94 results on '"MOLONEY, D."'
Search Results
52. Microsurgery of intracranial tumours—Volume I and Volume II Wolfgang Seger Volume I-450 Volume II-360
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MOLONEY, D
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- 1999
53. Brain surgery: complication avoidance and management, volume 1 and volume 2 Apuzzo M.L.J. Churchill Livingstone, 1993 ISBN 0443087091 2641pp RRP $975.00
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MOLONEY, D
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- 1994
54. Essential neurosurgery Professor Andrew H Kaye Churchill Livingstone RRP: $73.95 429pp ISBN 0 443 05347 2 1997
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MOLONEY, D
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- 1998
55. Michele Cometa
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Valeria Cammarata, PURGAR, K, SHAW, M, PAPPAS, N, GIAKOUMIS, K, VERSTEGEN, I, KUPLEN, M, PINOTTI, A, HAUG, S, VON MÜLLER, J, RAMLJAK PURGAR, M, GNAMUŠ, N, STRAYER, J, MALAVASI, L, HAAR, R, HOEZL I, MARIE, R, ROZZONI, C, PAIĆ, Z, LECHTE, J, GORNYKH, A, GENOSKO, G, ZAREMBA, L, STEFANOVIC, P, GRUIĆ PARAĆ, A, ARIELLI, E, VUGER, D, LIPINSKI, F, BOIDY, M, RABBITO, A, MOLONEY, D, CONTE, P, ALLOA, E, KULVICKI, J, DEGIRMENCI, K, VÄGNES, Ø, PICHLER, W, GRØNSTAD, A, HALAWA-SARHOLZ, M, UGENTI, E, DAVID, G., MÄCKLIN, H, MENGONI, A, LOUVEL, L, LANER, I, PRÜCHOVÁ HRÜZOVÁ, A, RAMPLEY, M, CAMBRE, C, IONESCU, V, DRIESSCHE, M, DE MEY, L, RUF, O, FELL, E, VARGIU, L, WILDE, L R A, FINKE, M, HADJINICOLAOU, Y, FÖRSTER, Y, VILLINGER, R, LEŚNIAK, A, and Cammarata, Valeria
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Settore L-FIL-LET/14 - Critica Letteraria E Letterature Comparate ,MIchele Cometa, Visual Culture, Ekphrasis, Phototexts - Abstract
This essay is about Michele Cometa, essayist, literary and aesthetic critic and one of the founders of Italian Visual Culture ,both as a cultural approach and as an academic discipline (or, rather, un-discipline). He is responsible for the reception of W.J.T. Mitchell in Italy, having edited the first translations of his works (see, Pictorial Turn. Essays on Visual Culture, 2008, new edition 2017). He also organized the first meeting entirely devoted to the discipline in 2007, hosting the encounter between Mitchell’s Pictorial turn and Belting’s Iconic Turn and the different approaches they gave origin to in Italy.
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- 2021
56. Cardiovascular Disorders and Falls Among Older Adults: A Systematic Review and Meta-Analysis.
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Bourke R, Doody P, Pérez S, Moloney D, Lipsitz LA, and Kenny RA
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- Humans, Middle Aged, Aged, Accidental Falls, Risk Factors, Hypotension, Orthostatic epidemiology, Cardiovascular Diseases epidemiology, Stroke
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Background: Falls are a common cause of injury, hospitalization, functional decline, and residential care admission among older adults. Cardiovascular disorders are recognized risk factors for falls. This systematic review assesses the association between cardiovascular disorders and falls in older adults., Methods: Systematic searches were conducted on MEDLINE and Embase, encompassing all literature published prior to December 31, 2022. Included studies addressed persons aged 50 years and older, and assessed the association between cardiovascular disorders and falls or the efficacy of cardiovascular-based interventions to reduce falls. Two reviewers independently extracted data and assessed study quality utilizing a modified Newcastle-Ottawa scale for observational studies, and the Cochrane Risk of Bias 2 tool for interventional studies. A systematic narrative analysis of all cardiovascular outcomes, and meta-analyses of unadjusted odds ratios (ORs) were performed., Results: One hundred and eighty-four studies were included: 181 observational and 3 interventional. Several cardiovascular disorders, including stroke, coronary artery disease, valvular heart disease, arterial stiffness, arrhythmia, orthostatic hypotension, and carotid sinus hypersensitivity, were consistently associated with falls. In meta-analysis of unadjusted ORs, the largest positive pooled associations with falls during a 12-month reporting interval were for stroke (OR: 1.90, 95% confidence interval [CI]: 1.70-2.11), peripheral arterial disease (OR: 1.82, 95% CI: 1.12-2.95), atrial fibrillation (OR: 1.52, 95% CI: 1.27-1.82), and orthostatic hypotension (OR: 1.39, 95% CI: 1.18-1.64)., Conclusions: Several cardiovascular disorders are associated with falls. These results suggest the need to incorporate cardiovascular assessments for patients with falls. This review informed the cardiovascular recommendations in the new World Guidelines for falls in older adults.Clinical Trials Registration Number: CRD42021272245., (© The Author(s) 2023. Published by Oxford University Press on behalf of The Gerontological Society of America.)
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- 2024
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57. Very unusual great toe injury in a motorcyclist: simultaneous ipsilateral hallucial metatarsophalangeal and interphalangeal joint dislocations.
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Mooney L, Moloney D, Roopnarinesingh R, and McKenna J
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- Humans, Toe Joint diagnostic imaging, Toe Joint injuries, Hallux, Metatarsophalangeal Joint diagnostic imaging, Joint Dislocations diagnostic imaging
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Competing Interests: Competing interests: None declared.
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- 2022
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58. 'Wish to die' is independently associated with cardiovascular mortality in later life. Data from TILDA.
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Ragab I, Ward M, Moloney D, Kenny RA, and Briggs R
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- Aged, Anxiety, Attitude to Death, Humans, Longitudinal Studies, Risk Factors, Cardiovascular Diseases, Mental Disorders
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Background: There is an established bidirectional relationship between mental and heart health in later life but the link between wish to die (WTD) and cardiovascular mortality is less well-defined., Methods: This is a longitudinal study examining the association between WTD and mortality over 9-year follow-up in a large population-representative sample of older adults. Individual-level survey data was linked to official death registration data, divided into cardiovascular and noncardiovascular causes. WTD was defined as answering affirmatively when asked 'In the last month, have you felt that you would rather be dead?' Regression models were used to obtain hazard ratios for the association between WTD at Wave 1 and mortality. Kaplan-Meier plots were used to compare survival across groups., Results: Just over 3% (275/8124) of participants reported WTD. Mortality data was available for 9% of participants (755/8124). WTD was significantly associated with all-cause mortality, with a hazard ratio of 1.41 (95% confidence interval [CI]: 1.00-1.99). Findings were attenuated and no longer significant after excluding participants with heart disease or depression/anxiety/other psychiatric illness. WTD was significantly associated with cardiovascular mortality (hazard ratio: 2.14 [95% CI: 1.21-3.78]), even after excluding participants with depression/anxiety/other illnesses but not heart disease. WTD was not associated with an increased risk of death due to non-cardiovascular causes., Conclusions: Older people who report a wish to die have double the risk of death from cardiovascular disease in the following 9 years, even when those with depression, anxiety or other mental health problems are excluded., (© 2021 The Authors. International Journal of Geria=tricPsychiatry published by John Wiley & Sons Ltd.)
