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White B, Rossi V, Baugher PJ. Aminolevulinic Acid-Mediated Photodynamic Therapy Causes Cell Death in MG-63 Human Osteosarcoma Cells. Photomed Laser Surg 2016; 34:400-5. [PMID: 27500317 DOI: 10.1089/pho.2016.4091] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE The aim of this study was to test the efficacy of aminolevulinic acid-mediated photodynamic therapy (PDT) against the human osteosarcoma cell line MG-63. BACKGROUND DATA Osteosarcoma is the most common type of primary malignant bone tumor diagnosed in the United States among adolescents and children. Treatments for osteosarcoma often result in diminished limb use or amputation. Because ALA-mediated PDT exhibits dual specificity in the context of tumor killing, this therapy could represent a less invasive, but effective, treatment for this disease. MATERIALS AND METHODS To assess ALA dark toxicity in MG-63 cells, cells were incubated with varying concentrations of ALA, and cell viability was determined by crystal violet assay. Protoporphyrin IX (PpIX) accumulation was assessed subsequent to ALA incubation at various concentrations using spectrofluorometry. Cell death subsequent to ALA-PDT was determined by illuminating cells at a wavelength of 635 nm at various light intensities subsequent to ALA incubation. Cell viability was assessed using the MTT assay. RESULTS ALA dark toxicity was observed only at the highest concentrations of 2, 5, and 10 mM. Maximal PpIX concentration was observed at 0.5 and 1 mM ALA, subsequent to a 24-h incubation. Maximal cell death with minimal light toxicity was observed at 0.5 and 1 mM ALA after illumination with 0.6 and 3 J/cm(2) light. CONCLUSIONS Collectively, our data indicate that ALA-PDT can result in the death of MG-64 human osteosarcoma cells in vitro.
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Parker M, Willmott L, White B, Williams G, Cartwright C. Medical education and law: withholding/withdrawing treatment from adults without capacity. Intern Med J 2016; 45:634-40. [PMID: 25828677 DOI: 10.1111/imj.12759] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2015] [Accepted: 03/19/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND Law is increasingly involved in clinical practice, particularly at the end of life, but undergraduate and postgraduate education in this area remains unsystematic. We hypothesised that attitudes to and knowledge of the law governing withholding/withdrawing life-sustaining treatment from adults without capacity (the WWLST law) would vary and demonstrate deficiencies among medical specialists. AIMS We investigated perspectives, knowledge and training of medical specialists in the three largest (populations and medical workforces) Australian states, concerning the WWLST law. METHODS Following expert legal review, specialist focus groups, pre-testing and piloting in each state, seven specialties involved with end-of-life care were surveyed, with a variety of statistical analyses applied to the responses. RESULTS Respondents supported the need to know and follow the law. There were mixed views about its helpfulness in medical decision-making. Over half the respondents conceded poor knowledge of the law; this was mirrored by critical gaps in knowledge that varied by specialty. There were relatively low but increasing rates of education from the undergraduate to continuing professional development (CPD) stages. Mean knowledge score did not vary significantly according to undergraduate or immediate postgraduate training, but CPD training, particularly if recent, resulted in greater knowledge. Case-based workshops were the preferred CPD instruction method. CONCLUSIONS Teaching of current and evolving law should be strengthened across all stages of medical education. This should improve understanding of the role of law, ameliorate ambivalence towards the law and contribute to more informed deliberation about end-of-life issues with patients and families.
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Cunliffe AR, White B, Justusson J, Straus C, Malik R, Al-Hallaq HA, Armato SG. Comparison of Two Deformable Registration Algorithms in the Presence of Radiologic Change Between Serial Lung CT Scans. J Digit Imaging 2015; 28:755-60. [PMID: 25822396 PMCID: PMC4636715 DOI: 10.1007/s10278-015-9789-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
We evaluated the image registration accuracy achieved using two deformable registration algorithms when radiation-induced normal tissue changes were present between serial computed tomography (CT) scans. Two thoracic CT scans were collected for each of 24 patients who underwent radiation therapy (RT) treatment for lung cancer, eight of whom experienced radiologically evident normal tissue damage between pre- and post-RT scan acquisition. For each patient, 100 landmark point pairs were manually placed in anatomically corresponding locations between each pre- and post-RT scan. Each post-RT scan was then registered to the pre-RT scan using (1) the Plastimatch demons algorithm and (2) the Fraunhofer MEVIS algorithm. The registration accuracy for each scan pair was evaluated by comparing the distance between landmark points that were manually placed in the post-RT scans and points that were automatically mapped from pre- to post-RT scans using the displacement vector fields output by the two registration algorithms. For both algorithms, the registration accuracy was significantly decreased when normal tissue damage was present in the post-RT scan. Using the Plastimatch algorithm, registration accuracy was 2.4 mm, on average, in the absence of radiation-induced damage and 4.6 mm, on average, in the presence of damage. When the Fraunhofer MEVIS algorithm was instead used, registration errors decreased to 1.3 mm, on average, in the absence of damage and 2.5 mm, on average, when damage was present. This work demonstrated that the presence of lung tissue changes introduced following RT treatment for lung cancer can significantly decrease the registration accuracy achieved using deformable registration.
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White B, Doyle J, Colville S, Nicholls D, Viner RM, Christie D. Systematic review of psychological and social outcomes of adolescents undergoing bariatric surgery, and predictors of success. Clin Obes 2015; 5:312-24. [PMID: 26541244 DOI: 10.1111/cob.12119] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Accepted: 09/16/2015] [Indexed: 01/20/2023]
Abstract
The psychological and social outcomes of bariatric surgery in adolescents, together with psychological and social predictors of success, were systematically reviewed. PubMed, EMBASE, ISI Web of Science and PsychInfo were searched on July 2014. Existing data were sparse; 15 were suitable for qualitative review and six for meta-analysis (four quality of life [QOL], two depression). One study was a randomized controlled trial. A total of 139 subjects underwent Roux-en-Y gastric bypass, 202 underwent adjustable gastric band and 64 underwent sleeve gastrectomy. Overall QOL improved after bariatric surgery, regardless of surgical type with peak improvement at 6-12 months. Meta-analysis of four studies showed changed in overall QOL at latest follow-up of 2.80 standard deviation (SD) (95% confidence interval [CI] 1.23-4.37). Depression improved across all studies, regardless of procedure (effect size -0.47 SD [95% CI -0.76, -0.18] at 4-6 months). Two cohorts reported changes in both overall QOL and depression following a quadratic trajectory, with overall improvement over 2 years and deterioration in the second post-operative year. There were limited data on other psychological and social outcomes. There were insufficient data on psychosocial predictors of outcome to form evidence-based recommendations for patient selection for bariatric surgery at this time.
