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Soos BL, Ballinger A, Weinstein M, Foreman H, Grampone J, Weafer S, Aylesworth C, King BL. Color-Flu Fluorescent Reporter Influenza A Viruses Allow for In Vivo Studies of Innate Immune Function in Zebrafish. Viruses 2024; 16:155. [PMID: 38275965 PMCID: PMC10818453 DOI: 10.3390/v16010155] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 01/02/2024] [Accepted: 01/05/2024] [Indexed: 01/27/2024] Open
Abstract
Influenza virus infection can cause severe respiratory disease and is estimated to cause millions of illnesses annually. Studies on the contribution of the innate immune response to influenza A virus (IAV) to viral pathogenesis may yield new antiviral strategies. Zebrafish larvae are useful models for studying the innate immune response to pathogens, including IAV, in vivo. Here, we demonstrate how Color-flu, four fluorescent IAV strains originally developed for mice, can be used to study the host response to infection by simultaneously monitoring infected cells, neutrophils, and macrophages in vivo. Using this model, we show how the angiotensin-converting enzyme inhibitor, ramipril, and mitophagy inhibitor, MDIVI-1, improved survival, decreased viral burden, and improved the respiratory burst response to IAV infection. The Color-flu zebrafish larvae model of IAV infection is complementary to other models where the dynamics of infection and the response of innate immune cells can be visualized in a transparent host in vivo.
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Affiliation(s)
- Brandy-Lee Soos
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, ME 04469, USA; (B.-L.S.); (A.B.); (M.W.); (H.F.); (J.G.); (S.W.); (C.A.)
| | - Alec Ballinger
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, ME 04469, USA; (B.-L.S.); (A.B.); (M.W.); (H.F.); (J.G.); (S.W.); (C.A.)
| | - Mykayla Weinstein
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, ME 04469, USA; (B.-L.S.); (A.B.); (M.W.); (H.F.); (J.G.); (S.W.); (C.A.)
| | - Haley Foreman
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, ME 04469, USA; (B.-L.S.); (A.B.); (M.W.); (H.F.); (J.G.); (S.W.); (C.A.)
| | - Julianna Grampone
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, ME 04469, USA; (B.-L.S.); (A.B.); (M.W.); (H.F.); (J.G.); (S.W.); (C.A.)
| | - Samuel Weafer
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, ME 04469, USA; (B.-L.S.); (A.B.); (M.W.); (H.F.); (J.G.); (S.W.); (C.A.)
| | - Connor Aylesworth
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, ME 04469, USA; (B.-L.S.); (A.B.); (M.W.); (H.F.); (J.G.); (S.W.); (C.A.)
| | - Benjamin L. King
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, ME 04469, USA; (B.-L.S.); (A.B.); (M.W.); (H.F.); (J.G.); (S.W.); (C.A.)
- Graduate School of Biomedical Science and Engineering, University of Maine, Orono, ME 04469, USA
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Soos BL, Ballinger A, Weinstein M, Foreman H, Grampone J, Weafer S, Aylesworth C, King BL. Multi-spectral Fluorescent Reporter Influenza A Viruses Allow for in vivo Studies of Innate Immune Function in Zebrafish. bioRxiv 2023:2023.10.31.564888. [PMID: 37961402 PMCID: PMC10634972 DOI: 10.1101/2023.10.31.564888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2023]
Abstract
Influenza virus infection can cause severe respiratory disease and is estimated to cause millions of illnesses annually. Studies of the contribution of the innate immune response to influenza A virus (IAV) to viral pathogenesis may yield new antiviral strategies. Zebrafish larvae are useful models to study the innate immune response to pathogens, including IAV, in vivo. Here, we demonstrate how Color-flu, four fluorescent IAV strains originally developed for mice, can be used to study host-virus interactions by simultaneously monitoring virus particles, neutrophils, and macrophages in vivo. Using this model, we show how the angiotensin-converting enzyme inhibitor, ramipril, and mitophagy inhibitor, MDIVI-1, improved survival, decreased viral burden, and improved the respiratory burst response to IAV infection. The Color-flu zebrafish model of IAV infection is complementary to other models as it is the only model where interactions between virus particles and host cells in an intact vertebrate can be visualized in vivo.
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Affiliation(s)
- Brandy-Lee Soos
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, Maine, USA
| | - Alec Ballinger
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, Maine, USA
| | - Mykayla Weinstein
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, Maine, USA
| | - Haley Foreman
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, Maine, USA
| | - Julianna Grampone
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, Maine, USA
| | - Samuel Weafer
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, Maine, USA
| | - Connor Aylesworth
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, Maine, USA
| | - Benjamin L King
- Department of Molecular and Biomedical Sciences, University of Maine, Orono, Maine, USA
- Graduate School of Biomedical Science and Engineering, University of Maine, Orono, Maine, USA
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Ma R, Lopez Jr. V, Victoria C, Weinstein M, Youseff M, Adieb M, Allen A. The Incidence and Nature of Ankle Injuries in U.S. Rugby-7s. J Sci Med Sport 2019. [DOI: 10.1016/j.jsams.2019.08.273] [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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Lopez Jr V, Victoria C, Ompad D, Ma R, Weinstein M, Cantu R, Allen A. Are playing differences between men and women risk factors for head, neck & face injuries in U.S. rugby-7s? J Sci Med Sport 2019. [DOI: 10.1016/j.jsams.2019.08.186] [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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Lixon A, Pillai M, Abdulfattah O, Weinstein M. 1076 CPAP And Bilateral Periorbital Edema: A Case Report. Sleep 2019. [DOI: 10.1093/sleep/zsz069.1073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- A Lixon
- NYU Winthrop University Hospital Sleep Medicine Fellowship Program, Mineola, NY
| | - M Pillai
- NYU Winthrop University Hospital Sleep Medicine Fellowship Program, Mineola, NY
| | - O Abdulfattah
- NYU Winthrop University Hospital Sleep Medicine Fellowship Program, Mineola, NY
| | - M Weinstein
- NYU Winthrop University Hospital Sleep Medicine Fellowship Program, Mineola, NY
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Ryan SF, Adamson NL, Aktipis A, Andersen LK, Austin R, Barnes L, Beasley MR, Bedell KD, Briggs S, Chapman B, Cooper CB, Corn JO, Creamer NG, Delborne JA, Domenico P, Driscoll E, Goodwin J, Hjarding A, Hulbert JM, Isard S, Just MG, Kar Gupta K, López-Uribe MM, O'Sullivan J, Landis EA, Madden AA, McKenney EA, Nichols LM, Reading BJ, Russell S, Sengupta N, Shapiro LR, Shell LK, Sheard JK, Shoemaker DD, Sorger DM, Starling C, Thakur S, Vatsavai RR, Weinstein M, Winfrey P, Dunn RR. The role of citizen science in addressing grand challenges in food and agriculture research. Proc Biol Sci 2018; 285:20181977. [PMID: 30464064 PMCID: PMC6253361 DOI: 10.1098/rspb.2018.1977] [Citation(s) in RCA: 66] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Accepted: 10/30/2018] [Indexed: 11/12/2022] Open
Abstract
The power of citizen science to contribute to both science and society is gaining increased recognition, particularly in physics and biology. Although there is a long history of public engagement in agriculture and food science, the term 'citizen science' has rarely been applied to these efforts. Similarly, in the emerging field of citizen science, most new citizen science projects do not focus on food or agriculture. Here, we convened thought leaders from a broad range of fields related to citizen science, agriculture, and food science to highlight key opportunities for bridging these overlapping yet disconnected communities/fields and identify ways to leverage their respective strengths. Specifically, we show that (i) citizen science projects are addressing many grand challenges facing our food systems, as outlined by the United States National Institute of Food and Agriculture, as well as broader Sustainable Development Goals set by the United Nations Development Programme, (ii) there exist emerging opportunities and unique challenges for citizen science in agriculture/food research, and (iii) the greatest opportunities for the development of citizen science projects in agriculture and food science will be gained by using the existing infrastructure and tools of Extension programmes and through the engagement of urban communities. Further, we argue there is no better time to foster greater collaboration between these fields given the trend of shrinking Extension programmes, the increasing need to apply innovative solutions to address rising demands on agricultural systems, and the exponential growth of the field of citizen science.
