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Thomas J, Grundy S. P167 A ‘Virtual’ Lung Nodule Clinic: A novel approach to improve efficiency and accuracy of indeterminate lung nodule surveillance: Abstract P167 Table 1. Thorax 2015. [DOI: 10.1136/thoraxjnl-2015-207770.304] [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: 11/03/2022]
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Thomas J, Grundy S. P168 The ‘real world’ impact of the new BTS lung nodule surveillance guidelines: Abstract P168 Table 1. Thorax 2015. [DOI: 10.1136/thoraxjnl-2015-207770.305] [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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Auret K, Sinclair C, Thomas J, Porritt F. When paperwork does not represent the patient's wishes for surrogate decision-making. Intern Med J 2015; 45:1200. [PMID: 26563697 DOI: 10.1111/imj.12848] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2015] [Accepted: 07/02/2015] [Indexed: 11/28/2022]
Affiliation(s)
- K Auret
- Rural Clinical School of WA, University of Western Australia, Albany, Western Australia, Australia
| | - C Sinclair
- Rural Clinical School of WA, University of Western Australia, Albany, Western Australia, Australia
| | - J Thomas
- Rural Clinical School of WA, University of Western Australia, Albany, Western Australia, Australia.,WA Country Health Service, Albany Health Campus, Albany, Western Australia, Australia
| | - F Porritt
- WA Country Health Service, Albany Health Campus, Albany, Western Australia, Australia
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Pretorius T, Brennan B, Thomas J. Staphylococcus aureus bacteraemia in children: a formidable foe. Southern African Journal of Anaesthesia and Analgesia 2015. [DOI: 10.1080/22201181.2015.1122151] [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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Machoki MS, Millar AJW, Albetyn H, Cox SG, Thomas J, Numanoglu A. Local anesthetic wound infusion versus standard analgesia in paediatric post-operative pain control. Pediatr Surg Int 2015; 31:1087-97. [PMID: 26407616 DOI: 10.1007/s00383-015-3796-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/15/2015] [Indexed: 01/16/2023]
Abstract
INTRODUCTION Local anesthetic wound infusion has shown promising results in adults. Its use in children is limited to some centers and there are only a few prospective trials in this group of patients. METHODS Sub-fascial continuous local anaesthetic wound infusion (CLAWI) (0.2% Bupivacaine) plus intravenous paracetamol and rescue intravenous morphine was compared to: (a) Epidural bupivacaine (EPI) plus paracetamol and rescue intravenous morphine for patients undergoing laparotomy. (b) Intravenous morphine and paracetamol (standard post-operative analgesia-SAPA) in children undergoing Lanz incision laparotomy for complicated appendicitis. 'InfiltralLong', PANJUNK(®) catheters were placed sub-fascially after peritoneal closure for post-operative bupivacaine infusion. Pain scores were recorded regularly by the same blinded pain specialist. The primary outcomes were pain control and total morphine. The secondary outcomes were time to full feeds, mobilization requirement for urinary catheter and complications. RESULTS Sixty patients (18 laparotomy-CLAWI, 17 laparotomy-EPI and 12 appendectomy-CLAWI, and 13 appendectomy-SAPA) were analyzed. The average pain score was 2.5 (1-4) in the CLAWI groups, 3.0 (1-5) in the EPI group and 3.5 (2-5) in the SAPA group. Morphine requirements were markedly less for CLAWI. SAPA and EPI groups required urinary catheters for longer and took longer to mobilize (average 4 days compared to 2 days for CLAWI). There were no wound or bupivacaine complications in the CLAWI group. CONCLUSION Continuous subfascial bupivacaine infusion is reliable, safe and effective in paediatric post-operative pain control with considerably reduced opiate requirements.
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Affiliation(s)
- M S Machoki
- Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, Western Cape, South Africa.
| | - A J W Millar
- Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, Western Cape, South Africa
| | - H Albetyn
- Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, Western Cape, South Africa
| | - S G Cox
- Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, Western Cape, South Africa
| | - J Thomas
- Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, Western Cape, South Africa
| | - A Numanoglu
- Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, Western Cape, South Africa
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Thomas J, Maramattom BV, Varghese J, Kuruvilla PM. POEMS syndrome associated with plasmacytoma of the clivus: "Time discovers the truth". J Postgrad Med 2015; 62:205-7. [PMID: 26469713 PMCID: PMC4970350 DOI: 10.4103/0022-3859.166181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes (POEMS) syndrome is characterized by the presence of a monoclonal plasma cell disorder, peripheral neuropathy, and one or more of the following features: Osteosclerotic myeloma, Castleman's disease (angiofollicular lymph node hyperplasia), increased levels of serum vascular endothelial growth factor (VEGF), organomegaly, endocrinopathy, edema, typical skin changes, and papilledema. [1] Solitary plasmacytomas most frequently occur in the bone but can also be found in soft tissues (extramedullary plasmacytoma). [2] We report a case that showed a rare association of POEMS syndrome with a plasmacytoma of the clivus.
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Affiliation(s)
- J Thomas
- Department of Rheumatology, Lourdes Hospital, Kochi, Kerala, India
| | - B V Maramattom
- Department of Neurology, Lourdes Hospital, Kochi, Kerala, India
| | - J Varghese
- Department of Pathology, Lourdes Hospital, Kochi, Kerala, India
| | - P M Kuruvilla
- Department of Pathology, Lourdes Hospital, Kochi, Kerala, India
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Thomas J, Narkowicz CK, Jacobson GA, Peterson GM. Safety and efficacy of kunzea oil-containing formulations for the management of psoriasis: a randomized, controlled trial. J Clin Pharm Ther 2015; 40:566-572. [PMID: 30156327 DOI: 10.1111/jcpt.12311] [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] [Received: 08/05/2014] [Accepted: 06/28/2015] [Indexed: 11/26/2022]
Abstract
WHAT IS KNOWN AND OBJECTIVE Anecdotally, topical kunzea oil has been used to treat various skin conditions, including psoriasis and eczema, with good results. This study compared the clinical efficacy of kunzea oil (20%)-containing formulations in mild to moderate psoriasis. METHODS A randomized, comparative, double-blind, 8-week study was undertaken. Thirty patients (age range: 25-74 years and mean ± SD: 52·8 ± 13·6 years) with mild to moderate psoriasis (affecting at least 10% of one or more body regions: arms, head, legs and trunk) randomly received ointment and/or scalp lotion containing 20% kunzea oil (test group) or control medications not containing kunzea oil (control group). Formulations in both treatment arms also contained 5% liquor carbonis detergens (LCD) and 3% salicylic acid. The clinical responses to the test and control formulations were evaluated using the Psoriasis Area and Severity Index (PASI). RESULTS AND DISCUSSION After 8 weeks of treatment, both test and control groups demonstrated a significant (P < 0·05) improvement in PASI scores. Subjects in the test group had a decrease in mean±SD PASI score from 12·7 ± 7·9 to 6·7 ± 7·2, whereas the control group showed a decrease in PASI score from 8·1 ± 4·6 to 3·5 ± 4·7. Comparative efficacy analysis between the test and control groups did not reveal any significant difference (P > 0·05). WHAT IS NEW AND CONCLUSIONS The inclusion of kunzea oil made no difference to the efficacy of topical formulations containing LCD and salicylic acid for the treatment of psoriasis.
