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Radford AD, Farrell S, Singleton DA, McGarry J, Brant B, Pinchbeck GJ, Noble PJM. Using electronic health data in clinical decision-making. Vet Rec 2023; 192:298. [PMID: 37000724 DOI: 10.1002/vetr.2926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/01/2023]
Affiliation(s)
- Alan D Radford
- University of Liverpool, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, Neston, Wirral, CH64 7TE
| | - Sean Farrell
- University of Liverpool, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, Neston, Wirral, CH64 7TE
| | - David A Singleton
- University of Liverpool, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, Neston, Wirral, CH64 7TE
| | - John McGarry
- University of Liverpool, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, Neston, Wirral, CH64 7TE
| | - Beth Brant
- University of Liverpool, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, Neston, Wirral, CH64 7TE
| | - Gina J Pinchbeck
- University of Liverpool, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, Neston, Wirral, CH64 7TE
| | - P-J M Noble
- University of Liverpool, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, Neston, Wirral, CH64 7TE
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Klein-Goldberg A, Voloshin T, Zemer-Tov E, Paz R, Koren L, Wainer-Katsir K, Volodin A, Koltun B, Brant B, Barsheshet Y, Kan T, Haber A, Giladi M, Weinberg U, Palti Y. PI3K Inhibition Sensitized Cancerous Cells to Tumor Treating Fields (TTFields). Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Klein-Goldberg A, Voloshin T, Zemer-Tov E, Paz R, Koren L, Wainer-Katsir K, Volodin A, Koltun B, Brant B, Barsheshet Y, Kan T, Haber A, Giladi M, Weinberg U, Palti Y. EP16.03-028 Cancer Cells May be Re-sensitized to Tumor Treating Fields (TTFields) Through Inhibition of the PI3K/AKT/mTOR Pathway. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.1089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Gibson DN, Singleton DA, Brant B, Radford AD, Killick DR. Temporospatial distribution and country of origin of canine transmissible venereal tumours in the UK. Vet Rec 2021; 189:e974. [PMID: 34773267 DOI: 10.1002/vetr.974] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 08/03/2021] [Accepted: 09/16/2021] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Transmissable venereal tumour (TVT) is a tumour transplanted by physical contact between dogs. Lesions typically affect the genitalia. TVT is not considered enzootic in the United Kingdom (UK), with cases seen in imported dogs. We sought to determine the patient characteristics, temporal and spatial distribution and country of origin of affected dogs in the UK. METHODS Electronic pathology records (EPRs) from four UK veterinary diagnostic laboratories collected between 2010 and 2019 were searched for the terms 'venereal' or 'TVT'. Reports were reviewed for statements confirming a TVT and descriptive statistics collated. RESULTS Of 182 EPRs matching the search terms, a diagnosis of TVT was confirmed in 71. Country of origin was noted in 36 cases (50.7%) with Romania being the most common (n = 29). Cases were reported in each UK constituent country, with the majority being in England (64, 90.1%). The incidence of TVT diagnosis increased over the last decade (z = 2.78, p = 0.005). CONCLUSIONS/DISCUSSION The incidence of TVT diagnosed in the UK is increasing. The majority of cases were known to have been imported. Autochthonous transmission cannot be excluded due to study design. Vets are encouraged to carefully examine the genitalia of dogs imported to the UK from countries with enzootic TVT.
