1
|
Jr EMJ, Hall E, Marchant R, Horton B, Jin R, Mistro M, Walker B, Romano K. Impact of Lymphopenia on Definitive Treatment of Locally Advanced Cervical Cancer. Int J Radiat Oncol Biol Phys 2023; 117:e514-e515. [PMID: 37785607 DOI: 10.1016/j.ijrobp.2023.06.1775] [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: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Pre-treatment lymphopenia prior to initiating treatment has been correlated with reduced survival in a number of different cancers. The purpose of this study is to evaluate the association between lymphopenia and survival in women with locally advanced cervical cancer (LACC) treated with primary chemoradiation (CRT). MATERIALS/METHODS We retrospectively reviewed patients with LACC treated at a single institution from 2005 - 2021 with available lymphocyte information. Patient and treatment characteristics were recorded including age, tumor size and stage, EBRT dose/fractionation, and brachytherapy dosimetry data. Absolute lymphocyte counts (ALC) were collected prior to initiating CRT and at 3-month intervals following CRT and graded based on severity of lymphopenia using CTCAE v 5.0. Overall survival (OS), progression free survival (PFS), and local control (LC) were calculated from the start of treatment to date of last follow-up. Kaplan-Meier survival analysis was performed to evaluate whether lymphocyte changes were associated with OS, PFS, or LC. RESULTS A total of 124 patients met study inclusion criteria with stage IB - IV disease (41 stage I, 41 stage II, 36 stage III, 6 stage IV) and a median follow up of 3.6 years (range 0.2-16.5 years). The median age was 49 years (range 26-77). The median EBRT dose was 45 Gy (range: 26-57.5 Gy) and 44.2% of patients received para-aortic (PA) nodal EBRT (28.8% elective and 15.4% with positive PA nodes). 5-year OS, PFS, and LC were 60.3% (95% CI 51.5-70.7), 47.5% (95% CI 39-58), and 75.5% (95% CI 67.3-82.9), respectively. Pre-treatment lymphopenia (ALC <1000 cells/mm3) was present in 11 (9%) patients. When the total cohort was divided into patients with and without pre-treatment lymphopenia, OS was statistically improved in the patients without baseline lymphopenia, with a 5-year OS of 63.2% (95% CI 53.9-73.9) versus 35.3% (95% CI 14.5-86.3) in the lymphopenia group (p = 0.034). LC also trended to being improved in the patients without lymphopenia, though this did not reach statistical significance in our small sample size of lymphopenic patients, with 5-year LC of 76.8% (95% CI 68.4-84.3) versus 67.5% (05% CI 36.6-93.8), p = 0.45. CONCLUSION In this single institution experience of LACC treated with definitive CRT, we found that baseline lymphopenia is associated with inferior OS. Patients with higher pre-CRT ALC may represent a population with more robust immune systems, producing more favorable tumor responses to treatment. Additional studies are warranted to investigate the evolving role of combined EBRT and systemic therapy in LACC.
Collapse
Affiliation(s)
- E M Janowski Jr
- University of Virginia Department of Radiation Oncology, Charlottesville, VA
| | - E Hall
- University of Virginia, Charlottesville, VA
| | - R Marchant
- University of Virginia, Charlottesville, VA
| | - B Horton
- University of Virginia, Charlottesville, VA
| | - R Jin
- University of Virginia, Charlottesville, VA
| | - M Mistro
- University of Virginia Department of Radiation Oncology, Charlottesville, VA
| | | | - K Romano
- Department of Radiation Oncology, University of Virginia, Charlottesville, VA
| |
Collapse
|
2
|
Reddy K, Lee G, Reddy N, Chikowore T, Dong K, Walker B, Yu X, Lichterfeld M, Ndung'u T. PP 3.4 – 00079 HIV-1 clade C reservoir characteristics in early and chronic treated infection. J Virus Erad 2022. [DOI: 10.1016/j.jve.2022.100184] [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: 12/24/2022] Open
|
3
|
Walker B, Stoate C, Kendall N. Willow leaves as a cobalt supplement for weaned lambs. Livest Sci 2022. [DOI: 10.1016/j.livsci.2022.105047] [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: 10/15/2022]
|
4
|
Walker B, Eustace R, Junge RE, Hsu TC, Watson V. Soft tissue sarcomas in 2 zoo-housed Alaskan moose. J Vet Diagn Invest 2022; 34:662-667. [DOI: 10.1177/10406387221101853] [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] Open
Abstract
Soft tissue sarcomas (STSs) are common well-described cutaneous neoplasms in many domestic species. Few cutaneous neoplasms have been reported in cervids, other than papilloma virus–induced benign cutaneous fibromas (BCFs). Two wild-caught Alaskan moose ( Alces alces), housed at different North American zoos, were both presented with lameness and a mass. The gross appearance of each mass varied greatly; case 1 had a distinct, exophytic, ulcerated mass near the right carpal joint similar in appearance to a BCF, and case 2 had a pronounced swelling over the left hip. Based on histologic evaluation, both masses were diagnosed as STS. The clinical presentation of these masses included rapid growth and associated lameness; however, gross appearance was markedly different. Histopathology revealed characteristics typical of STS in other species, including spindle-shaped cells arranged in streaming sheets with ovoid nuclei. STS should be included as a differential diagnosis for moose with a cutaneous or subcutaneous soft tissue mass or swelling.
Collapse
Affiliation(s)
- Bridget Walker
- Michigan State University, College of Veterinary Medicine, East Lansing, MI, USA
| | | | | | - Tu Chun Hsu
- Comparative Biomedical Scientist Training Program, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Victoria Watson
- Michigan State University Veterinary Diagnostic Laboratory, Lansing, MI, USA
| |
Collapse
|
5
|
Walker B, Hand M, Chesnut C. Forehead Movement Discrepancies After Botulinum Toxin Injections: A Review of Etiology, Correction, and Prevention. Dermatol Surg 2022; 48:94-100. [PMID: 34537780 DOI: 10.1097/dss.0000000000003218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Forehead rhytides are a popular target for botulinum toxin injections, but neuromodulation of the frontalis can be fraught with complications because of its anatomic complexity and integral role in brow position and expressivity. OBJECTIVE This article explores common forehead movement discrepancies that can occur after neuromodulation of the frontalis, as well as how to correct and prevent them. METHODS A review of the literature was conducted and combined with clinical experience to examine underlying forehead anatomy, etiology and correction of forehead movement discrepancies, and important factors to consider before injecting the frontalis with botulinum toxin. RESULTS AND CONCLUSION Variable anatomy from person to person necessitates an individualized treatment approach to achieve the best cosmetic results and prevent the occurrence of forehead movement discrepancies.
Collapse
Affiliation(s)
- Bridget Walker
- Department of Dermatology, Geisinger Health System, Danville, Pennsylvania
| | - Matthew Hand
- University of Washington School of Medicine, Seattle, Washington
- Chesnut MD Cosmetic Surgery Fellowship, Spokane, Washington
| | - Cameron Chesnut
- University of Washington School of Medicine, Seattle, Washington
- Chesnut MD Cosmetic Surgery Fellowship, Spokane, Washington
| |
Collapse
|
6
|
Phan J, Walker B, Subbiah R. Inhibition of Ventricular Pacing due to Atrial Oversensing With an Integrated Bipolar Defibrillator Lead. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.170] [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]
|
7
|
Abstract
How can people achieve successful communication when using novel signs? Previous studies show that iconic signs (i.e. signs that directly resemble their referent) enhance communication success. In this paper, we test if enculturated signs (i.e. signs informed by interlocutors' shared culture) also enhance communication success. Children, who have spent less time in their linguistic community, have less cultural knowledge to inform their sign innovation. A natural prediction is that younger children's signs will be less enculturated, more diverse and less successful compared with older children and adults. We examined sign innovation in children aged between 6 and 12 years (N = 54) and adults (N = 18). Sign enculturation, diversity and iconicity were rated. As predicted, younger children innovated less enculturated and more diverse signs, and communicated less successfully than older children and adults. Sign enculturation and iconicity uniquely contributed to communication success. This is the first study to demonstrate that enculturated signs enhance communication.
