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BACKGROUND: Adherence to TB drugs is crucial for improving treatment outcomes. Digital adherence technologies can improve adherence; however, there is a lack of evidence on cost-effectiveness. This study aimed to explore the cost-effectiveness of medication event reminder monitors (MERM) in China compared with the standard of care, using results from a pragmatic, cluster-randomised superiority trial of an electronic MERM in China. METHODS: We collected primary unit cost data from the societal perspective, both at and above the health facility level. We estimated the incremental cost-effectiveness of MERM using a Markov model with a 20-year time horizon; a 3% discount rate was applied to costs and outcomes. We explored uncertainty through a series of sensitivity and scenario analyses. RESULTS: The incremental cost of MERM was $27.22 per patient. Probabilistic sensitivity analysis showed significant uncertainty about the intervention's cost-effectiveness. Changing assumptions around key parameters substantially affected our estimated incremental cost-effectiveness ratio. CONCLUSIONS: Although the incremental cost of the MERM box was low, current evidence does not indicate that the intervention would be cost-effective. However, the intervention's cost-effectiveness could improve if implemented as part of a broader strategy, including enhanced patient management.
CONTEXTE: Il est crucial de respecter les médicaments antituberculeux pour améliorer les résultats du traitement. Les technologies numériques peuvent améliorer l'observance, mais il existe un manque de preuves sur leur rapport coût-efficacité. Cette étude a examiné le rapport coût-efficacité des moniteurs de rappel d'événements médicamenteux (MERM, pour l'anglais, « medication event reminder monitors ¼) en Chine par rapport aux soins standards, en se basant sur les résultats d'un essai pragmatique randomisé en grappes d'un MERM électronique en Chine. MÉTHODES: Les coûts unitaires primaires du point de vue de la société ont été collectés et analysés à la fois au niveau de l'établissement de santé et au-delà. Pour évaluer le rapport coût-efficacité différentiel du MERM, nous avons utilisé un modèle de Markov sur une période de 20 ans, en appliquant un taux d'actualisation de 3% aux coûts et aux résultats. Afin de prendre en compte les incertitudes, nous avons effectué plusieurs analyses de sensibilité et de scénarios. RÉSULTATS: Le coût supplémentaire du MERM s'élevait à 27,22 $ par patient. L'analyse de sensibilité probabiliste a révélé une incertitude importante concernant le rapport coût-efficacité de l'intervention. La variation des hypothèses liées aux paramètres clés a eu un impact significatif sur le rapport coût-efficacité différentiel estimé. CONCLUSIONS: Bien que le coût différentiel de la boîte MERM soit faible, les données actuelles n'indiquent pas que l'intervention serait rentable. Toutefois, le rapport coût-efficacité de l'intervention pourrait être amélioré si elle était mise en Åuvre dans le cadre d'une stratégie plus large, comprenant une meilleure prise en charge des patients.
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Background: There is a need for novel methods to determine preventable causes of racial health disparities. This need has been met with the development of improved methods for mediation modeling. Current mediational analysis methods call for an evaluation of statistical interaction or effect modification between the investigated cause and mediator. For racial disparity, this approach facilitates the estimation of racially specific risks for infant mortality. However, current methods for evaluating multiple interacting mediators are inadequate. The first objective of the study was to compare Bayesian estimation of potential outcomes to other approaches to mediation analysis that included interaction. The second objective was to evaluate three potentially interacting mediators of racial disparity for infant mortality by modeling the large dataset from the National Natality Database using Bayesian estimation of potential outcomes. Methods: A random sample of observations from the 2003 National Natality Database was used to compare the currently promoted methods for mediation modeling. Racial disparity was modeled as a separate function for each of three potential mediators, (i) maternal smoking, (ii) low birth weight and (iii) teenage maternity. As a second objective, direct Bayesian estimation of potential outcomes modeled infant mortality as function of the interactions among the three mediators and race using the full National Natality Database for the years 2016 to 2018. Results: The counterfactual model was inaccurate in estimating the proportion of racial disparity that was attributable to either maternal smoking or teenage maternity. The counterfactual approach did not accurately estimate the probabilities defined by counterfactual definitions. The error was a result of modeling the excess relative risk instead of the risk probabilities. Bayesian approaches did estimate the probabilities of the counterfactual definitions. Results showed that 73% of the racial disparity for infant mortality was attributed to infants born with low birth weight. Conclusions: Bayesian estimation of potential outcomes could evaluate whether proposed public health programs would affect races differently and decisions could include consideration of the causal effect the program may have on racial disparity. The large contribution of low birth weight to racial disparity for infant mortality should be further investigated to identify preventable factors for low birth weight.
