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Epp S, Walker A, Boudes E, Bray S, Noel M, Rayner L, Rasic N, Miller JV. Brain Function and Pain Interference after Pediatric Intensive Interdisciplinary Pain Treatment. Clin J Pain 2024:00002508-990000000-00177. [PMID: 38606879 DOI: 10.1097/ajp.0000000000001216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 04/02/2024] [Indexed: 04/13/2024]
Abstract
BACKGROUND AND OBJECTIVES Intensive interdisciplinary pain treatments (IIPTs) are programs that aim to improve functioning in youth with severe chronic pain. Little is known about how the brain changes following IIPT, however, decreased brain responses to emotional stimuli have been identified previously in pediatric chronic pain relative to healthy controls. We examined whether IIPT increased brain responses to emotional stimuli, and whether this change was associated with a reduction in pain interference. METHODS Twenty youth with chronic pain aged 14-18 years were scanned using fMRI, pre- and post-IIPT. During the fMRI, patients were presented with emotional stimuli (i.e., faces expressing happiness/fear), neutral expressions, and control (i.e., scrambled) images. Patients completed a measure of pain interference pre- and post-IIPT. Paired t-tests were used to examine differences in brain activation in response to emotional versus neutral stimuli, pre- to post-IIPT. Data from significant brain clusters were entered into linear mixed models to examine the relationships between brain activation and impairment pre- and post-IIPT. RESULTS Patients demonstrated a decrease in middle frontal gyrus (MFG) activation in response to emotional stimuli (happy + fear) relative to scrambled images, between pre- and post-IIPT (P<0.05). Lower MFG activation was associated with lower pain interference, pre- and-post IIPT (P<0.05). CONCLUSION Contrary to our hypothesis, IIPT was associated with a reduction in MFG activation to emotional stimuli, and this change was associated with reduced pain interference. The MFG is a highly interconnected brain area involved in both pain chronification and antinociception. With further validation of these results, the MFG may represent an important biomarker for evaluating patient treatment response and target for future pain interventions.
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Affiliation(s)
- Spencer Epp
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB, Canada
| | - Andrew Walker
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB, Canada
| | - Elodie Boudes
- Department of Pediatrics, Cumming School of Medicine, The University of Calgary, Calgary, Alberta, Canada
| | - Signe Bray
- Department of Radiology, Cumming School of Medicine, The University of Calgary, Calgary, Alberta, Canada; Hotchkiss Brain Institute, Calgary, Alberta, Canada
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- Owerko Centre, Alberta Children's Hospital Research Institute, Calgary, Alberta Canada
- Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
| | - Melanie Noel
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- Owerko Centre, Alberta Children's Hospital Research Institute, Calgary, Alberta Canada
- Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
- Vi Riddell Children's Pain & Rehabilitation Centre, Alberta Children's Hospital, Calgary, AB, Canada
- Psychology, University of Calgary, Calgary, AB, Canada
| | - Laura Rayner
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB, Canada
| | - Nivez Rasic
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB, Canada
- Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
- Vi Riddell Children's Pain & Rehabilitation Centre, Alberta Children's Hospital, Calgary, AB, Canada
| | - Jillian Vinall Miller
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB, Canada
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- Owerko Centre, Alberta Children's Hospital Research Institute, Calgary, Alberta Canada
- Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
- Vi Riddell Children's Pain & Rehabilitation Centre, Alberta Children's Hospital, Calgary, AB, Canada
- Psychology, University of Calgary, Calgary, AB, Canada
- O'Brien Institute for Public Health, University of Calgary, Alberta, Canada
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Growcott S, Renninson E, Rayner L, McKeon J, Ayre G, Comins C, Challapalli A, Owadally W, Beasley M, Hawley L, Hilman S, Strawson-Smith T, Bahl A. Commentary on the New National Institute for Health and Care Excellence Guideline for Metastatic Spinal Cord Compression. Clin Oncol (R Coll Radiol) 2024; 36:200-201. [PMID: 38216346 DOI: 10.1016/j.clon.2024.01.003] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 01/05/2024] [Indexed: 01/14/2024]
Affiliation(s)
- S Growcott
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - E Renninson
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - L Rayner
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - J McKeon
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - G Ayre
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - C Comins
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - A Challapalli
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - W Owadally
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - M Beasley
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - L Hawley
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - S Hilman
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - T Strawson-Smith
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
| | - A Bahl
- Department of Clinical Oncology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Haematology and Oncology Centre, Bristol, UK
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Long RD, Walker A, Pan SC, Miller JV, Rayner L, Vallely J, Rasic N. Baseline Factors Associated with Pain Intensity, Pain Catastrophizing, and Pain Interference in Intensive Interdisciplinary Pain Treatment for Youth. Children (Basel) 2023; 10:1229. [PMID: 37508726 PMCID: PMC10378082 DOI: 10.3390/children10071229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 07/06/2023] [Accepted: 07/10/2023] [Indexed: 07/30/2023]
Abstract
Background: More could be known about baseline factors related to desirable Intensive Interdisciplinary Pain Treatment (IIPT) outcomes. This study examined how baseline characteristics (age, gender, child pain catastrophizing (PCS-C), pain interference, pain intensity, anxiety, depression, paediatric health-related quality of life (PedsQLTM), and parent catastrophizing (PCS-P)) were associated with discharge and 3-month follow-up scores of PCS-C, pain intensity, and pain interference. Methods: PCS-C, pain intensity, and pain interference T-scores were acquired in 45 IIPT patients aged 12-18 at intake (baseline), discharge, and 3-month follow-up. Using available and imputed data, linear mixed models were developed to explore associations between PCS-C, pain intensity, and pain interference aggregated scores at discharge and follow-up with baseline demographics and a priori selected baseline measures of pain, depression, anxiety, and PCS-C/P. Results: PCS-C and pain interference scores decreased over time compared to baseline. Pain intensity did not change significantly. Baseline PCS-C, pain interference, anxiety, depression, and PedsQLTM were associated with discharge/follow-up PCS-C (available and imputed data) and pain interference scores (available data). Only baseline pain intensity was significantly associated with itself at discharge/follow-up. Conclusions: Participants who completed the IIPT program presented with reduced PCS-C and pain interference over time. Interventions that target pre-treatment anxiety and depression may optimize IIPT outcomes.
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Affiliation(s)
- Rob D. Long
- Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
| | - Andrew Walker
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
| | - Si Chen Pan
- Vi Riddell Children’s Pain & Rehabilitation Centre, Alberta Children’s Hospital, Calgary, AB T3B 6A8, Canada
| | - Jillian Vinall Miller
- Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
- Vi Riddell Children’s Pain & Rehabilitation Centre, Alberta Children’s Hospital, Calgary, AB T3B 6A8, Canada
- Child Brain & Mental Health Program, Alberta Children’s Hospital Research Institute, Calgary, AB T2N 4N1, Canada
- Owerko Centre, Alberta Children’s Hospital Research Institute, Calgary, AB T2N 4N1, Canada
- Brain & Behaviour Team, Hotchkiss Brain Institute, Calgary, AB T2N 4N1, Canada
- Mathison Centre for Mental Health Research & Education, Hotchkiss Brain Institute, Calgary, AB T2N 4N1, Canada
- Department of Psychology, University of Calgary, Calgary, AB T2N 1N4, Canada
- O’Brien Institute for Public Health, University of Calgary, Calgary, AB T2N 4Z6, Canada
| | - Laura Rayner
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
- Vi Riddell Children’s Pain & Rehabilitation Centre, Alberta Children’s Hospital, Calgary, AB T3B 6A8, Canada
| | - Joanne Vallely
- Vi Riddell Children’s Pain & Rehabilitation Centre, Alberta Children’s Hospital, Calgary, AB T3B 6A8, Canada
| | - Nivez Rasic
- Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada
- Vi Riddell Children’s Pain & Rehabilitation Centre, Alberta Children’s Hospital, Calgary, AB T3B 6A8, Canada
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Pigott T, McPeak A, de Chastelain A, DeMayo MM, Rasic N, Rayner L, Noel M, Miller JV, Harris AD. Changes in Brain GABA and Glutamate and Improvements in Physical Functioning Following Intensive Pain Rehabilitation in Youth With Chronic Pain. J Pain 2023:S1526-5900(23)00058-5. [PMID: 36966034 DOI: 10.1016/j.jpain.2023.02.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 02/20/2023] [Accepted: 02/24/2023] [Indexed: 03/27/2023]
Abstract
Intensive interdisciplinary pain treatments (IIPT) have been developed to treat youth with unmanaged chronic pain and functional disability. Dysregulation of metabolites gamma-aminobutyric acid (GABA) and glutamate are thought to play a role in the chronification of pain due to imbalances in inhibition and excitation in adults. Using magnetic resonance spectroscopy (MRS), we investigated the effect of IIPT on GABA and Glx (glutamate + glutamine) in 2 pain-related brain regions: the left posterior insula (LPI) and the anterior cingulate cortex (ACC). Data were collected in 23 youth (mean age = 16.09 ± 1.40, 19 female) at entry and discharge from a hospital-based outpatient IIPT. GABA and Glx were measured using GABA-edited MEGA-PRESS and analyzed using Gannet. Physical measures including a 6-minute walk test were recorded, and patients completed the PLAYSelf Physical Literacy Questionnaire, PROMIS Pain Interference Questionnaire, and Functional Disability Inventory. LPI GABA (P < .05) significantly decreased, but not ACC GABA (P > .05), following IIPT. There were no significant Glx changes (P > .05). The decrease in LPI GABA was associated with increased distance in the 6-minute walk test (P < .001). IIPT may decrease GABAergic inhibitory tone within the LPI, thereby promoting plasticity and contributing to improvements in physical outcomes with IIPT. Perspective: Regional GABA changes are associated with a reduction in pain interference and improvement in physical function in youth following intensive pain rehabilitation. GABA may serve as a possible biomarker for IIPT; and may also further aid in the development of IIPT, and other treatments for chronic pain in youth.
