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Kraehenbuehl L, Kang D, Bang AS, Ketosugbo KF, Hay J, Patil S, Goldfarb S, Cho J, Lacouture ME. Validation and responsiveness of the English version of the Chemotherapy-Induced Alopecia Distress Scale (CADS) in breast cancer patients. Support Care Cancer 2024; 32:369. [PMID: 38773008 PMCID: PMC11108899 DOI: 10.1007/s00520-024-08564-6] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 05/10/2024] [Indexed: 05/23/2024]
Abstract
PURPOSE This study aimed to validate the Chemotherapy-Induced Alopecia Distress Scale (CADS) in a diverse English-speaking population and patients with endocrine treatment-induced alopecia (EIA). OBJECTIVE Chemotherapy and endocrine therapy commonly cause alopecia in breast cancer patients, leading to significant psychological and social challenges. The CADS was developed to assess the psychosocial impact of alopecia, but its generalizability beyond Korean patients requires further investigation. METHODS Data from the CHANCE study (NCT02530177), which focused on non-metastatic breast cancer, was used. The cohort included 256 patients, and CADS data were collected at baseline, 6 months after chemotherapy completion, or 12 months after initiating endocrine therapy. The CADS questionnaire comprised 17 items covering physical and emotional health, daily activities, and relationships. Reliability was assessed using Cronbach's alpha, and responsiveness was measured by effect size. RESULTS The CADS exhibited good reliability, with Cronbach's alpha of 0.91 for the overall score, indicating acceptable internal consistency in both chemotherapy (0.89) and endocrine therapy (0.86) groups. Longitudinal responsiveness was supported by an effect size of 0.49 between decreasing satisfaction with hair growth and increasing emotional distress. Cross-sectional validity was confirmed, with effect sizes of 0.91 and 0.92 for satisfaction with hair growth and emotional and activity domains, respectively. CONCLUSION The CADS is a valid and responsive tool for assessing the psychosocial impact of chemotherapy-induced alopecia and endocrine treatment-induced alopecia in a diverse Western patient population.
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Affiliation(s)
- L Kraehenbuehl
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
- Department of Dermatology, University Hospital Zurich (USZ), University of Zurich (UZH), Raemistrasse 100, 8091, Zurich, Switzerland.
- Department of Pharmacology and Meyer Cancer Center, Weill Cornell Medicine, New York, NY, 10021, USA.
| | - D Kang
- Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, Korea
- Center for Clinical Epidemiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-Ro, Gangnam, Seoul, 06351, Republic of Korea
| | - A S Bang
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - K F Ketosugbo
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - J Hay
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Sujata Patil
- Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA
| | - S Goldfarb
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - J Cho
- Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, Korea.
- Center for Clinical Epidemiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-Ro, Gangnam, Seoul, 06351, Republic of Korea.
| | - M E Lacouture
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
- Dermatology Division, Department of Medicine, NYU Grossman Long Island School of Medicine, NYU Langone Hospital - Long Island, Mineola, NY, 11501, USA
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Kalashnikova M, Singh L, Tsui A, Altuntas E, Burnham D, Cannistraci R, Chin NB, Feng Y, Fernández-Merino L, Götz A, Gustavsson L, Hay J, Höhle B, Kager R, Lai R, Liu L, Marklund E, Nazzi T, Oliveira DS, Olstad AMH, Picaud A, Schwarz IC, Tsao FM, Wong PCM, Woo PJ. The development of tone discrimination in infancy: Evidence from a cross-linguistic, multi-lab report. Dev Sci 2024; 27:e13459. [PMID: 37987377 DOI: 10.1111/desc.13459] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2019] [Revised: 10/23/2023] [Accepted: 10/24/2023] [Indexed: 11/22/2023]
Abstract
We report the findings of a multi-language and multi-lab investigation of young infants' ability to discriminate lexical tones as a function of their native language, age and language experience, as well as of tone properties. Given the high prevalence of lexical tones across human languages, understanding lexical tone acquisition is fundamental for comprehensive theories of language learning. While there are some similarities between the developmental course of lexical tone perception and that of vowels and consonants, findings for lexical tones tend to vary greatly across different laboratories. To reconcile these differences and to assess the developmental trajectory of native and non-native perception of tone contrasts, this study employed a single experimental paradigm with the same two pairs of Cantonese tone contrasts (perceptually similar vs. distinct) across 13 laboratories in Asia-Pacific, Europe and North-America testing 5-, 10- and 17-month-old monolingual (tone, pitch-accent, non-tone) and bilingual (tone/non-tone, non-tone/non-tone) infants. Across the age range and language backgrounds, infants who were not exposed to Cantonese showed robust discrimination of the two non-native lexical tone contrasts. Contrary to this overall finding, the statistical model assessing native discrimination by Cantonese-learning infants failed to yield significant effects. These findings indicate that lexical tone sensitivity is maintained from 5 to 17 months in infants acquiring tone and non-tone languages, challenging the generalisability of the existing theoretical accounts of perceptual narrowing in the first months of life. RESEARCH HIGHLIGHTS: This is a multi-language and multi-lab investigation of young infants' ability to discriminate lexical tones. This study included data from 13 laboratories testing 5-, 10-, and 17-month-old monolingual (tone, pitch-accent, non-tone) and bilingual (tone/non-tone, non-tone/non-tone) infants. Overall, infants discriminated a perceptually similar and a distinct non-native tone contrast, although there was no evidence of a native tone-language advantage in discrimination. These results demonstrate maintenance of tone discrimination throughout development.
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Affiliation(s)
- Marina Kalashnikova
- Basque Center on Cognition, Brain and Language, San Sebastian, Spain
- Ikerbasque, Basque Foundation for Science, Bilbao, Spain
| | - Leher Singh
- Department of Psychology, National University of Singapore, Singapore, Singapore
| | | | - Eylem Altuntas
- MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Penrith, Australia
| | - Denis Burnham
- MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Penrith, Australia
| | - Ryan Cannistraci
- Department of Psychology, University of Tennessee, Knoxville, Tennessee, USA
- Department of Psychology, Lafayette College, Easton, Pennsylvania, USA
| | - Ng Bee Chin
- Linguistics and Multilingual Studies, School of Humanities, Nanyang Technological University, Singapore, Singapore
| | - Ye Feng
- Department of Linguistics and Modern Languages, The Chinese University of Hong Kong, Hong Kong SAR, China
- Brain and Mind Institute, The Chinese University of Hong Kong, Hong Kong SAR, China
- Department of Linguistics, Beijing Language and Culture University, Beijing, China
| | - Laura Fernández-Merino
- Basque Center on Cognition, Brain and Language, San Sebastian, Spain
- University of Basque Country, San Sebastian, Spain
| | - Antonia Götz
- MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Penrith, Australia
- Linguistics Department, University of Potsdam, Potsdam, Germany
| | - Lisa Gustavsson
- Department of Linguistics, Stockholm University, Stockholm, Sweden
| | - Jessica Hay
- Department of Psychology, University of Tennessee, Knoxville, Tennessee, USA
| | - Barbara Höhle
- Linguistics Department, University of Potsdam, Potsdam, Germany
| | - René Kager
- Department of Languages, Literature and Communication, Utrecht University, Utrecht, Netherlands
- Institute for Language Sciences, Utrecht University, Utrecht, Netherlands
| | - Regine Lai
- Department of Linguistics and Modern Languages, The Chinese University of Hong Kong, Hong Kong SAR, China
- Brain and Mind Institute, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Liquan Liu
- MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Penrith, Australia
- School of Psychology, Western Sydney University, Penrith, Australia
- Centre of Excellence for the Dynamics of Language, Australian Research Council, Canberra, Australia
- Center of Multilingualism across the Lifespan, University of Oslo, Oslo, Norway
| | - Ellen Marklund
- Department of Linguistics, Stockholm University, Stockholm, Sweden
| | - Thierry Nazzi
- INCC, CNRS Paris, Paris, France
- Université Paris Cité, Paris, France
| | | | | | - Anthony Picaud
- INCC, CNRS Paris, Paris, France
- Université Paris Cité, Paris, France
| | - Iris-Corinna Schwarz
- Department of Linguistics, Stockholm University, Stockholm, Sweden
- Department of Special Education, Stockholm University, Stockholm, Sweden
| | - Feng-Ming Tsao
- Department of Psychology, National Taiwan University, Taipei, Taiwan
- Imaging Center for Integrated Body, Mind and Culture Research, National Taiwan University, Taipei, Taiwan
| | - Patrick C M Wong
- Department of Linguistics and Modern Languages, The Chinese University of Hong Kong, Hong Kong SAR, China
- Brain and Mind Institute, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Pei Jun Woo
- Department of Psychology, Sunway University, Bandar Sunway, Malaysia
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Kraehenbuehl L, Kang D, Bang AS, Ketosugbo KF, Hay J, Patil S, Goldfarb S, Cho J, Lacouture ME. Validation and Responsiveness of the English version of the Chemotherapy-Induced Alopecia Distress Scale (CADS) in Breast Cancer Patients. medRxiv 2023:2023.11.05.23298093. [PMID: 37986836 PMCID: PMC10659502 DOI: 10.1101/2023.11.05.23298093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
Purpose This study aimed to validate the chemotherapy-induced alopecia distress scale (CADS) in a diverse English-speaking population and patients with endocrine treatment- induced alopecia (EIA). Objective Chemotherapy and endocrine therapy commonly cause alopecia in breast cancer patients, leading to significant psychological and social challenges. The CADS was developed to assess the psychosocial impact of alopecia, but its generalizability beyond Korean patients requires further investigation. Methods Data from the CHANCE study ( NCT02530177 ), which focused on non-metastatic breast cancer, was used. The cohort included 256 patients, and CADS data were collected at baseline, six months after chemotherapy completion, or 12 months after initiating endocrine therapy. The CADS questionnaire comprised 17 items covering physical and emotional health, daily activities, and relationships. Reliability was assessed using Cronbach's alpha, and responsiveness was measured by effect size. Results The CADS exhibited good reliability, with a Cronbach's alpha of 0.91 for the overall score, indicating acceptable internal consistency in both chemotherapy (0.89) and endocrine therapy (0.86) groups. Longitudinal responsiveness was supported by an effect size of 0.49 between decreasing satisfaction with hair growth and increasing emotional distress. Cross-sectional validity was confirmed, with effect sizes of 0.91 and 0.92 for satisfaction with hair growth and emotional and activity domains, respectively. Conclusion The CADS is a valid and responsive tool for assessing the psychosocial impact of chemotherapy-induced alopecia and endocrine treatment-induced alopecia in a diverse Western patient population.
