1,027 results on '"Brown, CJ"'
Search Results
2. Life-Space mobility and clinical outcomes in COPD
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Iyer AS, Wells JM, Bhatt SP, Kirkpatrick DP, Sawyer P, Brown CJ, Allman RM, Bakitas MA, and Dransfield MT
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chronic obstructive pulmonary disease ,patient reported outcomes ,acute exacerbation of chronic obstructive pulmonary disease ,Diseases of the respiratory system ,RC705-779 - Abstract
Anand S Iyer,1–3 James M Wells,1,3,4 Surya P Bhatt,1,3 deNay P Kirkpatrick,1,3 Patricia Sawyer,5 Cynthia J Brown,4,5 Richard M Allman,6 Marie A Bakitas,5,7,8 Mark T Dransfield1,3,4 1Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA; 2Health Services, Outcomes, and Effectiveness Research Training Program, University of Alabama at Birmingham, Birmingham, AL, USA; 3Department of Medicine, Lung Health Center, University of Alabama at Birmingham, Birmingham, AL, USA; 4Veterans Affairs Medical Center, Birmingham, AL, USA; 5Department of Medicine, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA; 6Department of Medicine, George Washington University School of Medicine, Washington, DC, USA; 7Department of Medicine, Center for Palliative and Supportive Care, Division of Geriatrics, Gerontology, and Palliative Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA; 8School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA Background: Social isolation is a common experience in patients with COPD but is not captured by existing patient-reported outcomes, and its association with clinical outcomes is unknown. Methods: We prospectively enrolled adults with stable COPD who completed the University of Alabama at Birmingham Life Space Assessment (LSA) (range: 0–120, restricted Life-Space mobility: ≤60 and a marker of social isolation in older adults); six-minute walk test (6MWT), and the University of California at San Diego Shortness of Breath Questionnaire, COPD Assessment Test, and Hospital Anxiety and Depression Scale. The occurrence of severe exacerbations (emergency room visit or hospitalization) was recorded by review of the electronic record up to 1 year after enrollment. We determined associations between Life-Space mobility and clinical outcomes using regression analyses. Results: Fifty subjects had a mean ± SD %-predicted FEV1 of 42.9±15.5, and 23 (46%) had restricted Life-Space mobility. After adjusting for age, gender, %-predicted FEV1, comorbidity count, inhaled corticosteroid/long-acting beta2-agonist use, and prior cardiopulmonary rehabilitation, subjects with restricted Life-Space had an increased risk for severe exacerbations (adjusted incidence rate ratio 4.65, 95% CI 1.19–18.23, P=0.03). LSA scores were associated with 6MWD (R=0.50, P
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- 2018
3. Interactive effects of multiple stressors vary with consumer interactions, stressor dynamics and magnitude
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Turschwell, MP, Connolly, SR, Schäfer, RB, De Laender, F, Campbell, MD, Mantyka-Pringle, C, Jackson, MC, Kattwinkel, M, Sievers, M, Ashauer, R, Côté, IM, Connolly, RM, van den Brink, PJ, and Brown, CJ
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Environmental Risk Assessment ,Aquatic Ecology and Water Quality Management ,WIMEK ,seagrass ,synergy ,stressor interactions ,Aquatische Ecologie en Waterkwaliteitsbeheer ,Environment ,consumer-resource ,antagonism ,Wageningen Environmental Research ,Ecosystem ,Ecology, Evolution, Behavior and Systematics - Abstract
Predicting the impacts of multiple stressors is important for informing ecosystem management but is impeded by a lack of a general framework for predicting whether stressors interact synergistically, additively or antagonistically. Here, we use process-based models to study how interactions generalise across three levels of biological organisation (physiological, population and consumer-resource) for a two-stressor experiment on a seagrass model system. We found that the same underlying processes could result in synergistic, additive or antagonistic interactions, with interaction type depending on initial conditions, experiment duration, stressor dynamics and consumer presence. Our results help explain why meta-analyses of multiple stressor experimental results have struggled to identify predictors of consistently non-additive interactions in the natural environment. Experiments run over extended temporal scales, with treatments across gradients of stressor magnitude, are needed to identify the processes that underpin how stressors interact and provide useful predictions to management.
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- 2022
4. Preservation of retinal structure and function after cilioretinal artery occlusion: a case report
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Brown CJ
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retinopathy ,MTHFR ,homocysteine ,l-methylfolate ,stroke ,NAC ,Medicine (General) ,R5-920 - Abstract
Craig J Brown The Eye Center, Fayetteville, AR, USA Abstract: Cilioretinal artery occlusion is a cause of sudden, often catastrophic loss of central vision. There are no established effective treatments. Recently, a patient presented 24 hours after a cilioretinal artery occlusion, following a cardiac catheterization prior to which her blood thinners had been discontinued. Lacking an effective way to address the severe retinal ischemic oxidative stress, she was offered, under compassionate use, a multivitamin complex designed to address retinal ischemia and oxidative stress. Significant components of this product are l-methylfolate and n-acetyl cysteine. The patient experienced a rapid unexpected improvement in vision and preservation of retinal structure, suggesting that marked improvement in retinal artery occlusions outcomes may be possible as late as 24 hours postocclusion. This is the third reported case of cilioretinal artery occlusion associated with cardiac catheterization. Keywords: retinopathy, MTHFR, homocysteine, l-methylfolate, stroke, NAC
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- 2016
5. Vitamin D deficiency and posterior subcapsular cataract
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Brown CJ and Akaichi F
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Ophthalmology ,RE1-994 - Abstract
Craig J Brown,1 Faical Akaichi21The Eye Center, Fayetteville, AR, USA; 2Scotland’s Rural College, Edinburgh, UKPurpose: To evaluate risk factors associated with posterior subcapsular cataract (PSC) development and the relationship between vitamin D deficiency and etiology of PSC.Methods: Of 195 consecutive patients from a private ophthalmology practice, diagnosed with PSC, serum vitamin D3 (25-OH D) levels were obtained for 175, and associations among risk factors, comorbidities, and PSC were assessed.Results: In all 175 PSC patients, mean 25-OH D levels were low (24 ng/mL ±11 SD) compared with age/sex-matched standards. Significant differences in 25-OH D levels were noted between PSC subjects taking/not taking calcium supplements, systemic steroids, osteoporosis medications, etc. Alone, smoking status and calcium channel blockers and/or topical steroids use made no significant difference in PSC subjects 25-OH D levels, but two or more of these factors were associated with lowered levels of 25-OH D (P
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- 2015
6. Greater Consideration of Animals Will Enhance Coastal Restoration Outcomes
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Sievers, M, Brown, CJ, Buelow, CA, Hale, R, Ostrowski, A, Saunders, M, Silliman, BR, Swearer, SE, Turschwell, MP, Valdez, SR, Connolly, RM, Sievers, M, Brown, CJ, Buelow, CA, Hale, R, Ostrowski, A, Saunders, M, Silliman, BR, Swearer, SE, Turschwell, MP, Valdez, SR, and Connolly, RM
- Abstract
As efforts to restore coastal habitats accelerate, it is critical that investments are targeted to most effectively mitigate and reverse habitat loss and its impacts on biodiversity. One likely but largely overlooked impediment to effective restoration of habitat-forming organisms is failing to explicitly consider non-habitat-forming animals in restoration planning, implementation, and monitoring. These animals can greatly enhance or degrade ecosystem function, persistence, and resilience. Bivalves, for instance, can reduce sulfide stress in seagrass habitats and increase drought tolerance of saltmarsh vegetation, whereas megaherbivores can detrimentally overgraze seagrass or improve seagrass seed germination, depending on the context. Therefore, understanding when, why, and how to directly manipulate or support animals can enhance coastal restoration outcomes. In support of this expanded restoration approach, we provide a conceptual framework, incorporating lessons from structured decision-making, and describe potential actions that could lead to better restoration outcomes using case studies to illustrate practical approaches.
