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Barksdale S, Stark Taylor S, Criss S, Kemper K, Friedman DB, Thompson W, Donelle L, MacGilvray P, Natafgi N. Improving Patient Health Literacy During Telehealth Visits Through Remote Teach-Back Methods Training for Family Medicine Residents: Pilot 2-Arm Cluster, Nonrandomized Controlled Trial. JMIR Form Res 2023; 7:e51541. [PMID: 37971799 PMCID: PMC10690523 DOI: 10.2196/51541] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 09/29/2023] [Accepted: 10/14/2023] [Indexed: 11/19/2023] Open
Abstract
BACKGROUND As telemedicine plays an increasing role in health care delivery, providers are expected to receive adequate training to effectively communicate with patients during telemedicine encounters. Teach-back is an approach that verifies patients' understanding of the health care information provided by health care professionals. Including patients in the design and development of teach-back training content for providers can result in more relevant training content. However, only a limited number of studies embrace patient engagement in this capacity, and none for remote care settings. OBJECTIVE We aimed to design and evaluate the feasibility of patient-centered, telehealth-focused teach-back training for family medicine residents to promote the use of teach-back during remote visits. METHODS We codeveloped the POTENTIAL (Platform to Enhance Teach-Back Methods in Virtual Care Visits) curriculum for medical residents to promote teach-back during remote visits. A patient participated in the development of the workshop's videos and in a patient-provider panel about teach-back. We conducted a pilot, 2-arm cluster, nonrandomized controlled trial. Family medicine residents at the intervention site (n=12) received didactic and simulation-based training in addition to weekly cues-to-action. Assessment included pre- and postsurveys, observations of residents, and interviews with patients and providers. To assess differences between pre- and postintervention scores among the intervention group, chi-square and 1-tailed t tests were used. A total of 4 difference-in-difference models were constructed to evaluate prepost differences between intervention and control groups for each of the following outcomes: familiarity with teach-back, importance of teach-back, confidence in teach-back ability, and ease of use of teach-back. RESULTS Medical residents highly rated their experience of the teach-back training sessions (mean 8.6/10). Most residents (9/12, 75%) used plain language during training simulations, and over half asked the role-playing patient to use their own words to explain what they were told during the encounter. Postintervention, there was an increase in residents' confidence in their ability to use teach-back (mean 7.33 vs 7.83; P=.04), but there was no statistically significant difference in familiarity with, perception of importance, or ease of use of teach-back. None of the difference-in-difference models were statistically significant. The main barrier to practicing teach-back was time constraints. CONCLUSIONS This study highlights ways to effectively integrate best-practice training in telehealth teach-back skills into a medical residency program. At the same time, this pilot study points to important opportunities for improvement for similar interventions in future larger-scale implementation efforts, as well as ways to mitigate providers' concerns or barriers to incorporating teach-back in their practice. Teach-back can impact remote practice by increasing providers' ability to actively engage and empower patients by using the features (whiteboards, chat rooms, and mini-views) of their remote platform.
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Affiliation(s)
- Shanikque Barksdale
- Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
| | - Shannon Stark Taylor
- School of Medicine Greenville, University of South Carolina, Greenville, SC, United States
- Family Medicine Residency Greenville, Prisma Health, Greenville, SC, United States
| | - Shaniece Criss
- Department of Health Sciences, Furman University, Greenville, SC, United States
| | - Karen Kemper
- Department of Public Health Sciences, College of Behavioral, Social and Health Sciences, Clemson University, Clemson, SC, United States
| | - Daniela B Friedman
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
| | - Wanda Thompson
- Patient Engagement Studio, University of South Carolina, Greenville, SC, United States
| | - Lorie Donelle
- College of Nursing, University of South Carolina, Columbia, SC, United States
| | - Phyllis MacGilvray
- School of Medicine Greenville, University of South Carolina, Greenville, SC, United States
- Family Medicine, Prisma Health, Greenville, SC, United States
| | - Nabil Natafgi
- Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States
- Patient Engagement Studio, University of South Carolina, Greenville, SC, United States
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Benabderrazik K, Kopainsky B, Monastyrnaya E, Thompson W, Tazi L, Joerin J, Six J. Climate resilience and the human-water dynamics. The case of tomato production in Morocco. Sci Total Environ 2022; 849:157597. [PMID: 35917959 DOI: 10.1016/j.scitotenv.2022.157597] [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: 02/15/2022] [Revised: 07/13/2022] [Accepted: 07/20/2022] [Indexed: 06/15/2023]
Abstract
In Morocco, droughts are an increasing threat affecting water availability, agricultural production and producers' livelihoods. Moreover, water demand for irrigation has led to overexploitation of the groundwater table causing significant natural resource management challenges. The combination of groundwater changes and increasing drought risk raises concerns about the ability of agricultural producers to be resilient against drought. In this study, we describe the interactions of environmental and socioeconomic processes which influence farmers' livelihoods involved in tomato production in Morocco. Building on system dynamics modelling tools, we aim to improve the understanding of the long-term dynamic behavior of water management and to explore plausible policy scenarios necessary for sustainable and resilient water resource management and agricultural development. Our results show that tomato production is not yet severely impacted by droughts. However, droughts are accelerating the process of groundwater depletion, impacting farmers' livelihoods, by decreasing crop productivity and reducing farmer's revenue over a longer time period, especially since tomatoes are a high-value crop. Therefore, integrated and effective policies are presented as a set of measures for a systemic enhancement of resilience. We conclude that a more radical approach toward water resource conservation and upholding the most vulnerable producers has to be adopted in order to enhance a sustainable and inclusive resilience of the tomato production in Morocco.
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Affiliation(s)
- K Benabderrazik
- Sustainable Agroecosystem Group, Agricultural Institute, Department of Environmental Systems Science, ETH Zürich, Universitätstrasse 2, LFH B11, 8092 Zürich, Switzerland.
| | - B Kopainsky
- System Dynamics Group, Department of Geography, University of Bergen, Postbox 7800, 5020 Bergen, Norway
| | - E Monastyrnaya
- Sustainable Agroecosystem Group, Agricultural Institute, Department of Environmental Systems Science, ETH Zürich, Universitätstrasse 2, LFH B11, 8092 Zürich, Switzerland
| | - W Thompson
- Sustainable Agroecosystem Group, Agricultural Institute, Department of Environmental Systems Science, ETH Zürich, Universitätstrasse 2, LFH B11, 8092 Zürich, Switzerland
| | - L Tazi
- Laboratoire de Biodiversité, Ecologie et Génome, Centre de Biotechnologie Vegetale et Microbienne, Biodiversité et Environnement, Université Mohamed V, Rabat, Morocco
| | - J Joerin
- Sustainable Agroecosystem Group, Agricultural Institute, Department of Environmental Systems Science, ETH Zürich, Universitätstrasse 2, LFH B11, 8092 Zürich, Switzerland
| | - J Six
- Sustainable Agroecosystem Group, Agricultural Institute, Department of Environmental Systems Science, ETH Zürich, Universitätstrasse 2, LFH B11, 8092 Zürich, Switzerland
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Chaarani B, Hahn S, Allgaier N, Adise S, Owens MM, Juliano AC, Yuan DK, Loso H, Ivanciu A, Albaugh MD, Dumas J, Mackey S, Laurent J, Ivanova M, Hagler DJ, Cornejo MD, Hatton S, Agrawal A, Aguinaldo L, Ahonen L, Aklin W, Anokhin AP, Arroyo J, Avenevoli S, Babcock D, Bagot K, Baker FC, Banich MT, Barch DM, Bartsch H, Baskin-Sommers A, Bjork JM, Blachman-Demner D, Bloch M, Bogdan R, Bookheimer SY, Breslin F, Brown S, Calabro FJ, Calhoun V, Casey BJ, Chang L, Clark DB, Cloak C, Constable RT, Constable K, Corley R, Cottler LB, Coxe S, Dagher RK, Dale AM, Dapretto M, Delcarmen-Wiggins R, Dick AS, Do EK, Dosenbach NUF, Dowling GJ, Edwards S, Ernst TM, Fair DA, Fan CC, Feczko E, Feldstein-Ewing SW, Florsheim P, Foxe JJ, Freedman EG, Friedman NP, Friedman-Hill S, Fuemmeler BF, Galvan A, Gee DG, Giedd J, Glantz M, Glaser P, Godino J, Gonzalez M, Gonzalez R, Grant S, Gray KM, Haist F, Harms MP, Hawes S, Heath AC, Heeringa S, Heitzeg MM, Hermosillo R, Herting MM, Hettema JM, Hewitt JK, Heyser C, Hoffman E, Howlett K, Huber RS, Huestis MA, Hyde LW, Iacono WG, Infante MA, Irfanoglu O, Isaiah A, Iyengar S, Jacobus J, James R, Jean-Francois B, Jernigan T, Karcher NR, Kaufman A, Kelley B, Kit B, Ksinan A, Kuperman J, Laird AR, Larson C, LeBlanc K, Lessov-Schlagger C, Lever N, Lewis DA, Lisdahl K, Little AR, Lopez M, Luciana M, Luna B, Madden PA, Maes HH, Makowski C, Marshall AT, Mason MJ, Matochik J, McCandliss BD, McGlade E, Montoya I, Morgan G, Morris A, Mulford C, Murray P, Nagel BJ, Neale MC, Neigh G, Nencka A, Noronha A, Nixon SJ, Palmer CE, Pariyadath V, Paulus MP, Pelham WE, Pfefferbaum D, Pierpaoli C, Prescot A, Prouty D, Puttler LI, Rajapaske N, Rapuano KM, Reeves G, Renshaw PF, Riedel MC, Rojas P, de la Rosa M, Rosenberg MD, Ross MJ, Sanchez M, Schirda C, Schloesser D, Schulenberg J, Sher KJ, Sheth C, Shilling PD, Simmons WK, Sowell ER, Speer N, Spittel M, Squeglia LM, Sripada C, Steinberg J, Striley C, Sutherland MT, Tanabe J, Tapert SF, Thompson W, Tomko RL, Uban KA, Vrieze S, Wade NE, Watts R, Weiss S, Wiens BA, Williams OD, Wilbur A, Wing D, Wolff-Hughes D, Yang R, Yurgelun-Todd DA, Zucker RA, Potter A, Garavan HP. Baseline brain function in the preadolescents of the ABCD Study. Nat Neurosci 2021; 24:1176-1186. [PMID: 34099922 PMCID: PMC8947197 DOI: 10.1038/s41593-021-00867-9] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Accepted: 04/30/2021] [Indexed: 02/05/2023]
Abstract
The Adolescent Brain Cognitive Development (ABCD) Study® is a 10-year longitudinal study of children recruited at ages 9 and 10. A battery of neuroimaging tasks are administered biennially to track neurodevelopment and identify individual differences in brain function. This study reports activation patterns from functional MRI (fMRI) tasks completed at baseline, which were designed to measure cognitive impulse control with a stop signal task (SST; N = 5,547), reward anticipation and receipt with a monetary incentive delay (MID) task (N = 6,657) and working memory and emotion reactivity with an emotional N-back (EN-back) task (N = 6,009). Further, we report the spatial reproducibility of activation patterns by assessing between-group vertex/voxelwise correlations of blood oxygen level-dependent (BOLD) activation. Analyses reveal robust brain activations that are consistent with the published literature, vary across fMRI tasks/contrasts and slightly correlate with individual behavioral performance on the tasks. These results establish the preadolescent brain function baseline, guide interpretation of cross-sectional analyses and will enable the investigation of longitudinal changes during adolescent development.
