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Hernández R, Burr JM, Vale L, Azuara-Blanco A, Cook JA, Banister K, Tuulonen A, Ryan M. Monitoring ocular hypertension, how much and how often? A cost-effectiveness perspective. Br J Ophthalmol 2015; 100:1263-8. [DOI: 10.1136/bjophthalmol-2015-306757] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Accepted: 11/12/2015] [Indexed: 11/04/2022]
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102
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Lee D, Newshan-West R, Ryan M. Repeatability and agreement of digital image correlation (DIC) for regional strain estimates of the in-vivo human patellar tendon. J Sci Med Sport 2015. [DOI: 10.1016/j.jsams.2015.12.366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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103
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Fee P, Siddiqui A, Morrison R, Ryan M. Adult exceptional aesthetic referral protocol and its implications on the consent for Orthognathic surgery. Br J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.bjoms.2015.08.160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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104
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Fee P, Siddiqui A, Morrison R, Ryan M. An audit of venous thromboembolism prophylaxis in orthognathic surgery. Br J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.bjoms.2015.08.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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105
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Nuri L, Newsham-West R, Ryan M. Achilles tendon is not a single elastic structure: Preconditioning of different regions of Achilles tendon. J Sci Med Sport 2015. [DOI: 10.1016/j.jsams.2015.12.370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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106
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Herwig R, Gmuender H, Corvi R, Bloch KM, Brandenburg A, Castell J, Ceelen L, Chesne C, Doktorova TY, Jennen D, Jennings P, Limonciel A, Lock EA, McMorrow T, Phrakonkham P, Radford R, Slattery C, Stierum R, Vilardell M, Wittenberger T, Yildirimman R, Ryan M, Rogiers V, Kleinjans J. Inter-laboratory study of human in vitro toxicogenomics-based tests as alternative methods for evaluating chemical carcinogenicity: a bioinformatics perspective. Arch Toxicol 2015; 90:2215-2229. [PMID: 26525393 DOI: 10.1007/s00204-015-1617-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Accepted: 10/19/2015] [Indexed: 01/29/2023]
Abstract
The assessment of the carcinogenic potential of chemicals with alternative, human-based in vitro systems has become a major goal of toxicogenomics. The central read-out of these assays is the transcriptome, and while many studies exist that explored the gene expression responses of such systems, reports on robustness and reproducibility, when testing them independently in different laboratories, are still uncommon. Furthermore, there is limited knowledge about variability induced by the data analysis protocols. We have conducted an inter-laboratory study for testing chemical carcinogenicity evaluating two human in vitro assays: hepatoma-derived cells and hTERT-immortalized renal proximal tubule epithelial cells, representing liver and kidney as major target organs. Cellular systems were initially challenged with thirty compounds, genome-wide gene expression was measured with microarrays, and hazard classifiers were built from this training set. Subsequently, each system was independently established in three different laboratories, and gene expression measurements were conducted using anonymized compounds. Data analysis was performed independently by two separate groups applying different protocols for the assessment of inter-laboratory reproducibility and for the prediction of carcinogenic hazard. As a result, both workflows came to very similar conclusions with respect to (1) identification of experimental outliers, (2) overall assessment of robustness and inter-laboratory reproducibility and (3) re-classification of the unknown compounds to the respective toxicity classes. In summary, the developed bioinformatics workflows deliver accurate measures for inter-laboratory comparison studies, and the study can be used as guidance for validation of future carcinogenicity assays in order to implement testing of human in vitro alternatives to animal testing.
