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Epidemiological, Clinical Progress Aspects of Congenital Heart Disease with neonatal Revelation at the Mother-Child Hospital of Bingerville (HME) Concerning 98 Cases from January 2021 to December 2022 (Côte d’Ivoire)

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Open Journal of Pediatrics 2024年第1期14卷 89-100页

作者： Adja Evelyne Akaffou-Gbery Richard Azagoh-Kouadio Anne-Lise Laetitia Mobio Jean-Jacques Yao Atteby serenah marie janice n’vrah anoh Kouassi Raoul Yao Department of Paediatrics and neonatology H&#244pital Mère-Enfant de Bingerville (HME) Bingerville C&#244te d’Ivoire Department of Medical Pediatrics and Specialties CHU de Angré Abidjan C&#244te d’Ivoire

Introduction The distribution of congenital heart disease (CHD) in sub-Saharan Africa is highly imprecise and varies from one region to another due to the inequality of diagnostic facilities. The aim of this study was to determine the in-hospital prevalence of congenital heart disease in children at the Mother-Child hospital of Bingerville (HME) by specifying the diagnostic, therapeutic and evolutionary aspects. Materials and methods We conducted a retrospective, descriptive, cross-sectional study at HME of Bingerville from January 2021 to December 2022. All newborns with congenital heart disease confirmed by echocardiography were included in the study. Results Of 656 admissions to the neonatology department over the study period, congenital heart disease accounted for 14.9% (98/656) of cases. In our series, 76.7% were diagnosed before the 1st week of life, with a mean chronological age of 5.18 days and extremes of 0 and 46 days. There were as many male patients (50%) as female (50%), i.e. a sex ratio of 1. These newborns were premature in 60.2% of cases, with a mean and median gestational age of 34 weeks’ amenorrhea. Most were left-right shunts (90.8%). Persistent ductus arteriosus (PDA) (48.9%) predominated, followed by atrial septal defect (38.7%), ventricular septal defect (13.3%), common trunk artery (CTA) (3.1%) and open septal pulmonary atresia (OSPA) (1%) as the primary cyanogenic heart disease. Pulmonary arterial hypertension (PAH) (50%) was primary in 38.8% and secondary (61.2%). The mortality rate was 30.6%, and all CTA patients died (100%), with a significant statistical relationship (p = 0.027). Progression under treatment was marked by clinical stabilization (68/98) in 69.4% of cases. Conclusion: Congenital heart disease is relatively common at the Bingerville HME. Access to echocardiography should be facilitated in neonatology departments for rapid diagnosis and optimal management of congenital heart disease in newborns.

关键词： newborn Congenital Heart Disease Côte d’Ivoire

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Open Journal of Pediatrics（儿科学期刊） 2024年第1期

作者： Adja Evelyne Akaffou-Gbery Richard Azagoh-Kouadio Anne-Lise Laetitia Mobio Jean-Jacques Yao Atteby serenah marie janice n’vrah anoh Kouassi Raoul Yao

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MicroRnA sequences modulating inflammation and lipid accumulation in macrophage “foam” cells: Implications for atherosclerosis

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World Journal of Cardiology 2020年第7期12卷 303-333页

作者： Richard James Lightbody janice marie Walsh Taylor Yvonne Dempsie Annette Graham Department of Biological and Biomedical Sciences School of Health and Life SciencesGlasgow Caledonian UniversityGlasgow G40BAUnited Kingdom

Accumulation of macrophage"foam"cells,laden with cholesterol and cholesteryl ester,within the intima of large arteries,is a hallmark of early"fatty streak"lesions which can progress to complex,multicellular atheromatous plaques,involving lipoproteins from the bloodstream and cells of the innate and adaptive immune *** accumulation triggers induction of genes encoding proteins mediating the atheroprotective cholesterol efflux *** the arterial intima,however,this mechanism is overwhelmed,leading to distinct changes in macrophage phenotype and inflammatory *** the last decade marked gains have been made in understanding of the epigenetic landscape which influence macrophage function,and in particular the importance of small non-coding micro-RnA(miRnA)sequences in this *** review identifies some of the miRnA sequences which play a key role in regulating"foam"cell formation and atherogenesis,highlighting sequences involved in cholesterol accumulation,those influencing inflammation in sterol-loaded cells,and novel sequences and pathways which may offer new strategies to influence macrophage function within atherosclerotic lesions.

