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Williams JL, Roberts C, Harley R, Gruffydd-Jones TJ, Murray JK. Prevalence and risk factors for gingivitis in a cohort of UK companion cats aged up to 6 years. J Small Anim Pract 2024. [PMID: 38736278 DOI: 10.1111/jsap.13737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 03/06/2024] [Accepted: 03/27/2024] [Indexed: 05/14/2024]
Abstract
OBJECTIVES Prospectively collected data were used to estimate the prevalence of gingivitis in a cohort of companion cats aged up to 6 years and to investigate factors associated with the risk of gingivitis in cats aged 3 to 4 years. MATERIALS AND METHODS Data were obtained from a longitudinal study of domestic cats (the Bristol Cats Study), using owner-completed questionnaires and veterinary surgeon-completed oral health scores. Prevalence estimates of veterinary-reported gingivitis for cats aged up to 6 years old (n = 1534) were calculated for different age groups. Cat signalment, diet and dental care were assessed for association with gingivitis in cats aged 3 to 4 years (n = 317) using univariable and multiple logistic regression. RESULTS The prevalence of gingivitis increased with age and ranged from 24.5% (<12 months old) to 56.3% (5 to 6 years old). Odds of gingivitis in cats aged 3 to 4 years were higher in cats fed a wet only or mixed wet/dry diet compared to dry only (odds ratio: 2.7; 95% confidence interval: 1.4 to 5.1), cats not reported to hunt compared to reported hunters (odds ratio: 2.1; 95% confidence interval: 1.0 to 4.2), cats reported to dribble whilst being stroked at age 6 months compared to reported non-dribblers (odds ratio: 3.2; 95% confidence interval: 1.3 to 8.4) and cats with orange variants in their coat colour compared to non-orange cats (odds ratio: 2.3; 95% confidence interval: 1.0 to 5.3). CLINICAL SIGNIFICANCE These results will help veterinary surgeons identify cats that may be at a greater risk of gingivitis and provide an evidence base to inform dietary and oral healthcare recommendations aimed at promoting gingival health in cats.
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Affiliation(s)
- J L Williams
- Bristol Vet School, University of Bristol, Bristol, UK
| | - C Roberts
- Bristol Vet School, University of Bristol, Bristol, UK
| | - R Harley
- Bristol Vet School, University of Bristol, Bristol, UK
| | | | - J K Murray
- Bristol Vet School, University of Bristol, Bristol, UK
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Paterson C, Roberts C, Blackburn J, Jojo N, Northam HL, Wallis E, Hind A, Caulfield R, Barratt M, Toohey K, Kavanagh PS, Bacon R, Wilson RL. Understanding the needs and preferences for cancer care among First Nations people: An integrative review. J Adv Nurs 2024; 80:1776-1812. [PMID: 38018290 DOI: 10.1111/jan.15968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 10/23/2023] [Accepted: 11/07/2023] [Indexed: 11/30/2023]
Abstract
AIM This systematic review aimed to identify the needs and preferences for cancer care services among Australian First Nations people. DESIGN Integrative review. DATA SOURCES An integrative review was conducted. A wide range of search terms were used to increase the sensitivity and specificity of the searches in electronic databases. Methodological quality assessment, data extraction, was conducted independently by two reviewers, and a narrative synthesis was conducted. RESULTS Forty-two studies were included. A total of 2965 Australian First Nations adults, both men and women of various ages across the lifespan, were represented; no First Nations children affected by cancer were represented in the studies. Three themes emerged which included: (1) discrimination, racism and trauma, resulting from colonization, directly impacted First National people's cancer care experience; (2) cultural ways of knowing, being and doing are fundamental to how First Nations people engage with cancer care services; and (3) First Nations people need culturally safe person-centred cancer care services that address practical needs. CONCLUSION Most participants represented in this review experienced discrimination, racism and trauma, resulting from colonization, which directly negatively impacted Aboriginal peoples' cancer care experience. While the Optimal Cancer Pathway (OCP) was launched in Australia several years ago, people with cancer may continue to experience distressing unmet care needs. PATIENT OR PUBLIC CONTRIBUTION Our team includes both First Nations people, non-First Nations researchers and healthcare professionals with expertise in cancer care. The researchers employed decolonizing restorative approaches to ensure voice, respect, accountability and reciprocity in this review work. IMPLICATIONS FOR NURSING PRACTICE Members of the multidisciplinary team including nurses and policymakers should reflect on these findings, ensure that they have up-to-date cultural safety training and stand together with Indigenous and non-Indigenous cancer leaders to take proactive steps to stamp out and dismantle oppression in health, and safely implement the OCP.
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Affiliation(s)
- C Paterson
- Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia
- Central Adelaide Local Health Network, Adelaide, South Australia, Australia
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
- Robert Gordon University, Aberdeen, UK
| | - C Roberts
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - J Blackburn
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - N Jojo
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - H L Northam
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - E Wallis
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - A Hind
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - R Caulfield
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - M Barratt
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - K Toohey
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
- Faculty of Health, Southern Cross University, Gold Coast, Queensland, Australia
| | - P S Kavanagh
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
- Justice and Society, University of South Australia, Magill, South Australia, Australia
| | - R Bacon
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - R L Wilson
- School of Nursing and Midwifery, University of Newcastle, Gosford, New South Wales, Australia
- School of Nursing, Massey University, Palmerston North, New Zealand
- Descendent of the Wiradjuri Nation (First Nations Person), New South Wales, Australia
- Department of Nursing, RMIT University, Melbourne, Victoria, Australia
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Paterson C, Davis D, Roberts C, Bail K, Wallis E, Northam HL, Frost J, Jojo N, McGrory C, Dombkins A, Kavanagh PS. Sense of coherence moderates job demand-resources and impact on burnout among nurses and midwives in the context of the COVID-19 pandemic: A cross-sectional survey. J Adv Nurs 2024. [PMID: 38426656 DOI: 10.1111/jan.16125] [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: 10/20/2023] [Revised: 01/04/2024] [Accepted: 02/09/2024] [Indexed: 03/02/2024]
Abstract
AIM This study aimed to test the propositions using the job demands-resources (JD-R) model for main/moderation/mediation effects of a sense of coherence and practice environment support on mental well-being (anxiety, depression and burnout) outcomes in nurses and midwives in Australia during the COVID-19 pandemic. DESIGN Cross-sectional quantitative survey. DATA SOURCES The study was a cross-sectional design using self-report questionnaires reported as per the Reporting of Observational Studies in Epidemiology Guidelines. Following human research ethics approval (2020.ETH.00121) participants were recruited to take part in an online anonymous survey using self-report instruments to test the JD-R model in Australia. RESULTS 156 participant nurses and midwives experienced anxiety, depression and emotional burnout during COVID-19. While a considerable proportion of participants indicated high levels of emotional exhaustion, their responses showed low levels of depersonalization (detached response to other people) and high levels of personal accomplishment (high levels of work performance and competence). A sense of coherence was a significant protective factor for mental health well-being for the participants, which is to say, high levels of sense of coherence were predictive of lower levels of anxiety, depression and burnout in this study sample. CONCLUSION It is evident that both nursing and midwifery professions require psychosocial support to preserve their health both in the short and long term. Ensuring individualized tailored support will require a layered response within organizations aimed at individual self-care and collegial peer support. PATIENT OR PUBLIC CONTRIBUTION There was no patient or public contribution in this study, as the focus was on nurses and midwives.
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Affiliation(s)
- C Paterson
- Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia
- Central Adelaide Local Health Network, Adelaide, South Australia, Australia
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
- Robert Gordon University, Aberdeen, Scotland, UK
| | - D Davis
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
- ACT Health Directorate, Canberra, Australian Capital Territory, Australia
| | - C Roberts
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - K Bail
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
- ACT Health Directorate, Canberra, Australian Capital Territory, Australia
| | - E Wallis
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - H L Northam
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - J Frost
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
- Western Sydney University, Penrith South, New South Wales, Australia
| | - N Jojo
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
| | - C McGrory
- ACT Health Directorate, Canberra, Australian Capital Territory, Australia
| | - A Dombkins
- ACT Health Directorate, Canberra, Australian Capital Territory, Australia
| | - P S Kavanagh
- Faculty of Health, University of Canberra, Bruce, Australian Capital Territory, Australia
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Baldwin A, Dhorajiwala R, Roberts C, Dimitrova S, Tu S, Jones S, Ludlow RA, Cammarisano L, Davoli D, Andrews R, Kent NA, Spadafora ND, Müller CT, Rogers HJ. Storage of halved strawberry fruits affects aroma, phytochemical content and gene expression, and is affected by pre-harvest factors. Front Plant Sci 2023; 14:1165056. [PMID: 37324675 PMCID: PMC10264638 DOI: 10.3389/fpls.2023.1165056] [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] [Figures] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 05/02/2023] [Indexed: 06/17/2023]
Abstract
Introduction Strawberry fruit are highly valued for their aroma which develops during ripening. However, they have a short shelf-life. Low temperature storage is routinely used to extend shelf-life for transport and storage in the supply chain, however cold storage can also affect fruit aroma. Some fruit continue to ripen during chilled storage; however, strawberries are a non-climacteric fruit and hence ripening postharvest is limited. Although most strawberry fruit is sold whole, halved fruit is also used in ready to eat fresh fruit salads which are of increasing consumer demand and pose additional challenges to fresh fruit storage. Methods To better understand the effects of cold storage, volatilomic and transcriptomic analyses were applied to halved Fragaria x ananassa cv. Elsanta fruit stored at 4 or 8°C for up to 12 days over two growing seasons. Results and discussion The volatile organic compound (VOC) profile differed between 4 or 8°C on most days of storage. Major differences were detected between the two different years of harvest indicating that aroma change at harvest and during storage is highly dependent on environmental factors during growth. The major component of the aroma profile in both years was esters. Over 3000 genes changed in expression over 5 days of storage at 8°C in transcriptome analysis. Overall, phenylpropanoid metabolism, which may also affect VOCs, and starch metabolism were the most significantly affected pathways. Genes involved in autophagy were also differentially expressed. Expression of genes from 43 different transcription factor (TF) families changed in expression: mostly they were down-regulated but NAC and WRKY family genes were mainly up-regulated. Given the high ester representation amongst VOCs, the down-regulation of an alcohol acyl transferase (AAT) during storage is significant. A total of 113 differentially expressed genes were co-regulated with the AAT gene, including seven TFs. These may be potential AAT regulators.
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Affiliation(s)
- Ashley Baldwin
- School of Biosciences, Cardiff University, Cardiff, United Kingdom
| | | | - Callum Roberts
- School of Biosciences, Cardiff University, Cardiff, United Kingdom
| | - Simone Dimitrova
- School of Biosciences, Cardiff University, Cardiff, United Kingdom
| | - Sarah Tu
- School of Biosciences, Cardiff University, Cardiff, United Kingdom
| | - Stephanie Jones
- School of Biosciences, Cardiff University, Cardiff, United Kingdom
| | | | | | - Daniela Davoli
- School of Biosciences, Cardiff University, Cardiff, United Kingdom
| | - Robert Andrews
- School of Medicine, Cardiff University, Cardiff, United Kingdom
| | - Nicholas A. Kent
- School of Biosciences, Cardiff University, Cardiff, United Kingdom
| | - Natasha D. Spadafora
- School of Biosciences, Cardiff University, Cardiff, United Kingdom
- Department of Chemical, Pharmaceutical and Agricultural Sciences, University of Ferrara, Ferrara, Italy
| | | | - Hilary J. Rogers
- School of Biosciences, Cardiff University, Cardiff, United Kingdom
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Paterson C, Roberts C, Li J, Chapman M, Strickland K, Johnston N, Law E, Bacon R, Turner M, Mohanty I, Pranavan G, Toohey K. What are the experiences of supportive care in people affected by brain cancer and their informal caregivers: A qualitative systematic review. J Cancer Surviv 2023:10.1007/s11764-023-01401-5. [PMID: 37256499 DOI: 10.1007/s11764-023-01401-5] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 05/05/2023] [Indexed: 06/01/2023]
Abstract
PURPOSE To critically synthesise qualitative research to understand experiences of supportive care in people affected by brain cancer and their informal caregivers. METHODS A qualitative systematic review was conducted according to the Joanna Briggs methodology and has been reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Guidelines. Electronic databases were searched by an expert systematic review librarian for all qualitative studies irrespective of research design. All publications were double screened by two reviewers using a pre-determined exclusion and inclusion criteria. The review was managed using Covidence systematic review software. Methodological quality assessment and data extraction were performed. Qualitative findings accompanied by illustrative quotes from included studies were extracted and grouped into categories, which created the overall synthesised findings. RESULTS A total of 33 studies were included which represented a total sample of 671 participants inclusive of 303 patients and 368 informal caregivers. There was a total of 220 individual findings included in this review, which were synthesised into two findings (1) caregivers and patients perceived supports which would have been helpful and (2) caregiver and patient experiences of unmet supportive care needs. CONCLUSION This review highlighted the suffering and distress caused by brain cancer and associated treatments. Both patients and their informal caregivers experienced disconnect from themselves in renegotiating roles, and a profound sense of loneliness as the physical deterioration of the disease progressed. Both patients and informal caregivers reported similar unmet needs within the current service provision for brain cancer. However, what is apparent is that current cancer services are provided solely for patients, with little or no consideration to the support needs of both the patient and their informal caregiver. Service re-design is needed to improve care coordination with individualised informational support, implementation of holistic needs assessments for both the patients and their caregivers, better community support provision, improved opportunities for emotional care with early referral for palliative care services. IMPLICATIONS FOR CANCER SURVIVORS It is recommended that members of the multidisciplinary brain cancer team reflect on these findings to target holistic needs assessments and develop shared self-management care plans for both the patient and the informal caregiver.
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Affiliation(s)
- C Paterson
- Faculty of Health, University of Canberra, Bruce, Canberra, ACT, Australia.
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, Canberra, ACT, Australia.
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Canberra, ACT, Australia.
- Canberra Health Services and ACT Health, Garran, Canberra, Australia.
- Robert Gordon University, Aberdeen, Scotland, UK.
| | - C Roberts
- Faculty of Health, University of Canberra, Bruce, Canberra, ACT, Australia
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, Canberra, ACT, Australia
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Canberra, ACT, Australia
| | - J Li
- Canberra Health Services and ACT Health, Garran, Canberra, Australia
| | - M Chapman
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, Canberra, ACT, Australia
- Department of Palliative Care, Canberra Health Services, Garran, Canberra, Australia
- School of Medicine and Psychology, Australian National University, Canberra, Australia
| | - K Strickland
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Canberra, ACT, Australia
- School of Nursing & Midwifery, Edith Cowan University, Joondalup, WA, Australia
- School of Clinical Sciences, Faculty of Health and Environmental Sciences, AUT, Auckland, New Zealand
| | - N Johnston
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, Canberra, ACT, Australia
- School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Canberra, ACT, Australia
- Canberra Health Services and ACT Health, Garran, Canberra, Australia
| | - E Law
- Icon Cancer Centre, Canberra, Australia
| | - R Bacon
- Faculty of Health, University of Canberra, Bruce, Canberra, ACT, Australia
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, Canberra, ACT, Australia
| | - M Turner
- Faculty of Health, University of Canberra, Bruce, Canberra, ACT, Australia
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, Canberra, ACT, Australia
| | - I Mohanty
- Faculty of Health, University of Canberra, Bruce, Canberra, ACT, Australia
| | - G Pranavan
- Canberra Health Services and ACT Health, Garran, Canberra, Australia
| | - K Toohey
- Faculty of Health, University of Canberra, Bruce, Canberra, ACT, Australia
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, Canberra, ACT, Australia
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Rogers AD, Appeltans W, Assis J, Ballance LT, Cury P, Duarte C, Favoretto F, Hynes LA, Kumagai JA, Lovelock CE, Miloslavich P, Niamir A, Obura D, O'Leary BC, Ramirez-Llodra E, Reygondeau G, Roberts C, Sadovy Y, Steeds O, Sutton T, Tittensor DP, Velarde E, Woodall L, Aburto-Oropeza O. Discovering marine biodiversity in the 21st century. Adv Mar Biol 2022; 93:23-115. [PMID: 36435592 DOI: 10.1016/bs.amb.2022.09.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
We review the current knowledge of the biodiversity of the ocean as well as the levels of decline and threat for species and habitats. The lack of understanding of the distribution of life in the ocean is identified as a significant barrier to restoring its biodiversity and health. We explore why the science of taxonomy has failed to deliver knowledge of what species are present in the ocean, how they are distributed and how they are responding to global and regional to local anthropogenic pressures. This failure prevents nations from meeting their international commitments to conserve marine biodiversity with the results that investment in taxonomy has declined in many countries. We explore a range of new technologies and approaches for discovery of marine species and their detection and monitoring. These include: imaging methods, molecular approaches, active and passive acoustics, the use of interconnected databases and citizen science. Whilst no one method is suitable for discovering or detecting all groups of organisms many are complementary and have been combined to give a more complete picture of biodiversity in marine ecosystems. We conclude that integrated approaches represent the best way forwards for accelerating species discovery, description and biodiversity assessment. Examples of integrated taxonomic approaches are identified from terrestrial ecosystems. Such integrated taxonomic approaches require the adoption of cybertaxonomy approaches and will be boosted by new autonomous sampling platforms and development of machine-speed exchange of digital information between databases.
