1
|
Auld K, Devaparanam I, Roberts S, McInerney J. Lived experiences of healthcare. Putting the person in person centred care in the medical radiation sciences. Radiography (Lond) 2024; 30:856-861. [PMID: 38582023 DOI: 10.1016/j.radi.2024.03.012] [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: 11/16/2023] [Revised: 03/12/2024] [Accepted: 03/25/2024] [Indexed: 04/08/2024]
Abstract
INTRODUCTION Contemporary healthcare models recognise person-centred care (PCC) as a fundamental principle of quality, safe care. While substantial literature exists on PCC in healthcare generally, there is less evidence on how this relates to medical imaging and radiation therapy. Embedding patient-lived experiences of healthcare into healthcare education has promise in enhancing students' confidence in delivering PCC. Digital storytelling (DST) of patient-lived experiences can help improve reflection, understanding, critical thinking and empathy. METHODS Authentic patient-lived experiences were extracted from students' clinical workbooks, transformed into first person vignettes and integrated into the curriculum. Students were invited to attend focus groups to explore the impact the activity had on the student. RESULTS Thematic analysis identified three themes. (1) Enhancing PCC; (2) Mode of Delivery (Scaffolded Learning); and (3) Collaborative Learning. PCC was the strongest theme with students stating this is the first time they engaged in an activity focused on the psychosocial aspect of patient care. The majority of students indicated the mode of delivery was engaging and unique, whereby the vignettes were presented incrementally. Collaborative learning was identified by over half of the students where learning took place in a safe and supportive environment. CONCLUSION This project explored students' perspectives of integrating patient-lived experiences into the curriculum via DST. Students who engaged with the activities felt better prepared to deliver quality safe PCC. IMPLICATIONS FOR PRACTICE Providing healthcare students with opportunities to develop skills to deliver PCC before they enter the workforce can enhance their confidence in delivering effective PCC.
Collapse
Affiliation(s)
- K Auld
- Department of Medical Imaging and Radiation Sciences, Monash University, Melbourne, Australia.
| | - I Devaparanam
- Department of Medical Imaging and Radiation Sciences, Monash University, Melbourne, Australia
| | - S Roberts
- Department of Medical Imaging and Radiation Sciences, Monash University, Melbourne, Australia
| | - J McInerney
- Department of Medical Imaging and Radiation Sciences, Monash University, Melbourne, Australia; Radiology Department, Royal Melbourne Hospital, Melbourne, Australia
| |
Collapse
|
2
|
Hutchings HA, Rahman M, Carter K, Islam S, O'Neill C, Roberts S, John A, Fegan G, Dave U, Hawkes N, Ahmed F, Hasan M, Azad AK, Rahman MM, Kibria MG, Rahman MM, Mia T, Akhter M, Williams JG. Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey study. BMJ Open 2024; 14:e079350. [PMID: 38453200 PMCID: PMC10921535 DOI: 10.1136/bmjopen-2023-079350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 02/14/2024] [Indexed: 03/09/2024] Open
Abstract
INTRODUCTION COVID-19 has caused severe disruption to clinical services in Bangladesh but the extent of this, and the impact on healthcare professionals is unclear. We aimed to assess the perceived levels of anxiety, depression and burnout among doctors and nurses during COVID-19 pandemic. METHODS We undertook an online survey using RedCap, directed at doctors and nurses across four institutions in Bangladesh (The Sheikh Russel Gastro Liver Institute & Hospital (SRNGIH), Dhaka Medical College Hospital (DMCH), Mugda Medical College Hospital (MMCH) and M Abdur Rahim Medical College (MARMC) Hospital). We collected information on demographics, awareness of well-being services, COVID-19-related workload, as well as anxiety, depression and burnout using two validated questionnaires: the Hospital Anxiety and Depression Scale (HADS) and the Maslach Burnout Inventory (MBI). RESULTS Of the 3000 participants approached, we received responses from 2705 (90.2%). There was a statistically significant difference in anxiety, depression and burnout scores across institutions (p<0.01). Anxiety, depression and burnout scores were statistically worse in COVID-19 active staff compared with those not working on COVID-19 activities (p<0.01 for HADS anxiety and depression and MBI emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA)). Over half of the participants exhibited some level of anxiety (SRNGIH: 52.2%; DMCH: 53.9%; MMCH: 61.3%; MARMC: 68%) with a high proportion experiencing depression (SRNGIH: 39.5%; DMCH: 38.7%; MMCH: 53.7%; MARMC: 41.1%). Although mean burnout scores were within the normal range for each institution, a high proportion of staff (almost 20% in some instances) were shown to be classified as experiencing burnout by their EE, DP and PA scores. CONCLUSION We identified a high prevalence of perceived anxiety, depression and burnout among doctors and nurses during the COVID-19 pandemic. This was worse in staff engaged in COVID-19-related activities. These findings could help healthcare organisations to plan for future similar events.
Collapse
Affiliation(s)
| | - Mesbah Rahman
- Swansea Bay University Health Board, Port Talbot, UK
| | | | | | | | | | | | | | - Umakant Dave
- Swansea Bay University Health Board, Port Talbot, UK
| | - Neil Hawkes
- Cwm Taf Morgannwg University Health Board, Abercynon, UK
| | - Faruque Ahmed
- Department of Gastroenterology, Sheikh Russel National Gastroliver Institute and Hospital, Dhaka, Bangladesh
| | | | | | | | - Md Golam Kibria
- Sheikh Russel National Gastroliver Institute, Dhaka, Bangladesh
| | | | - Titu Mia
- Mugda Medical College and Hospital, Dhaka, Bangladesh
| | | | - John G Williams
- Faculty of Medicine, Health and Life Science, Swansea University, Swansea, UK
| |
Collapse
|
3
|
Ben M, Glinsky JV, Chu J, Spooren AI, Roberts S, Chen LW, Denis S, Lorusso M, Jorgensen V, Gollan EJ, Agostinello J, Van Laake-Geelen CCM, Lincoln C, Stolwijk JM, Bell C, Paddison S, Rainey D, Tranter K, Ilha J, Oostra K, Sherrington C, Harvey LA. Early and intensive Motor Training for people with spinal cord injuries (the SCI-MT Trial): description of the intervention. Spinal Cord 2023; 61:600-607. [PMID: 37468607 PMCID: PMC10645584 DOI: 10.1038/s41393-023-00911-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 06/23/2023] [Accepted: 06/27/2023] [Indexed: 07/21/2023]
Abstract
STUDY DESIGN Descriptive. OBJECTIVES The primary objective is to describe the intervention that will be provided in a large multi-centre randomised controlled trial titled: Early and Intensive Motor Training for people with Spinal Cord Injuries (the SCI-MT Trial). The secondary objective is to describe the strategies that will be used to operationalise and standardise the Motor Training provided to participants while keeping the intervention person-centred. METHODS The paper focuses on the rationale and principles of Motor Training for people with spinal cord injuries (SCI). The description of the intervention is based on the Template for Intervention Description and Replication (TIDieR) checklist. Specifically, it addresses the following 6 criteria of the TIDieR checklist: why the effectiveness of Motor Training is being examined; what, how, where and when the Motor Training will be administered; and how much Motor Training will be provided. RESULTS A detailed intervention manual has been developed to help standardise the delivery of the intervention. CONCLUSIONS This paper describes the details of a complex intervention administered as part of a large randomised controlled trial. It will facilitate the subsequent interpretation of the trial results and enable the intervention to be reproduced in clinical practice and future trials.
Collapse
Affiliation(s)
- M Ben
- Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, Australia
| | - J V Glinsky
- Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, Australia
| | - J Chu
- Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, Australia
| | | | - S Roberts
- Fiona Stanley Hospital, Murdoch, WA, Australia
| | - L W Chen
- Royal North Shore Hospital, St Leonards, NSW, Australia
| | - S Denis
- The Prince of Wales Hospital, Wales, NSW, Australia
| | - M Lorusso
- I.R.C.C.S. Foundation Santa Lucia, Rome, Italy
| | - V Jorgensen
- Sunnaas Rehabilitation Hospital, Nesodden, Norway
| | - E J Gollan
- The Princess Alexandra Hospital, Harlow, QLD, Australia
| | - J Agostinello
- The Royal Talbot Rehabilitation Centre, Kew Vic, VIC, Australia
| | - C C M Van Laake-Geelen
- Adelante Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands
- Department of Rehabilitation Medicine, Research School CAPHRI, Maastricht University, Maastricht, The Netherlands
| | - C Lincoln
- Queen Elizabeth National Spinal Injures Unit, Glasgow, Scotland
| | - J M Stolwijk
- Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands
| | - C Bell
- Spinal Cord Injury Rehabilitation, Repat Health Precinct, Daw Park, SA, Australia
| | - S Paddison
- London Spinal Cord Injury Centre, Royal National Orthopaedic Hospital Trust, Middlesex, UK
| | - D Rainey
- Royal Rehab, Ryde, NSW, Australia
| | - K Tranter
- Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
- John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, Australia
| | - J Ilha
- Universidade do Estado de Santa Catarina - UDESC, College of Health and Sport Science, Florianopolis, SC, Brazil
| | - K Oostra
- Ghent University Hospital, Ghent, Belgium
| | - C Sherrington
- Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
| | - L A Harvey
- Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
- John Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District, St Leonards, Sydney, NSW, Australia.
| |
Collapse
|
4
|
Johnson S, Roberts S, Hayes S, Fiske A, Lucivero F, McLennan S, Phillips A, Samuel G, Prainsack B. Understanding Pandemic Solidarity: Mutual Support During the First COVID-19 Lockdown in the United Kingdom. Public Health Ethics 2023; 16:245-260. [PMID: 38333769 PMCID: PMC10849163 DOI: 10.1093/phe/phad024] [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] [Received: 06/29/2022] [Indexed: 02/10/2024] Open
Abstract
Throughout the COVID-19 pandemic, the concept of solidarity has been invoked frequently. Much interest has centred around how citizens and communities support one another during times of uncertainty. Yet, empirical research which accounts and understands citizen's views on pandemic solidarity, or their actual practices has remained limited. Drawing upon the analysis of data from 35 qualitative interviews, this article investigates how residents in England and Scotland enacted, understood, or criticised (the lack of) solidarity during the first national lockdown in the United Kingdom in April 2020-at a time when media celebrated solidarity as being at an all-time high. It finds that although solidarity was practiced by some people, the perceived lack of solidarity was just as pronounced. We conclude that despite frequent mobilisations of solidarity by policy makers and other public actors, actual practices of solidarity are poorly understood-despite the importance of solidarity for public health and policy.
Collapse
Affiliation(s)
- Stephanie Johnson
- Ethox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - Stephen Roberts
- Institute for Global Health, University College London (UCL), London, UK
- Department of Health Policy, London School of Economics and Political Science (LSE), London, UK
| | - Sarah Hayes
- Vienna School of International Studies, Diplomatic Academy Vienna, Vienna, Austria
| | - Amelia Fiske
- Institute of History and Ethics in Medicine, Department of Clinical Medicine, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany
| | - Federica Lucivero
- Ethox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - Stuart McLennan
- Institute of History and Ethics in Medicine, Department of Clinical Medicine, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany
| | - Amicia Phillips
- Centre for Biomedical Ethics and Law, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
| | - Gabrielle Samuel
- Department of Global Health and Social Medicine, King’s College London, Bush House, The Strand, London, UK
| | - Barbara Prainsack
- Department of Political Science, University of Vienna, Neues Institutsgebäude, Universitätsstraße 7, 1010 Vienna, Austria
| |
Collapse
|
5
|
McCoy D, Roberts S, Daoudi S, Kennedy J. Global health security and the health-security nexus: principles, politics and praxis. BMJ Glob Health 2023; 8:e013067. [PMID: 37748796 PMCID: PMC10537961 DOI: 10.1136/bmjgh-2023-013067] [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: 06/10/2023] [Accepted: 08/20/2023] [Indexed: 09/27/2023] Open
Abstract
The past four decades have seen a steady rise of references to 'security' by health academics, policy-makers and practitioners, particularly in relation to threats posed by infectious disease pandemics. Yet, despite an increasingly dominant health security discourse, the many different ways in which health and security issues and actors intersect have remained largely unassessed and unpacked in current critical global health scholarship. This paper discusses the emerging and growing health-security nexus in the wake of COVID-19 and the international focus on global health security. In recognising the contested and fluid concept of health security, this paper presents two contrasting approaches to health security: neocolonial health security and universal health security. Building from this analysis, we present a novel heuristic that delineates the multiple intersections and entanglements between health and security actors and agendas to broaden our conceptualisation of global health security configurations and practices and to highlight the potential for harmful unintended consequences, the erosion of global health norms and values, and the risk of health actors being co-opted by the security sector.
Collapse
Affiliation(s)
- David McCoy
- International Institute for Global Health, United Nations University, Kuala Lumpur, Malaysia
| | - Stephen Roberts
- Institute for Global Health, University College London, London, UK
| | - Salma Daoudi
- Department of Politics and International Relations, University of Oxford, Oxford, UK
| | - Jonathan Kennedy
- Wolfson Institute for Population Health, Queen Mary University London, London, UK
| |
Collapse
|
6
|
Dam R, Mponzi W, Msaky D, Mwandyala T, Kaindoa EW, Sinka ME, Kiskin I, Herreros-Moya E, Messina J, Shah SGS, Roberts S, Willis KJ. What incentives encourage local communities to collect and upload mosquito sound data by using smartphones? A mixed methods study in Tanzania. Glob Health Res Policy 2023; 8:18. [PMID: 37246227 DOI: 10.1186/s41256-023-00298-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 04/07/2023] [Indexed: 05/30/2023] Open
Abstract
BACKGROUND To detect and identify mosquitoes using their characteristic high-pitched sound, we have developed a smartphone application, known as the 'HumBug sensor', that records the acoustic signature of this sound, along with the time and location. This data is then sent remotely to a server where algorithms identify the species according to their distinctive acoustic signature. Whilst this system works well, a key question that remains is what mechanisms will lead to effective uptake and use of this mosquito survey tool? We addressed this question by working with local communities in rural Tanzania and providing three alternative incentives: money only, short message service (SMS) reminders and money, and SMS reminders only. We also had a control group with no incentive. METHODS A multi-site, quantitative empirical study was conducted in four villages in Tanzania from April to August 2021. Consenting participants (n = 148) were recruited and placed into one of the three intervention arms: monetary incentives only; SMS reminders with monetary incentives; and SMS reminders only. There was also a control group (no intervention). To test effectiveness of the mechanisms, the number of audio uploads to the server of the four trial groups on their specific dates were compared. Qualitative focus group discussions and feedback surveys were also conducted to explore participants' perspectives on their participation in the study and to capture their experiences of using the HumBug sensor. RESULTS Qualitative data analysis revealed that for many participants (37 out of 81), the main motivation expressed was to learn more about the types of mosquitoes present in their houses. Results from the quantitative empirical study indicate that the participants in the 'control' group switched on their HumBug sensors more over the 14-week period (8 out of 14 weeks) when compared to those belonging to the 'SMS reminders and monetary incentives' trial group. These findings are statistically significant (p < 0.05 or p > 0.95 under a two-sided z-test), revealing that the provision of monetary incentives and sending SMS reminders did not appear to encourage greater number of audio uploads when compared to the control. CONCLUSIONS Knowledge on the presence of harmful mosquitoes was the strongest motive for local communities to collect and upload mosquito sound data via the HumBug sensor in rural Tanzania. This finding suggests that most efforts should be made to improve flow of real-time information back to the communities on types and risks associated with mosquitoes present in their houses.
Collapse
Affiliation(s)
- Rinita Dam
- Department of Biology, University of Oxford, Oxford, UK.
- Warwick Medical School, University of Warwick, Warwick, UK.
