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Loerbroks A, Tolksdorf S, Wagenmann M, Smith H. Food allergy knowledge and attitudes among restaurant staff in Germany. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- A Loerbroks
- Universität Düsseldorf, Institut für Arbeits-, Sozial- und Umweltmedizin, Düsseldorf, Deutschland
| | - S Tolksdorf
- Universität Düsseldorf, Institut für Arbeits-, Sozial- und Umweltmedizin, Düsseldorf, Deutschland
| | - M Wagenmann
- Universitätsklinikum Düsseldorf, Klinik für Hals-Nasen-Ohrenheilkunde, Düsseldorf, Deutschland
| | - H Smith
- Nanyang Technological University, Lee Kong Chian School of Medicine, Singapore, Singapur
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Zhang CJ, Wang C, Jiang M, Gu C, Xiao J, Chen X, Martin BN, Tang F, Yamamoto E, Xian Y, Wang H, Li F, Sartor RB, Smith H, Husni ME, Shi FD, Gao J, Carman J, Dongre A, McKarns SC, Coppieters K, Jørgensen TN, Leonard WJ, Li X. Act1 is a negative regulator in T and B cells via direct inhibition of STAT3. Nat Commun 2018; 9:2745. [PMID: 30013031 PMCID: PMC6048100 DOI: 10.1038/s41467-018-04974-3] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Accepted: 05/23/2018] [Indexed: 01/05/2023] Open
Abstract
Although Act1 (adaptor for IL-17 receptors) is necessary for IL-17-mediated inflammatory responses, Act1- (but not Il17ra-, Il17rc-, or Il17rb-) deficient mice develop spontaneous SLE- and Sjögren's-like diseases. Here, we show that Act1 functions as a negative regulator in T and B cells via direct inhibition of STAT3. Mass spectrometry analysis detected an Act1-STAT3 complex, deficiency of Act1 (but not Il17ra-, Il17rc-, or Il17rb) results in hyper IL-23- and IL-21-induced STAT3 activation in T and B cells, respectively. IL-23R deletion or blockade of IL-21 ameliorates SLE- and Sjögren's-like diseases in Act1-/- mice. Act1 deficiency results in hyperactivated follicular Th17 cells with elevated IL-21 expression, which promotes T-B cell interaction for B cell expansion and antibody production. Moreover, anti-IL-21 ameliorates the SLE- and Sjögren's-like diseases in Act1-deficient mice. Thus, IL-21 blocking antibody might be an effective therapy for treating SLE- and Sjögren's-like syndrome in patients containing Act1 mutation.
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MESH Headings
- Adaptor Proteins, Signal Transducing/deficiency
- Adaptor Proteins, Signal Transducing/genetics
- Adaptor Proteins, Signal Transducing/immunology
- Animals
- Antibodies, Monoclonal/pharmacology
- B-Lymphocytes/drug effects
- B-Lymphocytes/immunology
- B-Lymphocytes/pathology
- Cell Differentiation
- Disease Models, Animal
- Female
- Gene Expression Regulation
- Interleukin-17/genetics
- Interleukin-17/immunology
- Interleukins/antagonists & inhibitors
- Interleukins/genetics
- Interleukins/immunology
- Leukocytes, Mononuclear/drug effects
- Leukocytes, Mononuclear/immunology
- Leukocytes, Mononuclear/pathology
- Lupus Erythematosus, Systemic/drug therapy
- Lupus Erythematosus, Systemic/genetics
- Lupus Erythematosus, Systemic/immunology
- Lupus Erythematosus, Systemic/pathology
- Mice
- Mice, Inbred C57BL
- Mice, Knockout
- Primary Cell Culture
- Receptors, Interleukin/deficiency
- Receptors, Interleukin/genetics
- Receptors, Interleukin/immunology
- Receptors, Interleukin-17/deficiency
- Receptors, Interleukin-17/genetics
- Receptors, Interleukin-17/immunology
- STAT3 Transcription Factor/genetics
- STAT3 Transcription Factor/immunology
- Signal Transduction
- Sjogren's Syndrome/drug therapy
- Sjogren's Syndrome/genetics
- Sjogren's Syndrome/immunology
- Sjogren's Syndrome/pathology
- Spleen
- T-Lymphocytes/drug effects
- T-Lymphocytes/immunology
- T-Lymphocytes/pathology
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Affiliation(s)
- Cun-Jin Zhang
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
- Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, 300051, China
- Center for Neuroinflammation, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China
| | - Chenhui Wang
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
- Key Laboratory of Molecular Biophysics of the Ministry of Education, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, 430074, China
- Wuhan Institute of Biotechnology, Wuhan, 430200, China
| | - Meiling Jiang
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
- Institute of Radiation Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, 300192, China
| | - Chunfang Gu
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Jianxin Xiao
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Xing Chen
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Bradley N Martin
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Fangqiang Tang
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Erin Yamamoto
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Yibo Xian
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Han Wang
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Fengling Li
- National Gnotobiotic Rodent Resource Center, Department of Medicine and Center for Gastrointestinal Biology and Disease, University of North Carolina, Chapel Hill, NC, 27599, USA
| | - R Balfour Sartor
- National Gnotobiotic Rodent Resource Center, Department of Medicine and Center for Gastrointestinal Biology and Disease, University of North Carolina, Chapel Hill, NC, 27599, USA
- Department of Microbiology and Immunology, University of North Carolina, Chapel Hill, NC, 27599, USA
| | - Howard Smith
- Department of Rheumatologic and Immunologic Disease, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - M Elaine Husni
- Department of Rheumatologic and Immunologic Disease, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Fu-Dong Shi
- Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, 300051, China
- Center for Neuroinflammation, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China
- Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, 85013, USA
| | - Ji Gao
- Discovery Biology, Bristol-Myers Squibb, Princeton, NJ, 08540, USA
| | - Julie Carman
- Discovery Biology, Bristol-Myers Squibb, Princeton, NJ, 08540, USA
| | - Ashok Dongre
- Discovery Biology, Bristol-Myers Squibb, Princeton, NJ, 08540, USA
| | - Susan C McKarns
- Department of Surgery, University of Missouri School of Medicine, Columbia, MO, 65212, USA
- Department of Molecular Microbiology and Immunology, University of Missouri School of Medicine, Columbia, MO, 65212, USA
| | - Ken Coppieters
- Type 1 Diabetes Center, Novo Nordisk A/S, Søborg, 2860, Denmark
| | - Trine N Jørgensen
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA
| | - Warren J Leonard
- Laboratory of Molecular Immunology and the Immunology Center, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, 20892, USA
| | - Xiaoxia Li
- Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44106, USA.
