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Cawley DT, Sexton P, Murphy T, McCabe JP. Optimal patient positioning for ligamentotaxis during balloon kyphoplasty of the thoracolumbar and lumbar spine. J Clin Neurosci 2011; 18:834-6. [PMID: 21489799 DOI: 10.1016/j.jocn.2010.10.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2010] [Accepted: 10/15/2010] [Indexed: 10/18/2022]
Abstract
Percutaneous balloon kyphoplasty aims to restore vertebral height, correct angular deformity and stabilize the spine in the setting of vertebral compression fractures. The patient is positioned prone with supports under the iliac crests and upper thorax to allow gravity to extend the spine. In the treatment of lumbar fractures, we evaluated patient positioning with the contribution of hip extension to increase anterior ligamentotaxis, thus facilitating restoration of vertebral height. Our positioning technique created a mean anterior height increase from 72% to 78% of the average height of the cranial and caudal vertebrae (p=0.037). Balloon inflation did not significantly further increase anterior or posterior vertebral height, or Cobb angle.
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Brilot F, Merheb V, Ding A, Murphy T, Dale RC. Antibody binding to neuronal surface in Sydenham chorea, but not in PANDAS or Tourette syndrome. Neurology 2011; 76:1508-13. [PMID: 21411742 DOI: 10.1212/wnl.0b013e3182181090] [Citation(s) in RCA: 78] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
OBJECTIVE To test the hypothesis that Sydenham chorea (SC) immunoglobulin G (IgG) autoantibodies bind to specific neuronal surface proteins, whereas IgG from patients with pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS) or Tourette syndrome (TS) do not bind to neuronal surface proteins. METHODS We used live differentiated SH-SY5Y cells, which have neuronal and dopaminergic characteristics. Using flow cytometry, we measured serum IgG cell surface binding in patients with SC (n = 11), PANDAS (n = 12), and TS (n = 11), and compared the findings to healthy controls (n = 11) and other neurologic controls (n = 11). In order to determine the specificity of binding to neuronal antigens, we also used a non-neuronal cell line, HEK 293. RESULTS The mean IgG cell surface binding was significantly higher in the SC group compared to all other groups (p < 0.001). By contrast, there was no difference between the PANDAS or TS groups and the controls. Using the non-neuronal HEK-293 cells, there was no significant difference in IgG cell surface binding between any groups. CONCLUSIONS Serum autoantibodies that bind to neuronal cell surface antigens are present in SC, but not in PANDAS or TS. These findings strengthen the hypothesis that SC is due to a pathogenic autoantibody, but weaken the autoantibody hypothesis in PANDAS and TS.
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Haynes S, Cassidy J, Murphy T, McClintock J, Smith J, McCheyne A. "Pratap JN, Wilmhurst S: Anesthetic management of children with in situ Berlin Heart EXCOR: Pediatric Anesthesia: 2010: 20: 812-820". Paediatr Anaesth 2010; 20:1137-8. [PMID: 21199125 DOI: 10.1111/j.1460-9592.2010.03456.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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79
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Schley S, Murphy T, Wandera A. The story of Moses. NORTHWEST DENTISTRY 2010; 89:14-20. [PMID: 21138182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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80
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Mahony R, McKeating A, Murphy T, McAuliffe F, O’Herlihy C, Foley M. Appropriate antenatal corticosteroid use in women at risk for preterm birth before 34 weeks of gestation. BJOG 2010; 117:963-7. [DOI: 10.1111/j.1471-0528.2010.02590.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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81
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Cahill MR, Murphy T, Khan M, Fagan J, Murphy WG. Phase I/II safety study of transfusion of prion-filtered red cell concentrates in transfusion-dependent patients. Vox Sang 2010; 99:174-6. [DOI: 10.1111/j.1423-0410.2010.01330.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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82
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Rakhimova E, Munder A, Wiehlmann L, Sethi S, Murphy T, Tümmler B. Population structure of Pseudomonas aeruginosa in CF and COPD. Pneumologie 2010. [DOI: 10.1055/s-0030-1251330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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83