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Alexander PG, van Wyk HC, Pennel KAF, Hay J, McMillan DC, Horgan PG, Roxburgh CSD, Edwards J, Park JH. The Glasgow Microenvironment Score and risk and site of recurrence in TNM I-III colorectal cancer. Br J Cancer 2023; 128:556-567. [PMID: 36476660 PMCID: PMC9938140 DOI: 10.1038/s41416-022-02069-x] [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] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 11/10/2022] [Accepted: 11/14/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Glasgow Microenvironment Score (GMS) stratifies long-term survival into three groups based on tumour phenotype: peritumoural inflammation (Klintrup-Mäkinen (KM)) and tumour stroma percentage (TSP). However, it is not known if the location of disease recurrence is influenced by the GMS category. METHODS Seven hundred and eighty-three TNM I-III colorectal cancers (CRC) were included. GMS (GMS0-high KM; GMS1-low KM, low TSP; GMS2-low KM, high TSP) and cancer-specific survival (CSS), overall survival (OS) and disease recurrence were assessed using Cox regression analysis. RESULTS Of the 783 patients, 221 developed CRC recurrence; 65 developed local recurrence + systemic disease. GMS was independent for CSS (HR 1.50, 95% CI 1.17-1.92, p < 0.001) and OS (HR 1.23, 1.05-1.44, p = 0.01). Higher GMS category was associated with T-stage, N-stage, emergency presentation and venous invasion. GMS was independent for local+systemic recurrence (HR 11.53, 95% CI 1.45-91.85, p = 0.04) and distant-only recurrence (HR 3.01, 95% CI 1.59-5.71, p = 0.002). GMS 2 disease did not appear to have statistically better outcomes with adjuvant chemotherapy in high-risk disease. CONCLUSION Although confounded by a higher rate of T4 and node-positive disease, GMS 1 and 2 are associated with an increased risk of local and distant recurrence. GMS is an independent poor prognostic indicator for recurrent colorectal cancer. Higher GMS patients may benefit from enhanced postoperative surveillance.
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Affiliation(s)
- P G Alexander
- School of Medicine, University of Glasgow, Glasgow, UK.
| | - H C van Wyk
- School of Medicine, University of Glasgow, Glasgow, UK
| | - K A F Pennel
- Institute of Cancer Sciences, University of Glasgow, Glasgow, UK
| | - J Hay
- Glasgow Tissue Research Facility, University of Glasgow, Queen Elizabeth University Hospital, Glasgow, UK
| | - D C McMillan
- School of Medicine, University of Glasgow, Glasgow, UK
| | - P G Horgan
- School of Medicine, University of Glasgow, Glasgow, UK
| | - C S D Roxburgh
- School of Medicine, University of Glasgow, Glasgow, UK
- Institute of Cancer Sciences, University of Glasgow, Glasgow, UK
| | - J Edwards
- Institute of Cancer Sciences, University of Glasgow, Glasgow, UK
| | - J H Park
- School of Medicine, University of Glasgow, Glasgow, UK
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Church D, Hay J, Sansom O, N. Maka, Oien K, Iveson T, Saunders M, Edwards J, Harkin A, Boukovinas I, Moustou E, Messaritakis I, Chondrozoumaki M, Georgoulias V, Boquet I, Pages F, Catteau A, Galon J, Kelly C, Souglakos I. 336P Prognostic and predictive value of Immunoscore in stage III colorectal cancer in the combined SCOT and IDEA-HORG studies. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.474] [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] Open
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Conway D, Culshaw S, Edwards M, Clark C, Watling C, Robertson C, Braid R, O’Keefe E, McGoldrick N, Burns J, Provan S, VanSteenhouse H, Hay J, Gunson R. SARS-CoV-2 Positivity in Asymptomatic-Screened Dental Patients. J Dent Res 2021; 100:583-590. [PMID: 33779355 PMCID: PMC8138329 DOI: 10.1177/00220345211004849] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [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] [Indexed: 12/11/2022] Open
Abstract
Enhanced community surveillance is a key pillar of the public health response to coronavirus disease 2019 (COVID-19). Asymptomatic carriage of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a potentially significant source of transmission, yet remains relatively poorly understood. Disruption of dental services continues with significantly reduced capacity. Ongoing precautions include preappointment and/or at appointment COVID-19 symptom screening and use of enhanced personal protective equipment (PPE). This study aimed to investigate SARS-CoV-2 infection in dental patients to inform community surveillance and improve understanding of risks in the dental setting. Thirty-one dental care centers across Scotland invited asymptomatic-screened patients aged over 5 y to participate. Following verbal consent and completion of sociodemographic and symptom history questionnaire, trained dental teams took a combined oropharyngeal and nasal swab sample using standardized Viral Transport Medium-containing test kits. Samples were processed by the Lighthouse Lab and patients informed of their results by SMS/email with appropriate self-isolation guidance in the event of a positive test. All positive cases were successfully followed up by the national contact tracing program. Over a 13-wk period (from August 3, 2020, to October 31, 2020), 4,032 patients, largely representative of the population, were tested. Of these, 22 (0.5%; 95% CI, 0.5%-0.8%) tested positive for SARS-CoV-2. The positivity rate increased over the period, commensurate with uptick in community prevalence identified across all national testing monitoring data streams. To our knowledge, this is the first report of a COVID-19 testing survey in asymptomatic-screened patients presenting in a dental setting. The positivity rate in this patient group reflects the underlying prevalence in community at the time. These data are a salient reminder, particularly when community infection levels are rising, of the importance of appropriate ongoing infection prevention control and PPE vigilance, which is relevant as health care team fatigue increases as the pandemic continues. Dental settings are a valuable location for public health surveillance.
