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Playford D, Claxton S, Behncken S, Kearney L. Multidisciplinary Breathlessness Service: Early Experience and Proposed Model of Care. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.356] [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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2
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Lee-Tokar L, Kearney L, Langabeer SE. Detection of JAK2 Exon 12 Mutations in Suspected Polycythemia Vera by Next-Generation Sequencing. Clin Lab 2022; 68. [PMID: 35023693 DOI: 10.7754/clin.lab.2021.210510] [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: 11/03/2022]
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3
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Playford D, Schwarz N, Chowdhury E, Hutson H, Duong M, Williamson A, Maan A, Strange G, Behncken S, Stewart S, Kearney L. Profile of Patients With Symptomatic and Asymptomatic Aortic Stenosis in an Australian Clinical Cohort: A Retrospective Outcome Study. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Patel S, Ramchand J, Kearney L, Srivastava P, Burrell L. Reduced Gene Expression and Genetic Variation in Kruppel-Like Factor 15 Are Associated with Left Ventricular Hypertrophy and All-Cause Mortality in Patients with Aortic Stenosis. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.686] [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: 10/16/2022]
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Playford D, Schwarz N, Williamson A, Duong M, Shadmaan A, Turner D, Behncken S, Kearney L. Early Outcomes Following Integration of Computed Tomography (CT) Coronary Angiography Service in an Established Cardiology Practice. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.245] [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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Chalinor H, Bodek S, Bojadzieva J, Farouque O, Hare D, Johns J, Kearney L, Lim H, Lin T, Mirzaee S, Ramchand J, Salmon L, Stutterd C, Teh A, Valente G, Wallis M. The Introduction and Development of a Genetic Counsellor-led Cardiac Genetics Service in a Metropolitan Hospital. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Chandrasekhar J, Thomas G, Duong M, Eccleston D, Kearney L. One-Year Cardiovascular Outcomes in Patients With Heart Failure and Obstructive Sleep Apnoea: From the GenesisCare Heart Failure Registry. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.109] [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: 10/16/2022]
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8
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Bhreathnach Ú, Kearney L, Langabeer SE. Prevalence of atypical BCR-ABL1 transcript types in adult Philadelphia chromosome-positive acute lymphoblastic leukemia: implications for measurable residual disease. Hematol Transfus Cell Ther 2021; 44:130-131. [PMID: 34284978 PMCID: PMC8885372 DOI: 10.1016/j.htct.2021.05.010] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 04/12/2021] [Accepted: 05/26/2021] [Indexed: 11/17/2022] Open
Affiliation(s)
- Úna Bhreathnach
- Cancer Molecular Diagnostics, St. James's Hospital, Dublin, Ireland
| | - Laura Kearney
- Cancer Molecular Diagnostics, St. James's Hospital, Dublin, Ireland
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Beecher SM, Hill R, Kearney L, Dorairaj J, Kumar A, Clover AJ. The pruritus severity scale-a novel tool to assess itch in burns patients. Int J Burns Trauma 2021; 11:156-162. [PMID: 34336379 PMCID: PMC8310874] [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] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 04/14/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Pruritus assessment is difficult due to the varying subjective nature of the experience. There have been several validated tools described to quantify the severity of itch, however these tools fail to provide a comprehensive assessment or are too cumbersome and therefore lack usability. Our novel burn assessment tool, "The Pruritus Severity Scale" (PSS) allows for accurate quantification of itch components. The aim of this study was to assess its use in the burns population. METHODS A prospective observational study was conducted on all patients over five years of age with a burn injury over a six month period. Patients underwent subjective evaluation of their itch as determined by two validated scores, the Visual Analogue Scale (VAS) and the Itch Man scale (IMS) and in addition to the PSS. The pruritus severity scale was correlated with the previously validated scoring methods using bi-variate correlations. RESULTS Twenty-two patients were included in the study. The most common cause of injury was due to flame burn. The mean total body surface area was 6.5% (range: 1-26%). Both the IMS and the VAS positively correlated well with the PSS. The Spearman Coefficient for the PSS vs IMS was 0.81, R2 = 0.65 (P<0.05). The Spearman Coefficient for the PSS vs VAS was 0.87 (R2 = 0.76 (P<0.01)). There is a positive linear relationship between our novel scoring methods and the currently validated methods, indicating its validity as a burn assessment too. CONCLUSION The Pruritus Severity Scale was shown to be an accurate, objective tool that was able to effectively record the patient's experience of itch. We believe that this novel score is quick, easy to use and allows for more comprehensive assessment than other short assessment tools.
