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Smith JG, Anderson K, Clarke G, Crowe C, Goldsmith LP, Jarman H, Johnson S, Lomani J, McDaid D, Park A, Turner K, Gillard S. The effect of psychiatric decision unit services on inpatient admissions and mental health presentations in emergency departments: an interrupted time series analysis from two cities and one rural area in England - CORRIGENDUM. Epidemiol Psychiatr Sci 2024; 33:e24. [PMID: 38605576 PMCID: PMC11022248 DOI: 10.1017/s2045796024000271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/13/2024] Open
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Ryu YK, Lee WK, Choi WY, Kim T, Lee YJ, Park A, Kim T, Oh C, Heo SJ, Kim JH, Jeon GE, Kang DH. A novel drying film culture method applying a natural phenomenon: Increased carotenoid production by Haematococcus sp. Bioresour Technol 2023; 390:129827. [PMID: 37802367 DOI: 10.1016/j.biortech.2023.129827] [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] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Revised: 10/03/2023] [Accepted: 10/03/2023] [Indexed: 10/10/2023]
Abstract
Low productivity and high cost remain major bottlenecks for the large-scale production of Haematococcus sp. This study explored biomass production and carotenoid accumulation in Haematococcus sp. (KCTC 12348BP) using drying film culture. The broth-cultured strain (3.2 × 106 cells/mL, 0.83 ± 0.02 mg/mL for a 21 d culture) was cultured under various conditions (different inoculum volumes and mist feeding intervals) in waterless agar plates at 28 ± 0.5 °C, under fluorescent light (12 h light-dark cycle) for 1 month. The maximum biomass obtained was 17.60 ± 0.72 g/m2, while the maximum astaxanthin concentration was 8.23 ± 1.13 mg/g in the culture using 1 mL inoculum and 3 d feeding interval. Drought stress in drying film culture effectively induced the accumulation of carotenoids from β-carotene, facilitating the production of canthaxanthin via the astaxanthin biosynthesis pathway. This cost-effective culture system can increase the biomass and carotenoid pigment production in Haematococcus sp.
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Affiliation(s)
- Yong-Kyun Ryu
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea; Department of Marine Technology & Convergence Engineering (Marine Biotechnology), KIOST School, University of Science and Technology (UST), Daejeon 34113, Republic of Korea
| | - Won-Kyu Lee
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea; Department of Marine Technology & Convergence Engineering (Marine Biotechnology), KIOST School, University of Science and Technology (UST), Daejeon 34113, Republic of Korea
| | - Woon-Yong Choi
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea
| | - Taihun Kim
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea
| | - Yeon-Ji Lee
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea
| | - Areumi Park
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea
| | - Taeho Kim
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea
| | - Chulhong Oh
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea; Department of Marine Technology & Convergence Engineering (Marine Biotechnology), KIOST School, University of Science and Technology (UST), Daejeon 34113, Republic of Korea
| | - Soo-Jin Heo
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea; Department of Marine Technology & Convergence Engineering (Marine Biotechnology), KIOST School, University of Science and Technology (UST), Daejeon 34113, Republic of Korea
| | - Ji Hyung Kim
- Department of Food Science and Biotechnology, Gachon University, Seongnam 13120, Republic of Korea
| | - Ga Eun Jeon
- Marine Environment Impact Assessment Center, National Institute of Fisheries Science, Busan 46083, Republic of Korea
| | - Do-Hyung Kang
- Office of the President, Korea Institute of Ocean Science and Technology (KIOST), Busan 49111, Republic of Korea.
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Lee WK, Ryu YK, Kim T, Park A, Lee YJ, Sunwoo IY, Koh EJ, Oh C, Choi WY, Kang DH. Enhanced Photosynthetic Pigment Production Using a Scaled-Up Continuously Circulated Bioreactor. Mar Drugs 2023; 21:576. [PMID: 37999400 PMCID: PMC10672258 DOI: 10.3390/md21110576] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2023] [Revised: 10/25/2023] [Accepted: 11/01/2023] [Indexed: 11/25/2023] Open
Abstract
Microalgae have gained attention as a promising source of chlorophylls and carotenoids in various industries. However, scaling up of conventional bubble columns presents challenges related to cell sedimentation and the presence of non-photosynthetic cells due to non-circulating zones and decreased light accessibility, respectively. Therefore, this study aimed to evaluate the newly developed continuously circulated bioreactor ROSEMAX at both laboratory and pilot scales, compared to a conventional bubble column. There was no significant difference in the biomass production and photosynthetic pigment content of Tetraselmis sp. cultivated at the laboratory scale (p > 0.05). However, at the pilot scale, the biomass cultured in ROSEMAX showed significantly high biomass (1.69 ± 0.11 g/L, dry weight, DW), chlorophyll-a (14.60 ± 0.76 mg/g, DW), and total carotene (5.64 ± 0.81 mg/g, DW) concentrations compared to the conventional bubble column (1.17 ± 0.11 g/L, DW, 10.67 ± 0.72 mg/g, DW, 3.21 ± 0.56 mg/g, DW, respectively) (p ≤ 0.05). Flow cytometric analyses confirmed that the proportion of Tetraselmis sp. live cells in the culture medium of ROSEMAX was 32.90% higher than that in the conventional bubble column, with a photosynthetic efficiency 1.14 times higher. These results support suggestions to use ROSEMAX as a bioreactor for industrial-scale applications.
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Affiliation(s)
- Won-Kyu Lee
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
- Department of Marine Biotechnology, KIOST School, University of Science and Technology (UST), 217 Gajeong-ro, Yuseong-gu, Daejeon 34113, Republic of Korea
| | - Yong-Kyun Ryu
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
- Department of Marine Biotechnology, KIOST School, University of Science and Technology (UST), 217 Gajeong-ro, Yuseong-gu, Daejeon 34113, Republic of Korea
| | - Taeho Kim
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
| | - Areumi Park
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
| | - Yeon-Ji Lee
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
| | - In Yung Sunwoo
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
| | - Eun-Jeong Koh
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
| | - Chulhong Oh
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
- Department of Marine Biotechnology, KIOST School, University of Science and Technology (UST), 217 Gajeong-ro, Yuseong-gu, Daejeon 34113, Republic of Korea
| | - Woon-Yong Choi
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
- Department of Marine Biotechnology, KIOST School, University of Science and Technology (UST), 217 Gajeong-ro, Yuseong-gu, Daejeon 34113, Republic of Korea
| | - Do-Hyung Kang
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), 2670 Iljudong-ro, Gujwa-eup, Jeju-si 63349, Republic of Korea; (W.-K.L.); (Y.-K.R.); (T.K.); (A.P.); (Y.-J.L.); (I.Y.S.); (E.-J.K.); (C.O.); (W.-Y.C.)
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Lee YJ, Kim EA, Kang N, Park A, Heo SJ. Antioxidant Effects of Turbo cornutus By-Products Visceral Extract against Hydrogen Peroxide-Induced Oxidative Stress by Regulating MAPK and Akt Signaling Pathways in Vero Cells. Foods 2023; 12:3660. [PMID: 37835313 PMCID: PMC10572179 DOI: 10.3390/foods12193660] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 09/30/2023] [Accepted: 10/02/2023] [Indexed: 10/15/2023] Open
Abstract
Turbo cornutus, a marine gastropod mollusk commonly called sea snail, is found along the southern coast of Korea and holds considerable importance as a marine food resource, particularly on Jeju Island, Korea. Data are scarce on the antioxidant activity of hot water extracts from T. cornutus visceral tissue. Therefore, this study was performed to evaluate the antioxidant activities of T. cornutus visceral tissue hot water extract (TVE) and the underlying mechanisms against hydrogen peroxide-induced oxidative stress in Vero cells. The amino acid composition and antioxidant effects of TVE were evaluated. Furthermore, the impact of TVE on the expression of proteins within the mitogen-activated protein kinase (MAPK) pathway is investigated. TVE showed a concentration-dependent enhancement in its scavenging activities against 2,2-diphenyl-1-picrylhydrazyl (DPPH) radicals (IC50 = 1.07 ± 0.06 mg/mL) and hydrogen peroxide (IC50 = 0.33 ± 0.03 mg/mL). TVE reduced intracellular reactive oxygen species (ROS) production and maintained cell viability under H2O2-induced oxidative stress by suppressing apoptosis in Vero cells. Additionally, TVE demonstrated regulatory effects on the MAPK and protein kinase B (Akt) signaling pathways activated by H2O2. In conclusion, the findings from our study propose that TVE holds potential as a bioactive component in the formulation of functional foods.
