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Nolan J, Alagic F, Sokol-Randell D, Rotundo MP, Deasy C, Crowley J. A Video Analysis of Helmet Area Injuries and Helmet Type Worn in Hurling and Camogie Over 2 Seasons. Ir Med J 2024; 117:914. [PMID: 38446258] [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: 03/07/2024]
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Osman A, Crowley J, Gordon GSD. Training generative adversarial networks for optical property mapping using synthetic image data. Biomed Opt Express 2022; 13:5171-5186. [PMID: 36425623 PMCID: PMC9664886 DOI: 10.1364/boe.458554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 06/13/2022] [Accepted: 06/13/2022] [Indexed: 06/16/2023]
Abstract
We demonstrate the training of a generative adversarial network (GAN) for the prediction of optical property maps (scattering and absorption) using spatial frequency domain imaging (SFDI) image data sets that are generated synthetically with a free open-source 3D modelling and rendering software, Blender. The flexibility of Blender is exploited to simulate 5 models with real-life relevance to clinical SFDI of diseased tissue: flat samples containing a single material, flat samples containing 2 materials, flat samples containing 3 materials, flat samples with spheroidal tumours and cylindrical samples with spheroidal tumours. The last case is particularly relevant as it represents wide-field imaging inside a tubular organ e.g. the gastro-intestinal tract. In all 5 scenarios we show the GAN provides an accurate reconstruction of the optical properties from single SFDI images with a mean normalised error ranging from 1.0-1.2% for absorption and 1.1%-1.2% for scattering, resulting in visually improved contrast for tumour spheroid structures. This compares favourably with the ∼10% absorption error and ∼10% scattering error achieved using GANs on experimental SFDI data. Next, we perform a bi-directional cross-validation of our synthetically-trained GAN, retrained with 90% synthetic and 10% experimental data to encourage domain transfer, with a GAN trained fully on experimental data and observe visually accurate results with an error of 6.3%-10.3% for absorption and 6.6%-11.9% for scattering. Our synthetically trained GAN is therefore highly relevant to real experimental samples but provides the significant added benefits of large training datasets, perfect ground-truths and the ability to test realistic imaging geometries, e.g. inside cylinders, for which no conventional single-shot demodulation algorithms exist. In the future, we expect that the application of techniques such as domain adaptation or training on hybrid real-synthetic datasets will create a powerful tool for fast, accurate production of optical property maps for real clinical imaging systems.
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Affiliation(s)
- A Osman
- Optics and Photonics Group, Faculty of Engineering, The University of Nottingham, Nottingham, United Kingdom
| | - J Crowley
- Optics and Photonics Group, Faculty of Engineering, The University of Nottingham, Nottingham, United Kingdom
| | - G S D Gordon
- Optics and Photonics Group, Faculty of Engineering, The University of Nottingham, Nottingham, United Kingdom
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Richardson C, Amer P, Quinton C, Crowley J, Hely F, van den Berg I, Pryce J. Reducing greenhouse gas emissions through genetic selection in the Australian dairy industry. J Dairy Sci 2022; 105:4272-4288. [DOI: 10.3168/jds.2021-21277] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Accepted: 12/22/2021] [Indexed: 11/19/2022]
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Crowley J, Croinin K, Mullane D, Chróinín MN. Restoration of exocrine pancreatic function in child with lumacaftor/ivacaftor therapy in cystic fibrosis. J Cyst Fibros 2021; 21:264. [PMID: 34511391 DOI: 10.1016/j.jcf.2021.08.032] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 08/27/2021] [Indexed: 10/20/2022]
Affiliation(s)
- J Crowley
- Cork University Hospital, Wilton, Cork, Ireland
| | - K Croinin
- Cork University Hospital, Wilton, Cork, Ireland
| | - D Mullane
- Cork University Hospital, Wilton, Cork, Ireland
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Zhang X, Amer PR, Stachowicz K, Quinton C, Crowley J. Herd-level versus animal-level variation in methane emission prediction in grazing dairy cattle. Animal 2021; 15:100325. [PMID: 34371470 DOI: 10.1016/j.animal.2021.100325] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 06/29/2021] [Accepted: 06/29/2021] [Indexed: 10/20/2022] Open
Abstract
In response to the increased concern over agriculture's contribution to greenhouse gas (GHG) emissions, more detailed assessments of current methane emissions and their variation, within and across individual dairy farms and cattle, are of interest for research and policy development. This assessment will provide insights into possible changes needed to reduce GHG emissions, the nature and direction of these changes, ways to influence farmer behavior and areas to maximize the adoption of emerging mitigation technologies. The objectives of this study were to (1) quantify the variation in enteric fermentation methane emissions within and among seasonal calving dairy farms with the majority of nutritional requirements met through grazed pasture; (2) use this variation to assess the potential of new individual animal emission monitoring technologies and their impact on mitigation policy. We used a large database of cow performance records for milk production and survival from 2 398 herds in New Zealand, and simulation to account for unobserved variation in feed efficiency and methane emissions per unit of feed. Results showed an average of 120 ± 31.4 kg predicted methane (CH4) per cow per year after accounting for replacement costs, ranging 8.9-323 kg CH4/cow per year. Whereas milk production, survival and predicted live weight were reasonably effective at predicting both individual and herd average levels of per cow feed intake, substantial within animal variation in emissions per unit of feed reduced the ability of these variables to predict variation in per animal methane output. Animal-level measurement technologies predicting only feed intake but not emissions per unit of feed are unlikely to be effective for advancing national policy goals of reducing dairy farming enteric methane output. This is because farmers seek to profitably utilize all farm feed resources available, so improvements in feed efficiency will not result in the reduction in feed utilization required to reduce methane emissions. At a herd level, average per cow milk production and live weight could form the basis of assigning a farm-level point of obligation for methane emissions. In conclusion, a comprehensive national database infrastructure that was tightly linked to animal identification and movement systems, and captured live weight data from existing farm-level recording systems, would be required to make this effective. Additional policy and incentivization mechanisms would still be required to encourage farmer uptake of mitigation interventions, such as novel feed supplements or vaccines that reduce methane emissions per unit of feed.
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Affiliation(s)
- X Zhang
- AbacusBio Limited, PO Box 5585, Dunedin 9058, New Zealand
| | - P R Amer
- AbacusBio Limited, PO Box 5585, Dunedin 9058, New Zealand.
| | - K Stachowicz
- AbacusBio Limited, PO Box 5585, Dunedin 9058, New Zealand
| | - C Quinton
- AbacusBio Limited, PO Box 5585, Dunedin 9058, New Zealand
| | - J Crowley
- AbacusBio Limited, PO Box 5585, Dunedin 9058, New Zealand
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Ding X, Abner EL, Schmitt FA, Crowley J, Goodman P, Kryscio RJ. Mental Component Score (MCS) from Health-Related Quality of Life Predicts Incidence of Dementia in U.S. Males. J Prev Alzheimers Dis 2021; 8:169-174. [PMID: 33569563 DOI: 10.14283/jpad.2020.50] [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] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND The Medical Outcomes Study Questionnaire Short Form 36 health survey (SF-36) measures health-related quality of life (HRQoL) from the individual's point of view and is an indicator of overall health status. OBJECTIVE To examine whether HRQoL shows differential changes over time prior to dementia onset and investigate whether HRQoL predicts incidence of dementia. DESIGN Prevention of Alzheimer's Disease (AD) by Vitamin E and Selenium (PREADViSE) trial, which recruited 7,547 non-demented men between 2002 and 2009. A subset of 2,746 PREADViSE participants who completed up to five SF-36 assessments at annual visits was included in the current analysis. SETTING Secondary data analysis of PREADViSE data. PARTICIPANTS A subset of 2,746 PREADViSE participants who completed up to five SF-36 assessments at annual visits was included in the current analysis. MEASUREMENTS Two summary T scores were generated for analysis: physical component score (PCS) and mental component score (MCS), each with a mean of 50 (standard deviation of 10); higher scores are better. Linear mixed models (LMM) were applied to determine if mean component scores varied over time or by eventual dementia status. Cox proportional hazards regression was used to determine if the baseline component scores were associated with dementia incidence, adjusting for baseline age, race, APOE-4 carrier status, sleep apnea, and self-reported memory complaint at baseline. RESULTS The mean baseline MCS score for participants who later developed dementia (mean± SD: 53.9±9.5) was significantly lower than for those participants who did not develop dementia during the study (mean±SD: 56.4±6.5; p = 0.005). Mean PCS scores at baseline (dementia: 49.3±7.9 vs. non-dementia: 49.8±7.8) were not significantly different (p = 0.5) but LMM analysis showed a significant time effect. For MCS, the indicator for eventual dementia diagnosis was significantly associated with poorer scores after adjusting for baseline age, race, and memory complaint. Adjusted for other baseline risk factors, the Cox model showed that a 10-unit increase in MCS was associated with a 44% decrease in the hazard of a future dementia diagnosis (95% CI: 32%-55%). CONCLUSION The SF-36 MCS summary score may serve as a predictor for future dementia and could be prognostic in longitudinal dementia research.
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Affiliation(s)
- X Ding
- Xiuhua Ding, M.D., Ph.D., Department of Public Health, Western Kentucky University, 1906 College Heights Blvd, Bowling Green, KY 42101, USA, , phone: 270-745-3618, Fax: 270-745-6950
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Fahy S, O'Connor J, O'Brien D, Fitzpatrick L, O'Connor M, Crowley J, Bernard M, Sleator R, Lucey B. Carbapenemase screening in an Irish tertiary referral hospital: Best practice, or can we do better? Infect Prev Pract 2020; 2:100100. [PMID: 34368728 PMCID: PMC8335925 DOI: 10.1016/j.infpip.2020.100100] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Accepted: 10/26/2020] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Carbapenems are a family of end line antibiotics with increasing levels of resistance that are a cause for concern. AIM To ascertain whether the CPE screening programme employed in an acute tertiary hospital is fit for purpose. METHOD We outlined the current working algorithm employed using a universal screening programme over a 26-month screening period. Rectal swabs are cultured on arrival. Those with suspicious growth are further investigated using NG-Carba 5 lateral flow tests and Vitek 2.0 sensitivity cards. These practices were compared with NHS guidelines. FINDINGS & CONCLUSIONS In all, 53 true positives were detected from 45 patients since the screening was implemented in early 2018 (46 OXA-48, 6 KPC, 1 NDM). As the rate of screening increased, the number of positive screens decreased over time. There were a lot of similarities between the HSE guidelines and the published NHS CPE toolkit. It was evident that there is no standard practice being employed across all hospitals. Comparing the MUH to national guidelines it appears to be quicker and more effective with universal screening in place at reducing the potential contacts and identifying carriers. Cost analysis indicates that the need to confirm all positive strains in a reference lab is costly, unnecessary and time consuming. There are adequate confirmatory tests available in-house for routine positive screens. It was concluded that infection prevention and control are key to identifying and controlling possible outbreaks in a hospital setting.
