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May F, Ginige S, Firman E, Li YS, Soonarane YK, Smoll N, Hunter I, Pery B, Macfarlane B, Bladen T, Allen T, Green T, Walker J, Slinko V, Stickley M, Khandaker G, Anuradha S, Wattiaux A. Estimating the incidence of COVID-19, influenza and respiratory syncytial virus infection in three regions of Queensland, Australia, winter 2022: findings from a novel longitudinal testing-based sentinel surveillance programme. BMJ Open 2024; 14:e081793. [PMID: 38653507 PMCID: PMC11043701 DOI: 10.1136/bmjopen-2023-081793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 04/10/2024] [Indexed: 04/25/2024] Open
Abstract
OBJECTIVE The 2022 Australian winter was the first time that COVID-19, influenza and respiratory syncytial virus (RSV) were circulating in the population together, after two winters of physical distancing, quarantine and borders closed to international travellers. We developed a novel surveillance system to estimate the incidence of COVID-19, influenza and RSV in three regions of Queensland, Australia. DESIGN We implemented a longitudinal testing-based sentinel surveillance programme. Participants were provided with self-collection nasal swabs to be dropped off at a safe location at their workplace each week. Swabs were tested for SARS-CoV-2 by PCR. Symptomatic participants attended COVID-19 respiratory clinics to be tested by multiplex PCR for SARS-CoV-2, influenza A and B and RSV. Rapid antigen test (RAT) results reported by participants were included in the analysis. SETTING AND PARTICIPANTS Between 4 April 2022 and 3 October 2022, 578 adults were recruited via their workplace. Due to rolling recruitment, withdrawals and completion due to positive COVID-19 results, the maximum number enrolled in any week was 423 people. RESULTS A total of 4290 tests were included. Participation rates varied across the period ranging from 25.9% to 72.1% of enrolled participants. The total positivity of COVID-19 was 3.3%, with few influenza or RSV cases detected. Widespread use of RAT may have resulted in few symptomatic participants attending respiratory clinics. The weekly positivity rate of SARS-CoV-2 detected during the programme correlated with the incidence of notified cases in the corresponding communities. CONCLUSION This testing-based surveillance programme could estimate disease trends and be a useful tool in settings where testing is less common or accessible. Difficulties with recruitment meant the study was underpowered. The frontline sentinel nature of workplaces meant participants were not representative of the general population but were high-risk groups providing early warning of disease.
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Affiliation(s)
- Fiona May
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
| | - Shamila Ginige
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
| | - Elise Firman
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
| | - Yee Sum Li
- Metro South Public Health Unit, Metro South Hospital and Health Service, Woolloongabba, Queensland, Australia
| | - Yudish Kumar Soonarane
- Metro South Public Health Unit, Metro South Hospital and Health Service, Woolloongabba, Queensland, Australia
| | - Nicolas Smoll
- Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia
| | - Ian Hunter
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
| | - Brielle Pery
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
| | - Bonnie Macfarlane
- Metro South Public Health Unit, Metro South Hospital and Health Service, Woolloongabba, Queensland, Australia
| | - Tracy Bladen
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
| | - Terresa Allen
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
| | - Trevor Green
- Metro South Public Health Unit, Metro South Hospital and Health Service, Woolloongabba, Queensland, Australia
| | - Jacina Walker
- Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia
| | - Vicki Slinko
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
- School of Public Health, The University of Queensland, Herston, Queensland, Australia
| | - Mark Stickley
- Metro South Public Health Unit, Metro South Hospital and Health Service, Woolloongabba, Queensland, Australia
| | - Gulam Khandaker
- Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia
| | - Satyamurthy Anuradha
- Metro South Public Health Unit, Metro South Hospital and Health Service, Woolloongabba, Queensland, Australia
- School of Public Health, The University of Queensland, Herston, Queensland, Australia
| | - Andre Wattiaux
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia
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May F, Spindler B, Müsse J, Skiba K, Kemper N, Stracke J. Use of an elevated platform with perforated surface and manure belt by fast-growing broilers on commercial farms. Poult Sci 2024; 103:103243. [PMID: 37980765 PMCID: PMC10692722 DOI: 10.1016/j.psj.2023.103243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 10/22/2023] [Accepted: 10/24/2023] [Indexed: 11/21/2023] Open
Abstract
Like other members of the species Gallus gallus, fast-growing broilers are motivated to perch. However, broilers in the European Union are kept in unstructured barns, with no opportunity to sit elevated and rest undisturbed. A possible solution to this problem is elevated platforms. The aim of this study was to evaluate the use of an elevated platform with perforated surface and manure belt by fast-growing broilers. On 2 commercial farms, an elevated platform was installed in 1 barn per farm. Approximately 35,000 Ross 308 broilers were housed in each barn for 3 fattening periods. On 1 d per wk, the number of broilers per m² on the platform and the ramp was determined every 30 min from video recordings. Besides, focal animals were observed to analyze their behavior on the platform at different ages and during light and dark periods. Broilers used the elevated platform and the ramp from the first week until the end of the fattening period (platform: 9.92 broilers per m², ramp: 6.47 broilers per m²), with a peak in the fourth week of life (platform: 13.00 broilers per m²). In wk 2, 4, and 5, platform use was higher during the light period than during the dark period. Broilers stayed longer on the platform in the dark period (dark: 01:54:23 [hh:mm:ss], light: 00:19:54 [hh:mm:ss]). In every phase of the fattening period, broilers on the platform were inactive to a high proportion (on average 80.60%). This indicates that broilers used the platform also for resting behavior. Thus, the elevated platform with perforated surface and manure belt is a suitable option to structure broiler barns. It allows the broilers to sit elevated and provides additional space. Factors such as a shallow ramp incline of 20°, wide ramps, and appropriate material used for the surface and ramps may have contributed to its high use by broilers of all ages. Further research is needed to evaluate the design of platforms that allow broilers to rest undisturbed.
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Affiliation(s)
- F May
- Institute for Animal Hygiene, Animal Welfare and Farm Animal Behavior, University of Veterinary Medicine Hannover (Foundation), 30173 Hannover, Germany.
| | - B Spindler
- Institute for Animal Hygiene, Animal Welfare and Farm Animal Behavior, University of Veterinary Medicine Hannover (Foundation), 30173 Hannover, Germany
| | - J Müsse
- Department 3.7, Research Livestock, Chamber of Agriculture Lower Saxony, 26121 Oldenburg, Germany
| | - K Skiba
- Institute for Animal Hygiene, Animal Welfare and Farm Animal Behavior, University of Veterinary Medicine Hannover (Foundation), 30173 Hannover, Germany
| | - N Kemper
- Institute for Animal Hygiene, Animal Welfare and Farm Animal Behavior, University of Veterinary Medicine Hannover (Foundation), 30173 Hannover, Germany
| | - J Stracke
- Institute of Animal Science, Ethology, University of Bonn, 53115 Bonn, Germany
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May F, Schaffer GE, Allen KA, Berger E, von Hagen A, Hill V, Morris ZA, Prior S, Summers D, Wurf G, Reupert A. Perspectives of practicing school psychologists during COVID-19: A multi-country, mixed methods investigation. Sch Psychol Int 2023; 44:447-467. [PMID: 38603133 PMCID: PMC9659691 DOI: 10.1177/01430343221137716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Abstract
COVID-19 presented a range of challenges to the delivery of school psychology services in countries around the world. The current study aimed to investigate the practices of school psychologists from the United States of America, Australia, Germany, Canada, and the United Kingdom, including changes to practice and exploration of the factors that supported the delivery of school psychology services during the pandemic. Quantitative and qualitative data were collected from 1,030 school psychologists and analyzed using a mixed methods, multiple case study design. Differing impacts of the pandemic on the working hours of school psychologists were reported across countries. Participants in all countries reported a shift to online working, with an increased focus on consultation and intervention and a reduction in psychoeducational assessments. School psychologists from all nations emphazised the importance of self-care strategies, social connections and physical activity and the role of support via supervision or professional networks. Access to appropriate technology and responsive workplace policies and procedures were also identified as important. Results have implications for the internationalization of the school psychology profession and can inform international school psychology planning in response to future crises.
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Affiliation(s)
- Fiona May
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton VIC 3800, Australia
| | - Gary E. Schaffer
- Department of School Psychology and Counseling, Niagara University, Niagara, NY, USA
| | - Kelly-Ann Allen
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton VIC 3800, Australia
| | - Emily Berger
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton VIC 3800, Australia
| | - Alexa von Hagen
- Department of Educational Psychology, Goethe-University, Frankfurt am Main, Hessen, Germany
| | - Vivian Hill
- Institute of Education, University College London, London, UK
| | - Zoe A. Morris
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton VIC 3800, Australia
| | - Stefanie Prior
- Institute of Education, University College London, London, UK
| | - Dianne Summers
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton VIC 3800, Australia
| | - Gerald Wurf
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton VIC 3800, Australia
| | - Andrea Reupert
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton VIC 3800, Australia
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Berger E, Mackie G, Reupert A, Greenfeld D, Allen KA, May F, Wurf G, Summers D, Morris Z. The Experiences of Australian School Mental Health Professionals during COVID-19 Lockdowns. Children (Basel) 2023; 10:1157. [PMID: 37508654 PMCID: PMC10378528 DOI: 10.3390/children10071157] [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] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 06/26/2023] [Accepted: 06/30/2023] [Indexed: 07/30/2023]
Abstract
Young people have emerged as one of the most impacted groups from the COVID-19 pandemic and related restrictions to daily activities, with disruptions to schooling, social interactions, and connections. Simultaneously, students' access to school mental health professionals were restricted or modified. The aim of this paper was to identify how school mental health professionals supported and addressed the mental health needs of young people during COVID-19 restrictions in Australia. School mental health professionals were surveyed during the 2020 lockdowns using a questionnaire designed by researchers in the United States of America. The innovations school mental health staff adopted to support students during lockdowns and remote learning were presented, including telehealth services, digital resources, and the online training and support they received/provided. The barriers and facilitators to providing counselling and assessment services during lockdowns were identified, including issues with providing psychometric assessments during remote learning, and ethical concerns when delivering remote counselling to students. Recommendations have been included, which address how school mental health professionals could be supported to assess and treat young people during future pandemics and school restrictions.
