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Quilico EL, Wilkinson S, Bédard E, Duncan LR, Sweet SN, Swaine BR, Colantonio A. COVID-19's impact on a community-based physical activity program for adults with moderate-to-severe TBI. Disabil Rehabil 2024; 46:2014-2022. [PMID: 37184357 DOI: 10.1080/09638288.2023.2212180] [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: 08/21/2022] [Accepted: 05/05/2023] [Indexed: 05/16/2023]
Abstract
PURPOSE Physical activity (PA) is proposed for long-term problems after traumatic brain injury (TBI) with mood, quality of life, and participation. However, COVID-19 mitigation strategies resulted in widespread closures of community-based fitness centres, including one housing a peer-assisted PA program (TBI-Health). The purpose of this study was to provide an in-depth exploration of COVID-19's impact on the TBI-Health program for adults with moderate-to-severe TBI and determine how their PA behaviours could be supported in the pandemic. METHODS Interpretative phenomenological analysis was employed to collect and analyze data from semi-structured Zoom-facilitated interviews with seven female and nine male adults with moderate-to-severe TBI (including program participants and mentors). RESULTS Three major themes were identified. Need for PA after TBI included specific benefits of PA after TBI and desire for an adapted PA program. Lasting Impacts of the TBI-Health Program identified belonging to the TBI-Health community, benefits, and knowledge transfer from the program. Resilience and Loss through the Pandemic comprised the repercussions of COVID-19, loss of the PA program, adapting PA to the pandemic, and resilience after TBI. CONCLUSION This study provides insights about impacts of participating in community-based peer-assisted PA programs after moderate-to-severe TBI and ways to support PA in unforeseen circumstances.
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Affiliation(s)
- E L Quilico
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Canada
- Applied Human Sciences, Concordia University, Montreal, Canada
| | - S Wilkinson
- Applied Human Sciences, Concordia University, Montreal, Canada
| | - E Bédard
- Kinesiology and Physical Education, McGill University, Montreal, Canada
| | - L R Duncan
- Kinesiology and Physical Education, McGill University, Montreal, Canada
| | - S N Sweet
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Canada
- Kinesiology and Physical Education, McGill University, Montreal, Canada
| | - B R Swaine
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, Canada
- School of Rehabilitation, University of Montreal, Montreal, Canada
| | - A Colantonio
- Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada
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Singhal P, Belasco M, Ali A, Taylor A, Wilkinson S. Re: Physician associates in interventional radiology: a new paradigm? Clin Radiol 2024; 79:e634-e635. [PMID: 38238149 DOI: 10.1016/j.crad.2023.12.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 12/13/2023] [Indexed: 03/09/2024]
Affiliation(s)
- P Singhal
- Junior Radiologists' Forum, Royal College of Radiologists, London, UK.
| | - M Belasco
- Junior Radiologists' Forum, Royal College of Radiologists, London, UK
| | - A Ali
- Junior Radiologists' Forum, Royal College of Radiologists, London, UK
| | - A Taylor
- Junior Radiologists' Forum, Royal College of Radiologists, London, UK
| | - S Wilkinson
- Junior Radiologists' Forum, Royal College of Radiologists, London, UK
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Lawlor N, O'Neill JL, O'Connor K, Redmond M, O'Grady A, Wilkinson S. An investigation into the preparation of powdered infant formula in households in Ireland - CORRIGENDUM. Proc Nutr Soc 2023:1. [PMID: 37881870 DOI: 10.1017/s0029665123003762] [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: 10/27/2023]
Affiliation(s)
- N Lawlor
- Technological University Dublin, Dublin, Ireland
| | - J L O'Neill
- Danone Nutricia Specialised Nutrition, Dublin, Ireland
| | - K O'Connor
- Danone Nutricia Specialised Nutrition, Dublin, Ireland
| | - M Redmond
- Danone Nutricia Specialised Nutrition, Dublin, Ireland
| | - A O'Grady
- Danone Nutricia Specialised Nutrition, Dublin, Ireland
| | - S Wilkinson
- Danone Nutricia Specialised Nutrition, Dublin, Ireland
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Quilico E, Sweet S, Duncan L, Wilkinson S, Bonnell K, Alarie C, Swaine B, Colantonio A. Exploring a peer-based physical activity program in the community for adults with moderate-to-severe traumatic brain injury. Brain Inj 2023:1-9. [PMID: 37157834 DOI: 10.1080/02699052.2023.2208375] [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] [Indexed: 05/10/2023]
Abstract
PRIMARY OBJECTIVE To explore the experiences of program mentors, participants, and employees involved in a peer-based physical activity (PA) program for adults with moderate-to-severe TBI, being piloted by a community fitness center, to develop the program as a measurable intervention. RESEARCH DESIGN We adopted an exploratory case study approach through an interpretivist paradigm, which focused on discovering realities about the peer-based PA program across the study participants' views, backgrounds, and experiences. METHODS AND PROCEDURES Semi-structured focus groups and individual interviews were conducted with nine adult program participants (3 peer mentors, 6 participants), and three program employees. Inductive content analysis was used to develop themes about their perceived experiences. MAIN OUTCOMES AND RESULTS 44 open-codes were grouped into 10 subthemes and three final themes: 1) program impacts identified the importance of the program in daily life and resulting psychological, physical, and social outcomes; 2) program characteristics highlighted program leaders, accessibility, and social inclusion; 3) program sustainability included program adherence, benefits for the center, and the program's future. CONCLUSIONS Perceptions of program experiences and outcomes identified how peer-based PA for adults with moderate-to-severe TBI can lead to meaningful activities, functioning better, and buy-in from all parties. Implications for research and practice related to supporting health-related behaviors after TBI through group-based, autonomy-supporting approaches are discussed.
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Affiliation(s)
- E Quilico
- Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- Applied Human Sciences, Concordia University, Montreal, QC, Canada
| | - S Sweet
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- Kinesiology and Physical Education, McGill University, Montreal, QC, Canada
| | - L Duncan
- Kinesiology and Physical Education, McGill University, Montreal, QC, Canada
| | - S Wilkinson
- Applied Human Sciences, Concordia University, Montreal, QC, Canada
| | - K Bonnell
- Kinesiology and Physical Education, McGill University, Montreal, QC, Canada
| | | | - Bonnie Swaine
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
- School of Rehabilitation, University of Montreal, Montreal, QC, Canada
| | - Angela Colantonio
- Rehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada
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Young AM, Cameron A, Meloncelli N, Barrimore SE, Campbell K, Wilkinson S, McBride LJ, Barnes R, Bennett S, Harvey G, Hickman I. Developing a knowledge translation program for health practitioners: Allied Health Translating Research into Practice. Front Health Serv 2023; 3:1103997. [PMID: 36926495 PMCID: PMC10012769 DOI: 10.3389/frhs.2023.1103997] [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] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 01/30/2023] [Indexed: 02/19/2023]
Abstract
Background Front-line health practitioners lack confidence in knowledge translation, yet they are often required to undertake projects to bridge the knowledge-practice gap. There are few initiatives focused on building the capacity of the health practitioner workforce to undertake knowledge translation, with most programs focusing on developing the skills of researchers. This paper reports the development and evaluation of a knowledge translation capacity building program for allied health practitioners located over geographically dispersed locations in Queensland, Australia. Methods Allied Health Translating Research into Practice (AH-TRIP) was developed over five years with consideration of theory, research evidence and local needs assessment. AH-TRIP includes five components: training and education; support and networks (including champions and mentoring); showcase and recognition; TRIP projects and implementation; evaluation. The RE-AIM framework (Reach, Effectiveness, Adoption, Implementation Maintenance) guided the evaluation plan, with this paper reporting on the reach (number, discipline, geographical location), adoption by health services, and participant satisfaction between 2019 and 2021. Results A total of 986 allied health practitioners participated in at least one component of AH-TRIP, with a quarter of participants located in regional areas of Queensland. Online training materials received an average of 944 unique page views each month. A total of 148 allied health practitioners have received mentoring to undertake their project, including a range of allied health disciplines and clinical areas. Very high satisfaction was reported by those receiving mentoring and attending the annual showcase event. Nine of sixteen public hospital and health service districts have adopted AH-TRIP. Conclusion AH-TRIP is a low-cost knowledge translation capacity building initiative which can be delivered at scale to support allied health practitioners across geographically dispersed locations. Higher adoption in metropolitan areas suggests that further investment and targeted strategies are needed to reach health practitioners working in regional areas. Future evaluation should focus on exploring the impact on individual participants and the health service.