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Affiliation(s)
- Taylor Pigott
- Biological Sciences, University of Calgary, Calgary, Alberta, Canada; Psychology, University of Calgary, Calgary, Alberta, Canada; The Mathison Centre for Mental Health Research & Education, Hotchkiss Brain Institute, Calgary, Alberta, Canada
| | - Allison McPeak
- Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Amanda de Chastelain
- Vi Riddell Children's Pain & Rehabilitation Centre, Alberta Children's Hospital, Calgary, Alberta, Canada
| | - Marilena M DeMayo
- Radiology, University of Calgary, Calgary, Alberta, Canada; The Mathison Centre for Mental Health Research & Education, Hotchkiss Brain Institute, Calgary, Alberta, Canada; Child Brain & Mental Health Program, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; Owerko Centre, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; Brain and Mental Health, Hotchkiss Brain Institute, Calgary, Alberta, Canada
| | - Nivez Rasic
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, Alberta, Canada; Vi Riddell Children's Pain & Rehabilitation Centre, Alberta Children's Hospital, Calgary, Alberta, Canada; Owerko Centre, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada
| | - Laura Rayner
- Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, Alberta, Canada; Vi Riddell Children's Pain & Rehabilitation Centre, Alberta Children's Hospital, Calgary, Alberta, Canada
| | - Melanie Noel
- Psychology, University of Calgary, Calgary, Alberta, Canada; Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, Alberta, Canada; Vi Riddell Children's Pain & Rehabilitation Centre, Alberta Children's Hospital, Calgary, Alberta, Canada; The Mathison Centre for Mental Health Research & Education, Hotchkiss Brain Institute, Calgary, Alberta, Canada; Child Brain & Mental Health Program, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; Owerko Centre, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; Brain and Mental Health, Hotchkiss Brain Institute, Calgary, Alberta, Canada
| | - Jillian Vinall Miller
- Psychology, University of Calgary, Calgary, Alberta, Canada; Anesthesiology, Perioperative & Pain Medicine, University of Calgary, Calgary, Alberta, Canada; Vi Riddell Children's Pain & Rehabilitation Centre, Alberta Children's Hospital, Calgary, Alberta, Canada; The Mathison Centre for Mental Health Research & Education, Hotchkiss Brain Institute, Calgary, Alberta, Canada; Child Brain & Mental Health Program, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; Owerko Centre, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; Brain and Mental Health, Hotchkiss Brain Institute, Calgary, Alberta, Canada.
| | - Ashley D Harris
- Radiology, University of Calgary, Calgary, Alberta, Canada; Child Brain & Mental Health Program, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; Owerko Centre, Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; Brain and Mental Health, Hotchkiss Brain Institute, Calgary, Alberta, Canada
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Hurtubise K, Brousselle A, Noel M, Caldwell K, Rayner L, Dawson M, Rasic N, Camden C. The effect domains, measures, and methods reported in pediatric-specialized multidisciplinary outpatient rehabilitation programs: An integrated review. Pain Pract 2023; 23:185-203. [PMID: 36251412 DOI: 10.1111/papr.13171] [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: 05/05/2022] [Revised: 09/16/2022] [Accepted: 09/21/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Specialized pain rehabilitation is recognized as the treatment of choice for youth with pain-related disability. Appropriate outcomes for program evaluation are critical. This study aimed to summarize the effect domains and methods used to evaluate pediatric-specialized outpatient pain rehabilition programs, map them to the PedIMMPACT statement, and highlight future directions. METHODS An integrated review framework, incorporating stakeholders, was used. Academic Search Complete, CINAHL, ERIC, MEDLINE, PsycINFO, and Google Scholar were searched for studies published in 1999-2021 featuring the treatment effects of specialized outpatient pain rehabilitation on youth with pain-related disability and their parents. Selected studies were critically appraised using the Quality Assessment Tool for Studies of Diverse Design, organized by study characteristics, and analyzed using constant comparison. RESULTS From the 1951 potentially relevant titles, 37 studies were selected. Twenty-five effects targeted youth and 24 focused on parents, with a maximum of 15 youth and 11 parent effect domains (median = 5 domains per study). Although most studies measured a combination of effect domains and were inclusive of some recommended in the PedIMMPACT statement, no effect was measured consistently across studies. Youth physical functioning and parent emotional functioning were measured most often. Eighty-five instruments were used to assess youth outcomes and 59 for parents, with self-report questionnaires dominating. DISCUSSION A lack of standardization exists associated with the domains and methods used to evaluate the effects of pediatric-specialized outpatient pain rehabilitation programs, hindering comparisons. Future program evaluations should be founded on their theory, aim, and anticipated outcomes.
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Affiliation(s)
- Karen Hurtubise
- Faculté de Médecine et Sciences de la Santé, Université de Sherbrooke, Québec, Québec, Canada.,Faculty of Health Sciences, School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Astrid Brousselle
- School of Public Administration, University of Victoria, Victoria, British Columbia, Canada
| | - Melanie Noel
- Department of Psychology, Faculty of Arts, University of Calgary, Calgary, Alberta, Canada.,Alberta Children's Hospital Research Institute, Heritage Medical Research Building, Calgary, Alberta, Canada.,Hotchkiss Brain Institute, Health Research Innovation Centre, Calgary, Alberta, Canada
| | - Kathleen Caldwell
- Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Laura Rayner
- Vi Riddell Children's Pain and Rehabilitation Centre, Alberta Children's Hospital, Calgary, Alberta, Canada
| | - Matthew Dawson
- Department of Psychology, Faculty of Arts, University of Calgary, Calgary, Alberta, Canada
| | - Nivez Rasic
- Alberta Children's Hospital Research Institute, Heritage Medical Research Building, Calgary, Alberta, Canada.,Vi Riddell Children's Pain and Rehabilitation Centre, Alberta Children's Hospital, Calgary, Alberta, Canada
| | - Chantal Camden
- Faculté de Médecine et Sciences de la Santé, Université de Sherbrooke, Québec, Québec, Canada
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Stojanovic D, McLennan E, Olah G, Cobden M, Heinsohn R, Manning AD, Alves F, Hogg C, Rayner L. Reproductive skew in a Vulnerable bird favors breeders that monopolize nest cavities. Anim Conserv 2023. [DOI: 10.1111/acv.12855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- D. Stojanovic
- Fenner School of Environment and Society Australian National University Canberra Australia
| | - E. McLennan
- School of Life & Environmental Sciences The University of Sydney Sydney New South Wales Australia
| | - G. Olah
- Fenner School of Environment and Society Australian National University Canberra Australia
| | - M. Cobden
- Fenner School of Environment and Society Australian National University Canberra Australia
| | - R. Heinsohn
- Fenner School of Environment and Society Australian National University Canberra Australia
| | - A. D. Manning
- Fenner School of Environment and Society Australian National University Canberra Australia
| | - F. Alves
- Fenner School of Environment and Society Australian National University Canberra Australia
| | - C. Hogg
- School of Life & Environmental Sciences The University of Sydney Sydney New South Wales Australia
| | - L. Rayner
- ACT Parks and Conservation Service, Australian Capital Territory Government Canberra Australia
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Crates R, Watson DM, Albery GF, Bonnet T, Murphy L, Rayner L, Stojanovic D, Timewell C, Meney B, Roderick M, Ingwersen D, Heinsohn R. Mistletoes could moderate drought impacts on birds, but are themselves susceptible to drought-induced dieback. Proc Biol Sci 2022; 289:20220358. [PMID: 35858071 PMCID: PMC9277258 DOI: 10.1098/rspb.2022.0358] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Mistletoes are hemiparasitic plants and keystone species in many ecosystems globally. Given predicted increases in drought frequency and intensity, mistletoes may be crucial for moderating drought impacts on community structure. Dependent on host vascular flows, mistletoes can succumb to stress when water availability falls, making them susceptible to mortality during drought. We counted mistletoe across greater than 350 000 km2 of southeastern Australia and conducted standardized bird surveys between 2016 and 2021, spanning a major drought event in 2018-2019. We aimed to identify predictors of mistletoe abundance and mortality and determine whether mistletoes might moderate drought impacts on woodland birds. Live mistletoe abundance varied with tree species composition, land use and presence of mistletoebirds. Mistletoe mortality was widespread, consistent with high 2018/2019 summer temperatures, low 2019/2020 summer rainfall and the interaction between summer temperatures and rainfall in 2019/2020. The positive association between surviving mistletoes and woodland birds was greatest in the peak drought breeding seasons of 2018/2019 and 2019/2020, particularly for small residents and insectivores. Paradoxically, mistletoes could moderate drought impacts on birds, but are themselves vulnerable to drought-induced mortality. An improved understanding of the drivers and dynamics of mistletoe mortality is needed to address potential cascading trophic impacts associated with mistletoe die-off.
