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Arbuthnot EJ, Parker J, Cecil T, Mohamed F, Williams R, Page M, Moran B. Peritoneal malignancy in the global COVID-19 pandemic: experience of recovery and restoration in a high-volume centre through NHS and independent sector collaboration. Ann R Coll Surg Engl 2024; 106:385-388. [PMID: 38038177 PMCID: PMC10981979 DOI: 10.1308/rcsann.2022.0074] [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] [Accepted: 05/16/2022] [Indexed: 12/02/2023] Open
Abstract
INTRODUCTION Treatment of peritoneal malignancy with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) requires substantial critical care, theatre and nursing resources. The COVID-19 pandemic caused challenges in providing a high volume, tertiary referral service. METHODS We reviewed data on referrals and operations performed in a tertiary referral centre in both NHS and independent sector settings. The impact of COVID-19 on activity was assessed using 2019 as a benchmark. RESULTS New patient referrals were similar, with 891 in 2019 compared with 833 in 2020. Delivery of CRS and HIPEC operations were initially impacted by COVID-19. NHS and independent sector collaboration facilitated recovery, with 284 patients treated in 2020 compared with 280 in 2019. CONCLUSIONS Close collaboration and structural organisation between the clinical and management teams in the NHS and independent sectors facilitated recovery and restoration of a complex tertiary referral service for peritoneal malignancy during the COVID pandemic.
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Affiliation(s)
- EJ Arbuthnot
- Peritoneal Malignancy Institute, Hampshire Hospitals NHS Foundation Trust, UK
| | - J Parker
- Peritoneal Malignancy Institute, Hampshire Hospitals NHS Foundation Trust, UK
| | | | | | - R Williams
- Peritoneal Malignancy Institute, Hampshire Hospitals NHS Foundation Trust, UK
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2
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Grimbly C, Escagedo PD, Jaremko JL, Bruce A, Alos N, Robinson ME, Konji VN, Page M, Scharke M, Simpson E, Pastore YD, Girgis R, Alexander RT, Ward LM. Sickle cell bone disease and response to intravenous bisphosphonates in children. Osteoporos Int 2022; 33:2397-2408. [PMID: 35904681 PMCID: PMC9568449 DOI: 10.1007/s00198-022-06455-2] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 05/28/2022] [Indexed: 11/30/2022]
Abstract
UNLABELLED Children with sickle cell disease (SCD) have the potential for extensive and early-onset bone morbidity. This study reports on the diversity of bone morbidity seen in children with SCD followed at three tertiary centers. IV bisphosphonates were effective for bone pain analgesia and did not trigger sickle cell complications. INTRODUCTION To evaluate bone morbidity and the response to intravenous (IV) bisphosphonate therapy in children with SCD. METHODS We conducted a retrospective review of patient records from 2003 to 2019 at three Canadian pediatric tertiary care centers. Radiographs, magnetic resonance images, and computed tomography scans were reviewed for the presence of avascular necrosis (AVN), bone infarcts, and myositis. IV bisphosphonates were offered for bone pain management. Bone mineral density was assessed by dual-energy X-ray absorptiometry (DXA). RESULTS Forty-six children (20 girls, 43%) had bone morbidity at a mean age of 11.8 years (SD 3.9) including AVN of the femoral (17/46, 37%) and humeral (8/46, 17%) heads, H-shaped vertebral body deformities due to endplate infarcts (35/46, 76%), and non-vertebral body skeletal infarcts (15/46, 32%). Five children (5/26, 19%) had myositis overlying areas of AVN or bone infarcts visualized on magnetic resonance imaging. Twenty-three children (8/23 girls) received IV bisphosphonate therapy. They all reported significant or complete resolution of bone pain. There were no reports of sickle cell hemolytic crises, pain crises, or stroke attributed to IV bisphosphonate therapy. CONCLUSION Children with SCD have the potential for extensive and early-onset bone morbidity. In this series, IV bisphosphonates were effective for bone pain analgesia and did not trigger sickle cell complications.
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Affiliation(s)
- C Grimbly
- Department of Pediatrics, University of Alberta, 4-584 Edmonton Clinic Health Academy, 11405 - 87 Ave, Edmonton, AB, T6G 2R7, Canada.
- Women's and Children's Health Research Institute, Alberta, Canada.
| | - P Diaz Escagedo
- Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Université de Montreal, Montreal, QC, Canada
| | - J L Jaremko
- Department of Radiology & Diagnostic Imaging, University of Alberta, Edmonton, AB, Canada
| | - A Bruce
- Department of Pediatrics, University of Alberta, 4-584 Edmonton Clinic Health Academy, 11405 - 87 Ave, Edmonton, AB, T6G 2R7, Canada
- Women's and Children's Health Research Institute, Alberta, Canada
| | - N Alos
- Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Université de Montreal, Montreal, QC, Canada
| | - M E Robinson
- Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
- The Ottawa Pediatric Bone Health Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - V N Konji
- The Ottawa Pediatric Bone Health Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - M Page
- Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
- The Ottawa Pediatric Bone Health Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - M Scharke
- The Ottawa Pediatric Bone Health Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - E Simpson
- Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
| | - Y D Pastore
- Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Université de Montreal, Montreal, QC, Canada
| | - R Girgis
- Department of Pediatrics, University of Alberta, 4-584 Edmonton Clinic Health Academy, 11405 - 87 Ave, Edmonton, AB, T6G 2R7, Canada
- Women's and Children's Health Research Institute, Alberta, Canada
| | - R T Alexander
- Department of Pediatrics, University of Alberta, 4-584 Edmonton Clinic Health Academy, 11405 - 87 Ave, Edmonton, AB, T6G 2R7, Canada
- Women's and Children's Health Research Institute, Alberta, Canada
| | - L M Ward
- Department of Pediatrics, University of Ottawa, Ottawa, ON, Canada
- The Ottawa Pediatric Bone Health Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
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Estee M, Cicuttini F, Page M, Wluka A, Wang Y. POS1125 EFFICACY OF TUMOR NECROSIS FACTOR INHIBITORS IN HAND OSTEOARTHRITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3361] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BackgroundHand osteoarthritis (OA) is a leading cause of functional impairment associated with chronic pain and stiffness in hand joints(1). It is well documented that inflammation plays an important role in the pathogenesis of hand (2). Therefore, therapies targeting inflammation may offer a novel approach for the management of hand OA. Tumor necrosis factor (TNF) inhibitors are a class of anti-inflammatory drugs that have been used in musculoskeletal conditions (3-5).ObjectivesTo examine the efficacy of tumor necrosis factor (TNF) inhibitors on symptoms and structural outcomes in hand osteoarthritis.MethodsThe study was carried out according to PRISMA protocol. Ovid Medline, Embase and Cochrane Central Registry of Controlled Trials were searched from inception to October 2021 for randomized controlled trials examining the efficacy of TNF inhibitors in hand osteoarthritis. We performed quantitative extraction of data and risk of bias assessment for the eligible studies. Where data were available, mean difference was calculated and random effect meta-analysis was performed. Quality of the evidence was assessed using GRADE criteria.ResultsFour studies were identified involving 276 participants in total. There studies had low risk of bias and one study had some concerns. Meta-analysis showed that TNF inhibitors had no effect on pain at 4-6 weeks and 24-26 weeks and no effect on grip strength at 1 year (Table 1). There was no effect of TNF inhibitors on most of the clinical and structural outcomes. There was conflicting evidence for the effect of TNF inhibitors on radiographic progression, bone marrow lesion or erosive evolution at 12 months. Quality of evidence was low for the effect of TNF inhibitor on pain and moderate for grip strength.Table 1.Effect of TNF inhibitor versus control on pain and grip strengthStudyscalerangeMean (SD)Mean (SD), extractedMean Difference (95% CI)NumberNumberMeta-analysis resultTNF1 inhibitorcontrolTNF1 inhibitorcontrolShort term/painAitkin 2018VAS20-100-6.1 (22.7)-4.1 (23)-2.5 (-14 to 9)4041-0.93 (-7.41, 5.55)Chevalier 2014VAS20-100-19.3 (4.20-16.8 (4.3)-0.2 (-8.1 to 7.6)3835Long term/painKloppenburg2018VAS20-10039.2 (24.7)46.5 (23.4)-5.7 (-15.9 to 4.5)3841-3.82 (-11.46 to 3.83)Chevalier 2014VAS20-100-1.4 (-13 to 10.1)3633Long term/grip strengthKloppenburg 2018Dynamometer0 (-2.2, 2.1)41-0.35 (-1.08, 0.37)Verbruggen 2012Dynamometer0.8 (1.2)1.2 (1.8)30301Tumor necrosis Factor, 2Visual Analogue ScaleConclusionOur systematic review found no effect of TNF inhibitors on clinical outcomes and the effect of TNF inhibitors on structural outcome over longer term is inconclusive. More clinical trials are needed to clarify the role of TNF inhibitors in the management of hand OA.References[1]Haugen IK, Englund M, Aliabadi P, Niu J, Clancy M, Kvien TK, et al. Prevalence, incidence and progression of hand osteoarthritis in the general population: the Framingham Osteoarthritis Study. Ann Rheum Dis. 2011;70(9):1581-6.[2]Sokolove J, Lepus CM. Role of inflammation in the pathogenesis of osteoarthritis: latest findings and interpretations. Ther Adv Musculoskelet Dis. 2013;5(2):77-94[3]Mantravadi S, Ogdie A, Kraft WK. Tumor necrosis factor inhibitors in psoriatic arthritis. Expert Rev Clin Pharmacol. 2017;10(8):899-910.[4]Ma X, Xu S. TNF inhibitor therapy for rheumatoid arthritis. Biomed Rep. 2013;1(2):177-84.[5]Prince FHM, Dorai Raj AK, Otten MH, Cheung PPM, Tymms KE, van Suijlekom-Smit LWA, et al. TNF-alpha inhibitors for juvenile idiopathic arthritis. The Cochrane Database of Systematic Reviews. 2018;2018(8):CD008598Disclosure of InterestsNone declared