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Affiliation(s)
- S F Ryan
- Department of Applied Ecology, NC State Extension, Raleigh, NC, USA
- Department of Entomology and Plant Pathology, University of Tennessee, Knoxville, TN, USA
| | - N L Adamson
- Xerces Society for Invertebrate Conservation/USDA NRCS ENTSC, Greensboro, NC, USA
| | - A Aktipis
- Department of Psychology, Arizona State University, Tempe, AZ, USA
| | - L K Andersen
- Department of Applied Ecology, NC State Extension, Raleigh, NC, USA
| | - R Austin
- Department of Crop and Soil Sciences, NC State Extension, Raleigh, NC, USA
| | - L Barnes
- Lincoln Heights Environmental Connections Magnet Elementary School, Fuquay-Varina, NC, USA
| | - M R Beasley
- Knightdale High School of Collaborative Design, Knightdale, NC, USA
| | - K D Bedell
- School of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - S Briggs
- NC Plant Sciences Initiative, College of Agriculture and Life Sciences, NC State Extension, Raleigh, NC, USA
| | - B Chapman
- Department of Agricultural and Human Sciences, NC State Extension, Raleigh, NC, USA
| | - C B Cooper
- Department of Forestry and Environmental Resources, NC State Extension, Raleigh, NC, USA
| | - J O Corn
- William and Ida Friday Institute for Educational Innovation, NC State Extension, Raleigh, NC, USA
| | - N G Creamer
- Department of Horticultural Science, NC State Extension, Raleigh, NC, USA
| | - J A Delborne
- Department of Forestry and Environmental Resources, NC State Extension, Raleigh, NC, USA
| | - P Domenico
- Curriculum Enhancement Programs at Wake County Public School System, Cary, NC, USA
| | - E Driscoll
- Department of Horticultural Science, NC State Extension, Raleigh, NC, USA
| | - J Goodwin
- Department of Communication, NC State Extension, Raleigh, NC, USA
| | - A Hjarding
- North Carolina Wildlife Federation, Charlotte, NC, USA
- The University of North Carolina at Charlotte, Charlotte, NC, USA
| | - J M Hulbert
- Forestry and Agricultural Biotechnology Institute, University of Pretoria, Pretoria, South Africa
| | - S Isard
- Department of Plant Pathology and Environmental Microbiology, Pennsylvania State University, State College, PA, USA
- Department of Meteorology and Atmospheric Sciences, Pennsylvania State University, State College, PA, USA
| | - M G Just
- Department of Entomology and Plant Pathology, NC State Extension, Raleigh, NC, USA
| | - K Kar Gupta
- Biodiversity Lab, North Carolina Museum of Natural Sciences, Raleigh, NC, USA
| | - M M López-Uribe
- Department of Entomology, Center for Pollinator Research, Pennsylvania State University, State College, PA, USA
| | - J O'Sullivan
- Center for Environmental Farming Systems, North Carolina A&T State University, Greensboro, NC, USA
| | - E A Landis
- Department of Biology, Tufts University, Medford, MA, USA
| | - A A Madden
- Department of Applied Ecology, NC State Extension, Raleigh, NC, USA
| | - E A McKenney
- Department of Applied Ecology, NC State Extension, Raleigh, NC, USA
- Research and Collections, North Carolina Museum of Natural Sciences, Raleigh, NC, USA
| | - L M Nichols
- Department of Applied Ecology, NC State Extension, Raleigh, NC, USA
| | - B J Reading
- Department of Applied Ecology, NC State Extension, Raleigh, NC, USA
| | - S Russell
- Millbrook Environmental Connections Magnet Elementary School, Raleigh, NC, USA
| | - N Sengupta
- Consultant - Biodiversity Conservation & Sustainable Development, Auroville, Tamil Nadu, India
| | - L R Shapiro
- Department of Applied Ecology, NC State Extension, Raleigh, NC, USA
| | - L K Shell
- Research and Collections, North Carolina Museum of Natural Sciences, Raleigh, NC, USA
| | - J K Sheard
- Center for Macroecology, Evolution and Climate, Natural History Museum of Denmark, Copenhagen University, Copenhagen, Denmark
| | - D D Shoemaker
- Department of Entomology and Plant Pathology, University of Tennessee, Knoxville, TN, USA
| | - D M Sorger
- Department of Applied Ecology, NC State Extension, Raleigh, NC, USA
- Research and Collections, North Carolina Museum of Natural Sciences, Raleigh, NC, USA
| | - C Starling
- Heritage High School, Wake Forest, NC, USA
| | - S Thakur
- College of Veterinary Medicine, NC State Extension, Raleigh, NC, USA
| | - R R Vatsavai
- Department of Computer Science, NC State Extension, Raleigh, NC, USA
| | - M Weinstein
- Evaluation and Accountability Coordinator Extension Administration, NC State Extension, Raleigh, NC, USA
| | - P Winfrey
- Arizona State University Biodesign Institute, Tempe, AZ, USA
| | - R R Dunn
- Department of Applied Ecology, NC State Extension, Raleigh, NC, USA
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Lopez V, Ma R, Weinstein M, Hume P, Cantu R, Victoria C, Haleem S, Delallo J, Allen A. Contact risk factors in United States men's Rugby-7s tournaments. J Sci Med Sport 2018. [DOI: 10.1016/j.jsams.2018.09.147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Ma R, Lopez V, Victoria C, Weinstein M, Hume P, Cantu R, Haleem S, Deallo J, Allen A. Risk factors of contact injuries among U.S. women Rugby sevens. J Sci Med Sport 2018. [DOI: 10.1016/j.jsams.2018.09.145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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9
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Marwaha A, Malach J, Shugar A, Hedges S, Weinstein M, Parkin PC, Pope E, Lara-Corrales I, Kannu P. Genotype-phenotype data from a case series of patients with mosaic neurofibromatosis type 1. Br J Dermatol 2018; 179:1216-1217. [PMID: 29957862 DOI: 10.1111/bjd.16929] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- A Marwaha
- Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G1X8, Canada
| | - J Malach
- Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G1X8, Canada
| | - A Shugar
- Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G1X8, Canada
| | - S Hedges
- Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G1X8, Canada
| | - M Weinstein
- Division of Pediatric Medicine, Department of Pediatrics, University of Toronto Faculty of Medicine, Toronto, ON, Canada
| | - P C Parkin
- Division of Pediatric Medicine, Department of Pediatrics, University of Toronto Faculty of Medicine, Toronto, ON, Canada
| | - E Pope
- Section of Dermatology, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G1X8, Canada
| | - I Lara-Corrales
- Section of Dermatology, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G1X8, Canada
| | - P Kannu
- Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G1X8, Canada
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Lopez V, Ma R, Weinstein M, Hume P, Cantu R, Victoria C, Queler S, Pierre D, Allen A. Injury rates of U.S. rugby-7s an Olympic collision sport: Using a novel injury surveillance tool the RISE report methodology. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2017.09.321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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11
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Lopez V, Ma R, Weinstein M, Hume P, Cantu R, Victoria C, Pandit K, Mettry M, Allen A. Rugby-7s concussion incidence in the United States of America. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2017.09.320] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Alagheband S, Valestra P, Quintos L, Tse A, Weinstein M. 0486 PROCESS IMPROVEMENT INITIATIVE TO INCREASE RECOGNITION OF OBSTRUCTIVE SLEEP APNEA (OSA) IN THE PRIMARY CARE SETTING. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.485] [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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Shomali M, Cheng J, Koundinya M, Weinstein M, Malkova N, Sun F, Hebert A, Cindachao M, Hoffman D, McManus J, Levit M, Pollard J, Vincent S, Besret L, Adrian F, Winter C, El-Ahmad Y, Halley F, Hsu K, Lager J, Garcia-Echeverria C, Bouaboula M. Abstract P3-04-05: Identification of SAR439859, an orally bioavailable selective estrogen receptor degrader (SERD) that has strong antitumor activity in wild-type and mutant ER+ breast cancer models. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p3-04-05] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Estrogen receptor positive (ER+) breast cancer accounts for 70% of all breast cancers and is primarily treated with endocrine therapy. Approximately 40% of patients on endocrine therapy will become resistant via a number of mechanisms. There is evidence that in many cases ER continues to play a central role, including mutations in ER leading to a constitutively active receptor. Estrogen receptor degraders like fulvestrant are effective in shutting down ER signaling; however, poor pharmaceutical properties limit fulvestrant clinical activity and prevent it from achieving maximum receptor blockade.
