1
|
Goraichuk IV, Harden M, Spackman E, Suarez DL. The 28S rRNA RT-qPCR assay for host depletion evaluation to enhance avian virus detection in Illumina and Nanopore sequencing. Front Microbiol 2024; 15:1328987. [PMID: 38351914 PMCID: PMC10864109 DOI: 10.3389/fmicb.2024.1328987] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 01/09/2024] [Indexed: 02/16/2024] Open
Abstract
Abundant host and bacterial sequences can obscure the detection of less prevalent viruses in untargeted next-generation sequencing (NGS). Efficient removal of these non-targeted sequences is vital for accurate viral detection. This study presents a novel 28S ribosomal RNA (rRNA) RT-qPCR assay designed to assess the efficiency of avian rRNA depletion before conducting costly NGS for the detection of avian RNA viruses. The comprehensive evaluation of this 28S-test focuses on substituting DNase I with alternative DNases in our established depletion protocols and finetuning essential parameters for reliable host rRNA depletion. To validate the effectiveness of the 28S-test, we compared its performance with NGS results obtained from both Illumina and Nanopore sequencing platforms. This evaluation utilized swab samples from chickens infected with highly pathogenic avian influenza virus, subjected to established and modified depletion protocols. Both methods significantly reduced host rRNA levels, but using the alternative DNase had superior performance. Additionally, utilizing the 28S-test, we explored cost- and time-effective strategies, such as reduced probe concentrations and other alternative DNase usage, assessed the impact of filtration pre-treatment, and evaluated various experimental parameters to further optimize the depletion protocol. Our findings underscore the value of the 28S-test in optimizing depletion methods for advancing improvements in avian disease research through NGS.
Collapse
Affiliation(s)
- Iryna V. Goraichuk
- Southeast Poultry Research Laboratory, U.S. National Poultry Research Center, Agriculture Research Service, U.S. Department of Agriculture, Athens, GA, United States
| | - Mark Harden
- College of Veterinary Medicine, Tuskegee University, Tuskegee, AL, United States
| | - Erica Spackman
- Southeast Poultry Research Laboratory, U.S. National Poultry Research Center, Agriculture Research Service, U.S. Department of Agriculture, Athens, GA, United States
| | - David L. Suarez
- Southeast Poultry Research Laboratory, U.S. National Poultry Research Center, Agriculture Research Service, U.S. Department of Agriculture, Athens, GA, United States
| |
Collapse
|
2
|
Pelli A, Junttila MJ, Kentta TV, Schlogl S, Zabel M, Malik M, Reichlin T, Willems R, Vos MA, Harden M, Friede T, Sticherling C, Huikuri H. T-wave alternans poorly prognostic in primary prophylactic ICD patients: a prospective EU-CERT-ICD study. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
New methods to identify patients who truly benefit from primary prophylactic implantable cardioverter defibrillation (ICD) are urgently needed. T-wave alternans (TWA) represents a beat-to-beat fluctuation in the morphology of the ST-segment and T-wave. It has been shown to associate with arrhythmogenesis of heart and sudden cardiac death [1]. We hypothised that TWA might associate with benefit from ICD implantation in primary prevention.
Methods
In EU-CERT-ICD study, we prospectively enrolled 2327 primary prophylactic ICD candidates from 15 European countries. A 24-hours Holter-monitoring was taken from all recruited patients at enrolment. TWA was assessed from Holter-monitoring using MMA method with Getemed Cardioday software. To assess the benefit from ICD treatment, we used outcomes all-cause mortality, appropriate shock and survival benefit. We conducted Cox regression model, competing risk regression model and propensity score adjusted Cox regression model. TWA was assessed both as contiguous variable and with cut-off points <47 μV and <60 μV.