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Affiliation(s)
- Suzanne M Beecher
- Department of Plastic Surgery, Cork University HospitalCork, Ireland
| | - Ronan Hill
- Department of Plastic Surgery, Cork University HospitalCork, Ireland
| | - Laura Kearney
- Department of Plastic Surgery, Cork University HospitalCork, Ireland
| | - Jemima Dorairaj
- Department of Plastic Surgery, Cork University HospitalCork, Ireland
| | - Arun Kumar
- Department of Veterinary Biosciences, School of Veterinary Medicine, University College DublinDublin, Ireland
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Lee Tokar L, Kearney L, Langabeer SE. MPL exon 10 mutations in Irish patients with a suspected myeloproliferative neoplasm. EXCLI J 2021; 20:197-198. [PMID: 33628158 PMCID: PMC7898040 DOI: 10.17179/excli2021-3454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Accepted: 01/28/2021] [Indexed: 11/27/2022]
Affiliation(s)
- Lisa Lee Tokar
- Cancer Molecular Diagnostics, St. James's Hospital, Dublin, Ireland
| | - Laura Kearney
- Cancer Molecular Diagnostics, St. James's Hospital, Dublin, Ireland
| | - Stephen E. Langabeer
- Cancer Molecular Diagnostics, St. James's Hospital, Dublin, Ireland,*To whom correspondence should be addressed: Stephen E. Langabeer, Cancer Molecular Diagnostics, St. James’s Hospital, Dublin, Ireland; Phone: +353-1-4162413, Fax: +353-1-4103513, E-mail:
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Tiu JG, Balakumaran K, Barry M, Cipriani K, Kearney L, Oranefo J, Kim MJ, Tabtabai S. A Dedicated Guideline Directed Medical Therapy Clinic Improves Quality of Care and Outcomes In Patients with Heart Failure and Reduced Ejection Fraction. J Card Fail 2020. [DOI: 10.1016/j.cardfail.2020.09.386] [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: 10/23/2022]
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Kearney L, Lee Tokar L, Flynn C, Mykytiv V, Murphy K, Langabeer SE. Repeat JAK2 V617F testing in patients with suspected essential thrombocythaemia. J Clin Pathol 2020; 73:772. [PMID: 32646925 DOI: 10.1136/jclinpath-2020-206778] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 06/15/2020] [Indexed: 11/04/2022]
Affiliation(s)
| | | | | | | | - Karen Murphy
- St. Vincent's University Hospital, Dublin, Ireland
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13
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Kearney L, Crampe M, Conneally E, Krawczyk J, Kumar S, Murphy PT, Mykytiv V, Ryan MF, Langabeer SE. Molecular responses in e19a2 BCR-ABL1 chronic myeloid leukemia. Leuk Res Rep 2020; 13:100195. [PMID: 32211287 PMCID: PMC7082598 DOI: 10.1016/j.lrr.2020.100195] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Accepted: 03/07/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Laura Kearney
- Cancer Molecular Diagnostics, Trinity Translational Medicine Institute, St. James's Hospital, Dublin, D08 W9RT, Ireland
| | - Mireille Crampe
- Cancer Molecular Diagnostics, Trinity Translational Medicine Institute, St. James's Hospital, Dublin, D08 W9RT, Ireland
| | | | - Janusz Krawczyk
- Department of Haematology, Galway University Hospital, Galway, Ireland
| | - Senthil Kumar
- Department of Haematology, University Hospital Waterford, Waterford, Ireland
| | - Philip T Murphy
- Department of Haematology, Beaumont Hospital, Dublin, Ireland
| | - Vitaliy Mykytiv
- Department of Haematology, Cork University Hospital, Cork, Ireland
| | - Mary-Frances Ryan
- Department of Haematology, University Hospital Limerick, Limerick, Ireland
| | - Stephen E Langabeer
- Cancer Molecular Diagnostics, Trinity Translational Medicine Institute, St. James's Hospital, Dublin, D08 W9RT, Ireland
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Affiliation(s)
- L Kearney
- Cancer Molecular Diagnostics, St. James's Hospital, Dublin D08 RX0X, Ireland
| | - M Crampe
- Cancer Molecular Diagnostics, St. James's Hospital, Dublin D08 RX0X, Ireland
| | - S E Langabeer
- Cancer Molecular Diagnostics, St. James's Hospital, Dublin D08 RX0X, Ireland
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15
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Bilgrami N, Salehi H, Kearney L, Hare D. 122 Impact of Hand Held Echocardiogram (HHE) on Hospitalisation Duration in Heart Failure (HF) Patients. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.129] [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: 10/23/2022]
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16
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Murphy A, Lancefield T, Faroudi F, Chao M, Koshy A, Subramanian R, Undrill S, Yeo B, Yudi M, Kearney L, Farouque O. 183 The Role of Serum Cardiac Biomarkers and Left Ventricular Strain Imaging for Detecting Early Radiation Induced Myocardial Damage in Women Undergoing Left-Sided Breast Radiation Therapy. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.190] [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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17
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Kearney L, Concannon E, Rolle C, Hynes M, Malesevic V, Kelly JL. Influence of socioeconomic factors on litigation in surgery: Addressing the gap in malpractice literature. J Plast Reconstr Aesthet Surg 2019; 73:376-382. [PMID: 31706865 DOI: 10.1016/j.bjps.2019.09.030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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: 06/17/2019] [Revised: 09/14/2019] [Accepted: 09/25/2019] [Indexed: 10/25/2022]
Abstract
The practice of medicine is occasionally volatile and increasingly litigious. Within the specialities, plastic surgery has a high risk, with negative outcomes seen as dissatisfaction, as compared to actual physical harm. To date, most research has focused on potential triggers for litigation, such as poor communication and perceived behavioural deficiencies among physicians. Few studies have addressed patient characteristics or socioeconomic factors. The 'Influence of Socio-Economic Factors on Attitudes Towards Surgery' questionnaire was designed to reflect these goals. It was distributed for a 12-month period to patients in an Emergency Department waiting room. Three hundred twelve completed questionnaires were submitted for analysis. Within the study population, we identified certain socioeconomic trends among those with a low threshold to pursue litigation. Patients with a low threshold to sue were more likely to be male, aged 25-55 years, currently unemployed, without dependents and divorced. However, these parameters did not reach statistical significance. Although these characteristics are interesting, they cannot reliably identify or predict those with a low threshold for litigation. For now, the clinical focus should remain on careful adherence to best practice in an effort to reduce the risk of potential litigation.
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Affiliation(s)
- L Kearney
- Department of Plastic and Reconstructive Surgery, Galway University Hospital (GUH), Newcastle Road, Galway, Ireland.
| | - E Concannon
- Department of Plastic and Reconstructive Surgery, Galway University Hospital (GUH), Newcastle Road, Galway, Ireland
| | - C Rolle
- College of Medicine, Nursing and Health Sciences, National University of Ireland Galway (NUIG), Ireland
| | - M Hynes
- School of Political Science and Sociology, National University of Ireland Galway, Ireland
| | - V Malesevic
- School of Political Science and Sociology, National University of Ireland Galway, Ireland
| | - J L Kelly
- Department of Plastic and Reconstructive Surgery, Galway University Hospital (GUH), Newcastle Road, Galway, Ireland
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Francis E, Kearney L, Clover J. The effects of stem cells on burn wounds: a review. Int J Burns Trauma 2019; 9:1-12. [PMID: 30911430 PMCID: PMC6420705] [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] [Subscribe] [Scholar Register] [Received: 10/21/2018] [Accepted: 11/12/2018] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Stem cell therapy application is at the vanguard of regenerative medicine across all medical disciplines. Stem cells are of special interest in burn wounds, as they have multiple potential indications for application; including - accelerating wound healing, improving skin regeneration to incorporate skin appendages, reducing fibrosis and improving scarring. METHODS A literature review was performed using both MeSH and keyword searches of PubMed to identify all potentially suitable publications. Search criteria were restricted to the English language, but acceptable English translations were sought for inclusion. Inclusion dates were from 2003 up until and including 2017. Studies included looked at stem cells in burn wounds only. RESULTS There were 692 potentially suitable publications of which 72 were included for review. These included a systematic reviews and original research articles. CONCLUSIONS Stem cells accelerate burn wound healing by inducing neo-angiogenesis, collagen deposition and granulation tissue formation. They modulate the inflammatory response and reduce the risk of infection. They can regenerate skin appendages and halt he zone of stasis in acute burn injury. However with these pre-clinical animal model studies we must be cautious with our interpretation of this novel therapy.
