101
|
Green A. The relationships between rugby ground pass accuracy and kinematic variables resulting from two different pelvic orientations. SOUTH AFRICAN JOURNAL OF SPORTS MEDICINE 2016. [DOI: 10.17159/2078-516x/2016/v28i2a1578] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Introduction: Despite having been largely understudied, one of the crucial components of a team’s success in rugby is accurate passing. This study identified biomechanical correlates of the rugby ground pass and accuracy performance.Methods: Sixteen club players (height 1.77±0.04 m; mass 86.8±16.8 kg) undertook a combined total of 96 passes and their respective body kinematics were analysed concurrent with measurements of pass accuracy at 10 m. Two distinct types of body orientations were found to be utilised by the players: a side-on orientation (pelvic rotation >80 °) and a front-on orientation (pelvic rotation <80 °).Results: Side-on body orientation passes were more accurate than front-on body orientation passes (p<0.0001). Fair relationships were present between the pass accuracy and upper body and hip kinematics for the two distinct body orientations individually. However, no common relationships were observed between the different orientations.Conclusion: Therefore different strategies exist within players to perform the ground pass with varying grades of accuracy.
Collapse
|
102
|
Green A, DeSouza L, Lowe R, Walton A. The Big Physio Survey (BPS). Physiotherapy 2016. [DOI: 10.1016/j.physio.2016.10.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
103
|
Zaenger D, Rabatic B, Madden N, Marascio J, Marchan E, Amoush A, Al-Basheer A, Green A, Kong F, Dasher B, Aletan M, Stewart J, Ziauddin M, Pishgou M, Howington J, Martin D, Shaaban S, Huang K, Ferguson C, Mourad W. Is Individualized Dose Intensification Appropriate for Inflammatory Breast Cancer? Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
104
|
Marascio J, Madden N, Rabatic B, Zaenger D, McDermott D, Misiura A, Shaaban S, Marchan E, Huang K, Amoush A, Al-Basheer A, Green A, Dasher B, Howington J, Stewart J, Martin W, Pishgou M, Ferguson C, Kong F, Mourad W. Oncologic Outcome of Bimodality Approach for Cutaneous Adnexal Carcinoma. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.2395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
105
|
Amoush A, Aletan M, Ferjani S, Rabatic B, Madden N, Al-Basheer A, Marascio J, Zaenger D, Huang K, Green A, Shaaban S, Pishgou M, Marchan E, Giller C, Forseen S, Choudhri H, Ferguson C, Vender J, Alleyne C, Mourad W. Dosimetric Study of the Effect of the 6-Dimensional Calypso-Compatible Couch Top and Rails for Spine Stereotactic Body Radiation Therapy. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.2233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
106
|
Zaenger D, Rabatic B, Marascio J, Madden N, Marchan E, Al-Basheer A, Aletan M, Amoush A, Green A, Huang K, Shaaban S, Pishgou M, Dasher B, Howington J, Martin W, Stewart J, Tang S, Ziauddin M, Ferguson C, Mourad W. Modern Demographics, Oncologic Outcomes, and Prognostic Factors in Women With Inflammatory Breast Cancer. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.715] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
107
|
Bowker R, Green A, Bonham JR. Guidelines for the investigation and management of a reduced level of consciousness in children: implications for clinical biochemistry laboratories. Ann Clin Biochem 2016; 44:506-11. [DOI: 10.1258/000456307782268228] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Whenever a child presents to hospital with a reduced level of consciousness, admitting clinicians have to decide the underlying cause rapidly so that the correct emergency treatment can be initiated. Unfortunately, the clinical presentations of many of the possible diagnoses are very similar. The diagnosis often results from investigations within the clinical biochemistry laboratory. In the past, clinicians have had limited guidance on which tests to request when presented with a child with a reduced level of consciousness. Guidelines have recently been developed relating to all aspects of management of the child in a coma. Due to a lack of evidence in the literature regarding the most appropriate first line tests for children with a reduced level of consciousness, a formal consensus process ('Delphi consensus') was performed using a large multidisciplinary panel of experts. The recommendations reached by this process include the list of initial ('core') tests to request for all children with a reduced level of consciousness (excluding those immediately after suffering a convulsion and those involved in obvious trauma). Depending upon the results of these 'core' tests and the clinical condition of the child, further tests may be requested later. The key point is that all the samples have been taken at the time of presentation to provide the best chance of reaching a diagnosis and correctly treating the child. The article reviews the recommended core investigations and further tests and discusses how individual laboratories can help to implement the guidelines jointly with their Emergency and Paediatric Departments.
