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Stein A, Al Malki M, Yang D, Liu A, Han C, Palmer J, Dandapani S, Farol L, Hui S, Marcucci G, Nakamura R, Pullarkat V, Rosenthal J, Salhotra A, Spielberger R, Forman S, Wong J. Total Marrow and Lymphoid Irradiation to 20 Gy Combined With Post-Transplant Cyclophosphamide Graft vs. Host Disease (GvHD) Prophylaxis is Associated With Low Non-Relapse Mortality Rates and Favorable GvHD-Free/Relapse-Free Survival in AML. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Wong E, Molina-Cruz R, Rose C, Bailey L, Kauwell GPA, Rosenthal J. Prevalence and Disparities in Folate and Vitamin B12 Deficiency Among Preschool Children in Guatemala. Matern Child Health J 2021; 26:156-167. [PMID: 34637065 DOI: 10.1007/s10995-021-03257-6] [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] [Accepted: 09/30/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND AND OBJECTIVE Folate and vitamin B12 deficiencies can impair proper growth and brain development in children. Data on the folate and vitamin B12 status of children aged 6-59 months in Guatemala are scarce. Identification of factors associated with higher prevalence of these micronutrient deficiencies within the population is needed for national and regional policymakers. OBJECTIVE To describe national and regional post-fortification folate and vitamin B12 status of children aged 6-59 months in Guatemala. METHODS A multistage, cluster probability study was carried out with national and regional representation of children aged 6-59 months. Demographic and health information was collected for 1246 preschool children, but blood samples for red blood cell (RBC) folate and vitamin B12 were collected and analyzed for 1,245 and 1143 preschool children, respectively. We used the following deficiency criteria as cutoff points for the analyses: < 305 nmol/L for RBC folate, < 148 pmol/L for vitamin B12 deficiency, and 148-221 pmol/L for marginal vitamin B12 deficiency. Prevalence of RBC folate deficiency and vitamin B12 deficiency and marginal deficiency were estimated. Prevalence risk ratios of RBC folate and vitamin B12 deficiency were estimated comparing subpopulations of interest. RESULTS The national prevalence estimates of RBC folate deficiency among children was 33.5% [95% CI 29.1, 38.3]. The prevalence of RBC folate deficiency showed wide variation by age (20.3-46.6%) and was significantly higher among children 6-11 months and 12-23 months (46.6 and 37.0%, respectively), compared to older children aged 48-59 months (20.3%). RBC folate deficiency also varied widely by household wealth index (22.6-42.0%) and geographic region (27.2-46.7%) though the differences were not statistically significant. The national geometric mean for RBC folate concentrations was 354.2 nmol/L. The national prevalences of vitamin B12 deficiency and marginal deficiency among children were 22.5% [95% CI 18.2, 27.5] and 27.5% [95% CI 23.7, 31.7], respectively. The prevalence of vitamin B12 deficiency was significantly higher among indigenous children than among non-indigenous children (34.5% vs. 13.1%, aPRR 2.1 95% CI 1.4, 3.0). The prevalence of vitamin B12 deficiency also significantly varied between the highest and lowest household wealth index (34.3 and 6.0%, respectively). The national geometric mean for vitamin B12 concentrations was 235.1 pmol/L. The geometric means of folate and B12 concentrations were significantly lower among children who were younger, had a lower household wealth index, and were indigenous (for vitamin B12 only). Folate and vitamin B12 concentrations showed wide variation by region (not statistically significant), and the Petén and Norte regions showed the lowest RBC folate and vitamin B12 concentrations, respectively. CONCLUSIONS In this study, a third of all children had RBC folate deficiency and half were vitamin B12 deficient. Folate deficiency was more common in younger children and vitamin B12 deficiency was more common in indigenous children and those from the poorest families. These findings suggest gaps in the coverage of fortification and the need for additional implementation strategies to address these gaps in coverage to help safeguard the health of Guatemalan children.
