leading to prepartal luteolysis in cattle is not yet fully understood. Prostaglandin F(2alpha) (PGF(2alpha)) seems to be a major factor involved. However, only little information is available about the underlying regulatory mechanisms. Consequently, the expression of cyclooxygenase-II (COX-II) and 20alpha-hydroxysteroid dehydrogenase (20alpha-HSD), an enzyme recently shown to be most likely responsible for the production of luteolytic PGF(2alpha) in the endometrium of cyclic cows, was investigated in bovine placentomes. Immunohistochemical methods were applied to placentomes from 17 pregnant cows between days 100 and 284, from three cows during the prepartal progesterone decrease (days 273-282) and from five parturient cows. COX-II was found in uninucleated trophoblast cells (UTC) from day 100 until parturition. However, between days 100 and 235 expression was only weak to moderate, focal and mainly restricted to the chorionic plate and adjacent basal parts of chorionic stem villi. In placentomes from a 270 and a 284 day pregnant cow, in which the prepartal decline of progesterone levels had not started yet, staining had substantially increased and extended to secondary and tertiary chorionic villi. In prepartal and parturient cows strong to intense staining was present in UTC all over the villous tree. Real time RT-PCR confirmed an extensive pre- and intrapartal rise of COX-II expression in bovine placentomes with a 70-100-fold increase of COX-II-mRNA levels. 20alpha-HSD/PGFS was widely expressed in UTC of chorionic villi. Like COX-II it was down-regulated in UTC differentiating into trophoblast giant cells. Immunostaining pattern did not change remarkably during the period under investigation, and 20alpha-HSD/PGFS-mRNA levels increased only 2.6-fold in the prepartal phase. Thus, in UTC PGF(2alpha) may be produced via COX-II and 20alpha-HSD/PGFS, but only COX-II may be substantially involved in the control of a putative prepartal placentomal output of luteolytic PGs, whereas 20alpha-HSD/PGFS seems to be expressed in a more constitutive manner.
    MeSH term(s) 20-alpha-Hydroxysteroid Dehydrogenase/metabolism ; Animals ; Cattle ; Cyclooxygenase 2/metabolism ; Female ; Hydroxyprostaglandin Dehydrogenases/metabolism ; Immunohistochemistry ; Luteolysis/metabolism ; Parturition/metabolism ; Placenta/metabolism ; Pregnancy ; Prostaglandins/metabolism ; Reverse Transcriptase Polymerase Chain Reaction
    Chemical Substances Prostaglandins ; Hydroxyprostaglandin Dehydrogenases (EC 1.1.1.-) ; 20-alpha-Hydroxysteroid Dehydrogenase (EC 1.1.1.149) ; prostaglandin-F synthase (EC 1.1.1.188) ; Cyclooxygenase 2 (EC 1.14.99.1)
    Language English
    Publishing date 2006-09
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 603951-0
    ISSN 1532-3102 ; 0143-4004
    ISSN (online) 1532-3102
    ISSN 0143-4004
    DOI 10.1016/j.placenta.2005.11.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Effectiveness of Prefrontal Transcranial Magnetic Stimulation for Depression in Older US Military Veterans.

    Walker, Nicole C / Philip, Noah S / Kozel, F Andrew / Yesavage, Jerome A / Madore, Michelle R

    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry

    2023  Volume 32, Issue 3, Page(s) 315–325

    Abstract: Objective: While typical aging is associated with decreased cortical volume, major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) likely exacerbates this process. Cerebral atrophy leads to increased coil-to-cortex distance and when ... ...

    Abstract Objective: While typical aging is associated with decreased cortical volume, major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) likely exacerbates this process. Cerebral atrophy leads to increased coil-to-cortex distance and when using transcranial magnetic stimulation (TMS), potentially reducing effectiveness in older adults.
    Methods: Data from a large-scale quality improvement project was used. Included veterans eligible for TMS and completed TMS treatment. Age was assessed as a predictive factor of depression outcomes after TMS treatment among veterans. Secondary analyses examined the impact of age on 1) MDD response and remission and 2) MDD change within MDD-only verses comorbid MDD and PTSD groups.
    Results: The entire sample included 471 veterans. Primary analysis revealed age as a negative predictor of depression outcomes (p = 0.019). Secondary analyses found age to be a significant predictor of remission (p = 0.004), but not clinical response. Age was not a predictive factor in depression outcomes between those with MDD-only compared to MDD+PTSD.
    Conclusions: Increased age predicts greater MDD symptom reduction after TMS. Although age did not predict response rates, it did predict increased rates of remission in veterans. Age did not differentially predict depression outcomes between those with or without PTSD. The sample size was sufficient to discern a difference in efficaciousness, and limitations were those inherent to registry studies in veterans. This data indicates that TMS can be an important treatment option for older individuals.
    MeSH term(s) Humans ; Aged ; Depressive Disorder, Major/epidemiology ; Depressive Disorder, Major/therapy ; Depressive Disorder, Major/complications ; Veterans ; Depression/epidemiology ; Depression/therapy ; Transcranial Magnetic Stimulation ; Comorbidity ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/therapy ; Stress Disorders, Post-Traumatic/complications ; Treatment Outcome
    Language English
    Publishing date 2023-10-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 1278145-9
    ISSN 1545-7214 ; 1064-7481
    ISSN (online) 1545-7214
    ISSN 1064-7481
    DOI 10.1016/j.jagp.2023.10.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Assignment of weight-based immunoglobulin G1 (IgG1) and IgG2 units in antipneumococcal reference serum lot 89-S(F) for pneumococcal polysaccharide serotypes 1, 4, 5, 7F, 9V, and 18C.