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Affiliation(s)
- Emily Berger
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC 3800, Australia
- School of Rural Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, VIC 3800, Australia
| | - Grace Mackie
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC 3800, Australia
| | - Andrea Reupert
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC 3800, Australia
| | - Daliya Greenfeld
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC 3800, Australia
| | - Kelly-Ann Allen
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC 3800, Australia
- Centre for Wellbeing Science, Melbourne Graduate School of Education, University of Melbourne, Parkville, VIC 3010, Australia
| | - Fiona May
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC 3800, Australia
| | - Gerald Wurf
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC 3800, Australia
| | - Dianne Summers
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC 3800, Australia
| | - Zoe Morris
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, VIC 3800, Australia
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Colbran C, May F, Vosti F, Bladen T, Wattiaux A, Slinko V. Wave of COVID-19 outbreaks in Gold Coast residential aged care facilities after easing travel restrictions into Queensland. Commun Dis Intell (2018) 2023; 47. [PMID: 36958930 DOI: 10.33321/cdi.2023.47.15] [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] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
Abstract
Objective This paper describes outbreaks of coronavirus disease 2019 (COVID-19) in Gold Coast residential aged care facilities (RACFs), in the two months following the easing of travel restrictions at Queensland's domestic border on 13 December 2021. Methods This audit reviewed all RACF COVID-19 outbreaks notified to the Gold Coast Public Health Unit between 13 December 2021 and 12 February 2022. An outbreak was defined by the Communicable Diseases Network Australia guidelines current at the time. Results There were 60 COVID-19 outbreaks across 57 RACFs during this period. In 44 outbreaks (73.3%), a staff member was identified as the primary or co-primary case. Transmission amongst residents occurred in 48 outbreaks (80.0%). The attack rates in staff and residents were 17.0% (n = 1,060) and 11.7% (n = 645) respectively. A higher number of males were hospitalised (n = 39: 57.4%) or died (n = 28: 66.7%) than were females (n = 29: 42.6%; n = 14: 33.3% respectively). Most resident cases (n = 565: 87.6%) had received two or more doses of a COVID-19 vaccine. In resident cases who were under-vaccinated (n = 76), twenty (26.3%) required hospitalisation and nine (11.8%) died. In resident cases who received two doses of vaccine (n = 484), forty-three (8.9%) were hospitalised and 27 (5.8%) died. In resident cases who had received three doses (n = 80), four (5.0%) were hospitalised and five (6.3%) died. Conclusions COVID-19 caused significant morbidity and mortality in Gold Coast RACFs following the easing of border restrictions. Higher rates of hospitalisation and death occurred in males than in females, and in under-vaccinated resident cases than in those vaccinated with at least two doses of a COVID-19 vaccine. Implications for public health These data support the need for up-to-date COVID-19 vaccination of residents in RACFs, continued surveillance and timely and appropriate implementation of public health guidelines to manage COVID-19 outbreaks in RACFs.
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Affiliation(s)
- Candice Colbran
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service
| | - Fiona May
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service
| | - Fiona Vosti
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service
| | - Tracy Bladen
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service
| | - Andre Wattiaux
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service
| | - Vicki Slinko
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service
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Ginige S, Firman E, Li YS, Soonarane Y, Smoll N, May F, Hunter I, Pery B, Macfarlane B, Bladen T, Allen T, Lennon M, Walker J, Slinko V, Stickley M, Khandaker G, Anuradha S, Wattiaux A. Protocol for a winter sentinel surveillance program of notifiable respiratory viruses in Queensland. PLoS One 2022; 17:e0277895. [PMID: 36441699 PMCID: PMC9704554 DOI: 10.1371/journal.pone.0277895] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 11/06/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND With the reduction in access to polymerase chain reaction (PCR) testing and changes in testing guidelines in Australia, a reduced number of people are seeking testing for coronavirus disease (COVID-19), limiting the opportunity to monitor disease transmission. Knowledge of community transmission of COVID-19 and other respiratory viruses is essential to better predict subsequent surges in cases during the pandemic to alert health services, protect vulnerable populations and enhance public health measures. We describe a methodology for a testing-based sentinel surveillance program to monitor disease in the community for early signal detection of SARS-CoV-2 and other respiratory viruses. METHODS/DESIGN A longitudinal active testing-based sentinel surveillance program for respiratory viruses (including SARS-CoV-2, influenza A, influenza B and Respiratory Syncytial Virus) will be implemented in some regions of Queensland. Adults will be eligible for enrolment if they are part of specific community groups at increased risk of exposure and have not had a COVID-19 infection in the last 13 weeks. Recruitment via workplaces will occur in-person, via email and through online advertisement. Asymptomatic participants will be tested via PCR for SARS-CoV-2 infection by weekly self-collected nasal swabs. In addition, symptomatic participants will be asked to seek SARS-CoV-2 and additional respiratory virus PCR testing at nominated COVID-19 testing sites. SARS-CoV-2 and respiratory virus prevalence data will be analysed weekly and at the end of the study period. DISCUSSION Once implemented, this surveillance program will determine the weekly prevalence of COVID-19 and other respiratory viruses in the broader community by testing a representative sample of adults, with an aim to detect early changes in the baseline positivity rate. This information is essential to define the epidemiology of SARS-CoV-2 in the community in near-real time to inform public health control measures and prepare health services and other stakeholders for a rise in service demand.
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Affiliation(s)
- Shamila Ginige
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Cararra, Australia
| | - Elise Firman
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Cararra, Australia
| | - Yee Sum Li
- Metro South Public Health Unit, Metro South Hospital and Health and Service, Brisbane, Australia
| | - Yudish Soonarane
- Metro South Public Health Unit, Metro South Hospital and Health and Service, Brisbane, Australia
| | - Nicolas Smoll
- Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
| | - Fiona May
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Cararra, Australia
| | - Ian Hunter
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Cararra, Australia
| | - Brielle Pery
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Cararra, Australia
| | - Bonnie Macfarlane
- Metro South Public Health Unit, Metro South Hospital and Health and Service, Brisbane, Australia
| | - Tracy Bladen
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Cararra, Australia
| | - Terresa Allen
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Cararra, Australia
| | - Melinda Lennon
- Metro South Public Health Unit, Metro South Hospital and Health and Service, Brisbane, Australia
| | - Jacina Walker
- Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
| | - Vicki Slinko
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Cararra, Australia
- School of Public Health, University of Queensland, Brisbane, Queensland, Australia
| | - Mark Stickley
- Metro South Public Health Unit, Metro South Hospital and Health and Service, Brisbane, Australia
| | - Gulam Khandaker
- Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Australia
| | - Satyamurthy Anuradha
- Metro South Public Health Unit, Metro South Hospital and Health and Service, Brisbane, Australia
- School of Public Health, University of Queensland, Brisbane, Queensland, Australia
| | - Andre Wattiaux
- Gold Coast Public Health Unit, Gold Coast Hospital and Health Service, Cararra, Australia
- * E-mail:
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Sharma U, Laletas S, May F, Grove C. "In any crisis there is an opportunity for us to learn something new": Australian teacher experiences during COVID-19. Aust Educ Res 2022; 50:1-19. [PMID: 36035971 PMCID: PMC9392496 DOI: 10.1007/s13384-022-00556-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 07/18/2022] [Indexed: 06/15/2023]
Abstract
The aim of this study was to investigate the factors that supported Australian teachers to meet the needs of all learners during COVID-19 lockdowns. A qualitative design was used, and interviews were conducted with teachers who were purposely identified. The participants (n = 5) worked across different educational contexts ranging from primary to secondary school settings. The interview data were analysed using thematic analysis. Five themes were identified related to teachers' intrinsic strengths: passion and commitment, a proactive and organised approach, enhanced flexibility, building relationships and access to online technology. A further three extrinsic supporting factors were identified: supportive school teams, supportive school leadership (empowerment, autonomy and time) and supportive school systems and structures. The implications of these findings are discussed and the need for sharing and applying learnings across the profession are emphasised as an opportunity to further improve the access of every learner to a high quality and inclusive education.
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Affiliation(s)
- Umesh Sharma
- School of Curriculum Teaching and Inclusive Education, Faculty of Education, Monash University, Melbourne, Australia
| | - Stella Laletas
- Educational Psychology and Inclusive Education, Faculty of Education, Monash University, Melbourne, Australia
| | - Fiona May
- School of Curriculum Teaching and Inclusive Education, Faculty of Education, Monash University, Melbourne, Australia
| | - Christine Grove
- School of Curriculum Teaching and Inclusive Education, Faculty of Education, Monash University, Melbourne, Australia
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Reupert A, Greenfeld D, May F. COVID-19 and Australian school psychology: Qualitative perspectives for enhancing future practice. Sch Psychol Int 2022; 43:219-236. [PMID: 38603190 PMCID: PMC8984599 DOI: 10.1177/01430343221091953] [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] [Indexed: 11/15/2022]
Abstract
The challenges and changes driven by the Coronavirus Disease 2019 (COVID-19) pandemic in the education sector have been linked to high rates of anxiety, depression, and post-traumatic symptoms in school-aged populations. Despite this, it is also acknowledged that children and young people can be resilient and adaptable, with the right support in place. In schools, psychologists play an important role in supporting students' learning, behavior, wellbeing, and mental health. The aim of this study is to investigate the practices of Australian school psychologists during COVID-19 related school closures, focusing on their experiences and challenges and how they adapted their practices. Twelve Australian school psychologists were interviewed and, after member checks were undertaken, interview transcripts were analyzed using thematic analysis. Six interrelated themes were identified including: (a) heightened student psychological stress, (b) alternative delivery modes and associated challenges, (c) close collaboration with families, (d) participants personal challenges during COVID-19, (e) assessment during COVID-19, and (f) possible long-term practice changes post pandemic. The results of this study have implications for policies to support students in future pandemics or where physical school attendance is disrupted (e.g., natural disasters).