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Affiliation(s)
- D.I. Conway
- School of Medicine, Dentistry, Nursing,
University of Glasgow, Glasgow, UK
- Public Health Scotland, Glasgow,
UK
| | - S. Culshaw
- School of Medicine, Dentistry, Nursing,
University of Glasgow, Glasgow, UK
| | - M. Edwards
- Department of Public Health, NHS
Ayrshire and Arran, Ayr, UK
| | - C. Clark
- Public Health Scotland, Glasgow,
UK
| | | | - C. Robertson
- Public Health Scotland, Glasgow,
UK
- Mathematics and Statistics, Strathclyde
University, Glasgow, UK
| | - R. Braid
- Public Health Scotland, Glasgow,
UK
| | - E. O’Keefe
- Public Health Department, NHS Fife,
Leven, UK
| | | | - J. Burns
- Public Health Department, NHS Fife,
Leven, UK
| | - S. Provan
- Oral Health Directorate, NHS Greater
Glasgow & Clyde, Glasgow, UK
| | | | - J. Hay
- Lighthouse Lab in Glasgow, Glasgow,
UK
| | - R. Gunson
- West of Scotland Specialist Virology
Centre, Glasgow Royal Infirmary, Glasgow, UK
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Abstract
We investigate implicit vocabulary learning by adults who are exposed to a language in their ambient environment. Most New Zealanders do not speak Māori, yet are exposed to it throughout their lifetime. We show that this exposure leads to a large proto-lexicon - implicit knowledge of the existence of words and sub-word units without any associated meaning. Despite not explicitly knowing many Māori words, non-Māori-speaking New Zealanders are able to access this proto-lexicon to distinguish Māori words from Māori-like nonwords. What's more, they are able to generalize over the proto-lexicon to generate sophisticated phonotactic knowledge, which lets them evaluate the well-formedness of Māori-like nonwords just as well as fluent Māori speakers.
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Affiliation(s)
- Y Oh
- New Zealand Institute of Language, Brain and Behaviour, NZILBB, University of Canterbury, Private Bag 4800, Christchurch, 8140, New Zealand.
- Department of French Language and Literature, Ajou University, Suwon, South Korea.
| | - S Todd
- New Zealand Institute of Language, Brain and Behaviour, NZILBB, University of Canterbury, Private Bag 4800, Christchurch, 8140, New Zealand
- Department of Linguistics, University of California, Santa Barbara, USA
| | - C Beckner
- Department of Applied Linguistics, University of Warwick, Coventry, UK
| | - J Hay
- New Zealand Institute of Language, Brain and Behaviour, NZILBB, University of Canterbury, Private Bag 4800, Christchurch, 8140, New Zealand
- Department of Linguistics, University of Canterbury, Christchurch, New Zealand
| | - J King
- New Zealand Institute of Language, Brain and Behaviour, NZILBB, University of Canterbury, Private Bag 4800, Christchurch, 8140, New Zealand
- Aotahi - School of Māori and Indigenous Studies, University of Canterbury, Christchurch, New Zealand
| | - J Needle
- New Zealand Institute of Language, Brain and Behaviour, NZILBB, University of Canterbury, Private Bag 4800, Christchurch, 8140, New Zealand
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Seney V, Insana J, Alberto A, Hay J. Opioid training development: Cultivating nurse competence through education. J Child Adolesc Psychiatr Nurs 2020; 33:141-147. [PMID: 32506588 DOI: 10.1111/jcap.12281] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [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: 04/08/2019] [Revised: 05/14/2020] [Accepted: 05/25/2020] [Indexed: 11/30/2022]
Abstract
TOPIC Mental illness and substance use have become areas of concern throughout society. One of the greatest concerns affecting the United States is the increased prevalence of opioid use and accidental overdose. The opioid epidemic not only impacts adults, it also affects the nation's most vulnerable youth. Children and adolescents are at high risk for substance abuse due to multiple risk factors including negative life events, family dysfunction, and parental substance abuse. PURPOSE Pediatric nurses must be prepared to care for children and families who experience opioid addiction and overdose. The aim of the quality improvement project was to improve the skill set of nurses working with children and adolescents with substance use disorders (SUDs) in a pediatric psychiatric hospital. SOURCES USED Nurses attended a 2-hr workshop focused on nursing interventions related to SUD utilizing Orlando's Nursing Theory and Brief Intervention Therapy. Following the workshop, nurses reported their perceived competence in caring for individuals at risk for or identified with SUD increased. CONCLUSION The workshop appeared to be effective in increasing nurses' competence and confidence if working with youth and their families dealing with substance use issues.
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Affiliation(s)
- Valerie Seney
- College of Nursing and Health Sciences, University of Massachusetts Dartmouth, Dartmouth, Massachusetts, USA
| | - Jacqueline Insana
- Nursing Department, Bradley Hospital, East Providence, Rhode Island, USA
| | - Allison Alberto
- School Nurses Department, Dighton Elementary School, Dighton, Massachusetts, USA
| | - Jessica Hay
- College of Nursing and Health Sciences, University of Massachusetts Dartmouth, Dartmouth, Massachusetts, USA
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Frank MC, Alcock KJ, Arias-Trejo N, Aschersleben G, Baldwin D, Barbu S, Bergelson E, Bergmann C, Black AK, Blything R, Böhland MP, Bolitho P, Borovsky A, Brady SM, Braun B, Brown A, Byers-Heinlein K, Campbell LE, Cashon C, Choi M, Christodoulou J, Cirelli LK, Conte S, Cordes S, Cox C, Cristia A, Cusack R, Davies C, de Klerk M, Delle Luche C, Ruiter LD, Dinakar D, Dixon KC, Durier V, Durrant S, Fennell C, Ferguson B, Ferry A, Fikkert P, Flanagan T, Floccia C, Foley M, Fritzsche T, Frost RLA, Gampe A, Gervain J, Gonzalez-Gomez N, Gupta A, Hahn LE, Kiley Hamlin J, Hannon EE, Havron N, Hay J, Hernik M, Höhle B, Houston DM, Howard LH, Ishikawa M, Itakura S, Jackson I, Jakobsen KV, Jarto M, Johnson SP, Junge C, Karadag D, Kartushina N, Kellier DJ, Keren-Portnoy T, Klassen K, Kline M, Ko ES, Kominsky JF, Kosie JE, Kragness HE, Krieger AAR, Krieger F, Lany J, Lazo RJ, Lee M, Leservoisier C, Levelt C, Lew-Williams C, Lippold M, Liszkowski U, Liu L, Luke SG, Lundwall RA, Macchi Cassia V, Mani N, Marino C, Martin A, Mastroberardino M, Mateu V, Mayor J, Menn K, Michel C, Moriguchi Y, Morris B, Nave KM, Nazzi T, Noble C, Novack MA, Olesen NM, John Orena A, Ota M, Panneton R, Esfahani SP, Paulus M, Pletti C, Polka L, Potter C, Rabagliati H, Ramachandran S, Rennels JL, Reynolds GD, Roth KC, Rothwell C, Rubez D, Ryjova Y, Saffran J, Sato A, Savelkouls S, Schachner A, Schafer G, Schreiner MS, Seidl A, Shukla M, Simpson EA, Singh L, Skarabela B, Soley G, Sundara M, Theakston A, Thompson A, Trainor LJ, Trehub SE, Trøan AS, Tsui ASM, Twomey K, Von Holzen K, Wang Y, Waxman S, Werker JF, Wermelinger S, Woolard A, Yurovsky D, Zahner K, Zettersten M, Soderstrom M. Quantifying Sources of Variability in Infancy Research Using the Infant-Directed-Speech Preference. Advances in Methods and Practices in Psychological Science 2020. [DOI: 10.1177/2515245919900809] [Citation(s) in RCA: 76] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Psychological scientists have become increasingly concerned with issues related to methodology and replicability, and infancy researchers in particular face specific challenges related to replicability: For example, high-powered studies are difficult to conduct, testing conditions vary across labs, and different labs have access to different infant populations. Addressing these concerns, we report on a large-scale, multisite study aimed at (a) assessing the overall replicability of a single theoretically important phenomenon and (b) examining methodological, cultural, and developmental moderators. We focus on infants’ preference for infant-directed speech (IDS) over adult-directed speech (ADS). Stimuli of mothers speaking to their infants and to an adult in North American English were created using seminaturalistic laboratory-based audio recordings. Infants’ relative preference for IDS and ADS was assessed across 67 laboratories in North America, Europe, Australia, and Asia using the three common methods for measuring infants’ discrimination (head-turn preference, central fixation, and eye tracking). The overall meta-analytic effect size (Cohen’s d) was 0.35, 95% confidence interval = [0.29, 0.42], which was reliably above zero but smaller than the meta-analytic mean computed from previous literature (0.67). The IDS preference was significantly stronger in older children, in those children for whom the stimuli matched their native language and dialect, and in data from labs using the head-turn preference procedure. Together, these findings replicate the IDS preference but suggest that its magnitude is modulated by development, native-language experience, and testing procedure.