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Affiliation(s)
- Adrienne M Young
- Dietetics and Food Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.,Centre for Health Services Research, The University of Queensland, Brisbane, QLD, Australia
| | - Ashley Cameron
- Office of the Chief Allied Health Officer, Queensland Health, Brisbane, QLD, Australia
| | | | - Sally E Barrimore
- Allied Health, Metro North Health, Brisbane, QLD, Australia.,Nutrition and Dietetics, The Prince Charles Hospital, Brisbane, QLD, Australia
| | - Katrina Campbell
- Healthcare Excellence and Innovation, Metro North Health, Brisbane, QLD, Australia
| | - Shelley Wilkinson
- School of Human Movements and Nutrition Science, The University of Queensland, Brisbane, QLD, Australia
| | - Liza-Jane McBride
- Office of the Chief Allied Health Officer, Queensland Health, Brisbane, QLD, Australia
| | - Rhiannon Barnes
- Dietetics and Food Services, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.,Office of the Chief Allied Health Officer, Queensland Health, Brisbane, QLD, Australia
| | - Sally Bennett
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Gillian Harvey
- College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.,Australian Centre for Health Service Innovation, Queensland University of Queensland, Brisbane, QLD, Australia
| | - Ingrid Hickman
- Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.,Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia
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Provencio Pulla M, Perez Parente D, Campos Balea B, Rodriguez Abreu D, Hasan H, Olson S, Pal N, Wilkinson S, De Oro Pulido F, Ruiz Gracia P, Cobo Dols M. 1064P Genomic characterization of first line advanced or metastatic non-small cell lung cancer (aNSCLC) patients (pts) subgroups associated with good/bad prognosis. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.1190] [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: 11/01/2022] Open
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Provencio M, Pérez Parente D, Hasan H, Campos Balea B, Rodríguez Abreu D, López Brea Piqueras M, Olson S, Pal N, Wilkinson S, de Oro-Pulido F, Ruiz Gracia P, Cobo Dols M. EP08.01-065 Prevalence of Non-driver Mutations and Characterization of Patients with Advanced or Metastatic Non-small Cell Lung Cancer. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Verstappen S, Boonen A, Wilkinson S, Beaton D, Bosworth A, Canas da Silva J, Crepaldi G, Dadoun S, Hofstetter C, Mihai C, Ramiro S, Sakellariou G, Meisalu S, Wallman JK, Lacaille D. POS0011 COMPARISON OF PSYCHOMETRIC PROPERTIES OF FOUR GLOBAL MEASURES OF PRESENTEEISM IN PATIENTS WITH OSTEOARTHRITIS AND INFLAMMATORY ARTHRITIS: A EULAR-PRO STUDY. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.4310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundWork is an important outcome for people with inflammatory arthritis (IA including PsA, RA, AxSpA) and osteoarthritis (OA). It is known that people with IA and OA are at increased risk of sick leave and have to stop working early due to ill health. In addition to being at increased risk of becoming work disabled and increased absenteeism, high levels of presenteeism (i.e. reduced productivity/limited ability to work due to ill health whilst at work) have also been reported. Several instruments exist to measure presenteeism, including single-item global measures and multi-item instruments. In some studies using single-item global instruments may be more feasible. However, available global instruments differ in concept, recall period and reference. It is important to understand which of the measures have good psychometric properties before using them in clinical studies.ObjectivesTo assess the psychometric properties of four global presenteeism instruments.MethodsPatients with IA or OA were recruited via rheumatology outpatient clinics to a large international, longitudinal observational study including 8 European countries and Canada. Participants completed a survey at baseline, 1, 2, 3, 4 wks, 2 months and 3 months. The four global measures of presenteeism included: Work Productivity and Activity Impairment Questionnaire (WPAI), Work Productivity Scale–Rheumatoid Arthritis (WPS-RA), Work Ability Index (WAI) and the Quality*Quantity questionnaire (QQtotal/10) scale. To facilitate score interpretation the WAI and QQtotal were reversed. Pain was measured using an 11-point Likert scale. Spearman correlations were calculated between the presenteeism measures and the Workplace Activity Limitations Scale (WALS), a validated multi-item measure of presenteeism, and HAQ to evaluate construct validity (validity: r <0.50=low; r >0.50-<0.70=moderate; r >0.70=high). Test-retest reliability of the 4 presenteeism scales (baseline-1wk) was measured applying ICC in patients with stable disease (i.e. same pain score at baseline and 1wk) (reliability: ICC<0.40=poor; ICC 0.40-0.75=fair to good; ICC >0.75=excellent). Responsiveness during 3 months was measured comparing patients with improvement in pain score (>1 point improvement in pain score (~MCID pain)) with patients with no change or worsening in pain score. The two groups were compared applying Mann Whitney U test.ResultsThis international study included 550 patients with a mean age of 47.8 (SD 9.9) yrs and 61.4% were female. Mean (SD) disease duration since diagnosis was 10.8 (10.4) yrs and 91.2% had IA. Mean (SD) presenteeism scores at baseline were: WPAI=2.9 (2.7); WPS-RA=3.4 (2.7); WAI=2.7 (2.4); and QQtotal=3.1 (3.2). The correlations between the global measures and with WALS and HAQ were moderate to good, except for QQtotal and HAQ which was low (Table 1). In patients with the same stable pain scores at baseline-1wk (n=141) ICC scores were good to excellent, respectively: WPAI (0.771), WPS-RA (0.752), WAI (0.663), and QQtotal (0.650). An improvement in pain during the 3 month study duration was observed in 145/381 (38%) of the patients. In these patients a significant reduction in mean (SD) change presenteeism was observed for all four presenteeism scales compared to those with no change or worsening of the pain score: WPAI (-1.0 (2.37) vs 0.68 (2.40), p<0.01); WPS-RA (-0.76 (2.57) vs 0.43 (2.10), p<0.001); WAI (-0.09 (2.34) vs 0.41 (2.46), p<0.001); QQtotal (-0.57 (3.16) vs 0.79 (3.1), p<0.01).Table 1.WPAIWPS-RAWAIQQtotalWALSHAQWPAI-0.81640.59920.51840.62690.5592WPS-RA-0.58360.52170.60550.5669WAI-0.58660.52310.5168QQtotal-0.50250.4367ConclusionThe psychometric properties of all 4 global presenteeism scales were moderate to good, with slightly better scores for both the WPS-RA and WPAI instruments both measuring the impact of OA and IA on productivity.Disclosure of InterestsSuzanne Verstappen Consultant of: EUOSHA, Grant/research support from: AbbVie, BMS. EULAR, Annelies Boonen Speakers bureau: Abbvie / Galapagos, Consultant of: Galapagos, Sarah Wilkinson: None declared, Dorcas Beaton: None declared, Ailsa Bosworth: None declared, José Canas da Silva: None declared, Gloria Crepaldi: None declared, Sabrina Dadoun: None declared, Cathie Hofstetter: None declared, Carina Mihai Speakers bureau: Boehringer-Ingelheim, Mepha, MED Talks Switzerland, Consultant of: Boehringer-Ingelheim, Janssen, Grant/research support from: Roche, Boehringer-Ingelheim, Sofia Ramiro Consultant of: AbbVie, Eli Lilly, MSD, Novartis, Pfizer, UCB, Sanofi, Grant/research support from: Grant: AbbVie, Galapagos, Novartis, Pfizer, UCB, Garifallia Sakellariou Consultant of: Abbvie, BMS and Galapagos., Grant/research support from: Abbvie, BMS and Galapagos., Sandra Meisalu: None declared, Johan K Wallman Consultant of: AbbVie, Amgen, Celgene, Eli Lilly, Novartis, Grant/research support from: AbbVie, Amgen, Eli Lilly, Novartis, Pfizer., Diane Lacaille: None declared
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Hughes G, Li D, Kerrigan R, Gupta I, Wilkinson S. O03 ST97 Staphylococcus aureus and oxacillin resistance: an emerging challenge for microbiologists? JAC Antimicrob Resist 2022. [PMCID: PMC9156019 DOI: 10.1093/jacamr/dlac052.003] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background The presence of cefoxitin and oxacillin resistance in Staphylococcus aureus isolates is suggestive of methicillin resistance (MRSA) with molecular detection of the mecA or mecC genes providing confirmation. The UK SMI and EUCAST guidelines for MRSA detection describe a subset of strains that exhibit reduced susceptibility to oxacillin and cefoxitin, though negative for mecA and mecC genes—frequently named borderline oxacillin-resistant S. aureus (BORSA). Local data noted a number of S. aureus isolates that matched the above phenotype leading to laboratory, clinical and epidemiological questions. Methods Routine samples were collected between August 2020 and April 2021 at West Midlands Health Security Agency Laboratory, Birmingham. If provisional results suggested an MRSA isolate, the following confirmatory tests were undertaken. Locally, clinical samples underwent susceptibility testing with cefoxitin disc diffusion and oxacillin gradient diffusion (MRSA screens) or Vitek 2 (non-MRSA screens). Isolates with discrepant results [susceptible to cefoxitin; resistant to oxacillin (MIC >2 mg/L) or vice versa] were sent to the reference laboratory at Colindale, UK for further testing, which included mecA or mecC gene detection by PCR and serotyping with Illumina sequencing for all isolates. Results In total, 53 isolates were sent to the reference lab of which 22 were confirmed to have an ST97 serotype. All 53 were negative by PCR for mecA and mecC genes. For the 22 isolates of ST97, local oxacillin MIC values ranged from 2 to 6 mg/L. Cefoxitin susceptibility was confirmed locally in all isolates. The 22 isolates were from 15 patients; wound swabs (n = 18); blood culture (n = 1), sputum (n = 1) and MRSA screen (n = 2). Median patient age was 48 years (IQR 38–59) with 5 being female and 10 male. A history of injecting drug use was documented in 53% (8/15). Conclusions BORSA remains a problem from a laboratory, clinical and infection control perspective. This work raises two important questions: what is the most appropriate local laboratory testing pathway and what is the clinical relevance of these isolates (i.e. can flucloxacillin be relied upon in treatment)? The ST97 serotype appears to be associated with skin and soft tissue infection and may be linked to people who inject drugs.
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Affiliation(s)
- G Hughes
- UKHSA lab , Birmingham, B9 5SS, UK
| | - D Li
- UKHSA lab , Birmingham, B9 5SS, UK
| | | | - I Gupta
- UKHSA lab , Birmingham, B9 5SS, UK
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de Jersey S, Meloncelli N, Guthrie T, Powlesland H, Callaway L, Chang AT, Wilkinson S, Comans T, Eakin E. Outcomes from a hybrid implementation-effectiveness study of the living well during pregnancy Tele-coaching program for women at high risk of excessive gestational weight gain. BMC Health Serv Res 2022; 22:589. [PMID: 35501807 PMCID: PMC9063237 DOI: 10.1186/s12913-022-08002-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Accepted: 04/20/2022] [Indexed: 11/25/2022] Open
Abstract
Background Excess gestational weight gain (GWG) is associated with short-term perinatal complications and longer term cardiometabolic risks for mothers and their babies. Dietitian counselling and weight gain monitoring for women at risk of high pregnancy weight gain is recommended by clinical practice guidelines. However, face-to-face appointments, during a time with high appointment burden, can introduce barriers to engaging with care. Telephone counselling may offer a solution. The Living Well during Pregnancy (LWdP) program is a dietitian-delivered telephone coaching program implemented within routine antenatal care for women at risk of excess GWG. This program evaluation used a hybrid implementation-effectiveness design guided by the RE-AIM framework to report on the primary outcomes (reach, adoption, implementation, maintenance) and secondary outcomes (effectiveness) of the LWdP intervention. Methods The LWdP program evaluation compared data from women participating in the LWdP program with a historical comparison group (pregnant women receiving dietetic counselling for GWG in the 12 months prior to the study). The primary outcomes were described for the LWdP program. Between group comparisons were used to determine effectiveness of achieving appropriate GWG and pre and post intervention comparisons of LWdP participants was used to determine changes to dietary intake and physical activity. Results The LWdP intervention group (n = 142) were compared with women in the historical comparison group (n = 49). Women in the LWdP intervention group attended 3.4 (95% CI 2.9–3.8) appointments compared with 1.9 (95% CI, 1.6–2.2) in the historical comparison group. GWG was similar between the two groups, including the proportion of women gaining weight above the Institute of Medicine recommendations (70% vs 73%, p = 0.69). Within group comparison showed that total diet quality, intake of fruit and vegetables and weekly physical activity were all significantly improved from baseline to follow-up for the women in LWdP, while consumption of discretionary food and time spent being sedentary decreased (all p < 0.05). Conclusion The LWdP program resulted in more women accessing care and positive improvements in diet quality, intuitive eating behaviours and physical activity. It was as effective as face-to-face appointments for GWG, though more research is required to identify how to engage women earlier in pregnancy and reduce appointment burden. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-08002-5.