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- 2021
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59. Vasovagal Syncope.
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Moloney D, Romero-Ortuno R, and Kenny RA
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- Humans, Syncope, Vasovagal diagnosis
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- 2021
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60. Informing patterns of health and social care utilisation in Irish older people according to the Clinical Frailty Scale.
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O'Halloran AM, Hartley P, Moloney D, McGarrigle C, Kenny RA, and Romero-Ortuno R
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Background: There is increasing policy interest in the consideration of frailty measures (rather than chronological age alone) to inform more equitable allocation of health and social care resources. In this study the Clinical Frailty Scale (CFS) classification tree was applied to data from The Irish Longitudinal Study on Ageing (TILDA) and correlated with health and social care utilisation. CFS transitions over time were also explored. Methods: Applying the CFS classification tree algorithm, secondary analyses of TILDA data were performed to examine distributions of health and social care by CFS categories using descriptive statistics weighted to the population of Ireland aged ≥65 years at Wave 5 (n=3,441; mean age 74.5 (SD ±7.0) years, 54.7% female). CFS transitions over 8 years and (Waves 1-5) were investigated using multi-state Markov models and alluvial charts. Results : The prevalence of CFS categories at Wave 5 were: 6% 'very fit', 36% 'fit', 31% 'managing well', 16% 'vulnerable', 6% 'mildly frail', 4% 'moderately frail' and 1% 'severely frail'. No participants were 'very severely frail' or 'terminally ill'. Increasing CFS categories were associated with increasing hospital and community health services use and increasing hours of formal and informal social care provision. The transitions analyses suggested CFS transitions are dynamic, with 2-year probability of transitioning from 'fit' (CFS1-3) to 'vulnerable' (CFS4), and 'fit' to 'frail' (CFS5+) at 34% and 6%, respectively. 'Vulnerable' and 'frail' had a 22% and 17% probability of reversal to 'fit' and 'vulnerable', respectively. Conclusions: Our results suggest that the CFS classification tree stratified the TILDA population aged ≥65 years into subgroups with increasing health and social care needs. The CFS could be used to aid the allocation of health and social care resources in older people in Ireland. We recommend that CFS status in individuals is reviewed at least every 2 years., Competing Interests: No competing interests were disclosed., (Copyright: © 2021 O'Halloran AM et al.)
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- 2021
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61. Eight Orthostatic Haemodynamic Patterns in The Irish Longitudinal Study on Ageing (TILDA): Stability and Clinical Associations after 4 Years.
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Moloney D, Knight SP, Newman L, Kenny RA, and Romero-Ortuno R
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Previous research cross-sectionally characterised eight morphological systolic blood pressure (SBP) active stand (AS) patterns using a clinical clustering approach at Wave 1 (W1) of the Irish Longitudinal Study on Ageing. We explored the longitudinal stability and clinical associations of these groupings at Wave 3 (W3), four years later. Eight AS groups had their clinical characteristics and AS patterns at W3 compared to W1. We explored longitudinal associations (new cognitive decline, falls, syncope, disability, and mortality) using multivariate logistic regression models. In total, 2938 participants (60% of Wave 1 sample) had adequate AS data from both W1 and 3 for analysis. We found no longitudinal stability of the eight AS groups or their morphological patterns between the waves. A pattern of impaired stabilisation and late deficit seemed more preserved and was seen in association with new cognitive decline (OR 1.63, 95% CI: 1.12-2.36, p = 0.011). An increase in antihypertensive usage seemed associated with reduced immediate SBP drops, improved AS patterns, and reduced orthostatic intolerance (OI). In pure longitudinal groups, AS patterns were not preserved after 4 years. AS patterns are longitudinally dynamic, and improvements after 4 years are possible even in the presence of higher antihypertensive burden.
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- 2021
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62. Clinical clustering of eight orthostatic haemodynamic patterns in The Irish Longitudinal Study on Ageing (TILDA).
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Moloney D, O'Connor J, Newman L, Scarlett S, Hernandez B, Kenny RA, and Romero-Ortuno R
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- Aged, Aging, Blood Pressure, Cluster Analysis, Humans, Longitudinal Studies, Hypotension, Orthostatic diagnosis, Hypotension, Orthostatic epidemiology
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Background: Orthostatic hypotension (OH) can be assessed with non-invasive continuous beat-to-beat haemodynamic monitoring during active stand (AS) testing; this yields large volumes of data outside the scope of the traditional OH definition. We explored clinical associations of different AS patterns in participants from Wave 1 of the Irish Longitudinal Study on Ageing., Methods: AS patterns were generated based on three sequential binary systolic blood pressure features: drop ≥40 mmHg within 10 sec post-stand ("immediate deficit"), failure to return to within 20 mmHg of supine level at 40 sec after standing ("stabilisation deficit") and drop ≥20 mmHg between >40 and 120 sec post-stand ("late deficit"). Eight AS groups resulted from combining the presence/absence of these three features. The groups were cross-sectionally characterised, and their ability to independently predict orthostatic intolerance (OI) during AS, and falls or syncope in the past year, was evaluated using multivariate logistic regression models., Results: A total of 4,899 participants were included (mean age 61), of which 3,312 (68%) had no deficits. Older age was associated with stabilisation deficit and late deficits were seen in groups with higher proportions of beta blockers and psychotropic medications. Regression models identified independent associations between OI and three immediate-deficit groups; associations seemed stronger as more deficits were present. There was a significant association between falls history and the three-deficit group (odds ratio 1.54, 95% confidence interval: 1.15-2.07, P = 0.004)., Conclusions: More deficits seemed associated with the higher risk of OI and falls history. Observations are not causal but the recognition of these patterns may help clinicians focus on careful prescribing., (© The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
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- 2021
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63. Fatigue following COVID-19 infection is not associated with autonomic dysfunction.
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Townsend L, Moloney D, Finucane C, McCarthy K, Bergin C, Bannan C, and Kenny RA
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- Anxiety physiopathology, Autonomic Nervous System pathology, Blood Pressure, COVID-19 physiopathology, COVID-19 psychology, Electrocardiography, Fatigue physiopathology, Heart Rate, Humans, Middle Aged, COVID-19 pathology
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Background: The long-term clinical and physiological consequences of COVID-19 infection remain unclear. While fatigue has emerged as a common symptom following infection, little is known about its links with autonomic dysfunction. SARS-CoV-2 is known to infect endothelial cells in acute infection, resulting in autonomic dysfunction. Here we set out to test the hypothesis that this results in persistent autonomic dysfunction and is associated with post-COVID fatigue in convalescent patients., Methods: We recruited 20 fatigued and 20 non-fatigued post-COVID patients (median age 44.5 years, 36/40 (90%) female, median time to follow up 166.5 days). Fatigue was assessed using the Chalder Fatigue Scale. These underwent the Ewing's autonomic function test battery, including deep breathing, active standing, Valsalva manoeuvre and cold-pressor testing, with continuous electrocardiogram and blood pressure monitoring, as well as near-infrared spectroscopy-based cerebral oxygenation. 24-hour ambulatory blood pressure monitoring was also conducted, and patients completed the generalised anxiety disorder-7 questionnaire. We assessed between-group differences in autonomic function test results and used unadjusted and adjusted linear regression to investigate the relationship between fatigue, anxiety, and autonomic test results., Results: We found no pathological differences between fatigued and non-fatigued patients on autonomic testing or on 24-hour blood pressure monitoring. Symptoms of orthostatic intolerance were reported by 70% of the fatigued cohort at the time of active standing, with no associated physiological abnormality detected. Fatigue was strongly associated with increased anxiety (p <0.001), with no patients having a pre-existing diagnosis of anxiety., Conclusions: These results demonstrate the significant burden of fatigue, symptoms of autonomic dysfunction and anxiety in the aftermath of COVID-19 infection, but reassuringly do not demonstrate pathological findings on autonomic testing., Competing Interests: The authors have declared that no competing interests exist.
