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Bleckly F, Matthews N, Lo CY. Identity change of late-deafened adults after receiving cochlear implants. Disabil Rehabil Assist Technol 2024; 19:1463-1472. [PMID: 37074730 DOI: 10.1080/17483107.2023.2198565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 03/29/2023] [Indexed: 04/20/2023]
Abstract
PURPOSE The aim of this research was to understand how adults reconceptualise their identity when experiencing hearing loss as an adult, and how their identity might change with a cochlear implant. MATERIALS AND METHODS Using an online survey administered through cochlear implant social media groups, with follow-up semi-structured interviews, participants answered questions about their hearing loss and cochlear implant experiences. Forty-four people answered the survey and 16 participated in an in-depth interview. All were older than 18 years, once had heard, became deafened in adulthood and had at least one cochlear implant. RESULTS The decision to have a cochlear implant often meant acknowledging they were no longer a hearing person. After having an implant four themes emerged. (1) Some participants maintained a hearing identity through hearing loss and after cochlear implantation, while others returned to their hearing identity. (2) Others acknowledged a confused identity, neither deaf nor hearing. In unexpected findings, (3) during the progression of hearing loss, some participants had identified as hearing but could not hear, however after implantation, they became deaf people who could hear. (4) Furthermore, after implantation, some participants identified as disabled when they had not done so when less able to hear. CONCLUSION Given the prevalence of hearing loss in later life, it is important to understand the way these adults understand their identity through the progression of hearing loss and after becoming cochlear implant recipients. The belief people have of themselves impacts healthcare choices and affects their commitment to ongoing rehabilitation.
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Affiliation(s)
- Felicity Bleckly
- Department of Media, Communications, Creative Arts, Language, and Literature, Macquarie University, Sydney, NSW, Australia
- Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia
| | - Nicole Matthews
- Department of Media, Communications, Creative Arts, Language, and Literature, Macquarie University, Sydney, NSW, Australia
| | - Chi Yhun Lo
- Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia
- Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada
- Department of Linguistics, Macquarie University, Sydney, NSW, Australia
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Hayes L, LaFrinier-Ritchie A, Matthews N, O'Keefe B, Perrote N, Rider GN, Brown C, Filoteo M, Johnston-Goodstar K, McMorris BJ, Martin L. Two-Spirit Identity and Adolescent Survey Measures: Considerations of Appropriation, Transparency, and Inclusion. Am J Public Health 2023; 113:1153-1156. [PMID: 37590914 PMCID: PMC10568506 DOI: 10.2105/ajph.2023.307387] [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: 08/19/2023]
Affiliation(s)
- Lenny Hayes
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - Anne LaFrinier-Ritchie
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - Nicole Matthews
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - Beth O'Keefe
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - Nigel Perrote
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - G Nic Rider
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - Camille Brown
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - Montana Filoteo
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - Katie Johnston-Goodstar
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - Barbara J McMorris
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
| | - Lauren Martin
- Lenny Hayes, Anne LaFrinier-Ritchie, Nicole Matthews, Beth O'Keefe, and Nigel Perrote are members of the Minnesota Youth Sex Trading (MYST) project's Native+ community advisory board, Minneapolis, MN. G. Nic Rider is with the Institute for Sexual and Gender Health, Department of Family, Medicine and Community Health, University of Minnesota Medical School, Minneapolis. Katie Johnston-Goodstar is with the School of Social Work, University of Minnesota-Twin Cities, St. Paul. Camille Brown, Montana Filoteo, Barbara J. McMorris, and Lauren Martin are with the School of Nursing, University of Minnesota, Minneapolis
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Anbar J, Matthews N, James S, Ariff A, Pierce K, Smith CJ. Examination of Clinical and Assessment Type Differences Between Toddlers with ASD from Multiplex and Simplex Families. J Autism Dev Disord 2023:10.1007/s10803-022-05890-8. [PMID: 37036578 DOI: 10.1007/s10803-022-05890-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2022] [Indexed: 04/11/2023]
Abstract
Few studies have examined differences in autism spectrum disorder (ASD) phenotype between children from multiplex and simplex families at the time of diagnosis. The present study used an age- and gender-matched, community-based sample (n = 105) from the southwestern United States to examine differences in ASD symptom severity, cognitive development, and adaptive functioning. No significant differences between children from multiplex and simplex families were observed. Exploratory analysis revealed that parents underreported receptive and expressive language and fine motor skills compared to professional observation, especially among children from multiplex families. These findings suggest that diagnosticians may need to consider family structure when choosing and interpreting assessments of receptive language, expressive language, and fine motor skills.
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Affiliation(s)
- Joshua Anbar
- Southwest Autism Research & Resource Center, 2225 N 16th Street, Phoenix, AZ, 85006, USA
| | - Nicole Matthews
- Southwest Autism Research & Resource Center, 2225 N 16th Street, Phoenix, AZ, 85006, USA.
| | - Stephen James
- Southwest Autism Research & Resource Center, 2225 N 16th Street, Phoenix, AZ, 85006, USA
| | - Afzal Ariff
- Southwest Autism Research & Resource Center, 2225 N 16th Street, Phoenix, AZ, 85006, USA
| | - Karen Pierce
- Department of Neurosciences, University of California, San Diego, San Diego, CA, USA
| | - Christopher J Smith
- Southwest Autism Research & Resource Center, 2225 N 16th Street, Phoenix, AZ, 85006, USA
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James S, Hallur S, Anbar J, Matthews N, Pierce K, Smith CJ. Consistency between parent report and direct assessment of development in toddlers with autism spectrum disorder and other delays: Does sex assigned at birth matter? Autism Res 2023. [PMID: 37009713 DOI: 10.1002/aur.2927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 03/18/2023] [Indexed: 04/04/2023]
Abstract
The current study examined differences between parent report and diagnostician direct assessment of receptive language, expressive language, and fine motor abilities in toddlers with autism spectrum disorder (ASD) and other delays. Additionally, this study examined whether parent-diagnostician consistency varied by child diagnosis and sex assigned at birth (SAB). Initial mixed analysis of variances (ANOVAs) were conducted using data from a sample of 646 toddlers to examine whether parent-diagnostician consistency differed by child diagnosis. Matched samples (using child age, SAB, and nonverbal IQ) were then created within each diagnostic group and mixed ANOVAs were conducted to examine if consistency was similar in matched diagnostic subsamples and whether it differed by SAB. Findings from the full sample mostly replicated previous research that has documented consistency between parent report and direct observation regardless of child diagnosis. However, when examined in matched diagnostic subgroups, more nuanced patterns were observed. Parent report of receptive language was lower in ASD and ASD features subgroups and parent report of fine motor skills was lower than direct observation in the ASD, ASD features, and developmental delay groups. When examining the moderating effect of SAB, only expressive language was impacted for children in the ASD group. Results indicate the importance of considering child demographic characteristics and that child SAB may impact parent report and/or diagnostician perception of expressive language.