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Affiliation(s)
- Ross Crates
- Fenner School of Environment and Society, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
| | - David M. Watson
- School of Agricultural, Environmental and Veterinary Sciences, Charles Sturt University, Albury, New South Wales, Australia
| | | | - Timothée Bonnet
- Research School of Biology, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
| | - Liam Murphy
- Fenner School of Environment and Society, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
| | - Laura Rayner
- Fenner School of Environment and Society, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
| | - Dejan Stojanovic
- Fenner School of Environment and Society, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
| | | | - Beau Meney
- BirdLife Australia, Carlton, Melbourne, Australia
| | | | | | - Robert Heinsohn
- Fenner School of Environment and Society, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
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Stojanovic D, Rayner L, Tulloch A, Crates R, Webb M, Ingwersen D, Runge C, Heinsohn R. A range‐wide monitoring programme for a critically endangered nomadic bird. AUSTRAL ECOL 2021. [DOI: 10.1111/aec.13104] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Dejan Stojanovic
- Fenner School of Environment and Society Australian National University Acton 2601 Australian Capital Territory Australia
- Australian National University Canberra Australian Capital Territory Australia
| | - Laura Rayner
- Fenner School of Environment and Society Australian National University Acton 2601 Australian Capital Territory Australia
| | - Ayesha Tulloch
- The University of Sydney Sydney New South Wales Australia
| | - Ross Crates
- Fenner School of Environment and Society Australian National University Acton 2601 Australian Capital Territory Australia
| | - Matthew Webb
- Fenner School of Environment and Society Australian National University Acton 2601 Australian Capital Territory Australia
| | | | - Claire Runge
- UiT the Arctic University of Norway Tromsø Norway
| | - Robert Heinsohn
- Fenner School of Environment and Society Australian National University Acton 2601 Australian Capital Territory Australia
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Crates R, Rayner L, Stojanovic D, Scheele BC, Roff A, MacKenzie J, Heinsohn R. Poor‐quality monitoring data underestimate the impact of Australia's megafires on a critically endangered songbird. DIVERS DISTRIB 2021. [DOI: 10.1111/ddi.13385] [Citation(s) in RCA: 4] [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: 12/24/2022] Open
Affiliation(s)
- Ross Crates
- Fenner School of Environment and Society Australian National University Canberra Australian Capital Territory Australia
| | - Laura Rayner
- Fenner School of Environment and Society Australian National University Canberra Australian Capital Territory Australia
- Parks and Conservation Service ACT Government Coombs Australian Capital Territory Australia
| | - Dejan Stojanovic
- Fenner School of Environment and Society Australian National University Canberra Australian Capital Territory Australia
| | - Ben C. Scheele
- Fenner School of Environment and Society Australian National University Canberra Australian Capital Territory Australia
| | - Adam Roff
- New South Wales Department of Planning, Industry and Environment Newcastle New South Wales Australia
| | | | - Robert Heinsohn
- Fenner School of Environment and Society Australian National University Canberra Australian Capital Territory Australia
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Pavlova N, Kioskli K, Smith C, Picariello F, Rayner L, Moss‐Morris R. Psychosocial aspects of obesity in adults with psoriasis: A systematic review. Skin Health and Disease 2021; 1:e33. [PMID: 35664982 PMCID: PMC9060108 DOI: 10.1002/ski2.33] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 03/08/2021] [Accepted: 03/28/2021] [Indexed: 02/04/2023]
Abstract
Background Excess weight is a common (30%–40%) multifactorial concern that remains understudied in adults with psoriasis. Objectives This systematic review aimed to synthesise the evidence on the psychosocial factors associated with body weight in psoriasis and to use these findings to inform clinical practice. The review was registered with PROSPERO (registration number: CRD42020201138). Methods Electronic databases, related reviews and associated reference lists were searched. Observational and experimental studies reporting on the relationship of psychosocial factors to weight‐related outcomes in adults with body mass index (BMI) of ≥30 kg/m2 and psoriasis were eligible. The methodological quality of the included studies was assessed using the Critical Appraisal Skills Programme (CASP). Results Eighteen studies were included in the review, the majority of which (n = 16) examined cross‐sectional associations between psychosocial factors and weight outcomes. Although the strengths of the associations were heterogeneous, most studies confirmed the positive association between high BMI and increased reports of depression and anxiety, impaired quality of life, deteriorated sleep quality, sexual dysfunction, and daily functioning issues. Only four studies were rated as high quality. Conclusions The current evidence of the association between psychosocial factors and weight‐related outcomes is largely cross‐sectional with unclear directionality of causality. Longitudinal studies are needed to examine the replicability and generalisability of the examined obesity‐related psychosocial factors in psoriasis. Theoretical exploration of subgroup differences and similarities may pave the way towards intervention personalisation, and ultimately, improved patient outcomes.
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Affiliation(s)
- N.T. Pavlova
- Health Psychology Section, Psychology Department King's College London Institute of Psychiatry Psychology and Neuroscience London UK
| | - K. Kioskli
- Department of Computer Science, Centre for Adaptive Computing Systems University of London London UK
- Gruppo Maggioli, Research and Development Lab Athens Greece
| | - C. Smith
- Health Psychology Section, Psychology Department King's College London Institute of Psychiatry Psychology and Neuroscience London UK
- St John's Institute of Dermatology Guy's and St Thomas' NHS Foundation Trust London UK
| | - F. Picariello
- Health Psychology Section, Psychology Department King's College London Institute of Psychiatry Psychology and Neuroscience London UK
| | - L. Rayner
- Department of Psychological Medicine King's College London Institute of Psychiatry Psychology and Neuroscience London UK
| | - R. Moss‐Morris
- Health Psychology Section, Psychology Department King's College London Institute of Psychiatry Psychology and Neuroscience London UK
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11
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Stojanovic D, McEvoy J, Alves F, Rayner L, Heinsohn R, Saunders D, Webb M. Parental care does not compensate for the effects of bad years on reproductive success of a vagile bird. J Zool (1987) 2021. [DOI: 10.1111/jzo.12888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- D. Stojanovic
- Fenner School of Environment and Society Australian National University Canberra ACT Australia
| | - J. McEvoy
- Smithsonian Conservation Biology Institute National Zoological Park Front Royal VA USA
| | - F. Alves
- Fenner School of Environment and Society Australian National University Canberra ACT Australia
| | - L. Rayner
- Fenner School of Environment and Society Australian National University Canberra ACT Australia
| | - R. Heinsohn
- Fenner School of Environment and Society Australian National University Canberra ACT Australia
| | - D. Saunders
- Fenner School of Environment and Society Australian National University Canberra ACT Australia
| | - M. Webb
- Fenner School of Environment and Society Australian National University Canberra ACT Australia
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12
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Crates R, Langmore N, Ranjard L, Stojanovic D, Rayner L, Ingwersen D, Heinsohn R. Loss of vocal culture and fitness costs in a critically endangered songbird. Proc Biol Sci 2021; 288:20210225. [PMID: 33726592 PMCID: PMC8059949 DOI: 10.1098/rspb.2021.0225] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Cultures in humans and other species are maintained through interactions among conspecifics. Declines in population density could be exacerbated by culture loss, thereby linking culture to conservation. We combined historical recordings, citizen science and breeding data to assess the impact of severe population decline on song culture, song complexity and individual fitness in critically endangered regent honeyeaters (Anthochaera phrygia). Song production in the remaining wild males varied dramatically, with 27% singing songs that differed from the regional cultural norm. Twelve per cent of males, occurring in areas of particularly low population density, completely failed to sing any species-specific songs and instead sang other species' songs. Atypical song production was associated with reduced individual fitness, as males singing atypical songs were less likely to pair or nest than males that sang the regional cultural norm. Songs of captive-bred birds differed from those of all wild birds. The complexity of regent honeyeater songs has also declined over recent decades. We therefore provide rare evidence that a severe decline in population density is associated with the loss of vocal culture in a wild animal, with concomitant fitness costs for remaining individuals. The loss of culture may be a precursor to extinction in declining populations that learn selected behaviours from conspecifics, and therefore provides a useful conservation indicator.
