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Matt A, Kemp J, Semciw A, Mosler A, Gooden B, O’Sullivan M, Lyons M, Salmon L. Failure to meet expectations of sport or recreation following total hip arthroplasty is associated with younger age, high BMI, and poor general health. J Sci Med Sport 2022. [DOI: 10.1016/j.jsams.2022.09.100] [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: 11/17/2022]
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Patel N, Teh W, Omoniyi O, Martin W, Weir-McCall J, D’Errico L, O’Sullivan M, Davies W, Costopoulos C, Costanzo P. 1069 ESSENTIAL FRAILTY TOOLSET AS A PREDICTOR OF PROLONGED LENGTH OF STAY AND DISCHARGE DESTINATION AFTER TRANSCATHETER AORTIC VALVE IMPLANTATION. Age Ageing 2022. [DOI: 10.1093/ageing/afac125.008] [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: 11/12/2022] Open
Abstract
Abstract
Introduction
Frailty is associated with poor outcomes following transcatheter aortic valve implantation (TAVI). Rockwood is the widely used score for this population. In a recent trial, a more objective score, the Essential Frailty Toolset (EFT) outperformed Rockwood’s in predicting mortality and disability 1-year post-TAVI. Whether it predicts in-hospital length of stay (LOS) and discharge destination post-TAVI remains unclear.
Method
A cohort of patients undergoing TAVI for aortic stenosis was recruited, demographic characteristics collected, and frailty assessed with EFT and Rockwood scores. Primary outcomes were LOS post-TAVI, categorised as ‘not prolonged’ (≤2 days) or ‘prolonged’ (>2 days) and discharge destination, characterised as ‘home’ or ‘non-home’.
Results
86 patients were recruited, with median age 82 years (IQR 78–86). 54% were male. EFT identified 35% and Rockwood 11% as frail. 19% were cognitively impaired. 5 chair rises were completed by 70%, with 30% managing under 15 seconds. Median haemoglobin was 121 g/L (IQR 109.5–136). Median albumin was 36 g/L (IQR 33–39). 84% of procedures were transfemoral. 20% had moderate–severe left ventricular systolic dysfunction. Median LOS post-TAVI was 2 days (IQR 2–5). 94% were discharged home, 6% to referring local hospital or rehabilitation centre. 46% were NYHA class III-IV. A model for prolonged LOS including comorbidities, showed frailty determined by EFT (OR 4.80, CI 95% 1.52–15.2, p = 0.008) but not Rockwood (OR 5.00, CI 95% 0.865–29.0, p = 0.072) was the only significant independent predictor for prolonged LOS. A model adjusting for comorbidities also showed EFT to be an independent predictor for non-home discharge destination of borderline significance (OR 2.57 CI 95% 0.994–6.66, p = 0.051) but Rockwood was not (OR 1.38 CI95% 0.485–3.91, p = 0.548).
Conclusion
In a real-world elderly population, EFT score was a stronger, more independent predictor of prolonged LOS and non-home discharge post-TAVI, than Rockwood’s. EFT would be an effective pre-operative assessment tool for LOS and discharge destination for TAVI.
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Affiliation(s)
- N Patel
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
| | - W Teh
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
| | - O Omoniyi
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
| | - W Martin
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
| | - J Weir-McCall
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
| | - L D’Errico
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
| | - M O’Sullivan
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
| | - W Davies
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
| | - C Costopoulos
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
| | - P Costanzo
- Department of Interventional Cardiology and Radiology, Royal Papworth Hospital, Cambridge Biomedical Campus , UK
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Kaminska M, O’Sullivan M, Mery V, Lafontaine A, Robinson A, Gros P, Martin J, Benedetti A, Kimoff R. Inflammatory markers and BDNF in obstructive sleep apnea (OSA) in Parkinson’s Disease (PD). Sleep Med 2022; 90:258-261. [DOI: 10.1016/j.sleep.2021.11.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 10/27/2021] [Accepted: 11/22/2021] [Indexed: 11/25/2022]
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Swan L, Warters A, O’Sullivan M. Socioeconomic Disadvantage is Associated with Probable Sarcopenia in Community-Dwelling Older Adults: Findings from the English Longitudinal Study of Ageing. J Frailty Aging 2022; 11:398-406. [DOI: 10.14283/jfa.2022.32] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Ita M, Wang JH, Toulouse A, Lim C, Fanning N, O’Sullivan M, Nolan Y, Kaar G, Redmond H. 1095 The Utility of Plasma Circulating Cell-Free Messenger RNA as A Biomarker of Glioma: A Pilot Study. Br J Surg 2021. [DOI: 10.1093/bjs/znab258.028] [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: 11/13/2022]
Abstract
Abstract
Introduction
Research into the potential utility of plasma-derived circulating-cell-free nucleic acids as non-invasive adjuncts to radiological imaging has been occasioned by the invasive nature of brain tumour biopsy. Circulating-cell-free messenger RNAs are short fragments of RNA present in blood. The objective of this study was to determine whether significant differences exist in the plasma transcriptomic profile of glioma patients relative to differences in their tumour characteristics, and also whether any observed differences were representative of synchronously obtained glioma samples and TCGA glioma derived RNA.
Method
Blood samples were collected from twenty-nine patients prior to tumour resection. Plasma-ccfmRNA and glioma derived RNA were extracted and profiled.
