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Parks BJ, Salazar P, Morrison L, McGraw MK, Gunnell M, Tobacyk J, Brents LK, Berquist MD. Limited bedding and nesting increases ethanol drinking in female rats. Pharmacol Biochem Behav 2024; 239:173756. [PMID: 38555037 PMCID: PMC11088506 DOI: 10.1016/j.pbb.2024.173756] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 02/29/2024] [Accepted: 03/25/2024] [Indexed: 04/02/2024]
Abstract
Prenatal opioid exposure (POE) and postnatal adverse experiences are early life adversities (ELA) that often co-occur and increase problematic alcohol (EtOH) drinking during adolescence. We investigated the relationship between POE, postnatal adversity, and adolescent EtOH drinking in rats. We also sought to determine whether ELAs affect alpha-adrenoceptor density in the brain because the noradrenergic system is involved in problematic alcohol drinking and its treatment. We hypothesized that the combination of POE and postnatal adversity will increase alcohol drinking in rats compared to rats with exposure to either adversity alone or to control. We also predicted that POE and postnatal adversity would increase α1-adrenoceptor density and decrease α2-adrenoceptor density in brain to confer a stress-responsive phenotype. Pregnant rats received morphine (15 mg/kg/day) or saline via subcutaneous minipumps from gestational day 9 until birth. Limited bedding and nesting (LBN) procedures were introduced from postnatal day (PD) 3-11 to mimic early life adversity-scarcity. Offspring rats (PD 31-33) were given opportunities to drink EtOH (20 %, v/v) using intermittent-access, two-bottle choice (with water) procedures. Rats given access to EtOH were assigned into sub-groups that were injected with either yohimbine (1 mg/kg, ip) or vehicle (2 % DMSO, ip) 30 min prior to each EtOH access session to determine the effects of α2-adrenoceptor inhibition on alcohol drinking. We harvested cortices, brainstems, and hypothalami from EtOH-naïve littermates on either PD 30 or PD 70 and conducted radioligand receptor binding assays to quantify α1- and α2-adrenoceptor densities. Contrary to our hypothesis, only LBN alone increased EtOH intake in female adolescent rats compared to female rats with POE. Neither POE nor LBN affected α1- or α2-adrenoceptor densities in the cortex, brainstem, or hypothalamus of early- or late-aged adolescent rats. These results suggest a complex interaction between ELA type and sex on alcohol drinking.
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Affiliation(s)
- B J Parks
- Department of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Mail Slot 611, Little Rock, AR 72205, United States of America
| | - P Salazar
- Department of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Mail Slot 611, Little Rock, AR 72205, United States of America
| | - L Morrison
- Department of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Mail Slot 611, Little Rock, AR 72205, United States of America
| | - M K McGraw
- Department of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Mail Slot 611, Little Rock, AR 72205, United States of America
| | - M Gunnell
- Department of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Mail Slot 611, Little Rock, AR 72205, United States of America
| | - J Tobacyk
- Department of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Mail Slot 611, Little Rock, AR 72205, United States of America
| | - L K Brents
- Department of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Mail Slot 611, Little Rock, AR 72205, United States of America
| | - M D Berquist
- Department of Pharmacology and Toxicology, College of Medicine, University of Arkansas for Medical Sciences, 4301 W. Markham Street, Mail Slot 611, Little Rock, AR 72205, United States of America.
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Harmon O'Driscoll J, McGinley J, Healy MG, Siggins A, Mellander PE, Morrison L, Gunnigle E, Ryan PC. Stochastic modelling of pesticide transport to drinking water sources via runoff and resulting human health risk assessment. Sci Total Environ 2024; 918:170589. [PMID: 38309350 DOI: 10.1016/j.scitotenv.2024.170589] [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] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 12/05/2023] [Accepted: 01/29/2024] [Indexed: 02/05/2024]
Abstract
A modelling framework was developed to facilitate a probabilistic assessment of health risks posed by pesticide exposure via drinking water due to runoff, with the inclusion of influential site conditions and in-stream processes. A Monte-Carlo based approach was utilised to account for the inherent variability in pesticide and population properties, as well as site and climatic conditions. The framework presented in this study was developed with an ability to integrate different data sources and adapt the model for various scenarios and locations to meet the users' needs. The results from this model can be used by farm advisors and catchment managers to identify lower risk pesticides for use for given soil and site conditions and implement risk mitigation measures to protect water resources. Pesticide concentrations in surface water, and their risk of regulatory threshold exceedances, were simulated for fifteen pesticides in an Irish case study. The predicted concentrations in surface water were then used to quantify the level of health risk posed to Irish adults and children. The analysis indicated that herbicides triclopyr and MCPA occur in the greatest concentrations in surface water, while mecoprop was associated with the highest potential for health risks. The study found that the modelled pesticides posed little risk to human health under current application patterns and climatic conditions in Ireland using international acceptable intake values. A sensitivity study conducted examined the impact seasonal conditions, timing of application, and instream processes, have on the transport of pesticides to drinking water.
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Affiliation(s)
- J Harmon O'Driscoll
- Discipline of Civil, Structural and Environmental Engineering, School of Engineering, University College Cork, Ireland
| | - J McGinley
- Civil Engineering, University of Galway, Galway, Ireland; Ryan Institute, University of Galway, Galway, Ireland
| | - M G Healy
- Civil Engineering, University of Galway, Galway, Ireland; Ryan Institute, University of Galway, Galway, Ireland
| | - A Siggins
- Ryan Institute, University of Galway, Galway, Ireland; School of Biological and Chemical Sciences, University of Galway, Galway, Ireland
| | - P-E Mellander
- Agricultural Catchments Programme, Teagasc Environmental Research Centre, Johnstown Castle, Co. Wexford, Ireland
| | - L Morrison
- Ryan Institute, University of Galway, Galway, Ireland; Earth and Ocean Sciences, Earth and Life Sciences, University of Galway, Galway, Ireland
| | - E Gunnigle
- APC Microbiome Institute, University College Cork, Cork, Ireland
| | - P C Ryan
- Discipline of Civil, Structural and Environmental Engineering, School of Engineering, University College Cork, Ireland; Environmental Research Institute, University College Cork, Cork T23 XE10, Ireland.
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McGinley J, Healy MG, Ryan PC, O'Driscoll H, Mellander PE, Morrison L, Siggins A. Impact of historical legacy pesticides on achieving legislative goals in Europe. Sci Total Environ 2023; 873:162312. [PMID: 36805066 DOI: 10.1016/j.scitotenv.2023.162312] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/13/2023] [Accepted: 02/14/2023] [Indexed: 06/18/2023]
Abstract
Pesticides are widely used in agriculture to optimise food production. However, the movement of pesticides into water bodies negatively impacts aquatic environments. The European Union (EU) aims to make food systems fair, healthy and environmentally friendly through its current Farm to Fork strategy. As part of this strategy, the EU plans to reduce the overall use and risk of chemical pesticides by 50 % by 2030. The attainment of this target may be compromised by the prevalence of legacy pesticides arising from historical applications to land, which can persist in the environment for several decades. The current EU Farm to Fork policy overlooks the potential challenges of legacy pesticides and requirements for their remediation. In this review, the current knowledge regarding pesticide use in Europe, as well as pathways of pesticide movement to waterways, are investigated. The issues of legacy pesticides, including exceedances, are examined, and existing and emerging methods of pesticide remediation, particularly of legacy pesticides, are discussed. The fact that some legacy pesticides can be detected in water samples, more than twenty-five years after they were prohibited, highlights the need for improved EU strategies and policies aimed at targeting legacy pesticides in order to meet future targets.
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Affiliation(s)
- J McGinley
- Civil Engineering, University of Galway, Ireland; Ryan Institute, University of Galway, Ireland
| | - M G Healy
- Civil Engineering, University of Galway, Ireland; Ryan Institute, University of Galway, Ireland
| | - P C Ryan
- Discipline of Civil, Structural and Environmental Engineering, School of Engineering, University College Cork, Ireland; Environmental Research Institute, University College Cork, Cork, Ireland
| | - Harmon O'Driscoll
- Discipline of Civil, Structural and Environmental Engineering, School of Engineering, University College Cork, Ireland
| | - P-E Mellander
- Agricultural Catchments Programme, Teagasc Environmental Research Centre, Johnstown Castle, Co. Wexford, Ireland
| | - L Morrison
- Ryan Institute, University of Galway, Ireland; Earth and Ocean Sciences, Earth and Life Sciences, School of Natural Sciences, University of Galway, Ireland
| | - A Siggins
- Ryan Institute, University of Galway, Ireland; School of Biological and Chemical Sciences, University of Galway, Ireland.
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Morrison L, McCrea G, Palmer S. Online activity - A beaming good initiative! Delivering alternative exercise opportunities for people with cystic fibrosis. Physiother Theory Pract 2023:1-7. [PMID: 36809231 DOI: 10.1080/09593985.2023.2182654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 02/14/2023] [Accepted: 02/15/2023] [Indexed: 02/23/2023]
Abstract
BACKGROUND Increasing physical activity in people with Cystic Fibrosis (pwCF) can positively influence their physical and mental wellbeing. Online activities provide opportunity for outpatient CF populations to enhance physical activity. METHODS PwCF within a large Scottish CF unit were invited to participate in a pilot study of online exercise and education sessions. Those participating shared opinions on motivation, fitness habits, types of activities enjoyed pre and during shielding, and desirable goals for online activity. Subsequently, an online activity timetable was created offering daily exercise classes. Educational presentations driven by patient request were delivered in context appropriate to health, wellbeing, and infection control needs during the pandemic and the advent of modulator therapies. Twenty-eight group exercise sessions and 12 educational sessions occurred over the six-week pilot, following which, a post-pilot questionnaire was sent to those who had participated in the sessions. Risk assessment and exercise modifications ensured safe practice and accommodation for all levels of respiratory disease. RESULTS Twenty-six pwCF attended one or more exercise sessions and 37 pwCF attended one or more education sessions. Group exercise and education improved time efficiency compared to in-person face-to-face delivery. The post-pilot questionnaire demonstrated increases in motivation and perceived fitness, with positive comments regarding peer support and enhanced socialization. Personal fitness goals were fully or partially achieved by 91% of participants. CONCLUSION Patient feedback suggested the implementation of online exercise and education sessions for pwCF was a satisfactory and convenient way to deliver exercise allowing for optimization and progression of personal goals.
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Affiliation(s)
- L Morrison
- West of Scotland Adult CF Unit, Queen Elizabeth University Hospital, Glasgow, UK
| | - G McCrea
- West of Scotland Adult CF Unit, Queen Elizabeth University Hospital, Glasgow, UK
| | - S Palmer
- West of Scotland Adult CF Unit, Queen Elizabeth University Hospital, Glasgow, UK
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McGinley J, Healy MG, Ryan PC, Mellander PE, Morrison L, O'Driscoll JH, Siggins A. Batch adsorption of herbicides from aqueous solution onto diverse reusable materials and granulated activated carbon. J Environ Manage 2022; 323:116102. [PMID: 36103789 DOI: 10.1016/j.jenvman.2022.116102] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 07/18/2022] [Accepted: 08/23/2022] [Indexed: 06/15/2023]
Abstract
This study reports the kinetics and isotherms of the adsorption of five herbicides, MCPA, mecoprop-P, 2,4-D, fluroxypyr and triclopyr, from aqueous solutions onto a range of raw and pyrolysed waste materials originating from an industrial setting. The raw waste materials investigated demonstrated little capability for any herbicide adsorption. Granulated activated carbon (GAC) was capable of the best removal of the herbicides, with >95% removal observed. A first order kinetic model fitted the data best for GAC adsorption of 2,4-D, while a pseudo-first order model fitted the data best for GAC adsorption of fluroxypyr and triclopyr, indicating that adsorption was via physisorption. A pseudo-second order kinetic model fitted the GAC adsorption of MCPA and mecoprop-P, which is indicative of chemisorption. The adsorption of the herbicides in all cases was best described by the Freundlich model, indicating that adsorption occurred onto heterogeneous surfaces.
