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Dopheide JA, Onyema IE, Casey T, Goodwin H, Moore TD, Payne GH. The mental health workforce needs pharmacists. Am J Health Syst Pharm 2023; 80:1752-1758. [PMID: 37659002 DOI: 10.1093/ajhp/zxad213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Indexed: 09/05/2023] Open
Affiliation(s)
- Julie A Dopheide
- University of Southern California Mann School of Pharmacy and Pharmaceutical Sciences, Los Angeles, CA, USA
| | | | - Tyler Casey
- Kaiser Permanente - Northwest, Portland, OR, USA
| | | | - Tera D Moore
- Clinical Pharmacy Practice Office, Department of Veterans Affairs, Aurora, CO, USA
| | - Gregory H Payne
- American Association of Psychiatric Pharmacists, Lincoln, NE, USA
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Eng J, Thompson S, Goodwin H, Credgington D, Penfold TJ. Competition between the heavy atom effect and vibronic coupling in donor–bridge–acceptor organometallics. Phys Chem Chem Phys 2020; 22:4659-4667. [DOI: 10.1039/c9cp06999b] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The excited state properties and intersystem crossing dynamics of a series of donor–bridge–acceptor carbene metal-amides based upon the coinage metals Cu, Ag, Au, are investigated using quantum dynamics simulations and supported by photophysical characterisation.
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Affiliation(s)
- Julien Eng
- Chemistry
- School of Natural and Environmental Sciences
- Newcastle University
- Newcastle upon Tyne
- UK
| | - Stuart Thompson
- Chemistry
- School of Natural and Environmental Sciences
- Newcastle University
- Newcastle upon Tyne
- UK
| | | | | | - Thomas James Penfold
- Chemistry
- School of Natural and Environmental Sciences
- Newcastle University
- Newcastle upon Tyne
- UK
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Petre-Lazar B, Sharma G, Hutchings S, Goodwin H, Emul NY, Dixon G, Vasseur B. Comparison of the systemic and local pharmacokinetics, safety and tolerability of clonidine mucoadhesive buccal tablets with reference clonidine oral tablets in healthy volunteers. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw390.32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Sparks S, Wassif C, Goodwin H, Conley S, Lanham D, Kratz L, Hyland K, Gropman A, Tierney E, Porter F. Decreased cerebral spinal fluid neurotransmitter levels in Smith-Lemli-Opitz syndrome. J Inherit Metab Dis 2014; 37:415-20. [PMID: 24500076 PMCID: PMC4166510 DOI: 10.1007/s10545-013-9672-5] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2013] [Revised: 12/10/2013] [Accepted: 12/13/2013] [Indexed: 12/11/2022]
Abstract
Smith-Lemli-Opitz syndrome (SLOS) is an autosomal recessive, multiple congenital anomaly syndrome with cognitive impairment and a distinct behavioral phenotype that includes autistic features. SLOS is caused by a defect in 3β-hydroxysterol Δ(7)-reductase which leads to decreased cholesterol levels and elevated cholesterol precursors, specifically 7- and 8-dehydrocholesterol. However, the pathological processes contributing to the neurological abnormalities in SLOS have not been defined. In view of prior data suggesting defects in SLOS in vesicular release and given the association of altered serotonin metabolism with autism, we were interested in measuring neurotransmitter metabolite levels in SLOS to assess their potential to be used as biomarkers in therapeutic trials. We measured cerebral spinal fluid levels of serotonin and dopamine metabolites, 5-hydroxyindoleacetic acid (5HIAA) and homovanillic acid (HVA) respectively, in 21 SLOS subjects. Results were correlated with the SLOS anatomical severity score, Aberrant Behavior Checklist scores and concurrent sterol biochemistry. Cerebral spinal fluid (CSF) levels of both 5HIAA and HVA were significantly reduced in SLOS subjects. In individual patients, the levels of both 5HIAA and HVA were reduced to a similar degree. CSF neurotransmitter metabolite levels did not correlate with either CSF sterols or behavioral measures. This is the first study demonstrating decreased levels of CSF neurotransmitter metabolites in SLOS. We propose that decreased levels of neurotransmitters in SLOS are caused by a sterol-related defect in synaptic vesicle formation and that CSF 5HIAA and HVA will be useful biomarkers in development of future therapeutic trials.
