51
|
Long S, Mu XD, Zhang C, Su L, Jia P, Zhou PN, Wang GF. [Epidemiological characteristics of Pneumocystis jirovecii infection and colonization in non-AIDS patients]. Zhonghua Yi Xue Za Zhi 2018; 98:2414-2417. [PMID: 30138986 DOI: 10.3760/cma.j.issn.0376-2491.2018.30.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To analyze the epidemiological characteristics of Pneumocystis jirovecii infection and colonization in non-AIDS patients. Methods: From January 2010 to December 2017, bronchoalveolar lavage fluid (BALF) was detected by Grocott's methenamine silver (GMS) staining and real-time fluorescence quantitative PCR (qPCR) in non-AIDS patients with bronchoscopic alveolar lavage at Peking University First Hospital. At the same time, Pneumocystis jirovecii was detected in the environment of the hospital. Results: Within 8 years, Pneumocystis jirovecii were detected in BALF of a total of 1 407 non-AIDS patients. GMS staining was performed in all these 1 407 cases, of which 114 (8.10%) cases were with Pneumocystis jirovecii infection and 3 (0.21%) cases with colonization. There were totally 946 non-AIDS immunocompromised patients, of which 113 (11.95%) cases were infected and 2 (0.21%) cases with colonization; there were 461 non-AIDS immunocompetent patients, of which only 1 (0.22%) case was infected and 1 (0.22%) case with colonization. GMS staining and qPCR were both performed in 196 cases, of which 36 (18.37%) cases were infected and 33 (16.84%) cases with colonization. There were totally 175 non-AIDS immunocompromised patients, of which 36 (20.57%) cases were infected and 30 (17.14%) cases with colonization; there were 21 non-AIDS immunocompetent patients, of which no one was infected and 3 (14.29%) cases with colonization. By means of GMS staining and qPCR, no Pneumocystis jiroveci were detected in the environment of Peking University First Hospital. Conclusions:Pneumocystis pneumonia is rare in immunocompetent patients, but not in non-AIDS immunocompromised patients. And colonization is rare in both of them. There may be no Pneumocystis jiroveci in the environment.
Collapse
Affiliation(s)
- S Long
- Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing 100034, China
| | | | | | | | | | | | | |
Collapse
|
52
|
|
53
|
|
54
|
Abstract
In order to ensure the quality and integrity of diagnostic semen analysis results, materials used should be tested to ensure that they do not interfere with sperm function. As a toxicity test, complex sperm function testing may be considered controversial, since the fertilizing capacity of single sperm can never be assured. In preference, sperm motility offers a unique means of assessing the toxicity of reagents and materials before they are used in routine practice. Motility is the semen parameter most likely to be influenced by the external environment. Indeed, it is the main reason that laboratories insist on supplying their own approved specimen containers and ensuring that patients, as far as possible, adhere to strict conditions for sample collection and transport prior to testing. This differs to other indirect tests of toxicity such as the mouse embryo assay, whereby the rate of mouse pre-implantation embryo development to the blastocyst stage is compared. This guideline is aimed at health care scientists who deal with andrology in both general pathology and specialised fertility laboratories, and provides a model approach to sperm toxicity testing. For assisted reproduction clinics, the same methodology can be used to test any consumables that are used for sperm processing, and as an indirect guide for any consumables that come into direct contact with oocytes and pre-implantation embryos.
Collapse
Affiliation(s)
- S Long
- a Andrology Department , Heart of England NHS Foundation Trust, Heartlands Hospital , Birmingham , UK
| | - B Woodward
- b X&Y Fertility , 144a New Walk, Leicester , UK
| | - M Tomlinson
- c Fertility Unit , Nottingham University Hospital , Nottingham , UK
| |
Collapse
|
55
|
Mink R, Schwartz A, Carraccio C, High P, Dammann C, McGann KA, Kesselheim J, Herman B, Baffa G, Herman B, Turner DA, Fussell J, High P, Hsu D, Stafford D, Aye T, Sauer C, Kesselheim J, Myers A, McGann K, Dammann C, Chess P, Mahan J, Weiss P, Curran M, Schwartz A, Carraccio C, Herman B, Mink R, Havalad V, Pinheiro J, Alderman E, Fuloria M, McCabe ME, Mehta J, Rivas Y, Rosenberg M, Doughty C, Hergenroeder A, Kale A, Lee-Kim Y, Rama JA, Steuber P, Voigt B, Hardy K, Johnston S, Boyer D, Mauras C, Schonwald A, Sharma T, Barron C, Dennehy P, Jacobs ES, Welch J, Kumar D, Mason K, Roizen N, Rose JA, Bokor B, Chapman JI, Frank L, Sami I, Schuette J, Lutes RE, Savelli S, Amirnovin R, Harb R, Kato R, Marzan K, Monzavi R, Vanderbilt D, Doughty L, McAneney C, Rice W, Widdice L, Erenberg F, Gonzalez BE, Adkins D, Green D, Narayan A, Rehder K, Clingenpeel J, Starling S, Karpen HE, Rouster-Stevens K, Bhatia J, Fuqua J, Anders J, Trent M, Ramanathan R, Nicolau Y, Dozor AJ, Kinane TB, Stanley T, Rao AN, Bone M, Camarda L, Heffner V, Kim O, Nocton J, Rabbitt AL, Tower R, Amaya M, Jaroscak J, Kiger J, Macias M, Titus O, Awonuga M, Vogt K, Warwick A, Coury D, Hall M, Letson M, Rose M, Glickstein J, Lusman S, Roskind C, Soren K, Katz J, Siqueira L, Atlas M, Blaufox A, Gottleib B, Meryash D, Vuguin P, Weinstein T, Armsby L, Madison L, Scottoline B, Shereck E, Henry M, Teaford PA, Long S, Varlotta L, Zubrow A, Barlow C, Feldman H, Ganz H, Grimm P, Lee T, Weiner LB, Molle-Rios Z, Slamon N, Guillen U, Miller K, Federman M, Cron R, Hoover W, Simpson T, Winkler M, Harik N, Ross A, Al-Ibrahim O, Carnevale FP, Waz W, Bany-Mohammed F, Kim JH, Printz B, Brook M, Hermiston M, Lawson E, van Schaik S, McQueen A, Booth KVP, Tesher M, Barker J, Friedman S, Mohon R, Sirotnak A, Brancato J, Sayej WN, Maraqa N, Haller M, Stryjewski B, Brophy P, Rahhal R, Reinking B, Volk P, Bryant K, Currie M, Potter K, Falck A, Weiner J, Carney MM, Felt B, Barnes A, Bendel CM, Binstadt B, Carlson K, Garrison C, Moffatt M, Rosen J, Sharma J, Tieves KS, Hsu H, Kugler J, Simonsen K, Fastle RK, Dannaway D, Krishnan S, McGuinn L, Lowe M, Witchel SF, Matheo L, Abell R, Caserta M, Nazarian E, Yussman S, Thomas AD, Hains DS, Talati AJ, Adderson E, Kellogg N, Vasquez M, Allen C, Brion LP, Green M, Journeycake J, Yen K, Quigley R, Blaschke A, Bratton SL, Yost CC, Etheridge SP, Laskey T, Pohl J, Soprano J, Fairchild K, Norwood V, Johnston TA, Klein E, Kronman M, Nanda K, Smith L, Allen D, Frohna JG, Patel N, Estrada C, Fleming GM, Gillam-Krakauer M, Moore P, El Khoury JC, Helderman J, Barretto G, Levasseur K, Johnston L. Creating the Subspecialty Pediatrics Investigator Network. J Pediatr 2018; 192:3-4.e2. [PMID: 29246355 DOI: 10.1016/j.jpeds.2017.09.079] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Accepted: 09/28/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Richard Mink
- Harbor-UCLA Medical Center and David Geffen School of Medicine at UCLA, Torrance, CA
| | | | | | - Pamela High
- W Alpert Medical School of Brown University, Providence, RI
| | | | | | | | - Bruce Herman
- University of Utah/Primary Children's Hospital, Salt Lake City, UT
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
56
|
Elío J, Crowley Q, Scanlon R, Hodgson J, Long S. Logistic regression model for detecting radon prone areas in Ireland. Sci Total Environ 2017; 599-600:1317-1329. [PMID: 28525938 DOI: 10.1016/j.scitotenv.2017.05.071] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Revised: 05/02/2017] [Accepted: 05/08/2017] [Indexed: 06/07/2023]
Abstract
A new high spatial resolution radon risk map of Ireland has been developed, based on a combination of indoor radon measurements (n=31,910) and relevant geological information (i.e. Bedrock Geology, Quaternary Geology, soil permeability and aquifer type). Logistic regression was used to predict the probability of having an indoor radon concentration above the national reference level of 200Bqm-3 in Ireland. The four geological datasets evaluated were found to be statistically significant, and, based on combinations of these four variables, the predicted probabilities ranged from 0.57% to 75.5%. Results show that the Republic of Ireland may be divided in three main radon risk categories: High (HR), Medium (MR) and Low (LR). The probability of having an indoor radon concentration above 200Bqm-3 in each area was found to be 19%, 8% and 3%; respectively. In the Republic of Ireland, the population affected by radon concentrations above 200Bqm-3 is estimated at ca. 460k (about 10% of the total population). Of these, 57% (265k), 35% (160k) and 8% (35k) are in High, Medium and Low Risk Areas, respectively. Our results provide a high spatial resolution utility which permit customised radon-awareness information to be targeted at specific geographic areas.
