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Humbert-Vidan L, Patel V, Begum R, McGovern M, Eaton D, Kong A, Petkar I, Reis Ferreira M, Lei M, King A, Guerrero Urbano T. PH-0387 Mandible osteoradionecrosis: a dosimetric study. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07318-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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2
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McGovern M, Morrissey P, Ryan E. Can Early Changes in Vital signs Predict Duration of Antibiotic Therapy in Suspected Neonatal Sepsis? Ir Med J 2019; 112:909. [PMID: 31241276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Aims Suspected sepsis remains a leading causes of Neonatal Intensive Care Unit admission, with infants often receiving 48-72 hours of empirical antibiotic therapy. Early in treatment it is difficult to predict infants who will require prolonged antibiotic therapy. Our aim was to assess if vital sign measurements in the initial period of treatment can predict those neonates requiring prolonged antibiotic therapy in term and late-preterm infants. Methods Data was retrospectively collected over 1 year on neonates admitted to our institute for antibiotics. Infants were classified as standard (<48hours duration) or prolonged (>48hours duration) antibiotic therapy. Results Respiratory rate on admission and 12 hours after initiation of therapy correlated significantly with duration of antibiotic therapy and infants requiring prolonged therapy were more likely to have one or more abnormal vital signs 12 hours after initiation of treatment (p<0.05). Conclusion Respiratory rate shows a weak positive correlation with antibiotic duration. Infants requiring prolonged therapy were more likely to have abnormal vital signs 12 hours after initiating antibiotic therapy. Changes in vital signs maybe useful in detecting infants who will require prolonged antibiotic therapy.
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Affiliation(s)
- M McGovern
- Department of Paediatrics and Neonatology University College Hospital Galway
- Academic Department of Paediatrics, National University of Ireland, Galway
| | - P Morrissey
- Department of Paediatrics and Neonatology University College Hospital Galway
- Academic Department of Paediatrics, National University of Ireland, Galway
| | - E Ryan
- Department of Paediatrics and Neonatology University College Hospital Galway
- Academic Department of Paediatrics, National University of Ireland, Galway
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Coyne S, Flynn L, McGovern M, Miletin J. A Review of Out-of-hours Outpatient Neonatal Presentations to a Standalone Tertiary Neonatal Centre. Ir Med J 2019; 112:879. [PMID: 30896140] [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] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- S Coyne
- Department of Neonatology, Coombe Women and Infants University Hospital, Dublin, Ireland
| | - L Flynn
- Department of Neonatology, Coombe Women and Infants University Hospital, Dublin, Ireland
| | - M McGovern
- Department of Neonatology, Coombe Women and Infants University Hospital, Dublin, Ireland
- Academic Department of Paediatrics, Trinity College, Dublin, Ireland
| | - J Miletin
- Department of Neonatology, Coombe Women and Infants University Hospital, Dublin, Ireland
- Institute for the Care of Mother and Child, Prague, Czech Republic
- 3rd School of Medicine, Charles University, Prague, Czech Republic
- UCD School of Medicine and Medical Sciences, Dublin, Ireland
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McGovern M, Quinlan M, Doyle G, Moore G, Geiger S. Implementing a National Electronic Referral Program: Qualitative Study. JMIR Med Inform 2018; 6:e10488. [PMID: 30021709 PMCID: PMC6070727 DOI: 10.2196/10488] [Citation(s) in RCA: 4] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Revised: 05/23/2018] [Accepted: 05/24/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Electronic referrals or e-referrals can be defined as the electronic transmission of patient data and clinical requests between health service providers. National electronic referral systems have proved challenging to implement due to problems of fit between the technical systems proposed and the existing sociotechnical systems. In seeming contradiction to a sociotechnical approach, the Irish Health Service Executive initiated an incremental implementation of a National Electronic Referral Programme (NERP), with step 1 including only the technical capability for general practitioners to submit electronic referral requests to hospital outpatient departments. The technology component of the program was specified, but any changes required to embed that technology in the existing sociotechnical system were not specified. OBJECTIVE This study aimed to theoretically frame the lessons learned from the NERP step 1 on the design and implementation of a national health information technology program. METHODS A case study design was employed, using qualitative interviews with key stakeholders of the NERP step 1 (N=41). A theory-driven thematic analysis of the interview data was conducted, using Barker et al's Framework for Going to Full Scale. RESULTS The NERP step 1 was broadly welcomed by key stakeholders as the first step in the implementation of electronic referrals-delivering improvements in the speed, completeness of demographic information, and legibility and traceability of referral requests. National leadership and digitalized health records in general practice were critical enabling factors. Inhibiting factors included policy uncertainty about the future organizational structures within which electronic referrals would be implemented; the need to establish a central referral office consistent with these organizational structures; outstanding interoperability issues between the electronic referral solution and hospital patient administration systems; and an anticipated need to develop specialist referral templates for some specialties. A lack of specification of the sociotechnical elements of the NERP step 1 inhibited the necessary testing and refinement of the change package used to implement the program. CONCLUSIONS The key strengths of the NERP step 1 are patient safety benefits. The NERP was progressed beyond the pilot stage despite limited resources and outstanding interoperability issues. In addition, a new electronic health unit in Ireland (eHealth Ireland) gained credibility in delivering national health information technology programs. Limitations of the program are its poor integration in the wider policy and quality improvement agenda of the Health Service Executive. The lack of specification of the sociotechnical elements of the program created challenges in communicating the program scope to key stakeholders and restricted the ability of program managers and implementers to test and refine the change package. This study concludes that while the sociotechnical elements of a national health information technology program do not need to be specified in tandem with technical elements, they do need to be specified early in the implementation process so that the change package used to implement the program can be tested and refined.
