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Goff LM, Moore A, Harding S, Rivas C. Providing culturally sensitive diabetes self-management education and support for black African and Caribbean communities: a qualitative exploration of the challenges experienced by healthcare practitioners in inner London. BMJ Open Diabetes Res Care 2020; 8:8/2/e001818. [PMID: 33293296 PMCID: PMC7725076 DOI: 10.1136/bmjdrc-2020-001818] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 10/29/2020] [Accepted: 11/17/2020] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Poor access to, and engagement with, diabetes healthcare is a significant issue for black British communities who are disproportionately burdened by type 2 diabetes (T2D). Tackling these inequalities is a healthcare priority. The purpose of this research was to explore the experiences of healthcare practitioners providing diabetes self-management education and support (DSMES) to African and Caribbean adults living with T2D to inform the development of a culturally tailored DSMES program. RESEARCH DESIGN AND METHODS Semi-structured interviews were carried out with a range of healthcare practitioners including diabetes specialist nurses, dietitians and general practitioners based in primary care in inner London. Thematic content analysis was used to identify barriers and facilitators relating to the provision of effective DSMES. RESULTS Ten interviews were conducted. There was a strong consensus among healthcare practitioners for the importance of DSMES in T2D healthcare. However, practitioners discussed this area of practice as overwhelmingly challenging and recognized a wide range of barriers that they face. Four themes were identified: (1) The tension between structural and responsive care needs, particularly with growing numbers of patients alongside incentivized targets driving a care agenda that does not meet the needs of diverse communities; (2) challenges posed by cultural beliefs and practices, particularly a distrust of conventional medicine, rejection of body mass index standards and a belief in 'God's will'; (3) building relationships through cultural understanding: insiders and outsiders, particularly the benefits of racial concordance and cultural knowledge/resources and (4) getting the messages across, particularly the need to address gaps in structured education. CONCLUSION Provision of culturally sensitive DSMES is a challenging area of practice for practitioners, who recognize the need for more training and resources to support them in developing cultural competence. Nonetheless, practitioners recognize the importance of DSMES and are striving to provide culturally sensitive care to their patients.
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Affiliation(s)
- Louise M Goff
- Department of Nutritional Sciences, King's College London, London, UK
| | - Amanda Moore
- Department of Nutritional Sciences, King's College London, London, UK
| | | | - Carol Rivas
- Department of Social Science, University College London, London, UK
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Elia C, Karamanos A, Dregan A, O’Keeffe M, Wolfe I, Sandall J, Morgan C, Cruickshank JK, Gobin R, Wilks R, Harding S. Association of macro-level determinants with adolescent overweight and suicidal ideation with planning: A cross-sectional study of 21 Latin American and Caribbean Countries. PLoS Med 2020; 17:e1003443. [PMID: 33373361 PMCID: PMC7771665 DOI: 10.1371/journal.pmed.1003443] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Accepted: 11/09/2020] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Adolescents and young people (10-24 years old) in the Latin America and the Caribbean (LAC) region represent approximately 25% of the region's population. Since the 2008 global economic crisis, the pace of reduction in poverty and income inequality in the LAC region has stalled. The region is characterised by high levels of inequities and is also vulnerable to many natural disasters. Food systems are changing with increased availability and marketing of packaged and fast foods and sugar-sweetened drinks. Adolescence is a formative phase of the life course with multiple physical, emotional and social changes which can make them vulnerable to health problems. We assess the potential impact of macro-determinants, human and economic development as well as income inequality, on 2 top-ranking regional priorities for adolescent nutrition and mental health, using measures of overweight and suicidal ideation and planning which some have shown to be associated. METHODS AND FINDINGS The Global School-based Health Survey (GSHS) is a nationally representative self-administered, school-based survey. We examined overweight/obesity and suicidal ideation with planning by gross domestic product (GDP) per capita or human development index (HDI) in 10-19-year-old adolescents from 21 LAC countries between 2009 and 2013. Sample sizes varied from 943 in Anguilla to 27,988 in Argentina. A total of 55,295 adolescents had a measure of overweight/obesity status, and 59,061 adolescents reported about suicidal ideation with planning. There was equal representation by sex in the surveys (52% girls and 48% boys). A total of 28.8% of boys and 28.1% of girls had overweight/obesity, and 7.5% of boys and 17.5% of girls reported suicidal ideation with planning over the last 12 months. Adjusted for individual socioeconomic and risk behaviours, and relative to the highest GDP per capita tertile, the middle tertile was associated with 42% (95% confidence interval (CI) 59% to 17%, p = 0.003) and 32% (95% CI 60% to 5%, p = 0.023), and the lowest tertile with 40% (95% CI 55% to 19%, p = 0.001) and 46% (95% CI 59% to 29%, p < 0.001) lower chances of overweight/obesity for girls and boys, respectively. A similar positive effect was seen with HDI, with lowest chances of overweight in the lowest tertile compared with the highest tertile for both sexes. Overweight/obesity was positively related with suicidal ideation with planning for girls (odds ratio (OR) 1.12, 95% CI 1.02 to 1.22, p = 0.009) and weakly related for boys (OR 1.09, 95% CI 0.96 to 1.24, p = 0.182). In contrast to overweight/obesity status, suicidal ideation with planning was not related to macro-level indices despite both outcomes sharing common individual socioeconomic and risk behaviour correlates. Limitations include the dominance of Argentinians in the sample (40%), the exclusion of vulnerable adolescents who dropped out of school, and reporting bias due to stigma of mental health-related issues. CONCLUSIONS This study shows that economic and human development were positively associated with adolescent overweight/obesity but not with suicidal ideation with planning. We also observed an interconnectedness between overweight/obesity and suicide ideation with planning among girls. These findings highlight the importance of strategies that engage with both upstream and downstream determinants to improve adolescent nutrition and mental health.
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Affiliation(s)
- Christelle Elia
- Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, United Kingdom
| | - Alexis Karamanos
- Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, United Kingdom
| | - Alexandru Dregan
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, United Kingdom
| | - Majella O’Keeffe
- Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, United Kingdom
| | - Ingrid Wolfe
- Department of Population Health Sciences, School of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King’s College London, United Kingdom
| | - Jane Sandall
- School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, St Thomas’ Hospital, London, United Kingdom
| | - Craig Morgan
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, United Kingdom
| | - J. Kennedy Cruickshank
- Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, United Kingdom
| | - Reeta Gobin
- Faculty of Medicine, University of Guyana, Guyana
| | - Rainford Wilks
- Faculty of Medicine, University of the West Indies, Jamaica
| | - Seeromanie Harding
- Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, United Kingdom
- Department of Population Health Sciences, School of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King’s College London, United Kingdom
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Harding S. SP-0257: Innate immune responses caused by radiation-induced micronuclei. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00281-4] [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]
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Leavey G, Rosato M, Harding S, Corry D, Divin N, Breslin G. Adolescent mental health problems, suicidality and seeking help from general practice: A cross-sectional study (Northern Ireland Schools and Wellbeing study). J Affect Disord 2020; 274:535-544. [PMID: 32663986 DOI: 10.1016/j.jad.2020.05.083] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 04/01/2020] [Accepted: 05/15/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND Adolescent mental health problems and suicidality appear to be increasing in Western countries but contact with health services remains stubbornly low. While social disadvantage is often implicated in aetiology and help-seeking, evidence on the relative contribution of school and family life factors is limited. We sought (a) to examine the prevalence and factors associated with mental health problems in adolescent boys and girls; and (b) to examine factors associated with trust and contact with GPs for mental health problems. METHOD Cross-sectional study of adolescent pupils in Northern Ireland RESULTS: High rates of mental health problems and suicidality were recorded, especially among females. While social circumstances do not influence mental health outcomes, factors of interest were atheist/agnostic beliefs and having a bedroom to oneself. While overall trust in GPs was high, more than 36% of the sample reported low trust. GP Trust was associated with positive home life factors. Importantly, adolescents with mental health problems including suicidality were much less likely to seek help. LIMITATIONS Cross-sectional data CONCLUSIONS: This study confirms the high rates of mental health problems and suicidality among adolescents in Northern Ireland, particularly among young women. Those most in need of professional help appear least prepared to seek it. The influence of home life and environment on both poor mental health and trust and help-seeking from family doctors, is considerable and there is a need to find interventions that nurture appropriate levels of trust and help-seeking guidance for adolescents.
