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2. Multi-species annotation of transcriptome and chromatin structure in domesticated animals

Author

Foissac, Sylvain, Djebali, Sarah, Munyard, Kylie, Vialaneix, Nathalie, Rau, Andrea, Muret, Kevin, Esquerré, Diane, Zytnicki, Matthias, Derrien, Thomas, Bardou, Philippe, Blanc, Fany, Cabau, Cédric, Crisci, Elisa, Dhorne-Pollet, Sophie, Drouet, Françoise, Faraut, Thomas, Gonzalez, Ignacio, Goubil, Adeline, Lacroix-Lamandé, Sonia, Laurent, Fabrice, Marthey, Sylvain, Marti-Marimon, Maria, Momal-Leisenring, Raphaelle, Mompart, Florence, Quéré, Pascale, Robelin, David, Cristobal, Magali San, Tosser-Klopp, Gwenola, Vincent-Naulleau, Silvia, Fabre, Stéphane, Pinard-Van der Laan, Marie-Hélène, Klopp, Christophe, Tixier-Boichard, Michèle, Acloque, Hervé, Lagarrigue, Sandrine, and Giuffra, Elisabetta more...

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2019
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5. The impact of a regional care bundle on maternal breast milk use in preterm infants: outcomes of the East of England quality improvement programme

Author

Battersby, C, Santhakumaran, S, Upton, M, Radbone, L, Birch, J, Modi, N, Sharief, N, Kadalraja, R, Mahesh Babu, R N, Dalton, S, Dixon, H, James, M, Jayalal, V, Kefas, J, Skinner, S, Dyke, M, Babiker, S, Soe, T, Rubin, S, Ogilvy-Stuart, A, Khan, A, Ramesh, C, Evans, I, Rackham, O, Brearey, S, Thirumurugan, A, Losa, I, McBride, T, Zipitis, C, Amegavie, L, Moise, J, Zipitis, C, Settle, P, Edi-Osagie, N, Heal, C, Birch, J, Al-Zidgali, F, Hasib, A, Kisat, H, Soe, A, Kumar, M, Fedee, J, Lama, M, Gupta, R, Rawlingson, de Boer, RC, Rao, P, Thompson, S, Manzoor, A, Blake, K, Upponi, A, Bhaduri, AK, Halahakoon, C, Deshpande, Mohite, A, Tewary, KK, Palmer, K, Gallagher, A, Nycyk, J, Simmons, P, Morgan, I, Underhill, HC, Wickham, T, van Someren, V, Watkin, S, Blumberg, R, Aladangady, N, Alsford, L, Sullivan, C, Hamdan, S, Adiotomre, P, Ahmed, JS, Foo, A, Talekar, R, Gibson, A, Thomas, M, Mathur, R, Cruwys, M, Mannix, P, Ariff, H, Whitehead, Ben-Hamida, M, Garbasa, M, Lal, M, Bosman, D, Fenton, A, Bolton, AR, Abu-Harb, M, Reichert, B, Olivier, J, Larson, J, Cherinet, Y, Munyard, P, Osbourne, N, Raman, M, Watts, T, Hannam, Walter, S, Kuna, J, Chang, YL, Shephard, R, Lindo, D, Huddy, C, Wigfield, R, Wylie, P, Misra, I, Shettihalli, N, Khashu, M, Hall, M, Groves, C, de Halpert, P, Schapira, D, Kinsey, S, Butterworth, S, Brennan, N, Whitehead, G, Sanghavi, R, Whincup, G, Khader, K, Mallik, A, Amess, P, Godden, C, Reynolds, P, Brennan, N, Noble, V, Rao, AS, Wardle, S, Ratnayaka, M, Holman, J, Zengeya, S, Jones, S, Wach, R, Tooley, J, Mann, RJ, Eaton, M, Babirecki, M, Seal, S, Schwarz, K, Gibson, D, Jampala, C, Pairaudeau, P, Miall, L, Qunib, M, Millman, G, Abbott, Jane, Ashby, Deborah, Brocklehurst, Peter, Costeloe, Kate, Draper, Elizabeth, Goldacre, Michael, Kemp, Jacquie, Majeed, Azeem, Petrou, Stavros, Wilkinson, Andrew, Young, Alys, Vasu, Vimal, Dopran, Jacquie, Dorling, Jon, and Allwood, Alex more...

Published
2014
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6. Retinopathy of prematurity in English neonatal units: a national population-based analysis using NHS operational data

Author

Wong, Hilary S, Santhakumaran, Shalini, Statnikov, Yevgeniy, Gray, Daniel, Watkinson, Michael, Modi, Neena, Kadalraja, R, Kefas, J, Srinnel, S, Ramesh, C, Rackham, O, Brearey, S, Thirumurugan, A, Losa, I, McBride, T, Zipitis, C, Amegavie, L, Moise, J, Zipitis, C, Yadan, M, Maddock, N, Moise, J, Edi-Osagie, N, Heal, C, Birch, J, Al-Zidgali, F, Hasib, A, Kisat, H, Soe, A, Long, D, Fedee, J, Lama, M, Gupta, R, Rawlingson de Boer, RC, Rao, P, Blake, K, Bhaduri, AK, Halahakoon, C, Deshpande Mohite, A, Tewary, KK, Palmer, K, Gallagher, A, Nycyk, J, Simmons, P, Morgen, I, Underhill, HC, Mahesh Babu, R N, Dalton, S, Dixon, H, James, M, Jayalal, V, Dyke, M, Babiker, S, Soe, T, Rubin, S, Ogilvy-Stuart, A, Evans, I, Wickham, T, van Someren, V, Watkin, S, Blumberg, R, Sharief, N, Aladangady, N, Sharma, B, Sullivan, C, Alsford, L, Sharma, B, Khan, A, Hamdan, S, Ahmed, JS, Foo, A, Talekar, R, Adiotomre, P, Gibson, A, Thomas, M, Mathur, R, Cruwys, M, Mannix, P, Ariff, H, Garbasa, M, Lal, M, Bosman, D, Fenton, A, Bolton, AR, Abu-Harb, M, Verber, I, Olivier, J, Larson, J, Cherinet, Y, Munyard, P, Osbourne, N, Raman, M, Watts, T, Hannam, S, Walter, S, Kuna, J, Chang, YL, Shephard, R, Lindo, D, Calvert, S, Wigfield, R, Wylie, P, Misra, I, Shettihalli, N, Khashu, M, Hall, M, Groves, C, de Halpert, P, Schapira, D, Kinsey, S, Butterworth, S, Garg, A, Whitehead, G, Sanghavi, R, Whincup, G, Khader, K, Mallik, A, Amess, P, Godden, C, Reynolds, P, Brannan, N, Noble, V, Rao, AS, Wardle, S, Ratnayaka, M, Holman, J, Zengeya, S, Jones, S, Wach, R, Tooley, J, Mann, RJ, Eaton, M, Babirecki, M, Seal, S, Schwartz, K, Gibson, D, Jampala, C, Pairaudeau, P, Miall, L, Shyamannr, K, and Qunib, M more...

