1
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Judkins J, Moore B, Stone E, Welsh A, Carbon G, Rendell B, Peterson A. Pilot investigation of an activity-based approach to building hardiness. BMJ Mil Health 2023; 169:350-354. [PMID: 34413115 DOI: 10.1136/bmjmilitary-2020-001661] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 08/13/2021] [Indexed: 11/03/2022]
Abstract
BACKGROUND The purpose was to describe an activity-based psychological hardiness training programme delivered by an occupational therapist and examine its acceptability and effectiveness in improving hardiness. METHOD Participants (N=28) completed the 6-hour programme, which included pre/post-programme completion of the Dispositional Resilience Scale-15 (DRS-15) and a Program Evaluation Form. Paired t-tests were used to determine differences between pre-training and post-training scores on the DRS-15. RESULTS Results showed a significant increase (p<0.05) in total hardiness, commitment, and control scores on the DRS-15 from pre-training to post-training and good-excellent ratings for all categories on the Program Evaluation Form. CONCLUSIONS This programme evaluation described an occupational therapist's role in providing an activity-based psychological hardiness training programme and provided preliminary support for the acceptability of an activity-based approach to training psychological hardiness for service members.
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Affiliation(s)
- Jason Judkins
- Military Performance Department, US Army Research Institute of Environmental Medicine, Natick, Massachusetts, USA
| | - B Moore
- Department of Psychological Science, Kennesaw State University, Kennesaw, Georgia, USA
| | - E Stone
- 5-20 Infantry Battalion, 1-2 Stryker Brigade Combat Team, Joint Base Lewis-McChord, Washington, USA
| | - A Welsh
- US Army Institute of Surgical Research, Fort Sam Houston, Texas, USA
| | - G Carbon
- Center for Army Analysis, Fort Belvior, Virginia, USA
| | - B Rendell
- AFROTC Detachment 842, University of Texas at San Antonio, San Antonio, Texas, USA
| | - A Peterson
- Department of Psychiatry & Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
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2
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Quesada O, Pico M, Palmer C, Yildiz M, Miranda R, Malhotra R, Setegn E, Legreaux S, Moore B, Philip R, Shrivastava P, Takla R, Henry T. Magnetocardiography as a noninvasive diagnostic strategy for suspected coronary microvascular dysfunction. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Coronary microvascular dysfunction (CMD) is increasingly recognized as an independent predictor of mortality with a 4-fold higher risk. However current diagnostic modalities are limited by the need for an invasive procedure, access, cost, and exposure of ionizing radiation.
Purpose
To investigate the ability of magnetocardiography (MCG) to identify CMD in patients with suspected ischemia and no obstructive coronary artery disease (INOCA).
Methods
This is an observational, prospective pilot study of patients scheduled for coronary functional angiography (CFA), gold standard for evaluation for CMD (defined as coronary flow reserve (CFR) ≤2). 13 patients underwent both CFA and a noninvasive 36-channel MCG scan. A machine learning model was developed to characterize the presence of CMD in these patients against age matched controls (AMCs). The model consists of a logistic regression classifier which takes features representing the relative strengths of the “characteristic dipoles” of the MCG scan as input. The characteristic dipoles are parameterizations of the three strongest magnetic field map components resulting from a singular value decomposition of the MCG signal. A total of 37 patients were included in this analysis including 13 patients who completed CFA (7 had CMD and 6 had CFR >2 and included in the AMCs group). An additional 24 asymptomatic, healthy patients that did not undergo CFR were also included in the AMC group.
Results
The mean age for AMCs was 57 years (70% women) and mean age for CMD patients was 54 years (100% women). The performance of the model was evaluated using repeated stratified cross-validation with 5 folds and 3 repeats, resulting in 15 different 80%/20% train/test splits. Figure 1 shows the distribution of samples belonging to the CMD and AMC groups in a 2-dimensional representation of the feature space. The clear separation of the two groups and the clustering of the AMCs demonstrates the ability of the model to identify patients with CMD. We found that MCG had a mean accuracy of 94.8% (±6.4%), sensitivity of 100% (±0.0%) and specificity of 93.3% (±8.2%) for the detection of CMD using gold standard CFR ≤2 as reference.
Conclusion(s)
First study to show that MCG can be used with 94.8% accuracy to identify CMD among patients suspicious for INOCA with no exposure to ionization, 90 seconds of scan time and minimal cost. The use of this noninvasive modality to identify CMD warrants further investigation.
Funding Acknowledgement
Type of funding sources: Private company. Main funding source(s): Genetesis
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Affiliation(s)
- O Quesada
- The Christ Hospital, Women's Heart Center, The Christ Hospital Heart and Vascular Institute , Cincinnati , United States of America
| | - M Pico
- The Christ Hospital, Women's Heart Center, The Christ Hospital Heart and Vascular Institute , Cincinnati , United States of America
| | - C Palmer
- The Christ Hospital, Women's Heart Center, The Christ Hospital Heart and Vascular Institute , Cincinnati , United States of America
| | - M Yildiz
- The Christ Hospital, The Carl and Edyth Lindner Center for Research and Education , Cincinnati , United States of America
| | - R Miranda
- Genetesis , Cincinnati , United States of America
| | - R Malhotra
- Genetesis , Cincinnati , United States of America
| | - E Setegn
- Genetesis , Cincinnati , United States of America
| | - S Legreaux
- Genetesis , Cincinnati , United States of America
| | - B Moore
- Genetesis , Cincinnati , United States of America
| | - R Philip
- Genetesis , Cincinnati , United States of America
| | | | - R Takla
- Genetesis , Cincinnati , United States of America
| | - T Henry
- The Christ Hospital, The Carl and Edyth Lindner Center for Research and Education , Cincinnati , United States of America
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3
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Chieng D, Segan L, Sugumar H, Al-Kaisey A, Hawson J, Moore B, Nam M, Voskoboinik A, Prabhu S, Ling L, Ng J, Brown G, Lee G, Morton J, Debinski H, Kalman J, Kistler P. High Power Short Duration (HPSD) is Safe and Improves Outcomes for Atrial Fibrillation Ablation vs Lower Power Longer Duration (LPLD): A Prospective Multi-Centre Randomised Controlled Study (Hi-Lo HEAT trial). Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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4
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Champenois EG, Sanchez DM, Yang J, Figueira Nunes JP, Attar A, Centurion M, Forbes R, Gühr M, Hegazy K, Ji F, Saha SK, Liu Y, Lin MF, Luo D, Moore B, Shen X, Ware MR, Wang XJ, Martínez TJ, Wolf TJA. Conformer-specific photochemistry imaged in real space and time. Science 2021; 374:178-182. [PMID: 34618569 DOI: 10.1126/science.abk3132] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- E G Champenois
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - D M Sanchez
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,Department of Chemistry, Stanford University, Stanford, CA, USA
| | - J Yang
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,Center of Basic Molecular Science, Department of Chemistry, Tsinghua University, Beijing, China
| | - J P Figueira Nunes
- Department of Physics and Astronomy, University of Nebraska, Lincoln, NE, USA
| | - A Attar
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - M Centurion
- Department of Physics and Astronomy, University of Nebraska, Lincoln, NE, USA
| | - R Forbes
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - M Gühr
- Institut für Physik und Astronomie, Universität Potsdam, Potsdam, Germany
| | - K Hegazy
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,Department of Physics, Stanford University, Stanford, CA, USA
| | - F Ji
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - S K Saha
- Department of Physics and Astronomy, University of Nebraska, Lincoln, NE, USA
| | - Y Liu
- Department of Physics and Astronomy, Stony Brook University, Stony Brook, NY, USA
| | - M-F Lin
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - D Luo
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - B Moore
- Department of Physics and Astronomy, University of Nebraska, Lincoln, NE, USA
| | - X Shen
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - M R Ware
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - X J Wang
- SLAC National Accelerator Laboratory, Menlo Park, CA, USA
| | - T J Martínez
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA.,Department of Chemistry, Stanford University, Stanford, CA, USA
| | - T J A Wolf
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, CA, USA
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5
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Perry MR, Lepper HC, McNally L, Wee BA, Munk P, Warr A, Moore B, Kalima P, Philip C, de Roda Husman AM, Aarestrup FM, Woolhouse MEJ, van Bunnik BAD. Secrets of the Hospital Underbelly: Patterns of Abundance of Antimicrobial Resistance Genes in Hospital Wastewater Vary by Specific Antimicrobial and Bacterial Family. Front Microbiol 2021; 12:703560. [PMID: 34566912 PMCID: PMC8461093 DOI: 10.3389/fmicb.2021.703560] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 08/10/2021] [Indexed: 01/05/2023] Open
Abstract
Background: Hospital wastewater is a major source of antimicrobial resistance (AMR) outflow into the environment. This study uses metagenomics to study how hospital clinical activity impacts antimicrobial resistance genes (ARGs) abundances in hospital wastewater. Methods: Sewage was collected over a 24-h period from multiple wastewater collection points (CPs) representing different specialties within a tertiary hospital site and simultaneously from community sewage works. High throughput shotgun sequencing was performed using Illumina HiSeq4000. ARG abundances were correlated to hospital antimicrobial usage (AMU), data on clinical activity and resistance prevalence in clinical isolates. Results: Microbiota and ARG composition varied between CPs and overall ARG abundance was higher in hospital wastewater than in community influent. ARG and microbiota compositions were correlated (Procrustes analysis, p=0.014). Total antimicrobial usage was not associated with higher ARG abundance in wastewater. However, there was a small positive association between resistance genes and antimicrobial usage matched to ARG phenotype (IRR 1.11, CI 1.06-1.16, p<0.001). Furthermore, analyzing carbapenem and vancomycin resistance separately indicated that counts of ARGs to these antimicrobials were positively associated with their increased usage [carbapenem rate ratio (RR) 1.91, 95% CI 1.01-3.72, p=0.07, and vancomycin RR 10.25, CI 2.32-49.10, p<0.01]. Overall, ARG abundance within hospital wastewater did not reflect resistance patterns in clinical isolates from concurrent hospital inpatients. However, for clinical isolates of the family Enterococcaceae and Staphylococcaceae, there was a positive relationship with wastewater ARG abundance [odds ratio (OR) 1.62, CI 1.33-2.00, p<0.001, and OR 1.65, CI 1.21-2.30, p=0.006 respectively]. Conclusion: We found that the relationship between hospital wastewater ARGs and antimicrobial usage or clinical isolate resistance varies by specific antimicrobial and bacterial family studied. One explanation, we consider is that relationships observed from multiple departments within a single hospital site will be detectable only for ARGs against parenteral antimicrobials uniquely used in the hospital setting. Our work highlights that using metagenomics to identify the full range of ARGs in hospital wastewater is a useful surveillance tool to monitor hospital ARG carriage and outflow and guide environmental policy on AMR.