| | - Winifrida Mponzi
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P.O. Box 53, Ifakara, Tanzania
| | - Dickson Msaky
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P.O. Box 53, Ifakara, Tanzania
| | - Tumpe Mwandyala
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P.O. Box 53, Ifakara, Tanzania
| | - Emmanuel W Kaindoa
- Environmental Health and Ecological Science Department, Ifakara Health Institute, P.O. Box 53, Ifakara, Tanzania
- The Nelson Mandela, African Institution of Science and Technology, School of Life Sciences and Bioengineering, Tengeru, Arusha, Tanzania
| | | | - Ivan Kiskin
- Department of Engineering Science, University of Oxford, Oxford, UK
- Surrey Institute for People-Centred AI, Centre for Vision Speech and Signal Processing, University of Surrey, Guildford, UK
| | | | - Janey Messina
- School of Geography and the Environment and the Oxford School of Global and Area Studies, University of Oxford, Oxford, UK
| | - Syed Ghulam Sarwar Shah
- NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - Stephen Roberts
- Department of Engineering Science, University of Oxford, Oxford, UK
| | | |
Collapse
|
7
|
Roberts S, Gomes K, Desbrow B, Irwin C. The Feasibility, Acceptability And Clinical Value Of Bioelectrical Impedance Analysis In The Outpatient Haemodialysis Setting. Clin Nutr ESPEN 2023. [DOI: 10.1016/j.clnesp.2022.09.235] [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: 03/28/2023]
|
8
|
Roberts S, Stoller D, Lundgren S, Zolty R, Dunbar Matos C, Hyden M, Urban M, Lowes B. Endomyocardial Biopsy Microscopic Molecular Profiling Correlates with Donor Derived Cell Free DNA and Histopathology. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1214] [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: 04/05/2023] Open
|
9
|
Roberts S, Nucera R, Dowd T, Turner K, Langston K, Keller H, Bell J, Angus R. Prospective Validation Of The Glim Criteria For Identifying Malnutrition: A Pilot Study. Clin Nutr ESPEN 2023. [DOI: 10.1016/j.clnesp.2022.09.236] [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: 03/29/2023]
|
10
|
Roberts S, Lowes B, Washington T, Snell Kinen L, Hyden M. Cardiac Allograft Rejection Surveillance with Donor Derived Cell Free Dna is a Reliable Non-Invasive Alternative to Endomyocardial Biopsy. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.568] [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: 04/05/2023] Open
|
11
|
Vukovic S, You X, Roberts S, Razak F, Verma A, Targownik L. A215 EVALUATING THE COMPARABILITY OF CARE FOR PERSONS ADMITTED TO TORONTO AREA HOSPITALS WITH ACUTE SEVERE ULCERATIVE COLITIS. J Can Assoc Gastroenterol 2023. [PMCID: PMC9991339 DOI: 10.1093/jcag/gwac036.215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2023] Open
Abstract
Background Approximately 20% of patients with ulcerative colitis will experience an acute severe exacerbation requiring hospitalization. Acute severe ulcerative colitis (ASUC) is a medical emergency associated with significant morbidity and a mortality rate of 1%. Timely initiation of treatment and assessment of clinical response is critical in the management of ASUC. With an aim to reduce treatment variability and improve outcomes, multiple gastrointestinal societies have published guidelines highlighting recommendations for optimal care in ASUC. It remains unclear how closely these guidelines are implemented in clinical practice. Measuring adherence to these recommended processes of care may act as a surrogate measure for quality of care and a way to indirectly evaluate outcomes in the management of patients with ASUC. Studies have shown that even amongst experienced providers practice pattern variability exists. Identifying significant variations in the management of patients with ASUC will highlight where improvement in guideline dissemination and greater adherence is required. Purpose We sought to evaluate how quality of care indicators varied across 7 hospital sites for patients admitted ASUC in the Greater Toronto Area. Method Using GEMINI, a research collaborative that collects and analyses data from inpatient admissions at 7 Toronto area hospitals, we identified patients admitted to hospital with ASUC from June 2016-December 2019. Hospital sites were further categorized into 3 hospital types; 1 IBD specialty centre (ISC), 3 other academic centres (AC) and 3 community centres (CC). Process measures assessed included proportion tested for C-reactive protein at baseline and following treatment initiation, duration of corticosteroid use, timing and initiation of biologic agents, rates of venous thromboembolism prophylaxis and opioid use. Outcome measures included hospital length of stay, rates of colectomy and mortality. Result(s) 765 hospitalizations were included in the study; 320 occurring at ISC, 308 at AC and 137 at CC. Corticosteroid use on admission were highest at the ISC at 78% compared to 64% at AC and 63% at CC (p <0.001). Among those who received steroids on admission, 47% of patients remained on intravenous corticosteroids for at least 5 days in the ISC compared to 39% in AC and 75% in CC (p< 0.001). Initiation of biologic rescue therapy was highest at the ISC occurring in 37% of hospitalizations compared to 22% in AC and 23% in CC (p<0.001). In addition, VTE prophylaxis rates were highest at the ISC at 83% followed by 60% in AC and 45% in CC (p<0.001). Rates of colectomy were highest at ISC (12% of hospitalizations vs. 7% in AC). Conclusion(s) Greater adherence to indicators of quality of care were seen at the ISC compared to ACs and CCs, although patient outcomes assessed were not clearly different between sites. Further strategies are required to improve adherence to markers of quality care for patients admitted with ASUC. Please acknowledge all funding agencies by checking the applicable boxes below None Disclosure of Interest None Declared
Collapse
Affiliation(s)
- S Vukovic
- Internal Medicine, University of Toronto
| | - X You
- Internal Medicine, St. Michael's-Unity Health
| | - S Roberts
- Internal Medicine, St. Michael's-Unity Health
| | - F Razak
- Internal Medicine, St. Michael's-Unity Health
| | - A Verma
- Internal Medicine, St. Michael's-Unity Health
| | - L Targownik
- Gastroenterology, Mount Sinai Hospital, Toronto, Canada
| |
Collapse
|
12
|
Tal AL, Bailey KA, Chou A, Offer K, Rosenblum J, Moerdler S, Askew M, Roberts S, Vagrecha A, Orsey A, Robbins G, Satwani P, Pierro J, Levine J. v-SYMPHONY career development series: A collaboration to enhance professional awareness for pediatric hematology oncology trainees. Pediatr Blood Cancer 2023; 70:e30118. [PMID: 36573297 DOI: 10.1002/pbc.30118] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 10/01/2022] [Accepted: 11/06/2022] [Indexed: 12/28/2022]
Abstract
BACKGROUND A recent survey of pediatric hematology oncology (PHO) physicians identified that a majority believe fellows are struggling to find jobs that align with their goals. Career development for trainees has historically been home institution-specific, limiting fellows' exposures to career path possibilities. The "virtual-Symposium of Pediatric Hematology/Oncology of New York (v-SYMPHONY)" instituted a tristate Career Development Series for PHO trainees to better address their needs and increase awareness of the variety of PHO career opportunities. PROCEDURE The v-SYMPHONY Career Development Series incorporated three sessions: (a) institutional perspective, (b) individual perspectives, and (c) nuts and bolts of job search. Pre- and post-series surveys were administered to participants to measure impact. RESULTS Forty-one fellows registered for the series and completed a pre-survey. Over half (54%) were in their third or later year of fellowship. Careers with a clinical focus were the most commonly desired career path (59%). Most had received career development advice only from faculty within their institutions (90%). Post-surveys were completed by 11 PHO fellows. Overall, 100% of respondents reported benefiting from the career sessions and recommended the series should be repeated annually. Over 90% learned new information to prepare for the job search. CONCLUSIONS The v-SYMPHONY Career Development Series for PHO fellows across multiple institutions was established and was extremely well received by its participants. PHO fellows agreed that these sessions were beneficial in helping prepare them for the job search process. An annual regional Career Development Series is feasible and is strongly suggested to support PHO fellows.
Collapse
Affiliation(s)
- Adit L Tal
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA
| | - Kayleen A Bailey
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Mount Sinai Kravis Children's Hospital, Icahn School of Medicine, New York, New York, USA
| | - Alexander Chou
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Weill Cornell Medical Center, New York Presbyterian, New York, New York, USA
| | - Katharine Offer
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Joseph M. Sanzari Children's Hospital, Hackensack Meridian School of Medicine, Hackensack, New Jersey, USA
| | - Jeremy Rosenblum
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Westchester Medical Center, New York Medical College, Valhalla, New York, USA
| | - Scott Moerdler
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Rutgers Cancer Institute of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
| | - Megan Askew
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Columbia University Medical Center, New York Presbyterian, New York, New York, USA
| | - Stephen Roberts
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA
| | - Anshul Vagrecha
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Cohen Children's Medical Center Northwell Health, Zucker School of Medicine at Hofstra University, Long Island, New York, USA
| | - Andrea Orsey
- Division of Pediatric Hematology/Oncology, Connecticut Children's Medical Center, Hartford, Connecticut, USA
| | - Gabriel Robbins
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, NYU Langone Health, NYU Grossman School of Medicine, New York, New York, USA
| | - Prakash Satwani
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Columbia University Medical Center, New York Presbyterian, New York, New York, USA
| | - Joanna Pierro
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Staten Island University Hospital Northwell Health, Zucker School of Medicine at Hofstra University, Staten Island, New York, USA
| | - Jennifer Levine
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Weill Cornell Medical Center, New York Presbyterian, New York, New York, USA
| |
Collapse
|
13
|
Gallagher T, Roberts S, Silva-Sanchez C, Sutton L, Laventure K. The use of serum protein analysis in the diagnosis of fatal envenomation via Crotalus horridus (timber rattlesnake). J Forensic Sci 2023; 68:711-715. [PMID: 36715131 DOI: 10.1111/1556-4029.15213] [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: 08/15/2022] [Revised: 11/14/2022] [Accepted: 01/18/2023] [Indexed: 01/31/2023]
Abstract
Deaths occurring due to rattlesnake envenomization are extremely rare and must be thoroughly investigated in the same manner as any other type of death. Our research presents the case of an adult white male who suffered a fatal timber rattlesnake (Crotalus horridus) envenomation in northwest Florida in 2018. Blood samples were taken from the decedent's heart and vasculature of the chest and sent for serum proteomic analysis. Serum proteomic analysis was utilized in order to identify proteins from timber rattlesnake (C. horridus) found within the victim's blood. The confirmation of the presence of timber rattlesnake venom within the victim's blood allows the forensic pathologist to determine the cause of death most accurately and likewise, assists with the manner of death determination. Blood samples were separated into two groups: one with the abundant endogenous proteins depleted to facilitate detection of lower abundant proteins and one undepleted. In the depleted sample, a total of 712 proteins were identified, with 47 of the proteins (6.6%) occurring originating from timber rattlesnake (C. horridus). Likewise, a total of 742 proteins were identified in the undepleted sample, with 52 of the proteins (7.0%) occurring in timber rattlesnake (C. horridus). No timber rattlesnake (C. horridus) proteins were found in control human serum.
Collapse
Affiliation(s)
- Tim Gallagher
- District One Office of the Medical Examiner, Pensacola, Florida, USA
| | - Stephen Roberts
- Center for Environmental & Human Toxicology, University of Florida, Gainesville, Florida, USA
| | - Cecilia Silva-Sanchez
- Center for Environmental & Human Toxicology, University of Florida, Gainesville, Florida, USA
| | - Lerah Sutton
- College of Medicine, Maples Center for Forensic Medicine, University of Florida, Gainesville, Florida, USA
| | - Kaitlyn Laventure
- College of Medicine, Maples Center for Forensic Medicine, University of Florida, Gainesville, Florida, USA
| |
Collapse
|
14
|
Wilson MP, Craig L, Peacock E, Williams L, Fields T, Roberts S, Sarpong D, Krousel-Wood M. Using diverse community feedback to inform inclusive community action: Insights from the Louisiana Community Engagement Alliance. Am J Med Sci 2023. [DOI: 10.1016/s0002-9629(23)00551-7] [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: 01/28/2023]
|
15
|
Pearson AME, Roberts S, Turbitt LR. New blocks on the kids: core basic nerve blocks in paediatric anaesthesia. Anaesthesia 2023; 78:3-8. [PMID: 36220155 DOI: 10.1111/anae.15876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/13/2022] [Indexed: 12/13/2022]
Affiliation(s)
- A M E Pearson
- Department of Anaesthesia, Bristol Royal Hospital for Children, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK
| | - S Roberts
- Department of Anaesthesia, Alder Hey Children's Hospital, Liverpool, UK
| | - L R Turbitt
- Department of Anaesthesia, Belfast Health and Social Care Trust, Belfast, UK
| |
Collapse
|
16
|
Roberts S, Kelman I. Governing digital health for infectious disease outbreaks. Glob Public Health 2023; 18:2241894. [PMID: 37620749 DOI: 10.1080/17441692.2023.2241894] [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: 02/26/2023] [Accepted: 07/24/2023] [Indexed: 08/26/2023]
Abstract
ABSTRACTHow can governing digital health for infectious disease outbreaks be enhanced? In many ways, the COVID-19 pandemic has simultaneously represented both the potential and marked limitations of digital health practices for infectious disease outbreaks. During the pandemic's initial stages, states along with Big Data and Big Tech actors unleashed a scope of both established and experimental digital technologies for tracking infections, hospitalisations, and deaths from COVID-19 - and sometimes exposure to the virus SARS-CoV-2. Despite the proliferation of these technologies at the global level, transnational and cross-border integration, and cooperation within digital health responses to COVID-19 often faltered, while digital health regulations were fragmented, contested, and uncoordinated. This article presents a critiquing reflection of approaches to conceptualising, understanding, and implementing digital health for infectious disease outbreaks, observed from COVID-19 and previous examples. In assessing the strengths and limitations of existing practices of governing digital health for infectious disease outbreaks, this article particularly examines 'informal' digital health to build upon and consider how digitised responses to addressing and governing infectious disease outbreaks may be reconceptualised, revisited, or revised.
Collapse
Affiliation(s)
- Stephen Roberts
- Institute for Global Health, University College London, London, UK
| | - Ilan Kelman
- Institute for Global Health, Institute for Risk and Disaster Reduction (IRDR), University College London, London, UK
- University of Agder, Kristiansand, Norway
| |
Collapse
|
17
|