Collapse
Affiliation(s)
- C.J. Lister
- School of Psychological Science, University of Western Australia, Crawley, WA6009, Australia
| | - B. Walker
- School of Psychological Science, University of Western Australia, Crawley, WA6009, Australia
| | - N. Fay
- School of Psychological Science, University of Western Australia, Crawley, WA6009, Australia
| |
Collapse
|
8
|
Sharpe H, Claveria-Gonzalez FC, Davidson W, Befus AD, Leung JP, Young E, Walker B. Adult Asthma Diagnosis: Physician Reported Challenges in Alberta-Based Primary Care Practices. SAGE Open Nurs 2020; 6:2377960820925984. [PMID: 33415281 PMCID: PMC7774341 DOI: 10.1177/2377960820925984] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Accepted: 04/18/2020] [Indexed: 11/18/2022] Open
Abstract
Introduction An estimated 8.1% of Canadians adults have asthma. While there are challenges
associated with the use of objective measurement of lung function in the
diagnosis of asthma, we are uncertain of the barriers that impact the use of
objective measures, and have limited understanding of the challenges
experienced by primary care providers in diagnosis of asthma. The objectives
of this quality improvement initiative were to identify primary care
providers’ methods of diagnosing asthma and to identify challenges with
diagnosis. Methods An online survey was disseminated using a snowball methodology. Setting Primary care practices in Alberta, Canada. Participants A total of 84 primary care providers completed the survey. Main Outcome Measures Participants were asked their ideal and
sufficient methods for diagnosing asthma and to
identify challenges in their practice related to asthma diagnosis. Results They identified full pulmonary function testing (54%), pre- and
postbronchodilator spirometry (54%), complete history and physical (42%),
peak flow measurement overtime (26%), pulmonary consult (26%), and trial of
asthma medication(s) (23%), as ideal methods of diagnosing asthma. The most
significant barriers to diagnosis included episodic care–care provided
typically during times of worsening symptoms without ongoing
preventative/maintenance care (55%), patient follow-up (44%), conflict
between clinical impression and pulmonary function results (43%), patient
already on asthma medications (43%), and interpreting spirometry/pulmonary
function results (39%). Conclusion The results of this survey indicate that the majority of primary care
providers would choose full pulmonary function testing or pre- and
postbronchodilator spirometry as the ideal methods of diagnosing asthma.
However, barriers related to the nature of asthma care, patient factors, and
challenges with diagnostic testing create challenges. This study also
highlights that primary care providers have adapted to challenges in
leveraging objective measurement and may rely upon other methods for
diagnosis such as trials of medications.
Collapse
Affiliation(s)
- H Sharpe
- Alberta Health Services.,Department of Medicine, University of Calgary
| | - F C Claveria-Gonzalez
- Human Neurophysiology Laboratory, Faculty of Physical Education and Recreation, & Faculty of Rehabilitation Medicine, University of Alberta
| | - W Davidson
- Division of Respiratory Medicine, University of British Columbia
| | - A D Befus
- Alberta Respiratory Centre, Division of Pulmonary Medicine, Department of Medicine, University of Alberta
| | - J P Leung
- Department of Family Medicine, University of Calgary
| | | | - B Walker
- Alberta Health Services.,Department of Medicine, University of Calgary
| | | |
Collapse
|
9
|
Stage SA, Cheney D, Walker B, LaRocque M. A Preliminary Discriminant and Convergent Validity Study of the Teacher Functional Behavioral Assessment Checklist. School Psychology Review 2019. [DOI: 10.1080/02796015.2002.12086143] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
10
|
Clayton K, Stuart H, Mylvaganam G, Villasmil Ocando A, Maus M, Walker B. HIV-infected macrophages evade NK cell-mediated killing while driving inflammation. J Virus Erad 2019. [DOI: 10.1016/s2055-6640(20)30166-7] [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
|
11
|
Funderburk K, Parmer S, Struempler B, Walker B, Hofer R. Formative Evaluation of a Social Marketing Campaign in Alabama Promoting Nutrition and Physical Activity to a Limited-Resource Audience. J Acad Nutr Diet 2019. [DOI: 10.1016/j.jand.2019.06.214] [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: 10/26/2022]
|
12
|
Baiyegunhi O, Mann J, Nkosi T, Pansegrou J, Dong K, Ndungu T, Walker B, Ndhlovu Z. High HIV viral burden persists in CXCR3+TFH despite very early cART initiation. J Virus Erad 2019. [DOI: 10.1016/s2055-6640(20)31059-1] [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
|
13
|
Herrera AM, Brand P, Cavada G, Koppmann A, Rivas M, Mackenney J, Sepúlveda H, Wevar ME, Cruzat L, Soto S, Pérez MA, León A, Contreras I, Alvarez C, Walker B, Flores C, Lezana V, Garrido C, Herrera ME, Rojas A, Andrades C, Chala E, Martínez RA, Vega M, Perillán JA, Seguel H, Przybyzsweski I. Treatment, outcomes and costs of asthma exacerbations in Chilean children: a prospective multicenter observational study. Allergol Immunopathol (Madr) 2019; 47:282-288. [PMID: 30595390 PMCID: PMC7125869 DOI: 10.1016/j.aller.2018.10.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Revised: 10/02/2018] [Accepted: 10/08/2018] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To describe potential regional variations in therapies for severe asthma exacerbations in Chilean children and estimate the associated health expenditures. METHODS Observational prospective cohort study in 14 hospitals over a one-year period. Children five years of age or older were eligible for inclusion. Days with oxygen supply and pharmacological treatments received were recorded from the clinical chart. A basic asthma hospitalization basket was defined in order to estimate the average hospitalization cost for a single patient. Six months after discharge, new visits to the Emergency Room (ER), use of systemic corticosteroids and adherence to the controller treatment were evaluated. RESULTS 396 patients were enrolled. Patients from the public health system and from the north zone received significantly more days of oxygen, systemic corticosteroids and antibiotics. Great heterogeneity in antibiotic use among the participating hospitals was found, from 0 to 92.3% (ICC 0.34, 95% CI 0.16-0.52). The use of aminophylline, magnesium sulfate and ketamine varied from 0 to 36.4% between the different Pediatric Intensive Care Units (ICC 0.353, 95% CI 0.010-0.608). The average cost per inpatient was of $1910 USD. 290 patients (73.2%) completed the follow-up six months after discharge. 76 patients (26.2%) were not receiving any controller treatment and nearly a fourth had new ER visits and use of systemic corticosteroids due to new asthma exacerbations. CONCLUSIONS Considerable practice variation in asthma exacerbations treatment was found among the participating hospitals, highlighting the poor outcome of many patients after hospital discharge, with an important health cost.
