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Mahmood H, Murphy C, Oktseloglou V. Cystadenoma of the mandible: a rare presentation. Br J Oral Maxillofac Surg 2018; 56:540-542. [DOI: 10.1016/j.bjoms.2018.03.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Accepted: 03/13/2018] [Indexed: 10/17/2022]
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Creaney M, Moriarty RM, Milner M, Murphy C. Dexmedetomidine, high-flow nasal oxygen and sugammadex-reversal of rocuronium: overcoming anaesthetic challenges in a parturient with congenital muscular dystrophy presenting for caesarean section. Int J Obstet Anesth 2018; 34:108-112. [DOI: 10.1016/j.ijoa.2018.02.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 01/30/2018] [Accepted: 02/06/2018] [Indexed: 10/18/2022]
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78
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Murphy C, Rek J, Kwan M, Kunavarapu C. Comparison of IgG SAB and C1q Assay: A Matter of Complement Fixing or Sensitivity. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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79
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Murphy C, Playford D, Stewart S, Celermajer D, Marwick T, Strange G. Mortality from Left Atrial Enlargement Based on Method of Measurement: Analysis of Big Data from the National Echo Database of Australia. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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80
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Kelly MA, Clesham K, Fahey J, Reid-McDermott B, Murphy C, Byrne D. Teaching Musculoskeletal Medicine to Undergraduate Students in a Simulated Environment. IRISH MEDICAL JOURNAL 2017; 110:664. [PMID: 29465854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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81
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Hunt EB, Murphy B, Murphy C, Crowley T, Cronin O, Hay S, Stack M, Bowen B, Ronan NJ, Greene E, Eustace JA, Plant BJ, Murphy DM. A Study To Assess The Prevalence Of Exercise-Induced Bronchoconstriction In Inter-County Hurling. IRISH MEDICAL JOURNAL 2017; 110:655. [PMID: 29465845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Exercise-Induced Bronchoconstriction (EIB) is an acute, transient airway narrowing occurring after exercise which may impact athletic performance. Studies report 10% of the general population and up to 90% of asthmatics experience EIB. Ninety-two players from three elite hurling squads underwent a spirometric field-based provocation test with real-time heart rate monitoring and lactate measurements to ensure adequate exertion. Players with a new diagnosis of EIB and those with a negative field-test but with a previous label of EIB or asthma underwent further reversibility testing and if negative, methacholine challenge. Eight (8.7%) of players had EIB, with one further athlete having asthma with a negative field test. Interestingly, only three out of 12 players who had previously been physician-labelled with EIB or asthma had their diagnosis objectively confirmed. Our study highlights the role of objective testing in EIB.
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Simons R, White S, Topen S, Snell L, Murphy C, Collins R, Davies J, Owen A, Barker J, Green L, Patel I, Ridgway J, Lenchner J, Faerber J, Pearce L, Meanwell H, Kominek N, Janik L, Best H, Stevens T, Hubbard G, Stratton R. A survey of bolus feeding practices in the UK home enteral feeding population. Clin Nutr ESPEN 2017. [DOI: 10.1016/j.clnesp.2017.07.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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83
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Banks M, Murphy C, Sanders R. Correlational studies of unconsciousness under anaesthesia: how far can preclinical studies take us? Br J Anaesth 2017; 119:1079-1081. [DOI: 10.1093/bja/aex391] [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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84
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Tooker J, Nagy A, deGrassie J, Moeller C, Hansink M, Fishler B, Murphy C, Anderson J, Torreblanca H. Development of a high power Helicon system for DIII-D. FUSION ENGINEERING AND DESIGN 2017. [DOI: 10.1016/j.fusengdes.2017.03.055] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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85
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Murphy C, Elliott J, Casey S, King S, Docherty N, Ravi N, Beddy P, Reynolds J, le Roux C. Risk Factors for Loss of Bone Mineral Density After Curative Oesophagectomy. Int J Surg 2017. [DOI: 10.1016/j.ijsu.2017.08.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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86
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Ong T, Murphy C, Smith A, Kanatas A, Mitchell D. Survival after surgery for oral cancer: a 30-year experience. Br J Oral Maxillofac Surg 2017; 55:911-916. [DOI: 10.1016/j.bjoms.2017.08.362] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Accepted: 08/07/2017] [Indexed: 12/18/2022]
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87