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Affiliation(s)
- E Wong
- Department of Epidemiology, Gillings School of Public Health, The University of North Carolina, Chapel Hill, NC, USA
| | | | - C Rose
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, MS-Chamblee 106-3, Atlanta, GA, USA
| | - L Bailey
- Department of Nutritional Sciences, College of Family & Consumer Sciences, University of Georgia, Athens, GA, USA
| | - G P A Kauwell
- Department of Health Sciences, University of Central Florida, Orlando, FL, USA
| | - J Rosenthal
- National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, MS-Chamblee 106-3, Atlanta, GA, USA.
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Wong J, Tsai N, Han C, Palmer J, Liu A, Al Malki M, Dandapani S, Radany E, Salhotra A, Nakamura R, Hui S, Rosenthal J, Forman S, Stein A. Phase II Study of Dose Escalated Total Marrow and Lymphoid Irradiation (TMLI) in Combination with Cyclophosphamide and Etoposide in Patients with Poor-Risk Acute Leukemia. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.912] [Citation(s) in RCA: 1] [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: 10/23/2022]
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Allsopp G, Rosenthal J, Blythe J, Taggar JS. Defining and measuring denigration of general practice in medical education. Education for Primary Care 2020; 31:205-209. [DOI: 10.1080/14739879.2020.1768440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- G. Allsopp
- Primary Care Education Unit, Division of Primary Care, University of Nottingham, Nottingham, UK
| | - J. Rosenthal
- Department of Primary Care & Population Health, University College London, London, UK
| | - J. Blythe
- Barts and the London Medical School, Queen Mary University of London, London, UK
| | - J. S. Taggar
- Primary Care Education Unit, Division of Primary Care, University of Nottingham, Nottingham, UK
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Puzzolo E, Zerriffi H, Carter E, Clemens H, Stokes H, Jagger P, Rosenthal J, Petach H. Supply Considerations for Scaling Up Clean Cooking Fuels for Household Energy in Low- and Middle-Income Countries. Geohealth 2019; 3:370-390. [PMID: 32159025 PMCID: PMC7038875 DOI: 10.1029/2019gh000208] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Revised: 09/16/2019] [Accepted: 09/30/2019] [Indexed: 05/20/2023]
Abstract
Promoting access to clean household cooking energy is an important subject for policy making in low- and middle-income countries, in light of urgent and global efforts to achieve universal energy access by 2030 (Sustainable Development Goal 7). In 2014, the World Health Organization issued "Guidelines for Indoor Air Quality: Household Fuel Combustion", which recommended a shift to cleaner fuels rather than promotion of technologies that more efficiently combust solid fuels. This study fills an important gap in the literature on transitions to household use of clean cooking energy by reviewing supply chain considerations for clean fuel options in low- and middle-income countries. For the purpose of this study, we consider electricity, liquefied petroleum gas (LPG), alcohol fuels, biogas, and compressed biomass pellets burned in high performing gasifier stoves to be clean fuel options. Each of the clean fuels reviewed in this study, as well as the supply of electricity, presents both constraints and opportunities for enhanced production, supply, delivery, and long-term sustainability and scalability in resource-poor settings. These options are reviewed and discussed together with policy and regulatory considerations to help in making these fuel and energy choices available and affordable. Our hope is that researchers, government officials and policy makers, and development agencies and investors will be aided by our comparative analysis of these clean household energy choices.