Collapse
Affiliation(s)
- J Elío
- Geology, School of Natural Sciences, Trinity College, Dublin 2, Ireland
| | - Q Crowley
- Geology, School of Natural Sciences, Trinity College, Dublin 2, Ireland.
| | | | | | - S Long
- Environmental Protection Agency of Ireland, Ireland
| |
Collapse
|
57
|
Osthaus B, Proops L, Long S, Bell N, Hayday K, Burden F. Hair coat properties of donkeys, mules and horses in a temperate climate. Equine Vet J 2017; 50:339-342. [PMID: 29053900 PMCID: PMC5900864 DOI: 10.1111/evj.12775] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2017] [Accepted: 10/11/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND There are clear differences between donkeys and horses in their evolutionary history, physiology, behaviour and husbandry needs. Donkeys are often kept in climates that they are not adapted to and as such may suffer impaired welfare unless protection from the elements is provided. OBJECTIVES To compare some of the hair coat properties of donkeys, mules and horses living outside, throughout the year, in the temperate climate of the UK. STUDY DESIGN Longitudinal study. METHODS Hair samples were taken from 42 animals: 18 donkeys (4 females, 14 males), 16 horses (6 females, 10 males) and eight mules (5 females, 3 males), in March, June, September and December. The weight, length and width of hair were measured, across the four seasons, as indicators of the hair coat insulation properties. RESULTS Donkeys' hair coats do not significantly differ across the seasons. All three measurements of the insulation properties of the hair samples indicate that donkeys do not grow a winter coat and that their hair coat was significantly lighter, shorter and thinner than that of horses and mules in winter. In contrast, the hair coats of horses changed significantly between seasons, growing thicker in winter. MAIN LIMITATIONS The measurements cover only a limited range of features that contribute to the thermoregulation of an animal. Further research is needed to assess shelter preferences by behavioural measures, and absolute heat loss via thermoimaging. CONCLUSIONS Donkeys, and to a lesser extent mules, appear not to be as adapted to colder, wet climates as horses, and may therefore require additional protection from the elements, such as access to a wind and waterproof shelter, in order for their welfare needs to be met.
Collapse
Affiliation(s)
- B Osthaus
- Department of Psychology, Politics and Sociology, Canterbury Christ Church University, Canterbury, Kent, UK
| | - L Proops
- Centre for Comparative and Evolutionary Psychology, Department of Psychology, University of Portsmouth, Portsmouth, UK.,Mammal Vocal Communication and Cognition Research Group, School of Psychology, University of Sussex, Brighton, UK
| | - S Long
- The Donkey Sanctuary, Sidmouth, Devon, UK
| | - N Bell
- The Donkey Sanctuary, Sidmouth, Devon, UK
| | - K Hayday
- The Donkey Sanctuary, Sidmouth, Devon, UK
| | - F Burden
- The Donkey Sanctuary, Sidmouth, Devon, UK
| |
Collapse
|
58
|
Long S, O'Leary P, Lobo R, Dickinson JE. Women's Understanding and Attitudes towards Down Syndrome and Other Genetic Conditions in the Context of Prenatal Screening. J Genet Couns 2017; 27:647-655. [PMID: 29067542 DOI: 10.1007/s10897-017-0167-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [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] [Received: 05/09/2017] [Accepted: 10/09/2017] [Indexed: 11/24/2022]
Abstract
In order to explore the impact of potential new technologies in the area of prenatal screening, we conducted a baseline study using qualitative interviews to explore women's attitudes and knowledge regarding current and future prenatal screening technology and methods. Three cohorts were interviewed, including healthy women without children, healthy women with healthy children, and healthy women with children who have de novo genetic disorders. This study aimed to assess the baseline understanding and attitudes of women in Western Australia. Women from each cohort demonstrated adequate knowledge of the differences between screening and diagnostic tests, but were mostly unaware of the conditions for which screening is currently available except Down syndrome. Women who had children with de novo genetic conditions were generally aware of more genetic conditions than women with or without healthy children. Most women recognised the genetic basis for the conditions mentioned. Two thirds of women understood that Down syndrome is a chromosomal condition; just one third recognised that the phenotype is variable. Most women expressed a positive attitude towards Down syndrome. Social acceptance of children with Down syndrome was commonly mentioned as a concern. While the majority of women with children supported screening for Down syndrome, they emphasised that it must be an autonomous choice. General knowledge of genetic conditions illustrated that women are exposed to diverse conditions from lived experience as well as the media.
Collapse
Affiliation(s)
- Sarah Long
- Genetic Services of Western Australia, King Edward Memorial Hospital for Women, 374 Bagot Rd, Subiaco, WA, 6008, Australia.
- Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
| | - Peter O'Leary
- Faculty of Health Sciences, Curtin University, Perth, WA, Australia
- School of Women's and Infants' Health, The University of Western Australia, Perth, WA, Australia
- PathWest Laboratory Medicine, QE2 Medical Centre, Nedlands, WA, Australia
- School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Roanna Lobo
- School of Public Health, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Jan E Dickinson
- School of Women's and Infants' Health, The University of Western Australia, Perth, WA, Australia
- PathWest Laboratory Medicine, QE2 Medical Centre, Nedlands, WA, Australia
| |
Collapse
|
59
|
Abstract
BACKGROUND Variations in anterolateral thigh (ALT) arterial anatomy are well documented. Ethnicity is a known risk factor for vascular variation in several organ systems, but its impact on ALT anatomy has not been studied. Anecdotally, we observed frequent ALT arterial variation in African American (AA) patients. We thus hypothesized that AA patients have higher rates of anomalous branching. MATERIALS AND METHODS A total of 277 computed tomography angiograms (513 lower extremities) captured between May 1, 2013 and May 31, 2015 at a tertiary academic medical center were retrospectively analyzed to determine ALT arterial branching. Patient records were examined to ascertain demographics. Data were analyzed using descriptive statistics and multinomial logistic regression. RESULTS Males comprised 84.5%. Ethnic distribution was 55.2% AA and 36.5% Caucasian. The descending branch of the lateral circumflex femoral artery (dLCFA) originated from non-LCFA arteries (deep femoral, common femoral, or superficial femoral arteries) in 18.9% of Caucasian versus 9.1% of AA (odds ratio [OR]: 2.28; 95% confidence interval [CI]: 1.33-3.93, p < 0.01). An oblique branch was identified in 41.1% of Caucasian versus 51.9% of AA (OR: 1.56; 95% CI: 1.08-2.24, p = 0.02). Ethnicity was the only driving factor of dLCFA and oblique branch of the LCFA (oLCFA) anatomy (Wald chi-square: 14 and 11, p = 0.03 and 0.02, respectively). CONCLUSIONS Ethnicity significantly affects ALT arterial anatomy. AA are more likely to have classical dLCFA branching with a fourth oLCFA branch. A flap with an unrecognized oLCFA-dominant supply places patients at a higher risk for flap failure and loss. We recommend preoperative imaging before undertaking an ALT flap reconstruction.
Collapse
Affiliation(s)
- Soobin Lim
- Tulane University School of Medicine, New Orleans, Louisiana
| | - Noah Atwi
- Department of Radiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana
| | - Sarah Long
- Tulane University School of Medicine, New Orleans, Louisiana
| | - Aran Toshav
- Department of Radiology, Louisiana State University Health Sciences Center, New Orleans, Louisiana
| | - Frank H Lau
- Department of Surgery, Section of Plastic & Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana
| |
Collapse
|
60
|
Lopes N, Long S, Resende D, Kijjoa A, Silva A, Pina A, Fernández-Marcelo T, Vasconcelos MH, Pinto M, Sousa E. Synthesis and tumor cell growth inhibitory effects of the marine product analogues of fiscalin B: PS196. Porto Biomed J 2017; 2:224. [PMID: 32258726 DOI: 10.1016/j.pbj.2017.07.114] [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: 11/29/2022] Open
Affiliation(s)
- N Lopes
- Laboratório de Química Orgânica e Farmacêutica, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Portugal
| | - S Long
- Laboratório de Química Orgânica e Farmacêutica, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Portugal
| | - D Resende
- Laboratório de Química Orgânica e Farmacêutica, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Portugal.,Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Portugal
| | - A Kijjoa
- Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Portugal.,CIIMAR - Centro Interdisciplinar de Investigação Marinha e Ambienta, Matosinhos, Portugal
| | - A Silva
- Organic Chemistry Group, QOPNA, Department of Chemistry, University of Aveiro, 3810-193, Aveiro, Portugal
| | - A Pina
- CIIMAR - Centro Interdisciplinar de Investigação Marinha e Ambienta, Matosinhos, Portugal.,i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.,Cancer Drug Resistance Group, IPATIMUP - Institute of Molecular Pathology and Immunology of the University of Porto.,FCUP - Faculty of Sciences of the University of Porto
| | - T Fernández-Marcelo
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.,Cancer Drug Resistance Group, IPATIMUP - Institute of Molecular Pathology and Immunology of the University of Porto
| | - M H Vasconcelos
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.,Cancer Drug Resistance Group, IPATIMUP - Institute of Molecular Pathology and Immunology of the University of Porto.,Department of Biological Sciences, FFUP - Faculty of Pharmacy of the University of Porto
| | - M Pinto
- Laboratório de Química Orgânica e Farmacêutica, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Portugal.,Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Portugal
| | - E Sousa
- Laboratório de Química Orgânica e Farmacêutica, Departamento de Ciências Químicas, Faculdade de Farmácia, Universidade do Porto, Portugal.,Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Portugal
| |
Collapse
|
61
|
Anderson W, Long S, Feng Z. INTEGRATING CARE FOR DUAL MEDICARE-MEDICAID ELIGIBLE SENIORS: A NEW LOOK AT THE MINNESOTA MODEL. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.410] [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: 11/14/2022] Open
Affiliation(s)
- W.L. Anderson
- RTI International, Research Triangle Park, North Carolina,
| | - S. Long
- Urban Institute, Washington, District of Columbia
| | - Z. Feng
- RTI International, Research Triangle Park, North Carolina,
| |
Collapse
|
62
|
Feldblum P, Mwambula C, Selemani M, Long S, James Telela D, Mwenyekonde E, Jou Lai J, Veena V, Mbeya P. Prospective Observational Study of the ShangRing Device for Adult Medical Male Circumcision in a Routine Clinical Setting in Malawi. Afr J Reprod Health 2016; 20:60-66. [PMID: 29566320 DOI: 10.29063/ajrh2016/v20i4.6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
We evaluated the safety and acceptability of the ShangRing device for male circumcision during routine clinical service delivery in Namitete, Malawi. We conducted a prospective observational study enrolling 500 HIV-negative men ages 18 to 49 years at St. Gabriel's Hospital. Participants returned for two follow-up visits: the removal visit (day 7 after placement) and the healing check visit (day 42 after placement). We assessed pain, adverse events (AEs), acceptability, and healing. 500 men were screened; 498 were circumcised using the ShangRing and comprised the analysis population. Seven participants (1.4%) experienced moderate AEs related to circumcision. 93% were judged to be completely healed at or before the day 42 visit; 6% were judged to be healed later than the day 42 visit; 5 participants (1.0%) were lost to follow-up. 98% of men stated they were very satisfied with the appearance of their circumcised penis, and 99.6% would recommend ShangRing circumcision to family/friends. Adult male circumcision using the ShangRing was safe with a low AE rate at this service delivery site. Acceptability factors were also favorable. Addition of the ShangRing device could be beneficial to achieving the goals of the circumcision program in Malawi.
Collapse
|
63
|
Hendriksz CJ, Berger KI, Lampe C, Kircher SG, Orchard PJ, Southall R, Long S, Sande S, Gold JI. Health-related quality of life in mucopolysaccharidosis: looking beyond biomedical issues. Orphanet J Rare Dis 2016; 11:119. [PMID: 27561270 PMCID: PMC5000418 DOI: 10.1186/s13023-016-0503-2] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Accepted: 08/17/2016] [Indexed: 11/28/2022] Open
Abstract
The mucopolysaccharidoses (MPS) comprise a heterogeneous family of rare, genetic lysosomal storage disorders that result in severe morbidity and reduced life expectancy. Emerging treatments for several of these disorders have triggered the search for clinically relevant biomarkers and clinical markers associated with treatment efficacy in populations and individuals. However, biomedical measures do not tell the whole story when characterizing a complex chronic disorder such as MPS. Health-related quality of life (HRQoL) tools that utilize patient reported outcomes to address patient parameters such as symptoms (pain, fatigue, psychological health), functioning (activity and limitations), or quality of life, have been used to supplement traditional biomedical endpoints. Many of these HRQoL tools have demonstrated that quality of life is negatively impacted in patients with MPS. There is both the opportunity and need to formally standardize and validate HRQoL tools for the different MPS disorders.
