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Mahalingam S, Bellamkonda R, Arumugam MK, Perumal SK, Yoon J, Casey C, Kharbanda K, Rasineni K. Glucagon-like peptide 1 receptor agonist, exendin-4, reduces alcohol-associated fatty liver disease. Biochem Pharmacol 2023; 213:115613. [PMID: 37209859 PMCID: PMC10351880 DOI: 10.1016/j.bcp.2023.115613] [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: 03/23/2023] [Revised: 05/06/2023] [Accepted: 05/15/2023] [Indexed: 05/22/2023]
Abstract
Fatty liver is the earliest response to excessive ethanol consumption, which increases the susceptibility of the liver to develop advanced stage of liver disease. Our previous studies have revealed that chronic alcohol administration alters metabolic hormone levels and their functions. Of current interest to our laboratory is glucagon-like peptide 1 (GLP-1), a widely studied hormone known to reduce insulin resistance and hepatic fat accumulation in patients with metabolic-associated fatty liver disease. In this study, we examined the beneficial effects of exendin-4 (a GLP-1 receptor agonist) in an experimental rat model of ALD. Male Wistar rats were pair-fed the Lieber-DeCarli control or ethanol diet. After 4 weeks of this feeding regimen, a subset of rats in each group were intraperitoneally injected every other day with either saline or exendin-4 at a dose of 3 nmol/kg/day (total 13 doses) while still being fed their respective diet. At the end of the treatment, rats were fasted for 6 h and glucose tolerance test was conducted. The following day, the rats were euthanized, and the blood and tissue samples collected for subsequent analysis. We found that exendin-4 treatment had no significant effect on body weight gain among the experimental groups. Exendin-4-treated ethanol rats exhibited improved alcohol-induced alterations in liver/body weight and adipose/body weight ratio, serum ALT, NEFA, insulin, adiponectin and hepatic triglyceride levels. Reduction in indices of hepatic steatosis in exendin-4 treated ethanol-fed rats was attributed to improved insulin signaling and fat metabolism. These results strongly suggest that exendin-4 mitigates alcohol-associated hepatic steatosis by regulating fat metabolism.
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Affiliation(s)
- Sundararajan Mahalingam
- Research Service, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, United States; Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE, United States
| | - Ramesh Bellamkonda
- Research Service, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, United States; Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE, United States
| | - Madan Kumar Arumugam
- Research Service, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, United States; Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, United States
| | - Sathish Kumar Perumal
- Research Service, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, United States; Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, United States
| | - Jessica Yoon
- Research Service, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, United States; Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE, United States
| | - Carol Casey
- Research Service, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, United States; Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE, United States; Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, United States
| | - Kusum Kharbanda
- Research Service, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, United States; Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE, United States; Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, United States
| | - Karuna Rasineni
- Research Service, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE, United States; Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE, United States; Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, United States.
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Pallin LJ, Botero-Acosta N, Steel D, Baker CS, Casey C, Costa DP, Goldbogen JA, Johnston DW, Kellar NM, Modest M, Nichols R, Roberts D, Roberts M, Savenko O, Friedlaender AS. Variation in blubber cortisol levels in a recovering humpback whale population inhabiting a rapidly changing environment. Sci Rep 2022; 12:20250. [PMID: 36424421 PMCID: PMC9686265 DOI: 10.1038/s41598-022-24704-6] [Citation(s) in RCA: 2] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 11/18/2022] [Indexed: 11/27/2022] Open
Abstract
Glucocorticoids are regularly used as biomarkers of relative health for individuals and populations. Around the Western Antarctic Peninsula (WAP), baleen whales have and continue to experience threats, including commercial harvest, prey limitations and habitat change driven by rapid warming, and increased human presence via ecotourism. Here, we measured demographic variation and differences across the foraging season in blubber cortisol levels of humpback whales (Megaptera novaeangliae) over two years around the WAP. Cortisol concentrations were determined from 305 biopsy samples of unique individuals. We found no significant difference in the cortisol concentration between male and female whales. However, we observed significant differences across demographic groups of females and a significant decrease in the population across the feeding season. We also assessed whether COVID-19-related reductions in tourism in 2021 along the WAP correlated with lower cortisol levels across the population. The decline in vessel presence in 2021 was associated with a significant decrease in humpback whale blubber cortisol concentrations at the population level. Our findings provide critical contextual data on how these hormones vary naturally in a population over time, show direct associations between cortisol levels and human presence, and will enable comparisons among species experiencing different levels of human disturbance.
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Affiliation(s)
- L. J. Pallin
- grid.205975.c0000 0001 0740 6917Present Address: Department of Ecology and Evolutionary Biology, University of California Santa Cruz, Ocean Health Building, 115 McAllister Way, Santa Cruz, CA 95060 USA
| | - N. Botero-Acosta
- Fundación Macuáticos Colombia, Calle 27 # 79-167, Medellín, Colombia ,Programa Antártico Colombiano, Avenida Ciudad de Cali #51 - 66, Oficina 306, Edificio World Business Center – WBC, Bogotá, D.C. Colombia
| | - D. Steel
- grid.4391.f0000 0001 2112 1969Marine Mammal Institute, Department of Fisheries, Wildlife and Conservation Sciences, Oregon State University, Hatfield Marine Science Center, 2030 SE Marine Science Drive, Newport, OR 97365 USA
| | - C. S. Baker
- grid.4391.f0000 0001 2112 1969Marine Mammal Institute, Department of Fisheries, Wildlife and Conservation Sciences, Oregon State University, Hatfield Marine Science Center, 2030 SE Marine Science Drive, Newport, OR 97365 USA
| | - C. Casey
- grid.205975.c0000 0001 0740 6917Institute for Marine Science, University of California Santa Cruz, Ocean Health Building, 115 McAllister Way, Santa Cruz, CA 95060 USA ,California Ocean Alliance, 9099 Soquel Ave, Aptos, CA 95003 USA
| | - D. P. Costa
- grid.205975.c0000 0001 0740 6917Present Address: Department of Ecology and Evolutionary Biology, University of California Santa Cruz, Ocean Health Building, 115 McAllister Way, Santa Cruz, CA 95060 USA
| | - J. A. Goldbogen
- grid.168010.e0000000419368956Department of Biology, Hopkins Marine Station, Stanford University, 120 Ocean View Blvd, Pacific Grove, CA 93950 USA
| | - D. W. Johnston
