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Lacombe J, Cairns BJ, Green J, Reeves GK, Beral V, Armstrong MEG. The effects of age, adiposity, and physical activity on the risk of 7 site-specific fractures. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw166.027] [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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102
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Parfrey PS, Dicks E, Parfrey O, McNicholas PJ, Noseworthy H, Woods MO, Negriin C, Green J. Evaluation of a population-based approach to familial colorectal cancer. Clin Genet 2016; 91:672-682. [PMID: 27696385 PMCID: PMC5413826 DOI: 10.1111/cge.12877] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2016] [Revised: 09/19/2016] [Accepted: 09/21/2016] [Indexed: 12/24/2022]
Abstract
As Newfoundland has the highest rate of familial colorectal cancer (CRC) in the world, we started a population‐based clinic to provide colonoscopic and Lynch syndrome (LS) screening recommendations to families of CRC patients based on family risk. Of 1091 incident patients 51% provided a family history. Seventy‐two percent of families were at low or intermediate–low risk of CRC and colonoscopic screening recommendations were provided by letter. Twenty‐eight percent were at high and intermediate–high risk and were referred to the genetic counsellor, but only 30% (N = 48) were interviewed by study end. Colonoscopy was recommended more frequently than every 5 years in 35% of families. Lower family risk was associated with older age of proband but the frequency of screening colonoscopy recommendations varied across all age groups, driven by variability in family history. Twenty‐four percent had a high MMR predict score for a Lynch syndrome mutation, and 23% fulfilled the Provincial Program criteria for LS screening. A population‐based approach in the provision of colonoscopic screening recommendations to families at risk of CRC was limited by the relatively low response rate. A family history first approach to the identification of LS families was inefficient.
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Affiliation(s)
- P S Parfrey
- The Clinical Epidemiology Unit, Memorial University, St Johns, Newfoundland, Canada
| | - E Dicks
- The Clinical Epidemiology Unit, Memorial University, St Johns, Newfoundland, Canada
| | - O Parfrey
- The Clinical Epidemiology Unit, Memorial University, St Johns, Newfoundland, Canada
| | - P J McNicholas
- The Clinical Epidemiology Unit, Memorial University, St Johns, Newfoundland, Canada
| | - H Noseworthy
- The Clinical Epidemiology Unit, Memorial University, St Johns, Newfoundland, Canada
| | - M O Woods
- The Clinical Epidemiology Unit, Memorial University, St Johns, Newfoundland, Canada
| | - C Negriin
- The Clinical Epidemiology Unit, Memorial University, St Johns, Newfoundland, Canada
| | - J Green
- Discipline of Genetics, Health Sciences Centre, Memorial University, St Johns, Newfoundland, Canada
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Elledge R, Speculand B, Green J, Attard A. Training in surgery of the temporomandibular joint: perceptions of trainees in oral and maxillofacial surgery in the United Kingdom. Br J Oral Maxillofac Surg 2016; 54:941-945. [DOI: 10.1016/j.bjoms.2016.06.020] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2016] [Accepted: 06/24/2016] [Indexed: 10/21/2022]
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104
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Taylor S, Byrne A, Adams R, Turner J, Hanna L, Staffurth J, Farnell D, Sivell S, Nelson A, Green J. The Three-item ALERT-B Questionnaire Provides a Validated Screening Tool to Detect Chronic Gastrointestinal Symptoms after Pelvic Radiotherapy in Cancer Survivors. Clin Oncol (R Coll Radiol) 2016; 28:e139-e147. [PMID: 27369458 DOI: 10.1016/j.clon.2016.06.004] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2016] [Revised: 05/05/2016] [Accepted: 05/17/2016] [Indexed: 01/03/2023]
Abstract
AIMS Although pelvic radiotherapy is an effective treatment for various malignancies, around half of patients develop significant gastrointestinal problems. These symptoms often remain undetected, despite the existence of effective treatments. This study developed and refined a simple screening tool to detect common gastrointestinal symptoms in outpatient clinics. These symptoms have a significant effect on quality of life. This tool will increase detection rates and so enable access to specialist gastroenterologists, which will in turn lead to improved symptom control and quality of life after treatment. MATERIALS AND METHODS A literature review and expert consensus meeting identified four items for the ALERT-B (Assessment of Late Effects of RadioTherapy - Bowel) screening tool. ALERT-B was face tested for its usability and acceptability using cognitive interviews with 12 patients experiencing late gastrointestinal symptoms after pelvic radiotherapy. Thematic analysis and probe category were used to analyse interview transcripts. Interview data were presented to a group of experts to agree on the final content and format of the tool. ALERT-B was assessed for reliability and tested for validity against the Gastrointestinal Symptom Rating Scale in a clinical study (EAGLE). RESULTS Overall, the tool was found to be acceptable in terms of wording, response format and completion time. Participant-reported experiences, including lifestyle modifications and the psychological effect of the symptoms, led to further modifications of the tool. The refined tool includes three questions covering rectal bleeding, incontinence, nocturnal bowel movements and impact on quality of life, including mood, relationships and socialising. ALERT-B was successfully validated against the Gastrointestinal Symptom Rating Scale in the EAGLE study with the tool shown broadly to be internally consistent (Cronbach's α = 0.61 and all item-subscale correlation [Spearman] coefficients are > 0.6). CONCLUSION The ALERT-B screening tool can be used in clinical practice to improve post-treatment supportive care by triggering the clinical assessment of patients suitable for referral to a gastroenterologist.