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Affiliation(s)
- Eamon Francis
- Department of Plastic, Reconstructive & Burns Surgery, Cork University Hospital Wilton Road, Cork, Ireland
| | - Laura Kearney
- Department of Plastic, Reconstructive & Burns Surgery, Cork University Hospital Wilton Road, Cork, Ireland
| | - James Clover
- Department of Plastic, Reconstructive & Burns Surgery, Cork University Hospital Wilton Road, Cork, Ireland
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Kearney L, Eccleston D, McGillion J, Lu K, Thai W, Duong M, Kim S, Hamilton R, Delacroix S. The Effects of Cardiac and Non-cardiac Comorbidities on Survival in Patients with Heart Failure and Reduced Ejection Fraction. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.135] [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: 10/26/2022]
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Kearney L, Kim S, Lu K, McGillion J, Duong M, Delacrix S, Eccleston D. Prevalence and Prognostic Significance of Chronic Kidney Disease in Patients with Heart Failure and Preserved Ejection Fraction in Australia. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.123] [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: 10/26/2022]
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21
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Oosthuizen S, Srivastava P, Eccleston D, Kearney L. A Technical Perspective of Improving Detail and Consistency in the Performance and Reporting of Echocardiography: An Eight–Year Trend from a National Database. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.008] [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: 10/26/2022]
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22
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Kearney L, Lu K, Duong M, McGillion JJ, Kim S, Eccleston D, Delacroix S. The Prevalence and Prognostic Significance of Atrial Fibrillation in Patients with Heart Failure and Preserved Ejection Fraction. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.138] [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: 10/26/2022]
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23
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Kearney L, Kelly JL. The smartphone: an effective tool in transitioning patients from mole mapping to mole excision. Dermatol Online J 2018; 24:13030/qt3bz8v4w1. [PMID: 30677808] [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] [Received: 01/21/2019] [Accepted: 01/21/2019] [Indexed: 06/09/2023] Open
Abstract
We describe a useful strategy to accurately identify the correct 'atypical' nevus for excision in patients with multiple nevi. We believe this is an effective strategy and eliminates risk of any incorrect procedures being performed, and have used this technique on over 50 patients to date. As the patient stores the images on their own phone, there is no breach of data protection. We find patients prefer this method as opposed to giving others permission to store their sensitive information.
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Affiliation(s)
- Laura Kearney
- Department of Plastic & Reconstructive Surgery, Galway University Hospital, Galway.
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24
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Concannon E, Carr S, Doherty A, McInerney SJ, Birrane J, Kearney L, Hussey AJ, Potter SM, Kelly JL, McInerney NM. Referral of patients to plastic surgeons following self-harm: Opportunities for suicide prevention. J Plast Reconstr Aesthet Surg 2018; 72:491-497. [PMID: 30509737 DOI: 10.1016/j.bjps.2018.10.026] [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] [Received: 07/31/2018] [Accepted: 10/28/2018] [Indexed: 11/28/2022]
Abstract
Self-harm is a common source of referral to plastic and hand surgery services. Appropriate management of these patients is complex and includes the need for close liaison with mental health services. Self-harm is the single biggest risk factor for completed suicide, thereby increasing the risk by a factor of 66.1 This study aimed to analyse the clinical pathway and demographics of patients referred to plastic surgeons following self-harm. This 6-year retrospective series included patients referred to plastic surgeons following self-harm within the Galway University Hospital group. Patients were identified through the Hospital inpatient enquiry system, cross-referenced with data from the National Suicide Research Foundation. Data collected included demographics, psychiatric history, details of self-harm injury, admission pathway and operative intervention. Forty-nine patients were referred to plastic surgery services during the study period, accounting for 61 individual presentations. The male-to-female ratio was 26 (53%) to 23 (47%). Mean age was 40 years (range 21-95 years). Alcohol or illicit substance use was recorded in 17 of 61 (28%) presentations. Mortality from suicide occurred in 4 patients (8%). Mental health assessment was not carried out in 9 presentations (15%). Documentation of need for close or one-to-one observation was made in 11 cases (20%) and was not referred to in 43 cases (83%) following mental health assessment. This study demonstrates significant diversity in the management of this vulnerable patient group and may inform development of referral pathways to improve the safety of transfer, surgical admission and discharge of patients following self-harm, in consultation with mental health services.
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Affiliation(s)
- E Concannon
- Department of Plastic and Reconstructive Surgery, Galway University Hospitals, Galway, Ireland.
| | - S Carr
- Department of Plastic and Reconstructive Surgery, Galway University Hospitals, Galway, Ireland
| | - A Doherty
- Department of Psychiatry, Galway University Hospitals, Galway, Ireland
| | - S J McInerney
- Department of Psychiatry, St Michaels Hospital, Toronto and University of Toronto, Canada
| | - J Birrane
- Department of Plastic and Reconstructive Surgery, Galway University Hospitals, Galway, Ireland
| | - L Kearney
- Department of Plastic and Reconstructive Surgery, Galway University Hospitals, Galway, Ireland
| | - A J Hussey
- Department of Plastic and Reconstructive Surgery, Galway University Hospitals, Galway, Ireland
| | - S M Potter
- Department of Plastic and Reconstructive Surgery, Galway University Hospitals, Galway, Ireland
| | - J L Kelly
- Department of Plastic and Reconstructive Surgery, Galway University Hospitals, Galway, Ireland
| | - N M McInerney
- Department of Plastic and Reconstructive Surgery, Galway University Hospitals, Galway, Ireland
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Kearney L. Teratology educational course September 6th, Newcastle UKDILAS. Reprod Toxicol 2018. [DOI: 10.1016/j.reprotox.2018.07.019] [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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Kearney L, Francis EC, Clover AJ. New technologies in global burn care - a review of recent advances. Int J Burns Trauma 2018; 8:77-87. [PMID: 30245912 PMCID: PMC6146166] [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] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Accepted: 08/12/2018] [Indexed: 06/08/2023]
Abstract
There have been truly incredible strides in the standard of burn care. The mortality from burn injuries has more than halved since the 1950s, making it hugely unique among major diseases of the developed world. There can be no doubt technology and technological advances have driven this process, dramatically improved every aspect of burn care, from the intensive care management, the surgical management, management of the healing wound to the post burn sequelae, specifically scar management. This review aims to identify key technological advances in burns, in both the developed and developing world, and evaluate their influence in the continued strategy to improve the standards of global burn care.