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Badenoch-Jones E, White B, Lynham A. The Australian litigation landscape – oral and maxillofacial surgery and general dentistry (oral surgery procedures): a review of litigation cases. Int J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.ijom.2015.08.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Lavin M, Jenkins PV, Keenan C, White B, Betts DR, O'Donnell JS, O'Connell NM. X-linked moyamoya syndrome associated with severe haemophilia A. Haemophilia 2015; 22:e51-4. [PMID: 26422091 DOI: 10.1111/hae.12806] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/04/2015] [Indexed: 11/28/2022]
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Cunliffe AR, Contee C, Armato SG, White B, Justusson J, Malik R, Al-Hallaq HA. Effect of deformable registration on the dose calculated in radiation therapy planning CT scans of lung cancer patients. Med Phys 2015; 42:391-9. [PMID: 25563279 DOI: 10.1118/1.4903267] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
PURPOSE To characterize the effects of deformable image registration of serial computed tomography (CT) scans on the radiation dose calculated from a treatment planning scan. METHODS Eighteen patients who received curative doses (≥ 60 Gy, 2 Gy/fraction) of photon radiation therapy for lung cancer treatment were retrospectively identified. For each patient, a diagnostic-quality pretherapy (4-75 days) CT scan and a treatment planning scan with an associated dose map were collected. To establish correspondence between scan pairs, a researcher manually identified anatomically corresponding landmark point pairs between the two scans. Pretherapy scans then were coregistered with planning scans (and associated dose maps) using the demons deformable registration algorithm and two variants of the Fraunhofer MEVIS algorithm ("Fast" and "EMPIRE10"). Landmark points in each pretherapy scan were automatically mapped to the planning scan using the displacement vector field output from each of the three algorithms. The Euclidean distance between manually and automatically mapped landmark points (dE) and the absolute difference in planned dose (|ΔD|) were calculated. Using regression modeling, |ΔD| was modeled as a function of dE, dose (D), dose standard deviation (SD(dose)) in an eight-pixel neighborhood, and the registration algorithm used. RESULTS Over 1400 landmark point pairs were identified, with 58-93 (median: 84) points identified per patient. Average |ΔD| across patients was 3.5 Gy (range: 0.9-10.6 Gy). Registration accuracy was highest using the Fraunhofer MEVIS EMPIRE10 algorithm, with an average dE across patients of 5.2 mm (compared with >7 mm for the other two algorithms). Consequently, average |ΔD| was also lowest using the Fraunhofer MEVIS EMPIRE10 algorithm. |ΔD| increased significantly as a function of dE (0.42 Gy/mm), D (0.05 Gy/Gy), SD(dose) (1.4 Gy/Gy), and the algorithm used (≤ 1 Gy). CONCLUSIONS An average error of <4 Gy in radiation dose was introduced when points were mapped between CT scan pairs using deformable registration, with the majority of points yielding dose-mapping error <2 Gy (approximately 3% of the total prescribed dose). Registration accuracy was highest using the Fraunhofer MEVIS EMPIRE10 algorithm, resulting in the smallest errors in mapped dose. Dose differences following registration increased significantly with increasing spatial registration errors, dose, and dose gradient (i.e., SDdose). This model provides a measurement of the uncertainty in the radiation dose when points are mapped between serial CT scans through deformable registration.
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White B, Willmott L, Parker M, Cartwright C, Williams G. Should law have a role in end-of-life care? Intern Med J 2015; 42:966-8. [DOI: 10.1111/j.1445-5994.2012.02883.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Kiely JB, Olszanski A, Both S, Low D, White B. SU-E-J-155: Automatic Quantitative Decision Making Metric for 4DCT Image Quality. Med Phys 2015. [DOI: 10.1118/1.4924240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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White B, Jamieson L, Clifford S, Shield JPH, Christie D, Smith F, Wong ICK, Viner RM. Adolescent experiences of anti-obesity drugs. Clin Obes 2015; 5:116-26. [PMID: 25974187 DOI: 10.1111/cob.12101] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Revised: 02/27/2015] [Accepted: 03/01/2015] [Indexed: 11/29/2022]
Abstract
Only two anti-obesity drugs (AODs) are frequently prescribed in paediatric obesity, orlistat and metformin. Meta-analyses show modest benefit in clinical trials, yet analyses of prescribing databases show high levels of discontinuation in routine clinical practice. Increased understanding of young people's experiences taking AOD could result in improved prescribing and outcomes. Semi-structured interviews were conducted with young people aged 13-18 years and their parents from three specialist obesity clinics, analysed using a general thematic coding methodology. Theme saturation was achieved after interviews with 15 young people and 14 parents (13 parent-child dyads). Three models were developed. Model 1 explored factors influencing commencement of AOD. Six themes emerged: medication as a way out of obesity, enthusiasm and relief at the prospect of pharmaceutical treatment, last ditch attempt for some but not all, passive acceptance of medication, fear as a motivating factor, and unique treatments needed for unique individuals. Model 2 described the inter-relationship between dosing and side effects; side effects were a significant experience for many young people, and few adhered to prescribed regimens, independently changing lifestyle and dosage to tolerate medications. Model 3 described the patient-led decision process regarding drug continuation, influenced primarily by side effects and efficacy. Use of AODs is challenging for many adolescents. Multiple factors were identified that could be targeted to improve concordance and maximize efficacy.