Published
2014
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7. Association of Early Postnatal Transfer and Birth Outside a Tertiary Hospital With Mortality and Severe Brain Injury in Extremely Preterm Infants: Observational Cohort Study With Propensity Score Matching

Author

Helenius, K, Longford, N, Lehtonen, L, Modi, N, Gale, C, Babirecki, M, Kamalanathan, A, Wickham, T, Aucharaz, K, Gupta, A, Paul, N, Wong, LM, Mittal, A, Broggio, P, Surana, P, Singh, A, Seal, S, Hassan, A, Schwarz, K, Thomas, M, Foo, A, Anderson, J, Whincup, G, Brearey, S, Chang, J, Gad, K, Hasib, A, Garbash, M, Allwood, A, Adiotomre, P, Brooke, N, Deketelaere, A, Khader, KA, Shephard, R, Rekha, S, Abuzgia, B, Jain, M, Pirie, S, Zengeya, S, Watts, T, Balal, S, Seagrave, C, Bate, T, Dixon, H, Aladangady, N, Gaili, H, James, M, Lal, M, Ambadkar, P, Pandey, P, Hickey, A, Rhodes, S, Pai, V, Lama, M, Miall, L, Cusack, J, Kairamkonda, V, Grosdenier, M, Kollipara, L, Kefas, J, Yoxall, B, Birch, J, Whitehead, G, Krishnamurthy, R, Sashikumar, P, Misra, I, Pillay, T, Ali, I, Thiagarajan, P, Dyke, M, Selter, M, Kamath, P, Alsford, L, Spencer, V, Gupta, S, Nicholl, R, Wardle, S, Chakrabarti, S, Adams, E, McDevitt, K, Reddy, A, Gibson, D, Khashu, M, Reddy, C, Pearson, F, Amess, P, Deshpande, S, Sleight, E, Groves, C, Godambe, S, Bosman, D, Rewitzky, G, Banjoko, O, Kumar, N, Muogbo, D, Lopez, W, D'Amore, A, Mattara, S, Zipitis, C, De Halpert, P, Settle, P, Munyard, P, McIntyre, J, Bartle, D, Pain, K, Fedee, J, Maddock, N, Gupta, R, Moore, A, Godden, C, Jones, S, Fenton, A, Mahadevan, S, Brown, N, Mack, K, Bolton, R, Khan, A, Mannix, P, Huddy, C, Yasin, S, Butterworth, S, Nedungadi, S, Cairns, P, Reynolds, P, Brennan, N, Heal, C, Salgia, S, Abu-Harb, M, Knight, C, Clark, S, Theron, M, Murthy, V, Paul, S, Kisat, H, Kendall, G, Blake, K, Obi, O, Kumar, H, Rawlingson, C, Webb, D, Bird, S, Narayanan, S, Eyre, E, Evans, I, Sanghavi, R, Sullivan, C, Garr, R, Leith, W, Vasu, V, Harry, L, Vamvakiti, K, Vemuri, G, Eaton, M, and Samy, M more...

Subjects
Male, Pediatrics, LEVEL, Neonatal Data Analysis Unit and the United Kingdom Neonatal Collaborative, Infant, Premature, Diseases, Tertiary Care Centers, HEMORRHAGE, 0302 clinical medicine, 030202 anesthesiology, Pregnancy, Infant Mortality, 030212 general & internal medicine, WEIGHT INFANTS, Finland, 030219 obstetrics & reproductive medicine, Confounding, Pregnancy Outcome, Gestational age, Obstetrics and Gynecology, General Medicine, 3. Good health, Infant, Extremely Premature, Number needed to treat, Female, Life Sciences & Biomedicine, REGIONALIZATION, Cohort study, Patient Transfer, medicine.medical_specialty, IN-UTERO, Gestational Age, NEONATAL TRANSPORT, 1117 Public Health and Health Services, Odds, 03 medical and health sciences, NEURODEVELOPMENTAL OUTCOMES, MORBIDITY, DELIVERY, Medicine, General & Internal, 030225 pediatrics, General & Internal Medicine, medicine, Humans, Propensity Score, Survival analysis, Science & Technology, business.industry, Delivery Rooms, Extremely preterm, Infant, Newborn, Infant, 1103 Clinical Sciences, Odds ratio, CARE, medicine.disease, Survival Analysis, Confidence interval, Brain Injuries, Propensity score matching, business
Abstract

Objective To determine if postnatal transfer or birth in a non-tertiary hospital is associated with adverse outcomes. Design Observational cohort study with propensity score matching. Setting National health service neonatal care in England; population data held in the National Neonatal Research Database. Participants Extremely preterm infants born at less than 28 gestational weeks between 2008 and 2015 (n=17 577) grouped based on birth hospital and transfer within 48 hours of birth: upward transfer (non-tertiary to tertiary hospital, n=2158), non-tertiary care (born in non-tertiary hospital; not transferred, n=2668), and controls (born in tertiary hospital; not transferred, n=10 866). Infants were matched on propensity scores and predefined background variables to form subgroups with near identical distributions of confounders. Infants transferred between tertiary hospitals (horizontal transfer) were separately matched to controls in a 1:5 ratio. Main outcome measures Death, severe brain injury, and survival without severe brain injury. Results 2181 infants, 727 from each group (upward transfer, non-tertiary care, and control) were well matched. Compared with controls, infants in the upward transfer group had no significant difference in the odds of death before discharge (odds ratio 1.22, 95% confidence interval 0.92 to 1.61) but significantly higher odds of severe brain injury (2.32, 1.78 to 3.06; number needed to treat (NNT) 8) and significantly lower odds of survival without severe brain injury (0.60, 0.47 to 0.76; NNT 9). Compared with controls, infants in the non-tertiary care group had significantly higher odds of death (1.34, 1.02 to 1.77; NNT 20) but no significant difference in the odds of severe brain injury (0.95, 0.70 to 1.30) or survival without severe brain injury (0.82, 0.64 to 1.05). Compared with infants in the upward transfer group, infants in the non-tertiary care group had no significant difference in death before discharge (1.10, 0.84 to 1.44) but significantly lower odds of severe brain injury (0.41, 0.31 to 0.53; NNT 8) and significantly higher odds of survival without severe brain injury (1.37, 1.09 to 1.73; NNT 14). No significant differences were found in outcomes between the horizontal transfer group (n=305) and controls (n=1525). Conclusions In extremely preterm infants, birth in a non-tertiary hospital and transfer within 48 hours are associated with poor outcomes when compared with birth in a tertiary setting. We recommend perinatal services promote pathways that facilitate delivery of extremely preterm infants in tertiary hospitals in preference to postnatal transfer. more...

Published
2020
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8. The International Network for Evaluating Outcomes (iNeo) of neonates: evolution, progress and opportunities