Nadarajah R, Ludman P, Appelman Y, Brugaletta S, Budaj A, Bueno H, Huber K, Kunadian V, Leonardi S, Lettino M, Milasinovic D, Gale CP, Budaj A, Dagres N, Danchin N, Delgado V, Emberson J, Friberg O, Gale CP, Heyndrickx G, Iung B, James S, Kappetein AP, Maggioni AP, Maniadakis N, Nagy KV, Parati G, Petronio AS, Pietila M, Prescott E, Ruschitzka F, Van de Werf F, Weidinger F, Zeymer U, Gale CP, Beleslin B, Budaj A, Chioncel O, Dagres N, Danchin N, Emberson J, Erlinge D, Glikson M, Gray A, Kayikcioglu M, Maggioni AP, Nagy KV, Nedoshivin A, Petronio AP, Roos-Hesselink JW, Wallentin L, Zeymer U, Popescu BA, Adlam D, Caforio ALP, Capodanno D, Dweck M, Erlinge D, Glikson M, Hausleiter J, Iung B, Kayikcioglu M, Ludman P, Lund L, Maggioni AP, Matskeplishvili S, Meder B, Nagy KV, Nedoshivin A, Neglia D, Pasquet AA, Roos-Hesselink JW, Rossello FJ, Shaheen SM, Torbica A, Gale CP, Ludman PF, Lettino M, Bueno H, Huber K, Leonardi S, Budaj A, Milasinovic (Serbia) D, Brugaletta S, Appelman Y, Kunadian V, Al Mahmeed WAR, Kzhdryan H, Dumont C, Geppert A, Bajramovic NS, Cader FA, Beauloye C, Quesada D, Hlinomaz O, Liebetrau C, Marandi T, Shokry K, Bueno H, Kovacevic M, Crnomarkovic B, Cankovic M, Dabovic D, Jarakovic M, Pantic T, Trajkovic M, Pupic L, Ruzicic D, Cvetanovic D, Mansourati J, Obradovic I, Stankovic M, Loh PH, Kong W, Poh KK, Sia CH, Saw K, Liška D, Brozmannová D, Gbur M, Gale CP, Maxian R, Kovacic D, Poznic NG, Keric T, Kotnik G, Cercek M, Steblovnik K, Sustersic M, Cercek AC, Djokic I, Maisuradze D, Drnovsek B, Lipar L, Mocilnik M, Pleskovic A, Lainscak M, Crncic D, Nikojajevic I, Tibaut M, Cigut M, Leskovar B, Sinanis T, Furlan T, Grilj V, Rezun M, Mateo VM, Anguita MJF, Bustinza ICM, Quintana RB, Cimadevilla OCF, Fuertes J, Lopez F, Dharma S, Martin MD, Martinez L, Barrabes JA, Bañeras J, Belahnech Y, Ferreira-Gonzalez I, Jordan P, Lidon RM, Mila L, Sambola A, Orvin K, Sionis A, Bragagnini W, Cambra AD, Simon C, Burdeus MV, Ariza-Solé A, Alegre O, Alsina M, Ferrando JIL, Bosch X, Sinha A, Vidal P, Izquierdo M, Marin F, Esteve-Pastor MA, Tello-Montoliu A, Lopez-Garcia C, Rivera-Caravaca JM, Gil-Pérez P, Nicolas-Franco S, Keituqwa I, Farhan HA, Silva L, Blasco A, Escudier JM, Ortega J, Zamorano JL, Sanmartin M, Pereda DC, Rincon LM, Gonzalez P, Casado T, Sadeghipour P, Lopez-Sendon JL, Manjavacas AMI, Marin LAM, Sotelo LR, Rodriguez SOR, Bueno H, Martin R, Maruri R, Moreno G, Moris C, Gudmundsdottir I, Avanzas P, Ayesta A, Junco-Vicente A, Cubero-Gallego H, Pascual I, Sola NB, Rodriguez OA, Malagon L, Martinez-Basterra J, Arizcuren AM, Indolfi C, Romero J, Calleja AG, Fuertes DG, Crespín Crespín M, Bernal FJC, Ojeda FB, Padron AL, Cabeza MM, Vargas CM, Yanes G, Kitai T, Gonzalez MJG, Gonzalez Gonzalez J, Jorge P, De La Fuente B, Bermúdez MG, Perez-Lopez CMB, Basiero AB, Ruiz AC, Pamias RF, Chamero PS, Mirrakhimov E, Hidalgo-Urbano R, Garcia-Rubira JC, Seoane-Garcia T, Arroyo-Monino DF, Ruiz AB, Sanz-Girgas E, Bonet G, Rodríguez-López J, Scardino C, De Sousa D, Gustiene O, Elbasheer E, Humida A, Mahmoud H, Mohamed A, Hamid E, Hussein S, Abdelhameed M, Ali T, Ali Y, Eltayeb M, Philippe F, Ali M, Almubarak E, Badri M, Altaher S, Alla MD, Dellborg M, Dellborg H, Hultsberg-Olsson G, Marjeh YB, Abdin A, Erglis A, Alhussein F, Mgazeel F, Hammami R, Abid L, Bahloul A, Charfeddine S, Ellouze T, Canpolat U, Oksul M, Muderrisoglu H, Popovici M, Karacaglar E, Akgun A, Ari H, Ari S, Can V, Tuncay B, Kaya H, Dursun L, Kalenderoglu K, Tasar O, Kalpak O, Kilic S, Kucukosmanoglu M, Aytekin V, Baydar O, Demirci Y, Gürsoy E, Kilic A, Yildiz Ö, Arat-Ozkan A, Sinan UY, Dagva M, Gungor B, Sekerci SS, Zeren G, Erturk M, Demir AR, Yildirim C, Can C, Kayikcioglu M, Yagmur B, Oney S, Xuereb RG, Sabanoglu C, Inanc IH, Ziyrek M, Sen T, Astarcioglu MA, Kahraman F, Utku O, Celik A, Surmeli AO, Basaran O, Ahmad WAW, Demirbag R, Besli F, Gungoren F, Ingabire P, Mondo C, Ssemanda S, Semu T, Mulla AA, Atos JS, Wajid I, Appelman Y, Al Mahmeed WAR, Atallah B, Bakr K, Garrod R, Makia F, Eldeeb F, Abdekader R, Gomaa A, Kandasamy S, Maruthanayagam R, Nadar SK, Nakad G, Nair R, Mota P, Prior P, Mcdonald S, Rand J, Schumacher N, Abraheem A, Clark M, Coulding M, Qamar N, Turner V, Negahban AQ, Crew A, Hope S, Howson J, Jones S, Lancaster N, Nicholson A, Wray G, Donnelly P, Gierlotka M, Hammond L, Hammond S, Regan S, Watkin R, Papadopoulos C, Ludman P, Hutton K, Macdonald S, Nilsson A, Roberts S, Monteiro S, Garg S, Balachandran K, Mcdonald J, Singh R, Marsden K, Davies K, Desai H, Goddard W, Iqbal N, Chalil S, Dan GA, Galasko G, Assaf O, Benham L, Brown J, Collins S, Fleming C, Glen J, Mitchell M, Preston S, Uttley A, Radovanovic M, Lindsay S, Akhtar N, Atkinson C, Vinod M, Wilson A, Clifford P, Firoozan S, Yashoman M, Bowers N, Chaplin J, Reznik EV, Harvey S, Kononen M, Lopesdesousa G, Saraiva F, Sharma S, Cruddas E, Law J, Young E, Hoye A, Harper P, Balghith M, Rowe K, Been M, Cummins H, French E, Gibson C, Abraham JA, Hobson S, Kay A, Kent M, Wilkinson A, Mohamed A, Clark S, Duncan L, Ahmed IM, Khatiwada D, Mccarrick A, Wanda I, Read P, Afsar A, Rivers V, Theobald T, Cercek M, Bell S, Buckman C, Francis R, Peters G, Stables R, Morgan M, Noorzadeh M, Taylor B, Twiss S, Widdows P, Brozmannová D, Wilkinson V, Black M, Clark A, Clarkson N, Currie J, George L, Mcgee C, Izzat L, Lewis T, Omar Z, Aytekin V, Phillips S, Ahmed F, Mackie S, Oommen A, Phillips H, Sherwood M, Aleti S, Charles T, Jose M, Kolakaluri L, Ingabire P, Karoudi RA, Deery J, Hazelton T, Knight A, Price C, Turney S, Kardos A, Williams F, Wren L, Bega G, Alyavi B, Scaletta D, Kunadian V, Cullen K, Jones S, Kirkup E, Ripley DP, Matthews IG, Mcleod A, Runnett C, Thomas HE, Cartasegna L, Gunarathne A, Burton J, King R, Quinn J, Sobolewska J, Munt S, Porter J, Christenssen V, Leng K, Peachey T, Gomez VN, Temple N, Wells K, Viswanathan G, Taneja A, Cann E, Eglinton C, Hyams B, Jones E, Reed F, Smith J, Beltrano C, Affleck DC, Turner A, Ward T, Wilmshurst N, Stirrup J, Brunton M, Whyte A, Smith S, Murray V, Walker R, Novas V, Weston C, Brown C, Collier D, Curtis K, Dixon K, Wells T, Trim F, Ghosh J, Mavuri M, Barman L, Dumont C, Elliott K, Harrison R, Mallinson J, Neale T, Smith J, Toohie J, Turnbull A, Parker E, Hossain R, Cheeseman M, Balparda H, Hill J, Hood M, Hutchinson D, Mellows K, Pendlebury C, Storey RF, Barker J, Birchall K, Denney H, Housley K, Cardona M, Middle J, Kukreja N, Gati S, Kirk P, Lynch M, Srinivasan M, Szygula J, Baker P, Cruz C, Derigay J, Cigalini C, Lamb K, Nembhard S, Price A, Mamas M, Massey I, Wain J, Delaney J, Junejo S, Martin K, Obaid D, Hoyle V, Brinkworth E, Davies C, Evans D, Richards S, Thomas C, Williams M, Dayer M, Mills H, Roberts K, Goodchild F, Dámaso ES, Greig N, Kundu S, Donaldson D, Tonks L, Beekes M, Button H, Hurford F, Motherwell N, Summers-Wall J, Felmeden D, Tapia V, Keeling P, Sheikh U, Yonis A, Felmeden L, Hughes D, Micklewright L, Summerhayes A, Sutton J, Panoulas V, Prendergast C, Poghosyan K, Rogers P, Barker LN, Batin P, Conway D, Exley D, Fletcher A, Wright J, Nageh T, Hadebe B, Kunhunny S, Mkhitaryan S, Mshengu E, Karthikeyan VJ, Hamdan H, Cooper J, Dandy C, Parkinson V, Paterson P, Reddington S, Taylor T, Tierney C, Adamyan M, Jones KV, Broadley A, Beesley K, Buckley C, Hellyer C, Pippard L, Pitt-Kerby T, Azam J, Hayes C, Freshwater K, Boyadjian S, Johnson L, Mcgill Y, Redfearn H, Russell M, Alyavi A, Alyavi B, Uzokov J, Hayrapetyan H, Azaryan K, Tadevosyan M, Poghosyan H, Kzhdryan H, Vardanyan A, Huber K, Geppert A, Ahmed A, Weidinger F, Derntl M, Hasun M, Schuh-Eiring T, Riegler L, Haq MM, Cader FA, Dewan MAM, Fatema ME, Hasan AS, Islam MM, Khandoker F, Mayedah R, Nizam SU, Azam MG, Arefin MM, Jahan J, Schelfaut D, De Raedt H, Wouters S, Aerts S, Batjoens H, Beauloye C, Dechamps M, Pierard S, Van Caenegem O, Sinnaeve F, Claeys MJ, Snepvangers M, Somers V, Gevaert S, Schaubroek H, Vervaet P, Buysse M, Renders F, Dumoulein M, Hiltrop N, De Coninck M, Naessens S, Senesael I, Hoffer E, Pourbaix S, Beckers J, Dugauquier C, Jacquet S, Malmendier D, Massoz M, Evrard P, Collard L, Brunner P, Carlier S, Blockmans M, Mayne D, Timiras E, Guédès A, Demeure F, Hanet C, Domange J, Jourdan K, Begic E, Custovic F, Dozic A, Hrvat E, Kurbasic I, Mackic D, Subo A, Durak-Nalbantic A, Dzubur A, Rebic D, Hamzic-Mehmedbasic A, Redzepovic A, Djokic-Vejzovic A, Hodzic E, Hujdur M, Musija E, Gljiva-Gogic Z, Serdarevic N, Bajramovic NS, Brigic L, Halilcevic M, Cibo M, Hadžibegic N, Kukavica N, Begic A, Iglica A, Osmanagic A, Resic N, Grgurevic MV, Zvizdic F, Pojskic B, Mujaric E, Selimovic H, Ejubovic M, Pojskic L, Stimjanin E, Sut M, Zapata PS, Munoz CG, Andrade LAF, Upegui MPT, Perez LE, Chavarria J, Quesada D, Alvarado K, Zaputovic L, Tomulic V, Gobic D, Jakljevic T, Lulic D, Bacic G, Bastiancic L, Avraamides P, Eftychiou C, Eteocleous N, Ioannou A, Lambrianidi C, Drakomathioulakis M, Groch L, Hlinomaz O, Rezek M, Semenka J, Sitar J, Beranova M, Kramarikova P, Pesl L, Sindelarova S, Tousek F, Warda HM, Ghaly I, Habiba S, Habib A, Gergis MN, Bahaa H, Samir A, Taha HSE, Adel M, Algamal HM, Mamdouh M, Shaker AF, Shokry K, Konsoah A, Mostafa AM, Ibrahim A, Imam A, Hafez B, Zahran A, Abdelhamid M, Mahmoud K, Mostafa A, Samir A, Abdrabou M, Kamal A, Sallam S, Ali A, Maghraby K, Atta AR, Saad A, Ali M, Lotman EM, Lubi R, Kaljumäe H, Uuetoa T, Kiitam U, Durier C, Ressencourt O, El Din AA, Guiatni A, Bras ML, Mougenot E, Labeque JN, Banos JL, Capendeguy O, Mansourati J, Fofana A, Augagneur M, Bahon L, Pape AL, Batias-Moreau L, Fluttaz A, Good F, Prieur F, Boiffard E, Derien AS, Drapeau I, Roy N, Perret T, Dubreuil O, Ranc S, Rio S, Bonnet JL, Bonnet G, Cuisset T, Deharo P, Mouret JP, Spychaj JC, Blondelon A, Delarche N, Decalf V, Guillard N, Hakme A, Roger MP, Biron Y, Druelles P, Loubeyre C, Lucon A, Hery P, Nejjari M, Digne F, Huchet F, Neykova A, Tzvetkov B, Larrieu M, Quaino G, Armangau P, Sauguet A, Bonfils L, Dumonteil N, Fajadet J, Farah B, Honton B, Monteil B, Philippart R, Tchetche D, Cottin M, Petit F, Piquart A, Popovic B, Varlot J, Maisuradze D, Sagirashvili E, Kereselidze Z, Totladze L, Ginturi T, Lagvilava D, Hamm C, Liebetrau C, Haas M, Hamm C, Koerschgen T, Weferling M, Wolter JS, Maier K, Nickenig G, Sedaghat A, Zachoval C, Lampropoulos K, Mpatsouli A, Sakellaropoulou A, Tyrovolas K, Zibounoumi N, Argyropoulos K, Toulgaridis F, Kolyviras A, Tzanis G, Tzifos V, Milkas A, Papaioannou S, Kyriazopoulos K, Pylarinou V, Kontonassakis I, Kotakos C, Kourgiannidis G, Ntoliou P, Parzakonis N, Pipertzi A, Sakalidis A, Ververeli CL, Kafkala K, Sinanis T, Diakakis G, Grammatikopoulos K, Papoutsaki E, Patialiatos T, Mamaloukaki M, Papadaki ST, Kanellos IE, Antoniou A, Tsinopoulos G, Goudis C, Giannadaki M, Daios S, Petridou M, Skantzis P, Koukis P, Dimitriadis F, Savvidis M, Styliadis I, Sachpekidis V, Pilalidou A, Stamatiadis N, Fotoglidis A, Karakanas A, Ruzsa Z, Becker D, Nowotta F, Gudmundsdottir I, Libungan B, Skuladottir FB, Halldorsdottir H, Shetty R, Iyengar S, Bs C, G S, Lakshmana S, S R, Tripathy N, Sinha A, Choudhary B, Kumar A, Kumar A, Raj R, Roy RS, Dharma S, Siswanto BB, Farhan HA, Yaseen IF, Al-Zaidi M, Dakhil Z, Amen S, Rasool B, Rajeeb A, Amber K, Ali HH, Al-Kinani T, Almyahi MH, Al-Obaidi F, Masoumi G, Sadeghi M, Heshmat-Ghahdarijani K, Roohafza H, Sarrafzadegan N, Shafeie M, Teimouri-Jervekani Z, Noori F, Kyavar M, Sadeghipour P, Firouzi A, Alemzadeh-Ansari MJ, Ghadrdoost B, Golpira R, Ghorbani A, Ahangari F, Salarifar M, Jenab Y, Biria A, Haghighi S, Mansouri P, Yadangi S, Kornowski R, Orvin K, Eisen A, Oginetz N, Vizel R, Kfir H, Pasquale GD, Casella G, Cardelli LS, Filippini E, Zagnoni S, Donazzan L, Ermacora D, Indolfi C, Polimeni A, Curcio A, Mongiardo A, De Rosa S, Sorrentino S, Spaccarotella C, Landolina M, Marino M, Cacucci M, Vailati L, Bernabò P, Montisci R, Meloni L, Marchetti MF, Biddau M, Garau E, Barbato E, Morisco C, Strisciuglio T, Canciello G, Lorenzoni G, Casu G, Merella P, Novo G, D'Agostino A, Di Lisi D, Di Palermo A, Evola S, Immordino F, Rossetto L, Spica G, Pavan D, Mattia AD, Belfiore R, Grandis U, Vendrametto F, Spagnolo C, Carniel L, Sonego E, Gaudio C, Barillà F, Biccire FG, Bruno N, Ferrari I, Paravati V, Torromeo C, Galasso G, Peluso A, Prota C, Radano I, Benvenga RM, Ferraioli D, Anselmi M, Frigo GM, Sinagra G, Merlo M, Perkan A, Ramani F, Altinier A, Fabris E, Rinaldi M, Usmiani T, Checco L, Frea S, Mussida M, Matsukawa R, Sugi K, Kitai T, Furukawa Y, Masumoto A, Miyoshi Y, Nishino S, Assembekov B, Amirov B, Chernokurova Y, Ibragimova F, Mirrakhimov E, Ibraimova A, Murataliev T, Radzhapova Z, Uulu ES, Zhanyshbekova N, Zventsova V, Erglis A, Bondare L, Zaliunas R, Gustiene O, Dirsiene R, Marcinkeviciene J, Sakalyte G, Virbickiene A, Baksyte G, Bardauskiene L, Gelmaniene R, Salkauskaite A, Ziubryte G, Kupstyte-Kristapone N, Badariene J, Balciute S, Kapleriene L, Lizaitis M, Marinskiene J, Navickaite A, Pilkiene A, Ramanauskaite D, Serpytis R, Silinskiene D, Simbelyte T, Staigyte J, Philippe F, Degrell P, Camus E, Ahmad WAW, Kassim ZA, Xuereb RG, Buttigieg LL, Camilleri W, Pllaha E, Xuereb S, Popovici M, Ivanov V, Plugaru A, Moscalu V, Popovici I, Abras M, Ciobanu L, Litvinenco N, Fuior S, Dumanschi C, Ivanov M, Danila T, Grib L, Filimon S, Cardaniuc L, Batrinac A, Tasnic M, Cozma C, Revenco V, Sorici G, Dagva M, Choijiljav G, Dandar E, Khurelbaatar MU, Tsognemekh B, Appelman Y, Den Hartog A, Kolste HJT, Van Den Buijs D, Van'T Hof A, Pustjens T, Houben V, Kasperski I, Ten Berg J, Azzahhafi J, Bor W, Yin DCP, Mbakwem A, Amadi C, Kushimo O, Kilasho M, Oronsaye E, Bakracheski N, Bashuroska EK, Mojsovska V, Tupare S, Dejan M, Jovanoska J, Razmoski D, Marinoski T, Antovski A, Jovanovski Z, Kocho S, Markovski R, Ristovski V, Samir AB, Biserka S, Kalpak O, Peovska IM, Taleska BZ, Pejkov H, Busljetik O, Zimbakov Z, Grueva E, Bojovski I, Tutic M, Poposka L, Vavlukis M, Al-Riyami A, Nadar SK, Abdelmottaleb W, Ahmed S, Mujtaba MS, Al-Mashari S, Al-Riyami H, Laghari AH, Faheem O, Ahmed SW, Qamar N, Furnaz S, Kazmi K, Saghir T, Aneel A, Asim A, Madiha F, Sobkowicz B, Tycinska A, Kazimierczyk E, Szyszkowska A, Mizia-Stec K, Wybraniec M, Bednarek A, Glowacki K, Prokopczuk J, Babinski W, Blachut A, Kosiak M, Kusinska A, Samborski S, Stachura J, Szastok H, Wester A, Bartoszewska D, Sosnowska-Pasiarska B, Krzysiek M, Legutko J, Nawrotek B, Kasprzak JD, Klosinska M, Wiklo K, Kurpesa M, Rechcinski T, Cieslik-Guerra U, Gierlotka M, Bugajski J, Feusette P, Sacha J, Przybylo P, Krzesinski P, Ryczek R, Karasek A, Kazmierczak-Dziuk A, Mielniczuk M, Betkier-Lipinska K, Roik M, Labyk A, Krakowian M, Machowski M, Paczynska M, Potepa M, Pruszczyk P, Budaj A, Ambroziak M, Omelanczuk-Wiech E, Torun A, Opolski G, Glowczynska R, Fojt A, Kowalik R, Huczek Z, Jedrzejczyk S, Roleder T, Brust K, Gasior M, Desperak P, Hawranek M, Farto-Abreu P, Santos M, Baptista S, Brizida L, Faria D, Loureiro J, Magno P, Monteiro C, Nédio M, Tavares J, Sousa C, Almeida I, Almeida S, Miranda H, Santos H, Santos AP, Goncalves L, Monteiro S, Baptista R, Ferreira C, Ferreira J, Goncalves F, Lourenço C, Monteiro P, Picarra B, Santos AR, Guerreiro RA, Carias M, Carrington M, Pais J, de Figueiredo MP, Rocha AR, Mimoso J, De Jesus I, Fernandes R, Guedes J, Mota T, Mendes M, Ferreira J, Tralhão A, Aguiar CT, Strong C, Da Gama FF, Pais G, Timóteo AT, Rosa SAO, Mano T, Reis J, Selas M, Mendes DE, Satendra M, Pinto P, Queirós C, Oliveira I, Reis L, Cruz I, Fernandes R, Torres S, Luz A, Campinas A, Costa R, Frias A, Oliveira M, Martins V, Castilho B, Coelho C, Moura AR, Cotrim N, Dos Santos RC, Custodio P, Duarte R, Gomes R, Matias F, Mendonca C, Neiva J, Rabacal C, Almeida AR, Caeiro D, Queiroz P, Silva G, Pop-Moldovan AL, Darabantiu D, Mercea S, Dan GA, Dan AR, Dobranici M, Popescu RA, Adam C, Sinescu CJ, Andrei CL, Brezeanu R, Samoila N, Baluta MM, Pop D, Tomoaia R, Istratoaie O, Donoiu I, Cojocaru A, Oprita OC, Rocsoreanu A, Grecu M, Ailoaei S, Popescu MI, Cozma A, Babes EE, Rus M, Ardelean A, Larisa R, Moisi M, Ban E, Buzle A, Filimon G, Dobreanu D, Lupu S, Mitre A, Rudzik R, Sus I, Opris D, Somkereki C, Mornos C, Petrescu L, Betiu A, Volcescu A, Ioan O, Luca C, Maximov D, Mosteoru S, Pascalau L, Roman C, Brie D, Crisan S, Erimescu C, Falnita L, Gaita D, Gheorghiu M, Levashov S, Redkina M, Novitskii N, Dementiev E, Baglikov A, Zateyshchikov D, Zubova E, Rogozhina A, Salikov A, Nikitin I, Reznik EV, Komissarova MS, Shebzukhova M, Shitaya K, Stolbova S, Larina V, Akhmatova F, Chuvarayan G, Arefyev MN, Averkov OV, Volkova AL, Sepkhanyan MS, Vecherko VI, Meray I, Babaeva L, Goreva L, Pisaryuk A, Potapov P, Teterina M, Ageev F, Silvestrova G, Fedulaev Y, Pinchuk T, Staroverov I, Kalimullin D, Sukhinina T, Zhukova N, Ryabov V, Kruchinkina E, Vorobeva D, Shevchenko I, Budyak V, Elistratova O, Fetisova E, Islamov R, Ponomareva E, Khalaf H, Shaimaa AA, Kamal W, Alrahimi J, Elshiekh A, Balghith M, Ahmed A, Attia N, Jamiel AA, Potpara T, Marinkovic M, Mihajlovic M, Mujovic N, Kocijancic A, Mijatovic Z, Radovanovic M, Matic D, Milosevic A, Savic L, Subotic I, Uscumlic A, Zlatic N, Antonijevic J, Vesic O, Vucic R, Martinovic SS, Kostic T, Atanaskovic V, Mitic V, Stanojevic D, Petrovic M. Cohort profile: the ESC EURObservational Research Programme Non-ST-segment elevation myocardial infraction (NSTEMI) Registry. Eur Heart J Qual Care Clin Outcomes 2022; 9:8-15. [PMID: 36259751 DOI: 10.1093/ehjqcco/qcac067] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 10/11/2022] [Indexed: 11/12/2022]
Abstract
AIMS The European Society of Cardiology (ESC) EURObservational Research Programme (EORP) Non-ST-segment elevation myocardial infarction (NSTEMI) Registry aims to identify international patterns in NSTEMI management in clinical practice and outcomes against the 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without ST-segment-elevation. METHODS AND RESULTS Consecutively hospitalised adult NSTEMI patients (n = 3620) were enrolled between 11 March 2019 and 6 March 2021, and individual patient data prospectively collected at 287 centres in 59 participating countries during a two-week enrolment period per centre. The registry collected data relating to baseline characteristics, major outcomes (in-hospital death, acute heart failure, cardiogenic shock, bleeding, stroke/transient ischaemic attack, and 30-day mortality) and guideline-recommended NSTEMI care interventions: electrocardiogram pre- or in-hospital, pre-hospitalization receipt of aspirin, echocardiography, coronary angiography, referral to cardiac rehabilitation, smoking cessation advice, dietary advice, and prescription on discharge of aspirin, P2Y12 inhibition, angiotensin converting enzyme inhibitor (ACEi)/angiotensin receptor blocker (ARB), beta-blocker, and statin. CONCLUSION The EORP NSTEMI Registry is an international, prospective registry of care and outcomes of patients treated for NSTEMI, which will provide unique insights into the contemporary management of hospitalised NSTEMI patients, compliance with ESC 2015 NSTEMI Guidelines, and identify potential barriers to optimal management of this common clinical presentation associated with significant morbidity and mortality.