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Affiliation(s)
- Ross Crates
- Fenner School of Environment and Society, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
| | - Naomi Langmore
- Research School of Biology, Australian National University, 46 Sullivan's Creek Rd, Acton, Canberra 2601, Australia
| | - Louis Ranjard
- Research School of Biology, Australian National University, 46 Sullivan's Creek Rd, Acton, Canberra 2601, Australia
| | - Dejan Stojanovic
- Fenner School of Environment and Society, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
| | - Laura Rayner
- Fenner School of Environment and Society, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
| | | | - Robert Heinsohn
- Fenner School of Environment and Society, Australian National University, Linnaeus Way, Acton, Canberra 2601, Australia
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13
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Howson K, Yeung E, Rayner L, Fan K. Real-time screening tool for identifying post-traumatic stress disorder in facial trauma patients in a UK maxillofacial trauma clinic. Int J Oral Maxillofac Surg 2021; 50:1464-1470. [PMID: 33712316 DOI: 10.1016/j.ijom.2021.01.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Revised: 10/26/2020] [Accepted: 01/28/2021] [Indexed: 11/18/2022]
Abstract
Post-traumatic stress disorder (PTSD) is a distressing consequence of a traumatic event associated with an increased suicide risk and reduced quality of life. Surgeons often have low confidence in identifying psychological problems. The prevalence of PTSD following facial trauma ranges from 23% to 41%. This highlights the importance of identifying and managing at-risk patients to optimize both mental and physical recovery. IMPARTS (Integrating Mental and Physical healthcare: Research, Training and Services) provides electronic screening tools to guide the non-mental health clinician in the 'real-time' identification, documentation, and management of potential mental health problems. The bespoke IMPARTS facial trauma screening tool was piloted in a UK oral and maxillofacial surgery trauma clinic from July 2015 to November 2017. A total of 199 patients completed screening, with 48 (24%) screening positive for possible PTSD. Further analysis of these 48 patients revealed that four (8%) had PTSD symptoms alone; three (6%) also screened positive for depression, 17 (35%) for co-existing symptoms of anxiety, and 24 (50%) for PTSD, anxiety, and depression. IMPARTS was found to be a highly effective tool aiding the non-mental health clinician to screen for PTSD and initiate prompt management. The data captured informs planning of the psychological support service.
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Affiliation(s)
- K Howson
- Oral and Maxillofacial Surgery Department, King's College Hospital, Denmark Hill, London, UK
| | - E Yeung
- Oral and Maxillofacial Surgery Department, King's College Hospital, Denmark Hill, London, UK
| | - L Rayner
- IMPARTS Mind and Body Programme, Psychological Medicine and Integrated Care Clinical Academic Group, King's College London, London, UK
| | - K Fan
- Oral and Maxillofacial Surgery Department, King's College Hospital, Denmark Hill, London, UK; Faculty of Dentistry, Oral & Craniofacial Sciences.
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14
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Arias de la Torre J, Ronaldson A, Valderas JM, JAlonso, Prina M, Hatch S, Rayner L, Pickles A, Hotopf M, ADregan. Depression and physical multimorbidity during the adulthood. Cross-sectional associations. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
The prevalence of depression and physical multimorbidity (pMM) might vary over the life course in a non-random fashion. The aims of our study were to: 1) assess the prevalence of depression and pMM over the life course; and 2) estimate changes in their pattern of association at different ages.
Methods
Data from 13,736 participants aged 26, 30, 34, 38, 42 and 46 years old of the British Child Study cohort was used. Individuals with information on current self-reported depression were selected as study sample. pMM (yes/no) caseness was defined as the coexistence of 2 or more self-reported physical conditions (e.g. asthma, diabetes, epilepsy). The prevalence of depression and pMM was calculated for each wave. To assess their relationship, prevalence ratios (PR) adjusted by gender, socioeconomic (e.g. educational level) and health-related variables (e.g. BMI and smoking status) and their 95% Confidence Intervals (95%CI) were obtained at each wave from multivariable Poisson models.
Results
Prevalence of depression varied with age (10.0% at age 26, 7.8% at age 38 and 18.3% at age 46) as did prevalence of pMM (37% at age 26, 15.6% at age 34, and 20.2% at age 46). A non-linear trend in the prevalence both of depression and pMM was observed with a decrease from age 26 to age 38 (34 for pMM) followed by a consistent increment to age 46. In all ages depression was significantly associated with pMM the magnitude ranging from PR: 1.52 (95%CI 1.41-1.65) at age 26 to PR: 1.96 (95%CI 1.72-2.23) at age 38.
Conclusions
There is consistent association between the prevalence of depression and pMM over different ages during adulthood. The non-linear pattern suggests differences in the type of conditions contributing to pMM at different ages (non-chronic in young adulthood vs chronic from middle adulthood). Further research on clusters and trajectories of different conditions over life course might be valuable to understand the association between depression and pMM.
Key messages
There is consistent association between the prevalence of depression and pMM over different ages during adulthood. They could be differences in the type of conditions contributing to depression related pMM at different ages (non-chronic in young adulthood vs chronic from middle adulthood).