Author

Shah, PS, Lui, K, Reichman, B, Norman, M, Kusuda, S, Lehtonen, L, Adams, M, Vento, M, Darlow, BA, Modi, N, Rusconi, F, Hakansson, S, San Feliciano, L, Helenius, KK, Bassler, D, Hirano, S, Lee, SK, Marshall, P, Schmidt, P, Dhawan, A, Craven, P, De Waal, K, Simmer, K, Gill, A, Pillow, J, Stack, J, Birch, P, Cooke, L, Casalaz, D, Holberton, J, Stewart, A, Downe, L, Stewart, M, Bajuk, B, Berry, A, Hunt, R, Kilburn, C, De Paoli, T, Bolisetty, S, Paradisis, M, Rieger, I, Koorts, P, Kuschel, C, Numa, A, Carlisle, H, Badawi, N, Loughran-Fowlds, A, Koh, G, Davis, J, Luig, M, Andersen, C, Chambers, G, Austin, N, Lynn, A, Darlow, B, Edmonds, L, Mildenhall, L, Buksh, M, Battin, M, Van den Boom, J, Bourchier, D, Richardson, V, Dineen, F, Rajadurai, VS, Fung, G, Harrison, A, Synnes, A, Ting, J, Cieslak, Z, Sherlock, R, Yee, W, Aziz, K, Toye, J, Fajardo, C, Kalapesi, Z, Sankaran, K, Daspal, S, Seshia, M, Alvaro, R, Mukerji, A, Da Silva, O, Nwaesei, C, Lee, K-S, Dunn, M, Lemyre, B, Dow, K, Pelausa, E, Barrington, K, Drolet, C, Piedboeuf, B, Claveau, M, Beltempo, M, Bertelle, V, Masse, E, Canning, R, Mabry, H, Ojah, C, Monterrosa, L, Deshpandey, A, Afifi, J, Kajetanowicz, A, Andersson, S, Tammela, O, Sankilampi, U, Saarela, T, Prazad, P, Noguchi, A, McWan, K, Button, B, Stratton, W, Hamvus, A, Raghaven, A, Derrick, M, Hadley, R, Covert, R, Lablanc, O, Weiss, M, Bell, A, Shareef, M, Silvestri, J, Heymann, E, Zangen, S, Smolkin, T, Mimouni, F, Bader, D, Rothschild, A, Strauss, Z, Felszer, C, Oman, H, Toy-Friedman, SE, Bar-Oz, B, Feldman, M, Saad, N, Flidel-Rimon, O, Weisbrod, M, Lubin, D, Litmanovitz, I, Kngelman, A, Shinwell, E, Klinger, G, Nijim, Y, Bin-Nun, A, Golan, A, Mandel, D, Fleisher-Sheffer, V, Kohelet, D, Bakhrakh, L, Hattori, S, Shirai, M, Ishioka, T, Mori, T, Amiznka, T, Huchimukai, T, Yoshida, H, Sasaki, A, Shimizu, J, Nakamura, T, Maruyama, M, Matsumoto, H, Hosokawa, S, Taki, A, Nakagawa, M, Ko, K, Uozumi, A, Nakata, S, Shimazaki, A, Yoda, T, Numata, O, Imamura, H, Kobayashi, A, Tokuriki, S, Uchida, Y, Arai, T, Ito, M, Ieda, K, Ono, T, Hayashi, M, Maki, K, Yamakawa, M, Kawai, M, Fujii, N, Shiomi, K, Nozaki, K, Wada, H, Kim, T, Tokunaga, Y, Takatera, A, Oshima, T, Sumida, H, Michinomae, Y, Knsumoto, Y, Yoshimoto, S, Morisawa, T, Ohashi, T, Takahashi, Y, Sugimoto, M, Ono, N, Miyagawa, S, Saijo, T, Yamagami, T, Koyano, K, Kobayashi, S, Kanda, T, Sakemi, Y, Aoki, M, Iida, K, Goshi, M, Maruyama, Y, Avila-Alvarez, A, Luis Fernandez-Trisac, J, Couce Pico, ML, Fernandez Seara, MJ, Martinez Gutierrez, A, Vizcaino, C, Salvador Iglesias, M, Sanchez Zaplana, H, Fernandez Colomer, B, Garcia Lopez, JE, Garcia Mozo, R, Gonzalez Martinez, MT, Muro Sebastian, MD, Balart Carbonell, M, Badia Bamnsell, J, Domingo Puiggros, M, Figueras Aloy, J, Botet Mussons, F, Anquela Sanz, I, Ginovart Galiana, G, Coroleu, W, Iriondo, M, Vilella, LC, Porta, R, Demestre, X, Martinez Nadal, S, De Frutos Martinez, C, Lopez Cuesta, MJ, Esquivel Mora, D, Ortiz Tardio, J, Benavente, I, Alonso, A, Aguilera Olmos, R, Garcia Cabezas, MA, Martinez Jimenez, MD, Jaraba Caballero, MF, Ordofiez Diaz, MD, Fagundo, AT, Canals, LM, Garcia-Munoz Rodrigo, F, Urquia Marti, L, Moreno Galdo, MF, Hurtado Suazo, JA, Narbona Lopez, E, Uberos Fernandez, J, Cortajarena Altana, MA, Mora Navarro, D, Teresa Dominguez, M, Ruiz del Prado, MY, Esteban Diez, I, Palau Benavides, MT, Lapena, S, Prada, T, Soler Mir, E, Corredera Sanchez, A, Criado Vega, E, Del Prado, N, Fernandez, C, Cabanillas Vilaplana, L, Cuadrado Perez, I, Lopez Gomez, L, Domingo Comeche, L, Llana Martin, I, Gonzalez Armengod, C, Munoz Labian, C, Santos Munoz, MJ, Blanco Bravo, D, Perez, V, Elorza Fernandez, MD, Diaz Gonzalez, C, Ares Segura, S, Lopez Azorin, M, Belen Jimenez, A, Sanchez-Tamayo, T, Tapia Moreno, E, Gonzalez, M, Sanchez Martinez, JE, Lloreda Garcia, JM, Goni Orayen, C, Vilas Gonzalez, J, Suarez Albo, M, Gonzalez Colmenero, E, Gutierrez Gonzalez, EP, Vacas del Arco, B, Marquez Fernandez, J, Acosta Gordillo, L, Granero Asensio, M, Macias Diaz, C, Albujar, M, Fuster Jorge, P, Romero, S, Rivero Falero, M, Escobar Izquierdo, AB, Estan Capell, J, Izquierdo Macian, MI, Montejo Vicente, MM, Izquierdo Caballero, R, Mercedes Martinez, M, Euba, A, Rodriguez Serna, A, De Heredia Goya, JML, Perez Legorburu, A, Gutierrez Amoros, A, Marugan Isabel, VM, Hernandez Gonzalez, N, Rite Gracia, S, Ventura Faci, MP, Samper Villagrasa, MP, Kofron, J, Brodd, KS, Odlind, A, Alberg, L, Arwehed, S, Hafstrom, O, Kasemo, A, Nederman, K, Ahman, L, Ingemarsson, F, Petersson, H, Thum, P, Albinsson, E, Selander, B, Abrahamsson, T, Heimdahl, I, Sveinsdottir, K, Wejryd, E, Hedlund, A, Soderberg, MK, Hallberg, B, Brune, T, Backstrom, J, Robinson, J, Farooqi, A, Normann, E, Fredriksson, M, Palm, A, Rosenqvist, U, Hagman, C, Ohlin, A, Floral, R, Smedsaas-Lofvenberg, A, Meyer, P, Anderegg, C, Schulzke, S, Nelle, M, Wagner, B, Riedel, T, Kaczala, G, Walde, B, Pfister, RE, Tolsa, J-F, Roth, M, Stocker, M, Laubscher, B, Malzacher, A, Micallef, JP, Hegi, L, Arlettaz, R, Bernet, V, Dani, C, Fiorini, P, Boldrini, A, Tomasini, B, Mittal, A, Kefas, J, Kamalanathan, A, Jayachandran, Yoxall, B, McBride, T, Webb, D, Garr, R, Hassan, A, Ambadkar, P, Dyke, M, McDevitt, K, Rewitzky, G, D'Amore, A, Panasa, N, Settle, P, Maddock, N, Edi-Osagie, N, Zipitis, C, Heal, C, Birch, J, Hasib, A, Soe, A, Kumar, N, Kisat, H, Vasu, V, Lama, M, Gupta, R, Rawlingson, C, Wickham, T, Theron, M, Kendall, G, Gupta, A, Aladangady, N, Ali, I, Alsford, L, Lopez, W, Murthy, V, Sullivan, C, Thomas, M, Bate, T, Godambe, S, Watts, T, Kuna, J, Chang, J, Pai, V, Huddy, C, Yasin, S, Nicholl, R, Pandey, P, Kairamkonda, V, Muogbo, D, Harry, L, Simmons, P, Nycyk, J, Gallagher, A, Pillay, T, Deshpande, S, Mahadevan, Moore, A, Clark, S, Garbash, M, Lal, M, Abu-Harb, M, Allwood, A, Selter, M, Munyard, P, Bartle, D, Paul, S, Whincup, G, Mallik, A, Amess, P, Godden, C, Reynolds, P, Misra, I, De Halpert, P, Salgia, S, Sanghavi, R, Wigfield, R, Deketelaere, A, Khashu, M, Hall, M, Groves, C, Brown, N, Brennan, N, Vamvakiti, K, McIntyre, J, Pirie, S, Jones, S, Mannix, P, Cairns, P, Eaton, M, Schwarz, K, Gibson, D, Miall, L, Krishnamurthy, University of Zurich, Shah, Prakesh S, Canadian Institutes of Health Research (CIHR), and Neonid NPO more...

Subjects
medicine.medical_specialty, NEW-ZEALAND, Population, 610 Medicine & health, RETINOPATHY, Review Article, Audit, Pediatrics, outcomes research, MORBIDITY, Nursing, neonatal intensive care, Health care, medicine, LOW-BIRTH-WEIGHT, 2735 Pediatrics, Perinatology and Child Health, education, education.field_of_study, Science & Technology, EXTREMELY PRETERM INFANTS, business.industry, MORTALITY, Public health, Health services research, Preterm infants, Capacity building, BRONCHOPULMONARY DYSPLASIA, Benchmarking, 10027 Clinic for Neonatology, INTENSIVE-CARE UNITS, TRENDS, CANADA, Pediatrics, Perinatology and Child Health, Outcomes research, business, Life Sciences & Biomedicine
Abstract

Neonates born very preterm (before 32 weeks’ gestational age), are a significant public health concern because of their high-risk of mortality and life-long disability. In addition, caring for very preterm neonates can be expensive, both during their initial hospitalization and their long-term cost of permanent impairments. To address these issues, national and regional neonatal networks around the world collect and analyse data from their constituents to identify trends in outcomes, and conduct benchmarking, audit and research. Improving neonatal outcomes and reducing health care costs is a global problem that can be addressed using collaborative approaches to assess practice variation between countries, conduct research and implement evidence-based practices. The International Network for Evaluating Outcomes (iNeo) of neonates was established in 2013 with the goal of improving outcomes for very preterm neonates through international collaboration and comparisons. To date, 10 national or regional population-based neonatal networks/datasets participate in iNeo collaboration. The initiative now includes data on >200,000 very preterm neonates and has conducted important epidemiological studies evaluating outcomes, variations and trends. The collaboration has also surveyed >320 neonatal units worldwide to learn about variations in practices, healthcare service delivery, and physical, environmental and manpower related factors and support services for parents. The iNeo collaboration serves as a strong international platform for Neonatal-Perinatal health services research that facilitates international data sharing, capacity building, and global efforts to improve very preterm neonate care. more...

