1
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Brolin R, Hanson E, Magnusson L, Lewis F, Parkhouse T, Hlebec V, Santini S, Hoefman R, Leu A, Becker S. Adolescent Young Carers Who Provide Care to Siblings. Healthcare (Basel) 2024; 12:316. [PMID: 38338201 PMCID: PMC10855446 DOI: 10.3390/healthcare12030316] [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: 12/14/2023] [Revised: 01/03/2024] [Accepted: 01/22/2024] [Indexed: 02/12/2024] Open
Abstract
A child's disability, long-term illness, or mental ill-health is known to affect siblings' health, social life, school engagement, and quality of life. This article addresses a research gap by its focus on young sibling carers and the impact of providing care to a sibling. A cross-national survey study was conducted in 2018-2019 (Italy, the Netherlands, Slovenia, Sweden, Switzerland, the UK) to examine the incidence of adolescent sibling carers, the extent of care they provide, and their self-reported health, well-being, and school situation. The survey was completed by 7146 adolescents, aged 15-17, and 1444 of them provided care to family members with health-related conditions. Out of these, 286 were identified as Sibling Carers and 668 as Parent Carers, while 181 had both sibling(s) and parent(s) with health-related conditions, and thus were identified as Sibling-Parent Carers. Sibling Carers and Sibling-Parent Carers carried out higher levels of caring activities compared to Parent Carers. They reported both positive aspects of caring, such as increased maturity, and negative aspects, such as mental ill-health, impact on schooling and a lack of support. To reduce the negative aspects of a sibling carer role, it is important to recognise them and to implement early preventive measures and formal support.
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Affiliation(s)
- Rosita Brolin
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden;
| | - Elizabeth Hanson
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden;
- The Swedish Family Care Competence Centre, Region Kalmar, Strömgatan 13, SE-39232 Kalmar, Sweden
| | - Lennart Magnusson
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden;
- The Swedish Family Care Competence Centre, Region Kalmar, Strömgatan 13, SE-39232 Kalmar, Sweden
| | - Feylyn Lewis
- School of Nursing 179, Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA;
| | - Tom Parkhouse
- School of Psychology, University of Sussex, Falmer, Brighton BN1 9QQ, UK;
| | - Valentina Hlebec
- Faculty of Social Sciences, University of Ljubljana, 1000 Ljubljana, Slovenia;
| | - Sara Santini
- Centre for Socio-Economic Research on Ageing, IRCCS INRCA—National Institute of Health and Science on Ageing, 60124 Ancona, Italy;
| | - Renske Hoefman
- The Netherlands Institute for Social Research (SCP), Postbus 16164, 2500 BD The Hague, The Netherlands;
| | - Agnes Leu
- Institute for Biomedical Ethics, Science and Medical Faculty, University of Basel, 4001 Basel, Switzerland;
| | - Saul Becker
- Faculty of Health and Education, Manchester Metropolitan University, Manchester M15 6BX, UK;
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2
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Brolin R, Hanson E, Magnusson L, Lewis F, Parkhouse T, Hlebec V, Santini S, Hoefman R, Leu A, Becker S. Adolescent Young Carers Who Provide Help and Support to Friends. Healthcare (Basel) 2023; 11:2876. [PMID: 37958020 PMCID: PMC10649303 DOI: 10.3390/healthcare11212876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 10/12/2023] [Accepted: 10/24/2023] [Indexed: 11/15/2023] Open
Abstract
Prior studies emphasize the value of friends' support for children/adolescents who have a disability or suffer from mental ill-health or a long-term illness. However, few studies have explored how a caring role affects those young friend carers themselves. This paper addresses a gap in the research by focusing on this hitherto neglected group of young carers to explore the impact of providing care to friends. An online survey was employed for a cross-national study conducted in 2018-2019 in Sweden, Italy, Slovenia, the Netherlands, Switzerland, and the United Kingdom to examine the incidence of adolescent young friend carers, the extent of care they provide, and their self-reported health, well-being, and school situation. The survey was completed by 7146 adolescents, aged 15-17, and 1121 of them provided care to a friend with a health-related condition, most frequently mental ill-health. They carried out high levels of caring activities, and a quarter of them also provided care to a family member. They experienced both positive and negative aspects of caring. Nevertheless, in comparison with adolescents who provided care to family members, they reported more health problems, with a dominance of mental ill-health, and they received lower levels of support. Since adolescent friends play a valuable role for young people with health-related conditions, especially mental ill-health, it is important to find ways of optimizing their caring experiences in order that those adolescents who choose to care for a friend can do so without it having a negative impact on their own mental health, well-being, and life situation.
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Affiliation(s)
- Rosita Brolin
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden;
| | - Elizabeth Hanson
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden;
- The Swedish Family Care Competence Centre, Strömgatan 13, SE-39232 Kalmar, Sweden
| | - Lennart Magnusson
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden;
- The Swedish Family Care Competence Centre, Strömgatan 13, SE-39232 Kalmar, Sweden
| | - Feylyn Lewis
- School of Nursing 179, Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240, USA;
| | - Tom Parkhouse
- School of Psychology, University of Sussex, Falmer, Brighton BN1 9QQ, UK;
| | - Valentina Hlebec
- Faculty of Social Sciences, University of Ljubljana, 1000 Ljubljana, Slovenia;
| | - Sara Santini
- Centre for Socio-Economic Research on Ageing, IRCCS INRCA-National Institute of Health and Science on Ageing, 60124 Ancona, Italy;
| | - Renske Hoefman
- The Netherlands Institute for Social Research (SCP), Postbus 16164, 2500 BD The Hague, The Netherlands;
| | - Agnes Leu
- Institute for Biomedical Ethics, Science and Medical Faculty, University of Basel, 4001 Basel, Switzerland;
| | - Saul Becker
- School of Education and Social Work, University of Sussex, Falmer, Brighton BN1 9QQ, UK;
- Faculty of Health and Education, Manchester Metropolitan University, Manchester M15 6BX, UK
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3
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Barbabella F, Magnusson L, Boccaletti L, Casu G, Hlebec V, Bolko I, Lewis F, Hoefman R, Brolin R, Santini S, Socci M, D’Amen B, de Jong Y, Bouwman T, de Jong N, Leu A, Phelps D, Guggiari E, Wirth A, Morgan V, Becker S, Hanson E. Recruitment of Adolescent Young Carers to a Psychosocial Support Intervention Study in Six European Countries: Lessons Learned from the ME-WE Project. Int J Environ Res Public Health 2023; 20:5074. [PMID: 36981983 PMCID: PMC10049644 DOI: 10.3390/ijerph20065074] [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] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 03/01/2023] [Accepted: 03/10/2023] [Indexed: 06/18/2023]
Abstract
Young carers provide a substantial amount of care to family members and support to friends, yet their situation has not been actively addressed in research and policy in many European countries or indeed globally. Awareness of their situation by professionals and among children and young carers themselves remains low overall. Thus, young carers remain a largely hidden group within society. This study reports and analyses the recruitment process in a multi-centre intervention study offering psychosocial support to adolescent young carers (AYCs) aged 15-17 years. A cluster-randomised controlled trial was designed, with recruitment taking place in Italy, the Netherlands, Slovenia, Sweden, Switzerland and the United Kingdom exploiting various channels, including partnerships with schools, health and social services and carers organisations. In total, 478 AYCs were recruited and, after screening failures, withdrawals and initial dropouts, 217 were enrolled and started the intervention. Challenges encountered in reaching, recruiting and retaining AYCs included low levels of awareness among AYCs, a low willingness to participate in study activities, uncertainty about the prevalence of AYCs, a limited school capacity to support the recruitment; COVID-19 spreading in 2020-2021 and related restrictions. Based on this experience, recommendations are put forward for how to better engage AYCs in research.
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Affiliation(s)
- Francesco Barbabella
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), Strömgatan 13, 39232 Kalmar, Sweden
| | - Lennart Magnusson
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), Strömgatan 13, 39232 Kalmar, Sweden
| | - Licia Boccaletti
- Anziani e Non Solo Società Cooperativa Sociale, Via Lenin 55, 41012 Carpi, Italy
| | - Giulia Casu
- Anziani e Non Solo Società Cooperativa Sociale, Via Lenin 55, 41012 Carpi, Italy
- Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy
| | - Valentina Hlebec
- Faculty of Social Sciences, University of Ljubljana, Kardeljeva pl. 5, 1000 Ljubljana, Slovenia
| | - Irena Bolko
- Faculty of Social Sciences, University of Ljubljana, Kardeljeva pl. 5, 1000 Ljubljana, Slovenia
| | - Feylyn Lewis
- School of Nursing, Vanderbilt University, Godchaux Hall 179, 461 21st Ave S, Nashville, TN 37240, USA
- School of Education and Social Work, University of Sussex, Falmer, Brighton BN1 9RG, UK
| | - Renske Hoefman
- The Netherlands Institute for Social Research (SCP), Postbus 16164, 2500 BD The Hague, The Netherlands
| | - Rosita Brolin
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), Strömgatan 13, 39232 Kalmar, Sweden
| | - Sara Santini
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy
| | - Marco Socci
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy
| | - Barbara D’Amen
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy
| | - Yvonne de Jong
- Vilans—The National Centre of Expertise for Long-Term Care in The Netherlands, Churchilllaan 11, 3527 GV Utrecht, The Netherlands
| | - Tamara Bouwman
- Vilans—The National Centre of Expertise for Long-Term Care in The Netherlands, Churchilllaan 11, 3527 GV Utrecht, The Netherlands
| | - Nynke de Jong
- Vilans—The National Centre of Expertise for Long-Term Care in The Netherlands, Churchilllaan 11, 3527 GV Utrecht, The Netherlands
| | - Agnes Leu
- Institute for Biomedical Ethics, Medical Faculty, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland
- Department of Health, Kalaidos University of Applied Sciences, Gloriastrasse 18a, 8006 Zurich, Switzerland
| | - Daniel Phelps
- Department of Health, Kalaidos University of Applied Sciences, Gloriastrasse 18a, 8006 Zurich, Switzerland
- Faculty of Health and Well-being, University of Winchester, Winchester SO22 4NR, UK
| | - Elena Guggiari
- Department of Health, Kalaidos University of Applied Sciences, Gloriastrasse 18a, 8006 Zurich, Switzerland
| | - Alexandra Wirth
- Department of Health, Kalaidos University of Applied Sciences, Gloriastrasse 18a, 8006 Zurich, Switzerland
- Careum, Pestalozzistrasse 3, 8032 Zurich, Switzerland
| | - Vicky Morgan
- Carers Trust, 32–36 Loman Street, London SE1 OEH, UK
| | - Saul Becker
- School of Education and Social Work, University of Sussex, Falmer, Brighton BN1 9RG, UK
- Faculty of Health and Education, Manchester Metropolitan University, Manchester M15 6BX, UK
| | - Elizabeth Hanson
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), Strömgatan 13, 39232 Kalmar, Sweden
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4
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Guggiari E, Fatton M, Becker S, Lewis F, Casu G, Hoefman R, Hanson E, Santini S, Boccaletti L, Nap HH, Hlebec V, Wirth A, Leu A. Visibility as a Key Dimension to Better Health-Related Quality of Life and Mental Health: Results of the European Union Funded "ME-WE" Online Survey Study on Adolescent Young Carers in Switzerland. Int J Environ Res Public Health 2023; 20:3963. [PMID: 36900974 PMCID: PMC10001720 DOI: 10.3390/ijerph20053963] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [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: 12/29/2022] [Revised: 02/20/2023] [Accepted: 02/20/2023] [Indexed: 06/18/2023]
Abstract
This paper examines the health-related quality of life (HRQL) and mental health of adolescent young carers (AYCs) aged 15-17 in Switzerland, based on data collected within the Horizon 2020 project 'Psychosocial support for promoting mental health and well-being among AYCs in Europe' (ME-WE). It addresses the following questions: (1) Which characteristics of AYCs are associated with lower HRQL and with higher level of mental health problems? (2) Do AYCs who are less visible and less supported report a lower HRQL and more mental health issues than other AYCs? A total of 2343 young people in Switzerland, amongst them 240 AYCs, completed an online survey. The results show that female AYCs and AYCs with Swiss nationality more often reported having mental health issues than their male and non-Swiss counterparts. Furthermore, the findings show a significant association between receiving support for themselves and visibility from their school or employer and the HRQL. Moreover, AYCs who reported that their school or employer knew about the situation also reported fewer mental health issues. These findings can inform recommendations for policy and practice to develop measures aimed at raising the visibility of AYCs, which is the first step for planning AYC tailored support.