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Affiliation(s)
- Alex D Rogers
- REV Ocean, Lysaker, Norway; Nekton Foundation, Begbroke Science Park, Oxford, United Kingdom.
| | - Ward Appeltans
- Intergovernmental Oceanographic Commission of UNESCO, Oostende, Belgium
| | - Jorge Assis
- Centre of Marine Sciences, University of Algarve, Faro, Portugal
| | - Lisa T Ballance
- Marine Mammal Institute, Oregon State University, Newport, OR, United States
| | | | - Carlos Duarte
- King Abdullah University of Science and Technology (KAUST), Red Sea Research Center (RSRC) and Computational Bioscience Research Center (CBRC), Thuwal, Kingdom of Saudi Arabia
| | - Fabio Favoretto
- Autonomous University of Baja California Sur, La Paz, Baja California Sur, Mexico
| | - Lisa A Hynes
- Nekton Foundation, Begbroke Science Park, Oxford, United Kingdom
| | - Joy A Kumagai
- Senckenberg Biodiversity and Climate Research Institute, Frankfurt am Main, Germany
| | - Catherine E Lovelock
- School of Biological Sciences, The University of Queensland, St Lucia, QLD, Australia
| | - Patricia Miloslavich
- Scientific Committee on Oceanic Research (SCOR), College of Earth, Ocean and Environment, University of Delaware, Newark, DE, United States; Departamento de Estudios Ambientales, Universidad Simón Bolívar, Venezuela & Scientific Committee for Oceanic Research (SCOR), Newark, DE, United States
| | - Aidin Niamir
- Senckenberg Biodiversity and Climate Research Institute, Frankfurt am Main, Germany
| | | | - Bethan C O'Leary
- Centre for Ecology & Conservation, College of Life and Environmental Sciences, University of Exeter, Penryn, United Kingdom; Department of Environment and Geography, University of York, York, United Kingdom
| | - Eva Ramirez-Llodra
- REV Ocean, Lysaker, Norway; Nekton Foundation, Begbroke Science Park, Oxford, United Kingdom
| | - Gabriel Reygondeau
- Yale Center for Biodiversity Movement and Global Change, Yale University, New Haven, CT, United States; Nippon Foundation-Nereus Program, Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC, Canada
| | - Callum Roberts
- Centre for Ecology & Conservation, College of Life and Environmental Sciences, University of Exeter, Penryn, United Kingdom
| | - Yvonne Sadovy
- School of Biological Sciences, Swire Institute of Marine Science, The University of Hong Kong, Hong Kong
| | - Oliver Steeds
- Nekton Foundation, Begbroke Science Park, Oxford, United Kingdom
| | - Tracey Sutton
- Nova Southeastern University, Halmos College of Natural Sciences and Oceanography, Dania Beach, FL, United States
| | | | - Enriqueta Velarde
- Instituto de Ciencias Marinas y Pesquerías, Universidad Veracruzana, Veracruz, Mexico
| | - Lucy Woodall
- Nekton Foundation, Begbroke Science Park, Oxford, United Kingdom; Department of Zoology, University of Oxford, Oxford, United Kingdom
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Wright A, Amodie DM, Cernicchiaro N, Lascelles BDX, Pavlock AM, Roberts C, Bartram DJ. Identification of canine osteoarthritis using an owner-reported questionnaire and treatment monitoring using functional mobility tests. J Small Anim Pract 2022; 63:609-618. [PMID: 35385129 PMCID: PMC9543207 DOI: 10.1111/jsap.13500] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 02/10/2022] [Accepted: 03/11/2022] [Indexed: 12/14/2022]
Abstract
Objectives To investigate the diagnostic value of an owner‐completed canine osteoarthritis screening checklist to help identify previously undiagnosed osteoarthritis cases, and assess their response to carprofen treatment by monitoring pain and functional mobility. Materials and Methods Dogs (n=500) whose owners reported ≥1 positive response to the osteoarthritis checklist were examined to identify dogs with previously undiagnosed osteoarthritis. Eligible dogs (n=133) were evaluated for pain and video mobility analysis by Helsinki Chronic Pain Index and visual analogue scale scores, respectively, following carprofen treatment, administered for 30 days (n=95) or up to 120 days (n=38). Dogs were filmed at clinics performing activities (walking, jogging, sitting/lying, walking up and down stairs), and scored at days 0, 30 and 120 using visual analogue scale by an independent blinded expert. Results A diagnosis of osteoarthritis was confirmed by a veterinarian in 38% (188 of 500) of dogs. Balance of sensitivity and specificity across the original group of nine screening questions was optimised to approximately 88 and 71%, respectively, after elimination of three questions. Pain measured by Helsinki Chronic Pain Index and functional mobility improved over time in response to treatment with carprofen. Mean ability scores for activities significantly improved between days 0 and 30 for walking, jogging, sitting/lying and walking down stairs, and days 0 and 120 for sitting/lying and walking up stairs. Clinical Significance More osteoarthritis cases were identified in study dogs than previous prevalence estimates, indicating the screening checklist's potential to help identify for further evaluation cases that could otherwise remain undiagnosed. Improvements in function were demonstrated after carprofen treatment.
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Affiliation(s)
- A Wright
- Outcomes Research, Zoetis Inc., Parsippany, New Jersey, 07054, USA
| | - D M Amodie
- Outcomes Research, Zoetis Inc., Parsippany, New Jersey, 07054, USA
| | - N Cernicchiaro
- Center for Outcomes Research and Epidemiology, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas, 66506, USA
| | - B D X Lascelles
- Comparative Pain Research and Education Centre & Translational Research in Pain Program, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, 27606, USA
| | - A M Pavlock
- AMP Research Solutions, Parker Ford, Pennsylvania, 19457, USA
| | - C Roberts
- vHive, School of Veterinary Medicine, University of Surrey, Guildford, GU2 7AL, UK
| | - D J Bartram
- Outcomes Research, Zoetis Inc., Parsippany, New Jersey, 07054, USA
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Hunjan MK, Roberts C, Karim S, Hague J. Pityriasis rubra pilaris-like eruption following administration of the BNT163b2 (Pfizer-BioNTech) mRNA COVID-19 vaccine. Clin Exp Dermatol 2022; 47:188-190. [PMID: 34379821 PMCID: PMC8444918 DOI: 10.1111/ced.14878] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/09/2021] [Indexed: 11/30/2022]
Abstract
We describe a case of a pityriasis rubra pilaris (PRP)-like eruption occurring following administration of the Pfizer-Biontech mRNA COVID-19 vaccine, with worsening of the condition following the second dose. To our knowledge, this is the first reported case of a PRP-like eruption as a cutaneous adverse event of the Pfizer-Biontech mRNA COVID-19 vaccine.
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Affiliation(s)
- M. K. Hunjan
- Department of DermatologySolihull HospitalUniversity Hospitals Birmingham Foundation NHS TrustBirminghamUK
| | - C. Roberts
- Department of HistopathologySolihull HospitalUniversity Hospitals Birmingham Foundation NHS TrustBirminghamUK
| | - S. Karim
- Department of HistopathologySolihull HospitalUniversity Hospitals Birmingham Foundation NHS TrustBirminghamUK
| | - J. Hague
- Department of DermatologySolihull HospitalUniversity Hospitals Birmingham Foundation NHS TrustBirminghamUK
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9
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Sumaila UR, Skerritt DJ, Schuhbauer A, Villasante S, Cisneros-Montemayor AM, Sinan H, Burnside D, Abdallah PR, Abe K, Addo KA, Adelsheim J, Adewumi IJ, Adeyemo OK, Adger N, Adotey J, Advani S, Afrin Z, Aheto D, Akintola SL, Akpalu W, Alam L, Alava JJ, Allison EH, Amon DJ, Anderies JM, Anderson CM, Andrews E, Angelini R, Anna Z, Antweiler W, Arizi EK, Armitage D, Arthur RI, Asare N, Asche F, Asiedu B, Asuquo F, Badmus L, Bailey M, Ban N, Barbier EB, Barley S, Barnes C, Barrett S, Basurto X, Belhabib D, Bennett E, Bennett NJ, Benzaken D, Blasiak R, Bohorquez JJ, Bordehore C, Bornarel V, Boyd DR, Breitburg D, Brooks C, Brotz L, Campbell D, Cannon S, Cao L, Cardenas Campo JC, Carpenter S, Carpenter G, Carson RT, Carvalho AR, Castrejón M, Caveen AJ, Chabi MN, Chan KMA, Chapin FS, Charles T, Cheung W, Christensen V, Chuku EO, Church T, Clark C, Clarke TM, Cojocaru AL, Copeland B, Crawford B, Crépin AS, Crowder LB, Cury P, Cutting AN, Daily GC, Da-Rocha JM, Das A, de la Puente S, de Zeeuw A, Deikumah SKS, Deith M, Dewitte B, Doubleday N, Duarte CM, Dulvy NK, Eddy T, Efford M, Ehrlich PR, Elsler LG, Fakoya KA, Falaye AE, Fanzo J, Fitzsimmons C, Flaaten O, Florko KRN, Aviles MF, Folke C, Forrest A, Freeman P, Freire KMF, Froese R, Frölicher TL, Gallagher A, Garcon V, Gasalla MA, Gephart JA, Gibbons M, Gillespie K, Giron-Nava A, Gjerde K, Glaser S, Golden C, Gordon L, Govan H, Gryba R, Halpern BS, Hanich Q, Hara M, Harley CDG, Harper S, Harte M, Helm R, Hendrix C, Hicks CC, Hood L, Hoover C, Hopewell K, Horta E Costa BB, Houghton JDR, Iitembu JA, Isaacs M, Isahaku S, Ishimura G, Islam M, Issifu I, Jackson J, Jacquet J, Jensen OP, Ramon JJ, Jin X, Jonah A, Jouffray JB, Juniper SK, Jusoh S, Kadagi I, Kaeriyama M, Kaiser MJ, Kaiser BA, Kakujaha-Matundu O, Karuaihe ST, Karumba M, Kemmerly JD, Khan AS, Kimani P, Kleisner K, Knowlton N, Kotowicz D, Kurien J, Kwong LE, Lade S, Laffoley D, Lam ME, Lam VWL, Lange GM, Latif MT, Le Billon P, Le Brenne V, Le Manach F, Levin SA, Levin L, Limburg KE, List J, Lombard AT, Lopes PFM, Lotze HK, Mallory TG, Mangar RS, Marszalec D, Mattah P, Mayorga J, McAusland C, McCauley DJ, McLean J, McMullen K, Meere F, Mejaes A, Melnychuk M, Mendo J, Micheli F, Millage K, Miller D, Mohamed KS, Mohammed E, Mokhtar M, Morgan L, Muawanah U, Munro GR, Murray G, Mustafa S, Nayak P, Newell D, Nguyen T, Noack F, Nor AM, Nunoo FKE, Obura D, Okey T, Okyere I, Onyango P, Oostdijk M, Orlov P, Österblom H, Owens D, Owens T, Oyinlola M, Pacoureau N, Pakhomov E, Abrantes JP, Pascual U, Paulmier A, Pauly D, Pèlèbè ROE, Peñalosa D, Pennino MG, Peterson G, Pham TTT, Pinkerton E, Polasky S, Polunin NVC, Prah E, Ramírez J, Relano V, Reygondeau G, Robadue D, Roberts C, Rogers A, Roumbedakis K, Sala E, Scheffer M, Segerson K, Seijo JC, Seto KC, Shogren JF, Silver JJ, Singh G, Soszynski A, Splichalova DV, Spring M, Stage J, Stephenson F, Stewart BD, Sultan R, Suttle C, Tagliabue A, Tall A, Talloni-Álvarez N, Tavoni A, Taylor DRF, Teh LSL, Teh LCL, Thiebot JB, Thiele T, Thilsted SH, Thumbadoo RV, Tigchelaar M, Tol RSJ, Tortell P, Troell M, Uzmanoğlu MS, van Putten I, van Santen G, Villaseñor-Derbez JC, Wabnitz CCC, Walsh M, Walsh JP, Wambiji N, Weber EU, Westley F, Williams S, Wisz MS, Worm B, Xiao L, Yagi N, Yamazaki S, Yang H, Zeller D. WTO must ban harmful fisheries subsidies. Science 2021; 374:544. [PMID: 34709891 DOI: 10.1126/science.abm1680] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- U Rashid Sumaila
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,School of Public Policy and Global Affairs, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Daniel J Skerritt
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Anna Schuhbauer
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Sebastian Villasante
- Cross-Research in Environmental Technologies, Department of Applied Economics, University of Santiago de Compostela, Santiago de Compostela, 15782, Spain
| | | | - Hussain Sinan
- Marine Affairs Program, Dalhousie University, Halifax, NS, B3H 4R2, Canada
| | - Duncan Burnside
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Patrízia Raggi Abdallah
- Instituto de Ciências Econômicas, Administrativas e Contábeis, Universidade Federal do Rio Grande, Rio Grande, RS, Brazil
| | - Keita Abe
- Centre for Applied Research at Norwegian School of Economics, Bergen, Norway
| | - Kwasi A Addo
- Institute for Environment and Sanitation Studies, University of Ghana, Accra, Ghana
| | - Julia Adelsheim
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Ibukun J Adewumi
- Global Ocean Accounts Partnership, University of New South Wales, Sydney, NSW, Australia.,African Marine Environment Sustainability Initiative, Lagos, Nigeria
| | - Olanike K Adeyemo
- Fish and Wildlife Unit, Department of Veterinary Public Health & Preventive Medicine, University of Ibadan, Ibadan, Nigeria
| | - Neil Adger
- Department of Geography, College of Life and Environmental Sciences, University of Exeter, EX44RJ, UK
| | - Joshua Adotey
- Centre for Coastal Management, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana
| | - Sahir Advani
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Dakshin Foundation, Bengaluru, India
| | - Zahidah Afrin
- The World Maritime University-Sasakawa Global Ocean Institute, World Maritime University, Malmö, Sweden
| | - Denis Aheto
- Department of Fisheries and Aquatic Sciences, University of Cape Coast, Ghana
| | | | - Wisdom Akpalu
- School of Research and Graduate Studies, Ghana Institute of Management and Public Administration, Achimota-Accra, Ghana
| | - Lubna Alam
- Institute for Environment and Development, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Juan José Alava
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | | | | | - John M Anderies
- School of Human Evolution and Social Change, Arizona State University, Tempe, AZ 85287, USA.,School of Sustainability, Arizona State University, Tempe, AZ 85287, USA
| | - Christopher M Anderson
- School of Aquatic and Fishery Sciences, University of Washington, Seattle, WA 98195, USA
| | - Evan Andrews
- Ocean Frontier Institute, Memorial University of Newfoundland, St. John's, NL, A1B 3X5, Canada
| | - Ronaldo Angelini
- Civil Engineering Department, Federal University of Rio Grande do Norte, Campus Universitário Lagoa Nova, CP 1524, Natal/RN, Brazil
| | - Zuzy Anna
- Faculty of Fisheries and Marine Science, Universitas Padjadjaran, Bandung 40132, Indonesia.,SDGs Center, Universitas Padjadjaran, Bandung 40132, Indonesia
| | - Werner Antweiler
- Sauder School of Business, University of British Columbia, Vancouver, BC V6T 1Z2, Canada
| | - Evans K Arizi
- Centre for Coastal Management, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana.,Department of Fisheries and Aquatic Sciences, University of Cape Coast, Ghana
| | - Derek Armitage
- School of Environment, Resources and Sustainability, University of Waterloo, Waterloo, ON, Canada
| | - Robert I Arthur
- Woodhill Solutions, Glyneath House, Longtown, Herefordshire, UK
| | - Noble Asare
- Department of Fisheries and Aquatic Sciences, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana
| | - Frank Asche
- School of Forest, Fisheries, and Geomatics Sciences, University of Florida, Gainesville, FL 32603, USA.,Department of Industrial Economics, University of Stavanger, Stavanger, Norway
| | - Berchie Asiedu
- Department of Fisheries and Water Resources, School of Natural Resources, University of Energy and Natural Resources, Sunyani, Ghana
| | - Francis Asuquo
- Department of Oceanography, University of Calabar, Nigeria
| | - Lanre Badmus
- World Aquaculture Society, African Chapter West African Region, Ibadan, Nigeria
| | - Megan Bailey
- Marine Affairs Program, Dalhousie University, Halifax, NS, B3H 4R2, Canada
| | - Natalie Ban
- School of Environmental Studies, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Edward B Barbier
- Department of Economics, Colorado State University, Fort Collins, CO 80523-1771, USA
| | - Shanta Barley
- Minderoo Foundation, Broadway Nedlands, WA 6009, Australia
| | - Colin Barnes
- Centre for Environment, Energy and Natural Resource Governance, University of Cambridge, CB2 3QZ, UK
| | | | - Xavier Basurto
- Nicholas School of the Environment, Duke University, Beaufort, NC 28516, USA
| | | | - Elena Bennett
- Department of Natural Resource Sciences and Bieler School of Environment, McGill University, Montreal, QC H3A 0G4, Canada
| | - Nathan J Bennett
- The Peopled Seas Initiative, Vancouver, BC, Canada.,People and the Ocean Specialist Group, Commission on Environmental, Economic and Social Policy, International Union for Conservation of Nature, Gland, Switzerland
| | - Dominique Benzaken
- Australian National Centre for Ocean Resources and Security, Wollongong, NSW, Australia
| | - Robert Blasiak
- Stockholm Resilience Centre, Stockholm University, 10691, Stockholm, Sweden.,Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo, Japan
| | - John J Bohorquez
- School of Marine and Atmospheric Sciences, Stony Brook University, Stony Brook, NY 11794, USA
| | - Cesar Bordehore
- Department of Ecology, University of Alicante, 03690 Alicante, Spain
| | - Virginie Bornarel
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - David R Boyd
- School of Public Policy and Global Affairs, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | | | - Cassandra Brooks
- Environmental Studies, University of Colorado, Boulder, CO 80303-0397, USA
| | - Lucas Brotz
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Donovan Campbell
- Department of Geography and Geology, The University of the West Indies, Kingston, Jamaica
| | - Sara Cannon
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Department of Geography, University of British Columbia, Vancouver, BC, Canada
| | - Ling Cao
- School of Oceanography, Shanghai Jiao Tong University, Shanghai, China
| | | | - Steve Carpenter
- Center for Limnology, University of Wisconsin-Madison, Madison WI 53706, USA
| | | | - Richard T Carson
- Department of Economics, University of California, San Diego, La Jolla, CA 92093, USA
| | - Adriana R Carvalho
- Department of Ecology, Federal University of Rio Grande do Norte, Natal, 59078-970, Brazil
| | - Mauricio Castrejón
- Grupo de Investigación en Biodiversidad, Medio Ambiente y Salud, Universidad de Las Américas, Quito, Ecuador
| | - Alex J Caveen
- Biological and Marine Sciences, Hull University, Hull, HU6 7RX, UK
| | - M Nicole Chabi
- Hokkaido University, Institute for the Advancement of Higher Education, Hokkaido, Japan
| | - Kai M A Chan
- Institute for Resources, Environment, and Sustainability, The University of British Columbia, Vancouver, BC, Canada
| | - F Stuart Chapin
- Institute of Arctic Biology, University of Alaska, Fairbanks, AK 99775, USA
| | - Tony Charles
- School of the Environment, Saint Mary's University, Halifax, NS, B3H 3C3, Canada.,School of Business, Saint Mary's University, Halifax, NS, B3H 3C3, Canada
| | - William Cheung
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Villy Christensen
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Ernest O Chuku
- Centre for Coastal Management, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana
| | - Trevor Church
- Faculty of Land and Food Systems, University of British Columbia, Vancouver, BC, Canada
| | - Colin Clark
- Department of Mathematics, University of British Columbia, Vancouver, BC, Canada
| | - Tayler M Clarke
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Andreea L Cojocaru
- Department of Innovation, Management and Marketing, University of Stavanger Business School, University of Stavanger, 4036 Stavanger, Norway
| | - Brian Copeland
- Vancouver School of Economics, University of British Columbia, Vancouver, BC, Canada
| | - Brian Crawford
- Coastal Resources Center, Graduate School of Oceanography, University of Rhode Island, Narragansett, RI 02882, USA
| | - Anne-Sophie Crépin
- Stockholm Resilience Centre, Stockholm University, 10691, Stockholm, Sweden.,The Beijer Institute of Ecological Economics, The Royal Swedish Academy of Sciences, 10405, Stockholm, Sweden
| | - Larry B Crowder
- Hopkins Marine Station of Stanford University, Pacific Grove, CA 93950, USA
| | - Philippe Cury
- Institut de Recherche pour le Développement, Marseille, France
| | - Allison N Cutting
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Gretchen C Daily
- Natural Capital Project, Biology Department and Woods Institute for the Environment, Stanford University, Stanford, CA 94305, USA
| | - Jose Maria Da-Rocha
- Economics and Business Administration for Society, Universidade de Vigo, As Lagoas, Campus Universitario, 32004 Ourense, Spain.,Facultade de Ciencias Empresariais e Turismo, Universidade de Vigo, As Lagoas, Campus Universitario, 32004 Ourense, Spain
| | - Abhipsita Das
