1
|
Anagnostopoulos A, Barden M, Griffiths BE, Bedford C, Winters M, Li B, Coffey M, Psifidi A, Banos G, Oikonomou G. Association between a genetic index for digital dermatitis resistance and the presence of digital dermatitis, heel horn erosion and interdigital hyperplasia in Holstein cows. J Dairy Sci 2024:S0022-0302(24)00073-0. [PMID: 38331180 DOI: 10.3168/jds.2023-24136] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 01/07/2024] [Indexed: 02/10/2024]
Abstract
Digital dermatitis (DD) is a polybacterial disease endemic to most UK dairy farms. It poses a major financial and welfare threat and is characterized by high incidence and recurrence rates. We aimed to investigate the association between the UK estimated breeding value for resistance to digital dermatitis, the Digital Dermatitis Index (DDI) and the frequency of DD, heel horn erosion (HHE), and interdigital hyperplasia (IH) in a population of Holstein dairy cows. We enrolled and genotyped 2,352 cows from 4 farms in a prospective cohort study. Foot lesion records were recorded by veterinary surgeons for each animal at 4 time points during a production cycle, starting at approximately 2 mo before calving and ending in late lactation. Importantly, these records were not used in the calculation of the DDI. Lesion records were matched to the animal's own DDI (n = 2,101) and their sire's DDI (n = 1,812). Digital Dermatitis Index values in our study population ranged from -1.41 to +1.2 and were transformed to represent distance from the mean expressed in standard deviations. The relationship between the DDI and the presence of DD was investigated using a logistic regression model, with farm, parity, and a farm-parity interaction fitted as covariates. A multivariable logistic regression model was fitted to evaluate the relationship between HHE and DDI with farm fitted as a covariate. Finally, a univariable logistic regression model with DDI as explanatory variable was used to investigate the relationship between IH and DDI. The odds ratio of an animal being affected by DD was 0.69 for one standard deviation (SD) increase in the animal's DDI (95% confidence interval (CI) = 0.63-0.76). The odds of HHE and IH were 0.69 (95%CI = 0.62-0.76) and 0.58 (95%CI = 0.49-0.68) respectively for one SD increase in DDI. The adjusted probability of DD was 32% (95% CI = 27-36%) for cows with mean DDI value of 0 while it was 24% (95% CI = 20-29%) in cows with a DDI value of +1. Sire DDI breeding values were standardized in the same way and then binned into terciles creating an ordinal variable representing bulls of high, medium, and low genetic merit for DD resistance. The daughters of low genetic merit bulls were at 2.05 (95% CI = 1.60-2.64), 1.96 (95% CI = 1.53-2.50), and 2.85 (95% CI = 1.64-5.16) times greater odds of being affected by DD, HHE, and IH respectively compared with the daughters of high genetic merit bulls. The results of this study highlight the potential of digital dermatitis genetic indexes to aid herd management of DD, and suggest that breeding for resistance to DD, alongside environmental and management control practices, could reduce the prevalence of the disease.
Collapse
Affiliation(s)
- A Anagnostopoulos
- Department of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Liverpool, CH64 7TE, United Kingdom
| | - M Barden
- Department of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Liverpool, CH64 7TE, United Kingdom
| | - B E Griffiths
- Department of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Liverpool, CH64 7TE, United Kingdom
| | - C Bedford
- Department of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Liverpool, CH64 7TE, United Kingdom
| | - M Winters
- Agriculture and Horticulture Development Board, Stoneleigh Park, Kenilworth, United Kingdom
| | - B Li
- Animal & Veterinary Sciences, SRUC, Roslin Institute Building, Easter Bush, Midlothian, EH25 9RG, United Kingdom
| | - M Coffey
- Animal & Veterinary Sciences, SRUC, Roslin Institute Building, Easter Bush, Midlothian, EH25 9RG, United Kingdom
| | - A Psifidi
- Department of Clinical Science and Services, Royal Veterinary College, North Mymms, Hertfordshire, AL9 7TA, United Kingdom
| | - G Banos
- Animal & Veterinary Sciences, SRUC, Roslin Institute Building, Easter Bush, Midlothian, EH25 9RG, United Kingdom
| | - G Oikonomou
- Department of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Leahurst Campus, Liverpool, CH64 7TE, United Kingdom.
| |
Collapse
|
2
|
Jornet N, Strojan P, Howlett DC, Brady AP, Hierath M, Clark J, Wadsak W, Giammarile F, Coffey M. The QuADRANT study: Current status and recommendations for improving uptake and implementation of clinical audit of medical radiological procedures in Europe. The radiotherapy perspective. Radiother Oncol 2023; 186:109772. [PMID: 37385381 DOI: 10.1016/j.radonc.2023.109772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 06/14/2023] [Accepted: 06/20/2023] [Indexed: 07/01/2023]
Abstract
BACKGROUND QuADRANT was a research project funded by the European Commission to evaluate clinical audit uptake and implementation across Europe, with an emphasis on clinical audit as mandated within the BSSD (Basic Safety Standards Directive). AIM Focusing on the QuADRANT objectives - to obtain an overview of European clinical audit activity; identify good practices, resources, barriers and challenges; provide guidance and recommendations going forwards; identify the potential for European Union action on quality and safety focusing on the field of radiotherapy. RESULTS A pan-European survey, expert interviews and a literature review conducted within the framework of the QuADRANT project indicated that developments in national clinical audit infrastructure are required. While in radiotherapy, there is a strong tradition and high level of experience of dosimetry audits and well-established practice through the IAEA's QUATRO audits, few countries have a well-established comprehensive clinical audit programme or international/national initiatives on tumour specific clinical audits. Even if sparse, the experience from countries with established system of quality audits can be used as role-models for national professional societies to promote clinical audit implementation. However, resource allocation and national prioritisation of clinical audit are needed in many countries. National and international societies should take the initiative to promote and facilitate training and resources (guidelines, experts, courses) for clinical audits. Enablers used to enhance clinical audit participation are not widely employed. Development of hospital accreditation programmes can facilitate clinical audit uptake. An active and formalised role for patients in clinical audit practice and policy development is recommended. Because there is a persisting variation in European awareness of BSSD clinical audit requirements, work is needed to improve dissemination of information on the legislative requirements relating to clinical audit in the BSSD and in relation to inspection processes. The aim is to ensure these include clinical audit and that they encompass all clinics and specialties involved in medical applications using ionising radiation. CONCLUSION QuADRANT provided an overarching view of clinical audit practice in Europe, with all its related aspects. Unfortunately, it showed that the awareness of the BSSD requirements for clinical audit are highly variable. Therefore, there is an urgent need to dedicate efforts towards ensuring that regulatory inspections also incorporate an assessment of clinical audit program(s), affecting all aspects of clinical work and specialties involved in patient exposure to ionising radiation.
Collapse
Affiliation(s)
- Núria Jornet
- Servei de Radiofísica i Radioprotecció, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; European Society for Radiotherapy and Oncology, Brussels, Belgium.
| | - Primoz Strojan
- Dept. of Radiation Oncology, Institute of Oncology Ljubljana, Slovenia; Faculty of Medicine, University of Ljubljana, Slovenia; European Society for Radiotherapy and Oncology, Brussels, Belgium
| | - David C Howlett
- Radiology Department, East Sussex Healthcare NHS Trust, Brighton and Sussex Medical School, UK; European Society of Radiology (ESR), Vienna, Austria
| | - Adrian P Brady
- Radiology Department, Mercy University Hospital, Cork, Ireland; Radiology Department, University College Cork, Ireland; European Society of Radiology (ESR), Vienna, Austria
| | | | | | - Wolfgang Wadsak
- European Association of Nuclear Medicine, Vienna, Austria; Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Austria
| | - Francesco Giammarile
- European Association of Nuclear Medicine, Vienna, Austria; Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency (IAEA), Vienna, Austria
| | - Mary Coffey
- Discipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Ireland; European Society for Radiotherapy and Oncology, Brussels, Belgium
| |
Collapse
|
3
|
Delgado Bolton RC, Giammarile F, Howlett DC, Jornet N, Brady AP, Coffey M, Hierath M, Clark J, Wadsak W. The QuADRANT study: current status and recommendations for improving uptake and implementation of clinical audit of medical radiological procedures in Europe-the nuclear medicine perspective. Eur J Nucl Med Mol Imaging 2023; 50:2576-2581. [PMID: 37162511 PMCID: PMC10170043 DOI: 10.1007/s00259-023-06203-6] [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] [Indexed: 05/11/2023]
Affiliation(s)
- Roberto C Delgado Bolton
- Department of Diagnostic Imaging (Radiology) and Nuclear Medicine, University Hospital San Pedro and Centre for Biomedical Research of La Rioja (CIBIR), Logroño, La Rioja, Spain
| | - Francesco Giammarile
- Nuclear Medicine and Diagnostic Imaging Section, Division of Human Health, Department of Nuclear Sciences and Applications, International Atomic Energy Agency (IAEA), Vienna, Austria.
| | | | - Nuria Jornet
- European Society of Radiotherapy and Oncology, Vienna, Austria
| | | | - Mary Coffey
- European Society of Radiotherapy and Oncology, Vienna, Austria
| | | | | | | |
Collapse
|
4
|
Hawkins K, Coffey M, Cooper M, Markwell A, Boyd P, Zuk K, Thompson E. The Use of Lavender Aromatherapy for Pain After Total Hip and Total Knee Arthroplasty: A Randomized Trial. Orthop Nurs 2023; 42:230-242. [PMID: 37494903 DOI: 10.1097/nor.0000000000000956] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/28/2023] Open
Abstract
A randomized clinical trial was conducted over a threemonth period with 102 participants undergoing a total hip arthroplasty (THA) or total knee arthroplasty (TKA). The study purpose was to assess whether there was a reduction in the use of opioids in the postoperative period for THA or TKA participants that utilized lavender aromatherapy as an adjunct to pain medication. The participants in the control and intervention group were administered nonopioid pain medication around the clock and opioids as needed after surgery. However, the intervention group also received a pre-packaged lavender essential oil inhaler. Total oral morphine equivalents (OME) were calculated for each participant to determine opioid usage. Although the total OME was similar for the groups overall, the total OME was slightly lower for THA patients that were enrolled in the intervention group (median 22.5) compared to THA patients that were enrolled in the control group (median 31.2). In the intervention group, 58% of participants reported that the lavender inhaler was a useful tool for pain management and 76% indicated they would continue to use the lavender inhaler after discharge.