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Affiliation(s)
- Elena Guggiari
- Careum School of Health, Kalaidos University of Applied Sciences, Gloriastrasse 18a, 8006 Zurich, Switzerland
- Careum, Pestalozzistrasse 3, 8032 Zurich, Switzerland
| | - Marianne Fatton
- Medical Faculty, Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland
| | - Saul Becker
- Faculty of Health and Education, Manchester Metropolitan University, Manchester M15 6BX, UK
| | - Feylyn Lewis
- School of Nursing, Vanderbilt University, Godchaux Hall 179, 461 21st Ave S, Nashville, TN 37240, USA
| | - Giulia Casu
- Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy
| | - Renske Hoefman
- The Netherlands Institute for Social Research (SCP), Postbus 16164, 2500 BD The Hague, The Netherlands
| | - Elizabeth Hanson
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), 39232 Kalmar, Sweden
| | - Sara Santini
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy
| | - Licia Boccaletti
- Anziani e Non Solo Società Cooperativa Sociale, 41012 Carpi, Italy
| | - Henk Herman Nap
- Vilans-The National Centre of Expertise for Long-Term Care in The Netherlands, Churchilllaan 11, 3527 GV Utrecht, The Netherlands
| | - Valentina Hlebec
- Faculty of Social Sciences, University of Ljubljana, Kardeljeva pl. 5, 1000 Ljubljana, Slovenia
| | | | - Agnes Leu
- Careum School of Health, Kalaidos University of Applied Sciences, Gloriastrasse 18a, 8006 Zurich, Switzerland
- Medical Faculty, Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland
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5
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Ingen-Housz-Oro S, Schmidt V, Ameri MM, Abe R, Brassard A, Mostaghimi A, Paller AS, Romano A, Didona B, Kaffenberger BH, Ben Said B, Thong BYH, Ramsay B, Brezinova E, Milpied B, Mortz CG, Chu CY, Sotozono C, Gueudry J, Fortune DG, Dridi SM, Tartar D, Do-Pham G, Gabison E, Phillips EJ, Lewis F, Salavastru C, Horvath B, Dart J, Setterfield J, Newman J, Schulz JT, Delcampe A, Brockow K, Seminario-Vidal L, Jörg L, Watson MP, Gonçalo M, Lucas M, Torres M, Noe MH, Hama N, Shear NH, O’Reilly P, Wolkenstein P, Romanelli P, Dodiuk-Gad RP, Micheletti RG, Tiplica GS, Sheridan R, Rauz S, Ahmad S, Chua SL, Flynn TH, Pichler W, Le ST, Maverakis E, Walsh S, French LE, Brüggen MC. Post-acute phase and sequelae management of epidermal necrolysis: an international, multidisciplinary DELPHI-based consensus. Orphanet J Rare Dis 2023; 18:33. [PMID: 36814255 PMCID: PMC9945700 DOI: 10.1186/s13023-023-02631-7] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 02/06/2023] [Indexed: 02/24/2023] Open
Abstract
BACKGROUND Long-term sequelae are frequent and often disabling after epidermal necrolysis (Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN)). However, consensus on the modalities of management of these sequelae is lacking. OBJECTIVES We conducted an international multicentric DELPHI exercise to establish a multidisciplinary expert consensus to standardize recommendations regarding management of SJS/TEN sequelae. METHODS Participants were sent a survey via the online tool "Survey Monkey" consisting of 54 statements organized into 8 topics: general recommendations, professionals involved, skin, oral mucosa and teeth, eyes, genital area, mental health, and allergy workup. Participants evaluated the level of appropriateness of each statement on a scale of 1 (extremely inappropriate) to 9 (extremely appropriate). Results were analyzed according to the RAND/UCLA Appropriateness Method. RESULTS Fifty-two healthcare professionals participated. After the first round, a consensus was obtained for 100% of 54 initially proposed statements (disagreement index < 1). Among them, 50 statements were agreed upon as 'appropriate'; four statements were considered 'uncertain', and ultimately finally discarded. CONCLUSIONS Our DELPHI-based expert consensus should help guide physicians in conducting a prolonged multidisciplinary follow-up of sequelae in SJS-TEN.
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Affiliation(s)
- S. Ingen-Housz-Oro
- grid.412116.10000 0004 1799 3934Department of Dermatology, AP-HP, Henri Mondor Hospital, 1 Rue Gustave Eiffel, 94000 Créteil, France ,ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France ,grid.410511.00000 0001 2149 7878EpiDermE, Université Paris Est Créteil, Créteil, France
| | - V. Schmidt
- grid.410567.1University Hospital Basel, Basel, Switzerland ,grid.7400.30000 0004 1937 0650Faculty of Medicine, University of Zurich, Zurich, Switzerland
| | - M. M. Ameri
- grid.7400.30000 0004 1937 0650Faculty of Medicine, University of Zurich, Zurich, Switzerland ,grid.412004.30000 0004 0478 9977Department of Dermatology, University Hospital Zurich, Zurich, Switzerland ,grid.507894.70000 0004 4700 6354Christine Kühne-Center for Allergy Research and Education, Davos, Switzerland
| | - R. Abe
- grid.260975.f0000 0001 0671 5144Division of Dermatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - A. Brassard
- grid.413079.80000 0000 9752 8549Department of Dermatology, UC Davis Medical Center, Sacramento, CA USA
| | - A. Mostaghimi
- grid.62560.370000 0004 0378 8294Department of Dermatology, Brigham and Women’s Hospital, Boston, MA USA
| | - A. S. Paller
- grid.16753.360000 0001 2299 3507Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL USA
| | - A. Romano
- grid.419843.30000 0001 1250 7659Oasi Research Institute-IRCCS, Troina, Italy
| | - B. Didona
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,grid.419457.a0000 0004 1758 0179Rare Disease Unit, I Dermatology Division, Istituto Dermopatico Dell’Immacolata, IRCCS, Rome, Italy
| | - B. H. Kaffenberger
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,grid.412332.50000 0001 1545 0811The Ohio State University Wexner Medical Center Division of Dermatology, Upper Arlington, OH USA
| | - B. Ben Said
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France ,Department of Dermatology, CHU Edouard Herriot, Lyon, France
| | - B. Y. H. Thong
- grid.240988.f0000 0001 0298 8161Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore, Singapore
| | - B. Ramsay
- grid.415522.50000 0004 0617 6840Department of Dermatology, University Hospital Limerick, Limerick, Ireland
| | - E. Brezinova
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,grid.10267.320000 0001 2194 0956First Department of Dermatovenereology, Masaryk University Faculty of Medicine, St. Ann’s Faculty Hospital in Brno, Brno, Czech Republic
| | - B. Milpied
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France ,grid.412041.20000 0001 2106 639XDepartment of Adult and Pediatric Dermatology, Bordeaux University Hospitals, Bordeaux, France
| | - C. G. Mortz
- grid.7143.10000 0004 0512 5013Department of Dermatology and Allergy Center, Odense Research Center for Anaphylaxis (ORCA), Odense University Hospital, Odense, Denmark
| | - C. Y. Chu
- grid.19188.390000 0004 0546 0241Department of Dermatology, National Taiwan University Hospital, National Taiwan University College of Medicine, No. 7, Chung-Shan South Road, Taipei, 10002 Taiwan
| | - C. Sotozono
- grid.272458.e0000 0001 0667 4960Department of Ophthalmology, Kyoto Prefectural University of Medicine, 465 Kajii-Cho, Hirokoji-Agaru, Kawaramach-Dori, Kamigyo-Ku, Kyoto, 602-0841 Japan
| | - J. Gueudry
- Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France ,grid.417615.0Department of Ophthalmology, CHU Charles-Nicolle, Rouen, France
| | - D. G. Fortune
- grid.10049.3c0000 0004 1936 9692Department of Psychology, University of Limerick, Limerick, Ireland
| | - S. M. Dridi
- Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France ,grid.416670.2MICORALIS Laboratory, Department of Periodontology, Faculty of Dentistry, Côte d’Azur University, Saint Roch Hospital, Nice, France
| | - D. Tartar
- grid.27860.3b0000 0004 1936 9684Department of Dermatology, University of California Davis, Sacramento, CA USA
| | - G. Do-Pham
- Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France ,grid.414145.10000 0004 1765 2136Department of Internal Medicine, Centre Hospitalier Intercommunal de Créteil, Créteil, France
| | - E. Gabison
- grid.417888.a0000 0001 2177 525XFondation Ophtalmologique Adolphe de Rothschild, Paris, France
| | - E. J. Phillips
- grid.1025.60000 0004 0436 6763Institute for Immunology and Infectious Diseases, Murdoch University, Murdoch, WA Australia ,grid.412807.80000 0004 1936 9916Department of Medicine, Vanderbilt University Medical Center, Nashville, TN USA
| | - F. Lewis
- grid.425213.3St John’s Institute of Dermatology, Guy’s and St Thomas’ Hospital, London, UK
| | - C. Salavastru
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,Department of Paediatric Dermatology, Colentina Clinical Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - B. Horvath
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,grid.4830.f0000 0004 0407 1981Department of Dermatology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands
| | - J. Dart
- grid.83440.3b0000000121901201Moorfields Eye Hospital NHS Foundation Trust, The UCL Institute of Ophthalmology, London, UK
| | - J. Setterfield
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,grid.420545.20000 0004 0489 3985Department of Oral Medicine, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
| | - J. Newman
- grid.429705.d0000 0004 0489 4320Department of Dermatology, King’s College Hospital NHS Foundation Trust, London, UK
| | - J. T. Schulz
- grid.32224.350000 0004 0386 9924Division of Burns, Massachusetts General Hospital, Boston, 02114 USA
| | - A. Delcampe
- Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France ,grid.417615.0Department of Ophthalmology, CHU Charles-Nicolle, Rouen, France ,grid.417888.a0000 0001 2177 525XFondation Ophtalmologique Adolphe de Rothschild, Paris, France ,grid.411119.d0000 0000 8588 831XDepartment of Ophthalmology, CHU Bichat-Claude Bernard, Paris, France
| | - K. Brockow
- grid.6936.a0000000123222966Department of Dermatology and Allergy Biederstein, School of Medicine, Technical University of Munich, Munich, Germany
| | - L. Seminario-Vidal
- grid.170693.a0000 0001 2353 285XDepartment of Dermatology and Cutaneous Surgery, University of South Florida, Tampa, FL USA
| | - L. Jörg
- grid.412004.30000 0004 0478 9977Department of Dermatology, University Hospital Zurich, Zurich, Switzerland ,grid.5734.50000 0001 0726 5157Division of Allergology and Clinical Immunology, Department of Pneumology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - M. P. Watson
- grid.439257.e0000 0000 8726 5837Cornea and External Eye Disease Service, Moorfields Eye Hospital, London, UK
| | - M. Gonçalo
- grid.28911.330000000106861985Department of Dermatology, Coimbra University Hospital Center, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - M. Lucas
- grid.1012.20000 0004 1936 7910Medical School, University of Western Australia, Perth, WA 6009 Australia ,grid.3521.50000 0004 0437 5942Department of Immunology, Sir Charles Gairdner Hospital, Pathwest Laboratory Medicine, Perth, WA 6009 Australia
| | - M. Torres
- grid.452525.1Allergy Unit, IBIMA-Regional University Hospital of Malaga-UMA, Málaga, Spain
| | - M. H. Noe
- grid.62560.370000 0004 0378 8294Department of Dermatology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA USA
| | - N. Hama
- grid.260975.f0000 0001 0671 5144Division of Dermatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - N. H. Shear
