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Allen KD, Huffman K, Cleveland RJ, van der Esch M, Abbott JH, Abbott A, Bennell K, Bowden JL, Eyles J, Healey EL, Holden MA, Jayakumar P, Koenig K, Lo G, Losina E, Miller K, Østerås N, Pratt C, Quicke JG, Sharma S, Skou ST, Tveter AT, Woolf A, Yu SP, Hinman RS. Evaluating Osteoarthritis Management Programs: outcome domain recommendations from the OARSI Joint Effort Initiative. Osteoarthritis Cartilage 2023; 31:954-965. [PMID: 36893979 PMCID: PMC10565839 DOI: 10.1016/j.joca.2023.02.078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 02/03/2023] [Accepted: 02/19/2023] [Indexed: 03/11/2023]
Abstract
OBJECTIVE To develop sets of core and optional recommended domains for describing and evaluating Osteoarthritis Management Programs (OAMPs), with a focus on hip and knee Osteoarthritis (OA). DESIGN We conducted a 3-round modified Delphi survey involving an international group of researchers, health professionals, health administrators and people with OA. In Round 1, participants ranked the importance of 75 outcome and descriptive domains in five categories: patient impacts, implementation outcomes, and characteristics of the OAMP and its participants and clinicians. Domains ranked as "important" or "essential" by ≥80% of participants were retained, and participants could suggest additional domains. In Round 2, participants rated their level of agreement that each domain was essential for evaluating OAMPs: 0 = strongly disagree to 10 = strongly agree. A domain was retained if ≥80% rated it ≥6. In Round 3, participants rated remaining domains using same scale as in Round 2; a domain was recommended as "core" if ≥80% of participants rated it ≥9 and as "optional" if ≥80% rated it ≥7. RESULTS A total of 178 individuals from 26 countries participated; 85 completed all survey rounds. Only one domain, "ability to participate in daily activities", met criteria for a core domain; 25 domains met criteria for an optional recommendation: 8 Patient Impacts, 5 Implementation Outcomes, 5 Participant Characteristics, 3 OAMP Characteristics and 4 Clinician Characteristics. CONCLUSION The ability of patients with OA to participate in daily activities should be evaluated in all OAMPs. Teams evaluating OAMPs should consider including domains from the optional recommended set, with representation from all five categories and based on stakeholder priorities in their local context.
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Affiliation(s)
- K D Allen
- Department of Medicine & Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, USA; Durham Department of Veterans Affairs Health Care System, USA.
| | - K Huffman
- Department of Medicine & Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, USA.
| | - R J Cleveland
- Department of Medicine & Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, USA.
| | - M van der Esch
- Faculty of Health, Amsterdam University of Applied Sciences, Reade, Center for Rehabilitation and Rheumatology, Amsterdam, the Netherlands.
| | - J H Abbott
- Centre for Musculoskeletal Outcomes Research, University of Otago Medical School, Dunedin, New Zealand.
| | - A Abbott
- Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, SE 581 83 Linköping, Sweden.
| | - K Bennell
- Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Melbourne, Australia.
| | - J L Bowden
- Kolling Institute, Sydney Musculoskeletal Health, The University of Sydney, Sydney, NSW, Australia; Department of Rheumatology, Royal North Shore Hospital, Sydney, NSW, Australia.
| | - J Eyles
- Kolling Institute, Sydney Musculoskeletal Health, The University of Sydney, Sydney, NSW, Australia; Department of Rheumatology, Royal North Shore Hospital, Sydney, NSW, Australia.
| | - E L Healey
- School of Medicine, Primary Care Centre Versus Arthritis, Keele University, UK.
| | - M A Holden
- School of Medicine, Primary Care Centre Versus Arthritis, Keele University, UK.
| | - Prakash Jayakumar
- The Musculoskeletal Institute: Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX, USA.
| | - K Koenig
- Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX, USA.
| | - G Lo
- Section of Immunology, Allergy and Rheumatology, Department of Medicine, Baylor College of Medicine and Center of Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
| | - E Losina
- Orthopedic and Arthritis Center for Outcomes Research (OrACORe), Policy and Innovation EValuation in Orthopedic Treatments (PIVOT) Center, Department of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
| | - K Miller
- Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
| | - N Østerås
- Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.
| | - C Pratt
- Physiotherapy Department, Royal North Shore Hospital, Sydney, NSW, Australia.
| | - J G Quicke
- Chartered Society of Physiotherapy, Chancery Exchange, London, UK; School of Medicine, Keele University, Keele, UK.
| | - S Sharma
- School of Health Sciences, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia; Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, Australia.
| | - S T Skou
- Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; The Research Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, Slagelse, Denmark.
| | - A T Tveter
- Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.
| | - A Woolf
- Bone and Joint Research Group, Royal Cornwall Hospital, Truro, UK.
| | - S P Yu
- Kolling Institute, Sydney Musculoskeletal Health, The University of Sydney, Sydney, NSW, Australia; Department of Rheumatology, Royal North Shore Hospital, Sydney, NSW, Australia.
| | - R S Hinman
- Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, University of Melbourne, Melbourne, Australia.
