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Laubenbacher R, Adler F, An G, Castiglione F, Eubank S, Fonseca LL, Glazier J, Helikar T, Jett-Tilton M, Kirschner D, Macklin P, Mehrad B, Moore B, Pasour V, Shmulevich I, Smith A, Voigt I, Yankeelov TE, Ziemssen T. Toward mechanistic medical digital twins: some use cases in immunology. Front Digit Health 2024; 6:1349595. [PMID: 38515550 PMCID: PMC10955144 DOI: 10.3389/fdgth.2024.1349595] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 02/22/2024] [Indexed: 03/23/2024] Open
Abstract
A fundamental challenge for personalized medicine is to capture enough of the complexity of an individual patient to determine an optimal way to keep them healthy or restore their health. This will require personalized computational models of sufficient resolution and with enough mechanistic information to provide actionable information to the clinician. Such personalized models are increasingly referred to as medical digital twins. Digital twin technology for health applications is still in its infancy, and extensive research and development is required. This article focuses on several projects in different stages of development that can lead to specific-and practical-medical digital twins or digital twin modeling platforms. It emerged from a two-day forum on problems related to medical digital twins, particularly those involving an immune system component. Open access video recordings of the forum discussions are available.
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Affiliation(s)
| | - Fred Adler
- Department of Mathematics and School of Biological Sciences, University of Utah, Salt Lake, UT, United States
| | - Gary An
- Department of Surgery, University of Vermont, Burlington, VT, United States
| | - Filippo Castiglione
- Biotechnology Research Center, Technology Innovation Institute, Abu Dhabi, United Arab Emirates
| | - Stephen Eubank
- Biocomplexity Institute and Initiative, University of Virginia, Charlottesville, VA, United States
| | - Luis L. Fonseca
- Department of Medicine, University of Florida, Gainesville, FL, United States
| | - James Glazier
- Department of Intelligent Systems Engineering, Indiana University, Bloomington, IN, United States
| | - Tomas Helikar
- Department of Biochemistry, University of Nebraska, Lincoln, NE, United States
| | - Marti Jett-Tilton
- U.S. Walter Reed Army Institute of Research, Silver Spring, MD, United States
| | - Denise Kirschner
- Department of Microbiology and Immunology, University of Michigan, Ann Arbor, MI, United States
| | - Paul Macklin
- Department of Intelligent Systems Engineering, Indiana University, Bloomington, IN, United States
| | - Borna Mehrad
- Department of Medicine, University of Florida, Gainesville, FL, United States
| | - Beth Moore
- Department of Microbiology and Immunology, University of Michigan, Ann Arbor, MI, United States
| | - Virginia Pasour
- U.S. Army Research Office, Research Triangle Park, NC, United States
| | | | - Amber Smith
- Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States
| | - Isabel Voigt
- Center for Clinical Neuroscience, Carl Gustav Carus University Hospital, Dresden, Germany
| | - Thomas E. Yankeelov
- Department of Biomedical Engineering, Oden Institute for Computational Engineering and Sciences, Austin, TX, United States
- Departments of Biomedical Engineering, Diagnostic Medicine, Oncology, The University of Texas, Austin, TX, United States
- Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Austin, TX, United States
| | - Tjalf Ziemssen
- Center for Clinical Neuroscience, Carl Gustav Carus University Hospital, Dresden, Germany
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2
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Laubenbacher R, Adler F, An G, Castiglione F, Eubank S, Fonseca LL, Glazier J, Helikar T, Jett-Tilton M, Kirschner D, Macklin P, Mehrad B, Moore B, Pasour V, Shmulevich I, Smith A, Voigt I, Yankeelov TE, Ziemssen T. Forum on immune digital twins: a meeting report. NPJ Syst Biol Appl 2024; 10:19. [PMID: 38365857 PMCID: PMC10873299 DOI: 10.1038/s41540-024-00345-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 01/25/2024] [Indexed: 02/18/2024] Open
Abstract
Medical digital twins are computational models of human biology relevant to a given medical condition, which are tailored to an individual patient, thereby predicting the course of disease and individualized treatments, an important goal of personalized medicine. The immune system, which has a central role in many diseases, is highly heterogeneous between individuals, and thus poses a major challenge for this technology. In February 2023, an international group of experts convened for two days to discuss these challenges related to immune digital twins. The group consisted of clinicians, immunologists, biologists, and mathematical modelers, representative of the interdisciplinary nature of medical digital twin development. A video recording of the entire event is available. This paper presents a synopsis of the discussions, brief descriptions of ongoing digital twin projects at different stages of progress. It also proposes a 5-year action plan for further developing this technology. The main recommendations are to identify and pursue a small number of promising use cases, to develop stimulation-specific assays of immune function in a clinical setting, and to develop a database of existing computational immune models, as well as advanced modeling technology and infrastructure.