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Generalised estimating equations with the sandwich standard-error estimator provide a promising method of analysis for stepped wedge cluster randomised trials. However, they have inflated type-one error when used with a small number of clusters, which is common for stepped wedge cluster randomised trials. We present a large simulation study of binary outcomes comparing bias-corrected standard errors from Fay and Graubard; Mancl and DeRouen; Kauermann and Carroll; Morel, Bokossa, and Neerchal; and Mackinnon and White with an independent and exchangeable working correlation matrix. We constructed 95% confidence intervals using a t-distribution with degrees of freedom including clusters minus parameters (DFC-P), cluster periods minus parameters, and estimators from Fay and Graubard (DFFG), and Pan and Wall. Fay and Graubard and an approximation to Kauermann and Carroll (with simpler matrix inversion) were unbiased in a wide range of scenarios with an independent working correlation matrix and more than 12 clusters. They gave confidence intervals with close to 95% coverage with DFFG with 12 or more clusters, and DFC-P with 18 or more clusters. Both standard errors were conservative with fewer clusters. With an exchangeable working correlation matrix, approximated Kauermann and Carroll and Fay and Graubard had a small degree of under-coverage.
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Proyectos de Investigación , Sesgo , Análisis por Conglomerados , Simulación por Computador , Ensayos Clínicos Controlados Aleatorios como Asunto , Tamaño de la MuestraRESUMEN
Patients with cancer and with preexisting active autoimmune diseases (ADs) have been excluded from immunotherapy clinical trials because of concerns for high susceptibility to the development of severe adverse events resulting from exacerbation of their preexisting ADs. However, a growing body of evidence indicates that immune-checkpoint inhibitors (ICIs) may be safe and effective in this patient population. However, baseline corticosteroids and other nonselective immunosuppressants appear to negatively impact drug efficacy, whereas retrospective and case report data suggest that use of specific immunosuppressants may not have the same consequences. Therefore, we propose here a two-step strategy. First, to lower the risk of compromising ICI efficacy before their initiation, nonselective immunosuppressants could be replaced by specific selective immunosuppressant drugs following a short rotation phase. Subsequently, combining ICI with the selective immunosuppressant could prevent exacerbation of the AD. For the most common active ADs encountered in the context of cancer, we propose specific algorithms to optimize ICI therapy. These preventive strategies go beyond current practices and recommendations, and should be practiced in ICI-specialized clinics, as these require multidisciplinary teams with extensive knowledge in the field of clinical immunology and oncology. In addition, we challenge the exclusion from ICI therapy for patients with cancer and active ADs and propose the implementation of an international registry to study such novel strategies in a prospective fashion.
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Enfermedades Autoinmunes , Neoplasias , Enfermedades Autoinmunes/tratamiento farmacológico , Humanos , Inhibidores de Puntos de Control Inmunológico , Neoplasias/tratamiento farmacológico , Estudios Prospectivos , Estudios RetrospectivosRESUMEN
Leber congenital amaurosis (LCA) encompasses a group of severe inherited retinal dystrophies (IRDs) responsible for early childhood blindness. There are currently 25 genes implicated in the pathogenesis of these diseases, and identification of disease-causing variants will be required for personalised therapies. Whole exome and whole genome sequencing is informative for detecting novel disease-causing genes, whilst next-generation sequencing has excelled at detecting novel variants in known disease-causing genes.A global effort will be required to identify patient populations for early intervention. At the Australian Inherited Retinal Disease Registry and DNA Bank, we seek to identify genetic variants in individuals with IRDs in the Australian population to identify potential candidates for clinical trials, to inform clinical management of patients including reproductive options and to expand existing knowledge of IRDs.Due to the diversity of genes implicated, personalised strategies are likely to be the benchmark for treating these diseases, and a combined approach of different therapies may be optimal in treating some of these diseases.