Results
BCL2L1, CXCL5, GZMB, HLA-A, HLA-C, IRF1, MYD88, TGFB1, TLR2, and TP53 genes were significantly over-expressed in glioma (high-grade-glioma-HGG and low-grade-glioma-LGG) patients (p < 0.05, versus control). BCL2L1, GZMB and HLA-A genes were significantly over-expressed in HGG patients (p < 0.05, versus LGG patients). There was positive correlation between the magnitude of fold change of differentially expressed genes in plasma and glioma derived RNA (Spearman r = 0.6344, n = 14, p = 0.017), and with the mean FPKM of TCGA glioma derived RNA samples (Spearman r = 0.4614, n = 19, p = 0.047). There was positive correlation between glioma radiographic tumour burden and the magnitude of fold change of CSF3 gene (r = 0.9813, n = 20, p < 0.001).
Conclusions
We identified significant differential expression of genes involved in cancer inflammation and immunity among patients with different glioma grades, and we identified positive correlation between the plasma transcriptomic profile and tumour samples, and with TCGA glioma derived RNA.
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Affiliation(s)
- M Ita
- University College Cork, Cork, Ireland
| | - J H Wang
- University College Cork, Cork, Ireland
| | | | - C Lim
- University College Cork, Cork, Ireland
| | - N Fanning
- University College Cork, Cork, Ireland
| | | | - Y Nolan
- University College Cork, Cork, Ireland
| | - G Kaar
- University College Cork, Cork, Ireland
| | - H Redmond
- University College Cork, Cork, Ireland
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O’Sullivan K, O’Sullivan M, Quigley S, Delahunt A, Sugrue S. Dietitians’ Attitudes and Experiences of Blended Tube Feeding in Paediatrics. Ir Med J 2019; 112:967. [PMID: 31553148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Aims To examine; (a) the number of registered dietitians (RDs) with blended tube fed (BTF) patients, work setting and caseload; (b) attitudes and experiences towards BTF; (c) current BTF supports and future resources required. Methods An online survey collected information from Irish RDs over one month. Data was examined using cross-tabulations and Mann-Whitney U tests. Free-text was categorized into thematic domains. Results A significant number of RDs with HEN paediatric patients concurrently managed BTF patients (n = 27/48, 56.3%, p<0.05). The majority were based in tertiary hospitals (HEN; n = 20/48, 41.7%, BTF; n = 12/27, 44.4%). Equal numbers were willing to support BTF or on a patient-case basis (n = 36/77, 46.8%). International guidelines were most used to inform RDs (n = 40/69, 58.0%). Professional training workshops were the preferred learning method (n = 60/73, 82.2%). Conclusion Overall, BTF appears to be a growing practice. Community services, professional guidelines, training and information are needed.
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Affiliation(s)
- K O’Sullivan
- School of Biological and Health Sciences, Technological University Dublin, City Campus, Kevin Street, Dublin
8, Ireland
- School of Medicine, Trinity College Dublin, The University of Dublin, Ireland
| | - M O’Sullivan
- Central Remedial Clinic Waterford, Dunmore Road, Waterford, Ireland
| | - S Quigley
- Community Nutrition & Dietetic Service, Health Service Executive, Community Health Organisation 2, Ireland
| | - A Delahunt
- Tallaght University Hospital Dublin, Ireland
| | - S Sugrue
- School of Biological and Health Sciences, Technological University Dublin, City Campus, Kevin Street, Dublin
8, Ireland
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O’Sullivan M, Barth J, Ciantar E. P032: Non-anaemic iron deficiency: how different approaches to monitor iron deficiency in pregnancy identifies a cohort of iron deficient patients not picked up using national guidelines. Thromb Res 2019. [DOI: 10.1016/s0049-3848(19)30127-6] [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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Gargan ML, O’Sullivan M, Hunter K, Buckley O, Torreggiani WC. Are we Over-Imaging the Obese Patient with Suspected Pulmonary Embolus in Ireland. Ir Med J 2019; 112:871. [PMID: 30892004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Aims To assess if there was a significant difference in the number of positive studies for pulmonary embolism between obese and non obese patients. Methods A retrospective analysis of all CTPAs performed in our institution over one year in patients aged 18-50 was performed. Data regarding the diagnosis of pulmonary embolism, the presence of airways disease, other significant chest findings, D dimer values and demographic data including a BMI surrogate was obtained. Results Two hundred and thirty CTPAs were performed in our institution over 12 months. Two hundred and twenty-one were included for analysis, of which 129 were male and 92 were female. Sixty-nine (31%) patients were classified as obese. Eleven (16%) of these had positive studies. One hundred and fifty-two patients were in the non obese category, of which 24 (15%) had positive studies. Conclusions We are not over imaging the obese patient, but are over imaging patients in general with suspected PE, but are exposing a significant number overall, to unnecessary radiation.