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Affiliation(s)
- Marcella McGovern
- Applied Research for Connected Health, University College Dublin, Dublin, Ireland
| | - Maria Quinlan
- Applied Research for Connected Health, University College Dublin, Dublin, Ireland
| | - Gerardine Doyle
- Applied Research for Connected Health, University College Dublin, Dublin, Ireland.,UCD College of Business, University College Dublin, Dublin, Ireland
| | - Gemma Moore
- Applied Research for Connected Health, University College Dublin, Dublin, Ireland
| | - Susi Geiger
- Applied Research for Connected Health, University College Dublin, Dublin, Ireland.,UCD College of Business, University College Dublin, Dublin, Ireland
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Findeisen P, Zahn I, Fiedler GM, Leichtle AB, Wang S, Soria G, Johnson P, Henzell J, Hegel JK, Bendavid C, Collet N, McGovern M, Klopprogge K. Doubling immunochemistry laboratory testing efficiency with the cobas e 801 module while maintaining consistency in analytical performance. Clin Biochem 2018; 58:86-93. [PMID: 29879420 DOI: 10.1016/j.clinbiochem.2018.05.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2017] [Revised: 05/26/2018] [Accepted: 05/29/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVES The new immunochemistry cobas e 801 module (Roche Diagnostics) was developed to meet increasing demands on routine laboratories to further improve testing efficiency, while maintaining high quality and reliable data. DESIGN AND METHODS During a non-interventional multicenter evaluation study, the overall performance, functionality and reliability of the new module was investigated under routine-like conditions. It was tested as a dedicated immunochemistry system at four sites and as a consolidator combined with clinical chemistry at three sites. RESULTS We report on testing efficiency and analytical performance of the new module. Evaluation of sample workloads with site-specific routine request patterns demonstrated increased speed and almost doubled throughput (maximal 300 tests per h), thus revealing that one cobas e 801 module can replace two cobas e 602 modules while saving up to 44% floor space. Result stability was demonstrated by QC analysis per assay throughout the study. Precision testing over 21 days yielded excellent results within and between labs, and, method comparison performed versus the cobas e 602 module routine results showed high consistency of results for all assays under study. In a practicability assessment related to performance and handling, 99% of graded features met (44%) or even exceeded (55%) laboratory expectations, with enhanced reagent management and loading during operation being highlighted. CONCLUSION By nearly doubling immunochemistry testing efficiency on the same footprint as a cobas e 602 module, the new module has a great potential to further consolidate and enhance laboratory testing while maintaining high quality analytical performance with Roche platforms.
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Affiliation(s)
- P Findeisen
- Laboratory Dr. Limbach and Colleagues, Heidelberg, Germany; Medical Faculty Mannheim of Heidelberg University, Mannheim, Germany.
| | - I Zahn
- Laboratory Dr. Limbach and Colleagues, Heidelberg, Germany; Medical Faculty Mannheim of Heidelberg University, Mannheim, Germany
| | - G M Fiedler
- University Institute of Clinical Chemistry, Inselspital, Bern University Hospital, Switzerland
| | - A B Leichtle
- University Institute of Clinical Chemistry, Inselspital, Bern University Hospital, Switzerland
| | - S Wang
- Department of Laboratory medicine, Cleveland Clinic, Cleveland, OH, USA
| | - G Soria
- Laboratori de Referència de Catalunya, Barcelona, Spain
| | - P Johnson
- The Pathology Centre, NHS Foundation Trust, Queen Elizabeth Hospital, Gateshead, UK
| | - J Henzell
- The Pathology Centre, NHS Foundation Trust, Queen Elizabeth Hospital, Gateshead, UK
| | - J K Hegel
- Lab Berlin - Charité Vivantes Services, Berlin, Germany
| | - C Bendavid
- Laboratoire de Biochimie, CHU, Rennes, France
| | - N Collet
- Laboratoire de Biochimie, CHU, Rennes, France
| | - M McGovern
- Roche Diagnostics GmbH, Mannheim, Germany
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McGovern M, Flanagan O, Lynch B, Lynch SA, Allen NM. Novel COL4A2 variant in a large pedigree: Consequences and dilemmas. Clin Genet 2017; 92:447-448. [PMID: 28542708 DOI: 10.1111/cge.13016] [Citation(s) in RCA: 6] [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: 01/26/2017] [Revised: 03/11/2017] [Accepted: 03/14/2017] [Indexed: 01/16/2023]
Abstract
Pathogenic COL4A2 variants cause abnormalities in collagen production and can have serious implications for a range of organ systems, most notably the brain. Herein, we describe a large family of first-degree relatives affected by a novel heterozygous variant in COL4A2 (c.3490G.A). A wide disease spectrum is described, from asymptomatic to symptomatic, including 2 children with porencephaly and co-existing juvenile idiopathic polyarthritis. During a subsequent pregnancy, antenatal testing identified a positive fetus. In view of the literature, we review management and genetic counselling dilemmas.