We describe the discovery of SAR439859, a novel, orally bioavailable SERD that is a potent antagonist and degrader of ER both in vitro and in vivo. SAR439859 has robust activity in multiple ER+ breast cancer cell lines including cells that are resistant to tamoxifen as well as cell lines harboring ER mutants. Across a large panel of ER+ cells, SAR439859 demonstrated broad and superior ER degradation activity than most SERDs undergoing clinical testing. This leads to a profound inhibition of ER signaling, better inhibition of cell growth and results in improved in vivo efficacy. SAR439859 demonstrated tumor regression in all ER+ BC models including MCF7-ESR1 mutant-Y537S model, as well as patient-derived xenograft model that is resistant to endocrine therapies. Furthermore, SAR439859 displays limited cross-resistance with other class of SERDs.
Taken together, these results suggest that SAR439859 would be of therapeutic benefit in metastatic BC setting for patients harboring wild type or mutant ER. SAR439859 is being advanced toward the clinic.
Citation Format: Shomali M, Cheng J, Koundinya M, Weinstein M, Malkova N, Sun F, Hebert A, Cindachao M, Hoffman D, McManus J, Levit M, Pollard J, Vincent S, Besret L, Adrian F, Winter C, El-Ahmad Y, Halley F, Hsu K, Lager J, Garcia-Echeverria C, Bouaboula M. Identification of SAR439859, an orally bioavailable selective estrogen receptor degrader (SERD) that has strong antitumor activity in wild-type and mutant ER+ breast cancer models [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P3-04-05.
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Affiliation(s)
- M Shomali
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - J Cheng
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - M Koundinya
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - M Weinstein
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - N Malkova
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - F Sun
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - A Hebert
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - M Cindachao
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - D Hoffman
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - J McManus
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - M Levit
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - J Pollard
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - S Vincent
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - L Besret
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - F Adrian
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - C Winter
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - Y El-Ahmad
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - F Halley
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - K Hsu
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | - J Lager
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
| | | | - M Bouaboula
- Sanofi, Cambridge, MA; Sanofi, Vitry-Sur-Seine, France
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15
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Nag S, Tan M, Weinstein M. Parental Use of Sun Protection for Their Children – Does Skin Colour Matter? Paediatr Child Health 2016. [DOI: 10.1093/pch/21.supp5.e64b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
BACKGROUND: Excessive sun exposure during childhood years is a known risk factor for skin cancer. Fifty percent of lifetime UV exposure is acquired by age 19, highlighting the potential for prevention strategies in childhood. Existing guidelines from established pediatric, dermatology and cancer prevention societies are general and not specific to any skin phototype.
OBJECTIVES: Our primary objective was to compare the frequency of adequate sun protection used by parents of children with different skin phototypes. Our secondary objective was to explore parental attitudes and beliefs on sun safety for their children.
DESIGN/METHODS: Parents of children between the ages of 6 months to 6 years were systematically recruited. Parents received self-administered questionnaires containing 40-items that examine the amount of sun protection parents used on their children, as well as their attitudes and beliefs about sun safety. Parents were also requested to self-assess their child’s Fitzpatrick Phototype (FP), and based on this response, they were divided into two groups: “lighter-skinned” (FP I-III) and “darker-skinned” (FP IV-VI). Guidelines from the Canadian Dermatology Association (CDA) on sun safety were used to quantify adequate sun protection.
RESULTS: A total of 183 parents completed the questionnaires, and 150 eligible parents (the first 25 of each FP) were included in the study. Overall, only 17% of parents used adequate sun protection for their children. Parents of lighter-skinned children were significantly more likely to use adequate sun protection (OR=17.0). As their child got older, parents were also significantly less likely to use adequate sun protection for them (OR=0.64). A significantly larger portion of parents of lighter-skin children believe that sun exposure was harmful (OR=14.2) and perceived more value in sun protection (OR=14.2), whereas parents of darker-skin children were significantly more likely to believe that darker skin tones provided more sun protection (OR=4.1).
CONCLUSION: Our study suggests that parental sun protection efforts were overall low, but especially in parents of darker-skinned children. The identified underlying attitudes and beliefs can aid in the design and delivery of sun protection interventions in the future, to ensure sun safety for all children, especially in a multiracial population.