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Affiliation(s)
- S. Fahy
- Department of Clinical Microbiology, Mercy University Hospital, Cork, Ireland
- Department of Biological Sciences, Cork Institute of Technology, Bishopstown, Cork, Ireland
| | - J.A. O'Connor
- Department of Clinical Microbiology, Mercy University Hospital, Cork, Ireland
| | - D. O'Brien
- Department of Clinical Microbiology, Mercy University Hospital, Cork, Ireland
| | - L. Fitzpatrick
- Department of Clinical Microbiology, Mercy University Hospital, Cork, Ireland
| | - M. O'Connor
- Infection Prevention & Control Department, Mercy University Hospital, Cork, Ireland
| | - J. Crowley
- Infection Prevention & Control Department, Mercy University Hospital, Cork, Ireland
| | - M. Bernard
- Infection Prevention & Control Department, Mercy University Hospital, Cork, Ireland
| | - R.D. Sleator
- Department of Biological Sciences, Cork Institute of Technology, Bishopstown, Cork, Ireland
| | - B. Lucey
- Department of Biological Sciences, Cork Institute of Technology, Bishopstown, Cork, Ireland
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Finn BP, Millar SR, Cronin K, Crowley J, S D, Jennings R, Keating E, Murphy C, O'Donovan D, Shanahan P, Short C, Mullane D, Ni Chroinin M. Improvements in Clinical Outcomes in Children with Cystic Fibrosis aged Six and 16 years. Ir Med J 2020; 113:119. [PMID: 35574822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Aims Our aim was to assess if outcomes for cystic fibrosis (CF) patients at six & sixteen years of age have improved in the last 17 years looking at FEV1, BMI and death. Methods A retrospective observational study using a prospectively maintained database of CF patients at Cork University Hospital. Results 84 patients were included in the 16-year-old data and 89 patients were included in the six-year-old data. The mean FEV1 and BMI (16 years) for the 2002-2007 group was 72.9±21.0% and 18.9±2.53 respectively, 2008-2013 group was 75.4±27.2% and 19.8±2.7 and for the 2014-2018 group was 95.2±16.0% and 22.9±4.1. The percentage of patients (16 years) with chronic pseudomonas status was 37.9% (11/30) in the 2002-2007 group, 51.6 % (16/31) in the 2008-2013 group and 4.2% (1/24) in the 2014-2018 group. The relationship between FEV1 and FVC with BMI remained significant in multivariate analysis (P <0.001). The mean FEV1 (six years) for the 2002-2007 group was 90.7±16.1%, 2008-2013 group was 99.3±17.9% and for the 2014-2018 group was 100.9±15.8%. Conclusions Improvements in FEV1 and BMI aged six and 16 years are notable as well as a significant decline in the number of patients with chronic pseudomonas.
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Affiliation(s)
- B P Finn
- Department of Paediatrics and Child Health, Cork University Hospital
| | - S R Millar
- School of Public Health, University College Cork, Ireland
| | - K Cronin
- Department of Dietetics, Cork University Hospital
| | - J Crowley
- Department of Dietetics, Cork University Hospital
| | - Dunne S
- Department of Dietetics, Cork University Hospital
| | - R Jennings
- Department of Paediatrics and Child Health, Cork University Hospital
| | - E Keating
- Department of Paediatrics and Child Health, Cork University Hospital
| | - C Murphy
- Department of Paediatrics and Child Health, Cork University Hospital
| | - D O'Donovan
- Department of Paediatrics and Child Health, Cork University Hospital
| | - P Shanahan
- Department of Physiotherapy, Cork University Hospital
| | - C Short
- Department of Respiratory Medicine, Cork University Hospital
| | - D Mullane
- Department of Paediatrics and Child Health, Cork University Hospital
| | - M Ni Chroinin
- Department of Paediatrics and Child Health, Cork University Hospital
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Crowley J. Targeting granulocyte-monocyte colony-stimulating factor in psoriasis. What a negative study can teach us. Br J Dermatol 2019; 180:1286-1287. [PMID: 31157451 DOI: 10.1111/bjd.17912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- J Crowley
- Bakersfield Dermatology and Skin Cancer Medical Group, Bakersfield, CA, U.S.A
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Finn B, Millar S, Cronin K, Crowley J, Dunne S, Jennings R, Keating E, Murphy C, Donovan D, Shanahan P, Short C, Mullane D, Ni Chroinin M. WS10-3 Improvements in outcomes in children with cystic fibrosis aged 16 years in Cork University Hospital from 2002 to 2018. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30174-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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De Backer G, Jankowski P, Kotseva K, Mirrakhimov E, Reiner Ž, Rydén L, Tokgözoğlu L, Wood D, De Bacquer D, De Backer G, Jankowski P, Kotseva K, Mirrakhimov E, Reiner Z, Rydén L, Tokgözoğlu L, Wood D, De Bacquer D, Kotseva K, De Backer G, Abreu A, Aguiar C, Badariene J, Bruthans J, Castro Conde A, Cifkova R, Crowley J, Davletov K, Bacquer DD, De Smedt D, De Sutter J, Deckers J, Dilic M, Dolzhenko M, Druais H, Dzerve V, Erglis A, Fras Z, Gaita D, Gotcheva N, Grobbee D, Gyberg V, Hasan Ali H, Heuschmann P, Hoes A, Jankowski P, Lalic N, Lehto S, Lovic D, Maggioni A, Mancas S, Marques-Vidal P, Mellbin L, Miličić D, Mirrakhimov E, Oganov R, Pogosova N, Reiner Ž, Rydén L, Stagmo M, Störk S, Sundvall J, Tokgözoğlu L, Tsioufis K, Vulic D, Wood D, Wood D, Kotseva K, Jennings C, Adamska A, Adamska S, Rydén L, Mellbin L, Tuomilehto J, Schnell O, Druais H, Fiorucci E, Glemot M, Larras F, Missiamenou V, Maggioni A, Taylor C, Ferreira T, Lemaitre K, Bacquer DD, De Backer G, Raman L, Sundvall J, DeSmedt D, De Sutter J, Willems A, De Pauw M, Vervaet P, Bollen J, Dekimpe E, Mommen N, Van Genechten G, Dendale P, Bouvier C, Chenu P, Huyberechts D, Persu A, Dilic M, Begic A, Durak Nalbantic A, Dzubur A, Hadzibegic N, Iglica A, Kapidjic S, Osmanagic Bico A, Resic N, Sabanovic Bajramovic N, Zvizdic F, Vulic D, Kovacevic-Preradovic T, Popovic-Pejicic S, Djekic D, Gnjatic T, Knezevic T, Kovacevic-Preradovic T, Kos L, Popovic-Pejicic S, Stanetic B, Topic G, Gotcheva N, Georgiev B, Terziev A, Vladimirov G, Angelov A, Kanazirev B, Nikolaeva S, Tonkova D, Vetkova M, Milicic D, Reiner Ž, Bosnic A, Dubravcic M, Glavina M, Mance M, Pavasovic S, Samardzic J, Batinic T, Crljenko K, Delic-Brkljacic D, Dula K, Golubic K, Klobucar I, Kordic K, Kos N, Nedic M, Olujic D, Sedinic V, Blazevic T, Pasalic A, Percic M, Sikic J, Bruthans J, Cífková R, Hašplová K, Šulc P, Wohlfahrt P, Mayer O, Cvíčela M, Filipovský J, Gelžinský J, Hronová M, Hasan-Ali H, Bakery S, Mosad E, Hamed H, Ibrahim A, Elsharef M, Kholef E, Shehata A, Youssef M, Elhefny E, Farid H, Moustafa T, Sobieh M, Kabil H, Abdelmordy A, Lehto S, Kiljander E, Kiljander P, Koukkunen H, Mustonen J, Cremer C, Frantz S, Haupt A, Hofmann U, Ludwig K, Melnyk H, Noutsias M, Karmann W, Prondzinsky R, Herdeg C, Hövelborn T, Daaboul A, Geisler T, Keller T, Sauerbrunn D, Walz-Ayed M, Ertl G, Leyh R, Störk S, Heuschmann P, Ehlert T, Klocke B, Krapp J, Ludwig T, Käs J, Starke C, Ungethüm K, Wagner M, Wiedmann S, Tsioufis K, Tolis P, Vogiatzi G, Sanidas E, Tsakalis K, Kanakakis J, Koutsoukis A, Vasileiadis K, Zarifis J, Karvounis C, Crowley J, Gibson I, Houlihan A, Kelly C, O'Donnell M, Bennati M, Cosmi F, Mariottoni B, Morganti M, Cherubini A, Di Lenarda A, Radini D, Ramani F, Francese M, Gulizia M, Pericone D, Davletov K, Aigerim K, Zholdin B, Amirov B, Assembekov B, Chernokurova E, Ibragimova F, Kodasbayev A, Markova A, Mirrakhimov E, Asanbaev A, Toktomamatov U, Tursunbaev M, Zakirov U, Abilova S, Arapova R, Bektasheva E, Esenbekova J, Neronova K, Asanbaev A, Baigaziev K, Toktomamatov U, Zakirov U, Baitova G, Zheenbekov T, Erglis A, Andrejeva T, Bajare I, Kucika G, Labuce A, Putane L, Stabulniece M, Dzerve V, Klavins E, Sime I, Badariene J, Gedvilaite L, Pečiuraite D, Sileikienė V, Skiauteryte E, Solovjova S, Sidabraite R, Briedis K, Ceponiene I, Jurenas M, Kersulis J, Martinkute G, Vaitiekiene A, Vasiljevaite K, Veisaite R, Plisienė J, Šiurkaitė V, Vaičiulis Ž, Jankowski P, Czarnecka D, Kozieł P, Podolec P, Nessler J, Gomuła P, Mirek-Bryniarska E, Bogacki P, Wiśniewski A, Pająk A, Wolfshaut-Wolak R, Bućko J, Kamiński K, Łapińska M, Paniczko M, Raczkowski A, Sawicka E, Stachurska Z, Szpakowicz M, Musiał W, Dobrzycki S, Bychowski J, Kosior D, Krzykwa A, Setny M, Kosior D, Rak A, Gąsior Z, Haberka M, Gąsior Z, Haberka M, Szostak-Janiak K, Finik M, Liszka J, Botelho A, Cachulo M, Sousa J, Pais A, Aguiar C, Durazzo A, Matos D, Gouveia R, Rodrigues G, Strong C, Guerreiro R, Aguiar J, Abreu A, Cruz M, Daniel P, Morais L, Moreira R, Rosa S, Rodrigues I, Selas M, Gaita D, Mancas S, Apostu A, Cosor O, Gaita L, Giurgiu L, Hudrea C, Maximov D, Moldovan B, Mosteoru S, Pleava R, Ionescu M, Parepa I, Pogosova N, Arutyunov A, Ausheva A, Isakova S, Karpova A, Salbieva A, Sokolova O, Vasilevsky A, Pozdnyakov Y, Antropova O, Borisova L, Osipova I, Lovic D, Aleksic M, Crnokrak B, Djokic J, Hinic S, Vukasin T, Zdravkovic M, Lalic N, Jotic A, Lalic K, Lukic L, Milicic T, Macesic M, Stanarcic Gajovic J, Stoiljkovic M, Djordjevic D, Kostic S, Tasic I, Vukovic A, Fras Z, Jug B, Juhant A, Krt A, Kugonjič U, Chipayo Gonzales D, Gómez Barrado J, Kounka Z, Marcos