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- 2022
7. Spectrum of pathogenic variants and founder effects in amelogenesis imperfecta associated with MMP20
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Nikolopoulos, G, Smith, CEL, Poulter, JA, Murillo, G, Silva, S, Brown, CJ, Day, PF, Soldani, F, Al-Bahlani, S, Harris, SA, O’Connell, MJ, Inglehearn, CF, and Mighell, AJ
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stomatognathic system - Abstract
Amelogenesis imperfecta (AI) describes a heterogeneous group of developmental enamel defects that typically have Mendelian inheritance. Exome sequencing of 10 families with recessive hypomaturation AI revealed four novel and one known variants in the matrix metallopeptidase 20 (MMP20) gene that were predicted to be pathogenic. MMP20 encodes a protease that cleaves the developing extracellular enamel matrix and is necessary for normal enamel crystal growth during amelogenesis. New homozygous missense changes were shared between four families of Pakistani heritage (c.625G>C; p.(Glu209Gln)) and two of Omani origin (c.710C>A; p.(Ser237Tyr)). In two families of UK origin and one from Costa Rica, affected individuals were homozygous for the previously reported c.954-2A>T; p.(Ile319Phefs*19) variant. For each of these variants, microsatellite haplotypes appeared to exclude a recent founder effect, but elements of haplotype were conserved, suggesting more distant founding ancestors. New compound heterozygous changes were identified in one family of the European heritage: c.809_811+12delinsCCAG; p.(?) and c.1122A>C; p.(Gln374His). This report further elucidates the mutation spectrum of MMP20 and the probable impact on protein function, confirms a consistent hypomaturation phenotype and shows that mutations in MMP20 are a common cause of autosomal recessive AI in some communities.
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- 2021
8. Conservation implications of demographic changes in the horse mussel Modiolus modiolus population of the inner Bay of Fundy
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Sameoto, JA, primary, Hall, K, additional, Gass, SE, additional, Keith, D, additional, Kirchhoff, S, additional, and Brown, CJ, additional
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- 2021
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9. NOVEL DLX3 VARIANTS IN AMELOGENESIS IMPERFECTA WITH ATTENUATED TRICHO-DENTO-OSSEOUS SYNDROME
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Whitehouse, LLE, primary, Smith, CEL, additional, Poulter, JA, additional, Brown, CJ, additional, Patel, A, additional, Lamb, T, additional, Brown, LR, additional, O'Sullivan, EA, additional, Mitchell, RE, additional, Berry, IR, additional, Charlton, R, additional, Inglehearn, CF, additional, and Mighell, AJ, additional
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- 2021
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10. Combined impacts of photosystem II-inhibiting herbicides and light availability on seagrass and marine microalgae
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King, OC, primary, Smith, RA, additional, Warne, MSJ, additional, van de Merwe, JP, additional, Connolly, RM, additional, and Brown, CJ, additional
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- 2021
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11. Seascape ecology: identifying research priorities for an emerging ocean sustainability science
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Pittman, SJ, Yates, KL, Bouchet, PJ, Alvarez-Berastegui, D, Andrefouet, S, Bell, SS, Berkstrom, C, Bostrom, C, Brown, CJ, Connolly, RM, Devillers, R, Eggleston, D, Gilby, BL, Gullstrom, M, Halpern, BS, Hidalgo, M, Holstein, D, Hovel, K, Huettmann, F, Jackson, EL, James, WR, Kellner, JB, Kot, CY, Lecours, V, Lepczyk, C, Nagelkerken, I, Nelson, J, Olds, AD, Santos, RO, Scales, KL, Schneider, DC, Schilling, HT, Simenstad, C, Suthers, IM, Treml, EA, Wedding, LM, Yates, P, Young, M, Pittman, SJ, Yates, KL, Bouchet, PJ, Alvarez-Berastegui, D, Andrefouet, S, Bell, SS, Berkstrom, C, Bostrom, C, Brown, CJ, Connolly, RM, Devillers, R, Eggleston, D, Gilby, BL, Gullstrom, M, Halpern, BS, Hidalgo, M, Holstein, D, Hovel, K, Huettmann, F, Jackson, EL, James, WR, Kellner, JB, Kot, CY, Lecours, V, Lepczyk, C, Nagelkerken, I, Nelson, J, Olds, AD, Santos, RO, Scales, KL, Schneider, DC, Schilling, HT, Simenstad, C, Suthers, IM, Treml, EA, Wedding, LM, Yates, P, and Young, M
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- 2021
12. Seascape ecology: identifying research priorities for an emerging ocean sustainability science
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Pittman, SJ, primary, Yates, KL, additional, Bouchet, PJ, additional, Alvarez-Berastegui, D, additional, Andréfouët, S, additional, Bell, SS, additional, Berkström, C, additional, Boström, C, additional, Brown, CJ, additional, Connolly, RM, additional, Devillers, R, additional, Eggleston, D, additional, Gilby, BL, additional, Gullström, M, additional, Halpern, BS, additional, Hidalgo, M, additional, Holstein, D, additional, Hovel, K, additional, Huettmann, F, additional, Jackson, EL, additional, James, WR, additional, Kellner, JB, additional, Kot, CY, additional, Lecours, V, additional, Lepczyk, C, additional, Nagelkerken, I, additional, Nelson, J, additional, Olds, AD, additional, Santos, RO, additional, Scales, KL, additional, Schneider, DC, additional, Schilling, HT, additional, Simenstad, C, additional, Suthers, IM, additional, Treml, EA, additional, Wedding, LM, additional, Yates, P, additional, and Young, M, additional
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- 2021
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13. New missense variants in RELT causing hypomineralised amelogenesis imperfecta
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Nikolopoulos, G, Smith, CEL, Brookes, SJ, El‐Asrag, ME, Brown, CJ, Patel, A, Murillo, G, O'Connell, MJ, Inglehearn, CF, and Mighell, AJ
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Amelogenesis imperfecta, Enamel, RELT, Tumour necrosis factor receptor - Abstract
© 2020 The Authors. Clinical Genetics published by John Wiley & Sons Ltd. Amelogenesis imperfecta (AI) is a heterogeneous group of genetic diseases characterised by dental enamel malformation. Pathogenic variants in at least 33 genes cause syndromic or non-syndromic AI. Recently variants in RELT, encoding an orphan receptor in the tumour necrosis factor (TNF) superfamily, were found to cause recessive AI, as part of a syndrome encompassing small stature and severe childhood infections. Here we describe four additional families with autosomal recessive hypomineralised AI due to previously unreported homozygous mutations in RELT. Three families carried a homozygous missense variant in the fourth exon (c.164C>T, p.(T55I)) and a fourth family carried a homozygous missense variant in the 11th exon (c.1264C>T, p.(R422W)). We found no evidence of additional syndromic symptoms in affected individuals. Analyses of tooth microstructure with computerised tomography and scanning electron microscopy suggest a role for RELT in ameloblasts' coordination and interaction with the enamel matrix. Microsatellite genotyping in families segregating the T55I variant reveals a shared founder haplotype. These findings extend the RELT pathogenic variant spectrum, reveal a founder mutation in the UK Pakistani population and provide detailed analysis of human teeth affected by this hypomineralised phenotype, but do not support a possible syndromic presentation in all those with RELT-variant associated AI.