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White B, Kiely JB, Vennarini S, Lin L, Freedman G, Santhanam A, Low D, Both S. TU-EF-304-04: A Heart Motion Model for Proton Scanned Beam Chest Radiotherapy. Med Phys 2015. [DOI: 10.1118/1.4925659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Kiely JB, White B, Both S. SU-E-T-42: A Method to Determine the Optimal Proton Scanned Beam Angle to Ensure Robust Treatment Planning. Med Phys 2015. [DOI: 10.1118/1.4924403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Gunderson C, Erickson B, Wilkinson-Ryan I, Doll K, White B, Vesely S, Leath C, Massad L, Gehrig P, Moore K. Prospective correlation of multinational association for supportive care in cancer risk index score with outcomes in neutropenic fever. Gynecol Oncol 2015. [DOI: 10.1016/j.ygyno.2015.01.315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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White B, Tilse C, Wilson J, Rosenman L, Strub T, Feeney R, Silvester W. Prevalence and predictors of advance directives in Australia. Intern Med J 2014; 44:975-80. [DOI: 10.1111/imj.12549] [Citation(s) in RCA: 74] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Accepted: 08/05/2014] [Indexed: 11/28/2022]
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Scholey J, Qi X, Low D, White B. Development of Image Registration for Novel Megavoltage Topogram for Patient Localization in Tomotherapy. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.2415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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White B, Berg D, Ikeda T, Levy R, Itti L, Munoz D. Comparison of superior colliculus and primary visual cortex in the coding of visual saliency. J Vis 2014. [DOI: 10.1167/14.10.517] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Scholey J, Qi S, Low D, White B. SU-D-BRF-03: Improvement of TomoTherapy Megavoltage Topogram Image Quality for Automatic Registration During Patient Localization. Med Phys 2014. [DOI: 10.1118/1.4887889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Cunliffe A, Contee C, White B, Justusson J, Armato S, Malik R, Al-Hallaq H. TU-F-BRF-03: Effect of Radiation Therapy Planning Scan Registration On the Dose in Lung Cancer Patient CT Scans. Med Phys 2014. [DOI: 10.1118/1.4889321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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White B, Vennarini S, Lin L, Freedmen G, Both S. TU-F-BRF-07: Accuracy of Routine Treatment Planning 4D and DIBH CT Delineation of the Left Anterior Descending Artery in Radiotherapy. Med Phys 2014. [DOI: 10.1118/1.4889325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Low D, Thomas D, Lamb J, Lee P, Gaudio S, Jani S, Dou T, White B, Wu X. OC-0501: Comparison between existing and proposed 4DCT protocols. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)30606-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Eslinger PW, Biegalski SR, Bowyer TW, Cooper MW, Haas DA, Hayes JC, Hoffman I, Korpach E, Yi J, Miley HS, Rishel JP, Ungar K, White B, Woods VT. Source term estimation of radioxenon released from the Fukushima Dai-ichi nuclear reactors using measured air concentrations and atmospheric transport modeling. JOURNAL OF ENVIRONMENTAL RADIOACTIVITY 2014; 127:127-132. [PMID: 24211671 DOI: 10.1016/j.jenvrad.2013.10.013] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2012] [Revised: 10/11/2013] [Accepted: 10/18/2013] [Indexed: 06/02/2023]
Abstract
Systems designed to monitor airborne radionuclides released from underground nuclear explosions detected radioactive fallout across the northern hemisphere resulting from the Fukushima Dai-ichi Nuclear Power Plant accident in March 2011. Sampling data from multiple International Modeling System locations are combined with atmospheric transport modeling to estimate the magnitude and time sequence of releases of (133)Xe. Modeled dilution factors at five different detection locations were combined with 57 atmospheric concentration measurements of (133)Xe taken from March 18 to March 23 to estimate the source term. This analysis suggests that 92% of the 1.24 × 10(19) Bq of (133)Xe present in the three operating reactors at the time of the earthquake was released to the atmosphere over a 3 d period. An uncertainty analysis bounds the release estimates to 54-129% of available (133)Xe inventory.
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Rahmanou P, White B, Price N, Jackson S. Laparoscopic hysteropexy: 1- to 4-year follow-up of women postoperatively. Int Urogynecol J 2013; 25:131-8. [PMID: 24193261 DOI: 10.1007/s00192-013-2209-5] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2013] [Accepted: 08/06/2013] [Indexed: 11/29/2022]
Abstract
INTRODUCTION AND HYPOTHESIS Uterine conserving re-suspension surgery has become more popular in recent years. Such surgery may allow preservation of fertility in younger women, but may also have the added benefit of augmenting weak connective tissue and possibly providing stronger apical support than the conventional hysterectomy. Our goal was to evaluate the 1- to 4-year outcome of laparoscopic hysteropexy for the surgical management of uterine prolapse. METHODS This study was a prospective observational study of 182 consecutive women who underwent laparoscopic hysteropexy, with or without additional vaginal repair, from the beginning of 2007 until the end of 2010. Women were invited to attend a dedicated clinic for interview and their prolapse was assessed using the Patient Global Impression of Improvement (PGI-I), the International Consultation on Incontinence Questionnaire for Vaginal Symptoms (ICIQ-VS) and the pelvic organ prolapse quantification (POP-Q) scale. Wilcoxon signed-rank test was used to compare pre-operative with postoperative data. Complications and women's satisfaction were also noted. RESULTS One hundred and forty women agreed to participate; the mean interval from operation was 2.1 years (range 1-4.4). Eighty-nine percent of women felt that their prolapse is "very much" or "much" better using PGI-I subjective outcome measure. There was significant improvement for all parameters of ICIQ-VS and POP-Q scoring post-surgery (p < 0.001). Six women (4 %) had further apical prolapse; of these, 3 underwent further prolapse surgery. None of the participants had any mesh exposure. Ninety two percent of participants would recommend the operation. CONCLUSIONS Laparoscopic hysteropexy is a safe and effective treatment. The 1- to 4-year outcome suggests high patient satisfaction and low rates of apical prolapse recurrence. Longer term follow-up and randomized controlled studies are required.