- grid.26009.3d0000 0004 1936 7961Division of Marine Science and Conservation, Nicholas School of the Environment, Duke University Marine Laboratory, 135 Duke Marine Lab Road, Beaufort, NC 28516 USA
| | - N. M. Kellar
- grid.422702.10000 0001 1356 4495Marine Mammal Turtle Division, Southwest Fisheries Science Center, National Marine Fisheries Service, National Oceanic and Atmospheric Administration, 8901 La Jolla Shores Drive, La Jolla, CA 92037 USA
| | - M. Modest
- grid.205975.c0000 0001 0740 6917Present Address: Department of Ecology and Evolutionary Biology, University of California Santa Cruz, Ocean Health Building, 115 McAllister Way, Santa Cruz, CA 95060 USA
| | - R. Nichols
- grid.205975.c0000 0001 0740 6917Department of Ocean Sciences, University of California Santa Cruz, Ocean Health Building, 115 McAllister Way, Santa Cruz, CA 95060 USA
| | - D. Roberts
- California Ocean Alliance, 9099 Soquel Ave, Aptos, CA 95003 USA
| | - M. Roberts
- California Ocean Alliance, 9099 Soquel Ave, Aptos, CA 95003 USA
| | - O. Savenko
- National Antarctic Scientific Center of Ukraine, 16 Taras Shevchenko Blvd., Kyiv, 01601 Ukraine ,grid.438834.0Ukrainian Scientific Center of Ecology of the Sea, 89 Frantsuzsky Blvd., Odesa, 65009 Ukraine
| | - A. S. Friedlaender
- California Ocean Alliance, 9099 Soquel Ave, Aptos, CA 95003 USA ,grid.205975.c0000 0001 0740 6917Department of Ocean Sciences, University of California Santa Cruz, Ocean Health Building, 115 McAllister Way, Santa Cruz, CA 95060 USA
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Rozeveld CN, Mehall B, Casey C, McNiven M, Schott M. Microautophagy catabolizes lipid droplets in liver hepatocytes via the small GTPase Rab5 and is connected to alcoholic fatty liver. FASEB J 2022. [DOI: 10.1096/fasebj.2022.36.s1.r3458] [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: 11/11/2022]
Affiliation(s)
- Cody N. Rozeveld
- Biochemistry and Molecular BiologyUniversity of Nebraska Medical CenterOmahaNE
| | | | - Carol Casey
- Internal MedicineUniversity of Nebraska Medical CenterOmahaNE
- Gastroenterology and HepatologyUniversity of Nebraska Medical CenterOmahaNE
| | | | - Micah Schott
- Biochemistry and Molecular BiologyUniversity of Nebraska Medical CenterOmahaNE
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Basu S, Irving C, Roberts P, Orr Y, Casey C, Reilly C, Griffiths A, Nair P, Macdonald P, Festa M. Care Close to Home: Justification for a Second Paediatric Heart Transplant Centre in Australia. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1270] [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] Open
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Durban JW, Southall BL, Calambokidis J, Casey C, Fearnbach H, Joyce TW, Fahlbusch JA, Oudejans MG, Fregosi S, Friedlaender AS, Kellar NM, Visser F. Integrating remote sensing methods during controlled exposure experiments to quantify group responses of dolphins to navy sonar. Mar Pollut Bull 2022; 174:113194. [PMID: 34902768 DOI: 10.1016/j.marpolbul.2021.113194] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [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: 05/05/2021] [Revised: 11/21/2021] [Accepted: 11/23/2021] [Indexed: 06/14/2023]
Abstract
Human noise can be harmful to sound-centric marine mammals. Significant research has focused on characterizing behavioral responses of protected cetacean species to navy mid-frequency active sonar (MFAS). Controlled exposure experiments (CEE) using animal-borne tags have proved valuable, but smaller dolphins are not amenable to tagging and groups of interacting individuals are more relevant behavioral units for these social species. To fill key data gaps on group responses of social delphinids that are exposed to navy MFAS in large numbers, we describe novel approaches for the coordinated collection and integrated analysis of multiple remotely-sensed datasets during CEEs. This involves real-time coordination of a sonar source, shore-based group tracking, aerial photogrammetry to measure fine-scale movements and passive acoustics to quantify vocal activity. Using an example CEE involving long-beaked common dolphins (Delphinus delphis bairdii), we demonstrate how resultant quantitative metrics can be used to estimate behavioral changes and noise exposure-response relationships.
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Affiliation(s)
- J W Durban
- Southall Environmental Associates, Inc., 9099 Soquel Drive, Aptos, CA 95003, USA; Marine Mammal and Turtle Division, Southwest Fisheries Science Center, National Marine Fisheries Service, 8901 La Jolla Shores Drive, La Jolla, CA 92037, USA.
| | - B L Southall
- Southall Environmental Associates, Inc., 9099 Soquel Drive, Aptos, CA 95003, USA; Institute of Marine Sciences, University of California Santa Cruz, 115 McAllister Way, Santa Cruz, CA 95060, USA
| | - J Calambokidis
- Cascadia Research Collective, 218 1/2 W 4th Ave., Olympia, WA 98501, USA
| | - C Casey
- Southall Environmental Associates, Inc., 9099 Soquel Drive, Aptos, CA 95003, USA; Institute of Marine Sciences, University of California Santa Cruz, 115 McAllister Way, Santa Cruz, CA 95060, USA
| | - H Fearnbach
- SR3 SeaLife Response, Rehabilitation and Research, 2003 S. 216th St. #98811, Des Moines, WA 98198, USA
| | - T W Joyce
- Environmental Assessment Services, 350 Hills St., Suite 112, Richland, WA 99354, USA
| | - J A Fahlbusch
- Cascadia Research Collective, 218 1/2 W 4th Ave., Olympia, WA 98501, USA; Department of Biology, Hopkins Marine Station, Stanford University, Pacific Grove, CA 93950, USA
| | - M G Oudejans
- Kelp Marine Research, 1624 CJ Hoorn, the Netherlands
| | - S Fregosi
- Southall Environmental Associates, Inc., 9099 Soquel Drive, Aptos, CA 95003, USA
| | - A S Friedlaender
- Southall Environmental Associates, Inc., 9099 Soquel Drive, Aptos, CA 95003, USA; Institute of Marine Sciences, University of California Santa Cruz, 115 McAllister Way, Santa Cruz, CA 95060, USA
| | - N M Kellar
- Marine Mammal and Turtle Division, Southwest Fisheries Science Center, National Marine Fisheries Service, 8901 La Jolla Shores Drive, La Jolla, CA 92037, USA
| | - F Visser
- Kelp Marine Research, 1624 CJ Hoorn, the Netherlands; Department of Freshwater and Marine Ecology, Institute for Biodiversity and Ecosystem Dynamics, University of Amsterdam, P.O. Box 94240, 1090 GE Amsterdam, the Netherlands; Department of Coastal Systems, Royal Netherlands Institute for Sea Research, P.O. Box 59, 1790 AB Den Burg, Texel, the Netherlands
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Fennelly M, O'Connor DJ, Hellebust S, Murphy N, Casey C, Eustace J, Plant BJ, Sodeau JR, Prentice MB. Effectiveness of a plasma treatment device on microbial air quality in a hospital ward, monitored by culture. J Hosp Infect 2020; 108:109-112. [PMID: 33188867 PMCID: PMC7658605 DOI: 10.1016/j.jhin.2020.11.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 10/26/2020] [Accepted: 11/06/2020] [Indexed: 11/28/2022]
Abstract
This study analysed the effectiveness of plasma treatment on airborne bacteria and surface counts during a 14-day intervention within a four-bedded bay in an adult respiratory ward at Cork University Hospital, Ireland. One-hundred-litre air samples were collected twice daily every weekday for 4 weeks, with settle plates and surface swabs. The plasma treatment did not have an effect on airborne bacteria and fungi that was detectable by culture. However, the possibility that culture-based sampling may be insufficiently sensitive to detect an effect, or that the duration of the study was insufficient for plasma treatment to affect a complex environment, cannot be excluded.
