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Duncan M, Newall M, Caillet V, Booth J, Lerch M, Perevertaylo V, Rosenfeld A, Petasecca M. OC-0407: Real-time dose verification of dynamic MLC tracking using a monolithic 2D silicon diode array. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30717-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Petasecca M, Newall M, Duncan M, Caillet V, James B, Booth J, Lerch M, Perevertaylo V, Keall P, Rosenfeld A. OC-0532: QA of stereotactic radiotherapy combined with electromagnetic MLC tracking by a silicon detector. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)30972-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Duncan M, Deane J, White PD, Ridge D, Roylance R, Korszun A, Chalder T, Bhui KS, Thaha MA, Bourke L. A survey to determine usual care after cancer treatment within the United Kingdom national health service. BMC Cancer 2017; 17:186. [PMID: 28284185 PMCID: PMC5346235 DOI: 10.1186/s12885-017-3172-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Accepted: 03/04/2017] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Approximately one third of cancer survivors in the United Kingdom face ongoing and debilitating psychological and physical symptoms related to poor quality of life. Very little is known about current post-cancer treatment services. METHODS Oncology healthcare professionals (HCPs) were invited to take part in a survey, which gathered both quantitative and free text data about the content and delivery of cancer aftercare and patient needs. Analysis involved descriptive statistics and content analysis. RESULTS There were 163 complete responses from 278 survey participants; 70% of NHS acute trusts provided data. HCPs views on patient post-cancer treatment needs were most frequently: fear of recurrence (95%), fatigue (94%), changes in physical capabilities (89%), anxiety (89%) and depression (88%). A median number of 2 aftercare sessions were provided (interquartile range: 1,4) lasting between 30 and 60 min. Usually these were provided face-to-face and intermittently by a HCP. However, sessions did not necessarily address the issues HCPs asserted as important. Themes from free-text responses highlighted inconsistencies in care, uncertain funding for services and omission of some evidence based approaches. CONCLUSION Provision of post-cancer treatment follow-up care is neither universal nor consistent in the NHS, nor does it address needs HCPs identified as most important.
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Duncan M, Rosenkranz R, Rebar A, Vandelanotte C, Maeder A, Caperchione C, Van Itallie A, Savage T, Mummery W, Kolt G. Increased objectively measured physical activity is associated with improved levels of energy and fatigue in a web-based physical activity RCT. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2017.01.184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Vandelanotte C, Duncan M, Stanton R, Rosenkranz R, Caperchione C, Rebar A, Savage T, Mummery W, Kolt G. Criterion validity and responsiveness to change of the Active Australia Survey according different subgroups. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2017.01.091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Anderson JE, Ross AJ, Back J, Duncan M, Snell P, Walsh K, Jaye P. Implementing resilience engineering for healthcare quality improvement using the CARE model: a feasibility study protocol. Pilot Feasibility Stud 2016; 2:61. [PMID: 27965876 PMCID: PMC5154109 DOI: 10.1186/s40814-016-0103-x] [Citation(s) in RCA: 62] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2015] [Accepted: 10/01/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Resilience engineering (RE) is an emerging perspective on safety in complex adaptive systems that emphasises how outcomes emerge from the complexity of the clinical environment. Complexity creates the need for flexible adaptation to achieve outcomes. RE focuses on understanding the nature of adaptations, learning from success and increasing adaptive capacity. Although the philosophy is clear, progress in applying the ideas to quality improvement has been slow. The aim of this study is to test the feasibility of translating RE concepts into practical methods to improve quality by designing, implementing and evaluating interventions based on RE theory. The CARE model operationalises the key concepts and their relationships to guide the empirical investigation. METHODS The settings are the Emergency Department and the Older Person's Unit in a large London teaching hospital. Phases 1 and 2 of our work, leading to the development of interventions to improve the quality of care, are described in this paper. Ethical approval has been granted for these phases. Phase 1 will use ethnographic methods, including observation of work practices and interviews with staff, to understand adaptations and outcomes. The findings will be used to collaboratively design, with clinical staff in interactive design workshops, interventions to improve the quality of care. The evaluation phase will be designed and submitted for ethical approval when the outcomes of phases 1 and 2 are known. DISCUSSION Study outcomes will be knowledge about the feasibility of applying RE to improve quality, the development of RE theory and a validated model of resilience in clinical work which can be used to guide other applications. Tools, methods and practical guidance for practitioners will also be produced, as well as specific knowledge of the potential effectiveness of the implemented interventions in emergency and older people's care. Further studies to test the application of RE at a larger scale will be required, including studies of other healthcare settings, organisational contexts and different interventions.