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Affiliation(s)
- J Thomas
- Faculty of Health, University of Canberra, Bruce, Canberra, ACT, Australia
| | - C K Narkowicz
- Faculty of Health, University of Tasmania, Hobart, Tasmania, Australia
| | - G A Jacobson
- Faculty of Health, University of Tasmania, Hobart, Tasmania, Australia
| | - G M Peterson
- Faculty of Health, University of Tasmania, Hobart, Tasmania, Australia
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Garzorz N, Alsisi M, Todorova A, Atenhan A, Thomas J, Lauffer F, Ring J, Schmidt-Weber C, Biedermann T, Eyerich S, Eyerich K. Dissecting susceptibility from exogenous triggers: the model of alopecia areata and associated inflammatory skin diseases. J Eur Acad Dermatol Venereol 2015; 29:2429-35. [PMID: 26416203 DOI: 10.1111/jdv.13325] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 07/02/2015] [Indexed: 12/13/2022]
Abstract
BACKGROUND Alopecia areata (AA) is a T-cell-driven autoimmune disease of the hair follicle and frequently reported to be associated with inflammatory skin diseases (ISD) such as atopic eczema (AE) or psoriasis. Interestingly, AA on the one hand and both AE and psoriasis on the other hand are believed to be driven by mutually antagonistic T-cell subsets. OBJECTIVE To characterize AA-specific T-cell profiles and inflammatory pattern by intra-individual comparison of AA and coexistent ISD. METHODS 112 patients with AA were recruited and investigated for coexisting ISD. In-depth analyses were performed in patients with AA and AE (n = 2), AA and psoriasis (n = 1), AA and psoriasis and AE (n = 1) and AA and lichen planus (n = 1), using histology, immunohistochemistry and cytokine staining of T cells isolated from lesional skin. RESULTS Of 112 AA patients investigated, 23 suffered from an ISD. The prevalence of AE, vitiligo, psoriasis and lichen planus was higher in the investigated AA cohort than in the normal population. The clinical as well as histological phenotype of AA the coexistent ISD were unequivocal. In line with this, T-cell infiltrates were found to be disease-characteristics with AA and lichen planus dominated by CD8+ and IFN-γ+ TNF-α+ producing T cells while psoriasis lesions in the same patients were dominated by IL-17+ and AE by IL-4+ T cells. CONCLUSION AA patients have a higher incidence of various T-cell-driven inflammatory skin diseases than the normal population, a phenomenon which might relate to over-activation of skin-homing T cells and to specific immune triggers as the primary cause of inflammation. More importantly, we showed that by using AA as a model disease, our approach of intra-individual comparison of distinct inflammatory responses in the same patient is feasible and offers the unique possibility to gain insights into disease pathogenesis independent from genetic susceptibilities.
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Affiliation(s)
- N Garzorz
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - M Alsisi
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - A Todorova
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - A Atenhan
- ZAUM - Center of Allergy and Environment, Technical University of Munich and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - J Thomas
- ZAUM - Center of Allergy and Environment, Technical University of Munich and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - F Lauffer
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - J Ring
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - C Schmidt-Weber
- ZAUM - Center of Allergy and Environment, Technical University of Munich and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - T Biedermann
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - S Eyerich
- ZAUM - Center of Allergy and Environment, Technical University of Munich and Helmholtz Center Munich, Member of the German Center for Lung Research (DZL), Munich, Germany
| | - K Eyerich
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
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Adamson P, Anghel I, Ashby N, Aurisano A, Barr G, Bishai M, Blake A, Bock G, Bogert D, Bumgarner R, Cao S, Castromonte C, Childress S, Coelho J, Corwin L, Cronin-Hennessy D, de Jong J, Devan A, Devenish N, Diwan M, Escobar C, Evans J, Falk E, Feldman G, Fonville B, Frohne M, Gallagher H, Gomes R, Goodman M, Gouffon P, Graf N, Gran R, Grzelak K, Habig A, Hahn S, Hartnell J, Hatcher R, Hirschauer J, Holin A, Huang J, Hylen J, Irwin G, Isvan Z, James C, Jefferts S, Jensen D, Kafka T, Kasahara S, Koizumi G, Kordosky M, Kreymer A, Lang K, Ling J, Litchfield P, Lucas P, Mann W, Marshak M, Matsakis D, Mayer N, McKinley A, McGivern C, Medeiros M, Mehdiyev R, Meier J, Messier M, Miller W, Mishra S, Mitchell S, Moed Sher S, Moore C, Mualem L, Musser J, Naples D, Nelson J, Newman H, Nichol R, Nowak J, O’Connor J, Orchanian M, Pahlka R, Paley J, Parker T, Patterson R, Pawloski G, Perch A, Phan-Budd S, Plunkett R, Poonthottathil N, Powers E, Qiu X, Radovic A, Rebel B, Ridl K, Römisch S, Rosenfeld C, Rubin H, Sanchez M, Schneps J, Schreckenberger A, Schreiner P, Sharma R, Sousa A, Tagg N, Talaga R, Thomas J, Thomson M, Tian X, Timmons A, Tognini S, Toner R, Torretta D, Urheim J, Vahle P, Viren B, Weber A, Webb R, White C, Whitehead L, Whitehead L, Wojcicki S, Wright J, Zhang V, Zwaska R. Precision measurement of the speed of propagation of neutrinos using the MINOS detectors. Int J Clin Exp Med 2015. [DOI: 10.1103/physrevd.92.052005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Melendez-Torres GJ, Dickson K, Hinds K, Thomas J, Bonell C. PP48 Systematic review of positive youth development addressing young people’s substance use and violence. Br J Soc Med 2015. [DOI: 10.1136/jech-2015-206256.145] [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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Boyles T, Bamford C, Bateman K, Blumberg L, Dramowski A, Karstaedt A, Korsman S, le Roux D, Maartens G, Madhi S, Naidoo R, Nuttall J, Reubenson G, Taljaard J, Thomas J, van Zyl G, von Gottberg A, Whitelaw A, Mendelson M. Guidelines for the management of acute meningitis in children and adults in South Africa. ACTA ACUST UNITED AC 2015. [DOI: 10.1080/10158782.2013.11441513] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- T.H. Boyles
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - C. Bamford
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - K. Bateman
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - L. Blumberg
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - A. Dramowski
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - A. Karstaedt
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - S. Korsman
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - D.M. le Roux
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - G. Maartens
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - S. Madhi
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - R. Naidoo
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - J. Nuttall
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - G. Reubenson
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - J. Taljaard
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - J. Thomas
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - G. van Zyl
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - A. von Gottberg
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - A. Whitelaw
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
| | - M. Mendelson
- Federation of Infectious Diseases Societies of Southern Africa Working Group on Acute Meningitis in Children and Adults Infectious Diseases Society of Southern Africa
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Blumberg L, de Jong G, Thomas J, Archer BN, Cengimbo A, Cohen C. Outbreaks in South Africa 2004-2011, the Outbreak Response Unit of the NICD, and the vision of an inspired leader. ACTA ACUST UNITED AC 2015. [DOI: 10.1080/10158782.2011.11441450] [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] [Indexed: 10/18/2022]
Affiliation(s)
- L Blumberg
- Cheryl Cohen Epidemiology Division, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg
| | - G de Jong
- Cheryl Cohen Epidemiology Division, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg
| | - J Thomas
- Cheryl Cohen Epidemiology Division, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg
| | - B N Archer
- Cheryl Cohen Epidemiology Division, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg
| | - A Cengimbo
- Cheryl Cohen Epidemiology Division, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg
| | - C Cohen
- Cheryl Cohen Epidemiology Division, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg
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Singhal U, Chawla A, Thomas J, Hegde P. P0073 Clinical characteristics of prostate cancer at a tertiary care medical centre in southern India over 11years: A retrospective analysis. Eur J Cancer 2015. [DOI: 10.1016/j.ejca.2015.06.048] [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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Mayer-Davis EJ, Seid M, Crandell J, Dolan L, Lagarde WH, Letourneau L, Maahs DM, Marcovina S, Nachreiner J, Standiford D, Thomas J, Wysocki T. Flexible Lifestyles for Youth (FL3X) behavioural intervention for at-risk adolescents with Type 1 diabetes: a randomized pilot and feasibility trial. Diabet Med 2015; 32:829-33. [PMID: 25424501 PMCID: PMC4437823 DOI: 10.1111/dme.12641] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/18/2014] [Indexed: 12/20/2022]
Abstract
AIM To determine the potential effect sizes for the Flexible Lifestyle for Youth (FL3X) behavioural intervention to improve glycaemic control (HbA(1c)) and quality of life for at-risk adolescents with Type 1 diabetes. METHODS Participants [n = 61; age 12-16 years, HbA(1c) 64-119 mmol/mol (8-13%)] were randomized to FL3X (minimum three sessions) or usual care. Effect sizes (Cohen's d), comparing the mean difference between the groups, were calculated. RESULTS Study retention (95%), attendance at intervention sessions (87% attended all three sessions) and acceptability were high (100% of the adolescents and 91% of parents would recommend the programme to others). Overall, 41% of participants in the intervention group and 24% of participants in the control group were 'responders' [HbA(1c) decreased by > 6 mmol/mol (0.5%); d = 0.37]. HbA(1c) levels decreased (d = -0.18), diabetes-specific quality of life increased (d = 0.29), but generic quality of life decreased (d = -0.23) in the intervention compared with the control group. CONCLUSIONS The FL3X programme merits further study for improving HbA(1c) and diabetes-specific quality of life in adolescents with Type 1 diabetes. (Clinical trials registry no.: NCT01286350).
