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1. Expert Panel Consensus for Optimizing Outcomes in Neovascular Age-Related Macular Degeneration in the Context of Suboptimal Response to a Biosimilar: The Role of Aflibercept

Author

Narendran N, Bailey C, Downey L, Gale R, Kotagiri A, Pearce I, Rennie CA, Sivaprasad S, Talks J, Morgan-Warren P, Napier J, O’Neil C, and Seeborne T

Subjects
anti-vegf agents, capacity, consensus pathway, ranibizumab, Ophthalmology, RE1-994
Abstract

Nirodhini Narendran,1,2 Clare Bailey,3 Louise Downey,4 Richard Gale,5 Ajay Kotagiri,6 Ian Pearce,7 Christina A Rennie,8 Sobha Sivaprasad,9 James Talks,10 Peter Morgan-Warren,11 Jackie Napier,11 Carolyn O’Neil,11 Timothy Seeborne11 1The Royal Wolverhampton NHS Trust, Wolverhampton, UK; 2School of Life & Health Sciences, Aston University, Birmingham, UK; 3University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK; 4Hull University Teaching Hospitals NHS Trust, Hull, UK; 5York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK; 6South Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK; 7Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK; 8University Hospital Southampton NHS Foundation Trust, Southampton, UK; 9NIHR Moorfields Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK; 10Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK; 11Bayer plc, Reading, UKCorrespondence: Nirodhini Narendran, Ophthalmology Department, New Cross Hospital (Part of the Royal Wolverhampton NHS Trust), Wolverhampton Road, Wolverhampton, WV10 0QP, UK, Email niro.narendran@nhs.netPurpose: The inclusion of ranibizumab biosimilars into National Health Service England commissioning recommendations published in 2022 created a need for expert guidance to optimize treatment outcomes in patients with neovascular age-related macular degeneration (nAMD) who otherwise may not have received first-line ranibizumab. This article provides a consensus treatment pathway supporting timely identification and management of a suboptimal response to these therapies, thereby aiming to facilitate clinically meaningful outcomes and efficient management of service capacity under specific circumstances where ranibizumab biosimilars may be initiated as a first-line treatment.Methods: Two structured round-table meetings of UK medical retina specialists were held in person and virtually on September 22 and November 3, 2022, respectively. These meetings were organized and funded by Bayer.Results: The panel provided guidance on the implementation of an early treatment optimization pathway in cases where ranibizumab biosimilars are used as a first-line treatment, including recommendations on patient suitability and capacity requirements, and criteria for identification and strategies for management of a suboptimal response. The panel discussed the role of aflibercept treatment and its potential benefits and outlined recommendations on switching ranibizumab biosimilar suboptimal responders to an aflibercept treat-and-extend regimen, where appropriate.Conclusion: Developed by a retinal expert panel, this early treatment optimization pathway provides guidance to facilitate optimal long-term patient outcomes while addressing capacity and resourcing constraints in circumstances of first-line ranibizumab biosimilar use for nAMD, including how aflibercept may be used in cases with a suboptimal response. Therefore, this fills an important gap in guidance on navigating the new treatment landscape.Keywords: anti-VEGF agents, capacity, consensus pathway, ranibizumab

Published
2024

2. Providing a Safe and Effective Intravitreal Treatment Service: Strategies for Service Delivery

Author

Amoaku W, Bailey C, Downey L, Gale RP, Ghanchi F, Hamilton R, Mahmood S, Menon G, Nosek J, Pearce I, and Yang Y

Subjects
capacity, intravitreal service, namd, resources, Ophthalmology, RE1-994
Abstract