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Estee M, Cicuttini F, Page M, Butala A, Wluka A, Hussain SM, Wang Y. POS1119 EFFICACY OF CORTICOSTEROIDS FOR HAND OSTEOARTHRITIS - A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.2210] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundHand osteoarthritis (OA) is a prevalent joint condition, causing disabling pain, reduced mobility, impaired daily functioning and quality of life (1-2). Corticosteroids are anti-inflammatory medications frequently used in musculoskeletal diseases. There is some evidence that corticosteroids may have a beneficial effect in hand osteoarthritis (3-4).ObjectivesTo examine the efficacy of corticosteroids on symptoms and structural outcomes in hand osteoarthritis.MethodsOvid MEDLINE, Embase and Cochrane Central Register of Controlled Trials were searched from inception to October 2021 for randomized controlled trials investigating the efficacy of corticosteroids in hand osteoarthritis. Two authors independently screened records, extracted data, and assessed risk of bias using the RoB 2 tool. Standardized mean difference (SMD) or mean difference was calculated, and random-effects meta-analyses were performed.ResultsOf 13 included trials, three examined oral and ten examined intra-articular injection of corticosteroids on clinical outcomes. In meta-analysis, oral corticosteroids reduced pain (SMD=-0.53, 95%CI -0.79 to -0.28) and improved function (SMD=-0.37, 95%CI -0.63 to -0.12) at 4-6 weeks, and intra-articular corticosteroid injection improved function (SMD=-0.48, 95%CI -0.90 to -0.06) at 4-6 weeks. Corticosteroids had no significant effects on pain and function over 3 months and 6-12 months. Two trials evaluated joint structure at 4-6 weeks: one study showed oral corticosteroids reduced synovial thickening, neither showed an effect on synovitis.ConclusionThere was low-certainty evidence for a medium effect of oral corticosteroids on pain relief and small-to-medium effect on functional improvement at 4-6 weeks. Intra-articular corticosteroids showed low-certainty evidence for a medium effect on functional improvement at 4-6 weeks. Corticosteroids had no significant effect on any outcomes over longer term. No trials examined the effect of corticosteroids on disease progression. The role of corticosteroids in hand osteoarthritis is limited.References[1]Zhang Y, Niu J, Kelly-Hayes M, Chaisson CE, Aliabadi P, Felson DT. Prevalence of Symptomatic Hand Osteoarthritis and Its Impact on Functional Status among the Elderly: The Framingham Study. American Journal of Epidemiology. 2002;156(11):1021-7.[2]Kjeken I, Dagfinrud H, Slatkowsky-Christensen B, Mowinckel P, Uhlig T, Kvien TK, et al. Activity limitations and participation restrictions in women with hand osteoarthritis: patients’ descriptions and associations between dimensions of functioning. Annals of the rheumatic diseases. 2005;64(11):1633-8.[3]Kroon FPB, Kortekaas MC, Boonen A, Böhringer S, Reijnierse M, Rosendaal FR, et al. Results of a 6-week treatment with 10 mg prednisolone in patients with hand osteoarthritis (HOPE): a double-blind, randomised, placebo-controlled trial. Lancet. 2019;394(10213):1993-2001.[4]Kloppenburg M, Kroon FPB, Blanco FJ, Doherty M, Dziedzic KS, Greibrokk E, et al. 2018 update of the EULAR recommendations for the management of hand osteoarthritis. Annals of the Rheumatic Diseases. 2019;78(1):16.Disclosure of InterestsNone declared
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Lim Y, Wong J, Hussain SM, Estee M, Zolio L, Page M, Harrison C, Wluka A, Wang Y, Cicuttini F. AB0979 Recommendations for weight management in osteoarthritis: a systematic review of clinical practice guidelines. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.2284] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BackgroundWeight loss interventions are often recommended to target overweight and obesity in the clinical practice guidelines (CPGs) for the management of osteoarthritis. This is despite evidence from meta-analyses of clinical trials that significant weight loss results in modest improvements in symptoms and minimal effects on disease progression1,2. There is evidence that weight gain is associated with increase in knee pain3,4. In countries such as USA, adults gain on average 0.5 to 1 kilogram per year from early to middle adulthood Preventing weight gain is easier to achieve and sustain than losing weight.ObjectivesGiven that weight loss is accepted as fundamental to osteoarthritis management, we systematically reviewed the recommendations and approaches for weight management in all current osteoarthritis CPGs.MethodsNine databases were searched (1st January 2010 to 30th September 2021) to identify guidelines informing the non-pharmacological management of osteoarthritis. Three reviewers appraised guidelines according to the AGREE II instrument, and independently extracted data on their characteristics. One author extracted and summarised guideline recommendations on weight management. This systematic review is registered on PROSPERO (CRD42021274195).ResultsFifteen CPGs from developed and developing countries were included. Weight loss was recommended for knee (12 of 13 guidelines) and hip (10 of 11 guidelines) but not hand osteoarthritis (0 of 4 guidelines). Combination approaches of diet and/or exercise were recommended for overweight or obese individuals (knee: 8 of 12; hip: 4 of 10), with 2 guidelines specifying ≥5% weight loss for knee and hip osteoarthritis. One of 15 guidelines specified strategies for weight loss and maintenance of lost weight. Two of 15 guidelines recommended controlling body weight for osteoarthritis, regardless of obesity status.ConclusionMost CPGs for knee and hip osteoarthritis include recommendations for weight loss in those with overweight or obesity as key to managing osteoarthritis, despite evidence of modest at best effect of weight loss on symptoms and no effect on joint structure1,2. Given obesity is a major risk factors for osteoarthritis, the prevention of weight gain may be more effective and practical in improving clinical outcomes for osteoarthritis, and hence should be considered as part of the key management in osteoarthritis.References[1]Chu IJH, Lim AYT, Ng CLW. Effects of meaningful weight loss beyond symptomatic relief in adults with knee osteoarthritis and obesity: a systematic review and meta-analysis. Obes Rev. 2018;19(11):1597-1607.[2]Daugaard CL, Hangaard S, Bartels EM, Gudbergsen H, Christensen R, Bliddal H, et al. The effects of weight loss on imaging outcomes in osteoarthritis of the hip or knee in people who are overweight or obese: a systematic review. Osteoarthritis Cartilage. 2020;28(1):10-21.[3]Tanamas SK, Wluka AE, Davies-Tuck M, Wang Y, Strauss BJ, Proietto J, et al. Association of weight gain with incident knee pain, stiffness, and functional difficulties: a longitudinal study. Arthritis Care Res (Hoboken). 2013;65(1):34-43.[4]Teichtahl AJ, Wluka AE, Tanamas SK, Wang Y, Strauss BJ, Proietto J, et al. Weight change and change in tibial cartilage volume and symptoms in obese adults. Annals of the rheumatic diseases. 2015;74(6):1024-1029.[5]Zheng Y, Manson JE, Yuan C, Liang MH, Grodstein F, Stampfer MJ, et al. Associations of Weight Gain From Early to Middle Adulthood With Major Health Outcomes Later in Life. JAMA. 2017;318(3):255-269.Disclosure of InterestsNone declared
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Oliver R, Krueger JG, Glatt S, Vajjah P, Mistry C, Page M, Edwards H, Garcet S, Li X, Dizier B, Maroof A, Watling M, El Baghdady A, Baeten D, Ionescu L, Shaw S. Bimekizumab for the treatment of moderate-to-severe plaque psoriasis: efficacy, safety, pharmacokinetics, pharmacodynamics and transcriptomics from a phase IIa, randomized, double-blind multicentre study. Br J Dermatol 2021; 186:652-663. [PMID: 34687214 PMCID: PMC9303624 DOI: 10.1111/bjd.20827] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2021] [Indexed: 01/18/2023]
Abstract
BACKGROUND Bimekizumab is a monoclonal antibody that selectively inhibits both interleukin (IL)-17A and IL-17F, which is currently under investigation for treatment of moderate-to-severe plaque psoriasis. Maintenance dosing every 4 weeks is well established with IL-17 inhibitors for psoriasis. OBJECTIVES To investigate the possible dosing interval during bimekizumab maintenance therapy to maintain clear skin, to inform phase III studies. METHODS Forty-nine patients with moderate-to-severe plaque psoriasis received bimekizumab 320 mg at weeks 0/4, followed at week 16 by bimekizumab 320 mg (n = 17) or placebo (n = 32). Efficacy, safety, pharmacokinetics, immunogenicity and biopsy transcriptomic analyses were assessed to week 28. RESULTS At week 8, 47% of patients achieved a 100% improvement from baseline in Psoriasis Area and Severity Index (PASI 100), increasing to 57% at week 12 (8 weeks after the second dose) before decreasing. In those who received bimekizumab at week 16, PASI 100 rate increased to comparable peak levels at week 20, but reduced by week 28 to 41% (12 weeks after the third dose). The week 8 transcriptional signature observed in lesional psoriatic skin rapidly normalized to levels consistent with nonlesional skin, resulting in molecular remission. Keratinocyte-related gene products such as CXCL1 (C-X-C motif chemokine ligand 1), IL-8 (encoded by the CXCL8 gene), CCL20 (C-C motif chemokine 20), IL-36γ and IL-17C were profoundly normalized to levels associated with nonlesional skin. CONCLUSIONS Here, inhibition of IL-17F in addition to IL-17A resulted in rapid, deep clinical responses. Additionally, profound normalization of keratinocyte biology and the psoriatic transcriptome was observed, including normalization of both IL17 and IL23 gene expression by week 8. These data provide evidence to support evaluation of bimekizumab maintenance dosing both every 8 and every 4 weeks in phase III clinical trials.