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- 2020
14. Psychosocial Syndemics Affecting Treatment Outcomes for Individuals Receiving Medication for Opioid Use Disorder
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Kleinman, Mary, Magidson, Jessica, Seitz-Brown, CJ, Dougherty, Lea, Kleinman, Mary, Kleinman, Mary, Magidson, Jessica, Seitz-Brown, CJ, Dougherty, Lea, and Kleinman, Mary
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Background/Objectives: Successful engagement with and retention in medication treatment for opioid use disorder (MOUD) is an important focus in the fight against the opioid crisis. Gaps in opioid use disorder (OUD) care point to a need for improved understanding of factors that affect MOUD outcomes and how barriers may act as syndemic factors, compounding one another’s effects. This study used qualitative methods to solicit feedback about barriers to retention and successful treatment outcomes in methadone maintenance treatment (MMT) and used these findings to build a conceptual framework of interaction. Methods: This study was conducted at a community-based drug treatment center that serves a low-income population, the majority of whom identify as Black or African American. We recruited patients and staff as well as peer recovery coaches who work in OUD recovery across Baltimore City. Semi-structured interviews and focus groups asked about factors that influence MMT treatment outcomes and how barriers co-occur and interact. We used thematic analysis to examine themes pertaining to our research questions and two independent coders coded each transcript based on identified themes. Results: Patient participants (n=20) had a mean age of 48.4 (SD=10.0), 70% male, and 60% Black or African American. Mean reported age of first drug use was 17.7 (SD=5.1). Staff and peer recovery coach (PRC) participants (n=12) had a mean age of 49.2 (SD= 0.7), were 42% male, 75% Black or African American, with an average of 9.6 years working in substance use (SU) treatment. Barriers described by participants fit into several broad themes: individual/self, social, institutional or structural, community or environmental, and stigma. Participants described co-occurrence of these barriers as fueling one another and having a disastrous effect on treatment outcomes. Conclusions: Understanding barriers to successful MOUD (specifically MMT) outcomes experienced by this vulnerable population and con
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- 2020
15. HLA-A, -B and -DR antigen frequencies of the London Cord Blood Bank units differ from those found in established bone marrow donor registries
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Brown, J, Poles, A, Brown, CJ, Contreras, M, and Navarrete, CV
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- 2000
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16. Phenotype and variant spectrum in the LAMB3 form of amelogenesis imperfecta
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Smith, CEL, Poulter, JA, Brookes, SJ, Murillo, G, Silva, S, Brown, CJ, Patel, A, Hussain, H, Kirkham, J, Inglehearn, CF, and Mighell, AJ
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stomatognathic diseases ,stomatognathic system - Abstract
Amelogenesis imperfecta (AI) is a heterogeneous group of inherited disorders characterized by abnormal formation of dental enamel, either in isolation or as part of a syndrome. Heterozygous variants in laminin subunit beta 3 (LAMB3) cause AI with dominant inheritance in the absence of other cosegregating clinical features. In contrast, biallelic loss-of-function variants in LAMB3 cause recessive junctional epidermolysis bullosa, characterized by life-threatening skin fragility. We identified 2 families segregating autosomal dominant AI with variable degrees of a distinctive hypoplastic phenotype due to pathogenic variants in LAMB3. Whole exome sequencing revealed a nonsense variant (c.3340G>T, p.E1114*) within the final exon in family 1, while Sanger sequencing in family 2 revealed a variant (c.3383-1G>A) in the canonical splice acceptor site of the final exon. Analysis of cDNA from family 2 revealed retention of the final intron leading to a premature termination codon. Two unerupted third molar teeth from individual IV:5 in family 2 were subject to computerized tomography and scanning electron microscopy. LAMB3 molar teeth have a multitude of cusps versus matched controls. LAMB3 enamel was well mineralized but pitted. The architecture of the initially secreted enamel was abnormal, with cervical enamel appearing much less severely affected than coronal enamel. This study further defines the variations in phenotype-genotype correlation for AI due to variants in LAMB3, underlines the clustering of nonsense and frameshift variants causing AI in the absence of junctional epidermolysis bullosa, and highlights the shared AI phenotype arising from variants in genes coding for hemidesmosome proteins.