- Department of Applied Economics, Auburn University, College of Agriculture, Auburn, AL 36849, USA
| | - Santiago de la Puente
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Aart de Zeeuw
- Tilburg Sustainability Center and Department of Economics, Tilburg University, 5000 LE Tilburg, Netherlands
| | - Savior K S Deikumah
- Centre for Coastal Management, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana
| | - Mairin Deith
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Boris Dewitte
- Center for Advanced Studies in Arid Zones, Campus Andrés Bello Universidad de La Serena, La Serena, Chile
| | - Nancy Doubleday
- Faculty of Humanities, McMaster University, Hamilton, ON, Canada
| | - Carlos M Duarte
- Red Sea Research Centre and Computational Bioscience Research Center, King Abdullah University of Science and Technology, Thuwal 23955, Saudi Arabia.,Biological and Environmental Sciences and Engineering Division, King Abdullah University of Science and Technology, Thuwal, 23955, Saudi Arabia
| | - Nicholas K Dulvy
- Earth to Ocean Research Group, Department of Biological Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
| | - Tyler Eddy
- Fisheries & Marine Institute, Memorial University of Newfoundland, St. John's, NL, Canada
| | - Meaghan Efford
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Paul R Ehrlich
- Center for Conservation Biology, Department of Biology, Stanford University, Stanford, CA 94305, USA
| | - Laura G Elsler
- World Maritime University of the International Maritime Organization, a Specialized Agency of the United Nations, Malmö, Sweden
| | | | - A Eyiwunmi Falaye
- Department of Aquaculture and Fisheries Management, University of Ibadan, Ibadan, Nigeria
| | - Jessica Fanzo
- Berman Institute of Bioethics, Nitze School of Advanced International Studies, Baltimore, MD 21205, USA
| | - Clare Fitzsimmons
- School of Natural and Environmental Sciences, Newcastle University, Newcastle-upon-Tyne, UK
| | - Ola Flaaten
- The Norwegian College of Fishery Science, The Arctic University of Norway, Langnes, 9037, Tromsø, Norway
| | - Katie R N Florko
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Marta Flotats Aviles
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Carl Folke
- Stockholm Resilience Centre, Stockholm University, 10691, Stockholm, Sweden
| | | | - Peter Freeman
- Coastal Resources Center, Graduate School of Oceanography, University of Rhode Island, Narragansett, RI 02882, USA
| | - Kátia M F Freire
- Departamento de Engenharia de Pesca e Aquicultura, Universidade Federal de Sergipe, São Cristóvão, Sergipe, Brazil
| | - Rainer Froese
- Geomar-Helmholtz Centre for Ocean Research, 24105 Kiel, Germany
| | - Thomas L Frölicher
- Climate and Environmental Physics, Physics Institute, University of Bern, Bern, Switzerland.,Oeschger Centre for Climate Change Research, University of Bern, Bern, Switzerland
| | | | - Veronique Garcon
- Centre National de la Recherche Scientifique, Laboratory of Space Geophysical and Oceanographic Studies, Toulouse, France
| | - Maria A Gasalla
- University of Sao Paulo, Oceanographic Institute, Fisheries Ecosystems Laboratory, São Paulo, 05508-120, Brazil
| | - Jessica A Gephart
- Department of Environmental Science, American University, Washington, DC 20016, USA
| | - Mark Gibbons
- Biodiversity and Conservation Biology, University of the Western Cape, Belville, Western Cape, South Africa.,University of Western Cape, Cape Town, South Africa
| | - Kyle Gillespie
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Alfredo Giron-Nava
- Stanford Center for Ocean Solutions, Stanford University, Stanford, CA 94305, USA
| | - Kristina Gjerde
- IUCN Global Marine and Polar Programme, Cambridge, MA 02138, USA
| | - Sarah Glaser
- Secure Fisheries, a program of One Earth Future foundation, Broomfield, CO 80021, USA
| | - Christopher Golden
- Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA 02115, USA
| | - Line Gordon
- Global Resilience Partnership, Stockholm, Sweden
| | - Hugh Govan
- School of Government, Development and International Affairs, University of the South Pacific, Suva, Fiji
| | - Rowenna Gryba
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Department of Statistics, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Benjamin S Halpern
- Bren School of Environmental Science and Management, University of California, Santa Barbara, CA 93117, USA.,National Center for Ecological Analysis and Synthesis, Santa Barbara, CA 93101, USA
| | - Quentin Hanich
- Australian National Centre for Ocean Resources and Security, University of Wollongong, Wollongong, NSW 2522, Australia
| | - Mafaniso Hara
- Faculty of Economic and Management Sciences, University of the Western Cape, Bellville 7535, South Africa
| | - Christopher D G Harley
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Department of Zoology, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Sarah Harper
- School of Environmental Studies, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Michael Harte
- College of Earth, Ocean, and Atmospheric Sciences, Oregon State University, Corvallis, OR 97331, USA
| | - Rebecca Helm
- University of North Carolina, Asheville, NC 28804, USA.,Smithsonian Institution National Museum of Natural History, Washington, DC 20560, USA
| | - Cullen Hendrix
- Josef Korbel School of International Studies, University of Denver, Denver, CO 80208, USA.,Peterson Institute for International Economics, Washington, DC 20036, USA
| | - Christina C Hicks
- Lancaster Environment Centre, Lancaster University, Lancaster LA1 4YQ, UK
| | - Lincoln Hood
- Marine Futures Laboratory and Sea Around Us - Indian Ocean, School of Biological Sciences, University of Western Australia, Crawley, WA, Australia
| | - Carie Hoover
- Marine Affairs Program, Dalhousie University, Halifax, NS, B3H 4R2, Canada
| | - Kristen Hopewell
- School of Public Policy and Global Affairs, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Bárbara B Horta E Costa
- Center of Marine Sciences, University of Algarve, Campus de Gambelas, 8005-139 Faro, Portugal
| | - Jonathan D R Houghton
- School of Biological Sciences, Queen's University Belfast, Belfast, Co. Antrim, Northern Ireland
| | - Johannes A Iitembu
- Department of Fisheries and Ocean Sciences, Sam Nujoma Campus, University of Namibia, Henties Bay, Namibia
| | - Moenieba Isaacs
- Institute for Poverty, Land and Agrarian Studies, School of Government, Faculty of Economic and Management Sciences, University of the Western Cape, Cape Town, South Africa
| | - Sadique Isahaku
- General Education Academic and Career Pathway, Milwaukee Area Technical College, Milwaukee, WI 53233, USA
| | | | - Monirul Islam
- Department of Fisheries, University of Dhaka, Dhaka-1000, Bangladesh
| | - Ibrahim Issifu
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Jeremy Jackson
- Scripps Institution of Oceanography, University of California, San Diego, La Jolla, CA 92037, USA
| | | | - Olaf P Jensen
- Center for Limnology, University of Wisconsin-Madison, Madison, WI 53706, USA
| | | | - Xue Jin
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Ocean Development Research Institute, Major Research Base of Humanities and Social Sciences Ministry of Education, Ocean University of China, Qingdao 266100, China
| | - Alberta Jonah
- Centre for Coastal Management, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana
| | | | - S Kim Juniper
- School of Earth and Ocean Sciences University of Victoria, Victoria, BC V8W 2Y2, Canada.,Department of Biology, University of Victoria, Victoria, BC V8W 2Y2, Canada
| | - Sufian Jusoh
- Institute of Malaysian and International Studies, Universiti Kebangsaan, Malaysia
| | | | - Masahide Kaeriyama
- Hokkaido University, Institute for the Advancement of Higher Education, Hokkaido, Japan
| | - Michel J Kaiser
- The Lyell Centre, Institute of Life and Earth Sciences, Heriot-Watt University, Edinburgh, EH14 4AP, UK
| | - Brooks Alexandra Kaiser
- Department of Sociology, Environmental and Business Economics, University of Southern Denmark, Degnevej 14, 6705 Esbjerg, Denmark
| | | | - Selma T Karuaihe
- Department of Agricultural Economics, Extension and Rural Development, University of Pretoria, Hatfield, Pretoria 0028, South Africa
| | | | | | - Ahmed S Khan
- Department of Agriculture and Agro-Industry, Agribusiness Division, African Development Bank, Abidjan, Côte d'Ivoire
| | - Patrick Kimani
- Coastal and Marine Resource Development, Bamburi, Mombasa, Kenya
| | | | | | - Dawn Kotowicz
- Coastal Resources Center, Graduate School of Oceanography, University of Rhode Island, Narragansett, RI 02882, USA
| | | | - Lian E Kwong
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Department of Earth, Ocean, and Atmospheric Sciences, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Steven Lade
- Stockholm Resilience Centre, Stockholm University, 10691, Stockholm, Sweden.,Fenner School of Environment and Society, The Australian National University, Canberra, ACT, Australia
| | - Dan Laffoley
- International Union for Conservation of Nature, World Commission on Protected Areas, Gland, Switzerland
| | - Mimi E Lam
- Centre for the Study of the Sciences and the Humanities, University of Bergen, 5007 Bergen, Norway
| | - Vicky W L Lam
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | | | - Mohd T Latif
- Department of Environmental Science and Natural Resources, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Philippe Le Billon
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | | | | | - Simon A Levin
- Department of Ecology and Evolutionary Biology, Princeton University, NJ 08544, USA.,High Meadows Environmental Institute, Princeton University, NJ 08544, USA
| | - Lisa Levin
- Center for Marine Biodiversity and Conservation, Scripps Institution of Oceanography, University of California, San Diego, La Jolla, CA 92093, USA
| | - Karin E Limburg
- State University of New York College of Environmental Science and Forestry, Syracuse, NY 13210, USA
| | - John List
- The Kenneth C. Griffin Department of Economics, The University of Chicago, Chicago, IL 60637, USA
| | - Amanda T Lombard
- Institute for Coastal and Marine Research, Nelson Mandela University, Gqeberha, South Africa
| | - Priscila F M Lopes
- Department of Ecology, Universidade Federal do Rio Grande do Norte, Brazil
| | - Heike K Lotze
- Department of Biology, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Tabitha G Mallory
- China Ocean Institute, Seattle, WA 98122 USA.,University of Washington, Seattle, WA 98195, USA
| | - Roshni S Mangar
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Daniel Marszalec
- Department of Economics and Business, International Christian University, 3-10-2 Osawa, Mitaka-shi, Tokyo 181-8585, Japan
| | - Precious Mattah
- Centre for Coastal Management, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana
| | - Juan Mayorga
- Environmental Market Solutions Lab, University of California Santa Barbara, Santa Barbara, CA 93106-5131, USA.,National Geographic Society, Pristine Seas, Washington, DC 20036, USA
| | - Carol McAusland
- Department of Food and Resource Economics, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Douglas J McCauley
- Marine Science Institute, University of California Santa Barbara, Santa Barbara, CA 93106, USA
| | - Jeffrey McLean
- Global Health Graduate Programs, McMaster University, Hamilton, ON, Canada
| | - Karly McMullen
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Frank Meere
- Sustainable Fisheries Management, Calwell, ACT 2905, Australia
| | - Annie Mejaes
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Michael Melnychuk
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,School of Aquatic and Fishery Sciences, University of Washington, Seattle, WA 98105, USA
| | - Jaime Mendo
- Universidad Nacional Agraria La Molina, Lima, Peru
| | - Fiorenza Micheli
- Hopkins Marine Station, Pacific Grove, CA 93950, USA.,Stanford Center for Ocean Solutions, Pacific Grove, CA 94305, USA
| | - Katherine Millage
- Bren School of Environmental Science and Management, University of California, Santa Barbara, CA 93117, USA
| | | | | | | | - Mazlin Mokhtar
- Institute for Environment and Development, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | - Lance Morgan
- Marine Conservation Institute, Glen Ellen CA 95442, USA
| | - Umi Muawanah
- The Agency for Research and Human Development on Marine Affairs and Fisheries, Ministry of Marine Affairs and Fisheries, Indonesia
| | - Gordon R Munro
- Vancouver School of Economics, University of British Columbia, Vancouver, BC, Canada
| | - Grant Murray
- Nicholas School of the Environment, Duke University, Beaufort, NC 28516, USA
| | - Saleem Mustafa
- Institute for Environment and Development, Universiti Kebangsaan Malaysia, Bangi, Malaysia
| | | | - Dianne Newell
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Tu Nguyen
- Department of Applied Economics, Oregon State University, Corvallis, OR 97331, USA
| | - Frederik Noack
- Department of Food and Resource Economics, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Adibi M Nor
- International Institute of Public Policy and Management, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Francis K E Nunoo
- Department of Marine and Fisheries Sciences, University of Ghana, Legon, Accra, Ghana
| | - David Obura
- Coastal Oceans Research and Development - Indian Ocean (CORDIO) East Africa, Mombasa 80101, Kenya
| | - Tom Okey
- School of Environmental Studies, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Isaac Okyere
- Department of Fisheries and Aquatic Sciences, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana
| | - Paul Onyango
- University of Dar es Salaam, Department of Aquatic Sciences and Fisheries, Dar es Salaam, Tanzania
| | - Maartje Oostdijk
- World Maritime University of the International Maritime Organization, a Specialized Agency of the United Nations, Malmö, Sweden
| | - Polina Orlov
- Department of Earth, Ocean, and Atmospheric Sciences, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Henrik Österblom
- Stockholm Resilience Centre, Stockholm University, 10691, Stockholm, Sweden
| | - Dwight Owens
- Ocean Networks, Canada University of Victoria, Victoria, BC, Canada
| | - Tessa Owens
- School of International and Public Affairs, Columbia University, New York, NY 10027, USA.,The Earth Institute, Columbia University, New York, NY 10025, USA
| | - Mohammed Oyinlola
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Nathan Pacoureau
- Earth to Ocean Research Group, Department of Biological Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
| | - Evgeny Pakhomov
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Department of Earth, Ocean, and Atmospheric Sciences, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | | | | | - Aurélien Paulmier
- Laboratoire d'Etudes en Géophysique et Océanographie Spatiales, Université de Toulouse, Toulouse, France
| | - Daniel Pauly
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Rodrigue Orobiyi Edéya Pèlèbè
- Centre for Coastal Management, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana.,Research Laboratory in Aquaculture and Aquatic Ecotoxicology, Faculty of Agronomy, University of Parakou, Benin
| | | | - Maria G Pennino
- Instituto Español de Oceanografía, Centro Oceanográfico de Vigo, 36390 Vigo, Spain
| | - Garry Peterson
- Stockholm Resilience Centre, Stockholm University, 10691, Stockholm, Sweden
| | - Thuy T T Pham
- The Norwegian College of Fishery Science, The Arctic University of Norway, Langnes, 9037, Tromsø, Norway
| | - Evelyn Pinkerton
- School of Resource and Environmental Management, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
| | - Stephen Polasky
- Department of Applied Economics, University of Minnesota, St. Paul, MN 55108, USA
| | - Nicholas V C Polunin
- School of Natural and Environmental Sciences, Newcastle University, Newcastle-upon-Tyne, UK
| | - Ekow Prah
- Centre for Coastal Management, Africa Centre of Excellence in Coastal Resilience, University of Cape Coast, Cape Coast, Ghana
| | - Jorge Ramírez
- Charles Darwin Foundation, Puerto Ayora, Galápagos, Ecuador
| | - Veronica Relano
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Gabriel Reygondeau
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Don Robadue
- Coastal Resources Center, Graduate School of Oceanography, University of Rhode Island, Narragansett, RI 02882, USA
| | - Callum Roberts
- Centre for Ecology and Conservation, University of Exeter, Penryn, Cornwall, UK
| | | | - Katina Roumbedakis
- Cross-Research in Environmental Technologies, Department of Applied Economics, University of Santiago de Compostela, Santiago de Compostela, 15782, Spain
| | - Enric Sala
- National Geographic, Pristine Seas, Washington, DC 20036, USA
| | | | - Kathleen Segerson
- Department of Economics, University of Connecticut, Storrs, CT 06269, USA
| | - Juan Carlos Seijo
- School of Natural Resources, Universidad Marista de Mérida, Mérida, Yucatán, México
| | - Karen C Seto
- School of the Environment, Yale University, New Haven, CT 06511, USA
| | - Jason F Shogren
- Department of Economics, University of Wyoming, Laramie, WY 82071, USA
| | | | - Gerald Singh
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Department of Geography, Memorial University of Newfoundland, St. John's, NL A1B 3X5, Canada
| | - Ambre Soszynski
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Dacotah-Victoria Splichalova
- Institute for Resources, Environment, and Sustainability, The University of British Columbia, Vancouver, BC, Canada
| | | | - Jesper Stage
- Department of Social Sciences, Technology and Arts, Luleå University of Technology, 971 87 Luleå, Sweden
| | - Fabrice Stephenson
- National Institute of Water and Atmospheric Research, Hamilton, New Zealand
| | - Bryce D Stewart
- Department of Environment and Geography, University of York, York, YO10 5NG, UK
| | - Riad Sultan
- Department of Economics and Statistics, University of Mauritius, Reduit, Mauritius
| | - Curtis Suttle
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Department of Botany, University of British Columbia, Vancouver, BC, Canada
| | | | - Amadou Tall
- The Economic Community of West African States (ECOWAS), Wuse, Abuja, Nigeria
| | - Nicolás Talloni-Álvarez
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Alessandro Tavoni
- Department of Economics, Universita di Bologna, 40126 Bologna, Italy.,Grantham Research Institute on Climate Change and the Environment, London School of Economics, London WC2A 2AE, UK
| | - D R Fraser Taylor
- Geomatics and Cartographic Research Centre, Carleton University, Ottawa, ON, Canada
| | - Louise S L Teh
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Lydia C L Teh
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Jean-Baptiste Thiebot
- National Institute of Polar Research, 10-3, Midori-cho, Tachikawa, Tokyo 190-8518, Japan
| | - Torsten Thiele
- Institute for Advanced Sustainability Studies, Potsdam, Germany
| | | | - Romola V Thumbadoo
- Geography and Environmental Studies, Carleton University, Ottawa, ON K1S 5B6, Canada
| | | | - Richard S J Tol
- Department of Economics, University of Sussex, Falmer, Brighton, BN1 9SL, UK.,Institute for Environmental Studies and Department of Spatial Economics, Vrije Universiteit, Amsterdam, Netherlands
| | - Philippe Tortell
- Department of Earth, Ocean, and Atmospheric Sciences, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Max Troell
- The Beijer Institute of Ecological Economics, The Royal Swedish Academy of Sciences, 10405, Stockholm, Sweden
| | - M Selçuk Uzmanoğlu
- Department of Fisheries, Institute of Pure and Applied Sciences, Marmara University, İstanbul, Turkey
| | - Ingrid van Putten
- Commonwealth Scientific and Industrial Research Organisation, Oceans and Atmosphere, Hobart, Tasmania, Australia.,Centre for Marine Socioecology, University of Tasmania, Hobart, Tasmania, Australia
| | | | | | - Colette C C Wabnitz
- Institute for the Oceans and Fisheries, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.,Stanford Center for Ocean Solutions, Stanford University, Stanford, CA 94305, USA
| | - Melissa Walsh