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Affiliation(s)
- Danielle N Gibson
- Department of Small Animal Clinical Sciences, Leahurst Campus, University of Liverpool, Neston, UK
| | - David A Singleton
- SAVSNET, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, University of Liverpool, Neston, UK
| | - Beth Brant
- SAVSNET, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, University of Liverpool, Neston, UK
| | - Alan D Radford
- SAVSNET, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, University of Liverpool, Neston, UK
| | - David R Killick
- Department of Small Animal Clinical Sciences, Leahurst Campus, University of Liverpool, Neston, UK
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Klein-Goldberg A, Voloshin T, Zemer-Tov E, Paz R, Koren L, Wainer-Katsir K, Volodin A, Koltun B, Brant B, Giladi M, Weinberg U, Palti Y. Activated Phosphoinositide 3-Kinase/AKT/mTOR Signaling Confers Resistance to Tumor Treating Fields (TTFields). Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Radford AD, Singleton DA, Jewell C, Appleton C, Rowlingson B, Hale AC, Cuartero CT, Newton R, Sánchez-Vizcaíno F, Greenberg D, Brant B, Bentley EG, Stewart JP, Smith S, Haldenby S, Noble PJM, Pinchbeck GL. Outbreak of Severe Vomiting in Dogs Associated with a Canine Enteric Coronavirus, United Kingdom. Emerg Infect Dis 2021; 27:517-528. [PMID: 33496240 PMCID: PMC7853541 DOI: 10.3201/eid2702.202452] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
The lack of population health surveillance for companion animal populations leaves them vulnerable to the effects of novel diseases without means of early detection. We present evidence on the effectiveness of a system that enabled early detection and rapid response a canine gastroenteritis outbreak in the United Kingdom. In January 2020, prolific vomiting among dogs was sporadically reported in the United Kingdom. Electronic health records from a nationwide sentinel network of veterinary practices confirmed a significant increase in dogs with signs of gastroenteric disease. Male dogs and dogs living with other vomiting dogs were more likely to be affected. Diet and vaccination status were not associated with the disease; however, a canine enteric coronavirus was significantly associated with illness. The system we describe potentially fills a gap in surveillance in neglected populations and could provide a blueprint for other countries.
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Affiliation(s)
- David A Singleton
- University of Liverpool, Institutes of Infection, Veterinary Science and Ecology, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
| | - P J Noble
- University of Liverpool, Institutes of Infection, Veterinary Science and Ecology, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
| | - Beth Brant
- University of Liverpool, Institutes of Infection, Veterinary Science and Ecology, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
| | - Gina L Pinchbeck
- University of Liverpool, Institutes of Infection, Veterinary Science and Ecology, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
| | - Alan D Radford
- University of Liverpool, Institutes of Infection, Veterinary Science and Ecology, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
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Singleton DA, Noble PJ, Radford AD, Brant B, Pinchbeck GL, Greenberg D, Appleton C, Jewell C, Newton R, Cuartero CT, Sánchez-Vizcaíno F. Prolific vomiting in dogs. Vet Rec 2020; 186:191. [PMID: 32054807 DOI: 10.1136/vr.m553] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- David A Singleton
- University of Liverpool, Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
| | - P J Noble
- University of Liverpool, Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
| | - Alan D Radford
- University of Liverpool, Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
| | - Beth Brant
- University of Liverpool, Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
| | - Gina L Pinchbeck
- University of Liverpool, Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, Chester High Road, Neston, Wirral CH64 7TE
| | | | | | - Chris Jewell
- The Liverpool Vets, 11 Cleveland Square, Liverpool L1 5BE
| | - Richard Newton
- CHICAS, Furness College, Lancaster University, Lancaster LA1 4YG