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Affiliation(s)
- Andrea Reupert
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Australia
| | - Daliya Greenfeld
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Australia
| | - Fiona May
- School of Educational Psychology and Counselling, Faculty of Education, Monash University, Australia
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Wattiaux AL, May F, Allen T, Bladen T, Pery B, McHugh L, Slinko V, Sykes A, De Silva L, Bajra J, Andrews R, Khandaker G. Defining the peak: Point prevalence of SARS-CoV-2 using randomised sampling. Commun Dis Intell (2018) 2022; 46. [PMID: 35469557 DOI: 10.33321/cdi.2022.46.24] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Since Queensland eased border restrictions to the rest of Australia on 13 December 2021, notified cases of Coronavirus disease 2019 (COVID-19) dramatically increased, with the SARS-CoV-2 Omicron variant now the most widespread variant of concern: 145,881 cases and 13 deaths were recorded in Queensland in the month following the opening of the border. For an effective public health response to a highly transmissible disease, it is important to know the prevalence in the community, but the exponential increase in cases meant that many with symptoms had difficulty getting tested. We implemented a surveillance program on the Gold Coast that used a modified randomised household cluster survey method to estimate the point prevalence of individuals with SARS-CoV-2 detected by polymerase chain reaction (PCR). The estimated point prevalence of SARS-CoV-2 detected by PCR on self-collected swabs was 17.2% on the first visit to households (22 January 2022). This subsequently decreased to 5.2% (5 February 2022) and finally to 1.1% (19 February 2022). Out of 1,379 specimens tested over five weeks, 63 had detected SARS-CoV-2 and 35 (55.6%) were sequenced. All were SARS-CoV-2 variant: B.1.1.529 (i.e. Omicron). This surveillance program could be scaled up or reproduced in other jurisdictions to estimate the prevalence of COVID-19 in the community. Since Queensland eased border restrictions to the rest of Australia on 13 December 2021, notified cases of Coronavirus disease 2019 (COVID-19) dramatically increased, with the SARS-CoV-2 Omicron variant now the most widespread variant of concern: 145,881 cases and 13 deaths were recorded in Queensland in the month following the opening of the border. For an effective public health response to a highly transmissible disease, it is important to know the prevalence in the community, but the exponential increase in cases meant that many with symptoms had difficulty getting tested. We implemented a surveillance program on the Gold Coast that used a modified randomised household cluster survey method to estimate the point prevalence of individuals with SARS-CoV-2 detected by polymerase chain reaction (PCR). The estimated point prevalence of SARS-CoV-2 detected by PCR on self-collected swabs was 17.2% on the first visit to households (22 January 2022). This subsequently decreased to 5.2% (5 February 2022) and finally to 1.1% (19 February 2022). Out of 1,379 specimens tested over five weeks, 63 had detected SARS-CoV-2 and 35 (55.6%) were sequenced. All were SARS-CoV-2 variant: B.1.1.529 (i.e. Omicron). This surveillance program could be scaled up or reproduced in other jurisdictions to estimate the prevalence of COVID-19 in the community.
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Affiliation(s)
- Andre L Wattiaux
- Gold Coast Public Health Unit, Gold Coast Health, Queensland Health, Australia
| | - Fiona May
- Gold Coast Public Health Unit, Gold Coast Health, Queensland Health, Australia
| | - Terresa Allen
- Gold Coast Public Health Unit, Gold Coast Health, Queensland Health, Australia
| | - Tracy Bladen
- Gold Coast Public Health Unit, Gold Coast Health, Queensland Health, Australia
| | - Brielle Pery
- Gold Coast Public Health Unit, Gold Coast Health, Queensland Health, Australia.,School of Public Health, University of Queensland, Brisbane, Queensland, Australia
| | - Lisa McHugh
- School of Public Health, University of Queensland, Brisbane, Queensland, Australia
| | - Vicki Slinko
- Gold Coast Public Health Unit, Gold Coast Health, Queensland Health, Australia.,School of Public Health, University of Queensland, Brisbane, Queensland, Australia
| | - Alice Sykes
- Gold Coast Public Health Unit, Gold Coast Health, Queensland Health, Australia
| | - Lashan De Silva
- Gold Coast Public Health Unit, Gold Coast Health, Queensland Health, Australia.,Faculty of Health Sciences and Medicine, Bond University, Australia
| | - Jay Bajra
- Gold Coast Public Health Unit, Gold Coast Health, Queensland Health, Australia.,Faculty of Health Sciences and Medicine, Bond University, Australia
| | | | - Gulam Khandaker
- Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Australia
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Reupert A, Schaffer GE, Von Hagen A, Allen KA, Berger E, Büttner G, Power EM, Morris Z, Paradis P, Fisk AK, Summers D, Wurf G, May F. The practices of psychologists working in schools during COVID-19: A multi-country investigation. ACTA ACUST UNITED AC 2021; 37:190-201. [PMID: 34383527 DOI: 10.1037/spq0000450] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This exploratory study aimed to identify the ways psychologists working in schools supported students' mental health during school closures related to the COVID-19 pandemic. An online survey was developed to determine (a) how psychologists working in schools across the United States, Canada, Germany, and Australia supported students' mental health during COVID-19, (b) how their services changed during COVID-19, and (c) potential differences between countries concerning difficulties supporting students' mental health during this time. The survey was based on previous research and was subsequently piloted. Using convenience and snowball sampling, 938 participants (U.S. n = 665; Canada n = 48; Germany n = 140; Australia n = 85) completed the online survey. Overall, school psychology services across these four countries pivoted from psychoeducational assessments to virtual counseling, consultation, and the development/posting of online support directly to children or parents to use with their children. There was some variation between countries; during the pandemic, significantly more psychologists in Germany and Australia provided telehealth/telecounseling than those in the United States and Canada, and psychologists in Germany provided significantly more hardcopy material to support children than psychologists in other countries. There is a need to ensure psychologists have the appropriate technological skills to support school communities during periods of school closure, including, but not limited to, virtual counseling and the administration of psychoeducational assessments. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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11
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May F, Mann K, Francis D, Young M. Identification of focus areas for Australian Bat Lyssavirus potential exposure prevention in the Metro North Hospital and Health Service region. Zoonoses Public Health 2020; 67:732-741. [PMID: 32710686 DOI: 10.1111/zph.12755] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2019] [Revised: 04/21/2020] [Accepted: 06/15/2020] [Indexed: 12/01/2022]
Abstract
Australian Bat Lyssavirus (ABLV) is a fatal rabies-like disease spread to humans from bats. All people who report bat bites or scratches in Queensland are considered potentially exposed to ABLV and are followed up and treated to prevent ABLV. Preventing members of the public intentionally interacting with bats will reduce the number of potential exposures to ABLV. In order to target public health messaging, this study examines the epidemiology of potential ABLV exposures in Metro North Hospital and Health Service (HHS), a region of Queensland that encompasses metro and rural areas in the south-east of the state. People who intentionally handled bats during the study period were more likely to be adult (93%), male (60%), scratched (51%) by a megabat (72%) and been potentially exposed while rescuing the bat when it was trapped or injured (72%). The number of potential exposures reported in Queensland has increased since 2013; the same year, a Queensland child died of ABLV. Seasonally, exposures are more common during bat breeding and nursing periods when bats are more active (summer to autumn). Although there were more notifications in a band stretching north from the inner city to northern metro suburbs, notification rates were higher in large rural statistical areas in the north of the HHS. These data will be used to develop geographically targeted ABLV prevention messaging for the general public.
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Affiliation(s)
- Fiona May
- Metro North Public Health Unit, Queensland Health, Brisbane, Queensland, Australia
| | - Kay Mann
- Metro North Public Health Unit, Queensland Health, Brisbane, Queensland, Australia
| | - Daniel Francis
- Metro North Public Health Unit, Queensland Health, Brisbane, Queensland, Australia
| | - Megan Young
- Metro North Public Health Unit, Queensland Health, Brisbane, Queensland, Australia.,Menzies Health Institute Queensland, Griffith University School of Medicine, Gold Coast, Queensland, Australia
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12
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San Miguel Y, Demb J, Martinez ME, Gupta S, May F. Abnormal Stool Blood Tests and Colorectal Cancer Mortality in a Large United States Cohort. Cancer Epidemiol Biomarkers Prev 2020. [DOI: 10.1158/1055-9965.epi-20-0070] [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: 11/16/2022] Open
Abstract
Abstract
Our aim was to examine the association between fatal colorectal cancer (CRC) and time to colonoscopy among individuals who underwent diagnostic colonoscopy after abnormal stool blood test (SBT) in a cohort of United States Veterans. Methods: We performed a cohort study of Veterans aged 50–75 years, with an abnormal SBT using the Veterans Health Administration's (VA) national electronic health record data during the years 1999 and 2010. Colonoscopy receipt was ascertained using current procedural terminology codes after abnormal SBT. The study outcome, CRC death, was defined through National Death Index cause-specific mortality data. We followed patients through CRC-related death, other death, or until December 31, 2015. Multivariable Cox proportional hazards modeling was used to generate CRC-specific mortality hazard ratios (HRs) and 95% confidence intervals (CI) for 3-month colonoscopy intervals, with 3–6 months as the reference. Models were adjusted for age, sex, race/ethnicity, smoking, diabetes, body mass index, and Charlson Comorbidity Index. Results: We included 222,004 patients with abnormal SBTs; the average age was 63 with a standard deviation of 7.2 years, 97% were male, 72% were Non-Hispanic White and 20% were Black. Of the 222,004 patients, 69% completed diagnostic colonoscopy within 12 months of abnormal SBT, 4% were diagnosed with CRC, and 1% died of CRC specific death. Compared to patients with a colonoscopy at 3–6 months (standard of care), CRC-related mortality risk was significantly higher for patients with colonoscopies at 0–3 months (HR = 1.29; 95% CI, 1.14–1.47), 18–21 months (HR = 1.57; 95% CI, 1.19–2.06), and 21–24 months (HR = 1.46; 95% CI, 1.07–1.97). No significant increase in mortality risk was shown for 6–9 month, 9–12 month, 12–15 month, 15–18 months, and 24+ month intervals. Conclusion: Time to colonoscopy plays a significant role in CRC death after abnormal SBT. Compared to a colonoscopy performed during a 3–6-month window, a colonoscopy performed outside of the 15-month window had a higher risk for mortality. Given the impact of timely diagnostic colonoscopy on CRC mortality, development of interventions to increase timely diagnostic follow-up after abnormal SBT are essential to CRC outcome improvement.