- Marine Conservation Finance Consulting and Ocean Finance Initiative, Asian Development Bank, Metro Manila, Philippines
| | - J P Walsh
- Graduate School of Oceanography, The University of Rhode Island, Bay Campus, Narragansett, RI 02882, USA
| | - Nina Wambiji
- Kenya Marine and Fisheries Research Institute, Mombasa, Kenya
| | - Elke U Weber
- Andlinger Center for Energy and Environment, Princeton University, Princeton, NJ 08540, USA
| | | | | | - Mary S Wisz
- World Maritime University of the International Maritime Organization, a Specialized Agency of the United Nations, Malmö, Sweden
| | - Boris Worm
- Department of Biology, Dalhousie University, Halifax, NS B3H 4R2, Canada
| | - Lan Xiao
- Hokkaido University, Institute for the Advancement of Higher Education, Hokkaido, Japan
| | - Nobuyuki Yagi
- Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1 Yayoi Bunkyo-ku Tokyo, Japan
| | - Satoshi Yamazaki
- Tasmanian School of Business and Economics, University of Tasmania, Sandy Bay, TAS 7005, Australia
| | - Hong Yang
- Department of Geography and Environmental Science, University of Reading, UK, RG6 6AB, UK
| | - Dirk Zeller
- School of Biological Sciences & Oceans Institute, University of Western Australia, Crawley, WA 6009, Australia
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10
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Grorud-Colvert K, Sullivan-Stack J, Roberts C, Constant V, Horta E Costa B, Pike EP, Kingston N, Laffoley D, Sala E, Claudet J, Friedlander AM, Gill DA, Lester SE, Day JC, Gonçalves EJ, Ahmadia GN, Rand M, Villagomez A, Ban NC, Gurney GG, Spalding AK, Bennett NJ, Briggs J, Morgan LE, Moffitt R, Deguignet M, Pikitch EK, Darling ES, Jessen S, Hameed SO, Di Carlo G, Guidetti P, Harris JM, Torre J, Kizilkaya Z, Agardy T, Cury P, Shah NJ, Sack K, Cao L, Fernandez M, Lubchenco J. The MPA Guide: A framework to achieve global goals for the ocean. Science 2021; 373:eabf0861. [PMID: 34516798 DOI: 10.1126/science.abf0861] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- Kirsten Grorud-Colvert
- Department of Integrative Biology, Oregon State University, 3029 Cordley Hall, Corvallis, OR, USA.,Marine Conservation Institute, Seattle, WA 98103, USA
| | - Jenna Sullivan-Stack
- Department of Integrative Biology, Oregon State University, 3029 Cordley Hall, Corvallis, OR, USA
| | - Callum Roberts
- Department of Environment and Geography, University of York, York YO10 5DD, UK
| | - Vanessa Constant
- Department of Integrative Biology, Oregon State University, 3029 Cordley Hall, Corvallis, OR, USA
| | - Barbara Horta E Costa
- Center of Marine Sciences, CCMAR, University of Algarve, Campus de Gambelas, Faro, 8005-139, Portugal.,School of Marine and Atmospheric Sciences, Stony Brook University, Stony Brook, NY 11794, USA
| | - Elizabeth P Pike
- Marine Protection Atlas, Marine Conservation Institute, Seattle, WA, 98103-9090, USA.,Pew Bertarelli Ocean Legacy Project, The Pew Charitable Trusts, Washington, DC 20004-2008, USA
| | - Naomi Kingston
- Department of Integrative Biology, Oregon State University, 3029 Cordley Hall, Corvallis, OR, USA.,UN Environment Programme World Conservation Monitoring Centre, Cambridge, UK
| | - Dan Laffoley
- IUCN World Commission on Protected Areas, International Union for Conservation of Nature (IUCN), CH-1196 Gland, Switzerland.,School of Public Policy, Oregon State University, Corvallis, OR 97330, USA
| | - Enric Sala
- National Geographic Society, Washington, DC, USA.,Department of Geography, Florida State University, Tallahassee, FL 32306-2190, USA
| | - Joachim Claudet
- National Center for Scientific Research, PSL Université Paris, CRIOBE, USR 3278 CNRS-EPHE-UPVD, Maison des Océans, 75005 Paris, France.,Wildlife Conservation Society, 2300 Southern Blvd, Bronx, NY 10460, USA
| | - Alan M Friedlander
- Hawai'i Institute of Marine Biology, University of Hawaii, Kāne'ohe, HI 96744, USA.,Pristine Seas, National Geography Society, Washington, DC 20036, USA
| | - David A Gill
- Duke University Marine Laboratory, Nicholas School of the Environment, Duke University, Beaufort, NC 28516, USA
| | - Sarah E Lester
- Department of Integrative Biology, Oregon State University, 3029 Cordley Hall, Corvallis, OR, USA.,Department of Geography, Florida State University, Tallahassee, FL 32306-2190, USA
| | - Jon C Day
- ARC Centre of Excellence in Coral Reef Studies, James Cook University, Townsville QLD 4811, Australia
| | - Emanuel J Gonçalves
- Pristine Seas, National Geography Society, Washington, DC 20036, USA.,Duke University Marine Laboratory, Nicholas School of the Environment, Duke University, Beaufort, NC 28516, USA.,Marine and Environmental Sciences Centre (MARE), ISPA-Instituto Universitário, 1149-041 Lisbon, Portugal.,Oceano Azul Foundation, Oceanário de Lisboa, Esplanada D. Carlos I,1990-005 Lisbon, Portugal
| | - Gabby N Ahmadia
- Ocean Conservation, World Wildlife Fund, Washington, DC 20037, USA.,School of Environmental Studies, University of Victoria, Victoria, BC V8W 2Y2, Canada.,Australian Research Council Centre of Excellence for Coral Reef Studies, James Cook University, Townsville, Queensland 4811, Australia
| | - Matt Rand
- IUCN World Commission on Protected Areas, International Union for Conservation of Nature (IUCN), CH-1196 Gland, Switzerland.,Pew Bertarelli Ocean Legacy Project, The Pew Charitable Trusts, Washington, DC 20004-2008, USA
| | - Angelo Villagomez
- IUCN World Commission on Protected Areas, International Union for Conservation of Nature (IUCN), CH-1196 Gland, Switzerland.,Pew Bertarelli Ocean Legacy Project, The Pew Charitable Trusts, Washington, DC 20004-2008, USA
| | - Natalie C Ban
- UN Environment Programme World Conservation Monitoring Centre, Cambridge, UK.,School of Environmental Studies, University of Victoria, Victoria, BC V8W 2Y2, Canada
| | - Georgina G Gurney
- Australian Research Council Centre of Excellence for Coral Reef Studies, James Cook University, Townsville, Queensland 4811, Australia
| | - Ana K Spalding
- ARC Centre of Excellence in Coral Reef Studies, James Cook University, Townsville QLD 4811, Australia.,Marine and Environmental Sciences Centre (MARE), ISPA-Instituto Universitário, 1149-041 Lisbon, Portugal.,School of Public Policy, Oregon State University, Corvallis, OR 97330, USA.,Smithsonian Tropical Research Institute, Panama City, Panama; Coiba Scientific Station (Coiba AIP), Panama City, Panama.,Marine Conservation Institute, Seattle, WA 98103, USA
| | - Nathan J Bennett
- National Center for Scientific Research, PSL Université Paris, CRIOBE, USR 3278 CNRS-EPHE-UPVD, Maison des Océans, 75005 Paris, France.,The Peopled Seas Initiative, Vancouver, BC, Canada
| | - Johnny Briggs
- Pew Bertarelli Ocean Legacy Project, The Pew Charitable Trusts, Washington, DC 20004-2008, USA
| | | | - Russell Moffitt
- Marine Protection Atlas, Marine Conservation Institute, Seattle, WA, 98103-9090, USA.,Pew Bertarelli Ocean Legacy Project, The Pew Charitable Trusts, Washington, DC 20004-2008, USA
| | - Marine Deguignet
- UN Environment Programme World Conservation Monitoring Centre, Cambridge, UK
| | - Ellen K Pikitch
- National Geographic Society, Washington, DC, USA.,School of Marine and Atmospheric Sciences, Stony Brook University, Stony Brook, NY 11794, USA
| | - Emily S Darling
- School of Environmental Studies, University of Victoria, Victoria, BC V8W 2Y2, Canada.,Wildlife Conservation Society, 2300 Southern Blvd, Bronx, NY 10460, USA
| | - Sabine Jessen
- Marine Protection Atlas, Marine Conservation Institute, Seattle, WA, 98103-9090, USA.,National Ocean Program, Canadian Parks and Wilderness Society, Ottawa, ON K2P 0A4, Canada
| | - Sarah O Hameed
- The Peopled Seas Initiative, Vancouver, BC, Canada.,Blue Parks Program, Marine Conservation Institute, Seattle, WA 98103, USA
| | | | - Paolo Guidetti
- Department of Integrative Marine Ecology (EMI), Stazione Zoologica A. Dohrn-National Institute of Marine Biology, Ecology and Biotechnology, Villa Comunale, 80121 Naples, Italy.,National Research Council, Institute for the Study of Anthropic Impact and Sustainability in the Marine Environment (CNR-IAS), V16149 Genoa, Italy
| | - Jean M Harris
- Institute for Coastal and Marine Research (CMR), Nelson Mandela University, Gomeroy Avenue, Summerstrand, Port Elizabeth 6031, South Africa
| | - Jorge Torre
- Comunidad y Biodiversidad, A.C. Isla del Peruano 215, Col. Lomas de Miramar, Guaymas, Sonora, 85454, Mexico
| | - Zafer Kizilkaya
- Mediterranean Conservation Society, Bornova, Izmir 35100 Turkey
| | - Tundi Agardy
- Oceano Azul Foundation, Oceanário de Lisboa, Esplanada D. Carlos I,1990-005 Lisbon, Portugal.,Sound Seas, Colrain, MA 01340, USA
| | - Philippe Cury
- Center of Marine Sciences, CCMAR, University of Algarve, Campus de Gambelas, Faro, 8005-139, Portugal.,MARBEC, Montpellier University, CNRS, IRD, IFREMER, Sète, France
| | - Nirmal J Shah
- School of Public Policy, Oregon State University, Corvallis, OR 97330, USA.,Nature Seychelles, Centre for Environment and Education, Sanctuary at Roche Caiman, Mahe, Seychelles
| | - Karen Sack
- Ocean Conservation, World Wildlife Fund, Washington, DC 20037, USA.,Ocean Unite, Washington, DC 20007, USA
| | - Ling Cao
- School of Oceanography, Shanghai Jiao Tong University, Shanghai 230000, China
| | - Miriam Fernandez
- Smithsonian Tropical Research Institute, Panama City, Panama; Coiba Scientific Station (Coiba AIP), Panama City, Panama.,Estación Costera de Investigaciones Marinas de Las Cruces and Departmento de Ecología, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Jane Lubchenco
- Department of Integrative Biology, Oregon State University, 3029 Cordley Hall, Corvallis, OR, USA.,Marine Conservation Institute, Seattle, WA 98103, USA
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11
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Azeez N, Roberts C, Bradbury H. Stakeholders (trainees & tutors) views on the introduction of a workplace-based assessment tool within the pre-registration pharmacy training programme in a large teaching hospital: A qualitative triangulation study. International Journal of Pharmacy Practice 2021. [DOI: 10.1093/ijpp/riab015.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Introduction
Pre-registration pharmacy training in the UK is a competency-based programme1. Workplace-based assessment (WBA) tools are valid and reliable tools in assessing competency in the workplace,2 however no recognised WBA tools are used within pre-registration pharmacy training. Historically WBA have been used within healthcare training, including postgraduate pharmacy. A WBA tool was designed by amalgamating three recognised tools from postgraduate pharmacy training (case-based discussion, mini clinical examination and direct observed patient consultation), then piloted within the 2018/19 pre-registration pharmacy training year in a large teaching hospital.
Aim
To gather the views of pre-registration pharmacist trainees and tutors of their experiences of using the WBA tool in practice. From the views, to determine if the purposes of the tool had been met: allowing tutors to work directly with their trainee in the workplace and meet the GPhC performance standards1 that are more easily met through observation.
Methods
This research was carried out in a large teaching hospital in the North of England. The WBA tool which included a six-point Likert scale and comments boxes for feedback, was introduced to the stakeholders at the start of the 2018/19 training year in a training session. Data was collected 6 months after using the tool in practice. A triangulation method was used; a semi-structured interview with the pre-registration pharmacist manager and two focus groups were conducted, one with trainees (n=7) and one with tutors (n=5). Participants were recruited through an invitation email sent via a gatekeeper. The focus groups moderator set ground rules to ensure a safe space for discussion to reduce conflict. They also reduced possible bias by ensuring they were not a current tutor. Responses from the interview were used to support the design of the topic guide for the focus groups. Data was transcribed and thematic analysis was undertaken.
Results
Following thematic analysis, three global themes emerged: clarity of purpose of the tool, feedback to trainees and the WBA tool as an assessment. Overall, trainees found the WBA tool was the most valuable part of their training owing to the benefit of instant feedback. Tutors agreed the tool was valuable when directly observing their trainee in practice, supporting the initial aim of the tool. There were conflicting views on why the tool was introduced, therefore highlighting the importance of a good implementation strategy when making changes. Interestingly, the WBA tool was not perceived as an assessment by the majority of trainees, and the inclusion of the Likert scale on the tool was questioned, leading to possible changes being made for future use.
Conclusion
This is the first study that gathers stakeholders’ experiences of using a WBA tool within pre-registration pharmacy training within the UK. Overall, the WBA tool received positive responses from both trainees and tutors. With upcoming changes in foundation pharmacy training proposed, this study supports the use of a WBA tool as it allows for focused feedback which trainees’ value. Limitations include a small sample size and the WBA tool being piloted in one hospital.
References
1. GPhC. 2020. Pre-registration trainee. [Online]. Available from: https://www.pharmacyregulation.org/i-am-pre-registration-trainee
2. Norcini, J. and Burch, V. 2007. Workplace-based assessment as an educational tool: AMEE Guide No.31. Medical Teacher.29, pp. 855–871.
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Affiliation(s)
- N Azeez
- Medicines Management & Pharmacy Services, Leeds Teaching Hospitals NHS Trust, UK
| | - C Roberts
- Medicines Management & Pharmacy Services, Leeds Teaching Hospitals NHS Trust, UK
| | - H Bradbury
- School of Healthcare, University of Leeds, UK
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12
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Dardenne E, Padilla F, Rasmussen S, Yang S, Mentes A, Ogawa L, Fiorenza R, Trombino A, Smith S, Romashko D, Ishiyama N, Chevtsova M, Thakur S, Rosfjord E, Buck E, Roberts C, Lucas M, Lin TA. 35MO Discovery and characterization of selective, FGFR1-sparing, inhibitors of FGFR2/3 oncogenic mutations for the treatment of cancers. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.01.050] [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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13
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Roberts C, Wheatley-Price P, Asmis T, Barton G, Greene T. P39.03 Developing A Collaborative Northern Roadmap for Lung Cancer Care. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.803] [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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14
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Han YC, Ng P, Schulz R, Yang S, Lelo A, Ogawa L, O'Connor M, Ishiyama N, Jewett I, Romashko D, Salomatov A, Thakur S, Smith S, Buck E, Roberts C, Lucas M, Lin TA. 43P Pre-clinical evaluation of potent and orally bioavailable next-generation inhibitors targeting the family of mutants that drive oncogenic BRAF dimer formation. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.01.058] [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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15
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Roberts C, Kaplow J, Giroux M, Krause S, Kanekiyo M. Amyloid and APOE Status of Screened Subjects in the Elenbecestat MissionAD Phase 3 Program. J Prev Alzheimers Dis 2021; 8:218-223. [PMID: 33569570 DOI: 10.14283/jpad.2021.4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND/OBJECTIVES Elenbecestat, an oral BACE-1 inhibitor that has been shown to reduce Aβ levels in cerebrospinal fluid, was investigated in two global phase 3 studies in early AD. Here we report on differences observed in characteristics of APOE ε4 and amyloid positive subjects in the large screening cohort. DESIGN Screening was performed in 5 sequential tiers over a maximum of 80 days, as part of placebo controlled, double blind phase 3 studies. SETTING Subjects were evaluated at sites in 7 regions (29 countries). PARTICIPANTS Overall, 9758 subjects were screened. INTERVENTION All screened subjects that were eligible received either placebo or 50 mg QID elenbecestat post randomisation. MEASUREMENTS Gender, disease staging, APOE ε4 status, amyloid status, amyloid positron emission tomography (PET) standard uptake value ratio (SUVr) and amyloid PET Centiloid (CL) values were determined for screened subjects; by country and region. RESULTS In this program, 44% of subjects were APOE ε4 positive. Frequency of females was similar in both APOE ε4 positive and negative groups. However, early mild AD subjects were slightly higher in the APOE ε4 positive group compared with the APOE ε4 negative group. 56% of subjects were amyloid positive. The mean age in the amyloid positive group was slightly higher than the amyloid negative group. The gender distribution was similar between amyloid groups. A lower number of mild cognitive impairment was observed in the amyloid positive group along with a higher number of early mild AD. APOE ε4 positive subjects were higher in amyloid positive group compared to the amyloid negative group. China had the lowest APOE ε4 and amyloid positivity rates with Western Europe and Oceania performing best. Subjects received florbetapir, florbetaben or flutemetamol amyloid PET tracer. Amyloid negative and positive subjects CL values were normally distributed around their respective means of 1.5 CL and 83 CL. However, there was an appreciable overlap in the 20-40 CL range. CONCLUSIONS In this large cohort of cognitively impaired subjects, subject demographics characteristics were comparable regardless of APOE genotype or amyloid positivity. APOE ε4 positivity and amyloid positivity varied by country and by geographical region.
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Affiliation(s)
- C Roberts
- Claire Roberts, Eisai Ltd., Hatfield, UK, , Phone: +44 8456 761 590
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16
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Triant DA, Le Tourneau JJ, Diesh CM, Unni DR, Shamimuzzaman M, Walsh AT, Gardiner J, Goldkamp AK, Li Y, Nguyen HN, Roberts C, Zhao Z, Alexander LJ, Decker JE, Schnabel RD, Schroeder SG, Sonstegard TS, Taylor JF, Rivera RM, Hagen DE, Elsik CG. Using online tools at the Bovine Genome Database to manually annotate genes in the new reference genome. Anim Genet 2020; 51:675-682. [PMID: 32537769 PMCID: PMC7540445 DOI: 10.1111/age.12962] [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] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/11/2020] [Indexed: 12/16/2022]
Abstract
With the availability of a new highly contiguous Bos taurus reference genome assembly (ARS-UCD1.2), it is the opportune time to upgrade the bovine gene set by seeking input from researchers. Furthermore, advances in graphical genome annotation tools now make it possible for researchers to leverage sequence data generated with the latest technologies to collaboratively curate genes. For many years the Bovine Genome Database (BGD) has provided tools such as the Apollo genome annotation editor to support manual bovine gene curation. The goal of this paper is to explain the reasoning behind the decisions made in the manual gene curation process while providing examples using the existing BGD tools. We will describe the sources of gene annotation evidence provided at the BGD, including RNA-seq and Iso-Seq data. We will also explain how to interpret various data visualizations when curating gene models, and will demonstrate the value of manual gene annotation. The process described here can be applied to manual gene curation for other species with similar tools. With a better understanding of manual gene annotation, researchers will be encouraged to edit gene models and contribute to the enhancement of livestock gene sets.