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Affiliation(s)
- J McGinley
- Civil Engineering and Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - M G Healy
- Civil Engineering and Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - P C Ryan
- Discipline of Civil, Structural and Environmental Engineering, School of Engineering, University College Cork, Ireland; Environmental Research Institute, University College Cork, Cork, Ireland
| | - P-E Mellander
- Teagasc Environmental Research Centre, Johnstown Castle, Co. Wexford, Ireland
| | - L Morrison
- Earth and Ocean Sciences, School of Natural Sciences and Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - J Harmon O'Driscoll
- Discipline of Civil, Structural and Environmental Engineering, School of Engineering, University College Cork, Ireland
| | - A Siggins
- Civil Engineering and Ryan Institute, National University of Ireland Galway, Galway, Ireland; Teagasc Environmental Research Centre, Johnstown Castle, Co. Wexford, Ireland.
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Hecht ES, Obiorah EC, Liu X, Morrison L, Shion H, Lauber M. Microflow size exclusion chromatography to preserve micromolar affinity complexes and achieve subunit separations for native state mass spectrometry. J Chromatogr A 2022; 1685:463638. [DOI: 10.1016/j.chroma.2022.463638] [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] [Received: 08/13/2022] [Revised: 11/02/2022] [Accepted: 11/04/2022] [Indexed: 11/09/2022]
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Chen H, Morrison L, Sheehy T, Costelloe A, Griffin M, Quinn C, O'Connor M, Peters C, Lyons D. 331 THE USE OF BODY MASS INDEX IN PREDICTING ORTHOSTATIC HYPOTENSION IN OLDER ADULTS. Age Ageing 2022. [DOI: 10.1093/ageing/afac218.289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background
The presence of Orthostatic Hypotension (OH) is known to be associated with an increased mortality risk. Previous Irish research has shown that elevated Body Mass Index (BMI) may be protective against OH, with overweight and obese patients having significantly smaller Systolic Blood Pressure (SBP) drops during Head-Up-Tilt (HUT) Testing.
Methods
Demographics, including age, height and weight, were obtained retrospectively from all head up tilt testing performed in a tertiary Irish hospital between 2000 and 2021. All incomplete records were excluded. A total of 4,717 patients were analysed. Linear regression models were used to examine the relationship between BMI and change in tilt SBP.
Results
2,089 males and 2,628 females over the age of 60 years old were examined. The mean age is 77 years ± 7.8 (S.D.), with majority (51.5%) of the cohort overweight or obese. 69.7% of individuals demonstrated OH. The mean change in tilt SBP was –7mmHg in the underweight and healthy weight group, and –10mmHg in the overweight or obese group. The linear regression model established that BMI significantly predicted a change in tilt SBP (beta=0.394, 95% CI: 0.235 to 0.554, p<0.001), but remains a poor predictive variable (R2=0.004) for this cohort. This correlation was similar for both genders (male: r=0.08, female: r=0.07).
Conclusion
Our findings confirmed a correlation between BMI and its predictive impact on OH in older adults. Future studies should explore targeted populations with multivariate analysis, taking into consideration age and gender, to reduce the heterogeneity of data.
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Affiliation(s)
- H Chen
- University Hospital Limerick , Limerick, Ireland
| | - L Morrison
- University Hospital Limerick , Limerick, Ireland
| | - T Sheehy
- University Hospital Limerick , Limerick, Ireland
| | - A Costelloe
- University Hospital Limerick , Limerick, Ireland
| | - M Griffin
- University Hospital Limerick , Limerick, Ireland
| | - C Quinn
- University Hospital Limerick , Limerick, Ireland
| | - M O'Connor
- University Hospital Limerick , Limerick, Ireland
| | - C Peters
- University Hospital Limerick , Limerick, Ireland
| | - D Lyons
- University Hospital Limerick , Limerick, Ireland
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Morrison L, Chen H, Sheehy T, Costelloe A, Griffin M, Quinn C, O'Connor M, Peters C, Lyons D. 220 RELATIONSHIP BETWEEN HEIGHT AND SYSTOLIC BLOOD PRESSURE IN OLDER ADULTS. Age Ageing 2022. [DOI: 10.1093/ageing/afac218.190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Hypertension is common amongst older adults in Ireland and is a major risk factor for both ischaemic and haemorrhagic stroke. Several studies have investigated the relationship between height and hypertension, however results have been inconsistent. In our Irish tertiary hospital patients undergoing tilt table testing have resting blood pressure measured prior to the test, and height recorded. Our aim was to assess whether there is a relationship between height and resting Systolic Blood Pressure (SBP) in patients aged over 60 years.
Methods
All tilt table test results between 2000 and 2021 in a single centre were reviewed retrospectively, collecting data on age, height and resting SBP. Any incomplete records were excluded, as were those from patients under 60 years old. Linear regression modelling was used to assess relationship between height and resting SBP.
Results
A total of 4,729 complete records were included for patients over 60 years old. 2630 (61.5%) of the patients were female. Mean age was 77 ± 7.8 years. 57.7% patients had either an elevated resting systolic and/or diastolic BP ≥130/80 and 28.4% ≥140/90. The linear regression model established that while height could be used to predict resting systolic blood pressure (beta=-0.166, 95% CI: –0.219 to –0.113, p<0.001), height only accounted for 0.8% of variability in resting SBP (R2 = 0.008).
Conclusion
Our large dataset establishes an association but no meaningful causation between height and resting systolic blood pressure. Current antihypertensive treatment was not recorded, which may have affected the results. Future studies will include further multivariate analysis accounting for antihypertensive use and other factors that may impact hypertension such as age, weight and gender.
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Affiliation(s)
- L Morrison
- University Hospital Limerick , Limerick, Ireland
| | - H Chen
- University Hospital Limerick , Limerick, Ireland
| | - T Sheehy
- University Hospital Limerick , Limerick, Ireland
| | - A Costelloe
- University Hospital Limerick , Limerick, Ireland
| | - M Griffin
- University Hospital Limerick , Limerick, Ireland
| | - C Quinn
- University Hospital Limerick , Limerick, Ireland
| | - M O'Connor
- University Hospital Limerick , Limerick, Ireland
| | - C Peters
- University Hospital Limerick , Limerick, Ireland
| | - D Lyons
- University Hospital Limerick , Limerick, Ireland
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Sheffield B, Eaton K, Emond B, Lafeuille MH, Hilts A, Lefebvre P, Morrison L, Ewara E, Cheema P. MA12.05 Economic Impact of Delaying Care with Single-Gene Testing Versus Next-Generation Sequencing in Non-small Cell Lung Cancer. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.145] [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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Evans RA, Leavy OC, Richardson M, Elneima O, McAuley HJC, Shikotra A, Singapuri A, Sereno M, Saunders RM, Harris VC, Houchen-Wolloff L, Aul R, Beirne P, Bolton CE, Brown JS, Choudhury G, Diar-Bakerly N, Easom N, Echevarria C, Fuld J, Hart N, Hurst J, Jones MG, Parekh D, Pfeffer P, Rahman NM, Rowland-Jones SL, Shah AM, Wootton DG, Chalder T, Davies MJ, De Soyza A, Geddes JR, Greenhalf W, Greening NJ, Heaney LG, Heller S, Howard LS, Jacob J, Jenkins RG, Lord JM, Man WDC, McCann GP, Neubauer S, Openshaw PJM, Porter JC, Rowland MJ, Scott JT, Semple MG, Singh SJ, Thomas DC, Toshner M, Lewis KE, Thwaites RS, Briggs A, Docherty AB, Kerr S, Lone NI, Quint J, Sheikh A, Thorpe M, Zheng B, Chalmers JD, Ho LP, Horsley A, Marks M, Poinasamy K, Raman B, Harrison EM, Wain LV, Brightling CE, Abel K, Adamali H, Adeloye D, Adeyemi O, Adrego R, Aguilar Jimenez LA, Ahmad S, Ahmad Haider N, Ahmed R, Ahwireng N, Ainsworth M, Al-Sheklly B, Alamoudi A, Ali M, Aljaroof M, All AM, Allan L, Allen RJ, Allerton L, Allsop L, Almeida P, Altmann D, Alvarez Corral M, Amoils S, Anderson D, Antoniades C, Arbane G, Arias A, Armour C, Armstrong L, Armstrong N, Arnold D, Arnold H, Ashish A, Ashworth A, Ashworth M, Aslani S, Assefa-Kebede H, Atkin C, Atkin P, Aung H, Austin L, Avram C, Ayoub A, Babores M, Baggott R, Bagshaw J, Baguley D, Bailey L, Baillie JK, Bain S, Bakali M, Bakau M, Baldry E, Baldwin D, Ballard C, Banerjee A, Bang B, Barker RE, Barman L, Barratt S, Barrett F, Basire D, Basu N, Bates M, Bates A, Batterham R, Baxendale H, Bayes H, Beadsworth M, Beckett P, Beggs M, Begum M, Bell D, Bell R, Bennett K, Beranova E, Bermperi A, Berridge A, Berry C, Betts S, Bevan E, Bhui K, Bingham M, Birchall K, Bishop L, Bisnauthsing K, Blaikely J, Bloss A, Bolger A, Bonnington J, Botkai A, Bourne C, Bourne M, Bramham K, Brear L, Breen G, Breeze J, Bright E, Brill S, Brindle K, Broad L, Broadley A, Brookes C, Broome M, Brown A, Brown A, Brown J, Brown J, Brown M, Brown M, Brown V, Brugha T, Brunskill N, Buch M, Buckley P, Bularga A, Bullmore E, Burden L, Burdett T, Burn D, Burns G, Burns A, Busby J, Butcher R, Butt A, Byrne S, Cairns P, Calder PC, Calvelo E, Carborn H, Card B, Carr C, Carr L, Carson G, Carter P, Casey A, Cassar M, Cavanagh J, Chablani M, Chambers RC, Chan F, Channon KM, Chapman K, Charalambou A, Chaudhuri N, Checkley A, Chen J, Cheng Y, Chetham L, Childs C, Chilvers ER, Chinoy H, Chiribiri A, Chong-James K, Choudhury N, Chowienczyk P, Christie C, Chrystal M, Clark D, Clark C, Clarke J, Clohisey S, Coakley G, Coburn Z, Coetzee S, Cole J, Coleman C, Conneh F, Connell D, Connolly B, Connor L, Cook A, Cooper B, Cooper J, Cooper S, Copeland D, Cosier T, Coulding M, Coupland C, Cox E, Craig T, Crisp P, Cristiano D, Crooks MG, Cross A, Cruz I, Cullinan P, Cuthbertson D, Daines L, Dalton M, Daly P, Daniels A, Dark P, Dasgin J, David A, David C, Davies E, Davies F, Davies G, Davies GA, Davies K, Dawson J, Daynes E, Deakin B, Deans A, Deas C, Deery J, Defres S, Dell A, Dempsey K, Denneny E, Dennis J, Dewar A, Dharmagunawardena R, Dickens C, Dipper A, Diver S, Diwanji SN, Dixon M, Djukanovic R, Dobson H, Dobson SL, Donaldson A, Dong T, Dormand N, Dougherty A, Dowling R, Drain S, Draxlbauer K, Drury K, Dulawan P, Dunleavy A, Dunn S, Earley J, Edwards S, Edwardson C, El-Taweel H, Elliott A, Elliott K, Ellis Y, Elmer A, Evans D, Evans H, Evans J, Evans R, Evans RI, Evans T, Evenden C, Evison L, Fabbri L, Fairbairn S, Fairman A, Fallon K, Faluyi D, Favager C, Fayzan T, Featherstone J, Felton T, Finch J, Finney S, Finnigan J, Finnigan L, Fisher H, Fletcher S, Flockton R, Flynn M, Foot H, Foote D, Ford A, Forton D, Fraile