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13
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Frings-Meuthen P, Bernhardt G, Buehlmeier J, Baecker N, May F, Heer M. The negative effect of unloading exceeds the bone-sparing effect of alkaline supplementation: a bed rest study. Osteoporos Int 2019; 30:431-439. [PMID: 30255228 DOI: 10.1007/s00198-018-4703-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2018] [Revised: 09/04/2018] [Accepted: 09/11/2018] [Indexed: 10/28/2022]
Abstract
UNLABELLED Potassium bicarbonate was administrated to an already alkaline diet in seven male subjects during a 21-day bed rest study and was able to decrease bed rest induced increased calcium excretion but failed to prevent bed rest-induced bone resorption. INTRODUCTION Supplementation with alkali salts appears to positively influence calcium and bone metabolism and, thus, could be a countermeasure for population groups with an increased risk for bone loss. However, the extent to which alkalization counteracts acid-induced bone resorption or whether it merely has a calcium and bone maintenance effect is still not completely understood. In the present study, we hypothesized that additional alkalization to an already alkaline diet can further counteract bed rest-induced bone loss. METHODS Seven healthy male subjects completed two parts of a crossover designed 21-day bed rest study: bed rest only (control) and bed rest supplemented with 90 mmol potassium bicarbonate (KHCO3) daily. RESULTS KHCO3supplementation during bed rest resulted in a more alkaline status compared to the control intervention, demonstrated by the increase in pH and buffer capacity level (pH p = 0.023, HCO3p = 0.02, ABE p = 0.03). Urinary calcium excretion was decreased during KHCO3 supplementation (control 6.05 ± 2.74 mmol/24 h; KHCO3 4.87 ± 2.21 mmol/24 h, p = 0.03); whereas, bone formation was not affected by additional alkalization (bAP p = 0.58; PINP p = 0.60). Bone resorption marker UCTX tended to be lower during alkaline supplementation (UCTX p = 0.16). CONCLUSIONS The more alkaline acid-base status, achieved by KHCO3 supplementation, reduced renal calcium excretion during bed rest, but was not able to prevent immobilization-induced bone resorption. However, advantages of alkaline salts on bone metabolism may occur under acidic metabolic conditions or with respect to the positive effect of reduced calcium excretion within a longer time frame. TRIAL REGISTRATION Trial number: NCT01509456.
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Affiliation(s)
- P Frings-Meuthen
- German Aerospace Center (DLR), Institute of Aerospace Medicine, 51147, Cologne, Germany.
| | - G Bernhardt
- German Aerospace Center (DLR), Institute of Aerospace Medicine, 51147, Cologne, Germany
- Novartis AG, Basel, Switzerland
| | - J Buehlmeier
- German Aerospace Center (DLR), Institute of Aerospace Medicine, 51147, Cologne, Germany
- University Hospital Essen, University of Duisburg-Essen, Essen, Germany
| | - N Baecker
- German Aerospace Center (DLR), Institute of Aerospace Medicine, 51147, Cologne, Germany
- Department of Nutrition and Food Science, University of Bonn, Bonn, Germany
| | - F May
- German Aerospace Center (DLR), Institute of Aerospace Medicine, 51147, Cologne, Germany
| | - M Heer
- German Aerospace Center (DLR), Institute of Aerospace Medicine, 51147, Cologne, Germany
- Department of Nutrition and Food Science, University of Bonn, Bonn, Germany
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Vladimirov I, Kühn M, Geßner T, May F, Weitz RT. Energy barriers at grain boundaries dominate charge carrier transport in an electron-conductive organic semiconductor. Sci Rep 2018; 8:14868. [PMID: 30291288 PMCID: PMC6173704 DOI: 10.1038/s41598-018-33308-y] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Accepted: 09/26/2018] [Indexed: 11/26/2022] Open
Abstract
Semiconducting organic films that are at the heart of light-emitting diodes, solar cells and transistors frequently contain a large number of morphological defects, most prominently at the interconnects between crystalline regions. These grain boundaries can dominate the overall (opto-)electronic properties of the entire device and their exact morphological and energetic nature is still under current debate. Here, we explore in detail the energetics at the grain boundaries of a novel electron conductive perylene diimide thin film. Via a combination of temperature dependent charge transport measurements and ab-initio simulations at atomistic resolution, we identify that energetic barriers at grain boundaries dominate charge transport in our system. This novel aspect of physics at the grain boundary is distinct from previously identified grain-boundary defects that had been explained by trapping of charges. We furthermore derive molecular design criteria to suppress such energetic barriers at grain boundaries in future, more efficient organic semiconductors.
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Affiliation(s)
- I Vladimirov
- BASF SE, FET Systems, Carl-Bosch-Straße 38, 67056, Ludwigshafen, Germany.,InnovationLab GmbH, Speyerer Str. 4, 69115, Heidelberg, Germany
| | - M Kühn
- BASF SE, FET Systems, Carl-Bosch-Straße 38, 67056, Ludwigshafen, Germany.
| | - T Geßner
- BASF SE, FET Systems, Carl-Bosch-Straße 38, 67056, Ludwigshafen, Germany
| | - F May
- BASF SE, FET Systems, Carl-Bosch-Straße 38, 67056, Ludwigshafen, Germany.,InnovationLab GmbH, Speyerer Str. 4, 69115, Heidelberg, Germany
| | - R T Weitz
- BASF SE, FET Systems, Carl-Bosch-Straße 38, 67056, Ludwigshafen, Germany. .,InnovationLab GmbH, Speyerer Str. 4, 69115, Heidelberg, Germany. .,Physics of Nanosystems, Faculty of Physics, Ludwig-Maximilians University, Amalienstr. 54, 80799, Munich, Germany. .,Center for Nanoscience (CeNS), Ludwig-Maximilians University Munich, Schellingstr. 4, 80799, Munich, Germany. .,Nanosystems Initiative Munich (NIM), Schellingstr. 4, 80799, Munich, Germany.
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15
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Pyke AT, Gunn W, Taylor C, Mackay IM, McMahon J, Jelley L, Waite B, May F. On the Home Front: Specialised Reference Testing for Dengue in the Australasian Region. Trop Med Infect Dis 2018; 3:E75. [PMID: 30274471 PMCID: PMC6161173 DOI: 10.3390/tropicalmed3030075] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Revised: 06/29/2018] [Accepted: 07/10/2018] [Indexed: 11/30/2022] Open
Abstract
Reference laboratories are vital for disease control and interpreting the complexities and impact of emerging pathogens. The role of these centralized facilities extends beyond routine screening capabilities to provide rapid, specific, and accurate diagnoses, advanced data analysis, consultation services, and sophisticated disease surveillance and monitoring. Within the Australasian region, the Public Health Virology Laboratory (PHV), Forensic and Scientific Services, Department of Health, Queensland Government, Australia, and the Institute of Environmental Science and Research Limited (ESR), New Zealand (NZ) perform specialised reference testing and surveillance for dengue viruses (DENVs) and other emerging arthropod-borne viruses (arboviruses), including chikungunya virus (CHIKV) and Zika virus (ZIKV). With a focus on DENV, we review the reference testing performed by PHV (2005 to 2017) and ESR (2008 to 2017). We also describe how the evolution and expansion of reference-based methodologies and the adoption of new technologies have provided the critical elements of preparedness and early detection that complement frontline public health control efforts and limit the spread of arboviruses within Australasia.
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Affiliation(s)
- Alyssa T Pyke
- Public Health Virology Laboratory, Forensic and Scientific Services, Coopers Plains, QLD 4108, Australia.
| | - Wendy Gunn
- Institute of Environmental Science and Research Limited, Wallaceville, 5018 Upper Hutt, New Zealand.
| | - Carmel Taylor
- Public Health Virology Laboratory, Forensic and Scientific Services, Coopers Plains, QLD 4108, Australia.
| | - Ian M Mackay
- Public Health Virology Laboratory, Forensic and Scientific Services, Coopers Plains, QLD 4108, Australia.
- Child Health Research Centre, The University of Queensland, South Brisbane, QLD 4101, Australia.
| | - Jamie McMahon
- Public Health Virology Laboratory, Forensic and Scientific Services, Coopers Plains, QLD 4108, Australia.
| | - Lauren Jelley
- Institute of Environmental Science and Research Limited, Wallaceville, 5018 Upper Hutt, New Zealand.
| | - Ben Waite
- Institute of Environmental Science and Research Limited, Wallaceville, 5018 Upper Hutt, New Zealand.
| | - Fiona May
- Metro North Public Health Unit, Metro North Hospital and Health Service, Queensland Health, Windsor, QLD 4030, Australia.
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16
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Marks B, May F. The Role of DOCK2 and ELMO1 in Oesophageal Adenocarcinoma Cell Migration. Int J Surg 2018. [DOI: 10.1016/j.ijsu.2018.05.691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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17
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Vladimirov I, Kellermeier M, Geßner T, Molla Z, Grigorian S, Pietsch U, Schaffroth LS, Kühn M, May F, Weitz RT. High-Mobility, Ultrathin Organic Semiconducting Films Realized by Surface-Mediated Crystallization. Nano Lett 2018; 18:9-14. [PMID: 28980819 DOI: 10.1021/acs.nanolett.7b03789] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The functionality of common organic semiconductor materials is determined by their chemical structure and crystal modification. While the former can be fine-tuned via synthesis, a priori control over the crystal structure has remained elusive. We show that the surface tension is the main driver for the plate-like crystallization of a novel small organic molecule n-type semiconductor at the liquid-air interface. This interface provides an ideal environment for the growth of millimeter-sized semiconductor platelets that are only few nanometers thick and thus highly attractive for application in transistors. On the basis of the novel high-performance perylene diimide, we show in as-grown, only 3 nm thin crystals electron mobilities of above 4 cm2/(V s) and excellent bias stress stability. We suggest that the established systematics on solvent parameters can provide the basis of a general framework for a more deterministic crystallization of other small molecules.