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Affiliation(s)
- E J Mayer-Davis
- Department of Nutrition and Department of Medicine, University of North Carolina Chapel Hill, Chapel Hill, NC, USA
| | - M Seid
- Division of Pulmonary Medicine and Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - J Crandell
- School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - L Dolan
- Division of Pediatric Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - W H Lagarde
- Children's Endocrinology and Diabetes, WakeMed Children's Hospital, Raleigh, NC, USA
| | - L Letourneau
- Department of Nutrition, University of North Carolina Chapel Hill, Chapel Hill, NC, USA
| | - D M Maahs
- Barbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, CO, USA
| | - S Marcovina
- Northwest Lipid Metabolism and Diabetes Research Laboratories, University of Washington, Seattle, WA, USA
| | - J Nachreiner
- Department of Nutrition, University of North Carolina Chapel Hill, Chapel Hill, NC, USA
| | - D Standiford
- Division of Pediatric Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - J Thomas
- Department of Nutrition, University of North Carolina Chapel Hill, Chapel Hill, NC, USA
| | - T Wysocki
- Department of Research, Nemours Children's Clinic, Jacksonville, FL, USA
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Plenkovich D, Thomas J. SU-E-T-749: Thorough Calibration of MOSFET Dosimeters. Med Phys 2015. [DOI: 10.1118/1.4925113] [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: 11/07/2022] Open
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King A, Barton D, Beard HA, Than N, Moore J, Corbett C, Thomas J, Guo K, Guha I, Hollyman D, Stocken D, Yap C, Fox R, Forbes SJ, Newsome PN. REpeated AutoLogous Infusions of STem cells In Cirrhosis (REALISTIC): a multicentre, phase II, open-label, randomised controlled trial of repeated autologous infusions of granulocyte colony-stimulating factor (GCSF) mobilised CD133+ bone marrow stem cells in patients with cirrhosis. A study protocol for a randomised controlled trial. BMJ Open 2015; 5:e007700. [PMID: 25795699 PMCID: PMC4368910 DOI: 10.1136/bmjopen-2015-007700] [Citation(s) in RCA: 23] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
INTRODUCTION Liver disease mortality and morbidity are rapidly rising and liver transplantation is limited by organ availability. Small scale human studies have shown that stem cell therapy is safe and feasible and has suggested clinical benefit. No published studies have yet examined the effect of stem cell therapy in a randomised controlled trial and evaluated the effect of repeated therapy. METHODS AND ANALYSIS Patients with liver cirrhosis will be randomised to one of three trial groups: group 1: Control group, Standard conservative management; group 2 treatment: granulocyte colony-stimulating factor (G-CSF; lenograstim) 15 µg/kg body weight daily on days 1-5; group 3 treatment: G-CSF 15 µg/kg body weight daily on days 1-5 followed by leukapheresis, isolation and aliquoting of CD133+ cells. Patients will receive an infusion of freshly isolated CD133+ cells immediately and frozen doses at days 30 and 60 via peripheral vein (0.2×10(6) cells/kg for each of the three doses). Primary objective is to demonstrate an improvement in the severity of liver disease over 3 months using either G-CSF alone or G-CSF followed by repeated infusions of haematopoietic stem cells compared with standard conservative management. The trial is powered to answer two hypotheses of each treatment compared to control but not powered to detect smaller expected differences between the two treatment groups. As such, the overall α=0.05 for the trial is split equally between the two hypotheses. Conventionally, to detect a relevant standardised effect size of 0.8 point reduction in Model for End-stage Liver Disease score using two-sided α=0.05(overall α=0.1 split equally between the two hypotheses) and 80% power requires 27 participants to be randomised per group (81 participants in total). ETHICS AND DISSEMINATION The trial is registered at Current Controlled Trials on 18 November 2009 (ISRCTN number 91288089, EuDRACT number 2009-010335-41). The findings of this trial will be disseminated to patients and through peer-reviewed publications and international presentations.
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Affiliation(s)
- A King
- NIHR Centre for Liver Research and Biomedical Research Unit, University of Birmingham, Birmingham, UK Liver Unit, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK
| | - D Barton
- NIHR Liver BRU Clinical trials group (EDD), CRUK clinical trials unit, University of Birmingham, Birmingham, UK
| | - H A Beard
- NIHR Centre for Liver Research and Biomedical Research Unit, University of Birmingham, Birmingham, UK Cellular and Molecular Therapies, NHS Blood and Transplant, Birmingham, UK
| | - N Than
- NIHR Centre for Liver Research and Biomedical Research Unit, University of Birmingham, Birmingham, UK
| | - J Moore
- MRC Centre for Regenerative Medicine, University of Edinburgh, Edinburgh, UK
| | - C Corbett
- NIHR Centre for Liver Research and Biomedical Research Unit, University of Birmingham, Birmingham, UK
| | - J Thomas
- MRC Centre for Regenerative Medicine, University of Edinburgh, Edinburgh, UK
| | - K Guo
- NIHR Centre for Liver Research and Biomedical Research Unit, University of Birmingham, Birmingham, UK
| | - I Guha
- National Institute for Health Research Biomedical Research Unit in Gastrointestinal and Liver Diseases at Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK
| | - D Hollyman
- Cellular and Molecular Therapies, NHS Blood and Transplant, Birmingham, UK
| | - D Stocken
- Newcastle Clinical Trial Unit, Institute of Health and Society, Newcastle University, Newcastle, UK
| | - C Yap
- NIHR Liver BRU Clinical trials group (EDD), CRUK clinical trials unit, University of Birmingham, Birmingham, UK
| | - R Fox
- NIHR Liver BRU Clinical trials group (EDD), CRUK clinical trials unit, University of Birmingham, Birmingham, UK
| | - S J Forbes
- MRC Centre for Regenerative Medicine, University of Edinburgh, Edinburgh, UK
| | - P N Newsome
- NIHR Centre for Liver Research and Biomedical Research Unit, University of Birmingham, Birmingham, UK Liver Unit, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK
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Contractor S, Thomas J, Shahid U, Chivi S. Urban trauma, the knife and gun club: the role of interventional radiology in solid visceral injuries. J Vasc Interv Radiol 2015. [DOI: 10.1016/j.jvir.2014.12.427] [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: 11/16/2022] Open
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218
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Adamson P, Anghel I, Aurisano A, Barr G, Bishai M, Blake A, Bock G, Bogert D, Cao S, Castromonte C, Childress S, Coelho J, Corwin L, Cronin-Hennessy D, de Jong J, Devan A, Devenish N, Diwan M, Escobar C, Evans J, Falk E, Feldman G, Frohne M, Gallagher H, Gomes R, Goodman M, Gouffon P, Graf N, Gran R, Grzelak K, Habig A, Hahn S, Hartnell J, Hatcher R, Holin A, Huang J, Hylen J, Irwin G, Isvan Z, James C, Jensen D, Kafka T, Kasahara S, Koizumi G, Kordosky M, Kreymer A, Lang K, Ling J, Litchfield P, Lucas P, Mann W, Marshak M, Mayer N, McGivern C, Medeiros M, Mehdiyev R, Meier J, Messier M, Miller W, Mishra S, Moed Sher S, Moore C, Mualem L, Musser J, Naples D, Nelson J, Newman H, Nichol R, Nowak J, O’Connor J, Orchanian M, Pahlka R, Paley J, Patterson R, Pawloski G, Perch A, Pfützner M, Phan-Budd S, Plunkett R, Poonthottathil N, Qiu X, Radovic A, Rebel B, Rosenfeld C, Rubin H, Sanchez M, Schneps J, Schreckenberger A, Schreiner P, Sharma R, Sousa A, Tagg N, Talaga R, Thomas J, Thomson M, Tian X, Timmons A, Tognini S, Toner R, Torretta D, Urheim J, Vahle P, Viren B, Walding J, Weber A, Webb R, White C, Whitehead L, Whitehead L, Wojcicki S, Zwaska R. Study of quasielastic scattering using charged-currentνμ-iron interactions in the MINOS near detector. Int J Clin Exp Med 2015. [DOI: 10.1103/physrevd.91.012005] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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219
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Pukhov A, Jansen O, Tueckmantel T, Thomas J, Kostyukov IY. Field-reversed bubble in deep plasma channels for high-quality electron acceleration. Phys Rev Lett 2014; 113:245003. [PMID: 25541776 DOI: 10.1103/physrevlett.113.245003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Indexed: 06/04/2023]
Abstract
We study hollow plasma channels with smooth boundaries for laser-driven electron acceleration in the bubble regime. Contrary to the uniform plasma case, the laser forms no optical shock and no etching at the front. This increases the effective bubble phase velocity and energy gain. The longitudinal field has a plateau that allows for monoenergetic acceleration. We observe as low as 10⁻³ rms relative witness beam energy uncertainty in each cross section and 0.3% total energy spread. By varying the plasma density profile inside a deep channel, the bubble fields can be adjusted to balance the laser depletion and dephasing lengths. Bubble scaling laws for the deep channel are derived. Ultrashort pancakelike laser pulses lead to the highest energies of accelerated electrons per Joule of laser pulse energy.