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Amaurosis Congénita de Leber/genética , Medicina de Precisión , Aciltransferasas/genética , Antígenos de Neoplasias/genética , Australia/epidemiología , Proteínas de Ciclo Celular , Proteínas del Citoesqueleto , Análisis Mutacional de ADN , Heterogeneidad Genética , Terapia Genética , Vectores Genéticos/uso terapéutico , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Amaurosis Congénita de Leber/epidemiología , Amaurosis Congénita de Leber/terapia , Terapia Molecular Dirigida , Proteínas de Neoplasias/genética , Sistema de Registros , Secuenciación del Exoma , Secuenciación Completa del Genoma , cis-trans-Isomerasas/genéticaRESUMEN
In stepped-wedge trials (SWTs), the intervention is rolled out in a random order over more than 1 time-period. SWTs are often analysed using mixed-effects models that require strong assumptions and may be inappropriate when the number of clusters is small. We propose a non-parametric within-period method to analyse SWTs. This method estimates the intervention effect by comparing intervention and control conditions in a given period using cluster-level data corresponding to exposure. The within-period intervention effects are combined with an inverse-variance-weighted average, and permutation tests are used. We present an example and, using simulated data, compared the method to (1) a parametric cluster-level within-period method, (2) the most commonly used mixed-effects model, and (3) a more flexible mixed-effects model. We simulated scenarios where period effects were common to all clusters, and when they varied according to a distribution informed by routinely collected health data. The non-parametric within-period method provided unbiased intervention effect estimates with correct confidence-interval coverage for all scenarios. The parametric within-period method produced confidence intervals with low coverage for most scenarios. The mixed-effects models' confidence intervals had low coverage when period effects varied between clusters but had greater power than the non-parametric within-period method when period effects were common to all clusters. The non-parametric within-period method is a robust method for analysing SWT. The method could be used by trial statisticians who want to emphasise that the SWT is a randomised trial, in the common position of being uncertain about whether data will meet the assumptions necessary for mixed-effect models.
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Ensayos Clínicos Controlados Aleatorios como Asunto/métodos , Estadísticas no Paramétricas , Análisis por Conglomerados , Simulación por Computador , Interpretación Estadística de Datos , Humanos , Factores de TiempoRESUMEN
The bacterium Escherichia coli exhibits remarkable genomic and phenotypic variation, with some pathogenic strains having evolved to survive and even replicate in the harsh intra-macrophage environment. The rate and effects of mutations that can cause pathoadaptation are key determinants of the pace at which E. coli can colonize such niches and become pathogenic. We used experimental evolution to determine the speed and evolutionary paths undertaken by a commensal strain of E. coli when adapting to intracellular life. We estimated the acquisition of pathoadaptive mutations at a rate of 10-6 per genome per generation, resulting in the fixation of more virulent strains in less than a hundred generations. Whole genome sequencing of independently evolved clones showed that the main targets of intracellular adaptation involved loss of function mutations in genes implicated in the assembly of the lipopolysaccharide core, iron metabolism and di- and tri-peptide transport, namely rfaI, fhuA and tppB, respectively. We found a substantial amount of antagonistic pleiotropy in evolved populations, as well as metabolic trade-offs, commonly found in intracellular bacteria with reduced genome sizes. Overall, the low levels of clonal interference detected indicate that the first steps of the transition of a commensal E. coli into intracellular pathogens are dominated by a few pathoadaptive mutations with very strong effects.
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Adaptación Fisiológica , Escherichia coli/fisiología , Espacio Intracelular/microbiología , Macrófagos/microbiología , Adaptación Fisiológica/efectos de los fármacos , Adaptación Fisiológica/genética , Animales , Evolución Biológica , Células Clonales , Escherichia coli/efectos de los fármacos , Escherichia coli/crecimiento & desarrollo , Proteínas de Escherichia coli/metabolismo , Aptitud Genética , Sitios Genéticos , Glucosa/farmacología , Haplotipos , Hierro/farmacología , Macrófagos/efectos de los fármacos , Maltosa/farmacología , Ratones , Viabilidad Microbiana/efectos de los fármacos , Mutación/genética , Estrés Oxidativo/efectos de los fármacos , Células RAW 264.7RESUMEN
This study determined the effect of chronic intrauterine hypoxia on collagen deposition in the fetal sheep heart. Moderate or severe hypoxia was induced by placental embolization in chronically catheterized fetal sheep for 15 days starting at gestational day 116 ± 2 (term â¼147 days). The fetal right and left ventricle were evaluated for collagen content using a Sirius red dye and for changes in signaling components of pathways involved in collagen synthesis and remodeling using quantitative polymerase chain reaction and Western blot. In severely hypoxic fetuses (n = 6), there was a two-fold increase (P < 0.05) in the percentage staining for collagen in the right ventricle, compared with control (n = 6), whereas collagen content was not altered in the moderate group (n = 4). Procollagen I and III mRNA levels were increased in the right ventricle, two-fold (P < 0.05) and three-fold (P < 0.05), respectively, in the severe group relative to control. These changes were paralleled by a two-fold increase (P < 0.05) in mRNA levels of the pro-fibrotic cytokine, transforming growth factor ß (TGF-ß1), in the right ventricle. In the right ventricle, the mRNA levels of matrix metalloproteinase 2 (MMP-2) and its activator, membrane-type MMP (MTI-MMP) were increased five-fold (P = 0.06) and three-fold (P < 0.05), respectively, relative to control. Protein levels of TGF-ß were increased in the left ventricle (P < 0.05). Thus, up-regulated collagen synthesis leading to increased collagen content occurs in the chronically hypoxic fetal heart and may contribute to the right ventricular diastolic and systolic dysfunction reported in human intrauterine growth restriction fetuses.