- grid.17063.330000 0001 2157 2938Department of Dermatology, University of Toronto, Toronto, ON Canada ,grid.413104.30000 0000 9743 1587Sunnybrook Health Sciences Centre, Toronto, ON Canada
| | - P. O’Reilly
- grid.10049.3c0000 0004 1936 9692Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - P. Wolkenstein
- grid.412116.10000 0004 1799 3934Department of Dermatology, AP-HP, Henri Mondor Hospital, 1 Rue Gustave Eiffel, 94000 Créteil, France ,ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France
| | - P. Romanelli
- grid.26790.3a0000 0004 1936 8606Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, FL USA
| | - R. P. Dodiuk-Gad
- grid.6451.60000000121102151Dermatology Department, Emek Medical Center, Bruce Rappaport Faculty of Medicine, Technion - Institute of Technology, Haifa, Israel ,grid.17063.330000 0001 2157 2938Department of Medicine, University of Toronto, Toronto, Canada
| | - R. G. Micheletti
- grid.25879.310000 0004 1936 8972Department of Dermatology and Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA USA
| | - G. S. Tiplica
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,2Nd Department of Dermatology, Colentina Clinical Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - R. Sheridan
- grid.415829.30000 0004 0449 5362Burn Service, Boston Shriners Hospital for Children, Boston, MA USA ,grid.32224.350000 0004 0386 9924Division of Burns, Massachusetts General Hospital, Boston, MA USA ,grid.38142.3c000000041936754XDepartment of Surgery, Harvard Medical School, Boston, MA USA
| | - S. Rauz
- grid.6572.60000 0004 1936 7486Academic Unit of Ophthalmology, Birmingham and Midland Eye Centre, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK
| | - S. Ahmad
- grid.83440.3b0000000121901201Moorfields Eye Hospital NHS Foundation Trust, The UCL Institute of Ophthalmology, London, UK
| | - S. L. Chua
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,grid.412563.70000 0004 0376 6589Department of Dermatology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - T. H. Flynn
- grid.460892.10000 0004 0389 5639Ophthalmology, Bon Secours Hospital, Cork, Ireland
| | - W. Pichler
- grid.482939.dADR-AC GmbH, Bern, Switzerland
| | - S. T. Le
- grid.413079.80000 0000 9752 8549Department of Dermatology, UC Davis Medical Center, Sacramento, CA USA
| | - E. Maverakis
- grid.413079.80000 0000 9752 8549Department of Dermatology, UC Davis Medical Center, Sacramento, CA USA
| | - S. Walsh
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,grid.429705.d0000 0004 0489 4320Department of Dermatology, King’s College Hospital NHS Foundation Trust, London, UK
| | - L. E. French
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,grid.411095.80000 0004 0477 2585Department of Dermatology, University Hospital, Munich University of Ludwig Maximilian, Munich, Germany ,grid.26790.3a0000 0004 1936 8606Dr Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL USA
| | - M. C. Brüggen
- ToxiTEN Group, European Reference Network for Rare Skin Diseases, Paris, France ,grid.7400.30000 0004 1937 0650Faculty of Medicine, University of Zurich, Zurich, Switzerland ,grid.412004.30000 0004 0478 9977Department of Dermatology, University Hospital Zurich, Zurich, Switzerland ,grid.507894.70000 0004 4700 6354Christine Kühne-Center for Allergy Research and Education, Davos, Switzerland
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6
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Hanson E, Barbabella F, Magnusson L, Brolin R, Svensson M, Yghemonos S, Hlebec V, Bolko I, Boccaletti L, Casu G, Hoefman R, de Boer AH, de Roos S, Santini S, Socci M, D’Amen B, Van Zoest F, de Jong N, Nap HH, de Jong Y, Bouwman T, Lewis F, Parkhouse T, Leu A, Phelps D, Guggiari E, Morgan V, Centola F, Joseph S, Becker S. Research and Innovation for and with Adolescent Young Carers to Influence Policy and Practice-The European Union Funded "ME-WE" Project. Int J Environ Res Public Health 2022; 19:9932. [PMID: 36011572 PMCID: PMC9407711 DOI: 10.3390/ijerph19169932] [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] [Figures] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 06/13/2022] [Accepted: 07/05/2022] [Indexed: 06/15/2023]
Abstract
Young carers are children and adolescents who provide care to other family members or friends, taking over responsibilities that are usually associated with adulthood. There is emerging but still scarce knowledge worldwide about the phenomenon of young carers and the impact of a caring role on their health, social and personal development spheres. This paper provides an overview of the main results from the ME-WE project, which is the first European research and innovation project dedicated to adolescent young carers (AYCs) (15-17 years). The project methods relied on three main activities: (1) a systematization of knowledge (by means of a survey to AYCs, country case studies, Delphi study, literature review); (2) the co-design, implementation and evaluation of a primary prevention intervention addressing AYCs' mental health (by means of Blended Learning Networks and a clinical trial in six European countries); (3) the implementation of knowledge translation actions for dissemination, awareness, advocacy and lobbying (by means of national and international stakeholder networks, as well as traditional and new media). Project results substantially contributed to a better understanding of AYCs' conditions, needs and preferences, defined tailored support intervention (resilient to COVID-19 related restrictions), and significant improvements in national and European policies for AYCs.
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Affiliation(s)
- Elizabeth Hanson
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), Strömgatan 13, 39232 Kalmar, Sweden
| | - Francesco Barbabella
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), Strömgatan 13, 39232 Kalmar, Sweden
| | - Lennart Magnusson
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), Strömgatan 13, 39232 Kalmar, Sweden
| | - Rosita Brolin
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), Strömgatan 13, 39232 Kalmar, Sweden
| | - Miriam Svensson
- Department of Health and Caring Sciences, Linnaeus University, 39182 Kalmar, Sweden
- The Swedish Family Care Competence Centre (NKA), Strömgatan 13, 39232 Kalmar, Sweden
| | | | - Valentina Hlebec
- Faculty of Social Sciences, University of Ljubljana, Kardeljeva pl. 5, 1000 Ljubljana, Slovenia
| | - Irena Bolko
- Faculty of Social Sciences, University of Ljubljana, Kardeljeva pl. 5, 1000 Ljubljana, Slovenia
| | - Licia Boccaletti
- Anziani e Non Solo Società Cooperativa Sociale, Via Lenin 55, 41012 Carpi, Italy
| | - Giulia Casu
- Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy
| | - Renske Hoefman
- The Netherlands Institute for Social Research (SCP), Postbus 16164, 2500 The Hague, The Netherlands
| | - Alice H. de Boer
- The Netherlands Institute for Social Research (SCP), Postbus 16164, 2500 The Hague, The Netherlands
| | - Simone de Roos
- The Netherlands Institute for Social Research (SCP), Postbus 16164, 2500 The Hague, The Netherlands
| | - Sara Santini
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy
| | - Marco Socci
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy
| | - Barbara D’Amen
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy
| | - Frans Van Zoest
- Vilans–The National Centre of Expertise for Long-Term Care in The Netherlands, Churchilllaan 11, 3527 Utrecht, The Netherlands
| | - Nynke de Jong
- Vilans–The National Centre of Expertise for Long-Term Care in The Netherlands, Churchilllaan 11, 3527 Utrecht, The Netherlands
| | - Henk Herman Nap
- Vilans–The National Centre of Expertise for Long-Term Care in The Netherlands, Churchilllaan 11, 3527 Utrecht, The Netherlands
| | - Yvonne de Jong
- Vilans–The National Centre of Expertise for Long-Term Care in The Netherlands, Churchilllaan 11, 3527 Utrecht, The Netherlands
| | - Tamara Bouwman
- Vilans–The National Centre of Expertise for Long-Term Care in The Netherlands, Churchilllaan 11, 3527 Utrecht, The Netherlands
| | - Feylyn Lewis
- Vanderbilt University School of Nursing, Godchaux Hall 226, 461 21st Ave S, Nashville, TN 37240, USA
| | - Tom Parkhouse
- School of Education and Social Work, University of Sussex, Falmer, Brighton BN1 9RG, UK
| | - Agnes Leu
- Department Health, Kalaidos University of Applied Sciences, Gloriastrasse 18a, 8006 Zürich, Switzerland
- Medical Faculty, Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland
| | - Daniel Phelps
- Department Health, Kalaidos University of Applied Sciences, Gloriastrasse 18a, 8006 Zürich, Switzerland
- Faculty of Health and Well-Being, University of Winchester, Winchester SO22 4NR, UK
| | - Elena Guggiari
- Department Health, Kalaidos University of Applied Sciences, Gloriastrasse 18a, 8006 Zürich, Switzerland
| | - Vicky Morgan
- Carers Trust, 32–36 Loman Street, London SE1 OEH, UK
| | - Francesca Centola
- Eurocarers, 14 Rue Père de Deken, 1040 Brussels, Belgium
- Mental Health Europe, Rue de la Presse 4, 1000 Brussels, Belgium
| | - Stephen Joseph
- School of Education, University of Nottingham, University Park, Nottingham NG7 2RD, UK
| | - Saul Becker
- School of Education and Social Work, University of Sussex, Falmer, Brighton BN1 9RG, UK
- Faculty of Health and Education, Manchester Metropolitan University, Manchester M15 6BX, UK
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7
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Tasker F, Kirby L, Grindlay DJC, Lewis F, Simpson RC. Laser therapy for genital lichen sclerosus: A systematic review of the current evidence base. Skin Health Dis 2022; 1:e52. [PMID: 35663131 PMCID: PMC9060003 DOI: 10.1002/ski2.52] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Revised: 05/19/2021] [Accepted: 05/22/2021] [Indexed: 11/12/2022]
Abstract
Background Lichen sclerosus (LS) is a chronic, inflammatory dermatosis. Initial treatment with superpotent topical corticosteroids is the accepted and evidence-based first-line therapy. For those who do not respond after exclusion of other potentiating factors, the best second-line therapy is unclear. Laser therapy is an emerging treatment for genital LS and despite uncertain efficacy its use is gaining popularity in the private sector. Objectives We aimed to review the effectiveness of laser therapy for genital LS in men, women and children. Methods We conducted a systematic review of all primary studies reporting the use of laser in genital LS. Ovid MEDLINE, PubMed, Ovid Embase, Cochrane CENTRAL, Web of Science, CINAHL and PsycINFO were searched from inception to February 2021. The quality of the studies was assessed using the revised Cochrane risk-of-bias tool for randomized trials, ROBINS-I tool for non-randomized trials and Joanna Briggs Institute checklist for case studies. Results A total of 24 studies, involving 616 adults, met inclusion criteria. These were six randomized controlled trials (RCTs), one non-randomized trial, nine single arm trials and eight case series. Where assessed, most studies suggest that laser therapy in patients with LS may improve symptoms, clinical signs, quality of life and sexual function. However, results were highly heterogeneous and methodological quality was very low, therefore meta-analysis was not possible. Conclusions There is poor evidence to support the use of laser therapy for genital LS at present. Effectiveness of laser needs to be robustly investigated in well-conducted RCTs.
