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Cooper R, Leon-Andrews L, Yuille F, Newby J, Tharmalingham H, Lumsden G, Campbell A, Pasha N, Gibson R. The New Clinical Oncology Curriculum - Tailored for the UK and Beyond. Clin Oncol (R Coll Radiol) 2023; 35:209-212. [PMID: 36702669 DOI: 10.1016/j.clon.2023.01.003] [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] [Received: 10/04/2022] [Revised: 12/08/2022] [Accepted: 01/09/2023] [Indexed: 01/15/2023]
Affiliation(s)
- R Cooper
- Royal College of Radiologists, London, UK.
| | | | - F Yuille
- Edinburgh Cancer Centre, Western General Hospital, Edinburgh, UK
| | - J Newby
- Royal Free London NHS Foundation Trust, London, UK
| | | | - G Lumsden
- The Beatson West of Scotland Cancer Centre, Glasgow, UK
| | - A Campbell
- Royal College of Radiologists, London, UK
| | - N Pasha
- Breast Cancer Now Toby Robins Breast Cancer Research Centre, The Institute of Cancer Research, London, UK
| | - R Gibson
- Royal College of Radiologists, London, UK
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Khilji O, Huang D, Pless A, Kwon C, Gibson R, Kuchinski A, Lewis K. Does IV fluid resuscitation improve ultrasound visualization of the appendix? Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00191-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Gordon W, Faino A, Stilp A, Blue E, Buckingham K, Rosenfeld M, Qu P, Collaco J, Pace R, Cutting G, Knowles M, Bamshad M, Gibson R. 548 Locus near ICOS is genetic modifier for risk of Mycobacterium avium complex airway infection in persons with cystic fibrosis. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)01238-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Song Y, Gibson R, Samra S. M042 Simultaneous detection of respiratory infectious diseases using immunoprecipitation and liquid chromatography-tandem mass spectrometry. Clin Chim Acta 2022. [PMCID: PMC9182867 DOI: 10.1016/j.cca.2022.04.333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Aksit M, Ling H, Pace R, Raraigh K, Onchiri F, Pagel K, Pugh E, Faino A, Stilp A, Blue E, Wright F, Bamshad M, Zhou Y, Gibson R, Knowles M, Cutting G, Blackman S. 654: Missense variant within SLC26A9 increases risk of meconium ileus but not age at onset of cystic fibrosis–related diabetes. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)02077-4] [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: 10/20/2022]
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Rosenfeld M, Ong T, Carlin K, McNamara S, Gorry S, Kanter A, Gibson R, Cassidy J, Greene L, Choi M, Reonal R, Culley L, Thompson J. 68: Improving timeliness of CF diagnosis following a positive CF newborn screen in Washington State. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)01493-4] [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: 10/20/2022]
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Zhou Y, Gallins P, Pace R, Dang H, O’Neal W, Li Y, Ling H, Corvol H, Strug L, Bamshad M, Gibson R, Cutting G, Blackman S, Wright F, Knowles M. 644: Genetic variants that modify severity of CF lung disease: Update from the CF genome project. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)02067-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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8
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Gibson R, Macleod N, Donaldson L, Williams H, Sheikh A, Carson-Stevens A. A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Eur Psychiatry 2021. [PMCID: PMC9475774 DOI: 10.1192/j.eurpsy.2021.1488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
IntroductionThere is a paucity of knowledge and understanding of medical error in opioid substitution treatment programmes.ObjectivesTo characterise patient safety incidents involving opioid-substitution treatment with methadone or buprenorphine in community-based care to identify the sources and nature of harm, describe and interpret themes and use this qualitative analysis to identify priorities to focus future improvement work.MethodsWe undertook a mixed-methods study examining incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care submitted between 2005 and 2015 from the National Reporting and Learning System, a repository of incident reports from England and Wales. We analysed each report using four frameworks to identify incident type, contributory factors, incident outcome and severity of harm. Analysis involved detailed data coding and iterative generation of data summaries using descriptive statistical and thematic analysis.Results2,284 reports were identified. We found that most risks of harm came from failure in one of four processes of care delivery: prescribing opiate-substitution (n=151); supervised dispensing errors (n=248); non-supervised dispensing errors (n=318); and monitoring and communication activities (n=1544). Most incidents resulting in harm involved supervised or non-supervised dispensing (n=91/127, 72%). Staff- (e.g. mistakes, not following protocols) and organisation-related (e.g. poor working conditions or poor continuity of care between services) contributory factors were present for over half of incidents.ConclusionsWe have identified four processes of care delivery and associated contributory factors, which represent potential target areas for healthcare systems worldwide to develop interventions to improve the safe delivery of opioid substitution treatment.
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Parsons J, Waters DL, Binns E, Burholt V, Cheung G, Clare S, Duncan R, Fox C, Gibson R, Grant A, Guy G, Jackson T, Kerse N, Logan R, Peri K, Petagna C, Stephens F, Taylor D, Teh R, Wall C. Letter to the Editor: Healthy for Life: An Innovative and Collaborative Approach to COVID 19 Lockdown in New Zealand. J Frailty Aging 2020; 10:72. [PMID: 33331626 PMCID: PMC7782046 DOI: 10.14283/jfa.2020.49] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Recently Boreskie and colleagues published an editorial in the Journal of Frailty and Aging on Preventing Frailty Progression During the COVID-19 Pandemic (1). In it they proposed the SAVE programme (Socialization, Adequate nutrition, Vitamin D, Exercise) to prevent frailty. They concluded that creative thinking and concerted efforts would be needed to disseminate health recommendations to maintain the health of pre-frail and frail older adults in unprecedented times, such as those posed by the COVID-19 pandemic.