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Affiliation(s)
- S Taylor
- Marie Curie Palliative Care Research Centre, Division of Population Medicine, Cardiff University School of Medicine, Cardiff, UK.
| | - A Byrne
- Marie Curie Palliative Care Research Centre, Division of Population Medicine, Cardiff University School of Medicine, Cardiff, UK
| | - R Adams
- Velindre Cancer Centre, Cardiff, UK
| | - J Turner
- Department of Gastroenterology, University Hospital of Llandough, Llandough, Penarth, UK
| | - L Hanna
- Velindre Cancer Centre, Cardiff, UK
| | | | - D Farnell
- School of Dentistry, Cardiff University, Cardiff, UK
| | - S Sivell
- Marie Curie Palliative Care Research Centre, Division of Population Medicine, Cardiff University School of Medicine, Cardiff, UK
| | - A Nelson
- Marie Curie Palliative Care Research Centre, Division of Population Medicine, Cardiff University School of Medicine, Cardiff, UK
| | - J Green
- Department of Gastroenterology, University Hospital of Llandough, Llandough, Penarth, UK
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Poots AJ, Amati F, Greenfield G, Green J. ISQUA16-1136IMPROVING ACCESS AND OUTCOMES IN COMMUNITY PSYCHOLOGICAL THERAPIES. Int J Qual Health Care 2016. [DOI: 10.1093/intqhc/mzw104.66] [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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106
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Cairns BJ, Canoy D, Reeves GK, Green J, Beral V. P12 Associations of aortic stenosis with factors relating to pregnancy in a cohort of 1.2 million UK women. Br J Soc Med 2016. [DOI: 10.1136/jech-2016-208064.111] [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: 11/04/2022]
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107
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Floud S, Barnes I, Verfurden M, Kuper H, Beral V, Reeves G, Green J. OP06 Disability and uptake of screening for breast and bowel cancer in England. Br J Soc Med 2016. [DOI: 10.1136/jech-2016-208064.6] [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: 11/04/2022]
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108
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Cyril S, Halliday J, Green J, Renzaho AMN. Relationship between body mass index and family functioning, family communication, family type and parenting style among African migrant parents and children in Victoria, Australia: a parent-child dyad study. BMC Public Health 2016; 15:707. [PMID: 27487945 PMCID: PMC4973039 DOI: 10.1186/s12889-016-3394-1] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2015] [Accepted: 07/28/2016] [Indexed: 11/21/2022] Open
Abstract
Background Although childhood obesity prevalence is stabilised in developed countries including Australia, it is continuing to rise among migrants and socially disadvantaged groups in these countries. African migrants and refugees in particular, are at high risk of obesity due to changes in their family dynamics. The aim of this study was to examine the difference between children and parental perception of family functioning, family communication, family type and parenting styles and their relationship with body mass index. Methods A cross-sectional parent-child dyad study was conducted among 284 African families from migrant and refugee backgrounds living in metropolitan Melbourne, Australia. Bilingual workers were trained to collect demographic, anthropometric and questionnaire data on family functioning, parenting, family type and family communication. Results Parents and children reported different levels of family dynamics. Children reported a higher prevalence of poor family functioning (61.5 %, 95 % CI: 55.6, 67.2 versus 56.8 %, 95 % CI: 49.7, 61.6) and protective family type (29 %, 95 % CI: 23.9, 34.5 vs. 13.4 %, 95 % CI: 9.9, 17.9), but a lower prevalence of authoritative parenting style (51.6 %, 95 % CI: 45.7, 57.5 vs. 63 %, 95 % CI: 57.5, 68.8) than parents. There was a positive relationship between poor family functioning and child BMI both before (β = 1.28; 95 % CI: 0.14, 2.41; p < 0.05) and after (β = 1.73; 95 % CI: 0.53, 2.94; p < 0.001) controlling for confounders, and an inverse relationship between consensual family type and child BMI after adjustment (β = −1.92; 95 % CI: −3.59, −0.24; p < 0.05). There was no significant relationship between parental BMI and family functioning, communication, family type or parenting style. Conclusion Children’s perception of poor family functioning was associated with childhood obesity. Family interventions to reduce childhood obesity need to adopt an intergenerational approach to promote a clear understanding of family dynamics between children and parents. Unless these intergenerational challenges associated with family dynamics are clearly addressed in obesity interventions, current obesity prevention initiatives will continue to widen the childhood obesity gap in Australia.
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Affiliation(s)
- S Cyril
- Centre for Cardiovascular Research and Education, School of Public Health and Preventive Medicine, Monash University, Level 5, Alfred Centre, 99 Commercial Road, Prahran, VIC, 3004, Australia.,School of Social Sciences and Psychology, Western Sydney University, Penrith, 2751, NSW, Australia
| | - J Halliday
- School of Psychology, Deakin University, Burwood, Australia
| | - J Green
- Murdoch Children's Research Institute and Department of Paediatrics, The University of Melbourne and Parenting Research Centre, 323 Victoria Pde, East Melbourne, 3002, VIC, Australia
| | - A M N Renzaho
- Humanitarian and Development Studies, School of Social Sciences and Psychology, Western Sydney University, Locked Bag 1797, Penrith, 2751, NSW, Australia.
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Lee F, Green J, Gibilisco R. Recent Developments Using Phosphorus-Containing Diol as a Reactive Combustion Modifier for Rigid Polyurethane Foams-Part III. J CELL PLAST 2016. [DOI: 10.1177/0021955x8502100202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- F.T. Lee
- FMC Corporation Research and Development Center P.O. Box 8 Princeton, NJ 08540
| | - J. Green
- FMC Corporation Research and Development Center P.O. Box 8 Princeton, NJ 08540
| | - R.D. Gibilisco
- FMC Corporation Research and Development Center P.O. Box 8 Princeton, NJ 08540
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Abstract
Prevailing attitudes toward mothers in families in which father-daughter incest is disclosed cause a destructive misdirecting of blame that ultimately supports victimization of women. Blame-oriented explanations of mothers' roles are critically reviewed and contrasted with feminist reassessments in a sociopolitical context. Identified as additional victims in the complex matrix of family and community, mothers are revictimized by a clinical establishment that upholds the nonconscious patriarchal ideology underlying violence against women. Clinicians need to validate and support mothers in their “disenfranchised grief” so they can better help their daughters to heal, and to design and lobby for programs that will promote social changes necessary for a more egalitarian society.
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Seivewright H, Salkovskis P, Green J, Mullan N, Behr G, Carlin E, Young S, Goldmeier D, Tyrer P. Prevalence and service implications of health anxiety in genitourinary medicine clinics. Int J STD AIDS 2016; 15:519-22. [PMID: 15307961 DOI: 10.1258/0956462041558122] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
A comparison of the prevalence of health anxiety in genitourinary medicine (GUM) clinics in two UK centres was carried out using a new rating scale, the Health Anxiety Inventory (HAI). The relationship of health anxiety to demographic and clinical variables, and its impact on service contacts, was also examined in one of these centres. 694 patients were assessed and significant health anxiety was identified in 8–11%. HAI scores were stable over time and high levels persisted in the absence of treatment. Attenders with sexually transmitted infections had significantly lower levels of health anxiety than those with other conditions. Contacts with clinic doctors and health advisors in the nine months before and after assessment were significantly greater in those with high health anxiety, with doctor appointments 37% higher in the high HAI group ( P = 0.005). Health anxiety is a source of considerable morbidity in GUM clinics deserving further study.
