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Savvas S, Goh AMY, Batchelor F, Doyle C, Wise E, Tan E, Panayiotou A, Malta S, Winbolt M, Clarke P, Burton J, Low LF, Loi SM, Fairhall A, Polacsek M, Stiles J, Muliadi F, Chau N, Scherer S, Ames D, Sousa TV, Dow B. Promoting Independence Through quality dementia Care at Home (PITCH): a research protocol for a stepped-wedge cluster-randomised controlled trial. Trials 2021; 22:949. [PMID: 34930422 PMCID: PMC8687633 DOI: 10.1186/s13063-021-05906-1] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 12/03/2021] [Indexed: 11/28/2022] Open
Abstract
Background Home care service providers are increasingly supporting clients living with dementia. Targeted and comprehensive dementia-specific training for home care staff is necessary to meet this need. This study evaluates a training programme delivered to care staff (paid personal carers) of clients living with dementia at home. Methods This study is a pragmatic stepped-wedge cluster-randomised controlled trial (SW-CRT). Home care workers (HCWs) from seven home care service providers are grouped into 18 geographical clusters. Clusters are randomly assigned to intervention or control groups. The intervention group receives 7 h of a dementia education and upskilling programme (Promoting Independence Through quality dementia Care at Home [PITCH]) after baseline measures. The control group receives PITCH training 6 months after baseline measures. This approach will ensure that all participants are offered the program. Home care clients living with dementia are also invited to participate, as well as their family carers. The primary outcome measure is HCWs’ sense of competence in dementia care provision. Discussion Upskilling home care staff is needed to support the increasing numbers of people living with dementia who choose to remain at home. This study uses a stepped-wedge cluster-randomised trial to evaluate a training programme (PITCH) for dementia care that is delivered to front-line HCWs. Trial registration anzctr.org.au; ACTRN12619000251123. Registered on 20 February 2019.
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Affiliation(s)
- Steven Savvas
- The National Ageing Research Institute, Parkville, VIC, Australia.
| | - Anita M Y Goh
- The National Ageing Research Institute, Parkville, VIC, Australia.,The University of Melbourne, Parkville, VIC, Australia.,Neuropsychiatry, Royal Melbourne Hospital, Parkville, VIC, Australia
| | | | - Colleen Doyle
- The National Ageing Research Institute, Parkville, VIC, Australia
| | - Erica Wise
- The National Ageing Research Institute, Parkville, VIC, Australia
| | - Esther Tan
- The National Ageing Research Institute, Parkville, VIC, Australia
| | - Anita Panayiotou
- The National Ageing Research Institute, Parkville, VIC, Australia
| | - Sue Malta
- The National Ageing Research Institute, Parkville, VIC, Australia.,The University of Melbourne, Parkville, VIC, Australia
| | | | | | | | - Lee-Fay Low
- University of Sydney, Sydney, NSW, Australia
| | - Samantha M Loi
- The University of Melbourne, Parkville, VIC, Australia.,Neuropsychiatry, Royal Melbourne Hospital, Parkville, VIC, Australia
| | | | - Meg Polacsek
- The National Ageing Research Institute, Parkville, VIC, Australia.,Benetas, Melbourne, VIC, Australia
| | - Jay Stiles
- The National Ageing Research Institute, Parkville, VIC, Australia
| | - Fenny Muliadi
- The National Ageing Research Institute, Parkville, VIC, Australia
| | - Nadia Chau
- The National Ageing Research Institute, Parkville, VIC, Australia
| | | | - David Ames
- The National Ageing Research Institute, Parkville, VIC, Australia.,The University of Melbourne, Parkville, VIC, Australia
| | | | - Briony Dow
- The National Ageing Research Institute, Parkville, VIC, Australia.,The University of Melbourne, Parkville, VIC, Australia
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Johnson N, Goddard TM, Goharriz H, Wise E, Jennings D, Selden D, Marston DA, Banyard AC, McElhinney LM, Fooks AR. Two EBLV-2 infected Daubenton's bats detected in the north of England. Vet Rec 2017; 179:311-2. [PMID: 27660356 DOI: 10.1136/vr.i5121] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- N Johnson
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
| | - T M Goddard
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
| | - H Goharriz
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
| | - E Wise
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
| | - D Jennings
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
| | - D Selden
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
| | - D A Marston
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
| | - A C Banyard
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
| | - L M McElhinney
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
| | - A R Fooks
- Wildlife Zoonoses and Vector Borne Diseases Research Group, Animal and Plant Health Agency, Woodham Lane, Addlestone, Surrey KT15 3NB. e-mail:
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Zeynalova S, Shikhiyev M, Aliyeva T, Ismayilova R, Wise E, Abdullayev R, Asadov K, Rustamova S, Quliyev F, Whatmore AM, Marshall ES, Fooks AR, Horton DL. Epidemiological characteristics of human and animal rabies in Azerbaijan. Zoonoses Public Health 2014; 62:111-8. [PMID: 24845953 DOI: 10.1111/zph.12119] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2013] [Indexed: 12/25/2022]
Abstract
The Caucasus is a region of geopolitical importance, in the gateway between Europe and Asia. This geographical location makes the region equally important in the epidemiology and control of transboundary infectious diseases such as rabies. Azerbaijan is the largest country in the Caucasus, and although rabies is notifiable and considered endemic, there is little information on the burden of human and animal rabies. Here, we describe a cross-disciplinary international collaboration aimed at improving rabies control in Azerbaijan. Partial nucleoprotein gene sequences were obtained from animal rabies cases for comparison with those from surrounding areas. Reported human and animal rabies cases between 2000 and 2010 were also reviewed and analysed by region and year. Comparison of rabies virus strains circulating in Azerbaijan demonstrates more than one lineage of rabies virus circulating concurrently in Azerbaijan and illustrates the need for further sample collection and characterization. Officially reported rabies data showed an increase in human and animal rabies cases, and an increase in animal bites requiring provision of post-exposure prophylaxis, since 2006. This is despite apparently consistent levels of dog vaccination and culling of stray dogs.