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Affiliation(s)
- Stephen James
- Southwest Autism Research and Resource Center, Phoenix, Arizona, USA
| | - Shreyas Hallur
- Southwest Autism Research and Resource Center, Phoenix, Arizona, USA
| | - Joshua Anbar
- College of Health Solutions, Arizona State University, Tempe, Arizona, USA
| | - Nicole Matthews
- Southwest Autism Research and Resource Center, Phoenix, Arizona, USA
| | - Karen Pierce
- Department of Neurosciences, University of California San Diego, San Diego, California, USA
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Falah N, Terry A, Umer A, Kastner M, Oliverio KL, Matthews N, Kelly KM, Kellar-Guenther Y. A pilot study of home-based genetic testing completion rate in telegenetics cancer clinics in West Virginia Appalachia. Am J Med Genet A 2023; 191:1013-1019. [PMID: 36637370 DOI: 10.1002/ajmg.a.63109] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 11/09/2022] [Accepted: 12/10/2022] [Indexed: 01/14/2023]
Abstract
Telegenetics has shifted some genetic testing performance to the patient's own home, with the patient collecting his/her own sample. Little is known regarding the rate of test completion of such home-based genetic testing. This study compared the completion rate of home-based genetic tests before and after a reminder system was implemented. In the pre-reminder group, we reviewed medical records for patients who were seen via telegenetics and agreed to complete genetic testing using an at-home test kit. In the reminder group, a prospective analysis of the genetic test completion rate was performed taking a clinical quality improvement approach where three reminders were provided for patients who had not submitted their at-home genetic testing. Our study included 94 patients' records: 46 pre-reminders and 48 reminders. The lab received 24 patient samples (52.2%) in the pre-reminder group. In the reminder group, 30 patients returned their kits (62.5%). Despite a higher percentage of patients completing their test in the reminder group, there was no statistically significant difference between the pre-reminder and reminder groups. The rate of test completion in our pilot test was statistically similar between the two groups, but the reminder group was trending toward a higher percent of completion which may be clinically meaningful.
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Affiliation(s)
- Nadia Falah
- Department of Pediatrics, Division of Genetics, West Virginia University Medicine Children's Hospital, Morgantown, West Virginia, USA.,West Virginia University Cancer Institute, Morgantown, West Virginia, USA
| | - Alissa Terry
- New York Mid-Atlantic Caribbean (NYMAC) Regional Genetics Network, Wadsworth Center, New York, USA
| | - Amna Umer
- Department of Pediatrics, West Virginia University Robert C. Byrd Health Sciences Center, Morgantown, West Virginia, USA
| | - Marlee Kastner
- School of Medicine, West Virginia University, Morgantown, West Virginia, USA
| | - Kathryn L Oliverio
- West Virginia University Cancer Institute, Morgantown, West Virginia, USA
| | - Nicole Matthews
- Department of Pediatrics, Division of Genetics, West Virginia University Medicine Children's Hospital, Morgantown, West Virginia, USA
| | - Kimberly M Kelly
- West Virginia University Cancer Institute, Morgantown, West Virginia, USA.,School of Pharmacy, West Virginia University, Morgantown, West Virginia, USA
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Elbert K, Matthews N, Wassmuth R, Tetens J. Vitality in relation to litter size of crossbred pigs and the effect of the terminal sire line. Anim Prod Sci 2021. [DOI: 10.1071/an20424] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Context
Most research on sire lines is linked to growth and carcass traits. Only a limited number of field trials explore the effect of sire line on piglet vitality, litter size and the interactions between these traits.
Aim
The aim of this study was to examine the effect of sire line on the growth performance and vitality of progeny from birth to weaning and to evaluate the lines with respect to their impact on litter size.
Methods
Data included 150 litters of a Synthetic sire line (A) and 154 of a Piétrain sire line (B), with 4209 piglets born alive, which resulted from matings to 337 dams (Camborough PIC). The numbers of total born and born alive piglets per litter were recorded. Within 24 h after birth, piglet individual birthweight (BWbirth), sex (male/female) and body temperature (BT) were also recorded. At weaning, mortality rates and weaned pigs per sow were registered. At the day of weaning, 665 randomly chosen pigs were individually weighed. Weaning weights (WW) were used to calculate the weaning average daily gain (WADG).
Key results
Sire line significantly affected number of total born (P < 0.0001), number born alive (P < 0.01) and number of weaned pigs per sow (P < 0.01). Across lines, each additional piglet per litter resulted in a 31.2 g decline in BWbirth (P < 0.001). Larger litter sizes, higher BWbirth (P < 0.01) and piglets with a lower BT (P < 0.0001) were detected in litters of Sire line B compared with litters of Sire line A. No differences between lines were detected for WADG, WW and pre-weaning mortality (P > 0.05). A positive correlation between birthweight and WW resulted in a correspondingly higher WADG (P < 0.0001). Overall, heavier BWbirth piglets had a higher BT (P < 0.0001).
Conclusions
The present study indicates that Sire line B would offer a possibility to maintain litter size at a high level and, simultaneously, achieve higher BWbirth, with consequently more vital piglets.
Implication
It is important to emphasise that further selection for litter size in dam lines is not indicated in terms of animal welfare but also production efficiency. Instead, it seems feasible to follow the above strategy and stabilise litter size at a high level, while at the same time breeding for vitality and survivability in sire lines.
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Keidser G, Matthews N, Convery E. A Qualitative Examination of User Perceptions of User-Driven and App-Controlled Hearing Technologies. Am J Audiol 2019; 28:993-1005. [PMID: 31769997 DOI: 10.1044/2019_aja-19-0022] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purpose The aim of this study was to examine how hearing aid candidates perceive user-driven and app-controlled hearing aids and the effect these concepts have on traditional hearing health care delivery. Method Eleven adults (3 women, 8 men), recruited among 60 participants who had completed a research study evaluating an app-controlled, self-fitting hearing aid for 12 weeks, participated in a semistructured interview. Participants were over 55 years of age and had varied experience with hearing aids and smartphones. A template analysis was applied to data. Results Five themes emerged from the interviews: (a) prerequisites to the successful implementation of user-driven and app-controlled technologies, (b) benefits and advantages of user-driven and app-controlled technologies, (c) barriers to the acceptance and use of user-driven and app-controlled technologies, (d) beliefs that age is a significant factor in how well people will adopt new technology, and (e) consequences that flow from the adoption of user-driven and app-controlled technologies. Specifically, suggested benefits of the technology included fostering empowerment and providing cheaper and more discrete options, while challenges included lack of technological self-efficacy among older adults. Training and support were emphasized as necessary for successful adaptation and were suggested to be a focus of audiologic services in the future. Conclusion User perceptions of user-driven and app-controlled hearing technologies challenge the audiologic profession to provide adequate support and training for use of the technology and manufacturers to make the technology more accessible to older people.