Collapse
|
108
|
Little AM, Green A, Harvey J, Hemmatpour S, Latham K, Marsh SGE, Poulton K, Sage D. BSHI Guideline: HLA matching and donor selection for haematopoietic progenitor cell transplantation. Int J Immunogenet 2016; 43:263-86. [DOI: 10.1111/iji.12282] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2016] [Revised: 05/06/2016] [Accepted: 06/06/2016] [Indexed: 12/29/2022]
|
109
|
Martin MJ, Lee H, Meakin G, Green A, Simms RL, Reynolds C, Winters S, Shaw DE, Soomro I, Harrison TW. Assessment of a rapid liquid-based cytology method for measuring sputum cell counts. Thorax 2016; 71:1163-1164. [PMID: 27503234 DOI: 10.1136/thoraxjnl-2016-208817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2016] [Revised: 07/04/2016] [Accepted: 07/06/2016] [Indexed: 11/03/2022]
Abstract
Differential sputum cell counting is not widely available despite proven clinical utility in the management of asthma. We compared eosinophil counts obtained using liquid-based cytology (LBC), a routine histopathological processing method, and the current standard method. Eosinophil counts obtained using LBC were a strong predictor of sputum eosinophilia (≥3%) determined by the standard method suggesting LBC could be used in the management of asthma.
Collapse
|
110
|
Joergensen T, Christensen K, Lindholt J, Larsen L, Green A, Houlind K. High Heritability of Liability to Abdominal Aortic Aneurysms: A Population Based Twin Study. J Vasc Surg 2016. [DOI: 10.1016/j.jvs.2016.05.051] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
111
|
|
112
|
Abstract
AIM To provide comprehensive real-world evidence on societal diabetes-attributable costs in Denmark. METHODS National register data are linked on an individual level through unique central personal registration numbers in Denmark. All patients in the Danish National Diabetes Register in 2011 (N = 318 729) were included in this study. Complication status was defined according to data from the Danish National Hospital Register. Diabetes-attributable costs were calculated as the difference between costs of patients with diabetes and the expected costs given the annual resource consumption of the diabetes-free population. RESULTS Societal costs attributable to diabetes were estimated to be at least 4.27 billion EUR in 2011, corresponding to 14,349 EUR per patient-year. A twofold higher healthcare resource usage was found for patients with diabetes as compared with the diabetes-free population. Attributable costs, grouped according to different components, were 732 million EUR for primary and secondary care services, 153 million EUR for pharmaceutical drugs, 851 million EUR for nursing services, 1.77 billion EUR in lost productivity and 761 million EUR for additional costs. A steep increase in diabetes-attributable costs was found for patients with major complications compared with patients without complications across all cost components. For attributable healthcare costs this increase was estimated to be 6,992 EUR per person-year after controlling for potential confounders. CONCLUSIONS Nearly half of the total costs of patients with diabetes can be attributed directly to their diabetes. The majority of costs are incurred among patients with major complications pointing to the importance of secondary preventive efforts among patients with diabetes.
