1
|
Wallace MM, Hackstadt AJ, Zhao Z, Patrinely JR, Zic J, Ellis D, Paul L, Sultan M, Danford B, Hanlon AM. The Teledermatology Experience: Cost Savings and Image Quality Control. Telemed J E Health 2024; 30:1411-1417. [PMID: 38150704 DOI: 10.1089/tmj.2022.0528] [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] [Indexed: 12/29/2023] Open
Abstract
Introduction: Teledermatology adoption continues to increase, in part, spurred by the COVID-19 pandemic. This study analyzes the utility and cost savings of a store-and-forward teledermatology consultative system within the Veterans Health Administration (VA). Methods: Retrospective cohort of 4,493 patients across 14 remote sites in Tennessee and Kentucky from May 2017 through August 2019. The study measured the agreement between the teledermatology diagnoses and follow-up face-to-face clinic evaluations as well as the cost effectiveness of the teledermatology program over the study period. Results: Fifty-four percent of patients were recommended for face-to-face appointment for biopsy or further evaluation. Most patients, 80.5% received their face-to-face care by a VA dermatologist. There was a high level of concordance between teledermatologist and clinic dermatologist for pre-malignant and malignant cutaneous conditions. Veterans were seen faster at a VA clinic compared with a community dermatology site. Image quality improved as photographers incorporated teledermatologist feedback. From a cost perspective, teledermatology saved the VA system $1,076,000 in community care costs. Discussion: Teledermatology is a useful diagnostic tool within the VA system providing Veteran care at a cost savings.
Collapse
Affiliation(s)
- Matthew M Wallace
- Department of Medicine, Tennessee Valley Healthcare System, Nashville Veterans Administration Medical Center, Nashville, Tennessee, USA
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Amber J Hackstadt
- Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
| | - Zijun Zhao
- Vanderbilt University School of Medicine, Nashville, Tennessee, USA
| | | | - John Zic
- Department of Medicine, Tennessee Valley Healthcare System, Nashville Veterans Administration Medical Center, Nashville, Tennessee, USA
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Darrel Ellis
- Department of Medicine, Tennessee Valley Healthcare System, Nashville Veterans Administration Medical Center, Nashville, Tennessee, USA
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Lynn Paul
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Miliyard Sultan
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Brandon Danford
- Department of Medicine, Tennessee Valley Healthcare System, Nashville Veterans Administration Medical Center, Nashville, Tennessee, USA
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Allison M Hanlon
- Department of Medicine, Tennessee Valley Healthcare System, Nashville Veterans Administration Medical Center, Nashville, Tennessee, USA
- Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| |
Collapse
|
2
|
Aydin P, Greene A, Yeh F, Martin D, Young P, Ellis D, Dick J, Al-Halabi H. Assessing the Clinical Impact of the Special Physics Consult (SPC). Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.2157] [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]
|
3
|
Zolfaghari K, Wilkes G, Bird S, Ellis D, Pintar KDM, Gottschall N, McNairn H, Lapen DR. Chlorophyll-a, dissolved organic carbon, turbidity and other variables of ecological importance in river basins in southern Ontario and British Columbia, Canada. Environ Monit Assess 2019; 192:67. [PMID: 31879802 DOI: 10.1007/s10661-019-7800-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 06/03/2019] [Indexed: 06/10/2023]
Abstract
Optical sensing of chlorophyll-a (chl-a), turbidity, and fluorescent dissolved organic matter (fDOM) is often used to characterize the quality of water. There are many site-specific factors and environmental conditions that can affect optically sensed readings; notwithstanding the comparative implication of different procedures used to measure these properties in the laboratory. In this study, we measured these water quality properties using standard laboratory methods, and in the field using optical sensors (sonde-based) at water quality monitoring sites located in four watersheds in Canada. The overall objective of this work was to explore the relationships among sonde-based and standard laboratory measurements of the aforementioned water properties, and evaluate associations among these eco-hydrological properties and land use, environmental, and ancillary water quality variables such as dissolved organic carbon (DOC) and total suspended solids (TSS). Differences among sonde versus laboratory relationships for chl-a suggest such relationships are impacted by laboratory methods and/or site specific conditions. Data mining analysis indicated that interactive site-specific factors predominately impacting chl-a values across sites were specific conductivity and turbidity (variables with positive global associations with chl-a). The overall linear regression predicting DOC from fDOM was relatively strong (R2 = 0.77). However, slope differences in the watershed-specific models suggest laboratory DOC versus fDOM relationships could be impacted by unknown localized water quality properties affecting fDOM readings, and/or the different standard laboratory methods used to estimate DOC. Artificial neural network analyses (ANN) indicated that higher relative chl-a concentrations were associated with low to no tree cover around sample sites and higher daily rainfall in the watersheds examined. Response surfaces derived from ANN indicated that chl-a concentrations were higher where combined agricultural and urban land uses were relatively higher.
Collapse
Affiliation(s)
- K Zolfaghari
- Agriculture and Agri-Food Canada, Ottawa, ON, Canada
| | - G Wilkes
- Agriculture and Agri-Food Canada, Ottawa, ON, Canada
| | - S Bird
- Fluvial Systems Research Inc., White Rock, BC, Canada
| | - D Ellis
- Agriculture and Agri-Food Canada, Ottawa, ON, Canada
| | | | - N Gottschall
- Agriculture and Agri-Food Canada, Ottawa, ON, Canada
| | - H McNairn
- Agriculture and Agri-Food Canada, Ottawa, ON, Canada
| | - D R Lapen
- Agriculture and Agri-Food Canada, Ottawa, ON, Canada.