Collapse
Affiliation(s)
- Christian J Hendriksz
- Adult Inherited Metabolic Disorders, Consultant Transitional Metabolic Medicine, The Mark Holland Metabolic Unit, Salford Royal NHS Foundation Trust, Ladywell NW2- 2nd Floor Room 112, Salford, Manchester, M6 8HD, UK. .,Paediatrics and Child Health, University of Pretoria, Steve Biko Academic Unit, Pretoria, South Africa.
| | - Kenneth I Berger
- Division of Pulmonary, Critical Care and Sleep Medicine, New York University School of Medicine and André Cournand Pulmonary Physiology Laboratory, Bellevue Hospital, New York, USA
| | - Christina Lampe
- Centre for Rare Diseases, Clinic for children and adolescents, Helios Dr. Horst Schmidt Kliniken, Wiesbaden, Germany
| | - Susanne G Kircher
- Institute of Medical Chemistry and Medical Genetics, Medical University of Vienna, Vienna, Austria
| | - Paul J Orchard
- Department of Pediatrics, Division of Blood & Marrow Transplantation, University of Minnesota, Minneapolis, MN, USA
| | | | - Sarah Long
- School of Sociology and Social Policy, University of Bath, Bath, UK
| | | | - Jeffrey I Gold
- Keck School of Medicine, Departments of Anesthesiology, Pediatrics, and Psychiatry & Behavioral Sciences, Children's Hospital Los Angeles, Anesthesiology Critical Care Medicine, Pediatric Pain Management Clinic, University of Southern California, California, USA
| |
Collapse
|
64
|
Bowns IR, Newton P, Long S, Walters S, Rector A, Conway JV. Testing headings for communicating the personal health record: comparison from the recipients’ perspective. Health Informatics J 2016. [DOI: 10.1177/146045829900500402] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In the spring of 1998, 16 general practitioners and 16 community psychiatric nurses participated in a study to test a draft set of headings for communicating clinical summaries. Eight anonymized psychiatric discharge summaries were used to assess the impact of the presentational format on the time taken by professionals to read the summaries and to answer a series of standard questions about each of them. Respondents also completed a questionnaire on their opinions of the headings. There was considerable variation between individuals in the times taken to read the summaries and answer the questions, but no evidence that any of the formats was associated with decreased reading time or with improvement in retrieving information. Most respondents preferred information structured using the headings rather than the original semi-structured discharge summaries, and information on paper rather than on computer screen. Respondents were guardedly supportive of the particular draft headings presented. A weak preference was expressed for locally defined headings, with some recognition of advantages in widely agreed headings. There was a view that there were too many headings, and there was overlap between specific heading pairs (for example, ‘aim’ and ‘goal’). Concerns were expressed about specific headings, particularly the ‘softer’ headings, such as ‘informing’ and ‘communicating’.
Collapse
Affiliation(s)
- I. R. Bowns
- Health Policy & Management, University of Sheffield, UK,
| | - P. Newton
- Institute of General Practice and Primary Care, University of Sheffield, UK
| | - S. Long
- Institute of General Practice and Primary Care, University of Sheffield, UK
| | - S. Walters
- Sheffield Health Economics Group, School of Health and Related Research, University of Sheffield, UK
| | | | - J. V. Conway
- Old Age Psychiatry, Northern General Hospital, Sheffield, UK
| |
Collapse
|
65
|
Long S, Goldblatt J. MTHFR genetic testing: Controversy and clinical implications. Aust Fam Physician 2016; 45:237-240. [PMID: 27052143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
BACKGROUND A polymorphism is a variant within a gene that does not necessarily affect its function, unlike a pathogenic mutation. Genetic testing for two common polymorphisms in the methylenetetrahydrofolate reductase gene (MTHFR), 677C>T and 1298A>C, is being accessed by general practitioners (GPs) and alternative medicine practitioners (based on in-house records from referrals), and promoted through some pharmacies in Western Australia (based on the authors' personal communication). Due to the large, varied and often conflicting data reported on MTHFR, these polymorphisms have been weakly associated with multiple conditions, including autism, schizophrenia, cardiac disease, fetal neural tube defects, poor pregnancy outcomes and colorectal cancer. OBJECTIVE The aim of this review is to explain the difficulty in translating inconclusive results - and results of uncertain clinical relevance - of genetic-association studies on common polymorphisms into clinical practice. We will also explore why testing for polymorphisms needs to be reconsidered in a diagnostic clinical setting. DISCUSSION On the basis of the available scientific evidence, we propose that there are very limited clinical indications for testing for the 677C>T and the 1298A>C polymorphisms in the MTHFR gene, and that testing is not indicated as a non-specific screening test in the asymptomatic general population.
Collapse
|
66
|
Parrish C, Long S, Dryanski K. Safe Blood Transfusion Process Improvement. Am J Clin Pathol 2015. [DOI: 10.1093/ajcp/144.suppl2.197] [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: 11/12/2022] Open
|
67
|
Long S, Shang C, Evans G, Leventouri T. SU-E-T-797: Variations of Cardiac Dose at Different Respiratory Status in CyberKnife M6â„¢ Treatment Plans for Accelerated Partial Breast Irradiation (APBI). Med Phys 2015. [DOI: 10.1118/1.4925161] [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
|
68
|
Long S, Goldblatt J. Noninvasive prenatal testing (NIPT) in Western Australia; considerations in clinical practice. Aust N Z J Obstet Gynaecol 2015; 54:487-9. [PMID: 25287567 DOI: 10.1111/ajo.12232] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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: 01/17/2014] [Accepted: 05/29/2014] [Indexed: 02/01/2023]
Abstract
With the rapid uptake of noninvasive prenatal testing (NIPT), certain technical and ethical limitations are becoming more widely recognised; however, there are still some salient issues that seem to be left by the wayside. As the consumer driven push for NIPT increases, healthcare providers need to ensure that they are providing testing appropriately and that patients understand the potential limitations and results as well as the benefits.
