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Adami G, Alarcon G, Albert D, Allen K, Aringer M, Arkema EV, Ashour HM, Atzeni F, Ayan G, Baer A, Baker J, Barber C, Bautista-Molano W, Beça S, Beamer B, Bergstra SA, Bermas B, Bilgin E, Boers M, Bolster M, Bosco J, Bowden JL, Buttgereit F, Calabrese L, Campochiaro C, Cappelli L, Carmona L, Carvalho J, Castañeda S, Chao Chao CM, Chatterjee S, Cherry L, Christensen R, Coates LC, Cohen SB, Collins JE, Cornec D, D'Agostino MA, Daikeler T, D'Angelo S, de Boysson H, de Jong P, de Wit M, Dellaripa P, Dessein P, Diekhoff T, Doumen M, Eckstein F, Elhai M, Fairley JL, Felson D, Amaro IF, Ferucci E, Fiorentino D, FitzGerald J, Fleischmann R, Galloway J, Salinas RG, Giorgi V, Golightly Y, Gono T, Gonzalez-Gay MA, Goules A, Gravallese E, Griffith M, Grosman S, Gupta L, Hamuryudan V, Hana C, Haschka J, Hawker G, Hervas-Perez JP, Hocevar A, Iudici M, Iyer P, Jasmin M, Judson M, Kerschbaumer A, Kiefer D, Kiltz U, Kivity S, Kremer JM, Kroon FPB, Kviatkovsky S, Lee BS, Liew D, Lim SY, Littlejohn G, Medina CL, Maksymowych W, March L, Marotte H, Navarro OM, Mavragani C, McInnes I, McMahan Z, Meara A, Mecoli C, Merriman T, Mikdashi J, Mikuls T, Misra DP, Mitchell BD, Moore T, Moutsopoulos H, Naredo E, Nash P, Nurmohamed M, Oddis C, Ojaimi S, Oliver M, Ozen S, Ozgocmen S, Palmowski A, Pascart T, Perelas A, Pile K, Pincus T, Poddubnyy D, Ramiro S, Reddy A, Regierer A, Roccatello D, Rookes T, Rosenthal A, Rubinstein T, Rudwaleit M, Rueda-Gotor J, Rus V, Saketkoo LA, Samson M, Schur P, Sepriano A, Shadmanfar S, Shmagel A, Sibbitt WL, de Souza AWS, Sims C, Singh N, Sjöwall C, Smith V, Song JJ, Soriano ER, Sparks J, Studenic P, Sugihara T, Suissa S, Szekanecz Z, Tascilar K, Taylor P, Terkeltaub R, Tiniakou E, Todd N, Vilarino GT, Treemarcki E, Tsuji H, Turesson C, Twilt M, Vassilopoulos D, Vojinovic T, Volkmann E, Vosse D, Wagner-Weiner L, Wallace ZS, Wallace D, Wang GC, Wei J, Weisman MH, Westhovens R, Winthrop K, Wysham KD, Xue J, Yang C, Yau M, Yazici Y, Yazici H, YIM ICW, Young J, Zhang W. Referees. Semin Arthritis Rheum 2024:152375. [PMID: 38245402 DOI: 10.1016/j.semarthrit.2024.152375] [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: 01/22/2024]
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Heald AH, Taylor P, Premawardhana L, Stedman M, Dayan C. Natural desiccated thyroid for the treatment of hypothyroidism? Front Endocrinol (Lausanne) 2024; 14:1309159. [PMID: 38260143 PMCID: PMC10801060 DOI: 10.3389/fendo.2023.1309159] [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] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Accepted: 12/06/2023] [Indexed: 01/24/2024] Open
Abstract
Primary hypothyroidism affects about 3% of the general population in Europe. Early treatments in the late 19th Century involved subcutaneous as well as oral administration of thyroid extract. Until the early 1970s, the majority of people across the world with hypothyroidism were treated with natural desiccated thyroid (NDT) (derived from pig thyroid glands) in various formulations, with the majority of people since then being treated with levothyroxine (L-thyroxine). There is emerging evidence that may account for the efficacy of liothyronine (NDT contains a mixture of levothyroxine and liothyronine) in people who are symptomatically unresponsive to levothyroxine. While this is a highly selected group of people, the severity and chronicity of their symptoms and the fact that many patients have found their symptoms to be alleviated, can be viewed as valid evidence for the potential benefit of NDT when given after careful consideration of other differential diagnoses and other treatment options.
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Affiliation(s)
- Adrian H. Heald
- The School of Medicine and Manchester Academic Health Sciences Centre, University of Manchester, Manchester, United Kingdom
- Department of Endocrinology and Diabetes, Salford Royal Hospital, Salford, United Kingdom
| | - Peter Taylor
- Thyroid Research Group, Division of Infection and Immunity, Cardiff University School of Medicine, Cardiff, United Kingdom
| | - Lakdasa Premawardhana
- Thyroid Research Group, Division of Infection and Immunity, Cardiff University School of Medicine, Cardiff, United Kingdom
| | | | - Colin Dayan
- Thyroid Research Group, Division of Infection and Immunity, Cardiff University School of Medicine, Cardiff, United Kingdom
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Mcleod S, Berry K, Taylor P, Wearden A. Romantic attachment and support adequacy in new mothers. J Soc Psychol 2024; 164:112-135. [PMID: 34951333 DOI: 10.1080/00224545.2021.2006125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 11/03/2021] [Indexed: 10/19/2022]
Abstract
In the present research, we examined whether attachment anxiety and avoidance in support recipients were related to the extent to which social support received from a romantic partner matched the actual needs of the recipient. Two-hundred and forty-five first-time mothers, currently involved in romantic relationships, participated in study 1, in which perceptions of support were appraised over the previous month using self-reports. In study 2, we sought to replicate these findings using an experience sampling method to examine the association between attachment and momentary support perceptions in the daily life of mothers with babies (N = 40). Results indicated that high levels of attachment avoidance or anxiety in mothers were associated with negative appraisals of support matching. Receiving support which matched the needs of the mother (i.e., adequate support) was beneficial to mood, but not constructive to relationship satisfaction or perceptions of maternal efficacy.
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Heald A, Stedman M, Okosieme B, Premawardhana L, Taylor P, Dayan C. Liothyronine prescribing in England: costs versus need. Lancet 2023; 402:2074-2075. [PMID: 37979592 DOI: 10.1016/s0140-6736(23)01792-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 08/21/2023] [Indexed: 11/20/2023]
Affiliation(s)
- Adrian Heald
- The School of Medicine and Manchester Academic Health Sciences Centre, University of Manchester, Manchester M14 4PX, UK; Department of Diabetes and Endocrinology, Salford Royal NHS Foundation Trust, Salford, UK.
| | | | - Buchi Okosieme
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, UK
| | - Lakdasa Premawardhana
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, UK
| | - Peter Taylor
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, UK
| | - Colin Dayan
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, UK
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Sultana R, Ozen-Dursun B, Femi-Ajao O, Husain N, Varese F, Taylor P. A Systematic Review and Meta-Synthesis of Barriers and Facilitators of Help-Seeking Behaviors in South Asian Women Living in High-Income Countries who Have Experienced Domestic Violence: Perception of Domestic Violence Survivors and Service Providers. Trauma Violence Abuse 2023; 24:3187-3204. [PMID: 36250293 PMCID: PMC10594840 DOI: 10.1177/15248380221126189] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
There has been little research on domestic violence (DV) within ethnic minority communities in high-income countries. This study reports on the findings of a meta-ethnography that examined the barriers and facilitators of help-seeking behaviors in South Asian women living in high-income countries who have experienced DV to inform practice, understand the limits of the evidence, and identify research gaps. Qualitative studies were identified which were available in English by electronic databases. After an initial search, 2,465 articles were reviewed by title and abstract and 135 articles were reviewed for full text. Thirty-five papers were included for this review and were synthesized using meta-ethnography. Key findings included barriers and facilitators of help-seeking behaviors: (1) Socio-cultural norms to prohibit help-seeking behaviors, (2) Fear of negative consequences, (3) Negative aspects of immigration status, (4) Insufficient support from statutory, and voluntary agencies, (5) Safety strategies and facilitators for surviving. Although this review investigated the perceptions of two different populations (survivors and service providers) both groups had similar views about the barriers and facilitators of help-seeking behaviors. It is crucial for the government and non-government organizations to understand the barriers for women who are DV survivors to seek help from their organizations and also from South Asian ethnicities. The awareness and understanding of these barriers and facilitators may help support the development of interventions to encourage effective help-seeking amongst South Asian women affected by DV. Suggestions for research, practice, and policies are discussed.
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Galderisi A, Carr ALJ, Martino M, Taylor P, Senior P, Dayan C. Quantifying beta cell function in the preclinical stages of type 1 diabetes. Diabetologia 2023; 66:2189-2199. [PMID: 37712956 PMCID: PMC10627950 DOI: 10.1007/s00125-023-06011-5] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Accepted: 08/08/2023] [Indexed: 09/16/2023]
Abstract
Clinically symptomatic type 1 diabetes (stage 3 type 1 diabetes) is preceded by a pre-symptomatic phase, characterised by progressive loss of functional beta cell mass after the onset of islet autoimmunity, with (stage 2) or without (stage 1) measurable changes in glucose profile during an OGTT. Identifying metabolic tests that can longitudinally track changes in beta cell function is of pivotal importance to track disease progression and measure the effect of disease-modifying interventions. In this review we describe the metabolic changes that occur in the early pre-symptomatic stages of type 1 diabetes with respect to both insulin secretion and insulin sensitivity, as well as the measurable outcomes that can be derived from the available tests. We also discuss the use of metabolic modelling to identify insulin secretion and sensitivity, and the measurable changes during dynamic tests such as the OGTT. Finally, we review the role of risk indices and minimally invasive measures such as those derived from the use of continuous glucose monitoring.
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Affiliation(s)
| | - Alice L J Carr
- Alberta Diabetes Institute, University of Alberta, Edmonton, AB, Canada
| | - Mariangela Martino
- Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK
| | - Peter Taylor
- Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK
| | - Peter Senior
- Alberta Diabetes Institute, University of Alberta, Edmonton, AB, Canada
| | - Colin Dayan
- Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.
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Husain MO, Chaudhry N, Kiran T, Taylor P, Tofique S, Khaliq A, Naureen A, Shakoor S, Bassett P, Zafar SN, Chaudhry IB, Husain N. Antecedents, clinical and psychological characteristics of a large sample of individuals who have self-harmed recruited from primary care and hospital settings in Pakistan. BJPsych Open 2023; 9:e216. [PMID: 37955044 PMCID: PMC10753970 DOI: 10.1192/bjo.2023.581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 06/01/2023] [Accepted: 09/04/2023] [Indexed: 11/14/2023] Open
Abstract
BACKGROUND Suicide is one of the leading causes of mortality worldwide, and the majority of suicide deaths occur in low- and middle-income countries. AIMS To evaluate the demographic and clinical characteristics of individuals who have presented to health services following self-harm in Pakistan. METHOD This study is a cross-sectional baseline analysis of participants from a large multicentre randomised controlled trial of self-harm prevention in Pakistan. A total of 901 participants with a history of self-harm were recruited from primary care clinics, emergency departments and general hospitals in five major cities in Pakistan. The Beck Scale for Suicide Ideation (BSI), Beck Depression Inventory (BDI), Beck Hopelessness Scale (BHS) and Suicide Attempt Self Injury Interview assessment scales were completed. RESULTS Most participants recruited were females (n = 544, 60.4%) in their 20s. Compared with males, females had lower educational attainment and higher unemployment rates and reported higher severity scores on BSI, BDI and BHS. Interpersonal conflict was the most frequently cited antecedent to self-harm, followed by financial difficulties in both community and hospital settings. Suicide was the most frequently reported motive of self-harm (N = 776, 86.1%). Suicidal intent was proportionally higher in community-presenting patients (community: N = 318, 96.9% v. hospital: N = 458, 79.9%; P < 0.001). The most frequently reported methods of self-harm were ingestion of pesticides and toxic chemicals. CONCLUSIONS Young females are the dominant demographic group in this population and are more likely to attend community settings to seek help. Suicidal intent as the motivator of self-harm and use of potentially lethal methods may suggest that this population is at high risk of suicide.
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Affiliation(s)
- Muhammad Omair Husain
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Canada; and Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Nasim Chaudhry
- Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Tayyeba Kiran
- Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Peter Taylor
- Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, UK
| | - Sehrish Tofique
- Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Ayesha Khaliq
- Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Amna Naureen
- Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Suleman Shakoor
- Pakistan Institute of Living and Learning, Karachi, Pakistan
| | | | | | - Imran B. Chaudhry
- University of Manchester, UK; and Department of Psychiatry, Ziauddin Hospital, Karachi, Pakistan
| | - Nusrat Husain
- Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, UK
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Steeg S, Farooq B, Taylor P, Shafti M, Mars B, Kapur N, Webb RT. Childhood predictors of self-harm, externalised violence and transitioning to dual harm in a cohort of adolescents and young adults. Psychol Med 2023; 53:7116-7126. [PMID: 36999309 PMCID: PMC10719627 DOI: 10.1017/s0033291723000557] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 02/13/2023] [Accepted: 02/15/2023] [Indexed: 04/01/2023]
Abstract
BACKGROUND The aetiology of dual harm (co-occurring self-harm and violence towards others) is poorly understood because most studies have investigated self-harm and violence separately. We aimed to examine childhood risk factors for self-harm, violence, and dual harm, including the transition from engaging in single harm to dual harm. METHODS Data from the Avon Longitudinal Study of Parents and Children, a UK-based birth cohort study, were used to estimate prevalence of self-reported engagement in self-harm, violence, and dual harm at ages 16 and 22 years. Risk ratios were calculated to indicate associations across various self-reported childhood risk factors and risks of single and dual harm, including the transition from single harm at age 16 years to dual harm at age 22. RESULTS At age 16 years, 18.1% of the 4176 cohort members had harmed themselves, 21.1% had engaged in violence towards others and 3.7% reported dual harm. At age 22 the equivalent prevalence estimates increased to 24.2, 25.8 and 6.8%, respectively. Depression and other mental health difficulties, drug and alcohol use, witnessing self-harm and being a victim of, or witnessing, violence were associated with higher risks of transitioning from self-harm or violence at age 16 to dual harm by age 22. CONCLUSIONS Prevalence of dual harm doubled from age 16 to 22 years, highlighting the importance of early identification and intervention during this high-risk period. Several childhood psychosocial risk factors associated specifically with dual harm at age 16 and with the transition to dual harm by age 22 have been identified.
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Affiliation(s)
- Sarah Steeg
- Division of Psychology and Mental Health, Centre for Mental Health and Safety, University of Manchester, Manchester, UK
- Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Bushra Farooq
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK
| | - Peter Taylor
- Division of Psychology and Mental Health, Centre for Mental Health and Safety, University of Manchester, Manchester, UK
- Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Matina Shafti
- Division of Psychology and Mental Health, Centre for Mental Health and Safety, University of Manchester, Manchester, UK
- Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
| | - Becky Mars
- Centre for Academic Mental Health, University of Bristol Medical School, Bristol, UK
| | - Nav Kapur
- Division of Psychology and Mental Health, Centre for Mental Health and Safety, University of Manchester, Manchester, UK
- NIHR Greater Manchester Patient Safety Translational Research Centre, Manchester, UK
- Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
| | - Roger T Webb
- Division of Psychology and Mental Health, Centre for Mental Health and Safety, University of Manchester, Manchester, UK
- NIHR Greater Manchester Patient Safety Translational Research Centre, Manchester, UK
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Minassian C, Allen LA, Okosieme O, Vaidya B, Taylor P. Preconception Management of Hyperthyroidism and Thyroid Status in Subsequent Pregnancy: A Population-Based Cohort Study. J Clin Endocrinol Metab 2023; 108:2886-2897. [PMID: 37200150 PMCID: PMC10584009 DOI: 10.1210/clinem/dgad276] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 04/18/2023] [Accepted: 05/16/2023] [Indexed: 05/20/2023]
Abstract
CONTEXT Optimal thyroid status in pregnancy is essential in reducing the risk of adverse outcomes. The management of hyperthyroidism in women of reproductive age poses unique challenges and it is unclear how preconception treatment strategies impact on thyroid status in subsequent pregnancy. OBJECTIVE We aimed to determine trends in the management of hyperthyroidism before and during pregnancy and to assess the impact of different preconception treatment strategies on maternal thyroid status. METHODS We utilized the Clinical Practice Research Datalink database to evaluate all females aged 15-45 years with a clinical diagnosis of hyperthyroidism and a subsequent pregnancy (January 2000 to December 2017). We compared thyroid status in pregnancy according to preconception treatment, namely, (1) antithyroid drugs up to or beyond pregnancy onset, (2) definitive treatment with thyroidectomy or radioiodine before pregnancy, and (3) no treatment at pregnancy onset. RESULTS Our study cohort comprised 4712 pregnancies. Thyrotropin (TSH) was measured in only 53.1% of pregnancies, of which 28.1% showed suboptimal thyroid status (TSH >4.0 mU/L or TSH <0.1 mU/L plus FT4 >reference range). Pregnancies with prior definitive treatment were more likely to have suboptimal thyroid status compared with pregnancies starting during antithyroid drug treatment (odds ratio 4.72, 95% CI 3.50-6.36). A steady decline in the use of definitive treatment before pregnancy was observed from 2000 to 2017. One-third (32.6%) of first trimester carbimazole-exposed pregnancies were switched to propylthiouracil while 6.0% of propylthiouracil-exposed pregnancies switched to carbimazole. CONCLUSION The management of women with hyperthyroidism who become pregnant is suboptimal, particularly in those with preconception definitive treatment, and needs urgent improvement. Better thyroid monitoring and prenatal counseling are needed to optimize thyroid status, reduce teratogenic drug exposure, and ultimately reduce the risk of adverse pregnancy outcomes.