Gómez G, Mogollón Jiménez M, Ortiz Cortés C, Perez Espejo P, Porras Ramos Y, Colman R, Delgado J, Otero E, Pérez A, Fernández-Olmo M, Torres-LLergo J, Vasco C, Barreñada E, Botas J, Campuzano R, González Y, Rodrigo M, de Pablo C, Velasco E, Hernández S, Lozano C, González P, Castro A, Dalmau R, Hernández D, Irazusta F, Vélez A, Vindel C, Gómez-Doblas J, García Ruíz V, Gómez L, Gómez García M, Jiménez-Navarro M, Molina Ramos A, Marzal D, Martínez G, Lavado R, Vidal A, Rydén L, Boström-Nilsson V, Kjellström B, Shahim B, Smetana S, Hansen O, Stensgaard-Nake E, Deckers J, Klijn A, Mangus T, Peters R, Scholte op Reimer W, Snaterse M, Aydoğdu S, Ç Erol, Otürk S, Tulunay Kaya C, Ahmetoğlu Y, Ergene O, Akdeniz B, Çırgamış D, Akkoyun H Kültürsay S, Kayıkçıoğlu M, Çatakoğlu A, Çengel A, Koçak A, Ağırbaşlı M, Açıksarı G, Çekin M, Tokgözoğlu L, Kaya E, Koçyiğit D, Öngen Z, Özmen E, Sansoy V, Kaya A, Oktay V, Temizhan A, Ünal S, İ Yakut, Kalkan A, Bozkurt E, Kasapkara H, Dolzhenko M, Faradzh C, Hrubyak L, Konoplianyk L, Kozhuharyova N, Lobach L, Nesukai V, Nudchenko O, Simagina T, Yakovenko L, Azarenko V, Potabashny V, Bazylevych A, Bazylevych M, Kaminska K, Panchenko L, Shershnyova O, Ovrakh T, Serik S, Kolesnik T, Kosova H, Wood D, Adamska A, Adamska S, Jennings C, Kotseva K, Hoye P Atkin A, Fellowes D, Lindsay S, Atkinson C, Kranilla C, Vinod M, Beerachee Y, Bennett C, Broome M, Bwalya A, Caygill L, Dinning L, Gillespie A, Goodfellow R, Guy J, Idress T, Mills C, Morgan C, Oustance N, Singh N, Yare M, Jagoda J, Bowyer H, Christenssen V, Groves A, Jan A, Riaz A, Gill M, Sewell T, Gorog D, Baker M, De Sousa P, Mazenenga T, Porter J, Haines F, Peachey T, Taaffe J, Wells K, Ripley D, Forward H, McKie H, Pick S, Thomas H, Batin P, Exley D, Rank T, Wright J, Kardos A, Sutherland SB, Wren L, Leeson P, Barker D, Moreby B, Sawyer J, Stirrup J, Brunton M, Brodison A, Craig J, Peters S, Kaprielian R, Bucaj A, Mahay K, Oblak M, Gale C, Pye M, McGill Y, Redfearn H, Fearnley M. Management of dyslipidaemia in patients with coronary heart disease: Results from the ESC-EORP EUROASPIRE V survey in 27 countries. Atherosclerosis 2019; 285:135-146. [DOI: 10.1016/j.atherosclerosis.2019.03.014] [Citation(s) in RCA: 101] [Impact Index Per Article: 20.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Revised: 02/22/2019] [Accepted: 03/19/2019] [Indexed: 12/16/2022]
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Ekine-Dzivenu C, Akanno E, Chen L, McKeown L, Irving B, Baker L, Vinsky M, Miller S, Wang Z, Crowley J, Colazo M, Ambrose D, Juarez M, Bruce H, MacNeil M, Plastow G, Basarab J, Li C, Fitzsimmons C. 292 Genetic trend for feed efficiency, growth and carcass traits in three Canadian beef cattle populations involved in the Kinsella breeding project. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- C Ekine-Dzivenu
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - E Akanno
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - L Chen
- Zoetis,Kalamazoo, MI, United States
| | - L McKeown
- Alberta Agriculture and Rural Development, Lacombe Research Centre,Lacombe, AB, Canada
| | - B Irving
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - L Baker
- Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Lacombe, AB, Canada
| | - M Vinsky
- Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Lacombe, AB, Canada
| | - S Miller
- Angus Genetics Incorporated, St. Joseph, MO, United States
| | - Z Wang
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - J Crowley
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta. Canadian Beef Breeds Council,Calgary, AB, Canada, Calgary, AB, Canada
| | - M Colazo
- Alberta Agriculture and Forestry,Edmonton, AB, Canada
| | - D Ambrose
- Alberta Agriculture and Forestry,Edmonton, AB, Canada
| | - M Juarez
- Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Lacombe, AB, Canada
| | - H Bruce
- University of Alberta,Edmonton, AB, Canada
| | - M MacNeil
- Delta G,Miles City, MT, United States
| | - G Plastow
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - J Basarab
- Alberta Agriculture and Forestry, Lacombe Research and Development Centre,Lacombe, AB, Canada
| | - C Li
- Department of Agricultural, Food and Nutritional Science, University of Alberta. Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Edmonton, AB, Canada
| | - C Fitzsimmons
- Department of Agricultural, Food and Nutritional Science, University of Alberta. Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Edmonton, AB, Canada
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13
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Akanno E, Ekine-Dzivenu C, Chen L, McKeown L, Irving B, Baker L, Vinsky M, Crowley J, Colazo M, Ambrose D, Juarez M, Bruce H, Abo-Ismail M, MacNeil M, Plastow G, Basarab J, Li C, Fitzsimmons C. PSIV-26 Late-Breaking: Evaluation of a genome-based sorting system for feeder cattle. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E Akanno
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - C Ekine-Dzivenu
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - L Chen
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - L McKeown
- Alberta Agriculture and Rural Development, Lacombe Research Centre,6000 C&E Trail Lacombe, AB, Canada, T4L 1W1,Lacombe, AB, Canada
| | - B Irving
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - L Baker
- Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Lacombe, AB, Canada
| | - M Vinsky
- Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Lacombe, AB, Canada
| | - J Crowley
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta. Canadian Beef Breeds Council,Calgary, AB, Canada
| | - M Colazo
- Alberta Agriculture and Forestry,7000 - 113 Street, Edmonton, AB, Canada T6H 5T6, Edmonton, AB, Canada
| | - D Ambrose
- Alberta Agriculture and Forestry,7000 - 113 Street, Edmonton, AB, Canada T6H 5T6, Edmonton, AB, Canada
| | - M Juarez
- Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Lacombe, AB, Canada
| | - H Bruce
- University of Alberta,Edmonton, AB, Canada
| | - M Abo-Ismail
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada, T6G 2P5 /Department of Animal and Poultry Production, Damanhour University,Damanhour, Egypt, Edmonton, AB, Canada
| | - M MacNeil
- Delta G,Miles City, MT, United States
| | - G Plastow
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - J Basarab
- Alberta Agriculture and Forestry, Lacombe Research and Development Centre 6000 C E Trail Lacombe T4L 1W1,Lacombe, AB, Canada
| | - C Li
- Department of Agricultural, Food and Nutritional Science, University of Alberta. Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Lacombe, AB, Canada
| | - C Fitzsimmons
- Department of Agricultural, Food and Nutritional Science, University of Alberta. Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Lacombe, AB, Canada
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14
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Wang Y, Zhang F, Chen L, Vinsky M, Crowley J, Plastow G, Basarab J, Stothard P, Li C. 287 Genomic prediction for residual feed intake and its component traits based on 50K and imputed 7.8. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.236] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Y Wang
- Agrilculture and Agri-Food Canada, Lacombe Research and Development Centre. Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - F Zhang
- Livestock Gentec, Department of Agricultural, Food and Nutritional Sciences, University of Alberta. Agrilculture and Agri-Food Canada, Lacombe Research and Development Centre. Institute of Translational Medicine, Nanchang University,Edmonton, AB, Canada
| | - L Chen
- Zoetis,333 Portage Street, Kalamazoo, MI 49007, USA, Kalamazoo, MI, United States
| | - M Vinsky
- Agrilculture and Agri-Food Canada, Lacombe Research and Development Centre,Lacombe, AB, Canada
| | - J Crowley
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta. Canadian Beef Breeds Council,Calgary, AB, Canada
| | - G Plastow
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - J Basarab
- Alberta Agriculture and Forestry, Lacombe Research and Development Centre 6000 C E Trail Lacombe T4L 1W1,Lacombe, AB, Canada
| | - P Stothard
- Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - C Li
- Department of Agricultural, Food and Nutritional Science, University of Alberta. Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Edmonton, AB, Canada
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15
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Abo-Ismail M, Crowley J, Akanno E, Li C, Stothard P, Aalhus J, Plastow G, Basarab J. 250 Genome wide Association analyses for meat quality traits in multibreed and crossbred beef cattle. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M Abo-Ismail
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta, Department of Animal and Poultry Production, Damanhour University,Edmonton, AB, Canada
| | - J Crowley
- Canadian Beef Breeds Council /University of Alberta,Edmonton, AB, Canada
| | - E Akanno
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - C Li
- Department of Agricultural, Food and Nutritional Science, University of Alberta. Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Edmonton, AB, Canada
| | - P Stothard
- Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - J Aalhus
- Agriculture and Agri-Food Canada, Lacombe Research and Development Centre,Edmonton, AB, Canada
| | - G Plastow
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - J Basarab
- Alberta Agriculture and Forestry, Lacombe Research and Development Centre,Lacombe, AB, Canada
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16
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Khorshidi R, MacNeil M, Hays D, Abo-Ismail M, Crowley J, Akanno E, Wang Z, Plastow G. PSI-1 Evaluating genetic parameters and trends of weight traits for the Hays Converter beef breed by multiple-trait and random regression models. J Anim Sci 2018. [DOI: 10.1093/jas/sky404.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
| | - M MacNeil
- Delta G 145 Ice Cave Rd,Miles City, Montana 59301, Miles City, MT, United States
| | - D Hays
- Red Bow Ranching Ltd,Calgary, AB, Canada
| | - M Abo-Ismail
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada, T6G 2P5 /Department of Animal and Poultry Production, Damanhour University,Damanhour, Egypt, Edmonton, AB, Canada
| | - J Crowley
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta. Canadian Beef Breeds Council,Calgary, AB, Canada, Alberta, Canada
| | - E Akanno
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada, T6G 2P5,Edmonton, AB, Canada
| | - Z Wang
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
| | - G Plastow
- Livestock Gentec, Department of Agricultural, Food and Nutritional Science, University of Alberta,Edmonton, AB, Canada
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17
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Strober B, Crowley J, Langley RG, Gordon K, Menter A, Leonardi C, Arikan D, Valdecantos WC. Systematic review of the real-world evidence of adalimumab safety in psoriasis registries. J Eur Acad Dermatol Venereol 2018; 32:2126-2133. [PMID: 30067882 DOI: 10.1111/jdv.15203] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 07/06/2018] [Indexed: 12/27/2022]
Abstract
Long-term safety of adalimumab in psoriasis clinical studies has been established. The objective of this research was to review real-world evidence of adalimumab safety from registries of adult patients with psoriasis treated in clinical practice. Databases (BIOSIS Previews, Current Contents Search, Derwent Drug File, EMBASE, EMBASE Alert, EMCare, MEDLINE, SciSearch) were searched for psoriasis registries with adalimumab safety data. Eligible papers were English language manuscripts (conference abstracts excluded) from psoriasis registries presenting safety data for adult patients with psoriasis receiving adalimumab. The incidence and rate (events/100 patient-years [PY]) of adverse events (AEs), serious AEs (SAEs) and AEs of special interest are reported. Abstracts of 425 publications were screened, and 401 publications excluded (208 conference abstracts; 193 papers). Remaining manuscripts were fully screened; 14 were excluded (no adalimumab data, n = 10; no safety data, n = 2; no on-treatment data, n = 1; not English, n = 1), and 10 selected. Overall rates of AEs (4273 [22.2/100PY]) and SAEs (827 [4.3/100PY]) were reported in the ESPRIT registry (N = 6059). Rates of infections (7.7-14.7/100PY) and serious infections (<0.6-2.0/100PY) were reported in four studies. Cardiovascular-related events were reported in three studies: ≤0.1/100PY per major cardiac event in ESPRIT, <0.5/100PY major cardiac events in PsoBest and serious cardiovascular events in two patients (<1%) in DERMBIO. Malignancies were reported in three studies (any malignancy, 0.9/100PY; malignancies excluding non-melanoma skin cancer [NMSC], <0.6/100PY; NMSC, 0.6-<0.5/100PY). These findings suggest that real-world safety of adalimumab is consistent across different psoriasis registries, which supports the existing long-term safety profile of adalimumab from clinical studies.
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Affiliation(s)
- B Strober
- Department of Dermatology, University of Connecticut, Farmington, CT, USA.,Probity Medical Research, Waterloo, ON, Canada
| | - J Crowley
- Bakersfield Dermatology, Bakersfield, CA, USA
| | | | - K Gordon
- Medical College of Wisconsin, Milwaukee, WI, USA
| | - A Menter
- Baylor University Medical Center, Dallas, TX, USA
| | - C Leonardi
- Saint Louis University, St. Louis, MO, USA
| | - D Arikan
- AbbVie Inc., North Chicago, IL, USA
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18
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Yamauchi P, Crowley J, Kaur P, Spelman L, Warren R. Biosimilars: what the dermatologist should know. J Eur Acad Dermatol Venereol 2018; 32:1066-1074. [PMID: 29360210 DOI: 10.1111/jdv.14812] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Accepted: 11/17/2017] [Indexed: 11/27/2022]
Abstract
Biosimilars are highly similar versions of approved branded biologics. In contrast to generics, which are identical copies of the originator medicines, biosimilars are considered unique but related molecules that differ from the originator reference product as well as from each other. Owing to the complexity of biologic medicines, such as therapeutic monoclonal antibodies, minor differences between biosimilars and the reference products are acceptable provided these differences do not result in any clinically meaningful differences in safety or efficacy. In addition, minor changes in structure and function may occur over time in originator biologic products as a result of alterations in production materials (e.g. cell lines), processes or conditions. The developmental process for biosimilars focuses on a 'totality of evidence' approach that emphasizes a stepwise investigational process, including comprehensive structural, functional, pharmacologic and clinical assessment for similarity. The goal of the phase 3 clinical development programme for a biosimilar is not to establish efficacy, per se, but to demonstrate that there are no clinically meaningful differences between the proposed biosimilar and the reference product. The requirement to show clinical similarity informs biosimilar study design, including the selection of the patient population, disease state (indication), study endpoints and statistical methods. Based on the clinical trial results in a representative patient population, results may be extrapolated to other indications provided scientific justification is demonstrated based on, among other things, similar mechanism of action in the extrapolated indications. This review presents the current state of knowledge with respect to biosimilars. We aim to provide the practising clinician with a working knowledge of biosimilars as well as provide some practical guidance on their use and potential benefits in treating dermatologic diseases.
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Affiliation(s)
- P Yamauchi
- UCLA School of Medicine, Santa Monica, CA, USA
| | - J Crowley
- Bakersfield Dermatology, Bakersfield, CA, USA
| | - P Kaur
- Amgen Inc., Thousand Oaks, CA, USA
| | - L Spelman
- Veracity Clinical Research and Probity, Brisbane, Qld, Australia
| | - R Warren
- The Dermatology Centre, University of Manchester, Salford Royal Foundation Hospital, Salford, Manchester, UK
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19
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Rosen CS, Matthieu MM, Wiltsey Stirman S, Cook JM, Landes S, Bernardy NC, Chard KM, Crowley J, Eftekhari A, Finley EP, Hamblen JL, Harik JM, Kehle-Forbes SM, Meis LA, Osei-Bonsu PE, Rodriguez AL, Ruggiero KJ, Ruzek JI, Smith BN, Trent L, Watts BV. A Review of Studies on the System-Wide Implementation of Evidence-Based Psychotherapies for Posttraumatic Stress Disorder in the Veterans Health Administration. Adm Policy Ment Health 2018; 43:957-977. [PMID: 27474040 DOI: 10.1007/s10488-016-0755-0] [Citation(s) in RCA: 80] [Impact Index Per Article: 13.3] [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: 12/30/2022]
Abstract
Since 2006, the Veterans Health Administration (VHA) has instituted policy changes and training programs to support system-wide implementation of two evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD). To assess lessons learned from this unprecedented effort, we used PubMed and the PILOTS databases and networking with researchers to identify 32 reports on contextual influences on implementation or sustainment of EBPs for PTSD in VHA settings. Findings were initially organized using the exploration, planning, implementation, and sustainment framework (EPIS; Aarons et al. in Adm Policy Ment Health Health Serv Res 38:4-23, 2011). Results that could not be adequately captured within the EPIS framework, such as implementation outcomes and adopter beliefs about the innovation, were coded using constructs from the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework (Glasgow et al. in Am J Public Health 89:1322-1327, 1999) and Consolidated Framework for Implementation Research (CFIR; Damschroder et al. in Implement Sci 4(1):50, 2009). We highlight key areas of progress in implementation, identify continuing challenges and research questions, and discuss implications for future efforts to promote EBPs in large health care systems.