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Foust-Wright C, Wakamatsu M, Johnson A, Weinstein M, Pulliam S. 9: Decreasing length of stay for vaginal hysterectomy through quality improvement cycle. Am J Obstet Gynecol 2016. [DOI: 10.1016/j.ajog.2016.01.039] [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]
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Jha NK, Shestopal SA, Gourley MJ, Woodle SA, Liang Y, Sarafanov AG, Weinstein M, Ovanesov MV. Optimization of the thrombin generation test components to measure potency of factor VIII concentrates. Haemophilia 2016; 22:780-9. [DOI: 10.1111/hae.12943] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2016] [Indexed: 02/06/2023]
Affiliation(s)
- N. K. Jha
- Office of Blood Research and Review Center for Biologics Evaluation and Research U.S. Food and Drug Administration Silver Spring MDUSA
- Department of Physics George Washington University Washington DC USA
| | - S. A. Shestopal
- Office of Blood Research and Review Center for Biologics Evaluation and Research U.S. Food and Drug Administration Silver Spring MDUSA
| | - M. J. Gourley
- Office of Blood Research and Review Center for Biologics Evaluation and Research U.S. Food and Drug Administration Silver Spring MDUSA
| | - S. A. Woodle
- Office of Blood Research and Review Center for Biologics Evaluation and Research U.S. Food and Drug Administration Silver Spring MDUSA
| | - Y. Liang
- Office of Blood Research and Review Center for Biologics Evaluation and Research U.S. Food and Drug Administration Silver Spring MDUSA
| | - A. G. Sarafanov
- Office of Blood Research and Review Center for Biologics Evaluation and Research U.S. Food and Drug Administration Silver Spring MDUSA
| | - M. Weinstein
- Office of Blood Research and Review Center for Biologics Evaluation and Research U.S. Food and Drug Administration Silver Spring MDUSA
| | - M. V. Ovanesov
- Office of Blood Research and Review Center for Biologics Evaluation and Research U.S. Food and Drug Administration Silver Spring MDUSA
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Shapira-Lichter I, Weinstein M, Lustgarten N, Ash E, Litinsky I, Aloush V, Anouk M, Caspi D, Hendler T, Paran D. Impaired diffusion tensor imaging findings in the corpus callosum and cingulum may underlie impaired learning and memory abilities in systemic lupus erythematosus. Lupus 2016; 25:1200-8. [PMID: 27000154 DOI: 10.1177/0961203316636471] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Accepted: 01/28/2016] [Indexed: 11/16/2022]
Abstract
BACKGROUND Memory impairment is prevalent in systemic lupus erythematosus (SLE); however, its pathogenesis is unknown. In a previous functional magnetic resonance imaging (fMRI) study we demonstrated altered brain activity dynamics and less brain deactivation in patients with SLE as compared with healthy controls, when performing a learning and memory task. Our findings localized this impairment to the default mode network (DMN), and particularly to its anterior medial prefrontal cortex node. In addition, altered networking of the hippocampal subsystem of the DMN was seen in patients with SLE when performing this task, as well as atrophy of the left hippocampus. The present study aimed to search for a structural substrate for the altered recruitment pattern observed in fMRI studies using diffusion tensor imaging (DTI). PATIENTS AND METHODS Using DTI, we characterized brain diffusivity in 10 patients with SLE and nine healthy controls. Two tracts associated with the DMN were reconstructed: the corpus callosum (CC) and the cingulum bundle. The CC was segmented according to the Witelson segmentation scheme and the cingulum was segmented into superior and descending bundles. RESULTS A significant increase in mean diffusivity (MD) was seen in patients with SLE without neuropsychiatric SLE (NPSLE) as compared with healthy controls in all five segments of the CC (segment 1: p = 0.043; segment 2: p = 0.005; segment 3: p = 0.003; segment 4: p = 0.012; segment 5: p = 0.023) as well as in the descending portion of the left cingulum bundle (p = 0.026). CONCLUSIONS Increased MD values in the CC and the left cingulum may indicate impaired organization/reduced integrity of these tracts, which may underlie the abnormal pattern of brain activity recruitment of the DMN observed during a verbal learning and memory task. Taking into account the central role of the left hippocampus in verbal memory, the abnormal integrity of the left cingulum may contribute to the reduced performance of patients with SLE on verbal memory tasks.
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Affiliation(s)
- I Shapira-Lichter
- Functional Brain Center, Wohl Institute for Advanced Imaging, Tel-Aviv Sourasky Medical Center, Israel Department of Neurology, Tel-Aviv Sourasky Medical Center, Israel
| | - M Weinstein
- Functional Brain Center, Wohl Institute for Advanced Imaging, Tel-Aviv Sourasky Medical Center, Israel
| | - N Lustgarten
- Functional Brain Center, Wohl Institute for Advanced Imaging, Tel-Aviv Sourasky Medical Center, Israel
| | - E Ash
- Department of Neurology, Tel-Aviv Sourasky Medical Center, Israel Center for Memory and Attention Disorders, Tel-Aviv Sourasky Medical Center, Israel Faculty of Medicine, Tel-Aviv University, Israel
| | - I Litinsky
- Faculty of Medicine, Tel-Aviv University, Israel Department of Rheumatology, Tel-Aviv Sourasky Medical Center, Israel
| | - V Aloush
- Faculty of Medicine, Tel-Aviv University, Israel Department of Rheumatology, Tel-Aviv Sourasky Medical Center, Israel
| | - M Anouk
- Faculty of Medicine, Tel-Aviv University, Israel Department of Rheumatology, Tel-Aviv Sourasky Medical Center, Israel
| | - D Caspi
- Faculty of Medicine, Tel-Aviv University, Israel Department of Rheumatology, Tel-Aviv Sourasky Medical Center, Israel
| | - T Hendler
- Functional Brain Center, Wohl Institute for Advanced Imaging, Tel-Aviv Sourasky Medical Center, Israel Faculty of Medicine, and School of Psychological Sciences, Tel-Aviv University, Israel
| | - D Paran
- Faculty of Medicine, Tel-Aviv University, Israel Department of Rheumatology, Tel-Aviv Sourasky Medical Center, Israel
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Wilkinson J, Pope R, Kammann TJ, Scarpato K, Raassen TJIP, Bishop MC, Morgan M, Cartmell MT, Chipungu E, Sion M, Weinstein M, Lengmang SJ, Mabeya H, Smith J. The ethical and technical aspects of urinary diversions in low-resource settings: a commentary. BJOG 2016; 123:1273-7. [DOI: 10.1111/1471-0528.13934] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/12/2016] [Indexed: 11/27/2022]
Affiliation(s)
- J Wilkinson
- Department of Obstetrics and Gynecology; Baylor College of Medicine; Houston TX USA
| | - R Pope
- Department of Obstetrics and Gynecology; Baylor College of Medicine; Houston TX USA
| | - TJ Kammann
- Department of Urologic Surgery; Vanderbilt University Medical Center; Vanderbilt University; Nashville TN USA
| | - K Scarpato
- Department of Urologic Surgery; Vanderbilt University Medical Center; Vanderbilt University; Nashville TN USA
| | | | - MC Bishop
- Barley Coomb Barn; Salhouse Norwich UK
| | - M Morgan
- Department of Obstetrics and Gynecology; Perelman Center for Advanced Medicine; University of Pennsylvania; Philadelphia PA USA
| | - MT Cartmell
- Department of Surgery; Northern Devon Healthcare NHS Trust; Barnstaple Devon UK
| | - E Chipungu
- Freedom from Fistula Foundation; Fistula Care Center; Lilongwe Malawi
| | - M Sion
- Department of Surgery; Thomas Jefferson University Hospital; Philadelphia PA USA
| | - M Weinstein
- Department of Surgery; Thomas Jefferson University Hospital; Philadelphia PA USA
| | - SJ Lengmang
- Evangel Vesico Vaginal Fistula Center; Bingham University Teaching Hospital; Jos Nigeria
| | - H Mabeya
- Division of Reproductive Health; Moi Teaching and Referral Hospital; Eldoret Kenya
| | - J Smith
- Department of Urologic Surgery; Vanderbilt University Medical Center; Vanderbilt University; Nashville TN USA
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Shiran SI, Weinstein M, Sirota-Cohen C, Myers V, Ben Bashat D, Fattal-Valevski A, Green D, Schertz M. MRI-based radiologic scoring system for extent of brain injury in children with hemiplegia. AJNR Am J Neuroradiol 2014; 35:2388-96. [PMID: 24852291 PMCID: PMC7965326 DOI: 10.3174/ajnr.a3950] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2013] [Accepted: 01/30/2014] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Brain MR imaging is recommended in children with cerebral palsy. Descriptions of MR imaging findings lack uniformity, due to the absence of a validated quantitative approach. We developed a quantitative scoring method for brain injury based on anatomic MR imaging and examined the reliability and validity in correlation to motor function in children with hemiplegia. MATERIALS AND METHODS Twenty-seven children with hemiplegia underwent MR imaging (T1, T2-weighted sequences, DTI) and motor assessment (Manual Ability Classification System, Gross Motor Functional Classification System, Assisting Hand Assessment, Jebsen Taylor Test of Hand Function, and Children's Hand Experience Questionnaire). A scoring system devised in our center was applied to all scans. Radiologic score covered 4 domains: number of affected lobes, volume and type of white matter injury, extent of gray matter damage, and major white matter tract injury. Inter- and intrarater reliability was evaluated and the relationship between radiologic score and motor assessments determined. RESULTS Mean total radiologic score was 11.3 ± 4.5 (range 4-18). Good inter- (ρ = 0.909, P < .001) and intrarater (ρ = 0.926, P = < .001) reliability was demonstrated. Radiologic score correlated significantly with manual ability classification systems (ρ = 0.708, P < .001), and with motor assessments (assisting hand assessment [ρ = -0.753, P < .001]; Jebsen Taylor test of hand function [ρ = 0. 766, P < .001]; children's hand experience questionnaire [ρ = -0. 716, P < .001]), as well as with DTI parameters. CONCLUSIONS We present a novel MR imaging-based scoring system that demonstrated high inter- and intrarater reliability and significant associations with manual ability classification systems and motor evaluations. This score provides a standardized radiologic assessment of brain injury extent in hemiplegic patients with predominantly unilateral injury, allowing comparison between groups, and providing an additional tool for counseling families.