Results
Final cohort included 1,734 valid T-wave alternans samples, 1,211 patients with ICD and 523 control patients with conservative treatment, with mean follow-up time 2.3 years. TWA <60 μV predicted lower all-cause mortality in ICD patients in univariate cox regression model (HR 1.484, 95% CI 1.024–2.151, p=0.0374). In multivariate models, TWA did not predict death or appropriate shocks in ICD patients. In addition, TWA did not predict death in control patients. In propensity score adjusted Cox regression model, TWA did not predict ICD benefit.
Conclusion
T-wave alternans is poorly prognostic in primary prophylactic ICD patients. Altough it may predict life-threatening arrhythmias and sudden cardiac death in several patient populations, it cannot be used in assessing benefit from implantable cardioverter defibrillator in primary prevention among patients with ejection fraction ≤35%.
Funding Acknowledgement
Type of funding sources: Public grant(s) – EU funding. Main funding source(s): European Community's 7th Framework Program FP7/2007-2013
Collapse
Affiliation(s)
- A Pelli
- Medical Research Center Oulu , Oulu , Finland
| | | | - T V Kentta
- Medical Research Center Oulu , Oulu , Finland
| | - S Schlogl
- University Medical Center of Gottingen (UMG) , Goettingen , Germany
| | - M Zabel
- University Medical Center of Gottingen (UMG) , Goettingen , Germany
| | - M Malik
- National Heart and Lung Institute Imperial College , London , United Kingdom
| | - T Reichlin
- University Hospital Basel , Basel , Switzerland
| | - R Willems
- University Hospitals (UZ) Leuven , Leuven , Belgium
| | - M A Vos
- University Medical Center Utrecht , Utrecht , The Netherlands
| | - M Harden
- University Medical Center of Gottingen (UMG) , Goettingen , Germany
| | - T Friede
- University Medical Center of Gottingen (UMG) , Goettingen , Germany
| | | | - H Huikuri
- Medical Research Center Oulu , Oulu , Finland
| |
Collapse
|
3
|
Leggett H, Scantlebury A, Byrne A, Harden M, Hewitt C, O'Carroll G, Sharma H, McDaid C. Exploring what is important to patients with regards to quality of life after experiencing a lower limb reconstructive procedure: a qualitative evidence synthesis. Health Qual Life Outcomes 2021; 19:158. [PMID: 34059081 PMCID: PMC8166062 DOI: 10.1186/s12955-021-01795-9] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 05/24/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Patient reported outcome measures (PROMs) are used to understand the impact of lower limb reconstruction surgery on patients' quality of life (QOL). Existing measures have not been developed to specifically capture patient experiences amongst adults with lower limb conditions that require reconstruction surgery. This review aimed to synthesise qualitative evidence to identify what is important to patients requiring, undergoing, or following reconstructive surgery for lower limb conditions. METHODS MEDLINE, Embase, PsychINFO and Cinahl were searched from inception until November 2020. Studies were included if they employed qualitative research methods, involved patients requiring, undergoing or following lower limb reconstruction and explored patients' experiences of care, treatment, recovery and QOL. Mixed methods studies that did not separately report qualitative findings, mixed population studies that were not separately reported and studies in languages other than English were excluded. Included studies were analysed using thematic synthesis. The Critical Appraisal Skills Programme qualitative studies checklist was used to undertake quality assessment. RESULTS Nine studies met the inclusion criteria. The thematic synthesis identified two overarching themes: (1) areas of living key to QOL for lower limb reconstruction patients and (2) moving towards a new normal. The way in which lower limb reconstruction affects an individual's QOL and their recovery is complex and is influenced by a range of inter-related factors, which will affect patients to varying degrees depending on their individual circumstances. We identified these factors as: pain, daily functioning and lifestyle, identity, income, emotional wellbeing, support, the ability to adapt and adjust and the ability to move forwards. CONCLUSIONS The way patients' QOL is affected after a lower limb reconstruction is complex, may change over time and is strongly linked to their recovery. These findings will aid us in developing a conceptual framework which identifies the outcomes important to patients and those that should be included in a PROM. Further research is then required to establish whether the range of factors we identified are captured by existing PROMs. Depending on the outcome of this work, a new PROM for patients following lower limb reconstruction may be required.