    Sikkema, Daniel J / Ziembiec, Nancy A / Jones, Thomas R / Hildreth, Stephen W / Madore, Dace V / Quataert, Sally A

    Clinical and diagnostic laboratory immunology

    2005  Volume 12, Issue 1, Page(s) 218–223

    Abstract: Weight-based assignments for immunoglobulin G1 (IgG1) and IgG2 subclass antibodies to Streptococcus pneumoniae capsular polysaccharides (PnPs) in antipneumococcal standard reference serum lot 89-S (lot 89-S), also known as lot 89-SF, have been determined ...

    Abstract Weight-based assignments for immunoglobulin G1 (IgG1) and IgG2 subclass antibodies to Streptococcus pneumoniae capsular polysaccharides (PnPs) in antipneumococcal standard reference serum lot 89-S (lot 89-S), also known as lot 89-SF, have been determined for serotypes 1, 4, 5, 7F, 9V, and 18C. This extends the usefulness of lot 89-S beyond the IgG1 and IgG2 subclass assignments for serotypes 3, 6B, 14, 19F, and 23F made previously (A. Soininen, H. Kayhty, I. Seppala, and T. Wuorimaa, Clin. Diagn. Lab. Immunol. 5:561-566, 1998) to cover 11 major serotypes associated with the highest percentage of pneumococcal disease worldwide. A method of equivalence of absorbances in enzyme immunosorbent assays was used to determine the IgG1 and IgG2 antibody concentrations for the additional serotypes in lot 89-S, based on the subclass values previously assigned for PnPs serotypes 6B, 14, and 23F. This cross-standardization method assures consistency with previous antibody assignments in that reference serum. The newly assigned subclass values for serotype 9V, and previously assigned values for serotype 14, were used to quantitate PnPs antibodies in sera from adult and pediatric subjects immunized with a pneumococcal conjugate vaccine. There was a predominance of IgG1 anti-PnPs antibodies in pediatric sera and IgG2 anti-PnPs antibodies in the adult sera. The IgG1 and IgG2 subclass assignments for the 11 PnPs serotypes in antipneumococcal standard reference serum lot 89-S are useful for quantitating and characterizing immune responses to pneumococcal infection and vaccination regimens.
    MeSH term(s) Adult ; Antibodies, Bacterial/blood ; Antibodies, Bacterial/immunology ; Child ; Humans ; Immunoenzyme Techniques/methods ; Immunoenzyme Techniques/standards ; Immunoglobulin G/blood ; Pneumococcal Infections/blood ; Pneumococcal Infections/immunology ; Pneumococcal Infections/prevention & control ; Pneumococcal Vaccines ; Polysaccharides, Bacterial/immunology ; Reference Standards ; Sensitivity and Specificity ; Serotyping ; Streptococcus pneumoniae/immunology
    Chemical Substances Antibodies, Bacterial ; Immunoglobulin G ; Pneumococcal Vaccines ; Polysaccharides, Bacterial
    Language English
    Publishing date 2005-01
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 1193675-7
    ISSN 1098-6588 ; 1071-412X
    ISSN (online) 1098-6588
    ISSN 1071-412X
    DOI 10.1128/CDLI.12.1.218-223.2005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Impact of Successive Office Blood Pressure Measurements During a Single Visit on Cardiovascular Risk Prediction: Analysis of CARTaGENE.

    Desbiens, Louis-Charles / Nadeau-Fredette, Annie-Claire / Madore, François / Agharazii, Mohsen / Goupil, Rémi

    Hypertension (Dallas, Tex. : 1979)

    2023  Volume 80, Issue 10, Page(s) 2209–2217

    Abstract: Background: Multiple office blood pressure (BP) readings correlate more closely with ambulatory BP than single readings. Whether they are associated with long-term outcomes and improve cardiovascular risk prediction is unknown. Our objective was to ... ...

