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Armstrong K, Maxwell J. Oncoplastic surgery for breast cancer: Global perspectives and trends. J Surg Oncol 2023; 128:967-971. [PMID: 37818917 DOI: 10.1002/jso.27408] [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: 06/16/2023] [Accepted: 07/16/2023] [Indexed: 10/13/2023]
Abstract
Oncoplastic surgery (OPS) is a form of breast conservation that combines definitive oncologic resection with optimal aesthetic outcomes. Various definitions exist, with most focusing on volume displacement techniques to close the lumpectomy defect and redistribute the remaining breast volume over the preserved breast. Although its oncologic safety has been well demonstrated, uptake into practice varies globally. This article details the definition, safety, training opportunities, and practice patterns of OPS on a global scale.
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Affiliation(s)
- Kate Armstrong
- Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA
| | - Jessica Maxwell
- Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA
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2
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Dawson R, Wands DIF, Logan M, Bremner G, Efklides S, Benn L, Henderson P, Grant H, Meredith J, Armstrong K, Wilson DC, Gerasimidis K, Alex G, Russell RK. Comparing Effectiveness of a Generic Oral Nutritional Supplement With Specialized Formula in the Treatment of Active Pediatric Crohn's Disease. Inflamm Bowel Dis 2022; 28:1859-1864. [PMID: 35259266 DOI: 10.1093/ibd/izac039] [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: 11/22/2021] [Indexed: 12/09/2022]
Abstract
BACKGROUND Exclusive enteral nutrition (EEN) is the recommended induction treatment of mild to moderate active pediatric Crohn's disease (CD). This study compared outcomes of 2 proprietary polymeric formulas. Treatment effectiveness was examined along with practical aspects of formula delivery and differences in estimated treatment costs. METHODS Data were retrospectively collected from patients with CD who received a generic oral nutritional supplement (Fortisip) across 2 centers (RCH, Melbourne and RHSC, Edinburgh). This was compared with a prospective cohort (RHC, Glasgow) that used a specialized formula (Modulen IBD). The data collected included patient demographics, remission rates, biochemical markers, administration method, and anthropometrics. The estimated treatment cost was performed by comparing price per kcal between each formula. RESULTS One hundred seventy-one patients were included (106 Fortisip, 65 Modulen IBD, 70 female; median age 13.3 yrs). No difference was demonstrated in remission rate (Fortisip n = 67 of 106 [63%] vs Modulen IBD n = 41 of 64 [64%], P = .89), nonadherence rate (Fortisip n = 7 of 106 [7%] vs Modulen IBD 3 of 64 [5%], P = .57) or method of administration (NGT Fortisip use n = 16 of 106 [12%] vs Modulen IBD 14 of 65 [22%]; P = .31). There was no difference in reduction of biochemical disease markers between the groups (C-reactive protein , P = .13; erythrocyte sedimentation rate, P = .49; fecal calprotectin, P = .94). However, there was a cost-saving of around £500/patient/course if the generic oral nutritional supplement was used. CONCLUSIONS The generic oral nutritional supplement and specialized formulas both had similar clinical effectiveness in induction of remission in pediatric CD. However, there is considerable cost-saving when using a generic oral nutritional supplement.
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Affiliation(s)
- R Dawson
- Department of Paediatric Gastroenterology and Nutrition, Royal Hospital for Children & Young people, Edinburgh, UK
| | - D I F Wands
- Department of Paediatric Gastroenterology and Nutrition, Royal Hospital for Children & Young people, Edinburgh, UK
- Department of Gastroenterology, Hepatology and Clinical Nutrition, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - M Logan
- School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK
| | - G Bremner
- Department of Paediatric Gastroenterology and Nutrition, Royal Hospital for Children & Young people, Edinburgh, UK
| | - S Efklides
- Department of Nutrition and Food Services, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - L Benn
- Department of Nutrition and Food Services, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - P Henderson
- Department of Paediatric Gastroenterology and Nutrition, Royal Hospital for Children & Young people, Edinburgh, UK
- Child Life and Health, University of Edinburgh, Royal Hospital for Children & Young people, Edinburgh, UK
| | - H Grant
- Department of Paediatric Gastroenterology and Nutrition, Royal Hospital for Children & Young people, Edinburgh, UK
| | - J Meredith
- Department of Paediatric Gastroenterology and Nutrition, Royal Hospital for Children & Young people, Edinburgh, UK
| | - K Armstrong
- Department of Paediatric Gastroenterology and Nutrition, Royal Hospital for Children & Young people, Edinburgh, UK
| | - D C Wilson
- Department of Paediatric Gastroenterology and Nutrition, Royal Hospital for Children & Young people, Edinburgh, UK
- Child Life and Health, University of Edinburgh, Royal Hospital for Children & Young people, Edinburgh, UK
| | - K Gerasimidis
- School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK
| | - G Alex
- Department of Gastroenterology, Hepatology and Clinical Nutrition, The Royal Children's Hospital, Melbourne, Victoria, Australia
| | - R K Russell
- Department of Paediatric Gastroenterology and Nutrition, Royal Hospital for Children & Young people, Edinburgh, UK
- School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK
- Child Life and Health, University of Edinburgh, Royal Hospital for Children & Young people, Edinburgh, UK
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Abohashem S, Osborne M, Choi K, Liu Z, Zureigat H, Mezue K, Gharios C, Armstrong K, Smoller J, Tawakol A. Genetic sensitivity to stress modifies the relationship between socioeconomic status and major adverse cardiovascular events. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2265] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Lower socioeconomic status (SES) associates with major adverse cardiovascular events (MACE), in part through stress-related neural pathways that elicit inflammation. However, it is unknown whether genes that heighten stress sensitivity modify the association between lower SES and MACE.