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Affiliation(s)
- Caroline Minassian
- Faculty of Epidemiology and Population Health, Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
| | - Lowri A Allen
- Diabetes Research Group, Cardiff University School of Medicine, Cardiff CF14 4XN, UK
| | - Onyebuchi Okosieme
- Thyroid Research Group, Systems Immunity Research Institute Medicine, Cardiff University School of Medicine, Cardiff CF14 4XN, UK
| | - Bijay Vaidya
- Department of Endocrinology, Royal Devon & Exeter Hospital, University of Exeter Medical School, Exeter EX2 5DW, UK
| | - Peter Taylor
- Thyroid Research Group, Systems Immunity Research Institute Medicine, Cardiff University School of Medicine, Cardiff CF14 4XN, UK
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Taylor P, Rajendram R, Hanna S, Wilson V, Pell J, Li C, Cook A, Gattamaneni R, Plowman N, Jackson S, Hills R, French R, Uddin JM, Lee RWJ, Dayan CM. Factors Predicting Long-term Outcome and the Need for Surgery in Graves Orbitopathy: Extended Follow-up From the CIRTED Trial. J Clin Endocrinol Metab 2023; 108:2615-2625. [PMID: 36971324 PMCID: PMC10505546 DOI: 10.1210/clinem/dgad084] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 02/07/2023] [Accepted: 02/08/2023] [Indexed: 03/28/2023]
Abstract
Graves orbitopathy is both disabling and disfiguring. Medical therapies to reduce inflammation are widely used, but there is limited trial data beyond 18 months of follow-up. METHODS Three-year follow-up of a subset of the CIRTED trial (N = 68), which randomized patients to receive high-dose oral steroid with azathioprine/placebo and radiotherapy/sham radiotherapy. RESULTS Data were available at 3 years from 68 of 126 randomized subjects (54%). No additional benefit was seen at 3 years for patients randomized to azathioprine or radiotherapy with regard to a binary clinical composite outcome measure (BCCOM), modified European Group on Graves' Orbitopathy score, or Ophthalmopathy Index.Clinical Activity Score (CAS), Ophthalmopathy Index, and Total Eye Score improved over 3 years (P < .001). However, quality of life at 3 years remained poor. Of 64 individuals with available surgical outcome data, 24 of 64 (37.5%) required surgical intervention. Disease duration of greater than 6 months before treatment was associated with increased need for surgery [odds ratio (OR) 16.8; 95% CI 2.95, 95.0; P = .001]. Higher baseline levels of CAS, Ophthalmopathy Index, and Total Eye Score but not early improvement in CAS were associated with increased requirement for surgery. CONCLUSION In this long-term follow-up from a clinical trial, 3-year outcomes remained suboptimal with ongoing poor quality of life and high numbers requiring surgery. Importantly, reduction in CAS in the first year, a commonly used surrogate outcome measure, was not associated with improved long-term outcomes.
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Affiliation(s)
- Peter Taylor
- Thyroid Research Group, Cardiff University School of Medicine, Cardiff CF14 4XN, UK
| | - Rathie Rajendram
- Moorfields Eye Hospital NHS Foundation Trust, London, EC1V 2PD, UK
| | - Stephanie Hanna
- Thyroid Research Group, Cardiff University School of Medicine, Cardiff CF14 4XN, UK
| | | | - Julie Pell
- Thyroid Research Group, Cardiff University School of Medicine, Cardiff CF14 4XN, UK
| | - Chunhei Li
- Thyroid Research Group, Cardiff University School of Medicine, Cardiff CF14 4XN, UK
| | - Anne Cook
- Manchester Royal Eye Hospital, Manchester, M13 9WH, UK
| | | | | | - Sue Jackson
- Centre for Appearance Research, University of the West of England, Bristol, BS16 2JP, UK
| | - Robert Hills
- Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK
| | - Robert French
- Thyroid Research Group, Cardiff University School of Medicine, Cardiff CF14 4XN, UK
| | - Jimmy M Uddin
- Moorfields Eye Hospital NHS Foundation Trust, London, EC1V 2PD, UK
| | - Richard W J Lee
- Moorfields Eye Hospital NHS Foundation Trust, London, EC1V 2PD, UK
- Bristol Medical School, University of Bristol, UK
- Institute of Ophthalmology, Faculty of Brain Sciences, University College London, London EC1V 9EL, UK
| | - Colin M Dayan
- Thyroid Research Group, Cardiff University School of Medicine, Cardiff CF14 4XN, UK
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Taylor P, Meyer RE. Veterinary clinical research or experiments on pets. Vet Anaesth Analg 2023; 50:383-385. [PMID: 37634935 DOI: 10.1016/j.vaa.2023.07.006] [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: 08/29/2023]
Affiliation(s)
- P Taylor
- Taylor Monroe, Gravel Head Farm, Ely, Cambridgeshire, UK.
| | - R E Meyer
- Department of Clinical Sciences, Mississippi State University College of Veterinary Medicine, MS, USA
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Ahluwalia R, Baldeweg SE, Boelaert K, Chatterjee K, Dayan C, Okosieme O, Priestley J, Taylor P, Vaidya B, Zammitt N, Pearce SH. Use of liothyronine (T3) in hypothyroidism: Joint British Thyroid Association/Society for endocrinology consensus statement. Clin Endocrinol (Oxf) 2023; 99:206-216. [PMID: 37272400 DOI: 10.1111/cen.14935] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 05/18/2023] [Accepted: 05/19/2023] [Indexed: 06/06/2023]
Abstract
Persistent symptoms in patients treated for hypothyroidism are common. Despite more than 20 years of debate, the use of liothyronine for this indication remains controversial, as numerous randomised trials have failed to show a benefit of treatment regimens that combine liothyronine (T3) with levothyroxine over levothyroxine monotherapy. This consensus statement attempts to provide practical guidance to clinicians faced with patients who have persistent symptoms during thyroid hormone replacement therapy. It applies to non-pregnant adults and is focussed on care delivered within the UK National Health Service, although it may be relevant in other healthcare environments. The statement emphasises several key clinical practice points for patients dissatisfied with treatment for hypothyroidism. Firstly, it is important to establish a diagnosis of overt hypothyroidism; patients with persistent symptoms during thyroid hormone replacement but with no clear biochemical evidence of overt hypothyroidism should first have a trial without thyroid hormone replacement. In those with established overt hypothyroidism, levothyroxine doses should be optimised aiming for a TSH in the 0.3-2.0 mU/L range for 3 to 6 months before a therapeutic response can be assessed. In some patients, it may be acceptable to have serum TSH below reference range (e.g. 0.1-0.3 mU/L), but not fully suppressed in the long term. We suggest that for some patients with confirmed overt hypothyroidism and persistent symptoms who have had adequate treatment with levothyroxine and in whom other comorbidities have been excluded, a trial of liothyronine/levothyroxine combined therapy may be warranted. The decision to start treatment with liothyronine should be a shared decision between patient and clinician. However, individual clinicians should not feel obliged to start liothyronine or to continue liothyronine medication provided by other health care practitioners or accessed without medical advice, if they judge this not to be in the patient's best interest.
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Affiliation(s)
- Rupa Ahluwalia
- Department of Diabetes & Endocrinology, Norfolk and Norwich University Hospitals NHS Trust, Norwich, UK
| | - Stephanie E Baldeweg
- Department of Diabetes & Endocrinology, University College London, London, UK
- Centre for Obesity & Metabolism, Department of Experimental & Translational Medicine, Division of Medicine, University College London Hospitals, London, UK
- The RCP Joint Specialties Committee and The Clinical Committee, Society for Endocrinology, Bristol, UK
| | - Kristien Boelaert
- Institute for Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
| | - Krishna Chatterjee
- Wellcome-MRC Institute of Metabolic Sciences, University of Cambridge, Cambridge, UK
| | - Colin Dayan
- Thyroid Research Group, Heath Park, Cardiff University, Cardiff, UK
| | | | | | - Peter Taylor
- Thyroid Research Group, Heath Park, Cardiff University, Cardiff, UK
| | - Bijay Vaidya
- Department of Endocrinology, Royal Devon University Hospital |University of Exeter Medical School, Exeter, UK
| | - Nicola Zammitt
- Edinburgh Centre for Endocrinology and Diabetes, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - Simon H Pearce
- BioMedicine West, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK
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13
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Taylor P, Swan M, Sitters H, Smith A, Di Stefano J. Small mammals reduce activity during high moon illumination under risk of predation by introduced predators. Sci Rep 2023; 13:10532. [PMID: 37386037 PMCID: PMC10310734 DOI: 10.1038/s41598-023-37166-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 01/10/2023] [Accepted: 06/16/2023] [Indexed: 07/01/2023] Open
Abstract
Predation influences prey survival and drives evolution of anti-predator behaviour. Anti-predator strategies by prey are stimulated by direct encounters with predators, but also by exposure to indicators of risk such as moonlight illumination and vegetation cover. Many prey species will suffer increased risk on moonlit nights, but risk may be reduced by the presence of dense vegetation. Determining the role of vegetation in reducing perceived risk is important, especially given predictions of increased global wildfire, which consumes vegetation and increases predation. We used remote cameras in southeastern Australia to compare support for the predation risk and habitat-mediated predation risk hypotheses. We examined the influence of moonlight and understorey cover on seven 20-2500 g mammalian prey species and two introduced predators, red foxes and feral cats. Activity of all prey species reduced by 40-70% with increasing moonlight, while one species (bush rat) reduced activity in response to increasing moonlight more sharply in low compared to high understorey cover. Neither predator responded to moonlight. Our findings supported the predation risk hypothesis and provided limited support for the habitat-mediated predation risk hypothesis. For prey, perceived costs of increased predation risk on moonlit nights outweighed any benefits of a brighter foraging environment.
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Affiliation(s)
- P Taylor
- School of Agriculture, Food and Ecosystem Sciences, The University of Melbourne, 4 Water Street, Creswick, VIC, 3363, Australia
- NSW Department of Primary Industries, Vertebrate Pest Research Unit, 1447 Forest Road, Orange, NSW, 2800, Australia
| | - M Swan
- School of Agriculture, Food and Ecosystem Sciences, The University of Melbourne, 4 Water Street, Creswick, VIC, 3363, Australia.
| | - H Sitters
- School of Agriculture, Food and Ecosystem Sciences, The University of Melbourne, 4 Water Street, Creswick, VIC, 3363, Australia
| | - A Smith
- School of Agriculture, Food and Ecosystem Sciences, The University of Melbourne, 4 Water Street, Creswick, VIC, 3363, Australia
| | - J Di Stefano
- School of Agriculture, Food and Ecosystem Sciences, The University of Melbourne, 4 Water Street, Creswick, VIC, 3363, Australia
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14
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Norvilaite O, Lindsay C, Taylor P, Armes SP. Silica-Coated Micrometer-Sized Latex Particles. Langmuir 2023; 39:5169-5178. [PMID: 37001132 PMCID: PMC10100546 DOI: 10.1021/acs.langmuir.3c00227] [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] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 03/14/2023] [Indexed: 06/19/2023]
Abstract
A series of silica-coated micrometer-sized poly(methyl methacrylate) latex particles are prepared using a Stöber silica deposition protocol that employs tetraethyl orthosilicate (TEOS) as a soluble silica precursor. Given the relatively low specific surface area of the latex particles, silica deposition is best conducted at relatively high solids to ensure a sufficiently high surface area. Such conditions aid process intensification. Importantly, physical adsorption of chitosan onto the latex particles prior to silica deposition minimizes secondary nucleation and promotes the formation of silica shells: in the absence of chitosan, well-defined silica overlayers cannot be obtained. Thermogravimetry studies indicate that silica formation is complete within a few hours at 20 °C regardless of the presence or absence of chitosan. Kinetic data obtained using this technique suggest that the adsorbed chitosan chains promote surface deposition of silica onto the latex particles but do not catalyze its formation. Systematic variation of the TEOS/latex mass ratio enables the mean silica shell thickness to be tuned from 45 to 144 nm. Scanning electron microscopy (SEM) studies of silica-coated latex particles after calcination at 400 °C confirm the presence of hollow silica particles, which indicates the formation of relatively smooth (albeit brittle) silica shells under optimized conditions. Aqueous electrophoresis and X-ray photoelectron spectroscopy studies are also consistent with latex particles coated in a uniform silica overlayer. The silica deposition formulation reported herein is expected to be a useful generic strategy for the efficient coating of micrometer-sized particles at relatively high solids.
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Affiliation(s)
- O. Norvilaite
- Dainton
Building, Department of Chemistry, University
of Sheffield, Brook Hill, Sheffield, South
Yorkshire S3 7HF, UK
| | - C. Lindsay
- Syngenta, Jealott’s Hill International
Research Centre, Bracknell, Berkshire RG42 6EY, UK
| | - P. Taylor
- Syngenta, Jealott’s Hill International
Research Centre, Bracknell, Berkshire RG42 6EY, UK
| | - S. P. Armes
- Dainton
Building, Department of Chemistry, University
of Sheffield, Brook Hill, Sheffield, South
Yorkshire S3 7HF, UK
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15
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Mphethe V, Weier S, Westphal C, Linden B, Swanepoel L, Parker D, Taylor P. Epauletted fruit bats prefer native plants and contribute to seed dispersal in a South African agricultural landscape. Afr J Ecol 2023. [DOI: 10.1111/aje.13132] [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: 02/22/2023]
Affiliation(s)
- Vusani Mphethe
- SARChI Chair on Biodiversity Value and Change Faculty of Science, Engineering and Agriculture Thohoyandou South Africa
- Department of Biological Sciences Faculty of Science, Engineering and Agriculture Thohoyandou South Africa
| | - Sina Weier
- SARChI Chair on Biodiversity Value and Change Faculty of Science, Engineering and Agriculture Thohoyandou South Africa
| | - Catrin Westphal
- Functional Agrobiodiversity Georg‐August‐University Göttingen Göttingen Germany
| | - Birthe Linden
- SARChI Chair on Biodiversity Value and Change Faculty of Science, Engineering and Agriculture Thohoyandou South Africa
- Lajuma Research Centre Louis Trichardt Limpopo Province South Africa
- Department of Zoology & Entomology & Afromontane Research Unit University of the Free State Phuthaditjhaba South Africa
| | - Lourens Swanepoel
- Department of Biological Sciences Faculty of Science, Engineering and Agriculture Thohoyandou South Africa
| | - Daniel Parker
- School of Biology and Environmental Sciences University of Mpumalanga Mbombela South Africa
- Wildlife and Reserve Management Research Group, Department of Zoology and Entomology Rhodes University Makhanda South Africa
| | - Peter Taylor
- SARChI Chair on Biodiversity Value and Change Faculty of Science, Engineering and Agriculture Thohoyandou South Africa
- Department of Zoology & Entomology & Afromontane Research Unit University of the Free State Phuthaditjhaba South Africa
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16
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Shafti M, Taylor P, Forrester A, Handerer F, Pratt D. A systematic review of the co-occurrence of self-harm and aggression: Is dual harm a unique behavioural construct? Front Psychiatry 2023; 14:1083271. [PMID: 36873217 PMCID: PMC9978485 DOI: 10.3389/fpsyt.2023.1083271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 01/23/2023] [Indexed: 02/18/2023] Open
Abstract
Introduction Dual harm is the co-occurrence of self-harm and aggression during an individual's lifetime. It is unclear whether sufficient evidence exists for dual harm as a unique clinical entity. This systematic review aimed to examine whether there are psychological factors that are uniquely associated with dual harm when compared to those who have engaged in sole harm (self-harm alone, aggression alone) and no harmful behaviours. Our secondary aim was to conduct a critical appraisal of the literature. Methods The review searched PsycINFO, PubMed, CINAHL, and EThOS on September 27, 2022, resulting in 31 eligible papers that represented 15,094 individuals. An adapted version of the Agency for Healthcare Research and Quality was used to assess risk of bias and a narrative synthesis was conducted. Results The included studies assessed differences in mental health problems, personality, and emotion related factors between the different behavioural groups. We found weak evidence that dual harm is an independent construct with unique psychological characteristics. Rather, our review suggests that dual harm results from the interaction of psychological risk factors that are associated with self-harm and aggression. Discussion The critical appraisal identified numerous limitations within the dual harm literature. Clinical implications and recommendations for future research are provided. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=197323, identifier CRD42020197323.
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Affiliation(s)
- Matina Shafti
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom
| | - Peter Taylor
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom
| | - Andrew Forrester
- Division of Psychological Medicine and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, United Kingdom
| | - Fritz Handerer
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom
| | - Daniel Pratt
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom
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17
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Chen Y, Penton D, Karim F, Aryal S, Wahid S, Taylor P, Cuddy SM. Characterisation of meteorological drought at sub-catchment scale in Afghanistan using station-observed climate data. PLoS One 2023; 18:e0280522. [PMID: 36745664 PMCID: PMC9901756 DOI: 10.1371/journal.pone.0280522] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 12/29/2022] [Indexed: 02/07/2023] Open
Abstract
Droughts have severely affected Afghanistan over the last four decades, leading to critical food shortages where two-thirds of the country's population are in a food crisis. Long years of conflict have lowered the country's ability to deal with hazards such as drought which can rapidly escalate into disasters. Understanding the spatial and temporal distribution of droughts is needed to be able to respond effectively to disasters and plan for future occurrences. This study used Standardized Precipitation Evapotranspiration Index (SPEI) at monthly, seasonal and annual temporal scales to map the spatiotemporal change dynamics of drought characteristics (distribution, frequency, duration and severity) in Afghanistan. SPEI indices were mapped for river basins, disaggregated into 189 sub-catchments, using monthly precipitation and potential evapotranspiration derived from temperature station observations from 1980 to 2017. The results show these multi-dimensional drought characteristics vary along different years, change among sub-catchments, and differ across temporal scales. During the 38 years, the driest decade and period are 2000s and 1999-2022, respectively. The 2000-01 water year is the driest with the whole country experiencing 'severe' to 'extreme' drought, more than 53% (87 sub-catchments) suffering the worst drought in history, and about 58% (94 sub-catchments) having 'very frequent' drought (7 to 8 months) or 'extremely frequent' drought (9 to 10 months). The estimated seasonal duration and severity present significant variations across the study area and among the study period. The nation also suffers from recurring droughts with varying length and intensity in 2004, 2006, 2008 and most recently 2011. There is a trend towards increasing drought with longer duration and higher severity extending all over sub-catchments from southeast to north and central regions. These datasets and maps help to fill the knowledge gap on detailed sub-catchment scale meteorological drought characteristics in Afghanistan. The study findings improve our understanding of the influences of climate change on the drought dynamics and can guide catchment planning for reliable adaptation to and mitigation against future droughts.