E, Francis C, Francis R, Francis S, Frankel A, Fraser E, Free R, French N, Fu X, Furniss J, Garner L, Gautam N, George J, George P, Gibbons M, Gill M, Gilmour L, Gleeson F, Glossop J, Glover S, Goodman N, Goodwin C, Gooptu B, Gordon H, Gorsuch T, Greatorex M, Greenhaff PL, Greenhalgh A, Greenwood J, Gregory H, Gregory R, Grieve D, Griffin D, Griffiths L, Guerdette AM, Guillen Guio B, Gummadi M, Gupta A, Gurram S, Guthrie E, Guy Z, H Henson H, Hadley K, Haggar A, Hainey K, Hairsine B, Haldar P, Hall I, Hall L, Halling-Brown M, Hamil R, Hancock A, Hancock K, Hanley NA, Haq S, Hardwick HE, Hardy E, Hardy T, Hargadon B, Harrington K, Harris E, Harrison P, Harvey A, Harvey M, Harvie M, Haslam L, Havinden-Williams M, Hawkes J, Hawkings N, Haworth J, Hayday A, Haynes M, Hazeldine J, Hazelton T, Heeley C, Heeney JL, Heightman M, Henderson M, Hesselden L, Hewitt M, Highett V, Hillman T, Hiwot T, Hoare A, Hoare M, Hockridge J, Hogarth P, Holbourn A, Holden S, Holdsworth L, Holgate D, Holland M, Holloway L, Holmes K, Holmes M, Holroyd-Hind B, Holt L, Hormis A, Hosseini A, Hotopf M, Howard K, Howell A, Hufton E, Hughes AD, Hughes J, Hughes R, Humphries A, Huneke N, Hurditch E, Husain M, Hussell T, Hutchinson J, Ibrahim W, Ilyas F, Ingham J, Ingram L, Ionita D, Isaacs K, Ismail K, Jackson T, James WY, Jarman C, Jarrold I, Jarvis H, Jastrub R, Jayaraman B, Jezzard P, Jiwa K, Johnson C, Johnson S, Johnston D, Jolley CJ, Jones D, Jones G, Jones H, Jones H, Jones I, Jones L, Jones S, Jose S, Kabir T, Kaltsakas G, Kamwa V, Kanellakis N, Kaprowska S, Kausar Z, Keenan N, Kelly S, Kemp G, Kerslake H, Key AL, Khan F, Khunti K, Kilroy S, King B, King C, Kingham L, Kirk J, Kitterick P, Klenerman P, Knibbs L, Knight S, Knighton A, Kon O, Kon S, Kon SS, Koprowska S, Korszun A, Koychev I, Kurasz C, Kurupati P, Laing C, Lamlum H, Landers G, Langenberg C, Lasserson D, Lavelle-Langham L, Lawrie A, Lawson C, Lawson C, Layton A, Lea A, Lee D, Lee JH, Lee E, Leitch K, Lenagh R, Lewis D, Lewis J, Lewis V, Lewis-Burke N, Li X, Light T, Lightstone L, Lilaonitkul W, Lim L, Linford S, Lingford-Hughes A, Lipman M, Liyanage K, Lloyd A, Logan S, Lomas D, Loosley R, Lota H, Lovegrove W, Lucey A, Lukaschuk E, Lye A, Lynch C, MacDonald S, MacGowan G, Macharia I, Mackie J, Macliver L, Madathil S, Madzamba G, Magee N, Magtoto MM, Mairs N, Majeed N, Major E, Malein F, Malim M, Mallison G, Mandal S, Mangion K, Manisty C, Manley R, March K, Marciniak S, Marino P, Mariveles M, Marouzet E, Marsh S, Marshall B, Marshall M, Martin J, Martineau A, Martinez LM, Maskell N, Matila D, Matimba-Mupaya W, Matthews L, Mbuyisa A, McAdoo S, Weir McCall J, McAllister-Williams H, McArdle A, McArdle P, McAulay D, McCormick J, McCormick W, McCourt P, McGarvey L, McGee C, Mcgee K, McGinness J, McGlynn K, McGovern A, McGuinness H, McInnes IB, McIntosh J, McIvor E, McIvor K, McLeavey L, McMahon A, McMahon MJ, McMorrow L, Mcnally T, McNarry M, McNeill J, McQueen A, McShane H, Mears C, Megson C, Megson S, Mehta P, Meiring J, Melling L, Mencias M, Menzies D, Merida Morillas M, Michael A, Milligan L, Miller C, Mills C, Mills NL, Milner L, Misra S, Mitchell J, Mohamed A, Mohamed N, Mohammed S, Molyneaux PL, Monteiro W, Moriera S, Morley A, Morrison L, Morriss R, Morrow A, Moss AJ, Moss P, Motohashi K, Msimanga N, Mukaetova-Ladinska E, Munawar U, Murira J, Nanda U, Nassa H, Nasseri M, Neal A, Needham R, Neill P, Newell H, Newman T, Newton-Cox A, Nicholson T, Nicoll D, Nolan CM, Noonan MJ, Norman C, Novotny P, Nunag J, Nwafor L, Nwanguma U, Nyaboko J, O'Donnell K, O'Brien C, O'Brien L, O'Regan D, Odell N, Ogg G, Olaosebikan O, Oliver C, Omar Z, Orriss-Dib L, Osborne L, Osbourne R, Ostermann M, Overton C, Owen J, Oxton J, Pack J, Pacpaco E, Paddick S, Painter S, Pakzad A, Palmer S, Papineni P, Paques K, Paradowski K, Pareek M, Parfrey H, Pariante C, Parker S, Parkes M, Parmar J, Patale S, Patel B, Patel M, Patel S, Pattenadk D, Pavlides M, Payne S, Pearce L, Pearl JE, Peckham D, Pendlebury J, Peng Y, Pennington C, Peralta I, Perkins E, Peterkin Z, Peto T, Petousi N, Petrie J, Phipps J, Pimm J, Piper Hanley K, Pius R, Plant H, Plein S, Plekhanova T, Plowright M, Polgar O, Poll L, Porter J, Portukhay S, Powell N, Prabhu A, Pratt J, Price A, Price C, Price C, Price D, Price L, Price L, Prickett A, Propescu J, Pugmire S, Quaid S, Quigley J, Qureshi H, Qureshi IN, Radhakrishnan K, Ralser M, Ramos A, Ramos H, Rangeley J, Rangelov B, Ratcliffe L, Ravencroft P, Reddington A, Reddy R, Redfearn H, Redwood D, Reed A, Rees M, Rees T, Regan K, Reynolds W, Ribeiro C, Richards A, Richardson E, Rivera-Ortega P, Roberts K, Robertson E, Robinson E, Robinson L, Roche L, Roddis C, Rodger J, Ross A, Ross G, Rossdale J, Rostron A, Rowe A, Rowland A, Rowland J, Roy K, Roy M, Rudan I, Russell R, Russell E, Saalmink G, Sabit R, Sage EK, Samakomva T, Samani N, Sampson C, Samuel K, Samuel R, Sanderson A, Sapey E, Saralaya D, Sargant J, Sarginson C, Sass T, Sattar N, Saunders K, Saunders P, Saunders LC, Savill H, Saxon W, Sayer A, Schronce J, Schwaeble W, Scott K, Selby N, Sewell TA, Shah K, Shah P, Shankar-Hari M, Sharma M, Sharpe C, Sharpe M, Shashaa S, Shaw A, Shaw K, Shaw V, Shelton S, Shenton L, Shevket K, Short J, Siddique S, Siddiqui S, Sidebottom J, Sigfrid L, Simons G, Simpson J, Simpson N, Singh C, Singh S, Sissons D, Skeemer J, Slack K, Smith A, Smith D, Smith S, Smith J, Smith L, Soares M, Solano TS, Solly R, Solstice AR, Soulsby T, Southern D, Sowter D, Spears M, Spencer LG, Speranza F, Stadon L, Stanel S, Steele N, Steiner M, Stensel D, Stephens G, Stephenson L, Stern M, Stewart I, Stimpson R, Stockdale S, Stockley J, Stoker W, Stone R, Storrar W, Storrie A, Storton K, Stringer E, Strong-Sheldrake S, Stroud N, Subbe C, Sudlow CL, Suleiman Z, Summers C, Summersgill C, Sutherland D, Sykes DL, Sykes R, Talbot N, Tan AL, Tarusan L, Tavoukjian V, Taylor A, Taylor C, Taylor J, Te A, Tedd H, Tee CJ, Teixeira J, Tench H, Terry S, Thackray-Nocera S, Thaivalappil F, Thamu B, Thickett D, Thomas C, Thomas S, Thomas AK, Thomas-Woods T, Thompson T, Thompson AAR, Thornton T, Tilley J, Tinker N, Tiongson GF, Tobin M, Tomlinson J, Tong C, Touyz R, Tripp KA, Tunnicliffe E, Turnbull A, Turner E, Turner S, Turner V, Turner K, Turney S, Turtle L, Turton H, Ugoji J, Ugwuoke R, Upthegrove R, Valabhji J, Ventura M, Vere J, Vickers C, Vinson B, Wade E, Wade P, Wainwright T, Wajero LO, Walder S, Walker S, Walker S, Wall E, Wallis T, Walmsley S, Walsh JA, Walsh S, Warburton L, Ward TJC, Warwick K, Wassall H, Waterson S, Watson E, Watson L, Watson J, Welch C, Welch H, Welsh B, Wessely S, West S, Weston H, Wheeler H, White S, Whitehead V, Whitney J, Whittaker S, Whittam B, Whitworth V, Wight A, Wild J, Wilkins M, Wilkinson D, Williams N, Williams N, Williams J, Williams-Howard SA, Willicombe M, Willis G, Willoughby J, Wilson A, Wilson D, Wilson I, Window N, Witham M, Wolf-Roberts R, Wood C, Woodhead F, Woods J, Wormleighton J, Worsley J, Wraith D, Wrey Brown C, Wright C, Wright L, Wright S, Wyles J, Wynter I, Xu M, Yasmin N, Yasmin S, Yates T, Yip KP, Young B, Young S, Young A, Yousuf AJ, Zawia A, Zeidan L, Zhao B, Zongo O. Clinical characteristics with inflammation profiling of long COVID and association with 1-year recovery following hospitalisation in the UK: a prospective observational study. Lancet Respir Med 2022; 10:761-775. [PMID: 35472304 PMCID: PMC9034855 DOI: 10.1016/s2213-2600(22)00127-8] [Citation(s) in RCA: 144] [Impact Index Per Article: 72.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Revised: 03/23/2022] [Accepted: 03/31/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND No effective pharmacological or non-pharmacological interventions exist for patients with long COVID. We aimed to describe recovery 1 year after hospital discharge for COVID-19, identify factors associated with patient-perceived recovery, and identify potential therapeutic targets by describing the underlying inflammatory profiles of the previously described recovery clusters at 5 months after hospital discharge. METHODS The Post-hospitalisation COVID-19 study (PHOSP-COVID) is a prospective, longitudinal cohort study recruiting adults (aged ≥18 years) discharged from hospital with COVID-19 across the UK. Recovery was assessed using patient-reported outcome measures, physical performance, and organ function at 5 months and 1 year after hospital discharge, and stratified by both patient-perceived recovery and recovery cluster. Hierarchical logistic regression modelling was performed for patient-perceived recovery at 1 year. Cluster analysis was done using the clustering large applications k-medoids approach using clinical outcomes at 5 months. Inflammatory protein profiling was analysed from plasma at the 5-month visit. This study is registered on the ISRCTN Registry, ISRCTN10980107, and recruitment is ongoing. FINDINGS 2320 participants discharged from hospital between March 7, 2020, and April 18, 2021, were assessed at 5 months after discharge and 807 (32·7%) participants completed both the 5-month and 1-year visits. 279 (35·6%) of these 807 patients were women and 505 (64·4%) were men, with a mean age of 58·7 (SD 12·5) years, and 224 (27·8%) had received invasive mechanical ventilation (WHO class 7-9). The proportion of patients reporting full recovery was unchanged between 5 months (501 [25·5%] of 1965) and 1 year (232 [28·9%] of 804). Factors associated with being less likely to report full recovery at 1 year were female sex (odds ratio 0·68 [95% CI 0·46-0·99]), obesity (0·50 [0·34-0·74]) and invasive mechanical ventilation (0·42 [0·23-0·76]). Cluster analysis (n=1636) corroborated the previously reported four clusters: very severe, severe, moderate with cognitive impairment, and mild, relating to the severity of physical health, mental health, and cognitive impairment at 5 months. We found increased inflammatory mediators of tissue damage and repair in both the very severe and the moderate with cognitive impairment clusters compared with the mild cluster, including IL-6 concentration, which was increased in both comparisons (n=626 participants). We found a substantial deficit in median EQ-5D-5L utility index from before COVID-19 (retrospective assessment; 0·88 [IQR 0·74-1·00]), at 5 months (0·74 [0·64-0·88]) to 1 year (0·75 [0·62-0·88]), with minimal improvements across all outcome measures at 1 year after discharge in the whole cohort and within each of the four clusters. INTERPRETATION The sequelae of a hospital admission with COVID-19 were substantial 1 year after discharge across a range of health domains, with the minority in our cohort feeling fully recovered. Patient-perceived health-related quality of life was reduced at 1 year compared with before hospital admission. Systematic inflammation and obesity are potential treatable traits that warrant further investigation in clinical trials. FUNDING UK Research and Innovation and National Institute for Health Research.