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Affiliation(s)
- J Parsons
- A/Prof John Parsons Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand. Email
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Lyon M, Coston A, Gibson R, Ling Adam B, Holsten S. 57 Making Central Lines SAFER: A Multidisciplinary Program to Improve Outcomes for Resident-Performed Central Venous Access. Ann Emerg Med 2019. [DOI: 10.1016/j.annemergmed.2019.08.061] [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: 10/25/2022]
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Bullard T, McNutt R, Xu N, Gibson R, Lyon M. 140 Use of GoPro to Assess Central Venous Line Placement Competency Asynchronously. Ann Emerg Med 2019. [DOI: 10.1016/j.annemergmed.2019.08.145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Andersen KF, Buddenhagen CE, Rachkara P, Gibson R, Kalule S, Phillips D, Garrett KA. Modeling Epidemics in Seed Systems and Landscapes To Guide Management Strategies: The Case of Sweet Potato in Northern Uganda. Phytopathology 2019; 109:1519-1532. [PMID: 30785374 PMCID: PMC7779973 DOI: 10.1094/phyto-03-18-0072-r] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/14/2019] [Indexed: 05/29/2023]
Abstract
Seed systems are critical for deployment of improved varieties but also can serve as major conduits for the spread of seedborne pathogens. As in many other epidemic systems, epidemic risk in seed systems often depends on the structure of networks of trade, social interactions, and landscape connectivity. In a case study, we evaluated the structure of an informal sweet potato seed system in the Gulu region of northern Uganda for its vulnerability to the spread of emerging epidemics and its utility for disseminating improved varieties. Seed transaction data were collected by surveying vine sellers weekly during the 2014 growing season. We combined data from these observed seed transactions with estimated dispersal risk based on village-to-village proximity to create a multilayer network or "supranetwork." Both the inverse power law function and negative exponential function, common models for dispersal kernels, were evaluated in a sensitivity analysis/uncertainty quantification across a range of parameters chosen to represent spread based on proximity in the landscape. In a set of simulation experiments, we modeled the introduction of a novel pathogen and evaluated the influence of spread parameters on the selection of villages for surveillance and management. We found that the starting position in the network was critical for epidemic progress and final epidemic outcomes, largely driven by node out-degree. The efficacy of node centrality measures was evaluated for utility in identifying villages in the network to manage and limit disease spread. Node degree often performed as well as other, more complicated centrality measures for the networks where village-to-village spread was modeled by the inverse power law, whereas betweenness centrality was often more effective for negative exponential dispersal. This analysis framework can be applied to provide recommendations for a wide variety of seed systems.[Formula: see text] Copyright © 2019 The Author(s). This is an open access article distributed under the CC BY 4.0 International license.
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Affiliation(s)
- K. F. Andersen
- Plant Pathology Department, University of Florida, Gainesville, FL 32611-0680, U.S.A
- Institute for Sustainable Food Systems, University of Florida, Gainesville, FL 32611-0680, U.S.A
- Emerging Pathogens Institute, University of Florida, Gainesville, FL 32611-0680, U.S.A
| | - C. E. Buddenhagen
- Plant Pathology Department, University of Florida, Gainesville, FL 32611-0680, U.S.A
- Institute for Sustainable Food Systems, University of Florida, Gainesville, FL 32611-0680, U.S.A
- Emerging Pathogens Institute, University of Florida, Gainesville, FL 32611-0680, U.S.A
| | - P. Rachkara
- Department of Rural Development and Agribusiness, Gulu University, Gulu, Uganda
| | - R. Gibson
- Natural Resource Institute, University of Greenwich, Greenwich, United
| | - S. Kalule
- Department of Rural Development and Agribusiness, Gulu University, Gulu, Uganda
| | - D. Phillips
- Natural Resource Institute, University of Greenwich, Greenwich, United
| | - K. A. Garrett
- Plant Pathology Department, University of Florida, Gainesville, FL 32611-0680, U.S.A
- Institute for Sustainable Food Systems, University of Florida, Gainesville, FL 32611-0680, U.S.A
- Emerging Pathogens Institute, University of Florida, Gainesville, FL 32611-0680, U.S.A
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Rosenfeld M, Carlin K, Onchiri F, Morgan W, Gibson R. P078 Early life exposure to cigarettes is associated with adverse long-term health outcomes in a large, multicentre cohort. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30372-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Lyon M, Jaja C, James E, Xu H, Kuchinski A, Kutlar A, Gibson R. 248 Association of CYP2C9 and CYP2D6 Genotypes With Frequency of Emergency Department Visits for Sickle Cell Disease Acute Pain Vasoocclusive Crisis. Ann Emerg Med 2018. [DOI: 10.1016/j.annemergmed.2018.08.253] [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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15
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Hoang N, Orellana L, Le T, Gibson R, Worsley A, Sinclair A, Szymlek-Gay E. Multiple micronutrient supplementation improves short-term cognitive function in children in Hai Phong city, Vietnam. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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16
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Hoang N, Orellana L, Le T, Gibson R, Worsley A, Sinclair A, Szymlek-Gay E. Anaemia among primary school children in hai phong city, Vietnam: A cross-sectional study. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Affiliation(s)