Collapse
Affiliation(s)
- A M Herrera
- Santa María Clinic, Santa María 500, Santiago, Zip Code 7520378 Región Metropolitana, Chile; School of Medicine, Los Andes University, Monseñor Alvaro del Portillo 12455, Santiago, Zip Code 7620001 Región Metropolitana, Chile.
| | - P Brand
- Isala Women's and Children's Hospital, Zwolle, The Netherlands
| | - G Cavada
- School of Medicine, Finis Terrae University, Av Providencia 1509, Santiago, Zip Code 7501015 Región Metropolitana, Chile
| | - A Koppmann
- San Borja Arriarán Hospital, Av Santa Rosa 1234, Santiago, Zip Code 8360160 Región Metropolitana, Chile; School of Medicine, University of Chile, Chile
| | - M Rivas
- San Borja Arriarán Hospital, Av Santa Rosa 1234, Santiago, Zip Code 8360160 Región Metropolitana, Chile
| | - J Mackenney
- Roberto del Río Hospital, Av Profesor Zañartu 1085, Santiago, Zip Code 8380418 Región Metropolitana, Chile; School of Medicine, University of Chile, Chile
| | - H Sepúlveda
- Luis Calvo Mackenna Hospital, Av Antonio Varas 360, Santiago, Zip Code 7500539 Región Metropolitana, Chile
| | - M E Wevar
- Luis Calvo Mackenna Hospital, Av Antonio Varas 360, Santiago, Zip Code 7500539 Región Metropolitana, Chile
| | - L Cruzat
- Luis Calvo Mackenna Hospital, Av Antonio Varas 360, Santiago, Zip Code 7500539 Región Metropolitana, Chile
| | - S Soto
- Concepción Regional Hospital, San Martín 1436, Concepción, Zip Code 4070038 Región del Bío Bío, Chile
| | - M A Pérez
- Santa María Clinic, Santa María 500, Santiago, Zip Code 7520378 Región Metropolitana, Chile
| | - A León
- Santa María Clinic, Santa María 500, Santiago, Zip Code 7520378 Región Metropolitana, Chile
| | - I Contreras
- Padre Hurtado Hospital, Esperanza 2150, Santiago, Zip Code 8880465 Región Metropolitana, Chile
| | - C Alvarez
- Alemana Clinic, Av Vitacura 5951, Santiago, Zip Code 7650568 Región Metropolitana, Chile; School of Medicine, Desarrollo University, Av Las Condes 12496, Santiago, Zip Code 7590943 Región Metropolitana, Chile
| | - B Walker
- Alemana Clinic, Av Vitacura 5951, Santiago, Zip Code 7650568 Región Metropolitana, Chile; School of Medicine, Desarrollo University, Av Las Condes 12496, Santiago, Zip Code 7590943 Región Metropolitana, Chile
| | - C Flores
- Ovalle Hospital, Ariztía Pte. 7, Ovalle, Zip Code 1842054 Región de Coquimbo, Chile
| | - V Lezana
- Gustavo Fricke Hospital, Av Alvarez 1532, Viña del Mar, Zip Code 2570017 Región de Valparaíso, Chile
| | - C Garrido
- Gustavo Fricke Hospital, Av Alvarez 1532, Viña del Mar, Zip Code 2570017 Región de Valparaíso, Chile
| | - M E Herrera
- José Joaquín Aguirre Hospital, Santos Dumont 999, Santiago, Zip Code 8380456 Región Metropolitana, Chile
| | - A Rojas
- José Joaquín Aguirre Hospital, Santos Dumont 999, Santiago, Zip Code 8380456 Región Metropolitana, Chile
| | - C Andrades
- Valdivia Hospital, Coronel Santiago Bueras y Avaria 1003, Valdivia, Zip Code 5090146 Región de los Ríos, Chile
| | - E Chala
- Fusat Hospital, Carretera el Cobre Presidente Frei Montalva 1002, Zip Code 2820945 Rancagua, VI Región, Chile; School of Medicine, Los Andes University, Monseñor Alvaro del Portillo 12455, Santiago, Zip Code 7620001 Región Metropolitana, Chile
| | - R A Martínez
- Fusat Hospital, Carretera el Cobre Presidente Frei Montalva 1002, Zip Code 2820945 Rancagua, VI Región, Chile
| | - M Vega
- Leonardo Guzmán Hospital, Veintiuno de Mayo 1310, Zip Code 1271847 Antofagasta, Región de Antofagasta, Chile
| | - J A Perillán
- San Juan De Dios Hospital, Huérfanos 3255, Zip Code 8350488 Santiago, Región Metropolitana, Chile; School of Medicine, University of Chile, Chile
| | - H Seguel
- San Juan De Dios Hospital, Huérfanos 3255, Zip Code 8350488 Santiago, Región Metropolitana, Chile
| | - I Przybyzsweski
- San Juan De Dios Hospital, Huérfanos 3255, Zip Code 8350488 Santiago, Región Metropolitana, Chile
| |
Collapse
|
14
|
Herrera A, Brand P, Cavada G, Koppmann A, Rivas M, Mackenney J, Sepúlveda H, Wevar M, Cruzat L, Soto S, Pérez M, León A, Contreras I, Alvarez C, Walker B, Flores C, Lezana V, Garrido C, Herrera M, Rojas A, Andrades C, Chala E, Martínez R, Vega M, Perillán J, Seguel H, Przybyzsweski I. Hospitalizations for asthma exacerbation in Chilean children: A multicenter observational study. Allergol Immunopathol (Madr) 2018; 46:533-538. [PMID: 29720350 DOI: 10.1016/j.aller.2018.02.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 02/06/2018] [Accepted: 02/22/2018] [Indexed: 11/24/2022]
Abstract
BACKGROUND Asthma hospitalization rates in Chilean children have increased in the last 14 years, but little is known about the factors associated with this. OBJECTIVE Describe clinical characteristics of children hospitalized for asthma exacerbation. METHODS Observational prospective cohort study in 14 hospitals. Over a one-year period, children five years of age or older hospitalized with asthma exacerbation were eligible for inclusion. Parents completed an online questionnaire with questions on demographic information, about asthma, indoor environmental contaminant exposure, comorbidities and beliefs about disease and treatment. Disease control was assessed by the Asthma Control Test. Inhalation technique was observed using a checklist. RESULTS 396 patients were enrolled. 168 children did not have an established diagnosis of asthma. Only 188 used at least one controller treatment at the time of hospitalization. 208 parents said they believed their child had asthma only when they had an exacerbation and 97 correctly identified inhaled corticosteroids as anti-inflammatory treatment. 342 patients used the wrong spacer and 73 correctly performed all steps of the checklist. CONCLUSIONS Almost half of the patients were not diagnosed with asthma at the time of hospitalization despite having a medical history suggestive of the disease. In the remaining patients with an established diagnosis of asthma potentially modifiable factors like bad adherence to treatment and poor inhalation technique were found. Implementing a nationwide asthma program including continued medical education for the correct diagnosis and follow up of these patients and asthma education for patients and caregivers is needed to reduce asthma hospitalization rates in Chilean children.