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Affiliation(s)
- A Pukhov
- Institut fuer Theoretische Physik I, Universitaet Duesseldorf, Dusseldorf 40225, Germany
| | - O Jansen
- Institut fuer Theoretische Physik I, Universitaet Duesseldorf, Dusseldorf 40225, Germany
| | - T Tueckmantel
- Institut fuer Theoretische Physik I, Universitaet Duesseldorf, Dusseldorf 40225, Germany
| | - J Thomas
- Institut fuer Theoretische Physik I, Universitaet Duesseldorf, Dusseldorf 40225, Germany
| | - I Yu Kostyukov
- Lobachevsky National Research University of Nizhni Novgorod, 603950 Nizhny Novgorod, Russia and Institute of Applied Physics RAS, Nizhny Novgorod 603950, Russia
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220
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Servy A, Sbidian E, Hemery F, Valeyrie-Allanore L, Duval S, Thomas J, Chevalier XJ, Chosidow O, Wolkenstein P. Obésité, dénutrition, dépendance : étude rétrospective (2003–2013) de l’évolution dans un service de dermatologie hospitalo-universitaire. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.315] [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: 11/28/2022]
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221
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Riemann A, Ihling A, Thomas J, Schneider B, Thews O, Gekle M. Acidic environment activates inflammatory programs in fibroblasts via a cAMP-MAPK pathway. Biochim Biophys Acta 2014; 1853:299-307. [PMID: 25461841 DOI: 10.1016/j.bbamcr.2014.11.022] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/12/2014] [Revised: 11/05/2014] [Accepted: 11/17/2014] [Indexed: 12/22/2022]
Abstract
The tissue micromilieu in disorders (inflammation, ischemia, tumor) often shows pronounced metabolic acidosis that may alter signaling and transcriptional activity in resident cells which can be of special importance for omnipresent fibroblasts. In the present study we investigated the impact of metabolic acidosis on rat fibroblasts with special emphasis on their role in inflammation by regulation of TNF-α, MCP-1, COX-2 and iNOS expression and the signaling pathways involved. Extracellular acidosis led to an enhanced expression of TNF-α, COX-2 and iNOS in parallel to an activation of p38 and ERK1/2 kinases that was not observed by sole intracellular acidosis. Accordingly, the protein amounts of TNF-α and COX-2 as well as the production of nitrate and nitrite were elevated. Acidosis-induced expression of COX-2 and iNOS depended on p38 kinase, but not on ERK1/2. In contrast acidosis-induced TNF-α expression was independent of both kinases. Although GPR4, GPR68 and GPR132 are expressed in fibroblasts, the involvement of these potential candidate pH sensors could be ruled out since no acidosis-induced elevation in intracellular cAMP or free calcium content was observed. Furthermore our data show that MAPK activation by an acidic micromilieu depends on Ser/Thr phosphatase activity, but not on the production of reactive oxygen species and is sensitive to cAMP antagonism by Rp-cAMPS. In conclusion, our results show that an acidic microenvironment induces a differential transcriptional program of pathological relevant genes in fibroblasts via the cAMP-phosphatase-MAPK pathway and thereby generates a parainflammatory situation that can result in tissue remodeling.
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Affiliation(s)
- A Riemann
- Julius-Bernstein-Institut für Physiologie, Universität Halle-Wittenberg, Germany.
| | - A Ihling
- Julius-Bernstein-Institut für Physiologie, Universität Halle-Wittenberg, Germany
| | - J Thomas
- Julius-Bernstein-Institut für Physiologie, Universität Halle-Wittenberg, Germany
| | - B Schneider
- Julius-Bernstein-Institut für Physiologie, Universität Halle-Wittenberg, Germany
| | - O Thews
- Julius-Bernstein-Institut für Physiologie, Universität Halle-Wittenberg, Germany
| | - M Gekle
- Julius-Bernstein-Institut für Physiologie, Universität Halle-Wittenberg, Germany
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Filliatre L, Ortonne N, Delaunay C, Thomas J, Chetouani A, Marcon N, Bastien C. L’ulcère cutanéo-muqueux EBV+, une entité morphologiquement inquiétante contrastant avec un excellent pronostic : à propos d’un cas. Ann Pathol 2014. [DOI: 10.1016/j.annpat.2014.08.016] [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: 11/26/2022]
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223
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Thomas J, Jensen L, Bainey K. DEPRESSIVE SYMPTOMS AND ASSOCIATED FACTORS IN AN OUTPATIENT CARDIOLOGY CLINIC COHORT. Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.686] [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: 11/16/2022] Open
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224
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Thomas J, Delaunay C, Chetouani A, Filliatre L, Bastien C. Mycosis fongoïde CD4–/CD8–, étude rétrospective des cas répertoriés dans le service de pathologie de Nancy depuis 2000. Profil immuno-histochimique et revue de la littérature. Ann Pathol 2014. [DOI: 10.1016/j.annpat.2014.08.009] [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: 11/16/2022]
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225
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Loving A, Crofts O, Sykes N, Iglesias D, Coleman M, Thomas J, Harman J, Fischer U, Sanz J, Siuko M, Mittwollen M. Pre-conceptual design assessment of DEMO remote maintenance. Fusion Engineering and Design 2014. [DOI: 10.1016/j.fusengdes.2014.04.082] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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226
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Boessenkool H, Thomas J, Heemskerk C, de Baar M, Steinbuch M, Abbink D. Task analysis of human-in-the-loop tele-operated maintenance: What can be learned from JET? Fusion Engineering and Design 2014. [DOI: 10.1016/j.fusengdes.2014.04.041] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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227
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Narendra H, Thomas J, Ray S, Fernandes DJ. An analysis of response to neo-adjuvant chemotherapy in patients with locally advanced breast cancer with emphasis on pathological complete response. Indian J Cancer 2014; 51:587-92. [PMID: 26842205 DOI: 10.4103/0019-509x.175316] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
CONTEXT In India, most breast cancer women present at a locally advanced stage. Routine practice in majority of the cancer centers is to administer neo-adjuvant chemotherapy (NACT) followed by loco-regional treatment. Surgery is scheduled after 3 or 4 cycles. The patients who achieve pathological complete response (pCR) are expected do well. AIMS The present study was conducted to analyze our results with NACT, to know pCR rate, to compare pCR rates among various subgroups and to determine the factors which predict pCR. SETTINGS AND DESIGN The study was conducted in a tertiary care university affiliated cancer hospital in South India. SUBJECTS AND METHODS All patients with non-metastatic locally advanced breast cancer and agreed by the hospital tumor board to receive NACT were included. At each visit, response was assessed according to RECIST criteria. Re-staging work up and mammography was done prior to surgery. STATISTICAL ANALYSIS USED Chi square test was used to analyze categorical variables and uni and multivariate analysis were performed to determine the factors predicting pCR rates. RESULTS A total of 84 patients received NACT. Median age was 46 years (ranged from 28 to 66), 46 patients were premenopausal. Totally 72 patients completed the full course before surgery. Clinical response was complete in 26, partial in 52 and 3 had local progression, one stable and two patient developed distant metastasis. Forty-eight patients underwent modified radical mastectomy and breast could be conserved in 34 patients, pCR rate was 36%. CONCLUSIONS Compared with historical controls particularly from India, we could achieve higher pCR rates.
