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Bui DT, Ton ANV, Nguyen CTD, Nguyen SH, Tran HK, Nguyen XT, Nguyen HT, Pham GLT, Tran DS, Harrington J, Pham HN, Pham TNV, Cao TA. Pathogenic/likely pathogenic mutations identified in Vietnamese children diagnosed with autism spectrum disorder using high-resolution SNP genotyping platform. Sci Rep 2024; 14:2360. [PMID: 38287090 PMCID: PMC10825208 DOI: 10.1038/s41598-024-52777-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 01/23/2024] [Indexed: 01/31/2024] Open
Abstract
Among the most prevalent neurodevelopmental disorders, Autism Spectrum Disorder (ASD) is highly diverse showing a broad phenotypic spectrum. ASD also couples with a broad range of mutations, both de novo and inherited. In this study, we used a proprietary SNP genotyping chip to analyze the genomic DNA of 250 Vietnamese children diagnosed with ASD. Our Single Nucleotide Polymorphism (SNP) genotyping chip directly targets more than 800 thousand SNPs in the genome. Our primary focus was to identify pathogenic/likely pathogenic mutations that are potentially linked to more severe symptoms of autism. We identified and validated 23 pathogenic/likely pathogenic mutations in this initial study. The data shows that these mutations were detected in several cases spanning multiple biological pathways. Among the confirmed SNPs, mutations were identified in genes previously known to be strongly associated with ASD such as SLCO1B1, ACADSB, TCF4, HCP5, MOCOS, SRD5A2, MCCC2, DCC, and PRKN while several other mutations are known to associate with autistic traits or other neurodevelopmental disorders. Some mutations were found in multiple patients and some patients carried multiple pathogenic/likely pathogenic mutations. These findings contribute to the identification of potential targets for therapeutic solutions in what is considered a genetically heterogeneous neurodevelopmental disorder.
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Affiliation(s)
- Duyen T Bui
- Genetica Research Foundation, National Innovation Center, Hanoi, Vietnam.
- Gene Friend Way Inc, San Francisco, USA.
| | - Anh N V Ton
- Pediatric Center Hue Central Hospital, Hue City, Thua Thien Hue, Vietnam
- Hue University of Medicine and Pharmacy, Thua Thien Hue, Vietnam
| | - Chi T D Nguyen
- Pediatric Center Hue Central Hospital, Hue City, Thua Thien Hue, Vietnam
| | - Son H Nguyen
- Pediatric Center Hue Central Hospital, Hue City, Thua Thien Hue, Vietnam
| | - Hao K Tran
- Pediatric Center Hue Central Hospital, Hue City, Thua Thien Hue, Vietnam
| | - Xuan T Nguyen
- Pediatric Center Hue Central Hospital, Hue City, Thua Thien Hue, Vietnam
| | - Hang T Nguyen
- Genetica Research Foundation, National Innovation Center, Hanoi, Vietnam
- Gene Friend Way Inc, San Francisco, USA
| | - Giang L T Pham
- Genetica Research Foundation, National Innovation Center, Hanoi, Vietnam
- Gene Friend Way Inc, San Francisco, USA
| | - Dong S Tran
- Genetica Research Foundation, National Innovation Center, Hanoi, Vietnam
- Gene Friend Way Inc, San Francisco, USA
| | - Jillian Harrington
- Genetica Research Foundation, National Innovation Center, Hanoi, Vietnam
- Gene Friend Way Inc, San Francisco, USA
| | - Hiep N Pham
- Pediatric Center Hue Central Hospital, Hue City, Thua Thien Hue, Vietnam
| | - Tuyen N V Pham
- Pediatric Center Hue Central Hospital, Hue City, Thua Thien Hue, Vietnam
| | - Tuan A Cao
- Genetica Research Foundation, National Innovation Center, Hanoi, Vietnam
- Gene Friend Way Inc, San Francisco, USA
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2
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Rustamkulov Z, Sing DK, Mukherjee S, May EM, Kirk J, Schlawin E, Line MR, Piaulet C, Carter AL, Batalha NE, Goyal JM, López-Morales M, Lothringer JD, MacDonald RJ, Moran SE, Stevenson KB, Wakeford HR, Espinoza N, Bean JL, Batalha NM, Benneke B, Berta-Thompson ZK, Crossfield IJM, Gao P, Kreidberg L, Powell DK, Cubillos PE, Gibson NP, Leconte J, Molaverdikhani K, Nikolov NK, Parmentier V, Roy P, Taylor J, Turner JD, Wheatley PJ, Aggarwal K, Ahrer E, Alam MK, Alderson L, Allen NH, Banerjee A, Barat S, Barrado D, Barstow JK, Bell TJ, Blecic J, Brande J, Casewell S, Changeat Q, Chubb KL, Crouzet N, Daylan T, Decin L, Désert J, Mikal-Evans T, Feinstein AD, Flagg L, Fortney JJ, Harrington J, Heng K, Hong Y, Hu R, Iro N, Kataria T, Kempton EMR, Krick J, Lendl M, Lillo-Box J, Louca A, Lustig-Yaeger J, Mancini L, Mansfield M, Mayne NJ, Miguel Y, Morello G, Ohno K, Palle E, Petit Dit de la Roche DJM, Rackham BV, Radica M, Ramos-Rosado L, Redfield S, Rogers LK, Shkolnik EL, Southworth J, Teske J, Tremblin P, Tucker GS, Venot O, Waalkes WC, Welbanks L, Zhang X, Zieba S. Early Release Science of the exoplanet WASP-39b with JWST NIRSpec PRISM. Nature 2023; 614:659-663. [PMID: 36623548 PMCID: PMC9946832 DOI: 10.1038/s41586-022-05677-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 12/21/2022] [Indexed: 01/11/2023]
Abstract
Transmission spectroscopy1-3 of exoplanets has revealed signatures of water vapour, aerosols and alkali metals in a few dozen exoplanet atmospheres4,5. However, these previous inferences with the Hubble and Spitzer Space Telescopes were hindered by the observations' relatively narrow wavelength range and spectral resolving power, which precluded the unambiguous identification of other chemical species-in particular the primary carbon-bearing molecules6,7. Here we report a broad-wavelength 0.5-5.5 µm atmospheric transmission spectrum of WASP-39b8, a 1,200 K, roughly Saturn-mass, Jupiter-radius exoplanet, measured with the JWST NIRSpec's PRISM mode9 as part of the JWST Transiting Exoplanet Community Early Release Science Team Program10-12. We robustly detect several chemical species at high significance, including Na (19σ), H2O (33σ), CO2 (28σ) and CO (7σ). The non-detection of CH4, combined with a strong CO2 feature, favours atmospheric models with a super-solar atmospheric metallicity. An unanticipated absorption feature at 4 µm is best explained by SO2 (2.7σ), which could be a tracer of atmospheric photochemistry. These observations demonstrate JWST's sensitivity to a rich diversity of exoplanet compositions and chemical processes.
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Affiliation(s)
- Z Rustamkulov
- Department of Earth and Planetary Sciences, Johns Hopkins University, Baltimore, MD, USA.
