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Greene M, Britt J, Miller M, Adams S, Duckett S. 440 Impacts of Ergot Alkaloid Exposure During Mid and Late Gestation on Maternal Glucose, Insulin, and NEFA Concentrations and the Effects on Offspring Birth Weight. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.498] [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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Britt J, Powell R, McMahan C, Bruce T, Duckett S. PSXV-25 Placental histology using H&E and Ki67 after exposure to ergot alkaloids during mid and late gestation. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.806] [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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Beer B, Sell G, Justice S, Andrae J, Miller M, Burns M, Duckett S. PSX-8 Use of anabolic implants in calves to increase weaning weight and backgrounding gains. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Greene M, Britt J, Miller M, Adams S, Duckett S. 446 Impacts of Ergot Alkaloid Exposure During Mid and Late Gestation on Wether Performance and Glucose, Insulin, and NEFA Values. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Adams S, Kojima C, Andrae J, Duckett S. 422 Investigation of DRD2. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Britt J, Adams S, Miller M, Kojima C, Andrae J, Duckett S. 443 Impact of ergot alkaloids fed during gestation on fetal growth and subsequent postnatal growth in ewe lambs. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Duckett S. 490 Accelerating Marbling Deposition in Ruminants. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Adams S, Kojima C, Britt J, Miller M, Koch B, Andrae J, Duckett S. 39 Investigation of Ovine DRD2. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.991] [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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Duckett S. Knowing, Anticipating, Even Facilitating but Still not Intending: Another Challenge to Double Effect Reasoning. JOURNAL OF BIOETHICAL INQUIRY 2018; 15:33-37. [PMID: 29230697 DOI: 10.1007/s11673-017-9827-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/2016] [Accepted: 04/17/2017] [Indexed: 06/07/2023]
Abstract
A recent administrative law decision in Victoria, Australia, applied double effect reasoning in a novel way. Double effect reasoning has hitherto been used to legitimate treatments which may shorten life but where the intent of treatment is pain relief. The situation reviewed by the Victorian tribunal went further, supporting actions where a doctor agrees to provide pentobarbitone (Nembutal) to a patient at some time in the future if the patient feels at that time that his pain is unbearable and he wants to end his life. The offer to provide the drug was described as a palliative treatment in that it gave reassurance and comfort to the patient. Double effect reasoning was extended in this instance to encompass potentially facilitating a patient's death. This extension further muddies the murky double effect reasoning waters and creates another challenge to this concept.
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Justice SMM, Britt J, Jr. MM, Greene M, Davis C, Koch B, Duckett S, Jesch E. Predictions of Lean Meat Yield in Lambs Using Dexa and Chemical Analyses Proximate. MEAT AND MUSCLE BIOLOGY 2018. [DOI: 10.22175/rmc2018.162] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Jr. MFM, Britt J, Adams S, Koch B, Andrae J, Duckett S. Prenatal and Postnatal Lamb Muscle Growth as Influenced by Ergot Alkaloid Exposure in Utero. MEAT AND MUSCLE BIOLOGY 2018. [DOI: 10.22175/rmc2018.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Crozier A, Blazevic B, Lamata P, Plank G, Ginks M, Duckett S, Sohal M, Shetty A, Rinaldi CA, Razavi R, Niederer SA, Smith NP. Analysis of lead placement optimization metrics in cardiac resynchronization therapy with computational modelling. Europace 2017; 18:iv113-iv120. [PMID: 28011838 DOI: 10.1093/europace/euw366] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2016] [Accepted: 09/07/2016] [Indexed: 11/14/2022] Open
Abstract
AIMS The efficacy of cardiac resynchronization therapy (CRT) is known to vary considerably with pacing location, however the most effective set of metrics by which to select the optimal pacing site is not yet well understood. Computational modelling offers a powerful methodology to comprehensively test the effect of pacing location in silico and investigate how to best optimize therapy using clinically available metrics for the individual patient. METHODS AND RESULTS Personalized computational models of cardiac electromechanics were used to perform an in silico left ventricle (LV) pacing site optimization study as part of biventricular CRT in three patient cases. Maps of response to therapy according to changes in total activation time (ΔTAT) and acute haemodynamic response (AHR) were generated and compared with preclinical metrics of electrical function, strain, stress, and mechanical work to assess their suitability for selecting the optimal pacing site. In all three patients, response to therapy was highly sensitive to pacing location, with laterobasal locations being optimal. ΔTAT and AHR were found to be correlated (ρ < -0.80), as were AHR and the preclinical activation time at the pacing site (ρ ≥ 0.73), however pacing in the last activated site did not result in the optimal response to therapy in all cases. CONCLUSION This computational modelling study supports pacing in laterobasal locations, optimizing pacing site by minimizing paced QRS duration and pacing in regions activated late at sinus rhythm. Results demonstrate information content is redundant using multiple preclinical metrics. Of significance, the correlation of AHR with ΔTAT indicates that minimization of QRSd is a promising metric for optimization of lead placement.