Collapse
Affiliation(s)
- Kelley Hawkins
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Mary Coffey
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Maureen Cooper
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Ashley Markwell
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Pamela Boyd
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Kathy Zuk
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Elizabeth Thompson
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| |
Collapse
|
5
|
Howlett DC, Brady AP, Hierath M, Clark J, Wadsak W, Giammarile F, Jornet N, Coffey M. QuADRANT: a study on uptake and implementation of clinical audit of medical radiological procedures in Europe-expert recommendations for improvement, endorsed by the ESR. Insights Imaging 2023; 14:81. [PMID: 37173522 PMCID: PMC10177706 DOI: 10.1186/s13244-023-01416-7] [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: 02/08/2023] [Accepted: 03/24/2023] [Indexed: 05/15/2023] Open
Abstract
BACKGROUND QuADRANT was a study funded by the European Commission to evaluate clinical audit uptake and implementation across Europe, with an emphasis on clinical audit as mandated within the BSSD (Basic Safety Standards Directive). AIMS QuADRANT objectives-obtain an overview of European clinical audit activity; identify good practices and resources, barriers and challenges; provide guidance and recommendations going forwards; identify the potential for European Union action on quality and safety in the three core project specialties, radiology, radiotherapy and nuclear medicine. FINDINGS AND RECOMMENDATIONS QuADRANT identified that developments in national clinical audit infrastructure are required. National professional societies can be pivotal in improving clinical audit implementation, but resource allocation and national prioritisation of clinical audit are needed in many countries. Lack of staff time and expertise are also barriers. Enablers to enhance clinical audit participation are not widely employed. Development of hospital accreditation programmes can facilitate clinical audit uptake. An active and formalised role for patients in clinical audit practice and policy development is recommended. There is persisting variation in European awareness of BSSD clinical audit requirements. Work is needed to improve dissemination of information on the legislative requirements relating to clinical audit in the BSSD and in relation to inspection processes to ensure these include clinical audit and that they encompass all clinics and specialties involved in medical applications using ionising radiation. CONCLUSION QuADRANT provides an important step towards enhancing clinical audit uptake and implementation across Europe and improving patient safety and outcomes.
Collapse
Affiliation(s)
- David C Howlett
- Eastbourne Hospital, King's Drive, Eastbourne, BN21 2UD, East Sussex, UK.
| | - Adrian P Brady
- Mercy University Hospital, University College Cork, Cork, Ireland
| | | | | | - Wolfgang Wadsak
- EANM - European Association of Nuclear Medicine, Vienna, Austria
- Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria
| | | | - Núria Jornet
- Servei de Radiofisica I Radioprotecció, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain
| | - Mary Coffey
- Discipline of Radiation Therapy, School of Medicine, Trinity Centre for Health Sciences, St. James' Hospital, Dublin, Ireland
| |
Collapse
|
6
|
McGowan E, Coffey M, Simm G, Mrode R. Modelling growth in Suffolk and Charollais sheep populations using random regression models and validation of constrained polynomial correlation values. Animal 2023; 17:100792. [PMID: 37121156 DOI: 10.1016/j.animal.2023.100792] [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: 10/31/2022] [Revised: 03/15/2023] [Accepted: 03/21/2023] [Indexed: 03/31/2023] Open
Abstract
Random regression modelling has been used across multiple animal species to model longitudinal data. The random regression model for growth accounts for the genetic correlation between measures of the same trait over time and the wide environmental variability in growth, but this requires adequate weight records across the age range. However, contemporary management practices in sheep in the United Kingdom generally focus on growing lambs and neglect mature weight recordings. This study examined modelling strategies for growth data in Suffolk and Charollais sheep, provided by the Agriculture and Horticulture Development Board, with polynomial random regression modelling with many early life weight recordings but limited weight recordings in mature animals. Two methods were employed to model the data. In Method A, missing mature weight records were predicted for those animals that did not have a recorded mature weight. The animals were sorted into groups based on the identity of their sires and the year in which the animal was born. Mature weight values were predicted within each group with a multiple regression model. The dataset, including predicted values, was analysed with random regression models using polynomials and simple linear regression for animal and permanent environmental (PE) effects. In Method B, the dataset with missing mature weight records was analysed using a random linear regression animal model with random animal and PE effects. Due to problems of convergence because the parameters were close to the boundary space, fixing the correlation between the intercept and slope of the Legendre polynomial at different levels was investigated. The heritability values resulting from the model with a fixed correlation between intercept and slope parameters at 0.5 for the Suffolk dataset resulted in heritability values ranging from 0.2 to 0.5 from 1 to 619 days of age. Corresponding estimates for the Charollais dataset ranged from 0.18 to 0.49 from 1 to 640 days of age. For the Suffolk data, the genetic correlations ranged from 1.00 to 0.08 between weight at day 1 to weight at day 619, while for the Charollais, the correlations ranged from 1.00 to 0.05 from 1 to 640 days of age. Validation procedures were undertaken using a multitrait approach to examine the estimated breeding values when the correlation between the intercept and slope are fixed at different levels. The results indicated that fixing the correlation at 0.5 gave the most appropriate estimates for the Suffolk and Charollais datasets.
Collapse
Affiliation(s)
- E McGowan
- Scotland's Rural College, Roslin Institute Building, Bush Estate, Midlothian EH25 9RG, United Kingdom; Global Academy of Agriculture & Food Systems, University of Edinburgh, The Royal (Dick) School of Veterinary Studies and The Roslin Institute, Easter Bush Campus, Midlothian EH25 9RG, United Kingdom.
| | - M Coffey
- Scotland's Rural College, Roslin Institute Building, Bush Estate, Midlothian EH25 9RG, United Kingdom
| | - G Simm
- Global Academy of Agriculture & Food Systems, University of Edinburgh, The Royal (Dick) School of Veterinary Studies and The Roslin Institute, Easter Bush Campus, Midlothian EH25 9RG, United Kingdom
| | - R Mrode
- Scotland's Rural College, Roslin Institute Building, Bush Estate, Midlothian EH25 9RG, United Kingdom
| |
Collapse
|
7
|
McQuade JL, Hammers H, Furberg H, Engert A, André T, Blumenschein G, Tannir N, Baron A, Larkin J, El-Khoueiry A, Carbone DP, Thomas JM, Hennicken D, Coffey M, Motzer RJ. Association of Body Mass Index With the Safety Profile of Nivolumab With or Without Ipilimumab. JAMA Oncol 2023; 9:102-111. [PMID: 36480191 PMCID: PMC9857666 DOI: 10.1001/jamaoncol.2022.5409] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Importance Increased survival with immune checkpoint inhibitors has been reported for patients with obesity vs a normal body mass index (BMI). However, the association of obesity with the safety of immune checkpoint inhibitors warrants study. Objective To investigate associations between BMI and immune-related adverse events (irAEs) among patients with advanced cancers treated with nivolumab monotherapy and nivolumab plus ipilimumab combination therapy. Design, Setting, and Participants This study was a retrospective pooled analysis of 3772 patients from 14 multicenter CheckMate clinical trials across 8 tumor types. Patients with advanced cancers received nivolumab, 3 mg/kg (n = 2746); nivolumab, 3 mg/kg, plus ipilimumab, 1 mg/kg (n = 713); or nivolumab, 1 mg/kg, plus ipilimumab, 3 mg/kg (n = 313). Baseline BMI was categorized as normal weight or underweight (<25), overweight (25 to <30), or obese (≥30) according to World Health Organization criteria. The studies began patient enrollment between February 9, 2012, and May 21, 2015, and patients were followed up to database lock on May 1, 2019. Data analysis was conducted from May 1 to September 1, 2019. Interventions Nivolumab, 3 mg/kg; nivolumab, 3 mg/kg, plus ipilimumab, 1 mg/kg; and nivolumab, 1 mg/kg, plus ipilimumab, 3 mg/kg. Main Outcomes and Measures Odds ratios (ORs) and 95% CIs for incidence of any-grade and grade 3 or 4 irAEs were calculated for patients with obesity vs normal weight or underweight BMI in the overall cohort and in subgroups based on patient and tumor characteristics. Analyses for nivolumab plus ipilimumab cohorts were exploratory. Results A total of 3772 patients were included, 2600 were male (69%), and median age was 61 years (range, 18-90 years). For patients receiving monotherapy with nivolumab, 3 mg/kg (n = 2746), the incidence of any-grade irAEs was higher in patients with obesity (n = 543) vs those with normal weight or underweight BMI (n = 1266; OR, 1.71; 95% CI, 1.38-2.11). Incidence of grade 3 or 4 irAEs did not differ between patients with obesity and those with normal weight or underweight BMI (OR, 1.21; 95% CI, 0.92-1.61). Risk of any-grade and grade 3 or 4 irAEs appeared consistent with that in the overall population across all subgroups evaluated except for a higher likelihood of grade 3 or 4 irAEs among female patients with obesity vs normal weight or underweight BMI (OR, 1.73; 95% CI, 1.07-2.79). For patients receiving nivolumab plus ipilimumab, the incidence of irAEs appeared consistent across BMI categories. Conclusions and Relevance Obesity appeared to be associated with an increased incidence of any-grade irAEs among patients treated with nivolumab monotherapy and with grade 3 or 4 irAEs among female patients only. These findings may inform the monitoring of patients at high risk of developing irAEs.
Collapse
Affiliation(s)
- Jennifer L McQuade
- Department of Melanoma Medical Oncology, University of Texas MD Anderson Cancer Center, Houston
| | - Hans Hammers
- Kidney Cancer Program, Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas
| | - Helena Furberg
- Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Andreas Engert
- German Hodgkin Study Group (GHSG), University Hospital of Cologne, Cologne, Germany
| | - Thierry André
- Department of Medical Oncology, Sorbonne University and Saint-Antoine Hospital, Paris, France
| | - George Blumenschein
- Department of Thoracic Medical Oncology, University of Texas MD Anderson Cancer Center, Houston
| | - Nizar Tannir
- Department of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston
| | - Ari Baron
- Division of Hematology Oncology, California Pacific Medical Center, San Francisco
| | - James Larkin
- Department of Medical Oncology, The Royal Marsden Hospital NHS Foundation Trust, London, United Kingdom
| | - Anthony El-Khoueiry
- Department of Medicine, USC Norris Comprehensive Cancer Center, Los Angeles, California
| | - David P Carbone
- Department of Internal Medicine, Division of Medical Oncology, Ohio State University, Columbus
| | | | | | | | - Robert J Motzer
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| |
Collapse
|
8
|
Coffey M, Naseer A, Leech M. Exploring radiation therapist education and training. Tech Innov Patient Support Radiat Oncol 2022; 24:59-62. [PMID: 36238200 PMCID: PMC9552092 DOI: 10.1016/j.tipsro.2022.09.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 09/26/2022] [Indexed: 11/29/2022] Open
|
9
|
Flavin A, O'Toole E, Murphy L, Ryan R, McClean B, Faul C, McGibney C, Coyne S, O'Boyle G, Small C, Sims C, Kearney M, Coffey M, O'Donovan A. A National Cyberattack Affecting Radiation Therapy: The Irish Experience. Adv Radiat Oncol 2022; 7:100914. [PMID: 36148382 PMCID: PMC9486432 DOI: 10.1016/j.adro.2022.100914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 01/23/2022] [Indexed: 11/05/2022] Open
Abstract
On Friday, May 14, 2021, the Health Service Executive, the organization providing public health services in the Republic of Ireland, was the victim of a significant cyberattack on its information technology systems. All systems were subsequently shut down to prevent further damage and to allow cybersecurity experts to investigate the attack. As a result, oncology services were severely disrupted, with the cessation of radiation therapy treatments in all public radiation therapy departments. Ireland has 5 large public and 6 smaller private radiation therapy centers in total. Because of the widespread adoption of electronic medical records in radiation therapy departments, it wasn't possible to retrieve patient details of those who were undergoing radiation therapy at the time of the cyberattack. In total, 513 patients nationally had their radiation therapy interrupted. A national radiation therapy cyberattack response team was formed immediately to oversee the response to the attack. The immediate concerns were radiation therapy emergencies and category 1 patients where gaps in treatment would have an adverse effect on outcome. Communication with patients and the public was also established as a priority and agreements were reached with the private sector for the treatment of patients affected by the cyberattack. The national media was used to alert patients of the need to communicate with their radiation therapy department. Dedicated phone lines were established. Locally, radiation therapy departments held daily crisis meetings with key staff members, including information technology personnel. Individual centers employed different technologies for treatment planning and data storage, so local solutions to the cyberattack to reestablish radiation therapy for patients were developed. In addition, national documentation on prioritization of patients to resume treatment was produced and a national approach was made to compensate for gaps in treatment caused by the attack. All 5 centers had reestablished radiation therapy by May 30, although there has been a long aftermath to the cyberattack. In this article, we provide an overview of the effects of the cyberattack on our national radiation therapy service and our strategy to resume patient treatment in a timely fashion.