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Affiliation(s)
- E. Puzzolo
- Department of Public Health and PolicyUniversity of LiverpoolLiverpoolUnited Kingdom
- Global LPG PartnershipNew YorkUSA
| | - H. Zerriffi
- University of British Columbia, Forest Resources ManagementCanada
| | - E. Carter
- Colorado State University, Civil and Environmental EngineeringUSA
| | | | | | - P. Jagger
- University of Michigan, School for Environment and SustainabilityUSA
| | | | - H. Petach
- U.S. Agency for International DevelopmentWashingtonDCUSA
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Rosenthal J, Swanson C, Petroni D. A CASE REPORT OF HEREDITARY ALPHA-TRYPTASEMIA SUCCESSFULLY TREATED WITH OMALIZUMAB. Ann Allergy Asthma Immunol 2018. [DOI: 10.1016/j.anai.2018.09.405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Jahanzeb M, Gilmore T, Roach A, Grubbs S, Blayney D, Hamm J, Kamal A, Kelly R, Martin E, Sanchez J, Siegel R, Crist S, Rosenthal J, Hendricks C. Can measuring quality lead to improvement? Evidence from international participants of ASCO’s quality oncology practice initiative (QOPI®) during 2015-2017. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy297.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Stephen J, Al-Saleh S, LeMond L, Rosenthal J, Steidley D. Keeping Tacrolimus Levels Therapeutic: Step-Wise Protocol for Itraconazole Discontinuation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.780] [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: 10/17/2022] Open
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Arlart IP, Rosenthal J, Wagner H, Adam WE, Nobbe F, Franz HE. Effects of saralasin on blood pressure, renin and renal blood flow in unilateral renovascular hypertension. Contrib Nephrol 2015; 11:170-4. [PMID: 699587 DOI: 10.1159/000401799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
The effect of saralasin, a competitive inhibitor of angiotensin II, was assessed in hypertensive patients with unilateral renal artery stenosis after furosemide application. A significant fall of systemic arterial blood pressure, an increase of renal venous renin activity, significantly on the stenosed side in patients without arteriosclerosis of the contralateral kidney, and an almost equal decrement of renal blood flow in both kidneys were observed. Conceivably saralasin exerts different sodium-dependent effects on peripheral angiotensin II and specific intrarenal vascular receptors.
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Rosenthal J, Arlart I, Nadjafi AS, Vollmar J, Franz HE. Relevant diagnostic procedures in renovascular hypertension. Contrib Nephrol 2015; 3:30-7. [PMID: 1026367 DOI: 10.1159/000399378] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The validity of invasive preoperative diagnostic procedures in patients with unilateral renovascular hypertension was assessed. A significant lowering of blood pressure following reconstructive surgery can be predicted if following stimulation with Dihydralazine the renal-venous renin ratio of the involved to the noninvolved kidney is at least 2.0. Furthermore, it is of importance to determine the renal perfusion rate in the contralateral non-stenotic kidney which should be within normal limits. If these two criteria are met then in the majority of cases surgical intervention in unilateral hypertension is meaningful.
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Blodgett JC, Avoundjian T, Finlay AK, Rosenthal J, Asch SM, Maisel NC, Midboe AM. Prevalence of Mental Health Disorders Among Justice-Involved Veterans. Epidemiol Rev 2015; 37:163-76. [DOI: 10.1093/epirev/mxu003] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Cahill J, Rosenthal J. Cancer Epidemiology: Low- and Middle-Income Countries and Special Populations. Am J Epidemiol 2014. [DOI: 10.1093/aje/kwu091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kim D, Frankel P, Palmer J, Somlo G, Rosenthal J, Stein A, Sahebi F, Schultheiss T, Forman S, Wong J. Late Lung and Thyroid Toxicities From Total Marrow and Lymphoid Irradiation for Patients Undergoing Hematopoietic Stem Cell Transplantation. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1479] [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: 10/26/2022]
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Kim J, Stein A, Rosenthal J, Schultheiss T, Liu A, Palmer J, Tsai N, Forman S, Kogut N, Wong J. Extramedullary (EM) Relapse Following Total Marrow and Lymphoid Irradiation (TMLI) in Patients Undergoing Allogeneic Hematopoietic Cell Transplantation (HCT). Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.1664] [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: 10/27/2022]
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Chow R, Jaing TH, Chan L, Tan P, Lin HP, Graham M, Rosenthal J, Karanes C, Nademanee A, Wang B, Yen L, Chow M, Dang T, Kurtzberg J, Petz L. Unrelated Cord Blood Transplantation (CBT) of 101 Hemoglobinopathy (HGB) Patients. Biol Blood Marrow Transplant 2012. [DOI: 10.1016/j.bbmt.2011.12.529] [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: 10/14/2022]