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Khan JN, Griffiths T, Fatima T, Michael L, Mihai A, Mustafa Z, Sandhu K, Butler R, Duckett S, Heatlie G. Feasibility of physiologist-led stress echocardiography for the assessment of coronary artery disease. Echo Res Pract 2017; 4:29-36. [PMID: 28592522 PMCID: PMC5510440 DOI: 10.1530/erp-17-0019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2017] [Accepted: 06/01/2017] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND Physiologist-led stress echocardiography (PLSE) services provide potential for expansion of SE services and increased productivity for cardiologists. There are however no published data on the feasibility of PLSE. We sought to assess the feasibility, safety and robustness of PLSE and cardiologist-led stress echocardiography (CLSE) for coronary artery disease (CAD) assessment. METHODS Retrospective analysis of 898 patients undergoing PLSE or CLSE for CAD assessment using exercise or dobutamine stress over 24 months. PLSE involved 2 cardiac physiologists (exercise) or 1 physiologist plus 1 cardiac nurse (dobutamine). A cardiology registrar was present in the echocardiography department during PLSE in case of medical complications. CLSE involved 1 physiologist and 1 trainee cardiologist who analysed the study and reviewed findings with an imaging cardiologist. Sixteen-segment wall motion scoring (WMS, WMSI) analysis was performed. Feasibility (stressor, image quality, proportion of completed studies, agreement with imaging cardiologist analysis) and safety (complication rate) were compared for PLSE and CLSE. RESULTS The majority of studies were CLSE (56.2%) and used dobutamine (68.7%). PLSE more commonly used exercise (69.2%). Overall, 96% of studies were successfully completed (>14 diagnostic segments in 98%, P = 0.899 PLSE vs CLSE). Commencement of PLSE was associated with an increase in annual SE's performed for CAD assessment. Complication rates were comparably very low for PLSE and CLSE (0.8% vs 1.8%, P = 0.187). There was excellent agreement between PLSE and CLSE WMS interpretation of 480 myocardial segments at rest (κ = 0.87) and stress (κ = 0.70) and WMSI (ICCs and Pearson's r >0.90, zero Bland-Altman mean bias). CONCLUSION This to our knowledge is the first study of the feasibility of PLSE. PLSE performed by well-trained physiologists is feasible and safe in contemporary practice. PLSE and CLSE interpretation of stress echocardiography for CAD agree very closely.