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107
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Goubran J, Carroll K, Ryan M. Upper limb function in Duchenne muscular dystrophy – a natural history, investigating upper limb performance relative to ambulatory stage. Neuromuscul Disord 2015. [DOI: 10.1016/j.nmd.2015.06.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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108
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Horodyska J, Sweeney T, Ryan M, Hamill R. Novel SNPs in the Ankyrin 1 gene and their association with beef quality traits. Meat Sci 2015; 108:88-96. [DOI: 10.1016/j.meatsci.2015.04.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Revised: 04/24/2015] [Accepted: 04/27/2015] [Indexed: 10/23/2022]
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109
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Bisset L, Yelland M, Ryan M, Ng SK, Rabago D, Whitty J. Testing the effectiveness of emerging injection therapies compared to physiotherapy for tennis elbow: a randomised control trial. Physiotherapy 2015. [DOI: 10.1016/j.physio.2015.03.305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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110
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Pickavance E, Liu S, Kennedy S, McKay L, Varma S, Ryan M, Bourne D. 15 * SYNCOPE-CAN THE USE OF A RISK-STRATIFICATION SCORE REDUCE ADMISSIONS AND IMPROVE CARE QUALITY? Age Ageing 2015. [DOI: 10.1093/ageing/afv029.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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111
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Ryan M, Dennerstein L. Hysterectomy and tubal ligation. ADVANCES IN PSYCHOSOMATIC MEDICINE 2015; 15:180-98. [PMID: 3706034 DOI: 10.1159/000411855] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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112
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Teljeur C, O'Neill M, Moran PS, Harrington P, Murphy L, Ryan M. Authors' reply. BJOG 2015; 122:754-5. [PMID: 25800388 DOI: 10.1111/1471-0528.13309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2014] [Indexed: 11/29/2022]
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113
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Hilliard N, Ryan M, Capote NA. 2014–15 Report of the Academy Presidents: Enabling, empowering, and inspiring APhA members to drive change. J Am Pharm Assoc (2003) 2015. [DOI: 10.1331/japha.2015.510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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114
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Hilliard N, Ryan M, Capote NA. 2014–15 Report of the Academy Presidents: Enabling, empowering, and inspiring APhA members to drive change. J Am Pharm Assoc (2003) 2015. [DOI: 10.1331/japha.2015.15510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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115
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Walsh A, Phelan F, Phelan M, Ryan M, Healy F, Slattery DM, Elnazir B, Greally P, Linnane B, Ní Chróinín M, Mullane D, Herzig M, Cox DW, Javadpour S, McNally P. Diagnosis and treatment of sleep related breathing disorders in children: 2007 to 2011. IRISH MEDICAL JOURNAL 2015; 108:71-73. [PMID: 25876296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Sleep related breathing disorders (SRBD) have historically been under-recognised and under-treated. Obstructive sleep apnoea (OSA) affects approximately 3% of children. In line with the increased recognition of SRBD there has been an increase in demand for diagnostic services. We determined the awareness of SRBD amongst Irish paediatricians, examined the provision of sleep services to children throughout the country between 2007 and 2011 and audited diagnostic sleep services in a tertiary centre in 2011. Amongst respondents there was an awareness of SRBD but a poor understanding of diagnostic evaluation with 31/46 (67) referring to inappropriate services. There has been a sharp increase in both diagnostic sleep tests (433-1793 [414]) and in the use of non-invasive ventilation (NIV) (31-186 [627]) for treatment of SRBD between 2007 and 2011. Paediatric sleep services are organized in an ad-hoc manner nationally with significant service variation. The use of domiciliary overnight oximetry reduced the requirement for more formal polysomnography by 70%.
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Breen C, McKenzie K, Yoder R, Ryan M, Gibney MJ, O'Shea D. A qualitative investigation of patients' understanding of carbohydrate in the clinical management of type 2 diabetes. J Hum Nutr Diet 2015; 29:146-55. [PMID: 25623239 DOI: 10.1111/jhn.12292] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND A healthy diet is the cornerstone of type 2 diabetes (T2DM) self-management. Carbohydrate is of particular interest as the nutrient with the greatest direct effect on blood glucose (BG) levels. The present study aimed to explore T2DM patients' understanding of carbohydrate and beliefs around the role of carbohydrate in T2DM management. METHODS Fifteen semi-structured interviews were conducted with T2DM patients. Interviews were audio-recorded and transcribed, and a deductive thematic approach to analysis was employed using the Framework method. RESULTS Four significant themes emerged: (i) a naïve conceptual understanding of carbohydrate and sugar-centric specificity to dietary behaviours; (ii) a narrow focus on BG management to the neglect of overall dietary balance; (iii) positive reception of moderate dietary advice focused on portion control from healthcare professionals (HCPs); and (iv) the impact of external moderators of dietary choices, including the influence of significant others, emotional and opportunistic eating and budgetary constraints. CONCLUSIONS Participants' beliefs and understanding of carbohydrate led to an overemphasis on sugar restriction for blood glucose control to the neglect of their overall dietary balance. Diabetes educators need to place greater emphasis on the role of various types of carbohydrate foods for glycaemic control, as well as on concepts of wider metabolic health, during T2DM dietary education. Participants placed a high level of trust and value on practical, moderate portion control advice from HCPs regarding carbohydrate foods. However, HCPs need to be cognisant of external moderators of behaviour, such as the influence of family and friends, budgetary constraints and environmental eating triggers.
