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Kingston M, French P, Higgins S, McQuillan O, Sukthankar A, Stott C, McBrien B, Tipple C, Turner A, Sullivan AK, Radcliffe K, Cousins D, FitzGerald M, Fisher M, Grover D, Higgins S, Kingston M, Rayment M, Sullivan A. UK national guidelines on the management of syphilis 2015. Int J STD AIDS 2015; 27:421-46. [PMID: 26721608 DOI: 10.1177/0956462415624059] [Citation(s) in RCA: 141] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Accepted: 12/02/2015] [Indexed: 12/12/2022]
Abstract
These guidelines are an update for 2015 of the 2008 UK guidelines for the management of syphilis. The writing group have piloted the new BASHH guideline methodology, notably using the GRADE system for assessing evidence and making recommendations. We have made significant changes to the recommendations for screening infants born to mothers with positive syphilis serology and to facilitate accurate and timely communication between the teams caring for mother and baby we have developed a birth plan. Procaine penicillin is now an alternative, not preferred treatment, for all stages of syphilis except neurosyphilis, but the length of treatment for this is shortened. Other changes are summarised at the start of the guideline.
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Dempsey B, Turner A, Wisinski-Bokiniec P, Goodchild A, McMullan S. Putative sympathetic premotor neurons in the rostral ventrolateral medulla are not somatotopically distributed. Auton Neurosci 2015. [DOI: 10.1016/j.autneu.2015.07.133] [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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Eade T, Stonell D, Turner A. MCR2S unstructured mesh capabilities for use in shutdown dose rate analysis. FUSION ENGINEERING AND DESIGN 2015. [DOI: 10.1016/j.fusengdes.2015.06.189] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Dempsey B, Turner A, Le S, Allen A, Goodchild A, McMullan S. The connectome of rostral ventrolateral medulla sympathetic premotor neurons. Auton Neurosci 2015. [DOI: 10.1016/j.autneu.2015.07.401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Dempsey B, Hassan S, Turner A, Allen A, Dampney R, Goodchild A, McMullan S. Direct projections from the inferior colliculus drive putative pre-motor sympathetic, respiratory and motor populations in the medulla. Auton Neurosci 2015. [DOI: 10.1016/j.autneu.2015.07.124] [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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Turner A, Nikpay M, Lau P, Martinuk A, Soubeyrand S, McPherson R. FUNCTIONAL RELATIONSHIP OF THE SMAD3 LOCUS TO CORONARY ARTERY DISEASE (CAD). Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.478] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Michalarea V, Lopez J, Lorente D, Carreira S, Hassam H, Parmar M, Turner A, Hall E, Fandos SS, Decordova S, Swales K, Ruddle R, Raynaud F, Tunariu N, Stephens C, Molife L, Banerji U, Plummer R, Bono JD, Yap T. 343 Translational phase I trial combining the AKT inhibitor AZD5363 (AZD) and PARP inhibitor Olaparib (Ola) in advanced cancer patients (pts). Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30206-4] [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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Butterfield E, Walters G, Moore V, Nightingale P, Turner A, Burge P. P133 Longitudinal Decline In Fev1 In Occupational Asthma Due To Irritants Is Not Altered By Removal From Exposure. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.274] [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]
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Ahmad N, Moore J, Woolnough K, Ismail, Bedford M, Naidu U, Tselepis C, Turner A. S110 Dysregulated Iron Metabolism Mediated By Irp2 May Influence Lung Cancer Progression, Particularly In The Context Of Cigarette Smoke Exposure. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.116] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Blissett D, Jowett S, Turner A, Moore D, Dretzke J, Mukherjee R, Dave C. S83 An Economic Evaluation Of Domiciliary Non-invasive Ventilation (niv) In Patients With End-stage Copd In The Uk. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.89] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Dretzke J, Dave C, Blissett D, Mukherjee R, Price M, Bayliss S, Wu X, Jordan R, Jowett S, Moore D, Turner A. P300 The Clinical Effectiveness Of Domiciliary Non-invasive Ventilation (niv) In Patients With End-stage Copd. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Spruell T, Dave C, Mukherjee R, Turner A. P149 Characteristic And Prognosis Of Patients With Copd And Type 2 Respiratory Failure. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.278] [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]