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Affiliation(s)
- C S Rosen
- Dissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (334-PTSD), Menlo Park, CA, 94025, USA. .,Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
| | - M M Matthieu
- School of Social Work, Saint Louis University, Saint Louis, MO, USA
| | - S Wiltsey Stirman
- Dissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (334-PTSD), Menlo Park, CA, 94025, USA.,Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA
| | - J M Cook
- Evaluation Division, National Center for PTSD, VA Connecticut Health Care System, West Haven, CT, USA.,Yale School of Medicine, NEPEC/182, 950 Campbell Avenue, West Haven, CT, USA
| | - S Landes
- Dissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (334-PTSD), Menlo Park, CA, 94025, USA
| | - N C Bernardy
- Executive Division, National Center for PTSD, Veterans Affairs Medical Center, White River Junction, VT, USA.,Department of Psychiatry, The Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | - K M Chard
- Cincinnati Department of Veterans Affairs (VA) Medical Center, Cincinnati, OH, USA.,University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - J Crowley
- Dissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (334-PTSD), Menlo Park, CA, 94025, USA
| | - A Eftekhari
- Dissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (334-PTSD), Menlo Park, CA, 94025, USA
| | - E P Finley
- South Texas Veterans Health Care System, San Antonio, TX, USA.,The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - J L Hamblen
- Executive Division, National Center for PTSD, Veterans Affairs Medical Center, White River Junction, VT, USA.,Department of Psychiatry, The Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| | - J M Harik
- Executive Division, National Center for PTSD, Veterans Affairs Medical Center, White River Junction, VT, USA
| | - S M Kehle-Forbes
- Women's Health Sciences Division at VA Boston Healthcare System, National Center for PTSD, Boston, MA, USA.,Center for Chronic Disease Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, USA.,Department of Medicine, University of Minnesota, Minneapolis, MN, USA
| | - L A Meis
- Center for Chronic Disease Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, USA.,Department of Medicine, University of Minnesota, Minneapolis, MN, USA
| | - P E Osei-Bonsu
- Center for Chronic Disease Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, USA.,Department of Medicine, University of Minnesota, Minneapolis, MN, USA
| | - A L Rodriguez
- Dissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (334-PTSD), Menlo Park, CA, 94025, USA
| | - K J Ruggiero
- Ralph H. Johnson VA Medical Center, Charleston, SC, USA.,Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
| | - J I Ruzek
- Dissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (334-PTSD), Menlo Park, CA, 94025, USA.,Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.,Palo Alto University, Palo Alto, CA, USA
| | - B N Smith
- Dissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (334-PTSD), Menlo Park, CA, 94025, USA
| | - L Trent
- Dissemination & Training Division, National Center for PTSD, VA Palo Alto Health Care System, 795 Willow Road (334-PTSD), Menlo Park, CA, 94025, USA.,Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA
| | - B V Watts
- Department of Psychiatry, The Geisel School of Medicine at Dartmouth, Hanover, NH, USA.,Veterans Affairs Medical Center, White River Junction, VT, USA
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20
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Bunyan M, Crowley J, Smedley N, Mutti MF, Cashen A, Thompson T, Foster J. Feasibility of training nurses in motivational interviewing to improve patient experience in mental health inpatient rehabilitation: a pilot study. J Psychiatr Ment Health Nurs 2017; 24:221-231. [PMID: 28248447 DOI: 10.1111/jpm.12382] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/24/2017] [Indexed: 11/30/2022]
Abstract
UNLABELLED WHAT IS KNOWN ON THE SUBJECT?: Recently, concerns have been raised about how well United Kingdom National Health Service nurses care for their patients and their level of compassion. Motivational interviewing (MI) is an established approach to helping people make positive behaviour changes, through directive, person-centred counselling within a collaborative relationship between clinician and recipient. Based on evidence that MI may influence nursing practice positively, an investigation into the feasibility of training nurses on mental health inpatient rehabilitation wards ('rehabilitation') in MI to improve patient experience was reported. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This pilot study demonstrates that training rehabilitation nurses in MI is feasible and provides preliminary evidence suggesting that a larger study to examine efficacy is warranted, including a calculation of sample size required to draw robust statistical conclusions. Nurses evaluated the training as highly relevant to their work. Patients responded well to interviews and focus groups with support from experts-by-experience; they were generally fairly satisfied with the rehabilitation ward and slight improvements in their experience were found following MI training for nurses but not at 6-month follow-up. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Rehabilitation nurses may face conflicting demands between ensuring patients with severe difficulties meet their basic needs and working with them to develop greater independence. Qualitative findings question whether nurse-patient interactions are fully valued as nursing interventions in inpatient rehabilitation. Learning MI might be a useful way of helping nurses think in detail about their interactions with patients and how to improve communications with their patients. The principles of MI should be incorporated into pre-registration training. ABSTRACT Introduction There is limited research addressing the experiences of patients in inpatient rehabilitation (rehabilitation), who often spend long periods in hospital, and the nursing approaches utilized. Aim Based on evidence that motivational interviewing (MI) may improve nursing practice, this was a pilot study evaluating the feasibility of training rehabilitation nurses in MI and measuring patient experience. Method Nurses underwent training and supervision focusing on MI spirit. Quantitative and qualitative measures were taken pretraining, 2 months post-training and 8 months post-training. Expert-by-experience research assistants facilitated patients' participation in the study. Results This study showed that training rehabilitation nurses in MI was feasible and relevant to their work. Patients participated in interviews and focus groups with support and potential improvements that require further empirical investigation in patient experience were found following the MI training. Discussion This pilot study establishes the feasibility of a larger study addressing efficacy. Tentative qualitative findings question whether interactions between nurses and patients are valued in rehabilitation and support MI as a promising skill set for rehabilitation nurses. Implications for practice Bringing MI into inpatient rehabilitation provoked reflection on nursing practice. Dilemmas for nurses about balancing safety with promoting autonomy and communicating constructively with patients emerged as important.
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Affiliation(s)
- M Bunyan
- Oxleas NHS Foundation Trust, Dartford, UK
| | - J Crowley
- Faculty of Education and Health, University of Greenwich, London, UK
| | - N Smedley
- Oxleas NHS Foundation Trust, Dartford, UK
| | - M-F Mutti
- Oxleas NHS Foundation Trust, Dartford, UK
| | - A Cashen
- Oxleas NHS Foundation Trust, Dartford, UK
| | - T Thompson
- Faculty of Education and Health, University of Greenwich, London, UK
| | - J Foster
- Faculty of Education and Health, University of Greenwich, London, UK
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21
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Barnes K, Crowley J, Laur C, Ball L, Ray S. Proceedings of the Second International Summit on Medical Nutrition Education and Research. Public Health 2016; 140:68-72. [PMID: 27814894 DOI: 10.1016/j.puhe.2016.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Revised: 09/01/2016] [Accepted: 09/06/2016] [Indexed: 10/20/2022]
Affiliation(s)
- K Barnes
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia.
| | - J Crowley
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK; Discipline of Nutrition, Faculty of Medical Health Sciences, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
| | - C Laur
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK; Faculty of Applied Health Sciences, School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada.
| | - L Ball
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia; The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK.
| | - S Ray
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK.
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Crowley J, Ball L, Wall C. Nutrition advice provided by general practice registrars: an investigation using patient scenarios. Public Health 2016; 140:17-22. [PMID: 27745893 DOI: 10.1016/j.puhe.2016.09.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2016] [Revised: 09/01/2016] [Accepted: 09/14/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Nutrition is recognized as a strong factor influencing the health outcomes of patients with chronic disease. General practitioners (GPs) require nutrition knowledge and skills to support patients to have healthy dietary behaviours. OBJECTIVE To investigate New Zealand GP registrars' provision of nutrition advice using patient scenarios. STUDY DESIGN A cross-sectional study design targeted GP registrars to investigate the nutrition care they provided to patients. METHODS Fourty-seven GP registrars completed a survey at a training event. The survey included patient scenarios. Respondents were asked to provide nutrition advice for each scenario, in line with best practice guidelines. Responses to each scenario were scored based on a panel of nutrition experts. Regression analysis was used to compare the scores to participants' previously reported confidence to provide nutrition care. RESULTS Seventeen male (36.2%) and thirty female (63.8%) GP registrars completed the survey, giving a response rate of 92.2%. GP registrars scored a mean of 7.9 ± 0.2 out of 15 for recall of dietary strategies with the scenarios. There was no association between GP registrars' scenario scores and their confidence to provide nutrition care. CONCLUSIONS An evidence-practice gap exists for New Zealand GP registrars' confidence to provide nutrition care, and their knowledge of evidence-based nutritional guidelines to support patients to have healthy dietary behaviours. A better understanding of the determinants of this disparity is required in order to support optimal nutrition care by GPs.
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Affiliation(s)
- J Crowley
- Discipline of Nutrition and Dietetics, Faculty of Medical and Health Sciences, University of Auckland, 1142, New Zealand.
| | - L Ball
- Menzies Health Institute Queensland, Griffith University, 4222, Australia
| | - C Wall
- Discipline of Nutrition and Dietetics, Faculty of Medical and Health Sciences, University of Auckland, 1142, New Zealand
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Laur C, Ball L, Ahankari AS, Avdagovska M, Crowley J, Deen D, Douglas P, Hark L, Kohlmeier M, Luzi L, McCotter L, Martyn K, Nowson C, Wall C, Ray S. Proceedings of the inaugural International Summit for Medical Nutrition Education and Research. Public Health 2016; 140:59-67. [PMID: 27726865 DOI: 10.1016/j.puhe.2016.08.023] [Citation(s) in RCA: 3] [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: 03/29/2016] [Revised: 08/22/2016] [Accepted: 08/25/2016] [Indexed: 10/20/2022]
Abstract
Medical Nutrition Education (MNE) has been identified as an area with potential public health impact. Despite countries having distinctive education systems, barriers and facilitators to effective MNE are consistent across borders, demanding a common platform to initiate global programmes. A shared approach to supporting greater MNE is ideal to support countries to work together. In an effort to initiate this process, the Need for Nutrition Education/Innovation Programme group, in association with their strategic partners, hosted the inaugural International Summit on Medical Nutrition Education and Research on August 8, 2015 in Cambridge, UK. Speakers from the UK, the USA, Canada, Australia, New Zealand, Italy, and India provided insights into their respective countries including their education systems, inherent challenges, and potential solutions across two main themes: (1) Medical Nutrition Education, focused on best practice examples in competencies and assessment; and (2) Medical Nutrition Research, discussing how to translate nutrition research into education opportunities. The Summit identified shared needs across regions, showcased examples of transferrable strategies and identified opportunities for collaboration in nutrition education for healthcare (including medical) professionals. These proceedings highlight the key messages presented at the Summit and showcase opportunities for working together towards a common goal of improvement in MNE to improve public health at large.