Collapse
|
10
|
Ward R, Coffey M, Kavanagh K. Proteomic analysis of summer and winter Apis mellifera workers shows reduced protein abundance in winter samples. J Insect Physiol 2022; 139:104397. [PMID: 35537525 DOI: 10.1016/j.jinsphys.2022.104397] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 03/22/2022] [Accepted: 05/04/2022] [Indexed: 05/27/2023]
Abstract
Apis mellifera workers display two stages; short lived summer bees that engage in nursing, hive maintenance and foraging, and long lived winter bees (diutinus bees) which remain within the hive and are essential for thermoregulation and rearing the next generation of bees in spring before dying. Label free quantitative proteomic analysis was conducted on A. mellifera workers sampled in June and December to compare the proteomes of summer and winter bees. Proteomic analysis was performed on head, abdominal and venom sac samples and revealed an elevated level of protein abundance in summer bees. Head and abdominal samples displayed an increased abundance in cuticular proteins in summer samples whereas an increase in xenobiotic proteins was observed in winter samples. Several carbohydrate metabolism pathways which have been linked to energy production and longevity in insects were increased in abundance in winter samples in comparison to summer samples. Proteomic analysis of the venom sacs of summer samples showed an increased abundance of bee venom associated proteins in comparison to winter workers. These data provides an insight into the adaptions of A. mellifera workers in summer and winter and may aid in future treatment and disease studies on honeybee colonies. Data are available via ProteomeXchange with identifier PXD030483.
Collapse
Affiliation(s)
- Rachel Ward
- Department of Biology, Maynooth University, Maynooth, Co. Kildare, Ireland
| | - Mary Coffey
- Plant Health Laboratories, Plant Science Division (Bee Health), Department of Agriculture, Celbridge, Co Kildare, Ireland
| | - Kevin Kavanagh
- Department of Biology, Maynooth University, Maynooth, Co. Kildare, Ireland.
| |
Collapse
|
11
|
Jornet N, Giammarile F, Strojan P, Coffey M, Brady A, Clark J, Hierath M, Howlett D. PO-1052 QuADRANT-a Multidisciplinary EU Project Aiming to Increase Uptake and Utilisation of Clinical Audit. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03016-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: 10/18/2022]
|
12
|
Wolf J, Fallat L, Coffey M. Outcomes and Material Cost Comparison of Transosseous Versus Suture Anchor Fixation of the Achilles Tendon: A Retrospective Study. J Foot Ankle Surg 2022; 61:12-16. [PMID: 34247969 DOI: 10.1053/j.jfas.2021.05.012] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 03/23/2021] [Accepted: 05/31/2021] [Indexed: 02/03/2023]
Abstract
Insertional Achilles tendinopathy is a common pathology that may be resistant to conservative treatment requiring surgical intervention. Treatment often involves partial to complete detachment of the Achilles tendon, debridement, and reattachment. Although 50% of the tendon may be safely resected without significantly compromising strength, the addition of a lengthening procedure requires further reinforcement. We conducted a retrospective review of 43 procedures comparing outcomes of 16 single suture anchor procedures with 27 transosseous fixation procedures for reattachment of the Achilles. The suture anchor group utilized one of 2 different industry anchors while the transosseous group utilized sutures ranging in size from 2-0 to #2. Female patients contributed 67% of the procedures with 53% occurring on the left side. For each group the median preoperative pain score (scale 0-10) was 8 and the median of the lowest reported postoperative pain score was 0. The typical time to lowest postoperative pain was 10 weeks for the suture anchor group and 4 weeks for the transosseous group. Tourniquet time averaged 59.3 (12.9) minutes for the suture anchor group and 65.1 (16.4) for the transosseous group. There was a large difference in material costs between the suture anchor and transosseous groups which ranged from $364.51 to $448.51 and $99.80 to $104.00 respectively. With similar results on postoperative pain and adverse event rate to suture anchor fixation and lower material costs than anchor fixation, transosseous fixation remains a viable option for fixating the Achilles tendon to bone in treatment of insertional Achilles tendinopathy.
Collapse
Affiliation(s)
- Joseph Wolf
- Resident Submitted During Postgraduate Year 3, Podiatric Foot and Ankle Residency Beaumont Hospital Wayne, Wayne, MI.
| | - Lawrence Fallat
- Director, Podiatric Foot and Ankle Residency, Beaumont Hospital Wayne, Wayne, MI
| | - Mary Coffey
- Senior Biostatistician, Beaumont Research Institute, Royal Oak, MI
| |
Collapse
|
13
|
Wronska M, Coffey M, Robins A. The perceptions of construction workers on designing a workplace nutrition intervention in the UK. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab165.369] [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
According to the European Commission, construction is an important industry providing the EU with 18 million jobs and contributing to 9% of the EU's GDP in 2020. Construction workers struggle with healthy food choices due to lack of knowledge, long working hours, remote site locations, poor food facilities on site, and temporary accommodation. Yet, nutrition interventions in construction are rare, with no UK studies. This is an exploratory study designed to investigate workers' perceptions of a workplace intervention to facilitate healthy nutrition choices. Engaging participants in the intervention design showed positive results on behaviour change. Five internally homogenous focus groups were conducted on three different construction sites (in three companies); two with managers (n = 11) and three with workers (including subcontractors) (n = 27). Sites differed in size (14; 50-100; and 300 workers); two were temporary. Framework Analysis was used to analyse data. The main themes uncovered in the focus groups were; 1) the need for workers to learn about food to sustain good energy levels, as deemed crucial for their job 2) the desire to get an understanding about portion sizes, food labels, impacts of food on mood and practical ideas of healthy snacks and meal planning and 3) the importance of intervention accessibility for everybody on site (including subcontractors), convenient scheduling and location, and managers support to encourage participation. A participatory approach was used to explore workers' suggestions on the content and delivery of the nutrition intervention. Education and practicality of recommendations were of the essence to workers, who suggested that individual characteristics, the nature of construction jobs (e.g. busy schedules, transient jobs), and resources available (e.g. storage) need to be considered when designing the intervention. Inclusivity, accessibility and managerial support were regarded as valuable in the intervention delivery.
Key messages
This research produced recommendations to encourage the development and implementation of inclusive nutrition interventions in construction, to improve the health and wellbeing of workers. This research invites public health consultants and senior leaders in construction to invest in supporting healthy behaviours of workers, with a consideration of job and workplace characteristics.
Collapse
Affiliation(s)
- M Wronska
- School of Health and Society, Univesity of Salford, Manchester, UK
| | - M Coffey
- School of Health and Society, Univesity of Salford, Manchester, UK
| | - A Robins
- School of Health and Society, Univesity of Salford, Manchester, UK
| |
Collapse
|
14
|
Kearney M, Coffey M, Rossi M, Tsang Y. Future-proof Radiation therapist (RTT) practice in a pandemic - Lessons learnt from COVID-19. Tech Innov Patient Support Radiat Oncol 2021; 17:18-24. [PMID: 33564723 PMCID: PMC7862908 DOI: 10.1016/j.tipsro.2021.02.001] [Citation(s) in RCA: 2] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 01/05/2021] [Accepted: 02/01/2021] [Indexed: 12/20/2022] Open
Abstract
RT is an essential service that must continue despite the challenges posed by COVID-19. Our study suggests changes were implemented into RTT practice in response to COVID-19. Proactive measures are needed to protect both RTTs and patients in future Covid surges.
Background and Purpose The European SocieTy for Radiotherapy and Oncology Radiation Therapist Committee (ESTRO RTTC) published a guidance document and infographic providing recommendations to minimise risk of COVID-19 transmission in radiotherapy (RT) departments. The purpose of this study was to investigate the changes embedded in RT practice in the COVID-19 era and to recommend proactive measures to protect RT practice in future pandemics. Materials and Methods The study was initiated by the ESTRO Radiation Oncology Safety and Quality Committee (ROSQC). A survey consisting of multiple choice, open ended and Likert scale questions was created to analyse the extent of changes embedded in RT practice in response to the COVID-19 pandemic under the four domains: patient care, RTT workflow, remote working and RT practice. This online survey was distributed globally in May 2020. Results 229 respondents across 27 countries completed the survey. 60% of respondents reported continuing/commencing RT in COVID-19 patients. Routine testing of patients and RTTs was not common. Split teams' procedures, hot linacs and separate entrances were implemented by 50% of respondents. Remote working was implemented for RT team members where face to face patient contact was not essential. Lack of staff, connectivity issues and lack of confirmed positive cases in the department were the main reasons cited for not implementing recommended measures. Conclusion It is suggested that RT departments have responded to the COVID-19 pandemic and implemented certain changes in RT practice. RT departments should act now to implement recommended proactive measures to protect patients and RTTs – frontline healthcare workers.
