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O'Connor A, Molyneux C, Foster K, Faulkner G, Sharma A, Kiff E, Vasant DH, Telford K. Short-term clinical and manometric outcomes of percutaneous tibial nerve stimulation for faecal incontinence: a large single-centre series. Tech Coloproctol 2024; 28:45. [PMID: 38568325 PMCID: PMC10991030 DOI: 10.1007/s10151-024-02916-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 03/05/2024] [Indexed: 04/05/2024]
Abstract
BACKGROUND Faecal incontinence (FI) is common, with a significant impact on quality of life. Percutaneous tibial nerve stimulation (PTNS) is a therapy for FI; however, its role has recently been questioned. Here we report the short-term clinical and manometric outcomes in a large tertiary centre. METHODS A retrospective review of a prospective PTNS database was performed, extracting patient-reported FI outcome measures including bowel diary, the St Marks's Incontinence Score (SMIS) and Manchester Health Questionnaire (MHQ). Successful treatment was > 50% improvement in symptoms, whilst a partial response was 25-50% improvement. High-resolution anorectal manometry (HRAM) results before and after PTNS were recorded. RESULTS Data were available from 135 patients [119 (88%) females; median age: 60 years (range: 27-82years)]. Overall, patients reported a reduction in urge FI (2.5-1) and passive FI episodes (2-1.5; p < 0.05) alongside a reduction in SMIS (16.5-14) and MHQ (517.5-460.0; p < 0.001). Some 76 (56%) patients reported success, whilst a further 20 (15%) reported a partial response. There were statistically significant reductions in rectal balloon thresholds and an increase in incremental squeeze pressure; however, these changes were independent of treatment success. CONCLUSION Patients report PTNS improves FI symptoms in the short term. Despite this improvement, changes in HRAM parameters were independent of this success. HRAM may be unable to measure the clinical effect of PTNS, or there remains the possibility of a placebo effect. Further work is required to define the role of PTNS in the treatment of FI.
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Affiliation(s)
- A O'Connor
- Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Wythenshawe Hospital, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK.
- Faculty of Biology, Medicine, and Health, The University of Manchester, Manchester, UK.
| | - C Molyneux
- Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Wythenshawe Hospital, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
| | - K Foster
- Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Wythenshawe Hospital, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
| | - G Faulkner
- Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Wythenshawe Hospital, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
| | - A Sharma
- Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Wythenshawe Hospital, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
- Faculty of Biology, Medicine, and Health, The University of Manchester, Manchester, UK
| | - E Kiff
- Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Wythenshawe Hospital, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
| | - D H Vasant
- Neurogastroenterology Unit, Gastroenterology, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK
- Division of Diabetes, Endocrinology and Gastroenterology, The University of Manchester, Oxford Road, Manchester, UK
| | - K Telford
- Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Wythenshawe Hospital, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
- Faculty of Biology, Medicine, and Health, The University of Manchester, Manchester, UK
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Batra P, O'Connor A, Walmsley J, Baraza W, Sharma A. Injection sclerotherapy for the treatment of haemorrhoids in anticoagulated patients. Ann R Coll Surg Engl 2024. [PMID: 38174849 DOI: 10.1308/rcsann.2023.0097] [Citation(s) in RCA: 0] [Impact Index Per Article: 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] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Symptomatic haemorrhoids (SH) are a common condition; however, conventional outpatient treatment, including rubber band ligation, is contraindicated in patients receiving concurrent anticoagulation. Injection sclerotherapy (IST) has been proposed as a treatment option for these patients. METHODS A retrospective review of case notes was performed in a colorectal surgery department that sits alongside a tertiary cardiothoracic surgical unit. Patients treated with an IST for SH between 1 April 2014 and 30 November 2021 were identified. Anticoagulation was not stopped in these patients as they were at high risk of developing thromboembolism, except in two patients who required alternative procedures. The primary outcome was symptom resolution, defined as no patient reporting bleeding for at least six months. The secondary outcomes were patient-reported complications, number of IST procedures and number of other procedures performed to achieve symptom resolution. RESULTS A total of 20 patients with a median age of 64 years (range 35-86, 14 male) who underwent 32 IST treatments were identified. Symptom resolution was achieved in 18 (90%) patients using IST while continuing anticoagulation treatment, with two (10%) patients requiring alternative interventions. Ten patients (50%) required only one IST procedure, and three patients (15%) required two procedures. The remaining five (25%) patients required three or four interventions. The median time between IST treatments was 32 weeks (range 8-133). No complications were reported. CONCLUSION Our study demonstrates that IST can be considered as a potential treatment option for patients with SH who are at a high risk of thromboembolic disease requiring anticoagulation.
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Affiliation(s)
- P Batra
- Manchester University NHS Foundation Trust, UK
| | - A O'Connor
- Manchester University NHS Foundation Trust, UK
- The University of Manchester, UK
| | - J Walmsley
- Manchester University NHS Foundation Trust, UK
| | - W Baraza
- University of Auckland, New Zealand
| | - A Sharma
- Manchester University NHS Foundation Trust, UK
- The University of Manchester, UK
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3
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O'Connor A, Mullins D, Sharma A, Faulkner G, Telford K. Sacral neuromodulation: time to seize the opportunity to collaborate on a 'de-prioritised' service? Tech Coloproctol 2023; 27:517-518. [PMID: 37004658 PMCID: PMC10066949 DOI: 10.1007/s10151-023-02785-3] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 03/13/2023] [Indexed: 04/04/2023]
Affiliation(s)
- A O'Connor
- Department of Colorectal Surgery, Wythenshawe Hospital, Manchester University NHS Foundation Trust, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK.
- Faculty of Biology, Medicine, and Health, The University of Manchester, Manchester, UK.
| | - D Mullins
- Department of Colorectal Surgery, Wythenshawe Hospital, Manchester University NHS Foundation Trust, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
| | - A Sharma
- Department of Colorectal Surgery, Wythenshawe Hospital, Manchester University NHS Foundation Trust, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
- Faculty of Biology, Medicine, and Health, The University of Manchester, Manchester, UK
| | - G Faulkner
- Department of Colorectal Surgery, Wythenshawe Hospital, Manchester University NHS Foundation Trust, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
| | - K Telford
- Department of Colorectal Surgery, Wythenshawe Hospital, Manchester University NHS Foundation Trust, 2nd Floor Acute Block, Southmoor Road, Manchester, M23 9LT, UK
- Faculty of Biology, Medicine, and Health, The University of Manchester, Manchester, UK
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Murphy R, Doyle E, O'Connor A, Coen M, Connolly A, Breen C, Carty J, Waters R, Canavan M, Robinson S. 332 THE PATIENT EXPERIENCE OF THE OLDER PERSONS REHAB AT HOME (OPRAH) SERVICE. Age Ageing 2022. [DOI: 10.1093/ageing/afac218.290] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The Older Persons Rehab at Home (OPRAH) team is a novel service developed to provide patients with intensive domiciliary based therapy to regain function, mobility and social care goals. This provides rehabilitation in the patients’ own home and accelerates discharge from the acute care sector. In this study patient and carer experiences of the service were explored.
Methods
Patients were sent a postal questionnaire after discharge from the service to collect information on the patient experience of the OPRAH service. The following measures were collected: satisfaction with the service, experience of interacting with therapy staff, involvement in shared goal setting and achievement of rehabilitation goals. Data from participants who responded to feedback questionnaires from the first 12 months of the service were analysed using descriptive statistics.
Results
Ninety-five participants were sent feedback questionnaires with 31 responses received (33%). 96% of participants reported that they were satisfied with the service, with the same proportion expressing that they both felt they were treated with respect and dignity and that they had confidence and trust in the staff. All respondents felt that they could understand the answers to any questions they had while receiving rehabilitation and 92% of participants understood their rehabilitation goals, with 88% of participants feeling they achieved their rehabilitation goals. 88% of participants felt they were adequately involved in their care planning with 83% of participants feeling their family members had ample opportunity to ask questions during their rehabilitation experience. Results did not different by age group of patient or by time with the service.
Conclusion
In this structured evaluation of the OPRAH team participants highly rated the service. Our results highlight that this integrated approach to care allowed patients to be involved in shared goal setting with the majority of patients satisfied that they achieved their goals.
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Affiliation(s)
- R Murphy
- Galway University Hospital Department of Geriatric & Stroke Medicine, , Galway, Ireland
| | - E Doyle
- Galway University Hospital Department of Occupational Therapy, , Galway, Ireland
| | - A O'Connor
- Galway University Hospital Department of Medical Social Work, , Galway, Ireland
| | - M Coen
- Department of Physiotherapy , Galway, Ireland
| | - A Connolly
- Galway University Hospital Department of Occupational Therapy, , Galway, Ireland
| | - C Breen
- Galway University Hospital Department of Occupational Therapy, , Galway, Ireland
| | - J Carty
- Galway University Hospital Department of Geriatric & Stroke Medicine, , Galway, Ireland
| | - R Waters
- Galway University Hospital Department of Geriatric & Stroke Medicine, , Galway, Ireland
| | - M Canavan
- Galway University Hospital Department of Geriatric & Stroke Medicine, , Galway, Ireland
| | - S Robinson
- Galway University Hospital Department of Geriatric & Stroke Medicine, , Galway, Ireland
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Coen M, Murphy R, Connolly A, O'Connor A, Doyle E, Byrne S, Carty J, Breen C, Canavan M, Waters R, Robinson S. 225 OLDER PERSONS REHAB AT HOME (OPRAH) INDICATES AN EFFECTIVE ALTERNATIVE PATHWAY TO INPATIENT REHABILITATION. Age Ageing 2022. [DOI: 10.1093/ageing/afac218.195] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background
Older adults have longer hospital stays, higher incidence of nosocomial complications and higher readmissions rates. Older persons rehabilitation at home (OPRaH) is a novel service developed to provide patients with intensive domiciliary based therapy to regain function, mobility and social care goals. OPRaH offers a comprehensive geriatric and interdisciplinary approach. The model enables a safe and accelerated discharge from acute care to home.
Methods
Patients are identified and screened by a team coordinator. On Discharge to OPRaH the following measures were collected; basic demographics, referral source, clinical frailty score and Functional Independence Measures (FIM). Outcomes evaluated are the FIM change, readmission rates, length of inpatient stay savings and time on the service. Data from the first year of operation was analysed using descriptive statistics.
Results
109 patients have undergone rehabilitation with the service with a median age of 82 years (63-103 range). Over two thirds (68%) were classified as frail, with 44% living alone. An injurious fall was the most common reason for index hospitalisation (50%). Referral source was inpatient acute medical team in 50% of cases, with 21% from acute geriatrics , 13 % ortho geriatrics, 13% surgical. Average functional independence measure scores improved from 89 to 102 (p = 0.007). There was no difference in the magnitude of improvement by frailty status (13 vs 14, p = 0.85). The average length of stay saving was 7 days per case, with a total of 757 days saved in one year. Readmission rate within 30 days was 9.3 %. Participants highly rated the service through structured evaluation.
Conclusion
This novel service provides a valuable intervention to a wide case-mix of older adults with evidence of improvements in formal markers of functional impairment after intervention. Referral was based on definable rehabilitation goals and not just on frailty status, age, or gender.
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Affiliation(s)
- M Coen
- Galway University Hospital , Galway, Ireland
| | - R Murphy
- Galway University Hospital , Galway, Ireland
- National University of Ireland , Galway, Ireland
| | - A Connolly
- Galway University Hospital , Galway, Ireland
| | - A O'Connor
- Galway University Hospital , Galway, Ireland
| | - E Doyle
- Galway University Hospital , Galway, Ireland
| | - S Byrne
- Galway University Hospital , Galway, Ireland
| | - J Carty
- Galway University Hospital , Galway, Ireland
- National University of Ireland , Galway, Ireland
| | - C Breen
- Galway University Hospital , Galway, Ireland
| | - M Canavan
- Galway University Hospital , Galway, Ireland
- National University of Ireland , Galway, Ireland
| | - R Waters
- Galway University Hospital , Galway, Ireland
- National University of Ireland , Galway, Ireland
| | - S Robinson
- Galway University Hospital , Galway, Ireland
- National University of Ireland , Galway, Ireland
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O'Connor A, Fallon A, Noonan C, McElwaine P, Kennelly S. 231 NURSING HOME RESIDENTS PRESENTING TO THE EMERGENCY DEPARTMENT WITH FALLS. Age Ageing 2022. [DOI: 10.1093/ageing/afac218.201] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Nursing Home Residents (NHR) are the most-frail group of older persons, with many comorbidities that increase their risk of falling. Falls are a frequent reason for ED attendance by NHR’s as it is for all older persons, but little is reported on their characteristics and outcomes specifically.