| |
Collapse
|
4
|
Raue M, Miller J, Ward C, Brady S, D’Ambrosio L, Ellis D, Felts A, Coughlin JF. STAYING SOCIAL: SOCIOEMOTIONAL CONNECTIONS AND MEANING-MAKING. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Raue
- Massachusetts Institute of Technology AgeLab, Cambridge, Massachusetts, United States
| | - J Miller
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - C Ward
- Massachusetts Institute of Technology AgeLab, Cambridge MA, USA
| | - S Brady
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - L D’Ambrosio
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - D Ellis
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - A Felts
- Massachusetts Insititute of Technology, AgeLab, Cambridge, MA, USA
| | - J F Coughlin
- Massachusetts Insititute of Technology, AgeLab, Cambridge, MA, USA
| |
Collapse
|
5
|
Brady S, Miller J, Ward C, Raue M, D’Ambroiso L, Ellis D, Felts A, Coughlin JF. MAINTAINING INDEPENDENCE: HEALTH, DISABILITY, AND STAYING IN-SHAPE. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2322] [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)
- S Brady
- Massachusetts Institute of Technology AgeLab, Cambridge, Massachusetts, United States
| | - J Miller
- Massachusetts Institute of Technology AgeLab, Cambridge MA, USA
| | - C Ward
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - M Raue
- Massachusetts Insititute of Technology, AgeLab, Cambridge, MA, USA
| | - L D’Ambroiso
- Massachusetts Insititute of Technology, AgeLab, Cambridge, MA, USA
| | - D Ellis
- Massachusetts Insititute of Technology, AgeLab, Cambridge, MA, USA
| | - A Felts
- Massachusetts Insititute of Technology, AgeLab, Cambridge, MA, USA
| | - J F Coughlin
- Massachusetts Insititute of Technology, AgeLab, Cambridge, MA, USA
| |
Collapse
|
6
|
Ward CR, Miller J, Raue M, Brady S, D’Ambrosio LA, Ellis D, Felts A, Coughlin JF. ADAPTING (TO) THE ENVIRONMENT: NAVIGATING HOUSING AND TRANSPORTATION. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2323] [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)
- C R Ward
- MIT AgeLab, Cambridge, Massachusetts, United States
| | - J Miller
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - M Raue
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - S Brady
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - L A D’Ambrosio
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - D Ellis
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - A Felts
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| | - J F Coughlin
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA
| |
Collapse
|
7
|
Blumencranz LE, Treece T, Ellis D, Barlowe K, Blumencranz P, Audeh W. Abstract P6-13-06: Not presented. Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-p6-13-06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
This abstract was not presented at the symposium.
Collapse
Affiliation(s)
- LE Blumencranz
- University of Miami, Miami, FL; Agendia, Irvine, CA; Morton Plant Hospital, Clearwater, FL
| | - T Treece
- University of Miami, Miami, FL; Agendia, Irvine, CA; Morton Plant Hospital, Clearwater, FL
| | - D Ellis
- University of Miami, Miami, FL; Agendia, Irvine, CA; Morton Plant Hospital, Clearwater, FL
| | - K Barlowe
- University of Miami, Miami, FL; Agendia, Irvine, CA; Morton Plant Hospital, Clearwater, FL
| | - P Blumencranz
- University of Miami, Miami, FL; Agendia, Irvine, CA; Morton Plant Hospital, Clearwater, FL
| | - W Audeh
- University of Miami, Miami, FL; Agendia, Irvine, CA; Morton Plant Hospital, Clearwater, FL
| |
Collapse
|
8
|
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.
Collapse
|
9
|
Affiliation(s)
- Alan S Boyd
- Department of Medicine, Division of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee.,Department of Pathology, Immunology, and Laboratory Medicine, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Lee Wheless
- Department of Medicine, Division of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Bobbi G Brady
- Department of Medicine, Division of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee
| | - Darrel Ellis
- Department of Medicine, Division of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee
| |
Collapse
|
10
|
Shivers SC, Russell S, Blumencrancz L, Mehindru A, Acs G, Ellis D, Vrcelj V, Zanchi A, Blumencrancz PW, Carter E, King J, Cox CE. Abstract P6-09-45: Long-term follow-up of early stage breast cancer patients with results of MammaPrint®, Oncotype DX® and MammoStrat® risk classification assays. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p6-09-45] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction: The use of genomic tests for the prediction of breast cancer recurrence is becoming more common. MammaPrint® (MP, Agendia Inc.) is a 70-gene microarray assay designed to assess the 10-year risk of recurrence in an untreated population that was not selected for ER/HER2 results. The Oncotype DX® Recurrence Score® (RS, Genomic Health, Inc.) is a 21-gene RT-PCR assay that is clinically validated to predict the 10-year risk of distant recurrence in ER+ patients treated with Tamoxifen. MammoStrat® (MS, Clarient, Inc.) is an IHC assay that uses 5 antibodies and has been validated in a similar population as RS. Several recent reports show that these assays classify patients differently with significant discordances for all risk groups (Shivers, et al., SABCS 2013; Denduluri, et al., ASCO Breast 2011; Poulet, et al., SABCS 2012; Schneider, et al., ASCO 2013). The present study is an analysis of long-term follow-up in a cohort of patients who have results for all three of these risk-stratifying assays side by side in the same samples.
Methods: Patients with ER+ N0-N1 early-stage breast cancer with an MP result obtained as part of their routine clinical care were identified at the University of South Florida (USF, N=65) and Morton Plant Hospital (N=83). After local IRB approval, slides and/or blocks were cut and de-identified at USF and sent to Genomic Health and Clarient for blinded testing. Clinicopathological features were also reviewed by 3 breast pathologists.
Results: 148 patients with an MP result had tissue available to send for RS and MS assays. These patients had a median age of 62 years; median tumor size 1.8 cm; 9% low grade, 59% intermediate grade and 32% high grade. In our previous analysis of this study, of 148 patients with MP results, 53% were low risk and 47% were high risk. Of 135 samples that yielded enough RNA to produce an RS result, 53% were low risk, 26% were intermediate risk and 21% were high risk. Of 129 samples that yielded an MS result, 44% were low risk, 28% were moderate risk and 28% were high risk. Of 121 patients with results for all 3 assays, only 22% were concordant for low risk and 9% were concordant for high risk across all 3 assays. Overall, 30% of cases showed a major discordance such as low risk for one assay and high risk for another. After median follow-up of 54 months, 9 patients have had a distant metastasis and/or 8 patients have died (11 patients total). One patient who had bone metastasis and died had been classified as low risk by all 3 assays. Three patients with distant metastases had a major discordance between assays, with two high risk and one low risk result. Seven patients were classified as high or intermediate/moderate risk by all 3 assays.
Conclusions: This direct comparison demonstrates that although the assays classify a large proportion of patients differently, the patients who ended up with a distant metastasis and/or died of breast cancer had been classified as high risk by at least two of the three assays. This study has important clinical implications since these assays are used to help make treatment decisions regarding which patients might benefit from chemotherapy.
Citation Format: Shivers SC, Russell S, Blumencrancz L, Mehindru A, Acs G, Ellis D, Vrcelj V, Zanchi A, Blumencrancz PW, Carter E, King J, Cox CE. Long-term follow-up of early stage breast cancer patients with results of MammaPrint®, Oncotype DX® and MammoStrat® risk classification assays [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P6-09-45.
Collapse
Affiliation(s)
- SC Shivers
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - S Russell
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - L Blumencrancz
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - A Mehindru
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - G Acs
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - D Ellis
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - V Vrcelj
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - A Zanchi
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - PW Blumencrancz
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - E Carter
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - J King
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| | - CE Cox
- Morsani College of Medicine at the University of South Florida (USF), Tampa, FL; Agendia, Inc., Irvine, CA; Florida Hospital Tampa, Tampa, FL; Morton Plant Hospital, Clearwater, FL
| |
Collapse
|
11
|
|
12
|
Abstract
North American research shows that interventions and their type, appropriateness, timing, and patterning may help explain variations in the relationship between estrangement and intimate femicide on one hand and reintegration or conciliation on the other. The main objective of this article is to build on Wilson and Daly's male proprietariness thesis by integrating it with a theory of interventions.