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Affiliation(s)
- I Vladimirov
- BASF SE Carl-Bosch-Straße 38 , 67056 Ludwigshafen am Rhein, Germany
- InnovationLab GmbH Speyerer Str. 4 , 69115 Heidelberg, Germany
| | - M Kellermeier
- BASF SE Carl-Bosch-Straße 38 , 67056 Ludwigshafen am Rhein, Germany
| | - T Geßner
- BASF SE Carl-Bosch-Straße 38 , 67056 Ludwigshafen am Rhein, Germany
| | - Zarah Molla
- Department of Physics, University of Siegen , Emmy-Noether-Campus, Walter-Flex-Str. 3, 57072 Siegen, Germany
| | - S Grigorian
- Department of Physics, University of Siegen , Emmy-Noether-Campus, Walter-Flex-Str. 3, 57072 Siegen, Germany
| | - U Pietsch
- Department of Physics, University of Siegen , Emmy-Noether-Campus, Walter-Flex-Str. 3, 57072 Siegen, Germany
| | - L S Schaffroth
- Physics of Nanosystems, Physics Department, Ludwig Maximilians Universität München , Amalienstrasse 54, 80799 Munich, Germany
| | - M Kühn
- BASF SE Carl-Bosch-Straße 38 , 67056 Ludwigshafen am Rhein, Germany
| | - F May
- BASF SE Carl-Bosch-Straße 38 , 67056 Ludwigshafen am Rhein, Germany
- InnovationLab GmbH Speyerer Str. 4 , 69115 Heidelberg, Germany
| | - R T Weitz
- BASF SE Carl-Bosch-Straße 38 , 67056 Ludwigshafen am Rhein, Germany
- InnovationLab GmbH Speyerer Str. 4 , 69115 Heidelberg, Germany
- Physics of Nanosystems, Physics Department, Ludwig Maximilians Universität München , Amalienstrasse 54, 80799 Munich, Germany
- Nanosystems Initiative Munich (NIM) and Center for NanoScience (CeNS) Ludwig Maximilians Universität München , Schellingstraße 4, 80799 Munich, Germany
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Kervévan C, Beddelem MH, Galiègue X, Le Gallo Y, May F, O’Neil K, Sterpenich J. Main Results of the CO2-DISSOLVED Project: First Step toward a Future Industrial Pilot Combining Geological Storage of Dissolved CO2 and Geothermal Heat Recovery. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.egypro.2017.03.1549] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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May F. Zur Endlichkeit des Gliedes in der Wegscheiderschen Dampfdruckformel. Z PHYS CHEM 2017. [DOI: 10.1515/zpch-1920-9527] [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]
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20
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May F. Book Review: Helping Children with Autism Learn: Treatment Approaches for Parents and Professionals. Autism 2016. [DOI: 10.1177/1362361305056097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Fiona May
- Institute of Child Health, London, UK
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21
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Marechal M, Michel S, El-Chehab H, Fenolland JR, Delbarre M, Zerrouk R, Marill AF, Rosenberg R, May F, Renard JP. Neuropathie optique ischémique bilatérale. Forme clinique rare. J Fr Ophtalmol 2015; 38:e101-6. [DOI: 10.1016/j.jfo.2014.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2014] [Revised: 06/07/2014] [Accepted: 07/07/2014] [Indexed: 10/23/2022]
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Kerry V, Daoust P, May F, Cunningham E, Mullan F, Scott J, Anathan J, Mitha K, Day D, Foradori L, Morgenthau S, McLoed M, Ahaisibwe B, Nyeka T, Meena H, Hayes L, Novotny K, O'Malley E, Fleming K. Partnering to build healthcare capacity in Uganda, Tanzania and
Malawi. Ann Glob Health 2015. [DOI: 10.1016/j.aogh.2015.02.592] [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: 11/27/2022] Open
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23
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Kerry V, Daoust P, May F, Cunningham E, Mullan F, Scott J, Anathan J, Mitha K, Foradori L, Sayeed S. Evaluating the global health service partnership: Year one and future
directions. Ann Glob Health 2015. [DOI: 10.1016/j.aogh.2015.02.1113] [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: 11/30/2022] Open
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Limper U, Gauger P, Beck P, Krainski F, May F, Beck LEJ. Interactions of the human cardiopulmonary, hormonal and body fluid systems in parabolic flight. Eur J Appl Physiol 2014; 114:1281-95. [PMID: 24623065 PMCID: PMC4019836 DOI: 10.1007/s00421-014-2856-3] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2013] [Accepted: 02/14/2014] [Indexed: 11/15/2022]
Abstract
Purpose Commercial parabolic flights accessible to customers with a wide range of health states will become more prevalent in the near future because of a growing private space flight sector. However, parabolic flights present the passengers’ cardiovascular system with a combination of stressors, including a moderately hypobaric hypoxic ambient environment (HH) and repeated gravity transitions (GT). Thus, the aim of this study was to identify unique and combined effects of HH and GT on the human cardiovascular, pulmonary and fluid regulation systems. Methods Cardiac index was determined by inert gas rebreathing (CIrb), and continuous non-invasive finger blood pressure (FBP) was repeatedly measured in 18 healthy subjects in the standing position while they were in parabolic flight at 0 and 1.8 Gz. Plasma volume (PV) and fluid regulating blood hormones were determined five times over the flight day. Eleven out of the 18 subjects were subjected to an identical test protocol in a hypobaric chamber in ambient conditions comparable to parabolic flight. Results CIrb in 0 Gz decreased significantly during flight (early, 5.139 ± 1.326 L/min; late, 4.150 ± 1.082 L/min) because of a significant decrease in heart rate (HR) (early, 92 ± 15 min−1; late, 78 ± 12 min−1), even though the stroke volume (SV) remained the same. HH produced a small decrease in the PV, both in the hypobaric chamber and in parabolic flight, indicating a dominating HH effect without a significant effect of GT on PV (−52 ± 34 and −115 ± 32 ml, respectively). Pulmonary tissue volume decreased in the HH conditions because of hypoxic pulmonary vasoconstriction (0.694 ± 0.185 and 0.560 ± 0.207 ml) but increased at 0 and 1.8 Gz in parabolic flight (0.593 ± 0.181 and 0.885 ± 0.458 ml, respectively), indicating that cardiac output and arterial blood pressure rather than HH are the main factors affecting pulmonary vascular regulation in parabolic flight. Conclusion HH and GT each lead to specific responses of the cardiovascular system in parabolic flight. Whereas HH seems to be mainly responsible for the PV decrease in flight, GT overrides the hypoxic pulmonary vasoconstriction induced by HH. This finding indicates the need for careful and individual medical examination and, if necessary, health status improvement for each individual considering a parabolic flight, given the effects of the combination of HH and GT in flight. Electronic supplementary material The online version of this article (doi:10.1007/s00421-014-2856-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- U Limper
- Department of Anesthesiology and Surgical Intensive Care Medicine, Merheim Medical Center, Hospitals of Cologne, University Witten/Herdecke, Ostmerheimer Strasse 200, 51109, Cologne, Germany,
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Beijer Å, Rosenberger A, Weber T, Zange J, May F, Schoenau E, Mester J, Bloch W, Rittweger J. Randomized controlled study on resistive vibration exercise (EVE study): protocol, implementation and feasibility. J Musculoskelet Neuronal Interact 2013; 13:147-156. [PMID: 23728101] [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] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
OBJECTIVES A training intervention comparing resistance exercise with or without whole-body vibration (WBV) was conducted to compare acute and chronic effects on functional and molecular parameters. METHODS A six-week training intervention was performed including 26 healthy males (26 years, SD=4). Two groups were analyzed in a parallel design performing either resistive exercise (RE, n=13) or resistive vibration exercise (RVE, n=13) training with weekly increasing vibration frequencies (20-40Hz). Resting and exercising blood pressure and heart rate were measured before and after the 6-week intervention. RESULTS Both training interventions decreased resting systolic blood pressure (P=0.003). Resting diastolic blood pressure was significantly decreased only in the RVE group (P=0.01). Exercising diastolic blood pressure was significantly decreased during the final training (P<0.001) with no additional effect of superimposed vibrations. Resistance exercise with superimposed vibrations evoked back pain to a higher degree than resistance exercise alone when training at frequencies above 30Hz (P<0.01). CONCLUSIONS These data suggest positive effects of resistance exercise upon cardiovascular health and vascular responsiveness and a further beneficial effect of superimposed vibrations in decreasing resting diastolic blood pressure. Finally, development of back pain may be fostered by superimposed vibrations to high training loads, particularly at higher frequencies.
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Affiliation(s)
- Å Beijer
- German Aerospace Center, Institute of Aerospace Medicine and Space Physiology, 51147 Cologne, Germany.
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Ramanathan G, Gupta S, Thielmann I, Pleines I, Varga-Szabo D, May F, Mannhalter C, Dietrich A, Nieswandt B, Braun A. Defective diacylglycerol-induced Ca2+ entry but normal agonist-induced activation responses in TRPC6-deficient mouse platelets. J Thromb Haemost 2012; 10:419-29. [PMID: 22176814 DOI: 10.1111/j.1538-7836.2011.04596.x] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Platelet adhesion, activation and aggregation at sites of vascular injury are essential processes for primary hemostasis. Elevation of the intracellular Ca(2+) concentration is a central event in platelet activation but the underlying mechanisms are not fully understood. Store-operated calcium entry (SOCE) through Orai1 was shown to be the main Ca(2+) influx pathway in murine platelets, but there are additional non-store-operated Ca(2+) (non-SOC) and receptor operated Ca(2+) (ROC) channels expressed in the platelet plasma membrane. OBJECTIVE Canonical transient receptor potential (TRPC) channel 6 is found both in human and murine platelets and has been proposed to mediate diacylglycerol (DAG) activated ROCE but also a role in the regulation of SOCE has been suggested. METHODS To investigate the function of TRPC6 in platelet Ca(2+) signaling and activation, we analyzed platelets from mice deficient in TRPC6 using a wide range of in vitro and in vivo assays. RESULTS In the mutant platelets, DAG activated Ca(2+) influx was found to be abolished. However, this did not significantly affect SOCE or agonist induced Ca(2+) responses. Platelet function in vitro and in vivo was also unaltered in the absence of TRPC6. CONCLUSION Our results indicate that DAG activated ROCE is mediated exclusively by TRPC6 in murine platelets, but this Ca(2+) influx has no major functional relevance for hemostasis and thrombosis. Further, in contrast to previous suggestions, based on studies with human platelets, TRPC6 appears to play an insignificant role in the regulation of SOCE in murine platelets.