Methods
A prospective cohort study of all NH presentations with falls to the ED of a university teaching hospital over a one-year period. Detailed operational and clinical phenotype characteristics, and outcomes were recorded in all instances.
Results
There were 519 ED presentations by 344 NHR over one year. Almost half of all presentations (48.2%, 250/519), were as result of a fall, by 172 residents. The majority were female (137/250, 55%), with an average age of 77.8 years (±10.8). Many, 84.3% (145/172), had a prior fall in the past six-months. Almost half had a diagnosis of dementia (124/250, 49.6%). A third mobilised with a Zimmer-frame (83/250), and 10.8% (27/250) wheelchair. 33.2% (83/250) had visual impairment. The mean Barthel Index was 9.55 (±5.12) indicating high-dependency. NHRs fallers frequently attended ED outside routine working hours, with 36.8% (92/250) and 27.6% (69/250) presenting after 5pm (Monday to Friday), or at the weekend respectively. 54.8% of patients were admitted (137/250), and only 25.6% of patients had review by a GP prior to ED-referral (64/250). The average Length Of Stay (aLOS) for admitted NHR fallers was 10.4 (±9.1) days. Injurious falls were noted in only 10.4% (26/250) presentations. aLOS for those admitted with documented injuries (14/26, 54%) was 5.0 days (±7.0, n=14).
Conclusion
NH residents have complex clinical needs and falls is a frequent reason for attending ED. Better access to “out of hours” clinical support within the NH, and better integrated falls prevention programmes/ care pathways between NHs and primary/secondary services are necessary to enhance care and optimise falls prevention.
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Affiliation(s)
- A O'Connor
- Tallaght University Hospital , Dublin, Ireland
| | - A Fallon
- Tallaght University Hospital , Dublin, Ireland
| | - C Noonan
- Tallaght University Hospital , Dublin, Ireland
| | - P McElwaine
- Tallaght University Hospital , Dublin, Ireland
| | - S Kennelly
- Tallaght University Hospital , Dublin, Ireland
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7
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O'Connor A, Abbas JR, McNeill H. The One Minute Preceptor: A Vital Tool During COVID-19. Acute Med 2022; 21:59-60. [PMID: 35342914 DOI: 10.52964/amja.0897] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The One Minute Preceptor (OMP) model of teaching has an important role to play during the COVID-19 pandemic. It's quick and easy to learn and can be applied to any clinical setting. By responding directly to a student's needs, and building on the knowledge they already hold, the OMP is able to offer relevant and opportunistic teaching that the learner can immediately apply. Finally, the OMP can be taught in under two hours meaning medical staff not used to regularly teaching can develop the confidence to offer high quality educational interventions.
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Affiliation(s)
- A O'Connor
- Manchester University NHS Foundation Trust
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O'Connor A, Sabri S, Muhammad K. The use of methylene blue to aid identification of ileal conduit anatomy during subsequent surgery. Ann R Coll Surg Engl 2021; 104:1. [PMID: 34894716 DOI: 10.1308/rcsann.2021.0173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | - S Sabri
- Tameside General Hospital, UK
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9
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Smyth H, O'Connor A, O'Connor S, Mello S. 155 CHARACTERISTICS AND PREDICTORS OF INPATIENT FALLS IN A GERIATRIC REHABILITATION UNIT. Age Ageing 2021. [DOI: 10.1093/ageing/afab219.155] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
Abstract
Background
Falls are one of the most frequent complications on geriatric rehabilitation wards. In addition to having adverse consequences for patients, falls also result in prolonged hospitalisation and increased healthcare costs. Therefore, identification of risk factors and development of successful falls prevention strategies targeted at this population are essential. The aim of this study is to identify predisposing or situational risk factors contributing to falls in older adults completing post-acute inpatient rehabilitation.
Methods
Retrospective review of all inpatient falls on two geriatric rehabilitation units over a one year period identified from incident forms. Chi-squared test was used to calculate differences between fallers and non-fallers.
Results
One in five patients admitted to the unit suffered a fall (average age 81, 52% male) with a total of 95 falls involving 56 patients. Of these, only 77% (n = 43) were identified as high risk on falls screening. 61% (n = 34) had one fall and 39% (n = 22) had two or more falls. Nearly one in three (n = 15) falls resulted in injury. More falls occurred in the single bedded unit (14.8 per 1,000 bed-days) as compared to the multi-bedded unit (6.8 per 1,000 bed days). Use of a Zimmer frame or rollator was associated with more falls than use of other mobility aids. Fallers tended to have a previous history of falls (75%, n = 42) and polypharmacy (average 10 medications). Delirium and dementia were present in one third of fallers. Falls were associated with a higher risk of discharge to long-term care, with 70% of fallers discharged home compared to 89% of non-fallers (p = 0.0006).
Conclusion
Previous falls, single room occupancy, polypharmacy and a medium level of dependency when mobilizing were identified as predictors of falls in our review. Nearly a quarter of fallers were not identified as high falls risk on screening further questioning the utility of falls risk screening assessments.
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Affiliation(s)
- H Smyth
- Peamount Healthcare , Dublin, Ireland
| | | | | | - S Mello
- Peamount Healthcare , Dublin, Ireland
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10
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Kavanagh FG, James DL, Brinkman D, Cornyn S, Murphy C, O'Neill S, O'Shea R, Affendi A, Lang B, O'Connor A, Keogh I, Lang E, Russell J, O'Brien D, Sheahan P. Safety of elective paediatric surgery during the coronavirus disease 2019 pandemic. Int J Pediatr Otorhinolaryngol 2021; 150:110861. [PMID: 34583300 PMCID: PMC8349430 DOI: 10.1016/j.ijporl.2021.110861] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 07/12/2021] [Accepted: 07/27/2021] [Indexed: 01/13/2023]
Abstract
INTRODUCTION Corona-virus Disease 2019 (COVID-19) has had a huge impact on the delivery of healthcare worldwide, particularly elective surgery. There is a lack of data regarding risk of postoperative COVID-19 infection in children undergoing elective surgery, and regarding the utility of pre-operative COVID-19 testing, and preoperative "cocooning" or restriction of movements. The purpose of this present study was to examine the safety of elective paediatric Otolaryngology surgery during the COVID-19 pandemic with respect to incidence of postoperative symptomatic COVID-19 infection or major respiratory complications. MATERIALS AND METHODS Prospective cohort study of paediatric patients undergoing elective Otolaryngology surgery between September and December 2020. Primary outcome measure was incidence of symptomatic COVID-19 or major respiratory complications within the 14 days after surgery. Parents of prospectively enrolled patients were contacted 14 days after surgery and enquiry made regarding development of postoperative symptoms, COVID-19 testing, or diagnosis of COVID-19. RESULTS 302 patients were recruited. 125 (41.4%) underwent preoperative COVID-19 RT-PCR testing. 66 (21.8%) restricted movements prior to surgery. The peak 14-day COVID-19 incidence during the study was 302.9 cases per 100,000 population. No COVID-19 infections or major respiratory complications were reported in the 14 day follow-up period. CONCLUSION The results of our study support the safety of elective paediatric Otolaryngology surgery during the pandemic, in the setting of community incidence not exceeding that observed during the study period.
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Affiliation(s)
- F G Kavanagh
- Department of Otolaryngology, Head and Neck Surgery, South Infirmary Victoria University Hospital, Old Blackrock Road, Cork, Ireland; Institute of Research, Royal College of Surgeons in Ireland, 121 St. Stephens Green, Dublin, Ireland.
| | - D L James
- Department of Otolaryngology, Head and Neck Surgery, South Infirmary Victoria University Hospital, Old Blackrock Road, Cork, Ireland
| | - D Brinkman
- Department of Otolaryngology, Head and Neck Surgery, University Hospital Waterford, Waterford, Ireland
| | - S Cornyn
- Department of Otolaryngology, Children's Health Ireland @ Temple Street, Temple Street, Dublin 1, Ireland
| | - C Murphy
- Department of Otolaryngology, Head and Neck Surgery, University Hospital Galway, Galway, Ireland
| | - S O'Neill
- Department of Otolaryngology, Head and Neck Surgery, University Hospital Galway, Galway, Ireland
| | - R O'Shea
- Department of Otolaryngology, Head and Neck Surgery, South Infirmary Victoria University Hospital, Old Blackrock Road, Cork, Ireland
| | - A Affendi
- Department of Otolaryngology, Head and Neck Surgery, South Infirmary Victoria University Hospital, Old Blackrock Road, Cork, Ireland
| | - B Lang
- Department of Otolaryngology, Children's Health Ireland @ Crumlin, Cooley Road, Dublin 12, Ireland
| | - A O'Connor
- Department of Otolaryngology, Children's Health Ireland @ Temple Street, Temple Street, Dublin 1, Ireland
| | - I Keogh
- Department of Otolaryngology, Head and Neck Surgery, University Hospital Galway, Galway, Ireland
| | - E Lang
- Department of Otolaryngology, Head and Neck Surgery, University Hospital Waterford, Waterford, Ireland
| | - J Russell
- Department of Otolaryngology, Children's Health Ireland @ Crumlin, Cooley Road, Dublin 12, Ireland
| | - D O'Brien
- Department of Microbiology, South Infirmary Victoria University Hospital, Old Blackrock Road, Cork, Ireland
| | - P Sheahan
- Department of Otolaryngology, Head and Neck Surgery, South Infirmary Victoria University Hospital, Old Blackrock Road, Cork, Ireland; ENTO Research Unit, College of Medicine and Health, University College Cork, College Road, Cork, Ireland; Department of Surgery, University College Cork, College Road, Cork, Ireland
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11
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O'Connor A, Paraoan M. An inexpensive novel training model for simulated laparoscopic appendicectomy training. Ann R Coll Surg Engl 2021; 103:621-622. [PMID: 34464557 DOI: 10.1308/rcsann.2021.0085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- A O'Connor
- Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, UK
| | - M Paraoan
- Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, UK
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12
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O'Connor A, Sabri S, Ullah S. 27 Do Microbiology Swabs Taken During Incision and Drainage of Acute Perianal Abscess Affect Clinical Management and Future Clinical Course? Br J Surg 2021. [DOI: 10.1093/bjs/znab134.217] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Introduction
This study assesses whether microbiology swabs taken during incision and drainage of perianal abscesses have any impact on the post-operative clinical course and management.
Method
Data from emergency operative theatre lists were interrogated for patients undergoing incision and drainage of perianal abscess in the period March 2019 – March 2020. Each electronic medical record for patients who had perianal abscess surgery was interrogated for age, sex, smoking status, diabetic status, whether microbiology swab was taken for analysis, what organism was grown and any post-operative fistula development.
Results
71 patients met inclusion criteria. 55 (77.5%) patients had pus swabs sent at incision and drainage for microbiological analysis. Of the 55 patients swabbed, 20 (36%) had no organism growth, 22 (40%) had anaerobes growth – the most common organism in this study. Of all 55 swabs sent, only 14 (25%) were acknowledged. The presence of smoking (p < 0.05) was statistically significantly associated with development of fistula-in-ano longer term.
Conclusions
Our data may indicate that microbiology swabs do not influence management of patients with acute perianal abscess. There are discrepancies in whether swabs are taken and acted upon. No organism was associated with fistula development. We would suggest national scale studies to explore our conclusions.