| | - D K Sing
- Department of Earth and Planetary Sciences, Johns Hopkins University, Baltimore, MD, USA
- Department of Physics and Astronomy, Johns Hopkins University, Baltimore, MD, USA
| | - S Mukherjee
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - E M May
- Johns Hopkins APL, Laurel, MD, USA
| | - J Kirk
- Center for Astrophysics, Harvard and Smithsonian, Cambridge, MA, USA
- Department of Physics, Imperial College London, London, UK
| | - E Schlawin
- Steward Observatory, University of Arizona, Tucson, AZ, USA
| | - M R Line
- School of Earth and Space Exploration, Arizona State University, Tempe, AZ, USA
| | - C Piaulet
- Institute of Research on Exoplanets, Department of Physics, University of Montreal, Montreal, Québec, Canada
| | - A L Carter
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - N E Batalha
- NASA Ames Research Center, Moffett Field, CA, USA
| | - J M Goyal
- School of Earth and Planetary Sciences, National Institute of Science Education and Research (NISER), HBNI, Jatani, India
| | - M López-Morales
- Center for Astrophysics, Harvard and Smithsonian, Cambridge, MA, USA
| | - J D Lothringer
- Department of Physics, Utah Valley University, Orem, UT, USA
| | - R J MacDonald
- Department of Astronomy, University of Michigan, Ann Arbor, MI, USA
- Department of Astronomy and Carl Sagan Institute, Cornell University, Ithaca, NY, USA
| | - S E Moran
- Lunar and Planetary Laboratory, University of Arizona, Tucson, AZ, USA
| | | | - H R Wakeford
- School of Physics, University of Bristol, HH Wills Physics Laboratory, Bristol, UK
| | - N Espinoza
- Space Telescope Science Institute, Baltimore, MD, USA
| | - J L Bean
- Department of Astronomy and Astrophysics, University of Chicago, Chicago, IL, USA
| | - N M Batalha
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - B Benneke
- Institute of Research on Exoplanets, Department of Physics, University of Montreal, Montreal, Québec, Canada
| | - Z K Berta-Thompson
- Department of Astrophysical and Planetary Sciences, University of Colorado, Boulder, CO, USA
| | - I J M Crossfield
- Department of Physics and Astronomy, University of Kansas, Lawrence, KS, USA
| | - P Gao
- Earth and Planets Laboratory, Carnegie Institution of Washington, Washington, DC, USA
| | - L Kreidberg
- Max Planck Institute for Astronomy, Heidelberg, Germany
| | - D K Powell
- Harvard and Smithsonian, Center for Astrophysics, Cambridge, MA, USA
| | - P E Cubillos
- INAF - Astrophysics Observatory at Turin, Turin, Italy
| | - N P Gibson
- School of Physics, Trinity College Dublin, Dublin, Ireland
| | - J Leconte
- Laboratoire d'Astrophysique de Bordeaux, CNRS, Université de Bordeaux, Pessac, France
| | - K Molaverdikhani
- University Observatory Munich, Ludwig Maximilian University, Munich, Germany
- Exzellenzcluster Origins, Garching, Germany
| | - N K Nikolov
- Space Telescope Science Institute, Baltimore, MD, USA
| | - V Parmentier
- Université Côte d'Azur, Observatoire de la Côte d'Azur, CNRS, Laboratoire Lagrange, Nice, France
- Atmospheric, Oceanic and Planetary Physics, Department of Physics, University of Oxford, Oxford, UK
| | - P Roy
- Institute of Research on Exoplanets, Department of Physics, University of Montreal, Montreal, Québec, Canada
| | - J Taylor
- Department of Physics, University of Oxford, Oxford, UK
| | - J D Turner
- Department of Astronomy and Carl Sagan Institute, Cornell University, Ithaca, NY, USA
| | - P J Wheatley
- Centre for Exoplanets and Habitability, University of Warwick, Coventry, UK
- Department of Physics, University of Warwick, Coventry, UK
| | - K Aggarwal
- Indian Institute of Technology, Indore, Indore, India
| | - E Ahrer
- Centre for Exoplanets and Habitability, University of Warwick, Coventry, UK
- Department of Physics, University of Warwick, Coventry, UK
| | - M K Alam
- Earth and Planets Laboratory, Carnegie Institution of Washington, Washington, DC, USA
| | - L Alderson
- School of Physics, University of Bristol, HH Wills Physics Laboratory, Bristol, UK
| | - N H Allen
- Department of Physics and Astronomy, Johns Hopkins University, Baltimore, MD, USA
| | - A Banerjee
- School of Physical Sciences, The Open University, Milton Keynes, UK
| | - S Barat
- Anton Pannekoek Institute for Astronomy, University of Amsterdam, Amsterdam, the Netherlands
| | - D Barrado
- Centre for Astrobiology (CSIC-INTA), European Space Astronomy Centre Campus, University of Maria de Maeztu, Madrid, Spain
| | - J K Barstow
- School of Physical Sciences, The Open University, Milton Keynes, UK
| | - T J Bell
- BAER Institute, NASA Ames Research Center, Moffet Field, Mountain View, CA, USA
| | - J Blecic
- New York University Abu Dhabi, Abu Dhabi, United Arab Emirates
- Center for Astro, Particle and Planetary Physics (CAP3), New York University Abu Dhabi, Abu Dhabi, UAE
| | - J Brande
- Department of Physics and Astronomy, University of Kansas, Lawrence, KS, USA
| | - S Casewell
- School of Physics and Astronomy, University of Leicester, Leicester, UK
| | - Q Changeat
- Space Telescope Science Institute, Baltimore, MD, USA
- European Space Agency (ESA), ESA Baltimore Office, Baltimore, MD, USA
- Department of Physics and Astronomy, University College London, London, UK
| | - K L Chubb
- Centre for Exoplanet Science, University of St Andrews, St Andrews, UK
| | - N Crouzet
- Leiden Observatory, Leiden University, Leiden, the Netherlands
| | - T Daylan
- Department of Astrophysical Sciences, Princeton University, Princeton, NJ, USA
| | - L Decin
- Department of Physics and Astronomy, KU Leuven, Leuven, Belgium
| | - J Désert
- Anton Pannekoek Institute for Astronomy, University of Amsterdam, Amsterdam, the Netherlands
| | - T Mikal-Evans
- Max Planck Institute for Astronomy, Heidelberg, Germany
| | - A D Feinstein
- Department of Astronomy and Astrophysics, University of Chicago, Chicago, IL, USA
- School of Physical Sciences, The Open University, Milton Keynes, UK
| | - L Flagg
- Department of Astronomy and Carl Sagan Institute, Cornell University, Ithaca, NY, USA
| | - J J Fortney
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - J Harrington
- Planetary Science Group, Department of Physics and Florida Space Institute, University of Central Florida, Orlando, FL, USA
| | - K Heng
- University Observatory Munich, Ludwig Maximilian University, Munich, Germany
| | - Y Hong
- Department of Astronomy and Carl Sagan Institute, Cornell University, Ithaca, NY, USA
| | - R Hu
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA, USA
- Division of Geological and Planetary Sciences, California Institute of Technology, Pasadena, CA, USA
| | - N Iro
- Institute for Astrophysics, University of Vienna, Vienna, Austria
| | - T Kataria
- Jet Propulsion Laboratory, California Institute of Technology, Pasadena, CA, USA
| | - E M-R Kempton
- Department of Astronomy, University of Maryland, College Park, MD, USA
| | - J Krick
- California Institute of Technology, IPAC, Pasadena, CA, USA
| | - M Lendl
- Department of Astronomy, University of Geneva, Geneva, Switzerland
| | - J Lillo-Box
- Centre for Astrobiology (CSIC-INTA), European Space Astronomy Centre Campus, University of Maria de Maeztu, Madrid, Spain
| | - A Louca
- Leiden Observatory, Leiden University, Leiden, the Netherlands
| | | | - L Mancini
- Max Planck Institute for Astronomy, Heidelberg, Germany
- INAF - Astrophysics Observatory at Turin, Turin, Italy
- Department of Physics, University of Rome 'Tor Vergata', Rome, Italy
| | - M Mansfield
- Steward Observatory, University of Arizona, Tucson, AZ, USA
| | - N J Mayne
- Department of Physics and Astronomy, Faculty of Environment, Science and Economy, University of Exeter, Exeter, UK
| | - Y Miguel
- Leiden Observatory, Leiden University, Leiden, the Netherlands
- SRON Netherlands Institute for Space Research, Leiden, the Netherlands
| | - G Morello
- Institute for Astrophysics of Canarias (IAC), La Laguna, Tenerife, Spain
- Department of Astrophysics, University of La Laguna, La Laguna, Tenerife, Spain
- INAF Äì Palermo Astronomical Observatory, Palermo, Italy
| | - K Ohno
- Department of Astronomy and Astrophysics, University of California, Santa Cruz, Santa Cruz, CA, USA
| | - E Palle
- Institute for Astrophysics of Canarias (IAC), La Laguna, Tenerife, Spain
| | | | - B V Rackham
- Department of Earth, Atmospheric and Planetary Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA
- Kavli Institute for Astrophysics and Space Research, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - M Radica
- Institute of Research on Exoplanets, Department of Physics, University of Montreal, Montreal, Québec, Canada
| | - L Ramos-Rosado
- Department of Physics and Astronomy, Johns Hopkins University, Baltimore, MD, USA
| | - S Redfield
- Astronomy Department and Van Vleck Observatory, Wesleyan University, Middletown, CT, USA
| | - L K Rogers
- Institute of Astronomy, University of Cambridge, Cambridgeshire, UK
| | - E L Shkolnik
- School of Earth and Space Exploration, Arizona State University, Tempe, AZ, USA
| | - J Southworth
- Astrophysics Group, Keele University, Staffordshire, UK
| | - J Teske
- Earth and Planets Laboratory, Carnegie Institution of Washington, Washington, DC, USA
| | - P Tremblin
- UVSQ, CNRS, CEA, Maison de la Simulation, Université Paris-Saclay, Gif-sur-Yvette, France
| | - G S Tucker
- Department of Physics, Brown University, Providence, RI, USA
| | - O Venot
- Université de Paris Cité and Univ Paris Est Creteil, CNRS, LISA, Paris, France
| | - W C Waalkes
- Astrophysics and Planetary Sciences, University of Colorado Boulder, Boulder, CO, USA
| | - L Welbanks
- School of Earth and Space Exploration, Arizona State University, Tempe, AZ, USA
| | - X Zhang
- Department of Earth and Planetary Sciences, University of California Santa Cruz, Santa Cruz, CA, USA
| | - S Zieba
- Max Planck Institute for Astronomy, Heidelberg, Germany
- Leiden Observatory, Leiden University, Leiden, the Netherlands
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3
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O'Mahony L, O'Shea E, O'Connor E, Tierney A, Dunne N, Harkin M, Harrington J, Tobin K, Kennelly S, Arendt E, O'Toole P, Timmons S. 36 WHAT DO OLDER ADULTS AND HEALTH CARE PROFESSIONALS LOOK FOR IN A FOOD PRODUCT? Age Ageing 2022. [DOI: 10.1093/ageing/afac218.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The Mediterranean diet (Medi-diet) has proven benefits for healthy ageing but isn’t the habitual diet of most middle-aged or older adults in Ireland; there can be accessibility and tolerability issues with high amounts of fresh fruit and vegetables. Providing key Medi-diet nutrients in a food product is a novel approach to this challenge. This research aims to explore what ‘younger-old’ adults and healthcare professionals (HCPs) would value in such a novel food product.