Winfried Amoaku,1 Clare Bailey,2 Louise Downey,3 Richard P Gale,4 Faruque Ghanchi,5 Robin Hamilton,6 Sajjad Mahmood,7 Geeta Menon,8 Jenny Nosek,9 Ian Pearce,10 Yit Yang11 1Academic Ophthalmology, Division of Clinical Neuroscience, University of Nottingham, Nottingham, UK; 2University Hospitals Bristol NHS Foundation Trust, Bristol, UK; 3Hull and East Yorkshire Eye Hospital, Hull University Teaching Hospital, Hull, UK; 4York Teaching Hospital NHS Foundation Trust, York, UK; 5Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK; 6Moorfield Eye Hospital NHS Foundation Trust, London, UK; 7Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK; 8Frimley Health NHS Foundation Trust, Frimley, UK; 9Royal Shrewsbury Hospital, Shropshire, UK; 10St Paul’s Eye Unit, Royal Liverpool University Hospital, Liverpool, UK; 11Wolverhampton Eye Infirmary, The Royal Wolverhampton NHS Trust, Wolverhampton, UKCorrespondence: Louise Downey Email Louise.Downey@hey.nhs.ukAbstract: An aging population leads to increasing demand for medical retina services with chronic diseases being managed in long-term care pathways. Many hospital services struggle to deliver efficient and effective MR care due, at least in part, to infrastructure that does not expand responsively enough to meet the increased demand. A steering committee of retinal specialists from a variety of UK NHS hospital ophthalmology departments with experience of leading and managing NHS retinal services in the intravitreal era came together for the generation of this document to review and compile key aspects that should be considered when optimising intravitreal treatment capacity within MR services. This article aims to provide a useful collation and signposting of key published evidence, consensus and insights on aspects of delivering an intravitreal service, including treatment regimens, virtual clinics, staff training and governance, telemedicine and information technology, and data collection and key performance indicators. The objective is to equip ophthalmologic healthcare professionals with the necessary tools to develop and adapt their local service in the face of current and projected increased demand.Keywords: capacity, intravitreal service, nAMD, resources

Published
2020

4. Initiation and maintenance of a Treat-and-Extend regimen for ranibizumab therapy in wet age-related macular degeneration: recommendations from the UK Retinal Outcomes Group

Author

Amoaku W, Balaskas K, Cudrnak T, Downey L, Groppe M, Mahmood S, Mehta H, Mohamed Q, Mushtaq B, Severn P, Vardarinos A, Yang Y, and Younis S

Subjects
ranibizumab, age-related macular degeneration, nAMD, treat and extend, anti-VEGF treatment., Ophthalmology, RE1-994
Abstract

Winfried Amoaku,1 Konstantinos Balaskas,2,3 Tomas Cudrnak,4 Louise Downey,5 Markus Groppe,6 Sajjad Mahmood,7 Hemal Mehta,8 Quresh Mohamed,9 Bushra Mushtaq,10 Philip Severn,11 Athanasios Vardarinos,12 Yit Yang,13 Saad Younis14 1Academic Ophthalmology, Division of Clinical Neuroscience, University of Nottingham, Nottingham, UK; 2NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and University College of London Institute of Ophthalmology, London, UK; 3University of Manchester, Manchester, UK; 4Royal Eye Infirmary, University Hospitals Plymouth NHS Trust, Plymouth, UK; 5Hull and East Yorkshire Eye Hospital, Hull and East Yorkshire Hospitals NHS Trust, Hull, UK; 6Ophthalmology, Stoke Mandeville, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK; 7Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK; 8Royal Free London NHS Foundation Trust, London, UK; 9Gloucestershire Eye Unit, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK; 10Birmingham and Midland Eye Centre, Sandwell and West Birmingham NHS Trust, Birmingham, UK; 11South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK; 12Eye Treatment Centre, West Suffolk Hospital, West Suffolk NHS Foundation Trust, Bury St Edmunds, UK; 13Wolverhampton Eye Infirmary, The Royal Wolverhampton NHS Trust, Wolverhampton, UK; 14Ophthalmology, Western Eye Hospital, Imperial College Healthcare NHS Trust, London, UK Abstract: The treatment of neovascular (wet) age-related macular degeneration (AMD) with ranibizumab is now very well established in terms of efficacy and safety. Recent clinical trials and real-world studies have demonstrated the advantages of a Treat-and-Extend (T&E) regimen, and many hospital departments are now in the process of adopting this new regimen in favor of the pro re nata regimen for initiating and continuing ranibizumab therapy for patients with wet AMD. The comprehensive spectrum of issues related to implementation of the regimen is covered qualitatively in ten didactic topics provided by a group of clinicians with direct experience of this regimen in their department. The topics include definition, new and previously treated eyes, management of high-frequency injections, maximum extensions, discontinuing T&E, bilateral cases, clerical, audit, and patient counseling. This article aims to provide a useful resource for the implementation of the T&E regimen. A quantitative summary of the visual outcomes in key publications is also provided in this article. This article should be a valuable resource for staff training. Keywords: ranibizumab, age-related macular degeneration, nAMD, Treat and Extend, anti-VEGF treatment

