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Phelps C, Hardie A, Madison K, Chamberlin J, Rios A, Mendez S, Yamada R. Abstract No. 536 Dual energy iodine overlay images reduce time to interpret active arterial extravasation, particularly for less experienced readers. J Vasc Interv Radiol 2022. [DOI: 10.1016/j.jvir.2022.03.518] [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: 11/24/2022] Open
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Chaudhury P, Aung M, Savage HO, Barbagallo R, Southgate C, Pickford L, Hardie A, Hearn L, Meredith A, Adams D, Hindmarsh V, Barden E, Gedela S, Dungu J. P594Real-world clinical CMR: 1-year diagnosis and survival data from a busy tertiary centre serving the Essex region in the UK. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez116.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- P Chaudhury
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - M Aung
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - H O Savage
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - R Barbagallo
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - C Southgate
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - L Pickford
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - A Hardie
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - L Hearn
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - A Meredith
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - D Adams
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - V Hindmarsh
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - E Barden
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - S Gedela
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
| | - J Dungu
- Essex Cardiothoracic Centre, Cardiology, Basildon, United Kingdom of Great Britain & Northern Ireland
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Danial J, Ballard-Smith S, Horsburgh C, Crombie C, Ovens A, Templeton KE, Hardie A, Cameron F, Harvey L, Stevenson J, Johannessen I. Lessons learned from a prolonged and costly norovirus outbreak at a Scottish medicine of the elderly hospital: case study. J Hosp Infect 2016; 93:127-34. [PMID: 27005281 DOI: 10.1016/j.jhin.2016.02.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [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: 09/01/2014] [Accepted: 02/01/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND Norovirus outbreaks are a major burden for healthcare facilities globally. AIM Lessons learned to inform an action plan to improve facilities as well as responses to norovirus within the medicine of the elderly (MoE) hospital as well as other NHS (National Health Service) Lothian facilities. METHODS This study investigated the impact of a prolonged outbreak at an MoE hospital in one of the 14 Scottish health boards between February and March 2013. FINDINGS In all, 143 patients (14.80 cases per 1000 inpatient bed-days) and 30 healthcare staff (3.10 cases per 1000 inpatient bed-days) were affected clinically and 63 patients were confirmed virologically. Restricting new admissions to affected units resulted in 1192 lost bed-days. The cost due to lost bed-days in addition to staff absence and management of the outbreak was estimated at £341,534 for this incident alone. At certain points during the outbreak, the whole facility was closed with resulting major impact on the health board's acute care hospitals. CONCLUSION Due to the outbreak, new measures were implemented for the first time within NHS Lothian that included floor-by-floor (instead of individual) ward closures, enhanced cleaning with chlorine-based products throughout the hospital, reduction in bed capacity with enhanced bed-spacing and interruption to direct admissions from the Board's general practice surgeries, and temporary suspension of visitors to affected areas. Together with regular communication to staff, patients, relatives, and the public throughout the outbreak and good engagement of staff groups in management of the incident, the outbreak was gradually brought under control.
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Affiliation(s)
- J Danial
- Infection Prevention and Control Team, Royal Infirmary of Edinburgh, Edinburgh, UK.
| | - S Ballard-Smith
- NHS Lothian Directorate of Nursing, Waverley Gate, Edinburgh, UK
| | - C Horsburgh
- Infection Prevention and Control Team, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - C Crombie
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - A Ovens
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - K E Templeton
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - A Hardie
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - F Cameron
- Infection Prevention and Control Team, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - L Harvey
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - J Stevenson
- NHS Lothian Public Health, Waverley Gate, Edinburgh, UK
| | - I Johannessen
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, UK
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Hay F, Horsley J, Guerendiain D, Hardie A, Harvala H, Templeton K. Enterovirus D-68 Clinical and epidemiological features of enterovirus D68 in Edinburgh, 2014–5, in comparison to rhinoviruses and enterovirus infections. J Clin Virol 2015. [DOI: 10.1016/j.jcv.2015.07.100] [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: 11/27/2022]
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Unger S, Templeton K, Hardie A. High rate of respiratory viral co-infection in children with lower and upper respiratory tract infections in rural Gambia. J Clin Virol 2015. [DOI: 10.1016/j.jcv.2015.07.162] [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: 11/29/2022]
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Corrigan DK, Schulze H, Henihan G, Hardie A, Ciani I, Giraud G, Terry JG, Walton AJ, Pethig R, Ghazal P, Crain J, Campbell CJ, Templeton KE, Mount AR, Bachmann TT. Development of a PCR-free electrochemical point of care test for clinical detection of methicillin resistant Staphylococcus aureus (MRSA). Analyst 2014; 138:6997-7005. [PMID: 24093127 DOI: 10.1039/c3an01319g] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
An MRSA assay requiring neither labeling nor amplification of target DNA has been developed. Sequence specific binding of fragments of bacterial genomic DNA is detected at femtomolar concentrations using electrochemical impedance spectroscopy (EIS). This has been achieved using systematic optimisation of probe chemistry (PNA self-assembled monolayer film on gold electrode), electrode film structure (the size and nature of the chemical spacer) and DNA fragmentation, as these are found to play an important role in assay performance. These sensitivity improvements allow the elimination of the PCR step and DNA labeling and facilitate the development of a simple and rapid point of care test for MRSA. Assay performance is then evaluated and specific direct detection of the MRSA diagnostic mecA gene from genomic DNA, extracted directly from bacteria without further treatment is demonstrated for bacteria spiked into saline (10(6) cells per mL) on gold macrodisc electrodes and into human wound fluid (10(4) cells per mL) on screen printed gold electrodes. The latter detection level is particularly relevant to clinical requirements and point of care testing where the general threshold for considering a wound to be infected is 10(5) cells per mL. By eliminating the PCR step typically employed in nucleic acid assays, using screen printed electrodes and achieving sequence specific discrimination under ambient conditions, the test is extremely simple to design and engineer. In combination with a time to result of a few minutes this means the assay is well placed for use in point of care testing.