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Affiliation(s)
| | - J G Krueger
- The Rockefeller University, New York, NY, USA
| | | | | | - C Mistry
- UCB Pharma, Slough, UK.,Veramed, London, UK
| | | | | | - S Garcet
- The Rockefeller University, New York, NY, USA
| | - X Li
- The Rockefeller University, New York, NY, USA
| | - B Dizier
- UCB Pharma, Braine-l'Alleud, Belgium
| | | | | | - A El Baghdady
- Institute of Pharmaceutical Science, King's College London, London, UK
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Bentley E, Richardson S, Killip M, Hassall M, Garry R, Bernasconi V, Holst J, Page M, Mattiuzzo G. Evaluation of a serological reference panel for Lassa virus. Int J Infect Dis 2020. [DOI: 10.1016/j.ijid.2020.11.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Ostby S, Wall J, Page M, Straughn J, Smith H. The impact of code status simplification on end-of-life health care choices in gynecologic oncology. Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2020.05.505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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9
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Greenup EP, Best D, Page M, Potts B. No observed reduction of non-attendance rate in telehealth models of care. AUST HEALTH REV 2020; 44:657-660. [PMID: 32997955 DOI: 10.1071/ah19127] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 07/11/2019] [Indexed: 11/23/2022]
Abstract
Objective This study investigated the provision of public specialist out-patient services in Queensland delivered in traditional hospital settings (in person) or through a two-way synchronous videoconferencing session (telehealth). Rates of attendance between these delivery methods were compared to detect any difference in rates of non-attendance among patients. Methods An extract of all specialist out-patient appointments reported in Queensland Health's corporate patient administration systems between 1 July 2017 and 30 June 2018 was obtained (n = 2921702). Variables including how the service was delivered and whether the patient attended were captured for each event. Results No reduction in non-attendance was observed in the telehealth patient group (9.1%) compared with in-person service delivery (9.1% vs 7.9% respectively; = 113.56, P < 0.001, relative risk = 1.15). Discussion The study found no evidence that telehealth is effective at reducing rates of non-attendance in a specialist out-patient setting. This supports existing findings that most non-attendance is the result of forgetfulness or confusion with appointment details, to which telehealth appointments are also vulnerable. What is known about the topic? Non-attendance of out-patient appointments remains a persistent and costly problem for public and private providers of health services. Forgetting or being confused about appointment details are the most commonly reported reasons for patient non-attendance. What does this paper add? Telehealth models of care are increasingly being offered by health service providers, reducing travel requirements to all patients, particularly those in regional and remote settings. However, telehealth models of care do not address the most common reasons for patient non-attendance and telehealth patients are not less likely to miss their appointments. What are the implications for practitioners? Suggestions that telehealth models of care can reduce rates of non-attendance should be treated with caution by health service administrators and clinicians. More timely appointment reminders and easier processes to cancel or reschedule appointments remain the most effective techniques for reducing non-attendance.
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Affiliation(s)
- E P Greenup
- Clinical Excellence Queensland, Queensland Health, Level 2, 15 Butterfield Street, Herston, Qld 4006, Australia. ; ; and Corresponding author.
| | - D Best
- Clinical Excellence Queensland, Queensland Health, Level 2, 15 Butterfield Street, Herston, Qld 4006, Australia. ;
| | - M Page
- Clinical Excellence Queensland, Queensland Health, Level 2, 15 Butterfield Street, Herston, Qld 4006, Australia. ;
| | - B Potts
- Menzies School of Health Research, Brisbane, Qld 4000, Australia.
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McSweeney SM, Christou EAA, Dand N, Boalch A, Holmes S, Harries M, Palamaras I, Cunningham F, Parkins G, Kaur M, Farrant P, McDonagh A, Messenger A, Jones J, Jolliffe V, Ali I, Ardern-Jones M, Mitchell C, Burrows N, Atkar R, Banfield C, Alexandroff A, Champagne C, Cooper HL, Patel GK, Macbeth A, Page M, Bryden A, Mowbray M, Wahie S, Armstrong K, Cooke N, Goodfield M, Man I, de Berker D, Dunnil G, Takwale A, Rao A, Siah TW, Sinclair R, Wade MS, Bhargava K, Fenton DA, McGrath JA, Tziotzios C. Frontal fibrosing alopecia: a descriptive cross-sectional study of 711 cases in female patients from the UK. Br J Dermatol 2020; 183:1136-1138. [PMID: 32652611 DOI: 10.1111/bjd.19399] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- S M McSweeney
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK
| | - E A A Christou
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK
| | - N Dand
- Department of Medical and Molecular Genetics, King's College London, Guy's Hospital, London, SE1 9RT, UK
| | - A Boalch
- Greenwich and Lewisham NHS Foundation Trust, London, SE13 6LH, UK
| | - S Holmes
- Alan Lyell Centre for Dermatology, Queen Elizabeth University Hospital, Glasgow, G51 4TF, UK.,UK FFA Consortium
| | | | | | - F Cunningham
- Alan Lyell Centre for Dermatology, Queen Elizabeth University Hospital, Glasgow, G51 4TF, UK.,UK FFA Consortium
| | - G Parkins
- Alan Lyell Centre for Dermatology, Queen Elizabeth University Hospital, Glasgow, G51 4TF, UK.,UK FFA Consortium
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - K Bhargava
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK.,UK FFA Consortium
| | - D A Fenton
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK.,UK FFA Consortium
| | - J A McGrath
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK
| | - C Tziotzios
- St John's Institute of Dermatology, Guy's Hospital, London, SE1 9RT, UK
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Boule-Laghzali N, Diodati J, Samson C, Page M. P388Beyond the diagnostic value of CMR in ARVC. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez109.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
| | - J Diodati
- Hospital du Sacre-Coeur, Montreal, Canada
| | - C Samson
- Hospital du Sacre-Coeur, Montreal, Canada
| | - M Page
- Hospital du Sacre-Coeur, Montreal, Canada
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Kempster S, Ham C, Hall J, Ferguson D, Berry N, Mattiuzzo G, Page M, Almond N. Evaluation of a candidate WHO international standard for Zika antibody as a vaccine reference reagent. Int J Infect Dis 2019. [DOI: 10.1016/j.ijid.2018.11.049] [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: 11/30/2022] Open
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13
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Bentley E, Wright E, Hassall M, Myhill S, Rigsby P, Wilkinson D, Stone L, Page M, Mattiuzzo G. Use of Pseudotyped viruses for the production of reference materials as part of emerging viral outbreak preparedness. Int J Infect Dis 2019. [DOI: 10.1016/j.ijid.2018.11.035] [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: 10/27/2022] Open
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Noe S, Heldwein S, Jaeger H, Page M, Wolf E. Tenofovir disoproxil fumarate/emtricitabine is associated with a higher risk of hypocalcemia compared to abacavir/lamivudine - results from a German cohort study. Int J STD AIDS 2019; 30:447-452. [PMID: 30630396 DOI: 10.1177/0956462418815022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Hyperparathyroidism has been described in people living with HIV undergoing tenofovir disoproxil fumarate (TDF)-containing antiretroviral therapy (ART), but differences in calcium levels have never been investigated in detail. We aimed to compare the prevalence of hypocalcemia between patients with and without TDF-containing ART. The patients and methods were a retrospective cohort study in HIV-infected adult patients receiving dolutegravir and either abacavir (ABC)/lamivudine (3TC) or TDF/emtricitabine in a single center in Munich, Germany. Of 172 patients, 126 (73.3%) were male and the median age was 48.5 years (interquartile range 42-54). Average calcium levels were 2.24 (2.21-2.29) mmol/l and 2.21 (2.16-2.26) mmol/l (P < 0.001) with a prevalence of at least one episode of total calcium <2.12 mmol/l of 16.2 and 34.4% in the groups treated with ABC/3TC and TDF/emtricitabine, respectively (P = 0.006). TDF use was independently associated with the occurrence of albumin-corrected calcium levels of <2.12 mmol/l (odds ratio: 6.7 [1.3-35.6]; P = 0.025). Hypocalcemia seems to occur more often in TDF-treated patients. Further research into hypocalcemia with TDF and potential cardiovascular effects may be of benefit based on these findings.