Published
2019

10. The International Network for Evaluating Outcomes (iNeo) of neonates: evolution, progress and opportunities

Author

Shah P, Lui K, Reichman B, Norman M, Kusuda S, Lehtonen L, Adams M, Vento M, Darlow B, Modi N, Rusconi F, Hakansson S, San Feliciano L, Helenius K, Bassler D, Hirano S, Lee S, Marshall P, Schmidt P, Dhawan A, Craven P, de Waal K, Simmer K, Gill A, Pillow J, Stack J, Birch P, Cooke L, Casalaz D, Holberton J, Stewart A, Downe L, Stewart M, Bajuk B, Berry A, Hunt R, Kilburn C, De Paoli T, Bolisetty S, Paradisis M, Rieger I, Koorts P, Kuschel C, Numa A, Carlisle H, Badawi N, Loughran-Fowlds A, Koh G, Davis J, Luig M, Andersen C, Chambers G, Austin N, Lynn A, Edmonds L, Mildenhall L, Buksh M, Battin M, van den Boom J, Bourchier D, Richardson V, Dineen F, Rajadurai V, Fung G, Harrison A, Synnes A, Ting J, Cieslak Z, Sherlock R, Yee W, Aziz K, Toye J, Fajardo C, Kalapesi Z, Sankaran K, Daspal S, Seshia M, Alvaro R, Mukerji A, Da Silva O, Nwaesei C, Lee K, Dunn M, Lemyre B, Dow K, Pelausa E, Barrington K, Drolet C, Piedboeuf B, Claveau M, Beltempo M, Bertelle V, Masse E, Canning R, Mabry H, Ojah C, Monterrosa L, Deshpandey A, Afifi J, Kajetanowicz A, Andersson S, Tammela O, Sankilampi U, Saarela T, Prazad P, Noguchi A, McWan K, Button B, Stratton W, Hamvus A, Raghaven A, Derrick M, Hadley R, Covert R, Lablanc O, Weiss M, Bell A, Shareef M, Silvestri J, Heymann E, Zangen S, Smolkin T, Mimouni F, Bader D, Rothschild A, Strauss Z, Felszer C, Oman H, Toy-Friedman S, Bar-Oz B, Feldman M, Saad N, Flidel-Rimon O, Weisbrod M, Lubin D, Litmanovitz I, Kngelman A, Shinwell E, Klinger G, Nijim Y, Bin-Nun A, Golan A, Mandel D, Fleisher-Sheffer V, Kohelet D, Bakhrakh L, Hattori S, Shirai M, Ishioka T, Mori T, Amiznka T, Huchimukai T, Yoshida H, Sasaki A, Shimizu J, Nakamura T, Maruyama M, Matsumoto H, Hosokawa S, Taki A, Nakagawa M, Ko K, Uozumi A, Nakata S, Shimazaki A, Yoda T, Numata O, Imamura H, Kobayashi A, Tokuriki S, Uchida Y, Arai T, Ito M, Ieda K, Ono T, Hayashi M, Maki K, Yamakawa M, Kawai M, Fujii N, Shiomi K, Nozaki K, Wada H, Kim T, Tokunaga Y, Takatera A, Oshima T, Sumida H, Michinomae Y, Knsumoto Y, Yoshimoto S, Morisawa T, Ohashi T, Takahashi Y, Sugimoto M, Ono N, Miyagawa S, Saijo T, Yamagami T, Koyano K, Kobayashi S, Kanda T, Sakemi Y, Aoki M, Iida K, Goshi M, Maruyama Y, Avila-Alvarez A, Fernandez-Trisac J, Pico M, Seara M, Gutierrez A, Vizcaino C, Iglesias M, Zaplana H, Colomer B, Lopez J, Mozo R, Martinez M, Sebastian M, Carbonell M, Bamnsell J, Puiggros M, Aloy J, Mussons F, Sanz I, Galiana G, Coroleu W, Iriondo M, Vilella L, Porta R, Demestre X, Nadal S, Martinez C, Cuesta M, Mora D, Tardio J, Benavente I, Alonso A, Olmos R, Cabezas M, Jimenez M, Caballero M, Diaz M, Fagundo A, Canals L, Rodrigo F, Marti L, Galdo M, Suazo J, Lopez E, Fernandez J, Altana M, Navarro D, Dominguez M, del Prado M, Diez I, Benavides M, Lapena S, Prada T, Mir E, Sanchez A, Vega E, del Prado N, Fernandez C, Vilaplana L, Perez I, Gomez L, Comeche L, Martin I, Armengod C, Labian C, Munoz M, Bravo D, Perez V, Fernandez M, Gonzalez C, Segura S, Azorin M, Jimenez A, Sanchez-Tamayo T, Moreno E, Gonzalez M, Martinez J, Garcia J, Orayen C, Gonzalez J, Albo M, Colmenero E, Gonzalez E, del Arco B, Gordillo L, Asensio M, Diaz C, Albujar M, Jorge P, Romero S, Falero M, Izquierdo A, Capell J, Macian M, Vicente M, Caballero R, Euba A, Serna A, Goya J, Legorburu A, Amoros A, Isabel V, Gonzalez N, Gracia S, Faci M, Villagrasa M, Kofron J, Brodd K, Odlind A, Alberg L, Arwehed S, Hafstrom O, Kasemo A, Nederman K, Ahman L, Ingemarsson F, Petersson H, Thum P, Albinsson E, Selander B, Abrahamsson T, Heimdahl I, Sveinsdottir K, Wejryd E, Hedlund A, Soderberg M, Hallberg B, Brune T, Backstrom J, Robinson J, Farooqi A, Normann E, Fredriksson M, Palm A, Rosenqvist U, Hagman C, Ohlin A, Floral R, Smedsaas-Lofvenberg A, Meyer P, Anderegg C, Schulzke S, Nelle M, Wagner B, Riedel T, Kaczala G, Walde B, Pfister R, Tolsa J, Roth M, Stocker M, Laubscher B, Malzacher A, Micallef J, Hegi L, Arlettaz R, Bernet V, Dani C, Fiorini P, Boldrini A, Tomasini B, Mittal A, Kefas J, Kamalanathan A, Jayachandran, Yoxall B, McBride T, Webb D, Garr R, Hassan A, Ambadkar P, Dyke M, McDevitt K, Rewitzky G, D'Amore A, Panasa N, Settle P, Maddock N, Edi-Osagie N, Zipitis C, Heal C, Birch J, Hasib A, Soe A, Kumar N, Kisat H, Vasu V, Lama M, Gupta R, Rawlingson C, Wickham T, Theron M, Kendall G, Gupta A, Aladangady N, Ali I, Alsford L, Lopez W, Murthy V, Sullivan C, Thomas M, Bate T, Godambe S, Watts T, Kuna J, Chang J, Pai V, Huddy C, Yasin S, Nicholl R, Pandey P, Kairamkonda V, Muogbo D, Harry L, Simmons P, Nycyk J, Gallagher A, Pillay T, Deshpande S, Mahadevan, Moore A, Clark S, Garbash M, Lal M, Abu-Harb M, Allwood A, Selter M, Munyard P, Bartle D, Paul S, Whincup G, Mallik A, Amess P, Godden C, Reynolds P, Misra I, De Halpert P, Salgia S, Sanghavi R, Wigfield R, Deketelaere A, Khashu M, Hall M, Groves C, Brown N, Brennan N, Vamvakiti K, McIntyre J, Pirie S, Jones S, Mannix P, Cairns P, Eaton M, Schwarz K, Gibson D, Miall L, Krishnamurthy, and Int Network Evaluating Outcomes iN more...