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Abbott A, Karas P, Mirdad F, Marriott D, Malouf M, Plit M, Darley D. Prevalence, Risk Factors and Outcomes for Scedosporium and Lomentospora spp. Following Lung Transplantation at a Single Australian Centre. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.690] [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: 04/05/2023] Open
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Emmanuel S, Thomson C, Darley D, Malouf M, Havryk A, Benzimra M, Abbott A, Pearson R, Plit M, Connellan M, Granger E, Iyer A, Watson A, Jansz P. Comparing Lung Donation after Circulatory Death to Donation after Brain Death in a Single Australian Centre. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1042] [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: 04/05/2023] Open
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Molgaard Nielsen A, Hartvigsen J, Kongsted A, Öberg B, Enthoven P, Abbott A, Lauridsen HH. The patient enablement instrument for back pain: reliability, content validity, construct validity and responsiveness. Health Qual Life Outcomes 2021; 19:116. [PMID: 33836764 PMCID: PMC8033700 DOI: 10.1186/s12955-021-01758-0] [Citation(s) in RCA: 3] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2020] [Accepted: 03/29/2021] [Indexed: 11/29/2022] Open
Abstract
Background Currently, there are no outcome measures assessing the ability of people with non-specific low back pain to self-manage their illness. Inspired by the ‘Patient Enablement Instrument’, we developed the Patient Enablement Instrument for Back Pain (PEI-BP). The aim of this study was to describe the development of the Patient Enablement Instrument for Back Pain (PEI-BP) and investigate content validity, construct validity, internal consistency, test–retest reliability, measurement error, responsiveness and floor and ceiling effects. Methods The PEI-BP consists of 6 items that are rated on a 0–10 Numeric Rating Scale. Measurement properties were evaluated using the COSMIN taxonomy and were based on three cohorts from primary care with low back pain: The content validity cohort (N = 14) which participated in semi-structured interviews, the GLA:D® Back cohort (N = 272) and the test–retest cohort (N = 37) which both completed self-reported questionnaires. For construct validity and responsiveness, enablement was compared to disability (Oswestry Disability Index), back pain beliefs (Brief Illness Perception Questionnaire), fear avoidance (Fear-Avoidance Beliefs Questionnaire—physical activity), mental health (SF-36), educational level and number of previous episodes of low back pain. Results The PEI-BP was found to have acceptable content validity, construct validity, reliability (internal consistency, test–retest reliability and measurement error) and responsiveness. The Smallest Detectable Change was 10.1 points illustrating that a patient would have to change more than 1/6 of the scale range for it to be a true change. A skewed distribution towards the high scores were found at baseline indicating a potentially problematic ceiling effect in the current population. Conclusions The PEI-BP can be considered a valid and reliable tool to measure enablement on people seeking care for non-specific LBP. Further testing of the PEI-BP in populations with more severe LBP is recommended. Trial registration: Not applicable. Supplementary Information The online version contains supplementary material available at 10.1186/s12955-021-01758-0.
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Affiliation(s)
- A Molgaard Nielsen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
| | - J Hartvigsen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Chiropractic Knowledge Hub, Campusvej 55, 5230, Odense M, Denmark
| | - A Kongsted
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.,Chiropractic Knowledge Hub, Campusvej 55, 5230, Odense M, Denmark
| | - B Öberg
- Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University, Linköping, Sweden
| | - P Enthoven
- Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University, Linköping, Sweden
| | - A Abbott
- Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine, Unit of Physiotherapy, Linköping University, Linköping, Sweden
| | - H H Lauridsen
- Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
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Yennello S, McIntosh L, Burns J, Tereshatov E, Tabacaru G, McCann L, Schultz S, Lofton K, Abbott A, Avila G, Berko M, Engelthaler E, Hagel K, Hannaman A, Harvey B, Hood A, McCarthy M, McIntosh A, Sorensen M, Tobin Z, Vonder Haar A. Advances in 211At production at Texas A&M University. EPJ Web Conf 2021. [DOI: 10.1051/epjconf/202125203002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Alpha emitting radionuclides with medically relevant half-lives are interesting for treatment of tumors and other diseases because they deposit large amounts of energy close to the location of the radioisotope. Researchers at the Cyclotron Institute at Texas A&M University are developing a program to produce 211At, an alpha emitter with a medically relevant half-life. The properties of 211At make it a great candidate for targeted alpha therapy for cancer due to its short half-life (7.2 h). Astatine-211 has now been produced multiple times and reliability of this process is being improved.
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Lee B, Abbott A, Davidson S, Syrkin L, LeFever G, Van den Abbeele AD. Centralized Clinical Trial Imaging Data Management: Practical Guidance from a Comprehensive Cancer Center's Experience. J Digit Imaging 2020; 32:849-854. [PMID: 30564956 DOI: 10.1007/s10278-018-0161-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
Medical imaging is an integral part of clinical trial research and it must be managed properly to provide accurate data to the sponsor in a timely manner (Clune in Cancer Inform 4:33-56, 2007; Wang et al. in Proc SPIE Int Soc Opt Eng 7967, 2011). Standardized workflows for site qualification, protocol preparation, data storage, retrieval, de-identification, submission, and query resolution are paramount to achieve quality clinical trial data management such as reducing the number of imaging protocol deviations and avoiding delays in data transfer. Centralization of data management and implementation of relational databases and electronic workflows can help maintain consistency and accuracy of imaging data. This technical note aims at sharing the practical implementation of our centralized clinical trial imaging data management processes to avoid the fragmentation of tasks among various disease centers and research staff, and enable us to provide quality, accurate, and timely imaging data to clinical trial sponsors.
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Affiliation(s)
- Brandon Lee
- Department of Imaging and Center for Biomedical Imaging in Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA.
| | - A Abbott
- Department of Imaging and Center for Biomedical Imaging in Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA
| | - S Davidson
- Department of Information Services, Dana-Farber Cancer Institute, Boston, MA, USA
| | - L Syrkin
- Department of Imaging and Center for Biomedical Imaging in Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA
| | - G LeFever
- Department of Imaging and Center for Biomedical Imaging in Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA
| | - A D Van den Abbeele
- Department of Imaging and Center for Biomedical Imaging in Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA.,Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA.,Harvard Medical School, Boston, MA, USA
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Abstract
AIMS To ascertain the effects of improvements in diabetic foot services over 18 years on incidence of diabetic foot ulceration. We also compared survival time from first ulcer development with presence of neuropathy, peripheral vascular disease, age and healing. METHODS Persons with new ulceration and those at high risk of ulcer development were referred to community podiatry from 1998. Their details were recorded, with verbal consent, on a central database. The effects of neuropathy, peripheral vascular disease, healing and age on survival were analysed by Cox proportional hazards ratios. RESULTS The incidence of first ulcer presentation decreased from 11.1 to 6.1 per 1000 persons between 2003 to 2017 (P <0.0001). Recurrent ulceration incidence remained stable. Prevalence of chronic and new foot ulceration combined increased from 20.7 to 33.1 per 1000 persons (P <0.0001). Ten-year survival was 85% for persons presenting with first ulcer and aged < 65 years, 50% for those aged 65-74 years and 25% for those aged 75-81 years (P < 0.0001). In those with peripheral vascular disease 5-year survival was 35% (P <0.001). CONCLUSIONS Integrated care for the diabetic foot in one National Health Service (NHS) health service area over 18 years was associated with a reduction in first presentations of diabetic foot ulceration, but failed to reduce recurrent ulceration. Cumulative prevalence of all ulcers continues to increase. Monitoring ulceration incidence can inform audit and planning of diabetic foot care services. Survival is better than reported previously in persons < 65 years and in the absence of peripheral vascular disease.
