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Ward V, Parsons G, Buchanan S, Grote H, Dahdelah S, Farmer S, Grieve J, Jaunmuktane Z, Shah S, Isenberg D, Zandi M, Gandhi S. PO145 Strange rheuminations. J Neurol Neurosurg Psychiatry 2017. [DOI: 10.1136/jnnp-2017-abn.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Mowat A, Mistry S, Ward V. What is the Role of the Senior House Officer in the ENT Casualty Clinic? Int J Surg 2017. [DOI: 10.1016/j.ijsu.2017.08.235] [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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Sirotkin S, Mermet A, Bergoin M, Ward V, Van Etten JL. Viruses as nanoparticles: structure versus collective dynamics. Phys Rev E Stat Nonlin Soft Matter Phys 2014; 90:022718. [PMID: 25215769 DOI: 10.1103/physreve.90.022718] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Indexed: 06/03/2023]
Abstract
In order to test the application of the "nanoparticle" concept to viruses in terms of low-frequency dynamics, large viruses (140-190 nm) were compared to similar-sized polymer colloids using ultra-small-angle x-ray scattering and very-low-frequency Raman or Brillouin scattering. While both viruses and polymer colloids show comparable highly defined morphologies, with comparable abilities of forming self-assembled structures, their respective abilities to confine detectable acoustic vibrations, as expected for such monodisperse systems, differed. Possible reasons for these different behaviors are discussed.
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Affiliation(s)
- S Sirotkin
- Institut Lumière Matière, Université de Lyon, Université Claude Bernard Lyon 1, UMR CNRS 5306, 69622 Villeurbanne, France
| | - A Mermet
- Institut Lumière Matière, Université de Lyon, Université Claude Bernard Lyon 1, UMR CNRS 5306, 69622 Villeurbanne, France
| | - M Bergoin
- Laboratoire de Virologie Comparé des Invertébrés, E.P.H.E., Université Montpellier 2, France
| | - V Ward
- University of Otago, Department of Microbology and Immunology, New Zealand
| | - J L Van Etten
- Department of Plant Pathology and the Nebraska Center for Virology, University of Nebraska-Lincoln, Lincoln, Nebraska USA
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Mayson TA, Ward V, Davies KR, Maurer J, Alvarez C, Beauchamp R, Black A. Reliability of retrospective assignment of gross motor function classification system scores. Dev Neurorehabil 2013; 16:207-9. [PMID: 23323825 DOI: 10.3109/17518423.2012.755575] [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] [Indexed: 11/13/2022]
Abstract
OBJECTIVES To assess "alternate forms" reliability and inter-rater reliability of Gross Motor Function Classification System (GMFCS) scores. METHODS Fifty randomly selected children with cerebral palsy were divided into two groups: (1) GMFCS score assigned during gait assessment ("GMFCS previously assigned") and (2) no GMFCS score assigned. Using database information, two physiotherapists independently determined GMFCS scores for 25 children from the "previously assigned" group, and 25 from the "no score assigned" group. Therapists compared their recently assigned scores for the "previously assigned" group, discussing discrepancies until attaining agreement. This group's consensus scores were compared to GMFCS scores assigned at time of actual assessment to calculate "alternate forms" reliability. RESULTS Between-therapist agreements were kappa = 0.84 for "GMFCS previously assigned" group and 0.95 for "no GMFCS assigned" group. Kappa agreement between direct assessment and retrospectively assigned scores for the "GMFCS previously assigned" group was 0.79. CONCLUSIONS Retrospective GMFCS scores can be reliably assigned.
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Affiliation(s)
- T A Mayson
- Shriners Gait Lab, Sunny Hill Health Centre for Children, Vancouver, British Columbia, Canada.