Published
2018

5. Predicting 2-year neurodevelopmental outcomes in extremely preterm infants using graphical network and machine learning approaches

Author

Wadhawan, Rajan, Courtney, Sherry E., Robinson, Tonya, Ahmad, Kaashif A., Bendel-Stenzel, Ellen, Baserga, Mariana, LaGamma, Edmund F., Downey, L. Corbin, Rao, Raghavendra, Fahim, Nancy, Lampland, Andrea, Frantz, Ivan D., III, Khan, Janine, Weiss, Michael, Gilmore, Maureen M., Srinivasan, Nishant, Perez, Jorge E., McKay, Victor, Juul, Sandra E., Wood, Thomas R., German, Kendell, Law, Janessa B., Kolnik, Sarah E., Puia-Dumitrescu, Mihai, Mietzsch, Ulrike, Gogcu, Semsa, Comstock, Bryan A., Li, Sijia, Mayock, Dennis E., and Heagerty, Patrick J.

Published
2023
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6. The Impact of Erythropoietin on Short- and Long-Term Kidney-Related Outcomes in Neonates of Extremely Low Gestational Age. Results of a Multicenter, Double-Blind, Placebo-Controlled Randomized Clinical Trial

Author

Juul, Sandra E., Comstock, Bryan A., Wadhawan, Rajan, Mayock, Dennis E., Courtney, Sherry E., Robinson, Tonya, Ahmad, Kaashif A., Bendel-Stenzel, Ellen, Baserga, Mariana, LaGamma, Edmund F., Downey, L. Corbin, Rao, Raghavendra, Fahim, Nancy, Lampland, Andrea, Frantz, Ivan D., III, Khan, Janine Y., Weiss, Michael, Gilmore, Maureen M., Ohls, Robin, Srinivasan, Nishant, Perez, Jorge E., McKay, Victor, Vu, Phuong T., Heagerty, Patrick J., Thomas, Billy, Elhassan, Nahed, Mulkey, Sarah, Dydynski, Philip, Vijayamadhavan, Vivek K., Mulrooney, Neil, Yoder, Bradley, Kase, Jordan S., Check, Jennifer, Gogcu, Semsa, Osterholm, Erin, Ramel, Sara, Bendel, Catherine, Gale, Cheryl, George, Thomas, Georgieff, Michael, Gisslen, Tate, Guiang, Sixto, III, Hall, Anne, Johnson, Dana, Pfister, Katie, Podgorski, Heather, Roberts, Kari, Stepka, Erin, Engel, Melissa, Kamrath, Heidi, Scheurer, Johannah, Hanson, Angela, Satrom, Katherine, Pfister, Susan, Simones, Ann, Plummer, Erin, Zorn, Elizabeth, Martin, Camilia R., O'Reilly, Deirdre, Porta, Nicolas, Bazacliu, Catalina, Williams, Jonathan, Rajderkar, Dhanashree, Northington, Frances, Valdez, Raul Chavez, Beauman, Sandra, Saurabhkumar, Patel, Diaz-Barbosa, Magaly, Serize, Arturo, Jordan, Jorge, Ott, Debbie, Mora, Ariana Franco, Hedrick, Pamela, Flynn, Vicki, Silvia, Amy, Clopp, Bailey, Feltner, John