Methods
Semi-structured 1:1 interviews and Focus Groups (FGs) were conducted remotely from July 2021 to January 2022. Older adults, defined as over 55’s, were recruited through relevant social, retirement and disease-support groups. Purposive sampling recruited a gender balance and a range of ages and disease profiles. HCPs were recruited through researcher networks and professional associations. Interviews/FGs were recorded, transcribed, and subsequently examined using inductive thematic analysis.
Results
Older adults (n=47; 50% male) were mostly aged 60-69 years (48.9%). Recruited HCPs (n=26) included dieticians (n=8); geriatricians (n=5); therapists (n=4); and nurses, pharmacists, catering managers (community; residential), and meal delivery service coordinators (n=2 each). Participants supported a food product for older adults requiring a nutrient-dense “boost”, or supplementary fibre or protein, but generally preferred a “food-first” approach, as opposed to a “silver bullet” product. Older adults largely associated functional foods with probiotic products “to repair the gut”, something to have “every now and then”. Product texture and portion size should consider changing dentition and appetite, and consider packaging (dexterity) and preparation ease, but should not stigmatize older adults through targeted branding. Participants felt pre-made soups or cake-type bars would be appealing, but not drinks.
Conclusion
A novel food product could supplement a balanced diet for older adults, providing high-protein content, and high-fibre for gut health, complimenting an overall lifestyle approach to health improvement and disease prevention.
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Affiliation(s)
- L O'Mahony
- University College Cork Centre for Gerontology and Rehabilitation, School of Medicine, , Cork, Ireland
| | - E O'Shea
- University College Cork Centre for Gerontology and Rehabilitation, School of Medicine, , Cork, Ireland
| | - E O'Connor
- University of Limerick Department of Biological Sciences, , Limerick, Ireland
- University of Limerick Health Research Institute, , Limerick, Ireland
- University College Cork APC Microbiome Ireland, Alimentary Pharmabiotic Centre, , Cork, Ireland
| | - A Tierney
- University of Limerick School of Allied Health, Health Implementation Science and Technology Research Group, , Limerick, Ireland
| | - N Dunne
- Family Carers Ireland , Dublin, Ireland
| | - M Harkin
- Age & Opportunity , Dublin, Ireland
| | - J Harrington
- University College Cork School of Public Health, , Cork, Ireland
| | - K Tobin
- Munster Technological University Clean Technology Centre, , Cork, Ireland
| | - S Kennelly
- National Primary Care Strategy and Planner, Health Service Executive, Ireland , Dublin, Ireland
| | - E Arendt
- University College Cork School of Food and Nutritional Sciences, , Cork, Ireland
| | - P O'Toole
- University College Cork School of Microbiology, , Cork, Ireland
- University College Cork APC Microbiome Ireland, Alimentary Pharmabiotic Centre, , Cork, Ireland
| | - S Timmons
- University College Cork Centre for Gerontology and Rehabilitation, School of Medicine, , Cork, Ireland
- University College Cork APC Microbiome Ireland, Alimentary Pharmabiotic Centre, , Cork, Ireland
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4
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Arps K, Harrington J, Carnicelli AP, Wu A, Chiswell K, Chamberlain AM, Chrischilles E, Jones WS, Raj V, Steinberg BA, Mundl H, Viethen T, Granger CB, Piccini JP, Patel MR. Incidence and risk factors for major bleeding events in atrial fibrillation patients on direct oral anticoagulant therapy: data from the National Patient-Centered Clinical Research Network. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background
Direct oral anticoagulation (DOACs) prevent stroke in patients with atrial fibrillation (AF) and have a superior safety profile compared with vitamin K antagonists (VKA). Yet, better definition of incidence and risk factors for major bleeding associated with DOACs in clinical practice may be important given emerging stroke prevention technologies, both pharmacologic and nonpharmacologic.
Purpose
To describe the incidence of and risk factors for major bleeding in individuals with AF on DOAC therapy.
Methods
We reviewed electronic health record data for two patient cohorts with AF prescribed DOACs: (1) Duke University Health System (DUHS) (2010–2018) and (2) Sites within the Patient-Centered Clinical Research Network (PCORnet) (2015–2019) which had ≥6 years assimilated data from both inpatient and outpatient encounters (7 sites). In each cohort, we assessed the 5-year incidence of major bleeding events defined as hospitalization for intracranial hemorrhage, or hospitalization for gastro-intestinal bleeding or procedure to control bleeding accompanied by transfusion within ±7 days or death within 30 days. Multivariable Fine-Gray proportional hazards modeling in each cohort was performed to evaluate independent risk factors for major bleeding on DOAC therapy.
Results
The cohorts included 10,625 patients (DUHS) and 58,321 patients (PCORnet) with AF. Major bleeding events occurred within 5 years of diagnosis in 639 (7.9%) of DUHS patients and 2568 (6.6%) of PCORnet patients (Table 1). The DUHS model predicted time to first major bleeding event with a C-index of 0.756 (95% CI 0.737, 0.775) and the PCORNet model had a c-index of 0.745 (0.736, 0.755) (Table 2). Independent factors associated with major bleeding consistent across both models (p<0.001 in PCORnet for all unless noted) were higher CHA2DS2-VASc scores, lower eGFR, anemia (HR per 1-point increase in hemoglobin up to 12 g/dL 0.79 [0.76, 0.82]), prior major bleeding (HR 2.70 [2.22, 3.30]), cancer (HR 1.23 [1.12, 1.36]), recent cardiac surgery (HR 0.70 [0.51, 0.97]; p=0.030), alcohol use (HR 1.56 [1.29, 1.88]), aspirin use (HR 1.44 [1.32, 1.57]), and selective serotonin reuptake inhibitor use (HR 1.30 [1.19, 1.42]).
Conclusions
Across a large and geographically diverse contemporary population, risk of bleeding on DOAC for stroke prevention in AF remains a frequent and important clinical problem. There is an unmet need for stroke prevention therapies with improved safety profiles. We identified risk factors for major bleeding events on DOAC therapy, some of which are not represented in traditional risk scores, which may inform shared decision making for stroke prevention.
Funding Acknowledgement
Type of funding sources: Private company. Main funding source(s): Bayer Pharmaceuticals
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Affiliation(s)
- K Arps
- Duke Clinical Research Institute , Durham , United States of America
| | - J Harrington
- Duke Clinical Research Institute , Durham , United States of America
| | - A P Carnicelli
- Duke Clinical Research Institute , Durham , United States of America
| | - A Wu
- Duke Clinical Research Institute , Durham , United States of America
| | - K Chiswell
- Duke Clinical Research Institute , Durham , United States of America
| | | | - E Chrischilles
- University of Iowa , Iowa City , United States of America
| | - W S Jones
- Duke Clinical Research Institute , Durham , United States of America
| | - V Raj
- Allina Health , Minneapolis , United States of America
| | - B A Steinberg
- University of Utah , Salt Lake City , United States of America
| | - H Mundl
- Bayer AG , Wuppertal , Germany
| | | | - C B Granger
- Duke Clinical Research Institute , Durham , United States of America
| | - J P Piccini
- Duke Clinical Research Institute , Durham , United States of America
| | - M R Patel
- Duke Clinical Research Institute , Durham , United States of America
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5
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Harrington J, Arps K, Wu A, Carnicelli AP, Chiswell K, Chrischilles E, Shantha G, Vanwormer J, Mundl H, Viethan T, Alexander JH, Lopes RD, Washam J, Patel MR. Reduced dose, but not reduced risk: rates of inappropriate apixaban dose reduction and stroke and bleeding incidence. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.2709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Patients with atrial fibrillation (AF) should be prescribed standard-dose (5mg twice daily) apixaban for stroke prevention unless they meet 2 or more criteria: age ≥80, weight ≤60kg, and/or creatinine ≤1.5mg/dL, in which case a reduced-dose (2.5mg twice daily) is indicated. Despite this, some clinicians may also prescribe reduced-dose apixaban to patients who do not meet criteria for dose reduction, in an effort to reduce bleeding risk.