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Ocampo C, Wu J, Dey J, Sun Z, Motwani M, Reddy A, Parikh A, Hay J, Komarnitsky P, Bach B. P2.01-19 Phase 2 Study of Telisotuzumab Vedotin (Teliso-V) in Previously Treated c-MET+ Non-Small Cell Lung Cancer: Trial in Progress. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.1363] [Citation(s) in RCA: 2] [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: 11/26/2022]
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11
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Singh L, Burnham D, Hay J, Liu L, Mattock K. Editorial: Lexical Tone Perception in Infants and Young Children: Empirical Studies and Theoretical Perspectives. Front Psychol 2019; 10:1195. [PMID: 31178803 PMCID: PMC6538691 DOI: 10.3389/fpsyg.2019.01195] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Accepted: 05/07/2019] [Indexed: 11/18/2022] Open
Affiliation(s)
- Leher Singh
- Department of Psychology, National University of Singapore, Singapore, Singapore
- *Correspondence: Leher Singh
| | - Denis Burnham
- MARCS Institute for Brain, Behaviour & Development, Western Sydney University, Penrith, NSW, Australia
| | - Jessica Hay
- Department of Psychology, The University of Tennessee, Knoxville, TN, United States
| | - Liquan Liu
- Department of Psychology, Western Sydney University, Penrith, NSW, Australia
| | - Karen Mattock
- Department of Psychology, Western Sydney University, Penrith, NSW, Australia
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Cohen B, Hay J, Barzi A. Threshold Analysis of a Cost-Effectiveness Study for Short-Course Radiation Therapy Compared to Long-Course Chemoradiotherapy in the Treatment of Stage III Rectal Cancer. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1183] [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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Wilson PF, Smith MP, Hay J, Warnett JM, Attridge A, Williams MA. X-ray computed tomography (XCT) and chemical analysis (EDX and XRF) used in conjunction for cultural conservation: the case of the earliest scientifically described dinosaur Megalosaurus bucklandii. Herit Sci 2018; 6:58. [PMID: 31258911 PMCID: PMC6559147 DOI: 10.1186/s40494-018-0223-0] [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] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Accepted: 09/26/2018] [Indexed: 06/09/2023]
Abstract
This paper demonstrates the combined use of X-ray computed tomography (XCT), energy dispersive X-ray spectroscopy (EDX) and X-ray fluorescence (XRF) to evaluate the conservational history of the dentary (lower jaw) of Megalosaurus bucklandii Mantell, 1827, the first scientifically described dinosaur. Previous analysis using XCT revealed that the specimen had undergone at least two phases of repair using two different kinds of plaster, although their composition remained undetermined. Additional chemical analysis using EDX and XRF has allowed the determination of the composition of these unidentified plasters, revealing that they are of similar composition, composed dominantly of 'plaster of Paris' mixed with quartz sand and calcite, potentially from the matrix material of the Stonesfield Slate, with the trace presence of chlorine. One of the plasters unusually contains the pigment minium (naturally occurring lead tetroxide; Pb2 2+Pb4+O4) whilst the other seems to have an additional coating of barium hydroxide (Ba(OH)2), indicating that these likely represent two separate stages of repair. The potential of this combined approach for evaluating problematic museum objects for conservation is further discussed as is its usage in cultural heritage today.
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Affiliation(s)
- P. F. Wilson
- Warwick Manufacturing Group (WMG)-University of Warwick, Coventry, UK
| | - M. P. Smith
- Oxford University Museum of Natural History (OUMNH)-University of Oxford, Oxford, UK
| | - J. Hay
- Oxford University Museum of Natural History (OUMNH)-University of Oxford, Oxford, UK
| | - J. M. Warnett
- Warwick Manufacturing Group (WMG)-University of Warwick, Coventry, UK
| | - A. Attridge
- Warwick Manufacturing Group (WMG)-University of Warwick, Coventry, UK
| | - M. A. Williams
- Warwick Manufacturing Group (WMG)-University of Warwick, Coventry, UK
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Hay J, Seal DV. BSE: Cow Politics Revisited. J R Soc Med 2018; 89:659-60. [PMID: 9135604 PMCID: PMC1296018 DOI: 10.1177/014107689608901128] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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16
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Ward LM, Ma J, Rauch F, Benchimol EI, Hay J, Leonard MB, Matzinger MA, Shenouda N, Lentle B, Cosgrove H, Scharke M, Konji VN, Mack DR. Musculoskeletal health in newly diagnosed children with Crohn's disease. Osteoporos Int 2017; 28:3169-3177. [PMID: 28791436 DOI: 10.1007/s00198-017-4159-0] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Accepted: 07/11/2017] [Indexed: 12/15/2022]
Abstract
UNLABELLED We evaluated the impact of Crohn's disease on muscle and bone strength, mass, density, and geometry in children with newly diagnosed CD and found profound muscle and bone deficits; nevertheless, the prevalence of vertebral fractures at this time point was low. INTRODUCTION Crohn's disease (CD) is an inflammatory condition of the gastrointestinal tract that can affect the musculoskeletal system. The objective of this study was to determine the prevalence of vertebral fractures and the impact of CD on muscle and bone mass, strength, density, and geometry in children with newly diagnosed CD. METHODS Seventy-three children (26 girls) aged 7.0 to 17.7 years were examined within 35 days following CD diagnosis by lateral spine radiograph for vertebral fractures and by jumping mechanography for muscle strength. Bone and muscle mass, density, and geometry were assessed by dual-energy x-ray absorptiometry and peripheral quantitative computed tomography (pQCT). RESULTS Disease activity was moderate to severe in 66 (90%) patients. Mean height (Z-score -0.3, standard deviation (SD) 1.1, p = 0.02), weight (Z-score -0.8, SD 1.3, p < 0.01), body mass index (Z-score -1.0, SD 1.3, p < 0.01), lumbar spine areal bone mineral density (BMD; Z-score -1.1, SD 1.0, p < 0.01), total body bone mineral content (Z-score -1.5, SD 1.0, p < 0.01), and total body lean mass (Z-score -2.5, SD 1.1, p < 0.01) were all low for age and gender. pQCT showed reduced trabecular volumetric BMD at the tibial metaphysis, expansion of the bone marrow cavity and thin cortices at the diaphysis, and low calf muscle cross-sectional area. Jumping mechanography demonstrated low muscle power. Only one patient had a vertebral fracture. CONCLUSIONS Children with newly diagnosed CD have profound muscle and bone deficits; nevertheless, the prevalence of vertebral fractures at this time point was low.