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Affiliation(s)
- S.E. Sparks
- Clinical Genetics, Department of Pediatrics, Carolinas Medical Center, Charlotte, NC, USA
| | - C.A. Wassif
- Program on Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA
| | - H. Goodwin
- Program on Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA
| | - S.K. Conley
- Program on Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA
| | - D.C. Lanham
- Department of Psychiatry, Kennedy Krieger Institute, Baltimore, MD, USA
| | - L.E. Kratz
- Biochemical Genetics Laboratory, Kennedy Krieger Institute, Baltimore, MD, USA
| | - K. Hyland
- Medical Neurogenetics, Atlanta, GA, USA
| | - A. Gropman
- Center for Neuroscience Research, Children's National Medical Center, Washington, DC, USA
| | - E. Tierney
- Department of Psychiatry, Kennedy Krieger Institute, Baltimore, MD, USA
| | - F.D. Porter
- Program on Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA
- Corresponding Author: Forbes D. Porter, MD, PhD, 10-CRC, Rm. 5-2571, 10 Center Dr., Bethesda, MD 20892, Phone: 301-435-4432, Fax: 301-480-5791,
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Goodwin H. Eczema and allergy: how useful is allergy testing? ACTA ACUST UNITED AC 2009; 20:25-30. [PMID: 19119746 DOI: 10.7748/paed.20.10.25.s26] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
AIM To determine the value of allergy testing using skin prick tests and specific immunoglobulin E measurements (spIgE) to identify allergies in children with eczema (atopic dermatitis) and to correlate these findings with the clinical history METHOD This was a retrospective study of 100 children with moderate to severe eczema attending hospital for treatment. In each child a detailed clinical history of allergy was documented and the severity of atopic dermatitis assessed by the research nurse. Skin prick tests were carried out using grass pollen, house-dust mite and egg-white allergens. Blood tests were taken for total IgE and spIgE responses to these allergens. A control group of 100 children with no history of allergy was also included for comparison. RESULTS More than two thirds of the children (68 per cent) had a high total IgE (> 1000 kU/l). SpIgE tests to grass and house-dust mite were shown as the most frequent finding although statistically poor in association with the clinical history. Allergy to these airborne allergens was found to be more common in the older age group of children. whereas egg-white allergy was seen more commonly in the younger age group. CONCLUSION There is no one diagnostic test for allergy in children with atopic dermatitis. The results of these tests in combination with the clinical history provide a more accurate assessment of the child's allergy status. Children with moderate to severe eczema have a high incidence of associated allergy. Skin prick tests and spIgE proved helpful but neither was exclusively better than the other for diagnosis. The clinical nurse specialist is able to make a valuable contribution to the family through offering support and carrying out allergy tests.
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Wilcoxon H, Evans A, Goodwin H, O?Brien J, Zorbas H, Luxford K. SO16P MULTIDISCIPLINARY CANCER CARE IN AUSTRALIA: AN AUDIT OF CURRENT UPTAKE. ANZ J Surg 2007. [DOI: 10.1111/j.1445-2197.2007.04131_16.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: 11/28/2022]
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Mann B, Zorbas H, Goodwin H, Nehill C. SO02 SYNOPTIC REPORTING OF BREAST IMAGING: AN OPPORTUNITY TO IMPROVE BREAST CANCER CARE. ANZ J Surg 2007. [DOI: 10.1111/j.1445-2197.2007.04131_2.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: 11/29/2022]
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Abstract
INTRODUCTION Clinical governance and risk management is very important in today's clinical practice. Cataract surgery is one of the most common procedures performed in the NHS, with around 200,000 operations per year. In order to help minimise the frequency of negligence claims, we performed a collaborative study to analyse claims relating to cataract surgery, dealt with by the defence organisations of England, Scotland, Wales, and Northern Ireland. MATERIALS AND METHODS All claims dealt with by the Medical Defence Union, the Medical Protection Society, and the Medical and Dental Defence Union of Scotland from January 1990 to December 1999, were analysed by three ophthalmologists with at least 5 years' speciality experience. Recurrent themes were identified and claims were grouped by major causative factor. The findings were discussed by a panel compromising the authors in conjunction with the defence unions and risk management strategies were designed. RESULTS There were 96 claims within the 10- year period analysed. Of these, the largest group (52) pertained to claims that related to accepted complications of cataract surgery. The remainder comprised two groups: 'Medical Errors' (anaesthetic, surgeon, and biometry) and 'Other Claims' comprising subjective complaints, pain and poor visual outcome. A total of 16 claims had been settled by May 2002, 45 are ongoing and 35 have closed without settlement. CONCLUSIONS The majority of claims pertained to well-recognised complications of cataract surgery. If these risks are adequately explained to the patient before surgery and if the care provided reaches a standard acceptable to a responsible body of professional opinion, all such claims should be defensible. Good visual outcome does not protect against litigation.