Collapse
Affiliation(s)
- Ramesh Nadarajah
- Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, LS2 9JT Leeds, UK.,Leeds Institute of Data Analytics, University of Leeds, LS2 9JT Leeds, UK.,Department of Cardiology, Leeds Teaching Hospitals NHS Trust, LS1 3EX Leeds, UK
| | - Peter Ludman
- Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, UK
| | - Yolande Appelman
- Department of Cardiology, Amsterdam UMC-Vrije Universiteit, Amsterdam Cardiovascular Sciences, Amsterdam, Netherlands
| | - Salvatore Brugaletta
- Hospital Clinic de Barcelona, Barcelona, Spain.,Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain
| | - Andrzej Budaj
- Department of Cardiology, Center of Postgraduate Medical Education, Grochowski Hospital, Warsaw, Poland
| | - Hector Bueno
- Cardiology Department, Hospital Universitario 12 de Octubre and Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain.,Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain.,Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
| | - Kurt Huber
- 3rd Medical Department, Cardiology and Intensive Care Medicine, Clinic Ottakring (Wilhelminenhospital), Vienna, Austria.,Medical Faculty, Sigmund Freud University, Vienna, Austria
| | - Vijay Kunadian
- Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.,Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
| | - Sergio Leonardi
- University of Pavia, Pavia, Italy.,Fondazione IRCCS Policlinico S.Matteo, Pavia, Italy
| | - Maddalena Lettino
- Cardio-Thoracic and Vascular Department, San Gerardo Hospital, ASST-Monza, Monza, Italy
| | - Dejan Milasinovic
- Department of Cardiology, University Clinical Center of Serbia and Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Chris P Gale
- Leeds Institute for Cardiovascular and Metabolic Medicine, University of Leeds, LS2 9JT Leeds, UK.,Leeds Institute of Data Analytics, University of Leeds, LS2 9JT Leeds, UK.,Department of Cardiology, Leeds Teaching Hospitals NHS Trust, LS1 3EX Leeds, UK
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
18
|
Zimmermann BM, Wagenaar H, Kieslich K, Prainsack B, Meyers G, Buyx A, El-Sayed S, Fiske A, Galasso I, Geiger S, Hangel N, Horn R, Johnson S, Kuiper JML, Lucivero F, McLennan S, Paul KT, Pot M, Radhuber I, Samuel G, Sharon T, Siffels L, Van Hoyweghen I, Awad S, Bourgeron T, Eichinger J, Gaille M, Haddad C, Hayes S, Hoffman A, Jasser M, Kenens J, Lanzing M, Libert S, Lievevrouw E, Marelli L, Ongolly F, Phillips A, Pinel C, Riesinger K, Roberts S, Saxinger G, Schlogl L, Schönweitz F, Sierawska A, Spahl W, Stendahl E, Vanstreels S, Vidolov S, Weiss E. Democratic research: Setting up a research commons for a qualitative, comparative, longitudinal interview study during the COVID-19 pandemic. SSM Qual Res Health 2022; 2:100158. [PMID: 36092769 PMCID: PMC9448682 DOI: 10.1016/j.ssmqr.2022.100158] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Revised: 07/22/2022] [Accepted: 08/22/2022] [Indexed: 04/23/2023]
Abstract
The sudden and dramatic advent of the COVID-19 pandemic led to urgent demands for timely, relevant, yet rigorous research. This paper discusses the origin, design, and execution of the SolPan research commons, a large-scale, international, comparative, qualitative research project that sought to respond to the need for knowledge among researchers and policymakers in times of crisis. The form of organization as a research commons is characterized by an underlying solidaristic attitude of its members and its intrinsic organizational features in which research data and knowledge in the study is shared and jointly owned. As such, the project is peer-governed, rooted in (idealist) social values of academia, and aims at providing tools and benefits for its members. In this paper, we discuss challenges and solutions for qualitative studies that seek to operate as research commons.
Collapse
Affiliation(s)
- Bettina M Zimmermann
- Institute of History and Ethics in Medicine, School of Medicine, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany
- Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland
| | - Hendrik Wagenaar
- Institute for Advanced Studies, Josefstädter Straße 39, 1080, Vienna, Austria
| | - Katharina Kieslich
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Barbara Prainsack
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Gert Meyers
- Tilburg Institute for Law Technology and Society, Tilburg University, Tilburg, the Netherlands
- Centre for Sociological Research, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium
| | - Alena Buyx
- Institute of History and Ethics in Medicine, School of Medicine, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany
| | - Seliem El-Sayed
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Amelia Fiske
- Institute of History and Ethics in Medicine, School of Medicine, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany
| | - Ilaria Galasso
- ERC MISFIRES, University College Dublin, Belfield, Dublin 4, Ireland
| | - Susi Geiger
- University College Dublin Business School, Belfield, Dublin 4, Ireland
| | - Nora Hangel
- Institute of History and Ethics in Medicine, School of Medicine, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany
| | - Ruth Horn
- Ethox Centre and Wellcome Centre for Ethics and Humanities, Nuffield Department of Population Health, University of Oxford, Old Road Campus, OX3 7LF, Oxford, UK
| | - Stephanie Johnson
- Ethox Centre and Wellcome Centre for Ethics and Humanities, Nuffield Department of Population Health, University of Oxford, Old Road Campus, OX3 7LF, Oxford, UK
| | - Janneke M L Kuiper
- Centre for Sociological Research, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium
| | - Federica Lucivero
- Ethox Centre and Wellcome Centre for Ethics and Humanities, Nuffield Department of Population Health, University of Oxford, Old Road Campus, OX3 7LF, Oxford, UK
| | - Stuart McLennan
- Institute of History and Ethics in Medicine, School of Medicine, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany
| | - Katharina T Paul
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Mirjam Pot
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Isabella Radhuber
- Research Network Latin America - Department of Political Science, University of Vienna, Universitätsstraße 7, 1010, Wien, Austria
| | - Gabrielle Samuel
- Department of Global Health and Social Medicine, King's College London, Bush House North East Wing, 30 Aldwych, WC2B 4BG, London, UK
| | - Tamar Sharon
- iHub Department of Philosophical Ethics and Political Philosophy, Radboud University, Erasmusplein 1, 6525, HT Nijmegen, the Netherlands
| | - Lotje Siffels
- iHub Department of Philosophical Ethics and Political Philosophy, Radboud University, Erasmusplein 1, 6525, HT Nijmegen, the Netherlands
| | - Ine Van Hoyweghen
- Centre for Sociological Research, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium
| | - Sula Awad
- ERC MISFIRES, University College Dublin, Belfield, Dublin 4, Ireland
| | - Théo Bourgeron
- School of Social and Political Sciences, University of Edinburgh, Chrystal MacMillan Building, 15a George Square, Edinburgh EH8 9LD, UK
| | - Johanna Eichinger
- Institute of History and Ethics in Medicine, School of Medicine, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany
- Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland
| | - Marie Gaille
- Laboratoire Sphere, Paris Diderot University, 5 Rue Thomas Mann, 75013, Paris, France
| | - Christian Haddad
- Austrian Institute for International Affairs, Währinger Straße 3/12, 1090 Vienna, Austria
| | - Sarah Hayes
- Vienna School of International Studies, Diplomatische Akademie Wien, Favoritenstraße 15A, 1040, Vienna, Austria
| | - Andrew Hoffman
- iHub Department of Philosophical Ethics and Political Philosophy, Radboud University, Erasmusplein 1, 6525, HT Nijmegen, the Netherlands
| | - Marie Jasser
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Joke Kenens
- Centre for Sociological Research, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium
| | - Marjolein Lanzing
- iHub Department of Philosophical Ethics and Political Philosophy, Radboud University, Erasmusplein 1, 6525, HT Nijmegen, the Netherlands
| | - Sébastien Libert
- Division of Psychiatry, University College London, Maple House, 149 Tottenham Court Rd, Bloomsbury, London, UK
| | - Elisa Lievevrouw
- Centre for Sociological Research, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium
| | - Luca Marelli
- Centre for Sociological Research, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium
- Department of Medical Biotechnology and Translational Medicine, University of Milan
| | - Fernandos Ongolly
- ERC MISFIRES, University College Dublin, Belfield, Dublin 4, Ireland
| | - Amicia Phillips
- Centre for Biomedical Ethics and Law, Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 35, 3000, Leuven, Belgium
| | - Clémence Pinel
- Department of Public Health Øster Farimagsgade 5, P.O. Box 2099, DK-1014, Copenhagen, Denmark
| | - Katharina Riesinger
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Stephen Roberts
- Institute for Global Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK
| | - Gertrude Saxinger
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
- Department of Social and Cultural Anthropology, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Lukas Schlogl
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Franziska Schönweitz
- Institute of History and Ethics in Medicine, School of Medicine, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany
| | - Anna Sierawska
- Institute of History and Ethics in Medicine, School of Medicine, Technical University of Munich, Ismaninger Straße 22, 81675, Munich, Germany
| | - Wanda Spahl
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| | - Emma Stendahl
- Jönköping International Business School, Jönköping University, Gjuterigatan 5, 553 18 Jönköping, Sweden
| | - Siemen Vanstreels
- Centre for Sociological Research, KU Leuven, Parkstraat 45, 3000, Leuven, Belgium
| | - Simeon Vidolov
- ERC MISFIRES, University College Dublin, Belfield, Dublin 4, Ireland
| | - Elias Weiss
- Department of Political Science, University of Vienna, Universitätsstraße 7, 1010 Vienna, Austria
| |
Collapse
|
19
|
Foster DG, Biggs MA, Ralph L, Gerdts C, Roberts S, Glymour MM. Socioeconomic Outcomes of Women Who Receive and Women Who Are Denied Wanted Abortions in the United States. Am J Public Health 2022; 112:1290-1296. [PMID: 35969820 PMCID: PMC9382171 DOI: 10.2105/ajph.2017.304247r] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
20
|
Purayastha M, Roberts S, Gardiner J, Brison D, Nelson S, Lawlor D, Sutcliffe A. A national cohort of children born after assisted conception in the UK (1992-2009). Int J Popul Data Sci 2022. [DOI: 10.23889/ijpds.v7i3.1806] [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: 10/14/2022] Open
Abstract
ObjectiveTo establish a cohort of children consisting of those born after assisted reproductive technology (ART) in the UK between 1992 and 2009, their naturally conceived siblings (NCS) and matched naturally conceived population controls (NCP) and linking this to postnatal health records up to 2015.
MethodsDeterministic record linkage between the Human Fertilization & Embryology Authority (HFEA) register and Office for National Statistics (ONS) birth registration datasets was carried out to identify a cohort of children born after ART between 1992 and 2009, their NCS, and matched NCP controls (HFEA-ONS linkage). This cohort was linked to the UK Hospital Episode Statistics database to allow monitoring of the child’s post-natal health outcomes up to 2015 (HFEA-ONS-HES linkage). Birthweight and health outcomes were compared between groups and by treatment type.
ResultsThe HFEA-ONS linkage consisted of 75348 children born after non-donor ART carried out in the UK between 1st April 1992 and 31st July 2009, 14763 NCS and 164823 matched NCP controls. Of these, 63877 ART, 11343 NCS, and 127544 matched NCP controls were linked to hospital admissions and outpatient data (HFEA-ONS-HES sub-cohort). The study had 1.6-million-person years of follow-up (mean: 12.9 years; range 0-19 years). Children born after fresh embryo transfers were lighter and those born after frozen embryo transfers were heavier than the NCP controls. The within-sibling analyses were directionally consistent with the NCP analyses, but attenuated for the fresh vs NC and increased for the frozen vs NC analyses. ART singletons had increased risk of hospital admission as well as higher admission rates compared to NCP but not NCS.
ConclusionBespoke record linkage was carried out to generate a new child cohort for use in exploring the relationship between conception via ART and short- and long-term health outcomes in offspring. Identification of NCS as well as matched NCP controls allows exploration of the association of ART with adverse offspring outcomes while accounting for parental factors related to sub-fertility which may confound these associations.
Collapse
|
21
|
Van Haver S, Fan Y, Van Loocke W, De Preter K, Kentsis A, Studer L, Roberts S, Speleman F. Abstract 1670: A human pluripotent stem cell derived differentiation model for the study of normal and transformed sympatho-adrenal progenitors. Cancer Res 2022. [DOI: 10.1158/1538-7445.am2022-1670] [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
Abstract
Background: Neuroblastoma (NB) is a clinically and genetically heterogeneous embryonal cancer thought to arise due to a disruption of normal sympatho-adrenergic progenitors (SAPs) development. Defining the unknown molecular pathways of normal SAP differentiation is essential to improve our limited understanding of NB pathogenesis, and devise more effective and safer therapies. Currently, accurate human model systems for normal and aberrant SAP development are lacking. Using human pluripotent stem cells (hPSCs), we optimised and characterised an in vitro differentiation model to generate SAPs to dissect normal SAP development and NB oncogenesis.
Aims: Using hPSCs, we optimised and validated an in vitro differentiation model to investigate normal and aberrant SAP development.
Methods/materials: Utilizing a differentiation protocol developed by the Studer laboratory at Memorial Sloan Kettering Cancer Center, we performed in vitro differentiations of hPSCs into SAPs. Throughout a 40-day differentiation process, we harvested cells for bulk RNA-sequencing to analyse time-course expression profiles of specific neurodevelopmental markers. Next, utilizing 10XGenomics, we further mapped molecular phenotypes at the single-cell level. Additionally, we combined our data with the publicly available human SAP single cell-data set by the Adamayko laboratory to identify our cells of interest and pinpoint the distinct cell populations.
Results: During differentiation, we could confirm the development of truncal neural crest cells (NCCs) based on the expression of SOX10 and truncal HOX genes, including B7 and B9. Further differentiation of truncal NCCs into SAPs confirmed SOX10 downregulation and upregulation of neurodevelopmental transcription factors such as ASCL1, PHOX2B and STMN2. By comparing our in vitro results with in vivo data generated from human embryos, we discovered that we could generate the in vivo SAP developmental subpopulations. We further characterised all the subpopulations using sets of tissue-specific makers (i.e., PLP1, CHGA, and ISL1). These results confirm that our model can accurately generate SAPs that are comparable to their in vivo counterparts.
Conclusion: We have developed a human in vitro differentiation model to generate SAPs resembling their in vivo counterparts. This model allows for mechanistic studies that are unfeasible using in vivo systems, with human cells that faithfully recapitulate the NB cell of origin. We are now using our model to explore NB transformation in vitro using genetically modified and patient-specific hPSCs. Our system will provide critical insights into early NB oncogenesis and will serve as a platform for pre-clinical studies in the context of NB.
Citation Format: Stephane Van Haver, Yujie Fan, Wouter Van Loocke, Katleen De Preter, Alex Kentsis, Lorenz Studer, Stephen Roberts, Frank Speleman. A human pluripotent stem cell derived differentiation model for the study of normal and transformed sympatho-adrenal progenitors [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 1670.
Collapse
Affiliation(s)
| | - Yujie Fan
- 2Memorial Sloan Kettering, New York, NY
| | | | | | | | | | | | | |
Collapse
|
22
|
Shukla N, Levine MF, Gundem G, Domenico D, Spitzer B, Bouvier N, Arango-Ossa JE, Glodzik D, Medina-Martínez JS, Bhanot U, Gutiérrez-Abril J, Zhou Y, Fiala E, Stockfisch E, Li S, Rodriguez-Sanchez MI, O'Donohue T, Cobbs C, Roehrl MHA, Benhamida J, Iglesias Cardenas F, Ortiz M, Kinnaman M, Roberts S, Ladanyi M, Modak S, Farouk-Sait S, Slotkin E, Karajannis MA, Dela Cruz F, Glade Bender J, Zehir A, Viale A, Walsh MF, Kung AL, Papaemmanuil E. Feasibility of whole genome and transcriptome profiling in pediatric and young adult cancers. Nat Commun 2022; 13:2485. [PMID: 35585047 PMCID: PMC9117241 DOI: 10.1038/s41467-022-30233-7] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 04/21/2022] [Indexed: 02/07/2023] Open
Abstract
The utility of cancer whole genome and transcriptome sequencing (cWGTS) in oncology is increasingly recognized. However, implementation of cWGTS is challenged by the need to deliver results within clinically relevant timeframes, concerns about assay sensitivity, reporting and prioritization of findings. In a prospective research study we develop a workflow that reports comprehensive cWGTS results in 9 days. Comparison of cWGTS to diagnostic panel assays demonstrates the potential of cWGTS to capture all clinically reported mutations with comparable sensitivity in a single workflow. Benchmarking identifies a minimum of 80× as optimal depth for clinical WGS sequencing. Integration of germline, somatic DNA and RNA-seq data enable data-driven variant prioritization and reporting, with oncogenic findings reported in 54% more patients than standard of care. These results establish key technical considerations for the implementation of cWGTS as an integrated test in clinical oncology. Cancer whole-genome and transcriptome sequencing (cWGTS) has been challenging to implement in clinical settings. Here, the authors develop a workflow to deliver robust cWGTS analyses and reports within clinically-relevant timeframes for paediatric, adolescent and young adult solid tumour patients.
Collapse
Affiliation(s)
- N Shukla
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M F Levine
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - G Gundem
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - D Domenico
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - B Spitzer
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - N Bouvier
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - J E Arango-Ossa
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - D Glodzik
- Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - J S Medina-Martínez
- Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - U Bhanot
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Precision Pathology Biobanking Center, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - J Gutiérrez-Abril
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Y Zhou
- Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - E Fiala
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - E Stockfisch
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - S Li
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | | | - T O'Donohue
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - C Cobbs
- Integrated Genomics Operation Core, Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M H A Roehrl
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Precision Pathology Biobanking Center, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - J Benhamida
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - F Iglesias Cardenas
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M Ortiz
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M Kinnaman
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - S Roberts
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M Ladanyi
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - S Modak
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - S Farouk-Sait
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - E Slotkin
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M A Karajannis
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - F Dela Cruz
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - J Glade Bender
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - A Zehir
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - A Viale
- Integrated Genomics Operation Core, Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M F Walsh
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - A L Kung
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
| | - E Papaemmanuil
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. .,Department of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
| |
Collapse
|
23
|
de Souto Barreto P, Cesari M, Morley JE, Roberts S, Landi F, Cederholm T, Rolland Y, Vellas B, Fielding R. Appetite Loss and Anorexia of Aging in Clinical Care: An ICFSR Task Force Report. J Frailty Aging 2022; 11:129-134. [PMID: 35441188 PMCID: PMC8898654 DOI: 10.14283/jfa.2022.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Appetite loss/anorexia of aging is a highly prevalent and burdensome geriatric syndrome that strongly impairs the quality of life of older adults. Loss of appetite is associated with several clinical conditions, including comorbidities and other geriatric syndromes, such as frailty. Despite its importance, appetite loss has been under-evaluated and, consequently, under-diagnosed and under-treated in routine clinical care. The International Conference on Frailty and Sarcopenia Research (ICFSR) Task Force met virtually on September 27th 2021 to debate issues related to appetite loss/anorexia of aging. In particular, topics related to the implementation and management of appetite loss in at-risk older adult populations, energy balance during aging, and the design of future clinical trials on this topic were discussed. Future actions in this field should focus on the systematic assessment of appetite in the care pathway of older people, such as the Integrated Care for Older People (ICOPE) program recommended by the World Health Organization. Moreover, clinical care should move from the assessment to the treatment of appetite loss/anorexia. Researchers continue to pursue their efforts to find out effective pharmacologic and non-pharmacologic interventions with a favorable risk/benefit ratio.