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Affiliation(s)
- Meghan R. Perry
- Usher Institute, University of Edinburgh, Edinburgh, United Kingdom
- NHS Lothian Infection Service, Edinburgh Clinical Infection Research Group, Edinburgh, United Kingdom
- Centre for Inflammation Research, University of Edinburgh, Edinburgh, United Kingdom
| | - Hannah C. Lepper
- Usher Institute, University of Edinburgh, Edinburgh, United Kingdom
| | - Luke McNally
- Centre for Synthetic and Systems Biology, School of Biological Sciences, University of Edinburgh, Edinburgh, United Kingdom
- School of Biological Sciences, Institute of Evolutionary Biology, University of Edinburgh, Edinburgh, United Kingdom
| | - Bryan A. Wee
- Usher Institute, University of Edinburgh, Edinburgh, United Kingdom
| | - Patrick Munk
- National Food Institute, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Amanda Warr
- Roslin Institute, University of Edinburgh, Edinburgh, United Kingdom
| | - Barbara Moore
- NHS Lothian Infection Service, Edinburgh Clinical Infection Research Group, Edinburgh, United Kingdom
| | - Pota Kalima
- NHS Lothian Infection Service, Edinburgh Clinical Infection Research Group, Edinburgh, United Kingdom
| | - Carol Philip
- NHS Lothian Infection Service, Edinburgh Clinical Infection Research Group, Edinburgh, United Kingdom
| | | | - Frank M. Aarestrup
- National Food Institute, Technical University of Denmark, Kongens Lyngby, Denmark
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6
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Moore B, Comeau S, Bekaert M, Cossais A, Purdy A, Larcombe E, Puerzer F, McCulloch MT, Cornwall CE. Rapid multi-generational acclimation of coralline algal reproductive structures to ocean acidification. Proc Biol Sci 2021; 288:20210130. [PMID: 33975470 PMCID: PMC8113899 DOI: 10.1098/rspb.2021.0130] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 04/15/2021] [Indexed: 12/25/2022] Open
Abstract
The future of coral reef ecosystems is under threat because vital reef-accreting species such as coralline algae are highly susceptible to ocean acidification. Although ocean acidification is known to reduce coralline algal growth rates, its direct effects on the development of coralline algal reproductive structures (conceptacles) is largely unknown. Furthermore, the long-term, multi-generational response of coralline algae to ocean acidification is extremely understudied. Here, we investigate how mean pH, pH variability and the pH regime experienced in their natural habitat affect coralline algal conceptacle abundance and size across six generations of exposure. We show that second-generation coralline algae exposed to ocean acidification treatments had conceptacle abundances 60% lower than those kept in present-day conditions, suggesting that conceptacle development is initially highly sensitive to ocean acidification. However, this negative effect of ocean acidification on conceptacle abundance disappears after three generations of exposure. Moreover, we show that this transgenerational acclimation of conceptacle development is not facilitated by a trade-off with reduced investment in growth, as higher conceptacle abundances are associated with crusts with faster growth rates. These results indicate that the potential reproductive output of coralline algae may be sustained under future ocean acidification.
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Affiliation(s)
- B. Moore
- Marine Climate Change Unit, Okinawa Institute of Science and Technology Graduate University, Okinawa, Japan
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
| | - S. Comeau
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
- Sorbonne Université, CNRS-INSU, Laboratoire d'Océanographie de Villefranche, Villefranche-sur-mer, France
| | - M. Bekaert
- School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand
| | - A. Cossais
- School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand
| | - A. Purdy
- School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand
| | - E. Larcombe
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
| | - F. Puerzer
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
| | - M. T. McCulloch
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
| | - C. E. Cornwall
- ARC Centre of Excellence for Coral Reef Studies, The University of Western Australia, Crawley, Western Australia, Australia
- School of Biological Sciences, Victoria University of Wellington, Wellington, New Zealand
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7
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Chang A, Moore B, Singh G, Mirshahi T. POS-419 GENOTYPE-PHENOTYPE CORRELATIONS OF PREDICTED LOSS OF FUNCTION MUTATIONS IN ATYPICAL ADPKD GENES. Kidney Int Rep 2021. [DOI: 10.1016/j.ekir.2021.03.442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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8
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Madden L, Hockstein M, Franczak M, Moore B, Ratcliff J, Strickler S, Nugent K, Atallah H, Tekwani S, Patel D. 209 Assessment of a Novel Emergency Department-Based Critical Care Consult Service in an Urban Level-1 Trauma Center. Ann Emerg Med 2020. [DOI: 10.1016/j.annemergmed.2020.09.222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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9
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Boyd AT, Moore B, Shah M, Tran C, Kirking H, Cavanaugh JS, Al-Samarrai T, Pathmanathan I. Implementing TB preventive treatment within differentiated HIV service delivery models in global programs. Public Health Action 2020; 10:104-110. [PMID: 33134124 DOI: 10.5588/pha.20.0014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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: 04/16/2020] [Accepted: 06/15/2020] [Indexed: 11/10/2022] Open
Abstract
Global HIV program stakeholders, including the US President's Emergency Plan for AIDS Relief (PEPFAR), are undertaking efforts to ensure that eligible people living with HIV (PLHIV) receiving antiretroviral treatment (ART) receive a course of TB preventive treatment (TPT). In PEPFAR programming, this effort may require providing TPT not only to newly diagnosed PLHIV as part of HIV care initiation, but also to treatment-experienced PLHIV stable on ART who may not have been previously offered TPT. TPT scale-up is occurring at the same time as a trend to provide more person-centered HIV care through differentiated service delivery (DSD). In DSD, PLHIV stable on ART may receive less frequent clinical follow-up or receive care outside the traditional clinic-based model. The misalignment between traditional delivery of TPT and care delivery in innovative DSD may require adaptations to TPT delivery practices for PLHIV. Adaptations include components of planning and operationalization of TPT in DSD, such as determination of TPT eligibility and TPT initiation, and clinical management of PLHIV while on TPT. A key adaptation is alignment of timing and location for TPT and ART prescribing, monitoring, and dispensing. Conceptual examples of TPT delivery in DSD may help program managers operationalize TPT in HIV care.
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Affiliation(s)
- A T Boyd
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - B Moore
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - M Shah
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - C Tran
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - H Kirking
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - J S Cavanaugh
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - T Al-Samarrai
- Office of the Global AIDS Coordinator, Washington DC, USA
| | - I Pathmanathan
- Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
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10
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Crowe S, Adebajo A, Esmael H, Denegri S, Martin A, McAlister B, Moore B, Quinn M, Rennard U, Simpson J, Wray P, Yeeles P. 'All hands-on deck', working together to develop UK standards for public involvement in research. Res Involv Engagem 2020; 6:53. [PMID: 32974049 PMCID: PMC7493420 DOI: 10.1186/s40900-020-00229-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 08/31/2020] [Indexed: 06/02/2023]
Abstract
BACKGROUND Public involvement in research is an established part of the research process in the UK, however there remain questions about what good public involvement in research looks and feels like. Until now public involvement practitioners, researchers and members of the public have looked for answers in examples shared across networks, published case studies, guidance and research articles. Pulling these strands together, the UK Standards for Public Involvement provides six statements (standards) about public involvement in research. They were produced by a partnership of organisations from Scotland, Northern Ireland, Wales and England with contributions from involvement practitioners, public partners, researchers and research funders. MAIN BODY Each standard has reflective questions, which are designed to encourage standard users to use approaches and behaviours that improve involvement, over time. The standards are designed to be used as a practical tool, and reflect the agreed hallmarks of good public involvement in research for example, flexibility in approaches used, shared learning, and mutual respect.The standards development process is described from the initial idea and scoping, via the appraisal of existing standard sets and integration of values and principles in public involvement in research. The collaborative writing process of and consultation on the draft standard set is described, together with what changed as a result of feedback. The initiation of a year-long testing programme with forty participating research organisations, the experiential feedback and the resulting changes to the standards is summarised. CONCLUSION This commentary paper describes, in some detail, a process to develop a set of six standards for public involvement in research in the UK. Producing a complex, national public involvement initiative is not without its challenges, and in supplementary material partnership members reflect on and share their experiences of standards development. The next phase of integration and implementation is explored with concluding comments from those that tested and helped improve the standards.