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Rimkus C, Ward V, Press B, Cliver P, Garavaglia K, Wischmeier J, Wilson C, Divanbeigi J. Implementing a Bone Marrow Biopsy Performance Improvement Plan: Focus on Excellence. Biol Blood Marrow Transplant 2011. [DOI: 10.1016/j.bbmt.2010.12.654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Hartschuh RD, Wargacki SP, Xiong H, Neiswinger J, Kisliuk A, Sihn S, Ward V, Vaia RA, Sokolov AP. How rigid are viruses. Phys Rev E Stat Nonlin Soft Matter Phys 2008; 78:021907. [PMID: 18850865 DOI: 10.1103/physreve.78.021907] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2008] [Revised: 04/21/2008] [Indexed: 05/03/2023]
Abstract
Viruses have traditionally been studied as pathogens, but in recent years they have been adapted for applications ranging from drug delivery and gene therapy to nanotechnology, photonics, and electronics. Although the structures of many viruses are known, most of their biophysical properties remain largely unexplored. Using Brillouin light scattering, we analyzed the mechanical rigidity, intervirion coupling, and vibrational eigenmodes of Wiseana iridovirus (WIV). We identified phonon modes propagating through the viral assemblies as well as the localized vibrational eigenmode of individual viruses. The measurements indicate a Young's modulus of approximately 7 GPa for single virus particles and their assemblies, surprisingly high for "soft" materials. Mechanical modeling confirms that the DNA core dominates the WIV rigidity. The results also indicate a peculiar mechanical coupling during self-assembly of WIV particles.
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Affiliation(s)
- R D Hartschuh
- Department of Polymer Science, University of Akron, Akron, Ohio 44325, USA
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Carney AS, Ward V, Malluci CL, O'donoghue GM, Robertson I, Baldwin DL, Maw AR, Coakham HB. Meningiomas involving the internal auditory canal: a diagnostic and surgical challenge. Skull Base Surg 2006; 9:87-94. [PMID: 17171123 PMCID: PMC1656800 DOI: 10.1055/s-2008-1058154] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Meningiomas are the second most common lesion encountered within the cerebello-pontine angle (CPA) and rarely project into or originate from the internal auditory meatus (IAM). It is important to distinguish between meningiomas and acoustic neuromas preoperatively as the choice of surgical approach may differ depending on the tumour type. Fortunately, most lesions can be accurately diagnosed with gadolinium-enhanced magnetic resonunce imaging (MRI). We report six cases of meningioma involving the IAM, often leading to an incorrect preoperative MRI diagnosis. We highlight the challenges these tumors present to radiologists and surgeons.
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Dawes R, Hennig B, Irving W, Petrova S, Boxall S, Ward V, Wallace D, Macallan DC, Thursz M, Hill A, Bodmer W, Beverley PCL, Tchilian EZ. Altered CD45 expression in C77G carriers influences immune function and outcome of hepatitis C infection. J Med Genet 2006; 43:678-84. [PMID: 16505159 PMCID: PMC2564592 DOI: 10.1136/jmg.2005.040485] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
BACKGROUND A polymorphism in exon 4 (C77G) of CD45 that alters CD45 splicing has been associated with autoimmune and infectious diseases in humans. OBJECTIVE To investigate the effect of C77G in hepatitis C virus (HCV) infected individuals and study the phenotype and function of peripheral blood mononuclear cells (PBMC) from healthy and hepatitis C infected C77G carriers. RESULTS C77G individuals showed an increased proportion of primed CD45RA and effector memory CD8 T cells and more rapid activation of the lymphocyte specific protein tyrosine kinase (Lck) following CD3 stimulation. Transgenic mice with CD45 expression mimicking that in human C77G variants had more activated/memory T cells, more rapid proliferative responses, and activation of Lck. CONCLUSIONS Changes in CD45 isoform expression can alter immune function in human C77G variants and CD45 transgenic mice. The C77G allele may influence the outcome of HCV infection.