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Aw-Zoretic J, Burrowes D, Wadhwani N, Ryan M. Teaching NeuroImages: Meningioangiomatosis. Neurology 2015; 84:e9-e10. [DOI: 10.1212/wnl.0000000000001125] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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118
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Teljeur C, O'Neill M, Moran PS, Harrington P, Flattery M, Murphy L, Ryan M. Authors' reply: Economic evaluation of robot-assisted hysterectomy: a cost-minimisation analysis. BJOG 2014; 122:145-6. [PMID: 25545910 DOI: 10.1111/1471-0528.13142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2014] [Indexed: 11/29/2022]
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119
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Ryan M, Barrett R. Using digital image correlation to examine in-vivo localised Achilles tendon strain. J Sci Med Sport 2014. [DOI: 10.1016/j.jsams.2014.11.275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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120
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Ryan M, Gildea S, Walsh C, Cullinane A. The impact of different equine influenza vaccine products and other factors on equine influenza antibody levels in Thoroughbred racehorses. Equine Vet J 2014; 47:662-6. [DOI: 10.1111/evj.12353] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2014] [Accepted: 09/01/2014] [Indexed: 11/27/2022]
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121
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Ikenwilo D, Watson V, Heidenreich S, Chambers C, Newman C, Nazir J, Ryan M. A Mixed Methods Approach (Mma) To Understanding Men's Attitudes Toward The Management Of Lower Urinary Tract Symptoms (Luts) Associated With Benign Prostatic Hyperplasia (Bph). VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2014; 17:A472. [PMID: 27201357 DOI: 10.1016/j.jval.2014.08.1340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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122
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Moran P, Harrington P, Ryan M. Effective Prioritisation of National Health Technology Assessments. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2014; 17:A584-A585. [PMID: 27201982 DOI: 10.1016/j.jval.2014.08.1989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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123
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Ikenwilo D, Watson V, Ryan M, Heidenreich S, Newman C, Nazir J, Chambers C. Men's Preferences For The Treatment Of Lower Urinary Tract Symptoms (Luts) Associated With Benign Prostatic Hyperplasia (Bph): A Discrete Choice Experiment (Dce). VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2014; 17:A472. [PMID: 27201354 DOI: 10.1016/j.jval.2014.08.1342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Covvey JR, Mullen AB, Ryan M, Steinke DT, Johnston BF, Wood FT, Boyter AC. A comparison of medication adherence/persistence for asthma and chronic obstructive pulmonary disease in the United Kingdom. Int J Clin Pract 2014; 68:1200-8. [PMID: 24797899 DOI: 10.1111/ijcp.12451] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
AIM To describe and compare adherence and persistence with maintenance therapies in patients with asthma or chronic obstructive pulmonary disease (COPD) in the United Kingdom (UK). METHODS A retrospective prescribing database cohort was obtained from 44 general practitioner surgeries in National Health Service Forth Valley Scotland. Patients with physician-diagnosed asthma or COPD who received maintenance therapy between January 2008 and December 2009 were included. Five classes of therapy were assessed: inhaled corticosteroids, long-acting beta-agonists, combination therapy inhalers, theophyllines and long-acting muscarinic antagonists. Adherence was calculated using the medication possession ratio (MPR) and persistence was determined using Kaplan-Meier survival analysis for the time to discontinuation (TTD) over 1 year. Two step-wise logistic regressions were performed to assess the contribution of diagnosis to adherence/persistence. RESULTS A total of 13,322 patients were included in the analysis: 10,521 patients with asthma and 2801 patients with COPD. 25.2% of medication episodes for asthma and 45.6% of medication episodes for COPD were classified as having an adequate medication supply (MPR of 80-120%). The overall median TTD was 92 days (IQR, interquartile range: 50-186 days) for patients with asthma and 116 days (IQR: 58-259 days, comparison p < 0.001) for patients with COPD. Patients with COPD were found to be more likely to achieve an MPR of at least 80% (OR: 1.27, 95% CI: 1.15-1.40), but had a similar likelihood of persistence at 1 year to patients with asthma. CONCLUSION Adherence and persistence with respiratory therapies in the UK is relatively low. There is suggestion that patients with COPD may display more adherent behaviours than patients with asthma.
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Kerrigan D, Waters P, Ryan M, Irfan M, Hanaghan J, Khan W, Kerin MJ, Barry K. Follow-up arrangements for breast cancer patients; is it appropriate to transfer surveillance to general practitioners? IRISH MEDICAL JOURNAL 2014; 107:273-275. [PMID: 25417384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The aim of this study was to examine the evidence for hospital follow up of breast cancer survivors and to identify patient preferences for hospital or community follow-up. We surveyed General Practitioner attitudes towards community follow-up and quantified the incidence of new or recurrent cancers within a patient cohort to identify their primary symptoms and thus cancer detection in the community. A 22 item questionnaire was distributed to 101 breast cancer survivors from a cohort of 921 treated patients. A 9 item questionnaire was distributed to 81 General Practitioners. Patients are reassured by hospital outpatient appointments, n=63 (74%) but have high levels of confidence in General Practitioner follow-up, n=57 (67%). General Practitioners are equally divided regarding their support for the transfer of follow-up (51%, 49%). Ten of the 14 new cancer episodes were associated with obvious clinical signs (p < 0.05). The proposed transfer of follow-up for patients to general practice by the national cancer control programme is appropriate.
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