B., Esposito, Isabella, Hauge, Stephanie, Nikirk, Samantha, Purnell, Andrea, Loy, Emilie, Sikes, Natalie, Mason, Melanie, McConnell, Jana, Brown, Tiffany, Harrison, Henry, Pearson, Denise, Drake, Tammy, Wright, Jocelyn, Walden, Debra, Guy, Annette, Nason, Jennifer, Talbot, Morgan, Lee, Kristen, Penny, Sarah, Boles, Terri, Drummond, Melanie, Kohlleppel, Katy, Kathen, Charmaine, Kaletka, Brian, Gonzales, Shania, Worwa, Cathy, Fisher, Molly, Richter, Tyler, Ginder, Alexander, Reich, Brixen, Rau, Carrie, Loertscher, Manndi, Bledsoe, Laura, McGrath, Kandace, Lewis, Kimberlee Weaver, Burnett, Jill, Schaefer, Susan, Bird, Karie, Giblin, Clare, Daly, Rita, Lanier, Kristi, Warden, Kelly, Wassenaar, Jenna, Ericksen, Jensina, Davern, Bridget, Osborne, Mary Pat, Gregorich, Brittany, Talele, Neha, Obregon, Evelyn, Ziyeh, Tiglath, Clarke, Molly, Wegner, Rachel E., Patel, Palak, Schau, Molly, Russow, Annamarie, Curry, Kelly, Sinnamon, Susan, Barnhart, Lisa, Parkinson, Charlamaine, Hanson, Mary, Kuan, Elizabeth, Lacy, Conra Backstrom, Galvis, Edshelee M., Bombino, Susana, Martinez, Denise, Bell, Suzi, Long, Corrie, Longa, Cathy, Westerveld, Michael, McConkey, Stacy, Hay, Anne, Natarajan, Niranjana, Gaudette, Shari, Cobb, Sarah, Sharp, Gregory, Schumacher, Elizabeth, Schuschke, Leslie, Frey, Charlotte, Fierro, Mario, Gilmore, Lois, Lundequam, Pamela, Hoekstra, Ronald, Ketko, Anastasia, Perdue, Nina, Cunningham, Sean, Stout, Kelly, Hall, Becky, Morshedzadeh, Galina, Ostrander, Betsy, Winter, Sarah, Cox, Lauren, Rainaldi, Matthew A., Hensley, Sarah, Morris, Melissa, Roberts, Dia, Tuttle, Melissa, Boys, Christopher, Hultgren, Solveig, Pierpont, Elizabeth I., George, Tom, King, Kelly E., Bataglia, Katherine, Neis, Cathy, Bergeron, Mark, Miller, Cristina, Accomando, Cara, Gavin, Jennifer Anne, Maczek, Elizabeth, Marakovitz, Susan, Knorr, Aimee, Smith, Vincent C., Stewart, Jane E., Weissbourd, Marie, deRegnier, Raye-Ann, Matoba, Nana, Heaton, Shelly C., Cascio, Erika M., Brady, Janet, Ghosh, Suman, Ditto, Jessica, Leppert, Mary, Lowe, Jean, Fuller, Janell, DuPont, Tara, Kloska, Pamela, Patel, Saurabh, Carbonell, Lauren, Patino-Fernandez, Anna Maria, de Lerma, Carmen, McDonough, Kelly, De Cortada, Maiana, Chavis, Lacy, Shannon, Jane, Konodi, Mark A., Nefcy, Christopher, Kuban, Karl C.K., Lowe, Jean R., O'Shea, T. Michael, Dighe, Manjiri, Richards, Todd, Shaw, Dennis W.W., Studholme, Colin, Traudt, Christopher M., Ballard, Roberta, Hartman, Adam, Janis, Scott, Ohls, T. Robin, O'Shea, Michael, Guillet, Ronnie, Ball, M. Bethany, Glass, Hannah, Saville, Ben, Schreiber, Michael, Askenazi, David J., Schmicker, Robert H., Brophy, Patrick, Goldstein, Stuart L., and Hingorani, Sangeeta