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- 2019
17. Athletes’ experiences of social support in their transition out of elite sport: An interpretive phenomological analysis
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Brown, CJ, Webb, TL, Robinson, MA, and Cotgreave, R
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Objectives: The sources and types of social support that athletes receive during the transition out of sport have been well documented. However, less is known about how athletes perceive, mobilise, and manage supportive relationships. This study aimed therefore to gain a more comprehensive insight into the ways that social support may influence how athletes adjust to life following retirement from elite sport. Design: The study was designed according to the principles of Interpretative Phenomenological Analysis. Method: Eight former British elite athletes (four male and four female) from eight different Olympic sports were recruited using criterion-based purposive sampling strategies. Data collected using semi-structured interviews were analysed to explore subjective experiences of social support during transition. Results: Participants' perception of feeling cared for and understood enabled support to be effective. There were variations in participants' ability to seek out and ask for support and those who found this difficult also found transition a more distressing experience. As transitions progressed, the adjustment process was closely linked to the participant's evolving sense of self. New social relationships and social roles fostered a sense of feeling supported, as well as providing opportunities to support others (e.g., other retired athletes). Providing support helped the participants to experience a sense of growth that facilitated adjustment to life after sport. Conclusions: The content of support was largely dependent on context; that is, perceptions of supporters were just as important, if not more so, than specific support exchanges. Stigma around asking for help was a barrier to support seeking.
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- 2018
18. St.Gallen consensus on safe implementation of transanal total mesorectal excision
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Adamina, M., Buchs, Nc, Penna, M., Hompes, R., on behalf of the St. Gallen Colorectal Consensus Expert Group, Aigner, F., Albert, Ma, Bell, S., Bemelman, W., Boni, L., Brown, Cj, Brown, G., Grieder, F., Güller, U., D Hoore, A., Huscher, C., Ito, M., Werner Kneist, Knol, J., Lacy, A., Maykel, J., Merrie, A., Hwan Oh, J., Panis, Y., Oliva Perez, R., Pfeffer, F., Quirke, P., Rouanet, P., Rullier, E., Seitinger, G., Sietses, C., Spinelli, A., Stevenson, Arl, Sylla, P., Tekkis, P., Tuech, J-J, Tuynman, J., Warusavitarne, J., Whiteford, M., Winter, D., and Wolthuis, A.
- Abstract
Background The management of rectal cancer has evolved over the years, including the recent rise of Transanal Total Mesorectal Excision (TaTME). TaTME addresses the limitations created by the bony confines of the pelvis, bulky tumours, and fatty mesorectum, particularly for low rectal cancers. However, guidance is required to ensure safe implementation and to avoid the pitfalls and potential major morbidity encountered by the early adopters of TaTME. We report a broad international consensus statement, which provides a basis for optimal clinical practice. Methods Forty international experts were invited to participate based on clinical and academic achievements. The consensus statements were developed using Delphi methodology incorporating three successive rounds. Consensus was defined as agreement by 80% or more of the experts. Results A total of 37 colorectal surgeons from 20 countries and 5 continents (Europe, Asia, North and South America, Australasia) contributed to the consensus. Participation to the iterative Delphi rounds was 100%. An expert radiologist, pathologist, and medical oncologist provided recommendations to maximize relevance to current practice. Consensus was obtained on all seven different chapters: patient selection and surgical indication, perioperative management, patient positioning and operating room set up, surgical technique, devices and instruments, pelvic anatomy, TaTME training, and outcomes analysis. Conclusions This multidisciplinary consensus statement achieved more than 80% approval and can thus be graded as strong recommendation, yet acknowledging the current lack of high level evidence. It provides the best possible guidance for safe implementation and practice of Transanal Total Mesorectal Excision.
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- 2018
19. Managing consequences of climate-driven species redistribution requires integration of ecology, conservation and social science
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Bonebrake, TC, Brown, CJ, Bell, JD, Blanchard, JL, Chauvenet, A, Champion, C, Chen, IC, Clark, TD, Colwell, RK, Danielsen, F, Dell, AI, Donelson, JM, Evengård, B, Ferrier, S, Frusher, S, Garcia, RA, Griffis, RB, Hobday, AJ, Jarzyna, MA, Lee, E, Lenoir, J, Linnetved, H, Martin, VY, McCormack, PC, McDonald, J, McDonald-Madden, E, Mitchell, N, Mustonen, T, Pandolfi, JM, Pettorelli, N, Possingham, H, Pulsifer, P, Reynolds, M, Scheffers, BR, Sorte, CJB, Strugnell, JM, Tuanmu, MN, Twiname, S, Vergés, A, Villanueva, C, Wapstra, E, Wernberg, T, Pecl, GT, Bonebrake, TC, Brown, CJ, Bell, JD, Blanchard, JL, Chauvenet, A, Champion, C, Chen, IC, Clark, TD, Colwell, RK, Danielsen, F, Dell, AI, Donelson, JM, Evengård, B, Ferrier, S, Frusher, S, Garcia, RA, Griffis, RB, Hobday, AJ, Jarzyna, MA, Lee, E, Lenoir, J, Linnetved, H, Martin, VY, McCormack, PC, McDonald, J, McDonald-Madden, E, Mitchell, N, Mustonen, T, Pandolfi, JM, Pettorelli, N, Possingham, H, Pulsifer, P, Reynolds, M, Scheffers, BR, Sorte, CJB, Strugnell, JM, Tuanmu, MN, Twiname, S, Vergés, A, Villanueva, C, Wapstra, E, Wernberg, T, and Pecl, GT
- Abstract
© 2017 Cambridge Philosophical Society Climate change is driving a pervasive global redistribution of the planet's species. Species redistribution poses new questions for the study of ecosystems, conservation science and human societies that require a coordinated and integrated approach. Here we review recent progress, key gaps and strategic directions in this nascent research area, emphasising emerging themes in species redistribution biology, the importance of understanding underlying drivers and the need to anticipate novel outcomes of changes in species ranges. We highlight that species redistribution has manifest implications across multiple temporal and spatial scales and from genes to ecosystems. Understanding range shifts from ecological, physiological, genetic and biogeographical perspectives is essential for informing changing paradigms in conservation science and for designing conservation strategies that incorporate changing population connectivity and advance adaptation to climate change. Species redistributions present challenges for human well-being, environmental management and sustainable development. By synthesising recent approaches, theories and tools, our review establishes an interdisciplinary foundation for the development of future research on species redistribution. Specifically, we demonstrate how ecological, conservation and social research on species redistribution can best be achieved by working across disciplinary boundaries to develop and implement solutions to climate change challenges. Future studies should therefore integrate existing and complementary scientific frameworks while incorporating social science and human-centred approaches. Finally, we emphasise that the best science will not be useful unless more scientists engage with managers, policy makers and the public to develop responsible and socially acceptable options for the global challenges arising from species redistributions.