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Crozier A, Blazevic B, Lamata P, Plank G, Ginks M, Duckett S, Sohal M, Shetty A, Rinaldi CA, Razavi R, Smith NP, Niederer SA. The relative role of patient physiology and device optimisation in cardiac resynchronisation therapy: A computational modelling study. J Mol Cell Cardiol 2015; 96:93-100. [PMID: 26546827 PMCID: PMC4915816 DOI: 10.1016/j.yjmcc.2015.10.026] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2015] [Revised: 10/12/2015] [Accepted: 10/21/2015] [Indexed: 11/22/2022]
Abstract
Cardiac resynchronisation therapy (CRT) is an established treatment for heart failure, however the effective selection of patients and optimisation of therapy remain controversial. While extensive research is ongoing, it remains unclear whether improvements in patient selection or therapy planning offers a greater opportunity for the improvement of clinical outcomes. This computational study investigates the impact of both physiological conditions that guide patient selection and the optimisation of pacing lead placement on CRT outcomes. A multi-scale biophysical model of cardiac electromechanics was developed and personalised to patient data in three patients. These models were separated into components representing cardiac anatomy, pacing lead location, myocardial conductivity and stiffness, afterload, active contraction and conduction block for each individual, and recombined to generate a cohort of 648 virtual patients. The effect of these components on the change in total activation time of the ventricles (ΔTAT) and acute haemodynamic response (AHR) was analysed. The pacing site location was found to have the largest effect on ΔTAT and AHR. Secondary effects on ΔTAT and AHR were found for functional conduction block and cardiac anatomy. The simulation results highlight a need for a greater emphasis on therapy optimisation in order to achieve the best outcomes for patients. Ventricular conduction block indicates patient response to CRT. Placement of CRT pacing leads strongly affects response to therapy. Improved treatment planning should be prioritised in order to maximise CRT outcomes.
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Ardenkjaer-Larsen JH, Boebinger GS, Comment A, Duckett S, Edison AS, Engelke F, Griesinger C, Griffin RG, Hilty C, Maeda H, Parigi G, Prisner T, Ravera E, van Bentum J, Vega S, Webb A, Luchinat C, Schwalbe H, Frydman L. Facing and Overcoming Sensitivity Challenges in Biomolecular NMR Spectroscopy. Angew Chem Int Ed Engl 2015; 54:9162-85. [PMID: 26136394 PMCID: PMC4943876 DOI: 10.1002/anie.201410653] [Citation(s) in RCA: 213] [Impact Index Per Article: 23.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2014] [Revised: 01/26/2015] [Indexed: 11/07/2022]
Abstract
In the Spring of 2013, NMR spectroscopists convened at the Weizmann Institute in Israel to brainstorm on approaches to improve the sensitivity of NMR experiments, particularly when applied in biomolecular settings. This multi-author interdisciplinary Review presents a state-of-the-art description of the primary approaches that were considered. Topics discussed included the future of ultrahigh-field NMR systems, emerging NMR detection technologies, new approaches to nuclear hyperpolarization, and progress in sample preparation. All of these are orthogonal efforts, whose gains could multiply and thereby enhance the sensitivity of solid- and liquid-state experiments. While substantial advances have been made in all these areas, numerous challenges remain in the quest of endowing NMR spectroscopy with the sensitivity that has characterized forms of spectroscopies based on electrical or optical measurements. These challenges, and the ways by which scientists and engineers are striving to solve them, are also addressed.
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Ardenkjaer-Larsen JH, Boebinger GS, Comment A, Duckett S, Edison AS, Engelke F, Griesinger C, Griffin RG, Hilty C, Maeda H, Parigi G, Prisner T, Ravera E, van Bentum J, Vega S, Webb A, Luchinat C, Schwalbe H, Frydman L. Neue Ansätze zur Empfindlichkeitssteigerung in der biomolekularen NMR-Spektroskopie. Angew Chem Int Ed Engl 2015. [DOI: 10.1002/ange.201410653] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Sohal M, Shetty A, Duckett S, Chen Z, Sammut E, Amraoui S, Carr-White G, Razavi R, Rinaldi CA. Noninvasive Assessment of LV Contraction Patterns Using CMR to Identify Responders to CRT. JACC Cardiovasc Imaging 2013; 6:864-73. [DOI: 10.1016/j.jcmg.2012.11.019] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2012] [Accepted: 11/15/2012] [Indexed: 10/26/2022]
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Puntmann VO, Gebker R, Duckett S, Mirelis J, Schnackenburg B, Graefe M, Razavi R, Fleck E, Nagel E. Left ventricular chamber dimensions and wall thickness by cardiovascular magnetic resonance: comparison with transthoracic echocardiography. Eur Heart J Cardiovasc Imaging 2012; 14:240-6. [DOI: 10.1093/ehjci/jes145] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