Published
2021
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7. Introduction

Author

A LLEN, D., author, BENKLER, Y., author, DOWNEY, L., author, HENDERSON, R., author, and S IMONS, J ., author

Published
2022
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8. Defining the neuropsychological and neuroimaging phenotype of behavioural variant frontotemporal dementia

Author

Downey, L. E.

Subjects
612.8
Abstract

Frontotemporal dementia (FTD) is the second most common cause of early-onset dementia after Alzheimer’s disease (AD). There exists a paucity of quantifiable, sensitive, and specific biomarkers to detect this disease and track its manifestation and progression. The primary aim of this thesis was to develop and investigate new biomarkers for FTD, and focused on the examination of neuropsychological biomarkers in the behavioural variant of FTD (bvFTD) and their neuroanaotmical correlates. Chapters 4 and 5 explored social cognition in patients with FTD and the neural correlates of this behaviour. bvFTD patients displayed gross dysfunction in the perception of sarcasm and the ability to understand basic social signals, and this mapped onto a larger social cognition neural network that has previously been defined in the literature. These findings delineate a brain network substrate for the social impairment that characterises FTD syndromes. In Chapters 6 and 7, I explored the executive functions of task switching, reaction time, and neural timing in patients with FTD. Results indicated several dissociable executive capacities, which mapped onto discrete neural areas as part of a larger executive function network, suggesting that structures implicated in aspects of executive functioning can be targeted by FTD and may underpin aspects of the bvFTD phenotype. In the final Chapter, I devised a novel battery to examine the bases of psychosis in FTD patients with the C9ORF72 mutation, which demonstrated a specific and unique impairment in the ability to interpret somatosensory proprioceptive information in these patients, which may represent a candidate mechanism for psychosis. The studies described in this thesis contribute to the growing interest in characterising and understanding the neuropsychological phenotypes of bvFTD. Improved understanding of the anatomical associations of neuropsycholgical performance in this patient population could potentially facilitate earlier and more accurate diagnosis and symptom management.

Published
2014

14. A Pragmatic Randomized Trial of the Jumpstart Intervention to Promote Communication About Goals of Care for Hospitalized Patients With Serious Illness

Author

Kross, E.K., primary, Curtis, J.R., additional, Lee, R.Y.-F., additional, Brumback, L., additional, Downey, L., additional, Torrence, J., additional, DeLuc, N., additional, Mallon Andrews, K., additional, Im, J., additional, Heywood, J., additional, Brown, C.E., additional, Sibley, J., additional, Lober, W., additional, Cohen, T., additional, Weiner, B.J., additional, Khandelwal, N., additional, Abedini, N.C., additional, and Engelberg, R.A., additional

Published
2023
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17. Predicting 2-year neurodevelopmental outcomes in extremely preterm infants using graphical network and machine learning approaches

Author

Juul, Sandra E., primary, Wood, Thomas R., additional, German, Kendell, additional, Law, Janessa B., additional, Kolnik, Sarah E., additional, Puia-Dumitrescu, Mihai, additional, Mietzsch, Ulrike, additional, Gogcu, Semsa, additional, Comstock, Bryan A., additional, Li, Sijia, additional, Mayock, Dennis E., additional, Heagerty, Patrick J., additional, Wadhawan, Rajan, additional, Courtney, Sherry E., additional, Robinson, Tonya, additional, Ahmad, Kaashif A., additional, Bendel-Stenzel, Ellen, additional, Baserga, Mariana, additional, LaGamma, Edmund F., additional, Downey, L. Corbin, additional, Rao, Raghavendra, additional, Fahim, Nancy, additional, Lampland, Andrea, additional, Frantz, Ivan D., additional, Khan, Janine, additional, Weiss, Michael, additional, Gilmore, Maureen M., additional, Srinivasan, Nishant, additional, Perez, Jorge E., additional, and McKay, Victor, additional