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Affiliation(s)
- A Bhan
- Queens Medical Centre, Nottingham, UK.
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Abstract
BACKGROUND The ability of abdominal ultrasound to detect intraperitoneal fluid in the pregnant trauma patient has been questioned. METHODS Pregnant blunt trauma patients admitted to a Level I trauma center during an 8-year period were reviewed. Ultrasound examinations were used to detect intraperitoneal fluid and considered positive if such fluid was identified. RESULTS One hundred twenty-seven (61%) of 208 pregnant patients had abdominal ultrasound during initial evaluation in the emergency department. Seven patients had intra-abdominal injuries, and six had documented hemoperitoneum. Ultrasound identified intraperitoneal fluid in five of these six patients (sensitivity, 83%; 95% confidence interval, 36-100%). In the 120 patients without intra-abdominal injury, ultrasound was negative in 117 (specificity, 98%; 95% confidence interval, 93-100%). The three patients without intra-abdominal injury but with a positive ultrasound had the following: serous intraperitoneal fluid and no injuries at laparotomy (one) and uneventful clinical courses of observation (two). CONCLUSION The sensitivity and specificity of abdominal ultrasonography in pregnant trauma patients is similar to that seen in nonpregnant patients. Occasional false negatives occur and a negative initial examination should not be used as conclusive evidence that intra-abdominal injury is not present. Ultrasound has the advantages of no radiation exposure.
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Affiliation(s)
- H Goodwin
- Department of Internal Medicine, Division of Emergency Medicine, University of California Davis Health System, Sacramento, California, USA
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Chioza B, Goodwin H, Blower J, McCormick D, Nashef L, Asherson P, Makoff AJ. Failure to replicate association between the gene for the neuronal nicotinic acetylcholine receptor alpha 4 subunit (CHRNA4) and IGE. Am J Med Genet 2000; 96:814-6. [PMID: 11121188 DOI: 10.1002/1096-8628(20001204)96:6<814::aid-ajmg24>3.0.co;2-m] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
The gene for the neuronal nicotinic acetylcholine receptor alpha4 subunit (CHRNA4) was identified as a gene underlying a rare idiopathic partial epilepsy syndrome in humans, autosomal dominant nocturnal frontal lobe epilepsy (ADNFLE). In a recent study, one of four silent polymorphisms (594 C/T) in CHRNA4 showed association with the common subtypes of idiopathic generalised epilepsy (IGE). In the present study, three of these polymorphisms were investigated for association in 182 Caucasian patients with IGE, but not categorised by subtype. They were compared with 178 controls in a case/control study. Further analyses were performed using a family-based design. None of the three polymorphisms exhibited any association with IGE. Am. J. Med. Genet. (Neuropsychiatr. Genet.) 96:814-816, 2000.
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Affiliation(s)
- B Chioza
- Department of Psychological Medicine, Institute of Psychiatry, London, United Kingdom
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Gold M, Goodwin H, Botham S, Burgess M, Nash M, Kempe A. Re-vaccination of 421 children with a past history of an adverse vaccine reaction in a special immunisation service. Arch Dis Child 2000; 83:128-31. [PMID: 10906018 PMCID: PMC1718412 DOI: 10.1136/adc.83.2.128] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND In Australia an adverse event following immunisation (AEFI), with the exception of anaphylaxis and encephalopathy, is no longer considered an absolute contraindication to continuing vaccination with the suspect vaccine. Despite these recommendations there is a paucity of information on the re-vaccination of such children. AIMS To describe the re-vaccination of a large number of children with a past history of an AEFI. METHODS A review of children attending special immunisation services in three Australian tertiary care paediatric centres. RESULTS During the review 970 children attended of whom 469 had experienced a past AEFI. Of these, 293 had experienced minor while 176 children had experienced significant neurological or allergic reactions. The majority (421/469) were re-vaccinated, with only one child having a significant neurological event; this was transient and resolved spontaneously. CONCLUSIONS Re-vaccination of children who have a past history of an AEFI appears safe. A special immunisation service should be part of a comprehensive immunisation programme.
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Affiliation(s)
- M Gold
- South Australian Immunisation Coordination Unit, Communicable Disease Control Branch, Department of Human Services, PO Box 6, Rundle Mall, Adelaide 5000, South Australia.