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Moon D, McRee A, Blackstock A, O'Neil B, Moore D, Calvo B, Lee M, Murphy C, Caliri K, Tynan M, Senderowicz A, Tepper J, Sanoff H, Wang A. Phase 1b/2 Study of Neoadjuvant Chemoradiation Therapy With CRLX101 and Capecitabine for Locally Advanced Rectal Cancer. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.162] [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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88
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Kelly C, Feighery R, McCaffrey J, Higgins M, Smith M, O'Reilly S, Murphy C, Horgan A, Walshe J, McDermott R, O'Donnell D, Morris P, Keane M, Martin M, Duffy K, Mihai A, Armstrong J, Mulroe E, Murphy V, Kelly C. Do oncology patients understand clinical trials? A nationwide study by Cancer Trials Ireland. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx440.068] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Kelly C, Feighery R, McCaffrey J, Higgins M, Smith M, O'Reilly S, Horgan A, Walshe J, McDermott R, O'Donnell D, Morris P, Keane M, Martin M, Murphy C, Duffy K, Mihai A, Armstrong J, Mulroe E, Murphy V, Kelly C. Decisions and supports around clinical trial participation: A national study by Cancer Trials Ireland. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx385.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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90
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Nagy A, deGrassie J, Moeller C, Hansink M, Fishler B, Murphy C, Pinsker RI, Torreblanca H, Tooker J. A High Power Helicon Antenna Design for DIII-D. FUSION SCIENCE AND TECHNOLOGY 2017. [DOI: 10.1080/15361055.2017.1347459] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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91
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Holtrop K, Buchenauer D, Chrobak C, Murphy C, Nygren R, Unterberg E, Zach M. The Design and Use of Tungsten Coated TZM Molybdenum Tile Inserts in the DIII-D Tokamak Divertor. FUSION SCIENCE AND TECHNOLOGY 2017. [DOI: 10.1080/15361055.2017.1347456] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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92
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Szajer J, Murphy C. METAMEMORY ACCURACY FOR OLFACTORY MEMORY IN AGING. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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93
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Velez Vega C, Murphy C, Pérez Ramos J, Dye T. Eso viene de por ahí' Community Perception of Zika and Mosquito-borne
Virus in Puerto Rico. Ann Glob Health 2017. [DOI: 10.1016/j.aogh.2017.03.354] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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94
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Murphy C, Zafar H, Sharif F. An updated review of cardiac devices in heart failure. Ir J Med Sci 2017; 186:909-919. [DOI: 10.1007/s11845-017-1597-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2017] [Accepted: 03/14/2017] [Indexed: 01/13/2023]
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Murphy C, Shelley E, O'Halloran AM, Fahey T, Kenny RA. Failure to control hypercholesterolaemia in the Irish adult population: cross-sectional analysis of the baseline wave of The Irish Longitudinal Study on Ageing (TILDA). Ir J Med Sci 2017; 186:1009-1017. [PMID: 28283862 PMCID: PMC5660837 DOI: 10.1007/s11845-017-1590-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Accepted: 02/22/2017] [Indexed: 11/24/2022]
Abstract
BACKGROUND Hypercholesterolaemia is an important modifiable risk factor for cardiovascular disease (CVD) which requires monitoring and management at a population level. AIMS This study aims to describe the distribution of serum cholesterol in a community living population of older adults in Ireland and to examine the awareness, treatment and control of hypercholesterolaemia according to CVD risk status. METHOD This is a cross-sectional study in a nationally representative sample of adults aged 50-79 years (n = 5287). Hypercholesterolaemia was defined as low-density lipoprotein cholesterol (LDL-C) in excess of the recommended CVD risk category target and/or on lipid-lowering medication. RESULTS This study reports a mean total cholesterol (TC) of 5.1 mmol/L (95% CI 5.0-5.1 mmol/L) and a mean LDL-C of 2.9 mmol/L (95% CI 2.8-2.9 mmol/L) in those aged 50-79 years. In a subgroup aged 50-64 years, 73% (95% CI 71.5-74.5%) were hypercholesterolaemic. LDL-C was controlled to the guideline target in 57% of those with CVD and 49% of those with diabetes. Lack of awareness of hypercholesterolaemia was high across the remainder of the population. CONCLUSION Despite a substantial reduction in population mean TC from a high of 6.0 mmol/L in the 1980s to 5.1 mmol/L, this study reports a failure to control hypercholesterolaemia to recommended risk-stratified targets in the Irish adult population. Recommendations for policy include continued monitoring of those at highest risk and CVD risk assessment in those perceived to be at low risk in order to inform shared decision making in relation to lifestyle modification and medication management.