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Affiliation(s)
- M McGovern
- Department of Paediatrics, National University of Ireland Galway & Galway University Hospital, Galway, Ireland
| | - O Flanagan
- Department of Paediatrics, National University of Ireland Galway & Galway University Hospital, Galway, Ireland
| | - B Lynch
- Department of Paediatric Neurology, Temple Street Children's University Hospital, Dublin, Ireland
| | - S A Lynch
- Department of Clinical Genetics, Our Lady's Children's Hospital, Dublin, Ireland
| | - N M Allen
- Department of Paediatrics, National University of Ireland Galway & Galway University Hospital, Galway, Ireland
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McGovern M, Kernan R, O'Neill MB. Parental Decisions regarding pre-hospital therapy and costing of the Emergency Department Visit. Ir Med J 2017; 110:513. [PMID: 28657258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Paediatric patients represent a large percentage of Emergency Department (ED) visits and there is often a perception that the acuity of these presentations is low. The decision-making process that results in parents attending the ED is poorly understood. We designed a cross-sectional cohort study to explore the reasons for attendance, the treatment initiated at home and to assess parental perception of the economic cost of attendance. Data was collected on 200 patients using a survey administered to parents in ED with a follow-up phone call 4-6 weeks later. Our results suggest that attendances are often prompted by parental anxiety rather than clinical deterioration and that prior ED usage is common among those presenting for assessment. Many parents had attempted community therapy with 128/200 patients (64%) having been referred by a healthcare professional and medical therapy at home having been employed by 114/200 (57%) parents before attendance. Parental knowledge of the safety of over-the-counter medications was variable the economic cost of an ED visit was poorly understood by participants. The results of our study suggest that parental desire for control over worrisome symptoms drives much of their management strategy prior to hospital attendance. Strategies in the ED may need to focus more on managing parental expectations than on managing the illness itself and management strategies employed should focus not only on medical therapy of the child's illness but on educating and empowering the parent.
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Affiliation(s)
- M McGovern
- Paediatric Department, Mayo University Hospital, Ireland
| | - R Kernan
- Paediatric Department, Mayo University Hospital, Ireland
| | - M B O'Neill
- Paediatric Department, Mayo University Hospital, Ireland
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Gibney S, McGovern M, Sabbath E. PP73 Childhood conditions and social relationships in later life. Br J Soc Med 2015. [DOI: 10.1136/jech-2015-206256.169] [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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Hamilton R, Patel P, Balaggan K, Restori M, Ilginis T, Drew M, McGovern M, Vitali J, Marsteller L. SU-E-T-16: A Comparison of Expected Dwell Times and Dose Variations for NAMD Patients Treated with An Episcleral Brachytherapy Device. Med Phys 2015. [DOI: 10.1118/1.4924377] [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: 11/07/2022] Open
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Misson-Yates S, Gonzalez R, McGovern M, Greener A. Comparative dosimetry study of three UK centres implementing total skin electron treatment through external audit. Br J Radiol 2015; 88:20140723. [PMID: 25761213 DOI: 10.1259/bjr.20140723] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE This article describes the external audit measurements conducted in two UK centres implementing total skin electron beam therapy (TSEBT) and the results obtained. METHODS Measurements of output, energy, beam flatness and symmetry at a standard distance (95 or 100 cm SSD) were performed using a parallel plate chamber in solid water. Similarly, output and energy measurements were also performed at the treatment plane for single and dual fields. Clinical simulations were carried out using thermoluminescent dosemeters (TLDs) and Gafchromic® film (International Specialty Products, Wayne, NJ) on an anthropomorphic phantom. RESULTS Extended distance measurements confirmed that local values for the beam dosimetry at Centres A and B were within 2% for outputs and 1-mm agreement of the expected depth at which the dose is 50% of the maximum for the depth-dose curve in water (R50,D) value. Clinical simulation using TLDs) showed an agreement of -1.6% and -6.7% compared with the expected mean trunk dose for each centre, respectively, and a variation within 10% (±1 standard deviation) across the trunk. The film results confirmed that the delivery of the treatment technique at each audited centre complies with the European Organisation for Research and Treatment of Cancer recommendations. CONCLUSION This audit methodology has proven to be a successful way to confirm the agreement of dosimetric parameters for TSEBT treatments at both audited centres and could serve as the basis for an audit template to be used by other audit groups. ADVANCES IN KNOWLEDGE TSEBT audits are not established in the UK owing to a limited number of centres carrying out the treatment technique. This article describes the audits performed at two UK centres prior to their clinical implementation.
