1
|
Stewart B, Byrne M, Levy M, Horberg MA, Monroe AK, Castel AD. The Association of Mental Health and Substance Use With Retention in HIV Care Among Black Women in Washington, District of Columbia. Womens Health Issues 2024:S1049-3867(23)00204-9. [PMID: 38184379 DOI: 10.1016/j.whi.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 10/23/2023] [Accepted: 11/08/2023] [Indexed: 01/08/2024]
Abstract
BACKGROUND Black women with HIV are impacted by mental health and substance use disorders alongside barriers to care. The impact of these disorders on retention in care, a crucial step of the HIV care continuum, has not been well-studied. We examined the association between these disorders and retention in care over a 2-year period. METHODS Data from January 1, 2011, to June 30, 2019, were obtained from the DC Cohort, an observational HIV study in Washington, District of Columbia. We examined the associations between mental health (i.e., mood-related or trauma-related) or substance use disorders, separately, on not being retained in HIV care over a 2-year interval post-enrollment among non-Hispanic Black women with HIV. Multivariate logistic regression with adjusted odds ratios (aORs) for sociodemographic and clinical variables was used to quantify the association of 1) having a confirmed mental health or substance use disorder and 2) not being retained in care. RESULTS Among the 2,181 women in this analysis, 690 (31.64%) were not retained in care. The prevalence of a mood-related disorder (39.84%) was higher compared with a substance use (16.19%) or trauma-related disorder (7.75%). Age per a 10-year increase (aOR 0.87; confidence interval [CI] 0.80, 0.94) and a mood-related disorder diagnosis (aOR 0.72; CI: 0.59, 0.88) were inversely associated with not being retained in care. CONCLUSION Mood-related disorders were prevalent among Black women with HIV in Washington, District of Columbia, but were not associated with worse retention in care. Future studies should examine key facilitators for Black women with HIV and coexisting mood-related disorders and how they impact retention in care.
Collapse
Affiliation(s)
- Bianca Stewart
- Department of Epidemiology, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia.
| | - Morgan Byrne
- Department of Epidemiology, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia
| | | | - Michael A Horberg
- Mid-Atlantic Permanente Medical Group, Kaiser Permanente Mid-Atlantic States, Rockville, Maryland
| | - Anne K Monroe
- Department of Epidemiology, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia
| | - Amanda D Castel
- Department of Epidemiology, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia
| |
Collapse
|
2
|
Giordano N, Guha S, Stewart B, Kjelstrup-Hansen J, Knaapila M. High-pressure structure and phase behaviour of naphthyl end-capped oligothiophene. Acta Cryst Sect A 2022. [DOI: 10.1107/s2053273322091343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/19/2023]
|
3
|
Koay WLA, Xiao J, Temprosa M, Happ LP, Monroe AK, Castel AD, Rakhmanina NY, Kharfen M, Talwalkar A, Serlin M, Kumar P, Bhandaru V, Bezabeh T, Grover N, Mele L, Reamer S, Sapozhnikova A, Strylewicz G, Barth S, Byrne M, Greenberg A, Jaurretche M, Kulie P, Peterson J, Stewart B, Wilbourn B, Ma Y, Akselrod H, Gajjala JL, Rana S, Horberg M, Fernandez R, Hebou A, Taylor D, Dieffenbach C, Masur H, Bordon J, Teferi G, Benator D, Ruiz ME, Abbott S. Short Communication:Outcomes of Dual Versus Triple Antiretroviral Drug Regimens Among Virally Suppressed Adults in the DC Cohort. AIDS Res Hum Retroviruses 2022; 38:451-454. [PMID: 35352966 PMCID: PMC9225828 DOI: 10.1089/aid.2021.0202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This study explored virological outcomes of two-drug (2DRs) and three-drug (3DRs) antiretroviral regimens in adults with HIV in the DC Cohort. We analyzed 310 treatment-experienced adults with sustained HIV RNA ≤50 copies/mL at baseline, 53 of whom switched to 2DRs and 257 continued 3DRs. Adults on 2DRs and 3DRs had similar demographics (median age 53.3 years, 76.8% cisgender male, 76.1% Black). Adults on 2DRs had more participants with ≥2 comorbidities (62.3% vs. 42.8%, p = .019), had a longer time since HIV diagnosis (median years 20.4 vs. 13.2, p = .017), and received the regimen of interest for a shorter duration (median years 1.3 vs. 3.3, p < .001) compared with adults on 3DRs. Adults receiving 2DRs had a higher, although nonsignificant, risk for virological failure (two consecutive HIV RNA ≥50 copies/mL) at 24 months follow-up than adults on 3DRs (6.7% vs. 1.7%, respectively; p = .10). Future analysis of the effectiveness of 2DRs is needed.
Collapse
Affiliation(s)
- Wei Li Adeline Koay
- Division of Infectious Diseases, Children's National Hospital, Washington, District of Columbia, USA.,Department of Pediatrics, School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USA
| | - Jiayang Xiao
- Department of Biostatistics and Bioinformatics and Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia, USA
| | - Marinella Temprosa
- Department of Biostatistics and Bioinformatics and Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia, USA
| | - Lindsey P Happ
- Department of Epidemiology, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia, USA
| | - Anne K Monroe
- Department of Epidemiology, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia, USA
| | - Amanda D Castel
- Department of Epidemiology, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia, USA
| | - Natella Y Rakhmanina
- Division of Infectious Diseases, Children's National Hospital, Washington, District of Columbia, USA.,Department of Pediatrics, School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USA.,Elizabeth Glaser Pediatric AIDS Foundation, Washington, District of Columbia, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
4
|
Knisely K, Sanders CB, Edrissi C, Rathfoot C, Poupore N, Bailey-Taylor MJ, Stewart B, Nathaniel T. Retrospective analysis of comorbidities in stroke patients with a history of obstructive sleep apnea treated with thrombolytic therapy. Journal of Vascular Nursing 2022; 40:74-85. [DOI: 10.1016/j.jvn.2022.01.003] [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] [Received: 10/26/2021] [Revised: 12/22/2021] [Accepted: 01/24/2022] [Indexed: 10/19/2022]
|
5
|
Khan KS, McLellan M, Galbraith NJ, Lannigan A, Mahmud S, Stewart B. 930 Impact of the COVID-19 Pandemic on Higher General Surgical Training – A West of Scotland Experience. Br J Surg 2021. [PMCID: PMC8135832 DOI: 10.1093/bjs/znab134.177] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Introduction
COVID-19 pandemic has caused significant disruption in all aspects of training. Our aim was to explore the degree of impact caused by the pandemic on higher general surgical trainees.
Method
All higher general surgical trainees in a single UK deanery were invited to participate in an online, voluntary, anonymous survey via SurveyMonkey.
