Search

Your search keyword '"Caroline Dore"' showing total 11 results
Start Over Author "Caroline Dore"
11 results on '"Caroline Dore"'

2. Nutritional Evaluation and Optimisation in Neonates (NEON) trial of amino acid regimen and intravenous lipid composition in preterm parenteral nutrition: a randomised double-blind controlled trial

Author

Sabita Uthaya, Xinxue Liu, Daphne Babalis, Caroline Dore, Jane Warwick, Jimmy Bell, Louise Thomas, Deborah Ashby, Giuliana Durighel, Ash Ederies, Monica Yanez-Lopez, and Neena Modi

Subjects
parenteral nutrition, amino acids, preterm infants, randomised double-blind controlled trial, intralipid, smoflipid, Medicine
Abstract

Background: Parenteral nutrition (PN) is central to the care of very immature infants. Early intakes of higher amounts of amino acids and the use of lipid emulsions containing fish oils are recommended by current international recommendations. Objective: To confirm the safety and demonstrate efficacy of the immediate introduction of the recommended daily intake of amino acids (Imm-RDI) and soya bean oil, medium-chain triglycerides, olive oil and fish oil lipid in PN to increase non-adipose (lean) body mass and decrease intrahepatocellular lipid (IHCL) content. Design: Multicentre, double-blind, 2 × 2 factorial and randomised controlled trial (RCT). Setting: Neonatal units in London and south-east England, UK. Participants: Extremely preterm infants born before 31 weeks of gestation without major congenital or life-threatening abnormalities who could to be randomised to receive PN within 24 hours of birth. Interventions: Infants were randomised within 24 hours of birth to receive PN containing either high [RDI of amino acids (Imm-RDI)] or low [incremental amino acids (Inc-AA) control] levels of amino acids. In addition, infants were randomised to receive either 20% SMOFlipid® (Fresenius Kabi AG, Richmond Hill, ON, Canada) or 20% Intralipid® (Fresenius Kabi AG, Richmond Hill, ON, Canada) (control). This resulted in four groups: (1) Inc-AA/Intralipid, (2) Inc-AA/SMOFlipid, (3) Imm-RDI/Intralipid and (4) Imm-RDI/SMOFlipid. The intervention was continued until infants were receiving 150 ml/kg/day of enteral feeds for 24 hours. Primary outcome measure: For the amino acid intervention, this was non-adipose or lean body mass measured by magnetic resonance imaging. For the lipid composition intervention, this was IHCL content as measured by hepatic magnetic resonance spectroscopy. Primary outcomes were measured at term age equivalent, between 37 and 44 weeks postmenstrual age. Results: We randomised 168 infants born before 31 weeks of gestation. We evaluated outcomes, at term, in 133 infants. There were no significant differences in non-adipose mass between the Imm-RDI and Inc-AA groups [adjusted mean difference 1.0 g, 95% confidence interval (CI) –108 to 111 g] or in levels of IHCLs between the SMOFlipid and Intralipid groups (adjusted mean SMOFlipid to Intralipid ratio 1.1, 95% CI 0.8 to 1.6). Infants receiving the Imm-RDI were more likely than Inc-AA infants to have blood urea nitrogen levels > 7 mmol/l [75% vs. 49% (p 10 mmol/l [49% vs. 18% (p