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Affiliation(s)
- S Misson-Yates
- Medical Physics Department, Guy's and St Thomas' NHS Foundation Trust, London, UK
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Bayfield K, McGovern M, Simpson A, Embley M, Cunningham S, Davies J, Alton E, Innes J. P207 Reliability Of Measurements Using Innocor Breath By Breath Analyser During A Maximal Exercise Test In Cystic Fibrosis Patients. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.336] [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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Irfan M, McGovern M, Robertson I, Waldron R, Khan I, Khan W, Barry K. Operative surgical yield from general surgical outpatient clinics; time to change the way we practice? Ir Med J 2013; 106:209-211. [PMID: 24218748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The aim of this study was to compare the number of patients attending surgical outpatient clinics in a general hospital to the number of resulting elective procedures scheduled in a single year. Patients initially assessed at private consulting rooms are not included in this study. The number of surgical outpatient appointments issued in 2011 totalled 6503 with non-attendances running at 1489 (22.9%). The number of elective surgical theatre cases performed in 2011 (i.e. the surgical yield from that period) came to 1078 with an additional 1470 patients referred for endoscopy and 475 patients referred for minor operations. Operative surgical yield from the currently structured outpatient clinic model is low, with the number of theatre cases coming to only 16.58% of the original number of outpatient appointments issued. Recommendations for the improvement of outpatient services are made. These findings are relevant in the context of streamlining access to surgical services.
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Affiliation(s)
- M Irfan
- Department of Surgery, Mayo General Hospital, Castlebar, Co Mayo
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Reynolds H, Byrne G, Harrington N, McGovern M, McGowan B, Silke C, Whelan B. AB0821-HPR Participation in cancer screening programmes among females with inflammatory arthritis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.3143] [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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Conrick-Martin I, McGovern M, Boner K, Bourke J, Fitzgerald E, Hone R, Lynch M, Phelan D, Walshe C. Analysis of risk factors for catheter-related bloodstream infection in a parenteral nutrition population. Crit Care 2013. [PMCID: PMC3643178 DOI: 10.1186/cc11988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Barkhof F, Daams M, Scheltens P, Brashear HR, Arrighi HM, Bechten A, Morris K, McGovern M, Wattjes MP. An MRI rating scale for amyloid-related imaging abnormalities with edema or effusion. AJNR Am J Neuroradiol 2013; 34:1550-5. [PMID: 23436056 DOI: 10.3174/ajnr.a3475] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Immune therapy against amyloid-β appears to be a promising target in Alzheimer disease. However, a dose-related risk for ARIA on FLAIR images thought to represent parenchymal vasogenic edema or sulcal effusion (termed "ARIA-E"), has been observed in clinical trials. To assess the intensity of ARIA-E presentation, an MR imaging scale that is both reproducible and easily implemented would assist in monitoring and evaluating this adverse event. MATERIALS AND METHODS On the basis of a review of existing cases from a phase II bapineuzumab study, a scale was constructed with a 6-point score for the 6 regions on each side of the brain (range, 0-60). Scores would be obtained for both parenchymal and sulcal hyperintensities and frequently co-occurring gyral swelling. Inter-rater reliability between 2 neuroradiologists was evaluated in 20 patients, 10 with known ARIA-E and 10 without, by using the intraclass correlation coefficient. RESULTS The 2 raters had excellent agreement in the identification of ARIA-E cases. A high inter-rater agreement was observed for scores of parenchymal hyperintensity (ICC = 0.83; 95% CI, 48-96) and sulcal hyperintensity (ICC = 0.89; 95% CI, 63-97) and for the combined scores of the 2 ARIA-E findings (ICC = 0.89; 95% CI, 62-97). Gyral swelling scores were observed to have lower inter-rater agreement (ICC = 0.54; 95% CI, -0.06-0.86). CONCLUSIONS The proposed rating scale provides a reliable and easily implemented instrument to grade ARIA-E imaging findings. We currently do not recommend including swelling.
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Affiliation(s)
- F Barkhof
- Image Analysis Centre, Department of Radiology, VU University Medical Center, Amsterdam, the Netherlands.
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Morris S, McGovern M, Tsung R, Aldridge S, Challacombe B, Beaney R, Popert R. PO-197 HIGH DEFINITION CUSTOMISED BRACHYTHERAPY FOR PROSTATE CANCER BASED ON TRANSPERINEAL SECTOR MAPPING BIOPSIES. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)72163-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
We experimentally demonstrate thermo-optic locking of a semiconductor laser to an integrated toroidal optical microcavity. The lock is maintained for time periods exceeding twelve hours, without requiring any electronic control systems. Fast control is achieved by optical feedback induced by scattering centers within the microcavity, with thermal locking due to optical heating maintaining constructive interference between the cavity and the laser. Furthermore, the optical feedback acts to narrow the laser linewidth, with ultra high quality microtoroid resonances offering the potential for ultralow linewidth on-chip lasers.
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Affiliation(s)
- T G McRae
- Department of Physics, University of Queensland, Brisbane, Queensland, Australia.
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McGovern M. Abstract: 569 PREVENTION OF RECURRENT CORONARY HEART DISEASE WITH NIACIN. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)70087-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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McGovern M. Abstract: 1004 ARE NIACIN'S SIDE EFFECTS A BARRIER TO ITS USE? ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)70155-2] [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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Garrett B, Superko A, McGovern M, Superko R. Th-P16:337 Nicotinic acid: A woman's drug. ATHEROSCLEROSIS SUPP 2006. [DOI: 10.1016/s1567-5688(06)82295-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Mellies M, McGovern M. Planned, ongoing and recently completed clinical trials for atherosclerosis prevention and regression: an update. Expert Opin Investig Drugs 2005; 6:31-50. [PMID: 15989560 DOI: 10.1517/13543784.6.1.31] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Recent landmark studies using hydroxy-methyl-glutaryl-Co-enzyme A reductase inhibitors (HMG-CoA reductase inhibitors or statins), specifically, pravastatin and simvastatin, have led to dramatic changes in medical practice. These clinical trials have demonstrated that clinicians can impact coronary morbidity and mortality in primary (pravastatin) and secondary (pravastatin, simvastatin) prevention settings, including post-infarct patients with 'normal' cholesterol levels (pravastatin). The clinical benefit can be seen irrespective of risk factors at baseline and in women, the elderly and diabetics.