Results
64 (72.7%) of the trainees responded. 39.1% were ST3/4, 29.7% were ST5/6, 20.3% were ST7/8 and 10.9% were out of training (maternity & research). Thirty-five (55.6%) worked in district general hospitals. Forty (68.9%) trainees felt that they had fewer opportunities to be primary surgeon. Forty-two (67.7%) trainees did not have access to laparoscopic simulation trainers. Fifty-two (88.1%) trainees had their courses and 2 (3.4%) had their FRCS part 2 exam postponed. 16 (27.1%) trainees reported they had been off-sick, with a median of 7 days off (range 3-35 days). Thirty-three (55.9%) trainees felt more stressed due to the pandemic and 35 (59.4%) had symptoms of burnout.
Conclusions
The COVID-19 pandemic has had an unprecedented impact on all aspects of higher surgical training. The most noticeable impact has been on the reduction in the confidence in laparoscopic and endoscopic skills.
Collapse
Affiliation(s)
- K S Khan
- Glasgow Royal Infirmary, Glasgow, United Kingdom
| | - M McLellan
- University Hospital Hairmyres, East Kilbride, United Kingdom
| | | | - A Lannigan
- University Hospital Wishaw, Wishaw, United Kingdom
| | - S Mahmud
- University Hospital Hairmyres, East Kilbride, United Kingdom
| | - B Stewart
- University Hospital Hairmyres, East Kilbride, United Kingdom
| |
Collapse
|
6
|
Morgan KRS, Stauthammer C, Stewart B, Gordon-Evans W, Arai S, Baldo C, Gruenstein D. Coronary arterial compression testing by simultaneous balloon valvuloplasty and coronary angiography in an English bulldog with pulmonary valve stenosis. J Vet Cardiol 2021; 35:124-129. [PMID: 33951596 DOI: 10.1016/j.jvc.2021.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 03/23/2021] [Accepted: 03/25/2021] [Indexed: 10/21/2022]
Abstract
A 4-year-old male neutered English bulldog presented for heart murmur evaluation. Echocardiography identified severe pulmonic stenosis (an echocardiography-derived transpulmonary pressure gradient of 100 mmHg), and computed tomography confirmed the presence of an anomalous coronary artery with a prepulmonic course of the left coronary artery arising from the right coronary ostium. Before artificial pulmonic valve implantation, a coronary compression test was performed. A simultaneous aortic root angiogram and pulmonic balloon valvuloplasty revealed complete occlusion of the circumflex branch. Artificial valve implantation was aborted with concern for fatal coronary compression after implantation. Coronary compression testing is a critical component of the evaluation before catheter-based implantation of conduits across the pulmonic valve.
Collapse
Affiliation(s)
- K R S Morgan
- University of Minnesota, Veterinary Medical Center, Cardiology Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA.
| | - C Stauthammer
- University of Minnesota, Veterinary Medical Center, Cardiology Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA
| | - B Stewart
- University of Minnesota, Veterinary Medical Center, Cardiology Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA
| | - W Gordon-Evans
- University of Minnesota, Veterinary Medical Center, Surgery Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA
| | - S Arai
- University of Minnesota, Veterinary Medical Center, Surgery Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA
| | - C Baldo
- University of Minnesota, Veterinary Medical Center, Anesthesia Department, 1365 Gortner Avenue St. Paul, Minnesota 55108, USA
| | - D Gruenstein
- University of Chicago, Pediatric Cardiology, Chicago, IL, USA
| |
Collapse
|
7
|
Kavesh M, Drew P, Stewart B. Solitary Cardiac Low-Grade Neuroendocrine Tumor: A Case Report and Review of the Literature. Am J Clin Pathol 2020. [DOI: 10.1093/ajcp/aqaa161.100] [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: 11/14/2022] Open
Abstract
Abstract
Introduction/Objective
Primary tumors of the heart are uncommon; even rarer are primary cardiac neuroendocrine tumors. To our knowledge, only two cases have been described to date, both being high-grade tumors. We report a solitary low-grade neuroendocrine tumor of the heart, unexpectedly discovered on the wall of the right ventricle in a 44-year-old man during aortic valve repair for infectious bacterial endocarditis.
Results
Frozen section was sent intraoperatively and showed a plasmacytoid neoplasm. Final pathology of the biopsies showed a tumor composed of both cohesive and discohesive plasmacytoid cells separated by a vascular network and strands of fibrosis. Neither necrosis nor a mitotic rate greater than 2 mitoses per 2 mm2 were seen. The tumor showed strong reactivity for AE1/3, synaptophysin and CDX2 with focal reactivity for chromogranin-A and CD56, confirming the diagnosis of a low-grade neuroendocrine tumor. Both an esophagogastroduodenoscopy and colonoscopy were performed and showed no evidence of a primary gastrointestinal tumor. PET-CT DOTATATE performed after complete resection of the tumor showed no abnormal radiotracer uptake. The possibility of an intestinal neuroendocrine tumor undetected by DOTATATE PET-CT with a single known metastasis to the heart was considered. This too, on the basis of the literature, was considered exceedingly rare. Complete resection of this patient’s tumor was considered sufficient treatment; the patient was advised to follow up annually with medical oncology.
Conclusion
The presentation and management of a solitary cardiac low-grade neuroendocrine tumor has not previously been described in the literature.
Collapse
Affiliation(s)
- M Kavesh
- Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville, Florida, UNITED STATES
| | - P Drew
- Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville, Florida, UNITED STATES
| | - B Stewart
- Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville, Florida, UNITED STATES
| |
Collapse
|
8
|
Armstrong LR, Winston CA, Stewart B, Tsang CA, Langer AJ, Navin TR. Changes in tuberculosis epidemiology, United States, 1993-2017. Int J Tuberc Lung Dis 2020; 23:797-804. [PMID: 31439110 DOI: 10.5588/ijtld.18.0757] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND: After 20 years of steady decline, the pace of decline of tuberculosis (TB) incidence in the United States has slowed.METHODS: Trends in TB incidence rates and case counts since 1993 were assessed using national US surveillance data. Patient characteristics reported during 2014-2017 were compared with those for 2010-2013.RESULTS: TB rates and case counts slowed to an annual decline of respectively 2.2% (95%CI -3.4 to -1.0) and 1.5% (95%CI -2.7 to -0.3) since 2012, with decreases among US-born persons and no change among non-US-born persons. Overall, persons with TB diagnosed during 2014-2017 were older, more likely to have combined pulmonary and extra-pulmonary disease than extra-pulmonary disease alone, more likely to be of non-White race, and less likely to have human immunodeficiency virus infection, or cavitary pulmonary disease. During 2014-2017, non-US-born persons with TB were more likely to have diabetes mellitus, while the US-born were more likely to have smear-positive TB and use non-injecting drugs.CONCLUSION: Changes in epidemiologic trends are likely to affect TB incidence in the coming decades. The Centers for Disease Control and Prevention has called for increased attention to TB prevention through the detection and treatment of latent tuberculous infection.