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Affiliation(s)
- Gerard Leavey
- The Bamford Centre for Mental Health & Wellbeing, Ulster University, Cromore Road, Coleraine, Northern Ireland.
| | - Michael Rosato
- The Bamford Centre for Mental Health & Wellbeing, Ulster University, Cromore Road, Coleraine, Northern Ireland.
| | - Seeromanie Harding
- Kings College London, Franklin-Wilkins Building, Stamford Street London, SE1 9NH, UK.
| | - Dagmar Corry
- The Bamford Centre for Mental Health & Wellbeing, Ulster University, Cromore Road, Coleraine, Northern Ireland.
| | - Natalie Divin
- The Bamford Centre for Mental Health & Wellbeing, Ulster University, Cromore Road, Coleraine, Northern Ireland.
| | - Gavin Breslin
- The Bamford Centre for Mental Health & Wellbeing, Ulster University, Cromore Road, Coleraine, Northern Ireland.
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Jardim PDTC, Dias IMÁV, Grande AJ, O'keeffe M, Dazzan P, Harding S. COVID-19 experience among Brasil's indigenous people. Rev Assoc Med Bras (1992) 2020; 66:861-863. [PMID: 32844921 DOI: 10.1590/1806-9282.66.7.861] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 07/11/2020] [Indexed: 11/22/2022]
Affiliation(s)
| | | | | | - Majella O'keeffe
- School of Public Health, Western Gateway Building, University College Cork, Western Road, Cork, Ireland
| | - Paola Dazzan
- Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK
| | - Seeromanie Harding
- School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, London, UK
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Elia C, Karamanos A, Silva MJ, O’Connor M, Lu Y, Dregan A, Huang P, O’Keeffe M, Cruickshank JK, Enayat EZ, Cassidy A, Molaodi OR, Maynard M, Harding S. Weight misperception and psychological symptoms from adolescence to young adulthood: longitudinal study of an ethnically diverse UK cohort. BMC Public Health 2020; 20:712. [PMID: 32423390 PMCID: PMC7236343 DOI: 10.1186/s12889-020-08823-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [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: 02/14/2019] [Accepted: 05/01/2020] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND To evaluate the association between weight misperception and psychological symptoms in the Determinants of young Adults Social well-being and Health (DASH) longitudinal study. METHODS A longitudinal sample of 3227 adolescents, in 49 secondary schools in London, aged 11-16 years participated in 2002/2003 and were followed up in 2005/2006. A sub-sample (N = 595) was followed up again at ages 21-23 years in 2012/2013. An index of weight misperception was derived from weight perception and measured weight. Psychological well- being was measured using the Strengths and Difficulties Questionnaire at 11-16 years and the General Health Questionnaire at 21-23 years. Associations with weight misperception was assessed using regression models, adjusted for socio-economic and lifestyle factors. RESULTS White British males and females were more likely than ethnic minority peers to report accurate perceptions of measured weight. At 11-13y, 46% females and 38% males did not have an accurate perception of their measured weight. The comparable figures at 14-16y were 42 and 40%. Compared with male adolescents, more females perceived themselves as overweight or were unsure of their weight but measured normal weight, and this was more pronounced among Indians, Pakistanis and Bangladeshis. At 14-16y, more males perceived themselves as underweight but measured normal weight, and this was more pronounced among Indians. Compared with those who had an accurate perception of their normal weight, a higher likelihood of probable clinically-relevant psychological symptoms was observed among those who measured normal weight but perceived themselves to be underweight (females Odds Ratio (OR) = 1.87 95% CI 1.03-3.40; males OR = 2.34 95% CI 1.47-3.71), overweight (females only OR = 2.06 95% CI 1.10-3.87), or unsure of their weight (males only OR = 1.61 95% CI 1.04-2.49). Among females, the association was driven by internalising rather than externalising symptoms. An accurate perception of overweight was associated with higher psychological symptoms in adolescence and early 20s. Ethnic specific effects were not evident. CONCLUSION Weight misperception may be an important determinant of psychological symptoms in young people, with an accurate perception of normal weight status being protective. Culturally targeted interventions should be considered to promote healthy perceptions of body image.
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Affiliation(s)
- Christelle Elia
- grid.13097.3c0000 0001 2322 6764Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, Franklin Wilkins Building, London, SE1 9NH UK
| | - Alexis Karamanos
- grid.83440.3b0000000121901201ESRC International Centre for Life Course Studies in Society and Health, Department of Epidemiology and Health, University College London, London, WC1 6BT UK
| | - Maria João Silva
- grid.13097.3c0000 0001 2322 6764Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, Franklin Wilkins Building, London, SE1 9NH UK
| | - Maeve O’Connor
- grid.13097.3c0000 0001 2322 6764Institute of Psychiatry, Psychology and Neuroscience, Faculty of Life Sciences & Medicine, King’s College London, Denmark Hill Campus, London, SE5 9RJ UK
| | - Yao Lu
- grid.13097.3c0000 0001 2322 6764Institute of Psychiatry, Psychology and Neuroscience, Faculty of Life Sciences & Medicine, King’s College London, Denmark Hill Campus, London, SE5 9RJ UK
| | - Alexandru Dregan
- grid.13097.3c0000 0001 2322 6764Department of Population Health Sciences, School of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King’s College London, Addison House, Guy’s Campus, London, SE11UL UK
| | - Peiyuan Huang
- grid.13097.3c0000 0001 2322 6764Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, Franklin Wilkins Building, London, SE1 9NH UK
| | - Majella O’Keeffe
- grid.13097.3c0000 0001 2322 6764Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, Franklin Wilkins Building, London, SE1 9NH UK
| | - J. Kennedy Cruickshank
- grid.13097.3c0000 0001 2322 6764Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, Franklin Wilkins Building, London, SE1 9NH UK
| | - Elli Z. Enayat
- grid.13097.3c0000 0001 2322 6764Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, Franklin Wilkins Building, London, SE1 9NH UK
| | - Aidan Cassidy
- grid.13097.3c0000 0001 2322 6764Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King’s College London, Franklin Wilkins Building, London, SE1 9NH UK
| | - Oarabile R. Molaodi
- grid.8756.c0000 0001 2193 314XMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
| | - Maria Maynard
- grid.10346.300000 0001 0745 8880School of Clinical & Applied Sciences, Leeds Beckett University, CL 413 Calverley Building, City Campus, Leeds, LS1 3HE UK
| | - Seeromanie Harding
- Department of Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, London, SE1 9NH, UK. .,Department of Population Health Sciences, School of Population Health & Environmental Sciences, Faculty of Life Sciences & Medicine, King's College London, Addison House, Guy's Campus, London, SE11UL, UK.