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Affiliation(s)
- R. B. Paisey
- Torbay and South Devon Integrated Care TrustTorquay
| | - A. Abbott
- Torbay and South Devon Integrated Care TrustTorquay
| | - C. F. Paisey
- West Suffolk District General HospitalBury St EdmundsUK
| | - D. Walker
- Torbay and South Devon Integrated Care TrustTorquay
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Williams HE, Bright J, Roddy E, Poulton A, Cosgrove SD, Turner F, Harrison P, Brookes A, MacDougall E, Abbott A, Gordon C. A comparison of drug substance predicted chemical stability with ICH compliant stability studies. Drug Dev Ind Pharm 2018; 45:379-386. [DOI: 10.1080/03639045.2018.1542707] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- H. E. Williams
- Pharmaceutical Technology and Development, AstraZeneca, Macclesfield, UK
| | - J. Bright
- Pharmaceutical Technology and Development, AstraZeneca, Macclesfield, UK
| | - E. Roddy
- Pharmaceutical Science, AstraZeneca, Macclesfield, UK
| | - A. Poulton
- Pharmaceutical Science, AstraZeneca, Macclesfield, UK
| | - S. D. Cosgrove
- Pharmaceutical Technology and Development, AstraZeneca, Macclesfield, UK
| | - F. Turner
- Pharmaceutical Technology and Development, AstraZeneca, Macclesfield, UK
| | - P. Harrison
- Pharmaceutical Technology and Development, AstraZeneca, Macclesfield, UK
| | - A. Brookes
- Pharmaceutical Technology and Development, AstraZeneca, Macclesfield, UK
| | - E. MacDougall
- Pharmaceutical Technology and Development, AstraZeneca, Macclesfield, UK
| | - A. Abbott
- Pharmaceutical Technology and Development, AstraZeneca, Macclesfield, UK
| | - C. Gordon
- Regulatory CMC, AstraZeneca, Macclesfield, UK
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Paisey RB, Abbott A, Levenson R, Harrington A, Browne D, Moore J, Bamford M, Roe M. Diabetes-related major lower limb amputation incidence is strongly related to diabetic foot service provision and improves with enhancement of services: peer review of the South-West of England. Diabet Med 2018; 35:53-62. [PMID: 29023974 PMCID: PMC5765400 DOI: 10.1111/dme.13512] [Citation(s) in RCA: 61] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/14/2017] [Indexed: 11/27/2022]
Abstract
AIMS To investigate the relationship between high diabetes-related lower limb amputation incidence and foot care services in the South-West region of England. METHODS The introduction of 10 key elements of foot care service provision in one area of the South-West resulted in stabilization of foot ulcer incidence and sustained reduction in amputation incidence from 2007. Services introduced included administrative support, standardized general practice foot screening, improved community podiatry staffing, hospital multidisciplinary foot clinics, effective care pathways, availability of an orthotist and audit. Peer reviews of the region's diabetes foot care services were undertaken to assess delivery of these service provisions and compare this with major amputation incidence in other regions with data provided by Yorkshire and Humber Public Health Observatory Hospital Episode Statistics. Recommendations were made to improve service provision. In 2015 changes in service provision and amputation incidence were reviewed. RESULTS Initial reviews in 2013 showed that the 3-year diabetes-related major amputation incidence correlated inversely with adequate delivery of diabetes foot care services (P=0.0024, adjusted R2 =0.51). Repeat reviews in 2015 found that two or more foot care service improvements were reported by six diabetes foot care providers, with improvement in outcomes. The negative relationship between major amputation incidence and service provision remained strong both in the period 2012-2015 and in the year 2015 only (P ≤0.0012, adjusted R2 =0.56, and P= 0.0005, R2 =0.62, respectively). CONCLUSIONS Major diabetes-related lower limb amputation incidence is significantly inversely correlated with foot care services provision. Introduction of more effective service provision resulted in significant reductions in major amputation incidence within 2 years. Failure to improve unsatisfactory service provision resulted in continued high amputation incidence.
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Affiliation(s)
- R. B. Paisey
- Horizon CentreTorbay HospitalTorbay and South Devon NHS Foundation TrustLawes BridgeTorquay
| | - A. Abbott
- Department of Podiatry, Torbay and South DevonNHS Foundation TrustTorquay
| | - R. Levenson
- Cardiovascular Strategic Clinical NetworkSouth Plaza, Marlborough StreetBristol
| | - A. Harrington
- Department of PodiatryGloucestershire Care Services NHS TrustGloucester
| | - D. Browne
- Royal Cornwall HospitalTreliskeTruroUK
| | - J. Moore
- Cardiovascular Strategic Clinical NetworkSouth Plaza, Marlborough StreetBristol
| | - M. Bamford
- Cardiovascular Strategic Clinical NetworkSouth Plaza, Marlborough StreetBristol
| | - M. Roe
- Cardiovascular Strategic Clinical NetworkSouth Plaza, Marlborough StreetBristol
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Coughlan JJ, Mross T, Gul F, Abbott A, Say R, Nawaz A, O'Brien C, Liston R. Implementing an electronic clinical handover system in a university teaching hospital. Ir J Med Sci 2017; 187:309-312. [PMID: 29063357 DOI: 10.1007/s11845-017-1699-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2017] [Accepted: 10/16/2017] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Clinical handover is defined as inter-clinician communication occurring at care interfaces. In this study, we analyse the clinical outcomes and physician attitudes associated with the implementation of a electronic clinical handover system in our medical department. AIM The aim of this project was to introduce a reliable, standardised, reproducible method of communicating information regarding inpatients within our medical department. We also sought to assess the attitudes of physicians within our department to medical handover. METHODS We designed and implemented an electronic handover template with a protocol to guide staff as to its use. Handover was audited weekly. In addition, we surveyed attitudes of doctors to handover before and after our handover pilot. RESULTS An average of 32 patients were handed over each week. Compliance with mandatory handover of ICU/CCU patients averaged at 59%. Extrapolating our pilot results for the year would result in approximately 1655 handover events per annum in our department. One hundred percent of physicians surveyed felt that documentation of handover was beneficial, and staff satisfaction with handover improved after initiation of the pilot (81 vs 24%, p = 0.000914). While 64% of staff were concerned that typed electronic handover would increase their workload, only 6% of the post pilot survey group felt that it did increase workload significantly. CONCLUSION Electronic clinical handover is feasible and practical within the Irish healthcare system. In addition, it was found in our study to be attractive and effective to physicians without increasing their workload.