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Affiliation(s)
- S I Shiran
- From the Pediatric Radiology Unit (S.I.S.)
| | - M Weinstein
- Functional Brain Center, The Wohl Institute for Advanced Imaging (M.W., V.M., D.B.B.), Tel Aviv Sourasky Medical Center, Tel Aviv, Israel Department of Psychology (M.W.), Gonda Multidisciplinary Brain Research Centre, Bar Ilan University, Ramat Gan, Israel
| | | | - V Myers
- Functional Brain Center, The Wohl Institute for Advanced Imaging (M.W., V.M., D.B.B.), Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - D Ben Bashat
- Functional Brain Center, The Wohl Institute for Advanced Imaging (M.W., V.M., D.B.B.), Tel Aviv Sourasky Medical Center, Tel Aviv, Israel Sackler Faculty of Medicine (D.B.B., A.F.-V.), Tel Aviv University, Tel Aviv, Israel Sagol School of Neuroscience (D.B.B.), Tel Aviv University, Tel Aviv, Israel
| | - A Fattal-Valevski
- Sackler Faculty of Medicine (D.B.B., A.F.-V.), Tel Aviv University, Tel Aviv, Israel Department of Child Neurology (A.F.-V., M.S.), Dana-Dwek Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - D Green
- Center for Rehabilitation (D.G.), Oxford Brookes University, Oxford, UK
| | - M Schertz
- Department of Child Neurology (A.F.-V., M.S.), Dana-Dwek Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel Pediatric Neurology and Child Development Service-Meuhedet North (M.S.), Haifa, Israel
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Weinstein M, Ben Bashat D, Gross-Tsur V, Leitner Y, Berger I, Marom R, Geva R, Uliel S, Ben-Sira L. Isolated mild white matter signal changes in preterm infants: a regional approach for comparison of cranial ultrasound and MRI findings. J Perinatol 2014; 34:476-82. [PMID: 24651736 DOI: 10.1038/jp.2014.33] [Citation(s) in RCA: 5] [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: 10/19/2013] [Revised: 01/20/2014] [Accepted: 01/27/2014] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To compare echogenicity detected using cranial ultrasound (cUS) and diffuse excessive high signal intensity (DEHSI) detected using magnetic resonance imaging (MRI) by identical region-based scoring criteria in preterm infants. To explore the association between these white matter (WM) signal changes with early neurobehavior. STUDY DESIGN Forty-nine pre-selected premature infants with only echogenicity on a first routine cUS1 underwent MRI and a repeated cUS2 at term equivalent age. Echogenicity and DEHSI were graded in various brain areas and diffusivity values were calculated. Neurobehavior was assessed using the Rapid Neonatal Neurobehavioral Assessment Procedure. RESULT WM signal changes were significantly higher on cUS1 than cUS2; and higher in MRI than cUS2 in posterior regions. Infants with DEHSI demonstrated reduced tissue integrity. Imaging findings were not correlated with early neurobehavior. CONCLUSION Echogenicity and DEHSI likely represent the same phenomenon. Reduction of over-interpretation of WM signal changes may help define criteria for the judicious use of imaging in routine follow-up of premature infants.
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Affiliation(s)
- M Weinstein
- 1] Functional Brain Center, Wohl Institute for Advanced Imaging, Tel-Aviv Sourasky Medical Center (TASMC), Tel-Aviv, Israel [2] Department of Psychology, Gonda Multidisciplinary Brain Research Center, Bar Ilan University, Ramat-Gan, Israel
| | - D Ben Bashat
- 1] Functional Brain Center, Wohl Institute for Advanced Imaging, Tel-Aviv Sourasky Medical Center (TASMC), Tel-Aviv, Israel [2] Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel [3] Sagol School of Neuroscience, Tel-Aviv University, Tel-Aviv, Israel
| | - V Gross-Tsur
- Department of Pediatric Neurology, Shaare-Zedek Medical Center, Jerusalem, Israel
| | - Y Leitner
- 1] Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel [2] Department of Pediatrics, Child Development Center, TASMC, Tel-Aviv, Israel
| | - I Berger
- 1] Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel [2] Department of Neonatology, Lis Maternity Hospital, TASMC, Tel-Aviv, Israel
| | - R Marom
- 1] Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel [2] Department of Neonatology, Lis Maternity Hospital, TASMC, Tel-Aviv, Israel
| | - R Geva
- Department of Psychology, Gonda Multidisciplinary Brain Research Center, Bar Ilan University, Ramat-Gan, Israel
| | - S Uliel
- Department of Pediatrics, Child Development Center, TASMC, Tel-Aviv, Israel
| | - L Ben-Sira
- 1] Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel [2] Department of Radiology, TASMC, Tel-Aviv, Israel
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Hicks CW, Weinstein M, Wakamatsu M, Pulliam S, Savitt L, Bordeianou L. Are rectoceles the cause or the result of obstructed defaecation syndrome? A prospective anorectal physiology study. Colorectal Dis 2013; 15:993-9. [PMID: 23527537 DOI: 10.1111/codi.12213] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2012] [Accepted: 11/11/2012] [Indexed: 12/12/2022]
Abstract
AIM To determine the relationship between obstructed defaecation syndrome (ODS) and rectoceles. METHOD From December 2007 to November 2011, all female patients with ODS were prospectively evaluated with full interview, clinical examination and anorectal physiology testing. The characteristics of patients with and without rectoceles were compared, and logistic regression was utilized to identify factors predictive of patients having a rectocele beyond the introitus. RESULTS Of 239 patients with ODS, 90 (mean age: 52.3 ± 1.7 years) had a rectocele. Patients with rectoceles (R+) had a similar prevalence of incomplete emptying compared with patients with no rectocele (R-) (P ≥ 0.21), but only R+ patients reported splinting with defaecation (36.7% vs 0%; P < 0.0001). Anorectal manometry measurements, including mean resting pressure, maximum resting pressure and maximum squeeze pressure, were similar between groups (P ≥ 0.12). There were also no significant differences in rectal compliance (maximum tolerated volume) or rectal sensitivity (volume of first sensation) (P ≥ 0.65). R+ patients had greater difficulty expelling a 60 cm(3) balloon (70.1% R+ patients vs 57.5% R- patients; P = 0.05), but the prevalence of pelvic floor dyssynergia, as quantified by nonrelaxation on electromyography (EMG) testing, was similar to that of R- patients (P = 0.49). Logistic regression suggested that only difficulty with balloon expulsion was associated with higher odds of having a rectocele (OR = 3.00; P = 0.002), whereas mean resting pressure, EMG nonrelaxation and symptoms of incomplete emptying were not (P ≥ 0.12). CONCLUSION Rectoceles are not associated with an increased severity of ODS-type symptoms, anorectal abnormalities or pelvic floor dyssynergia in patients with ODS. This suggests that rectoceles may be the result, rather than the cause, of ODS.