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Affiliation(s)
- Yeon-Ji Lee
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea; (Y.-J.L.); (E.-A.K.); (N.K.); (A.P.)
| | - Eun-A Kim
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea; (Y.-J.L.); (E.-A.K.); (N.K.); (A.P.)
| | - Nalae Kang
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea; (Y.-J.L.); (E.-A.K.); (N.K.); (A.P.)
| | - Areumi Park
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea; (Y.-J.L.); (E.-A.K.); (N.K.); (A.P.)
| | - Soo-Jin Heo
- Jeju Bio Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju 63349, Republic of Korea; (Y.-J.L.); (E.-A.K.); (N.K.); (A.P.)
- Department of Marine Technology & Convergence Engineering (Marine Biotechnology), University of Science and Technology (UST), Daejeon 34113, Republic of Korea
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White J, Park A, Ryjewski C, Schwartz L, Miller C. A Simple Method To Reduce the Risk of Venous Stent Migration After Endovascular Treatment of Nutcracker Or May-Thurner Syndromes. EJVES Vasc Forum 2023. [DOI: 10.1016/j.ejvsvf.2023.02.037] [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: 04/09/2023] Open
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Pokhilenko I, Kast T, Janssen LMM, Evers SMAA, Paulus ATG, Simon J, Mayer S, Berger M, Konnopka A, Muntendorf L, Brodszky V, García-Pérez L, Park A, Salvador-Carulla L, Drost RMWA. International comparability of reference unit costs of education services: when harmonizing methodology is not enough (PECUNIA project). Expert Rev Pharmacoecon Outcomes Res 2023; 23:135-141. [PMID: 36472303 DOI: 10.1080/14737167.2023.2152331] [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: 12/12/2022]
Abstract
BACKGROUND Health problems can lead to costs in the education sector. However, these costs are rarely incorporated in health economic evaluations due to the lack of reference unit costs (RUCs), cost per unit of service, of education services and of validated methods to obtain them. In this study, a standardized unit cost calculation tool developed in the PECUNIA project, the PECUNIA RUC Template for services, was applied to calculate the RUCs of selected education services in five European countries. METHODS The RUCs of special education services and of educational therapy were calculated using the information collected via an exploratory gray literature search and contact with service providers. RESULTS The RUCs of special education services ranged from €55 to €189 per school day. The RUCs of educational therapy ranged from €6 to €25 per contact and from €5 to €35 per day. Variation was observed in the type of input data and measurement unit, among other. DISCUSSION The tool helped reduce variability in the RUCs related to costing methodology and gain insights into other aspects that contribute to the variability (e.g. data availability). Further research and efforts to generate high quality input data are required to reduce the variability of the RUCs.
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Affiliation(s)
- I Pokhilenko
- Centre for Economics of Obesity, Health Economics Unit, Institute of Applied Health Research, College of Dental and Medical Sciences, University of Birmingham, Birmingham, The United Kingdom
| | - T Kast
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands
| | - L M M Janssen
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands
| | - S M A A Evers
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands.,Centre of Economic Evaluation & Machine Learning, Trimbos Institute, National Institute of Mental Health and Addiction, Utrecht, The Netherlands
| | - A T G Paulus
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands.,School of Health Professions Education, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
| | - J Simon
- Department of Health Economics, Centre for Public Health, Medical University of Vienna, Vienna, Austria.,Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK
| | - S Mayer
- Department of Health Economics, Centre for Public Health, Medical University of Vienna, Vienna, Austria
| | - M Berger
- Department of Health Economics, Centre for Public Health, Medical University of Vienna, Vienna, Austria
| | - A Konnopka
- Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - L Muntendorf
- Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - V Brodszky
- Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
| | - L García-Pérez
- Servicio de Evaluación, Servicio Canario de la Salud (SESCS), Santa Cruz de Tenerife, Spain
| | - A Park
- Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London, UK
| | - L Salvador-Carulla
- Mental Health Policy Unit, Health Research Institute, University of Canberra, Canberra, Australia
| | - R M W A Drost
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands
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Elder K, Matheson J, Nickson C, Box G, Ellis J, Mou A, Shadbolt C, Park A, Tay J, Rose A, Mann G. Contrast Enhanced Mammography in Breast Cancer Surveillance. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)01364-8] [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: 11/19/2022]
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Mann B, Rose A, Hughes J, Skandarajah A, Murugasu A, Spillane A, Chua B, Zdenkowski N, Badger H, Braggett H, Gebski V, Eggins R, Park A, Collins J. Primary results of ANZ 1002 : Post-operative Radiotherapy Omission in Selected Patients with Early breast Cancer Trial (PROSPECT) following pre-operative breast MRI. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)01476-9] [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: 11/19/2022]
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Taskesen T, Ahsan M, Putz J, Park A, De Santis T, Latif A, Ugwu J, Ellerman M, Shivapour D, Chawla A, McAllister D, Sigurdsson G, Martin E. Predictive Role of Aortic Valve Calcium score on post-procedural outcomes and mortality after Transcatheter aortic valve replacement. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.1577] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Extent of aortic valve (AV) calcium increases as degenerative aortic valve stenosis progresses. Initial studies postulated AV calcium (AVC) score to be a predictor of complications such as need for pacemaker implantation, paravalvular regurgitation and mortality after Trans-catheter Aortic valve Replacement (TAVR). However, evidence regarding the impact of AVC score as a predictor of post-procedural complications and mortality has been conflicting.
Objective
This study aimed to determine the prognostic impact of AVC as predictor of post-procedural outcomes and mortality in patients with severe aortic stenosis (AS) who underwent TAVR.
Methods
We retrospectively abstracted the records of 497 patients with severe AS who underwent TAVR between January 2016 and July 2019 at our institution. All patients underwent a non-contrast cardiac CT scan on a Siemens Somatom Definition Flash 128 slice scanner. AVC score using the Agatston method was obtained retrospectively. Patients were divided into two groups: 1) Non-severe AVC score group [women <1200 Agatston unit (AU) and men <2000 AU]; 2) Severe AV Calcium Score group [women >1200 AU and men >2000 AU]. Primary outcome was 1-year mortality.
Results
Among 466 patients included in the analysis, 352 patients were included severe AVC group while 114 patients were in the non-severe AVC group. Patients in the severe AVC group were older (81±8 vs 79±8 years), were predominantly males (79% vs 71%), and had less diabetes mellitus (31% vs 42%, p=0.02). Post-TAVR AV dimensionless index (0.58±0.13 vs 0.58±0.12, p=0.8) and AV mean gradient (9.5±4.9 vs 9.2±5.4 mmHg) were not statistically different between both groups. There was no statistical difference in the need for PPM (12% vs 7%, p=0.16), post-TAVR stroke (1.5% vs 0%), post-TAVR major complications (17.4% vs 10%, p=0.07), 30 day (3.7% vs 4.4%), and 1-year mortality (13.6 vs 11.4, p=0.6) between both groups.