Collapse
Affiliation(s)
- P de Souto Barreto
- Philipe de Souto Barreto, Gérontopôle de Toulouse, Institut du Vieillissement, 37 Allées Jules Guesde, 31000 Toulouse, France, +33 561 145 636,
| | | | | | | | | | | | | | | | | |
Collapse
|
24
|
Roberts S, Tyrer J, Theis V. Patients’ experience of a nutrition MDT clinic. Clin Nutr ESPEN 2022. [DOI: 10.1016/j.clnesp.2022.02.081] [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: 10/18/2022]
|
25
|
Roberts S, Stoller D, Lyden E, Lowes B, Zolty R, Um J, Lundgren S. Sacubitril/Valsartan Improves Outcomes in Left Ventricular Assist Device Recipients. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1441] [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: 10/18/2022] Open
|
26
|
Decaesteker B, Durinck K, Van Roy N, De Wilde B, Van Neste C, Van Haver S, Roberts S, De Preter K, Vermeirssen V, Speleman F. From DNA Copy Number Gains and Tumor Dependencies to Novel Therapeutic Targets for High-Risk Neuroblastoma. J Pers Med 2021; 11:1286. [PMID: 34945759 PMCID: PMC8707517 DOI: 10.3390/jpm11121286] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 11/19/2021] [Accepted: 11/20/2021] [Indexed: 12/15/2022] Open
Abstract
Neuroblastoma is a pediatric tumor arising from the sympatho-adrenal lineage and a worldwide leading cause of childhood cancer-related deaths. About half of high-risk patients die from the disease while survivors suffer from multiple therapy-related side-effects. While neuroblastomas present with a low mutational burden, focal and large segmental DNA copy number aberrations are highly recurrent and associated with poor survival. It can be assumed that the affected chromosomal regions contain critical genes implicated in neuroblastoma biology and behavior. More specifically, evidence has emerged that several of these genes are implicated in tumor dependencies thus potentially providing novel therapeutic entry points. In this review, we briefly review the current status of recurrent DNA copy number aberrations in neuroblastoma and provide an overview of the genes affected by these genomic variants for which a direct role in neuroblastoma has been established. Several of these genes are implicated in networks that positively regulate MYCN expression or stability as well as cell cycle control and apoptosis. Finally, we summarize alternative approaches to identify and prioritize candidate copy-number driven dependency genes for neuroblastoma offering novel therapeutic opportunities.
Collapse
Grants
- P30 CA008748 NCI NIH HHS
- G087221N, G.0507.12, G049720N,12U4718N, 11C3921N, 11J8313N, 12B5313N, 1514215N, 1197617N,1238420N, 12Q8322N, 3F018519, 12N6917N Fund for Scientific Research Flanders
- 2018-087, 2018-125, 2020-112 Belgian Foundation against Cancer
Collapse
Affiliation(s)
- Bieke Decaesteker
- Department for Biomolecular Medicine, Ghent University, Medical Research Building (MRB1), Corneel Heymanslaan 10, B-9000 Ghent, Belgium; (B.D.); (K.D.); (N.V.R.); (B.D.W.); (C.V.N.); (S.V.H.); (K.D.P.); (V.V.)
| | - Kaat Durinck
- Department for Biomolecular Medicine, Ghent University, Medical Research Building (MRB1), Corneel Heymanslaan 10, B-9000 Ghent, Belgium; (B.D.); (K.D.); (N.V.R.); (B.D.W.); (C.V.N.); (S.V.H.); (K.D.P.); (V.V.)
| | - Nadine Van Roy
- Department for Biomolecular Medicine, Ghent University, Medical Research Building (MRB1), Corneel Heymanslaan 10, B-9000 Ghent, Belgium; (B.D.); (K.D.); (N.V.R.); (B.D.W.); (C.V.N.); (S.V.H.); (K.D.P.); (V.V.)
| | - Bram De Wilde
- Department for Biomolecular Medicine, Ghent University, Medical Research Building (MRB1), Corneel Heymanslaan 10, B-9000 Ghent, Belgium; (B.D.); (K.D.); (N.V.R.); (B.D.W.); (C.V.N.); (S.V.H.); (K.D.P.); (V.V.)
- Department of Internal Medicine and Pediatrics, Ghent University Hospital, Corneel Heymanslaan 10, B-9000 Ghent, Belgium
| | - Christophe Van Neste
- Department for Biomolecular Medicine, Ghent University, Medical Research Building (MRB1), Corneel Heymanslaan 10, B-9000 Ghent, Belgium; (B.D.); (K.D.); (N.V.R.); (B.D.W.); (C.V.N.); (S.V.H.); (K.D.P.); (V.V.)
| | - Stéphane Van Haver
- Department for Biomolecular Medicine, Ghent University, Medical Research Building (MRB1), Corneel Heymanslaan 10, B-9000 Ghent, Belgium; (B.D.); (K.D.); (N.V.R.); (B.D.W.); (C.V.N.); (S.V.H.); (K.D.P.); (V.V.)
| | - Stephen Roberts
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA;
| | - Katleen De Preter
- Department for Biomolecular Medicine, Ghent University, Medical Research Building (MRB1), Corneel Heymanslaan 10, B-9000 Ghent, Belgium; (B.D.); (K.D.); (N.V.R.); (B.D.W.); (C.V.N.); (S.V.H.); (K.D.P.); (V.V.)
| | - Vanessa Vermeirssen
- Department for Biomolecular Medicine, Ghent University, Medical Research Building (MRB1), Corneel Heymanslaan 10, B-9000 Ghent, Belgium; (B.D.); (K.D.); (N.V.R.); (B.D.W.); (C.V.N.); (S.V.H.); (K.D.P.); (V.V.)
- Department of Biomedical Molecular Biology, Ghent University, Technologiepark 71, B-9052 Zwijnaarde, Belgium
| | - Frank Speleman
- Department for Biomolecular Medicine, Ghent University, Medical Research Building (MRB1), Corneel Heymanslaan 10, B-9000 Ghent, Belgium; (B.D.); (K.D.); (N.V.R.); (B.D.W.); (C.V.N.); (S.V.H.); (K.D.P.); (V.V.)
| |
Collapse
|
27
|
Holt D, Carr A, Roberts S, Milgrom S, Kolva E, Kavanagh B, Switzer G, Eitel C, Nelson J, Miller B, Shiao J, Mueller A, Karam S, Dzingle W, Clapp T. 3D Virtual Reality Volumetric Imaging Review in Cancer Patients’ Understanding and Education of their Disease and Treatment. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.623] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
28
|
Wallace J, Soanes K, Roberts S, Moss L, Scott-Coombes D, Egan R. 917 Metaplastic Thymic Sarcoma of The Thyroid: A Case Report and A Review of The Literature. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.340] [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]
Abstract
Abstract
In this paper, the authors present a case diagnosed as ‘metaplastic thymic sarcoma’. Tumours of the thymus are extremely rare: there is a disparity in terminology and histology observed, although there have been efforts to make classification clearer. The reported case concerns a seventy-eight-year-old woman, who presented with a rapidly enlarging neck mass. Histological diagnosis was made challenging by the unusual characteristics of the tumour; the diagnosis of ‘metaplastic thymic sarcoma’ was eventually established, following consultation with an internationally renowned soft tissue pathologist. Review of the relevant literature demonstrated no comparable cases; the presentation of a thymic tumour within the thyroid is also considered unusual. The tumour observed did not conform to any previously sub type of thymic tumour and is therefore believed to be a distinct entity. The patient suffered aggressive recurrence of the disease shortly after her surgery. Genetic testing indicated the tumour was BRAF positive, and there was a dramatic clinical response to Dabrafenib/ Trametinib treatment. The successful use of immunotherapy is encouraging finding, however the diagnosis of another distinct sub type of thymic tumour, further demonstrates the diagnostic and therapeutic challenges presented by this rare and heterogenous group.
Collapse
Affiliation(s)
- J Wallace
- Morriston Hospital, Swansea, United Kingdom
| | - K Soanes
- Morriston Hospital, Swansea, United Kingdom
| | - S Roberts
- Singleton Hospital, Swansea, United Kingdom
| | - L Moss
- Velindre Cancer Centre, Cardiff, United Kingdom
| | | | - R Egan
- Morriston Hospital, Swansea, United Kingdom
| |
Collapse
|
29
|
Sinka ME, Zilli D, Li Y, Kiskin I, Kirkham D, Rafique W, Wang L, Chan H, Gutteridge B, Herreros‐Moya E, Portwood H, Roberts S, Willis KJ. HumBug – An Acoustic Mosquito Monitoring Tool for use on budget smartphones. Methods Ecol Evol 2021. [DOI: 10.1111/2041-210x.13663] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - Davide Zilli
- Mind Foundry Ltd Oxford UK
- Department of Engineering Science University of Oxford Oxford UK
| | | | - Ivan Kiskin
- Department of Engineering Science University of Oxford Oxford UK
| | | | - Waqas Rafique
- Department of Engineering Science University of Oxford Oxford UK
| | - Lawrence Wang
- Department of Engineering Science University of Oxford Oxford UK
| | - Henry Chan
- Department of Engineering Science University of Oxford Oxford UK
| | | | | | | | - Stephen Roberts
- Mind Foundry Ltd Oxford UK
- Department of Engineering Science University of Oxford Oxford UK
| | | |
Collapse
|
30
|
Williams R, Alessi C, Alexander G, Allison M, Aspinall R, Batterham RL, Bhala N, Day N, Dhawan A, Drummond C, Ferguson J, Foster G, Gilmore I, Goldacre R, Gordon H, Henn C, Kelly D, MacGilchrist A, McCorry R, McDougall N, Mirza Z, Moriarty K, Newsome P, Pinder R, Roberts S, Rutter H, Ryder S, Samyn M, Severi K, Sheron N, Thorburn D, Verne J, Williams J, Yeoman A. New dimensions for hospital services and early detection of disease: a Review from the Lancet Commission into liver disease in the UK. Lancet 2021; 397:1770-1780. [PMID: 33714360 PMCID: PMC9188483 DOI: 10.1016/s0140-6736(20)32396-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 09/29/2020] [Accepted: 11/03/2020] [Indexed: 12/26/2022]
Abstract
This Review, in addressing the unacceptably high mortality of patients with liver disease admitted to acute hospitals, reinforces the need for integrated clinical services. The masterplan described is based on regional, geographically sited liver centres, each linked to four to six surrounding district general hospitals-a pattern of care similar to that successfully introduced for stroke services. The plan includes the establishment of a lead and deputy lead clinician in each acute hospital, preferably a hepatologist or gastroenterologist with a special interest in liver disease, who will have prime responsibility for organising the care of admitted patients with liver disease on a 24/7 basis. Essential for the plan is greater access to intensive care units and high-dependency units, in line with the reconfiguration of emergency care due to the COVID-19 pandemic. This Review strongly recommends full implementation of alcohol care teams in hospitals and improved working links with acute medical services. We also endorse recommendations from paediatric liver services to improve overall survival figures by diagnosing biliary atresia earlier based on stool colour charts and better caring for patients with impaired cognitive ability and developmental mental health problems. Pilot studies of earlier diagnosis have shown encouraging progress, with 5-6% of previously undiagnosed cases of severe fibrosis or cirrhosis identified through use of a portable FibroScan in primary care. Similar approaches to the detection of early asymptomatic disease are described in accounts from the devolved nations, and the potential of digital technology in improving the value of clinical consultation and screening programmes in primary care is highlighted. The striking contribution of comorbidities, particularly obesity and diabetes (with excess alcohol consumption known to be a major factor in obesity), to mortality in COVID-19 reinforces the need for fiscal and other long delayed regulatory measures to reduce the prevalence of obesity. These measures include the food sugar levy and the introduction of the minimum unit price policy to reduce alcohol consumption. Improving public health, this Review emphasises, will not only mitigate the severity of further waves of COVID-19, but is crucial to reducing the unacceptable burden from liver disease in the UK.
Collapse
Affiliation(s)
- Roger Williams
- Institute of Hepatology, Foundation for Liver Research, London, UK
| | | | - Graeme Alexander
- UCL Institute for Liver & Digestive Health, Royal Free Hospital, London, UK
| | - Michael Allison
- Liver Unit, Department of Medicine, Cambridge Biomedical Research Centre, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
| | - Richard Aspinall
- Department of Gastroenterology & Hepatology, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, UK
| | - Rachel L Batterham
- National Institute of Health Research, UCLH Biomedical Research Centre, London, UK
| | - Neeraj Bhala
- NIHR Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK; Gastrointestinal and Liver Services, Queen Elizabeth Hospital Birmingham at University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Natalie Day
- Institute of Hepatology, Foundation for Liver Research, London, UK
| | - Anil Dhawan
- Paediatric Liver, GI and Nutrition Centre, King's College Hospital NHS Foundation Trust, London, UK
| | - Colin Drummond
- Institute of Psychiatry, Psychology & Neuroscience, King's College London and South London and Maudsley NHS Foundation Trust, London, UK
| | - James Ferguson
- NIHR Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Graham Foster
- Bart's Liver Centre, Queen Mary University of London, London, UK
| | - Ian Gilmore
- Liverpool Centre for Alcohol Research, University of Liverpool, Liverpool, UK; Alcohol Health Alliance, London, UK.
| | - Raphael Goldacre
- Unit of Health Care Epidemiology, Big Data Institute, Nuffield Department of Population Health, NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK
| | - Harriet Gordon
- Gastroenterology Department, Hampshire Hospitals Foundation Trust, Winchester, UK
| | | | - Deirdre Kelly
- Liver Unit, Birmingham Women's and Children's Hospital and University of Birmingham, Birmingham, UK
| | | | | | | | - Zulfiquar Mirza
- Emergency Department, West Middlesex University Hospital, London, UK
| | | | - Philip Newsome
- NIHR Birmingham Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Richard Pinder
- School of Public Health, Imperial College of Science & Technology, London, UK
| | | | - Harry Rutter
- Department of Social and Policy Sciences, University of Bath, Bath, UK
| | - Stephen Ryder
- NIHR Biomedical Research Centre at Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK
| | - Marianne Samyn
- Paediatric Liver, GI and Nutrition Centre, King's College Hospital NHS Foundation Trust, London, UK
| | | | - Nick Sheron
- Institute of Hepatology, Foundation for Liver Research, London, UK
| | - Douglas Thorburn
- UCL Institute for Liver & Digestive Health, Royal Free Hospital, London, UK; Sheila Sherlock Liver Centre, Royal Free Hospital, London, UK
| | | | | | | |
Collapse
|
31
|
Mus LM, Van Haver S, Popovic M, Trypsteen W, Lefever S, Zeltner N, Ogando Y, Jacobs EZ, Denecker G, Sanders E, Van Neste C, Vanhauwaert S, Decaesteker B, Deforce D, Van Nieuwerburgh F, Mestdagh P, Vandesompele J, Menten B, De Preter K, Studer L, Heindryckx B, Durinck K, Roberts S, Speleman F. Recurrent chromosomal imbalances provide selective advantage to human embryonic stem cells under enhanced replicative stress conditions. Genes Chromosomes Cancer 2021; 60:272-281. [PMID: 33336840 DOI: 10.1002/gcc.22931] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 12/14/2020] [Accepted: 12/15/2020] [Indexed: 11/07/2022] Open
Abstract
Human embryonic stem cells (hESCs) and embryonal tumors share a number of common features, including a compromised G1/S checkpoint. Consequently, these rapidly dividing hESCs and cancer cells undergo elevated levels of replicative stress, inducing genomic instability that drives chromosomal imbalances. In this context, it is of interest that long-term in vitro cultured hESCs exhibit a remarkable high incidence of segmental DNA copy number gains, some of which are also highly recurrent in certain malignancies such as 17q gain (17q+). The selective advantage of DNA copy number changes in these cells has been attributed to several underlying processes including enhanced proliferation. We hypothesized that these recurrent chromosomal imbalances become rapidly embedded in the cultured hESCs through a replicative stress driven Darwinian selection process. To this end, we compared the effect of hydroxyurea-induced replicative stress vs normal growth conditions in an equally mixed cell population of isogenic euploid and 17q + hESCs. We could show that 17q + hESCs rapidly overtook normal hESCs. Our data suggest that recurrent chromosomal segmental gains provide a proliferative advantage to hESCs under increased replicative stress, a process that may also explain the highly recurrent nature of certain imbalances in cancer.
Collapse
Affiliation(s)
- Liselot M Mus
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Stéphane Van Haver
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Mina Popovic
- Ghent-Fertility and Stem Cell Team (G-FaST), Department for Reproductive Medicine, Ghent University Hospital, Ghent, Belgium
| | - Wim Trypsteen
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Steve Lefever
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Nadja Zeltner
- Center for Molecular Medicine, Department of Biochemistry & Molecular Biology and Department of Cellular Biology, University of Georgia, Athens, Georgia, USA
| | - Yudelca Ogando
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, USA
| | - Eva Z Jacobs
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
| | - Geertrui Denecker
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Ellen Sanders
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Christophe Van Neste
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Suzanne Vanhauwaert
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Bieke Decaesteker
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Dieter Deforce
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
- Laboratory of Pharmaceutical Biotechnology, Ghent University, Ghent, Belgium
| | - Filip Van Nieuwerburgh
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
- Laboratory of Pharmaceutical Biotechnology, Ghent University, Ghent, Belgium
| | - Pieter Mestdagh
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Jo Vandesompele
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Björn Menten
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
| | - Katleen De Preter
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Lorenz Studer
- The Center for Stem Cell Biology, Sloan Kettering Institute, New York, USA
- Developmental Biology Program, Sloan Kettering Institute, New York, USA
| | - Björn Heindryckx
- Ghent-Fertility and Stem Cell Team (G-FaST), Department for Reproductive Medicine, Ghent University Hospital, Ghent, Belgium
| | - Kaat Durinck
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| | - Stephen Roberts
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, USA
| | - Frank Speleman
- Department of Biomolecular Medicine, Ghent University, Ghent, Belgium
- Ghent University, Cancer Research Institute Ghent (CRIG), Ghent, Belgium
| |
Collapse
|
32
|
Becerra D, Linge H, Jeffs S, Roberts S, O J, Ott H. Normothermic Liquid Ventilation Attenuates Inflammation from Ischemia-Reperfusion Injury in an Ex Vivo Rat Model. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.971] [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: 10/21/2022] Open
|
33
|
O'Donohue T, Gulati N, Mauguen A, Kushner BH, Shukla N, Rodriguez-Sanchez MI, Bouvier N, Roberts S, Basu E, Cheung NK, Modak S. Differential Impact of ALK Mutations in Neuroblastoma. JCO Precis Oncol 2021; 5:PO.20.00181. [PMID: 34250410 DOI: 10.1200/po.20.00181] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 12/21/2020] [Accepted: 02/08/2021] [Indexed: 11/20/2022] Open
Abstract
PURPOSE The tyrosine kinase receptor anaplastic lymphoma kinase (ALK) can be abnormally activated in neuroblastoma, and somatic ALK mutations occur in 6%-10% of patients. The differential clinical impact of these mutations has not been clearly elucidated. METHODS Data on patients with neuroblastoma harboring ALK mutations were retrospectively analyzed. ALK sequencing was performed by whole-genome sequencing, hybrid-based capture of targeted exomes, or hotspot ALK mutation profiling. The differential impact of ALK mutation site on clinical characteristics, response to treatment, and survival was analyzed. In a subgroup of patients with locoregional neuroblastoma diagnosed after 2014, the impact of all ALK mutations was compared with wild-type ALK. RESULTS Of 641 patients with neuroblastoma with ALK status analyzed on at least one tumor sample, 103 (16%) had tumors harboring ALK mutations. Mutations existed across all ages (birth to 67.8 years), stages (30% locoregional and 70% metastatic), and risk groups (20%, 11%, and 69% with low-, intermediate-, and high-risk disease, respectively). Mutation sites included F1174 (51%), R1275 (29%), R1245 (10%), and others (10%). Mutation site was not prognostic for progression-free survival or overall survival in the entire cohort, high-risk subgroup, or locoregional subgroup. Locoregional tumors with any ALK mutation were generally invasive: L2 by International Neuroblastoma Research Group staging in 30/31 patients with a 2-year progression-free survival (59%, 95% CI, 37.4 to 80.5) that was inferior to historical controls. This observation was corroborated in the post-2014 subgroup in which gross total resection was less likely for ALK-mutated tumors. CONCLUSION Somatic ALK mutations are present across all stages and risk groups of neuroblastoma. No specific mutation carries differential prognostic significance. Locoregional neuroblastoma has an invasive phenotype when harboring somatic ALK mutations in this population.