Purpose
To assess whether genetic predisposition to stress sensitivity would modify the link between low SES and MACE
Methods
13,154 participants (median age 60 yrs, 41% male) from the Mass General Brigham Biobank were studied. A polygenic risk score for neuroticism (nPRS) was used as a measure of genetic predisposition to stress sensitivity (GSS). Using home addresses, SES was evaluated as median income and area deprivation index (ADI). Stress-related neural activity (SNA) was assessed (N=978) using validated FDG PET/CT imaging methods. MACE, and cardiovascular disease (CVD) risk factors were evaluated. Mediation analyses were employed.
Results
Over median (IQR) 4.9 (4.1–5.9) years of follow-up, 1,030 (7.8%) individuals had MACE. Lower SES (as low income, or alternatively as high ADI) associated with incident MACE among individuals with higher GSS (nPRS ≥ median) but not lower GSS (Fig. 1A and 1B). Similarly, lower SES associated with SNA among individuals with higher but not lower GSS (Fig. 1C). SNA mediated the relationship between income and MACE (P<0.05**) among those with higher GSS.
Conclusions
Genetic predisposition to stress sensitivity appears to heighten CVD risk associated with lower SES. This relationship may result from differential activation of stress-related neural pathways.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- S Abohashem
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
| | - M Osborne
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
| | - K Choi
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
| | - Z Liu
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
| | - H Zureigat
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
| | - K Mezue
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
| | - C Gharios
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
| | - K Armstrong
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
| | - J Smoller
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
| | - A Tawakol
- Massachusetts General Hospital - Harvard Medical School , Boston , United States of America
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Rodenas-Alesina E, Aleksova N, Armstrong K, Kozuszko S, Moayedi Y, Duero-Posada J, McDonald M, Ross H, Dipchand A. CARDIAC ALLOGRAFT VASCULOPATHY AND SURVIVAL IN PEDIATRIC HEART TRANSPLANT RECIPIENTS TRANSITIONED TO ADULT CARE. Can J Cardiol 2022. [DOI: 10.1016/j.cjca.2022.08.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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5
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Armstrong K, Berger A. What Counts as a Drink? Understanding Standard Drink Equivalence and U.S. Dietary Guidelines for Alcohol. Curr Dev Nutr 2022. [PMCID: PMC9194185 DOI: 10.1093/cdn/nzac066.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Objectives The Dietary Guidelines for Americans recommends that adults who choose to consume alcohol do so in moderation, defined as up to 2 drinks/day for males and up to 1/day for females. The Dietary Guidelines defines a standard drink as containing 0.6 ounces of pure alcohol (ethanol). Today's beer, wine, and spirits products come in a range of containers with varying alcohol content, making it a challenge for consumers to know how many standard drinks they are consuming. Because food and nutrition communicators (e.g., dieticians, educators, media) are key sources of information for consumers, the objective was to learn about awareness and understanding of these topics among this group and to assess how a brief educational session improved knowledge and intentions. Methods In January 2022, participants completed an online survey (N = 29). They included registered dieticians, nutrition experts; food influencers/journalists; and health educators. A week later, they attended a 15-minute, in-person presentation on standard drinks and the Dietary Guidelines for alcohol. A week later, participants completed a follow-up survey (n = 27). Pre/post responses were compared. Results Prior to the presentation, 41% of participants considered the alcohol content of a beverage when they purchased or consumed it. After the presentation, that proportion more than doubled, with 93% saying they would think about alcohol content the next time they purchased or consumed it. At baseline, less than one-half (48%) knew that ethanol is the pure alcohol in all beverage alcohol, and slightly more than two-thirds (69%) knew the recommended daily limits of moderate alcohol consumption for males and females. At follow-up, 81% knew that ethanol is in all beverage alcohol, and 81% knew the recommendations for moderate consumption. Conclusions Knowing the definitions of a standard drink and of moderation are essential aspects of responsible alcohol consumption, yet some food and nutrition experts lack this knowledge – as do many consumers. Given the important role they play in influencing consumer behavior, these findings underscore the importance of ‘educating the educators,’ when it comes to the U.S. Dietary Guidelines for alcohol. Funding Sources The authors received no financial support for the research or authorship of this presentation.
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Ward J, Gill S, Armstrong K, Fogarty T, Tan D, Scott A, Yahya A, Dhaliwal S, Jacques A, Tang C. PO-1384 Simethicone use to Reduce Rectal Variability During Prostate Cancer Radiotherapy, a Randomised Trial. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03348-5] [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: 11/27/2022]
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Brennan F, Williams P, Armstrong K, Klatman E, Donelan N, Ogle GD, Eussen A, Jenkins AJ. A human rights-based approach to improve access to insulin and other aspects of diabetes care. Diabetes Res Clin Pract 2022; 183:109153. [PMID: 34838641 DOI: 10.1016/j.diabres.2021.109153] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 10/20/2021] [Accepted: 11/18/2021] [Indexed: 02/05/2023]
Abstract
Many nations struggle to provide adequate diabetes care. Legal as well as moral obligations may facilitate access. International human rights law places obligations on governments to ensure the accessibility and affordability of insulin (a World Health Organization essential medicine), and other components of diabetes care. Despite this obligation, the global reality is that access remains deficient. A human rights approach facilitating the improvement of diabetes services and equitable access to insulin provides a strong framework, theoretically and practically, for advocacy and policymaking changes. This approach links governments to their international obligations, fosters the ideal of, and adherence to, national essential medicine lists, complements the pursuit of international goals in non-communicable diseases, and should influence the actions of pharmaceutical and device companies. This approach empowers patients, families, and communities living with diabetes, and grounds actions by governments, clinicians, and non-government organisations in the principles of dignity, non-discrimination, and equity of access.