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Affiliation(s)
- S Zeynalova
- Republican Veterinary Laboratory, Baku, Azerbaijan
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Green J, Wise E, Lawson S, Liacouras P, Gentile M, Grant G. The Use of Custom 3D Anatomical Spacers in Maxillofacial Resection and Reconstruction of the Temporomandiublar Joint. J Oral Maxillofac Surg 2013. [DOI: 10.1016/j.joms.2013.06.010] [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: 11/16/2022]
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Trujillo A, McGee CS, Gars E, Bosse R, Meacham A, Wise E, Bais S, Cogle CR. Leukemia regression by targeting c-Kit activity with pazopanib. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.6611] [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: 11/20/2022] Open
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Haskard DO, Denton C, McHugh N, Jones A, Wells A, Wise E, Black C, Doherty M, McCloskey E. Essentials in rheumatology: IP1. Disease Management: Management of Behcet's Syndrome. Rheumatology (Oxford) 2011. [DOI: 10.1093/rheumatology/ker045] [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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Markiewicz M, Wise E, Buchwald Z, Pinto A, Shaw A. Antigen-independent recruitment of CTL to pancreatic islets expressing an NKG2D ligand (44.38). The Journal of Immunology 2011. [DOI: 10.4049/jimmunol.186.supp.44.38] [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] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Abstract
The mechanisms by which CTLs enter and are retained in non-lymphoid tissue are not well-characterized. Using a novel transgenic mouse expressing the NKG2D ligand RAE1ϵ in β-islet cells of the pancreas, we found RAE1 expression was sufficient to induce the recruitment of adoptively transferred CTLs to islets. This was dependent on NKG2D expression by the CTLs and independent of antigen recognition. While transgenic mice did not develop diabetes, RAE1 expression was sufficient to induce insulitis in older, unmanipulated transgenic mice that was enhanced by viral infection and pancreatic inflammation. Surprisingly, the recruitment of CTLs resulted in the subsequent recruitment of a large number of endogenous lymphocytes. These results demonstrate that the expression of NKG2D ligands in islets is sufficient to recruit CTLs and induce a significant insulitis.
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Affiliation(s)
- Mary Markiewicz
- 1Pathology and Immunology, Washington University School of Medicine, St Louis, MO
| | - Erica Wise
- 1Pathology and Immunology, Washington University School of Medicine, St Louis, MO
| | - Zachary Buchwald
- 1Pathology and Immunology, Washington University School of Medicine, St Louis, MO
| | - Amelia Pinto
- 1Pathology and Immunology, Washington University School of Medicine, St Louis, MO
| | - Andrey Shaw
- 1Pathology and Immunology, Washington University School of Medicine, St Louis, MO
- 2Howard Hughes Medical Institute, Washington University School of Medicine, St Louis, MO
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Wise E, Pease JE. Unravelling the mechanisms underpinning chemokine receptor activation and blockade by small molecules: a fine line between agonism and antagonism? Biochem Soc Trans 2007; 35:755-9. [PMID: 17635141 DOI: 10.1042/bst0350755] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Chemokines are a family of small basic proteins which induce the directed migration of cells, notably leucocytes, by binding to specific GPCRs (G-protein-coupled receptors). Both chemokines and their receptors have been implicated in a host of clinically important diseases, leading to the notion that antagonism of the chemokine–chemokine receptor network may be therapeutically advantageous. Consequently, considerable effort has been put into the development of small-molecule antagonists of chemokine receptors and several such compounds have been described in the literature. One curious by-product of this activity has been the description of several small-molecule agonists of the receptors, which are typically discovered following the optimization of lead antagonists. In this review we discuss these findings and conclude that these small-molecule agonists might be exploited to further our understanding of the molecular mechanisms by which chemokine receptors are activated.