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Affiliation(s)
- J J Coughlan
- Department of Medicine, University Hospital Kerry, Tralee, Ireland.
| | - T Mross
- Department of Medicine, University Hospital Kerry, Tralee, Ireland
| | - F Gul
- Department of Medicine, University Hospital Kerry, Tralee, Ireland
| | - A Abbott
- Department of Medicine, University Hospital Kerry, Tralee, Ireland
| | - R Say
- Department of Medicine, University Hospital Kerry, Tralee, Ireland
| | - A Nawaz
- Department of Medicine, University Hospital Kerry, Tralee, Ireland
| | - C O'Brien
- Department of Medicine, University Hospital Kerry, Tralee, Ireland
| | - R Liston
- Department of Medicine, University Hospital Kerry, Tralee, Ireland
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Jacene HA, Overmoyer B, Schlosnagle EJ, Abbott A, Yeh E, Paolino J, Goel S, Culhane A, Bellon JR, Nakhlis F, Hirshfield-Bartek J, Van den Abbeele A. Abstract OT2-02-03: Pilot study of zirconium-89 bevacizumab positron emission tomography for imaging angiogenesis in patients with inflammatory breast carcinoma receiving preoperative chemotherapy. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-ot2-02-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Inflammatory breast cancer (IBC) continues to have a poor prognosis despite standard tri-modality treatment with chemotherapy, mastectomy and radiation. Current methods of assessing primary tumor response (i.e., clinical exam and breast magnetic resonance imaging [MRI]) are limited for distinguishing residual tumor from responsive disease because of persistent morphologic changes in the breast. Therefore, the inability to accurately assess tumor response during treatment often results in the continuation of ineffective systemic chemotherapy until definitive pathologic evaluation at mastectomy. IBC has a highly angiogenic phenotype which is believed to play a role in this tumor's aggressiveness. The novel radiotracer Zirconium-89 (89Zr)-bevacizumab was developed for imaging tumor angiogenesis with PET. We hypothesize that, as an imaging biomarker of angiogenesis, 89Zr-bevacizumab-PET/CT is a more specific noninvasive functional imaging modality for detecting the presence of tumor angiogenesis compared to current diagnostic methods and will serve as a predictor of response to therapy in patients (pts) with IBC.
Methods: Pts with newly diagnosed HER2neg IBC who will receive preoperative chemotherapy are eligible for this pilot study. 89Zr-bevacizumab-PET/CT, breast MRI and FDG-PET/CT are performed before, after 2 cycles, and at the completion of preoperative therapy. Biopsies of primary IBC tumors are obtained prior to and after 2 cycles of preoperative therapy. At the completion of preoperative therapy, pts proceed to mastectomy or biopsy if ineligible to proceed to mastectomy based on current standards for assessing primary tumor response, i.e., clinical exam, breast MRI and lack of systemic progression. At the time of mastectomy, standard evaluation of the surgical specimen will determine pathologic response of IBC to preoperative chemotherapy. A research sample will be collected if residual cancer is present at the time of mastectomy for histologic evaluation of tumor angiogenesis.
Objectives/Correlatives: The primary objective is to determine feasibility of 89Zr-bevacizumab-PET/CT imaging in pts with IBC. The primary endpoint is assessment of radiolabeling of chelated bevacizumab and number of successfully acquired 89Zr-bevacizumab-PET/CT scans. Correlative studies will be performed on IBC tissue to assess extent of angiogenesis including microvessel density, vessel diameter, vascular pericyte coverage and tumor VEGF levels. Secondary objectives are: 1) To determine if 89Zr-bevacizumab accumulation in primary IBC tumors correlates with the extent of angiogenesis determined by correlative analysis on IBC tissue; 2) To assess the predictive value of 89Zr-bevacizumab-PET/CT after 2 cycles and at the end of preoperative therapy for determining pathologic response at mastectomy as given by residual cancer burden.
Statistics: This is an accrual, not statistical based, feasibility justification. Planned sample size is 10 in order to make a preliminary statement about feasibility and ability for 89Zr-bevacizumab-PET/CT to serve as a surrogate in vivo biomarker of tumor angiogenesis and response to preoperative chemotherapy.
Clinical Trial Information: NCT01894451.
Citation Format: Jacene HA, Overmoyer B, Schlosnagle EJ, Abbott A, Yeh E, Paolino J, Goel S, Culhane A, Bellon JR, Nakhlis F, Hirshfield-Bartek J, Van den Abbeele A. Pilot study of zirconium-89 bevacizumab positron emission tomography for imaging angiogenesis in patients with inflammatory breast carcinoma receiving preoperative chemotherapy [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr OT2-02-03.