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Affiliation(s)
- M Mellies
- Clinical Research-CV/Metabolism, Bristol-Myers Squibb Pharmaceutical Research Institute, Box 4000, Princeton, NJ 08543, USA
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McGovern M. A nurse-led service to provide palliative care in the community. Prof Nurse 2001; 17:127-8. [PMID: 12030064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
Jersey Hospice Care, established in 1982, provides a care and support service for the community. The service includes provision of palliative care, focusing on pain assessment and control. Mainly a home-care service, it is supported by a day hospice, lymphoedema service, the provision of complementary therapies, a six-bed in-patient unit and a bereavement service.
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Abstract
This article reports on a cross-sectional survey of the knowledge, attitudes and perspectives of Irish parents and school teachers concerning children's grief and the concept of death education. The sample comprised 119 parents and 142 teachers of Irish Primary-school children (5-12 years of age) who completed a self-administered questionnaire. Both parents and teachers reported high levels of understanding of the nature of children's grief and strongly supported the view that death should be discussed with children before they encounter it. Although discussions of death were reported in the classroom and in the home, both teachers and parents, particularly men, reported being uncomfortable talking to children about death. There was general support for inclusion of death education in the school curriculum, with both teachers and parents supporting the need for further teacher training to undertake its delivery. There were few significant differences between the expressed attitudes of parents and teachers. However, teachers were more likely than parents to agree that death education would take away from parental responsibility. The implications of the findings for further work in this area are considered.
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McClure MJ, Ellis PK, Kelly IM, McGovern M. Esophageal pseudomass: extrinsic compression of the esophagus due to a narrow thoracic inlet. AJR Am J Roentgenol 2000; 174:1003-4. [PMID: 10749238 DOI: 10.2214/ajr.174.4.1741003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- M J McClure
- Department of Radiology, Royal Victoria Hospital, Belfast, Northern Ireland
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van Suijlen JD, Blijenberg BG, Hofmann J, Bauer K, Zaman Z, Blanckaert N, Degenhard P, Wielckens K, Ferré C, Torralba A, Martyn M, Kelly A, Ceriotti F, Bonini PA, Bablok W, McGovern M, Stockmann W. Multicentre evaluation of the Boehringer Mannheim/Hitachi 917 analysis system. J Autom Methods Manag Chem 2000; 22:65-81. [PMID: 18924859 PMCID: PMC2548263 DOI: 10.1155/s1463924600000080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The new selective access analysis system BM/Hitachi 917 was evaluated in an international multicentre study, mainly according to the ECCLS protocol for the evaluation of analysers in clinical chemistry. Forty-three different analytes, covering 56 different methods--enzymes, substrates, electrolytes, specific proteins, drugs and urine applications--were tested in seven European clinical chemistry laboratories. Additionally, the practicability of the BM/ Hitachi 917 was tested according to a standardized questionnaire. Within-run CVs (median of 3 days) for enzymes, substrates and electrolytes were <2% except for creatine-kinase MB isoform and lipase at low concentration. For proteins, drugs and urine analytes the within-run CVs were < 4% except for digoxin and albumin in urine. Between-day median CVs were generally < 3% for enzymes, substrates and electrolytes, and < 6% for proteins, drugs and urine analytes, except for lipase, creatine kinase and MB isoform, D-dimer, glycosylated haemoglobin, rheumatoid factors, digoxin, digitoxin, theophylline and albumin in urine in some materials. Linearity was found according to the test specifications or better and there were no relevant effects seen in drift and carry-over testing. The interference results clearly show that also for the BM/Hitachi 917 interference exists sometimes, as could be expected because of the chemistries applied. It is a situation that can be found in equivalent analysers as well. The accuracy is acceptable regarding a 95-105% recovery in standard reference material, with the exception of the creatinine Jaffé method. Most of the 160 method comparisons showed acceptable agreement according to our criteria: enzymes, substrates, urine analytes deviation of slope +/- 5%, electrolytes +/- 3%, and proteins and drugs +/- 10%. The assessment of practicability for 14 groups of attributes resulted in a grading of one-three scores better for the BM/Hitachi 917 than the present laboratory situation. In conclusion, the results of the study showed good analytical performance and confirmed the usefulness of the system as a consolidated workstation in medium-sized to large clinical chemistry laboratories.