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Affiliation(s)
- L M Ward
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
- Department of Pediatrics, University of Ottawa, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.
| | - J Ma
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
- School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada
| | - F Rauch
- Shriners Hospital for Children, Department of Pediatrics, McGill University, Montreal, QC, Canada
| | - E I Benchimol
- Department of Pediatrics, University of Ottawa, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada
- School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, ON, Canada
- Children's Hospital of Eastern Ontario Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada
| | - J Hay
- Department of Health Sciences, Brock University, St. Catharines, ON, Canada
| | - M B Leonard
- Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA
| | - M A Matzinger
- Department of Medical Imaging, Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, ON, Canada
| | - N Shenouda
- Department of Medical Imaging, Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, ON, Canada
| | - B Lentle
- Department of Radiology, University of British Columbia, Vancouver, BC, Canada
| | - H Cosgrove
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - M Scharke
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - V N Konji
- Pediatric Bone Health Clinical Research Program, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
| | - D R Mack
- Department of Pediatrics, University of Ottawa, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada
- Children's Hospital of Eastern Ontario Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada
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Musuamba FT, Manolis E, Holford N, Cheung S, Friberg LE, Ogungbenro K, Posch M, Yates J, Berry S, Thomas N, Corriol-Rohou S, Bornkamp B, Bretz F, Hooker AC, Van der Graaf PH, Standing JF, Hay J, Cole S, Gigante V, Karlsson K, Dumortier T, Benda N, Serone F, Das S, Brochot A, Ehmann F, Hemmings R, Rusten IS. Advanced Methods for Dose and Regimen Finding During Drug Development: Summary of the EMA/EFPIA Workshop on Dose Finding (London 4-5 December 2014). CPT Pharmacometrics Syst Pharmacol 2017; 6:418-429. [PMID: 28722322 PMCID: PMC5529745 DOI: 10.1002/psp4.12196] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Revised: 03/27/2017] [Accepted: 03/27/2017] [Indexed: 02/05/2023]
Abstract
Inadequate dose selection for confirmatory trials is currently still one of the most challenging issues in drug development, as illustrated by high rates of late‐stage attritions in clinical development and postmarketing commitments required by regulatory institutions. In an effort to shift the current paradigm in dose and regimen selection and highlight the availability and usefulness of well‐established and regulatory‐acceptable methods, the European Medicines Agency (EMA) in collaboration with the European Federation of Pharmaceutical Industries Association (EFPIA) hosted a multistakeholder workshop on dose finding (London 4–5 December 2014). Some methodologies that could constitute a toolkit for drug developers and regulators were presented. These methods are described in the present report: they include five advanced methods for data analysis (empirical regression models, pharmacometrics models, quantitative systems pharmacology models, MCP‐Mod, and model averaging) and three methods for study design optimization (Fisher information matrix (FIM)‐based methods, clinical trial simulations, and adaptive studies). Pairwise comparisons were also discussed during the workshop; however, mostly for historical reasons. This paper discusses the added value and limitations of these methods as well as challenges for their implementation. Some applications in different therapeutic areas are also summarized, in line with the discussions at the workshop. There was agreement at the workshop on the fact that selection of dose for phase III is an estimation problem and should not be addressed via hypothesis testing. Dose selection for phase III trials should be informed by well‐designed dose‐finding studies; however, the specific choice of method(s) will depend on several aspects and it is not possible to recommend a generalized decision tree. There are many valuable methods available, the methods are not mutually exclusive, and they should be used in conjunction to ensure a scientifically rigorous understanding of the dosing rationale.
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Affiliation(s)
- F T Musuamba
- EMA Modelling and Simulation Working Group, London, UK.,Federal Agency for Medicines and Health Products, Brussels, Belgium.,UMR850 INSERM, Université de Limoges, Limoges, France
| | - E Manolis
- EMA Modelling and Simulation Working Group, London, UK.,European Medicines Agency, London, UK
| | - N Holford
- Department of Pharmacology & Clinical Pharmacology, University of Auckland, Auckland, New Zealand
| | | | | | | | - M Posch
- Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria
| | | | - S Berry
- Berry consultants, Austin, Texas, USA
| | | | | | | | - F Bretz
- Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria.,Novartis, London, UK
| | | | - P H Van der Graaf
- Leiden Academic Centre for Drug Research, Leiden, The Netherlands.,Certara QSP, Canterbury, UK
| | - J F Standing
- EMA Modelling and Simulation Working Group, London, UK.,University College London, London, UK
| | - J Hay
- EMA Modelling and Simulation Working Group, London, UK.,Medicines and Healthcare Products Regulatory Agency, London, UK
| | - S Cole
- EMA Modelling and Simulation Working Group, London, UK.,Medicines and Healthcare Products Regulatory Agency, London, UK
| | - V Gigante
- EMA Modelling and Simulation Working Group, London, UK.,Agenzia Italiana del Farmaco, Roma, Italy
| | - K Karlsson
- EMA Modelling and Simulation Working Group, London, UK.,Medical Products Agency, Uppsala, Sweden
| | | | - N Benda
- EMA Modelling and Simulation Working Group, London, UK.,Bundesinstitut für Arzneimittel und Medizinprodukte, Bonn, Germany
| | - F Serone
- EMA Modelling and Simulation Working Group, London, UK.,Agenzia Italiana del Farmaco, Roma, Italy
| | - S Das
- AstraZeneca UK Limited, London, UK
| | | | - F Ehmann
- European Medicines Agency, London, UK
| | - R Hemmings
- Medicines and Healthcare Products Regulatory Agency, London, UK
| | - I Skottheim Rusten
- EMA Modelling and Simulation Working Group, London, UK.,Norvegian Medicines Agency, Oslo, Norway
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McMillan TM, McSkimming P, Wainman-Lefley J, Maclean LM, Hay J, McConnachie A, Stewart W. Long-term health outcomes after exposure to repeated concussion in elite level: rugby union players. J Neurol Neurosurg Psychiatry 2017; 88:505-511. [PMID: 27951526 DOI: 10.1136/jnnp-2016-314279] [Citation(s) in RCA: 62] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2016] [Revised: 09/12/2016] [Accepted: 09/12/2016] [Indexed: 12/27/2022]
Abstract
BACKGROUND There is continuing concern about effects of concussion in athletes, including risk of the neurodegenerative disease chronic traumatic encephalopathy. However, information on long-term health and wellbeing in former athletes is limited. METHOD Outcome after exposure to repeated brain injury was investigated in 52 retired male Scottish international rugby players (RIRP) and 29 male controls who were similar in age and social deprivation. Assessment included history of playing rugby and traumatic brain injury, general and mental health, life stress, concussion symptoms, cognitive function, disability and markers of chronic stress (allostatic load). RESULTS The estimated number of concussions in RIRP averaged 14 (median=7; IQR 5-40). Performance was poorer in RIRP than controls on a test of verbal learning (p=0.022) and of fine co-ordination of the dominant hand (p=0.038) and not significantly different on other cognitive tests (p>0.05). There were no significant associations between number of concussions and performance on cognitive tests. Other than a higher incidence of cardiovascular disease in controls, no group differences were detected in general or mental health or estimates of allostatic load. In RIRP, persisting symptoms attributed to concussion were more common if reporting more than nine concussions (p=0.028), although these symptoms were not perceived to affect social or work functioning. CONCLUSIONS Despite a high number of concussions in RIRP, differences in mental health, social or work functioning were not found late after injury. Subtle group differences were detected on two cognitive tests, the cause of which is uncertain. Prospective group comparison studies on representative cohorts are required.