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Affiliation(s)
- HA Jacene
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - B Overmoyer
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - EJ Schlosnagle
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - A Abbott
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - E Yeh
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - J Paolino
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - S Goel
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - A Culhane
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - JR Bellon
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - F Nakhlis
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - J Hirshfield-Bartek
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
| | - A Van den Abbeele
- Dana-Farber Cancer Institute; Brigham and Women's Hospital; Co-First Authors Contributing Equally to This Work
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Johnson TC, Werne JP, Brown ET, Abbott A, Berke M, Steinman BA, Halbur J, Contreras S, Grosshuesch S, Deino A, Scholz CA, Lyons RP, Schouten S, Damsté JSS. A progressively wetter climate in southern East Africa over the past 1.3 million years. Nature 2016; 537:220-224. [PMID: 27509851 DOI: 10.1038/nature19065] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Accepted: 06/28/2016] [Indexed: 11/09/2022]
Abstract
African climate is generally considered to have evolved towards progressively drier conditions over the past few million years, with increased variability as glacial-interglacial change intensified worldwide. Palaeoclimate records derived mainly from northern Africa exhibit a 100,000-year (eccentricity) cycle overprinted on a pronounced 20,000-year (precession) beat, driven by orbital forcing of summer insolation, global ice volume and long-lived atmospheric greenhouse gases. Here we present a 1.3-million-year-long climate history from the Lake Malawi basin (10°-14° S in eastern Africa), which displays strong 100,000-year (eccentricity) cycles of temperature and rainfall following the Mid-Pleistocene Transition around 900,000 years ago. Interglacial periods were relatively warm and moist, while ice ages were cool and dry. The Malawi record shows limited evidence for precessional variability, which we attribute to the opposing effects of austral summer insolation and the temporal/spatial pattern of sea surface temperature in the Indian Ocean. The temperature history of the Malawi basin, at least for the past 500,000 years, strongly resembles past changes in atmospheric carbon dioxide and terrigenous dust flux in the tropical Pacific Ocean, but not in global ice volume. Climate in this sector of eastern Africa (unlike northern Africa) evolved from a predominantly arid environment with high-frequency variability to generally wetter conditions with more prolonged wet and dry intervals.
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Affiliation(s)
- T C Johnson
- Large Lakes Observatory and Department of Earth and Environmental Sciences, University of Minnesota Duluth, Duluth, Minnesota 55812, USA.,Department of Geosciences, University of Massachusetts Amherst, Amherst, Massachusetts 01003, USA
| | - J P Werne
- Department of Geology and Planetary Science, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA
| | - E T Brown
- Large Lakes Observatory and Department of Earth and Environmental Sciences, University of Minnesota Duluth, Duluth, Minnesota 55812, USA
| | - A Abbott
- Department of Earth and Planetary Sciences, Faculty of Science and Engineering, Macquarie University, Sydney, New South Wales 2109, Australia
| | - M Berke
- Department of Civil &Environmental Engineering &Earth Sciences, University of Notre Dame, 257 Fitzpatrick Hall, Notre Dame, Indiana 46556, USA
| | - B A Steinman
- Large Lakes Observatory and Department of Earth and Environmental Sciences, University of Minnesota Duluth, Duluth, Minnesota 55812, USA
| | - J Halbur
- Large Lakes Observatory and Department of Earth and Environmental Sciences, University of Minnesota Duluth, Duluth, Minnesota 55812, USA
| | - S Contreras
- Departamento de Química Ambiental and Centro de Investigación en Biodiversidad y Ambientes Sustentables (CIBAS), Universidad Católica de la Santísima Concepción, Casilla 297, Concepción, Chile
| | - S Grosshuesch
- Large Lakes Observatory and Department of Earth and Environmental Sciences, University of Minnesota Duluth, Duluth, Minnesota 55812, USA
| | - A Deino
- Berkeley Geochronology Center, 2455 Ridge Road, Berkeley, California 94709, USA
| | - C A Scholz
- Earth Sciences Department, Syracuse University, 011a Heroy Geology Laboratory, Syracuse, New York 13244, USA
| | - R P Lyons
- Earth Sciences Department, Syracuse University, 011a Heroy Geology Laboratory, Syracuse, New York 13244, USA
| | - S Schouten
- NIOZ Netherlands Institute for Sea Research, Department of Marine Microbiology and Biogeochemistry, and Utrecht University, PO Box 59, 1790 AB Den Burg, The Netherlands.,Faculty of Geosciences, Department of Earth Sciences, Utrecht University, PO Box 80.021, 3508 TA Utrecht, The Netherlands
| | - J S Sinninghe Damsté
- NIOZ Netherlands Institute for Sea Research, Department of Marine Microbiology and Biogeochemistry, and Utrecht University, PO Box 59, 1790 AB Den Burg, The Netherlands.,Faculty of Geosciences, Department of Earth Sciences, Utrecht University, PO Box 80.021, 3508 TA Utrecht, The Netherlands
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Giannopoulos A, Kakkos S, Abbott A, Naylor A, Richards T, Mikhailidis D, Geroulakos G, Nicolaides A. Long-term Mortality in Patients with Asymptomatic Carotid Stenosis: Implications for Statin Therapy. J Vasc Surg 2015. [DOI: 10.1016/j.jvs.2015.09.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Stone E, Allen HA, Saghaie T, Abbott A, Daniel R, Mead RS, Kohonen-Corish M, Plit M, Morgan L. High proportion of rare and compound epidermal growth factor receptor mutations in an Australian population of non-squamous non-small-cell lung cancer. Intern Med J 2014; 44:1188-92. [DOI: 10.1111/imj.12587] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2014] [Accepted: 09/07/2014] [Indexed: 11/29/2022]
Affiliation(s)
- E. Stone
- St Vincent's Hospital Sydney; Sydney New South Wales Australia
- Kinghorn Cancer Centre; Sydney New South Wales Australia
| | - H. A. Allen
- St Vincent's Hospital Sydney; Sydney New South Wales Australia
- Kinghorn Cancer Centre; Sydney New South Wales Australia
| | - T. Saghaie
- Nepean Lung Cancer Group; Nepean Blue Mountains LHD; Sydney New South Wales Australia
| | - A. Abbott
- Nepean Lung Cancer Group; Nepean Blue Mountains LHD; Sydney New South Wales Australia
| | - R. Daniel
- Nepean Lung Cancer Group; Nepean Blue Mountains LHD; Sydney New South Wales Australia
| | - R. S. Mead
- SydPath; Sydney New South Wales Australia
- Garvan Institute of Medical Research; Sydney New South Wales Australia
| | - M. Kohonen-Corish
- Garvan Institute of Medical Research; Sydney New South Wales Australia
| | - M. Plit
- St Vincent's Hospital Sydney; Sydney New South Wales Australia
| | - L. Morgan
- Nepean Lung Cancer Group; Nepean Blue Mountains LHD; Sydney New South Wales Australia
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15
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Loftus LS, Abbott A, Rashid O, Sun W, Fulp W, Sokol G, Laronga C. Intraoperative radiotherapy for early breast cancer and age: Clinical characteristics and outcomes. J Geriatr Oncol 2014. [DOI: 10.1016/j.jgo.2014.09.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Barriger B, Cooper D, Tobolski C, Abbott A, Hinders C. Poor Performance Status and Transportation Requirements Predict for Failing to Complete a Course of Radiation Therapy. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1491] [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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17
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Lloyd P, Sanders M, Reis T, Abbott A. Targeted trapping surveys shed new light on the distribution and habitat characteristics of the Carpentarian pseudantechinus (Pseudantechinus mimulus), a threatened dasyurid marsupial. Aust Mammalogy 2013. [DOI: 10.1071/am12027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Through a targeted trapping survey we provide important new records and habitat descriptions for the Carpentarian pseudantechinus (Pseudantechinus mimulus) on mainland Australia, including the first records from landscapes dominated by rocks other than sandstone. We hypothesise that continued invasion by an introduced pasture grass may constitute an emerging threatening process to this rare species.