    Abstract Background: Multiple office blood pressure (BP) readings correlate more closely with ambulatory BP than single readings. Whether they are associated with long-term outcomes and improve cardiovascular risk prediction is unknown. Our objective was to assess the long-term impact of multiple office BP readings.
    Methods: We used data from CARTaGENE, a population-based survey comprising individuals aged 40 to 70 years. Three BP readings (BP
    Results: In the 17 966 eligible individuals, 2378 experienced a MACE during follow-up. Crude SBP values ranged from 122.5 to 126.5 mm Hg. SBP
    Conclusions: Cardiovascular risk prediction is improved by successive office SBP values, especially when the first reading is discarded. These findings reinforce the necessity of using multiple office BP readings.
    MeSH term(s) Humans ; Blood Pressure ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/epidemiology ; Risk Factors ; Atherosclerosis ; Heart Disease Risk Factors
    Language English
    Publishing date 2023-08-24
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 423736-5
    ISSN 1524-4563 ; 0194-911X ; 0362-4323
    ISSN (online) 1524-4563
    ISSN 0194-911X ; 0362-4323
    DOI 10.1161/HYPERTENSIONAHA.123.21510
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  9. Article ; Online: Variation in Hospital Practices Regarding Marijuana Use in Pregnancy and Lactation.

    Blake, Amy C / Parker, Margaret G / Madore, Laura S / Straub, Heather / Anderson, Jessica L / Visintainer, Paul F / Wymore, Erica M

    Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

    2023  Volume 18, Issue 9, Page(s) 701–711

    Abstract: Background and Objectives: ...

    Abstract Background and Objectives:
    MeSH term(s) Infant ; Female ; Infant, Newborn ; Pregnancy ; Humans ; Marijuana Use ; Breast Feeding ; Cross-Sectional Studies ; Lactation ; Substance-Related Disorders ; Cannabis ; Hospitals ; Mothers
    Language English
    Publishing date 2023-09-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2234680-6
    ISSN 1556-8342 ; 1556-8253
    ISSN (online) 1556-8342
    ISSN 1556-8253
    DOI 10.1089/bfm.2023.0138
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  10. Article ; Online: Prediction of Cardiovascular Events by Type I Central Systolic Blood Pressure: A Prospective Study.

    Lamarche, Florence / Agharazii, Mohsen / Madore, François / Goupil, Rémi

    Hypertension (Dallas, Tex. : 1979)

    2020  Volume 77, Issue 2, Page(s) 319–327

    Abstract: Compared with brachial blood pressure (BP), central systolic BP (SBP) can provide a better indication of the hemodynamic strain inflicted on target organs, but it is unclear whether this translates into improved cardiovascular risk stratification. We ... ...

    Abstract Compared with brachial blood pressure (BP), central systolic BP (SBP) can provide a better indication of the hemodynamic strain inflicted on target organs, but it is unclear whether this translates into improved cardiovascular risk stratification. We aimed to assess which of central or brachial BP best predicts cardiovascular risk and to identify the central SBP threshold associated with increased risk of future cardiovascular events. This study included 13 461 participants of CARTaGENE with available central BP and follow-up data from administrative databases but without cardiovascular disease or antihypertensive medication. Central BP was estimated by radial artery tonometry, calibrated for brachial SBP and diastolic BP (type I), and a generalized transfer function (SphygmoCor). The outcome was major adverse cardiovascular events. Cox proportional-hazards models, differences in areas under the curves, net reclassification indices, and integrated discrimination indices were calculated. Youden index was used to identify SBP thresholds. Over a median follow-up of 8.75 years, 1327 major adverse cardiovascular events occurred. The differences in areas under the curves, net reclassification indices, and integrated discrimination indices were of 0.2% ([95% CI, 0.1-0.3]
    MeSH term(s) Adult ; Aged ; Blood Pressure/physiology ; Blood Pressure Determination ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/etiology ; Cardiovascular Diseases/physiopathology ; Databases, Factual ; Female ; Heart Disease Risk Factors ; Humans ; Hypertension/complications ; Hypertension/physiopathology ; Incidence ; Male ; Middle Aged ; Primary Prevention ; Prospective Studies ; Risk ; Risk Assessment
    Language English
    Publishing date 2020-12-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423736-5
    ISSN 1524-4563 ; 0194-911X ; 0362-4323
    ISSN (online) 1524-4563
    ISSN 0194-911X ; 0362-4323
    DOI 10.1161/HYPERTENSIONAHA.120.16163
    Database MEDical Literature Analysis and Retrieval System OnLINE

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