Collapse
Affiliation(s)
- L R Armstrong
- Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - C A Winston
- Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - B Stewart
- Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - C A Tsang
- Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - A J Langer
- Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - T R Navin
- Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| |
Collapse
|
9
|
Al-Deek J, Bruce L, Stewart B, Mehta R. Patient-Centered Medical Home. Fam Med 2020. [DOI: 10.1007/978-1-4939-0779-3_154-1] [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]
|
10
|
Gyedu A, Stewart B, Wadie R, Antwi J, Donkor P, Mock C. Population-based rates of hernia surgery in Ghana. Hernia 2019; 24:617-623. [PMID: 31429025 DOI: 10.1007/s10029-019-02027-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2019] [Accepted: 08/04/2019] [Indexed: 11/25/2022]
Abstract
PURPOSE To estimate the population-based annual rate of hernia surgery in Ghana, so as to better define the met and unmet need and to identify opportunities to decrease the unmet need. METHODS Data on operations performed from June 2014 to May 2015 were obtained from representative samples of 48 of 124 district (first-level) hospitals, 9 of 11 regional (referral) hospitals, and 3 of 5 tertiary hospitals, and scaled-up to nationwide estimates. Rates of hernia surgery were compared to previously published annual incidence of symptomatic hernia in Ghana (210/100,000 population) and to published annual rates of hernia surgery in high-income countries (120-275/100,000). RESULTS Estimated 17,418 [95% uncertainty interval (UI) 8154-26,683] hernia operations were performed nationally. The annual rate of hernia operations was 65 operations/100,000 population (95% UI 30.2-99.0). The rate was considerably less than the annual incidence of new symptomatic hernia or rates of hernia surgery in high-income countries. Hernia operations represented 7.5% of all operations. Most hernia operations (74%) were performed at district hospitals. Most district hospitals (54%) did not have fully trained surgeons, but nonetheless performed 38% of district-level hernia operations. CONCLUSIONS The rate of hernia operations fell short of estimated need. Most hernia repairs were performed at district hospitals, many without fully trained surgeons. Future global surgery benchmarking needs to address both overall surgical rates as well as rates for specific highly important operations. Countries can strengthen their planning for surgical care by defining their total, met, and unmet need for hernia surgery.
Collapse
Affiliation(s)
- A Gyedu
- Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Private Mail Bag, University Post Office, Kumasi, Ghana.
| | - B Stewart
- Department of Surgery, University of Washington, Seattle, WA, USA.,Department of Interdisciplinary Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - R Wadie
- School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - J Antwi
- Komfo Anokye Teaching Hospital, Kumasi, Ghana
| | - P Donkor
- Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Private Mail Bag, University Post Office, Kumasi, Ghana
| | - C Mock
- Department of Surgery, University of Washington, Seattle, WA, USA.,Harborview Injury Prevention and Research Center, Seattle, WA, USA.,Department of Global Health, University of Washington, Seattle, WA, USA
| |
Collapse
|
11
|
Ivey-Miranda J, Stewart B, Gomez N, Thomas A, Wycallis E, Pattoli M, Struyk G, Fleming J, Shamlian P, Barnett J, Raghavendra P, Mahoney D, Griffin M, Rao V, Testani J. Discordance between Estimate Glomerular Filtration Rate with Creatinine and Cystatin is Associated with Inflammation and Worsened Survival in Heart Failure. J Card Fail 2019. [DOI: 10.1016/j.cardfail.2019.07.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
12
|
Barnett J, Stewart B, Gomez N, Thomas A, Wycallis E, Pattoli M, Struyk G, Fleming J, Shamlian P, Raghavendra P, Mahoney D, Ivey-Miranda J, Griffin M, Rao V, Testani J. Urine Growth Differentiation Factor-15 is Not an Independent Biomarker of Cardio-Renal Interactions in Patients with Heart Failure. J Card Fail 2019. [DOI: 10.1016/j.cardfail.2019.07.063] [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: 11/26/2022]
|
13
|
Griffin M, Flemming J, Pattoli M, Stewart B, Gomez N, Barnett J, Thomas A, Wycallis E, Struyk G, Shamlian P, Mahoney D, Ivey-Miranda J, Ivey-Miranda J, Rao V, Testani J. Safety and Efficacy of an Auto-Titrating Diuretic Protocol: A Pilot. J Card Fail 2019. [DOI: 10.1016/j.cardfail.2019.07.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
14
|
Ivey-Miranda J, Stewart B, Gomez N, Barnett J, Thomas A, Wycallis E, Pattoli M, Struyk G, Fleming J, Shamlian P, Raghavendra P, Mahoney D, Griffin M, Rao V, Testani J. Sarcopenia Strongly Affects Serum Levels of Cystatin C in Patients with Heart Failure. J Card Fail 2019. [DOI: 10.1016/j.cardfail.2019.07.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
15
|
Stewart B, Gomez N, Barnett J, Thomas A, Wycallis E, Pattoli M, Struyk G, Fleming J, Shamlian P, Raghavendra P, Mahoney D, Ivey-Miranda J, Griffin M, Rao V, Testani J. FGF-23 and Cardio-Renal Interactions in Heart Failure. J Card Fail 2019. [DOI: 10.1016/j.cardfail.2019.07.545] [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]
|
16
|
Martindale H, Morgenstern U, Singh R, Stewart B. Optimisation of enrichment methods and evaluation of errors for high sensitivity measurement of 222Rn in natural waters. J Radioanal Nucl Chem 2019. [DOI: 10.1007/s10967-019-06474-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
17
|
Harvath TA, Archbold PG, Stewart B, Mongoven J, Bettega K. ASSESSING FAMILY CAREGIVER PREPAREDNESS: COMPETENCIES FOR THE CAREGIVING ROLE. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.712] [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: 11/12/2022] Open
Affiliation(s)
- T A Harvath
- Betty Irene Moore School of Nursing at UC Davis, Sacramento, California, United States
| | - P G Archbold
- Oregon Health & Sciences University, Portland, OR, USA
| | - B Stewart
- Oregon Health & Sciences University, Portland, OR, USA
| | - J Mongoven
- Betty Irene Moore School of Nursing at UC Davis, Sacramento, CA, USA
| | - K Bettega
- Betty Irene Moore School of Nursing at UC Davis, Sacramento, CA, USA
| |
Collapse
|
18
|
Brody A, Stewart B, Zhang L, Levy P. 83 Can Pharmacists Effectively Manage Blood Pressure for Discharged Urban Emergency Department Patients With Uncontrolled Hypertension? Ann Emerg Med 2018. [DOI: 10.1016/j.annemergmed.2018.08.088] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
19
|
Noelting J, Jurewitsch B, Gramlich L, Duerksen D, Raman M, Armstrong D, Ponta ML, Saqui O, Arca-Juico CK, Kim P, Stewart B, Allard J. A312 POST MARKET USE OF TEDUGLUTIDE IN CANADA IN PATIENTS WITH SHORT BOWEL SYNDROME ON HOME PARENTERAL NUTRITION: THE REAL WORLD SETTING. J Can Assoc Gastroenterol 2018. [DOI: 10.1093/jcag/gwy009.312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Noelting