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Affiliation(s)
- F Tasker
- King's College London St John's Institute of Dermatology London UK
| | - L Kirby
- Centre of Evidence Based Dermatology University of Nottingham Nottingham UK
| | - D J C Grindlay
- Centre of Evidence Based Dermatology University of Nottingham Nottingham UK
| | - F Lewis
- King's College London St John's Institute of Dermatology London UK
| | - R C Simpson
- Centre of Evidence Based Dermatology University of Nottingham Nottingham UK
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8
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van der Meijden WI, Boffa MJ, Ter Harmsel B, Kirtschig G, Lewis F, Moyal-Barracco M, Tiplica GS, Sherrard J. 2021 European guideline for the management of vulval conditions. J Eur Acad Dermatol Venereol 2022; 36:952-972. [PMID: 35411963 DOI: 10.1111/jdv.18102] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 03/14/2022] [Indexed: 12/27/2022]
Affiliation(s)
- W I van der Meijden
- Department of Dermatology, Betsi Cadwaladr University Health Board, Bangor, UK
| | - M J Boffa
- Department of Dermatology, Mater Dei Hospital, Msida, Malta
| | - B Ter Harmsel
- Department of Gynaecology, Roosevelt kliniek, Leiden, The Netherlands
| | - G Kirtschig
- Gesundheitszentrum Frauenfeld, Frauenfeld, Switzerland
| | - F Lewis
- St John's Institute of Dermatology, Guy's and St Thomas' Hospital, London, UK
| | - M Moyal-Barracco
- Department of Dermatology, Tarnier-Cochin Hospital, Paris, France
| | - G-S Tiplica
- Dermatology 2, Colentina Clinical Hospital, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
| | - J Sherrard
- Department of Sexual Health, Wycombe General Hospital, Bucks, UK
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9
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Whiting CG, Choula R, Cruz Y, Pongan L, Lewis F. Diverse Caregivers in the United States: Implications for Caregiving Across the Lifespan. Innov Aging 2021. [PMCID: PMC8680659 DOI: 10.1093/geroni/igab046.396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Caregivers with diverse backgrounds make up an important part of the landscape of caregiving in the US. Their unique experiences have been traditionally under-researched in the field of social sciences and underrecognized by society. To further understand the impact of race, ethnicity, class, gender and sexuality onto caregiving, the National Alliance for Caregiving (NAC) and the AARP Public Policy Institute commissioned an in-depth analysis of the dataset collected from the Caregiving in the US 2020 study, which segments populations based on ethnic and sexual identity, geographic location, and income level. Utilizing survey interviews with 1,392 caregivers in the US, this study found differences amongst the African-American, Latinx, and Asian American-Pacific Islander populations in relation to age, time spent caregiving, ADL/IADLs, caregiving strain and intensity, receipt of formal and informal support, and financial impact. In consideration of the distinct challenges presented by diverse caregiving throughout the lifespan, this presentation will also feature results from a 2020-2021 Diverse Elders Coalition and NAC commissioned study on the unmet caregiving needs in diverse communities. 11 virtual listening sessions were held with 400 caregivers of color, including American Indian/Alaska Native caregivers, and LGBTQ caregivers across the nation. Presentation attendees can expect to learn new insights into the experiences of diverse caregivers, while also gaining a fresh understanding of informal and formal support preferences with a multicultural lens. Finally, this presentation will provide recommendations to further prioritize the needs of historically marginalized caregivers in policy and practice.
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Affiliation(s)
- C Grace Whiting
- National Alliance for Caregiving, Washington, District of Columbia, United States
| | - Rita Choula
- AARP Public Policy Institute, Washington D.C., District of Columbia, United States
| | - Yanira Cruz
- National Hispanic Council on Aging, Washington, D.C., District of Columbia, United States
| | - Lauren Pongan
- Diverse Elders Coalition, Diverse Elders Coalition, New York, United States
| | - Feylyn Lewis
- Independent, Washington, District of Columbia, United States
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10
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Lewis F, Neal N. 647 Management of Malignant Upper Urinary Tract Obstruction. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.1087] [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
Background
Malignant Upper Urinary Tract Obstruction (MUUTO) is a common emergency presentation. These are often complex patients and require multiple specialty input to make time-critical decisions. There are currently no national guidelines for the management of MUUTO, a review was conducted to assess the management and outcomes of MUUTO.
Aim
To agreed and review a pathway for patients with MUUTO in order to streamline patient care and to review the management.
Method
The pathway was devised by several consultants at Oxford University Hospital. Through retrospective data collection, the outcomes over six months were reviewed.
Results
Over the six-month period 49 interventions were performed for MUUTO; 44 Percutaneous Nephrostomy (PCN) and five cystoscopies with retrograde ureteric stents (RUS). Patients were admitted to urology in 45% of cases and oncology in 39%. The obstruction was located above the pelvis in 16 (33%) of the cases and within the pelvis in 25 (51%). The most common cancers causing obstruction were bladder cancer (41%), prostate (16%), and colorectal (14%). MDT advice was sought in 63% of cases. The mean time from diagnosis to the intervention was four days. Of the five retrograde inserted ureteric stents, four were unsuccessful and the patients proceeded to PCN. At the conclusion of data collection, 26 (53%) patients had died.
Discussion
The most striking findings were the high failure rate of RUS and the overall poor prognosis of MUUTO. As such this review suggests that more patients should proceed directly to PCN for decompression.
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Affiliation(s)
- F Lewis
- Oxford University Hospital, Oxford, United Kingdom
| | - N Neal
- Oxford University Hospital, Oxford, United Kingdom
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11
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Künzli F, Sydler T, Lewis F, Brugnera E, Sidler X. Suitability of testicular tissue fluid from castrated piglets to verify sow -vaccination status and herd monitoring. SCHWEIZ ARCH TIERH 2021; 162:463-470. [PMID: 32618569 DOI: 10.17236/sat00267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
INTRODUCTION In a proof of concept, PCV2-specific IgG-antibodies from testicular tissue fluid of seven-day-old castrated piglets were measured to verify the vaccination status of their mothers. Twelve randomly selected sows were vaccinated twice during the last third of gestation with a PCV2 vaccine, while ten controls received only adjuvant. PCV2- specific IgG-antibody titers of serum and colostrum from the sows were correlated with PCV2-specific IgG-antibody titers of serum and testicular tissue fluid of their castrated male offspring. Vaccinated sows showed significantly higher average PCV2-specific IgG-antibody titers in serum (29250 ELISA units, EU) and colostrum (65410 EU) compared to 980 EU and 2630 EU of the control group, respectively. Moreover, significantly higher average concentrations of antibodies were also measured in the serum (9362 EU vs. 247 EU) and the testicular tissue fluid (4022 EU vs. 354 EU) of piglets from vaccinated compared to piglets from adjuvant administered sows. Importantly, a strong linear correlation between PCV2-specific IgG-antibodies in the serum of the piglets and in their testicular tissue fluid was found (rs = 0.9148). PCV2-specific IgG-antibody titers of testicular tissue fluid from five randomly selected piglets allowed the determination of the vaccination status of the herd with a reliability of 98% for vaccinated and 73% for unvaccinated sows. Furthermore, using castration waste products is a very animal friendly method to replace painful and time-consuming blood samplings for herd monitoring or to verify vaccination status.