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Affiliation(s)
- M L Gargan
- Radiology Department, Tallaght Hospital, Dublin 24
| | - M O’Sullivan
- Radiology Department, Tallaght Hospital, Dublin 24
| | - K Hunter
- Radiology Department, Tallaght Hospital, Dublin 24
| | - O Buckley
- Radiology Department, Tallaght Hospital, Dublin 24
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Judd A, Zangerle R, Touloumi G, Warszawski J, Meyer L, Dabis F, Mary Krause M, Ghosn J, Leport C, Wittkop L, Reiss P, Wit F, Prins M, Bucher H, Gibb D, Fätkenheuer G, Julia DA, Obel N, Thorne C, Mocroft A, Kirk O, Stephan C, Pérez-Hoyos S, Hamouda O, Bartmeyer B, Chkhartishvili N, Noguera-Julian A, Antinori A, d’Arminio Monforte A, Brockmeyer N, Prieto L, Rojo Conejo P, Soriano-Arandes A, Battegay M, Kouyos R, Mussini C, Tookey P, Casabona J, Miró JM, Castagna A, Konopnick D, Goetghebuer T, Sönnerborg A, Quiros-Roldan E, Sabin C, Teira R, Garrido M, Haerry D, de Wit S, Miró JM, Costagliola D, d’Arminio-Monforte A, Castagna A, del Amo J, Mocroft A, Raben D, Chêne G, Judd A, Pablo Rojo C, Barger D, Schwimmer C, Termote M, Wittkop L, Campbell M, Frederiksen CM, Friis-Møller N, Kjaer J, Raben D, Salbøl Brandt R, Berenguer J, Bohlius J, Bouteloup V, Bucher H, Cozzi-Lepri A, Dabis F, d’Arminio Monforte A, Davies MA, del Amo J, Dorrucci M, Dunn D, Egger M, Furrer H, Grabar S, Guiguet M, Judd A, Kirk O, Lambotte O, Leroy V, Lodi S, Matheron S, Meyer L, Miro JM, Mocroft A, Monge S, Nakagawa F, Paredes R, Phillips A, Puoti M, Rohner E, Schomaker M, Smit C, Sterne J, Thiebaut R, Thorne C, Torti C, van der Valk M, Wittkop L, Tanser F, Vinikoor M, Macete E, Wood R, Stinson K, Garone D, Fatti G, Giddy J, Malisita K, Eley B, Fritz C, Hobbins M, Kamenova K, Fox M, Prozesky H, Technau K, Sawry S, Benson CA, Bosch RJ, Kirk GD, Boswell S, Mayer KH, Grasso C, Hogg RS, Richard Harrigan P, Montaner JSG, Yip B, Zhu J, Salters K, Gabler K, Buchacz K, Brooks JT, Gebo KA, Moore RD, Moore RD, Rodriguez B, Horberg MA, Silverberg MJ, Thorne JE, Rabkin C, Margolick JB, Jacobson LP, D’Souza G, Klein MB, Rourke SB, Rachlis AR, Cupido P, Hunter-Mellado RF, Mayor AM, John Gill M, Deeks SG, Martin JN, Patel P, Brooks JT, Saag MS, Mugavero MJ, Willig J, Eron JJ, Napravnik S, Kitahata MM, Crane HM, Drozd DR, Sterling TR, Haas D, Rebeiro P, Turner M, Bebawy S, Rogers B, Justice AC, Dubrow R, Fiellin D, Gange SJ, Anastos K, Moore RD, Saag MS, Gange SJ, Kitahata MM, Althoff KN, Horberg MA, Klein MB, McKaig RG, Freeman AM, Moore RD, Freeman AM, Lent C, Kitahata MM, Van Rompaey SE, Crane HM, Drozd DR, Morton L, McReynolds J, Lober WB, Gange SJ, Althoff KN, Abraham AG, Lau B, Zhang J, Jing J, Modur S, Wong C, Hogan B, Desir F, Liu B, You B, Cahn P, Cesar C, Fink V, Sued O, Dell’Isola E, Perez H, Valiente J, Yamamoto C, Grinsztejn B, Veloso V, Luz P, de Boni R, Cardoso Wagner S, Friedman R, Moreira R, Pinto J, Ferreira F, Maia M, Célia de Menezes Succi R, Maria Machado D, de Fátima Barbosa Gouvêa A, Wolff M, Cortes C, Fernanda Rodriguez M, Allendes G, William Pape J, Rouzier V, Marcelin A, Perodin C, Tulio Luque M, Padgett D, Sierra Madero J, Crabtree Ramirez B, Belaunzaran P, Caro Vega Y, Gotuzzo E, Mejia F, Carriquiry G, McGowan CC, Shepherd BE, Sterling T, Jayathilake K, Person AK, Rebeiro PF, Giganti M, Castilho J, Duda SN, Maruri F, Vansell H, Ly PS, Khol V, Zhang FJ, Zhao HX, Han N, Lee MP, Li PCK, Lam W, Chan YT, Kumarasamy N, Saghayam S, Ezhilarasi C, Pujari S, Joshi K, Gaikwad S, Chitalikar A, Merati TP, Wirawan DN, Yuliana F, Yunihastuti E, Imran D, Widhani A, Tanuma J, Oka S, Nishijima T, Na S, Choi JY, Kim JM, Sim BLH, Gani YM, David R, Kamarulzaman A, Syed Omar SF, Ponnampalavanar S, Azwa I, Ditangco R, Uy E, Bantique R, Wong WW, Ku WW, Wu PC, Ng OT, Lim PL, Lee LS, Ohnmar PS, Avihingsanon A, Gatechompol S, Phanuphak P, Phadungphon C, Kiertiburanakul S, Sungkanuparph S, Chumla L, Sanmeema N, Chaiwarith R, Sirisanthana T, Kotarathititum W, Praparattanapan J, Kantipong P, Kambua P, Ratanasuwan W, Sriondee R, Nguyen KV, Bui HV, Nguyen DTH, Nguyen DT, Cuong DD, An NV, Luan NT, Sohn AH, Ross JL, Petersen B, Cooper DA, Law MG, Jiamsakul A, Boettiger DC, Ellis D, Bloch M, Agrawal S, Vincent T, Allen D, Smith D, Rankin A, Baker D, Templeton DJ, O’Connor CC, Thackeray O, Jackson E, McCallum K, Ryder N, Sweeney G, Cooper D, Carr A, Macrae K, Hesse K, Finlayson R, Gupta S, Langton-Lockton J, Shakeshaft J, Brown K, Idle S, Arvela N, Varma R, Lu H, Couldwell D, Eswarappa S, Smith DE, Furner V, Smith D, Cabrera G, Fernando S, Cogle A, Lawrence C, Mulhall B, Boyd M, Law M, Petoumenos K, Puhr R, Huang R, Han A, Gunathilake M, Payne R, O’Sullivan M, Croydon A, Russell D, Cashman C, Roberts C, Sowden D, Taing K, Marshall P, Orth D, Youds D, Rowling D, Latch N, Warzywoda E, Dickson B, Donohue W, Moore R, Edwards S, Boyd S, Roth NJ, Lau H, Read T, Silvers J, Zeng W, Hoy J, Watson K, Bryant M, Price S, Woolley I, Giles M, Korman T, Williams J, Nolan D, Allen A, Guelfi G, Mills G, Wharry C, Raymond N, Bargh K, Templeton D, Giles M, Brown K, Hoy J. Comparison of Kaposi Sarcoma Risk in Human Immunodeficiency Virus-Positive Adults Across 5 Continents: A Multiregional Multicohort Study. Clin Infect Dis 2017; 65:1316-1326. [PMID: 28531260 PMCID: PMC5850623 DOI: 