Collapse
|
13
|
Tobin JM, Liu J, Hayes H, Demleitner M, Ellis D, Arrighi V, Xu Z, Vilela F. BODIPY-based conjugated microporous polymers as reusable heterogeneous photosensitisers in a photochemical flow reactor. Polym Chem 2016. [DOI: 10.1039/c6py01393g] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Production of singlet oxygen at 530 nm in a flow reactor using novel BODIPY-based polymers as heterogeneous photosensitisers.
Collapse
Affiliation(s)
- J. M. Tobin
- School of Engineering and Physical Sciences
- Heriot-Watt University
- Edinburgh
- UK
| | - J. Liu
- Department of Biology and Chemistry
- City University of Hong Kong
- Kowloon
- China
| | - H. Hayes
- School of Engineering and Physical Sciences
- Heriot-Watt University
- Edinburgh
- UK
| | - M. Demleitner
- School of Engineering and Physical Sciences
- Heriot-Watt University
- Edinburgh
- UK
| | - D. Ellis
- School of Engineering and Physical Sciences
- Heriot-Watt University
- Edinburgh
- UK
| | - V. Arrighi
- School of Engineering and Physical Sciences
- Heriot-Watt University
- Edinburgh
- UK
| | - Z. Xu
- Department of Biology and Chemistry
- City University of Hong Kong
- Kowloon
- China
| | - F. Vilela
- School of Engineering and Physical Sciences
- Heriot-Watt University
- Edinburgh
- UK
| |
Collapse
|
14
|
Vollmer R, Villagaray R, Egusquiza V, Espirilla J, García M, Torres A, Rojas E, Panta A, Barkley NA, Ellis D. The Potato Cryobank at The International Potato Center (Cip): A Model for Long Term Conservation of Clonal Plant Genetic Resources Collections of the Future. Cryo Letters 2016; 37:318-329. [PMID: 27924999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND Cryobanks are a secure, efficient and low cost method for the long-term conservation of plant genetic resources for theoretically centuries or millennia with minimal maintenance. OBJECTIVE The present manuscript describes CIP's modified protocol for potato cryopreservation, its large-scale application, and the establishment of quality and operational standards, which included a viability reassessment of material entering the cryobank. MATERIALS AND METHODS In 2013, CIP established stricter quality and operational standards under which 1,028 potato accessions were cryopreserved with an improved PVS2-droplet protocol. In 2014 the viability of 114 accessions cryopreserved in 2013 accessions were reassessed. RESULTS The average recovery rate (full plant recovery after LN exposure) of 1028 cryopreserved Solanum species ranged from 34 to 59%, and 70% of the processed accessions showed a minimum recovery rate of ≥20% and were considered as successfully cryopreserved. CONCLUSION CIP has established a new high quality management system for cryobanking. Periodic viability reassessment, strict and clear recovery criteria and the monitoring of the percent of successful accessions meeting the criteria as well as contamination rates are metrics that need to be considered in cryobanks.
Collapse
Affiliation(s)
- R Vollmer
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru.
| | - R Villagaray
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru
| | - V Egusquiza
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru
| | - J Espirilla
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru
| | - M García
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru
| | - A Torres
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru
| | - E Rojas
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru
| | - A Panta
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru
| | - N A Barkley
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru
| | - D Ellis
- International Potato Center, Av. La Molina 1895, La Molina, Lima, Peru
| |
Collapse
|
15
|
Kovaleski JE, Botsis AE, Gurchiek LR, Ellis D, Liu W, Rooney C, Hollis JM. 32 Effects of kinesio® taping on ankle complex stability and dynamic postural control in female ballet dancers. Br J Sports Med 2015. [DOI: 10.1136/bjsports-2015-095573.32] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
16
|
Ahmed-Little Y, Bothra V, Cordwell D, Freeman Powell D, Ellis D, Klapper P, Scanlon S, Higgins S, Vivancos R. Attitudes towards HIV testing via home-sampling kits ordered online (RUClear pilots 2011-12). J Public Health (Oxf) 2015; 38:585-590. [PMID: 26045472 DOI: 10.1093/pubmed/fdv075] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [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: 11/12/2022] Open
Abstract
BACKGROUND The burden of disease relating to undiagnosed HIV infection is significant in the UK. BHIVA (British HIV Association) recommends population screening in high prevalence areas, expanding outside traditional antenatal/GUM settings. METHODS RUClear 2011-12 piloted expanding HIV testing outside traditional settings using home-sampling kits (dry-blood-spot testing) ordered online. Greater Manchester residents (≥age 16) could request testing via an established, online chlamydia testing service (www.ruclear.co.uk). Participant attitudes towards this new service were assessed. Qualitative methods (thematic analysis) were used to analyse free-text data submitted by participants via hard copy questionnaires issued in all testing kits. RESULTS 79.9% (2447/3062) participants completed questionnaires, of which 30.9% (756/2447) provided free-text data. Participants overwhelmingly supported the service, valuing particularly accessibility and convenience, allowing individuals to order tests any time of day and self-sample comfortably at home; avoiding the invasive nature of venipuncture and avoiding the need for face-to-face interaction with health services. The pilot was also clinically and cost-effective. CONCLUSION Testing via home-sampling kits ordered online (dry-blood-spot testing) was felt to be an acceptable and convenient method for accessing a HIV test. Many individuals undertook HIV testing where they would otherwise not have been tested at all. Expansion of similar services may increase the uptake of HIV testing.
Collapse
Affiliation(s)
- Y Ahmed-Little
- Greater Manchester Health Protection Team, Public Health England, Manchester M1 3BN, UK
| | - V Bothra
- Greater Manchester Health Protection Team, Public Health England, Manchester M1 3BN, UK
| | - D Cordwell
- RUClear Chlamydia Screening Programme, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
| | - D Freeman Powell
- RUClear Chlamydia Screening Programme, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
| | - D Ellis
- Public Health Laboratory, Public Health England, Manchester, UK
| | - P Klapper
- Faculty of Medical and Human Sciences, The University of Manchester, Manchester, UK
| | - S Scanlon
- RUClear Chlamydia Screening Programme, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
| | - S Higgins
- Department of Sexual Health and HIV, North Manchester General Hospital, Manchester, UK
| | - R Vivancos
- Cheshire and Mersey Health Protection Team, Public Health England, Manchester, UK
| |
Collapse
|
17
|
Amsler MO, Smith KE, McClintock JB, Singh H, Thatje S, Vos SC, Brothers CJ, Brown A, Ellis D, Anderson J, Aronson RB. In situ observations of a possible skate nursery off the western Antarctic Peninsula. J Fish Biol 2015; 86:1867-1872. [PMID: 25898908 DOI: 10.1111/jfb.12679] [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: 11/12/2014] [Accepted: 02/25/2015] [Indexed: 06/04/2023]
Abstract
A dense aggregation of skate egg cases was imaged during a photographic survey of the sea floor along the western Antarctic Peninsula in November 2013. Egg cases were noted in a narrow band between 394 and 443 m depth. Although some skate species in other oceans are known to utilize restricted areas to deposit eggs in great numbers, such nurseries have not been described in the Southern Ocean.