- R. Gibson
- Department of Nutritional Sciences; King's College London; London UK
- Department of Epidemiology and Biostatistics; Imperial College London; London UK
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Gibson R, McDougall T, Whittaker S. Reducing nutrition related hospital admissions in oncology – A new care model. Clin Nutr ESPEN 2017. [DOI: 10.1016/j.clnesp.2017.07.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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19
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Bautista M, Ahmedzai S, Bouzid K, Gibson R, Gumara Y, Hassan A, Hattori S, Keefe D, Kraychete D, Lee D, Tamura K, Wang J. A framework for education and advocacy for optimal cancer pain management in resource-limited settings. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx676.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Zuanazzi D, Arts EJ, Jorge PK, Mulyar Y, Gibson R, Xiao Y, Bringel Dos Santos M, Machado MAAM, Siqueira WL. Postnatal Identification of Zika Virus Peptides from Saliva. J Dent Res 2017; 96:1078-1084. [PMID: 28825520 DOI: 10.1177/0022034517723325] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We explored the potential to diagnose Zika virus (ZIKV) infection by analyzing peptides in saliva during a convalescent phase of infection, long after resolution of acute disease. A 25-y-old woman clinically diagnosed with Zika fever in the first trimester was enrolled with her dizygotic twins for a 3-mo postnatal sample of saliva (9-mo after maternal infection). The female baby (A) had microcephaly while the male baby (B) was born healthy. Peptidomic analysis was completed by mass spectrometry (MS/MS), and ZIKV peptides were identified using the National Institutes of Health Zika Virus Resource database, then aligned and mapped to the ZIKV polyprotein to determine proteome coverage and phylogenetic studies. A total of 423 (mother), 607 (baby A), and 183 (baby B) unique ZIKV peptides were identified in saliva by MS/MS, providing a coverage of 67%, 84%, and 45%, respectively, of the entire ZIKV polyprotein (>3,400 amino acids). All peptides were aligned to other flaviviruses that are circulating in Brazil (dengue and yellow fever) to discard false-positive matches. Nine peptides identified were highly conserved to dengue virus. Alignment of a contiguous peptide sequence for mother/babies with the 74 ZIKV sequences suggested that the virus may have entered the oral cavity through the salivary glands, leading to an infection that persists into the postnatal period (vertical transmission). Furthermore, we identified 9 sequence variations that were unique to the baby with microcephaly (not found in the mother or the twin). This sequence information could provide a template for future neuropathogenic studies. A much larger sample size is required to determine whether sequence variation in the envelope protein significantly associates with microcephaly. Finally, from a public health perspective, it will be important to determine whether viral replication is still taking place after birth and whether the virus can be transmitted through salivary contact.
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Affiliation(s)
- D Zuanazzi
- 1 Schulich Dentistry and Department of Biochemistry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada
| | - E J Arts
- 2 Department of Microbiology and Immunology, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada
| | - P K Jorge
- 1 Schulich Dentistry and Department of Biochemistry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada.,3 Department of Pediatric Dentistry, Bauru Dental School, University of São Paulo Bauru, São Paulo, Brazil
| | - Y Mulyar
- 1 Schulich Dentistry and Department of Biochemistry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada
| | - R Gibson
- 2 Department of Microbiology and Immunology, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada
| | - Y Xiao
- 1 Schulich Dentistry and Department of Biochemistry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada
| | - M Bringel Dos Santos
- 3 Department of Pediatric Dentistry, Bauru Dental School, University of São Paulo Bauru, São Paulo, Brazil
| | | | - W L Siqueira
- 1 Schulich Dentistry and Department of Biochemistry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada
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Kanakri K, Carragher J, Hughes R, Muhlhausler B, Gibson R. A reduced cost strategy for enriching chicken meat with omega-3 long chain polyunsaturated fatty acids using dietary flaxseed oil. Br Poult Sci 2017; 58:283-289. [PMID: 28277795 DOI: 10.1080/00071668.2017.1293798] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
1. This study aimed to determine the minimal duration required for feeding male broilers (Cobb 500) with a flaxseed oil diet while still retaining long chain omega-3 polyunsaturated fatty acid (n-3 LCPUFA) accumulation in the meat at a desirable level. 2. Three groups of broilers (60 each) were fed on a 3% flaxseed oil (high α-linolenic acid (ALA)) diet for either 6, 4 or 2 weeks prior to slaughter. During the remaining time they were maintained on a 3% macadamia oil (low ALA) diet. A fourth group (control, n = 60) was fed on a commercial diet for 6 weeks. 3. No significant difference was observed in growth performance of broilers between groups. The amounts of total n-3 and n-3 LCPUFA in breast and thigh meat were not different between broilers fed the flaxseed oil diet for 4 and 6 weeks, but they were lower (P < 0.001) in those fed the flaxseed diet for only 2 weeks. 4. These results suggest comparable levels of n-3 LCPUFA in the meat can be achieved by only feeding the flaxseed oil diet in the last 3-4 weeks of the growth period; this would result in a ≥ 9.4% reduction in the use of flaxseed oil compared to 6 weeks of feeding; thereby reducing the cost of the enrichment process.