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Affiliation(s)
- Susan de Jersey
- Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia. .,The University of Queensland, Centre for Clinical Research and Perinatal Research Centre, Faculty of Medicine, Brisbane, Australia.
| | - Nina Meloncelli
- The University of Queensland, Centre for Clinical Research and Perinatal Research Centre, Faculty of Medicine, Brisbane, Australia
| | - Taylor Guthrie
- Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia
| | - Hilary Powlesland
- Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia
| | - Leonie Callaway
- The University of Queensland, Centre for Clinical Research and Perinatal Research Centre, Faculty of Medicine, Brisbane, Australia.,Women's and Newborn Services, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia
| | - Angela T Chang
- Centre for Allied Health Research, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia
| | - Shelley Wilkinson
- School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia.,Mothers, Babies and Women's Theme, Mater Research Institute - The University of Queensland, Brisbane, Queensland, Australia
| | - Tracy Comans
- Centre for Allied Health Research, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia.,Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Elizabeth Eakin
- School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
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Ball L, de Jersey S, Parkinson J, Vincze L, Wilkinson S. Postpartum nutrition: Guidance for general practitioners to support high-quality care. Aust J Gen Pract 2022; 51:123-128. [PMID: 35224570 DOI: 10.31128/ajgp-09-21-6151] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND General practitioners (GPs) are well placed to support new mothers with evidence-based nutrition care to eat well, live well and care for their new babies. Women who have recently given birth are highly motivated to eat well and seek information and support from GPs. OBJECTIVE The aim of this article is to review current recommendations on dietary intake for women after birth and how GPs can use this information to inform high-quality ongoing care. DISCUSSION The principles of healthy eating remain the same for all adults, and it is important that GPs support women to consume a wide variety of unprocessed, nutritious foods. Breastfeeding mothers require additional energy and nutrients such as protein, iodine, vitamin B12 and vitamin D, which are important in supporting healthy function and infant growth through breastmilk. GPs must take a person-centred approach to consultations, use respectful language and consider practical recommendations to support women in this exciting yet challenging time.
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Affiliation(s)
- Lauren Ball
- BAppSc, MNutrDiet, Grad Cert Higher Ed, Grad Dip Health Economics and Health Policy, PhD, Principal Research Fellow, Griffith University, Qld
| | - Susan de Jersey
- PhD, AdvAPD, Clinician Research Fellow, Centre for Clinical Research, Faculty of Medicine, University of Queensland, Brisbane, Qld; Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Metro North Health, Brisbane, Qld
| | - Joy Parkinson
- PhD, Associate Professor, Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Metro North Health, Brisbane, Qld
| | - Lisa Vincze
- PhD, APD, Lecturer, Menzies Health Institute Queensland and School of Health Sciences and Social Work, Griffith University, Brisbane, Qld; School of Health Sciences and Social Work, Griffith University, Gold Coast, Qld
| | - Shelley Wilkinson
- PhD, AdvAPD, Principal Research Fellow, School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, University of Queensland, Brisbane, Qld
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12
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Marjanovic EJ, Sharma V, Smith L, Pinder C, Moore TL, Manning JB, Dinsdale G, Berks M, Newton VL, Wilkinson S, Dickinson MR, Herrick AL, Watson REB, Murray AK. Polarisation-sensitive optical coherence tomography measurement of retardance in fibrosis, a non-invasive biomarker in patients with systemic sclerosis. Sci Rep 2022; 12:2893. [PMID: 35190594 PMCID: PMC8861061 DOI: 10.1038/s41598-022-06783-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 01/31/2022] [Indexed: 12/23/2022] Open
Abstract
Polarisation-sensitive optical coherence tomography (PS-OCT) offers a novel, non-invasive method of assessing skin fibrosis in the multisystem disease systemic sclerosis (SSc) by measuring collagen retardance. This study aimed to assess retardance as a biomarker in SSc. Thirty-one patients with SSc and 27 healthy controls (HC) underwent PS-OCT imaging. 'Skin score' was assessed by clinical palpation (0-3 scale). A subset of ten patients and ten age/sex-matched HC had a biopsy and longitudinal imaging. Histological assessment included quantification of epidermal thickness, collagen content (to assess fibrosis) and matrix metalloproteinase (MMP) activity (in situ zymography). PS-OCT images were assessed for epidermal thickness (structure) and fibrosis (retardance). Positive correlation was observed between epidermal thickness as measured by histology and structural PS-OCT (r = 0.79; p < 0.001). Retardance was: HC mean 0.21 (SD 0.21) radian/pixel; SSc skin score 0, 0.30 (0.19); skin score 1, 0.11 (0.16); skin score 2, 0.06 (0.12); skin score 3, 0.36 (0.35). Longitudinal retardance decreased at one-week across groups, increasing at one-month for HC/skin score 0-1; HC biopsy site retardance suggests scarring is akin to fibrosis. Relationships identified between retardance with both biopsy and skin score data indicate that retardance warrants further investigation as a suitable biomarker for SSc-related fibrosis.
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Affiliation(s)
- E J Marjanovic
- Musculoskeletal Research Group, Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Rm C215, Clinical Sciences Building, Salford, M6 8HD, UK
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK
| | - V Sharma
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK
- Centre for Dermatology Research, University of Manchester, Manchester, M13 9PL, UK
- Michigan State University College of Human Medicine, Lansing, MI, USA
| | - L Smith
- Photon Science Institute, University of Manchester, Manchester, M13 9PL, UK
| | - C Pinder
- School of Physics and Astronomy, University of Manchester, Manchester, M13 9PL, UK
| | - T L Moore
- Musculoskeletal Research Group, Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Rm C215, Clinical Sciences Building, Salford, M6 8HD, UK
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK
| | - J B Manning
- Musculoskeletal Research Group, Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Rm C215, Clinical Sciences Building, Salford, M6 8HD, UK
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK
| | - G Dinsdale
- Musculoskeletal Research Group, Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Rm C215, Clinical Sciences Building, Salford, M6 8HD, UK
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK
| | - M Berks
- Centre for Imaging Sciences, Division of Informatics, Imaging and Data Sciences, University of Manchester, Manchester, M13 9PL, UK
| | - V L Newton
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK
- Centre for Dermatology Research, University of Manchester, Manchester, M13 9PL, UK
| | - S Wilkinson
- Musculoskeletal Research Group, Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Rm C215, Clinical Sciences Building, Salford, M6 8HD, UK
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK
| | - M R Dickinson
- School of Physics and Astronomy, University of Manchester, Manchester, M13 9PL, UK
- Photon Science Institute, University of Manchester, Manchester, M13 9PL, UK
| | - A L Herrick
- Musculoskeletal Research Group, Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Rm C215, Clinical Sciences Building, Salford, M6 8HD, UK
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK
- NIHR Manchester Biomedical Research Centre, University of Manchester, Manchester, M13 9PL, UK
| | - R E B Watson
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK
- Centre for Dermatology Research, University of Manchester, Manchester, M13 9PL, UK
- NIHR Manchester Biomedical Research Centre, University of Manchester, Manchester, M13 9PL, UK
| | - A K Murray
- Musculoskeletal Research Group, Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Rm C215, Clinical Sciences Building, Salford, M6 8HD, UK.
- Salford Care Organisation, part of the Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Salford, M6 8HD, UK.
- Photon Science Institute, University of Manchester, Manchester, M13 9PL, UK.
- NIHR Manchester Biomedical Research Centre, University of Manchester, Manchester, M13 9PL, UK.
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13
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Fealy S, Hollis J, Martin J, Leigh L, Oldmeadow C, Collins CE, Smith R, Wilkinson S, Hure A. Modeling the Predictive Value of Evidence-Based Referral Criteria to Support Healthy Gestational Weight Gain among an Australian Pregnancy Cohort. Nutrients 2022; 14:381. [PMID: 35057562 PMCID: PMC8779448 DOI: 10.3390/nu14020381] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 01/11/2022] [Accepted: 01/14/2022] [Indexed: 11/17/2022] Open
Abstract
Globally, there has been a renewed focus on addressing gestational weight gain (GWG). In Australia, the Department of Health pregnancy care guidelines recommend women be offered routine weighing and receive brief nutritional and physical activity support during antenatal care visits. Women gaining weight outside the Institute of Medicine (IOM)'s weight gain reference values are further recommended to be referred to a dietitian. However, professional and organizational barriers, including an absence of weight gain referral pathways and limited workforce resources, exist with the translation and scaling of these recommendations into practice. This study aimed to explore patterns of GWG among a cohort of Australian pregnant women and to determine if pregnancy weight gains of above or below 2 kg or 5 kg in the second and third trimester can be used to predict total GWG outside recommendations. Sensitivity, specificity, negative, and positive likelihood ratios were calculated. The most predictive time point was 24 weeks' gestation using the minimum weight change parameter of +/-2 kg, demonstrating reasonable sensitivity (0.81, 95% CI 0.61-0.83) and specificity (0.72, 95% CI 0.61-0.83), resulting in 55% (n = 72/131) of the cohort qualifying for dietetic referral. Given the current health service constraints, a review of dietetic services within maternity care is warranted.
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Affiliation(s)
- Shanna Fealy
- School of Medicine and Public Health, College of Health and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia; (S.F.); (J.H.); (J.M.); (R.S.)
- School of Nursing, Paramedicine and Healthcare Sciences, Faculty of Science and Health, Charles Sturt University, 7 Major Innes Road, Port Macquarie, NSW 2444, Australia
- Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia; (L.L.); (C.O.); (C.E.C.)
| | - Jenna Hollis
- School of Medicine and Public Health, College of Health and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia; (S.F.); (J.H.); (J.M.); (R.S.)
- Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia; (L.L.); (C.O.); (C.E.C.)
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, NSW 2287, Australia
| | - Julia Martin
- School of Medicine and Public Health, College of Health and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia; (S.F.); (J.H.); (J.M.); (R.S.)
| | - Lucy Leigh
- Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia; (L.L.); (C.O.); (C.E.C.)
| | - Christopher Oldmeadow
- Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia; (L.L.); (C.O.); (C.E.C.)
| | - Clare E. Collins
- Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia; (L.L.); (C.O.); (C.E.C.)
- School of Health Sciences, College of Health and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia
| | - Roger Smith
- School of Medicine and Public Health, College of Health and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia; (S.F.); (J.H.); (J.M.); (R.S.)
- Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia; (L.L.); (C.O.); (C.E.C.)
- Department of Endocrinology, John Hunter Hospital, Newcastle, NSW 2305, Australia
| | - Shelley Wilkinson
- School of Human Movement and Nutrition Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, St. Lucia, QLD 4067, Australia;
| | - Alexis Hure
- School of Medicine and Public Health, College of Health and Wellbeing, University of Newcastle, Callaghan, NSW 2308, Australia; (S.F.); (J.H.); (J.M.); (R.S.)
- Hunter Medical Research Institute, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia; (L.L.); (C.O.); (C.E.C.)