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Affiliation(s)
- Gitte Keidser
- National Acoustic Laboratories, Sydney, New South Wales, Australia
- Hearing Cooperative Research Centre, Melbourne, Victoria, Australia
- School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia
| | - Nicole Matthews
- Department of Media, Music, Communication and Cultural Studies, Macquarie University, Sydney, New South Wales, Australia
| | - Elizabeth Convery
- National Acoustic Laboratories, Sydney, New South Wales, Australia
- Hearing Cooperative Research Centre, Melbourne, Victoria, Australia
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Jarosinski S, Hatfield R, Simon B, Matthews N, Arnold C. A comparison of detomidine versus xylazine on recovery score and time when used as a preanesthetic sedative for equine castration. Vet Anaesth Analg 2019. [DOI: 10.1016/j.vaa.2019.08.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Matthews N. Book Review: Paediatric Critical Care, 2nd Edition. Anaesth Intensive Care 2019. [DOI: 10.1177/0310057x9802600629] [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: 11/16/2022]
Affiliation(s)
- N. Matthews
- Women's and Children's Hospital, Adelaide, S.A
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Christie C, Lehman E, Matthews N, Cockroft K. Abstract WMP27: Current Generation Anticonvulsant Prophylaxis After Ischemic Stroke. Stroke 2018. [DOI: 10.1161/str.49.suppl_1.wmp27] [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: 11/16/2022]
Abstract
Introduction:
Ischemic strokes (IS) are the leading cause of seizure development in the elderly and recent reports associate post-IS seizures with increased morbidity and mortality. Yet, there is a scarcity of studies defining the role of anticonvulsant prophylaxis in the prevention of seizures after IS. As a result, AHA/ASA guidelines do not recommend the prophylactic administration of anticonvulsants in this setting. Here, the ability of newer generation anticonvulsants, mainly levetiracetam, to prevent post-IS seizures is analyzed.
Methods:
We performed a review of our clinical database from 2010-2015 including patients that suffered IS. Patient demographics, seizure incidence, and functional outcomes were collected. Patients that received prophylaxis and those who did not were divided. Logistic regression and quantile regression models assessed relationships between outcomes and risk factors, each analysis was corrected for age, gender, and initial NIH stroke scale (NIHSS) score.
Results:
From a total of 1771 patients included in this study, the mean age was 69 and 51.1% were male. Median initial NIHSS score was 6.0 (IQR, 2-14), with prophylaxis and 3.0 (1.0-7.0) without. Of the 534 patients that had prophylactic anticonvulsants, 352 (65.9%) first received levetiracetam and 127 (23.8%) received gabapentin. Those with prophylaxis had 36 (6.7%) seizures and without experienced 47 (3.6%). Despite correcting for the initial severity of stroke, prophylaxis independently and significantly increased the odds of a seizure (adjusted OR, 1.76; 95% CI, 1.09-2.87; p=0.02). Furthermore, prophylaxis was associated with an increased discharge NIHSS score (adjusted difference, 1.0; 95% CI, 1.0-1.0; p<0.001) but not an increase in mRS score at discharge. Patients with prophylaxis also had longer hospital stays (adjusted difference, 1.0 days; 95% CI, 0.7-1.3, p<0.001) and higher total hospital costs (adjusted difference, $9,103; 95% CI, 5,707-12,498; p<0.001).
Conclusions:
Post-IS anticonvulsant prophylaxis is not associated with improved outcomes or a reduced seizure incidence. Instead, prophylaxis here was associated with an increased odds of having a seizure after IS, a worse NIHSS score at discharge with longer hospital stays and higher costs.
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Rojas KE, Matthews N, Raker C, Clark MA, Onstad M, Stuckey A, Gass J. Body mass index (BMI), postoperative appearance satisfaction, and sexual function in breast cancer survivorship. J Cancer Surviv 2017; 12:127-133. [DOI: 10.1007/s11764-017-0651-y] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 09/27/2017] [Indexed: 01/27/2023]
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Hayworth L, Hendricks T, Littrell K, Matthews N. Better Nutrition by Increased Knowledge of food Nutritional Components. JGPHA 2017. [DOI: 10.21633/jgpha.7.144] [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: 11/19/2022] Open
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Taylor JA, Matthews N, Michie PT, Rosa MJ, Garrido MI. Auditory prediction errors as individual biomarkers of schizophrenia. Neuroimage Clin 2017; 15:264-273. [PMID: 28560151 PMCID: PMC5435594 DOI: 10.1016/j.nicl.2017.04.027] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [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: 02/04/2017] [Revised: 04/24/2017] [Accepted: 04/26/2017] [Indexed: 11/28/2022]
Abstract
Schizophrenia is a complex psychiatric disorder, typically diagnosed through symptomatic evidence collected through patient interview. We aim to develop an objective biologically-based computational tool which aids diagnosis and relies on accessible imaging technologies such as electroencephalography (EEG). To achieve this, we used machine learning techniques and a combination of paradigms designed to elicit prediction errors or Mismatch Negativity (MMN) responses. MMN, an EEG component elicited by unpredictable changes in sequences of auditory stimuli, has previously been shown to be reduced in people with schizophrenia and this is arguably one of the most reproducible neurophysiological markers of schizophrenia. EEG data were acquired from 21 patients with schizophrenia and 22 healthy controls whilst they listened to three auditory oddball paradigms comprising sequences of tones which deviated in 10% of trials from regularly occurring standard tones. Deviant tones shared the same properties as standard tones, except for one physical aspect: 1) duration - the deviant stimulus was twice the duration of the standard; 2) monaural gap - deviants had a silent interval omitted from the standard, or 3) inter-aural timing difference, which caused the deviant location to be perceived as 90° away from the standards. We used multivariate pattern analysis, a machine learning technique implemented in the Pattern Recognition for Neuroimaging Toolbox (PRoNTo) to classify images generated through statistical parametric mapping (SPM) of spatiotemporal EEG data, i.e. event-related potentials measured on the two-dimensional surface of the scalp over time. Using support vector machine (SVM) and Gaussian processes classifiers (GPC), we were able classify individual patients and controls with balanced accuracies of up to 80.48% (p-values = 0.0326, FDR corrected) and an ROC analysis yielding an AUC of 0.87. Crucially, a GP regression revealed that MMN predicted global assessment of functioning (GAF) scores (correlation = 0.73, R2 = 0.53, p = 0.0006). The diagnostic utility of multiple auditory oddball stimulus paradigms is assessed. Greatest classification accuracy was achieved using a monaural gap stimulus paradigm. The full post-stimulus epoch contains relevant discriminatory components.
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Affiliation(s)
- J A Taylor
- Queensland Brain Institute, The University of Queensland, Australia; School of Information Technology and Electrical Engineering, The University of Queensland, Australia
| | - N Matthews
- School of Psychology, The University of Queensland, Australia
| | - P T Michie
- School of Psychology, University of Newcastle, Callaghan, New South Wales, Australia; Priority Centre for Brain and Mental Health Research, University of Newcastle, Newcastle, New South Wales, Australia
| | - M J Rosa
- Max-Planck UCL Centre for Computational Psychiatry and Ageing Research, University College London, UK; Department of Computer Science, University College London, UK
| | - M I Garrido
- Queensland Brain Institute, The University of Queensland, Australia; School of Mathematics and Physics, The University of Queensland, Australia; Centre for Advanced Imaging, The University of Queensland, Australia; ARC Centre for Integrative Brain Function, Australia.