Collapse
Affiliation(s)
- H Leggett
- York Trials Unit, The University of York, York, YO10 5DD, UK.
| | - A Scantlebury
- York Trials Unit, The University of York, York, YO10 5DD, UK
| | - A Byrne
- York Trials Unit, The University of York, York, YO10 5DD, UK
| | - M Harden
- Centre for Reviews and Dissemination, The University of York, York, YO10 5DD, UK
| | - C Hewitt
- York Trials Unit, The University of York, York, YO10 5DD, UK
| | - G O'Carroll
- York Trials Unit, The University of York, York, YO10 5DD, UK
| | - H Sharma
- Hull University Teaching Hospitals, Hull, HU3 2JZ, UK
| | - C McDaid
- York Trials Unit, The University of York, York, YO10 5DD, UK
| | | |
Collapse
|
4
|
Talwar A, Lee MFH, Bassin L, Harden M, Mathur M, Brereton J, Brady P, Marshman D. Comparison of Direct Versus Side-Arm Graft Cannulation of the Axillary Artery in Patients With Acute Type A Aortic Dissection. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.02.051] [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: 10/26/2022]
|
5
|
Huikuri HV, Junttila MJ, Willems R, Bergau L, Malik M, Vandenberg B, Vos MA, Schmidt G, Merkely B, Lubinski A, Svetsolak M, Braunschweig F, Harden M, Zabel M, Sticherling C. P605Appropriate shocks and mortality in diabetic vs. non-diabetic patients with prophylactic implantable cardioverter-defibrillator. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p605] [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: 11/15/2022] Open
Affiliation(s)
- H V Huikuri
- Úniversity of Oulu and University Hospital of Oulu, Research Unit of Internald Medicine, Oulu, Finland
| | - M J Junttila
- Úniversity of Oulu and University Hospital of Oulu, Research Unit of Internald Medicine, Oulu, Finland
| | - R Willems
- University of Leuven, Dpartment of Cardiovascular Sciences, Leuven, Belgium
| | - L Bergau
- University Medical Center Gottingen (UMG), Heart center, Dicision of Cardiology, Gottingen, Germany
| | - M Malik
- National Institute for Medical Research, National Heart and Lung Institue, Imperial College, London, United Kingdom
| | - B Vandenberg
- University of Leuven, Dpartment of Cardiovascular Sciences, Leuven, Belgium
| | - M A Vos
- University Medical Center Utrecht, Medical Physiology, Utrecht, Netherlands
| | - G Schmidt
- Hospital Rechts der Isar, Medizinische Klinik und Poliklinik, Munich, Germany
| | - B Merkely
- Semmelweis University Heart Center, Budapest, Hungary
| | - A Lubinski
- Medical University of Lodz, Lodz, Poland
| | - M Svetsolak
- University Hospital Bratislava, Bratislava, Slovak Republic
| | | | - M Harden
- University of Gottingen, Department of Medical Statistics, Gottingen, Germany
| | - M Zabel
- University of Gottingen, Department of Medical Statistics, Gottingen, Germany
| | | | | |
Collapse
|
6
|
Pelli A, Kentta TV, Junttila MJ, Bergau L, Zabel M, Malik M, Sticherling C, Reichlin T, Willems R, Vos MA, Harden M, Friede T, Huikuri HV. P3451Electrocardiogram as a predictor of survival without appropriate shocks in primary prophylactic ICD patients: a retrospective multi-center study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3451] [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: 11/13/2022] Open
Affiliation(s)
- A Pelli
- Medical Research Center Oulu, Oulu, Finland
| | - T V Kentta
- Medical Research Center Oulu, Oulu, Finland
| | | | - L Bergau
- University Hospital Gottingen, Gottingen, Germany
| | - M Zabel
- University Hospital Gottingen, Gottingen, Germany
| | - M Malik
- Imperial College London, London, United Kingdom
| | | | - T Reichlin
- University Hospital Basel, Basel, Switzerland
| | | | - M A Vos
- University Medical Center Utrecht, Utrecht, Netherlands
| | - M Harden
- University Medical Center Gottingen (UMG), Gottingen, Germany
| | - T Friede
- University Medical Center Gottingen (UMG), Gottingen, Germany
| | | | | |
Collapse
|
7
|