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14
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Rogers A, Wilkinson S, Truby H, Downie O. Communication of Nutrition Information by Influencers on Social Media: A Scoping Review. Health Promot J Austr 2021; 33:657-676. [PMID: 34870880 DOI: 10.1002/hpja.563] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 11/29/2021] [Accepted: 12/03/2021] [Indexed: 01/18/2023] Open
Abstract
ISSUE ADDRESSED Although government promoted public health, social media and media campaigns have communicated nutrition information, the Australian population remain chronic under-consumers of fruit and vegetables and over-consumers of ultra-processed foods. This scoping review aimed to determine how social media influencers (SMI) communicate nutrition information and the factors that influence the popularity of messages. Identified factors could inform how governments may utilise social media to impact positively on food choices. METHODS Nine databases were searched in the past 5 years (2016-2021). After relevant sources were identified, entire texts of the grey literature and the 'Results' sections of the academic literature were coded. Using Microsoft Word, each key feature of the relevant text was highlighted, and the relevant code was recorded. Inductive coding was utilised where codes were created based on the text itself. These codes were then sorted iteratively into relevant themes and subthemes. RESULTS Eleven studies were included. From these sources, five themes were identified. These were, 1) Promoting Dietary Change, 2) Certain Modes/Styles of Content Delivery, 3) An Attractive Individual, 4) Language Features and 5) Appearing Connected to the Audience. CONCLUSION SMI are selective in their content and communication techniques to ensure their nutrition messages are popular with social media users. These methods exhibited by SMI could inform strategies to build trust in government messages about food and nutrition. SO WHAT?: SMI are able to nurture trust and exert influence on followers. It may be possible to leverage existing SMI to deliver specific nutrition messages to their audiences.
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Affiliation(s)
- Alice Rogers
- The University of Queensland, School of Human Movement and Nutrition Science, Australia
| | - Shelley Wilkinson
- The University of Queensland, School of Human Movement and Nutrition Science, Australia
| | - Helen Truby
- The University of Queensland, School of Human Movement and Nutrition Science, Australia
| | - Olivia Downie
- The University of Queensland, School of Human Movement and Nutrition Science, Australia
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15
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Bakshy K, Heimeier D, Schwartz JC, Glass EJ, Wilkinson S, Skuce RA, Allen AR, Young J, McClure JC, Cole JB, Null DJ, Hammond JA, Smith TPL, Bickhart DM. Development of polymorphic markers in the immune gene complex loci of cattle. J Dairy Sci 2021; 104:6897-6908. [PMID: 33685702 DOI: 10.3168/jds.2020-19809] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Accepted: 01/18/2021] [Indexed: 11/19/2022]
Abstract
The addition of cattle health and immunity traits to genomic selection indices holds promise to increase individual animal longevity and productivity, and decrease economic losses from disease. However, highly variable genomic loci that contain multiple immune-related genes were poorly assembled in the first iterations of the cattle reference genome assembly and underrepresented during the development of most commercial genotyping platforms. As a consequence, there is a paucity of genetic markers within these loci that may track haplotypes related to disease susceptibility. By using hierarchical assembly of bacterial artificial chromosome inserts spanning 3 of these immune-related gene regions, we were able to assemble multiple full-length haplotypes of the major histocompatibility complex, the leukocyte receptor complex, and the natural killer cell complex. Using these new assemblies and the recently released ARS-UCD1.2 reference, we aligned whole-genome shotgun reads from 125 sequenced Holstein bulls to discover candidate variants for genetic marker development. We selected 124 SNPs, using heuristic and statistical models to develop a custom genotyping panel. In a proof-of-principle study, we used this custom panel to genotype 1,797 Holstein cows exposed to bovine tuberculosis (bTB) that were the subject of a previous GWAS study using the Illumina BovineHD array. Although we did not identify any significant association of bTB phenotypes with these new genetic markers, 2 markers exhibited substantial effects on bTB phenotypic prediction. The models and parameters trained in this study serve as a guide for future marker discovery surveys particularly in previously unassembled regions of the cattle genome.
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Affiliation(s)
- K Bakshy
- Dairy Forage Research Center, USDA-ARS, Madison, WI 53706
| | - D Heimeier
- The Pirbright Institute, Ash Road, Pirbright, Surrey GU24 0NF, UK
| | - J C Schwartz
- The Pirbright Institute, Ash Road, Pirbright, Surrey GU24 0NF, UK
| | - E J Glass
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush EH25 9RG, Edinburgh, UK
| | - S Wilkinson
- The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush EH25 9RG, Edinburgh, UK
| | - R A Skuce
- Agri-Food and Biosciences Institute, Stormont, Belfast, Northern Ireland BT4 3SD, UK
| | - A R Allen
- Agri-Food and Biosciences Institute, Stormont, Belfast, Northern Ireland BT4 3SD, UK
| | - J Young
- Dairy Forage Research Center, USDA-ARS, Madison, WI 53706
| | - J C McClure
- Dairy Forage Research Center, USDA-ARS, Madison, WI 53706
| | - J B Cole
- Animal Genomics and Improvement Laboratory, USDA-ARS, Beltsville, MD 20705
| | - D J Null
- Animal Genomics and Improvement Laboratory, USDA-ARS, Beltsville, MD 20705
| | - J A Hammond
- The Pirbright Institute, Ash Road, Pirbright, Surrey GU24 0NF, UK
| | - T P L Smith
- Meat Animal Research Center, USDA-ARS, Clay Center, NE 68933
| | - D M Bickhart
- Dairy Forage Research Center, USDA-ARS, Madison, WI 53706.
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16
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de Jersey S, Meloncelli N, Guthrie T, Powlesland H, Callaway L, Chang AT, Wilkinson S, Comans T, Eakin E. Implementation of the Living Well During Pregnancy Telecoaching Program for Women at High Risk of Excessive Gestational Weight Gain: Protocol for an Effectiveness-Implementation Hybrid Study. JMIR Res Protoc 2021; 10:e27196. [PMID: 33734093 PMCID: PMC8086782 DOI: 10.2196/27196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 02/15/2021] [Accepted: 02/25/2021] [Indexed: 11/18/2022] Open
Abstract
Background Despite comprehensive guidelines for healthy gestational weight gain (GWG) and evidence for the efficacy of dietary counseling coupled with weight monitoring on reducing excessive GWG, reporting on the effectiveness of interventions translated into routine antenatal care is limited. Objective This study aims to implement and evaluate the Living Well during Pregnancy (LWdP) program in a large Australian antenatal care setting. Specifically, the LWdP program will be incorporated into usual care and delivered to a population of pregnant women at risk of excessive GWG through a dietitian-delivered telephone coaching service. Methods Metrics from the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework will guide the evaluation in this hybrid effectiveness-implementation study. All women aged ≥16 years without pre-exiting diabetes with a prepregnancy BMI >25 kg/m2 and gaining weight above recommendations at <20 weeks’ gestation who are referred for dietetic care during the 12-month study period will be eligible for participation. The setting is a metropolitan hospital at which approximately 6% of the national births in Australia take place each year. Eligible participants will receive up to 10 telecoaching calls during their pregnancy. Primary outcomes will be service level indicators of reach, adoption, and implementation that will be compared with a retrospective control group, and secondary effectiveness outcomes will be participant-reported anthropometric and behavioral outcomes; all outcomes will be assessed pre- and postprogram completion. Additional secondary outcomes relate to the costs associated with program implementation and pregnancy outcomes gathered through routine clinical service data. Results Data collection of all variables was completed in December 2020, with results expected to be published by the end of 2021. Conclusions This study will evaluate the implementation of an evidence-based intervention into routine health service delivery and will provide the practice-based evidence needed to inform decisions about its incorporation into routine antenatal care. International Registered Report Identifier (IRRID) DERR1-10.2196/27196
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Affiliation(s)
- Susan de Jersey
- Centre for Clinical Research and Perinatal Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Australia.,Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia
| | - Nina Meloncelli
- Centre for Clinical Research and Perinatal Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Australia.,Allied Health, Metro North Hospital and Health Service, Brisbane, Australia
| | - Taylor Guthrie
- Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia
| | - Hilary Powlesland
- Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia
| | - Leonie Callaway
- Department of Obstetric Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia.,Faculty of Medicine, University of Queensland, Brisbane, Australia
| | - Angela T Chang
- Centre for Allied Health Research, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia
| | - Shelley Wilkinson
- School of Human Movements and Nutrition Sciences, The University of Queensland, Brisbane, Australia
| | - Tracy Comans
- Centre for Allied Health Research, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia.,Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia
| | - Elizabeth Eakin
- School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia
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17
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Schoenaker DAJM, de Jersey S, Willcox J, Francois ME, Wilkinson S. Prevention of Gestational Diabetes: The Role of Dietary Intake, Physical Activity, and Weight before, during, and between Pregnancies. Semin Reprod Med 2021; 38:352-365. [PMID: 33530118 DOI: 10.1055/s-0041-1723779] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Gestational diabetes mellitus (GDM) is the most common complication of pregnancy and a significant clinical and public health problem with lifelong and intergenerational adverse health consequences for mothers and their offspring. The preconception, early pregnancy, and interconception periods represent opportune windows to engage women in preventive and health promotion interventions. This review provides an overview of findings from observational and intervention studies on the role of diet, physical activity, and weight (change) during these periods in the primary prevention of GDM. Current evidence suggests that supporting women to increase physical activity and achieve appropriate weight gain during early pregnancy and enabling women to optimize their weight and health behaviors prior to and between pregnancies have the potential to reduce rates of GDM. Translation of current evidence into practice requires further development and evaluation of co-designed interventions across community, health service, and policy levels to determine how women can be reached and supported to optimize their health behaviors before, during, and between pregnancies to reduce GDM risk.