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Grande AJ, Elia C, Peixoto C, Jardim PDTC, Dazzan P, Veras AB, Cruickshank JK, Harding S. Mental health interventions for suicide prevention among indigenous adolescents: a systematic review protocol. BMJ Open 2020; 10:e034055. [PMID: 32423928 PMCID: PMC7239512 DOI: 10.1136/bmjopen-2019-034055] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 03/10/2020] [Accepted: 04/16/2020] [Indexed: 11/07/2022] Open
Abstract
INTRODUCTION There are more than 370 million indigenous people from 5000 cultures living in 90 countries worldwide. Although they make up 5% of the global population, they account for 15% of the extreme poor. Youth suicide is the second leading cause of mortality among 15-29 years old and disproportionately affects indigenous youth. This research protocol pertains to a systematic review of studies that use a comparator/control group to evaluate the effectiveness of suicide interventions targeting indigenous adolescents (aged 10-19 years). METHODS AND ANALYSIS We will conduct a systematic search on MEDLINE, EMBASE, CINAHL, LILACS and PsycINFO from inception to September 2019 to identify articles that compare mental health interventions for suicide prevention among indigenous adolescents. Two reviewers will independently determine the eligibility of each study. Studies will be assessed for methodological quality using the risk of bias tool to assess non-randomised studies of interventions. We will conduct a meta-analysis if possible and use established statistical methods to identify and control for heterogeneity where appropriate. ETHICS AND DISSEMINATION This systematic review will use published data and does not require ethics approval. However, this review is in preparation of a feasibility study that will examine how best to support the physical and mental health of indigenous adolescents in Brazil. Ethics approval for the feasibility study was obtained from National Research Ethics Commission. Findings will be disseminated through a peer-reviewed publication and will be made available to key decision-makers with authority for indigenous health and other relevant stakeholders. PROSPERO REGISTRATION NUMBER CRD42019141754.
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Affiliation(s)
- Antonio José Grande
- State University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | - Christelle Elia
- King's College London Faculty of Life Sciences and Medicine, London, UK
| | - Clayton Peixoto
- Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Paola Dazzan
- King's College London Faculty of Life Sciences and Medicine, London, UK
| | - Andre Barciela Veras
- State University of Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
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Brunton-O'Sullivan M, Holley A, Hally K, Kristono G, Bird G, Harding S, Larsen P. 488 Examining the Relationship Between Infarct Size and Circulating Extracellular Matrix Biomarkers Over Acute and Chronic Phases of Myocardial Infarction. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.495] [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: 10/23/2022]
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Holley A, Harding S, Larsen P. 440 An Analysis on Gender Disparities in a Contemporary Acute Myocardial Infarction (AMI) Cohort. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.447] [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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Borrie A, Zebrauskaite A, Fairley S, Ranchord A, Harding S. 777 A New Generation Polymer-Free Amphilimus Eluting Stent in Complex PCI: A Single Centre Experience. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.784] [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: 10/23/2022]
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Kristono G, Holley A, Hally K, Brunton-O'Sullivan M, Harding S, Larsen P. 567 Trends in Inflammatory Cytokine Levels Over Acute and Chronic Phases of Myocardial Infarction. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.574] [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: 11/27/2022]
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Jabbour R, Owen T, Reinsch M, Pandey P, Wang B, King O, Smith G, Stuckey D, Shanmuganathan M, Lyon A, Ng F, Terracciano C, Weinberger F, Eschenghagen T, Harding S. P5385Development and preclinical testing of upscaled engineered heart tissue for use in translational studies. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0345] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
The lack of efficacy of stem cell therapy for the treatment of heart failure may be related to the poor retention rates offered by existing delivery methods (intra-coronary/ intramyocardial). Tissue engineering strategies improve cell retention in small animal models but data regarding engineered heart tissue (EHT) patches large enough for human studies are lacking.
Purpose
To upscale EHT to a clinically relevant size and mature the patch in-vitro. Once matured to undergo preclinical testing in a rabbit model of myocardial infarction.
Methods
We developed an upscaled EHT patch (3cm x 2cm x 1.5mm) able to contain up to 50 million human induced pluripotent stem cell derived cardiomyocytes (hiPSC-CM; Fig A/B). Myocardial infarction model was performed by permanent ligation.
Results
The patches began to beat spontaneously within 3 days of fabrication and after 28 days of dynamic culture (Late EHTs) showed the development of several mature characteristics when compared to early patches (<14 days from fabrication). For example, late EHTs contained hiPSC-CMs which were more aligned (hiPSC-CM accumulative angle change: early 2702±778 degrees [n=4] vs late 922±186 [n=5], p=0.042); showed better contraction kinetics (early peak contraction amplitude 87.9±5.8a.u. versus late 952±304a.u.; p<0.001) and faster calcium transients (time to peak: early 200.8±8.8ms [n=5] vs late 147.7±10.2ms [n=6], p=0.004; time to 75% decay: early 274±9.7ms vs late 219.9±2.7ms, p=0.0003).
We then tested the EHT patch in-vivo using a rabbit model (Fig C). Patches were applied to normal (n=5) or infarcted hearts (n=8). Sham operations used non-cellular fibrin patches (n=5). The mean fraction of troponin positive cells in the graft was 27.8±10.3% at 25.2±1.7 days relative to day 0 [n=5] and KU80 (human specific marker) staining confirmed that this was of human origin. CD31 (Fig D) and KU80 staining revealed that the grafts were well vascularized and that the vasculature was not human in origin (therefore were originating from the host). Ex-vivo optical mapping revealed evidence of electrical coupling between the graft and host at 2 weeks and preliminary experiments indicated that the patch improved left ventricular function when grafted onto infarcted hearts. Telemetry recordings in vivo and arrhythmia provocation protocols (ex vivo) indicated that the patch was not proarrhythmic.
Figure 1. A/B) EHT Images; C) 20x troponin T (brown) of rabbit myocardium/EHT (2 weeks after grafting), blue counterstain = haematoxylin, red lines = EHT borders; D) 63x CD31 staining (brown) rabbit/EHT border zone (2 weeks after grafting), blue stain = haematoxylin, red lines = graft/host border zones.
Conclusion
We successfully upscaled hiPSC-CM derived EHT to a clinically relevant size and demonstrated feasibility and integration using a rabbit model of myocardial infarction. Tissue engineering strategies may be the preferred modality of cell delivery for future cardiac regenerative medicine studies.