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Affiliation(s)
- C W Hicks
- Department of Surgery, Massachusetts General Hospital Pelvic Floor Disorders Service, Boston, MA, USA
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Hubbard AR, Dodt J, Lee T, Mertens K, Seitz R, Srivastava A, Weinstein M. Recommendations on the potency labelling of factor VIII and factor IX concentrates. J Thromb Haemost 2013; 11:988-9. [PMID: 23406084 DOI: 10.1111/jth.12167] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A R Hubbard
- National Institute for Biological Standards and Control, Potters Bar, UK.
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Johnson KJ, Fisher MJ, Listernick RL, North KN, Schorry EK, Viskochil D, Weinstein M, Rubin JB, Gutmann DH. Parent-of-origin in individuals with familial neurofibromatosis type 1 and optic pathway gliomas. Fam Cancer 2013; 11:653-6. [PMID: 22829012 DOI: 10.1007/s10689-012-9549-z] [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] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Neurofibromatosis type 1 (NF1) is one of the most common autosomal dominant cancer syndromes worldwide. Individuals with NF1 have a wide variety of clinical features including a strongly increased risk for pediatric brain tumors. The etiology of pediatric brain tumor development in NF1 is largely unknown. Recent studies have highlighted the contribution of parent-of-origin effects to tumorigenesis in sporadic cancers and cancer predisposition syndromes; however, there is limited data on this effect for cancers arising in NF1. To increase our understanding of brain tumor development in NF1, we conducted a multi-center retrospective chart review of 240 individuals with familial NF1 who were diagnosed with a pediatric brain tumor (optic pathway glioma; OPG) to determine whether a parent-of-origin effect exists overall or by the patient's sex. Overall, 50 % of individuals with familial NF1 and an OPG inherited the NF1 gene from their mother. Similarly, by sex, both males and females were as likely to inherit the NF1 gene from their mother as from their father, with 52 % and 48 % of females and males with OPGs inheriting the NF1 gene from their mother. In conclusion, in contrast to findings from other studies of sporadic cancers and cancer predisposition syndromes, our results indicate no parent-of-origin effect overall or by patient sex for OPGs in NF1.
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Affiliation(s)
- K J Johnson
- Brown School, Washington University in St. Louis, MO 63130, USA.
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Pope E, Chakkittakandiyil A, Lara-Corrales I, Maki E, Weinstein M. Expanding the therapeutic repertoire of infantile haemangiomas: cohort-blinded study of oral nadolol compared with propranolol. Br J Dermatol 2012; 168:222-4. [PMID: 22762503 DOI: 10.1111/j.1365-2133.2012.11131.x] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Lawrence D, Maschio M, Yunger S, Easaw J, Aucoin N, Weinstein M. Canadian Economic Analysis of Bevacizumab, Cetuximab, and Panitumumab in the First Line Treatment of Kras Wild-Type Metastatic Colorectal Cancer (MCRC). Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33207-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Rozenfeld R, Bar-Kohany T, Weinstein M, Abraham A, German U, Alfassi Z, Ziskind G. Thermal behaviour of a LiF crystal mounted in a TLD card and heated by jet impingement. RADIAT MEAS 2011. [DOI: 10.1016/j.radmeas.2011.06.042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
Chronic constipation is a very common problem in the paediatric population, and a particularly frequent issue in the management of neurologically impaired children. The use of mineral oil in the treatment of constipation has been well accepted because of its efficacy and infrequent side effects. The case of a three and a half-year-old girl with spastic quadriplegic cerebral palsy, who was admitted to hospital for investigation of increasing tachypnea and respiratory distress over a two-month period, is presented. This case highlights lipoid pneumonia due to mineral oil aspiration, which is a recognized severe complication of this medication, and emphasizes the need for a heightened awareness among caregivers about the potential dangers of inappropriate mineral oil use.
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Affiliation(s)
- M Weinstein
- Department of Pediatrics, University of Toronto, The Hospital for Sick Children, Toronto, Ontario
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Ho N, Pope E, Weinstein M, Greenberg S, Webster C, Krafchik B. A double-blind, randomized, placebo-controlled trial of topical tacrolimus 0·1% vs. clobetasol propionate 0·05% in childhood vitiligo. Br J Dermatol 2011; 165:626-32. [DOI: 10.1111/j.1365-2133.2011.10351.x] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.5] [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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Pelled O, Abraham A, Weinstein M, German U, Alfassi Z. Vector analysis vs. regions of integration ratio method for determination of gamma and neutron contributions in a mixed field. RADIAT MEAS 2010. [DOI: 10.1016/j.radmeas.2010.06.065] [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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Mistry ND, Cohen E, Mahant S, Rea DJ, Connolly B, Weinstein M. Predictors of Prolonged Hospitalization in Pediatric Empyema Treated with Chest Tube in sertion. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.72ab] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Cohen E, Mahant S, Dell S, Traubici J, Ragone A, Connolly B, Weinstein M. Do All Children With Complicated Pneumonia Need a Procedural Intervention? Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.34ab] [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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Hochstein S, Barlasov A, Weinstein M. Illusory shape pop out: Effects of perceptual learning. J Vis 2010. [DOI: 10.1167/5.8.572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Martin N, Grabo D, Tang L, Sullivan J, Kaulback K, Weinstein M, Cohen M. Are Roadside Pedestrian Injury Patterns Predictable in a Densely Populated, Urban Setting? J Surg Res 2010. [DOI: 10.1016/j.jss.2009.11.693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Kavosh E, Weinstein M, Kanuga M, Bielory L. Trends in Tree Pollen in the New York Metropolitan Area. J Allergy Clin Immunol 2009. [DOI: 10.1016/j.jaci.2008.12.343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Gray E, Pickering W, Hockley J, Rigsby P, Weinstein M, Terao E, Buchheit KH. Collaborative study for the establishment of replacement batches for human coagulation factor IX concentrate reference standards. Pharmeuropa Bio 2008; 2008:19-30. [PMID: 19220978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The European Pharmacopoeia (Ph. Eur.) Biological Reference Preparation (BRP) batch 1, the World Health Organisation (WHO) 3rd International Standard, Human (IS, 96/854) and the FDA Standard for human blood coagulation Factor IX concentrate have been available since 1996, following their establishment by a common collaborative study. Due to dwindling stocks of all three standards, a new WHO-EDQM-FDA tri-partite collaborative study was launched to establish replacement batches. Thirty laboratories from fourteen countries took part in the collaborative study to assign potency values to candidate preparations. Three candidates, one of recombinant and two of human plasma-derived origins, were assayed against the 3rd IS for Blood Coagulation Factor IX, Concentrate, Human (96/854). The 3rd IS for Blood Coagulation Factors II, VII, IX and X, Plasma, Human (99/826) was also included to evaluate the relationship between the factor IX plasma and concentrate unitage. Thirty-two sets of clotting assay results and two sets of chromogenic assay data were analysed. There was a significant difference in potency estimates by these two methods for the recombinant candidate (sample B) and the plasma IS (sample P). Similar potency values were obtained for the plasma derived products (monoclonal antibody- and chromatography-purified factor IX, samples C and D) by clotting and chromogenic assays. For the clotting assays, intra-laboratory variability (GCV) was found to range from 0.5 - 21.7%, with the GCV for the majority of laboratories being less than 10%. Good inter-laboratory agreement, with the majority of the GCV being less than 10% (GCV range = 4.7 - 10.6 %) was also obtained. The mean potency values estimated by the clotting assay using plasma as pre-diluent (as directed by the Ph. Eur. general chapter method) did not differ from values obtained using buffer. Taking into account the preliminary stability data, the intra- and inter-laboratory variability, and the differences between the clotting and chromogenic assay results, sample C (07/182) was established as the Human coagulation factor IX concentrate BRP batch 2, with a potency value of 7.9 IU/ampoule assigned with clotting assay results. As an outcome of this tri-partite collaborative study, the same sample C (07/182) has also been adopted as the 4th International Standard for Blood Coagulation Factor IX, Concentrate, Human by the Expert Committee on Biological Standardisation (ECBS) of the World Health Organisation (WHO), and as the replacement batch for the reference standard for Human coagulation factor IX concentrate by the FDA.