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Low D, Lamb J, White B, Thomas D, Gaudio S, Jani S, Wu X, Lee P. A New 4DCT Technique. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Black JA, White B, Viner RM, Simmons RK. Bariatric surgery for obese children and adolescents: a systematic review and meta-analysis. Obes Rev 2013; 14:634-44. [PMID: 23577666 DOI: 10.1111/obr.12037] [Citation(s) in RCA: 157] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Revised: 03/14/2013] [Accepted: 03/14/2013] [Indexed: 12/21/2022]
Abstract
The number of obese young people continues to rise, with a corresponding increase in extreme obesity and paediatric-adolescent bariatric surgery. We aimed to (i) systematically review the literature on bariatric surgery in children and adolescents; (ii) meta-analyse change in body mass index (BMI) 1-year post-surgery and (iii) report complications, co-morbidity resolution and health-related quality of life (HRQoL). A systematic literature search (1955-2013) was performed to examine adjustable gastric band, sleeve gastrectomy, Roux-en-Y gastric bypass or biliopancreatic diversions operations among obese children and adolescents. Change in BMI a year after surgery was meta-analysed using a random effects model. In total, 637 patients from 23 studies were included in the meta-analysis. There were significant decreases in BMI at 1 year (average weighted mean BMI difference: -13.5 kg m(-2) ; 95% confidence interval [CI] -14.1 to -11.9). Complications were inconsistently reported. There was some evidence of co-morbidity resolution and improvements in HRQol post-surgery. Bariatric surgery leads to significant short-term weight loss in obese children and adolescents. However, the risks of complications are not well defined in the literature. Long-term, prospectively designed studies, with clear reporting of complications and co-morbidity resolution, alongside measures of HRQol, are needed to firmly establish the harms and benefits of bariatric surgery in children and adolescents.
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Lamb J, Jani S, White B, Thomas D, Gaudio S, Robinson C, Low D. SU-E-J-82: Ground-Truth Tests of Deformable Image Registration Using Matched PET-CT Image Pairs. Med Phys 2013. [DOI: 10.1118/1.4814294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Thomas D, White B, Gaudio S, Jani S, Lee P, Lamb J, Low D. MO-F-WAB-07: A Novel 4D CT Acquisition and Analysis Technique to Account for the Effect of Cardiac Induced Lung Tissue Motion During Free Breathing. Med Phys 2013. [DOI: 10.1118/1.4815296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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White B, Thomas D, Lamb J, Jani S, Gaudio S, Min Y, Srinivasan S, Ennis D, Santhanam A, Low D. WE-A-134-08: Modeling Cardiac Induced Lung Tissue Motion for a Quantitative Breathing Motion Model. Med Phys 2013. [DOI: 10.1118/1.4815514] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Jani S, Dahlbom M, White B, Thomas D, Gaudio S, Low D, Lamb J. SU-D-500-05: Comparison of Gating Algorithms in 4D-PET for Mobile Tumor Segmentation. Med Phys 2013. [DOI: 10.1118/1.4814022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Gaudio S, Thomas D, White B, Jani S, Lee P, Lamb J, Low D. SU-E-J-138: Breathing Motion Model Comparison Inside and Outside the Lung. Med Phys 2013. [DOI: 10.1118/1.4814350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Aliotta E, Thomas D, Gaudio S, White B, Jani S, Lee P, Lamb J, Low D. TU-C-141-06: Improving Image Quality in 4D-CT Scans Using Deformable Registration and Selective Averaging. Med Phys 2013. [DOI: 10.1118/1.4815383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Low D, Thomas D, White B, Gaudio S, Jani S, Lee P, Lamb J. SU-E-J-126: Development of a Prospective Gating Algorithm for a Novel 4DCT Technique: Retrospective Data Analysis. Med Phys 2013. [DOI: 10.1118/1.4814338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Thomas D, White B, Gaudio S, Jani S, Lee P, Lamb J, Low D. TU-G-141-01: BEST IN PHYSICS (JOINT IMAGING-THERAPY)-A Novel 4D CT Acquisition and Analysis Technique to Generate Low Noise Artifact-Free Images at User Selected Breathing Phases. Med Phys 2013. [DOI: 10.1118/1.4815461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Marques IB, Silva RDM, Moraes CE, Azevedo LS, Nahas WC, David-Neto E, Furmanczyk-Zawiska A, Baczkowska T, Chmura A, Szmidt J, Durlik M, Joslin J, Blaker P, White B, Marinaki A, Sanderson J, Goldsmith DJ, Medani S, Traynor C, Mohan P, Little D, Conlon P, Molina M, Gonzalez E, Gutierrez E, Sevillano A, Polanco N, Morales E, Hernandez A, Praga M, Morales JM, Andres A, Park SJ, Kim TH, Kim YW, Kim YH, Kang SW, Kujawa-Szewieczek A, Szotowska M, Kuczera P, Chudek J, Wiecek A, Kolonko A, Mahrova A, Svagrova K, Bunc V, Stollova M, Teplan V, Hundt F, van Heteren P, Woitas R, Cavallo MC, Sepe V, Conte F, Albrizio P, Bottazzi A, Geraci PM, Alpay N, Gumber MR, Kute VB, Vanikar AV, Patel HV, Shah PR, Engineer DP, Trivedi HL, Golebiewska JE, Debska-Slizien A, Rutkowski B, Matias P, Martins AR, Raposo L, Jorge C, Weigert A, Birne R, Bruges M, Adragao T, Almeida M, Mendes M, Machado D, Masin-Spasovska