Publications by authors named "Lapointe A"

. The current paper describes the creation of a simultaneous trimodal neuroimaging protocol. The authors detail their methodological design for a subsequent large-scale study, demonstrate the ability to obtain the expected physiologically induced responses across cerebrovascular domains, and describe the pitfalls experienced when developing this approach.

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Alphaviruses are globally distributed, vector-borne RNA viruses with high outbreak potential and no clinical interventions, posing a significant global health threat. Previously, the production and packaging of both viral capped and noncapped genomic RNAs (cgRNA and ncgRNA) during infection was reported. Studies have linked ncgRNA production to viral infectivity and pathogenesis, but its precise role remains unclear.

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  • - Pathogenic hantaviruses, carried by asymptomatic rodents worldwide, can spill over to humans causing severe diseases, but there are no approved treatments or vaccines available for these infections.
  • - Recent studies are exploring how these rodents can persistently host dangerous viruses without getting sick, focusing on two main ideas: muted immune responses in reservoir cells and the viruses' ability to evade immune detection.
  • - Research showed that while human cells respond robustly to hantavirus infections, rat endothelial cells do not activate antiviral responses when infected with their native hantavirus (SEOV), suggesting that efficient viral replication might help these cells avoid triggering immune defenses.
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Background: Consumption of locally produced foods is generally perceived as being part of a healthy dietary pattern. Accordingly, in 2020, the provincial government of Québec (Canada) promoted the purchase of local foods for economic and health benefits. The present cross-sectional study aimed to document the association between the behavior of local food procurement and overall diet quality in a sample of adults from the province of Québec.

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Background: This study explored a novel multimodal neuroimaging approach to assess neurovascular coupling (NVC) in humans using electroencephalography (EEG), functional near-infrared spectroscopy (fNIRS), and transcranial Doppler ultrasound (TCD).

Methods: Fifteen participants (nine females; age 19-32) completed concurrent EEG-fNIRS-TCD imaging during motor (finger tapping) and visual ("Where's Waldo?") tasks, with synchronized monitoring of blood pressure, capnography, and heart rate. fNIRS assessed microvascular oxygenation within the frontal, motor, parietal, and occipital cortices, while the middle and posterior cerebral arteries (MCA/PCA) were insonated using TCD.

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  • Compromised heart function and high pulmonary vascular resistance are common in neonates treated with therapeutic hypothermia for hypoxic-ischemic encephalopathy, but limited data exist on heart health post-NICU discharge.
  • An evaluation of 70 neonates showed those with initial abnormal aEEG profiles had significantly reduced right ventricular strain and contraction compared to those with normal aEEG, suggesting ongoing cardiac issues.
  • The findings stress the importance of long-term cardiovascular monitoring in these infants to better understand their health outcomes beyond their initial treatment.
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  • The study investigates the potential link between different types of central venous access (UVC vs. PICC) in preterm infants and the risk of developing necrotizing enterocolitis (NEC).
  • Researchers used data from the Canadian Neonatal Network to compare three groups of preterm infants based on their initial vascular access methods: those with PICC, UVC, and UVC followed by PICC, totaling 497 infants.
  • The findings showed no significant association between the type of central venous access and NEC, but the authors suggest that more comprehensive prospective studies are necessary to further assess this relationship.
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Recycling mixed polyolefin plastics is a significant challenge due to the limitations in sorting and degraded mechanical properties of blends. Nonreactive compatibilization by adding a small amount of polymeric additive is a widespread approach to restoring the performance and value of recycled plastics. Over the past several decades, synthetic advances have enabled access to low-cost copolymers and precision architectures for deepening the understanding of compatibilization mechanisms in semicrystalline polyolefins.