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Coello R, Charlett A, Wilson J, Ward V, Pearson A, Borriello P. Adverse impact of surgical site infections in English hospitals. J Hosp Infect 2005; 60:93-103. [PMID: 15866006 DOI: 10.1016/j.jhin.2004.10.019] [Citation(s) in RCA: 335] [Impact Index Per Article: 17.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2004] [Accepted: 12/16/2004] [Indexed: 11/22/2022]
Abstract
Between October 1997 and June 2001, 140 English hospitals participating in the surveillance of surgical site infection (SSI) with the Nosocomial Infection National Surveillance Service (NINSS) reported 2832 SSIs following 67 410 surgical procedures in nine defined categories of surgery. Limb amputation had the highest incidence of SSI with 14.3 SSIs per 100 operations. For all categories of surgery, except knee prosthesis (P=0.128), there was a linear increase in the incidence of SSI when the American National Nosocomial Infections Surveillance risk index increased. Superficial incisional SSI was more common than deep incisional and organ/space SSI, and accounted for more than half of all SSIs for all categories of surgery. The postoperative length of stay (LOS) was longer for patients with SSI, and when adjusted for other factors influencing LOS, the extra LOS due to SSI ranged from 3.3 days for abdominal hysterectomy to 21.0 days for limb amputation, and was at least nine days for the other categories. The additional cost attributable to SSI ranged from pound959 for abdominal hysterectomy to pound6103 for limb amputation. Deep incisional and organ/space SSI combined incurred a greater extra LOS and cost than superficial incisional SSI for all categories of surgery, except limb amputation. The crude mortality rate was higher for patients with SSI for all categories of surgery but, after controlling for confounding, only patients with SSI following hip prosthesis had a mortality rate that was significantly higher than those without SSI [odds ratio (OR)=1.8, P=0.002]. However, the adjusted mortality rate for patients with deep incisional and organ/space SSI compared with those without SSI was significantly higher for vascular surgery (OR=6.8, P<0.001), hip prosthesis (OR=2.5, P=0.005) and large bowel surgery (OR=1.8, P=0.04). This study shows that the adverse impact of SSI differs greatly for different categories of surgery, and highlights the importance of measuring the impact for defined categories rather than for all SSIs and all surgical procedures.
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MESH Headings
- Amputation, Surgical/adverse effects
- Amputation, Surgical/mortality
- Arthroplasty, Replacement, Hip/adverse effects
- Arthroplasty, Replacement, Hip/mortality
- Arthroplasty, Replacement, Knee/adverse effects
- Arthroplasty, Replacement, Knee/mortality
- Cardiovascular Surgical Procedures/adverse effects
- Cardiovascular Surgical Procedures/mortality
- Cause of Death
- Chi-Square Distribution
- Confounding Factors, Epidemiologic
- Cost of Illness
- Cross Infection/economics
- Cross Infection/epidemiology
- Cross Infection/etiology
- Cross Infection/prevention & control
- Digestive System Surgical Procedures/adverse effects
- Digestive System Surgical Procedures/mortality
- England/epidemiology
- Fracture Fixation, Internal/adverse effects
- Hospital Costs/statistics & numerical data
- Humans
- Hysterectomy/adverse effects
- Hysterectomy/mortality
- Incidence
- Infection Control
- Length of Stay/economics
- Length of Stay/statistics & numerical data
- Linear Models
- Population Surveillance
- Risk Factors
- Surgical Wound Infection/economics
- Surgical Wound Infection/epidemiology
- Surgical Wound Infection/etiology
- Surgical Wound Infection/prevention & control
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Affiliation(s)
- R Coello
- Healthcare Associated Infection and Antimicrobial Resistance Department, Communicable Diseases Surveillance Centre, Health Protection Agency, 61 Colindale Avenue, London NW9 5EQ, UK