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Affiliation(s)
- B Chaarani
- Department of Psychiatry, University of Vermont, Burlington, VT, USA.
| | - S Hahn
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - N Allgaier
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - S Adise
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - M M Owens
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - A C Juliano
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - D K Yuan
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - H Loso
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - A Ivanciu
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - M D Albaugh
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - J Dumas
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - S Mackey
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - J Laurent
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - M Ivanova
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - D J Hagler
- University of California, San Diego, La Jolla, CA, USA
| | - M D Cornejo
- Institute of Physics UC, Pontificia Universidad Catolica de Chile, Pontificia, Chile
| | - S Hatton
- University of California, San Diego, La Jolla, CA, USA
| | - A Agrawal
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - L Aguinaldo
- University of California, San Diego, La Jolla, CA, USA
| | - L Ahonen
- University of Pittsburgh, Pittsburgh, PA, USA
| | - W Aklin
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - A P Anokhin
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - J Arroyo
- National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA
| | - S Avenevoli
- National Institute of Mental Health, Bethesda, MD, USA
| | - D Babcock
- National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA
| | - K Bagot
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - F C Baker
- SRI International, Menlo Park, CA, USA
| | - M T Banich
- University of Colorado, Boulder, CO, USA
| | - D M Barch
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - H Bartsch
- Haukeland University Hospital, Bergen, Norway
| | | | - J M Bjork
- Virginia Commonwealth University, Richmond, VA, USA
| | - D Blachman-Demner
- NIH Office of Behavioral and Social Sciences Research, Bethesda, MD, USA
| | - M Bloch
- National Cancer Institute, Bethesda, MD, USA
| | - R Bogdan
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | | | - F Breslin
- Laureate Institute for Brain Research, Tulsa, OK, USA
| | - S Brown
- University of California, San Diego, La Jolla, CA, USA
| | - F J Calabro
- University of Pittsburgh, Pittsburgh, PA, USA
| | - V Calhoun
- University of Colorado, Boulder, CO, USA
- Tri-institutional Center for Translational Research in Neuroimaging and Data Science, Georgia State University, Georgia Institute of Technology, Emory University, Atlanta, GA, USA
| | | | - L Chang
- University of Maryland School of Medicine, Baltimore, MD, USA
| | - D B Clark
- University of Pittsburgh, Pittsburgh, PA, USA
| | - C Cloak
- University of Maryland School of Medicine, Baltimore, MD, USA
| | | | - K Constable
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - R Corley
- University of Colorado, Boulder, CO, USA
| | | | - S Coxe
- Florida International University, Miami, FL, USA
| | - R K Dagher
- National Institute on Minority Health and Health Disparities, Bethesda, MD, USA
| | - A M Dale
- University of California, San Diego, La Jolla, CA, USA
| | - M Dapretto
- University of California, Los Angeles, CA, USA
| | | | - A S Dick
- Florida International University, Miami, FL, USA
| | - E K Do
- Virginia Commonwealth University, Richmond, VA, USA
| | - N U F Dosenbach
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - G J Dowling
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - S Edwards
- University of Maryland School of Medicine, Baltimore, MD, USA
| | - T M Ernst
- University of Maryland School of Medicine, Baltimore, MD, USA
| | - D A Fair
- Oregon Health & Science University, Portland, OR, USA
| | - C C Fan
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - E Feczko
- Oregon Health & Science University, Portland, OR, USA
| | | | | | - J J Foxe
- University of Rochester, Rochester, NY, USA
| | | | | | | | | | - A Galvan
- University of California, Los Angeles, CA, USA
| | - D G Gee
- Yale University, New Haven, CT, USA
| | - J Giedd
- University of California, San Diego, La Jolla, CA, USA
| | - M Glantz
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - P Glaser
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - J Godino
- University of California, San Diego, La Jolla, CA, USA
| | - M Gonzalez
- Children's Hospital Los Angeles, Los Angeles, CA, USA
| | - R Gonzalez
- Florida International University, Miami, FL, USA
| | - S Grant
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - K M Gray
- Medical University of South Carolina, Charleston, SC, USA
| | - F Haist
- University of California, San Diego, La Jolla, CA, USA
| | - M P Harms
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - S Hawes
- Florida International University, Miami, FL, USA
| | - A C Heath
- University of California, San Diego, La Jolla, CA, USA
| | - S Heeringa
- University of Michigan, Ann Arbor, MI, USA
| | | | - R Hermosillo
- Oregon Health & Science University, Portland, OR, USA
| | - M M Herting
- University of Southern California, Los Angeles, CA, USA
| | - J M Hettema
- Virginia Commonwealth University, Richmond, VA, USA
| | - J K Hewitt
- University of Colorado, Boulder, CO, USA
| | - C Heyser
- University of California, San Diego, La Jolla, CA, USA
| | - E Hoffman
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - K Howlett
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - R S Huber
- University of Utah, Salt Lake City, UT, USA
| | - M A Huestis
- Thomas Jefferson University, Philadelphia, PA, USA
| | - L W Hyde
- University of Michigan, Ann Arbor, MI, USA
| | - W G Iacono
- University of Minnesota, Minneapolis, MN, USA
| | - M A Infante
- University of California, San Diego, La Jolla, CA, USA
| | - O Irfanoglu
- National Institute of Biomedical Imaging and Bioengineering, Bethesda, MD, USA
| | - A Isaiah
- University of Maryland School of Medicine, Baltimore, MD, USA
| | - S Iyengar
- National Endowment for the Arts, Washington DC, USA
| | - J Jacobus
- University of California, San Diego, La Jolla, CA, USA
| | - R James
- Virginia Commonwealth University, Richmond, VA, USA
| | - B Jean-Francois
- National Institute on Minority Health and Health Disparities, Bethesda, MD, USA
| | - T Jernigan
- University of California, San Diego, La Jolla, CA, USA
| | - N R Karcher
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - A Kaufman
- National Cancer Institute, Bethesda, MD, USA
| | - B Kelley
- National Institute of Justice, Washington DC, USA
| | - B Kit
- National Heart, Lung, and Blood Institute, Bethesda, MD, USA
| | - A Ksinan
- Virginia Commonwealth University, Richmond, VA, USA
| | - J Kuperman
- University of California, San Diego, La Jolla, CA, USA
| | - A R Laird
- Florida International University, Miami, FL, USA
| | - C Larson
- University of Wisconsin, Milwaukee, WI, USA
| | - K LeBlanc
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - C Lessov-Schlagger
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - N Lever
- University of Maryland School of Medicine, Baltimore, MD, USA
| | - D A Lewis
- University of Pittsburgh, Pittsburgh, PA, USA
| | - K Lisdahl
- University of Wisconsin, Milwaukee, WI, USA
| | - A R Little
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - M Lopez
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - M Luciana
- University of Minnesota, Minneapolis, MN, USA
| | - B Luna
- University of Pittsburgh, Pittsburgh, PA, USA
| | - P A Madden
- Department of Psychiatry, Washington University in Saint Louis, St. Louis, MO, USA
| | - H H Maes
- Virginia Commonwealth University, Richmond, VA, USA
| | - C Makowski
- University of California, San Diego, La Jolla, CA, USA
| | - A T Marshall
- Children's Hospital Los Angeles, Los Angeles, CA, USA
| | - M J Mason
- University of Tennessee, Knoxville, TN, USA
| | - J Matochik
- National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA
| | | | - E McGlade
- University of Utah, Salt Lake City, UT, USA
| | - I Montoya
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - G Morgan
- National Cancer Institute, Bethesda, MD, USA
| | - A Morris
- Oklahoma State University, Stillwater, OK, USA
| | - C Mulford
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - P Murray
- National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA
| | - B J Nagel
- Oregon Health & Science University, Portland, OR, USA
| | - M C Neale
- Virginia Commonwealth University, Richmond, VA, USA
| | - G Neigh
- Virginia Commonwealth University, Richmond, VA, USA
| | - A Nencka
- Medical College of Wisconsin, Milwaukee, WI, USA
| | - A Noronha
- National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA
| | - S J Nixon
- University of Florida, Gainesville, FL, USA
| | - C E Palmer
- University of California, San Diego, La Jolla, CA, USA
| | - V Pariyadath
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - M P Paulus
- Laureate Institute for Brain Research, Tulsa, OK, USA
| | - W E Pelham
- Florida International University, Miami, FL, USA