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Affiliation(s)
- M Fennelly
- Environmental Research Institute, University College Cork, Cork, Ireland; Department of Pathology, University College Cork, Cork, Ireland; School of Chemistry, University College Cork, Cork, Ireland.
| | - D J O'Connor
- School of Chemical and Pharmaceutical Sciences, Technological University Dublin, Dublin, Ireland
| | - S Hellebust
- Environmental Research Institute, University College Cork, Cork, Ireland; School of Chemistry, University College Cork, Cork, Ireland
| | - N Murphy
- Adult Cystic Fibrosis Centre, Cork University Hospital, Cork, Ireland
| | - C Casey
- College of Medicine and Health, University College Cork, Cork, Ireland
| | - J Eustace
- Health Research Board Clinical Research Facility-Cork, Cork, Ireland
| | - B J Plant
- Adult Cystic Fibrosis Centre, Cork University Hospital, Cork, Ireland; College of Medicine and Health, University College Cork, Cork, Ireland; APC Microbiome Institute, University College Cork, Cork, Ireland
| | - J R Sodeau
- Environmental Research Institute, University College Cork, Cork, Ireland; School of Chemistry, University College Cork, Cork, Ireland
| | - M B Prentice
- Department of Pathology, University College Cork, Cork, Ireland; College of Medicine and Health, University College Cork, Cork, Ireland; APC Microbiome Institute, University College Cork, Cork, Ireland
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Casey C, Charrier I, Mathevon N, Nasr C, Forman P, Reichmuth C. The genesis of giants: behavioural ontogeny of male northern elephant seals. Anim Behav 2020. [DOI: 10.1016/j.anbehav.2020.06.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Thaware PK, Patterson CC, Young IS, Casey C, McCance DR. Clinical utility of ultrasonography-measured visceral adipose tissue depth as a tool in early pregnancy screening for gestational diabetes: a proof-of-concept study. Diabet Med 2019; 36:898-901. [PMID: 30672019 DOI: 10.1111/dme.13906] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/21/2019] [Indexed: 01/20/2023]
Abstract
AIM To examine, in a proof-of-concept study, the ability of visceral adipose tissue depth and subcutaneous fat depth measured in early pregnancy to predict subsequent gestational diabetes, and to assess the performance of these measures as screening tests for gestational diabetes compared with use of the current UK criteria. METHODS A total of 100 women in early pregnancy were recruited from a maternity hospital in Belfast, UK. Visceral adipose tissue depth and subcutaneous fat depth were measured, and each participant underwent a 75-g oral glucose tolerance test at 28 weeks' gestation for the diagnosis of gestational diabetes using WHO 2013 criteria. RESULTS Eighty women completed the study, of whom 15 (19%) developed gestational diabetes. Increasing visceral adipose tissue depth, but not subcutaneous fat depth, was associated with greater gestational diabetes risk after adjusting for confounding factors (odds ratio for a 1-sd rise 2.09, 95% CI 1.06-4.12; P=0.03). Visceral adipose tissue depth ≥4.27 cm had greater sensitivity compared with current National Institute of Health and Care Excellence criteria (87% vs 40%, respectively; P=0.02) and similar specificity (62% vs 74%, respectively; P=0.15) for identifying gestational diabetes. CONCLUSIONS Ultrasonography-measured visceral adipose tissue in early pregnancy is a potential clinical tool for improving sensitivity of selective screening for gestational diabetes, which, compared with universal oral glucose tolerance testing, is likely to reduce by half the numbers requiring this test. Further larger studies are now required for confirmation, including investigation into impact on clinical outcomes.
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Affiliation(s)
- P K Thaware
- Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Belfast, UK
| | - C C Patterson
- Centre for Public Health, Queen's University Belfast, Belfast, UK
| | - I S Young
- Centre for Public Health, Queen's University Belfast, Belfast, UK
| | - C Casey
- Centre for Public Health, Queen's University Belfast, Belfast, UK
| | - D R McCance
- Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Belfast, UK
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Kidambi S, Natarajan V, Casey C, Harris E. Matrix Stiffness Regulate Liver Sinusoidal Endothelial Cells (LSECs) Function: Importance for Liver Fibrosis Progression. FASEB J 2019. [DOI: 10.1096/fasebj.2019.33.1_supplement.496.39] [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: 11/11/2022]
Affiliation(s)
| | | | - Carol Casey
- University of Nebraska Medical CenterOmahaNE
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Barnado A, Carroll RJ, Casey C, Wheless L, Denny JC, Crofford LJ. Phenome-wide association study identifies dsDNA as a driver of major organ involvement in systemic lupus erythematosus. Lupus 2018; 28:66-76. [PMID: 30477398 DOI: 10.1177/0961203318815577] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
In systemic lupus erythematosus (SLE), dsDNA antibodies are associated with renal disease. Less is known about comorbidities in patients without dsDNA or other autoantibodies. Using an electronic health record (EHR) SLE cohort, we employed a phenome-wide association study (PheWAS) that scans across billing codes to compare comorbidities in SLE patients with and without autoantibodies. We used our validated algorithm to identify SLE subjects. Autoantibody status was defined as ever positive for dsDNA, RNP, Smith, SSA and SSB. PheWAS was performed in antibody positive vs. negative SLE patients adjusting for age and race and using a false discovery rate of 0.05. We identified 1097 SLE subjects. In the PheWAS of dsDNA positive vs. negative subjects, dsDNA positive subjects were more likely to have nephritis ( p = 2.33 × 10-9) and renal failure ( p = 1.85 × 10-5). After adjusting for sex, race, age and other autoantibodies, dsDNA was independently associated with nephritis and chronic kidney disease. Those patients negative for dsDNA, RNP, SSA and SSB negative subjects were all more likely to have billing codes for sleep, pain and mood disorders. PheWAS uncovered a hierarchy within SLE-specific autoantibodies with dsDNA having the greatest impact on major organ involvement.
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Affiliation(s)
- A Barnado
- 1 Department of Medicine, Vanderbilt University Medical Center, Nashville, USA
| | - R J Carroll
- 2 Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, USA
| | - C Casey
- 3 Department of Medicine, Lehigh Valley Health Network, Allentown, USA
| | - L Wheless
- 4 Department of Dermatology, Vanderbilt University Medical Center, Nashville, USA
| | - J C Denny
- 1 Department of Medicine, Vanderbilt University Medical Center, Nashville, USA.,2 Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, USA
| | - L J Crofford
- 1 Department of Medicine, Vanderbilt University Medical Center, Nashville, USA
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Casey C, McGinty A, Holmes VA, Hill AJ, Patterson CC, Young IS, McCance DR. Maternal vitamin D and markers of glycaemia during pregnancy in the Belfast centre of the Hyperglycaemia and Adverse Pregnancy Outcome study. Diabet Med 2018; 35:972-979. [PMID: 29608221 PMCID: PMC6013372 DOI: 10.1111/dme.13632] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/26/2018] [Indexed: 01/18/2023]
Abstract
AIMS To measure total 25-hydroxyvitamin D levels in women in mid-pregnancy who participated in the Belfast centre of the Hyperglycaemia and Adverse Pregnancy Outcome (HAPO) observational study, and to investigate the associations between levels of 25-hydroxyvitamin D and markers of gestational diabetes mellitus and lipid biomarkers. METHODS A total of 1585 pregnant women had serum samples available for measurement. Participants were recruited from the Royal Jubilee Maternity Hospital, Belfast, Northern Ireland, at 24-32 weeks' gestation, as part of the HAPO study. 25-hydroxyvitamin D concentrations were measured using liquid chromatography tandem mass spectrometry. Glucose, C-peptide and lipid levels were previously analysed in a central laboratory. Statistical analysis was performed. RESULTS The median (interquartile range) 25-hydroxyvitamin D concentration during pregnancy was 38.6 (24.1-60.7) nmol/l, with 65.8% of women being vitamin D-deficient (≤50 nmol/l). In regression analysis, the association between maternal 25-hydroxyvitamin D and fasting plasma glucose levels approached significance [regression coefficient -0.017 (95% CI -0.034 to 0.001); P=0.06], and a significant positive association was observed between maternal 25-hydroxyvitamin D and β-cell function [1.013 (95% CI 1.001 to 1.024); P=0.031]. Maternal 25-hydroxyvitamin D level was positively associated with HDL [0.047 (95% CI 0.021 to 0.073) P≤ 0.001] and total cholesterol [0.085 (95% CI 0.002 to 0.167); P=0.044] in regression analysis. CONCLUSIONS These results indicate a high prevalence of vitamin D deficiency during pregnancy, which requires identification and treatment; however, only weak associations were observed between 25-hydroxyvitamin D level and markers of glucose and insulin metabolism. This would suggest that these are of doubtful clinical significance.