- Gastroenterology, University Health Network, Toronto, ON, Canada
| | | | - L Gramlich
- Alberta Health Sciences, Edmonton, AB, Canada
| | - D Duerksen
- University of Manitoba, Winnipeg, MB, Canada
| | - M Raman
- University of Calgary, Calgary, AB, Canada
| | | | - M L Ponta
- Gastroenterology, University Health Network, Toronto, ON, Canada
| | - O Saqui
- Gastroenterology, University Health Network, Toronto, ON, Canada
| | - C K Arca-Juico
- Gastroenterology, University Health Network, Toronto, ON, Canada
| | - P Kim
- Gastroenterology, University Health Network, Toronto, ON, Canada
| | - B Stewart
- Gastroenterology, University Health Network, Toronto, ON, Canada
| | - J Allard
- Toronto General Hospital, Toronto, ON, Canada
| |
Collapse
|
20
|
Crook TS, Beck PA, Gadberry MS, Sims MB, Stewart B, Shelton C, McLean DJ, Chapman JD, Koltes JE. 108 Effects of Omnigen-AF ® on Cow Performance. J Anim Sci 2018. [DOI: 10.1093/jas/sky027.101] [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)
- T S Crook
- University of Arkansas Division of Agriculture Department of Animal Science, Fayetteville, AR
| | - P A Beck
- University of Arkansas Division of Agriculture SWREC, Hope, AR
| | - M S Gadberry
- Department of Animal Science, University of Arkansas, Little Rock, AR
| | - M B Sims
- University of Arkansas Division of Agriculture SWREC, Hope, AR
| | - B Stewart
- University of Arkansas Division of Agriculture SWREC, Hope, AR
| | - C Shelton
- University of Arkansas Division of Agriculture SWREC, Hope, AR
| | - D J McLean
- Phibro Animal Health Corporation, Teaneck, NJ
| | - J D Chapman
- Phibro Animal Health Corporation, Quincy, IL
| | - J E Koltes
- Department of Animal Science, Iowa State University, Ames, IA
| |
Collapse
|
21
|
Gustafson LL, Creekmore LH, Snekvik KR, Ferguson JA, Warg JV, Blair M, Meyers TR, Stewart B, Warheit KI, Kerwin J, Goodwin AE, Rhodes LD, Whaley JE, Purcell MK, Bentz C, Shasa D, Bader J, Winton JR. A systematic surveillance programme for infectious salmon anaemia virus supports its absence in the Pacific Northwest of the United States. J Fish Dis 2018; 41:337-346. [PMID: 29159889 DOI: 10.1111/jfd.12733] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Revised: 08/25/2017] [Accepted: 08/28/2017] [Indexed: 06/07/2023]
Abstract
In response to reported findings of infectious salmon anaemia virus (ISAV) in British Columbia (BC), Canada, in 2011, U.S. national, state and tribal fisheries managers and fish health specialists developed and implemented a collaborative ISAV surveillance plan for the Pacific Northwest region of the United States. Accordingly, over a 3-1/2-year period, 4,962 salmonids were sampled and successfully tested by real-time reverse-transcription PCR. The sample set included multiple tissues from free-ranging Pacific salmonids from coastal regions of Alaska and Washington and farmed Atlantic salmon (Salmo salar L.) from Washington, all representing fish exposed to marine environments. The survey design targeted physiologically compromised or moribund animals more vulnerable to infection as well as species considered susceptible to ISAV. Samples were handled with a documented chain of custody and testing protocols, and criteria for interpretation of test results were defined in advance. All 4,962 completed tests were negative for ISAV RNA. Results of this surveillance effort provide sound evidence to support the absence of ISAV in represented populations of free-ranging and marine-farmed salmonids on the northwest coast of the United States.
Collapse
Affiliation(s)
| | | | - K R Snekvik
- Washington Animal Disease Diagnostic Laboratory, College of Veterinary Medicine, Washington State University, Pullman, WA, USA
| | - J A Ferguson
- Fish Pathology Laboratory, Division of Commercial Fisheries, Alaska Department of Fish and Game, Anchorage, AK, USA
| | | | - M Blair
- USFWS Idaho Fish Health Center, Orofino, ID, USA
| | - T R Meyers
- Twin Lakes Fish Pathology Laboratory, Division of Commercial Fisheries, Alaska Department of Fish and Game, Juneau, AK, USA
| | - B Stewart
- Northwest Indian Fisheries Commission, Olympia, WA, USA
| | - K I Warheit
- Fish Program, Washington Department of Fish and Wildlife, Olympia, WA, USA
| | - J Kerwin
- Washington Department of Fish and Wildlife, Olympia, WA, USA
| | - A E Goodwin
- Pacific Region, U.S. Fish and Wildlife Service, Portland, OR, USA
| | - L D Rhodes
- National Marine Fisheries Service, NOAA, Seattle, WA, USA
| | - J E Whaley
- National Marine Fisheries Service, NOAA, Silver Spring, MD, USA
| | - M K Purcell
- USGS Western Fisheries Research Center, Seattle, WA, USA
| | - C Bentz
- Fish Pathology Laboratory, Division of Commercial Fisheries, Alaska Department of Fish and Game, Anchorage, AK, USA
| | - D Shasa
- USDA, APHIS, VS, Fort Collins, CO, USA
| | - J Bader
- U.S. Fish and Wildlife Service Headquarters, Falls Church, VA, USA
| | - J R Winton
- USGS Western Fisheries Research Center, Seattle, WA, USA
| |
Collapse
|
22
|
Purcell MK, Powers RL, Evered J, Kerwin J, Meyers TR, Stewart B, Winton JR. Molecular testing of adult Pacific salmon and trout (Oncorhynchus spp.) for several RNA viruses demonstrates widespread distribution of piscine orthoreovirus in Alaska and Washington. J Fish Dis 2018; 41:347-355. [PMID: 29159930 DOI: 10.1111/jfd.12740] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Revised: 09/05/2017] [Accepted: 09/06/2017] [Indexed: 06/07/2023]
Abstract
This research was initiated in conjunction with a systematic, multiagency surveillance effort in the United States (U.S.) in response to reported findings of infectious salmon anaemia virus (ISAV) RNA in British Columbia, Canada. In the systematic surveillance study reported in a companion paper, tissues from various salmonids taken from Washington and Alaska were surveyed for ISAV RNA using the U.S.-approved diagnostic method, and samples were released for use in this present study only after testing negative. Here, we tested a subset of these samples for ISAV RNA with three additional published molecular assays, as well as for RNA from salmonid alphavirus (SAV), piscine myocarditis virus (PMCV) and piscine orthoreovirus (PRV). All samples (n = 2,252; 121 stock cohorts) tested negative for RNA from ISAV, PMCV, and SAV. In contrast, there were 25 stock cohorts from Washington and Alaska that had one or more individuals test positive for PRV RNA; prevalence within stocks varied and ranged from 2% to 73%. The overall prevalence of PRV RNA-positive individuals across the study was 3.4% (77 of 2,252 fish tested). Findings of PRV RNA were most common in coho (Oncorhynchus kisutch Walbaum) and Chinook (O. tshawytscha Walbaum) salmon.