| | | | - C Pierpaoli
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA
| | - A Prescot
- University of Utah, Salt Lake City, UT, USA
| | - D Prouty
- SRI International, Menlo Park, CA, USA
| | | | - N Rajapaske
- National Institute on Minority Health and Health Disparities, Bethesda, MD, USA
| | | | - G Reeves
- University of Maryland School of Medicine, Baltimore, MD, USA
| | | | - M C Riedel
- Florida International University, Miami, FL, USA
| | - P Rojas
- Florida International University, Miami, FL, USA
| | - M de la Rosa
- Florida International University, Miami, FL, USA
| | | | - M J Ross
- University of Colorado Anschutz Medical Campus, Aurora, CO, USA
| | - M Sanchez
- Florida International University, Miami, FL, USA
| | - C Schirda
- University of Pittsburgh, Pittsburgh, PA, USA
| | - D Schloesser
- NIH Office of Behavioral and Social Sciences Research, Bethesda, MD, USA
| | | | - K J Sher
- University of Missouri, Columbia, MO, USA
| | - C Sheth
- University of Utah, Salt Lake City, UT, USA
| | - P D Shilling
- University of California, San Diego, La Jolla, CA, USA
| | - W K Simmons
- Laureate Institute for Brain Research, Tulsa, OK, USA
| | - E R Sowell
- Children's Hospital Los Angeles, Los Angeles, CA, USA
| | - N Speer
- University of Colorado, Boulder, CO, USA
| | - M Spittel
- NIH Office of Behavioral and Social Sciences Research, Bethesda, MD, USA
| | - L M Squeglia
- Medical University of South Carolina, Charleston, SC, USA
| | - C Sripada
- University of Michigan, Ann Arbor, MI, USA
| | - J Steinberg
- Virginia Commonwealth University, Richmond, VA, USA
| | - C Striley
- University of Florida, Gainesville, FL, USA
| | | | - J Tanabe
- University of Colorado, Boulder, CO, USA
| | - S F Tapert
- University of California, San Diego, La Jolla, CA, USA
| | - W Thompson
- University of California, San Diego, La Jolla, CA, USA
| | - R L Tomko
- Medical University of South Carolina, Charleston, SC, USA
| | - K A Uban
- University of California, Irvine, CA, USA
| | - S Vrieze
- University of Minnesota, Minneapolis, MN, USA
| | - N E Wade
- University of California, San Diego, La Jolla, CA, USA
| | - R Watts
- Yale University, New Haven, CT, USA
| | - S Weiss
- National Institute on Drug Abuse, Bethesda, MD, USA
| | - B A Wiens
- University of Florida, Gainesville, FL, USA
| | - O D Williams
- Florida International University, Miami, FL, USA
| | - A Wilbur
- SRI International, Menlo Park, CA, USA
| | - D Wing
- University of California, San Diego, La Jolla, CA, USA
| | - D Wolff-Hughes
- NIH Office of Behavioral and Social Sciences Research, Bethesda, MD, USA
| | - R Yang
- University of California, San Diego, La Jolla, CA, USA
| | | | - R A Zucker
- University of Michigan, Ann Arbor, MI, USA
| | - A Potter
- Department of Psychiatry, University of Vermont, Burlington, VT, USA
| | - H P Garavan
- Department of Psychiatry, University of Vermont, Burlington, VT, USA.
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Mackenzie G, Thompson W. 80 years on. Br Dent J 2020; 229:208. [DOI: 10.1038/s41415-020-2060-2] [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: 11/09/2022]
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Teoh L, Thompson W, McCullough M. Questioning dual antimicrobial therapy as first line in recent Australian Therapeutic Guidelines. Aust Dent J 2020; 65:302-304. [PMID: 32588465 DOI: 10.1111/adj.12783] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/24/2020] [Indexed: 12/19/2022]
Affiliation(s)
- L Teoh
- Melbourne Dental School, University of Melbourne, Carlton, Victoria, Australia
| | - W Thompson
- University of Manchester, Manchester, UK
| | - M McCullough
- Melbourne Dental School, University of Melbourne, Carlton, Victoria, Australia
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Atwood CW, Boudreau E, Folmer R, Kuna ST, Pineda L, Reichert J, Sarmiento K, Thompson W, Whooley M, Zhang N, Yarbrough WC. 1170 Trends in Sleep Apnea Testing Among Veterans Participating in a Rural Health-Focused Telesleep Medicine Program. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.1164] [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: 11/14/2022] Open
Abstract
Abstract
Introduction
The Department of Veterans Affairs has pioneered the use of home sleep apnea testing (HSAT) across many of its medical centers over the past 15 years. Here we report trends regarding diagnostic sleep apnea testing in rural and urban Veterans served by the TeleSleep Program, a VA telehealth initiative focused on increasing access to sleep care for rural Veterans. Rurality is a risk factor for use of polysomnography and is associated with longer wait times for testing and initiation of PAP therapy.
Methods
We used a VA administrative database search of patients enrolled in sleep medicine clinics from fiscal years (FY) 2016-2019 at 7 TeleSleep Hubs: San Francisco, Portland, Phoenix, Boise, Philadelphia, Spokane, and Pittsburgh. Individual encounters were coded locally and transmitted to VA’s corporate data warehouse. HSAT codes included 95800, 95801, 95806, G0398, G0399, and G0400. Polysomnography codes included 95807, 95808, 95810, and 95811.
Results
Total number of unique Veterans served increased between FY16 and FY19 from 28,941 to 43,044 (149%); rural Veterans served during this time increased from 9,386 to 14,329 (153%). The total number of annual sleep medicine encounters for all Veterans served increased from 89,870 to 138,127 (154%); rural Veteran visits increased from 29,825 to 50,342 (169%). Unique urban Veterans tested by HSAT increased from 2,158 in FY16 to 4,398 in FY19 (203%) while polysomnography decreased from 5,011 to 3,253 (35%). Unique rural Veterans tested by HSAT increased from 1,102 to 2,768 (251%) and polysomnography decreased by 42% (1,565 to 909 Veterans) during this same time.
Conclusion
Among VA sleep medicine programs with TeleSleep funding, HSAT became the most common approach to diagnostic sleep apnea testing, particularly in rural Veterans. Although polysomnography was widely used at the beginning of the TeleSleep Initiative, use declined as HSAT became more widely implemented.
Support
VA Office of Rural Health
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Affiliation(s)
- C W Atwood
- VA Pittsburgh Healthcare System, VA Pittsburgh Healthcare System, PA
| | - E Boudreau
- VA Portland Healthcare System, Portland, OR
| | - R Folmer
- VA Portland Healthcare System, Portland, OR
| | - S T Kuna
- Cpl Michael J Crescenz VA Medical Center, Philadelphia, PA
| | - L Pineda
- VA Phoenix Healthcare System, Phoenix, AZ
| | - J Reichert
- San Francisco VA Medical Center, San Francisco, CA
| | - K Sarmiento
- San Francisco VA Medical Center, San Francisco, CA
| | | | - M Whooley
- San Francisco VA Medical Center, San Francisco, CA
| | - N Zhang
- San Francisco VA Medical Center, San Francisco, CA
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8
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Thompson W, Tonkin-Crine S, Pavitt SH, McEachan RRC, Douglas GVA, Aggarwal VR, Sandoe JAT. Factors associated with antibiotic prescribing for adults with acute conditions: an umbrella review across primary care and a systematic review focusing on primary dental care. J Antimicrob Chemother 2019; 74:2139-2152. [PMID: 31002336 PMCID: PMC6640312 DOI: 10.1093/jac/dkz152] [Citation(s) in RCA: 54] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 03/14/2019] [Accepted: 03/18/2019] [Indexed: 12/21/2022] Open
Abstract
INTRODUCTION One way to slow the spread of resistant bacteria is by improved stewardship of antibiotics: using them more carefully and reducing the number of prescriptions. With an estimated 7%-10% of antibiotic prescriptions globally originating from dental practices and up to 80% prescribed unnecessarily, dentistry has an important role to play. To support the design of new stewardship interventions through knowledge transfer between contexts, this study aimed to identify factors associated with the decision to prescribe antibiotics to adults presenting with acute conditions across primary care (including dentistry). METHODS Two reviews were undertaken: an umbrella review across primary healthcare and a systematic review in dentistry. Two authors independently selected and quality assessed the included studies. Factors were identified using an inductive thematic approach and mapped to the Theoretical Domains Framework (TDF). Comparisons between dental and other settings were explored. Registration number: PROSPERO_CRD42016037174. RESULTS Searches identified 689 publications across primary care and 432 across dental care. Included studies (nine and seven, respectively) were assessed as of variable quality. They covered 46 countries, of which 12 were low and middle-income countries (LMICs). Across the two reviews, 30 factors were identified, with 'patient/condition characteristics', 'patient influence' and 'guidelines & information' the most frequent. Two factors were unique to dental studies: 'procedure possible' and 'treatment skills'. No factor related only to LMICs. CONCLUSIONS A comprehensive list of factors associated with antibiotic prescribing to adults with acute conditions in primary care settings around the world has been collated and should assist theory-informed design of new context-specific stewardship interventions.