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Affiliation(s)
- E Gray
- National Institute for Biological Standards & Control, Potters Bar, Herts, UK
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Levinson S, Weinstein M, Abraham A, German U, Gorelik V, Rozenfeld R, Hillel S, Rodnay G. A robotic manipulator for handling TLD badges. Health Phys 2008; 95:S190-S193. [PMID: 18849713 DOI: 10.1097/01.hp.0000324207.16467.35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
A prototype system for automatic handling of Harshaw/Bicron (now ThermoFisher Scientific) thermoluminescent dosimetry (TLD) badges, which is based on a robotic arm, was designed and built. The robot performs the loading and unloading of the TLD cards in the badges and transports them between the loading/unloading station and magazine stations. For quality assurance, a sticker containing the worker's details printed in barcode format was added to the badge. Automatic on-line identification is performed for checking the correlation between the badge and the TLD card number.
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Affiliation(s)
- S Levinson
- Radiation Safety Department, Nuclear Research Center Negev, Beer-Sheva, Israel.
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Rosen V, Taylor D, Parekh H, Pandya A, Thompson D, Kuznik A, Waters D, Drummond M, Weinstein M. Cost-Effectiveness of Intensive Lipid-Lowering Treatment for Patients with Congestive Heart Failure in the US. J Card Fail 2008. [DOI: 10.1016/j.cardfail.2008.06.446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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German U, Weinstein M, Abraham A, Alfassi ZB. Comments to the author's response to our letter on "The thermoluminescence dose-response and other characteristics of the high-temperature TL in LiF:Mg,Ti (TLD-100)" by Y.S. Horowitz, L. Oster and H. Datz. Radiat Prot Dosimetry 2008; 129:495-497. [PMID: 18650206 DOI: 10.1093/rpd/ncn176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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German U, Weinstein M, Abraham A, Alfassi ZB. Comments on 'The thermoluminescence dose-response and other characteristics of the high-temperature TL in LiF: Mg.Ti (TLD-100)' by Y.S. Horowitz, L. Oster and H. Datz. Radiat Prot Dosimetry 2008; 128:509-515. [PMID: 18420571 DOI: 10.1093/rpd/ncn075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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Nichols WL, Hultin MB, James AH, Manco-Johnson MJ, Montgomery RR, Ortel TL, Rick ME, Sadler JE, Weinstein M, Yawn BP. von Willebrand disease (VWD): evidence-based diagnosis and management guidelines, the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel report (USA). Haemophilia 2008; 14:171-232. [PMID: 18315614 DOI: 10.1111/j.1365-2516.2007.01643.x] [Citation(s) in RCA: 570] [Impact Index Per Article: 35.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- W L Nichols
- Special Coagulation Laboratory, Division of Hematopathology, Department of Laboratory Medicine and Pathology, College of Medicine, Mayo Clinic, Rochester, MN, USA.
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German U, Abraham A, Weinstein M, Alfassi ZB. Reassessment of doses in TLD100 by measuring the residual dose. J Radioanal Nucl Chem 2007. [DOI: 10.1007/s10967-007-0938-y] [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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Lee JH, Pretorius DH, Weinstein M, Guaderrama NM, Nager CW, Mittal RK. Transperineal three-dimensional ultrasound in evaluating anal sphincter muscles. Ultrasound Obstet Gynecol 2007; 30:201-9. [PMID: 17605148 DOI: 10.1002/uog.4057] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
OBJECTIVES To evaluate whether transperineal three-dimensional (3D) ultrasound can be used to depict normal anal sphincter anatomy and to measure the thickness of muscle layers and the anteroposterior length of the levator hiatus. METHODS The study included 22 normal nulliparous female volunteers. Transperineal 3D sonographic evaluation of the anal canal included assessment of sphincter shape, echogenicity, marginal definition and muscle thickness. Measurements of the thickness of the internal anal sphincter (IAS) and puborectalis muscle (PRM) were determined with the women at rest and during squeezing by two observers, and interobserver reliability was determined. The anteroposterior length of the levator hiatus at rest and during squeezing was measured. RESULTS The proximal end of the anal canal (towards the rectum) consisted of overlapping IAS and PRM, and the distal end (towards the anus) consisted of overlapping IAS and external anal sphincter (EAS). At the PRM level, the mean +/- SD IAS thickness was 2.3 +/- 0.5 mm at rest and 2.5 +/- 0.4 mm during squeezing, and at the mid-EAS level it was 2.9 +/- 0.5 mm at rest and 2.8 +/- 0.5 mm during squeezing. The PRM thickness was 6.5 +/- 1.0 mm at rest and 6.4 +/- 1.2 mm during squeezing. The difference in muscle thickness of the sphincter layers with the woman at rest and during squeezing was not significant. The anteroposterior length of the levator hiatus was 51.7 +/- 5.0 mm at rest and 47.4 +/- 4.1 mm during squeezing (P < 0.01). CONCLUSION Transperineal 3D ultrasound may be useful in evaluating the anatomy of the anal canal.