Published
2016
Full Text
View/download PDF

4. OS IMPACTOS DA EXPANSÃO ECONÔMICA CHINESA E SEUS INVESTIMENTOS NA REPÚBLICA FEDERAL DA NIGÉRIA

Author

CARNEIRO, Caroline Dore Ramos and RIBEIRO, Profa. Dra. Valéria Lopes

Abstract

RESUMO O seguinte artigo aborda a expansão econômica da República Popular da China nas últimas décadas do século XXI. Essa expansão econômica chinesa gera uma cooperação entre a China e o país em que a mesma investe. De um lado, a China supre seu comércio e indústria, de outro, o país investido recebe recursos financeiros para se desenvolver. Observa-se, ao longo da última década, um considerado investimento chinês no continente africano, devido à abundância de recursos primários na região, recursos estes necessários para a economia chinesa. O objetivo deste trabalho é analisar as relações entre China e a Nigéria, importante país da África Subsaariana, bem como o desenvolvimento interno nigeriano e os investimentos diretos chineses. Palavras-Chave: China, Nigéria, África, desenvolvimento, economia internacional, relações internacionais, relações bilaterais. ABSTRACT The following article approaches the economic growth of People’s Republic of China in the first and second decades of the 21st Century. The Chinese economic growth creates cooperation between China and the country which China invests. In one side, China fulfills the Chinese industry and Chinese trade. In the other side, the country whose China do investment receives means to develop itself. It is sighted, mainly in the last decade, considerable Chinese’s investment in the African continent, due to abundance of primary resources, necessary for the Chinese economy. The aim of this article is to investigate the relations between China and Nigeria, an important country of sub-Saharan Africa, the impacts, the growth and the development of this country, resulted from the Chinese’s investment. Key Words: China, Nigeria, Africa, development, international economy, international relations, bilateral relations.