Collapse
Affiliation(s)
- Maeve Kearney
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin 2, Ireland
| | - Mary Coffey
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin 2, Ireland
| | - Maddalena Rossi
- Department of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, the Netherlands
| | - Yat Tsang
- Radiotherapy Department, Mount Vernon Cancer Centre, Northwood, Middlesex, United Kingdom
| | | |
Collapse
|
15
|
Coffey M. SP-0010: The evolution of RTT leadership in radiation oncology. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00036-0] [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: 11/26/2022]
|
16
|
Soyeurt H, Grelet C, McParland S, Calmels M, Coffey M, Tedde A, Delhez P, Dehareng F, Gengler N. A comparison of 4 different machine learning algorithms to predict lactoferrin content in bovine milk from mid-infrared spectra. J Dairy Sci 2020; 103:11585-11596. [PMID: 33222859 DOI: 10.3168/jds.2020-18870] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [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: 05/09/2020] [Accepted: 08/10/2020] [Indexed: 01/19/2023]
Abstract
Lactoferrin (LF) is a glycoprotein naturally present in milk. Its content varies throughout lactation, but also with mastitis; therefore it is a potential additional indicator of udder health beyond somatic cell count. Condequently, there is an interest in quantifying this biomolecule routinely. First prediction equations proposed in the literature to predict the content in milk using milk mid-infrared spectrometry were built using partial least square regression (PLSR) due to the limited size of the data set. Thanks to a large data set, the current study aimed to test 4 different machine learning algorithms using a large data set comprising 6,619 records collected across different herds, breeds, and countries. The first algorithm was a PLSR, as used in past investigations. The second and third algorithms used partial least square (PLS) factors combined with a linear and polynomial support vector regression (PLS + SVR). The fourth algorithm also used PLS factors, but included in an artificial neural network with 1 hidden layer (PLS + ANN). The training and validation sets comprised 5,541 and 836 records, respectively. Even if the calibration prediction performances were the best for PLS + polynomial SVR, their validation prediction performances were the worst. The 3 other algorithms had similar validation performances. Indeed, the validation root mean squared error (RMSE) ranged between 162.17 and 166.75 mg/L of milk. However, the lower standard deviation of cross-validation RMSE and the better normality of the residual distribution observed for PLS + ANN suggest that this modeling was more suitable to predict the LF content in milk from milk mid-infrared spectra (R2v = 0.60 and validation RMSE = 162.17 mg/L of milk). This PLS +ANN model was then applied to almost 6 million spectral records. The predicted LF showed the expected relationships with milk yield, somatic cell score, somatic cell count, and stage of lactation. The model tended to underestimate high LF values (higher than 600 mg/L of milk). However, if the prediction threshold was set to 500 mg/L, 82% of samples from the validation having a content of LF higher than 600 mg/L were detected. Future research should aim to increase the number of those extremely high LF records in the calibration set.
Collapse
Affiliation(s)
- H Soyeurt
- TERRA research and teaching centre, Gembloux Agro-Bio Tech, University of Liège, Gembloux, Belgium.
| | - C Grelet
- Valorisation of agricultural products, Walloon Research Centre, Gembloux, Belgium
| | - S McParland
- Animal and Grassland Research and Innovation Centre, Teagasc, Moorepark, Fermoy, Co. Cork, Ireland
| | - M Calmels
- Research and development, Seenovia, Saint-Berthevin, France
| | - M Coffey
- Livestock Breeding, Animal and Veterinary Sciences, Scotland's Rural College, Midlothian, UK
| | - A Tedde
- TERRA research and teaching centre, Gembloux Agro-Bio Tech, University of Liège, Gembloux, Belgium
| | - P Delhez
- TERRA research and teaching centre, Gembloux Agro-Bio Tech, University of Liège, Gembloux, Belgium; National fund for Scientific Research, Brussels, Belgium
| | - F Dehareng
- Valorisation of agricultural products, Walloon Research Centre, Gembloux, Belgium
| | - N Gengler
- TERRA research and teaching centre, Gembloux Agro-Bio Tech, University of Liège, Gembloux, Belgium
| |
Collapse
|
17
|
Cook PA, Ure C, Hargreaves SC, Burns E, Coffey M, Audrey S. The evolution of an asset-based community led alcohol harm intervention in the North West England. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.434] [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
Background
Communities in Charge of Alcohol (CICA) is an Asset Based Community Development (ABCD) place-based approach to reducing alcohol harm. Local volunteers, from areas with multiple indicators of deprivation, train to become accredited 'Alcohol Health Champions' (AHCs). AHCs, supported by a local co-ordinator, provide brief opportunistic advice at an individual level and mobilise action on alcohol availability through influencing licensing decisions at a community level. CICA is the first programme we are aware of globally that has attempted to build local AHC capacity. Here we explore lessons learned from four case study areas (of the original ten) that persisted with the intervention for more than 12 months.
Methods
A case study approach to investigate the context, acceptability, facilitators and barriers to maintaining CICA. Descriptive analysis of ongoing recruitment of champions, numbers of training events and activity of champions (as reported by area coordinators). Framework analysis of interviews with AHCs and stakeholders.
Results
CICA has increased public health capacity by training 123 AHCs in its first year. The four areas that continued with CICA have trained a further 34. The different approaches in the four areas include: embedding champions in wider health champion/volunteering projects; innovative use of new technology (portable fibroscan); expansion into different geographical areas. AHCs and coordinators report significant social value from participation in CICA.
Conclusions
The likelihood of embedding CICA into a local area's activities appeared to be dependent on the energy and enthusiasm of the local area's co-ordinator, and may be dependent on that individual remaining in post. ABCD programmes may be more likely to be sustainable if capacity building is supported. CICA might be more sustainable if it was embedded in a wider programme of ABCD, since health issues are interrelated and AHCs often wish to broaden their portfolio.
Key messages
A volunteer alcohol health champions programme increased public health capacity in areas of social deprivation by utilising the assets (skills) of local people. Embedding a community alcohol health champions programme in a wider programme of asset based community development is more sustainable and allows champions to broaden their volunteering portfolio.
Collapse
Affiliation(s)
- P A Cook
- School of Health Sciences, University of Salford, Salford, UK
| | - C Ure
- School of Health Sciences, University of Salford, Salford, UK
| | - S C Hargreaves
- School of Health Sciences, University of Salford, Salford, UK
| | - E Burns
- School of Health Sciences, University of Salford, Salford, UK
| | - M Coffey
- School of Health Sciences, University of Salford, Salford, UK
| | - S Audrey
- School of Social and Community Medicine, University of Bristol, Bristol, UK
| |
Collapse
|
18
|
Bochud F, Cantone MC, Applegate K, Coffey M, Damilakis J, Del Rosario Perez M, Fahey F, Jesudasan M, Kurihara-Saio C, Le Guen B, Malone J, Murphy M, Reid L, Zölzer F. Ethical aspects in the use of radiation in medicine: update from ICRP Task Group 109. Ann ICRP 2020; 49:143-153. [PMID: 32777956 DOI: 10.1177/0146645320929630] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Whereas scientific evidence is the basis for recommendations and guidance on radiological protection, professional ethics is critically important and should always guide professional behaviour. The International Commission on Radiological Protection (ICRP) established Task Group 109 to advise medical professionals, patients, families, carers, the public, and authorities about the ethical aspects of radiological protection of patients in the diagnostic and therapeutic use of radiation in medicine. Occupational exposures and research-related exposures are not within the scope of this task group. Task Group 109 will produce a report that will be available to the different interested parties for consultation before publication. Presently, the report is at the stage of a working document that has benefitted from an international workshop organised on the topic by the World Health Organization. It presents the history of ethics in medicine in ICRP, and explains why this subject is important, and the benefits it can bring to the standard biomedical ethics. As risk is an essential part in decision-making and communication, a summary is included on what is known about the dose-effect relationship, with emphasis on the associated uncertainties. Once this theoretical framework has been presented, the report becomes resolutely more practical. First, it proposes an evaluation method to analyse specific situations from an ethical point of view. This method allows stakeholders to review a set of six ethical values and provides hints on how they could be balanced. Next, various situations (e.g. pregnancy, elderly, paediatric, end of life) are considered in two steps: first within a realistic, ethically challenging scenario on which the evaluation method is applied; and second within a more general context. Scenarios are presented and discussed with attention to specific patient circumstances, and on how and which reflections on ethical values can be of help in the decision-making process. Finally, two important related aspects are considered: how should we communicate with patients, family, and other stakeholders; and how should we incorporate ethics into the education and training of medical professionals?
Collapse
Affiliation(s)
- F Bochud
- IRA Lausanne University Hospital, Rue du Grand-Pré 1, CH-1007 Lausanne, Switzerland; e-mail:
| | | | | | | | | | | | - F Fahey
- Boston Children's Hospital, USA
| | - M Jesudasan
- WHO Global Network of Patients for Patient Safety, Malaysia
| | - C Kurihara-Saio
- National Institute for Quantum and Radiological Sciences and Technology, Japan
| | - B Le Guen
- International Radiation Protection Association, France
| | | | - M Murphy
- WHO Global Network of Patients for Patient Safety, Ireland
| | - L Reid
- Dalhousie University, Canada
| | - F Zölzer
- University of South Bohemia, Czech Republic
| |
Collapse
|
19
|
Reijnders-Thijssen P, Geerts D, van Elmpt W, Pawlicki T, Wallis A, Coffey M. Prevalence of software alerts in radiotherapy. Tech Innov Patient Support Radiat Oncol 2020; 14:32-35. [PMID: 32566767 PMCID: PMC7296428 DOI: 10.1016/j.tipsro.2020.04.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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] [Received: 11/15/2019] [Revised: 04/07/2020] [Accepted: 04/07/2020] [Indexed: 11/27/2022] Open
Abstract
Alert fatigue is induced by amount of pop up and alert messages. Vendors of technology underestimate human factor problems. Readability of messages is a patient safety problem. Characterizing the alerts for different linacs and treatment types is required.
Radiotherapy software messages (sometimes called alerts, pop-up windows, alarms, or error messages) to the user appear continuously on computer screens. These software messages sometimes require decisions to be made as to the next appropriate action. However, mainly these messages are for information only. Dealing with software messages is a well-recognized problem in healthcare and has contributed to catastrophic events both outside and within radiotherapy. The purpose of this work is to highlight the prevalence and raise awareness within the radiotherapy community of such software messages related to external beam radiation therapy procedures at the linear accelerator. Radiation Therapists (RTTs) were asked to record the type and frequency of software message over 50 fractions and for 50 different patients. The data was collected at 6 institutions in the Netherlands using linear accelerators from Elekta, Ltd. and Varian Medical Systems, Inc. Results show that linear accelerator software messages (including record and verify) occur at a rate of about 8.9 messages per patient fraction. This number of software messages is potentially impacting on patient safety as these messages range in level of importance. The impact and potential reduction of these software messages should be the focus of future research and improved implementation.
