Browsing by Author "Hebrew University-Hadassah Medical School"
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Publication Metadata only Consensus-based clinical recommendations and research priorities for anticoagulant thromboprophylaxis in children hospitalized for COVID-19–related illness(2020-11-01) Neil A. Goldenberg; Anthony Sochet; Manuela Albisetti; Tina Biss; Mariana Bonduel; Julie Jaffray; Graeme MacLaren; Paul Monagle; Sarah O’Brien; Leslie Raffini; Shoshana Revel-Vilk; Nongnuch Sirachainan; Suzan Williams; Ayesha Zia; Christoph Male; Nationwide Children’s Hospital; Hebrew University-Hadassah Medical School; National University Hospital, Singapore; University of Melbourne; Royal Children's Hospital, Melbourne; University of Toronto Faculty of Medicine; Faculty of Medicine, Ramathibodi Hospital, Mahidol University; Keck School of Medicine of USC; UT Southwestern Medical School; Medizinische Universitat Wien; Murdoch Children's Research Institute; University of Pennsylvania Perelman School of Medicine; Kinderspital Zürich; All Children's Hospital St. Petersburg; Fundacion Hospital de Pediatria Professor Dr. Juan P. Garrahan; The Newcastle Upon Tyne Hospitals NHS Foundation Trust; Johns Hopkins School of Medicine© 2020 International Society on Thrombosis and Haemostasis Background: Observational studies indicate that children hospitalized with COVID-19-related illness, like adults, are at increased risk for venous thromboembolism (VTE). A multicenter phase 2 clinical trial of anticoagulant thromboprophylaxis in children hospitalized with COVID-19-related illness has recently been initiated in the United States. To date, there remains a paucity of high-quality evidence to inform clinical practice world-wide. Therefore, the objective of this scientific statement is to provide consensus-based recommendations on the use of anticoagulant thromboprophylaxis in children hospitalized for COVID-19-related illnesses, and to identify priorities for future research. Methods: We surveyed 20 pediatric hematologists and pediatric critical care physicians from several continents who were identified by Pediatric/Neonatal Hemostasis and Thrombosis Subcommittee leadership as having experience and expertise in the use of anticoagulant thromboprophylaxis and/or the management of COVID-19-related illness in children. A comprehensive review of the literature on COVID-19 in children was also performed. Results: Response rate was 90%. Based on consensus of expert opinions, we suggest the administration of low-dose low molecular weight heparin subcutaneously twice-daily as anticoagulant thromboprophylaxis (in the absence of contraindications, and in combination with mechanical thromboprophylaxis with sequential compression devices, where feasible) in children hospitalized for COVID-19-related illness (including the multisystem inflammatory syndrome in children [MIS-C]) who have markedly elevated D-dimer levels or superimposed clinical risk factors for hospitalassociated VTE. For children who are clinically unstable or have severe renal impairment, we suggest the use of unfractionated heparin by continuous intravenous infusion as anticoagulant thromboprophylaxis. In addition, continued efforts to characterize VTE risk and risk factors in children with COVID-19, as well as to evaluate the safety and efficacy of anticoagulant thromboprophylaxis strategies in children hospitalized with COVID-19-related illness (including MIS-C) via cooperative multicenter trials, were identified among several key priorities for future research. Conclusion: These consensus-based recommendations on the use of anticoagulant thromboprophylaxis in children hospitalized for COVID-19-related illnesses and priorities for future research will be updated as high-quality evidence emerges.Publication Metadata only Covalently linked dengue virus envelope glycoprotein dimers reduce exposure of the immunodominant fusion loop epitope(2017-05-23) Alexander Rouvinski; Wanwisa Dejnirattisai; Pablo Guardado-Calvo; Marie Christine Vaney; Arvind Sharma; Stéphane Duquerroy; Piyada Supasa; Wiyada Wongwiwat; Ahmed Haouz; Giovanna Barba-Spaeth; Juthathip Mongkolsapaya; Félix A. Rey; Gavin R. Screaton; Institut Pasteur, Paris; CNRS Centre National de la Recherche Scientifique; Hammersmith Hospital; Universite Paris-Sud XI; Mahidol University; Hebrew University-Hadassah Medical School© The Author(s) 2017. A problem in the search for an efficient vaccine against dengue virus is the immunodominance of the fusion loop epitope (FLE), a segment of the envelope protein E that is buried at the interface of the E dimers coating mature viral particles. Anti-FLE antibodies are broadly cross-reactive but poorly