Collapse
Affiliation(s)
- M O Amsler
- Department of Biology, University of Alabama at Birmingham, Birmingham, AL 35294, U.S.A
| | - K E Smith
- Department of Biological Sciences, Florida Institute of Technology, 150 West University Boulevard, Melbourne, FL 32901, U.S.A
| | - J B McClintock
- Department of Biology, University of Alabama at Birmingham, Birmingham, AL 35294, U.S.A
| | - H Singh
- Department of Applied Ocean Physics and Engineering, Woods Hole Oceanographic Institution, Woods Hole, MA 02543, U.S.A
| | - S Thatje
- Ocean and Earth Science, University of Southampton, European Way, Southampton, SO14 3ZH, U.K
| | - S C Vos
- Department of Biological Sciences, Florida Institute of Technology, 150 West University Boulevard, Melbourne, FL 32901, U.S.A
| | - C J Brothers
- Department of Biology, University of Alabama at Birmingham, Birmingham, AL 35294, U.S.A
| | - A Brown
- Ocean and Earth Science, University of Southampton, European Way, Southampton, SO14 3ZH, U.K
| | - D Ellis
- Department of Biological Sciences, Florida Institute of Technology, 150 West University Boulevard, Melbourne, FL 32901, U.S.A
| | - J Anderson
- Nature Imagery, under contract to Department of Applied Ocean Physics and Engineering, Woods Hole Oceanographic Institution, Woods Hole, MA 02543, U.S.A
| | - R B Aronson
- Department of Biological Sciences, Florida Institute of Technology, 150 West University Boulevard, Melbourne, FL 32901, U.S.A
| |
Collapse
|
18
|
Necessary CA, Roffwarg D, Ellis D. Reticulated hyperpigmentation following chemotherapy for radiation-induced osteosarcoma. J Am Acad Dermatol 2014; 71:e23-4. [PMID: 24947708 DOI: 10.1016/j.jaad.2013.12.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2013] [Revised: 12/13/2013] [Accepted: 12/29/2013] [Indexed: 01/24/2023]
Affiliation(s)
| | - David Roffwarg
- Division of Dermatology, Department of Medicine, Vanderbilt University, Nashville, Tennessee
| | - Darrel Ellis
- Division of Dermatology, Department of Medicine, Vanderbilt University and VA Tennessee Valley Healthcare System, Nashville, Tennessee
| |
Collapse
|
19
|
Koprivnikar J, Ellis D, Shim KC, Forbes MR. Effects of Temperature and Salinity on Emergence ofGynaecotyla aduncaCercariae from the Intertidal GastropodIlyanassa obsoleta. J Parasitol 2014; 100:242-5. [DOI: 10.1645/13-331.1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
|
20
|
Ellis D, Burgess PI, Kayange P. Management of diabetic retinopathy. Malawi Med J 2013; 25:116-20. [PMID: 24926400 PMCID: PMC4052230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Abstract
Sub-Saharan Africa faces an epidemic of diabetes. Visual loss from diabetic retinopathy (DR) is both preventable and treatable. This article reviews the epidemiology and clinical features of DR and current evidence-based interventions in three areas: primary prevention of retinopathy by optimum medical management, early detection of pre-symptomatic disease and management of established retinopathy to prevent or mitigate visual loss. There are significant challenges to DR care in resource poor environments. Appropriate provision of effective interventions by health services can reduce social and economic costs associated with patient care.
Collapse
Affiliation(s)
- D Ellis
- Sheffield Medical School, UK
| | - P I Burgess
- Malawi-Liverpool-Wellcome Trust Clinical Research Programme Queen Elizabeth Central Hospital
| | - P Kayange
- Ophthalmology unit, Department of Surgery, College of Medicine, University of Malawi, Queen Elizabeth Central Hospital, Blantyre, Malawi
| |
Collapse
|
21
|
Kaya E, Alves A, Rodrigues L, Jenderek M, Hernandez-Ellis M, Ozudogru A, Ellis D. Cryopreservation of eucalyptus genetic resources. Cryo Letters 2013; 34:608-618. [PMID: 24441371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The long-term preservation of forest genetic resources is a vital part of preserving our forest crops for future generations. Unfortunately, there are few genebanks dedicated to forest trees and very few methods for long-term preservation of forest genetic resources collections aside from field plantings of a limited number of seed-derived or elite clonal individuals. The use of cryopreservation for the long-term storage of elite germplasm is increasingly being used for the long-term preservation of clonal agronomic crops but for forest trees, such as Eucalyptus, the methodology for cryopreservation of diverse genetic resources collections has not been established. We report the successful cryopreservation of a germplasm collection of in vitro shoot cultures of thirteen Eucalyptus spp. lines consisting of two E. grandis x E. camaldulensis lines, seven E. urophylla x E. grandis lines, one E. grandis line, two E. grandis x E. urophylla lines, and one E. camaldulensis line. In a comparison of two cryopreservation methods, sucrose sensitivity limited the application of encapsulation-dehydration. However, with droplet-vitrification, all thirteen lines had good survival after cryopreservation in liquid nitrogen. A 30 min exposure to Plant Vitrification Solution 2 (PVS2) yielded post-liquid nitrogen survival between 38% and 85% depending on the line. One hundred shoot tips from all thirteen lines are currently in long-term storage as a germplasm collection.
Collapse
Affiliation(s)
- E Kaya
- USDA-ARS National Center for Genetic Resources Preservation, Fort Collins, Colorado, USA. Gebze Institute of Technology, Molecular Biology and Genetics Department, Kocaeli, Turkey.