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Affiliation(s)
- Laura Kearney
- Department of Plastic & Reconstructive Surgery, Cork University Hospital Wilton, Cork, Ireland
| | - Eamon C Francis
- Department of Plastic & Reconstructive Surgery, Cork University Hospital Wilton, Cork, Ireland
| | - Anthony Jp Clover
- Department of Plastic & Reconstructive Surgery, Cork University Hospital Wilton, Cork, Ireland
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Abstract
Postpartum cardiomyopathy (PPCM) is a rare condition that develops near the end of pregnancy or in the months after giving birth, manifesting as heart failure secondary to left ventricular systolic dysfunction. Clinical progression varies considerably, with both end-stage heart failure occurring within days and spontaneous recovery seen. Treatment pathways for heart failure are well established, but the evidence about the safety of medicines passed to infants during breastfeeding is scarce and mainly poor; this often leads to an incorrect decision that a mother should not breastfeed. Given its benefits to both mother and infant, breastfeeding should not routinely be ruled out if the mother is taking heart failure medication but the consequences for the infant need to be considered. An informed risk assessment to minimise potential harm to the infant can be carried out using the evidence that is available along with a consideration of drug properties, adverse effects, paediatric use and pharmacokinetics. In most cases, risks can be managed and infants can be monitored for potential problems. Breastfeeding can be encouraged in women with cardiac dysfunction with PPCM although treatment for the mother takes priority with breastfeeding compatibility being the secondary consideration. International research is continuing to establish efficacy and safety of pharmacotherapy in PPCM.
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Kearney L, Whelan D, O'Donnell BD, Clover AJP. The Use of Thromboelastography to Measure the Influence Inclusion of a Local Anesthetic Agent has on the Mechanical and Kinetic Properties of Fibrin. J Nat Sci Biol Med 2018; 9:39-41. [PMID: 29456391 PMCID: PMC5812072 DOI: 10.4103/jnsbm.jnsbm_76_17] [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: 11/04/2022] Open
Abstract
Context Delivery of slow-release local anesthesia has considerable potential for postoperative analgesia. Fibrin gel has shown huge potential for drug delivery, but has not been fully investigated for the delivery of local anesthetics nor has whether incorporation of anesthetic drugs into fibrin alters its mechanical properties. Aims This study aimed to evaluate the effects of bupivacaine inclusion on the mechanical and kinetic properties of fibrin as measured by thromboelastography (TEG). Materials and Methods Serial dilutions of fibrinogen with thrombin were tested with TEG to identify the optimal concentrations to give reproducible results. Following this, fibrinogen samples diluted with bupivacaine 0.5% in place of normal saline (also 1:20 dilution) were added to thrombin to assess what influence this had on clot strength and kinetics as measured by TEG values (with R, K, and α angle relating to clot kinetics and MA and G (or shear elastic modulus strength) relating to clot strength). Results The mean values yielded for R were higher and lower for α angle, suggesting that the inclusion of bupivacaine produced a fibrin clot at a slower rate. The values for MA and G were both lower when bupivacaine was included, suggesting inclusion of the local anaesthetic also resulted in a fibrin clot of inferior strength. These results were not statistically significant. Conclusion Although TEG failed to consistently measure these properties, the results suggest that inclusion of local anesthetic affects the clotting process of fibrin, potentially interfering with its ability to function as a sealant, adhesive, or hemostat.
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Affiliation(s)
- Laura Kearney
- Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, Ireland
| | - Derek Whelan
- Centre for Research in Vascular Biology, University College Cork, Cork, Ireland
| | - Brian D O'Donnell
- Department of Anaesthetics, Cork University Hospital, Cork, Ireland.,Assert for Health Centre, University College Cork, Cork, Ireland
| | - Anthony J P Clover
- Department of Plastic and Reconstructive Surgery, Cork University Hospital, Cork, Ireland.,Centre for Research in Vascular Biology, University College Cork, Cork, Ireland
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Kearney L, Kelly JL. The smartphone: an effective tool in transitioning patients from mole mapping to mole excision. Dermatol Online J 2018. [DOI: 10.5070/d32412042453] [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: 11/08/2022] Open
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Ramchand J, Chan R, Vasanthakumar S, Patel S, Johns J, Kearney L, Farouque O, Burrell L. Guideline Adherence for Serial Evaluation is Not Associated with Long-Term Survival in Patients with Asymptomatic Moderate or Severe Aortic Stenosis. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.447] [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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Kearney L, Dolan RT, Clover AJ, Kelly EJ, O'Broin E, O'Shaughnessy M, O'Sullivan ST. Does Demand for Breast Augmentation Reflect National Financial Trends? Aesthetic Plast Surg 2017; 41:293-297. [PMID: 28062963 DOI: 10.1007/s00266-016-0773-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [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: 08/21/2016] [Accepted: 12/13/2016] [Indexed: 11/25/2022]
Abstract
Aesthetic plastic surgery is a consumer-driven industry, subject to influence by financial forces. A changing economic environment may thus impact on the demand for surgery. The aim of this study was to explore trends in demand for bilateral breast augmentation (BBA) in consecutively presenting patients over an 11-year period and to examine if a correlation exists between these trends and changes in Gross Domestic Product (GDP), a key economic indicator. This study revealed a correlation between annual number of breast augmentation procedures performed and GDP values (r 2 = 0.34, p value = 0.059). Additionally, predicted number of BBA procedures, based on predicted GDP growth in Ireland, strongly correlated with actual number of BBA performed (r 2 = 0.93, p value = 0.000001). Predicted GDP growth can potentially forecast future demand for BBA in our cohort allowing plastic surgeons to modify their practice accordingly. LEVEL OF EVIDENCE V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- L Kearney
- Department of Plastic and Reconstructive Surgery, Cork University Hospital and South Infirmary and Victoria University Hospital, Cork, Ireland.