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Abstract
The gamma herpesviruses, Kaposi’s-sarcoma-associated herpesvirus (KSHV) and Epstein-Barr virus (EBV), are tightly associated with the development of AIDS-associated oral disease and malignancy during immune suppression. The objective of this investigation was to characterize oral infection and pathogenesis in healthy and immune-suppressed individuals. To characterize oral EBV and KSHV infection, we examined throat washings and oral epithelial cells from HIV-positive and HIV-negative individuals. Quantitative/real-time polymerase-chain-reaction (PCR) assays, transmission electronmicroscopy, immunostaining, and sequence analysis were used to identify viral infection. Virus was isolated from throat-wash samples and was used to infect epithelial and lymphoid cell lines. We detected EBV and KSHV in the oral cavity in healthy and immune-suppressed individuals. Viral strain analysis of KSHV K1 in multiple clones from the oral cavities of healthy persons and immunosuppressed patients detected several strains previously detected in KS lesions, with minor strain variation within individuals. Immunoelectron microscopy for multiple viral antigens detected consistent expression of viral proteins and oral epithelial specimens. In oral epithelial cells infected with wild-type KSHV in vitro, the K8.1 glycoprotein associated with lytic KSHV infection was detected in both primary and telomerase immortalized oral epithelial cultures by 24 hours post-infection. Virions were detected, subsequent to infection, by scanning electron microscopy. Oral epithelial cells were also infected in vitro with wild-type EBV originating from throat washes. Analysis of these data suggests that, like EBV, KSHV infection is present in the oropharynx of healthy individuals, is transmissible in vitro, and may be transmitted by saliva.
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Duncan M, Anderson J, Back J, Ross A. ISQUA16-2509QUALITY AND SAFETY IN THE OLDER PERSON'S UNIT: A RESILIENCE ENGINEERING APPROACH. Int J Qual Health Care 2016. [DOI: 10.1093/intqhc/mzw104.76] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fenning A, Batacan R, Dalbo V, Duncan M. Effect of Different Intensities of Physical Activity on Cardiometabolic Markers, Vascular and Cardiac Function in Adult Rats Fed with a High-Fat high-Carbohydrate Diet. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Munson L, Wack R, Duncan M, Montali RJ, Boon D, Stalis I, Crawshaw GJ, Cameron KN, Mortenson J, Citino S, Zuba J, Junge RE. Chronic Eosinophilic Dermatitis Associated with Persistent Feline Herpes Virus Infection in Cheetahs (Acinonyx jubatus). Vet Pathol 2016; 41:170-6. [PMID: 15017031 DOI: 10.1354/vp.41-2-170] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
A chronic ulcerative and eosinophilic dermatitis occurred in 20 captive cheetahs ( Acinonyx jubatus) with persistent feline herpes virus 1 (FHV1) infection. Affected animals had erythematous, ulcerated plaques primarily on the face and forelegs in sites of contact with lachrymal and salivary secretions. The dermatitis was characterized by dense infiltrates of eosinophils and plasma cells and pseudoepitheliomatous hyperplasia. Rare keratinocytes within the lesions had nuclei with marginated chromatin and small eosinophilic inclusions composed of herpes virus nucleocapsids. Virus isolated from lesions was confirmed to be FHV1. Lesions persisted and progressed unless removed by cryoexcision. The occurrence of this unusual reaction to FHV1 in approximately 5% of captive North American cheetahs suggests a species propensity for a Th2-dominant response to herpes virus infection. This atypical immune reaction may indicate a heritable trait or modulation of the immune response by other factors such as chronic stress.