| | - A Alves
- USDA-ARS National Center for Genetic Resources Preservation; mbrapa Labex-USA, USDA-ARS, Fort Collins, Colorado, USA
| | - L Rodrigues
- Universidade Federal de Lavras, Lavras, MG, Brazil
| | - M Jenderek
- USDA-ARS National Center for Genetic Resources Preservation, Fort Collins, Colorado, USA
| | - M Hernandez-Ellis
- USDA-ARS National Center for Genetic Resources Preservation, Fort Collins, Colorado, USA
| | - A Ozudogru
- CNR-IVALSA Istituto per la Valorizzazione del Legno e Delle Specie Arboree, Florence, Italy
| | - D Ellis
- USDA-ARS National Center for Genetic Resources Preservation, Fort Collins, Colorado, USA
| |
Collapse
|
22
|
McCullough KP, Lok CE, Fluck RJ, Spergel LM, Andreucci VE, Fort J, Krishnan M, Fissell RB, Kawanishi H, Saran R, Port FK, Robinson BM, Pisoni RL, Shinzato T, Shionoya Y, Fukui H, Sasaki M, Miwa M, Toma S, Lin CC, Yang WC, Simone S, Loverre A, Cariello M, Divella C, Castellano G, Gesualdo L, Grandaliano G, Pertosa G, Mattei S, Pignatelli G, Corradini M, Stefani A, Bovino A, Iannuzzella F, Vaglio A, Manari A, Pasquali S, Chan JS, Wu TC, Roy-Chaudhury P, Shih CC, Chen JW, Ponce P, Scholz C, Goncalves P, Grassmann A, Canaud B, Marcelli D, Suzuki S, Shibata K, Kuji T, Kawata S, Koguchi N, Nishihara M, Satta H, Toya Y, Umemura S, Corbett R, Demicheli N, Iori F, Grechy L, Khiroya R, Ellis D, Crane J, Hamady M, Gedroyc W, Duncan N, Vincent P, Caro C, Sarween N, Price A, Powers S, Allen C, Holland M, Gupta I, Baharani J, Parisotto MT, Schoder V, Kaufmann P, Miriunis C, Grassmann A, Marcelli D, Moura A, Madureira J, Alija P, Fernandes J, Oliveira JG, Lopez M, Felgueiras M, Amado L, Sameiro-Faria M, Miranda V, Vieira M, Santos-Silva A, Costa E, David P, Capurro F, Brustia M, De Mauri A, Ruva C, Chiarinotti D, Gravellone L, De Leo M, Turkvatan A, Kirkpantur A, Mandiroglu S, Afsar B, Seloglu B, Alkis M, Erkula S, GURBUZ HG, Serin M, CALIK Y, Mandiroglu F, Balci M, Rikker C, Juhasz E, Tornoci L, Tovarosi S, Greguschik J, Rosivall L, Ibeas J, Valeriano J, Vallespin J, Fortuno J, Rodriguez-Jornet A, Cabre C, Merino J, Vinuesa X, Bolos M, Branera J, Mateos A, Jimeno V, Grau C, Criado E, Moya C, Ramirez J, Gimenez A, Garcia M, Kirmizis D, Kougioumtzidou O, Vakianis P, Bandera A, Veniero P, Brunori G, Dimitrijevic Z, Cvetkovic T, Paunovic K, Stojanovic M, Ljubenovic S, Mitic B, Djordjevic V, Aicha Henriette S, Farideh A, Daniela B, Zafer T, Francois C, Ibeas J, Vallespin J, Fortuno J, Merino J, Vinuesa X, Branera J, Mateos A, Jimeno V, Bolos M, Rodriguez-Jornet A, Gimenez A, Garcia M, Donati G, Scrivo A, Cianciolo G, La Manna G, Panicali L, Rucci P, Marchetti A, Giampalma E, Galaverni M, Golfieri R, Stefoni S, Skornyakov I, Kiselev N, Rozhdestvenskaya A, Stolyar A, Ancarani PPA, Devoto E, Dardano GGD, Coskun yavuz Y, Selcuk NY, Guney I, Altintepe L, Gerasimovska V, Gerasimovska-Kitanovska B, Persic V, Buturovic-Ponikvar J, Arnol M, Ponikvar R, Brustia M, De Mauri A, Conti N, Chiarinotti D, De Leo M, Capurro F, David P, Scrivano J, Pettorini L, Giuliani A, Punzo G, Mene P, Pirozzi N, Balci M, Turkvatan A, Mandiroglu S, Afsar B, Mandiroglu F, Kirkpantur A, Kocyigit I, Unal A, Guney A, Mavili E, Deniz K, Sipahioglu M, Eroglu E, Tokgoz B, Oymak O, Gunal A, Boubaker K, Kaaroud H, Kheder A, Ibeas J, Vidal M, Vallespin J, Amengual MJ, Merino J, Orellana R, Sanfeliu I, Rodriguez-Jornet A, Vinuesa X, Marquina D, Xirinachs M, Sanchez E, Moya C, Ramirez J, Rey M, Gimenez A, Garcia M, Strozecki P, Flisinski M, Kapala A, Manitius J, Gerasimovska V, Gerasimovska-Kitanovska BD, Sikole A, Weber E, Adrych D, Wolyniec W, Liberek T, Rutkowski B, Afsar B, Oguchi K, Nakahara T, Okamoto M, Iwabuchi H, Asano M, Rap O, Ruiz-Valverde M, Rodriguez-Murillo JA, Mallafre-Anduig JM, Zeid MM, Deghady AA, Elshair HS, Elkholy NA, Panagoutsos S, Devetzis V, Roumeliotis A, Kantartzi K, Mourvati E, Vargemezis V, Passadakis P, Kang SH, Jung SY, Lee SH, Cho KH, Park JW, Yoon KW, Do JY. Vascular access. Nephrol Dial Transplant 2013. [DOI: 10.1093/ndt/gft118] [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: 11/13/2022] Open
|
23
|
Ellis D, Farr S. Steady-state pharmacokinetics and safety of single-entity hydrocodone extended release in subjects with osteoarthritis pain. The Journal of Pain 2013. [DOI: 10.1016/j.jpain.2013.01.708] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
24
|
Forbes N, Walwyn M, Rao G, Ellis D, Lee MG. Klippel-Trenaunay syndrome. W INDIAN MED J 2013; 62:254-256. [PMID: 24564049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Klippel-Trenaunay syndrome (KTS) is a rare congenital, vascular disorder affecting one or more limbs. The syndrome is characterized by capillary malformations, soft tissue or bony hypertrophy and varicose veins or venous malformations. We present a case of this disorder in a twelve-year old boy who had an enlarged right lower limb with varicosities. Investigations revealed extensive superficial and deep venous varices, with dilatation of the right common iliac and external iliac veins. Klippel-Trenaunay syndrome should be suspected in a child presenting with capillary haemangioma and an enlarged limb.