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Affiliation(s)
- Frank Brennan
- Calvary Hospital, 91 Rocky Point Road, Kogarah, NSW 2217, Australia; Insulin for Life Global, C/O NHMRC Clinical Trials Centre, 92-94 Parramatta Rd, Camperdown, NSW 2070, Australia.
| | - Paul Williams
- Insulin for Life Global, C/O NHMRC Clinical Trials Centre, 92-94 Parramatta Rd, Camperdown, NSW 2070, Australia; Department of Chemical Pathology, NSW Pathology, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050, Australia; Department of Endocrinology, Room 3216, Level 3 West, Charles Perkins Centre D17, Johns, Hopkins Drive, University of Sydney, NSW 2006, Australia
| | - Kate Armstrong
- Caring & Living as Neighbours (CLAN), 13 Fourth Avenue, Denistone, NSW 2114, Australia
| | - Emma Klatman
- Life for a Child, Diabetes NSW & ACT, 26 Arundel St., Glebe NSW 2037, Australia
| | - Neil Donelan
- Insulin for Life Global, C/O NHMRC Clinical Trials Centre, 92-94 Parramatta Rd, Camperdown, NSW 2070, Australia
| | - Graham D Ogle
- Life for a Child, Diabetes NSW & ACT, 26 Arundel St., Glebe NSW 2037, Australia
| | - Amy Eussen
- Human Rights Lawyer, 118/22 Eyre Street, Kingston, ACT 2604, Australia
| | - Alicia J Jenkins
- Insulin for Life Global, C/O NHMRC Clinical Trials Centre, 92-94 Parramatta Rd, Camperdown, NSW 2070, Australia; NHMRC Clinical Trials Centre, University of Sydney, 92-94 Parramatta Rd, Camperdown, NSW 2050, Australia
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Lynch A, Ahuja S, Miron A, Nakano S, Howard T, Villa C, Armstrong K, Kaufman B, Gardin L, Whitehill R, Parent J, Godown J, Henderson H, Aziz P, Colan S, Seshadri B, Kantor P, Russell M, Lal A, Butts R, Richmond M, Conway J, Weintraub R, Rossano J, Mital S. Sudden Cardiac Death and ICD Use in Rasopathy-Associated Hypertrophic Cardiomyopathy. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1821] [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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9
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McSweeney SM, Christou EAA, Dand N, Boalch A, Holmes S, Harries M, Palamaras I, Cunningham F, Parkins G, Kaur M, Farrant P, McDonagh A, Messenger A, Jones J, Jolliffe V, Ali I, Ardern-Jones M, Mitchell C, Burrows N, Atkar R, Banfield C, Alexandroff A, Champagne C, Cooper HL, Patel GK, Macbeth A, Page M, Bryden A, Mowbray M, Wahie S, Armstrong K, Cooke N, Goodfield M, Man I, de Berker D, Dunnil G, Takwale A, Rao A, Siah TW, Sinclair R, Wade MS, Bhargava K, Fenton DA, McGrath JA, Tziotzios C. Frontal fibrosing alopecia: a descriptive cross-sectional study of 711 cases in female patients from the UK. Br J Dermatol 2020; 183:1136-1138. [PMID: 32652611 DOI: 10.1111/bjd.19399] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- S M McSweeney
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK
| | - E A A Christou
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK
| | - N Dand
- Department of Medical and Molecular Genetics, King's College London, Guy's Hospital, London, SE1 9RT, UK
| | - A Boalch
- Greenwich and Lewisham NHS Foundation Trust, London, SE13 6LH, UK
| | - S Holmes
- Alan Lyell Centre for Dermatology, Queen Elizabeth University Hospital, Glasgow, G51 4TF, UK.,UK FFA Consortium
| | | | | | - F Cunningham
- Alan Lyell Centre for Dermatology, Queen Elizabeth University Hospital, Glasgow, G51 4TF, UK.,UK FFA Consortium
| | - G Parkins
- Alan Lyell Centre for Dermatology, Queen Elizabeth University Hospital, Glasgow, G51 4TF, UK.,UK FFA Consortium
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- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK.,UK FFA Consortium
| | - D A Fenton
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK.,UK FFA Consortium
| | - J A McGrath
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK
| | - C Tziotzios
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK
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Middleton D, Armstrong K, Baba Y, Balslev H, Chayamarit K, Chung R, Conn B, Fernando E, Fujikawa K, Kiew R, Luu H, Aung MM, Newman M, Tagane S, Tanaka N, Thomas D, Tran T, Utteridge T, van Welzen P, Widyatmoko D, Yahara T, Wong K. Progress on Southeast Asia’s Flora projects. ACTA ACUST UNITED AC 2019. [DOI: 10.26492/gbs71(2).2019-02] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [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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11
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Travers N, Dean A, Armstrong K, Peeperkorn L, Tan M, Das A. The tolerability and efficacy of FOLFIRINOX in gastro-oesophageal carcinoma. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz422.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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12
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Gray NJ, Chanoine JP, Farmer MY, Jarvis JD, Armstrong K, Barr RD, Faunce TA, Lashley PM, Ndikumwenayo F, Hauerslev M, Karekezi CW, Klein JD. NCDs and the WHO Essential Medicines Lists: children need universal health coverage too. Lancet Child Adolesc Health 2019; 3:756-757. [PMID: 31537467 DOI: 10.1016/s2352-4642(19)30294-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 08/01/2019] [Indexed: 10/26/2022]
Affiliation(s)
- Nicola J Gray
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; Green Line Consulting Limited, North Harrow HA1 4LB, UK.