10.1093/cid/cix480] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Accepted: 05/19/2017] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND We compared Kaposi sarcoma (KS) risk in adults who started antiretroviral therapy (ART) across the Asia-Pacific, South Africa, Europe, Latin, and North America. METHODS We included cohort data of human immunodeficiency virus (HIV)-positive adults who started ART after 1995 within the framework of 2 large collaborations of observational HIV cohorts. We present incidence rates and adjusted hazard ratios (aHRs). RESULTS We included 208140 patients from 57 countries. Over a period of 1066572 person-years, 2046 KS cases were diagnosed. KS incidence rates per 100000 person-years were 52 in the Asia-Pacific and ranged between 180 and 280 in the other regions. KS risk was 5 times higher in South African women (aHR, 4.56; 95% confidence intervals [CI], 2.73-7.62) than in their European counterparts, and 2 times higher in South African men (2.21; 1.34-3.63). In Europe, Latin, and North America KS risk was 6 times higher in men who have sex with men (aHR, 5.95; 95% CI, 5.09-6.96) than in women. Comparing patients with current CD4 cell counts ≥700 cells/µL with those whose counts were <50 cells/µL, the KS risk was halved in South Africa (aHR, 0.53; 95% CI, .17-1.63) but reduced by ≥95% in other regions. CONCLUSIONS Despite important ART-related declines in KS incidence, men and women in South Africa and men who have sex with men remain at increased KS risk, likely due to high human herpesvirus 8 coinfection rates. Early ART initiation and maintenance of high CD4 cell counts are essential to further reducing KS incidence worldwide, but additional measures might be needed, especially in Southern Africa.
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Lewis E, Kristensen M, O’Sullivan M, Ekmann A, Skjøt-Arkil H, Nygaard H, Cardona-Morrell M. CHALLENGES OF MEASURING FRAILTY IN EMERGENCY DEPARTMENTS AND PROPOSED SOLUTIONS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1391] [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)
- Ebony Lewis
- The Simpson Centre for Health Services Research, The University of New South Wales, Liverpool, New South Wales, Australia,
| | | | | | - A.A. Ekmann
- Bispebjerg og Frederiksberg Hospital, København, Denmark,
| | | | - H.H. Nygaard
- Bispebjerg og Frederiksberg Hospital, København, Denmark,
| | - M. Cardona-Morrell
- The Simpson Centre for Health Services Research, The University of New South Wales, Liverpool, New South Wales, Australia,
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Greenan C, Murphy L, Yu LM, Kehoe PG, Coulthard E, Bath P, Stewart R, Jones R, Corbett A, Thomas A, Connelly P, Arrojo F, Canning R, Wallach S, Henderson C, McGuinness B, O’Sullivan M, Holmes C, Knapp M, Ballard C, Passmore P. A randomised controlled trial of calcium channel blockade (CCB) with Amlodipine For the treatment oF subcortical ischaEmic vasCular demenTia (AFFECT): study protocol. Trials 2016; 17:324. [PMID: 27430267 PMCID: PMC4950108 DOI: 10.1186/s13063-016-1449-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2016] [Accepted: 06/17/2016] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND Vascular dementia is the second most common cause of dementia affecting over seven million people worldwide, yet there are no licensed treatments. There is an urgent need for a clinical trial in this patient group. Subcortical ischaemic vascular dementia is the most common variant of vascular dementia. This randomised trial will investigate whether use of calcium channel blockade with amlodipine, a commonly used agent, can provide the first evidence-based pharmacological treatment for subcortical ischaemic vascular dementia. METHODS/DESIGN This is a randomised controlled trial of calcium channel blockade with Amlodipine For the treatment oF subcortical ischaEmic vasCular demenTia (AFFECT) to test the hypothesis that treatment with amlodipine can improve outcomes for these patients in a phase IIb, multi-centre, double-blind, placebo-controlled randomised trial. The primary outcome is the change from baseline to 12 months in the Vascular Dementia Assessment Scale cognitive subscale (VADAS-cog). Secondary outcomes include cognitive function, executive function, clinical global impression of change, change in blood pressure, quantitative evaluation of lesion accrual based on magnetic resonance imaging (MRI), health-related quality of life, activities of daily living, non-cognitive dementia symptoms, care-giver burden and care-giver health-related quality of life, cost-effectiveness and institutionalisation. A total of 588 patients will be randomised in a 1:1 ratio to either amlodipine or placebo, recruited from sites across the UK and enrolled in the trial for 104 weeks. DISCUSSION There are no treatments licensed for vascular dementia. The most common subtype is subcortical ischaemic vascular dementia (SIVD). This study is designed to investigate whether amlodipine can produce benefits compared to placebo in established SIVD. It is estimated that the numbers of people with VaD and SIVD will increase globally in the future and the results of this study should inform important treatment decisions. TRIAL REGISTRATION Current Controlled Trials ISRCTN31208535 . Registered on 7 March 2014.