关键词： Coronary heart disease Atherosclerosis Macrophage“foam”cell Cholesterol Inflammation MicroRnA

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Growth and immune response of pond-reared giant freshwater prawn Macrobrachium rosenbergii post larvae fed diets containing Chlorella vulgaris

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Aquaculture and Fisheries 2021年第5期6卷 465-470页

作者： Gian Carlo F.Maliwat Stephanie F.Velasquez Sheila marie D.Buluran Melchor M.Tayamen janice A.Ragaza Department of Biology School of Science and EngineeringAteneo de Manila UniversityKatipunan AvenueLoyola HeightsQuezon CityMetro Manila1108Philippines School of Fisheries Aquaculture and Aquatic SciencesAuburn UniversityAuburn36849AlabamaUSA Bureau of Fisheries and Aquatic Resources National Freshwater Fisheries TechnologyCenter Mu~noz Science CityNueva Ecija3120Philippines

A 70-day feeding trial was conducted to evaluate the efficacy of Chlorella vulgaris supplementation in diets of giant freshwater prawn(Macrobrachium rosenbergii)post *** of the prawns against Aeromonas hydrophila and several immune parameters(total hemocyte count and prophenoloxidase activity)were also assessed in the ***-nitrogenous,iso-lipidic,and iso-caloric prawn feeds were prepared utilizing a fishmeal based positive control diet(F0)and four dietary treatments with *** inclusion levels of 2(F2),4(F4),6(F6),and 8(F8)%.Post larvae of *** were stocked randomly(mean initial body weight of 0.39�0.38 g)in fifteen net cages(8.1 m�8.9 m with an average depth of 1 m)in an earthen pond for the assessment of growth *** growth indices for prawn fed Chlorella containing diets were enhanced in comparison to the control *** fed diets with Chlorella showed significantly higher(Pnol oxidase activity,total hemocyte counts,and survival rates post bacterial *** findings demonstrated that inclusion of 4%,6%,and 8%*** in prawn diets provided optimal growth rates and improved immunity of the post larvae.

关键词： Chlorella vulgaris Macrobrachium rosenbergii Aeromonas hydrophila Growth performance Prophenoloxidase activity Haemocyte count

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Cancer Immunotherapy Targeting the Telomerase Reverse Transcriptase

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Cellular & Molecular Immunology 2006年第1期3卷 1-9页

作者： Longfei Huo janice WS Tang Junjian Huang Peitang Huang Cuifen Huang Hsiang-fu Kung marie C. Lin Open Laboratory of Chemical Biology of the Institute of Molecular Technology. Department of Chemistry The University of Hong Kong Pokfulam Hong Kong China Li Ka Shing Institute of Health Sciences and Centre for EmergingInfectious Diseases The Chinese University of Hong Kong Shatin HongKong China Beijing Institute of Biotechnology Beijing China Open Laboratory of ChemicalBiology of the Institute of Molecular Technology for Drug Discovery Department of Chemistry The University of Hong Kong Hong KongChina

The human telomerase reverse transcriptase （hTERT） is expressed in more than 85% of tumor cells but is usually not found in normal cells, which makes hTERT as an ideal tumor-associate antigen （TAA） to develop potential vaccine specifically destroying cancers without impairing normal tissues in human cancer immunotherapy. Here are reviewed the fundamental advances of studies on immunogenicity of hTERT or its peptides and the early clinical trials using the hTERT vaccine approach in the last decades.