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Affiliation(s)
- J H Lee
- Pelvic Floor Function and Disorder Group, University of California, San Diego, California, USA
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Meadows E, Mershon JL, Johnston J, Iskander R, DeLong K, Taylor D, Kerlikowske K, Weinstein M. Impact of breast cancer risk assessment in primary care: Modeling clinical outcomes and effectiveness. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.1516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
1516 Background: Breast cancer risk assessment (RA) is rarely performed in the primary care setting due to uncertainty regarding the balance of harms and benefits in high risk women subsequently offered chemoprevention. We used a decision model to assess the potential clinical impact of several strategies involving use of routine RA in primary care. Methods: We developed a decision analytic model to compare routine breast cancer RA in primary care to usual care. The RA method was the Gail model, with a 5-year risk of >1.67% being designated as high risk (varied in sensitivity analyses). We assumed that high risk women would be offered 5 years of tamoxifen and that acceptance (70%) and compliance (68%) rates would be incomplete. For women receiving tamoxifen, the relative risk (RR) of incident estrogen-receptor positive invasive breast cancer was 0.31 over the 5 years of treatment, diminishing over the next 5 years after cessation of treatment. RR’s for the other health effects associated with tamoxifen were: vertebral fracture (0.74), endometrial cancer (2.41), stroke (1.6), pulmonary embolism (PE, 3.01), and deep vein thrombosis (DVT, 1.60). The non-breast cancer health effects of tamoxifen were assumed to pertain only to the 5 years of active therapy. All RR’s were applied to age-dependent population-based incidence rates; data sources included published epidemiologic and clinical trial data; model duration was 40 years. Results: In agreement with recommended clinical use of tamoxifen, the results were sensitive to age and the Gail threshold above which chemoprevention was recommended ( Table ). The number of women needed to screen (NNS) to prevent 1 case of breast cancer is 7-fold higher among women aged 50 compared to 65 with a Gail risk of 1.67% (719 vs. 104). Conclusions: The number of women offered treatment, as well as the clinical outcomes and NNS, resulting from routine breast cancer risk assessment varies with the age at RA and treatment threshold selected. [Table: see text] No significant financial relationships to disclose.
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Affiliation(s)
- E. Meadows
- Eli Lilly and Company, Indianapolis, IN; i3 Innovus, Medford, MA; University of California, San Francisco, CA; Harvard Medical School, Boston, MA
| | - J. L. Mershon
- Eli Lilly and Company, Indianapolis, IN; i3 Innovus, Medford, MA; University of California, San Francisco, CA; Harvard Medical School, Boston, MA
| | - J. Johnston
- Eli Lilly and Company, Indianapolis, IN; i3 Innovus, Medford, MA; University of California, San Francisco, CA; Harvard Medical School, Boston, MA
| | - R. Iskander
- Eli Lilly and Company, Indianapolis, IN; i3 Innovus, Medford, MA; University of California, San Francisco, CA; Harvard Medical School, Boston, MA
| | - K. DeLong
- Eli Lilly and Company, Indianapolis, IN; i3 Innovus, Medford, MA; University of California, San Francisco, CA; Harvard Medical School, Boston, MA
| | - D. Taylor
- Eli Lilly and Company, Indianapolis, IN; i3 Innovus, Medford, MA; University of California, San Francisco, CA; Harvard Medical School, Boston, MA
| | - K. Kerlikowske
- Eli Lilly and Company, Indianapolis, IN; i3 Innovus, Medford, MA; University of California, San Francisco, CA; Harvard Medical School, Boston, MA
| | - M. Weinstein
- Eli Lilly and Company, Indianapolis, IN; i3 Innovus, Medford, MA; University of California, San Francisco, CA; Harvard Medical School, Boston, MA
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Miksad RA, Come S, Weinstein M. The quality-of-life impact of osteonecrosis of the jaw: Implications for bisphosphonate use in metastatic breast cancer. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.6620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
6620 Background: Osteonecrosis of the jaw (ONJ) has been linked to bisphosphonates used to prevent skeletal related events (SREs) in metastatic breast cancer (MBC). The primary aim of this decision-analysis study is to determine the preference threshold at which the quality of life (QOL) impact of ONJ may change bisphosphonate treatment decisions. Methods: We developed a Markov decision- analysis model of bisphosphonate use in MBC that includes the risk of ONJ. For the base case we estimated the QOL impact of ONJ by evaluating published ONJ reports with the Oral Health Impact Profile (OHIP). OHIP scores were transformed to EQ5D utilities and adjusted for MBC (published utility for MBC=0.63). We used published utility values for SRE: 0.46 for the month in which SRE occurs. Based on published data, we estimated that bisphosphonates reduce the incidence of SREs by 41% and that the incidence of SRE rises with increased bisphosphonate exposure: year 1=0.004/month; year 2=0.022/month; year 3=0.034/month. We inspected 2 treatment strategies: treat all patients with bisphosphonates (treat all) and treat no patient with bisphosphonates (treat none). Results: 18 published cases were adequate for evaluation. The mean OHIP score=27 (possible range 14–70), s.d.=1.8. We calculated that patients with MBC and ONJ have a utility=0.53 (s.d.=0.04) for the base-case. The model predicted a mean survival of 22 months for both strategies. In the treat all strategy each patient received a mean of 19 months of bisphosphonates and suffered 2.4 SREs. In the treat none strategy each patient suffered 4.0 SREs. In the base case, the treat all strategy maximized net quality-adjusted life, although by less than 1/2 month per patient. The treat all strategy was optimal for only 33% of patients. The treat all strategy does not maximize net quality-adjusted life if the risk of ONJ is 4.5 times higher than the base case or the ratio of the utility for ONJ to the utility for SRE is less than 0.4 (base-case ratio=1.152). Conclusions: The QOL impact of ONJ alters the decision to use bisphosphonates when 1) the incidence of ONJ is 4.5 times higher than published estimates; or 2) the long-term preference for ONJ is 60% lower than the short-term preference for SRE. Further QOL research may refine these estimates. No significant financial relationships to disclose.
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Affiliation(s)
- R. A. Miksad
- Beth Israel Deaconess Medical Center, Boston, MA; Harvard University, Boston, MA
| | - S. Come
- Beth Israel Deaconess Medical Center, Boston, MA; Harvard University, Boston, MA
| | - M. Weinstein
- Beth Israel Deaconess Medical Center, Boston, MA; Harvard University, Boston, MA
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Weinstein M, Shemesh Y, Abraham A, German U. Use of statistical checks as maintenance tools for TLD readers. Radiat Prot Dosimetry 2007; 125:109-12. [PMID: 17533159 DOI: 10.1093/rpd/ncm205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Although the values of different parameters may remain within permissible limits during the operation of a thermoluminescent dosemeter (TLD) reader, certain effects can become apparent only when a long-term followup of these parameters is performed. In order to ensure an accurate and reliable operation of a TLD reader, the system characteristics must be monitored continuously. Long-term statistical checks of key system parameters may give a broader insight into the operational characteristics of the TLD reader and may help for proper maintenance of the system. The photomultipliers noise, the internal reference light source stability and the A to D reference voltage were found to be critical parameters, which have a major influence on the accuracy and stability of the system. A followup of these parameters for a period of about 10 y is presented, and some problems are seen to be reflected in the distributions.
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Affiliation(s)
- M Weinstein
- Nuclear Research Centre Negev P.O. Box 9001, 84190 Beer-Sheva, Israel.
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Abraham A, Weinstein M, German U, Alfassi ZB. On the reassessment of doses in TL-dosimetry by measuring the residual dose. Radiat Prot Dosimetry 2007; 125:113-6. [PMID: 17449909 DOI: 10.1093/rpd/ncm195] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Second readouts and the photo-transferred thermoluminscence (PTTL) method are sometimes used to reassess high doses. When using the common LiF:Mg,Ti, if the second readout is performed by a regular readout cycle of 13.3 s, its efficiency is low and the estimations cannot be obtained with acceptable accuracy for low doses in the 10-100 mSv range. By applying the PTTL method, the efficiency is much higher, but a high background is also present, deteriorating the quality of the reassessment. A simple and efficient method was studied, which consists of expanding the heating time to 30 s. Although the efficiency relative to a standard readout is improved by only a factor of 3, the low background enables to obtain results with the same uncertainty as the more complicated PTTL method. By applying region of integration discrimination, the errors can be further diminished.
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Affiliation(s)
- A Abraham
- Nuclear Research Center Negev P.O.B 9001, 84190 Beer Sheva, Israel.
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