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Affiliation(s)
| | - Fred Adler
- Department of Mathematics and School of Biological Sciences, University of Utah, Salt Lake City, UT, USA
| | - Gary An
- Department of Surgery, University of Vermont, Burlington, VT, USA
| | - Filippo Castiglione
- Biotechnology Research Center, Technology Innovation Institute, Abu Dhabi, UAE
| | - Stephen Eubank
- Biocomplexity Institute and Initiative, University of Virginia, Charlottesville, VA, USA
| | - Luis L Fonseca
- Department of Medicine, University of Florida, Gainesville, FL, USA
| | - James Glazier
- Department of Intelligent Systems Engineering, Indiana University, Bloomington, IN, USA
| | - Tomas Helikar
- Department of Biochemistry, University of Nebraska, Lincoln, NE, USA
| | | | - Denise Kirschner
- Department of Microbiology and Immunology, University of Michigan, Ann Arbor, MI, USA
| | - Paul Macklin
- Department of Intelligent Systems Engineering, Indiana University, Bloomington, IN, USA
| | - Borna Mehrad
- Department of Medicine, University of Florida, Gainesville, FL, USA
| | - Beth Moore
- Department of Microbiology and Immunology, University of Michigan, Ann Arbor, MI, USA
| | - Virginia Pasour
- U.S. Army Research Office, Research Triangle Park, Raleigh, NC, USA
| | | | - Amber Smith
- Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Isabel Voigt
- Center of Clinical Neuroscience, Department of Neurology, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany
| | - Thomas E Yankeelov
- Department of Biomedical Engineering, Oden Institute for Computational Engineering and Sciences, Departments of Biomedical Engineering, Diagnostic Medicine, Oncology, The University of Texas, Austin, TX, USA
- Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, USA
| | - Tjalf Ziemssen
- Center of Clinical Neuroscience, Department of Neurology, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany
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3
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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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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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5
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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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6
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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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7
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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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8
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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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9
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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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10
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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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11
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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
none
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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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Moore B, Hunt S. Optacon: A Versatile Communication Tool. Journal of Visual Impairment & Blindness 2020. [DOI: 10.1177/0145482x8107500810] [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: 11/16/2022]
Affiliation(s)
- Beth Moore
- Visually Impaired at the Wintersburg Guidance Center, Huntington Beach, California
| | - Susan Hunt
- Visually Impaired at the Wintersburg Guidance Center, Huntington Beach, California
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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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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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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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Boniakowski AE, Kimball A, Joshi A, Allen R, Schaller M, Henke P, Moore B, Kunkel S, Gallagher K. Abstract 235: Interaction Between a Macrophage Chemokine Receptor, CCR2, and Its Ligand Plays a Crucial Role in Macrophage Recruitment Aand Regulated Inflammation in Normal Wound Healing. Arterioscler Thromb Vasc Biol 2017. [DOI: 10.1161/atvb.37.suppl_1.235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background:
Wound healing in chronic diseases, such as type 2 diabetes (T2D), is impaired due to dysregulated inflammation. Innate immune cells, particularly macrophages, play a significant role in regulated inflammation following tissue injury. After injury, CCR2+ monocytes are recruited to the peripheral wound. This recruitment is mediated in part by the CCR2 ligand, CCL2. Thus, we hypothesized that the CCL2/CCR2 interaction is vital for normal wound healing and appropriate inflammation, and that this signaling cascade is impaired in T2D.
Methods:
CCR2
-/-
mice and littermate controls underwent 4mm hindlimb wounds, and wound closure was compared daily. Wound macrophages (CD3-CD19-NK1.1-CD11b+ cells) were analyzed on day 3 by flow cytometry for intracellular cytokine production. Adoptive transfer was performed using blood CD11b+ cells from WT C57BL/6 or CCR2
-/-
mice isolated by magnetic sorting and transferred into CCR2
-/-
mice via tail vein injection. Mice were then wounded and wound closure was compared between the two groups. C57BL/6 mice were maintained on normal or high fat diet for 12-14 weeks, wounds were created, and CD11b+ cells were isolated from wounds on day 2. ELISA for CCL2 was performed.