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Affiliation(s)
- D. A. Triant
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
| | | | - C. M. Diesh
- Department of BioengineeringUniversity of California, BerkeleyBerkeleyCA94720USA
| | - D. R. Unni
- Division of Environmental Genomics and Systems BiologyLawrence Berkeley National LaboratoryBerkeleyCA94608USA
| | - M. Shamimuzzaman
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
| | - A. T. Walsh
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
| | - J. Gardiner
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
| | - A. K. Goldkamp
- Department of Animal and Food SciencesOklahoma State UniversityStillwaterOK74078USA
| | - Y. Li
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
| | - H. N. Nguyen
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
- MU Institute for Data Science and InformaticsUniversity of MissouriColumbiaMO65211USA
| | - C. Roberts
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
| | - Z. Zhao
- Division of Plant SciencesUniversity of MissouriColumbiaMO65211USA
| | - L. J. Alexander
- USDA‐ARS‐PA‐Livestock & Range Research LabMiles CityMT59301USA
| | - J. E. Decker
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
- MU Institute for Data Science and InformaticsUniversity of MissouriColumbiaMO65211USA
| | - R. D. Schnabel
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
- MU Institute for Data Science and InformaticsUniversity of MissouriColumbiaMO65211USA
| | - S. G. Schroeder
- USDA‐ARS Animal Genomics and Improvement LabBeltsvilleMD20705USA
| | | | - J. F. Taylor
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
| | - R. M. Rivera
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
| | - D. E. Hagen
- Department of Animal and Food SciencesOklahoma State UniversityStillwaterOK74078USA
| | - C. G. Elsik
- Division of Animal SciencesUniversity of MissouriColumbiaMO65211USA
- MU Institute for Data Science and InformaticsUniversity of MissouriColumbiaMO65211USA
- Division of Plant SciencesUniversity of MissouriColumbiaMO65211USA
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Paterson C, Roberts C, Toohey K, McKie A. Prostate Cancer Prehabilitation and the Importance of Multimodal Interventions for Person-centred Care and Recovery. Semin Oncol Nurs 2020; 36:151048. [PMID: 32709485 DOI: 10.1016/j.soncn.2020.151048] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [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] [Indexed: 12/11/2022]
Abstract
BACKGROUND Prostate cancer is the second most commonly diagnosed cancer globally. Cancer prehabilitation is defined as a process on the continuum of care that occurs between the time of a cancer diagnosis and the beginning of acute treatment. This article will discuss the importance of prostate cancer prehabilitation interventions in optimising physical and psychological recovery to enhance person-centred care. DATA SOURCES Electronic databases including CINAHL, MEDLINE, PsychINFO, Scopus, professional websites, and grey literature were searched using Google Scholar. CONCLUSION Prehabilitation in cancer care aims to enhance perioperative care and recovery. An emerging field of research suggests that the preoperative period may be physically and psychologically salient to introduce modifiable self-management behaviours to optimise overall recovery. IMPLICATIONS FOR NURSING PRACTICE Prostate cancer specialist nurses provide the hub of person-centred care across the entire cancer care continuum embedded within the multidisciplinary team. Individually tailored interventions such as exercise and pelvic floor muscle training programmes, nutritional advice, anxiety and depression reduction, and sexual well-being interventions should be considered in the prehabilitation phase of the cancer care continuum.
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Affiliation(s)
- C Paterson
- School of Nursing, Midwifery, and Public Health, University of Canberra, Canberra, ACT, Australia; ACT Health and the Canberra Health Services, Canberra ACT, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra ACT, Australia.
| | - C Roberts
- School of Nursing, Midwifery, and Public Health, University of Canberra, Canberra, ACT, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra ACT, Australia
| | - K Toohey
- ACT Health and the Canberra Health Services, Canberra ACT, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra ACT, Australia; Discipline of Sport and Exercise Science, Faculty of Health, University of Canberra, Canberra, ACT, Australia
| | - A McKie
- School of Nursing, Midwifery, and Public Health, University of Canberra, Canberra, ACT, Australia; School of Nursing, Queensland University of Technology, Brisbane, QLD, Australia
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18
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Paterson C, Kozlovskaia M, Turner M, Strickland K, Roberts C, Ogilvie R, Pranavan G, Craft P. Identifying the supportive care needs of men and women affected by chemotherapy-induced alopecia? A systematic review. J Cancer Surviv 2020; 15:14-28. [PMID: 32683651 DOI: 10.1007/s11764-020-00907-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [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: 04/11/2020] [Accepted: 06/14/2020] [Indexed: 02/07/2023]
Abstract
PURPOSE To systematically evaluate evidence regarding the unmet supportive care needs of men and women affected by chemotherapy-induced alopecia (CIA) to inform clinical practice guidelines. METHODS We performed a review of CINAHL, MEDLINE, PsychINFO, Scopus, the Cochrane Library (CCRT and CDSR) controlled trial databases and clinicaltrials.gov from January 1990 to June 2019 according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Twenty-seven publications were selected for inclusion in this analysis. RESULTS Included reports used qualitative (ten) and quantitative (17) studies. Across these studies men and women reported the major impact that CIA had on their psychological well-being, quality of life and body image. Hair loss had a negative impact irrespective of gender, which resulted in feelings of vulnerability and visibility of being a "cancer patient". Men and women described negative feelings, often similar, related to CIA with a range of unmet supportive care needs. CONCLUSIONS Some patients are not well-prepared for alopecia due to a lack of information and resources to reduce the psychological burden associated with CIA. Hair loss will affect each patient and their family differently, therefore, intervention and support must be tailored at an individual level of need to optimise psychological and physical well-being and recovery. IMPLICATIONS FOR CANCER SURVIVORS People affected by CIA may experience a range of unmet supportive care needs, and oncology doctors and nurses are urged to use these findings in their everyday consultations to ensure effective, person-centred care and timely intervention to minimise the sequalae associated with CIA.
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Affiliation(s)
- C Paterson
- Faculty of Health, School of Nursing, Midwifery & Public Health, University of Canberra ACT, Canberra, 2601, Australia.
- Australian Capital Territory (ACT) Health & Canberra Health Services, Canberra, Australia.
- SYNERGY Nursing & Midwifery, Research Centre, ACT Health Directorate, Canberra Hospital, Canberra, Australia.
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra, ACT, Australia.
- Robert Gordon University, Aberdeen, Scotland.
| | - M Kozlovskaia
- Faculty of Health, School of Nursing, Midwifery & Public Health, University of Canberra ACT, Canberra, 2601, Australia
- SYNERGY Nursing & Midwifery, Research Centre, ACT Health Directorate, Canberra Hospital, Canberra, Australia
| | - M Turner
- Faculty of Health, School of Nursing, Midwifery & Public Health, University of Canberra ACT, Canberra, 2601, Australia
| | - K Strickland
- Faculty of Health, School of Nursing, Midwifery & Public Health, University of Canberra ACT, Canberra, 2601, Australia
- SYNERGY Nursing & Midwifery, Research Centre, ACT Health Directorate, Canberra Hospital, Canberra, Australia
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra, ACT, Australia
| | - C Roberts
- Faculty of Health, School of Nursing, Midwifery & Public Health, University of Canberra ACT, Canberra, 2601, Australia
- Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra, ACT, Australia
| | - R Ogilvie
- Faculty of Health, School of Nursing, Midwifery & Public Health, University of Canberra ACT, Canberra, 2601, Australia
- Australian Capital Territory (ACT) Health & Canberra Health Services, Canberra, Australia
- SYNERGY Nursing & Midwifery, Research Centre, ACT Health Directorate, Canberra Hospital, Canberra, Australia
| | - G Pranavan
- Australian Capital Territory (ACT) Health & Canberra Health Services, Canberra, Australia
- Australian National University, Canberra, Australia
| | - P Craft
- Australian Capital Territory (ACT) Health & Canberra Health Services, Canberra, Australia
- Australian National University, Canberra, Australia
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Roberts C, Paterson C. An Exploration of the Rs of Radiobiology in Prostate Cancer. Semin Oncol Nurs 2020; 36:151054. [PMID: 32669231 DOI: 10.1016/j.soncn.2020.151054] [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: 11/29/2022]
Abstract
OBJECTIVES To explore the four Rs of radiobiology (Repair, Reoxygenation, Reassortment, and Repopulation) as a means to understand the effects of ionising radiation on biological tissue and subsequently as the basis for conventional fractionated treatment schedules. These radiobiological principles will form a rationale for combined regimens in prostate cancer treatment involving androgen deprivation therapy and radiation therapy and the associated toxicities of this approach will be discussed. DATA SOURCES Electronic databases including CINAHL, MEDLINE, Scopus, professional websites, books and grey literature were searched using Google Scholar. CONCLUSION It is important for nurses to understand the four Rs of radiobiology to grasp the effects of ionising radiation on biological tissue as the basis for conventional fractionated treatment schedules in prostate cancer. Men can experience a sequalae of physical and psychological side effects of treatment that can negatively impact quality of life. IMPLICATIONS FOR NURSING PRACTICE Men can experience a range of unmet supportive care needs particularly related to informational, sexual, and psychological needs. For men affected by prostate cancer opting for radiation therapy (+/-) androgen deprivation therapy, nurses should ask targeted questions based on the Common Terminology Criteria for Adverse Events related to urinary and bowel function, potency and fatigue, and sexual health. We also recommend the use of holistic needs assessments to tailor self-management care plans. Evidence-based self-management advice should be provided in response to each man's unique needs.
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Affiliation(s)
- C Roberts
- Faculty of Health, University of Canberra, Canberra ACT, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra ACT, Australia; School of Nursing, Midwifery and Public Health, University of Canberra, ACT, Australia.
| | - C Paterson
- Faculty of Health, University of Canberra, Canberra ACT, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra ACT, Australia; School of Nursing, Midwifery and Public Health, University of Canberra, ACT, Australia; ACT Synergy Nursing and Midwifery Research Centre, Canberra Hospital, ACT, Australia
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20
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Duarte CM, Agusti S, Barbier E, Britten GL, Castilla JC, Gattuso JP, Fulweiler RW, Hughes TP, Knowlton N, Lovelock CE, Lotze HK, Predragovic M, Poloczanska E, Roberts C, Worm B. Rebuilding marine life. Nature 2020; 580:39-51. [DOI: 10.1038/s41586-020-2146-7] [Citation(s) in RCA: 332] [Impact Index Per Article: 83.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 02/18/2020] [Indexed: 11/09/2022]
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21
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Dyson F, Nelson A, Savage-Smith E, Pettifor A, Roberts C, Serageldin I, Ihekweazu C. Books for our time: seven classics that speak to us now. Nature 2019. [DOI: 10.1038/d41586-019-03840-6] [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: 11/09/2022]
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22
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Abbate A, Trankle CR, Lipinski MJ, Kadariya D, Canada JM, Carbone S, Buckley LF, Appleton D, Wohlford GF, Medina De Chazal H, Chiabrando JG, Roberts C, Turlington JS, Abouzaki NA, Van Tassell B. 5233Interleukin-1 blockade with Anakinra in ST-segment elevation acute myocardial infarction: Results from the VCUART3 study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0079] [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
Background
ST-segment elevation myocardial infarction (STEMI) is associated with an intense inflammatory response that predicts an increased risk of death and heart failure (HF). In the current study we tested whether anakinra, a recombinant Interleukin-1 (IL-1) receptor antagonist, given once daily (standard dose) or twice daily reduced systemic inflammation in patients with STEMI.
Methods
We enrolled patients with STEMI within 12 hours of presentation at 3 sites. After revascularization, patients were randomly assigned to receive anakinra 100 mg twice daily, anakinra 100 mg once daily alternating with placebo once daily every 12 hours, or placebo twice daily, for 14 days in a 1:1:1 ratio. The primary efficacy outcome was the area under the curve for C-reactive protein levels (CRP-AUC) using a high-sensitivity assay at 14 days comparing anakinra (both arms) versus placebo followed by a comparison between each of the anakinra arms with placebo. Two pre-specified exploratory clinical efficacy endpoints, adjudicated by a blinded event committee, were assessed: a composite endpoint of all-cause death for any reason or incidence of HF (defined as new-onset HF requiring hospitalization or a new prescription of a loop diuretic, D+HF) and a composite endpoint of death and HF hospitalization (D+HHF) at 1 year. Data are expressed as median and interquartile range or number and percentage. Kaplan-Meyer survival curves were compared using Log-rank test (Mantel-Cox). (ClinicalTrials.gov number, NCT01950299)
Results
Of 311 patients screened, 99 subjects (80 [81%] males, 57 [58%] Caucasians, 55 [49–62] years of age) were randomly assigned to anakinra twice daily (N=31), anakinra once daily (N=33) or placebo (N=35). There were no significant imbalances in the demographic characteristics between groups (all P>0.05). The CRP-AUC was significantly lower in the anakinra group than in the placebo group (67 [39–120] versus 214 [131–394] mg/dl, P<0.001; and P<0.001 for each anakinra arm versus placebo separately, without significant differences between the two anakinra arms, P=0.41). Treatment with anakinra was associated with a significant reduction versus placebo in the incidence of D+HF (6/64 [9.4%] versus 9/35 [25.7%], P=0.046), and of D+HHF (0/64 [0] versus 4/35 [11.4%], P=0.011), without any significant difference between the two anakinra arms. Anakinra was not associated with any treatment-related serious adverse events, nor with excess infections compared with placebo (14.1% vs 14.3%, P=0.87).
Conclusions
Among patients with STEMI, IL-1 blockade significantly reduced the systemic inflammatory response compared with placebo, without any significant difference between standard or high dose regimens. Prespecified exploratory analyses on clinical endpoints demonstrate reduced incidence of HF and reduced HF hospitalizations, supporting the concept of beneficial effects with IL-1 blockade in patients with acute myocardial infarction.
Acknowledgement/Funding
Funded by NHLBI 1R34HL121402; Drug supply from Swedish Orphan Biovitrum
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Affiliation(s)
- A Abbate
- Virginia Commonwealth University, Richmond, United States of America
| | - C R Trankle
- Virginia Commonwealth University, Richmond, United States of America
| | - M J Lipinski
- Medstar Research Institute, Washington, United States of America
| | - D Kadariya
- Medstar Research Institute, Washington, United States of America
| | - J M Canada
- Medstar Research Institute, Washington, United States of America
| | - S Carbone
- Medstar Research Institute, Washington, United States of America
| | - L F Buckley
- Brigham and Womens Hospital, Boston, United States of America
| | - D Appleton
- Virginia Cardiovascular Specialists, Richmond, United States of America
| | - G F Wohlford
- Virginia Commonwealth University, Richmond, United States of America
| | | | - J G Chiabrando
- Virginia Commonwealth University, Richmond, United States of America
| | - C Roberts
- Virginia Commonwealth University, Richmond, United States of America
| | - J S Turlington
- Virginia Commonwealth University, Richmond, United States of America
| | - N A Abouzaki
- Virginia Commonwealth University, Richmond, United States of America
| | - B Van Tassell
- Virginia Commonwealth University, Richmond, United States of America
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Roberts C, Bornais C, Wheatley-Price P, Asmis T, Nicholas G, Barton G. MA22.07 A Culturally Safe Advocacy Model of Care for Inuit Cancer Patients and Their Families. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.687] [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: 11/28/2022]
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24
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Bornais C, Roberts C, Wheatley-Price P, Asmis T, Dennie C, Maziak D, Nicholas G, Barton G, Alie E, Greene T. EP1.11-01 Lung Cancer Screening and Canada’s Inuit: A Missed Opportunity. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.2222] [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: 11/30/2022]
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25
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Roberts C. Author Prop: Assisting the Creative Process with an Automated Intelligent Cognitive Prop for Writers. EAI Endorsed Transactions on Creative Technologies 2019. [DOI: 10.4108/eai.30-7-2019.162945] [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: 11/05/2022] Open
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26
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Brierley CK, Staves J, Roberts C, Johnson H, Vyas P, Goodnough LT, Murphy MF. The effects of monoclonal anti-CD47 on RBCs, compatibility testing, and transfusion requirements in refractory acute myeloid leukemia. Transfusion 2019; 59:2248-2254. [PMID: 31183877 DOI: 10.1111/trf.15397] [Citation(s) in RCA: 67] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 04/01/2019] [Accepted: 04/01/2019] [Indexed: 12/31/2022]
Abstract
BACKGROUND CD47 is a novel therapeutic target in the treatment of solid-organ and hematologic malignancies. CD47 is also expressed on RBCs. Here, we report our experience of the RBC effects and the impact on blood bank testing and transfusion management in a Phase 1 trial of the humanized anti-CD47 monoclonal antibody Hu5F9-G4 in relapsed or primary refractory acute myeloid leukemia (AML) (NCT02678338). STUDY DESIGN AND METHODS Nineteen patients with relapsed or primary refractory AML treated across five UK centers were included for analysis. Patients received escalating doses of Hu5F9-G4. Serial laboratory data were collected to evaluate impact on hemoglobin (Hb), markers of hemolysis (bilirubin, lactate dehydrogenase, reticulocyte count), transfusion requirements, and blood compatibility testing. RESULTS A decline in Hb was observed with drug administration (median Hb change, -1.0 g/dL; range, 0.4-1.6) with associated increase in transfusion requirements. Patients responded to transfusion with a median Hb increment per unit of 1.0 g/dL. RBC agglutination was seen in all cases without associated change in Hb, lactate dehydrogenase, bilirubin, or reticulocyte count. Nine of 19 (47%) patients developed a newly positive antibody screen with a pan-agglutinin identified in plasma. Invalid ABO blood grouping occurred in 4 of 12 (33%) non-group O patients due to anomalous reactivity in the reverse ABO-type results. CONCLUSIONS Treatment with Hu5F9-G4 in patients with AML resulted in an Hb decline and increased transfusion requirements. Problems with ABO blood typing and compatibility testing were widely observed and should be expected by centers treating recipients of Hu5F9-G4.
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MESH Headings
- Adult
- Aged
- Aged, 80 and over
- Anemia/chemically induced
- Antibodies, Monoclonal, Humanized/administration & dosage
- Antibodies, Monoclonal, Humanized/adverse effects
- Antibodies, Monoclonal, Humanized/pharmacology
- Blood Grouping and Crossmatching
- Blood Transfusion
- CD47 Antigen/antagonists & inhibitors
- Diagnostic Errors/prevention & control
- Erythrocytes/drug effects
- Humans
- Leukemia, Myeloid, Acute/immunology
- Leukemia, Myeloid, Acute/therapy
- Middle Aged
- Neoplasm Recurrence, Local/therapy
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Affiliation(s)
- C K Brierley
- Department of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
- MRC Molecular Haematology Unit, University of Oxford, Oxford, United Kingdom
- NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom
| | - J Staves
- Department of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
| | - C Roberts
- Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom
| | - H Johnson
- Oncology Clinical Trials Office (OCTO), Department of Oncology, University of Oxford, Oxford, United Kingdom
| | - P Vyas
- Department of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
- MRC Molecular Haematology Unit, University of Oxford, Oxford, United Kingdom
- NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom
| | - L T Goodnough
- Departments of Pathology and Medicine, Stanford University, Stanford, California
| | - M F Murphy
- Department of Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
- NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom
- National Health Service Blood and Transplant, Oxford, United Kingdom
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Old GH, Naden PS, Harman M, Bowes MJ, Roberts C, Scarlett PM, Nicholls DJE, Armstrong LK, Wickham HD, Read DS. Using dissolved organic matter fluorescence to identify the provenance of nutrients in a lowland catchment; the River Thames, England. Sci Total Environ 2019; 653:1240-1252. [PMID: 30759564 DOI: 10.1016/j.scitotenv.2018.10.421] [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] [Subscribe] [Scholar Register] [Received: 07/28/2018] [Revised: 10/20/2018] [Accepted: 10/30/2018] [Indexed: 06/09/2023]
Abstract
Catchment based solutions are being sought to mitigate water quality pressures and achieve multiple benefits but their success depends on a sound understanding of catchment functioning. Novel approaches to monitoring and data analysis are urgently needed. In this paper we explore the potential of river water fluorescence at the catchment scale in understanding nutrient concentrations, sources and pathways. Data were collected from across the River Thames basin from January 2012 to March 2015. Analysing emission excitation matrices (EEMs) using both PARAFAC and optimal area averaging produced consistent results for humic-like component 1 and tryptophan-like component 4 in the absence of a subset of samples that exhibited an unusual peak; illustrating the importance of inspecting the entire EEM before using peak averaging methods. Strong relationships between fluorescence components and dissolved organic carbon (DOC), soluble reactive phosphorus (SRP), and ammonium clearly demonstrated its potential, in this study basin, as a field based surrogate for nutrients. Analysing relationships between fluorescence, catchment characteristics and boron from across the basin enabled new insights into the provenance of nutrients. These include evidence for diffuse sources of DOC from near surface hydrological pathways (i.e. soil horizons); point source inputs of nutrients from sewage effluent discharges; and diffuse contributions of nutrients from agriculture and/or sewage (e.g. septic tanks). The information gained by broad scale catchment wide monitoring of fluorescence could support catchment managers in (a) prioritising subcatchments for nutrient mitigation; (b) providing information on relative nutrient source contributions; and (c) providing evidence of the effectiveness of investment in pollution mitigation measures. The collection of high resolution fluorescence data at the catchment scale and, in particular, over shorter event timescales would complement broad scale assessments by enhancing our hydro-biogeochemical process understanding.