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Affiliation(s)
- C Casey
- Centre for Public Health, Queen's University Belfast, Belfast
| | - A McGinty
- Centre for Public Health, Queen's University Belfast, Belfast
| | - V A Holmes
- Centre for Public Health, Queen's University Belfast, Belfast
| | - A J Hill
- NICHE, School of Biomedical Sciences, Ulster University, Coleraine
| | - C C Patterson
- Centre for Public Health, Queen's University Belfast, Belfast
| | - I S Young
- Centre for Public Health, Queen's University Belfast, Belfast
| | - D R McCance
- Centre for Public Health, Queen's University Belfast, Belfast
- Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Belfast, UK
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Petrosyan A, Thomes P, Casey C. S16-1ETHANOL-INDUCED DISORGANIZATION OF GOLGI APPARATUS: ROLE OF DEFECTIVE Rab3D FUNCTION. Alcohol Alcohol 2017. [DOI: 10.1093/alcalc/agx075.59] [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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Natarajan V, Harris E, Casey C, Kidambi S. S16-2ROLE OF MATRIX RIGIDITY ON HEPATOCYTES AND LIVER SINUSOIDAL ENDOTHELIAL CELLS IN ALCOHOL INDUCED HEPATIC FIBROGENESIS. Alcohol Alcohol 2017. [DOI: 10.1093/alcalc/agx075.60] [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: 11/15/2022] Open
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Ward R, De Witte P, Casey C. S08-4THE ROLE OF MICROGLIA IN THE ALCOHOLIC BRAIN. Alcohol Alcohol 2017. [DOI: 10.1093/alcalc/agx075.30] [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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Taylor M, Casey C, Gorman C, Bui A, Oleynk C, Pigeon WR. 0777 VALIDATION OF THE SLEEP-WAKE SCORING OF A NEW WRIST WORN ALERTNESS MONITORING DEVICE. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.776] [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
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Pigeon WR, Crean H, Cerulli C, Walsh P, Gallegos A, Bishop TM, Casey C, Gorman C, Bui A, Oleynk C, Heffner KL. 0339 DOES COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA ENHANCE THE EFFECTS OF COGNITIVE PROCESSING THERAPY FOR PTSD AMONG SURVIVORS OF INTERPERSONAL VIOLENCE? Sleep 2017. [DOI: 10.1093/sleepj/zsx050.338] [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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Dunn J, Casey C, Sandoe D, Hyde MK, Cheron-Sauer MC, Lowe A, Oliffe JL, Chambers SK. Advocacy, support and survivorship in prostate cancer. Eur J Cancer Care (Engl) 2017; 27:e12644. [PMID: 28145020 PMCID: PMC5900936 DOI: 10.1111/ecc.12644] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Revised: 10/20/2016] [Accepted: 12/05/2016] [Indexed: 11/30/2022]
Abstract
Across Australia, prostate cancer support groups (PCSG) have emerged to fill a gap in psychosocial care for men and their families. However, an understanding of the triggers and influencers of the PCSG movement is absent. We interviewed 21 SG leaders (19 PC survivors, two partners), of whom six also attended a focus group, about motivations, experiences, past and future challenges in founding and leading PCSGs. Thematic analysis identified four global themes: illness experience; enacting a supportive response; forming a national collective and challenges. Leaders described men's feelings of isolation and neglect by the health system as the impetus for PCSGs to form and give/receive mutual help. Negotiating health care systems was an early challenge. National affiliation enabled leaders to build a united voice in the health system and establish a group identity and collective voice. Affiliation was supported by a symbiotic relationship with tensions between independence, affiliation and governance. Future challenges were group sustainability and inclusiveness. Study findings describe how a grassroots PCSG movement arose consistent with an embodied health movement perspective. Health care organisations who seek to leverage these community resources need to be cognisant of SG values and purpose if they are to negotiate effective partnerships that maximise mutual benefit.
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Affiliation(s)
- J Dunn
- Cancer Council Queensland, Fortitude Valley, Qld, Australia.,Institute for Resilient Regions, University of Southern Queensland, Darling Heights, Qld, Australia.,Menzies Health Institute Queensland, Griffith University, Gold Coast, Qld, Australia.,School of Social Science, The University of Queensland, St Lucia, Qld, Australia
| | - C Casey
- Prostate Cancer Foundation of Australia, St Leonards, NSW, Australia
| | - D Sandoe
- Prostate Cancer Foundation of Australia, St Leonards, NSW, Australia
| | - M K Hyde
- Cancer Council Queensland, Fortitude Valley, Qld, Australia.,Menzies Health Institute Queensland, Griffith University, Gold Coast, Qld, Australia
| | - M-C Cheron-Sauer
- Prostate Cancer Foundation of Australia, St Leonards, NSW, Australia
| | - A Lowe
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Qld, Australia.,Prostate Cancer Foundation of Australia, St Leonards, NSW, Australia
| | - J L Oliffe
- University of British Columbia, Vancouver, BC, Canada
| | - S K Chambers
- Cancer Council Queensland, Fortitude Valley, Qld, Australia.,Institute for Resilient Regions, University of Southern Queensland, Darling Heights, Qld, Australia.,Menzies Health Institute Queensland, Griffith University, Gold Coast, Qld, Australia.,Prostate Cancer Foundation of Australia, St Leonards, NSW, Australia.,Exercise Medicine Research Institute, Edith Cowan University, Perth, WA, Australia
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Murphy TM, Waterhouse DF, James S, Casey C, Fitzgerald E, O'Connell E, Watson C, Gallagher J, Ledwidge M, McDonald K. A comparison of HFrEF vs HFpEF's clinical workload and cost in the first year following hospitalization and enrollment in a disease management program. Int J Cardiol 2016; 232:330-335. [PMID: 28087180 DOI: 10.1016/j.ijcard.2016.12.057] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2016] [Revised: 12/04/2016] [Accepted: 12/16/2016] [Indexed: 12/28/2022]
Abstract
BACKGROUND Admission with heart failure (HF) is a milestone in the progression of the disease, often resulting in higher intensity medical care and ensuing readmissions. Whilst there is evidence supporting enrolling patients in a heart failure disease management program (HF-DMP), not all reported HF-DMPs have systematically enrolled patients with HF with preserved ejection fraction (HFpEF) and there is a scarcity of literature differentiating costs based on HF-phenotype. METHODS 1292 consenting, consecutive patients admitted with a primary diagnosis of HF were enrolled in a hospital based HF-DMP and categorized as HFpEF (EF≥45%) or HFrEF (EF<45%). Hospitalizations, primary care, medications, and DMP workload with associated costs were evaluated assessing DMP clinic-visits, telephonic contact, medication changes over 1year using a mixture of casemix and micro-costing techniques. RESULTS The total average annual cost per patient was marginally higher in patients with HFrEF €13,011 (12,011, 14,078) than HFpEF, €12,206 (11,009, 13,518). However, emergency non-cardiovascular admission rates and average cost per patient were higher in the HFpEF vs HFrEF group (0.46 vs 0.31 per patient/12months) & €655 (318, 1073) vs €584 (396, 812). In the first 3months of the outpatient HF-DMP the HFrEF population cost more on average €791 (764, 819) vs €693 (660, 728). CONCLUSION There are greater short-term (3-month) costs of HFrEF versus HFpEF as part of a HF-DMP following an admission. However, long-term (3-12month) costs of HFpEF are greater because of higher non-cardiovascular rehospitalisations. As HFpEF becomes the dominant form of HF, more work is required in HF-DMPs to address prevention of non-cardiovascular rehospitalisations and to integrate hospital based HF-DMPs into primary healthcare structures.