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Affiliation(s)
- Danielle A J M Schoenaker
- School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.,NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - Susan de Jersey
- Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Queensland, Australia.,Centre for Clinical Research and Perinatal Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
| | - Jane Willcox
- School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia
| | - Monique E Francois
- School of Medicine, Faculty of Science Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.,Illawarra Health and Medical Research Institute, Wollongong, New South Wales, Australia
| | - Shelley Wilkinson
- School of Human Movements and Nutrition Sciences, The University of Queensland, Brisbane, Queensland, Australia.,Mothers, Babies and Women's Theme, Mater Research Institute, The University of Queensland, Brisbane, Queensland, Australia
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18
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Broomfield A, Sims J, Mercer J, Hensman P, Ghosh A, Tylee K, Stepien KM, Oldham A, Prathivadi Bhayankaram N, Wynn R, Wright NB, Jones SA, Wilkinson S. The evolution of pulmonary function in childhood onset Mucopolysaccharidosis type I. Mol Genet Metab 2021; 132:94-99. [PMID: 32713717 DOI: 10.1016/j.ymgme.2020.07.004] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 06/30/2020] [Accepted: 07/07/2020] [Indexed: 11/24/2022]
Abstract
Respiratory outcomes in Mucopolysaccharidosis Type I (MPS I), have mainly focused on upper airway obstruction, with the evolution of the restrictive lung disease being poorly documented. We report the long-term pulmonary function outcomes and examine the potential factors affecting these in 2 cohorts of MPS I patients, those who have undergone Haematopoietic Stem Cell Transplantation (HSCT) and those treated with Enzyme Replacement Therapy (ERT). The results were stratified using the American Thoracic Society (ATS) guidelines. 66 patients, capable of adequately performing testing, were identified by a retrospective case note review, 46 transplanted (45 Hurler, 1 Non-Hurler) and 20 having ERT (17 Non-Hurler and 3 Hurler diagnosed too late for HSCT). 5 patients died; 4 in the ERT group including the 3 Hurler patients. Overall 14% of patients required respiratory support (non-invasive ventilation (NIV) or supplemental oxygen)) at the end of follow up. Median length of follow-up was 12.2 (range = 4.9-32) years post HSCT and 14.34 (range = 3.89-20.4) years on ERT. All patients had restrictive lung disease. Cobb angle and male sex were significantly associated with more severe outcomes in the HSCT cohort, with 49% having severe to very severe disease. In the 17 Non-Hurler ERT treated patients there was no variable predictive of severity of disease with 59% having severe to very severe disease. During the course of follow up 67% of the HSCT cohort had no change or improved pulmonary function as did 52% of the ERT patients. However, direct comparison between therapeutic modalities was not possible. This initial evidence would suggest that a degree of restrictive lung disease is present in all treated paediatrically diagnosed MPS I and is still a significant cause of morbidity, though further stratification incorporating diffusing capacity for carbon monoxide (DLCO) is needed.
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Affiliation(s)
- A Broomfield
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
| | - J Sims
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - J Mercer
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - P Hensman
- Department of physiotherapy, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
| | - A Ghosh
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - K Tylee
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - K M Stepien
- Mark Holland Metabolic Unit, Adult Inherited Metabolic Disorders, Salford Royal NHS Foundation Trust, Salford, M6 8, HD, UK
| | - A Oldham
- Mark Holland Metabolic Unit, Adult Inherited Metabolic Disorders, Salford Royal NHS Foundation Trust, Salford, M6 8, HD, UK
| | - N Prathivadi Bhayankaram
- Department of Paediatric Blood and Marrow Transplant, Royal Manchester Children's Hospital, Oxford Rd, Manchester M13 9WL, UK
| | - R Wynn
- Department of Paediatric Blood and Marrow Transplant, Royal Manchester Children's Hospital, Oxford Rd, Manchester M13 9WL, UK
| | - N B Wright
- Department of Radiology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
| | - S A Jones
- Willink Biochemical Genetics Unit, Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - S Wilkinson
- Respiratory Department Royal Manchester Children's Hospital, Manchester University, NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
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19
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Wayman H, Yu E, Lamptey O, Wilkinson S, Mujtaba G, Maitra A, Shawcross A. P160 Detection and management of nontuberculous mycobacteria in cystic fibrosis patients in a tertiary paediatric centre. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)01186-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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20
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Tzelepi A, Metcalfe MP, Dinsdale-Potter JH, Wilkinson S, Copeland G. Radiological characterisation of graphite components in Advanced Gas-cooled Reactor cores. J Environ Radioact 2020; 220-221:106296. [PMID: 32560886 DOI: 10.1016/j.jenvrad.2020.106296] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 04/29/2020] [Accepted: 05/02/2020] [Indexed: 06/11/2023]
Abstract
As the Advanced Gas-cooled Reactors approach the end of generation, research and characterisation are required to support the decommissioning strategy. Radiological data for AGR graphite are negligible and the radiological inventory of the AGR core and other graphite components rely on activation modelling. This is the first study of C-14 activity and its release behaviour in AGR core graphite and its associated carbonaceous deposits and provides valuable information that can support decommissioning activities. In combination with corresponding studies on Magnox core graphite, significant understanding is attained on the main C-14 precursors in the graphite and the deposits. In addition, this study reports C-14, H-3 and gamma spectrometry data on AGR graphite fuel sleeves. This is a waste stream that is currently stored in heavily engineered stores at a significant cost. The data indicate that alternative storage and disposal options with a lower environmental and financial impact are worth considering.
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Affiliation(s)
- A Tzelepi
- National Nuclear Laboratory, Fuels, Reactors and Reprocessing, Central Laboratory, Sellafield, CA20 1PG, United Kingdom.
| | - M P Metcalfe
- National Nuclear Laboratory, Fuels, Reactors and Reprocessing, Central Laboratory, Sellafield, CA20 1PG, United Kingdom
| | - J H Dinsdale-Potter
- National Nuclear Laboratory, Fuels, Reactors and Reprocessing, Central Laboratory, Sellafield, CA20 1PG, United Kingdom
| | - S Wilkinson
- National Nuclear Laboratory, Fuels, Reactors and Reprocessing, Central Laboratory, Sellafield, CA20 1PG, United Kingdom
| | - G Copeland
- National Nuclear Laboratory, Fuels, Reactors and Reprocessing, Central Laboratory, Sellafield, CA20 1PG, United Kingdom
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Hawkins SJ, O'Shaughnessy KA, Adams LA, Langston WJ, Bray S, Allen JR, Wilkinson S, Bohn K, Mieszkowska N, Firth LB. Recovery of an urbanised estuary: Clean-up, de-industrialisation and restoration of redundant dock-basins in the Mersey. Mar Pollut Bull 2020; 156:111150. [PMID: 32510354 DOI: 10.1016/j.marpolbul.2020.111150] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [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: 12/27/2019] [Revised: 03/26/2020] [Accepted: 04/02/2020] [Indexed: 06/11/2023]
Abstract
For much of the 20th century, the Mersey in North West England was one of the worst polluted estuaries in Europe. Water from a range of polluting industries plus domestic sewage was discharged into the Mersey Catchment and Estuary. Recovery came through a concerted clean-up campaign and tightening environmental regulations, partly driven by European Commission Directives, coupled with de-industrialisation from the 1970s onward. Recovery of oxygen levels in the Estuary led to the return of a productive ecosystem. This led to conservation designations, but also concerns about transfer of pollutants to higher trophic levels in fish, birds and humans. As part of urban renewal, ecosystems in disused dock basins were restored using mussel biofiltration and artificial de-stratification, facilitating commercial redevelopment and creation of a tourist destination. The degradation and recovery of the Mersey from peak-pollution in the mid-20th century is put in the context of wider environmental change and briefly compared to other systems to develop a hysteresis model of degradation and recovery, often to novel ecosystems.
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Affiliation(s)
- S J Hawkins
- Ocean and Earth Science, University of Southampton, National Oceanography Centre, Southampton SO17 3ZH, United Kingdom; The Marine Biological Association of the UK, The Laboratory, Citadel Hill, Plymouth PL1 2PB, United Kingdom; School of Biological and Marine Sciences, University of Plymouth, Plymouth PL4 8AA, United Kingdom; Department of Environmental and Evolutionary Biology, University of Liverpool, Liverpool L69 7ZB, United Kingdom
| | - K A O'Shaughnessy
- The Marine Biological Association of the UK, The Laboratory, Citadel Hill, Plymouth PL1 2PB, United Kingdom; School of Geography, Earth and Environmental Sciences, University of Plymouth, Plymouth PL4 8AA, United Kingdom.
| | - L A Adams
- The Marine Biological Association of the UK, The Laboratory, Citadel Hill, Plymouth PL1 2PB, United Kingdom
| | - W J Langston
- The Marine Biological Association of the UK, The Laboratory, Citadel Hill, Plymouth PL1 2PB, United Kingdom
| | - S Bray
- School of Biological Sciences, Life Sciences Building 85, University of Southampton, SO17 1BJ, United Kingdom; AQASS Ltd Unit 16, Sidings Industrial Estate, Netley Abbey, Southampton SO31 5QA, United Kingdom
| | - J R Allen
- Department of Environmental and Evolutionary Biology, University of Liverpool, Liverpool L69 7ZB, United Kingdom
| | - S Wilkinson
- Department of Environmental and Evolutionary Biology, University of Liverpool, Liverpool L69 7ZB, United Kingdom; Joint Nature Conservation Committee, Peterborough PE1 1JY, United Kingdom
| | - K Bohn
- Ocean and Earth Science, University of Southampton, National Oceanography Centre, Southampton SO17 3ZH, United Kingdom; Natural England, Nottingham NG2 4LA, United Kingdom
| | - N Mieszkowska
- The Marine Biological Association of the UK, The Laboratory, Citadel Hill, Plymouth PL1 2PB, United Kingdom; School of Environmental Sciences, University of Liverpool, Liverpool L69 3BX, United Kingdom
| | - L B Firth
- School of Biological and Marine Sciences, University of Plymouth, Plymouth PL4 8AA, United Kingdom
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Wilkinson S, Irvine E, Valsamakis T. Coronavirus disease 2019 communication: novel sign language system to aid surgical tracheostomy whilst wearing a respirator. J Laryngol Otol 2020; 134:642-645. [PMID: 32624010 PMCID: PMC7399144 DOI: 10.1017/s0022215120001255] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/13/2020] [Indexed: 11/12/2022]
Abstract
BACKGROUND The coronavirus disease 2019 pandemic has necessitated rapid adaptations to all levels of clinical practice. Recently produced guidelines have suggested additional considerations for tracheostomy and advocated full personal protective equipment, including filtering facepiece code 3 masks. Air seal with filtering facepiece code 3 masks is often challenging, and full-face respirators and powered air-purifying respirators with hoods need to be employed. The infection prevention benefits of this equipment are accompanied by potential issues in communication. OBJECTIVE In an attempt to minimise surgical error through miscommunication, the authors sought to introduce a simple sign language system that could be used as an adjunct during surgery. RESULTS Following evaluation of pre-existing sign language platforms and consideration of multiple surgical factors, 14 bespoke hand signals were ultimately proposed. CONCLUSION Whilst this novel sign language system aims to bridge the communicative gap created by additional personal protective equipment, further development and validation of the proposed tool might be beneficial.