Subjects
outcomes research, neonatal intensive care, Preterm infants
Abstract

Neonates born very preterm (before 32 weeks' gestational age), are a significant public health concern because of their high-risk of mortality and life-long disability. In addition, caring for very preterm neonates can be expensive, both during their initial hospitalization and their long-term cost of permanent impairments. To address these issues, national and regional neonatal networks around the world collect and analyse data from their constituents to identify trends in outcomes, and conduct benchmarking, audit and research. Improving neonatal outcomes and reducing health care costs is a global problem that can be addressed using collaborative approaches to assess practice variation between countries, conduct research and implement evidence-based practices. The International Network for Evaluating Outcomes (iNeo) of neonates was established in 2013 with the goal of improving outcomes for very preterm neonates through international collaboration and comparisons. To date, 10 national or regional population-based neonatal networks/datasets participate in iNeo collaboration. The initiative now includes data on >200,000 very preterm neonates and has conducted important epidemiological studies evaluating outcomes, variations and trends. The collaboration has also surveyed >320 neonatal units worldwide to learn about variations in practices, healthcare service delivery, and physical, environmental and manpower related factors and support services for parents. The iNeo collaboration serves as a strong international platform for Neonatal-Perinatal health services research that facilitates international data sharing, capacity building, and global efforts to improve very preterm neonate care. more...

Published
2019

11. Trends in Outcomes for Neonates Born Very Preterm and Very Low Birth Weight in 11 High-Income Countries

Author

Lui K, Lee S, Kusuda S, Adams M, Vento M, Reichman B, Darlow B, Lehtonen L, Modi N, Norman M, Hakansson S, Bassler D, Rusconi F, Lodha A, Yang J, Shah P, Marshall P, Schmidt P, Dhawan A, Craven P, de Waal K, Simmer K, Gill A, Pillow J, Stack J, Birch P, Cooke L, Casalaz D, Holberton J, Stewart A, Downe L, Stewart M, Bajuk B, Berry A, Hunt R, Kilburn C, De Paoli T, Bolisetty S, Paradisis M, Rieger I, Koorts P, Kuschel C, Doyle L, Numa A, Carlisle H, Badawi N, Loughran-Fowlds A, Koh G, Davis J, Luig M, Andersen C, Chambers G, Austin N, Lynn A, Edmonds L, Mildenhall L, Buksh M, Battin M, van den Boom J, Bourchier D, Richardson V, Dineen F, Rajadurai V, Lam S, Fung G, Harrison A, Synnes A, Cieslak Z, Sherlock R, Yee W, Aziz K, Fajardo C, Kalapesi Z, Sankaran K, Daspal S, Seshia M, Alvaro R, Mukerji A, Da Silva O, Nwaesei C, Lee K, Dunn M, Lemyre B, Dow K, Pelausa E, Barrington K, Drolet C, Piedboeuf B, Claveau M, Beltempo M, Bertelle V, Masse E, Canning R, Makary H, Ojah C, Monterrosa L, Deshpandey A, Afifi J, Kajetanowicz A, Andersson S, Tammela O, Sankilampi U, Saarela T, Prazad P, Noguchi A, McWan K, Button B, Stratton W, Hamvus A, Raghaven A, Derrick M, Hadley R, Covert R, Lablanc O, Weiss M, Bell A, Shareef M, Silvestri J, Heymann E, Zangen S, Smolkin T, Mimouni F, Bader D, Rothschild A, Strauss Z, Felszer C, Omari H, Tov-Friedman S, Bar-Oz B, Feldman M, Saad N, Flidel-Rimon O, Weisbrod M, Lubin D, Litmanovitz I, Kugelman A, Shinwell E, Klinger G, Nijim Y, Bin-Nun A, Golan A, Mandel D, Fleisher-Sheffer V, Kohelet D, Bakhrakh L, Hattori S, Shirai M, Ishioka T, Mori T, Amizuka T, Huchimukai T, Yoshida H, Sasaki A, Shimizu J, Nakamura T, Maruyama M, Matsumoto H, Hosokawa S, Taki A, Nakagawa M, Ko K, Uozumi A, Nakata S, Shimazaki A, Yoda T, Numata O, Imamura H, Kobayashi A, Tokuriki S, Uchida Y, Arai T, Ito M, Ieda K, Ono T, Hayashi M, Maki K, Yamakawa M, Kawai M, Fujii N, Shiomi K, Nozaki K, Wada H, Kim T, Tokunaga Y, Takatera A, Oshima T, Sumida H, Michinomae Y, Kusumoto Y, Yoshimoto S, Morisawa T, Ohashi T, Takahashi Y, Sugimoto M, Ono N, Miyagawa S, Saijo T, Yamagami T, Koyano K, Kobayashi S, Kanda T, Sakemi Y, Aoki M, Iida K, Goshi M, Maruyama Y, Avila-Alvarez A, Ting J, Toye J, Fernandez-Trisac J, Pico M, Seara M, Gutierrez A, Vizcaino C, Iglesias M, Zaplana H, Colomer B, Lopez J, Mozo R, Martinez M, Sebastian M, Carbonell M, Barnusell J, Puiggros M, Aloy J, Mussons F, Sanz I, Galiana G, Coroleu W, Iriondo M, Vilella L, Porta R, Demestre X, Nadal S, Martinez C, Cuesta M, Mora D, Tardio J, Benavente I, Alonso A, Olmos R, Cabezas M, Jimenez M, Caballero P, Diaz M, Fagundo A, Canals L, Rodrigo F, Marti L, Galdo M, Suazo J, Lopez E, Fernandez J, Altuna M, Muga O, Navarro D, Dominguez M, del Prado M, Diez I, Benavides M, Lapena S, Prada T, Mir E, Sanchez A, Vega E, del Prado N, Fernandez C, Vilaplana L, Perez I, Gomez L, Comeche L, Martin I, Armengod C, Labian C, Munoz M, Bravo D, Perez V, Fernandez M, Gonzalez C, Segura S, Azorin M, Jimenez A, Sanchez-Tamayo T, Moreno E, Gonzalez M, Martinez J, Garcia J, Orayen C, Gonzalez J, Albo M, Colmenero E, Gonzalez E, del Arco B, Gordillo L, Asensio M, Diaz C, Albujar R, Jorge P, Romero S, Falero M, Izquierdo A, Capell J, Vicente M, Caballero R, Euba A, Serna A, Goya J, Legorburu A, Amoros A, Isabel V, Gonzalez N, Gracia S, Faci P, Villagrasa M, Macian M, Kofron J, Brodd K, Odlind A, Alberg L, Arwehed S, Hafstrom O, Kasemo A, Nederman K, Ahman L, Ingemarsson F, Petersson H, Thurn P, Albinsson E, Selander B, Abrahamsson T, Heimdahl I, Sveinsdottir K, Wejryd E, Hedlund A, Soderberg M, Hallberg B, Brune T, Backstrom J, Robinson J, Farooqi A, Normann E, Fredriksson M, Palm A, Rosenqvist U, Walde B, Hagman C, Ohlin A, Florell R, Smedsaas-Lofvenberg A, Meyer P, Anderegg C, Schulzke S, Nelle M, Wagner B, Riedel T, Kaczala G, Pfister R, Tolsa J, Roth M, Stocker M, Laubscher B, Malzacher A, Micallef J, Hegi L, Arlettaz R, Bernet V, Fiorini P, Boldrini A, Tomasini B, Kefas J, Kamalanathan A, Jayachandran, Yoxall B, McBride T, Webb D, Garr R, Hassan A, Ambadkar P, Dyke M, McDevitt K, Rewitzky G, D'Amore A, Panasa N, Settle P, Maddock N, Edi-Osagie N, Zipitis C, Heal C, Birch J, Hasib A, Soe A, Kumar N, Kisat H, Vasu V, Lama M, Gupta R, Rawlingson C, Wickham T, Theron M, Kendall G, Gupta A, Aladangady N, Ali I, Alsford L, Lopez W, Murthy V, Sullivan C, Thomas M, Bate T, Godambe S, Watts T, Kuna J, Chang J, Pai V, Huddy C, Yasin S, Nicholl R, Pandey P, Cusack J, Kairamkonda V, Muogbo D, Harry L, Simmons P, Nycyk J, Gallagher A, Pillay T, Deshpande S, Mahadevan, Moore A, Clark S, Garbash M, Lal M, Abu-Harb M, Dani C, Mittal A, Allwood A, Selter M, Munyard P, Bartle D, Paul S, Whincup G, Mallik A, Amess P, Godden C, Reynolds P, Misra I, De Halpert P, Salgia S, Sanghavi R, Wigfield R, Deketelaere A, Khashu M, Hall M, Groves C, Brown N, Brennan N, Vamvakiti K, McIntyre J, Pirie S, Jones S, Mannix P, Cairns P, Eaton M, Schwarz K, Gibson D, Miall L, Krishnamurthy, and Int Network Evaluation Outcomes iN more...