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Smith SL, Singleton DA, Noble PJ, Radford AD, Brant B, Pinchbeck GL, Appleton C, Jewell C, Newton R, Cuartero CT, Sánchez-Vizcaíno F. Possible cause of outbreak of prolific vomiting in dogs. Vet Rec 2020; 186:324. [PMID: 32165525 DOI: 10.1136/vr.m972] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Shirley L Smith
- Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, University of Liverpool, Chester High Road, Neston, Wirral CH64 7TE
| | - David A Singleton
- Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, University of Liverpool, Chester High Road, Neston, Wirral CH64 7TE
| | - P J Noble
- Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, University of Liverpool, Chester High Road, Neston, Wirral CH64 7TE
| | - Alan D Radford
- Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, University of Liverpool, Chester High Road, Neston, Wirral CH64 7TE
| | - Beth Brant
- Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, University of Liverpool, Chester High Road, Neston, Wirral CH64 7TE
| | - Gina L Pinchbeck
- Institutes of Infection and Global Health and Veterinary Science, Leahurst Campus, University of Liverpool, Chester High Road, Neston, Wirral CH64 7TE
| | | | - Chris Jewell
- CHICAS, Furness College, Lancaster University, Lancaster LA1 4YG
| | - Richard Newton
- Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU
| | - Carmen Tamayo Cuartero
- Bristol Veterinary School, University of Bristol, Churchill Building, Langford Campus, Bristol BS40 5DU
| | - Fernando Sánchez-Vizcaíno
- Bristol Veterinary School, University of Bristol, Churchill Building, Langford Campus, Bristol BS40 5DU
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Farrell S, Noble PM, Pinchbeck GL, Brant B, Caravaggi A, Singleton DA, Radford AD. Seasonality and risk factors for myxomatosis in pet rabbits in Great Britain. Prev Vet Med 2020; 176:104924. [PMID: 32114004 DOI: 10.1016/j.prevetmed.2020.104924] [Citation(s) in RCA: 1] [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: 01/20/2020] [Revised: 02/05/2020] [Accepted: 02/06/2020] [Indexed: 10/25/2022]
Abstract
Myxomatosis is a highly contagious, frequently fatal viral disease affecting both wild and domesticated European rabbits across many areas of the world. Here we used electronic health records (EHRs) collected from pet rabbits attending a sentinel voluntary network of 191 veterinary practices across Great Britain (GB) between March 2014 and June 2019 to identify new features of this disease's epidemiology. From a total of 89,408 rabbit consultations, text mining verified by domain experts identified 207 (0.23 %) cases where myxomatosis was the only differential diagnosis recorded by the attending practitioner. Cases occurred in all months but February and were distributed across the country. Consistent with studies in wild rabbits, the majority of cases occurred between August and November. However, there was also evidence for considerable variation between years. A nested case control study identified important risk factors for myxomatosis within this pet animal population including season, sex, age, vaccination status and distance to likely wild rabbit habitats. Female entire rabbits were twice as likely to be a case (odds ratio (OR) 1.98, 95 % confidence interval (CI) 1.26-3.13, p = 0.003), suggesting a novel role for behaviour in driving transmission from wild to domesticated rabbits. Vaccination had the largest protective effect with vaccinated rabbits being 8.3 times less likely to be a case than unvaccinated rabbits (OR = 0.12, 95 % CI 0.06-0.21, p = <0.001).
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Affiliation(s)
- Sean Farrell
- School of Biosciences, University of Kent, Canterbury, Kent, CT2 7NJ, UK
| | - Pj-M Noble
- Institute of Veterinary Science, University of Liverpool, Leahurst Campus, Chester High Road, Neston,CH64 7TE, UK
| | - Gina L Pinchbeck
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston,CH64 7TE, UK
| | - Beth Brant
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston,CH64 7TE, UK
| | - Anthony Caravaggi
- School of Applied Sciences, University of South Wales, 9 Graig Fach, Pontypridd, UK CF37 4BB, UK
| | - David A Singleton
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston,CH64 7TE, UK
| | - Alan D Radford
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston,CH64 7TE, UK.