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Affiliation(s)
- Yun Chen
- Environment, Commonwealth Scientific and Industrial Research Organization (CSIRO), Canberra, Australia
- * E-mail: (YC); (SW)
| | - David Penton
- Environment, Commonwealth Scientific and Industrial Research Organization (CSIRO), Canberra, Australia
| | - Fazlul Karim
- Environment, Commonwealth Scientific and Industrial Research Organization (CSIRO), Canberra, Australia
| | - Santosh Aryal
- Environment, Commonwealth Scientific and Industrial Research Organization (CSIRO), Canberra, Australia
| | - Shahriar Wahid
- Environment, Commonwealth Scientific and Industrial Research Organization (CSIRO), Canberra, Australia
- * E-mail: (YC); (SW)
| | - Peter Taylor
- Environment, Commonwealth Scientific and Industrial Research Organization (CSIRO), Canberra, Australia
| | - Susan M. Cuddy
- Environment, Commonwealth Scientific and Industrial Research Organization (CSIRO), Canberra, Australia
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18
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Bebbington E, Poole R, Kumar SP, Krayer A, Krishna M, Taylor P, Hawton K, Raman R, Kakola M, Srinivasarangan M, Robinson C. Establishing Self-Harm Registers: The Role of Process Mapping to Improve Quality of Surveillance Data Globally. Int J Environ Res Public Health 2023; 20:2647. [PMID: 36768009 PMCID: PMC9915364 DOI: 10.3390/ijerph20032647] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 01/23/2023] [Accepted: 01/27/2023] [Indexed: 06/18/2023]
Abstract
Self-harm registers (SHRs) are an essential means of monitoring rates of self-harm and evaluating preventative interventions, but few SHRs exist in countries with the highest burden of suicides and self-harm. Current international guidance on establishing SHRs recommends data collection from emergency departments, but this does not adequately consider differences in the provision of emergency care globally. We aim to demonstrate that process mapping can be used prior to the implementation of an SHR to understand differing hospital systems. This information can be used to determine the method by which patients meeting the SHR inclusion criteria can be most reliably identified, and how to mitigate hospital processes that may introduce selection bias into these data. We illustrate this by sharing in detail the experiences from a government hospital and non-profit hospital in south India. We followed a five-phase process mapping approach developed for healthcare settings during 2019-2020. Emergency care provided in the government hospital was accessed through casualty department triage. The non-profit hospital had an emergency department. Both hospitals had open access outpatient departments. SHR inclusion criteria overlapped with conditions requiring Indian medicolegal registration. Medicolegal registers are the most likely single point to record patients meeting the SHR inclusion criteria from multiple emergency care areas in India (e.g., emergency department/casualty, outpatients, other hospital areas), but should be cross-checked against registers of presentations to the emergency department/casualty to capture less-sick patients and misclassified cases. Process mapping is an easily reproducible method that can be used prior to the implementation of an SHR to understand differing hospital systems. This information is pivotal to choosing which hospital record systems should be used for identifying patients and to proactively reduce bias in SHR data. The method is equally applicable in low-, middle- and high-income countries.
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Affiliation(s)
- Emily Bebbington
- Wrexham Academic Unit, Centre for Mental Health and Society, Bangor University, Wrexham LL13 7YP, UK
- Department of Emergency Medicine, Ysbyty Gwynedd, Bangor LL57 2PW, UK
| | - Rob Poole
- Wrexham Academic Unit, Centre for Mental Health and Society, Bangor University, Wrexham LL13 7YP, UK
| | - Sudeep Pradeep Kumar
- South Asia Self-Harm Initiative, JSS Hospital, Mysuru 570 004, India
- Department of Clinical Psychology, JSS Hospital, Mysuru 570 004, India
| | - Anne Krayer
- Wrexham Academic Unit, Centre for Mental Health and Society, Bangor University, Wrexham LL13 7YP, UK
| | - Murali Krishna
- Wrexham Academic Unit, Centre for Mental Health and Society, Bangor University, Wrexham LL13 7YP, UK
- South Asia Self-Harm Initiative, JSS Hospital, Mysuru 570 004, India
| | - Peter Taylor
- Division of Psychology and Mental Health, University of Manchester, Manchester M13 9PL, UK
| | - Keith Hawton
- Centre for Suicide Research, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK
| | - Rajesh Raman
- Department of Psychiatry, JSS Hospital, Mysuru 570 004, India
| | - Mohan Kakola
- Department of Plastic Surgery and Burns, Krishna Rajendra Hospital, Mysuru 570 001, India
| | | | - Catherine Robinson
- Social Care and Society, School of Health Sciences, University of Manchester, Manchester M13 9PL, UK
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Kariyawasam D, D’Silva A, Mowat D, Russell J, Sampaio H, Jones K, Taylor P, Farrar M. Incidence of Duchenne muscular dystrophy in the modern era; an Australian study. Eur J Hum Genet 2022; 30:1398-1404. [PMID: 35754057 PMCID: PMC9712523 DOI: 10.1038/s41431-022-01138-2] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 04/20/2022] [Accepted: 06/13/2022] [Indexed: 11/09/2022] Open
Abstract
Duchenne muscular dystrophy (DMD), an X-linked recessive condition is maternally inherited in two-thirds of affected boys. It is important to establish carrier status of female relatives to restore reproductive confidence for non-carriers and facilitate reproductive options and cardiac surveillance for carriers. This study investigates disease incidence within an Australian model of cascade screening and evolving genetic diagnostic technologies. A retrospective population-based cohort study of all genetically and/or histopathologically confirmed males with DMD, born in New South Wales and the Australian Capital Territory was undertaken from 2002-2012. Cases were identified using state-wide molecular laboratory and clinical databases. The annual disease incidence and "theoretically" preventable cases were extrapolated over the study period. Proband genotype/phenotype, pedigree analysis, carrier-risk and extent of cascade screening were also determined. The cumulative incidence of disease was 19.7 per 100,000 male live births and 1 in 5076 live born males were diagnosed with DMD. Differences in disease incidence were not statistically different when compared between 2002-2007 and 2008-2012 (incidence rate ratio = 1.13, 95% CI 0.76-1.69, p = 0.52). The incidence rate ratio of theoretically preventable cases did not significantly change between 2002-2007 and 2008-2012 (incidence rate ratio = 2.07, 95% CI 0.58-9.21, p = 0.23). Current diagnostic and cascade screening models have limitations in their impact on disease incidence, due to a spectrum of logistical, patient and condition related factors. Innovative approaches to reduce DMD incidence may be better achieved by preconception or early pregnancy carrier screening, prenatal exome sequencing and newborn screening.
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Affiliation(s)
- Didu Kariyawasam
- Department of Neurology, Sydney Children's Hospital, Randwick, Sydney, NSW, Australia. .,School of Clinical Medicine, UNSW Medicine and Health, Randwick Clinical Campus, Discipline of Paediatrics, University of New South Wales, Sydney, NSW, Australia.
| | - Arlene D’Silva
- grid.1005.40000 0004 4902 0432School of Clinical Medicine, UNSW Medicine and Health, Randwick Clinical Campus, Discipline of Paediatrics, University of New South Wales, Sydney, NSW Australia
| | - David Mowat
- grid.1005.40000 0004 4902 0432School of Clinical Medicine, UNSW Medicine and Health, Randwick Clinical Campus, Discipline of Paediatrics, University of New South Wales, Sydney, NSW Australia ,grid.414009.80000 0001 1282 788XCentre for Clinical Genetics, Sydney Children’s Hospital, Randwick, Sydney, NSW Australia
| | - Jacqui Russell
- grid.414009.80000 0001 1282 788XCentre for Clinical Genetics, Sydney Children’s Hospital, Randwick, Sydney, NSW Australia
| | - Hugo Sampaio
- grid.414009.80000 0001 1282 788XDepartment of Neurology, Sydney Children’s Hospital, Randwick, Sydney, NSW Australia
| | - Kristi Jones
- grid.413973.b0000 0000 9690 854XDepartment of Clinical Genetics, Children’s Hospital Westmead, Westmead, NSW Australia ,grid.1013.30000 0004 1936 834XPaediatrics and Child Health, Sydney Medical School, University of Sydney NSW Australia, Sydney, NSW Australia
| | - Peter Taylor
- Genomic Diagnostics, Healius Pathology, Melbourne, Vic Australia
| | - Michelle Farrar
- grid.414009.80000 0001 1282 788XDepartment of Neurology, Sydney Children’s Hospital, Randwick, Sydney, NSW Australia ,grid.1005.40000 0004 4902 0432School of Clinical Medicine, UNSW Medicine and Health, Randwick Clinical Campus, Discipline of Paediatrics, University of New South Wales, Sydney, NSW Australia
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20
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Carrasco G, Almeida AC, Falvey M, Olmedo GF, Taylor P, Santibañez F, Coops NC. Effects of climate change on forest plantation productivity in Chile. Glob Chang Biol 2022; 28:7391-7409. [PMID: 36059096 DOI: 10.1111/gcb.16418] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 08/25/2022] [Indexed: 06/15/2023]
Abstract
Forest plantations in Chile occupy more than 2.2 million ha and are responsible for 2.1% of the GDP of the country's economy. The ability to accurately predictions of plantations productivity under current and future climate has an impact can enhance on forest management and industrial wood production. The use of process-based models to predict forest growth has been instrumental in improving the understanding and quantifying the effects of climate variability, climate change, and the impact of atmospheric CO2 concentration and management practices on forest growth. This study uses the 3-PG model to predict future forest productivity Eucalyptus globulus and Pinus radiata. The study integrates climate data from global circulation models used in CMIP5 for scenarios RCP26 and RCP85, digital soil maps for physical and chemical variables. Temporal and spatial tree growth inventories were used to compare with the 3-PG predictions. The results indicated that forest productivity is predicted to potentially increase stand volume (SV) over the next 50 years by 26% and 24% for the RCP26 scenario and between 73% and 62% for the RCP85 scenario for E. globulus and P. radiata, respectively. The predicted increases can be explained by a combination of higher level of atmospheric CO2 , air temperatures closer to optimum than current, and increases in tree water use efficiency. If the effect of CO2 is not considered, the predicted differences of SV for 2070 are 16% and 14% for the RCP26 scenario and 22% and 14% for RCP85 for the two species. While shifts in climate and increasing CO2 are likely to benefit promote higher productivity, other factors such as lack insufficient availability of soil nutrients, events such as increasing frequency and duration of droughts, longer periods of extreme temperatures, competing vegetation, and occurrence of new pests and diseases may compromise these potential gains.
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Affiliation(s)
| | | | - Mark Falvey
- Department of Geophysics, University of Chile, and Meteodata Ltd., Santiago, Chile
| | | | - Peter Taylor
- Land and Water, CSIRO, Hobart, Tasmania, Australia
| | | | - Nicholas C Coops
- Department of Forest Resources Management, Faculty of Forestry, University of British Columbia, Vancouver, British Columbia, Canada
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21
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French R, Kneale D, Warner JT, Robinson H, Rafferty J, Sayers A, Taylor P, Gregory JW, Dayan CM. Educational Attainment and Childhood-Onset Type 1 Diabetes. Diabetes Care 2022; 45:2852-2861. [PMID: 36455114 DOI: 10.2337/dc21-0693] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 03/29/2021] [Accepted: 08/24/2022] [Indexed: 12/02/2022]
Abstract
OBJECTIVE To quantify associations of educational outcomes with type 1 diabetes status and glycemic management (HbA1c). RESEARCH DESIGN AND METHODS This was a record linkage study of schools and higher (college) education data sets linked to national diabetes audits. The population includes all Welsh children attending school between 2009 and 2016, yielding eight academic cohorts with attainment data, including 263,426 children without diabetes and 1,212 children diagnosed with type 1 diabetes. Outcomes include standardized educational attainment for those aged 16 years, higher education participation for those aged ≥18 years, and school absences among those aged 6-16 years. RESULTS Comparison between children with type 1 diabetes and children without diabetes showed no strong evidence of associations for student attainment (0.001 SD, 95% CI -0.047 to 0.049, P < 0.96, n = 1,212 vs. 263,426) or higher education entry rates (odds ratio 1.067, 95% CI 0.919-1.239, P < 0.39, n = 965 vs. 217,191), despite nine more sessions of absence from school annually (P < 0.0001). However, attainment in children in the most optimal HbA1c quintile was substantially better than for children without diabetes (0.267 SD, 95% CI 0.160-0.374, P < 0.001) while being worse than for children without diabetes in the least optimal quintile (-0.395 SD, 95% CI -0.504 to -0.287, P < 0.001). Attainment did not differ by duration of "exposure" to diabetes based on age at diagnosis. CONCLUSIONS Despite more school absences, diabetes diagnosis is not associated with educational attainment or entry into higher education, although attainment does vary by HbA1c level, which may be explained in part (or wholly) by unobserved shared personal, family, or socioeconomic characteristics associated with both success in education and effective glycemic self-management.
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Affiliation(s)
- Robert French
- Diabetes Research Group, Division of Infection and Immunity, School of Medicine, Cardiff University, Heath Park, Cardiff, U.K
| | - Dylan Kneale
- Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre), Social Research Institute, University College London, London, U.K
| | - Justin T Warner
- Noah's Ark Children's Hospital for Wales, Cardiff and Vale University Health Board, Heath Park, Cardiff, U.K
| | - Holly Robinson
- Royal College of Paediatrics and Child Health, London, U.K
| | | | | | - Peter Taylor
- Diabetes Research Group, Division of Infection and Immunity, School of Medicine, Cardiff University, Heath Park, Cardiff, U.K
| | - John W Gregory
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, U.K
| | - Colin M Dayan
- Diabetes Research Group, Division of Infection and Immunity, School of Medicine, Cardiff University, Heath Park, Cardiff, U.K
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22
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Lawrence K, Bucci S, Berry K, Carter L, Taylor P. Fluctuations in proximity seeking and paranoia. Br J Clin Psychol 2022; 61:1019-1037. [PMID: 35570710 PMCID: PMC9790696 DOI: 10.1111/bjc.12372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 04/19/2022] [Accepted: 04/21/2022] [Indexed: 12/30/2022]
Abstract
OBJECTIVES This study aimed to investigate associations between proximity seeking, stress and paranoia in the context of daily life, and whether these relationships are moderated by trait attachment styles. METHODS Sixty non-clinical participants completed 3423 assessments of state stress, proximity seeking and paranoia over a 6-day period using an experience sampling method. Multilevel linear regression was performed to evaluate relationships between variables. RESULTS The post-hoc analysis showed antecedent events subjectively appraised as very unpleasant or very pleasant predicted greater levels of momentary proximity seeking at the subsequent timepoint. Greater stress predicted greater subsequent shifts or variability in proximity seeking. Changes in proximity seeking were not associated with momentary paranoia. However, for individuals with an avoidant attachment style, greater shifts in proximity seeking resulted in greater subsequent reports of paranoia. CONCLUSIONS These findings suggest that, in daily life, the attachment system may become active in response to stress. For those with an avoidant attachment style, an active attachment system may exacerbate paranoid thoughts possibly due to the activation of attachment-related beliefs that one should be fearful of unavailable others and instead rely on one's autonomy to regulate affect. These findings highlight the need to consider attachment in the assessment and formulation of paranoia.
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Affiliation(s)
- Kate Lawrence
- Division of Psychology and Mental HealthManchester Academic Health Science CentreFaculty of Biology, Medicine and HealthThe University of ManchesterManchesterUK
| | - Sandra Bucci
- Division of Psychology and Mental HealthManchester Academic Health Science CentreFaculty of Biology, Medicine and HealthThe University of ManchesterManchesterUK,Greater Manchester Mental Health NHS Foundation TrustManchesterUK
| | - Katherine Berry
- Division of Psychology and Mental HealthManchester Academic Health Science CentreFaculty of Biology, Medicine and HealthThe University of ManchesterManchesterUK,Greater Manchester Mental Health NHS Foundation TrustManchesterUK
| | - Lesley‐Anne Carter
- Division of Psychology and Mental HealthManchester Academic Health Science CentreFaculty of Biology, Medicine and HealthThe University of ManchesterManchesterUK
| | - Peter Taylor
- Division of Psychology and Mental HealthManchester Academic Health Science CentreFaculty of Biology, Medicine and HealthThe University of ManchesterManchesterUK
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Mangion G, Simmonds-Buckley M, Kellett S, Taylor P, Degnan A, Humphrey C, Freshwater K, Poggioli M, Fiorani C. Modelling Identity Disturbance: A Network Analysis of the Personality Structure Questionnaire (PSQ). Int J Environ Res Public Health 2022; 19:13793. [PMID: 36360673 PMCID: PMC9656866 DOI: 10.3390/ijerph192113793] [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] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 10/14/2022] [Accepted: 10/17/2022] [Indexed: 06/16/2023]
Abstract
Due to the relevance of identity disturbance to personality disorder this study sought to complete a network analysis of a well validated measure of identity disturbance; the personality structure questionnaire (PSQ). A multi-site and cross-national methodology created an overall sample of N = 1549. The global network structure of the PSQ was analysed and jointly estimated networks were compared across four subsamples (UK versus Italy, adults versus adolescents, clinical versus community and complex versus common presenting problems). Stability analyses assessed the robustness of identified networks. Results indicated that PSQ3 (unstable sense of self) and PSQ5 (mood variability) were the most central items in the global network structure. Network structures significantly differed between the UK and Italy. Centrality of items was largely consistent across subsamples. This study provides evidence of the potential network structure of identity disturbance and so guides clinicians in targeting interventions facilitating personality integration.