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Affiliation(s)
- R Jabbour
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - T Owen
- Imperial College London, London, United Kingdom
| | - M Reinsch
- University Medical Center Hamburg Eppendorf, Hamburg, Germany
| | - P Pandey
- Imperial College London, London, United Kingdom
| | - B Wang
- Imperial College London, London, United Kingdom
| | - O King
- Imperial College London, London, United Kingdom
| | - G Smith
- University of Glasgow, Glasgow, United Kingdom
| | - D Stuckey
- University College London, London, United Kingdom
| | | | - A Lyon
- Imperial College London, London, United Kingdom
| | - F Ng
- Imperial College London, London, United Kingdom
| | | | - F Weinberger
- University Medical Center Hamburg Eppendorf, Hamburg, Germany
| | - T Eschenghagen
- University Medical Center Hamburg Eppendorf, Hamburg, Germany
| | - S Harding
- Imperial College London, London, United Kingdom
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Moore AP, Rivas CA, Stanton-Fay S, Harding S, Goff LM. Designing the Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) self-management and support programme for UK African and Caribbean communities: a culturally tailored, complex intervention under-pinned by behaviour change theory. BMC Public Health 2019; 19:1146. [PMID: 31429735 PMCID: PMC6702734 DOI: 10.1186/s12889-019-7411-z] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [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: 01/29/2019] [Accepted: 07/31/2019] [Indexed: 01/02/2023] Open
Abstract
Background UK African and Caribbean (AfC) communities are disproportionately burdened by type 2 diabetes (T2D). Promoting healthy eating and physical activity through structured education is the cornerstone of T2D care, however cultural barriers may limit engagement in these communities. In addition, changes in lifestyle behaviour are shaped by normative influences within social groups and contextual factors need to be understood to facilitate healthful behaviour change. The Behaviour Change Wheel (BCW) and associated COM-B framework offer intervention designers a systematic approach to developing interventions. The aim of this study was to apply the BCW in the design of a culturally sensitive self-management support programme for T2D in UK AfC communities. Methods An intervention development study was conducted. Focus groups were held with 41 AfC patients with T2D to understand healthful weight-management, diet and physical activity behaviours. The COM-B framework and BCW were used to evaluate the qualitative data, identify appropriate behaviour change techniques and specify the intervention components. Results Participants were motivated to avoid diabetes-related consequences although did not always understand the negative impact of their current health behaviours on long-term diabetes outcomes. Barriers to healthful behaviour included gaps in knowledge related to diet, physical activity and weight management guidance. In addition, motivation and social opportunity barriers included an acceptance of larger body sizes, rejection of body mass index for weight guidance and cultural identity being strongly linked to consumption of traditional starches. There was a lack of social opportunity to perform moderate to vigorous physical activity, although walking and dance were culturally acceptable. The resulting Healthy Eating & Active Lifestyles for Diabetes (HEAL-D) intervention uses social support, social comparison, credible sources and demonstration as key behaviour change techniques. Conclusion Use of COM-B and the BCW highlighted the need for an intervention to address motivational and social opportunity barriers to engaging in healthful behaviours, as well as addressing key gaps in knowledge. This framework facilitated the linkage of theoretical behaviour constructs with evidence-based behaviour change techniques, which will enable us to evaluate operationalisation of our chosen BCTs and their impact on behaviour change in a future feasibility study. Electronic supplementary material The online version of this article (10.1186/s12889-019-7411-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Amanda P Moore
- King's College London, Departments of Diabetes & Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, Room 3.87 Franklin-Wilkins Building, Stamford Street, London, SE1 9NH, England
| | - Carol A Rivas
- Institute of Education, University College London, 18 Woburn Square, London, WC1H ONR, England
| | - Stephanie Stanton-Fay
- Department of Clinical, Educational and Health Psychology, Faculty of Brain Sciences, University College London, Alexandra House, 17-19 Queens Square, WC1N 3AZ, London, England
| | - Seeromanie Harding
- King's College London, Departments of Diabetes & Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, Room 3.87 Franklin-Wilkins Building, Stamford Street, London, SE1 9NH, England
| | - Louise M Goff
- King's College London, Departments of Diabetes & Nutritional Sciences, School of Life Course Sciences, Faculty of Life Sciences & Medicine, Room 3.87 Franklin-Wilkins Building, Stamford Street, London, SE1 9NH, England.
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64
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Brook H, Caspari S, Weber B, Grimmler M, Murphy F, Mccusker M, Matters D, Harding S. Measurement of Lipoprotein (a) using the binding site Optilite® turbidimetric analyzer and Lipoprotein (a) assay. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.050] [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]
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65
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Brook H, Jamil O, Mcentee D, Murphy F, Mccusker M, Matters D, Harding S. Evaluation of the Freelite MX™ kappa free and lambda free assays on the binding site Optilite® turbidimetric analyzer using CSF samples. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.048] [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]
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66
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Coley M, Sharp K, Kay A, Stubbs P, Harding S. Remediation of IGG4 cross reaction from the binding site OPTILITE® IGG1 and IGG2 assays. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.205] [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: 12/01/2022]
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67
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Sroa B, Weber B, Grimmler M, Murphy F, Matters D, Harding S. Apolipoprotein B assay performance on the binding site Optilite® turbidimetric analyzer. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.054] [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]
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68
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North S, Barnidge D, Brusseau S, Patel R, Haselton M, Du Chateau B, Wallis G, Harding S, Sakrikar D, Ashby J. QIP-MS: A specific, sensitive, accurate, and quantitative alternative to electrophoresis that can identify endogenous m-proteins and distinguish them from therapeutic monoclonal antibodies in patients being treated for multiple myeloma. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.920] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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69
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Brook H, Johnson-Brett B, Brohet F, Stordeur P, Mcentee D, Murphy F, Matters D, Harding S. Measurement of Complement C2 using the binding site SPAPLUS® turbidimetric analyzer and Complement C2 assay. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.047] [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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70
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Coley M, Wilson C, Sharp K, Harding S. Stability of serum free light chains at -20C, +4C AND +22C. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.321] [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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71
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Aldridge C, Hardy E, Mcentee D, Antanaitis A, Twomey P, Freund D, Kuehn S, Hegel K, Murphy F, Matters D, Harding S. Performance of the low level IgG assay for human factor testing on the binding site Optilite ® analyzer. Clin Chim Acta 2019. [DOI: 10.1016/j.cca.2019.03.049] [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]
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72
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Harding S. SP-0116 Mechanisms of Radiotherapy Induced Inflammatory Signaling. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30536-5] [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: 11/27/2022]
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73
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Goff LM, Moore AP, Rivas C, Harding S. Healthy Eating and Active Lifestyles for Diabetes (HEAL-D): study protocol for the design and feasibility trial, with process evaluation, of a culturally tailored diabetes self-management programme for African-Caribbean communities. BMJ Open 2019; 9:e023733. [PMID: 30826792 PMCID: PMC6398623 DOI: 10.1136/bmjopen-2018-023733] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Black British communities are disproportionately burdened by type 2 diabetes (T2D) and its complications. Tackling these inequalities is a priority for healthcare providers and patients. Culturally tailored diabetes education provides long-term benefits superior to standard care, but to date, such programmes have only been developed in the USA. The current programme of research aims to develop the Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) culturally tailored T2D self-management programme for black British communities and to evaluate its delivery, acceptability and the feasibility of conducting a future effectiveness trial of HEAL-D. METHODS AND ANALYSIS Informed by Medical Research Council Complex Interventions guidance, this research will rigorously develop and evaluate the implementation of the HEAL-D intervention to understand the feasibility of conducting a full-scale effectiveness trial. In phase 1, the intervention will be developed. The intervention curriculum will be based on existing evidence-based T2D guidelines for diet and lifestyle management; codesign methods will be used to foster community engagement, identify the intervention's underpinning theory, identify the optimal structure, format and delivery methods, ascertain adaptations that are needed to ensure cultural sensitivity and understand issues of implementation. In phase 2, the intervention will be delivered and compared with usual care in a feasibility trial. Process evaluation methods will evaluate the delivery and acceptability of HEAL-D. The effect size of potential primary outcomes, such as HbA1c and body weight, will be estimated. The feasibility of conducting a future effectiveness trial will also be evaluated, particularly feasibility of randomisation, recruitment, retention and contamination. ETHICS AND DISSEMINATION This study is funded by a National Institute of Health Research Fellowship (CDF-2015-08-006) and approved by National Health Service Research Ethics Committee (17-LO-1954). Dissemination will be through national and international conferences, peer-reviewed publications and local and national clinical diabetes networks. TRIAL REGISTRATION NUMBER NCT03531177; Pre-results.