Published
2014

5. Abstracts

Author

Saiah Michèle, Borgeat Alain, Wilder-Smith Oliver, Orlando R. Hung, Charles E. Hope, Geoffrey Laney, Sara C. Whynot, Thomas J. Coonan, David S. Malloy, S. Patterson, A. Gelb, P. Manninen, D. Strum, B. Glosten, M. J. Spellman, E. I. Eger, R. A. Craen, A. W. Gelb, J. M. Murkin, K. Y. Chong, D. H. Penning, H. El-Behairy, J. F. Brien, J. W. Coh, R. Arellano, J. Correa, L. Fedorko, Z. Liu, J. F. Boylan, A. N. Sandler, H. Nierenberg, P. A. Sheiner, P. D. Greig, G. M. O’Leary, S. J. Teasdale, M. F. X. Glynn, B. A. Orser, L. -Y. Wang, J. F. MacDonald, C. W. Loomis, K. D. Arunachalam, D. Vyas, B. Milne, Daniel Gagnon, Josée Lavoie, Jean-Yves Dupuis, D. R. Miller, R. J. Martineau, D. Greenway, L. Olivaris, K. Hull, R. N. M. Tierney, J. E. Wynands, R. Martineau, B. St-Jean, J. Kitts, D. Miller, P. Lindsay, M. Curran, G. C. Allen, M. L. Crossan, Richard Wise, François Donati, David R. Bevan, J. F. Hardy, J. Desroches, J. Perrault, M. Carrier, D. Robitaille, D. M. Ansley, J. P. O’Connor, J. Dolman, G. E. Townsend, D. Ricci, D. J. Liepert, P. M. Browne, T. Hertz, M. Rooney, R. W. Yip, W. Code, A. A. Phillips, R. F. McLean, J. H. Devitt, E. M. Harrington, R. J. Byrick, P. Y. Wong, D. Wigglesworth, J. C. Kay, L. A. Sinclair, J. P. Koch, K. A. Deemar, G. K. Christakis, S. Belo, P. Angle, D. Cheng, J. Boylan, A. Sandler, C. Feindel, F. Carmichael, P. Boylen, L. G. R. DeLima, H. J. Nathan, M. S. Hynes, M. E. Bourke, G. N. Russell, C. Seyone, F. Chung, Daniel Chartrand, Lucie Roux, S. L. Dain, B. D. Smith, A. C. Webster, D. F. Wigglesworth, D. K. Rose, G. Caskennette, C. Mechetuk, D. John Doyle, Wilfred DeMajo, Frank van den Bosch, Mark Lee, K. M. McClenaghan, C. D. Mazer, R. Preston, E. T. Crosby, D. Kotarba, H. Dudas, R. D. Elliott, J. Enns, P. H. Manninen, J. K. Farrar, David L. Huzyka, L. Philip Lin, Susan Fossey, Brendan T. Finucane, M. Stockwell, S. Lozanoff, S. Lang, J. Hyssen, D. C. Campbell, M. J. Douglas, T. J. G. Pavy, M. L. Flanagan, G. H. McMorland, Colin Bands, Ch. B. Ffaracs, Catherine Lipsett, David Drover, Mark Stafford-Smith, Sarah Stevens, Kate Shields, Michael J. MacSween, J. D. McAllister, P. K. Morley-Forster, A. K. White, M. D. Taylor, H. M. Vandenberghe, D. Knoppert, H. Reimer, P. C. Duke, C. H. Kehler, M. W. Kepron, V. A. Taraska, J. Carstoniu, P. Norman, J. Katz, Medhat Hannallah, C. M. Cooney, J. B. Lyons, A. Hennigan, W. P. Blunnie, D. C. Moriarty, W. B. Dobkowski, F. S. Prato, N. A. Shannon, D. J. Drost, B. Arya, J. M. Wills, D. Bond, P. Morley-Forester, Mullen JB, I. Spahr-Schopfer, J. Lerman, E. Cutz, M. Dolovich, S. Kowalski, B. Ong, D. Bell, T. Ostryzniuk, C. Serrette, T. Wasylak, S. Coke, Takako Tsuda, Takashi Nakagawa, Norifumi Mabuchi, Hiroshi Ando, Osamu Nishida, Takafumi Azami, Hirotada Katsuya, Yukio Goto, N. Searle, M. Roy, null R. R. T., Charles E. Smith, Alfred C. Pinchak, Joan F. Hagen, Donald Hancock, Andrei V. Krassioukov, Lynne C. Weaver, I. R. Sutton, W. A. C. Mutch, J. M. Teskey, I. R. Thomson, M. Rosenbloom, D. Thiessen, S. Teasdale, H. Corbin, M. R. Graham, S. A. Lang, P. Chang, M. Gerard, J. E. Tetzlaff, M. Walsh, H. Yoon, Brian Warriner, Peter Fancourt-Smith, Jim McEwen, Judy Crane, N. H. Badner, R. Bhandari, W. E. Komar, S. Ganapathy, C. B. Warriner, J. P. McCormack, M. Levine, N. Glick, V. W. S. Chan, M. McQuestion, M. Gomez, C. Cruise, D. Evana, D. Shumka, R. J. Smyth, M. Graham, David Halpenny, Gerald V. Goresky, J. Eldon Zaretski, B. Kavanagh, S. Roger, A. Davies, M. Friedlander, M. M. Cohen, P. G. Duncan, W. D. B. Pope, D. Biehl, R. Merchant, W. A. Tweed, Michael J. Tessler, Mark Angle, Simcha Kleiman, B. P. Kavanagh, G. J. Doak, G. Li, R. I. Hall, J. A. Sulliyan, I. Yee, S. Halpern, R. Pittini, C. Huh, G. L. Bryson, R. Gverzdys, C. Perreault, L. Ferland, F. Gobeil, D. Girard, R. Smyth, B. Asokumar, M. Glynn, Sandra Silveira, Jeff Clark, Paul Milgram, W. M. Splinter, H. B. MacNeill, E. A. Ménard, E. J. Rhine, D. J. Roberts, G. M. Gould, G. G. Johnson, Daniel Quance, Saul Wiesel, Jane Easdown, N. Tien Truong, Normand Miller, Nathan Sheiner, L. Welborn, J. Norden, R. Hannallah, L. Broadman, N. Seiden, M. Iwai, R. Iwai, H. Horigome, M. Yamashita, Catherine E. Wood, Kim Klassen, S. Kleinman, S. Yentis, N. Sikich, T. A. Yemen, B. Mascik, W. Nelson, H. Ghantous, J. Gandolfi, Gordon Wood, Mohamed Ali, Kevin Inman, J. M. Karski, J. Carroll, D. Brooks, P. A. Oakley, P. M. Webster, J. Karski, T. Yao, J. Ivanov, P. Young, S. Carson, R. D. Weisel, Richard M. Cooper, David T. Wong, Douglas P. Wagner, William A. Knaus, Charul A. Munshi, John P. Kampine, I. D. Soutter, A. Mathieu, A. Gafni, A. Dauphin, L. Torsher, M. Tierney, H. S. Hopkins, G. J. Baylon, Elizabeth A. Peter, C. P. Bellhouse, Caroline Dore, T. W. Rachwal, D. T. Lanigan, Raymond Yip, J. B. Derdemezi, B. A. Britt, D. E. Withington, F. Reynolds, A. Patrick, W. Man, N. R. Searle, H. Ste-Marie, Mark A. Kostash, Richard Johnston, R. J. Bailey, M. D. Sharpe, R. P. Woda, M. Haug, P. Slugg, J. Lockrem, G. Barnett, B. A. Finegan, M. Robertson, D. Taylor, G. Frost, A. Koshal, Grant E. Rodney, Clayton C. Reichert, Desmond N. O’Regan, Derek Blackstock, David J. Steward, Richard Wenstone, Ellen Harrington, A. Wong, B. Braude, D. Fear, B. Bissonnette, Craig W. Reid, Kathryn A. Hull, S. Yogendran, G. McGuire, V. Chan, E. Hartley, K. Van Kessel, R. Weisel, N. Takla, N. A. Tremblay, F. E. Ralley, J. G. Ramsay, G. R. Robbins, F. C. Salevsky, S. Gandhi, N. Nimphius, Bernard Dionne, Christian Jodoin, Michel Lorange, Alain Lapointe, Geoffrey Hawboldt, G. A. Volgyesi, Guy Tousignant, R. Barnett, and B. Gallant