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Affiliation(s)
- Georgia Mangion
- Clinical and Applied Psychology Unit, University of Sheffield, Sheffield S10 2TN, UK
| | - Melanie Simmonds-Buckley
- Clinical and Applied Psychology Unit, University of Sheffield, Sheffield S10 2TN, UK
- Rotherham Doncaster and South Humber NHS Foundation Trust, Rotherham S61 1HE, UK
| | - Stephen Kellett
- Clinical and Applied Psychology Unit, University of Sheffield, Sheffield S10 2TN, UK
- Rotherham Doncaster and South Humber NHS Foundation Trust, Rotherham S61 1HE, UK
| | - Peter Taylor
- Clinical Psychology Department, University of Manchester, Manchester M13 9PL, UK
| | - Amy Degnan
- Clinical Psychology Department, University of Manchester, Manchester M13 9PL, UK
| | - Charlotte Humphrey
- Clinical Psychology Department, University of Manchester, Manchester M13 9PL, UK
| | - Kate Freshwater
- Tees Esk and Wear Valleys NHS Foundation Trust, Darlington DL2 2TS, UK
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Taylor P. S-09-01 Thyroid hormones, pregnancy and offspring development in humans and correlation to animals. Toxicol Lett 2022. [DOI: 10.1016/j.toxlet.2022.07.092] [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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Binding L, Taylor P, Baxendale S, McEvoy A, Miserocchi A, Duncan J, Vos S. Network changes predicting language decline following anterior temporal lobe resection. J Neurol Psychiatry 2022. [DOI: 10.1136/jnnp-2022-abn2.32] [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
Anterior temporal lobe resection (ATLR), while successful can result in lasting impairment of language function. White matter bundles have been shown to explain some of the variance seen in language decline after ATLR. Network analysis of the structural connectome has been shown superior in predicting preoperative language ability but remains unexplored in predicting postoperative ability.Diffusion MRI-based tractography was used to generate the preoperative connectome on 54 left-lat- eralised (as determined by functional MRI), left-hemisphere ATLR. Postoperative connectomes were estimated via manually drawn resection masks. Graded naming test (GNT), semantic, and letter fluency were binarised into significant decline or not (via their reliable change indices). Strength (sum of connec- tions) and betweenness centrality (interconnectivity) network changes were generated using pre- and postoperative connectomes as predictor variables. Each model was entered into a linear support vector machine incorporating synthetic minority over-sampling technique for class imbalances.Strength changes alone accurately predicted 81.6% of patients who had GNT decline. Betweenness centrality changes accurately predicted 73.3% of patients who had letter fluency decline. Patients with semantic decline were predicted equally as well by strength and betweenness centrality changes (accuracy=71.1%).These findings demonstrate the usefulness of the structural network in predicting and potentially prevent- ing postoperative language decline.
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26
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Woo T, Li C, Ganesananthan S, Rajendram R, Uddin J, Lee R, Dayan C, Taylor P. 178 The Effect of Ophthalmic Surgery for Graves’ Orbitopathy on Quality of Life – A Systematic Review and Meta-Analysis. Br J Surg 2022. [DOI: 10.1093/bjs/znac268.004] [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: 11/05/2022]
Abstract
Abstract
Background
Graves’ orbitopathy has a profound negative impact on quality of life. Surgery is undertaken to preserve vision, correct diplopia and improve aesthetics. We aimed to quantify the effect of different surgical approaches on quality of life.
Method
Electronic databases were used from inception until 22nd March 2021 to identify studies assessing quality of life pre- and post-surgical intervention for Graves’ orbitopathy. Two reviewers independently extracted data and performed quality assessments. Random-effects and Bayesian models for meta-analyses were utilised.
Results
10 articles comprising 632 patients were included. All used the Graves’ Ophthalmopathy Quality of Life questionnaire (GO-QOL). For GO-QOL appearance, the pooled standardised mean improvement for patients after surgery was +0.72 (95% CI 0.50–0.94) I2=69% (95% CI 52–80%). For GO-QOL visual functioning, the pooled SMD for patients after surgery was +0.41 (95% CI 0.25–0.58) I2=60% (95% CI 36–74%). For visual appearance, orbital decompression yielded the greatest improvement (SMD+0.84, 95%CI 0.54–1.13) followed by eyelid surgery (SMD+0.38, 95% CI 0.05–0.70), while strabismus correction had no significant effect (SMD +0.94, 95% CI -0.10–1.99). Conversely strabismus correction was associated with the greatest improvement (SMD+1.25, 95%CI 0.29–2.21) in visual functioning, outperforming orbital decompression (SMD+0.29, 95%CI 0.15–0.43) and eyelid surgery (SMD+0.12, 95%CI -0.18–0.41).
Conclusions
Ophthalmic surgery results in substantial improvements in quality of life in patients with Graves’ orbitopathy, with greater perceived effects on appearance than visual function. Orbital decompression has particular impact on visual appearance, strabismus surgery may benefit both visual appearance and function equally whereas eyelid surgery benefits appearance alone.
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Affiliation(s)
- T Woo
- Kings College Hospital , London , United Kingdom
- Cardiff University , Cardiff , United Kingdom
| | - C Li
- St George University Hospital , London , United Kingdom
- Cardiff University , Cardiff , United Kingdom
| | - S Ganesananthan
- Chelsea and Westminster Hospital Foundation Trust , London , United Kingdom
- Cardiff University , Cardiff , United Kingdom
| | - R Rajendram
- Moorfields Eye Hospital NHS Foundation Trust , London , United Kingdom
| | - J Uddin
- Moorfields Eye Hospital NHS Foundation Trust , London , United Kingdom
| | - R Lee
- Moorfields Eye Hospital NHS Foundation Trust , London , United Kingdom
- Institute of Ophthalmology, Faculty of Brain Sciences, University College London , London , United Kingdom
| | - C Dayan
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine , Cardiff , United Kingdom
| | - P Taylor
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine , Cardiff , United Kingdom
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27
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Pak HYV, Hayhurst C, Taylor P. 414 Are Lumbar Drains Necessary in Endoscopic Transellar Surgery with an Intraoperative High Flow Leak? a Systematic Review. Br J Surg 2022. [DOI: 10.1093/bjs/znac269.273] [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: 11/06/2022]
Abstract
Abstract
Aim
Perioperative lumbar drains have been used to facilitate healing of the dura and prevent postoperative cerebrospinal fluid (CSF) leaks. However, the use of perioperative lumbar drains is controversial and has primarily been left to the surgeon's preferences. Through the use of meta-analysis, we aim to find out whether lumbar drains effectively reduce the risk of postoperative CSF leak in the context of a high flow intraoperative leak.
Method
A systematic review was conducted using PRISMA guidelines. Databases used in literature searching include PubMed, Ovid (including Embase and Medline), Scopus and Cochrane Library. Articles published in 2006 or later were searched. The random-effects model was used in statistical analysis.
Results
A total of 2623 articles were identified. After screening and full-text reviews, 21 studies were included. From the quantitative data analysis, lumbar drains did not significantly lower the rates of postoperative CSF leaks. In addition, lumbar drains were associated with complications as well as a lengthier hospital stay.
Conclusions
Modern and rigorous repair techniques after endoscopic transsellar surgery are sufficient, and the use of lumbar drains is not necessary.
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Affiliation(s)
- HYV Pak
- Cardiff University , Cardiff , United Kingdom
| | - C Hayhurst
- University Hospital Wales , Cardiff , United Kingdom
| | - P Taylor
- Cardiff University , Cardiff , United Kingdom
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Bliddal S, Derakhshan A, Xiao Y, Chen LM, Männistö T, Ashoor G, Tao F, Brown SJ, Vafeiadi M, Itoh S, Grineva EN, Taylor P, Ghafoor F, Vaidya B, Hattersley A, Mosso L, Oken E, Kishi R, Alexander EK, Maraka S, Huang K, Chaker L, Bassols J, Pirzada A, López-Bermejo A, Boucai L, Peeters RP, Pearce EN, Nelson SM, Chatzi L, Vrijkotte TG, Popova PV, Walsh JP, Nicolaides KH, Suvanto E, Lu X, Pop VJM, Forman JL, Korevaar TIM, Feldt-Rasmussen U. Association of Thyroid Peroxidase Antibodies and Thyroglobulin Antibodies with Thyroid Function in Pregnancy: An Individual Participant Data Meta-Analysis. Thyroid 2022; 32:828-840. [PMID: 35596568 DOI: 10.1089/thy.2022.0083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Objectives: Thyroid autoimmunity is common in pregnant women and associated with thyroid dysfunction and adverse obstetric outcomes. Most studies focus on thyroid peroxidase antibodies (TPOAbs) assessed by a negative-positive dichotomy and rarely take into account thyroglobulin antibodies (TgAbs). This study aimed at determining the association of TPOAbs and TgAbs, respectively, and interdependently, with maternal thyroid function. Methods: This was a meta-analysis of individual participant cross-sectional data from 20 cohorts in the Consortium on Thyroid and Pregnancy. Women with multiple pregnancy, pregnancy by assisted reproductive technology, history of thyroid disease, or use of thyroid interfering medication were excluded. Associations of (log2) TPOAbs and TgAbs (with/without mutual adjustment) with cohort-specific z-scores of (log2) thyrotropin (TSH), free triiodothyronine (fT3), total triiodothyronine (TT3), free thyroxine (fT4), total thyroxine (TT4), or triiodothyronine:thyroxine (T3:T4) ratio were evaluated in a linear mixed model. Results: In total, 51,138 women participated (51,094 had TPOAb-data and 27,874 had TgAb-data). Isolated TPOAb positivity was present in 4.1% [95% confidence interval, CI: 3.0 to 5.2], isolated TgAb positivity in 4.8% [CI: 2.9 to 6.6], and positivity for both antibodies in 4.7% [CI: 3.1 to 6.3]. Compared with antibody-negative women, TSH was higher in women with isolated TPOAb positivity (z-score increment 0.40, CI: 0.16 to 0.64) and TgAb positivity (0.21, CI: 0.10 to 0.32), but highest in those positive for both antibodies (0.54, CI: 0.36 to 0.71). There was a dose-response effect of higher TPOAb and TgAb concentrations with higher TSH (TSH z-score increment for TPOAbs 0.12, CI: 0.09 to 0.15, TgAbs 0.08, CI: 0.02 to 0.15). When adjusting analyses for the other antibody, only the association of TPOAbs remained statistically significant. A higher TPOAb concentration was associated with lower fT4 (p < 0.001) and higher T3:T4 ratio (0.09, CI: 0.03 to 0.14), however, the association with fT4 was not significant when adjusting for TgAbs (p = 0.16). Conclusions: This individual participant data meta-analysis demonstrated an increase in TSH with isolated TPOAb positivity and TgAb positivity, respectively, which was amplified for individuals positive for both antibodies. There was a dose-dependent association of TPOAbs, but not TgAbs, with TSH when adjusting for the other antibody. This supports current practice of using TPOAbs in initial laboratory testing of pregnant women suspected of autoimmune thyroid disease. However, studies on the differences between TPOAb- and TgAb-positive women are needed to fully understand the spectrum of phenotypes.
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Affiliation(s)
- Sofie Bliddal
- Department of Medical Endocrinology and Metabolism, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
| | - Arash Derakhshan
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands
- Academic Center for Thyroid Diseases, Erasmus University Medical Center, Rotterdam, the Netherlands
| | - Yi Xiao
- Section of Biostatistics, Department of Public Health, Copenhagen University, Copenhagen, Denmark
| | - Liang-Miao Chen
- Department of Endocrinology and Rui'an Center of the Chinese-American Research Institute for Diabetic Complications, Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Tuija Männistö
- Northern Finland Laboratory Center Nordlab and Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Ghalia Ashoor
- Harris Birthright Research Center for Fetal Medicine, King's College Hospital, London, United Kingdom
| | - Fangbiao Tao
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China
- Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, China
| | - Suzanne J Brown
- Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, Australia
| | - Marina Vafeiadi
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
| | - Sachiko Itoh
- Center for Environmental and Health Sciences, Hokkaido University, Sapporo, Japan
| | | | - Peter Taylor
- Thyroid Research Group, Institute of Molecular and Experimental Medicine, School of Medicine, Cardiff University, Cardiff, United Kingdom
| | - Farkhanda Ghafoor
- Research & Innovation, Shalamar Institute of Health Sciences, Lahore, Pakistan
| | - Bijay Vaidya
- Department of Endocrinology, Royal Devon and Exeter Hospital NHS Foundation Trust, University of Exeter Medical School, Exeter, United Kingdom
| | - Andrew Hattersley
- University of Exeter Medical School, Royal Devon & Exeter Hospital, Exeter, United Kingdom
| | - Lorena Mosso
- Endocrinology Department and Center of Translational Endocrinology (CETREN), Department of Endocrinology, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Emily Oken
- Division of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Hypertension and Diabetes, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Reiko Kishi
- Center for Environmental and Health Sciences, Hokkaido University, Sapporo, Japan
| | - Erik K Alexander
- Division of Endocrinology, Hypertension and Diabetes, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Spyridoula Maraka
- Division of Endocrinology and Metabolism, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
- Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA
- Central Arkansas Veterans Healthcare System, Little Rock, Arkansas, USA
| | - Kun Huang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China
| | - Layal Chaker
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands
- Academic Center for Thyroid Diseases, Erasmus University Medical Center, Rotterdam, the Netherlands
| | - Judit Bassols
- Maternal-Fetal Metabolic Research Group, Girona Biomedical Research Institute (IDIBGI), Dr. Josep Trueta Hospital, Girona, Spain
| | - Amna Pirzada
- Shifa Institute of Medical Technology, Shifa International Hospital, Islamabad, Pakistan
| | - Abel López-Bermejo
- Pediatric Endocrinology Research Group, Girona Biomedical Research Institute (IDIBGI), Dr. Josep Trueta Hospital, Girona, Spain
| | - Laura Boucai
- Division of Endocrinology, Department of Medicine, Memorial Sloan-Kettering Cancer Center, Weill Cornell University, New York, New York, USA
| | - Robin P Peeters
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands
- Academic Center for Thyroid Diseases, Erasmus University Medical Center, Rotterdam, the Netherlands
| | - Elizabeth N Pearce
- Section of Endocrinology, Diabetes, and Nutrition, Boston University School of Medicine, Boston, Massachusetts, USA
| | | | - Leda Chatzi
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
| | - Tanja G Vrijkotte
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Polina V Popova
- Institute of Endocrinology, Almazov National Medical Research Centre, St. Petersburg, Russia
- Department of Internal Diseases and Endocrinology, St. Petersburg Pavlov State Medical University, St. Petersburg, Russia
- World-Class Research Center for Personalized Medicine, Almazov National Medical Research Centre, St. Petersburg, Russia
| | - John P Walsh
- Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, Australia
- Medical School, University of Western Australia, Crawley, Australia
| | - Kypros H Nicolaides
- Department of Women and Children's Health, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom
| | - Eila Suvanto
- Department of Obstetrics and Gynecology and Medical Research Center Oulu, University of Oulu, Oulu, Finland
| | - Xuemian Lu
- Department of Endocrinology and Rui'an Center of the Chinese-American Research Institute for Diabetic Complications, Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Victor J M Pop
- Department of Medical and Clinical Psychology, Tilburg University, Tilburg, the Netherlands
| | - Julie Lyng Forman
- Section of Biostatistics, Department of Public Health, Copenhagen University, Copenhagen, Denmark
| | - Tim I M Korevaar
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands
- Academic Center for Thyroid Diseases, Erasmus University Medical Center, Rotterdam, the Netherlands
| | - Ulla Feldt-Rasmussen
- Department of Medical Endocrinology and Metabolism, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Taylor P, Allen L, Shrikrishnapalasuriyar N, Stechman M, Rees A. Vaccine-induced thrombosis and thrombocytopenia with bilateral adrenal haemorrhage. Clin Endocrinol (Oxf) 2022; 97:26-27. [PMID: 34235757 PMCID: PMC8444929 DOI: 10.1111/cen.14548] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 06/07/2021] [Accepted: 06/20/2021] [Indexed: 12/01/2022]
Affiliation(s)
- Peter Taylor
- Department of EndocrinologyUniversity Hospital WalesHeath ParkCardiffWalesUK
| | - Lowri Allen
- Department of EndocrinologyUniversity Hospital WalesHeath ParkCardiffWalesUK
| | | | - Michael Stechman
- Department of Endocrine SurgeryUniversity Hospital WalesHeath ParkCardiffWalesUK
| | - Aled Rees
- Department of EndocrinologyUniversity Hospital WalesHeath ParkCardiffWalesUK
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Binding L, Taylor P, Thompson P, Baxendale S, Tisi JD, McEvoy A, Miserocchi A, Winston G, Duncan J, Vos SB. 009 Language decline following white matter tract damage during anterior temporal lobe resection in language dominant hemisphere. J Neurol Neurosurg Psychiatry 2022. [DOI: 10.1136/jnnp-2022-abn.334] [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] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Anterior temporal lobe resection (ATLR) for temporal lobe epilepsy (TLE) has remission rates up to 80%, however is underutilised, in part because of the risk of language decline following surgery. Language decline occurs in up to 50% of ATLR in the language dominant side. This can occur despite careful planning with functional MRI (fMRI) language mapping. Several white matter bundles are close to the resection area which could contribute to language decline. Diffusion MRI-based fibre tracking to map the arcuate, uncinate, inferior fronto-occipital, inferior, and middle longitudinal fasciculus was performed on 43 patients. We extracted the left-sided bundles in those temporal lobe epilepsy patients who had left-dominant language based on verbal fluency functional MRI (fMRI) and a left-sided resection. Resection masks were manually drawn and used as exclusion regions. Changes from pre- to post-operative tractography and language ability were measured as percentages. Linear regression revealed that the McKenna Graded Naming test decline was predicted by the arcuate and middle longitudinal fasciculus resection (F(2,41)=5.562, p=0.007) with an adjusted R2 of 0.175. These findings demonstrate that damage to anterior arcuate extensions and the middle longitudinal fasciculus affects picture naming ability.lawrence.binding.19@ucl.ac.uk
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31
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Husain N, Tofique S, Chaudhry IB, Kiran T, Taylor P, Williams C, Memon R, Aggarwal S, Alvi MH, Ananiadou S, Ansari MA, Aseem S, Beck A, Alam S, Colucci E, Davidson K, Edwards S, Emsley R, Green J, Gumber A, Hawton K, Jafri F, Khaliq A, Mason T, Mcreath A, Minhas A, Naeem F, Naqvi HA, Noureen A, Panagioti M, Patel A, Poppleton A, Shiri T, Simic M, Sultan S, Nizami AT, Zadeh Z, Zafar SN, Chaudhry N. Youth Culturally adapted Manual Assisted Problem Solving Training (YCMAP) in Pakistani adolescent with a history of self-harm: protocol for multicentre clinical and cost-effectiveness randomised controlled trial. BMJ Open 2022; 12:e056301. [PMID: 35568489 PMCID: PMC9109112 DOI: 10.1136/bmjopen-2021-056301] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Accepted: 04/20/2022] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Suicide is a global health concern. Sociocultural factors have an impact on self-harm and suicide rates. In Pakistan, both self-harm and suicide are considered as criminal offence's and are condemned on both religious and social grounds. The proposed intervention 'Youth Culturally Adapted Manual Assisted Problem Solving Training (YCMAP)' is based on principles of problem-solving and cognitive-behavioural therapy. YCMAP is a brief, culturally relevant, scalable intervention that can be implemented in routine clinical practice if found to be effective. METHOD AND ANALYSIS A multicentre rater blind randomised controlled trial to evaluate the clinical and cost-effectiveness of YCMAP including a sample of 652 participants, aged 12-18 years, presenting to general physicians/clinicians, emergency room after self harm or self referrals. We will test the effectiveness of 8-10 individual sessions of YCMAP delivered over 3 months compared with treatment as usual. Primary outcome measure is repetition of self-harm at 12 months. The seconday outcomes include reduction in suicidal ideation, hopelessness and distress and improvement in health related quality of life. Assessments will be completed at baseline, 3, 6, 9 and 12 months postrandomisation. The nested qualitative component will explore perceptions about management of self-harm and suicide prevention among adolescents and investigate participants' experiences with YCMAP. The study will be guided by the theory of change approach to ensure that the whole trial is centred around needs of the end beneficiaries as key stakeholders in the process. ETHICS AND DISSEMINATION Ethics approval has been obtained from the Ethics Committee of University of Manchester, the National Bioethics Committee in Pakistan. The findings of this study will be disseminated through community workshops, social media, conference presentations and peer-reviewed journals. TRIAL REGISTRATION NUMBER NCT04131179.