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Affiliation(s)
- A O'Connor
- Tameside General Hospital, Ashton-Under-Lyne, United Kingdom
| | - S Sabri
- Tameside General Hospital, Ashton-Under-Lyne, United Kingdom
| | - S Ullah
- Tameside General Hospital, Ashton-Under-Lyne, United Kingdom
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13
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Idama D, Aldersley G, Connolly M, O'Connor A. 341 The Diagnosis and Management of Appendicitis During the COVID-19 Pandemic: The Pennine Acute Trust Experience. Br J Surg 2021. [PMCID: PMC8135781 DOI: 10.1093/bjs/znab134.055] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Introduction Appendicitis management has evolved recently with more reliance on Computed Topography (CT) and laparoscopic surgery being commonplace. In this project we looked at how the Coronavirus pandemic (COVID-19) had impacted the diagnosis, management and outcomes of patients with appendicitis in our unit. Method A retrospective review of patients diagnosed with appendicitis from 1st March – 30th April in 2019 and 2020. Data was collected on diagnosis, management and outcomes. Results In 2020, 91 patients were identified (mean 33, range 6-85, F:M 1:1.4). In 2019, 107 patients were identified (mean 32, range 7-69, M:F 1:1.1). There was no significant difference in patients’ symptom duration (p = 0.21), White Cell Count (p = 0.20) or C-Reactive Protein (p = 0.10). More CTs were performed in 2020 (56/91, 61.5%) than in 2019 (40/107, 37.4%). Less patients underwent appendicectomy in 2020 (75/91, 82.4%) than in 2019 (104/107, 97.2%). Open appendicectomies were performed in 64% (48/75) of those operated in 2020 compared with 12.2% (13/104) in 2019. There was no difference in hospital length of stay or re-admissions rates. Conclusions The diagnosis and management of appendicitis changed considerably at our trust during COVID-19 with more reliance on CT diagnosis and less use of laparoscopy. Despite this, outcomes remained unchanged.
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Affiliation(s)
- D Idama
- Royal Oldham Hospital, Oldham, United Kingdom
| | - G Aldersley
- Royal Oldham Hospital, Oldham, United Kingdom
| | - M Connolly
- Royal Oldham Hospital, Oldham, United Kingdom
| | - A O'Connor
- Royal Oldham Hospital, Oldham, United Kingdom
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Sheik Ali S, Sheik Ali S, O'Connor A, Abbas J. Work Based Assessments (WBAs) amongst UK medical trainees during the COVID-19 pandemic: How have we adapted? Acute Med 2021; 20:83-84. [PMID: 33749698] [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: 06/12/2023]
Abstract
Severe Acute Respiratory Syndrome Coronavirus type 2 (SARS-CoV-2) was recently identified as the RNA virus resulting in the Coronavirus disease (COVID-19). This was following cases of pneumonia identified in Hubei Province in China. The World Health Organisation (WHO) recently declared COVID-19 as a pandemic in March 2020. The COVID-19 pandemic has resulted in medical, financial and social disruption on an international scale. Such disruption has additionally impacted postgraduate medical training. This has been reflected in the attainment of Work Based Assessments amongst medical trainees in the United Kingdom.
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O'Connor A, Krucien N, Cantillon P, Parker M, McCurtin A. Investigating physiotherapy stakeholders' preferences for the development of performance-based assessment in practice education. Physiotherapy 2020; 108:46-54. [PMID: 32711227 DOI: 10.1016/j.physio.2020.04.003] [Citation(s) in RCA: 1] [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: 05/23/2019] [Indexed: 11/27/2022]
Abstract
OBJECTIVES Discrete choice experiments (DCEs) are used in healthcare to measure the relative importance that stakeholders give to different features (or attributes) of medical treatments or services. They may also help to address research questions in health professional education. Several challenges exist regarding the performance-based assessment process (PBA) employed in physiotherapy practice-based education, a process which determines students' readiness for independent practice. Evidence highlights many commonalities among these challenges, but it is unknown which factors are the most important to stakeholders. The use of DCE methodology may provide answers and help to prioritise areas for development. Thus, this study employed DCE to identify clinical educators', practice tutors and physiotherapy students' preferences for developing the PBA process in physiotherapy. DESIGN Attributes (aspects of the PBA process known to be important to stakeholders) were derived from focus group interviews conducted with three groups; physiotherapy students, clinical educators (practising clinicians) and practice tutors (dedicated educational roles in the workplace). These attributes included the PBA tool, grading mechanisms, assessors involved, and, feedback mechanisms. Preferences for each group were calculated using a logistic regression model. RESULTS Seventy-two students, 124 clinical educators and 49 practice tutors (n=245) participated. Priorities identified centred primarily on the mandatory inclusion of two assessors in the PBA process and on refinement of the PBA tool. CONCLUSION Employment of DCE enabled the prioritisation of stakeholder-informed challenges related to PBA in physiotherapy practice-based education. This corroborates findings from previous qualitative work and facilitates a prioritised pathway for development of this process.
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Affiliation(s)
- A O'Connor
- School of Allied Health, Health Sciences Building, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland; Health Research Institute, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland.
| | - N Krucien
- Health Economics Research Unit, University of Aberdeen, Aberdeen, Scotland AB25 2ZD, United Kingdom.
| | - P Cantillon
- Discipline of General Practice, Clinical Science Institute, National University of Ireland, Galway H91 TK33, Ireland.
| | - M Parker
- Department of Physical Education and Sports Sciences, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland.
| | - A McCurtin
- School of Allied Health, Health Sciences Building, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland; Health Research Institute, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland.
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Aigner T, Haynl C, Salehi S, O'Connor A, Scheibel T. Nerve guidance conduit design based on self-rolling tubes. Mater Today Bio 2020; 5:100042. [PMID: 32159159 PMCID: PMC7063334 DOI: 10.1016/j.mtbio.2020.100042] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 01/17/2020] [Accepted: 01/18/2020] [Indexed: 12/29/2022] Open
Abstract
The current gold standard in peripheral nerve repair is nerve autografts for bridging gaps larger than a centimeter. However, autografts are associated with a low availability and the loss of function at the donor site. Nerve guidance conduits (NGCs) made of biocompatible and biodegradable materials reflect suitable alternatives. Clinically approved NGCs comprise either wraps that are rolled around the loose ends of the nerve or steady-state tubes; however, both lack internal guidance structures. Here, we established self-rolling NGCs to allow for gentle encapsulation of nerve cells together with supportive microenvironments, such as (1) an inner tube wall coating with a bioactive spider silk film, (2) an inner tube wall lining using an anisotropic spider silk non-woven mat, or (3) a luminal filler using an anisotropic collagen cryogel. Neuronal cells adhered and differentiated inside the modified tubes and formed neurites, which were oriented along the guidance structures provided by the spider silk non-woven mat or by the fibrillary structure of the collagen cryogel. Thus, our size-adaptable NGCs provide several features useful for peripheral nerve repair, and distinct combinations of the used elements might support and enhance the clinical outcome.
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Affiliation(s)
- T.B. Aigner
- University of Bayreuth, Department of Biomaterials, Prof.-Rüdiger-Bormann-Str.1, 95447, Bayreuth, Germany
| | - C. Haynl
- University of Bayreuth, Department of Biomaterials, Prof.-Rüdiger-Bormann-Str.1, 95447, Bayreuth, Germany
| | - S. Salehi
- University of Bayreuth, Department of Biomaterials, Prof.-Rüdiger-Bormann-Str.1, 95447, Bayreuth, Germany
| | - A. O'Connor
- University of Melbourne, Department of Biomedical Engineering, Melbourne, Victoria, 3010, Australia
| | - T. Scheibel
- University of Bayreuth, Department of Biomaterials, Prof.-Rüdiger-Bormann-Str.1, 95447, Bayreuth, Germany
- University of Bayreuth, Bayreuther Zentrum für Kolloide und Grenzflächen (BZKG), Universitätsstraße 30, 95447, Bayreuth, Germany
- University of Bayreuth, Bayreuther Zentrum für Molekulare Biowissenschaften (BZMB), Universitätsstraße 30, 95447, Bayreuth, Germany
- University of Bayreuth, Bayreuther Materialzentrum (BayMAT), Universitätsstraße 30, 95447, Bayreuth, Germany
- University of Bayreuth, Bayerisches Polymerinstitut (BPI), Universitätsstraße 30, 95447, Bayreuth, Germany
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O'Connor A, Shepherd M, Kim Y. Decreasing Tube Feeding Start Time by Implementing a Par Stock Delivery System. J Acad Nutr Diet 2019. [DOI: 10.1016/j.jand.2019.06.051] [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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Bell DN, O'Connor A, Leslie K. The Influence of Flushing Epidural Catheters before use on Detection of Intravenous Placement: An in Vitro and in Vivo Study. Anaesth Intensive Care 2019; 35:932-8. [DOI: 10.1177/0310057x0703500612] [Citation(s) in RCA: 1] [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: 11/16/2022]
Abstract
Undetected intravenous placement of epidural catheters is rare but potentially fatal and no perfect identification method exists. Epidural catheters may be flushed before insertion to identify faulty epidural catheters, or to prime the system with local anaesthetic. We hypothesised that flushing epidural catheters before insertion may delay the detection of intravenous placement. We investigated our theory using both in vitro and in vivo models. The in vitro component examined flowrates in flushed and unflushed epidural catheters, using conditions designed to mimic epidural venous pressure. The in vivo component examined the flow within flushed and unflushed epidural catheters inserted into the forearm veins of 20 anaesthetised patients, using a randomised crossover design. The endpoint utilised for both components was the time taken for frank blood to reach the 20 cm mark on the epidural catheter. Blood flow to the 20 cm mark on the epidural catheter was significantly faster in the unflushed catheters than the flushed catheters, both in vitro and in vivo (in vitro, unflushed median = 18.6 s (range: 18.0 to 20.5 s), flushed 37.6 s (32.6 to 91.2 s), P=0.0009; in vivo, unflushed 9.2 seconds (range 5.0 to 35.3 s), flushed 19.2 s (10.6 to 47.4 s), P=0.003 in vivo). Flushed catheters also demonstrated a greater variability in the range of flowrates. Flushing epidural catheters before insertion may delay the detection of intravenous placement.