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Affiliation(s)
- H Seivewright
- Department of Psychological Medicine, Imperial College (Charing Cross Campus), London W6 8RP, UK.
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112
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Li X, Kozielski K, Cheng YH, Liu H, Zamboni CG, Green J, Mao HQ. Nanoparticle-mediated conversion of primary human astrocytes into neurons and oligodendrocytes. Biomater Sci 2016; 4:1100-12. [PMID: 27328202 PMCID: PMC4922536 DOI: 10.1039/c6bm00140h] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Central nervous system (CNS) diseases and injuries are accompanied by reactive gliosis and scarring involving the activation and proliferation of astrocytes to form hypertrophic and dense structures, which present a significant barrier to neural regeneration. Engineering astrocytes to functional neurons or oligodendrocytes may constitute a novel therapeutic strategy for CNS diseases and injuries. Such direct cellular programming has been successfully demonstrated using viral vectors via the transduction of transcriptional factors, such as Sox2, which could program resident astrocytes into neurons in the adult brain and spinal cord, albeit the efficiency was low. Here we report a non-viral nanoparticle-based transfection method to deliver Sox2 or Olig2 into primary human astrocytes and demonstrate the effective conversion of the astrocytes into neurons and oligodendrocyte progenitors following the transgene expression of Sox2 and Olig2, respectively. This approach is highly translatable for engineering astrocytes to repair injured CNS tissues.
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Affiliation(s)
- Xiaowei Li
- Translational Tissue Engineering Center, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. and Department of Materials Science & Engineering, Johns Hopkins University, Baltimore, MD 21218, USA and Institute for NanoBioTechnology, Johns Hopkins University, Baltimore, MD 21218, USA
| | - Kristen Kozielski
- Translational Tissue Engineering Center, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. and Institute for NanoBioTechnology, Johns Hopkins University, Baltimore, MD 21218, USA and Department of Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
| | - Yu-Hao Cheng
- Translational Tissue Engineering Center, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. and Department of Materials Science & Engineering, Johns Hopkins University, Baltimore, MD 21218, USA and Institute for NanoBioTechnology, Johns Hopkins University, Baltimore, MD 21218, USA
| | - Huanhuan Liu
- Translational Tissue Engineering Center, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. and Department of Materials Science & Engineering, Johns Hopkins University, Baltimore, MD 21218, USA and Institute for NanoBioTechnology, Johns Hopkins University, Baltimore, MD 21218, USA
| | - Camila Gadens Zamboni
- Translational Tissue Engineering Center, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. and Department of Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
| | - Jordan Green
- Translational Tissue Engineering Center, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. and Department of Materials Science & Engineering, Johns Hopkins University, Baltimore, MD 21218, USA and Institute for NanoBioTechnology, Johns Hopkins University, Baltimore, MD 21218, USA and Department of Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
| | - Hai-Quan Mao
- Translational Tissue Engineering Center, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA. and Department of Materials Science & Engineering, Johns Hopkins University, Baltimore, MD 21218, USA and Institute for NanoBioTechnology, Johns Hopkins University, Baltimore, MD 21218, USA
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113
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Coffey K, Beral V, Green J, Reeves G, Barnes I. Lifestyle and reproductive risk factors associated with anal cancer in women aged over 50 years. Br J Cancer 2016; 114:e16. [PMID: 27228293 PMCID: PMC4984469 DOI: 10.1038/bjc.2016.13] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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114
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Cairns B, Canoy D, Reeves G, Green J, Beral V. PT039 Associations of Aortic Stenosis With Factors Relating to Pregnancy in a Cohort of 1.2 Million UK Women. Glob Heart 2016. [DOI: 10.1016/j.gheart.2016.03.463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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115
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Bieber T, Akdis C, Lauener R, Traidl-Hoffmann C, Schmid-Grendelmeier P, Schäppi G, Allam JP, Apfelbacher C, Augustin M, Beck L, Biedermann T, Braun-Fahrländer C, Chew FT, Clavel T, Crameri R, Darsow U, Deleuran M, Dittlein D, Duchna HW, Eichenfeld L, Eyerich K, Frei R, Gelmetti C, Gieler U, Gilles S, Glatz M, Grando K, Green J, Gutermuth J, Guttman-Yassky E, Hanifin J, Hijnen D, Hoetzenecker W, Irvine A, Kalweit A, Katoh N, Knol E, Koren H, Möhrenschlager M, Münch D, Novak N, O'Mahony L, Paller AS, Rhyner C, Roduit C, Schiesser K, Schröder J, Simon D, Simon HU, Sokolowska M, Spuls P, Stalder JF, Straub D, Szalai Z, Taieb A, Takaoka R, Todd G, Todorova A, Vestergaard C, Werfel T, Wollenberg A, Ring J. Global Allergy Forum and 3rd Davos Declaration 2015: Atopic dermatitis/Eczema: challenges and opportunities toward precision medicine. Allergy 2016; 71:588-92. [PMID: 27023268 DOI: 10.1111/all.12857] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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116
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Abstract
OBJECTIVE To quantify the extent to which patients disclose their concerns to community nurses during wound care consultations. METHOD Using an 'observation checklist' based on themes and subthemes that were identified in a previous study of the same patients, 20 wound care consultations were observed. The non-participant observer completed the checklist and made field notes regarding the context and nature of interactions. RESULTS Patient participants had 160 opportunities to raise concerns regarding previously-identified pain, exudate and odour, yet they did not do so on 64 (40%) occasions. They had 28, 32 and 84 opportunities to raise emotional, wound care and daily living issues, respectively, and they did not on 16 (56%), 3 (9%) and 32 (38%) occasions. Overall, patients did not raise 38% of their concerns. Of the concerns that were raised, 8% were either not acknowledged or were disregarded by their community nurse. CONCLUSION If these data are representative, this has profound implications for person-centred care and shared decision-making models of care, which are predicated on patients articulating their needs. They also have implications for the development of practitioners' communication and consulting skills.