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Hawi Z, Cummins TDR, Tong J, Arcos-Burgos M, Zhao Q, Matthews N, Newman DP, Johnson B, Vance A, Heussler HS, Levy F, Easteal S, Wray NR, Kenny E, Morris D, Kent L, Gill M, Bellgrove MA. Rare DNA variants in the brain-derived neurotrophic factor gene increase risk for attention-deficit hyperactivity disorder: a next-generation sequencing study. Mol Psychiatry 2017; 22:580-584. [PMID: 27457811 DOI: 10.1038/mp.2016.117] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [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] [Received: 10/27/2015] [Revised: 04/14/2016] [Accepted: 05/06/2016] [Indexed: 12/26/2022]
Abstract
Attention-deficit hyperactivity disorder (ADHD) is a prevalent and highly heritable disorder of childhood with negative lifetime outcomes. Although candidate gene and genome-wide association studies have identified promising common variant signals, these explain only a fraction of the heritability of ADHD. The observation that rare structural variants confer substantial risk to psychiatric disorders suggests that rare variants might explain a portion of the missing heritability for ADHD. Here we believe we performed the first large-scale next-generation targeted sequencing study of ADHD in 152 child and adolescent cases and 188 controls across an a priori set of 117 genes. A multi-marker gene-level analysis of rare (<1% frequency) single-nucleotide variants (SNVs) revealed that the gene encoding brain-derived neurotrophic factor (BDNF) was associated with ADHD at Bonferroni corrected levels. Sanger sequencing confirmed the existence of all novel rare BDNF variants. Our results implicate BDNF as a genetic risk factor for ADHD, potentially by virtue of its critical role in neurodevelopment and synaptic plasticity.
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Affiliation(s)
- Z Hawi
- School of Psychological Sciences and Monash Institute for Cognitive and Clinical Neurosciences (MICCN), Monash University, Melbourne, VIC, Australia
| | - T D R Cummins
- School of Psychological Sciences and Monash Institute for Cognitive and Clinical Neurosciences (MICCN), Monash University, Melbourne, VIC, Australia
| | - J Tong
- School of Psychological Sciences and Monash Institute for Cognitive and Clinical Neurosciences (MICCN), Monash University, Melbourne, VIC, Australia
| | - M Arcos-Burgos
- John Curtin School of Medical Research, Australian National University, Canberra, ACT, Australia
| | - Q Zhao
- Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia
| | - N Matthews
- Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia
| | - D P Newman
- School of Psychological Sciences and Monash Institute for Cognitive and Clinical Neurosciences (MICCN), Monash University, Melbourne, VIC, Australia
| | - B Johnson
- School of Psychological Sciences and Monash Institute for Cognitive and Clinical Neurosciences (MICCN), Monash University, Melbourne, VIC, Australia
| | - A Vance
- Academic Child Psychiatry Unit, Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Melbourne, VIC, Australia
| | - H S Heussler
- Mater Research Institute, University of Queensland, Brisbane, QLD, Australia
| | - F Levy
- School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.,Child and Family East, Prince of Wales Hospital, Randwick, NSW, Australia
| | - S Easteal
- John Curtin School of Medical Research, Australian National University, Canberra, ACT, Australia
| | - N R Wray
- Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia
| | - E Kenny
- Neuropsychiatric Genetics Research Group, Department of Psychiatry and Institute of Molecular Medicine, Trinity College Dublin, Dublin, Ireland
| | - D Morris
- Department of Biochemistry, National University of Ireland Galway, Galway, Ireland
| | - L Kent
- School of Medicine, University of St Andrews, St Andrews, Scotland, UK
| | - M Gill
- Neuropsychiatric Genetics Research Group, Department of Psychiatry and Institute of Molecular Medicine, Trinity College Dublin, Dublin, Ireland
| | - M A Bellgrove
- School of Psychological Sciences and Monash Institute for Cognitive and Clinical Neurosciences (MICCN), Monash University, Melbourne, VIC, Australia.,Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia
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15
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Russell M, Baldwin CM, McClain D, Matthews N, Smith C, Quan SF. Symptoms of Restless Legs Syndrome in Biological Caregivers of Children with Autism Spectrum Disorders. J Clin Sleep Med 2017; 13:105-113. [PMID: 27855729 DOI: 10.5664/jcsm.6400] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Accepted: 09/20/2016] [Indexed: 11/13/2022]
Abstract
STUDY OBJECTIVES In this study, we investigated the prevalence of symptoms of restless legs syndrome (RLS) in biological caregivers of children with a diagnosis of autism spectrum disorder (ASD).The relationship of RLS symptoms to caregiver health-related quality of life (HRQoL) was also examined. Finally, we compared the sleep quality and daytime behaviors of children with ASD in caregivers with and without symptoms of RLS. METHODS Biological caregivers (n = 50) of children ages 6 to 11 y with a diagnosis of ASD completed a Sleep Habits Questionnaire (SHQ) that included RLS as determined by four questions. HRQoL was assessed using the Medical Outcomes Survey (MOS) 12-Item Short Form (SF-12). Caregivers also completed the Children's Sleep Habits Questionnaire (CSHQ) and Child Behavior Checklist (CBCL6/18). RESULTS Eleven caregivers (22%) fit the criteria for RLS symptomatology and caregivers with RLS reported poorer mental health. Caregivers with RLS described more night waking and greater internalized behavior problems in their children with ASD than the caregivers without RLS. CONCLUSIONS Biological caregivers of children with ASD demonstrated a high prevalence of RLS symptoms and poorer mental health. RLS is known as a sleep disorder that has strong heritability, and it is possible that many of the children with ASD also have symptoms of RLS. RLS as a possible disruptor of sleep should be considered in caregivers and in their children with ASD.
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Affiliation(s)
- Maureen Russell
- College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ
| | - Carol M Baldwin
- College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ
| | - Darya McClain
- College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ
| | | | | | - Stuart F Quan
- University of Arizona, Tucson, AZ.,Harvard Medical School, Boston, MA
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16
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Russell M, Baldwin C, Quan S, McClain D, Smith C, Matthews N. Sleep Problems in Children With Autism Spectrum Disorder and in Their Caregivers. Am J Occup Ther 2016. [DOI: 10.5014/ajot.2016.70s1-po1088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
Date Presented 4/7/2016
This descriptive study found relationships between the sleep problems in children with autism spectrum disorder and the sleep problems of their caregivers. Interventions to improve child sleep must consider the genetic and environmental factors that contribute to sleep quality in the parent–child dyad.
Primary Author and Speaker: Maureen Russell
Contributing Authors: Carol Baldwin, Stuart Quan, Darya McClain, Christopher Smith, Nicole Matthews
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17
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Russell M, Baldwin C, Quan S, McClain D, Smith C, Matthews N. Sense of Coherence and Quality of Life in Caregivers of Children With Autism Spectrum Disorders. Am J Occup Ther 2016. [DOI: 10.5014/ajot.2016.70s1-po2035] [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: 11/17/2022] Open
Abstract
Abstract
Date Presented 4/7/2016
Sense of Coherence (SOC) proposes that when people have an understanding of a challenge, tools to manage it, and a sense of purpose, they are able to cope. Associations were found in this study between a strong SOC in caregivers of children with autism spectrum disorder and a better quality of life.