neutralizing, displaying a strong infection enhancing potential. FLE exposure takes place via dynamic 'breathing' of E dimers at the virion surface. In contrast, antibodies targeting the E dimer epitope (EDE), readily exposed at the E dimer interface over the region of the conserved fusion loop, are very potent and broadly neutralizing. We here engineer E dimers locked by inter-subunit disulfide bonds, and show by X-ray crystallography and by binding to a panel of human antibodies that these engineered dimers do not expose the FLE, while retaining the EDE exposure. These locked dimers are strong immunogen candidates for a next-generation vaccine.Publication Metadata only Guidelines for the use and interpretation of assays for monitoring autophagy(2012-04-01) Daniel J. Klionsky; Fabio C. Abdalla; Hagai Abeliovich; Robert T. Abraham; Abraham Acevedo-Arozena; Khosrow Adeli; Lotta Agholme; Maria Agnello; Patrizia Agostinis; Julio A. Aguirre-Ghiso; Hyung Jun Ahn; Ouardia Ait-Mohamed; Slimane Ait-Si-Ali; Takahiko Akematsu; Shizuo Akira; Hesham M. Al-Younes; Munir A. Al-Zeer; Matthew L. Albert; Roger L. Albin; Javier Alegre-Abarrategui; Maria Francesca Aleo; Mehrdad Alirezaei; Alexandru Almasan; Maylin Almonte-Becerril; Atsuo Amano; Ravi Amaravadi; Shoba Amarnath; Amal O. Amer; Nathalie Andrieu-Abadie; Vellareddy Anantharam; David K. Ann; Shailendra Anoopkumar-Dukie; Hiroshi Aoki; Nadezda Apostolova; Giuseppe Arancia; John P. Aris; Katsuhiko Asanuma; Nana Y.O. Asare; Hisashi Ashida; Valerie Askanas; David S. Askew; Patrick Auberger; Misuzu Baba; Steven K. Backues; Eric H. Baehrecke; Ben A. Bahr; Xue Yuan Bai; Yannick Bailly; Robert Baiocchi; Giulia Baldini; Walter Balduini; Andrea Ballabio; Bruce A. Bamber; Edward T.W. Bampton; Gábor Bánhegyi; Clinton R. Bartholomew; Diane C. Bassham; Robert C. Bast; Henri Batoko; Boon Huat Bay; Isabelle Beau; Daniel M. Béchet; Thomas J. Begley; Christian Behl; Christian Behrends; Soumeya Bekri; Bryan Bellaire; Linda J. Bendall; Luca Benetti; Laura Berliocchi; Henri Bernardi; Francesca Bernassola; Sébastien Besteiro; Ingrid Bhatia-Kissova; Xiaoning Bi; Martine Biard-Piechaczyk; Janice S. Blum; Lawrence H. Boise; Paolo Bonaldo; David L. Boone; Beat C. Bornhauser; Karina R. Bortoluci; Ioannis Bossis; Frédéric Bost; Jean Pierre Bourquin; Patricia Boya; Michaël Boyer-Guittaut; Peter V. Bozhkov; Nathan R. Brady; Claudio Brancolini; Andreas Brech; Jay E. 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Fujian University of Traditional Chinese Medicine; Xi'an Jiaotong University; University of Southampton; Wuhan Institute of Virology Chinese Academy of Sciences; University of Oklahoma Health Sciences Center; Henan University of Technology; University of Kansas Lawrence; Mayo Clinic; Nagahama Institute of Bio-Science and Technology; National Research Institute of Fisheries Science, FRA; Okinawa Institute of Science and Technology Graduate University; OIST Graduate University; Vanderbilt Ingram Cancer Center; Weis Center for Research; University of Shizuoka; INRA Centre de Recherche de Versailles-Grignon; Chosun University; Icahn School of Medicine at Mount Sinai; Keio University School of Medicine; Toronto General Research Institute University of Toronto; Fondazione IRCCS Istituto Nazionale dei Tumori, Milan; University of Virginia; National Institute of Biological Sciences, Beijing; Leiden University Medical Center - LUMC; University of Newcastle Faculty of Medicine and Health Sciences; Peking University Health Science Center; University of California, Berkeley; Goteborgs Universitet; Max Planck Institut fur Psychiatrie; Centre Hospitalier Universitaire de Nice; Istituto Neurologico Mediterraneo Neuromed, Pozzilli; The Cancer Institute of New Jersey; Universite de Lyon; Panepistimio Kritis; Santo Tomas University; Johannes Gutenberg Universitat Mainz; University of RzeszowIn 2008 we published the first set of guidelines for standardizing research in autophagy. Since then, research on this topic has continued to accelerate, and many new scientists have entered the field. Our knowledge base and relevant new technologies have also been expanding. Accordingly, it is important to update these guidelines for monitoring autophagy in different organisms. Various reviews have described the range of assays that have been used for this purpose. Nevertheless, there continues to be confusion regarding acceptable methods to measure autophagy, especially in multicellular eukaryotes. A key point that needs to be emphasized is that there is a difference between measurements that monitor the numbers or volume of autophagic elements (e.g., autophagosomes or autolysosomes) at any stage of the autophagic process vs. those that measure flux through the