Pelli A, Haukilahti A, Kentta T, Junttila J, Bergau L, Zabel M, Malik M, Sticherling C, Reichlin T, Willems R, Vos M, Harden M, Friede T, Huikuri H. P1689Prognostic significance of different patterns and amplitude of QRS fragmentation in patients with implantable defibrillator in primary prevention. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p1689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
8
|
Rodgers M, Thomas S, Harden M, Parker G, Street A, Eastwood A. P30 Developing a methodological framework for organisational case studies: a rapid review and consensus development process. J Epidemiol Community Health 2016. [DOI: 10.1136/jech-2016-208064.129] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
9
|
Norman G, Llewellyn A, Harden M, Coatesworth A, Kimberling D, Schilder A, McDaid C. Systematic review of the limited evidence base for treatments of Eustachian tube dysfunction: a health technology assessment. Clin Otolaryngol 2014; 39:6-21. [PMID: 24438176 DOI: 10.1111/coa.12220] [Citation(s) in RCA: 70] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/14/2014] [Indexed: 11/29/2022]
Abstract
BACKGROUND The Health Technology Assessment programme commissioned a wide-ranging review of treatments for adult Eustachian tube dysfunction. Treatments range from advice and observation and pharmacological treatments to surgical options. OBJECTIVE (i) To assess the evidence for interventions for adults with a clinical diagnosis of Eustachian tube dysfunction and (ii) to identify priorities for future research. TYPE OF REVIEW Systematic review (PROSPERO registration CRD42012003035) adhering to PRISMA guidance. SEARCH An extensive search of 15 databases including MEDLINE, EMBASE and CENTRAL (up to October 2012). EVALUATION METHOD Controlled and uncontrolled studies of interventions for adult Eustachian tube dysfunction were included. Because of insufficient data, the protocol was amended to also include controlled studies with mixed adult/child populations. Risk of bias was assessed. Narrative synthesis was employed due to high clinical heterogeneity. RESULTS Interventions assessed were pharmacological treatments [two randomised controlled trials (RCTs), one controlled non-randomised trial (CCT), 159 patients]; mechanical pressure equalisation devices (one randomised controlled trial, one CCT, 48 patients); and surgery, including laser tuboplasty (seven case series, 192 patients), balloon dilatation (three case series, 103 patients), myringotomy without grommet insertion (two case series, 121 patients), transtubal steroids (one case series, 11 patients) and laser coagulation (one retrospective controlled study, 40 patients). All studies had high risk of bias except two pharmacological trials; one had low risk and one unclear risk. No evidence was found for many treatments. The single low risk of bias RCT (n = 91; 67% adults) showed no effect of nasal steroids and favoured placebo for improved middle ear function (RR 1.20, 95% CI 0.91-1.58) and symptoms (P = 0.07). Other studies showed improvements in middle ear function for mechanical devices, antihistamine/ephedrine and nasal decongestant, but they had significant methodological weaknesses including insufficient length of follow-up. None of the surgical studies were adequately controlled, and many reported high levels of co-intervention. Therefore, observed benefits for tuboplasty and balloon dilatation in symptoms, middle ear function or hearing could not be reliably attributed to the interventions assessed. There was variability in definitions of the condition. CONCLUSION Eustachian tube dysfunction is a poorly defined condition. Due to the limited and poor-quality evidence, it is inappropriate to make conclusions on the effectiveness of any intervention; the evidence base is insufficient to guide recommendations for a trial of any particular intervention. Consensus on diagnostic criteria for Eustachian tube dysfunction is required to inform inclusion criteria of future trials.