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Harmon O'Driscoll J, Siggins A, Healy MG, McGinley J, Mellander PE, Morrison L, Ryan PC. A risk ranking of pesticides in Irish drinking water considering chronic health effects. Sci Total Environ 2022; 829:154532. [PMID: 35302029 DOI: 10.1016/j.scitotenv.2022.154532] [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] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 02/21/2022] [Accepted: 03/08/2022] [Indexed: 06/14/2023]
Abstract
This paper presents a novel scoring system which facilitates a relative ranking of pesticide risk to human health arising from contaminated drinking water. This method was developed to identify risky pesticides to better inform monitoring programmes and risk assessments. Potential risk was assessed considering pesticide use, chronic human health effects and environmental fate. Site-specific soil conditions, such as soil erodibility, hydrologic group, soil depth, clay, sand, silt, and organic carbon content of soil, were incorporated to demonstrate how pesticide fate can be influenced by the areas in which they are used. The indices of quantity of use, consequence and likelihood of exposure, hazard score and quantity-weighted hazard score were used to describe the level of concern that should be attributed to a pesticide. Metabolite toxicity and persistence were also considered in a separate scoring to highlight the contribution metabolites make to overall pesticide risk. This study presents two sets of results for 63 pesticides in an Irish case study, (1) risk scores calculated for the parent compounds only and (2) a combined pesticide-metabolite risk score. In both cases the results are assessed for two locations with differing soil and hydrological properties. The method developed in this paper can be adapted by pesticide users to assess and compare pesticide risk at site level using pesticide hazard scores. Farm advisors, water quality monitors, and catchment managers can apply this method to screen pesticides for human health risk at a regional or national level.
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Affiliation(s)
- J Harmon O'Driscoll
- Discipline of Civil, Structural and Environmental Engineering, School of Engineering, University College Cork, Cork, Ireland
| | - A Siggins
- Civil Engineering and Ryan Institute, National University of Ireland Galway, Galway, Ireland; Teagasc Environmental Research Centre, Johnstown Castle, Co. Wexford, Ireland
| | - M G Healy
- Civil Engineering and Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - J McGinley
- Civil Engineering and Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - P-E Mellander
- Teagasc Environmental Research Centre, Johnstown Castle, Co. Wexford, Ireland
| | - L Morrison
- Earth and Ocean Sciences, School of Natural Sciences and Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - P C Ryan
- Discipline of Civil, Structural and Environmental Engineering, School of Engineering, University College Cork, Cork, Ireland; Environmental Research Institute, University College Cork, Cork, T23 XE10, Ireland.
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Saynor Z, Cunningham S, Morrison L, Main E, Reid S, Urquhart D. P217 Exercise as airway clearance therapy (ExACT) in cystic fibrosis: a UK-based e-Delphi survey of patients, caregivers and health professionals. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)00546-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Morrison L, Fernandes L, Lyons D. 228 GENDER DISPARITIES IN DIAGNOSING OSTEOPOROSIS. Age Ageing 2021. [DOI: 10.1093/ageing/afab219.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
Abstract
Background
It is estimated that up to 300,000 people in Ireland have osteoporosis, however it is a disease most commonly associated with women. Women aged over 50 years have a four times greater rate of osteoporosis and are twice as likely to have osteopenia as men.1 However the recognition and treatment of osteoporosis in men cannot be forgotten. The Irish Hip Fracture Database National Report 2019 showed that 31% of 3,701 hip fractures that year were in males. Hip fractures have been shown to result in higher overall mortality in men than in women.2
Methods
A retrospective observational study was carried out by analysing the reports of all dual-energy X-ray absorptiometry (DEXA) scans performed in a large university teaching hospital from January 1998 to August 2021, collecting data on gender, age, bone mineral density and osteoporosis risk factors.
Results
A total of 39,611 patients having their first DEXA scan in our hospital were included. 85.2% were female and 14.8% male. In all patients over 75 years, only 12.9% of all patients getting a first DEXA scan were male. Of all women who had DEXA scans, 29.1% were diagnosed with osteoporosis and 38.4% with osteopenia and in men 16.6% osteoporosis and 40.7% osteopenia.
Conclusion
Our results highlight that men have DEXA scans performed much less frequently than women. This is seen in all age groups, especially in patients over 75 years old. As in women, the prevalence of osteoporosis in men increases with age. This study demonstrates the importance of evaluating for and treating osteoporosis in men as well as women, as fragility fractures can cause significant mortality and morbidity in both genders.
References
1. Alswat KA. Gender Disparities in Osteoporosis. J Clin Med Res.2017;9(5):382–387. doi: 10.14740/jocmr2970w.
2. Kanis JA et al. The components of excess mortality after hip fracture. Bone.2003;32(5):468–473.
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Affiliation(s)
- L Morrison
- University Hospital Limerick , Limerick, Ireland
| | - L Fernandes
- University Hospital Limerick , Limerick, Ireland
| | - D Lyons
- University Hospital Limerick , Limerick, Ireland
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Marques Mendes A, Golden N, Bermejo R, Morrison L. Distribution and abundance of microplastics in coastal sediments depends on grain size and distance from sources. Mar Pollut Bull 2021; 172:112802. [PMID: 34371343 DOI: 10.1016/j.marpolbul.2021.112802] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 07/28/2021] [Accepted: 07/29/2021] [Indexed: 06/13/2023]
Abstract
Microplastic deposition in marine sediments is a geographically widespread problem. This study examines microplastics in intertidal and subtidal sediments at 87 locations in habitats designated as Special Areas of Conservation (SACs) and Special Protection Areas (SPAs) on the coastline of Ireland. Established methodological approaches including, organic matter digestion, density separation, particle extraction and polymer identification were applied. Microplastic abundance was closely related with distance from known sources and concentrations were greater in intertidal as opposed to subtidal sediments. Colourless, polyethylene fibres and polypropylene fragments were the most abundant MP recorded and finer grained sediments were shown to entrap more MPs than coarser sediments. The results demonstrate that an understanding of potential sources of pollution, sediment type and hydrodynamic conditions are very important in terms of MP abundance and distribution in marine sediments and also in terms of effective waste management strategies and policy aimed at reducing the global plastics problem.
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Affiliation(s)
- A Marques Mendes
- Earth and Ocean Sciences, School of Natural Sciences and Ryan Institute, National University of Ireland Galway, Ireland
| | - N Golden
- Earth and Ocean Sciences, School of Natural Sciences and Ryan Institute, National University of Ireland Galway, Ireland
| | - R Bermejo
- Earth and Ocean Sciences, School of Natural Sciences and Ryan Institute, National University of Ireland Galway, Ireland; Departamento de Biologia, Facultad de Ciencias del Mar y Ambientales, Universidad de Cádiz, Spain
| | - L Morrison
- Earth and Ocean Sciences, School of Natural Sciences and Ryan Institute, National University of Ireland Galway, Ireland.
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Chirenda J, Nhlema Simwaka B, Sandy C, Bodnar K, Corbin S, Desai P, Mapako T, Shamu S, Timire C, Antonio E, Makone A, Birikorang A, Mapuranga T, Ngwenya M, Masunda T, Dube M, Wandwalo E, Morrison L, Kaplan R. A feasibility study using time-driven activity-based costing as a management tool for provider cost estimation: lessons from the national TB control program in Zimbabwe in 2018. BMC Health Serv Res 2021; 21:242. [PMID: 33736629 PMCID: PMC7977596 DOI: 10.1186/s12913-021-06212-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 02/24/2021] [Indexed: 11/17/2022] Open
Abstract
Background Insufficient cost data and limited capacity constrains the understanding of the actual resources required for effective TB control. This study used process maps and time-driven activity-based costing to document TB service delivery processes. The analysis identified the resources required to sustain TB services in Zimbabwe, as well as several opportunities for more effective and efficient use of available resources. Methods A multi-disciplinary team applied time-driven activity-based costing (TDABC) to develop process maps and measure the cost of clinical pathways used for Drug Susceptible TB (DS-TB) at urban polyclinics, rural district and provincial hospitals, and community based targeted screening for TB (Tas4TB). The team performed interviews and observations to collect data on the time taken by health care worker-patient pairs at every stage of the treatment pathway. The personnel’s practical capacity and capacity cost rates were calculated on five cost domains. An MS Excel model calculated diagnostic and treatment costs. Findings Twenty-five stages were identified in the TB care pathway across all health facilities except for community targeted screening for TB. Considerable variations were observed among the facilities in how health care professionals performed client registration, taking of vital signs, treatment follow-up, dispensing medicines and processing samples. The average cost per patient for the entire DS-TB care was USD324 with diagnosis costing USD69 and treatment costing USD255. The average cost for diagnosis and treatment was higher in clinics than in hospitals (USD392 versus USD256). Nurses in clinics were 1.6 time more expensive than in hospitals. The main cost components were personnel (USD130) and laboratory (USD119). Diagnostic cost in Tas4TB was twice that of health facility setting (USD153 vs USD69), with major cost drivers being demand creation (USD89) and sputum specimen transportation (USD5 vs USD3). Conclusion TDABC is a feasible and effective costing and management tool in low-resource settings. The TDABC process maps and treatment costs revealed several opportunities for innovative improvements in the NTP under public health programme settings. Re-engineering laboratory testing processes and synchronising TB treatment follow-up with antiretroviral treatments could produce better and more uniform TB treatments at significantly lower cost in Zimbabwe.
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Affiliation(s)
- J Chirenda
- College of Health Sciences, Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe
| | - B Nhlema Simwaka
- The Global Fund to Fight TB, HIV and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland.
| | - C Sandy
- Ministry of Health and Child Care, National TB Control Program, Harare, Zimbabwe
| | - K Bodnar
- Harvard Business School, Boston, MA, USA
| | - S Corbin
- The Global Fund to Fight TB, HIV and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland
| | - P Desai
- Harvard Business School, Boston, MA, USA
| | - T Mapako
- College of Health Sciences, Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.,National Blood Service, Harare, Zimbabwe
| | - S Shamu
- College of Health Sciences, Department of Community Medicine, University of Zimbabwe, Harare, Zimbabwe
| | - C Timire
- Ministry of Health and Child Care, National TB Control Program, Harare, Zimbabwe
| | - E Antonio
- Price Waterhouse Coopers (PWC), Harare, Zimbabwe
| | - A Makone
- Price Waterhouse Coopers (PWC), Harare, Zimbabwe
| | - A Birikorang
- The Global Fund to Fight TB, HIV and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland
| | - T Mapuranga
- Ministry of Health and Child Care, National TB Control Program, Harare, Zimbabwe
| | - M Ngwenya
- World Health Organisation, Harare, Zimbabwe
| | - T Masunda
- Ministry of Health and Child Care, National TB Control Program, Harare, Zimbabwe
| | - M Dube
- Ministry of Health and Child Care, National TB Control Program, Harare, Zimbabwe
| | - E Wandwalo
- The Global Fund to Fight TB, HIV and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland
| | - L Morrison
- The Global Fund to Fight TB, HIV and Malaria, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland
| | - R Kaplan
- Harvard Business School, Boston, MA, USA
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16
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Cox NJ, Ibrahim K, Morrison L, Robinson SM, Roberts HC. 15 What Influences Loss of Appetite in Older People? A Qualitative Study. Age Ageing 2021. [DOI: 10.1093/ageing/afab028.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Appetite loss in older people is common and associated with malnutrition, sarcopenia and frailty. Management of appetite loss may prevent these health burdens but currently no effective clinical interventions exist. This is partly due to lack of knowledge about influences on appetite perceived by older individuals. These views may provide novel avenues for intervention on appetite loss. Aim: To understand older individual’s perceptions of influences on appetite loss.
Method
Semi-structured qualitative interviews with men and women aged ≥65 years, living in their own home, were audio-recorded and transcribed. Reflexive thematic analysis, with inductive coding, generated themes with data examples.