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  • Cardiac function is super important for kids with congenital diaphragmatic hernia (CDH), a condition affecting the diaphragm.
  • The heart can have problems working properly, which can affect both sides of the heart (right and left) in newborns and even before birth.
  • The text talks about how to check the heart, what treatments can help, and gives tips on how doctors can manage kids with CDH.
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Objectives: Tympanostomy tube insertion (TTI) under local anesthesia (LA) is gaining popularity but literature comparing long-term outcomes for children undergoing TTI under LA versus general anesthesia (GA) is limited. This study compares the long-term quality of life (QoL) between LA and GA in children undergoing TTI. Secondary objectives included long-term behavioral changes, parental satisfaction, tube durability, and postoperative complications.

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  • The study aimed to analyze how different shift-level nursing organizational factors impact the risk of nosocomial infections (NIs) in very preterm infants in NICUs.
  • Conducted from 2014 to 2018 across three tertiary NICUs in Quebec, the research included 1921 infants and used mixed-effect logistic regression to evaluate data on nursing overtime ratios (OTRs) and nursing provision ratios (NPRs).
  • Results showed that higher nursing overtime was linked to increased odds of NIs, while a higher number of actual nurses compared to recommended levels was associated with lower odds of NIs, indicating the importance of proper staffing in preventing infections.
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Herein, we report that (,)-prophenolMg(μ-OBu)(THF) ((,)-, prophenol = (,)-2,6-bis[2-(hydroxydiphenylmethyl)pyrrolidin-1-ylmethyl]-4-methylphenol) is a highly enantioselective (/ = 140) precatalyst for ring-opening polymerization of -β-butyrolactone (β-BL) to isotactic poly(3-hydroxybutyrate) (-PHB), a high performance, biodegradable polyester. Precatalyst (,)- polymerizes ()-β-BL with an inversion of stereochemistry to ()PHB with a % (percentage of adjacent linkages with a configuration) of 98% at 41% conversion and of 165 °C under a variety of conditions. Complex (,)- demonstrates unique polymerization kinetics, as it does not polymerize the preferred enantiomer, ()-β-BL, alone.

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Purpose: There is interest in using dual-energy computed tomography (DECT) to evaluate organ function before and after radiation therapy (RT). The purpose of this study (trial identifier: NCT04863027) is to assess longitudinal changes in lung perfusion using iodine maps derived from DECT in patients with lung cancer treated with conventional or stereotactic RT.

Methods And Materials: For 48 prospectively enrolled patients with lung cancer, a contrast-enhanced DECT using a dual-source CT simulator was acquired pretreatment and at 6 and 12 months posttreatment.

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Wearable technology and neuroimaging equipment using photoplethysmography (PPG) have become increasingly popularized in recent years. Several investigations deriving pulse rate variability (PRV) from PPG have demonstrated that a slight bias exists compared to concurrent heart rate variability (HRV) estimates. PPG devices commonly sample at ~20-100 Hz, where the minimum sampling frequency to derive valid PRV metrics is unknown.

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  • The study aims to investigate the link between maternal hypertension during pregnancy and neurodevelopmental impairment (NDI) in extremely preterm infants at 24 months of age.
  • Researchers analyzed data from two neonatal units, focusing on infants born between 23 and 28 weeks gestation, assessing outcomes related to maternal hypertension and small-for-gestational-age (SGA) status.
  • The findings revealed that infants exposed to maternal hypertension had significantly higher odds of developing any NDI and that the risk increased even more when combined with SGA conditions.
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  • The study aimed to investigate the relationship between different management strategies for patent ductus arteriosus (PDA) and neurodevelopmental impairment (NDI) in extremely preterm infants at 18-24 months.
  • Researchers conducted a retrospective analysis of infants born before 29 weeks from two units that employed distinct PDA treatment approaches: one aggressive and the other conservative.
  • Results showed similar rates of NDI across both groups, indicating that the management strategies for PDA did not significantly affect neurodevelopmental outcomes in these infants.
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Polyphosphates (polyP) are ubiquitous biomolecules that play a multitude of physiological roles in many cells. We have studied the presence and role of polyP in a unicellular alga, the freshwater diatom Achnanthidium minutissimum. This diatom stores up to 2.