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Affiliation(s)
- G Ramanathan
- Chair of Vascular Medicine, DFG Research Center for Experimental Biomedicine, University Hospital and Rudolf Virchow Center, University of Würzburg, Würzburg, Germany
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Feraoun MN, Dot C, Lecorre A, El Chehab H, May F. [Delayed subretinal fluid absorption after rhegmatogenous retinal detachment]. J Fr Ophtalmol 2011; 34:248-51. [PMID: 21414683 DOI: 10.1016/j.jfo.2011.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2010] [Accepted: 12/29/2010] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Persistent subretinal foveal fluid is responsible for incomplete functional recovery after retinal detachment surgery. The diagnosis may be difficult based on ophtalmoscopy and requires macular optical coherence tomography (OCT). CASE REPORT We describe the case of a 25-year-old patient who presented persistence of subretinal foveal fluid over 16 months after an inferior macula off posttraumatic retinal detachment. The patient was initially treated by scleral buckling but the persistence of inferior subretinal fluid led to a second surgery by vitrectomy. The resorption of peripheral subretinal fluid was achieved within one month, but the patient showed incomplete visual function recovery of 3/10 P4 and an OCT macular profile revealed the presence of infraclinical subfoveal fluid. The resorption of this subfoveal fluid was abnormally long with a delay of 16 months before complete reattachment, nonetheless the patient showed an excellent final visual recovery at 8/10 P2. DISCUSSION We discuss the reasons for this long resorption of macular subretinal fluid despite a successful surgical treatment. Furthermore the excellent visual recovery suggests a surprisingly good tolerance of chronic macular subfoveal fluid in this pathology. CONCLUSION The infraclinical persistence of subfoveal fluid is responsible for delayed functional recovery in patients treated for retinal detachment. Macular OCT allowed an early diagnosis and accurate follow up of these specific patients.
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Affiliation(s)
- M N Feraoun
- Service d'ophtalmologie, hôpital d'instruction des armées Legouest, 27, avenue de Plantières, 57998 Metz Armées, France.
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Elvers M, Pozgaj R, Pleines I, May F, Kuijpers MJE, Heemskerk JMW, Yu P, Nieswandt B. Platelet hyperreactivity and a prothrombotic phenotype in mice with a gain-of-function mutation in phospholipase Cgamma2. J Thromb Haemost 2010; 8:1353-63. [PMID: 20230420 DOI: 10.1111/j.1538-7836.2010.03838.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [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: 11/28/2022]
Abstract
BACKGROUND Agonist-induced platelet activation involves different signaling pathways leading to the activation of phospholipase C (PLC) beta or PLCgamma2. Activated PLC produces inositol 1,4,5-trisphosphate and diacylglycerol, which trigger Ca(2+) mobilization and the activation of protein kinase C, respectively. PLCbeta is activated downstream of Gq-coupled receptors for soluble agonists with only short interaction times in flowing blood. In contrast, PLCgamma2 becomes activated downstream of receptors that interact with immobilized ligands such as the collagen receptor glycoprotein (GP) VI or activated integrins. OBJECTIVE AND METHODS We speculated that PLCgamma2 activity might be optimized for sustained but submaximal signaling to control relatively slow platelet responses. To test this hypothesis, we analyzed platelets from mice heterozygous for a gain-of-function mutation in the Plcg2 gene (Plcg2(Ali5/+)). RESULTS Plcg2(Ali5/+) platelets showed enhanced Ca(2+) mobilization, integrin activation, granule secretion and phosphatidylserine exposure upon GPVI or C-type lectin-like receptor-2 stimulation. Furthermore, integrin alpha(IIb)beta(3) outside-in signaling was markedly enhanced in the mutant platelets, as shown by accelerated spreading on different matrices and faster clot retraction. These defects translated into virtually unlimited thrombus formation on collagen under flow in vitro and a prothrombotic phenotype in vivo. CONCLUSIONS These results demonstrate that the enzymatic activity of PLCgamma2 is tightly regulated to ensure efficient but limited platelet activation at sites of vascular injury.
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Affiliation(s)
- M Elvers
- Chair of Vascular Medicine, University Clinic, and Rudolf Virchow Center, DFG Research Center for Experimental Biomedicine, University of Würzburg, Germany
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Le Corre A, El Chehab H, De Revel T, Burelle X, Margery J, Dot JM, Ract-Madoux G, Salaun N, Grasswill C, May F, Dot C. [PET-scan in orbital Malt lymphoma and its value in diagnosis and management: a series of four cases]. J Fr Ophtalmol 2010; 33:299-306. [PMID: 20452093 DOI: 10.1016/j.jfo.2010.03.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2009] [Accepted: 02/17/2010] [Indexed: 10/19/2022]
Abstract
INTRODUCTION The orbital location of mucosa associated lymphoid tissue (Malt) lymphoma (ML) is rare and can appear in very different forms. Biopsy is decisive for diagnosis. Although the positron emission tomography (PET) scan is rarely used in ophthalmology, it appears useful in our experience. We report four cases illustrating the diversity of the orbital localization in ML. Case 1 is a 41-year-old woman presenting unilateral corticosteroid-resistant dacryoadenitis. The PET-scan clearly fixed at the orbit. After anatomopathologic confirmation, a 36-Gy orbital radiotherapy was carried out, leading to the clinical and tomographic remission. CASE REPORTS Case 2 is a 61-year-old patient, presenting a small cell carcinoma of the lung, initially referred for unilateral exophthalmia. MRI highlighted a bilateral orbital infiltration, with a hot spot on the PET-scan. The clinical suspicion of orbital metastasis was not confirmed: the biopsy concluded in ML. Case 3 is a 64-year-old woman, referred for unilateral and resistant conjunctival hyperemia. Clinical diagnosis was myositis of the superior rectus muscle. The PET-scan did not fix in the orbit but revealed a pleural location. The muscular biopsy concluded once again in ML. Case 4 is a 68-year-old woman who had a history of sinusal ML. Diplopia with a second orbital location, non specific in CT but fixed in PET, was found. The biopsy concluded in ML with transformation toward an aggressive lymphoma. CONCLUSION Although the lacrimal gland location is well-known, unspecific orbital infiltration and orbital myositis are less common, which highlights the value of a non invasive exploration before biopsy. The advantages of the PET scan in orbital ML has not been sufficiently studied. In our experience, it was useful in these four cases. Orbital ML can take on different aspects that are sometimes misleading. PET is very useful in diagnosis before the biopsy, in therapeutic decisions, and in follow-up after treatment even if it does not always fix in the orbit.
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Affiliation(s)
- A Le Corre
- Service d'ophtalmologie, HIA Legouest-Metz, 27, avenue Plantières, BP 10, 57998 Metz-Armées, France.
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Solomon DH, Gleeson T, Iversen M, Avorn J, Brookhart MA, Lii J, Losina E, May F, Patrick A, Shrank WH, Katz JN. A blinded randomized controlled trial of motivational interviewing to improve adherence with osteoporosis medications: design of the OPTIMA trial. Osteoporos Int 2010; 21:137-44. [PMID: 19436935 PMCID: PMC2922963 DOI: 10.1007/s00198-009-0951-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2009] [Accepted: 03/27/2009] [Indexed: 01/17/2023]
Abstract
UNLABELLED We have designed an innovative randomized controlled trial for improving adherence with osteoporosis medications. Recruitment and randomization have been successful. Also, the counseling intervention has been well accepted by subjects randomized to this treatment arm. INTRODUCTION While many effective treatments exist for osteoporosis, most people do not adhere to such treatments long term. No proven interventions exist to improve osteoporosis medication adherence. We report here on the design and initial enrollment in an innovative randomized controlled trial aimed at improving adherence to osteoporosis treatments. METHODS The trial represents a collaboration between academic researchers and a state-run pharmacy benefits program for low-income older adults. Beneficiaries beginning treatment with a medication for osteoporosis are targeted for recruitment. We randomize consenting individuals to receive 12 months of mailed education (control arm) or an intervention consisting of one-on-one telephone-based counseling and the mailed education. Motivational interviewing forms the basis for the counseling program which is delivered by seven trained and supervised health counselors over ten telephone calls. The counseling sessions include scripted dialog and open-ended questions about medication adherence and its barriers, as well as structured questions. The primary end point of the trial is medication adherence measured over the 12-month intervention period. Secondary end points include fractures, nursing home admissions, health care resource utilization, and mortality. RESULTS During the first 7 months of recruitment, we have screened 3,638 potentially eligible subjects. After an initial mailing, 1,115 (30.6%) opted out of telephone recruitment and 1,019 (28.0%) could not be successfully contacted. Of the remaining, 879 (24.2%) consented to participate and were randomized. Women comprise over 90% of all groups; mean ages range from 77 to 80 years old, and the majority in all groups was white. The distribution of osteoporosis medications was comparable across groups and the median number of different prescription drugs used in the prior year was eight to ten. CONCLUSIONS We have developed a novel intervention for improving osteoporosis medication adherence. The intervention is currently being tested in a large-scale randomized controlled trial. If successful, the intervention may represent a useful model for improving adherence to other chronic treatments.
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Affiliation(s)
- D H Solomon
- Division of Rheumatology, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
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Giraud JM, Fenolland JR, May F, Hammam O, Sadat AM, Boumezrag AB, Renard JP. [Analysis of a new visual field index, the VFI, in Ocular Hypertension and Glaucoma]. J Fr Ophtalmol 2009; 33:2-9. [PMID: 20005005 DOI: 10.1016/j.jfo.2009.11.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2009] [Accepted: 10/27/2009] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The Visual Field Index -VFI- is a new perimetric index allowing evaluation of visual function level and progression. In this study, we analysed this new index, that provides a trend analysis of visual field loss progression in Ocular Hypertension and Glaucoma. We also compared results with event analysis. METHODS Retrospective study on 94 eyes of 54 patients: 35 OHT(ocular hypertension), 34 early POAG (primary open angle glaucoma) (0>MD>-6 dB), 13 moderate POAG (-6>MD>-12 dB) and 12 advanced POAG (MD<-12 dB), with a mean follow-up of 6.5 years (4 to 8 years). Each subject performed a mean number of 10 standard automated perimetry visual field tests (Humphrey SITA Standard 24-2), excluding tests without reliable indices. VFI progression rate was analysed. VFI progression during the first half period of follow up was compared with that during the second half period. VFI progression was confronted with script alert messages delivered by the last GPA (Guided Progression Analysis) event analysis program. RESULTS VFI values were "stable or with low progression" in 100% of OHT patients, 88% of early POAG, 38.5% of moderate POAG, 33% of advanced POAG. Progression during the first half period (mean of 3 years) of follow-up could be extrapolated for the second half period in 97% of OHT patients, 76% of early POAG, 70% of moderate POAG, 75% of advanced POAG. Results from VFI trend analysis and GPA event analysis corresponded in 97% of OHT patients, 85% of early POAG, 85% of moderate POAG, and 87% of advanced POAG. DISCUSSION VFI seems to be a useful indicator for glaucoma evaluation and progression follow-up. It completes the event analysis. Some very advanced POAG cannot be analysed by GPA event analysis. VFI should be able to be used for further follow-up. All these results require validation in larger population. The purpose would be to assess if VFI is able to detect different profiles of progression to help treatment decisions.