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Affiliation(s)
- Caroline Greenan
- />Northern Ireland Clinical Trials Unit, 1st Floor Elliott Dynes Building, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA UK
| | - Lynn Murphy
- />Northern Ireland Clinical Trials Unit, 1st Floor Elliott Dynes Building, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA UK
| | - Ly-Mee Yu
- />Primary Care Clinical Trials Unit, Nuffield Department of Primary Care Health Sciences (Gibson Building), Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG UK
| | - Patrick G. Kehoe
- />Dementia Research Group, Clinical Neurosciences, University of Bristol, Level 1 Learning and Research Building, Bristol, BS10 5NB UK
| | - Elizabeth Coulthard
- />Dementia Research Group, Clinical Neurosciences, University of Bristol, Level 1 Learning and Research Building, Bristol, BS10 5NB UK
| | - Philip Bath
- />Clinical Sciences Building, Nottingham City Hospital, Hucknall Road, Nottingham, NG5 1PB UK
| | - Robert Stewart
- />Institute of Psychiatry, Psychology & Neuroscience, King’s College London, 16 De Crespigny Park, London, SE5 8AF UK
| | - Rob Jones
- />School of Community Health Sciences, Division of Psychiatry, Institute of Mental Health, University of Nottingham, Innovation Park, Triumph Road, Nottingham, NG7 2TU UK
| | - Anne Corbett
- />Wolfson CARD, Kings College London, Wolfson Wing, Hodgkin Building, Guy’s Campus, London, SE1 1UL UK
| | - Alan Thomas
- />Biomedical Research Building, Institute of Neuroscience and Newcastle University Institute for Ageing, Newcastle University, Campus for Ageing and Vitality, Newcastle upon Tyne, NE4 5PL UK
| | - Peter Connelly
- />Murray Royal Hospital, Muirhall Road, Perth, PH2 7BH UK
| | - Frank Arrojo
- />Research Network Volunteer, Alzheimer’s Society, 58 St Katharine’s Way, London, E1W 1LB UK
| | - Rachel Canning
- />Research Network Volunteer, Alzheimer’s Society, 58 St Katharine’s Way, London, E1W 1LB UK
| | - Sylvia Wallach
- />Research Network Volunteer, Alzheimer’s Society, 58 St Katharine’s Way, London, E1W 1LB UK
| | - Catherine Henderson
- />Personal Social Services Research Unit (PSSRU), London School of Economics, Houghton Street, London, WC2A 2AE UK
| | - Bernadette McGuinness
- />Centre for Public Health, Institute of Clinical Sciences, Block B, Queen’s University Belfast, The Royal Hospitals, Grosvenor Road, Belfast, BT12 6BA UK
| | - Mike O’Sullivan
- />Academic Neuroscience Centre, Institute of Psychiatry, De Crespigny Park, PO Box 41, London, SE5 8AF UK
| | - Clive Holmes
- />MARC, University of Southampton, Moorgreen Hospital, Botley Road, Southampton, S030 3JB UK
| | - Martin Knapp
- />Personal Social Services Research Unit (PSSRU), London School of Economics, Houghton Street, London, WC2A 2AE UK
| | - Clive Ballard
- />Wolfson Centre for Age-Related Diseases, King’s College London, Guy’s Campus, London, SE1 1UL UK
| | - Peter Passmore
- />Centre for Public Health, Institute of Clinical Sciences, Block B, Queen’s University Belfast, The Royal Hospitals, Grosvenor Road, Belfast, BT12 6BA UK
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Abstract
Investigations into the wider bioecological understanding of dental problems in early childhood are limited in national surveys. Classification tree analysis (CTA) was used to explore multilevel interactions among key aspects of child and primary caregiver (PCG) psychosocial and physical health affecting dental problems in preschool children. Data were derived from the Growing Up in Ireland study, a nationally representative sample of 9-mo-olds (N = 11,134) in 2007/2008 followed up at age 3 y (N = 9,793) in 2010/2011. Analysis included PCG reports of children’s dental problems, general health, temperament, emotional and behavioral difficulties, and their own general health, stress and depression, relationship, and sociodemographic variables. Misclassification costs were specified for the model by applying a higher penalty for misclassifying those with a dental problem (minority class). Logistic regression analyses were carried out for comparison. Dental problems were reported among 302 infants (2.7%) at 9 mo of age and 493 children (5.0%) at 3 y. CTA identified infant temperament (Infant Characteristics Questionnaire unpredictable) as the primary predictor of dental problems at 9 mo and child global health at 3 y of age. First-level predictors were PCG depression score and use of a soother at 9 mo and PCG ethnicity and unscheduled hospital visits at 3 y of age. Regression analyses results supported the most important predictors at 9 mo and 3 y of age. The CTA model for 9-mo-old infants had a specificity of 90.4%, sensitivity of 31.2%, and overall accuracy of 88.8% while that for 3-y-olds had a specificity of 58.5%, sensitivity of 66%, and overall accuracy of 59%. Key aspects of infant/child and PCG health, as well as psychosocial characteristics associated with reported dental problems, should be considered in future multidisciplinary approaches to child health. Knowledge Transfer Statement: The results of this data analysis should help raise awareness among clinicians of how primary caregiver and child psychosocial and general health factors are associated with early childhood dental problems, even before the primary dentition is complete. Classification tree analysis visually demonstrates how factors such as infant temperament (9 mo) and child global health (3 y) can interact at multiple levels and affect different subgroups of the child population. Future intervention strategies for oral health should involve consideration of the psychological and general health characteristics of the young child and PCG at both the patient and population levels. This knowledge could assist decision makers adopt an integrated multidisciplinary approach in formulating a coherent oral health policy for preschool children.