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Affiliation(s)
- S Noe
- 1 MVZ Karlsplatz, Research and Clinical Care Center, München, Germany
| | - S Heldwein
- 1 MVZ Karlsplatz, Research and Clinical Care Center, München, Germany
| | - H Jaeger
- 1 MVZ Karlsplatz, Research and Clinical Care Center, München, Germany
| | - M Page
- 2 Birmingham Heartlands HIV Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - E Wolf
- 3 MUC Research, München, Germany
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Page M, Ling C, Dilger P, Bentley M, Forsey T, Longstaff C, Thorpe R. Fragmentation of Therapeutic Human Immunoglobulin Preparations. Vox Sang 2017. [DOI: 10.1159/000462837] [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] [Indexed: 11/19/2022]
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Ma J, McMillan HJ, Karagüzel G, Goodin C, Wasson J, Matzinger MA, DesClouds P, Cram D, Page M, Konji VN, Lentle B, Ward LM. The time to and determinants of first fractures in boys with Duchenne muscular dystrophy. Osteoporos Int 2017; 28:597-608. [PMID: 27774565 DOI: 10.1007/s00198-016-3774-5] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Accepted: 09/12/2016] [Indexed: 11/24/2022]
Abstract
UNLABELLED Boys with vertebral fractures (VF) identified through routine spine radiographs had milder, less symptomatic, and fewer VF compared to those diagnosed with VF following consultation for back pain. Spontaneous (i.e., medication-unassisted) reshaping of fractured vertebral bodies was absent. Long bone fractures were present even before Duchenne muscular dystrophy (DMD) diagnosis in some boys. INTRODUCTION The objective of the study was to determine the time to and characteristics of first fractures in Duchenne muscular dystrophy. METHODS This study was a retrospective longitudinal study of 30 boys with DMD <18 years. Boys were classified into four groups according to their first fracture: those with VF identified on routine lateral spine radiographs, those with VF diagnosed following consultation for back pain, those with long bone fractures, and those without fractures. RESULTS Compared to boys diagnosed with VF as their initial fracture following consultation for back pain, those with VF surveillance radiographs had shorter durations of glucocorticoid (GC) therapy at the time of VF diagnosis (median 1.6 versus 5.3 years, p < 0.01), higher areal (mean ± standard deviation -1.4 ± 0.7 versus -3.1 ± 0.8, p = 0.01), and volumetric (-0.3 ± 0.5 versus -2.6 ± 0.8, p < 0.01) lumbar spine bone mineral density Z-scores, as well as fewer VF (median 1.4 versus 5.2 per person, p < 0.01) and a lower median spinal deformity index (median 1.5 versus 9.5, p < 0.01). Vertebral body reshaping following VF was not observed. Ten boys sustained a long bone fracture as their first fracture at a mean age of 8.9 ± 4.0 years; four of these boys later sustained a total of 27 incident VF. CONCLUSIONS Routine lateral spine radiographs led to detection of VF in their earlier stages, vertebral body reshaping following VF was absent, and VF were frequent after the first long bone fracture. These results support the inclusion of a lateral spine radiograph starting at the time of GC initiation as part of routine bone health monitoring in DMD.
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Affiliation(s)
- J Ma
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada
| | - H J McMillan
- Department of Pediatrics, and Division of Neurology, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada
| | - G Karagüzel
- Department of Pediatric Endocrinology, Karadeniz Technical University School of Medicine, Trabzon, Turkey
| | - C Goodin
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - J Wasson
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - M A Matzinger
- Department of Medical Imaging, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada
| | - P DesClouds
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - D Cram
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - M Page
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - V N Konji
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - B Lentle
- Department of Radiology, University of British Columbia, Vancouver, BC, Canada
| | - L M Ward
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
- Department of Pediatrics, and Division of Endocrinology and Metabolism, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Rd, Ottawa, ON, K1H 8L1, Canada.
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Bentley E, Mattiuzzo G, Wash R, Binter S, Friedrich M, Goulding D, Kellam P, Page M, Wright E. 20.078 Ebolavirus pseudotypes as antigen surrogates for serological studies. Int J Infect Dis 2016. [DOI: 10.1016/j.ijid.2016.11.306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Necrason E, Black J, Page M. C-13A Case of Lightning Strike at 10 Years Old: 42 Years Later. Arch Clin Neuropsychol 2016. [DOI: 10.1093/arclin/acw043.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Page M, Green S, McBain B, Surace S, Deitch J, Lyttle N, Mrocki M, Buchbinder R. SAT0508 Manual Therapy and Exercise for Rotator Cuff Disease: A Cochrane Review. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3071] [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: 11/04/2022]
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Bazal P, Nastase OA, Vieira MS, Maceira Gonzalez AM, Kowal J, Ramos V, Ozer N, Kammerer I, Von Knobelsdorff F, Castillo E, Olaz F, Alvarez V, Sadaba R, Ciriza M, Arrieta V, Escribano E, Beunza MT, G Solana S, Lopez N, Amzulescu M, Boileu L, Page M, De Meester C, Boulif J, Lazam S, Pouleur AC, Vanoverschelde JL, Gerber BL, Kowallick J, Rafiq I, Chabiniok R, Figueroa A, Carr R, Hussain T, Igual B, Monmeneu JV, Lopez-Lereu P, Garcia MP, Cosin-Sales JV, Bigaj J, Hazik A, Kulisiewicz Z, Slupska M, Bitt J, Silva J, Ferreira N, Bettencourt N, Gama V, Canpolat U, Aytemir K, Hazirolan T, Yorgun H, Oto A, Layer G, Kiessling AH, Sack FU, Hennig P, Menza M, Dieringer MA, Foell D, Jung B, Schulz-Menger J, Maceira A, Llopis A, Velez O, Tebar L. Moderated Posters session: cardiovascular magnetic resonanceP967Simplified segmental calculation of extracellular volume with T1 mapping for evaluation of diffuse interstitial fibrosisP968Diffuse myocardial fibrosis quantification by magnetic resonance imaging in patients with aortic valve diseasesP969Occult anthracycline cardiac injury in adolescents and young adults cancer survivors with normal left ventricular ejection fractionP970Reference values for regional and global myocardial T2 mapping with cardiovascular magnetic resonance at 1.5T vs 3TP971The accuracy of a real-time MR method in the assessment of right ventricular volume and functionP972Can blunted heart rate response to adenosine vasodilator stress have prognostic implications on myocardial perfusion imaging by cardiovascular magnetic resonance?P973Association of vitamin d with left atrial fibrosis in patients with lone AF undergoing cryoablationP974Left ventricular remodelling after mitral valve reconstruction: a 1-year prospective cMRI studyP975Abnormal regional myocardial motion in patients with left ventricular pressure overload detected by MR tissue phase mapping at rest and during stressP976Potential utility of splenic switch-off to improve the diagnostic performance of vasodilator stress cardiac magnetic resonance. Preliminary study. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev273] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Healy S, Willis MD, Pickersgill TP, Page M, Robertson NP. THYROTOXICOSIS SECONDARY TO ALEMTUZUMAB TREATMENT FOR MULTIPLE SCLEROSIS PRESENTING AS PULMONARY HYPERTENSION. J Neurol Psychiatry 2015. [DOI: 10.1136/jnnp-2015-312379.109] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Alemtuzumab has been approved for use in the treatment of relapsing multiple sclerosis. Despite its proven clinical efficacy acquired autoimmune disease remains a significant risk. In particular thyroid disease is common and robust surveillance mechanisms are required to identify disease at an early stage. We present the case of a 31-year-old female patient who presented with signs consistent with pulmonary hypertension as the presenting feature of thyrotoxicosis. 12-months after the first alemtuzumab treatment course the patient presented to clinic with a 2-week history of exertional dyspnoea, palpitations and headaches. On examination, she had a new pansystolic murmur loudest in the pulmonary area and bilateral pitting oedema to the knees. An echocardiogram demonstrated elevated right ventricular pressure (40 mm Hg) and tricuspid regurgitation consistent with pulmonary hypertension. A CT pulmonary angiogram did not demonstrate evidence of a pulmonary embolus. Thyroid function tests revealed profound thyrotoxicosis (free T4 37.3 pmol/l and TSH <0.02 mU/l), which was thought to be the likely cause. Carbimazole was started but discontinued due to a rash with euthyroidism eventually achieved with radio-iodine. Her symptoms have subsequently resolved. This case highlights the need for neurologists using Alemtuzumab to be vigilant of the varied and sometimes acute presentations of thyroid dysfunction; and the growing repertoire of induced autoimmunity.