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Rauf F, Oakes A, Khan Y, Stuart T, Chakraborty B, Turner A, Mukherjee R. P299 The Role Of A Multidisciplinary Respiratory Hub In Improving Post-discharge Follow Up Of Patients Receiving Acute Non-invasive Ventilation (niv). Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.417] [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]
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Mukherjee D, Parekh D, Dancer R, Ungurs M, Khiroya H, Turner A. M137 Can Steroid Insensitivity In Copd Patients Be Restored Using Vitamin D? Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Green C, Parr D, Stockley R, Turner A. S18 Rate Of Decline In Lung Density May Predict Long-term Outcome In Patients With Alpha 1 Antitrypsin Deficiency (aatd). Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.24] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Dave C, Turner A, Spruell T. P61 The Prevalence Of Hypercapnia In Patients With Alpha-1-anti-trypsin Deficiency (aatd). Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Vayalapra S, Edgar R, Griffiths D, Stockley R, Turner A. P58 A Comparison Between The Clinical Features Of Pisz And Pizz Patients With Alpha-1 Antitrypsin Deficiency. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.199] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Blissett D, Jowett S, Jordan R, Jolly K, Turner A, Barton P. S82 An Economic Evaluation Of Self-management Programs Delivered At Discharge After Acute Exacerbation, In Copd Patients In The Uk. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.88] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Basu B, Roda-Perez D, Wong H, Sathiyayogan N, Parmar M, Turner A, Swales K, Stimpson S, Hall E, Hategan M, Garcia-Corbacho J, Yap T, Molife L, Jimenez B, Banerjee S, Kaye S, De Bono J, Banerji U. Phase I Multicentre Tax-Torc Trial of the Dual Mtorc1/2 Inhibitor Azd2014 (A) Plus Weekly Paclitaxel (P) in Patients (Pts) with Solid Tumours (Crukd/12/013). Ann Oncol 2014. [DOI: 10.1093/annonc/mdu331.28] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Turner A, Shann F, Delzoppo C, Henning R, Slater A, Beca J, Erickson S, Butt W. A multicentre, randomised, double-blind, placebo-controlled trial of aminophylline for bronchiolitis in infants admitted to intensive care. CRIT CARE RESUSC 2014; 16:220-224. [PMID: 25161026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVE To determine whether aminophylline reduced the duration of respiratory support in children admitted to intensive care with bronchiolitis. DESIGN A multicentre, randomised, double-blind, placebo controlled trial. SETTING Paediatric intensive care units in teaching hospitals. PARTICIPANTS Forty-five children with severe bronchiolitis. INTERVENTION Patients were randomly assigned to receive an infusion of aminophylline (23) or placebo (22). The primary outcome measure was the number of hours of respiratory support required in the 120 hours after randomisation; respiratory support was defined as either nasal continuous positive airways pressure or mechanical ventilation. RESULTS The trial was stopped early due to poor recruitment. Respiratory support was required for a median of only 1.5 days (interquartile range [IQR], 0.4-3.5 days) in the aminophylline group compared with 1.9 days (IQR, 0.3-3.5) days in the placebo group. However, more patients in the placebo group were receiving respiratory support at the time of randomisation and, after adjustment for this, there was no suggestion of a beneficial effect of aminophylline among the small number of patients studied (P=0.54, exact log-rank test stratified by respiratory support at the time of randomisation and censored at the time of death in one child in the aminophylline group). CONCLUSION Not enough children were recruited for the study to test the hypothesis that aminophylline reduces the need for respiratory support in severe bronchiolitis. Consequently, the role of aminophylline in the management of severe bronchiolitis remains unknown.