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Affiliation(s)
- T M Murphy
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland
| | - D F Waterhouse
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland
| | - S James
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland
| | - C Casey
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland
| | - E Fitzgerald
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland
| | - E O'Connell
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland
| | - C Watson
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland; Centre for Experimental Medicine, Queen's University Belfast, Northern Ireland
| | - J Gallagher
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland
| | - M Ledwidge
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland
| | - K McDonald
- Heart Failure Unit, St Vincent's University Hospital, Dublin 4, Ireland.
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Pella S, Mikko H, Nicolae D, Casey C, Shereen C, Janeil P. EP-1977: The importance of immobilization of gynecological applicators in high dose rate brachytherapy. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)33228-5] [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]
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21
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Shiely F, Fallon D, Casey C, Kerins DM, Eustace JA. Trial of a novel plasma gas disinfection system (Radica) to reduce mattress residual bacterial contamination in the acute hospital setting: a preliminary study. Ir J Med Sci 2016; 186:17-21. [PMID: 26797777 DOI: 10.1007/s11845-016-1400-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2015] [Accepted: 01/05/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND In routine clinical practice, mattresses are manually cleaned using specialised cleaning and high-level disinfecting fluids. While effective against a wide range of organisms, the success of this approach is dependent on a thorough and complete application and is likely to be susceptible to human error and thus variable. The efficacy of available infection control measures to reduce such mattress contamination is unknown as it is not subject to quality control measures. There is a pressing need to identify more effective methods to prevent cross contamination within the medical environment, given the lack of available treatment strategies. AIM The purpose of this study is to investigate the ability of a new technology, gaseous technology, to reduce colonization levels, compared to standard cleaning, and so attenuate superficial nosocomial infections. METHODS We conducted a prospective, single-centre, open-label, non-randomized trial with blinded outcome assessments, comparing the standard cleaning of hospital mattresses with a novel plasma based disinfection system Radica™, followed by a standard post-cleaning culturing protocol (five swabs/mattress). RESULTS The median (interquartile range) maximal colony count per mattress for the 20 Radica versus 7 routinely cleaned mattresses was 1 (1-2.7) versus Too-Numerous-to-Count (TNTC) (32-TNTC), respectively, p = 0.002. Of the 20 Radica™ treated mattresses, 12 (60 %) had no positive culture result while all of the standard cleaned mattresses had at least two positive cultures. CONCLUSION The plasma based Radica disinfection system reduces mattress bacterial colonization levels as compared to routine cleaning. This is a potentially important technology in the health care system to reduce surface colonisation and hence nosocomial infections.
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Affiliation(s)
- F Shiely
- HRB Clinical Research Facility at UCC, Mercy University Hospital, Grenville Place, Cork, Ireland. .,Department of Epidemiology and Public Health, University College Cork, 4th Floor Western Gateway Building, Western Road, Cork, Ireland.
| | - D Fallon
- Medical Engineering Design and Innovation Centre (MEDIC), Cork Institute of Technology, Cork, Ireland
| | - C Casey
- College of Medicine and Health, University College Cork, Cork, Ireland
| | - D M Kerins
- Department of Pharmacology and Therapeutics, University College Cork, Cork, Ireland.,Department of Cardiology, Mercy University Hospital, Grenville Place, Cork, Ireland
| | - J A Eustace
- HRB Clinical Research Facility at UCC, Mercy University Hospital, Grenville Place, Cork, Ireland
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Mullen S, Maney J, Casey C. SWEET ON THE OUTSIDE BUT NOT ON THE INSIDE -LIQUITAB INJURIES IN A TERTIARY PAEDIATRIC EMERGENCY DEPARTMENT (PED). Arch Emerg Med 2015. [DOI: 10.1136/emermed-2015-205372.68] [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: 11/03/2022]
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23
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Strickland JR, Smock N, Casey C, Poor T, Kreuter MW, Evanoff BA. Development of targeted messages to promote smoking cessation among construction trade workers. Health Educ Res 2015; 30:107-20. [PMID: 25231165 PMCID: PMC4296889 DOI: 10.1093/her/cyu050] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Blue-collar workers, particularly those in the construction trades, are more likely to smoke and have less success in quitting when compared with white-collar workers. Little is known about health communication strategies that might influence this priority population. This article describes our formative work to develop targeted messages to increase participation in an existing smoking cessation program among construction workers. Using an iterative and sequential mixed-methods approach, we explored the culture, health attitudes and smoking behaviors of unionized construction workers. We used focus group and survey data to inform message development, and applied audience segmentation methods to identify potential subgroups. Among 144 current smokers, 65% reported wanting to quit smoking in the next 6 months and only 15% had heard of a union-sponsored smoking cessation program, despite widespread advertising. We tested 12 message concepts and 26 images with the target audience to evaluate perceived relevance and effectiveness. Participants responded most favorably to messages and images that emphasized family and work, although responses varied by audience segments based on age and parental status. This study is an important step towards integrating the culture of a high-risk group into targeted messages to increase participation in smoking cessation activities.
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Affiliation(s)
- J R Strickland
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA and George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO 63112, USA
| | - N Smock
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA and George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO 63112, USA
| | - C Casey
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA and George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO 63112, USA
| | - T Poor
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA and George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO 63112, USA
| | - M W Kreuter
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA and George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO 63112, USA
| | - B A Evanoff
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, MO 63110, USA and George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO 63112, USA
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Abstract
OBJECTIVE The physiological importance of the C3 epimers of vitamin D (3-epi-25OHD2/3) is uncertain and there have been limited studies determining the levels of these epimers in human populations. The aims of the current study were (1) to determine 3-epi-25OHD2/3 levels throughout non-diabetic and T1DM pregnancy, (2) to examine the relationships between 25OHD and 3-epi-25OHD, (3) to assess the impact of maternal BMI on 3-epi-25OHD and examine associations with markers of glycaemic control. METHODOLOGY An observational study of 52 pregnant controls without diabetes and 65 pregnant women with T1DM in a university teaching hospital. 25OHD and 3-epi-25OHD were measured by liquid chromatography tandem mass spectrometry. RESULTS 3-Epi-25OHD was found in 90.2% of control (median 0.9nmol/L; range 0.1-5.9nmol/L), and in 94.5% of T1DM, women (median 1.4nmol/L; range 0.1-10.5nmol/L). In both control and T1DM groups, maternal and cord 3-epi-25OHD correlated significantly with 25OHD. Seasonal variation in maternal 3-epi-25OHD levels was evident in both groups; Summer levels were significantly higher than all other seasons in the control group (p<0.001) and significantly higher than Spring (p=0.003) and Winter (p<0.001) in the T1DM group. In T1DM women HbA1c was significantly negatively correlated with 3-epi-25OHD at trimesters 1 and 2 (p=0.049; p=0.001) and with cord 3-epi-25OHD (p=0.012). Maternal BMI >30kg/m(2) had a significant negative impact on 3-epi-25OHD. CONCLUSION Maternal 3-epi-25OHD exhibits seasonal variation and, in common with cord 3-epi-25OHD, correlates with 25OHD throughout both non-diabetic and T1D pregnancy. In T1DM women 3-epi-25OHD is associated with a key marker of glycaemic control.