Subjects
Anesthesiology and Pain Medicine, General Medicine
Published
1992

6. M.I.C.E—Mental Health Intervention for Children with Epilepsy: a randomised controlled, multi-centre clinical trial evaluating the clinical and cost-effectiveness of MATCH-ADTC in addition to usual care compared to usual care alone for children and young people with common mental health disorders and epilepsy—study protocol

Author

Sophie D. Bennett, J. Helen Cross, Anna E. Coughtrey, Isobel Heyman, Tamsin Ford, Bruce Chorpita, Rona Moss-Morris, Sarah Byford, Emma Dalrymple, Colin Reilly, Terence Stephenson, Caroline Doré, Sophia Varadkar, James Blackstone, Kashfia Chowdhury, Poushali Ganguli, Liz Deane, MICE Study Team, and Roz Shafran

Subjects
Epilepsy, Neurology, Paediatric, Mental health, Anxiety, Depression, Medicine (General), R5-920
Abstract

Abstract Background Mental health disorders in the context of long-term conditions in children and young people are currently overlooked and undertreated. Evidence-based psychological treatments for common childhood mental health disorders (anxiety, depression and disruptive behaviour disorders) have not been systematically evaluated in young people with epilepsy despite their high prevalence in this population. The aim of this multi-site randomised controlled trial is to determine the clinical and cost-effectiveness of adding a modular psychological intervention to usual care for the mental health disorders in comparison to assessment-enhanced usual care alone. Methods In total, 334 participants aged 3–18 years attending epilepsy services will be screened for mental health disorders with the Strengths and Difficulties Questionnaire (SDQ) and the diagnostic Development and Wellbeing Assessment (DAWBA). Those identified as having a mental health disorder and consenting to the trial will be randomised to either receive up to 22 sessions of the modular psychological intervention (MATCH-ADTC) delivered over the telephone over 6 months by non-mental health professionals in addition to usual care or to assessment-enhanced usual care alone. Outcomes will be measured at baseline, 6 months and 12 months post-randomisation. It is hypothesised that MATCH-ADTC plus usual care will be superior to assessment-enhanced usual care in improving emotional and behavioural symptoms. The primary outcome is the SDQ reported by parents at 6 months. Secondary outcomes include parent-reported mental health measures such as the Revised Children’s Anxiety and Depression Scale, quality of life measures such as the Paediatric Quality of Life Inventory and physical health measures such as the Hague Seizure Severity Scale. Outcome assessors will be blinded to group assignment. Qualitative process evaluations and a health economic evaluation will also be completed. Discussion This trial aims to determine whether a systematic and integrated approach to the identification and treatment of mental health disorders in children and young people with epilepsy is clinically and cost-effective. The findings will contribute to policies and practice with regard to addressing mental health needs in children and young people with other long-term conditions. Trial registration ISRCTN ISRCTN57823197 . Registered on 25 February 2019.