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Abbott A. Best medical intervention for arterial disease or wishful thinking. Eur J Vasc Endovasc Surg 2011; 41:509-10. [PMID: 21285001 DOI: 10.1016/j.ejvs.2011.01.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2011] [Accepted: 01/07/2011] [Indexed: 10/18/2022]
Affiliation(s)
- A Abbott
- Baker IDI Heart and Diabetes Institute and the National Research Institute, Melbourne, Victoria, Australia.
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Akol A, Abbott A, Krueger K, Wamala P. I7 Community based distribution of Depo Provera: Evidence base, Africa programme experience and future directions. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)60007-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
PURPOSE To assess demographics, job characteristics, geographical regions, resources and commitment, which influence dental hygienists seeking international clinical practice employment opportunities. METHODS Questionnaires were mailed to a convenience sample of members of the Dental Hygienists' Association of the City of New York. Statistical analyses were conducted and frequency distributions and relationships between variables were calculated. RESULTS Seventy-two percent of respondents reported that they are or may be interested in working overseas. Italy and Spain (67%) were the regions of most interest. Salary (65%) was cited as the most influencing factor in selection, whereas non-compliance with the equivalency to Occupational Safety and Health Administration standards (74%) was the most frequently perceived barrier. Multiple language fluency was statistically significant (0.003) regarding interest in overseas employment. CONCLUSION Policy makers, employers and educators need to be aware of these findings should recruitment be a possibility to render urgently needed oral hygiene care in regions where there is a perceived shortage of dental hygienists.
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Affiliation(s)
- A Abbott
- New York University, Dental Hygiene Department, New York, NY, USA.
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Patel M, Jung S, Moore K, Powell G, Ainsworth C, Abbott A. High-oleate peanut mutants result from a MITE insertion into the FAD2 gene. Theor Appl Genet 2004; 108:1492-502. [PMID: 14968307 DOI: 10.1007/s00122-004-1590-3] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2003] [Accepted: 12/22/2003] [Indexed: 05/09/2023]
Abstract
A high-oleate trait in the cultivated peanut ( Arachis hypogaea L.) was reported to rely on the allelic composition of the two homeologous, microsomal oleoyl-PC desaturase genes ( ahFAD2A or ahFAD2B). The enzyme activity of either ahFAD2A or ahFAD2B is sufficient for a normal oleate phenotype, and a significant reduction in the levels of ahFAD2B and a mutation in ahFAD2A were reported to be responsible for the high-oleate phenotype in one chemically induced mutant (M2-225) and one derived from a naturally occurring (8-2122) mutant. Here, we report an insertion of the same miniature inverted-repeat transposable element (MITE) in the ahFAD2B gene in another chemically induced mutant (Mycogen-Flavo) and the previously characterized M2-225 mutant. In both cases, this MITE insertion in ahFAD2B causes a frameshift, resulting in a putatively truncated protein sequence in both mutants. The insertion of this MITE in ahFAD2B, in addition to the point mutation in ahFAD2A, appears to be the cause of the high-oleate phenotype in Mycogen-Flavo and M2-225 mutants. Utilizing sequences of the MITE, we developed a DNA marker strategy to differentiate the two insertion-containing mutants from the normal oleate peanut variety (AT-108) and the naturally occurring, high-oleate mutant 8-2122. Reverse transcript-PCR/differential digestion results reveal the expression of both ahFAD2A and ahFAD2B genes in Mycogen-Flavo mutant. This result is in contrast to the observation that ahFAD2B transcripts are greatly reduced in the M2-225 mutant having the MITE insertion further 3' in ahFAD2B gene.
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Affiliation(s)
- M Patel
- Department of Genetics and Biochemistry, Clemson University, 122 Long Hall, Clemson, SC 29634-0324, USA
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Laidlaw DAH, Abbott A, Rosser DA. Development of a clinically feasible logMAR alternative to the Snellen chart: performance of the "compact reduced logMAR" visual acuity chart in amblyopic children. Br J Ophthalmol 2003; 87:1232-4. [PMID: 14507755 PMCID: PMC1920770 DOI: 10.1136/bjo.87.10.1232] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND/AIM The "compact reduced logMAR" (cRLM) chart is being developed as a logMAR alternative to the Snellen chart. It is closer spaced and has fewer letters per line than conventional logMAR charts. Information regarding the performance of such a chart in amblyopes and children is therefore required. This study aimed to investigate the performance of the cRLM chart in amblyopic children. METHODS Timed test and retest measurements using two versions of each chart design were obtained on the amblyopic eye of 43 children. Using the methods of Bland and Altman the agreement, test-retest variability (95% confidence limits for agreement, TRV) and test time of the cRLM and the current clinical standard Snellen chart were compared to the gold standard ETDRS logMAR chart. RESULTS No systematic bias between chart designs was found. For line assignment scoring the respective TRVs were 0.20 logMAR, 0.20 logMAR, and 0.30 logMAR. Single letter scoring TRVs were cRLM (95% CL 0.17) logMAR, ETDRS (95% CL 0.14) logMAR, and Snellen (95% CL 0.29) logMAR. Median testing times were ETDRS 60 seconds, cRLM 40 seconds, Snellen 30 seconds. CONCLUSION The sensitivity to change of the cRLM equalled or approached that of the gold standard ETDRS and was at least 50% better than that of Snellen. This enhanced sensitivity to change was at the cost of only a 10 second time penalty compared to Snellen. The cRLM chart was approximately half the width of the ETDRS chart. The cRLM chart may represent a clinically acceptable compromise between the desire to obtain logMAR acuities of reasonable and known sensitivity to change, chart size, and testing time.