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Matsumoto A, Cooper C, Murphy T, Cutlip D, Conaway M, Dworkin L. Abstract No. 45: Severity of renal artery lesions in patients enrolled into the CORAL trial. J Vasc Interv Radiol 2010. [DOI: 10.1016/j.jvir.2009.12.190] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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84
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Kaplan A, Joseph K, Murphy T, Ramey J, Maykut R, Zeldin R. Two Year Follow-Up of Patients with Chronic Autoimmune Urticaria Treated with Omalizumab. J Allergy Clin Immunol 2010. [DOI: 10.1016/j.jaci.2009.12.263] [Citation(s) in RCA: 2] [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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85
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Storch E, Caporino N, Morgan J, Piacentini J, Murphy T. P01-254 - Living with tics: development and pilot examination of a psychosical treatment to improve resilience and coping in youth with tics. Eur Psychiatry 2010. [DOI: 10.1016/s0924-9338(10)70460-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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86
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Rakhimova E, Wiehlmann L, Munder A, Sethi S, Murphy T, Tümmler B. Populationsstruktur von Pseudomonas aeruginosa bei CF und COPD. Pneumologie 2010. [DOI: 10.1055/s-0029-1247943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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87
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Abstract
BACKGROUND The study examined a UK sample of 57 young people with Tourette syndrome (TS). AIMS The purpose of this study was to consider the impact of TS on young people's Quality of Life (QoL). METHODS The study used a mixed methods design, combining focus groups and questionnaire data. Child report questionnaires measured QoL and TS symptom severity. RESULTS The results showed that the QoL of children with TS was significantly worse than that of children in a UK normative sample. Analysis of transcripts from the groups identified four main themes; 'TS can be distressing and disabling', 'struggling to fit into society's expectations of normal behaviour', 'needing to control tics' and 'TS is one part of who I am'. CONCLUSIONS Poorer QoL was associated with increased symptom severity in terms of tics, Attention Deficit Hyperactivity Disorder diagnosis and obsessive compulsive behaviours.
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88
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Wolff-Fabris F, Francoual S, Zapf V, Jaime M, Scott B, Tozer S, Hannahs S, Murphy T, Lacerda A. Magnetostriction and thermal expansion on 1D quantum spin system azurite. ACTA ACUST UNITED AC 2009. [DOI: 10.1088/1742-6596/150/4/042030] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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89
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Magill P, Murphy T, Bouchier-Hayes DJ, Mulhall KJ. Preconditioning and its clinical potential. Ir J Med Sci 2009; 178:129-34. [DOI: 10.1007/s11845-009-0319-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2009] [Accepted: 03/03/2009] [Indexed: 01/24/2023]
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90
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Langlands A, Dowdle R, Elliott A, Gaddie J, Graham A, Johnson G, Lam S, McGowan A, McNamee P, Morrison J, Murphy T, Reynard K, Rudge P, Trueland J. RCPE UK Consensus Statement on Acute Medicine, November 2008. Br J Hosp Med (Lond) 2009; 70:S6-S7. [PMID: 19522112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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91
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Murphy T. Clinical Implications of Nasopharyngeal Bacterial Colonization. Int J Infect Dis 2008. [DOI: 10.1016/j.ijid.2008.05.048] [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] Open
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92
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Modi P, Chen Q, Murphy T, Pawade A. Repair of Anomalous Left Coronary Artery from the Right Pulmonary Artery. Asian Cardiovasc Thorac Ann 2008; 16:252-3. [DOI: 10.1177/021849230801600317] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Surgical correction of anomalous left coronary artery from the right pulmonary artery is achieved by either direct implantation of the left coronary artery into the aorta or creation of a conduit between the two. We modified a technique originally described by Tashiro for the main pulmonary artery, by using a circumferential section of right pulmonary artery wall to create a conduit with a side-to-side anastomosis onto the aorta.