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Affiliation(s)
| | - Ade Adebajo
- NIHR INVOLVE, Sheffield University & Barnsley Hospital NHS Trust, Barnsley, UK
| | | | - Simon Denegri
- NIHR National Director for Patients, Carers and the Public, London, UK
| | - Angela Martin
- Research and Development Division, Welsh Government, Cardiff, UK
| | - Bob McAlister
- Health and Care Research Wales Public Involvement Delivery Board, Cardiff, UK
| | - Barbara Moore
- Health and Care Research Wales Support and Delivery Centre, Cardiff, UK
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Peszka J, Michelle S, Collins BT, Abu-Halimeh N, Quattom M, Henderson M, Sanders M, Critton J, Moore B, Mastin DF. 0180 Sleep, Sleepiness, and Sleep Hygiene Related to Nomophobia (No Mobile Phone Phobia). Sleep 2020. [DOI: 10.1093/sleep/zsaa056.178] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Previously, active phone use at bedtime has been implicated in disrupted sleep and related complaints. To improve sleep, a recommendation following such findings is limiting phone use before and during bedtime. However, for those with the characteristic of “nomophobia”, fear of being out of mobile phone contact, this recommendation could exacerbate anxiety at and around bedtime and disrupt, rather than improve, sleep. In 2012, an estimated 77% of 18-24-year-olds could be identified as nomophobic. Because of the prevalence of nomophobia and its possible interaction with sleep, we explored the existence of nomophobia in a college-age population and its relationship to sleep, sleepiness, and sleep hygiene behaviors.
Methods
327 university students (age: M=19.7 years, SD=3.78) recruited from introductory psychology courses and campus newsletters were given extra credit or a chance to win $25 gift cards for participation. Participants completed demographic information, the Nomophobia Questionnaire (NMP-Q), the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index, questions regarding associated features of inadequate sleep hygiene, and the Sleep Hygiene Index. Additional sleep hygiene questions assessed frequency of active and passive technology use during sleep time.
Results
89.4% of the participants had moderate or severe nomophobia. Greater nomophobia was significantly related to greater daytime sleepiness (ESS) (r(293)=.150, p<.05), associated features of poor sleep (daytime sleepiness: r(297)=.097, p<.05, and avolition: r(297)=.100, p<.05), more maladaptive sleep hygiene behaviors including active technology use during sleep time (r(298)=.249, p<.05), long daytime naps, inconsistent wake and bed times, using bed for non-sleep purposes, uncomfortable bed, and bedtime cognitive rumination (r’s=0.097 to 0.182).
Conclusion
Most participants experienced moderate to severe nomophobia with greater nomophobia associated with greater sleepiness, avolition, and poorer sleep hygiene. Nomophobia is likely to be an important consideration when treating sleep disorders and/or making any sleep hygiene recommendations.
Support
Hendrix College Charles Brewer Fund for Psychology
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Affiliation(s)
| | - S Michelle
- University of Arkansas at Little Rock, Little Rock, AR
| | - B T Collins
- University of Arkansas at Little Rock, Little Rock, AR
| | - N Abu-Halimeh
- University of Arkansas at Little Rock, Little Rock, AR
| | - M Quattom
- University of Arkansas at Little Rock, Little Rock, AR
| | - M Henderson
- University of Arkansas at Little Rock, Little Rock, AR
| | - M Sanders
- University of Arkansas at Little Rock, Little Rock, AR
| | - J Critton
- University of Arkansas at Little Rock, Little Rock, AR
| | - B Moore
- University of Arkansas at Little Rock, Little Rock, AR
| | - D F Mastin
- University of Arkansas at Little Rock, Little Rock, AR
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12
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Mastin D, Abu-Halimeh N, Collins BT, Critton J, Henderson M, Michelle S, Quattom M, Sanders M, Moore B, Peszka J. 0194 Bedtime Technology Use and New Questions for the Sleep Hygiene Index. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.192] [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: 11/15/2022] Open
Abstract
Abstract
Introduction
We examined the relationship between bedtime active and passive social technology use (self and bedpartner) and daytime sleepiness/sleep. We generated questions to differentiate participants with and without bedpartners and updated passive personal, active bedpartner, and passive bedpartner social technology questions of the Sleep Hygiene Index.
Methods
327 students (age: M=19.7 years, SD=3.78) recruited through psychology courses and campus newsletters received extra credit or chances to win $25 gift cards. Participants completed demographic information, the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index, questions regarding associated features of inadequate sleep hygiene, and the Sleep Hygiene Index. Five questions assessed active and passive social technology use, presence of a bedpartner, and awareness of bedpartner active and passive social technology use during sleep time.
Results
61.8% and 62.7% of students reported frequently or always using active and passive bedtime social technology, respectively; and 23.5% and 29.1% reported noticing a partner’s active or passive use. More frequent active technology use was significantly related to greater daytime sleepiness (ESS) (r(305)=.193, p<.05), sleep disturbances (PSQI-global: r(302)=.120, p<.05), and associated features of inadequate sleep hygiene (daytime sleepiness, worry about sleep, mood disturbance, avolition, and reduced cognition (r(306)=.212, p<.05)). Neither passive use nor passive or active partner use was significantly related to any sleep/sleepiness variables.
Conclusion
We continue to find students are frequent users of bedtime social technology which is related to daytime sleepiness, disrupted sleep, and related complaints. Passive and partner active/passive bedtime technology use may not have a significant impact on daytime sleepiness. It is possible younger participants are not good judges of passive or partner technology use or this younger population is resilient to these disruptions.
Support
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Affiliation(s)
- D Mastin
- University of Arkansas Little Rock, Little Rock, AR
| | | | - B T Collins
- University of Arkansas Little Rock, Little Rock, AR
| | - J Critton
- University of Arkansas Little Rock, Little Rock, AR
| | - M Henderson
- University of Arkansas Little Rock, Little Rock, AR
| | - S Michelle
- University of Arkansas Little Rock, Little Rock, AR
| | - M Quattom
- University of Arkansas Little Rock, Little Rock, AR
| | - M Sanders
- University of Arkansas Little Rock, Little Rock, AR
| | - B Moore
- University of Arkansas Little Rock, Little Rock, AR
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Kirby J, Moore B, Leiphart P, Shumaker K, Mammis-Gierbolini A, Benhadou F, del Marmol V. 一项关于在化脓性汗腺炎研究中使用词语“加剧”的回顾. Br J Dermatol 2020. [DOI: 10.1111/bjd.18677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Shen X, Nunes JPF, Yang J, Jobe RK, Li RK, Lin MF, Moore B, Niebuhr M, Weathersby SP, Wolf TJA, Yoneda C, Guehr M, Centurion M, Wang XJ. Femtosecond gas-phase mega-electron-volt ultrafast electron diffraction. Struct Dyn 2019; 6:054305. [PMID: 31649964 PMCID: PMC6796191 DOI: 10.1063/1.5120864] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Accepted: 09/24/2019] [Indexed: 05/16/2023]
Abstract
The development of ultrafast gas electron diffraction with nonrelativistic electrons has enabled the determination of molecular structures with atomic spatial resolution. It has, however, been challenging to break the picosecond temporal resolution barrier and achieve the goal that has long been envisioned-making space- and-time resolved molecular movies of chemical reaction in the gas-phase. Recently, an ultrafast electron diffraction (UED) apparatus using mega-electron-volt (MeV) electrons was developed at the SLAC National Accelerator Laboratory for imaging ultrafast structural dynamics of molecules in the gas phase. The SLAC gas-phase MeV UED has achieved 65 fs root mean square temporal resolution, 0.63 Å spatial resolution, and 0.22 Å-1 reciprocal-space resolution. Such high spatial-temporal resolution has enabled the capturing of real-time molecular movies of fundamental photochemical mechanisms, such as chemical bond breaking, ring opening, and a nuclear wave packet crossing a conical intersection. In this paper, the design that enables the high spatial-temporal resolution of the SLAC gas phase MeV UED is presented. The compact design of the differential pump section of the SLAC gas phase MeV UED realized five orders-of-magnitude vacuum isolation between the electron source and gas sample chamber. The spatial resolution, temporal resolution, and long-term stability of the apparatus are systematically characterized.
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Affiliation(s)
- X. Shen
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - J. P. F. Nunes
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, Nebraska 68588, USA
| | | | - R. K. Jobe
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - R. K. Li
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - Ming-Fu Lin
- Linac Coherent Light Source, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - B. Moore
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, Nebraska 68588, USA
| | - M. Niebuhr
- Institut für Physik und Astronomie, Universität Potsdam, 14476 Potsdam, Germany
| | - S. P. Weathersby
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - T. J. A. Wolf
- Stanford PULSE Institute, SLAC National Accelerator Laboratory, Menlo Park, California 94025, USA
| | - C. Yoneda
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
| | - Markus Guehr
- Institut für Physik und Astronomie, Universität Potsdam, 14476 Potsdam, Germany
| | - Martin Centurion
- Department of Physics and Astronomy, University of Nebraska-Lincoln, Lincoln, Nebraska 68588, USA
| | - X. J. Wang
- SLAC National Accelerator Laboratory, 2575 Sand Hill Road, Menlo Park, California 94025, USA
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Sakellariou D, Anstey S, Gaze S, Girt E, Kelly D, Moore B, Polack S, Pratt R, Tyrer G, Warren N, Wilkinson W, Courtenay M. Barriers to accessing cancer services for adults with physical disabilities in England and Wales: an interview-based study. BMJ Open 2019; 9:e027555. [PMID: 31248925 PMCID: PMC6597631 DOI: 10.1136/bmjopen-2018-027555] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
OBJECTIVES The aim of this study was to explore the barriers to accessing cancer services faced by adults with pre-existing physical disabilities. DESIGN Cross-sectional, exploratory qualitative study. Data were collected by semistructured interviews and analysed thematically. SETTING Participants were recruited through statutory and third sector organisations in England and Wales between October 2017 and October 2018. PARTICIPANTS 18 people with a diagnosis of cancer and a pre-existing physical disability. RESULTS The findings illustrate that people with physical disabilities in England and Wales face a variety of barriers to accessing cancer services. The overall theme that emerged was that participants experienced a lack of attitudinal and institutional preparation both from healthcare professionals and healthcare facilities. This overall theme is illustrated through three subthemes: lack of acknowledgment of disability, unseeing disability and physical inaccessibility. CONCLUSIONS As the population ages and increasing numbers of people live with cancer and disability, it is important to develop knowledge to respond to the needs of this population. The mere existence of services does not guarantee their usability. Services need to be relevant, flexible, and accessible and offered in a respectful manner. It is important that healthcare professionals work towards inclusive healthcare provision, enabling the utilisation of services by all. Necessary steps to be taken include better communication between the various professionals and across the different teams involved in patients' care, raising awareness of how physical disability can affect or interact with cancer-related treatment and creating more accessible physical environments.