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Murchie P, Masthoff J, Walter FM, Rahman K, Allan JL, Burrows N, Proby C, Lee AJ, Johnston M, Durrani A, Depasquale I, Brant B, Neilson A, Meredith F, Treweek S, Hall S, McDonald A. Achieving Self-Directed Integrated Cancer Aftercare (ASICA) in melanoma: protocol for a randomised patient-focused pilot trial of delivering the ASICA intervention as a means to earlier detection of recurrent and second primary melanoma. Trials 2019; 20:318. [PMID: 31159849 PMCID: PMC6547590 DOI: 10.1186/s13063-019-3453-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 05/18/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Melanoma is common; 15,906 people in the UK were diagnosed with melanoma in 2015 and incidence has increased fivefold in 30 years. Melanoma affects old and young people, with poor prognosis once metastatic. UK guidelines recommend people treated for cutaneous melanoma receive extended outpatient, hospital follow up to detect recurrence or new primaries. Such follow up of the growing population of melanoma survivors is burdensome for both individuals and health services. Follow up is important since approximately 20% of patients with early-stage melanoma experience a recurrence and 4-8% develop a new primary; the risk of either is highest in the first 5 years. Achieving Self-directed Integrated Cancer Aftercare (ASICA) is a digital intervention to increase total-skin-self-examination (TSSE) by people treated for melanoma, with usual follow up. METHODS We aim to recruit 240 adults with a previous first-stage 0-2C primary cutaneous melanoma, from secondary care in North-East Scotland and the East of England. Participants will be randomised to receive the ASICA intervention (a tablet-based digital intervention to prompt and support TSSE) or control group (treatment as usual). Patient-reported and clinical data will be collected at baseline, including the modified Melanoma Worry Scale (MWS), the Hospital Anxiety and Depression Scale (HADs), the EuroQoL 5-dimension 5-level questionnaire (EQ-5D-5 L), and questions about TSSE practice, intentions, self-efficacy and planning. Participants will be followed up by postal questionnaire at 3, 6 and 12 months following randomization, along with a 12-month review of clinical data. The primary timepoint for outcome analyses will be12 months after randomisation. DISCUSSION If the ASICA intervention improves the practice of TSSE in those affected by melanoma, this may lead to improved psychological well-being and earlier detection of recurrent and new primary melanoma. This could impact both patients and National Health Service (NHS) resources. This study will determine if a full-scale randomised controlled trial can be undertaken in the UK NHS to provide the high-quality evidence needed to determine the effectiveness of the intervention. ASICA is a pilot study evaluating the effectiveness of the practice of digitally supported TSSE in those affected by melanoma. TRIAL REGISTRATION Clinical Trials.gov, NCT03328247 . Registered on 1 November 2017.
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Affiliation(s)
- P. Murchie
- Academic Primary Care Research Group, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, AB25 2ZD UK
| | - J. Masthoff
- Department of Computing Science, University of Aberdeen, Meston Building, King’s College, Aberdeeen, AB24 3UE UK
| | - F. M. Walter
- The Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, CB1 8SR UK
| | - K. Rahman
- Aberdeen Royal Infirmary, NHS Grampian, Foresterhill, Aberdeen, AB25 2ZN UK
| | - J. L. Allan
- Health Psychology Group, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD UK
| | - N. Burrows
- Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ UK
| | - C. Proby
- University of Dundee, Division of Cancer Research, James Arrott Drive, Ninewells Hospital and Medical School, Dundee, DD1 9SY UK
| | - A. J. Lee
- Medical Statistics Group, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, AB25 2ZD UK
| | - M. Johnston
- Health Psychology Group, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD UK
| | - A. Durrani
- Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ UK
| | - I. Depasquale
- Aberdeen Royal Infirmary, NHS Grampian, Foresterhill, Aberdeen, AB25 2ZN UK
| | - B. Brant
- NHS Grampian, Dr Gray’s Hospital, Elgin, IV30 1SN UK
| | - A. Neilson
- Academic Primary Care Research Group, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, AB25 2ZD UK
| | - F. Meredith
- Aberdeen Royal Infirmary, NHS Grampian, Foresterhill, Aberdeen, AB25 2ZN UK
| | - S. Treweek
- Health Services Research Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD UK
| | - S. Hall
- Academic Primary Care Research Group, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, AB25 2ZD UK
| | - A. McDonald
- Health Services Research Unit, University of Aberdeen, Health Sciences Building, Foresterhill, Aberdeen, AB25 2ZD UK
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Turner R, Arsevska E, Brant B, Singleton DA, Newman J, Noble PM, Jones PH, Radford AD. Risk factors for cutaneous myiasis (blowfly strike) in pet rabbits in Great Britain based on text-mining veterinary electronic health records. Prev Vet Med 2018; 153:77-83. [PMID: 29653739 PMCID: PMC5910172 DOI: 10.1016/j.prevetmed.2018.03.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Revised: 03/01/2018] [Accepted: 03/13/2018] [Indexed: 12/03/2022]