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BACKGROUND AND PURPOSE: Despite advances in the understanding of Huntington's disease (HD), treatment remains symptomatic. Multidisciplinary rehabilitation, however, appears to impact disease progression. Here we show the feasibility, safety and efficacy of a 9-month multidisciplinary rehabilitation programme in a small cohort of patients with early-to-middle-stage HD. METHODS: Twenty patients with HD were assigned to two groups, equally matched for cognitive and motor scores. One group received the intervention, whilst the other served as control. The Unified-Huntington's-Disease-Rating-Scale-Total-Motor-Score was the primary outcome measure. Neurocognitive/psychological tests, body composition, postural stability, strength and quality of life assessments were secondary outcome measures. RESULTS: The intervention reduced motor and postural stability deterioration, with minor improvements in depression, cognition and quality of life. Significant gains were observed for fat-free mass and strength. CONCLUSION: This pilot study suggests that a prolonged multidisciplinary rehabilitation programme in early-to-middle-stage HD is feasible, well-tolerated and associated with therapeutic benefit. Further explorative, larger studies are warranted.
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Terapia por Ejercicio/métodos , Enfermedad de Huntington/rehabilitación , Terapia Ocupacional/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Proyectos Piloto , Resultado del TratamientoRESUMEN
BACKGROUND AND AIMS: Phosphorus commonly limits crop yield and is frequently applied as fertilizer; however, supplies of quality rock phosphate for fertilizer production are diminishing. Plants have evolved many mechanisms to increase their P-fertilizer use efficiency, and an understanding of these traits could result in improved long-term sustainability of agriculture. Here a mutant population is utilized to assess the impact of root hair length on P acquisition and yield under P-deficient conditions alone or when combined with drought. METHODS: Mutants with various root hair phenotypes were grown in the glasshouse in pots filled with soil representing sufficient and deficient P treatments and, in one experiment, a range of water availability was also imposed. Plants were variously harvested at 7 d, 8 weeks and 14 weeks, and variables including root hair length, rhizosheath weight, biomass, P accumulation and yield were measured. KEY RESULTS: The results confirmed the robustness of the root hair phenotypes in soils and their relationship to rhizosheath production. The data demonstrated that root hair length is important for shoot P accumulation and biomass, while only the presence of root hairs is critical for yield. Root hair presence was also critical for tolerance to extreme combined P deficit and drought stress, with genotypes with no root hairs suffering extreme growth retardation in comparison with those with root hairs. CONCLUSIONS: The results suggest that although root hair length is not important for maintaining yield, the presence of root hairs is implicit to sustainable yield of barley under P-deficient conditions and when combined with extreme drought. Root hairs are a trait that should be maintained in future germplasm.