Purpose
To assess apixaban prescribing patterns in patients with AF based on dose reduction criteria and to characterize baseline demographics and incidence of ischemic stroke, major bleeding, and intracranial hemorrhage (ICH) for patients stratified by standard-dose, appropriately reduced-dose, and inappropriately reduced-dose apixaban.
Methods
Using pooled data from 8 large hospitals in PCORnet, a multicenter national healthcare research network, we assessed the standard and reduced-dose apixaban prescribing patterns for patients with AF, with additional stratification of patients prescribed 2.5mg based on presence or absence of 2+ criteria for dose reduction. We then assessed baseline characteristics and 5-year event rate of ischemic stroke, major bleeding, ICH and death.
Results
Of 45,947 patients with AF on apixaban and available dosing information, 38,861 (85%) were prescribed apixaban 5mg and 7086 (15%) were prescribed 2.5mg. Of patients prescribed apixaban 2.5mg, 4321 (61%) did not meet criteria for dose reduction. Patients on reduced dose apixaban were more likely to be female and have comorbidities such as heart failure, hypertension, and prior ischemic stroke. These trends were more pronounced for patients meeting dose adjustment criteria than those not meeting criteria (Table 1).
Unadjusted analyses found patients on 2.5mg of apixaban were significantly more likely to experience ischemic stroke, major bleeding, and all-cause death. Patients with 2+ dose reduction criteria on 2.5mg of apixaban had the highest rates of each event, but patients who were prescribed reduced dose without meeting criteria were also at elevated risk (Table 2).
Conclusion
Many patients prescribed reduced-dose apixaban do not meet criteria for dose reduction. Because patients prescribed reduced dose apixaban are older and have more cardiovascular risk factors, their incidence of stroke, major bleeding, and death exceeds that of full dose treated patients. These risks exist both for patients who do and do not meet criteria for dose reduction, suggesting potential under-treatment for the majority of dose-reduced patients.
Funding Acknowledgement
Type of funding sources: Private company. Main funding source(s): Bayer
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Affiliation(s)
- J Harrington
- Duke Clinical Research Institute , Durham , United States of America
| | - K Arps
- Duke Clinical Research Institute , Durham , United States of America
| | - A Wu
- Duke Clinical Research Institute , Durham , United States of America
| | - A P Carnicelli
- Duke Clinical Research Institute , Durham , United States of America
| | - K Chiswell
- Duke Clinical Research Institute , Durham , United States of America
| | - E Chrischilles
- University of Iowa College of Public Health , Iowa , United States of America
| | - G Shantha
- Wake Forest Baptist Health , Winston-Salem , United States of America
| | - J Vanwormer
- Marshfield Clinic Research Institute , Marshfield , United States of America
| | - H Mundl
- Bayer AG , Wuppertal , Germany
| | | | - J H Alexander
- Duke Clinical Research Institute , Durham , United States of America
| | - R D Lopes
- Duke Clinical Research Institute , Durham , United States of America
| | - J Washam
- Duke Clinical Research Institute , Durham , United States of America
| | - M R Patel
- Duke Clinical Research Institute , Durham , United States of America
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6
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Chin J, Mulligan M, Harrington J, Bihler H, Mense M, Coote K. 631 Comparing F508del cystic fibrosis transmembrane conductance regulator modulator responses in human primary enteric monolayer and human bronchial epithelial cultures. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)01321-2] [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: 11/05/2022]
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7
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Allaire N, Valley H, Sivachenko A, Wilson E, LaPan A, Conte J, Harrington J, Tabak B, Bihler H, Cotton C, Mense M. 637: Characterization and quantification of mutation-induced aberrant CFTR mRNA splicing liability in immortalized and primary cells. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)02060-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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8
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Lu J, Simpkinson M, Stuffer A, Harrington J, Tabak B, Seymour R, Valley H, Bell A, Bukis K, Coote K, Sivachenko A, Hawkins F, Cotton C, Mense M, Mahoney J. 675: Directed differentiation of iPS cells to an airway epithelial tissue model of CF suitable for transepithelial electrophysiology. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)02098-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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9
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Bohman M, Grunhofer V, Smorra C, Wiesinger M, Will C, Borchert MJ, Devlin JA, Erlewein S, Fleck M, Gavranovic S, Harrington J, Latacz B, Mooser A, Popper D, Wursten E, Blaum K, Matsuda Y, Ospelkaus C, Quint W, Walz J, Ulmer S. Sympathetic cooling of a trapped proton mediated by an LC circuit. Nature 2021; 596:514-518. [PMID: 34433946 PMCID: PMC8387233 DOI: 10.1038/s41586-021-03784-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Accepted: 06/29/2021] [Indexed: 02/07/2023]
Abstract
Efficient cooling of trapped charged particles is essential to many fundamental physics experiments1,2, to high-precision metrology3,4 and to quantum technology5,6. Until now, sympathetic cooling has required close-range Coulomb interactions7,8, but there has been a sustained desire to bring laser-cooling techniques to particles in macroscopically separated traps5,9,10, extending quantum control techniques to previously inaccessible particles such as highly charged ions, molecular ions and antimatter. Here we demonstrate sympathetic cooling of a single proton using laser-cooled Be+ ions in spatially separated Penning traps. The traps are connected by a superconducting LC circuit that enables energy exchange over a distance of 9 cm. We also demonstrate the cooling of a resonant mode of a macroscopic LC circuit with laser-cooled ions and sympathetic cooling of an individually trapped proton, reaching temperatures far below the environmental temperature. Notably, as this technique uses only image-current interactions, it can be easily applied to an experiment with antiprotons1, facilitating improved precision in matter-antimatter comparisons11 and dark matter searches12,13.
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Affiliation(s)
- M Bohman
- Max-Planck-Institut für Kernphysik, Heidelberg, Germany.
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan.
| | - V Grunhofer
- Institut für Physik, Johannes Gutenberg-Universität, Mainz, Germany
| | - C Smorra
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
- Institut für Physik, Johannes Gutenberg-Universität, Mainz, Germany
| | - M Wiesinger
- Max-Planck-Institut für Kernphysik, Heidelberg, Germany
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
| | - C Will
- Max-Planck-Institut für Kernphysik, Heidelberg, Germany
| | - M J Borchert
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
- Institut für Quantenoptik, Leibniz Universität Hannover, Hannover, Germany
- Physikalisch-Technische Bundesanstalt, Braunschweig, Germany
| | - J A Devlin
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
- CERN, Geneva, Switzerland
| | - S Erlewein
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
- CERN, Geneva, Switzerland
| | - M Fleck
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
- Graduate School of Arts and Sciences, University of Tokyo, Tokyo, Japan
| | - S Gavranovic
- Institut für Physik, Johannes Gutenberg-Universität, Mainz, Germany
| | - J Harrington
- Max-Planck-Institut für Kernphysik, Heidelberg, Germany
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
| | - B Latacz
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
| | - A Mooser
- Max-Planck-Institut für Kernphysik, Heidelberg, Germany
| | - D Popper
- Institut für Physik, Johannes Gutenberg-Universität, Mainz, Germany
| | - E Wursten
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
- CERN, Geneva, Switzerland
| | - K Blaum
- Max-Planck-Institut für Kernphysik, Heidelberg, Germany
| | - Y Matsuda
- Graduate School of Arts and Sciences, University of Tokyo, Tokyo, Japan
| | - C Ospelkaus
- Institut für Quantenoptik, Leibniz Universität Hannover, Hannover, Germany
- Physikalisch-Technische Bundesanstalt, Braunschweig, Germany
| | - W Quint
- GSI Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt, Germany
| | - J Walz
- Institut für Physik, Johannes Gutenberg-Universität, Mainz, Germany
- Helmholtz-Institut Mainz, Mainz, Germany
| | - S Ulmer
- RIKEN, Fundamental Symmetries Laboratory, Saitama, Japan
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10
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Lloyd M, Izadi F, Rahman S, Walker R, Hayden A, Harrington J, Grace B, Horne J, Machado M, Underwood T. O29: PREDICTING RESPONSE TO NEOADJUVANT THERAPY IN OESOPHAGEAL ADENOCARCINOMA PRE-TREATMENT BIOPSIES. Br J Surg 2021. [DOI: 10.1093/bjs/znab117.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Aims
We currently cannot predict which patients with locally advanced oesophageal adenocarcinoma will be amongst the 15-20% to gain a clinically important response to neoadjuvant therapy (NAT). This pilot study aimed to identify differentially expressed genes from oesophageal adenocarcinoma pre-treatment biopsies between responders and non-responders to NAT and develop methodology for predicting response.