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- 2021
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64. Leveraging Deep Learning for Visual Odometry Using Optical Flow.
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Pandey T, Pena D, Byrne J, and Moloney D
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In this paper, we study deep learning approaches for monocular visual odometry (VO). Deep learning solutions have shown to be effective in VO applications, replacing the need for highly engineered steps, such as feature extraction and outlier rejection in a traditional pipeline. We propose a new architecture combining ego-motion estimation and sequence-based learning using deep neural networks. We estimate camera motion from optical flow using Convolutional Neural Networks (CNNs) and model the motion dynamics using Recurrent Neural Networks (RNNs). The network outputs the relative 6-DOF camera poses for a sequence, and implicitly learns the absolute scale without the need for camera intrinsics. The entire trajectory is then integrated without any post-calibration. We evaluate the proposed method on the KITTI dataset and compare it with traditional and other deep learning approaches in the literature.
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- 2021
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65. Mental health street triage: Comparing experiences of delivery across three sites.
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Callender M, Knight LJ, Moloney D, and Lugli V
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- Humans, Mental Health, Police, Triage, Mental Disorders, Mental Health Services
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WHAT IS ALREADY KNOWN ABOUT THE TOPIC?: MHST represents transformation at the forefront of policing and mental health to people in crisis with the aim of providing a better and more efficient response. Current knowledge has largely focused on service development, informed by narratives of risk, and this study applies an alternative focus by considering the interplay in practice. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This paper adds to emerging work on mental health street triage, offering original insights into the interplay of police officers and mental health nurses in practice. The evidence presented shows how the dynamics between officers and nurses were informed by perceptions of trust, belonging and legitimacy which shaped decision-making and outcomes. This study also reveals the impacts of leadership continuity and staff turnover to service efficacy and the potential of strategic "drift." WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Nurses who work in MHST operations should be prepared to share knowledge, learning and insight into how different mental health conditions present in practice and support the assessment of risk posed to officers. Alternative pathways available to detainment by police under the Mental Health Act should be identified and communicated to officers, both in the control room and in situ, to avoid unnecessary detentions. Strategies should be developed to extend the communication of mental health education and knowledge beyond those immediately involved in MHST to support the police to better respond to mental health. ABSTRACT: Introduction The limited evidence on mental health street triage (MHST) is largely focused on service development and is overly police-centric dominated by narratives of risk. This paper considers the interplay between officers and CPNs in practice situated within strategic and operational contexts, illustrating the importance of place to service developments and trust within practice. Aim This study was conducted to compare the processes, experiences and perceptions of MHST in three sites in England. Method Semi-structured interviews were completed with 27 police and health service staff in strategic and operational roles over a three-month period in three sites in England. Results Four themes were identified: "Reducing and improving the use of mental health detainments," "Importance of local contexts and partnerships," "Enhancing officer confidence" and "Developing street triage." Discussion Mental health street triage decision-making and outcomes were influenced by issues of trust, belonging and legitimacy within the interplay between officers and nurses. Continuity and staff turnover influenced strategic and operational development. However, MHST was perceived to be an effective and cost-saving model. Implications for practice Mental health nurses are well positioned to lead awareness and education of officers in relation to mental health crisis response. Staff need to develop communication strategies that extend beyond those immediately involved in MHST., (© 2019 John Wiley & Sons Ltd.)
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- 2021
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66. Efficient Star Identification Using a Neural Network.
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Rijlaarsdam D, Yous H, Byrne J, Oddenino D, Furano G, and Moloney D
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The required precision for attitude determination in spacecraft is increasing, providing a need for more accurate attitude determination sensors. The star sensor or star tracker provides unmatched arc-second precision and with the rise of micro satellites these sensors are becoming smaller, faster and more efficient. The most critical component in the star sensor system is the lost-in-space star identification algorithm which identifies stars in a scene without a priori attitude information. In this paper, we present an efficient lost-in-space star identification algorithm using a neural network and a robust and novel feature extraction method. Since a neural network implicitly stores the patterns associated with a guide star, a database lookup is eliminated from the matching process. The search time is therefore not influenced by the number of patterns stored in the network, making it constant (O(1)). This search time is unrivalled by other star identification algorithms. The presented algorithm provides excellent performance in a simple and lightweight design, making neural networks the preferred choice for star identification algorithms.
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- 2020
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67. Todd's paresis following vasovagal syncope provoked by tilt-table testing.
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Moloney D, Pérez-Denia LP, and Kenny RA
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- Adult, Blood Pressure Determination methods, Diagnosis, Differential, Female, Heart Rate physiology, Humans, Patient Care Management methods, Unconsciousness diagnosis, Unconsciousness etiology, Electroencephalography methods, Epilepsies, Myoclonic diagnosis, Paralysis diagnosis, Patient Education as Topic methods, Syncope, Vasovagal diagnosis, Syncope, Vasovagal physiopathology, Syncope, Vasovagal therapy, Tilt-Table Test adverse effects, Tilt-Table Test methods
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A 38-year-old woman presented with a history of recurrent episodes of transient loss of consciousness (TLOC) with seizure-like activity and post-TLOC left sided paresis. Electroencephalogram and MRI of the brain were normal, and events were not controlled by anti-convulsant therapy. Tilt testing produced reflex mixed pattern vasovagal syncope, with exact symptom reproduction, including bilateral upper and lower limb myoclonic movements and post-TLOC left hemiparesis that persisted for 27 min. A witness for the tilt event confirmed reproduction of patients 'typical' TLOC event. Syncope is the most frequent cause of TLOC. Myoclonic movements during syncope are not uncommon and can be misdiagnosed as epilepsy. It is rare to experience paresis after syncope, which in this case, lead to misdiagnosis and unnecessary anti-convulsant treatment., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2020
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68. A Survey of Lost-in-Space Star Identification Algorithms since 2009.