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Affiliation(s)
- J Green
- Lecturer and PhD Research Fellow, Keele University School of Nursing and Midwifery, Clinical Education Centre, University Hospital of North Staffordshire NHS Trust, Stoke-on-Trent, UK
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Peedell C, Aynsley E, Shakespeare D, Green J, Summers P, Reynolds J, Burke K, Bayles H, Huntley C, Richmond N. EP-1212: Are the encouraging SABR results for NSCLC reproducible outside of pioneering academic institutions? Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32462-8] [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: 10/21/2022]
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118
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Duran I, Fink M, Bahl A, Hoefeler H, Mahmood A, Lüftner D, Ghazal H, Wei R, Chung K, Hechmati G, Green J, Atchison C. Health resource utilisation associated with skeletal-related events in patients with bone metastases secondary to solid tumours: regional comparisons in an observational study. Eur J Cancer Care (Engl) 2016; 26. [DOI: 10.1111/ecc.12452] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/29/2015] [Indexed: 12/25/2022]
Affiliation(s)
- I. Duran
- Medical Oncology Department; Centro Integral Oncologico Clara Campal; Madrid Spain
| | - M.G. Fink
- Orange Coast Memorial Medical Center; Fountain Valley CA USA
| | - A. Bahl
- Bristol Haematology and Oncology Centre; University Hospitals Bristol; Bristol UK
| | - H. Hoefeler
- Forschungszentrum Ruhr; KliFoCenter GmbH; Witten Germany
| | - A. Mahmood
- Cancer Specialists of South Texas; Corpus Christi Cancer Center; Corpus Christi TX USA
| | - D. Lüftner
- Universitätsmedizin Berlin; Charité Campus Benjamin Franklin; Berlin Germany
| | | | - R. Wei
- Biostatistics; Amgen, Inc.; Thousand Oaks CA
| | - K.C. Chung
- Global Health Economics; Amgen Inc.; Thousand Oaks CA USA
| | - G. Hechmati
- Global Health Economics; Amgen Inc.; Zug Switzerland
| | - J. Green
- Global Study Management; Amgen Inc.; Thousand Oaks CA
| | - C. Atchison
- Global Health Economics; Amgen Inc.; Thousand Oaks CA USA
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Stubbs G, Henley K, Green J. Autism: Will vitamin D supplementation during pregnancy and early childhood reduce the recurrence rate of autism in newborn siblings? Med Hypotheses 2016; 88:74-8. [PMID: 26880644 DOI: 10.1016/j.mehy.2016.01.015] [Citation(s) in RCA: 66] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2015] [Revised: 12/30/2015] [Accepted: 01/22/2016] [Indexed: 11/22/2022]
Abstract
BACKGROUND Vitamin D deficiency is widespread in the world including the vulnerable group of pregnant women. Vitamin D deficiency during pregnancy is hypothesized to contribute to the cause of autism. Further, it is hypothesized that vitamin D supplementation during pregnancy and early childhood will reduce the recurrence rate of autism in newborn siblings. METHODS To investigate the hypothesis an open label prospective study was performed prescribing vitamin D during pregnancy to mothers of children with autism at a dose of 5000IU/day. The newborn siblings were at high risk for the recurrence of autism. The newborn infants were also prescribed vitamin D, 1000IU/day to their third birthday. The newborn siblings were followed for three years and during that time, were assessed for autism on two separate occasions: at 18months and 36months of age. The results were compared to the reported recurrence rates in siblings of autistic children in the literature. RESULTS The final outcome was 1 out of 19 (5%) developed autism in contrast to the recurrence rate of approximately 20% in the literature. We did not have a control group, nor was there blinding. CONCLUSIONS The results are promising, however, this is a preliminary study with very small numbers and was uncontrolled. Further study with larger numbers is indicated. The ethics of prescribing a low dosage of vitamin D such as 400IU D3/day to a control group of mothers in comparison to a large dose such as 5000IU D3/day are problematic in our opinion.
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Affiliation(s)
- G Stubbs
- Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, United States.
| | - K Henley
- Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, United States
| | - J Green
- Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, United States
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121
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Knutson F, Osselaer J, Pierelli L, Lozano M, Cid J, Tardivel R, Garraud O, Hervig T, Domanovic D, Cukjati M, Gudmundson S, Hjalmarsdottir IB, Castrillo A, Gonzalez R, Brihante D, Santos M, Schlenke P, Elliott A, Lin JS, Tappe D, Stassinopoulos A, Green J, Corash L. A prospective, active haemovigilance study with combined cohort analysis of 19,175 transfusions of platelet components prepared with amotosalen-UVA photochemical treatment. Vox Sang 2015; 109:343-52. [PMID: 25981525 PMCID: PMC4690512 DOI: 10.1111/vox.12287] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2014] [Revised: 03/24/2015] [Accepted: 03/27/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND OBJECTIVES A photochemical treatment process (PCT) utilizing amotosalen and UVA light (INTERCEPT(™) Blood System) has been developed for inactivation of viruses, bacteria, parasites and leucocytes that can contaminate blood components intended for transfusion. The objective of this study was to further characterize the safety profile of INTERCEPT-treated platelet components (PCT-PLT) administered across a broad patient population. MATERIALS AND METHODS This open-label, observational haemovigilance programme of PCT-PLT transfusions was conducted in 21 centres in 11 countries. All transfusions were monitored for adverse events within 24 h post-transfusion and for serious adverse events (SAEs) up to 7 days post-transfusion. All adverse events were assessed for severity (Grade 0-4), and causal relationship to PCT-PLT transfusion. RESULTS Over the course of 7 years in the study centres, 4067 patients received 19,175 PCT-PLT transfusions. Adverse events were infrequent, and most were of Grade 1 severity. On a per-transfusion basis, 123 (0.6%) were classified an acute transfusion reaction (ATR) defined as an adverse event related to the transfusion. Among these ATRs, the most common were chills (77, 0.4%) and urticaria (41, 0.2%). Fourteen SAEs were reported, of which 2 were attributed to platelet transfusion (<0.1%). No case of transfusion-related acute lung injury, transfusion-associated graft-versus-host disease, transfusion-transmitted infection or death was attributed to the transfusion of PCT-PLT. CONCLUSION This longitudinal haemovigilance safety programme to monitor PCT-PLT transfusions demonstrated a low rate of ATRs, and a safety profile consistent with that previously reported for conventional platelet components.
