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31.
Alexi Baidoshvili Mariam Khacheishvili Jeroen A. W. M. van der Laak Paul J. van Diest 《Pathology international》2023,73(3):127-134
Even though entirely digitized microscopic tissue sections (whole slide images, WSIs) are increasingly being used in histopathology diagnostics, little data is still available on the effect of this technique on pathologists' reading time. This study aimed to compare the time required to perform the microscopic assessment by pathologists between a conventional workflow (an optical microscope) and digitized WSIs. WSI was used in primary diagnostics at the Laboratory for Pathology Eastern Netherlands for several years (LabPON, Hengelo, The Netherlands). Cases were read either in a traditional workflow, with the pathologist recording the time required for diagnostics and reporting, or entirely digitally. Reading times were extracted from image management system log files, and the digitized workflow was fully integrated into the laboratory information system. The digital workflow saved time in the majority of case categories, with prostate biopsies saving the most (68% time gain). Taking into account case distribution, the digital workflow produced an average gain of 12.3%. Using WSI instead of conventional microscopy significantly reduces pathologists' reading times. Pathologists must work in a fully integrated environment to fully reap the benefits of a digital workflow. 相似文献
32.
Elise Pelgrims Sally Ann Lynch Laurens Hannes Mariëtte J. V. Hoffer Cindy Melotte Arie Van Haeringen Ann Swillen Jeroen Breckpot 《American journal of medical genetics. Part A》2023,191(7):1889-1899
Triplication of chromosomal region 1p36.3 is a rare genomic rearrangement. In this report, we delineate the phenotypic spectrum associated with 1p36.3 triplications. We describe four patients with microtriplications of variable size, but with a strong phenotypic overlap, and compare them to previously described patients with an isolated triplication or duplication of this region. The 1p36.3 triplication syndrome is associated with a distinct phenotype, characterized by global developmental delay, moderate intellectual disability, seizures, behavioral problems, and specific facial dysmorphic features, including ptosis, hypertelorism, and arched eyebrows. The de novo occurrence of these microtriplications demonstrates the reduced reproductive fitness associated with this genotype, in contrast to 1p36.3 duplications which are mostly inherited and can be associated with similar facial features but with a less severe developmental phenotype. The shared triplicated region encompasses four disease-related genes of which GABRD and SKI are most likely to contribute to the phenotype. 相似文献
33.
Twin-twin transfusion syndrome (TTTS) represents a pregnancy complication with a high risk for perinatal mortality and postnatal morbidity. Mathematical models have been utilized to examine the mechanisms of disease and potential treatment modalities. We developed four consecutive models based on pathophysiology mechanisms. Conceptually, these models remained simple, but with increased complexity in details. We present our models tutorially with the necessary equations expressed in words. The aetiology of TTTS was related to AV anastomoses from donor to recipient and their growth commensurate with placental growth. We assessed that natural growth of placenta and foetuses causes the diameter and length of the AV, as well as the AV's pressure gradient, to increase proportional to gestational age. The AV transfusion then increases faster than natural foetal growth. A progressively increasing discordance subsequently develops, not compensated for by foetal growth. A simulation is performed to show how this discordance in blood volumetric development causes successive discordances in other functions, particularly renal, circulatory, and cardio-vascular, resulting in disease progression to the various stages of TTTS. In conclusion, mathematical modelling of TTTS has provided an understanding of the sequence of events that leads to the various presentations of TTTS stages as well as the efficacy of therapies. 相似文献
34.