Published
2021
Full Text
View/download PDF

7. Exposure to latex in schools

Author

Mary T Keoghan and Caroline Dore Geraghty

Subjects
medicine.medical_specialty, Allergy, Latex Hypersensitivity, business.industry, Spina bifida, medicine.disease, Dermatology, Increased risk, Latex allergy, Pediatrics, Perinatology and Child Health, Immunology, Medicine, Letters, business
Abstract

Latex allergy poses considerable life-long risks to those affected. Latex allergy typically occurs in, but is not restricted to, those with frequent exposure to latex and with allergy cross-reactive foods (bananas, chestnuts, kiwis and avocados).1 Recurrent exposure is often occupational—seen in healthcare workers and rubber industry workers—and is also seen in certain patient groups such as patients with spina bifida and patients who have undergone multiple surgical procedures.2 Atopic individuals exposed to latex are at an increased risk of developing latex allergy compared with the general …

Published
2007

9. OS IMPACTOS DA EXPANSÃO ECONÔMICA CHINESA E SEUS INVESTIMENTOS NA REPÚBLICA FEDERAL DA NIGÉRIA.

Author

Ramos Carneiro, Caroline Dore and Lopes Ribeiro, Valéria

Abstract

Copyright of Brazilian Journal of Law & International Relations / Relações Internacionais no Mundo is the property of Relacoes Internacionais no Mundo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2014