Collapse
Affiliation(s)
- M K Purcell
- U.S. Geological Survey, Western Fisheries Research Center, Seattle, WA, USA
| | - R L Powers
- U.S. Geological Survey, Western Fisheries Research Center, Seattle, WA, USA
| | - J Evered
- U.S. Fish and Wildlife Service, Olympia Fish Health Center, Lacey, WA, USA
| | - J Kerwin
- Washington Department of Fish and Wildlife, Olympia, WA, USA
| | - T R Meyers
- Division of Commercial Fisheries, Alaska Department of Fish and Game, Juneau, AK, USA
| | - B Stewart
- Northwest Indian Fisheries Commission, Olympia, WA, USA
| | - J R Winton
- U.S. Geological Survey, Western Fisheries Research Center, Seattle, WA, USA
| |
Collapse
|
23
|
Chieng D, Stewart B, Pattani S, Paul V. Novel Use of Fluoroscopic Study to Confirm Subcutaneous Defibrillator (S-ICD) Movement Causing Myopotential Generation and Inappropriate Device Shocks. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.310] [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: 11/26/2022]
|
24
|
Crook TS, Koltes JE, Stewart B, Shelton C, Sims MB, McLean DJ, Chapman JD, Beck PA. 084 Effect of Omnigen-AF on the preweaning performance of beef calves. J Anim Sci 2017. [DOI: 10.2527/asasann.2017.084] [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: 11/13/2022] Open
|
25
|
Nathaniel TI, Stewart B, Williams J, Hood M, Imeh-Nathaniel A. A new insight into the ability to resist Ischemic brain injury: Does hibernation matter?: An Editorial comment for 'Arctic ground squirrel hippocampus tolerates oxygen glucose deprivation independent of hibernation season even when not hibernating and after ATP depletion, acidosis and glutamate efflux'. J Neurochem 2017; 142:10-13. [PMID: 28542925 DOI: 10.1111/jnc.14022] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Revised: 03/08/2017] [Accepted: 03/10/2017] [Indexed: 01/31/2023]
Abstract
Read the commented article 'Arctic ground squirrel hippocampus tolerates oxygen glucose deprivation independent of hibernation season even when not hibernating and after ATP depletion, acidosis and glutamate efflux' on doi: 10.1111/jnc.13996.
Collapse
Affiliation(s)
| | - Bianca Stewart
- University of South Carolina School of Medicine, Greenville, SC, USA
| | - Jessica Williams
- University of South Carolina School of Medicine, Greenville, SC, USA
| | - Michael Hood
- University of South Carolina School of Medicine, Greenville, SC, USA
| | | |
Collapse
|
26
|
Gyedu A, Gaskill C, Boakye G, Anderson B, Stewart B. Perceptions of Breast Cancer among Muslim Women in Ghana: An Opportunity
for Targeted Breast Health Education in Sub Saharan Africa. Ann Glob Health 2017. [DOI: 10.1016/j.aogh.2017.03.178] [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: 10/19/2022] Open
|
27
|
Crook TS, Stewart B, Sims MB, Weiss CP, Coffey KP, Beck PA. 026 The Effects of Moisture at Baling and Wrapping Delay on Storage Characteristics of Annual Ryegrass Round Bale Silage. J Anim Sci 2016. [DOI: 10.2527/ssasas2017.026] [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: 11/13/2022] Open
|
28
|
Kanal K, Moirano J, Zamora D, Stewart B. SU-D-209-03: Radiation Dose Reduction Using Real-Time Image Processing in Interventional Radiology. Med Phys 2016. [DOI: 10.1118/1.4955664] [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
|
29
|
Beck P, Stewart B, Sims M, Jennings J. 052 Effects of stocking rate, forage management, and grazing management on performance and economics of cow-calf production in Southwest Arkansas. J Anim Sci 2016. [DOI: 10.2527/ssasas2015-052] [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: 11/13/2022] Open
|
30
|
Browne G, O’Reilly D, Waters C, Tummon O, Devitt D, Stewart B, O’Connor P. Smart-phone and medical app use amongst Irish medical students: a survey of use and attitudes. BMC Proc 2015. [PMCID: PMC4306026 DOI: 10.1186/1753-6561-9-s1-a26] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
31
|
Hammond E, Shelling A, Stewart B, Cree L. The timing of early cleavage events and severity of fragmentation is correlated with gene expression patterns in cumulus cells. Fertil Steril 2014. [DOI: 10.1016/j.fertnstert.2014.07.076] [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]
|
32
|
Stewart B, Kanal K, Dickinson R, Zamora D. MO-F-16A-06: Implementation of a Radiation Exposure Monitoring System for Surveillance of Multi-Modality Radiation Dose Data. Med Phys 2014. [DOI: 10.1118/1.4889177] [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
|
33
|
Kanal K, Hoff M, Dickinson R, Zamora D, Stewart B. SU-E-E-01: ABR Diagnostic Radiology Core Exam: Was Our Redesigned Physics Course Successful in Teaching Physics to Radiology Residents? Med Phys 2014. [DOI: 10.1118/1.4887932] [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
|
34
|
Illingworth MA, Meyer E, Chong WK, Manzur AY, Carr LJ, Younis R, Hardy C, McDonald F, Childs AM, Stewart B, Warren D, Kneen R, King MD, Hayflick SJ, Kurian MA. PLA2G6-associated neurodegeneration (PLAN): further expansion of the clinical, radiological and mutation spectrum associated with infantile and atypical childhood-onset disease. Mol Genet Metab 2014; 112:183-9. [PMID: 24745848 PMCID: PMC4048546 DOI: 10.1016/j.ymgme.2014.03.008] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2014] [Accepted: 03/21/2014] [Indexed: 11/18/2022]
Abstract
Phospholipase A2 associated neurodegeneration (PLAN) is a major phenotype of autosomal recessive Neurodegeneration with Brain Iron Accumulation (NBIA). We describe the clinical phenotypes, neuroimaging features and PLA2G6 mutations in 5 children, of whom 4 presented with infantile neuroaxonal dystrophy (INAD). One other patient was diagnosed with the onset of PLAN in childhood, and our report highlights the diagnostic challenges associated with this atypical PLAN subtype. In this series, the neuroradiological relevance of classical PLAN features as well as apparent claval hypertrophy' is explored. Novel PLA2G6 mutations were identified in all patients. PLAN should be considered not only in patients presenting with a classic INAD phenotype but also in older patients presenting later in childhood with non-specific progressive neurological features including social communication difficulties, gait disturbance, dyspraxia, neuropsychiatric symptoms and extrapyramidal motor features.