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Affiliation(s)
| | - Sally Anstey
- School of Healthcare Sciences, Cardiff University, Cardiff, UK
| | - Sarah Gaze
- School of Healthcare Sciences, Cardiff University, Cardiff, UK
| | | | - Daniel Kelly
- School of Healthcare Sciences, Cardiff University, Cardiff, UK
| | | | - Sarah Polack
- International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK
| | | | - Gill Tyrer
- Lay Advisory Group Member, Llandudno, UK
| | - Narelle Warren
- School of Social Sciences, Monash University, Melbourne, Victoria, Australia
| | | | - Molly Courtenay
- School of Healthcare Sciences, Cardiff University, Cardiff, UK
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Kirby J, Moore B, Leiphart P. 273 Defining flare in hidradenitis suppurativa: A systematic review. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.03.349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Kirby JS, Moore B, Leiphart P, Shumaker K, Mammis-Gierbolini A, Benhadou F, Del Marmol V. A narrative review of the definition of 'flare' in hidradenitis suppurativa. Br J Dermatol 2019; 182:24-28. [PMID: 31025310 DOI: 10.1111/bjd.18035] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2019] [Indexed: 12/27/2022]
Abstract
BACKGROUND Hidradenitis suppurativa (HS) is a chronic, inflammatory condition that can have periodic worsening or flares. Measurement of flare is important because it can inform treatment efficacy; however, it is unclear how HS flare should be defined. OBJECTIVES This study reviewed the literature for definitions of HS flare. METHODS The PubMed MEDLINE online database was searched on 10 January 2018 and the search was repeated on 8 December 2018 for new publications. Titles and abstracts were screened for inclusion. Subsequently, full articles were screened for inclusion. Papers were included if the publication was a systematic review, clinical trial, cohort study, case report or series, or cross-sectional study. Studies were excluded if they were journalistic reviews, did not discuss clinical findings of HS or did not use the words 'flare', 'exacerbation', 'relapse' or 'recurrence'. RESULTS Two hundred and seventy-four papers were identified and 154 fulfilled the study criteria. Of these, 27 (17.5%) included the term 'flare' and 16 (10.4%) included the term 'exacerbation'. Two of the 27 papers (7%) defined the term flare and both included patient report of changes in symptoms or signs. One of 16 papers (6%) defined exacerbation, which was taken as one new HS lesion. The terms 'recurrence' and 'relapse' were more apt to be defined: 13% (13 of 100) and 14% (six of 44), respectively. CONCLUSIONS The lack of a specific and measurable definition of HS flare is a barrier to assessment of this important outcome. Once a specific and measurable definition is established, validated and reliable measures of HS flare can be incorporated into future studies. What's already known about this topic? Hidradenitis suppurativa (HS) is a chronic, relapsing inflammatory skin condition. The ability to assess flares is important to people who have HS; however, it is unclear how this is defined. HS flare is one of the core outcomes in the core outcome set for HS clinical trials; however, it is unclear how this should be assessed. What does this study add? This literature review reveals the paucity of measurable definitions associated with the use of the term 'flare' in the HS literature. It also highlights the variation and lack of a validated and reliable measure of HS flare.
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Affiliation(s)
- J S Kirby
- Department of Dermatology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, U.S.A
| | - B Moore
- Penn State College of Medicine, Hershey, PA, U.S.A
| | - P Leiphart
- Penn State College of Medicine, Hershey, PA, U.S.A
| | - K Shumaker
- Department of Dermatology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, U.S.A
| | | | - F Benhadou
- Department of Dermatology, Hôpital Erasme - Universite Libre de Bruxelles, Bruxelles, Belgium
| | - V Del Marmol
- Department of Dermatology, Hôpital Erasme - Universite Libre de Bruxelles, Bruxelles, Belgium
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Fitzpatrick F, Skally M, O'Hanlon C, Foley M, Houlihan J, Gaughan L, Smith O, Moore B, Cunneen S, Sweeney E, Dinesh B, O'Connell K, Smyth E, Humphreys H, Burns K. Food for thought. Malnutrition risk associated with increased risk of healthcare-associated infection. J Hosp Infect 2018; 101:300-304. [PMID: 30590089 DOI: 10.1016/j.jhin.2018.12.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [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: 11/15/2018] [Accepted: 12/19/2018] [Indexed: 02/08/2023]
Abstract
BACKGROUND Infection and malnutrition are interconnected. UK and Irish guidelines recommend the Malnutrition Universal Screening Tool (MUST) for nutritional risk screening. Patients with a MUST score of ≥2 are considered at high risk of malnutrition and referral for nutritional assessment is recommended. AIM To explore the association between healthcare-associated infection (HCAI) and the MUST score categories of patients. METHODS This was a cross-sectional study in May 2017 on ten representative wards in our institution. Patient demographics, MUST score, presence of medical devices, HCAI and antimicrobial use were collected. FINDINGS Of 240 patients, the HCAI prevalence was 10.4% (N = 25) and 26% (N = 63) were at high risk of malnutrition (MUST score ≥2). Patients with HCAI were more likely to have had surgery (odds ratio (OR): 5.5; confidence interval (CI): 2.1-14.3; P < 0.001), a central vascular catheter (OR: 10.0; CI: 3.6-27.2; P < 0.001), or a urinary catheter in situ (OR: 7.5; CI: 2.8-20.0; P < 0.001), and to have a high risk of malnutrition (OR: 4.3; CI: 1.7-11.2; P < 0.001). A higher MUST score remained a significant predictor of a patient having HCAI on multivariate regression analysis (CI: 0.2-0.6; P < 0.001). CONCLUSION Patients at risk of malnutrition when assessed with the MUST were more likely to have HCAI. However, prospective studies are required to investigate the temporal association between MUST and HCAI and which interventions best address malnutrition risk and HCAI reduction in different settings.
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Affiliation(s)
- F Fitzpatrick
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland; Department of Clinical Microbiology, The Royal College of Surgeons in Ireland, Dublin, Ireland.
| | - M Skally
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - C O'Hanlon
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - M Foley
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - J Houlihan
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - L Gaughan
- Department of Pharmacy, Beaumont Hospital, Dublin, Ireland
| | - O Smith
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - B Moore
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - S Cunneen
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - E Sweeney
- Department of Nutrition and Dietetics, Beaumont Hospital, Dublin, Ireland
| | - B Dinesh
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - K O'Connell
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - E Smyth
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - H Humphreys
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland; Department of Clinical Microbiology, The Royal College of Surgeons in Ireland, Dublin, Ireland
| | - K Burns
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland; Health Protection Surveillance Centre, Dublin, Ireland
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Cornwall CE, Comeau S, DeCarlo TM, Moore B, D'Alexis Q, McCulloch MT. Resistance of corals and coralline algae to ocean acidification: physiological control of calcification under natural pH variability. Proc Biol Sci 2018; 285:rspb.2018.1168. [PMID: 30089625 DOI: 10.1098/rspb.2018.1168] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Accepted: 07/13/2018] [Indexed: 12/31/2022] Open
Abstract
Ocean acidification is a threat to the continued accretion of coral reefs, though some undergo daily fluctuations in pH exceeding declines predicted by 2100. We test whether exposure to greater pH variability enhances resistance to ocean acidification for the coral Goniopora sp. and coralline alga Hydrolithon reinboldii from two sites: one with low pH variability (less than 0.15 units daily; Shell Island) and a site with high pH variability (up to 1.4 pH units daily; Tallon Island). We grew populations of both species for more than 100 days under a combination of differing pH variability (high/low) and means (ambient pH 8.05/ocean acidification pH 7.65). Calcification rates of Goniopora sp. were unaffected by the examined variables. Calcification rates of H. reinboldii were significantly faster in Tallon than in Shell Island individuals, and Tallon Island individuals calcified faster in the high variability pH 8.05 treatment compared with all others. Geochemical proxies for carbonate chemistry within the calcifying fluid (cf) of both species indicated that only mean seawater pH influenced pHcf pH treatments had no effect on proxies for Ωcf These limited responses to extreme pH treatments demonstrate that some calcifying taxa may be capable of maintaining constant rates of calcification under ocean acidification by actively modifying Ωcf.