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Affiliation(s)
- D K Corrigan
- Division of Pathway Medicine, Medical School, The University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh EH16 4SB, Scotland, UK.
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Cuschieri K, Brewster DH, Graham C, Nicoll S, Williams ARW, Murray GI, Millan D, Johannessen I, Hardie A, Cubie HA. Influence of HPV type on prognosis in patients diagnosed with invasive cervical cancer. Int J Cancer 2014; 135:2721-6. [PMID: 24740764 DOI: 10.1002/ijc.28902] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [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: 09/03/2013] [Revised: 03/14/2014] [Accepted: 04/03/2014] [Indexed: 11/11/2022]
Abstract
While much is known about the influence of HPV type on the progression of pre-invasive cervical lesions, the impact of HPV type on cervical cancer prognosis is less evidenced. Thus, we assessed the impact of HPV type on the survival of women diagnosed with cervical cancer. A total of 370 cases of cervical cancer were assessed. Univariate analysis is presented using Kaplan-Meier survival curves and log-rank statistics and multivariable Cox proportional hazard models were generated using age group, socio-economic deprivation, FIGO stage, differentiation and HPV type. HPV grouping was considered in a number of ways with particular reference to the presence or absence of HPV 16 and/or 18. In the univariate analysis, FIGO, age at diagnosis and treatment were associated with poorer survival (p < 0.0001) as was absence of HPV 16 and/or 18 (p = 0.0460). The 25% mortality time in the non-HPV 16/18 vs. HPV16/18 positive group was 615 days and 1,307 days respectively. An unadjusted Cox PH model based HPV16/18 vs. no HPV 16/18 resulted in a hazard ratio of 0.669 (0.450, 0.995). Adjusting for deprivation, FIGO and age group resulted in a hazard ratio of 0.609 (0.395, 0.941) p = 0.025. These data indicate that cancers associated with HPV 16 and/or 18 do not confer worse survival compared to cancers associated with other types, and may indicate improved survival. Consequently, although HPV vaccine is likely to reduce the incidence of cervical cancer it may not indirectly improve cervical cancer survival by reducing the burden of those cancers caused by HPV16/18.
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Affiliation(s)
- K Cuschieri
- Scottish HPV Reference Laboratory, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
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Naveed M, Hardie A, Ackerman S, Monogan N, Huda W. TH-E-211-11: Conceptus Doses in Abdominal/pelvic CT at An Academic Medical Center. Med Phys 2011. [DOI: 10.1118/1.3613606] [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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Keuken M, Hardie A, Dorn B, Dev S, Paulus M, Jonas K, Den Wildenberg WV, Pineda J. The role of the left inferior frontal gyrus in social perception: An rTMS study. Brain Res 2011; 1383:196-205. [DOI: 10.1016/j.brainres.2011.01.073] [Citation(s) in RCA: 63] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2010] [Revised: 11/23/2010] [Accepted: 01/24/2011] [Indexed: 11/26/2022]
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Huda W, Hardie A, Koonce J, He W, Magill D. SU-EE-A4-01: Abdominal CT Scan Technique Variability within a Radiology Department. Med Phys 2010. [DOI: 10.1118/1.3468024] [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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Harvala H, Gunson R, Simmonds P, Hardie A, Bennett S, Scott F, Roddie H, McKnight J, Walsh T, Rowney D, Clark A, Bremner J, Aitken C, Templeton K. The emergence of oseltamivir-resistant pandemic influenza A(H1N1) 2009 virus amongst hospitalised immunocompromised patients in Scotland, November-December, 2009. Euro Surveill 2010. [DOI: 10.2807/ese.15.14.19536-en] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
To investigate the frequency of oseltamivir resistance in circulating strains of the 2009 influenza A(H1N1) pandemic virus in Scotland, 1,802 samples from 1,608 infected hospitalised patients were screened by the H275Y discriminatory RT-PCR. Among these, we identified 10 patients who developed the H275Y mutation. All of them were immunocompromised and were under treatment or had been treated previously with oseltamivir.