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Affiliation(s)
- D. N. Bell
- Department of Anaesthesia and Pain Management, Royal Melbourne Hospital and Departments of Chemical and Biomolecular Engineering and Pharmacology, University of Melbourne, Melbourne, Victoria, Australia
- Department of Anaesthesia and Pain Management, Royal Melbourne Hospital
| | - A. O'Connor
- Department of Anaesthesia and Pain Management, Royal Melbourne Hospital and Departments of Chemical and Biomolecular Engineering and Pharmacology, University of Melbourne, Melbourne, Victoria, Australia
- Department of Chemical and Biomolecular Engineering, University of Melbourne
| | - K. Leslie
- Department of Anaesthesia and Pain Management, Royal Melbourne Hospital and Departments of Chemical and Biomolecular Engineering and Pharmacology, University of Melbourne, Melbourne, Victoria, Australia
- Department of Chemical and Biomolecular Engineering, University of Melbourne
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McLean K, Glasbey J, Borakati A, Brooks T, Chang H, Choi S, Goodson R, Nielsen M, Pronin S, Salloum N, Sewart E, Vanniasegaram D, Drake T, Gillies M, Harrison E, Chapman S, Khatri C, Kong C, Claireaux H, Bath M, Mohan M, McNamee L, Kelly M, Mitchell H, Fitzgerald J, Bhangu A, Nepogodiev D, Antoniou I, Dean R, Davies N, Trecarten S, Henderson I, Holmes C, Wylie J, Shuttleworth R, Jindal A, Hughes F, Gouda P, Fleck R, Hanrahan M, Karunakaran P, Chen J, Sykes M, Sethi R, Suresh S, Patel P, Patel M, Varma R, Mushtaq J, Gundogan B, Bolton W, Khan T, Burke J, Morley R, Favero N, Adams R, Thirumal V, Kennedy E, Ong K, Tan Y, Gabriel J, Bakhsh A, Low J, Yener A, Paraoan V, Preece R, Tilston T, Cumber E, Dean S, Ross T, McCance E, Amin H, Satterthwaite L, Clement K, Gratton R, Mills E, Chiu S, Hung G, Rafiq N, Hayes J, Robertson K, Dynes K, Huang H, Assadullah S, Duncumb J, Moon R, Poo S, Mehta J, Joshi K, Callan R, Norris J, Chilvers N, Keevil H, Jull P, Mallick S, Elf D, Carr L, Player C, Barton E, Martin A, Ratu S, Roberts E, Phan P, Dyal A, Rogers J, Henson A, Reid N, Burke D, Culleton G, Lynne S, Mansoor S, Brennan C, Blessed R, Holloway C, Hill A, Goldsmith T, Mackin S, Kim S, Woin E, Brent G, Coffin J, Ziff O, Momoh Z, Debenham R, Ahmed M, Yong C, Wan J, Copley H, Raut P, Chaudhry F, Nixon G, Dorman C, Tan R, Kanabar S, Canning N, Dolaghan M, Bell N, McMenamin M, Chhabra A, Duke K, Turner L, Patel T, Chew L, Mirza M, Lunawat S, Oremule B, Ward N, Khan M, Tan E, Maclennan D, McGregor R, Chisholm E, Griffin E, Bell L, Hughes B, Davies J, Haq H, Ahmed H, Ungcharoen N, Whacha C, Thethi R, Markham R, Lee A, Batt E, Bullock N, Francescon C, Davies J, Shafiq N, Zhao J, Vivekanantham S, Barai I, Allen J, Marshall D, McIntyre C, Wilson H, Ashton A, Lek C, Behar N, Davis-Hall M, Seneviratne N, Esteve L, Sirakaya M, Ali S, Pope S, Ahn J, Craig-McQuaide A, Gatfield W, Leong S, Demetri A, Kerr A, Rees C, Loveday J, Liu S, Wijesekera M, Maru D, Attalla M, Smith N, Brown D, Sritharan P, Shah A, Charavanamuttu V, Heppenstall-Harris G, Ng K, Raghvani T, Rajan N, Hulley K, Moody N, Williams M, Cotton A, Sharifpour M, Lwin K, Bright M, Chitnis A, Abdelhadi M, Semana A, Morgan F, Reid R, Dickson J, Anderson L, McMullan R, Ahern N, Asmadi A, Anderson L, Boon Xuan JL, Crozier L, McAleer S, Lees D, Adebayo A, Das M, Amphlett A, Al-Robeye A, Valli A, Khangura J, Winarski A, Ali A, Woodward H, Gouldthrope C, Turner M, Sasapu K, Tonkins M, Wild J, Robinson M, Hardie J, Heminway R, Narramore R, Ramjeeawon N, Hibberd A, Winslow F, Ho W, Chong B, Lim K, Ho S, Crewdson J, Singagireson S, Kalra N, Koumpa F, Jhala H, Soon W, Karia M, Rasiah M, Xylas D, Gilbert H, Sundar-Singh M, Wills J, Akhtar S, Patel S, Hu L, Brathwaite-Shirley C, Nayee H, Amin O, Rangan T, Turner E, McCrann C, Shepherd R, Patel N, Prest-Smith J, Auyoung E, Murtaza A, Coates A, Prys-Jones O, King M, Gaffney S, Dewdney C, Nehikhare I, Lavery J, Bassett J, Davies K, Ahmad K, Collins A, Acres M, Egerton C, Cheng K, Chen X, Chan N, Sheldon A, Khan S, Empey J, Ingram E, Malik A, Johnstone M, Goodier R, Shah J, Giles J, Sanders J, McLure S, Pal S, Rangedara A, Baker A, Asbjoernsen C, Girling C, Gray L, Gauntlett L, Joyner C, Qureshi S, Mogan Y, Ng J, Kumar A, Park J, Tan D, Choo K, Raman K, Buakuma P, Xiao C, Govinden S, Thompson O, Charalambos M, Brown E, Karsan R, Dogra T, Bullman L, Dawson P, Frank A, Abid H, Tung L, Qureshi U, Tahmina A, Matthews B, Harris R, O'Connor A, Mazan K, Iqbal S, Stanger S, Thompson J, Sullivan J, Uppal E, MacAskill A, Bamgbose F, Neophytou C, Carroll A, Rookes C, Datta U, Dhutia A, Rashid S, Ahmed N, Lo T, Bhanderi S, Blore C, Ahmed S, Shaheen H, Abburu S, Majid S, Abbas Z, Talukdar S, Burney L, Patel J, Al-Obaedi O, Roberts A, Mahboob S, Singh B, Sheth S, Karia P, Prabhudesai A, Kow K, Koysombat K, Wang S, Morrison P, Maheswaran Y, Keane P, Copley P, Brewster O, Xu G, Harries P, Wall C, Al-Mousawi A, Bonsu S, Cunha P, Ward T, Paul J, Nadanakumaran K, Tayeh S, Holyoak H, Remedios J, Theodoropoulou K, Luhishi A, Jacob L, Long F, Atayi A, Sarwar S, Parker O, Harvey J, Ross H, Rampal R, Thomas G, Vanmali P, McGowan C, Stein J, Robertson V, Carthew L, Teng V, Fong J, Street A, Thakker C, O'Reilly D, Bravo M, Pizzolato A, Khokhar H, Ryan M, Cheskes L, Carr R, Salih A, Bassiony S, Yuen R, Chrastek D, Rosen O'Sullivan H, Amajuoyi A, Wang A, Sitta O, Wye J, Qamar M, Major C, Kaushal A, Morgan C, Petrarca M, Allot R, Verma K, Dutt S, Chilima C, Peroos S, Kosasih S, Chin H, Ashken L, Pearse R, O'Loughlin R, Menon A, Singh K, Norton J, Sagar R, Jathanna N, Rothwell L, Watson N, Harding F, Dube P, Khalid H, Punjabi N, Sagmeister M, Gill P, Shahid S, Hudson-Phillips S, George D, Ashwood J, Lewis T, Dhar M, Sangal P, Rhema I, Kotecha D, Afzal Z, Syeed J, Prakash E, Jalota P, Herron J, Kimani L, Delport A, Shukla A, Agarwal V, Parthiban S, Thakur H, Cymes W, Rinkoff S, Turnbull J, Hayat M, Darr S, Khan U, Lim J, Higgins A, Lakshmipathy G, Forte B, Canning E, Jaitley A, Lamont J, Toner E, Ghaffar A, McDowell M, Salmon D, O'Carroll O, Khan A, Kelly M, Clesham K, Palmer C, Lyons R, Bell A, Chin R, Waldron R, Trimble A, Cox S, Ashfaq U, Campbell J, Holliday R, McCabe G, Morris F, Priestland R, Vernon O, Ledsam A, Vaughan R, Lim D, Bakewell Z, Hughes R, Koshy R, Jackson H, Narayan P, Cardwell A, Jubainville C, Arif T, Elliott L, Gupta V, Bhaskaran G, Odeleye A, Ahmed F, Shah R, Pickard J, Suleman Y, North A, McClymont L, Hussain N, Ibrahim I, Ng G, Wong V, Lim A, Harris L, Tharmachandirar T, Mittapalli D, Patel V, Lakhani M, Bazeer H, Narwani V, Sandhu K, Wingfield L, Gentry S, Adjei H, Bhatti M, Braganza L, Barnes J, Mistry S, Chillarge G, Stokes S, Cleere J, Wadanamby S, Bucko A, Meek J, Boxall N, Heywood E, Wiltshire J, Toh C, Ward A, Shurovi B, Horth D, Patel B, Ali B, Spencer T, Axelson T, Kretzmer L, Chhina C, Anandarajah C, Fautz T, Horst C, Thevathasan A, Ng J, Hirst F, Brewer C, Logan A, Lockey J, Forrest P, Keelty N, Wood A, Springford L, Avery P, Schulz T, Bemand T, Howells L, Collier H, Khajuria A, Tharakan R, Parsons S, Buchan A, McGalliard R, Mason J, Cundy O, Li N, Redgrave N, Watson R, Pezas T, Dennis Y, Segall E, Hameed M, Lynch A, Chamberlain M, Peck F, Neo Y, Russell G, Elseedawy M, Lee S, Foster N, Soo Y, Puan L, Dennis R, Goradia H, Qureshi A, Osman S, Reeves T, Dinsmore L, Marsden M, Lu Q, Pitts-Tucker T, Dunn C, Walford R, Heathcote E, Martin R, Pericleous A, Brzyska K, Reid K, Williams M, Wetherall N, McAleer E, Thomas D, Kiff R, Milne S, Holmes M, Bartlett J, Lucas de Carvalho J, Bloomfield T, Tongo F, Bremner R, Yong N, Atraszkiewicz B, Mehdi A, Tahir M, Sherliker G, Tear A, Pandey A, Broyd A, Omer H, Raphael M, Chaudhry W, Shahidi S, Jawad A, Gill C, Fisher IH, Adeleja I, Clark I, Aidoo-Micah G, Stather P, Salam G, Glover T, Deas G, Sim N, Obute R, Wynell-Mayow W, Sait M, Mitha N, de Bernier G, Siddiqui M, Shaunak R, Wali A, Cuthbert G, Bhudia R, Webb E, Shah S, Ansari N, Perera M, Kelly N, McAllister R, Stanley G, Keane C, Shatkar V, Maxwell-Armstrong C, Henderson L, Maple N, Manson R, Adams R, Semple E, Mills M, Daoub A, Marsh A, Ramnarine A, Hartley J, Malaj M, Jewell P, Whatling E, Hitchen N, Chen M, Goh B, Fern J, Rogers S, Derbyshire L, Robertson D, Abuhussein N, Deekonda P, Abid A, Harrison P, Aildasani L, Turley H, Sherif M, Pandey G, Filby J, Johnston A, Burke E, Mohamud M, Gohil K, Tsui A, Singh R, Lim S, O'Sullivan K, McKelvey L, O'Neill S, Roberts H, Brown F, Cao Y, Buckle R, Liew Y, Sii S, Ventre C, Graham C, Filipescu T, Yousif A, Dawar R, Wright A, Peters M, Varley R, Owczarek S, Hartley S, Khattak M, Iqbal A, Ali M, Durrani B, Narang Y, Bethell G, Horne L, Pinto R, Nicholls K, Kisyov I, Torrance H, English W, Lakhani S, Ashraf S, Venn M, Elangovan V, Kazmi Z, Brecher J, Sukumar S, Mastan A, Mortimer A, Parker J, Boyle J, Elkawafi M, Beckett J, Mohite A, Narain A, Mazumdar E, Sreh A, Hague A, Weinberg D, Fletcher L, Steel M, Shufflebotham H, Masood M, Sinha Y, Jenvey C, Kitt H, Slade R, Craig A, Deall C, Reakes T, Chervenkoff J, Strange E, O'Bryan M, Murkin C, Joshi D, Bergara T, Naqib S, Wylam D, Scotcher S, Hewitt C, Stoddart M, Kerai A, Trist A, Cole S, Knight C, Stevens S, Cooper G, Ingham R, Dobson J, O'Kane A, Moradzadeh J, Duffy A, Henderson C, Ashraf S, McLaughin C, Hoskins T, Reehal R, Bookless L, McLean R, Stone E, Wright E, Abdikadir H, Roberts C, Spence O, Srikantharajah M, Ruiz E, Matthews J, Gardner E, Hester E, Naran P, Simpson R, Minhas M, Cornish E, Semnani S, Rojoa D, Radotra A, Eraifej J, Eparh K, Smith D, Mistry B, Hickling S, Din W, Liu C, Mithrakumar P, Mirdavoudi V, Rashid M, Mcgenity C, Hussain O, Kadicheeni M, Gardner H, Anim-Addo N, Pearce J, Aslanyan A, Ntala C, Sorah T, Parkin J, Alizadeh M, White A, Edozie F, Johnston J, Kahar A, Navayogaarajah V, Patel B, Carter D, Khonsari P, Burgess A, Kong C, Ponweera A, Cody A, Tan Y, Ng A, Croall A, Allan C, Ng S, Raghuvir V, Telfer R, Greenhalgh A, McKerr C, Edison M, Patel B, Dear K, Hardy M, Williams P, Hassan S, Sajjad U, O'Neill E, Lopes S, Healy L, Jamal N, Tan S, Lazenby D, Husnoo S, Beecroft S, Sarvanandan T, Weston C, Bassam N, Rabinthiran S, Hayat U, Ng L, Varma D, Sukkari M, Mian A, Omar A, Kim J, Sellathurai J, Mahmood J, O'Connell C, Bose R, Heneghan H, Lalor P, Matheson J, Doherty C, Cullen C, Cooper D, Angelov S, Drislane C, Smith A, Kreibich A, Palkhi E, Durr A, Lotfallah A, Gold D, Mckean E, Dhanji A, Anilkumar A, Thacoor A, Siddiqui Z, Lim S, Piquet A, Anderson S, McCormack D, Gulati J, Ibrahim A, Murray S, Walsh S, McGrath A, Ziprin P, Chua E, Lou C, Bloomer J, Paine H, Osei-Kuffour D, White C, Szczap A, Gokani S, Patel K, Malys M, Reed A, Torlot G, Cumber E, Charania A, Ahmad S, Varma N, Cheema H, Austreng L, Petra H, Chaudhary M, Zegeye M, Cheung F, Coffey D, Heer R, Singh S, Seager E, Cumming S, Suresh R, Verma S, Ptacek I, Gwozdz A, Yang T, Khetarpal A, Shumon S, Fung T, Leung W, Kwang P, Chew L, Loke W, Curran A, Chan C, McGarrigle C, Mohan K, Cullen