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- 2018
20. A habitat-based approach to predict impacts of marine protected areas on fishers
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Teixeira, JB, Moura, RL, Mills, M, Klein, C, Brown, CJ, Adams, VM, Grantham, H, Watts, M, Faria, D, Amado-Filho, GM, Bastos, AC, Lourival, R, and Possingham, HP
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Conservation of Natural Resources ,INFORMATION ,Biodiversity & Conservation ,CONSERVATION ,05 Environmental Sciences ,Fisheries ,Environmental Sciences & Ecology ,pesquerías a pequeña escala ,SOCIOECONOMIC DATA ,DESIGN ,planeación de la conservación ,FISHING EFFORT ,07 Agricultural and Veterinary Sciences ,conservation planning ,Ecosystem ,Science & Technology ,Ecology ,small-scale fisheries ,TRADE-OFFS ,Biodiversity ,06 Biological Sciences ,costo de oportunidad ,机会成本, 阿波罗霍斯海岸, 小规模渔业, 保护规划 ,Banco Abrolhos ,Abrolhos Bank ,OPPORTUNITY COSTS ,PATTERNS ,Costs and Cost Analysis ,Biodiversity Conservation ,opportunity cost ,RESOURCE-MANAGEMENT ,Life Sciences & Biomedicine ,Environmental Sciences - Abstract
Although marine protected areas can simultaneously contribute to biodiversity conservation and fisheries management, the global network is biased toward particular ecosystem types because they have been established primarily in an ad hoc fashion. The optimization of trade‐offs between biodiversity benefits and socioeconomic values increases success of protected areas and minimizes enforcement costs in the long run, but it is often neglected in marine spatial planning (MSP). Although the acquisition of spatially explicit socioeconomic data is perceived as a costly or secondary step in MSP, it is critical to account for lost opportunities by people whose activities will be restricted, especially fishers. We developed an easily reproduced habitat‐based approach to estimate the spatial distribution of opportunity cost to fishers in data‐poor regions. We assumed the most accessible areas have higher economic and conservation values than less accessible areas and their designation as no‐take zones represents a loss of fishing opportunities. We estimated potential distribution of fishing resources from bathymetric ranges and benthic habitat distribution and the relative importance of the different resources for each port of total catches, revenues, and stakeholder perception. In our model, we combined different cost layers to produce a comprehensive cost layer so that we could evaluate of trade‐offs. Our approach directly supports conservation planning, can be applied generally, and is expected to facilitate stakeholder input and community acceptance of conservation.
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- 2017
21. Patterns and trends in marine population connectivity research
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Bryan-Brown, DN, primary, Brown, CJ, additional, Hughes, JM, additional, and Connolly, RM, additional
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- 2017
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22. Correlation of the movements of the Severn Suspension Bridge derived with GNSS with Temperature Variations
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roberts, GW, tang, X, and Brown, CJ
- Abstract
In March 2010, four days of GNSS data were gathered on the Severn Suspension Bridge. The GNSS antennas were located on the tops of the four support towers, as well as five locations on the suspension cables. The Severn Bridge has a main suspended span of 998m long. The GNSS data were gathered at rates of 10Hz and 20Hz between the 10th to the 12th and on the morning of the 18th March 2010. In addition to the GNSS data, the air and steel temperatures were gathered every 10 minutes. The GNSS data were processed in an On The Fly manner relative to a reference GNSS receiver located on a solid building adjacent to the Bridge.
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- 2016
23. Enhancing screw fixation in poor bone quality, an unmet clinical need
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Procter, P and Brown, CJ
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musculoskeletal diseases ,surgical procedures, operative ,equipment and supplies ,musculoskeletal system - Abstract
A significant unmet clinical need in orthopaedic traumatology is improved bone screw fixation in poor quality bone. It is estimated that over 100 million1 screws are implanted worldwide annually. Loosening & migration are significant clinical complications in osteoporotic fractures. In the proximal humerus and femur failure rates may be as high as 40% and 7% respectively2,3. Bone screws should assure adequate fixation at early (days) and late (weeks) time points, as well as easy removal at revision. It should be possible to design screws/techniques that would improve fixation in weak bone but this is an area neglected by the manufacturers. Paradoxically bone screws are contraindicated for use in osteoporotic bone in instructions for use (IFU) although osteoporotic fractures are the most frequent application for screw fixation. Techniques that may enhance screw stability in weak bone, such as the addition of cement at the time of surgery or use of hydroxyapatite coatings have long been under consideration. This paper considers bone augmentation, what has been learned and goes on to suggest what could be done to gain clinical acceptance of these techniques.
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- 2016
24. Measurement and prediction of CTOD in austenitic stainless steel
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Brown, CJ, Khor, WL, Moore, P, Pisarski, H, and Haslett, M
- Abstract
Variation of Crack Tip Opening Displacement (CTOD) test values can have a significant effect on the Engineering Critical Assessment of a structure. This paper examines the development of CTOD with increasing load in an austenitic stainless steel. The silicone replication method giving variation of CTOD across the specimen thickness, and Digital Image Correlation (DIC) are compared to each other, and in turn to clip gauge measurements from tests. Results from Finite Element models are also presented. Estimations of CTOD from BS 7448-1, ISO 12135 and ASTM E1820, and a proposed modification from JWES are compared to the experimental data from the crack cast in silicone compound – assumed to be the actual CTOD. The DIC measurement showed consistency with crack replicas, and a formula is given to estimate CTOD using DIC. For high strain hardening austenitic stainless steel, both the JWES and ASTM E1820 estimations provide adequate accuracy for CTOD. The authors wish to acknowledge the funding and facility provided by TWI and NSIRC for this work.
- Published
- 2016
25. Access to emergency operative care: a comparative study between the Canadian and American health care systems
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Taylor Mc, Brown Cj, and Finlayson
- Subjects
medicine.medical_specialty ,Evidence-based practice ,business.industry ,Perforation (oil well) ,Alternative medicine ,Odds ratio ,Odds ,Surgery ,Health care ,medicine ,business ,Socioeconomic status ,Cohort study - Abstract
Question: Do variations of income impact rates of perforation in patients with acute appendicitis? Are variations in appendiceal perforation related to income consistent across these 2 countries? Design: Cohort study using administrative data. Data sources: Canadian Institute for Health Information (CIHI) database (102 692 patients) and the US Nationwide Inpatient Sample (NIS; 276 890 patients). Patient sample: Patients with acute appendicitis diagnosed from 2001 to 2005 were identified using ICD-9 codes. Patients were characterized further by age, sex, insurance status, race and socioeconomic status. Results: In Canada, there was no difference in the odds of perforation among income levels. In the United States, there was a significant, inverse relation between income level and the odds of perforation. The odds of perforation in the lowest income bracket were significantly higher than those in the highest income bracket (odds ratio 1.20, 95% confidence iterval 1.16–1.24). Conclusion: The results suggest that access to emergency operative care is related to socioeconomic status in the United States, but not in Canada. This difference could result from the concern over the ability to pay medical bills or the lack of a stable relationship with a primary care provider that can occur outside of a universal health care system.