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Affiliation(s)
- K Kanakri
- a FOODplus Research Centre, School of Agriculture, Food and Wine , The University of Adelaide , Adelaide , Australia
| | - J Carragher
- a FOODplus Research Centre, School of Agriculture, Food and Wine , The University of Adelaide , Adelaide , Australia
| | - R Hughes
- b South Australian Research and Development Institute (SARDI) , Roseworthy Campus , Roseworthy , Australia.,c School of Animal and Veterinary Sciences , The University of Adelaide , Adelaide , Australia
| | - B Muhlhausler
- a FOODplus Research Centre, School of Agriculture, Food and Wine , The University of Adelaide , Adelaide , Australia
| | - R Gibson
- a FOODplus Research Centre, School of Agriculture, Food and Wine , The University of Adelaide , Adelaide , Australia
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Zentner D, Phan K, Gibson R, Sood S, Gorelik A, Grigg L, Nicoll A. Fontan-Associated Liver Disease (FALD)–Results from Shear Wave Elastography. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Fraser IDL, Wilcken J, Gibson C, Gibson R, Ireland B, Buley K. Rotoroa Island: building a designed ecosystem for conservation education, training and visitor engagement. ACTA ACUST UNITED AC 2016. [DOI: 10.1111/izy.12145] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- I. D. L. Fraser
- Auckland Zoo; Private Bag 78700 Grey Lynn Auckland 1245 New Zealand
| | - J. Wilcken
- Auckland Zoo; Private Bag 78700 Grey Lynn Auckland 1245 New Zealand
| | - C. Gibson
- Auckland Zoo; Private Bag 78700 Grey Lynn Auckland 1245 New Zealand
| | - R. Gibson
- Auckland Zoo; Private Bag 78700 Grey Lynn Auckland 1245 New Zealand
| | - B. Ireland
- Auckland Zoo; Private Bag 78700 Grey Lynn Auckland 1245 New Zealand
| | - K. Buley
- Auckland Zoo; Private Bag 78700 Grey Lynn Auckland 1245 New Zealand
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Jaja C, Lyon M, Gibson R, Kuchinski AM, Bowman L, Kutlar A. 140EMF Pulmonary Hypertension as a Sickle Cell Disease Emergency: Is There a Role for Preemptive Pharmacogenetic Testing? Ann Emerg Med 2016. [DOI: 10.1016/j.annemergmed.2016.08.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Lyon M, JaJa C, James E, Evans A, Xu H, Sharafili S, Kuchinski A, Gibson R. 3EMF Individualizing Patient Treatment for Sickle Cell Disease through Pharmacogenetics. Ann Emerg Med 2016. [DOI: 10.1016/j.annemergmed.2016.08.409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Santo H, Taylor PH, Gibson R. Decadal variability of extreme wave height representing storm severity in the northeast Atlantic and North Sea since the foundation of the Royal Society. Proc Math Phys Eng Sci 2016; 472:20160376. [PMID: 27713662 PMCID: PMC5046986 DOI: 10.1098/rspa.2016.0376] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Long-term estimation of extreme wave height remains a key challenge because of the short duration of available wave data, and also because of the possible impact of climate variability on ocean waves. Here, we analyse storm-based statistics to obtain estimates of extreme wave height at locations in the northeast Atlantic and North Sea using the NORA10 wave hindcast (1958-2011), and use a 5 year sliding window to examine temporal variability. The decadal variability is correlated to the North Atlantic oscillation and other atmospheric modes, using a six-term predictor model incorporating the climate indices and their Hilbert transforms. This allows reconstruction of the historic extreme climate back to 1661, using a combination of known and proxy climate indices. Significant decadal variability primarily driven by the North Atlantic oscillation is observed, and this should be considered for the long-term survivability of offshore structures and marine renewable energy devices. The analysis on wave climate reconstruction reveals that the variation of the mean, 99th percentile and extreme wave climates over decadal time scales for locations close to the dominant storm tracks in the open North Atlantic are comparable, whereas the wave climates for the rest of the locations including the North Sea are rather different.
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Affiliation(s)
- H Santo
- Centre for Offshore Research & Engineering, Department of Civil and Environmental Engineering , National University of Singapore , Singapore, Republic of Singapore
| | - P H Taylor
- Department of Engineering Science , University of Oxford , Oxford, UK
| | - R Gibson
- Offshore Consulting Group , London, UK
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Abstract
Aim: Assess and correlate the clinical presentation, cranial CT and lumbar puncture (LP) findings in patients presenting with acute headache, clinically suspicious of subarachnoid haemorrhage, from the Accident and Emergency (A/E) department of a main teaching hospital. Method: We retrospectively reviewed over a 1-year period all patients referred for cranial CT from the A/E department, with clinically suspected nontraumatic SAH. Patients with a negative CT, with a diagnosis of SAH on LP, had their initial CT examination reassessed in a double blind review. Results: 116 consecutive patients were included in the study. Patients were divided into 3 groups post CT results: diagnostic of SAH (19), abnormal without evidence of SAH (16) and normal (81). The clinical management of the latter group was analysed with particular emphasis on the performance and results of lumbar puncture (LP). 81 patients, clinically suspicious of SAH in our study had a normal cranial CT and were eligible for LP. 49% had an LP, which was positive in 13% and contributed 24% to the total number diagnosed with SAH. LP was not performed in 51% of eligible patients. Conclusion: This study reviews the varying clinical presentations of SAH and the difficulty in clinically diagnosing SAH where headache is the only symptom. We review the wide differential diagnosis on cranial CT and on discharge of patients presenting with symptoms clinically suspicious of SAH. In addition this study identifies a high proportion of patients without detailed clinical notes and discharged without a diagnosis. The study reaffirms that a significant proportion of patients are diagnosed on LP and stress the importance of performing a LP in all cases with clinically suspected SAH with a negative CT. This latter point requires highlighting in the medical literature as over half of eligible patients did not have a LP performed despite this being accepted diagnostic protocol.