Method
Response to NAT was assessed pathologically using Tumour Regression Grading (TRG). Pre-treatment formalin-fixed paraffin embedded samples were analysed with two nuclease protection assays (EdgeSeq, HTG = Oncology Biomarker Panel (OBP) and Precision Immuno-Oncology Panel (PIP)). Sequencing was performed on the NextSeq500 (Illumina).
Result
Whilst there was no difference in pre-treatment characteristics, responders (TRG1-2, n=26) had significantly better post-treatment pathology and overall survival than non-responders (TRG4-5, n=30). Genes up-regulated in responders were involved in regulating cell cycling, whereas genes up-regulated in non-responders were involved in cytokine signalling and the immune response. Neuronal artificial network models could predict response to NAT with overall accuracy of 73% and 68% for the OBP and PIP, respectively, which is promising considering the small sample size. As no model will be 100% accurate, we developed a model that could take patient's views into consideration with an adjustable probability threshold for classification.
Conclusion
This pilot study informs a biologically sound hypothesis for the basis of response to NAT and suggests prediction from pre-treatment biopsies may be possible using EdgeSeq. We now aim to validate these results in a larger study to inform a bespoke classifier of response to enable delivery of precision therapy.
Take-home message
In oesophageal adenocarcinoma, responders and non-responders to neoadjuvant therapy have different expression profiles. Through using EdgeSeq in larger studies, we may be able to predict which patients will respond to treatment, allowing for delivery of precision therapy.
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11
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Walker RC, Harrington J, Grace B, Lloyd M, Byrne JP, Kelly JJ, Noble F, Rose-Zerilli MJ, Underwood TJ. O7: APPARENT PATHOLOGICAL COMPLETE RESPONSE TO NEOADJUVANT THERAPY LEADS TO SELECTION OF TREATMENT RESISTANT CANCER STEM CELLS IN OESOPHAGEAL ADENOCARCINOMA. Br J Surg 2021. [DOI: 10.1093/bjs/znab117.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Introduction
In oesophageal adenocarcinoma with an apparent pathological complete response (pCR) to neoadjuvant therapy (NAT) there remains debate as to whether oesophagectomy is required. Single Cell RNA sequencing (scRNAseq) enables identification and characterisation of cell populations at higher resolution than diagnostic techniques.
Method
ScRNAseq was used to determine transcriptomic profiles of cell populations in 24 OAC tumours and 13 matched normal samples. Five were also analysed using bulk RNA sequencing and high-precision mass spectrometry proteomics. Immunohistochemistry (IHC) was used to validate pCR. Paired scRNAseq analysis of pre-and post-treatment specimens from three further patients was used to compare transcriptomic profiles before and after NAT. Cancer cells (CCs) were assigned a cancer stem cell (CSC) score curated from published gene sets.
Result
We analysed a total of 22,738 single cells forming 29 different cell phenotypes. In two samples with apparent pCR, IHC staining, bulk RNA sequencing and proteomics of post-treatment samples failed to identify CCs. ScRNAseq, conversely, revealed persistent CCs (12/978 and 45/774). Transcriptomic analysis identified upregulation of stem cell markers and high CSC scores in these cells.
Conclusion
We have shown that CCs persist beneath the lower detection limit of standard approaches in apparent pCR. These cells express marker genes and expression programs consistent with CSCs. CSCs are a critical subpopulation that drive tumour initiation, growth, invasion, metastasis and resistance to therapy. These gene expression programs are not enriched in non-responders and straight to surgery samples. Oesophagus sparing treatment algorithms in pCR may subject patients to unnecessary risk of progression.
Take-home message
Cancer cells remain within tumours after apparent complete pathological response. These cells express stem cell markers associated with resistance to therapy and cancer progression.
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Affiliation(s)
- RC Walker
- Southampton General Hospital, University of Southampton
| | | | - B Grace
- Southampton General Hospital, University of Southampton
| | - M Lloyd
- Southampton General Hospital, University of Southampton
| | - JP Byrne
- Southampton General Hospital, University of Southampton
| | - JJ Kelly
- Southampton General Hospital, University of Southampton
| | - F Noble
- Southampton General Hospital, University of Southampton
| | | | - TJ Underwood
- Southampton General Hospital, University of Southampton
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12
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Rolle N, Muruganandam M, Jan I, Harji FM, Harrington J, Konstantinov KN. Look granulomatosis with polyangiitis (GPA) straight in the face: missed opportunities leading to a delayed diagnosis. Auto Immun Highlights 2020; 10:8. [PMID: 32257064 PMCID: PMC7065353 DOI: 10.1186/s13317-019-0118-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 08/29/2019] [Indexed: 11/18/2022]
Abstract
Granulomatosis with polyangiitis (GPA) is a systemic vasculitis with a potential to involve any organ system. It remains an important cause of kidney related morbidity and mortality. Early diagnosis can be difficult and requires high index of suspicion in all patients, but especially in cases with atypical presentation. We report a case with GPA, which was diagnosed only after new and advancing symptoms belied the original diagnosis of bilateral facial palsy and aortic mural thrombus.
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Affiliation(s)
- N Rolle
- 1Department of Medicine, Division of Rheumatology, University of New Mexico School of Medicine, Albuquerque, NM 87131 USA
| | - M Muruganandam
- 1Department of Medicine, Division of Rheumatology, University of New Mexico School of Medicine, Albuquerque, NM 87131 USA
| | - I Jan
- Section of Rheumatology, Raymond G. Murphy Veterans Affairs Medical Center, 1501 San Pedro SE, Albuquerque, NM 87108 USA
| | - F M Harji
- Section of Rheumatology, Raymond G. Murphy Veterans Affairs Medical Center, 1501 San Pedro SE, Albuquerque, NM 87108 USA
| | - J Harrington
- 1Department of Medicine, Division of Rheumatology, University of New Mexico School of Medicine, Albuquerque, NM 87131 USA.,Section of Rheumatology, Raymond G. Murphy Veterans Affairs Medical Center, 1501 San Pedro SE, Albuquerque, NM 87108 USA
| | - K N Konstantinov
- 1Department of Medicine, Division of Rheumatology, University of New Mexico School of Medicine, Albuquerque, NM 87131 USA.,Section of Rheumatology, Raymond G. Murphy Veterans Affairs Medical Center, 1501 San Pedro SE, Albuquerque, NM 87108 USA
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Bangalore Krishna K, Fuqua JS, Rogol AD, Klein KO, Popovic J, Houk CP, Charmandari E, Lee PA, Freire AV, Ropelato MG, Yazid Jalaludin M, Mbogo J, Kanaka-Gantenbein C, Luo X, Eugster EA, Klein KO, Vogiatzi MG, Reifschneider K, Bamba V, Garcia Rudaz C, Kaplowitz P, Backeljauw P, Allen DB, Palmert MR, Harrington J, Guerra-Junior G, Stanley T, Torres Tamayo M, Miranda Lora AL, Bajpai A, Silverman LA, Miller BS, Dayal A, Horikawa R, Oberfield S, Rogol AD, Tajima T, Popovic J, Witchel SF, Rosenthal SM, Finlayson C, Hannema SE, Castilla-Peon MF, Mericq V, Medina Bravo PG. Use of Gonadotropin-Releasing Hormone Analogs in Children: Update by an International Consortium. Horm Res Paediatr 2020; 91:357-372. [PMID: 31319416 DOI: 10.1159/000501336] [Citation(s) in RCA: 129] [Impact Index Per Article: 32.3] [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] [Received: 02/25/2019] [Accepted: 06/04/2019] [Indexed: 11/19/2022] Open
Abstract
This update, written by authors designated by multiple pediatric endocrinology societies (see List of Participating Societies) from around the globe, concisely addresses topics related to changes in GnRHa usage in children and adolescents over the last decade. Topics related to the use of GnRHa in precocious puberty include diagnostic criteria, globally available formulations, considerations of benefit of treatment, monitoring of therapy, adverse events, and long-term outcome data. Additional sections review use in transgender individuals and other pediatric endocrine related conditions. Although there have been many significant changes in GnRHa usage, there is a definite paucity of evidence-based publications to support them. Therefore, this paper is explicitly not intended to evaluate what is recommended in terms of the best use of GnRHa, based on evidence and expert opinion, but rather to describe how these drugs are used, irrespective of any qualitative evaluation. Thus, this paper should be considered a narrative review on GnRHa utilization in precocious puberty and other clinical situations. These changes are reviewed not only to point out deficiencies in the literature but also to stimulate future studies and publications in this area.