Primary Author and Speaker: Maureen Russell
Contributing Authors: Carol Baldwin, Stuart Quan, Darya McClain, Christopher Smith, Nicole Matthews
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18
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Molina-Arcas M, Hancock D, Moore C, Horswell S, Matthews N, Downward J. Identification of new combination therapies for NSCLC tumours harbouring KRAS mutations. Eur J Cancer 2016. [DOI: 10.1016/s0959-8049(16)61193-0] [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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19
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Godin-Heymann N, Brabetz S, Murillo MM, Saponaro M, Santos CR, Lobley A, East P, Chakravarty P, Matthews N, Kelly G, Jordan S, Castellano E, Downward J. Tumour-suppression function of KLF12 through regulation of anoikis. Oncogene 2016; 35:3324-34. [PMID: 26455320 PMCID: PMC4929484 DOI: 10.1038/onc.2015.394] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Revised: 08/11/2015] [Accepted: 09/05/2015] [Indexed: 12/14/2022]
Abstract
Suppression of detachment-induced cell death, known as anoikis, is an essential step for cancer metastasis to occur. We report here that expression of KLF12, a member of the Kruppel-like family of transcription factors, is downregulated in lung cancer cell lines that have been selected to grow in the absence of cell adhesion. Knockdown of KLF12 in parental cells results in decreased apoptosis following cell detachment from matrix. KLF12 regulates anoikis by promoting the cell cycle transition through S phase and therefore cell proliferation. Reduced expression levels of KLF12 results in increased ability of lung cancer cells to form tumours in vivo and is associated with poorer survival in lung cancer patients. We therefore identify KLF12 as a novel metastasis-suppressor gene whose loss of function is associated with anoikis resistance through control of the cell cycle.
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Affiliation(s)
- N Godin-Heymann
- Signal Transduction, Cancer Research UK London Research Institute, London, UK
| | - S Brabetz
- Signal Transduction, Cancer Research UK London Research Institute, London, UK
| | - M M Murillo
- Signal Transduction, Cancer Research UK London Research Institute, London, UK
- The Institute of Cancer Research, London, UK
| | - M Saponaro
- Mechanisms of Gene Transcription Laboratory, Cancer Research UK London Research Institute, Clare Hall Laboratories, Hertfordshire, UK
| | - C R Santos
- Translational Cancer Therapeutics, Cancer Research UK London Research Institute, London, UK
| | - A Lobley
- Bioinformatics and Biostatistics Laboratories, Cancer Research UK London Research Institute, London, UK
| | - P East
- Bioinformatics and Biostatistics Laboratories, Cancer Research UK London Research Institute, London, UK
| | - P Chakravarty
- Bioinformatics and Biostatistics Laboratories, Cancer Research UK London Research Institute, London, UK
| | - N Matthews
- Advanced Sequencing Facility, Cancer Research UK London Research Institute, London, UK
| | - G Kelly
- Bioinformatics and Biostatistics Laboratories, Cancer Research UK London Research Institute, London, UK
| | - S Jordan
- Signal Transduction, Cancer Research UK London Research Institute, London, UK
| | - E Castellano
- Signal Transduction, Cancer Research UK London Research Institute, London, UK
| | - J Downward
- Signal Transduction, Cancer Research UK London Research Institute, London, UK
- The Institute of Cancer Research, London, UK
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20
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Smith CJ, Rozga A, Matthews N, Oberleitner R, Nazneen N, Abowd G. Investigating the accuracy of a novel telehealth diagnostic approach for autism spectrum disorder. Psychol Assess 2016; 29:245-252. [PMID: 27196689 DOI: 10.1037/pas0000317] [Citation(s) in RCA: 53] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Research indicates that a substantial amount of time elapses between parents' first concerns about their child's development and a formal diagnosis of autism spectrum disorder (ASD). Telehealth presents an opportunity to expedite the diagnostic process. This project compared a novel telehealth diagnostic approach that utilizes clinically guided in-home video recordings to the gold standard in-person diagnostic assessment. Participants included 40 families seeking an ASD evaluation for their child and 11 families of typically developing children. Children were between the ages of 18 months and 6 years 11 months; mean adaptive behavior composite = 75.47 (SD = 15.94). All parent participants spoke English fluently. Families completed the Naturalistic Observation Diagnostic Assessment (NODA) for ASD, which was compared to an in-person assessment (IPA). Agreement between the 2 methods, as well as sensitivity, specificity, and interrater reliability, were calculated for the full sample and the subsample of families seeking an ASD evaluation. Diagnostic agreement between NODA and the IPA was 88.2% (κ = 0.75) in the full sample and 85% (κ = 0.58) in the subsample. Sensitivity was 84.9% in both, whereas specificity was 94.4% in the full sample and 85.7% in the subsample. Kappa coefficients for interrater reliability indicated 85% to 90% accuracy between raters. NODA utilizes telehealth technology for families to share information with professionals and provides a method to inform clinical judgment for a diagnosis of ASD. Due to the high level of agreement with the IPA in this sample, NODA has potential to improve the efficiency of the diagnostic process for ASD. (PsycINFO Database Record
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Affiliation(s)
| | - Agata Rozga
- School of Interactive Computing, Georgia Institute of Technology
| | | | | | - Nazneen Nazneen
- School of Interactive Computing, Georgia Institute of Technology
| | - Gregory Abowd
- School of Interactive Computing, Georgia Institute of Technology
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21
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Zier-Rush CE, Neill C, Jungst SB, Matthews N, Rosero DS, Boyd RD. 044 Determination of lysine adequacy on a population basis for growing pigs. J Anim Sci 2016. [DOI: 10.2527/msasas2016-044] [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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Farley M, Deer S, Golding JM, Matthews N, Lopez G, Stark C, Hudon E. The prostitution and trafficking of American Indian/Alaska Native women in Minnesota. Am Indian Alsk Native Ment Health Res 2016; 23:65-104. [PMID: 28562843 DOI: 10.5820/aian.2301.2016.65] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
We examined social and physical violence experienced by American Indian/Alaska Native (AI/AN) women in prostitution and their impacts on the mental and physical health of 105 women (81% Anishinaabe, mean age = 35 years) recruited through service agencies in three Minnesota cities. In childhood, abuse, foster care, arrests, and prostitution were typical. Homelessness, rape, assault, racism, and pimping were common. The women's most prevalent physical symptoms included muscle pain, impaired memory or concentration, and headaches. Symptoms of post-traumatic stress disorder and dissociation were common, with more severe psychological symptoms associated with worse health. Most of the women wanted to leave prostitution and they most often identified counseling and peer support as necessary to accomplish this. Most saw colonization and prostitution of AI/AN women as connected.