Collapse
|
15
|
Huang T, Walker B, Huang C, Arnett C. "Morphogenetic mapping” with time lapse imaging: a new concept to non-invasively assess blastocyst quality based on blastocyst expansion kinetics analysis in PGD-A cycles. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.1155] [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: 10/28/2022]
|
16
|
Affiliation(s)
- Randy Atkins
- Texas Tech University Health Sciences Center, Lubbock
| | | | | |
Collapse
|
17
|
Niel K, Mandrell B, Wise M, Walker B, Indelicato D, Merchant T, McLaughlin Crabtree V. 0845 Excessive Daytime Sleepiness Impacts QOL in Pediatric Craniopharyngioma. Sleep 2018. [DOI: 10.1093/sleep/zsy061.844] [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: 11/14/2022] Open
Affiliation(s)
- K Niel
- St. Jude Children’s Research Hospital, Memphis, TN
| | - B Mandrell
- St. Jude Children’s Research Hospital, Memphis, TN
| | - M Wise
- Methodist Le Bonheur Healthcare, Memphis, TN
| | - B Walker
- St. Jude Children’s Research Hospital, Memphis, TN
| | - D Indelicato
- University of Florida Proton Therapy Institute, Jacksonville, FL
| | - T Merchant
- St. Jude Children’s Research Hospital, Memphis, TN
| | | |
Collapse
|
18
|
Gounder K, Naidoo V, Padayachi N, Mthethwa Q, Dilernia D, Hunter E, Walker B, Ndung’u T. A20 Deep sequencing reveals viral evolution in GAG within protective HLA Alleles B*57: 02, B*58: 01, and B*7 supertype individuals acutely infected with HIV-1 subtype C in Durban, South Africa. Virus Evol 2018. [PMCID: PMC5905507 DOI: 10.1093/ve/vey010.019] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- K Gounder
- HIV Pathogenesis Programme, Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban 4013, South Africa
- KwaZulu-Natal Research Institute for Tuberculosis and HIV (K-RITH)
| | - V Naidoo
- HIV Pathogenesis Programme, Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban 4013, South Africa
- KwaZulu-Natal Research Institute for Tuberculosis and HIV (K-RITH)
| | - N Padayachi
- HIV Pathogenesis Programme, Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban 4013, South Africa
- KwaZulu-Natal Research Institute for Tuberculosis and HIV (K-RITH)
| | - Q Mthethwa
- HIV Pathogenesis Programme, Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban 4013, South Africa
- KwaZulu-Natal Research Institute for Tuberculosis and HIV (K-RITH)
| | - D Dilernia
- Emory Vaccine Center at Yerkes National Primate Research Center, Emory University, Atlanta, GA, USA
| | - E Hunter
- Emory Vaccine Center at Yerkes National Primate Research Center, Emory University, Atlanta, GA, USA
| | - B Walker
- HIV Pathogenesis Programme, Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban 4013, South Africa
- Ragon Institute of Massachusetts General Hospital, MIT and Harvard, Boston, Cambridge, MA, USA
| | - T Ndung’u
- HIV Pathogenesis Programme, Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban 4013, South Africa
- KwaZulu-Natal Research Institute for Tuberculosis and HIV (K-RITH)
| |
Collapse
|
19
|
Clayton K, Collins D, Lengieza J, Lieberman J, Walker B. Intrinsic resistance of HIV-infected macrophages to CTL-mediated killing drives immune activation. J Virus Erad 2017. [DOI: 10.1016/s2055-6640(20)30631-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
|
20
|
Garrod R, Harding S, Head J, Jepson A, Minowa-Astridge K, Walker B, Shannon H. Opportunities and challenges of using an action learning set to enhance leadership development: a pilot evaluative study. Physiotherapy 2017. [DOI: 10.1016/j.physio.2017.11.160] [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]
|
21
|
Kollipara R, Walker B, Sturgeon A. Lip Measurements and Preferences in Asians and Hispanics: A Brief Review. J Clin Aesthet Dermatol 2017; 10:19-21. [PMID: 29399256 PMCID: PMC5774906] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Objective: Most literature regarding lip augmentation refers to Caucasian anthropometric measurements, but ethnic differences affect facial dimensions and the evaluation of beauty. Specifically with regard to Asians and Hispanics, dermatology does not have much literature on the subject. This review investigates the differences in lip measurements and preferences of Asians and Hispanics compared with those of Caucasians. Design: A literature search of other fields, including plastic surgery, maxillofacial surgery, orthodontics, and forensic anthropology, was conducted, and relevant articles were selected that applied to the discussion of lip measurements and preferences in Asians and Hispanics. Results: Lip measurements do appear to differ between Asians, Hispanics, and Caucasians, and ethnic background appears to influence lip preferences. Conclusions: It is inappropriate to use Caucasian measurements and generalizations in lip preferences when determining what is "ideal" when aesthetically augmenting lips among Asians and Hispanics. Ultimately, it is important to take into account the goals, anatomy, and ethnic background of each individual patient before performing lip augmentation.
Collapse
Affiliation(s)
- Ramya Kollipara
- Dr. Kollipara is a dermatology resident, Ms. Walker is a student
- Dr. Sturgeon is Assistant Professor of Dermatology at Texas Tech University Health Sciences Center in Lubbock, Texas
| | - Bridget Walker
- Dr. Kollipara is a dermatology resident, Ms. Walker is a student
- Dr. Sturgeon is Assistant Professor of Dermatology at Texas Tech University Health Sciences Center in Lubbock, Texas
| | - Ashley Sturgeon
- Dr. Kollipara is a dermatology resident, Ms. Walker is a student
- Dr. Sturgeon is Assistant Professor of Dermatology at Texas Tech University Health Sciences Center in Lubbock, Texas
| |
Collapse
|
22
|
de Sousa Sena R, Ahmed S, Tan WC, Li PZ, Labonté L, Aaron SD, Benedetti A, Chapman KR, Walker B, Fitzgerald JM, Hernandez P, Maltais F, Marciniuk DD, O'Donnell DE, Sin DD, Bourbeau J. Work productivity loss in mild to moderate COPD: lessons learned from the CanCOLD study. Eur Respir J 2017; 50:50/3/1701154. [PMID: 28899939 DOI: 10.1183/13993003.01154-2017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Accepted: 06/16/2017] [Indexed: 11/05/2022]
Affiliation(s)
- Riany de Sousa Sena
- Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada.,University of Fortaleza, Fortaleza, Brazil
| | - Sara Ahmed
- Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada
| | - Wan C Tan
- University of British Columbia, Vancouver, BC, Canada
| | - Pei Z Li
- Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada
| | - Laura Labonté
- Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada
| | | | - Andrea Benedetti
- Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada
| | | | - B Walker
- University of Calgary, Calgary, AB, Canada
| | | | | | - François Maltais
- Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, QC, Canada
| | | | | | - Don D Sin
- University of British Columbia, Vancouver, BC, Canada
| | - Jean Bourbeau
- Respiratory Epidemiology and Clinical Research Unit, Research Institute of the McGill University Health Centre, McGill University, Montreal, QC, Canada
| | | |
Collapse
|
23
|
Witter T, Tzeng YC, O'Donnell T, Kusel J, Walker B, Berry M, Taylor CE. Inter-individual Relationships between Sympathetic Arterial Baroreflex Function and Cerebral Perfusion Control in Healthy Males. Front Neurosci 2017; 11:457. [PMID: 28860964 PMCID: PMC5559461 DOI: 10.3389/fnins.2017.00457] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Accepted: 07/28/2017] [Indexed: 12/29/2022] Open
Abstract
Maintenance of adequate cerebral perfusion during normal physiological challenges requires integration between cerebral blood flow (CBF) and systemic blood pressure control mechanisms. Previous studies have shown that cardiac baroreflex sensitivity (BRS) is inversely related to some measures of cerebral autoregulation. However, interactions between the sympathetic arterial baroreflex and cerebral perfusion control mechanisms have not been explored. To determine the nature and magnitude of these interactions we measured R–R interval, blood pressure, CBF velocity, and muscle sympathetic nerve activity (MSNA) in 11 healthy young males. Sympathetic BRS was estimated using modified Oxford method as the relationship between beat-to-beat diastolic blood pressure (DBP) and MSNA. Integrated control of CBF was quantified using transfer function analysis (TFA) metrics derived during rest and Tieck's autoregulatory index following bilateral thigh cuff deflation. Sympathetic BRS during modified Oxford trials was significantly related to autoregulatory index (r = 0.64, p = 0.03). Sympathetic BRS during spontaneous baseline was significantly related to transfer function gain (r = −0.74, p = 0.01). A more negative value for sympathetic BRS indicates more effective arterial baroreflex regulation, and a lower transfer function gain reflects greater cerebral autoregulation. Therefore, these findings indicate that males with attenuated CBF regulation have greater sympathetic BRS (and vice versa), consistent with compensatory interactions between blood pressure and cerebral perfusion control mechanisms.