| | - Jean-Pierre Chanoine
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; Endocrinology and Diabetes Unit, British Columbia Children's Hospital, Vancouver, BC, Canada; Global Pediatric Endocrinology and Diabetes, Vancouver, BC, Canada
| | - Mychelle Y Farmer
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; Advancing Synergy, Baltimore, MD, USA
| | - Jordan D Jarvis
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; London School of Hygiene & Tropical Medicine, London, UK
| | - Kate Armstrong
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; Caring & Living As Neighbours, Denistone, NSW, Australia
| | - Ronald D Barr
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; Department of Pediatrics, Health Sciences Centre, McMaster University, Hamilton, ON, Canada
| | - Thomas A Faunce
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; Australian National University Law School and Australian National University Medical School, Australian National University, Canberra, ACT, Australia
| | - P Michele Lashley
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; University of the West Indies, St Michael, Barbados
| | - François Ndikumwenayo
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; Burundi University, Bujumbura, Burundi; Burundi Non-Communicable Diseases Alliance, Bujumbura, Burundi
| | - Marie Hauerslev
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; Regionshospitalet Holstebro, Holstebro, Denmark
| | - Catherine W Karekezi
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; Kenya Diabetes Management and Information Centre, Nairobi, Kenya; Non-Communicable Diseases Alliance Kenya, Nairobi, Kenya
| | - Jonathan D Klein
- NCD Child Task Force on Essential Medicines and Equipment, NCD Child, Itasca, IL, USA; International Pediatric Association Executive Committee, Marengo, IL, USA; Department of Pediatrics, University of Illinois at Chicago, Chicago, IL, USA
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Dean A, Peeperkorn L, Armstrong K, De Marie A, Watanabe Y, Tan M, Travers N. Prospective evaluation of FOLFIRINOX in Neo-adjuvant treatment of gastro-oesophageal junction carcinomas. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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14
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Armstrong K, Ward J, Hughes N, Mihai A, Blayney A, Mascott C, Kileen R, Armstrong J. Guidelines for Clinical Target Volume Definition for Perineural Spread of Major Salivary Gland Cancers. Clin Oncol (R Coll Radiol) 2018; 30:773-779. [DOI: 10.1016/j.clon.2018.08.018] [Citation(s) in RCA: 2] [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: 12/03/2017] [Revised: 07/23/2018] [Accepted: 07/23/2018] [Indexed: 12/25/2022]
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15
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Winkelman W, Armstrong K, Rosenblatt P. Electrostatic Precipitation: A Novel Smoke Management System for Laparoscopic Surgery. J Minim Invasive Gynecol 2018. [DOI: 10.1016/j.jmig.2018.09.718] [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: 10/28/2022]
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16
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Szogi E, Darvell M, Freeman J, Truelove V, Palk G, Davey J, Armstrong K. Does getting away with it count? An application of stafford and warr's reconceptualised model of deterrence to drink driving. Accid Anal Prev 2017; 108:261-267. [PMID: 28923516 DOI: 10.1016/j.aap.2017.08.006] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2016] [Revised: 08/03/2017] [Accepted: 08/03/2017] [Indexed: 05/05/2023]
Abstract
Drink drivers continue to be disproportionately represented in road mortalities and morbidities. Given these costs, countermeasures that effectively reduce the behaviour (and its consequences) are imperative. Research has produced inconsistent findings regarding the deterrent effects of some countermeasures on drink driving behaviour, namely legal sanctions, suggesting other factors may be more influential. This study aimed to determine which deterrence measures based on Classical Deterrence Theory and Stafford and Warr's (1993) reconceptualised model of deterrence influence the propensity to drink and drive over the legal blood alcohol content limit of 0.05. In total, 1257 Australian drivers aged from 16 to 85 years completed a questionnaire assessing their self-reported drink driving behaviour and perceptions of legal sanctions. Consistent with previous research, past experiences of direct punishment avoidance was the most significant predictor of drink driving. Additionally, perceptions of personal certainty of apprehension were a significant (albeit weak) negative predictor of drink driving. Counterintuitively, experiences of indirect punishment were predictive of self-reported drink driving. Similarly, penalty severity produced mixed results as those who considered a penalty would be severe were less likely to drink and drive. However those that considered the penalty would cause a considerable impact on their lives, were more likely to drink and drive. Taken together, these findings suggest that while the threat of apprehension and punishment may influence self-reported drink driving behaviours, committing and offence while avoiding detection is a significant influence upon ongoing offending. This paper will further elaborate on the findings in regards to developing salient and effective deterrents that produce a lasting effect.