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Rijlaarsdam D, Yous H, Byrne J, Oddenino D, Furano G, and Moloney D
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The lost-in-space star identification algorithm is able to identify stars without a priori attitude information and is arguably the most critical component of a star sensor system. In this paper, the 2009 survey by Spratling and Mortari is extended and recent lost-in-space star identification algorithms are surveyed. The covered literature is a qualitative representation of the current research in the field. A taxonomy of these algorithms based on their feature extraction method is defined. Furthermore, we show that in current literature the comparison of these algorithms can produce inconsistent conclusions. In order to mitigate these inconsistencies, this paper lists the considerations related to the relative performance evaluation of these algorithms using simulation.
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- 2020
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69. Intraosseous schwannoma of the femur in a patient with monoclonal gammopathy of undetermined significance.
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McAleese T, Clesham K, Moloney D, Hughes A, Faheem N, and Merghani K
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Introduction: Schwannomas are slow-growing, benign tumours normally originating from the schwann cells of the nerve sheath. Intraosseous schwannomas account for 0.175% of primary bone tumours and are extremely rare, especially outside the axial skeleton. Monoclonal gammopathy has been associated with soft tissue schwannomas but never with the intraosseous variety., Presentation of Case: A 55-year-old woman with a background of monoclonal gammopathy of undetermined significance (MGUS) presented with a 2-year history of right thigh pain. CT scan showed a well defined, lytic lesion with a thin peripheral rim of sclerosis in the midshaft of the femur. MRI displayed a hyperintense, well marginated and homogenous lesion. Definitive diagnosis was made based on the classical histopathological appearance of schwannoma. We managed our patient with local curettage and prophylactic cephalomedullary nailing based on her high mirel score., Discussion: Intraosseous schwannomas are poorly understood but most commonly reported in middle-aged women. Radiologically, their differential diagnosis includes malignant bone tumours, solitary bone cysts, aneurysmal bone cysts and giant cell tumours. As a result, they are usually diagnosed incidentally on histology. Although malignant transformation is possible in soft tissue schwannomas, all intraosseous schwannomas reported to date have been benign., Conclusion: This case demonstrates the importance of suspecting intraosseous schwannoma as a differential diagnosis for lytic bone lesions to avoid the overtreatment of patients. We also highlight monoclonal gammopathy of undetermined significance as a potential risk factor for a poorly understood disease and make recommendations about the appropriate management of these lesions., Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest to declare., (Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2020
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70. Single-Cell Analyses of Prostate Cancer Liquid Biopsies Acquired by Apheresis.
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Lambros MB, Seed G, Sumanasuriya S, Gil V, Crespo M, Fontes M, Chandler R, Mehra N, Fowler G, Ebbs B, Flohr P, Miranda S, Yuan W, Mackay A, Ferreira A, Pereira R, Bertan C, Figueiredo I, Riisnaes R, Rodrigues DN, Sharp A, Goodall J, Boysen G, Carreira S, Bianchini D, Rescigno P, Zafeiriou Z, Hunt J, Moloney D, Hamilton L, Neves RP, Swennenhuis J, Andree K, Stoecklein NH, Terstappen LWMM, and de Bono JS
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- Cell Count, Cell Separation, Cell Transformation, Neoplastic genetics, Cell Transformation, Neoplastic metabolism, Comparative Genomic Hybridization, Genetic Heterogeneity, High-Throughput Nucleotide Sequencing, Humans, In Situ Hybridization, Fluorescence, Male, Neoplastic Cells, Circulating metabolism, Neoplastic Cells, Circulating pathology, Prostatic Neoplasms genetics, Biomarkers, Tumor, Blood Component Removal methods, Liquid Biopsy methods, Prostatic Neoplasms diagnosis, Single-Cell Analysis methods
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Purpose: Circulating tumor cells (CTCs) have clinical relevance, but their study has been limited by their low frequency. Experimental Design: We evaluated liquid biopsies by apheresis to increase CTC yield from patients suffering from metastatic prostate cancer, allow precise gene copy-number calls, and study disease heterogeneity. Results: Apheresis was well tolerated and allowed the separation of large numbers of CTCs; the average CTC yield from 7.5 mL of peripheral blood was 167 CTCs, whereas the average CTC yield per apheresis (mean volume: 59.5 mL) was 12,546 CTCs. Purified single CTCs could be isolated from apheresis product by FACS sorting; copy-number aberration (CNA) profiles of 185 single CTCs from 14 patients revealed the genomic landscape of lethal prostate cancer and identified complex intrapatient, intercell, genomic heterogeneity missed on bulk biopsy analyses. Conclusions: Apheresis facilitated the capture of large numbers of CTCs noninvasively with minimal morbidity and allowed the deconvolution of intrapatient heterogeneity and clonal evolution. Clin Cancer Res; 24(22); 5635-44. ©2018 AACR ., (©2018 American Association for Cancer Research.)
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- 2018
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71. SPOP-Mutated/CHD1-Deleted Lethal Prostate Cancer and Abiraterone Sensitivity.
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Boysen G, Rodrigues DN, Rescigno P, Seed G, Dolling D, Riisnaes R, Crespo M, Zafeiriou Z, Sumanasuriya S, Bianchini D, Hunt J, Moloney D, Perez-Lopez R, Tunariu N, Miranda S, Figueiredo I, Ferreira A, Christova R, Gil V, Aziz S, Bertan C, de Oliveira FM, Atkin M, Clarke M, Goodall J, Sharp A, MacDonald T, Rubin MA, Yuan W, Barbieri CE, Carreira S, Mateo J, and de Bono JS
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- Aged, Cell Line, Tumor, Disease Progression, Gene Expression, Humans, Male, Middle Aged, Neoplasm Grading, Neoplasm Staging, Prostatic Neoplasms drug therapy, Prostatic Neoplasms pathology, RNA, Small Interfering genetics, Androstenes pharmacology, DNA Helicases genetics, DNA-Binding Proteins genetics, Drug Resistance, Neoplasm genetics, Gene Deletion, Mutation, Nuclear Proteins genetics, Prostatic Neoplasms genetics, Repressor Proteins genetics, Synthetic Lethal Mutations
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Purpose: CHD1 deletions and SPOP mutations frequently cooccur in prostate cancer with lower frequencies reported in castration-resistant prostate cancer (CRPC). We monitored CHD1 expression during disease progression and assessed the molecular and clinical characteristics of CHD1 -deleted/ SPOP -mutated metastatic CRPC (mCRPC). Experimental Design: We identified 89 patients with mCRPC who had hormone-naive and castration-resistant tumor samples available: These were analyzed for CHD1, PTEN, and ERG expression by IHC. SPOP status was determined by targeted next-generation sequencing (NGS). We studied the correlations between these biomarkers and (i) overall survival from diagnosis; (ii) overall survival from CRPC; (iii) duration of abiraterone treatment; and (iv) response to abiraterone. Relationship with outcome was analyzed using Cox regression and log-rank analyses. Results: CHD1 protein loss was detected in 11 (15%) and 13 (17%) of hormone-sensitive prostate cancer (HSPC) and CRPC biopsies, respectively. Comparison of CHD1 expression was feasible in 56 matched, same patient HSPC and CRPC biopsies. CHD1 protein status in HSPC and CRPC correlated in 55 of 56 cases (98%). We identified 22 patients with somatic SPOP mutations, with six of these mutations not reported previously in prostate cancer. SPOP mutations and/or CHD1 loss was associated with a higher response rate to abiraterone (SPOP: OR, 14.50 P = 0.001; CHD1: OR, 7.30, P = 0.08) and a longer time on abiraterone (SPOP: HR, 0.37, P = 0.002, CHD1: HR, 0.50, P = 0.06). Conclusions: SPOP -mutated mCRPCs are strongly enriched for CHD1 loss. These tumors appear highly sensitive to abiraterone treatment. Clin Cancer Res; 24(22); 5585-93. ©2018 AACR ., (©2018 American Association for Cancer Research.)