J, Dohcev S, Stankov O, Stavridis S, Saidi S, Dejanova B, Rambabova-Busletic I, Dejanov P, Spasovski G, Nho KW, Kim YH, Han DJ, Park SK, Kim SB, Fenoglio R, Lazzarich EE, Cagna D, Cena T, Conti N, Quaglia M, Radin E, Izzo C, Stratta P, Oh IH, Park JS, Lee CH, Kang CM, Kim GH, Leone F, Lofaro D, Gigliotti P, Lupinacci S, Toteda P, Vizza D, Perri A, Papalia T, Bonofiglio R, di Loreto P, de Silvestro L, Montanaro D, Martino F, Sandrini S, Minetti E, Cabiddu G, Yildirim T, Yilmaz R, Turkmen E, Abudalal A, Altindal M, Ertoy-Baydar D, Erdem Y, Panuccio V, Tripepi R, Parlongo G, Versace MC, Politi R, Zoccali C, Mallamaci F, Porrini E, Silva I, Diaz J, Ibernon M, Moreso F, Benitez R, Delgado Mallen P, Osorio J, Lauzurica R, Torres A, Ersoy A, Koca N, Gullu Koca T, Kirhan E, Sarandol E, Ersoy C, Dirican M, Milne J, Suter V, Mikhail A, Akalin H, Dizdar O, Ersoy A, Pascual J, Torio A, Garcia C, Hernandez J, Perez-Saez MJ, Mir M, Anna F, Crespo M, Carta P, Zanazzi M, Antognoli G, Di Maria L, Caroti L, Minetti E, Dizdar O, Ersoy A, Akalin H, Ray DS, Mukherjee K, Bohidar NP, Pattanaik A, Das P, Thukral S, Kimura T, Yagisawa T, Ishikawa N, Sakuma Y, Fujiwara T, Nukui A, Gavela EE, Sancho AA, Kanter JJ, Avila AA, Beltran SS, Pallardo LL, Dawoud FG, Aithal V, Mikhail A, Majernikova M, Rosenberger J, Prihodova L, Nagyova I, Jarcuskova M, Roland R, Groothoff JW, van Dijk JP, van Agteren M, de Weerd A, van de Wetering J, IJzermans J, Betjes M, Weimar W, Popoola J, Reed A, Tavarro R, Chryssanthopoulou C, MacPhee I, Mayor M, Franco S, Jara P, Ayala R, Orue MG, Martinez A, Martinez M, Wasmouth N, Arik G, Yasar A, Turkmen E, Yildirim T, Altindal M, Abudalal A, Yilmaz S, Arici M, Bihari Bansal S, Pokhariyal S, Jain S, Sethi S, Ahlawat R, Kher V, Martins LS, Aguiar P, Dias L, Fonseca I, Henriques AC, Cabrita A, Davide J, Sparkes TM, Trofe-Clark J, Reese PP, Jakobowski D, Goral S, Doll SL, Abt PL, Sawinski D, MBloom RD, Knap B, Lukac J, Lukin M, Majcen I, Pavlovec F, Kandus A, Bren AF, Kong JM, Jeong JH, Ahn J, Lee DR, Son SH, Kim BC, Choi WY, Whang EJ, Czajka B, Malgorzewicz S, Debska-Slizien A, Rutkowski B, Panizo N, Rengel MA, Vega A, Abad S, Tana L, Arroyo D, Rodriguez-Ferrero M, Perez de Jose A, Lopez-Gomez JM, Koutroutsos K, Sackey J, Paolini L, Ramkhelawon R, Tavarro R, Chowrimootoo M, Whelan D, Popoola J, Szotowska M, Kuczera P, Chudek J, Wiecek A, Kolonko A, Slatinska J, Honsova E, Wohlfahrtova M, Slimackova E, Rajnochova SB, Viklicky O, Yankovoy A, Smith ISJ, Wylie E, Ruiz-Esteban P, Lopez V, Garcia-Frias P, Cabello M, Gonzalez-Molina M, Vozmediano C, Hernandez D, Pavlovic J, Radivojevic D, Lezaic V, Simic-Ogrizovic S, Lausevic M, Naumovic R, Ersoy A, Koca N, Kirhan E, Gullu Koca T, Ersoy C, Sarandol E, Dirican M, Sakhuja V, Gundlapalli S, Rathi M, Jha V, Kohli HS, Sharma A, Minz M, Nimgirova A, Esayan A, Kayukov I, Zuyeva E, Bilen Y, Cankaya E, Keles M, Gulcan E, Turkeli M, Albayrak B, Uyanik A, Yildirim R, Molitor N, Praktiknjo M, Woitas R, Abeygunaratne TN, Balasubramanian S, Baker R, Nicholson T, Toprak O, Sari Y, Keceli S, Kurt H, Rocha A, Malheiro J, Martins LS, Fonseca I, Dias L, Pedroso S, Almeida M, Henriques A, Nihei C, Bacelar Marques I, Seguro CA, David-Neto E, Mate G, Martin N, Colon L, Casellas L, Garangou D, de la Torre M, Torguet P, Garcia I, Calabia J, Valles M, Pruthi R, Calestani M, Leydon G, Ravanan R, Roderick P, Korkmaz S, Ersoy A, Gulten S, Koca N. Transplantation - clinical studies II. Nephrol Dial Transplant 2013. [DOI: 10.1093/ndt/gft155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Lessard B, Aumand-Bourque C, Chaudury R, Gomez D, Haroon A, Ibrahimian N, Mackay S, Noel MC, Patel R, Sitaram S, Valla S, White B, Maric M. Poly(ethylene-co-butylene)-b-(styrene-ran-maleic anhydride)2 Compatibilizers via Nitroxide Mediated Radical Polymerization. INT POLYM PROC 2013. [DOI: 10.3139/217.2425] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
Telechelic poly(ethylene-ran-butylene) initiator terminated with [tert-butyl[1-(diethoxyphosphoryl)-2,2-dimethylpropyl]amino] nitroxide groups (PEB-(SG1)2) was used to initiate the controlled radical copolymerization of maleic anhydride (MA) and styrene (ST). The ST/MA copolymerizations were performed in 1,4-dioxane at 110°C and resulted in PEB-b-P(ST-ran-MA)2 triblock copolymers with relatively narrow molecular weight distributions
(
M
¯
m
/
M
¯
n
≈
1.5
)
. Gel permeation chromatography (GPC) indicated that the initiator used was ≈93% efficient. The resulting copolymers were then blended as 20 wt.% dispersions in nylon 6 (PA6) at 230°C. With as little as 10 mol.% of MA in the feed to make the PEB-b-P(ST-ran-MA)2, blends were deemed dynamically compatibilized based on the reduced particle size. All of the PEB-b-P(ST-ran-MA)2/PA6 blends resulted in a minor phase particle size
D
¯
vs
=
0.1
μm while the PEB-b-P(ST)/PA6 blend had
D
¯
vs
=
1.15
μm (i.e. no MA in the copolymer). Tensile testing revealed yield stresses and strains decreased steadily from pure PA6 to non-reactive PEB-b-P(ST)2/PA6 to PEB-b-P(ST-ran-MA)2/PA6. However, no difference in tensile properties was observed between PEB-b-P(ST-ran-MA)2/PA6 samples made from PEB-b-P(ST-ran-MA)2 copolymer of varying MA content.