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Petz L, Tonai R, Redei I, Li S, Li H, Bryson Y, Regan D, Spellman S, Gragert L, Boo M, Gutman J, Armitage S, Shpall E, Lin A, Rosenthal J, Zaia J, Rossi J, Kurtzberg J, Forman S, Chow R. Cord Blood Transplantation for Long Term Management or Possible Cure of HIV Infection. Biol Blood Marrow Transplant 2012. [DOI: 10.1016/j.bbmt.2011.12.037] [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: 10/14/2022]
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Pawlowska A, Wolfson J, Cheng J, Sorrell A, Sato J, Anderson C, Hitt D, Suarez M, Forman S, Rosenthal J. High Dose Chemotherapy (HDT) with Busulfan, Melphalan and Topotecan Followed by Autologous Hematopoietic Stem Cell Transplantation (ASCT) in Pediatric Patients (pts) with High Risk Solid Tumors. Biol Blood Marrow Transplant 2012. [DOI: 10.1016/j.bbmt.2011.12.135] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Wong J, Forman S, Rosenthal J, Somlo G, Liu A, Schultheiss T, Radany E, Palmer J, Stein A. Phase I Dose Escalation Trials of Total Marrow Irradiation (TMI) using Helical TomoTherapy (HT) with Concurrent Full-intensity Chemotherapy in Patients with Advanced Acute Leukemia Undergoing Allogeneic Hematopoietic Cell Transplantation (HCT). Int J Radiat Oncol Biol Phys 2011. [DOI: 10.1016/j.ijrobp.2011.06.042] [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: 11/17/2022]
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Pawlowska A, Cheng J, Stiller T, Palmer J, Hafeez N, Rosenthal J. Outcome of Second Allogeneic Stem Cell Transplantation (SCT) in Pediatric Patients With Graft Failure or Recurrent Leukemia. Biol Blood Marrow Transplant 2011. [DOI: 10.1016/j.bbmt.2010.12.463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Shakhnovits M, DiMundo J, Pawlowska A, Wolfson J, Qian D, Sorrell A, Hitt D, Dagis A, Cheng J, Rosenthal J. BK Virus Associated Hemorrhagic Cystitis in Pediatric Patients Undergoing Hematopoietic Stem Cell Transplant. Biol Blood Marrow Transplant 2011. [DOI: 10.1016/j.bbmt.2010.12.390] [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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Rosenthal J, Ito J, Tegtmeier B, Wolfson J, April S, Cheng J, Pawlowska A. Invasive Fungal Infections in Pediatric Hematopoietic Stem Cell Transplant Patients, a Retrospective Analysis. Biol Blood Marrow Transplant 2011. [DOI: 10.1016/j.bbmt.2010.12.385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Shayani S, Palmer J, Stiller T, Rodriguez R, Khuu T, Parker P, Snyder D, Pullarkat V, Rosenthal J, Nademanee A, Senitzer D, Forman S, Khaled S, Nakamura R. Thrombotic Microangiopathy With Tacrolimus/Sirolimus-Based GVHD Prophylaxis Regimen in Patients Undergoing Hematopoietic Stem Cell Transplant. Biol Blood Marrow Transplant 2011. [DOI: 10.1016/j.bbmt.2010.12.425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Mills G, Cleugh H, Emmanuel R, Endlicher W, Erell E, McGranahan G, Ng E, Nickson A, Rosenthal J, Steemer K. Climate Information for Improved Planning and Management of Mega Cities (Needs Perspective). ACTA ACUST UNITED AC 2010. [DOI: 10.1016/j.proenv.2010.09.015] [Citation(s) in RCA: 71] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Rosenthal J, Siegel JA. Does filter media type really affect BRS? Indoor Air 2009; 19:346-347. [PMID: 19627366 DOI: 10.1111/j.1600-0668.2009.00601.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Rosenthal J, Singh S. Cecil Helman. West J Med 2009. [DOI: 10.1136/bmj.b2904] [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: 11/03/2022]
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Abstract
The Royal College of Obstetrics and Gynaecologists (RCOG) recommends that a chaperone should be offered to every patient for an intimate examination. The use of chaperones has risen in primary care, but little is known about the practice of obstetricians and gynaecologists. Our aim was to determine the current attitudes and practices of Fellows and Members of the RCOG regarding chaperones during intimate examinations, both in public and private practice. A total of 800 Fellows and Members were asked to complete a 45-item questionnaire on their use of chaperones and how important a range of issues were in deciding whether or not to offer and provide a chaperone. A total of 449 questionnaires were returned. In summary, 23% of respondents never or occasionally offered a chaperone; 24% of NHS units have no agreed NHS policy and a further 16% did not know if a policy existed. In NHS practice, 77% used a chaperone with only 62% of women using a chaperone. Of those who did private practice, 34% never or occasionally offered a chaperone with 31% actually using a chaperone. In conclusion, obstetricians and gynaecologists use chaperones more than general practitioners but there is significant room for improvement. Chaperones are used more in NHS than private practice.