Conclusion
Our study report that the severity of AVC score does not have a prognostic impact on major post-procedural outcomes and mortality after TAVR.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- T Taskesen
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - M Ahsan
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - J Putz
- Mercy Medical Center, Internal Medicine , Des Moines , United States of America
| | - A Park
- Mercy Medical Center, Internal Medicine , Des Moines , United States of America
| | - T De Santis
- Mercy Medical Center, Internal Medicine , Des Moines , United States of America
| | - A Latif
- Creighton University Medical Centre, Internal Medicine , Omaha , United States of America
| | - J Ugwu
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - M Ellerman
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - D Shivapour
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - A Chawla
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - D McAllister
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - G Sigurdsson
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - E Martin
- Iowa Heart Center Inc , West Des Moines , United States of America
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Ahsan M, Taskesen T, Putz J, Ugwu J, Latif A, Park A, De Santis T, Sigurdsson G, Shivapour D, McAllister D, Chawla A, Bhatt D, Mamas M, Velagapudi P, Martin E. Sex-based differences of the impact of aortic valve calcium score on mortality and post-procedural outcomes after trans-catheter aortic valve replacement. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.134] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Sex based differences exist in the presentation, outcomes, and management of cardiovascular diseases. Although aortic valve calcium (AVC) score has been postulated to be associated with post-procedural outcomes after transcatheter aortic valve replacement (TAVR), data on the impact of AVC score on procedural outcomes after TAVR based on sex have been scarce.
Objective
The aim of the present study was to elucidate sex related differences in the prognostic impact of AVC score as a predictor of post-procedural outcomes and mortality in patients with severe aortic stenosis (AS) who underwent TAVR.
Methods
We retrospectively abstracted the records of 497 patients with severe AS who underwent TAVR between January 2016 and July 2019 at our institution. All patients underwent a non-contrast cardiac CT scan on a Siemens Somatom Definition Flash 128 slice scanner. AVC score using the Agatston method was calculated retrospectively. Primary outcome was 1-year mortality. Patients were divided into two groups: 1) Non-severe AVC score group [women <1200 Agatston unit (AU) and men <2000 AU]; 2) Severe AVC Score group [women >1200 AU and men >2000 AU]. Cox-regression model was used to predict effect of variables on 1-year mortality in male and female patients.
Results
Among 466 patients included, 268 patients were male and 198 were female (57.5% vs 42.5%). When compared with males, female patients had significantly lower AVC score (p<0.001), aortic valve area (AVA) (p<0.001), obstructive CAD (p<0.001), and history of previous PCI (p<0.004), and CABG (<0.001) but had a significantly higher STS score (6.7±3.2 vs 5.8±3.3 P=0.01). There was no difference between need for permanent pacemaker (PPM) implantation (11% vs 9.6%, p=0.4), major complications (16% vs 15%, p=0.9), stroke (0.8% vs 1.6%, p=0.7), 30-day (3.7% vs 4%, p=0.9), and 1-year mortality (14% vs 12%, p=0.6) between males and females, respectively. Female patients required smaller bio-prosthetic valves compared with males (26±3.2 vs 30±3, p<0.001). Cox regression analysis for female patients showed BMI, hemoglobin level, and AVA independently predicted 1-year mortality, while there was no impact of severe AVC score (>1200 AU) on 1-year mortality in females. Similarly, Cox regression analysis for male patients showed there was no impact of severe AVC score (>2000 AU) on 1-year mortality in males. When males in the severe AVC group were compared with female patients in the severe AVC group, there was no difference in 30 day (4.3% vs 3.3%, p=0.82) and 1-year mortality (14.2% vs 13.3%, p=0.77). Similarly, in the severe AVC group there was no difference between need for PPM implantation (12.8% vs 12.1%, p=0.9), major complications (19.7% vs 15.8%, p=0.4), and stroke (2.2% vs 1%, p=0.6) between males and females, respectively.
Conclusion
There were no sex differences in the impact of AVC score on mortality and post-procedural outcomes after TAVR.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- M Ahsan
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - T Taskesen
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - J Putz
- Mercy Medical Center, Internal Medicine , Des Moines , United States of America
| | - J Ugwu
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - A Latif
- Creighton University Medical Centre, Internal Medicine , Omaha , United States of America
| | - A Park
- Mercy Medical Center, Internal Medicine , Des Moines , United States of America
| | - T De Santis
- Mercy Medical Center, Internal Medicine , Des Moines , United States of America
| | - G Sigurdsson
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - D Shivapour
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - D McAllister
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - A Chawla
- Iowa Heart Center Inc , West Des Moines , United States of America
| | - D Bhatt
- Brigham and Women's Hospital, Heart and Vascular Center, Cardiovascular Diseases , Boston , United States of America
| | - M Mamas
- Keele University, Cardiovascular Diseases , Keele , United Kingdom
| | - P Velagapudi
- University of Nebraska Medical Center, Cardiovascular Diseases , Omaha , United States of America
| | - E Martin
- Iowa Heart Center Inc , West Des Moines , United States of America
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11
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Park A, Stewart J, Morisak P, Gustafson S, Meihls S, Black P, Ameel K, Asfour F. 110 Inadequacy of targeted hearing screening for children with cystic fibrosis. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)00801-3] [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: 11/06/2022]
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12
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Hwang J, Na Y, Park A, Kim H, Park W. 698 Retinol: A better solution for skin anti-aging than retinyl palmitate. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.710] [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: 11/25/2022]
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13
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Lin E, Chandra V, Haskal Z, Sheeran D, Park A. Abstract No. 6 “UnpleASAnt” outcomes: can the American Society of Anesthesiologists (ASA) Physical Status Classification predict post–interventional radiology procedure complication severity? J Vasc Interv Radiol 2022. [DOI: 10.1016/j.jvir.2022.03.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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14
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Dwyer D, Lee Y, Sheeran D, Park A. Abstract No. 74 Endovascular treatment of pancreaticoduodenal artery aneurysms associated with median arcuate ligament compression of the celiac artery. J Vasc Interv Radiol 2022. [DOI: 10.1016/j.jvir.2022.03.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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15
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Hutchison DM, Duffens A, Yale K, Park A, Cardenas K, Mesinkovska NA. Eyelash trichomegaly: a systematic review of acquired and congenital aetiologies of lengthened lashes. J Eur Acad Dermatol Venereol 2021; 36:536-546. [PMID: 34919300 DOI: 10.1111/jdv.17877] [Citation(s) in RCA: 2] [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: 04/12/2021] [Revised: 10/05/2021] [Accepted: 11/10/2021] [Indexed: 02/01/2023]
Abstract
Long eyelashes have been popularized and many commercially available products exist to achieve eyelash growth as a desired cosmetic effect. Eyelash trichomegaly may be induced by medications, procedures, or be related to medical conditions; however, the exact mechanisms that govern eyelash growth are not well elucidated. This study aims to identify and summarize aetiologies associated with eyelash trichomegaly. We report a systematic review of 148 clinical trials, prospective and retrospective studies, and case reports describing all evidence-based potential aetiologies of eyelash trichomegaly obtained from the Medline/PubMed and Cochrane Library through January 2021. Inclusion criteria were defined as (i) human studies involving congenital and acquired diseases in which eyelash trichomegaly is a characteristic or (ii) assessment of trichomegaly as an adverse or desired effect of a medication or procedure. Exclusion criteria included: animal studies, articles not available in English, outcomes unrelated to eyelash trichomegaly, and secondary review articles. Pharmacologic agents associated with eyelash trichomegaly included prostaglandin analogues (15-keto fluprostenol isopropyl ester, bimatoprost, latanoprost, and travoprost), epidermal growth factor receptor inhibitors (cetuximab, erlotinib, and panitumumab), interferon-alpha, and calcineurin inhibitors (tacrolimus and cyclosporine). Surgical procedures of the eyelid, as well as allergic rhinitis, atopic dermatitis, HIV, ichthyosis vulgaris (IV), uveitis, and vernal keratoconjunctivitis were also associated with increased eyelash growth. Congenital disorders associated with lengthened eyelashes included Cantú syndrome, CHOPS syndrome, Coffin-Siris syndrome, congenital heart disease, Cornelia de Lange syndrome, Costello syndrome, familial trichomegaly, Floating Harbor syndrome, Hermansky-Pudlak syndrome, Kabuki-Makeup syndrome, KBG syndrome, Oliver-McFarlane syndrome, Rubinstein-Taybi syndrome, and Smith-Magenis syndrome. While the most common cause of eyelash trichomegaly is topical bimatoprost use, better understanding of pathways implicated in eyelash trichomegaly may lead to the discovery of additional medications to stimulate eyelash growth and create avenues for future therapeutic interventions.