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Krestjyaninov M, Gimaev R, Razin V, Halaph H, Shameeva O, Galli E, Oger E, Levery M, Mabo P, Donal E, Rodriguez Munoz D, Carbonell Sanroman A, Moya Mur J, Lazaro Rivera C, Fernandez Santos S, Rincon Diaz L, Casas Rojo E, Jimenez Nacher J, Fernandez-Golfin C, Zamorano Gomez J, Shamsheva D, Zaletova T, Parkhomenko O, Bogdanov A, Simova I, Katova T, Galderisi M, Pauncheva B, Ozawa K, Funabashi N, Takaoka H, Kobayashi Y, Moatemri F, Messaoudi Y, Mahdhaoui A, Bouraoui H, Hajri S, Jeridi G, Souza C, Nascimento C, Cordovil I, Belem L, Horcades R, Sahate A, Pereira S, Benchimol-Barbosa P, Barros C, Weitzel L, Altin C, Sade L, Gezmis E, Ozen N, Muderrisoglu H, Voilliot D, Magne J, Dulgheru R, Kou S, Henri C, Caballero L, De Sousa C, Sprynger M, Pierard L, Lancellotti P, Miglioranza M, Mihaila S, Muraru D, Cucchini U, Cecchetto A, Cavalli G, Romeo G, Iliceto S, Badano L, Brecht A, Wageloehner T, Oertelt-Prigione S, Seeland U, Ruecke M, Baumann G, Regitz-Zagrosek V, Stangl V, Knebel F, Khanna R, Raghuwanshi A, Kapoor A, Tewari S, Garg N, Kumar S, Goel P, Altin C, Sade L, Gezmis E, Ozen N, Duzceker O, Muderrisoglu H, Petre I, Tautu O, Onciul S, Iancovici S, Zamfir D, Onut R, Dorobantu M, Jashari F, Ibrahimi P, Johansson E, Gronlund C, Bajraktari G, Wester P, Henein M, Torbas O, Sirenko Y, Radchenko G, Page M, Gerber B, Pasquet A, Pouleur A, Vancreynest D, Vanoverschelde J, Wieczorek J, Wieczorek P, Mizia M, Gieszczyk-Strozik K, Sikora-Puz A, Lasota B, Mizia-Stec K, Coisne A, Levy F, Malaquin D, Richardson M, Quere J, Montaigne D, Tribouilloy C, Miskowiec D, Wierzbowska-Drabik K, Wejner-Mik P, Michalski B, Wdowiak-Okrojek K, Szymczyk E, Kasprzak J, Lipiec P, Grossi F, Oddo A, Pieri F, Cordisco A, Zucchini M, Mori F, Gensini G. Club 35 Poster session 1: Wednesday 3 December 2014, 09:00-16:00 * Location: Poster area. Eur Heart J Cardiovasc Imaging 2014. [DOI: 10.1093/ehjci/jeu238] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Page M, Rimmelé T, Prothet J, Christin F, Crozon J, Ber CE. [Impact of a program designed to improve continuous renal replacement therapy stability]. ACTA ACUST UNITED AC 2014; 33:626-30. [PMID: 25458458 DOI: 10.1016/j.annfar.2014.10.008] [Citation(s) in RCA: 8] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2014] [Accepted: 10/16/2014] [Indexed: 12/14/2022]
Abstract
OBJECTIVES During continuous renal replacement therapy (CRRT), circuit clotting increases nursing workload, cost of the therapy and blood loss. The aim of this study was to assess the impact of a program designed to improve CRRT stability on unexpected circuit clotting. STUDY DESIGN Retrospective and observational study. PATIENTS AND METHODS In January 2011, several changes have been adopted regarding CRRT management. Regional citrate anticoagulation, continuous hemodialysis using super high-flux membranes and a specific training for intensive care unit nurses were implemented. CRRT sessions before (year 2009 and 2010, "Before group") and after (year 2011 and 2012, "After group") were analyzed. The primary endpoint was the incidence of unexpected CRRT session end. RESULTS During the study period, 401 sessions performed in 152 patients were analyzed. Sixty-three unexpected session's end (40%) occurred before and 43 (17%) after the implementation of the program (P<0.0001). Median filter life time was 33 (13-48) hours before and 55 (27-67) hours after (P<0.0001). CONCLUSION Our program designed to improve CRRT stability reduced filter losses by reducing unexpected circuit clotting.
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Affiliation(s)
- M Page
- Service d'anesthésie-réanimation, pavillon P réanimation, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
| | - T Rimmelé
- Service d'anesthésie-réanimation, pavillon P réanimation, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France
| | - J Prothet
- Service d'anesthésie-réanimation, pavillon P réanimation, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France
| | - F Christin
- Service d'anesthésie-réanimation, pavillon P réanimation, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France
| | - J Crozon
- Service d'anesthésie-réanimation, pavillon P réanimation, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France
| | - C-E Ber
- Service d'anesthésie-réanimation, pavillon P réanimation, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France
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Molina I, Page M, Patt J, Chang S. SP-01 * PEER-TO-PEER SUPPORT: A NEW WAY TO ASSIST CAREGIVERS. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou276.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Papadopoulou N, McKenzie A, King J, Page M, Kumari R. 185 Treatment of patient-derived NSCLC xenograft preclinical models using image-guided small animal irradiation. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)70311-9] [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: 11/28/2022]
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Malavieille F, Page M, Ber CE, Christin F, Bonnet A, Rimmele T. [The acute pulmonary renal syndrome: An unusual presentation of granulomatosis with polyangiitis]. Rev Mal Respir 2014; 31:636-40. [PMID: 25239588 DOI: 10.1016/j.rmr.2013.12.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2013] [Accepted: 12/17/2013] [Indexed: 01/16/2023]
Abstract
INTRODUCTION We report a case of acute pulmonary renal syndrome mimicking septic shock, which led to the diagnosis of granulomatosis with polyangiitis. CASE REPORT A 70-year-old man was hospitalized because of acute kidney injury and acute respiratory distress syndrome with diffuse alveolar hemorrhage associated with a serum procalcitonin level of 18 μg/L. Initially, septic shock was suspected and antibiotic therapy was started. The absence of microbiological isolates and the patient's rapid clinical deterioration prompted laboratory testing for autoimmune disease, which confirmed the diagnosis of granulomatosis with polyangiitis. Immunosuppressive therapy was promptly initiated with corticosteroids, cyclophosphamide and several plasma exchanges, which resulted in a rapid clinical improvement and ICU discharge. CONCLUSIONS Granulomatosis with polyangiitis is a systemic necrotizing vasculitis with antineutrophil cytoplasmic antibodies, which can present with acute pulmonary renal syndrome, combining acute respiratory distress syndrome and acute kidney injury. This misleading presentation must prompt an autoimmune disease testing in order to yield an early diagnosis of a vasculitis, allowing for timely initiation of immunosuppressive treatment. Serum procalcitonin levels can be markedly elevated and this must not override the possibility of a vasculitis where the patient shows a compatible symptomatology.
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Affiliation(s)
- F Malavieille
- Département d'anesthésie et de réanimation, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
| | - M Page
- Département d'anesthésie et de réanimation, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69437 Lyon cedex 03, France
| | - C-E Ber
- Département d'anesthésie et de réanimation, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69437 Lyon cedex 03, France
| | - F Christin
- Département d'anesthésie et de réanimation, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69437 Lyon cedex 03, France
| | - A Bonnet
- Anesthésie-réanimation chirurgicale et surveillance continue, hôpital de la Croix-Rousse, hospices civils de Lyon, bâtiment R, niveau 2, 103, grande rue de La-Croix-Rousse, 69004 Lyon, France
| | - T Rimmele
- Département d'anesthésie et de réanimation, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69437 Lyon cedex 03, France
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Abstract
This paper aims first at a simultaneous axiomatic presentation of the proof of optimal convergence rates for adaptive finite element methods and second at some refinements of particular questions like the avoidance of (discrete) lower bounds, inexact solvers, inhomogeneous boundary data, or the use of equivalent error estimators. Solely four axioms guarantee the optimality in terms of the error estimators. Compared to the state of the art in the temporary literature, the improvements of this article can be summarized as follows: First, a general framework is presented which covers the existing literature on optimality of adaptive schemes. The abstract analysis covers linear as well as nonlinear problems and is independent of the underlying finite element or boundary element method. Second, efficiency of the error estimator is neither needed to prove convergence nor quasi-optimal convergence behavior of the error estimator. In this paper, efficiency exclusively characterizes the approximation classes involved in terms of the best-approximation error and data resolution and so the upper bound on the optimal marking parameters does not depend on the efficiency constant. Third, some general quasi-Galerkin orthogonality is not only sufficient, but also necessary for the [Formula: see text]-linear convergence of the error estimator, which is a fundamental ingredient in the current quasi-optimality analysis due to Stevenson 2007. Finally, the general analysis allows for equivalent error estimators and inexact solvers as well as different non-homogeneous and mixed boundary conditions.
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Affiliation(s)
- C. Carstensen
- Institut für Mathematik, Humboldt Universität zu Berlin, Unter den Linden 6, 10099 Berlin, Germany
- Department of Computational Science and Engineering, Yonsei University, 120-749 Seoul, Republic of Korea
| | - M. Feischl
- Institute for Analysis and Scientific Computing, Vienna University of Technology, Wiedner Hauptstraße 8-10, A-1040 Wien, Austria
| | - M. Page
- Institute for Analysis and Scientific Computing, Vienna University of Technology, Wiedner Hauptstraße 8-10, A-1040 Wien, Austria
| | - D. Praetorius
- Institute for Analysis and Scientific Computing, Vienna University of Technology, Wiedner Hauptstraße 8-10, A-1040 Wien, Austria
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Girardot T, Prothet J, Page M, Juillard L, Rimmelé T. [Acute kidney injury and cancer]. Ann Fr Anesth Reanim 2014; 33:290-292. [PMID: 24698586 DOI: 10.1016/j.annfar.2014.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Accepted: 03/05/2014] [Indexed: 06/03/2023]
Affiliation(s)
- T Girardot
- Département d'anesthésie-réanimation, service P-réanimation, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France
| | - J Prothet
- Département d'anesthésie-réanimation, service P-réanimation, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France
| | - M Page
- Département d'anesthésie-réanimation, service P-réanimation, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France
| | - L Juillard
- Service de néphrologie, pavillon P, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France
| | - T Rimmelé
- Département d'anesthésie-réanimation, service P-réanimation, hôpital Édouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France.