Collapse
Affiliation(s)
- Trevor Witter
- Wellington Medical Technology Group, Centre for Translational Physiology, University of OtagoWellington, New Zealand
| | - Yu-Chieh Tzeng
- Wellington Medical Technology Group, Centre for Translational Physiology, University of OtagoWellington, New Zealand
| | - Terry O'Donnell
- Wellington Medical Technology Group, Centre for Translational Physiology, University of OtagoWellington, New Zealand
| | - Jessica Kusel
- Wellington Medical Technology Group, Centre for Translational Physiology, University of OtagoWellington, New Zealand
| | - Bridget Walker
- Wellington Medical Technology Group, Centre for Translational Physiology, University of OtagoWellington, New Zealand
| | - Mary Berry
- Wellington Medical Technology Group, Centre for Translational Physiology, University of OtagoWellington, New Zealand
| | - Chloe E Taylor
- School of Science and Health, Western Sydney UniversitySydney, NSW, Australia.,School of Medicine, Western Sydney UniversitySydney, NSW, Australia
| |
Collapse
|
24
|
Walker B, Flynn S, Johnson R. RELIABILITY AND VALIDITY OF HEALTH IN MOTION© FALLS SCREENING TOOL. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1359] [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)
- B. Walker
- University of Indianapolis, Indianapolis, Indiana
| | - S. Flynn
- Blue Marble Game Company, Los Angeles, California,
| | - R. Johnson
- Blue Marble Game Company, Los Angeles, California,
| |
Collapse
|
25
|
Karimi K, Faraklas I, Lewis G, Ha D, Walker B, Zhai Y, Graves G, Dissanaike S. Increased mortality in women: sex differences in burn outcomes. Burns Trauma 2017; 5:18. [PMID: 28589152 PMCID: PMC5457798 DOI: 10.1186/s41038-017-0083-y] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Accepted: 05/22/2017] [Indexed: 01/14/2023]
Abstract
Background There is increasing evidence that sex differences may influence responses after thermal injury and affect clinical outcomes. The objective of this study was to evaluate the relationships between sex, thermal injury, body size, and inpatient mortality in burn patients. Methods Medical records of adults with >20% total body surface area (TBSA) burn injury admitted to two American Burn Association (ABA)-verified burn centers between 2008 and 2014 were retrospectively reviewed. Injury details and baseline characteristics, including body size as estimated by body surface area (BSA) and body mass index (BMI) were recorded, along with details of the hospital course. The primary outcome of inpatient mortality was compared between sexes. Results Out of 334 subjects, 60 were women (18%). Median TBSA was 33% (IQR 25–49) in this cohort, with 19% full thickness burns and 30% inhalation injury. Despite no significant difference in age, presence of inhalation injury, TBSA, or depth of burn, women had significantly higher rates of inpatient mortality (45 vs. 29%, P = 0.01). BSA was significantly lower in women vs. men (P < 0.001), but this difference was not more pronounced among non-survivors. There was no difference in BMI between men and women non-survivors. Although not significant (P = 0.28), women succumbed to their injuries sooner than men (day 4 vs. 10 post-injury). Conclusions Women are less likely to survive burn injuries and die sooner than men with similar injuries. Body size does not appear to modulate this effect. Burn centers should be aware of the higher mortality risk in women with large burns.
Collapse
Affiliation(s)
- Karen Karimi
- Department of Surgery, Texas Tech University Health Sciences Center, 3601 4th Street MS 8312, Lubbock, TX 79430 USA
| | - Iris Faraklas
- Department of Surgery, University of Utah Health Sciences Center, 30 N 1900 East, Salt Lake City, UT 84132 USA
| | - Giavonni Lewis
- Department of Surgery, University of Utah Health Sciences Center, 30 N 1900 East, Salt Lake City, UT 84132 USA
| | - Daniel Ha
- Department of Surgery, Texas Tech University Health Sciences Center, 3601 4th Street MS 8312, Lubbock, TX 79430 USA
| | - Bridget Walker
- Department of Surgery, Texas Tech University Health Sciences Center, 3601 4th Street MS 8312, Lubbock, TX 79430 USA
| | - Yan Zhai
- Department of Surgery, University of Utah Health Sciences Center, 30 N 1900 East, Salt Lake City, UT 84132 USA
| | - Gareth Graves
- Department of Surgery, University of Utah Health Sciences Center, 30 N 1900 East, Salt Lake City, UT 84132 USA
| | - Sharmila Dissanaike
- Department of Surgery, Texas Tech University Health Sciences Center, 3601 4th Street MS 8312, Lubbock, TX 79430 USA
| |
Collapse
|
26
|
Robb C, Moffitt K, Ferguson T, McCafferty D, Downey D, Walker B. 217 An investigation into neutrophil elastase quantification using basic sputum processing techniques suitable for use in a clinical setting. J Cyst Fibros 2017. [DOI: 10.1016/s1569-1993(17)30562-3] [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: 10/19/2022]
|
27
|
Krishna R, Gheyas F, Liu Y, Hagen DR, Walker B, Chawla A, Cote J, Blaustein RO, Gutstein DE. Chronic Administration of Anacetrapib Is Associated With Accumulation in Adipose and Slow Elimination. Clin Pharmacol Ther 2017; 102:832-840. [DOI: 10.1002/cpt.700] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Revised: 03/14/2017] [Accepted: 03/28/2017] [Indexed: 11/07/2022]
Affiliation(s)
- R Krishna
- MRL, Merck & Co., Inc.; Kenilworth New Jersey
| | - F Gheyas
- MRL, Merck & Co., Inc.; Kenilworth New Jersey
| | - Y Liu
- MRL, Merck & Co., Inc.; Kenilworth New Jersey
| | - DR Hagen
- MRL, Merck & Co., Inc.; Kenilworth New Jersey
| | - B Walker
- MRL, Merck & Co., Inc.; Kenilworth New Jersey
| | - A Chawla
- MRL, Merck & Co., Inc.; Kenilworth New Jersey
| | - J Cote
- MRL, Merck & Co., Inc.; Kenilworth New Jersey
| | | | - DE Gutstein
- MRL, Merck & Co., Inc.; Kenilworth New Jersey
| |
Collapse
|
28
|
Niel K, Mandrell B, Wise M, Walker B, Indelicato D, Merchant T, Crabtree V. 0955 EXCESSIVE DAYTIME SLEEPINESS PERSISTS OVER TIME IN PEDIATRIC CRANIOPHARYNGIOMA. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.954] [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
|
29
|
Rahman MM, Walker B, Roy BC, McMullen L, Bruce HL. Effect of Carcass Management on Horse Meat Quality. Meat and Muscle Biology 2017. [DOI: 10.22175/rmc2017.081] [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: 11/03/2022] Open
|
30
|
Story PG, Walker B. A low-cost, do-it-yourself data-logging system to record animal activity in laboratory and small-enclosure experiments. Aust Mammalogy 2017. [DOI: 10.1071/am16001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
With the increasing cost of prepackaged research equipment and restrictions on research budgets, there is a growing need for inexpensive solutions for data collection in laboratory and small enclosures across a range of research topics investigating responses of animals to experimental parameters. We present here a low-cost, modular passive infrared sensor and data-logging system for use in experiments evaluating animal activity and behaviour, easily assembled in a laboratory setting. This system comprises accessible kit-based components purchased from popular electronics suppliers. We present the hardware configuration, software coding, build of materials, circuit diagram and a sample dataset demonstrating that the system collects reliable data that is easily downloaded either through any terminal program, directly from the unit or via an SD card. It is hoped that this ‘freeware’ approach to activity-monitoring equipment will enable laboratory and enclosure-based research to be undertaken more cost-effectively.