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Affiliation(s)
- H Narendra
- Department of Surgical Oncology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India
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Abstract
Erythromelalgia is a rare disorder that simulates a small fiber neuropathy and patients often have painful erythematous extremities during episodes. It is of two types: A primary or inherited form that is sometimes associated with a Na channel mutation or a secondary disorder associated with an underlying systemic disorder. We present a 19-year-old boy who presented to us with erythromelalgia and a febrile illness with systemic rash. Detailed work-up revealed another unusual condition: Subcutaneous panniculitis like T cell lymphoma (SPTCL). This is the first report of an association of erythromelalgia with SPTCL.
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Affiliation(s)
- J Thomas
- Department of Rheumatology, Lourdes Hospital, Kochi, Kerala, India
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230
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Thomas J. Top tips in caring for children with caudal anaesthesia. Southern African Journal of Anaesthesia and Analgesia 2014. [DOI: 10.1080/22201173.2011.10872744] [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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232
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Jilek K, Slezákova M, Thomas J. Diurnal and seasonal variability of outdoor radon concentration in the area of the NRPI Prague. Radiat Prot Dosimetry 2014; 160:57-61. [PMID: 24743758 DOI: 10.1093/rpd/ncu091] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
In autumn 2010, an outdoor measuring station for measurement of atmospheric radon, gamma equivalent dose rate in the range of 100 nSv h(-1)-1 Sv h(-1) and proper meteorological parameters such as thermal air gradient, relative air humidity, wind speed and direction and solar radiation intensity was built in the area of the National Radiation Protection Institute vvi. The station was designed to be independent of an electrical network and enables on-line wireless transfer of all data. After introduction of the station, illustrations of its measurement properties and the results of measured diurnal and seasonal variability of atmospheric radon, based on annual continuous measurement using a high-volume scintillation cell at a height of 2.5 m above the ground, are presented.
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Affiliation(s)
- K Jilek
- National Radiation Protection Institute, Bartoškova 28, 140 00 Prague, Czech Republic
| | - M Slezákova
- National Radiation Protection Institute, Bartoškova 28, 140 00 Prague, Czech Republic
| | - J Thomas
- National Radiation Protection Institute, Bartoškova 28, 140 00 Prague, Czech Republic
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233
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Jílek K, Hýža M, Kotík L, Thomas J, Tomášek L. International intercomparison of measuring instruments for radon/thoron gas and radon short-lived daughter products in the NRPI Prague. Radiat Prot Dosimetry 2014; 160:154-159. [PMID: 24729560 DOI: 10.1093/rpd/ncu079] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
During the 7th European Conference on Protection Against Radon at Home and at Work held in the autumn of 2013 in Prague, the second intercomparison of measuring instruments for radon and its short-lived decay products and the first intercomparison of radon/thoron gas discriminative passive detectors in mix field of radon/thoron were organised by and held at the Natural Radiation Division of the National Radiation Protection Institute (NRPI) in Prague. In total, 14 laboratories from 11 different countries took part in the 2013 NRPI intercomparison. They submitted both continuous monitors for the measurement of radon gas and equivalent equilibrium radon concentration in a big NRPI chamber (48 m3) and sets of passive detectors including radon/thoron discriminative for the measurement of radon gas in the big chamber and thoron gas in a small thoron chamber (150 dm3).
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Affiliation(s)
- K Jílek
- National Radiation Protection Institute, Prague, the Czech Republic
| | - M Hýža
- National Radiation Protection Institute, Prague, the Czech Republic
| | - L Kotík
- National Radiation Protection Institute, Prague, the Czech Republic
| | - J Thomas
- National Radiation Protection Institute, Prague, the Czech Republic
| | - L Tomášek
- National Radiation Protection Institute, Prague, the Czech Republic
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234
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Poling A, Thomas J, Hall-Johnson E, Picker M. Self-control revisited: Some factors that affect autoshaped responding. Behav Processes 2014; 10:77-85. [PMID: 24896985 DOI: 10.1016/0376-6357(85)90119-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/1984] [Indexed: 10/27/2022]
Abstract
Pigeons were exposed to autoshaping procedures under which 50% of red key illuminations were followed by 9-sec food deliveries, and 50% of blue key illuminations were followed by 3-sec food deliveries. When all key illuminations were 6 sec, pigeons preferred the red stimulus. Subsequent manipulations demonstrated that preference could be shifted to the blue stimulus by either increasing the duration of the red stimulus or imposing a delay interval between the offset of that stimulus and food delivery. A final experiment demonstrated that, in two of three subjects, preference for key illuminations associated with longer, but delayed, food deliveries generally increased as the duration of all key illuminations was lengthened. These results, obtained under conditions where keypecking had no programmed consequences, are similar to those previously observed under procedures involving a positive response-food dependency.
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Affiliation(s)
- A Poling
- Psychology Dept., Western Michigan Univ., Kalamazoo, MI U.S.A
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235
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Adamson P, Anghel I, Aurisano A, Barr G, Bishai M, Blake A, Bock GJ, Bogert D, Cao SV, Castromonte CM, Cherdack D, Childress S, Coelho JAB, Corwin L, Cronin-Hennessy D, de Jong JK, Devan AV, Devenish NE, Diwan MV, Escobar CO, Evans JJ, Falk E, Feldman GJ, Frohne MV, Gallagher HR, Gomes RA, Goodman MC, Gouffon P, Graf N, Gran R, Grzelak K, Habig A, Hahn SR, Hartnell J, Hatcher R, Himmel A, Holin A, Huang J, Hylen J, Irwin GM, Isvan Z, James C, Jensen D, Kafka T, Kasahara SMS, Koizumi G, Kordosky M, Kreymer A, Lang K, Ling J, Litchfield PJ, Lucas P, Mann WA, Marshak ML, Mayer N, McGivern C, Medeiros MM, Mehdiyev R, Meier JR, Messier MD, Michael DG, Miller WH, Mishra SR, Moed Sher S, Moore CD, Mualem L, Musser J, Naples D, Nelson JK, Newman HB, Nichol RJ, Nowak JA, O'Connor J, Orchanian M, Pahlka RB, Paley J, Patterson RB, Pawloski G, Perch A, Phan-Budd S, Plunkett RK, Poonthottathil N, Qiu X, Radovic A, Rebel B, Rosenfeld C, Rubin HA, Sanchez MC, Schneps J, Schreckenberger A, Schreiner P, Sharma R, Sousa A, Tagg N, Talaga RL, Thomas J, Thomson MA, Tian X, Timmons A, Tognini SC, Toner R, Torretta D, Tzanakos G, Urheim J, Vahle P, Viren B, Weber A, Webb RC, White C, Whitehead L, Whitehead LH, Wojcicki SG, Zwaska R. Combined analysis of νμ disappearance and νμ→νe appearance in MINOS using accelerator and atmospheric neutrinos. Phys Rev Lett 2014; 112:191801. [PMID: 24877929 DOI: 10.1103/physrevlett.112.191801] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2014] [Indexed: 06/03/2023]
Abstract
We report on a new analysis of neutrino oscillations in MINOS using the complete set of accelerator and atmospheric data. The analysis combines the ν(μ) disappearance and ν(e) appearance data using the three-flavor formalism. We measure |Δm(32)(2)| = [2.28-2.46] × 10(-3) eV(2) (68% C.L.) and sin(2)θ(23) = 0.35-0.65 (90% C.L.) in the normal hierarchy, and |Δm(32)(2)| = [2.32-2.53] × 10(-3) eV(2) (68% C.L.) and sin(2)θ(23) = 0.34-0.67 (90% C.L.) in the inverted hierarchy. The data also constrain δ(CP), the θ(23} octant degeneracy and the mass hierarchy; we disfavor 36% (11%) of this three-parameter space at 68% (90%) C.L.