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Maselli A, Melandri A, Nava L, Mundell CG, Kawai N, Campana S, Covino S, Cummings JR, Cusumano G, Evans PA, Ghirlanda G, Ghisellini G, Guidorzi C, Kobayashi S, Kuin P, La Parola V, Mangano V, Oates S, Sakamoto T, Serino M, Virgili F, Zhang BB, Barthelmy S, Beardmore A, Bernardini MG, Bersier D, Burrows D, Calderone G, Capalbi M, Chiang J, D’Avanzo P, D’Elia V, De Pasquale M, Fugazza D, Gehrels N, Gomboc A, Harrison R, Hanayama H, Japelj J, Kennea J, Kopac D, Kouveliotou C, Kuroda D, Levan A, Malesani D, Marshall F, Nousek J, O’Brien P, Osborne JP, Pagani C, Page KL, Page M, Perri M, Pritchard T, Romano P, Saito Y, Sbarufatti B, Salvaterra R, Steele I, Tanvir N, Vianello G, Wiegand B, Wiersema K, Yatsu Y, Yoshii T, Tagliaferri G. GRB 130427A: A Nearby Ordinary Monster. Science 2014; 343:48-51. [DOI: 10.1126/science.1242279] [Citation(s) in RCA: 89] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- A. Maselli
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - A. Melandri
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - L. Nava
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
- AstroParticule et Cosmologie, Université Paris Diderot, CNRS/IN2P3, Commissariat à l'Energie Atomique et aux Energies Alternatives/Institut de Recherches sur les lois Fondamentales de l’Univers, Observatoire de Paris, Sorbonne Paris Cité, France
| | - C. G. Mundell
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - N. Kawai
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
- Coordinated Space Observation and Experiment Research Group, RIKEN, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - S. Campana
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - S. Covino
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - J. R. Cummings
- University of Maryland, Baltimore County/Center for Research and Exploration in Space Science & Technology/NASA Goddard Space Flight Center, Code 661, Greenbelt, MD 20771, USA
| | - G. Cusumano
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - P. A. Evans
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - G. Ghirlanda
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - G. Ghisellini
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - C. Guidorzi
- Department of Physics, University of Ferrara, via Saragat 1, I-44122, Ferrara, Italy
| | - S. Kobayashi
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - P. Kuin
- Mullard Space Science Laboratory, University College London, Holmbury St. Mary, Dorking, Surrey RH5 6NT, UK
| | - V. La Parola
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - V. Mangano
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - S. Oates
- Mullard Space Science Laboratory, University College London, Holmbury St. Mary, Dorking, Surrey RH5 6NT, UK
| | - T. Sakamoto
- Department of Physics and Mathematics, Aoyama Gakuin University, 5-10-1 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa 252-5258, Japan
| | - M. Serino
- Coordinated Space Observation and Experiment Research Group, RIKEN, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - F. Virgili
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - B.-B. Zhang
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - S. Barthelmy
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - A. Beardmore
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - M. G. Bernardini
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - D. Bersier
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - D. Burrows
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - G. Calderone
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
- Dipartimento di Fisica “G. Occhialini,” Università di Milano-Bicocca, Piazza della Scienza 3, I-20126 Milano, Italy
| | - M. Capalbi
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - J. Chiang
- W. W. Hansen Experimental Physics Laboratory, Kavli Institute for Particle Astrophysics and Cosmology, Department of Physics, and SLAC National Accelerator Laboratory, Stanford University, Stanford, CA 94305, USA
| | - P. D’Avanzo
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - V. D’Elia
- INAF/Rome Astronomical Observatory, via Frascati 33, 00040 Monteporzio Catone (Roma), Italy
- Agenzia Spaziale Italiana (ASI) Science Data Centre, Via Galileo Galilei, 00044 Frascati (Roma), Italy
| | - M. De Pasquale
- Mullard Space Science Laboratory, University College London, Holmbury St. Mary, Dorking, Surrey RH5 6NT, UK
| | - D. Fugazza
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
| | - N. Gehrels
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - A. Gomboc
- Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19 1000, Ljubljana, Slovenia
- Centre of Excellence Space-si, Askerceva cesta 12, 1000 Ljubljana, Slovenia
| | - R. Harrison
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - H. Hanayama
- Ishigakijima Astronomical Observatory, National Astronomical Observatory of Japan, 1024-1 Arakawa, Ishigaki, Okinawa 907-0024, Japan
| | - J. Japelj
- Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19 1000, Ljubljana, Slovenia
| | - J. Kennea
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - D. Kopac
- Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19 1000, Ljubljana, Slovenia
| | - C. Kouveliotou
- Space Science Office, VP62, NASA/Marshall Space Flight Center, Huntsville, AL 35812, USA
| | - D. Kuroda
- Okayama Astrophysical Observatory, National Astronomical Observatory of Japan, 3037-5 Honjo, Kamogata, Asaguchi, Okayama 719-0232
| | - A. Levan
- Department of Physics, University of Warwick, Coventry CV4 7AL, UK
| | - D. Malesani
- Dark Cosmology Centre (DARK), Niels Bohr Institute, University of Copenhagen, Juliane Maries Vej 30, 2100 Copenhagen, Denmark
| | - F. Marshall
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - J. Nousek
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - P. O’Brien
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - J. P. Osborne
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - C. Pagani
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - K. L. Page
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - M. Page
- Mullard Space Science Laboratory, University College London, Holmbury St. Mary, Dorking, Surrey RH5 6NT, UK
| | - M. Perri
- INAF/Rome Astronomical Observatory, via Frascati 33, 00040 Monteporzio Catone (Roma), Italy
- Agenzia Spaziale Italiana (ASI) Science Data Centre, Via Galileo Galilei, 00044 Frascati (Roma), Italy
| | - T. Pritchard
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - P. Romano
- Istituto Nazionale di Astrofisica (INAF)–Istituto di Astrofisica Spaziale e Fisica Cosmica (IASF) Palermo, Via Ugo La Malfa 153 I-90146 Palermo, Italy
| | - Y. Saito
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
| | - B. Sbarufatti
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
- Department of Astronomy and Astrophysics, Pennsylvania State University, 525 Davey Lab, University Park, PA 16802, USA
| | - R. Salvaterra
- INAF-IASF Milano, via E. Bassini 15, I-20133 Milano, Italy
| | - I. Steele
- Astrophysics Research Institute, Liverpool John Moores University, Liverpool Science Park, 146 Brownlow Hill, Liverpool L3 5RF, UK
| | - N. Tanvir
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - G. Vianello
- W. W. Hansen Experimental Physics Laboratory, Kavli Institute for Particle Astrophysics and Cosmology, Department of Physics, and SLAC National Accelerator Laboratory, Stanford University, Stanford, CA 94305, USA
| | - B. Wiegand
- NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
| | - K. Wiersema
- Department of Physics and Astronomy, University of Leicester, Leicester, LE1 7RH, UK
| | - Y. Yatsu
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
| | - T. Yoshii
- Department of Physics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo 152-8551, Japan
| | - G. Tagliaferri
- INAF–Osservatorio Astronomico di Brera, via E. Bianchi 46, I-23807 Merate, Italy
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Feischl M, Page M, Praetorius D. Convergence and quasi-optimality of adaptive FEM with inhomogeneous Dirichlet data. J Comput Appl Math 2014; 255:481-501. [PMID: 24391306 PMCID: PMC3798050 DOI: 10.1016/j.cam.2013.06.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2011] [Revised: 02/01/2013] [Indexed: 05/31/2023]
Abstract
We consider the solution of a second order elliptic PDE with inhomogeneous Dirichlet data by means of adaptive lowest-order FEM. As is usually done in practice, the given Dirichlet data are discretized by nodal interpolation. As model example serves the Poisson equation with mixed Dirichlet-Neumann boundary conditions. For error estimation, we use an edge-based residual error estimator which replaces the volume residual contributions by edge oscillations. For 2D, we prove convergence of the adaptive algorithm even with optimal convergence rate. For 2D and 3D, we show convergence if the nodal interpolation operator is replaced by the [Formula: see text]-projection or the Scott-Zhang quasi-interpolation operator. As a byproduct of the proof, we show that the Scott-Zhang operator converges pointwise to a limiting operator as the mesh is locally refined. This property might be of independent interest besides the current application. Finally, numerical experiments conclude the work.
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Affiliation(s)
| | | | - D. Praetorius
- Institute for Analysis and Scientific Computing, Vienna University of Technology, Wiedner Hauptstraße 8-10, A-1040 Wien, Austria
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Tempel MB, Pearson EG, Page M, Pollock D, Gilmore-Lynch K, Peche W, Sklow B, Snyder M. Survey of patient satisfaction after Doppler-guided transanal hemorrhoidal dearterialization performed in ambulatory settings. Tech Coloproctol 2013; 18:607-10. [PMID: 24352923 DOI: 10.1007/s10151-013-1104-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [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: 05/22/2013] [Accepted: 12/02/2013] [Indexed: 10/25/2022]
Abstract
BACKGROUND Transanal hemorrhoidal dearterialization (THD) is a recently developed procedure to minimize postoperative pain from hemorrhoidectomy. This technique utilizes Doppler signals to aid ligation of hemorrhoidal arteries followed by mucopexy of redundant mucosa if needed. The aim of the present study was to assess patient satisfaction after THD. METHODS This is a retrospective cohort study of patients who underwent THD at three different sites from April 2007 through October 2010. All procedures were performed in ambulatory settings according to protocol. Telephone surveys were conducted after a minimum of 1-month follow-up to assess patients' satisfaction on a scale of 1-10. Patients were asked whether the procedure had alleviated their symptoms. Patients were asked to recall duration of pain and time from surgery to return to work. RESULTS Between April 2007 and October 2010, 216 patients with grade III-IV hemorrhoids underwent THD. There were 165 males and 61 females. Average age was 52.2 ± 14.2 years. All patients were discharged the same day after meeting ambulatory surgery center discharge criteria. Postoperative difficulty urinating occurred in 37 (17 %) patients, and six of them required temporary urinary catheterization. Transitory postoperative bleeding was reported by 38 (18 %) patients. Transitory incontinence to stool and flatus occurred in 18 (9 %) and 16 patients (8 %), respectively. Pelvic muscle spasms occurred in 21 (10 %) patients. Median follow-up was 23 months (range 1-42 months) with 143 (66 %) having at least 9 months between procedure and interview. Mean patient satisfaction was 8.5 ± 0.7 (on a scale of 1-10 with 10 being the best), and 91.5 % of patients felt the procedure had "helped" them. Average number of days with discomfort was 6.7 ± 2.1. Patients returned to work after an average of 10.3 ± 3.2 days. Our study is limited by lack of long-term follow-up and by retrospective complication assessment. CONCLUSIONS Patient satisfaction with THD performed in ambulatory settings is high. Our data support performance of this procedure in an ambulatory setting.