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Affiliation(s)
- W Thompson
- University of Leeds, School of Dentistry, Leeds, UK
| | - S Tonkin-Crine
- University of Oxford, NIHR Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Oxford, UK
| | - S H Pavitt
- University of Leeds, School of Dentistry, Leeds, UK
| | - R R C McEachan
- Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK
| | | | - V R Aggarwal
- University of Leeds, School of Dentistry, Leeds, UK
| | - J A T Sandoe
- University of Leeds/Leeds Teaching Hospitals NHS Trust, Leeds, UK
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9
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Le Huec JC, Thompson W, Mohsinaly Y, Barrey C, Faundez A. Sagittal balance of the spine. Eur Spine J 2019; 28:1889-1905. [DOI: 10.1007/s00586-019-06083-1] [Citation(s) in RCA: 143] [Impact Index Per Article: 28.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2018] [Revised: 07/13/2019] [Accepted: 07/16/2019] [Indexed: 11/24/2022]
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10
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Kertesz N, Kamp A, Thompson W, Barth A, Law I, Batlivala S, Hanlon N, Fournier A, Spurney C, Mori-Yoshimura M, Markham L, Cripe L. DUCHENNE MUSCULAR DYSTROPHY – CLINICAL. Neuromuscul Disord 2018. [DOI: 10.1016/j.nmd.2018.06.058] [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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11
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Wolff A, Klingner N, Thompson W, Zhou Y, Lin J, Peng YY, Ramshaw JAM, Xiao Y. Modelling of focused ion beam induced increases in sample temperature: a case study of heat damage in biological samples. J Microsc 2018; 272:47-59. [PMID: 30019759 DOI: 10.1111/jmi.12731] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Revised: 06/08/2018] [Accepted: 06/13/2018] [Indexed: 11/27/2022]
Abstract
Ion beam induced heat damage in soft materials and biological samples is not yet well understood in Focused Ion Beam systems (FIBs). The work presented here discusses the physics behind the ion beam - sample interactions and the effects which lead to increases in sample temperature and potential heat damage. A model by which heat damage can be estimated and which allows parameters to be determined that reduce/prevent heat damage was derived from Fourier's law of heat transfer and compared to finite element simulations, numerical modelling results and experiments. The results suggests that ion beam induced heat damage can be prevented/minimised by reducing the ion beam current (local dose rate), decreasing the beam overlap (reduced local ion dose) and by introducing a blur (increased surface cross-section area, reduced local dose) while sputtering, patterning or imaging soft material and nonresin-embedded biological samples using FIBs. LAY DESCRIPTION FIB/SEMs, which combine a scanning electron microscope with a focused ion beam in a single device, have found increasing interest biological research. The device allows to cut samples at precisely selected areas and reveal sub surface information as well as preparing transmission electron microscope samples from bulk materials. Preparing biological samples has proven to be challenging due to the induced heat damage. This work explores the physics behind the sample cutting and proposes a model and a method, based on physical principles which allows the user to estimate the induced heat during the cutting process and to select cutting parameters which avoid heat damage in the sample.
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Affiliation(s)
- A Wolff
- Central Analytical Research Facility, Institute for Future Environments, Queensland University of Technology (QUT), Brisbane, Queensland, Australia
| | - N Klingner
- Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany
| | - W Thompson
- Heelionics LLC, Los Altos, California, U.S.A
| | - Y Zhou
- Institute of Health and Biomedical Innovation, Queensland University of Technology (QUT), Brisbane, Queensland, Australia.,The Australia-China Centre for Tissue Engineering and Regenerative Medicine (ACCTERM), Queensland University of Technology, Brisbane, Queensland, Australia
| | - J Lin
- Department of Implantology, Affiliated Stomatological Hospital of Xiamen Medical College, Fujan, China.,The Australia-China Centre for Tissue Engineering and Regenerative Medicine (ACCTERM), Queensland University of Technology, Brisbane, Queensland, Australia
| | - Y Y Peng
- CSIRO Manufacturing, Bayview Avenue, Clayton, Victoria, Australia
| | - J A M Ramshaw
- CSIRO Manufacturing, Bayview Avenue, Clayton, Victoria, Australia.,Department of Surgery, St. Vincent's Hospital, University of Melbourne, Victoria, Australia
| | - Y Xiao
- Institute of Health and Biomedical Innovation, Queensland University of Technology (QUT), Brisbane, Queensland, Australia.,The Australia-China Centre for Tissue Engineering and Regenerative Medicine (ACCTERM), Queensland University of Technology, Brisbane, Queensland, Australia
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12
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Garavan H, Bartsch H, Conway K, Decastro A, Goldstein RZ, Heeringa S, Jernigan T, Potter A, Thompson W, Zahs D. Recruiting the ABCD sample: Design considerations and procedures. Dev Cogn Neurosci 2018; 32:16-22. [PMID: 29703560 PMCID: PMC6314286 DOI: 10.1016/j.dcn.2018.04.004] [Citation(s) in RCA: 564] [Impact Index Per Article: 94.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Revised: 04/03/2018] [Accepted: 04/12/2018] [Indexed: 12/01/2022] Open
Abstract
The ABCD study is a new and ongoing project of very substantial size and scale involving 21 data acquisition sites. It aims to recruit 11,500 children and follow them for ten years with extensive assessments at multiple timepoints. To deliver on its potential to adequately describe adolescent development, it is essential that it adopt recruitment procedures that are efficient and effective and will yield a sample that reflects the nation’s diversity in an epidemiologically informed manner. Here, we describe the sampling plans and recruitment procedures of this study. Participants are largely recruited through the school systems with school selection informed by gender, race and ethnicity, socioeconomic status, and urbanicity. Procedures for school selection designed to mitigate selection biases, dynamic monitoring of the accumulating sample to correct deviations from recruitment targets, and a description of the recruitment procedures designed to foster a collaborative attitude between the researchers, the schools and the local communities, are provided.
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Affiliation(s)
- H Garavan
- Department of Psychiatry, University of Vermont, Burlington, VT, 05405, USA.
| | - H Bartsch
- Center for Translational Imaging and Precision Medicine, Department of Radiology, University of California, San Diego, La Jolla, CA, 92093-0115, USA
| | - K Conway
- RTI International - Survey Research Division, 6110 Executive Boulevard, Suite 902, Rockville, MD, 20852-3907, USA
| | - A Decastro
- Center for Translational Imaging and Precision Medicine, Department of Radiology, University of California, San Diego, La Jolla, CA, 92093-0115, USA
| | - R Z Goldstein
- Departments of Psychiatry and Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA
| | - S Heeringa
- Institute for Social Research, University of Michigan, Ann Arbor, MI, 48109, USA
| | - T Jernigan
- Center for Human Development, Departments of Cognitive Science, Psychiatry, and Radiology, University of California, San Diego, La Jolla, CA, 92093-0115, USA
| | - A Potter
- Department of Psychiatry, University of Vermont, Burlington, VT, 05405, USA
| | - W Thompson
- Department of Family Medicine and Public Health, Division of Biostatistics, University of California, San Diego, La Jolla, CA, 92093, USA
| | - D Zahs
- Institute for Social Research, University of Michigan, Ann Arbor, MI, 48109, USA
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13
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Thompson W, Cogniet A, Challali M, Saddiki R, Rigal J, Le Huec JC. Analysis of cervical sagittal alignment variations after lumbar pedicle subtraction osteotomy for severe imbalance: study of 59 cases. Eur Spine J 2018; 27:16-24. [PMID: 29396766 DOI: 10.1007/s00586-018-5482-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/22/2017] [Accepted: 01/18/2018] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To evaluate postoperative changes within the cervical alignment following surgical lumbar correction by pedicle subtraction osteotomy (PSO) in patients affected with sagittal global malalignment disease. METHODS This was a monocentric, radiographic, and prospective study. 79 patients, who underwent sagittal correction by PSO, performed an EOS imaging pre- and postoperatively between January 2008 and December 2013 at the University Hospital of Bordeaux. Inclusion criteria were a performed pre- and postoperative EOS imaging and a preoperative C7SVA > 5 cm. Were excluded patients who did not allow EOS with a viewable cervical spine due to hyperkyphosis. The study involved the analysis of pelvic, lumbar, thoracic, cervical, and cranial parameters before and after the surgery. RESULTS 59 patients met the criteria. Mean follow-up was 38 months. The lumbar PSO significantly improved sagittal alignment including L1S1 lordosis, T1T12 kyphosis, and C7SVA (p < 0.001). We did not reported a significant change within cervical parameters after PSO (C2C7 lordosis 22.7°-21.5° p = 0.64, C1C7 lordosis 50.6°-48.8° p = 0.56, C1C2 angle 28.2°-27.9° p = 0.82, C7 slope stayed constant 32.3°-30.5° p = 0.47, OC2 angle 15.54°-15.56° p = 0.99). However, cranial slope decreased significantly (p < 0.05). We did not find correlation between lumbar lordosis and cervical lordosis variations (R = 0.265). Cervical lordosis was highly correlated with the C7 slope (R = 0.597) and with the Spino Cranial Angle (R = - 0.867). CONCLUSION Reciprocal changes in cervical spine after PSO are difficult to approach. Maintaining a horizontal gaze involves locoregional mechanisms of compensation adapting to the slope of C7. The cranial system by decreasing the cranial slope allows the gaze alignment and is the first compensation mechanism to get involved after a loss of lumbar lordosis. Restoring optimal C7SVA is necessary to prevent the development of secondary cervical painful symptomatology when the cranial compensation is outdated.
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Affiliation(s)
- W Thompson
- Surgical Research Lab, Orthospine Department, Bordeaux University Hospital, CHU Pellegrin, Orthorachis 2, 33076, Bordeaux, France
| | - A Cogniet
- Surgical Research Lab, Orthospine Department, Bordeaux University Hospital, CHU Pellegrin, Orthorachis 2, 33076, Bordeaux, France
| | - M Challali
- Surgical Research Lab, Orthospine Department, Bordeaux University Hospital, CHU Pellegrin, Orthorachis 2, 33076, Bordeaux, France
| | - R Saddiki
- Surgical Research Lab, Orthospine Department, Bordeaux University Hospital, CHU Pellegrin, Orthorachis 2, 33076, Bordeaux, France
| | - J Rigal
- Surgical Research Lab, Orthospine Department, Bordeaux University Hospital, CHU Pellegrin, Orthorachis 2, 33076, Bordeaux, France
| | - Jean Charles Le Huec
- Surgical Research Lab, Orthospine Department, Bordeaux University Hospital, CHU Pellegrin, Orthorachis 2, 33076, Bordeaux, France.