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93
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Murphy T, Oliver ML. Development and design of a dynamic armrest for hydraulic-actuation joystick controlled mobile machines. APPLIED ERGONOMICS 2008; 39:316-324. [PMID: 17983610 DOI: 10.1016/j.apergo.2007.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2007] [Revised: 07/26/2007] [Accepted: 09/24/2007] [Indexed: 05/25/2023]
Abstract
Standard armrests used in conjunction with joysticks of heavy mobile machinery have been proven to inadequately meet operator needs, resulting in excessive static loading of shoulder musculature. During joystick operation, the trajectory of the user's forearm is governed by the motion of the controller, which creates horizontal and vertical movement of the forearm. The vertical motion of the forearm in the forward and backward motion create postures that stationary armrests cannot support thereby generating increased muscle activation and risk of repetitive strain injuries. The current paper describes the design process used in creating a dynamic armrest that replicates the operator's natural motion trajectories. By incorporating the natural motion paths into a dynamic armrest, the postural requirements and muscular activation of the operator's shoulder may be reduced.
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Hariharan HK, Murphy T, Clanton D, Berquist L, Chu P, Yun T, Molina A, Ho S. Combining galiximab with the chemotherapeutic agents fludarabine or doxorubicin improves efficacy in animal models of lymphoma. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.3040] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
3040 Background: Galiximab, a primatized monoclonal antibody that binds with high affinity to CD80 and mediates antibody- dependent, cell-mediated cytotoxicity in vitro, is currently under investigation for the treatment of follicular non-Hodgkin’s lymphoma (NHL). In a phase I/II monotherapy study, galiximab produced an overall response rate of 11%, and tumor reductions were observed in 46% of patients. Initial clinical trials also demonstrate that galiximab is well tolerated and suggest that combining galiximab with rituximab (anti-CD20) provides clinical benefit. These results are consistent with preclinical studies in murine lymphoma xenograft model systems, which demonstrate the superiority of combination therapy. Methods: To further define the therapeutic potential of galiximab, the Raji subcutaneous and the SKW disseminated lymphoma murine xenograft models were used to define the in vivo efficacy of galiximab alone or in combination with fludarabine or doxorubicin. Similar studies were performed with rituximab. Results: In the Raji model, both galiximab and rituximab exhibited maximal inhibition of the growth of preestablished (150-mg) tumors at a dose of 3 mg/kg/wk. Interestingly, higher doses of galiximab (but not rituximab) showed reduced inhibition. Galiximab (3 mg/kg/wk) inhibited tumor growth alone (P<0.0001 vs. control) and showed significantly enhanced activity when combined with fludarabine (50 or 100 mg/kg daily for 5 days; P<0.0002 vs. galiximab alone and P<0.003 vs. fludarabine alone). Similar results were observed with rituximab. In the SKW model, treatment with galiximab (5 mg/kg/wk for 6 doses) significantly enhanced survival compared with a control (P<0.0001) or doxorubicin (2.5 mg/kg/day for 3 doses; P<0.0001). Studies combining fludarabine or doxorubicin with both galiximab and rituximab are ongoing. Conclusions: Studies in animal models of lymphoma indicate that galiximab may provide clinical benefit when used in combination with chemotherapeutic agents such as fludarabine and doxorubicin, and provide a rationale for the investigation of these novel chemoimmunotherapy combinations in clinical trials. No significant financial relationships to disclose.