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Affiliation(s)
- F Knutson
- Department of Immunology, Genetics, and Pathology, Uppsala University, Uppsala, Sweden
| | - J Osselaer
- Cliniques Universitaires de Mont Godinne, Universite Catholique de Louvain, Yvoir, Belgium
| | - L Pierelli
- Department of Experimental Medicine, Sapienza University of Roma, Rome, Italy
| | - M Lozano
- Department of Hemotherapy and Hemostasis, CDB, IDIBAPS, Hospital Clinic, Barcelona, Spain
| | - J Cid
- Department of Hemotherapy and Hemostasis, CDB, IDIBAPS, Hospital Clinic, Barcelona, Spain
| | | | - O Garraud
- EFS Auvergne Loire, St. Etienne, France
| | - T Hervig
- Department of Immunology and Transfusion Medicine, University of Bergen, Bergen, Norway
| | - D Domanovic
- Blood Transfusion Centre of Slovenia, Ljubljana, Slovenia
| | - M Cukjati
- Blood Transfusion Centre of Slovenia, Ljubljana, Slovenia
| | - S Gudmundson
- Blood Bank, National University Hospital, Reykjavik, Iceland
| | | | - A Castrillo
- Transfusion Centre of Galicia, Santiago de Compostela, Spain
| | - R Gonzalez
- Transfusion Centre of Galicia, Santiago de Compostela, Spain
| | - D Brihante
- Servico de Imuno-Hemoterapia, Instituto Portugues de Oncologia de Lisboa, Lisbon, Portugal
| | - M Santos
- Servico de Imuno-Hemoterapia, Instituto Portugues de Oncologia de Lisboa, Lisbon, Portugal
| | - P Schlenke
- Department of Blood Group Serology and Transfusion Medicine, Medical University of Graz, Graz, Austria
| | | | - J-S Lin
- Cerus Corporation, Concord, CA, USA
| | - D Tappe
- Cerus Corporation, Concord, CA, USA
| | | | - J Green
- Cerus Corporation, Concord, CA, USA
| | - L Corash
- Cerus Corporation, Concord, CA, USA
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Mangraviti A, Tzeng S, Gullotti D, Kozielski K, Kim J, Seng M, Abbadi S, Schiapparelli P, Sarabia-Estrada R, Brem H, Tyler B, Olivi A, Green J, Quinones-Hinojosa A. ATPS-90EFFICACY OF NON-VIRAL ENGINEERED ADIPOSE MESENCHYMAL STEM CELLS FOR BRAIN TUMOR THERAPY. Neuro Oncol 2015. [DOI: 10.1093/neuonc/nov204.90] [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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123
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Mohindra A, Venkatasami M, Green J. First bite syndrome secondary to open TMJ surgery. Int J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.ijom.2015.08.245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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124
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Gathani T, Balkwill A, Moser KA, Reeves GK, Green J, Beral V. Incidence of Ovarian and Endometrial Cancer by Ethnicity in the Million Women Study. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv096.316] [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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125
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Gao R, Kratzing C, Pither C, Sharkey L, West S, Butler A, Woodward J, Duncan S, Green J, Chukualim B, Gabe S, Jamieson N, Middleton S. Nutritional outcomes following small bowel transplantation – The first year post-operative nutritional nadir. Clin Nutr ESPEN 2015; 10:e190-e191. [DOI: 10.1016/j.clnesp.2015.03.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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126
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Canoy D, Beral V, Balkwill A, Wright FL, Green J, Reeves GK, Cairns BJ. Age at Menarche and Risk of Coronary Heart Disease in the UK Million Women Study. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.200] [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: 11/13/2022] Open
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127
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Brown A, Kroll ME, Kirichek O, Reeves GK, Green J, Beral V. Recording of Dementia among UK Women: A Comparison of Primary Care and Hospital Admission Records. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv096.424] [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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128
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Benson VS, Kirichek O, Beral V, Green J. Menopausal Hormone Therapy and Risk of Central Nervous System Tumours: a UK-based Nested Case-Control Study. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.198] [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: 11/14/2022] Open
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129
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Sweetland S, Balkwill A, Beral V, Gathani T, Green J, Reeves GK. Surgery and Risk of Venous Thromboembolism in Women with Cancer: A UK-based Prospective Cohort Study. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv096.331] [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: 11/12/2022] Open
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130
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Aubry M, Richard V, Green J, Broult J, Musso D. Inactivation du virus zika par amotosalen et illumination aux ultraviolets A. Transfus Clin Biol 2015. [DOI: 10.1016/j.tracli.2015.06.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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131
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Graham B, Spaulding U, Jones M, Bourzac K, Green J, Buchan B, Faron M, Coon C, Crisp R, Rogatcheva M. Detection of viral pathogens of the lower respiratory tract using a comprehensive multiplexed PCR-based system in two sample matrices. J Clin Virol 2015. [PMCID: PMC7128894 DOI: 10.1016/j.jcv.2015.07.108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Gaitskell K, Green J, Pirie K, Reeves G, Beral V. OP14 Breastfeeding and ovarian cancer in the million women study. Br J Soc Med 2015. [DOI: 10.1136/jech-2015-206256.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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133
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Esplen MJ, Wong J, Aronson M, Butler K, Rothenmund H, Semotiuk K, Madlensky L, Way C, Dicks E, Green J, Gallinger S. Long-term psychosocial and behavioral adjustment in individuals receiving genetic test results in Lynch syndrome. Clin Genet 2015; 87:525-32. [PMID: 25297893 PMCID: PMC4391982 DOI: 10.1111/cge.12509] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2014] [Revised: 09/19/2014] [Accepted: 09/23/2014] [Indexed: 11/29/2022]
Abstract
A cross-sectional study of 155 participants who underwent genetic testing for Lynch syndrome (LS) examined long-term psychosocial and behavioral outcomes. Participants completed standardized measures of perceived risk, psychosocial functioning, knowledge, and a questionnaire of screening activities. Participants were on average 47.3 years and had undergone testing a mean of 5.5 years prior. Eighty four (54%) tested positive for a LS mutation and 71 (46%) negative. For unaffected carriers, perceived lifetime risk of colorectal cancer was 68%, and surprisingly, 40% among those testing negative. Most individuals demonstrated normative levels of psychosocial functioning. However, 25% of those testing negative had moderate depressive symptoms, as measured by the Center for Epidemiologic Studies for Depression Scale, and 31% elevated state anxiety on the State-Trait Anxiety Inventory. Being female and a stronger escape - avoidant coping style were predictive of depressive symptoms. For state anxiety, similar patterns were observed. Quality of life and social support were significantly associated with lower anxiety. Carriers maintained higher knowledge compared to those testing negative, and were more engaged in screening. In summary, most individuals adapt to genetic test results over the long term and continue to engage in screening. A subgroup, including some non-carriers, may require added psychosocial support.