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Hordeum/crecimiento & desarrollo , Fósforo/deficiencia , Raíces de Plantas/crecimiento & desarrollo , Agua/metabolismo , Adaptación Fisiológica/genética , Productos Agrícolas/genética , Productos Agrícolas/crecimiento & desarrollo , Sequías , Variación Genética , Genotipo , Hordeum/genética , Mutación , Fenotipo , Raíces de Plantas/anatomía & histología , Raíces de Plantas/citología , Raíces de Plantas/genéticaRESUMEN
Records (years 2005-2007) were analyzed from a Thoroughbred stud farm in central Kentucky. Data from all breeding cycles of foaling mares were tabulated (3184 cycles of 2003 foaling mares bred between 7 and 163 days postpartum). A multiple logistic regression model employing Bayesian statistics was used to adjust for factors that significantly affected outcome; odds ratios (ORs) for pregnancy rate, pregnancy loss rate, and foaling rate were determined to examine the influence of day of postpartum breeding on these parameters. Mares bred before Day 22 (Day 0 = day of foaling) postpartum had a decreased OR for becoming pregnant (P < 0.05); the median OR for becoming pregnant (1.00) was not reached until Day 46 postpartum. Mares bred before Day 13 postpartum had an increased OR for pregnancy loss (P < 0.05). The median OR for pregnancy loss did not decline below 1.00 until Day 78 postpartum. Mares bred before Day 20 postpartum had a decreased OR for producing a foal (P < 0.05). The median OR for producing a foal (1.00) was not reached until Day 75 postpartum. We concluded that fertility (in terms of a higher OR for becoming pregnant and a lower OR for pregnancy loss, resulting in a higher OR for producing a foal) continued to improve in Thoroughbred mares for approximately 2.5 mo postpartum. These findings are of importance to management strategies directed at early postpartum breeding, and explain some of the reported drift in subsequent foaling dates of Thoroughbred mares, despite management practices that employ early postpartum breeding.
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Aborto Veterinario/epidemiología , Cruzamiento/métodos , Caballos/fisiología , Periodo Posparto , Índice de Embarazo , Animales , Teorema de Bayes , Femenino , Modelos Logísticos , Masculino , Oportunidad Relativa , Embarazo , Resultado del Embarazo/veterinaria , Factores de TiempoRESUMEN
INTRODUCTION: In the phase III RECORD-1 trial (ClinicalTrials.gov: NCT00410124), patients with metastatic renal cell carcinoma (mRCC) who progressed on previous vascular endothelial growth factor receptor-tyrosine kinase inhibitor (VEGFr-TKI) therapy were randomised 2:1 to everolimus 10mg once daily (n=277) or placebo (n=139). Median progression-free survival (PFS) was 4.9months with everolimus and 1.9months with placebo (hazard ratio [HR], 0.33; P<.001). This preplanned, prospective sub-analysis evaluated PFS benefit of everolimus versus placebo in patients who had previously received 1 or 2 VEGFr-TKIs. PATIENTS AND METHODS: Median PFS was estimated using the Kaplan-Meier method, and Cox proportional hazards model was used to analyse differences in PFS. RESULTS: All patients (100%) received ⩾1 previous VEGFr-TKI; 26% of patients received 2 previous VEGFr-TKIs. Among patients who received 1 previous VEGFr-TKI, median PFS was 5.4months with everolimus and 1.9months with placebo (HR, 0.32; 95%confidence interval [CI], 0.24-0.43; P<.001). Among patients who received 2 previous VEGFr-TKIs, median PFS was 4.0months with everolimus and 1.8months with placebo (HR, 0.32; 95%CI, 0.19-0.54; P<.001). The everolimus safety profile was similar for both groups. CONCLUSIONS: Everolimus was associated with prolonged PFS relative to placebo in patients who received 1 or 2 previous VEGFr-TKIs. Patients who received only 1 previous VEGFr-TKI had apparently longer PFS with everolimus in reference to those who received 2 previous VEGFr-TKIs. These results support the use of everolimus as the standard of care in patients who fail initial VEGFr-TKI therapy.