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Affiliation(s)
- J O'Neill
- Department Clinical Radiology, Royal Infirmary Edinburgh.
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Masters NJ, Alexander S, Jackson B, Sigler L, Chatterton J, Harvey C, Gibson R, Humphrey S, Rawdon TG, Spence RP, Ha HJ, McInnes K, Jakob-Hoff R. Dermatomycosis caused by Paranannizziopsis australasiensis in five tuatara (Sphenodon punctatus) and a coastal bearded dragon (Pogona barbata) in a zoological collection in New Zealand. N Z Vet J 2016; 64:301-7. [DOI: 10.1080/00480169.2016.1177473] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- NJ Masters
- Zoological Society of London, London NW1 4RY, United Kingdom
| | - S Alexander
- New Zealand Centre for Conservation Medicine, Auckland Zoo, Western Springs 1022, New Zealand
| | - B Jackson
- New Zealand Centre for Conservation Medicine, Auckland Zoo, Western Springs 1022, New Zealand
| | - L Sigler
- University of Alberta Microfungus Collection and Herbarium, Devonian Botanic Garden, Edmonton, Alberta, T6G 2E1, Canada
| | - J Chatterton
- New Zealand Centre for Conservation Medicine, Auckland Zoo, Western Springs 1022, New Zealand
| | - C Harvey
- New Zealand Veterinary Pathology, Western Springs 1022, New Zealand
| | - R Gibson
- New Zealand Centre for Conservation Medicine, Auckland Zoo, Western Springs 1022, New Zealand
| | - S Humphrey
- Ministry for Primary Industries, PO Box 40742, Upper Hutt 5140, New Zealand
| | - TG Rawdon
- Ministry for Primary Industries, PO Box 40742, Upper Hutt 5140, New Zealand
| | - RP Spence
- Ministry for Primary Industries, PO Box 40742, Upper Hutt 5140, New Zealand
| | - HJ Ha
- Ministry for Primary Industries, PO Box 40742, Upper Hutt 5140, New Zealand
| | - K McInnes
- Department of Conservation, PO Box 10420, Wellington 6143, New Zealand
| | - R Jakob-Hoff
- New Zealand Centre for Conservation Medicine, Auckland Zoo, Western Springs 1022, New Zealand
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Virk S, Gibson R, Barnholtz-Sloan J, Quinones-Mateu M. BI-29 * VARIANT ANALYSIS OF PRIMARY AND RECURRENT GLIOBLASTOMA USING ION AMPLISEQTM COMPREHENSIVE CANCER PANEL AND WHOLE EXOME SEQUENCING. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou239.29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Tauro R, Heaney A, Gibson R, Lennon D, Hull K. 36 * A MULTI-FACTORIAL ASSESSMENT AND INTERVENTIONAL PROGRAMME CAN DECREASE INPATIENT FALLS: AN UPDATE. Age Ageing 2014. [DOI: 10.1093/ageing/afu124.36] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Lyon M, Sturgis L, Kutlar A, Gibson M, Lottenberg R, Gibson R. 181 Admission Rates for an Observation Unit Clinical Pathway for the Treatment of Uncomplicated Sickle Cell Disease Vasoocclusive Crisis. Ann Emerg Med 2014. [DOI: 10.1016/j.annemergmed.2014.07.207] [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: 10/24/2022]
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Turner M, Peacock M, Froggatt K, Payne S, Fletcher A, Gibson R, Scott G. BOTH SIDES OF THE FENCE: METHODOLOGICAL CHALLENGES IN UNDERTAKING RESEARCH INTO END OF LIFE CARE FOR PRISONERS. BMJ Support Palliat Care 2014. [DOI: 10.1136/bmjspcare-2014-000653.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Hare NC, Hunt DPJ, Venugopal K, Ho GT, Beez T, Lees CW, Gibson R, Weller B, Satsangi J. Multiple sclerosis in the context of TNF blockade and inflammatory bowel disease. QJM 2014; 107:51-5. [PMID: 22240391 DOI: 10.1093/qjmed/hcr237] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- N C Hare
- Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK.