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Affiliation(s)
- M J Esplen
- University Health Network, Toronto, Canada; Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada; de Souza Institute, Toronto, Canada
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Flemming JA, Green J, Melicharkova A, Vanner S, Hookey L. Low-residue breakfast during the preparation for colonoscopy using a polyethylene glycol electrolyte solution: a randomised non-inferiority trial. BMJ Open Gastroenterol 2015; 2:e000029. [PMID: 26462280 PMCID: PMC4599153 DOI: 10.1136/bmjgast-2015-000029] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Revised: 04/10/2015] [Accepted: 05/08/2015] [Indexed: 01/10/2023] Open
Abstract
Goals To test the hypothesis that the use of a low-residue breakfast (LRB) the day prior to colonoscopy was not inferior to consuming clear fluids alone (CFD) in patients undergoing outpatient colonoscopy with a polyethylene glycol (PEG) bowel preparation. Background Optimal colon cleansing is essential for complete visualisation of the mucosa during colonoscopy. Few studies have examined the effect of diet on the quality of bowel cleansing or tolerance in patients using a PEG bowel preparation for colonoscopy. Methods Randomised, single-blinded non-inferiority trial. Adult patients scheduled for outpatient colonoscopy with PEG solution were randomised to an LRB followed by clear fluids or CFD using either a traditional or split-dose PEG solution for bowel preparation. The primary outcome was colon cleansing based on the Ottawa Bowel Preparation Score (OBPS). Results On an intention-to-treat (ITT) basis, a total of 109 and 105 patients were included in the CFD and LRB arms, respectively, with 116 and 98 patients, respectively, for the per-protocol (PP) analysis. Although there was no difference in the mean total OBPS between the CFD or LRB arms in either the ITT or PP analysis, the threshold for non-inferiority was not met. Patient acceptance of the regimens was higher in the LRB arm than in the CFD arm in the ITT and PP analyses. Conclusions This study failed to show the non-inferiority of an LRB in patients receiving bowel preparation with a PEG-based solution. A CFD should be prescribed when using a PEG bowel preparation. Trial registration number This trial is registered at ClinicalTrials.gov (NCT01454388).
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Affiliation(s)
- Jennifer A Flemming
- Gastrointestinal Diseases Research Unit , Queen's University , Kingston, Ontario , Canada
| | - Jordan Green
- Gastrointestinal Diseases Research Unit , Queen's University , Kingston, Ontario , Canada
| | - Andrea Melicharkova
- Gastrointestinal Diseases Research Unit , Queen's University , Kingston, Ontario , Canada
| | - Stephen Vanner
- Gastrointestinal Diseases Research Unit , Queen's University , Kingston, Ontario , Canada
| | - Lawrence Hookey
- Gastrointestinal Diseases Research Unit , Queen's University , Kingston, Ontario , Canada
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Abstract
Individuals born with differences or disorders of sex development (DSD) have been marginalized by society and the health care system. Standards of care in the mid-20(th) century were based on fixing the child with a DSD, using hormonal and surgical interventions; these treatments and the diagnoses were almost never disclosed to the child, and sometimes they were not disclosed to the parents. This led to secrecy, shame, and stigma. When these children became adults and demanded access to their medical records, the realization of the depth of secrecy led to the formation of activism groups that shook the medical community. Despite precarious beginnings, advocates, health care professionals, and researchers were able to elicit changes in the standard of care. The 2006 Consensus Statement on Management of Intersex Disorders called for a multidisciplinary approach to care and questioned the evidence for many of the standard procedures. Standard of care moved from a concealment model to a patient-centered paradigm, and funding agencies put resources into determining the future paths of research on DSD. Recognition of the need to address patient priorities led to changing international standards for including patients in research design. Some challenges that remain include: the findings from the Institute of Medicine that sexual and gender minorities experience poor health outcomes; establishing trust across all parties; developing a common language and creating venues where individuals can participate in dialogue that addresses personal experiences, research design, clinical practices and intervention strategies.
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Affiliation(s)
- A C Lossie
- Office of Behavioral and Social Sciences Research (OBSSR), Division of Program Coordination, Planning, and Strategic Initiatives, Office of the Director, National Institutes of Health (NIH), Bethesda, USA
| | - J Green
- Accord Alliance, A Project of the Tides Center, Whitehouse Station, USA
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136
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Blanks RG, Benson VS, Alison R, Brown A, Reeves GK, Beral V, Patnick J, Green J. Nationwide bowel cancer screening programme in England: cohort study of lifestyle factors affecting participation and outcomes in women. Br J Cancer 2015; 112:1562-7. [PMID: 25742470 PMCID: PMC4453681 DOI: 10.1038/bjc.2015.69] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2014] [Revised: 01/16/2015] [Accepted: 01/27/2015] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND In 2006, the National Health Service Bowel Cancer Screening Programme in England (NHSBCSP) began offering routine population-based biennial faecal occult blood testing (FOBt) at ages 60-69. There is, however, limited information on how characteristics of individuals affect participation and outcomes of screening, and we studied this association by linking NHSBCSP data to a large prospective cohort of women. METHODS Electronic linkage of the NHSBCSP and Million Women Study records identified 899 166 women in the study cohort with at least one invitation for screening. NHSBCSP provided information on screening acceptance, FOBt results, screen-detected colorectal cancer and other outcomes. The Million Women Study provided prospectively collected information on personal and lifestyle factors. Multiple regression was used to estimate relative risks (RRs) of factors associated with acceptance and outcomes of screening. RESULTS Overall, 70% of women (628 976/899 166) accepted their first invitation for bowel cancer screening, of whom 9133 (1.5%) were FOBt-positive, 743 (0.1%) had screen-detected colorectal cancer and 3056 (0.5%) had screen-detected colorectal adenoma. Acceptance was lower in women from the most than the least deprived tertile, in South Asians and in Blacks than in Whites, in current than in never smokers and in obese than in normal weight women: adjusted RRs (95% confidence interval) for acceptance vs not, 0.90 (0.90-0.90); 0.77 (0.75-79); 0.94 (0.92-0.96); 0.78 (0.77-0.78); and 0.88 (0.88-0.89), respectively: P<0.001 for each. These factors were also associated with an increased risk of being FOBt-positive and of having screen-detected adenoma, but were not strongly associated with the risk of screen-detected colorectal cancer. Relative risks for screen-detected adenoma were 1.22 (1.12-1.34), 2.46 (1.75-3.45), 1.61 (1.05-2.48), 1.53 (1.38-1.68) and 1.77 (1.60-1.95), respectively (P<0.001 for all, except for Blacks vs Whites P=0.03). Use of hormone therapy for menopause was associated with reduced risk of screen-detected adenoma, RR ever vs never use, 0.87 (0.81-0.93), P<0.001 and colorectal cancer, 0.78 (0.68-0.91), P=0.001. INTERPRETATION Among women in England, socioeconomic and lifestyle factors strongly affect participation in routine bowel cancer screening, risk of being FOBt-positive and risk of having screen-detected colorectal adenoma. However, screen-detected colorectal cancer risk is not strongly related to these factors.