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Thompson RJ, Agostini K, Potts L, Luscombe J, Christie D, Viner R, White B, Hindmarsh PC. Deprivation and ethnicity impact on diabetes control and use of treatment regimen. Diabet Med 2013; 30:491-4. [PMID: 22998504 DOI: 10.1111/dme.12023] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/16/2012] [Indexed: 01/29/2023]
Abstract
AIMS Deprivation and/or ethnicity impact on care delivery. We have assessed how these factors influence diabetes care in a paediatric clinic. METHODS We related access to care [type of insulin treatment regimen-twice daily, multiple daily injections and insulin pump therapy (continuous subcutaneous insulin infusion)], measures of care process (HbA(1c)) and an approximate measure of satisfaction with the service (clinic attendance rate) in 325 (170 male) children and young people with Type 1 diabetes (mean age 10.6 years, mean duration of diabetes of 4.5 years), with indices of deprivation and ethnicity. RESULTS Of the 325 children and young people, 2.7% received twice-daily insulin, 48.4% multiple daily injections and 48.9% continuous subcutaneous insulin infusion. Median clinic HbA(1c) was 62 mmol/mol (7.8%) and those receiving the insulin pump therapy had the lowest HbA(1c). Four ethnic groups were represented; White British 81.6%, Asian non-Indian 6.5%, African 8.1% and Asian Indian 3.8%. Mean deprivation score was 21.06. White British and Asian Indian groups were more likely to receive insulin pump therapy (χ(2) = 50.3; P < 0.001). Attendance rates were 94.1% and did not differ across ethnic groups. Deprivation was related to ethnicity and HbA(1c) (R(2) = 0.02; P = 0.02). There was no relationship between clinic attendance and deprivation. Insulin regimen and ethnicity were associated with HbA(1c) (R(2) = 0.096; P < 0.001). Similar findings were obtained when analysis was confined to the White British population. CONCLUSIONS These data suggest that deprivation and ethnicity influence diabetes control and how intensive insulin therapy is utilized. A better consideration of the needs of different ethnic groups is required to ensure equitable care delivery in paediatric diabetes.
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87
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Low D, Lamb J, Lee P, Thomas D, White B. OC-0058: A novel 4DCT technique for breathing motion modeling. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)32364-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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88
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White B, Seaton RA, Evans TJ. Management of suspected Lyme borreliosis: experience from an outpatient parenteral antibiotic therapy service. QJM 2013; 106:133-8. [PMID: 23070203 DOI: 10.1093/qjmed/hcs189] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Lyme borreliosis (LB) is the most common human tick-borne infection in Europe and the USA. In this study we set out to analyse the outcome of patients treated for Lyme disease via outpatient parenteral antibiotic therapy (OPAT) and the appropriateness of this treatment using current guidelines. METHODS This was a retrospective review of all patients with suspected LB managed via OPAT in Glasgow in 2000-11. RESULTS Of 72 patients treated for suspected LB, 35 patients (49%) were treated in accordance with guidelines and 36 (50%) were treated with no specific guidelines. A definite improvement was seen in 20 patients (28%). Adverse reactions were documented in 29 (40%) patients with neutropenia, and mild liver function derangement was most commonly observed. CONCLUSION These results show the complexity of translating well-substantiated regimens from clinical trials to actual clinical practice. OPAT was an effective way of administering parenteral therapy for Lyme disease but should not be undertaken lightly due to the rate of adverse events and low rates of success in certain patient groups seen in this study. In view of this, stricter criteria for inclusion to OPAT in line with published guidance should be applied to minimize patient harm and optimize success.