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14
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Crain J, McFaull S, Rao DP, Do MT, Thompson W. At-a-glance, Emergency department surveillance of thermal burns and scalds, electronic Canadian Hospitals Injury Reporting and Prevention Program, 2013. Health Promot Chronic Dis Prev Can 2017; 37:30-31. [PMID: 28102994 DOI: 10.24095/hpcdp.37.1.03] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
INTRODUCTION Although fatality and hospitalization rates for burns in Canada have declined over time, less serious cases still commonly present to the emergency department (ED). METHODS The Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) is an injury and poisoning surveillance system administered by the Public Health Agency of Canada, operating in emergency departments of 17 hospitals. RESULTS Overall, cases reported in 2013 were scalds and contact burns from hot objects. The leading direct causes of scalds were hot beverages and hot water. The leading causes of contact burns were stoves/ovens and fireplaces/accessories. While the overall proportion of burns was highest among females, males comprised a higher proportion of burns from all mechanisms except scalds.
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Affiliation(s)
- J Crain
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - S McFaull
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - D P Rao
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - M T Do
- Public Health Agency of Canada, Ottawa, Ontario, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - W Thompson
- Public Health Agency of Canada, Ottawa, Ontario, Canada
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15
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Skinner R, McFaull S, Draca J, Frechette M, Kaur J, Pearson C, Thompson W. Suicide and self-inflicted injury hospitalizations in Canada (1979 to 2014/15). Health Promot Chronic Dis Prev Can 2017; 36:243-251. [PMID: 27882859 DOI: 10.24095/hpcdp.36.11.02] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The purpose of this paper is to describe the trends and patterns of self-inflicted injuries, available from Canadian administrative data between 1979 and 2014/15, in order to inform and improve suicide prevention efforts. METHODS Suicide mortality and hospital separation data were retrieved from the Public Health Agency of Canada (PHAC) holdings of Statistics Canada's Canadian Vital Statistics: Death Database (CVS:D) (1979 to 2012); Canadian Socio-Economic Information Management System (CANSIM 2011, 2012); the Hospital Morbidity Database (HMDB) (1994/95 to 2010/11); and the Discharge Abstract Database (2011/12 to 2014/15). Mortality and hospitalization counts and rates were reported by sex, 5-year age groups and method. RESULTS The Canadian suicide rate (males and females combined, all ages, age-sex standardized rate) has decreased from 14.4/100 000 (n = 3355) in 1979 to 10.4/100 000 (n = 3926) in 2012, with an annual percent change (APC) of -1.2% (95% CI: -1.3 to -1.0). However, this trend was not observed in both sexes: female suicide rates stabilized around 1990, while male rates continued declining over time-yet males still accounted for 75.7% of all suicides in 2012. Suffocation (hanging and strangulation) was the primary method of suicide (46.9%) among Canadians of all ages in 2012, followed by poisoning at 23.3%. In the 2014/15 fiscal year, there were 13 438 hospitalizations in Canada (excluding Quebec) associated with self-inflicted injuries-over 3 times the number of suicides. Over time females have displayed consistently higher rates of hospitalization for self-inflicted injury than males, with 63% of the total. Poisoning was reported as the most frequent means of self-inflicted harm in the fiscal year 2014/15, at 86% of all hospitalizations. CONCLUSION Suicides and self-inflicted injuries continue to be a serious - but preventable - public health problem that requires ongoing surveillance.
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Affiliation(s)
- R Skinner
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - S McFaull
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - J Draca
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - M Frechette
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - J Kaur
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - C Pearson
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - W Thompson
- Public Health Agency of Canada, Ottawa, Ontario, Canada
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16
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Korkola JE, Watson S, Smith R, Thompson W, Dame M, Liby T, Bucher E, Sudar D, Nederlof M, Heiser L, Gray JW. Abstract PD5-01: Microenvironment microarrays show that microenvironment mediated resistance mechanisms to lapatinib differ between basal and luminal HER2+ cells. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-pd5-01] [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: 11/16/2022]
Abstract
Abstract
Cell lines represent a valuable model system for the study of breast cancer, as they capture the cellular diversity, mutational spectrum, expression subtypes, and genomic alterations that are observed in clinical specimens. However, like any model system, cell lines are imperfect, particularly when it comes to capturing the effects of the myriad of signals and interactions they encounter in their microenvironment (ME). We are utilizing a technology known as microenvironment microarrays (MEMA) to begin to unravel the consequences of interactions of breast cancer cells with the ME. MEMA consist of thousands of unique combinations of insoluble matrix proteins that are printed to form growth pads with ligands added to the media. Cells are grown on the MEMA spots and the effects of the specific ME that they are exposed to can be read out using immunofluorescent stains of interest. When combined with automated imaging and sophisticated image processing and analysis, the MEMA platform enables the identification of specific ME conditions that alter the phenotypes of cells. We have applied MEMA to understand both baseline responses to the ME as well as how the ME might mediate response to therapeutics. We performed a pilot experiment to investigate the effects of the ME on the response to the HER2-targeted inhibitor lapatinib. We found that HCC1954 cells continued to proliferate robustly in the presence of HGF when treated with 500 nM lapatinib. In contrast, AU565 cells were proliferative in the presence of NRG1 and lapatinib, but not HGF. Focused follow up studies showed that HGF is effective in rescuing only basal HER2+ cells, while NRG1 is effective in rescuing only luminal subtype HER2+cells. Rescue with the relevant growth factor was also observed in 3-d matrigel studies, showing this was not an artifact of the 2-d culture system. We investigated the effects of drug combinations using lapatinib plus drugs that target either MET (Crizotinib) or HER3-HER2 dimers (pertuzumab). These drug combinations were able to overcome the resistance mediated by HGF and NRG1 in basal and luminal cells respectively. We found the effectiveness of pertuzumab particularly interesting, given that lapatinib should still be inhibiting HER2 kinase activity. Parallel studies found that inhibitors targeting other kinase receptors such as IGF1R partially restored sensitivity to HER2 in the presence of NRG1, suggesting a role for such receptors in the resistance. Immunoprecipitation studies showed that IGF1R co-immunoprecipitated with HER2/HER3 when pertuzumab was absent, but that additional of pertuzumab abrogated the binding of IGF1R to HER3, suggesting the formation of HER2-dependent higher order structures that can signal even when HER2 is inhibited. These studies highlight the importance of understanding the effects of the ME on cancer cells, and demonstrate the differences between ME factors that can confer resistance to HER2 targeted inhibitors in basal and luminal HER2+ cells. These findings suggest that both subtype and ME composition may be important in determining response to combinatorial treatments and may be useful to inform clinical decision making.
Citation Format: Korkola JE, Watson S, Smith R, Thompson W, Dame M, Liby T, Bucher E, Sudar D, Nederlof M, Heiser L, Gray JW. Microenvironment microarrays show that microenvironment mediated resistance mechanisms to lapatinib differ between basal and luminal HER2+ cells [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr PD5-01.
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Affiliation(s)
- JE Korkola
- Oregon Health & Science University, Portland, OR
| | - S Watson
- Oregon Health & Science University, Portland, OR
| | - R Smith
- Oregon Health & Science University, Portland, OR
| | - W Thompson
- Oregon Health & Science University, Portland, OR
| | - M Dame
- Oregon Health & Science University, Portland, OR
| | - T Liby
- Oregon Health & Science University, Portland, OR
| | - E Bucher
- Oregon Health & Science University, Portland, OR
| | - D Sudar
- Oregon Health & Science University, Portland, OR
| | - M Nederlof
- Oregon Health & Science University, Portland, OR
| | - L Heiser
- Oregon Health & Science University, Portland, OR
| | - JW Gray
- Oregon Health & Science University, Portland, OR
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17
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Thompson W, Thakar C, Rolton DJ, Wilson-MacDonald J, Nnadi C. The use of magnetically-controlled growing rods to treat children with early-onset scoliosis: early radiological results in 19 children. Bone Joint J 2017; 98-B:1240-7. [PMID: 27587527 DOI: 10.1302/0301-620x.98b9.37545] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [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: 11/18/2015] [Accepted: 04/06/2016] [Indexed: 12/16/2022]
Abstract
AIMS We undertook a prospective non-randomised radiological study to evaluate the preliminary results of using magnetically-controlled growing rods (MAGEC System, Ellipse technology) to treat children with early-onset scoliosis. PATIENTS AND METHODS Between January 2011 and January 2015, 19 children were treated with magnetically-controlled growing rods (MCGRs) and underwent distraction at three-monthly intervals. The mean age of our cohort was 9.1 years (4 to 14) and the mean follow-up 22.4 months (5.1 to 35.2). Of the 19 children, eight underwent conversion from traditional growing rods. Whole spine radiographs were carried out pre- and post-operatively: image intensification was used during each lengthening in the outpatient department. The measurements evaluated were Cobb angle, thoracic kyphosis, proximal junctional kyphosis and spinal growth from T1 to S1. RESULTS The mean pre-, post-operative and latest follow-up Cobb angles were 62° (37.4 to 95.8), 45.1° (16.6 to 96.2) and 43.2° (11.9 to 90.5), respectively (p < 0.05). The mean pre-, post-operative and latest follow-up T1-S1 lengths were 288.1 mm (223.2 to 351.7), 298.8 mm (251 to 355.7) and 331.1 mm (275 to 391.9), respectively (p < 0.05). In all, three patients developed proximal pull-out of their fixation and required revision surgery: there were no subsequent complications. There were no complications of outpatient distraction. CONCLUSIONS Our study shows that MCGRs provide stable correction of the deformity in early-onset scoliosis in both primary and revision procedures. They have the potential to reduce the need for multiple operations and thereby minimise the potential complications associated with traditional growing rod systems. Cite this article: Bone Joint J 2016;98-B:1240-47.