关键词： cancer telomerase reverse transcriptase immunotherapy lymphocyte

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Sleep Disturbance in Parkinson’s Disease Varies with Age of Onset and Family History

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Advances in Parkinson's Disease 2016年第4期5卷 103-117页

作者： Divya Madhusudhan Daniella Sisniega Andrew Ferree janice Weinberg marie Saint-Hilaire Samuel Ellias Anna DePold Hohler Boston University School of Medicine Boston USA Boston University School of Public Health Boston USA Department of neurology Boston University Medical Center Boston USA

Introduction: Parkinson’s disease (PD) is a progressive neurodegenerative disease more common in those over the age of 60. PD is classically characterized by motor features, although patients may also experience non-motor symptoms. Sleep disturbances, such as rapid eye movement (REM) behavior disorder (RBD), are common in patients with PD and may precede onset of PD. Methods: Data was collected on patients with PD (358 subjects)in a movement disorders clinic at a safety net hospital. In this retrospective database analysis, the association of PD complications with age of onset was evaluated using chi-square tests and logistic regression. Results: Of the PD complications analyzed, there was a significant difference in sleep disturbances by age. Among the 358 PD patients, 120 individuals (33.5%) had information regarding the presence or absence of sleep disturbances. There was a significant difference between the early (onset nd later onset (≥50) groups (p = 0.03) with the odds of having a sleep disorder for the early group 1.6 times that of the late group. Those subjects with siblings who also had PD had 2.0 times the odds of having a sleep disorder compared those without (p = 0.02). Conclusion: non-motor symptoms such as sleep disorders are a useful predictor of early onset PD. Genetic components of PD impact both motor and non-motor aspects of the disease.

关键词： Parkinson’s Disease (PD) Sleep Disorders Rapid Eye Movement Behavior Disorder (RBD) Age non-Motor Symptoms Familial PD

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Racial Demographics in an Urban Movement Disorders Clinic

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Advances in Parkinson's Disease 2017年第3期6卷 86-92页

作者： Chantale O. Branson Luke Quehl Raymond James janice Weinberg Anna D. Hohler marie-Helene Saint-Hilaire Department of neurology Boston University Medical Center Boston MA USA Boston University School of Medicine Boston MA USA Boston University School of Public Health Boston MA USA

Objective: To assess the prevalence of Parkinson’s disease (PD) among African- Americans compared to non-Hispanic Whites in a tertiary urban Movement Disorders center. Background: Contributing factors in the prevalence of Parkinson’s disease (PD) based on race may improve health disparities in the United States. According to the largest study analyzing prevalence and incidence of PD among Medicare beneficiaries, the ratio of African-Americans (AA) to Caucasians in the general Medicare population is 9%, while the prevalence ratio of PD among AA compared to Caucasians is approximately 5%. Methods: We performed a retrospective analysis of African-American patients with PD in the movement disorders database at Boston Medical Center, which is the largest safety net hospital in new England. The demographics of the patients seen in the general neurology clinic are 30.57% AA and 38.06% non-Hispanic Caucasian. Results: The Movement disorders database included 488 patients, 327 of whom had PD. Of these, 287 were Caucasians and 18 were of African descent. Based on our clinic population the expected PD case ratio among AA compared to Caucasians was approximately 49%. The actual race ratio in patients of African descent compared to Caucasian was 6%, which was substantially lower than expected at Boston Medical Center. Conclusion: The demographics of the PD patients in our movement disorders clinic do not reflect the population at Boston Medical Center, or the demographics of our neurology clinic as a whole.

关键词： Racial Demographics Urban Movement Disorders Clinic

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Perinatal transmission of dengue virus in Puerto Rico: a case report

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Open Journal of Obstetrics and Gynecology 2011年第3期1卷 90-93页

作者： janice Pérez-Padilla Rafael Rosario-Casablanca Luis Pérez-Cruz Carmen Rivera-Dipini Kay marie Tomashek Dengue Branch Division of Vector-Borne Diseases Centers For Disease Control and Prevention San Juan Puerto Rico. HIMA San Pablo Hospital Fajardo Puerto Rico.

We report a laboratory confirmed case of vertical transmission of dengue in a mother-child pair in the eastern part of Puerto Rico. The clinical course of the pregnant female suggested a GBS infection, but laboratory tests confirmed it was dengue infection, one week after delivery. The male infant was healthy at birth, but one week after birth developed clinical complications related to vertical transmission of dengue. This report targets physicians in dengue endemic countries like Puerto Rico to be aware of the possibility of vertical transmission of dengue in symptomatic pregnant patients, especially around the time of delivery.