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Affiliation(s)
- E Wise
- Leukocyte Biology Section, NHLI Division, Faculty of Medicine, Imperial College London, South Kensington Campus, London SW7 2AZ, UK.
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Hay EM, Campbell A, Linney S, Wise E. Development of a competency framework for general practitioners with a special interest in musculoskeletal/rheumatology practice. Rheumatology (Oxford) 2006; 46:360-2. [PMID: 17135227 DOI: 10.1093/rheumatology/kel357] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- E M Hay
- Primary Care Musculoskeletal Research Group, Primary Care Sciences, Keele University, Keele, Staffordshire ST5 5BG, UK.
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Hagen SE, Domagala J, Gajda C, Lovdahl M, Tait BD, Wise E, Holler T, Hupe D, Nouhan C, Urumov A, Zeikus G, Zeikus E, Lunney EA, Pavlovsky A, Gracheck SJ, Saunders J, VanderRoest S, Brodfuehrer J. 4-Hydroxy-5,6-dihydropyrones as inhibitors of HIV protease: the effect of heterocyclic substituents at C-6 on antiviral potency and pharmacokinetic parameters. J Med Chem 2001; 44:2319-32. [PMID: 11428926 DOI: 10.1021/jm0003844] [Citation(s) in RCA: 47] [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] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Due largely to the emergence of multi-drug-resistant HIV strains, the development of new HIV protease inhibitors remains a high priority for the pharmaceutical industry. Toward this end, we previously identified a 4-hydroxy-5,6-dihydropyrone lead compound (CI-1029, 1) which possesses excellent activity against the protease enzyme, good antiviral efficacy in cellular assays, and promising bioavailability in several animal species. The search for a suitable back-up candidate centered on the replacement of the aniline moiety at C-6 with an appropriately substituted heterocyle. In general, this series of heterocyclic inhibitors displayed good activity (in both enzymatic and cellular tests) and low cellular toxicity; furthermore, several analogues exhibited improved pharmacokinetic parameters in animal models. The compound with the best combination of high potency, low toxicity, and favorable bioavailabilty was (S)-3-(2-tert-butyl-4-hydroxymethyl-5-methyl-phenylsulfanyl)-4-hydroxy-6-isopropyl-6-(2-thiophen-3-yl-ethyl)-5,6-dihydro-pyran-2-one (13-(S)). This thiophene derivative also exhibited excellent antiviral efficacy against mutant HIV protease and resistant HIV strains. For these reasons, compound 13-(S) was chosen for further preclinical evaluation.
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Affiliation(s)
- S E Hagen
- Department of Chemistry, Pfizer Global Research and Development, 2800 Plymouth Road, Ann Arbor, Michigan 48105, USA.
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Abstract
This study examined the health problems and utilization patterns of homeless individuals (n = 292) seeking medical services in a small, southern community. Results showed that the medical problems for which the homeless sought treatment were often (72.6 percent) a reoccurring problem for which treatment had been previously received. The most prevalent medical problem was upper respiratory infection (47 percent), likely exacerbated by the high rate (73 percent) of cigarette smoking found among the sample. More than half (51.4 percent) of the participants had used other medical services in the past month. Despite these high rates of utilization, the homeless may, in fact, be underutilizing appropriate preventive medical services, waiting until the medical problem becomes serious before seeking treatment, and overutilizing emergency rooms for nonemergency care. Community-based services sensitive to the needs of the homeless are likely to cost communities less money while providing better services to the homeless.
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Affiliation(s)
- N Sachs-Ericsson
- Florida State University, Department of Psychology, Tallahassee 32306-1270, USA
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Norcross WA, Wise E, Simms GR, Nidorf J, Thong M, Schneiderman LJ. Fatal oriental cholangiohepatitis in a member of the Hmong community. J Fam Pract 1981; 12:909-911. [PMID: 7217909] [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: 05/21/2023]
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Wise E. Psychiatric rehabilitation--a specific encounter. J Rehabil 1976; 42:40-5. [PMID: 184280] [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: 12/13/2022] Open
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Eden LJ, Wise E. Amniotic fluid embolism. Nurs Mirror Midwives J 1968; 127:17-8. [PMID: 5187114] [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: 01/14/2023]
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Fernando Q, Freiser H, Wise E. Metal Chelates in Analytical Chemistry. Science 1964; 143:491-6. [PMID: 17833747 DOI: 10.1126/science.143.3605.491] [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: 11/02/2022]
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