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Affiliation(s)
- R G Blanks
- Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - V S Benson
- Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - R Alison
- Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - A Brown
- Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - G K Reeves
- Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - V Beral
- Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - J Patnick
- Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
- NHS Cancer Screening Programmes, Public Health England, Fulwood House, Old Fulwood Road, Sheffield S10 3TH, UK
| | - J Green
- Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
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Coffey K, Beral V, Green J, Reeves G, Barnes I. Lifestyle and reproductive risk factors associated with anal cancer in women aged over 50 years. Br J Cancer 2015; 112:1568-74. [PMID: 25867258 PMCID: PMC4453684 DOI: 10.1038/bjc.2015.89] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2014] [Revised: 02/03/2015] [Accepted: 02/07/2015] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Anal cancer incidence increases with age and is higher in women than men. Risk factors in this group other than high-risk human papillomavirus infection are unclear. METHODS In all, 1.3 million women were recruited in 1996-2001 and followed for incident anal cancer. Cox regression models were used to calculate relative risks (RRs) for anal cancer by various potential risk factors. RESULTS Five hundred and seventeen incident anal cancers were registered over 13 years of follow-up. The largest RR was associated with a history of cervical intraepithelial neoplasia grade 3 (CIN 3; RR=4.03, 95% CI 2.59-6.28). Other factors associated with significantly increased risks in multivariate analyses were: ever smoking (RR=1.49, 1.24-1.80); previous use of oral contraceptives (RR=1.51, 1.24-1.83); nulliparity (RR=1.61, 1.24-2.07); tubal ligation (RR=1.39, 1.13-1.70) and not living with a partner (RR=1.82, 1.40-2.38). The association with smoking was significantly greater for squamous cell carcinoma than adenocarcinoma of the anus (RR 1.66 vs 0.89, P for heterogeneity=0.04). CONCLUSIONS History of CIN 3, smoking, past oral contraceptive use, nulliparity, tubal ligation and not living with a partner are risk factors for anal cancer in women. There was a significant increase in risk associated with smoking for squamous cell anal cancers but not adenocarcinomas.
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Affiliation(s)
- K Coffey
- Cancer Epidemiology Unit, University of Oxford, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, UK
| | - V Beral
- Cancer Epidemiology Unit, University of Oxford, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, UK
| | - J Green
- Cancer Epidemiology Unit, University of Oxford, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, UK
| | - G Reeves
- Cancer Epidemiology Unit, University of Oxford, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, UK
| | - I Barnes
- Cancer Epidemiology Unit, University of Oxford, Richard Doll Building, Roosevelt Drive, Oxford OX3 7LF, UK
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Anandasabapathy N, Breton G, Hurley A, Caskey M, Trumpfheller C, Sarma P, Pring J, Pack M, Buckley N, Matei I, Lyden D, Green J, Hawthorne T, Marsh HC, Yellin M, Davis T, Keler T, Schlesinger SJ. Efficacy and safety of CDX-301, recombinant human Flt3L, at expanding dendritic cells and hematopoietic stem cells in healthy human volunteers. Bone Marrow Transplant 2015; 50:924-30. [PMID: 25915810 DOI: 10.1038/bmt.2015.74] [Citation(s) in RCA: 69] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Revised: 02/05/2015] [Accepted: 02/19/2015] [Indexed: 12/22/2022]
Abstract
Fms-like tyrosine kinase-3 ligand (Flt3L) uniquely binds the Flt3 (CD135) receptor expressed on hematopoietic stem cells (HSCs), early progenitor cells, immature thymocytes and steady-state dendritic cells (DCs) and induces their proliferation, differentiation, development and mobilization in the bone marrow, peripheral blood and lymphoid organs. CDX-301 has an identical amino-acid sequence and comparable biological activity to the previously tested rhuFlt3L, which ceased clinical development over a decade ago. This Phase 1 trial assessed the safety, pharmacokinetic, pharmacodynamic and immunologic profile of CDX-301, explored alternate dosing regimens and examined the impact of rhuFlt3L on key immune cell subsets. Thirty healthy volunteers received CDX-301 (1-75 μg/kg/day) over 5-10 days. One event of Grade 3 community-acquired pneumonia occurred. There were no other infections, dose-limiting toxicities or serious adverse events. CDX-301 resulted in effective peripheral expansion of monocytes, hematopoietic stem and progenitor cells and key subsets of myeloid DCs and plasmacytoid DCs, with no clear effect on regulatory T cells. These data from healthy volunteers support the potential for CDX-301, as monotherapy or in combination with other agents, in various indications including allogeneic HSC transplantation and immunotherapy, but the effects of CDX-301 will need to be investigated in each of these patient populations.