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Affiliation(s)
- D M Hutchison
- Department of Dermatology, University of California Irvine, Irvine, CA, USA.,Beckman Laser Institute, University of California Irvine, Irvine, CA, USA
| | - A Duffens
- Department of Dermatology, University of California Irvine, Irvine, CA, USA
| | - K Yale
- Department of Dermatology, University of California Irvine, Irvine, CA, USA
| | - A Park
- Beckman Laser Institute, University of California Irvine, Irvine, CA, USA
| | - K Cardenas
- Department of Dermatology, University of California Irvine, Irvine, CA, USA
| | - N A Mesinkovska
- Department of Dermatology, University of California Irvine, Irvine, CA, USA.,Beckman Laser Institute, University of California Irvine, Irvine, CA, USA
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16
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Yun P, DeLuca S, Robinson D, Park A, Rosenberg C, Kohler M, Tenforde A. Radial versus Combined Shockwave Therapy in the Management of Proximal Hamstring Tendinopathy: Similar Functional Outcomes in Running Cohort. Muscles Ligaments Tendons J 2021. [DOI: 10.32098/mltj.04.2021.18] [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: 11/05/2022]
Affiliation(s)
- P.H. Yun
- Department of Medicine, Massachusetts General Hospital/Harvard Medical School, Boston (MA), U.S.A
| | - S. DeLuca
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Charlestown (MA) U.S.A
| | - D. Robinson
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Charlestown (MA) U.S.A
| | - A. Park
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Charlestown (MA) U.S.A
| | | | - M.J. Kohler
- Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital/Harvard Medical School, Boston (MA), U.S.A
| | - A.S. Tenforde
- Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Charlestown (MA) U.S.A
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17
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Liu C, Schönke M, Zhou E, Larsson M, Wallenius K, Park A, Oldham S, Ikeda Y, Peng XR, Boon M, Wang Y, Rensen P. Hepatic fibroblast growth factor 21 overexpression attenuates diet-induced hepatic steatosis and inflammation. Atherosclerosis 2021. [DOI: 10.1016/j.atherosclerosis.2021.06.122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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18
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Bettany-Saltikov J, Park A, Ling J. The experiences and effectiveness of the Spinecor brace on older adults with degenerative scoliosis: a mixed methods pilot study. Stud Health Technol Inform 2021; 280:294-295. [PMID: 34190122 DOI: 10.3233/shti210508] [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] [Indexed: 06/13/2023]
Affiliation(s)
| | - A Park
- School of Health Sciences and Wellbeing, University of Sunderland, UK
| | - J Ling
- School of Health Sciences and Wellbeing, University of Sunderland, UK
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19
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Jeong Y, Choi WY, Park A, Lee YJ, Lee Y, Park GH, Lee SJ, Lee WK, Ryu YK, Kang DH. Marine cyanobacterium Spirulina maxima as an alternate to the animal cell culture medium supplement. Sci Rep 2021; 11:4906. [PMID: 33649424 PMCID: PMC7921123 DOI: 10.1038/s41598-021-84558-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 02/15/2021] [Indexed: 01/31/2023] Open
Abstract
Serum is a stable medium supplement for in vitro cell culture. Live cells are used in stem cell research, drug toxicity and safety testing, disease diagnosis and prevention, and development of antibiotics, drugs, and vaccines. However, use of serum in culture involves concerns such as an ethical debate regarding the collection process, lack of standardized ingredients, and high cost. Herein, therefore, we evaluated the possibility of using edible cyanobacterium (Spirulina maxima), which is a nutrient-rich, sustainable, and ethically acceptable source, as a novel substitute for fetal bovine serum (FBS). H460 cells were cultured to the 10th generation by adding a mixture of spirulina animal cell culture solution (SACCS) and FBS to the culture medium. Cell morphology and viability, cell cycle, apoptosis, proteomes, and transcriptomes were assessed. We observed that SACCS had better growth-promoting capabilities than FBS. Cell proliferation was promoted even when FBS was replaced by 50-70% SACCS; there was no significant difference in cell shape or viability. There were only slight differences in the cell cycle, apoptosis, proteomes, and transcriptomes of the cells grown in presence of SACCS. Therefore, SACCS has the potential to be an effective, low-cost, and eco-friendly alternative to FBS in in vitro culture.
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Affiliation(s)
- Younsik Jeong
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea
| | - Woon-Yong Choi
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea
| | - Areumi Park
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea
| | - Yeon-Ji Lee
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea
| | - Youngdeuk Lee
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea
| | - Gun-Hoo Park
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea
- School of Pharmacy, Sungkyunkwan University, Seoul, Republic of Korea
| | - Su-Jin Lee
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea
| | - Won-Kyu Lee
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea
- Department of Ocean Science, University of Science and Technology (UST), Jeju, Republic of Korea
| | - Yong-Kyun Ryu
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea
- Department of Ocean Science, University of Science and Technology (UST), Jeju, Republic of Korea
| | - Do-Hyung Kang
- Jeju Marine Research Center, Korea Institute of Ocean Science and Technology (KIOST), Jeju, Republic of Korea.
- Department of Ocean Science, University of Science and Technology (UST), Jeju, Republic of Korea.
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20
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Lee Y, Kim T, Lee WK, Ryu YK, Kim JH, Jeong Y, Park A, Lee YJ, Oh C, Kang DH. The First Report to Evaluate Safety of Cyanobacterium Leptolyngbya sp. KIOST-1 for Use as a Food Ingredient: Oral Acute Toxicity and Genotoxicity Study. J Microbiol Biotechnol 2021; 31:290-297. [PMID: 33203826 PMCID: PMC9705841 DOI: 10.4014/jmb.2007.07013] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 08/06/2020] [Accepted: 11/16/2020] [Indexed: 12/15/2022]
Abstract
Leptolyngbya sp. KIOST-1 (LK1) is a newly isolated cyanobacterium that shows no obvious cytotoxicity and contains high protein content for both human and animal diets. However, only limited information is available on its toxic effects. The purpose of this study was to validate the safety of LK1 powder. Following Organisation for Economic Co-operation and Development (OECD) guidelines, a single-dose oral toxicity test in Sprague Dawley rats was performed. Genotoxicity was assessed using a bacterial reverse mutation test with Salmonella typhimurium (strains TA98, TA100, TA1535, and TA1537) and Escherichia coli WP2 uvrA, an in vitro mammalian chromosome aberration test using Chinese hamster lung cells, and an in vivo mammalian erythrocyte micronucleus test using Hsd:ICR (CD-1) SPF mouse bone marrow. After LK1 administration (2,500 mg/kg), there were no LK1-related body weight changes or necropsy findings. The reverse mutation test showed no increased reverse mutation upon exposure to 5,000 μg/plate of the LK1 powder, the maximum tested amount. The chromosome aberration test and micronucleus assay demonstrated no chromosomal abnormalities and genotoxicity, respectively, in the presence of the LK1 powder. The absence of physiological findings and genetic abnormalities suggests that LK1 powder is appropriate as a candidate biomass to be used as a safe food ingredient.