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89
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Abe Y, Aberle C, dos Anjos JC, Barriere JC, Bergevin M, Bernstein A, Bezerra TJC, Bezrukhov L, Blucher E, Bowden NS, Buck C, Busenitz J, Cabrera A, Caden E, Camilleri L, Carr R, Cerrada M, Chang PJ, Chimenti P, Classen T, Collin AP, Conover E, Conrad JM, Crespo-Anadón JI, Crum K, Cucoanes A, D’Agostino MV, Damon E, Dawson JV, Dazeley S, Dietrich D, Djurcic Z, Dracos M, Durand V, Ebert J, Efremenko Y, Elnimr M, Erickson A, Etenko A, Fallot M, Fechner M, von Feilitzsch F, Felde J, Fernandes SM, Fischer V, Franco D, Franke AJ, Franke M, Furuta H, Gama R, Gil-Botella I, Giot L, Göger-Neff M, Gonzalez LFG, Goodenough L, Goodman MC, Goon JTM, Greiner D, Haag N, Habib S, Hagner C, Hara T, Hartmann FX, Haser J, Hatzikoutelis A, Hayakawa T, Hofmann M, Horton-Smith GA, Hourlier A, Ishitsuka M, Jochum J, Jollet C, Jones CL, Kaether F, Kalousis LN, Kamyshkov Y, Kaplan DM, Kawasaki T, Keefer G, Kemp E, de Kerret H, Kibe Y, Konno T, Kryn D, Kuze M, Lachenmaier T, Lane CE, Langbrandtner C, Lasserre T, Letourneau A, Lhuillier D, Lima HP, Lindner M, López-Castaño JM, LoSecco JM, Lubsandorzhiev BK, Lucht S, McKee D, Maeda J, Maesano CN, Mariani C, Maricic J, Martino J, Matsubara T, Mention G, Meregaglia A, Meyer M, Miletic T, Milincic R, Miyata H, Mueller TA, Nagasaka Y, Nakajima K, Novella P, Obolensky M, Oberauer L, Onillon A, Osborn A, Ostrovskiy I, Palomares C, Pepe IM, Perasso S, Perrin P, Pfahler P, Porta A, Potzel W, Pronost G, Reichenbacher J, Reinhold B, Remoto A, Röhling M, Roncin R, Roth S, Rybolt B, Sakamoto Y, Santorelli R, Sato F, Schönert S, Schoppmann S, Schwetz T, Shaevitz MH, Shimojima S, Shrestha D, Sida JL, Sinev V, Skorokhvatov M, Smith E, Spitz J, Stahl A, Stancu I, Stokes LFF, Strait M, Stüken A, Suekane F, Sukhotin S, Sumiyoshi T, Sun Y, Svoboda R, Terao K, Tonazzo A, Toups M, Trinh Thi HH, Valdiviesso G, Veyssiere C, Wagner S, Watanabe H, White B, Wiebusch C, Winslow L, Worcester M, Wurm M, Yermia F, Zimmer V. Direct measurement of backgrounds using reactor-off data in Double Chooz. Int J Clin Exp Med 2013. [DOI: 10.1103/physrevd.87.011102] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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90
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White B, Brooks T, Seaton RA. Q fever in military and paramilitary personnel in conflict zones: case report and review. Travel Med Infect Dis 2012; 11:134-7. [PMID: 23218785 DOI: 10.1016/j.tmaid.2012.11.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2012] [Revised: 10/24/2012] [Accepted: 11/01/2012] [Indexed: 01/29/2023]
Abstract
We present the case of a 44-year-old civilian security officer medically evacuated from Iraq with acalculous cholecystitis and Guillain-Barré syndrome and subsequently found to have acute Q fever. The presenting features of Q fever in military and related personnel deployed to Iraq and Afghanistan are reviewed and the use of PCR in early diagnosis of Q fever is discussed. The atypical presentation in this case encourages clinicians to have a low threshold for considering Q fever as part of the differential diagnosis in soldiers and related personnel returning from these areas of high endemicity.
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91
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White B, Santhanam A, Wang Z, Jani S, Lamb J, Ennis D, Ruan D, Low D. Addition of Cardiac Motion in a Breathing Motion Model. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.1996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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92
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White B. The role of the multiple sclerosis specialist nurse in counselling patients at diagnosis. ACTA ACUST UNITED AC 2012. [DOI: 10.12968/bjnn.2012.8.4.179] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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93
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Taylor TR, Dineen R, White B, Jaspan T. The thoracic anterior spinal cord adhesion syndrome. Br J Radiol 2012; 85:e123-9. [PMID: 22665931 DOI: 10.1259/bjr/81458631] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES This study included a series of middle-aged male and female patients who presented with chronic anterior hemicord dysfunction progressing to paraplegia. Imaging of anterior thoracic cord displacement by either a dural adhesion or a dural defect with associated cord herniation is presented. METHODS This is a retrospective review of cases referred to a tertiary neuroscience centre over a 19-year period. Imaging series were classified by two experienced neuroradiologists against several criteria and correlated with clinical examination and/or findings at surgery. RESULTS 16 cases were available for full review. Nine were considered to represent adhesions (four confirmed surgically) and four to represent true herniation (three confirmed surgically). In the three remaining cases the diagnosis was radiologically uncertain. CONCLUSION The authors propose "thoracic anterior spinal cord adhesion syndrome" as a novel term to describe this patient cohort and suggest appropriate clinicoradiological features for diagnosis. Several possible aetiologies are also suggested, with disc rupture and inflammation followed by disc resorption and dural pocket formation being a possible mechanism predisposing to herniation at the extreme end of a clinicopathological spectrum.
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94
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Zhao T, White B, Low D. SU-E-J-136: Evaluation of a Non-Invasive Method on Lung Tumor Tracking. Med Phys 2012; 39:3683-3684. [DOI: 10.1118/1.4734972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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95
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Jani S, Lamb J, Dahlbom M, Robinson C, White B, Low D. WE-G-213CD-02: 4D-PET Maximum Intensity Projections Improve Accuracy of Mobile Tumor Volume Delineation. Med Phys 2012; 39:3970-3971. [DOI: 10.1118/1.4736203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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96
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Lamb J, Lee P, Jani S, Dahlbom M, White B, Low D. SU-E-J-169: 4D-PET for Abdominal Tumor Target Volume Generation. Med Phys 2012; 39:3691. [PMID: 28518934 DOI: 10.1118/1.4735008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE To examine the impact of 4D-PET on target volume delineation of upper-abdominal tumors, versus conventional un-gated PET. METHODS Four patients with upper-abdominal tumors underwent respiratory-correlated FDG PET/CT scanning (4D-PET) as part of a continuing IRB-approved research protocol. Internal target volumes of FDG-avid tumors were contoured on the 4D-PET and conventional un-gated PET by a radiation oncologist who is a specialist in gastro-intestinal tumors. To create the 4D-PET ITV, the end-inhale and end-exhale 4D-PET phases were used. The relative volumes and volumetric overlaps of the 4D and un-gated target volumes were examined. Additionally, 4D-PET was used to measure the motion of the tumors. RESULTS Of the four patients who were imaged, one showed minimal motion (〈 3 mm in any direction) and one showed minimal FDG avidity; these were removed from further analysis. Of the two tumors which showed significant motion and FDG uptake, 4D-PET volumes were 28% and 21% larger than un-gated PET volumes. The un-gated PET volumes were almost entirely contained within the 4D-PET volumes (95% and 93% for the two tumors). Tumors appeared to deform as well as translate with breathing, although this could be due to varying intra-gate motion rather than actual physiological deformation. The superior-inferior borders of the tumors exhibited the most motion, with displacements of 5.6 mm and 6.4 mm. CONCLUSIONS 4D-PET can be used to estimate the motion of FDG-avid upper-abdominal tumors. Use of 4D-PET increases the size of target volumes compared to un-gated PET in a subset of upper-abdominal cancer patients. Direct measurement of tumor motion and deformation by 4D-PET imaging could allow the use of patient-specific margins rather than population-based margins, potentially leading to increased target coverage and reduced normal tissue irradiation.