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  • The study aimed to test the safety and feasibility of sildenafil in neonates with neonatal encephalopathy (NE) who were not responding well to therapeutic hypothermia (TH).
  • Conducted as a randomized, double-blind clinical trial, the research included 24 neonates, with 8 receiving sildenafil and 3 a placebo, examining outcomes like safety and brain recovery over 30 days and 18 months.
  • Results showed that sildenafil was generally safe, with some signs of brain recovery in treated neonates, but further research is needed to determine effective dosing and confirm these findings in larger trials.
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  • - The study aimed to analyze the costs and survival rates of extremely premature neonates (<28 weeks) in Canadian neonatal intensive care units (NICUs) from 2010 to 2021, focusing on their survival without major complications.
  • - A total of 8180 infants from seven sites were included, revealing an 85.3% survival rate to discharge or transfer, with considerable variation in costs per neonate, ranging from approximately $94,992 to $174,438 CAD.
  • - The findings showed significant differences in costs and survival rates across sites, indicating that while Canada has universal health care, this variation could highlight opportunities for improving outcomes and reducing expenses.
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Background: Sport-related concussion (SRC) has been shown to induce cerebral neurophysiological deficits, quantifiable with electroencephalography (EEG). As the adolescent brain is undergoing rapid neurodevelopment, it is fundamental to understand both the short- and long-term ramifications SRC may have on neuronal functioning. The current systematic review sought to amalgamate the literature regarding both acute/subacute (≤28 days) and chronic (>28 days) effects of SRC in adolescents via EEG and the diagnostic accuracy of this tool.

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Polyhydroxyalkanoates (PHAs), such as poly[()-3-hydroxybutyrates] [()-P3HB], are produced by bacteria and are promising alternatives to nondegradable polyolefin plastics, but their semicrystallinity and high melting points are only maintained at high tacticity, which are commonly seen in other semicrystalline polymers like isotactic polypropylene (PP). We herein report a class of synthetic PHAs, poly(3-hydroxy-2-methylbutyrate)s (PHMBs), that exhibit tacticity-independent semicrystallinity. The syndiotactic, isotactic, and even atactic PHMBs all share high melting points ( > 170 °C) and nearly identical crystal structures.

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  • The study aimed to evaluate the impact of inhaled nitric oxide (iNO) treatment on the neurodevelopmental outcomes of preterm neonates (born before 29 weeks) suffering from hypoxaemic respiratory failure.
  • Researchers analyzed data from neonates born between 2010 and 2018, comparing those who received iNO in their first week of life with those who did not, focusing on outcomes measured at 18-24 months corrected age.
  • The findings revealed that although the iNO group had more severe health issues and higher rates of complications, there was no significant difference in the likelihood of neurodevelopmental impairment among surviving infants treated with iNO compared to those not treated.
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  • The study aimed to explore how persistent pulmonary hypertension (PPHN) and oxygen levels impact the outcomes of newborns with neonatal encephalopathy (NE) receiving therapeutic hypothermia (TH).
  • Out of 384 neonates with NE treated with TH, 24% had PPHN, showing they needed higher oxygen levels initially and had lower oxygen levels in the first few days.
  • The presence of PPHN was linked to increased intubation rates, hypotension, higher mortality, and a greater risk of brain injuries among the affected neonates.
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Objective: Tympanostomy tube insertion (TTI) is typically accomplished under general anesthesia (GA) in the operating room. We aimed to compare pain between GA and local anesthesia (LA) in surgically naïve children undergoing TTI. Secondary objectives examined patient's quality of life (QoL) and parent's satisfaction.

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Medical Assistance in Dying (MAiD) is a complex process involving the person seeking care and their relatives. MAiD involves physical, psychosocial and spiritual needs, and consequently the involvement of an interdisciplinary team is beneficial. Therefore, updating the knowledge and skills of healthcare and social services professionals is critical.

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