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Affiliation(s)
| | - C Casey
- Queen's University Belfast, United Kingdom
| | - J McPeake
- Queen's University Belfast, United Kingdom
| | | | | | - A McGinty
- Queen's University Belfast, United Kingdom
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Hyvarinen M, Pella S, Leventouri T, Casey C, Dumitru N, Herrera R, Long S. SU-E-T-636: Investigation of Dose Variation in High Dose Radiation Brachytherapy. Med Phys 2014. [DOI: 10.1118/1.4888972] [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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McVicker B, Lazure K, Thomas P, Tuma D, Casey C, Gobejishvili L, Barve S, McKillop I, Thompson K, Sindram D, Neuman M. S03 * ALCOHOL, CANCER, HEPATITIS AND FATTY LIVER: INTERACTIONS AND CO-MORBIDITIES. Alcohol Alcohol 2013. [DOI: 10.1093/alcalc/agt076] [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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Razvodovsky Y, Borodinsky A, Pascual-Mora M, Pla A, Renau-Piqueras J, Guerri C, Haass-Koffler C, Kenna G, Henry A, Bartlett S, Dudek M, Abo-Ramadan U, Hyytia P, Maccioni P, Gessa GL, Thomas A, Malherbe P, Mugnaini C, Corelli F, Colombo G, Maccioni P, Vargiolu D, Loi B, Lobina C, Zaru A, Carai M, Gessa GL, Colombo G, Maccioni P, Vargiolu D, Carai M, Gessa GL, Riva A, Bombardelli E, Morazzoni P, Colombo G, Osna N, Kharbanda K, McVicker B, Casey C, Mercer D, Naassila M, Legastelois R, Alaux-Cantin S, Houchi H, Botia B, Pronko PS, Khomich TI, Satanovskaya VI, Karaedova LM, Borodinsky AN, Lis RE, Feltmann K, Steensland P, Ledesma JC, Bali P, Bali P, Ledesma JC, Gonzalez C, Bali P, Ledesma JC, Aragon C, Etelalahti T, Eriksson P, Todkar A, Granholm L, Comasco E, Oreland L, Hodgins S, Nilsson K, Nylander I, Phedina K, Zimatkin S, Smutek M, Parkitna JR, Przewlocki R, Janeczek P, Van Steenwyk G, Lewohl J, Napper R, Hopping M, Stragier E, Massart R, Hamon M, Lanfumey L. BASIC RESEARCH. Alcohol Alcohol 2013. [DOI: 10.1093/alcalc/agt113] [Citation(s) in RCA: 2] [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: 11/14/2022] Open
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Dolan EB, Haugh MG, Tallon D, Casey C, McNamara LM. Heat-shock-induced cellular responses to temperature elevations occurring during orthopaedic cutting. J R Soc Interface 2012; 9:3503-13. [PMID: 22915633 DOI: 10.1098/rsif.2012.0520] [Citation(s) in RCA: 44] [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: 11/12/2022] Open
Abstract
Severe heat-shock to bone cells caused during orthopaedic procedures can result in thermal damage, leading to cell death and initiating bone resorption. By contrast, mild heat-shock has been proposed to induce bone regeneration. In this study, bone cells are exposed to heat-shock for short durations occurring during surgical cutting. Cellular viability, necrosis and apoptosis are investigated immediately after heat-shock and following recovery of 12, 24 h and 4 days, in osteocyte-like MLO-Y4 and osteoblast-like MC3T3-E1 cells, using flow cytometry. The regeneration capacity of heat-shocked Balb/c mesenchymal stem cells (MSCs) and MC3T3-E1s has been investigated following 7 and 14 day's recovery, by quantifying proliferation, differentiation and mineralization. An immediate necrotic response to heat-shock was shown in cells exposed to elevated temperatures (45°C, 47°C and most severe at 60°C). A longer-term apoptotic response is induced in MLO-Y4s and, to a lesser extent, in MC3T3-E1s. Heat-shock-induced differentiation and mineralization by MSCs. These findings indicate that heat-shock is more likely to induce apoptosis in osteocytes than osteoblasts, which might reflect their role as sensors detecting and communicating damage within bone. Furthermore, it is shown for the first time that mild heat-shock (less than equal to 47°C) for durations occurring during surgical cutting can positively enhance osseointegration by osteoprogenitors.
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Affiliation(s)
- E B Dolan
- Department of Mechanical and Biomedical Engineering, Biomechanics Research Centre (BMEC), National University of Ireland, Galway, Ireland
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Hornsey VS, Casey C, McColl K, Young H, Drummond O, McMillan L, Morrison A, Prowse CV. Characteristics of prion-filtered red cells suspended in pathogen-inactivated plasma (MB treated or solvent-detergent treated) for neonatal exchange transfusion. Vox Sang 2010; 101:28-34. [PMID: 21175669 DOI: 10.1111/j.1423-0410.2010.01456.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND AND OBJECTIVES Neonates undergoing exchange transfusion require <5-day-old red cells suspended in plasma. This study assesses the effect of replacing the saline, adenine, glucose and mannitol (SAGM) of prion reduced (P-Capt) red cells with either methylene blue-treated plasma (MBTFFP) or OctaplasLG to reduce the risk of variant Creutzfelt-Jakob disease transmission. MATERIALS AND METHODS Twenty leucoreduced red cell units in SAGM were prion reduced on day 1. The SAGM was replaced by MBTFFP (n=10) or OctaplasLG (n=10). The units were irradiated and stored at 4°C for 24 h. A further 20 units were stored for 5 days before being processed as above. Haemolysis (%), potassium, ATP, 2,3-DPG and plasma proteins were measured. RESULTS Haemolysis remained low (≤0·16%). Following irradiation and storage, red cells in both types of plasma showed similar changes in potassium and ATP concentrations. The 2,3-DPG concentrations were well maintained although lower in red cells in OctaplasLG compared with those in MBTFFP (4·79 vs. 6·83 μmoles/g Hb on day 6). MBTFFP contained lower concentrations of fibrinogen, FV and FVIII. In OctaplasLG, alpha-2-antiplasmin was approximately 0·4 U/ml lower than in MBTFFP. After 24 h at 4°C, free protein S in OctaplasLG fell from 0·82 to 0·57 IU/ml. Other plasma proteins, in both types of plasma, were stable. CONCLUSIONS Red cells in both types of plasma demonstrated similar storage characteristics. The plasma proteins, except protein S in OctaplasLG, were stable over 24 h at 4°C in both types of plasma, and low FVIII concentrations were noted in the MBTFFP (group O) units used.
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Affiliation(s)
- V S Hornsey
- Components R&D Group, National Science Laboratory, SNBTS, Edinburgh, UK.
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Collins P, Rosano G, Casey C, Daly C, Gambacciani M, Hadji P, Kaaja R, Mikkola T, Palacios S, Preston R, Simon T, Stevenson J, Stramba-Badiale M. Management of cardiovascular risk in the perimenopausal women: a consensus statement of European cardiologists and gynecologists. Climacteric 2009; 10:508-26. [DOI: 10.1080/13697130701755213] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Hermann LS, Magnusson S, Möller B, Casey C, Tucker GT, Woods HF. Lactic acidosis during metformin treatment in an elderly diabetic patient with impaired renal function. Acta Med Scand 2009; 209:519-20. [PMID: 7257870 DOI: 10.1111/j.0954-6820.1981.tb11639.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
In recent years, lactic acidosis has been described in association with metformin therapy in diabetics. We report a fatal case in an elderly diabetic patient with impaired renal function and cardiac insufficiency. The patient presented with an elevated plasma metformin concentration and a concomitant digitoxin intoxication.