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Affiliation(s)
- Nusrat Husain
- Division of Psychology and Mental Health, The University of Manchester School of Medical Sciences, Manchester, UK
- Manchester Global Foundation, Manchester, UK
| | - Sehrish Tofique
- Division of Neuro-Cognitive Disorder, Older Adults Mental Health, Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Imran B Chaudhry
- Psychiatry, Greater Manchester West Mental Hlth NHS Fdn Trust, Manchester, UK
- Psychiatry, Dr Ziauddin Hospital, Karachi, Sindh, Pakistan
| | - Tayyeba Kiran
- Division of Mood Disorder, Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Peter Taylor
- Psychology & Mental Health, The University of Manchester, Manchester, UK
| | | | - Rakhshi Memon
- Science and Technology Studies, University College London, London, UK
| | - Shilpa Aggarwal
- Psychiatry, SRCC Children's Hospital (Narayana Health), Mumbai, India
| | - Mohsin Hassan Alvi
- Health Economics, Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - S Ananiadou
- School of Computer Science, The University of Manchester, Manchester, UK
| | | | - Saadia Aseem
- Division of Psychology and Mental Health, The University of Manchester, Manchester, UK
| | - Andrew Beck
- Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
| | - Sumira Alam
- Psychiatry, Services Institute of Medical Sciences, Lahore, Punjab, Pakistan
| | | | - Kate Davidson
- Psycho-social Interventions, University of Glasgow, Glasgow, UK
| | - Sarah Edwards
- Research Ethics and Governance, University College London, London, UK
| | - Richard Emsley
- Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Jonathan Green
- Division of Neuroscience & Experimental Psychology, The University of Manchester, Manchester, UK
| | - Anil Gumber
- Health Economics, Hallam University, Sheffield, UK
| | - Keith Hawton
- Psychiatry, Centre for Suicide Research, Oxford University, Oxford, UK
| | - Farhat Jafri
- Community Medicine, Karachi Medical and Dental College, Karachi, Pakistan
| | - Ayesha Khaliq
- Division of Eating Feeding, Nutrition and Elimination Disorders, Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Thomas Mason
- Division of Population Health, Health Services Research & Primary Care, Manchester Institute for Collaborative Research on Ageing, University of Manchester, Manchester, UK
| | | | | | - Farooq Naeem
- Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Haider Ali Naqvi
- Psychiatry, Dow University of Health Sciences, Karachi, Pakistan
| | - Amna Noureen
- Division of Child and Adolescent Mental Health, Pakistan Institute of Living and Learning, Karachi, Pakistan
| | - Maria Panagioti
- Division of Population Health, Health Services Research & Primary Care, University of Manchester, Manchester, UK
| | - Anita Patel
- Health Economics, Queen Mary University, London, UK
| | - Aaron Poppleton
- Center for Primary Care and Health Services Research, The University of Manchester, Manchester, UK
| | - Tinevimbo Shiri
- Health Economics, Liverpool School of Tropical Medicine, Liverpool, UK
| | - Mima Simic
- Child and Adolescent Psychiatrist, South London and Maudsley NHS Foundation Trust, London, UK
| | - Sarwat Sultan
- Department of Applied Psychology, Bahauddin Zakariya University, Multan, Punjab, Pakistan
| | | | - Zainab Zadeh
- Child and Adolescent Mental Health, Pakistan Institute of Living and Learning, Karachi, Pakistan
| | | | - Nasim Chaudhry
- Research and Development, Pakistan Institute of Living and Learning, Karachi, Pakistan
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Panettieri V, Taylor P, Kry S. MO-0048 Impact of suboptimal community dose delivery on TCP in advanced radiotherapy. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)02281-2] [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: 11/25/2022]
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33
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Marsh CJ, Sica YV, Burgin CJ, Dorman WA, Anderson RC, del Toro Mijares I, Vigneron JG, Barve V, Dombrowik VL, Duong M, Guralnick R, Hart JA, Maypole JK, McCall K, Ranipeta A, Schuerkmann A, Torselli MA, Lacher T, Mittermeier RA, Rylands AB, Sechrest W, Wilson DE, Abba AM, Aguirre LF, Arroyo‐Cabrales J, Astúa D, Baker AM, Braulik G, Braun JK, Brito J, Busher PE, Burneo SF, Camacho MA, Cavallini P, de Almeida Chiquito E, Cook JA, Cserkész T, Csorba G, Cuéllar Soto E, da Cunha Tavares V, Davenport TRB, Deméré T, Denys C, Dickman CR, Eldridge MDB, Fernandez‐Duque E, Francis CM, Frankham G, Franklin WL, Freitas T, Friend JA, Gadsby EL, Garbino GST, Gaubert P, Giannini N, Giarla T, Gilchrist JS, Gongora J, Goodman SM, Gursky‐Doyen S, Hackländer K, Hafner MS, Hawkins M, Helgen KM, Heritage S, Hinckley A, Hintsche S, Holden M, Holekamp KE, Honeycutt RL, Huffman BA, Humle T, Hutterer R, Ibáñez Ulargui C, Jackson SM, Janecka J, Janecka M, Jenkins P, Juškaitis R, Juste J, Kays R, Kilpatrick CW, Kingston T, Koprowski JL, Kryštufek B, Lavery T, Lee TE, Leite YLR, Novaes RLM, Lim BK, Lissovsky A, López‐Antoñanzas R, López‐Baucells A, MacLeod CD, Maisels FG, Mares MA, Marsh H, Mattioli S, Meijaard E, Monadjem A, Morton FB, Musser G, Nadler T, Norris RW, Ojeda A, Ordóñez‐Garza N, Pardiñas UFJ, Patterson BD, Pavan A, Pennay M, Pereira C, Prado J, Queiroz HL, Richardson M, Riley EP, Rossiter SJ, Rubenstein DI, Ruelas D, Salazar‐Bravo J, Schai‐Braun S, Schank CJ, Schwitzer C, Sheeran LK, Shekelle M, Shenbrot G, Soisook P, Solari S, Southgate R, Superina M, Taber AB, Talebi M, Taylor P, Vu Dinh T, Ting N, Tirira DG, Tsang S, Turvey ST, Valdez R, Van Cakenberghe V, Veron G, Wallis J, Wells R, Whittaker D, Williamson EA, Wittemyer G, Woinarski J, Zinner D, Upham NS, Jetz W. Expert range maps of global mammal distributions harmonised to three taxonomic authorities. J Biogeogr 2022; 49:979-992. [PMID: 35506011 PMCID: PMC9060555 DOI: 10.1111/jbi.14330] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 01/05/2022] [Accepted: 01/13/2022] [Indexed: 06/01/2023]
Abstract
AIM Comprehensive, global information on species' occurrences is an essential biodiversity variable and central to a range of applications in ecology, evolution, biogeography and conservation. Expert range maps often represent a species' only available distributional information and play an increasing role in conservation assessments and macroecology. We provide global range maps for the native ranges of all extant mammal species harmonised to the taxonomy of the Mammal Diversity Database (MDD) mobilised from two sources, the Handbook of the Mammals of the World (HMW) and the Illustrated Checklist of the Mammals of the World (CMW). LOCATION Global. TAXON All extant mammal species. METHODS Range maps were digitally interpreted, georeferenced, error-checked and subsequently taxonomically aligned between the HMW (6253 species), the CMW (6431 species) and the MDD taxonomies (6362 species). RESULTS Range maps can be evaluated and visualised in an online map browser at Map of Life (mol.org) and accessed for individual or batch download for non-commercial use. MAIN CONCLUSION Expert maps of species' global distributions are limited in their spatial detail and temporal specificity, but form a useful basis for broad-scale characterizations and model-based integration with other data. We provide georeferenced range maps for the native ranges of all extant mammal species as shapefiles, with species-level metadata and source information packaged together in geodatabase format. Across the three taxonomic sources our maps entail, there are 1784 taxonomic name differences compared to the maps currently available on the IUCN Red List website. The expert maps provided here are harmonised to the MDD taxonomic authority and linked to a community of online tools that will enable transparent future updates and version control.
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Affiliation(s)
- Charles J. Marsh
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Yanina V. Sica
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Connor J. Burgin
- Department of BiologyUniversity of New MexicoAlbuquerqueNew MexicoUSA
| | - Wendy A. Dorman
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Robert C. Anderson
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Isabel del Toro Mijares
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Jessica G. Vigneron
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Vijay Barve
- Florida Museum of Natural HistoryUniversity of FloridaGainesvilleFloridaUSA
| | - Victoria L. Dombrowik
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Michelle Duong
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Robert Guralnick
- Florida Museum of Natural HistoryUniversity of FloridaGainesvilleFloridaUSA
| | - Julie A. Hart
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
- New York Natural Heritage ProgramState University of New York College of Environmental Science and ForestryAlbanyNew YorkUSA
| | - J. Krish Maypole
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Kira McCall
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Ajay Ranipeta
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Anna Schuerkmann
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Michael A. Torselli
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
| | - Thomas Lacher
- Department of Ecology and Conservation BiologyTexas A&M UniversityCollege StationTexasUSA
- Re:wildAustinTexasUSA
| | | | | | | | - Don E. Wilson
- National Museum of Natural HistorySmithsonian InstitutionWashingtonDistrict of ColumbiaUSA
| | - Agustín M. Abba
- Centro de Estudios Parasitológicos y de Vectores (CEPAVE‐UNLP‐CONICET)La Plata, Buenos AiresArgentina
| | - Luis F. Aguirre
- Centro de Biodiversidad y GenéticaUniversidad Mayor de San SimónCochabambaBolivia
| | | | - Diego Astúa
- Departamento de ZoologiaUniversidade Federal de PernambucoRecifePernambucoBrazil
| | - Andrew M. Baker
- School of Biology and Environmental Science, Faculty of ScienceQueensland University of TechnologyBrisbaneQueenslandAustralia
- Biodiversity and Geosciences ProgramQueensland MuseumBrisbaneQueenslandAustralia
| | - Gill Braulik
- School of BiologyUniversity of St. AndrewsSt. Andrews, FifeUK
| | | | - Jorge Brito
- Instituto Nacional de Biodiversidad (INABIO)QuitoEcuador
| | - Peter E. Busher
- College of General StudiesBoston UniversityBostonMassachusettsUSA
| | - Santiago F. Burneo
- Sección Mastozoología, Museo de Zoología, Facultad de Ciencias Exactas y NaturalesPontificia Universidad Católica del EcuadorQuitoEcuador
| | - M. Alejandra Camacho
- Sección Mastozoología, Museo de Zoología, Facultad de Ciencias Exactas y NaturalesPontificia Universidad Católica del EcuadorQuitoEcuador
| | | | | | - Joseph A. Cook
- Museum of Southwestern Biology and Department of BiologyUniversity of New MexicoAlbuquerqueNew MexicoUSA
| | - Tamás Cserkész
- Department of ZoologyHungarian Natural History MuseumBudapestHungary
| | - Gábor Csorba
- Department of ZoologyHungarian Natural History MuseumBudapestHungary
| | | | - Valeria da Cunha Tavares
- Vale Technological InstituteBelémParáBrazil
- Laboratório de Mamíferos, Departamento de Sistemática e Ecologia, CCEN/DSEUniversidade Federal da ParaíbaJoão PessoaPBBrazil
| | - Tim R. B. Davenport
- Species Conservation & Science (Africa)Wildlife Conservation Society (WCS)ArushaTanzania
| | | | - Christiane Denys
- Institut de Systématique, Evolution, Biodiversité (ISYEB)Muséum national d'Histoire naturelle (CNRS)ParisFrance
| | - Christopher R. Dickman
- Desert Ecology Research Group, School of Life and Environmental SciencesThe University of SydneySydneyNew South WalesAustralia
| | - Mark D. B. Eldridge
- Australian Museum Research InstituteAustralian MuseumSydneyNew South WalesAustralia
| | - Eduardo Fernandez‐Duque
- Department of Anthropology and School of the EnvironmentYale UniversityNew HavenConnecticutUSA
| | - Charles M. Francis
- Canadian Wildlife ServiceEnvironment and Climate Change CanadaOttawaOntarioCanada
| | - Greta Frankham
- Australian Museum Research InstituteAustralian MuseumSydneyNew South WalesAustralia
| | - William L. Franklin
- Deparment of Natural Resource Ecology and EnvironmentIowa State UniversityAmesIowaUSA
| | - Thales Freitas
- Departamento de GenéticaUniversidade Federal do Rio Grande do SulPorto AlegreRio Grande do SulBrazil
| | - J. Anthony Friend
- Department of BiodiversityConservation and AttractionsAlbanyWestern AustraliaAustralia
| | | | | | - Philippe Gaubert
- Laboratoire Évolution & Diversité BiologiqueUniversité Toulouse III Paul SabatierToulouseFrance
| | - Norberto Giannini
- Unidad Ejecutora LilloCONICET ‐ Fundación Miguel LilloSan Miguel de Tucumán, TucumánArgentina
| | - Thomas Giarla
- Department of BiologySiena CollegeLoudonvilleNew YorkUSA
| | | | - Jaime Gongora
- Sydney School of Veterinary Science, Faculty of ScienceThe University of SydneySydneyNew South WalesAustralia
| | - Steven M. Goodman
- Negaunee Integrative Research Center, Field Museum of Natural HistoryChicagoIllinoisUSA
| | | | - Klaus Hackländer
- Institute of Wildlife Biology and Game ManagementUniversity of Natural Resources and Life SciencesWienAustria
| | - Mark S. Hafner
- Museum of Natural ScienceLouisiana State UniversityBaton RougeLouisianaUSA
| | - Melissa Hawkins
- National Museum of Natural HistorySmithsonian InstitutionWashingtonDistrict of ColumbiaUSA
| | - Kristofer M. Helgen
- Australian Museum Research InstituteAustralian MuseumSydneyNew South WalesAustralia
| | - Steven Heritage
- Duke Lemur Center, Museum of Natural HistoryDuke UniversityDurhamNorth CarolinaUSA
| | | | | | - Mary Holden
- Department of MammalogyAmerican Museum of Natural HistoryNew YorkNew YorkUSA
| | - Kay E. Holekamp
- Department of Integrative BiologyMichigan State UniversityEast LansingMichiganUSA
| | | | | | - Tatyana Humle
- Durrell Institute of Conservation and EcologySchool of Anthropology and Conservation, University of KentCanterburyUK
| | | | | | | | - Jan Janecka
- Department of Biological SciencesDuquesne UniversityPittsburghPennsylvaniaUSA
| | - Mary Janecka
- Department of Biological SciencesUniversity of PittsburghPittsburghPennsylvaniaUSA
| | - Paula Jenkins
- Mammal Group, Vertebrates DivisionDepartment of Life Sciences, The Natural History MuseumLondonUK
| | | | | | - Roland Kays
- North Carolina Museum of Natural SciencesRaleighNorth CarolinaUSA
| | | | - Tigga Kingston
- Department of Biological SciencesTexas Tech UniversityLubbockTexasUSA
| | | | | | - Tyrone Lavery
- Fenner School of Environment and SocietyThe Australian National UniversityActonAustralian Capital TerritoryAustralia
| | - Thomas E. Lee
- Department of BiologyAbilene Christian UniversityAbileneTexasUSA
| | - Yuri L. R. Leite
- Departamento de Ciências BiológicasUniversidade Federal do Espírito SantoVitóriaEspiríto SantoBrazil
| | | | - Burton K. Lim
- Department of Natural HistoryRoyal Ontario MuseumTorontoOntarioCanada
| | | | - Raquel López‐Antoñanzas
- Institut des Sciences de l'Évolution de Montpellier (ISE‐M, UMR 5554, UM/CNRS/IRD/EPHE)MontpellierFrance
| | | | | | - Fiona G. Maisels
- Wildlife Conservation SocietyGlobal Conservation ProgramNew YorkNew YorkUSA
- Faculty of Natural SciencesUniversity of StirlingStirlingUK
| | | | - Helene Marsh
- Division of Tropical Environments and SocietiesCentre for Tropical Water and Aquatic Ecosystem Research, James Cook UniversityTownsvilleQueenslandAustralia
| | - Stefano Mattioli
- Research Unit of Behavioural Ecology, Ethology and Wildlife Management, Department of Life SciencesUniversity of SienaSienaItaly
| | - Erik Meijaard
- Borneo FuturesBandar Seri BegawanBABrunei Darussalam
| | - Ara Monadjem
- Department of Biological SciencesUniversity of EswatiniKwaluseniEswatini
- Department of Zoology & Entomology, Mammal Research InstituteUniversity of PretoriaPretoriaSouth Africa
| | | | - Grace Musser
- Jackson School of GeosciencesUniversity of Texas at AustinAustinTexasUSA
| | - Tilo Nadler
- Cuc Phuong CommuneNho Quan DistrictNinh BInh, ProvinceVietnam
| | - Ryan W. Norris