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Grosset D, Taurah L, Burn DJ, MacMahon D, Forbes A, Turner K, Bowron A, Walker R, Findley L, Foster O, Patel K, Clough C, Castleton B, Smith S, Carey G, Murphy T, Hill J, Brechany U, McGee P, Reading S, Brand G, Kelly L, Breen K, Ford S, Baker M, Williams A, Hearne J, Qizilbash N, Chaudhuri KR. A multicentre longitudinal observational study of changes in self reported health status in people with Parkinson's disease left untreated at diagnosis. J Neurol Neurosurg Psychiatry 2007; 78:465-9. [PMID: 17098846 PMCID: PMC2117846 DOI: 10.1136/jnnp.2006.098327] [Citation(s) in RCA: 108] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND The issue of when to start treatment in Parkinson's disease (PD) remains controversial. Some favour treatment at diagnosis while others opt for a "wait and watch" policy. The effect of the latter policy on the self reported health status of people with PD is unknown. AIMS To record self reported health status through longitudinal use of a validated PD specific questionnaire (PDQ-39) in untreated PD patients in multiple centres in the UK. To compare patients who were left untreated with those who were offered treatment during follow-up. METHODS A multicentre, prospective, "real life" observational audit based study addressing patient reported outcomes in relation to self reported health status and other sociodemographic details. RESULTS 198 untreated PD were assessed over a mean period of 18 months. During two follow-up assessments, the self reported health status scores in all eight domains of the PDQ-39 and the overall PDQ-39 summary index worsened significantly (p<0.01) in patients left untreated. In a comparative group in whom treatment was initiated at or soon after diagnosis, there was a trend towards improvement in self reported health status scores after treatment was started. CONCLUSIONS This study addresses for the first time self reported health status, an indicator of health related quality of life, in untreated PD. The findings may strengthen the call for re-evaluation of the policy to delay treatment in newly diagnosed patients with PD.
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96
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Nagano Y, Finn MB, Lowery CJ, Murphy T, Moriarty J, Power E, Toolan D, O'Loughlin A, Watabe M, McCorry KA, Crothers E, Dooley JSG, Rao JR, Rooney PJ, Millar BC, Matsuda M, Elborn JS, Moore JE. Occurrence of Cryptosporidium parvum and bacterial pathogens in faecal material in the red fox (Vulpes vulpes) population. Vet Res Commun 2007; 31:559-64. [PMID: 17225081 DOI: 10.1007/s11259-007-3519-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/31/2006] [Indexed: 11/28/2022]
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97
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Hodgson ZG, Pattison C, Bostock L, Murphy T, Stewart ME. The influence of socio-demographic and illness variables on quality of life in acute psychiatric inpatients. Clin Psychol Psychother 2007. [DOI: 10.1002/cpp.536] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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98
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Abstract
The purpose of this debate is to argue the merits of whether the availability of 24-hour transvaginal ultrasound service in every unit will help predict and, subsequently, prevent preterm birth. Any new test introduced will need to fulfil certain criteria. It must be acceptable in terms of risk, cost and patient convenience. It must be an improvement over existing alternatives, and it must aid clinicians to improve care. While the 24-hour availability of transvaginal ultrasound to every maternity unit may be useful to research and teaching, there is, as yet, little evidence that a 24-hour transvaginal ultrasound service improves perinatal and maternal morbidity and mortality. Results from our own centre suggest that experienced clinicians can make an acceptable diagnosis of spontaneous preterm labour (PTL) using only history and digital examination. Based on these findings, the availability of 24-hour vaginal ultrasound in every unit cannot be justified for the diagnosis of spontaneous PTL.
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Murphy T, Jennex ME. Knowledge Management and Hurricane Katrina Response. INTERNATIONAL JOURNAL OF KNOWLEDGE MANAGEMENT 2006. [DOI: 10.4018/jkm.2006100104] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This article explores the use of knowledge management with emergency information systems. Two knowledge management systems that were utilized during the Hurricane Katrina response are described and analyzed. The systems specified were developed by federal agencies as well as grass root efforts without the support or mandate of government programs. These programs, although developed independently, were able to share data and interact in life-saving capacities, transcending traditional geopolitical boundaries. We conclude that emergency information systems are enhanced by incorporating knowledge management tools and concepts.
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100
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Murphy T, Robinson S. Renal failure and its treatment. ANAESTHESIA AND INTENSIVE CARE MEDICINE 2006. [DOI: 10.1053/j.mpaic.2006.04.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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