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Affiliation(s)
- M B Tempel
- Colon and Rectal Clinic of Houston, Houston, TX, USA,
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Acquaye AA, Vera-Bolanos E, Gilbert MR, Armstrong TS, Lin L, Amidei C, Lovely M, Arzbaecher J, Page M, Mogensen K, Lupica K, Maher ME, Armstrong TS, Won M, Wefel JS, Gilbert MR, Pugh S, Wendland MM, Brachman DG, Brown PD, Crocker IR, Robins HI, Lee RJ, Mehta M, Arvold N, Wang Y, Zigler C, Schrag D, Dominici F, Boele F, Douw L, de Groot M, van Thuijl H, Cleijne W, Heimans J, Taphoorn M, Reijneveld J, Klein M, Bunevicius A, Tamasauskas S, Tamasauskas A, Deltuva V, Bunevicius R, Cahill J, Lin L, Armstrong T, Acquaye A, Vera-Bolanos E, Gilbert M, Padhye N, Chan J, Clarke J, Lawton K, Rabbitt J, DeSilva A, Prados M, Rosen M, Cher L, Diamond E, Applebaum A, Corner G, DeRosa A, Breitbart W, DeAngelis L, Hoogendoorn P, Ikuta S, Muragaki Y, Maruyama T, Nitta M, Tamura M, Okamoto S, Iseki H, Okada Y, Lacouture M, Davis ME, Elzinga G, Butowski N, Tran D, Villano J, Wong E, Legge D, Cher L, Legge D, Cher L, Mills K, Lin L, Acquaye A, Vera-Bolanos E, Gilbert M, Armstrong T, Lovely M, Sullivan D, Mueller S, Fullerton H, Stratton K, Leisenring W, Armstrong G, Weathers R, Stovall M, Goldsby R, Sklar C, Robison L, Krull K, Pace A, Villani V, Focarelli S, Benincasa D, Benincasa A, Carapella CM, Pompili A, Peiffer AM, Burke A, Leyer CM, Shing E, Kearns WT, Hinson WH, Case D, Rapp SR, Shaw EG, Chan MD, Porensky E, Cavaliere R, Newton H, Shilds A, Burgess S, Ravelo A, Taylor F, Mazar I, Abrey L, Rooney A, Graham C, McKenzie H, Fraser M, MacKinnon M, McNamara S, Rampling R, Carson A, Grant R, Rooney A, Heimans L, Woltz S, Kerrigan S, McNamara S, Grant R, Seibl-Leven M, Wittenstein K, Rohn G, Goldbrunner R, Timmer M, Kennedy J, Sherman W, Sen-Gupta I, Garic I, Macken M, Gerard E, Raizer J, Schuele S, Grontoft M, Stragliotto G, Taphoorn MJ, Henriksson R, Bottomley A, Cloughesy T, Wick W, Mason W, Saran F, Nishikawa R, Ravelo A, Hilton M, Chinot OL, Trad W, Simpson T, Wright K, Tran T, Choong C, Barton M, Hovey E, Robinson K, Koh ES, Vera-Bolanos E, Acquaye AA, Brown PD, Chung C, Gilbert MR, Vardy J, Armstrong TS, Walbert T, Mendoza T, Vera-Bolanos E, Gilbert M, Acquaye A, Armstrong T, Walbert T, Glantz M, Schultz L, Puduvalli VK, Oudenhoven M, Farin C, Hoffman R, Armstrong T, Ewend M, Wu J. SYMPTOM MANAGEMENT/QUALITY OF LIFE. Neuro Oncol 2013; 15:iii226-iii234. [PMCID: PMC3823907 DOI: 10.1093/neuonc/not192] [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: 01/19/2024] Open
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Shriver L, Harrist A, Hubbs-Tait L, Page M, Topham G. “Mommy, Does This Make Me Look Fat?” Body Esteem and Parental Concern about Child Weight among 1st Grade Children. J Acad Nutr Diet 2013. [DOI: 10.1016/j.jand.2013.06.323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lumb S, Torbett N, Vendrell I, Turner H, Page M, Hales P, Maloney A, Vanhaesebroeck B, Cutillas P, Shock A. THU0045 Epratuzumab, an Antibody Targeting CD22 on B Cells, Induces Phosphoprotein Changes Following B-Cell Receptor Activation in Vitro. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.573] [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: 11/04/2022]
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Mckenzie A, Cranston A, Mallinder P, Papadopoulou N, Reece-Smith A, Onion D, Grabowska A, Page M, Kumari R. 167 In Vivo Generation of EGFRi Resistance in a Proprietary Patient-derived Xenograft with an Activating EGFR Mutation (L858R); Subsequent Validation in an Orthotopic Lung Model with 3D Optical Tomographic MicroCT Imaging. Eur J Cancer 2012. [DOI: 10.1016/s0959-8049(12)71965-2] [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: 11/28/2022]
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Almond N, Stebbings R, Page M, Li B, Berry N, Ham C, Ferguson D, Rose N, Mee E, Stahl-Hennig C, Dickson G, Athanasapoulos T, Benlahrech A, Herath S, Meiser A, Patterson S. Intra-dermal immunisation with SIV gag-based vaccines alone inhibits acquisition of SIVmac251. Retrovirology 2012. [PMCID: PMC3441788 DOI: 10.1186/1742-4690-9-s2-o49] [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: 12/04/2022] Open
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Abstract
Signet cell carcinomas of the colon are well documented in the adult population, but this cancer incidence is very low in the adolescent population. A 17 year old male child presented with one month of progressive abdominal pain. CT scan of the abdomen showed significant abnormality involving the ascending colon characterized as marked mural thickening. Biopsy results indicated signet ring cell carcinoma. Signet cell carcinoma is presumed to be caused by genetic mutations just like the other colorectal cancers. Treatment for signet cell carcinoma is the same as other colorectal cancer. Surgery is part of the standard management of patients with colon and rectal cancer stages I, II and III. Signet cell cancer has a poor survival with the median survival period of about 9 months. The incidence among adolescence is much lower than that of the adult population.
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Affiliation(s)
- J Marone
- Medical Director of Research, Harrisburg Hospital, Harrisburg, Pennsylvania, USA
| | - S Patel
- Medical Director of Research, Harrisburg Hospital, Harrisburg, Pennsylvania, USA
| | - M Page
- Medical Director of Research, Harrisburg Hospital, Harrisburg, Pennsylvania, USA
| | - P Cheriyath
- Medical Director of Research, Harrisburg Hospital, Harrisburg, Pennsylvania, USA
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Lamarche Y, Page M, Arora R. N025 Cardiac Arrest Following Cardiac Surgery: Hands on Simulation Session. Can J Cardiol 2012. [DOI: 10.1016/j.cjca.2012.07.771] [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: 10/27/2022] Open
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Devauchelle P, Page M, Brun P, Ber CE, Crozon J, Baillon JJ, Allaouchiche B, Rimmelé T. [Continuous haemodialysis with citrate anticoagulation in patients with liver failure: three cases]. ACTA ACUST UNITED AC 2012; 31:543-6. [PMID: 22465645 DOI: 10.1016/j.annfar.2012.01.036] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2011] [Accepted: 01/30/2012] [Indexed: 12/15/2022]
Abstract
Regional citrate anticoagulation for continuous renal replacement therapy provides an efficient alternative to heparin as it reduces the likelihood of haemorrhage in critically ill patients with bleeding risk or coagulopathy and increases the haemofilter survival time. Liver failure is a classic contraindication of regional citrate anticoagulation since it carries the risk of citrate accumulation and its metabolic complications, although it could be attractive for this population of patients with high bleeding risk. We report three cases of continuous haemodialysis with regional citrate anticoagulation performed in patients with severe acute liver failure, without accumulation in two cases and with a suspected beginning of accumulation in the third case. For these patients, close monitoring of the total-to-ionized calcium ratio, pH and anion gap is particularly essential to control the safety of citrate infusion. Increasing effluent flow rate eliminates more calcium-bound citrate and therefore limits citrate accumulation and its consequences.