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- 2018
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72. Monitoring neurointerventional radiation doses using dose-tracking software: implications for the establishment of local diagnostic reference levels.
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Acton H, James K, Kavanagh RG, O'Tuathaigh C, Moloney D, Wyse G, Fanning N, Maher M, and O'Connor OJ
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- Adolescent, Adult, Aged, Aged, 80 and over, Cerebrovascular Disorders therapy, Female, Fluoroscopy, Humans, Male, Middle Aged, Prospective Studies, Retrospective Studies, Software, Young Adult, Cerebrovascular Disorders diagnostic imaging, Radiation Dosage, Radiation Exposure statistics & numerical data, Radiation Monitoring methods, Radiography, Interventional
- Abstract
Objectives: There is potential for high radiation exposure during neurointerventional procedures. Increasing regulatory requirements mandate dose monitoring of patients and staff, and justification of high levels of radiation exposure. This paper demonstrates the potential to use radiation dose-tracking software to establish local diagnostic reference levels., Methods: Consecutive neurointerventional procedures, performed in a single institution within a one-year period, were retrospectively studied. Dose area product (DAP) data were collected using dose-tracking software and clinical data obtained from a prospectively generated patient treatment database., Results: Two hundred and sixty-four procedures met the selection criteria. Median DAP was 100 Gy.cm
2 for aneurysm coiling procedures, 259 Gy.cm2 for arteriovenous malformation (AVM) embolisation procedures, 87 Gy.cm2 for stroke thrombolysis/thrombectomy, and 74 Gy.cm2 for four-vessel angiography. One hundred and nine aneurysm coiling procedures were further studied. Six significant variables were assessed using stepwise regression analysis to determine effect on DAP. Aneurysm location (anterior vs posterior circulation) had the single biggest effect (p = 0.004)., Conclusions: This paper confirms variable radiation exposures during neurointerventional procedures. The 75th percentile (used to define diagnostic reference levels) of DAP measurements represents a reasonable guidance metric for monitoring purposes. Results indicate that aneurysm location has the greatest impact on dose during coiling procedures and that anterior and posterior circulation coiling procedures should have separate diagnostic reference levels., Key Points: • Dose-tracking software is useful for monitoring patient radiation dose during neurointerventional procedures • This paper provides a template for methodology applicable to any interventional suite • Local diagnostic reference levels were defined by using the 75th percentile of DAP as per International Commission on Radiological Protection recommendations • Aneurysm location is the biggest determinant of radiation dose during coiling procedures. • Anterior and posterior circulation coiling procedures should have separate diagnostic reference levels.- Published
- 2018
- Full Text
- View/download PDF
73. Eyes of Things.
- Author
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Deniz O, Vallez N, Espinosa-Aranda JL, Rico-Saavedra JM, Parra-Patino J, Bueno G, Moloney D, Dehghani A, Dunne A, Pagani A, Krauss S, Reiser R, Waeny M, Sorci M, Llewellynn T, Fedorczak C, Larmoire T, Herbst M, Seirafi A, and Seirafi K
- Abstract
Embedded systems control and monitor a great deal of our reality. While some "classic" features are intrinsically necessary, such as low power consumption, rugged operating ranges, fast response and low cost, these systems have evolved in the last few years to emphasize connectivity functions, thus contributing to the Internet of Things paradigm. A myriad of sensing/computing devices are being attached to everyday objects, each able to send and receive data and to act as a unique node in the Internet. Apart from the obvious necessity to process at least some data at the edge (to increase security and reduce power consumption and latency), a major breakthrough will arguably come when such devices are endowed with some level of autonomous "intelligence". Intelligent computing aims to solve problems for which no efficient exact algorithm can exist or for which we cannot conceive an exact algorithm. Central to such intelligence is Computer Vision (CV), i.e., extracting meaning from images and video. While not everything needs CV, visual information is the richest source of information about the real world: people, places and things. The possibilities of embedded CV are endless if we consider new applications and technologies, such as deep learning, drones, home robotics, intelligent surveillance, intelligent toys, wearable cameras, etc. This paper describes the Eyes of Things (EoT) platform, a versatile computer vision platform tackling those challenges and opportunities., Competing Interests: The authors declare no conflict of interest.
- Published
- 2017
- Full Text
- View/download PDF
74. Development, validation and clinical assessment of a short questionnaire to assess disease-related knowledge in inflammatory bowel disease patients.
- Author
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Keegan D, McDermott E, Byrne K, Moloney D, Doherty GA, and Mulcahy HE
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Attitude of Health Personnel, Female, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Reproducibility of Results, Young Adult, Health Knowledge, Attitudes, Practice, Inflammatory Bowel Diseases, Patient Education as Topic, Surveys and Questionnaires
- Abstract
Objectives: Only two inflammatory bowel disease (IBD) knowledge scales are available, both primarily aimed at evaluating the effectiveness of clinical education programs. The aim of this study was to develop and validate a short knowledge questionnaire for clinical and academic research purposes., Material and Methods: Following initial development, the questionnaire was tested on junior doctors, nurses and administrative staff to assess validity. The questionnaire was then assessed and compared with a previous questionnaire in 31 IBD patients. Three hundred and three further patients completed the questionnaire to establish reliability and determine factors independently associated with disease-related knowledge., Results: Doctors answered more questions correctly than nurses who scored better than administrative staff (p < 0.001). There was a fair correlation in scores between the short knowledge questionnaire and a previously validated long survey (r = 0.488; p = 0.005). The short knowledge questionnaire was quicker to complete (p < 0.001), was rated as less difficult to understand (p = 0.004) and induce less anxiety (p = 0.004). Both questionnaires were rated similarly with regard to relevance (p = 0.71). Internal consistency was demonstrated with a Cronbach's alpha of 0.73. In clinical testing on 301 patients, the final multivariate model identified young age, Crohn's disease, higher educational status and the presence of a first-degree family member with IBD as being independently and significantly associated with disease-related knowledge., Conclusions: The short knowledge questionnaire is a simple, valid, reliable and easy to understand research instrument for rapidly assessing knowledge in IBD patients.