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Affiliation(s)
- G H Old
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK.
| | - P S Naden
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK
| | - M Harman
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK
| | - M J Bowes
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK
| | - C Roberts
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK
| | - P M Scarlett
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK
| | - D J E Nicholls
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK
| | - L K Armstrong
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK
| | - H D Wickham
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK
| | - D S Read
- Centre for Ecology & Hydrology, Benson Lane, Crowmarsh Gifford, Wallingford, Oxfordshire OX10 8BB, UK
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Bedient C, Rodriguez D, Sidell N, Roberts C, Schutte S. Alterations in the invasive properties of peripheral blood monocytes from patients with endometriosis. CLIN EXP OBSTET GYN 2019. [DOI: 10.12891/ceog4333.2019] [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: 11/01/2022]
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29
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Walker VA, Tranquille CA, Harris P, Roberts C, McEwen J, Murray RC. Do back kinematics of elite horses change over consecutive days of jumping the same course? PFERDEHEILKUNDE 2019. [DOI: 10.21836/pem20190306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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McLean K, Glasbey J, Borakati A, Brooks T, Chang H, Choi S, Goodson R, Nielsen M, Pronin S, Salloum N, Sewart E, Vanniasegaram D, Drake T, Gillies M, Harrison E, Chapman S, Khatri C, Kong C, Claireaux H, Bath M, Mohan M, McNamee L, Kelly M, Mitchell H, Fitzgerald J, Bhangu A, Nepogodiev D, Antoniou I, Dean R, Davies N, Trecarten S, Henderson I, Holmes C, Wylie J, Shuttleworth R, Jindal A, Hughes F, Gouda P, Fleck R, Hanrahan M, Karunakaran P, Chen J, Sykes M, Sethi R, Suresh S, Patel P, Patel M, Varma R, Mushtaq J, Gundogan B, Bolton W, Khan T, Burke J, Morley R, Favero N, Adams R, Thirumal V, Kennedy E, Ong K, Tan Y, Gabriel J, Bakhsh A, Low J, Yener A, Paraoan V, Preece R, Tilston T, Cumber E, Dean S, Ross T, McCance E, Amin H, Satterthwaite L, Clement K, Gratton R, Mills E, Chiu S, Hung G, Rafiq N, Hayes J, Robertson K, Dynes K, Huang H, Assadullah S, Duncumb J, Moon R, Poo S, Mehta J, Joshi K, Callan R, Norris J, Chilvers N, Keevil H, Jull P, Mallick S, Elf D, Carr L, Player C, Barton E, Martin A, Ratu S, Roberts E, Phan P, Dyal A, Rogers J, Henson A, Reid N, Burke D, Culleton G, Lynne S, Mansoor S, Brennan C, Blessed R, Holloway C, Hill A, Goldsmith T, Mackin S, Kim S, Woin E, Brent G, Coffin J, Ziff O, Momoh Z, Debenham R, Ahmed M, Yong C, Wan J, Copley H, Raut P, Chaudhry F, Nixon G, Dorman C, Tan R, Kanabar S, Canning N, Dolaghan M, Bell N, McMenamin M, Chhabra A, Duke K, Turner L, Patel T, Chew L, Mirza M, Lunawat S, Oremule B, Ward N, Khan M, Tan E, Maclennan D, McGregor R, Chisholm E, Griffin E, Bell L, Hughes B, Davies J, Haq H, Ahmed H, Ungcharoen N, Whacha C, Thethi R, Markham R, Lee A, Batt E, Bullock N, Francescon C, Davies J, Shafiq N, Zhao J, Vivekanantham S, Barai I, Allen J, Marshall D, McIntyre C, Wilson H, Ashton A, Lek C, Behar N, Davis-Hall M, Seneviratne N, Esteve L, Sirakaya M, Ali S, Pope S, Ahn J, Craig-McQuaide A, Gatfield W, Leong S, Demetri A, Kerr A, Rees C, Loveday J, Liu S, Wijesekera M, Maru D, Attalla M, Smith N, Brown D, Sritharan P, Shah A, Charavanamuttu V, Heppenstall-Harris G, Ng K, Raghvani T, Rajan N, Hulley K, Moody N, Williams M, Cotton A, Sharifpour M, Lwin K, Bright M, Chitnis A, Abdelhadi M, Semana A, Morgan F, Reid R, Dickson J, Anderson L, McMullan R, Ahern N, Asmadi A, Anderson L, Boon Xuan JL, Crozier L, McAleer S, Lees D, Adebayo A, Das M, Amphlett A, Al-Robeye A, Valli A, Khangura J, Winarski A, Ali A, Woodward H, Gouldthrope C, Turner M, Sasapu K, Tonkins M, Wild J, Robinson M, Hardie J, Heminway R, Narramore R, Ramjeeawon N, Hibberd A, Winslow F, Ho W, Chong B, Lim K, Ho S, Crewdson J, Singagireson S, Kalra N, Koumpa F, Jhala H, Soon W, Karia M, Rasiah M, Xylas D, Gilbert H, Sundar-Singh M, Wills J, Akhtar S, Patel S, Hu L, Brathwaite-Shirley C, Nayee H, Amin O, Rangan T, Turner E, McCrann C, Shepherd R, Patel N, Prest-Smith J, Auyoung E, Murtaza A, Coates A, Prys-Jones O, King M, Gaffney S, Dewdney C, Nehikhare I, Lavery J, Bassett J, Davies K, Ahmad K, Collins A, Acres M, Egerton C, Cheng K, Chen X, Chan N, Sheldon A, Khan S, Empey J, Ingram E, Malik A, Johnstone M, Goodier R, Shah J, Giles J, Sanders J, McLure S, Pal S, Rangedara A, Baker A, Asbjoernsen C, Girling C, Gray L, Gauntlett L, Joyner C, Qureshi S, Mogan Y, Ng J, Kumar A, Park J, Tan D, Choo K, Raman K, Buakuma P, Xiao C, Govinden S, Thompson O, Charalambos M, Brown E, Karsan R, Dogra T, Bullman L, Dawson P, Frank A, Abid H, Tung L, Qureshi U, Tahmina A, Matthews B, Harris R, O'Connor A, Mazan K, Iqbal S, Stanger S, Thompson J, Sullivan J, Uppal E, MacAskill A, Bamgbose F, Neophytou C, Carroll A, Rookes C, Datta U, Dhutia A, Rashid S, Ahmed N, Lo T, Bhanderi S, Blore C, Ahmed S, Shaheen H, Abburu S, Majid S, Abbas Z, Talukdar S, Burney L, Patel J, Al-Obaedi O, Roberts A, Mahboob S, Singh B, Sheth S, Karia P, Prabhudesai A, Kow K, Koysombat K, Wang S, Morrison P, Maheswaran Y, Keane P, Copley P, Brewster O, Xu G, Harries P, Wall C, Al-Mousawi A, Bonsu S, Cunha P, Ward T, Paul J, Nadanakumaran K, Tayeh S, Holyoak H, Remedios J, Theodoropoulou K, Luhishi A, Jacob L, Long F, Atayi A, Sarwar S, Parker O, Harvey J, Ross H, Rampal R, Thomas G, Vanmali P, McGowan C, Stein J, Robertson V, Carthew L, Teng V, Fong J, Street A, Thakker C, O'Reilly D, Bravo M, Pizzolato A, Khokhar H, Ryan M, Cheskes L, Carr R, Salih A, Bassiony S, Yuen R, Chrastek D, Rosen O'Sullivan H, Amajuoyi A, Wang A, Sitta O, Wye J, Qamar M, Major C, Kaushal A, Morgan C, Petrarca M, Allot R, Verma K, Dutt S, Chilima C, Peroos S, Kosasih S, Chin H, Ashken L, Pearse R, O'Loughlin R, Menon A, Singh K, Norton J, Sagar R, Jathanna N, Rothwell L, Watson N, Harding F, Dube P, Khalid H, Punjabi N, Sagmeister M, Gill P, Shahid S, Hudson-Phillips S, George D, Ashwood J, Lewis T, Dhar M, Sangal P, Rhema I, Kotecha D, Afzal Z, Syeed J, Prakash E, Jalota P, Herron J, Kimani L, Delport A, Shukla A, Agarwal V, Parthiban S, Thakur H, Cymes W, Rinkoff S, Turnbull J, Hayat M, Darr S, Khan U, Lim J, Higgins A, Lakshmipathy G, Forte B, Canning E, Jaitley A, Lamont J, Toner E, Ghaffar A, McDowell M, Salmon D, O'Carroll O, Khan A, Kelly M, Clesham K, Palmer C, Lyons R, Bell A, Chin R, Waldron R, Trimble A, Cox S, Ashfaq U, Campbell J, Holliday R, McCabe G, Morris F, Priestland R, Vernon O, Ledsam A, Vaughan R, Lim D, Bakewell Z, Hughes R, Koshy R, Jackson H, Narayan P, Cardwell A, Jubainville C, Arif T, Elliott L, Gupta V, Bhaskaran G, Odeleye A, Ahmed F, Shah R, Pickard J, Suleman Y, North A, McClymont L, Hussain N, Ibrahim I, Ng G, Wong V, Lim A, Harris L, Tharmachandirar T, Mittapalli D, Patel V, Lakhani M, Bazeer H, Narwani V, Sandhu K, Wingfield L, Gentry S, Adjei H, Bhatti M, Braganza L, Barnes J, Mistry S, Chillarge G, Stokes S, Cleere J, Wadanamby S, Bucko A, Meek J, Boxall N, Heywood E, Wiltshire J, Toh C, Ward A, Shurovi B, Horth D, Patel B, Ali B, Spencer T, Axelson T, Kretzmer L, Chhina C, Anandarajah C, Fautz T, Horst C, Thevathasan A, Ng J, Hirst F, Brewer C, Logan A, Lockey J, Forrest P, Keelty N, Wood A, Springford L, Avery P, Schulz T, Bemand T, Howells L, Collier H, Khajuria A, Tharakan R, Parsons S, Buchan A, McGalliard R, Mason J, Cundy O, Li N, Redgrave N, Watson R, Pezas T, Dennis Y, Segall E, Hameed M, Lynch A, Chamberlain M, Peck F, Neo Y, Russell G, Elseedawy M, Lee S, Foster N, Soo Y, Puan L, Dennis R, Goradia H, Qureshi A, Osman S, Reeves T, Dinsmore L, Marsden M, Lu Q, Pitts-Tucker T, Dunn C, Walford R, Heathcote E, Martin R, Pericleous A, Brzyska K, Reid K, Williams M, Wetherall N, McAleer E, Thomas D, Kiff R, Milne S, Holmes M, Bartlett J, Lucas de Carvalho J, Bloomfield T, Tongo F, Bremner R, Yong N, Atraszkiewicz B, Mehdi A, Tahir M, Sherliker G, Tear A, Pandey A, Broyd A, Omer H, Raphael M, Chaudhry W, Shahidi S, Jawad A, Gill C, Fisher IH, Adeleja I, Clark I, Aidoo-Micah G, Stather P, Salam G, Glover T, Deas G, Sim N, Obute R, Wynell-Mayow W, Sait M, Mitha N, de Bernier G, Siddiqui M, Shaunak R, Wali A, Cuthbert G, Bhudia R, Webb E, Shah S, Ansari N, Perera M, Kelly N, McAllister R, Stanley G, Keane C, Shatkar V, Maxwell-Armstrong C, Henderson L, Maple N, Manson R, Adams R, Semple E, Mills M, Daoub A, Marsh A, Ramnarine A, Hartley J, Malaj M, Jewell P, Whatling E, Hitchen N, Chen M, Goh B, Fern J, Rogers S, Derbyshire L, Robertson D, Abuhussein N, Deekonda P, Abid A, Harrison P, Aildasani L, Turley H, Sherif M, Pandey G, Filby J, Johnston A, Burke E, Mohamud M, Gohil K, Tsui A, Singh R, Lim S, O'Sullivan K, McKelvey L, O'Neill S, Roberts H, Brown F, Cao Y, Buckle R, Liew Y, Sii S, Ventre C, Graham C, Filipescu T, Yousif A, Dawar R, Wright A, Peters M, Varley R, Owczarek S, Hartley S, Khattak M, Iqbal A, Ali M, Durrani B, Narang Y, Bethell G, Horne L, Pinto R, Nicholls K, Kisyov I, Torrance H, English W, Lakhani S, Ashraf S, Venn M, Elangovan V, Kazmi Z, Brecher J, Sukumar S, Mastan A, Mortimer A, Parker J, Boyle J, Elkawafi M, Beckett J, Mohite A, Narain A, Mazumdar E, Sreh A, Hague A, Weinberg D, Fletcher L, Steel M, Shufflebotham H, Masood M, Sinha Y, Jenvey C, Kitt H, Slade R, Craig A, Deall C, Reakes T, Chervenkoff J, Strange E, O'Bryan M, Murkin C, Joshi D, Bergara T, Naqib S, Wylam D, Scotcher S, Hewitt C, Stoddart M, Kerai A, Trist A, Cole S, Knight C, Stevens S, Cooper G, Ingham R, Dobson J, O'Kane A, Moradzadeh J, Duffy A, Henderson C, Ashraf S, McLaughin C, Hoskins T, Reehal R, Bookless L, McLean R, Stone E, Wright E, Abdikadir H, Roberts C, Spence O, Srikantharajah M, Ruiz E, Matthews J, Gardner E, Hester E, Naran P, Simpson R, Minhas M, Cornish E, Semnani S, Rojoa D, Radotra A, Eraifej J, Eparh K, Smith D, Mistry B, Hickling S, Din W, Liu C, Mithrakumar P, Mirdavoudi V, Rashid M, Mcgenity C, Hussain O, Kadicheeni M, Gardner H, Anim-Addo N, Pearce J, Aslanyan A, Ntala C, Sorah T, Parkin J, Alizadeh M, White A, Edozie F, Johnston J, Kahar A, Navayogaarajah V, Patel B, Carter D, Khonsari P, Burgess A, Kong C, Ponweera A, Cody A, Tan Y, Ng A, Croall A, Allan C, Ng S, Raghuvir V, Telfer R, Greenhalgh A, McKerr C, Edison M, Patel B, Dear K, Hardy M, Williams P, Hassan S, Sajjad U, O'Neill E, Lopes S, Healy L, Jamal N, Tan S, Lazenby D, Husnoo S, Beecroft S, Sarvanandan T, Weston C, Bassam N, Rabinthiran S, Hayat U, Ng L, Varma D, Sukkari M, Mian A, Omar A, Kim J, Sellathurai J, Mahmood J, O'Connell C, Bose R, Heneghan H, Lalor P, Matheson J, Doherty C, Cullen C, Cooper D, Angelov S, Drislane C, Smith A, Kreibich A, Palkhi E, Durr A, Lotfallah A, Gold D, Mckean E, Dhanji A, Anilkumar A, Thacoor A, Siddiqui Z, Lim S, Piquet A, Anderson S, McCormack D, Gulati J, Ibrahim A, Murray S, Walsh S, McGrath A, Ziprin P, Chua E, Lou C, Bloomer J, Paine H, Osei-Kuffour D, White C, Szczap A, Gokani S, Patel K, Malys M, Reed A, Torlot G, Cumber E, Charania A, Ahmad S, Varma N, Cheema H, Austreng L, Petra H, Chaudhary M, Zegeye M, Cheung F, Coffey D, Heer R, Singh S, Seager E, Cumming S, Suresh R, Verma S, Ptacek I, Gwozdz A, Yang T, Khetarpal A, Shumon S, Fung T, Leung W, Kwang P, Chew L, Loke W, Curran A, Chan C, McGarrigle C, Mohan K, Cullen S, Wong E, Toale C, Collins D, Keane N, Traynor B, Shanahan D, Yan A, Jafree D, Topham C, Mitrasinovic S, Omara S, Bingham G, Lykoudis P, Miranda B, Whitehurst K, Kumaran G, Devabalan Y, Aziz H, Shoa M, Dindyal S, Yates J, Bernstein I, Rattan G, Coulson R, Stezaker S, Isaac A, Salem M, McBride A, McFarlane H, Yow L, MacDonald J, Bartlett R, Turaga S, White U, Liew W, Yim N, Ang A, Simpson A, McAuley D, Craig E, Murphy L, Shepherd P, Kee J, Abdulmajid A, Chung A, Warwick H, Livesey A, Holton P, Theodoreson M, Jenkin S, Turner J, Entwisle J, Marchal S, O'Connor S, Blege H, Aithie J, Sabine L, Stewart G, Jackson S, Kishore A, Lankage C, Acquaah F, Joyce H, McKevitt K, Coffey C, Fawaz A, Dolbec K, O'Sullivan D, Geraghty J, Lim E, Bolton L, FitzPatrick D, Robinson C, Ramtoola T, Collinson S, Grundy L, McEnhill P, Harbhajan Singh G, Loughran D, Golding D, Keeling R, Williams R, Whitham R, Yoganathan S, Nachiappan R, Egan R, Owasil R, Kwan M, He A, Goh R, Bhome R, Wilson H, Teoh P, Raji K, Jayakody N, Matthams J, Chong J, Luk C, Greig R, Trail M, Charalambous G, Rocke A, Gardiner N, Bulley F, Warren N, Brennan E, Fergurson P, Wilson R, Whittingham H, Brown E, Khanijau R, Gandhi K, Morris S, Boulton A, Chandan N, Barthorpe A, Maamari R, Sandhu S, McCann M, Higgs L, Balian V, Reeder C, Diaper C, Sale T, Ali H, Archer C, Clarke A, Heskin J, Hurst P, Farmer J, O'Flynn L, Doan L, Shuker B, Stott G, Vithanage N, Hoban K, Nesargikar P, Kennedy H, Grossart C, Tan E, Roy C, Sim P, Leslie K, Sim D, Abul M, Cody N, Tay A, Woon E, Sng S, Mah J, Robson J, Shakweh E, Wing V, Mills H, Li M, Barrow T, Balaji S, Jordan H, Phillips C, Naveed H, Hirani S, Tai A, Ratnakumaran R, Sahathevan A, Shafi A, Seedat M, Weaver R, Batho A, Punj R, Selvachandran H, Bhatt N, Botchey S, Khonat Z, Brennan K, Morrison C, Devlin E, Linton A, Galloway E, McGarvie S, Ramsay N, McRobbie H, Whewell H, Dean W, Nelaj S, Eragat M, Mishra A, Kane T, Zuhair M, Wells M, Wilkinson D, Woodcock N, Sun E, Aziz N, Ghaffar MKA. Critical care usage after major gastrointestinal and liver surgery: a prospective, multicentre observational study. Br J Anaesth 2019; 122:42-50. [PMID: 30579405 DOI: 10.1016/j.bja.2018.07.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Revised: 07/19/2018] [Accepted: 07/23/2018] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Patient selection for critical care admission must balance patient safety with optimal resource allocation. This study aimed to determine the relationship between critical care admission, and postoperative mortality after abdominal surgery. METHODS This prespecified secondary analysis of a multicentre, prospective, observational study included consecutive patients enrolled in the DISCOVER study from UK and Republic of Ireland undergoing major gastrointestinal and liver surgery between October and December 2014. The primary outcome was 30-day mortality. Multivariate logistic regression was used to explore associations between critical care admission (planned and unplanned) and mortality, and inter-centre variation in critical care admission after emergency laparotomy. RESULTS Of 4529 patients included, 37.8% (n=1713) underwent planned critical care admissions from theatre. Some 3.1% (n=86/2816) admitted to ward-level care subsequently underwent unplanned critical care admission. Overall 30-day mortality was 2.9% (n=133/4519), and the risk-adjusted association between 30-day mortality and critical care admission was higher in unplanned [odds ratio (OR): 8.65, 95% confidence interval (CI): 3.51-19.97) than planned admissions (OR: 2.32, 95% CI: 1.43-3.85). Some 26.7% of patients (n=1210/4529) underwent emergency laparotomies. After adjustment, 49.3% (95% CI: 46.8-51.9%, P<0.001) were predicted to have planned critical care admissions, with 7% (n=10/145) of centres outside the 95% CI. CONCLUSIONS After risk adjustment, no 30-day survival benefit was identified for either planned or unplanned postoperative admissions to critical care within this cohort. This likely represents appropriate admission of the highest-risk patients. Planned admissions in selected, intermediate-risk patients may present a strategy to mitigate the risk of unplanned admission. Substantial inter-centre variation exists in planned critical care admissions after emergency laparotomies.