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Dahly D, Li X, Smith H, Khashan A, Deirdre M, Kiely M. Associations between maternal lifestyle factors and neonatal body composition in the screening for pregnancy endpoints (CORK) cohort study. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Smith H, Paget J, Roulstone V, Mansfield D, Kyula-Currie J, McLaughlin M, Melcher A, Harrington K, Hayes A. PO-360 Vaccinia virus delivered by isolated limb perfusion combines with PD-1 blockade to prevent local and distant relapse in soft-tissue sarcoma. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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55
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Paget J, Mclaughlin M, Kyula J, Mansfield D, Smith H, Roulstone V, Melcher A, Somaiah N, Harrington K, Khan A. PO-121 Lentivirally-delivered ShRNA knockdown of CXCL12 prevents fibrosis in a rodent model of radiation late adverse effects. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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56
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McLaughlin M, Roulstone V, Kyula J, Smith H, Bergerhoff K, Pedersen M, Melcher A, Harrington K. PO-031 Sensitising P53 mutant HNSCC to oncolytic reovirus (RT3D) by targeting the unfolded protein response. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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57
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Smith H, Jacques K, Murphy R. 81 Yeast Cell Wall Mannan-Rich Fraction Reduces Growth and Enhances Antibiotic Sensitivity of Resistant ESBL-Producing E. coli. J Anim Sci 2018. [DOI: 10.1093/jas/sky073.079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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58
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Abstract
When a newspaper report claimed that a serious outbreak of skin disease had occurred in British Army troops stationed at the Bočac Dam, in western Bosnia, all troops at the Bočac Dam location (n=96), followed by a matched control group of troops (n=91) at a nearby location, were examined by two investigators. 14% of the study population and 21% of the control group were found to have skin disorders. Most were complaints that are commonly encountered in general medical practice. There was a striking absence of skin infestations. The historical consultation rate for skin disorders had not increased. It was concluded that an outbreak of skin disease had not occurred in British troops guarding the dam. This epidemiological study shows that, even under conditions of modern field hygiene, up to one in five soldiers will have skin disease. Skin infestations, however, have become progressively less common during military campaigns this century, probably because of better personal hygiene, good preventive medicine practices and better access to effective health care.
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Affiliation(s)
- A Croft
- Headquarters Multinational Division Southwest (Rear), Divulje Barracks, Spilt, Croatia
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59
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Abstract
The Royal College of Psychiatrists' consensus statement suggests that prescribing high dose antipsychotic medication in children and adolescents should rarely be necessary. Our objective was to study the prescribing of antipsychotic medication in a regional adolescent unit during a three-year period. We found that antipsychotic prescribing on this unit is common in psychotic disorders and often high closes are required. This is not in keeping with the recommendations of the consensus statement. Review of clinical practice on other adolescent units is needed, together with a more comprehensive evaluation of the outcome of psychotic disorders in this age group.
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60
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Smith H, Horney D, Jones C, Goubet S, Mukhopadhyay S, Frew A. Pragmatic randomized controlled trial of an allergy intervention for children aged 6-16 with asthma and rhinitis in general practice. Clin Exp Allergy 2017; 46:1227-35. [PMID: 27438431 DOI: 10.1111/cea.12781] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Revised: 07/11/2016] [Accepted: 07/18/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND It is widely believed that for allergic rhinitis and asthma, avoidance of specific triggers can improve symptom control. Whilst many children with asthma or rhinitis are sensitized to airborne allergens, primary care diagnostic and management decisions are often made without a detailed history of the allergic triggers or allergy testing. Thus, treatment decisions are empirical and allergen avoidance advice is either not given or, if given, not tailored to the child's sensitivities. OBJECTIVE To ascertain whether allergy assessment and tailored advice in general practice enhances outcomes of children with asthma and rhinitis. METHOD Pragmatic RCT of allergy intervention (structured allergy history, skin prick testing and appropriate allergy avoidance advice) vs. usual care in children with asthma and/or rhinoconjunctivitis. A blinded observer assessed outcomes at 12 months. Main outcome measures were symptom scores and disease-specific health-related QoL. Secondary outcomes were healthcare utilization, days unable to pursue usual activities and self-rated improvement. RESULTS A total of 335 participants were randomized to formal allergy assessment or normal care. There were no differences in participants' demographic or clinical characteristics at baseline (all P > 0.05). At 12 months, participants receiving the allergy intervention had fewer rhinitis symptoms (MD - 3.14, 95% CI - 6.01, - 0.81) and an improvement in QoL (MD - 0.50, 95% CI 0.32, 0.68). There were no significant changes in asthma symptoms, healthcare utilization or number of days unable to pursue usual activities. CONCLUSION Amongst children with known asthma and/or rhinitis in primary care, taking a structured allergy history with skin prick testing and tailored advice on allergy avoidance resulted in reduced symptoms of rhinitis and improved QoL.