- Published
- 2013
- Full Text
- View/download PDF
75. Fringe modulation of Jagged1-induced Notch signaling requires the action of beta 4galactosyltransferase-1.
- Author
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Chen J, Moloney DJ, and Stanley P
- Subjects
- Animals, CHO Cells, Calcium-Binding Proteins, Cricetinae, Drosophila Proteins, Enzyme Activation, Galactosyltransferases genetics, Intercellular Signaling Peptides and Proteins, Jagged-1 Protein, Receptors, Notch, Serrate-Jagged Proteins, Galactosyltransferases metabolism, Membrane Proteins metabolism, N-Acetylglucosaminyltransferases metabolism, Proteins metabolism, Signal Transduction
- Abstract
Fringe modulates Notch signaling resulting in the establishment of compartmental boundaries in developing organisms. Fringe is a beta 3N-acetylglucosaminyltransferase (beta 3GlcNAcT) that transfers GlcNAc to O-fucose in epidermal growth factor-like repeats of Notch. Here we use five different Chinese hamster ovary cell glycosylation mutants to identify a key aspect of the mechanism of fringe action. Although the beta 3GlcNAcT activity of manic or lunatic fringe is shown to be necessary for inhibition of Jagged1-induced Notch signaling in a coculture assay, it is not sufficient. Fringe fails to inhibit Notch signaling if the disaccharide generated by fringe action, GlcNAc beta 3Fuc, is not elongated. The trisaccharide, Gal beta 4GlcNAc beta 3Fuc, is the minimal O-fucose glycan to support fringe modulation of Notch signaling. Of six beta 4galactosyltransferases (beta 4GalT) in Chinese hamster ovary cells, only beta 4GalT-1 is required to add Gal to GlcNAc beta 3Fuc, identifying beta 4GalT-1 as a new modulator of Notch signaling.
- Published
- 2001
- Full Text
- View/download PDF
76. An aberrant lymph node containing metastatic melanoma detected by sentinel node biopsy.
- Author
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Moloney DM, Overstall S, Allan R, and Powell BW
- Subjects
- Axilla, Groin, Humans, Lymph Node Excision methods, Lymphatic Metastasis pathology, Male, Melanoma pathology, Melanoma surgery, Middle Aged, Skin Neoplasms surgery, Melanoma secondary, Sentinel Lymph Node Biopsy, Skin Neoplasms pathology
- Abstract
The use of sentinel node biopsy in the staging of malignant melanoma has led to the identification of lymph nodes outside the described regional basins, so-called aberrant nodes. We present a case in which such an aberrant sentinel node was found to be positive for metastatic disease, and discuss our surgical management., (Copyright 2001 The British Association of Plastic Surgeons.)
- Published
- 2001
- Full Text
- View/download PDF
77. An easy method of preparing hands for surgery.
- Author
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Rose V, Moloney DM, and Dhensa BS
- Subjects
- Humans, Disinfection methods, Hand surgery
- Published
- 2001
- Full Text
- View/download PDF
78. A conservative surgical approach to the treatment of 'locally invasive' lentigo maligna melanoma of the face.
- Author
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Moloney DM, Rose V, and Powell BW
- Subjects
- Brain Neoplasms secondary, Facial Neoplasms pathology, Fatal Outcome, Female, Humans, Hutchinson's Melanotic Freckle secondary, Lung Neoplasms secondary, Middle Aged, Neoplasm Recurrence, Local surgery, Skin Neoplasms pathology, Facial Neoplasms surgery, Hutchinson's Melanotic Freckle surgery, Skin Neoplasms surgery
- Abstract
Lentigo maligna has the potential for malignant change, and is managed in many cases by wide local excision. However, there are clinical situations in which aggressive surgical management is inappropriate or unsuccessful. We present three such cases, in which a more conservative surgical approach was adopted and maintained over several decades., (Copyright 2001 The British Association of Plastic Surgeons.)
- Published
- 2001
- Full Text
- View/download PDF
79. Iminopropadienethiones, Ar=N=C=C=C=S.
- Author
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Kappe CO, Kvaskoff D, Moloney DW, Flammang R, and Wentrup C
- Abstract
Aryliminopropadienethiones 9 have been generated by flash vacuum thermolysis of isoxazolones of the type 5 and characterized by mass spectrometry and matrix isolation IR spectroscopy in conjunction with DFT calculations and chemical trapping.
- Published
- 2001
- Full Text
- View/download PDF
80. Hunterian Lecture. What can we learn about mechanisms of mutation from a study of craniosynostosis?
- Author
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Moloney D
- Subjects
- Acrocephalosyndactylia genetics, Female, Humans, Male, Maternal Age, Mutagenesis, Paternal Age, Polymerase Chain Reaction, Receptors, Fibroblast Growth Factor genetics, Craniosynostoses genetics, Mutation
- Abstract
Mutation may be defined simply as structural change affecting the genetic material. The generation of genetic variety by spontaneous mutational events has been the driving force behind evolution--without such mutation our complex human genome could not have evolved. However, as doctors, we more frequently encounter mutation in the context of human disease, whether in somatic cells as a cause of cancer, or in the germline as a cause of inheritable disease. In these contexts, the processes of mutagenesis are relevant to every field of medicine. Scientific study of mutational mechanisms has logically been founded in the relatively simple genetic systems of the prokaryotes and such lowly eukaryotes as the fruit-fly. The study of human clinical genetics approaches the problem from quite the opposite direction--from that of the most highly evolved genetic system. Whilst this approach may be dependent less on logical progression and more on phenomenology, it nevertheless provides a complementary avenue for the observation and study of mutational mechanisms. The genetic research described in this article is firmly rooted in such phenomenology, based as it is on rare craniosynostosis syndromes. Over the past decade, there has been a deluge of molecular discoveries in the field of craniosynostosis. This promises improvements in classification, prognostication, pre-natal diagnosis, and perhaps ultimately for potential avenues for cure. However, exciting as these clinical prospects are, the research presented here has a different focus: it investigates the mechanistic basis underlying the craniosynostosis mutations, in the hope that such study may lead to insights applicable generally to the field of mutagenesis.
- Published
- 2001
81. Patients with acute skin loss: are they best managed on a burns unit?
- Author
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Hettiaratchy S, Moloney D, and Clarke J
- Subjects
- Acute Disease, Adolescent, Adult, Antimetabolites, Antineoplastic adverse effects, Drug Eruptions therapy, Fasciitis, Necrotizing therapy, Female, Humans, London, Male, Methotrexate adverse effects, Middle Aged, Necrosis, Sepsis therapy, Stevens-Johnson Syndrome therapy, Burn Units, Critical Care methods, Skin Diseases therapy
- Abstract
Patients who are critically ill and have large areas of skin loss or breakdown present a difficult management problem. They require the combination of intensive therapy facilities to support failing organs and specialized skin care, sometimes including extensive debridement and reconstruction. The expertise required for both aspects of treatment are found uniquely on a burns unit. We present five patients with large areas of cutaneous loss or damage secondary to a variety of non-burn aetiologies who were managed on a burns unit. We suggest that a burns unit may be the most appropriate place for such patients to be treated during both the acute phase of their illness and the later stages of surgical reconstruction and physical rehabilitation.