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Affiliation(s)
- J M Giraud
- Clinique d'Ophtalmologie, Hôpital d'Instruction des Armées du Val de Grâce, 74 bd de Port Royal, 75005 Paris, France.
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Gleeson T, Iversen MD, Avorn J, Brookhart AM, Katz JN, Losina E, May F, Patrick AR, Shrank WH, Solomon DH. Interventions to improve adherence and persistence with osteoporosis medications: a systematic literature review. Osteoporos Int 2009; 20:2127-34. [PMID: 19499273 PMCID: PMC3257053 DOI: 10.1007/s00198-009-0976-0] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2009] [Revised: 04/02/2009] [Accepted: 04/06/2009] [Indexed: 10/20/2022]
Abstract
SUMMARY Adherence and persistence with osteoporosis medications are poor. We conducted a systematic literature review of interventions to improve adherence and persistence with osteoporosis medications. Seven studies met eligibility requirements and were included in the review. Few interventions were efficacious, and no clear trends regarding successful intervention techniques were identified. However, periodic follow-up interaction between patients and health professionals appeared to be beneficial. INTRODUCTION Adherence and persistence with pharmacologic therapy for osteoporosis are suboptimal. Our goal was to examine the design and efficacy of published interventions to improve adherence and persistence. METHODS We searched medical literature databases for English-language papers published between January 1990 and July 2008. We selected papers that described interventions and provided results for control and intervention subjects. We assessed the design and methods of each study, including randomization, blinding, and reporting of drop-outs. We summarized the results and calculated effect sizes for each trial. RESULTS Seven studies met eligibility requirements and were included in the review. Five of the seven studies provided adherence data. Of those five studies, three showed a statistically significant (p < or = 0.05) improvement in adherence by the intervention group, with effect sizes from 0.17 to 0.58. Five of the seven studies provided persistence data. Of those five, one reported statistically significant improvement in persistence by the intervention group, with an effect size of 0.36. CONCLUSIONS Few interventions were efficacious, and no clear trends regarding successful intervention techniques were identified in this small sample of studies. However, periodic follow-up interaction between patients and health professionals appeared to be beneficial.
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Affiliation(s)
- T. Gleeson
- Division of Rheumatology, Immunology, and Allergy, Department of Medicine, Brigham and Women’s Hospital, 75 Francis Street, PBB-B3, Boston, MA 02115, USA
| | - M. D. Iversen
- Division of Rheumatology, Immunology, and Allergy, Department of Medicine, Brigham and Women’s Hospital, 75 Francis Street, PBB-B3, Boston, MA 02115, USA. MGH Institute of Health Professions, Boston, MA, USA
| | - J. Avorn
- Division of Pharmacoepidemiology, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
| | - A. M. Brookhart
- Division of Pharmacoepidemiology, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
| | - J. N. Katz
- Division of Rheumatology, Immunology, and Allergy, Department of Medicine, Brigham and Women’s Hospital, 75 Francis Street, PBB-B3, Boston, MA 02115, USA. Department of Orthopedic Surgery, Brigham and Women’s Hospital, Boston, MA, USA
| | - E. Losina
- Division of Rheumatology, Immunology, and Allergy, Department of Medicine, Brigham and Women’s Hospital, 75 Francis Street, PBB-B3, Boston, MA 02115, USA. Department of Orthopedic Surgery, Brigham and Women’s Hospital, Boston, MA, USA
| | - F. May
- Division of Pharmacoepidemiology, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
| | - A. R. Patrick
- Division of Pharmacoepidemiology, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
| | - W. H. Shrank
- Division of Pharmacoepidemiology, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
| | - D. H. Solomon
- Division of Rheumatology, Immunology, and Allergy, Department of Medicine, Brigham and Women’s Hospital, 75 Francis Street, PBB-B3, Boston, MA 02115, USA. Division of Pharmacoepidemiology, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
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Le Corre A, Dot C, Feraoun M, Burelle X, Grasswill C, Perrenoud F, May F. Syndrome d’iris plateau-like secondaire à une polykystose iridociliaire. J Fr Ophtalmol 2009; 32:501-4. [DOI: 10.1016/j.jfo.2009.04.023] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2008] [Accepted: 04/20/2009] [Indexed: 11/16/2022]
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May F, Simpson D, Hart L, Rowett D, Perrier D. Experience with academic detailing services for quality improvement in primary care practice. Qual Saf Health Care 2009; 18:225-31. [PMID: 19468007 DOI: 10.1136/qshc.2006.021956] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Despite longstanding experimental evidence about effectiveness of academic detailing, transitioning this research-based concept into acceptable primary care quality improvement services has been slow in the USA. The purpose of this study was to describe primary care uptake, retention and response to an academic-detailing-led service in the USA. Exploration of accessible performance indicators of service acceptance, and feasibility of use of an Australian academic detailing service model were secondary objectives. METHODS Over a 29-month period, an academic-detailing-led drug and therapeutics information service was offered to all primary care physicians providing ongoing patient care in Fayette County, Kentucky. Two programmes (on type 2 diabetes management and chronic pain management) incorporating up to four office visits were offered. RESULTS 102 of 130 (78%) eligible primary care physicians participated in the service, 72% receiving visits for the type 2 diabetes management programme, and 58% the chronic non-malignant pain programme. At all successive encounters, participants expressed a willingness to continue to receive visits. Difficulties were experienced in obtaining appointments for subsequent visits, although on direct enquiry, only one participant explicitly declined further visits. No notable differences existed between physicians accepting visits and those who did not. Across successive visits, passive indicators of satisfaction with the service included: duration of visits, office waiting times, retention of printed materials from one visit to the next, whether physicians wished their extender colleagues to also receive visits, and observed levels of interest and participation within encounters. CONCLUSIONS Ongoing primary care quality improvement services spearheaded by academic detailing can be acceptable to US primary care physicians in practice.
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Affiliation(s)
- F May
- Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts 02120, USA.
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Nobre LF, Marchiori E, May F, Carrão AD, Zanetti G, Machado DM. Thoracic textilomas after myocardial revascularisation: typical CT findings. Br J Radiol 2009; 83:4-7. [PMID: 19433481 DOI: 10.1259/bjr/68800282] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The objective of this work was to report the tomographic findings in five cases of intrathoracic textilomas. The CT scans of five patients presenting with textilomas after being submitted to thoracotomy for myocardial revascularisation were reviewed retrospectively. Two chest radiologists studied the scans independently, and decisions concerning the CT findings were made by consensus. In each of the five cases, the imaging findings were similar and showed lesions resembling an extrapulmonary mass and well-defined contours situated at the marginal posterior pleural surface. In four of the five cases, a low-density centre and peripheral rim-like enhancement were observed after administration of contrast media. The suspicion of textiloma should be raised when a patient with a history of previous myocardial revascularisation surgery presents with an extrapulmonary mass in close contact with the posterior pleural surface.
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Affiliation(s)
- L F Nobre
- University Hospital, Santa Catarina Federal University, Campus Universitário - Trindade - CEP 88040-970, Florianópolis, SC, Brazil
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Dot C, Parier V, Behar-Cohen F, BenEzra D, Jonet L, Goldenberg B, Picard E, Camelo S, de Kozak Y, May F, Soubrane G, Jeanny JC. Influence of age on retinochoroidal healing processes after argon photocoagulation in C57bl/6j mice. Mol Vis 2009; 15:670-84. [PMID: 19347052 PMCID: PMC2664845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2008] [Accepted: 03/20/2009] [Indexed: 12/05/2022] Open
Abstract
PURPOSE To analyze the influence of age on retinochoroidal wound healing processes and on glial growth factor and cytokine mRNA expression profiles observed after argon laser photocoagulation. METHODS A cellular and morphometric study was performed that used 44 C57Bl/6J mice: 4-week-old mice (group I, n=8), 6-week-old mice (group II, n=8), 10-12-week-old mice (group III, n=14), and 1-year-old mice (group IV, n=14). All mice in these groups underwent a standard argon laser photocoagulation (50 microm, 400 mW, 0.05 s). Two separated lesions were created in each retina using a slit lamp delivery system. At 1, 3, 7, 14, 60 days, and 4 months after photocoagulation, mice from each of the four groups were sacrificed by carbon dioxide inhalation. Groups III and IV were also studied at 6, 7, and 8 months after photocoagulation. At each time point the enucleated eyes were either mounted in Tissue Tek (OCT), snap frozen and processed for immunohistochemistry or either flat mounted (left eyes of groups III and IV). To determine, by RT-PCR, the time course of glial fibrillary acidic protein (GFAP), vascular endothelial growth factor (VEGF), and monocyte chemotactic protein-1 (MCP-1) gene expression, we delivered ten laser burns (50 microm, 400 mW, 0.05 s) to each retina in 10-12-week-old mice (group III', n=10) and 1-year-old mice (group IV', n=10). Animals from Groups III' and IV' had the same age than those from Groups III and IV, but they received ten laser impacts in each eye and served for the molecular analysis. Mice from Groups III and IV received only two laser impacts per eye and served for the cellular and morphologic study. Retinal and choroidal tissues from these treated mice were collected at 16 h, and 1, 2, 3, and 7 days after photocoagulation. Two mice of each group did not receive photocoagulation and were used as controls. RESULTS In the cellular and morphologic study, the resultant retinal pigment epithelium interruption expanse was significantly different between the four groups. It was more concise and smaller in the oldest group IV (112.1 microm+/-11.4 versus 219.1 microm+/-12.2 in group III) p<0.0001 between groups III and IV. By contrast, while choroidal neovascularization (CNV) was mild and not readily identifiable in group I, at all time points studied, CNV was more prominent in the (1-year-old mice) Group IV than in the other groups. For instance, up to 14 days after photocoagulation, CNV reaction was statistically larger in group IV than in group III ((p=0.0049 between groups III and IV on slide sections and p<0.0001 between the same groups on flat mounts). Moreover, four months after photocoagulation, the CNV area (on slide sections) was 1,282 microm(2)+/-90 for group III and 2,999 microm(2)+/-115 for group IV (p<0.0001 between groups III and IV). Accordingly, GFAP, VEGF, and MCP-1 mRNA expression profiles, determined by RT-PCR at 16 h, 1, 2, 3, and 7 days postphotocoagulation, were modified with aging. In 1-year-old mice (group IV), GFAP mRNA expression was already significantly higher than in the younger (10-12 week) group III before photocoagulation. After laser burns, GFAP mRNA expression peaked at 16-24 h and on day 7, decreasing thereafter. VEGF mRNA expression was markedly increased after photocoagulation in old mice eyes, reaching 2.7 times its basal level at day 3, while it was only slightly increased in young mice (1.3 times its level in untreated young mice 3 days postphotocoagulation). At all time points after photocoagulation, MCP-1 mRNA expression was elevated in old mice, reaching high levels of expression at 16 h and day 3 respectively. CONCLUSIONS Our results were based on the study of four different age groups and included not only data from morphological observations but also from a molecular analysis of the various alterations of cytokine signaling and expression. One-year-old mice demonstrated more extensive CNV formation and a slower pace of regression after laser photocoagulation than younger mice. These were accompanied by differences in growth factors and cytokine expression profiles indicate that aging is a factor that aggravates CNV. The above results may provide some insight into possible therapeutic strategies in the future.