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Shi W, Zhuang X, Wang H, Duckett S, Luong DVN, Tobon-Gomez C, Tung K, Edwards PJ, Rhode KS, Razavi RS, Ourselin S, Rueckert D. A comprehensive cardiac motion estimation framework using both untagged and 3-D tagged MR images based on nonrigid registration. IEEE TRANSACTIONS ON MEDICAL IMAGING 2012; 31:1263-1275. [PMID: 22345530 DOI: 10.1109/tmi.2012.2188104] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
In this paper, we present a novel technique based on nonrigid image registration for myocardial motion estimation using both untagged and 3-D tagged MR images. The novel aspect of our technique is its simultaneous usage of complementary information from both untagged and 3-D tagged MR images. To estimate the motion within the myocardium, we register a sequence of tagged and untagged MR images during the cardiac cycle to a set of reference tagged and untagged MR images at end-diastole. The similarity measure is spatially weighted to maximize the utility of information from both images. In addition, the proposed approach integrates a valve plane tracker and adaptive incompressibility into the framework. We have evaluated the proposed approach on 12 subjects. Our results show a clear improvement in terms of accuracy compared to approaches that use either 3-D tagged or untagged MR image information alone. The relative error compared to manually tracked landmarks is less than 15% throughout the cardiac cycle. Finally, we demonstrate the automatic analysis of cardiac function from the myocardial deformation fields.
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Ma YL, Shetty AK, Duckett S, Etyngier P, Gijsbers G, Bullens R, Schaeffter T, Razavi R, Rinaldi CA, Rhode KS. An integrated platform for image-guided cardiac resynchronization therapy. Phys Med Biol 2012; 57:2953-68. [DOI: 10.1088/0031-9155/57/10/2953] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Bailey C, Duckett S, Davies S, Townsend R, Stockley I. Haemophilus parainfluenzae prosthetic joint infection. The importance of accurate microbiological diagnosis and options for management. J Infect 2011; 63:474-6. [PMID: 21871487 DOI: 10.1016/j.jinf.2011.08.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2011] [Revised: 08/11/2011] [Accepted: 08/12/2011] [Indexed: 12/15/2022]
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Shetty AK, Mehta P, Duckett S, Bostock J, Ginks M, Hamid S, Sohal M, Razavi R, Ma Y, Rhode K, Arujuna A, Rinaldi CA. 153 Ventricular pacing along individual branches of the coronary sinus using a quadripolar LV pacing lead. BRITISH HEART JOURNAL 2011. [DOI: 10.1136/heartjnl-2011-300198.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Shetty A, Duckett S, Ginks M, Ma Y, Sohal M, Mehta P, Hamid S, Bostock J, Carr-White G, Rhode K, Razavi R, Rinaldi CA. 152 Real-time cardiac MR anatomy and dyssynchrony overlay to guide left ventricular lead placement in CRT. BRITISH HEART JOURNAL 2011. [DOI: 10.1136/heartjnl-2011-300198.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Ginks MR, Duckett S, Hamid S, Shetty A, Bostock J, Razavi R, Rinaldi CA. 142 Cardiac resynchronisation therapy: are two left ventricular leads better than one? BRITISH HEART JOURNAL 2010. [DOI: 10.1136/hrt.2010.196113.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Broadhead P, Duckett S, Lavender G. Developing a mandate for change: planning as a political process. COMMUNITY HEALTH STUDIES 2010; 13:243-57. [PMID: 2691192 DOI: 10.1111/j.1753-6405.1989.tb00204.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The three main questions dealt with in this article are: 'why have community participation in planning?' 'what is community participation?' and 'how can community participation be practised?' Planning in this context should be understood in a strategic sense as social policy development and implementation at a regional level. In answer to the first question, two common approaches to social planning and their shortcomings are briefly discussed, with reference to a taxonomy from Alan Walker's book Social Planning, A Strategy for Socialist Welfare. Community participation in social planning is a key characteristic of an alternative approach which addresses or avoids altogether the fundamental shortcomings of the other two. Issues of the practice of community participation in regional planning are examined through a description and analysis of the planning process undertaken by the Western Metropolitan Region of the Health Department Victoria. Some general conclusions regarding current trends in policy formation and public sector administration are also drawn.
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