关键词： Dengue Perinatal Transmission Bloodborne

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Exploring Gender-Associated Socioeconomic Differences in Parkinson’s Disease

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Advances in Parkinson's Disease 2015年第4期4卷 84-89页

作者： Robert McInnis William Cavanaugh janice Weinberg marie-Hélène Saint-Hilaire Samuel Ellias Samuel Frank Anna DePold Hohler Boston University School of Medicine Boston MA USA Department of Biostatistics Boston University School of Public Health Boston University Medical Campus Boston MA USA Boston Medical Center Boston MA USA

Background: Research on gender in Parkinson’s disease (PD) frequently focuses on clinical differences between men and women. Socioeconomic factors such as race, ethnicity, insurance type, and level of educational attainment, have not been extensively examined in relation to gender differences in PD. The goal of this study was to identify differences in PD presentation in men and women, and identify socioeconomic factors that may confound such differences. Methods: A movement disorder patient database containing 445 patients with idiopathic PD was analyzed for gender differences in motor symptoms and disease complications using linear or logistic regression. Socioeconomic variables were then evaluated as possible confounders. Results: A greater proportion of women were non-white (p nivariate analysis of gender, and multivariate analysis controlling for age at diagnosis and socioeconomic factors were concordant in demonstrating increased frequency of motor fluctuations and dyskinesia in women (p ntrolled, multivariate analysis, when compared to univariate analysis, uniquely demonstrated that women were less likely to experience dementia and autonomic dysfunction, relative to men (p nclusion: Women with PD are susceptible to motor fluctuations and dyskinesia, but may be relatively protected against dementia and autonomic dysfunction. Women and men with PD in our population had different socioeconomic profiles, which may have confounded some gender-associated differences.

关键词： Parkinson’s Disease Gender Dementia Social Determinants of Health

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Medication Side Effect Profiles in PD Patients in a Safety-net Hospital

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Advances in Parkinson's Disease 2017年第4期6卷 101-112页

作者： Daniella C. Sisniega Divya Madhusudhan Elham Rahmani Robert McInnis janice Weinberg marie-Hélène Saint-Hilaire Anna DePold Hohler Boston University School of Medicine Boston MA USA Virginia Tech Carilion School of Medicine Department of Psychiatry Roanoke VA USA Department of Biostatistics Boston University School of Public Health Boston University Medical Campus Boston MA USA Boston Medical Center Department of Neurology Boston MA USA

Background: Compulsive behavior, dyskinesias, motor fluctuations, and hallucinations are common Parkinson’s disease (PD) medication side effects. These are yet to be examined in relation to race and level of education. The goal of this analysis was to identify socioeconomic or clinical variables that are associated with compulsive behavior, dyskinesias, motor fluctuations, and hallucinations in patients in a safety-net hospital. Methods: A movement disorder patient database containing 452 patients with idiopathic PD was analyzed for differences in PD medication side effects using univariate and multivariate logistic regression analysis. Race, sex, and level of education were evaluated as possible confounders. Results: A greater proportion of the patients in this study were Caucasian males. The only variable associated with compulsive behavior was age, with higher age having a protective effect (p = 0.0336). Disease duration (defined as time since the onset of symptoms), diagnosis duration (time since formal diagnosis), and level of education were significantly associated with dyskinesia inunivariate analysis (p =nosis duration was the only variable significantly associated with dyskinesia in multivariate analysis (p = 0.0038), in addition to a borderline significant association when comparing individuals with graduate degree to those who had completed high school education or less (p = 0.0599), with a protective effect of higher education. Disease duration, diagnosis duration, and use of monoamineoxidase inhibitors were also significantly associated with motor fluctuations in the univariate analysis, while only diagnosis duration was significantly associated with motor fluctuations in multivariate analysis (p = 0.0035) with longer diagnosis duration associated with higher risk of motor fluctuations. Age, disease duration, and diagnosis duration were associated with an increased risk of hallucinations in univariat

关键词： Parkinson’s Disease Medication Side Effects Safety-net Hospital

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