- Published
- 2001
82. Fringe is a glycosyltransferase that modifies Notch.
- Author
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Moloney DJ, Panin VM, Johnston SH, Chen J, Shao L, Wilson R, Wang Y, Stanley P, Irvine KD, Haltiwanger RS, and Vogt TF
- Subjects
- Animals, CHO Cells, Catalysis, Cell Line, Cricetinae, Drosophila, Drosophila Proteins, Epidermal Growth Factor metabolism, Fucose metabolism, Mutagenesis, Site-Directed, Polysaccharides metabolism, Proteins genetics, Receptors, Notch, Recombinant Proteins genetics, Recombinant Proteins metabolism, Signal Transduction, Transfection, Glycosyltransferases, Membrane Proteins metabolism, N-Acetylglucosaminyltransferases metabolism, Proteins metabolism
- Abstract
Notch receptors function in highly conserved intercellular signalling pathways that direct cell-fate decisions, proliferation and apoptosis in metazoans. Fringe proteins can positively and negatively modulate the ability of Notch ligands to activate the Notch receptor. Here we establish the biochemical mechanism of Fringe action. Drosophila and mammalian Fringe proteins possess a fucose-specific beta1,3 N-acetylglucosaminyltransferase activity that initiates elongation of O-linked fucose residues attached to epidermal growth factor-like sequence repeats of Notch. We obtained biological evidence that Fringe-dependent elongation of O-linked fucose on Notch modulates Notch signalling by using co-culture assays in mammalian cells and by expression of an enzymatically inactive Fringe mutant in Drosophila. The post-translational modification of Notch by Fringe represents a striking example of modulation of a signalling event by differential receptor glycosylation and identifies a mechanism that is likely to be relevant to other signalling pathways.
- Published
- 2000
- Full Text
- View/download PDF
83. Rehabilitation of a person with severe traumatic brain injury.
- Author
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Burke D, Alexander K, Baxter M, Baker F, Connell K, Diggles S, Feldman K, Horny A, Kokinos M, Moloney D, and Withers J
- Subjects
- Accidents, Traffic, Adaptation, Psychological, Adolescent, Brain Injuries complications, Brain Injuries diagnostic imaging, Consciousness, Deglutition physiology, Female, Glasgow Coma Scale, Humans, Music Therapy, Occupational Therapy, Psychotherapy, Speech Therapy, Tomography, X-Ray Computed, Brain Injuries rehabilitation
- Abstract
A case study report of a long and intensive rehabilitation programme for a young woman after she sustained a severe diffuse axonal injury in a motor vehicle accident is described in detail. The purpose of this paper is to encourage specialist brain injury rehabilitation services to offer extended rehabilitation programmes to patients, even with very severe injuries. Significant functional improvements and enhanced quality of life frequently reward the high cost and hard work involved.
- Published
- 2000
- Full Text
- View/download PDF
84. The technique of finger lengthening by gradual phalangeal distraction and bone grafting.
- Author
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Moloney D and Wilson G
- Subjects
- Humans, Range of Motion, Articular, Sensitivity and Specificity, Bone Lengthening methods, Bone Transplantation methods, Finger Joint
- Published
- 1999
85. A comprehensive screen for TWIST mutations in patients with craniosynostosis identifies a new microdeletion syndrome of chromosome band 7p21.1.
- Author
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Johnson D, Horsley SW, Moloney DM, Oldridge M, Twigg SR, Walsh S, Barrow M, Njølstad PR, Kunz J, Ashworth GJ, Wall SA, Kearney L, and Wilkie AO
- Subjects
- Acrocephalosyndactylia diagnosis, Chromosome Banding, Chromosome Mapping, Craniosynostoses diagnosis, DNA Primers, Female, Genetic Markers, Helix-Loop-Helix Motifs, Humans, Karyotyping, Male, Mass Screening, Molecular Sequence Data, Polymerase Chain Reaction, Twist-Related Protein 1, Acrocephalosyndactylia genetics, Chromosomes, Human, Pair 7, Craniosynostoses genetics, Nuclear Proteins, Sequence Deletion, Transcription Factors genetics
- Abstract
Mutations in the coding region of the TWIST gene (encoding a basic helix-loop-helix transcription factor) have been identified in some cases of Saethre-Chotzen syndrome. Haploinsufficiency appears to be the pathogenic mechanism involved. To investigate the possibility that complete deletions of the TWIST gene also contribute to this disorder, we have developed a comprehensive strategy to screen for coding-region mutations and for complete gene deletions. Heterozygous TWIST mutations were identified in 8 of 10 patients with Saethre-Chotzen syndrome and in 2 of 43 craniosynostosis patients with no clear diagnosis. In addition to six coding-region mutations, our strategy revealed four complete TWIST deletions, only one of which associated with a translocation was suspected on the basis of conventional cytogenetic analysis. This case and two interstitial deletions were detectable by analysis of polymorphic microsatellite loci, including a novel (CA)n locus 7.9 kb away from TWIST, combined with FISH; these deletions ranged in size from 3.5 Mb to >11.6 Mb. The remaining, much smaller deletion was detected by Southern blot analysis and removed 2,924 bp, with a 2-bp orphan sequence at the breakpoint. Significant learning difficulties were present in the three patients with megabase-sized deletions, which suggests that haploinsufficiency of genes neighboring TWIST contributes to developmental delay. Our results identify a new microdeletion disorder that maps to chromosome band 7p21.1 and that causes a significant proportion of Saethre-Chotzen syndrome.
- Published
- 1998
- Full Text
- View/download PDF
86. A unique point mutation in the fibroblast growth factor receptor 3 gene (FGFR3) defines a new craniosynostosis syndrome.
- Author
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Muenke M, Gripp KW, McDonald-McGinn DM, Gaudenz K, Whitaker LA, Bartlett SP, Markowitz RI, Robin NH, Nwokoro N, Mulvihill JJ, Losken HW, Mulliken JB, Guttmacher AE, Wilroy RS, Clarke LA, Hollway G, Adès LC, Haan EA, Mulley JC, Cohen MM Jr, Bellus GA, Francomano CA, Moloney DM, Wall SA, and Wilkie AO
- Subjects
- Adult, Child, Chromosomes, Human, Pair 4, Female, Foot Deformities, Congenital diagnostic imaging, Foot Deformities, Congenital genetics, Hand Deformities, Congenital diagnostic imaging, Hand Deformities, Congenital genetics, Humans, Male, Pedigree, Radiography, Receptor, Fibroblast Growth Factor, Type 3, Syndrome, Craniosynostoses genetics, Point Mutation, Protein-Tyrosine Kinases, Receptors, Fibroblast Growth Factor genetics
- Abstract
The underlying basis of many forms of syndromic craniosynostosis has been defined on a molecular level. However, many patients with familial or sporadic craniosynostosis do not have the classical findings of those craniosynostosis syndromes. Here we present 61 individuals from 20 unrelated families where coronal synostosis is due to an amino acid substitution (Pro250Arg) that results from a single point mutation in the fibroblast growth factor receptor 3 gene on chromosome 4p. In this instance, a new clinical syndrome is being defined on the basis of the molecular finding. In addition to the skull findings, some patients had abnormalities on radiographs of hands and feet, including thimble-like middle phalanges, coned epiphyses, and carpal and tarsal fusions. Brachydactyly was seen in some cases; none had clinically significant syndactyly or deviation of the great toe. Sensorineural hearing loss was present in some, and developmental delay was seen in a minority. While the radiological findings of hands and feet can be very helpful in diagnosing this syndrome, it is not in all cases clearly distinguishable on a clinical basis from other craniosynostosis syndromes. Therefore, this mutation should be tested for in patients with coronal synostosis.