Collapse
Affiliation(s)
- G Norman
- Centre for Reviews and Dissemination, University of York, York, UK
| | | | | | | | | | | | | |
Collapse
|
10
|
Corbett M, Rice S, Madurasinghe V, Slack R, Fayter D, Harden M, Sutton A, MacPherson H, Woolacott N. Acupuncture and other physical treatments for the relief of pain due to osteoarthritis of the knee: network meta-analysis. Osteoarthritis Cartilage 2013; 21:1290-8. [PMID: 23973143 PMCID: PMC3769860 DOI: 10.1016/j.joca.2013.05.007] [Citation(s) in RCA: 109] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2012] [Revised: 05/01/2013] [Accepted: 05/13/2013] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To compare the effectiveness of acupuncture with other relevant physical treatments for alleviating pain due to knee osteoarthritis. DESIGN Systematic review with network meta-analysis, to allow comparison of treatments within a coherent framework. Comprehensive searches were undertaken up to January 2013 to identify randomised controlled trials in patients with osteoarthritis of the knee, which reported pain. RESULTS Of 156 eligible studies, 114 trials (covering 22 treatments and 9,709 patients) provided data suitable for analysis. Most trials studied short-term effects and many were classed as being of poor quality with high risk of bias, commonly associated with lack of blinding (which was sometimes impossible to achieve). End of treatment results showed that eight interventions: interferential therapy, acupuncture, TENS, pulsed electrical stimulation, balneotherapy, aerobic exercise, sham acupuncture, and muscle-strengthening exercise produced a statistically significant reduction in pain when compared with standard care. In a sensitivity analysis of satisfactory and good quality studies, most studies were of acupuncture (11 trials) or muscle-strengthening exercise (9 trials); both interventions were statistically significantly better than standard care, with acupuncture being statistically significantly better than muscle-strengthening exercise (standardised mean difference: 0.49, 95% credible interval 0.00-0.98). CONCLUSIONS As a summary of the current available research, the network meta-analysis results indicate that acupuncture can be considered as one of the more effective physical treatments for alleviating osteoarthritis knee pain in the short-term. However, much of the evidence in this area of research is of poor quality, meaning there is uncertainty about the efficacy of many physical treatments.
Collapse
Affiliation(s)
- M.S. Corbett
- University of York, UK,Address correspondence and reprint requests to: M.S. Corbett, Centre for Reviews and Dissemination, University of York, Heslington, York, YO10 5DD, UK. Tel: 44-01904-321072, fax: 44-01904-32104.
| | | | | | | | | | | | | | | | | |
Collapse
|
11
|
Rodgers M, Asaria M, Walker S, McMillan D, Lucock M, Harden M, Palmer S, Eastwood A. The clinical effectiveness and cost-effectiveness of low-intensity psychological interventions for the secondary prevention of relapse after depression: a systematic review. Health Technol Assess 2012; 16:1-130. [PMID: 22642789 DOI: 10.3310/hta16280] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Depression is the most common mental disorder in community settings and a major cause of disability across the world. The objective of treatment is to achieve remission or at least adequate control of depressive symptoms; however, even after successful treatment, the risk of relapse after remission is significant. Although the effectiveness of low-intensity interventions has been extensively evaluated to treat primary symptoms of psychological difficulties, there has been substantially less research examining the use of these interventions as a relapse prevention strategy. OBJECTIVE To systematically review the clinical effectiveness and cost-effectiveness of low-intensity psychological or psychosocial interventions to prevent relapse or recurrence in patients with depression. As the broader definition of 'low-intensity' psychological intervention is somewhat contested, the review was conducted in two parts: A, a systematic review of all evaluations of 'low-intensity' interventions that were delivered by para-professionals, peer supporters or psychological well-being practitioners as defined by the Improving Access to Psychological Therapies programme; and B, a scoping review of relevant evaluations of