Published
2023
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21. O066 The Impact of Work Break Characteristics on Sleep Duration in Heavy Vehicle Drivers

Author

Harris, R, primary, Beatty, C, additional, Cori, J, additional, Spitz, G, additional, Soleimanloo, S, additional, Peterson, S, additional, Naqvi, A, additional, Barnes, M, additional, Downey, L, additional, Shiferaw, B, additional, Anderson, C, additional, Tucker, A, additional, Clark, A, additional, Rajaratnam, S, additional, Howard, M, additional, Sletten, T, additional, and Wolkow, A, additional

Published
2022
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29. The Social Studies in Alberta--1975: A Summary of a Report of an Assessment.

Author

Downey, L. W.

Abstract

This summary report assesses the design implementation and classroom instruction of the Alberta, Canada, social studies curriculum. The purpose of the study was to present a synthesis of findings from five investigative activities undertaken by a research association in Alberta: (1) review of the background of the program, (2) critiques of the master plan, (3) questionnaire survey of teachers, students, and parents, (4) analysis of locally developed programs, and (5) series of interviews, observations, and site visits. The study is presented in four chapters. Chapter I, The Questions, asks how appropriate and effective are the original master plan, the programs which have been developed at the local level, and the typical classroom situation. Chapter II, Summary of Conclusions and Supporting Evidence, broadly generalizes conclusions for the master plan, program development, and the classroom situation. Chapter III, Summary Judgments, presents a profile of attainment of educational objectives in the three sectors of the curriculum, and Chapter IV, Recommendations, suggests nine specific steps which might improve the project. It is concluded that the social studies program is consistent with emerging objectives of education but is not being effectively implemented. (Author/DB)

Published
1975

30. The Social Studies in Alberta--1975: A Report of an Assessment.

Author

Downey, L. W.

Abstract

Design implementation and classroom instruction of the Alberta, Canada, social studies curriculum master plan are assessed in this report. The objective of the study was to synthesize findings of investigative activities into a set of general conclusions from which recommendations could be developed. It was concluded that internal inconsistencies of the plan plus a lack of teacher awareness of its subtle intents have rendered it less useful than it ought to be. The following reasons are given for this weak translation of the Master Plan into programs: lack of time for program development, lack of resources, insufficient consultative services, and teacher incompetence in program development. To counteract these difficulties, nine recommendations are offered, including creation of an ad hoc task force to reassess and revise the master plan, revision of the documents of the master plan by the Department of Education, and encouragement of teachers to achieve a broader social studies repertoire and a better balance of classroom activities. The final judgment was that the social studies plan is commendable and highly acceptable in its major orientations and should be continued, with certain refinements. Five appendices discuss the background of the study; critique the master plan; provide the survey of teachers, students, and parents; assess the instructional programs; and present observations of site visits. Tables, charts, and questionnaires are included in the document. (Author/DB)

Published
1975

31. The Alberta Academy for Educational Leadership. Report of an Appraisal.

Author

Alberta Dept. of Education, Edmonton., Downey, L. W., and Ingram, E. J.

Abstract

The Alberta Academy for Educational Leadership was created by a number of education-related organizations in response to provincial governmental pressure. To evaluate the program, at the end of a 3-year exploratory period, data were obtained from onsite observations, meetings with three sets of graduates, selected school staffs and colleagues, and with participant and interested observers. Additionally, questionnaires sent to 273 graduates were responded to by 195 (74 percent); and questionnaires sent to 92 superintendents were responded to by 83 (90 percent). A summary of a review and synthesis of the current literature on leadership and leadership development is presented. More than 75 percent of the responding participants indicate they have considered returning to the Academy for another program, and 95 percent would recommend the experience to a colleague. An 80 percent positive rating in terms of the applicability of knowledge acquired was given, and on a five-point scale rating, the culture of the Academy as an environment for professional growth, the mean rating was 4.7. The superintendents' views of the Academy are generally positive. Alternative futures for the Academy were explored at a meeting with the six stakeholder groups by giving them a summary of the appraisal data with an overview of seven alternative scenarios. The report concludes with a summary, speculations, and recommendations. (MLF)