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Affiliation(s)
- J Arias de la Torre
- King's College London, London, UK
- CIBER Epidemiology and Public Health, Madrid, Spain
| | | | | | - JAlonso
- CIBER Epidemiology and Public Health, Madrid, Spain
- Hospital del Mar Medical Research Institute, Barcelona, Spain
- Pompeu Fabra University, Barcelona, Spain
| | - M Prina
- King's College London, London, UK
| | - S Hatch
- King's College London, London, UK
| | - L Rayner
- King's College London, London, UK
| | | | - M Hotopf
- King's College London, London, UK
- South London and Maudsley NHS Foundation Trust, London, UK
| | - ADregan
- King's College London, London, UK
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Affiliation(s)
- Ross Crates
- Fenner School of Environment and Society; Australian National University; Linnaeus Way, Acton Canberra Australian Capital Territory 2601 Australia
| | - Laura Rayner
- Fenner School of Environment and Society; Australian National University; Linnaeus Way, Acton Canberra Australian Capital Territory 2601 Australia
| | - Matthew Webb
- Fenner School of Environment and Society; Australian National University; Linnaeus Way, Acton Canberra Australian Capital Territory 2601 Australia
| | - Dejan Stojanovic
- Fenner School of Environment and Society; Australian National University; Linnaeus Way, Acton Canberra Australian Capital Territory 2601 Australia
| | - Colin Wilkie
- Australian Vertebrate Pest Management Ltd.; Port Macquarie New South Wales Australia
| | - Robert Heinsohn
- Fenner School of Environment and Society; Australian National University; Linnaeus Way, Acton Canberra Australian Capital Territory 2601 Australia
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16
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Crates R, Olah G, Adamski M, Aitken N, Banks S, Ingwersen D, Ranjard L, Rayner L, Stojanovic D, Suchan T, von Takach Dukai B, Heinsohn R. Genomic impact of severe population decline in a nomadic songbird. PLoS One 2019; 14:e0223953. [PMID: 31647830 PMCID: PMC6812763 DOI: 10.1371/journal.pone.0223953] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Accepted: 10/02/2019] [Indexed: 01/27/2023] Open
Abstract
Uncovering the population genetic histories of non-model organisms is increasingly possible through advances in next generation sequencing and DNA sampling of museum specimens. This new information can inform conservation of threatened species, particularly those for which historical and contemporary population data are unavailable or challenging to obtain. The critically endangered, nomadic regent honeyeater Anthochaera phrygia was abundant and widespread throughout south-eastern Australia prior to a rapid population decline and range contraction since the 1970s. A current estimated population of 250-400 individuals is distributed sparsely across 600,000 km2 from northern Victoria to southern Queensland. Using hybridization RAD (hyRAD) techniques, we obtained a SNP dataset from 64 museum specimens (date 1879-1960), 102 'recent' (1989-2012) and 52 'current' (2015-2016) wild birds sampled throughout the historical and contemporary range. We aimed to estimate population genetic structure, genetic diversity and population size of the regent honeyeater prior to its rapid decline. We then assessed the impact of the decline on recent and current population size, structure and genetic diversity. Museum sampling showed population structure in regent honeyeaters was historically low, which remains the case despite a severe fragmentation of the breeding range. Population decline has led to minimal loss of genetic diversity since the 1980's. Capacity to quantify the overall magnitude of both genetic diversity loss and population decline was limited by the poorer quality of genomic data derived from museum specimens. A rapid population decline, coupled with the regent honeyeater's high mobility, means a detectable genomic impact of this decline has not yet manifested. Extinction may occur in this nomadic species before a detectable genomic impact of small population size is realised. We discuss the implications for genetic management of endangered mobile species and enhancing the value of museum specimens in population genomic studies.
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Affiliation(s)
- Ross Crates
- Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia
| | - George Olah
- Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia
| | - Marcin Adamski
- Research School of Biology, Australian National University, Canberra, ACT, Australia
| | - Nicola Aitken
- Research School of Biology, Australian National University, Canberra, ACT, Australia
| | - Sam Banks
- Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia
| | | | - Louis Ranjard
- Research School of Biology, Australian National University, Canberra, ACT, Australia
| | - Laura Rayner
- Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia
| | - Dejan Stojanovic
- Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia
| | - Tomasz Suchan
- W. Szafer institute of Botany, Polish Academy of Sciences, Krakow, Poland
| | - Brenton von Takach Dukai
- Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia
| | - Robert Heinsohn
- Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia
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17
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Stojanovic D, Cook HCL, Sato C, Alves F, Harris G, McKernan A, Rayner L, Webb MH, Sutherland WJ, Heinsohn R. Pre‐emptive action as a measure for conserving nomadic species. J Wildl Manage 2018. [DOI: 10.1002/jwmg.21575] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Dejan Stojanovic
- Fenner School of Environment and SocietyAustralian National UniversityActon2601Australia
| | - Henry C. L. Cook
- Fenner School of Environment and SocietyAustralian National UniversityActon2601Australia
| | - Chloe Sato
- Fenner School of Environment and SocietyAustralian National UniversityActon2601Australia
| | - Fernanda Alves
- Fenner School of Environment and SocietyAustralian National UniversityActon2601Australia
| | - Grant Harris
- Ironbark Environmental Arboriculture PtyMelbourneVIC3068Australia
| | - Andrew McKernan
- Victorian Tree Industry OrganisationMelbourneVIC3782Australia
| | - Laura Rayner
- Fenner School of Environment and SocietyAustralian National UniversityActon2601Australia
| | - Matthew H. Webb
- Fenner School of Environment and SocietyAustralian National UniversityActon2601Australia
| | - William J. Sutherland
- Department of ZoologyUniversity of CambridgeThe David Attenborough BuildingCambridgeCB2 1TNUnited Kingdom
| | - Robert Heinsohn
- Fenner School of Environment and SocietyAustralian National UniversityActon2601Australia
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18
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Robinson S, Chaudhary R, Jimenez-Saiz R, Rayner L, Jodana M, Daniel J. A168 KAISO-INDUCED INTESTINAL INFLAMMATION IS ACCOMPANIED BY FAULTY CELL ADHESION AND ABERRANT INTESTINAL REPAIR. J Can Assoc Gastroenterol 2018. [DOI: 10.1093/jcag/gwy009.168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S Robinson
- Cell Biology Program, The Hospital for Sick Children Research Institute, Toronto, ON, Canada
| | - R Chaudhary
- McMaster Immunology Research Centre, McMaster University, Hamilton, ON, Canada
| | - R Jimenez-Saiz
- McMaster Immunology Research Centre, McMaster University, Hamilton, ON, Canada
| | - L Rayner
- Dept. of Biology, McMaster University, Hamilton, ON, Canada
| | - M Jodana
- McMaster Immunology Research Centre, McMaster University, Hamilton, ON, Canada
| | - J Daniel
- Dept. of Biology, McMaster University, Hamilton, ON, Canada
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19
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Rayner L, Sherlock J, Creagh-Brown B, Williams J, deLusignan S. The prevalence of COPD in England: An ontological approach to case detection in primary care. Respir Med 2017; 132:217-225. [DOI: 10.1016/j.rmed.2017.10.024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Revised: 10/25/2017] [Accepted: 10/28/2017] [Indexed: 10/18/2022]
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20
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Affiliation(s)
- Ross Crates
- Fenner School; Australian National University; Canberra 2601 Australia
| | - Aleks Terauds
- Fenner School; Australian National University; Canberra 2601 Australia
| | - Laura Rayner
- Fenner School; Australian National University; Canberra 2601 Australia
| | - Dejan Stojanovic
- Fenner School; Australian National University; Canberra 2601 Australia
| | - Robert Heinsohn
- Fenner School; Australian National University; Canberra 2601 Australia
| | | | - Matthew Webb
- Fenner School; Australian National University; Canberra 2601 Australia
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21
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Lamb RC, Matcham F, Turner MA, Rayner L, Simpson A, Hotopf M, Barker JNWN, Jackson K, Smith CH. Screening for anxiety and depression in people with psoriasis: a cross-sectional study in a tertiary referral setting. Br J Dermatol 2016; 176:1028-1034. [PMID: 27363600 DOI: 10.1111/bjd.14833] [Citation(s) in RCA: 65] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/27/2016] [Indexed: 01/26/2023]
Abstract
BACKGROUND National Institute for Health and Care Excellence guidance recommends assessment of psychological and social well-being in people with psoriasis. OBJECTIVES To screen systematically for depression and anxiety in patients with psoriasis in routine clinical practice and to identify at-risk groups for psychiatric morbidity. METHODS Consecutive patients attending a single, tertiary centre over a 10-month period were invited to complete the Patient Health Questionnaire Depression Scale (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7) and Dermatology Life Quality Index (DLQI) as part of IMPARTS: Integrating Mental and Physical Healthcare: Research, Training and Services. Information on demographics, treatment and clinical disease severity was collated from electronic patient records. Regression models were used to identify at-risk groups for psychiatric morbidity. RESULTS Of 607 patients included (56·2% on biologics), 9·9% (95% confidence interval 7·5-12·3%) screened positive for major depressive disorder (MDD) and 13·1% (79/604) (95% confidence interval 10·4-15·8%) for generalized anxiety disorder (GAD; GAD-7 score > 9). Suicidal ideation was reported in 35% of those with MDD; DLQI was < 10 in 38·3% and 45·6% cases of MDD and GAD, respectively. After adjusting for covariates, the risk of MDD or GAD was significantly higher in women and those with severe clinical disease, psoriatic arthritis and previous depression/anxiety. The risk of GAD was significantly increased with Asian ethnicity and use of topical treatments only. CONCLUSIONS Systematic screening for anxiety and depression identifies clinically important levels of depression and anxiety that may be missed using DLQI data alone. Women and those with severe disease, psoriatic arthritis and/or a prior history of psychiatric morbidity may be at particular risk.