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Affiliation(s)
- H Smith
- Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK
| | - D Horney
- Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK
| | - C Jones
- Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK
| | - S Goubet
- Clinical Investigation Research Unit, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
| | - S Mukhopadhyay
- Department of Paediatrics, Brighton and Sussex Medical School, Brighton, UK
| | - A Frew
- Department of Allergy & Respiratory Medicine, Royal Sussex County Hospital, Brighton, UK
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61
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Borucinska JD, Morka D, Grabowski Z, Smith H. A follow-up study of selected biomarkers of health in cod Gadus morhua L. collected from the southern Baltic off the Polish coast. J Fish Dis 2017; 40:1883-1894. [PMID: 28661024 DOI: 10.1111/jfd.12663] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Accepted: 04/28/2017] [Indexed: 06/07/2023]
Abstract
Selected biomarkers of health were examined in 50 post-spawning cod Gadus morhua collected in November 2015 from the southern Baltic. The biomarkers included condition factor (CF), macroscopic lesions, histopathology of spleen, liver and gonads, and morphometry of follicular atresia and hepatic and splenic melanomacrophage cells (MMC). All fish appeared in good body condition. One fish had a dermal ulcer, and in seven, macroscopic nematodes were noted within body cavity. Microscopic lesions in the liver included biliary myxozoanosis, microsporidial and necrocentric granulomas, parasitic hepatitis, multifocal necrosis, foci of cellular alterations, spongiosis, peliosis and cytoplasmic fibrillar inclusions. The spleen and gonads had microsporidial and/or necrocentric granulomas. Some of the biomarkers showed differences as compared to spawning cod collected in May from the same location in 2012, most importantly values an order of magnitude lower for splenic MMC in post-spawning fish. In post-spawning fish, there were statistically significant correlations between MMC, CF, follicular atresia, parasitic hepatitis and microsporidiosis. This is the first comparison of biomarkers of health in post-spawning and spawning Baltic cod. Future studies need to examine the relationships of biomarkers to levels of pollutants in the environment and in tissues of cod.
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Affiliation(s)
- J D Borucinska
- Department of Biology, University of Hartford, West Hartford, CT, USA
| | - D Morka
- Department of Mathematics and Natural Sciences, Pomeranian University, Slupsk, Poland
| | - Z Grabowski
- School of the Environment, Portland State University, Portland, OR, USA
| | - H Smith
- Department of Biology, University of Hartford, West Hartford, CT, USA
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62
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Affiliation(s)
- F. Andersson
- Chalmers University of Technology, Department of Electromagnetics SE-412 96 Göteborg, Sweden and EURATOM-VR Association, SE-412 96 Göteborg, Sweden
| | - H. Smith
- Chalmers University of Technology, Department of Electromagnetics SE-412 96 Göteborg, Sweden and EURATOM-VR Association, SE-412 96 Göteborg, Sweden
| | - D. Anderson
- Chalmers University of Technology, Department of Electromagnetics SE-412 96 Göteborg, Sweden and EURATOM-VR Association, SE-412 96 Göteborg, Sweden
| | - M. Lisak
- Chalmers University of Technology, Department of Electromagnetics SE-412 96 Göteborg, Sweden and EURATOM-VR Association, SE-412 96 Göteborg, Sweden
| | - P. Helander
- EURATOM/UKAEA Fusion Association, Culham Science Centre Abingdon, Oxfordshire OX14 3DB, United Kingdom
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63
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Brock K, Billingham C, Llewellyn L, Smith H, McNab G, Middleton G. 165: PePS2: Pembrolizumab in Performance Status 2 non-small-cell lung cancer. Lung Cancer 2017. [DOI: 10.1016/s0169-5002(17)30215-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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64
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Smith H. Questioning Copernican Mediocrity. Amer Scientist 2017. [DOI: 10.1511/2017.105.4.232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Abstract
This study measured levels of psychological distress among a sample of Irish occupational therapy students. Students from all four undergraduate classes (n=102) were surveyed, using the General Health Questionnaire (GHQ-28). Over 40% of the students scored as having a ‘just significant clinical disturbance’ on the GHQ-28. Mean GHQ scores (or symptom levels) varied throughout the 4-year course and were highest just before examinations and during fieldwork placements. Students who had unhealthy diets or who smoked had significantly higher levels of psychiatric symptomatology. The prevalence of psychological distress among occupational therapy students was similar to that found in students from four other disciplines; however, the university students had much higher levels of symptomatology than the non-university peer group. The article concludes with some suggestions for dealing with stressful aspects of professional education and some recommendations for further research.
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66
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Guo M, Smith H, Ouzounian M, Boodhwani M, Gregory A, Herget E, Saczkowski R, Appoo J. HOW ROBUST ARE THE NATURAL HISTORY DATA OF ASCENDING AORTIC ANEURYSM? A SYSTEMATIC REVIEW AND FAILED META-ANALYSIS. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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67
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Abstract
Bone metastases represent the most common etiology of pain for patients with advanced cancer. In the United States, the most common treatment for pain caused by bone metastases in late-stage cancer cases is external beam radiotherapy in conjunction with opioids. An alternative or adjuvant to external radiotherapy is intravenous radiopharmaceutical treatment. This review explores the pros and cons of different radiopharmaceutical options, their advantages over traditional external beam radiotherapy, and the conditions for optimal efficacy.