Results
13 individuals (8/13 female, 4/13 living alone) were recruited. Accounts of influences on appetite were grouped into three themes: physical, psychological and external factors. The physical theme related to a physical state of ageing, using energy and being active, and physical symptoms, illness and treatment. The psychological theme explained the influence of mood or wellbeing, the appeal of food, and reward in the activity of cooking. External factors related to influences of other people, coping with life experiences and transitions, and perceptions of health. Influences were perceived to impact on appetite loss in distinct ways, via a physical feeling of fullness (physical theme), or creating a negative experience with food and eating (psychological and external themes). Individuals tended to have either a physical or psychological focus. Importantly, illness and its treatment impacted on both appetite loss narratives.
Conclusions
A number of influences on appetite are described by older individuals, relating to their physical and psychological self, and social and environmental factors. These seem to impact on appetite loss in distinct ways, by precipitating either a physical feeling of fullness, or a negative experience with food and eating. Identifying factors affecting an individual’s appetite could facilitate person-centred approaches to management.
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Affiliation(s)
- N J Cox
- Academic Geriatric Medicine, Faculty of Medicine, University of Southampton, UK
- NIHR Southampton Biomedical Research Centre
| | - K Ibrahim
- Academic Geriatric Medicine, Faculty of Medicine, University of Southampton, UK
| | - L Morrison
- Primary Care and Population Sciences, Faculty of Medicine, University of Southampton
| | - S M Robinson
- AGE Research Group, Translational and Clinical Research Institute, Newcastle University, UK
- NIHR Newcastle Biomedical Research Centre
| | - H C Roberts
- Academic Geriatric Medicine, Faculty of Medicine, University of Southampton, UK
- NIHR Southampton Biomedical Research Centre
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Morrison L, McTavish D, Carlisle V. P213 Can we attend anywhere? Evaluation of multidisciplinary team (MDT) remote consultations. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)01238-8] [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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McCrea G, Morrison L, Palmer S. EPS1.08 Exercising online a “Beaming” good initiative. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)01006-7] [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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Payne L, Harris P, Ghio D, Slodkowska-Barabasz J, Sutcliffe M, Kelly J, Stroud M, Little P, Yardley L, Morrison L. Beliefs about inevitable decline among home-living older adults at risk of malnutrition: a qualitative study. J Hum Nutr Diet 2020; 33:841-851. [PMID: 32840942 DOI: 10.1111/jhn.12807] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [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: 01/08/2020] [Revised: 07/20/2020] [Accepted: 07/23/2020] [Indexed: 12/18/2022]
Abstract
BACKGROUND Approximately 14% of free-living adults aged ≥65 years are at risk of malnutrition. Malnutrition screen and treat interventions in primary care are few, show mixed results, and the advice given is not always accepted and followed. We need to better understand the experiences and contexts of older adults when aiming to develop interventions that are engaging, optimally persuasive and relevant. METHODS Using the Person-based Approach, we carried out 23 semi-structured interviews with purposively selected adults ≥65 years with chronic health or social conditions associated with malnutrition risk. Thematic analysis informed the development of key principles to guide planned intervention development. RESULTS We found that individuals' beliefs about an inevitable decline in appetite and eating in older age compound the many and varied physical and physiological barriers that they experience. Also, we found that expectations of decline in appetite and physical ability may encourage resignation, reduce self-efficacy to overcome barriers, and reduce motivation to address weight loss and/or recognise it as an issue that needs to be addressed. Fear of loss of independence may also reduce the likelihood of asking general practitioners for advice. CONCLUSIONS The key findings identified include a sense of resignation, multiple different barriers to eating and a need for independence, each underpinned by the expectation of a decline in older adulthood. Interventions need to address misperceptions about the inevitability of decline, highlight how and why diet recommendations are somewhat different from recommendations for the general population, and suggest easy ways to increase food intake that address common barriers.
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Affiliation(s)
- L Payne
- Centre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK
| | - P Harris
- Centre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK
| | - D Ghio
- School of Primary Care, Population Sciences and Medical Education, Aldermoor Health Centre, University of Southampton, Southampton, UK
| | - J Slodkowska-Barabasz
- Centre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK
| | - M Sutcliffe
- Dietetics Department, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - J Kelly
- School of Primary Care, Population Sciences and Medical Education, Aldermoor Health Centre, University of Southampton, Southampton, UK
| | - M Stroud
- Department of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, UK
| | - P Little
- School of Primary Care, Population Sciences and Medical Education, Aldermoor Health Centre, University of Southampton, Southampton, UK
| | - L Yardley
- Centre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK.,School of Psychological Science, University of Bristol, Bristol, UK
| | - L Morrison
- Centre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK.,School of Primary Care, Population Sciences and Medical Education, Aldermoor Health Centre, University of Southampton, Southampton, UK
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Orfaly V, Morrison L, Fett N, Greiling T. Mucous membrane pemphigoid involving the urethra: a case series. J Eur Acad Dermatol Venereol 2020; 34:e310-e311. [DOI: 10.1111/jdv.16217] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- V.E. Orfaly
- Oregon Health & Science University Portland OR USA
| | - L. Morrison
- Oregon Health & Science University Portland OR USA
| | - N. Fett
- Oregon Health & Science University Portland OR USA
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Wandwalo E, Kamara V, Yassin MA, Morrison L, Nwaneri NB, Asiimwe S, Matiku S, Mutayoba B. Enhancing tuberculosis case finding in Tanzania: implementation of a quality improvement initiative. Public Health Action 2020; 10:57-59. [PMID: 32640006 DOI: 10.5588/pha.19.0065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Accepted: 04/07/2020] [Indexed: 11/10/2022] Open
Abstract
Tuberculosis (TB) is one of the major causes of morbidity and mortality in Tanzania. A quality improvement (QI) initiative was implemented by the National Tuberculosis Programme with support from The Global Fund to enhance TB case finding. The initiative involved identifying gaps in the quality of services, introducing tools, building capacity of health workers, and strengthening laboratory and referral services. The initiative was piloted at sub-national level and subsequently scaled-up nationally. Overall, 1280 health workers were trained, leading to an 81% cumulative increase in notified TB cases in the pilot region and 4000 additional TB cases notified nationally. The QI initiative could serve as a model for the improvement of TB case notification in other settings.
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Affiliation(s)
- E Wandwalo
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
| | - V Kamara
- National TB and Leprosy Programme, Dodoma, United Republic of Tanzania
| | - M A Yassin
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
| | - L Morrison
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
| | - N B Nwaneri
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
| | - S Asiimwe
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
| | - S Matiku
- New Dimension Consulting, Dar es Salaam, United Republic of Tanzania
| | - B Mutayoba
- National TB and Leprosy Programme, Dodoma, United Republic of Tanzania
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22
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Mabray MC, Starcevich J, Hallstrom J, Robinson M, Bartlett M, Nelson J, Zafar A, Kim H, Morrison L, Hart BL. High Prevalence of Spinal Cord Cavernous Malformations in the Familial Cerebral Cavernous Malformations Type 1 Cohort. AJNR Am J Neuroradiol 2020; 41:1126-1130. [PMID: 32467184 DOI: 10.3174/ajnr.a6584] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Accepted: 03/19/2020] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND PURPOSE Cavernous malformations occur most often in the brain but can occur in the spinal cord. Small studies of patients with familial cerebral cavernous malformations suggested a prevalence of spinal cord cavernous malformations of 20%-42%. We aimed to review our familial cohort and prospectively estimate the prevalence of spinal cord cavernous malformations. MATERIALS AND METHODS We initially reviewed our familial cerebral cavernous malformations cohort for spinal cord cavernous malformations and reviewed clinical spine MR imaging examinations for sequence sensitivity. We then prospectively performed research MR imaging of the spinal cord in 29 patients from the familial cohort to estimate the prevalence. RESULTS Gradient-based sequences identified the most spinal cord cavernous malformations on clinical MR images, forming the basis for developing our screening MR imaging. Screening spinal cord MR imaging demonstrated a prevalence of 72.4%, and a positive correlation with patient age and number of cerebral cavernous malformations. CONCLUSIONS Spinal cord cavernous malformations occur commonly in the familial cerebral cavernous malformation population. Gradient-based sequences are the most sensitive and should be used when spinal cord cavernous malformations are suspected. This study establishes the prevalence in the familial population at around 70% and supports the idea that this condition is a progressive systemic disease that affects the entire central nervous system.
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Affiliation(s)
- M C Mabray
- From the Departments of Radiology (M.C.M., J.S., J.H., B.L.H.)
| | - J Starcevich
- From the Departments of Radiology (M.C.M., J.S., J.H., B.L.H.)
| | - J Hallstrom
- From the Departments of Radiology (M.C.M., J.S., J.H., B.L.H.)
| | - M Robinson
- Neurology (M.R., M.B., A.Z., L.M.), University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, New Mexico
| | - M Bartlett
- Neurology (M.R., M.B., A.Z., L.M.), University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, New Mexico
| | - J Nelson
- Departments of Anesthesia and Perioperative Care, Center for Cerebrovascular Research (J.N., H.K.)
| | - A Zafar
- Neurology (M.R., M.B., A.Z., L.M.), University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, New Mexico
| | - H Kim
- Departments of Anesthesia and Perioperative Care, Center for Cerebrovascular Research (J.N., H.K.).,Epidemiology and Biostatistics (H.K.), University of California San Francisco, San Francisco, California
| | - L Morrison
- Neurology (M.R., M.B., A.Z., L.M.), University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, New Mexico
| | - B L Hart
- From the Departments of Radiology (M.C.M., J.S., J.H., B.L.H.)
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Fournier Q, Höhn A, Deubel S, Milne E, Bavcar S, Morrison L. Characterization of Black Pigmenturia in a Cat with Apocrine Gland Cystadenocarcinoma. J Comp Pathol 2020; 176:145-150. [PMID: 32359628 DOI: 10.1016/j.jcpa.2020.03.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 02/28/2020] [Accepted: 03/04/2020] [Indexed: 10/24/2022]
Abstract
An 8-year-old neutered female domestic shorthair cat was presented for further management of an apocrine gland cystadenocarcinoma. Extensive nodal metastasis was diagnosed and the cat was humanely destroyed 2 months after presentation. Post-mortem histopathology of the cystadenocarcinoma revealed areas of yellow-brown granular pigmentation on light microscopy, staining positively for reducing substances with Schmorl's stain and demonstrating autofluorescence on confocal microscopy. The cat's urine was black and also exhibited autofluorescence, and further analysis revealed increased free pentosidine. Based on these findings, it was presumed that the apocrine gland cystadenocarcinoma was producing lipofuscin-like pigments and that the characteristics of the urine were at least partially secondary to advanced glycation end-products.