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Affiliation(s)
- M. Crowe
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| | - A. O’Sullivan
- UCD Institute of Food and Health, 2.05 Science Centre, South, UCD, Belfield, Dublin, Ireland
| | - C. McGrath
- Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China
| | - O. Cassetti
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| | - L. Swords
- School of Psychology & Children’s Research Centre, Trinity College Dublin, Dublin, Ireland
| | - M. O’Sullivan
- Division of Restorative Dentistry & Periodontology, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
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Uwineza A, Kenny C, O’Sullivan M. The binding profile of proteins is maintained in snap-frozen tissue. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)61066-3] [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: 11/17/2022]
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Furian N, O’Sullivan M, Walker C, Vössner S, Neubacher D. A conceptual modeling framework for discrete event simulation using hierarchical control structures. Simul Model Pract Theory 2015; 56:82-96. [PMID: 26778940 PMCID: PMC4687135 DOI: 10.1016/j.simpat.2015.04.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Revised: 04/17/2015] [Accepted: 04/18/2015] [Indexed: 06/05/2023]
Abstract
Conceptual Modeling (CM) is a fundamental step in a simulation project. Nevertheless, it is only recently that structured approaches towards the definition and formulation of conceptual models have gained importance in the Discrete Event Simulation (DES) community. As a consequence, frameworks and guidelines for applying CM to DES have emerged and discussion of CM for DES is increasing. However, both the organization of model-components and the identification of behavior and system control from standard CM approaches have shortcomings that limit CM's applicability to DES. Therefore, we discuss the different aspects of previous CM frameworks and identify their limitations. Further, we present the Hierarchical Control Conceptual Modeling framework that pays more attention to the identification of a models' system behavior, control policies and dispatching routines and their structured representation within a conceptual model. The framework guides the user step-by-step through the modeling process and is illustrated by a worked example.
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Affiliation(s)
- N. Furian
- Department of Engineering Science, University of Auckland, 70 Symonds Street, Auckland, New Zealand
| | - M. O’Sullivan
- Department of Engineering Science, University of Auckland, 70 Symonds Street, Auckland, New Zealand
| | - C. Walker
- Department of Engineering Science, University of Auckland, 70 Symonds Street, Auckland, New Zealand
| | - S. Vössner
- Institute of Engineering and Business Informatics, University of Technology Graz, 8010 Graz, Austria
| | - D. Neubacher
- Institute of Engineering and Business Informatics, University of Technology Graz, 8010 Graz, Austria
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Newman J, Harbourne N, O’Riordan D, Jacquier J, O’Sullivan M. Comparison of a trained sensory panel and an electronic tongue in the assessment of bitter dairy protein hydrolysates. J FOOD ENG 2014. [DOI: 10.1016/j.jfoodeng.2013.12.019] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Stack J, Hegarty K, Murphy G, O’Sullivan M, Fanning L, Healy L, Daly M, Harney S, Shanahan F, Molloy M. THU0014 Association between a polymorphism in the fractalkine receptor, CX3CR1, and rheumatoid arthritis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1979] [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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Arimi J, Duggan E, O’Sullivan M, Lyng J, O’Riordan E. Crispiness of a microwave-expanded imitation cheese: Mechanical, acoustic and sensory evaluation. J FOOD ENG 2012. [DOI: 10.1016/j.jfoodeng.2011.09.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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El-Bakry M, Duggan E, O’Riordan E, O’Sullivan M. Effect of cation, sodium or potassium, on casein hydration and fat emulsification during imitation cheese manufacture and post-manufacture functionality. Lebensm Wiss Technol 2011. [DOI: 10.1016/j.lwt.2011.07.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Arimi J, Duggan E, O’Sullivan M, Lyng J, O’Riordan E. Effect of protein:starch ratio on microwave expansion of imitation cheese-based product. Food Hydrocoll 2011. [DOI: 10.1016/j.foodhyd.2010.10.