Results:
CCR2
-/-
mice showed significantly impaired wound healing on days 2-7 compared with littermate controls. Macrophages isolated on day 3 from wounds of CCR2
-/-
mice expressed significantly less inflammatory cytokines (IL-1β, TNF-α) by qPCR. Flow cytometry analysis revealed less Ly6C hi macrophages in the wounds, as well as macrophages that made significantly less IL-1β, NOS2, and TNF-α. When adoptive transfer was performed, wound healing was restored to normal in the mice that received WT compared to those that received CCR2
-/-
CD11b+ cells (P< 0.01). Since CCR2 is important for normal wound inflammation, and we have previously shown that inflammation is impaired in the diet-induced obese (DIO) mice, we examined CCL2 in DIO wounds. CCL2 was significantly decreased in DIO wound macrophages on day 2.
Conclusion:
Appropriate CCR2/CCL2 interaction plays a crucial role in macrophage recruitment and regulated inflammation in normal wound healing. Impairment in CCR2/CCL2 signaling may be responsible, in part, for delayed early inflammation in T2D.
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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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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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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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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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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 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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Boman KK, Hornquist L, Rickardsson J, Lannering B, Gustafsson G, Pitchford N, Davis E, Walker D, Hoang DH, Pagnier A, Cousin E, Guichardet K, Schiff I, Dubois-Teklali F, Krainik A, Lazar MB, Resnik K, Olsson IT, Perrin S, Burtscher IB, Lundgren J, Kahn A, Johanson A, Korzeniewska J, Dembowska-Baginska B, Perek-Polnik M, Walsh K, Gioia A, Wells E, Packer R, de Speville ED, Dufour C, Bolle S, Giraudat K, Longaud A, Kieffer V, Grill J, Puget S, Valteau-Couanet D, Hetz-Pannier L, Noulhiane M, Chieffo D, Tamburrini G, Caldarelli M, Di Rocco C, Margelisch K, Studer M, Steinlin M, Leibundgut K, Heinks T, Longaud-Vales A, Chevignard M, Dufour C, Grill J, Pujet S, Sainte-Rose C, Valteau-Couanet D, Dellatolas G, Kahalley L, Grosshans D, Paulino A, Ris MD, Chintagumpala M, Okcu F, Moore B, Stancel H, Minard C, Guffey D, Mahajan A, Herrington B, Raiker J, Manning E, Criddle J, Karlson C, Guerry W, Finlay J, Sands S, Dockstader C, Skocic J, Bouffet E, Laughlin S, Tabori U, Mabbott D, Moxon-Emre I, Scantlebury N, Taylor MD, Bouffet E, Malkin D, Laughlin S, Law N, Kumabe T, Leonard J, Rubin J, Jung S, Kim SK, Gupta N, Weiss W, Faria C, Vibhakar R, Spiegler B, Janzen L, Liu F, Decker L, Mabbott D, Lemiere J, Vercruysse T, Haers M, Vandenabeele K, Geuens S, Jacobs S, Van Gool S, Riggs L, Piscione J, Bouffet E, Timmons B, Laughlin S, Cunningham T, Bartels U, Skocic J, Liu F, Mabbott D, Riggs L, Bouffet E, Chakravarty M, Laughlin S, Laperriere N, Liu F, Skocic J, Pipitone J, Strother D, Hukin J, Fryer C, McConnell D, Mabbott D, Secco DE, Cappelletti S, Gentile S, Chieffo D, Cacchione A, Del Bufalo F, Staccioli S, Spagnoli A, Messina R, Carai A, Marras CE, Mastronuzzi A, Brinkman T, Armstrong G, Kimberg C, Gajjar A, Srivastava DK, Robison L, Hudson M, Krull K, Hardy K, Hostetter S, Hwang E, Walsh K, Leiss U, Bemmer A, Pletschko T, Grafeneder J, Schwarzinger A, Deimann P, Slavc I, Batchelder P, Wilkening G, Hankinson T, Foreman N, Handler M. NEUROPSYCHOLOGY. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Martin A, Heapy A, Moore B, Masheb R, Driscoll M, Kerns R. (513) A mediation model of neuropathic pain and sleep quality: the role of depressed affect and pain interference. The Journal of Pain 2014. [DOI: 10.1016/j.jpain.2014.01.425] [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] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Catterson P, Moore B, Hodgson A, Lewis N, Newell J, Charles P. A CASE STUDY OF TWO PREMIERSHIP FOOTBALLERS WITH SICKLE CELL TRAIT USING NOVEL TESTS OF REDOX HOMEOSTASIS. Br J Sports Med 2014. [DOI: 10.1136/bjsports-2014-093494.47] [Citation(s) in RCA: 3] [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: 11/04/2022]