Collapse
Affiliation(s)
- Sarah Long
- Genetic Services of Western Australia, King Edward Memorial Hospital, Perth, Western Australia, Australia
| | | |
Collapse
|
69
|
Haftbaradaran A, Zaya M, Mehta PK, Shufelt C, Lentz G, Dhawan S, Petersen J, Handberg E, Johnson BD, Pepine CJ, Leach D, Long S, Merz CNB. Five-year stroke rate in women with signs and symptoms of ischemia undergoing coronary angiography: a retrospective study from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE). JRSM Open 2015; 6:2054270415577761. [PMID: 25893110 PMCID: PMC4372570 DOI: 10.1177/2054270415577761] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- A Haftbaradaran
- Barbra Streisand Women’s Heart Center, Cedars-Sinai Heart Institute, Los Angeles, CA 90048, USA
| | - M Zaya
- Barbra Streisand Women’s Heart Center, Cedars-Sinai Heart Institute, Los Angeles, CA 90048, USA
| | - PK Mehta
- Barbra Streisand Women’s Heart Center, Cedars-Sinai Heart Institute, Los Angeles, CA 90048, USA
| | - C Shufelt
- Barbra Streisand Women’s Heart Center, Cedars-Sinai Heart Institute, Los Angeles, CA 90048, USA
| | - G Lentz
- Barbra Streisand Women’s Heart Center, Cedars-Sinai Heart Institute, Los Angeles, CA 90048, USA
| | - Shivani Dhawan
- Barbra Streisand Women’s Heart Center, Cedars-Sinai Heart Institute, Los Angeles, CA 90048, USA
| | - J Petersen
- University of Florida, Gainesville, FL, USA
| | - E Handberg
- University of Florida, Gainesville, FL, USA
| | - BD Johnson
- University of Pittsburgh, Pittsburgh, PA, USA
| | - CJ Pepine
- University of Florida, Gainesville, FL, USA
| | - D Leach
- University of Florida, Gainesville, FL, USA
| | - S Long
- University of Florida, Gainesville, FL, USA
| | - CN Bairey Merz
- Barbra Streisand Women’s Heart Center, Cedars-Sinai Heart Institute, Los Angeles, CA 90048, USA
| |
Collapse
|
70
|
Hyvarinen M, Pella S, Leventouri T, Casey C, Dumitru N, Herrera R, Long S. SU-E-T-636: Investigation of Dose Variation in High Dose Radiation Brachytherapy. Med Phys 2014. [DOI: 10.1118/1.4888972] [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
|
71
|
Freestone D, Cook M, Long S. O27: Measuring neural excitability using deep brain electrical stimulation and sensing. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50132-0] [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: 11/26/2022]
|
72
|
Wang F, Liu X, Yang P, Guo L, Liu C, Li H, Long S, Shen Y, Wan H. Loss of TACSTD2 contributed to squamous cell carcinoma progression through attenuating TAp63-dependent apoptosis. Cell Death Dis 2014; 5:e1133. [PMID: 24651436 PMCID: PMC3973208 DOI: 10.1038/cddis.2014.96] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [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: 01/19/2014] [Accepted: 01/29/2014] [Indexed: 12/16/2022]
Abstract
Tumor-associated calcium signal transducer 2 (TACSTD2), a calcium signal transducer, is universally expressed in stratified squamous epithelia of many organs, including skin, esophagus and cervix. Although TACSTD2, was reported to be overexpressed in many epithelial tumors, which has increased interest in using it as a molecular target for cancer therapy, the role of TACSTD2 in carcinogenesis of squamous cell carcinoma (SCC) is largely unclear and controversial. To explore the role of TACSTD2, temporal-spatial expression of TACSTD2 was analyzed in both normal and SCC tissues. Our data demonstrate that Tacstd2 expression and membrane localization are tightly associated with stratified epithelial homeostasis, while loss of TACSTD2 was identified in poorly differentiated SCC tissues collected from cervix, esophagus, head and neck. Gradual loss of TACSTD2 was correlated with stepwise progression of SCC. Consistent with these in vivo observations, our data show that inhibition of Tacstd2 expression significantly inhibited chemotherapeutic reagent-induced apoptosis, and TACSTD2 regulated apoptotic gene expression through P63 containing the transactivation domain (TAp63). These findings indicated that loss of TACSTD2 could promote SCC progression and treatment resistance through attenuating chemotherapeutic reagent-induced apoptosis through TAp63, and TACSTD2 could be used as a marker for pathological grading of SCC.
Collapse
Affiliation(s)
- F Wang
- Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of the Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - X Liu
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - P Yang
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - L Guo
- Department of Pathology, The First Affiliated Hospital of SooChow University, Suzhou 215006, China
| | - C Liu
- Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of the Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - H Li
- Department of Anesthesiology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - S Long
- Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - Y Shen
- Department of Pathology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - H Wan
- 1] Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of the Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China [2] Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| |
Collapse
|
73
|
Earnhardt J, Vélez-Valentín J, Valentin R, Long S, Lynch C, Schowe K. The Puerto Rican parrot reintroduction program: sustainable management of the aviary population. Zoo Biol 2014; 33:89-98. [PMID: 24395187 DOI: 10.1002/zoo.21109] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [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: 05/28/2013] [Revised: 10/14/2013] [Accepted: 12/02/2013] [Indexed: 11/08/2022]
Abstract
The cornerstone of the recovery plan for the critically endangered Puerto Rican parrot (Amazona vitatta) is an actively managed, long-term reintroduction program. One captive population distributed across two aviaries in Puerto Rico is the sole source for release but its ability to persist as a managed resource has not been evaluated since 1989. We conducted an assessment for sustainable management of the aviary population while harvesting for release. To assess demographic rates such as population growth, vital rates, and age/sex structure, we compiled a studbook database on all living, dead, and released individuals in the aviary population. Using an individual-based risk assessment model we applied population specific data based on the management period from 1993 to 2012 to simulate future aviary population dynamics and evaluate future potential production. We modeled four potential management strategies to harvest parrots for proposed releases; these scenarios vary the number of parrots and the life stage. Our simulations revealed that the aviary population can be simultaneously managed for sustainability and harvesting of parrots for release. However, without cautious management, overharvesting can jeopardize sustainability of the aviary population. Our analysis of the aviary breeding program provides a rare opportunity to review progress relative to conservation program objectives after four decades of active management. The successful growth of the aviary population and its ability to serve as a sustainable source for reintroductions supports the 1973 decision to build a breeding program from a small population of 13 parrots.
Collapse
Affiliation(s)
- Joanne Earnhardt
- Department of Conservation and Science, Lincoln Park Zoo, Chicago, Illinois
| | | | | | | | | | | |
Collapse
|
74
|
Long S, Frey S, Freestone DR, LeChevoir M, Stypulkowski P, Giftakis J, Cook M. Placement of deep brain electrodes in the dog using the Brainsight frameless stereotactic system: a pilot feasibility study. J Vet Intern Med 2013; 28:189-97. [PMID: 24237394 PMCID: PMC4895539 DOI: 10.1111/jvim.12235] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2013] [Revised: 09/03/2013] [Accepted: 09/19/2013] [Indexed: 12/03/2022] Open
Abstract
Background Deep brain stimulation (DBS) together with concurrent EEG recording has shown promise in the treatment of epilepsy. A novel device is capable of combining these 2 functions and may prove valuable in the treatment of epilepsy in dogs. However, stereotactic implantation of electrodes in dogs has not yet been evaluated. Objective To evaluate the feasibility and safety of implanting stimulating and recording electrodes in the brain of normal dogs using the Brainsight system and to evaluate the function of a novel DBS and recording device. Animals Four male intact Greyhounds, confirmed to be normal by clinical and neurologic examinations and hematology and biochemistry testing. Methods MRI imaging of the brain was performed after attachment of fiducial markers. MRI scans were used to calculate trajectories for electrode placement in the thalamus and hippocampus, which was performed via burr hole craniotomy. Postoperative CT scanning was performed to evaluate electrode location and accuracy of placement was calculated. Serial neurologic examinations were performed to evaluate neurologic deficits and EEG recordings obtained to evaluate the effects of stimulation. Results Electrodes were successfully placed in 3 of 4 dogs with a mean accuracy of 4.6 ± 1.5 mm. EEG recordings showed evoked potentials in response to stimulation with a circadian variation in time‐to‐maximal amplitude. No neurologic deficits were seen in any dog. Conclusions and Clinical Importance Stereotactic placement of electrodes is safe and feasible in the dog. The development of a novel device capable of providing simultaneous neurostimulation and EEG recording potentially represents a major advance in the treatment of epilepsy.