Collapse
|
31
|
Steier J, Cade N, Walker B, Moxham J, Jolley CJ. S23 Neural respiratory drive during sleep at high altitude. Thorax 2016. [DOI: 10.1136/thoraxjnl-2016-209333.29] [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: 11/04/2022]
|
32
|
Moorcraft S, Gonzalez De Castro D, Cunningham D, Walker B, Jones T, Peckitt C, Wilson SH, Wotherspoon A, Te Mendes LS, Begum R, Eltahir Z, Yuan L, Gillbanks A, Baratelli C, Valeri N, Gerlinger M, Braconi C, Chau I, Watkins D, Starling N. Investigating the feasibility of precision medicine in gastrointestinal cancers. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw371.30] [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: 11/14/2022] Open
|
33
|
Lee W, Tay A, Walker B, Subbiah R. Implantable Cardioverter Defibrillator Shock Reduction Programming Does not Reduce Likelihood of Cardiac Transplantation in Heart Failure Patients with Left Ventricular Assist Devices. Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.272] [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: 10/21/2022]
|
34
|
Robb C, Moffitt K, Ferguson T, Walker B, Elborn J. 45 Development of a novel ProteaseTag™ immunoassay for the detection and measurement of cathepsin G in adult cystic fibrosis patients. J Cyst Fibros 2016. [DOI: 10.1016/s1569-1993(16)30285-5] [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: 11/16/2022]
|
35
|
Walker B, Radtke J, Petry G, Swader R, Chen G, Eliceiri K, Mackie T. MO-AB-BRA-08: A Modular Multi-Source X-Ray Tube for Novel Computed Tomography Applications. Med Phys 2016. [DOI: 10.1118/1.4957160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
36
|
Beaver K, Williamson S, Sutton C, Hollingworth W, Gardner A, Allton B, Abdel-Aty M, Blackwood K, Burns S, Curwen D, Ghani R, Keating P, Murray S, Tomlinson A, Walker B, Willett M, Wood N, Martin-Hirsch P. Comparing hospital and telephone follow-up for patients treated for stage-I endometrial cancer (ENDCAT trial): a randomised, multicentre, non-inferiority trial. BJOG 2016; 124:150-160. [PMID: 27062690 DOI: 10.1111/1471-0528.14000] [Citation(s) in RCA: 64] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To evaluate the effectiveness of nurse-led telephone follow-up (TFU) for patients with stage-I endometrial cancer. DESIGN Multicentre, randomised, non-inferiority trial. SETTING Five centres in the North West of England. SAMPLE A cohort of 259 women treated for stage-I endometrial cancer attending hospital outpatient clinics for routine follow-up. METHODS Participants were randomly allocated to receive traditional hospital based follow-up (HFU) or nurse-led TFU. MAIN OUTCOME MEASURES Primary outcomes were psychological morbidity (State Trait Anxiety Inventory, STAI-S) and patient satisfaction with the information provided. Secondary outcomes included patient satisfaction with service, quality of life, and time to detection of recurrence. RESULTS The STAI-S scores post-randomisation were similar between groups [mean (SD): TFU 33.0 (11.0); HFU 35.5 (13.0)]. The estimated between-group difference in STAI-S was 0.7 (95% confidence interval, 95% CI -1.9 to 3.3); the confidence interval lies above the non-inferiority limit (-3.5), indicating the non-inferiority of TFU. There was no significant difference between groups in reported satisfaction with information (odds ratio, OR 0.9; 95% CI 0.4-2.1; P = 0.83). Women in the HFU group were more likely to report being kept waiting for their appointment (P = 0.001), that they did not need any information (P = 0.003), and were less likely to report that the nurse knew about their particular case and situation (P = 0.005). CONCLUSIONS The TFU provides an effective alternative to HFU for patients with stage-I endometrial cancer, with no reported physical or psychological detriment. Patient satisfaction with information was high, with similar levels between groups. TWEETABLE ABSTRACT ENDCAT trial shows effectiveness of nurse-led telephone follow-up for patients with stage-I endometrial cancer.
Collapse
Affiliation(s)
- K Beaver
- School of Health Sciences, University of Central Lancashire, Preston, UK
| | - S Williamson
- School of Health Sciences, University of Central Lancashire, Preston, UK
| | - C Sutton
- Lancashire Clinical Trials Unit, University of Central Lancashire, Preston, UK
| | - W Hollingworth
- School of Social and Community Medicine, University of Bristol, Bristol, UK
| | - A Gardner
- Women's Health Research Department, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK
| | - B Allton
- Department of Obstetrics & Gynaecology, University Hospitals of Morecambe Bay NHS Foundation Trust, Royal Lancaster Infirmary, Lancaster, UK
| | - M Abdel-Aty
- Gynaecology Department, East Lancashire Hospitals NHS Trust, Burnley General Hospital, Burnley, UK
| | - K Blackwood
- Women's Healthcare Unit, Wrightington, Wigan & Leigh NHS Foundation Trust, Hanover Diagnostic and Treatment Centre, Wigan, UK
| | - S Burns
- Women's Healthcare Unit, Wrightington, Wigan & Leigh NHS Foundation Trust, Hanover Diagnostic and Treatment Centre, Wigan, UK
| | - D Curwen
- Gynaecological Unit, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK
| | - R Ghani
- Department of Obstetrics & Gynaecology, University Hospitals of Morecambe Bay NHS Foundation Trust, Royal Lancaster Infirmary, Lancaster, UK
| | - P Keating
- Women's Health Directorate, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK
| | - S Murray
- Women's Health Directorate, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK
| | - A Tomlinson
- Corporate Cancer Team, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK
| | - B Walker
- Gynaecology Department, East Lancashire Hospitals NHS Trust, Burnley General Hospital, Burnley, UK
| | - M Willett
- Gynaecology Department, East Lancashire Hospitals NHS Trust, Burnley General Hospital, Burnley, UK
| | - N Wood
- Women's Health Directorate, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK
| | - P Martin-Hirsch
- Women's Health Directorate, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK
| |
Collapse
|
37
|
Massaly N, Ream A, Hipolito L, Wilson-Poe A, Walker B, Bruchas M, Moron-Concepcion J. (323) Kappa opioid receptors in the nucleus accumbens mediate pain-induced decrease in motivated behavior. The Journal of Pain 2016. [DOI: 10.1016/j.jpain.2016.01.230] [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] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
38
|
Gratwicke B, Ross H, Batista A, Chaves G, Crawford AJ, Elizondo L, Estrada A, Evans M, Garelle D, Guerrel J, Hertz A, Hughey M, Jaramillo CA, Klocke B, Mandica M, Medina D, Richards‐Zawacki CL, Ryan MJ, Sosa‐Bartuano A, Voyles J, Walker B, Woodhams DC, Ibáñez R. Evaluating the probability of avoiding disease‐related extinctions of Panamanian amphibians through captive breeding programs. Anim Conserv 2016. [DOI: 10.1111/acv.12249] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Affiliation(s)
- B. Gratwicke
- Center for Species Survival Smithsonian Conservation Biology Institute National Zoological Park Washington DC USA
| | - H. Ross
- Panama Amphibian Rescue and Conservation Project El Valle Amphibian Conservation Center Smithsonian Tropical Research Institute Panama Republic of Panama
| | - A. Batista
- Senckenberg Forschungsinstitut und Naturmuseum Frankfurt Frankfurt Germany
| | - G. Chaves
- Escuela de Biología Universidad de Costa Rica San José Costa Rica
| | - A. J. Crawford
- Department of Biological Sciences Universidad de los Andes Bogotá Colombia
- Smithsonian Tropical Research Institute Panama Republic of Panama