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Affiliation(s)
- C E Cornwall
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia .,ARC Centre for Coral Reef Studies, 35 Stirling Highway, Crawley, 6009 Western Australia, Australia
| | - S Comeau
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia.,ARC Centre for Coral Reef Studies, 35 Stirling Highway, Crawley, 6009 Western Australia, Australia
| | - T M DeCarlo
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia.,ARC Centre for Coral Reef Studies, 35 Stirling Highway, Crawley, 6009 Western Australia, Australia
| | - B Moore
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia
| | - Q D'Alexis
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia
| | - M T McCulloch
- Oceans Graduate School and Oceans Institute, The University of Western Australia, 35 Stirling Highway, Crawley 6009 Western Australia, Australia.,ARC Centre for Coral Reef Studies, 35 Stirling Highway, Crawley, 6009 Western Australia, Australia
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Mastin DF, Bland J, Greene S, Moore B, Peszka J. 0431 Relationship of Partner Passive Phone Use in Bed with Daytime Sleepiness and Sleep. Sleep 2018. [DOI: 10.1093/sleep/zsy061.430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- D F Mastin
- University of Arkansas at Little Rock, Little Rock, AR
| | - J Bland
- University of Arkansas at Little Rock, Little Rock, AR
| | - S Greene
- University of Arkansas at Little Rock, Little Rock, AR
| | - B Moore
- University of Arkansas at Little Rock, Little Rock, AR
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Abstract
The south-west Mentoring Scheme has developed in the context of a general and increasing concern for the health and morale of senior doctors (British Medical Association (BMA), 2000). Their problems are now well described (Allen, 1999; Ghodseet al, 2000), but there is little evidence of effective intervention. The aspirations of the National Service Framework and the NHS Plan will come to nothing if there are not sufficient trained and experienced staff to implement them, and senior staff are increasingly looking forward to early retirement rather than the continued satisfactions of working within the NHS. Recruitment and retention of consultant psychiatrists is the most problematic of all medical specialities, with 14% of posts empty or occupied by locums (Sainsbury Centre for Mental Health, 2000). There is a clear need to find ways of preventing work-related ill health, stress and burn-out among practitioners (Roberts, 1997; Department of Health, 1999: p 115), and to sustain their creative and productive engagement in health care. A demotivated profession cannot be expected to deliver an effective service (McBride & Metcalf, 1995; Appletonet al, 1998) and policy is not a substitute for personnel.
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Harrop E, Noble S, Edwards M, Sivell S, Moore B, Nelson A. Managing, making sense of and finding meaning in advanced illness: a qualitative exploration of the coping and wellbeing experiences of patients with lung cancer. Sociol Health Illn 2017; 39:1448-1464. [PMID: 29044627 PMCID: PMC5765489 DOI: 10.1111/1467-9566.12601] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Coping plays an essential role in maintaining the wellbeing of patients with cancer. A number of different coping responses and strategies have been identified in the literature. The value and relevance of meaning based coping theory has also been emphasised, including Antonovosky's Sense of Coherence (SoC) theory. Ten patients with advanced lung cancer were interviewed up to three times. A total of twenty in depth interviews were carried out, fully transcribed and data were analysed following a methodology of Interpretative Phenomenological Analysis. Three broad domains were identified to categorise the core life concerns of participants; making sense of and managing one's illness; maintaining daily life and relationships and confronting the future. Within these domains multiple coping themes are identified, which to varying degrees help to maintain patient wellbeing and quality of life. This article considers the relevance of SoC theory for understanding the coping experiences of patients with advanced cancer, and identifies resources and factors likely to support patient coping, with implications for health and social care services.
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Affiliation(s)
- Emily Harrop
- Marie Curie Palliative Care Research CentreDivision of Population MedicineSchool of Medicine, Cardiff UniversityCardiffUK
| | - Simon Noble
- Marie Curie Palliative Care Research CentreDivision of Population MedicineSchool of Medicine, Cardiff UniversityCardiffUK
| | - Michelle Edwards
- Marie Curie Palliative Care Research CentreDivision of Population MedicineSchool of Medicine, Cardiff UniversityCardiffUK
| | - Stephanie Sivell
- Marie Curie Palliative Care Research CentreDivision of Population MedicineSchool of Medicine, Cardiff UniversityCardiffUK
| | - Barbara Moore
- Health and Care Research Wales Support CentreCardiffUK
| | - Annmarie Nelson
- Marie Curie Palliative Care Research CentreDivision of Population MedicineSchool of Medicine, Cardiff UniversityCardiffUK
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Kapil S, Hamm E, Atallah H, Zalesky C, Ahmad F, Ratcliff J, Moore B, Rhee P, Wheatley M. 331 Observation of Minor Traumatic Brain Injury in Emergency Department Observation Units Significantly Reduces Length-of-Stay. Ann Emerg Med 2017. [DOI: 10.1016/j.annemergmed.2017.07.402] [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: 10/18/2022]
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Mastin D, Yang J, Orr L, McFarlin S, Nix S, Ramirez M, Moore B, Peszka J. 0161 ACTIVE AND PASSIVE BEDTIME SOCIAL TECHNOLOGY USE RELATED TO DAYTIME SLEEPINESS AND SLEEP. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.160] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Nankivell M, Langley RE, Barton R, Faivre-Finn C, Wilson P, McColl E, Moore B, Brisbane I, Ardron D, Sydes B, Stephens R, Parmar M, Mulvenna P. How do the QUARTZ trial results inform future research for patients with brain metastases from non-small cell lung cancer? Transl Cancer Res 2017. [DOI: 10.21037/tcr.2017.03.08] [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: 11/06/2022]
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Meudell A, Jones S, Simon N, Hunter Z, Moore B, Elliott J, Casey D. " Hitting the spot": Developing individuals with lived-experience of health and social care as facilitators to deliver a course to enhance public involvement in research - a Welsh perspective. Res Involv Engagem 2017; 3:5. [PMID: 29062530 PMCID: PMC5611615 DOI: 10.1186/s40900-017-0057-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 03/27/2017] [Indexed: 05/11/2023]
Abstract
PLAIN ENGLISH SUMMARY Public involvement in research has become an important and integral part of the research process in health and social care, from the early stages of research prioritisation and development to the later stages of research conduct and dissemination. Learning and development opportunities, including training, can assist the public and researchers in working together in the research process, and a training schedule exists in Wales for this purpose. One of the key components of this training schedule in Wales is the course Involving the Public in the Design and Conduct of Research: Building Research Partnerships. Building on the existing successes of this UK-wide course, first developed by Macmillan Cancer Support, a project was established between Health and Care Research Wales and Macmillan Cancer Support to develop three members of the Involving People Network into trained facilitators. Once trained, the aim was for the three facilitators to deliver the course in Wales. Macmillan Cancer Support and Health and Care Research Wales selected, through a competitive process, three members of the Involving People Network to use their lived experience of Involvement in research projects, as well as any lived experience of a physical or mental health condition or illness, to become facilitators of the course in the unique context of public involvement in research in Wales. Through this process many benefits were realised, including developing the course content and its delivery in Wales, as well as building the skills and confidence of the individuals themselves as facilitators. This has contributed to a continuing commitment to the sustainable delivery of the Involving the Public in the Design and Conduct of Research: Building Research Partnerships course in Wales and a combined approach to addressing any challenges and obstacles which presented. ABSTRACT Health and Care Research Wales has a strategic aim to Ensure public involvement and engagement is central to what we do and visible in all elements of it. As part of the ongoing development of the Health and Care Research Wales Training Programme a project was initiated to develop members of the public as facilitators to deliver a public involvement in research course. The project was undertaken in collaboration with Macmillan Cancer Support and was advertised via the Involving People Network in Wales. Three trainee facilitators were recruited, from 14 people that applied, to deliver a public involvement in research training course, the Building Research Partnerships course, as it was known then, originally developed for and by Macmillan Cancer Support. As members of the Involving People Network, the trainees were given training, mentorship, financial and administrative support to develop their role as facilitators over a two year period. This has been reciprocated with incredible commitment, ongoing course delivery in Wales, excellent course evaluations, course review and involvement in future planning. Through this project several benefits were realised, including developing the course content and its delivery and building the skills and confidence of the individual facilitators themselves. Additionally, and importantly, the project team found that patients and members of the public who are given appropriate training and support can greatly enhance a research training programme and act as highly effective ambassadors to further the cause of public involvement in research.