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Affiliation(s)
| | - A Höhn
- German Institute of Human Nutrition Potsdam-Rehbruecke, Department of Molecular Toxicology, Arthur-Scheunert-Allee 114-116, Nuthetal, Germany
| | - S Deubel
- German Institute of Human Nutrition Potsdam-Rehbruecke, Department of Molecular Toxicology, Arthur-Scheunert-Allee 114-116, Nuthetal, Germany
| | - E Milne
- Easter Bush Pathology, The Royal (Dick) School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Easter Bush, Edinburgh, UK
| | | | - L Morrison
- Easter Bush Pathology, The Royal (Dick) School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Easter Bush, Edinburgh, UK
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Wells AU, Flaherty KR, Brown KK, Inoue Y, Devaraj A, Richeldi L, Moua T, Crestani B, Wuyts WA, Stowasser S, Quaresma M, Goeldner RG, Schlenker-Herceg R, Kolb M, Aburto M, Acosta O, Andrews C, Antin-Ozerkis D, Arce G, Arias M, Avdeev S, Barczyk A, Bascom R, Bazdyrev E, Beirne P, Belloli E, Bergna M, Bergot E, Bhatt N, Blaas S, Bondue B, Bonella F, Britt E, Buch K, Burk J, Cai H, Cantin A, Castillo Villegas D, Cazaux A, Cerri S, Chaaban S, Chaudhuri N, Cottin V, Crestani B, Criner G, Dahlqvist C, Danoff S, Dematte D'Amico J, Dilling D, Elias P, Ettinger N, Falk J, Fernández Pérez E, Gamez-Dubuis A, Giessel G, Gifford A, Glassberg M, Glazer C, Golden J, Gómez Carrera L, Guiot J, Hallowell R, Hayashi H, Hetzel J, Hirani N, Homik L, Hope-Gill B, Hotchkin D, Ichikado K, Ilkovich M, Inoue Y, Izumi S, Jassem E, Jones L, Jouneau S, Kaner R, Kang J, Kawamura T, Kessler R, Kim Y, Kishi K, Kitamura H, Kolb M, Kondoh Y, Kono C, Koschel D, Kreuter M, Kulkarni T, Kus J, Lebargy F, León Jiménez A, Luo Q, Mageto Y, Maher T, Makino S, Marchand-Adam S, Marquette C, Martinez R, Martínez M, Maturana Rozas R, Miyazaki Y, Moiseev S, Molina-Molina M, Morrison L, Morrow L, Moua T, Nambiar A, Nishioka Y, Nunes H, Okamoto M, Oldham J, Otaola M, Padilla M, Park J, Patel N, Pesci A, Piotrowski W, Pitts L, Poonyagariyagorn H, Prasse A, Quadrelli S, Randerath W, Refini R, Reynaud-Gaubert M, Riviere F, Rodríguez Portal J, Rosas I, Rossman M, Safdar Z, Saito T, Sakamoto N, Salinas Fénero M, Sauleda J, Schmidt S, Scholand M, Schwartz M, Shapera S, Shlobin O, Sigal B, Silva Orellana A, Skowasch D, Song J, Stieglitz S, Stone H, Strek M, Suda T, Sugiura H, Takahashi H, Takaya H, Takeuchi T, Thavarajah K, Tolle L, Tomassetti S, Tomii K, Valenzuela C, Vancheri C, Varone F, Veeraraghavan S, Villar A, Weigt S, Wemeau L, Wuyts W, Xu Z, Yakusevich V, Yamada Y, Yamauchi H, Ziora D. Nintedanib in patients with progressive fibrosing interstitial lung diseases-subgroup analyses by interstitial lung disease diagnosis in the INBUILD trial: a randomised, double-blind, placebo-controlled, parallel-group trial. Lancet Respir Med 2020; 8:453-460. [PMID: 32145830 DOI: 10.1016/s2213-2600(20)30036-9] [Citation(s) in RCA: 263] [Impact Index Per Article: 65.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Revised: 01/06/2020] [Accepted: 01/16/2020] [Indexed: 12/20/2022]
Abstract
BACKGROUND The INBUILD trial investigated the efficacy and safety of nintedanib versus placebo in patients with progressive fibrosing interstitial lung diseases (ILDs) other than idiopathic pulmonary fibrosis (IPF). We aimed to establish the effects of nintedanib in subgroups based on ILD diagnosis. METHODS The INBUILD trial was a randomised, double-blind, placebo-controlled, parallel group trial done at 153 sites in 15 countries. Participants had an investigator-diagnosed fibrosing ILD other than IPF, with chest imaging features of fibrosis of more than 10% extent on high resolution CT (HRCT), forced vital capacity (FVC) of 45% or more predicted, and diffusing capacity of the lung for carbon monoxide (DLco) of at least 30% and less than 80% predicted. Participants fulfilled protocol-defined criteria for ILD progression in the 24 months before screening, despite management considered appropriate in clinical practice for the individual ILD. Participants were randomly assigned 1:1 by means of a pseudo-random number generator to receive nintedanib 150 mg twice daily or placebo for at least 52 weeks. Participants, investigators, and other personnel involved in the trial and analysis were masked to treatment assignment until after database lock. In this subgroup analysis, we assessed the rate of decline in FVC (mL/year) over 52 weeks in patients who received at least one dose of nintedanib or placebo in five prespecified subgroups based on the ILD diagnoses documented by the investigators: hypersensitivity pneumonitis, autoimmune ILDs, idiopathic non-specific interstitial pneumonia, unclassifiable idiopathic interstitial pneumonia, and other ILDs. The trial has been completed and is registered with ClinicalTrials.gov, number NCT02999178. FINDINGS Participants were recruited between Feb 23, 2017, and April 27, 2018. Of 663 participants who received at least one dose of nintedanib or placebo, 173 (26%) had chronic hypersensitivity pneumonitis, 170 (26%) an autoimmune ILD, 125 (19%) idiopathic non-specific interstitial pneumonia, 114 (17%) unclassifiable idiopathic interstitial pneumonia, and 81 (12%) other ILDs. The effect of nintedanib versus placebo on reducing the rate of FVC decline (mL/year) was consistent across the five subgroups by ILD diagnosis in the overall population (hypersensitivity pneumonitis 73·1 [95% CI -8·6 to 154·8]; autoimmune ILDs 104·0 [21·1 to 186·9]; idiopathic non-specific interstitial pneumonia 141·6 [46·0 to 237·2]; unclassifiable idiopathic interstitial pneumonia 68·3 [-31·4 to 168·1]; and other ILDs 197·1 [77·6 to 316·7]; p=0·41 for treatment by subgroup by time interaction). Adverse events reported in the subgroups were consistent with those reported in the overall population. INTERPRETATION The INBUILD trial was not designed or powered to provide evidence for a benefit of nintedanib in specific diagnostic subgroups. However, its results suggest that nintedanib reduces the rate of ILD progression, as measured by FVC decline, in patients who have a chronic fibrosing ILD and progressive phenotype, irrespective of the underlying ILD diagnosis. FUNDING Boehringer Ingelheim.
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Affiliation(s)
- Athol U Wells
- National Institute for Health Research Respiratory Biomedical Research Unit, Royal Brompton and Harefield NHS Foundation Trust, London, UK
| | - Kevin R Flaherty
- Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA
| | - Kevin K Brown
- Department of Medicine, National Jewish Health, Denver, CO, USA
| | - Yoshikazu Inoue
- Clinical Research Center, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai City, Osaka, Japan
| | - Anand Devaraj
- Department of Radiology, Royal Brompton and Harefield NHS Foundation Trust, London, UK; National Heart and Lung Institute, Imperial College, London, UK
| | - Luca Richeldi
- Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Teng Moua
- Division of Pulmonary and Critical Care Medicine, Mayo Clinic Rochester, Rochester, MN, USA
| | - Bruno Crestani
- Université de Paris, Inserm U1152, APHP, Hôpital Bichat, Centre de reference constitutif pour les maladies pulmonaires rares, Paris, France
| | - Wim A Wuyts
- Unit for Interstitial Lung Diseases, Department of Pulmonary Medicine, University Hospitals Leuven, Leuven, Belgium
| | | | - Manuel Quaresma
- Boehringer Ingelheim International, Ingelheim am Rhein, Germany
| | | | | | - Martin Kolb
- McMaster University and St Joseph's Healthcare, Hamilton, Ontario, Canada
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Denk D, Morrison L, Raverty S, Whiteside D, Dobbs P. Five Cases of Gastric Pneumatosis in Black and White Ruffed Lemurs (Varecia variegata). J Comp Pathol 2020. [DOI: 10.1016/j.jcpa.2019.10.066] [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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Barclay S, Morrison L. P371 Evaluation of the Metaneb System in adult cystic fibrosis patients. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30663-0] [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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Shukla N, Wehner M, Morrison L, Naik H, Linos E. 207 Gender equality among award winners and leaders at the Society for Investigative Dermatology meetings. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.03.283] [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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Adekunle L, Chen R, Morrison L, Torres J, Hendlin Y, Linos E. 254 Does funding source influence the outcome of indoor tanning studies? a systematic review. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.03.330] [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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Affiliation(s)
- L Morrison
- Program for Clinical Research, Department of Dermatology, University of California San Francisco, San Francisco, CA, U.S.A
| | - C Chen
- Department of Dermatology, University of California San Francisco, San Francisco, CA, U.S.A
| | - J S Torres
- Program for Clinical Research, Department of Dermatology, University of California San Francisco, San Francisco, CA, U.S.A
| | - M Wehner
- Department of Dermatology, University of Pennsylvania, Philadelphia, PA, U.S.A
| | - A Junn
- Program for Clinical Research, Department of Dermatology, University of California San Francisco, San Francisco, CA, U.S.A
| | - E Linos
- Program for Clinical Research, Department of Dermatology, University of California San Francisco, San Francisco, CA, U.S.A
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McGillicuddy E, Morrison L, Cormican M, Dockery P, Morris D. Activated charcoal as a capture material for silver nanoparticles in environmental water samples. Sci Total Environ 2018; 645:356-362. [PMID: 30029114 DOI: 10.1016/j.scitotenv.2018.07.145] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Revised: 07/11/2018] [Accepted: 07/11/2018] [Indexed: 06/08/2023]
Abstract
Silver nanoparticles (AgNPs), due to their antibacterial activity, have been incorporated into numerous consumer products. Their environmental impact however, is currently unclear. Uncertainties surround the concentration, fate, and effects of AgNPs in aquatic environments. This study examined the suitability of activated charcoal as a capture material for AgNPs from water. Samples of 100 ppb AgNPs were initially generated and exposed to activated charcoal for 24 h to examine the ability of charcoal to capture AgNPs. The decrease in Ag concentration was measured using ICP-MS. Following initial investigations, the surface area of the charcoal was increased firstly with a pestle and mortar and secondly by milling the charcoal using a ball mill. The increased surface area of the milled charcoal increased the capture of the AgNPs from 11.9% to 63.6% for the 100 ppb samples. Further investigations were carried out examining the effect on the capture of AgNP concentration (with concentration ranging from 10 to 100 ppb), particle coating and the effect of exposure time to the activated charcoal. The capture of AgNP increased with decreasing concentration. A hydrochloric acid (HCl) leaching procedure was also developed which successfully removed the captured silver allowing the fraction captured by the charcoal to be quantified with an average of 94.8% recovery. The results show that milled activated charcoal, can successfully capture AgNPs from water samples, and that therefore, activated charcoal may prove to be a cost effective material for the remediation of waters impacted by AgNP or other nano-wastes.
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Affiliation(s)
- E McGillicuddy
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Galway, Ireland; Centre for Health from Environment, Ryan Institute, National University of Ireland Galway, Galway, Ireland.
| | - L Morrison
- Centre for Health from Environment, Ryan Institute, National University of Ireland Galway, Galway, Ireland; Earth and Ocean Sciences, School of Natural Sciences, National University of Ireland, Galway, Ireland
| | - M Cormican
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Galway, Ireland; Centre for Health from Environment, Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - P Dockery
- Anatomy, School of Medicine, National University of Ireland Galway, Galway, Ireland
| | - D Morris
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Galway, Ireland; Centre for Health from Environment, Ryan Institute, National University of Ireland Galway, Galway, Ireland
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Gomez de Liano Lista A, Venugopal B, Fife K, Symeonides S, Vasudev N, Rudman S, Vohra S, Khasati L, Pettinger C, Szabados B, Morrison L, Powles T, Boleti E. Cabozantinib in metastatic renal cell carcinoma (mRCC): Data from UK expanded access program (EAP). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy283.102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Morrison L, Chen A, Wehner M, Junn A, Torres J, Linos E. LB1492 Facebook advertising for melanoma prevention. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.06.022] [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: 11/30/2022]
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Morrison L, Gillmore R, Pierce R. Detection and management of hyperglycaemia in oncology patients receiving systemic anti-cancer therapy. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.108] [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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Bass R, Morrison L. P132 A qualitative account of the first UK cystic fibrosis trust physiotherapy fellowship. J Cyst Fibros 2018. [DOI: 10.1016/s1569-1993(18)30427-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Morrison L, Duncan N. P133 Re-audit of the UK ACPCF Physiotherapy National Standards of Care. J Cyst Fibros 2018. [DOI: 10.1016/s1569-1993(18)30428-4] [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: 10/14/2022]
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Linos E, Wehner M, Nkansah-Mahaney N, Stijacic I, Abuabara K, Morrison L, Torres J, Berger T, Chren M, Covinsky K. 373 Dermatologists’ prescriptions of sedating antihistamines in older adults: Data from the national ambulatory health survey 2006-2015. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.379] [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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37
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Affiliation(s)
- L Morrison
- West of Scotland Adult CF Unit, Queen Elizabeth University Hospital, Glasgow, UK.