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Affiliation(s)
- Kanthi Bangalore Krishna
- Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA,
| | - John S Fuqua
- Department of Pediatrics, Indiana University School of Medicine and Riley Hospital for Children, Indianapolis, Indiana, USA
| | - Alan D Rogol
- Department of Pediatrics, University of Virginia, Charlottesville, Virginia, USA
| | - Karen O Klein
- University of California, San Diego and Rady Children's Hospital, San Diego, California, USA
| | - Jadranka Popovic
- Division of Pediatric Endocrinology, Pediatric Alliance, Pittsburgh, Pennsylvania, USA
| | - Christopher P Houk
- Department of Pediatrics, Medical College of Georgia, Augusta University, Augusta, Georgia, USA
| | - Evangelia Charmandari
- Division of Endocrinology, Metabolism and Diabetes, First Department of Pediatrics, National and Kapodistrian University of Athens Medical School, "Aghia Sophia" Children's Hospital, Athens, Greece
| | - Peter A Lee
- Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA
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14
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Chambers L, Avery A, Dalrymple J, Farrell L, Gibson G, Harrington J, Rijkers G, Rowland I, Spiro A, Varela‐Moreiras G, Vokes L, Younge L, Whelan K, Stanner S. Translating probiotic science into practice. NUTR BULL 2019. [DOI: 10.1111/nbu.12385] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
| | - A. Avery
- University of Nottingham Nottingham UK
| | - J. Dalrymple
- Primary Care Society for Gastroenterology London UK
| | | | | | | | - G. Rijkers
- University College Roosevelt Middelburg The Netherlands
| | | | - A. Spiro
- British Nutrition Foundation London UK
| | | | - L. Vokes
- British Dietetic Association Birmingham UK
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15
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Khokhar KB, Lau D, Elliott A, Mahajan R, Thiyagarajah A, Munawar DA, Stiles M, Linz DA, Agbaedeng TA, Emami M, Kadhim KB, Mishimi R, Harrington J, Sanders P. P1941Association of aortic stiffness and new onset AF- A meta-analysis. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1941] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- K B Khokhar
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - D Lau
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - A Elliott
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - R Mahajan
- Waikato District Hospital, Cardiology, Waikato, New Zealand
| | - A Thiyagarajah
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - D A Munawar
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - M Stiles
- Waikato District Hospital, Cardiology, Waikato, New Zealand
| | - D A Linz
- Waikato District Hospital, Cardiology, Waikato, New Zealand
| | - T A Agbaedeng
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - M Emami
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - K B Kadhim
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - R Mishimi
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - J Harrington
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
| | - P Sanders
- Royal Adelaide Hospital, Centre for Heart Rhythm Disorders (CHRD), Adelaide, Australia
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16
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Riordan F, Barrett N, Michels N, Frost Andersen L, vant Veer P, Harrington J. Breakfast skipping and overweight/obesity among European adolescents, a cross-selectional analysis of the HELENA dataset: A DEDIPAC study. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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17
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Khokhar K, Lau D, Mahajan R, Elliott A, Stiles M, Mishima R, Munawar D, Kadhim K, Linz D, Thiyagarajah A, Harrington J, Wilson L, Stokes M, Emami M, Agbaedeng T, Teo K, Nelson A, Gallaghar C, Sanders P. Central Blood Pressure Assessment in Atrial Fibrillation. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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18
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Harihar L, Harrington J, Gilligan D, Haslop C. Successful pregnancies in two patients following multimodality treatment for thymoma. Lung Cancer 2018. [DOI: 10.1016/s0169-5002(18)30042-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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19
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Moore K, Candy B, Davis S, Harrington J, Kupeli N, Vickerstaff V, Jones L, Sampson E. IMPLEMENTING AN END-OF-LIFE CARE PROGRAMME FOR NURSING HOME RESIDENTS WITH DEMENTIA: ROLE OF CONTEXT. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.977] [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)
- K.J. Moore
- University College London, London, United Kingdom
| | - B. Candy
- University College London, London, United Kingdom
| | - S. Davis
- University College London, London, United Kingdom
| | | | - N. Kupeli
- University College London, London, United Kingdom
| | | | - L. Jones
- University College London, London, United Kingdom
| | - E.L. Sampson
- University College London, London, United Kingdom
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20
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Ohana A, Vazifedan T, Harrington J, Vorona R, Ware J. 0970 SLEEP TIME IS NOT INCREASED IN ORTHODOX JEWISH CHILDREN DESPITE LACK OF SCREEN-TIME. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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21
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Ohana A, Vazifedan T, Harrington J, Vorona R, Ware J. 0977 ORTHODOX JEWISH PARENTS LESS APT TO FOLLOW SAFE SLEEP POSITIONING GUIDELINES. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.976] [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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22
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Cartwright A, Depew A, Burleson A, Vannoni V, Simmons B, Goelz K, Harrington J, Edinger J, Aloia MS. 0510 USE OF A PERSONALIZED VIDEO TO ENHANCE PAP ADHERENCE: PRELIMINARY REPORT FROM A RANDOMIZED CLINICAL TRIAL. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.509] [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: 11/14/2022] Open
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23
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Nagahama H, Smorra C, Sellner S, Harrington J, Higuchi T, Borchert MJ, Tanaka T, Besirli M, Mooser A, Schneider G, Blaum K, Matsuda Y, Ospelkaus C, Quint W, Walz J, Yamazaki Y, Ulmer S. Sixfold improved single particle measurement of the magnetic moment of the antiproton. Nat Commun 2017; 8:14084. [PMID: 28098156 PMCID: PMC5253646 DOI: 10.1038/ncomms14084] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [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: 06/22/2016] [Accepted: 11/28/2016] [Indexed: 11/09/2022] Open
Abstract
Our current understanding of the Universe comes, among others, from particle physics and cosmology. In particle physics an almost perfect symmetry between matter and antimatter exists. On cosmological scales, however, a striking matter/antimatter imbalance is observed. This contradiction inspires comparisons of the fundamental properties of particles and antiparticles with high precision. Here we report on a measurement of the g-factor of the antiproton with a fractional precision of 0.8 parts per million at 95% confidence level. Our value /2=2.7928465(23) outperforms the previous best measurement by a factor of 6. The result is consistent with our proton g-factor measurement gp/2=2.792847350(9), and therefore agrees with the fundamental charge, parity, time (CPT) invariance of the Standard Model of particle physics. Additionally, our result improves coefficients of the standard model extension which discusses the sensitivity of experiments with respect to CPT violation by up to a factor of 20.
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Affiliation(s)
- H. Nagahama
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
- Graduate School of Arts and Sciences, University of Tokyo, Tokyo 153-8902, Japan
| | - C. Smorra
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
- CERN, CH-1211 Geneva 23, Switzerland
| | - S. Sellner
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - J. Harrington
- Max-Planck-Institut für Kernphysik, Saupfercheckweg 1, 69117 Heidelberg, Germany
| | - T. Higuchi
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
- Graduate School of Arts and Sciences, University of Tokyo, Tokyo 153-8902, Japan
| | - M. J. Borchert
- Institut für Quantenoptik, Leibniz Universität Hannover, Welfengarten 1, 30167 Hannover, Germany
| | - T. Tanaka
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
- Graduate School of Arts and Sciences, University of Tokyo, Tokyo 153-8902, Japan
| | - M. Besirli
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - A. Mooser
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - G. Schneider
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
- Institut für Physik, Johannes Gutenberg-Universität, 55099 Mainz, Germany
| | - K. Blaum
- Max-Planck-Institut für Kernphysik, Saupfercheckweg 1, 69117 Heidelberg, Germany
| | - Y. Matsuda
- Graduate School of Arts and Sciences, University of Tokyo, Tokyo 153-8902, Japan
| | - C. Ospelkaus
- Institut für Quantenoptik, Leibniz Universität Hannover, Welfengarten 1, 30167 Hannover, Germany
- Physikalisch-Technische Bundesanstalt, QUEST, Bundesallee 100, 38116 Braunschweig, Germany
| | - W. Quint
- GSI-Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - J. Walz
- Institut für Physik, Johannes Gutenberg-Universität, 55099 Mainz, Germany
- Helmholtz-Institut Mainz, sektion MAM, 55099 Mainz, Germany
| | - Y. Yamazaki
- RIKEN, Atomic Physics Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - S. Ulmer
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
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Riley KE, Park CL, Wilson A, Sabo A, Antoni MH, Braun TD, Harrington J, Reiss J, Pasalis E, Harris A, Cope S. Improving physical and mental health in frontline mental health care providers: Yoga-based stress management versus cognitive behavioral stress management. J Workplace Behav Health 2016; 32:26-48. [PMID: 33354168 DOI: 10.1080/15555240.2016.1261254] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [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: 10/20/2022]
Abstract
The need for brief, low-cost, easily disseminable and effective interventions to promote healthy lifestyles is high. This is especially true for mental health providers. We developed two studies to compare the impacts of Cognitive Behavioral Stress Management (CBSM) and Yoga Based Stress Management (YBSM) interventions for healthcare professionals. Study 1 offered an 8-week YBSM intervention to 37 mental healthcare participants and collected health data pre and post. Study 2 offered YBSM and CBSM classes to 40 randomly assigned mental healthcare providers and collected mental and physical health data at four time points. In Study 1, using t-tests, the YBSM intervention affected a number of mental and physical wellbeing indices pre to post. In Study 2, using linear mixed modeling, both YBSM and CBSM groups improved significantly (p <.05) in fruit and vegetable intake, heart rate, alcohol consumption, relaxation and awareness, professional quality of life, compassion satisfaction, burnout, depression, and stress levels. There was a group by time effect for coping confidence (CBSM increased more, p<.05, F = 4.34), physical activity (YBSM increased more, p<.05, F = 3.47), overall mental health (YBSM increased more, p<.10, F =5.32), and secondary traumatic stress (YBSM decreased more, p<.10, F = 4.89). YBSM and CBSM appear to be useful for healthcare professionals' mental and physical health. YBSM demonstrates some benefit above and beyond the extremely well-studied and empirically supported CBSM, including increased physical activity, overall mental health, and decreased secondary traumatic stress benefits.