10. Erratum

Author

Saiah Michèle, Borgeat Alain, Wilder-Smith Oliver, Orlando R. Hung, Charles E. Hope, Geoffrey Laney, Sara C. Whynot, Thomas J. Coonan, David S. Malloy, S. Patterson, A. Gelb, P. Manninen, D. Strum, B. Glosten, M. J. Spellman, E. I. Eger, R. A. Craen, A. W. Gelb, J. M. Murkin, K. Y. Chong, D. H. Penning, H. El-Behairy, J. F. Brien, J. W. Coh, R. Arellano, J. Correa, L. Fedorko, Z. Liu, J. F. Boylan, A. N. Sandler, H. Nierenberg, P. A. Sheiner, P. D. Greig, G. M. O’Leary, S. J. Teasdale, M. F. X. Glynn, B. A. Orser, L. -Y. Wang, J. F. MacDonald, C. W. Loomis, K. D. Arunachalam, D. Vyas, B. Milne, Daniel Gagnon, Josée Lavoie, Jean-Yves Dupuis, D. R. Miller, R. J. Martineau, D. Greenway, L. Olivaris, K. Hull, R. N. M. Tierney, J. E. Wynands, R. Martineau, B. St-Jean, J. Kitts, D. Miller, P. Lindsay, M. Curran, G. C. Allen, M. L. Crossan, Richard Wise, François Donati, David R. Bevan, J. F. Hardy, J. Desroches, J. Perrault, M. Carrier, D. Robitaille, D. M. Ansley, J. P. O’Connor, J. Dolman, G. E. Townsend, D. Ricci, D. J. Liepert, P. M. Browne, T. Hertz, M. Rooney, R. W. Yip, W. Code, A. A. Phillips, R. F. McLean, J. H. Devitt, E. M. Harrington, R. J. Byrick, P. Y. Wong, D. Wigglesworth, J. C. Kay, L. A. Sinclair, J. P. Koch, K. A. Deemar, G. K. Christakis, S. Belo, P. Angle, D. Cheng, J. Boylan, A. Sandler, C. Feindel, F. Carmichael, P. Boylen, L. G. R. DeLima, H. J. Nathan, M. S. Hynes, M. E. Bourke, G. N. Russell, C. Seyone, F. Chung, Daniel Chartrand, Lucie Roux, S. L. Dain, B. D. Smith, A. C. Webster, D. F. Wigglesworth, D. K. Rose, G. Caskennette, C. Mechetuk, D. John Doyle, Wilfred DeMajo, Frank Bosch, Mark Lee, K. M. McClenaghan, C. D. Mazer, R. Preston, E. T. Crosby, D. Kotarba, H. Dudas, R. D. Elliott, J. Enns, P. H. Manninen, J. K. Farrar, David L. Huzyka, L. Philip Lin, Susan Fossey, Brendan T. Finucane, M. Stockwell, S. Lozanoff, S. Lang, J. Hyssen, D. C. Campbell, M. J. Douglas, T. J. G. Pavy, M. L. Flanagan, G. H. McMorland, Colin Bands, Ch. B. Ffaracs, Catherine Lipsett, David Drover, Mark Stafford-Smith, Sarah Stevens, Kate Shields, Michael J. MacSween, J. D. McAllister, P. K. Morley-Forster, A. K. White, M. D. Taylor, H. M. Vandenberghe, D. Knoppert, H. Reimer, P. C. Duke, C. H. Kehler, M. W. Kepron, V. A. Taraska, J. Carstoniu, P. Norman, J. Katz, Medhat Hannallah, C. M. Cooney, J. B. Lyons, A. Hennigan, W. P. Blunnie, D. C. Moriarty, W. B. Dobkowski, F. S. Prato, N. A. Shannon, D. J. Drost, B. Arya, J. M. Wills, D. Bond, P. Morley-Forester, Mullen JB, I. Spahr-Schopfer, J. Lerman, E. Cutz, M. Dolovich, S. Kowalski, B. Ong, D. Bell, T. Ostryzniuk, C. Serrette, T. Wasylak, S. Coke, Takako Tsuda, Takashi Nakagawa, Norifumi Mabuchi, Hiroshi Ando, Osamu Nishida, Takafumi Azami, Hirotada Katsuya, Yukio Goto, N. Searle, M. Roy, null R. R. T., Charles E. Smith, Alfred C. Pinchak, Joan F. Hagen, Donald Hancock, Andrei V. Krassioukov, Lynne C. Weaver, I. R. Sutton, W. A. C. Mutch, J. M. Teskey, I. R. Thomson, M. Rosenbloom, D. Thiessen, S. Teasdale, H. Corbin, M. R. Graham, S. A. Lang, P. Chang, M. Gerard, J. E. Tetzlaff, M. Walsh, H. Yoon, Brian Warriner, Peter Fancourt-Smith, Jim McEwen, Judy Crane, N. H. Badner, R. Bhandari, W. E. Komar, S. Ganapathy, C. B. Warriner, J. P. McCormack, M. Levine, N. Glick, V. W. S. Chan, M. McQuestion, M. Gomez, C. Cruise, D. Evana, D. Shumka, R. J. Smyth, M. Graham, David Halpenny, Gerald V. Goresky, J. Eldon Zaretski, B. Kavanagh, S. Roger, A. Davies, M. Friedlander, M. M. Cohen, P. G. Duncan, W. D. B. Pope, D. Biehl, R. Merchant, W. A. Tweed, Michael J. Tessler, Mark Angle, Simcha Kleiman, B. P. Kavanagh, G. J. Doak, G. Li, R. I. Hall, J. A. Sulliyan, I. Yee, S. Halpern, R. Pittini, C. Huh, G. L. Bryson, R. Gverzdys, C. Perreault, L. Ferland, F. Gobeil, D. Girard, R. Smyth, B. Asokumar, M. Glynn, Sandra Silveira, Jeff Clark, Paul Milgram, W. M. Splinter, H. B. MacNeill, E. A. Ménard, E. J. Rhine, D. J. Roberts, G. M. Gould, G. G. Johnson, Daniel Quance, Saul Wiesel, Jane Easdown, N. Tien Truong, Normand Miller, Nathan Sheiner, L. Welborn, J. Norden, R. Hannallah, L. Broadman, N. Seiden, M. Iwai, R. Iwai, H. Horigome, M. Yamashita, Catherine E. Wood, Kim Klassen, S. Kleinman, S. Yentis, N. Sikich, T. A. Yemen, B. Mascik, W. Nelson, H. Ghantous, J. Gandolfi, Gordon Wood, Mohamed Ali, Kevin Inman, J. M. Karski, J. Carroll, D. Brooks, P. A. Oakley, P. M. Webster, J. Karski, T. Yao, J. Ivanov, P. Young, S. Carson, R. D. Weisel, Richard M. Cooper, David T. Wong, Douglas P. Wagner, William A. Knaus, Charul A. Munshi, John P. Kampine, I. D. Soutter, A. Mathieu, A. Gafni, A. Dauphin, L. Torsher, M. Tierney, H. S. Hopkins, G. J. Baylon, Elizabeth A. Peter, C. P. Bellhouse, Caroline Dore, T. W. Rachwal, D. T. Lanigan, Raymond Yip, J. B. Derdemezi, B. A. Britt, D. E. Withington, F. Reynolds, A. Patrick, W. Man, N. R. Searle, H. Ste-Marie, Mark A. Kostash, Richard Johnston, R. J. Bailey, M. D. Sharpe, R. P. Woda, M. Haug, P. Slugg, J. Lockrem, G. Barnett, B. A. Finegan, M. Robertson, D. Taylor, G. Frost, A. Koshal, Grant E. Rodney, Clayton C. Reichert, Desmond N. O’Regan, Derek Blackstock, David J. Steward, Richard Wenstone, Ellen Harrington, A. Wong, B. Braude, D. Fear, B. Bissonnette, Craig W. Reid, Kathryn A. Hull, S. Yogendran, G. McGuire, V. Chan, E. Hartley, K. Kessel, R. Weisel, N. Takla, N. A. Tremblay, F. E. Ralley, J. G. Ramsay, G. R. Robbins, F. C. Salevsky, S. Gandhi, N. Nimphius, Bernard Dionne, Christian Jodoin, Michel Lorange, Alain Lapointe, Geoffrey Hawboldt, G. A. Volgyesi, Guy Tousignant, R. Barnett, and B. Gallant