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Affiliation(s)
- P Adamson
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - I Anghel
- Argonne National Laboratory, Argonne, Illinois 60439, USA and Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011 USA
| | - A Aurisano
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA
| | - G Barr
- Subdepartment of Particle Physics, University of Oxford, Oxford OX1 3RH, United Kingdom
| | - M Bishai
- Brookhaven National Laboratory, Upton, New York 11973, USA
| | - A Blake
- Cavendish Laboratory, University of Cambridge, Madingley Road, Cambridge CB3 0HE, United Kingdom
| | - G J Bock
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - D Bogert
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - S V Cao
- Department of Physics, University of Texas at Austin, 1 University Station C1600, Austin, Texas 78712, USA
| | - C M Castromonte
- Instituto de Física, Universidade Federal de Goiás, CP 131, 74001-970 Goiânia, GO, Brazil
| | - D Cherdack
- Physics Department, Tufts University, Medford, Massachusetts 02155, USA
| | - S Childress
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - J A B Coelho
- Universidade Estadual de Campinas, IFGW-UNICAMP, CP 6165, 13083-970 Campinas, SP, Brazil and Physics Department, Tufts University, Medford, Massachusetts 02155, USA
| | - L Corwin
- Indiana University, Bloomington, Indiana 47405, USA
| | | | - J K de Jong
- Subdepartment of Particle Physics, University of Oxford, Oxford OX1 3RH, United Kingdom
| | - A V Devan
- Department of Physics, College of William & Mary, Williamsburg, Virginia 23187, USA
| | - N E Devenish
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - M V Diwan
- Brookhaven National Laboratory, Upton, New York 11973, USA
| | - C O Escobar
- Universidade Estadual de Campinas, IFGW-UNICAMP, CP 6165, 13083-970 Campinas, SP, Brazil
| | - J J Evans
- School of Physics and Astronomy, University of Manchester, Oxford Road, Manchester M13 9PL, United Kingdom
| | - E Falk
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - G J Feldman
- Department of Physics, Harvard University, Cambridge, Massachusetts 02138, USA
| | - M V Frohne
- Holy Cross College, Notre Dame, Indiana 46556, USA
| | - H R Gallagher
- Physics Department, Tufts University, Medford, Massachusetts 02155, USA
| | - R A Gomes
- Instituto de Física, Universidade Federal de Goiás, CP 131, 74001-970 Goiânia, GO, Brazil
| | - M C Goodman
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - P Gouffon
- Instituto de Física, Universidade de São Paulo, CP 66318, 05315-970 São Paulo, SP, Brazil
| | - N Graf
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois 60616, USA and Department of Physics and Astronomy, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA
| | - R Gran
- Department of Physics, University of Minnesota Duluth, Duluth, Minnesota 55812, USA
| | - K Grzelak
- Department of Physics, University of Warsaw, Hoża 69, PL-00-681 Warsaw, Poland
| | - A Habig
- Department of Physics, University of Minnesota Duluth, Duluth, Minnesota 55812, USA
| | - S R Hahn
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - J Hartnell
- Department of Physics and Astronomy, University of Sussex, Falmer, Brighton BN1 9QH, United Kingdom
| | - R Hatcher
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Himmel
- Lauritsen Laboratory, California Institute of Technology, Pasadena, California 91125, USA
| | - A Holin
- Department of Physics and Astronomy, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - J Huang
- Department of Physics, University of Texas at Austin, 1 University Station C1600, Austin, Texas 78712, USA
| | - J Hylen
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - G M Irwin
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - Z Isvan
- Brookhaven National Laboratory, Upton, New York 11973, USA and Department of Physics and Astronomy, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA
| | - C James
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - D Jensen
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - T Kafka
- Physics Department, Tufts University, Medford, Massachusetts 02155, USA
| | - S M S Kasahara
- University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - G Koizumi
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - M Kordosky
- Department of Physics, College of William & Mary, Williamsburg, Virginia 23187, USA
| | - A Kreymer
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - K Lang
- Department of Physics, University of Texas at Austin, 1 University Station C1600, Austin, Texas 78712, USA
| | - J Ling
- Brookhaven National Laboratory, Upton, New York 11973, USA
| | - P J Litchfield
- University of Minnesota, Minneapolis, Minnesota 55455, USA and Rutherford Appleton Laboratory, Science and Technologies Facilities Council, Didcot OX11 0QX, United Kingdom
| | - P Lucas
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - W A Mann
- Physics Department, Tufts University, Medford, Massachusetts 02155, USA
| | - M L Marshak
- University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - N Mayer
- Indiana University, Bloomington, Indiana 47405, USA and Physics Department, Tufts University, Medford, Massachusetts 02155, USA
| | - C McGivern
- Department of Physics and Astronomy, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA
| | - M M Medeiros
- Instituto de Física, Universidade Federal de Goiás, CP 131, 74001-970 Goiânia, GO, Brazil
| | - R Mehdiyev
- Department of Physics, University of Texas at Austin, 1 University Station C1600, Austin, Texas 78712, USA
| | - J R Meier
- University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - M D Messier
- Indiana University, Bloomington, Indiana 47405, USA
| | - D G Michael
- Lauritsen Laboratory, California Institute of Technology, Pasadena, California 91125, USA
| | - W H Miller
- University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - S R Mishra
- Department of Physics and Astronomy, University of South Carolina, Columbia, South Carolina 29208, USA
| | - S Moed Sher
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - C D Moore
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - L Mualem
- Lauritsen Laboratory, California Institute of Technology, Pasadena, California 91125, USA
| | - J Musser
- Indiana University, Bloomington, Indiana 47405, USA
| | - D Naples
- Department of Physics and Astronomy, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA
| | - J K Nelson
- Department of Physics, College of William & Mary, Williamsburg, Virginia 23187, USA
| | - H B Newman
- Lauritsen Laboratory, California Institute of Technology, Pasadena, California 91125, USA
| | - R J Nichol
- Department of Physics and Astronomy, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - J A Nowak
- University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - J O'Connor
- Department of Physics and Astronomy, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - M Orchanian
- Lauritsen Laboratory, California Institute of Technology, Pasadena, California 91125, USA
| | - R B Pahlka
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - J Paley
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - R B Patterson
- Lauritsen Laboratory, California Institute of Technology, Pasadena, California 91125, USA
| | - G Pawloski
- University of Minnesota, Minneapolis, Minnesota 55455, USA and Department of Physics, Stanford University, Stanford, California 94305, USA
| | - A Perch
- Department of Physics and Astronomy, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - S Phan-Budd
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - R K Plunkett
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - N Poonthottathil
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - X Qiu
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - A Radovic
- Department of Physics and Astronomy, University College London, Gower Street, London WC1E 6BT, United Kingdom and Department of Physics, College of William & Mary, Williamsburg, Virginia 23187, USA
| | - B Rebel
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - C Rosenfeld
- Department of Physics and Astronomy, University of South Carolina, Columbia, South Carolina 29208, USA
| | - H A Rubin
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois 60616, USA
| | - M C Sanchez
- Argonne National Laboratory, Argonne, Illinois 60439, USA and Department of Physics and Astronomy, Iowa State University, Ames, Iowa 50011 USA
| | - J Schneps
- Physics Department, Tufts University, Medford, Massachusetts 02155, USA
| | - A Schreckenberger
- University of Minnesota, Minneapolis, Minnesota 55455, USA and Department of Physics, University of Texas at Austin, 1 University Station C1600, Austin, Texas 78712, USA
| | - P Schreiner
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - R Sharma
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - A Sousa
- Department of Physics, University of Cincinnati, Cincinnati, Ohio 45221, USA and Department of Physics, Harvard University, Cambridge, Massachusetts 02138, USA
| | - N Tagg
- Otterbein College, Westerville, Ohio 43081, USA
| | - R L Talaga
- Argonne National Laboratory, Argonne, Illinois 60439, USA
| | - J Thomas
- Department of Physics and Astronomy, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - M A Thomson
- Cavendish Laboratory, University of Cambridge, Madingley Road, Cambridge CB3 0HE, United Kingdom
| | - X Tian
- Department of Physics and Astronomy, University of South Carolina, Columbia, South Carolina 29208, USA
| | - A Timmons
- School of Physics and Astronomy, University of Manchester, Oxford Road, Manchester M13 9PL, United Kingdom
| | - S C Tognini
- Instituto de Física, Universidade Federal de Goiás, CP 131, 74001-970 Goiânia, GO, Brazil