Abstract
Blowfly strike is a devastating and often rapidly fatal disease in rabbits. In Great Britain (GB), Lucilia sericata is the primary causative species. Despite its severity, there has been minimal investigatory work into the disease in rabbits. Here we used text mining to screen electronic health records (EHRs) from a large sentinel network of 389 veterinary practices in GB between March 2014 and April 2017 for confirmed cases of blowfly strike in rabbits. Blowfly strike was identified in 243 of 42,226 rabbit consultations (0.6%), affecting 205 individual rabbits. The anatomical site of recorded blowfly strike lesions was overwhelmingly the perineal area (n = 109, 52.4%). Less commonly lesions were observed affecting other areas of the body (n = 9, 4.3%) and head (n = 8, 3.8%); in 83 consultations (39.9%), the affected area was not specified. Of the rabbits presenting with blowfly strike, 44.7% were recorded as being euthanized or died. A case control study was used to identify risk factors for blowfly strike in this population. Whilst sex and neuter status in isolation were not significantly associated with blowfly strike, entire female rabbits showed a 3.3 times greater odds of being a case than neutered female rabbits. Rabbits five years of age and over were more than 3.8 times likely to present for blowfly strike. For every 1 °C rise in environmental temperature between 4.67 °C and 17.68 °C, there was a 33% increase risk of blowfly strike, with cases peaking in July or August. Overall blowfly strike cases started earlier and peaked higher in the south of Great Britain. The most northerly latitude studied was at lower risk of blowfly strike than the most southerly (OR = 0.50, p < 0.001). There appeared to be no significant relationship between blowfly strike in rabbits and either the sheep density or rural and urban land coverage types. The results presented here can be used for targeted health messaging to reduce the impact of this deadly disease for rabbits. We propose that real-time temporal and spatial surveillance of the rabbit disease may also help inform sheep control, where the seasonal profile is very similar, and where routine surveillance data is also not available. Our results highlight the value of sentinel databases based on EHRs for research and surveillance.
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Affiliation(s)
- Rachel Turner
- Institute of Veterinary Science, University of Liverpool, Leahurst Campus, Chester High Road, Neston, CH64 7TE, UK
| | - Elena Arsevska
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston, CH64 7TE, UK
| | - Beth Brant
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston, CH64 7TE, UK
| | - David A Singleton
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston, CH64 7TE, UK
| | - Jenny Newman
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston, CH64 7TE, UK
| | - Pj-M Noble
- Institute of Veterinary Science, University of Liverpool, Leahurst Campus, Chester High Road, Neston, CH64 7TE, UK
| | - Philip H Jones
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston, CH64 7TE, UK
| | - Alan D Radford
- Institute of Infection and Global Health, University of Liverpool, Leahurst Campus, Chester High Road, Neston, CH64 7TE, UK.
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Abstract
SUMMARY In her 1994 essay "Writing Life," Beth Brant discusses the role of writing in her life, the circumstances that surrounded her writing and editing endeavours, and her relationships with loved ones. Issues of racism, homophobia, and class oppression are explored through writing.
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Affiliation(s)
- B Brant
- a Tyendinaga Mohawk Territory , Ontario
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Brant B, Granger AR, Witherspoon J, Collins GG. Identification of pollen donors for the sweet cherry cultivars ‘Stella’ and ‘Summit’ by isozyme analysis. ACTA ACUST UNITED AC 1999. [DOI: 10.1071/ea98067] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Pollinisers of the sweet cherry cultivars ‘Stella’ and
‘Summit’ were determined by analysing isozymes of
glucose-6-phosphate dehydrogenase (G6PD), 6-phosphogluconate dehydrogenase
(6-PGD), glucose phosphate isomerase (GPI), isocitrate dehydrogenase (IDH),
shikimate dehydrogenase (SKDH), fructose-1,6-diphosphatase (FDP), and
glutamate oxaloacetate transaminase (GOT) in their embryos. Possible
polliniser cultivars were selected on the basis of similar full bloom dates
and orchard position in regard to Stella or Summit. Examination of the ratios
for the segregation of isozymes showed that Summit was predominantly
pollinated by Stella, and Stella by Van. In the same orchard, but in a
different season, the main polliniser for Stella was found to be Venus, and
29% of Stella embryos resulted from selfing. Thus the effectiveness of
cherry pollinisers depends on overlapping flowering dates, which can vary from
year to year, and, for a self-fertile cultivar in a mixed block,
cross-pollination predominates over selfing.