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Affiliation(s)
- J Rymer
- Department of Obstetrics and Gynaecology, Kings College London School of Medicine, UK.
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Bolotin E, Pawlowska A, Hitt D, Andersen C, Shakhnovitz M, Sato J, Forman S, Rosenthal J. Low Morbidity and Mortality in a Pilot Study of Busulfan, Melphalan and Topotecan as Preparative Regimen Followed By Autologous Hematopoetic Stem Cell Transplantation In Pediatric Patients With High Risk Solid Tumors (Preliminary Results). Biol Blood Marrow Transplant 2009. [DOI: 10.1016/j.bbmt.2008.12.261] [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: 10/21/2022]
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Nakamura R, Rodriguez R, Palmer J, Parker P, Nademanee A, Shayani S, Smith E, Karanes C, Snyder D, O'Donnell M, Krishnan A, Pullarkat V, Senitzer D, Rosenthal J, Kogut N, Forman S. Tacrolimus and Sirolimus as GVHD Prophylaxis for Sibling Donor Hematopoietic Stem Cell Transplant (HCT) Using Three Conditioning Regimens; Fludarabine-Melphalan, FTBI-VP16, and Busulfan-Cyclophosphamide. Biol Blood Marrow Transplant 2009. [DOI: 10.1016/j.bbmt.2008.12.276] [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: 11/16/2022]
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Rosenthal J, Bolotin E, Shakhnovits M, Pawlowska A, Falk P, Qian D, Oliver C, Sato J, Miser J, Forman S. High-dose therapy with hematopoietic stem cell rescue in patients with poor prognosis Ewing family tumors. Bone Marrow Transplant 2008; 42:311-8. [PMID: 18587438 DOI: 10.1038/bmt.2008.169] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The purpose of the study was to evaluate the feasibility and safety of two cycles of high-dose chemotherapy (HDT) followed by autologous hematopoietic SCT (HSCT) in patients with poor prognosis Ewing family of tumors (EFT). Twenty patients with primary metastatic bulky disease or recurrent EFT were enrolled to a treatment protocol with two cycles of HDT and HSCT. Patients tolerated well the first (n=20) and second (n=13) cycles, with limited and predictable toxicities. Only one (5%) TRM occurred during the second cycle. Myeloid engraftment occurred at the median of 11 days after both cycles. At 3 years, the overall and EFS were 45% (confidence interval; CI 0.22, 0.69) and 47% (CI 0.25, 0.70), respectively, for the entire group and 58% (CI 0.30, 0.86) for patients who completed two cycles. Dose intensification with two cycles of HDT and HSCT is feasible and safe, with low and acceptable treatment-related morbidity and mortality. Adding a second course of therapy does not impair engraftment. However, only 65% of the patients were able to proceed to the second cycle. Further studies are required to define the optimal mode of delivery of HDT and HSCT in treatment of advanced EFT.
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Affiliation(s)
- J Rosenthal
- Department of Pediatric Hematopoietic Stem Cell Transplantation, City of Hope National Medical Center, Duarte, CA 91010-3000, USA.