Collapse
Affiliation(s)
- Tara O'Donohue
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Nitya Gulati
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Audrey Mauguen
- Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Brian H Kushner
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Neerav Shukla
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
| | | | - Nancy Bouvier
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Stephen Roberts
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Ellen Basu
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Nai-Kong Cheung
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
| | - Shakeel Modak
- Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY
| |
Collapse
|
34
|
Babawale M, Gunavardhan A, Walker J, Corfield T, Huey P, Savage A, Bansal A, Atkinson M, Abdelsalam H, Raweily E, Christian A, Evangelou I, Thomas D, Shannon J, Youd E, Brumwell P, Harrison J, Thompson I, Rashid M, Leopold G, Finall A, Roberts S, Housa D, Nedeva P, Davies A, Fletcher D, Aslam M. Verification and Validation of Digital Pathology (Whole Slide Imaging) for Primary Histopathological Diagnosis: All Wales Experience. J Pathol Inform 2021; 12:4. [PMID: 34012708 PMCID: PMC8112347 DOI: 10.4103/jpi.jpi_55_20] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 07/03/2020] [Accepted: 10/01/2020] [Indexed: 11/04/2022] Open
Abstract
Aims: The study is aimed to verify Aperio AT2 scanner for reporting on the digital pathology platform (DP) and to validate the cohort of pathologists in the interpretation of DP for routine diagnostic histopathological services in Wales, United Kingdom. Materials, Methods and Results: This was a large multicenter study involving seven hospitals across Wales and unique with 22 (largest number) pathologists participating. 7491 slides from 3001 cases were scanned on Leica Aperio AT2 scanner and reported on digital workstations with Leica software of e-slide manager. A senior pathology fellow compared DP reports with authorized reports on glass slide (GS). A panel of expert pathologists reviewed the discrepant cases under multiheader microscope to establish ground truth. 2745 out of 3001 (91%) cases showed complete concordance between DP and GS reports. Two hundred and fifty-six cases showed discrepancies in diagnosis, of which 170 (5.6%) were deemed of no clinical significance by the review panel. There were 86 (2.9%) clinically significant discrepancies in the diagnosis between DP and GS. The concordance was raised to 97.1% after discounting clinically insignificant discrepancies. Ground truth lay with DP in 28 out of 86 clinically significant discrepancies and with GS in 58 cases. Sensitivity of DP was 98.07% (confidence interval [CI] 97.57–98.56%); for GS was 99.07% (CI 98.72–99.41%). Conclusions: We concluded that Leica Aperio AT2 scanner produces adequate quality of images for routine histopathologic diagnosis. Pathologists were able to diagnose in DP with good concordance as with GS. Strengths and Limitations of this Study: Strengths of this study – This was a prospective blind study. Different pathologists reported digital and glass arms at different times giving an ambience of real-time reporting. There was standardized use of software and hardware across Wales. A strong managerial support from efficiency through the technology group was a key factor for the implementation of the study. Limitations: This study did not include Cytopathology and in situ hybridization slides. Difficulty in achieving surgical pathology practise standardization across the whole country contributed to intra-observer variations.
Collapse
Affiliation(s)
- M Babawale
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - A Gunavardhan
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - J Walker
- Department of Anaesthetics, Gwynedd Hospital, Betsi Cadwaladr University Health Board, Bangor, Wales
| | - T Corfield
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - P Huey
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - A Savage
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - A Bansal
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - M Atkinson
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - H Abdelsalam
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - E Raweily
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - A Christian
- Department of Histopathology, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, Wales
| | - I Evangelou
- Department of Histopathology, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, Wales
| | - D Thomas
- Department of Histopathology, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, Wales
| | - J Shannon
- Department of Histopathology, Royal Glamorgan Hospital, Cwm Taf University Health Board, Rhondda Cynon Taff, Wales
| | - E Youd
- Department of Histopathology, Royal Glamorgan Hospital, Cwm Taf University Health Board, Rhondda Cynon Taff, Wales
| | - P Brumwell
- Department of Histopathology, Royal Glamorgan Hospital, Cwm Taf University Health Board, Rhondda Cynon Taff, Wales
| | - J Harrison
- Department of Histopathology, Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, Wales
| | - I Thompson
- Department of Histopathology, Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, Wales
| | - M Rashid
- Department of Histopathology, Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, Wales
| | - G Leopold
- Department of Cellular Pathology, Morriston Hospital Swansea Bay University Health Board, Port Talbot, Wales
| | - A Finall
- Department of Cellular Pathology, Morriston Hospital Swansea Bay University Health Board, Port Talbot, Wales.,Abertawe Bro Morgannwg Health Board, Port Talbot, Wales
| | - S Roberts
- Department of Cellular Pathology, Singleton Hospital, Abertawe Bro Morgannwg Health Board, Port Talbot, Wales
| | - D Housa
- Department of Histopathology, Glangwilli Hospital, Hywel Dda University Health Board, Carmarthen, Wales
| | - P Nedeva
- Department of Histopathology, Glangwilli Hospital, Hywel Dda University Health Board, Carmarthen, Wales
| | - A Davies
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - D Fletcher
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| | - Muhammad Aslam
- Department of Cellular Pathology, Glan Clwyd Hospital, Betsi Cadwaladr University Health Board, Bodelwyddan, Wales
| |
Collapse
|
35
|
Kelly JT, Collins PF, McCamley J, Ball L, Roberts S, Campbell KL. Digital disruption of dietetics: are we ready? J Hum Nutr Diet 2020; 34:134-146. [DOI: 10.1111/jhn.12827] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 09/03/2020] [Accepted: 09/25/2020] [Indexed: 02/06/2023]
Affiliation(s)
- J. T. Kelly
- Menzies Health Institute Queensland Griffith University Southport QLD Australia
| | - P. F. Collins
- Menzies Health Institute Queensland Griffith University Southport QLD Australia
- School of Allied Health Sciences Griffith University Southport QLD Australia
| | - J. McCamley
- Metro North Hospital and Health Service Herston QLD Australia
| | - L. Ball
- Menzies Health Institute Queensland Griffith University Southport QLD Australia
| | - S. Roberts
- Menzies Health Institute Queensland Griffith University Southport QLD Australia
- School of Allied Health Sciences Griffith University Southport QLD Australia
- Gold Coast Hospital and Health Service Southport QLD Australia
| | - K. L. Campbell
- Menzies Health Institute Queensland Griffith University Southport QLD Australia
- Centre of Applied Health Economics School of Medicine Griffith University Southport QLD Australia
- Metro North Hospital and Health Service Herston QLD Australia
| |
Collapse
|
36
|
Upadhyay U, McCook A, Bennett A, Cartwright A, Roberts S. P16 State abortion policies and ability to obtain an abortion. Contraception 2020. [DOI: 10.1016/j.contraception.2020.07.035] [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]
|
37
|
O’donohue T, Ibáñez G, Mauguen A, Siddiquee A, Rosales N, Calder P, Ndengu A, Roberts S, Dela Cruz F, Kung A. TPX-0005 (Repotrectinib), a next-generation ALK/ROS1/NTRK1–3 inhibitor, has potent antiproliferative and anti-tumor activity as monotherapy and in combination with chemotherapy in neuroblastoma cell lines and pediatric patient derived xenograft models. Eur J Cancer 2020. [DOI: 10.1016/s0959-8049(20)31108-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
38
|
Kaufman D, McKay N, Routson C, Erb M, Davis B, Heiri O, Jaccard S, Tierney J, Dätwyler C, Axford Y, Brussel T, Cartapanis O, Chase B, Dawson A, de Vernal A, Engels S, Jonkers L, Marsicek J, Moffa-Sánchez P, Morrill C, Orsi A, Rehfeld K, Saunders K, Sommer PS, Thomas E, Tonello M, Tóth M, Vachula R, Andreev A, Bertrand S, Biskaborn B, Bringué M, Brooks S, Caniupán M, Chevalier M, Cwynar L, Emile-Geay J, Fegyveresi J, Feurdean A, Finsinger W, Fortin MC, Foster L, Fox M, Gajewski K, Grosjean M, Hausmann S, Heinrichs M, Holmes N, Ilyashuk B, Ilyashuk E, Juggins S, Khider D, Koinig K, Langdon P, Larocque-Tobler I, Li J, Lotter A, Luoto T, Mackay A, Magyari E, Malevich S, Mark B, Massaferro J, Montade V, Nazarova L, Novenko E, Pařil P, Pearson E, Peros M, Pienitz R, Płóciennik M, Porinchu D, Potito A, Rees A, Reinemann S, Roberts S, Rolland N, Salonen S, Self A, Seppä H, Shala S, St-Jacques JM, Stenni B, Syrykh L, Tarrats P, Taylor K, van den Bos V, Velle G, Wahl E, Walker I, Wilmshurst J, Zhang E, Zhilich S. Author Correction: A global database of Holocene paleotemperature records. Sci Data 2020; 7:246. [PMID: 32678108 PMCID: PMC7366677 DOI: 10.1038/s41597-020-00584-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Affiliation(s)
- Darrell Kaufman
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA.
| | - Nicholas McKay
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA
| | - Cody Routson
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA
| | - Michael Erb
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA
| | - Basil Davis
- University of Lausanne, Institute of Earth Surface Dynamics, Lausanne, 1015, Switzerland
| | - Oliver Heiri
- University of Basel, Department of Environmental Sciences, Basel, 4056, Switzerland
| | - Samuel Jaccard
- University of Bern, Institute of Geological Sciences and Oeschger Center for Climate Change Research, Bern, CH-3012, Switzerland
| | - Jessica Tierney
- University of Arizona, Department of Geosciences, Tucson, AZ, 85721, USA
| | - Christoph Dätwyler
- University of Bern, Institute of Geography and Oeschger Centre for Climate Change Research, Bern, 3012, Switzerland
| | - Yarrow Axford
- Northwestern University, Department of Earth and Planetary Sciences, Evanston, IL, 60208, USA
| | - Thomas Brussel
- University of Utah, Department of Geography, Salt Lake City, UT, 84112, USA
| | - Olivier Cartapanis
- University of Bern, Institute of Geological Sciences and Oeschger Center for Climate Change Research, Bern, CH-3012, Switzerland
| | - Brian Chase
- Université de Montpellier, Centre National de la Recherche Scientifique, Institut des Sciences de l'Evolution, Montpellier, 34095, France
| | - Andria Dawson
- Mount Royal University, Department of General Education, Calgary, T3E6K6, Canada
| | - Anne de Vernal
- Université du Québec à Montréal, Geotop-UQAM, Montréal, H3C 3P8, Canada
| | - Stefan Engels
- University of London, Birkbeck, Department of Geography, London, WC1E 7HX, UK
| | - Lukas Jonkers
- University of Bremen, MARUM Center for Marine Environmental Sciences, Bremen, 28359, Germany
| | - Jeremiah Marsicek
- University of Wisconsin-Madison, Department of Geoscience, Madison, WI, 53706, USA
| | | | - Carrie Morrill
- University of Colorado, Cooperative Institute for Research in Environmental Sciences, Boulder, CO, 80309, USA
| | - Anais Orsi
- Laboratoire des Sciences du Climat et de l'Environnement, Université Paris-Saclay, Gif sur Yvette, 91191, France
| | - Kira Rehfeld
- Heidelberg University, Institute of Environmental Physics, Heidelberg, 69221, Germany
| | - Krystyna Saunders
- Australian Nuclear Science and Technology Organisation, Environment, Lucas Heights, 2234, Australia
| | - Philipp S Sommer
- University of Lausanne, Institute of Earth Surface Dynamics, Lausanne, 1015, Switzerland.,Institute for Coastal Research, Helmholtz-Zentrum, Geesthacht, Germany
| | - Elizabeth Thomas
- University at Buffalo, Department of Geology, Buffalo, NY, 14206, USA
| | - Marcela Tonello
- Universidad Nacional de Mar del Plata, Instituto de Investigaciones Marinas y Costeras, Mar del Plata, 7600, Argentina
| | - Mónika Tóth
- Balaton Limnological Institute, Centre for Ecological Research, Tihany, H-8237, Hungary
| | - Richard Vachula
- Brown University, Department of Earth, Environmental and Planetary Sciences, Providence, 2912, USA
| | - Andrei Andreev
- Alfred Wegener Institut Helmholtz Centre for Polar and Marine Research, Polar Terrestrial Environmental Systems, Potsdam, 14473, Germany
| | | | - Boris Biskaborn
- Alfred Wegener Institut Helmholtz Centre for Polar and Marine Research, Polar Terrestrial Environmental Systems, Potsdam, 14473, Germany
| | - Manuel Bringué
- Natural Resources Canada, Geological Survey of Canada, Calgary, AB, T2L 2A7, Canada
| | - Stephen Brooks
- Natural History Museum, Department of Life Sciences, London, SW7 5BD, UK
| | - Magaly Caniupán
- University of Concepcion, Department of Oceanography and COPAS Sur-Austral Program, Concepcion, 4030000, Chile
| | - Manuel Chevalier
- University of Lausanne, Institute of Earth Surface Dynamics, Lausanne, 1015, Switzerland
| | - Les Cwynar
- University of New Brunswick, Department of Biology, Fredericton, NB, E3B 5A3, Canada
| | - Julien Emile-Geay
- University of Southern California, Department of Earth Sciences, Los Angeles, CA, 90089, USA
| | - John Fegyveresi
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA
| | - Angelica Feurdean
- Goethe University, Department of Physical Geography, Frankfurt am Main, 60438, Germany
| | - Walter Finsinger
- Université de Montpellier, Centre National de la Recherche Scientifique, Institut des Sciences de l'Evolution, Montpellier, 34095, France
| | - Marie-Claude Fortin
- University of Ottawa, Ottawa-Carleton Institute of Biology, Ottawa, K1N6N5, Canada
| | - Louise Foster
- Newcastle University, School of Geography, Politics and Sociology, Newcastle-upon-Tyne, NE17RU, UK.,British Antarctic Survey, Palaeoenvironments and Ice Sheets, Cambridge, CB3 0ET, UK
| | - Mathew Fox
- University of Arizona, School of Anthropology, Tucson, AZ, 85721, USA
| | - Konrad Gajewski
- University of Ottawa, Department of Geography, Environment and Geomatics, Ottawa, K1N6N5, Canada
| | - Martin Grosjean
- University of Bern, Institute of Geography and Oeschger Centre for Climate Change Research, Bern, 3012, Switzerland
| | | | - Markus Heinrichs
- Okanagan College, Department of Geography and Earth and Environmental Science, Kelowna, V1Y 4X8, Canada
| | - Naomi Holmes
- Sheffield Hallam University, Department of the Natural and Built Environment, Sheffield, S1 1WB, UK
| | - Boris Ilyashuk
- University of Innsbruck, Department of Ecology, Innsbruck, 6020, Austria
| | - Elena Ilyashuk
- University of Innsbruck, Department of Ecology, Innsbruck, 6020, Austria
| | - Steve Juggins
- Newcastle University, School of Geography, Politics and Sociology, Newcastle-upon-Tyne, NE17RU, UK
| | - Deborah Khider
- University of Southern California, Information Sciences Institute, Marina Del Rey, CA, 90292, USA
| | - Karin Koinig
- University of Innsbruck, Department of Ecology, Innsbruck, 6020, Austria
| | - Peter Langdon
- University of Southampton, School of Geography and Environmental Science, Southampton, SO17 1BJ, UK
| | | | - Jianyong Li
- Northwest University, China, College of Urban and Environmental Sciences, Xi'an, 710027, China
| | - André Lotter
- University of Bern, Palaeoecology, Bern, CH-3013, Switzerland
| | - Tomi Luoto
- University of Helsinki, Faculty of Biological and Environmental Sciences, Lahti, 15140, Finland
| | - Anson Mackay
- University College London, Department of Geography, London, WC1E 6BT, UK
| | - Eniko Magyari
- Eötvös Loránd University, Department of Environmental and Landscape Geography, Budapest, 1117, Hungary
| | - Steven Malevich
- University of Arizona, Department of Geosciences, Tucson, AZ, 85721, USA
| | - Bryan Mark
- The Ohio State University, Department of Geography and Byrd Polar and Climate Research Center, Columbus, OH, 43210, USA
| | | | - Vincent Montade
- Université de Montpellier, Centre National de la Recherche Scientifique, Institut des Sciences de l'Evolution, Montpellier, 34095, France
| | - Larisa Nazarova
- Potsdam University, Institute of Geosciences, Potsdam, 14476, Germany
| | - Elena Novenko
- Lomonosov Moscow State University, Faculty of Geography, Moscow, 119991, Russia
| | - Petr Pařil
- Masaryk University, Department of Botany and Zoology, Brno, 61137, Czech Republic
| | - Emma Pearson
- Newcastle University, School of Geography, Politics and Sociology, Newcastle-upon-Tyne, NE17RU, UK
| | - Matthew Peros
- Bishop's University, Department of Environment and Geography, Sherbrooke, Quebec, J1M 1Z7, Canada
| | - Reinhard Pienitz
- Université Laval, Department of Geography, Center for Northern Studies, Québec, G1V 0A6, Canada
| | - Mateusz Płóciennik
- University of Lodz, Department of Invertebrate Zoology and Hydrobiology, Lodz, 90-237, Poland
| | - David Porinchu
- University of Georgia, Department of Geography, Athens, GA, 30606, USA
| | - Aaron Potito
- National University of Ireland Galway, School of Geography, Archaeology and Irish Studies, Galway, H91 TK33, Ireland
| | - Andrew Rees
- Victoria University of Wellington, School of Geography, Environment and Earth Sciences, Wellington, 6012, New Zealand
| | - Scott Reinemann
- Sinclair Community College, Geography Department, Dayton, OH, 45402, USA
| | - Stephen Roberts
- British Antarctic Survey, Palaeoenvironments and Ice Sheets, Cambridge, CB3 0ET, UK
| | - Nicolas Rolland
- Fisheries and Ocean Canada, Gulf Fisheries Centre, Moncton, NB, E1C 9B6, Canada
| | - Sakari Salonen
- University of Helsinki, Department of Geosciences and Geography, Helsinki, 00014, Finland
| | - Angela Self
- The Natural History Museum, London, SW7 5BD, UK
| | - Heikki Seppä
- University of Helsinki, Department of Geosciences and Geography, Helsinki, 00014, Finland
| | - Shyhrete Shala
- Stockholm University, Department of Physical Geography, Stockholm, SE-106 91, Sweden
| | | | - Barbara Stenni
- Ca' Foscari University of Venice, Department of Environmental Sciences, Informatics and Statistics, Venezia, 30172, Italy
| | - Liudmila Syrykh
- Herzen State Pedagogical University of Russia, Research Laboratory of the Environmental management, St. Petersburg, 191186, Russia
| | - Pol Tarrats
- Universitat de Barcelona, Departament de Biologia Evolutiva, Ecologia i Ciències Ambientals, Secció Ecologia, Barcelona, 08028, Spain
| | - Karen Taylor
- National University of Ireland Galway, School of Geography, Archaeology and Irish Studies, Galway, H91 TK33, Ireland.,University College Cork, Department of Geography, Cork, Ireland
| | - Valerie van den Bos
- Victoria University of Wellington, School of Geography, Environment and Earth Sciences, Wellington, 6012, New Zealand
| | - Gaute Velle
- NORCE Norwegian Research Centre, LFI, Bergen, 5008, Norway
| | - Eugene Wahl
- US National Oceanic and Atmospheric Administration, National Centers for Environmental Information, Boulder, CO, 80305, USA
| | - Ian Walker
- University of British Columbia, Department of Biology; Department of Earth, Environmental and Geographic Sciences, Kelowna, British Columbia, V1V 1V7, Canada
| | - Janet Wilmshurst
- Landcare Research, Ecosystems and Conservation, Lincoln, 7640, New Zealand
| | - Enlou Zhang
- Chinese Academy of Sciences, Nanjing Institute of Geography and Limnology, Nanjing, 210008, China
| | - Snezhana Zhilich
- Institute of Archaeology and Ethnography, Russian Academy of Sciences, Siberian Branch, Novosibirsk, 630090, Russia
| |
Collapse
|
39
|
Sabnis H, Mizukawa B, Glade-Bender J, Fangusaro J, Roberts S, Whitlow C, Winchester M, O’Brien M, Agresta L, Turpin B, Wechsler D, Castellino S, Shukla N. Abstract A50: Targeted therapies for children and young adults with cancer: Single-patient use (SPU) experience at three large pediatric cancer programs. Cancer Res 2020. [DOI: 10.1158/1538-7445.pedca19-a50] [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
Abstract
Introduction: The Food and Drug Administration (FDA) expanded access program uses a single-patient use (SPU) mechanism to provide patient access to investigational agents prior to FDA approval and outside clinical trials, in situations where no satisfactory or comparable therapy is available. Genomic profiling of both newly diagnosed and relapsed/refractory childhood cancer has increased in the last decade, resulting in identification of new drug targets for pediatric malignancies. Recently, a review of SPU use in adult and pediatric patients at a single institution (Feit, JAMA Oncology 2019) showed that a markedly higher percentage of pediatric patients receive access through SPUs compared with adult patients, identifying this as an important means of pediatric drug access. However, little is known about the pediatric use and efficacy of SPUs in children. The aim of this study is to examine the SPU experience in pediatric and adolescent and young adult (AYA) cancer patients—specifically obtained for targeted therapies at three large pediatric cancer centers.