- Círculo Herpetológico de Panamá Panama Republic of Panama
| | - L. Elizondo
- Programa de Maestría en Ciencias Biológicas Universidad de Panamá Panama Republic of Panama
| | - A. Estrada
- Department of Biological Sciences Virginia Tech Blacksburg VA USA
| | - M. Evans
- Reptile Discovery Center Smithsonian's National Zoological Park Washington DC USA
| | - D. Garelle
- Cheyenne Mountain Zoo Colorado Springs CO USA
| | - J. Guerrel
- Panama Amphibian Rescue and Conservation Project Smithsonian Tropical Research Institute Panama Republic of Panama
| | - A. Hertz
- Senckenberg Forschungsinstitut und Naturmuseum Frankfurt Frankfurt Germany
- Institute for Ecology, Evolution and Diversity Biologicum Goethe‐University Frankfurt Germany
| | - M. Hughey
- Department of Biological Sciences Virginia Tech Blacksburg VA USA
| | - C. A. Jaramillo
- Smithsonian Tropical Research Institute Panama Republic of Panama
- Círculo Herpetológico de Panamá Panama Republic of Panama
- Departamento de Histología y Neuroanatomía Humana Facultad de Medicina Universidad de Panamá Panama Republic of Panama
- Biodiversity Consultant Group Panama Republic of Panama
| | - B. Klocke
- Department of Biology George Mason University Fairfax VA USA
| | - M. Mandica
- Department of Research and Conservation Atlanta Botanical Garden Atlanta GA USA
| | - D. Medina
- Department of Biological Sciences Virginia Tech Blacksburg VA USA
| | - C. L. Richards‐Zawacki
- Smithsonian Tropical Research Institute Panama Republic of Panama
- Department of Ecology and Evolutionary Biology Tulane University New Orleans LA USA
| | - M. J. Ryan
- Department of Biology and Museum of Southwestern Biology University of New Mexico Albuquerque NM USA
| | | | | | - B. Walker
- Biodiversity Consultant Group Panama Republic of Panama
| | - D. C. Woodhams
- Smithsonian Tropical Research Institute Panama Republic of Panama
- Department of Biology University of Massachusetts Boston Boston MA USA
| | - R. Ibáñez
- Círculo Herpetológico de Panamá Panama Republic of Panama
- Panama Amphibian Rescue and Conservation Project Smithsonian Tropical Research Institute Panama Republic of Panama
- Departamento de Zoología Universidad de Panamá Panama Republic of Panama
| |
Collapse
|
39
|
Walker B, Scott GD. Grazing Experiments at Ukiriguru, Tanzania: I. Comparisons of Rotational and Continuous Grazing Systems on Natural Pastures of Hardpan Soils. ACTA ACUST UNITED AC 2015. [DOI: 10.1080/00128325.1968.11662300] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- B. Walker
- Ministry of Agriculture and Co-operatives, Dar es Salaam, Tanzania
| | - G. D. Scott
- Ministry of Agriculture and Co-operatives, Dar es Salaam, Tanzania
| |
Collapse
|
40
|
Moffitt KL, Martin SL, Chalmers J, Walker B. P102 Development of a Novel Assay for the Detection of Active Neutrophil Elastase in Patients with Chronic Obstructive Pulmonary Disease. Thorax 2015. [DOI: 10.1136/thoraxjnl-2015-207770.239] [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: 11/04/2022]
|
41
|
Walker B, Schmid E, Russo A, Schmidt EM, Burk O, Münzer P, Velic A, Macek B, Schaller M, Schwab M, Seabra MC, Gawaz M, Lang F, Borst O. Impact of the serum- and glucocorticoid-inducible kinase 1 on platelet dense granule biogenesis and secretion. J Thromb Haemost 2015; 13:1325-34. [PMID: 25944668 DOI: 10.1111/jth.12998] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2014] [Indexed: 02/04/2023]
Abstract
BACKGROUND Platelet secretion is critical to development of acute thrombotic occlusion. Platelet dense granules contain a variety of important hemostatically active substances. Nevertheless, biogenesis of platelet granules is poorly understood. OBJECTIVES Serum- and glucocorticoid-inducible kinase 1 (SGK1) has been shown to be highly expressed in platelets and megakaryocytes, but its role in the regulation of platelet granule biogenesis and its impact on thrombosis has not been investigated so far. METHODS AND RESULTS Electron microscopy analysis of the platelet ultrastructure revealed a significant reduction in the number and packing of dense granules in platelets lacking SGK1 (sgk1(-/-) ). In sgk1(-/-) platelets serotonin content was significantly reduced and activation-dependent secretion of ATP, serotonin and CD63 significantly impaired. In vivo adhesion after carotis ligation was significantly decreased in platelets lacking SGK1 and occlusive thrombus formation after FeCl3 -induced vascular injury was significantly diminished in sgk1(-/-) mice. Transcript levels and protein abundance of dense granule biogenesis regulating GTPase Rab27b were significantly reduced in sgk1(-/-) platelets without affecting Rab27b mRNA stability. In MEG-01 cells transfection with constitutively active (S422) (D) SGK1 but not with inactive (K127) (N) SGK1 significantly enhanced Rab27b mRNA levels. Sgk1(-/-) megakaryocytes show significantly reduced expression of Rab27b and serotonin/CD63 levels compared with sgk1(+/+) megakaryocytes. Proteome analysis identified nine further vesicular transport proteins regulated by SGK1, which may have an impact on impaired platelet granule biogenesis in sgk1(-/-) platelets independent of Rab27b. CONCLUSIONS The present observations identify SGK1 as a novel powerful regulator of platelet dense granule biogenesis, platelet secretion and thrombus formation. SGK1 is at least partially effective because it regulates transcription of Rab27b in megakaryocytes.
Collapse
Affiliation(s)
- B Walker
- Department of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany
- Department of Physiology, University of Tübingen, Tübingen, Germany
| | - E Schmid
- Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital Tübingen, Tübingen, Germany
| | - A Russo
- Department of Physiology, University of Tübingen, Tübingen, Germany
| | - E-M Schmidt
- Department of Physiology, University of Tübingen, Tübingen, Germany
| | - O Burk
- Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany
| | - P Münzer
- Department of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany
- Department of Physiology, University of Tübingen, Tübingen, Germany
| | - A Velic
- Proteom Center Tübingen, University of Tübingen, Tübingen, Germany
| | - B Macek
- Proteom Center Tübingen, University of Tübingen, Tübingen, Germany
| | - M Schaller
- Department of Dermatology, University Hospital Tübingen, Tübingen, Germany
| | - M Schwab
- Margarete Fischer-Bosch Institute of Clinical Pharmacology, Stuttgart, Germany
- Department of Clinical Pharmacology, University Hospital, Tübingen, Germany
| | - M C Seabra
- Molecular Medicine, National Heart and Lung Institute, Imperial College London, London, UK
| | - M Gawaz
- Department of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany
| | - F Lang
- Department of Physiology, University of Tübingen, Tübingen, Germany
| | - O Borst
- Department of Cardiology and Cardiovascular Medicine, University of Tübingen, Tübingen, Germany
- Department of Physiology, University of Tübingen, Tübingen, Germany
| |
Collapse
|
42
|
Scheffer M, Barrett S, Carpenter SR, Folke C, Green AJ, Holmgren M, Hughes TP, Kosten S, van de Leemput IA, Nepstad DC, van Nes EH, Peeters ETHM, Walker B. Climate and conservation. Creating a safe operating space for iconic ecosystems. Science 2015; 347:1317-9. [PMID: 25792318 DOI: 10.1126/science.aaa3769] [Citation(s) in RCA: 92] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- M Scheffer
- Department of Aquatic Ecology and Water Quality Management, Wageningen University, NL-6700 AA Wageningen, Netherlands.