Collapse
Affiliation(s)
- M A Illingworth
- Department of Neurology, Great Ormond Street Hospital, London, UK
| | - E Meyer
- Neurosciences Unit, UCL-Institute of Child Health, London, UK
| | - W K Chong
- Department of Radiology, Great Ormond Street Hospital, London, UK
| | - A Y Manzur
- Dubowitz Neuromuscular Centre for Congenital Muscular Dystrophies and Myopathies, Great Ormond Street Hospital, London, UK
| | - L J Carr
- Department of Neurology, Great Ormond Street Hospital, London, UK
| | - R Younis
- West Midlands Regional Genetics, Birmingham Women's Hospital, Birmingham, UK
| | - C Hardy
- West Midlands Regional Genetics, Birmingham Women's Hospital, Birmingham, UK
| | - F McDonald
- West Midlands Regional Genetics, Birmingham Women's Hospital, Birmingham, UK
| | - A M Childs
- Department of Paediatric Neurology, Leeds General Infirmary, Leeds, UK
| | - B Stewart
- Department of Paediatrics, York Teaching Hospitals NHS Foundation Trust, York, UK
| | - D Warren
- Department of Neuroradiology, Leeds teaching Hospitals, Leeds. UK
| | - R Kneen
- Department of Neurology, Alder Hey Children's Hospital, Liverpool, UK
| | - M D King
- Department of Paediatric Neurology, Children's University Hospital, Temple Street, Dublin, Ireland
| | - S J Hayflick
- Department of Molecular & Medical Genetics, OR Health & Science University, Portland 97239, USA; Department of Paediatrics, OR Health & Science University, Portland 97239, USA; Department of Neurology, OR Health & Science University, Portland 97239, USA
| | - M A Kurian
- Department of Neurology, Great Ormond Street Hospital, London, UK; Neurosciences Unit, UCL-Institute of Child Health, London, UK.
| |
Collapse
|
35
|
Knaapila M, Fonseca SM, Stewart B, Torkkeli M, Perlich J, Pradhan S, Scherf U, Castro RAE, Burrows HD. Nanostructuring of the conjugated polyelectrolyte poly[9,9-bis(4-sulfonylbutoxyphenyl)fluorene-2,7-diyl-2,2'-bithiophene] in liquid crystalline C12E4 in bulk water and aligned thin films. Soft Matter 2014; 10:3103-3111. [PMID: 24695747 DOI: 10.1039/c4sm00092g] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
We report on the conjugated polyelectrolyte 12 mM poly[9,9-bis(4-sulfonylbutoxyphenyl) fluorene-2,7-diyl-2,2'-bithiophene] (PBS-PF2T) mixed in concentrated aqueous 680 mM tetraethylene glycol monododecyl ether (C12E4) in bulk and thin films. A blue-shift in the fluorescence spectrum demonstrates breakup of PBS-PF2T aggregates in bulk aqueous C12E4. Small-angle X-ray scattering data indicate that this mixture follows a very similar phase behaviour to binary mixtures of a pure surfactant with water, including a micellar phase below about 20 °C, a lamellar phase in between about 20 and 70 °C and a proposed coexistence of water and the liquid surfactant solution above 70 °C. Molecular dynamics simulations reproduce these transitions and suggest that PBS-PF2T is incorporated into the surfactant headgroup region, and is, on average, perpendicular to the alkyl chains. In wet thin films, grazing-incidence small-angle X-ray scattering shows that the phase window for the lamellar phase becomes much narrower, located at about 30-34 °C. Weakly ordered phases exist both below and above these temperatures. These phases are isotropic, but lamellae become aligned in a stacked manner on the surface whether approached from low or high temperatures. Dry films are disordered but can be reversibly ordered and disordered and aligned and misaligned by maintaining the temperature at 30-34 °C and switching relative outside humidity between 32% and 100%.
Collapse
Affiliation(s)
- M Knaapila
- Physics Department, Institute for Energy Technology, NO-2027 Kjeller, Norway.
| | | | | | | | | | | | | | | | | |
Collapse
|
36
|
Stewart B, Khanduri P, McCord C, Ohene-Yeboah M, Uranues S, Vega Rivera F, Mock C. Global disease burden of conditions requiring emergency surgery. Br J Surg 2013; 101:e9-22. [PMID: 24272924 DOI: 10.1002/bjs.9329] [Citation(s) in RCA: 285] [Impact Index Per Article: 25.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/12/2013] [Indexed: 12/31/2022]
Abstract
BACKGROUND Surgical disease is inadequately addressed globally, and emergency conditions requiring surgery contribute substantially to the global disease burden. METHODS This was a review of studies that contributed to define the population-based health burden of emergency surgical conditions (excluding trauma and obstetrics) and the status of available capacity to address this burden. Further data were retrieved from the Global Burden of Disease Study 2010 and the University of Washington's Institute for Health Metrics and Evaluation online data. RESULTS In the index year of 2010, there were 896,000 deaths, 20 million years of life lost and 25 million disability-adjusted life-years from 11 emergency general surgical conditions reported individually in the Global Burden of Disease Study. The most common cause of death was complicated peptic ulcer disease, followed by aortic aneurysm, bowel obstruction, biliary disease, mesenteric ischaemia, peripheral vascular disease, abscess and soft tissue infections, and appendicitis. The mortality rate was higher in high-income countries (HICs) than in low- and middle-income countries (LMICs) (24.3 versus 10.6 deaths per 100,000 inhabitants respectively), primarily owing to a higher rate of vascular disease in HICs. However, because of the much larger population, 70 per cent of deaths occurred in LMICs. Deaths from vascular disease rose from 15 to 25 per cent of surgical emergency-related deaths in LMICs (from 1990 to 2010). Surgical capacity to address this burden is suboptimal in LMICs, with fewer than one operating theatre per 100,000 inhabitants in many LMICs, whereas some HICs have more than 14 per 100,000 inhabitants. CONCLUSION The global burden of surgical emergencies is described insufficiently. The bare estimates indicate a tremendous health burden. LMICs carry the majority of emergency conditions; in these countries the pattern of surgical disease is changing and capacity to deal with the problem is inadequate. The data presented in this study will be useful for both the surgical and public health communities to plan a more adequate response.
Collapse
Affiliation(s)
- B Stewart
- Department of Surgery, University of Washington, Seattle, Washington, USA
| | | | | | | | | | | | | |
Collapse
|
37
|
Stewart B, Outram S, Smith ACT. Doing supplements to improve performance in club cycling: a life-course analysis. Scand J Med Sci Sports 2013; 23:e361-72. [PMID: 23909650 DOI: 10.1111/sms.12090] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/12/2013] [Indexed: 11/29/2022]
Abstract
Using qualitative life-course and pathway analysis, this article explores the beliefs that serious club cyclists have about performance improvement, and what they think are appropriate and inappropriate ways of achieving it. We interviewed 11 cyclists from suburban clubs in Melbourne, Australia, and invited them to discuss their approach to training, racing, and supplementation. We found that each of the 11 cyclists were not only committed to the sport, but also paid a keen interest in bike technology and training regimes. In addition, they believed that supplement use was integral to meeting the physical and mental demands of their sport, even at club level. They also understood that supplement use, like training regimes, followed a sequential pathway where the accumulation of capacity, know-know, and knowledge, allowed progression to the next level of performance. And, like similar studies of club cycling in Europe, this cohort of cyclists balked at using banned substances, but also believed that in order to effectively transition to the elite - that is, professional - level, some additional supplement and drug-use was essential.