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Antineoplásicos/uso terapéutico , Carcinoma de Células Renales/tratamiento farmacológico , Inmunosupresores/uso terapéutico , Neoplasias Renales/tratamiento farmacológico , Inhibidores de Proteínas Quinasas/uso terapéutico , Receptores de Factores de Crecimiento Endotelial Vascular/antagonistas & inhibidores , Sirolimus/análogos & derivados , Adulto , Antineoplásicos/efectos adversos , Carcinoma de Células Renales/secundario , Supervivencia sin Enfermedad , Método Doble Ciego , Everolimus , Femenino , Humanos , Inmunosupresores/efectos adversos , Estimación de Kaplan-Meier , Masculino , Modelos de Riesgos Proporcionales , Estudios Prospectivos , Sirolimus/efectos adversos , Sirolimus/uso terapéutico , Adulto JovenRESUMEN
BACKGROUND: In dogs with congenital portosystemic shunts (CPS), postligation seizures can be challenging to treat and often result in mortality. Levetiracetam (LEV) is a novel anticonvulsive drug that is commonly used in humans with seizure disorders who have hepatic comorbidity. OBJECTIVES: To compare the incidence of postoperative seizures in dogs that underwent surgical attenuation of an extrahepatic CPS and preoperatively received either LEV or no anticonvulsant medication. ANIMALS: A total of 126 dogs undergoing attenuation of an extrahepatic CPS that preoperatively received either LEV or no anticonvulsant medication. METHODS: Retrospective case review. Information obtained included signalment, duration of clinical signs, presence of neurologic abnormalities before surgery, preoperative bile acid and ammonia concentrations, diagnostic imaging modality, duration of hospitalization, postoperative complications including seizures, and discharge status. Bayesian Poisson regression was used to estimate the risk of seizures in LEV-treated dogs when compared with untreated dogs. RESULTS: Levetiracetam was administered to 33% (42/126) of dogs. No dog treated with LEV experienced postoperative seizures, whereas 5% (4/84) of dogs not treated with LEV experienced postoperative seizures. The relative risk of seizures was significantly (P < .0002) < 1 for the LEV-treated dogs, indicating LEV protection against development of postoperative seizures. No dog that experienced postoperative seizures survived to discharge from the hospital. CONCLUSIONS AND CLINICAL IMPORTANCE: Levetiracetam administered at 20 mg/kg p.o. q8h for a minimum of 24 hours before surgery significantly decreased the risk of postoperative seizures and death in dogs undergoing surgical attenuation of extrahepatic CPS with ameroid ring constrictors.
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Anticonvulsivantes/uso terapéutico , Enfermedades de los Perros/cirugía , Piracetam/análogos & derivados , Sistema Porta/anomalías , Complicaciones Posoperatorias/veterinaria , Convulsiones/tratamiento farmacológico , Animales , Perros , Femenino , Incidencia , Levetiracetam , Ligadura , Masculino , Piracetam/uso terapéutico , Sistema Porta/cirugía , Convulsiones/veterinariaRESUMEN
BACKGROUND: α(v) integrins are involved in angiogenesis and melanoma tumourigenesis. Intetumumab (CNTO 95) is a fully human anti-α(v)-integrin monoclonal antibody. METHODS: In a multicentre, randomised, phase II study, stage IV melanoma patients were randomised 1:1:1:1 to 1000 mg m(-2) dacarbazine+placebo (n=32), 1000 mg m(-2) dacarbazine+10 mg kg(-1) intetumumab (n=32), 10 mg kg(-1) intetumumab (n=33), or 5 mg kg(-1) intetumumab (n=32) q3w. The primary endpoint was progression-free survival (PFS). Secondary endpoints included overall survival (OS), objective response rate (ORR), adverse events, and pharmacokinetics. RESULTS: No statistically significant differences in efficacy were observed between groups. In the dacarbazine+placebo, dacarbazine+intetumumab, 10 mg kg(-1) intetumumab, and 5 mg kg(-1) intetumumab groups, median PFS was 1.8, 2.5, 1.4, and 1.4 months; median OS was 8, 11, 15, and 9.8 months; and ORR of complete+partial response was 10, 3, 6, and 0%. Nonlinear intetumumab pharmacokinetics and potential intetumumab-dacarbazine interactions were observed. Transient, asymptomatic, nonrecurring, grade 1-2, uveitic reactions that resolved spontaneously or with topical steroids were seen in 22-30% of intetumumab-treated patients. Low-grade infusion-reaction symptoms (headache, fatigue, nausea, vomiting, fever, chills) were observed, as expected, in 16-73% of dacarbazine-treated patients. No intetumumab-related myelosuppression, laboratory/electrocardiogram abnormalities, or deaths occurred. CONCLUSION: With its favourable safety profile and a nonsignificant trend towards improved OS, intetumumab merits further investigation in advanced melanoma.