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Affiliation(s)
- Louise M Goff
- Diabetes and Nutritional Sciences, Kings College London, London, UK
| | - Amanda P Moore
- Diabetes and Nutritional Sciences, Kings College London, London, UK
| | - Carol Rivas
- Faculty of Health Sciences, University of Southamptom, Southamptom, UK
| | - Seeromanie Harding
- Diabetes & Nutritional Sciences Division, King's College London, London, UK
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74
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Huang P, O'Keeffe M, Elia C, Karamanos A, Goff LM, Maynard M, Cruickshank JK, Harding S. Fruit and vegetable consumption and mental health across adolescence: evidence from a diverse urban British cohort study. Int J Behav Nutr Phys Act 2019; 16:19. [PMID: 30736801 PMCID: PMC6368762 DOI: 10.1186/s12966-019-0780-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [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: 09/02/2018] [Accepted: 01/31/2019] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Evidence on the relationship between fruit and vegetable consumption (FV) and mental health in adolescence is sparse and inconsistent. Social determinants of FV include ethnicity, family environments and economic disadvantage. We investigated the relationship between FV and mental health in the British multi-ethnic Determinants of Adolescents (now young Adult) Social well-being and Health (DASH) longitudinal study. METHODS A longitudinal study of 4683 adolescents living in London at age 11-13 years and followed up at 14-16 years. FV was measured using validated questions on the number of portions consumed daily. Mental health was measured by the Strengths and Difficulties Questionnaire as mean Total Difficulties Score (TDS) and by classification as a 'probable clinical case' (TDS > 17). Social measures included ethnicity, parenting and socioeconomic circumstances. Multilevel modelling was used to investigate the association between FV and mental health throughout adolescence. RESULTS Low FV was common among adolescents, with approximately 60-70% of adolescents reporting < 5 portions/day and 20-30% reporting < 1 portion/day. In late adolescence, most ethnic minority groups reported lower FV than their White peers. In fully adjusted models, < 1 portion/day remained a significant correlate with mean TDS (Coef: 0.55, 0.29-0.81, P < 0.001) and TDS > 17 (Odds Ratio: 1.43, 1.11-1.85, P = 0.007). Gender- or ethnic-specific effects were not observed. Low parental care partly attenuated the association between FV and mental health. CONCLUSIONS Low FV is a longitudinal correlate of poor mental health across adolescence. A focus on FV in parenting interventions could yield interrelated benefits across developmental outcomes given its importance to both physical and socioemotional health.
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Affiliation(s)
- Peiyuan Huang
- Department of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK.,Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Majella O'Keeffe
- Department of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK
| | - Christelle Elia
- Department of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK
| | - Alexis Karamanos
- Department Epidemiology and Health, ESRC International Centre for Lifecourse Studies in Society and Health, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK
| | - Louise M Goff
- Department of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK
| | - Maria Maynard
- School of Clinical & Applied Sciences, Leeds Beckett University, CL 1014 Calverley Building, City Campus, Leeds, LS1 3HE, UK
| | - J Kennedy Cruickshank
- Department of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK
| | - Seeromanie Harding
- Department of Nutrition Science, School of Life Course Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH, UK. .,Department of Primary Care and Public Health, School of Population Health Sciences, Faculty of Life Sciences & Medicine, King's College London, Addison House, Guy's, London, SE1 1UL, UK.
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75
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Greig JD, Young I, Harding S, Mascarenhas M, Waddell LA. A scoping review of Lyme disease research relevant to public health. Can Commun Dis Rep 2018; 44:243-256. [PMID: 31524886 PMCID: PMC6707479 DOI: 10.14745/ccdr.v44i10a03] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Lyme disease (LD) is an emerging infectious disease in Canada associated with expansion of the geographic range of the tick vector Ixodes scapularis in eastern and central Canada. A scoping review of published research was prioritized to identify and characterize the scientific evidence concerning key aspects of LD to support public health efforts. Prior to initiation of this review, an expert advisory group was surveyed to solicit insight on priority topics and scope. A pre-tested search strategy implemented in eight databases (updated September 2016) captured relevant research. Pre-tested screening and data characterization forms were completed by two independent reviewers and descriptive analysis was conducted to identify topic areas with solid evidence and knowledge gaps. Of 19,353 records screened, 2,258 relevant articles were included in the review under the following six public health focus areas: a) surveillance/monitoring in North America (n=809); b) evaluation of diagnostic tests (n=736); c) risk factors (n=545); d) public health interventions (n=205); e) public knowledge, attitudes and/or perceptions in North America (n=202); and f) the economic burden of LD or cost-benefit of interventions (n=32). The majority of research investigated Borrelia burgdorferi (n=1,664), humans (n=1,154) and Ixodes scapularis (n=459). Sufficient research was identified for potential systematic reviews in four topic areas: a) accuracy of diagnostic tests; b) risk factors for human illness; c) efficacy of LD intervention strategies; and d) prevalence and/or incidence of LD in humans or B. burgdorferi sensu stricto in vertebrate reservoirs or ticks in North America. Future primary research could focus on closing knowledge gaps, such as the role of less studied vertebrate reservoirs in the transmission cycle. Results of this scoping review can be used to quickly identify and summarize relevant research pertaining to specific questions about LD or B. burgdorferi sensu lato in humans, vertebrate hosts or vectors, providing evidence-informed information within timelines that are conducive for public health decision-making.
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Affiliation(s)
- JD Greig
- National Microbiology Laboratory at Guelph, Public Health Agency of Canada, Guelph, ON
| | - I Young
- School of Occupational and Public Health, Ryerson University, Toronto, ON
| | - S Harding
- National Microbiology Laboratory at Guelph, Public Health Agency of Canada, Guelph, ON
| | - M Mascarenhas
- National Microbiology Laboratory at Guelph, Public Health Agency of Canada, Guelph, ON
| | - LA Waddell
- National Microbiology Laboratory at Guelph, Public Health Agency of Canada, Guelph, ON
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76
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Panahi M, Papanikolaou A, Khan H, Torabi A, Cleland JGF, Vadgama N, Rosenthal NA, Harding S, Sattler S. P2861A systematic review and meta-analysis of anti-cytokine therapies targeting IL-1 and TNF- A in myocardial infarction and heart failure. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2861] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Panahi
- Imperial College London, National Heart and Lung Instutute, Hammersmith Hospital, London, United Kingdom
| | - A Papanikolaou
- Imperial College London, National Heart and Lung Instutute, Hammersmith Hospital, London, United Kingdom
| | - H Khan
- Imperial College Healthcare NHS Trust, London, United Kingdom
| | - A Torabi
- Imperial College Healthcare NHS Trust, London, United Kingdom
| | - J G F Cleland
- Imperial College Healthcare NHS Trust, London, United Kingdom
| | - N Vadgama
- Imperial College London, National Heart and Lung Instutute, Hammersmith Hospital, London, United Kingdom
| | - N A Rosenthal
- The Jackson Laboratory, Bar Harbor, Maine, United States of America
| | - S Harding
- Imperial College London, National Heart and Lung Instutute, Hammersmith Hospital, London, United Kingdom
| | - S Sattler
- Imperial College London, National Heart and Lung Instutute, Hammersmith Hospital, London, United Kingdom
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77
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Narodden S, Baxan N, Harding S. 4384High-frame rate cine-MRI reveals systolic and diastolic functional abnormalities in the remote segments of ischaemia-reperfusion myocardial infarction. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.4384] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S Narodden
- Imperial College London, National Heart and Lung Institute, London, United Kingdom
| | - N Baxan
- Imperial College London, Biological Imaging Centre, Department of Medicine, London, United Kingdom
| | - S Harding
- Imperial College London, National Heart and Lung Institute, London, United Kingdom
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78
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Jabbour R, Kapnisi K, Mawad D, Handa B, Couch L, Mansfield C, Perbillini F, Terracciano C, Stevens M, Lyon A, Smith G, Peters N, Ng FS, Harding S. P5705Conductive polymers affect myocardial conduction velocity but are not pro-arrhythmic. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p5705] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- R Jabbour
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - K Kapnisi
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - D Mawad