| | - R T Dolan
- Department of Plastic and Reconstructive Surgery, Cork University Hospital and South Infirmary and Victoria University Hospital, Cork, Ireland
| | - A J Clover
- Department of Plastic and Reconstructive Surgery, Cork University Hospital and South Infirmary and Victoria University Hospital, Cork, Ireland
| | - E J Kelly
- Department of Plastic and Reconstructive Surgery, Cork University Hospital and South Infirmary and Victoria University Hospital, Cork, Ireland
| | - E O'Broin
- Department of Plastic and Reconstructive Surgery, Cork University Hospital and South Infirmary and Victoria University Hospital, Cork, Ireland
| | - M O'Shaughnessy
- Department of Plastic and Reconstructive Surgery, Cork University Hospital and South Infirmary and Victoria University Hospital, Cork, Ireland
| | - S T O'Sullivan
- Department of Plastic and Reconstructive Surgery, Cork University Hospital and South Infirmary and Victoria University Hospital, Cork, Ireland
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Al-kaisey A, Jones N, Russell D, Hare D, Kearney L, Srivastava P, Mark H, Oliver L. When the Pathologist Makes the Diagnosis. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Ramchand J, Patel S, Kearney L, Velkoska E, Matalanis G, Farouque O, Srivastava P, Burrell L. Plasma ACE2 Activity is a Novel and Independent Predictor of All-Cause Mortality in Patients with Aortic Stenosis. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.153] [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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Mirsky ML, Portugal S, Pisharath H, Osowski JL, Kearney L. Utility of Orchidometric Parameters for Assessing Sexual Maturation in Male Cynomolgus Macaques ( Macaca fascicularis). Comp Med 2016; 66:480-488. [PMID: 28304252 PMCID: PMC5157964] [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] [Received: 03/11/2016] [Revised: 04/28/2016] [Accepted: 06/12/2016] [Indexed: 06/06/2023]
Abstract
Testicular volume is one of several parameters that have been used in preclinical toxicology to facilitate the identification of sexually mature male cynomolgus macaques when semen evaluation is unavailable. Furthermore, testicular volume provides additional information to pathologists to aid in the interpretation of microscopic findings. Orchidometry has been proposed as a useful tool for assessing testicular volume. To assess its utility for this purpose, we used orchidometry to measure testicular volume in untreated control male cynomolgus macaques during preclinical toxicology studies. Additional parameters including age, body weight, testicular weight, serum testosterone, and testicular histology were also evaluated. Serum inhibin B and the diameter of histologic testicular sections were assessed to determine whether they might provide any additional corroborative evidence for differentiating stages of sexual maturity in males. Orchidometry was easy to use in sedated or awake macaques and, in combination with testicular histology, enabled the establishment of cut-off values by which sexually mature male cynomolgus macaques can be identified with a high degree of confidence. The relative utility of the parameters examined for discriminating sexually mature and immature males was testicular volume ≥ serum testosterone > body weight > age; for differentiation of sexually mature and peripubertal males the order was testicular volume ≥ body weight > serum testosterone > age. Testicular weight and the diameter of histologic testicular sections provided corroborative information for discriminating stages of sexual maturity. Serum inhibin B was of little value in helping to differentiate the different stages of sexual maturation evaluated in this study.
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Affiliation(s)
- Michael L Mirsky
- Drug Safety Research and Development (DSRD) Study Management Group, Pfizer Worldwide Research and Development, Groton, Connecticut;,
| | - Susan Portugal
- DSRD Statistics, Pfizer Worldwide Research and Development, Groton, Connecticut
| | - Harshan Pisharath
- Comparative Medicine, Pfizer Worldwide Research and Development, Groton, Connecticut; Current affiliation: Nationwide Children's Hospital, Columbus, Ohio
| | - Jodi L Osowski
- Comparative Medicine, Pfizer Worldwide Research and Development, Groton, Connecticut
| | - Laura Kearney
- Drug Safety Research and Development (DSRD) Study Management Group, Pfizer Worldwide Research and Development, Groton, Connecticut
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Koschutnik M, Ionin VA, Boeckstaens S, Zakhama L, Hinojar R, Chiu DYY, Kovacs A, Kochmareva EA, Saliba E, Stanojevic D, Aalen J, Chen XH, Zito C, Demerouti E, Smarz K, Krljanac G, Christensen NL, Cavalcante JL, Pal M, Magne J, Giannakopoulos G, Liu D, Chien CY, Moustafa TAMER, Schwaiger M, Zotter-Tufaro C, Aschauer S, Duca F, Kammerlander A, Bonderman D, Mascherbauer J, Zaslavskaya EL, Soboleva AV, Listopad OV, Malikov KN, Baranova EI, Shlyakhto EV, Van Der Hoogstraete M, Coltel N, De Laet N, Beernaerts C, Desmet K, Gillis K, Droogmans S, Cosyns B, Antit S, Herbegue B, Slama I, Belaouer A, Chenik S, Boussabah E, Thameur M, Masmoudi M, Benyoussef S, Fernandez-Golfin C, Gonzalez-Gomez A, Casas E, Garcia Martin A, Pardo A, Del Val D, Ruiz S, Moya JL, Barrios V, Jimenez Nacher JJ, Zamorano JL, Kalra PA, Green D, Hughes J, Sinha S, Abidin N, Muraru D, Lakatos BK, Surkova E, Peluso D, Toser Z, Tokodi M, Merkely B, Badano LP, Volkova AL, Rusina VA, Kokorin VA, Gordeev IG, Baudet M, Chartrand Lefebvre C, Chen-Tournoux A, Hodzic A, Tournoux F, Apostolovic S, Jankovic-Tomasevic R, Djordjevic-Radojkovic D, Salinger-Martinovic S, Kostic T, Tahirovic E, Dungen HD, Andersen OS, Gude E, Andreassen A, Aalen OO, Larsen CK, Remme EW, Smiseth OA, Xu HG, Liu FC, Zha DG, Cui K, Zhang AD, Trio O, Soraci E, Cusma Piccione M, D'amico G, Ioppolo A, Alibani L, Falanga G, Todaro MC, Oreto L, Nucifora G, Vizzari G, Pizzino F, Di Bella G, Carerj S, Boutsikou M, Perreas K, Katselis CH, Samanidis G, Antoniou TH, Karatasakis G, Zaborska B, Jaxa-Chamiec T, Maciejewski P, Bartoszewicz Z, Budaj A, Trifunovic D, Asanin M, Savic L, Matovic D, Petrovic M, Zlatic N, Mrdovic I, Dahl JS, Carter-Storch R, Bakkestroem R, Soendergaard E, Videbaek L, Moeller JE, Rijal S, Abdelkarim I, Althouse AD, Sharbaugh MS, Fridman Y, Han W, Soman