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Hobbie L, McGovern M, Hurwitz LR, Pierro A, Liu NY, Bandyopadhyay A, Estelle M. The axr6 mutants of Arabidopsis thaliana define a gene involved in auxin response and early development. Development 2000; 127:23-32. [PMID: 10654597 DOI: 10.1242/dev.127.1.23] [Citation(s) in RCA: 153] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The indolic compound auxin regulates virtually every aspect of plant growth and development, but its role in embryogenesis and its molecular mechanism of action are not understood. We describe two mutants of Arabidopsis that define a novel gene called AUXIN-RESISTANT6 (AXR6) which maps to chromosome 4. Embryonic development of the homozygous axr6 mutants is disrupted by aberrant patterns of cell division, leading to defects in the cells of the suspensor, root and hypocotyl precursors, and provasculature. The homozygous axr6 mutants arrest growth soon after germination lacking a root and hypocotyl and with severe vascular pattern defects in their cotyledons. Whereas previously described mutants with similar developmental defects are completely recessive, axr6 heterozygotes display a variety of morphological and physiological alterations that are most consistent with a defect in auxin physiology or response. The AXR6 gene is likely to be important for auxin response throughout the plant, including early development.
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Affiliation(s)
- L Hobbie
- Department of Biology, Adelphi University, Garden City, NY 11530, USA.
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Haddow JE, Bradley LA, Palomaki GE, Doherty RA, Bernhardt BA, Brock DJ, Cheuvront B, Cunningham GC, Donnenfeld AE, Erickson JL, Erlich HA, Ferrie RM, FitzSimmons SC, Greene MF, Grody WW, Haddow PK, Harris H, Holmes LB, Howell RR, Katz M, Klinger KW, Kloza EM, LeFevre ML, Little S, Loeben G, McGovern M, Pyeritz RE, Rowley PT, Saiki RK, Short MP, Tabone J, Wald NJ, Wilker NL, Witt DR. Issues in implementing prenatal screening for cystic fibrosis: results of a working conference. Genet Med 1999; 1:129-35. [PMID: 11258347 DOI: 10.1097/00125817-199905000-00003] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [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] [Indexed: 11/26/2022] Open
Abstract
PURPOSE To summarize a conference convened to examine how cystic fibrosis screening might appropriately be introduced into routine prenatal practice. METHODS Participants included experts from various relevant disciplines. Systematic reviews and data from individual trials were presented; issues were identified and discussed. RESULTS Judged by published criteria, prenatal cystic fibrosis screening is suitable for introduction. Screening can be performed cost-effectively by identifying racial/ethnic groups at sufficient risk and then using either of two models for delivering laboratory services. Validated educational materials exist. Ethical issues are not unique. CONCLUSIONS Once adequate facilities for patient and provider education, testing, counseling, quality control, and monitoring are in place, individual programs can begin prenatal screening for cystic fibrosis.
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Affiliation(s)
- J E Haddow
- Foundation for Blood Research, Scarborough, Maine 04070-0190, USA.
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Lehrer S, Fodor F, Stock RG, Stone NN, Eng C, Song HK, McGovern M. Absence of 185delAG mutation of the BRCA1 gene and 6174delT mutation of the BRCA2 gene in Ashkenazi Jewish men with prostate cancer. Br J Cancer 1998; 78:771-3. [PMID: 9743298 PMCID: PMC2062966 DOI: 10.1038/bjc.1998.576] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.4] [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] [Indexed: 11/08/2022] Open
Abstract
Epidemiological studies have demonstrated a clustering of breast and prostate cancers in some families. Moreover, there is an increase in the number of cases of prostate cancer in families with inherited mutations of the breast cancer susceptibility gene BRCA1. We assessed the role of BRCA1 and BRCA2 in prostate cancer. We tested for the BRCA1 185delAG frameshift mutation, found in 0.9% of Ashkenazi Jews, and the BRCA2 6174delT mutation, found in 1% of Ashkenazi Jews, in Ashkenazi Jewish men with prostate cancer. We studied 60 Ashkenazi men with prostate cancer. A family history was obtained by interview or a self-report questionnaire. Histological confirmation of diagnosis was obtained for all subjects. Ethnic background was confirmed for all subjects by self-report or interview. Mutations of BRCA1 and BRCA2 were detected by amplification of lymphocyte DNA from peripheral blood according to standard polymerase chain reaction (PCR) and dot blot procedures. Patients' ages ranged from 55 to 80 years (mean +/- s.d. 70 +/- 5.25). There were six men with a family history of prostate cancer; three of these had a father with prostate cancer. Five of the men had a family history of breast cancer, in a mother, a sister or an aunt. None of the men had a family history of both breast and prostate cancer. None of the 60 men carried the 185delAG BRCA1 or 6174delT BRCA2 mutations. Of 268 Ashkenazi Jewish women with sporadic breast cancer, tested in an unrelated study, 16 carried either the 185delAG mutation of BRCA1 or the 6174delT mutation of BRCA2. There was a significant difference in the incidence of the BRCA1 and BRCA2 mutations in the breast and prostate cancer cases (P = 0.05, two-tailed Fisher's exact test). The contribution of germline BRCA1 and BRCA2 mutations to prostate cancer incidence is probably small and could be limited to specific subgroups.