S, Wong E, Toale C, Collins D, Keane N, Traynor B, Shanahan D, Yan A, Jafree D, Topham C, Mitrasinovic S, Omara S, Bingham G, Lykoudis P, Miranda B, Whitehurst K, Kumaran G, Devabalan Y, Aziz H, Shoa M, Dindyal S, Yates J, Bernstein I, Rattan G, Coulson R, Stezaker S, Isaac A, Salem M, McBride A, McFarlane H, Yow L, MacDonald J, Bartlett R, Turaga S, White U, Liew W, Yim N, Ang A, Simpson A, McAuley D, Craig E, Murphy L, Shepherd P, Kee J, Abdulmajid A, Chung A, Warwick H, Livesey A, Holton P, Theodoreson M, Jenkin S, Turner J, Entwisle J, Marchal S, O'Connor S, Blege H, Aithie J, Sabine L, Stewart G, Jackson S, Kishore A, Lankage C, Acquaah F, Joyce H, McKevitt K, Coffey C, Fawaz A, Dolbec K, O'Sullivan D, Geraghty J, Lim E, Bolton L, FitzPatrick D, Robinson C, Ramtoola T, Collinson S, Grundy L, McEnhill P, Harbhajan Singh G, Loughran D, Golding D, Keeling R, Williams R, Whitham R, Yoganathan S, Nachiappan R, Egan R, Owasil R, Kwan M, He A, Goh R, Bhome R, Wilson H, Teoh P, Raji K, Jayakody N, Matthams J, Chong J, Luk C, Greig R, Trail M, Charalambous G, Rocke A, Gardiner N, Bulley F, Warren N, Brennan E, Fergurson P, Wilson R, Whittingham H, Brown E, Khanijau R, Gandhi K, Morris S, Boulton A, Chandan N, Barthorpe A, Maamari R, Sandhu S, McCann M, Higgs L, Balian V, Reeder C, Diaper C, Sale T, Ali H, Archer C, Clarke A, Heskin J, Hurst P, Farmer J, O'Flynn L, Doan L, Shuker B, Stott G, Vithanage N, Hoban K, Nesargikar P, Kennedy H, Grossart C, Tan E, Roy C, Sim P, Leslie K, Sim D, Abul M, Cody N, Tay A, Woon E, Sng S, Mah J, Robson J, Shakweh E, Wing V, Mills H, Li M, Barrow T, Balaji S, Jordan H, Phillips C, Naveed H, Hirani S, Tai A, Ratnakumaran R, Sahathevan A, Shafi A, Seedat M, Weaver R, Batho A, Punj R, Selvachandran H, Bhatt N, Botchey S, Khonat Z, Brennan K, Morrison C, Devlin E, Linton A, Galloway E, McGarvie S, Ramsay N, McRobbie H, Whewell H, Dean W, Nelaj S, Eragat M, Mishra A, Kane T, Zuhair M, Wells M, Wilkinson D, Woodcock N, Sun E, Aziz N, Ghaffar MKA. Critical care usage after major gastrointestinal and liver surgery: a prospective, multicentre observational study. Br J Anaesth 2019; 122:42-50. [PMID: 30579405 DOI: 10.1016/j.bja.2018.07.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Revised: 07/19/2018] [Accepted: 07/23/2018] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Patient selection for critical care admission must balance patient safety with optimal resource allocation. This study aimed to determine the relationship between critical care admission, and postoperative mortality after abdominal surgery. METHODS This prespecified secondary analysis of a multicentre, prospective, observational study included consecutive patients enrolled in the DISCOVER study from UK and Republic of Ireland undergoing major gastrointestinal and liver surgery between October and December 2014. The primary outcome was 30-day mortality. Multivariate logistic regression was used to explore associations between critical care admission (planned and unplanned) and mortality, and inter-centre variation in critical care admission after emergency laparotomy. RESULTS Of 4529 patients included, 37.8% (n=1713) underwent planned critical care admissions from theatre. Some 3.1% (n=86/2816) admitted to ward-level care subsequently underwent unplanned critical care admission. Overall 30-day mortality was 2.9% (n=133/4519), and the risk-adjusted association between 30-day mortality and critical care admission was higher in unplanned [odds ratio (OR): 8.65, 95% confidence interval (CI): 3.51-19.97) than planned admissions (OR: 2.32, 95% CI: 1.43-3.85). Some 26.7% of patients (n=1210/4529) underwent emergency laparotomies. After adjustment, 49.3% (95% CI: 46.8-51.9%, P<0.001) were predicted to have planned critical care admissions, with 7% (n=10/145) of centres outside the 95% CI. CONCLUSIONS After risk adjustment, no 30-day survival benefit was identified for either planned or unplanned postoperative admissions to critical care within this cohort. This likely represents appropriate admission of the highest-risk patients. Planned admissions in selected, intermediate-risk patients may present a strategy to mitigate the risk of unplanned admission. Substantial inter-centre variation exists in planned critical care admissions after emergency laparotomies.
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Coletta AM, Sanchez B, O'Connor A, Dalton R, Springer S, Koozehchian MS, Murano PS, Woodman CR, Rasmussen C, Kreider RB. Alignment of diet prescription to genotype does not promote greater weight loss success in women with obesity participating in an exercise and weight loss program. Obes Sci Pract 2018; 4:554-574. [PMID: 30574349 PMCID: PMC6298313 DOI: 10.1002/osp4.305] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Revised: 10/03/2018] [Accepted: 10/11/2018] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE Genetics contribute to variability in individual response to weight-loss interventions. The objective of this study was to determine the efficacy of a commercially available exercise and weight-loss program and whether alignment of diet to genotype related to lipid metabolism promotes greater success. DESIGN Sedentary women with obesity (n = 63) had genotype (FABP2rs1799883, PPARG2rs1801282, ADRB3rs4994C3, ADRB2rs1042713, rs1042714) determined using a direct-to-consumer genetic screening kit purported to promote greater weight-loss success through dietary recommendations based on these genes. Participants were randomly assigned to follow a moderate carbohydrate (MC) or lower carbohydrate (LC) hypo-energetic diet that aligned (A) or did not align (NA) with genotype for 24 weeks while participating in a resistance training and walking program. Data were analysed by general linear model repeated measures adjusted for baseline variables and are presented as mean (95% confidence interval) changes from baseline. RESULTS Participants in the LC group experienced greater improvements (p = 0.051, ηp 2 = 0.025) in per cent changes in body composition (weight: MC -3.32 [-1.4, -5.2], LC -5.82 [-4.1, -7.6]; fat mass: MC -7.25 [-3.2, -11.2], LC -10.93 [-7.3, -14.5]; fat-free mass: MC -0.32 [1.4, -2.0], LC -1.48 [0.7, -3.0]; and body fat percentage: MC -4.19 [-1.6, -6.8], LC -5.60 [-3.3, -7.9] %). No significant differences were observed between genotype groups (weight: A -5.00 [-3.3, -6.7], NA -4.14 [-2.2, -6.1]; fat mass: A -10.15 [-7.0, -13.6], NA -8.02 [-4.0, -12.0]; fat-free mass: A -1.23 [0.3, -2.8], NA -0.56 [1.12, -2.3]; and body fat: A -5.28 [-3.0, -7.6], NA -4.51 [-1.9, -7.1] %). CONCLUSIONS Adherence to this exercise and weight-loss program promoted improvements in body composition and health outcomes. While individuals following the LC diet experienced greater benefits, alignment of these diets to this genetic profile did not promote greater health outcomes.
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Affiliation(s)
- A. M. Coletta
- Exercise and Sport Nutrition Laboratory, Human Clinical Research Facility, Department of Health and KinesiologyTexas A&M UniversityCollege StationTXUSA
- Cancer Control and Population Sciences ProgramHuntsman Cancer InstituteSalt Lake CityUTUSA
- Department of Health, Kinesiology, and RecreationThe University of UtahSalt Lake CityUTUSA
| | - B. Sanchez
- Exercise and Sport Nutrition Laboratory, Human Clinical Research Facility, Department of Health and KinesiologyTexas A&M UniversityCollege StationTXUSA
| | - A. O'Connor
- Exercise and Sport Nutrition Laboratory, Human Clinical Research Facility, Department of Health and KinesiologyTexas A&M UniversityCollege StationTXUSA
| | - R. Dalton
- Exercise and Sport Nutrition Laboratory, Human Clinical Research Facility, Department of Health and KinesiologyTexas A&M UniversityCollege StationTXUSA
| | - S. Springer
- Exercise and Sport Nutrition Laboratory, Human Clinical Research Facility, Department of Health and KinesiologyTexas A&M UniversityCollege StationTXUSA
| | - M. S. Koozehchian
- Exercise and Sport Nutrition Laboratory, Human Clinical Research Facility, Department of Health and KinesiologyTexas A&M UniversityCollege StationTXUSA
| | - P. S. Murano
- Institute for Obesity Research and Program Evaluation, Department of Nutrition and Food ScienceTexas A&M UniversityCollege StationTXUSA
| | - C. R. Woodman
- Vascular Biology Laboratory, Department of Health and KinesiologyTexas A&M UniversityCollege StationTXUSA
| | - C. Rasmussen
- Exercise and Sport Nutrition Laboratory, Human Clinical Research Facility, Department of Health and KinesiologyTexas A&M UniversityCollege StationTXUSA
| | - R. B. Kreider
- Exercise and Sport Nutrition Laboratory, Human Clinical Research Facility, Department of Health and KinesiologyTexas A&M UniversityCollege StationTXUSA
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O'Connor A, Cantillon P, Parker M, McCurtin A. Juggling roles and generating solutions; practice-based educators' perceptions of performance-based assessment of physiotherapy students. Physiotherapy 2018; 105:446-452. [PMID: 30871892 DOI: 10.1016/j.physio.2018.11.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Accepted: 11/04/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVES Physiotherapy lacks the significant body of evidence that underpins performance-based assessments in disciplines such as medicine and nursing. In particular, very few studies have examined stakeholder perspectives of the process. This study set out to explore the perceptions of clinicians who undertake student assessment in the workplace in order to inform further development of performance-based assessment in physiotherapy. DESIGN A qualitative, descriptive design was employed where focus group interviews were utilised for data collection. Inductive thematic analysis was used to analyse the data. PARTICIPANTS Clinical educator and practice tutor volunteers affiliated with three Irish universities participated in one of seven focus groups (n=46). RESULTS Two themes were identified; 1) Tensions in the clinical learning environment, 2) An optimal PBA process. The first theme describes clinical educators' struggle with juggling multiple roles and highlights the challenges of sustaining a balance between student mentoring and patient care. The second theme outlines factors perceived to contribute to an optimal performance-based assessment process; these include maintaining aspects of the current process and expanding the employment of dedicated educational roles in the workplace. CONCLUSION Our findings illustrate a complex working environment for clinicians involved in student supervision and assessment. A dedicated educational role was perceived to provide a more standardised and rigorous approach to performance-based assessment. These findings provide critical stakeholder-centred insights, which may inform development of this process by addressing critical aspects deemed to facilitate and challenge clinical educator's roles as assessors.