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Affiliation(s)
- E Szogi
- Queensland University of Technology (QUT),Centre for Accident Research and Road Safety - Queensland(CARRS-Q), 130 Victoria Park Road, Kelvin Grove, 4059, Australia
| | - M Darvell
- Queensland University of Technology (QUT),Centre for Accident Research and Road Safety - Queensland(CARRS-Q), 130 Victoria Park Road, Kelvin Grove, 4059, Australia
| | - J Freeman
- Queensland University of Technology (QUT),Centre for Accident Research and Road Safety - Queensland(CARRS-Q), 130 Victoria Park Road, Kelvin Grove, 4059, Australia.
| | - V Truelove
- Queensland University of Technology (QUT),Centre for Accident Research and Road Safety - Queensland(CARRS-Q), 130 Victoria Park Road, Kelvin Grove, 4059, Australia
| | - G Palk
- Queensland University of Technology (QUT),Centre for Accident Research and Road Safety - Queensland(CARRS-Q), 130 Victoria Park Road, Kelvin Grove, 4059, Australia
| | - J Davey
- Queensland University of Technology (QUT),Centre for Accident Research and Road Safety - Queensland(CARRS-Q), 130 Victoria Park Road, Kelvin Grove, 4059, Australia
| | - K Armstrong
- Queensland University of Technology (QUT),Centre for Accident Research and Road Safety - Queensland(CARRS-Q), 130 Victoria Park Road, Kelvin Grove, 4059, Australia
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Ponce R, Armstrong K, Andrews K, Hensler J, Waggie K, Heffernan J, Reynolds T, Rogge M. Safety of Recombinant Human Factor XIII in a Cynomolgus Monkey Model of Extracorporeal Blood Circulation. Toxicol Pathol 2017; 33:702-10. [PMID: 16243775 DOI: 10.1080/15459620500330625] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Factor XIII (FXIII) is a thrombin-activated plasma coagulation factor critical for blood clot stabilization and longevity. Administration of exogenous FXIII to replenish depleted stores after major surgery, including cardiopulmonary bypass, may reduce bleeding complications and transfusion requirements. Thus, a model of extracorporeal circulation (ECC) was developed in adult male cynomolgus monkeys ( Macaca fascicularis) to evaluate the nonclinical safety of recombinant human FXIII (rFXIII). The hematological and coagulation profile in study animals during and after 2 h of ECC was similar to that reported for humans during and after cardiopulmonary bypass, including observations of anemia, thrombocytopenia, and activation of coagulation and platelets. Intravenous slow bolus injection of 300 U/kg (2.1 mg/kg) or 1000 U/kg (7 mg/kg) rFXIII after 2 h of ECC was well tolerated in study animals, and was associated with a dose-dependent increase in FXIII activity. No clinically significant effects in respiration, ECG, heart rate, blood pressure, body temperature, clinical chemistry, hematology (including platelet counts), or indicators of thrombosis (thrombin:antithrombin complex and D-Dimer) or platelet activation (platelet factor 4 and beta-thromboglobulin) were related to rFXIII administration. Specific examination of brain, heart, lung, liver, and kidney from rFXIII-treated animals provided no evidence of histopathological alterations suggestive of subclinical hemorrhage or thrombosis. Taken as a whole, the results demonstrate the ECC model suitably replicated the clinical presentation reported for humans during and after cardiopulmonary bypass surgery, and do not suggest significant concerns regarding use of rFXIII in replacement therapy after extracorporeal circulation.
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Affiliation(s)
- R Ponce
- ZymoGenetics, Inc, Seattle, Washington 98102, USA.
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Affiliation(s)
- I. Sebbag
- Western University; London ON Canada
| | - F. Qasem
- Western University; London ON Canada
| | | | | | - S. Singh
- Western University; London ON Canada
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Brookes J, Sondekoppam R, Armstrong K, Uppal V, Dhir S, Terlecki M, Ganapathy S. Comparative evaluation of the visibility and block characteristics of a stimulating needle and catheter vs an echogenic needle and catheter for sciatic nerve block with a low-frequency ultrasound probe. Br J Anaesth 2015; 115:912-9. [DOI: 10.1093/bja/aev351] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Pulungan A, Suryawan IWB, Armstrong K, Pramesti DL. The role of community development in improving awareness, diagnosis and management of childhood non-communicable diseases (NCDs) in Indonesia. Int J Pediatr Endocrinol 2015. [PMCID: PMC4428261 DOI: 10.1186/1687-9856-2015-s1-p83] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Dhir S, Armstrong K, Armstrong P, Bouzari A, Mall J, Yu J, Ganapathy S, King G. A randomised comparison between ultrasound and nerve stimulation for infraclavicular catheter placement. Anaesthesia 2015; 71:198-204. [DOI: 10.1111/anae.13302] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2015] [Indexed: 12/01/2022]
Affiliation(s)
- S. Dhir
- Department of Anaesthesia and Peri-operative Medicine; St. Joseph's Health Care; Western University; London Ontario Canada
| | - K. Armstrong
- Department of Anaesthesia and Peri-operative Medicine; St. Joseph's Health Care; Western University; London Ontario Canada
| | - P. Armstrong
- Department of Anaesthesia and Peri-operative Medicine; St. Joseph's Health Care; Western University; London Ontario Canada
| | - A. Bouzari
- Department of Anaesthesia and Peri-operative Medicine; St. Joseph's Health Care; Western University; London Ontario Canada
| | - J. Mall
- Department of Anaesthesia and Peri-operative Medicine; St. Joseph's Health Care; Western University; London Ontario Canada
| | - J. Yu
- Department of Anaesthesia and Peri-operative Medicine; St. Joseph's Health Care; Western University; London Ontario Canada