Collapse
|
113
|
Joergensen T, Christensen K, Lindholt J, Larsen L, Green A, Houlind K. Editor's Choice – High Heritability of Liability to Abdominal Aortic Aneurysms: A Population Based Twin Study. Eur J Vasc Endovasc Surg 2016; 52:41-6. [DOI: 10.1016/j.ejvs.2016.03.012] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2015] [Accepted: 03/13/2016] [Indexed: 11/29/2022]
|
114
|
Brost E, Brooks J, Piepenburg J, Chakraborty S, Das T, Green A, Watanabe Y, Hui S. SU-G-TeP3-07: On the Development of Mechano-Biological Assessment of Leukemia Cells Using Optical Tweezers. Med Phys 2016. [DOI: 10.1118/1.4957087] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
115
|
|
116
|
Lennon P, Deady S, White N, Lambert D, Healy ML, Green A, Kinsella J, Timon C, O’ Neill JP. Aggressive medullary thyroid cancer, an analysis of the Irish National Cancer Registry. Ir J Med Sci 2016; 186:89-95. [DOI: 10.1007/s11845-016-1455-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Accepted: 04/02/2016] [Indexed: 12/13/2022]
|
117
|
Kjærulff TM, Ersbøll AK, Green A, Emneus M, Pukkala E, Bolin K, Stavem K, Iversen P, Brasso K, Hallas J, Thygesen LC. Patterns of finasteride use in the male populations of four Nordic countries: A cross-national drug utilization study. Scand J Urol 2016; 50:220-7. [DOI: 10.3109/21681805.2015.1136676] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
118
|
Cooper K, Day S, Green A, Ward H. Maids, Migrants and Occupational Health in the London Sex Industry. Anthropol Med 2016; 14:41-53. [PMID: 26873799 DOI: 10.1080/13648470601106319] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
It has been argued that norms of occupational health have weakened with diversification in the sex industry. We explore this issue in walk-in flats in London, focusing on relationships between managers (maids) and sex workers. Today, most maids are local and most sex workers are 'migrants'. We collected data on 117 maids and sex workers, and carried out intensive fieldwork with seven maids and 17 sex workers. Managers take prime responsibility for educating and inducting new workers. Authoritarian management has been considered bad for health both in these walk-in flats and in the '100 per cent condom use programme' criticized by sex workers' projects. Yet, we found that maids acted as friends and managers, which helped settle new sex workers. Over time, however, migrants were more affected by issues of isolation and exploitation than local workers. Alternative models of health promotion such as peer education must be seen in a wider legal context where the lack of rights makes it difficult to appeal against exploitation, or to become mobile.
Collapse
|
119
|
Green A. The relationships between rugby ground pass accuracy and kinematic variables resulting from two different pelvic orientations. SOUTH AFRICAN JOURNAL OF SPORTS MEDICINE 2016. [DOI: 10.17159/2078-516x/2016/v28i2a421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
|
120
|
Abstract
Doege-Potter syndrome is a rare paraneoplastic syndrome presenting as a hypoinsulinaemic hypoglycaemia from the ectopic secretion of a prohormone of insulin-like growth factor II (IGF-II) from a solitary fibrous tumour. Surgical resection is curative in the majority of cases. If, however, the diagnosis is not suspected and treatment is delayed, it can lead to hypoxic cerebral injury or death. The underlying tumour can be a benign or malignant pleural tumour but may be present in extrapleural sites. For a diagnosis of Doege-Potter syndrome, symptoms attributable to hypoglycaemia and low blood glucose levels should be present along with the secretion of prohormone IGF-II. We report a case of severe hypoglycaemia in a 76-year-old inpatient admitted for resection of a recurrent left-sided pleural tumour. Investigation revealed true hypoglycaemia and Doege-Potter syndrome was diagnosed. The tumour was completely resected and the patient made a full recovery with no further hypoglycaemic episodes.
