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McCarthy B, Delaby L, Pierce K, McCarthy J, Fleming C, Brennan A, Horan B. The multi-year cumulative effects of alternative stocking rate and grazing management practices on pasture productivity and utilization efficiency. J Dairy Sci 2016; 99:3784-3797. [DOI: 10.3168/jds.2015-9763] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Accepted: 12/02/2015] [Indexed: 11/19/2022]
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West J, Ogston S, Palmer C, Fleming C, Dawe R, Kumar V, Waterston S, Foerster J. Methotrexate in psoriasis under real‐world conditions: long‐term efficacy and tolerability. Br J Dermatol 2016; 174:1407-10. [DOI: 10.1111/bjd.14452] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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53
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Fleming C, O'Keeffe S, Armstrong J, McClean B. EP-1712: Increased tumour control probability (TCP) with inhomogeneous dose escalated distributions in NSCLC. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32963-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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54
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Iyer V, McKusick M, Friese J, Bjarnason H, Stockland A, Fleming C, Andrews J. Outcomes of IVC stenting with Gianturco-Z stents in non-thrombotic IVC stenosis: a 11-year experience. J Vasc Interv Radiol 2016. [DOI: 10.1016/j.jvir.2015.12.367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Godkin O, Fleming C, Burke T, Hogan P, Mealy K. The logistic and economic impact of special stage rallying on a general surgery department during a motor rally weekend event. Int J Surg 2015. [DOI: 10.1016/j.ijsu.2015.07.325] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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56
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Godkin O, Fleming C, Kearney D, Moriarty P, Redmond P, Andrews E. Analysis of the impact of a 24-hour emergency theatre on time to appendicectomy. Int J Surg 2015. [DOI: 10.1016/j.ijsu.2015.07.540] [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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Reid M, O’Donovan M, Murphy J, Fleming C, Kennedy E, Lewis E. The effect of high and low levels of supplementation on milk production, nitrogen utilization efficiency, and milk protein fractions in late-lactation dairy cows. J Dairy Sci 2015; 98:5529-44. [DOI: 10.3168/jds.2014-9016] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2014] [Accepted: 04/12/2015] [Indexed: 11/19/2022]
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58
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Beecher M, Baumont R, Aufrère J, Boland T, Donovan M, Galvin N, Fleming C, Lewis E. A comparison of two enzymatic in vitro methods to predict in vivo organic matter digestibility of perennial ryegrass. Livest Sci 2015. [DOI: 10.1016/j.livsci.2015.03.028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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59
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Tuite H, Horgan M, Mallon PWG, McConkey SJ, Mooka B, Mulcahy F, Walsh C, O'Hora A, O'Flanagan D, Bergin C, Fleming C. Patients Accessing Ambulatory Care for HIV-infection: Epidemiology and Prevalence Assessment. IRISH MEDICAL JOURNAL 2015; 108:199-202. [PMID: 26349347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This study describes the demographics and treatment status of HIV-infected adults accessing ambulatory care in the Republic of Ireland and estimates diagnosed HIV prevalence rates. 3254 HIV-infected adults attended 1 of the 6 specialist HIV centres in the 12- month period 1st July 2009 to 30th June 2010. 2023/3254 (62%) were male, 1761/3133 (56%) Irish and 1048/3133 (34%) African. 1924/3098 (62%) resided in the Dublin area. The mean age was 39.8 years (SD 9.3); probable route of acquisition was available for 2898/3254 (89%); heterosexual acquisition accounted for 1442 (50%), MSM 777 (27%) and IDU 598 (21%). 2574/3202 (80%) were on highly active antiretroviral therapy (HAART). Of these 87% had HIV-RNA levels < 50cpm and 94% < 500cpm. The HIV diagnosed prevalence rate is estimated at 1.09/1000 nationally and at 2.25/1000 in the Dublin area for 15-59 year olds.