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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El-Bakry M, Duggan E, O’Riordan E, O’Sullivan M. Casein hydration and fat emulsification during manufacture of imitation cheese, and effects of emulsifying salts reduction. J FOOD ENG 2011. [DOI: 10.1016/j.jfoodeng.2010.10.014] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Arimi J, Duggan E, O’Sullivan M, Lyng J, O’Riordan E. Effect of water activity on the crispiness of a biscuit (Crackerbread): Mechanical and acoustic evaluation. Food Res Int 2010. [DOI: 10.1016/j.foodres.2010.05.004] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Noronha N, Duggan E, Ziegler G, O’Riordan E, O’Sullivan M. Inclusion of starch in imitation cheese: Its influence on water mobility and cheese functionality. Food Hydrocoll 2008. [DOI: 10.1016/j.foodhyd.2007.11.007] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Arimi J, Duggan E, O’Sullivan M, Lyng J, O’Riordan E. Effect of refrigerated storage on water mobility and microwave expansion of imitation cheese containing resistant starch. J FOOD ENG 2008. [DOI: 10.1016/j.jfoodeng.2008.04.028] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Noronha N, Duggan E, Ziegler G, O’Riordan E, O’Sullivan M. Investigation of imitation cheese matrix development using light microscopy and NMR relaxometry. Int Dairy J 2008. [DOI: 10.1016/j.idairyj.2007.12.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Halpin RM, O’Connor MM, McMahon A, Boughton C, O’Riordan ED, O’Sullivan M, Brady DB. Inhibition of adhesion of Streptococcus mutans to hydroxylapatite by commercial dairy powders and individual milk proteins. Eur Food Res Technol 2008. [DOI: 10.1007/s00217-008-0872-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Affiliation(s)
- Mike O’Sullivan
- From the Neurologische Klinik, Klinikum Groβhadern, Ludwigs Maximilians University, Munich, Germany
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Hennelly P, Dunne P, O’Sullivan M, O’Riordan E. Textural, rheological and microstructural properties of imitation cheese containing inulin. J FOOD ENG 2006. [DOI: 10.1016/j.jfoodeng.2005.04.023] [Citation(s) in RCA: 74] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Chlebowski RT, Johnson KC, Kooperberg C, Hubbell A, Lane D, O’Sullivan M, Cummings S, Rohan T, Yasmeen S, Khandekar J. The Women’s Health Initiative randomized trial of calcium plus vitamin D: Effects on breast cancer and arthralgias. J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.lba6] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
LBA6 Background: Calcium (Ca) and vitamin D (D) have been associated with reduced breast cancer and breast density in observational studies. Randomized trials have not evaluated Ca/D supplementation for breast cancer prevention. Methods: We randomized 36,282 postmenopausal women without prior breast cancer from 40 WHI centers to 1000 mg of elemental calcium as calcium carbonate and 400 IU of vitamin D3 (N = 18,176) daily or matching placebo (N = 18,106); 54% were also randomized one year previously to hormone therapy (HT) or placebo; conjugated equine estrogen (CEE) plus medroxyprogesterone acetate or CEE alone (the latter for those with prior hysterectomy). Ca/D effects on hip fracture and colorectal cancer have been reported (NEJM 2006). We report here pathologically confirmed invasive breast cancer as a secondary outcome of the Ca/D trial. Baseline serum 25(OH) D levels (in 1787 women) and serial joint symptoms (pain/stiffness and hand/feet swelling 0–3 scale, in a 6% sample) were also assessed. Results: Breast cancer incidence did not differ between Ca/D and placebo randomization groups (528 and 546 cases in Ca/D and placebo; hazard ratio 0.96; 95 percent confidence interval (CI), 0.85, 1.09). While SEER stage and abnormal mammogram frequency were similar between groups, breast cancers were smaller in the Ca/D group (1.54 cm (1.23), mean (SD) versus 1.71 (1.29), P = 0.05). Total vitamin D baseline intake was associated with lower breast cancer risk in the placebo group. Baseline vitamin D (nmol per liter) deficiency was common (≥30, sufficient (n = 266), 16 ≤ 30, insufficient (277), < 16, deficient (743)) but was not related to joint pain (seen in 72.2%, 74.0%, 74.6%, of sufficiency and deficiency groups, respectively). Joint symptoms were lower in women randomized to CEE alone (P < 0.01) but did not significantly differ by Ca/D group assignment and no significant interactions were seen between HT and Ca/D. Conclusion: Among healthy postmenopausal women, Ca/D supplementation did not reduce breast cancer risk but the cancers in those randomized to Ca/D were somewhat smaller. Exogenous estrogen use but not Ca/D supplementation influences arthralgias. [Table: see text]
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Affiliation(s)
- R. T. Chlebowski
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
| | - K. C. Johnson
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
| | - C. Kooperberg
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
| | - A. Hubbell
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
| | - D. Lane
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
| | - M. O’Sullivan
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
| | - S. Cummings
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
| | - T. Rohan
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
| | - S. Yasmeen
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
| | - J. Khandekar
- Los Angeles Biomedical Research Insitute, Torrance, CA; University of Tennessee, Germantown, TN; Fred Hutchinson Cancer Research Center, Seattle, WA; University of California Irvine, Orange, CA; The State Univeristy of New York, Stony Brook, NY; University of Miami, Miami, FL; University of California at San Francisco, San Francisco, CA; Albert Einstein College of Medicine, Bronx, NY; University of California at Davis, Sacramento, CA; Women’s Health Initiative, Evanston, IL