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Affiliation(s)
- Youngdeuk Lee
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea
| | - Taeho Kim
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea
| | - Won-Kyu Lee
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea
| | - Yong-Kyun Ryu
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea
| | - Ji Hyung Kim
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea,Current address: Infectious Disease Research Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon 34141, Republic of Korea
| | - Younsik Jeong
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea
| | - Areumi Park
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea
| | - Yeon-Ji Lee
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea
| | - Chulhong Oh
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea
| | - Do-Hyung Kang
- Jeju Marine Research center, Korea Institute of Ocean Science and Technology, Jeju Special Self-Governing Province 63349, Republic of Korea,Corresponding author Phone: +82-64-798-6100 Fax: +82-64-798-6039 E-mail:
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21
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Kumar A, Bantilan KS, Jacob AP, Park A, Schoninger SF, Sauter C, Ulaner GA, Casulo C, Faham M, Kong KA, Grewal RK, Gerecitano J, Hamilton A, Hamlin P, Matasar M, Moskowitz CH, Noy A, Palomba ML, Portlock CS, Younes A, Willis T, Zelenetz AD. Noninvasive Monitoring of Mantle Cell Lymphoma by Immunoglobulin Gene Next-Generation Sequencing in a Phase 2 Study of Sequential Chemoradioimmunotherapy Followed by Autologous Stem-Cell Rescue. Clin Lymphoma Myeloma Leuk 2021; 21:230-237.e12. [PMID: 33558202 PMCID: PMC9476895 DOI: 10.1016/j.clml.2020.09.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 09/20/2020] [Indexed: 11/28/2022]
Abstract
Limited information exists in mantle cell lymphoma (MCL) on the performance of next-generation sequencing–based assay of immunoglobulin gene rearrangements for minimal residual disease (MRD) assessment. Posttreatment peripheral blood samples were collected from 16 MCL patients and analyzed with the Adaptive Biotechnologies MRD assay, which identified early molecular relapse. We observed more sensitivity in the cellular versus acellular compartment.
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MESH Headings
- Aged
- Chemoradiotherapy
- DNA, Neoplasm/blood
- Female
- Gene Rearrangement
- High-Throughput Nucleotide Sequencing
- Humans
- Immunoglobulins/genetics
- Immunotherapy
- Induction Chemotherapy
- Lymphoma, Mantle-Cell/blood
- Lymphoma, Mantle-Cell/diagnosis
- Lymphoma, Mantle-Cell/genetics
- Lymphoma, Mantle-Cell/therapy
- Male
- Middle Aged
- Neoplasm Recurrence, Local/blood
- Neoplasm Recurrence, Local/diagnosis
- Neoplasm Recurrence, Local/genetics
- Neoplasm, Residual
- Neoplastic Cells, Circulating
- Prospective Studies
- Remission Induction
- Stem Cell Transplantation
- Transplantation, Autologous
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Affiliation(s)
- Anita Kumar
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
| | - K S Bantilan
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - A P Jacob
- Adaptive Biotechnologies, Seattle, WA
| | - A Park
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - S F Schoninger
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - C Sauter
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - G A Ulaner
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - C Casulo
- Department of Medicine, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY
| | - M Faham
- Adaptive Biotechnologies, Seattle, WA
| | - K A Kong
- Adaptive Biotechnologies, Seattle, WA
| | - R K Grewal
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - J Gerecitano
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - A Hamilton
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - P Hamlin
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - M Matasar
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - C H Moskowitz
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - A Noy
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - M L Palomba
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - C S Portlock
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - A Younes
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
| | - T Willis
- Adaptive Biotechnologies, Seattle, WA
| | - A D Zelenetz
- Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY
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22
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Kinariwala D, Khaja M, McCann S, Sheeran D, Park A, Stone J, Wilkins L, Matsumoto A, Redick D. 3:36 PM Abstract No. 169 Preoperative uterine artery embolization before hysterectomy or myomectomy: a case series. J Vasc Interv Radiol 2020. [DOI: 10.1016/j.jvir.2019.12.205] [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: 11/17/2022] Open
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23
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Park A, Kanowski A, Danda N, Hon M, Thakeria P. 498 Impact of Accelerated Chest Pain Risk Evaluation (ACRE) Pathway on Exercise Stress Test Referrals at the Townsville University Hospital. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.505] [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: 11/17/2022]
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24
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Seitz L, Rieger A, Berry W, Ashok D, Direnzo D, Jin L, Lee S, Park A, Piovesan D, Tan J, Walters M, Karakunnel J. Preliminary results from a phase 1 study of AB122, a programmed cell death-1 (PD-1) inhibitor, in patients with advanced solid malignancies. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy487.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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25
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Seitz L, Ashok D, Leleti M, Powers J, Rosen B, Miles D, Sharif E, Jin L, Park A, Young S, Rieger A, Schindler U, Karakunnel J, Walters M. Final results of the phase I study in healthy volunteers of AB928, a dual antagonist of the A2aR and A2bR adenosine receptors being studied as an activator of anti-tumor immune response. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy303.050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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26
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Vaughan M, Park A, Sholapurkar A, Esterman A. Medical emergencies in dental practice - management requirements and international practitioner proficiency. A scoping review. Aust Dent J 2018; 63:455-466. [DOI: 10.1111/adj.12649] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/27/2018] [Indexed: 11/29/2022]
Affiliation(s)
- M Vaughan
- Faculty of Dentistry; College of Medicine and Dentistry; James Cook University; Smithfield Queensland Australia
| | - A Park
- Faculty of Dentistry; College of Medicine and Dentistry; James Cook University; Smithfield Queensland Australia
| | - A Sholapurkar
- Faculty of Dentistry; College of Medicine and Dentistry; James Cook University; Smithfield Queensland Australia
| | - A Esterman
- School of Nursing and Midwifery; University of South Australia; Adelaide South Australia Australia
- Australian Institute of Tropical Health and Medicine; James Cook University; Smithfield Queensland Australia
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27
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Kim D, Chen R, Kim S, Park A, Evans B, Yu V, Oh E, Miller L, Kang S, Ghiaur G, Yu J, Huang W, Kane M, Garza L. 1410 Non-coding double stranded RNA induces retinoic acid synthesis and retinoid signaling to control regeneration. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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28
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Park A, Okhovat J. 880 Divergent trends in acne vulgaris interest and research a decade of lost face value in the United States. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Affiliation(s)
- P A Goodhines
- Syracuse University, Department of Psychology, Syracuse, NY
| | - L A Gellis
- Syracuse University, Department of Psychology, Syracuse, NY
| | - A Park
- Syracuse University, Department of Psychology, Syracuse, NY
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30
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Elder KJ, Nickson C, Cooke S, Machalek D, Rose A, Mou A, Collins JP, Park A, De Boer R, Phillips C, Pridmore V, Farrugia H, Mann GB. Abstract PD2-13: Benefits to breast screening beyond mortality reduction. Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-pd2-13] [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: 11/16/2022]
Abstract
Abstract
Background
The value of population-based mammographic screening has been questioned by those who believe that the reduction in mortality from earlier diagnosis is outweighed by harms including overdiagnosis and overtreatment. Much of these commentaries assume that all Early-Stage Breast Cancer (ESBC) is treated the same way after diagnosis; with extensive therapies including surgery, radiotherapy and chemotherapy being standard.
Intensity of treatment received is rarely mentioned in the debate. We hypothesised that those diagnosed through a screening program (Active Screeners (AS)) would receive less extensive surgical treatment and less intense adjuvant therapies than those not recently screened (NRS). If demonstrated, these differences would form an important component of the debate over the role of mammographic screening.