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Ronan G, Ronan N, Shortt C, Fleming C, Cronin K, McCarthy M, Hickey C, Murphy D, Eustace J, O'Halloran D, Plant B. 128 The metabolic consequences of CFTR modulation with ivacaftor in a single adult cystic fibrosis centre cohort. J Cyst Fibros 2015. [DOI: 10.1016/s1569-1993(15)30305-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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61
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Quinn EM, Fleming C, O'Sullivan MJ. Endocrine therapy adherence: a cross-sectional study of factors affecting adherence and discontinuation of therapy. Ir J Med Sci 2015; 185:383-92. [PMID: 25971465 DOI: 10.1007/s11845-015-1307-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2015] [Accepted: 04/26/2015] [Indexed: 11/24/2022]
Abstract
BACKGROUND/AIMS Adjuvant endocrine therapy for at least 5 years improves oncological outcomes in oestrogen receptor-positive breast cancer. Adherence rates to prescribed endocrine therapy are low and the search for modifiable causes of this continues. The aim of this study was to assess adherence rates in an Irish cohort of breast cancer patients prescribed adjuvant endocrine therapy and to assess modifiable factors associated with suboptimal adherence. METHODS A cross-sectional anonymous survey was performed on 261 patients currently prescribed endocrine therapy. Data were collected regarding demographics, treatment, social and emotional factors and medication side effects. Each patient completed a medication adherence score and provided information about discontinuation of therapy and reasons for same. RESULTS Only 67.8 % of patients assessed demonstrated complete medication adherence on the medication adherence scale. Twenty-nine patients (10.9 %) permanently stopped taking their prescribed endocrine therapy. Suboptimal adherence was more likely in younger patients (p < 0.001), those in employment (p = 0.005), those who experienced side effects (p = 0.006), those who perceived themselves to have low levels of emotional support (p < 0.001) and those who use the internet to read about their illness (p = 0.003). CONCLUSIONS Endocrine therapy adherence is suboptimal in almost one-third of patients in our cohort. Appropriate assessment and management of side effects and negative emotions, combined with direction of patients to accurate internet sources of information, could help improve endocrine therapy adherence in women with early-stage breast cancer.
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Harrison M, McCarthy M, Fleming C, Hickey C, Shortt C, Eustace J, Murphy D, Plant B. Inhaled versus nebulised tobramycin: A real world comparison in adult cystic fibrosis (CF). J Cyst Fibros 2014; 13:692-8. [DOI: 10.1016/j.jcf.2014.04.004] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Revised: 04/09/2014] [Accepted: 04/09/2014] [Indexed: 11/27/2022]
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63
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Meyer R, Rommel N, Van Oudenhove L, Fleming C, Dziubak R, Shah N. Feeding difficulties in children with food protein-induced gastrointestinal allergies. J Gastroenterol Hepatol 2014; 29:1764-9. [PMID: 24720353 DOI: 10.1111/jgh.12593] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/24/2014] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND AIM There is paucity of data on the prevalence of feeding difficulties in Food Protein-Induced Gastrointestinal Allergies (FPIGA) and their clinical characteristics. However, it is a commonly reported problem by clinicians. We set out to establish the occurrence of feeding difficulties in children with FPIGA, the association with gastrointestinal and extra-intestinal symptoms and number of foods eliminated from the diet. METHODS This retrospective observational analysis was performed in patients seen between 2002 and 2009 at Great Ormond Street Children's Hospital, Gastroenterology Department, London. Medical records where FPIGA was documented using the terms from the National Institute of Allergy and Infectious Disease and National Institute of Clinical Excellence and confirmed using an elimination diet, followed by a challenge were included. Feeding difficulties were assessed using a criteria previously used in healthy toddlers in the UK. RESULTS Data from 437 children (203 female) were collected. Significantly more children with feeding difficulties presented with abdominal distention and bloating (P = 0.002), vomiting (P < 0.0001), weight loss (P < 0.0001), rectal bleeding (P = 0.025), and constipation (P < 0.0001). We also found that having extra-intestinal manifestations were significantly (P < 0.0001) associated with the presence of feeding difficulties. Additionally, a significantly higher number of foods eliminated from the diet in the children with/without feeding difficulties (P = 0.028). CONCLUSIONS Clinical manifestations like vomiting, constipation, rectal bleeding, weight loss, and the presence of extra-intestinal manifestations in addition to the number of foods avoided are in our FPIGA population linked to feeding difficulties.