Collapse
Affiliation(s)
- N Forbes
- Department of Medicine, Cornwall Regional Hospital, Kingston 7, Jamaica
| | - M Walwyn
- Department of Medicine, Cornwall Regional Hospital, Kingston 7, Jamaica
| | - G Rao
- Radiology, Cornwall Regional Hospital, Kingston 7, Jamaica
| | - D Ellis
- Radiology, Cornwall Regional Hospital, Kingston 7, Jamaica
| | - M G Lee
- Department of Medicine, The University of the West Indies, Kingston 7, Jamaica
| |
Collapse
|
25
|
Lee RW, Millward KE, Ossai FE, Ellis D, Townsend M. P195 Case Series: How Useful Are Fleischner Guidelines For Nodule Surveillance in a District General Hospital? Thorax 2012. [DOI: 10.1136/thoraxjnl-2012-202678.256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
26
|
Jennissen C, Buresh C, Harland K, Ellis D, Denning G. All-terrain vehicles on the road: a serious traffic safety concern. Inj Prev 2012. [DOI: 10.1136/injuryprev-2012-040590s.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
27
|
Denning G, Harland K, Ellis D, Jennissen C. 384 All-Terrain Vehicles: Deadly On and Off the Road. Ann Emerg Med 2012. [DOI: 10.1016/j.annemergmed.2012.06.416] [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: 10/27/2022]
|
28
|
Denning G, Jennissen C, Harland K, Ellis D, Buresh C. 368 Off-Highway Vehicle Parks: Do Increased Regulations and Enforcement Improve All-Terrain Vehicle Safety? Ann Emerg Med 2012. [DOI: 10.1016/j.annemergmed.2012.06.400] [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]
|
29
|
Jennissen C, Harland K, Ellis D, Denning G. All-terrain vehicles: deadly on and off the road. Inj Prev 2012. [DOI: 10.1136/injuryprev-2012-040590s.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
30
|
|
31
|
McLellan R, Boag NM, Dodds K, Ellis D, Macgregor SA, McKay D, Masters SL, Noble-Eddy R, Platt NP, Rankin DWH, Robertson HE, Rosair GM, Welch AJ. New chemistry of 1,2-closo-P2B10H10 and 1,2-closo-As2B10H10; in silico and gas electron diffraction structures, and new metalladiphospha- and metalladiarsaboranes. Dalton Trans 2011; 40:7181-92. [DOI: 10.1039/c1dt10540j] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
32
|
Miller BF, Ellis D, Robinson MM, Rivera JD, Kjaer M, Langberg H. Measurement of skeletal muscle collagen breakdown by microdialysis. Scand J Med Sci Sports 2010; 21:e1-8. [DOI: 10.1111/j.1600-0838.2010.01105.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
|
33
|
Shah N, Musters C, Selwood A, Ellis D. The rise and fall of a psychiatric antenatal clinic: development of a perinatal psychiatric service linked directly to the provision of antenatal care. Obstet Med 2010; 3:69-72. [PMID: 27582846 DOI: 10.1258/om.2010.090034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2010] [Indexed: 11/18/2022] Open
Abstract
Usual referral pathways to psychiatric services can miss opportunities for timely intervention in maternal perinatal psychiatric ill health. Psychiatric illness leading to suicide is a significant factor in at least 10% of maternal deaths. Despite Royal College of Psychiatry and National Institute for Health and Clinical Excellence recommendations for specialist provision of perinatal mental health services, this remains sporadic and insufficient. We set out to develop a new integrated antenatal-psychiatric direct referral pathway and present a year of experience using this service model. The psychiatric service was delivered from within the antenatal clinic setting with a direct health-care professional (HCP) led referral pathway between 2003 and 2004. The service comprised one session per week of a senior psychiatric specialist registrar and provided three new patients and two follow-up appointments per week. During this period, a total of 75 referrals to the service were made with 57 individuals attending for an appointment. There was a range of diagnoses among the women who attended, with only 24% meeting eligibility criteria for referral to secondary psychiatric services. The majority diagnosis was depression. More severely ill women were not referred to this clinic by obstetric HCPs. In conclusion, this model for developing and delivering a specialist perinatal psychiatric service using direct links to antenatal medical care was not successful despite requiring minimal funding. Nevertheless, it has been used to inform development of a new perinatal service in keeping with the Royal College of Psychiatrists' recommendations and incorporating enhanced training of HCPs responsible for the referral pathway.
Collapse
Affiliation(s)
- N Shah
- Highgate Mental Health Centre - Camden and Islington NHS Foundation Trust
| | | | - A Selwood
- Department of Mental Health Sciences, UCL , London , UK
| | - D Ellis
- Highgate Mental Health Centre - Camden and Islington NHS Foundation Trust
| |
Collapse
|
34
|
|
35
|
Sadewasser J, Potter A, Ellis D. Defining a standard medication kit for prehospital and retrieval physicians: a comprehensive review. Emerg Med J 2009; 27:62-71. [DOI: 10.1136/emj.2008.062810] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
36
|
|
37
|
Chen SCA, Marriott D, Playford EG, Nguyen Q, Ellis D, Meyer W, Sorrell TC, Slavin M. Candidaemia with uncommon Candida species: predisposing factors, outcome, antifungal susceptibility, and implications for management. Clin Microbiol Infect 2009; 15:662-9. [PMID: 19614718 DOI: 10.1111/j.1469-0691.2009.02821.x] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The risk factors for and clinical features of bloodstream infection with uncommon Candida spp. (species other than C. albicans, C. glabrata, C. parapsilosis, C. tropicals and C. krusei) are incompletely defined. To identify clinical variables associated with these species that might guide management, 57 cases of candidaemia resulting from uncommon Candida spp. were analysed in comparison with 517 episodes of Candida albicans candidaemia (2001-2004). Infection with uncommon Candida spp. (5.3% of candidaemia cases), as compared with C. albicans candidaemia, was significantly more likely to be outpatient-acquired than inpatient-acquired (15 of 57 vs. 65 of 517 episodes, p 0.01). Prior exposure to fluconazole was uncommon (n=1). Candida dubliniensis was the commonest species (n=22, 39%), followed by Candida guilliermondii (n=11, 19%) and Candida lusitaniae (n=7, 12%).C. dubliniensis candidaemia was independently associated with recent intravenous drug use (p 0.01) and chronic liver disease (p 0.03), and infection with species other than C. dubliniensis was independently associated with age<65 years (p 0.02), male sex (p 0.03) and human immunodeficiency virus infection (p 0.05). Presence of sepsis at diagnosis and crude 30-day mortality rates were similar for C. dubliniensis-related, non-C. dubliniensis-related and C. albicans-related candidaemia. Haematological malignancy was the commonest predisposing factor in C. guilliermondii (n=3, 27%) and C. lusitaniae (n=3, 43%) candidaemia. The 30-day mortality rate of C. lusitaniae candidaemia was higher than the overall death rate for all uncommon Candida spp. (42.9% vs. 25%, p not significant). All isolates were susceptible to amphotericin B, voriconazole, posaconazole, and caspofungin; five strains (9%) had fluconazole MIC values of 16-32 mg/L. Candidaemia due to uncommon Candida spp. is emerging among hospital outpatients; certain clinical variables may assist in recognition of this entity.