interventions involving qualified mental health professionals (e.g. psychiatrists, clinical psychologists, cognitive behavioural therapists) involving < 6 hours of contact per patient. DATA SOURCES Comprehensive literature searches were developed; electronic databases were searched from inception until September 2010 (including MEDLINE, MEDLINE In-Process & Other Non-Indexed Citations, PsycINFO, EMBASE, The Cochrane Library), internet resources were used to identify guidelines on the treatment of depression, and the bibliographies of relevant reviews, guidelines and included studies were scrutinised. REVIEW METHODS Two reviewers independently screened titles and abstracts; data were extracted independently by one reviewer using a standardised data extraction form and checked by another. Discrepancies were resolved by consensus, with involvement of a third reviewer when necessary. The inclusion criteria were population - adults or adolescents who had received treatment for depression; intervention - part A, low-intensity interventions, specifically any unsupported psychological/psychosocial interventions or any supported interventions that did not involve highly qualified mental health professionals, and, part B, interventions carried out by qualified mental health professionals that involved < 6 hours of contact per patient; comparator - any, including no treatment, placebo, psychological or pharmacological interventions; outcomes - relapse or recurrence, other outcomes (e.g. social function, quality of life) were recorded where reported; and study design - for clinical effectiveness, randomised, quasi-randomised and non-randomised studies with concurrent control patients. For cost-effectiveness, full economic evaluations that compared two or more treatment options and considered both costs and consequences. No studies met the main part A inclusion criteria. RESULTS For the clinical effectiveness review, 17 studies (14 completed, three ongoing), reported in 27 publications, met the part B inclusion criteria. These studies were clinically and methodologically diverse, and reported differing degrees of efficacy for the evaluated interventions. One randomised controlled trial (RCT), which evaluated a collaborative care-type programme, was potentially relevant to part A; this study reported no difference between patients receiving the intervention and those receiving usual care in terms of relapse of depression over 12 months. For the cost-effectiveness review, two studies met the criteria for part B. One of these was an economic evaluation of the RCT above, which was potentially relevant to part A. This evaluation found that the intervention may be a cost-effective use of resources when compared with usual care; however, it was unclear how valid these estimates were for the NHS. LIMITATIONS Although any definition of 'brief' is likely to be somewhat arbitrary, an inclusion threshold of 6 hours contact per patient was used to select brief high-intensity intervention studies. Most excluded studies evaluated clearly resource-intensive interventions, though occasionally, studies were excluded on the basis of having only slightly more than 6 hours contact per patient. CONCLUSIONS There is inadequate evidence to determine the clinical effectiveness or cost-effectiveness of low-intensity interventions for the prevention of relapse or recurrence of depression. A scoping review of brief high-intensity therapies indicates that some approaches have shown promise in some studies, but findings have not been consistent. Many uncertainties remain and further primary research is required. Careful consideration should be given to the scope of such research; it is important to evaluate the broader patient pathway accounting for the heterogeneous patient groups of interest. Future RCTs conducted in a UK primary care setting should include adult participants in remission or recovery from depression, and evaluate the quality of the intervention and consistency of delivery across practitioners where appropriate. The occurrence of relapse or recurrence should be measured using established methods, and functional outcomes as well as symptoms should be measured; data on quality of life using a generic instrument, such as the European Quality of Life-5 Dimensions (EQ-5D), should be collected. FUNDING The National Institute for Health Research Health Technology Assessment programme.