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Affiliation(s)
- C Laur
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Road, Cambridge, CB1 9NL, UK; Faculty of Applied Health Sciences, School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada.
| | - L Ball
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Road, Cambridge, CB1 9NL, UK; Menzies Health Institute Queensland, G02.05A, Griffith University, Gold Coast, Australia.
| | - A S Ahankari
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Road, Cambridge, CB1 9NL, UK; University of Nottingham, UK; Halo Medical Foundation, India.
| | - M Avdagovska
- Faculty of Medicine and Dentistry, University of Alberta, 3-285 Edmonton Clinic Health Academy (ECHA), 11405 87 Avenue, Edmonton, AB T6G 1C9, Canada.
| | - J Crowley
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Road, Cambridge, CB1 9NL, UK; Discipline of Nutrition and Dietetics, Faculty of Medical Health Sciences, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
| | - D Deen
- Office of Academic Affairs; Sophie Davis School of Biomedical Education, City College of New York, New York, NY, 10031, USA.
| | - P Douglas
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Road, Cambridge, CB1 9NL, UK; Northern Ireland Centre for Food and Health, University of Ulster, Coleraine, BT52 1SA, UK.
| | - L Hark
- Wills Eye Hospital, Professor of Medicine, Sidney Kimmel Medical College, 840 Walnut Street, Suite 800, Philadelphia, PA, 19107, USA.
| | - M Kohlmeier
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Road, Cambridge, CB1 9NL, UK; University of North Carolina, School of Medicine and Gillings School of Global Public Health, and UNC Nutrition Research Institute, 500 Laureate Way, Kannapolis, NC, 28081, USA.
| | - L Luzi
- Endocrinology and Metabolism, Policlinico San Donato IRCCS, Università degli Studi di Milano, Italy.
| | - L McCotter
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Road, Cambridge, CB1 9NL, UK; Northern Ireland Centre for Food and Health, University of Ulster, Coleraine, BT52 1SA, UK.
| | - K Martyn
- Brighton and Sussex Medical School University of Brighton, Westlain House, Village Way, Falmer, BN21 9PH, UK.
| | - C Nowson
- School of Exercise and Nutrition Sciences, Deakin University, Locked Bag 20000, Geelong, Victoria, 3220, Australia; Institute for Physical Activity and Nutrition, Australia.
| | - C Wall
- Discipline of Nutrition and Dietetics, Faculty of Medical Health Sciences, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
| | - S Ray
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), C/O MRC Elsie Widdowson Laboratory, 120 Fulbourn Road, Cambridge, CB1 9NL, UK.
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Laur C, Ball L, Crowley J, Bell H, Maddock J, Ray S. Enhancing breadth of knowledge within multidisciplinary doctoral research: reflections from the Cambridge Generic Nutrition Training course for non-nutritionist postgraduates and professionals. Public Health 2016; 140:35-38. [PMID: 27697293 DOI: 10.1016/j.puhe.2016.08.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Revised: 08/23/2016] [Accepted: 08/30/2016] [Indexed: 11/30/2022]
Affiliation(s)
- C Laur
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), c/o MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK; Faculty of Applied Health Sciences, School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada.
| | - L Ball
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), c/o MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK; Menzies Health Institute Queensland, G02.05A, Griffith University, Gold Coast, Australia.
| | - J Crowley
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), c/o MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK; Discipline of Nutrition and Dietetics, Faculty of Medical Health Sciences, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
| | - H Bell
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), c/o MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK; Haley Bell, Faculty of Life & Health Sciences, Ulster University, Londonderry, Northern Ireland, UK.
| | - J Maddock
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), c/o MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK; MRC Lifelong Health & Ageing at University College London, UK.
| | - S Ray
- The Need for Nutrition Education/Innovation Programme (University of Cambridge), c/o MRC Elsie Widdowson Laboratory, 120 Fulbourn Rd, Cambridge, CB1 9NL, UK.
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Abo-Ismail MK, Akanno EC, Khorshidi R, Crowley J, Chen L, Karisa BK, Li X, Wang Z, Basarab J, Li C, Stothard P, Plastow G. 0310 Assessing genetic diversity in Canadian beef cattle populations using Illumina BovineSNP50 chip. J Anim Sci 2016. [DOI: 10.2527/jam2016-0310] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Li C, Chen L, Vinsky M, Crowley J, Miller SP, Plastow G, Basarab J, Stothard P. 0322 Genomic prediction for feed efficiency traits based on 50K and imputed high density SNP genotypes in multiple breed populations of Canadian beef cattle. J Anim Sci 2016. [DOI: 10.2527/jam2016-0322] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Abo-Ismail MK, Khorshidi R, Akanno EC, Crowley J, Miller SP, Fleming A, Basarab J, Li C, Stothard P, Plastow G. 0359 Understanding the genetic archticture of Hays Converter Cattle. J Anim Sci 2016. [DOI: 10.2527/jam2016-0359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Crowley J, O'Connell S, Kavka A, Ball L, Nowson CA. Australian general practitioners' views regarding providing nutrition care: results of a national survey. Public Health 2016; 140:7-13. [PMID: 27692586 DOI: 10.1016/j.puhe.2016.08.013] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Revised: 07/28/2016] [Accepted: 08/18/2016] [Indexed: 11/24/2022]
Abstract
BACKGROUND The prevalence of chronic disease is considerable, and dietary behaviours influence the progression of many chronic diseases. Practice guidelines recommend that general practitioners (GPs) promote healthy dietary behaviours in relevant consultations with patients in order to improve health outcomes at a population level. OBJECTIVE To describe GPs' perceived interest, confidence and barriers to support patients to have a healthy diet. METHOD A 24-item online and written survey was distributed in a national weekly newsletter to GPs in Australia. Results were descriptively analysed and investigated for associations with GPs' demographic characteristics. RESULTS A total of 322 GPs responded to the survey. Nearly all (n = 295, 91.6%) were interested in supporting patients to eat well, and most (n = 231, 71.7%) reported moderately high confidence for providing nutrition care with clear public health messages for conditions, such as cardiovascular disease. Many GPs (n = 170, 52.8%) cited lack of time as the biggest barrier to providing nutrition care, and the overwhelming majority (n = 289, 89.8%) were interested in receiving additional education and training to enhance their nutrition knowledge and skills. DISCUSSION Many GPs are interested in nutrition and would benefit from educational programmes that improve their competence to provide nutrition care. Professional development opportunities should focus on the identification of nutritional risk and the promotion of healthy dietary behaviours within the time constraints of a standard consultation.
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Affiliation(s)
- J Crowley
- Faculty of Medical and Health Sciences, University of Auckland, 1142, New Zealand
| | - S O'Connell
- Deakin University, Geelong, Institute for Physical Activity and Nutrition Research, Victoria, 3220, Australia
| | - A Kavka
- Cirrus Media, Chatswood, NSW, Australia
| | - L Ball
- Menzies Health Institute Queensland, Griffith University, Queensland, 4222, Australia
| | - C A Nowson
- Deakin University, Geelong, Institute for Physical Activity and Nutrition Research, Victoria, 3220, Australia.
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Jethava Y, Mitchell A, Zangari M, Waheed S, Schinke C, Thanendrarajan S, Sawyer J, Alapat D, Tian E, Stein C, Khan R, Heuck CJ, Petty N, Avery D, Steward D, Smith R, Bailey C, Epstein J, Yaccoby S, Hoering A, Crowley J, Morgan G, Barlogie B, van Rhee F. Dose-dense and less dose-intense total therapy 5 for gene expression profiling-defined high-risk multiple myeloma. Blood Cancer J 2016; 6:e471. [PMID: 27635734 PMCID: PMC5056975 DOI: 10.1038/bcj.2016.85] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Edwards C, Blanco F, Crowley J, McIlraith M, Shah K, Teng L, Birbara C. THU0435 DAS-28 Remission and Improvements in Skin Disease over 3 Years of Treatment with Apremilast: Results from The Palace 3 Study in Dmard/biologic-Experienced Active PsA Patients. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.2763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Gorecka M, Hanley A, Burke F, Nolan P, Crowley J. Targeted temperature management in cardiovascular disease complicated by cardiac arrest. Ir J Med Sci 2016; 186:123-127. [PMID: 27147219 DOI: 10.1007/s11845-016-1461-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Accepted: 04/23/2016] [Indexed: 10/21/2022]
Abstract
PURPOSE The majority of cardiac arrests occur due to cardiovascular etiology. Targeted temperature management (TTM) (32-34 °C) is a part of the standard post arrest care. We hypothesized that lower body temperature may lead to reduced cardiac metabolic demand and potentially have a beneficial effect on myocardial function. METHODS We performed a retrospective study on patients admitted to the intensive care unit following cardiac arrest secondary to cardiovascular etiology over a 9 year period. We assessed the impact of TTM on neurological and cardiac outcomes. RESULTS There were 57 patients in the cohort; 21 patients in the TTM group and 36 in the non-TTM group. Demographic characteristics were similar in both groups-the majority of patients (86 vs 80 %, respectively) were males in their 60s. Neurological outcomes were similar; 24 % of patients died during the ICU admission in the TTM group vs 18 % in the non-TTM group. Mean GCS on admission to the ICU was 4 vs 7, respectively, and 11 at discharge in both groups. Majority of patients recovered good neurological function (GCS ≥ 13)-57 % in the TTM group vs 64 % in the non-TTM group. The change in left ventricular function over a 6 month follow up period was significantly better in patients who received targeted temperature management-mean change of +4.4 vs -3.3 %, respectively. This proved to be statistically significant (p = 0.02). CONCLUSIONS The study demonstrates a possible beneficial effect of TTM on long-term cardiac function, when instituted following cardiac arrest.
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Affiliation(s)
- M Gorecka
- Cardiology Department, University College Hospital Galway, Galway, Ireland.
| | - A Hanley
- Cardiology Department, University College Hospital Galway, Galway, Ireland
| | - F Burke
- Intensive Care Unit, University College Hospital Galway, Galway, Ireland
| | - P Nolan
- Cardiology Department, University College Hospital Galway, Galway, Ireland
| | - J Crowley
- Cardiology Department, University College Hospital Galway, Galway, Ireland
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Crowley J, Po E, Celi P, Muscatello G. Systemic and respiratory oxidative stress in the pathogenesis and diagnosis of Rhodococcus equi pneumonia. Equine Vet J 2016:20-5. [PMID: 24304399 DOI: 10.1111/evj.12166] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2013] [Accepted: 08/02/2013] [Indexed: 11/30/2022]
Abstract
REASONS FOR PERFORMING STUDY Oxidative stress (OS) is most simply defined as an imbalance between oxidants and antioxidants. Oxidative stress has been suggested to play roles in various equine respiratory diseases and the significance of OS in the pathogenesis of Rhodococcus equi pneumonia is unknown. OBJECTIVES To measure and relate biomarkers of OS to lesions consistent with R. equi pneumonia. STUDY DESIGN Case-control study. METHODS Various OS biomarkers were measured from blood and exhaled breath condensate (EBC) samples collected from 26 foals between 1 and 2 months of age (n = 12 cases and n = 14 controls) on 2 Thoroughbred farms endemically affected by R. equi pneumonia. Foals were defined as cases (positive) or controls (negative) based on ultrasonographic evidence of pulmonary abscessation (>15 mm in diameter). Haematology and biochemistry testing was also performed on blood samples collected from the foals. Comparison of biomarkers and key haematological and biochemical markers of inflammation between the groups was performed using 2 sample t tests. RESULTS Derivatives of reactive oxygen metabolites (d-ROMs) were significantly greater in case foals than in control foals (P = 0.027) and the oxidative stress index (OSI) was higher in case foals (P = 0.014). Hydrogen peroxide (H2 O2 ) concentrations in EBC were significantly greater in case foals than in control foals (P = 0.002). Meanwhile, there were no significant differences in traditional measures of inflammation between the 2 groups. CONCLUSIONS Measuring OS in both blood and EBC provided useful information in the early diagnosis of R. equi pneumonia.