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - B Handa
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - L Couch
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - C Mansfield
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - F Perbillini
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - C Terracciano
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - M Stevens
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - A Lyon
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - G Smith
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - N Peters
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - F S Ng
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
| | - S Harding
- Imperial College Healthcare NHS Trust, imperial, London, United Kingdom
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79
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Delgado-Angulo EK, Marcenes W, Harding S, Bernabé E. Ethnicity, migration status and dental caries experience among adults in East London. Community Dent Oral Epidemiol 2018; 46:392-399. [DOI: 10.1111/cdoe.12381] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2017] [Accepted: 04/11/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Elsa K. Delgado-Angulo
- Division of Population and Patient Health; King's College London Dental Institute at Guy's; King's College and St. Thomas’ Hospitals; London UK
- Departamento Académico de Odontología Social; Universidad Peruana Cayetano Heredia; Lima Perú
| | - Wagner Marcenes
- Division of Population and Patient Health; King's College London Dental Institute at Guy's; King's College and St. Thomas’ Hospitals; London UK
| | - Seeromanie Harding
- Schools of Life Course Sciences & Population Health and Environmental Sciences; Faculty of Life Sciences & Medicine; King's College London; London UK
| | - Eduardo Bernabé
- Division of Population and Patient Health; King's College London Dental Institute at Guy's; King's College and St. Thomas’ Hospitals; London UK
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80
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Berecz T, Molnar A, Haltrich I, Homolya L, Harding S, Rethelyi J, Merkely B, Foldes G, Apati A. P70Cardiomyocytes derived from induced pluripotent stem cells of patient with DiGeorge syndrome show slower beating frequency and higher irregularity. Cardiovasc Res 2018. [DOI: 10.1093/cvr/cvy060.034] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- T Berecz
- Semmelweis University Heart Center, Budapest, Hungary
| | - A Molnar
- Semmelweis University Heart Center, Budapest, Hungary
| | - I Haltrich
- Semmelweis University, Budapest, Hungary
| | - L Homolya
- Hungarian Academy of Sciences, Budapest, Hungary
| | - S Harding
- Imperial College London, London, United Kingdom
| | - J Rethelyi
- Semmelweis University, Budapest, Hungary
| | - B Merkely
- Semmelweis University Heart Center, Budapest, Hungary
| | - G Foldes
- Semmelweis University Heart Center, Budapest, Hungary
| | - A Apati
- Hungarian Academy of Sciences, Budapest, Hungary
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81
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Evans C, Bateman E, Steven R, Ponsford M, Cullinane A, Shenton C, Duthie G, Conlon C, Jolles S, Huissoon AP, Longhurst HJ, Rahman T, Scott C, Wallis G, Harding S, Parker AR, Ferry BL. Measurement of Typhi Vi antibodies can be used to assess adaptive immunity in patients with immunodeficiency. Clin Exp Immunol 2018; 192:292-301. [PMID: 29377063 PMCID: PMC5980364 DOI: 10.1111/cei.13105] [Citation(s) in RCA: 18] [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] [Accepted: 10/23/2017] [Indexed: 02/06/2023] Open
Abstract
Vaccine‐specific antibody responses are essential in the diagnosis of antibody deficiencies. Responses to Pneumovax II are used to assess the response to polysaccharide antigens, but interpretation may be complicated. Typhim Vi®, a polysaccharide vaccine for Salmonella typhoid fever, may be an additional option for assessing humoral responses in patients suspected of having an immunodeficiency. Here we report a UK multi‐centre study describing the analytical and clinical performance of a Typhi Vi immunoglobulin (Ig)G enzyme‐linked immunosorbent assay (ELISA) calibrated to an affinity‐purified Typhi Vi IgG preparation. Intra‐ and interassay imprecision was low and the assay was linear, between 7·4 and 574 U/ml (slope = 0·99–1·00; R2 > 0·99); 71% of blood donors had undetectable Typhi Vi IgG antibody concentrations. Of those with antibody concentrations > 7·4 U/ml, the concentration range was 7·7–167 U/ml. In antibody‐deficient patients receiving antibody replacement therapy the median Typhi Vi IgG antibody concentrations were < 25 U/ml. In vaccinated normal healthy volunteers, the median concentration post‐vaccination was 107 U/ml (range 31–542 U/ml). Eight of eight patients (100%) had post‐vaccination concentration increases of at least threefold and six of eight (75%) of at least 10‐fold. In an antibody‐deficient population (n = 23), only 30% had post‐vaccination concentration increases of at least threefold and 10% of at least 10‐fold. The antibody responses to Pneumovax II and Typhim Vi® correlated. We conclude that IgG responses to Typhim Vi® vaccination can be measured using the VaccZyme Salmonella typhi Vi IgG ELISA, and that measurement of these antibodies maybe a useful additional test to accompany Pneumovax II responses for the assessment of antibody deficiencies.
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Affiliation(s)
- C Evans
- Clinical Immunology Laboratory, Oxford University Hospitals Foundation Trust, Oxford, UK
| | - E Bateman
- Clinical Immunology Laboratory, Oxford University Hospitals Foundation Trust, Oxford, UK
| | - R Steven
- Immunodeficiency Centre for Wales, University Hospital of Wales, Cardiff, UK
| | - M Ponsford
- Immunodeficiency Centre for Wales, University Hospital of Wales, Cardiff, UK
| | - A Cullinane
- Clinical Immunology Laboratory, Oxford University Hospitals Foundation Trust, Oxford, UK
| | - C Shenton
- Clinical Immunology Laboratory, Oxford University Hospitals Foundation Trust, Oxford, UK
| | - G Duthie
- Infectious Disease Department, Oxford University Hospitals Foundation Trust, Oxford, UK
| | - C Conlon
- Infectious Disease Department, Oxford University Hospitals Foundation Trust, Oxford, UK
| | - S Jolles
- Immunodeficiency Centre for Wales, University Hospital of Wales, Cardiff, UK
| | - A P Huissoon
- West Midlands Primary Immunodeficiency Centre, Birmingham Heartlands Hospital, Birmingham, UK
| | - H J Longhurst
- Department of Immunology, Barts Health NHS Trust, London, UK
| | - T Rahman
- Department of Immunology, Barts Health NHS Trust, London, UK
| | - C Scott
- Department of Immunology, Barts Health NHS Trust, London, UK
| | - G Wallis
- Binding Site Group Limited, Birmingham, UK
| | - S Harding
- Binding Site Group Limited, Birmingham, UK
| | - A R Parker
- Binding Site Group Limited, Birmingham, UK
| | - B L Ferry
- Clinical Immunology Laboratory, Oxford University Hospitals Foundation Trust, Oxford, UK
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82
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Read UM, Karamanos A, João Silva M, Molaodi OR, Enayat ZE, Cassidy A, Cruickshank JK, Harding S. The influence of racism on cigarette smoking: Longitudinal study of young people in a British multiethnic cohort. PLoS One 2018; 13:e0190496. [PMID: 29364959 PMCID: PMC5783341 DOI: 10.1371/journal.pone.0190496] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [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: 02/22/2017] [Accepted: 12/17/2017] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Studies, predominantly from the US, suggest that positive parenting, social support, academic achievement, and ethnic identity may buffer the impact of racism on health behaviours, including smoking, but little is known about how such effects might operate for ethnically diverse young people in the United Kingdom. We use the Determinants of young Adult Social well-being and Health (DASH), the largest UK longitudinal study of ethnically diverse young people, to address the following questions: a) Is racism associated with smoking? b) Does the relationship between racism and smoking vary by gender and by ethnicity? (c) Do religious involvement, parenting style and relationship with parents modify any observed relationship? and d) What are the qualitative experiences of racism and how might family or religion buffer the impact? METHODS The cohort was recruited from 51 London schools. 6643 were seen at 11-13y and 4785 seen again at 14-16y. 665 participated in pilot follow-up at 21-23y, 42 in qualitative interviews. Self-report questionnaires included lifestyles, socio-economic and psychosocial factors. Mixed-effect models examined the associations between racism and smoking. RESULTS Smoking prevalence increased from adolescence to age 21-23y, although ethnic minorities remained less likely to smoke. Racism was an independent longitudinal correlate of ever smoking throughout adolescence (odds ratio 1.77, 95% Confidence Interval 1.45-2.17) and from early adolescence to early 20s (1.90, 95% CI 1.25-2.90). Smoking initiation in late adolescence was associated with cumulative exposure to racism (1.77, 95% CI 1.23-2.54). Parent-child relationships and place of worship attendance were independent longitudinal correlates that were protective of smoking. Qualitative narratives explored how parenting, religion and cultural identity buffered the adverse impact of racism. CONCLUSIONS Racism was associated with smoking behaviour from early adolescence to early adulthood, regardless of gender, ethnicity or socio-economic circumstances adding to evidence of the need to consider racism as an important social determinant of health across the life course.