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Affiliation(s)
- D A H Laidlaw
- Vitreo-Retinal Unit, St Thomas's Hospital, Lambeth Palace Road London SE1 7EH, UK.
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Bonora E, Beyer KS, Lamb JA, Parr JR, Klauck SM, Benner A, Paolucci M, Abbott A, Ragoussis I, Poustka A, Bailey AJ, Monaco AP. Analysis of reelin as a candidate gene for autism. Mol Psychiatry 2003; 8:885-92. [PMID: 14515139 DOI: 10.1038/sj.mp.4001310] [Citation(s) in RCA: 101] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Genetic studies indicate that chromosome 7q is likely to contain an autism susceptibility locus (AUTS1). We have followed a positional candidate gene approach to identify relevant gene(s) and report here the analysis of reelin (RELN), a gene located under our peak of linkage. Screening RELN for DNA changes identified novel missense variants absent in a large control group; however, the low frequency of these mutations does not explain the relatively strong linkage results on 7q. Furthermore, analysis of a previously reported triplet repeat polymorphism and intragenic single nucleotide polymorphisms, using the transmission disequilibrium test, provided no evidence for association with autism in IMGSAC and German singleton families. The analysis of RELN suggests that it probably does not play a major role in autism aetiology, although further analysis of several missense mutations is warranted in additional affected individuals.
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Affiliation(s)
- E Bonora
- The Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford, UK
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Tofighy A, Abbott A, Centonze D, Cooper AJ, Noor E, Pearce SM, Puntis M, Stanford IM, Wigmore MA, Lacey MG. Excitation by dopamine of rat subthalamic nucleus neurones in vitro-a direct action with unconventional pharmacology. Neuroscience 2003; 116:157-66. [PMID: 12535949 DOI: 10.1016/s0306-4522(02)00546-8] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Recent anatomical and physiological studies have pointed to a functional innervation of the subthalamic nucleus by dopamine. This nucleus has a pivotal role in basal ganglia function and voluntary movement control and the possibility that dopamine, and dopaminergic medication used in Parkinson's disease, might directly influence its activity is of considerable interest. We have evaluated electrophysiologically the action and pharmacology of dopamine on single subthalamic neurones in rat brain slices. Dopamine increased firing rate to up to a mean of 60% in 98% of the 261 neurones tested when examined using extracellular single-unit recording. This excitation was unaffected by the GABA antagonist picrotoxin, and the glutamate receptor antagonist 6-cyano-7-nitroquinoxaline-2,3-dione, and persisted in a low Ca(2+)/raised Mg(2+) solution, indicative of a direct action, independent of synaptic transmission. Of the 33 cells examined using whole patch-clamp recording, only 13 showed measurable increases in firing rate and/or depolarisations in response to dopamine. Dopamine-responsive cells displayed significantly greater access resistance, suggesting that an unidentified cytoplamic constituent, removed by whole-cell dialysis, was required for the response. Using extracellular recording, the D2-like dopamine receptor agonists quinpirole and bromocryptine, but not the D1-like receptor agonist 1-phenyl-2,3,4,5-tetrahydro-(1H)-3-benzazepine-7,8-diol, also consistently caused an excitation. This was mimicked by the catecholamine releaser amphetamine in 60% of cells tested. However, the dopamine excitation was not significantly reduced either by the D1-like receptor antagonist 7-chloro8-hydroxy-3-methyl-1-phenyl-2,3,4,5-tetrahydro-1H-3-benzazepine or the D2-like receptor antagonists (-)-sulpiride, eticlopride and (+)-butaclamol, and the quinpirole excitation was also unaffected by (-)-sulpiride. In contrast, (-)-sulpiride, eticlopride and (+)-butaclamol all abolished the D2-like receptor-mediated inhibition by dopamine of substantia nigra pars compacta neurones. The alpha-adrenoceptor antagonist phentolamine was a weak antagonist of dopamine excitations, but not of those caused by quinpirole. Dopamine excitations also showed weak sensitivity to the 5-HT(2) antagonist ritanserin, but were unaffected by the alpha(1)-adrenoceptor antagonist prazocin and the beta-adrenoceptor antagonist propranolol. The pharmacology of this dopamine excitation is inconsistent with an action on any known catecholamine receptor. However, the effect of amphetamine indicates that an unidentified monamine--possibly dopamine--can be released within the subthalamic nucleus to cause an excitation. The anomalies of its pharmacological characterisation do not strongly support a physiologically relevant direct action of dopamine in the rat subthalamic nucleus.
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Affiliation(s)
- A Tofighy
- Department of Pharmacology, Division of Neuroscience, The Medical School, University of Birmingham, Vincent Drive, Edgbaston, Birmingham B15 2TT, UK
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Aranzana MJ, Pineda A, Cosson P, Dirlewanger E, Ascasibar J, Cipriani G, Ryder CD, Testolin R, Abbott A, King GJ, Iezzoni AF, Arús P. A set of simple-sequence repeat (SSR) markers covering the Prunus genome. Theor Appl Genet 2003; 106:819-825. [PMID: 12647055 DOI: 10.1007/s00122-002-1094-y] [Citation(s) in RCA: 62] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2002] [Accepted: 08/06/2002] [Indexed: 05/24/2023]
Abstract
A set of 109 microsatellite primer pairs recently developed for peach and cherry have been studied in the almond x peach F(2) progeny previously used to construct a saturated Prunus map containing mainly restriction fragment length polymorphism markers. All but one gave amplification products, and 87 (80%) segregated in the progeny and detected 96 loci. The resulting Prunus map contains a total of 342 markers covering a total distance of 522 cM. The approximate position of nine additional simple sequence repeats (SSRs) was established by comparison with other almond and peach maps. SSRs were placed in all the eight linkage groups of this map, and their distribution was relatively even, providing a genome-wide coverage with an average density of 5.4 cM/SSR. Twenty-four single-locus SSRs, highly polymorphic in peach, and each falling within 24 evenly spaced approximately 25-cM regions covering the whole Prunus genome, are proposed as a 'genotyping set' useful as a reference for fingerprinting, pedigree and genetic analysis of this species.