Collapse
Affiliation(s)
- B Stewart
- Institute of Sport, Exercise and Active Living, Victoria University, Melbourne, Vic., Australia
| | | | | |
Collapse
|
38
|
Cameron AM, Massie AB, Alexander CE, Stewart B, Montgomery RA, Benavides NR, Fleming GD, Segev DL. Social media and organ donor registration: the Facebook effect. Am J Transplant 2013; 13:2059-65. [PMID: 23777475 DOI: 10.1111/ajt.12312] [Citation(s) in RCA: 103] [Impact Index Per Article: 9.4] [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: 02/15/2013] [Revised: 03/30/2013] [Accepted: 04/16/2013] [Indexed: 01/25/2023]
Abstract
Despite countless media campaigns, organ donation rates in the United States have remained static while need has risen dramatically. New efforts to increase organ donation through public education are necessary to address the waiting list of over 100,000 patients. On May 1, 2012, the online social network, Facebook, altered its platform to allow members to specify "Organ Donor" as part of their profile. Upon such choice, members were offered a link to their state registry to complete an official designation, and their "friends" in the network were made aware of the new status as a donor. Educational links regarding donation were offered to those considering the new organ donor status. On the first day of the Facebook organ donor initiative, there were 13 054 new online registrations, representing a 21.1-fold increase over the baseline average of 616 registrations. This first-day effect ranged from 6.9× (Michigan) to 108.9× (Georgia). Registration rates remained elevated in the following 12 days. During the same time period, no increase was seen in registrations from the DMV. Novel applications of social media may prove effective in increasing organ donation rates and likewise might be utilized in other refractory public health problems in which communication and education are essential.
Collapse
Affiliation(s)
- A M Cameron
- Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
| | | | | | | | | | | | | | | |
Collapse
|
39
|
Paillot R, Prowse L, Montesso F, Stewart B, Jordon L, Newton JR, Gilkerson JR. Duration of equine influenza virus shedding and infectivity in immunised horses after experimental infection with EIV A/eq2/Richmond/1/07. Vet Microbiol 2013; 166:22-34. [PMID: 23769636 DOI: 10.1016/j.vetmic.2013.04.027] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [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: 02/07/2013] [Revised: 04/23/2013] [Accepted: 04/30/2013] [Indexed: 11/29/2022]
Abstract
Equine influenza (EI) is a major respiratory disease of horses. Recent outbreaks of EI have demonstrated the ease with which EI virus (EIV) can be transmitted internationally. This study aimed to improve our understanding of EIV shedding after infection of vaccinated horses, which would inform possible changes to current quarantine requirements. Our objectives were to compare commonly used diagnostic tests and to evaluate the relative merits of nasal and nasopharyngeal swabs for detection of EIV in vaccinated and unvaccinated ponies following EIV infection and to use these data to inform optimal quarantine procedures for the safe international movement of horses. Five ponies vaccinated against EI were infected experimentally with A/eq/Richmond/1/07 (Florida clade 2), 11 weeks after V2. Nasal and nasopharyngeal swabs were taken daily for 14 days and every 2 days for another 2 weeks. The 5 vaccinates were introduced sequentially for 48h to 3 groups of 2 naïve sentinel ponies each on days 2, 4 and 6 post-challenge respectively. Clinical signs of disease and EIV shedding were monitored for 14 days after co-mingling. EIV was detected by 3 different methods of detection (EIV nucleoprotein ELISA, EIV nucleoprotein qRT-PCR and isolation/titration in embryonated hens' eggs). Directigen™ EZ Flu A+B tests were also performed on samples from the vaccinated ponies for 6 days after infection. Results show that nasopharyngeal swabs were superior to nasal swabs, with increased frequency and amount of virus detected. The average mean duration of shedding was 6-8 days in naïve animals. All 3 sentinel groups were infected successfully with EIV after commingling with vaccinates, indicating up to 6 days of transmission. EI protection induced by vaccination is a dynamic process, naturally fluctuating and dependent on the time since last immunisation, with periods of high immunity (peak of immunity shortly after boost immunisation) and periods of susceptibility to EIV infection. This result indicates that vaccinated horses may actively transmit EIV if the immunity gap (a usual period of susceptibility between V2 and V3) is not adequately closed by immunisation. In infected sentinels EIV was detectable up to 12 days after commingling. Results also suggest that tests such as qRT-PCR may be a suitable substitute for time spent in pre-export quarantine.
Collapse
Affiliation(s)
- R Paillot
- Animal Health Trust, Centre for Preventive Medicine, Lanwades Park, Newmarket, Suffolk CB8 7UU, UK.
| | | | | | | | | | | | | |
Collapse
|
40
|
Abstract
OBJECTIVE This study examines 6-month follow-up data from participants in a randomized trial of a peer-driven 12-session family support and education program, called family-to-family (FTF) and offered by the US National Alliance on Mental Illness, to determine whether improvements in distress, family functioning, coping and empowerment were sustained. METHOD Individuals randomized to the FTF condition were assessed after program completion and then 3 months later on measures of distress, family functioning, coping, and empowerment. We used a multilevel regression model (sas proc mixed) to test for significant changes over time (baseline, 3 and 9 months). RESULTS All significant benefits that FTF participants gained between baseline and immediately post-FTF were sustained at 9 months including reduced anxiety, improved family problem-solving, increased positive coping, and increased knowledge. Greater class attendance was associated with larger increases in empowerment and reductions in depression and displeasure with ill relative. CONCLUSION Evidence suggests that benefits of the FTF program were sustained for at least 6 months without any additional boosters or supports. Peer-based programs may produce sustained benefits for individuals seeking help in addressing challenges and stresses related to having a family member with a mental illness.