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Affiliation(s)
- K E Riley
- Memorial Sloan Kettering Cancer Center
| | | | - A Wilson
- Kripalu Center for Yoga & Health
| | - A Sabo
- Berkshires Medical Center
| | | | | | | | | | | | - A Harris
- Kripalu Center for Yoga & Health
| | - S Cope
- Kripalu Center for Yoga & Health
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Nagahama H, Schneider G, Mooser A, Smorra C, Sellner S, Harrington J, Higuchi T, Borchert M, Tanaka T, Besirli M, Blaum K, Matsuda Y, Ospelkaus C, Quint W, Walz J, Yamazaki Y, Ulmer S. Highly sensitive superconducting circuits at ∼700 kHz with tunable quality factors for image-current detection of single trapped antiprotons. Rev Sci Instrum 2016; 87:113305. [PMID: 27910537 DOI: 10.1063/1.4967493] [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] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Accepted: 10/30/2016] [Indexed: 06/06/2023]
Abstract
We developed highly sensitive image-current detection systems based on superconducting toroidal coils and ultra-low noise amplifiers for non-destructive measurements of the axial frequencies (550-800 kHz) of single antiprotons stored in a cryogenic multi-Penning-trap system. The unloaded superconducting tuned circuits show quality factors of up to 500 000, which corresponds to a factor of 10 improvement compared to our previously used solenoidal designs. Connected to ultra-low noise amplifiers and the trap system, signal-to-noise-ratios of 30 dB at quality factors of >20 000 are achieved. In addition, we have developed a superconducting switch which allows continuous tuning of the detector's quality factor and to sensitively tune the particle-detector interaction. This allowed us to improve frequency resolution at constant averaging time, which is crucial for single antiproton spin-transition spectroscopy experiments, as well as improved measurements of the proton-to-antiproton charge-to-mass ratio.
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Affiliation(s)
- H Nagahama
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - G Schneider
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - A Mooser
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - C Smorra
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - S Sellner
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - J Harrington
- Max-Planck-Institut für Kernphysik, Saupfercheckweg 1, 69117 Heidelberg, Germany
| | - T Higuchi
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - M Borchert
- Institut für Quantenoptik, Leibniz Universität Hannover, Welfengarten 1, 30167 Hannover, Germany
| | - T Tanaka
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - M Besirli
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - K Blaum
- Max-Planck-Institut für Kernphysik, Saupfercheckweg 1, 69117 Heidelberg, Germany
| | - Y Matsuda
- Graduate School of Arts and Sciences, University of Tokyo, Tokyo 153-8902, Japan
| | - C Ospelkaus
- Institut für Quantenoptik, Leibniz Universität Hannover, Welfengarten 1, 30167 Hannover, Germany
| | - W Quint
- GSI - Helmholtzzentrum für Schwerionenforschung GmbH, 64291 Darmstadt, Germany
| | - J Walz
- Institut für Physik, Johannes Gutenberg-Universität, 55099 Mainz, Germany
| | - Y Yamazaki
- RIKEN, Atomic Physics Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
| | - S Ulmer
- RIKEN, Ulmer Initiative Research Unit, 2-1 Hirosawa, Wako, Saitama 351-0198, Japan
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McCarthy LE, Harrington J, Perry I. P25 Assessment of salt intakes using spot urine samples; should it be abandoned in analytical epidemiological studies? Br J Soc Med 2016. [DOI: 10.1136/jech-2016-208064.124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Hung J, Harrington J, Scott F, Verma S. Type 2 Myocardial Infarction: When Is It Really Type 1? Heart Lung Circ 2016. [DOI: 10.1016/j.hlc.2016.06.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Li X, Kearney PM, Keane E, Harrington J, Fitzgerald AP. OP92 Temporal and weather effects on accelerometer-measured physical activity during school days among children. Br J Soc Med 2015. [DOI: 10.1136/jech-2015-206256.91] [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: 11/03/2022]
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Cohen M, Harrington J, Narang I, Hamilton J. Growth hormone secretion decreases with age in paediatric Prader-Willi syndrome. Clin Endocrinol (Oxf) 2015; 83:212-5. [PMID: 25495188 DOI: 10.1111/cen.12694] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2014] [Revised: 10/02/2014] [Accepted: 12/04/2014] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Growth hormone deficiency is a common feature of Prader-Willi syndrome; however, biochemical deficiency is not uniformly demonstrated. Criteria for GH treatment in paediatric PWS vary with some countries requiring documentation of biochemical GH deficiency. Data regarding the significance of age in the interpretation of GH stimulation test results, particularly in infants, are lacking. We aimed to assess age-related trends in the prevalence of biochemical GH deficiency in infants and children with PWS. DESIGN A retrospective chart review was conducted. Data from children with Prader-Willi syndrome that had GH stimulation tests performed at the Hospital for Sick Children in Toronto between the years 2000 and 2012 were collected. PATIENT Charts of 47 children 0·4-15·5 years of age with PWS that had GH stimulation tests were reviewed. MEASUREMENTS Biochemical GH status in relation to age and body mass index. RESULTS Thirty-two of 47 patients (68%) were biochemically GH deficient. GH deficiency was significantly associated with older age (r = 0·45, P = 0·02) and higher body-mass-index z-score (r = 0·45, P = 0·02). Biochemical GH deficiency was less prevalent up to 18 months of age (3/11 27%) compared with older children (29/36 [81%]; P = 0·001). A higher prevalence of GH deficiency was also detected in obese patients (14/16 [88%]) compared with nonobese patients (18/31 [58%]; P = 0·04). CONCLUSIONS The utility of performing GH stimulation tests as an indication of GH status under 18 months of age in Prader-Willi syndrome is questionable. If performed, results should be carefully interpreted in the context of age.