- Evolution, Ecology and Organismal BiologyThe Ohio State UniversityLimaOhioUSA
| | - Agustina Ojeda
- Instituto Argentino de Zonas Áridas (IADIZA)‐CCT Mendoza‐CONICETMendozaArgentina
| | | | | | - Bruce D. Patterson
- Negaunee Integrative Research Center, Field Museum of Natural HistoryChicagoIllinoisUSA
| | - Ana Pavan
- Universidade de São PauloSão PauloBrazil
| | - Michael Pennay
- NSW National Parks and Wildlife ServiceQueanbeyanNew South WalesAustralia
| | | | | | - Helder L. Queiroz
- Instituto de Desenvolvimento Sustentável Mamirauá – IDSMTeféAmazonasBrazil
| | | | - Erin P. Riley
- Department of AnthropologySan Diego State UniversitySan DiegoCaliforniaUSA
| | - Stephen J. Rossiter
- School of Biological and Chemical SciencesQueen Mary University of LondonLondonUK
| | - Daniel I. Rubenstein
- Department of Ecology and Evolutionary BiologyPrinceton UniversityPrincetonNew JerseyUSA
| | - Dennisse Ruelas
- Museo de Historia NaturalUniversidad Nacional Mayor de San Marcos, LimaLimaPeru
- Institut des Sciences de l'Evolution (ISEM, UMR 5554 CNRS‐IRD‐UM)Université de MontpellierMontpellier Cedex 5France
| | | | - Stéphanie Schai‐Braun
- Institute of Wildlife Biology and Game ManagementUniversity of Natural Resources and Life SciencesViennaAustria
| | - Cody J. Schank
- Re:wildAustinTexasUSA
- Department of Geography and the EnvironmentThe University of Texas at AustinAustinTexasUSA
| | | | - Lori K. Sheeran
- Department of Anthropology and Museum StudiesCentral Washington UniversityEllensburgWAUSA
| | - Myron Shekelle
- Department of AnthropologyWestern Washington UniversityBellinghamWAUSA
| | - Georgy Shenbrot
- Mitrani Department of Desert EcologyJacob Blaustein Institutes for Desert ResearchBen‐Gurion University of the NegevMidreshet Ben‐GurionIsrael
| | - Pipat Soisook
- Princess Maha Chakri Sirindhorn Natural History MuseumPrince of Songkhla UniversityHatyai, SongkhlaThailand
| | - Sergio Solari
- Instituto de BiologíaUniversidad de AntioquiaMedellínColombia
| | | | - Mariella Superina
- IMBECU, CCT CONICET Mendoza – UNCuyoParque Gral. San MartínMendozaArgentina
| | - Andrew B. Taber
- Forestry DivisionFood and Agriculture Organization of the United NationsRomeItaly
| | - Maurício Talebi
- Laboratório de Ecologia e Conservação da NaturezaDeptartamento de Ciências AmbientaisUniversidade Federal de São Paulo (UNIFESP) ‐ Campus Diadema, DiademaSão PauloBrazil
| | | | - Thong Vu Dinh
- Institute of Ecology and Biological ResourcesVietnam Academy of Science and TechnologyHanoiVietnam
| | - Nelson Ting
- Department of AnthropologyUniversity of OregonEugeneOregonUSA
| | | | - Susan Tsang
- Department of MammalogyAmerican Museum of Natural HistoryNew YorkNew YorkUSA
| | | | - Raul Valdez
- Department of Fish, Wildlife, and Conservation EcologyNew Mexico State UniversityLas CrucesNew MexicoUSA
| | - Victor Van Cakenberghe
- Laboratory for Functional Morphology, Biology DepartmentUniversity of Antwerp, Campus Drie EikenAntwerpen (Wilrijk)Belgium
| | - Geraldine Veron
- Institut de Systématique, Evolution, Biodiversité (ISYEB), Muséum national d'Histoire naturelle, CNRSSorbonne Université, EPHE, Université des AntillesParisFrance
| | | | - Rod Wells
- Biological Sciences, College of Science and EngineeringFlinders UniversityAdelaideSouth AustraliaAustralia
| | - Danielle Whittaker
- BEACON Center for the Study of Evolution in ActionMichigan State UniversityEast LansingMichiganUSA
| | | | - George Wittemyer
- Department of Fish, Wildlife and Conservation BiologyColorado State UniversityFort CollinsColoradoUSA
| | - John Woinarski
- Research Institute for the Environment and LivelihoodsCharles Darwin UniversityCasuarinaNorthern TerritoryAustralia
| | - Dietmar Zinner
- German Primate Center (DPZ)Leibniz Institute for Primate ResearchGöttingenGermany
| | - Nathan S. Upham
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
- School of Life SciencesArizona State UniversityTempeArizonaUSA
| | - Walter Jetz
- Department of Ecology and Evolutionary BiologyYale UniversityNew HavenConnecticutUSA
- Center for Biodiversity and Global ChangeYale UniversityNew HavenConnecticutUSA
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34
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Toloza FJK, Derakhshan A, Männistö T, Bliddal S, Popova PV, Carty DM, Chen L, Taylor P, Mosso L, Oken E, Suvanto E, Itoh S, Kishi R, Bassols J, Auvinen J, López-Bermejo A, Brown SJ, Boucai L, Hisada A, Yoshinaga J, Shilova E, Grineva EN, Vrijkotte TGM, Sunyer J, Jiménez-Zabala A, Riaño-Galan I, Lopez-Espinosa MJ, Prokop LJ, Singh Ospina N, Brito JP, Rodriguez-Gutierrez R, Alexander EK, Chaker L, Pearce EN, Peeters RP, Feldt-Rasmussen U, Guxens M, Chatzi L, Delles C, Roeters van Lennep JE, Pop VJM, Lu X, Walsh JP, Nelson SM, Korevaar TIM, Maraka S. Association between maternal thyroid function and risk of gestational hypertension and pre-eclampsia: a systematic review and individual-participant data meta-analysis. Lancet Diabetes Endocrinol 2022; 10:243-252. [PMID: 35255260 PMCID: PMC10314731 DOI: 10.1016/s2213-8587(22)00007-9] [Citation(s) in RCA: 36] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 12/24/2021] [Accepted: 01/04/2022] [Indexed: 12/16/2022]
Abstract
BACKGROUND Adequate maternal thyroid function is important for an uncomplicated pregnancy. Although multiple observational studies have evaluated the association between thyroid dysfunction and hypertensive disorders of pregnancy, the methods and definitions of abnormalities in thyroid function tests were heterogeneous, and the results were conflicting. We aimed to examine the association between abnormalities in thyroid function tests and risk of gestational hypertension and pre-eclampsia. METHODS In this systematic review and meta-analysis of individual-participant data, we searched MEDLINE (Ovid), Embase, Scopus, and the Cochrane Database of Systematic Reviews from date of inception to Dec 27, 2019, for prospective cohort studies with data on maternal concentrations of thyroid-stimulating hormone (TSH), free thyroxine (FT4), thyroid peroxidase (TPO) antibodies, individually or in combination, as well as on gestational hypertension, pre-eclampsia, or both. We issued open invitations to study authors to participate in the Consortium on Thyroid and Pregnancy and to share the individual-participant data. We excluded participants who had pre-existing thyroid disease or multifetal pregnancy, or were taking medications that affect thyroid function. The primary outcomes were documented gestational hypertension and pre-eclampsia. Individual-participant data were analysed using logistic mixed-effects regression models adjusting for maternal age, BMI, smoking, parity, ethnicity, and gestational age at blood sampling. The study protocol was registered with PROSPERO, CRD42019128585. FINDINGS We identified 1539 published studies, of which 33 cohorts met the inclusion criteria and 19 cohorts were included after the authors agreed to participate. Our study population comprised 46 528 pregnant women, of whom 39 826 (85·6%) women had sufficient data (TSH and FT4 concentrations and TPO antibody status) to be classified according to their thyroid function status. Of these women, 1275 (3·2%) had subclinical hypothyroidism, 933 (2·3%) had isolated hypothyroxinaemia, 619 (1·6%) had subclinical hyperthyroidism, and 337 (0·8%) had overt hyperthyroidism. Compared with euthyroidism, subclinical hypothyroidism was associated with a higher risk of pre-eclampsia (2·1% vs 3·6%; OR 1·53 [95% CI 1·09-2·15]). Subclinical hyperthyroidism, isolated hypothyroxinaemia, or TPO antibody positivity were not associated with gestational hypertension or pre-eclampsia. In continuous analyses, both a higher and a lower TSH concentration were associated with a higher risk of pre-eclampsia (p=0·0001). FT4 concentrations were not associated with the outcomes measured. INTERPRETATION Compared with euthyroidism, subclinical hypothyroidism during pregnancy was associated with a higher risk of pre-eclampsia. There was a U-shaped association of TSH with pre-eclampsia. These results quantify the risks of gestational hypertension or pre-eclampsia in women with thyroid function test abnormalities, adding to the total body of evidence on the risk of adverse maternal and fetal outcomes of thyroid dysfunction during pregnancy. These findings have potential implications for defining the optimal treatment target in women treated with levothyroxine during pregnancy, which needs to be assessed in future interventional studies. FUNDING Arkansas Biosciences Institute and Netherlands Organization for Scientific Research.
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Affiliation(s)
- Freddy J K Toloza
- Division of Endocrinology and Metabolism, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN, USA; Department of Medicine, MetroWest Medical Center, Tufts Medical School, Framingham, MA, USA
| | - Arash Derakhshan
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, Netherlands; Academic Center for Thyroid Diseases, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Tuija Männistö
- Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland; Northern Finland Laboratory Center Nordlab, University of Oulu, Oulu, Finland
| | - Sofie Bliddal
- Department of Medical Endocrinology and Metabolism, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
| | - Polina V Popova
- Department of Endocrinology, Almazov National Medical Research Centre, Saint Petersburg, Russia; Institute of Endocrinology, Almazov National Medical Research Centre, Saint Petersburg, Russia; World-Class Research Center for Personalized Medicine, Almazov National Medical Research Centre, Saint Petersburg, Russia; Department of Internal Diseases and Endocrinology, St Petersburg Pavlov State Medical University, Saint Petersburg, Russia
| | - David M Carty
- Department of Diabetes, Endocrinology and Clinical Pharmacology, Glasgow Royal Infirmary, Glasgow, UK; Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK
| | - Liangmiao Chen
- Department of Endocrinology and Rui'an Center of the Chinese-American Research Institute for Diabetic Complications, Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Peter Taylor
- Thyroid Research Group, Institute of Molecular and Experimental Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | - Lorena Mosso
- Department of Endocrinology and Centro Traslacional en Endocrinologia, Pontificia Universidad Catolica de Chile, Santiago, Chile
| | - Emily Oken
- Division of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School, Boston, MA, USA
| | - Eila Suvanto
- Department of Obstetrics and Gynecology, University of Oulu, Oulu, Finland; Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland
| | - Sachiko Itoh
- Center for Environmental and Health Sciences, Hokkaido University, Sapporo, Japan
| | - Reiko Kishi
- Center for Environmental and Health Sciences, Hokkaido University, Sapporo, Japan
| | - Judit Bassols
- Maternal-Fetal Metabolic Research Group, Girona Biomedical Research Institute, Dr Josep Trueta Hospital, Girona, Spain
| | - Juha Auvinen
- Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland; Center for Life Course Health Research, University of Oulu, Oulu, Finland
| | - Abel López-Bermejo
- Pediatric Endocrinology Research Group, Girona Biomedical Research Institute, Dr Josep Trueta Hospital, Girona, Spain
| | - Suzanne J Brown
- Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
| | - Laura Boucai
- Division of Endocrinology, Department of Medicine, Memorial Sloan-Kettering Cancer Center, Weill Cornell University, New York, NY, USA
| | - Aya Hisada
- Center for Preventive Medical Sciences, Chiba University, Chiba, Japan
| | - Jun Yoshinaga
- Faculty of Life Sciences, Toyo University, Gunma, Japan
| | - Ekaterina Shilova
- Institute of Endocrinology, Almazov National Medical Research Centre, Saint Petersburg, Russia; Department of Gynecology and Endocrinology, DO Ott Research Institute of Obstetrics and Gynecology, Saint Petersburg, Russia
| | - Elena N Grineva
- Department of Endocrinology, Almazov National Medical Research Centre, Saint Petersburg, Russia; Institute of Endocrinology, Almazov National Medical Research Centre, Saint Petersburg, Russia
| | - Tanja G M Vrijkotte
- Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Jordi Sunyer
- ISGlobal, Barcelona, Spain; Pompeu Fabra University, Barcelona, Spain; Hospital del Mar Medical Research Institute, Barcelona, Spain
| | - Ana Jiménez-Zabala
- Spanish Consortium for Research on Epidemiology and Public Health, Instituto de Salud Carlos III, Madrid, Spain; BIODONOSTIA Health Research Institute, San Sebastian, Spain; Public Health Division of Gipuzkoa, Basque Government, San Sebastian, Spain
| | - Isolina Riaño-Galan
- Spanish Consortium for Research on Epidemiology and Public Health, Instituto de Salud Carlos III, Madrid, Spain; AGC Pediatrics, Hospital Universitario Central de Asturias, Oviedo, Spain; IUOPA-Departamento de Medicina-ISPA, Universidad de Oviedo, Oviedo, Spain
| | - Maria-Jose Lopez-Espinosa
- Spanish Consortium for Research on Epidemiology and Public Health, Instituto de Salud Carlos III, Madrid, Spain; Epidemiology and Environmental Health Joint Research Unit, FISABIO-Universitat Jaume I-Universitat de València, Valencia, Spain; Faculty of Nursing and Chiropody, Universitat de València, Valencia, Spain
| | | | - Naykky Singh Ospina
- Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN, USA; Division of Endocrinology, Department of Medicine, University of Florida, Gainesville, FL, USA
| | - Juan P Brito
- Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN, USA
| | - Rene Rodriguez-Gutierrez
- Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN, USA; Division of Endocrinology, Department of Internal Medicine, University Hospital Dr Jose E Gonzalez, Autonomous University of Nuevo León, Monterrey, Mexico; Plataforma INVEST Medicina UANL-KER Unit, Universidad Autónoma de Nuevo León, Monterrey, México
| | - Erik K Alexander
- Division of Endocrinology, Hypertension and Diabetes, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Layal Chaker
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, Netherlands; Academic Center for Thyroid Diseases, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Elizabeth N Pearce
- Section of Endocrinology, Diabetes, and Nutrition, Boston University School of Medicine, Boston, MA, USA
| | - Robin P Peeters
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, Netherlands; Academic Center for Thyroid Diseases, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Ulla Feldt-Rasmussen
- Department of Medical Endocrinology and Metabolism, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
| | - Mònica Guxens
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center, Rotterdam, Netherlands; ISGlobal, Barcelona, Spain; Pompeu Fabra University, Barcelona, Spain; Spanish Consortium for Research on Epidemiology and Public Health, Instituto de Salud Carlos III, Madrid, Spain
| | - Leda Chatzi
- Department of Population and Public Health Sciences, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA
| | - Christian Delles
- Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK
| | | | - Victor J M Pop
- Department of Medical and Clinical Psychology, Tilburg University, Tilburg, Netherlands
| | - Xuemian Lu
- Department of Endocrinology and Rui'an Center of the Chinese-American Research Institute for Diabetic Complications, Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - John P Walsh
- Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands, WA, Australia; Medical School, University of Western Australia, Crawley, WA, Australia
| | | | - Tim I M Korevaar
- Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, Netherlands; Academic Center for Thyroid Diseases, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Spyridoula Maraka
- Division of Endocrinology and Metabolism, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN, USA; Central Arkansas Veterans Healthcare System, Little Rock, AR, USA.