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Affiliation(s)
- F Künzli
- Tierarztpraxis Dres. Mathis, Uehlinger, Wendel, Muri, Switzerland
| | - T Sydler
- Institut für Veterinärpathologie, Vetsuisse-Fakultät, Universität Zürich
| | - F Lewis
- Institut für Epidemiologie, Vetsuisse Fakultät , Universität Zürich
| | - E Brugnera
- Departement für Nutztiere, Abteilung Schweinemedizin, Vetsuisse-Fakultät, Universität Zürich
| | - X Sidler
- Departement für Nutztiere, Abteilung Schweinemedizin, Vetsuisse-Fakultät, Universität Zürich
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12
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Foo S, Lewis F, Velangi S, Walsh S, Calonje JE. Vulval acne: a case series describing clinical features and management. Clin Exp Dermatol 2020; 46:319-323. [PMID: 32803767 DOI: 10.1111/ced.14424] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/13/2020] [Indexed: 12/17/2022]
Abstract
Intermittent inflammation of the vulval pilosebaceous units is common and usually self-limiting, but some patients experience recurrent and more troublesome symptoms. There is a scarcity of information on this problem. We describe the clinical and histological features in these patients and the response to treatment. A retrospective, observational study of 16 patients with this phenomenon of recurrent, protracted folliculocentric inflammation of the vulval pilosebaceous unit was performed. Details on the clinical features, histology and response to treatment were collected. Mean age at presentation was 32 years (range 21-45). All patients reported recurrent painful papules and pustules on the labia majora and labia minora. Nine patients reported a cyclical pattern to the development of lesions, with premenstrual exacerbation being most common. Histological examination of these lesions showed a folliculocentric microabscess formation surrounded by an acute and chronic inflammatory cell infiltrate, with a focal foreign-body granulomatous reaction. All our patients responded well to tetracycline, antiandrogenic or retinoid therapy. We propose the term 'vulval acne' for this condition and propose a stepwise approach to its management. We hope to highlight this as a common but underreported entity.
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Affiliation(s)
- S Foo
- Department of Dermatology, Walsall Healthcare NHS Trust, Manor Hospital, Walsall, West Midlands, UK
| | - F Lewis
- St John's Institute of Dermatology, Guy's & St Thomas' NHS Foundation Trust, London, UK
| | - S Velangi
- University Hospital, Birmingham, West Midlands, UK
| | - S Walsh
- King's College Hospital, London, UK
| | - J E Calonje
- St John's Institute of Dermatology, Guy's & St Thomas' NHS Foundation Trust, London, UK
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13
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Santini S, Socci M, D’Amen B, Di Rosa M, Casu G, Hlebec V, Lewis F, Leu A, Hoefman R, Brolin R, Magnusson L, Hanson E. Positive and Negative Impacts of Caring among Adolescents Caring for Grandparents. Results from an Online Survey in Six European Countries and Implications for Future Research, Policy and Practice. Int J Environ Res Public Health 2020; 17:E6593. [PMID: 32927827 PMCID: PMC7559354 DOI: 10.3390/ijerph17186593] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 08/28/2020] [Accepted: 09/08/2020] [Indexed: 01/03/2023]
Abstract
Although up to 8% of European youngsters carry out high-intensity care for a family member, adolescent young carers (AYCs), especially those caring for their grandparents (GrPs), remain an under-researched group. This study aimed at addressing the current knowledge gap by carrying out an online survey in Italy, the Netherlands, Slovenia, Sweden, Switzerland, and the United Kingdom. The analysis included a final sample of 817 AYCs aged 15-17 years old. AYCs of grandparents (GrPs) were compared to AYCs of other care recipients (OCRs), in order to identify any difference in positive and negative caregiving outcomes and exposure factors between the two groups. Linear or logistic regression models were built, and multivariate analyses were repeated, including a fixed effect on the country variable. AYCs of GrPs experienced more positive caregiving outcomes than AYCs of OCRs across all six countries. Being female or non-binary, and having a migration background, were associated with more negative outcomes, regardless of the relationship with the care recipient. Further research on intergenerational caregiving outcomes is recommended for shaping measures and policies, which preserve the intergenerational emotional bonds, whilst protecting AYCs from inappropriate responsibilities, undermining their mental health and well-being.
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Affiliation(s)
- Sara Santini
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy; (S.S.); (B.D.)
| | - Marco Socci
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy; (S.S.); (B.D.)
| | - Barbara D’Amen
- Centre for Socio-Economic Research on Aging, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy; (S.S.); (B.D.)
| | - Mirko Di Rosa
- Unit of Geriatric Pharmacoepidemiology and Biostatistics, IRCCS INRCA-National Institute of Health and Science on Aging, Via Santa Margherita 5, 60124 Ancona, Italy;
| | - Giulia Casu
- Department of Psychology, University of Bologna, viale Berti Pichat 5, 40127 Bologna, Italy;
| | - Valentina Hlebec
- Faculty of Social Sciences, University of Ljubljana, Kardeljeva pl. 5, 1000 Ljubljana, Slovenia;
- Faculty of Health Sciences, University of Ljubljana, Zdravstvena pot. 5, 1000 Ljubljana, Slovenia
| | - Feylyn Lewis
- School of Education and Social Work, University of Sussex, Essex House 121, Brighton BN1 9QQ, UK;
| | - Agnes Leu
- Careum School of Health, University of Applied Sciences, Pestalozzistrasse 3, 8032 Zürich, Switzerland;
- Medical Faculty, Institute of Biomedical Ethics, University of Basel, Klingelbergstrasse 61, 4056 Basel, Switzerland
| | - Renske Hoefman
- The Netherlands Institute for Social Research (SCP), Postbus 16164, 2500 BD De Hague, The Netherlands;
| | - Rosita Brolin
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden; (R.B.); (L.M.); (E.H.)
- The Swedish Family Care Competence Centre, Strömgatan 13, SE-39232 Kalmar, Sweden
| | - Lennart Magnusson
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden; (R.B.); (L.M.); (E.H.)
- The Swedish Family Care Competence Centre, Strömgatan 13, SE-39232 Kalmar, Sweden
| | - Elizabeth Hanson
- Department Health and Caring Sciences, Linnaeus University, SE-39182 Kalmar, Sweden; (R.B.); (L.M.); (E.H.)
- The Swedish Family Care Competence Centre, Strömgatan 13, SE-39232 Kalmar, Sweden
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14
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Zidan A, Christie C, Lewis F, Calonje J. Inflammatory linear verrucous epidermal naevus: an unusual cause of vulval pruritus. Clin Exp Dermatol 2020; 46:397-399. [PMID: 32735350 DOI: 10.1111/ced.14349] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Accepted: 06/10/2020] [Indexed: 11/29/2022]
Affiliation(s)
- A Zidan
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - C Christie
- Department of Dermatology, St Mary's Hospital, Portsmouth, UK
| | - F Lewis
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - J Calonje
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK
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15
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Isnard C, Plantier F, Lewis F, Moyal-Barracco M. Parakératose périnéale en colonne avec dyskératoses étagées : étude anatomo-clinique d’une nouvelle entité. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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16
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Podaru MN, Fields L, Kainuma S, Ichihara Y, Hussain M, Lewis F, Ito T, Kazuya K, D'Aquisto F, Suzuki K. 2419Reparative macrophage transplantation for myocardial repair: a refinement of bone marrow mononuclear cell-based therapy. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0167] [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: 11/13/2022] Open
Abstract
Abstract
Background
Recent research has revealed that reparative (alternatively activated or M2-like) macrophages play an important role in post-myocardial infarction (MI) cardiac repair, proposing that augmentation of these cells will enhance recovery from MI. Transplantation of bone marrow mononuclear cells (BM-MNCs) is an emerging therapy for MI while its therapeutic efficacy in previous clinical trials is not satisfactory. Given that BM-MNCs are a natural source of macrophages, we hypothesized that induced differentiation/polarisation of BM-MNCs to reparative macrophages before transplantation may enhance the effect of BM-MNC transplantation.
Purpose
This study aimed to develop a robust in vitro protocol to produce reparative macrophages from BM-MNCs and to establish the pre-clinical proof of concept data for reparative macrophage transplantation for the treatment of MI.
Methods and results
Mouse BM-MNCs were treated with M-CSF plus IL-4, IL-10, TGF-β1 or combinations of these in vitro. The concomitant M-CSF+IL-4 protocol (both 20ng/ml) produced the highest rate (89.7±0.7%) and number (1.7-fold larger than the original cell number) of CD11b+F4/80+CD206+ macrophages. Expression and secretion of tissue repair-related factors of the produced cells, including IGF-1, TGF-β1, VEGF and IL1-ra, were more extensive compared to BM-MNCs. Then, 5x105 BM-MNC-derived reparative macrophages, 5x105 BM-MNCs, or saline only (control) were intramyocardially injected in a mouse MI model based on coronary artery ligation. At 4 weeks after treatment, echocardiography demonstrated that reparative macrophage transplantation markedly improved cardiac function (left ventricular ejection fraction; 57.2±1.6%, n=11) compared to both BM-MNC transplantation (48.4±1.3%, n=9) and control group (44.4±2.0%, n=9). Histological studies showed that infarct size was the smallest after reparative macrophage transplantation in association with the greatest tissue repair in the peri-infarct myocardium, including augmented microvascular formation, reduced cardiomyocyte hypertrophy and reduced pathological interstitial fibrosis. These were corresponded to amplified myocardial upregulation of tissue repair-related genes. Of note, survival of donor reparative macrophages in the heart post-transplantation was >10-fold greater compared to BM-MNCs. It was also found that reparative macrophage transplantation increased host-derived cardiac reparative macrophages. This might be a part of the mechanism by which reparative macrophage transplantation augmented myocardial repair, and our in vitro antibody neutralisation study indicated that TGF-β1 played a role in this donor macrophage-to-host macrophage pathway.
Conclusion
M-CSF+IL-4 treatment was effective in producing reparative macrophages from BM-MNCs in vitro. Addition of this pre-treatment improved the therapeutic effect of BM-MNC transplantation. Further pre-clinical and clinical development of this advanced cell therapy is warrantied.