Abstract

Objective To evaluate outcome trends of neonates born very preterm in 11 high-income countries participating in the International Network for Evaluating Outcomes of neonates. Study design In a retrospective cohort study, we included 154 233 neonates admitted to 529 neonatal units between January 1, 2007, and December 31, 2015, at 24(0/7) to 31(6/7) weeks of gestational age and birth weight more...

Published
2019

12. Congenital hyperinsulinism due to compound heterozygous mutations in ABCC8 responsive to diazoxide therapy.

Author

Taylor-Miller, Tashunka, Houghton, Jayne, Munyard, Paul, Kumar, Yadlapalli, Puvirajasinghe, Clinda, and Giri, Dinesh

Abstract

Background: Congenital hyperinsulinism (CHI), a condition characterized by dysregulation of insulin secretion from the pancreatic β cells, remains one of the most common causes of hyperinsulinemic, hypoketotic hypoglycemia in the newborn period. Mutations in ABCC8 and KCNJ11 constitute the majority of genetic forms of CHI. Case presentation: A term macrosomic male baby, birth weight 4.81 kg, born to non-consanguineous parents, presented on day 1 of life with severe and persistent hypoglycemia. The biochemical investigations confirmed a diagnosis of CHI. Diazoxide was started and progressively increased to 15 mg/kg/day to maintain normoglycemia. Sequence analysis identified compound heterozygous mutations in ABCC8 c.4076C>T and c.4119+1G>A inherited from the unaffected father and mother, respectively. The mutations are reported pathogenic. The patient is currently 7 months old with a sustained response to diazoxide. Conclusions: Biallelic ABCC8 mutations are known to result in severe, diffuse, diazoxide-unresponsive hypoglycemia. We report a rare patient with CHI due to compound heterozygous mutations in ABCC8 responsive to diazoxide. [ABSTRACT FROM AUTHOR] more...

Published
2020
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14. Carrying over and carrying back: revis(ualis)ing loss and absence in Joseph Joffo’s Un sac de billes

Author

Munyard, Stephanie Faye

Abstract

ABSTRACTIn this article I consider how the themes of loss and absence are transmitted through multimodal retranslations of Joseph Joffo’s Un sac de billes(1973). The analysis explores how the visual functions as a language for Joseph Joffo – a new way of seeing, telling and remembering – and as an outlet through which knowledge of the Holocaust can be remediated. The article is divided into two main parts. The first considers the role of translation and of retranslation in the transmission of Holocaust memory and Joffo’s relationship to the multimodal retranslations of his work. Here, I point to retranslation’s role as a process through which Joffo is able to work through and correct inaccurate representations of his memory, as well as represent his memories for new audiences. In the second section, I explore the themes of loss and absence in Un sac de billesin view of Boase-Beier’s work on ‘stylistic silence’. This section brings together textual studies with the language of the visual to show how the formal features of the visual provide new possibilities for the representation of silences and for depicting loss which exceeds all imagination. more...

Published
2020
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18. Vigabatrin with hormonal treatment versus hormonal treatment alone (ICISS) for infantile spasms: 18-month outcomes of an open-label, randomised controlled trial

Author

O'Callaghan, Finbar J K, Edwards, Stuart W, Alber, Fabienne Dietrich, Cortina Borja, Mario, Hancock, Eleanor, Johnson, Anthony L, Kennedy, Colin R, Likeman, Marcus, Lux, Andrew L, Mackay, Mark T, Mallick, Andrew A, Newton, Richard W, Nolan, Melinda, Pressler, Ronit, Rating, Dietz, Schmitt, Bernhard, Verity, Christopher M, Osborne, John P, Abdel Aziz, Maysara, Acharya, Triloknath, Adcock, Carolyn, Jones, Robert, Howells, Rachel, Marsh, Ben, Adejare, Kemi, Adiga, Rashmi, Wheater, Mary, Ahmed, Mansoor, Sawal, Mohammad, Goel, Chhavi, Ahmed, MAS, Alber, Michael, Wolff, Markus, Ruf, Susanne, Al-Kharusi, Asya, Al-Moasseb, Hassan, Arora, Ruchi, Beach, Richard, Atkinson, Patricia, Ayonrinde, Kunle, Bala, Pronab, Bamford, Nicola, Barakat, Nagi, Basheer, Nigel, Baxter, Peter, Mordekar, Santosh, Rittey, Chris, Borggraefe, Ingo, Borusiak, Peter, Cagnoli, Sabine, Brown, Richard, Calvert, Sophie, Calvert, Sophie, Cameron, Duncan, Chaniyil, Ramesh, Chinthapalli, Ravi, Chow, Gabriel, Whitehouse, William, Clarke, Vinodhini, Cooper, Chris, Datta, Alexane, D'Costa, Selwyn, de Goede, Christian, Basu, Helen, Deekollu, David, Della Marina, Adela, Dison, Penelope, Dunkley, Colin, Eaton, Megan, Ellison, Julie, Pugh, Robert, Fallon, Penny, Faza, Hani, Choonara, Imti, Morton, Richard, Ratnayaka, Mal, Ferrie, Colin, Freeman, Amanda, Warriner, Stephen, Garcia, Maria, Ghazavi, Malihe, Gibbon, Frances, Gibbs, John, Ginbey, Des, Guarino, Iolanda, Gupta, Rajesh, Hanlon, Mary, Harris, Siân, Munyard, Paul, Hemingway, Cheryl, Eltze, Christin, Kaliakatsos, Marios, Murugan, Velayutham, Robinson, Robert, Tan, Jeen, Hindley, Daniel, Hughes, Adrian, Hussain, Akmal, Boden, Greg, Hussain, Munir, Hussain, Nahin, Dabydeen, Lyvia, Irwin, Kate, Jacobs, Julia, Jauhari, Praveen, Minchom, Philip, Jones, Simon, Karenfort, Michael, Keimer, Reinhard, Kennedy, Colin, Kirkham, Fenella, Whitney, Andrea, Kirkpatrick, Martin, Jollands, Alice, Kneen, Rachel, Iyer, Anand, McTague, Amy, Spinty, Stefan, Kumar, Ramesh, Kurlemann, Gerhard, Lee, Matthew, Jurges, Eman, Levy, Robert, Lewis, Helen, Lewis, Hilary, Lewis, Hilary, Lloyd Evans, Andrew, Loh, Ne-Ron, Osborne, John, O'Callaghan, Finbar, Maddicks, Hilary, Luecke, Thomas, Lux, Andrew, O'Callaghan, Finbar, Majumdar, Anirban, Vijayakumar, Kayal, MacKay, Mark, Freeman, Jeremy, Hayman, Michael, Kornberg, Andrew, Leventer, Rick, Ryan, Monique, Ware, Tyson, Mancais, Penny, Marinaki, Katina, Massarano, Albert, Mathew, Satheesh, McLellan, Ailsa, Melville, Colin, Mewasingh, Leena, Muhle, Hiltrud, Nagmeldin, Eisawi, Natarajan, Jeyashree, Nelapatla, Suresh, Gondwe, Jailosi, Newton, Richard, Hughes, Imelda, Martland, Tim, McCullagh, Gary, Tan, Jeen, Vassallo, Grace, Nirmal, Stephen, Nolan, Melinda, Davis, Suzanne, Patel, Rakesh, Sharpe, Cynthia, Olabi, Anas, O'Neill, Kevin, Gould, Jim, Panzer, Axel, Theophil, Manuela, Parepalli, Srinivas, Hinde, Frank, Smith, Martin, Parker, Alasdair, Chitre, Manali, Philip, Sunny, Gupta, Rajat, Wassmer, Evangeline, Pike, Mike, McShane, Tony, Prakash, Nandhini, Padmakumar, Beena, Pridmore, Clair, Prietsch, Viola, Krieg, Peter, Quinlivan, Ros, Quinn, Michael, Collinson, Andrew, Howells, Rachel, Rajalingam, Usha, Rakshi, Karl, Rao, Tekki, Ravi, Asha, Rifkin, Rob, Roper, Helen, Rowlandson, Piers, Sadleir, Lynette, Sahi, Sanjay, Saraswatula, Arun, O'Sullivan, Siobhan, Saravanan, Kethar, Scammell, Alastair, Rao, Sudhakar, Schmitt, Bernhard, Schubert-Bast, Susanne, Scott, David J, Scott, Fraser, Pye, Matthew, Shah, Ayaz, Stephen, Elma, Shah, Shambhu, Butterfill, Andrew, Shute, Pauline, Singh, Rajeeva, Allogoa, Brigid, Singh, Ravinder, Sinha, Gyanranjan, Sivakumar, Puthuval, Smith, Robert, Sriskandan, Sivaranjini, Steinert, Martin, Strassburg, Michael, Strozzi, Susi, Subramanian, Geeta, and Tandy, Andrew more...