Collapse
Affiliation(s)
- Petra Reijnders-Thijssen
- Department of Radiation Oncology (MAASTRO), GROW - School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, Netherlands
| | - Diana Geerts
- Department of Radiation Oncology (MAASTRO), GROW - School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, Netherlands
| | - Wouter van Elmpt
- Department of Radiation Oncology (MAASTRO), GROW - School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, Netherlands
| | - Todd Pawlicki
- Department of Radiation Medicine and Applied Sciences, UC San Diego, La Jolla, CA, USA
| | - Andrew Wallis
- Liverpool & Macarthur Cancer Therapy Centres, Liverpool, BC, Australia
| | - Mary Coffey
- Discipline of Radiation Therapy School of Medicine, Trinity College Dublin, Dublin, Ireland
| |
Collapse
|
20
|
Kearney M, Coffey M, Leong A. A review of Image Guided Radiation Therapy in head and neck cancer from 2009-201 - Best Practice Recommendations for RTTs in the Clinic. Tech Innov Patient Support Radiat Oncol 2020; 14:43-50. [PMID: 32566769 PMCID: PMC7296359 DOI: 10.1016/j.tipsro.2020.02.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 01/17/2020] [Accepted: 02/11/2020] [Indexed: 02/06/2023] Open
Abstract
Radiation therapy (RT) is beneficial in Head and Neck Cancer (HNC) in both the definitive and adjuvant setting. Highly complex and conformal planning techniques are becoming standard practice in delivering increased doses in HNC. A sharp falloff in dose outside the high dose area is characteristic of highly complex techniques and geometric uncertainties must be minimised to prevent under dosage of the target volume and possible over dosage of surrounding critical structures. CTV-PTV margins are employed to account for geometric uncertainties such as set up errors and both interfraction and intrafraction motion. Robust immobilisation and Image Guided Radiation Therapy (IGRT) is also essential in this group of patients to minimise discrepancies in patient position during the treatment course. IGRT has evolved with increased 2-Dimensional (2D) and 3-Dimensional (3D) IGRT modalities available for geometric verification. 2D and 3D IGRT modalities are both beneficial in geometric verification while 3D imaging is a valuable tool in assessing volumetric changes that may have dosimetric consequences for this group of patients. IGRT if executed effectively and efficiently provides clinicians with confidence to reduce CTV-PTV margins thus limiting treatment related toxicities in patients. Accumulated exposure dose from IGRT vary considerably and may be incorporated into the treatment plan to avoid excess dose. However, there are considerable variations in the application of IGRT in RT practice. This paper aims to summarise the advances in IGRT in HNC treatment and provide clinics with recommendations for an IGRT strategy for HNC in the clinic.
Collapse
Affiliation(s)
- Maeve Kearney
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College, Dublin 2, Ireland
| | - Mary Coffey
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College, Dublin 2, Ireland
| | - Aidan Leong
- Department of Radiation Therapy, University of Otago, Wellington, New Zealand.,Bowen Icon Cancer Centre, Wellington, New Zealand
| |
Collapse
|
21
|
Coffey M, Delaney G. The importance of quality and safety in radiotherapy delivery. Tech Innov Patient Support Radiat Oncol 2020; 14:30-31. [PMID: 32566766 PMCID: PMC7296426 DOI: 10.1016/j.tipsro.2020.05.001] [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: 12/02/2022] Open
|
22
|
Pakray A, Walker D, Figacz A, Kilanowski S, Rhodes C, Doshi S, Coffey M. Imaging evaluation of COVID-19 in the emergency department. Emerg Radiol 2020; 27:579-588. [PMID: 32449099 PMCID: PMC7246086 DOI: 10.1007/s10140-020-01787-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Accepted: 05/04/2020] [Indexed: 01/08/2023]
Abstract
PURPOSE The purpose of this study is to elucidate the chest imaging findings of suspected COVID-19 patients presenting to the emergency department and the relationship with their demographics and RT-PCR testing results. METHODS Patients presenting to the ED between March 12 and March 28, 2020, with symptoms suspicious for COVID-19 and subsequent CXR and/or CT exam were selected. Patients imaged for other reasons with findings suspicious for COVID-19 were also included. Demographics, laboratory test results, and history were extracted from the medical record. Descriptive statistics were used to explore the relationship between imaging and these factors. RESULTS A total of 227 patients from the emergency department were analyzed (224 CXRs and 25 CTs). Of the 192 patients with COVID-19 results, 173 (90.1%) had COVID-19 RT-PCR (+). Abnormal imaging (CXR, 85.7% and/or CT, 100%) was noted in 155 (89.6%) of COVID-19 RT-PCR (+) cases. The most common imaging findings were mixed airspace/interstitial opacities (39.8%) on CXR and peripheral GGOs on CT (92%). The most common demographic were African Americans (76.8%). Furthermore, 97.1% of African Americans were RT-PCR (+) compared to 65.8% of Caucasians. CONCLUSION We found a similar spectrum of thoracic imaging findings in COVID-19 patients as previous studies. The most common demographic were African Americans (76.8%). Furthermore, 97.1% of African Americans were RT-PCR (+) compared to 65.8% of Caucasians. Both CT and CXR can accurately identify COVID-19 pneumonitis in 89.6% of RT-PCR (+) cases, 89.5% of false negatives, and 72.7% of cases with no RT-PCR result.
Collapse
Affiliation(s)
- Amir Pakray
- Department of Radiology and Molecular Imaging, Beaumont Health, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA.
| | - David Walker
- Department of Radiology and Molecular Imaging, Beaumont Health, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA
| | - Alexander Figacz
- Department of Radiology and Molecular Imaging, Beaumont Health, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA
| | - Stephen Kilanowski
- Department of Radiology and Molecular Imaging, Beaumont Health, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA
| | - Casey Rhodes
- Department of Radiology and Molecular Imaging, Beaumont Health, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA
| | - Shashin Doshi
- Department of Radiology and Molecular Imaging, Beaumont Health, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA
| | - Mary Coffey
- Department of Radiology and Molecular Imaging, Beaumont Health, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA
| |
Collapse
|
23
|
McQuade JL, Hammers HJ, Furberg H, Engert A, Andre T, Blumenschein G, Tannir NM, Baron AD, Larkin J, El-Khoueiry AB, Carbone DP, Thomas JM, Hennicken D, Zoffoli R, Reshef D, Coffey M, Motzer RJ. Safety of weight-based dosing of nivolumab with or without ipilimumab by body mass index (BMI) stratified by sex across 14 CheckMate clinical trials. J Clin Oncol 2020. [DOI: 10.1200/jco.2020.38.15_suppl.e15114] [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: 11/20/2022] Open
Abstract
e15114 Background: Associations between obesity and cancer risk, prognosis, and therapeutic outcomes have been extensively researched. However, the impact of BMI on safety in patients receiving immunotherapy has not been well described. Methods: A descriptive, retrospective analysis examined associations between BMI (kg/m2) (underweight/normal, BMI < 25; overweight, 25 ≤ BMI < 30; obese, BMI ≥ 30) and incidence of any-grade and grade 3/4 immune-mediated adverse events (imAEs) in patients receiving ≥ 1 dose of nivolumab 3 mg/kg as monotherapy (NIVO3; n = 2746). Data were pooled from CheckMate clinical trials across 8 tumor types. Data from nivolumab in combination with ipilimumab cohorts (n = 1026) and safety analyses by specific imAEs and tumor types will be presented. Results: Select NIVO3 monotherapy cohort patient demographics were: 68.5% male, median age of 61 years, median 10 doses received, and median BMI of 25.3 kg/m2. Results showed a trend towards higher incidence of any-grade, but not grade 3/4, imAEs in obese vs overweight and obese vs underweight/normal BMI patients (Table). BMI associations with imAE incidence were consistent with the overall trend across pre-defined subsets, including smoking status, age, and ECOG performance status. Both male and female patients had an increased incidence of any-grade imAEs with obesity; however, obese female patients had a higher incidence of grade 3/4 imAEs vs underweight/normal BMI (Table). Conclusions: This was a novel analysis of BMI and safety in 2746 patients across 8 tumor types in CheckMate clinical trials who were treated with nivolumab monotherapy. While obese patients showed a trend towards higher incidence of any-grade imAEs than those with overweight and underweight/normal BMI, incidence of grade 3/4 imAEs was consistent across BMI categories. Clinical trial information: CheckMate 017,026,057,025,039,205,040,066,067,141,275,142,016,214 (NCT numbers do not fit in field) . [Table: see text]
Collapse
Affiliation(s)
| | - Hans J. Hammers
- Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX
| | | | | | - Thierry Andre
- Sorbonne University and Saint-Antoine Hospital, Paris, France
| | | | - Nizar M. Tannir
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | | | - James Larkin
- Royal Marsden NHS Foundation Trust, London, United Kingdom
| | | | | | | | | | | | | | | | | |
Collapse
|
24
|
Coffey M, Cooper-Ryan AM, Houston L, Thompson K, Cook PA. Using e-cigarettes for smoking cessation: evaluation of a pilot project in the North West of England. Perspect Public Health 2020; 140:351-361. [PMID: 32389072 PMCID: PMC7683886 DOI: 10.1177/1757913920912436] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [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: 11/17/2022]
Abstract
AIMS E-cigarettes have been advocated as an effective smoking cessation intervention, with evidence indicating that they are substantially less harmful than conventional cigarettes. As a result, a pilot to encourage people to swap from conventional cigarettes to e-cigarettes was conducted in 2018 in a socially deprived area in the North West of England. This evaluation highlights the key findings from the pilot. METHODS An analysis of secondary data at 4 weeks (n = 1022) was undertaken to predict those who used solely used e-cigarettes (i.e. had quit tobacco, as confirmed by a carbon monoxide test, CO < 10 ppm) from baseline characteristics, using chi-square tests and logistic regression. Baseline data were demographics, smoking levels and service provider type. RESULTS Of the 1022 participants who engaged with the pilot 614 were still engaged at 4 weeks, of whom 62% had quit; quitting was more likely in younger participants (aged 18-24) and less likely in those who were sick and disabled. Of those who still smoked tobacco at week 4 (n = 226), smoking had reduced from a baseline of 19.1 cigarettes/day to 8.7. Overall, 37% (381) of those initially enrolled were confirmed to be using an e-cigarette on its own at follow-up. Successful quit was associated with occupation (unemployed, 33% vs intermediate, 47%, p = .023) and residing in the less deprived quintiles of deprivation (50% vs 34% in the most deprived quintile, p = .016). CONCLUSIONS Making the conservative assumption that all those not in contact at 4 weeks were still smoking tobacco, for every five people entering the scheme, three people stayed on the programme and reduced their cigarette smoking and one person cut out tobacco altogether. E-cigarettes appear to be an effective nicotine replacement therapy; however, further research is required to determine whether e-cigarette users are more likely to reduce their overall nicotine consumption in the longer term.