autophagy pathway (i.e., the complete process); thus, a block in macroautophagy that results in autophagosome accumulation needs to be differentiated from stimuli that result in increased autophagic activity, defined as increased autophagy induction coupled with increased delivery to, and degradation within, lysosomes (in most higher eukaryotes and some protists such as Dictyostelium) or the vacuole (in plants and fungi). In other words, it is especially important that investigators new to the field understand that the appearance of more autophagosomes does not necessarily equate with more autophagy. In fact, in many cases, autophagosomes accumulate because of a block in trafficking to lysosomes without a concomitant change in autophagosome biogenesis, whereas an increase in autolysosomes may reflect a reduction in degradative activity. Here, we present a set of guidelines for the selection and interpretation of methods for use by investigators who aim to examine macroautophagy and related processes, as well as for reviewers who need to provide realistic and reasonable critiques of papers that are focused on these processes. These guidelines are not meant to be a formulaic set of rules, because the appropriate assays depend in part on the question being asked and the system being used. In addition, we emphasize that no individual assay is guaranteed to be the most appropriate one in every situation, and we strongly recommend the use of multiple assays to monitor autophagy. In these guidelines, we consider these various methods of assessing autophagy and what information can, or cannot, be obtained from them. Finally, by discussing the merits and limits of particular autophagy assays, we hope to encourage technical innovation in the field. © 2012 Landes Bioscience.Publication Metadata only High‐calorie, rice‐derived, short‐chain, glucose polymer‐based oral rehydration solution in acute watery diarrhea(1995-01-01) E. Lebenthal; Khin‐Maung‐U; Khin‐Myat‐Tun; Tin‐Nu‐Swe; Thein‐Thein‐Myint; P. Jirapinyo; N. Visitsuntorn; R. Ismail; A. Bakri; A. Firmansyah; S. Sunoto; K. Shin; H. Takita; Hebrew University-Hadassah Medical School; Drexel University; Yangon Children's Hospital; Mahidol University; Universitas Indonesia; Universitas Sriwijaya; Kitaibaraki Municipal General HospitalIn this study, we have compared the effects of the World Health Organization oral rehydration solution (WHO ORS) and an ORS containing short polymers of glucose (Amylyte ORS) at a high caloric density (five times) and comparable osmolality, on stool output, duration of diarrhea, weight gain and fluid and electrolyte balance, in randomized, open‐labeled, controlled clinical trials in five centers. A total of 198 male children (4 months to 10 years) with acute diarrhea (<72 h after onset) were assigned by random allocation to either WHO ORS or Amylyte ORS at five centers in Asia. Children were stratified according to grade of dehydration (mild, moderate or severe) and the initial purging rates during the first 6h (low (<2ml/kg/h), moderate (2–5ml/kg/h) and high (>5ml/kg/h) purgers). The clinical characteristics of the children in the two treatment groups were comparable. Amylyte ORS reduced stool volumes significantly in children with severe dehydration (285.4 ± 74.2 versus 75.5 ±20.0 ml/kg; p < 0.05) and in children with a high initial purging rate (200.3 ±42.8 versus 130.5 ± 9.1 ml/kg; p < 0.05). This was accompanied by a significant (276.4 ±14.6 versus 227.6 ± 11.8 ml/kg; p < 0.01) reduction in ORS requirements in the Amylyte ORS treated group, the effect being greatest in children with severe dehydration (491.5 ± 108.5 versus 155.7 ± 27.3 ml/kg; p < 0.01) or high initial purging rates (394.2 ± 66.2 versus 316.8 ± 34.8 ml/kg; p < 0.05). In mild or moderate dehydration and low or moderate purgers, duration of diarrhea in children treated with Amylyte ORS was not reduced. A significant (p < 0.05) reduction in duration of diarrhea was found in children with severe dehydration (56.4 ± 1.8 versus 34.0 ± 5.6h) or high purging rates (51.5 ± 7.1 versus 38.2 ± 4.8 h). Significantly (p < 0.0001) greater weight gain (520.3 ± 48.5 g versus 228.5 ± 42.1 g) and percent gain in weight (4.8 ± 0.4% versus 2.3 ± 0.4%) were found in children given Amylyte ORS compared with those given WHO ORS. Amylyte ORS rehydrated children with acute diarrhea, reduced stool volume, duration of diarrhea and ORS requirements in children with severe dehydration or high initial purging rates, and improved weight gain. Amylyte ORS has the advantage of containing short polymers of glucose that provide over five times the calories per liter than the glucose‐based WHO ORS. Copyright © 1995, Wiley Blackwell. All rights reserved