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Sandall J, Cookson G, Dodwell M, Gibson R, Murrells T, Bewley S, Coxon K, Bick D. PP21 Organisational Influences on Variation in Rates of Caesarean Section Among English NHS Trusts after Accounting for Maternal and Clinical Risk: A Cross-Sectional Study. Br J Soc Med 2013. [DOI: 10.1136/jech-2013-203126.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abdullah A, Omar AN, Mulcahy R, Clapp A, Tullo E, Carrick-Sen D, Newton J, Hirst B, Krishnaswami V, Foster A, Vahidassr D, Chavan T, Matthew A, Trolan CP, Steel C, Ellis G, Ahearn DJ, Lotha K, Shukla P, Bourne DR, Mathur A, Musarrat K, Patel A, Nicholson G, Nelson E, McNicholl S, McKee H, Cuthbertson J, Nelson E, Nicholson G, McNicholl S, McKee H, Cuthbertson J, Lunt E, Lee S, Okeke J, Daniel J, Naseem A, Ramakrishna S, Singh I, Barker JR, Weatherburn AJ, Thornton L, Daniel J, Okeke J, Holly C, Jones J, Varanasi A, Verma A, Singh I, Foster JAH, Carmichael C, Cawston C, Homewood S, Leitch M, Martin J, McDicken J, Lonnen J, Bishop-Miller J, Beishon LC, Harrison JK, Conroy SP, Gladman JRF, Sim J, Byrne F, Currie J, Ollman S, Brown S, Wilkinson M, Manoj A, Hussain F, Druhan A, Thompson M, Tsang J, Soh J, Offiah C, Coughlan T, O'Brien P, McCabe DJH, Murphy S, McManus J, O'Neill D, Collins DR, Warburton K, Maini N, Cunnington AL, Mathew P, Hoyles K, Lythgoe M, Brewer H, Western-Price J, Colquhoun K, Ramdoo K, Bowen J, Dale OT, Corbridge R, Chatterjee A, Gosney MA, Richardson L, Daunt L, Ali A, Harwood R, Beveridge LA, Harper J, Williamson LD, Bowen JST, Gosney MA, Wentworth L, Wardle K, Ruddlesdin J, Baht S, Roberts N, Corrado O, Morell J, Baker P, Whiller N, Wilkinson I, Barber M, Maclean A, Frieslick J, Reoch A, Thompson M, Tsang J, McSorley A, Crawford A, Sarup S, Niruban A, Edwards JD, Bailey SJ, May HM, Mathieson P, Jones H, Ray R, Prettyman R, Gibson R, Heaney A, Hull K, Manku B, Bellary S, Ninan S, Chhokar G, Sweeney D, Nivatongs W, Wong SY, Aung T, Kalsi T, Babic-Illman G, Harari D, Aljaizani M, Pattison AT, Pattison AT, Aljaizani M, Fox J, Reilly S, Chauhan V, Azad M, Youde J, Lagan J, Cooper H, Komrower D, Price V, von Stempel CB, Gilbert B, Bouwmeester N, Jones HW, Win T, Weekes C, Hodgkinson R, Walker S, Le Ball K, Muir ZN. Clinical effectiveness. Age Ageing 2013. [DOI: 10.1093/ageing/aft096] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Walkden A, Shekhar H, Fouyas I, Gibson R. The diagnostic dilemma of cerebellopontine angle lesions: re-evaluating your diagnosis. Case Reports 2013; 2013:bcr-2012-008358. [DOI: 10.1136/bcr-2012-008358] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Gibson R, Cooper KM, Kennedy DG, Elliott CT. Mass spectrometric analysis of muscle samples to detect potential antibiotic growth promoter misuse in broiler chickens. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2012; 29:1413-24. [PMID: 22784097 DOI: 10.1080/19440049.2012.698398] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Mass spectrometric methods were developed and validated for the analysis in chicken muscle of a range of antibiotic growth promoters: spiramycin, tylosin, virginiamycin and bacitracin, and separately for two marker metabolites of carbadox (quinoxaline-2-carboxylic acid and 1,4-bisdesoxycarbadox), and a marker metabolite of olaquindox (3-methyl-quinoxaline-2-carboxylic acid). The use of these compounds as antibiotic growth promoters has been banned by the European Commission. This study aimed to develop methods to detect their residues in muscle samples as a means of checking for the use of these drugs during the rearing of broiler chickens. When fed growth-promoting doses for 6 days, spiramycin (31.4 µg kg(-1)), tylosin (1.0 µg kg(-1)), QCA (6.5 µg kg(-1)), DCBX (71.2 µg kg(-1)) and MQCA (0.2 µg kg(-1)) could be detected in the muscle 0 days after the withdrawal of fortified feed. Only spiramycin could consistently be detected beyond a withdrawal period of 1 day. All analytes showed stability to a commercial cooking process, therefore raw or cooked muscle could be used for monitoring purposes.
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Affiliation(s)
- R Gibson
- Institute of Agri-Food & Land Use, Queen's University Belfast, Belfast, UK
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Gakhar N, Goldberg E, Jing M, Gibson R, House JD. Effect of feeding hemp seed and hemp seed oil on laying hen performance and egg yolk fatty acid content: evidence of their safety and efficacy for laying hen diets. Poult Sci 2012; 91:701-11. [PMID: 22334746 DOI: 10.3382/ps.2011-01825] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Forty-eight 19-wk-old Bovan White laying hens were fed 1 of 5 diets containing either hemp seed (HS) or hemp seed oil (HO). The level of HO was 4, 8, or 12%, whereas the level was 10 or 20% for the HS. A set of 8 birds fed wheat-, barley-, and corn oil-based diets served as the control. Performance was monitored over 12 wk. Average hen-day egg production was not affected upon feeding of either HS or HO diets. Egg weight was higher than that of the controls for hens consuming the 20% HS diet (P < 0.05). Feed intake was lower than that of the controls for birds consuming the 4% HO diet but similar across other treatments. Final BW were not affected by diet, with the exception of being lower than that of the controls (P < 0.05) in hens consuming the 12% HO diet. The total egg yolk n-3 fatty acid content increased linearly (P < 0.05) with increasing dietary α-linolenic acid provision with the HS- or HO-based diets. A quadratic response (P < 0.05) was observed for docosahexaenoic acid levels in egg yolk in response to increasing dietary α-linolenic acid supply. The expression of hepatic fatty acid desaturase 1 and 2, key genes for the desaturation of long-chain polyunsaturated fatty acids, was significantly decreased (50-60% of controls; P < 0.05) as a result of feeding HS or HO diets. Based on the results from the current study, the inclusion of the hemp products HS or HO in the diets of laying hens up to a maximum level of 20 and 12%, respectively, does not adversely effect the performance of laying hens and leads to the enrichment of the n-3 fatty acid content of eggs.