Abstract

Infantile spasms constitute a severe form of epileptic encephalopathy. In the International Collaborative Infantile Spasms Study (ICISS), we showed that combining vigabatrin with hormonal therapy was more effective than hormonal therapy alone at stopping spasms between days 14 and 42 of treatment. In this planned follow-up, we aimed to assess whether combination therapy was associated with improved developmental and epilepsy outcomes at 18 months of age. more...

Published
2018
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20. Analysis of Meaningful Conditioned Pain Modulation Effect in a Pain-Free Adult Population.

Author

Locke, David, Gibson, William, Moss, Penny, Munyard, Kylie, Mamotte, Cyril, and Wright, Anthony

Abstract

Conditioned pain modulation (CPM) encompasses the effects of inhibitory and facilitatory pain modulatory systems and is inefficient in some chronic pain states. A proportion of healthy subjects also exhibit little or no CPM, perhaps suggesting that inherent factors such as gender or genetics may be influential. However, there is no consensus on how best to determine a meaningful CPM effect. This study aimed to determine the proportion of pain-free subjects exhibiting a meaningful CPM effect. Analyses of associations between 5HTTLPR (serotonin transporter-linked polymorphic region) polymorphisms on the serotonin transporter gene ( SLC6A4 ), gender, and CPM effect were also carried out. A total of 125 healthy subjects (47 male; 78 female) underwent pressure pain threshold testing before, during, and after a cold pressor conditioning stimulus. A buccal cell sample was collected for analysis of 5HTTLPR genotype. Meaningful CPM effect was determined as an increase in pressure pain threshold values from baseline greater than the inherent error of measurement, calculated as 5.3%. During the conditioning stimulus, 116 subjects (92.8%) exhibited a CPM effect whereas 9 did not. CPM effect did not differ significantly between genders or between 5HTTLPR genotypes. This provides a clear basis on which to determine the proportion of patients with a chronic pain disorder that exhibit a meaningful CPM effect. Perspective This study proposes a method for calculating meaningful CPM effect and reports the proportion and magnitude of effect elicited in a large sample. Associations between CPM, gender, and genotype were also analyzed. Clarification of normal CPM response may help to elucidate the mechanisms driving CPM inefficiency in chronic pain. [ABSTRACT FROM AUTHOR] more...

Published
2014
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25. A rapid non-destructive DNA extraction method for insects and other arthropods.

Author

Castalanelli, Mark A., Severtson, Dustin L., Brumley, Cameron J., Szito, Andras, Foottit, Robert G., Grimm, Mike, Munyard, Kylie, and Groth, David M.

Subjects
DNA damage, INSECTS, ENTOMOLOGY, ARTHROPODA, MORPHOLOGY, ETHANOL, PROPENE
Abstract

Abstract: Preparation of arthropods for morphological identification often damages or destroys DNA within the specimen. Conversely, DNA extraction methods often destroy the external physical characteristics essential for morphological identification. We have developed a rapid, simple and non-destructive DNA extraction technique for arthropod specimens. This technique was tested on four arthropod orders, using specimens that were fresh, preserved by air drying, stored in ethanol, or collected with sticky or propylene glycol traps. The technique could be completed in 20min for Coleoptera, Diptera and Hemiptera, and 2min for the subclass Acarina, without significant distortion, discolouration, or other damage to the specimens. [Copyright &y& Elsevier] more...

Published
2010
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26. The occurrence and severity of grass toxicoses in Australian alpaca (Vicugna pacos) herds.

Author

Natalia Sampaio, Mark Gishen, Kevin Reed, Mel Brown, Daphne Gregory, and Kylie Munyard

Abstract

A survey of 108 alpaca producers registered with the Australian Alpaca Association examined the occurrence and severity of ‘staggers' (a colloquial term embracing various diseases of the nervous system in animals, characterised by neck tremors and head nodding in the milder alpaca cases and a lack of coordination in moving, a staggering gait and frequent falling in severe cases) in Australian alpaca and the presence of four pasture grasses, during three production seasons in 2004–2006. There have been few studies on the susceptibility of alpaca to staggers and its effect on productivity and animal welfare. The survey found that 23% of alpaca producers had observed staggering animals, with Victoria and South Australia being the most severely affected states. Clinical signs of staggers were most frequent in January–March, with a mean duration of 3 months. Some animals showed clinical signs lasting up to 12 months. A strong correlation was found between the presence of perennial ryegrass (P < 0.001) and phalaris (P < 0.003) and the occurrence of staggers. Based on grass presence and the timing when staggers was observed, it was concluded that perennial ryegrass toxicosis was the main cause of staggers in alpaca. About 12% and 9% of alpaca grazing pasture containing perennial ryegrass exhibited staggers in the two full seasons for which data were collected. Herds with staggering animals were correlated with those exhibiting possible subclinical effects – heat sensitivity and ill-thrift (P < 0.01) and reduced fertility (P < 0.05) – of perennial ryegrass endophyte toxins. Results indicate that weanlings and cria are more likely to stagger than adults. Thirteen of the 15 mixed farms with staggering alpaca did not observe staggers in other livestock, suggesting that alpaca may be more sensitive to the causal toxins than sheep and cattle. [ABSTRACT FROM AUTHOR] more...

Published
2008
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27. P4041 Pooled whole-genome sequencing reveals molecular signatures of natural adaptive selection in Djallonke sheep of Ghana

Author

Yaro, M., Munyard, K. A., Morgan, E., Allcock, R. J., Stear, M. J., and Groth, D. M.

Abstract

The Djallonke sheep is of high socioeconomic and cultural importance in at least 14 countries within the sub-Saharan region of Africa, mainly because it is well adapted to the harsh environmental conditions and major livestock disease within this region. The larger-framed Sahelian sheep breed that cohabits large parts of the region is less adapted to all these challenges. The most prominent among these adaptive attributes is resistance to trypanosomiasis and helminthosis, two parasitic diseases, which collectively cost the worldwide animal production industry billions of dollars annually. Here we sequenced and pooled whole genomic DNA from five individuals each of Djallonke and Sahelian sheep breeds sampled from Ghana, at greater than 22-fold average coverage on an ion proton sequencer. A total of approximately 404 million (97%) and 343 million (97%) sequence reads from the Djallonke and Sahelian, respectively, were successfully mapped to the sheep reference genome OviAri3. Preliminary analysis of the sequenced data of Djallonke breed showed several potential selective sweeps, some of which are co-localized within genomic regions known to harbor genes that mediate immune response in sheep. To the best of our knowledge, this is the first-ever whole-genome sequencing of these two sheep breeds. Our ongoing analysis of the sequenced data will provide a valuable resource for elucidating the underlying mutations and mechanisms of the numerous adaptive traits of the Djallonke sheep. This knowledge will not only ensure the sustainable breeding and utilization of the Djallonke sheep but will also have a long-term implication for the food security and poverty alleviation of all the 14 countries in the sub-Saharan African region. more...