- Published
- 1997
87. O-glycosylation of nuclear and cytoplasmic proteins: regulation analogous to phosphorylation?
- Author
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Haltiwanger RS, Busby S, Grove K, Li S, Mason D, Medina L, Moloney D, Philipsberg G, and Scartozzi R
- Subjects
- Acetylglucosamine metabolism, Amino Acid Sequence, Enzymes metabolism, Glycosylation, Molecular Sequence Data, Phosphorylation, Proteins chemistry, Cell Nucleus metabolism, Cytoplasm metabolism, Proteins metabolism
- Published
- 1997
- Full Text
- View/download PDF
88. Genotype-phenotype correlation for nucleotide substitutions in the IgII-IgIII linker of FGFR2.
- Author
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Oldridge M, Lunt PW, Zackai EH, McDonald-McGinn DM, Muenke M, Moloney DM, Twigg SR, Heath JK, Howard TD, Hoganson G, Gagnon DM, Jabs EW, and Wilkie AO
- Subjects
- Adult, Child, Craniosynostoses metabolism, Female, Foot Deformities, Congenital diagnostic imaging, Genotype, Humans, Immunoglobulins, Male, Nucleotides, Pedigree, Phenotype, Proline, Radiography, Receptor, Fibroblast Growth Factor, Type 2, Serine, Craniosynostoses genetics, Dipeptides genetics, Foot Deformities, Congenital genetics, Hand Deformities, Congenital genetics, Receptor Protein-Tyrosine Kinases genetics, Receptors, Fibroblast Growth Factor genetics
- Abstract
Dominantly acting, allelic mutations of the fibroblast growth factor receptor 2 (FGFR2) gene have been described in five craniosynostosis syndromes. In Apert syndrome, characterised by syndactyly of the hands and feet, recurrent mutations of a serine-proline dipeptide (either Ser252Trp or Pro253Arg) in the linker between the IgII and IgIII extracellular immunoglobulin-like domains, have been documented in more than 160 unrelated individuals. We have identified three novel mutations of this dipeptide, associated with distinct phenotypes. A C-->T mutation that predicts a Ser252Leu substitution, ascertained in a boy with mild Crouzon syndrome (craniosynostosis with normal limbs) is also present in three clinically normal members of his family. A CG-->TT mutation that predicts a Ser252Phe substitution results in a phenotype consistent with Apert syndrome. Finally, a CGC-->TCT mutation that predicts a double amino acid substitution (Ser252Phe and Pro253Ser) causes a Pfeiffer syndrome variant with mild craniosynostosis, broad thumbs and big toes, fixed extension of several digits, and only minimal cutaneous syndactyly. The observation that the Ser252Phe mutation causes Apert syndrome, whereas the other single or double substitutions are associated with milder or normal phenotypes, highlights the exquisitely specific molecular pathogenesis of the limb and craniofacial abnormalities associated with Apert syndrome. Ser252Phe is the first noncanonical mutation to be identified in this disorder, its rarity being explained by the requirement for two residues of the serine codon to be mutated. The description of independent, complex nucleotide substitutions involving identical nucleotides is unprecedented, and we speculate that this may result from functional selection of FGFR mutations in sperm.
- Published
- 1997
- Full Text
- View/download PDF
89. Exclusive paternal origin of new mutations in Apert syndrome.
- Author
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Moloney DM, Slaney SF, Oldridge M, Wall SA, Sahlin P, Stenman G, and Wilkie AO
- Subjects
- Adult, Base Sequence, Cytosine, DNA Mutational Analysis, DNA Primers, Fathers, Female, Gene Frequency, Genetic Variation, Genotype, Guanine, Haplotypes, Humans, Male, Maternal Age, Models, Genetic, Molecular Sequence Data, Paternal Age, Pedigree, Point Mutation, Polymerase Chain Reaction, Polymorphism, Genetic, Receptor, Fibroblast Growth Factor, Type 2, Restriction Mapping, Acrocephalosyndactylia genetics, Genomic Imprinting, Receptor Protein-Tyrosine Kinases genetics, Receptors, Fibroblast Growth Factor genetics
- Abstract
Apert syndrome results from one or other of two specific nucleotide substitutions, both C-->G transversions, in the fibroblast growth factor receptor 2 (FGFR2) gene. The frequency of new mutations, estimated as 1 per 65,000 live births, implies germline transversion rates at these two positions are currently the highest known in the human genome. Using a novel application of the amplification refractory mutation system (ARMS), we have determined the parental origin of the new mutation in 57 Apert families: in every case, the mutation arose from the father. This identifies the biological basis of the paternal age effect for new mutations previously suggested for this disorder.
- Published
- 1996
- Full Text
- View/download PDF
90. Tension pneumocephalus: a case following petrousectomy.
- Author
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Robin N, Moloney D, and Horton W
- Subjects
- Aged, Female, Humans, Neurologic Examination, Pneumocephalus therapy, Postoperative Complications therapy, Surgical Flaps, Carcinoma, Squamous Cell surgery, Petrous Bone surgery, Pneumocephalus diagnostic imaging, Postoperative Complications diagnostic imaging, Skull Neoplasms surgery, Tomography, X-Ray Computed
- Published
- 1996
91. Bronchoalveolar lavage collagenase and collagenase inhibitory capacity in interstitial lung disease.
- Author
-
Moloney D, O'Connor CM, and Fitzgerald MX
- Subjects
- Alveolitis, Extrinsic Allergic pathology, Bronchoalveolar Lavage Fluid pathology, Humans, Microbial Collagenase antagonists & inhibitors, Neutrophils pathology, Pulmonary Fibrosis pathology, Sarcoidosis pathology, Alveolitis, Extrinsic Allergic enzymology, Bronchoalveolar Lavage Fluid enzymology, Enzyme Inhibitors isolation & purification, Microbial Collagenase metabolism, Pulmonary Fibrosis enzymology, Sarcoidosis enzymology
- Published
- 1992
- Full Text
- View/download PDF
92. The appeal.
- Author
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Moloney DP 2nd
- Subjects
- Kentucky, Videotape Recording, Hospital Administration legislation & jurisprudence, Malpractice legislation & jurisprudence
- Published
- 1991
93. Human neutrophil collagenase--its isolation and purification.
- Author
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Moloney DB, O'Connor CM, and Fitzgerald MX
- Subjects
- Gelatinases, Humans, Kinetics, Leukocyte Elastase, Microbial Collagenase isolation & purification, Pancreatic Elastase isolation & purification, Pancreatic Elastase metabolism, Pepsin A blood, Pepsin A isolation & purification, Microbial Collagenase blood, Neutrophils enzymology
- Published
- 1991
- Full Text
- View/download PDF
94. Development and assessment of an immunoassay for mammalian collagenase.
- Author
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Moloney D, O'Connor C, and Fitzgerald MX
- Subjects
- Bronchoalveolar Lavage Fluid enzymology, Edetic Acid, Evaluation Studies as Topic, Humans, Phenylmethylsulfonyl Fluoride, Immunoassay methods, Microbial Collagenase analysis
- Published
- 1990
- Full Text
- View/download PDF
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