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Affiliation(s)
- R C Lamb
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London, SE1 9RT, U.K
| | - F Matcham
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, SE5 9RJ, U.K
| | - M A Turner
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London, SE1 9RT, U.K
| | - L Rayner
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, SE5 9RJ, U.K
| | - A Simpson
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, SE5 9RJ, U.K
| | - M Hotopf
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, SE5 9RJ, U.K
| | - J N W N Barker
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London, SE1 9RT, U.K
| | - K Jackson
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London, SE1 9RT, U.K
| | - C H Smith
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London, SE1 9RT, U.K
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22
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Rayner L, Simpson A, Matcham F, Shetty S, Lahoti O, Groom G, Hotopf M. Mental disorder in limb reconstruction: Prevalence, associations and impact on work disability. J Psychosom Res 2016; 89:53-60. [PMID: 27663111 DOI: 10.1016/j.jpsychores.2016.08.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 08/18/2016] [Accepted: 08/21/2016] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This cross-sectional survey aimed to assess the prevalence of depression, anxiety, post-traumatic stress disorder (PTSD), and drug and alcohol dependence in a limb reconstruction population and examine associations with demographic and functional variables. METHODS As part of routine clinical care, data were collected from 566 patients attending a tertiary referral centre for limb reconstruction between April 2012 and February 2016. Depression, anxiety, post-traumatic stress disorder (PTSD), and alcohol and drug dependence were measured using standardised self-report screening tools. RESULTS 173 patients (30.6% CI 26.7-34.4) screened positive for at least one of the mental disorders assessed. 110 (19.4% CI 16.2-22.7) met criteria for probable major depression; 112 (19.9% CI 16.6-23.2) patients met criteria for probable generalised anxiety disorder; and 41 (7.6% CI 5.3-9.8) patients met criteria for probable PTSD. The prevalence of probable alcohol dependence and probable drug dependence was 1.6% (CI 0.6-2.7) and 4.5% (CI 2.7-6.3), respectively. Patients who screened positive for depression, anxiety and PTSD reported significantly higher levels of pain, fatigue, and functional impairment. Depression and anxiety were independently associated with work disability after adjustment for covariates (OR 1.98 (CI 1.08-3.62) and OR 1.83 (CI 1.04-3.23), respectively). CONCLUSION The high prevalence and adverse associations of probable mental disorder in limb reconstruction attest to the need for routine psychological assessment and support. Integrated screening and management of mental disorder in this population may have a positive impact on patients' emotional, physical and occupational rehabilitation. A randomised controlled trial is needed to test this hypothesis.
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Affiliation(s)
- L Rayner
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Cutcombe Road, London SE5 9RJ, United Kingdom.
| | - A Simpson
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Cutcombe Road, London SE5 9RJ, United Kingdom
| | - F Matcham
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Cutcombe Road, London SE5 9RJ, United Kingdom
| | - S Shetty
- King's College Hospital NHS Foundation Trust, Department of Orthopaedics and Trauma, United Kingdom
| | - O Lahoti
- King's College Hospital NHS Foundation Trust, Department of Orthopaedics and Trauma, United Kingdom
| | - G Groom
- King's College Hospital NHS Foundation Trust, Department of Orthopaedics and Trauma, United Kingdom
| | - M Hotopf
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Cutcombe Road, London SE5 9RJ, United Kingdom
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23
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Westgate MJ, Scheele BC, Ikin K, Hoefer AM, Beaty RM, Evans M, Osborne W, Hunter D, Rayner L, Driscoll DA. Citizen Science Program Shows Urban Areas Have Lower Occurrence of Frog Species, but Not Accelerated Declines. PLoS One 2015; 10:e0140973. [PMID: 26580412 PMCID: PMC4651569 DOI: 10.1371/journal.pone.0140973] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2015] [Accepted: 10/02/2015] [Indexed: 11/18/2022] Open
Abstract
Understanding the influence of landscape change on animal populations is critical to inform biodiversity conservation efforts. A particularly important goal is to understand how urban density affects the persistence of animal populations through time, and how these impacts can be mediated by habitat provision; but data on this question are limited for some taxa. Here, we use data from a citizen science monitoring program to investigate the effect of urbanization on patterns of frog species richness and occurrence over 13 years. Sites surrounded by a high proportion of bare ground (a proxy for urbanization) had consistently lower frog occurrence, but we found no evidence that declines were restricted to urban areas. Instead, several frog species showed declines in rural wetlands with low-quality habitat. Our analysis shows that urban wetlands had low but stable species richness; but also that population trajectories are strongly influenced by vegetation provision in both the riparian zone and the wider landscape. Future increases in the extent of urban environments in our study area are likely to negatively impact populations of several frog species. However, existing urban areas are unlikely to lose further frog species in the medium term. We recommend that landscape planning and management focus on the conservation and restoration of rural wetlands to arrest current declines, and the revegetation of urban wetlands to facilitate the re-expansion of urban-sensitive species.
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Affiliation(s)
- Martin J. Westgate
- Fenner School of Environment and Society, The Australian National University, Canberra, ACT, 2601, Australia
- * E-mail:
| | - Ben C. Scheele
- Fenner School of Environment and Society, The Australian National University, Canberra, ACT, 2601, Australia
| | - Karen Ikin
- Fenner School of Environment and Society, The Australian National University, Canberra, ACT, 2601, Australia
- ARC Centre of Excellence for Environmental Decisions, The Australian National University, Canberra, ACT, 2601, Australia
| | - Anke Maria Hoefer
- ACT and Region Frogwatch, Ginninderra Catchment Group, Canberra, ACT, 2615, Australia
| | | | - Murray Evans
- Environment and Planning Directorate, ACT Government, Canberra, ACT, 2601, Australia
| | - Will Osborne
- Institute for Applied Ecology, University of Canberra, Canberra, ACT, 2601, Australia
| | - David Hunter
- NSW Office of Environment and Heritage, Queanbeyan, NSW, 2620, Australia
| | - Laura Rayner
- Fenner School of Environment and Society, The Australian National University, Canberra, ACT, 2601, Australia
| | - Don A. Driscoll
- ARC Centre of Excellence for Environmental Decisions, The Australian National University, Canberra, ACT, 2601, Australia
- School of Life and Environmental Sciences, Centre for Integrative Ecology, Deakin University, Melbourne Burwood Campus, Burwood, VIC, 3125, Australia
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Ikin K, Le Roux DS, Rayner L, Villaseñor NR, Eyles K, Gibbons P, Manning AD, Lindenmayer DB. Key lessons for achieving biodiversity-sensitive cities and towns. Ecol Manag Restor 2015. [DOI: 10.1111/emr.12180] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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25
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Ellis MV, Taylor JE, Rayner L. Remotely-sensed foliage cover and ground-measured stand attributes are complimentary when estimating tree hollow abundances across relictual woodlands in agricultural landscapes. Ecol Manag Restor 2015. [DOI: 10.1111/emr.12168] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Affiliation(s)
- Laura Rayner
- Fenner School of Environment and Society; The Australian National University; Canberra ACT 0200 Australia
| | - Karen Ikin
- Fenner School of Environment and Society; The Australian National University; Canberra ACT 0200 Australia
- ARC Centre of Excellence for Environmental Decisions; National Environmental Research Program; The Australian National University; Canberra ACT 0200 Australia
| | - Maldwyn J. Evans
- Fenner School of Environment and Society; The Australian National University; Canberra ACT 0200 Australia
| | - Philip Gibbons
- Fenner School of Environment and Society; The Australian National University; Canberra ACT 0200 Australia
- ARC Centre of Excellence for Environmental Decisions; National Environmental Research Program; The Australian National University; Canberra ACT 0200 Australia
| | - David B. Lindenmayer
- Fenner School of Environment and Society; The Australian National University; Canberra ACT 0200 Australia
- ARC Centre of Excellence for Environmental Decisions; National Environmental Research Program; The Australian National University; Canberra ACT 0200 Australia
| | - Adrian D. Manning
- Fenner School of Environment and Society; The Australian National University; Canberra ACT 0200 Australia
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Rayner L, Matcham F, Hutton J, Stringer C, Dobson J, Steer S, Hotopf M. Embedding integrated mental health assessment and management in general hospital settings: feasibility, acceptability and the prevalence of common mental disorder. Gen Hosp Psychiatry 2014; 36:318-24. [PMID: 24630892 DOI: 10.1016/j.genhosppsych.2013.12.004] [Citation(s) in RCA: 99] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2013] [Revised: 11/15/2013] [Accepted: 12/05/2013] [Indexed: 01/27/2023]
Abstract
OBJECTIVE To assess the feasibility and acceptability of routine web-based screening in general hospital settings, and describe the level of common mental disorder. METHOD A service development platform to integrate mental and physical healthcare was implemented in six specialties (rheumatology, limb reconstruction, hepatitis C, psoriasis, adult congenital heart disease (ACHD), chronic pain) across three general hospitals in London, UK. Under service conditions, patients completed a web-based questionnaire comprising mental and physical patient-reported outcome measures, whilst waiting for their appointment. Feasibility was quantified as the proportion of patients who completed the questionnaire. Acceptability was quantified as the proportion of patients declining screening, and the proportion requiring assistance completing the questionnaire. The prevalence of probable depression and anxiety was expressed as the percentage of cases determined by the Patient Health Questionnaire-9 and Generalised Anxiety Disorder Questionnaire-7. RESULTS The proportion of patients screened varied widely across specialties (40.1-98.2%). The decline rate was low (0.6-9.7%) and the minority required assistance (11.7-40.4%). The prevalence of probable depression ranged from 60.9% in chronic pain to 6.6% in ACHD. The prevalence of probable anxiety ranged from 25.1% in rheumatology to 11.4% in ACHD. CONCLUSION Web-based screening is acceptable to patients and can be effectively embedded in routine practice. General hospital patients are at increased risk of common mental disorder, and routine screening may help identify need, inform care and monitor outcomes.