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Affiliation(s)
- H Goodwin
- Risk Management Department, The Medical Defence Union Limited, 192 Altrincham Road, Manchester M22 4RZ, UK
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Goodwin H, Curran N, Chioza B, Blower J, Nashef L, Asherson P, Makoff AJ. No association found between polymorphisms in genes encoding mGluR7 and mGluR8 and idiopathic generalised epilepsy in a case control study. Epilepsy Res 2000; 39:27-31. [PMID: 10690750 DOI: 10.1016/s0920-1211(99)00096-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [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: 11/27/2022]
Abstract
The genes of two group III metabotropic glutamate receptors, mGluR7 and 8, are candidate susceptibility genes for epilepsy. The Tyr433Phe polymorphism of mGluR7 and a novel polymorphism in the mGluR8 gene located 29 bp after the termination codon (2756C/T) were investigated in case control association studies performed on DNA from more than 100 patients with idiopathic generalised epilepsy (IGE). No significant association was found with IGE for either polymorphism.
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Affiliation(s)
- H Goodwin
- Department of Psychological Medicine, Institute of Psychiatry, London, UK
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Abstract
BACKGROUND Hypotonic-hyporesponsive episodes (HHE) were once considered a contraindication to pertussis vaccination. METHODOLOGY To evaluate the safety of further vaccination, chart review was conducted of 66 children who had experienced an HHE, and who were assessed in one of three special clinics in three capital city tertiary paediatric hospitals. Immediately prior to the HHE, 63 children had received whole-cell pertussis vaccine, three had received acellular pertussis vaccine. RESULTS Sixty-four of the 66 children were vaccinated in the special clinic, 59 with pertussis-containing vaccines (55 acellular, four whole-cell), without serious adverse events. There were no HHE after these further vaccinations. CONCLUSIONS Previously healthy children who experience HHE reactions can safely continue standard vaccination schedules.
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Affiliation(s)
- H Goodwin
- National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases, Westmead, New South Wales, Australia
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Abstract
BACKGROUND There are few data on the rate of compliance with universal precautions among pediatricians. We hypothesized that compliance in pediatrics would be poor because of the intrinsic difficulties in performing invasive procedures in small subjects. DESIGN Prospective, observational study. SETTING Tertiary care children's hospital. STUDY PARTICIPANTS A convenience sample of pediatric house staff. MAIN OUTCOME MEASURES Pediatric house staff members were observed while performing invasive procedures. Procedure type, number of attempts required, and patient's age and diagnosis were recorded. Degree of compliance with universal precautions was judged by means of Centers for Disease Control and Prevention guidelines. Comparisons between the compliant and noncompliant groups were analyzed by chi2 and 2-tailed t test. RESULTS A total of 128 procedures performed by 43 house officers, 4 advanced medical students, and 3 chief residents or fellows were observed. Sixty-nine (53.9%) of the 128 procedures were performed correctly according to universal precaution guidelines. Rate of compliance did not appear to be influenced by small patient size, as judged by the lack of association with the age of the patient (mean+/-SD, 4.8+/-5.7 years among those in whom universal precautions were properly used vs 4.9+/-5.4 years among patients in whom precaution guidelines were breached; P=.96). Moreover, the number of attempts required in compliant procedures (1.31+/-0.53) was almost identical to that in noncompliant procedures (1.28+/-0.49; P=.73). Additionally, compliance did not improve with advanced level of training. CONCLUSIONS Failure of compliance among pediatricians has no apparent association with procedure difficulty, and compliance rates continue to be poor through the course of pediatric training. These findings underline the need for effective education concerning universal precautions throughout pediatric residency, and they suggest that such efforts will not be precluded by obstacles intrinsic to performing invasive procedures on young subjects.
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Affiliation(s)
- S Moore
- Department of Pediatrics, Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA
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Burrows P, Bingham A, Bohm N, Beuzeville S, Goodwin H, Hillman J, Roth P, Murphy B. AIDS-related risk-taking behaviour in drug abusers. Med J Aust 1988; 148:314, 316. [PMID: 3347189 DOI: 10.5694/j.1326-5377.1988.tb117847.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Hill RM, Goodwin H. Visual receptive fields from cells of a marsupial (Didelphis virginiana) superior colliculus. Experientia 1968; 24:559-60. [PMID: 4881348 DOI: 10.1007/bf02153771] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Abstract
The resolution of
[tris{cis-dihydroxybisethylenediaminecobalt(II)}cobalt(III)] nitrate (hexol
nitrate) into four of the eight theoretically possible optical isomers using
potassium d- and l-antimonyl tartrate is described. The reactions involved in the
formation of the optically active isomers of the hexol ion show less
stereospecificity than those of similar complexes studied by earlier
investigators.
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