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Affiliation(s)
- Alan Meudell
- Involving People Network, Health and Care Research Wales, Cardiff, UK
| | - Sian Jones
- Involving People Network, Health and Care Research Wales, Cardiff, UK
| | | | - Zoe Hunter
- Health and Care Research Wales, Cardiff, UK
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Jones C, Miller R, Sharkey R, Friel A, Clifford D, Darcy C, Moore B, Hall M. P209 Specialist respiratory pharmacist case management copd medicines optimisation clinics: implementation and outcomes. Thorax 2016. [DOI: 10.1136/thoraxjnl-2016-209333.352] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Mulvenna P, Nankivell M, Barton R, Faivre-Finn C, Wilson P, McColl E, Moore B, Brisbane I, Ardron D, Holt T, Morgan S, Lee C, Waite K, Bayman N, Pugh C, Sydes B, Stephens R, Parmar MK, Langley RE. Dexamethasone and supportive care with or without whole brain radiotherapy in treating patients with non-small cell lung cancer with brain metastases unsuitable for resection or stereotactic radiotherapy (QUARTZ): results from a phase 3, non-inferiority, randomised trial. Lancet 2016; 388:2004-2014. [PMID: 27604504 PMCID: PMC5082599 DOI: 10.1016/s0140-6736(16)30825-x] [Citation(s) in RCA: 409] [Impact Index Per Article: 51.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
BACKGROUND Whole brain radiotherapy (WBRT) and dexamethasone are widely used to treat brain metastases from non-small cell lung cancer (NSCLC), although there have been no randomised clinical trials showing that WBRT improves either quality of life or overall survival. Even after treatment with WBRT, the prognosis of this patient group is poor. We aimed to establish whether WBRT could be omitted without a significant effect on survival or quality of life. METHODS The Quality of Life after Treatment for Brain Metastases (QUARTZ) study is a non-inferiority, phase 3 randomised trial done at 69 UK and three Australian centres. NSCLC patients with brain metastases unsuitable for surgical resection or stereotactic radiotherapy were randomly assigned (1:1) to optimal supportive care (OSC) including dexamethasone plus WBRT (20 Gy in five daily fractions) or OSC alone (including dexamethasone). The dose of dexamethasone was determined by the patients' symptoms and titrated downwards if symptoms improved. Allocation to treatment group was done by a phone call from the hospital to the Medical Research Council Clinical Trials Unit at University College London using a minimisation programme with a random element and stratification by centre, Karnofsky Performance Status (KPS), gender, status of brain metastases, and the status of primary lung cancer. The primary outcome measure was quality-adjusted life-years (QALYs). QALYs were generated from overall survival and patients' weekly completion of the EQ-5D questionnaire. Treatment with OSC alone was considered non-inferior if it was no more than 7 QALY days worse than treatment with WBRT plus OSC, which required 534 patients (80% power, 5% [one-sided] significance level). Analysis was done by intention to treat for all randomly assigned patients. The trial is registered with ISRCTN, number ISRCTN3826061. FINDINGS Between March 2, 2007, and Aug 29, 2014, 538 patients were recruited from 69 UK and three Australian centres, and were randomly assigned to receive either OSC plus WBRT (269) or OSC alone (269). Baseline characteristics were balanced between groups, and the median age of participants was 66 years (range 38-85). Significantly more episodes of drowsiness, hair loss, nausea, and dry or itchy scalp were reported while patients were receiving WBRT, although there was no evidence of a difference in the rate of serious adverse events between the two groups. There was no evidence of a difference in overall survival (hazard ratio 1·06, 95% CI 0·90-1·26), overall quality of life, or dexamethasone use between the two groups. The difference between the mean QALYs was 4·7 days (46·4 QALY days for the OSC plus WBRT group vs 41·7 QALY days for the OSC group), with two-sided 90% CI of -12·7 to 3·3. INTERPRETATION Although the primary outcome measure result includes the prespecified non-inferiority margin, the combination of the small difference in QALYs and the absence of a difference in survival and quality of life between the two groups suggests that WBRT provides little additional clinically significant benefit for this patient group. FUNDING Cancer Research UK, Medical Research Council Clinical Trials Unit at University College London, and the National Health and Medical Research Council in Australia.
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Affiliation(s)
- Paula Mulvenna
- Northern Centre for Cancer Care, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
| | - Matthew Nankivell
- Medical Research Council Clinical Trials Unit at University College London, London, UK
| | - Rachael Barton
- Queen's Centre for Oncology and Haematology, Castle Hill Hospital, Hull, UK
| | - Corinne Faivre-Finn
- Institute of Cancer Sciences, The University of Manchester, Manchester Academic Health Science Centre, The Christie NHS Foundation Trust, Manchester, UK
| | - Paula Wilson
- Bristol Haematology and Oncology Centre, Bristol, UK
| | - Elaine McColl
- Newcastle Clinical Trials Unit and Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
| | | | - Iona Brisbane
- The Beatson West of Scotland Cancer Centre, Greater Glasgow Health Board and Clyde, Glasgow, UK
| | | | - Tanya Holt
- Trans Tasman Radiation Oncology Group, Waratah, NSW, Australia; University of Queensland, QLD, Australia
| | | | | | | | - Neil Bayman
- Institute of Cancer Sciences, The University of Manchester, Manchester Academic Health Science Centre, The Christie NHS Foundation Trust, Manchester, UK
| | - Cheryl Pugh
- Medical Research Council Clinical Trials Unit at University College London, London, UK
| | - Benjamin Sydes
- Medical Research Council Clinical Trials Unit at University College London, London, UK
| | - Richard Stephens
- Medical Research Council Clinical Trials Unit at University College London, London, UK
| | - Mahesh K Parmar
- Medical Research Council Clinical Trials Unit at University College London, London, UK
| | - Ruth E Langley
- Medical Research Council Clinical Trials Unit at University College London, London, UK.
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Shaw T, Yates P, Moore B, Ash K, Nolte L, Krishnasamy M, Nicholson J, Rynderman M, Avery J, Jefford M. Development and evaluation of an online educational resource about cancer survivorship for cancer nurses: a mixed-methods sequential study. Eur J Cancer Care (Engl) 2016; 26. [PMID: 27726221 DOI: 10.1111/ecc.12576] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2016] [Indexed: 11/26/2022]
Abstract
Cancer survivorship is recognised globally as a key issue. In spite of the key role played by nurses in survivorship care, there is an identified gap in nurse's knowledge in this area. This study reports on the development and evaluation of an educational resource for nurses working with people affected by cancer. The resource was designed using adult learning principles and includes a variety of learning materials and point of care resources. A mixed-methods sequential exploratory design was used to undertake an evaluation of the programme. This included the use of online surveys and semi-structured interviews with pilot participants. A total of 21 participants completed an online survey and 11 participants completed a telephone interview. Overall, the participants found the Cancer Survivorship resource to be engaging, practical and intuitive. A major theme emerging from the survey and interview data was that the resource was applicable to practice and useful in developing survivorship care plans. Respondents requested additional information be included on the role of various health professionals working in survivorship as well as guidelines on when to make referrals. This study provides evidence that the Cancer Survivorship tool may be a promising vehicle for delivering evidence-based education on survivorship care.
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Affiliation(s)
- T Shaw
- Faculty of Health Sciences, Charles Perkins Center, University of Sydney, Sydney, NSW, Australia
| | - P Yates
- Queensland University of Technology, Brisbane, QLD, Australia
| | - B Moore
- Faculty of Health Sciences, Charles Perkins Center, University of Sydney, Sydney, NSW, Australia
| | - K Ash
- Queensland University of Technology, Brisbane, QLD, Australia
| | - L Nolte
- Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - M Krishnasamy
- Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - J Nicholson
- Faculty of Health Sciences, Charles Perkins Center, University of Sydney, Sydney, NSW, Australia
| | - M Rynderman
- Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
| | - J Avery
- Faculty of Health Sciences, Charles Perkins Center, University of Sydney, Sydney, NSW, Australia
| | - M Jefford
- Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
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Affiliation(s)
- B. Moore
- Public Health Laboratory, Church Lane, Heavitree, Exeter
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Dennis M, Moore B, Kotchetkova I, Pressley L, Tanous D, Cordina R, Celermajer D. Adult Survival with Repaired Tetralogy; Low Mortality but High Morbidity, Up To Middle Age. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Harrop E, Noble S, Edwards M, Sivell S, Moore B, Nelson A. "I didn't really understand it, I just thought it'd help": exploring the motivations, understandings and experiences of patients with advanced lung cancer participating in a non-placebo clinical IMP trial. Trials 2016; 17:329. [PMID: 27439472 PMCID: PMC4955155 DOI: 10.1186/s13063-016-1460-8] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Accepted: 07/01/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Few studies have explored in depth the experiences of patients with advanced cancer who are participating in clinical investigational medicinal product trials. However, integrated qualitative studies in such trials are needed to enable a broader evaluation of patient experiences in the trial, with important ethical and practical implications for the design and conduct of similar trials and treatment regimes in the future. METHODS Ten participants were recruited from the control and intervention arms of FRAGMATIC: a non-placebo trial for patients with advanced lung cancer. Participants were interviewed at up to three time points during their time in the trial. Interviews were analysed using Interpretive Phenomenological Analysis. RESULTS Patients were motivated to join the trial out of hope of medical benefit and altruism. Understanding of randomisation was mixed and in some cases poor, as was appreciation of trial purpose and equipoise. The trial was acceptable to and evaluated positively by most participants; participants receiving the intervention focused on the potential treatment benefits they hoped they would receive, whilst participants in the control arm found alternative reasons, such as altruism, personal fulfilment and positive attention, to commit to and perceive benefits from the trial. However, whilst experiences were generally very positive, poor understanding, limited engagement with trial information and focus on treatment benefits amongst some participants give cause for concern. CONCLUSIONS By exploring longitudinally the psychological, emotional and cognitive domains of trial participation, we consider potential harms and benefits of participation in non-placebo trials amongst patients with advanced lung cancer and identify several implications for future research with and care for patients with advanced cancer. TRIAL REGISTRATION ISRCTN80812769 . Registered on 8 July 2005.