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Williams K, Hartley S, Anderson IM, Birtwell K, Dowson M, Elliott R, Taylor P. An ongoing process of reconnection: A qualitative exploration of mindfulness-based cognitive therapy for adults in remission from depression. Psychol Psychother 2022; 95:173-190. [PMID: 34272797 DOI: 10.1111/papt.12357] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 06/27/2021] [Indexed: 01/21/2023]
Abstract
OBJECTIVES Mindfulness-based cognitive therapy (MBCT) is an 8-week relapse-prevention intervention designed for people who have experienced multiple episodes of depression and remain vulnerable to relapse. Previous qualitative explorations of the effects of MBCT for people in remission from depression have suggested a number of themes regarding changes arising from participating in MBCT ranging from awareness, agency, perspective, group processes, self-related change, and new ways of understanding depression. We aimed to qualitatively explore how participants in remission from depression experienced MBCT both post-MBCT and during a follow-up period. METHODS In a preference-choice trial design, 35 participants took part in qualitative interviews and assessments post-MBCT and at three time points during a 12-month follow-up. Data were analysed using reflexive thematic analysis. RESULTS Two overarching themes were developed as follows: (1) 'reconnection with experience, self, and others' and (2) 'acknowledging an ongoing process of change'. In theme one, sub-themes captured participants' experiences of increasing levels of awareness of their experience (e.g., thoughts, emotions, sensations, and present moment) from which they described changes in their relationship with experience describing increases in control, choice, acceptance, and calm. Participants described shifts towards reconnection with aspects of the self and relationships with others. In theme two, sub-themes reflected participants' conflict between avoidance and engagement in mindfulness practices, and the recognition of the gradual change following MBCT and long-term investment needed in mindfulness practices. CONCLUSIONS Our findings have clinical implications in terms of facilitating MBCT and point to important themes around recognizing the ongoing process of reconnection with experiences, self, and others. PRACTITIONER POINTS Participants with histories of depression may have experienced disconnection and isolation from internal experiences (e.g., thoughts and emotions), self, and others; MBCT encourages a deliberate shift towards reconnection with these experiences. Practitioners could encourage more psychoeducation and discussions around depression during MBCT to encourage reflections on the process of reconnection. Practitioners should maintain an awareness of the ongoing, gradual processes of change and potential for conflict experienced during MBCT Practitioners could provide a stronger emphasis on building awareness of body sensations during MBCT, with suggestions provided in the discussion section.
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Affiliation(s)
- Kate Williams
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Sciences Centre, University of Manchester, UK.,Greater Manchester Mental Health NHS Foundation Trust, Prestwich, UK.,Neuroscience and Psychiatry Unit, University of Manchester, UK
| | - Samantha Hartley
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Sciences Centre, University of Manchester, UK.,Pennine Care NHS Foundation Trust, Ashton-under-Lyne, UK
| | - Ian M Anderson
- Neuroscience and Psychiatry Unit, University of Manchester, UK
| | - Kelly Birtwell
- Division of Population Health, Health Services Research and Primary Care, University of Manchester, UK
| | - Merryn Dowson
- Neuroscience and Psychiatry Unit, University of Manchester, UK
| | - Rebecca Elliott
- Neuroscience and Psychiatry Unit, University of Manchester, UK
| | - Peter Taylor
- Division of Psychology and Mental Health, School of Health Sciences, Manchester Academic Health Sciences Centre, University of Manchester, UK
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Chia C, Merola J, Taylor P, Hayhurst C. 245 Changing Demographics of Head Injury During the COVID-19 Pandemic. Br J Surg 2022. [DOI: 10.1093/bjs/znac039.159] [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: 11/12/2022]
Abstract
Abstract
Introduction
Studies have shown that men are more likely to sustain head injuries (HI) due to a higher likelihood of participation in high-risk behaviours. However, the COVID-19 lockdown caused substantial alterations to the daily routines of the Welsh population. We aimed to describe the demographical changes of HI patients caused by this large-scale restriction of public social activity.
Method
A retrospective review of our neurosurgical referral database was performed between 1/1/19 to 31/12/20 to extract patient demographics and referral outcomes (admission/advice only) of adult head injury patients. Referrals during lockdown in Wales (26/3/20 – 1/6/20 and 31/10/20 and 2/12/20) were compared with non-lockdown periods in 2019 and 2020.
Results
There was no significant difference in HI referral volume in 2019 (n = 1228) vs 2020 (n = 1179) (OR: 0.71; 95% CI: 0.53 – 0.96, p = 0.02). Women were less likely to be admitted in 2019 (OR: 0.60, 95%CI: 0.39 – 0.91, p = 0.02) and 2020 (OR: 0.52, 95%CI: 0.31–0.88, p = 0.01). We observed evidence of interaction by age and sex in lockdown vs non-lockdown (p = 0.02). Most strikingly, there was higher odds of admission in women aged 40–70 years during lockdown (OR: 10.4, 95%CI: 1.13 – 95.8, p = 0.04).
Conclusions
We observed significant demographical shifts in HI during lockdown periods, with striking increases in admission rates of men under 40 years and women aged 40–70. The cause of these substantial changes need clarification and have important public health implications. Given likely reduced road traffic accidents during lockdown, other factors such as alcohol or assault need considering.
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Affiliation(s)
- C.W.L. Chia
- School of Medicine, Cardiff University, Cardiff, United Kingdom
| | - J. Merola
- Department of Neurosurgery, University Hospital of Wales, Cardiff, United Kingdom
| | - P. Taylor
- Division of Infection and Immunity, University Hospital of Wales, Cardiff, United Kingdom
| | - C. Hayhurst
- Department of Neurosurgery, University Hospital of Wales, Cardiff, United Kingdom
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Woo T, Li C, Ganesananthan S, Rajendram R, Uddin J, Lee RWJ, Dayan C, Taylor P. The Effect of Ophthalmic Surgery for Graves' Orbitopathy on Quality of Life: A Systematic Review and Meta-Analysis. Thyroid 2022; 32:177-187. [PMID: 34877883 DOI: 10.1089/thy.2021.0411] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Background: Graves' orbitopathy (GO) has a profound negative impact on quality of life. Surgery is undertaken to preserve vision, correct diplopia, and improve aesthetics. We sought to quantify the effect of different surgical approaches on quality of life. Methods: Electronic databases Ovid-MEDLINE and EMBASE were used from inception until March 22, 2021, to identify studies assessing quality of life pre- and postsurgical intervention for GO. Two reviewers independently extracted data and performed quality assessments. Random-effects and Bayesian models for meta-analyses were utilized. Results: Ten articles comprising 632 patients with a mean age of 48.4 years (range 16-85 years) were included. All used the Graves' Ophthalmopathy Quality of Life (GO-QOL) questionnaire. For GO-QOL appearance, the pooled standardized mean improvement for patients after surgery was +0.72 (95% confidence interval [CI 0.50-0.94]), I2 = 69% [CI 52-80%]. For GO-QOL visual functioning, the pooled standardized mean difference (SMD) for patients after surgery was +0.41 [CI 0.25-0.58], I2 = 60% [CI 36-74%]. For visual appearance, orbital decompression yielded the greatest improvement (SMD +0.84 [CI 0.54-1.13]) followed by eyelid surgery (SMD +0.38 [CI 0.05-0.70]), while strabismus correction had no significant effect (SMD +0.94 [CI -0.10 to 1.99]). Conversely strabismus correction was associated with the greatest improvement (SMD +1.25 [CI 0.29-2.21]) in visual functioning, outperforming orbital decompression (SMD +0.29 [CI 0.15-0.43]) and eyelid surgery (SMD +0.12 [CI -0.18 to 0.41]). A mean improvement in GO-QOL of greater than 10 points after orbital decompression surgery was achieved in 12/14 (86%) patient groups for appearance and 5/14 (36%) patient groups for visual functioning. A mean improvement of greater than 6 points was achieved in 5 of 6 (83%) patient groups for strabismus surgery for both appearance and visual functioning. A mean improvement of greater than 6 points after eyelid surgery was achieved in 2/3 (67%) patient groups and 0/3 patient groups for visual appearance and functioning, respectively. Conclusion: Ophthalmic surgery results in substantial improvements in quality of life in patients with GO, with greater perceived effects on appearance than visual function. Orbital decompression has particular impact on visual appearance; strabismus surgery may benefit both visual appearance and function equally, whereas eyelid surgery benefits appearance alone.
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Affiliation(s)
- Timothy Woo
- Department of Medicine, Cardiff University School of Medicine, Cardiff, United Kingdom
| | - ChunHei Li
- Department of Medicine, Cardiff University School of Medicine, Cardiff, United Kingdom
| | | | - Rathie Rajendram
- Department of Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom
| | - Jimmy Uddin
- Department of Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom
| | - Richard W J Lee
- Department of Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom
- Institute of Ophthalmology, Faculty of Brain Sciences, University College London, London, United Kingdom
| | - Colin Dayan
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, United Kingdom
| | - Peter Taylor
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, United Kingdom
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Williams K, Hartley S, Langer S, Manandhar‐Richardson M, Sinha M, Taylor P. A systematic review and meta-ethnographic synthesis of Mindfulness-based Cognitive Therapy for people with major depression. Clin Psychol Psychother 2022; 29:1494-1514. [PMID: 35912665 PMCID: PMC9805101 DOI: 10.1002/cpp.2773] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 07/18/2022] [Accepted: 07/20/2022] [Indexed: 01/09/2023]
Abstract
BACKGROUND Mindfulness-based Cognitive Therapy (MBCT) is a relapse-prevention intervention for people experiencing major depression. Three qualitative meta-syntheses investigating experiences of taking part in MBCT and/or Mindfulness-based Stress Reduction (MBSR) across different diagnostic populations reported themes including control, choice, group processes, relationships and struggles. As multiple studies have been published since, we aimed to update, systematically review and synthesize the experiences of participants with depression taking part in MBCT. METHODS Four databases were searched systematically (PsycInfo, Web of Science, Medline and CINAHL) up to and including 12 November 2021. Twenty-one qualitative studies met the review criteria. All papers were rated as fair using a quality appraisal tool. Meta-ethnography was applied. RESULTS Across 21 studies of participants with current or previous depression who had participated in MBCT, three overarching themes were developed: 'Becoming skilled and taking action', 'Acceptance' and 'Ambivalence and Variability'. Participants became skilled through engagement in mindfulness practices, reporting increased awareness, perspective and agency over their experiences. Participants developed acceptance towards their experiences, self and others. There was variability and ambivalence regarding participants' expectations and difficulties within mindfulness practices. LIMITATIONS Many studies were conducted in MBCT-research centres that may hold conflicts of interest. Many studies did not address the impact of the participant-researcher relationship thus potentially affecting their interpretations. Studies were skewed towards the experiences of female participants. CONCLUSIONS Our findings help to enhance participant confidence in MBCT, alongside understanding the processes of change and the potential for difficulties. MBCT is beneficial and provides meaningful change for many but remains challenging for some.
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Affiliation(s)
- Kate Williams
- Division of Psychology & Mental Health, School of Health SciencesUniversity of Manchester, Manchester Academic Health Sciences CentreManchesterUK,Greater Manchester Mental Health NHS Foundation TrustManchesterUK,Department of Psychology, Faculty of Health, Psychology, and Social CareManchester Metropolitan UniversityManchesterUK
| | - Samantha Hartley
- Division of Psychology & Mental Health, School of Health SciencesUniversity of Manchester, Manchester Academic Health Sciences CentreManchesterUK,Pennine Care NHS Foundation TrustAshton‐under‐LyneUK
| | - Susanne Langer
- Department of Psychology, Faculty of Health, Psychology, and Social CareManchester Metropolitan UniversityManchesterUK
| | | | - Melissa Sinha
- Division of Psychology & Mental Health, School of Health SciencesUniversity of Manchester, Manchester Academic Health Sciences CentreManchesterUK,Greater Manchester Mental Health NHS Foundation TrustManchesterUK
| | - Peter Taylor
- Division of Psychology & Mental Health, School of Health SciencesUniversity of Manchester, Manchester Academic Health Sciences CentreManchesterUK
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Heald AH, Premawardhana L, Taylor P, Okosieme O, Bangi T, Devine H, Livingston M, Javed A, Moreno GYC, Watt T, Stedman M, Dayan C, Hughes DA. Is there a role for natural desiccated thyroid in the treatment of levothyroxine unresponsive hypothyroidism? Results from a consecutive case series. Int J Clin Pract 2021; 75:e14967. [PMID: 34626513 DOI: 10.1111/ijcp.14967] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 09/19/2021] [Accepted: 10/06/2021] [Indexed: 02/06/2023] Open
Abstract
INTRODUCTION Some levothyroxine unresponsive individuals with hypothyroidism are prescribed a natural desiccated thyroid (NDT) preparation such as Armour Thyroid® or ERFA Thyroid® . These contain a mixture of levothyroxine and liothyronine in a fixed ratio. We evaluated the response to NDT in individuals at a single endocrine centre in terms of how the change from levothyroxine to NDT impacted on their lives in relation to quality of life (QOL) and thyroid symptoms. METHODS The ThyPRO39 (thyroid symptomatology) and EQ-5D-5L-related QoL/EQ5D5L (generic QOL) questionnaires were administered to 31 consecutive patients who had been initiated on NDT, before initiating treatment/6 months later. RESULTS There were 28 women and 3 men. The dose range of NDT was 60-180 mg daily. Age range was 26-77 years with length of time since diagnosis with hypothyroidism ranging from 2 to 40 years. One person discontinued the NDT because of lack of response; two because of cardiac symptoms. EQ-5D-5L utility increased from a mean (SD) of 0.214 (0.338) at baseline, to 0.606 (0.248) after 6 months; corresponding to a difference of 0.392 (95% CI 0.241-0.542), t = 6.82, P < .001. EQ-VAS scores increased from 33.4 (17.2) to 71.1 (17.5), a difference of 37.7 (95% CI 25.2-50.2), t = -4.9, P < .001. ThyPRO scores showed consistent fall across all domains with the composite QoL-impact Score improving from 68.3 (95% CI 60.9-75.7) to 25.2 (95% CI 18.7-31.7), a difference of 43.1 (95% CI 33-53.2) (t = 5.6, P < .001). CONCLUSION Significant symptomatic benefit and improvement in QOL was experienced by people with a history of levothyroxine unresponsive hypothyroidism treated with NDT, suggesting the need for further evaluation of NDT in this context.
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Affiliation(s)
- Adrian H Heald
- The School of Medicine and Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK
- Department of Endocrinology and Diabetes, Salford Royal Hospital, Salford, UK
| | - Lakdasa Premawardhana
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, UK
| | - Peter Taylor
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, UK
| | - Onyebuchi Okosieme
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, UK
| | - Tasneem Bangi
- Department of Endocrinology and Diabetes, Salford Royal Hospital, Salford, UK
| | - Holly Devine
- Department of Endocrinology and Diabetes, Salford Royal Hospital, Salford, UK
| | - Mark Livingston
- Department of Clinical Biochemistry, Black Country Pathology Services, Walsall Manor Hospital, Walsall, UK
| | - Ahmed Javed
- Department of Endocrinology and Diabetes, Salford Royal Hospital, Salford, UK
| | - Gabriela Y C Moreno
- Coordinación Nacional de Investigación, Subdirección de Servicios de Salud, Petróleos Mexicanos, Ciudad de México, México
| | - Torquil Watt
- Department of Internal Medicine, Copenhagen University Hospital Herlev-Gentofte, Copenhagen, Denmark
| | | | - Colin Dayan
- Thyroid Research Group, Systems Immunity Research Institute, Cardiff University School of Medicine, Cardiff, UK
| | - Dyfrig A Hughes
- Centre for Health Economics & Medicines Evaluation, Bangor University, Bangor, UK
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Carver S, Convery I, Hawkins S, Beyers R, Eagle A, Kun Z, Van Maanen E, Cao Y, Fisher M, Edwards SR, Nelson C, Gann GD, Shurter S, Aguilar K, Andrade A, Ripple WJ, Davis J, Sinclair A, Bekoff M, Noss R, Foreman D, Pettersson H, Root-Bernstein M, Svenning JC, Taylor P, Wynne-Jones S, Featherstone AW, Fløjgaard C, Stanley-Price M, Navarro LM, Aykroyd T, Parfitt A, Soulé M. Guiding principles for rewilding. Conserv Biol 2021; 35:1882-1893. [PMID: 33728690 DOI: 10.1111/cobi.13730] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 02/19/2021] [Accepted: 02/26/2021] [Indexed: 06/12/2023]
Abstract
There has been much recent interest in the concept of rewilding as a tool for nature conservation, but also confusion over the idea, which has limited its utility. We developed a unifying definition and 10 guiding principles for rewilding through a survey of 59 rewilding experts, a summary of key organizations' rewilding visions, and workshops involving over 100 participants from around the world. The guiding principles convey that rewilding exits on a continuum of scale, connectivity, and level of human influence and aims to restore ecosystem structure and functions to achieve a self-sustaining autonomous nature. These principles clarify the concept of rewilding and improve its effectiveness as a tool to achieve global conservation targets, including those of the UN Decade on Ecosystem Restoration and post-2020 Global Biodiversity Framework. Finally, we suggest differences in rewilding perspectives lie largely in the extent to which it is seen as achievable and in specific interventions. An understanding of the context of rewilding projects is the key to success, and careful site-specific interpretations will help achieve the aims of rewilding.