Acknowledgement/Funding
British Heart Foundation (RG/15/3/31236); Heart Research UK (RG2618/12/13 and TRP06/15); St Barts Medical School London
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Affiliation(s)
- M N Podaru
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
| | - L Fields
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
| | - S Kainuma
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
| | - Y Ichihara
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
| | - M Hussain
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
| | - F Lewis
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
| | - T Ito
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
| | - K Kazuya
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
| | - F D'Aquisto
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
| | - K Suzuki
- St Bartholomew's and Queen Mary University, William Harvey Research Institute, London, United Kingdom
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17
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Affiliation(s)
| | - R T Woolf
- St John's Institute of Dermatology, London, UK
| | - E Calonje
- St John's Institute of Dermatology, London, UK
| | - F Lewis
- St John's Institute of Dermatology, London, UK
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18
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Affiliation(s)
- O Veraitch
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, U.K
| | - F Lewis
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, U.K
| | - E Craythorne
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, U.K
| | - E Calonje
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, U.K.,Department of Dermatopathology, Guy's and St Thomas' NHS Foundation Trust, London, U.K
| | - R Nath
- Department of Gynaecology Oncology, Guy's and St Thomas' NHS Foundation Trust, London, U.K
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19
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Rajkumar S, Lewis F, Nath R. The importance of topical steroids after adhesiolysis in erosive lichen planus and graft versus host disease. J OBSTET GYNAECOL 2018; 39:82-85. [DOI: 10.1080/01443615.2018.1463207] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- S. Rajkumar
- Department of Gynaecological Oncology, Guy’s and St Thomas NHS Trust, London, UK
| | - F. Lewis
- St John’s Institute of Dermatology, Guy’s and St Thomas NHS Trust, London, UK
| | - R. Nath
- Department of Gynaecological Oncology, Guy’s and St Thomas NHS Trust, London, UK
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20
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Sarvananthan S, Punjabi P, Lewis F, Latif N, Sarathchandra P, Yacoub M, Harding S, Ellison-Hughes G. P2551The distribution and characteristics of endogenous cardiac stem cells in the atria and ventricle of the adult human heart. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p2551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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21
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Watchorn RE, Babu S, Lewis F, Calonje E, Taibjee SM. Paroxysmal purple palmar macules with a rare aetiology. Clin Exp Dermatol 2017; 42:561-563. [DOI: 10.1111/ced.13101] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/09/2016] [Indexed: 12/28/2022]
Affiliation(s)
- R. E. Watchorn
- Department of Dermatology; Royal Devon and Exeter NHS Foundation Trust; Exeter Devon UK
| | - S. Babu
- Department of Dermatology; Dorset County Hospital NHS Foundation Trust; Dorchester Dorset UK
| | - F. Lewis
- Department of Dermatology; St. John's Institute of Dermatology; Guy's Hospital; London UK
| | - E. Calonje
- Department of Dermatopathology; St. John's Institute of Dermatology; St Thomas’ Hospital; London UK
| | - S. M. Taibjee
- Department of Dermatology; Dorset County Hospital NHS Foundation Trust; Dorchester Dorset UK
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22
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Lewis F, Blott H, Bhattacherjee S. Factors influencing the rate of incidents in a United Kingdom high secure psychiatric hospital: Weekend, ward round and diagnostic effect? Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.02.335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionBroadmoor is a high secure psychiatric hospital divided into personality disorder (PD) and mental illness (MI) pathways. Whenever an incident occurs, it should be recorded. To better understand which factors influence the rate of incidents, such as diagnosis or intervention by medical and psychological staff, we examined the difference in the number of incidents recorded on weekdays versus weekends, ward round (WR) versus non-WR days and the PD versus MI pathways.MethodAll incidents recorded over a one-year period (3.11.2014–2.11.2015) were examined. Extraneous incidents were excluded, leaving subgroups of “aggressive” (physical and verbal) and “physical” (excluding verbal) incidents which were analysed. Data were adjusted for the difference in number of beds in each pathway.ResultsOf the 2369 incident reports included, more were recorded per day on weekdays than weekends, with little difference on WR versus non-WR days. The rates of both types of incidents were similar on both PD and MI admission wards, although the rate of “physical” incidents was 2.6 times higher and “aggressive” incidents 3.3 times higher in PD compared to MI rehabilitation wards.ConclusionThe findings suggest the presence of medical and psychological staff during the week, and possibly the requirements they place on patients, may increase the rate of incidents within the hospital. Despite comparable rates on admission, MI rehabilitation wards have far fewer incidents than PD rehab wards, which may reflect the more intractable nature of PD versus MI. More work is required to confirm these findings.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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23
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Abstract
We report a case of Crohn's disease where the patient initially presented with vulval ulceration to the gynaecology unit. Initial investigations were planned jointly by both the gynaecology and genitourinary medicine staff. An examination under general anaesthetic by both teams was performed and biopsies taken. These showed a chronic inflammatory process with epithelioid granulomas. The teams then referred the case to the dermatology team who made the diagnosis of vulval Crohn's disease and initiated treatment with prednisolone and azathioprine. The case illustrates the need for a multi-speciality approach when dealing with such cases.
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Affiliation(s)
- S Bhaduri
- Department of Sexual Health, South Worcestershire Primary Care Trust, Worcestershire, UK.
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24
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Abstract
Cattle movement is one of the most important risk factors for the occurrence of an epidemic. It is a legal requirement in Switzerland that every cattle movement be reported, and this information is held in the Swiss cattle movement database (Tierverkehrsdatenbank, TVD). Using this data we examined all movements, focusing on the geographical distribution of these movements in relation to the spread of epizootic diseases. We considered the period 01 January 2011 through 30 January 2012, in which a total of 786'462 cattle were moved. Looking at premises individually, a maximum of 901 possible transfers of an infectious agent were found on a specific day after the arrival of another cattle. Furthermore, we found that there were more cattle movements in summer than in winter, due to movements of cattle to and from alpine pastures. There were also prominent regional differences. On the first day after the arrival of a cattle there was a minimum of zero and a maximum of 99'168 possible transfers of an infectious agent. Nevertheless, in most cases there were no cattle moved on the first day following the arrival of a cattle (91.4%). In terms of our epizootics of interest, the following numbers of cattle were moved within the relevant incubation periods: 19'779'551 possible transfers for the Lumpy skin disease, with an incubation period of 28 days; 9'891'665 or 15'025'741 possible transfers for foot and mouth disease, depending on the incubation period of 14 or 21 days; 15'025'741 possible transfers for cattle plague and vesicular stomatitis, both with an incubation period of 21 days. The presented data show a large cattle traffic in Switzerland, and therefore suggest that it is very seldom that an infectious agent is able to start an epidemic.
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Affiliation(s)
- M Hässig
- Department for Farm Animals, Vetsuisse Faculty, University of Zurich
| | - A B Meier
- Department for Farm Animals, Vetsuisse Faculty, University of Zurich
| | - U Braun
- Department for Farm Animals, Vetsuisse Faculty, University of Zurich
| | | | - R Schmidt
- Institute for Geography, University of Zurich
| | - F Lewis
- Section for Epidemiology, Vetsuisse-Faculty, University of Zurich
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25
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Affiliation(s)
- A Kai
- a St John's Institute of Dermatology, Guy's Hospital, Great Maze Pond , London , United Kingdom
| | - F Lewis
- a St John's Institute of Dermatology, Guy's Hospital, Great Maze Pond , London , United Kingdom
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26
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Toby M, Conway K, Sethi G, Lewis F. Usual vulval intraepithelial neoplasia in HIV-positive women - a case series. Int J STD AIDS 2015; 27:1253-1256. [PMID: 26472432 DOI: 10.1177/0956462415611513] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2015] [Accepted: 09/21/2015] [Indexed: 11/16/2022]
Abstract
Usual or undifferentiated type vulval intraepithelial neoplasia (VIN) is more common in young women and is usually associated with high-risk human papillomavirus infection. It is associated with the development of basaloid or warty squamous cell carcinoma. Studies have shown that HIV-positive women have an increased risk of VIN and invasive vulval carcinoma, but there is a paucity of data about this cohort of women. The objective of this study was to describe the clinical features and treatment responses of HIV-positive women diagnosed with VIN in a specialist vulval dermatology clinic. HIV-positive women diagnosed with VIN from 2007 to 2013 were retrospectively identified. Data were collected on demographics, clinical features, treatments and outcomes. Seven cases were retrospectively identified. The median CD4 cell count at presentation was 500 cells/mm3 (range 59-761). Five had multifocal VIN. Five were treated with imiquimod alone, one had surgical excision and one patient was treated with imiquimod and surgery. Five of the seven had complete resolution of disease. HIV-positive patients with VIN had good responses to treatment with imiquimod. They were likely to be stable on combination antiretroviral therapy at presentation, have multifocal disease and concurrent vaginal, anal or cervical intraepithelial neoplasia.
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Affiliation(s)
- M Toby
- Department of Genito-Urinary Medicine, Guy's & St Thomas' NHS Foundation Trust, London, UK
| | - K Conway
- Department of Genito-Urinary Medicine, Guy's & St Thomas' NHS Foundation Trust, London, UK
| | - G Sethi
- Department of Genito-Urinary Medicine, Guy's & St Thomas' NHS Foundation Trust, London, UK
| | - F Lewis
- St John's Institute of Dermatology, Guy's & St Thomas' NHS Foundation Trust, London, UK
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27
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Attard NR, Orlowska D, Baker A, Nath R, Lewis F. Vulval melanoma: a patient's story and reflection by the multidisciplinary team. Clin Exp Dermatol 2015; 41:454-5. [PMID: 26411516 DOI: 10.1111/ced.12758] [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] [Accepted: 03/17/2015] [Indexed: 11/29/2022]
Affiliation(s)
| | - N R Attard
- St John's Institute of Dermatology, London, UK
| | - D Orlowska
- St John's Institute of Dermatology, London, UK
| | - A Baker
- St John's Institute of Dermatology, London, UK
| | - R Nath
- Department of Obstetrics and Gynaecology, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - F Lewis
- St John's Institute of Dermatology, London, UK
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28
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Haxhiu D, Hoby S, Wenker C, Boos A, Kowalewski MP, Lewis F, Liesegang A. Influence of feeding and UVB exposition on the absorption mechanisms of calcium in the gastrointestinal tract of veiled chameleons (Chamaeleo calyptratus). J Anim Physiol Anim Nutr (Berl) 2014; 98:1021-30. [PMID: 24848550 PMCID: PMC4280901 DOI: 10.1111/jpn.12206] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2013] [Accepted: 05/01/2014] [Indexed: 01/02/2023]
Abstract
The purpose of this study was to investigate the influence of feeding and UVB exposition on the occurrence and distribution patterns of vitamin D receptors (VDR) and calbindin D28k (Cb-D28k) in the gastrointestinal tract of veiled chameleons. Thus, 56 veiled chameleon hatchlings were divided into six treatment groups: UV (with UVB exposure); No (no supplements, no UVB exposure); CaAUV (with calcium (Ca), vitamin A supplementation, UVB exposure); CaA (with Ca, vitamin A supplementation); CaADUV (with Ca, vitamin A, vitamin D supplementation, UVB exposure); and CaAD (with Ca, vitamin A, vitamin D supplementation). Animals were reared under the suspected conditions for 6 months on locust-based diets. Tissue samples of stomach, duodenum, ileum and colon were taken, and semi-quantitative immunohistochemical methods (IHC) were performed to detect Cb-D28k and VDR. VDR immunoreactions were higher in the luminal epithelium of the duodenum than in that of the ileum. VDR immunoreactions in the luminal epithelium were higher at the base of the villi of the duodenum as compared to the tip. Cb-D28k immunoreactions were mainly observed in the luminal epithelium of the duodenum. The two groups treated with all dietary supplements (CaADUV, CaAD) exhibited a higher Cb-D28k immunoreaction as those with no supplements and UVB exposure only. No immunoreaction for both proteins could be detected in the stomach. This study suggests that the duodenum plays an important role in the active transcellular absorption of Ca in veiled chameleons as shown by the immunohistochemical detection of VDR and Cb-D28k. Expression of Cb-D28k, in particular, appears to be regulated by dietary supplementation of vitamin D and vitamin A. VDRs, however, tended to be upregulated when animals were not supplemented with Ca, vitamin D and vitamin A. This may be due to the decreased Ca concentrations which caused vitamin D activation in the skin without any supplementation, but UVB exposure.