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23
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Kanu N, Grönroos E, Martinez P, Burrell RA, Yi Goh X, Bartkova J, Maya-Mendoza A, Mistrík M, Rowan AJ, Patel H, Rabinowitz A, East P, Wilson G, Santos CR, McGranahan N, Gulati S, Gerlinger M, Birkbak NJ, Joshi T, Alexandrov LB, Stratton MR, Powles T, Matthews N, Bates PA, Stewart A, Szallasi Z, Larkin J, Bartek J, Swanton C. SETD2 loss-of-function promotes renal cancer branched evolution through replication stress and impaired DNA repair. Oncogene 2015; 34:5699-708. [PMID: 25728682 PMCID: PMC4660036 DOI: 10.1038/onc.2015.24] [Citation(s) in RCA: 128] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2014] [Revised: 12/29/2014] [Accepted: 01/06/2015] [Indexed: 12/13/2022]
Abstract
Defining mechanisms that generate intratumour heterogeneity and branched evolution may inspire novel therapeutic approaches to limit tumour diversity and adaptation. SETD2 (Su(var), Enhancer of zeste, Trithorax-domain containing 2) trimethylates histone-3 lysine-36 (H3K36me3) at sites of active transcription and is mutated in diverse tumour types, including clear cell renal carcinomas (ccRCCs). Distinct SETD2 mutations have been identified in spatially separated regions in ccRCC, indicative of intratumour heterogeneity. In this study, we have addressed the consequences of SETD2 loss-of-function through an integrated bioinformatics and functional genomics approach. We find that bi-allelic SETD2 aberrations are not associated with microsatellite instability in ccRCC. SETD2 depletion in ccRCC cells revealed aberrant and reduced nucleosome compaction and chromatin association of the key replication proteins minichromosome maintenance complex component (MCM7) and DNA polymerase δ hindering replication fork progression, and failure to load lens epithelium-derived growth factor and the Rad51 homologous recombination repair factor at DNA breaks. Consistent with these data, we observe chromosomal breakpoint locations are biased away from H3K36me3 sites in SETD2 wild-type ccRCCs relative to tumours with bi-allelic SETD2 aberrations and that H3K36me3-negative ccRCCs display elevated DNA damage in vivo. These data suggest a role for SETD2 in maintaining genome integrity through nucleosome stabilization, suppression of replication stress and the coordination of DNA repair.
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Affiliation(s)
- N Kanu
- UCL Cancer Institute, Paul O'Gorman Building, London, UK
| | - E Grönroos
- Cancer Research UK London Research Institute, London, UK
| | - P Martinez
- Cancer Research UK London Research Institute, London, UK
| | - R A Burrell
- Cancer Research UK London Research Institute, London, UK
| | - X Yi Goh
- Cancer Research UK London Research Institute, London, UK
| | - J Bartkova
- Danish Cancer Society Research Center, Copenhagen, Denmark
| | - A Maya-Mendoza
- Danish Cancer Society Research Center, Copenhagen, Denmark
| | - M Mistrík
- Faculty of Medicine and Dentistry, Institute of Molecular and Translational Medicine, Palacky University, Olomouc, Czech Republic
| | - A J Rowan
- Cancer Research UK London Research Institute, London, UK
| | - H Patel
- Cancer Research UK London Research Institute, London, UK
| | - A Rabinowitz
- Cancer Research UK London Research Institute, London, UK
| | - P East
- Cancer Research UK London Research Institute, London, UK
| | - G Wilson
- Cancer Research UK London Research Institute, London, UK
| | - C R Santos
- Cancer Research UK London Research Institute, London, UK
| | - N McGranahan
- Cancer Research UK London Research Institute, London, UK
| | - S Gulati
- Cancer Research UK London Research Institute, London, UK
| | - M Gerlinger
- Cancer Research UK London Research Institute, London, UK
| | - N J Birkbak
- UCL Cancer Institute, Paul O'Gorman Building, London, UK
- Cancer Research UK London Research Institute, London, UK
- Department of Systems Biology, Center for Biological Sequence Analysis, Technical University of Denmark, Kongens Lyngby, Denmark
| | - T Joshi
- Department of Systems Biology, Center for Biological Sequence Analysis, Technical University of Denmark, Kongens Lyngby, Denmark
| | - L B Alexandrov
- Cancer Genome Project, Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridgeshire, UK
| | - M R Stratton
- Cancer Genome Project, Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridgeshire, UK
| | - T Powles
- Barts Cancer Institute, Experimental Cancer Medicine Centre, Queen Mary University of London, London, UK
| | - N Matthews
- Cancer Research UK London Research Institute, London, UK
| | - P A Bates
- Cancer Research UK London Research Institute, London, UK
| | - A Stewart
- Cancer Research UK London Research Institute, London, UK
| | - Z Szallasi
- Department of Systems Biology, Center for Biological Sequence Analysis, Technical University of Denmark, Kongens Lyngby, Denmark
- Children's Hospital Boston, Informatics—Enders 1506, Boston, MA, USA
| | - J Larkin
- Department of Medicine, The Royal Marsden Hospital, London, UK
| | - J Bartek
- Danish Cancer Society Research Center, Copenhagen, Denmark
- Faculty of Medicine and Dentistry, Institute of Molecular and Translational Medicine, Palacky University, Olomouc, Czech Republic
| | - C Swanton
- UCL Cancer Institute, Paul O'Gorman Building, London, UK
- Cancer Research UK London Research Institute, London, UK
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24
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Matthews N, Ellem K, Chenoweth L. Crafting and retelling everyday lives--disabled people's contribution to bioethical concerns. Narrat Inq Bioeth 2015; 3:235-40. [PMID: 24407131 DOI: 10.1353/nib.2013.0074] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
This commentary draws out themes from the narrative symposium on "living with the label "disability"" from the perspective of auto/biography and critical disability studies in the humanities. It notes the disconnect between the experiences discussed in the stories and the preoccupations of bioethicists. Referencing Rosemarie Garland-Thompson's recent work, it suggests that life stories by people usually described as "disabled" offer narrative, epistemic and ethical resources for bioethics. The commentary suggests that the symposium offers valuable conceptual tools and critiques of taken-for-granted terms like "dependency". It notes that these narrators do not un-problematically embrace the term "disability", but emphasize the need to redefine, strategically deploy or reject this term. Some accounts are explicitly critical of medical practitioners while others redefine health and wellbeing, emphasizing the need for reciprocity and respect for the knowledge of people with disability, including knowledge from their experience of "the variant body" (Leach Scully, 2008).
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26
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Ho T, Pfeffer P, Mann E, Kelly F, Matthews N, Hawrylowicz C. S48 Air Pollution Particulate Matter Promotes Dc Maturation And Enhances Their Stimulation Of Cd8 Lymphocyte Responses. Thorax 2014. [DOI: 10.1136/thoraxjnl-2014-206260.54] [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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27
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Matthews N, Achtman R, Fenton R, FitzGerald B, Welch L. Dissociating Temporal Order & Simultaneity: A Perceptual Learning Study. J Vis 2014. [DOI: 10.1167/14.10.948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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28
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Clement A, Matthews N. Can Attention's Temporal Resolution Be Doubled? J Vis 2014. [DOI: 10.1167/14.10.346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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29
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De Bruin E, McGranahan N, Salm M, Wedge D, Mitter R, Yates L, Matthews N, Stewart A, Campbell P, Swanton C. 10: Intra-tumour heterogeneity in early-stage lung cancer inferred by multi-region sequencing. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)50010-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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30
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Matthews N, Welch L, Festa E, Clement A. Remapping Time Across Space. J Vis 2013. [DOI: 10.1167/13.9.1197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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31
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Welch L, Matthews N. Hemifield asymmetries in attention-based motion discrimination. J Vis 2013. [DOI: 10.1167/13.9.1296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Matthews N, Vawter M, Kelly J. Right Hemifield Deficits in Judging Simultaneity: A Perceptual Learning Study. J Vis 2012. [DOI: 10.1167/12.9.1138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Kelly J, Matthews N. Attentional Oblique Effect When Judging Simultaneity: A Perceptual Learning Study. J Vis 2011. [DOI: 10.1167/11.11.1033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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35
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Matthews N, Theobald S. Attention-Dependent Hemifield Asymmetries When Judging Numerosity. J Vis 2011. [DOI: 10.1167/11.11.252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Matthews N, Kelly J. Laterality-Specific Perceptual Learning on Gabor Detection. J Vis 2010. [DOI: 10.1167/10.7.1145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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38
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Kelly J, Matthews N. Judging peripheral change: Attentional and stimulus-driven effects. J Vis 2010. [DOI: 10.1167/10.7.149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Matthews N, Kelly J. Bilateral attentional advantage in Gabor detection. J Vis 2010. [DOI: 10.1167/9.8.214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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40
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Matthews N. Bilateral superiority in detecting gabor targets among gabor distracters. J Vis 2010. [DOI: 10.1167/8.6.140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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41
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Matthews N, Kurosawa K, Strong K. Hastening orientation sensitivity. J Vis 2010. [DOI: 10.1167/6.6.157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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42
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Saffell TN, Matthews N. Perceptual learning reveals separate neural events for speed and direction. J Vis 2010. [DOI: 10.1167/3.9.260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Matthews N. Fine Motion Discriminations at Isoluminance. J Vis 2010. [DOI: 10.1167/2.7.389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Abstract
We report the case of a 65-year-old patient who had complete excision of an atrial myxoma and subsequently presented to our unit with recurrent cerebral metastasis. The case demonstrates that cardiac myxoma despite benign histological appearance is capable of metastatic spread.