Collapse
Affiliation(s)
- M Rodgers
- Centre for Reviews and Dissemination, University of York, UK
| | | | | | | | | | | | | | | |
Collapse
|
12
|
Rookmoneea M, Dennis L, Brealey S, Rangan A, White B, McDaid C, Harden M. The effectiveness of interventions in the management of patients with primary frozen shoulder. ACTA ACUST UNITED AC 2010; 92:1267-72. [PMID: 20798446 DOI: 10.1302/0301-620x.92b9.24282] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
There are many types of treatment used to manage the frozen shoulder, but there is no consensus on how best to manage patients with this painful and debilitating condition. We conducted a review of the evidence of the effectiveness of interventions used to manage primary frozen shoulder using the Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, the Physiotherapy Evidence Database, MEDLINE and EMBASE without language or date restrictions up to April 2009. Two authors independently applied selection criteria and assessed the quality of systematic reviews using the Assessment of Multiple Systematic Reviews (AMSTAR) tool. Data were synthesised narratively, with emphasis placed on assessing the quality of evidence. In total, 758 titles and abstracts were identified and screened, which resulted in the inclusion of 11 systematic reviews. Although these met most of the AMSTAR quality criteria, there was insufficient evidence to draw firm conclusions about the effectiveness of treatments commonly used to manage a frozen shoulder. This was mostly due to poor methodological quality and small sample size in primary studies included in the reviews. We found no reviews evaluating surgical interventions. More rigorous randomised trials are needed to evaluate the treatments used for frozen shoulder.
Collapse
Affiliation(s)
- M Rookmoneea
- James Cook University Hospital, Marton Road, Middlesbrough, Teeside, UK
| | | | | | | | | | | | | |
Collapse
|
13
|
McKenna C, Burch J, Suekarran S, Walker S, Bakhai A, Witte K, Harden M, Wright K, Woolacott N, Lorgelly P, Fenwick L, Palmer S. A systematic review and economic evaluation of the clinical effectiveness and cost-effectiveness of aldosterone antagonists for postmyocardial infarction heart failure. Health Technol Assess 2010; 14:1-162. [DOI: 10.3310/hta14240] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- C McKenna
- Centre for Health Economics, University of York, York, UK
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
14
|
Bloom CM, Venard J, Harden M, Seetharaman S. Non-contingent positive and negative reinforcement schedules of superstitious behaviors. Behav Processes 2007; 75:8-13. [PMID: 17353100 DOI: 10.1016/j.beproc.2007.02.010] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2006] [Revised: 02/05/2007] [Accepted: 02/06/2007] [Indexed: 10/23/2022]
Abstract
The role of schedules of reinforcement on the development of superstitious conditioning was investigated in a college age population. Participants were randomly assigned to one of eight operant schedules and instructed to remove (escape), prevent and/or remove (avoidance and escape) or produce (positive) the appearance of a computer generated stimulus using a response pad. Results from the experiment indicate that concomitant (escape and avoidance) schedules of reinforcement are most effective in facilitating acquisition of superstitious behavior as measured by self-reports of participants.
Collapse
Affiliation(s)
- C M Bloom
- University of Southern Indiana, Evansville, IN, United States.
| | | | | | | |
Collapse
|
15
|
Lisse CM, Dennerl K, Englhauser J, Harden M, Marshall FE, Mumma MJ, Petre R, Pye JP, Ricketts MJ, Schmitt J, Trümper J, West RG. Discovery of X-ray and Extreme Ultraviolet Emission from Comet C/Hyakutake 1996 B2. Science 1996. [DOI: 10.1126/science.274.5285.205] [Citation(s) in RCA: 347] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- C. M. Lisse
- C. M. Lisse is in the Astronomy Department, University of Maryland, College Park, MD 20742, and NASA Goddard Spaceflight Center, Greenbelt, MD 20771, USA
| | - K. Dennerl