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Affiliation(s)
- Ursula M. Read
- School of Population Health Sciences & School of Life Course Sciences, Kings College London, London, United Kingdom
| | - Alexis Karamanos
- ESRC International Centre for Lifecourse Studies in Society and Health, Department of Epidemiology and Health, University College London, London, United Kingdom
| | - Maria João Silva
- School of Population Health Sciences & School of Life Course Sciences, Kings College London, London, United Kingdom
| | - Oarabile R. Molaodi
- MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland
| | - Zinat E. Enayat
- University College London Hospitals, National Hospital for Neurology and Neurosurgery, Queen Square London, United Kingdom
| | - Aidan Cassidy
- MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland
| | - J. Kennedy Cruickshank
- School of Population Health Sciences & School of Life Course Sciences, Kings College London, London, United Kingdom
| | - Seeromanie Harding
- School of Population Health Sciences & School of Life Course Sciences, Kings College London, London, United Kingdom
- * E-mail:
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83
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Kristono G, Holley A, Sasse A, Harding S, Larsen P. Neutrophil-Lymphocyte Ratio as a Prognostic Marker in Acute Myocardial Infarction. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.645] [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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84
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Fairley S, Harding S. Spontaneous Coronary Artery Dissection as a Cause of Acute Coronary Syndromes: A Bigger Problem Than We Thought? Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.1034] [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: 11/16/2022]
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85
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Wilkins B, Simmonds M, Matsis P, Scott B, Gaskin D, Harding S, Larsen P. Effect of Reduced Frame-Rate Protocol on Radiation Dose During Cardiac Catheterisation. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.1021] [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: 11/16/2022]
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86
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O’Connor M, Harding S, Kirby A, Wilkins B, Larsen P. Current Anticoagulant and Antiplatelet Prescribing Practice in Acute Coronary Syndromes With Concurrent Atrial Fibrillation Across Australia And New Zealand. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.914] [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]
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87
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Hally K, La Flamme A, Harding S, Larsen P. Neutrophil Activation in Response to Toll-Like Receptor Stimulation is Regulated by Platelets. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.644] [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: 10/28/2022]
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88
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O’Connor M, Hooks D, Webber M, Shi B, Morrison S, Harding S, Larsen P. Long-Term Single-Centre Comparison of Implantable Cardioverter-Defibrillator Lead Survival: Evidence for Premature Linox Lead Failure. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.034] [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: 10/28/2022]
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89
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Lo S, Wu E, Yan B, Harding S, Lim S, Lei G, Chen J, Qian J, Lee S, Kao H, Tsuchikane E. Percutaneous Coronary Intervention for Chronic Totally Occluded Vessels in the Asia-Pacific Region: Initial Results of Asia-Pacific Chronic Totally Occluded Club Registry. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.961] [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: 10/28/2022]
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90
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Kirby A, Holley A, Aitken A, Larsen P, Harding S. Family History of Premature Coronary Artery Disease: Accuracy and Predictor of Risk. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.611] [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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91
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Garrod R, Harding S, Head J, Jepson A, Minowa-Astridge K, Walker B, Shannon H. Opportunities and challenges of using an action learning set to enhance leadership development: a pilot evaluative study. Physiotherapy 2017. [DOI: 10.1016/j.physio.2017.11.160] [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: 11/24/2022]
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92
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Bhui K, Silva MJ, Harding S, Stansfeld S. Bullying, Social Support, and Psychological Distress: Findings From RELACHS Cohorts of East London's White British and Bangladeshi Adolescents. J Adolesc Health 2017; 61:317-328. [PMID: 28587795 DOI: 10.1016/j.jadohealth.2017.03.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Revised: 03/17/2017] [Accepted: 03/17/2017] [Indexed: 11/28/2022]
Abstract
PURPOSE The purpose of the study is to test whether bullying in adolescents relates to poor mental health and whether social support mitigated this effect. METHODS In 2001, 28 schools in East London were randomly selected for surveys of two representative mixed ability classes: year 7 (11-12 years) and year 9 (13-14 years). Repeated measures were obtained from the same pupils 2 years later, using the Strengths and Difficulties Questionnaire (total difficulties score [TDS]) as a measure of psychological distress. A simple one-level random intercepts model with measurements nested within pupils was used to investigate the effects of bullying and social support from friends and family on TDS. We also assessed whether culturally congruent friendships offered a mental health advantage. RESULTS Bullying was associated with a higher mean TDS (coefficient, 95% confidence interval: White British: 2.15, 1.41-2.88; Bangladeshi: 1.65, .91-2.4); a high level of family social support was associated with a lower TDS (White British: -2.36, -3.33 to -1.39; Bangladeshi: -2.34, -3.15 to -.149). Social support from friends was helpful for White British adolescents (-1.06, -2.07 to -.04). Culturally congruent friendships offered no general advantage. CONCLUSION Bullying is associated with psychological distress; family social support is independently associated with less psychological distress.
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Affiliation(s)
- Kamaldeep Bhui
- Center for Psychiatry, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom.
| | - Maria Joao Silva
- Center for Psychiatry, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
| | - Seeromanie Harding
- Diabetes and Nutritional Sciences, King's College London, London, United Kingdom
| | - Stephen Stansfeld
- Center for Psychiatry, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
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93
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Guex A, Spicer C, Armgarth A, Gelmi A, Humphrey E, Terracciano C, Harding S, Stevens M. Electrospun aniline-tetramer- co-polycaprolactone fibres for conductive, biodegradable scaffolds. MRS Commun 2017; 7:375-382. [PMID: 29387506 PMCID: PMC5788276 DOI: 10.1557/mrc.2017.45] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Accepted: 06/09/2017] [Indexed: 05/20/2023]
Abstract
Conjugated polymers have been proposed as promising materials for scaffolds in tissue engineering applications. The restricted processability and biodegradability of conjugated polymers limit their use for biomedical applications however. Here we synthesised a block-co-polymer of aniline tetramer and PCL (AT-PCL), and processed it into fibrous non-woven scaffolds by electrospinning. We showed that fibronectin (Fn) adhesion was dependant on the AT-PCL oxidative state, with a reduced Fn unfolding length on doped membranes. Furthermore, we demonstrated the cytocompatibility and potential of these membranes to support the growth and osteogenic differentiation of MC3T3-E1 over 21 days.