P, Forman DE, Schindler JT, Gleason TG, Lee JE, Schelbert EB, Dekany G, Mandzak A, Chaurasia AK, Gyovai J, Hegedus N, Piroth ZS, Szabo GY, Fontos G, Andreka P, Cosyns B, Popescu BA, Carstensen HG, Dahl J, Desai M, Kearney L, Marwick T, Sato K, Takeuchi M, Zito C, Mohty D, Lancellotti P, Habib G, Noble S, Frei A, Mueller H, Hu K, Liebner E, Weidemann F, Herrmann S, Ertl G, Voelker W, Gorski A, Leyh R, Stoerk S, Nordbeck P, Tsai WC, Moustafa TAMER, Aldydamony MOHAMD, Aldydamony MOHAMD. Poster Session 5The imaging examination and quality assessmentP1064The natural course of heart failure with preserved ejection fraction (HFpEF) - insights from an exploratory echocardiographic registryP1065Epicardial fat and effectiveness of catheter radiofrequency ablation in patients with atrial fibrillation and metabolic syndromeP1066Systematic disinfection of echocardiographic probe after each examination to reduce the persistence of pathogens as a potential source of nosocomial infectionsP1067Left atrial mechanical function assessed by two-dimensional echocardiography in hypertensive patientsP1068Real live applications of three-dimensional echocardiographic quantification of the left ventricular volumes and function using an automated adaptive analytics algorithmP10693D echocardiographic left ventricular dyssynchrony indices in end stage kidney disease: associations and outcomesP1070Relative contribution of right ventricular longitudinal shortening and radial displacement to global pump function in healthy volunteersP1071ECHO-parameters, associated with short-term mortality and long-term complications in patients with pulmonary embolism of high and intermediate riskP1072Increased epicardial fat is an independent marker of heart failure with preserved ejection fraction.P1073Influence of optimized beta-blocker therapy on diastolic dysfunction determined echocardiographically in heart failure patientsP1074Early diastolic mitral flow velocity/ annular velocity ratio is a sensitive marker of elevated filling pressure in left ventricular dyssynchronyP1075Left ventricular diastolic function in STEMI patients receiving early and late reperfusion by percutaneous coronary intervention P1076Could anatomical and functional features predict cerebrovascular events in patients with patent foramen ovale?P1077Efficacy of endarterectomy of the left anterior descending artery: evaluation by adenosine echocardiography?P1078Left ventricular diastolic dysfunction after acute myocardial infarction with preserved ejection fraction is related to lower exercise capacityP1079Potentially predictors of ventricular arrhythmia during six months follow up in STEMI patientsP1080Association between left atrial dilatation and invasive haemodynamics at rest and during exercise in asymptimatic aortic stenosisP1081Cardiac amyloidosis and aortic stenosis - the convergence of two aging processes and its association with outcomesP1082Prognostic impact of initial left ventricular dysfunction and mean gradient after transcatheter aortic valve implantationP1083Distribution and prognostic significance of left ventricular global longitudinal strain in asymptomatic significant aortic stenosis: an individual participant data meta-analysisP1084Discrepancies between echocardiographic and invasive assessment of aortic stenosis in multimorbid elderly patientsP1085Echocardiographic determinants and outcome of patients with low-gradient moderate and severe aortic valve stenosis: implications for aortic valve replacementP1086Atrial deformation correlated with functional capacity in mitral stenosisP1087Net atrioventricular compliance can predict reduction of pulmonary artery pressure after percutaneous mitral balloon commissurotomy. Eur Heart J Cardiovasc Imaging 2016. [DOI: 10.1093/ehjci/jew262] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Ramchand J, Chen J, Yudi M, Kearney L, Calafiore P, O’donnell D, Lu K, Srivastava P, Jones E. The Short-Term Effect of Right Ventricular Mid-septal Pacing on Right Ventricular Function. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.372] [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: 10/21/2022]
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Ramchand J, Jones E, Calafiore P, Lu K, Kearney L, Chen J, Yudi M, Srivastava P. Echocardiographic Assessment of Pulmonary Haemodynamics Using Multiple Parameters. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.533] [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: 10/21/2022]
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El Kininy W, Kearney L, Hosam N, Broe P, Keeling A. Recurrent variceal haemorrhage managed with splenic vein stenting. Ir J Med Sci 2016; 186:323-327. [PMID: 26911860 DOI: 10.1007/s11845-016-1420-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2015] [Accepted: 02/07/2016] [Indexed: 12/15/2022]
Abstract
INTRODUCTION Extrahepatic Portal Hypertension (EPH) is defined as extrahepatic hypertension of the portal venous system in the absence of liver cirrhosis. Isolated splenic vein stenosis/occlusion as one of the causes of extrahepatic portal hypertension is uncommon, comprising less than 5 % of all cases of portal hypertension. However, it is an increasingly recognised complication of both acute and chronic pancreatitis, and with the advent of more effective diagnostic methods, interventional radiological methods for its management are also becoming more effective. Often these would negate the need for invasive splenectomy surgery for the treatment of symptomatic hypersplenism and varices. METHODS A case of a 38 year old gentleman, known to have Crohn's disease, presented with severe acute gallstone pancreatitis with necrosis of the pancreatic neck and body. His course was very complicated, requiring two laparotomies and various interventional drainages of variceal bleeds. As a result of non resolving recurrent variceal haemorrhage, it was decided to proceed with splenic vein stenting to relieve the consequences of splenic vein stenosis. A percutaneous transhepatic splenic vein stent was deployed. RESULTS Immediate decompression of the varices was noted with no further haemmorrhage. CONCLUSION There are little data to date on splenic vein stenting in the setting of EPH secondary to non-malignant pancreatic disease. We report a case managed successfully with splenic vein stenting and review the existing literature.