| | - S. Ganapathy
- Department of Anaesthesia and Peri-operative Medicine; St. Joseph's Health Care; Western University; London Ontario Canada
| | - G. King
- Hand and Upper Limb Centre; Department of Orthopaedics and Plastic Surgery; St. Joseph's Health Care; Western University; London Ontario Canada
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Armstrong K, De Souza A, Sneddon P, Potts J, Claydon V, Sherwin E, Sanatani S. DOES AN 8-WEEK LOWER BODY EXERCISE PROGRAM IMPROVE QUALITY OF LIFE IN TEENAGERS WITH DYSAUTONOMIA? Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Ward J, Armstrong J, Armstrong K, Mascott C, Thirion P, Rock L, Mihai A. 3318 Outcomes of Stereotactic Radiosurgery in Patients with Brain Metastases from Melanoma Primary: Single Institution Experience. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31836-6] [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: 10/22/2022]
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Armstrong K, Mihai A, Ward J, Mascott C, Rock L, Thirion P, Armstrong J. 1842 Impact of Her 2/Neu status on the outcomes of patients with breast cancer metastatic to the brain, treated with stereotactic radiosurgery. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30792-4] [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: 11/16/2022]
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Mitchelhill I, Armstrong K, Craig M, Dung VC, Thao BP, Khanh NN, Ngoc TB, Hoang TTD, Quynh H, Tran DTP, Trach PN, Loan HT, Khanh NP, Huyen TTB, Pulungan A, Soesanti F. Evaluation of parental knowledge after establishing CAH clubs in Vietnam & Indonesia. Int J Pediatr Endocrinol 2015. [PMCID: PMC4428513 DOI: 10.1186/1687-9856-2015-s1-p53] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Couroux P, Patel D, Armstrong K, Larché M, Hafner RP. Fel d 1-derived synthetic peptide immuno-regulatory epitopes show a long-term treatment effect in cat allergic subjects. Clin Exp Allergy 2015; 45:974-981. [DOI: 10.1111/cea.12488] [Citation(s) in RCA: 97] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Revised: 12/02/2014] [Accepted: 01/04/2015] [Indexed: 02/04/2023]
Affiliation(s)
| | - D. Patel
- Cetero Research; Mississauga ON Canada
| | | | - M. Larché
- Clinical Immunology & Allergy and Respirology Divisions; Department of Medicine and Firestone Institute for Respiratory Health; McMaster University; Hamilton ON Canada
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Shafai F, Armstrong K, Iarocci G, Oruc I. Orientation discrimination profiles identify distinct subgroups within autism spectrum disorder. J Vis 2014. [DOI: 10.1167/14.10.679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Affiliation(s)
- K Armstrong
- Department of Paediatrics, Cork University Hospital, Cork, Ireland Department of Paediatrics & Paediatric Neurology, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland
| | - O O'Mahony
- Department of Paediatrics, Cork University Hospital, Cork, Ireland
| | - L Farah
- Department of Paediatrics & Paediatric Neurology, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland
| | - D Webb
- Department of Paediatrics & Paediatric Neurology, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland
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Rolls K, Armstrong K, Keating L, Wrightson D, Walker S, Masters J. Measurement of temperature in critically ill adults: A systematic review and clinical practice guideline. Aust Crit Care 2014. [DOI: 10.1016/j.aucc.2013.10.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Armstrong K, Boot B, Jaklitsch M. Sleep deprivation in elderly thoracic surgery patients. J Geriatr Oncol 2013. [DOI: 10.1016/j.jgo.2013.09.269] [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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Abstract
A plasmid library of oat chromosome No21, the smallest chromosome of the complement, was constructed by microdissection and microcloning. The chromosome was deproteinized with proteinase K and digested with Sau3A and linker adaptors were ligated to the DNA fragments. From the single chromosome (less than 0.4 pg), 10 μg of DNA was obtained after 2 rounds of PCR amplification. Cloning experiments with the amplified DNA produced as many as 500 000 recombinant clones from the single chromosome. The 500 clones evaluated ranged in size from 150 to 1700 base pairs (bp) with an average size of 650 bp. These were approximately 41% high-copy and 59% low/unique copy clones. Tandem repeats were absent in the library and may have been selected against by a combination of the Sau3A digestion, which is sensitive to C-methylation, and the PCR amplification. Many low-copy dispersed repetitive sequences were present in the library. These were present primarily on A- and D-genome chromosomes. Southern blot analysis revealed that the unique-copy clones were suitable for restriction fragment length polymorphism analysis and that they mapped to the pertinent oat nullisomic lines.
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Abstract
Genomic fluorescent in situ hybridization was employed in the study of the genome organization and evolution of hexaploid oat (Avena sativa L. cv. Sun II, AACCDD, 2n = 6x = 42). Genomic DNAs from two diploid oat species, Avena strigosa (genomic constitution AsAs, 2n = 14) and Avena pilosa (genomic constitution CpCp, 2n = 14), were used as probes in the study. The DNA from A. strigosa labelled 28 of the 42 (2/3) chromosomes of the hexaploid oat, while 14 of the 42 (1/3) chromosomes were labelled with A. pilosa DNA, indicating a close relationship between the A and D genomes. Results also suggested that at least 18 chromosomes (9 pairs) were involved in intergenomic interchanges between the A and C genomes.