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Fogarty P, O'Beirne B, Casey C. Epidemiology of the most frequent diseases in the European a-symptomatic post-menopausal women. Is there any difference between Ireland and the rest of Europe? Maturitas 2005; 52 Suppl 1:S3-6. [PMID: 16139448 DOI: 10.1016/j.maturitas.2005.06.018] [Citation(s) in RCA: 7] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2005] [Accepted: 06/21/2005] [Indexed: 11/19/2022]
Abstract
Osteoporosis, cardiovascular disease, breast cancer and genitourinary diseases are some of the most frequently diagnosed diseases in a-symptomatic post-menopausal women. There is a marked European geographic distribution of osteoporosis. Rates are higher in Scandinavia than in the Southern European countries. The possible reasons for this higher incidence of osteoporotic fractures in the Northern European countries is associated with the climate, which limits physical activity and exposure to sunlight and increases the risk of falls. During the next two decades, the number of hip fractures for European women over 65 years is expected to nearly double. Despite these figures, osteoporosis prevention has not yet been adopted in many European countries. There is a devastating impact and a huge financial burden on the European economy and health care system. Breast cancer is the most common cancer in females in Europe. The regions of highest incidence are Western and Northern Europe, while Southern and Eastern Europe have lower incidence rates. The causes of differences in breast cancer incidences between Northern and Southern Europe are not known, but the average 5-year survival of women with breast cancer has increased in Europe in the last three decades. Studies have revealed marked differences in cardiovascular diseases across Europe, showing cardiovascular death rates as highest among the Eastern and Central European countries and lowest in the Mediterranean countries. Cardiovascular disease is the major cause of mortality in European women. However, in North European countries, there are more ischaemic heart diseases in women than in Mediterranean countries. In Mediterranean countries, on the other hand, there are more strokes than in Northern Europe. These strokes events occur 10 years later than the ischaemic heart attacks.
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Affiliation(s)
- P Fogarty
- Ulster Community & Hospital Trust & Ulster Independent Clinic Belfast, Ireland, UK.
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Affiliation(s)
- C Casey
- Section of Cardiology, Department of Medicine, University of Chicago, Chicago, Illinois, USA
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Affiliation(s)
- Soha Said
- Regional Maternity Hospital, Limerick, Ireland.
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Abstract
Although progress has been made toward reducing risk-taking behavior among teens, adolescents confined in juvenile detention facilities and youths living in inner cities remain vulnerable. Reaching these populations with appropriate risk-reduction strategies continues to challenge health providers and educators. Crucial first steps in the design of relevant programs involve discovering how at-risk teens perceive risk and which risks and dangers within their communities occupy their attention. Participants in this study did not identify HIV/AIDS as a primary concern; instead, they described the dangers and risks they encountered in their home neighborhoods. Based on these findings, this discussion addresses the implications for the development of health education programs to empower teens for responsible behavior after release from detention.
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Affiliation(s)
- N L Anderson
- School of Nursing, University of California at Los Angeles, USA
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Anderson N, Nyamathi A, McAvoy J, Conde F, Casey C. Perceptions About Risk for HIV/AIDS Among Adolescents in Juvenile Detention. West J Nurs Res 2001. [DOI: 10.1177/01939450122045203] [Citation(s) in RCA: 3] [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: 11/17/2022]
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Anderson NL, Koniak-Griffin D, Keenan CK, Uman G, Duggal BR, Casey C. Evaluating the outcomes of parent-child family life education. Sch Inq Nurs Pract 2000; 13:211-34; discussion 235-8. [PMID: 10628237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
Conducted in diverse sociocultural communities in Los Angeles County, the project implemented and evaluated a family life education program designed to prevent the negative outcomes of risky sexual behavior. A sample of 251 male and female early adolescents 9 through 14 years of age participated with their parents in this abstinence-based adolescent pregnancy prevention program. The project sought to improve parent-child communications and delay the onset of sex-related behaviors through direct involvement of parents in the education process. Naturally occurring community groups were randomly assigned by site to treatment or delayed treatment conditions in a longitudinal quasi-experimental evaluation design. The evaluation demonstrated significant improvements in communication between parents and children immediately following the intervention; however, these improvements were no longer present 12 months postintervention. The process and outcome evaluation methods employed in the study triangulated qualitative and quantitative data collection and analysis procedures. This combination provided other sources of data than the traditional outcome measures used in most evaluation studies, thus addressing some of the gaps in present program evaluations. Descriptions of the process evaluation, integrated with the outcome data, are intended to heighten nurses' awareness of the importance of this component of research and the rich qualitative data it may yield. The qualitative process components in the project captured the experience of the investigators when they encountered many of the complex challenges that confront researchers who implement and evaluate family life education programs among early adolescents. This experience provided the basis for suggested strategies that nurse clinicians and researchers can use in their work with early adolescents and their parents in clinical-, school-, and community-based settings.
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Casey C. An Analytical Index to the Internet: Dreams of Utopia. CRL 1999. [DOI: 10.5860/crl.60.6.586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
All the current methods of accessing Internet resources fall short when it comes to locating discrete pieces of information and digital objects. One solution to this problem is to create analytical indexes to the Internet. This article explores the need for analytical indexes by looking at current Internet access, traditional bibliographic control, and Web site design. A discussion of some of the issues and problems concerning the development of these indexes, including the design and the resource selection process, emphasizes the impossibility of a comprehensive analytical index to the Internet. The creation of small, focused indexes may be the best solution for accessing specific types of digital information.
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Wilson MJ, Casey C, Woodson M, Sinha AA. Reverse zymography studies of protease inhibitors in the secretions of different lobes of rat prostate. Arch Androl 1999; 42:109-18. [PMID: 10101578 DOI: 10.1080/014850199262959] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
The purpose of this study was to determine whether protease inhibitors were a constituent of secretions from the different lobes of the rat prostate. A reverse zymography method was used employing gelatin substrate-SDS-polyacrylamide gel electrophoresis to detect inhibitors of trypsin in secretions of the ventral, lateral, and dorsal prostate lobes of the Sprague-Dawley rat. Inhibitors of approximately 34 and 63 kDa were detected in ventral prostate secretion and of about 63 and 73 kDa were found in lateral lobe secretion. However, no inhibitor activities were detected in secretions of the dorsal lobe. The protease inhibitors of ventral prostate secretion were partially purified by preparatory isolectric focusing and SDS-polyacrylamide gel electrophoresis. The 34-kDa (pI 5.6-6.4) inhibitor had a higher activity against trypsin, whereas the 63-kDa (pI 6.4-7.0) inhibitor was more active against chymotrypsin. The rat prostate appears to have a lobe-specific distribution of secretory serine protease inhibitors.
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Affiliation(s)
- M J Wilson
- VA Medical Center, Department of Laboratory Medicine and Pathology, University of Minnesota Cancer Center, University of Minnesota, Minneapolis 55417, USA
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Abstract
Although librarians recognize the Internet as a resource for knowledge and information, they have yet to make a formal effort to collect and preserve the Web sites found there. This paper addresses not only the need to set up a cyberarchive but also some of the issues involved. With Web sites appearing and disappearing constantly from the Internet, the time to save them is now—before we lose a precious thread in our cultural and intellectual history.