- Published
- 2011
26. Habitat change mediates the response of coral reef fish populations to terrestrial run-off
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Brown, CJ, primary, Jupiter, SD, additional, Lin, HY, additional, Albert, S, additional, Klein, C, additional, Maina, JM, additional, Tulloch, VJD, additional, Wenger, AS, additional, and Mumby, PJ, additional
- Published
- 2017
- Full Text
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27. Effects of Adaptation on the Electrically Evoked Compound Action Potential
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Brown, CJ, Schmidt-Clay, K, Hay-McCutcheon, M, Etler, C, and Abbas, P
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ddc: 610 - Published
- 2005
28. PFM.51 Fatal transfusion-associated graft vs host disease (TA-GvHD) following emergency intrauterine transfusion of maternal blood: case report and survey of UK practice
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New, HV, primary, Chapman, CE, additional, Kilby, MD, additional, Kumar, S, additional, Brown, CJ, additional, and Bolton-Maggs, PHB, additional
- Published
- 2014
- Full Text
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29. P93 Clinical Outcomes and Patient Satisfaction Following Initiation of the TOBI Podhaler in CF Adults
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Brown, CJ, primary, Nash, EF, additional, Carrolan, V, additional, Rashid, R, additional, and Whitehouse, JL, additional
- Published
- 2012
- Full Text
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30. Protein flexibility and intrinsic disorder
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Radivojac, P., Obradovic, Z., Smith, DK, Zhu, G., Vucetic, S., Brown, CJ, Lawson, JD, Dunker, AK, Radivojac, P., Obradovic, Z., Smith, DK, Zhu, G., Vucetic, S., Brown, CJ, Lawson, JD, and Dunker, AK
- Abstract
Comparisons were made among four categories of protein flexibility: (1) low-13-factor ordered regions, (2) high-B-factor ordered regions, (3) short disordered regions, and (4) long disordered regions. Amino acid compositions of the four categories were found to be significantly different from each other, with high-B-factor ordered and short disordered regions being the most similar pair. The high-B-factor (flexible) ordered regions are characterized by a higher average flexibility index, higher average hydrophilicity, higher average absolute net charge, and higher total charge than disordered regions. The low-B-factor regions are significantly enriched in hydrophobic residues and depleted in the total number of charged residues compared to the other three categories. We examined the predictability of the high-B-factor regions and developed a predictor that discriminates between regions of low and high-B-factors. This predictor achieved an accuracy of 70\% and a correlation of 0.43 with experimental data, outperforming the 64\% accuracy and 0.32 correlation of predictors based solely on flexibility indices. To further clarify the differences between short disordered regions and ordered regions, a predictor of short disordered regions was developed. Its relatively high accuracy of 81\% indicates considerable differences between ordered and disordered regions. The distinctive amino acid biases of high-B-factor ordered regions, short disordered regions, and long disordered regions indicate that the sequence determinants for these flexibility categories differ from one another, whereas the significantly-greater-than-chance predictability of these categories from sequence suggest that flexible ordered regions, short disorder, and long disorder are, to a significant degree, encoded at the primary structure level.
- Published
- 2004
31. Entirely happy to burn northern Australian savannas: fire law and policy effects on fire management
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Allsop, N, Palmer, AR, Milton, SJ, Kirkman, KP, Kerley, GIH, Hunt, CR, Brown, CJ, Preece, N, Allsop, N, Palmer, AR, Milton, SJ, Kirkman, KP, Kerley, GIH, Hunt, CR, Brown, CJ, and Preece, N
- Published
- 2003
32. A review of sublittoral monitoring methods in temperate waters: a focus on scale
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Van Rein, HB, primary, Brown, CJ, additional, Quinn, R, additional, and Breen, J, additional
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- 2009
- Full Text
- View/download PDF
33. Darwinian fisheries science needs to consider realistic fishing pressures over evolutionary time scales
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Brown, CJ, primary, Hobday, AJ, additional, Ziegler, PE, additional, and Welsford, DC, additional
- Published
- 2008
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34. An association between skewed X-chromosome inactivation and abnormal outcome in mosaic trisomy 16 confined predominantly to the placenta
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Peñaherrera, Ms, primary, Barrett, IJ, additional, Brown, CJ, additional, Langlois, S, additional, Yong, S-L, additional, Lewis, S, additional, Bruyère, H, additional, Howard-Peebles, PN, additional, Kalousek, DK, additional, and Robinson, WP, additional
- Published
- 2008
- Full Text
- View/download PDF
35. Straight coloanal anastomosis, colonic J pouch or transverse coloplasty for reconstruction after rectal resection for rectal cancer
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Brown, CJ, primary, Fenech, DS, additional, and McLeod, RS, additional
- Published
- 2006
- Full Text
- View/download PDF
36. Mapping seabed biotopes using sidescan sonar in regions of heterogeneous substrata: Case study east of the Isle of Wight, English Channel
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Brown, CJ, primary, Hewer, AJ, additional, Limpenny, DS, additional, Cooper, KM, additional, Rees, HL, additional, and Meadows, WJ, additional
- Published
- 2004
- Full Text
- View/download PDF
37. The dynamics of X-inactivation skewing as women age
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Hatakeyama, C, primary, Anderson, CL, additional, Beever, CL, additional, Peñaherrera, MS, additional, Brown, CJ, additional, and Robinson, WP, additional
- Published
- 2004
- Full Text
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38. Latitudinal diversity patterns of deep-sea marine nematodes and organic fluxes: a test from the central equatorial Pacific
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Lambshead, PJD, primary, Brown, CJ, additional, Ferrero, TJ, additional, Mitchell, NJ, additional, Smith, CR, additional, Hawkins, LE, additional, and Tietjen, J, additional
- Published
- 2002
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39. THE PROTEIN NON-FOLDING PROBLEM: AMINO ACID DETERMINANTS OF INTRINSIC ORDER AND DISORDER.
- Author
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WILLIAMS, R. M., OBRADOVI, Z., MATHURA, V., BRAUN, W., GARNER, E. C., YOUNG, J., TAKAYAMA, S., BROWN, CJ., and DUNKER, A. K.
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PROTEIN folding ,PROTEIN structure ,AMINO acids ,CIRCULAR dichroism ,NUCLEAR magnetic resonance spectroscopy - Published
- 2000
40. The causes and consequences of random and non-random X chromosome inactivation in humans
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Brown, CJ, primary and Robinson, WP, additional
- Published
- 2000
- Full Text
- View/download PDF
41. Patterns of placental development evaluated by X chromosome inactivation profiling provide a basis to evaluate the origin of epigenetic variation.