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Affiliation(s)
- W El Kininy
- Beaumont Hospital, Royal College of Surgeons, Dublin 9, Ireland. .,, 28 Baltrasna House, Spencer Dock, North Wall Quay, Dublin 1, Ireland.
| | - L Kearney
- Beaumont Hospital, Royal College of Surgeons, Dublin 9, Ireland
| | - N Hosam
- Beaumont Hospital, Dublin 9, Ireland
| | - P Broe
- Professor of Surgery, Royal College of Surgeons Ireland, Beaumont Hospital, Dublin 9, Ireland
| | - A Keeling
- Department of Interventional Radiology, Beaumont Hospital, Dublin 9, Ireland
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Kearney L, Jalil KA, Tierney A, Kneafsey B. Severe electrical exit burn to the hand associated with single shock from a defibrillator device. J Crit Care 2016; 33:269-70. [PMID: 26857330 DOI: 10.1016/j.jcrc.2016.01.009] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2016] [Accepted: 01/07/2016] [Indexed: 11/18/2022]
Affiliation(s)
- Laura Kearney
- Department of Plastic & Reconstructive Surgery, Connolly Hospital and Beaumont Hospital, Dublin, Ireland.
| | - Khairun Abdul Jalil
- Department of Plastic & Reconstructive Surgery, Connolly Hospital and Beaumont Hospital, Dublin, Ireland
| | - Andrew Tierney
- Department of Anaesthetics, Connolly Hospital, Dublin, Ireland
| | - Brian Kneafsey
- Department of Anaesthetics, Connolly Hospital, Dublin, Ireland
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Piccirillo S, Colman S, Potter N, van Delft F, Lillis S, Carnicer M, Kearney L, Watts C, Greaves M. OP14GENETIC AND FUNCTIONAL DIVERSITY OF PROPAGATING CELLS IN GLIOBLASTOMA. Neuro Oncol 2015. [DOI: 10.1093/neuonc/nov283.14] [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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Adams SP, Wilson M, Harb E, Fairbanks L, Xu-Bayford J, Brown L, Kearney L, Madkaikar M, Bobby Gaspar H. Spectrum of mutations in a cohort of UK patients with ADA deficient SCID: Segregation of genotypes with specific ethnicities. Clin Immunol 2015; 161:174-9. [PMID: 26255240 DOI: 10.1016/j.clim.2015.08.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Revised: 05/21/2015] [Accepted: 08/01/2015] [Indexed: 10/23/2022]
Abstract
Severe combined immunodeficiency (SCID) arises from a number of different genetic defects, one of the most common being mutations in the gene encoding adenosine deaminase (ADA). In the UK, ADA deficient SCID compromises approximately 20% of all known cases of SCID. We carried out a retrospective analysis of the ADA gene in 46 known ADA deficient SCID patients on whom DNA had been stored. Here, we report a high frequency of two previously reported mutations and provide a link between the mutations and patient ethnicity within our patient cohort. We also report on 9 novel mutations that have been previously unreported.
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Affiliation(s)
- Stuart P Adams
- Haematology, Cellular and Molecular Diagnostic Service, Great Ormond Street Hospital for Children NHS Trust, London, UK; Molecular and Cellular Immunology, Institute of Child Health, University College London, UK.
| | - Melanie Wilson
- Haematology, Cellular and Molecular Diagnostic Service, Great Ormond Street Hospital for Children NHS Trust, London, UK
| | - Elissar Harb
- Haematology, Cellular and Molecular Diagnostic Service, Great Ormond Street Hospital for Children NHS Trust, London, UK
| | | | - Jinhua Xu-Bayford
- Immunology and Bone Marrow Transplant Units, Great Ormond Street Hospital for Children, London NHS Trust, UK
| | - Lucie Brown
- Immunology and Bone Marrow Transplant Units, Great Ormond Street Hospital for Children, London NHS Trust, UK
| | - Laura Kearney
- Haematology, Cellular and Molecular Diagnostic Service, Great Ormond Street Hospital for Children NHS Trust, London, UK
| | - Manisha Madkaikar
- National Institute of Immunohaematology, ICMR, K E M Hospital, Parel, Mumbai, India
| | - H Bobby Gaspar
- Molecular and Cellular Immunology, Institute of Child Health, University College London, UK; Immunology and Bone Marrow Transplant Units, Great Ormond Street Hospital for Children, London NHS Trust, UK
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Kearney L, O'Connor C, Fitzpatrick F, O'Sullivan JB. "More than skin deep": Recurrent primary hand abscesses in a warehouse operative. Case Reports Plast Surg Hand Surg 2015; 2:84-7. [PMID: 27252979 PMCID: PMC4793786 DOI: 10.3109/23320885.2015.1120641] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/05/2015] [Accepted: 11/12/2015] [Indexed: 12/05/2022]
Abstract
A 25-year-old male right-hand dominant warehouse operator presented with two hand infections within 12 weeks both requiring surgical drainage and antimicrobial therapy. Subsequent testing confirmed Panton-Valentine leukocidin-positive Staphylococcus aureus (PVL-SA). This case highlights the need for prompt multidisciplinary management of hand infections to consider, diagnose and manage atypical infections.