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Coello R, Charlett A, Ward V, Wilson J, Pearson A, Sedgwick J, Borriello P. Device-related sources of bacteraemia in English hospitals--opportunities for the prevention of hospital-acquired bacteraemia. J Hosp Infect 2003; 53:46-57. [PMID: 12495685 DOI: 10.1053/jhin.2002.1349] [Citation(s) in RCA: 86] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Between 1997 and 2001, 17 teaching and 56 non-teaching acute English hospitals conducted hospital-wide surveillance of hospital-acquired bacteraemia (HAB) using a standard protocol drawn up by the Nosocomial Infection National Surveillance Scheme (NINSS). The sources of organisms, the incidence of device-related HAB, and the distribution of HABs from individual device-related sources by specialty and type of hospital were determined for 6,956 HABs in order to identify where resources should best be targeted to reduce these infections. The overall incidence of HAB was higher in teaching than in non-teaching hospitals: 5.39 and 2.83 HABs per 1,000 patients at risk, respectively (P<0.001). Device-related sources were responsible for 52.4 and 43.2% of all HABs in teaching and non-teaching hospitals, respectively (P<0.001), and central lines were the commonest source, causing 38.3% of HABs in teaching versus 22.3% in non-teaching hospitals (P<0.001). In teaching hospitals, general intensive care units (ICUs), haematology, special care baby units (SCBUs), nephrology, and oncology accounted for only 6.1% of the population surveyed, but had the highest incidence of HAB, and contributed 47.8% of 2091 HABs and 56.9% of 1,095 device-related bacteraemias. Of 623 device-related bacteraemias in these high-risk specialties, 554 (88.9%) were from central lines. Thus, in teaching hospitals, resources should be targeted primarily at the prevention of central line-related bacteraemia in these five high-risk specialties, and the surveillance should include data on central line use. In non-teaching hospitals, nearly two thirds (63.3%) of 4,865 HABs and 60.7% of 2,103 device-related bacteraemias were from a few specialties with a low incidence of bacteraemia, but large numbers of patients, namely general medicine, general surgery, geriatric medicine and urology. These specialties accounted for 50.5% of the population surveyed. Central lines were the most common source of bacteraemia in general medicine and surgery, and together accounted for 23.3% of all device-related bacteraemias. However, in geriatric medicine and urology, central line sources were infrequent, accounting for only 1.7% of all device-related bacteraemias. On the other hand, bacteraemia from catheter-associated UTI were common in all these four specialties accounting for 20.9% of all device-related bacteraemias. Thus, in non-teaching hospitals, resources should be targeted primarily at these low-risk specialties and surveillance should include, at least, bacteraemia from central lines and from catheter-associated UTI. Further benefit can be obtained by including central line-related bacteraemias from general ICU and haematology patients, as they contributed 17.0% of all device-related bacteraemias in non-teaching hospitals.
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Affiliation(s)
- R Coello
- Nosocomial Infection Surveillance Unit, Public Health Laboratory Service, London, UK.
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Bressler J, Landry E, Ward V. Choosing vasectomy: U.S. clients discuss their decisions. AVSC News 2002; 34:1, 6. [PMID: 12347473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
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Cooke EM, Coello R, Sedgwick J, Ward V, Wilson J, Charlett A, Ward B, Pearson A. A national surveillance scheme for hospital associated infections in England. Team of the Nosocomial Infection National Surveillance Scheme. J Hosp Infect 2000; 46:1-3. [PMID: 11023716 DOI: 10.1053/jhin.2000.0801] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- E M Cooke
- Nosocomial Infection Surveillance Unit, PHLS Central Public Health Laboratory, 61 Colindale Avenue, London, NW9 5HT, UK
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Oberlander TF, Robeson P, Ward V, Huckin RS, Kamani A, Harpur A, McDonald W. Prenatal and breast milk morphine exposure following maternal intrathecal morphine treatment. J Hum Lact 2000; 16:137-42. [PMID: 11153344 DOI: 10.1177/089033440001600210] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
A case of an infant who had morphine exposure during and following pregnancy while her mother was treated with intrathecal (i.t.) morphine is presented along with a review of the relevant literature. Successful maternal pain management was achieved during pregnancy and while breastfeeding. Minimal maternal serum and breast milk levels in the first 7 postpartum weeks were found. Also, infant sleep and arousal behavior and general development at 2 and 7 months were unremarkable, illustrating the possible safe and efficacious use of i.t. morphine during and following pregnancy. Further work is required to understand opioid pharmacology during breastfeeding, which will be used to develop an empirical approach to breastfeeding and morphine use.