Collapse
|
121
|
Patterson CC, Gyürüs E, Rosenbauer J, Cinek O, Neu A, Schober E, Parslow RC, Joner G, Svensson J, Castell C, Bingley PJ, Schoenle E, Jarosz-Chobot P, Urbonaité B, Rothe U, Kržišnik C, Ionescu-Tirgoviste C, Weets I, Kocova M, Stipancic G, Samardzic M, de Beaufort CE, Green A, Soltész G, Dahlquist GG. Seasonal variation in month of diagnosis in children with type 1 diabetes registered in 23 European centers during 1989-2008: little short-term influence of sunshine hours or average temperature. Pediatr Diabetes 2015; 16:573-80. [PMID: 25316271 DOI: 10.1111/pedi.12227] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2014] [Revised: 09/11/2014] [Accepted: 09/11/2014] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND The month of diagnosis in childhood type 1 diabetes shows seasonal variation. OBJECTIVE We describe the pattern and investigate if year-to-year irregularities are associated with meteorological factors using data from 50 000 children diagnosed under the age of 15 yr in 23 population-based European registries during 1989-2008. METHODS Tests for seasonal variation in monthly counts aggregated over the 20 yr period were performed. Time series regression was used to investigate if sunshine hour and average temperature data were predictive of the 240 monthly diagnosis counts after taking account of seasonality and long term trends. RESULTS Significant sinusoidal pattern was evident in all but two small centers with peaks in November to February and relative amplitudes ranging from ± 11 to ± 38% (median ± 17%). However, most centers showed significant departures from a sinusoidal pattern. Pooling results over centers, there was significant seasonal variation in each age-group at diagnosis, with least seasonal variation in those under 5 yr. Boys showed greater seasonal variation than girls, particularly those aged 10-14 yr. There were no differences in seasonal pattern between four 5-yr sub-periods. Departures from the sinusoidal trend in monthly diagnoses in the period were significantly associated with deviations from the norm in average temperature (0.8% reduction in diagnoses per 1 °C excess) but not with sunshine hours. CONCLUSIONS Seasonality was consistently apparent throughout the period in all age-groups and both sexes, but girls and the under 5 s showed less marked variation. Neither sunshine hour nor average temperature data contributed in any substantial way to explaining departures from the sinusoidal pattern.
Collapse
|
122
|
Bell-Jenje T, Olivier B, Wood W, Rogers S, Green A, McKinon W. The association between loss of ankle dorsiflexion range of movement, and hip adduction and internal rotation during a step down test. ACTA ACUST UNITED AC 2015; 21:256-61. [PMID: 26432547 DOI: 10.1016/j.math.2015.09.010] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Revised: 09/09/2015] [Accepted: 09/10/2015] [Indexed: 10/23/2022]
Abstract
A pattern of excessive hip adduction and internal rotation with medial deviation of the knee has been associated with numerous musculo-skeletal dysfunctions. Research into the role that ankle dorsiflexion (DF) range of motion (ROM) play in lower limb kinematics is lacking. The objective of this cross-sectional, observational study was to investigate the relationship between ankle DF ROM, and hip adduction and hip internal rotation during a step-down test with and without heel elevation in a healthy female population. Hip and ankle ROM was measured kinematically using a ten-camera Optitrack motion analysis system. Thirty healthy female participants (mean age = 20.4 years; SD = 0.9 years) first performed a step-down test with the heel of the weight bearing foot flat on the step and then with the heel elevated on a platform. Ankle DF, hip adduction and hip internal rotation were measured kinematically for the supporting leg. Participants who had 17° or less of ankle DF ROM displayed significantly more hip adduction ROM (p = 0.001; Cohen's d effect size = 1.2) than the participants with more than 17° of DF during the step-down test. Participants with limited DF ROM showed a significant reduction in hip adduction ROM during the elevated-heel step-down test (p = 0.008). Hip internal rotation increased in both groups during the EHSD compared to the step-down test (p > 0.05) Reduced ankle DF ROM is associated with increased hip adduction utilised during the step-down test. Ankle DF should be taken into account when assessing patients with aberrant frontal plane lower limb alignment.