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Affiliation(s)
- W Thompson
- Spinal Unit, Bordeaux University Hospital, 33076, Bordeaux, France
| | - C Thakar
- Spinal Unit, Nuffield Orthopaedic Centre, Windmill Road, Oxford OX3 7HE, UK
| | - D J Rolton
- Auckland City Hospital, Park Road, Auckland, New, Zealand
| | - J Wilson-MacDonald
- Spinal Unit, Nuffield Orthopaedic Centre, Windmill Road, Oxford OX3 7HE, UK
| | - C Nnadi
- Spinal Unit, Nuffield Orthopaedic Centre, Windmill Road, Oxford OX3 7HE, UK
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18
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Do MT, McFaull S, Cheesman J, Mersereau T, Rao DP, Crain J, Thompson W. Emergency department presentations for hoverboard-related injuries: the electronic Canadian Hospitals Injury Reporting and Prevention Program, 2015 to 2016. Health Promot Chronic Dis Prev Can 2016; 36:316-317. [PMID: 27977087 DOI: 10.24095/hpcdp.36.12.06] [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] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- M T Do
- Public Health Agency of Canada, Ottawa, Ontario, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - S McFaull
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - J Cheesman
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - T Mersereau
- Consumer Product Safety Directorate, Health Canada, Ottawa, Ontario, Canada
| | - D P Rao
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - J Crain
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - W Thompson
- Public Health Agency of Canada, Ottawa, Ontario, Canada
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Stiles JK, Meade JC, Kucerova Z, Lyn D, Thompson W, Zakeri Z, Whittaker J. Trypanosoma bruceiinfection induces apoptosis and up-regulates neuroleukin expression in the cerebellum. Annals of Tropical Medicine & Parasitology 2016. [DOI: 10.1080/00034983.2001.11813699] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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Affiliation(s)
- S Hu
- Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA
| | - Amirkaveh Mojtahed
- Division of Gastroenterology and Hepatology, University of New Mexico School of Medicine, MSC10-5550, Albuquerque, NM, 87131, USA.
| | - A Covington
- Department of Radiology, University of New Mexico School of Medicine, Albuquerque, NM, USA
| | - W Thompson
- Department of Radiology, University of New Mexico School of Medicine, Albuquerque, NM, USA
| | - N Volpicelli
- Division of Gastroenterology and Hepatology, University of New Mexico School of Medicine, MSC10-5550, Albuquerque, NM, 87131, USA
| | - Denis McCarthy
- Division of Gastroenterology and Hepatology, University of New Mexico School of Medicine, MSC10-5550, Albuquerque, NM, 87131, USA
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Datte PS, Eckart M, Moore AS, Thompson W, Vergel de Dios G. Impulse responses of visible phototubes used in National Ignition Facility neutron time of flight diagnostics. Rev Sci Instrum 2016; 87:11D837. [PMID: 27910365 DOI: 10.1063/1.4962039] [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] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Neutron-induced visible scintillation in neutron time of flight (NToF) diagnostics at the National Ignition Facility (NIF) is measured with 40 mm single stage micro-channel plate photomultipliers and a 40 mm vacuum photodiode, outside the neutron line of sight. In NIF experiments with 14 MeV neutron yields above Y > 10 × 1015 these tubes are configured to deliver of order 1 nC of charge in the nominally 5 ns NToF into a 50 Ω load. We have examined a number of 40 mm tubes manufactured by Photek Ltd. of St. Leonards on Sea, UK, to determine possible changes in the instrument impulse response as a function of signal charge delivered in 1 ns. Precision NToF measurements at approximately 20 m require that we characterize changes in the impulse response moments to <40 ps for the first central moment and ∼2% rms for the square root of the second central moment with ∼500 ps value. Detailed results are presented for three different diode configurations.
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Affiliation(s)
- P S Datte
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - M Eckart
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - A S Moore
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - W Thompson
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - G Vergel de Dios
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
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Puccetti G, Thompson W. Effects of hair sprays on colour perception: a hyperspectral imaging approach to shine and chroma on heads. Int J Cosmet Sci 2016; 39:156-164. [PMID: 27533123 DOI: 10.1111/ics.12361] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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: 06/07/2016] [Accepted: 08/14/2016] [Indexed: 11/27/2022]
Abstract
OBJECTIVES Hair sprays apply fixative ingredients to provide hold to a hair style as well as weather resistance and optical properties such as shine. Generally, sprays distribute fine particles containing polymeric ingredients to form a thin film on the surface of hair. Different hair types require different strengths of the formed deposit on the hair surface. The present study shows how sprays also alter the visibility of the hair colour by altering the surface topology of the hair fibres. METHODS Hyperspectral imaging is used to map spectral characteristics of hair on mannequins and panelists over the curvature of heads. Spectral and spatial characteristics are measured before and after hair spray applications. The hair surface is imaged by SEM to visualize the degree of cuticle coverage. Finally, the perception of hair colour was evaluated on red-coloured mannequins by consumer questionnaire. RESULTS Hair sprays deposit different degrees of fixatives, which lead to a progressive leveling of the cuticle natural tilt angle with respect to the fibre axis. As a result, shine is progressively shifting towards the region of hair colour visibility and decreases the perceived colour of hair seen by consumers. Lighter sprays show thinner film formation on the hair surface and less of a shine shift than strong hold hair sprays. CONCLUSIONS Hair sprays are generally employed for hair style hold and weather resistance and considered without effect on hair colour. Our approach shows that spray-deposited films can affect colour perception by altering the microstructure of the hair surface. Thin films deposited on the hair fibre surface can partially fill gaps between cuticles, which reduces the cuticle natural angle. This partial erasure results in a angle shift of the shine regions towards the angle of internal reflection, thus decreasing the perceived hair colour regions as experienced by a group of consumers.
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Affiliation(s)
- G Puccetti
- Ashland Specialty Ingredients, R&D, 1046 Route 202/206, Bridgewater, NJ, 08807, USA
| | - W Thompson
- Ashland Specialty Ingredients, R&D, 1046 Route 202/206, Bridgewater, NJ, 08807, USA
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Desai T, Ali S, Fang X, Thompson W, Jawa P, Vachharajani T. Equal work for unequal pay: the gender reimbursement gap for healthcare providers in the United States. Postgrad Med J 2016; 92:571-5. [PMID: 27528703 DOI: 10.1136/postgradmedj-2016-134094] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [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: 03/14/2016] [Accepted: 06/07/2016] [Indexed: 01/14/2023]
Abstract
INTRODUCTION Gender disparities in income continue to exist, and many studies have quantified the gap between male and female workers. These studies paint an incomplete picture of gender income disparity because of their reliance on notoriously inaccurate or incomplete surveys. We quantified gender reimbursement disparity between female and male healthcare providers using objective, non-self-reported data and attempted to adjust the disparity against commonly held beliefs as to why it exists. METHODS We analysed over three million publicly available Medicare reimbursement claims for calendar year 2012 and compared the reimbursements received by male and female healthcare providers in 13 medical specialties. We adjusted these reimbursement totals against how hard providers worked, how productive each provider was, and their level of experience. We calculated a reimbursement differential between male and female providers by primary medical specialty. RESULTS The overall adjusted reimbursement differential against female providers was -US$18 677.23 (95% CI -US$19 301.94 to -US$18 052.53). All 13 specialties displayed a negative reimbursement differential against female providers. Only two specialties had reimbursement differentials that were not statistically significant. CONCLUSIONS After adjustment for how hard a physician works, his/her years of experience and his/her productivity, female healthcare providers are still reimbursed less than male providers. Using objective, non-survey data will provide a more accurate understanding of this reimbursement inequity and perhaps lead the medical profession (as a whole) towards a solution that can reverse this decades-old injustice.
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Affiliation(s)
- Tejas Desai
- Division of Nephrology, WG (Bill) Hefner VA Medical Center, Salisbury, North Carolina, USA NOD Analytics, Charlotte, North Carolina, USA
| | - Sadeem Ali
- Division of Nephrology, East Carolina University-Brody School of Medicine, Greenville, North Carolina, USA
| | - Xiangming Fang
- Department of Biostatistics, East Carolina University-Brody School of Medicine, Greenville, North Carolina, USA
| | - Wanda Thompson
- Office of the Chief of Staff, WG (Bill) Hefner VA Medical Center, Salisbury, North Carolina, USA
| | - Pankaj Jawa
- Division of Nephrology, East Carolina University-Brody School of Medicine, Greenville, North Carolina, USA
| | - Tushar Vachharajani
- Division of Nephrology, WG (Bill) Hefner VA Medical Center, Salisbury, North Carolina, USA
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Thompson W. Branches and sections: Here's to the future... Br Dent J 2016; 221:3. [DOI: 10.1038/sj.bdj.2016.473] [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: 11/09/2022]
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Do MT, Chang VC, Kuran N, Thompson W. Fall-related injuries among Canadian seniors, 2005-2013: an analysis of the Canadian Community Health Survey. Health Promot Chronic Dis Prev Can 2016; 35:99-108. [PMID: 26378768 DOI: 10.24095/hpcdp.35.7.01] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
INTRODUCTION We describe the epidemiology and trends of fall-related injuries among Canadian seniors aged 65 years and older by sex and age, as well as the circumstances and consequences of their injuries. METHODS We analyzed nationally representative data from the 2005, 2009/2010 and 2013 samples of the Canadian Community Health Survey to calculate the number and rates of fall-related injuries for each survey year. Where possible, we combined data from two or more samples to estimate the proportion of fall-related injuries by type of injury, part of body injured, type of activity and type of treatment. RESULTS The rate of fall-related injuries among seniors increased from 49.4 to 58.8 per 1000 population between 2005 and 2013, during which the number of fall-related injuries increased by 54% overall. Women had consistently higher rates than men across all survey years, while rates increased with advancing age. The upward trend in fall-related injury rates was more prominent among women and younger age groups. The most common type of injury was broken or fractured bones (37%), and the shoulder or upper arm (16%) was the most commonly injured body part. Many fall-related injuries occurred while walking on a surface other than snow or ice (45%). Over 70% of seniors seeking treatment for their injuries visited a hospital emergency department. CONCLUSION Given the increase in both the number and rates of fall-related injuries over time, there is a need to continue monitoring trends and injury patterns associated with falls.