Methods: All therapeutic SPUs obtained between January 1, 2014 and January 1, 2019 were evaluated at the Aflac Cancer & Blood Disorders Center (Atlanta, GA), Cincinnati Children’s Hospital (Cincinnati, OH), and the Memorial Sloan Kettering Cancer Center (New York, NY). Data were collected on the type of malignancy, agents requested, and corresponding molecularly informed targets, if applicable.
Results: A total of 61 SPUs were approved in the five-year period, with 34 (55%) of them specific for access to agents based on somatic tumor mutations identified by genomic profiling. Among the disease groups, SPUs were most often requested for tumors affecting the central nervous system (CNS) (48%), followed by solid tumors (bone, liver, and kidney tumors) (26%), hematologic malignancies (leukemia/lymphoma) (21%), and other rare tumors (5%). Kinase inhibitors were the most frequently requested agents in the genomically defined category (n=34), specifically, FGFR (fibroblast growth factor receptor) inhibitors followed by drugs targeting NTRK 1/2/3 (tropomyosin receptor kinase (Trk) receptors). Most patients within this genomically targeted group (18/34) are currently receiving therapy with these agents.
Conclusions: We found that SPUs represent an important means of access to therapeutic agents in the pediatric and AYA populations, with more than half of all SPUs based on rearrangements identified by genomic profiling. A broad range of agents were requested across CNS, solid tumor, and hematologic types. Furthermore, more than half of the patients remain on their respective SPU-approved drug. We are currently performing a more detailed analysis of clinical responses, as well as a time analysis from SPU initiation to approval for all patients in this cohort. Establishment of this cohort of patients across institutions will serve as the basis for a formal registry of pediatric SPUs, which will enable us to study their use and efficacy over time.
Citation Format: Himalee Sabnis, Benjamin Mizukawa, Julia Glade-Bender, Jason Fangusaro, Stephen Roberts, Chanta Whitlow, Marilyn Winchester, Maureen O’Brien, Laura Agresta, Brian Turpin, Daniel Wechsler, Sharon Castellino, Neerav Shukla. Targeted therapies for children and young adults with cancer: Single-patient use (SPU) experience at three large pediatric cancer programs [abstract]. In: Proceedings of the AACR Special Conference on the Advances in Pediatric Cancer Research; 2019 Sep 17-20; Montreal, QC, Canada. Philadelphia (PA): AACR; Cancer Res 2020;80(14 Suppl):Abstract nr A50.
Collapse
Affiliation(s)
- Himalee Sabnis
- 1Aflac Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta-Emory University School of Medicine, Atlanta, GA,
| | - Benjamin Mizukawa
- 2Cincinnati Children’s Hospital Medical Center-University of Cincinnati College of Medicine, Cincinnati, OH,
| | - Julia Glade-Bender
- 3Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY,
| | - Jason Fangusaro
- 1Aflac Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta-Emory University School of Medicine, Atlanta, GA,
| | - Stephen Roberts
- 3Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY,
| | - Chanta Whitlow
- 4Aflac Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta, Atlanta, GA
| | - Marilyn Winchester
- 3Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY,
| | - Maureen O’Brien
- 2Cincinnati Children’s Hospital Medical Center-University of Cincinnati College of Medicine, Cincinnati, OH,
| | - Laura Agresta
- 2Cincinnati Children’s Hospital Medical Center-University of Cincinnati College of Medicine, Cincinnati, OH,
| | - Brian Turpin
- 2Cincinnati Children’s Hospital Medical Center-University of Cincinnati College of Medicine, Cincinnati, OH,
| | - Daniel Wechsler
- 1Aflac Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta-Emory University School of Medicine, Atlanta, GA,
| | - Sharon Castellino
- 1Aflac Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta-Emory University School of Medicine, Atlanta, GA,
| | - Neerav Shukla
- 3Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY,
| |
Collapse
|
40
|
Perry J, McCarthy HS, Bou-Gharios G, van 't Hof R, Milner PI, Mennan C, Roberts S. Injected human umbilical cord-derived mesenchymal stromal cells do not appear to elicit an inflammatory response in a murine model of osteoarthritis. Osteoarthr Cartil Open 2020; 2:100044. [PMID: 32596691 PMCID: PMC7307639 DOI: 10.1016/j.ocarto.2020.100044] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 02/07/2020] [Indexed: 01/08/2023] Open
Abstract
Objective This study investigated the effect of hUC-MSCs on osteoarthritis (OA) progression in a xenogeneic model. Design Male, 10 week-old C57BL/6 mice underwent sham surgery (n = 15) or partial medial meniscectomy (PMM; n = 76). 5x105 hUC-MSCs (from 3 donors: D1, D2 and D3) were phenotyped via RT-qPCR and immunoprofiling their response to inflammatory stimuli. They were injected into the mouse joints 3 and 6 weeks post-surgery, harvesting joints at 8 and 12 weeks post-surgery, respectively. A no cell ‘control’ group was also used (n = 29). All knee joints were assessed via micro-computed tomography (μCT) and histology and 10 plasma markers were analysed at 12 weeks. Results PMM resulted in cartilage loss and osteophyte formation resembling human OA at both time-points. Injection of one donor's hUC-MSCs into the joint significantly reduced the loss of joint space at 12 weeks post-operatively compared with the PMM control. This ‘effective’ population of MSCs up-regulated the genes, IDO and TSG6, when stimulated with inflammatory cytokines, more than those from the other two donors. No evidence of an inflammatory response to the injected cells in any animals, either histologically or with plasma biomarkers, arose. Conclusion Beneficial change in a PMM joint was seen with only one hUC-MSC population, perhaps indicating that cell therapy is not appropriate for severely osteoarthritic joints. However, none of the implanted cells appeared to elicit an inflammatory response at the time-points studied. The variability of UC donors suggests some populations may be more therapeutic than others and donor characterisation is essential in developing allogeneic cell therapies.
Collapse
Affiliation(s)
- J Perry
- Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, SY10 7AG, UK.,School of Pharmacy and Bioengineering (PhaB), Keele University, Keele, ST4 7QB, UK
| | - H S McCarthy
- Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, SY10 7AG, UK.,School of Pharmacy and Bioengineering (PhaB), Keele University, Keele, ST4 7QB, UK
| | - G Bou-Gharios
- Institute of Ageing and Chronic Disease, University of Liverpool, L7 8TX, UK
| | - R van 't Hof
- Institute of Ageing and Chronic Disease, University of Liverpool, L7 8TX, UK
| | - P I Milner
- Institute of Ageing and Chronic Disease, University of Liverpool, L7 8TX, UK
| | - C Mennan
- Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, SY10 7AG, UK.,School of Pharmacy and Bioengineering (PhaB), Keele University, Keele, ST4 7QB, UK
| | - S Roberts
- Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, SY10 7AG, UK.,School of Pharmacy and Bioengineering (PhaB), Keele University, Keele, ST4 7QB, UK
| |
Collapse
|
41
|
Kaufman D, McKay N, Routson C, Erb M, Davis B, Heiri O, Jaccard S, Tierney J, Dätwyler C, Axford Y, Brussel T, Cartapanis O, Chase B, Dawson A, de Vernal A, Engels S, Jonkers L, Marsicek J, Moffa-Sánchez P, Morrill C, Orsi A, Rehfeld K, Saunders K, Sommer PS, Thomas E, Tonello M, Tóth M, Vachula R, Andreev A, Bertrand S, Biskaborn B, Bringué M, Brooks S, Caniupán M, Chevalier M, Cwynar L, Emile-Geay J, Fegyveresi J, Feurdean A, Finsinger W, Fortin MC, Foster L, Fox M, Gajewski K, Grosjean M, Hausmann S, Heinrichs M, Holmes N, Ilyashuk B, Ilyashuk E, Juggins S, Khider D, Koinig K, Langdon P, Larocque-Tobler I, Li J, Lotter A, Luoto T, Mackay A, Magyari E, Malevich S, Mark B, Massaferro J, Montade V, Nazarova L, Novenko E, Pařil P, Pearson E, Peros M, Pienitz R, Płóciennik M, Porinchu D, Potito A, Rees A, Reinemann S, Roberts S, Rolland N, Salonen S, Self A, Seppä H, Shala S, St-Jacques JM, Stenni B, Syrykh L, Tarrats P, Taylor K, van den Bos V, Velle G, Wahl E, Walker I, Wilmshurst J, Zhang E, Zhilich S. A global database of Holocene paleotemperature records. Sci Data 2020; 7:115. [PMID: 32286335 PMCID: PMC7156486 DOI: 10.1038/s41597-020-0445-3] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 03/09/2020] [Indexed: 11/28/2022] Open
Abstract
A comprehensive database of paleoclimate records is needed to place recent warming into the longer-term context of natural climate variability. We present a global compilation of quality-controlled, published, temperature-sensitive proxy records extending back 12,000 years through the Holocene. Data were compiled from 679 sites where time series cover at least 4000 years, are resolved at sub-millennial scale (median spacing of 400 years or finer) and have at least one age control point every 3000 years, with cut-off values slackened in data-sparse regions. The data derive from lake sediment (51%), marine sediment (31%), peat (11%), glacier ice (3%), and other natural archives. The database contains 1319 records, including 157 from the Southern Hemisphere. The multi-proxy database comprises paleotemperature time series based on ecological assemblages, as well as biophysical and geochemical indicators that reflect mean annual or seasonal temperatures, as encoded in the database. This database can be used to reconstruct the spatiotemporal evolution of Holocene temperature at global to regional scales, and is publicly available in Linked Paleo Data (LiPD) format.
Collapse
Affiliation(s)
- Darrell Kaufman
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA.
| | - Nicholas McKay
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA
| | - Cody Routson
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA
| | - Michael Erb
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA
| | - Basil Davis
- University of Lausanne, Institute of Earth Surface Dynamics, Lausanne, 1015, Switzerland
| | - Oliver Heiri
- University of Basel, Department of Environmental Sciences, Basel, 4056, Switzerland
| | - Samuel Jaccard
- University of Bern, Institute of Geological Sciences and Oeschger Center for Climate Change Research, Bern, CH-3012, Switzerland
| | - Jessica Tierney
- University of Arizona, Department of Geosciences, Tucson, AZ, 85721, USA
| | - Christoph Dätwyler
- University of Bern, Institute of Geography and Oeschger Centre for Climate Change Research, Bern, 3012, Switzerland
| | - Yarrow Axford
- Northwestern University, Department of Earth and Planetary Sciences, Evanston, IL, 60208, USA
| | - Thomas Brussel
- University of Utah, Department of Geography, Salt Lake City, UT, 84112, USA
| | - Olivier Cartapanis
- University of Bern, Institute of Geological Sciences and Oeschger Center for Climate Change Research, Bern, CH-3012, Switzerland
| | - Brian Chase
- Université de Montpellier, Centre National de la Recherche Scientifique, Institut des Sciences de l'Evolution, Montpellier, 34095, France
| | - Andria Dawson
- Mount Royal University, Department of General Education, Calgary, T3E6K6, Canada
| | - Anne de Vernal
- Université du Québec à Montréal, Geotop-UQAM, Montréal, H3C 3P8, Canada
| | - Stefan Engels
- University of London, Birkbeck, Department of Geography, London, WC1E 7HX, UK
| | - Lukas Jonkers
- University of Bremen, MARUM Center for Marine Environmental Sciences, Bremen, 28359, Germany
| | - Jeremiah Marsicek
- University of Wisconsin-Madison, Department of Geoscience, Madison, WI, 53706, USA
| | | | - Carrie Morrill
- University of Colorado, Cooperative Institute for Research in Environmental Sciences, Boulder, CO, 80309, USA
| | - Anais Orsi
- Laboratoire des Sciences du Climat et de l'Environnement, Université Paris-Saclay, Gif sur Yvette, 91191, France
| | - Kira Rehfeld
- Heidelberg University, Institute of Environmental Physics, Heidelberg, 69221, Germany
| | - Krystyna Saunders
- Australian Nuclear Science and Technology Organisation, Environment, Lucas Heights, 2234, Australia
| | - Philipp S Sommer
- University of Lausanne, Institute of Earth Surface Dynamics, Lausanne, 1015, Switzerland
- Institute for Coastal Research, Helmholtz-Zentrum, Geesthacht, Germany
| | - Elizabeth Thomas
- University at Buffalo, Department of Geology, Buffalo, NY, 14206, USA
| | - Marcela Tonello
- Universidad Nacional de Mar del Plata, Instituto de Investigaciones Marinas y Costeras, Mar del Plata, 7600, Argentina
| | - Mónika Tóth
- Balaton Limnological Institute, Centre for Ecological Research, Tihany, H-8237, Hungary
| | - Richard Vachula
- Brown University, Department of Earth, Environmental and Planetary Sciences, Providence, 2912, USA
| | - Andrei Andreev
- Alfred Wegener Institut Helmholtz Centre for Polar and Marine Research, Polar Terrestrial Environmental Systems, Potsdam, 14473, Germany
| | | | - Boris Biskaborn
- Alfred Wegener Institut Helmholtz Centre for Polar and Marine Research, Polar Terrestrial Environmental Systems, Potsdam, 14473, Germany
| | - Manuel Bringué
- Natural Resources Canada, Geological Survey of Canada, Calgary, AB, T2L 2A7, Canada
| | - Stephen Brooks
- Natural History Museum, Department of Life Sciences, London, SW7 5BD, UK
| | - Magaly Caniupán
- University of Concepcion, Department of Oceanography and COPAS Sur-Austral Program, Concepcion, 4030000, Chile
| | - Manuel Chevalier
- University of Lausanne, Institute of Earth Surface Dynamics, Lausanne, 1015, Switzerland
| | - Les Cwynar
- University of New Brunswick, Department of Biology, Fredericton, NB, E3B 5A3, Canada
| | - Julien Emile-Geay
- University of Southern California, Department of Earth Sciences, Los Angeles, CA, 90089, USA
| | - John Fegyveresi
- Northern Arizona University, School of Earth and Sustainability, Flagstaff, AZ, 86011, USA
| | - Angelica Feurdean
- Goethe University, Department of Physical Geography, Frankfurt am Main, 60438, Germany
| | - Walter Finsinger
- Université de Montpellier, Centre National de la Recherche Scientifique, Institut des Sciences de l'Evolution, Montpellier, 34095, France
| | - Marie-Claude Fortin
- University of Ottawa, Ottawa-Carleton Institute of Biology, Ottawa, K1N6N5, Canada
| | - Louise Foster
- Newcastle University, School of Geography, Politics and Sociology, Newcastle-upon-Tyne, NE17RU, UK
- British Antarctic Survey, Palaeoenvironments and Ice Sheets, Cambridge, CB3 0ET, UK
| | - Mathew Fox
- University of Arizona, School of Anthropology, Tucson, AZ, 85721, USA
| | - Konrad Gajewski
- University of Ottawa, Department of Geography, Environment and Geomatics, Ottawa, K1N6N5, Canada
| | - Martin Grosjean
- University of Bern, Institute of Geography and Oeschger Centre for Climate Change Research, Bern, 3012, Switzerland
| | | | - Markus Heinrichs
- Okanagan College, Department of Geography and Earth and Environmental Science, Kelowna, V1Y 4X8, Canada
| | - Naomi Holmes
- Sheffield Hallam University, Department of the Natural and Built Environment, Sheffield, S1 1WB, UK
| | - Boris Ilyashuk
- University of Innsbruck, Department of Ecology, Innsbruck, 6020, Austria
| | - Elena Ilyashuk
- University of Innsbruck, Department of Ecology, Innsbruck, 6020, Austria
| | - Steve Juggins
- Newcastle University, School of Geography, Politics and Sociology, Newcastle-upon-Tyne, NE17RU, UK
| | - Deborah Khider
- University of Southern California, Information Sciences Institute, Marina Del Rey, CA, 90292, USA
| | - Karin Koinig
- University of Innsbruck, Department of Ecology, Innsbruck, 6020, Austria
| | - Peter Langdon
- University of Southampton, School of Geography and Environmental Science, Southampton, SO17 1BJ, UK
| | | | - Jianyong Li
- Northwest University, China, College of Urban and Environmental Sciences, Xi'an, 710027, China
| | - André Lotter
- University of Bern, Palaeoecology, Bern, CH-3013, Switzerland
| | - Tomi Luoto
- University of Helsinki, Faculty of Biological and Environmental Sciences, Lahti, 15140, Finland
| | - Anson Mackay
- University College London, Department of Geography, London, WC1E 6BT, UK
| | - Eniko Magyari
- Eötvös Loránd University, Department of Environmental and Landscape Geography, Budapest, 1117, Hungary
| | - Steven Malevich
- University of Arizona, Department of Geosciences, Tucson, AZ, 85721, USA
| | - Bryan Mark
- The Ohio State University, Department of Geography and Byrd Polar and Climate Research Center, Columbus, OH, 43210, USA
| | | | - Vincent Montade
- Université de Montpellier, Centre National de la Recherche Scientifique, Institut des Sciences de l'Evolution, Montpellier, 34095, France
| | - Larisa Nazarova
- Potsdam University, Institute of Geosciences, Potsdam, 14476, Germany
| | - Elena Novenko
- Lomonosov Moscow State University, Faculty of Geography, Moscow, 119991, Russia
| | - Petr Pařil
- Masaryk University, Department of Botany and Zoology, Brno, 61137, Czech Republic
| | - Emma Pearson
- Newcastle University, School of Geography, Politics and Sociology, Newcastle-upon-Tyne, NE17RU, UK
| | - Matthew Peros
- Bishop's University, Department of Environment and Geography, Sherbrooke, Quebec, J1M 1Z7, Canada
| | - Reinhard Pienitz
- Université Laval, Department of Geography, Center for Northern Studies, Québec, G1V 0A6, Canada
| | - Mateusz Płóciennik
- University of Lodz, Department of Invertebrate Zoology and Hydrobiology, Lodz, 90-237, Poland
| | - David Porinchu
- University of Georgia, Department of Geography, Athens, GA, 30606, USA
| | - Aaron Potito
- National University of Ireland Galway, School of Geography, Archaeology and Irish Studies, Galway, H91 TK33, Ireland
| | - Andrew Rees
- Victoria University of Wellington, School of Geography, Environment and Earth Sciences, Wellington, 6012, New Zealand