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Affiliation(s)
- T F Oberlander
- Division of Developmental Pediatrics, Sunny Hill Health Centre for Children, 3644 Slocan Street, Vancouver BC, Canada V5M 3E8.
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Abstract
The first case of traumatic myositis ossificans (TMO) involving a strap muscle of the neck is reported. TMO typically presents with an unresolved mass following trauma or surgery, requiring differentiation from other soft tissue and bone neoplasms. Opacification may be present on soft tissue X-rays. Computed tomography (CT) scan may demonstrate a characteristic zoning phenomenon to establish the diagnosis. The disorder is frequently self-limiting but surgery may be required for persistent symptoms.
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Affiliation(s)
- M Read-Jones
- Department of Otorhinolaryngology, Leicester Royal Infirmary, UK
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Mallucci CL, Ward V, Carney AS, O'Donoghue GM, Robertson I. Clinical features and outcomes in patients with non-acoustic cerebellopontine angle tumours. J Neurol Neurosurg Psychiatry 1999; 66:768-71. [PMID: 10329752 PMCID: PMC1736400 DOI: 10.1136/jnnp.66.6.768] [Citation(s) in RCA: 54] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES Non-acoustic tumours of the cerebellopontine angle differ from vestibular schwannomas in their prevalence, clinical features, operative management, and surgical outcome. These features were studied in patients presenting to the regional neuro-otological unit. METHODS A retrospective analysis of clinical notes identified 42 patients with non-acoustic tumours of the cerebellopontine angle. Data were extracted regarding presenting clinical features, histopathological data after surgical resection, surgical morbidity and mortality, and clinical outcome (mean 32 months follow up). RESULTS The study group comprised 25 meningiomas (60%), 12 epidermoid cysts/cholesteatomata (28%), and five other tumours. In patients with meningiomas, symptoms differed considerably from patients presenting with vestibular schwannomas. Cerebellar signs were present in 52% and hearing loss in only 68%. Twenty per cent of patients had hydrocephalus at the time of diagnosis. After surgical resection, normal facial nerve function was preserved in 75% of cases. In the epidermoid group, fifth, seventh, and eighth nerve deficits were present in 42%, 33%, and 66% respectively. There were no new postoperative facial palsies. There were two recurrences (17%) requiring reoperation. Overall, there were two perioperative deaths from pneumonia and meningitis. CONCLUSIONS Patients with non-acoustic lesions of the cerebellopontine angle often present with different symptoms and signs from those found in patients with schwannomas. Hearing loss is less prevalent and cerebellar signs and facial paresis are more common as presenting features. Hydrocephalus is often present in patients presenting with cerebellopontine angle meningiomas. Non-acoustic tumours can usually be resected with facial nerve preservation.
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Affiliation(s)
- C L Mallucci
- Department of Neurosurgery, Queen's Medical Centre, Nottingham, UK
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Sadler T, Ward V, Glare T, Kalmakoff J. Examination of New Zealand's endemic Wiseana nucleopolyhedrovirus by analysis of the viral polyhedrin gene. Arch Virol 1999; 143:2273-88. [PMID: 9930186 DOI: 10.1007/s007050050460] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Insects of the genus Wiseana (Lepidoptera: Hepialidae) are major agricultural pests in New Zealand. Singly enveloped nucleopolyhedroviruses (SNPVs) isolated from three of the seven described Wiseana species have potential as biological control agents. As part of an effort to characterise the Wiseana SNPV genome the polyhedrin gene was cloned and the nucleotide sequence determined. The gene sequence was used, in conjunction with morphological and restriction endonuclease analysis, to compare isolates from different sites and species of Wiseana. Heterogeneity was detected within a single site, as well as between SNPV from separate Wiseana species. The extent of divergence between the nucleotide sequences was small enough, however, to consider three SNPVs from W. signata, W. cervinata and W. umbraculata as different strains of a single SNPV species. This improves the likely practicability of developing a single viral agent to control this pest complex. In addition, the virus polyhedrin gene sequence was used to estimate the phylogenetic relatedness of a W. signata SNPV to 16 other NPV from diverse insect genera. These comparisons suggest the Wiseana SNPV was unique within the Baculoviridae, but was more closely related to the group II NPVs.