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Affiliation(s)
- S Lehrer
- Department of Radiation Oncology, Mount Sinai School of Medicine, New York, New York 10029, USA
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Kunst A, McGovern M, Roth HJ. Multicentre evaluation of the Boehringer Mannheim Elecsys 2010 immunoassay system, hardware and software reliability/practicability of the system. Wien Klin Wochenschr 1998; 110 Suppl 3:22-6. [PMID: 9677669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The reliability of Elecsys 2010 and its practicability in the daily laboratory routine has been assessed in a multicentre evaluation. The twelve evaluators confirmed that the instrument hardware as well as the software worked reliable during the whole evaluation period of about six months. The cause of few hardware problems could be identified and resulted in respective improvements. Software malfunctions reported were fixed with subsequent software releases, suggestions for feature improvements made by the evaluators will be integrated in forthcoming versions. For the assessment of system practicability a questionnaire with 160 questions covering all important aspects of an analytical system was used. Six of twelve groups of attributes were rated higher for Elecsys 2010, the other six groups were rated equal in comparison to the respective in-house instrument. High gradings were especially given for the sections training/operation, sample processing, reagent handling and calibration.
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Affiliation(s)
- A Kunst
- Boehringer Mannheim GmbH, Germany
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McGovern M. Ensuring accurate molecular genetic testing. Clin Chem 1998; 44:1146-8. [PMID: 9625035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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Abstract
One of the goals of baccalaureate nursing education is to facilitate students' cognitive development, that is, their ability to employ reason, manage diversity, and engage in contextual decision-making. Despite this goal, however, studies indicate that the majority of nursing students tend to be at the lower levels of development, rather than at more advanced levels. The purpose of the study reported here was to describe the cognitive development of one university's nursing student population at the beginning and end of the freshman year, investigate the effects of planned developmental instruction strategies on cognitive growth, and investigate the relationship among cognitive development, GPA, and SAT scores. While subjects evidenced some cognitive growth, the mean level of cognitive development for all subjects was at the lower end of the scale. Specific instructional strategies are described, statistical and qualitative analyses of groups are reported, and suggestions for further research are proposed.
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Affiliation(s)
- M McGovern
- College of Nursing, Villanova University, Pennsylvania 19085-1690, USA
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Abstract
A breastfeeding protocol has been field-tested in three hospitals. A pre- and post-test design was utilized to measure breastfeeding knowledge of health professionals and mothers before and after implementation of a standard breastfeeding protocol. Although results demonstrated a statistically significant increase in knowledge scores for health professionals and mothers, actual change in score was less than two percent and one percent respectively, compared to preintervention scores. Scores of both groups were not high and indicated limited knowledge in the health professional group in particular. Despite the fact that protocol implementation did not significantly alter knowledge scores, it did initiate positive changes in policies and procedures which may continue to influence knowledge and practice of health professionals.
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Abstract
Ratings by 2 start or the personalities or 50 children at a daycare center were not associated with the children's ectomorphy scores.
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McGovern M. Uninvited guests. Nurs Times 1993; 89:38-40. [PMID: 8247851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Crouse JR, Byington RP, Bond MG, Espeland MA, Sprinkle JW, McGovern M, Furberg CD. Pravastatin, lipids, and atherosclerosis in the carotid arteries: design features of a clinical trial with carotid atherosclerosis outcome. Control Clin Trials 1992; 13:495-506. [PMID: 1334821 DOI: 10.1016/0197-2456(92)90206-f] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The Pravastatin, Lipids, and Atherosclerosis in the Carotids trial (PLAC-II) was initiated in 1987 and is the first double-masked randomized clinical trial with progression of early extracranial carotid atherosclerosis as an outcome variable. The trial will compare a lipid-lowering agent (pravastatin, a hydroxymethylglutaryl CoA reductase inhibitor) with placebo for ability to retard the rate of progression of extracranial carotid atherosclerosis over 3 years. Inclusion criteria consisted of prevalent coronary artery disease, moderately elevated low-density lipoprotein (LDL) cholesterol (between the 60th and 90th percentiles), and the presence of at least one extracranial carotid artery atherosclerotic plaque that had an intimal-medial thickness (IMT) > or = 1.3 mm as visualized by B-mode ultrasound. Of approximately 650 patients who qualified on the basis of coronary disease and elevated LDL cholesterol, 55% were excluded because of B-mode criteria. One hundred and fifty-one males and females 50-75 years of age were recruited. Random allocation produced placebo-treated and test-treated groups that were similar for baseline historical data, physical findings, laboratory tests, lipid values, and B-mode characteristics. Baseline concentrations of plasma total cholesterol, LDL cholesterol, and high-density lipoprotein (HDL) cholesterol were 234, 166, and 41 mg/dl, respectively. Baseline plasma concentration of triglyceride was 170 mg/dl. Despite selection of participants whose arteries, overall, were suitable for the trial, individual segments in some participants could not be visualized. Ninety-seven percent of the individual carotid artery segments were visualized in the common carotid, 88% in the bifurcation, and 63% in the internal carotid artery. Far walls were slightly more often visualized than near walls, and nonvisualization was most common for the near wall of the internal carotid. Nonvisualized segments were comparable between both treatment groups. The distribution of arterial walls with qualifying plaque of > or = 1.3 mm IMT was similar for the two groups, and the two groups were also comparable for the primary outcome determinant, mean maximum IMT (mean of maximum of all visualizable sites, 1.32 mm for each treatment group). There are special problems related to recruitment and evaluation of patients for a clinical trial such as this, but the atherosclerosis outcome measurement markedly enhances power and compensates for difficulty in recruitment.