van den Wijngaard JP Lewi L Lopriore E Robyr R Middeldorp JM Vandenbussche FP Devlieger R Deprest J Ville Y van Gemert MJ 《Placenta》2007,28(7):611-615
Our objective was to explain the clinical presentations of sustained arteriovenous anastomotic transfusion of blood after incomplete laser therapy in twin-to-twin transfusion syndrome (TTTS). We extended our mathematical model of TTTS by adding the dynamics of hematocrit, and simulated incomplete laser therapy, first, by leaving one patent opposite arteriovenous anastomosis from the recipient to the donor and, second, by leaving one patent arteriovenous anastomosis from the donor to the recipient. In both simulations we reproduced the clinical observation of severe hematocrit discordance preceding delayed amniotic fluid imbalance. In conclusion, incomplete laser therapy may cause a severe circulatory imbalance between the twins which presents predominantly as discordant hematocrits rather than discordant amniotic fluid volumes as in primary TTTS. These results imply that the anemia-polycythemia sequence is a sensitive mechanism to identify transfusion reversal after complicated laser therapy, confirming the suggested role of middle cerebral artery peak systolic velocity Doppler measurements as a useful method of follow-up. 相似文献
35.
van den Wijngaard JP Lopriore E van der Salm SM Schaap AH Vandenbussche FP Deruiter MC van Gemert MJ 《Prenatal diagnosis》2007,27(3):233-239
OBJECTIVES: Our objective was to identify the clinical consequences of deep-hidden anastomoses that occur underneath the placental surface. METHODS: Twelve placentae that underwent intrauterine laser ablation of placental anastomoses for twin-twin transfusion syndrome (TTTS) and 14 non-TTTS controls were investigated for deep-hidden anastomoses. Additionally, we investigated the inter-twin haemoglobin differences as an indicator for fetofetal transfusion. Placentae were divided into four groups: TTTS placentae without residual chorionic-plate anastomoses without deep-hidden anastomoses (group 1) and with deep-hidden anastomoses (group 2), and non-TTTS placentae with chorionic-plate anastomoses without deep-hidden anastomoses (group 3) and with deep-hidden anastomoses (group 4). RESULTS: Deep-hidden anastomoses were identified in 58% (7/12) of the TTTS placentae after laser surgery and in 64% (9/14) of the non-TTTS placentae. Groups 1 and 2 had equal inter-twin haemoglobin differences: medians 1.4 and 1.2 gr/dL, respectively (p = 0.48). In group 3, the median inter-twin haemoglobin difference without deep-hidden anastomoses was 2.6 gr/dL (group 3) and with deep-hidden anastomoses (group 4) it was 5.1 gr/dL (p = 0.26). CONCLUSION: Both comparisons imply that deep-hidden anastomoses did not cause any additional increase in Hb difference. In conclusion, haematological and additional hemodynamical analysis show that deep-hidden anastomoses are likely to occur without any clinical consequences. 相似文献
36.
Rima Fanaei Pirlar Jeroen Wagemans Luis Ponce Benavente Rob Lavigne Andrej Trampuz Mercedes Gonzalez Moreno 《Viruses》2022,14(6)
Staphylococcus epidermidis has emerged as the most important pathogen in infections related to indwelling medical devices, and although these infections are not life-threatening, their frequency and the fact that they are extremely difficult to treat represent a serious burden on the public health system. Treatment is complicated by specific antibiotic resistance genes and the formation of biofilms. Hence, novel therapeutic strategies are needed to fight these infections. A novel bacteriophage CUB-EPI_14 specific to the bacterial species S. epidermidis was isolated from sewage and characterized genomically and phenotypically. Its genome contains a total of 46,098 bp and 63 predicted genes, among which some have been associated with packaging and lysis-associated proteins, structural proteins, or DNA- and metabolism-associated proteins. No lysogeny-associated proteins or known virulence proteins were identified in the phage genome. CUB-EPI_14 showed stability over a wide range of temperatures (from −20 °C to 50 °C) and pH values (pH 3–pH 12) and a narrow host range against S. epidermidis. Potent antimicrobial and antibiofilm activities were observed when the phage was tested against a highly susceptible bacterial isolate. These encouraging results open the door to new therapeutic opportunities in the fight against resilient biofilm-associated infections caused by S. epidermidis. 相似文献
37.
38.