Collapse
Affiliation(s)
- S Long
- Section of Neurology and Neurosurgery, Faculty of Veterinary Science, University of Melbourne, Melbourne, Australia
| | | | | | | | | | | | | |
Collapse
|
75
|
Wang J, Yu J, Jing S, Cheng Y, Liu Q, Wang Y, Cao F, Shang K, Jiao W, Long S. Overexpression of Epidermal Growth Factor Receptor and Its Clinicopathological Significance: A Meta-Analysis of 1118 Cases With Esophageal Squamous Cell Carcinoma. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.760] [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]
|
76
|
Meyer A, Getz H, Snider S, Sullivan K, Long S, Turner R, Friedman R. Remediation and Prophylaxis of Anomia in Primary Progressive Aphasia. ACTA ACUST UNITED AC 2013; 94:275-276. [PMID: 25101147 DOI: 10.1016/j.sbspro.2013.09.138] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- A Meyer
- Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center
| | - H Getz
- Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center
| | - S Snider
- Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center
| | - K Sullivan
- Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center
| | - S Long
- Department of Neurology, Georgetown University Medical Center
| | - R Turner
- Department of Neurology, Georgetown University Medical Center
| | - R Friedman
- Center for Aphasia Research and Rehabilitation, Georgetown University Medical Center
| |
Collapse
|
77
|
Wang J, Cao F, Jing S, Wang Y, Liu Q, Cheng Y, Shang K, Jiao W, Long S. Prognostic Analysis in 182 Thoracic Esophageal Carcinoma Patients With Atypical Hyperplasia in Esophageal Stump and Esophageal Stump Cancer After Esophagectomy. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.757] [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: 10/26/2022]
|
78
|
Roberts HC, Pilgrim AL, Robison J, Elia M, Jackson AA, Cooper C, Sayer AA, Robinson SM, Long S, Brice S, Dar A, Ames D, Vincent C, White S, Maini S, Perks P, MacMahon M. Health services research. Age Ageing 2013. [DOI: 10.1093/ageing/aft021] [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: 11/12/2022] Open
|
79
|
Abstract
It is estimated that approximately 100 000 Irish homes have radon concentrations above the reference level of 200 Bq m(-3). To minimise the number of new homes with this problem, building regulations require that all new homes built since July 1998 in high radon areas are installed with radon barriers during construction. Measurements on local authority homes in a number of high radon areas have allowed the impact of these new regulations to be assessed. In County Cork a reduction of up to 70% in the mean radon concentration was observed in homes built since 1998 relative to those built before this date. A reduction in both the number of homes exceeding the reference level and the maximum concentration measured in homes was also measured. Homes exceeding the reference level were remediated with the use of an active sump. The results of this remedial work are also presented and show that the mean reduction in radon concentration achieved was 92%.
Collapse
Affiliation(s)
- S Long
- Radiological Protection Institute of Ireland, 3 Clonskeagh Square, Clonskeagh Road, Dublin 14, Ireland.
| | | | | | | |
Collapse
|
80
|
Zhang ML, Cao Z, He JL, Xue L, Zhou Y, Long S, Deng T, Zhang L. A simple gold plate electrode modified with Gd-doped TiO2nanoparticles used for determination of trace nitrite in cured food. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2012; 29:1938-46. [DOI: 10.1080/19440049.2012.715762] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
81
|
Abstract
Marginal zone lymphoma (MZL) is an indolent B-cell lymphoma arising from marginal zone B-cells present in lymph nodes and extranodal tissues. MZL comprises 5-17% of all non-Hodgkin's lymphomas in adults. The World Health Organization categorizes MZL into three distinct types based on their site of impact: (1) splenic marginal zone lymphoma (SMZL); (2) nodal marginal zone lymphoma (NMZL); (3) extranodal mucosa-associated lymphoid tissue (MALT) lymphoma, which can be subdivided into gastric and nongastric. The subgroups of MZL share some common features but are different in their biology and behavior. Owing to the rarity of MZL there are few randomized trials available comparing various treatment options and therefore treatment is controversial, lacking standard guidelines. Treatment should be patient tailored and can range from a 'watchful waiting' approach for asymptomatic patients without cytopenias to surgery or localized radiation therapy. Rituximab in combination with chemotherapy has resulted in longer failure-free survival than chemotherapy alone in patients with SMZL. Helicobacter pylori positive gastric MALT shows a good response rate to triple antibiotic therapy. Newer therapies such as bendamustine, everolimus, lenalidomide, vorinostat and phosphoinositide 3-kinase inhibitors are in clinical trials for patients with relapsed or refractory MZL and have shown promising results. We are presently conducting clinical trials testing the efficacy of the epigenetic activity of cladribine as a hypomethylating agent in combination with the histone deacetylase inhibitor (HDACi) vorinostat and rituximab in patients with MZL. Further studies with the newer agents should be done both in newly diagnosed or relapsed/refractory MZL to streamline the care and to avoid the use of toxic chemotherapies as initial treatment.
Collapse
Affiliation(s)
- Monika Joshi
- The Hematology-Oncology and Biostatistics Divisions of the Penn State Milton S Hershey Medical Center, Hershey, PA, USA
| | | | | | | | | | | | | |
Collapse
|
82
|
Biondi S, Long S, Panunzio M, Qin WL. Current trends in β-lactam based β-lactamases inhibitors. Curr Med Chem 2012; 18:4223-36. [PMID: 21838683 DOI: 10.2174/092986711797189655] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2011] [Revised: 07/18/2011] [Accepted: 07/21/2011] [Indexed: 11/22/2022]
Abstract
The introduction of antibiotics to treat bacterial infections either by killing or blocking their growth has been accompanied by the development of resistance mechanism that allows the bacteria to survive and proliferate. In particular the successive series of β-lactams have selected several generations of β-lactamases including ESBLs, AmpC β-lactamases, KPC carbapenamases in Enterobacteriaceae, the metallo β-lactamases VIMs and IMPs, and very recently the threatening NDM-1 that confers resistance to virtually any clinically used antibiotic. The increasing use of carbapenems due to the spread of resistance to other existing antibacterial agents has facilitated the spread of resistance, especially in Acinetobacter spp. due to OXA- and metallo-carbapenemases. The pharmaceutical industry, that abandoned this field at the end of the nineties, is now trying to recover by developing some novel β-lactam antibiotics and novel β-lactamase-inhibitors, the latter to be used in combination with new as well as seasoned β-lactam antibiotics. This article provides a survey of patent and scientific literature for β-lactamase inhibitors discovered in the period 2006-2010.
Collapse
Affiliation(s)
- S Biondi
- Innovative Solution, via Copernico 22, 20016 Pero, Italy
| | | | | | | |
Collapse
|
83
|
Stern C, Oliker A, Napier Z, Qualter J, Deluccia N, Sculli F, Long S, Rosen J, Hazen A. Integration of surgical simulation in plastic surgery residency training. Stud Health Technol Inform 2012; 173:497-499. [PMID: 22357043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BioDigital Systems, LLC in collaboration with New York University Langone Medical Center Department of Reconstructive Plastic Surgery has created an interactive, step-based latissimus musculocutaneous flap simulator. Preliminary testing of fourteen residents (PGY1-6) demonstrates that simulator training results in significant improvement in an objective assessment of surgical knowledge (p < 0.0006, pre-training score: 81.0%, post-training score 92.7%). This study is the first in the field of plastic and reconstructive surgery to demonstrate objective improvement in surgical knowledge as a result of simulator training, suggesting the potential effectiveness of simulators for a panopoly of breast reconstruction options.
Collapse
Affiliation(s)
- Carrie Stern
- New York University Langone Medical Center, New York, NY, USA.
| | | | | | | | | | | | | | | | | |
Collapse
|
84
|
Cournane S, Vintró LL, Mitchell PI, McMahon CA, Smith K, Long S. Modelling temporal trends of 137Cs and 99Tc concentrations in Fucus vesiculosus from the eastern Irish coastline. Mar Pollut Bull 2011; 62:2337-44. [PMID: 21930288 DOI: 10.1016/j.marpolbul.2011.08.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2011] [Revised: 08/20/2011] [Accepted: 08/25/2011] [Indexed: 05/31/2023]
Abstract
Time series of 137Cs and 99Tc activity concentrations in the brown seaweed Fucus vesiculosus and seawater, gathered at three locations on the eastern Irish coastline during the period 1988-2008, have been modelled using a novel approach incorporating a variable uptake rate in the seaweed. Seasonal variations in the time series, identified using spectral analysis, were incorporated into the model which was used to determine transfer kinetic parameters and to predict 137Cs and 99Tc concentrations in seaweed, as influenced by levels in ambient seawater. An optimisation method combining evolutionary and grid search minimisation techniques was adopted to determine the best values for the model parameters, from which concentration factors (CF) and biological half-lives (tb1/2) for 137Cs and 99Tc in F. vesiculosus were calculated. CF values of 170-179 and 1.1×105 l kg(-1) (dry weight) were obtained for 137Cs and 99Tc, respectively, while the corresponding tb1/2 values were 39-47 and 32 days, respectively.