Methods
Retrospective analysis of a consecutive cohort of female patients aged 50-69 and managed for ESBC (invasive or DCIS) during 2007-2013 within a large metropolitan Breast Service, diagnosed either via a population screening program (AS) or outside of the program (NRS). Data on patient characteristics, symptoms, mode of detection, tumour pathology, surgical intervention and adjuvant treatment recommendations were derived from prospectively collected Multi-Disciplinary Meeting (MDM) records. Patients with metastatic disease or prior treatment for breast cancer were excluded.
Results
791 cases were identified (569 with screen-detected cancer, 53 with interval cancers and 169 cancers diagnosed in women not recently screened). Invasive cancers in the AS group were much smaller than in the NRS group – mean 17mm versus 26mm. The AS group had lower grade invasive cancer – grade 1, 2 and 3 were 27%, 42%, 31% - compared with 10%, 39% and 52% in the NRS group. The AS group were more likely to have ER+ve cancers (88% vs 80%) and less likely to have nodal involvement (26% vs 48%). For invasive breast cancer, the NRS group were more than twice as likely to undergo mastectomy than cancers in the AS group (35% vs 16%). Axillary dissections were more common in the NRS than the AS group (43% vs 19%). Adjuvant chemotherapy was recommended more frequently for the NRS group compared to the AS group (65% vs 37%), as was post mastectomy radiotherapy (58% vs 39%). Endocrine therapy was less often recommended to the NRS group (86% versus 77%).
Conclusion
Women diagnosed with early stage breast cancer who are participating in a population based screening program are less likely to receive mastectomy and/or axillary dissection, less likely to receive adjuvant chemotherapy and less likely to receive post-mastectomy radiotherapy. These differences in treatment intensity should be considered in the debate surrounding mammographic screening.
Citation Format: Elder KJ, Nickson C, Cooke S, Machalek D, Rose A, Mou A, Collins JP, Park A, De Boer R, Phillips C, Pridmore V, Farrugia H, Mann GB. Benefits to breast screening beyond mortality reduction [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr PD2-13.
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Affiliation(s)
- KJ Elder
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - C Nickson
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - S Cooke
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - D Machalek
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - A Rose
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - A Mou
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - JP Collins
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - A Park
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - R De Boer
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - C Phillips
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - V Pridmore
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - H Farrugia
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
| | - GB Mann
- Royal Women's Hospital, Melbourne, Victoria, Australia; University of Melbourne; The Royal Melbourne Hospital; BreastScreen Victoria; Victorian Cancer Registry
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McDaid D, Park A. MAKING AN ECONOMIC CASE FOR TACKLING LONELINESS IN LATER LIFE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3428] [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: 11/13/2022] Open
Affiliation(s)
- D. McDaid
- London School of Economics and Political Science, London, United Kingdom
| | - A. Park
- London School of Economics and Political Science, London, United Kingdom
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Comas-Herrera A, McDaid D, Park A, Adelaja B, Lombard D, Knapp M. MODEM DEMENTIA EVIDENCE TOOLKIT: WEB-BASED RESOURCE OF DEMENTIA CARE, TREATMENT, AND SUPPORT EVIDENCE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.141] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- A. Comas-Herrera
- London School of Economics and Political Science, London, United Kingdom
| | - D. McDaid
- London School of Economics and Political Science, London, United Kingdom
| | - A. Park
- London School of Economics and Political Science, London, United Kingdom
| | - B. Adelaja
- London School of Economics and Political Science, London, United Kingdom
| | - D. Lombard
- London School of Economics and Political Science, London, United Kingdom
| | - M. Knapp
- London School of Economics and Political Science, London, United Kingdom
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Salinas C, Sabri S, Stein D, Wilkins L, Park A, Angle J. Balloon retrograde transvenous obliteration (BRTO): effects on recurrent bleeding, liver function, and portal hypertension progression. J Vasc Interv Radiol 2017. [DOI: 10.1016/j.jvir.2016.12.1006] [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: 11/17/2022] Open
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Baheti A, Singh R, Nicholson D, Patrie J, Uflacker A, Park A, Sabri S, Stone J, Angle J, Wilkins L. IVC filter retrieval: comparing the ease of retrieval of Denali and Tulip filters. J Vasc Interv Radiol 2017. [DOI: 10.1016/j.jvir.2016.12.1188] [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: 11/24/2022] Open
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Forsman AK, Nordmyr J, Park A, Matosevic T, McDaid D, Wahlbeck K. Technology-based interventions for mental health promotion in later life: An evidence review. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw172.044] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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36
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Gardner B, Park A, Sabri S, Haskal Z, Angle J, Matsumoto A. Splenic artery embolization provides value at all levels of severity of splenic laceration. J Vasc Interv Radiol 2016. [DOI: 10.1016/j.jvir.2015.12.278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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37
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Hu J, Lomanto D, Dumanian G, Cheesborough J, Ponten J, Hameeteman M, Nienhuijs S, Zahiri H, Benenati M, Sibia U, Sivak B, Park A, Belyansky I, Huang CS, Verhagen T, Loos MJA, Scheltinga MRM, Roumen RMH, Morfesis F, Rose B, Zarrinkhoo E, Towfigh S, Miller J, Campanella AM, Licheri S, Barbarossa M, Porceddu G, Ferraro G, Virdis F, Reccia I, Aresu S, Pisanu A. Rectum Diastasis, Post Partum Floppy Wall & Obscure Groin Pain in Women. Hernia 2015; 19 Suppl 1:S73-6. [PMID: 26518865 DOI: 10.1007/bf03355330] [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: 10/22/2022]
Affiliation(s)
- J Hu
- National University Health System, Singapore, Singapore
| | - D Lomanto
- National University Health System, Singapore, Singapore
| | - G Dumanian
- Northwestern Feinberg School of Medicine, Chicago, USA
| | | | - J Ponten
- Catharina Ziekenhuis, Eindhoven, Netherlands
| | - M Hameeteman
- Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands
| | - S Nienhuijs
- Catharina Ziekenhuis, Eindhoven, Netherlands
| | - H Zahiri
- Department of Surgery, Anne Arundel Medical Center, Annapolis, USA
| | - M Benenati
- Department of Surgery, Anne Arundel Medical Center, Annapolis, USA
| | - U Sibia
- Department of Surgery, Anne Arundel Medical Center, Annapolis, USA
| | - B Sivak
- Department of Surgery, Anne Arundel Medical Center, Annapolis, USA
| | - A Park
- Department of Surgery, Anne Arundel Medical Center, Annapolis, USA
| | - I Belyansky
- Department of Surgery, Anne Arundel Medical Center, Annapolis, USA
| | - C S Huang
- Cathay Medical Center, Taipei Medical University, Taipei, Taiwan
| | - T Verhagen
- Máxima Medical Center, Veldhoven, Netherlands
| | - M J A Loos
- Máxima Medical Center, Veldhoven, Netherlands
| | | | | | - F Morfesis
- Owen Drive Surgical Clinic of Fayetteville, Fayetteville, USA
| | - B Rose
- Owen Drive Surgical Clinic of Fayetteville, Fayetteville, USA
| | | | - S Towfigh
- Beverly Hills Hernia Center, Beverly Hills, USA
| | - J Miller
- Department of Radiology, Cedars Sinai Medical Center, Los Angeles, USA
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Kim J, Choi W, Jeon SM, Kim T, Park A, Kim J, Heo SJ, Oh C, Shim WB, Kang DH. Isolation and characterization of Leptolyngbya
sp. KIOST-1, a basophilic and euryhaline filamentous cyanobacterium from an open paddle-wheel raceway Arthrospira
culture pond in Korea. J Appl Microbiol 2015; 119:1597-612. [DOI: 10.1111/jam.12961] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2015] [Revised: 08/25/2015] [Accepted: 09/23/2015] [Indexed: 12/12/2022]
Affiliation(s)
- J.H. Kim
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
| | - W. Choi
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
| | - S.-M. Jeon
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
| | - T. Kim
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
| | - A. Park
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
| | - J. Kim
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
- Departments of Marine Life Science; Jeju National University; Jeju Korea
| | - S.-J. Heo
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
| | - C. Oh