| | - R Toner
- Cavendish Laboratory, University of Cambridge, Madingley Road, Cambridge CB3 0HE, United Kingdom and Department of Physics, Harvard University, Cambridge, Massachusetts 02138, USA
| | - D Torretta
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
| | - G Tzanakos
- Department of Physics, University of Athens, GR-15771 Athens, Greece
| | - J Urheim
- Indiana University, Bloomington, Indiana 47405, USA
| | - P Vahle
- Department of Physics, College of William & Mary, Williamsburg, Virginia 23187, USA
| | - B Viren
- Brookhaven National Laboratory, Upton, New York 11973, USA
| | - A Weber
- Subdepartment of Particle Physics, University of Oxford, Oxford OX1 3RH, United Kingdom and Rutherford Appleton Laboratory, Science and Technologies Facilities Council, Didcot OX11 0QX, United Kingdom
| | - R C Webb
- Physics Department, Texas A&M University, College Station, Texas 77843, USA
| | - C White
- Department of Physics, Illinois Institute of Technology, Chicago, Illinois 60616, USA
| | - L Whitehead
- Brookhaven National Laboratory, Upton, New York 11973, USA and Department of Physics, University of Houston, Houston, Texas 77204, USA
| | - L H Whitehead
- Department of Physics and Astronomy, University College London, Gower Street, London WC1E 6BT, United Kingdom
| | - S G Wojcicki
- Department of Physics, Stanford University, Stanford, California 94305, USA
| | - R Zwaska
- Fermi National Accelerator Laboratory, Batavia, Illinois 60510, USA
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Arthur L, Turnbull A, Webber V, Larionov A, Renshaw L, Kay C, Thomas J, Dixon J, Sims A. Molecular Changes in Lobular Breast Cancers in Response to Neoadjuvant Letrozole. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu065.4] [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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237
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Thomas J, Crowhurst T. Exertional heat stroke, rhabdomyolysis and susceptibility to malignant hyperthermia. Intern Med J 2014; 43:1035-8. [PMID: 24004393 DOI: 10.1111/imj.12232] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2012] [Accepted: 01/30/2013] [Indexed: 11/28/2022]
Abstract
Unexpectedly severe exertional heat stroke and rhabdomyolysis should prompt a clinician to look for susceptibility to malignant hyperthermia. We report a case of exertional heat stroke and rhabdomyolysis in a man later determined to have the malignant hyperthermia phenotype. We review the existing literature regarding this association and suggest future research that could address areas of remaining clinical uncertainty.
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Affiliation(s)
- J Thomas
- School of Medicine, University of Adelaide, Adelaide, South Australia, Australia.
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Mugero C, Atchison C, Machingaidze S, Maphosa B, Takalani A, Beery M, Kweza P, Ntshoe G, Thomas J, Fynn S, Matuka O, Singh T, Sekobe G. Investigation of a suspected tuberculosis outbreak in a long-term care facility, KwaZulu-Natal, South Africa, July-October 2013. Int J Infect Dis 2014. [DOI: 10.1016/j.ijid.2014.03.670] [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: 11/16/2022] Open
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239
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Frean J, Thomas J, Brooke B, Blumberg L. Odyssean malaria outbreaks in Gauteng Province, South Africa, 2007-2013. Int J Infect Dis 2014. [DOI: 10.1016/j.ijid.2014.03.786] [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: 11/30/2022] Open
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240
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Ntshoe G, Thomas J, Cengimbo A, Muvhango N, Ekermans P, Fourie F. Suspected outbreak of shigellosis in Nelson Mandela Bay Health District, Eastern Cape Province - South Africa, November 2012 to February 2013. Int J Infect Dis 2014. [DOI: 10.1016/j.ijid.2014.03.927] [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: 11/29/2022] Open
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241
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Watkins DJ, Starling N, Cunningham D, Thomas J, Webb J, Brown G, Barbachano Y, Oates J, Chau I. The combination of a chemotherapy doublet (gemcitabine and capecitabine) with a biological doublet (bevacizumab and erlotinib) in patients with advanced pancreatic adenocarcinoma. The results of a phase I/II study. Eur J Cancer 2014; 50:1422-9. [PMID: 24613126 DOI: 10.1016/j.ejca.2014.02.003] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [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: 09/30/2013] [Revised: 01/28/2014] [Accepted: 02/02/2014] [Indexed: 12/29/2022]
Abstract
BACKGROUND Preclinical data support the combined inhibition of vascular endothelial growth factor (VEGF) and epidermal growth factor receptor (EGFR) pathways in the treatment of pancreatic cancer. Following a dose finding phase I study the efficacy and toxicity of a four-drug regimen utilising the cytotoxic doublet of gemcitabine and capecitabine (GemCap), with the biological doublet of erlotinib and bevacizumab were further assessed in patients with advanced pancreatic cancer. PATIENTS AND METHODS In a phase II expansion cohort, patients with chemonaive locally advanced or metastatic pancreatic cancer received gemcitabine (1000mg/m(2) D1, 8, 15), capecitabine (1400mg/m(2) D1-21), erlotinib (100mg daily) and bevacizumab (5mg/kg D1, 15) every 28days. The primary endpoint was radiological response rate by response evaluation criteria in solid tumours (RECIST). Computed tomography (CT) assessment was performed every 8weeks. Consolidation radiotherapy was considered in locally advanced patients following six cycles of treatment. RESULTS In total 44 patients (phases I & II) were recruited. The median cycles delivered were 6 (range 1-16). Confirmed radiological responses were seen in 23% (95% confidence interval (CI): 11-38%) of patients. The median progression-free and overall survival for the entire cohort was 8.4 and 12.6months, respectively. In patients with metastatic disease the median overall survival was 10.1months. Common grade 3/4 toxicities were; neutropenia 52%, lethargy 32%, diarrhoea 18% and hand-foot syndrome 18%. CONCLUSION The combination of gemcitabine, capecitabine, erlotinib and bevacizumab was feasible with a manageable toxicity profile and demonstrated encouraging efficacy data in a good performance status population.
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Affiliation(s)
- D J Watkins
- Department of Medicine, Royal Marsden Hospital NHS Foundation Trust, London and Surrey, United Kingdom
| | - N Starling
- Department of Medicine, Royal Marsden Hospital NHS Foundation Trust, London and Surrey, United Kingdom
| | - D Cunningham
- Department of Medicine, Royal Marsden Hospital NHS Foundation Trust, London and Surrey, United Kingdom.
| | - J Thomas
- Department of Medicine, Royal Marsden Hospital NHS Foundation Trust, London and Surrey, United Kingdom
| | - J Webb
- Department of Medicine, Royal Marsden Hospital NHS Foundation Trust, London and Surrey, United Kingdom
| | - G Brown
- Department of Diagnostic Imaging, Royal Marsden Hospital NHS Foundation Trust, London and Surrey, United Kingdom
| | - Y Barbachano
- Computing and Statistics, Royal Marsden Hospital NHS Foundation Trust, London and Surrey, United Kingdom
| | - J Oates
- Department of Medicine, Royal Marsden Hospital NHS Foundation Trust, London and Surrey, United Kingdom
| | - I Chau
- Department of Medicine, Royal Marsden Hospital NHS Foundation Trust, London and Surrey, United Kingdom
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242
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Brown M, Sheppeard V, Gabriel S, Thomas J. Description of the Western Sydney and Nepean Blue Mountains local health districts' influenza prevention programme. Intern Med J 2014; 43:760-6. [PMID: 23656638 DOI: 10.1111/imj.12175] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2012] [Accepted: 04/14/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND Influenza is a major cause of morbidity and mortality. In 2011, influenza vaccination was provided free for people at greatest risk of severe disease: people aged 65 years and over, Aboriginal Australians 15 years and older, pregnant women, and individuals aged 6 months and over who suffered chronic medical conditions. AIMS To evaluate the Western Sydney and Nepean Blue Mountains Local Health District Influenza Prevention Program and to identify some of the enablers and barriers to vaccination in the hospital outpatient setting. METHODS Western Sydney and Nepean Blue Mountains local health districts' influenza prevention programme provided influenza vaccine in hospital outpatient settings between 21 March 2011 and 30 June 2011. Accredited nurse immunisers vaccinated 2824 individuals and recorded their primary reason for vaccination. Nurse immunisers were interviewed to identify barriers and enablers to influenza immunisation uptake. RESULTS Two thousand, eight hundred and twenty-four doses of influenza vaccine were administered to people at high risk of influenza in four hospitals in the region: two tertiary facilities and two district hospitals. The primary indication for vaccination was chronic disease in 50% and pregnancy in 37%. Estimated direct cost of the programme was $19 per dose. CONCLUSIONS A hospital-based influenza vaccination programme can be an effective way to improve influenza vaccination rates among specific population groups at high risk of severe disease with influenza, particularly pregnant women and those younger than 65 years with a chronic medical condition.