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Luxton T, Casey C, Tindall P. Re-engineering. Allied resources. Health Serv J 1997; 107:32-3. [PMID: 10167327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- T Luxton
- Queen Elizabeth Hospital, Norfolk, UK
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Casey C. Psychosexual morbidity following gynaecological malignancy. Ir Med J 1996; 89:200, 202. [PMID: 8996940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Korbet SM, Casey C, Rodby RA, Williams W. The use of continuous arteriovenous hemofiltration in orthotopic liver transplantation. Clin Nephrol 1995; 43:134-6. [PMID: 7736677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
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Behbakht K, Yordan EL, Casey C, DeGeest K, Massad LS, Kirschner CV, Wilbanks GD. Prognostic indicators of survival in advanced endometrial cancer. Gynecol Oncol 1994; 55:363-7. [PMID: 7835775 DOI: 10.1006/gyno.1994.1307] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Advanced endometrial cancer represents 14% of all stages but 54% of all deaths attributed to endometrial cancer. From 1973 to 1990, the charts of 137 patients with endometrial cancer (Stage III and IV) treated by the section of Gynecologic Oncology at Rush Medical College were retrospectively reviewed. The log rank method was used for univariate analysis and Cox proportional hazards regression was used for multivariate analysis. The patients were stratified as follows: Stage III, 92 (67.2%), Stage IV, 45 (32.8%); Grade 1, 15 (10.9%), Grade 2, 47 (34.3%), Grade 3, 67 (48.9%); adenocarcinoma, 93 (67.9%), adenosquamous, 18 (13.1%), adenoacanthoma, 2 (1.5%), clear cell, 1 (0.7%), papillary serous, 23 (16.8%). Using univariate analysis, median survival was 1.71 years for Stage III versus 0.68 years for Stage IV. Median survival based on treatment was as follows: radiotherapy (RT) only (n = 16), 0.89 years, surgery only (n = 36), 0.75 years, preoperative RT+surgery (n = 7), 2.5 years, surgery+postoperative RT (n = 56), 2.63 years, and other treatments (hormonal only n = 12, chemotherapy only n = 1, and no treatment n = 9), 0.6 years. Patients with vaginal extension survived a median of 0.82 years, versus 2.49 years without this factor (P = 0.002). Patients with clinically apparent parametrial involvement survived a median of 0.70 years versus 2.65 years without this factor (P = 0.0003). Multivariate analysis was possible via a surgical database (n = 99). Age > 60 (P = 0.01), parametrial involvement (P = 0.04), and abdominal metastases (P = 0.003) were significant prognostic indicators. Papillary or clear cell histology, advanced grade, and mode of treatment were not significant. Patients with abdominal metastases or parametrial extension of tumor have a significant decrease in mean survival.
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Affiliation(s)
- K Behbakht
- Section of Gynecologic Oncology, Rush Medical College, Chicago, Illinois 60612
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Abstract
The partitioning of calcium in human milk was studied experimentally and compared with the distribution of calcium among the compartments of bovine milk. Care was taken to handle the milk samples to produce minimal disturbance of the milk fat globule membranes and the CO2 content. About 15% of the milk calcium was associated with casein in human milk; the remainder was in the aqueous phase. The equilibrium between ionized calcium and calcium complexes with smaller anions was examined. Ionized calcium varied between 2.3 and 4.0 mM across individuals (mean 3.0 +/- .1 mM) at 90 d of lactation. The remainder of the calcium in the aqueous phase was associated with citrate and phosphate. Changes in total calcium in human milk during lactogenesis and late lactation reflected changes in citrate and casein rather than alterations in ionized calcium.
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Affiliation(s)
- M C Neville
- Department of Physiology, University of Colorado School of Medicine, Denver 80262
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Griepsma J, Marcollo J, Casey C, Cherry F, Vary E, Walton V. The incidence of postnatal depression in a rural area and the needs of affected women. AUST J ADV NURS 1994; 11:19-23. [PMID: 7980885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
The Gippsland Maternal and Child Health Service Research Group conducted a survey to investigate the incidence of postnatal depression in women with three months old infants who were born in the Gippsland region. As well, the mothers were asked how they could have been better supported in the five to 13 weeks after their babies were born. The respondents' Edinburgh Postnatal Depression Scale scores indicated that 58% of women had experienced depression. These women expressed a need and a preference for home based support, i.e. occasional child care, extended home help, greater access to telephone counselling and home visits by maternal and child health nurses and for education of their infants' fathers. On the basis of the study and their experiences, the Research Group makes recommendations about how the needs of women with postnatal depression may be better met.
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Neville MC, Casey C, Hay WW. Endocrine regulation of nutrient flux in the lactating woman. Do the mechanisms differ from pregnancy? Adv Exp Med Biol 1994; 352:85-98. [PMID: 7832061 DOI: 10.1007/978-1-4899-2575-6_6] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- M C Neville
- Department of Physiology, University of Colorado School of Medicine, Denver 80262
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Abstract
OBJECTIVES To assess the efficacy of vaginal prostaglandin (PGE2) tablets for induction of labor in the presence of a ripe cervix. METHODS A randomized controlled trial was performed. Two hundred and nine consecutive women undergoing induction of labor with a Bishop Score > or = 5 were randomly assigned to (a). Study group receiving PGE2 tablets (n = 106) and (b). Control group having artificial rupture of membranes only (n = 103). The duration of labor, oxytocin and analgesia requirements, the mode of delivery, complications and duration of confinement were recorded. RESULTS Mean duration of first stage of labor was shorter in parous patients in the study group (194 min v. 319 min), as was the mean induction delivery interval in primigravidas. Oxytocin was used in 75% of primiparas and 40% multiparas in the study group compared with 100% and 80%, respectively, in the controls. Epidural analgesics and instrumental delivery rates were also reduced. CONCLUSIONS The use of vaginal PGE2 tablets for induction of labor with a ripe cervix is associated with a shorter first stage of labor and with reduced requirements for oxytocin, analgesia and instrumental delivery.
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Affiliation(s)
- C Casey
- Department of Obstetrics and Gynaecology, University College Hospital, Galway, Ireland
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Kanous KS, Casey C, Lindemann CB. Inhibition of microtubule sliding by Ni2+ and Cd2+: evidence for a differential response of certain microtubule pairs within the bovine sperm axoneme. Cell Motil Cytoskeleton 1993; 26:66-76. [PMID: 8221908 DOI: 10.1002/cm.970260107] [Citation(s) in RCA: 44] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Bovine sperm, extracted with 0.1% Triton X-100, frozen at -20 degrees C for 48-120 hours, and thawed, disintegrated by microtubule sliding when 1 mM MgATP was added. Microtubules and outer dense fibers (ODFs) were usually extruded in groups or "bundles". A total of 44.5% of the cells extruded two distinct bundles, one from each side of the connecting piece, exhibiting opposite curvatures. Only one bundle was observed in 46.2% of the cells, and 9.2% showed no signs of sliding. Transmission electron microscopy (T.E.M.) showed one group consisting of the 4,5-6,7 elements, with the 9,1,2 elements on the other side of the axoneme making up the other bundle. T.E.M. revealed that when only one side of the axoneme had extruded elements, they were always from the 4,5-6,7 group. The remainder of the axoneme (8,9,1,2,3 and the central pair) was left relatively intact, suggesting a difference in the sliding response of the nine pairs of axonemal microtubules. These results indicate a predisposition for sliding between elements 7 and 8 over that between doublets 2 and 3, perhaps due to a disparity in activation thresholds. Also, both Ni2+ and Cd2+ appear to selectively block activation of 2-3 interdoublet sliding. Incubation with 0.25 mM Ni2+ prior to adding MgATP modified the percentages of sliding patterns: 8.6% demonstrated two-sided extrusion, 58.2% showed one-sided, and 33.2% had no extruded bundles. Again, when half the axoneme was missing, it was always the 4,5-6,7 group. Ten micromolar Cd2+ altered the sliding pattern similarly to Ni2+, with 28% two-sided extrusion, 55.9% one-sided extrusion and 16.1% with no extruded bundles. Either pretreatment regimen impeded extrusion of the 9,1,2 group in a high percentage of cells, compared to untreated cells. This specific inhibition of the 9,1,2 side by Ni2+ or Cd2+ is especially significant since Ni2+ also inhibits spontaneous wave initiation in bull sperm (Lindemann et al.: Journal of Cell Biology 87:420-426, 1980), and both Ni2+ and Cd2+ reportedly block the flagellar Ca(2+)-response in rat sperm (Lindemann and Goltz: Cell Motility and the Cytoskeleton 10:420-431, 1988; Lindemann et al.: Cell Motility and the Cytoskeleton 20:316-324, 1991).
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Affiliation(s)
- K S Kanous
- Department of Biological Sciences, Oakland University, Rochester, Michigan
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