- K. Dennerl, J. Englhauser, J. Schmitt, and J. Trümper are at the Max-Planck-Institut für Extraterrestriche Physik, Postfach 1603, 85740 Garching, Germany
| | - J. Englhauser
- K. Dennerl, J. Englhauser, J. Schmitt, and J. Trümper are at the Max-Planck-Institut für Extraterrestriche Physik, Postfach 1603, 85740 Garching, Germany
| | - M. Harden
- M. Harden and M. J. Ricketts are in the Space and Astrophysics Division, Rutherford Appleton Laboratory, Chilton, Didcot, Oxon, OX11 0QX, UK
| | - F. E. Marshall
- F. E. Marshall, M. J. Mumma, and R. Petre are at the NASA Goddard Spaceflight Center, Greenbelt, MD 20771, USA
| | - M. J. Mumma
- F. E. Marshall, M. J. Mumma, and R. Petre are at the NASA Goddard Spaceflight Center, Greenbelt, MD 20771, USA
| | - R. Petre
- F. E. Marshall, M. J. Mumma, and R. Petre are at the NASA Goddard Spaceflight Center, Greenbelt, MD 20771, USA
| | - J. P. Pye
- J. P. Pye and R. G. West are in the Department of Physics and Astronomy, University of Leicester, University Road, Leicester, LE1 7RH, UK
| | - M. J. Ricketts
- M. Harden and M. J. Ricketts are in the Space and Astrophysics Division, Rutherford Appleton Laboratory, Chilton, Didcot, Oxon, OX11 0QX, UK
| | - J. Schmitt
- K. Dennerl, J. Englhauser, J. Schmitt, and J. Trümper are at the Max-Planck-Institut für Extraterrestriche Physik, Postfach 1603, 85740 Garching, Germany
| | - J. Trümper
- K. Dennerl, J. Englhauser, J. Schmitt, and J. Trümper are at the Max-Planck-Institut für Extraterrestriche Physik, Postfach 1603, 85740 Garching, Germany
| | - R. G. West
- J. P. Pye and R. G. West are in the Department of Physics and Astronomy, University of Leicester, University Road, Leicester, LE1 7RH, UK
| |
Collapse
|
16
|
Spring B, Chiodo J, Harden M, Bourgeois MJ, Mason JD, Lutherer L. Psychobiological effects of carbohydrates. J Clin Psychiatry 1989; 50 Suppl:27-33; discussion 34. [PMID: 2565898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The authors studied whether the fatiguing effects of eating lunch are greater for carbohydrate-rich meals than for other meals, and related the time course of behavioral change to plasma glucose, insulin, and amino acids. On different occasions, in counterbalanced order, normal women (N = 7) fasted overnight, ate a standard breakfast, and at lunch either continued to fast or ate a high-carbohydrate, low-protein meal; a hedonically similar meal containing both carbohydrate and protein; or a high-protein, low-carbohydrate meal. Meals were isocaloric and equated for fat content. Only the carbohydrate meal significantly increased fatigue, which could not be attributed to hypoglycemia because plasma glucose remained elevated. Fatigue began approximately, when the carbohydrate meal elevated the plasma tryptophan ratio but ended even though the ratio remained elevated. Fatigue after a high-carbohydrate lunch could not be explained by reactive hypoglycemia or sweet taste, and could partially be explained by the hypothesis that fatigue parallels an elevation of the tryptophan ratio.
Collapse
Affiliation(s)
- B Spring
- Department of Psychology, UHS, Chicago Medical School, IL 60064
| | | | | | | | | | | |
Collapse
|
17
|
Harden M. God bless the child and the keepers. Am J Nurs 1988; 88:654-5. [PMID: 3364473 DOI: 10.1097/00000446-198805000-00016] [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] [Indexed: 01/05/2023]
|
18
|
Pate CA, Dorang ST, Keim KS, Stoecker BJ, Fischer JL, Menendez CE, Harden M. Compliance of insulin-dependent diabetics with a low-fat diet. J Am Diet Assoc 1986; 86:796-8. [PMID: 3711561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Compliance with medical therapy is widely researched yet unpredictable. When counseled by a dietitian to begin a low-fat (25%) diabetic diet, subjects significantly decreased fat intake but did not achieve the prescribed 25% fat level. The significantly lower fat intake after instruction identified the registered dietitian as an effective behavioral change agent. Six compliance predictors obtained at an initial interview accounted for 77% of the variance in compliance.
Collapse
|