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Schou M, Longares A, Montesinos-Herrero C, Monahan F, O’Riordan D, O’Sullivan M. Properties of edible sodium caseinate films and their application as food wrapping. Lebensm Wiss Technol 2005. [DOI: 10.1016/j.lwt.2004.08.009] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Roche S, Kennedy M, Lenehan B, O’Sullivan M. Irreducible plantar dislocation of the second and third metatarsal heads: a case report. Eur J Orthop Surg Traumatol 2005. [DOI: 10.1007/s00590-005-0245-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Longares A, Monahan F, O’Riordan E, O’Sullivan M. Physical properties and sensory evaluation of WPI films of varying thickness. Lebensm Wiss Technol 2004. [DOI: 10.1016/j.lwt.2003.12.005] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.0] [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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Rynn L, Duddy L, Koh PN, Nielan O, Morris S, O’Sullivan M. Trauma in the West of Ireland, June 1996 to July 2001 — an audit. Ir J Med Sci 2002. [DOI: 10.1007/bf03170102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Clarke G, Ryan E, O’Keane JC, Crowe J, McMathuna P, Moriarty D, Ettarh R, Sheahan K, Hyland J, O’Donoghue DP, Baird AW, Clarke G, Ryan E, Gormley G, Keane JCO, Crowe J, MacMathuna P, Wang JH, Wu QD, Redmond HP, Condron C, Bouchier-Hayes D, Nally K, Newton F, O’Connell J, O’Sullivan GC, Morgan J, Collins JK, Shanahan F, Goode C, O’Connell J, O’Sullivan GC, Collins JK, Shanahan F, Winter DC, Taylor CT, Skelly MM, O’Donoghue DP, O’Sullivan GC, Baird AW, Harvey BJ, Varghese JC, Farrell MA, McGrath FP, Murray FE, Osborne H, Lee MJ, Ryan E, Sullivan A, O’Keane JC, Crowe J, Ryan AE, O’Keane JC, Crowe J, Donovan AN, McCormick PA, Kenny B, Somers S, Bohan A, Gibney RG, Marcaccio M, Malone DE, Doyle M, Delaney CP, Gorey TF, McEntee GP, O’Sullivan GC, Clarke A, Stuart R, Kelly J, Kiely MD, Collins JK, Shanahan F, O’Sullivan M, Lovett E, Mahmud N, Kelleher D, O’Morain CA, Larkin CJ, Watson RGP, Sloan JM, Ardill JES, Johnston CF, Buchanan KD, Heaney A, Collins JSA, Watson GRP, Kalin RM, Heaney A, Collins JSA, Tham TCK, Watson RGP, McFarland RJ, Bamford KB, Cróinín TÓ, Clyne M, Drumm B, Rowland M, Kumar D, O’Connor P, Daly LE, Drumm B, O’Toole DL, Long A, Murphy AM, O’Neill L, Weir DG, Kelleher D, Heaney A, Collins JSA, Watson RGP, Hopkins AM, Moynagh P, O’Donoghue DP, Baird AW, Brennan C, Harmey J, Stapleton PP, Redmond HP, Bouchier-Hayes D, Rasheed AM, Chen G, Kelly C, Bouchier-Hayes DJ, Leahy A, Gallagher M, Grace A, Xin Y, Leader M, Kay E, Whelan A, Pattison U, Willoughby R, Wallace E, Weir D, Feighery C, Bennett MW, O’Connell J, O’Sullivan GC, Brady C, Roche D, Collins JK, Shanahan F, Mahmud N, Molloy A, McPartlin J, Scott JM, Weir DG, Acheson AG, Lee J, Khosraviani K, Irwin ST, McDaid J, McCormick PA, Docherty JR, O’Grady A, Kay E, Mabruk M, Grace A, Leader M, Lee J, Acheson AG, Irwin ST, Larkin CJ, Johnston C, Curry W, Ardill J, Cunningham R, Buchanan KD, Watson RGP, McDougall NI, Coyle PV, Callender ME, Ouinn AM, Warner R, Stevens FM, Chakravarthi PIS, Kearns M, Bourke M, Hassan A, McWeeney J, Stevens FM, McCarthy CF, Casey M, O’Donoghue J, Eustace-Ryan AM, O’Regan P, Feighery L, Jackson J, Cronin N, Shanahan F, Quane K, Feighery C, Mulligan ED, Purcell T, Dunne B, Griffin M, Noonan N, Hollywood D, Keeling N, Reynolds JV, Hennessy TPJ, Mulligan ED, Purcell T, Dunne B, Griffin M, Noonan N, Hollywood D, Keeling N, Reynolds JV, Hennessy TPJ, Mulligan ED, Purcell T, Dunne B, Griffin M, Noonan N, Hollywood D, Keeling N, Reynolds JV, Hennessy TPJ, Mulligan ED, Purcell T, Dunne B, Griffin M, Noonan N, Hollywood D, Keeling N, Reynolds JV, Hennessy TPJ, O’Sulhvan M, Harman I, Breslin NP, Clayton N, O’Morain CA, Hogan S, Donovan B, Hayes D, Kiely M, Eustace-Ryan AM, O’Regan P, Goulding CA, Albloushi SS, O’Connor J, Courtney MG, Murray FE, Albloushi SS, Goulding CA, Kay E, Royston D, Leader M, Courtney MG, Murray FE, Albloushi SS, Kay E, Goulding CA, Grace A, O’Connor J, Shattock AG, Courtney MG, Murray FE, Albloushi SS, Stack A, Kay E, Goulding CA, Carmody M, Murray FE, Courtney MG, Barrett S, Ryan E, O’Keane JC, Crowe J, Hennigan A, Delaney CP, Young L, Shields CJ, O’Keane C, Gorey TF, Fitzpatrick JM, Rasheed AM, Wang JH, Kelly C, Bouchier-Hayes DJ, Leahy A, Doyle MM, Stephens RB, Daly PA, Bennett MW, O’Connell J, O’Sullivan GC, Brady C, Roche D, Collins JK, Shanahan F, Briggs GM, McCrory D, Briggs GM, McCrory D, O’Neill S, O’Grady H, Grant DC, Barry K, Traynor O, Hyland JMP, O’Toole GC, Grant DC, Barry MK, Hyland JMP, Johnston SD, Ritchie CM, Robinson TJ, Johnston SD, Kirby JM, Mackle EM, Robinson TJ, Haider N, Aherne N, McNichol F, Hamilton D, Neary P, Hegarty S, Connor JO, Watson RGK, Drudy D, Alwan A, Fenelon L, O’Farrelly C, Hyland J, Byrne B, Madrigal L, Carton J, Collins C, O’Donoghue D, O’Farrelly C, Gannon N, Hickey A, O’Boyle CA, Byrne R, Albloushi S, Murray F. Irish society of gastroenterology. Ir J Med Sci 1998. [DOI: 10.1007/bf02937896] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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