| | - S Milroy
- West of Scotland Adult CF Unit, Queen Elizabeth University Hospital, Glasgow, UK
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38
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Venkatesh K, Morrison L, Livingston E, Stek A, Read J, Shapiro D, Tuomala R. Changing patterns and predictors of mode of delivery among HIV-infected pregnant women in the United States from 1998 to 2013: results from two multi-site cohorts. Am J Obstet Gynecol 2017. [DOI: 10.1016/j.ajog.2017.08.088] [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: 11/30/2022]
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39
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Masoud A, Bartoletti S, Khurana A, Velavan P, Morrison L, Khalatbari A, Aggarwal S, Sharma N, Fairbairn T, Gupta D. 16Left atrial appendage occlusion in patients meeting the “commissioning through evaluation” eligibility criteria: high all-cause mortality seen in spite of successful device implant. Europace 2017. [DOI: 10.1093/europace/eux283.025] [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: 11/14/2022] Open
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40
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Healy MG, Fenton O, Cormican M, Peyton DP, Ordsmith N, Kimber K, Morrison L. Antimicrobial compounds (triclosan and triclocarban) in sewage sludges, and their presence in runoff following land application. Ecotoxicol Environ Saf 2017; 142:448-453. [PMID: 28458228 DOI: 10.1016/j.ecoenv.2017.04.046] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Revised: 03/16/2017] [Accepted: 04/22/2017] [Indexed: 06/07/2023]
Abstract
The reuse of treated municipal sewage ('biosolids') on land is an effective method to divert waste away from landfill and to use an alternative, low cost method of fertilisation. While legislation has mainly focused on the control of nutrient and metal application rates to land, other potentially harmful emerging contaminants (ECs) may be present in biosolids. Up to 80% of municipal sewage sludge is reused in agriculture in Ireland, which is currently the highest rate of reuse in Europe. However, unlike other countries, no study has been conducted on the presence of ECs across a range of wastewater treatment plants (WWTPs) in this country. This study evaluated the concentrations of two ECs in sewage sludge, the antimicrobials triclosan (TCS) and triclocarban (TCC), and their presence in surface runoff following land application in controlled rainfall simulation studies. In 16 WWTPs, concentrations of TCS and TCC were 0.61 and 0.08µgg-1, which is at the lower end of concentrations measured in other countries. The concentrations in runoff post land application were also mainly below the limits of detection (90ngL-1 for TCS, 6ngL-1 for TCC), indicating that runoff is not a significant pathway of entry into the environment.
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Affiliation(s)
- M G Healy
- Civil Engineering, National University of Ireland, Galway, Ireland
| | - O Fenton
- Teagasc Johnstown Castle Environment Research Centre, Co., Wexford, Ireland
| | - M Cormican
- School of Medicine, National University of Ireland, Galway, Ireland
| | - D P Peyton
- Civil Engineering, National University of Ireland, Galway, Ireland; Teagasc Johnstown Castle Environment Research Centre, Co., Wexford, Ireland
| | - N Ordsmith
- Crawford Scientific Ltd., Holm Street, Strathaven, South Lanarkshire, ML10 6NB, Scotland, United Kingdom; Hall Analytical Laboratories Ltd., Unit A, Millbrook Business Centre, Floats Road, Manchester M23 9YJ, England, United Kingdom
| | - K Kimber
- Crawford Scientific Ltd., Holm Street, Strathaven, South Lanarkshire, ML10 6NB, Scotland, United Kingdom; Hall Analytical Laboratories Ltd., Unit A, Millbrook Business Centre, Floats Road, Manchester M23 9YJ, England, United Kingdom
| | - L Morrison
- Earth and Ocean Sciences, School of Natural Sciences and Ryan Institute, National University of Ireland, Galway, Ireland.
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Brennan RB, Clifford E, Devroedt C, Morrison L, Healy MG. Treatment of landfill leachate in municipal wastewater treatment plants and impacts on effluent ammonium concentrations. J Environ Manage 2017; 188:64-72. [PMID: 27930957 DOI: 10.1016/j.jenvman.2016.11.055] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Revised: 09/07/2016] [Accepted: 11/24/2016] [Indexed: 06/06/2023]
Abstract
Landfill leachate is the result of water percolating through waste deposits that have undergone aerobic and anaerobic microbial decomposition. In recent years, increasingly stringent wastewater discharge requirements have raised questions regarding the efficacy of co-treatment of leachate in municipal wastewater treatment plants (WWTPs). This study aimed to (1) examine the co-treatment of leachate with a 5-day biochemical oxygen demand (BOD5): chemical oxygen demand (COD) ratio less than or slightly greater than 0.26 (intermediate age leachate) in municipal WWTPs (2) quantify the maximum hydraulic and mass (expressed as mass nitrogen or COD) loading of landfill leachate (as a percentage of the total influent loading rate) above which the performance of a WWTP may be inhibited, and (3) quantify the impact of a range of hydraulic loading rates (HLRs) of young and intermediate age leachate, loaded on a volumetric basis at 0 (study control), 2, 4 and 10% (volume landfill leachate influent as a percentage of influent municipal wastewater), on the effluent ammonium concentrations. The leachate loading regimes examined were found to be appropriate for effective treatment of intermediate age landfill leachate in the WWTPs examined, but co-treatment may not be suitable in WWTPs with low ammonium-nitrogen (NH4-N) and total nitrogen (TN) emission limit values (ELVs). In addition, intermediate leachate, loaded at volumetric rates of up to 4% or 50% of total WWTP NH4-N loading, did not significantly inhibit the nitrification processes, while young leachate, loaded at volumetric rates greater of than 2% (equivalent to 90% of total WWTP NH4-N loading), resulted in a significant decrease in nitrification. The results show that current hydraulic loading-based acceptance criteria recommendations should be considered in the context of leachate NH4-N composition. The results also indicate that co-treatment of old leachate in municipal WWTPs may represent the most sustainable solution for ongoing leachate treatment in the cases examined.
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Affiliation(s)
- R B Brennan
- Civil Engineering, National University of Ireland, Galway, Ireland; Ryan Institute, National University of Ireland, Galway, Ireland.
| | - E Clifford
- Civil Engineering, National University of Ireland, Galway, Ireland; Ryan Institute, National University of Ireland, Galway, Ireland
| | - C Devroedt
- Civil Engineering, National University of Ireland, Galway, Ireland; Institut National des Sciences Appliquées de Lyon, Lyon, France
| | - L Morrison
- Ryan Institute, National University of Ireland, Galway, Ireland; Earth and Ocean Sciences, School of Natural Sciences, National University of Ireland, Galway, Ireland
| | - M G Healy
- Civil Engineering, National University of Ireland, Galway, Ireland; Ryan Institute, National University of Ireland, Galway, Ireland
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42
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Fernandez N, Morrison L, Liuti T, Frame M, Yool D. Type Ia (spherical) communicating colonic duplication in a dog treated with colectomy. J Small Anim Pract 2017; 58:298-300. [PMID: 28133735 DOI: 10.1111/jsap.12634] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Revised: 01/11/2016] [Accepted: 01/22/2016] [Indexed: 12/21/2022]
Abstract
A six-month-old Labrador retriever presented for investigation of a colonic mass identified as an incidental finding during exploratory coeliotomy. Computed tomography identified a lesion in the colon which occupied part of its lumen and shared blood supply with the remainder of the colon. The lesion was suspected to be a colonic duplication and it was excised by segmental colectomy during exploratory coeliotomy. Histopathology from the excised colon confirmed the diagnosis of a colonic duplication. The dog recovered uneventfully and had no complications. To the authors' knowledge, this is the first report of an asymptomatic, spherical, communicating colonic duplication and the first report to describe segmental colectomy for the management of this condition in veterinary patients.
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Affiliation(s)
- N Fernandez
- Hospital for Small AnimalsRoyal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush Campus, Roslin, Edinburgh, EH25 9RG, Scotland
| | - L Morrison
- Hospital for Small AnimalsRoyal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush Campus, Roslin, Edinburgh, EH25 9RG, Scotland
| | - T Liuti
- Hospital for Small AnimalsRoyal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush Campus, Roslin, Edinburgh, EH25 9RG, Scotland
| | - M Frame
- Hospital for Small AnimalsRoyal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush Campus, Roslin, Edinburgh, EH25 9RG, Scotland
| | - D Yool
- Hospital for Small AnimalsRoyal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush Campus, Roslin, Edinburgh, EH25 9RG, Scotland
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43
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Mahon AM, O'Connell B, Healy MG, O'Connor I, Officer R, Nash R, Morrison L. Microplastics in Sewage Sludge: Effects of Treatment. Environ Sci Technol 2017; 51:810-818. [PMID: 27936648 DOI: 10.1021/acs.est.6b04048] [Citation(s) in RCA: 433] [Impact Index Per Article: 61.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Waste water treatment plants (WWTPs) are receptors for the cumulative loading of microplastics (MPs) derived from industry, landfill, domestic wastewater and stormwater. The partitioning of MPs through the settlement processes of wastewater treatment results in the majority becoming entrained in the sewage sludge. This study characterized MPs in sludge samples from seven WWTPs in Ireland which use anaerobic digestion (AD), thermal drying (TD), or lime stabilization (LS) treatment processes. Abundances ranged from 4196 to 15 385 particles kg-1 (dry weight). Results of a general linear mixed model (GLMM) showed significantly higher abundances of MPs in smaller size classes in the LS samples, suggesting that the treatment process of LS shears MP particles. In contrast, lower abundances of MPs found in the AD samples suggests that this process may reduce MP abundances. Surface morphologies examined using scanning electron microscopy (SEM) showed characteristics of melting and blistering of TD MPs and shredding and flaking of LS MPs. This study highlights the potential for sewage sludge treatment processes to affect the risk of MP pollution prior to land spreading and may have implications for legislation governing the application of biosolids to agricultural land.
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Affiliation(s)
- A M Mahon
- Marine and Freshwater Research Centre (MFRC), Galway-Mayo Institute of Technology , Dublin Road, Galway, Ireland
| | - B O'Connell
- Marine and Freshwater Research Centre (MFRC), Galway-Mayo Institute of Technology , Dublin Road, Galway, Ireland
| | - M G Healy
- Civil Engineering, National University of Ireland , Galway, Ireland
| | - I O'Connor
- Marine and Freshwater Research Centre (MFRC), Galway-Mayo Institute of Technology , Dublin Road, Galway, Ireland
| | - R Officer
- Marine and Freshwater Research Centre (MFRC), Galway-Mayo Institute of Technology , Dublin Road, Galway, Ireland
| | - R Nash
- Marine and Freshwater Research Centre (MFRC), Galway-Mayo Institute of Technology , Dublin Road, Galway, Ireland
| | - L Morrison
- Earth and Ocean Sciences, Schools of Natural Sciences and Ryan Institute, National University of Ireland , Galway, Ireland
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McGillicuddy E, Murray I, Kavanagh S, Morrison L, Fogarty A, Cormican M, Dockery P, Prendergast M, Rowan N, Morris D. Silver nanoparticles in the environment: Sources, detection and ecotoxicology. Sci Total Environ 2017; 575:231-246. [PMID: 27744152 DOI: 10.1016/j.scitotenv.2016.10.041] [Citation(s) in RCA: 258] [Impact Index Per Article: 36.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Revised: 10/05/2016] [Accepted: 10/05/2016] [Indexed: 05/25/2023]
Abstract
The environmental impact of silver nanoparticles (AgNP) has become a topic of interest recently, this is due to the fact that AgNPs have been included in numerous consumer products including textiles, medical products, domestic appliances, food containers, cosmetics, paints and nano-functionalised plastics. The production, use and disposal of these AgNP containing products are potential routes for environmental exposure. These concerns have led to a number of studies investigating the release of particles from nano-functionalised products, the detection of the particles in the aquatic environment and the potential environmental toxicology of these AgNPs to aquatic organisms. The overall aim of this review is to examine methods for the capture and detection of AgNPs, potential toxicity and transmission routes in the aquatic environment.