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Affiliation(s)
- Howard Smith
- Division of Pain Management, Department of Anesthesiology, Albany Medical College, Albany, New York, USA
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69
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Affiliation(s)
- J. A. Owen
- Biochemistry Department, St. Vincent's Hospital, Melbourne
| | - R. Podanyi
- Biochemistry Department, St. Vincent's Hospital, Melbourne
| | - H. Smith
- Biochemistry Department, St. Vincent's Hospital, Melbourne
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70
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Warren B, Royall N, Smith H, Bhullar IS. Novel Treatment of Acute Respiratory Distress Syndrome after Chlorine Gas Inhalation Injury. Am Surg 2016; 82:e219-e220. [PMID: 27657575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Brittany Warren
- Department of Surgery, Orlando Regional Medical Center, Orlando, Florida, USA
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71
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Loudon A, Mattes M, Smith H, Harrera L, Bhullar IS. Survival of Left Chest and Mediastinal Impalement with a Fence Post. Am Surg 2016. [DOI: 10.1177/000313481608200821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Andrew Loudon
- Department of Surgery Orlando Regional Medical Center Orlando, Florida
| | - Monica Mattes
- University of Central Florida Medical School Orlando, Florida
| | - Howard Smith
- Department of Surgery Orlando Regional Medical Center Orlando, Florida
| | - Luis Harrera
- Department of Surgery Orlando Regional Medical Center Orlando, Florida
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72
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Affiliation(s)
- Brittany Warren
- Department of Surgery Orlando Regional Medical Center Orlando, Florida
| | - Nelson Royall
- Department of Surgery Orlando Regional Medical Center Orlando, Florida
| | - Howard Smith
- Department of Surgery Orlando Regional Medical Center Orlando, Florida
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Loudon A, Mattes M, Smith H, Harrera L, Bhullar IS. Survival of Left Chest and Mediastinal Impalement with a Fence Post. Am Surg 2016; 82:e225-e226. [PMID: 27657578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Andrew Loudon
- Department of Surgery, Orlando Regional Medical Center, Orlando, Florida, USA
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Barua S, Hng TM, Smith H, Bradford J, McLean M. Ovulatory disorders are an independent risk factor for pregnancy complications in women receiving assisted reproduction treatments. Aust N Z J Obstet Gynaecol 2016; 57:286-293. [PMID: 27396715 DOI: 10.1111/ajo.12494] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Accepted: 05/23/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Conception using assisted reproduction treatments (ART) has been associated with an increased risk of pregnancy complications. It is uncertain if this is caused by ART directly, or is an association of the underlying factors causing infertility. AIMS We assessed the relationship between assisted conception (AC) and maternal or fetal complications in a large retrospective cohort study. In a nested cohort of women receiving infertility treatment, we determined if such risk rests predominantly with certain causes of infertility. MATERIALS AND METHODS Retrospective database analysis of 50 381 women delivering a singleton pregnancy in four public hospital obstetric units in western Sydney, and a nested cohort of 508 women receiving ART at a single fertility centre, in whom the cause of infertility was known. RESULTS A total of 1727 pregnancies followed AC; 48 654 were spontaneous conceptions. Adjusted for age, body mass index and smoking, AC was associated with increased risk of preterm delivery (OR 1.73, 95% CI 1.50-2.02), hypertension (OR 1.55, 95% CI 1.34-1.82) and diabetes (OR 1.51, 95% CI 1.30-1.75). In the nested cohort, ovulatory dysfunction was present in 145 women and 336 had infertility despite normal ovulatory function. Ovulatory dysfunction was associated with increased risk of diabetes (OR 2.94, 95% CI 1.72-5.02) and hypertension (OR 2.40, 95% CI 1.15-5.00) compared to women with normal ovulatory function. CONCLUSIONS Assisted conception is associated with increased risk of pregnancy complications. This risk appears greatest for women whose underlying infertility involves ovulatory dysfunction. Such disorders probably predispose towards diabetes and hypertension, which is then exacerbated by pregnancy.
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Affiliation(s)
- Sumita Barua
- Westmead Hospital, Westmead, NSW, Australia.,School of Medicine, Western Sydney University, Campbelltown, Australia
| | | | | | | | - Mark McLean
- School of Medicine, Western Sydney University, Campbelltown, Australia.,Blacktown Hospital, Blacktown, NSW, Australia
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75
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Abstract
Recent studies of computer-based information-handling by scientists have tended to look at such activities across all the sciences. This is true, in particular, of the recent detailed Royal Society (RS)/British Library (BL)/Association of Learned and Professional Society Publishers (ALPSP) survey. The present study aims to complement these by concentrating on the biological sciences only. It surveys the usage of information technology and related factors by researchers at four institutions - an agricultural faculty, a university school of biology, a government research estab lishment and a pharmaceutical laboratory.