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Affiliation(s)
- M T Do
- Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - V C Chang
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - N Kuran
- Seniors Policy Unit, Division of Children, Seniors, and Healthy Development, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - W Thompson
- Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa, Ontario, Canada
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Crain J, McFaull S, Thompson W, Skinner R, Do MT, Fréchette M, Mukhi S. Status report - The Canadian Hospitals Injury Reporting and Prevention Program: a dynamic and innovative injury surveillance system. Health Promot Chronic Dis Prev Can 2016; 36:112-117. [PMID: 27284703 PMCID: PMC4910447 DOI: 10.24095/hpcdp.36.6.02] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [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] [Indexed: 08/05/2023]
Abstract
This status report on the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), an emergency department-based injury and poisoning surveillance system, describes the result of migrating from a centralized data entry and coding process to a decentralized process, the web-based eCHIRPP system, in 2011. This secure system is improving the CHIRPP's overall flexibility and timeliness, which are key attributes of an effective surveillance system. The integrated eCHIRPP platform enables near real-time data entry and access, has user-friendly data management and analysis tools, and allows for easier communication and connectivity across the CHIRPP network through an online collaboration centre. Current pilot testing of automated data monitoring and trend analysis tools-designed to monitor and flag incoming data according to predefined criteria (for example, a new consumer product)-is revealing eCHIRPP's potential for providing early warnings of new hazards, issues and trends.
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Affiliation(s)
- J Crain
- Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - S McFaull
- Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - W Thompson
- Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - R Skinner
- Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - M T Do
- Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - M Fréchette
- Surveillance and Epidemiology Division, Public Health Agency of Canada, Ottawa, Ontario, Canada
| | - S Mukhi
- Canadian Network for Public Health Intelligence, Public Health Agency of Canada, Ottawa, Ontario, Canada
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McFaull S, Subaskaran J, Branchard B, Thompson W. Emergency department surveillance of injuries and head injuries associated with baseball, football, soccer and ice hockey, children and youth, ages 5 to 18 years, 2004 to 2014. Health Promot Chronic Dis Prev Can 2016; 36:13-14. [PMID: 26789024 PMCID: PMC4939465 DOI: 10.24095/hpcdp.36.1.03] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/05/2023]
Affiliation(s)
| | | | | | - W Thompson
- Public Health Agency of Canada, Ottawa, Ontario, Canada
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Mas A, Elam L, Walker C, Simon C, Diamond M, Thompson W, Al-Hendy A. Early life exposure to estrogen-mimics increase the occurrence of uterine fibroids via expansion of myometrial stem cell population. Fertil Steril 2015. [DOI: 10.1016/j.fertnstert.2015.07.089] [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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Koppl R, Charlton D, Kornfield I, Krane D, Risinger M, Robertson C, Saks M, Thompson W. Do Observer Effects Matter? A Comment on Langenburg, Bochet, and Ford. ACTA ACUST UNITED AC 2015. [DOI: 10.1080/19409044.2014.995385] [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: 10/23/2022]
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Schultheis J, Thompson W, Hassell R. SPECIALTY MELON YIELD AND QUALITY RESPONSE TO GRAFTING IN TRIALS CONDUCTED IN THE SOUTHEASTERN UNITED STATES. ACTA ACUST UNITED AC 2015. [DOI: 10.17660/actahortic.2015.1086.34] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Thompson W, Wilson KE, Girdler NM. Escorts' knowledge of their duty of care to patients who have undergone intravenous sedation. Prim Dent J 2014; 3:67-70. [PMID: 25198334 DOI: 10.1308/205016814812136048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM To assess escorts' understanding of their responsibilities to the patient 24 hours following dental treatment under intravenous sedation. STANDARDS One hundred per cent of escorts: have been informed of their duties, have read the information sheet, expect at least a one hour appointment, identify the hazardous activities patients should avoid following sedation, travel by private transport, are aware that medications are taken as normal, should have care in place 24 hours following sedation. METHOD This was a prospective questionnaire-based audit. Questionnaires were handed to escorts of patients receiving treatment under intravenous sedation in Newcastle Dental Hospital sedation department. RESULTS Of 104 responses, 91.3% of escorts were informed about their duties and 79.8% had read the information sheet prior to the appointment. Boiling a kettle and Internet use were the most selected hazardous activities that escorts deemed safe for patients to carry out postoperatively (19.2%, 23.0%.) Private transport home was mainly used (car 73.1%, taxi 24.9%.) Following sedation, 93.3% of patients had an escort for 24 hours. CONCLUSION Escorts' basic knowledge fell short of the standard. Improvements are needed to ensure patient safety. RECOMMENDATIONS At the pre-assessment, the patient might be given an information sheet solely for the escort and encouraged to explain this to the escort. More comprehensive information listing activities hazardous to the patient 24 hours following sedation and emphasising that taking medications as normal preoperatively could be available on the treatment day. Transport information in the appointment letter might improve access. A Trust website link, a DVD and posters in the waiting room could further inform.
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Affiliation(s)
- W Thompson
- Department of Oral and Maxillofacial Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK
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Gehrig P, Song L, Thompson W, Moore D, Yeo S. Self-reported physical activity among gynecologic oncology patients in an outpatient setting: A pilot survey. Gynecol Oncol 2013. [DOI: 10.1016/j.ygyno.2013.04.414] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Cardinal M, Crain J, Do MT, Fréchette M, McFaull S, Skinner R, Thompson W. Report summary - Injury in Review, 2012 Edition: Spotlight on Road and Transport Safety. ACTA ACUST UNITED AC 2012. [DOI: 10.24095/hpcdp.32.4.08] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [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]
Abstract
Injury in Review, 2012 Edition: Spotlight on Road and Transport Safety, the first national public health report of its kind, synthesizes road- and transport-related injury statistics from a variety of sources. It profiles injury patterns among Canadians aged up to 24 years, explains risks and protective factors, and makes recommendations for action. The findings inform the development of targeted injury prevention efforts.
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Affiliation(s)
- M Cardinal
- Injury Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Ottawa, Ontario, Canada
| | - J Crain
- Injury Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Ottawa, Ontario, Canada
| | - MT Do
- Injury Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Ottawa, Ontario, Canada
| | - M Fréchette
- Injury Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Ottawa, Ontario, Canada
| | - S McFaull
- Injury Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Ottawa, Ontario, Canada
| | - R Skinner
- Injury Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Ottawa, Ontario, Canada
| | - W Thompson
- Injury Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Ottawa, Ontario, Canada
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Cardinal M, Crain J, Do MT, Fréchette M, McFaull S, Skinner R, Thompson W. Report summary - injury in review, 2012 edition: spotlight on road and transport safety. Chronic Dis Inj Can 2012; 32:229-230. [PMID: 23046806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Injury in Review, 2012 Edition: Spotlight on Road and Transport Safety, the first national public health report of its kind, synthesizes road- and transport-related injury statistics from a variety of sources. It profiles injury patterns among Canadians aged up to 24 years, explains risks and protective factors, and makes recommendations for action. The findings inform the development of targeted injury prevention efforts.
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Affiliation(s)
- M Cardinal
- Injury Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Ottawa, Ontario, Canada
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Geuss M, Lessard D, Stefanucci J, Creem-Regehr S, Thompson W. A comparison of size perception in real and virtual environments using judgments of action capability. J Vis 2012. [DOI: 10.1167/12.9.912] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Naasan M, Waterstone J, Johnston MM, Nolan A, Egan D, Shamoun O, Thompson W, Roopnarinesingh R, Wingfield M, Harrison RF, Mocanu E. Assisted reproductive technology treatment outcomes. Ir Med J 2012; 105:136-139. [PMID: 22803490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Information on the outcomes of ART treatments in Ireland is not readily available to Irish practitioners. The data for hospital affiliated clinics has been made available for many years and is included in the hospital reports. We present a 10-year analysis of the Irish ART results voluntarily reported by six out of seven IVF clinics. The data was collected from published ESHRE reports and from results (2007-8) not yet published. Data collected included: number of clinics and ART cycles, female age, clinical and multiple pregnancy rates and treatment complications. The clinical pregnancy rate per embryo transfer was 31.7% for IVF and 29.8% for ICSI. The proportion of singleton, twin and triplet deliveries for IVF and ICSI combined was 75%, 23.35% and 1.64%. The rate of ovarian hyperstimulation was 0.8%. ART practice in Ireland is safe, effective and responsible. Financial and societal savings could result from the introduction of state funded IVF with compulsory eSET where recommended.
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Affiliation(s)
- M Naasan
- Human Assisted Reproduction Ireland, Rotunda Hospital, Parnell St, Dublin 1.