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
| | - W.-B. Shim
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
- Departments of Plant Pathology & Microbiology; Texas A&M University; College Station TX USA
| | - D.-H. Kang
- Jeju International Marine Science Center for Research & Education; Korea Institute of Ocean Science & Technology; Jeju Korea
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Jeon SM, Kim JH, Kim T, Park A, Ko AR, Ju SJ, Heo SJ, Oh C, Affan MA, Shim WB, Kang DH. Morphological, Molecular, and Biochemical Characterization of Monounsaturated Fatty Acids-Rich Chlamydomonas sp. KIOST-1 Isolated from Korea. J Microbiol Biotechnol 2015; 25:723-31. [DOI: 10.4014/jmb.1412.12056] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Sim I, Koh JH, Kim DJ, Gu SH, Park A, Lim YH. In vitro assessment of the gastrointestinal tolerance and immunomodulatory function of Bacillus methylotrophicus isolated from a traditional Korean fermented soybean food. J Appl Microbiol 2015; 118:718-26. [PMID: 25494714 DOI: 10.1111/jam.12719] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2014] [Revised: 12/08/2014] [Accepted: 12/08/2014] [Indexed: 12/12/2022]
Abstract
AIMS This study aimed to investigate the potential of Bacillus methylotrophicus as a probiotic. METHODS AND RESULTS A Bacillus isolate designated strain C14 was isolated from Korean traditional fermented soybean paste (doenjang). The strain was identified, and its physiological and biochemical properties were characterized. The gastrointestinal tolerance and immunomodulatory function of strain C14 were also investigated. Strain C14 was identified as B. methylotrophicus by analysis of its biochemical properties using the API 50CHB system and by phylogenetic analysis of the 16S rDNA sequence. Strain C14 showed >80% and >75% of survival for artificial gastric juices (pH 2.5 and 1% pepsin) and 0.5% (w/v) bile salt, respectively. Heat-killed B. methylotrophicus C14 inhibited the adhesion of various pathogens and enhanced the adhesion of probiotic bacteria to Caco-2 cells. The heat-killed cells also induced high levels of immune cell proliferation compared with the control and stimulated interleukin-6 and tumour necrosis factor-α production in mouse macrophages. CONCLUSIONS Bacillus methylotrophicus C14 could be used as a probiotic. SIGNIFICANCE AND IMPACT OF THE STUDY Recently identified B. methylotrophicus is a new potential probiotic with high gastrointestinal tolerance.
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Affiliation(s)
- I Sim
- Department of Integrated Biomedical and Life Sciences, College of Health Science, Korea University, Seoul, Korea
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41
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Vardy J, Dhillon HM, Pond GR, Rourke SB, Xu W, Dodd A, Renton C, Park A, Bekele T, Ringash J, Zhang H, Burkes R, Clarke SJ, Tannock IF. Cognitive function and fatigue after diagnosis of colorectal cancer. Ann Oncol 2014; 25:2404-2412. [PMID: 25214544 DOI: 10.1093/annonc/mdu448] [Citation(s) in RCA: 90] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND Cognitive impairment and fatigue have been associated with cancer and its treatment. We present baseline data from a large longitudinal study that evaluates cognitive function, fatigue, and potential underlying mechanisms following diagnosis of colorectal cancer (CRC). PATIENTS AND METHODS We evaluated CRC patients with stage I-III disease before or after surgery, participants with limited metastatic disease and healthy controls (HC). Neuropsychological evaluation included clinical and computerised tests. Participants completed questionnaires for fatigue and quality of life (QOL)-(FACT-F), anxiety/depression, and cognitive symptoms (FACT-Cog). Ten cytokines, clotting factors, sex hormones, carcinoembryonic antigen (CEA), and apolipoprotein E genotype were evaluated. Primary end points were cognitive function on clinical tests evaluated by a Global Deficit score (GDS) and fatigue. Associations between test results, demographic, and disease related factors were explored. RESULTS We assessed 291 participants with early-stage disease [median age 59 (23-75) years, 63% men], 72 with metastatic disease, and 72 HC. Using GDS, 45% (126/281) of participants with early-stage CRC had cognitive impairment versus 15% (11/72) of HC (odds ratio 4.51, 95% confidence interval 2.28-8.93; P < 0.001), with complex processing speed, attention/working memory, and verbal learning efficiency being most affected. Women with early-stage CRC had greater cognitive impairment than men [55/105 (52%) versus 71/176 (40%), P < 0.050]. Cognitive symptoms were self-reported by 21% (59/286) of early-stage patients versus 17% (12/72) of HC; fatigue by 52% (149/287) of early-stage patients and 26% (19/72) of HC (P < 0.0001). Women reported more fatigue than men (P = 0.003). Fatigue, QOL, anxiety/depression, and cognitive symptoms were associated with each other (r = 0.43-0.71), but not with neuropsychological performance. Most cytokines were elevated in cancer patients. Cognitive function was not associated with cytokines, sex hormones, clotting factors, CEA, or apolipoprotein E genotype. CONCLUSIONS The incidence of cognitive impairment was three to five times higher in CRC patients than HC, with women having higher impairment rates than men. The cognitive impairment profile suggests dysfunction primarily in fronto-subcortical brain systems. TRIAL REGISTRATION NCT00188331.
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Affiliation(s)
- J Vardy
- Sydney Medical School, University of Sydney, Sydney, Australia; Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada; Concord Cancer Centre, Concord Hospital, Concord, Australia.
| | - H M Dhillon
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - G R Pond
- Department of Oncology, McMaster University, Hamilton
| | - S B Rourke
- St Michael's Hospital, University of Toronto, Toronto; The Ontario HIV Treatment Network, Toronto
| | - W Xu
- Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada
| | - A Dodd
- Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada
| | - C Renton
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - A Park
- Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada
| | - T Bekele
- The Ontario HIV Treatment Network, Toronto
| | - J Ringash
- Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada
| | - H Zhang
- Keenan Research Centre for Biomedical Research, St Michael's Hospital, University of Toronto, Toronto
| | - R Burkes
- Mt Sinai Hospital, University of Toronto, Toronto, Canada
| | - S J Clarke
- Sydney Medical School, University of Sydney, Sydney, Australia
| | - I F Tannock
- Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada
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Perry L, Gunderson C, Walter A, Vesely S, Moore K, Park A. The effect of age on completion of prescribed chemoradiation among patients with cervix cancer. Gynecol Oncol 2014. [DOI: 10.1016/j.ygyno.2014.03.446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Wells S, Rozenblum R, Park A, Dunn M, Bates DW. Personal health records for patients with chronic disease: a major opportunity. Appl Clin Inform 2014; 5:416-29. [PMID: 25024758 DOI: 10.4338/aci-2014-01-ra-0002] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2014] [Accepted: 03/05/2014] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Personal health records (PHRs) connected to a physician's electronic health record system hold substantial promise for supporting and engaging patients with chronic disease. OBJECTIVES To explore how U.S. health care organizations are currently utilizing PHRs for chronic disease populations. METHODS A mixed methods study including semi-structured interviews and a questionnaire was conducted. A purposive sample was developed of health care organizations which were recognized as exemplars for PHRs and were high performers in national patient satisfaction surveys (H-CAHPS or CAHPS). Within each organization, participants were health IT leaders or those managing high-risk or chronic disease populations. RESULTS Interviews were conducted with 30 informants and completed questionnaires were received from 16 organizations (84% response rate). Most PHRs allowed patients to access health records and educational material, message their provider, renew prescriptions and request appointments. Patient generated data was increasingly being sought and combined with messaging, resulted in greater understanding of patient health and functioning outside of the clinic visit. However for chronic disease populations, there was little targeted involvement in PHR design and few tools to help interpret and manage their conditions beyond those offered for all. The PHR was largely uncoupled from high risk population management interventions and no clear framework for future PHR development emerged. CONCLUSION This technology is currently underutilized and represents a major opportunity given the potential benefits of patient engagement and shared decision making. A coherent patient-centric PHR design and evaluation strategy is required to realize its potential and maximize this natural hub for multidisciplinary care co-ordination.