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Affiliation(s)
- T M McMillan
- Institute for Health & Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK
| | - P McSkimming
- Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK
| | - J Wainman-Lefley
- Institute for Health & Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK
| | - L M Maclean
- Institute for Health & Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK
| | - J Hay
- Department of Neuropathology, Laboratory Medicine Building, Queen Elizabeth University Hospital, Glasgow, UK
| | - A McConnachie
- Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK
| | - W Stewart
- Department of Neuropathology, Laboratory Medicine Building, Queen Elizabeth University Hospital, Glasgow, UK.,Institute of Neuroscience and Psychology, University of Glasgow, Glasgow, UK
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Giambattista J, McVicar N, Martin M, Ho C, Maas B, Hay J, Wu J, Keyes M, Berthelet E. Magnitude and Timing of Gross Tumor Volume Response to Neoadjuvant Chemotherapy and Concurrent Chemoradiation in the Treatment of Locally Advanced Nasopharyngeal Carcinoma. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2015.12.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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20
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Hay J, Wittmeier K, MacIntosh A, Wicklow B, Duhamel T, Sellers E, Dean H, Ready E, Berard L, Kriellaars D, Shen GX, Gardiner P, McGavock J. Physical activity intensity and type 2 diabetes risk in overweight youth: a randomized trial. Int J Obes (Lond) 2015; 40:607-14. [PMID: 26617254 DOI: 10.1038/ijo.2015.241] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Accepted: 08/13/2015] [Indexed: 11/09/2022]
Abstract
BACKGROUND The chronic effects of high-intensity endurance training on metabolic health outcomes in overweight adolescents remains poorly understood. OBJECTIVE To test the hypothesis that high-intensity endurance training (ET) is superior to moderate-intensity ET for improving risk factors for type 2 diabetes in overweight adolescents. DESIGN AND METHODS In this randomized trial, 106 overweight and obese adolescents (15.2 years; 76% female; 62% Caucasian) were randomly assigned to high-intensity ET (70-85% of heart rate reserve, n=38), moderate-intensity ET (40-55% heart rate reserve; n=32) or control for 6 months (n=36). The primary and secondary outcome measures were insulin sensitivity assessed using a frequently sampled intravenous glucose tolerance test and hepatic triglyceride content with magnetic resonance spectroscopy. Exploratory outcomes were cardiorespiratory fitness, physical activity and MRI and dual x-ray absorptiometry-derived measures of adiposity. RESULTS The study had 96% retention and attendance was 61±21% and 55±24% in the high- and moderate-intensity ET arms. Intention-to-treat analyses revealed that, at follow-up, insulin sensitivity was not different between high-intensity (-1.0 mU kg(-1) min(-1); 95% confidence interval (CI): -1.6, +1.4 mU kg(-1) min(-1)) and moderate-intensity (+0.26 mU kg(-1) min(-1); 95% CI: -1.3, +1.8 mU kg(-1) min(-1)) ET arms compared with controls (interaction, P=0.97). Similarly, hepatic triglyceride at follow-up was not different in high-intensity (-1.7% fat/water (F/W); 95% CI: -7.0, +3.6% F/W) and moderate-intensity (-0.40% FW; 95% CI: -6.0, +5.3% F/W) ET compared with controls. Both high intensity (+4.4 ml per kg-FFM (fat-free mass) per minute; 95% CI: 1.7, 7.1 ml kg-FFM(-1) min(-1)) and moderate intensity (+4.4 ml kg-FFM(-1) min(-1); 95% CI: 1.6, 7.3 ml kg-FFM(-1) min(-1)) increased cardiorespiratory fitness, relative to controls (interaction P<0.001). CONCLUSIONS ET improves cardiorespiratory fitness among obese adolescents; however, owing to lack of compliance, the influence of exercise intensity on insulin sensitivity and hepatic triglycerides remains unclear.
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Affiliation(s)
- J Hay
- Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.,Department of Pediatrics and Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.,Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada
| | - K Wittmeier
- Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.,Department of Pediatrics and Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - A MacIntosh
- Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada
| | - B Wicklow
- Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.,Department of Pediatrics and Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - T Duhamel
- Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada.,Health, Leisure and Human Performance Research Institute, Winnipeg, Manitoba, Canada.,Department of Physiology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.,Institute of Cardiovascular Sciences, St. Boniface Research Centre, Winnipeg, Manitoba, Canada
| | - E Sellers
- Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.,Department of Pediatrics and Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - H Dean
- Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.,Department of Pediatrics and Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - E Ready
- Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada.,Health, Leisure and Human Performance Research Institute, Winnipeg, Manitoba, Canada
| | - L Berard
- Diabetes Research Group, Health Sciences Centre of Winnipeg, Winnipeg, Manitoba, Canada
| | - D Kriellaars
- Faculty of Medical Rehabilitation, University of Manitoba, Winnipeg, Manitoba, Canada
| | - G X Shen
- Diabetes Research Group, Health Sciences Centre of Winnipeg, Winnipeg, Manitoba, Canada
| | - P Gardiner
- Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada.,Health, Leisure and Human Performance Research Institute, Winnipeg, Manitoba, Canada.,Department of Physiology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - J McGavock
- Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.,Department of Pediatrics and Child Health, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.,Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada.,Department of Physiology, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
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Giambattista J, McVicar N, Martin M, Ho C, Maas B, Hay J, Wu J, Keyes M, Berthelet E. Magnitude and Timing of GTV Response to Neoadjuvant Chemotherapy and Concurrent Chemoradiation in the Treatment of Locally Advanced Nasopharyngeal Carcinoma. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.1373] [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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Hay J. Rhesus immunisation in relation to pregnancy and parturition. Bibl Haematol 2015; 29:359-63. [PMID: 4973603 DOI: 10.1159/000384637] [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: 01/13/2023]
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Hamilton JG, Salerno M, Amoroso K, Sheehan M, Harlan Fleischut M, Glogowski E, Siegel B, Arnold AG, Salo-Mullen EE, Hay J, Offit K, Robson ME. Decision Making about Contralateral Prophylactic Mastectomy Among BRCA1/2 Noncarriers with Newly-diagnosed Breast Cancer: Examining Cognitive, Emotional, and Sociodemographic Influences. Cancer Epidemiol Biomarkers Prev 2015. [DOI: 10.1158/1055-9965.epi-15-0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Abstract
Pre-surgical BRCA1/2 genetic testing provides valuable risk information to guide a newly-diagnosed breast cancer patient's decision about whether to have a contralateral prophylactic mastectomy (CPM) to reduce her future risk of cancer in her unaffected breast. Although BRCA1/2 mutation noncarriers face a much lower objective ten-year risk of developing contralateral disease (approximately 3–10%) as compared to the risk of BRCA1/2 mutation carriers (27–37%), some noncarriers still choose to undergo a CPM. The psychosocial factors that motivate this decision are not well understood and warrant investigation. Thus, as part of a prospective study of pre-surgical BRCA1/2 testing, we examined the frequency and psychosocial correlates of the decision to undergo a CPM among newly-diagnosed breast cancer patients who were identified as BRCA1/2 mutation noncarriers. Self-report questionnaire data from 90 BRCA1/2 noncarriers (median age = 43 years, range = 29–59) were analyzed. A sizeable minority of the BRCA1/2 noncarriers (24.4%) chose to undergo a CPM after learning their mutation status (compared to 88% of the 8 BRCA1/2 carriers in the sample). Both bivariate and multivariable analyses indicated that perceiving that one's physician had recommended CPM (OR = 11.17, P = 0.007), perceiving greater risk for contralateral breast cancer (OR = 6.46, P = 0.02), and perceiving greater pros of CPM (OR = 1.37, P = 0.004) were all significantly associated with noncarriers' decision to undergo CPM. However, factors including age, Ashkenazi Jewish ethnicity, breast cancer-related distress, perceived cons of CPM, and decisional conflict regarding CPM were not related to the CPM decision (all ps > 0.05). Results demonstrate that although noncarriers' decision making regarding CPM was unrelated to sociodemographic and emotional factors, their cognitive perceptions of contralateral disease risk, surgical benefits, and physician recommendations were particularly important. Future studies should examine the content of patient-physician communication regarding CPM and hereditary risk in greater detail, and explore how these conversations shape and interact with women's past experiences, emotions, and beliefs to influence their cancer prevention decisions.
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Affiliation(s)
- Y Ding
- University of Southern California, Los Angeles, CA, USA
| | - J Hay
- University of Southern California, Los Angeles, CA, USA
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Lefresne S, Cheung W, Hay J, Brown C, Speers C, Olson R. Management of Stage II and III Rectal Cancer: Is There a Rural-Urban Difference? Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.1232] [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: 10/24/2022]
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Tiwana MS, Wu J, Hay J, Wong F, Cheung W, Olson RA. 25 year survival outcomes for squamous cell carcinomas of the head and neck: population-based outcomes from a Canadian province. Oral Oncol 2014; 50:651-6. [PMID: 24731736 DOI: 10.1016/j.oraloncology.2014.03.009] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2013] [Revised: 02/17/2014] [Accepted: 03/23/2014] [Indexed: 01/21/2023]
Abstract
OBJECTIVES Long term outcomes of patients with head and neck cancer (HNC) are rarely reported, but of potential benefit to clinicians and researchers. Squamous cell carcinomas (SCC) of the head and neck represent a heterogeneous group of cancers. The purpose of this population based study is to describe primary site specific, long term outcomes of HNC. METHODS All patients from a Canadian province diagnosed between 1986 and 1990 with SCC of the oral cavity, pharynx, and larynx were identified. Chart review and patient data were abstracted through the provincial cancer registry database. Survival analysis was performed with Kaplan Meier methods, while differences in survival between groups were assessed with log-rank tests. Multivariable analysis was performed using Cox-regression. RESULTS 1657 patients were analyzed during the study period. Almost half (50.9%) of the cases were advanced stage (stage III IV) at presentation. Two, 5, 15 & 25year overall survival (OS) and HNC specific survival for all the patients were 64%, 46%, 21%, 11% and 74%, 63%, 53% & 49%, respectively. OS and HNC-specific mortality were statistically inferior among men, older age at diagnosis, advanced stages of disease, and was primary cancer site specific, with worse survival in oropharyngeal & hypopharyngeal sites, p<0.001. CONCLUSIONS Survival rates vary by primary HNC site, and the overall survival & HNC specific survival differ over this long follow up assessment. Head and neck cancer specific death is most common in the first five years, and is subsequently dominated by competing causes of mortality. These results are useful as a reference tool for clinicians, researchers, and trainees.