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Peñaherrera MS, Jiang R, Avila L, Yuen RK, Brown CJ, Robinson WP, Peñaherrera, M S, Jiang, R, Avila, L, Yuen, R K C, Brown, C J, and Robinson, W P
- Abstract
Background: Inactivation of the maternally or paternally derived X chromosome (XCI) initially occurs in a random manner in early development; however as tissues form, a 'patchiness' will occur in terms of which X is inactivated if cells positioned near each other are clonally descended from a common precursor. Determining the relationship between skewed XCI in different tissues and in different samples from the same tissue provides a molecular assessment of the developmental history of a particular tissue that can then be used to understand how genetic and epigenetic variation arises in development.Methods: XCI skewing was evaluated in and compared between amnion, chorion, trophoblast and mesenchyme using multiple sampling sites from 14 term placentae. XCI was also evaluated in chorionic villus samples obtained at multiple sites and depths from four additional term placentae. The pattern of variation was then compared with methylation variation associated with the H19/IGF2 imprinting control region (ICR); promoter regions of KISS1, PTPN6, CASP8 and APC; and LINE-1 elements.Results: Mean placental level of skewing for amnion and chorion are correlated, consistent with a common developmental origin of at least a component of these membranes from inner cell mass derivatives subsequent to XCI, while trophoblast appears to be derived independently, consistent with its origin from the trophectoderm. Villus samples taken from different depths spanning the fetal to maternal side of the placenta were highly clonally related. Comparing patterns of clonal growth identified through XCI to the distribution of epigenetic variation in other genomic regions suggests that some variation arises early in development (e.g. LINE-1 methylation), whereas other variation arises predominantly after villus tree formation (e.g. methylation at H19/IGF2 ICR).Conclusions: The patterns of XCI skewing are consistent with a model whereby each biopsied site of chorionic villi represents one or a few individual villus trees, each of which is clonally derived from only one or a few precursor cells. Sampling of placentae to evaluate changes associated with clinical pathology should be done with consideration of the tree-to-tree differences. A limitation of this study is the small number of placentas used and therefore placental-specific differences in variation could not be assessed. [ABSTRACT FROM AUTHOR]- Published
- 2012
- Full Text
- View/download PDF
42. COMPUTER ASSISTED LEARNING. INFORMAL DISCUSSION.
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BURGESS, IW, BOLTON, MD, PLANK, RJ, JENKINS, WM, and BROWN, CJ
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- 1988
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43. “I could move mountains”.
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Alexander GK, Innes KE, Brown CJ, Kulbok P, Bourguignon C, Bovbjerg VE, and Taylor AG
- Published
- 2010
- Full Text
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44. The relationship between electrically evoked compound action potential and speech perception: a study in cochlear implant users with short electrode array.
- Author
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Kim JR, Abbas PJ, Brown CJ, Etler CP, O'Brien S, Kim LS, Kim, Jae-Ryong, Abbas, Paul J, Brown, Carolyn J, Etler, Christine P, O'Brien, Sara, and Kim, Lee-Suk
- Published
- 2010
- Full Text
- View/download PDF
45. Effects of change in rectal cancer management on outcomes in British Columbia.
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Phang PT, McGahan CE, McGregor G, Macfarlane JK, Brown CJ, Raval MJ, Cheifetz R, Hay JH, Phang, P Terry, McGahan, Colleen E, McGregor, Greg, MacFarlane, John K, Brown, Carl J, Raval, Manoj J, Cheifetz, Rona, and Hay, John H
- Abstract
Background: In a province-wide audit of patients undergoing treatment for rectal cancer in British Columbia in 1996, the 4-year rate of pelvic recurrence for stage 3 rectal cancer was 27%. The management guidelines were changed in 2002 to include adjuvant short-course preoperative radiation and total mesorectal excision surgical techniques. Education workshops were held to implement the protocol change.Methods: We performed a provincial audit of rectal cancer cases for patients treated in the year after the protocol change, and we compared the pelvic recurrence rates with those from the audit performed in 1996.Results: During a 12-month period beginning Oct. 1, 2003, a total of 367 patients underwent radical resection of rectal cancer with a curative intent. Preoperative adjuvant radiotherapy was used in 54% of cases (197/367). Median follow-up was 34.5 months, and 91% of patients were followed for at least 2 years. Relative to the 1996 cohort, there was a decreasing trend in 2-year overall pelvic recurrence rates in the 2003/04 cohort (9.6% v. 6.9%) and a significant decrease in recurrence among patients with stage 3 cancers (18.2% v. 9.2%; p = 0.020). Use of adjuvant radiation increased significantly (37% v. 65%; p < 0.001), and negative radial margins were achieved in 87% (319/367) of cases.Conclusion: The rates of pelvic recurrence were improved after changes in the management guidelines advocating increased use of total mesorectal excision surgery and preoperative radiation. Knowledge translation with an integrated strategy among surgeons and medical and radiation oncologists was successful in improving population outcomes among patients with rectal cancer. [ABSTRACT FROM AUTHOR]- Published
- 2010
46. Defining community ambulation from the perspective of the older adult.
- Author
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Brown CJ, Bradberry C, Howze SG, Hickman L, Ray H, and Peel C
- Abstract
BACKGROUND: Little is known regarding destinations and distances necessary for independent community ambulation after enactment of the Americans with Disability Act. OBJECTIVE: To qualitatively describe community locations visited by older adults and to determine ambulation distance required to visit these locations. DESIGN: Descriptive study. METHODS: Nineteen subjects, 65 years or older and who were independent with transportation, ambulation, and basic activities of daily living, were recruited from 4 senior centers in urban areas of central Alabama. The study was divided into 2 phases. In part 1, using qualitative methodology, older adults were interviewed to determine locations they visited in the community. In part 2, we visited the types of locations identified in part 1 and measured distances required to conduct business at each location. Obstacles, if any, to reaching these locations were identified. RESULTS: Subjects had a mean age of 76.6 (5.8) years; 80% were women, and 50% lived alone in the community. Locations visited by subjects were identified and measured. Researchers categorized locations as essential, essential to some people, and nonessential. Essential locations included bank, doctor's office, and either a grocery store, pharmacy, and department store or a 'superstore'. A minimum of approximately 200 m was required for community ambulation to most locations, although this distance varied significantly among locations. LIMITATIONS: Geographic location and urban setting may not reflect distances necessary for rural residents. CONCLUSIONS: Physical therapists can use the 200-m distance as a starting point for goal-setting for older adults desiring a return to community independence. [ABSTRACT FROM AUTHOR]
- Published
- 2010
47. Comparison of electrically evoked compound action potential thresholds and loudness estimates for the stimuli used to program the advanced bionics cochlear implant.