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Affiliation(s)
- A O'Connor
- School of Allied Health, Health Sciences Building, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland; Health Research Institute, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland.
| | - P Cantillon
- Discipline of General Practice, Clinical Science Institute, National University of Ireland, Galway H91 TK33, Ireland.
| | - M Parker
- Department of Physical Education and Sports Sciences, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland.
| | - A McCurtin
- School of Allied Health, Health Sciences Building, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland; Health Research Institute, University of Limerick, Castletroy, Limerick V94 T9PX, Ireland.
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Payne H, Jamieson L, Prentice M, O'Connor A, Wong ICK, Chambers P. Preferences for Toxicity Monitoring of Patients on Abiraterone Acetate Plus Prednisone. Clin Oncol (R Coll Radiol) 2018; 30:674-675. [PMID: 30149920 DOI: 10.1016/j.clon.2018.07.023] [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] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Accepted: 07/19/2018] [Indexed: 11/15/2022]
Affiliation(s)
- H Payne
- University College London Hospitals NHS Foundation Trust, London, UK
| | - L Jamieson
- UCL School of Pharmacy, London, UK; UCLH-UCL Centre for Medicines Optimisation Research and Education, London, UK
| | - M Prentice
- University College London Hospitals NHS Foundation Trust, London, UK
| | - A O'Connor
- University College London Hospitals NHS Foundation Trust, London, UK
| | - I C K Wong
- UCL School of Pharmacy, London, UK; UCLH-UCL Centre for Medicines Optimisation Research and Education, London, UK; Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong
| | - P Chambers
- University College London Hospitals NHS Foundation Trust, London, UK; UCLH-UCL Centre for Medicines Optimisation Research and Education, London, UK
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Smith A, O'Connor A, Hennessy S, O'Sullivan PG, Gibson L. Permanent Childhood Hearing Impairment: Aetiological Evaluation of Infants identified through the Irish Newborn Hearing Screening Programme. Ir Med J 2017; 110:651. [PMID: 29465841] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The Newborn Hearing Screening Programme (NHSP) was established in Cork University Maternity Hospital (CUMH) in April 2011. Between April 2011 and July 2014, 42 infants were identified with a Permanent Childhood Hearing Impairment (PCHI). Following this diagnosis, infants underwent a paediatric assessment according to recognised guidelines with the intention of identifying the underlying aetiology of the PCHI. The aim of this study was to assess the findings of this aetiological workup via retrospective chart review. PCHI data was obtained from the eSP database. This is a web based information system (eSP) used to track each baby through the screening and referral process A retrospective chart review of these patients was performed. Sixteen (38%) infants were diagnosed with a bilateral sensorineural hearing loss. Two infants had congenital CMV infection. A Connexin 26 gene mutation was detected in one infant. Two infants were diagnosed with Waardenburg syndrome, One with Pendred syndrome and one with Pfeiffer syndrome. Five babies underwent cochlear implantation. Through adherence to the recommended protocol a possible cause of PCHI may be determined. This study has identified areas of future improvement for this service in Ireland.
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Affiliation(s)
- A Smith
- Department of Paediatrics, Cork University Hospital, Cork, Ireland
| | - A O'Connor
- Department of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - S Hennessy
- Epidemiology & Public Health, University College Cork, Cork, Ireland
| | - P G O'Sullivan
- Department of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland
| | - L Gibson
- Department of Paediatrics, Cork University Hospital, Cork, Ireland
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O'Connor A, Power A, Kanatas A, Russell J. Preoperative screening for sickle cell disease and guidance from the National Institute for Health and Care Excellence (NICE). Br J Oral Maxillofac Surg 2017; 55:984-985. [PMID: 28919074 DOI: 10.1016/j.bjoms.2017.07.021] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2017] [Accepted: 07/09/2017] [Indexed: 11/20/2022]
Affiliation(s)
| | - A Power
- Leeds Teaching Hospitals and St James Institute of Oncology, Leeds Dental Institute and Leeds General Infirmary, LS1 3EX.
| | - A Kanatas
- Leeds Teaching Hospitals and St James Institute of Oncology and Leeds Dental Institute.
| | - J Russell
- Leeds Dental Institute and Leeds General Infirmary, LS1 3EX.
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Marín MJ, Figuero E, González I, O'Connor A, Diz P, Álvarez M, Herrera D, Sanz M. Comparison of the detection of periodontal pathogens in bacteraemia after tooth brushing by culture and molecular techniques. Med Oral Patol Oral Cir Bucal 2016; 21:e276-84. [PMID: 26946197 PMCID: PMC4867200 DOI: 10.4317/medoral.20842] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Accepted: 12/22/2015] [Indexed: 11/20/2022] Open
Abstract
Background The prevalence and amounts of periodontal pathogens detected in bacteraemia samples after tooth brushing-induced by means of four diagnostic technique, three based on culture and one in a molecular-based technique, have been compared in this study. Material and Methods Blood samples were collected from thirty-six subjects with different periodontal status (17 were healthy, 10 with gingivitis and 9 with periodontitis) at baseline and 2 minutes after tooth brushing. Each sample was analyzed by three culture-based methods [direct anaerobic culturing (DAC), hemo-culture (BACTEC), and lysis-centrifugation (LC)] and one molecular-based technique [quantitative polymerase chain reaction (qPCR)]. With culture any bacterial isolate was detected and quantified, while with qPCR only Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans were detected and quantified. Descriptive analyses, ANOVA and Chi-squared tests, were performed. Results Neither BACTEC nor qPCR detected any type of bacteria in the blood samples. Only LC (2.7%) and DAC (8.3%) detected bacteraemia, although not in the same patients. Fusobacterium nucleatum was the most frequently detected bacterial species. Conclusions The disparity in the results when the same samples were analyzed with four different microbiological detection methods highlights the need for a proper validation of the methodology to detect periodontal pathogens in bacteraemia samples, mainly when the presence of periodontal pathogens in blood samples after tooth brushing was very seldom. Key words:Bacteraemia, periodontitis, culture, PCR, tooth brushing.
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Affiliation(s)
- M-J Marín
- Oral Research Laboratory, Faculty of Odontology, University Complutense of Madrid, Plaza Ramón y Cajal, s/n, Ciudad Universitaria, 28040 Madrid, Spain,
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Pérez-Salcedo L, Laguna E, Sánchez MC, Marín MJ, O'Connor A, González I, Sanz M, Herrera D. Molecular identification of black-pigmented bacteria from subgingival samples of cats suffering from periodontal disease. J Small Anim Pract 2016; 56:270-5. [PMID: 25819443 DOI: 10.1111/jsap.12319] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2014] [Revised: 10/29/2014] [Accepted: 11/12/2014] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To characterise the black-pigmented bacterial species found in the subgingival samples of cats with periodontal disease using molecular-based microbiological techniques. METHODS Sixty-five subgingival samples obtained from 50 cats with periodontal disease were analysed by polymerase chain reaction amplified ribosomal DNA restriction analysis and cloning and sequencing of the 16S rRNA genes. RESULTS Among the 65 subgingival samples, eight phylogenetic profiles were obtained, of which the most prevalent species were: Porphyromonas gulae (40%), P. gingivalis/P. gulae (36 · 9%), P. gulae/Porphyromonas sp. UQD 406 (9 · 2%), Odoribacter denticanis (6 · 2%), P. gulae/Porphyromonas sp. UQD 348 (1 · 5%) and P. circumdentaria (1 · 5%). When compared with the species resulting from biochemical diagnosis, the identification of P. gulae was congruent in 70% of the cases, while colonies identified as P. intermedia-like corresponded in 80% of cases to P. gulae. CLINICAL SIGNIFICANCE The use of molecular-based microbiological diagnostic techniques resulted in a predominance of Porphyromonas spp. in the subgingival plaque of cats suffering from periodontal disease. Further characterisation of these bacteria identified P. gulae, O. denticanis and P. circumdentaria. The more frequently detected phylogenetic profiles corresponded to P. gingivalis and P. gulae.
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Affiliation(s)
- L Pérez-Salcedo
- Research Laboratory, Faculty of Odontology, University Complutense, Plaza de Ramón y Cajal, 28040 Madrid, Spain
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Dorhout Mees SM, Algra A, Wong GKC, Poon WS, Bradford CM, Saver JL, Starkman S, Rinkel GJE, van den Bergh WM, van Kooten F, Dirven CM, van Gijn J, Vermeulen M, Rinkel GJE, Boet R, Chan MTV, Gin T, Ng SCP, Zee BCY, Al-Shahi Salman R, Boiten J, Kuijsten H, Lavados PM, van Oostenbrugge RJ, Vandertop WP, Finfer S, O'Connor A, Yarad E, Firth R, McCallister R, Harrington T, Steinfort B, Faulder K, Assaad N, Morgan M, Starkman S, Eckstein M, Stratton SJ, Pratt FD, Hamilton S, Conwit R, Liebeskind DS, Sung G, Kramer I, Moreau G, Goldweber R, Sanossian N. Early Magnesium Treatment After Aneurysmal Subarachnoid Hemorrhage: Individual Patient Data Meta-Analysis. Stroke 2015; 46:3190-3. [PMID: 26463689 DOI: 10.1161/strokeaha.115.010575] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [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: 06/24/2015] [Accepted: 09/08/2015] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND PURPOSE Delayed cerebral ischemia (DCI) is an important cause of poor outcome after aneurysmal subarachnoid hemorrhage (SAH). Trials of magnesium treatment starting <4 days after symptom onset found no effect on poor outcome or DCI in SAH. Earlier installment of treatment might be more effective, but individual trials had not enough power for such a subanalysis. We performed an individual patient data meta-analysis to study whether magnesium is effective when given within different time frames within 24 hours after the SAH. METHODS Patients were divided into categories according to the delay between symptom onset and start of the study medication: <6, 6 to 12, 12 to 24, and >24 hours. We calculated adjusted risk ratios with corresponding 95% confidence intervals for magnesium versus placebo treatment for poor outcome and DCI. RESULTS We included 5 trials totaling 1981 patients; 83 patients started treatment<6 hours. For poor outcome, the adjusted risk ratios of magnesium treatment for start <6 hours were 1.44 (95% confidence interval, 0.83-2.51); for 6 to 12 hours 1.03 (0.65-1.63), for 12 to 24 hours 0.84 (0.65-1.09), and for >24 hours 1.06 (0.87-1.31), and for DCI, <6 hours 1.76 (0.68-4.58), for 6 to 12 hours 2.09 (0.99-4.39), for 12 to 24 hours 0.80 (0.56-1.16), and for >24 hours 1.08 (0.88-1.32). CONCLUSIONS This meta-analysis suggests no beneficial effect of magnesium treatment on poor outcome or DCI when started early after SAH onset. Although the number of patients was small and a beneficial effect cannot be definitively excluded, we found no justification for a new trial with early magnesium treatment after SAH.