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76
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Zayer A, Smith H, Pillai M, Sekirnik R, Zak J, Lu X, Schofield C, Bix M, Ratcliffe P, Coleman M. Tumour suppression by a protein hydroxylase. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)61319-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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77
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Cardan R, Popple R, Smith H, Fiveash J. SU-F-T-101: Insight into Dosimetry Workload and Planning Timelines: A 6 Year Review at One Institution. Med Phys 2016. [DOI: 10.1118/1.4956237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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78
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Nisar M, Dean A, Laxminarayan R, Arthanari S, Nutland H, Smith H. AB1094-HPR Development of A Patient Reported Self-Assessment Tool for Rheumatology Patients:. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.4670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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79
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Nutland H, Dean A, Nisar M, Laxminarayan R, Smith H, Arthanari S. FRI0622-HPR A New Patient Reported Tool in The Assessment of Physiotherapy for Patients with Knee Osteoarthritis. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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80
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Cobb SP, Smith H. The spread of non-OIE-listed avian diseases through international trade of chicken meat: an assessment of the risks to New Zealand. REV SCI TECH OIE 2016; 34:795-812. [PMID: 27044152 DOI: 10.20506/rst.34.3.2396] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Twelve avian diseases are listed by the World Organisation for Animal Health (OIE), although more than 100 infectious diseases have been described in commercial poultry. This article summarises a recent assessment of the biosecurity risks posed by non-listed avian diseases associated with imports of chilled or frozen chicken meat and meat products into New Zealand. Following the guidelines described in Chapter 2.1 of the OIE Terrestrial Animal Health Code, avian adenovirus splenomegaly virus, avian paramyxovirus-2 (APMV-2), Bordetella avium, Mycoplasma spp., Ureaplasma spp., Ornithobacterium rhinotracheale, Riemerella anatipestifer, and Salmonella arizonae have been identified as hazards. However, of all the non-listed avian diseases discussed here, only APMV-2 and S. arizonae are assessed as being risks associated with the commercial import of chicken meat into New Zealand. Specific control measures may have to be implemented to mitigate such risks. This conclusion is likely to reflect both the high-health status of New Zealand poultry and the threat posed by these infectious agents to New Zealand's unique population of native psittacine species.
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81
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Shabir S, Smith H, Kaul B, Pachnio A, Jham S, Kuravi S, Ball S, Chand S, Moss P, Harper L, Borrows R. Cytomegalovirus-Associated CD4(+) CD28(null) Cells in NKG2D-Dependent Glomerular Endothelial Injury and Kidney Allograft Dysfunction. Am J Transplant 2016; 16:1113-28. [PMID: 26603521 DOI: 10.1111/ajt.13614] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Revised: 09/17/2015] [Accepted: 09/17/2015] [Indexed: 01/25/2023]
Abstract
Emerging data suggest that expansion of a circulating population of atypical, cytotoxic CD4(+) T cells lacking costimulatory CD28 (CD4(+) CD28(null) cells) is associated with latent cytomegalovirus (CMV) infection. The purpose of the current study was to increase the understanding of the relevance of these cells in 100 unselected kidney transplant recipients followed prospectively for a median of 54 months. Multicolor flow cytometry of peripheral blood mononuclear cells before transplantation and serially posttransplantation was undertaken. CD4(+) CD28(null) cells were found predominantly in CMV-seropositive patients and expanded in the posttransplantation period. These cells were predominantly effector-memory phenotype and expressed markers of endothelial homing (CX3CR1) and cytotoxicity (NKG2D and perforin). Isolated CD4(+) CD27(-) CD28(null) cells proliferated in response to peripheral blood mononuclear cells previously exposed to CMV-derived (but not HLA-derived) antigens and following such priming incubation with glomerular endothelium resulted in signs of endothelial damage and apoptosis (release of fractalkine and von Willebrand factor; increased caspase 3 expression). This effect was mitigated by NKG2D-blocking antibody. Increased CD4(+) CD28(null) cell frequencies were associated with delayed graft function and lower estimated glomerular filtration rate at end follow-up. This study suggests an important role for this atypical cytotoxic CD4(+) CD28(null) cell subset in kidney transplantation and points to strategies that may minimize the impact on clinical outcomes.
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Affiliation(s)
- S Shabir
- Department of Nephrology and Kidney Transplantation, Queen Elizabeth Hospital Birmingham, Birmingham, UK.,Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK
| | - H Smith
- Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK
| | - B Kaul
- Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK.,School of Cancer Sciences, University of Birmingham, Birmingham, UK
| | - A Pachnio
- School of Cancer Sciences, University of Birmingham, Birmingham, UK
| | - S Jham
- Department of Nephrology and Kidney Transplantation, Queen Elizabeth Hospital Birmingham, Birmingham, UK.,Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK
| | - S Kuravi
- Clinical and Experimental Medicine, University of Birmingham, Birmingham, UK
| | - S Ball
- Department of Nephrology and Kidney Transplantation, Queen Elizabeth Hospital Birmingham, Birmingham, UK.,Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK
| | - S Chand
- Department of Nephrology and Kidney Transplantation, Queen Elizabeth Hospital Birmingham, Birmingham, UK.,Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK