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Panda P, Fiers M, Armstrong K, Pitman A. First report of blackleg and soft rot of potato caused by
Pectobacterium carotovorum
subsp.
brasiliensis
in New Zealand. ACTA ACUST UNITED AC 2012. [DOI: 10.5197/j.2044-0588.2012.026.015] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- P. Panda
- Bio‐Protection Research CentreLincoln UniversityPO Box 84CanterburyNew Zealand
| | - M.A.W.J. Fiers
- New Zealand Institute for Plant & Food Research LtdPrivate Bag 4704ChristchurchNew Zealand
| | - K. Armstrong
- Bio‐Protection Research CentreLincoln UniversityPO Box 84CanterburyNew Zealand
| | - A.R. Pitman
- Bio‐Protection Research CentreLincoln UniversityPO Box 84CanterburyNew Zealand
- New Zealand Institute for Plant & Food Research LtdPrivate Bag 4704ChristchurchNew Zealand
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Mao J, Desai K, Watkins-Brunner D, Frankel E, Palmer S, Xie S, Barg F, Armstrong K. P04.65. Development and validation of an instrument for measuring decision making about complementary and alternative medicine (CAM) use among cancer patients. BMC Complement Altern Med 2012. [PMCID: PMC3373866 DOI: 10.1186/1472-6882-12-s1-p335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Abstract
A patient undergoing elective total shoulder arthroplasty had an Arrow Stimucath™ (Arrow International Reading, PA, USA) stimulating catheter inserted in the region of the interscalene brachial plexus using an ultrasound-guided in-plane approach. There was subsequent difficulty in removing the catheter and traction was associated with painful paraesthesia in the patient's thumb. Plain X-ray revealed a hook-shaped deformity of the tip and surgical exploration was required to remove the catheter, the tip of which appeared to be trapped within the sheath of the brachial plexus. We speculate that the mechanism for entrapment in this case was deformation of the catheter tip into a hook-like shape. The subsequent catheter-neural interaction prevented asymptomatic removal. We recommend that removal of peripheral nerve catheters be attempted only after resolution of sensory block so as to enable patients to report pain or paraesthesia. Imaging with ultrasound or X-rays may help ascertain catheter tip location and confirm whether deformity is present. We also recommend a low threshold for proceeding to surgical extraction, particularly if neurological symptoms are present.
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Affiliation(s)
- S. D. Adhikary
- Department of Anesthesiology and Perioperative Medicine, University of Western Ontario, London, Ontario, Canada
| | - K. Armstrong
- Department of Anesthesiology and Perioperative Medicine, University of Western Ontario, London, Ontario, Canada
| | - K. J. Chin
- Department of Anesthesiology and Perioperative Medicine, University of Western Ontario, London, Ontario, Canada
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Abstract
UNLABELLED Following a perinatal hypoxic-ischaemic insult, term infants commonly develop cardiovascular dysfunction. Troponin-T, troponin-I and brain natriuretic peptide are sensitive indicators of myocardial compromise. The long-term effects of cardiovascular dysfunction on neurodevelopmental outcome following perinatal hypoxic ischaemia remain controversial. Follow-up studies are warranted to ensure optimal cardiac function in adulthood. CONCLUSION Cardiac biomarkers may improve the diagnosis of myocardial injury, help guide management, estimate mortality risk and may also aid in longterm neurodevelopmental outcome prediction following neonatal hypoxic-ischaemia.
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Affiliation(s)
- D Sweetman
- Neonatology, National Maternity Hospital, Dublin, Ireland.
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Abstract
Despite an increase in direct-to-consumer (DTC) genetic testing, little is known about how variations in website content might alter consumer behavior. We evaluated the impact of risk information provision on women's attitudes about DTC BRCA testing. We conducted a randomized experiment; women viewed a 'mock' BRCA testing website without [control group (CG)] or with information on the potential risks of DTC testing [RG; framed two ways: unattributed risk (UR) information and risk information presented by experts (ER)]. Seven hundred and sixty-seven women participated; mean age was 37 years, mean education was 15 years, and 79% of subjects were white. Women in the RG had less positive beliefs about DTC testing (mean RG = 23.8, CG = 25.2; p = 0.001), lower intentions to get tested (RG = 2.8, CG = 3.1; p = 0.03), were more likely to prefer clinic-based testing (RG = 5.1, CG = 4.8; p = 0.03) and to report that they had seen enough risk information (RG = 5.3, CG = 4.7; p < 0.001). UR and ER exposure produced similar effects. Effects did not differ for women with or without a personal/family history of breast/ovarian cancer. Exposing women to the potential risks of DTC BRCA testing altered their beliefs, preferences, and intentions. Risk messages appear to be salient to women irrespective of their chance of having a BRCA mutation.
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Affiliation(s)
- S W Gray
- Population Sciences, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
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Armstrong K, Eussen A. 2011 United Nations Summit on Non-Communicable Diseases - coming together as one voice for the children. Stud Health Technol Inform 2012; 172:20-26. [PMID: 22910497] [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: 06/01/2023]
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Lefort MC, Boyer S, Worner SP, Armstrong K. Noninvasive molecular methods to identify live scarab larvae: an example of sympatric pest and nonpest species in New Zealand. Mol Ecol Resour 2011; 12:389-95. [PMID: 22189059 DOI: 10.1111/j.1755-0998.2011.03103.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Despite the negative impact that many scarab larvae have on agro-ecosystems, very little attention has been paid to their taxonomy. Their often extremely similar morphological characteristics have probably contributed to this impediment, which has also meant that they are very difficult to identify in the field. Molecular methods can overcome this challenge and are particularly useful for the identification of larvae to enable management of pest species occurring sympatrically with nonpest species. However, the invasive collection of DNA samples for such molecular methods is not compatible with subsequent behavioural, developmental or fitness studies. Two noninvasive DNA sampling and DNA analysis methods suitable for the identification of larvae from closely related scarab species were developed here. Using the frass and larval exuviae as sources of DNA, field-collected larvae of Costelytra zealandica (White) and Costelytra brunneum (Broun) (Scarabaeidae: Melolonthinae) were identified by multiplex PCR based on the difference in size of the resulting PCR products. This study also showed that small quantities of frass can be used reliably even 7 days after excretion. This stability of the DNA is of major importance in ecological studies where timeframes rarely allow daily monitoring. The approach developed here is readily transferable to the study of any holometabolous insect species for which morphological identification of larval stages is difficult.