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Affiliation(s)
- S Wells
- Section of Epidemiology and Biostatistics, School of Population Health, University of Auckland , Auckland, New Zealand ; Department of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School , Boston, Massachusetts
| | - R Rozenblum
- Department of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School , Boston, Massachusetts
| | - A Park
- Department of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School , Boston, Massachusetts
| | - M Dunn
- Department of Health Care Policy and Management, Harvard School of Public Health , Boston, Massachusetts
| | - D W Bates
- Department of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School , Boston, Massachusetts ; Department of Health Care Policy and Management, Harvard School of Public Health , Boston, Massachusetts
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Skillman JM, Venus MR, Nightingale P, Titley OG, Park A. Ligating perforators in abdominoplasty reduces the risk of seroma. Aesthetic Plast Surg 2014; 38:446-50. [PMID: 24488004 DOI: 10.1007/s00266-013-0267-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [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: 12/18/2012] [Accepted: 12/14/2013] [Indexed: 11/26/2022]
Abstract
BACKGROUND Seroma formation, a common complication of abdominoplasty, can cause patient discomfort and inconvenience. This study aimed to compare seroma rates after ligation and diathermy of large abdominal perforating vessels during abdominoplasty. METHODS Consecutive patients undergoing abdominoplasty with epigastric undermining between 2004 and 2011 were studied. Body mass index (BMI), age at operation, smoking history, preoperative weight loss, operative details, perioperative fluid infiltration, concomitant abdominal liposuction, ligation of perforators by clips, suture or diathermy, use of quilting sutures, weight of tissue removed, postoperative drainage, inpatient stay, and seroma rates were recorded. Statistical analysis was undertaken using the unpaired t test, Fisher's exact test, the Mann-Whitney U test, and Kendall's tau-b test. RESULTS The study included 90 patients. The incidence of seroma was significantly lower among the patients who had perforators ligated (4/60, 6.7%) than among those who had diathermy (10/30, 33%) (p=0.002, Fisher's exact test). Seroma formation was significantly associated with a higher BMI, (27.45 vs. 25.16 kg/m2; p=0.025, t test) but not with preoperative weight loss. Postoperative fluid drainage did not differ significantly between ligated and diathermied perforators (p=0.716 Mann-Whitney U test). CONCLUSIONS Use of ligation by clip or suture rather than by diathermy to ablate large abdominal perforators significantly reduced the incidence of seroma among abdominoplasty patients. LEVEL OF EVIDENCE IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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Affiliation(s)
- J M Skillman
- Plastic Surgery Department, University Hospitals Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Walsgrave, Coventry, CV2 2DX, UK,
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Doster J, Angle J, Stone J, Haskal Z, Park A, Wilkins L, Matsumoto A, Sabri S. Technique and tools needed for successful balloon-occluded retrograde transvenous obliteration (BRTO). J Vasc Interv Radiol 2014. [DOI: 10.1016/j.jvir.2013.12.427] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Hendricks N, Angle J, Stone J, Park A, Matsumoto A, Cherry K, Sabri S. Angiographic evaluation of high performance athletes with endofibrosis. J Vasc Interv Radiol 2014. [DOI: 10.1016/j.jvir.2013.12.511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Ezzell A, Sokol A, Gutman R, Iglesia C, Park A. Urethral Diverticulectomy and Urinary Incontinence. J Minim Invasive Gynecol 2014. [DOI: 10.1016/j.jmig.2013.12.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Doster J, Angle J, Sabri S, Haskal Z, Park A, Wilkins L, Matsumoto A, Stone J. Endovascular treatment options for a Dieulafoy’s lesion. J Vasc Interv Radiol 2014. [DOI: 10.1016/j.jvir.2013.12.470] [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: 11/15/2022] Open
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Mann GB, Pitcher M, Shanahan K, Storer L, Rio I, Bell B, Hookey S, Hickey M, Kennedy L, Curwen-Walker R, Vij S, Park A, Bell C. Abstract P3-08-04: Survivorship care involving a nurse-led survivorship consultation, community support and shared care with primary practitioners. Cancer Res 2013. [DOI: 10.1158/0008-5472.sabcs13-p3-08-04] [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: 11/16/2022]
Abstract
Abstract
Background
Survivorship care (SC) has gained prominence as the number of patients disease free after breast cancer treatment increases, the specific needs of those patients become recognised, and funding to meet these demands is constrained. Involvement of Primary Care Practitioners in SC is seen as a solution, but models of Shared Care have met varying degrees of success. We report on a model that involves Specialist centres, Primary Care Practitioners and organisations, and a community based patient support organisation.
Patients and Methods
A consortium comprising two hospital based breast services – the Royal Melbourne/Royal Women's and Western Hospitals – a regional consortium of Primary Care Physicians, and BreaCan, a non-government peer support organisation for women diagnosed with breast cancer, collaborated to obtain and implement a government-supported Survivorship Care Program. Patients completing definitive treatment for early breast cancer were invited to a Nurse-led consultation where the disease, its pathology, treatment and follow-up were reviewed. Psychosocial and other issues were explored and a personalised SC plan was devised and agreed upon. This plan included Shared Care with the Primary Care Practitioner in the majority of cases. Unmet needs were identified and addressed. The SC plan was signed off by a senior breast cancer clinician and forwarded to the primary care physician for ratification. Evaluation included satisfaction surveys and interviews with patients and primary care physicians. Intensity of use of hospital based services was calculated and compared to a previous cohort of early breast cancer patients.
Results
282 patients completing definitive treatment were offered Nurse-led survivorship consultation. 29 declined, and 28 cancelled. At 31 May 2013, 148 care plans were completed, 38 were in preparation and 39 appointments were booked. Response to this initiative from hospital based specialists was positive. All believed that this program would reduce the amount of routine consultations and increase capacity for new or returning patients requiring specialist care. Primary care doctors overwhelmingly believed the survivorship care plan contained information needed to allow them to manage breast cancer survivors, and gave them confidence to take on this role, although there was some uncertainty regarding role delineation between Primary Care and hospital. Patient evaluation of the Nurse-led clinics was strongly positive. All reported finding out something during the consultation, and 94% said they considered the hospital and GP to be partners in their on-going follow-up care. Modelling suggests that about 5 fewer hospital appointments will be required for each patient managed under this program compared to routine hospital-based care.
Conclusions
Hospital based specialists embrace Survivorship care including shared care and patients expect it, while Primary physicians will participate if offered education, support and specific direction. A model including an end-of –treatment consultation and Shared care with Primary Practitioners appears to address many of the requirements for a successful Survivorship program.
Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr P3-08-04.
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Affiliation(s)
- GB Mann
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - M Pitcher
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - K Shanahan
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - L Storer
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - I Rio
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - B Bell
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - S Hookey
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - M Hickey
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - L Kennedy
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - R Curwen-Walker
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - S Vij
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - A Park
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
| | - C Bell
- Royal Womens Hospital, Parkville, Victoria, Australia; Western Hospital, Sunshine, Victoria, Australia; The Royal Melbourne Hospital, Parkville, Victoria, Australia; BreaCan, Melbourne, Victoria, Australia
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EXPERIMENTAL THERAPEUTICS AND PHARMACOLOGY. Neuro Oncol 2013; 15:iii37-iii61. [PMCID: PMC3823891 DOI: 10.1093/neuonc/not176] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/21/2023] Open
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