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97
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Lutterodt C, Wong-Taylor L, White B, Lewis G. P196 Service evaluation: sexual health promotion a “missed” opportunity for young people? Br J Vener Dis 2012. [DOI: 10.1136/sextrans-2012-050601c.196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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98
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Abe Y, Aberle C, Akiri T, dos Anjos JC, Ardellier F, Barbosa AF, Baxter A, Bergevin M, Bernstein A, Bezerra TJC, Bezrukhov L, Blucher E, Bongrand M, Bowden NS, Buck C, Busenitz J, Cabrera A, Caden E, Camilleri L, Carr R, Cerrada M, Chang PJ, Chimenti P, Classen T, Collin AP, Conover E, Conrad JM, Cormon S, Crespo-Anadón JI, Cribier M, Crum K, Cucoanes A, D'Agostino MV, Damon E, Dawson JV, Dazeley S, Dierckxsens M, Dietrich D, Djurcic Z, Dracos M, Durand V, Efremenko Y, Elnimr M, Endo Y, Etenko A, Falk E, Fallot M, Fechner M, von Feilitzsch F, Felde J, Fernandes SM, Franco D, Franke AJ, Franke M, Furuta H, Gama R, Gil-Botella I, Giot L, Göger-Neff M, Gonzalez LFG, Goodman MC, Goon JTM, Greiner D, Guillon B, Haag N, Hagner C, Hara T, Hartmann FX, Hartnell J, Haruna T, Haser J, Hatzikoutelis A, Hayakawa T, Hofmann M, Horton-Smith GA, Ishitsuka M, Jochum J, Jollet C, Jones CL, Kaether F, Kalousis L, Kamyshkov Y, Kaplan DM, Kawasaki T, Keefer G, Kemp E, de Kerret H, Kibe Y, Konno T, Kryn D, Kuze M, Lachenmaier T, Lane CE, Langbrandtner C, Lasserre T, Letourneau A, Lhuillier D, Lima HP, Lindner M, Liu Y, López-Castanõ JM, LoSecco JM, Lubsandorzhiev BK, Lucht S, McKee D, Maeda J, Maesano CN, Mariani C, Maricic J, Martino J, Matsubara T, Mention G, Meregaglia A, Miletic T, Milincic R, Milzstajn A, Miyata H, Motta D, Mueller TA, Nagasaka Y, Nakajima K, Novella P, Obolensky M, Oberauer L, Onillon A, Osborn A, Ostrovskiy I, Palomares C, Peeters SJM, Pepe IM, Perasso S, Perrin P, Pfahler P, Porta A, Potzel W, Queval R, Reichenbacher J, Reinhold B, Remoto A, Reyna D, Röhling M, Roth S, Rubin HA, Sakamoto Y, Santorelli R, Sato F, Schönert S, Schoppmann S, Schwan U, Schwetz T, Shaevitz MH, Shrestha D, Sida JL, Sinev V, Skorokhvatov M, Smith E, Spitz J, Stahl A, Stancu I, Strait M, Stüken A, Suekane F, Sukhotin S, Sumiyoshi T, Sun Y, Sun Z, Svoboda R, Tabata H, Tamura N, Terao K, Tonazzo A, Toups M, Trinh Thi HH, Veyssiere C, Wagner S, Watanabe H, White B, Wiebusch C, Winslow L, Worcester M, Wurm M, Yanovitch E, Yermia F, Zbiri K, Zimmer V. Indication of reactor ν(e) disappearance in the Double Chooz experiment. PHYSICAL REVIEW LETTERS 2012; 108:131801. [PMID: 22540693 DOI: 10.1103/physrevlett.108.131801] [Citation(s) in RCA: 72] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2012] [Indexed: 05/31/2023]
Abstract
The Double Chooz experiment presents an indication of reactor electron antineutrino disappearance consistent with neutrino oscillations. An observed-to-predicted ratio of events of 0.944±0.016(stat)±0.040(syst) was obtained in 101 days of running at the Chooz nuclear power plant in France, with two 4.25 GW(th) reactors. The results were obtained from a single 10 m(3) fiducial volume detector located 1050 m from the two reactor cores. The reactor antineutrino flux prediction used the Bugey4 flux measurement after correction for differences in core composition. The deficit can be interpreted as an indication of a nonzero value of the still unmeasured neutrino mixing parameter sin(2)2θ(13). Analyzing both the rate of the prompt positrons and their energy spectrum, we find sin(2)2θ(13)=0.086±0.041(stat)±0.030(syst), or, at 90% C.L., 0.017<sin(2)2θ(13)<0.16.
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White B, Coia JE, Sykes C, Mather H, Seaton RA. Enteric fever in returning travellers: role of outpatient parenteral antibiotic therapy. J Infect 2011; 64:242-5. [PMID: 22138597 DOI: 10.1016/j.jinf.2011.11.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2011] [Revised: 11/15/2011] [Accepted: 11/17/2011] [Indexed: 10/15/2022]
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White B, Lamb J, Zhao T, Jani S, Low D. Distribution of Tissue Divergence in the Apex of the Lung. Int J Radiat Oncol Biol Phys 2011. [DOI: 10.1016/j.ijrobp.2011.06.1201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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