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Affiliation(s)
- N Anandasabapathy
- 1] The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA [2] Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - G Breton
- The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA
| | - A Hurley
- The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA
| | - M Caskey
- The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA
| | - C Trumpfheller
- The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA
| | - P Sarma
- The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA
| | - J Pring
- The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA
| | - M Pack
- The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA
| | - N Buckley
- The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA
| | - I Matei
- Department of Pediatrics, Weill Cornell Medical College, New York, NY, USA
| | - D Lyden
- Department of Pediatrics, Weill Cornell Medical College, New York, NY, USA
| | - J Green
- Celldex Therapeutics, Inc., Needham, MA, USA
| | - T Hawthorne
- Celldex Therapeutics, Inc., Needham, MA, USA
| | - H C Marsh
- Celldex Therapeutics, Inc., Needham, MA, USA
| | - M Yellin
- Celldex Therapeutics, Inc., Needham, MA, USA
| | - T Davis
- Celldex Therapeutics, Inc., Needham, MA, USA
| | - T Keler
- Celldex Therapeutics, Inc., Needham, MA, USA
| | - S J Schlesinger
- The Laboratory of Cellular Physiology and Immunology, The Rockefeller University, New York, NY, USA
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Affiliation(s)
- J Green
- Laboratory of Membrane Biology, Cedars-Sinai Medical Center, Los Angeles, Calif
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140
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Green J, Jester R, McKinley R, Pooler A, Mason S, Redsell S. A new quality of life consultation template for patients with venous leg ulceration. J Wound Care 2015; 24:140-2; 145-8. [PMID: 25764959 DOI: 10.12968/jowc.2015.24.3.140] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVE Chronic venous leg ulcers (CVLUs) are common and recurrent, however, care for patients predominantly has a focus which overlooks the impact of the condition on quality of life. The aim of this study was to develop a simple, evidence-based consultation template, with patients and practitioners, which focuses consultations on quality of life themes. METHOD A nominal group was undertaken to develop a new consultation template for patients with CVLUs based on the findings of earlier qualitative study phases. RESULTS A user-friendly two-sided A4 template was designed to focus nurse-patient consultations on the quality of life challenges posed by CVLUs. CONCLUSION CVLUs impact negatively on the quality of life of the patient but this receives inadequate attention during current consultations. This new template will help to ensure that key concerns are effectively raised, explored and addressed during each consultation. DECLARATION OF INTEREST The NHS West Midlands Strategic Health Authority funded this study. The authors have no conflicts of interest to declare.
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Affiliation(s)
- J Green
- Lecturer, School of Nursing and Midwifery, Keele University, Staffordshire, ST4 6QG
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141
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Zamboni C, Green J, Higgins L. Local delivery of gene-based therapy for hepatocellular carcinoma: the TACE of the future? J Vasc Interv Radiol 2015. [DOI: 10.1016/j.jvir.2014.12.430] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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142
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Lyon C, Boules E, Green J. Hypertension; an under-recognized cause of painful leg ulceration in the UK. Clin Exp Dermatol 2014; 40:447-9. [PMID: 25475161 DOI: 10.1111/ced.12525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2014] [Indexed: 11/29/2022]
Affiliation(s)
- C Lyon
- Department of Dermatology, York Teaching Hospitals Foundation Trust, York, North Yorkshire, YO31 8HE, UK.
| | - E Boules
- Department of Dermatology, York Teaching Hospitals Foundation Trust, York, North Yorkshire, YO31 8HE, UK
| | - J Green
- Department of Dermatology, York Teaching Hospitals Foundation Trust, York, North Yorkshire, YO31 8HE, UK
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Affiliation(s)
- J. Green
- Lecturer; School of Nursing and Midwifery, Keele University, Staffordshire, ST4 6QG
| | - R. Jester
- Professor; Faculty of Health and Social Care, London South Bank University, London, SEI 0AA
| | - R. McKinley
- Professor of Education in General Practice; Keele University Medical School, Staffordshire, ST5 5BG
| | - A. Pooler
- Lecturer; School of Nursing and Midwifery, Keele University, Staffordshire, ST4 6QG
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144
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Milton S, Petticrew M, Green J. Why do local authorities undertake controlled evaluations of health impact? A qualitative case study of interventions in housing. Public Health 2014; 128:1112-7. [DOI: 10.1016/j.puhe.2014.10.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2014] [Revised: 10/14/2014] [Accepted: 10/14/2014] [Indexed: 11/27/2022]
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145
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Reardon D, Schuster J, Tran D, Fink K, Nabors L, Li G, Lukas R, Desjardins A, Ashby L, Duic JP, Aneiro L, Hawthorne T, Green J, Yellin M, Davis T, Sampson J. IT-30 * ReACT: A PHASE II STUDY OF RINDOPEPIMUT VACCINE (CDX-110) PLUS BEVACIZUMAB IN RELAPSED GLIOBLASTOMA. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou258.28] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [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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146
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Mangraviti A, Tzeng S, Seng M, Abbadi S, Kozielski K, Schiapparelli P, Wijesekera O, Sarabia-Estrada R, Brem H, Tyler B, Olivi A, Green J, Quinones-Hinojosa A. SC-17 * BMP4-SECRETING hAdMSCs ENGINEERED WITH NANOPARTICLES: A NON-VIRAL MSC-BASED THERAPY FOR GLIOBLASTOMA. Neuro Oncol 2014. [DOI: 10.1093/neuonc/nou275.17] [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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147
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Powell K, Green J, Milton S, Buckner S, White M, Moffatt S, Salway S. Older people’s wellbeing in the UK: what role do universal welfare benefits play? Eur J Public Health 2014. [DOI: 10.1093/eurpub/cku161.130] [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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148
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Morgan C, Green J. OP017: Hyperalimentation and Electrolyte Requirements in Very Preterm Infants: A Randomised Controlled Parenteral Nutrition Study. Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50017-9] [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: 10/24/2022]
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149
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Sweetland S, Balkwill A, Beral V, Gathani T, Green J, Kirwan C, Reeves G. PP80 Risk of venous thromboembolism in women with cancer: a UK-based prospective cohort study. Br J Soc Med 2014. [DOI: 10.1136/jech-2014-204726.175] [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: 11/04/2022]
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150
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Bradbury KE, Balkwill A, Spencer EA, Roddam AW, Reeves GK, Green J, Key TJ, Beral V, Pirie K. PP76 Organic food consumption and the incidence of cancer in a large prospective study of women in the UK. Br J Soc Med 2014. [DOI: 10.1136/jech-2014-204726.171] [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: 11/04/2022]
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