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Brant B. Home Coming. Frontiers: A Journal of Women Studies 1991. [DOI: 10.2307/3346578] [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: 11/10/2022]
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Brant B. Wild Turkeys. Frontiers: A Journal of Women Studies 1991. [DOI: 10.2307/3346577] [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: 11/10/2022]
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Abstract
Eighty-four patients with obstructive jaundice due to various causes were treated with endoscopically placed plastic stents. Seventy-two patients had malignant obstructive disease, 5 patients had common bile duct stones, 4 patients had bile duct injuries, and 3 patients had inflammatory processes resulting in common bile duct obstruction. Straight as well as double pigtail stents ranging from 9 to 12 F. were used. Restenting was employed only in patients with malignancy, and the longest period of a single stent drainage was 406 days with the average of 132 days. There was one procedure-related mortality in a patient with pancreatic cancer in whom the stent was misplaced. Inadequate drainage resulted in cholangitis and death. There were 14 nonfatal complications which included 1 myocardial infarction, 2 liver abscesses, 2 early closures (at 8 and 18 days), 1 episode of cholecystitis, 3 displacements of the stent which required restenting, and 4 spontaneous passages of the stent through the gastrointestinal tract. There were no perforations and no significant bleeding was encountered.
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Taylor LM, Edwards JM, Brant B, Phinney ES, Porter JM. Autogenous reversed vein bypass for lower extremity ischemia in patients with absent or inadequate greater saphenous vein. Am J Surg 1987; 153:505-10. [PMID: 3578671 DOI: 10.1016/0002-9610(87)90803-8] [Citation(s) in RCA: 86] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
This report has presented the results of 329 reversed vein bypasses performed for lower extremity ischemia over a 6 3/4 year period. One hundred eighty-nine bypasses were formed from intact ipsilateral greater saphenous veins of adequate size and length. One hundred forty bypasses were formed in patients in whom the ipsilateral greater saphenous vein was absent or of inadequate size or length to complete the bypass. The grafts in these patients were accomplished using a variety of techniques including distal graft origin, use of arm veins and lesser saphenous veins, and use of vein splicing. The patency rates of these grafts were equivalent to those achieved using adequate intact ipsilateral greater saphenous vein. In view of these results, we conclude that the absence of a greater saphenous vein does not preclude successful autogenous lower extremity vein bypass and that prosthetic bypass is rarely justified.
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Harrison MW, Lindell TD, Brant B. Surgical treatment of late esophageal perforations. Am Surg 1976; 42:488-91. [PMID: 937857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The salvage of patients with late esophageal perforations is a formidable surgical undertaking. The basic objectives of surgical therapy should be: prompt debridement and control of sepsis by establishing an adequate, controlled route of decompression drainage, salvage of all viable and functional esophagus (except in massive disruptions with circumferential loss), adequate support of life control systems, and establishment of an appropriate alternate route for supportive alimentation. The method of treatment used in the group of patients reported here satisfies all these objectives. Our experience justifies further consideration of this technique in dealing with this catastrophic illness.
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Moseson DL, Lindell T, Brant B, Krippaehne W. Sigmoid volvulus. Am Surg 1976; 42:492-7. [PMID: 937858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Brant B, Vetto RM, Peterson CG. Ischemic visceral syndrome. Am Surg 1972; 38:594-600. [PMID: 5081891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Brant B, Rösch J, Krippaehne WW. Experiences with angiography in diagnosis and treatment of acute gastrointestinal bleeding of various etiologies: preliminary report. Ann Surg 1972; 176:419-34. [PMID: 4538512 PMCID: PMC1355420 DOI: 10.1097/00000658-197209000-00018] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Brant B, Vetto RM, Krippaehne WW. Aneurysm resection in the geriatric patient. Geriatrics (Basel) 1970; 25:95-101. [PMID: 5445080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
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Brant B, Armstrong RP, Vetto RM. Vasodepressor factor in declamp shock production. Surgery 1970; 67:650-3. [PMID: 5435915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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