Subjects
Anesthesiology and Pain Medicine, General Medicine
Published
1992

11. Randomised Double-Blind Trial of Combination Antibiotic Therapy in Rheumatoid Arthritis

Author

Angela Smith, Caroline Doré, Peter Charles, Alena Vallance, Tara Potier, and Charles Mackworth-Young

Subjects
Diseases of the musculoskeletal system, RC925-935
Abstract

Objective. A combination of intravenous clindamycin and oral tetracycline has been used for many years as a treatment for active rheumatoid arthritis (RA), despite the absence of good evidence for its efficacy. A single-blind pilot study of this therapy suggested that a double-blind placebo-controlled trial was warranted. Methods. Patients with active RA were randomised in a 2 : 1 ratio to receive active treatment or placebo for 25 weeks. The active treatment consisted of intravenous clindamycin in a reducing regime, and oral tetracycline twice daily three times a week. 50 patients were to be recruited. The primary outcome measure was the proportion of patients achieving an ACR20 response. Results. An interim statistical analysis was performed after 20 patients had completed the study. Two patients in the active group achieved an ACR20 response, with none in the placebo group (NS). There was a better ESR20 response in the placebo group (P=.02). There were no other significant differences between the groups. The results indicated that it was unlikely that a significant difference in ACR20 response would emerge if the remaining 30 patients were recruited. The trial was therefore halted. Conclusion. This antibiotic regime is unlikely to be a valuable therapy for active rheumatoid arthritis.

Published
2011
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results