| | - Scott Reinemann
- Sinclair Community College, Geography Department, Dayton, OH, 45402, USA
| | - Stephen Roberts
- British Antarctic Survey, Palaeoenvironments and Ice Sheets, Cambridge, CB3 0ET, UK
| | - Nicolas Rolland
- Fisheries and Ocean Canada, Gulf Fisheries Centre, Moncton, NB, E1C 9B6, Canada
| | - Sakari Salonen
- University of Helsinki, Department of Geosciences and Geography, Helsinki, 00014, Finland
| | - Angela Self
- The Natural History Museum, London, SW7 5BD, UK
| | - Heikki Seppä
- University of Helsinki, Department of Geosciences and Geography, Helsinki, 00014, Finland
| | - Shyhrete Shala
- Stockholm University, Department of Physical Geography, Stockholm, SE-106 91, Sweden
| | | | - Barbara Stenni
- Ca' Foscari University of Venice, Department of Environmental Sciences, Informatics and Statistics, Venezia, 30172, Italy
| | - Liudmila Syrykh
- Herzen State Pedagogical University of Russia, Research Laboratory of the Environmental management, St. Petersburg, 191186, Russia
| | - Pol Tarrats
- Universitat de Barcelona, Departament de Biologia Evolutiva, Ecologia i Ciències Ambientals, Secció Ecologia, Barcelona, 08028, Spain
| | - Karen Taylor
- National University of Ireland Galway, School of Geography, Archaeology and Irish Studies, Galway, H91 TK33, Ireland
- University College Cork, Department of Geography, Cork, Ireland
| | - Valerie van den Bos
- Victoria University of Wellington, School of Geography, Environment and Earth Sciences, Wellington, 6012, New Zealand
| | - Gaute Velle
- NORCE Norwegian Research Centre, LFI, Bergen, 5008, Norway
| | - Eugene Wahl
- US National Oceanic and Atmospheric Administration, National Centers for Environmental Information, Boulder, CO, 80305, USA
| | - Ian Walker
- University of British Columbia, Department of Biology; Department of Earth, Environmental and Geographic Sciences, Kelowna, British Columbia, V1V 1V7, Canada
| | - Janet Wilmshurst
- Landcare Research, Ecosystems and Conservation, Lincoln, 7640, New Zealand
| | - Enlou Zhang
- Chinese Academy of Sciences, Nanjing Institute of Geography and Limnology, Nanjing, 210008, China
| | - Snezhana Zhilich
- Institute of Archaeology and Ethnography, Russian Academy of Sciences, Siberian Branch, Novosibirsk, 630090, Russia
| |
Collapse
|
42
|
Arauz EJ, Abbott J, Rocha F, Roberts S. Comparison of respiratory tract effects of inhaled naphthalene in rats with and without co‐exposure to carbon nanoparticles. FASEB J 2020. [DOI: 10.1096/fasebj.2020.34.s1.00071] [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: 11/11/2022]
Affiliation(s)
- Edwin Javier Arauz
- Center for Environmental & Human Toxicology, Department of Physiological Sciences University of Florida Gainesville FL USA
| | - Jeffrey Abbott
- Department of Infectious Diseases and Pathology College of Veterinary Medicine University of Florida Gainesville FL USA
| | - Fernanda Rocha
- Department of Oral Biology and Periodontology College of Dentistry University of Florida Gainesville FL USA
| | - Stephen Roberts
- Center for Environmental & Human Toxicology, Department of Physiological Sciences University of Florida Gainesville FL USA
| |
Collapse
|
43
|
Roberts S, Rich J, Pham D, Pawale A, Harap R, Wu T, Stosor V. Risk Factors for Fungal Infection in a Ventricular Assist Device Cohort. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.059] [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: 10/24/2022] Open
|
44
|
Roberts S, Adams JK, Mackay AW, Swann GEA, McGowan S, Rose NL, Panizzo V, Yang H, Vologina E, Sturm M, Shchetnikov AA. Mercury loading within the Selenga River basin and Lake Baikal, Siberia. Environ Pollut 2020; 259:113814. [PMID: 32023784 DOI: 10.1016/j.envpol.2019.113814] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 12/11/2019] [Accepted: 12/13/2019] [Indexed: 06/10/2023]
Abstract
Mercury (Hg) loading in Lake Baikal, a UNESCO world heritage site, is growing and poses a serious health concern to the lake's ecosystem due to the ability of Hg to transform into a toxic form, known as methylmercury (MeHg). Monitoring of Hg into Lake Baikal is spatially and temporally sparse, highlighting the need for insights into historic Hg loading. This study reports measurements of Hg concentrations from water collected in August 2013 and 2014 from across Lake Baikal and its main inflow, the Selenga River basin (Russia, Mongolia). We also report historic Hg contamination using sediment cores taken from the south and north basins of Lake Baikal, and a shallow lake in the Selenga Delta. Field measurements from August 2013 and 2014 show high Hg concentrations in the Selenga Delta and river waters, in comparison to pelagic lake waters. Sediment cores from Lake Baikal show that Hg enrichment commenced first in the south basin in the late-19th century, and then in the north basin in the mid-20th century. Hg flux was also 20-fold greater in the south basin compared to the north basin sediments. Hg enrichment was greatest in the Selenga Delta shallow lake (Enrichment Ratio (ER) = 2.3 in 1994 CE), with enrichment occurring in the mid-to late-20th century. Local sources of Hg are predominantly from gold mining along the Selenga River, which have been expanding over the last few decades. More recently, another source is atmospheric deposition from industrial activity in Asia, due to rapid economic growth across the region since the 1980s. As Hg can bioaccumulate and biomagnify through trophic levels to Baikal's top consumer, the world's only truly freshwater seal (Pusa sibirica), it is vital that Hg input at Lake Baikal and within its catchment is monitored and controlled.
Collapse
Affiliation(s)
- S Roberts
- Canada Centre for Inland Waters, Environment and Climate Change Canada, Burlington, ON, L7S 1A1, Canada; School of Geography, University of Nottingham, University Park, Nottingham, NG7 2RD, United Kingdom.
| | - J K Adams
- Department of Biology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada; Environmental Change Research Centre, Department of Geography, Pearson Building, Gower Street, University College London, London, WC1E 6BT, United Kingdom.
| | - A W Mackay
- Environmental Change Research Centre, Department of Geography, Pearson Building, Gower Street, University College London, London, WC1E 6BT, United Kingdom
| | - G E A Swann
- School of Geography, University of Nottingham, University Park, Nottingham, NG7 2RD, United Kingdom
| | - S McGowan
- School of Geography, University of Nottingham, University Park, Nottingham, NG7 2RD, United Kingdom
| | - N L Rose
- Environmental Change Research Centre, Department of Geography, Pearson Building, Gower Street, University College London, London, WC1E 6BT, United Kingdom
| | - V Panizzo
- School of Geography, University of Nottingham, University Park, Nottingham, NG7 2RD, United Kingdom
| | - H Yang
- Environmental Change Research Centre, Department of Geography, Pearson Building, Gower Street, University College London, London, WC1E 6BT, United Kingdom
| | - E Vologina
- Institute of Earth's Crust, Siberian Branch of the Russian Academy of Sciences, 128 ul. Lermontov, Irkutsk, 664033, Russia
| | - M Sturm
- Swiss Federal Institute of Aquatic Science and Technology EAWAG-ETH, 8600, Dubendorf, Switzerland
| | - A A Shchetnikov
- Institute of Earth's Crust, Siberian Branch of the Russian Academy of Sciences, 128 ul. Lermontov, Irkutsk, 664033, Russia; Irkutsk State University, 2 Chkalov St., Irkutsk, 664003, Russia; Geological Institute, Russian Academy of Sciences, Pyzhevsky lane 7, 119017, Moscow, Russia; Irkutsk Scientific Centre, Siberian Branch of the Russian Academy of Sciences, 134 ul, Lermontov, Irkutsk, 664033, Russia
| |
Collapse
|
45
|
Affiliation(s)
- E.M. Curry
- Department of Renal Medicine Auckland City Hospital Auckland, New Zealand
| | - M. Yehia
- Department of Renal Medicine Auckland City Hospital Auckland, New Zealand
| | - S. Roberts
- Department of Microbiology Auckland City Hospital Auckland, New Zealand
| |
Collapse
|
46
|
Docherty C, White I, Bannard-Smith J, Morton B, Walters I, Xu Y, Roberts S, McMullan R, Goodacre R, Dark P, Fowler S, Felton T. Understanding antimicrobial prescribing in suspected ventilator-associated pneumonia: a prospective cohort study. Access Microbiol 2020. [DOI: 10.1099/acmi.fis2019.po0041] [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: 11/18/2022] Open
Affiliation(s)
- Callum Docherty
- NIHR Manchester Biomedical Research Centre, Faculty of Biology, Medicine and Health
| | - Iain White
- NIHR Manchester Biomedical Research Centre, Faculty of Biology, Medicine and Health
| | | | - Ben Morton
- Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool
| | | | - Yun Xu
- The University of Liverpool, Liverpool, United Kingdom
| | - Stephen Roberts
- NIHR Manchester Biomedical Research Centre, Faculty of Biology, Medicine and Health
| | | | - Roy Goodacre
- The University of Liverpool, Liverpool, United Kingdom
| | - Paul Dark
- NIHR Manchester Biomedical Research Centre, Faculty of Biology, Medicine and Health
| | - Stephen Fowler
- NIHR Manchester Biomedical Research Centre, Faculty of Biology, Medicine and Health
| | - Timothy Felton
- NIHR Manchester Biomedical Research Centre, Faculty of Biology, Medicine and Health
| |
Collapse
|
47
|
Williams R, Aithal G, Alexander GJ, Allison M, Armstrong I, Aspinall R, Baker A, Batterham R, Brown K, Burton R, Cramp ME, Day N, Dhawan A, Drummond C, Ferguson J, Foster G, Gilmore I, Greenberg J, Henn C, Jarvis H, Kelly D, Mathews M, McCloud A, MacGilchrist A, McKee M, Moriarty K, Morling J, Newsome P, Rice P, Roberts S, Rutter H, Samyn M, Severi K, Sheron N, Thorburn D, Verne J, Vohra J, Williams J, Yeoman A. Unacceptable failures: the final report of the Lancet Commission into liver disease in the UK. Lancet 2020; 395:226-239. [PMID: 31791690 DOI: 10.1016/s0140-6736(19)32908-3] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 10/17/2019] [Accepted: 11/18/2019] [Indexed: 12/15/2022]
Abstract
This final report of the Lancet Commission into liver disease in the UK stresses the continuing increase in burden of liver disease from excess alcohol consumption and obesity, with high levels of hospital admissions which are worsening in deprived areas. Only with comprehensive food and alcohol strategies based on fiscal and regulatory measures (including a minimum unit price for alcohol, the alcohol duty escalator, and an extension of the sugar levy on food content) can the disease burden be curtailed. Following introduction of minimum unit pricing in Scotland, alcohol sales fell by 3%, with the greatest effect on heavy drinkers of low-cost alcohol products. We also discuss the major contribution of obesity and alcohol to the ten most common cancers as well as measures outlined by the departing Chief Medical Officer to combat rising levels of obesity-the highest of any country in the west. Mortality of severely ill patients with liver disease in district general hospitals is unacceptably high, indicating the need to develop a masterplan for improving hospital care. We propose a plan based around specialist hospital centres that are linked to district general hospitals by operational delivery networks. This plan has received strong backing from the British Association for Study of the Liver and British Society of Gastroenterology, but is held up at NHS England. The value of so-called day-case care bundles to reduce high hospital readmission rates with greater care in the community is described, along with examples of locally derived schemes for the early detection of disease and, in particular, schemes to allow general practitioners to refer patients directly for elastography assessment. New funding arrangements for general practitioners will be required if these proposals are to be taken up more widely around the country. Understanding of the harm to health from lifestyle causes among the general population is low, with a poor knowledge of alcohol consumption and dietary guidelines. The Lancet Commission has serious doubts about whether the initiatives described in the Prevention Green Paper, with the onus placed on the individual based on the use of information technology and the latest in behavioural science, will be effective. We call for greater coordination between official and non-official bodies that have highlighted the unacceptable disease burden from liver disease in England in order to present a single, strong voice to the higher echelons of government.
Collapse
Affiliation(s)
- Roger Williams
- Institute of Hepatology, Foundation for Liver Research, London, UK.
| | - Guruprasad Aithal
- Nottingham Digestive Diseases Centre, University of Nottingham, Nottingham, UK; Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK
| | - Graeme J Alexander
- UCL Institute for Liver & Digestive Health, University College London, London, UK
| | - Michael Allison
- Liver Unit, Department of Medicine, Cambridge Biomedical Research Centre, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
| | | | - Richard Aspinall
- Portsmouth Liver Centre, Portsmouth Hospitals NHS Trust, Portsmouth, UK
| | - Alastair Baker
- Paediatric Liver, GI and Nutrition Centre, King's College Hospital, London, UK
| | - Rachel Batterham
- National Institute of Health Research, UCLH Biomedical Research Centre, London, UK
| | - Katrina Brown
- Cancer Intelligence Team, Cancer Research UK, London
| | | | - Matthew E Cramp
- Faculty of Health: Medicine, Dentistry and Human Sciences Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK
| | - Natalie Day
- Institute of Hepatology, Foundation for Liver Research, London, UK
| | - Anil Dhawan
- Paediatric Liver, GI and Nutrition Centre, King's College Hospital, London, UK
| | - Colin Drummond
- Institute of Psychiatry, Psychology & Neuroscience, King's College Hospital, London, UK; National Addiction Centre, South London and Maudsley NHS Foundation Trust, London, UK
| | - James Ferguson
- NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Graham Foster
- Barts Liver Centre, Queen Mary University of London, London, UK
| | - Ian Gilmore
- Liver Centre for Alcohol Research, University of Liverpool, UK
| | | | | | - Helen Jarvis
- Institute of Health and Society, Newcastle University, Newcastle, UK; The Royal College of General Practitioners, London, UK
| | - Deirdre Kelly
- The Liver Unit Birmingham Women's and Children's Hospital, Birmingham, UK
| | | | - Annie McCloud
- Kent & Medway NHS and Social Care Partnership Trust, Gillingham, UK
| | | | - Martin McKee
- The London School of Hygiene & Tropical Medicine, London, UK
| | | | - Joanne Morling
- Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK; NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - Philip Newsome
- NIHR Birmingham Biomedical Research Centre, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK; Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK
| | - Peter Rice
- Scottish Health Action on Alcohol Problems, Edinburgh, UK
| | | | - Harry Rutter
- Department of Social and Policy Sciences, University of Bath, Bath, UK
| | - Marianne Samyn
- Paediatric Liver, GI and Nutrition Centre, King's College Hospital, London, UK
| | | | - Nick Sheron
- European Public Health Alliance, Brussels, Belgium
| | | | | | - Jyotsna Vohra
- Cancer Policy Research Centre, Cancer Research UK, London
| | | | | |
Collapse
|
48
|
Bick D, Taylor C, Bhavnani V, Healey A, Seed P, Roberts S, Zasada M, Avery A, Craig V, Khazaezadah N, McMullen S, O'Connor S, Oki B, Ntim EO, Poston L, Ussher M. Lifestyle information and commercial weight management groups to support maternal postnatal weight management and positive lifestyle behaviour: the SWAN feasibility randomised controlled trial. BJOG 2019; 127:636-645. [DOI: 10.1111/1471-0528.16043] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/25/2019] [Indexed: 11/29/2022]
Affiliation(s)
- D Bick
- Warwick Clinical Trials Unit Warwick Medical School University of Warwick Coventry UK
| | - C Taylor
- School of Health Sciences University of Surrey Guildford UK
| | | | - A Healey
- Kings Health Economics, Health Services and Population Research Department Institute of Psychiatry, Psychology and Neuroscience King's College London London UK
| | - P Seed
- Department of Women and Children's Health King's College London London UK
| | - S Roberts
- Kings Health Economics, Health Services and Population Research Department Institute of Psychiatry, Psychology and Neuroscience King's College London London UK
| | - M Zasada
- School of Health Sciences University of Surrey Guildford UK
| | - A Avery
- Faculty of Science University of Nottingham Nottingham UK
| | - V Craig
- Guy's and St Thomas' NHS Foundation Trust London UK
| | - N Khazaezadah
- Public Health London Borough of Lambeth Lambeth London UK
| | | | - S O'Connor
- Guy's and St Thomas' NHS Foundation Trust London UK
| | - B Oki
- Public Health London Borough of Lambeth Lambeth London UK
| | - EO Ntim
- Guy's and St Thomas' NHS Foundation Trust London UK
| | - L Poston
- Department of Women and Children's Health King's College London London UK
| | - M Ussher
- Population Health Research Institute St George's University of London London UK
| |
Collapse
|
49
|
Heckathorne J, Roberts S. RDN Parenteral Nutrition Order Writing: Improving Electrolyte and Glucose Management. J Acad Nutr Diet 2019. [DOI: 10.1016/j.jand.2019.08.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
50
|
Mullins A, Grulke T, Jagadeesan S, McNamara A, Roberts S, Salcher K. Evaluation of Safety and Cost-Effectiveness of Lab Ordering Practices for Patients on Parenteral Nutrition. J Acad Nutr Diet 2019. [DOI: 10.1016/j.jand.2019.08.044] [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: 11/29/2022]
|