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Affiliation(s)
- M S Tiwana
- Radiation Oncology, BC Cancer Agency, Centre for the North, Prince George, British Columbia, Canada
| | - J Wu
- Radiation Oncology, BC Cancer Agency, Vancouver, British Columbia, Canada
| | - J Hay
- Radiation Oncology, BC Cancer Agency, Vancouver, British Columbia, Canada
| | - F Wong
- Radiation Oncology, BC Cancer Agency, Surrey, British Columbia, Canada
| | - W Cheung
- Medical Oncology, BC Cancer Agency, Vancouver, British Columbia, Canada
| | - R A Olson
- Radiation Oncology, BC Cancer Agency, Centre for the North, Prince George, British Columbia, Canada.
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Tiwana M, Wu J, Hay J, Wong F, Cheung W, Olson R. Head-and-Neck Cancers as Second Primary Following an Index Head-and-Neck Cancer: Population-Based Outcomes Over a 25-Year Period. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1273] [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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Anderson D, Schaar D, Hentschel HGE, Hay J, Habdas P, Weeks ER. Local elastic response measured near the colloidal glass transition. J Chem Phys 2013; 138:12A520. [DOI: 10.1063/1.4773220] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Olson R, Wong F, Wu J, Hay J. Twenty-five-year Survival Outcomes for Squamous Cell Carcinomas of the Head and Neck: Population-based Outcomes from a Canadian Province. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.529] [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: 10/27/2022]
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Liu J, Hay J, Faught BE, Wade T, Cairney J, Merchant AT, Trevisan M. Family eating and activity habits, diet quality and pre-adolescent overweight and obesity. Public Health 2012; 126:532-4. [PMID: 22560409 DOI: 10.1016/j.puhe.2012.02.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2010] [Revised: 01/12/2012] [Accepted: 02/24/2012] [Indexed: 10/28/2022]
Affiliation(s)
- J Liu
- Department of Community Health Sciences, Brock University, 500 Glenridge Avenue, St. Catharines, ON L2S 3A1, Canada.
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Feber J, Gaboury I, Ni A, Alos N, Arora S, Bell L, Blydt-Hansen T, Clarson C, Filler G, Hay J, Hebert D, Lentle B, Matzinger M, Midgley J, Moher D, Pinsk M, Rauch F, Rodd C, Shenouda N, Siminoski K, Ward LM. Skeletal findings in children recently initiating glucocorticoids for the treatment of nephrotic syndrome. Osteoporos Int 2012; 23:751-60. [PMID: 21494860 PMCID: PMC4000256 DOI: 10.1007/s00198-011-1621-2] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2010] [Accepted: 03/02/2011] [Indexed: 01/27/2023]
Abstract
SUMMARY Eighty children with nephrotic syndrome underwent lumbar spine densitometry and vertebral morphometry soon after glucocorticoid initiation. We found an inverse relationship between glucocorticoid exposure and spine areal bone mineral density (BMD) Z-score and a low rate of vertebral deformities (8%). INTRODUCTION Vertebral fractures are an under-recognized complication of childhood glucocorticoid-treated illnesses. Our goal was to study the relationships among glucocorticoid exposure, lumbar spine areal BMD (LS BMD), and vertebral shape in glucocorticoid-treated children with new-onset nephrotic syndrome. METHODS Lateral thoracolumbar spine radiography and LS BMD were performed in 80 children with nephrotic syndrome (median age 4.4 years; 46 boys) within the first 37 days of glucocorticoid therapy. Genant semiquantitative grading was used as the primary method for vertebral morphometry; the algorithm-based qualitative (ABQ) method was used for secondary vertebral deformity analysis. RESULTS Six of the 78 children with usable radiographs (8%; 95% confidence interval 4 to 16%) manifested a single Genant grade 1 deformity each. All deformities were mild anterior wedging (two at each of T6, T7, and T8). Four of the 78 children (5%; 95% confidence interval 2 to 13%) showed one ABQ sign of fracture each (loss of endplate parallelism; two children at T6 and two at T8). Two of the children with ABQ signs also had a Genant grade 1 deformity in the same vertebral body. None of the children with a Genant or ABQ deformity reported back pain. An inverse relationship was identified between LS BMD Z-score and glucocorticoid exposure. CONCLUSIONS Although we identified an inverse relationship between steroid exposure and LS BMD soon after glucocorticoid initiation for childhood nephrotic syndrome, there was only a low rate of vertebral deformities. The clinical significance of these findings requires further study.
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Affiliation(s)
- J Feber
- University of Ottawa, Ottawa, ON, Canada
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Hay J, Kaphingst KA, Baser R, Li Y, Hensley-Alford S, McBride CM. Skin cancer concerns and genetic risk information-seeking in primary care. Public Health Genomics 2011; 15:57-72. [PMID: 21921576 DOI: 10.1159/000330403] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2010] [Accepted: 06/28/2011] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Genomic testing for common genetic variants associated with skin cancer risk could enable personalized risk feedback to motivate skin cancer screening and sun protection. METHODS In a cross-sectional study, we investigated whether skin cancer cognitions and behavioral factors, sociodemographics, family factors, and health information-seeking were related to perceived importance of learning about how (a) genes and (b) health habits affect personal health risks using classification and regression trees (CART). RESULTS The sample (n = 1,772) was collected in a large health maintenance organization as part of the Multiplex Initiative, ranged in age from 25-40, was 53% female, 41% Caucasian, and 59% African-American. Most reported that they placed somewhat to very high importance on learning about how genes (79%) and health habits (88%) affect their health risks. Social influence actors were associated with information-seeking about genes and health habits. Awareness of family history was associated with importance of health habit, but not genetic, information-seeking. CONCLUSIONS The investment of family and friends in health promotion may be a primary motivator for prioritizing information-seeking about how genes and health habits affect personal health risks and may contribute to the personal value, or personal utility, of risk information. Individuals who seek such risk information may be receptive to interventions aimed to maximize the social implications of healthy lifestyle change to reduce their health risks.
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Affiliation(s)
- J Hay
- Departments of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10022, USA.