Collapse
Affiliation(s)
- S C A Chen
- Centre for Infectious Diseases and Microbiology, Westmead Hospital, University of Sydney, Sydney, Ausralia.
| | | | | | | | | | | | | | | | | |
Collapse
|
38
|
Heath C, Slavin M, Sorrell T, Handke R, Harun A, Phillips M, Nguyen Q, Delhaes L, Ellis D, Meyer W, Chen S. Population-based surveillance for scedosporiosis in Australia: epidemiology, disease manifestations and emergence of Scedosporium aurantiacum infection. Clin Microbiol Infect 2009; 15:689-93. [DOI: 10.1111/j.1469-0691.2009.02802.x] [Citation(s) in RCA: 89] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
39
|
Clark TD, Taylor BD, Seymour RS, Ellis D, Buchanan J, Fitzgibbon QP, Frappell PB. Moving with the beat: heart rate and visceral temperature of free-swimming and feeding bluefin tuna. Proc Biol Sci 2009; 275:2841-50. [PMID: 18755679 DOI: 10.1098/rspb.2008.0743] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Owing to the inherent difficulties of studying bluefin tuna, nothing is known of the cardiovascular function of free-swimming fish. Here, we surgically implanted newly designed data loggers into the visceral cavity of juvenile southern bluefin tuna (Thunnus maccoyii) to measure changes in the heart rate (fH) and visceral temperature (TV) during a two-week feeding regime in sea pens at Port Lincoln, Australia. Fish ranged in body mass from 10 to 21 kg, and water temperature remained at 18-19 degrees C. Pre-feeding fH typically ranged from 20 to 50 beats min(-1). Each feeding bout (meal sizes 2-7% of tuna body mass) was characterized by increased levels of activity and fH (up to 130 beats min(-1)), and a decrease in TV from approximately 20 to 18 degrees C as cold sardines were consumed. The feeding bout was promptly followed by a rapid increase in TV, which signified the beginning of the heat increment of feeding (HIF). The time interval between meal consumption and the completion of HIF ranged from 10 to 24 hours and was strongly correlated with ration size. Although fH generally decreased after its peak during the feeding bout, it remained elevated during the digestive period and returned to routine levels on a similar, but slightly earlier, temporal scale to TV. These data imply a large contribution of fH to the increase in circulatory oxygen transport that is required for digestion. Furthermore, these data oppose the contention that maximum fH is exceptional in bluefin tuna compared with other fishes, and so it is likely that enhanced cardiac stroke volume and blood oxygen carrying capacity are the principal factors allowing superior rates of circulatory oxygen transport in tuna.
Collapse
Affiliation(s)
- T D Clark
- School of Earth and Environmental Sciences and Aquafin CRC, University of Adelaide, Adelaide, SA 5005, Australia.
| | | | | | | | | | | | | |
Collapse
|
40
|
Balshaw S, Edwards JW, Ross KE, Ellis D, Padula DJ, Daughtry BJ. Empirical models to identify mechanisms driving reductions in tissue mercury concentration during culture of farmed southern bluefin tuna Thunnus maccoyii. Mar Pollut Bull 2008; 56:2009-2017. [PMID: 18823638 DOI: 10.1016/j.marpolbul.2008.08.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2008] [Revised: 08/07/2008] [Accepted: 08/08/2008] [Indexed: 05/26/2023]
Abstract
Two empirical models are presented to elucidate the mechanisms driving reductions in the mercury concentration of southern bluefin tuna (SBT) during culture. Model 1 predicts temporal fluctuations in mercury concentration in response to growth dilution. Model 2 predicts the combined effects of growth dilution and linear mercury accumulation. Model 2 was found to be the more accurate model. Over a typical farming period of 136 days, growth dilution resulted in a reduction in mean mercury concentration of SBT edible tissues from 0.51 mg/kg down to 0.33 mg/kg. Extended culture beyond 136 days resulted in an increase in mercury concentration due to the combined effects of mercury accumulation and seasonal lipid depletion. Results indicate that under current industry practice, cultured SBT can be consumed twice as frequently as that of wild caught SBT while maintaining total dietary mercury intake below national recommendations.
Collapse
Affiliation(s)
- S Balshaw
- Department of Environmental Health, School of Medicine, Flinders University, GPO Box 2100, Adelaide, South Australia 5001, Australia.
| | | | | | | | | | | |
Collapse
|
41
|
Jessen K, Leonard S, Froning K, Tang C, Smith C, Ellis D, Sperry S, Gessert S, Reich S, Buchanan S. 561 POSTER Discovery and preclinical characterization of a series of novel JAK2 small molecule inhibitors for the treatment of myeloproliferative diseases. EJC Suppl 2008. [DOI: 10.1016/s1359-6349(08)72495-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
|
42
|
|
43
|
Kinnison DE, Gille J, Barnett J, Randall C, Harvey VL, Lambert A, Khosravi R, Alexander MJ, Bernath PF, Boone CD, Cavanaugh C, Coffey M, Craig C, Dean VC, Eden T, Ellis D, Fahey DW, Francis G, Halvorson C, Hannigan J, Hartsough C, Hepplewhite C, Krinsky C, Lee H, Mankin B, Marcy TP, Massie S, Nardi B, Packman D, Popp PJ, Santee ML, Yudin V, Walker KA. Global observations of HNO3from the High Resolution Dynamics Limb Sounder (HIRDLS): First results. ACTA ACUST UNITED AC 2008. [DOI: 10.1029/2007jd008814] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
44
|
Aujla SJ, Michelson P, Langman CB, Shapiro R, Ellis D, Moritz ML. Refractory hypercalcemia in an infant secondary to talc pleurodesis resolving after renal transplantation. Am J Transplant 2008; 8:1329-33. [PMID: 18444935 DOI: 10.1111/j.1600-6143.2008.02216.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Talc pleurodesis is the definitive therapy of recurrent pneumothorax and has not been associated with metabolic complications. We report an anephric male infant who developed severe hypercalcemia 6 months following talc pleurodesis for recurrent peritoneal dialysis-related hydrothorax. The etiology of hypercalcemia was related to persistently elevated 1,25-dihydroxyvitamin D(3) (1,25[OH]2D) levels. The source appeared to be the extrarenal production of 1,25(OH)2D from macrophages in a large thoracic talc granuloma. Hypercalcemia was controlled with a combination of a low calcium diet, low calcium dialysis, ketoconazole and hydroxychloroquine, but elevated 1,25(OH)2D levels persisted. At 32 months of age the child underwent renal transplantation with alemtuzumab pre-conditioning. The hypercalcemia resolved immediately, with normalization of serum 1,25(OH)2D levels and without hypercalciuria. This case demonstrates that hypercalcemia is a potential complication of talc pleurodesis from the extrarenal production of 1,25(OH)2D and that alemtuzumab, a monoclonal antibody directed against the CD52 antigen (which is expressed on almost all macrophages), may have a role in the treatment of hypercalcemia associated with granulomatous conditions.