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Affiliation(s)
- D Haxhiu
- Vetsuisse Faculty, Institute of Animal Nutrition, University of Zurich, Zurich, Switzerland
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29
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Aboagye EO, Aigbirhio FI, Allen P, Arent R, Arrowsmith RL, Banci G, Bagley MC, Bailey CD, Blake T, Bunt AJ, Bushby N, Carroll L, Cons BD, Cortezon F, Dilworth JR, Dorff PN, Eggleston IM, Ellames G, Elmore CS, Ernst G, Estrela P, Faithfull J, Ge H, Geach NJ, Hall J, Harding J, Harwood LM, Hickey MJ, Heys JR, Hogg C, Hudson MJ, James T, Kerr WJ, Killick D, Kingston LP, Kociok-Köhn G, Landvatter S, Lewis F, Lockley WJS, Marken F, Mudd RJ, Pascu SI, Pheko T, Powell ME, Reid M, Riss PJ, Ruhl T, Rustidge DC, Schenk DJ, Schofield C, Schweiger L, Sharma P, Smith D, Tuttle CTT, Testa A, Tyson JA, Tyrrell RM, Urbanek R, Wilkinson DJ, Willis CL, Zanda M. Abstracts of the 22nd International Isotope Society (UK Group) Symposium: synthesis and applications of labelled compounds 2013. J Labelled Comp Radiopharm 2014. [DOI: 10.1002/jlcr.3173] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- E. O. Aboagye
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - F. I. Aigbirhio
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - P. Allen
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - R. Arent
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - R. L. Arrowsmith
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - G. Banci
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - M. C. Bagley
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - C. D. Bailey
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - T. Blake
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - A. J. Bunt
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - N. Bushby
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - L. Carroll
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - B. D. Cons
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - F. Cortezon
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - J. R. Dilworth
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - P. N. Dorff
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - I. M. Eggleston
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - G. Ellames
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - C. S. Elmore
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - G. Ernst
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - P. Estrela
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - J. Faithfull
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - H. Ge
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - N. J. Geach
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - J. Hall
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - J. Harding
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - L. M. Harwood
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - M. J. Hickey
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - J. R. Heys
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - C. Hogg
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - M. J. Hudson
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - T. James
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - W. J. Kerr
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - D. Killick
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - L. P. Kingston
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - G. Kociok-Köhn
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - S. Landvatter
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - F. Lewis
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - W. J. S. Lockley
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - F. Marken
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - R. J. Mudd
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - S. I. Pascu
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - T. Pheko
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - M. E. Powell
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - M Reid
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - P. J. Riss
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - T. Ruhl
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - D. C. Rustidge
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - D. J. Schenk
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - C. Schofield
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - L. Schweiger
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - P. Sharma
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - D. Smith
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - C. T. T. Tuttle
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - A. Testa
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - J. A. Tyson
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - R. M. Tyrrell
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - R. Urbanek
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - D. J. Wilkinson
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - C. L. Willis
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
| | - M. Zanda
- Department of Chemistry, Faculty of Engineering and Physical Sciences; University of Surrey; Guildford Surrey GU2 7XH UK
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Bhalla V, Lewis F, Kruse E. The Impact of the Matrix vs. M&M Conference Format on Resident Education and Learning. J Surg Res 2014. [DOI: 10.1016/j.jss.2013.11.856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Eichenberger RM, Lewis F, Gabriël S, Dorny P, Torgerson PR, Deplazes P. Multi-test analysis and model-based estimation of the prevalence of Taenia saginata cysticercus infection in naturally infected dairy cows in the absence of a 'gold standard' reference test. Int J Parasitol 2013; 43:853-9. [PMID: 23831108 DOI: 10.1016/j.ijpara.2013.05.011] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [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: 02/12/2013] [Revised: 05/17/2013] [Accepted: 05/20/2013] [Indexed: 11/19/2022]
Abstract
The diagnostic values of seven serological tests (ELISAs) and of the obligatory European Union-approved routine visual meat inspection for the detection of Taenia saginata cysticercosis were investigated. A total of 793 slaughtered dairy cows were selected in three European Union approved abattoirs in Switzerland, an endemic area (apparent prevalence by enhanced meat inspection up to 4.5%) with typically low parasite burdens. ELISAs based on a somatic larval antigen, isoelectric focused somatic larval antigen, larval excretory/secretory antigens, peptide HP6-2, peptide Ts45S-10, pooled peptide solution and a monoclonal antibody antigen capture assay were initially screened. As there is no perfect diagnostic 'gold standard' reference test, the obligatory meat inspection and four selected serological tests were further analysed using Bayesian inference to estimate the "true" prevalence and the diagnostic test sensitivities and specificities. The ELISA for specific antibody detection based on excretory/secretory antigens showed highest sensitivity and specificity with 81.6% (95% credible interval: 70-92) and 96.3% (95% credible interval: 94-99), respectively. The Bayesian model estimated the specificity of the ELISA, based on the synthetic peptide Ts45S-10 as 55.2% (95% credible interval: 46-65) and sensitivity as 84.7% (95% credible interval: 82-88). The sensitivity of the ELISA based on mAbs, detecting circulating antigen, was 14.3% (95% credible interval: 9-23) with a specificity of 93.7% (95% credible interval: 92-96). The diagnostic sensitivity of the obligatory standard European Union meat inspection procedure for the detection of T. saginata cysticercus infection at the abattoir was estimated to be 15.6% (95% credible interval: 10-23). Based on these data, the modelled prevalence of cysticercosis in dairy cows presented at abattoirs in Switzerland was estimated to be 16.5% (95% credible interval: 13-21). These cattle also had a high prevalence of infection with Dicrocoelium dendriticum (60.8%) and Fasciola hepatica (13.5%).
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Affiliation(s)
- R M Eichenberger
- Institute of Parasitology, Vetsuisse-Faculty, University of Zurich, Winterthurerstrasse 266a, CH-8057 Zürich, Switzerland
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Bhalla V, Bolduc A, Lewis F, Hogan C, Park M, Laserna C, Edmunds J, Hentges T, Holsten S. “Resident Bedside-Procedure Competency and Efficiency Identification by Intensive Care Nursing Staff”. J Surg Res 2013. [DOI: 10.1016/j.jss.2012.10.124] [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]
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Lewis F, Wood W, Olivier B. The association between trunk muscle endurance and lumbo-pelvic stability in adolescent low back pain: A cross sectional study. South African Journal of Physiotherapy 2013. [DOI: 10.4102/sajp.v69i1.367] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Decreased trunk muscle endurance has been identified as a risk factor for adolescent LBP, and poor lumbo-pelvic stability has been found to be associated with LBP in the adult population. The aim of the study was to investigate the association between adolescent LBP, trunk muscle endurance and poor lumbo-pelvic stability. Design: A cross sectional study. Participants: 80 adolescents in grade 8 to grade 11, aged 12 to 17 years, at three high schools in Gauteng, who agreed to participate in the study. Method: Data was collected by means of a validated questionnaire and physical tests. The active straight leg raise test was used to record the lumbo-pelvic stabilising muscles. The Sorensen, Shirado and side-bridge tests were used to record trunk extensor, flexor and side flexor muscle endurance, respectively. Results: The results revealed a lifetime prevalence of LBP of 82.50%, one year prevalence of 78.80% and point prevalence of 23.80%. Adolescents with LBP demonstrated decreased trunk extensor muscle endurance but increased trunk flexor muscle endurance (p=0.044), compared to non-LBP adolescents. Poor lumbo-pelvic stability was not associated with adolescent LBP, but was associated with decreased extensor trunk muscle endurance (p=0.031). Conclusion: There was an association between trunk flexor muscle endurance and adolescent LBP, and between decreased trunk extensor muscle endurance and poor lumbo-pelvic stability. No association was found between LBP and poor lumbo-pelvic stability.
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Dosekun O, Farrugia P, Lewis F, Sethi G. P180 Vulval pathology in HIV positive women attending a tertiary vulval dermatology clinic over a 5-year period: Abstract P180 Table 1. Br J Vener Dis 2012. [DOI: 10.1136/sextrans-2012-050601c.180] [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]
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Lewis F, Mettey A, Anschuetz G, Asbel L, De Los Reyes A, Salmon M. P1-S2.66 Risk assessment in a large cohort of urban public high school students infected with CT or GC: Philadelphia, 2009-2010. Br J Vener Dis 2011. [DOI: 10.1136/sextrans-2011-050108.123] [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]
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Dunlop MM, Sanchez-Vazquez MJ, Freeman KP, Gibson G, Sacchini F, Lewis F. Determination of serum biochemistry reference intervals in a large sample of adult greyhounds. J Small Anim Pract 2010; 52:4-10. [DOI: 10.1111/j.1748-5827.2010.01008.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lewis F, Naude B. The effectiveness of physiotherapy in cervicogenic headache and concurring temporomandibular dysfunction: a case report. South African Journal of Physiotherapy 2010. [DOI: 10.4102/sajp.v66i1.60] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
The aim of this case report is to describe the use of physio-therapy interventions in a patient diagnosed with cervicogenic headache(CGH) and temporomandibular dysfunction (TMD). This case study involveda 26 year old male. The subject’s cervical and temporomandibular joint(TMJ) active range of movement; passive accessory movements; headacheintensity, periodicity and response to analgesics; TMJ clicking and discomfort;Numerical Pain Rating Scale (NPRS) scores, were assessed on initial assessment and on discharge 14 weeks later. The physiotherapy interventionincluded cervical and TMJ mobilisation (Maitland approach); trigger pointtherapy and massage; strengthening of the deep cervical neck flexors and scapulothoracic muscles; and posture correction. The subject improved on all outcome measures and was discharged after nine physiotherapy sessions, withfull cervical and TMJ range of movement, improved muscle strength and decreased headache intensity and frequency.This case describes a positive outcome for a patient diagnosed with cervical headaches and temporomandibular dysfunction in which physiotherapy interventions aimed at correcting joint dysfunction, myofascial pain and decreased muscle strength were used effectively.
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Abstract
HER2 is a paradigm of a molecular target whose appropriate assessment is pivotal in the targeting of novel therapies for breast cancer, notably including Herceptin/Trastuzumab. Determining the correct levels requires immunohistochemical and molecular biological skills that are reproducible and measurable, coupled with a knowledge of the appropriate morphological and pathobiological context. Attaining these goals is not easy and laboratories testing for HER2 should maintain a high level of throughput of tests and engage in a recognized external quality assurance scheme. Fluorescence in-situ hybridization testing remains a particular challenge and there is a range of testing strategies. This testing forms the model for the identification of other novel molecular targets. In the future rapid throughput techniques such as real-time quantitative polymerase chain reaction (rqPCR), tissue microarrays or both should bring significant economies of cost and scale.