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Beckmann P, Legge G, Kallie C, Thompson W. Validation of Image Filters for Studies of Visual Accessibility. J Vis 2011. [DOI: 10.1167/11.15.25] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Geuss M, Allen G, Stefanucci J, Creem-Regehr S, Thompson W. The role of depth and frontal planes in perceiving distances in a virtual environment. J Vis 2011. [DOI: 10.1167/11.11.75] [Citation(s) in RCA: 5] [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: 11/24/2022] Open
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Rand K, Tarampi M, Thompson W, Creem-Regehr S. The influence of object-ground contact on perception of distance and size under severely degraded vision. J Vis 2011. [DOI: 10.1167/11.11.79] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Chen Y, Dawes PT, Mattey DL, Chen Y, Packham JC, Dawes PT, Mattey DL, Mirjafari H, Plant D, Farragher T, Thompson W, Eyre S, Bunn D, Edlin H, Marshall T, Wilson P, Symmons D, Barton A, Bruce IN. Genetics: 49. Polymorphism in the Promoter Region of the Vascular Endothelial Growth Factor Gene is Associated with Serum Vegf Level and Disease Activity in RA. Rheumatology (Oxford) 2011. [DOI: 10.1093/rheumatology/ker039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Rand K, Tarampi M, Creem-Regehr S, Thompson W. The importance of a visual horizon for distance judgments under severely degraded vision. J Vis 2010. [DOI: 10.1167/10.7.61] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Martos P, Thompson W, Diaz G. Multiresidue mycotoxin analysis in wheat, barley, oats, rye and maize grain by high-performance liquid chromatography-tandem mass spectrometry. WORLD MYCOTOXIN J 2010. [DOI: 10.3920/wmj2010.1212] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
A method has been developed for the simultaneous analysis of 22 mycotoxins in wheat, barley, oats, rye and maize grain. Analysis is carried out with liquid chromatography-electrospray ionisation tandem mass spectrometry. The compounds included in this analysis are aflatoxins, sterigmatocystin, cyclopiazonic acid, tricothecenes, ochratoxin A, fumonisins, zearalonone, and ergot alkaloids. Sample extraction (2 g) with acetonitrile:water (8 ml, 80:20) was carried out for 2 min using a commercial sample preparation apparatus (Stomacher®). The extract was then centrifuged, filtered and analysed. Extraction of fumonisins from maize (2 g) was optimised by first extracting the maize with acetonitrile: water (5 ml, 80:20) followed by the addition of water (3 ml), which permitted extraction of the 22 mycotoxins, including the fumonisins. Chromatography was carried out with a minicolumn (7.5×2.1 mm, 5 µm) (5 µl sample injection) and in 11 min, including column reconditioning. Analysis was carried out with 2 MRM transitions for the precursor ions. All method detection limits were below current maximum Canadian residue limits. Matrix effects for each compound in each of the 5 matrices were estimated and ranged from 70 to 149%, but most were 100±10%. Accuracy, repeatability and ruggedness were established. Proficiency samples from FERA (Food and Environment Research Agency, Sand Hutton, York, UK) were tested and are reported. Finally, 100 field samples of the various grains were tested with this method and are reported with the observation of numerous mycotoxins in all matrices, including ergotamine in winter wheat.
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Affiliation(s)
- P. Martos
- Laboratory Services Division, University of Guelph, 95 Stone Rd. W., Guelph, Ontario N1H 8J7, Canada
| | - W. Thompson
- Laboratory Services Division, University of Guelph, 95 Stone Rd. W., Guelph, Ontario N1H 8J7, Canada
| | - G. Diaz
- Laboratorio de Toxicología, Facultad de Medicina Veterinaria y de Zootecnia, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
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Abstract
Cyclopiazonic acid (CPA) is an important mycotoxin given its toxicity and prevalence in foods and feeds. There is tremendous interest in developing analytical methods that include CPA as part of a multi-residue mycotoxin routine, but there appears to be considerable difficulty in analysing it using liquid chromatography with electrospray ionisation tandem mass spectrometry (LC-MS/MS). During the development of a multi-residue method for mycotoxins including CPA, a number of issues were discovered under routine and common analytical conditions that have an impact on the determination of CPA, including: (1) at the ng/ml level CPA reacts with ambient oxygen from the headspace of the vial, an effect that decreases its concentration linearly; (2) CPA readily adsorbs to plastic in a reversible fashion; (3) CPA is acid hydrolysed with formic acid; (4) CPA reacts with the column stationary phase affecting chromatographic parameters; and (5) CPA presents significant carry-over issues. In an effort to find solutions to these problems we found that CPA can be protected from reacting with oxygen by adding 1 µg/ml ascorbic acid and that its carry-over can be reduced to a negligible level by injecting ammonia between injections of solutions containing CPA, even with formic acid in the mobile phase. Chromatographic conditions for CPA have been optimised in consideration of all of the aforementioned concerns.
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Affiliation(s)
- G. Diaz
- Laboratorio de Toxicología, Facultad de Medicina Veterinaria y de Zootecnia, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
| | - W. Thompson
- Laboratory Services Division, University of Guelph, 95 Stone Rd. W., Guelph, Ontario, Canada
| | - P. Martos
- Laboratory Services Division, University of Guelph, 95 Stone Rd. W., Guelph, Ontario, Canada
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Puckridge P, Spark J, Thompson W. The Use of Ultrasound to Assist Deployment of the StarClose Vascular Closure Device in Arterial Access Sites. Eur J Vasc Endovasc Surg 2009; 38:88-90. [DOI: 10.1016/j.ejvs.2009.02.004] [Citation(s) in RCA: 7] [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] [Received: 11/17/2008] [Accepted: 02/04/2009] [Indexed: 11/27/2022]
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Puckridge PJ, Spark I, Thompson W. VS14P�THE USE OF ULTRASOUND TO ASSIST DEPLOYMENT OF THE STARCLOSE(TM) VASCULAR CLOSURE DEVICE. ANZ J Surg 2009. [DOI: 10.1111/j.1445-2197.2009.04935_14.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: 12/01/2022]
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48
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Herbinger KH, Brieske D, Nitschke J, Siegmund V, Thompson W, Klutse E, Awua-Boateng NY, Bruhl E, Kunaa L, Schunk M, Adjei O, Löscher T, Bretzel G. Excision of pre-ulcerative forms of Buruli ulcer disease: a curative treatment? Infection 2008; 37:20-5. [PMID: 19139811 DOI: 10.1007/s15010-008-8073-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2008] [Accepted: 06/24/2008] [Indexed: 11/24/2022]
Abstract
BACKGROUND Previous investigations have revealed that Mycobacterium ulcerans is extensively distributed spatially throughout ulcerative lesions, including in the margins of excised tissue. In contrast, bacilli in pre-ulcerative lesions are assumed to be concentrated in the center of the lesion. In order to assess the extent to which the surgical excision of pre-ulcerative lesions is capable of removing all infected tissue, we subjected the excision margins of pre-ulcerative lesions to laboratory analysis. PATIENTS AND METHODS Eleven patients with laboratory-confirmed pre-ulcerative lesions were included in the study. The diameter of the lesion and excised tissue and the "surgical distance" between the border of the lesion and excision margin were measured. The entire excision margin was cut into segments and subjected to IS2404 PCR. RESULTS The results from the PCR analysis on the samples of excision margins were highly significantly associated with the surgical distance (p < 0.001). The margin samples of nodules were significantly more often PCR positive than the plaques (p = 0.025). The size of the lesion and the size of the excised tissue did not significantly influence the PCR results. Statistically, a surgical distance of more than 9 mm was found to reduce the risk of remaining infected tissue to less than 10%, that of 13 mm to reduce the risk to less than 5%, and that of 25 mm to reduce the risk to nearly 0%. CONCLUSION The results of this study show that in preulcerative Buruli ulcer disease, bacilli may extend beyond the actual size of the lesion and that there is a strong correlation between the presence of M. ulcerans in the margin samples and the surgical distance. Excision with a surgical distance of 25 mm avoided the risk of remaining mycobacteria in this study. However, no recurrences occurred in the patients with M. ulcerans-positive excision margins. The need of postoperative antimycobacterial treatment in these patients remains to be determined.
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Affiliation(s)
- K-H Herbinger
- Department of Infectious Diseases and Tropical Medicine (DITM), Ludwig-Maximilian University Munich, Leopoldstrasse 5, 80802, Munich, Germany.
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Papadopoulos C, Doyle J, Rupp J, Brandon L, Benardot D, Thompson W. The effect of the hypohydration on the lactate threshold in a hot and humid environment. J Sports Med Phys Fitness 2008; 48:293-299. [PMID: 18974713] [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: 05/27/2023]
Abstract
AIM The purpose of this study was to investigate the effect of hypohydration (HH) on the lactate threshold (LT) in a hot and humid environment. METHODS Ten apparently healthy males (age 25+/-3 yrs; height 1.8+/-0.04 m; mass 78+/-12 kg; VO2peak 3.7+/-0.4 L/min) underwent four randomly assigned maximal treadmill tests. Two trials were at room temperature (22+/-1 degrees C; RH = 50%) under two different hydration conditions: euhydrated (EH-RM) and hypohydrated (HH-RM), and two trials were performed in a warm chamber (37+/-0.5 degrees C; RH = 70%) under two different hydration conditions: euhydrated (EH-HT) and hypohydrated (HH-HT). The desired HH level (2-4%) was accomplished in the 24+ hours before testing by fluid restriction. Mean HH was 2.6+/-1.0% body weight. Capillary blood samples were collected at the end of each stage and analyzed for lactic acid (LA). LA concentrations were plotted for each exercise stage, and the LT was determined by visual inspection as the highest exercise stage at which blood LA concentration began to increase above each individual's resting levels. LT and body temperature were analyzed with a two-way repeated measures ANOVA (P < 0.05). RESULTS During the trials in the warm chamber, the LT occurred at a significantly earlier stage compared to the thermoneutral environment (4.4+/-0.09 vs 5.8+/-0.10) and with a significantly lower oxygen consumption (2.38+/-0.09 L.min(-1) vs 2.86+/-0.13 L.min(-1)). Body temperature at the LT was significantly higher in the heat trials compared to room temperature (38.7+/-0.12 degrees C vs 37.6+/-0.14 degrees C). LT determination was not significantly altered by hydration. CONCLUSION These results suggest that during progressive incremental maximal treadmill exercise, moderate HH does not affect the LT, whereas exercise in a hot and humid environment induces a downward shift in the LT. The elevated body temperature during the heat trials suggests that body temperature may affect running performance associated with the LT.
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Affiliation(s)
- C Papadopoulos
- Applied Physiology Laboratory, Georgia State University, Atlanta, GA, USA.
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Bayer CW, Gabram SG, Hendry RJ, Sellers N, Lund MB, Thompson W, Vidakovic B, Mizaikoff B. Breath analysis as a method for breast cancer early detection. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.1522] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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