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Affiliation(s)
- S Wilkinson
- ENT Department, Leicester Royal Infirmary, UK
| | - E Irvine
- ENT Department, Leicester Royal Infirmary, UK
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23
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Hafiz A, Forster A, Turner E, Sheppard E, Wilkinson S, Maitra A, Shawcross A. P283 Results of a change in vitamin supplementation for cystic fibrosis patients in a tertiary paediatric centre. J Cyst Fibros 2020. [DOI: 10.1016/s1569-1993(20)30612-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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24
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Wilkinson S, Greenslade J, Cullen L. 576 What is an Acceptable Risk of a Major Adverse Cardiac Event in Chest Pain Patients Soon After Discharge From the Emergency Department: The Patient’s Perspective. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.583] [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: 10/23/2022]
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25
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Mills R, Wilkinson S, Richardson R, Patel L, Horsley A. ePS6.09 Exophiala isolation in children with cystic fibrosis does not appear to cause clinical decline. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30295-4] [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]
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26
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Thornton C, Moss N, Wilkinson S. P183 Benefit of home sampling in the early detection of Pseudomonas aeruginosa in children with cystic fibrosis. J Cyst Fibros 2019. [DOI: 10.1016/s1569-1993(19)30477-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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27
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Callaway LK, McIntyre HD, Barrett HL, Foxcroft K, Tremellen A, Lingwood BE, Tobin JM, Wilkinson S, Kothari A, Morrison M, O'Rourke P, Pelecanos A, Dekker Nitert M. Probiotics for the Prevention of Gestational Diabetes Mellitus in Overweight and Obese Women: Findings From the SPRING Double-Blind Randomized Controlled Trial. Diabetes Care 2019; 42:364-371. [PMID: 30659070 DOI: 10.2337/dc18-2248] [Citation(s) in RCA: 93] [Impact Index Per Article: 18.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Accepted: 12/17/2018] [Indexed: 02/03/2023]
Abstract
OBJECTIVE Given the role of gut microbiota in regulating metabolism, probiotics administered during pregnancy might prevent gestational diabetes mellitus (GDM). This question has not previously been studied in high-risk overweight and obese pregnant women. We aimed to determine whether probiotics (Lactobacillus rhamnosus and Bifidobacterium animalis subspecies lactis) administered from the second trimester in overweight and obese women prevent GDM as assessed by an oral glucose tolerance test (OGTT) at 28 weeks' gestation. Secondary outcomes included maternal and neonatal complications, maternal blood pressure and BMI, and infant body composition. RESEARCH DESIGN AND METHODS This was a double-blind randomized controlled trial of probiotic versus placebo in overweight and obese pregnant women in Brisbane, Australia. RESULTS The study was completed in 411 women. GDM occurred in 12.3% (25 of 204) in the placebo arm and 18.4% (38 of 207) in the probiotics arm (P = 0.10). At OGTT, mean fasting glucose was higher in women randomized to probiotics (79.3 mg/dL) compared with placebo (77.5 mg/dL) (P = 0.049). One- and two-hour glucose measures were similar. Preeclampsia occurred in 9.2% of women randomized to probiotics compared with 4.9% in the placebo arm (P = 0.09). Excessive weight gain occurred in 32.5% of women in the probiotics arm (55 of 169) compared with 46% in the placebo arm (81 of 176) (P = 0.01). Rates of small for gestational age (<10th percentile) were 2.4% in the probiotics arm (5 of 205) and 6.5% in the placebo arm (13 of 199) (P = 0.042). There were no differences in other secondary outcomes. CONCLUSIONS The probiotics used in this study did not prevent GDM in overweight and obese pregnant women.
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Affiliation(s)
- Leonie K Callaway
- Women's and Newborn Services, Royal Brisbane and Women's Hospital, Herston, Australia .,Faculty of Medicine, The University of Queensland, Herston, Australia
| | - H David McIntyre
- Faculty of Medicine, The University of Queensland, Herston, Australia.,Mater Medical Research Institute, South Brisbane, Australia
| | - Helen L Barrett
- Faculty of Medicine, The University of Queensland, Herston, Australia.,Mater Medical Research Institute, South Brisbane, Australia
| | - Katie Foxcroft
- Women's and Newborn Services, Royal Brisbane and Women's Hospital, Herston, Australia
| | - Anne Tremellen
- Mater Medical Research Institute, South Brisbane, Australia
| | | | | | - Shelley Wilkinson
- Mater Medical Research Institute, South Brisbane, Australia.,Department of Nutrition and Dietetics, Mater Group, South Brisbane, Australia
| | | | - Mark Morrison
- Faculty of Medicine, University of Queensland Diamantina Institute, Translational Research Institute, Woolloongabba, Australia
| | - Peter O'Rourke
- QIMR Berghofer Medical Research Institute, Herston, Australia
| | - Anita Pelecanos
- QIMR Berghofer Medical Research Institute, Herston, Australia
| | - Marloes Dekker Nitert
- School of Chemistry and Molecular Biosciences, The University of Queensland, St Lucia, Australia
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Wilkinson S, Beckmann M, Donaldson E, McCray S. Implementation of gestational weight gain guidelines - what's more effective for ensuring weight recording in pregnancy? BMC Pregnancy Childbirth 2019; 19:19. [PMID: 30744580 PMCID: PMC6371612 DOI: 10.1186/s12884-018-2162-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [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] [Received: 04/09/2018] [Accepted: 12/21/2018] [Indexed: 11/22/2022] Open
Abstract
Background Pregnant women who gain weight in accordance with guidelines have the lowest risk of pregnancy and birth-related complications. However, evidence-practice gaps often exist. To address pregnancy weight management barriers, a stepped implementation science approach was used, comprising targeted in-services, provision of scales for clinic rooms, and changes to routine weight recording in a hospital electronic medical record. The aim of this study was to assess the cumulative influence of evidence-based interventions on staff’s compliance to recording of antenatal weights. Methods Retrospective data analysis of weight recording over three 15-month cohorts across April 2014–December 2017. Variables calculated from data included: proportion of women with weight recorded at booking and proportion of women who had a weight recorded at each visit. Generalised estimating equation modelling was used to examine differences in weight recording compliance rates between cohorts, pre-pregnancy body mass index categories, model of care and clinicians. Results There were approximately 13,000 pregnancies in each cohort. The proportion of women who had a weight recorded at each visit per cohort differed significantly between cohorts from 4.2% (baseline), 18.9% (scales and in-services) to 61.8% (medical record prompts), p < 0.001. Conclusion Significant improvements were achieved through systematic barrier analysis and subsequent mapping and implementation of appropriate and effective interventions. Improvements were observed across the entire service, in all models of care with all professional groups demonstrating increased recording of weights.
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Affiliation(s)
- Shelley Wilkinson
- Department of Dietetics and Foodservices, Mater Health, Brisbane, Queensland, 4101, Australia. .,Mater Research Institute - University of Queensland, Mothers, Babies and Women's Theme, Brisbane, 4101, Australia. .,Mater Mothers' Hospitals, Mater Health, Brisbane, 4101, Australia.
| | - Michael Beckmann
- Mater Research Institute - University of Queensland, Mothers, Babies and Women's Theme, Brisbane, 4101, Australia.,Mater Mothers' Hospitals, Mater Health, Brisbane, 4101, Australia
| | - Elin Donaldson
- Department of Dietetics and Foodservices, Mater Health, Brisbane, Queensland, 4101, Australia.,Mater Mothers' Hospitals, Mater Health, Brisbane, 4101, Australia
| | - Sally McCray
- Department of Dietetics and Foodservices, Mater Health, Brisbane, Queensland, 4101, Australia.,Mater Research Institute - University of Queensland, Mothers, Babies and Women's Theme, Brisbane, 4101, Australia
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29
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Jones BP, Williams NJ, Saso S, Thum M, Quiroga I, Yazbek J, Wilkinson S, Ghaem‐Maghami S, Thomas P, Smith JR. Uterine transplantation in transgender women. BJOG 2019; 126:152-156. [PMID: 30125449 PMCID: PMC6492192 DOI: 10.1111/1471-0528.15438] [Citation(s) in RCA: 45] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2018] [Indexed: 11/28/2022]
Affiliation(s)
- BP Jones
- West London Gynaecological Cancer CentreHammersmith HospitalImperial College NHS TrustLondonUK
- Department of Surgery and CancerImperial College LondonLondonUK
| | - NJ Williams
- Department of Politics, Philosophy and ReligionLancaster UniversityLancasterUK
| | - S Saso
- West London Gynaecological Cancer CentreHammersmith HospitalImperial College NHS TrustLondonUK
- Department of Surgery and CancerImperial College LondonLondonUK
| | - M‐Y Thum
- Department of Surgery and CancerImperial College LondonLondonUK
- Lister Fertility ClinicThe Lister HospitalLondonUK
| | - I Quiroga
- The Oxford Transplant CentreThe Churchill HospitalOxford University Hospitals NHS TrustOxfordUK
| | - J Yazbek
- West London Gynaecological Cancer CentreHammersmith HospitalImperial College NHS TrustLondonUK
- Department of Surgery and CancerImperial College LondonLondonUK
| | - S Wilkinson
- Department of Politics, Philosophy and ReligionLancaster UniversityLancasterUK
| | - S Ghaem‐Maghami
- West London Gynaecological Cancer CentreHammersmith HospitalImperial College NHS TrustLondonUK
- Department of Surgery and CancerImperial College LondonLondonUK
| | - P Thomas
- Brighton Gender ClinicNuffield Health HospitalBrightonUK
| | - JR Smith
- West London Gynaecological Cancer CentreHammersmith HospitalImperial College NHS TrustLondonUK
- Department of Surgery and CancerImperial College LondonLondonUK
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30
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Candy B, Armstrong M, Amey R, Booth J, Flemming K, Kupeli N, Maclean V, Preston J, Stone P, Wilkinson S. 9 Using what people value to develop new interventions in palliative care: a multilevel level review approach. BMJ Support Palliat Care 2018. [DOI: 10.1136/bmjspcare-2018-mariecurie.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
IntroductionComplex interventions are common in palliative care (PC) but are difficult to evaluate. Complementary therapies (CT) are one type of widely-used complex intervention for which there is inconclusive evidence. No systematic review has been conducted in PC of trials or of qualitative studies of patients’ views of CTs. There are novel approaches with established exemplars of using both types of reviews to help develop more clinically appropriate interventions. These approaches are in their infancy in PC research and have much to offer the specialism.AimsUsing our on-going review on CT we present as an exemplar in PC an approach to draw together the findings of trials and qualitative studies in a data table (matrix) to contrast what patients value and want with how the intervention is tested.MethodsWe sought trials on the effectiveness of CT and qualitative studies on patients’ perspectives about these therapies. Our primary outcomes for trials included anxiety. Eight databases were searched in 2017. Citations and full-text papers were reviewed to identify relevant studies. Meta-analyses pooled trial data where appropriate and a thematic synthesis is being undertaken to understand patient experience. These findings will be combined in a matrix to explore similarities and differences.Results19 trials and five qualitative studies were included. Data analysis and development of the matrix which includes intervention content and patients’ needs is currently underway. We will present the final matrix framework.ConclusionsOur approach demonstrates a potential way in PC to enhance development of practice appropriate complex interventions.