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Affiliation(s)
- M J Aranzana
- Institut de Recerca i Tecnologia Agroalimentàries (IRTA), Departament de Genética Vegetal, Carretera de Cabrils s/n, 08348 Cabrils (Barcelona), Spain
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Vervoort VS, Viljoen D, Smart R, Suthers G, DuPont BR, Abbott A, Schwartz CE. Sorting nexin 3 (SNX3) is disrupted in a patient with a translocation t(6;13)(q21;q12) and microcephaly, microphthalmia, ectrodactyly, prognathism (MMEP) phenotype. J Med Genet 2002; 39:893-9. [PMID: 12471201 PMCID: PMC1757218 DOI: 10.1136/jmg.39.12.893] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
A patient with microcephaly, microphthalmia, ectrodactyly, and prognathism (MMEP) and mental retardation was previously reported to carry a de novo reciprocal t(6;13)(q21;q12) translocation. In an attempt to identify the presumed causative gene, we mapped the translocation breakpoints using fluorescence in situ hybridisation (FISH). Two overlapping genomic clones crossed the breakpoint on the der(6) chromosome, locating the breakpoint region between D6S1594 and D6S1250. Southern blot analysis allowed us to determine that the sorting nexin 3 gene (SNX3) was disrupted. Using Inverse PCR, we were able to amplify and sequence the der(6) breakpoint region, which exhibited homology to a BAC clone that contained marker D13S250. This clone allowed us to amplify and sequence the der(13) breakpoint region and to determine that no additional rearrangement was present at either breakpoint, nor was another gene disrupted on chromosome 13. Therefore, the translocation was balanced and SNX3 is probably the candidate gene for MMEP in the patient. However, mutation screening by dHPLC and Southern blot analysis of another sporadic case with MMEP failed to detect any point mutations or deletions in the SNX3 coding sequence. Considering the possibility of positional effect, another candidate gene in the vicinity of the der(6) chromosome breakpoint may be responsible for MMEP in the original patient or, just as likely, the MMEP phenotype in the two patients results from genetic heterogeneity.
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Affiliation(s)
- V S Vervoort
- Greenwood Genetic Center, Greenwood, South Carolina 29646, USA
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Gentzbittel L, Abbott A, Galaud JP, Georgi L, Fabre F, Liboz T, Alibert G. A bacterial artificial chromosome (BAC) library for sunflower, and identification of clones containing genes for putative transmembrane receptors. Mol Genet Genomics 2002; 266:979-87. [PMID: 11862492 DOI: 10.1007/s00438-001-0622-9] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2001] [Accepted: 11/13/2001] [Indexed: 11/26/2022]
Abstract
Sunflower (Helianthus annuus L.) is an economically important oil seed crop with an estimated genome size of 3000 Mb. We have constructed a bacterial artificial chromosome (BAC) library for sunflower, which represents an estimated 4- to 5-fold coverage of the genome. Nuclei isolated from young leaves were used as a source of high-molecular-weight DNA and a partial restriction endonuclease digestion protocol was used to cleave the DNA. A random sample of 60 clones indicated an average insert size of 80 kb, implying a 95% probability of recovering any specific sequence of interest. The library was screened with chloroplast DNA probes. Only 0.1% of the clones were identified to be of chloroplast origin, indicating that contamination with organellar DNAs is very low. The utility of the library was evaluated by screening for the presence of genes for putative transmembrane receptors sharing epidermal growth factor (EGF) and integrin-like domains. First, a homologous sunflower EST (HaELP1) was obtained by degenerate RT-PCR cloning, using Arabidopsis thaliana genes (AtELP) as a source of consensus sequences. Three different BACs yielded positive hybridization signals when HaELP1 was used as a probe. BAC subcloning and sequencing demonstrated the presence of two different loci putatively homologous to genes for transmembrane proteins with EGF- and integrin-like domains from sunflower. This work demonstrates the suitability of the library for homology map-based cloning of sunflower genes and physical mapping of the sunflower genome.
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Affiliation(s)
- L Gentzbittel
- INP-ENSAT, Laboratoire de Biotechnologie et Amélioration des Plantes, Pôle de Biotechnologie Végétale, 18 Chemin de Borde Rouge, BP17, Auzeville, 31326 Castanet Tolosan, France.
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Abbott A, Dalton R. Wellcome bid sees Crick archive return home. Nature 2001; 414:678. [PMID: 11742356 DOI: 10.1038/414678a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Abbott A. Concern raised for missing biologist. Nature 2001; 414:475. [PMID: 11734808 DOI: 10.1038/35107205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Abbott A. Funding fears spark Italian protests. Nature 2001; 414:384. [PMID: 11719766 DOI: 10.1038/35106705] [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: 11/09/2022]
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Abbott A. Blow to German stem-cell prospects. Nature 2001; 414:238. [PMID: 11713485 DOI: 10.1038/35104761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Abbott A. Harvard squeaks through oncomouse patent appeal. Nature 2001; 414:241. [PMID: 11713493 DOI: 10.1038/35104777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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38
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Abbott A. Chance encounter hints at planetary origins. Nature 2001; 414:6. [PMID: 11689907 DOI: 10.1038/35102231] [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: 11/09/2022]
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39
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Abbott A. Religion, psychiatry, and problems of everyday life. Sociol Anal 2001; 41:164-71. [PMID: 11633209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
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40
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41
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Abbott A. CERN's head rejects mismanagement claims. Nature 2001; 413:660. [PMID: 11606984 DOI: 10.1038/35099704] [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: 11/08/2022]
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42
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Abbott A. Last-minute floods sink research. Nature 2001; 413:443. [PMID: 11586314 DOI: 10.1038/35097231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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43
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44
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45
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46
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47
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Abbott A. German centre set to improve brain's image. Nature 2001; 412:755. [PMID: 11518929 DOI: 10.1038/35090701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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48
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49
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Abbott A. Mad-cow outbreak spurs German drive to combat prion diseases. Nature 2001; 412:571-2. [PMID: 11493878 DOI: 10.1038/35088183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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50
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