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Affiliation(s)
- Steve Carver
- School of Geography, University of Leeds, Leeds, UK
| | - Ian Convery
- National School of Forestry, University of Cumbria, UK
| | - Sally Hawkins
- Institute of Science, Natural Resources and Outdoor Studies, University of Cumbria, UK
| | - Rene Beyers
- Biodiversity Research Centre, Department of Zoology, University of British Columbia, Vancouver, British Columbia, Canada
| | | | | | | | - Yue Cao
- Institute for National Parks, Tsinghua University, Beijing, China
| | - Mark Fisher
- Wildland Research Institute, University of Leeds, Leeds, UK
| | | | - Cara Nelson
- W.A. Franke College of Forestry & Conservation, University of Montana, Missoula, USA
| | - George D Gann
- The Institute for Regional Conservation, Delray Beach, Florida, USA
- Society for Ecological Restoration, Washington, D.C., USA
| | | | - Karina Aguilar
- Agencia Metropolitana de Bosques Urbanos del AMG, Guadalajara, Mexico
| | - Angela Andrade
- Commission for Ecosystem Management, IUCN, Gland, Switzerland
- Conservation International Colombia, Bogota, Colombia
| | - William J Ripple
- Department of Forest Ecosystems and Society, Oregon State University, Corvallis, Oregon, USA
| | - John Davis
- The Rewilding Institute, Albuquerque, New Mexico, USA
| | - Anthony Sinclair
- Biodiversity Research Centre, Department of Zoology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Marc Bekoff
- Ecology and Evolutionary Biology, University of Colorado, Boulder, Colorado, USA
| | - Reed Noss
- Florida Institute for Conservation Science, Melrose, Florida, USA
| | - Dave Foreman
- The Rewilding Institute, Albuquerque, New Mexico, USA
| | - Hanna Pettersson
- Sustainability Research Institute, School of Earth and Environment, University of Leeds, Leeds, UK
| | - Meredith Root-Bernstein
- UMR CESCO, CNRS, Musée National d'Histoire Naturelle, Paris, France
- Center for Applied Ecology and Sustainability, Santiago, Chile
- Instituto de Ecología y Biodiversidad, Universidad de Chile, Santiago, Chile
| | - Jens-Christian Svenning
- Center for Biodiversity Dynamics in a Changing World (BIOCHANGE), Aarhus University, Aarhus, Denmark
- Section for Ecoinformatics and Biodiversity, Department of Biology, Aarhus University, Aarhus, Denmark
| | - Peter Taylor
- Wildland Research Institute, University of Leeds, Leeds, UK
| | | | | | | | | | - Laetitia M Navarro
- German Centre for Integrative Biodiversity Research (iDiv), Leipzig, Germany
- Martin Luther University Halle-Wittenberg, Halle, Germany
| | | | - Alison Parfitt
- Wildland Research Institute, University of Leeds, Leeds, UK
| | - Michael Soulé
- Society for Conservation Biology, Washington, D.C., USA
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Rosenblatt AE, Lardizabal K, Li F, Holland A, Lawrence D, Taylor P. Tourism Value of Crocodilians: The Black Caiman (Melanosuchus niger) as a Case Study. HERPETOLOGICA 2021. [DOI: 10.1655/herpetologica-d-21-00017.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Adam E. Rosenblatt
- Department of Biology, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, USA
| | - Keely Lardizabal
- Department of Biology, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224, USA
| | - Fernando Li
- Rupununi Learners Inc., Yupukari, Region 9, Guyana
| | | | | | - Peter Taylor
- Rupununi Learners Inc., Yupukari, Region 9, Guyana
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Rosenblatt AE, Li F, Kalicharan L, Taylor P. What do adult black caiman (
Melanosuchus niger
) actually eat? Biotropica 2021. [DOI: 10.1111/btp.13038] [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: 11/27/2022]
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Holman AJ, Keystone E, Choy E, Furst D, Taylor P, Gaylis N. Considering Immuno-autonomics in Stratifying Successful Treatment of Rheumatoid Arthritis with Tumor Necrosis Factor Inhibition: Comment on Cohen et al. Rheumatol Ther 2021 June 19. Rheumatol Ther 2021; 9:305-307. [PMID: 34757532 PMCID: PMC8814136 DOI: 10.1007/s40744-021-00386-w] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 10/12/2021] [Indexed: 10/28/2022] Open
Affiliation(s)
| | - Edward Keystone
- Department of Medicine, Keystone Consulting Enterprises Inc, University of Toronto, Toronto, Canada
| | - Ernest Choy
- Division of Infection and Immunity, Arthritis Research UK CREATE Centre and Welsh Arthritis Research Network (WARN), Cardiff University School of Medicine, Cardiff, UK
| | - Daniel Furst
- University of California in Los Angeles Academy, Los Angeles, CA, USA
| | - Peter Taylor
- Botnar Research Centre, University of Oxford, Oxford, UK
| | - Norman Gaylis
- Arthritis and Rheumatic Disease Specialties, Aventura, FL, USA
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Taylor P, Heathcote A, Aidman E. Effects of Multimodal Physical and Cognitive Fitness Training on Subjective Well-being, Burnout and Resilience in a Military Cohort. J Sci Med Sport 2021. [DOI: 10.1016/j.jsams.2021.09.092] [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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Draman MS, Grennan-Jones F, Taylor P, Muller I, Evans S, Haridas A, Morris DS, Rees DA, Lane C, Dayan C, Zhang L, Ludgate M. Expression of Endogenous Putative TSH Binding Protein in Orbit. Curr Issues Mol Biol 2021; 43:1794-1804. [PMID: 34889904 PMCID: PMC8928972 DOI: 10.3390/cimb43030126] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 10/05/2021] [Accepted: 10/20/2021] [Indexed: 11/16/2022] Open
Abstract
Thyroid stimulating antibodies (TSAB) cause Graves’ disease and contribute to Graves’ Orbitopathy (GO) pathogenesis. We hypothesise that the presence of TSH binding proteins (truncated TSHR variants (TSHRv)) and/or nonclassical ligands such as thyrostimulin (α2β5) might provide a mechanism to protect against or exacerbate GO. We analysed primary human orbital preadipocyte-fibroblasts (OF) from GO patients and people free of GO (non-GO). Transcript (QPCR) and protein (western blot) expression levels of TSHRv were measured through an adipogenesis differentiation process. Cyclic-AMP production by TSHR activation was studied using luciferase-reporter and RIA assays. After differentiation, TSHRv levels in OF from GO were significantly higher than non-GO (p = 0.039), and confirmed in ex vivo analysis of orbital adipose samples. TSHRv western blot revealed a positive signal at 46 kDa in cell lysates and culture media (CM) from non-GO and GO-OF. Cyclic-AMP decreased from basal levels when OF were stimulated with TSH or Monoclonal TSAB (M22) before differentiation protocol, but increased in differentiated cells, and was inversely correlated with the TSHRv:TSHR ratio (Spearman correlation: TSH r = −0.55, p = 0.23, M22 r = 0.87, p = 0.03). In the bioassay, TSH/M22 induced luciferase-light was lower in CM from differentiated GO-OF than non-GO, suggesting that secreted TSHRv had neutralised their effects. α2 transcripts were present but reduced during adipogenesis (p < 0.005) with no difference observed between non-GO and GO. β5 transcripts were at the limit of detection. Our work demonstrated that TSHRv transcripts are expressed as protein, are more abundant in GO than non-GO OF and have the capacity to regulate signalling via the TSHR.
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Affiliation(s)
- Mohd Shazli Draman
- School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; (M.S.D.); (F.G.-J.); (P.T.); (I.M.); (D.A.R.); (C.D.); (M.L.)
- KPJ Healthcare University College, Kota Seriemas, Nilai 71800, Malaysia
| | - Fiona Grennan-Jones
- School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; (M.S.D.); (F.G.-J.); (P.T.); (I.M.); (D.A.R.); (C.D.); (M.L.)
| | - Peter Taylor
- School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; (M.S.D.); (F.G.-J.); (P.T.); (I.M.); (D.A.R.); (C.D.); (M.L.)
| | - Ilaria Muller
- School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; (M.S.D.); (F.G.-J.); (P.T.); (I.M.); (D.A.R.); (C.D.); (M.L.)
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
- Department of Endocrinology, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 28, 20122 Milan, Italy
| | - Sam Evans
- Department of Ophthalmology, Cardiff & Vale University Health Board, Cardiff CF14 4XW, UK; (S.E.); (A.H.); (D.S.M.); (C.L.)
| | - Anjana Haridas
- Department of Ophthalmology, Cardiff & Vale University Health Board, Cardiff CF14 4XW, UK; (S.E.); (A.H.); (D.S.M.); (C.L.)
| | - Daniel S. Morris
- Department of Ophthalmology, Cardiff & Vale University Health Board, Cardiff CF14 4XW, UK; (S.E.); (A.H.); (D.S.M.); (C.L.)
| | - D. Aled Rees
- School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; (M.S.D.); (F.G.-J.); (P.T.); (I.M.); (D.A.R.); (C.D.); (M.L.)
| | - Carol Lane
- Department of Ophthalmology, Cardiff & Vale University Health Board, Cardiff CF14 4XW, UK; (S.E.); (A.H.); (D.S.M.); (C.L.)
| | - Colin Dayan
- School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; (M.S.D.); (F.G.-J.); (P.T.); (I.M.); (D.A.R.); (C.D.); (M.L.)
| | - Lei Zhang
- School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; (M.S.D.); (F.G.-J.); (P.T.); (I.M.); (D.A.R.); (C.D.); (M.L.)
- Correspondence: ; Tel.: +44-292-074-2343; Fax: +44-292-0744-671
| | - Marian Ludgate
- School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK; (M.S.D.); (F.G.-J.); (P.T.); (I.M.); (D.A.R.); (C.D.); (M.L.)
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Taylor P, Chan S, Wan AB, Chan CW, Rodrigues MM, Lam H, Chow E, Lim FMY. Cardiovascular Events and Mortality in Patients Undergoing Adjuvant Radiotherapy for Breast Cancer: a Systematic Review. Hong Kong Journal of Radiology 2021. [DOI: 10.12809/hkjr2117234] [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: 11/05/2022] Open
Affiliation(s)
- P Taylor
- Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
| | - S Chan
- Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
| | - AB Wan
- Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
| | - CW Chan
- Department of Oncology, Princess Margaret Hospital, Hong Kong
| | - MM Rodrigues
- Centro Oncológico AZ do Noroeste, Patos de Minas, Minas Gerais, Brazil
| | - H Lam
- Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
| | - E Chow
- Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
| | - FMY Lim
- Department of Oncology, Princess Margaret Hospital, Hong Kong
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Taylor P. Low thyroid hormone during pregnancy and consequences for child neurological development. Toxicol Lett 2021. [DOI: 10.1016/s0378-4274(21)00234-4] [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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Stedman M, Taylor P, Premawardhana L, Okosieme O, Dayan C, Heald AH. Liothyronine and levothyroxine prescribing in England: A comprehensive survey and evaluation. Int J Clin Pract 2021; 75:e14228. [PMID: 33864324 PMCID: PMC9285455 DOI: 10.1111/ijcp.14228] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 03/28/2021] [Accepted: 04/12/2021] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION The approach to thyroid hormone replacement varies across centres, but the extent and determinants of variation is unclear. We evaluated geographical variation in levothyroxine (LT4) and liothyronine (LT3) prescribing across General Practices in England and analysed the relationship of prescribing patterns to clinical and socioeconomic factors. METHODS Data was downloaded from the NHS monthly General Practice Prescribing Data in England for the period 2011-2020. RESULTS The study covered a population of 19.4 million women over 30 years of age, attending 6,660 GP practices and being provided with 33.7 million prescriptions of LT4 and LT3 at a total cost of £90million/year. Overall, 0.5% of levothyroxine treated patients continue to receive liothyronine. All Clinical Commission Groups (CCGs) in England continue to have at least one liothyronine prescribing practice and 48.5% of English general practices prescribed liothyronine in 2019-2020. Factors strongly influencing more levothyroxine prescribing (model accounted for 62% of variance) were the CCG to which the practice belonged and the proportion of people with diabetes registered on the practice list plus antidepressant prescribing, with socioeconomic disadvantage associated with less levothyroxine prescribing. Whereas factors that were associated with increased levels of liothyronine prescribing (model accounted for 17% of variance), were antidepressant prescribing and % of type 2 diabetes mellitus individuals achieving HbA1c control of 58 mmol/mol or less. Factors that were associated with reduced levels of liothyronine prescribing included smoking and higher obesity rates. CONCLUSION In spite of strenuous attempts to limit prescribing of liothyronine in general practice a significant number of patients continue to receive this therapy, although there is significant geographical variation in the prescribing of this as for levothyroxine, with specific general practice and CCG-related factors influencing prescribing of both levothyroxine and liothyronine across England.
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Affiliation(s)
| | - Peter Taylor
- Thyroid Research GroupSystems Immunity Research InstituteCardiff University School of MedicineCardiffUK
| | - Lakdasa Premawardhana
- Thyroid Research GroupSystems Immunity Research InstituteCardiff University School of MedicineCardiffUK
| | - Onyebuchi Okosieme
- Thyroid Research GroupSystems Immunity Research InstituteCardiff University School of MedicineCardiffUK
| | - Colin Dayan
- Thyroid Research GroupSystems Immunity Research InstituteCardiff University School of MedicineCardiffUK
| | - Adrian H. Heald
- The School of MedicineManchester Academic Health Sciences CentreUniversity of ManchesterManchesterUK
- Department of Endocrinology and DiabetesSalford Royal HospitalSalfordUK
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Saini P, Hunt A, Taylor P, Mills C, Clements C, Mulholland H, Kullu C, Hann M, Duarte R, Mattocks F, Guthrie E, Gabbay M. Community Outpatient Psychotherapy Engagement Service for Self-harm (COPESS): a feasibility trial protocol. Pilot Feasibility Stud 2021; 7:165. [PMID: 34452642 PMCID: PMC8390538 DOI: 10.1186/s40814-021-00902-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Accepted: 08/20/2021] [Indexed: 11/16/2022] Open
Abstract
Background People who self-harm are at high risk for future suicide and often suffer considerable emotional distress. Depression is common among people who self-harm and may be an underlying driver of self-harm behaviour. Self-harm is often repeated, and risk of repetition is highest immediately after an act of self-harm. Readily accessible brief talking therapies show promise in helping people who self-harm, but further evaluation of these approaches is needed. A brief talking therapy intervention for depression and self-harm has been designed for use in a community setting. This mixed methods feasibility study with repeated measures will examine the feasibility and acceptability of the Community Outpatient Psychological Engagement Service for Self-Harm (COPESS) for people with self-harm and depression in the community, compared to routine care. Methods Sixty participants with a history of self-harm within the last six months, who are also currently depressed, will be recruited to take part in a feasibility single-blind randomised controlled trial (RCT). Participants will be randomised 1:1 to receive COPESS plus treatment as usual (TAU) or TAU alone. Recruitment will be via General Practitioners (GP) and self-referral. Assessment of feasibility and acceptability will be assessed via quantitative and qualitative methods including measures of recruitment and retention to the feasibility trial, participants’ experience of therapy, completion/completeness of outcome measures at relevant time-points and completion of a service use questionnaire. Discussion The results will indicate whether it is feasible to conduct a definitive full trial to determine whether COPESS is a clinically and cost effective intervention for people who self-harm in the community. Qualitative and quantitative data will in addition help identify potential strengths and/or challenges of implementing brief community-based interventions for people who self-harm. Trial registration NCT04191122 registered 9th December 2019.
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Affiliation(s)
- Pooja Saini
- School of Psychology, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF, UK
| | - Anna Hunt
- School of Psychology, Liverpool John Moores University, Byrom Street, Liverpool, L3 3AF, UK
| | - Peter Taylor
- Division of Psychology & Mental Health, Academic Health Sciences Centre, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK
| | - Catherine Mills
- Mersey Care NHS Foundation Trust, V7 Building, Kings Business Park, Prescot, L34 1PJ, UK
| | - Caroline Clements
- Division of Psychology & Mental Health, Academic Health Sciences Centre, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK
| | - Helen Mulholland
- Department of Primary Care and Mental Health, The University of Liverpool, Waterhouse Building Block B, Liverpool, L69 3GF, UK
| | - Cecil Kullu
- Mersey Care NHS Foundation Trust, V7 Building, Kings Business Park, Prescot, L34 1PJ, UK
| | - Mark Hann
- Biostatistics, Division of Population Health, Health Services Research & Primary Care, Manchester, UK
| | - Rui Duarte
- Department of Primary Care and Mental Health, The University of Liverpool, Waterhouse Building Block B, Liverpool, L69 3GF, UK
| | | | - Else Guthrie
- School of Medicine, The University of Leeds, Woodhouse, Leeds, LS2 9JT, UK
| | - Mark Gabbay
- Department of Primary Care and Mental Health, The University of Liverpool, Waterhouse Building Block B, Liverpool, L69 3GF, UK.
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Kry S, Lye J, Clark C, Andratschke N, Dimitriadis A, Followill D, Howell R, Hussein M, Ishikawa M, Kito S, Kron T, Lee J, Michalski J, Monti A, Reynaert N, Taylor P, Venables K, Xiao Y, Lehmann J. PD-0899 Report dose-to-medium in clinical trials; a consensus from the Global Harmonisation Group. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07178-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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