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31
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Pang T, Fatseas G, Koina M, Adamson S, Wilkinson S, Chan-Ling T. Glioblastoma multiforme overcomes ultrasmall superparamagnetic iron oxide nanoparticle induced cytotoxicity through heat shock protein protective mechanisms. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx657.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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32
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Wong L, Kontogeorgis A, Brett L, Edwards M, Wilkinson S, Ware J, Morris-Rosendahl D, Homfray T, Till J. 61Prevalence and spectrum of genetic variants in a single-centre cohort of Brugada syndrome. Europace 2017. [DOI: 10.1093/europace/eux283.056] [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: 11/12/2022] Open
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33
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Wilkinson S, McMahon M. P67 Strategies supporting and increasing hepatitis C testing and treatment for people in NSW prisons. J Virus Erad 2017. [DOI: 10.1016/s2055-6640(20)30808-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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34
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Wilkinson S, McMahon M. P68 Hep Connect: delivering one-to-one telephone support to people undergoing HCV treatment by people who have treatment experience. J Virus Erad 2017. [DOI: 10.1016/s2055-6640(20)30809-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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35
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Jose K, Venn A, Nelson M, Howes F, Wilkinson S, Ezzy D. A qualitative study of the role of Australian general practitioners in the surgical management of obesity. Clin Obes 2017; 7:231-238. [PMID: 28429583 DOI: 10.1111/cob.12195] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Revised: 02/26/2017] [Accepted: 03/22/2017] [Indexed: 11/26/2022]
Abstract
General practitioners (GPs) are increasingly managing patients with class 2 and 3 obesity (body mass index [BMI] > 35 and 40 kg/m2 , respectively). Bariatric surgery is considered for patients with class 2 obesity and comorbidities or class 3 obesity where sustained weight loss using non-surgical interventions has not been achieved. In Australia, GPs facilitate access to surgery through referral processes, but the nature of GP involvement in bariatric pre- and post-surgery care is currently unclear. This qualitative study involved 10 in-depth interviews with GPs and 20 interviews with adults who had all undergone laparoscopic adjustable gastric banding (LAGB) for weight management in Tasmania, Australia. Interviews were transcribed and analysed thematically. Referrals for bariatric surgery commonly occurred at the patient's request or to manage comorbidity. Consistent with previous studies, for GPs, referral patterns were influenced by previous case experience and patients' financial considerations. Accessibility of surgery was also a consideration. Post-surgery, there was a lack of clarity about the role of GPs, with patients generally preferring the surgical team to manage the LAGB. In bariatric surgery, patient preference for surgery, access and comorbidity are key drivers for referral and post-surgical monitoring and support. Greater role clarity and enhanced collaboration between surgeons, GPs and patients following surgery is likely to enhance the experience and outcomes for patients.
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Affiliation(s)
- K Jose
- Menzies Institute for Medical Research, University of Tasmania, Medical Science Precinct, Hobart, Australia
| | - A Venn
- Menzies Institute for Medical Research, University of Tasmania, Medical Science Precinct, Hobart, Australia
| | - M Nelson
- Menzies Institute for Medical Research, University of Tasmania, Medical Science Precinct, Hobart, Australia
| | - F Howes
- Menzies Institute for Medical Research, University of Tasmania, Medical Science Precinct, Hobart, Australia
| | - S Wilkinson
- Head of General Surgery, Royal Hobart Hospital, Hobart, Australia
| | - D Ezzy
- School of Social Sciences, University of Tasmania, Hobart, Australia
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Scales K, Pollock K, Travers C, Perry-Young L, Wilkinson S, Manning N, Schneider J. EMPOWERMENT IN HOME CARE FOR PERSONS WITH DEMENTIA: IMPLICATIONS FOR PERSON-CENTERED CARE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.405] [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: 11/12/2022] Open
Affiliation(s)
- K. Scales
- Center for the Study of Aging and Human Development, Duke University, Durham, North Carolina,
| | - K. Pollock
- University of Nottingham, Nottingham, United Kingdom,
| | - C. Travers
- Loughborough University, Loughborough, United Kingdom,
| | | | - S. Wilkinson
- University of Nottingham, Nottingham, United Kingdom,
| | - N. Manning
- King’s College London, London, United Kingdom
| | - J. Schneider
- University of Nottingham, Nottingham, United Kingdom,
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Travers C, Pollock K, Scales K, Perry-Young L, Wilkinson S, Manning N, Schneider J. CLOSE ENCOUNTERS OF THE CARING KIND: EXAMINING EVERYDAY EXPERIENCES OF HOME CARE USING STAFF DIARIES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- C. Travers
- Loughborough University, Loughborough, United Kingdom,
| | - K. Pollock
- University of Nottingham, Nottingham, United Kingdom,
| | - K. Scales
- Center for the Study of Aging and Human Development, Duke University, Durham, North Carolina,
| | | | - S. Wilkinson
- University of Nottingham, Nottingham, United Kingdom,
| | - N. Manning
- King’s College London, London, United Kingdom
| | - J. Schneider
- University of Nottingham, Nottingham, United Kingdom,
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Pollock K, Scales K, Travers C, Perry-Young L, Wilkinson S, Manning N, Schneider J. TACT AND DUPLICITY IN INTERPERSONAL RELATIONS BETWEEN PAID HOME CAREGIVERS AND THEIR CLIENTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.407] [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: 11/14/2022] Open
Affiliation(s)
- K. Pollock
- University of Nottingham, Nottingham, United Kingdom,
| | - K. Scales
- Center for the Study of Aging and Human Development, Duke University, Durham, North Carolina,
| | - C. Travers
- Loughborough University, Loughborough, United Kingdom,
| | | | - S. Wilkinson
- University of Nottingham, Nottingham, United Kingdom,
| | - N. Manning
- King’s College London, London, United Kingdom
| | - J. Schneider
- University of Nottingham, Nottingham, United Kingdom,
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39
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Wilkinson S, Bishop SC, Allen AR, McBride SH, Skuce RA, Bermingham M, Woolliams JA, Glass EJ. Fine-mapping host genetic variation underlying outcomes to Mycobacterium bovis infection in dairy cows. BMC Genomics 2017; 18:477. [PMID: 28646863 PMCID: PMC5483290 DOI: 10.1186/s12864-017-3836-x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Accepted: 05/31/2017] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Susceptibility to Mycobacterium bovis infection in cattle is governed in part by host genetics. However, cattle diagnosed as infected with M. bovis display varying signs of pathology. The variation in host response to infection could represent a continuum since time of exposure or distinct outcomes due to differing pathogen handling. The relationships between host genetics and variation in host response and pathological sequelae following M. bovis infection were explored by genotyping 1966 Holstein-Friesian dairy cows at 538,231 SNPs with three distinct phenotypes. These were: single intradermal cervical comparative tuberculin (SICCT) test positives with visible lesions (VLs), SICCT-positives with undetected visible lesions (NVLs) and matched controls SICCT-negative on multiple occasions. RESULTS Regional heritability mapping identified three loci associated with the NVL phenotype on chromosomes 17, 22 and 23, distinct to the region on chromosome 13 associated with the VL phenotype. The region on chromosome 23 was at genome-wide significance and candidate genes overlapping the mapped window included members of the bovine leukocyte antigen class IIb region, a complex known for its role in immunity and disease resistance. Chromosome heritability analysis attributed variance to six and thirteen chromosomes for the VL and NVL phenotypes, respectively, and four of these chromosomes were found to explain a proportion of the phenotypic variation for both the VL and NVL phenotype. By grouping the M. bovis outcomes (VLs and NVLs) variance was attributed to nine chromosomes. When contrasting the two M. bovis infection outcomes (VLs vs NVLs) nine chromosomes were found to harbour heritable variation. Regardless of the case phenotype under investigation, chromosome heritability did not exceed 8% indicating that the genetic control of bTB resistance consists of variants of small to moderate effect situated across many chromosomes of the bovine genome. CONCLUSIONS These findings suggest the host genetics of M. bovis infection outcomes is governed by distinct and overlapping genetic variants. Thus, variation in the pathology of M. bovis infected cattle may be partly genetically determined and indicative of different host responses or pathogen handling. There may be at least three distinct outcomes following M. bovis exposure in dairy cattle: resistance to infection, infection resulting in pathology or no detectable pathology.
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Affiliation(s)
- S Wilkinson
- The Roslin Institute and R(D)SVS, University of Edinburgh, Easter Bush EH25 9RG, Edinburgh, UK.
| | - S C Bishop
- The Roslin Institute and R(D)SVS, University of Edinburgh, Easter Bush EH25 9RG, Edinburgh, UK
| | - A R Allen
- Agri-Food and Biosciences Institute, Stormont, Belfast, Northern Ireland, BT4 3SD, UK
| | - S H McBride
- Agri-Food and Biosciences Institute, Stormont, Belfast, Northern Ireland, BT4 3SD, UK
| | - R A Skuce
- Agri-Food and Biosciences Institute, Stormont, Belfast, Northern Ireland, BT4 3SD, UK
- School of Biological Sciences, Queen's University Belfast, Belfast, Northern Ireland, BT9 7BL, UK
| | - M Bermingham
- The Roslin Institute and R(D)SVS, University of Edinburgh, Easter Bush EH25 9RG, Edinburgh, UK
- Current Address: Centre for Genomic and Experimental Medicine, School of Molecular, Genetic and Population Health Sciences, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, UK
| | - J A Woolliams
- The Roslin Institute and R(D)SVS, University of Edinburgh, Easter Bush EH25 9RG, Edinburgh, UK
| | - E J Glass
- The Roslin Institute and R(D)SVS, University of Edinburgh, Easter Bush EH25 9RG, Edinburgh, UK
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Ostroff R, Wilkinson S, Sanacora G. Computer-assisted cognitive behavior therapy to prevent relapse following electroconvulsive therapy. Brain Stimul 2017. [DOI: 10.1016/j.brs.2017.01.529] [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: 10/20/2022] Open
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Sharman MJ, Venn AJ, Jose KA, Williams D, Hensher M, Palmer AJ, Wilkinson S, Ezzy D. The support needs of patients waiting for publicly funded bariatric surgery - implications for health service planners. Clin Obes 2017; 7:46-53. [PMID: 27976522 DOI: 10.1111/cob.12169] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2016] [Revised: 10/18/2016] [Accepted: 11/03/2016] [Indexed: 12/31/2022]
Abstract
The objective of this study was to investigate the experience of waiting for publicly funded bariatric surgery in an Australian tertiary healthcare setting. Focus groups and individual interviews involving people waiting for or who had undergone publicly funded bariatric surgery were audio-recorded, transcribed and analysed thematically. A total of 11 women and 6 men engaged in one of six focus groups in 2014, and an additional 10 women and 9 men were interviewed in 2015. Mean age was 53 years (range 23-66); mean waiting time was 6 years (range 0-12), and mean time since surgery was 4 years (range 0-11). Waiting was commonly reported as emotionally challenging (e.g. frustrating, depressing, stressful) and often associated with weight gain (despite weight-loss attempts) and deteriorating physical health (e.g. development of new or worsening obesity-related comorbidity or decline in mobility) or psychological health (e.g. development of or worsening depression). Peer support, health and mental health counselling, integrated care and better communication about waitlist position and management (e.g. patient prioritization) were identified support needs. Even if wait times cannot be reduced, better peer and health professional supports, together with better communication from health departments, may improve the experience or outcomes of waiting and confer quality-of-life gains irrespective of weight loss.