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Vyas N, Turner A, Clark JM, Sewell GJ. Evaluation of a closed-system cytotoxic transfer device in a pharmaceutical isolator. J Oncol Pharm Pract 2014; 22:10-9. [PMID: 25073678 DOI: 10.1177/1078155214544993] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE The occupational risk associated with handling of cytotoxic anticancer drugs is well documented and, in many countries, pharmaceutical isolators are used to contain cytotoxic residues during preparation of cytotoxic infusions. Isolators are difficult to clean leading to concerns that cytotoxic contamination from the work area could be transferred to surfaces of products leaving the isolator. This study investigated the surface contamination arising from the preparation of five anticancer drug infusions (Epirubicin, Fluorouracil, Cisplatin, Oxaliplatin and Carboplatin) in a pharmaceutical isolator and compared use of a conventional syringe and needle technique with a closed-system drug transfer device (CSDTD). METHODS Wipe samples were taken over 1 week from pre-defined areas in the isolator, gloves, preparation mats, and also from the surfaces of prepared cytotoxic infusion bags and pre-filled syringes to obtain baseline surface contamination data. Following operator familiarisation, the CSDTD was then introduced and sampling repeated for a further week (intervention period). The samples obtained were analysed using validated HPLC-UV, HPLC-FL and ICP-MS techniques, as appropriate. RESULTS All surfaces sampled during baseline, including external surfaces of infusions and syringes, were contaminated with each marker drug. During the intervention phase, isolator surfaces were free from detectable contamination and the contamination measured on gloves, preparation mats and surface of infusions was markedly reduced. The frequency of contamination on syringe and infusion surfaces was also lower. CONCLUSION Surface contamination from cytotoxic infusion preparation in a pharmaceutical isolator was significant and could transmit cytotoxic residues to patient and public areas via infusion surfaces. The frequency and amount of contamination were reduced by the CSDTD.
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Li D, Sinclair AJ, Mann NJ, Turner A, Ball MJ. Selected micronutrient intake and status in men with differing meat intakes, vegetarians and vegans. Asia Pac J Clin Nutr 2014; 9:18-23. [PMID: 24394311 DOI: 10.1046/j.1440-6047.2000.00129.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Dietary factors play a critical role in human health. The aim of this cross-sectional study was to examine micronutrient intake and status of subjects who were habitual meat eaters eating different quantities of meat with those who were habitual vegetarians or vegans. One hundred and thirty-nine healthy male subjects (vegan, n = 18; ovolacto-vegetarian, n = 46; moderate meat-eater, n = 65; and high meat-eater, n = 18) aged 20-55 years were recruited in metropolitan Melbourne. Each volunteer completed a semiquantitative Food Frequency Questionnaire (FFQ) and gave a fasting venous blood sample. Dietary sodium/potassium ratio was significantly lower and vitamin C, fibre and iron intakes were higher in vegetarians than in meat-eaters. High meat-eaters had a significantly higher calcium, retinol and zinc intake than did the other three dietary groups; moderate meateaters had the lowest mean intake of fibre, vitamin C and β-carotene. Vegans had a significantly higher β-carotene intake than did the other groups. Serum ferritin and vitamin B12 levels, and haemoglobin concentration were significantly lower in vegetarians than in meat-eaters. Vegans had a significantly higher serum folate concentration than did ovolacto-vegetarian and moderate meat-eater groups. There was no significant difference in serum α-tocopherol concentration. There are differences between the four diet groups that have potential to affect the subjects' health and susceptibility to chronic diseases including cardiovascular disease and cancer. Based on the present data, high meat-eaters may particularly benefit from altering their dietary pattern to reduce their sodium and saturated fat intake, and moderate meat-eaters from increasing their fibre and antioxidant consumption. Vegetarians, especially vegans, may need to increase their vitamin B12 and zinc intakes.
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Jordan RE, Majothi S, Heneghan NR, Turner A, Moore D, O'Brien D, Jowett S, Singh S, Adab P, Fitzmaurice D, Bayliss S, Riley R, Price M, Ayres J, Jolly CB. P46 Supported self-management for patients with moderate to severe COPD at or shortly after discharge from hospital: a systematic review of the evidence. Thorax 2013. [DOI: 10.1136/thoraxjnl-2013-204457.196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Kay J, McNab G, Newby P, Bedford M, Turner A. S131 Iron chelation reduces lung cancer proliferation in vitro. Thorax 2013. [DOI: 10.1136/thoraxjnl-2013-204457.138] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Turner A, Shaw I. Exploratory evaluation of variation in statin take up among high risk patients in Nottingham City. Public Health 2013; 127:958-60. [PMID: 24070696 DOI: 10.1016/j.puhe.2013.04.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2013] [Revised: 04/23/2013] [Accepted: 04/23/2013] [Indexed: 11/30/2022]
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