Published
2016
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28. P3038 Chromatin accessibility in the liver and circulating immune cells of pigs, goats and chickens

Author

Giuffra, E., Munyard, K. A., Goubil, A., Vincent-Naulleau, S., Esquerré, D., Djebali, S., and Foissac, S.

Abstract

Functional annotation of the genomes of agriculturally important species is required for research and applications on health, food security and environmental sustainability purposes (Andersson et al., 2015 Gen. Biol. 16:57). One important aspect of functional control of mammalian genomes is chromatin accessibility (Kornberg & Lorch (1992) Ann. Rev. Cell Biol. 8:563–587; Mellor (2005) Molecular Cell 19:147–157). The chromatin accessibility of major agricultural species is being measured as part of the French pilot project (Fr-AgENCODE) within the Functional Analysis of Animal Genomes (FAANG) consortium. Assay for transposase-accessible chromatin using sequencing (ATAC-seq) is an emerging method for measuring chromatin accessibility with advantages over other such methods (e.g., DNase 1 hypersensitive sites sequencing: DNase-seq) because it requires fewer cells and is fast and simple (Buenrostro et al., (2013) Nat. Methods 10(12):1213–1218). We previously presented, for the first time, ATAC-seq data from porcine primary tissues in MeLim pigs and have now extended this to liver, CD3+CD4+, & CD3+CD8+T cells collected from pigs, goats and chickens. Transposition was completed on fresh liver samples at time of sampling and on preserved, thawed CD3+CD4+and CD3+CD8+cells (Buenrostro et al., 2015, Curr. Prot. Mol. Biol. 109:21.2). Libraries that passed QC were sequenced on an Illumina HiSeq3000 to generate > 100 million PE 150 bp raw reads. An analysis pipeline has been developed using best-practice bioinformatics tools to trim reads (Trimgalore), map reads to the reference (Bowtie2), remove mitochondrial reads and duplicates (Samtools/Picard-Tools) call peaks (MACS2) and incorporate into this pipeline quality control metrics. We compare and contrast the nucleosome occupancy of avian and mammalian cells/tissues and discuss the implications for chromatin accessibility and functional annotation of genomes. more...

Published
2016
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30. A review of the importance of immune responses in luminal B breast cancer

Author

Nelson, Delia J., Clark, Briony, Munyard, Kylie, Williams, Vincent, Groth, David, Gill, Jespal, Preston, Henry, and Chan, Arlene

Abstract

ABSTRACTHistorically, the immune environment was not considered an important target for breast cancer treatment. However, the association of lymphocytic infiltrates in triple negative and HER-2 over-amplified breast cancer subtypes with better outcomes, has provoked interest in evaluating the role of the immune system in the luminal B subtype that accounts for 39% of breast cancers and has a poor patient prognosis. It is unknown which immunosuppressive cell types or molecules (e.g., checkpoint molecules) are relevant, or where measurement is most informative. We hypothesize that a profound immunosuppressive tumor and/or lymph node milieu is prognostic and impacts on responses to therapies. more...

Published
2017
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31. P-111  The importance of a dedicated forward thinking housekeeping team working in a clinical environment

Author

Marsh, Angela and Munyard, Paul

Abstract

The housekeeping team worked daily to ensure the cleaning and standards of the hospice where completed to a high standard - but what standard? The cleaning team didn’t have a choice on decision making or cleaning standards so we introduced a team leader who recognised the need for change to have a proactive approach to cleanliness, decontamination and infection prevention. We implemented change and for the first time the Housekeeping team leader sat on the infection prevention and cleanliness committee (IPCC) not only being an attendee but an active member to bring best practice and ideas forward. New policies and procedures where written, housekeeping staff re-trained and mentored. One positive improvement was to introduce Green “I am clean” stickers. These where easily recognisable by all; nursing staff, patients and families were confident knowing that the rooms where clean and the housekeeping team found this a positive communication skill.We then needed to review that change to ensure this was an improvement. So we created cleanliness and operational reports approved by our IPCC. We based this on the PLACE model and tailored the areas of inspection to Cleanliness and Operation of patients’ areas to ensure these are fit for use as well as clean. The report has 30 domains to score against which gives an overall rating of: GreenControl is sufficientAmberFurther control needed for improvementRedConsiderable need for improvementOnce the report is complete, findings are reported to IPCC. In future it’s hoped we can start to extract data which then can be used further to support training and best practice sharing. This forward thinking will certainly bring the housekeeping team to the forefront of the hospice rather than feeling undervalued and proves that collaborative working on this domain has been highly positive move. more...

Published
2016
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32. P-273  Interior design creating an innovative, caring and welcoming approach whilst meeting patient needs

Author

Munyard, Paul and Williamson, Nicci

Abstract

Quite often buildings are designed by architects to meet the needs of the person paying their invoice and design something that will add to their professional portfolio but often don’t speak to the end service users. This is no fault of the architect as they have the customer at mind i.e. Douglas Macmillan Hospice and the hospice have the patient at mind. To ensure the interior design was patient centred, we consulted with them through our patient’s forum and asked them what they wanted. The response was “LOTS OF LIGHT”.The building design reflected this BUT what where we going to do internally? It was at this point we wanted patients and staff to be involved in doing something different to complement patient needs and to meet the staff needs. It also needed to meet dementia, equality and clinical standards as well as creating a warm and welcoming environment following the theme lots of light! With a variety of large and small spaces we looked at how we could use colours to do this. We looked at how the colours differ in daylight and artificial lighting atmospheres to create a warm glow. We avoided reds, yellows and oranges that represent blood or make a patient look more jaundiced. We decided on a common base colour for walls and flooring and then created a palette of colours to choose from to add individualistic flair. We chose a bold warm colour for woodwork to assist with distinguishing these from a disability point of view along with a non-clinical navigational Stripe to flooring. On the ground floor we decided to make a feature of the furniture in the same palate of colours chosen to provide a modern homely feel whilst ensuring the furniture didn’t look clinical but provided hidden support where needed. more...

Published
2016
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33. A new device for ambulatory cough recording.

Author

Munyard P, Busst C, Logan-Sinclair R, and Bush A

Subjects
Adult, Asthma diagnosis, Child, Electrocardiography, Electromyography, Equipment Design, Evaluation Studies as Topic, Humans, Reproducibility of Results, Signal Processing, Computer-Assisted, Tape Recording, Cough, Monitoring, Ambulatory instrumentation
Abstract

Nocturnal cough reporting on diary cards has been shown to be unreliable and inconsistent. Whether subjective reporting of daytime cough is equally unreliable remains unknown. We have, therefore, developed a new and easily portable device (RBC-7) that records electromyographic (EMG) and audio cough signals for at least a 24-hr period, with a capacity of over 48 hr. Additional information is obtained from electrocardiographic (ECG) signals, and from an accelerometer indicating the level of the subject's activity. The RBC-7 can be set up with the aid of a notebook computer at the subjects home, school or workplace. Initial studies utilizing a prototype device were performed to determine the optimal position of the EMG leads and the microphone. The optimal position for the EMG leads was determined as the positive electrode in the sixth intercostal space (ICS) in the midclavicular line on the left, the negative electrode in the same position on the right, and the reference electrode in the midline over the abdomen. This position was shown to give the highest EMG voltages and the greatest difference in voltages between cough and other signals. The optimal microphone position for signal strength and comfort was over the first ICS, either right or left, close to the sternum. Recordings were performed simultaneously in 20 subjects with conventional tape recorders and the multiparametric cough monitoring system (RBC-7). Conventional tape recordings limited the duration of the studies due to the inherent restrictions. No significant difference in the number of single coughs recorded by each system was detected (correlation coefficient = 0.996). The RBC-7 offers a unique opportunity to obtain objective information on cough in ambulatory subjects over at least a 24-hr period, and to relate cough to time, activity and heart rate, while normal activities are pursued. more...

Published
1994
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