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Rosenthal J, Pawlowska A, Bolotin E, Falk P, Oliver C, Forman S. 329: Allogeneic Hematopoietic Stem Cell Transplantation for Severe Aplastic Anemia (SAA) using a Non-Myeloablative Conditioning Regimen (NMCR). Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.339] [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: 10/22/2022]
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Nakamura R, Auayporn N, Smith D, Palmer J, Sun J, Schriber J, Pullarkat V, Parker P, Rodriguez R, Stein A, Rosenthal J, Wang S, Karanas C, Senitzer D, Forman S. 20: Higher CD34+ Cell Doses are Associated with Decreased Relapse Rates Following Unrelated Donor Allogeneic Peripheral Blood Stem Cell Transplantation with Trends to Improved Disease-Free Survival. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.028] [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: 10/22/2022]
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Sun J, Palmer J, Dagis A, Oki A, Gaidulis L, Parker P, Nademanee A, Rosenthal J, Falk P, Miller M, Forman S, Senitzer D. 131: Both KIR and Its Ligand Play a Role in Hematopoietic Stem Cell Transplants (HCT). Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Graham M, Fiederlein R, Wang B, Rosenthal J, Karanes C, Nademanee A, Jaing TH, Chan L, Tan PL, Gjertson D, Petz L, Chow R. 133: A Retrospective Study and Matched Pair Analysis of 240 Pediatric Patients with Malignancies Transplanted with Plasma Depleted (PD) or Red Cell Reduced (RCR) Cord Blood (CB) Products. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Willert J, Rosenthal J, Brown H, David H. 209: Umbilical Cord Blood Stem Cell Transplants for Nonmalignant Hematopoietic Disorders. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.218] [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: 11/28/2022]
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Rosenthal J, Brown H, Harris D. 108: Stem Cell Recovery Following Implementation of an Automated Cord Blood Processing System in a High Volume Laboratory. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.117] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Aljitawi O, Nakamura R, Palmer J, Senitzer D, Pullarkat V, Briggs A, Cai JL, Rosenthal J, Schriber J, Snyder D, Nademanee A, Parker P, Forman S. 378: Tacrolimus, Sirolimus and Antithymocyte Globulin (rATG) for Graft Versus Host Disease Prophylaxis for Unrelated Donor Hematopoietic Cell Transplantation. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.388] [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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Chen T, Moore T, Territo M, Chow R, Tonai R, Petz L, Rossi J, Mitsuyasu R, Rosenthal J, Forman S, Zaia J, Bryson Y. 324: The Feasibility of using CCR5Δ32/Δ32 Hematopoietic Stem Cell Transplants for Immune Reconstitution in HIV-Infected Children. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.334] [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: 10/22/2022]
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Jaing TH, Tan P, Rosenthal J, Chan L, Lin HP, Tan PL, Nademanee A, Karanes C, Gjertson D, Wang B, Petz L, Chow R. 12: Unrelated Cord Blood Transplantation (UCBT) for Transfusion-Dependent Thalassemia – a CIBMTR Audited Retrospective Analysis of 51 Consecutive Patients. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Bolotin E, Rosenthal J, Pawlowska A, Falk P, Wang S, Hitt D, Friday J, Forman S. 317: Impact of Prophylactic Red Blood Cell Exchange for Prevention of Severe Immune Hemolysis in Pediatric Minor ABO-Mismatched Allogeneic Peripheral Blood Progenitor Cell Transplantation. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Wong J, Liu A, Schultheiss T, Rosenthal J, Forman S, Somlo G. Reduced Acute Toxicities With Image Guided Targeted Marrow Irradiation (TMI) Using Helical TomoTherapy (HT) in Patients With Multiple Myeloma and Acute Leukemia Undergoing Hematopoietic Cell Transplantation (HCT). Int J Radiat Oncol Biol Phys 2007. [DOI: 10.1016/j.ijrobp.2007.07.031] [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: 11/30/2022]
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Kinney P, Bell M, Hogrefe C, Knowlton K, Rosenthal J, Rosenzweig C. Climate Change, Air Quality, and Health: Assessing Potential Impacts Over the Eastern US. Epidemiology 2007. [DOI: 10.1097/01.ede.0000276727.37336.78] [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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Nademanee A, Graham M, Ballen K, Tan A, Rosenthal J, Karanes C, Eames G, Tan P, Jaing TH, Wang B, Wu T, Gjertson D, Petz L, Chow R, Forman S. 363: Adult patients with malignancies transplanted with plasma depleted cord blood (PD CB) – a retrospective audited analysis of 68 patients. Biol Blood Marrow Transplant 2007. [DOI: 10.1016/j.bbmt.2006.12.368] [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: 10/23/2022]