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Affiliation(s)
- J Crowley
- Faculty of Veterinary Science, The University of Sydney, New South Wales, Australia
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Yannes M, Shin D, Close O, Crowley J, Yilmaz S. Size matters: the insertion of larger bore tunneled centrally inserted central venous catheters results in decreased rates of long-term mechanical failure in pediatric patients. J Vasc Interv Radiol 2016. [DOI: 10.1016/j.jvir.2015.12.680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Molony D, Beame C, Behan W, Crowley J, Dennehy T, Quinlan M, Cullen W. 70,489 primary care encounters: retrospective analysis of morbidity at a primary care centre in Ireland. Ir J Med Sci 2015; 185:805-811. [PMID: 26584550 DOI: 10.1007/s11845-015-1367-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Accepted: 10/05/2015] [Indexed: 11/25/2022]
Abstract
BACKGROUND While considerable changes are happening in primary care in Ireland and considerable potential exists in intelligence derived from practice-based data to inform these changes, relatively few large-scale general morbidity surveys have been published. AIMS To examine the most common reasons why people attend primary care, specifically 'reasons for encounter' (RFEs) among the general practice population and among specific demographic groups (i.e., young children and older adults). METHODS We retrospectively examined clinical encounters (which had a diagnostic code) over a 4-year time period. Descriptive analyses were conducted on anonymised data. RESULTS 70,489 RFEs consultations were recorded (mean 13.53 recorded RFEs per person per annum) and consultations involving multiple RFEs were common. RFE categories for which codes were most commonly recorded were: 'general/unspecified' (31.6 %), 'respiratory' (15.4 %) and 'musculoskeletal' (12.6 %). Most commonly recorded codes were: 'medication renewal' (6.8 %), 'cough' (6.6 %), and 'health maintenance/prevention' (5.8 %). There was considerable variation in the number of RFEs recorded per age group. 6239 RFEs (8.9 %) were recorded by children under 6 years and 15,295 RFEs (21.7 %) were recorded by adults aged over 70. RFEs recorded per calendar month increased consistently through the study period and there was a marked seasonal and temporal variation in the number of RFEs recorded. CONCLUSIONS Practice databases can generate intelligence on morbidity and health service utilisation in the community. Future research to optimise diagnostic coding at a practice level and to promote this activity in a more representative sample of practices is a priority.
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Affiliation(s)
- D Molony
- Mallow Primary HealthCare Centre, Mallow, Co. Cork, Ireland.
- Graduate-Entry Medical School, University of Limerick, Limerick, Ireland.
- HSE Southwest Specialist Training Programme in General Practice, Tralee, Co Kerry, Ireland.
| | - C Beame
- 'CompleteGP', Mallow, Co. Cork, Ireland
| | - W Behan
- UCD School of Medicine, Health Sciences Building, Belfield, Dublin 4, Ireland
- Walkinstown Primary Care Centre, Dublin 12, Ireland
| | - J Crowley
- HSE Southwest Specialist Training Programme in General Practice, Tralee, Co Kerry, Ireland
| | - T Dennehy
- HSE Southwest Specialist Training Programme in General Practice, Tralee, Co Kerry, Ireland
| | - M Quinlan
- HSE Southwest Specialist Training Programme in General Practice, Tralee, Co Kerry, Ireland
| | - W Cullen
- UCD School of Medicine, Health Sciences Building, Belfield, Dublin 4, Ireland
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Paul C, Cather J, Gooderham M, Poulin Y, Mrowietz U, Ferrandiz C, Crowley J, Hu C, Stevens R, Shah K, Day R, Girolomoni G, Gottlieb A. Efficacy and safety of apremilast, an oral phosphodiesterase 4 inhibitor, in patients with moderate‐to‐severe plaque psoriasis over 52 weeks: a phase III, randomized controlled trial (ESTEEM 2). Br J Dermatol 2015; 173:1387-99. [DOI: 10.1111/bjd.14164] [Citation(s) in RCA: 296] [Impact Index Per Article: 32.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/02/2015] [Indexed: 01/11/2023]
Affiliation(s)
- C. Paul
- Department of Dermatology Toulouse University Hôpital Larrey, 24 Chemin de Pouvourville Toulouse 31000 France
| | - J. Cather
- Modern Research Associates Dallas TX U.S.A
| | - M. Gooderham
- Skin Centre for Dermatology Peterborough ON Canada
| | - Y. Poulin
- Centre de Recherche Dermatologique du Québec Métropolitain Québec QC Canada
| | - U. Mrowietz
- Psoriasis Center at the Department of Dermatology University Medical Center Schleswig‐Holstein Campus Kiel Germany
| | - C. Ferrandiz
- University Hospital Germans Trias i Pujol Badalona Spain
- Universidad Autónoma of Barcelona Barcelona Spain
| | - J. Crowley
- Bakersfield Dermatology Bakersfield CA U.S.A
| | - C. Hu
- Celgene Corporation Warren NJ U.S.A
| | | | - K. Shah
- Celgene Corporation Warren NJ U.S.A
| | - R.M. Day
- Celgene Corporation Warren NJ U.S.A
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Wachsman MA, Crowley J, White JG. The crystal structure of the product of reaction of α-pinene with chlorosulfonyl isocyanate. Z KRIST-CRYST MATER 2015. [DOI: 10.1524/zkri.1981.156.14.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Cuddy S, Yearoo I, Walsh R, Mylotte D, Sharif F, Bynes B, MacNeill B, Crowley J, Nash P, Daly K. 48 Thrombolysis in STEMI: are the correct patients being identified for routine angiography versus rescue PCI, the west of Ireland experience. Heart 2015. [DOI: 10.1136/heartjnl-2015-308621.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Cuddy S, Adeel Y, Walsh R, Sharif F, Hynes B, McNeill B, Nash P, Daly K, Crowley J. 47 STEMI referrals from the community versus the emergency department, the west of Ireland experience. Heart 2015. [DOI: 10.1136/heartjnl-2015-308621.47] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Sugrue A, Smyth Y, Hennessy S, Crowley J. Temporal Trends in Hospitalisations for Heart Failure. Ir Med J 2015; 108:207-209. [PMID: 26349350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Heart failure (HF) is the most common cause for admission in patients over 65 and hospitalisations account for almost 1% of the health care budget in Ireland. A need to understand the epidemiological data in relation to hospitalisations for HF plays an important part in the planning and distribution of heart care services. The aim of this study was to analyse the temporal trends in hospitalisations for HF and look at potential areas for improvement. Cross sectional data was obtained from the Eurostat database. Data was extracted with the ICD 10 code for heart failure (1-50). The years 2002-2010 were analysed between the ages of 0-105. Between 2002 and 2010 there were 51369 admissions for HF in Irish hospitals. Of these, 54.7% were males and 87% were older than 65 years. The age standardised hospitalisation rates decreased from 157.5 per 100,000 to 127.2 per 100,000, a relative decrease of 19.2% (p = 0.02). There was an increase in HF hospitalizations for those aged > 85 from 17.9% to 26.7% (p = 0.001). There was no significant change in length of stay (12.0 days in 2002 and 12.4 days in 2010). This study of epidemiological surveillance data on Irish HF hospitalisations has shown a 19% reduction in hospitalisations between 2002 and 2010. Although this study shows an overall successful reduction in HF admission rates, the challenges remain in ensuring we manage the burden of those > 65 years, in particular those > 85 years.