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Murray JK, Casey RA, Gale E, Buffington CAT, Roberts C, Kinsman RH, Gruffydd-Jones TJ. Cohort Profile: The 'Bristol Cats Study' (BCS)-a birth cohort of kittens owned by UK households. Int J Epidemiol 2018. [PMID: 28645213 DOI: 10.1093/ije/dyx066] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Affiliation(s)
- J K Murray
- School of Veterinary Science, University of Bristol, Langford House, Langford, North Somerset, UK
| | - R A Casey
- School of Veterinary Science, University of Bristol, Langford House, Langford, North Somerset, UK.,The Royal Veterinary College, Hawkshead Lane, North Mymms, Herts, AL9 7TA, UK
| | - E Gale
- School of Veterinary Science, University of Bristol, Langford House, Langford, North Somerset, UK.,Ceva Animal Health Ltd, Unit 3 Anglo Office Park, White Lion Road, Amersham, Bucks, HP7 9FB, UK
| | | | - C Roberts
- School of Veterinary Science, University of Bristol, Langford House, Langford, North Somerset, UK
| | - R H Kinsman
- School of Veterinary Science, University of Bristol, Langford House, Langford, North Somerset, UK.,The Royal Veterinary College, Hawkshead Lane, North Mymms, Herts, AL9 7TA, UK
| | - T J Gruffydd-Jones
- School of Veterinary Science, University of Bristol, Langford House, Langford, North Somerset, UK
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Abbas M, de Kraker MEA, Aghayev E, Astagneau P, Aupee M, Behnke M, Bull A, Choi HJ, de Greeff SC, Elgohari S, Gastmeier P, Harrison W, Koek MBG, Lamagni T, Limon E, Løwer HL, Lyytikäinen O, Marimuthu K, Marquess J, McCann R, Prantner I, Presterl E, Pujol M, Reilly J, Roberts C, Segagni Lusignani L, Si D, Szilágyi E, Tanguy J, Tempone S, Troillet N, Worth LJ, Pittet D, Harbarth S. Impact of participation in a surgical site infection surveillance network: results from a large international cohort study. J Hosp Infect 2018; 102:267-276. [PMID: 30529703 DOI: 10.1016/j.jhin.2018.12.003] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Accepted: 12/03/2018] [Indexed: 10/27/2022]
Abstract
BACKGROUND Surveillance of surgical site infections (SSIs) is a core component of effective infection control practices, though its impact has not been quantified on a large scale. AIM To determine the time-trend of SSI rates in surveillance networks. METHODS SSI surveillance networks provided procedure-specific data on numbers of SSIs and operations, stratified by hospitals' year of participation in the surveillance, to capture length of participation as an exposure. Pooled and procedure-specific random-effects Poisson regression was performed to obtain yearly rate ratios (RRs) with 95% confidence intervals (CIs), and including surveillance network as random intercept. FINDINGS Of 36 invited networks, 17 networks from 15 high-income countries across Asia, Australia and Europe participated in the study. Aggregated data on 17 surgical procedures (cardiovascular, digestive, gynaecological-obstetrical, neurosurgical, and orthopaedic) were collected, resulting in data concerning 5,831,737 operations and 113,166 SSIs. There was a significant decrease in overall SSI rates over surveillance time, resulting in a 35% reduction at the ninth (final) included year of surveillance (RR: 0.65; 95% CI: 0.63-0.67). There were large variations across procedure-specific trends, but strong consistent decreases were observed for colorectal surgery, herniorrhaphy, caesarean section, hip prosthesis, and knee prosthesis. CONCLUSION In this large, international cohort study, pooled SSI rates were associated with a stable and sustainable decrease after joining an SSI surveillance network; a causal relationship is possible, although unproven. There was heterogeneity in procedure-specific trends. These findings support the pivotal role of surveillance in reducing infection rates and call for widespread implementation of hospital-based SSI surveillance in high-income countries.
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Affiliation(s)
- M Abbas
- Infection Control Programme and WHO Collaborating Centre on Patient Safety, The University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
| | - M E A de Kraker
- Infection Control Programme and WHO Collaborating Centre on Patient Safety, The University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
| | - E Aghayev
- Swiss RDL, Institute for Social and Preventive Medicine, University of Bern, Bern, Switzerland; Schulthess Klinik, Zürich, Switzerland
| | - P Astagneau
- Reference Centre for Prevention and Control of Healthcare-associated Infections, APHP University Hospital, Paris, France
| | - M Aupee
- Coordination Center for Prevention and Control of Nosocomial Infections (CClin) Ouest, Rennes, France
| | - M Behnke
- Institute of Hygiene and Environmental Medicine, National Reference Centre for the Surveillance of Nosocomial Infections, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - A Bull
- Victorian Healthcare Associated Infection Surveillance System Coordinating Centre, Victoria, Australia
| | - H J Choi
- Division of Infectious Diseases, Office of Infection Control, Ewha Woman's University Medical Center, Seoul, Republic of Korea
| | - S C de Greeff
- National Institute for Public Health and the Environment (RIVM), Centre for Infectious Diseases Control (CIb), Epidemiology and Surveillance (EPI), Bilthoven, the Netherlands
| | - S Elgohari
- National Infection Service, Public Health England, London, UK
| | - P Gastmeier
- Institute of Hygiene and Environmental Medicine, National Reference Centre for the Surveillance of Nosocomial Infections, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - W Harrison
- Welsh Healthcare Associated Infection Programme (WHAIP), Public Health Wales, Cardiff, UK
| | - M B G Koek
- National Institute for Public Health and the Environment (RIVM), Centre for Infectious Diseases Control (CIb), Epidemiology and Surveillance (EPI), Bilthoven, the Netherlands
| | - T Lamagni
- National Infection Service, Public Health England, London, UK
| | - E Limon
- VINCat Coordinator Center, Catalan Health Department, University of Barcelona, Barcelona, Spain
| | - H L Løwer
- Norwegian Institute of Public Health, Department of Infectious Disease Epidemiology, Oslo, Norway
| | - O Lyytikäinen
- Department of Infectious Diseases, National Institute for Health and Welfare (THL), Helsinki, Finland
| | - K Marimuthu
- Department of Infectious Diseases, Institute of Infectious Diseases and Epidemiology, Tan Tock Seng Hospital, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - J Marquess
- Epidemiology and Research Unit, Communicable Diseases Branch, Department of Health, Queensland, Australia
| | - R McCann
- Healthcare Associated Infection Unit, Communicable Diseases Control Directorate, Department of Health Western Australia, Australia
| | - I Prantner
- National Center for Epidemiology, Budapest, Hungary
| | - E Presterl
- Medical University of Vienna, Department of Infection Control and Hospital Epidemiology, Vienna, Austria
| | - M Pujol
- VINCat Coordinator Center, Catalan Health Department, University of Barcelona, Barcelona, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; Spanish Network for the Research in Infectious Diseases, Instituto de Salud Carlos III, Madrid, Spain
| | - J Reilly
- Healthcare Associated Infection, Antimicrobial Resistance, Decontamination and Infection Control Group, Health Protection Scotland, NHS National Services Scotland, Glasgow, UK; Safeguarding Health Through Infection Prevention (SHIP) Research Group, Glasgow Caledonian University, Glasgow, UK
| | - C Roberts
- Welsh Healthcare Associated Infection Programme (WHAIP), Public Health Wales, Cardiff, UK
| | | | - D Si
- Epidemiology and Research Unit, Communicable Diseases Branch, Department of Health, Queensland, Australia
| | - E Szilágyi
- National Public Health and Medical Officer Service, Budapest, Hungary
| | - J Tanguy
- Coordination Center for Prevention and Control of Nosocomial Infections (CClin) Ouest, Rennes, France
| | - S Tempone
- Healthcare Associated Infection Unit, Communicable Diseases Control Directorate, Department of Health Western Australia, Australia
| | - N Troillet
- Swissnoso, National Center for Infection Prevention, Bern, Switzerland; Service of Infectious Diseases, Central Institute of the Valais Hospital, Sion, Switzerland
| | - L J Worth
- Victorian Healthcare Associated Infection Surveillance System Coordinating Centre, Victoria, Australia; Department of Medicine, University of Melbourne, Victoria, Australia
| | - D Pittet
- Infection Control Programme and WHO Collaborating Centre on Patient Safety, The University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
| | - S Harbarth
- Infection Control Programme and WHO Collaborating Centre on Patient Safety, The University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland
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Patterson F, Roberts C, Hanson MD, Hampe W, Eva K, Ponnamperuma G, Magzoub M, Tekian A, Cleland J. 2018 Ottawa consensus statement: Selection and recruitment to the healthcare professions. Med Teach 2018; 40:1091-1101. [PMID: 30251906 DOI: 10.1080/0142159x.2018.1498589] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Selection and recruitment into healthcare education and practice is a key area of interest for educators with significant developments in research, policy, and practice in recent years. This updated consensus statement, developed through a multi-stage process, examines future opportunities and challenges in selection and recruitment. There is both a gap in the literature around and a compelling case for further theoretical and empirical literature to underpin the development of overall selection philosophes and policies and their enactment. More consistent evidence has emerged regarding the quality of different selection methods. Approaches to selection are context-dependent, requiring the consideration of an institution's philosophy regarding what they are trying to achieve, the communities it purports to serve, along with the system within which they are used. Diversity and globalization issues continue to be critically important topics. Further research is required to explore differential attainment and explain why there are substantial differences in culturally acceptable ways of approaching diversity and widening access. More sophisticated evaluation approaches using multi-disciplinary theoretical frameworks are required to address the issues. Following a discussion of these areas, 10 recommendations are presented to guide future research and practice and to encourage debate between colleagues across the globe.
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Affiliation(s)
- F Patterson
- a Work Psychology Group, Derby United Kingdom of Great Britain and Northern Ireland, UK
| | - C Roberts
- b Northern Clinical School, University of Sydney, Sydney, New South Wales, Australia
| | - M D Hanson
- c Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - W Hampe
- d Department of Biochemistry and Molecular Cell Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - K Eva
- e Centre for Health Education Scholarship and Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - G Ponnamperuma
- f Centre for Medical Education, Yong Loo Lin School of Medicine, Singapore
| | - M Magzoub
- g Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - A Tekian
- h Department of Medical Education, University of Illinois at Chicago, Chicago, Illinois, USA
| | - J Cleland
- i Centre for Healthcare Research and Innovation (CHERI), University of Aberdeen, UK
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Morgan K, Hawkins J, Hallingberg B, Roberts C, Murphy S, Moore G. Energy drink use and health complaints: findings from the 2013/14 HBSC study in Wales. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky212.514] [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)
| | | | | | | | | | - G Moore
- Cardiff University, Cardiff, UK
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Andonian N, Lee CC, Blanchard E, Roberts C, Singh S, Russell M, Bojalian M, Castle SC. GEROFIT PREHABILITATION TO IMPROVE POST-OPERATIVE OUTCOMES IN AN OLDER/AT-RISK POPULATION. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.007] [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)
- N Andonian
- UCLA, Los Angeles, California, United States
| | - C C Lee
- Geriatric Medicine UCLA/Veterans Affairs, Los Angeles, CA, USA
| | - E Blanchard
- Geriatric Medicine UCLA/Veterans Affairs, Los Angeles, CA, USA
| | - C Roberts
- Geriatric Medicine UCLA/Veterans Affairs, Los Angeles, CA, USA
| | - S Singh
- UCLA Department of Anesthesiology and Perioperative Medicine, Los Angeles, CA, USA; Greater Los Angeles VA Health System, Los Angeles, CA, USA
| | - M Russell
- Greater Los Angeles VA Health System, Los Angeles, CA, USA
| | - M Bojalian
- Greater Los Angeles VA Health System, Los Angeles, CA, USA
| | - S C Castle
- Geriatric Medicine UCLA/Veterans Affairs, Los Angeles, CA, USA
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Walker V, Tranquille C, Harris P, Roberts C, McEwen J, Murray R. Back kinematics at take-off in elite showjumping horses over an upright and parallel-spread fence forming part of a three-fence combination. Comparative Exercise Physiology 2018. [DOI: 10.3920/cep180005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The objective of this study was to evaluate head, neck and back kinematics during take-off in elite level horses jumping, and to compare these over an upright and parallel spread fence. Ten mixed-breed elite-level showjumping horses were opportunistically evaluated jumping the same 15-fence course (1.35 m) during a British Equestrian Federation World Class Performance three-day training session. Two fences were evaluated using high-speed motion-capture (250 Hz). Head, neck and back kinematics of the horse were determined at take-off, at vertical orientation of leading and trailing third metacarpus/tarsus and as the trailing hindlimb left the floor. Very consistent patterns between all horses over both upright and spread fences were observed in neck-trunk (NT) angle, lumbosacral (LS) angle, the angle of the thoracolumbar (TL) to horizontal and of LS to horizontal. Head-neck (HN), TL angle and distance to fence showed moderate variation between horses. There were no significant differences between fence-type in HN, NT, TL, LS angle or distance to the fence, but TL to the horizontal angle was greater over the spread for all stride phases. LS to the horizontal angle was greater over the upright when the leading forelimb was vertical at take-off and when the trailing hindlimb was vertical at take-off. These findings suggest that elite horses may use some similar strategies to achieve a successful jump. Further understanding regions which are most influenced by velocity, rider, and horse stability could enable us to modify jumping patterns for the performance and welfare of jumping horses.
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Affiliation(s)
- V.A. Walker
- Centre for Equine Studies, Animal Health Trust, Lanwades Park, Newmarket, Suffolk, CB8 7UU, United Kingdom
| | - C.A. Tranquille
- Centre for Equine Studies, Animal Health Trust, Lanwades Park, Newmarket, Suffolk, CB8 7UU, United Kingdom
| | - P. Harris
- Equine Studies Group, WALTHAM Centre for Pet Nutrition, Freeby Lane, Waltham-on-the-Wolds, Leicestershire LE14 4RT, United Kingdom
| | - C. Roberts
- Sidney Sussex College, Cambridge University, Sidney Street, Cambridge, Cambridgeshire CB2 3HU,United Kingdom
| | - J. McEwen
- British Equestrian Federation, Abbey Park, Stareton, Kenilworth, Warwickshire CV8 2RH, United Kingdom
| | - R.C. Murray
- Centre for Equine Studies, Animal Health Trust, Lanwades Park, Newmarket, Suffolk, CB8 7UU, United Kingdom
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Kumar K, Roberts C, Bartle E, Eley DS. Correction to: Testing for medical school selection: What are prospective doctors' experiences and perceptions of the GAMSAT and what are the consequences of testing? Adv Health Sci Educ Theory Pract 2018; 23:547. [PMID: 29435698 DOI: 10.1007/s10459-018-9813-6] [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] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The wrong acknowledgement and funding information were provided in the original publication.
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Affiliation(s)
- K Kumar
- Prideaux Centre for Research in Health Professions Education, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
| | - C Roberts
- Sydney Medical School - Northern, The University of Sydney, Sydney, Australia
| | - E Bartle
- School of Dentistry, University of Queensland, Brisbane, Australia
| | - D S Eley
- Office of Medical Education, Faculty of Medicine, University of Queensland, Brisbane, Australia
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Kumar K, Roberts C, Bartle E, Eley DS. Testing for medical school selection: What are prospective doctors' experiences and perceptions of the GAMSAT and what are the consequences of testing? Adv Health Sci Educ Theory Pract 2018; 23:533-546. [PMID: 29388087 DOI: 10.1007/s10459-018-9811-8] [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: 07/08/2017] [Accepted: 01/22/2018] [Indexed: 06/07/2023]
Abstract
Written tests for selection into medicine have demonstrated reliability and there is accumulating evidence regarding their validity, but we know little about the broader impacts or consequences of medical school selection tests from the perspectives of key stakeholders. In this first Australian study of its kind, we use consequential validity as a theoretical lens to examine how medical school students and applicants view and experience the Graduate Medical Schools Admission Test (GAMSAT), and the consequences of testing. Participants (n = 447) were recruited from five graduate-entry medical schools across Australia and a publicly available online test preparation forum. An online survey was used to gather demographic information, and quantitative and qualitative data. Quantitative data were analysed via descriptive statistics and qualitative data were thematically analysed. The findings showed there was a considerable financial burden associated with preparing for and sitting the GAMSAT and moderate agreement regarding the GAMSAT as a fair selection method. The main unintended consequences of using the GAMSAT as a selection tool included barriers related to test affordability and language, and socialisation into the hidden curriculum of medicine. Selection tools such as the GAMSAT have some limitations when the goals are to support equitable participation in medicine and professional identity development. Our study highlights the value interpretive and theoretically-informed research in contributing to the evidence base on medical school selection.
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Affiliation(s)
- K Kumar
- Prideaux Centre for Research in Health Professions Education, College of Medicine and Public Health, Flinders University, Adelaide, Australia.
| | - C Roberts
- Sydney Medical School - Northern, The University of Sydney, Sydney, Australia
| | - E Bartle
- School of Dentistry, University of Queensland, Brisbane, Australia
| | - D S Eley
- Office of Medical Education, Faculty of Medicine, University of Queensland, Brisbane, Australia
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Hughes M, Moore T, Manning J, Wilkinson J, Watson S, Samraj P, Dinsdale G, Roberts C, Rhodes LE, Herrick AL, Murray A. A feasibility study of a novel low-level light therapy for digital ulcers in systemic sclerosis. J DERMATOL TREAT 2018; 30:251-257. [PMID: 29862855 PMCID: PMC6484448 DOI: 10.1080/09546634.2018.1484875] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [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] [Indexed: 11/25/2022]
Abstract
Background: Locally acting, well-tolerated treatments for systemic sclerosis (SSc) digital ulcers (DUs) are needed. Objectives: Our primary aim was to investigate the safety, feasibility, and tolerability of a novel low-level light therapy (LTTT). A secondary aim was to tentatively assess efficacy. Methods: A custom-built device comprising infrared (850 nm), red (660 nm), and violet (405 nm) LEDs was utilized. DUs were irradiated with 10 J/cm2 twice weekly for 3 weeks, with follow-up at weeks 4 and 8. Any safety concerns were documented. Patient opinion on time to deliver, feasibility, and pain visual analogue score (VAS; 0–100, 100 most severe) was collected. Patient and clinician DU global assessment VAS were documented. DUs were evaluated by laser Doppler perfusion imaging pre- and post-irradiation. Results: In all, 14 DUs in eight patients received a total of 46 light exposures, with no safety concerns. All patients considered LTTT ‘took just the right amount of time’ and was ‘feasible’, with a low associated mean pain VAS of 1.6 (SD: 5.2). Patient and clinician global DC VAS improved during the study (mean change: –7.1 and –5.2, respectively, both p < .001). DU perfusion significantly increased post-irradiation. Conclusions: LTTT for DUs is safe, feasible, and well tolerated. There was an early tentative suggestion of treatment efficacy.