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Affiliation(s)
- D Rodrigues
- Department of Neurosurgery, James Cook University Hospital, Middlesborough, UK.
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Ocean AJ, O’Brien K, Lee J, Matthews N, Holloway S, Christos P, Kung TS, Kaubisch A, Chen H, Wadler S. Phase II trial of FOLFOX6, bevacizumab and cetuximab in patients with Colorectal Cancer. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.4075] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [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
4075 Background: Bevacizumab (B) + FOLFOX is widely accepted as a standard first-line therapy for metastatic colorectal cancer (mCRC). Recent treatment strategies have included the use of targeted therapies combined with chemotherapy to improve efficacy and to reduce chemotherapy-related toxicities. This Phase II study assesses first-line mFOLFOX6 + B + cetuximab (C), a monoclonal antibody approved for use in irinotecan-refractory mCRC. Methods: All pts had ECOG PS = 1, normal bone marrow, hepatic and renal function. Pts received mFOLFOX6 + B (5mg/kg) biweekly and C weekly (initially at 400 mg/m2, then subsequent doses at 250 mg/m2). Tumor assessment by imaging was done every 8 weeks. Primary endpoints are response rate, progression free-survival (PFS), overall survival (OS), and safety. The regimen would be considered promising if there were = 32 responses, or if = 60% of pts were progression-free for at least 8 months. Results: 67 pts (37 males, 30 females) were enrolled from 12/04–11/06. Median age was 57. Toxicities included Grade 4: neutropenia (6%), thrombosis/embolism (5%). Grade 3: neutropenia (13%), rash (13%), fatigue (11%), diarrhea (11%), abdominal pain (6%), neuropathy (5%), infection with ≤ Grade 2 ANC (4.5%). There were 2 deaths, 1 due to neutropenia and diarrhea and 1 to pulmonary fibrosis. As of 12/06, 9 pts were too early to evaluate. Of the remaining 58 pts, there were 32 responses (55%; 95% CI: 42%, 68%), including 3 CRs and 29 PRs; Median PFS was 9.6 months (95% CI: 8.8, 13.9 months), 71% were progression-free for at least 8 months, and median OS was not reached after a median follow-up of 11.4 months (range 1.5–25.2 months). Conclusions: Treatment with mFOLFOX6+ B + C met the pre-specified criteria for objective response and PFS to be considered promising. This regimen is associated with an acceptable toxicity profile and merits further evaluation. Supported by N01-CA-62204. No significant financial relationships to disclose.
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Affiliation(s)
- A. J. Ocean
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
| | - K. O’Brien
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
| | - J. Lee
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
| | - N. Matthews
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
| | - S. Holloway
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
| | - P. Christos
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
| | - T. S. Kung
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
| | - A. Kaubisch
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
| | - H. Chen
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
| | - S. Wadler
- NY Presbyterian Hosp, New York, NY; Montefiore Medical Center, Bronx, NY; National Cancer Institute, NIH, Bethesda, MD
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Ocean AJ, Schnoll-Sussman F, Keresztes R, Chen X, Holloway S, Matthews N, Christos P, Mazumdar M, Wright J, Wadler S. Phase II study of PS-341 (bortezomib) with or without irinotecan in patients (pts) with advanced gastric adenocarcinomas (AGA). J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.14040] [Citation(s) in RCA: 14] [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: 11/20/2022] Open
Abstract
14040 Background: We are conducting a phase II trial of the proteasome inhibitor, PS-341, with or without irinotecan in pts with AGA. The combination of PS-341 and irinotecan has been studied in preclinical tumor models including a murine xenograft model of colon cancer, where the combination achieved significantly more tumor shrinkage than either agent alone. The primary objective of this study is to determine response rates, toxicities, progression-free survival, and overall survival in pts with AGA receiving PS-341 alone or in combination with irinotecan. Methods: All pts had gastric adenocarcinoma beyond the scope of surgical resection, measurable disease, and normal bone marrow, hepatic and renal function. All gave informed consent. In previously untreated patients, PS-341 was administered at 1.3 mg/m2 on days 1, 4, 8, and 11 as IV bolus every 21 days. Irinotecan was administered IV at 125 mg/m2 over 90 mins on days 1 and 8 every 21 days (Arm A). For previously treated patients, PS-341 was administered as a single agent at 1.3mg/m2 on days 1, 4, 8, 11 as an IV bolus every 21 days (Arm B). Radiologic evaluation and tumor measurements were performed every 8 weeks. Results: Thirty-seven pts have been enrolled; 29 are evaluable (4 never treated, 4 TETE). Twenty-two pts were treated in Arm A, and 11 in Arm B. All pts were eligible and the 29 treated pts were fully evaluable. Median age 58 (33–87); 26 males/7 females; median number of cycles received was 2.0. Most common toxicities: Grade 4 cardiac arrest (1), stomach perforation (1), leukopenia (2), diarrhea (1), edema (1); Grade 3 nausea (6), vomiting (7), diarrhea (4), febrile neutropenia (3), thrombocytopenia (6), anemia (6); Grade 5 death (3). Severe toxicities likely attributed to disease progression. Response rate was 33% for Arm A, 9% for Arm B. Progression-free survival was 1.8 mo. in Arm A, 1.4 mo. in Arm B. Median overall survival was 4.8 mo. in Arm A, 5.4 mo. in Arm B. Conclusions: The combination of PS-341 and irinotecan, a non-cisplatin containing therapy, is active in AGA and should be considered a key regimen. Monotherapy with PS-341 has a 9% response rate in this population of pre-treated patients with advanced disease. Accrual to this study is continuing. [Table: see text]
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Affiliation(s)
- A. J. Ocean
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
| | - F. Schnoll-Sussman
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
| | - R. Keresztes
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
| | - X. Chen
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
| | - S. Holloway
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
| | - N. Matthews
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
| | - P. Christos
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
| | - M. Mazumdar
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
| | - J. Wright
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
| | - S. Wadler