Collapse
Affiliation(s)
- S J Aujla
- Division of Pulmonary Medicine, Allergy and Immunology, Department of Pediatrics, Children's Hospital of Pittsburgh, The University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | | | | | | | | | | |
Collapse
|
45
|
McArthur G, Ellis D, Atkinson C, Coltheart M. Auditory processing deficits in children with reading and language impairments: Can they (and should they) be treated? Cognition 2008; 107:946-77. [DOI: 10.1016/j.cognition.2007.12.005] [Citation(s) in RCA: 77] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2007] [Revised: 11/13/2007] [Accepted: 12/24/2007] [Indexed: 11/27/2022]
|
46
|
Volk GM, Waddell J, Bonnart R, Towill L, Ellis D, Luffman M. High viability of dormant Malus buds after 10 years of storage in liquid nitrogen vapour. Cryo Letters 2008; 29:89-94. [PMID: 18516339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Three hundred and sixty two Malus accessions from the Canadian Clonal Genebank of Plant Gene Resources of Canada were cryopreserved as dormant buds at the USDA-ARS National Center for Genetic Resources Preservation in 1996. According to grafting data collected on 165 of these accessions in 1999, 80 percent of the accessions had at least 40 percent viability. A subsample of these accessions was processed for cryopreservation by either adjusting the moisture content of the budwood sections containing dormant buds to 32 or 37 percent moisture (fresh weight basis) or by not drying the budwood sections (46 percent moisture fresh weight basis) prior to cooling. Budwood sections were then slow-cooled at 1 degree C per hour to -3 degree C, held for 24 h at -30 degree C and then rapidly transferred to the vapour phase of liquid nitrogen. Cryopreserved buds from 13 accessions that were dried using the various techniques were warmed and grafted in both 1999 and 2006 to determine viability. Overall, bud viability was high at both storage times. At the 10 year time point, some accessions had higher bud growth when they were desiccated prior to slow-cooling when compared to those that were not.
Collapse
Affiliation(s)
- G M Volk
- USDA-ARS National Center for Genetic Resources Preservation, Fort Collins, Colorado 80521, USA.
| | | | | | | | | | | |
Collapse
|
47
|
Crofts JF, Bartlett C, Ellis D, Winter C, Donald F, Hunt LP, Draycott TJ. Patient-actor perception of care: a comparison of obstetric emergency training using manikins and patient-actors. Qual Saf Health Care 2008; 17:20-4. [DOI: 10.1136/qshc.2006.021873] [Citation(s) in RCA: 97] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
48
|
Shapiro R, Ellis D, Tan HP, Moritz ML, Basu A, Vats AN, Kayler LK, Erkan E, McFeaters CG, James G, Grosso MJ, Zeevi A, Gray EA, Marcos A, Starzl TE. Alemtuzumab pre-conditioning with tacrolimus monotherapy in pediatric renal transplantation. Am J Transplant 2007; 7:2736-8. [PMID: 17908272 PMCID: PMC2952494 DOI: 10.1111/j.1600-6143.2007.01987.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
We employed antibody pre-conditioning with alemtuzumab and posttransplant immunosuppression with low-dose tacrolimus monotherapy in 26 consecutive pediatric kidney transplant recipients between January 2004 and December 2005. Mean recipient age was 10.7 +/- 5.8 years, 7.7% were undergoing retransplantation, and 3.8% were sensitized, with a PRA >20%. Mean donor age was 32.8 +/- 9.2 years. Living donors were utilized in 65% of the transplants. Mean cold ischemia time was 27.6 +/- 6.4 h. The mean number of HLA mismatches was 3.3 +/- 1.3. Mean follow-up was 25 +/- 8 months. One and 2 year patient survival was 100% and 96%. One and 2 year graft survival was 96% and 88%. Mean serum creatinine was 1.1 +/- 0.6 mg/dL, and calculated creatinine clearance was 82.3 +/- 29.4 mL/min/1.73 m(2). The incidence of pre-weaning acute rejection was 11.5%; the incidence of delayed graft function was 7.7%. Eighteen (69%) of the children were tapered to spaced tacrolimus monotherapy, 10.5 +/- 2.2 months after transplantation. The incidence of CMV, PTLD and BK virus was 0%; the incidence of posttransplant diabetes was 7.7%. Although more follow-up is clearly needed, antibody pre-conditioning with alemtuzumab and tacrolimus monotherapy may be a safe and effective regimen in pediatric renal transplantation.
Collapse
Affiliation(s)
- R Shapiro
- University of Pittsburgh-Thomas E Starzl Transpl Institute - Surgery-Division of Transplantation, Pittsburgh, PA, USA.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
49
|
Crofts JF, Ellis D, Draycott TJ, Winter C, Hunt LP, Akande VA. Change in knowledge of midwives and obstetricians following obstetric emergency training: a randomised controlled trial of local hospital, simulation centre and teamwork training. BJOG 2007; 114:1534-41. [PMID: 17903231 DOI: 10.1111/j.1471-0528.2007.01493.x] [Citation(s) in RCA: 145] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To explore the effect of obstetric emergency training on knowledge. Furthermore, to assess if acquisition of knowledge is influenced by the training setting or teamwork training. DESIGN A prospective randomised controlled trial. SETTING Training was completed in six hospitals in the South West of England, UK and at the Bristol Medical Simulation Centre, UK. POPULATION Midwives and obstetric doctors working for the participating hospitals were eligible for inclusion in the study. A total of 140 participants (22 junior and 23 senior doctors, 47 junior and 48 senior midwives) were studied. METHODS Participants were randomised to one of four obstetric emergency training interventions: (1) 1-day course at local hospital, (2) 1-day course at simulation centre, (3) 2-day course with teamwork training at local hospital and (4) 2-day course with teamwork training at simulation centre. MAIN OUTCOME MEASURES Change in knowledge was assessed by a 185 question Multiple-Choice Questionnaire (MCQ) completed up to 3 weeks before and 3 weeks after the training intervention. RESULTS There was a significant increase in knowledge following training; mean MCQ score increased by 20.6 points (95% CI 18.1-23.1, P < 0.001). Overall, 123/133 (92.5%) participants increased their MCQ score. There was no significant effect on the MCQ score of either the location of training (two-way analysis of variants P = 0.785) or the inclusion of teamwork training (P = 0.965). CONCLUSIONS Practical, multiprofessional, obstetric emergency training increased midwives' and doctors' knowledge of obstetric emergency management. Furthermore, neither the location of training, in a simulation centre or in local hospitals, nor the inclusion of teamwork training made any significant difference to the acquisition of knowledge in obstetric emergencies.
Collapse
Affiliation(s)
- J F Crofts
- The SaFE Study, Department of Obstetrics and Gynaecology, Southmead Hospital, North Bristol NHS Trust, Bristol, UK
| | | | | | | | | | | |
Collapse
|
50
|
Vestal J, Rewcastle J, Manny T, Ellis D. MP-18.24: Primary prostate cryoablation: 5-year outcomes from a single center. Urology 2007. [DOI: 10.1016/j.urology.2007.06.531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|