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Rosenthal J, Bolotin E, Pawlowska A, Falk P, Oliver C, Forman S. 100: Hematopoietic stem cell transplantation with autologous cord blood units in two patients with severe aplastic anemia. Biol Blood Marrow Transplant 2007. [DOI: 10.1016/j.bbmt.2006.12.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Rosenthal J, Bolotin E, Pawlowska A, Falk P, Hitt D, Forman S. 267: Reduced risk of relapse in pediatric patients after double unit cord blood transplantation? A single institution experience. Biol Blood Marrow Transplant 2007. [DOI: 10.1016/j.bbmt.2006.12.272] [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: 11/27/2022]
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Wong J, Liu A, Schultheiss T, Parker P, Krishnan A, Sahebi F, Karanes C, Spielberger R, Rosenthal J, Forman S, Somlo G. 21: Total marrow irradiation (TMI) using helical tomotherapy. Biol Blood Marrow Transplant 2007. [DOI: 10.1016/j.bbmt.2006.12.024] [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]
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Spiridon C, Hunt J, Mack M, Rosenthal J, Anderson A, Eichhorn E, Magee M, Dewey T, Currier M, Nikaein A. Evaluation of Soluble CD30 as an Immunologic Marker in Heart Transplant Recipients. Transplant Proc 2006; 38:3689-91. [PMID: 17175368 DOI: 10.1016/j.transproceed.2006.10.088] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2006] [Indexed: 11/24/2022]
Abstract
CD30 is an immunologic molecule that belongs to the TNF-R superfamily. CD30 serves as a T-cell signal transducing molecule that is expressed by a subset of activated T lymphocytes, CD45RO+ memory T cells. Augmentation of soluble CD30 during kidney transplant rejection has been reported. Our study sought to determine whether the level of sCD30 prior to heart transplant could categorize patients into high versus low immunologic risk for a poor outcome. A significant correlation was observed between high levels of soluble CD30 and a reduced incidence of infection. None of the 35 patients with high pretransplant levels of sCD30 level (>90 U/mL) developed infections posttransplantation. However, 9 of 65 patients who had low levels of sCD30 (<90 U/mL) developed infections posttransplantation (P < .02). No remarkable differences were noted among the other clinical parameters. The results also showed that the high-definition flow-bead (HDB) assay detected both weak and strong class I and class II HLA antibodies, some of which (weak class II HLA Abs) were undetectable by the anti-human globulin cytotoxicity method. In addition, more antibody specificities were detected by HDB. In conclusion, we have observed that high levels of sCD30 prior to heart transplant may be associated with greater immunologic ability and therefore produce a protective effect on the development of infection post heart transplant. We have also shown that the HDB assay is superior to the visual cytotoxicity method to detect HLA antibodies, especially those to class II HLA antigens.
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Affiliation(s)
- C Spiridon
- Texas Medical Specialty, Inc., Dallas, Texas 75230, USA.
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Chow R, Nademanee A, Rosenthal J, Karanes C, Graham M, Tan P, Jaing TH, Gjertson D, Petz L. Post-thaw washing prior to transplantation of Umbilical Cord Blood units (UCB) that were depleted of plasma but not of red blood cells. Biol Blood Marrow Transplant 2006. [DOI: 10.1016/j.bbmt.2005.11.317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Chow R, Jaing TH, Tan P, Rosenthal J, Nademanee A, Karanes C, Graham M, Gjertson D, Petz L. Hematopoietic stem cell transplantation (HSCT) for benign indications using umbilical cord blood units (UCB) that were not depleted of red blood cells. Biol Blood Marrow Transplant 2006. [DOI: 10.1016/j.bbmt.2005.11.385] [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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49
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Chow R, Nademanee A, Rosenthal J, Karanes C, Graham M, Tan P, Jaing TH, Gjertson D, Petz L. Hematopoietic stem cell transplantation (HSCT) for malignancies using umbilical cord blood units (UCB) that were not red blood cell depleted. Biol Blood Marrow Transplant 2006. [DOI: 10.1016/j.bbmt.2005.11.270] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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50
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Chow R, Nademanee A, Rosenthal J, Karanes C, Jaing TH, Tan P, Graham M, Gjertson D, Petz L. Hematopoietic Stem Cell Transplantation (HSCT) using Umbilical Cord Blood units (UCB) not depleted of red blood cells prior to cryopreservation. Biol Blood Marrow Transplant 2006. [DOI: 10.1016/j.bbmt.2005.11.313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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