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Anticuerpos Monoclonales/administración & dosificación , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Dacarbazina/administración & dosificación , Integrina alfaV/inmunología , Melanoma/tratamiento farmacológico , Neoplasias Cutáneas/tratamiento farmacológico , Anciano , Anticuerpos Monoclonales/efectos adversos , Anticuerpos Monoclonales Humanizados , Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Supervivencia sin Enfermedad , Femenino , Humanos , Masculino , Melanoma/mortalidad , Persona de Mediana Edad , Uveítis/inducido químicamenteRESUMEN
REASONS FOR PERFORMING STUDY: Mechanical characterisation of the high speed gallop has significant importance for animal welfare and basic biology. Kinematic parameters such as the velocity of each foot at contact can inform theories of why animals gallop, and supplant epidemiological investigation into the mechanisms of musculoskeletal injury. OBJECTIVE: To determine the velocity at which the fore and hind hooves of elite galloping horses impact the surface. METHODS: High speed videography was used to measure the horizontal and vertical velocity of the hoof immediately prior to impact, and the subsequent sink (vertical) and slip (horizontal) distances travelled by the hoof into the surface. Horse speed ranged from 11-19 m/s. In total 170 forelimb and 168 hindlimb foot falls from 89 horses were analysed. RESULTS: Horizontal and vertical hoof velocity increased with speed (P<0.001). Horizontal hoof velocity was significantly greater in the hindlimbs compared to the forelimbs (P<0.001) and was greater in the nonlead limbs compared to the lead limbs (P<0.001). Vertical hoof velocity was significantly greater in the lead limb than the nonlead limb (P<0.001). Overall, forelimbs contacted the ground with a more acute velocity vector angle than hindlimbs (P<0.001). Lead limbs contacted the ground at more acute angles than nonlead limbs (P<0.001). Vertical and horizontal velocities were highly correlated to sink and slip distance. CONCLUSION: Hindlimbs impact the surface at higher velocity than forelimbs, which is likely to result in higher peak impact forces in the hindlimbs. This runs counter to the finding of lower incidence of injury in hindlimbs. POTENTIAL RELEVANCE: Explanations consistent with these findings include the hindlimbs more effectively dampening peak impact forces, or that other injury mechanisms, such as limb vibration and limb load at mid stance, play an important role in injury.
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Marcha/fisiología , Caballos/fisiología , Animales , Fenómenos Biomecánicos , Miembro Anterior/fisiología , Miembro Posterior/fisiología , Carrera/fisiología , Grabación en VideoRESUMEN
Many of the target molecules that reside in blood are also present in oral fluids, albeit at lower concentrations. Oral fluids are, however, relatively easy and safe to collect without the need for specialized equipment and training. Thus, oral fluids provide convenient samples for medical diagnostics. Recent advances in lab-on-a-chip technologies have made minute, fully integrated diagnostic systems practical for an assortment of point-of-care tests. Such systems can perform either immunoassays or molecular diagnostics outside centralized laboratories within time periods ranging from minutes to an hour. The article briefly reviews recent advances in devices for point-of-care testing with a focus on work that has been carried out by the authors as part of a NIH program.
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Diagnóstico Bucal/instrumentación , Dispositivos Laboratorio en un Chip , Sistemas de Atención de Punto , Diseño de Equipo , Líquido del Surco Gingival/química , Humanos , Inmunoensayo/instrumentación , Microfluídica/instrumentación , Técnicas de Diagnóstico Molecular/instrumentación , Saliva/química , Factores de TiempoRESUMEN
BACKGROUND: Interdisciplinary communication is critically important to provide safe and effective care, yet it has been inadequately studied for hospitalised medical patients. Our objective was to characterise nurse-physician communication and their agreement on patients' plan of care. METHODS: During a one-month period, randomly selected hospitalised patients, their nurses and their physicians were interviewed. Nurses and physicians were asked to identify one another, whether communication had occurred, and about six aspects of the plan of care. Two internists rated nurse-physician agreement on aspects of the plan of care as none, partial or complete agreement. Measures included the percentage of nurses and physicians able to identify one another and reporting communication and the percentage of nurse-physician pairs in agreement on aspects of the plan of care. RESULTS: 310 (91%) and 301 (88%) of 342 eligible nurses and physicians completed interviews. Nurses correctly identified patients' physicians 71% of the time and reported communicating with them 50% of the time. Physicians correctly identified the patients' nurses 36% of the time and reported communicating with them 62% of the time. Physicians and nurses showed no agreement on aspects of the plan of care ranging from 11% for planned procedures to 42% for medication changes. CONCLUSIONS: Nurses and physicians did not reliably communicate with one another and were often not in agreement on the plan of care for hospitalised medical patients.