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Affiliation(s)
- L Rayner
- Department of Psychological Medicine, Institute of Psychiatry, King's College London, SE5 9RJ London, UK.
| | - F Matcham
- Department of Psychological Medicine, Institute of Psychiatry, King's College London, SE5 9RJ London, UK
| | - J Hutton
- South London and Maudsley and King's College Hospital NHS Foundation Trusts, UK
| | - C Stringer
- Information and Communication Technology, King's College Hospital NHS Foundation Trust, UK
| | - J Dobson
- Department of Rheumatology, School of Medicine, King's College London, UK
| | - S Steer
- Department of Rheumatology, School of Medicine, King's College London, UK
| | - M Hotopf
- Department of Psychological Medicine, Institute of Psychiatry, King's College London, SE5 9RJ London, UK
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Rayner L, Ellis M, Taylor JE. Hollow occurrence and abundance varies with tree characteristics and among species in temperate woodlandEucalyptus. AUSTRAL ECOL 2013. [DOI: 10.1111/aec.12052] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Laura Rayner
- Australian Catholic University; PO Box 968 North Sydney NSW 2059 Australia
- The Fenner School of Environment and Society; Australian National University; Canberra ACT Australia
| | - Murray Ellis
- Office of Environment and Heritage; Biodiversity Conservation Science Section; Hurstville New South Wales Australia
| | - Jennifer E. Taylor
- Australian Catholic University; PO Box 968 North Sydney NSW 2059 Australia
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Mehta P, Holder S, Fisher B, Vincent T, Nadesalingam K, Maciver H, Shingler W, Bakshi J, Hassan S, D'Cruz D, Chan A, Litwic AE, McCrae F, Seth R, McCrae F, Nandagudi A, Jury E, Isenberg D, Karjigi U, Paul A, Rees F, O'Dowd E, Kinnear W, Johnson S, Lanyon P, Bakshi J, Stevens R, Narayan N, Marguerie C, Robinson H, Ffolkes L, Worsnop F, Ostlere L, Kiely P, Dharmapalaiah C, Hassan N, Nandagudi A, Bharadwaj A, Skibinska M, Gendi N, Davies EJ, Akil M, Kilding R, Ramachandran Nair J, Walsh M, Farrar W, Thompson RN, Borukhson L, McFadyen C, Singh D, Rajagopal V, Chan AML, Wearn Koh L, Christie JD, Croot L, Gayed M, Disney B, Singhal S, Grindulis K, Reynolds TD, Conway K, Williams D, Quin J, Dean G, Churchill D, Walker-Bone KE, Goff I, Reynolds G, Grove M, Patel P, Lazarus MN, Roncaroli F, Gabriel C, Kinderlerer AR, Nikiphorou E, Hall FC, Bruce E, Gray L, Krutikov M, Wig S, Bruce I, D'Agostino MA, Wakefield R, Berner Hammer H, Vittecoq O, Galeazzi M, Balint P, Filippucci E, Moller I, Iagnocco A, Naredo E, Ostergaard M, Gaillez C, Kerselaers W, Van Holder K, Le Bars M, Stone MA, Williams F, Wolber L, Karppinen J, Maatta J, Thompson B, Atchia I, Lorenzi A, Raftery G, Platt P, Platt PN, Pratt A, Turmezei TD, Treece GM, Gee AH, Poole KE, Chandratre PN, Roddy E, Clarson L, Richardson J, Hider S, Mallen C, Lieberman A, Prouse PJ, Mahendran P, Samarawickrama A, Churchill D, Walker-Bone KE, Ottery FD, Yood R, Wolfson M, Ang A, Riches P, Thomson J, Nuki G, Humphreys J, Verstappen SM, Chipping J, Hyrich K, Marshall T, Symmons DP, Roy M, Kirwan JR, Marshall RW, Matcham F, Scott IC, Rayner L, Hotopf M, Kingsley GH, Scott DL, Steer S, Ma MH, Dahanayake C, Scott IC, Kingsley G, Cope A, Scott DL, Dahanayake C, Ma MH, Scott IC, Kingsley GH, Cope A, Scott DL, Wernham A, Ward L, Carruthers D, Deeming A, Buckley C, Raza K, De Pablo P, Nikiphorou E, Carpenter L, Jayakumar K, Solymossy C, Dixey J, Young A, Singh A, Penn H, Ellerby N, Mattey DL, Packham J, Dawes P, Hider SL, Ng N, Humby F, Bombardieri M, Kelly S, Di Cicco M, Dadoun S, Hands R, Rocher V, Kidd B, Pyne D, Pitzalis C, Poore S, Hutchinson D, Low A, Lunt M, Mercer L, Galloway J, Davies R, Watson K, Dixon W, Symmons D, Hyrich K, Mercer L, Lunt M, Low A, Galloway J, Watson KD, Dixon WG, Symmons D, Hyrich KL, Low A, Lunt M, Mercer L, Bruce E, Dixon W, Hyrich K, Symmons D, Malik SP, Kelly C, Hamilton J, Heycock C, Saravanan V, Rynne M, Harris HE, Tweedie F, Skaparis Y, White M, Scott N, Samson K, Mercieca C, Clarke S, Warner AJ, Humphreys J, Lunt M, Marshall T, Symmons D, Verstappen S, Chan E, Kelly C, Woodhead FA, Nisar M, Arthanari S, Dawson J, Sathi N, Ahmad Y, Koduri G, Young A, Kelly C, Chan E, Ahmad Y, Woodhead FA, Nisar M, Arthanari S, Dawson J, Sathi N, Koduri G, Young A, Cumming J, Stannett P, Hull R, Metsios G, Stavropoulos Kalinoglou A, Veldhuijzen van Zanten JJ, Nightingale P, Koutedakis Y, Kitas GD, Nikiphorou E, Dixey J, Williams P, Kiely P, Walsh D, Carpenter L, Young A, Perry E, Kelly C, de-Soyza A, Moullaali T, Eggleton P, Hutchinson D, Veldhuijzen van Zanten JJ, Metsios G, Stavropoulos-Kalinoglou A, Sandoo A, Kitas GD, de Pablo P, Maggs F, Carruthers D, Faizal A, Pugh M, Jobanputra P, Kehoe O, Cartwright A, Askari A, El Haj A, Middleton J, Aynsley S, Hardy J, Veale D, Fearon U, Wilson G, Muthana M, Fossati G, Healy L, Nesbitt A, Becerra E, Leandro MJ, De La Torre I, Cambridge G, Nelson PN, Roden D, Shaw M, Davari Ejtehadi H, Nevill A, Freimanis G, Hooley P, Bowman S, Alavi A, Axford J, Veitch AM, Tugnet N, Rylance PB, Hawtree S, Muthana M, Aynsley S, Mark Wilkinson J, Wilson AG, Woon Kam N, Filter A, Buckley C, Pitzalis C, Bombardieri M, Croft AP, Naylor A, Zimmermann B, Hardie D, Desanti G, Jaurez M, Muller-Ladner U, Filer A, Neumann E, Buckley C, Movahedi M, Lunt M, Ray DW, Dixon WG, Burmester GR, Matucci-Cerinic M, Navarro-Blasco F, Kary S, Unnebrink K, Kupper H, Mukherjee S, Cornell P, Richards S, Rahmeh F, Thompson PW, Westlake SL, Javaid MK, Batra R, Chana J, Round G, Judge A, Taylor P, Patel S, Cooper C, Ravindran V, Bingham CO, Weinblatt ME, Mendelsohn A, Kim L, Mack M, Lu J, Baker D, Westhovens R, Hewitt J, Han C, Keystone EC, Fleischmann R, Smolen J, Emery P, Genovese M, Doyle M, Hsia EC, Hart JC, Lazarus MN, Kinderlerer AR, Harland D, Gibbons C, Pang H, Huertas C, Diamantopoulos A, Dejonckheere F, Clowse M, Wolf D, Stach C, Kosutic G, Williams S, Terpstra I, Mahadevan U, Smolen J, Emery P, Ferraccioli G, Samborski W, Berenbaum F, Davies O, Koetse W, Bennett B, Burkhardt H, Weinblatt ME, Fleischmann R, Davies O, Luijtens K, van der Heijde D, Mariette X, van Vollenhoven RF, Bykerk V, de Longueville M, Arendt C, Luijtens K, Cush J, Khan A, Maclaren Z, Dubash S, Chalam VC, Sheeran T, Price T, Baskar S, Mulherin D, Molloy C, Keay F, Heritage C, Douglas B, Fleischmann R, Weinblatt ME, Schiff MH, Khanna D, Furst DE, Maldonado MA, Li W, Sasso EH, Emerling D, Cavet G, Ford K, Mackenzie-Green B, Collins D, Price E, Williamson L, Golla J, Vagadia V, Morrison E, Tierney A, Wilson H, Hunter J, Ma MH, Scott DL, Reddy V, Moore S, Ehrenstein M, Benson C, Wray M, Cairns A, Wright G, Pendleton A, McHenry M, Taggart A, Bell A, Bosworth A, Cox M, Johnston G, Shah P, O'Brien A, Jones P, Sargeant I, Bukhari M, Nusslein H, Alten R, Galeazzi M, Lorenz HM, Boumpas D, Nurmohamed MT, Bensen W, Burmester GR, Peter HH, Rainer F, Pavelka K, Chartier M, Poncet C, Rauch C, Le Bars M, Lempp H, Hofmann