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Affiliation(s)
- M Cohen
- Division of Endocrinology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
| | - J Harrington
- Division of Endocrinology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
| | - I Narang
- Division of Respiratory Medicine, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
| | - J Hamilton
- Division of Endocrinology, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
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Vickerstaff V, Sampson EL, Scott S, Davis S, Lord K, Harrington J, Elliott M, Kupeli N, Jones L. SATISFACTION OF CARERS OF PEOPLE WITH ADVANCED DEMENTIA: THEIR EXPERIENCES AT THE OF END OF LIFE. BMJ Support Palliat Care 2014. [DOI: 10.1136/bmjspcare-2014-000653.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Buckley CM, Madden J, Balanda K, Barron S, Fahy L, Harrington J, Perry IJ, M Kearney P. Pre-diabetes in adults 45 years and over in Ireland: the Survey of Lifestyle, Attitudes and Nutrition in Ireland 2007. Diabet Med 2013; 30:1198-203. [PMID: 23659572 DOI: 10.1111/dme.12226] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2012] [Revised: 03/19/2013] [Accepted: 05/07/2013] [Indexed: 11/27/2022]
Abstract
OBJECTIVES Pre-diabetes is an important indicator of future diabetes burden and many countries are reporting prevalence estimates of pre-diabetes. To date in Ireland, estimates of the prevalence of pre-diabetes were unavailable. Our objectives were to estimate the prevalence of pre-diabetes in a nationally representative sample of Irish adults and to explore determinants of pre-diabetes. METHODS The Survey of Lifestyle Attitudes and Nutrition 2007 was a cross-sectional survey on health and lifestyle in a nationally representative sample of Irish adults. Analysis was performed on a subsample of 1132 participants ≥ 45 years who provided blood samples. Determination of pre-diabetes was based on American Diabetes Association HbA1c cut points of 39-46 mmol/mol (5.7-6.4%). To explore determinants, we modelled pre-diabetes prevalence as a function of a set of health system and socio-demographic variables using logistic regression. RESULTS The overall weighted prevalence estimate of pre-diabetes in participants ≥ 45 years was 19.8% (95% CI 16.4-23.9). There was no significant difference between age or gender-specific prevalence rates. Obesity was significantly associated with pre-diabetes on univariate and multivariate analysis. Population attributable fraction estimates for excess BMI, physical inactivity and poor diet as causes of pre-diabetes were 31.3% (95% CI -3.9 to 54.5), 10.0% (95% CI -2.7 to 21.3) and 6.1% (95% CI -4.9 to 15.9), respectively. CONCLUSIONS The high levels of pre-diabetes detected in this study are worrying. Population level interventions to address diet and lifestyle factors are needed urgently to prevent progression to diabetes in high-risk individuals.
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Affiliation(s)
- C M Buckley
- Department of General Practice, University College Cork (UCC), Cork, Ireland; Department of Epidemiology and Public Health, University College Cork (UCC), Cork, Ireland
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T J, Gilthorpe MS, Shiely F, Harrington J, Perry IJ, Kelleher CC, Tu YK. PP33 A N Age-Period-Cohort Analysis for Trends in Body Mass Index in the Republic of Ireland in 18,016 Participants in Slan (Surveys of Lifestyle, Attitudes and Nutrition) 1998-2007. Br J Soc Med 2013. [DOI: 10.1136/jech-2013-203126.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Harrington J, Southern K, Burrows E, Barton P. WS10.1 The performance of the UK national newborn screening (NBS) programme for CF – Results from a UK regional paediatric network. J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60058-2] [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: 11/27/2022]
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Buckley CM, Kearney PM, McHugh S, Harrington J, Bradley CP, Perry IJ. PS12 Diabetes and Pre-Diabetes Prevalence Rates in the Survey of Lifestyles, Attitude and Nutrition (Slan) in the Republic of Ireland. Br J Soc Med 2012. [DOI: 10.1136/jech-2012-201753.111] [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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Harrington J, Fitzgerald AP, Kearney PM, McCarthy VJC, Browne G, Perry IJ. OP28 Diet Quality and Blood Pressure in Middle-Aged Men and Women. Br J Soc Med 2012. [DOI: 10.1136/jech-2012-201753.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Harrington J, Southern K, Barton P, Hanmer E, Burrows E. WS21.10 The impact of a national newborn screening programme on sweat testing services. J Cyst Fibros 2012. [DOI: 10.1016/s1569-1993(12)60156-8] [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: 11/17/2022]
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Sheehan C, Harrington J. Management of dredge material in the Republic of Ireland - A review. Waste Manag 2012; 32:1031-1044. [PMID: 22240209 DOI: 10.1016/j.wasman.2011.11.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2011] [Revised: 10/20/2011] [Accepted: 11/28/2011] [Indexed: 05/31/2023]
Abstract
As an island nation the Republic of Ireland's ports and harbours are key to the economic wellbeing of the country as they are the primary transport link to the United Kingdom, mainland Europe and beyond. This paper examines the main aspects of the Irish dredging industry with comparison to international practice and standards, including the source of the dredge material and volumes generated annually, the dredging plant employed and the management processes currently practised. Relevant European and Irish legislation governing dredging, disposal at sea and waste licensing are presented. The potential impacts of disposal at sea are discussed with the implications for the Irish dredging industry of recently introduced European Directives assessed. Beneficial use rates for dredge material and the techniques implemented in Ireland are examined and compared with international practice. Recent notable beneficial use projects for dredge material and proposed innovative dredge material management techniques for specific dredging projects in Ireland are presented. Proposals to encourage greater beneficial use of dredge material and minimise disposal at sea for Ireland are presented including the introduction of environmental credits, tax breaks and a grant system for pilot schemes. An alternative disposal at sea charge fee structure is also recommended to encourage alternative dredge material management practices. Ireland's management of contaminated sediment is also presented with recent projects described highlighting the current practice of primarily exporting contaminated sediment to mainland Europe. Alternative methods of treatment of contaminated sediment are assessed in an Irish context. Future issues and challenges facing the Irish dredging industry are assessed and a critical analysis of the current approaches to dredge material management is presented.
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Affiliation(s)
- C Sheehan
- Department of Civil, Structural and Environmental Engineering, Cork Institute of Technology, Bishopstown, Cork, Ireland.
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McIntosh DE, Harrington J, White JD, Baxter G, Garden OJ. Liver resection as part of multi-modality treatment of late relapse of germ cell cancer following high dose chemotherapy. Surgeon 2012; 10:183-4. [PMID: 22525417 DOI: 10.1016/j.surge.2011.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2010] [Accepted: 01/23/2011] [Indexed: 11/17/2022]
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Browne G, Loughrey M, Harrington J, Lutomski J, Fitzgerald T, Perry I. P43 Dietary salt intake in Irish adults. Br J Soc Med 2010. [DOI: 10.1136/jech.2010.120477.43] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Layte R, Harrington J, Sexton E, Perry IJ, Lyons S. P40 Local food environments and dietary quality. Br J Soc Med 2010. [DOI: 10.1136/jech.2010.120477.40] [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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Stewart TC, Harrington J, Tanner DA, Polgar D, Girotti MJ. Evaluation of a youth unsafe driving video: a comparison of two communities. Inj Prev 2010. [DOI: 10.1136/ip.2010.029215.705] [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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Geaney F, Harrington J, Perry IJ. P42 The impact of a catering initiative in determining food choices and salt intake in the public sector. Br J Soc Med 2010. [DOI: 10.1136/jech.2010.120477.42] [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: 11/03/2022]
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Harrington J, Steele N, Robinson J, Dunlop D. Day case cisplatin for advanced non-small cell lung cancer. Lung Cancer 2010. [DOI: 10.1016/s0169-5002(10)70025-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Bernardo D, Protzko S, Harrington J, Dudden R, Lee-Chiong T. 054 A BIBLIOMETRIC ANALYSIS OF SLEEP RESEARCH INDEXED IN PUBMED, 2003–2007. Sleep Med 2009. [DOI: 10.1016/s1389-9457(09)70056-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Shiely F, Hayes K, Lutomski J, Harrington J, McGee H, Kelleher CC, Perry IJ. A 10-year decline in self-recognition of obesity: trends in sensitivity and specificity from three population surveys in ireland. Br J Soc Med 2009. [DOI: 10.1136/jech.2009.096735c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Harrington J. Are you prepared for ICD-10? Manag Care 2009; 18:43-48. [PMID: 19886208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Harrington J, Perry IJ, Lutomski J, Fitzgerald AP, Shiely F, McGee H, Barry MM, Van Lente E, Morgan K, Shelley E. Living longer and feeling better: healthy lifestyle, self-rated health, obesity and depression in Ireland. Eur J Public Health 2009; 20:91-5. [DOI: 10.1093/eurpub/ckp102] [Citation(s) in RCA: 68] [Impact Index Per Article: 4.5] [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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Perry IJ, Whelton H, Harrington J, Cousins B. The heights and weights of Irish children from the post-war era to the Celtic tiger. J Epidemiol Community Health 2009; 63:262-4. [PMID: 19208691 DOI: 10.1136/jech.2008.079236] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND Childhood obesity is a significant global health issue. National level data on long-term secular trends are relatively sparse. METHODS Data were obtained from three large-scale surveys of school-aged children in Ireland involving measurements of height and weight in 1948, the 1970s and 2002. RESULTS Significant increases in height and weight were observed in both boys and girls and in all age groups across the decades. The increases in weight were disproportionate to the trends in height. While boys aged 14 years were 23 cm taller 2002 than in 1948, their average weight was 61 kg, compared with 37 kg in 1948, an increase of 24 kg. A substantial proportion of the increase in weight is seen between the 1970s and 2002. CONCLUSIONS The data provide stark and compelling evidence on the evolution of the obesity epidemic in Irish children in tandem with the increase in economic prosperity.
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Affiliation(s)
- I J Perry
- Department of Epidemiology and Public Health, University College Cork, Brookfield Health Sciences Complex, College Road, Cork, Republic of Ireland.
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