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Comunicación Interdisciplinaria , Enfermeras y Enfermeros/psicología , Planificación de Atención al Paciente , Relaciones Médico-Enfermero , Médicos/psicología , Adulto , Chicago , Estudios Transversales , Disentimientos y Disputas , Hospitalización , Hospitales Universitarios , Humanos , Entrevistas como Asunto , Enfermeras y Enfermeros/estadística & datos numéricos , Médicos/estadística & datos numéricos , Evaluación de Procesos, Atención de Salud/normasRESUMEN
Environmental factors that enhance either the survivability or dispersion of Salmonella enterica serovar Typhimurium (S. Typhimurium) could result in a spatial pattern of disease risk. The objectives of this study were to: (1) describe herd status based on antibody response to Salmonella Typhimurium as estimated from bulk tank milk samples and (2) to describe the resulting geographical patterns found among Texas dairy herds. Eight hundred and fifty-two bulk milk samples were collected from georeferenced dairy farms and assayed by an indirect enzyme-linked immunosorbent assay (ELISA) using S. Typhimurium lipopolysaccharide (LPS). ELISA signal-to-noise ratios for each bulk tank milk sample were calculated and used for geostatistical analyses. Best-fit parameters for the exponential theoretical variogram included a range of 438.8 km, partial sill of 0.060 and nugget of 0.106. The partial sill is the classical geostatistical term for the variance that can be explained by the herd's location and the nugget is the spatially random component of the variance. We have identified a spatial process in bulk milk tank titers for S. Typhimurium in Texas dairy herds and present a map of the expected smoothed surface. Areas with higher expected titers should be targeted in further studies on controlling Salmonella infection with environmental modifications.
Asunto(s)
Leche/microbiología , Salmonelosis Animal/diagnóstico , Salmonella enterica/inmunología , Animales , Anticuerpos Antibacterianos/análisis , Antígenos Bacterianos/inmunología , Bovinos , Industria Lechera , Demografía , Ensayo de Inmunoadsorción Enzimática/veterinaria , Femenino , Modelos Estadísticos , Salmonelosis Animal/microbiología , Salmonella enterica/aislamiento & purificación , Texas/epidemiologíaRESUMEN
The objective of this study was to determine whether measurable differences existed between farms with and without cooling ponds. Data from Dairy Herd Improvement records for 1999 through 2002 were obtained on 42 herds located in North Central Texas. Nineteen herds had installed cooling ponds, whereas 23 herds had not. Monthly somatic cell counts for each herd were obtained from the Federal Milk Market Administrator. Data were analyzed using the PROC MIXED regression model of SAS. Within and across herd groups, milk production from June to October was significantly lower compared with milk production for the rest of the year. Although there was numerically higher average milk production per cow per day throughout the year for herds that used cooling ponds, differences between herd groups that used or did not use cooling ponds were significant only for August production. Herds without a cooling pond had 4.8 kg/d per cow lower production in August than in the cool-season months of November to May (26.4 +/- 0.6 vs. 31.2 +/- 0.5 kg/d), whereas the difference in August production was only 2.9 kg/d per cow in herds that used cooling ponds (29.0 +/- 0.7 vs. 31.9 +/- 0.6 kg/d). Differences caused by seasonal use of a cooling pond in culling, days to first service, days open, percentage of estruses observed, and somatic cell counts were not significant. Bulk tank milk samples cultured for 10 different bacteria showed no difference between cooling pond and noncooling pond herds in 2002. Also, there was no difference in incidence of violations from the Texas Department of Health for herds that used or did not use cooling ponds. However, herds with cooling ponds did have a lower percentage of successful breedings, fewer days dry, and a higher percentage of cows in milk compared with dairy herds that used other forms of cooling. Such differences may or may not be attributed to seasonal use of a cooling pond. Therefore, cooling ponds may provide relief from heat stress without adversely affecting most important measures of herd performance.
Asunto(s)
Enfermedades de los Bovinos/prevención & control , Frío , Industria Lechera/métodos , Trastornos de Estrés por Calor/veterinaria , Agua , Animales , Bovinos , Recuento de Células , Femenino , Trastornos de Estrés por Calor/prevención & control , Lactancia , Leche/citología , Embarazo , Reproducción , Estaciones del Año , TexasRESUMEN
Infant botulism causes acute bulbar dysfunction, weakness, and respiratory failure in infants living in endemic regions of the United States. Until Food and Drug Administration approval of botulism immune globulin (BIG) in October 2003, management of infant botulism had changed little since the 1970s. Currently, IV therapy with BIG is advised to shorten the duration and diminish the potential complications of the disorder. This review describes two decades of experience with infant botulism and provides a contemporary perspective on the role and benefit of BIG.