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Affiliation(s)
- N Gakhar
- Department of Animal Science, University of Manitoba, Winnipeg, Manitoba R3T 2N2, Canada
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Gibson R. Agnes Macfarlane Stark. West J Med 2011. [DOI: 10.1136/bmj.d5969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Howell J, Yiu M, Gibson R, Thomson B, Stella D, Gorelik A, Prichard PJ, Nicoll AJ. Type 2 diabetes does not worsen prognosis in hepatocellular carcinoma. Clin Res Hepatol Gastroenterol 2011; 35:214-20. [PMID: 21501980 DOI: 10.1016/j.clinre.2010.11.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2010] [Revised: 09/20/2010] [Accepted: 11/08/2010] [Indexed: 02/04/2023]
Abstract
INTRODUCTION Type 2 diabetes (T2DM) is associated with liver inflammation and carcinogenesis. The prevalence of T2DM among patients with liver cirrhosis and hepatocellular carcinoma is increasing. However, the effect of T2DM on the natural history of hepatocellular carcinoma is not known. AIM To examine the effect of T2DM on hepatocellular carcinoma (HCC) survival in treated and untreated disease. METHODS Retrospective analysis was performed on HCC cases diagnosed during 2000-2005, and prospectively during 2006-August 2007. Demographics, HCC staging, response to treatment, and survival were collected. A comparison was made between patients with T2DM and without T2DM. RESULTS One hundred and thirty-five patients were recruited in total; 58 (43%) had T2DM. Seventy (37 diabetic) patients were treated with percutaneous radiological therapies, with 168 treatments given. Treatment was determined by AASLD guidelines and patient tolerance, there was no randomisation. There was no significant difference in survival between diabetic and nondiabetic patients. There was a nonsignificant trend towards greater survival in diabetic patients (overall median survival diabetics 21 mths vs nondiabetics 5 mths, P=0.355). CONCLUSIONS T2DM does not negatively impact on the natural history of treated or untreated HCC.
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Affiliation(s)
- J Howell
- Department of Gastroenterology, Royal Melbourne Hospital, Vic. 3050, Australia
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Richards BC, Hendrickson J, Olitzky JD, Gibson R, Gehl M, Kieu K, Khankhoje UK, Homyk A, Scherer A, Kim JY, Lee YH, Khitrova G, Gibbs HM. Characterization of 1D photonic crystal nanobeam cavities using curved microfiber. Opt Express 2010; 18:20558-20564. [PMID: 20940950 DOI: 10.1364/oe.18.020558] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
We investigate high-Q, small mode volume photonic crystal nanobeam cavities using a curved, tapered optical microfiber loop. The strength of the coupling between the cavity and the microfiber loop is shown to depend on the contact position on the nanobeam, angle between the nanobeam and the microfiber, and polarization of the light in the fiber. The results are compared to a resonant scattering measurement.
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Affiliation(s)
- B C Richards
- College of Optical Sciences, The University of Arizona, Tucson, AZ 85721, USA.
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Clarke TR, Barrow G, Thompson D, Gibson R, Barton EN. Response to first line HAART using CD4 cell counts experience in a university hospital in Kingston. W INDIAN MED J 2010; 59:439-444. [PMID: 21355522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
OBJECTIVES To assess the extent to which the current practice for first line therapy concurs with the recommended guidelines and to examine the response of treatment naïve patients to first line Highly Active Antiretroviral Therapy (HAART) at the University Hospital of the West Indies, using CD4 cell counts. METHODS Over a three-month period, a cross-sectional study design was instituted and data were collected on all patients on HAARTat the University Hospital of the West Indies (UHWI) outpatient HIV clinic. Information was collected by reviewing patient medical records using data collection sheets. The data obtained from the medical records included: age, gender date of diagnosis of HIV date at which HAART was commenced, CD4 cell counts prior to the commencement of antiretrovirals, the initial HAART regimes and subsequent CD4 cell counts. RESULTS A total of 165 persons who met the criteria of being on HAART therapy were enrolled in the study The average time span between diagnosis of HIV and commencement of antiretroviral therapy was 1.92 years and the range for this was 0 to 12.29 years. The average CD4 count prior to initiation of HAART was 186 cells/mm3. The most common regime used at the UHWI for first line therapy was combivir and efavirenz, n = 78 (47.3%), followed by combivir and nevirapine, n = 29 (17.6%). The average difference between the initial CD4 count prior to the initiation of HAART and first repeated CD4 count was 102 cells/mm3. The mean time between the first and repeated CD4 cell counts was 376 days. CONCLUSION The recommended guidelines were adhered to for the majority of patients initiated on antiretrovirals at the UHWI. The treatment outcomes achieved at the UHWI were similar to those achieved in developed countries. This gives substantial evidence in support of international efforts to make antiretroviral therapy available in developing countries.
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Affiliation(s)
- T R Clarke
- Department of Medicine, The University of the West Indies, Kingston 7, Jamaica.
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Clarke TR, Gibson R, Barrow G, James S, Abel WD, Barton EN. Disclosure of HIV status among HIV clinic attendees in Jamaica. W INDIAN MED J 2010; 59:445-449. [PMID: 21355523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
OBJECTIVE This study aimed to examine factors related to disclosure of HIV serostatus among clinic attendees in an outpatient HIV clinic at the University Hospital of the West Indies (UHWI). METHODS This was a cross-sectional survey of 107 attendees to a HIV clinic at the University Hospital of the West Indies. Participants were selected on a convenience basis. The instrument was developed for this study and covered socio-demographic data and self-report of disclosure and other variables related to HIV experience such as perceptions of family support. Data were analysed using nonparametric tests. RESULTS Findings demonstrate a 49% disclosure rate among males and 60% among females. The results further indicate that age, sexual orientation, mode of transmission, and perception of family support were significantly associated with disclosure. Age and perception of family support were found to be significantly associated with consistent condom use. Age and perception of family support were the factors demonstrating the most significant correlations with age being significantly associated with disclosure to partner. Perception of family support was significantly associated with disclosure to family. CONCLUSION Findings from this study demonstrate a low disclosure rate among HIV clinic attendees. Given that disclosure of HIV serostatus is critical in the control of the spread of HIV this report highlights the need for the development of prevention interventions focussed on de-stigmatization for both infected and non-infected persons.