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Power B, Harrison M, Shortt C, Fleming C, Mccarthy M, Murphy D, Plant B. 201 Vitamin A deficiency: prevalence and clinical implications for adult cystic fibrosis. J Cyst Fibros 2014. [DOI: 10.1016/s1569-1993(14)60336-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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O'Halloran K, Harrison M, Shortt C, Fleming C, Mccarthy M, Murphy D, Plant B. 289 Ageing in cystic fibrosis: a comparison of adult patients attending a tertiary referral centre. J Cyst Fibros 2014. [DOI: 10.1016/s1569-1993(14)60424-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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66
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Lowry CL, Shah R, Fleming C, Taylor R, Bewley A. A study of service provision in psychocutaneous medicine. Clin Exp Dermatol 2013; 39:13-8. [DOI: 10.1111/ced.12235] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/23/2013] [Indexed: 11/28/2022]
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67
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Fyfe E, Fleming C. The WHO surgical safety checklist in a dental-teaching hospital department of oral surgery - a model for implementation. ACTA ACUST UNITED AC 2013. [DOI: 10.1111/ors.12033] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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68
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Harrison M, Burke D, Fleming C, Mccarthy M, Shortt C, O'Callaghan G, Murphy D, Shanahan F, Hill C, Ross P, Stanton C, Eustace J, Rea M, Plant B. WS3.5 Clostridium difficile in adult cystic fibrosis (CF): Prevalence, ribotyping and toxigenic capability. A prospective study. J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60017-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Harrison M, Neff K, Shortt C, Fleming C, Mccarthy M, O'Riordan S, Murphy D, O'Halloran D, Plant B. 254 The prognostic significance of hypoglycaemia on oral glucose tolerance tests in adults with cystic fibrosis (CF): A prospective clinical study. J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60395-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Harrison M, Mccarthy M, Fleming C, Shortt C, Hickey C, Eustace J, Murphy D, Plant B. 74 Improved tolerability, adherence and reduced intravenous (IV) antibiotic usage in CF patients receiving inhaled versus nebulised antibiotic prophylaxis. A real world comparison of tobramycin inhaled powder (TIP) and tobramycin inhaled solution (TIS). J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60216-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Daniel G, Wakefield C, Ryan B, Fleming C, Levett N, Cohn R. Accommodation in pediatric oncology: parental experiences, preferences and unmet needs. Rural Remote Health 2013. [DOI: 10.22605/rrh2005] [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] Open
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72
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73
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Macfarlane L, Waters A, Evans A, Affleck A, Fleming C. Seven years' experience of Mohs micrographic surgery in a UK centre, and development of a UK minimum dataset and audit standards. Clin Exp Dermatol 2013; 38:262-9. [DOI: 10.1111/ced.12108] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2012] [Indexed: 11/28/2022]
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74
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Pinedo PJ, Fleming C, Risco CA. Events occurring during the previous lactation, the dry period, and peripartum as risk factors for early lactation mastitis in cows receiving 2 different intramammary dry cow therapies. J Dairy Sci 2012; 95:7015-26. [PMID: 22999278 DOI: 10.3168/jds.2012-5398] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2012] [Accepted: 08/12/2012] [Indexed: 11/19/2022]
Abstract
The objective of this study was to investigate the association between mastitis events occurring during the previous lactation, the dry period, and the peripartum period on the incidence of early lactation mastitis in cows receiving ceftiofur hydrochloride or penicillin dihydrostreptomycin as intramammary dry cow antibiotic therapy. Cows (n=402) from 2 large dairy farms in Central Florida were enrolled in the study at the time of dry-off processing and were randomly assigned to 1 of 2 dry cow therapies: ceftiofur hydrochloride or penicillin dihydrostreptomycin. Composite milk samples were collected at dry-off and after calving for bacteriological examination and somatic cell count. Peripartal health disorders were monitored during the first 30 d of lactation and included calving difficulty, metritis, ketosis, and left displaced abomasum. Milk production and individual somatic cell scores (SCS) were recorded monthly by the Dairy Herd Improvement Association. The main outcome variables were the risk of clinical mastitis during the first 30 and 60 d of lactation, and the risk of subclinical mastitis at the first 2 monthly Dairy Herd Improvement Association tests after calving (up to 70 d in milk). Additionally, the SCS and the presence of mastitis pathogens in milk at dry-off and at calving were analyzed. Explanatory variables consisted of events occurring during the previous lactation, at dry-off and during the dry period, at calving, and within the first 30 d after calving. Multiple events occurring during the previous lactation had a significant effect on the incidence of mastitis in the subsequent lactation. These events included low milk yield, intermediate lactation length, clinical mastitis, and lactation SCS average. Similarly, intramammary infections with environmental bacteria at dry-off increased the chances of clinical mastitis the first month after calving. Dry-off therapy had a significant effect on mastitis incidence; cows treated with ceftiofur hydrochloride had lower odds of having clinical and subclinical mastitis in the subsequent early lactation compared with cows treated with penicillin dihydrostreptomycin.
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Edgeworth D, Ho T, O'Connell O, Clancy L, Fleming C, Shortt C, Murphy D, Corcoran D, Plant B. 131 The clinical implications of MRSA colonisation in a cohort of Irish adult cystic fibrosis (CF) patients and MRSA carrier frequency and clinical sequelae in their household contacts. J Cyst Fibros 2012. [DOI: 10.1016/s1569-1993(12)60301-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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