Collapse
|
123
|
Simons A, Haq A, Green A. 23DOES RECEIVING A COMPREHENSIVE GERIATRIC ASSESSMENT (CGA), DELIVERED BY A CONSULTANT GERIATRICIAN, ON ADMISSION TO COMMUNITY HOSPITALS (CH) REDUCE LENGTH OF STAY (LOS), AND IMPROVE PATIENT OUTCOME? Age Ageing 2015. [DOI: 10.1093/ageing/afv106.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
124
|
Green A, Jones AD, Sun K, Neitzel RL. The Association between Noise, Cortisol and Heart Rate in a Small-Scale Gold Mining Community-A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:9952-66. [PMID: 26308019 PMCID: PMC4555322 DOI: 10.3390/ijerph120809952] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2015] [Revised: 08/11/2015] [Accepted: 08/18/2015] [Indexed: 12/20/2022]
Abstract
We performed a cross-sectional pilot study on salivary cortisol, heart rate, and personal noise exposures in a small-scale gold mining village in northeastern Ghana in 2013. Cortisol level changes between morning and evening among participants showed a relatively low decline in cortisol through the day (−1.44 ± 4.27 nmol/L, n = 18), a pattern consistent with chronic stress. A multiple linear regression, adjusting for age, sex, smoking status, and time between samples indicated a significant increase of 0.25 nmol/L cortisol from afternoon to evening per 1 dBA increase in equivalent continuous noise exposure (Leq) over that period (95% CI: 0.08–0.42, Adj R2 = 0.502, n = 17). A mixed effect linear regression model adjusting for age and sex indicated a significant increase of 0.29 heart beats per minute (BPM) for every 1 dB increase in Leq. Using standard deviations (SDs) as measures of variation, and adjusting for age and sex over the sampling period, we found that a 1 dBA increase in noise variation over time (Leq SD) was associated with a 0.5 BPM increase in heart rate SD (95% CI: 0.04–−0.9, Adj. R2 = 0.229, n = 16). Noise levels were consistently high, with 24-hour average Leq exposures ranging from 56.9 to 92.0 dBA, with a mean daily Leq of 82.2 ± 7.3 dBA (mean monitoring duration 22.1 ± 1.9 hours, n = 22). Ninety-five percent of participants had 24-hour average Leq noise levels over the 70 dBA World health Organization (WHO) guideline level for prevention of hearing loss. These findings suggest that small-scale mining communities may face multiple, potentially additive health risks that are not yet well documented, including hearing loss and cardiovascular effects of stress and noise.
Collapse
|
125
|
Higginson DP, Vassura L, Gugiu MM, Antici P, Borghesi M, Brauckmann S, Diouf C, Green A, Palumbo L, Petrascu H, Sofia S, Stardubtsev M, Willi O, Kar S, Negoita F, Fuchs J. Temporal Narrowing of Neutrons Produced by High-Intensity Short-Pulse Lasers. PHYSICAL REVIEW LETTERS 2015; 115:054802. [PMID: 26274423 DOI: 10.1103/physrevlett.115.054802] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/10/2014] [Indexed: 06/04/2023]
Abstract
The production of neutron beams having short temporal duration is studied using ultraintense laser pulses. Laser-accelerated protons are spectrally filtered using a laser-triggered microlens to produce a short duration neutron pulse via nuclear reactions induced in a converter material (LiF). This produces a ∼3 ns duration neutron pulse with 10(4) n/MeV/sr/shot at 0.56 m from the laser-irradiated proton source. The large spatial separation between the neutron production and the proton source allows for shielding from the copious and undesirable radiation resulting from the laser-plasma interaction. This neutron pulse compares favorably to the duration of conventional accelerator sources and should scale up with, present and future, higher energy laser facilities to produce brighter and shorter neutron beams for ultrafast probing of dense materials.
Collapse
|