Collapse
Affiliation(s)
- M Coffey
- University of Salford, Frederick Road Campus, Salford M5 4WT, UK
| | | | | | - K Thompson
- Rochdale Metropolitan Borough Council, Rochdale, UK
| | - P A Cook
- University of Salford, Salford, UK
| |
Collapse
|
25
|
Manso L, Villagrasa P, Chic N, Cejalvo J, Izarzugaza Y, Cantos B, Blanch S, Juan M, González-Farré B, Laeufle R, Nuovo G, Wilkinson G, Coffey M, González A, Martínez D, Paré L, Salvador F, González-Farré X, Prat A, Gavila Gregori J. 41P A window-of-opportunity study with atezolizumab and the oncolityc virus pelareorep in early breast cancer (REO-027, AWARE-1). Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.03.175] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
|
26
|
Defourny N, Perrier L, Borras JM, Coffey M, Corral J, Hoozée S, Loon JV, Grau C, Lievens Y. National costs and resource requirements of external beam radiotherapy: A time-driven activity-based costing model from the ESTRO-HERO project. Radiother Oncol 2019; 138:187-194. [DOI: 10.1016/j.radonc.2019.06.015] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 06/11/2019] [Accepted: 06/11/2019] [Indexed: 10/26/2022]
|
27
|
Coffey M, Leech M, Hentschel H, Kristensen I, Boejen A, Scherer P. Guest Editorial: RTT Workshops-Preparing the RTT profession for the future. Tech Innov Patient Support Radiat Oncol 2019; 10:13-15. [PMID: 32095542 PMCID: PMC7033758 DOI: 10.1016/j.tipsro.2019.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Mary Coffey
- Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin 2, Ireland
- EBG MedAustron Ion Therapy Center, Wiener Neustadt, Austria
- Department of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Sweden
- Department of Oncology, Aarhus University Hospital, Denmark
- Department of Radiotherapy and Radio-Oncology, Paracelsus Medical University Hospital Salzburg, Landeskrankenhaus, Salzburg, Austria
| | - Michelle Leech
- Discipline of Radiation Therapy, School of Medicine, Trinity College, Dublin 2, Ireland
- EBG MedAustron Ion Therapy Center, Wiener Neustadt, Austria
- Department of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Sweden
- Department of Oncology, Aarhus University Hospital, Denmark
- Department of Radiotherapy and Radio-Oncology, Paracelsus Medical University Hospital Salzburg, Landeskrankenhaus, Salzburg, Austria
| | - Harald Hentschel
- EBG MedAustron Ion Therapy Center, Wiener Neustadt, Austria
- Department of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Sweden
- Department of Oncology, Aarhus University Hospital, Denmark
- Department of Radiotherapy and Radio-Oncology, Paracelsus Medical University Hospital Salzburg, Landeskrankenhaus, Salzburg, Austria
| | - Ingrid Kristensen
- Department of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Sweden
- Department of Oncology, Aarhus University Hospital, Denmark
- Department of Radiotherapy and Radio-Oncology, Paracelsus Medical University Hospital Salzburg, Landeskrankenhaus, Salzburg, Austria
| | - Annette Boejen
- Department of Oncology, Aarhus University Hospital, Denmark
- Department of Radiotherapy and Radio-Oncology, Paracelsus Medical University Hospital Salzburg, Landeskrankenhaus, Salzburg, Austria
| | - Philipp Scherer
- Department of Radiotherapy and Radio-Oncology, Paracelsus Medical University Hospital Salzburg, Landeskrankenhaus, Salzburg, Austria
| |
Collapse
|
28
|
Coffey M. SP-0572 Education and Advance Practice – Defining level EQF 7 and 8 competencies. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30992-2] [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: 11/26/2022]
|
29
|
Miglior F, Baes C, Cánovas A, Coffey M, Connor E, De Pauw M, Goddard E, Hailu G, Lassen J, Malchiodi F, Osborne V, Pryce J, Sargolzaei M, Schenkel F, Wall E, Wang Z, Wegman S, Wright T, Stothard P. 324 A progress report for the Efficient Dairy Genome Project. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.271] [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: 11/13/2022] Open
Affiliation(s)
- F Miglior
- Canadian Dairy Network,Guelph, ON, Canada
| | - C Baes
- University of Guelph,Guelph, ON, Canada
| | - A Cánovas
- Department of Animal Biosciences, Centre for Genetic Improvement of Livestock, University of Guelph,Guelph, ON, Canada
| | - M Coffey
- Scottish Rural College,Edinburgh, Scotland
| | - E Connor
- AGIL - USDA,Beltsville, MD, United States
| | - M De Pauw
- University of Alberta,Edmonton, AB, Canada
| | - E Goddard
- University of Alberta,Edmonton, AB, Canada
| | - G Hailu
- University of Guelph,Guelph, ON, Canada
| | - J Lassen
- Aarhus University,Aarhus, Denmark
| | - F Malchiodi
- Semex / University of Guelph,Guelph, ON, Canada
| | - V Osborne
- University of Guelph,Guelph, ON, Canada
| | - J Pryce
- Department of Economic Development, Jobs, Transport and Resources,Bundorra, Vic, Australia
| | | | - F Schenkel
- Centre for Genetic Improvement of Livestock, Department of Animal Biosciences, University of Guelph,Guelph, ON, Canada
| | - E Wall
- Scottish Rural College,Edinburgh, Scotland
| | - Z Wang
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | | | | | - P Stothard
- Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| |
Collapse
|
30
|
Coffey M, Rosenblatt E. Guest short communication: Is education of RTTs really unnecessary? Tech Innov Patient Support Radiat Oncol 2018; 8:1-2. [PMID: 32095579 PMCID: PMC7033760 DOI: 10.1016/j.tipsro.2018.09.001] [Citation(s) in RCA: 3] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2018] [Accepted: 09/07/2018] [Indexed: 11/18/2022] Open
Abstract
Radiation TherapisTs (RTTs) are an integral part of the radiation oncology team, however the provision of high quality education for these professionals can be met with difficulties. Over many years, the RTT committee of the European Society for Radiotherapy and oncology (ESTRO), together with the International Atomic Energy Agency (IAEA) have endeavoured to improve the educational standards of RTTs. This article summarises the main difficulties experienced in this field as well as the steps that both the IAEA and ESTRO have taken to improve the education of RTTs and thereby improve the safe treatment of cancer patients internationally.
Collapse
Affiliation(s)
- Mary Coffey
- Discipline of Radiation Therapy, Trinity College, Dublin 2, Ireland
| | - Eduardo Rosenblatt
- Division of Human Health, International Atomic Energy Agency, Vienna, Austria
| |
Collapse
|
31
|
Coffey M, Leech M. The European Society of Radiotherapy and Oncology (ESTRO) European Higher Education Area levels 7 and 8 postgraduate benchmarking document for Radiation TherapisTs (RTTs). Tech Innov Patient Support Radiat Oncol 2018; 8:22-40. [PMID: 32095587 PMCID: PMC7033774 DOI: 10.1016/j.tipsro.2018.09.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
This guideline details the European Higher Education Area Levels 7 and 8 Postgraduate benchmarking document for Radiation TherapisTs (RTTs). The purpose of this benchmarking document is to assist higher education institutes in the development of radiation therapy-specific curricula for RTTs engaging in postgraduate education, with a view to working at an advanced level in radiation therapy departments. The document specifies the knowledge, skills and competences that are required to work in specific areas of RTT practice, at levels 7 and 8. These include: advanced delineation and volume determination, advanced treatment planning, advanced imaging, quality and risk management, management and service development, patient care and support, brachytherapy and research.
Collapse
Affiliation(s)
- Mary Coffey
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College, Dublin 2, Ireland
| | - Michelle Leech
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College, Dublin 2, Ireland
| | | |
Collapse
|
32
|
Coffey M, Rosenblatt E, Vandevelde G, Osztavics A, Pasini D, Scherer P, Dickie C, Karadza V, Van Egten V, Leech M. A review of the Best Practice in Radiation Oncology project from 2008 to 2018. Tech Innov Patient Support Radiat Oncol 2018; 8:3-7. [PMID: 32095580 PMCID: PMC7033773 DOI: 10.1016/j.tipsro.2018.09.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
The European Society of Radiotherapy and Oncology (ESTRO)/International Atomic Energy Agency (IAEA) Best Practice in Radiation Oncology-a project to train RTT trainers has reached its ten year anniversary and will commence its fifth iteration in 2018. This project commenced as a novel way to address the issue of limited RTT education throughout Europe. In many countries the profession of RTT is not officially recognised and there is no formal education programme. RTT education is frequently a very short component of a broader programme such as diagnostic imaging, nursing or a technical discipline. To date, fifty-nine short courses have been delivered, two RTT-specific National societies have been developed, a South East European cooperation with biannual conferences has evolved and significant progress has been made on improving the radiotherapy-specific content of national educational programmes, which will continue with future iterations of this project.
Collapse
Affiliation(s)
- Mary Coffey
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College, Dublin 2, Ireland
| | - Eduardo Rosenblatt
- Applied Radiation Biology and Radiotherapy Section, Division of Human Health, International Atomic Energy Agency, Wagramer Strasse 5, 1400 Vienna, Austria
| | | | | | - Danilo Pasini
- Policlinico Universitario Agostino Gemelli, Radiotherapy, Rome, Italy
| | - Philipp Scherer
- University Clinic for Radiotherapy and RadioOncology, University Clinics Salzburg, Müllner Hauptstr 48a, 5020 Salzburg, Austria
| | - Colleen Dickie
- Princess Margaret Cancer Centre, 610 University Avenue, Toronto, ON M5G 2M9, Canada
| | - Velimir Karadza
- Radiotherapy Unit, Clinic of Oncology, University Hospital Center Zagreb, Kispaticeva 12, Croatia
| | - Viviane Van Egten
- European Society for Radiotherapy and Oncology, Rue Martin V 40, 1200 Brussels, Belgium
| | - Michelle Leech
- Applied Radiation Therapy Trinity, Discipline of Radiation Therapy, Trinity College, Dublin 2, Ireland
| |
Collapse
|
33
|
Goel S, Ocean A, Parakrama R, Ghalib M, Chaudhary I, Shah U, Coffey M, Kaledzi E, Maitra R. Dose finding and safety study of reovirus (Reo) with irinotecan/ fluorouracil/ leucovorin/ bevacizumab (FOLFIRI/B) in patients with KRAS mutant metastatic colorectal cancer (mCRC): Final results. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy281.111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
34
|
Mukherjee D, Coffey M, Maisels MJ. Frequency and duration of phototherapy in preterm infants <35 weeks gestation. J Perinatol 2018; 38:1246-1251. [PMID: 29915375 DOI: 10.1038/s41372-018-0153-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Revised: 04/18/2018] [Accepted: 05/17/2018] [Indexed: 01/29/2023]
Abstract
OBJECTIVE To evaluate the frequency, age at phototherapy (PT) initiation, and duration of PT use in infants 230/7 to 346/7 weeks of gestation in two neonatal intensive care units (NICUs) over 4 time periods. STUDY DESIGN We reviewed the charts of all infants born at 230/7-346/7 weeks of gestational age (GA) and admitted to the NICUs of two hospitals between January 2009 and September 2015. We calculated the proportion of infants who received PT and the total duration of PT exposure. RESULTS Overall 2023 (81.8%) received PT, and PT use was inversely related to GA and birthweight. More infants received PT when GA was added as a criterion for initiating PT. The median duration (interquartile range (IQR)) of PT for all infants was 50 (27-85) h and in the lowest GA group was 74 (42-111) h. CONCLUSIONS Recent US consensus guidelines appear to have led to an increased use of PT in our NICUs and studies from Norway indicate that we use PT considerably more frequently and for longer durations than do our Norwegian colleagues.