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Affiliation(s)
- L Kearney
- Department of Plastic and Reconstructive Surgery, Beaumont Hospital, Dublin, Ireland
| | - C O'Connor
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - F Fitzpatrick
- Department of Microbiology, Beaumont Hospital, Dublin, Ireland
| | - J B O'Sullivan
- Department of Plastic and Reconstructive Surgery, Beaumont Hospital, Dublin, Ireland
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Alpar D, Wren D, Ermini L, Mansur MB, van Delft FW, Bateman CM, Titley I, Kearney L, Szczepanski T, Gonzalez D, Ford AM, Potter NE, Greaves M. Clonal origins of ETV6-RUNX1⁺ acute lymphoblastic leukemia: studies in monozygotic twins. Leukemia 2014; 29:839-46. [PMID: 25388957 DOI: 10.1038/leu.2014.322] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Accepted: 10/10/2014] [Indexed: 01/20/2023]
Abstract
Studies on twins with concordant acute lymphoblastic leukemia (ALL) have revealed that ETV6-RUNX1 gene fusion is a common, prenatal genetic event with other driver aberrations occurring subclonally and probably postnatally. The fetal cell type that is transformed by ETV6-RUNX1 is not identified by such studies or by the analysis of early B-cell lineage phenotype of derived progeny. Ongoing, clonal immunoglobulin (IG) and cross-lineage T-cell receptor (TCR) gene rearrangements are features of B-cell precursor leukemia and commence at the pro-B-cell stage of normal B-cell lineage development. We reasoned that shared clonal rearrangements of IG or TCR genes by concordant ALL in twins would be informative about the fetal cell type in which clonal advantage is elicited by ETV6-RUNX1. Five pairs of twins were analyzed for all varieties of IG and TCR gene rearrangements. All pairs showed identical incomplete or complete variable-diversity-joining junctions coupled with substantial, subclonal and divergent rearrangements. This pattern was endorsed by single-cell genetic scrutiny in one twin pair. Our data suggest that the pre-leukemic initiating function of ETV6-RUNX1 fusion is associated with clonal expansion early in the fetal B-cell lineage.
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Affiliation(s)
- D Alpar
- 1] Centre for Evolution and Cancer, The Institute of Cancer Research-London, London, UK [2] Department of Pathology, University of Pecs, Pecs, Hungary
| | - D Wren
- Haemato-Oncology Research Unit, Division of Molecular Pathology, The Institute of Cancer Research-London, London, UK
| | - L Ermini
- Centre for Geogenetics, Natural History Museum of Denmark, University of Copenhagen, Copenhagen K, Denmark
| | - M B Mansur
- 1] Centre for Evolution and Cancer, The Institute of Cancer Research-London, London, UK [2] Pediatric Hematology-Oncology Program, Instituto Nacional de Câncer, Rio de Janeiro, Brazil
| | - F W van Delft
- Centre for Evolution and Cancer, The Institute of Cancer Research-London, London, UK
| | - C M Bateman
- Centre for Evolution and Cancer, The Institute of Cancer Research-London, London, UK
| | - I Titley
- Centre for Evolution and Cancer, The Institute of Cancer Research-London, London, UK
| | - L Kearney
- Centre for Evolution and Cancer, The Institute of Cancer Research-London, London, UK
| | - T Szczepanski
- Department of Pediatric Hematology and Oncology, Zabrze, Medical University of Silesia, Katowice, Poland
| | - D Gonzalez
- Haemato-Oncology Research Unit, Division of Molecular Pathology, The Institute of Cancer Research-London, London, UK
| | - A M Ford
- Centre for Evolution and Cancer, The Institute of Cancer Research-London, London, UK
| | - N E Potter
- Centre for Evolution and Cancer, The Institute of Cancer Research-London, London, UK
| | - M Greaves
- Centre for Evolution and Cancer, The Institute of Cancer Research-London, London, UK
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Watts C, Piccirillo S, Kearney L, Potter N, van Delft F, Coleman S, Lillis S, Carnicer MJ, Greaves M. CB-18 * INTERROGATION OF SUB-CLONAL GENETIC DIVERSITY OF HUMAN GBM REVEALS GENETIC HETEROGENEITY IN TUMOUR-PROPAGATING CELLS, WHICH DISPLAY VARIABLE COMPETITIVE CAPACITY FOR TUMOUR PROPAGATION IN VIVO. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou241.17] [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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Chen J, Lu K, Kearney L, Profitis K, Harberts S, Ord M, Vujacic I, Calafiore P, Smith G, Srivastava P, Jones E. Evaluation of Right Ventricular Systolic Function—A Comparison of 2D RV Strain and 3-Dimensional Echocardiography with Cardiac Magnetic Resonance. Heart Lung Circ 2012. [DOI: 10.1016/j.hlc.2012.05.502] [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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Lu K, Kearney L, Hare D, Ord M, Toia D, Jones E, Burrell L, Srivastava P. Cardio-renal Anaemia Syndrome is an Independent Risk Factor for Death in Patients with Heart Failure with Reduced Ejection Fraction. Heart Lung Circ 2012. [DOI: 10.1016/j.hlc.2012.05.188] [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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Rayoo R, Kearney L, Grewal J, Ord M, Lu K, Smith G, Srivastava P. Cardiac MRI: Indications and Clinical Utility—A Single Centre Experience. Heart Lung Circ 2012. [DOI: 10.1016/j.hlc.2012.05.474] [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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Dent KM, Harper C, Kearney L, Lieber C, Finucane B. Embracing the unique role of genetic counselors: response to the commentary by Madeo et al. Am J Med Genet A 2011; 155A:1791-3. [PMID: 21739593 DOI: 10.1002/ajmg.a.34111] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2011] [Accepted: 04/22/2011] [Indexed: 11/09/2022]
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49
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Begg GA, Kearney L, Wheatcroft AC, Byrom R, Barnes S, Gierula J, Barth J, Cubbon R, Kearney MT, Witte KK. 106 CHF patients are vitamin D deficient and hyperparathyroid, with levels of each related to markers of severity. Heart 2011. [DOI: 10.1136/heartjnl-2011-300198.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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50
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Kearney L, Matalanis G, Ord M, Lu K, Profitis K, Burrell L, Srivastava P. Predictors of Major Adverse Cardiac Events Following Aortic Valve Replacement during Intermediate-term Follow-up. Heart Lung Circ 2011. [DOI: 10.1016/j.hlc.2011.05.556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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