| | - P Moss
- School of Cancer Sciences, University of Birmingham, Birmingham, UK
| | - L Harper
- Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK
| | - R Borrows
- Department of Nephrology and Kidney Transplantation, Queen Elizabeth Hospital Birmingham, Birmingham, UK.,Centre for Translational Inflammation Research, University of Birmingham, Birmingham, UK
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82
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Meattini I, Livi L, Bastiani P, Scotti V, Paoletti L, De Luca Cardillo C, Barca R, Greto D, Martella F, Simontacchi G, Tinacci G, Nori J, Smith H, Sanchez L, Galli L, Orzalesi L, Fondelli S, Bianchi S, Rossi F. EP-1156: Radiotherapy for ductal carcinoma in situ: patterns of recurrence and risk factors stratification. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32406-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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83
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Jamal KN, Smith H, Ratnasingham K, Siddiqui MR, McLachlan G, Belgaumkar AP. Meta-analysis of the diagnostic accuracy of laparoscopic ultrasonography and intraoperative cholangiography in detection of common bile duct stones. Ann R Coll Surg Engl 2016; 98:244-9. [PMID: 26985813 PMCID: PMC5226022 DOI: 10.1308/rcsann.2016.0068] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Introduction During laparoscopic cholecystectomy, intraoperative cholangiography (IOC) is currently regarded as the gold standard in the detection of choledocholithiasis. Laparoscopic ultrasonography (LUS) is an attractive alternative with several potential advantages. Methods A systematic review was undertaken of the published literature comparing LUS with IOC in the assessment of common bile duct (CBD) stones. Results Twenty-one comparative studies were analysed. There were 4,566 patients in the IOC group and 5,044 in the LUS group. The combined sensitivity and specificity of IOC in the detection of CBD stones were 0.87 (95% confidence interval [CI]: 0.83-0.89) and 0.98 (95% CI: 0.98-0.98) respectively with a pooled area under the curve (AUC) of 0.985 and a diagnostic odds ratio (OR) of 260.65 (95% CI: 160.44-423.45). This compares with a sensitivity and specificity for LUS of 0.90 (95% CI: 0.87-0.92) and 0.99 (95% CI: 0.99-0.99) respectively with a pooled AUC of 0.982 and a diagnostic OR of 765.15 (95% CI: 450.78-1,298.76). LUS appeared to be more successful in terms of coming to a clinical decision regarding CBD stones than IOC (random effects, risk ratio: 0.95, 95% CI: 0.93-0.98, df=20, z=-3.7, p<0.005). Furthermore, LUS took less time (random effects, standardised mean difference: 0.95, 95% CI: 0.93-0.98, df=20, z=-3.7, p<0.005). Conclusions LUS is comparable with IOC in the detection of CBD stones. The main advantages of LUS are that it does not involve ionising radiation, is quicker to perform, has a lower failure rate and can be repeated during the procedure as required.
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Affiliation(s)
- K N Jamal
- Epsom and St Helier University Hospitals NHS Trust , UK
| | - H Smith
- Epsom and St Helier University Hospitals NHS Trust , UK
| | | | | | - G McLachlan
- Royal Surrey County Hospital NHS Foundation Trust , UK
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84
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Smith H, Frère C, Kobryn H, Bejder L. Dolphin sociality, distribution and calving as important behavioural patterns informing management. Anim Conserv 2016. [DOI: 10.1111/acv.12263] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- H. Smith
- Cetacean Research Unit; School of Veterinary and Life Sciences; Murdoch University; Perth WA Australia
- Marine Science Program, Parks and Wildlife; Kensington, Perth WA Australia
| | - C. Frère
- GeneCology Research Centre; University of the Sunshine Coast; Maroochydore DC Qld Australia
| | - H. Kobryn
- Environmental and Conservation Sciences; School of Veterinary and Life Sciences; Murdoch University; Perth WA Australia
| | - L. Bejder
- Cetacean Research Unit; School of Veterinary and Life Sciences; Murdoch University; Perth WA Australia
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85
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Smith H, Szczepura K, Mercer C, Maxwell A, Hogg P. Does elevating image receptor increase breast receptor footprint and improve pressure balance? Radiography (Lond) 2015. [DOI: 10.1016/j.radi.2015.02.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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86
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Palermo G, Maisel D, Barrett M, Smith H, Duchateau-Nguyen G, Nguyen T, Yeh RF, Dufour A, Robak T, Dornan D, Weisser M. Gene expression of INPP5F as an independent prognostic marker in fludarabine-based therapy of chronic lymphocytic leukemia. Blood Cancer J 2015; 5:e353. [PMID: 26430724 PMCID: PMC4635191 DOI: 10.1038/bcj.2015.82] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2015] [Revised: 07/24/2015] [Accepted: 08/10/2015] [Indexed: 01/30/2023] Open
Abstract
Chronic lymphocytic leukemia (CLL) is a heterogeneous disease. Various disease-related and patient-related factors have been shown to influence the course of the disease. The aim of this study was to identify novel biomarkers of significant clinical relevance. Pretreatment CD19-separated lymphocytes (n=237; discovery set) and peripheral blood mononuclear cells (n=92; validation set) from the REACH trial, a randomized phase III trial in relapsed CLL comparing rituximab plus fludarabine plus cyclophosphamide with fludarabine plus cyclophosphamide alone, underwent gene expression profiling. By using Cox regression survival analysis on the discovery set, we identified inositol polyphosphate-5-phosphatase F (INPP5F) as a prognostic factor for progression-free survival (P<0.001; hazard ratio (HR), 1.63; 95% confidence interval (CI), 1.35–1.98) and overall survival (P<0.001; HR, 1.47; 95% CI, 1.18–1.84), regardless of adjusting for known prognostic factors. These findings were confirmed on the validation set, suggesting that INPP5F may serve as a novel, easy-to-assess future prognostic biomarker for fludarabine-based therapy in CLL.