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Affiliation(s)
- T Sadler
- AgResearch, Canterbury Agricultural and Science Centre, Lincoln, New Zealand
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FitzPatrick R, Hassan T, Ward V, Bodiwala G. Comparison of assays for measuring plasma paracetamol. Training and education in use of assay are important. BMJ 1998; 316:475-6. [PMID: 9492703 PMCID: PMC2665579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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Ward V. Auditing infection. Nurs Times 1997; 93:71-4. [PMID: 9277237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- V Ward
- Laboratory of Hospital Infection, Central Public Health Laboratory, Colindale
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Abstract
The purpose of this focus group research was to learn more about the sexual behaviors and practices of this population, in part to better understand their resistance to family planning. The Mayan population is made up of some twenty-three linguistically distinct groups, which collectively constitute 37-42 percent of the Guatemalan population. The largest of these groups, the Quiché- speakers, were the focus of the first phase of this research, reported in this article. Years of economic and social subjugation have resulted in a far lower standard of living among the Mayans than the dominant ethnic group in Guatemala, the Ladinos. This difference is reflected in numerous health indicators, including one of the lowest contraceptive prevalence rates in the hemisphere.A total of thirteen groups were conducted among men and women of different age groups. All groups were organized and moderated by a team of five Mayan field workers who spoke the language and were familiar with the culture of the area. While there was initial hesitation to the idea of discussing the highly sensitive topic of sexual behavior in a group setting, the methodology proved appropriate and yielded detailed data on the subject. All sessions were taped, translated to Spanish and transcribed for purposes of analysis.
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Kanitz J, Birken B, Ward V. Pharmacist involvement in a diabetic education centre. Can J Hosp Pharm 1982; 35:114-5. [PMID: 10257341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
During the past two years, a multi-discipline health team has been meeting with selected diabetic "problem" patients on a regular basis at the North York General Hospital (NYGH). The patients are referred to the programme by their physicians when they appear to be having difficulty handling or coping with their diabetes. The participants in the programme attend the Diabetic Education Centre (DEC) for one week as day patients in the hospital and are exposed to various types of counselling from members of the Diabetic Education Centre Team (DECT), one of which is the pharmacist. Follow-up from this week of intensive education is made at annual intervals. The main purpose of the pharmacist in the clinic is to provide information for the patients regarding their prescriptions and over the counter (OTC) medication. This is achieved by means of individual patient interviews and informal group discussions, as well as rounds with other team members and contact with patients' families. This programme provides a forum for the patient and the patient's family to obtain valid information about diabetes, as well as problems associated with the disease, and aids in coping with these problems. The team concept enables the patient to be analyzed by all disciplines in order to assess his teaching needs and fulfill them. The pharmacist is continually involved in this information system and plays a valuable role on the team.
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Ferguson F, Park L, Ward V. Learning about the hospital at home. Can Nurse 1979; 75:44-8. [PMID: 251458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Stamatakis JD, Kakkar VV, Lawrence D, Bentley PG, Nairn D, Ward V. Failure of aspirin to prevent postoperative deep vein thrombosis in patients undergoing total hip replacement. Br Med J 1978; 1:1031. [PMID: 638587 PMCID: PMC1603969 DOI: 10.1136/bmj.1.6119.1031] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Goldenberg DM, Sigel A, Schrott KM, Ward V. Cryotherapy of heterotransplanted human cancer: preliminary experimental findings in the Syrian hamster. Urol Int 1969; 24:166-76. [PMID: 5771997 DOI: 10.1159/000279612] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Ward V. What will the panthers anther? Where do we go from here? Tijdschr Ziekenverpl 1968; 21:707-8. [PMID: 5187904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Henegar GC, Ward V, Fritsch B. Scintiphoto liver scans. J Nucl Med 1967; 8:386. [PMID: 6032708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
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