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Affiliation(s)
- Emily Harrop
- Marie Curie Palliative Care Research Centre, Division of Population Medicine, Cardiff University School of Medicine, 1st Floor Neuadd Meirionydd, Heath Park Way, Cardiff, CF14 4YS, UK.
| | - Simon Noble
- Marie Curie Palliative Care Research Centre, Division of Population Medicine, Cardiff University School of Medicine, 1st Floor Neuadd Meirionydd, Heath Park Way, Cardiff, CF14 4YS, UK
| | - Michelle Edwards
- School of Social Sciences, Cardiff University, 1-3 Museum Place, Cardiff, CF10 3BD, UK
| | - Stephanie Sivell
- Marie Curie Palliative Care Research Centre, Division of Population Medicine, Cardiff University School of Medicine, 1st Floor Neuadd Meirionydd, Heath Park Way, Cardiff, CF14 4YS, UK
| | - Barbara Moore
- Health and Care Research Wales Support Centre, Castelbridge 4, 15-19 Cowbridge Road East, Cardiff, CF11 9AB, UK
| | - Annmarie Nelson
- Marie Curie Palliative Care Research Centre, Division of Population Medicine, Cardiff University School of Medicine, 1st Floor Neuadd Meirionydd, Heath Park Way, Cardiff, CF14 4YS, UK
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Fornazari GA, Montiani-Ferreira F, Filho IRDB, Somma AT, Moore B. The eye of the Barbary sheep or aoudad (Ammotragus lervia): reference values for selected ophthalmic diagnostic tests, morphologic and biometric observations. Open Vet J 2016; 6:102-13. [PMID: 27419103 PMCID: PMC4935764 DOI: 10.4314/ovj.v6i2.6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Accepted: 06/18/2016] [Indexed: 11/23/2022] Open
Abstract
The purpose of this study was to describe the normal ocular anatomy and establish reference values for ophthalmic tests in the Barbary sheep or aoudad (Ammotragus lervia). Aoudad eyes are large and laterally positioned in the head with several specialized anatomic features attributed to evolutionary adaptations for grazing. Normal values for commonly used ophthalmic tests were established, Schirmer tear test (STT) - 27.22 ± 3.6 mm/min; Predominant ocular surface bacterial microbiota - Staphylococcus sp.; Corneal esthesiometry- 1.3 ± 0.4 cm; Intraocular pressure by rebound tonometry- 19.47 ± 3.9 mmHg; Corneal thickness- 630.07 ± 20.67 µm, B-mode ultrasonography of the globe-axial eye globe length 29.94 ± 0.96 mm, anterior chamber depth 5.03 ± 0.17 mm, lens thickness 9.4 ± 0.33 mm, vitreous chamber depth 14.1 ± 0.53 mm; Corneal diameter-horizontal corneal diameter 25.05 ± 2.18 mm, vertical corneal diameter 17.95 ± 1.68 mm; Horizontal palpebral fissure length- 34.8 ± 3.12 mm. Knowledge of these normal anatomic variations, biometric findings and normal parameters for ocular diagnostic tests may assist veterinary ophthalmologists in the diagnosis of ocular diseases in this and other similar species.
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Affiliation(s)
- G A Fornazari
- Universidade Federal do Paraná, Programa de Pós-Graduação em Ciências Veterinárias, Rua dos Funcionários 1540, 8035-050, Curitiba, PR. Brazil
| | - F Montiani-Ferreira
- Universidade Federal do Paraná, Programa de Pós-Graduação em Ciências Veterinárias, Rua dos Funcionários 1540, 8035-050, Curitiba, PR. Brazil
| | - I R de Barros Filho
- Universidade Federal do Paraná, Programa de Pós-Graduação em Ciências Veterinárias, Rua dos Funcionários 1540, 8035-050, Curitiba, PR. Brazil
| | - A T Somma
- Universidade Federal do Paraná, Programa de Pós-Graduação em Ciências Veterinárias, Rua dos Funcionários 1540, 8035-050, Curitiba, PR. Brazil
| | - B Moore
- Veterinary Specialty Hospital of San Diego, 10435 Sorrento Valley Road, San Diego, CA 92121, USA
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Broglio SP, Rettmann A, Greer J, Brimacombe S, Moore B, Narisetty N, He X, Eckner J. Investigating a Novel Measure of Brain Networking Following Sports Concussion. Int J Sports Med 2016; 37:714-22. [PMID: 27286176 DOI: 10.1055/s-0042-107250] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Clinicians managing sports-related concussions are left to their clinical judgment in making diagnoses and return-to-play decisions. This study was designed to evaluate the utility of a novel measure of functional brain networking for concussion management. 24 athletes with acutely diagnosed concussion and 21 control participants were evaluated in a research laboratory. At each of the 4 post-injury time points, participants completed the Axon assessment of neurocognitive function, a self-report symptom inventory, and the auditory oddball and go/no-go tasks while electroencephalogram (EEG) readings were recorded. Brain Network Activation (BNA) scores were calculated from EEG data related to the auditory oddball and go/no-go tasks. BNA scores were unable to differentiate between the concussed and control groups or by self-report symptom severity. These findings conflict with previous work implementing electrophysiological assessments in concussed athletes, suggesting that BNA requires additional investigation and refinement before clinical implementation.
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Affiliation(s)
- S P Broglio
- University of Michigan, Neurotrauma Research Laboratory, Ann Arbor, United States
| | - A Rettmann
- NeuroTrauma Research Laboratory, University of Michigan, Ann Arbor, United States
| | - J Greer
- Michigan NeuroSport, University of Michigan, Ann Arbor, United States
| | - S Brimacombe
- Michigan NeuroSport, University of Michigan, Ann Arbor, United States
| | - B Moore
- Michigan NeuroSport, University of Michigan, Ann Arbor, United States
| | - N Narisetty
- Department of Statistics, University of Michigan, Ann Arbor, United States
| | - X He
- Department of Statistics, University of Michigan, Ann Arbor, United States
| | - J Eckner
- Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, United States
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Moore B, Yin F, Czito B, Palta M, Cai J. SU-F-J-103: Assessment of Liver Tumor Contrast for Radiation Therapy: Inter-Patient and Inter-Sequence Variability. Med Phys 2016. [DOI: 10.1118/1.4956011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Raudabaugh J, Nguyen G, Moore B, Lowry C, Nelson R, Yoshizumi T. SU-G-IeP3-04: Effective Dose Measurements in Fast Kvp Switch Dual Energy Computed Tomography. Med Phys 2016. [DOI: 10.1118/1.4957054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Belley MD, Faught A, Moore B, Subashi E, Langloss B, Therien MJ, Yoshizumi TT, Chino JP, Craciunescu O. WE-DE-201-07: Measurement of Real-Time Dose for Tandem and Ovoid Brachytherapy Procedures Using a High Precision Optical Fiber Radiation Detector. Med Phys 2016. [DOI: 10.1118/1.4957812] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Dong J, Xiao X, Zhang G, Menarguez MA, Choi CY, Qin Y, Luo P, Zhang Y, Moore B. Northward expansion of paddy rice in northeastern Asia during 2000-2014. Geophys Res Lett 2016; 43:3754-3761. [PMID: 27667876 PMCID: PMC5033055 DOI: 10.1002/2016gl068191] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Paddy rice in monsoon Asia plays an important role in global food security and climate change. Here we documented annual dynamics of paddy rice areas in the northern frontier of Asia, including Northeastern (NE) China, North Korea, South Korea, and Japan, from 2000-2014 through analysis of satellite images. The paddy rice area has increased by 120% (2.5 to 5.5 million ha) in NE China, in comparison to a decrease in South Korea and Japan, and the paddy rice centroid shifted northward from 41.16 °N to 43.70 °N (~310 km) in this period. Market, technology, policy, and climate together drove the rice expansion in NE China. The increased use of greenhouse nurseries, improved rice cultivars, agricultural subsidy policy, and a rising rice price generally promoted northward paddy rice expansion. The potential effects of large rice expansion on climate change and ecological services should be paid more attention in the future.
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Affiliation(s)
- J Dong
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - X Xiao
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA; Institute of Biodiversity Science, Fudan University, Shanghai, 200433, China
| | - G Zhang
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - M A Menarguez
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - C Y Choi
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - Y Qin
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - P Luo
- Disaster Prevention Research Institute (DPRI), Kyoto University, Kyoto 611-0011, Japan; Institute for the Advanced Study of Sustainability (UNU-IAS), United Nations University, Shibuya, Tokyo, Japan
| | - Y Zhang
- Department of Microbiology and Plant Biology, and Center for Spatial Analysis, University of Oklahoma, Norman, OK 73019, USA
| | - B Moore
- College of Atmospheric and Geographic Sciences, University of Oklahoma, Norman, OK, 73019, USA
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Macbeth F, Noble S, Evans J, Ahmed S, Cohen D, Hood K, Knoyle D, Linnane S, Longo M, Moore B, Woll PJ, Appel W, Dickson J, Ferry D, Brammer C, Griffiths G. Randomized Phase III Trial of Standard Therapy Plus Low Molecular Weight Heparin in Patients With Lung Cancer: FRAGMATIC Trial. J Clin Oncol 2016; 34:488-94. [PMID: 26700124 DOI: 10.1200/jco.2015.64.0268] [Citation(s) in RCA: 126] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2024] Open
Abstract
PURPOSE Venous thromboembolism (VTE) is common in cancer patients. Evidence has suggested that low molecular weight heparin (LMWH) might improve survival in patients with cancer by preventing both VTE and the progression of metastases. No trial in a single cancer type has been powered to demonstrate a clinically significant survival difference. The aim of this trial was to investigate this question in patients with lung cancer. PATIENTS AND METHODS We conducted a multicenter, open-label, randomized trial to evaluate the addition of a primary prophylactic dose of LMWH for 24 weeks to standard treatment in patients with newly diagnosed lung cancer of any stage and histology. The primary outcome was 1-year survival. Secondary outcomes included metastasis-free survival, VTE-free survival, toxicity, and quality of life. RESULTS For this trial, 2,202 patients were randomly assigned to the two treatment arms over 4 years. The trial did not reach its intended number of events for the primary analysis (2,047 deaths), and data were analyzed after 2,013 deaths after discussion with the independent data monitoring committee. There was no evidence of a difference in overall or metastasis-free survival between the two arms (hazard ratio [HR], 1.01; 95% CI, 0.93 to 1.10; P = .814; and HR, 0.99; 95% CI, 0.91 to 1.08; P = .864, respectively). There was a reduction in the risk of VTE from 9.7% to 5.5% (HR, 0.57; 95% CI, 0.42 to 0.79; P = .001) in the LMWH arm and no difference in major bleeding events but evidence of an increase in the composite of major and clinically relevant nonmajor bleeding in the LMWH arm. CONCLUSION LMWH did not improve overall survival in the patients with lung cancer in this trial. A significant reduction in VTE is associated with an increase in clinically relevant nonmajor bleeding. Strategies to target those at greatest risk of VTE are warranted.