Collapse
Affiliation(s)
- Devashis Mukherjee
- Beaumont Children's Hospital and Department of Pediatrics, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA
| | - Mary Coffey
- Research Institute, Biostatistics, Beaumont Health, Royal Oak, MI, USA
| | - M Jeffrey Maisels
- Beaumont Children's Hospital and Department of Pediatrics, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA.
| |
Collapse
|
35
|
Sutherland EL, Dabajeh MM, Zintsmaster S, Feraco DK, Bassett MJ, Tran KV, Kolderman N, Mir S, Rezvani S, Davila FR, Coffey M. A Retrospective Evaluation of Time to Obtain an MRI for English- Versus Non-English-Speaking Patients. J Am Coll Radiol 2018; 16:178-184. [PMID: 30057245 DOI: 10.1016/j.jacr.2018.05.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2017] [Revised: 03/20/2018] [Accepted: 05/21/2018] [Indexed: 11/25/2022]
Abstract
PURPOSE Americans with limited English proficiency (LEP) face significant barriers to health care that result in health disparities in the LEP population. LEP could delay an MRI, potentially increasing morbidity and mortality in the LEP population. This study compares the time to obtain a neurological MRI in English versus non-English language preference patients. METHODS 24,219 unique patients at a single health system who underwent inpatient neurological MRI were included in the study. Bivariate and multivariate analyses were used to identify characteristics predictive of time to examination (TTE) from the set: patient-preferred language, gender, race, age, performing hospital, and order priority (routine versus stat). RESULTS Bivariate analysis showed a longer TTE is associated with increasing age category, non-English language preference, and routine priority. A multivariate analysis showed non-English language preference effect on TTE is reduced in magnitude and is no longer significant in a model that includes age group, priority, and hospital (P = .23, effect estimate = 4%, 95% CI: -2.5%, 11.0%). Routine order priority (P < .0001) and increasing age (P < .0001) were associated with increased TTE. In a model that included interactions, the effect of language preference did not depend on order priority (P = .59) or age group (P = .11). CONCLUSION There is no significant difference in the time to obtain a neurological MRI in English versus non-English language preference patients when age, order priority, and performing hospital are accounted for. This finding supports the effectiveness of the protocols and resources in place to support patients with LEP at the sponsoring health system.
Collapse
Affiliation(s)
- Edward L Sutherland
- Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan.
| | - Mayada M Dabajeh
- Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
| | - Stephen Zintsmaster
- Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
| | - Dana K Feraco
- Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
| | - Matthew J Bassett
- Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
| | - Kien V Tran
- Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
| | - Nathan Kolderman
- Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
| | - Syed Mir
- Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
| | - Shahab Rezvani
- Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan
| | - Francisco R Davila
- Department of Internal Medicine, William Beaumont Hospital, Royal Oak, Michigan
| | - Mary Coffey
- Beaumont Research Institute, William Beaumont Hospital, Royal Oak, Michigan
| |
Collapse
|
36
|
Surlis C, Carolan JC, Coffey M, Kavanagh K. Quantitative proteomics reveals divergent responses in Apis mellifera worker and drone pupae to parasitization by Varroa destructor. J Insect Physiol 2018; 107:291-301. [PMID: 29273327 DOI: 10.1016/j.jinsphys.2017.12.004] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Revised: 12/18/2017] [Accepted: 12/18/2017] [Indexed: 06/07/2023]
Abstract
Varroa destructor is a haemophagous ectoparasite of honeybees and is considered a major causal agent of colony losses in Europe and North America. Although originating in Eastern Asia where it parasitizes Apis cerana, it has shifted hosts to the western honeybee Apis mellifera on which it has a greater deleterious effect on the individual and colony level. To investigate this important host-parasite interaction and to determine whether Varroa causes different effects on different castes we conducted a label free quantitative proteomic analysis of Varroa-parasitized and non-parasitized drone and worker Apis mellifera pupae. 1195 proteins were identified in total, of which 202 and 250 were differentially abundant in parasitized drone and worker pupae, respectively. Both parasitized drone and worker pupae displayed reduced abundance in proteins associated with the cuticle, lipid transport and innate immunity. Proteins involved in metabolic processes were more abundant in both parasitized castes although the response in workers was more pronounced. A number of caste specific responses were observed including differential abundance of numerous cytoskeletal and muscle proteins, which were of higher abundance in parasitized drones in comparison to parasitized workers. Proteins involved in fatty acid and carbohydrate metabolism were more abundant in parasitized workers as were a large number of ribosomal proteins highlighting either potentially divergent responses to Varroa or a different strategy by the mite when parasitizing the different castes. This data improves our understanding of this interaction and may provide a basis for future studies into improvements to therapy and control of Varroasis.
Collapse
Affiliation(s)
- Carla Surlis
- Department of Biology, Maynooth University, Maynooth, Co. Kildare, Ireland
| | - James C Carolan
- Department of Biology, Maynooth University, Maynooth, Co. Kildare, Ireland
| | - Mary Coffey
- Department of Life Sciences, University of Limerick, Limerick, Ireland
| | - Kevin Kavanagh
- Department of Biology, Maynooth University, Maynooth, Co. Kildare, Ireland.
| |
Collapse
|
37
|
Abstract
PURPOSE The purpose of this study was to evaluate the rate of nondiagnostic ultrasound-guided renal mass biopsies (RMBs) at our institution and to determine what patient, procedural, and focal renal mass (FRM) factors were associated with nondiagnostic ultrasound-guided RMBs. METHODS Eighty-two ultrasound-guided renal mass biopsies performed between January 2014 and October 2016 were included in our study. Biopsy outcomes (diagnostic vs. nondiagnostic) and patient, procedural, and FRM characteristics were retrospectively reviewed and recorded. Univariate statistical analyses were performed to identify biopsy characteristics that were indicative of nondiagnostic biopsy. RESULTS Ultrasound-guided RMBs were diagnostic in 70 out of 82 cases (85%) and non-diagnostic in 12 cases (15%). Among the diagnostic biopsies, 54 (77%) were malignant cases, 94% of which were renal cell carcinoma (RCC). Of the 12 nondiagnostic cases, the final diagnosis was RCC in 4 cases and angiomyolipoma in one case; seven of the nondiagnostic cases were lost to follow-up. A weak association (p = 0.04) was found between the number of needle passes and the biopsy outcome. None of the remaining collected RMB characteristics showed a significant correlation with a diagnostic or nondiagnostic RMB. Six patients (7%) experienced complications. CONCLUSION Ultrasound-guided renal mass biopsy is a safe and effective method for the diagnosis of renal masses with a low rate of nondiagnostic outcomes. A nondiagnostic biopsy should not be treated as a surrogate for a diagnosis since a significant number of patients with nondiagnostic biopsies have subsequently been shown to have renal malignancies. Repeat biopsy should be considered in such cases.
Collapse
Affiliation(s)
- Edward L Sutherland
- Department of Diagnostic Radiology, William Beaumont Hospital, 3601 W 13 Mile Rd, Royal Oak, MI, 48073, USA.
| | - Agnieszka Choromanska
- Department of Diagnostic Radiology, William Beaumont Hospital, 3601 W 13 Mile Rd, Royal Oak, MI, 48073, USA
| | - Sayf Al-Katib
- Department of Diagnostic Radiology, William Beaumont Hospital, 3601 W 13 Mile Rd, Royal Oak, MI, 48073, USA
| | - Mary Coffey
- Beaumont Health Research Institute, 3601 W 13 Mile Rd, Royal Oak, MI, 48073, USA
| |
Collapse
|
38
|
Coffey M. SP-0635: Risk Management: Quality and Safety New EU legislation and implementation. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30945-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
39
|
Defourny N, Dunscombe P, Borras J, Coffey M, Corra J, Gasparotto C, Perrier L, Van Loon J, Grau C, Lievens Y. OC-0065: A TD-ABC model for estimating national cost and resource utilization in EBRT:an ESTRO-HERO analysis. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30375-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
40
|
Vaandering A, Jornet N, Scalliet P, Coffey M, Lievens Y. Doing the right thing: Quality in radiotherapy, a European perspective. Radiother Oncol 2018; 127:161-163. [PMID: 29548562 DOI: 10.1016/j.radonc.2018.02.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Accepted: 02/15/2018] [Indexed: 11/18/2022]
Affiliation(s)
- A Vaandering
- Department of Radiation Oncology, Université Catholique de Louvain, St Luc University hospital, Brussels, Belgium; Center of Molecular Imaging, Radiotherapy and Oncology (MIRO), Institut de Recherche Expérimentale et Clinique (IREC), Université catholique de Louvain, Brussels, Belgium.
| | - N Jornet
- Servei de Radiofísica i Radioprotecció. Hospital Sant Pau.Barcelona, Spain
| | - P Scalliet
- Department of Radiation Oncology, Université Catholique de Louvain, St Luc University hospital, Brussels, Belgium
| | - M Coffey
- Discipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Ireland
| | - Y Lievens
- Ghent University Hospital and Ghent University, Ghent, Belgium
| |
Collapse
|
41
|
Lu Y, Vandehaar MJ, Spurlock DM, Weigel KA, Armentano LE, Connor EE, Coffey M, Veerkamp RF, de Haas Y, Staples CR, Wang Z, Hanigan MD, Tempelman RJ. Genome-wide association analyses based on a multiple-trait approach for modeling feed efficiency. J Dairy Sci 2018; 101:3140-3154. [PMID: 29395135 DOI: 10.3168/jds.2017-13364] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2017] [Accepted: 11/27/2017] [Indexed: 11/19/2022]
Abstract
Genome-wide association (GWA) of feed efficiency (FE) could help target important genomic regions influencing FE. Data provided by an international dairy FE research consortium consisted of phenotypic records on dry matter intakes (DMI), milk energy (MILKE), and metabolic body weight (MBW) on 6,937 cows from 16 stations in 4 counties. Of these cows, 4,916 had genotypes on 57,347 single nucleotide polymorphism (SNP) markers. We compared a GWA analysis based on the more classical residual feed intake (RFI) model with one based on a previously proposed multiple trait (MT) approach for modeling FE using an alternative measure (DMI|MILKE,MBW). Both models were based on a single-step genomic BLUP procedure that allowed the use of phenotypes from both genotyped and nongenotyped cows. Estimated effects for single SNP markers were small and not statistically important but virtually identical for either FE measure (RFI vs. DMI|MILKE,MBW). However, upon further refining this analysis to develop joint tests within nonoverlapping 1-Mb windows, significant associations were detected between either measure of FE with a window on each of Bos taurus autosomes BTA12 and BTA26. There was, as expected, no overlap between detected genomic regions for DMI|MILKE,MBW and genomic regions influencing the energy sink traits (i.e., MILKE and MBW) because of orthogonal relationships clearly defined between the various traits. Conversely, GWA inferences on DMI can be demonstrated to be partly driven by genetic associations between DMI with these same energy sink traits, thereby having clear implications when comparing GWA studies on DMI to GWA studies on FE-like measures such as RFI.