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Affiliation(s)
- F Lewis
- Academic Unit of Pathology, University of Leeds, Leeds, UK
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Paul V, Prahlad KA, Earali J, Francis S, Lewis F. Trial of heparin in viper bites. J Assoc Physicians India 2003; 51:163-6. [PMID: 12725259] [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: 03/02/2023]
Abstract
AIMS OF THE STUDY Viper bites produce hematotoxicity and coagulopathy which may be either true disseminated intravascular coagulation (DIC) or DIC-like syndrome. Role of heparin is studied in the present study of viper bite cases as use of heparin provides a rational therapy for defibrination caused by viper envenomation. METHODOLOGY One hundred and twenty two patients with viper bite and incoagulable blood were randomised into test group and control group. Test group received heparin in addition to antisnake venom (ASV). Efficacy was assessed by monitoring bleeding time (BT), clotting time (CT), prothrombin time (PT), platelets, fibrinogen, blood urea (BU), serum creatinine, development of complications and overall outcome. RESULTS Heparin group showed favourable outcome in all parameters studied. But many of them were not statistically significant. CONCLUSION Heparin seems to be having a beneficial role which needs to be confirmed by larger trials and longer duration of heparin administration.
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Affiliation(s)
- V Paul
- Department of Medicine, Jubilee Mission Hospital, Thrissur, Kerala
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Kloos H, de Souza C, Gazzinelli A, Soares Filho BS, Bethony J, Page K, Grzywacz C, Lewis F, Minchella D, LoVerde P, Oliveira RC. The distribution of Biomphalaria spp. in different habitats in relation to physical, biological, water contact and cognitive factors in a rural area in Minas Gerais, Brazil. Mem Inst Oswaldo Cruz 2002; 96 Suppl:57-66. [PMID: 11586427 DOI: 10.1590/s0074-02762001000900008] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.3] [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] [Indexed: 11/22/2022] Open
Abstract
A total of 256 sites in 11 habitats were surveyed for Biomphalaria in Melquiades rural area (State of Minas Gerais) in August and November 1999 and in March 2000. Of the 1,780 Biomphalaria collected, 1,721 (96.7%) were B. glabrata and 59 (3.3%) B. straminea. Snails were found in all habitats except in wells, with the largest mean numbers in tanks, seepage ponds and canals, and the smallest numbers in springs, rice fields and fishponds. People's knowledge of the occurrence of Biomphalaria at the collection sites and the presence of Biomphalaria ova were strongly correlated with the occurrence of snails, and distance between houses and collection sites, as well as water velocity were inversely correlated with Biomphalaria occurrence (p < 0.001). The strongest predictor o f Biomphalaria occurrence was the presence of tilapia fish in fishponds. Fourteen Biomphalaria (0.8% of all snails) found at 6 sites were infected with Schistosoma mansoni. Suggestions are made for the utilization of local people's knowledge in snail surveys and further studies are recommended on the possible use of tilapia for biological control of Biomphalaria in fishponds, as well as modeling of S. mansoni transmission and reinfection.
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Affiliation(s)
- H Kloos
- Department of Epidemiology and Biostatistics, University of California, San Francisco, USA
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Lewis F. The letters between Adolphe Quetelet and William Farr 1852-1874. Bull Cl Lett Sci Morales Polit 2001; 69:417-27. [PMID: 11618330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
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Huntsman D, Carneiro F, Lewis F, MacLeod P, Hayashi A, Monaghan K, Maung R, Seruca R, Jackson C, Caldas C. [Prophylactic gastrectomy in patients with deleterious E-cadherin gene mutation]. Gastroenterol Clin Biol 2001; 25:931-2. [PMID: 11852408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Affiliation(s)
- D Huntsman
- Hôpital Européen Georges-Pompidou, Paris, France
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Abstract
The histopathology archive represents a vast, well-characterized source of specimens covering virtually every disease and is available for molecular biological investigation. The archive has in recent years become widely used for molecular genetic analysis and DNA can be routinely extracted from formalin-fixed, paraffin-embedded tissue. More recently, archival specimens have become a source of material for extensive analysis of mRNA expression utilizing DNA microarrays, real-time quantitative reverse transcriptase polymerase chain reaction (PCR), and in situ hybridization and amplification techniques. These techniques will enable a greater understanding of the changes that occur in gene function during every stage of the development of disease and will lead to better diagnosis, better evaluation of prognosis, and better treatment through targeted therapeutic regimes.
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Affiliation(s)
- F Lewis
- Histopathology, The Leeds Teaching Hospitals NHS Trust, Leeds, UK.
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Greenhalgh D, Doyle M, Lewis F. A mathematical treatment of AIDS and condom use. IMA J Math Appl Med Biol 2001; 18:225-62. [PMID: 11817744] [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: 02/23/2023]
Abstract
In this paper we examine the impact of condom use on the sexual transmission of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) amongst a homogeneously mixing male homosexual population. We first derive a multi-group SIR-type model of HIV/AIDS transmission where the homosexual population is split into subgroups according to frequency of condom use. Both susceptible and infected individuals can transfer between the different groups. We then discuss in detail an important special case of this model which includes two risk groups and perform an equilibrium and stability analysis for this special case. Our analysis shows that this model can exhibit unusual behaviour. As normal, if the basic reproduction number, R0, is greater than unity then there is a unique disease-free equilibrium which is locally unstable and a unique endemic equilibrium. However, when R0 is less than unity two endemic equilibrium solutions can also co-exist simultaneously with the disease-free solution which is locally stable. Numerical simulations using realistic parameter values confirm this and we find that in certain circumstances the disease-free solution and one of the endemic solutions are both locally asymptotically stable, while the other endemic solution is unstable. This unusual behaviour has important implications for control of the disease as reducing R0 to less than unity no longer guarantees eradication of the disease. For a restricted special case of this two-group model we show that there is only the disease-free equilibrium for R0 < or = 1 which is globally stable. For R0 > 1 the disease-free equilibrium is unstable and there is a unique endemic equilibrium which is locally stable. We then attempt to fit the model to HIV and AIDS incidence data from San Francisco, USA. The paper concludes with a brief discussion.
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Affiliation(s)
- D Greenhalgh
- Department of Statistics and Modelling Science, University of Strathclyde, Glasgow, UK
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Abstract
The trematode parasites in the family Schistosomatidae (phylum Platyhelminthes) infect a wide range of vertebrates. Three species of the genus Schistosoma are of major medical importance. This unit deals exclusively with the parasite Schistosoma mansoni, which is the species most frequently maintained in the laboratory. Among the far-ranging investigations in the immunology of schistosomiasis are studies in vaccine development, immunopathology of granulomatous inflammation and fibrosis, eosinophil function, and in vivo regulation of T(H)1 and T(H)2 responses. This unit describes maintenance and collection procedures for various stages of the schistosome that have immunologic interest, including infection of mice with cercariae, collection of cercariae, preparation of in vitro-derived schistosomules and in vivo-derived schistosomules, and collection of adult worms and eggs. Included also are techniques for preparing soluble egg antigen (SEA), one of the more commonly used schistosome antigenic preparations. A discussion is given of the basic steps that are important in maintaining the snail intermediate host, and infecting the snails with schistosome miracidia. The unit deals exclusively with the parasite Schistosoma mansoni, which is the species most frequently maintained in the laboratory. Since part of the life cycle of all schistosomes involves a snail host, a description of proper maintenance for the snails is provided. Often, problems in experiments can be traced back to improper snail and parasite maintenance, or lack of attention to detail during mammalian exposure to the infective stage (cercaria) of the parasite.
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Affiliation(s)
- F Lewis
- Biomedical Research Institute, Rockville, Maryland, USA
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Lewis F. Tax savings opportunities for physicians. Mich Med 2001; 100:10-1. [PMID: 11302044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Affiliation(s)
- F Lewis
- Plante & Moran, LLP, East Lansing, USA
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Abstract
In this paper we develop and analyse a model for the spread of HIV/AIDS amongst a population of injecting drug users. We start off with a brief literature survey and review; this is followed by the derivation of a model which allows addicts to progress through three distinct stages of variable infectivity prior to the onset of full blown AIDS and where the class of infectious needles is split into three according to the different levels of infectivity in addicts. Given the structure of this model we are required to make assumptions regarding the interaction of addicts and needles of different infectivity levels. We deliberately choose these assumptions so that our model serves as an upper bound for the prevalence of HIV under the assumption of a three stage AIDS incubation period. We then perform an equilibrium and stability analysis on this model. We find that there is a critical threshold parameter R(0) which determines the behaviour of the model. If R(0)< or =1, then irrespective of the initial conditions of the system HIV will die out in all addicts and all needles. If R(0)>1, then there is a unique endemic equilibrium which is locally stable if, as is realistic, the time scale on which addicts inject is much shorter than that of the other epidemiological and demographic processes. Simulations indicate that if R(0)>1, then provided that disease is initially present in at least one addict or needle it will tend to the endemic equilibrium. In addition we derive conditions which guarantee this. We also find that under calibration the long term prevalence of disease in our variable infectivity model is always greater than in an equivalent constant infectivity model. These results are confirmed and explored further by simulation. We conclude with a short discussion.
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Affiliation(s)
- F Lewis
- Department of Statistics and Modelling Science, University of Strathclyde, Livingstone Tower, 26 Richmond Street, Glasgow G1 1XH, UK
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Greenhalgh D, Lewis F. Three-stage AIDS incubation period: a best case scenario using addict-needle interaction assumptions. IMA J Math Appl Med Biol 2000; 17:95-118. [PMID: 10994508] [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: 02/17/2023]
Abstract
In this paper we extend the 'needles that kill' model discussed in Kaplan & O'Keefe (1993) to allow addicts to progress through three-stages of variable infectivity prior to the onset of full-blown AIDS, and where the class of infectious needles is split into three according to the different levels of infectivity in addicts. Given the structure of this model we are required to make assumptions regarding the interaction of addicts and needles of different infectivity levels. We deliberately choose these assumptions so that our model serves as a lower bound for the prevalence of HIV under the assumption of a three-stage AIDS incubation period. We find that there is a critical threshold parameter R0 which determines the behaviour of the model. If R0 > 1 then there is a unique endemic equilibrium which is locally stable if, as is realistic, the timescale on which addicts inject is much shorter than that of the other epidemiological and demographic processes. Simulations indicate that if R0 > 1, then provided that disease is initially present in at least one addict or needle then it will tend to the endemic equilibrium. In addition, we derive conditions which guarantee this. We also find that under calibration the long-term prevalence of disease in the 'needles that kill' model is the same as in our three-stage model.
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Affiliation(s)
- D Greenhalgh
- Department of Statistics and Modelling Science, University of Strathclyde, Glasgow, UK
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