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Affiliation(s)
- Sanne M Dorhout Mees
- From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.); Department of Critical Care, Royal North Shore Hospital, Sydney, Australia (C.M.B.); Department of Neurology (J.L.S.) and Departments of Emergency Medicine and Neurology (S.S.), Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles; and Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (W.M.v.d.B.)
| | - Ale Algra
- From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.); Department of Critical Care, Royal North Shore Hospital, Sydney, Australia (C.M.B.); Department of Neurology (J.L.S.) and Departments of Emergency Medicine and Neurology (S.S.), Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles; and Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (W.M.v.d.B.)
| | - George K C Wong
- From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.); Department of Critical Care, Royal North Shore Hospital, Sydney, Australia (C.M.B.); Department of Neurology (J.L.S.) and Departments of Emergency Medicine and Neurology (S.S.), Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles; and Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (W.M.v.d.B.)
| | - Wai S Poon
- From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.); Department of Critical Care, Royal North Shore Hospital, Sydney, Australia (C.M.B.); Department of Neurology (J.L.S.) and Departments of Emergency Medicine and Neurology (S.S.), Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles; and Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (W.M.v.d.B.)
| | - Celia M Bradford
- From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.); Department of Critical Care, Royal North Shore Hospital, Sydney, Australia (C.M.B.); Department of Neurology (J.L.S.) and Departments of Emergency Medicine and Neurology (S.S.), Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles; and Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (W.M.v.d.B.)
| | - Jeffrey L Saver
- From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.); Department of Critical Care, Royal North Shore Hospital, Sydney, Australia (C.M.B.); Department of Neurology (J.L.S.) and Departments of Emergency Medicine and Neurology (S.S.), Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles; and Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (W.M.v.d.B.)
| | - Sidney Starkman
- From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.); Department of Critical Care, Royal North Shore Hospital, Sydney, Australia (C.M.B.); Department of Neurology (J.L.S.) and Departments of Emergency Medicine and Neurology (S.S.), Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles; and Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (W.M.v.d.B.)
| | - Gabriel J E Rinkel
- From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.); Department of Critical Care, Royal North Shore Hospital, Sydney, Australia (C.M.B.); Department of Neurology (J.L.S.) and Departments of Emergency Medicine and Neurology (S.S.), Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles; and Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (W.M.v.d.B.)
| | - Walter M van den Bergh
- From the Department of Neurology and Neurosurgery, Rudolf Magnus Institute of Neuroscience (S.M.D.M., A.A., G.J.E.R.) and Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands; Division of Neurosurgery, Department of Critical Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China (G.K.C.W., W.S.P.); Department of Critical Care, Royal North Shore Hospital, Sydney, Australia (C.M.B.); Department of Neurology (J.L.S.) and Departments of Emergency Medicine and Neurology (S.S.), Comprehensive Stroke Center, David Geffen School of Medicine at the University of California, Los Angeles; and Department of Critical Care, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands (W.M.v.d.B.).
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O'Connor A, Levers K, Dalton R, Galvan E, Goodenough C, Simbo S, Mertens-Talcott S, Rasmussen C, Greenwood M, Kreider R. Short-term powdered tart cherry supplementation encircling an acute endurance challenge potentially increases running performance and attenuates post-race markers of inflammation. J Int Soc Sports Nutr 2015. [PMCID: PMC4594152 DOI: 10.1186/1550-2783-12-s1-p7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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29
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Levers K, Dalton R, Galvan E, Goodenough C, O'Connor A, Simbo S, Barringer N, Mertens-Talcott S, Rasmussen C, Greenwood M, Kreider R. Powdered tart cherry supplementation surrounding a single bout of intense resistance exercise demonstrates potential attenuation of recovery strength decrement with no definitive oxidative or inflammatory effect. J Int Soc Sports Nutr 2015. [PMCID: PMC4594794 DOI: 10.1186/1550-2783-12-s1-p25] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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30
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Coletta A, Sanchez B, O'Connor A, Dalton R, Springer S, Koozehchian M, Jung YP, Simbo S, Cho M, Goodenough C, Reyes A, Sowinski R, Wilkins L, Rasmussen C, Kreider RB. Effects of matching diet type to obesity-related genotype on body composition changes in women during a six-month resistance-exercise training and walking program. J Int Soc Sports Nutr 2015. [PMCID: PMC4594788 DOI: 10.1186/1550-2783-12-s1-p16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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31
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Becker A, Blaum K, Breitenfeldt C, Fellenberger F, George S, Göck J, Grieser M, Grussie F, von Hahn R, Herwig P, Karthein J, Krantz C, Kreckel H, Kumar S, Lange M, Lohmann S, Meyer C, Mishra PM, Novotný O, O'Connor A, Repnow R, Schippers S, Schröter CD, Spruck K, Schwalm D, Schweikard L, Urbain X, Vogel S, Wolf A. The cryogenic storage ring CSR for collision experiments with state-controlled and phase-space cooled molecular ion beams. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/1742-6596/635/7/072059] [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: 11/11/2022]
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32
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O'Connor A, Dzikamunhenga RS, Totton S, Wolfe D, Sargeant J, Glanville J, Wood H. Systematic review of the effect of perch height on keel bone fractures, deformation and injuries, bone strength, foot lesions and perching behavior. ACTA ACUST UNITED AC 2015. [DOI: 10.2903/sp.efsa.2015.en-841] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - S. Totton
- University of Guelph, Guelph, Ontario, Canada
| | - D. Wolfe
- University of Guelph, Guelph, Ontario, Canada
| | - J. Sargeant
- University of Guelph, Guelph, Ontario, Canada
| | - J. Glanville
- York, Health Economics Consortium, University of York, UK
| | - H. Wood
- York, Health Economics Consortium, University of York, UK
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33
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Levers K, Galvan E, Coletta A, Dalton R, Jung Y, O'Connor A, Goodenough C, Simbo S, Koozehchian M, Sanchez B, Rasmussen C, Greenwood M, Earnest C, Kreider R. Analysis of Correlational Validity Between OGTT Results and a Carbohydrate Intolerance Questionnaire. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb236] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- K Levers
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - E Galvan
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - A Coletta
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - R Dalton
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - Y Jung
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - A O'Connor
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - C Goodenough
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - S Simbo
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - M Koozehchian
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - B Sanchez
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - C Rasmussen
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - M Greenwood
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - C Earnest
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - R Kreider
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
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34
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Jung Y, Cho M, O'Connor A, Chang C, Koozehchian M, Goodenough C, Barringer N, Ayadi F, Walker D, Simbo S, Galvan E, Dalton R, Levers K, Garcia E, Mitchell C, Rasmussen C, Greenwood M, Murano P, Earnest C, Kreider R. Effects of Pre‐Workout Supplement on Strength, Anaerobic Power, and Body Composition. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb238] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Y Jung
- Exercise & Sport Nutrition LabTexas A&M University
| | - M Cho
- Exercise & Sport Nutrition LabTexas A&M University
| | - A O'Connor
- Exercise & Sport Nutrition LabTexas A&M University
| | - C Chang
- Exercise & Sport Nutrition LabTexas A&M University
| | | | - C Goodenough
- Exercise & Sport Nutrition LabTexas A&M University
| | - N Barringer
- Exercise & Sport Nutrition LabTexas A&M University
| | - F Ayadi
- Exercise & Sport Nutrition LabTexas A&M University
| | - D Walker
- Exercise & Sport Nutrition LabTexas A&M University
| | - S Simbo
- Exercise & Sport Nutrition LabTexas A&M University
| | - E Galvan
- Exercise & Sport Nutrition LabTexas A&M University
| | - R Dalton
- Exercise & Sport Nutrition LabTexas A&M University
| | - K Levers
- Exercise & Sport Nutrition LabTexas A&M University
| | - E Garcia
- Exercise & Sport Nutrition LabTexas A&M University
| | - C Mitchell
- Exercise & Sport Nutrition LabTexas A&M University
| | - C Rasmussen
- Exercise & Sport Nutrition LabTexas A&M University
| | - M Greenwood
- Exercise & Sport Nutrition LabTexas A&M University
| | - P Murano
- Food & Nutrition ScienceTexas A&M University
| | - C Earnest
- Research & DevelopmentNutrabolt Corp.BryanTX
| | - R Kreider
- Exercise & Sport Nutrition LabTexas A&M University
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35
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Sanchez B, Coletta A, Galvan E, Dalton R, O'Connor A, Koozehchian M, Reyes A, Goodenough C, Cho M, Jung Y, Levers K, Simbo S, Springer S, Wilkins L, Rasmussen C, Kreider R. Influence of Metabolic Genotyping on Weight Loss and Body Composition in Women Participating in a 6 Month Diet and Exercise Program: Preliminary Findings. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb240] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- B Sanchez
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - A Coletta
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - E Galvan
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - R Dalton
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - A O'Connor
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - M Koozehchian
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - A Reyes
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - C Goodenough
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - M Cho
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - Y Jung
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - K Levers
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - S Simbo
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - S Springer
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - L Wilkins
- Functional GeneticsInterleukin GeneticsWalthamMA
| | - C Rasmussen
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - R Kreider
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
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36
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Coletta A, Sanchez B, O'Connor A, Dalton R, Springer S, Koozehchian M, Jung Y, Simbo S, Cho M, Goodenough C, Reyes A, Galvan E, Levers K, Wilkins K, Rasmussen C, Kreider R. Influence of Obesity‐Related Genotype on Weight Loss Success and Body Composition Changes While Participating in an a 3‐Month Exercise and Weight Loss Program: Preliminary Findings. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb241] [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: 11/11/2022]
Affiliation(s)
- A Coletta
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - B Sanchez
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - A O'Connor
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - R Dalton
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - S Springer
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - M Koozehchian
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - Y Jung
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - S Simbo
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - M Cho
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - C Goodenough
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - A Reyes
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - E Galvan
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - K Levers
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - K Wilkins
- Functional GeneticsInterleukin GeneticsWalthamMA
| | - C Rasmussen
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
| | - R Kreider
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTX
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37
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Galvan E, Walker D, Simbo S, O'Connor A, Goodenough C, Dalton R, Levers K, Barringer N, Cho M, Koozehchian M, Ayadi F, Jung Y, Rasmussen C, Greenwood M, Murano P, Earnest C, Kreider R. Effects of 28 Days of Two Creatine Nitrate Based Dietary Supplements on Body Composition and Exercise Performance in Recreationally Active Males. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb248] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- E Galvan
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - D Walker
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - S Simbo
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - A O'Connor
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - C Goodenough
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - R Dalton
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - K Levers
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - N Barringer
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - M Cho
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - M Koozehchian
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - F Ayadi
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - Y Jung
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - C Rasmussen
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - M Greenwood
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
| | - P Murano
- Food & Nutrition ScienceTexas A&M University
| | - C Earnest
- Research & DevelopmentNutrabolt Corp.BryanTX
| | - R Kreider
- Exercise & Sport Nutrition LabTexas A&M UniversityCollege StationTexas
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38
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Galvan E, Jung Y, Cho M, O'Connor A, Chang C, Koozehchian M, Goodenough C, Barringer N, Ayadi F, Walker D, Simbo S, Dalton R, Levers K, Garcia E, Mitchell C, Rasmussen C, Greenwood M, Murano P, Earnest C, Kreider R. Acute Hemodynamic, Hematologic and Dose Effects of Ingesting Two Creatine Nitrate Based Dietary Supplements. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb250] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- E Galvan
- Exercise & Sport Nutrition LabTexas A&M University
| | - Y Jung
- Exercise & Sport Nutrition LabTexas A&M University
| | - M Cho
- Exercise & Sport Nutrition LabTexas A&M University
| | - A O'Connor
- Exercise & Sport Nutrition LabTexas A&M University
| | - C Chang
- Exercise & Sport Nutrition LabTexas A&M University
| | | | - C Goodenough
- Exercise & Sport Nutrition LabTexas A&M University
| | - N Barringer
- Exercise & Sport Nutrition LabTexas A&M University
| | - F Ayadi
- Exercise & Sport Nutrition LabTexas A&M University
| | - D Walker
- Exercise & Sport Nutrition LabTexas A&M University
| | - S Simbo
- Exercise & Sport Nutrition LabTexas A&M University
| | - R Dalton
- Exercise & Sport Nutrition LabTexas A&M University
| | - K Levers
- Exercise & Sport Nutrition LabTexas A&M University
| | - E Garcia
- Exercise & Sport Nutrition LabTexas A&M University
| | - C Mitchell
- Exercise & Sport Nutrition LabTexas A&M University
| | - C Rasmussen
- Exercise & Sport Nutrition LabTexas A&M University
| | - M Greenwood
- Exercise & Sport Nutrition LabTexas A&M University
| | - P Murano
- Food & Nutrition ScienceTexas A&M University
| | - C Earnest
- Research & DevelopmentNutrabolt Corp.BryanTX
| | - R Kreider
- Exercise & Sport Nutrition LabTexas A&M University
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39