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Affiliation(s)
- H Harvala
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
| | - R Gunson
- West of Scotland Specialist Virology Centre, Glasgow, United Kingdom
| | - P Simmonds
- Centre for Infectious Diseases, University of Edinburgh, Edinburgh, United Kingdom
| | - A Hardie
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
| | - S Bennett
- West of Scotland Specialist Virology Centre, Glasgow, United Kingdom
| | - F Scott
- Department of Haematology, Western General Hospital, Edinburgh, United Kingdom
| | - H Roddie
- Department of Haematology, Western General Hospital, Edinburgh, United Kingdom
| | - J McKnight
- Metabolic Unit, Western General Hospital, Edinburgh, United Kingdom
| | - T Walsh
- Intensive Therapy Unit, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
| | - D Rowney
- Department of Paediatric Haematology, Royal Hospital for Sick Children, Glasgow, United Kingdom
| | - A Clark
- Bone Marrow Transplant Unit, Gartnaval General Hospital, Gartnavel General Hospital, Glasgow, United Kingdom
- Department of Paediatric Haematology, Royal Hospital for Sick Children, Glasgow, United Kingdom
| | - J Bremner
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
| | - C Aitken
- West of Scotland Specialist Virology Centre, Glasgow, United Kingdom
| | - K Templeton
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
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Harvala H, Gunson R, Simmonds P, Hardie A, Bennett S, Scott F, Roddie H, McKnight J, Walsh T, Rowney D, Clark A, Bremner J, Aitken C, Templeton K. The emergence of oseltamivir-resistant pandemic influenza A (H1N1) 2009 virus amongst hospitalised immunocompromised patients in Scotland, November-December, 2009. Euro Surveill 2010; 15:19536. [PMID: 20394718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
Abstract
To investigate the frequency of oseltamivir resistance in circulating strains of the 2009 influenza A(H1N1) pandemic virus in Scotland, 1,802 samples from 1,608 infected hospitalised patients were screened by the H275Y discriminatory RT-PCR. Among these, we identified 10 patients who developed the H275Y mutation. All of them were immunocompromised and were under treatment or had been treated previously with oseltamivir.
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Affiliation(s)
- H Harvala
- Specialist Virology Centre, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
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Hardie A, Moore C, Patnick J, Cuschieri K, Graham C, Beadling C, Ellis K, Frew V, Cubie HA. High-risk HPV detection in specimens collected in SurePath preservative fluid: comparison of ambient and refrigerated storage. Cytopathology 2009; 20:235-41. [DOI: 10.1111/j.1365-2303.2009.00661.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Renwick L, Hardie A, Girvan EK, Smith M, Leadbetter G, Claas E, Morrison D, Gibb AP, Dave J, Templeton KE. Detection of meticillin-resistant Staphylococcus aureus and Panton-Valentine leukocidin directly from clinical samples and the development of a multiplex assay using real-time polymerase chain reaction. Eur J Clin Microbiol Infect Dis 2008; 27:791-6. [DOI: 10.1007/s10096-008-0503-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2008] [Accepted: 02/20/2008] [Indexed: 10/22/2022]
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Renwick L, Hardie A, Girvan E, Gibb A, Morrison D, Dave J, Templeton K. P902 Development of a multiplex real-time PCR for detection of methicillin-resistant Staphylococcus aureus and Panton-Valentine leukocidin directly from clinical samples. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)70743-4] [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: 10/23/2022]
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Templeton K, Hardie A, Smith M, Morrison D, Gibb A, Dave J. P4.22 Evaluation of Automated Extraction and Detection by Real-Time PCR to Identify MRSA Directly from Nasal Swabs. J Hosp Infect 2006. [DOI: 10.1016/s0195-6701(06)60084-4] [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: 11/29/2022]
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Hardie A, Miller G. Social security. Reaping the benefits. Health Soc Serv J 1985; 95:105-6. [PMID: 10273637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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McKenzie BE, Will JA, Hardie A. The electrocardiogram of the turkey. Avian Dis 1971; 15:737-44. [PMID: 5159548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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