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Affiliation(s)
- Fergus Macbeth
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland.
| | - Simon Noble
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Jessica Evans
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Sheikh Ahmed
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - David Cohen
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Kerenza Hood
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Dana Knoyle
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Seamus Linnane
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Mirella Longo
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Barbara Moore
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Penella J Woll
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Wiebke Appel
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Jeanette Dickson
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - David Ferry
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Caroline Brammer
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
| | - Gareth Griffiths
- Fergus Macbeth, Jessica Evans, Sheikh Ahmed, and Gareth Griffiths, Wales Cancer Trials Unit; Simon Noble and Kerenza Hood, Cardiff University; David Cohen and Mirella Longo, University of South Wales; Barbara Moore, National Institute for Social Care and Health Research Clinical Research Centre, Cardiff; Gareth Griffiths, University of Southampton, Southampton; Dana Knoyle, Prince Charles Hospital, Merthyr Tydfil; Penella J. Woll, Weston Park Hospital, Sheffield; Wiebke Appel, Royal Preston Hospital, Preston; Jeanette Dickson, Mount Vernon Cancer Center, Northwood; David Ferry, Royal Wolverhampton Hospitals National Health Service Trust, Wolverhampton; Caroline Brammer, Mid Staffordshire Hospital, Stafford, United Kingdom; and Seamus Linnane, Beaumont Hospital, Dublin, Ireland
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Warshak CR, Regan J, Moore B, Magner K, Kritzer S, Van Hook J. Association between marijuana use and adverse obstetrical and neonatal outcomes. J Perinatol 2015; 35:991-5. [PMID: 26401751 DOI: 10.1038/jp.2015.120] [Citation(s) in RCA: 88] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Revised: 08/11/2015] [Accepted: 08/18/2015] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To evaluate associations between marijuana exposure and adverse outcomes excluding women with polysubstance abuse and stratifying for concurrent maternal tobacco use. STUDY DESIGN We performed a retrospective cohort study evaluating various obstetrical and neonatal outcomes including: preterm delivery, pre-eclampsia, gestational diabetes, cesarean delivery, fetal growth restriction, a composite which included stillbirth or neonatal intensive care unit admission, and perinatal mortality. We stratified study groups according to the maternal tobacco use and performed a logistic regression analysis. RESULTS We included 6468 women, 6107 nonusers and 361 marijuana users. After adjustment for maternal age, race, parity, body mass index and no prenatal care, we found higher rates of small for gestational age (aOR 1.30 (95% CI 1.03 to 1.62)) and neonatal intensive care unit admission (aOR 1.54 (1.14 to 2.07)) in women who were not tobacco users. Other obstetrical outcomes including preterm delivery and fetal anomalies were not increased with maternal marijuana use. CONCLUSION Maternal marijuana use does not increase the risk of adverse obstetrical outcomes or fetal anomalies, but does increase the risk for small for gestational age and neonatal intensive care unit admission.
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Affiliation(s)
- C R Warshak
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - J Regan
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - B Moore
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - K Magner
- Department of Obstetrics and Gynecology, The Christ Hospital, Cincinnati, OH, USA
| | - S Kritzer
- Department of Obstetrics and Gynecology, Northwestern University of Feinberg School of Medicine, Chicago, IL, USA
| | - J Van Hook
- Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, OH, USA
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Friedman G, Nan L, Moore B, Etminan T, Orr B, Chewning J, Crossman D, Gillespie GY. PM-05 * TUMOR LOCATION REMODELS TRANSCRIPTOMIC PROFILES IN A PEDIATRIC MEDULLOBLASTOMA XENOGRAFT. Neuro Oncol 2015. [DOI: 10.1093/neuonc/nov061.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Mulvenna PM, Nankivell MG, Barton R, Faivre-Finn C, Wilson P, Moore B, McColl E, Brisbane I, Ardron D, Sydes B, Pugh C, Holt T, Bayman N, Morgan S, Lee C, Waite K, Stephens R, Parmar MMK, Langley RE. Whole brain radiotherapy for brain metastases from non-small lung cancer: Quality of life (QoL) and overall survival (OS) results from the UK Medical Research Council QUARTZ randomised clinical trial (ISRCTN 3826061). J Clin Oncol 2015. [DOI: 10.1200/jco.2015.33.15_suppl.8005] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Paula Mary Mulvenna
- Department of Clinical Oncology, Northern Centre for Cancer Care, Newcastle upon Tyne, United Kingdom
| | | | - Rachael Barton
- Hull and East Yorkshire Hospitals NHS Trust, Hull, United Kingdom
| | | | - Paula Wilson
- University Hospitals Bristol, Bristol, United Kingdom
| | | | - Elaine McColl
- Newcastle Clinical Trials Unit, Newcastle, United Kingdom
| | - Iona Brisbane
- NHS Greater Glasgow and Clyde, Glasgow, United Kingdom
| | - David Ardron
- Patient Representative, Barnsley, United Kingdom
| | | | - Cheryl Pugh
- Clinical Trials Unit, Medical Research Council, London, United Kingdom
| | | | - Neil Bayman
- The Christie NHS Foundation Trust, Manchester, United Kingdom
| | - Sally Morgan
- Nottingham University Hospitals, Nottingham, United Kingdom
| | | | - Kathryn Waite
- Queen Elizabeth Hospital Kings Lynn, Kings Lynn, United Kingdom
| | | | - Mahesh M K Parmar
- Medical Research Council, Clinical Trials Unit at University College London, London, United Kingdom
| | - Ruth E Langley
- Medical Research Council Clinical Trials Unit at University College London, London, United Kingdom
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Mulvenna P, Nankivell M, Barton R, Wilson P, Faivre-Finn C, Stephens R, Ardron D, McColl E, Moore B, Brisbane I, Sydes B, Langley R. 188: Quality of life after treatment for brain metastases: final demographic data from the QUARTZ trial. Lung Cancer 2015. [DOI: 10.1016/s0169-5002(15)50182-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Mahajan A, Grosshans D, Ris D, Chintagumpala M, Okcu F, McAleer M, Moore B, Stancel H, Minard C, Guffey D, Kahalley L. Neurocognitive Outcomes in Relationship to Hippocampal and Brain Doses After Partial Brain Proton Radiation Therapy in Children. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.2102] [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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Kunheri B, Arjunan A, Krishnan P, Pillai B, Prasad S, Bernier-Chastagner V, Desandes E, Carrie C, Alapetite C, Hankinson T, Jones D, Handler M, Foreman N, Liu A, Smiley NP, Alden T, Hartsell W, Fangusaro J, Hill-Kayser CE, Lustig RA, Minturn JE, Both S, Waanders AJ, Belasco JB, Armstrong C, Phillips PC, Fisher MJ, Hill-Kayser CE, Paltin I, Lustig RA, Fisher MJ, Both S, Belasco JB, Cole KA, Waanders AJ, Phillips PC, Minturn JE, Wells E, Vezina G, Kilburn L, Rood B, Crozier F, Hwang E, Packer R, Janssens GO, van den Bosch S, van Kollenburg PG, Gidding CE, Schieving JH, Kaanders JH, van Lindert EJ, Kramer K, Pandit-Taskar N, Souweidane MM, Wolden S, DeSelm C, Cheung NKV, Lassen-Ramshad Y, Hansen J, Seiersen K, Petersen JBB, Mahajan A, Grosshans D, Ris D, Chintagumpala M, Okcu F, McAleer MF, Moore B, Stancel H, Minard C, Guffey D, Kahalley L, Blomgren K, Zhou K, Xie C, Zhu C, McAleer MF, Zhao Z, Weinberg J, Sandberg D, Hughes D, Mahajan A, Anderson P, Guha-Thakurta N, Muller K, Hoffmann M, Seidel C, Warmuth-Metz M, Pietsch T, Kordes U, Sander A, Rossler J, Graf N, Scheithauer H, Kortmann RD, Kramm CM, von Bueren AO, Gunther J, Sato M, Chintagumpala M, Jo E, Paulino A, Adesina A, Ketonen L, Jones J, Su J, Okcu F, Khatua S, Dauser R, Whitehead W, Weinberg J, Mahajan A, Gandola L, Pecori E, Biassoni V, Chiruzzi C, Schiavello E, Meroni S, Spreafico F, Pignoli E, Massimino M, Jalali R, Krishna U, Gupta T, Goswami S, Deodhar J, Dutta D, Kannan S, Goel A, Sarin R, Sastry J, Ronghe M, Murphy D, Forbes K, Jones R, Cowie F, Brown J, Indelicato D, Goksel EO, Tezcanli E, Bilge H, Yasemin, Yarar Y, Sato M, Gunther J, Mahajan A, Jo E, Paulino A, Adesina A, Jones J, Ketonen L, Su J, Okcu M, Khatua S, Dauser R, Whitehead W, Weinberg J, Chintagumpala M, Paulino A, Jo E, Sato M, Su J, Okcu MF, Mahajan A, Dauser R, Whitehead W, Adesina A, Chintagumpala M, Danielsson A, Tisell M, Rydenhag B, Caren H. RADIATION ONCOLOGY. Neuro Oncol 2014; 16:i117-i122. [PMCID: PMC4046296 DOI: 10.1093/neuonc/nou080] [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: 09/10/2023] Open
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Brady S, Mirro A, Moore B, Kaufman R. SU-E-I-69: How to Appropriately Calculate Effective Dose for CT Using Either SSDE Or DLP. Med Phys 2014. [DOI: 10.1118/1.4888019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Moore B, Brady S, Mirro A, Kaufman R. MO-E-17A-04: Size-Specific Dose Estimate (SSDE) Provides a Simple Method to Calculate Organ Dose for Pediatric CT Examinations. Med Phys 2014. [DOI: 10.1118/1.4889156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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