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McCartan D, Kamer S, Eaton A, Seidman A, Murphy C, Gemignani M, Goldfarb S. Abstract PD6-06: Oncologic outcome of pregnancy associated breast cancer: A case-control study. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-pd6-06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction and Aims
Pregnancy-associated breast cancer (PABC) is defined as the diagnosis of invasive breast cancer during the gestational period, within one year of pregnancy or any time during lactation. A diagnosis of PABC has traditionally been attributed a poor prognosis. The aim of this study was to assess the long-term outcome of patients diagnosed with PABC compared to a cohort of age-matched control patients.
Methods
A single-institution retrospective chart review was performed in 188 patients with PABC treated between the years of 1992 and 2015.Non-PABC controls were selected to match based on age and year of diagnosis. Clinicopathologic features, surgical and adjuvant treatments received, and clinical outcomes were assessed. Patients who were stage IV at diagnosis were excluded. Overall survival was estimated using Kaplan-Meier methods and compared between cases and controls using a log-rank test stratified on matched pair.
Results
Out of 188 patients with PABC, 63 (34%) were pregnant at the time of diagnosis and 125 diagnosed within 1 year of pregnancy (average: 6 months post partum). The characteristics of the PABC and case-matched controls are listed in Table 1 . Important pathological differences were evident with PABC patients compared to the non-PABC controls. PABC cases were more likely to be high grade (p<.001), node positive (p=.039) and less likely to be estrogen or progesterone receptor positive (p=.003). The majority of both cases and controls received chemotherapy (18% neoadjuvant). In the patients who were pregnant at time of diagnosis, 19 received chemotherapy during their pregnancy, with the most common combination being AC followed by paclitaxel in the post-partum period. Five year overall survival was similar for both groups, 88% for PABC patients and 95% for non-PABC case controls (p=.746) with a median follow up of 5.1 years.
Table 1: Demographics, treatment, and outcome of PABC and non-PABC case-matched controlsPABC n=188Non PABC n=188p-valueDemographicsAge (mean)35.7yrs35.9yrs0.633BRCA1/2 carrier22%12%0.072SurgeryBreast Conservation22%38%0.001Immediate reconstruction post mastectomy81%84%0.544PathologyGrade 388%70%<0.001ER and/or PR positive56%72%0.003HER2 positive27%22%0.283Triple negative27%20%0.145Node positive27%47%0.039Clinical StageI-II67%79%0.010III33%21%Adjuvant treatmentsChemotherapy99%21%<0.001Neoadjuvant18%17%0.849Anthracycline84%81%0.393Taxane82%75%0.148Anti-HER220%15%0.238Anti-estrogen53%68%0.003Radiotherapy57%62%0.4005-year OS88%95%0.746Figures are reported as percentages for categorical variables. OS: Overall survival
Conclusion
Diagnostic and therapeutic advances have improved the oncological outcome for breast cancer patients, but not all of these have been adapted for pregnant patients. The consistent finding of higher-stage tumors in these patients reinforces the importance of utilizing developments in systemic treatments, potentially through case registries, to evaluate outcomes. PABC is associated with more adverse features than non-PABC controls matched for age and year of diagnosis. However, PABC is not in itself an adverse prognostic factor for survival after correcting for pathologic features.
Citation Format: McCartan D, Kamer S, Eaton A, Seidman A, Murphy C, Gemignani M, Goldfarb S. Oncologic outcome of pregnancy associated breast cancer: A case-control study [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr PD6-06.
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Keegan NM, Milewski M, Kelly CM, Murphy V, Chao C, Walsh J, Kennedy MJ, O'Connor M, Murphy C, O'Reilly S, Keane M, Duffy K, Hennessy B, Morris PG. Abstract OT3-04-03: The impact of the 21 gene recurrence score (RS) on chemotherapy prescribing in estrogen receptor (ER) positive, lymph node positive early stage breast cancer in Ireland. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-ot3-04-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
BACKGROUND
For Estrogen Receptor (ER) positive, early stage breast cancer, the 21 gene Recurrence Score (RS) has clinical use both as a prognostic tool and to predict chemotherapy benefit. The availability of this tool in Ireland has led to a reduction in the use of adjuvant chemotherapy for women with lymph node (LN) negative disease. However, the RS is not routinely funded for patients with LN positive (LN+) breast cancer in Ireland. In addition, there are limited international data on the use of this tool in the preoperative setting. In this prospective observational study, we are investigating whether access to the 21 gene RS leads to a reduction in the receipt of chemotherapy for patients with ER+, LN+ breast cancer, and to correlate the 21 gene RS with response to preoperative systemic therapy.
TRIAL DESIGN
This is a national, multi-site, prospective, observational study that will examine the impact of the 21 gene RS on chemotherapy recommendations in both the neoadjuvant and adjuvant setting. Prior to and following tumor testing with the 21 gene RS, Physicians will complete a questionnaire which details type and strength of systemic therapy recommendations.