Ji Chen Maureen M. Henneman Mark A. Trimble Jeroen J. Bax Salvador Borges-Neto Ami E. Iskandrian Kenneth J. Nichols Ernest V. Garcia 《Journal of nuclear cardiology》2008,15(1):127-136
Cardiac resynchronization therapy (CRT) has shown benefits in patients with severe heart failure. However, at least 30% of
patients selected for CRT by use of traditional criteria (New York Heart Association class III or IV, depressed left ventricular
[LV] ejection fraction, and prolonged QRS duration) do not respond to CRT. Recent studies with tissue Doppler imaging have
shown that the presence of LV dyssynchrony is an important predictor of response to CRT. Phase analysis has been developed
to allow assessment of LV dyssynchrony by gated single photon emission computed tomography myocardial perfusion imaging. This
technique uses Fourier harmonic functions to approximate regional wall thickness changes over the cardiac cycle and to calculate
the regional onset-of-mechanical contraction phase. Once the onset-of-mechanical contraction phases are obtained 3-dimensionally
over the left ventricle, a phase distribution map is formed that represents the degree of LV dyssynchrony. This technique
has been compared with other methods of measuring LV dyssynchrony and shown promising results in clinical evaluations. In
this review the phase analysis methodology is described, and its up-to-date validations are summarized. 相似文献
39.
Jantine Posthuma De Boer Pim W. van Egmond Marco N. Helder Renée X. de Menezes Anne-Marie Cleton-Jansen Jeroen A.M. Beli?n Henk M. W. Verheul Barend J. van Royen Gert-Jan J.L. Kaspers Victor W. van Beusechem 《Oncotarget》2012,3(10):1169-1181
Osteosarcoma (OS) is the most common primary malignant bone tumour in children and adolescents. Despite aggressive therapy, survival outcomes remain unsatisfactory, especially for patients with metastatic disease or patients with a poor chemotherapy response. Chemoresistance contributes to treatment failure. To increase the efficacy of conventional chemotherapy, essential survival pathways should be targeted concomitantly. Here, we performed a loss-of-function siRNA screen of the human kinome in SaOS-2 cells to identify critical survival kinases after doxorubicin treatment. Gene silencing of JNK-interacting-protein-1 (JIP1) elicited the most potent sensitisation to doxorubicin. This candidate was further explored as potential target for chemosensitisation in OS. A panel of OS cell lines and human primary osteoblasts was examined for sensitisation to doxorubicin using small molecule JIP1-inhibitor BI-78D3. JIP1 expression and JIP1-inhibitor effects on JNK-signalling were investigated by Western blot analysis. JIP1 expression in human OS tumours was assessed by immunohistochemistry on tissue micro arrays. BI-78D3 blocked JNK-signalling and sensitised three out of four tested OS cell lines, but not healthy osteoblasts, to treatment with doxorubicin. Combination treatment increased the induction of apoptosis. JIP1 was found to be expressed in two-thirds of human primary OS tissue samples. Patients with JIP1 positive tumours showed a trend to inferior overall survival. Collectively, JIP1 appears a clinically relevant novel target in OS to enhance the efficacy of doxorubicin treatment by means of RNA interference or pharmacological inhibition. 相似文献
40.
Reference Values for Echocardiography in Middle‐Aged Population: The Cardiovascular Risk in Young Finns Study 下载免费PDF全文
Saku Ruohonen Ph.D Juha W. Koskenvuo M.D. Ph.D. Maria Wendelin‐Saarenhovi M.D. Ph.D. Mikko Savontaus M.D. Ph.D. Mika Kähönen M.D. Ph.D. Tomi Laitinen M.D. Ph.D. Terho Lehtimäki M.D. Ph.D. Eero Jokinen M.D. Ph.D. Jorma Viikari M.D. Ph.D. Markus Juonala M.D. Ph.D. Leena Taittonen M.D. Ph.D. Päivi Tossavainen M.D. Ph.D. Merja Kallio M.D. Ph.D. Jeroen J. Bax M.D. Ph.D. Olli Raitakari M.D. Ph.D. 《Echocardiography (Mount Kisco, N.Y.)》2016,33(2):193-206