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Hay J, Burr AJ. Lymphocyte-Activated Macrophages Enhance In-Vitro Effects of Spiramycin Against Toxoplasma. J Pharm Pharmacol 2011. [DOI: 10.1111/j.2042-7158.1990.tb14472.x] [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: 11/28/2022]
Affiliation(s)
- J Hay
- School of Pharmacy, Leicester Polytechnic, Leicester, LE1 9BH
| | - A J Burr
- School of Pharmacy, Leicester Polytechnic, Leicester, LE1 9BH
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Arnott MA, Hay J. Influence of Pentacarinat on the In-Vitro Activity of the Neutrophil Nadph-Oxidase System. J Pharm Pharmacol 2011. [DOI: 10.1111/j.2042-7158.1990.tb14546.x] [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: 11/26/2022]
Affiliation(s)
- M A Arnott
- Department of Microbiology, The University, Leicester LE1 9HN
| | - J Hay
- School of Pharmacy, Leicester Polytechnic, Leicester LE1 9BH
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Spironello C, Hay J, Missiuna C, Faught BE, Cairney J. Concurrent and construct validation of the short form of the Bruininks-Oseretsky Test of Motor Proficiency and the Movement-ABC when administered under field conditions: implications for screening. Child Care Health Dev 2010; 36:499-507. [PMID: 20337644 DOI: 10.1111/j.1365-2214.2009.01066.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
RATIONALE Among the most widely used instruments to assess developmental co-ordination disorder (DCD) in children are the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) and the Movement Assessment Battery for Children (M-ABC). However, there is little research on agreement between these tests, when administered to children in field-based settings by trained non-clinicians. METHOD Ten of 75 schools participating in a larger study were randomly selected. All children in grade 4 (n= 340) in each of these schools were assessed at the same time using both the BOTMP-SF and the M-ABC in May of 2005. The order of tests was balanced, with an average gap in time between tests of 10-15 min. All tests were administered by trained research assistants. RESULTS The correlation between tests was moderate (r= 0.50, P < 0.01). Kappas were low at the fifth (k= 0.19) and 15th (k= 0.29) percentile cut-points, which are generally used to identify cases of DCD. Re-analysis using the relative improvement over chance (RIOC) statistic, however, revealed slightly better agreement at both cut-points (fifth percentile, RIOC = 0.29; 15th percentile, RIOC = 0.47). Children who scored as probable for DCD on both motor tests, as well as on only the BOTMP-SF, had higher body mass index, poorer physical fitness and lower levels of teacher-reported physical ability than those positive for DCD on the M-ABC only or those who scored negatively on both tests. DISCUSSION In general, the agreement between tests, even after adjustment for RIOC, was poor. Children identified with poor motor competence by both tests or by the BOTMP-SF only are at particular risk for poor physical fitness, overweight/obesity and physical inactivity. It appears that each assessment measures different dimensions of motor ability but that under field-based conditions the M-ABC may be less useful when applied by non-clinicians.
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Affiliation(s)
- C Spironello
- Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
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Cairney J, Hay J, Veldhuizen S, Faught BE. Trajectories of cardiorespiratory fitness in children with and without developmental coordination disorder: a longitudinal analysis. Br J Sports Med 2010; 45:1196-201. [DOI: 10.1136/bjsm.2009.069880] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Dueck AC, Mendoza TR, Reeve BB, Sloan JA, Cleeland CS, Hay J, Li Y, O'Mara AM, Denicoff A, Basch EM. Validation study of the patient-reported outcomes version of the common terminology criteria for adverse events (PRO-CTCAE). J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.tps274] [Citation(s) in RCA: 3] [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: 11/20/2022] Open
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Hay J, Atkinson TM, Mendoza TR, Reeve BB, Willis G, Gagne JJ, Abernethy AP, Cleeland CS, Schrag D, Basch EM. Refinement of the patient-reported outcomes version of the common terminology criteria for adverse events (PRO-CTCAE) via cognitive interviewing. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.9060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Huber AM, Gaboury I, Cabral DA, Lang B, Ni A, Stephure D, Taback S, Dent P, Ellsworth J, LeBlanc C, Saint-Cyr C, Scuccimarri R, Hay J, Lentle B, Matzinger M, Shenouda N, Moher D, Rauch F, Siminoski K, Ward LM. Prevalent vertebral fractures among children initiating glucocorticoid therapy for the treatment of rheumatic disorders. Arthritis Care Res (Hoboken) 2010; 62:516-26. [PMID: 20391507 DOI: 10.1002/acr.20171] [Citation(s) in RCA: 106] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Vertebral fractures are an under-recognized problem in children with inflammatory disorders. We studied spine health among 134 children (87 girls) with rheumatic conditions (median age 10 years) within 30 days of initiating glucocorticoid therapy. METHODS Children were categorized as follows: juvenile dermatomyositis (n = 30), juvenile idiopathic arthritis (n = 28), systemic lupus erythematosus and related conditions (n = 26), systemic arthritis (n = 22), systemic vasculitis (n = 16), and other conditions (n = 12). Thoracolumbar spine radiograph and dual x-ray absorptiometry for lumbar spine (L-spine) areal bone mineral density (BMD) were performed within 30 days of glucocorticoid initiation. Genant semiquantitative grading was used for vertebral morphometry. Second metacarpal morphometry was carried out on a hand radiograph. Clinical factors including disease and physical activity, calcium and vitamin D intake, cumulative glucocorticoid dose, underlying diagnosis, L-spine BMD Z score, and back pain were analyzed for association with vertebral fracture. RESULTS Thirteen vertebral fractures were noted in 9 children (7%). Of these, 6 patients had a single vertebral fracture and 3 had 2-3 fractures. Fractures were clustered in the mid-thoracic region (69%). Three vertebral fractures (23%) were moderate (grade 2); the others were mild (grade 1). For the entire cohort, mean +/- SD L-spine BMD Z score was significantly different from zero (-0.55 +/- 1.2, P < 0.001) despite a mean height Z score that was similar to the healthy average (0.02 +/- 1.0, P = 0.825). Back pain was highly associated with increased odds for fracture (odds ratio 10.6 [95% confidence interval 2.1-53.8], P = 0.004). CONCLUSION In pediatric rheumatic conditions, vertebral fractures can be present prior to prolonged glucocorticoid exposure.
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Affiliation(s)
- A M Huber
- Dalhousie University, Halifax, Nova Scotia, Canada
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Goulart J, Hay J, Thomson T. 102 THE PROGNOSTIC VALUE OF P16 STATUS IN ADVANCED STAGE OROPHARYNGEAL CARCINOMA ACCORDING TO TREATMENT REGIME. Radiother Oncol 2009. [DOI: 10.1016/s0167-8140(12)72489-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Kennecke H, Wong R, Berry S, Tankel K, Rao S, Easaw J, Post J, Hay J. 6037 Bevacizumab – Capecitabine – Oxaliplatin – Radiation – REctal Cancer Trial (A-CORRECT) for locally advanced and low rectal cancers. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71132-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Goulart J, Hay J, Thompson T, Fua T. 8546 The prognostic value of p16 status in advanced stage oropharyngeal carcinoma according to treatment regimen. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71637-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Zago L, Petit L, Hay J, Simon G, Perchey G, Turbelin MR, Delcroix N, Vigneau M, Joliot M, Lamberton F, Crivello F, Mazoyer B, Tzourio-Mazoyer N, Mellet E. Impact of Attentional Bias on Functional Asymetries during a Line Bisection Judgment as revealed by fMRI. Neuroimage 2009. [DOI: 10.1016/s1053-8119(09)70020-5] [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] Open
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Cairney J, Hay J, Veldhuizen S, Missiuna C, Faught BE. Comparing probable case identification of developmental coordination disorder using the short form of the Bruininks-Oseretsky Test of Motor Proficiency and the Movement ABC. Child Care Health Dev 2009; 35:402-8. [PMID: 19397603 DOI: 10.1111/j.1365-2214.2009.00957.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Aim Despite its widespread current use in research and its potential for future application, the validity of the short form of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP-SF) when administered by trained lay assessors is not known. This paper reports the results of case identification using the Movement Assessment Battery for Children (M-ABC) in a group of children scoring below the sixth percentile on the BOTMP-SF. Methods The BOTMP-SF was administered by trained research assistants to 2058 children. In total, 24 of 128 children aged 10 (n = 10), 11 (n = 10) or 12 (n = 4) scoring below the sixth percentile were randomly selected for further assessment by a paediatric occupational therapist using the M-ABC and the Kaufman Brief Intelligence Test. Results Twenty-one of 24 children positive for motor co-ordination problems on the BOTMP-SF scored below the 15th percentile of the M-ABC, a positive predictive value (PPV) of 0.88 [95% confidence interval (CI) = 0.69 to 0.96]. Fifteen of these children were below the fifth percentile (PPV = 0.63; 95% CI = 0.43 to 0.79). Conclusions The BOTMP-SF seems to be a reasonable alternative to case identification when clinical assessment with the M-ABC is not feasible. Further research is needed to examine the sensitivity and specificity of the short form when used for this purpose.
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Affiliation(s)
- J Cairney
- Department of Family Medicine, McMaster University, 75 Frid St, Hamilton, ON L8P 4M3, Canada.
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Meloy LD, Ratner PH, Texter MJ, Kaliner M, Seal B, Tangirala M, Hay J, Gawchik S, Segall N, Georges G, Haeusler JMC. Research abstracts presented at the Western Society of Allergy, Asthma, and Immunology Meeting, January 25‐29, 2009. Allergy Asthma Proc 2009. [DOI: 10.2500/aap.2009.30.3215] [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]
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