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Affiliation(s)
- G Palermo
- Roche Pharma Research and Early Development, Innovation Center, Basel, Switzerland
| | - D Maisel
- Roche Pharma Research and Early Development, Innovation Center, Penzberg, Germany
| | - M Barrett
- Hoffman-La Roche Pharmaceuticals Ltd, Welwyn, UK
| | - H Smith
- Hoffman-La Roche Ltd, Basel, Switzerland
| | - G Duchateau-Nguyen
- Roche Pharma Research and Early Development, Innovation Center, Basel, Switzerland
| | - T Nguyen
- Roche Pharma Research and Early Development, Innovation Center, Basel, Switzerland
| | - R-F Yeh
- Biostatistics, Genentech, Inc., South San Francisco, CA, USA
| | - A Dufour
- Laboratory for Leukemia Diagnostics, Klinikum Grosshadern, Ludwig Maximilians University, Munich, Germany
| | - T Robak
- Department of Haematology, Medical University, Lodz, Poland, South San Francisco, CA, USA
| | - D Dornan
- Research Oncology Diagnostics, Genentech, Inc., South San Francisco, CA, USA
| | - M Weisser
- Roche Pharma Research and Early Development, Innovation Center, Penzberg, Germany
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87
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Smith H, Cartwright J, Wilkinson M, Hayes A. 3428 Isolated limb perfusion (ILP) with melphalan and tumour necrosis factor a (TNFa) for locally advanced soft tissue tumours of the extremities. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31901-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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88
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Smith H, Hannay J, Thway K, Smith M, Strauss D, Hayes A. 3429 The surgical management of elastofibromas. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31902-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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89
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Smith H, Panchalingam D, Hannay J, Smith M, Thomas J, Hayes A, Strauss D. 3422 Outcomes following multi-visceral resection of retroperitoneal sarcomas (RPS). Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31896-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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90
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Shabir S, Girdlestone J, Briggs D, Kaul B, Smith H, Daga S, Chand S, Jham S, Navarrete C, Harper L, Ball S, Borrows R. Transitional B lymphocytes are associated with protection from kidney allograft rejection: a prospective study. Am J Transplant 2015; 15:1384-91. [PMID: 25808898 DOI: 10.1111/ajt.13122] [Citation(s) in RCA: 82] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Revised: 10/27/2014] [Accepted: 10/28/2014] [Indexed: 01/25/2023]
Abstract
Recent cross-sectional studies suggest an important role for transitional B lymphocytes (CD19 + CD24hiCD38hi) in promoting transplant tolerance, and protecting from late antibody-mediated rejection (ABMR). However, prospective studies are lacking. This study enrolled 73 de novo transplant recipients, and collected serial clinical, immunological and biochemical information over 48 ± 6 months. Cell phenotyping was conducted immediately prior to transplantation, and then on five occasions during the first year posttransplantation. When modeled as a time-dependent covariate, transitional B cell frequencies (but not total B cells or "regulatory" T cells) were associated with protection from acute rejection (any Banff grade; HR: 0.60; 95% CI: 0.37-0.95; p = 0.03). No association between transitional B cell proportions and either de novo donor-specific or nondonor-specific antibody (dnDSA; dnNDSA) formation was evident, although preserved transitional B cell proportions were associated with reduced rejection rates in those patients developing dnDSA. Three episodes of ABMR occurred, all in the context of nonadherence, and all associated with in vitro anti-HLA T cell responses in an ELISPOT assay (p = 0.008 versus antibody-positive patients not experiencing ABMR). This prospective study supports the potential relevance of transitional ("regulatory") B cells as a biomarker and therapeutic intervention in transplantation, and highlights relationships between humoral immunity, cellular immunity and nonadherence.
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Affiliation(s)
- S Shabir
- Department of Nephrology and Kidney Transplantation, Queen Elizabeth Hospital Birmingham, UK; Centre for Translational Inflammation Research, University of Birmingham, UK
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91
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D�Amico G, Zanussi C, Carbonara A, D�Amelio R, Smith H, Donadio JV, Pirani C. Discussion. Contributions to Nephrology 2015. [DOI: 10.1159/000410464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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92
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Smith H, Horney D, Goubet S, Jones C, Raza A, White P, Frew A. Pragmatic randomized controlled trial of a structured allergy intervention for adults with asthma and rhinitis in general practice. Allergy 2015; 70:203-11. [PMID: 25421272 DOI: 10.1111/all.12550] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/19/2014] [Indexed: 11/27/2022]
Abstract
BACKGROUND It is widely believed that in patients with allergic rhinitis and asthma, avoidance of specific triggers can help improve symptom control and reduce need for medication. Whilst most patients with asthma or rhinitis are sensitized to airborne allergens, primary care diagnostic and management decisions are often made without either obtaining a detailed history of the patient's allergic triggers or performing skin prick tests. Thus, management decisions are empirical and allergen avoidance advice is either not given or, if given, not tailored to the patient's sensitivities. METHOD To ascertain whether allergy assessment and tailored advice in general practice for patients with asthma and rhinitis enhance well-being, we conducted a pragmatic, open, randomized controlled trial of allergy intervention (structured allergy history and skin prick testing and appropriate advice on allergy avoidance) versus usual care in adult patients with a working diagnosis of asthma and/or rhino-conjunctivitis. Outcomes were assessed after 12 months by an observer who was blinded to allocation. The main outcome measures were asthma and rhinitis symptoms, disease-specific health-related quality of life, generic quality of life and lung function. RESULTS There were no significant differences in baseline demographics or disease characteristics between patients assigned to immediate or delayed skin prick testing. No significant differences were observed between groups for any measures of symptoms, quality of life or lung function at 12 months (all P > 0.05). CONCLUSION Amongst adults with known asthma and/or rhinitis in primary care, taking a structured allergy history with skin prick tests and giving tailored advice on allergy avoidance made no difference to their symptoms, quality of life or lung function as measured twelve months later.