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Affiliation(s)
- M Hughes
- a Centre for Musculoskeletal Research , The University of Manchester, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre , Manchester , UK
| | - T Moore
- b Department of Rheumatology , Salford Royal NHS Foundation Trust , Salford , UK
| | - J Manning
- b Department of Rheumatology , Salford Royal NHS Foundation Trust , Salford , UK
| | - J Wilkinson
- c Research and Development , Salford Royal NHS Foundation Trust , Salford , UK
| | - S Watson
- d Medical Physics Department and University of Manchester , Manchester Academic Health Science Centre , Salford Royal NHS Foundation Trust , UK
| | - P Samraj
- e Medical Physics Department , Salford Royal NHS Foundation Trust , UK
| | - G Dinsdale
- a Centre for Musculoskeletal Research , The University of Manchester, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre , Manchester , UK
| | - C Roberts
- f Centre for Biostatistics , Institute of Population Health, School of Medicine, The University of Manchester , Manchester , UK
| | - L E Rhodes
- g Photobiology Unit, Dermatology Centre, Division of Musculoskeletal and Dermatological Sciences , The University of Manchester, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre , Manchester , UK
| | - A L Herrick
- a Centre for Musculoskeletal Research , The University of Manchester, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre , Manchester , UK.,h NIHR Manchester Musculoskeletal Biomedical Research Centre , Central Manchester NHS Foundation Trust , Manchester Academic Health Science Centre , UK
| | - A Murray
- a Centre for Musculoskeletal Research , The University of Manchester, Salford Royal NHS Foundation Trust, Manchester Academic Health Science Centre , Manchester , UK.,i Photon Science Institute , The University of Manchester , UK
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Thompson A, Roberts C, Edwards A, Morgan J. Outpatient removal of ureteric stents in renal transplant patients improves patient outcomes. Int J Surg 2018. [DOI: 10.1016/j.ijsu.2018.05.517] [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]
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Wreglesworth N, Roberts C, Innominato P. A retrospective review of neutrophil-lymphocyte ratio as a predictive prognostic marker in upper gastrointestinal cancers in three UK hospitals over a nine year period. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.101] [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
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Moorhouse HL, Read DS, McGowan S, Wagner M, Roberts C, Armstrong LK, Nicholls DJE, Wickham HD, Hutchins MG, Bowes MJ. Characterisation of a major phytoplankton bloom in the River Thames (UK) using flow cytometry and high performance liquid chromatography. Sci Total Environ 2018; 624:366-376. [PMID: 29258037 DOI: 10.1016/j.scitotenv.2017.12.128] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Revised: 12/11/2017] [Accepted: 12/11/2017] [Indexed: 06/07/2023]
Abstract
Recent river studies have observed rapid phytoplankton dynamics, driven by diurnal cycling and short-term responses to storm events, highlighting the need to adopt new high-frequency characterisation methods to understand these complex ecological systems. This study utilised two such analytical methods; pigment analysis by high performance liquid chromatography (HPLC) and cell counting by flow cytometry (FCM), alongside traditional chlorophyll spectrophotometry and light microscopy screening, to characterise the major phytoplankton bloom of 2015 in the River Thames, UK. All analytical techniques observed a rapid increase in chlorophyll a concentration and cell abundances from March to early June, caused primarily by a diatom bloom. Light microscopy identified a shift from pennate to centric diatoms during this period. The initial diatom bloom coincided with increased HPLC peridinin concentrations, indicating the presence of dinoflagellates which were likely to be consuming the diatom population. The diatom bloom declined rapidly in early June, coinciding with a storm event. There were low chlorophyll a concentrations (by both HPLC and spectrophotometric methods) throughout July and August, implying low biomass and phytoplankton activity. However, FCM revealed high abundances of pico-chlorophytes and cyanobacteria through July and August, showing that phytoplankton communities remain active and abundant throughout the summer period. In combination, these techniques are able to simultaneously characterise a wider range of phytoplankton groups, with greater certainty, and provide improved understanding of phytoplankton functioning (e.g. production of UV inhibiting pigments by cyanobacteria in response to high light levels) and ecological status (through examination of pigment degradation products). Combined HPLC and FCM analyses offer rapid and cost-effective characterisation of phytoplankton communities at appropriate timescales. This will allow a more-targeted use of light microscopy to capture phytoplankton peaks or to investigate periods of rapid community succession. This will lead to greater system understanding of phytoplankton succession in response to biogeochemical drivers.
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Affiliation(s)
- H L Moorhouse
- Centre for Ecology & Hydrology, Wallingford, Oxon OX10 8BB, United Kingdom; Lancaster Environment Centre, Library Avenue, Lancaster University, Lancaster LA1 4YQ, United Kingdom
| | - D S Read
- Centre for Ecology & Hydrology, Wallingford, Oxon OX10 8BB, United Kingdom
| | - S McGowan
- School of Geography, University of Nottingham, University Park, Nottingham NG7 2RD, United Kingdom
| | - M Wagner
- Centre for Ecology & Hydrology, Wallingford, Oxon OX10 8BB, United Kingdom
| | - C Roberts
- Centre for Ecology & Hydrology, Wallingford, Oxon OX10 8BB, United Kingdom
| | - L K Armstrong
- Centre for Ecology & Hydrology, Wallingford, Oxon OX10 8BB, United Kingdom
| | - D J E Nicholls
- Centre for Ecology & Hydrology, Wallingford, Oxon OX10 8BB, United Kingdom
| | - H D Wickham
- Centre for Ecology & Hydrology, Wallingford, Oxon OX10 8BB, United Kingdom
| | - M G Hutchins
- Centre for Ecology & Hydrology, Wallingford, Oxon OX10 8BB, United Kingdom
| | - M J Bowes
- Centre for Ecology & Hydrology, Wallingford, Oxon OX10 8BB, United Kingdom.
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Merola J, Wager C, Hamann S, Zhang X, Thai A, Roberts C, Lam C, Musselli C, Marsh G, Rabah D, Barbey C, Franchimont N, Reynolds T. 1096 Non-invasive tape sampling reveals a type I interferon RNA signature in cutaneous lupus erythematosus that distinguishes affected from unaffected and healthy volunteer skin. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1109] [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: 11/28/2022]
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Judd A, Zangerle R, Touloumi G, Warszawski J, Meyer L, Dabis F, Mary Krause M, Ghosn J, Leport C, Wittkop L, Reiss P, Wit F, Prins M, Bucher H, Gibb D, Fätkenheuer G, Julia DA, Obel N, Thorne C, Mocroft A, Kirk O, Stephan C, Pérez-Hoyos S, Hamouda O, Bartmeyer B, Chkhartishvili N, Noguera-Julian A, Antinori A, d’Arminio Monforte A, Brockmeyer N, Prieto L, Rojo Conejo P, Soriano-Arandes A, Battegay M, Kouyos R, Mussini C, Tookey P, Casabona J, Miró JM, Castagna A, Konopnick D, Goetghebuer T, Sönnerborg A, Quiros-Roldan E, Sabin C, Teira R, Garrido M, Haerry D, de Wit S, Miró JM, Costagliola D, d’Arminio-Monforte A, Castagna A, del Amo J, Mocroft A, Raben D, Chêne G, Judd A, Pablo Rojo C, Barger D, Schwimmer C, Termote M, Wittkop L, Campbell M, Frederiksen CM, Friis-Møller N, Kjaer J, Raben D, Salbøl Brandt R, Berenguer J, Bohlius J, Bouteloup V, Bucher H, Cozzi-Lepri A, Dabis F, d’Arminio Monforte A, Davies MA, del Amo J, Dorrucci M, Dunn D, Egger M, Furrer H, Grabar S, Guiguet M, Judd A, Kirk O, Lambotte O, Leroy V, Lodi S, Matheron S, Meyer L, Miro JM, Mocroft A, Monge S, Nakagawa F, Paredes R, Phillips A, Puoti M, Rohner E, Schomaker M, Smit C, Sterne J, Thiebaut R, Thorne C, Torti C, van der Valk M, Wittkop L, Tanser F, Vinikoor M, Macete E, Wood R, Stinson K, Garone D, Fatti G, Giddy J, Malisita K, Eley B, Fritz C, Hobbins M, Kamenova K, Fox M, Prozesky H, Technau K, Sawry S, Benson CA, Bosch RJ, Kirk GD, Boswell S, Mayer KH, Grasso C, Hogg RS, Richard Harrigan P, Montaner JSG, Yip B, Zhu J, Salters K, Gabler K, Buchacz K, Brooks JT, Gebo KA, Moore RD, Moore RD, Rodriguez B, Horberg MA, Silverberg MJ, Thorne JE, Rabkin C, Margolick JB, Jacobson LP, D’Souza G, Klein MB, Rourke SB, Rachlis AR, Cupido P, Hunter-Mellado RF, Mayor AM, John Gill M, Deeks SG, Martin JN, Patel P, Brooks JT, Saag MS, Mugavero MJ, Willig J, Eron JJ, Napravnik S, Kitahata MM, Crane HM, Drozd DR, Sterling TR, Haas D, Rebeiro P, Turner M, Bebawy S, Rogers B, Justice AC, Dubrow R, Fiellin D, Gange SJ, Anastos K, Moore RD, Saag MS, Gange SJ, Kitahata MM, Althoff KN, Horberg MA, Klein MB, McKaig RG, Freeman AM, Moore RD, Freeman AM, Lent C, Kitahata MM, Van Rompaey SE, Crane HM, Drozd DR, Morton L, McReynolds J, Lober WB, Gange SJ, Althoff KN, Abraham AG, Lau B, Zhang J, Jing J, Modur S, Wong C, Hogan B, Desir F, Liu B, You B, Cahn P, Cesar C, Fink V, Sued O, Dell’Isola E, Perez H, Valiente J, Yamamoto C, Grinsztejn B, Veloso V, Luz P, de Boni R, Cardoso Wagner S, Friedman R, Moreira R, Pinto J, Ferreira F, Maia M, Célia de Menezes Succi R, Maria Machado D, de Fátima Barbosa Gouvêa A, Wolff M, Cortes C, Fernanda Rodriguez M, Allendes G, William Pape J, Rouzier V, Marcelin A, Perodin C, Tulio Luque M, Padgett D, Sierra Madero J, Crabtree Ramirez B, Belaunzaran P, Caro Vega Y, Gotuzzo E, Mejia F, Carriquiry G, McGowan CC, Shepherd BE, Sterling T, Jayathilake K, Person AK, Rebeiro PF, Giganti M, Castilho J, Duda SN, Maruri F, Vansell H, Ly PS, Khol V, Zhang FJ, Zhao HX, Han N, Lee MP, Li PCK, Lam W, Chan YT, Kumarasamy N, Saghayam S, Ezhilarasi C, Pujari S, Joshi K, Gaikwad S, Chitalikar A, Merati TP, Wirawan DN, Yuliana F, Yunihastuti E, Imran D, Widhani A, Tanuma J, Oka S, Nishijima T, Na S, Choi JY, Kim JM, Sim BLH, Gani YM, David R, Kamarulzaman A, Syed Omar SF, Ponnampalavanar S, Azwa I, Ditangco R, Uy E, Bantique R, Wong WW, Ku WW, Wu PC, Ng OT, Lim PL, Lee LS, Ohnmar PS, Avihingsanon A, Gatechompol S, Phanuphak P, Phadungphon C, Kiertiburanakul S, Sungkanuparph S, Chumla L, Sanmeema N, Chaiwarith R, Sirisanthana T, Kotarathititum W, Praparattanapan J, Kantipong P, Kambua P, Ratanasuwan W, Sriondee R, Nguyen KV, Bui HV, Nguyen DTH, Nguyen DT, Cuong DD, An NV, Luan NT, Sohn AH, Ross JL, Petersen B, Cooper DA, Law MG, Jiamsakul A, Boettiger DC, Ellis D, Bloch M, Agrawal S, Vincent T, Allen D, Smith D, Rankin A, Baker D, Templeton DJ, O’Connor CC, Thackeray O, Jackson E, McCallum K, Ryder N, Sweeney G, Cooper D, Carr A, Macrae K, Hesse K, Finlayson R, Gupta S, Langton-Lockton J, Shakeshaft J, Brown K, Idle S, Arvela N, Varma R, Lu H, Couldwell D, Eswarappa S, Smith DE, Furner V, Smith D, Cabrera G, Fernando S, Cogle A, Lawrence C, Mulhall B, Boyd M, Law M, Petoumenos K, Puhr R, Huang R, Han A, Gunathilake M, Payne R, O’Sullivan M, Croydon A, Russell D, Cashman C, Roberts C, Sowden D, Taing K, Marshall P, Orth D, Youds D, Rowling D, Latch N, Warzywoda E, Dickson B, Donohue W, Moore R, Edwards S, Boyd S, Roth NJ, Lau H, Read T, Silvers J, Zeng W, Hoy J, Watson K, Bryant M, Price S, Woolley I, Giles M, Korman T, Williams J, Nolan D, Allen A, Guelfi G, Mills G, Wharry C, Raymond N, Bargh K, Templeton D, Giles M, Brown K, Hoy J. Comparison of Kaposi Sarcoma Risk in Human Immunodeficiency Virus-Positive Adults Across 5 Continents: A Multiregional Multicohort Study. Clin Infect Dis 2017; 65:1316-1326. [PMID: 28531260 PMCID: PMC5850623 DOI: 10.1093/cid/cix480] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Accepted: 05/19/2017] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND We compared Kaposi sarcoma (KS) risk in adults who started antiretroviral therapy (ART) across the Asia-Pacific, South Africa, Europe, Latin, and North America. METHODS We included cohort data of human immunodeficiency virus (HIV)-positive adults who started ART after 1995 within the framework of 2 large collaborations of observational HIV cohorts. We present incidence rates and adjusted hazard ratios (aHRs). RESULTS We included 208140 patients from 57 countries. Over a period of 1066572 person-years, 2046 KS cases were diagnosed. KS incidence rates per 100000 person-years were 52 in the Asia-Pacific and ranged between 180 and 280 in the other regions. KS risk was 5 times higher in South African women (aHR, 4.56; 95% confidence intervals [CI], 2.73-7.62) than in their European counterparts, and 2 times higher in South African men (2.21; 1.34-3.63). In Europe, Latin, and North America KS risk was 6 times higher in men who have sex with men (aHR, 5.95; 95% CI, 5.09-6.96) than in women. Comparing patients with current CD4 cell counts ≥700 cells/µL with those whose counts were <50 cells/µL, the KS risk was halved in South Africa (aHR, 0.53; 95% CI, .17-1.63) but reduced by ≥95% in other regions. CONCLUSIONS Despite important ART-related declines in KS incidence, men and women in South Africa and men who have sex with men remain at increased KS risk, likely due to high human herpesvirus 8 coinfection rates. Early ART initiation and maintenance of high CD4 cell counts are essential to further reducing KS incidence worldwide, but additional measures might be needed, especially in Southern Africa.
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Nicum S, Strauss V, McGregor N, McNeish I, Roux R, Hall M, Michael A, Roberts C. OCTOVA: A randomised phase II trial of olaparib, chemotherapy, or olaparib and cediranib in patients with BRCA-mutated platinum-resistant ovarian cancer. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx372.060] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [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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Lampejo T, Turner R, Roberts C, Allen K, Watson L, Caverley-Frost L, Scott P, Ostridge E, Cooney G, Hardy J, Nulty K, Day S. Novel outreach settings to enhance sexually transmitted infection/HIV awareness, diagnosis and treatment in hard-to-reach populations. Int J STD AIDS 2017; 29:266-272. [PMID: 28768469 DOI: 10.1177/0956462417723816] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Despite recent rises in the number of cases of sexually transmitted infections (STIs) such as syphilis and gonorrhoea in England and increasing rates of HIV diagnosis among several men who have sex with men populations, many individuals are still not engaging with sexual health services. The John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London set up outreach clinics at the two world's largest adult lifestyle exhibitions in 2013 and 2015. This was the first time that a sexual health screening and promotion service was available at these large-scale (over 10,000 attendees at each) adult lifestyle events. A total of 381 individuals underwent STI screening across the two events. Nineteen (5.0%) patients were diagnosed with an infection. Twelve (3.1%) patients with Chlamydia trachomatis, three (0.8%) patients with syphilis, one (0.3%) patient with Neisseria gonorrhoeae, one (0.3%) patient with HIV, one (0.3%) patient with hepatitis B and one (0.3%) patient with hepatitis C. All 19 patients were promptly contacted with their results and had arrangements made for treatment or were referred for specialist follow up. Where possible, contact tracing was also performed. Implementing such outreach-based projects is challenged by lack of on-site laboratory support, high staffing demands and potentially high costs. However, we achieved a total HIV screening uptake rate of 94.5% amongst our outreach clinic attendees (versus 67% nationally in conventional sexual health clinic attendees) with an HIV positivity rate of 0.3% (versus 0.2% nationally in high HIV prevalence band populations). Additionally, 30.7% had never been tested for HIV previously (versus 20.7% nationally). Our work demonstrates that these strategies can help to address issues related to lack of STI/HIV screening in hard-to-reach populations and promote risk reduction behaviour.
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Affiliation(s)
- T Lampejo
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - R Turner
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - C Roberts
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - K Allen
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - L Watson
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - L Caverley-Frost
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - P Scott
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - E Ostridge
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - G Cooney
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - J Hardy
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - K Nulty
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
| | - S Day
- John Hunter Clinic for Sexual Health, Chelsea and Westminster Hospital, London, UK
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Stengel D, Mauffrey C, Civil I, Gray AC, Roberts C, Pape HC, Evans C, Kool B, Mauffrey OJ, Giannoudis P. Recruitment rates in orthopaedic trauma trials: Zen or the art of riding dead horses. Injury 2017; 48:1719-1721. [PMID: 28807412 DOI: 10.1016/j.injury.2017.07.028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Dirk Stengel
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany.
| | - Cyril Mauffrey
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany
| | - Ian Civil
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany
| | - A C Gray
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany
| | - C Roberts
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany
| | - Hans-Christoph Pape
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany
| | - C Evans
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany
| | - Bridget Kool
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany
| | - O J Mauffrey
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany
| | - Peter Giannoudis
- BG Kliniken Group of Hospitals, BG Klinikum Unfallkrankenhaus Berlin gGmH, Warener Str. 7, 12683 Berlin, Germany
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Akpan A, Banerjee J, Roberts C. DEFINING A STANDARD SET OF PATIENT-CENTERED OUTCOMES FOR OLDER PERSONS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1077] [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: 11/12/2022] Open
Affiliation(s)
- A. Akpan
- Aintree University Hospitals NHS Foundation Trust, Aintree, United Kingdom,
- ICHOM Older Person Working Group, London, United Kingdom,
| | - J. Banerjee
- University Hospitals of Leicester NHS Trust, Leicester, United Kingdom
- ICHOM Older Person Working Group, London, United Kingdom,
| | - C. Roberts
- ICHOM Older Person Working Group, London, United Kingdom,
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Banerjee J, Akpan A, Reynish E, Roberts C. THE IMPLEMENTATION OF ICHOM STANDARD SET OF OUTCOMES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1078] [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
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Affiliation(s)
- E. Reynish
- Stirling University, Stirling, United Kingdom
- ICHOM Dementia Working Group, London, United Kingdom,
| | - A. Burns
- ICHOM Dementia Working Group, London, United Kingdom,
| | - C. Roberts
- ICHOM Dementia Working Group, London, United Kingdom,
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