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Affiliation(s)
- A.G. Guex
- Department of Materials, Department of Bioengineering, and Institute of Biomedical Engineering, Imperial College London, Prince Consort Road, London SW7 2AZ, UK
- National Heart and Lung Institute, Imperial College London, Du Cane Road, London W12 0NN, UK
- Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biointerfaces, and Laboratory for Biomimetic Membranes and Textiles, Lerchenfeldstrasse 5, 9014 St. Gallen, Switzerland
| | - C.D. Spicer
- Department of Materials, Department of Bioengineering, and Institute of Biomedical Engineering, Imperial College London, Prince Consort Road, London SW7 2AZ, UK
| | - A. Armgarth
- Department of Materials, Department of Bioengineering, and Institute of Biomedical Engineering, Imperial College London, Prince Consort Road, London SW7 2AZ, UK
| | - A. Gelmi
- Department of Materials, Department of Bioengineering, and Institute of Biomedical Engineering, Imperial College London, Prince Consort Road, London SW7 2AZ, UK
| | - E.J. Humphrey
- National Heart and Lung Institute, Imperial College London, Du Cane Road, London W12 0NN, UK
| | - C.M. Terracciano
- National Heart and Lung Institute, Imperial College London, Du Cane Road, London W12 0NN, UK
| | - S. Harding
- National Heart and Lung Institute, Imperial College London, Du Cane Road, London W12 0NN, UK
| | - M.M. Stevens
- Department of Materials, Department of Bioengineering, and Institute of Biomedical Engineering, Imperial College London, Prince Consort Road, London SW7 2AZ, UK
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94
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Harding S, Moss TP. The impact of treatment for head and neck cancer on positive psychological change within a year of completing treatment. Int J Oral Maxillofac Surg 2017; 47:302-308. [PMID: 28843885 DOI: 10.1016/j.ijom.2017.07.023] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Revised: 06/22/2017] [Accepted: 07/31/2017] [Indexed: 11/27/2022]
Abstract
Head and neck cancer carries a high level of morbidity and mortality. So why could anyone find having such a disease a positive event? The adversity hypothesis of "what doesn't kill you makes you stronger" suggests that people can use adversity to develop as human beings. This positive psychological change has received little attention in relation to head and neck cancer. Responses to the Silver Lining Questionnaire, University of Washington Quality of Life Questionnaire, and Short-Form 12 were collected from a postal survey, 3 to 12 months after the completion of treatment for head and neck cancer. Fifty-two (63%) people returned the survey and were included in the analysis. Time since completion of therapy did not show any relationship with positive psychological change. Tumour stage and treatment regimen both had a relationship with positive change. Participants with lower stage tumours had higher levels of positive change than those with tumours of higher stages. Participants who had surgery alone reported more positive change than those who had surgery with radiotherapy. A social factor related to greater change was being married or living with a partner when compared to living alone. Further research would aid the identification of bio-psychosocial factors that influence the development of positive psychological change and inform the development of rehabilitation interventions.
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Affiliation(s)
- S Harding
- Department of Health and Social Sciences, University of the West of England, Bristol, UK.
| | - T P Moss
- Centre for Appearance Research, University of the West of England, Bristol, UK
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95
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Harding S, Vrijhoef H. COMMUNITY FOR SUCCESSFUL AGEING (COMSA) @WHAMPOA: CREATING AN ECOSYSTEM FOR AGEING IN PLACE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.446] [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: 11/15/2022] Open
Affiliation(s)
- S. Harding
- International Longevity Centre, Singapore, Singapore
| | - H.J. Vrijhoef
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
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96
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Tsao M, Ng W, Peh K, Harding S, Hildon Z, Lim Z, Vrijhoef H. AN OVERVIEW OF COMSA—ITS THEORETICAL FRAMEWORK AND ESSENTIAL COMPONENTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.447] [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)
- M. Tsao
- Tsao Foundation, Singapore, Singapore,
| | - W. Ng
- Tsao Foundation, Singapore, Singapore,
| | - K. Peh
- Tsao Foundation, Singapore, Singapore,
| | | | - Z.J. Hildon
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore,
- London School of Hygiene and Tropical Medicine, London, United Kingdom,
| | - Z.Z. Lim
- Tsao Foundation, Singapore, Singapore,
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore,
| | - H.J. Vrijhoef
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore,
- National University Health System, Singapore, Singapore,
- Department of Patient & Care, Maastricht University Medical Center, Maastricht, Netherlands
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97
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Geronimo M, Ahmad E, Lee J, Harding S. COMMUNITY DEVELOPMENT IN COMSA: FROM SELF-CARE TO SELF-DEVELOPMENT. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.449] [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: 11/13/2022] Open
Affiliation(s)
| | | | - J. Lee
- Tsao Foundation, Singapore, Singapore
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98
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Shiraz F, Aw S, Koh G, Wong M, Vrijhoef H, Harding S, Yu Y, Hildon Z. EXPLORING PROCESSES OF ADAPTATION FOR SUCCESSFUL AGING: LIVED EXPERIENCES OF OLDER SINGAPOREAN ADULTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3184] [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: 11/13/2022] Open
Affiliation(s)
- F. Shiraz
- National University of Singapore, Singapore, Singapore,
| | - S. Aw
- National University of Singapore, Singapore, Singapore,
| | - G.C. Koh
- National University of Singapore, Singapore, Singapore,
| | - M. Wong
- National University of Singapore, Singapore, Singapore,
| | - H.J. Vrijhoef
- National University of Singapore, Singapore, Singapore,
- Maastricht University Medical Centre, Maastricht, Netherlands,
- Vrije Universiteit, Brussels, Belgium,
| | | | - Y. Yu
- Hallym University, Korea, Korea (the Republic of),
| | - Z.J. Hildon
- National University of Singapore, Singapore, Singapore,
- London School of Hygiene and Tropical Medicine, London, United Kingdom
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99
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Aw S, Oh Y, Koh G, Vrijhoef H, Harding S, Hildon Z. MAPPING TYPOLOGIES OF SOCIAL PARTICIPATION TO PROGRAMMING FOR ELDERS IN THE CHANGING ASIAN CONTEXTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3168] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S. Aw
- Saw Swee Hock School of Public Health, Singapore, Singapore,
| | - Y. Oh
- Hallym University, ChunCheon, Korea (the Republic of),
| | - G.C. Koh
- Saw Swee Hock School of Public Health, Singapore, Singapore,
| | - H.J. Vrijhoef
- Saw Swee Hock School of Public Health, Singapore, Singapore,
| | | | - Z.J. Hildon
- John Hopkins University, Baltimore, Maryland
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100
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Carnegie E, Whittaker A, Gray Brunton C, Hogg R, Kennedy C, Hilton S, Harding S, Pollock KG, Pow J. Development of a cross-cultural HPV community engagement model within Scotland. Health Educ J 2017; 76:398-410. [PMID: 28596618 PMCID: PMC5446167 DOI: 10.1177/0017896916685592] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
OBJECTIVE To examine cultural barriers and participant solutions regarding acceptance and uptake of the human papillomavirus (HPV) vaccine from the perspective of Black African, White-Caribbean, Arab, Indian, Bangladeshi and Pakistani young people. METHODS In total, 40 young people from minority ethnic communities in Scotland took part in a qualitative study, involving seven focus groups and four paired interviews, to explore their views and experiences of the HPV vaccine. Using critical discursive psychology, the analysis focused on young people's accounts of barriers and enablers to information, access and uptake of the HPV vaccination programme. RESULTS Participants suggested innovative strategies to tackle intergenerational concerns, information design and accessibility, and public health communications across diverse contexts. A cross-cultural community engagement model was developed, embracing diversity and contradiction across different ethnic groups. This included four inter-related strategies: providing targeted and flexible information for young people, vaccine provision across the life-course, intergenerational information and specific cross-cultural communications. CONCLUSION This is the first HPV cross-cultural model inductively derived from accounts of young people from different ethnic communities. We recommend public health practitioners and policymakers consider using the processes and strategies within this model to increase dialogue around public engagement, awareness and receptivity towards HPV vaccination.
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Affiliation(s)
- Elaine Carnegie
- School of Health & Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, UK
- Elaine Carnegie, School of Health & Social Care, Edinburgh Napier University, Sighthill Campus, Sighthill Court, Edinburgh EH11 4BN, UK.
| | - Anne Whittaker
- School of Health & Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, UK
| | - Carol Gray Brunton
- School of Health & Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, UK
| | - Rhona Hogg
- NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Catriona Kennedy
- School of Nursing and Midwifery, Robert Gordon University, Aberdeen, UK
| | - Shona Hilton
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
| | - Seeromanie Harding
- Division of Diabetes & Nutritional Sciences, King’s College London, London, UK
| | - Kevin G Pollock
- Vaccine Preventable Diseases, Health Protection Scotland, Glasgow, UK
| | - Janette Pow
- School of Health & Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh, UK
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