ELIGIBILITY
Cohort 1 (postoperative) will include patients with ER+ tumors of any size with involvement of 1-3 lymph nodes (N1 including micrometastases). Cohort 2 (preoperative) will include patients with ER+, T2-T4 tumors with biopsy proven nodal metastases. Both cohorts will have ECOG PS 0 or 1 and be fit for consideration of chemotherapy as determined by the Investigator.
SPECIFIC AIMS
The primary endpoint is the percentage reduction in the number of patients for whom treating physicians recommend chemotherapy after testing with 21 gene RS. Secondary endpoints include the correlation between the 21 gene RS and residual cancer burden score, as well as pathological, clinical and radiological response rates. The economic impact of the 21 gene RS in ER+, LN+ will also be assessed.
STATISTICAL METHODS
The sample size is based on similar decision impact studies conducted in other countries. Physician recommendations for chemotherapy pre 21-gene RS and recommendations post 21-gene RS testing will be compared and percentage change estimated with 95% confidence intervals. For secondary endpoints, the Pearson correlation coefficient (rho) will be used to examine the strength of the correlation between the 21 gene RS category and response. A budget impact model will be used to estimate the cost reduction in adjuvant chemotherapy as a result of 21-gene RS testing.
PRESENT ACCRUAL AND TARGET ACCRUAL
Target accrual is 75 in each of the neoadjuvant and adjuvant cohorts to total 150 patients.
Supported by Genomic Health.
Citation Format: Keegan NM, Milewski M, Kelly CM, Murphy V, Chao C, Walsh J, Kennedy MJ, O'Connor M, Murphy C, O'Reilly S, Keane M, Duffy K, Hennessy B, Morris PG. The impact of the 21 gene recurrence score (RS) on chemotherapy prescribing in estrogen receptor (ER) positive, lymph node positive early stage breast cancer in Ireland [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr OT3-04-03.
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Murphy EM, Stanton C, Brien CO', Murphy C, Holden S, Murphy RP, Varley P, Boland MP, Fair S. The effect of dietary supplementation of algae rich in docosahexaenoic acid on boar fertility. Theriogenology 2016; 90:78-87. [PMID: 28166992 DOI: 10.1016/j.theriogenology.2016.11.008] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 11/08/2016] [Accepted: 11/10/2016] [Indexed: 11/28/2022]
Abstract
The objective of this study was to assess the effects of dietary supplementation of a commercial algal product rich in docosahexaenoic acid (DHA) on boar fertility as assessed in vitro and in vivo. Boars were fed one of three experimental diets for 19 weeks: (i) Control (Ctl) diet (n = 31), (ii) Ctl diet plus 75g All-G-Rich per day (n = 31) or (iii) Ctl diet plus 150g All-G-Rich per day (n = 30). Parameters assessed were (i) raw semen quality; volume, sperm concentration, total motility and morphology (ii) liquid semen quality; progressive motility, viability, hypotonic resistance and acrosomal integrity (iii) frozen-thawed semen quality; motility, thermal stress, viability, membrane fluidity and mitochondrial activity (iv) sperm and seminal plasma (SP) fatty acid composition (FAC) (v) total antioxidant capacity (TAC) of SP and (vi) farrowing rates and litter sizes of sows (n = 1158) inseminated with liquid semen. Boars consuming 75g All-G-Rich had a larger semen volume (P < 0.05) and a higher total sperm number (P < 0.01) than the Ctl treatment, however, there was no effect of treatment on any other semen quality parameter (P > 0.05). There was no effect of dietary treatment on the FAC and TAC of SP or on farrowing rate and litter size (P > 0.05). There was an effect of dietary treatment on the FAC of sperm, represented by an 1.72 and 1.60 fold increase in the DHA content for 75 and 150g treatments, respectively, compared to the Ctl treatment. In conclusion, a significant increase in semen volume and total sperm number in boars supplemented 75g All-G-Rich daily, resulted in an increase in production of 3 to 4 more doses per ejaculate, thus, indicating that the feeding regime described within this study has the potential for increasing the output of boar studs.
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Murphy C. Wessex Study Day on Care of the Elderly. Br J Occup Ther 2016. [DOI: 10.1177/030802268404701208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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100
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Pace D, Van Zeeland M, Fishler B, Murphy C. Consideration of neutral beam prompt loss in the design of a tokamak helicon antenna. FUSION ENGINEERING AND DESIGN 2016. [DOI: 10.1016/j.fusengdes.2016.07.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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