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Affiliation(s)
- J R Crouse
- Department of Medicine, Bowman Gray School of Medicine, Winston Salem, NC 27103
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Kuhn JK, McGovern M. Respiratory assessment of the elderly. J Gerontol Nurs 1992; 18:40-3. [PMID: 1583287 DOI: 10.3928/0098-9134-19920501-10] [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: 12/27/2022]
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40
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McGovern M, Kuhn JK. Skin assessment of the elderly client. J Gerontol Nurs 1992; 18:39-43. [PMID: 1569299 DOI: 10.3928/0098-9134-19920401-10] [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: 12/27/2022]
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41
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McGovern M, Roberts G. Safe and cost-effective methods of diving in contaminated water in the Midwest. Undersea Biomed Res 1991; 18:259-62. [PMID: 1906653] [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] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- M McGovern
- Midwest Marine Contracting, Inc., Olathe, Kansas 66062-4488
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Abstract
A case of spontaneous perforation of the cervical oesophagus is presented. It appears to be the tenth such case in the world medical literature, and the first to be reported from the Southern Hemisphere. The need for awareness of this pathologic entity is stressed, and cold water polydipsia is suggested as a diagnostic marker.
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Abstract
Experimental aspiration of water soluble contrast agents was performed on rats via transoral endotracheal injection. Iopamidol, iohexol and diatrizoate were the contrast agents tested. One group of rats received normal saline as a control. Adjusted lung weights were measured at 2 and 24 hours post aspiration. Radiographs were taken at 2 and 24 hours post aspiration and scored for abnormal pulmonary air space density. Diatrizoate alone demonstrated an increase in adjusted lung weights. Diatrizoate, iopamidol and iohexol showed abnormal pulmonary air space disease on radiographs at 2 hours but not at 24 hours. Histopathologic examination of rat lungs following aspiration of all three contrasts showed pulmonary vascular congestion and perivascular edema. Iopamidol showed evidence of acute cellular inflammation. Iohexol provoked a pulmonary alveolar macrophage response.
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Affiliation(s)
- H R D'Agostino
- Department of Radiology, Veterans Administration Medical Center, Martinez, California 94553
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Abstract
A patient presented initially with a testicular mass, which on biopsy had morphological features consistent with malignant histiocytosis. The tumour cells labelled strongly with EBM/11, a murine monoclonal antibody with high specificity for cells of the human mononuclear phagocyte system. Subsequent clinical and laboratory studies confirmed the diagnosis. As poorly differentiated tumour cells reacted with EBM/11, this antibody may be useful in positively identifying malignant tumours with histiocytic differentiation from malignancies of other types where morphological detail alone is inconclusive in tumour classification.
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Affiliation(s)
- P M Kelly
- University of Oxford, Nuffield Department of Pathology, John Radcliffe Hospital
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Abstract
Graft versus host disease is a preventable complication of allogenic bone marrow transplantation. A complex biological manoeuvre has enabled us to achieve this. Unfortunately T-cell depletion of the donor marrow shifts the delicate immunological balance in favour of the recipient immune system. The consequence has been an increased risk of graft rejection and leukaemia relapse. It is necessary to shift this balance back in favour of the donor (derived) immune system. This can be achieved by increasing the immunosuppressive power of the 'conditioning' chemoradiotherapy. Toxicity considerations limit our scope although single fraction fast dose rate radiotherapy appears to diminish the risks inherent with T-cell depletion. Logically an approach with greater promise will be to use specific immunological means of eliminating the recipient T lymphocytes in vivo. Early experience with a monoclonal anti-lymphoid antibody in vivo in an HLA matched unrelated donor programme suggests that this approach has great promise whilst lacking toxicity. We hypothesise that a shift in immunological superiority to the donor derived immune system will not only allow T-cell depletion whilst minimising the risk of graft rejection, but also enhance the anti-leukaemic properties of the graft. Of further interest will be the potential for application of lymphokines (e.g. IL2) without increasing the risk of lethal graft versus host disease.
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Affiliation(s)
- H G Prentice
- Bone Marrow Transplant Programme, Royal Free Hospital and Medical School, Hampstead, England
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McGovern M. Caring for special babies. 1. The ethics of neonatology. Nurs Times 1984; 80:24-7. [PMID: 6560461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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48
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McGovern M. Caring for special babies. 2. Separation of the baby from the parents. Nurs Times 1984; 80:28-30. [PMID: 6560462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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49
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50
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Turner RM, McGovern M, Sandrock D. A multiple perspective analysis of schizophrenics' symptoms and community functioning. Am J Community Psychol 1983; 11:593-607. [PMID: 6650463 DOI: 10.1007/bf00896807] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
The present investigation examined the extent of agreement among schizophrenic clients, hospital clinicians, and independent evaluators' views of the client's symptoms and community functioning status using the Symptom Checklist-90, the Denver Community Mental Health Questionnaire, and the Personal Adjustment and Role Skills Inventory. The results suggest there is significant agreement among viewpoints and that this finding is generalizable across community assessment instruments. The average shared variance among the three perspectives across the three instruments was .68. The estimates of shared variance between the SCL-90, the DCMHQ, and the PARS ranged from .54 to .85, indicating these outcome instruments measure a common phenomenon or share significant method variance. The previously assumed necessity of multiple perspective assessment as the only valid approach is challenged.
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