Collapse
Affiliation(s)
- S Cournane
- School of Physics, University College Dublin, Belfield, Dublin 4, Ireland.
| | | | | | | | | | | |
Collapse
|
85
|
Chen G, Long X, Meng Q, Long S. Poster 59: Animal Model Study of Condylar Hyperplasia. J Oral Maxillofac Surg 2011. [DOI: 10.1016/j.joms.2011.06.159] [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: 10/17/2022]
|
86
|
Abstract
In Ireland radon is a significant public health issue and is linked to 150-200 lung cancer deaths each year. Irish National Radon Policy aims to reduce individual risk by identifying and remediating buildings with high radon concentrations and also to reduce collective dose through radon prevention as required by revised building regulations. Achievements to date are significant and include the completion of the National Radon Survey, the testing of every school in Ireland, the on-going testing of social housing, collaboration between the public health and radiation protection authorities and the inclusion of radon in inspections of workplaces. However, this work now needs to be drawn together centrally to comprehensively address the radon problem. The RPII and the relevant central governing department, the Department of Environment, Heritage and Local Government are currently working to constitute a group of key experts from relevant public authorities to drive the development of a National Radon Control Strategy.
Collapse
Affiliation(s)
- S Long
- Radiological Protection Institute of Ireland, 3 Clonskeagh Square, Dublin 14, Ireland.
| | | |
Collapse
|
87
|
Long S, Arora S, Moorthy K, Sevdalis N, Vincent C. Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. BMJ Qual Saf 2011; 20:483-90. [DOI: 10.1136/bmjqs.2010.043166] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
88
|
Drewry DT, Kumar P, Long S, Bernacchi C, Liang XZ, Sivapalan M. Ecohydrological responses of dense canopies to environmental variability: 1. Interplay between vertical structure and photosynthetic pathway. ACTA ACUST UNITED AC 2010. [DOI: 10.1029/2010jg001340] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
89
|
Drewry DT, Kumar P, Long S, Bernacchi C, Liang XZ, Sivapalan M. Ecohydrological responses of dense canopies to environmental variability: 2. Role of acclimation under elevated CO2. ACTA ACUST UNITED AC 2010. [DOI: 10.1029/2010jg001341] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
|
90
|
Reysenbach AL, Ravenscroft N, Long S, Jones DT, Woods DR. Characterization, Biosynthesis, and Regulation of Granulose in Clostridium acetobutylicum. Appl Environ Microbiol 2010; 52:185-90. [PMID: 16347108 PMCID: PMC203438 DOI: 10.1128/aem.52.1.185-190.1986] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Synthesis of granulose was investigated in 15 solvent-producing Clostridium strains. Only one of the strains did not produce granulose. The structure of granulose in Clostridium acetobutylicum P262 consisted of a high-molecular-weight polyglucan containing only (1-->4) linked d-glucopyranose units. Biosynthesis of granulose in C. acetobutylicum P262 was dependent on ADPglucose pyrophosphorylase, and granulose synthase and mutants defective in granulose accumulation lacked either one or both enzyme activities. Granulose-positive revertants exhibited both enzyme activities. ADPglucose pyrophosphorylase and granulose synthase were not subject to allosteric control by metabolites. Granulose accumulation and the biosynthetic enzyme activities were initiated immediately before the pH breakpoint and were detected in cells only at the end of the exponential growth phase. Granulose accumulation did not occur under conditions of nitrogen limitation, excess carbon, or excess energy.
Collapse
Affiliation(s)
- A L Reysenbach
- Department of Microbiology and Department of Organic Chemistry, University of Cape Town, Rondebosch 7700, South Africa
| | | | | | | | | |
Collapse
|
91
|
Renwick MG, Argyle DJ, Long S, Nixon C, Gault EA, Nasir L. Telomerase activity and telomerase reverse transcriptase catalytic subunit expression in canine lymphoma: correlation with Ki67 immunoreactivity. Vet Comp Oncol 2009; 4:141-50. [PMID: 19754811 DOI: 10.1111/j.1476-5829.2006.00103.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Increased telomerase activity (TA) has been found in human and canine solid tumours, stem cells and somatic tissues with enhanced proliferative potential. The relationship between TA in normal and malignant lymphoid tissues remains unclear. The TA and the expression of canine telomerase reverse transcriptase catalytic subunit (dogTERT) messenger RNA (mRNA) were analyzed in malignant lymph nodes from 30 dogs with lymphoma, from two dogs with non-neoplastic illness and from two clinically normal dogs, demonstrating a statistically significant difference between TA in lymphoma lymph nodes (n = 30) and normal nodes (n = 4) but no significant difference in dogTERT mRNA expression. In addition, the expression of telomerase reverse transcriptase catalytic subunit (TERT) protein and Ki67 was analyzed in malignant lymph nodes from 10 dogs with lymphoma and from two clinically normal dogs by immunohistochemistry. TERT expression was associated with Ki67 in all lymphoma nodes (n = 10), and differences were illustrated between TERT and Ki67 expression between lymphoma (n = 10) and non-lymphoma (n = 2) nodes. This data support further investigation of telomerase in canine haematopoietic neoplasia through large-scale prospective studies.