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Affiliation(s)
- T R Clarke
- Department of Medicine, Centre for HIV/AIDS Research, Education and Services, University Hospital of the West Indies, Kingston 7, Jamaica
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Lee JY, Enoch K, Gibson R, Stewart C, Fincher R, Bland K, Thompson M, Klimberg VS, Henry-Tillman RS. Impact of mobile mammography among the medically underserved. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e12027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Galloway MJ, Charlton A, Holland D, Trigg G, Gibson R. An audit of the implementation of the international consensus group's guidelines on reporting of blood films. J Clin Pathol 2010; 63:351-4. [DOI: 10.1136/jcp.2009.073742] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [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
AimsThis study was carried out as part of the Pathology Benchmarking Review and it audits the implementation of the guidelines for the reporting of blood films published by the International Consensus Group for Haematology Review.MethodsEach laboratory completed a questionnaire about the number of blood counts and blood films performed. Information was collected on the criteria that were used for preparing a blood film and whether they had followed the guidelines of the International Consensus Group.Results74 National Health Service organisations (151 laboratory sites) participated in the study. 24 laboratories had implemented the guideline, 21 with local modification, and 3 without modification. The reasons that prevented the full implementation of the guideline included the inability of laboratory information systems to be modified to include the guideline rules, the laboratory not agreeing with the guideline criteria, and the staff time required to implement the guide to justify the perceived local benefits of implementation.ConclusionThis is the first study that has assessed the implementation of the International Consensus Guidelines at a national level. Many laboratories had experienced difficulty in implementing the consensus guideline partly due to the complexity of the guideline. As a result 21 of the 24 laboratories that had attempted to implement the guideline had made local modification to the guideline. Since it was not possible to estimate the impact that local modification of the guideline would have on the percentage of blood films it was not possible to establish a benchmark of practice following implementation of the guideline.
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Kaye-Wilson LG, Gibson R, Bell JE, Steers AJW, Cullen JF. Oculomotor nerve neurinoma: Early detection by magnetic resonance imaging. Neuroophthalmology 2009. [DOI: 10.3109/01658109409019484] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Gibson R, Burns JG, Rodd FH. Flexibility in the colouration of the meninx (brain covering) in the guppy (Poecilia reticulata): investigations of potential function. CAN J ZOOL 2009. [DOI: 10.1139/z09-039] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Many organisms can change the apparent colour of their bodies by altering the aggregation of pigment in chromatophores in a process known as physiological colour change. In this study, we investigate a previously unstudied example of physiological colour change, from clear to black, of a brain covering, or meninx, in the guppy ( Poecilia reticulata Peters, 1859). UV protection in bright light was our primary hypothesis for the function of the meningeal colour, with a cost of increased conspicuousness to avian predators selecting for plasticity in the trait. An alternate hypothesis was that this flexible trait could be a physiological by-product of stress. Thus, we investigated the response of meningeal colour to light, stress, and simulated predator attacks, and also whether the black meninx affected conspicuousness to potential predators. Meningeal response to higher light levels did not differ from baseline responses. However, we did find that stress induced a sex-biased, rapid darkening of the meninx; this darkening then declined over time. These results suggest that meningeal blackness could be used as a novel, noninvasive indicator of stress level in guppies. We found no evidence for a role of predation in meningeal colour: meninx colour did not respond to the presence of a predator model and human “predators” detected similar numbers of guppies with black meninges and guppies with clear meninges.
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Affiliation(s)
- R. Gibson
- Department of Ecology and Evolutionary Biology, University of Toronto, 25 Harbord Street, Toronto, ON M5S 3G5, Canada
| | - J. G. Burns
- Department of Ecology and Evolutionary Biology, University of Toronto, 25 Harbord Street, Toronto, ON M5S 3G5, Canada
| | - F. H. Rodd
- Department of Ecology and Evolutionary Biology, University of Toronto, 25 Harbord Street, Toronto, ON M5S 3G5, Canada
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Sparkes C, Sinclair A, Gibson R, Else P, Meyer B. Abstract: P464 EFFECTIVE DOSE OF OMEGA-3 PUFA FOR TRIGLYCERIDELOWERING IN PRE-MENOPAUSAL WOMEN. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)70759-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Aly A, Azad A, Koh S, Gibson R, Pendulbury A. HP29P�SIGNIFICANT IMPACT OF 18F-FDG-PET ON THE DIAGNOSTIC EVALUATION AND TREATMENT OF NEWLY DIAGNOSED OESOPHAGEAL CANCER. ANZ J Surg 2009. [DOI: 10.1111/j.1445-2197.2009.04920_29.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Affiliation(s)
- J. Moore
- Department of Zoology, University of Cambridge, downing Street, Cambridge
| | | | - R. Gibson
- School of Biological and Earth Sciences, Liverpool John Moores University, Byrom Street, Liverpool
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