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Copeland H, Gutteridge D, Roe D, Lane K, Shen C, Hashmi Z, Hage C, Wang I, Duncan M, Wozniak T. 10 Year Survival After Lung Transplantation: A Single Center Experience. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Bruley DF, Abdallah JM, Streiff MB, McGuire TW, Bruley KC, Duncan M, Duncan R, Thiessen EE, White M, Bruley KC, Bruley SB. A Compelling Case for the Use of Perioperative Zymogen Protein C for Increased Patient Safety. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2016; 923:15-21. [DOI: 10.1007/978-3-319-38810-6_2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Duncan M, Williams S, Vandelanotte C, Rebar A, Stanton R, Short C. Accuracy of a brief screening tool for multiple lifestyle behaviours. J Sci Med Sport 2015. [DOI: 10.1016/j.jsams.2015.12.197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Alley S, Jennings C, Duncan M, Schoeppe S, Gurtler D, Vandelanotte C. Attitudes, intentions and preferences for using physical activity tracking devices. J Sci Med Sport 2015. [DOI: 10.1016/j.jsams.2015.12.482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Appleton ND, Neithercut WD, Edwards C, Duncan M, Walsh CJ. Proton pump inhibitors in patients with high output stomas and enterocutaneous fistulae. Do they really help? An audit of a specialty clinic practice. Clin Nutr ESPEN 2015; 10:e182. [PMID: 28531484 DOI: 10.1016/j.clnesp.2015.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Petasecca M, Newall MK, Booth JT, Duncan M, Aldosari AH, Fuduli I, Espinoza AA, Porumb CS, Guatelli S, Metcalfe P, Colvill E, Cammarano D, Carolan M, Oborn B, Lerch MLF, Perevertaylo V, Keall PJ, Rosenfeld AB. MagicPlate-512: A 2D silicon detector array for quality assurance of stereotactic motion adaptive radiotherapy. Med Phys 2015; 42:2992-3004. [DOI: 10.1118/1.4921126] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Leddington Wright S, Erye E, Bryant E, Stanley M, Hankey J, Duncan M. Moderate to vigorous physical activity level but not BMI is associated with balance scores in British adolescents. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.1664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Latran M, Lane K, Shen C, Baz M, Duncan M, Hage C, Roe D, Hashmi Z, Wozniak T, Wang I. Impact of Age and BMI on Survival in Lung Transplant Recipients. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Roscoe C, Birch S, James R, Duncan M. Motor competence and weekend sedentary time predict body mass index in pre-schoolers. Appetite 2015. [DOI: 10.1016/j.appet.2014.12.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Bryant E, Duncan M, Birch S, James R. The effect of a fundamental movement skill intervention on physical skill self-efficacy and motor skill competence in overweight and obese children. Appetite 2015. [DOI: 10.1016/j.appet.2014.12.144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Lima B, Manos J, Duncan M, Noesges S, Anonetapipat W, Stockard E, Hernandez O, Shafii A, Chamogeorgakis T, Mac J, Hannaford, Smith R, Hall S, Gonzalez-Stawinski G. Overview of a Newly Developed Hub and Spoke Extracorporeal Membrane Oxygenation Inter-Hospital Transport Program. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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ElNaggar A, Coffman C, Davis E, Duncan M, Reed M. Utility of intraoperative frozen section of the inguinofemoral sentinel lymph node in vulvar cancer: A retrospective cohort. Gynecol Oncol 2015. [DOI: 10.1016/j.ygyno.2015.01.251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Duncan M, Monteiro M, Quante M. Bilateral parotid gland metastases from carcinoma of the breast that presented 25 years after initial treatment. Br J Oral Maxillofac Surg 2015; 53:94-6. [DOI: 10.1016/j.bjoms.2014.09.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2014] [Accepted: 09/24/2014] [Indexed: 10/24/2022]
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Batacan R, Fenning A, Duncan M, Dalbo V. Effects of high intensity interval training on health: a systematic review of intervention studies. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Gilson N, Pavey T, Vandelanotte C, Duncan M, Wright O, Gomersall S, Trost S, Brown W. Shifting Gears: Physical inactivity, unhealthy diet choices and chronic disease risks in Australian truck drivers. J Sci Med Sport 2014. [DOI: 10.1016/j.jsams.2014.11.369] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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