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Affiliation(s)
- E McGillicuddy
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Galway, Ireland; Centre for Health from Environment, Ryan Institute, National University of Ireland Galway, Galway, Ireland.
| | - I Murray
- Bioscience Research Institute, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland
| | - S Kavanagh
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Galway, Ireland; Centre for Health from Environment, Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - L Morrison
- Earth and Ocean Sciences, National University of Ireland Galway, Galway, Ireland
| | - A Fogarty
- Bioscience Research Institute, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland; Department of Life & Physical Science, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland
| | - M Cormican
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Galway, Ireland; Centre for Health from Environment, Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - P Dockery
- Discipline of Anatomy, School of Medicine, National University of Ireland Galway, Galway, Ireland
| | - M Prendergast
- Centre for Health from Environment, Ryan Institute, National University of Ireland Galway, Galway, Ireland
| | - N Rowan
- Bioscience Research Institute, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland; Department of Life & Physical Science, Athlone Institute of Technology, Dublin Road, Athlone, Co. Westmeath, Ireland
| | - D Morris
- Antimicrobial Resistance and Microbial Ecology Group, School of Medicine, National University of Ireland Galway, Galway, Ireland; Centre for Health from Environment, Ryan Institute, National University of Ireland Galway, Galway, Ireland
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Treff N, Zhan Y, Tao X, Olcha M, Han M, Rajchel J, Morrison L, Morin S, Scott R. Levels of trophectoderm mitochondrial dna do not predict the reproductive potential of human blastocysts. Fertil Steril 2016. [DOI: 10.1016/j.fertnstert.2016.07.1084] [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: 11/28/2022]
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46
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Brennan RB, Healy MG, Morrison L, Hynes S, Norton D, Clifford E. Management of landfill leachate: The legacy of European Union Directives. Waste Manag 2016; 55:355-63. [PMID: 26481637 DOI: 10.1016/j.wasman.2015.10.010] [Citation(s) in RCA: 67] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Revised: 08/31/2015] [Accepted: 10/08/2015] [Indexed: 05/21/2023]
Abstract
Landfill leachate is the product of water that has percolated through waste deposits and contains various pollutants, which necessitate effective treatment before it can be released into the environment. In the last 30years, there have been significant changes in landfill management practices in response to European Union (EU) Directives, which have led to changes in leachate composition, volumes produced and treatability. In this study, historic landfill data, combined with leachate characterisation data, were used to determine the impacts of EU Directives on landfill leachate management, composition and treatability. Inhibitory compounds including ammonium (NH4-N), cyanide, chromium, nickel and zinc, were present in young leachate at levels that may inhibit ammonium oxidising bacteria, while arsenic, copper and silver were present in young and intermediate age leachate at concentrations above inhibitory thresholds. In addition, the results of this study show that while young landfills produce less than 50% of total leachate by volume in the Republic of Ireland, they account for 70% of total annual leachate chemical oxygen demand (COD) load and approximately 80% of total 5-day biochemical oxygen demand (BOD5) and NH4-N loads. These results show that there has been a decrease in the volume of leachate produced per tonne of waste landfilled since enactment of the Landfill Directive, with a trend towards increased leachate strength (particularly COD and BOD5) during the initial five years of landfill operation. These changes may be attributed to changes in landfill management practices following the implementation of the Landfill Directive. However, this study did not demonstrate the impact of decreasing inputs of biodegradable municipal waste on leachate composition. Increasingly stringent wastewater treatment plant (WWTP) emission limit values represent a significant threat to the sustainability of co-treatment of leachate with municipal wastewater. In addition, the seasonal variation in leachate production poses a risk to effective co-treatment in municipal WWTPs, as periods of high leachate production coincide with periods of maximum hydraulic loading in WWTPs.
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Affiliation(s)
- R B Brennan
- Civil Engineering, College of Engineering and Informatics, National University of Ireland, Galway, Ireland; Ryan Institute, National University of Ireland, Galway, Ireland.
| | - M G Healy
- Civil Engineering, College of Engineering and Informatics, National University of Ireland, Galway, Ireland; Ryan Institute, National University of Ireland, Galway, Ireland
| | - L Morrison
- Ryan Institute, National University of Ireland, Galway, Ireland; Earth and Ocean Sciences, School of Natural Sciences, National University of Ireland, Galway, Ireland
| | - S Hynes
- Socio-Economic Marine Research Unit, J.E. Cairnes School of Business and Economics, National University of Ireland, Galway, Ireland
| | - D Norton
- Socio-Economic Marine Research Unit, J.E. Cairnes School of Business and Economics, National University of Ireland, Galway, Ireland
| | - E Clifford
- Civil Engineering, College of Engineering and Informatics, National University of Ireland, Galway, Ireland; Ryan Institute, National University of Ireland, Galway, Ireland
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47
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Healy MG, Ryan PC, Fenton O, Peyton DP, Wall DP, Morrison L. Bioaccumulation of metals in ryegrass (Lolium perenne L.) following the application of lime stabilised, thermally dried and anaerobically digested sewage sludge. Ecotoxicol Environ Saf 2016; 130:303-309. [PMID: 27174047 DOI: 10.1016/j.ecoenv.2016.04.026] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Revised: 04/16/2016] [Accepted: 04/23/2016] [Indexed: 06/05/2023]
Abstract
The uptake and accumulation of metals in plants is a potential pathway for the transfer of environmental contaminants in the food chain, and poses potential health and environmental risks. In light of increased population growth and urbanisation, the safe disposal of sewage sludge, which can contain significant levels of toxic contaminants, remains an environmental challenge globally. The aims of this experiment were to apply municipal sludge, having undergone treatment by thermal drying, anaerobic digestion, and lime stabilisation, to permanent grassland in order to assess the bioaccumulation of metals (B, Al, Ti, V, Cr, Mn, Co, Ni, Cu, Zn, As, Nb, Mo, Sb, Ba, W, Pb, Fe, Cd) by perennial ryegrass over a period of up to 18 weeks after application. The legislation currently prohibits use of grassland for fodder or grazing for at least three weeks after application of treated sewage sludge (biosolids). Five treatments were used: thermally dried (TD), anaerobically digested (AD) and lime stabilised (LS) sludge all from one wastewater treatment plant (WWTP), AD sludge from another WWTP, and a study control (grassland only, without application of biosolids). In general, there was no significant difference in metal content of the ryegrass between micro-plots that received treated municipal sludge and the control over the study duration. The metal content of the ryegrass was below the levels at which phytotoxicity occurs and below the maximum levels specified for animal feeds.
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Affiliation(s)
- M G Healy
- Civil Engineering, National University of Ireland, Galway, Ireland
| | - P C Ryan
- Civil Engineering, National University of Ireland, Galway, Ireland
| | - O Fenton
- Teagasc Johnstown Castle Environment Research Centre, Co. Wexford, Ireland
| | - D P Peyton
- Civil Engineering, National University of Ireland, Galway, Ireland; Teagasc Johnstown Castle Environment Research Centre, Co. Wexford, Ireland
| | - D P Wall
- Teagasc Johnstown Castle Environment Research Centre, Co. Wexford, Ireland
| | - L Morrison
- Earth and Ocean Sciences, School of Natural Sciences and Ryan Institute, National University of Ireland, Galway, Ireland.
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48
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Healy MG, Fenton O, Forrestal PJ, Danaher M, Brennan RB, Morrison L. Metal concentrations in lime stabilised, thermally dried and anaerobically digested sewage sludges. Waste Manag 2016; 48:404-408. [PMID: 26611400 DOI: 10.1016/j.wasman.2015.11.028] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Revised: 10/20/2015] [Accepted: 11/14/2015] [Indexed: 06/05/2023]
Abstract
Cognisant of the negative debate and public sentiment about the land application of treated sewage sludges ('biosolids'), it is important to characterise such wastes beyond current regulated parameters. Concerns may be warranted, as many priority metal pollutants may be present in biosolids. This study represents the first time that extensive use was made of a handheld X-ray fluorescence (XRF) analyser to characterise metals in sludges, having undergone treatment by thermal drying, lime stabilisation, or anaerobic digestion, in 16 wastewater treatment plants (WWTPs) in Ireland. The concentrations of metals, expressed as mgkg(-1) dry solids (DS), which are currently regulated in the European Union, ranged from 11 (cadmium, anaerobically digested (AD) biosolids) to 1273mgkg(-1) (zinc, AD biosolids), and with the exception of lead in one WWTP (which had a concentration of 3696mgkg(-1)), all metals were within EU regulatory limits. Two potentially hazardous metals, antimony (Sb) and tin (Sn), for which no legislation currently exists, were much higher than their baseline concentrations in soils (17-20mgSbkg(-1) and 23-55mgSnkg(-1)), meaning that potentially large amounts of these elements may be applied to the soil without regulation. This study recommends that the regulations governing the values for metal concentrations in sludges for reuse in agriculture are extended to include Sb and Sn.
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Affiliation(s)
- M G Healy
- Civil Engineering, National University of Ireland, Galway, Ireland
| | - O Fenton
- Teagasc Johnstown Castle Environment Research Centre, Co. Wexford, Ireland
| | - P J Forrestal
- Teagasc Johnstown Castle Environment Research Centre, Co. Wexford, Ireland
| | - M Danaher
- Food Safety Department, Teagasc Food Research Centre, Ashtown, Dublin 15, Ireland
| | - R B Brennan
- Civil Engineering, National University of Ireland, Galway, Ireland
| | - L Morrison
- Earth and Ocean Sciences, School of Natural Sciences and Ryan Institute, National University of Ireland, Galway, Ireland.
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Peyton DP, Healy MG, Fleming GTA, Grant J, Wall D, Morrison L, Cormican M, Fenton O. Nutrient, metal and microbial loss in surface runoff following treated sludge and dairy cattle slurry application to an Irish grassland soil. Sci Total Environ 2016; 541:218-229. [PMID: 26410697 DOI: 10.1016/j.scitotenv.2015.09.053] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Revised: 09/04/2015] [Accepted: 09/12/2015] [Indexed: 06/05/2023]
Abstract
Treated municipal sewage sludge ("biosolids") and dairy cattle slurry (DCS) may be applied to agricultural land as an organic fertiliser. This study investigates losses of nutrients in runoff water (nitrogen (N) and phosphorus (P)), metals (copper (Cu), nickel (Ni), lead (Pb), zinc (Zn), cadmium (Cd), chromium (Cr)), and microbial indicators of pollution (total and faecal coliforms) arising from the land application of four types of treated biosolids and DCS to field micro-plots at three time intervals (24, 48, 360 h) after application. Losses from biosolids-amended plots or DCS-amended plots followed a general trend of highest losses occurring during the first rainfall event and reduced losses in the subsequent events. However, with the exception of total and faecal coliforms and some metals (Ni, Cu), the greatest losses were from the DCS-amended plots. For example, average losses over the three rainfall events for dissolved reactive phosphorus and ammonium-nitrogen from DCS-amended plots were 5 and 11.2 mg L(-1), respectively, which were in excess of the losses from the biosolids plots. When compared with slurry treatments, for the parameters monitored biosolids generally do not pose a greater risk in terms of losses along the runoff pathway. This finding has important policy implications, as it shows that concern related to the reuse of biosolids as a soil fertiliser, mainly related to contaminant losses upon land application, may be unfounded.
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Affiliation(s)
- D P Peyton
- Teagasc, Environment Research Centre, Johnstown Castle, Co. Wexford, Ireland; Civil Engineering, National University of Ireland, Galway, Co. Galway, Ireland
| | - M G Healy
- Civil Engineering, National University of Ireland, Galway, Co. Galway, Ireland
| | - G T A Fleming
- Microbiology, National University of Ireland, Galway, Co. Galway, Ireland
| | - J Grant
- Teagasc, Ashtown, Co. Dublin, Ireland
| | - D Wall
- Teagasc, Environment Research Centre, Johnstown Castle, Co. Wexford, Ireland
| | - L Morrison
- Earth and Ocean Sciences and Ryan Institute, National University of Ireland, Galway, Co. Galway, Ireland
| | - M Cormican
- School of Medicine, National University of Ireland, Galway, Co. Galway, Ireland
| | - O Fenton
- Teagasc, Environment Research Centre, Johnstown Castle, Co. Wexford, Ireland.
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50
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Fazel Bakhsheshi M, Morrison L, Keenliside L, Lee TY. Selective Cooling of the Brain in Newborn Piglets and Rabbits Using a Novel Nasopharyngeal Method. Intensive Care Med Exp 2015. [PMCID: PMC4796534 DOI: 10.1186/2197-425x-3-s1-a484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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