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Bernard SA, Smith K, Porter R, Jones C, Gailey A, Cresswell B, Cudini D, Hill S, Moore B, St Clair T. Paramedic rapid sequence intubation in patients with non-traumatic coma. Emerg Med J 2014; 32:60-4. [PMID: 24473409 DOI: 10.1136/emermed-2013-202930] [Citation(s) in RCA: 11] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
INTRODUCTION Pre-hospital intubation by paramedics is widely used in comatose patients prior to transportation to hospital, but the optimal technique for intubation is uncertain. One approach is paramedic rapid sequence intubation (RSI), which may improve outcomes in adult patients with traumatic brain injury. However, many patients present to emergency medical services with coma of non-traumatic cause and the role of paramedic RSI in these patients remains uncertain. METHODS The electronic Victorian Ambulance Clinical Information System was searched for the term 'suxamethonium' between 2008 and 2011. We reviewed the patient care records and included patients with suspected non-traumatic coma who were treated and transported by road-based paramedics. Demographics, intubation conditions, vital signs (before and after drug administration) and complications were recorded. Younger patients (<60 years) were compared with older patients. RESULTS There were 1152 paramedic RSI attempts of which 551 were for non-traumatic coma. The success rate for intubation was 97.5%. There was a significant drop in blood pressure in younger patients (<60 years) with the mean systolic blood pressure decreasing by 16 mm Hg (95% CI 11 to 21). In older patients, the systolic blood pressure also decreased significantly by 20 mm Hg (95% CI 17 to 24). Four patients suffered brief cardiac arrest during pre-hospital care, all of whom were successfully resuscitated and transported to hospital. CONCLUSIONS Paramedic RSI in patients with non-traumatic coma has a high procedural success rate. Further studies are required to determine whether this procedure improves outcomes.
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Affiliation(s)
- S A Bernard
- Ambulance Victoria, Doncaster, Victoria, Australia Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia The Intensive Care Unit, The Alfred Hospital, Melbourne, Victoria, Australia
| | - K Smith
- Ambulance Victoria, Doncaster, Victoria, Australia Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - R Porter
- The Intensive Care Unit, The Alfred Hospital, Melbourne, Victoria, Australia
| | - C Jones
- Ambulance Victoria, Doncaster, Victoria, Australia
| | - A Gailey
- Ambulance Victoria, Doncaster, Victoria, Australia
| | - B Cresswell
- Ambulance Victoria, Doncaster, Victoria, Australia
| | - D Cudini
- Ambulance Victoria, Doncaster, Victoria, Australia
| | - S Hill
- Ambulance Victoria, Doncaster, Victoria, Australia
| | - B Moore
- Ambulance Victoria, Doncaster, Victoria, Australia
| | - T St Clair
- Ambulance Victoria, Doncaster, Victoria, Australia
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Zhu T, Oda K, Valluri U, Moore B, Cao Y, Chindalore V, Akinlade B. AB0363 Coadministration of asp015k, a novel janus kinase inhibitor, with methotrexate demonstrates tolerability and lack of pharmacokinetic interactions in patients with rheumatoid arthritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2013-eular.2685] [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: 11/04/2022]
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Moore B, Chen M, Lu H, Roe A. Functional Architecture of the Foveal Confluence in Macaque Visual Cortex. J Vis 2013. [DOI: 10.1167/13.9.1025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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de Garavilla L, Manthey C, Yurkow E, Zhou Z, Cotto C, Meegalla S, Wilson K, Wall M, Chen J, Ballentine S, Illig C, Player M, Moore B, Kilgore K, Lubomirski M, Acton P. THU0085 Effect of CSF-1R Kinase Inhibitor on FDG PET, MMP Optical, and Microct Imaging in a Rat SCW Model of Rheumatoid Arthritis: Use of Functional and Structural Imaging as Translation Tools. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.613] [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: 11/04/2022]
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