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Affiliation(s)
- M Brown
- Public Health Unit, Nepean Blue Mountains and Western Sydney, and Community Paediatrics Department, Liverpool Hospital, Sydney, New South Wales, Australia.
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243
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Thomas J. Comment on the Results of the long-term estimation of the non-equilibrium factor F = 0.75. Health Phys 2014; 106:428-430. [PMID: 25208023 DOI: 10.1097/hp.0000000000000055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- J Thomas
- National Radiation Protection Institute, Praha, Czech Republic
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Labat L, Thomas J, Dehon B, Humbert L, Leleu B, Nisse C, Lhermitte M. EVALUATION D’UNE EXPOSITION PROFESSIONNELLE À L’ORTHO-TOLUIDINE PAR CHROMATOGRAPHIE PHASE GAZEUSE COUPLÉE À LA SPECTROMÉTRIE DE MASSE. Acta Clin Belg 2014. [DOI: 10.1179/acb.2006.074] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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245
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Squier J, Thomas J, Block E, Durfee C, Backus S. High average power Yb:CaF 2 femtosecond amplifier with integrated simultaneous spatial and temporal focusing for laser material processing. Appl Phys A Mater Sci Process 2014; 114:209-214. [PMID: 24465093 PMCID: PMC3899795 DOI: 10.1007/s00339-013-8106-4] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
A watt level, 10-kilohertz repetition rate chirped pulse amplification system that has an integrated simultaneous spatial and temporal focusing (SSTF) processing system is demonstrated for the first time. SSTF significantly reduces nonlinear effects normally detrimental to beam control enabling the use of a low numerical aperture focus to quickly treat optically transparent materials over a large area. The integrated SSTF system has improved efficiency compared to previously reported SSTF designs, which combined with the high repetition rate of the laser, further optimizes its capability to provide rapid, large volume processing.
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Affiliation(s)
- J. Squier
- Center for Microintegrated Optics for Advanced Bioimaging and Control, Department of Physics, Colorado School of Mines, Golden, Colorado 80401, USA, Ph: 303 384-2385, Fax: 303 273-3919
| | - J. Thomas
- Center for Microintegrated Optics for Advanced Bioimaging and Control, Department of Physics, Colorado School of Mines, Golden, Colorado 80401, USA, Ph: 303 384-2385, Fax: 303 273-3919
- Institute of Applied Physics, Abbe Center of Photonics, Friedrich-Schiller-Universität Jena, Max-Wien-Platz 1, 07743 Jena, Germany
| | - E. Block
- Center for Microintegrated Optics for Advanced Bioimaging and Control, Department of Physics, Colorado School of Mines, Golden, Colorado 80401, USA, Ph: 303 384-2385, Fax: 303 273-3919
| | - C. Durfee
- Center for Microintegrated Optics for Advanced Bioimaging and Control, Department of Physics, Colorado School of Mines, Golden, Colorado 80401, USA, Ph: 303 384-2385, Fax: 303 273-3919
| | - S. Backus
- KMLabs Inc., Research and Development Department, 1855 S 57th Ct, Boulder, Colorado 80301, USA
- Colorado State University, Department of Electrical and Computer Engineering, Ft. Collins, Colorado 80523, USA
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246
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Bundred N, Dixon JM, Thomas J. Management of Regional Nodes in Breast Cancer. Assoc Med J 2013. [DOI: 10.1136/bmj.f3290] [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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247
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van der Kaaij M, van Echten-Arends J, Heutte N, Meijnders P, Abeilard-Lemoisson E, Spina M, Moser E, Allgeier A, Meulemans B, Lugtenburg P, Aleman B, Noordijk E, Fermé C, Thomas J, Stamatoullas A, Fruchart C, Eghbali H, Brice P, Smit W, Sebban C, Doorduijn J, Roesink J, Gaillard I, Coiffier B, Lybeert M, Casasnovas O, André M, Raemaekers J, Henry-Amar M, Kluin-Nelemans J. Cryopreservation, semen use and the likelihood of fatherhood in male Hodgkin lymphoma survivors: an EORTC-GELA Lymphoma Group cohort study. Hum Reprod 2013; 29:525-33. [DOI: 10.1093/humrep/det430] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [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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248
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Liebig CM, Buller SH, Banerjee PP, Basun SA, Blanche PA, Thomas J, Christenson CW, Peyghambarian N, Evans DR. Achieving enhanced gain in photorefractive polymers by eliminating electron contributions using large bias fields. Opt Express 2013; 21:30392-30400. [PMID: 24514617 DOI: 10.1364/oe.21.030392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Photorefractive polymers have been extensively studied for over two decades and have found applications in holographic displays and optical image processing. The complexity of these materials arises from multiple charge contributions, for example, leading to the formation of competing photorefractive gratings. It has been recently shown that in a photorefractive polymer at relatively moderate applied electric fields the primary charge carriers (holes) establish an initial grating, followed by a subsequent competing grating (electrons) resulting in a decreased two-beam coupling and diffraction efficiencies. In this paper, it is shown that with relatively large sustainable bias fields, the two-beam coupling efficiency is enhanced owing to a decreased electron contribution. These results also explain the cause of dielectric breakdown experienced under large bias fields. Our conclusions are supported by self-pumped transient two-beam coupling and photocurrent measurements as a function of applied bias fields at different wavelengths.
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Muraru D, Mihaila S, Piasentini E, Casablanca S, Naso P, Puma L, Ermacora D, Zoppellaro G, Iliceto S, Badano L, Farsalinos K, Daraban A, Unlu S, Pellikka P, Lancellotti P, Thomas J, Badano L, Voigt JU, Antoine C, Dadfarin-Bejou A, Gallet R, Bremont C, Dubois-Rande J, Lim P, Acosta Martinez J, Lopez-Haldon J, Rodriguez-Rodriguez J, Lopez-Pardo F, Martinez-Martinez A, Nylander E, Hard L, Andersson J, Lindqvist P, Remmets J, Winter R, Andersson B, Roijer A, Gao S, Maret E, Esposito R, Santoro C, Raia R, Schiano-Lomoriello V, Lauria R, Arpino G, De Simone G, Galderisi M, El Ghannudi S, Samet H, Germain P, Jeung MY, Gangi A, Roy C, Marta L, Placido R, Ramalho A, Cortez-Dias N, Nobre Menezes M, Santos L, Infante Oliveira E, Martins S, Almeida A, Nunes Diogo A, Bech-Hanssen O, Pergola V, Fadel B, Di Salvo G, Buccheri S, Mangiafico S, Lavanco V, Bottari V, Arcidiacono A, Tamburino C, Monte IP. Moderated Posters session * The emerging role of 2-dimensional strain in clinical practice: 13/12/2013, 14:00-18:00 * Location: Moderated Poster area. Eur Heart J Cardiovasc Imaging 2013. [DOI: 10.1093/ehjci/jet211] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Jodłowski P, Kryca J, Iwaniszyn M, Jędrzejczyk R, Thomas J, Kołodziej A, Łojewska J. Methane combustion modelling of wire gauze reactor coated with Co3O4–CeO2, Co3O4–PdO catalysts. Catal Today 2013. [DOI: 10.1016/j.cattod.2013.07.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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