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Jung Y, Cho M, O'Connor A, Chang C, Koozehchian M, Goodenough C, Barringer N, Ayadi F, Walker D, Simbo S, Galvan E, Dalton R, Levers K, Garcia E, Mitchell C, Rasmussen C, Greenwood M, Murano P, Earnest C, Kreider R. Effects of 8 Weeks Ingestion of a Pre‐Workout Supplement With and Without Synephrine on Cognitive Function, and Perceptions of Readiness to Perform. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.lb239] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Y Jung
- Exercise & Sport Nutrition LabTexas A&M University
| | - M Cho
- Exercise & Sport Nutrition LabTexas A&M University
| | - A O'Connor
- Exercise & Sport Nutrition LabTexas A&M University
| | - C Chang
- Exercise & Sport Nutrition LabTexas A&M University
| | | | - C Goodenough
- Exercise & Sport Nutrition LabTexas A&M University
| | - N Barringer
- Exercise & Sport Nutrition LabTexas A&M University
| | - F Ayadi
- Exercise & Sport Nutrition LabTexas A&M University
| | - D Walker
- Exercise & Sport Nutrition LabTexas A&M University
| | - S Simbo
- Exercise & Sport Nutrition LabTexas A&M University
| | - E Galvan
- Exercise & Sport Nutrition LabTexas A&M University
| | - R Dalton
- Exercise & Sport Nutrition LabTexas A&M University
| | - K Levers
- Exercise & Sport Nutrition LabTexas A&M University
| | - E Garcia
- Exercise & Sport Nutrition LabTexas A&M University
| | - C Mitchell
- Exercise & Sport Nutrition LabTexas A&M University
| | - C Rasmussen
- Exercise & Sport Nutrition LabTexas A&M University
| | - M Greenwood
- Exercise & Sport Nutrition LabTexas A&M University
| | - P Murano
- Food & Nutrition ScienceTexas A&M University
| | - C Earnest
- Research & DevelopmentNutrabolt Corp.BryanTX
| | - R Kreider
- Exercise & Sport Nutrition LabTexas A&M University
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40
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O'Connor A, Wolfe D, Sargeant J, Glanville J, Wood H. Preparatory work for the development of a scientific opinion on the main welfare risks related to the farming of sheep for wool, meat and milk production. ACTA ACUST UNITED AC 2015. [DOI: 10.2903/sp.efsa.2015.en-678] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - D. Wolfe
- University of Guelph, Guelph, CA
| | | | - J. Glanville
- York Health Economics Consortium, University of York, UK
| | - H. Wood
- York Health Economics Consortium, University of York, UK
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41
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O'Connor A, D'Alton MP, Carey B. Outcomes of medical patients requiring emergency intubation in a rural Irish hospital. Crit Care 2015. [PMCID: PMC4472354 DOI: 10.1186/cc14286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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42
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Gidwani S, Phelan N, McGill J, McGowan A, O'Connor A, Young IS, Gibney J, McEneny J. Polycystic ovary syndrome influences the level of serum amyloid A and activity of phospholipid transfer protein in HDL2 and HDL3. Hum Reprod 2014; 29:1518-25. [DOI: 10.1093/humrep/deu115] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [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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43
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Pérez-Salcedo L, Herrera D, Esteban-Saltiveri D, León R, Jeusette I, Torre C, O'Connor A, González I, González I. Isolation and identification of Porphyromonas spp. and other putative pathogens from cats with periodontal disease. J Vet Dent 2014; 30:208-13. [PMID: 24660305 DOI: 10.1177/089875641303000402] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to evaluate the subgingival microbiota and determine the most prevalent periodontal pathogens implicated in feline periodontal disease and to correlate these findings with the clinical periodontal status. Subgingival microbiological samples were taken under sedation from 50 cats with clinical signs of periodontal disease. Pooled paper point samples from 4 selected subgingival sites were cultured on blood agar and on Dentaid-1 medium. Suspected pathogens were identified, subcultured, and preserved. The association between the microbiological findings and the clinical status was studied using correlation coefficients (CC). In addition, cats were stratified in subgroups according to presence of putative pathogens, and comparisons were carried out using unpaired t-test. Three bacterial species were frequently detected including Porphyromonas gulae (86%), Porphyromonas circumdentaria (70%) and Fusobacterium nucleatum (90%). The mean proportion of total flora was high for P. gulae (32.54%), moderate for P. circundentaria (8.82%), and low for F. nucleatum (3.96%). Among the clinical variables, tooth mobility was correlated (CC > 0.50, p < 0.001) with recession, pocket depth, attachment level, gingival index, and calculus index (CC = 0.29, p = 0.04) as well as with total bacterial counts (CC = 0.38, p = 0.006). Cats with more than 10% of P. gulae showed significantly more mobility (p = 0.014) and recession (p = 0.038), and a tendency for deeper probing pocket depths (p = 0.084) and attachment loss (p = 0.087). The results from this cross-sectional study confirmed that P. gulae is the most relevant pathogen in periodontal disease in cats.
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Dalton R, Levers K, Galvan E, Coletta A, Jung Y, O'Connor A, Goodenough C, Simbo S, Seesselberg C, Bonin B, Koozehchian M, Sanchez B, Barringer N, Rasmussen C, Greenwood M, Kreider R. Assessment of factors related to carbohydrate intolerance III: Fasting HOMA (LB300). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.lb300] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- R Dalton
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - K Levers
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - E Galvan
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - A Coletta
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - Y Jung
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - A O'Connor
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Goodenough
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - S Simbo
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Seesselberg
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Bonin
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Koozehchian
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Sanchez
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - N Barringer
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Rasmussen
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Greenwood
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - R Kreider
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
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Levers K, Galvan E, Coletta A, Dalton R, Jung Y, O'Connor A, Goodenough C, Simbo S, Seesselberg C, Bonin B, Koozehchian M, Sanchez B, Barringer N, Rasmussen C, Greenwood M, Kreider R. Assessment of factors related to carbohydrate intolerance I: OGTT glucose AUC (LB299). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.lb299] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- K Levers
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - E Galvan
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - A Coletta
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - R Dalton
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - Y Jung
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - A O'Connor
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Goodenough
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - S Simbo
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Seesselberg
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Bonin
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Koozehchian
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Sanchez
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - N Barringer
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Rasmussen
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Greenwood
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - R Kreider
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
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Goodenough C, Levers K, Galvan E, Coletta A, Dalton R, Jung Y, O'Connor A, Simbo S, Seesselberg C, Bonin B, Koozehchian M, Sanchez B, Barringer N, Rasmussen C, Greenwood M, Kreider R. Analysis of the validity of a carbohydrate intolerance questionnaire II (LB304). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.lb304] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- C Goodenough
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - K Levers
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - E Galvan
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - A Coletta
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - R Dalton
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - Y Jung
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - A O'Connor
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - S Simbo
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Seesselberg
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Bonin
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Koozehchian
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Sanchez
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - N Barringer
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Rasmussen
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Greenwood
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - R Kreider
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
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Galvan E, Levers K, Coletta A, Dalton R, Jung Y, O'Connor A, Goodenough C, Simbo S, Seesselberg C, Bonin B, Koozehchian M, Sanchez B, Barringer N, Rasmussen C, Greenwood M, Kreider R. Assessment of factors related to carbohydrate intolerance II: OGTT glucose at 120 minutes (LB298). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.lb298] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- E Galvan
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - K Levers
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - A Coletta
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - R Dalton
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - Y Jung
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - A O'Connor
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Goodenough
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - S Simbo
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Seesselberg
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Bonin
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Koozehchian
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Sanchez
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - N Barringer
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Rasmussen
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Greenwood
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - R Kreider
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
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O'Connor A, Levers K, Galvan E, Coletta A, Dalton R, Jung YP, Goodenough C, Simbo S, Seesselberg C, Bonin B, Koozehchian M, Sanchez B, Barringer N, Rasmussen C, Greenwood M, Kreider R. Analysis of the validity of a carbohydrate intolerance questionnaire I (LB305). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.lb305] [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] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- A O'Connor
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - K Levers
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - E Galvan
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - A Coletta
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - R Dalton
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - YP Jung
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Goodenough
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - S Simbo
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Seesselberg
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Bonin
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Koozehchian
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - B Sanchez
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - N Barringer
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - C Rasmussen
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - M Greenwood
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
| | - R Kreider
- Exercise & Sport Nutrition Lab Texas A&M UniversityCollege StationTXUnited States
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O'Connor A, Taneike I, Nami A, Fitzgerald N, Ryan B, Breslin N, O'Connor H, McNamara D, Murphy P, O'Morain C. Helicobacter pylori resistance rates for levofloxacin, tetracycline and rifabutin among Irish isolates at a reference centre. Ir J Med Sci 2013; 182:693-5. [PMID: 23625165 DOI: 10.1007/s11845-013-0957-3] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2012] [Accepted: 04/13/2013] [Indexed: 12/19/2022]
Abstract
INTRODUCTION Helicobacter pylori eradication rates using conventional triple therapies are falling, making viable second-line and rescue regimens necessary. Levofloxacin, tetracycline and rifabutin are three efficacious antibiotics for rescue therapy. AIM We aimed to assess the resistance rates for H. pylori against these antibiotics in an Irish cohort. METHODS Gastric biopsies were collected from 85 patients infected with H. pylori (mean age 46 years) in the Adelaide and Meath Hospital, Dublin in 2008 and 2009. Susceptibility to antibiotics was tested using the Etest. Clinical information was obtained from endoscopy reports and chart review. RESULTS 50.6 % of patients were females. Mean age was 47 years. Ten had prior attempts at eradication therapy with amoxicillin-clarithromycin-PPI, two had levofloxacin-based second-line therapy. 11.7 % [95 % CI (6.5-20.3 %)] (N = 10) had strains resistant to levofloxacin. There were no strains resistant to rifabutin or tetracycline. Levofloxacin resistance in the under 45 age group was 2.6 % (1/38) compared to 19.1 % (9/47) of above 45 age group (p = 0.02). DISCUSSION The levofloxacin rates illustrated in this study are relatively low by European standards and in line with other studies from the United Kingdom and Germany, with younger patients having very low levels of resistance. Levofloxacin, tetracycline and rifabutin are all valid options for H. pylori eradication in Irish patients but the importance of compliance cannot be underestimated.
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Affiliation(s)
- A O'Connor
- Department of Gastroenterology, Adelaide and Meath Hospital incorporating the National Children's Hospital/Trinity College Dublin, Belgard Road, Tallaght, Dublin 24, Ireland,
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O'Connor A, O'Sullivan PG, Behan L, Norman G, Murphy B. Initial results from the newborn hearing screening programme in Ireland. Ir J Med Sci 2013; 182:551-6. [PMID: 23456183 DOI: 10.1007/s11845-013-0924-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2012] [Accepted: 02/11/2013] [Indexed: 10/27/2022]
Abstract
INTRODUCTION Hearing screening programmes aim to detect hearing loss in the neonate. The Health Service Executive (HSE) South was the first phase of a national roll-out of a neonatal hearing screening programme in Ireland, going live on 28 April 2011. RESULTS Over 11,738 babies have been screened for permanent childhood hearing impairment (PCHI) during the first 12 months. The percentage of eligible babies offered hearing screening was 99.2 %. Only 0.2 % (n = 25) of those offered screening declined. 493 (4 %) were referred for immediate diagnostic audiological assessment. The average time between screen and diagnostic audiology appointment was 2 weeks. 15 (1.3/1,000) babies have been identified with a PCHI over the 12-month period. 946 (4 %) babies screened were admitted to the neonatal intensive care unit (NICU) for >48 h. The prevalance of PCHI is 7.3/1,000 in the NICU population compared to 0.6/1000 in the well baby population. 214 (1.8 % of total babies screened) had a clear response in the screening programmes, but were deemed to be at risk of an acquired childhood hearing impairment. These babies will be reassessed with a diagnostic audiology appointment at 8-9 months of age. To date, there is one case of acquired hearing impairment through this targeted follow-up screen. Of the 15 cases of PCHI identified, 8 (53 %) of these had one or more risk factors for hearing loss and 7 (37 %) were admitted to the NICU for >48 h. Four babies were referred for assessment at the National Cochlear Implant Centre.
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Affiliation(s)
- A O'Connor
- Department of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland,
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