| | - S Barrett
- School of International and Public Affairs, Columbia University, New York, NY 10027, USA
| | - S R Carpenter
- Center for Limnology, University of Wisconsin, Madison, WI 53706, USA
| | - C Folke
- Beijer Institute of Ecological Economics, Royal Swedish Academy of Sciences, and the Stockholm Resilience Center, Stockholm University, SE104 05 Stockholm, Sweden
| | - A J Green
- Estación Biológica de Doñana, EBD-CSIC, 41092 Sevilla, Spain
| | - M Holmgren
- Resource Ecology Group, Wageningen University, NL-6700 AA Wageningen, Netherlands
| | - T P Hughes
- Australian Research Council Centre of Excellence for Coral Reef Studies, James Cook University, Townsville, QLD 4811, Australia
| | - S Kosten
- Aquatic Ecology and Environmental Biology, Radboud University Nijmegen, Institute of Water and Wetland Research, 6525 AJ Nijmegen,Netherlands
| | - I A van de Leemput
- Department of Aquatic Ecology and Water Quality Management, Wageningen University, NL-6700 AA Wageningen, Netherlands
| | - D C Nepstad
- Earth Innovation Institute, San Francisco, CA 94110, USA
| | - E H van Nes
- Department of Aquatic Ecology and Water Quality Management, Wageningen University, NL-6700 AA Wageningen, Netherlands
| | - E T H M Peeters
- Department of Aquatic Ecology and Water Quality Management, Wageningen University, NL-6700 AA Wageningen, Netherlands
| | - B Walker
- CSIRO Land and Water, Canberra, ACT 2601, Australia
| |
Collapse
|
43
|
Witter T, Taylor C, O'Donnell T, Kusel J, Allan P, Berry M, Walker B, Tzeng YC. Inter‐individual Relationships Between Sympathetic Arterial Baroreflex Function and Cerebral Perfusion Control in Healthy Males. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.833.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Trevor Witter
- Department of Surgery and AnaesthesiaUniversity of Otago Wellington WellingtonNew Zealand
| | - Chloe Taylor
- Sport and Exercise Science University of Western Sydney SydneySydneyAustralia
| | - Terry O'Donnell
- Department of Surgery and AnaesthesiaUniversity of Otago Wellington WellingtonNew Zealand
| | - Jessica Kusel
- Department of Surgery and AnaesthesiaUniversity of Otago Wellington WellingtonNew Zealand
| | - Philip Allan
- Department of Surgery and AnaesthesiaUniversity of Otago Wellington WellingtonNew Zealand
| | - Max Berry
- Department of Surgery and AnaesthesiaUniversity of Otago Wellington WellingtonNew Zealand
| | - Bridget Walker
- Department of Surgery and AnaesthesiaUniversity of Otago Wellington WellingtonNew Zealand
| | - Yu Chieh Tzeng
- Department of Surgery and AnaesthesiaUniversity of Otago Wellington WellingtonNew Zealand
| |
Collapse
|
44
|
Mangera Z, Gunasekera C, Kinley J, King J, Walker B, Cohen O, Dilworth P. P113 The Use Of Local Anaesthesia In Improving The Patient Experience Of Arterial Blood Gases: Students And Trainers Are Still Not Getting The Message. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.254] [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: 11/04/2022]
|
45
|
Mehra T, Schaller M, Walker B, Braunsdorf C, Mailänder-Sanchez D, Schynowski F, Hahn R, Röcken M, Köberle M, Borelli C. Efficacy of antifungal PACT in an in vitro
model of onychomycosis. J Eur Acad Dermatol Venereol 2014; 29:86-90. [DOI: 10.1111/jdv.12467] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2013] [Accepted: 02/15/2014] [Indexed: 11/30/2022]
Affiliation(s)
- T. Mehra
- Department of Dermatology; Eberhard-Karls-University; Tübingen Germany
- Ärztliche Direktion; Abteilung Medizincontrolling; UniversitätsSpital Zürich; Zürich Switzerland
| | - M. Schaller
- Department of Dermatology; Eberhard-Karls-University; Tübingen Germany
| | - B. Walker
- Department of Dermatology; Eberhard-Karls-University; Tübingen Germany
| | - C. Braunsdorf
- Department of Dermatology; Eberhard-Karls-University; Tübingen Germany
| | | | | | - R. Hahn
- Cumdente GmbH; Tübingen Germany
| | - M. Röcken
- Department of Dermatology; Eberhard-Karls-University; Tübingen Germany
| | - M. Köberle
- Department of Dermatology; Eberhard-Karls-University; Tübingen Germany
| | - C. Borelli
- Department of Dermatology; Eberhard-Karls-University; Tübingen Germany
| |
Collapse
|
46
|
Borst O, Muenzer P, Schmid E, Schmidt E, Russo A, Walker B, Elvers M, Kuro-O M, Lang F, Gawaz M. Impaired platelet Ca2+ signaling and thrombus formation due to excessive 1,25 (OH)2 vitamin D concentrations in klotho-deficient mice. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p4172] [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: 11/13/2022] Open
|
47
|
|
48
|
Cheruvu C, Huilgol R, Grabs A, Thorburn C, Kuchar D, Walker B, Subbiah R. Refractory long QT syndrome and the role of left cardiac sympathetic denervation. Intern Med J 2013; 43:458-61. [PMID: 23551311 DOI: 10.1111/imj.12090] [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] [Subscribe] [Scholar Register] [Received: 04/24/2012] [Accepted: 05/22/2012] [Indexed: 11/27/2022]
|
49
|
Abstract
Sweet's syndrome is a rare skin condition associated with both drug treatment and a number of different disease processes including haematological malignancies, inflammatory conditions and HIV infection. In this case report, we present a patient with HIV, haemophilia and hepatitis C who presented to our team with significant thrombocytopaenia and Sweet's syndrome. We discuss the difficulties with diagnosis and management in the context of multiple co-morbidities and suggest that both hepatitis C and HIV may have been aetiologically involved by suppressing platelet production and also causing bone marrow-driven neutrophilic disease.
Collapse
Affiliation(s)
- A M Deasy
- Centre for Immunology and Infection, Hull York Medical School, University of York, York, UK
| | | | | | | |
Collapse
|
50
|
Lee W, Tay A, Subbiah R, Walker B, Kuchar D, Muthiah K, Robson D, Hodkinson E, Macdonald P, Keogh A, Kotlyar E, Jabbour A, Spratt P, Granger E, Dhital K, Jansz P, Hayward C. Impact of Implantable Cardioverter Defibrillators on Survival of Patients with Centrifugal Left Ventricular Assist Devices. Heart Lung Circ 2013. [DOI: 10.1016/j.hlc.2013.05.188] [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]
|