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Affiliation(s)
- C. Dot
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France,Service d’Ophtalmologie, Hôpital d’Instruction des Armées Legouest, Metz, France
| | - V. Parier
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France,Service d’Ophtalmologie, Hôpital Intercommunal de Créteil, France
| | - F. Behar-Cohen
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France,Service d’Ophtalmologie, Hotel Dieu, Paris, France
| | - D. BenEzra
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France,Assuta Medical Centre-Rishon, Israel
| | - L. Jonet
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France
| | - B. Goldenberg
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France
| | - E. Picard
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France
| | - S. Camelo
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France
| | - Y. de Kozak
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France
| | - F. May
- Service d’Ophtalmologie, Hôpital d’Instruction des Armées Legouest, Metz, France
| | - G. Soubrane
- Service d’Ophtalmologie, Hôpital Intercommunal de Créteil, France
| | - J. C. Jeanny
- Centre de Recherche des Cordeliers, Université Pierre et Marie Curie, Paris, France,Université Paris Descartes, UMR S 872, Paris, France,INSERM, U872, Paris, France
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Dariel R, Giraud J, Fenolland J, Reda K, Nicaise A, May F, Maurin J, Renard J. 493 Imagerie par tomographie en cohérence optique dans la surveillance des trous maculaires : un apport bénéfique. J Fr Ophtalmol 2009. [DOI: 10.1016/s0181-5512(09)73617-4] [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: 10/20/2022]
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Fenolland J, Reda K, Giraud J, Dariel R, Nicaise A, May F, Maurin J, Renard J. 480 Neuropathie optique glaucomateuse unilatérale atypique du sujet jeune. J Fr Ophtalmol 2009. [DOI: 10.1016/s0181-5512(09)73604-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Reda K, Giraud J, Fenolland J, Dariel R, Nicaise A, May F, Maurin J, Renard J. 657 L’oxygénothérapie hyperbare au stade précoce d’occlusion veineuse rétinienne. J Fr Ophtalmol 2009. [DOI: 10.1016/s0181-5512(09)73781-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Jones D, Barlow T, Beaubien S, Ciotoli G, Lister T, Lombardi S, May F, Möller I, Pearce J, Shaw R. New and established techniques for surface gas monitoring at onshore CO2 storage sites. ACTA ACUST UNITED AC 2009. [DOI: 10.1016/j.egypro.2009.01.277] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Dot C, Le Corre A, Ferraoun M, Grassewil C, Burelle X, Meurie D, Joly A, Dariel R, May F. 459 Tolérance variable du liquide sous rétinien maculaire chronique selon la pathologie sous-jacente, à propos de 5 cas, chez des patients âgés de moins de 60 ans. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)71057-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Pujo Rossi F, Burelle X, Dot C, Wary P, May F. 416 Trabéculoplastie sélective par laser : effet sur la pression intra-oculaire. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)71014-3] [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: 10/22/2022]
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Le Corre A, Dot C, Feraoun M, Burelle X, Grassewill C, Meurie D, Perrenoud F, May F. 434 Syndrome d’iris plateau-like secondaire à une polykystose iridociliaire. J Fr Ophtalmol 2008. [DOI: 10.1016/s0181-5512(08)71032-5] [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: 11/25/2022]
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Burelle X, Dot C, Margery J, Henckes O, Wary P, Barberot JP, Meurie D, Dot JM, May F. [Scar sarcoidosis: an exceptional entity in ophthalmology]. J Fr Ophtalmol 2007; 30:815-8. [PMID: 17978678 DOI: 10.1016/s0181-5512(07)92615-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Scar sarcoidosis is a cutaneous demonstration of sarcoidosis arising on old cutaneous scars and generating nodular erythematous lesions. CASE REPORT We report the case of a 55-year-old patient sent for a multinodular erythematous tumefaction, at the level of the right eyebrow arch. The pathologic exam of the surgical specimen found a noncaseating inflammatory granulomatous reaction with no caseous necrosis. The diagnosis of sarcoidosis was retained based on a number of diagnostic arguments including the thoracic scanner and bronchoscopy results. DISCUSSION Scar sarcoidosis is a cutaneous sarcoidosis expression but exceptionally leads to discovery of this disease, which then requires a search for visceral lesions because of their frequent association. The location is essentially facial and the peak of frequency is in the 5th decade. This pathology highlights the problem of its differential diagnosis, based on biopsy, which will eliminate cutaneous metastases, lymphoma, as well as other cutaneous granulomas.
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Affiliation(s)
- X Burelle
- Clinique d'Ophtalmologie, Hôpital d'Instruction des Armées Legouest, Metz.
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Schorsch I, Soljanik I, Stanislaus P, Bauer R, Mayer M, Hocaoglu Y, Becker A, May F. [Causes and diagnosis of female urinary incontinence]. MMW Fortschr Med 2007; 149:27-29. [PMID: 18018410] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The primary cause of stress incontinence is birth traumata. However, obesity, asthma, chronic constipation or hard physical work can also overtax the pelvic floor and lead to injury of the connective tissue and a slackening of the ligamentous apparatus. Pelvic floor defects are initially diagnosed simply through a thorough urogynaecological examination. To predict the success of a surgical treatment, the functions can be tested by performing simulated operations.
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Affiliation(s)
- I Schorsch
- Urologische Klinikum Groghadern, LMU Munchen.
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Stanislaus P, Soljanik I, Schorsch I, Bauer R, Mayer M, Hocaoglu Y, Becker A, May F. [Surgical treatment of female urinary incontinence]. MMW Fortschr Med 2007; 149:33-34. [PMID: 18018412] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Through modern surgical procedures, a reconstruction approaching the physiological anatomical conditions can be achieved. According to the integral theory, the typical symptoms are assigned to an anterior, middle and posterior zone of damage. Surgical treatment of female urinary incontinence consists of refixation of the slackened supporting ligaments of the vagina, bladder and urethra. Furthermore, the slackening of the vaginal wall, which arose from the defects of the pelvic floor are corrected. With the aid of minimally invasive interventions usually using the vaginal approach, tapes and meshes are introduced that are also used to repair hernias.
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Soljanik I, Schorsch I, Stanislaus P, Bauer R, Mayer M, Hocaoglu Y, Becker A, May F. [Conservative treatment of urinary incontinence]. MMW Fortschr Med 2007; 149:30-32. [PMID: 18018411] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Urinary incontinence can be treated with medicinal products in addition to active pelvic floor muscle training and electrostimulation. A local hormone therapy should be first discussed with the gynaecologist. The active substance duloxetine has been used for a few years for treating stress incontinence. Several older and newer active substances are available for treating irritable bladder and stress incontinence.
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May F, Stief C. [Female urinary incontinence. The weak spot is the pelvic floor]. MMW Fortschr Med 2007; 149:26-27. [PMID: 18018409] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- F May
- Klinikum Grosshadern, Ludwig-Maximilians-Universität München
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Solianik I, Schorsch I, Stanislaus P, Bauer R, Mayer M, Hocaoglu Y, Becker A, May F. [Not Available]. MMW Fortschr Med 2007; 149:30-31. [PMID: 27372787 DOI: 10.1007/bf03370851] [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: 06/06/2023]
Affiliation(s)
- I Solianik
- Urologische Klinik Großhadern, Marchioninistr. 15, D-81377, München, Deutschland.
| | - I Schorsch
- Urologische Klinik Großhadern, Marchioninistr. 15, D-81377, München, Deutschland
| | - P Stanislaus
- Urologische Klinik Großhadern, Marchioninistr. 15, D-81377, München, Deutschland
| | - R Bauer
- Urologische Klinik Großhadern, Marchioninistr. 15, D-81377, München, Deutschland
| | - M Mayer
- Urologische Klinik Großhadern, Marchioninistr. 15, D-81377, München, Deutschland
| | - Y Hocaoglu
- Urologische Klinik Großhadern, Marchioninistr. 15, D-81377, München, Deutschland
| | - A Becker
- Urologische Klinik Großhadern, Marchioninistr. 15, D-81377, München, Deutschland
| | - F May
- Urologische Klinik Großhadern, Marchioninistr. 15, D-81377, München, Deutschland
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