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Affiliation(s)
- M-C Lefort
- Bio-Protection Research Centre, PO Box 84, Lincoln University, Lincoln 7647, Christchurch, New Zealand.
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Suneja G, Epstein A, Pollack C, Guzzo T, Lipschultz A, Armstrong K, Bekelman J. Association between an Integrated Prostate Cancer Center and Prostate Cancer Treatment Trends in Louisiana: A Study from 2004-2007. Int J Radiat Oncol Biol Phys 2011. [DOI: 10.1016/j.ijrobp.2011.06.720] [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: 11/17/2022]
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Armstrong K, Ahmad I, Kalna G, Tan SS, Edwards J, Robson CN, Leung HY. Upregulated FGFR1 expression is associated with the transition of hormone-naive to castrate-resistant prostate cancer. Br J Cancer 2011; 105:1362-9. [PMID: 21952621 PMCID: PMC3241546 DOI: 10.1038/bjc.2011.367] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [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] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Prostate cancer (PC) represents a global health issue. Treatment for locally advanced and metastatic PC remains unsatisfactory. The androgen receptor (AR) has been validated in having a key role in both naïve and castrate-resistant PC (CRPC). However, the significance of other signalling pathways in CRPC is less well validated. METHODS To gain a better insight into the molecular signalling cascades involved in clinical CRPC, we performed gene expression profiling using the Illumina DASL assay and studied matched hormone-naive (HN) and CR prostate tumours (n=10 pairs). Ingenuity Pathways Analysis (IPA) was used to identify potential networks involved, and further validation was performed in in vitro cell models and clinical tumours. RESULTS Expression of 50 genes was significantly different between HN and CRPC. IPA revealed two networks of particular interest, including AR and FGFR1, respectively. FGFR1 expression was confirmed to be significantly upregulated in CRPC (P ≤ 0.005), and abnormal FGFR1 expression was associated with shorter time to biochemical relapse in HNPC (P=0.006) and less favourable disease-specific survival in CRPC (P=0.018). CONCLUSION For the first time, our gene expression profiling experiment on archival tumour materials has identified upregulated FGFR1 expression to be associated with PC progression to the CR state.
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Affiliation(s)
- K Armstrong
- Solid Tumour Target Discovery Group, Northern Institute for Cancer Research, Newcastle University, Newcastle NE2 4HH, UK
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Tran F, Vu DC, Nguyen HT, Bui TP, Huynh LT, Nguyen KP, Nguyen VT, Tran HM, Tran D, Hoang TD, Harkin N, Armstrong K, Jameson K, Pham A, Cowell CT, Craig ME. Glycaemic control in children with neonatal diabetes and type 1 diabetes in Vietnam. Int Health 2011; 3:188-92. [DOI: 10.1016/j.inhe.2011.03.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Armstrong K, Conant E, Chen J, Handorf E, Jones M, Boghossian L, Domchek SM. Incremental impact of breast cancer SNP panel on risk classification and screening. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.1522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Abstract
AIMS To determine whether healthcare providers apply the best interest principle equally to different resuscitation decisions. METHODS An anonymous questionnaire was distributed to consultants, trainees in neonatology, paediatrics, obstetrics and 4th medical students. It examined resuscitation scenarios of critically ill patients all needing immediate resuscitation. Outcomes were described including survival and potential long-term sequelae. Respondents were asked whether they would intubate, whether resuscitation was in the patients best interest, would they accept surrogate refusal to initiate resuscitation and in what order they would resuscitate. RESULTS The response rate was 74%. The majority would wish resuscitation for all except the 80-year-old. It was in the best interest of the 2-month-old and the 7-year-old to be resuscitated compared to the remaining scenarios (p value <0.05 for each comparison). Approximately one quarter who believed it was in a patient best interests to be resuscitated would nonetheless accept the family refusing resuscitation. Medical students were statistically more likely to advocate resuscitation in each category. CONCLUSION These results suggest resuscitation is not solely related to survival or long-term outcome and the best interest principle is applied differently, more so at the beginning of life.
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Affiliation(s)
- K Armstrong
- Department of Neonatology, Cork University Maternity Hospital, Cork, Ireland
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Yeboa D, Sunderland R, Liao K, Armstrong K, Bekelman J. Trends in Treatment with Intensity Modulated (IMRT) vs. 3D Conformal (CRT) Radiotherapy for Non-metastatic Prostate Cancer. Int J Radiat Oncol Biol Phys 2010. [DOI: 10.1016/j.ijrobp.2010.07.811] [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: 10/19/2022]
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Armstrong K, Obst P, Davey J, Thunstrom H. Developing guidelines for interventions to reduce risk of low-speed vehicle run-overs of young children. Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Yeboa DN, Liao K, Guzzo T, Haas NB, Christodouleas JP, Vapiwala N, Sunderland R, Mitra N, Armstrong K, Bekelman JE. PSA surveillance in men with localized prostate cancer. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.6024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Bonants P, Groenewald E, Rasplus JY, Maes M, de Vos P, Frey J, Boonham N, Nicolaisen M, Bertacini A, Robert V, Barker I, Kox L, Ravnikar M, Tomankova K, Caffier D, Li M, Armstrong K, Freitas-Astúa J, Stefani E, Cubero J, Mostert L. QBOL: a new EU project focusing on DNA barcoding of Quarantine organisms. ACTA ACUST UNITED AC 2010. [DOI: 10.1111/j.1365-2338.2009.02350.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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