D, Adu A, Congreve C, Dobson J, Rose D, Simpson C, Wykes T, Cope A, Scott DL, Ibrahim F, Schiff M, Alten R, Weinblatt ME, Nash P, Fleischmann R, Durez P, Kaine J, Delaet I, Kelly S, Maldonado M, Patel S, Genovese M, Jones G, Sebba A, Lepley D, Devenport J, Bernasconi C, Smart D, Mpofu C, Gomez-Reino JJ, Verma I, Kaur J, Syngle A, Krishan P, Vohra K, Kaur L, Garg N, Chhabara M, Gibson K, Woodburn J, Telfer S, Buckley F, Finckh A, Huizinga TW, Dejonckheere F, Jansen JP, Genovese M, Sebba A, Rubbert-Roth A, Scali JJ, Alten R, Kremer JM, Pitts L, Vernon E, van Vollenhoven RF, Sharif MI, Das S, Emery P, Maciver H, Shingler W, Helliwell P, Sokoll K, Vital EM. Case Reports * 1. A Late Presentation of Loeys-Dietz Syndrome: Beware of TGF Receptor Mutations in Benign Joint Hypermobility. Rheumatology (Oxford) 2013. [DOI: 10.1093/rheumatology/ket197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Price A, Lee W, Goodwin L, Rayner L, Humphreys R, Hansford P, Sykes N, Monroe B, Higginson I, Hotopf M. Prevalence, course and associations of desire for hastened death in a UK palliative population: a cross-sectional study. BMJ Support Palliat Care 2011; 1:140-8. [DOI: 10.1136/bmjspcare-2011-000011] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Price A, Rayner L. Review: antidepressants are safe and effective for people with depression who have additional chronic physical health problems. Evidence-Based Mental Health 2011. [DOI: 10.1136/ebmh1180] [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] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Goodwin L, Lee W, Price A, Rayner L, Monroe B, Sykes N, Hansford P, Higginson IJ, Hotopf M. Predictors of non-remission of depression in a palliative care population. BMJ Support Palliat Care 2011. [DOI: 10.1136/bmjspcare-2011-000020.28] [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: 11/03/2022]
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Price A, Goodwin L, Rayner L, Shaw E, Hansford P, Sykes N, Monroe B, Higginson IJ, Hotopf M, Lee W. Illness perceptions, adjustment to illness and depression in a palliative care population. BMJ Support Palliat Care 2011. [DOI: 10.1136/bmjspcare-2011-000020.40] [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: 11/04/2022]
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Affiliation(s)
- W Lee
- Kings College London, Institute of Psychiatry, Psychological Medicine, London, UK
| | - A Price
- Kings College London, Institute of Psychiatry, Psychological Medicine, London, UK
| | - L Rayner
- Kings College London, Palliative Care, Policy and Rehabilitation, London, UK
| | - M Hotopf
- Kings College London, Institute of Psychiatry, Psychological Medicine, London, UK
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Abstract
Care pathways are used extensively in inpatient medical and surgical services to facilitate the delivery of evidence-based health care. There is a growing interest in their use in the mental health arena. However, questions remain about their acceptability to service users and staff. Most current literature is aimed at communicating the value of care pathways. Consequently, issues that are particularly pertinent to mental health, like language, therapeutic relationships and individualized care have not been fully addressed. This paper reports on the development of a care pathway in residential services in Nottingham. It will illustrate how by working in multidisciplinary groups with service users and carers these issues were incorporated into a comprehensive pathway that follows the service user's journey from admission to discharge. The paper concludes by highlighting some of the challenges of care pathway implementation and suggests ways they can be overcome.
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Affiliation(s)
- L Rayner
- School of Nursing, University of Nottingham, Nottingham NG23 6AA, UK.
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Abstract
The Thorn Initiative is a prominent education and training programme for psychosocial interventions. The course originated in two centres in the UK in 1992, 10 years on the programme had expanded to 13 centres across England and Wales. A survey of course content and structure was sent out to all 13 sites by email of which eight responded by post. The survey results showed that since 1999 there has been a rapid growth in the number of Thorn sites. There remains a high degree of fidelity to the original courses in mode of delivery, service user and carer participation, and core content. All of the sites were progressing towards providing degree courses, usually in a modular format and with an expanded curriculum. In conclusion, the Thorn Steering Group has been successful in Thorn site expansion and curriculum development. Such success has taken activity away from audit and research in psychosocial interventions, education, training, implementation and fidelity to taught skills. Implementation remains a cause for concern and it is recommended that a focus for Thorn sites should be on creating and evaluating novel solutions to this pervasive problem.
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Affiliation(s)
- M O'Carroll
- City University, Philpot Street, London E1 2EA, UK. M.O'
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Hain RD, Rayner L, Weitzman S, Lorenzana A. Acute tumour lysis syndrome complicating treatment of stage IVS neuroblastoma in infants under six months old. Med Pediatr Oncol 1994; 23:136-9. [PMID: 8202037 DOI: 10.1002/mpo.2950230213] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Acute tumour lysis syndrome (ATLS) is a common complication of the treatment of haematopoietic malignancies. It is also well recognized in many nonhaematopoeitic malignancies of adults. There are very few reports of the syndrome occurring during therapy for the nonhaematopoeitic malignancies of childhood, and none has previously been reported in the treatment of neuroblastoma. We report the cases of four patients presenting to The Hospital for Sick Children (HSC) between 1985 and 1992 who developed ATLS during treatment for stage IVS neuroblastoma. ATLS is a significant risk in patients undergoing therapy for stage IVS neuroblastoma, particularly where this has been delayed.
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Affiliation(s)
- R D Hain
- Division of Haematology/Oncology, Hospital for Sick Children, Toronto, Ontario, Canada
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Partrick B, Barratt MD, Davis MA, Rayner L. Lysolecithin-casein interactions. II. Gel filtration, gel electrophoresis and density-gradient ultracentrifugation of the lysolecithin- sl -casein system. Biochim Biophys Acta 1972; 255:981-7. [PMID: 5020233 DOI: 10.1016/0005-2736(72)90408-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Affiliation(s)
- G H. Dodd
- Biophysics Division, Unilever Research Laboratory Colworth/Welwyn, The Frythe, Welwyn, Herts, England
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