Collapse
Affiliation(s)
- A Lucksted
- University of Maryland School of Medicine, Baltimore, MD, USA.
| | | | | | | | | | | | | | | | | |
Collapse
|
41
|
Zamora D, Dickinson R, Kanal K, Stewart B. MO-F-213CD-07: Implementation of Dose Monitoring in a Cardiology Department with Independent Medical Reporting Systems. Med Phys 2012. [DOI: 10.1118/1.4735832] [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: 11/07/2022] Open
|
42
|
Zamora D, Kanal K, Dickinson R, Shuman W, Stewart B. TU-G-217BCD-09: Integration of Recent NEMA (MITA) XR-25 CT Dose-Check Standard into Clinical Practice. Med Phys 2012. [DOI: 10.1118/1.4736023] [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: 11/07/2022] Open
|
43
|
Dickinson R, Kanal K, Zamora D, Stewart B. SU-E-I-34: Air Kerma to Estimated Entrance Skin Dose Look-Up Tables: A Tool to Improve Dose Awareness in the Angiography Suite. Med Phys 2012; 39:3632. [PMID: 28519524 DOI: 10.1118/1.4734749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE Although air kerma (AK) is displayed during a case, often it does not represent the entrance skin dose (ESD), which can be estimated. The purpose of this work is to develop and provide system-customized AK-to- ESD look-up tables (LUTs) for immediate reference so that physicians can better evaluate the likelihood of deterministic skin reactions to weigh the risk-versus-benefit of continuing high-dose procedures. METHODS Four correction factors are applied to estimate ESD from AK: inverse square correction from the interventional reference point to the average entrance table position, backscatter factor, mean energy absorption coefficient ratio, and measured table attenuation. Correction factors are room and service specific; therefore, room-specific AK-to-ESD LUTs are posted for easy reference. LUTs also list corresponding tissue reactions and their approximate time-of-onset. Protocols can be established for nurse or technology staff to provide verbal AK dose notifications during the case at crucial skin reaction dose thresholds (e.g. 2Gy indicating possible skin erythema and 5Gy indicating potentially prolonged recovery or permanent skin damage). Patient follow-up protocols can be established if the estimated ESD exceeds a set trigger level (e.g. 5Gy). Staff and physicians surveys evaluate usefulness and impact of dose awareness by system users. RESULTS Two surveys report feedback on LUTs from physicians and technologists with 14 years median experience (range: 3-24 years). Over three-quarters of all angiography system users identify the LUTs and verbal dose notifications as positively affecting the institution's 'Patient First' initiative and roughly one-half of the imaging system users indicate that the LUTs and site-specific dose trigger level improves the dose awareness of care providers. CONCLUSIONS Our efforts have focused on educating care providers about the differences between displayed AK and the estimated ESD. LUTs provide physicians and staff an immediate reference for estimated ESD and the associated deterministic skin effects at specific dose levels.
Collapse
Affiliation(s)
| | - K Kanal
- University of Washington, Seattle, WA
| | - D Zamora
- University of Washington, Seattle, WA
| | - B Stewart
- University of Washington, Seattle, WA
| |
Collapse
|
44
|
Stewart B, Zamora D, Dickinson R, Rohrmann C, Kanal K. MO-F-213CD-06: Implementation of Fluoroscopy Dose Mining and Analysis Process for Continuous Quality Assurance. Med Phys 2012. [DOI: 10.1118/1.4735831] [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
|
45
|
Kanal K, Dickinson R, Zamora D, Cohen W, Valji K, Stewart B. MO-F-213CD-05: Establishing a Follow-Up Process for Angiographic Patients Receiving an Estimated Entrance Skin Dose in Excess of 5 Gy. Med Phys 2012. [DOI: 10.1118/1.4735830] [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
|
46
|
Rosenberry M, Marhatta R, Stewart B. Comparison of rotationally inelastic rate constants for <mml:math altimg="si3.gif" overflow="scroll" xmlns:xocs="http://www.elsevier.com/xml/xocs/dtd" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://www.elsevier.com/xml/ja/dtd" xmlns:ja="http://www.elsevier.com/xml/ja/dtd" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:tb="http://www.elsevier.com/xml/common/table/dtd" xmlns:sb="http://www.elsevier.com/xml/common/struct-bib/dtd" xmlns:ce="http://www.elsevier.com/xml/common/dtd" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:cals="http://www.elsevier.com/xml/common/cals/dtd"><mml:mrow><mml:msub><mml:mrow><mml:mtext>Li</mml:mtext></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msub><mml:mspace width="0.35em"/><mml:msup><mml:mrow><mml:mtext>A</mml:mtext></mml:mrow><mml:mrow><mml:mn>1</mml:mn></mml:mrow></mml:msup><mml:msubsup><mml:mrow><mml:mi mathvariant="normal">Σ</mml:mi></mml:mrow><mml:mrow><mml:mi>u</mml:mi></mml:mrow><mml:mrow><mml:mo>+</mml:mo></mml:mrow></mml:msubsup><mml:mo stretchy="false">(</mml:mo><mml:msub><mml:mrow><mml:mi>v</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mn>5</mml:mn><mml:mtext>,</mml:mtext><mml:msub><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mn>30</mml:mn><mml:mo stretchy="false">)</mml:mo></mml:mrow></mml:math> + Ne measured using pulsed and cw lasers. Chem Phys Lett 2012. [DOI: 10.1016/j.cplett.2011.12.007] [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: 11/28/2022]
|
47
|
Dickinson R, Kanal K, Zamora D, Stewart B. MO-F-110-01: Analysis of Distribution of Procedure Time and Dose in Interventional Radiography (IR): Setting Thresholds for Case Review. Med Phys 2011. [DOI: 10.1118/1.3613023] [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
|
48
|
Kanal K, Dickinson R, Zamora D, Stewart B. SU-E-E-06: The New ABR Exam: What Have We Done to Change the Way We Teach Physics to Residents? Med Phys 2011. [DOI: 10.1118/1.3611560] [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
|
49
|
Elsberger B, Stewart B, Tatarov O, Edwards J. Is Src a viable target for treating solid tumours? Curr Cancer Drug Targets 2011; 10:683-94. [PMID: 20578988 DOI: 10.2174/156800910793605802] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2010] [Accepted: 06/03/2010] [Indexed: 11/22/2022]
Abstract
Src was the first proto-oncogene to be discovered. Since then the role of Src has been extensively studied in vitro. Src is a key regulator of multiple signal transduction pathways and plays a significant part in cellular transformation. Dysfunction of Src, through overexpression or increased activation, has profound effects on basic cellular functions. Elevated Src expression and/or activation is evident across a wide range of solid tumour types, highlighting its place in carcinogenesis and making it an attractive therapeutic target. In this review, we discuss in vitro and in vivo data examining the role of Src in the different cellular processes involved in oncogenesis and metastasis, covering the association of Src with increased cell proliferation and survival, decreased cellular adhesion, increased cell motility and invasiveness, accelerated/advanced angiogenesis and pathogenic bone activity. We also review evidence gathered from human tumour tissue and translational research studies that further substantiates the role of Src in oncogenesis. A summary of Src inhibitors currently being developed and trialled as therapeutic agents is provided to underline Src as a potential molecular target for solid tumour therapy. Further clinical data are needed to conclusively demonstrate that Src inhibitors have clinical utility in the treatment of solid tumors.
Collapse
Affiliation(s)
- B Elsberger
- Glasgow Western Infirmary, Section of Surgery, Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, Level 2, McGregor Building, Dumbarton Road, Glasgow G11 0NT, Scotland, UK
| | | | | | | |
Collapse
|
50
|
|