- Weill Medical College of Cornell University, New York, NY; Princess Margaret Hospital, Toronto, ON, Canada; National Cancer Institute, Bethesda, MD
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Migoya EM, Bergman A, Hreniuk D, Matthews N, Yi B, Roadcap B, Valesky R, Liu L, Riffel K, Groff M, Zhao JJ, Musson DG, Gambale J, Kosoglou T, Statkevich P, Lasseter KC, Laurent A, Johnson-Levonas AO, Murphy G, Gottesdiener K, Paolini JF. Bioequivalence of an ezetimibe/simvastatin combination tablet and coadministration of ezetimibe and simvastatin as separate tablets in healthy subjects. Int J Clin Pharmacol Ther 2006; 44:83-92. [PMID: 16502768 DOI: 10.5414/cpp44083] [Citation(s) in RCA: 14] [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] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To assess the bioequivalence of an ezetimibe/simvastatin (EZE/SIMVA) combination tablet compared to the coadministration of ezetimibe and simvastatin as separate tablets (EZE + SIMVA). METHODS In this open-label, randomized, 2-part, 2-period crossover study, 96 healthy subjects were randomly assigned to participate in each part of the study (Part I or II), with each part consisting of 2 single-dose treatment periods separated by a 14-day washout. Part I consisted of Treatments A (EZE 10 mg + SIMVA 10 mg) and B (EZE/SIMVA 10/10 mg/mg) and Part II consisted of Treatments C (EZE 10 mg + SIMVA 80 mg) and D (EZE/SIMVA 10/80 mg/mg). Blood samples were collected up to 96 hours post-dose for determination of ezetimibe, total ezetimibe (ezetimibe + ezetimibe glucuronide), simvastatin and simvastatin acid (the most prevalent active metabolite of simvastatin) concentrations. Ezetimibe and simvastatin acid AUC(0-last) were predefined as primary endpoints and ezetimibe and simvastatin acid Cmax were secondary endpoints. Bioequivalence was achieved if 90% confidence intervals (CI) for the geometric mean ratios (GMR) (single tablet/coadministration) of AUC(0-last) and Cmax fell within prespecified bounds of (0.80, 1.25). RESULTS The GMRs of the AUC(0-last) and Cmax for ezetimibe and simvastatin acid fell within the bioequivalence limits (0.80, 1.25). EZE/ SIMVA and EZE + SIMVA were generally well tolerated. CONCLUSIONS The lowest and highest dosage strengths of EZE/SIMVA tablet were bioequivalent to the individual drug components administered together. Given the exact weight multiples of the EZE/SIMVA tablet and linear pharmacokinetics of simvastatin across the marketed dose range, bioequivalence of the intermediate tablet strengths (EZE/SIMVA 10/20 mg/mg and EZE/SIMVA 10/40 mg/mg) was inferred, although these dosages were not tested directly. These results indicate that the safety and efficacy profile of EZE + SIMVA coadministration therapy can be applied to treatment with the EZE/SIMVA tablet across the clinical dose range.
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Affiliation(s)
- E M Migoya
- Merck Research Laboratories, Rahway, NJ 07065-0900, USA.
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Kamishlian A, Matthews N, Gupta A, Filipov P, Maclaren N, Anhalt H, Ten S. Different outcomes of neonatal thyroid function after Graves' disease in pregnancy: patient reports and literature review. J Pediatr Endocrinol Metab 2005; 18:1357-63. [PMID: 16459461 DOI: 10.1515/jpem.2005.18.12.1357] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [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] [Indexed: 11/15/2022]
Abstract
Graves' disease in pregnancy is a rare condition that directly affects neonatal thyroid function. We describe three newborns born to mothers with Graves' disease and discuss differences in outcomes and management. The first infant presented with a goiter at birth but was euthyroid and did not require therapy. The second infant presented with thyroid storm and the third infant present with neonatal hyperthyroidism, and both required treatment with antithyroid drugs. There was documented elevation of maternal and infant thyroid stimulating hormone immunoglobulin (TSI) levels in all three infants. Management of an infant born to a mother with Graves' disease should include monitoring of both maternal and neonatal thyroid function, and maternal TSI levels during pregnancy. Treatment may be needed if the newborn is symptomatic. With clearance of maternal antibodies and antithyroid drugs, manifestations of abnormal thyroid function in the neonate gradually regress, including eventual resolution of a goiter, if initially present.
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Affiliation(s)
- Abigail Kamishlian
- Division of Pediatric Endocrinology, Maimonides Medical Center, Brooklyn, NY 11219, USA
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Wadler S, Loh E, Pilat MJ, Malburg L, Holloway S, Matthews N, Shackleton G, Valdivieso M, Lorusso P. A phase I trial of SR271425 given as a one hour infusion every 3 weeks to patients with advanced solid tumors. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.2030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- S. Wadler
- Weill Medcl Coll of Cornell Univ, New York, NY; Sanofi-Aventis, Malvern, PA; Karmanos Cancer Institute, Detroit, MI; Sanofi-Aventis, Alnwick, United Kingdom
| | - E. Loh
- Weill Medcl Coll of Cornell Univ, New York, NY; Sanofi-Aventis, Malvern, PA; Karmanos Cancer Institute, Detroit, MI; Sanofi-Aventis, Alnwick, United Kingdom
| | - M. J. Pilat
- Weill Medcl Coll of Cornell Univ, New York, NY; Sanofi-Aventis, Malvern, PA; Karmanos Cancer Institute, Detroit, MI; Sanofi-Aventis, Alnwick, United Kingdom
| | - L. Malburg
- Weill Medcl Coll of Cornell Univ, New York, NY; Sanofi-Aventis, Malvern, PA; Karmanos Cancer Institute, Detroit, MI; Sanofi-Aventis, Alnwick, United Kingdom
| | - S. Holloway
- Weill Medcl Coll of Cornell Univ, New York, NY; Sanofi-Aventis, Malvern, PA; Karmanos Cancer Institute, Detroit, MI; Sanofi-Aventis, Alnwick, United Kingdom
| | - N. Matthews
- Weill Medcl Coll of Cornell Univ, New York, NY; Sanofi-Aventis, Malvern, PA; Karmanos Cancer Institute, Detroit, MI; Sanofi-Aventis, Alnwick, United Kingdom
| | - G. Shackleton
- Weill Medcl Coll of Cornell Univ, New York, NY; Sanofi-Aventis, Malvern, PA; Karmanos Cancer Institute, Detroit, MI; Sanofi-Aventis, Alnwick, United Kingdom
| | - M. Valdivieso
- Weill Medcl Coll of Cornell Univ, New York, NY; Sanofi-Aventis, Malvern, PA; Karmanos Cancer Institute, Detroit, MI; Sanofi-Aventis, Alnwick, United Kingdom
| | - P. Lorusso
- Weill Medcl Coll of Cornell Univ, New York, NY; Sanofi-Aventis, Malvern, PA; Karmanos Cancer Institute, Detroit, MI; Sanofi-Aventis, Alnwick, United Kingdom
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Matthews N, Allen J. The Role of Speed Lines in Subtle Direction Judgments. J Vis 2004. [DOI: 10.1167/4.8.556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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