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Affiliation(s)
- P Devauchelle
- Service d'anesthésie-réanimation, pavillon P réanimation, hôpital Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France
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Rimmelé T, Page M, Ber C, Christin F, Baillon J, Crozon J, Chapuis-Cellier C, Ecochard R, Allaouchiche B. Super high-flux continuous hemodialysis: an efficient compromise for blood purification in sepsis. Crit Care 2012. [PMCID: PMC3363795 DOI: 10.1186/cc10984] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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41
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Page M, Ekinci E, Burnett J, Cannell P, van Bockxmeer F, Southwell L, Gerace J, Tait T, O’Brien R, Watts G. LDL-Apheresis for the Treatment of Severe Autosomal Dominant Hypercholesterolaemia: The Australian Experience. Heart Lung Circ 2012. [DOI: 10.1016/j.hlc.2012.05.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Saxty G, Akkari R, Angibaud P, Arts J, Benderitter P, Berdini V, Bonnet P, Cleasby A, Embrechts W, Freyne E, Gilissen R, King P, Lacrampe J, Ligny Y, Madin A, Mcclue S, Mevellec L, Murray CW, Newell H, Page M, Papanikos A, Perera T, Querolle O, Rees DC, Rich SJ, Saalau-Bethell SM, Sement E, Simmonet Y, Squires M, Tronel V, Ward GA, Willems M, B W, Thompson NT. Abstract 1361: Fragment based drug discovery of selective inhibitors of Fibroblast Growth Factor Receptor (FGFR). Cancer Res 2011. [DOI: 10.1158/1538-7445.am2011-1361] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Recent data in a number of tumour types has implicated Fibroblast Growth Factor (FGF) and Fibroblast Growth Factor receptor (FGFR) signalling as being key to the molecular pathology of cancer.
A fragment screening campaign was conducted against the tyrosine kinase domain of FGFR1 to detect low molecular weight compounds that bound to the hinge region of the kinase. The screening produced several fragment inhibitors (molecular weight <250 Da) in the micromolar range and their binding modes were confirmed by X-ray crystallography. We selected an imidazo[1,2-a]pyridine fragment that was 120 uM versus FGFR3 in the kinase inhibition bioassay. Subsequently, in the fragments-to-leads stage a detailed structural understanding of the binding interactions between the fragment and its protein kinase target, using X-ray crystallography, led to the identification of a 0.003 uM inhibitor of FGFR3 in the kinase bioassay, with significant selectivity versus VEGFR2 and FLT3.
The poster will focus on the description of previously undescribed compounds bearing an imidazo[1,2-a]pyridine core scaffold where selectivity versus other protein kinases, for example FLT3, is obtained using the X-ray crystal structure and structure-based design. In summary we will illustrate how X-ray crystallography and fragment-based drug design (FBDD) can be used to discover compounds with activity in an FGFR driven xenograft model when dosed by the oral route.
Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 102nd Annual Meeting of the American Association for Cancer Research; 2011 Apr 2-6; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2011;71(8 Suppl):Abstract nr 1361. doi:10.1158/1538-7445.AM2011-1361
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Affiliation(s)
| | - R Akkari
- 2Janssen Oncology R&D, Beerse, Belgium
| | | | - J Arts
- 2Janssen Oncology R&D, Beerse, Belgium
| | | | - V Berdini
- 1Astex Therapeutics, Cambridge, United Kingdom
| | - P Bonnet
- 2Janssen Oncology R&D, Beerse, Belgium
| | - A Cleasby
- 1Astex Therapeutics, Cambridge, United Kingdom
| | | | - E Freyne
- 2Janssen Oncology R&D, Beerse, Belgium
| | | | - P King
- 2Janssen Oncology R&D, Beerse, Belgium
| | | | - Y Ligny
- 2Janssen Oncology R&D, Beerse, Belgium
| | - A Madin
- 1Astex Therapeutics, Cambridge, United Kingdom
| | - S Mcclue
- 2Janssen Oncology R&D, Beerse, Belgium
| | | | - C W. Murray
- 1Astex Therapeutics, Cambridge, United Kingdom
| | - H Newell
- 3Northern Institute for Cancer Research, Newcastle, United Kingdom
| | - M Page
- 2Janssen Oncology R&D, Beerse, Belgium
| | | | - T Perera
- 2Janssen Oncology R&D, Beerse, Belgium
| | | | - D C. Rees
- 1Astex Therapeutics, Cambridge, United Kingdom
| | - S J. Rich
- 1Astex Therapeutics, Cambridge, United Kingdom
| | | | - E Sement
- 2Janssen Oncology R&D, Beerse, Belgium
| | | | - M Squires
- 1Astex Therapeutics, Cambridge, United Kingdom
| | - V Tronel
- 2Janssen Oncology R&D, Beerse, Belgium
| | - G A. Ward
- 1Astex Therapeutics, Cambridge, United Kingdom
| | - M Willems
- 2Janssen Oncology R&D, Beerse, Belgium
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Thomas A, Beauchamp B, Chakraborty B, Page M, Khanum S, Gallagher E, Banerjee D, Mukherjee R. P158 The strength of association between the risk of endotracheal intubation and initial arterial blood (ABG) pH in patients presenting with acute hypercapnic respiratory failure (AHRF) treated with non-invasive ventilation (NIV). Thorax 2010. [DOI: 10.1136/thx.2010.151043.9] [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: 11/03/2022]
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Kumari R, Argent R, Onion D, Clarke P, Watson S, King P, Page M. 272 Humanisation of xenograft models to optimally assess the c-Met: HGF paracrine axis. EJC Suppl 2010. [DOI: 10.1016/s1359-6349(10)71979-0] [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] Open
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Yin Y, Kumari J, Watson S, Grabowska A, Hall B, Page M, King P. 560 In vivo pharmaceutical targets screening using lentiviral inducible-knockdown shRNA system. EJC Suppl 2010. [DOI: 10.1016/s1359-6349(10)72267-9] [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: 11/28/2022] Open
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Argent R, Kumari R, Clarke P, Onion D, Lobo D, Watson S, Grabowska A, King P, Hall B, Page M. 485 Restoration of paracrine signalling within the tumour microenvironment increases tumour growth and activation of c-Met. EJC Suppl 2010. [DOI: 10.1016/s1359-6349(10)72192-3] [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] Open
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Lucas MR, Armstrong TS, Acquaye A, Balachandran D, Mahajan A, Kang DH, Vera-Bolanos E, Gilbert MR, Lovely MP, Page M, Mogensen K, Arzbaecher J, Amidei C, Lupica K, Maher ME, Sherwood P, Kagan S, Sizoo EM, Pasman HRW, Reijneveld JC, Heimans JJ, Deliens L, Taphoorn MJ, Sheth R, Bagan BT, Baig MN, Karas C, Jacobs DI, Grimm SA, Rademaker A, Rice L, Chandler JP, Muro K, Marymount M, Helenowski IB, Wagner LI, Bennett CL, Raizer JJ, Evans A, Dhall G, Finlay J, Wong K, McComb G, Soffietti R, Mueller RP, Abacioglu U, Villa S, Fauchon F, Baumert B, Fariselli L, Tridello G, Kocher M, Bottomley A, Pendleton C, Adams H, Jallo GI, Carson BS, Ahn E, Quinones-Hinojosa A, Acquaye AA, Vera-Bolanos E, Armstrong TS, Bekele BN, Gilbert MR, Jacobs DI, Grimm SA, Rademaker A, Rice L, Chandler J, Muro K, Marymount M, Helenowski IB, Wagner LI, Raizer JJ, Nestor V, Fink K, Nashed M, Linskey M, Bota DA, Hoeben W, Hilverda K, Heimans JJ, Taphoorn MJ, Postma TJ, Buter J, Lenting J, Collette EH, Reijneveld JC, Klein M, van Nieuwenhuizen D, Bosscher L, Szymanska E, Heimans JJ, Peerdeman SM, Klein M, Reijneveld JC, van Nieuwenhuizen D, Erdmann T, Heimans JJ, Reijneveld JC, Peerdeman SM, Klein M, Lawrence Recht SN, Armstrong T, Vera-Bolanos E, Gning I, Acquaye A, Gilbert MR, Cleeland C, Mendoza TR, Jouniaux-Delbez N, Delattre JY, du Montcel ST, Butowski N, Parvataneni R, Nicole A, Lamborn K, Polley M, Clarke J, Chang S, Page M, Prados M, Liepa A, Shi P, Thornton D, Kahlenberg CA, Fadul CE, Scott R, Roberts DW, Thadani V, Bujarski K, Lallana EC, Jobst BC, Walker JG, Schultz D, Grisdale K, Groves MD, Peters KB, Reardon DA, Vredenburgh JJ, Desjardins A, Friedman HS, Allen DH, Carlson B, Neelon V, Giovanello K, Carlson J, Raynor R, Desjardins A, Rice L, Lall R, Ha S, Marymont M, Grimm S, Raizer J, Chandler J, Muro K, Keir ST. Quality of Life. Neuro Oncol 2010. [DOI: 10.1093/neuonc/noq116.s14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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de Pril R, Lekkerkerker A, Frische E, van Steenhoven D, Maghrani I, Perera T, Arts J, Page M, Fischer D, Janssen R. 366 Screen for inhibitors of cell migration in cancer metastasis using adenoviral knock-down. EJC Suppl 2010. [DOI: 10.1016/s1359-6349(10)71167-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Butowski NA, Lamborn K, Polley MC, Clarke JL, Nicole A, Page M, Nicol S, Thornton D, Chang SM, Prados M. Phase II and pharmacogenomics study of enzastaurin plus temozolomide and radiation in patients with GBM. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.2050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Mee ET, Berry N, Ham C, Aubertin A, Lines J, Hall J, Stebbings R, Page M, Almond N, Rose NJ. Mhc haplotype M3 is associated with early control of SHIVsbg infection in Mauritian cynomolgus macaques. ACTA ACUST UNITED AC 2010; 76:223-9. [DOI: 10.1111/j.1399-0039.2010.01500.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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