Collapse
Affiliation(s)
- Y Lu
- Department of Animal Science, Michigan State University, East Lansing 48824
| | - M J Vandehaar
- Department of Animal Science, Michigan State University, East Lansing 48824
| | - D M Spurlock
- Department of Animal Science, Iowa State University, Ames 50011
| | - K A Weigel
- Department of Dairy Science, University of Wisconsin, Madison 53706
| | - L E Armentano
- Department of Dairy Science, University of Wisconsin, Madison 53706
| | - E E Connor
- Animal Genomics and Improvement Laboratory, Agricultural Research Service, USDA, Beltsville, MD 20705
| | - M Coffey
- Animal and Veterinary Sciences Group, Scotland's Rural College (SRUC), Roslin Institute Building, Easter Bush, Midlothian, EH25 9RG, United Kingdom
| | - R F Veerkamp
- Animal Breeding and Genomics Centre, Wageningen UR Livestock Research, 6700 AH Wageningen, the Netherlands
| | - Y de Haas
- Animal Breeding and Genomics Centre, Wageningen UR Livestock Research, 6700 AH Wageningen, the Netherlands
| | - C R Staples
- Department of Animal Sciences, University of Florida, Gainesville 32611
| | - Z Wang
- Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB, T6G 2P5 Canada
| | - M D Hanigan
- Department of Dairy Science, Virginia Tech, Blacksburg 24061
| | - R J Tempelman
- Department of Animal Science, Michigan State University, East Lansing 48824.
| |
Collapse
|
42
|
Cooper D, Coffey M. Integrating Public Health Education with the local Public Health Workforce. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx189.217] [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: 11/13/2022] Open
Affiliation(s)
- Dr Cooper
- University of Salford, Manchester, UK
| | - M Coffey
- University of Salford, Manchester, UK
| |
Collapse
|
43
|
Hwang CC, Igase M, Sakurai M, Haraguchi T, Tani K, Itamoto K, Shimokawa T, Nakaichi M, Nemoto Y, Noguchi S, Coffey M, Okuda M, Mizuno T. Oncolytic reovirus therapy: Pilot study in dogs with spontaneously occurring tumours. Vet Comp Oncol 2017; 16:229-238. [PMID: 29076241 DOI: 10.1111/vco.12361] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 09/17/2017] [Accepted: 09/18/2017] [Indexed: 12/26/2022]
Abstract
Oncolytic virotherapy is a novel treatment involving replication-competent virus in the elimination of cancer. We have previously reported the oncolytic effects of reovirus in various canine cancer cell lines. This study aims to establish the safety profile of reovirus in dogs with spontaneously occurring tumours and to determine a recommended dosing regimen. Nineteen dogs with various tumours, mostly of advanced stages, were treated with reovirus, ranging from 1.0 × 108 to 5.0 × 109 TCID50 given as intratumour injection (IT) or intravenous infusion (IV) daily for up to 5 consecutive days in 1 or multiple treatment cycles. Adverse events (AEs) were graded according to the Veterinary Cooperative Oncology Group- Common Terminology Criteria for Adverse Events (VCOG-CTCAE) v1.1 guidelines. Viral shedding, neutralizing anti-reovirus antibody (NARA) production and immunohistochemical (IHC) detection of reovirus protein in the tumours were also assessed. AE was not observed in most dogs and events were limited to Grade I or II fever, vomiting, diarrhoea and inflammation of the injected tumour. No infectious virus was shed and all dogs had elevated NARA levels post-treatment. Although IHC results were only available in 6 dogs, 4 were detected positive for reovirus protein. In conclusion, reovirus is well-tolerated and can be given safely to tumour-bearing dogs according to the dosing regimen used in this study without significant concerns of viral shedding. Reovirus is also potentially effective in various types of canine tumours.
Collapse
Affiliation(s)
- C C Hwang
- Laboratory of Molecular Diagnostics and Therapeutics, The United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi, Japan
| | - M Igase
- Laboratory of Molecular Diagnostics and Therapeutics, The United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi, Japan
| | - M Sakurai
- Laboratory of Veterinary Pathology, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan
| | - T Haraguchi
- Laboratory of Small Animal Clinical Science (Surgical Division), Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan
| | - K Tani
- Laboratory of Veterinary Surgery, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan
| | - K Itamoto
- Laboratory of Small Animal Clinical Science (Surgical Division), Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan
| | - T Shimokawa
- Laboratory of Veterinary Internal Medicine, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan
| | - M Nakaichi
- Laboratory of Veterinary Radiology, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan
| | - Y Nemoto
- Laboratory of Molecular Diagnostics and Therapeutics, The United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi, Japan
| | - S Noguchi
- Laboratory of Molecular Diagnostics and Therapeutics, The United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi, Japan
| | - M Coffey
- Oncolytics Biotech Inc, Calgary, Canada
| | - M Okuda
- Laboratory of Veterinary Internal Medicine, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan.,Biomedical Science Center for Translational Research, The United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi, Japan
| | - T Mizuno
- Laboratory of Molecular Diagnostics and Therapeutics, The United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi, Japan.,Biomedical Science Center for Translational Research, The United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi, Japan
| |
Collapse
|
44
|
Izewska J, Coffey M, Scalliet P, Zubizarreta E, Santos T, Vouldis I, Dunscombe P. Improving the quality of radiation oncology: 10years' experience of QUATRO audits in the IAEA Europe Region. Radiother Oncol 2017; 126:183-190. [PMID: 28988660 DOI: 10.1016/j.radonc.2017.09.011] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [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: 03/07/2017] [Revised: 08/14/2017] [Accepted: 09/13/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND AND PURPOSE The IAEA has developed a methodology for comprehensive quality audits of radiotherapy practices called Quality Assurance Team for Radiation Oncology (QUATRO). This study explores the factors that impacted quality of care among QUATRO audited centres in the IAEA Europe Region. MATERIALS AND METHODS The 31 QUATRO reports collected over 10years include extensive data describing the quality of radiotherapy at the audited centres. A coding key was developed to aggregate and review these data in terms of recommendations for improvement and positive findings (commendations). RESULTS Overall 759 recommendations and 600 commendations were given. Eight centres recognized as centres of competence differed from other centres mostly because they operated complete quality management systems and were adequately staffed. Other centres had excessive staff workloads and many gaps in the process of care. Insufficient equipment levels were prevalent. Patient centredness, communication, dosimetry, quality control and radiation protection were frequently commended by QUATRO. CONCLUSIONS This analysis points to barriers to quality care such as insufficient staffing, education/training, equipment and lack of quality management. It highlights the correlation between the human resources availability and quality of care. It has also identified common action items for enhancing quality of radiotherapy programmes in the Region.
Collapse
Affiliation(s)
- Joanna Izewska
- International Atomic Energy Agency, Vienna International Centre, Vienna, Austria.
| | - Mary Coffey
- Discipline of Radiation Therapy, School of Medicine, Trinity Centre for Health Sciences, St. James' Hospital, Dublin, Ireland
| | - Pierre Scalliet
- Department of Radiotherapy, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Brussels, Belgium
| | - Eduardo Zubizarreta
- International Atomic Energy Agency, Vienna International Centre, Vienna, Austria
| | - Tania Santos
- International Atomic Energy Agency, Vienna International Centre, Vienna, Austria
| | - Ioannis Vouldis
- International Atomic Energy Agency, Vienna International Centre, Vienna, Austria
| | | |
Collapse
|
45
|
Goel S, Ocean A, Chaudhary I, Ghalib M, Kaledzi E, Shah U, Gutierrez A, Coffey M, Gill G, Maitra R. Mechanism of pelareorep (Pel)-mediated cell death in a Phase I study in combination with irinotecan/fluorouracil/leucovorin/bevacizumab (FOLFIRI/B) in patients with KRAS mutant metastatic colorectal cancer (mCRC). Ann Oncol 2017. [DOI: 10.1093/annonc/mdx393.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
46
|
Pawlicki T, Coffey M, Milosevic M. Incident Learning Systems for Radiation Oncology: Development and Value at the Local, National and International Level. Clin Oncol (R Coll Radiol) 2017; 29:562-567. [DOI: 10.1016/j.clon.2017.07.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2017] [Revised: 07/06/2017] [Accepted: 07/07/2017] [Indexed: 10/19/2022]
|
47
|
Gutierrez A, Reid C, Crawford M, Cheetham K, Dzugalo A, Parsi M, Penman A, Noronha N, Galindez D, O'Flynn R, Coffey M. Pooled data analysis of the safety and tolerability of intravenous pelareorep in combination with chemotherapy in 500 + cancer patients. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx376.056] [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: 11/13/2022] Open
|
48
|
Weaver N, Coffey M, Hewitt J. Concepts, models and measurement of continuity of care in mental health services: A systematic appraisal of the literature. J Psychiatr Ment Health Nurs 2017; 24:431-450. [PMID: 28319308 DOI: 10.1111/jpm.12387] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [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] [Accepted: 03/15/2017] [Indexed: 11/29/2022]
Abstract
UNLABELLED WHAT IS KNOWN ON THE SUBJECT?: Care continuity is considered to be a cornerstone of modern mental health care. As community mental health services have become increasingly fragmented and complex, the crucial criterion for best quality care has become the degree to which treatment delivered by separate services and professionals is continuous and well coordinated. However, clarification of the key elements of continuity has proved challenging and a consensus has not been reached. Recent research has shown significant levels of variation in the quality of care coordination across England and Wales, with potentially detrimental consequences for individuals. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Studies on care continuity identified in this review are grouped into three categories: studies defining concepts of care continuity, studies providing models of continuity and studies describing development of questionnaires about care continuity. There are many similarities and parallels between concepts of continuity described in the studies under review. Therefore, there is potential for developing a consensus on the nature of care continuity as a multidimensional concept. The priority placed upon the patient's experience of care continuity is identified as a major focus in these studies. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: A consensus on the nature of care continuity would benefit both theory and practice in mental health nursing. It would provide a firmer foundation for new research seeking to improve continuity for people using services, and enable mental health nurses working as care coordinators to have a better understanding of the elements of their role that are most effective. ABSTRACT Introduction The increased complexity of community mental health services, and associated fragmentation of traditional dividing lines between services, has underscored the centrality of care continuity and coordination in modern mental health care. However, clarification of the key features of the care continuity concept has proved difficult and a consensus has not been reached. Aim/Question This review draws together and critically examines latest evidence concerning concepts, models and scales based on a multidimensional understanding of care continuity. Method Databases ASSIA, PubMed, MEDLINE and Cochrane were searched for papers dating from January 2005 to July 2016, of which 21 articles met the inclusion criteria. These were subjected to quality appraisal based on CASP and COSMIN checklists. Studies were grouped into three thematic categories describing concepts, models and scales of care continuity. Results/Discussion Synthesis indicated correspondence between independent, multidimensional models of care continuity, providing greater clarity regarding the essential features of the concept. Association, although not causation, between care continuity factors and health outcomes is supported by current evidence. Implications for practice Clarification of care continuity in mental health services may enable nurses working as care coordinators to develop a better understanding of key elements of their role, and provide guidance for future service development.
Collapse
Affiliation(s)
- N Weaver
- Public Health, Policy and Social Sciences, College of Human and Health Sciences, Swansea University, Swansea, UK
| | - M Coffey
- Public Health, Policy and Social Sciences, College of Human and Health Sciences, Swansea University, Swansea, UK
| | - J Hewitt
- Public Health, Policy and Social Sciences, College of Human and Health Sciences, Swansea University, Swansea, UK
| |
Collapse
|
49
|
Pritchard T, Mrode R, Coffey M, Bond K, Wall E. The genetics of antibody response to paratuberculosis in dairy cattle. J Dairy Sci 2017; 100:5541-5549. [DOI: 10.3168/jds.2016-12300] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2016] [Accepted: 03/18/2017] [Indexed: 11/19/2022]
|
50
|
Coffey M. SP-0560: RTTs roles and responsibilities to support future practice. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31000-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|