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Affiliation(s)
- H. Smith
- Division of Primary Care and Public Health; Brighton and Sussex Medical School; Brighton UK
| | - D. Horney
- Division of Primary Care and Public Health; Brighton and Sussex Medical School; Brighton UK
| | - S. Goubet
- Clinical Investigation Research Unit; Brighton and Sussex University Hospitals NHS Trust; Brighton UK
| | - C. Jones
- Division of Primary Care and Public Health; Brighton and Sussex Medical School; Brighton UK
| | - A. Raza
- Division of Medical Education; Brighton and Sussex Medical School; Brighton UK
| | | | - A. Frew
- Brighton and Sussex University Hospitals NHS Trust; Brighton UK
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93
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Kruse‐Jarres R, St‐Louis J, Greist A, Shapiro A, Smith H, Chowdary P, Drebes A, Gomperts E, Bourgeois C, Mo M, Novack A, Farin H, Ewenstein B. Efficacy and safety ofOBI‐1, an antihaemophilic factorVIII(recombinant), porcine sequence, in subjects with acquired haemophilia A. Haemophilia 2015; 21:162-170. [DOI: 10.1111/hae.12627] [Citation(s) in RCA: 114] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/02/2015] [Indexed: 11/28/2022]
Affiliation(s)
- R. Kruse‐Jarres
- Section of Hematology/Oncology Tulane University New Orleans LA USA
| | - J. St‐Louis
- Division of Hematology Hôpital Maisonneuve‐Rosemont University of Montreal Montreal QC Canada
| | - A. Greist
- Indiana Hemophilia and Thrombosis Center Indianapolis IN USA
| | - A. Shapiro
- Indiana Hemophilia and Thrombosis Center Indianapolis IN USA
| | - H. Smith
- Division of Hematology/Oncology Tufts New England Medical Center Boston MA USA
| | - P. Chowdary
- Katharine Dormandy Haemophilia Centre and Thrombosis Unit Royal Free Hospital London UK
| | - A. Drebes
- Katharine Dormandy Haemophilia Centre and Thrombosis Unit Royal Free Hospital London UK
| | - E. Gomperts
- Division of Hematology/Oncology Children's Hospital of Los Angeles Los Angeles CA USA
| | | | - M. Mo
- Baxter Healthcare Westlake Village CA USA
| | - A. Novack
- Baxter Healthcare Westlake Village CA USA
| | - H. Farin
- Baxter Healthcare Westlake Village CA USA
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94
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Rose A, Maric G, Annis M, Smith H, Muller W, Siegel P. 51 Development of rational combination therapy strategies to optimize treatment for GPNMB expressing Her2+ and triple negative breast cancer. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)70177-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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95
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Smith H, Guillory S, Blaser E, Kaldy Z. Resistance to distraction in visual search in 2-year-old toddlers with and without Autism Spectrum Disorder (ASD). J Vis 2014. [DOI: 10.1167/14.10.680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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96
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Ritchie S, Smith H, Mackie R, Jones J, Jones G. 81 * GAIT VELOCITY IN A COGNITIVELY IMPAIRED POPULATION DURING AN ACUTE HOSPITAL ADMISSION. Age Ageing 2014. [DOI: 10.1093/ageing/afu038.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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97
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Smith H, Nicholls CPJ, Djuma S, Whyte A, Amin A, Brown H, Lawrence S, Jones J. 32 * IMPROVING THE ELECTRONIC DISCHARGE LETTER (EDL) ON AN OLDER PERSONS' UNIT. Age Ageing 2014. [DOI: 10.1093/ageing/afu036.32] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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98
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99
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Smith H, Fox G, Khan I, Acomb C, Laverty U. 30 * REVIEW OF PATIENTS RE-ADMITTED POST IMPACT PHARMACIST INTERVENTION DESIGNED TO REDUCE MEDICINES-RELATED RE-ADMISSIONS. Age Ageing 2014. [DOI: 10.1093/ageing/afu036.30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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100
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Parmar VK, Gee L, Smith H, Pilitsis JG. Supraspinal stimulation for treatment of refractory pain. Clin Neurol Neurosurg 2014; 123:155-63. [PMID: 24956545 DOI: 10.1016/j.clineuro.2014.05.026] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2013] [Revised: 05/21/2014] [Accepted: 05/29/2014] [Indexed: 10/25/2022]
Abstract
Refractory pain syndromes often have far reaching effects and are quite a challenge for primary care providers and specialists alike to treat. With the help of site-specific neuromodulation and appropriate patient selection these difficult to treat pain syndromes may be managed. In this article, we focus on supraspinal stimulation (SSS) for treatment of intractable pain and discuss off-label uses of deep brain stimulation (DBS) and motor cortex stimulation (MCS) in context to emerging indications in neuromodulation. Consideration for neuromodulatory treatment begins with rigorous patient selection based on exhaustive conservative management, elimination of secondary gains, and a proper psychology evaluation. Trial stimulation prior to DBS is nearly always performed while trial stimulation prior to MCS surgery is symptom dependent. Overall, a review of the literature demonstrates that DBS should be considered for refractory conditions including nociceptive/neuropathic pain, phantom limb pain, and chronic cluster headache (CCH). MCS should be considered primarily for trigeminal neuropathic pain (TNP) and central pain. DBS outcome studies for post-stroke pain as well as MCS studies for complex regional pain syndrome (CRPS) show more modest results and are also discussed in detail.
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Affiliation(s)
- V K Parmar
- Division of Neurosurgery, Albany Medical College, Albany, NY 12208, USA
| | - L Gee
- Division of Neurosurgery, Albany Medical College, Albany, NY 12208, USA
| | - H Smith
- Department of Anesthesia, Albany Medical College, Albany, NY 12208, USA
| | - J G Pilitsis
- Division of Neurosurgery, Albany Medical College, Albany, NY 12208, USA; Center for Neuropharmacology and Neuroscience, Albany Medical College, Albany NY 12208, USA.
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