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Affiliation(s)
- M J Sharman
- Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia
| | - A J Venn
- Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia
| | - K A Jose
- Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia
| | - D Williams
- School of Nursing and Midwifery, University of Tasmania, Hobart, TAS, Australia
| | - M Hensher
- Department of Health and Human Services, Government of Tasmania, Hobart, TAS, Australia
| | - A J Palmer
- Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia
| | - S Wilkinson
- Department of Health and Human Services, Government of Tasmania, Hobart, TAS, Australia
| | - D Ezzy
- School of Social Sciences, University of Tasmania, Hobart, TAS, Australia
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Page D, Gilroy M, Hurrion E, Clark L, Wilkinson S. Optimising early neonatal nutrition using translational research methodology. Nutr Diet 2017; 74:460-470. [PMID: 29130288 DOI: 10.1111/1747-0080.12333] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Revised: 08/25/2016] [Accepted: 09/19/2016] [Indexed: 11/28/2022]
Abstract
AIM Preterm birth has been described as a 'nutritional emergency', with these infants often born with minimal nutrition reserves. Failure to provide adequate early nutrition jeopardises growth and neurodevelopment. Consensual nutrition guidelines exist for infants who weigh <1500 g; however, audits have identified shortfalls in their adherence, consequently highlighting an evidence-practice gap. This work aimed to identify the barriers to the delivery of early optimal nutrition in a tertiary-level Neonatal Critical Care Unit to inform an implementation project to ensure best practice care. METHODS A total of 19 medical and nursing staff participated in semistructured interviews. Transcripts underwent qualitative content analysis to examine barriers to early infant feeding. Barriers were categorised into domains from the Theoretical Domains Framework (TDF), and potential interventions were identified using evidence-based strategy selection guides that articulates with the TDF. RESULTS Four main themes, with associated sub-themes, emerged, including: (i) Roles and responsibilities, (ii) decision making, (iii) disconnect between beliefs and the application of evidence and (iv) monitoring and awareness. Eight barrier 'domains' were identified using TDF-Knowledge; memory, attention and decision processes; skills; professional/social role and identity; beliefs about capabilities; beliefs about consequences; environmental context and resources; and social influences. CONCLUSIONS Using a systematic approach to analysing barriers to early nutrition and mapping through the TDF and behaviour change wheel, the most effective interventions to modify practice have been identified. These will be monitored in ongoing audits.
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Affiliation(s)
- Denise Page
- Department of Nutrition and Dietetics, Mater Health, Brisbane, Queensland, Australia.,Department of Mater Research, Mater Health, Brisbane, Queensland, Australia
| | - Melissa Gilroy
- Department of Nutrition and Dietetics, Mater Health, Brisbane, Queensland, Australia.,Department of Mater Research, Mater Health, Brisbane, Queensland, Australia
| | - Elizabeth Hurrion
- Department of Mater Research, Mater Health, Brisbane, Queensland, Australia.,Department of Neonatology, Mater Health, Brisbane, Queensland, Australia
| | - Lisa Clark
- Department of Neonatology, Mater Health, Brisbane, Queensland, Australia
| | - Shelley Wilkinson
- Department of Nutrition and Dietetics, Mater Health, Brisbane, Queensland, Australia.,Department of Mater Research, Mater Health, Brisbane, Queensland, Australia
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Maher A, Wilkinson S, Gluer R. Case Report of Cardiac Tamponade as the Initial Presentation of Metastatic Pulmonary Adenocarcinoma. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Wilkinson S, Bishop SC, Allen AR, McBride SH, Skuce RA, Bermingham M, Woolliams JA, Glass LJ. P6019 Host genetics of resistance to bovine tuberculosis infection in dairy cows. J Anim Sci 2016. [DOI: 10.2527/jas2016.94supplement4157a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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45
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Ball L, Wilkinson S. Nutrition care by general practitioners: Enhancing women's health during and after pregnancy. Aust Fam Physician 2016; 45:542-547. [PMID: 27610441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND The importance of healthy dietary behaviours during pregnancy and after birth is well recognised given the short-term and long-term effects on the health of mothers and infants. Pregnancy is an ideal time to implement health behaviour changes, as women are receptive to health messages at this time. The majority of pregnant women have regular, ongoing contact with general practitioners (GPs), particularly during early pregnancy. OBJECTIVE This paper provides an overview of the latest evidence regarding the nutrition requirements of women during and after birth, and describes simple ways that GPs can incorporate brief, effective nutrition care into standard consultations. DISCUSSION Two approaches for enhancing the nutrition care provided by GPs are presented. These approaches are for GPs to feel confident in raising the topic of nutrition in standard consultations and being equipped with effective, evidence-based messages that can be incorporated into consultations. Collectively, these approaches promote healthy dietary behaviours for intergenerational benefits.
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Affiliation(s)
- Lauren Ball
- MND, BEx&SpSc, APD, is PhD candidate and Associate Lecturer, School of Public Health, Griffith University, Gold Coast, Queensland
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46
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Patel L, Horsley A, Wilkinson S. WS11.2 Newborn screening for cystic fibrosis in an ethnically diverse population. J Cyst Fibros 2016. [DOI: 10.1016/s1569-1993(16)30121-7] [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: 11/15/2022]
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Burr S, Chatterjee A, Gibson S, Coombes L, Wilkinson S. Key Points to Facilitate the Adoption of Computer-Based Assessments. J Med Educ Curric Dev 2016; 3:JMECD.S20379. [PMID: 29349322 PMCID: PMC5736289 DOI: 10.4137/jmecd.s20379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2016] [Revised: 04/18/2016] [Accepted: 04/20/2016] [Indexed: 06/07/2023]
Abstract
There are strong pedagogical arguments in favor of adopting computer-based assessment. The risks of technical failure can be managed and are offset by improvements in cost-effectiveness and quality assurance capability. Academic, administrative, and technical leads at an appropriately senior level within an institution need to be identified, so that they can act as effective advocates. All stakeholder groups need to be represented in undertaking a detailed appraisal of requirements and shortlisting software based on core functionality, summative assessment life cycle needs, external compatibility, security, and usability. Any software that is a candidate for adoption should be trialed under simulated summative conditions, with all stakeholders having a voice in agreeing the optimum solution. Transfer to a new system should be carefully planned and communicated, with a programme of training established to maximize the success of adoption.
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Affiliation(s)
- S.A. Burr
- Collaboration for the Advancement of Medical Education Research and Assessment (CAMERA), Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK
| | - A. Chatterjee
- Collaboration for the Advancement of Medical Education Research and Assessment (CAMERA), Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK
| | - S. Gibson
- Norwich Medical School, University of East Anglia, Norwich, Norfolk, UK
| | - L. Coombes
- Cardiff University School of Medicine, Heath Park, Cardiff, UK
| | - S. Wilkinson
- University of Nottingham Medical School, Nottingham, UK
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Hewitt DKL, Mills G, Hayes F, Norris D, Coyle M, Wilkinson S, Davies W. N-fixation in legumes--An assessment of the potential threat posed by ozone pollution. Environ Pollut 2016; 208:909-18. [PMID: 26385644 DOI: 10.1016/j.envpol.2015.09.016] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [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: 09/02/2015] [Accepted: 09/04/2015] [Indexed: 06/05/2023]
Abstract
The growth, development and functioning of legumes are often significantly affected by exposure to tropospheric ozone (O3) pollution. However, surprisingly little is known about how leguminous Nitrogen (N) fixation responds to ozone, with a scarcity of studies addressing this question in detail. In the last decade, ozone impacts on N-fixation in soybean, cowpea, mung bean, peanut and clover have been shown for concentrations which are now commonly recorded in ambient air or are likely to occur in the near future. We provide a synthesis of the existing literature addressing this issue, and also explore the effects that may occur on an agroecosystem scale by predicting reductions in Trifolium (clovers) root nodule biomass in United Kingdom (UK) pasture based on ozone concentration data for a "high" (2006) and "average" ozone year (2008). Median 8% and 5% reductions in clover root nodule biomass in pasture across the UK were predicted for 2006 and 2008 respectively. Seasonal exposure to elevated ozone, or short-term acute concentrations >100 ppb, are sufficient to reduce N-fixation and/or impact nodulation, in a range of globally-important legumes. However, an increasing global burden of CO2, the use of artificial fertiliser, and reactive N-pollution may partially mitigate impacts of ozone on N-fixation.
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Affiliation(s)
- D K L Hewitt
- Centre for Ecology & Hydrology, Environment Centre Wales, Deiniol Road, Bangor, Gwynedd, LL57 2UW, UK; Lancaster University, Lancaster Environment Centre, Lancaster, Lancashire, LA1 4YQ, UK.
| | - G Mills
- Centre for Ecology & Hydrology, Environment Centre Wales, Deiniol Road, Bangor, Gwynedd, LL57 2UW, UK
| | - F Hayes
- Centre for Ecology & Hydrology, Environment Centre Wales, Deiniol Road, Bangor, Gwynedd, LL57 2UW, UK
| | - D Norris
- Centre for Ecology & Hydrology, Environment Centre Wales, Deiniol Road, Bangor, Gwynedd, LL57 2UW, UK
| | - M Coyle
- Centre for Ecology & Hydrology, Bush Estate, Penicuik, Midlothian, EH26 0QB, UK
| | - S Wilkinson
- Lancaster University, Lancaster Environment Centre, Lancaster, Lancashire, LA1 4YQ, UK
| | - W Davies
- Lancaster University, Lancaster Environment Centre, Lancaster, Lancashire, LA1 4YQ, UK
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Patel LB, Panickar J, Shawcross A, Wilkinson S. P88 The evaluation of Exophiala in paediatric cystic fibrosis. Thorax 2015. [DOI: 10.1136/thoraxjnl-2015-207770.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Roberts AM, Ware J, Herman D, Schafer S, Mazzarotto F, Baksi J, Buchan R, Walsh R, John S, Wilkinson S, Felkin L, Bick A, Radke M, Gotthardt M, Barton P, Hubner N, Seidman J, Seidman C, Cook S. C Integrated Allelic, Transcriptional, and Phenotypic Dissection of the Cardiac Effects of Titin Variation in Health and Diseaser. Heart 2015. [DOI: 10.1136/heartjnl-2015-308066.232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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