Collapse
Affiliation(s)
- M G Renwick
- Institute for Comparative Medicine, University of Glasgow, Faculty of Veterinary Medicine, Glasgow, UK
| | | | | | | | | | | |
Collapse
|
92
|
Foley KM, Wang PF, Long S, Barber B, Bagalman E, Zhao Z. Trends in chemotherapy and biologic treatment of U.S. metastatic colorectal cancer patients. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.6553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
6553 Background: Several long-standing chemotherapy regimens are available to treat metastatic colorectal cancer (mCRC) including: oxaliplatin plus 5-fluorouracil (5-FU) and leucovorin (FOLFOX); and Irinotecan plus 5-FU and leucovorin (FOLFIRI). More recently, new biologic therapies were approved for use in mCRC. This cohort study examines trends in first-line chemotherapy treatments for newly diagnosed mCRC patients after the introduction of capecitabine (CAP) in 2001 and the biologic therapies in 2004. Methods: Using a large, US-based administrative medical claims database of a national commercially insured population, patients with newly diagnosed mCRC were identified from 2001 to 2005. At least 6-months of patient history prior to mCRC diagnosis were required to confirm patients were newly diagnosed. Patients were followed from initial mCRC diagnosis to death, disenrollment, or 12/31/2006. Results: Total of 3,781 newly diagnosed mCRC patients were identified between 2001–2005. On average over the 5 years, 58% of patients (with annual variation ± 4% points) received chemotherapy/biologic treatment in the year following their mCRC diagnosis; mean days to initiation of chemotherapy treatment decreased from 135 to 62 between 2001–2005. In 2001, FOLFIRI (40%), 5-FU (30%), and CAP (20%) were the most prevalent first-line treatments. In 2005, first-line treatment regimens were more diverse: FOLFOX plus bevacizumab (35%), FOLFOX alone (15%), 5-FU (15%), and CAP (15%) were the most prevalent, while 33% of patients used other treatment combinations. Among mCRC patients diagnosed in 2005, 63% were treated with at least one biologic therapy in the first year after diagnosis (57% received bevacizumab; 26% received cetuximab). Conclusions: While rates of chemotherapy use remained relatively constant between 2001–2005, patients initiated chemotherapy treatment sooner after their initial diagnosis and the standard course of therapy shifted from being FOLFIRI-based to FOLFOX-based. A rapid uptake in biologic therapies occurred. The majority of newly diagnosed mCRC patients were users of biologic therapy within one year following their introduction. [Table: see text]
Collapse
Affiliation(s)
- K. M. Foley
- Thomson Reuters, Washington, DC; Amgen, Inc., Thousand Oaks, CA
| | - P. F. Wang
- Thomson Reuters, Washington, DC; Amgen, Inc., Thousand Oaks, CA
| | - S. Long
- Thomson Reuters, Washington, DC; Amgen, Inc., Thousand Oaks, CA
| | - B. Barber
- Thomson Reuters, Washington, DC; Amgen, Inc., Thousand Oaks, CA
| | - E. Bagalman
- Thomson Reuters, Washington, DC; Amgen, Inc., Thousand Oaks, CA
| | - Z. Zhao
- Thomson Reuters, Washington, DC; Amgen, Inc., Thousand Oaks, CA
| |
Collapse
|
93
|
Matiasek L, Platt S, Adams V, Scase T, Keys D, Miller J, Adamo F, Long S, Matiasek K. Ki-67 and Vascular Endothelial Growth Factor Expression in Intracranial Meningiomas in Dogs. J Vet Intern Med 2009; 23:146-51. [DOI: 10.1111/j.1939-1676.2008.0235.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
|
94
|
Koop C, Mosher R, Kun L, Geiling J, Grigg E, Long S, Macedonia C, Merrell R, Satava R, Rosen J. Future delivery of health care: Cybercare. ACTA ACUST UNITED AC 2008; 27:29-38. [DOI: 10.1109/memb.2008.929888] [Citation(s) in RCA: 68] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
95
|
Kawsar M, Long S, Srivastava OP. Child sexual abuse and sexually transmitted infections: review of joint genitourinary medicine and paediatric examination practice. Int J STD AIDS 2008; 19:349-50. [PMID: 18482969 DOI: 10.1258/ijsa.2007.007209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Joint examination by doctors with complementary skills and screening for sexually transmitted infections (STIs) are recommended in children who may have been sexually abused or have been found to have an STI. Our study showed that criminal proceedings were more likely to be brought in cases with physical signs of sexual abuse. It could be difficult to prove whether sexual abuse had taken place or not with microbiological evidence alone, in the absence of other evidence. Significance of viral STIs in the context of sexual abuse should be evaluated carefully. The review of our practice re-enforced the importance of joint examination of children with suspected STIs.
Collapse
Affiliation(s)
- M Kawsar
- Department of Genitourinary Medicine, Luton and Dunstable Hospital NHS Trust, Luton, Bedfordshire, UK.
| | | | | |
Collapse
|
96
|
Ottaviani M, Merck C, Long S, Koskulics J, Stamnes K, Su W, Wiscombe W. Time-resolved polarimetry over water waves: relating glints and surface statistics. Appl Opt 2008; 47:1638-1648. [PMID: 18385775 DOI: 10.1364/ao.47.001638] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The phenomenon of sunglint, well known in satellite remote sensing, lacks a fundamental characterization under controlled laboratory conditions. Exploiting an apparatus specifically assembled for the purpose, we examine the signal collected by a photopolarimeter, pointed at a wavy water surface with measurable statistics and illuminated by a laser source. We also analyze the wave slope distributions, retrieved with an imaging system, and correlate them with the time series of glints. More particularly, we investigate the link between the occurrence of glints and that of the slopes from which they originate. In this context, the results obtained by applying the Hilbert-Huang transform technique to the slope time series are compared with those obtained through a traditional Fourier transform. This novel study first identifies the individual atomic glints as Fresnel reflection originating from a single wave facet. It then discusses the periodic character of a sequence of glints generated by a gravity wave state, as opposed to the erratic behavior of glints typical of capillary wave states. In mixed gravity-capillary conditions, it is shown that the glint properties are governed mainly by the capillary regime.
Collapse
Affiliation(s)
- M Ottaviani
- Department of Physics & Engineering Physics, Stevens Institute of Technology, Hoboken, New Jersey 07030, USA.
| | | | | | | | | | | | | |
Collapse
|
97
|
Schaffer K, Long S, Crowe M, FitzGerald S, Fenelon L. An Indian take away. J Infect 2007. [DOI: 10.1016/j.jinf.2007.04.164] [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]
|
98
|
Moyes SM, Smyth SH, Shipman A, Long S, Morris JF, Carr KE. Parameters influencing intestinal epithelial permeability and microparticle uptake in vitro. Int J Pharm 2007; 337:133-41. [PMID: 17306478 DOI: 10.1016/j.ijpharm.2006.12.036] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2006] [Revised: 12/21/2006] [Accepted: 12/23/2006] [Indexed: 10/23/2022]
Abstract
The hypothesis that, in vivo in situ, villous uptake of 2 microm latex microparticles involves changes at enterocyte tight junctions (TJs) was tested using Caco-2 cells on porous membranes. Epithelial permeability was measured by transepithelial resistance (TER) and particle numbers in surface, intraepithelial and sub-epithelial compartments by microscopy. Apical particle or medium addition initially closed TJs, but this was subsequently reversed in particle-treated groups. Peristaltic onward movement of a bolus was simulated by removing apical particles after an exposure period and leaving the remaining particles to interact with the epithelium: this produced marked TJ loosening during the interaction period. For particle exposure groups, the early similarity with particle numbers in vivo taken up in young adult rats became less marked with time, although bolus removal counteracted this tendency. The TJ response to vasoactive intestinal polypeptide (VIP) was time-dependent. Adsorbed and intraepithelial particle numbers increased with particle exposure time; epithelial-associated microparticle aggregation varied with treatment and submembranous particles were seen in all groups. Correlation between TER changes and particle numbers suggests TJ loosening may be important in microparticle uptake. This Caco-2 model gives epithelial particle numbers that approximate well to published figures for microparticle uptake in vivo and allows effective microenvironmental manipulation.
Collapse
Affiliation(s)
- S M Moyes
- Department of Physiology, Anatomy and Genetics, Le Gros Clark Building, University of Oxford, South Parks Road, Oxford OX1 3QX, United Kingdom.
| | | | | | | | | | | |
Collapse
|
99
|
|
100
|
Long S, Fenelon L, Fitzgerald S, Nolan N, Burns K, Hannan M, Kyne L, Fanning S, Drudy D. First isolation and report of clusters of Clostridium difficile PCR 027 cases in Ireland. ACTA ACUST UNITED AC 2007; 12:E070426.3. [PMID: 17868610 DOI: 10.2807/esw.12.17.03183-en] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
We report the first documentation of C. difficile 027 in Ireland from a patient with diarrhoea transferred from a hospital in the United Kingdom (UK). In addition, we report two clusters of C. difficile ribotype 027 in two hospitals in Ireland.
Collapse
Affiliation(s)
- S Long
- Department of Microbiology, St Vincent's University Hospital, Dublin, Ireland
| | | | | | | | | | | | | | | | | |
Collapse
|