- Author
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Jeon EK, Brown CJ, Etler CP, O'Brien S, Chiou L, and Abbas PJ
- Abstract
Background: In the mid-1990s, Cochlear Corporation introduced a cochlear implant (CI) to the market that was equipped with hardware that made it possible to record electrically evoked compound action potentials (ECAPs) from CI users of all ages. Over the course of the next decade, many studies were published that compared ECAP thresholds with levels used to program the speech processor of the Nucleus CI. In 2001 Advanced Bionics Corporation introduced the Clarion CII cochlear implant (the Clarion CII internal device is also known as the CII Bionic Ear). This cochlear implant was also equipped with a system that allowed measurement of the ECAP. While a great deal is known about how ECAP thresholds compare with the levels used to program the speech processor of the Nucleus CI, relatively few studies have reported comparisons between ECAP thresholds and the levels used to program the speech processor of the Advanced Bionics CI. Purpose: To explore the relationship between ECAP thresholds and behavioral measures of perceptual dynamic range for the range of stimuli commonly used to program the speech processor of the Advanced Bionics CI. Research Design: This prospective and experimental study uses correlational and descriptive statistics to define the relationship between ECAP thresholds and perceptual dynamic range measures. Study Sample: Twelve postlingually deafened adults participated in this study. All were experienced users of the Advanced Bionics CI system. Data Collection and Analysis: ECAP thresholds were recorded using the commercially available SoundWave software. Perceptual measures of threshold (T-level), most comfortable level (M-level), and maximum comfortable level (C-level) were obtained using both 'tone bursts' and 'speech bursts.' The relationship between these perceptual and electrophysiological variables was defined using paired t-tests as well as correlation and linear regression. Results: ECAP thresholds were significantly correlated with the perceptual dynamic range measures studied; however, correlations were not strong. Analysis of the individual data revealed considerable discrepancy between the contour of ECAP threshold versus electrode function and the behavioral loudness estimates used for programming. Conclusion: ECAP thresholds recorded from Advanced Bionics cochlear implant users always indicated levels where the programming stimulus was audible for the listener. However, the correlation between ECAP thresholds and M-levels (the primary metric used to program the speech processor of the Advanced Bionics CI), while statistically significant, was quite modest. If programming levels are to be determined on the basis of ECAP thresholds, care should be taken to ensure that stimulation is not uncomfortably loud, particularly on the basal electrodes in the array. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
48. Effects of long-term use of a cochlear implant on the electrically evoked compound action potential.
- Author
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Brown CJ, Abbas PJ, Etler CP, O'Brien S, and Oleson JJ
- Abstract
Background: Since the early 1990s, it has been possible to measure electrically evoked compound action potentials (ECAPs) from Nucleus cochlear implant users. Recording the ECAP does not require active participation by the subject, and the recordings are not adversely affected by attention or sleep, making this response an ideal tool for monitoring long-term changes. Previous research from our laboratory (Hughes et al, 2001) has shown that ECAP thresholds and slope of the ECAP growth functions are relatively stable over time. However, this conclusion was based on results obtained from a fairly limited number of study participants, each of whom used the Nucleus Cl24M cochlear implant and were followed for less than two years. Purpose: To evaluate the effect of long-term use of a cochlear implant on ECAP thresholds and slope of the ECAP input/output function for both pediatric and adult cochlear implant recipients. Research Design: A longitudinal study that describes how ECAP thresholds and growth functions change over a period of 96 mo following initial activation. Changes over time in ECAP threshold and slope of the ECAP growth function were analyzed, and effects of the subject's age, type of CI (cochlear implant), and stimulating electrode are included in the analysis. Study Sample: 134 Nucleus CI users participated in this study. All were profoundly deaf. This subject pool included 84 individuals (40 adults and 44 children) who used the Nucleus C124M cochlear implant and 50 individuals (21 adults and 29 children) who used the Nucleus C124R cochlear implant. Data Collection and Analysis: Electrodes 5, 10, 15, and 20 were stimulated, and ECAP growth functions were measured for each subject at regular intervals following the initial activation of the device. Results: Small increases in mean ECAP thresholds were observed for both pediatric and adult CI users between an 'early' visit that occurred within 3DS6 mo following hookup and a 'late' visit that occurred 4.8-6 yr later. For adults, the average increase in ECAP threshold was 3.94 CL (clinical programming units for Nucleus CIs). For children, the average increase was 4.16 CL. These differences, while small, were statistically significant. Slope of the ECAP growth functions measured over the same time interval did not change significantly. On average, pediatric CI users had ECAP thresholds that were 4DS5 CL units higher than the adult CI recipients. The most striking outcome from this study, however, was the finding that when compared with postlingually deafened adults, pediatric CI users had ECAP growth functions that were substantially steeper. The differences between the results obtained from children and those obtained from adults were statistically significant and largely independent of device type or stimulating electrode. Conclusion: Results from this study show ECAP thresholds and growth functions to change very little over a 5DS6 yr observation interval suggesting that long-term use of a CI is not likely to have a significant negative impact on the response of the peripheral auditory system. Pediatric CI users were shown to have, on average, higher ECAP thresholds and steeper ECAP growth functions than postlingually deafened adult CI users. This finding suggests potential differences between the two patient populations either in terms of the current fields within the cochlea or the effective distance between the stimulating electrode and the stimulable neural tissue. [ABSTRACT FROM AUTHOR]
- Published
- 2010
- Full Text
- View/download PDF
49. Determining medical staffing requirements for humanitarian assistance missions.
- Author
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Negus TL, Brown CJ, Konoske P, Negus, Tracy L, Brown, Carrie J, and Konoske, Paula
- Abstract
Objective: The primary mission of hospital ships is to provide acute medical and surgical services to U.S. forces during military operations. Hospital ships also provide a hospital asset in support of disaster relief and humanitarian assistance (HA) operations. HA missions afford medical care to populations with vastly different sets of medical conditions from combat casualty care, which affects staffing requirements.Methods: Information from a variety of sources was reviewed to better understand hospital ship HA missions. Factors such as time on-site and location shape the mission and underlying goals.Results: Patient encounter data from previous HA missions were used to determine expected patient conditions encountered in various HA operations. These data points were used to project the medical staffing required for future missions.Conclusions: Further data collection, along with goal setting, must be performed to accomplish successful future HA missions. Refining staffing requirements allows deployments to accomplish needed HA and effectively reach underserved areas. [ABSTRACT FROM AUTHOR]- Published
- 2010
50. The effect of changes in stimulus level on electrically evoked cortical auditory potentials.
- Author
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Kim J, Brown CJ, Abbas PJ, Etler CP, O'Brien S, Kim, Jae-Ryong, Brown, Carolyn J, Abbas, Paul J, Etler, Christine P, and O'Brien, Sara
- Published
- 2009
- Full Text
- View/download PDF
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