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Papp K, Crowley J, Paul C, Gooderham M, Reich K, Hu C, Day R, Griffiths C. THU0413 Apremilast, An Oral Phosphodiesterase 4 Inhibitor: Improvements in Nail and Scalp Psoriasis and Psoriasis Area and Severity Index in Patients with Moderate to Severe Plaque Psoriasis (Esteem 1 and 2). Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.1113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Edwards C, Blanco F, Crowley J, Hu C, Shah K, Birbara C. THU0416 Disease Activity and Safety During Long-Term (104-Week) Treatment with Apremilast, An Oral Phosphodiesterase 4 Inhibitor, in Patients with Psoriatic Arthritis: Results from a Phase III, Randomized, Controlled Trial and Open-Label Extension (Palace 3). Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2889] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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42
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Crowley J, Franzen M, Jurbala J, Schimmel J, Schofield H. C-42 * Symptom Presentation and Duration in a Mixed-Etiology Concussion Sample. Arch Clin Neuropsychol 2014. [DOI: 10.1093/arclin/acu038.223] [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: 11/12/2022] Open
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43
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Heuck CJ, Qu P, van Rhee F, Waheed S, Usmani SZ, Epstein J, Zhang Q, Edmondson R, Hoering A, Crowley J, Barlogie B. Five gene probes carry most of the discriminatory power of the 70-gene risk model in multiple myeloma. Leukemia 2014; 28:2410-3. [PMID: 25079174 PMCID: PMC4274609 DOI: 10.1038/leu.2014.232] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- C J Heuck
- Myeloma Institute for Research and Therapy, Little Rock, AR, USA
| | - P Qu
- Cancer Research and Biostatistics, Seattle, WA, USA
| | - F van Rhee
- Myeloma Institute for Research and Therapy, Little Rock, AR, USA
| | - S Waheed
- Myeloma Institute for Research and Therapy, Little Rock, AR, USA
| | - S Z Usmani
- Myeloma Institute for Research and Therapy, Little Rock, AR, USA
| | - J Epstein
- Myeloma Institute for Research and Therapy, Little Rock, AR, USA
| | - Q Zhang
- Myeloma Institute for Research and Therapy, Little Rock, AR, USA
| | - R Edmondson
- Myeloma Institute for Research and Therapy, Little Rock, AR, USA
| | - A Hoering
- Cancer Research and Biostatistics, Seattle, WA, USA
| | - J Crowley
- Cancer Research and Biostatistics, Seattle, WA, USA
| | - B Barlogie
- Myeloma Institute for Research and Therapy, Little Rock, AR, USA
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44
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Dragovich T, Laheru D, Dayyani F, Bolejack V, Smith L, Seng J, Burris H, Rosen P, Hidalgo M, Ritch P, Baker AF, Raghunand N, Crowley J, Von Hoff DD. Phase II trial of vatalanib in patients with advanced or metastatic pancreatic adenocarcinoma after first-line gemcitabine therapy (PCRT O4-001). Cancer Chemother Pharmacol 2014; 74:379-87. [PMID: 24939212 DOI: 10.1007/s00280-014-2499-4] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2014] [Accepted: 05/24/2014] [Indexed: 02/06/2023]
Abstract
PURPOSE Vatalanib (PTK 787/ZK22584) is an oral poly-tyrosine kinase inhibitor with strong affinity for platelet-derived growth factor and vascular endothelial growth factor (VEGF) receptors. We conducted an open-label, phase II multicenter therapeutic trial investigating the efficacy and tolerability of vatalanib in patients with metastatic or advanced pancreatic cancer who failed first-line gemcitabine-based therapy. METHODS Vatalanib treatment consisted of a twice daily oral dosing using a "ramp-up schedule," beginning with 250 mg bid during week 1,500 mg bid during week 2, and 750 mg bid on week three and thereafter. The primary objective of this study was to evaluate the 6-month survival rate. RESULTS Sixty-seven patients were enrolled. The median age was 64, and 66% (N = 43) had only one prior regimen. Common grade 3/4 adverse events included hypertension (20%; N = 13), fatigue (17%; N = 11), abdominal pain (17%; N = 11), and elevated alkaline phosphatase (15%; N = 10). Among the 65 evaluable patients, the 6-month survival rate was 29% (95% CI 18-41%) and the median progression-free survival was 2 months. Fifteen patients survived 6 months or more. Two patients had objective partial responses, and 28% of patients had stable disease. Changes in biomarkers including soluble VEGF and vascular endothelial growth factor receptor did not correlate with response to drug. CONCLUSION Vatalanib was well tolerated as a second-line therapy and resulted in favorable 6-month survival rate in patients with metastatic pancreatic cancer, compared with historic controls.
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Affiliation(s)
- T Dragovich
- Banner MD Anderson Cancer Center, 1900 N. Higley Road, Gilbert, AZ, 85234, USA,
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45
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Hart S, Crowley J, Macphail B. 141 How Useful are Echocardiograms after Acute Stroke: Why, When, for Whom, What are the Results and How Does Echocardiography Influence Acute Stroke Unit Patients’ Treatment? Heart 2014. [DOI: 10.1136/heartjnl-2014-306118.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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46
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Crowley J, Morain CO, McGillicuddy E, Kennelly P. An example of ideal utilisation of specialist services by primary care: cervical check. Ir Med J 2014; 107:156-157. [PMID: 24908866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Cancer of the cervix is the 8th most common cancer for women in Ireland.Cervical Check has organised and combated this clinical presentation nationwide and has shown encouraging figures since its launch in 2007. While working in Kerry General Hospital (KGH), the Southwest Specialist Training Scheme in General Practice carried out an audit of the colposcopy referrals being received from GPs in the southwest. Adherence to Cervical Check referral guidelines was the main focus of the audit. Very positive figures presented in round one of the audit cycle, with 51 (90%) of all GP referrals adhering to the guidelines. This was further improved by a GP information campaign, leading to 57 (93%) of referrals meeting the appropriate referral criteria. Overall, this paper highlights the excellent screening programme that is Cervical Check and the superb working relationship between primary and secondary care facilities.
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47
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Avet-Loiseau H, Durie BGM, Cavo M, Attal M, Gutierrez N, Haessler J, Goldschmidt H, Hajek R, Lee JH, Sezer O, Barlogie B, Crowley J, Fonseca R, Testoni N, Ross F, Rajkumar SV, Sonneveld P, Lahuerta J, Moreau P, Morgan G. Combining fluorescent in situ hybridization data with ISS staging improves risk assessment in myeloma: an International Myeloma Working Group collaborative project. Leukemia 2012; 27:711-7. [PMID: 23032723 DOI: 10.1038/leu.2012.282] [Citation(s) in RCA: 156] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The combination of serum β2-microglobulin and albumin levels has been shown to be highly prognostic in myeloma as the International Staging System (ISS). The aim of this study was to assess the independent contributions of ISS stage and cytogenetic abnormalities in predicting outcomes. A retrospective analysis of international studies looking at both ISS and cytogenetic abnormalities was performed in order to assess the potential role of combining ISS stage and cytogenetics to predict survival. This international effort used the International Myeloma Working Group database of 12 137 patients treated worldwide for myeloma at diagnosis, of whom 2309 had cytogenetic studies and 5387 had analyses by fluorescent in situ hybridization (iFISH). Comprehensive analyses used 2642 patients with sufficient iFISH data available. Using the comprehensive iFISH data, combining both t(4;14) and deletion (17p), along with ISS stage, significantly improved the prognostic assessment in terms of progression-free survival and overall survival. The additional impact of patient age and use of high-dose therapy was also demonstrated. In conclusion, the combination of iFISH data with ISS staging significantly improves risk assessment in myeloma.
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Affiliation(s)
- H Avet-Loiseau
- Unité de Génomique du Myélome, Laboratoire UGM, University Hospital, CHU Rangueil, Toulouse, France
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48
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Mylotte D, Sheahan RG, Nolan PG, Neylon MA, McArdle B, Constant O, Diffley A, Keane D, Nash PJ, Crowley J, Daly K. The implantable defibrillator and return to operation of vehicles study. Europace 2012; 15:212-8. [DOI: 10.1093/europace/eus254] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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49
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Usmani SZ, Crowley J, Hoering A, Mitchell A, Waheed S, Nair B, AlSayed Y, Vanrhee F, Barlogie B. Improvement in long-term outcomes with successive Total Therapy trials for multiple myeloma: are patients now being cured? Leukemia 2012; 27:226-32. [PMID: 22705990 DOI: 10.1038/leu.2012.160] [Citation(s) in RCA: 81] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The concept of applying all active therapeutic agents in Total Therapy (TT) clinical trials for newly diagnosed multiple myeloma was pursued with the intent of developing curative treatment. The results of TT1 (n=231), TT2 (n=668) without or with thalidomide and TT3 with added bortezomib (n=303) have been reported. An update with median follow-up times of 17.1, 8.7 and 5.5 years, respectively, is provided. Conditional overall survival (OS) analysis from a 4-year landmark was applied to account for earlier protocol failure owing to disease aggressiveness and toxicities. Cumulative relative survival was computed in the context of age- and gender-matched US population, and interval-specific relative survival ratios were estimated to determine times to normal survival expectation. Based on Cox model-adjusted statistics, OS, progression-free survival and complete-response duration all improved with the transitions from TT1 to TT2 to TT3; improvement was also evident from time-to-progression estimates, 4-year conditional survival data and cumulative relative survival. Interval-specific relative survival normalized progressively sooner, reaching near-normal levels with TT3 in patients who attained complete response. Thus, a strategy using all myeloma-effective agents up-front seems effective at preventing, in progressively larger patient cohorts over time, the outgrowth of resistant tumor cells that account for ongoing relapses.
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Affiliation(s)
- S Z Usmani
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
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50
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Khan R, Apewokin S, Grazziutti M, Yaccoby S, Epstein J, van Rhee F, Rosenthal A, Waheed S, Usmani S, Atrash S, Kumar S, Hoering A, Crowley J, Shaughnessy JD, Barlogie B. Renal insufficiency retains adverse prognostic implications despite renal function improvement following Total Therapy for newly diagnosed multiple myeloma. Leukemia 2012; 29:1195-201. [PMID: 25640885 PMCID: PMC4430702 DOI: 10.1038/leu.2015.15] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2014] [Accepted: 12/31/2014] [Indexed: 11/25/2022]
Abstract
Renal insufficiency (RI) is a frequent complication of multiple myeloma (MM) with negative consequences for patient survival. The improved clinical outcome with successive Total Therapy (TT) protocols was limited to patients without RI. We therefore performed a retrospective analysis of overall survival, progression-free survival and time to progression (TTP) of patients enrolled in TT2 and TT3 in relationship to RI present at baseline and pre-transplant. Glomerular filtration rate was graded in four renal classes (RCs), RC1–RC4 (RC1 ⩾90 ml/min/1.73 m2, RC2 60–89 ml/min/1.73 m2, RC3 30–59 ml/min/1.73 m2 and RC4 <30 ml/min/1.73 m2). RC1–3 had comparable clinical outcomes while RC4 was deleterious, even after improvement to better RC after transplant. Among the 85% of patients with gene expression profiling defined low-risk MM, Cox regression modeling of baseline and pre-transplant features, which also took into consideration RC improvement and MM complete response (CR), identified the presence of metaphase cytogenetic abnormalities and baseline RC4 as independent variables linked to inferior TTP post-transplant, while MM CR reduced the risk of progression and TTP by more than 60%. Failure to improve clinical outcomes despite RI improvement suggested MM-related causes. Although distinguishing RC4 from RC<4, 46 gene probes bore no apparent relationship to MM biology or survival.
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Affiliation(s)
- R Khan
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - S Apewokin
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - M Grazziutti
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - S Yaccoby
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - J Epstein
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - F van Rhee
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - A Rosenthal
- Cancer Research and Biostatistics, Seattle, WA, USA
| | - S Waheed
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - S Usmani
- 1] Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA [2] Levine Cancer Institute/Carolinas Healthcare System, Charlotte, NC, USA
| | - S Atrash
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - S Kumar
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - A Hoering
- Cancer Research and Biostatistics, Seattle, WA, USA
| | - J Crowley
- Cancer Research and Biostatistics, Seattle, WA, USA
| | | | - B Barlogie
- Myeloma Institute for Research and Therapy, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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