Published
1987

32. Association between Term Equivalent Brain Magnetic Resonance Imaging and 2-Year Outcomes in Extremely Preterm Infants: A Report from the Preterm Erythropoietin Neuroprotection Trial Cohort

Author

Mayock, Dennis E., primary, Gogcu, Semsa, additional, Puia-Dumitrescu, Mihai, additional, Shaw, Dennis W.W., additional, Wright, Jason N., additional, Comstock, Bryan A., additional, Heagerty, Patrick J., additional, Juul, Sandra E., additional, Wadhawan, Rajan, additional, Courtney, Sherry E., additional, Robinson, Tonya, additional, Ahmad, Kaashif A., additional, Bendel-Stenzel, Ellen, additional, Baserga, Mariana, additional, LaGamma, Edmund F., additional, Downey, L. Corbin, additional, Rao, Raghavendra, additional, Fahim, Nancy, additional, Lampland, Andrea, additional, Frantz, Ivan D., additional, Khan, Janine, additional, Weiss, Michael, additional, Gilmore, Maureen M., additional, Ohls, Robin K., additional, Lowe, Jean, additional, Srinivasan, Nishant, additional, Perez, Jorge E., additional, McKay, Victor, additional, Thomas, Billy, additional, Elhassan, Nahed, additional, Mulkey, Sarah, additional, Vijayamadhavan, Vivek K., additional, Mulrooney, Neil, additional, Yoder, Bradley, additional, Kase, Jordan S., additional, Check, Jennifer, additional, Osterholm, Erin, additional, George, Thomas, additional, Georgieff, Michael, additional, Martin, Camilia R., additional, O'Reilly, Deirdre, additional, deRegnier, Raye-Ann, additional, Porta, Nicolas, additional, Bazacliu, Catalina, additional, Northington, Frances, additional, Valdez, Raul Chavez, additional, Saurabhkumar, Patel, additional, Diaz-Barbosa, Magaly, additional, Richards, Todd, additional, Feltner, John B., additional, Esposito, Isabella, additional, Hauge, Stephanie, additional, Nikirk, Samantha, additional, Silvia, Amy, additional, Clopp, Bailey, additional, Ott, Debbie, additional, Mora, Ariana Franco, additional, Hedrick, Pamela, additional, Flynn, Vicki, additional, Wyatt, Andrea, additional, Loy, Emilie, additional, Sikes, Natalie, additional, Mason, Melanie, additional, McConnell, Jana, additional, Brown, Tiffany, additional, Harrison, Henry, additional, Pearson, Denise, additional, Drake, Tammy, additional, Wright, Jocelyn, additional, Walden, Debra, additional, Guy, Annette, additional, Nason, Jennifer, additional, Talbot, Morgan, additional, Lee, Kristen, additional, Penny, Sarah, additional, Boles, Terri, additional, Drummond, Melanie, additional, Kohlleppel, Katy, additional, Kathen, Charmaine, additional, Kaletka, Brian, additional, Gonzales, Shania, additional, Worwa, Cathy, additional, Fisher, Molly, additional, Richter, Tyler, additional, Ginder, Alexander, additional, Reich, Brixen, additional, Rau, Carrie, additional, Loertscher, Manndi, additional, Cole, Laura, additional, McGrath, Kandace, additional, Lewis, Kimberlee Weaver, additional, Burnett, Jill, additional, Schaefer, Susan, additional, Bird, Karie, additional, Giblin, Clare, additional, Daly, Rita, additional, Lanier, Kristi, additional, Warden, Kelly, additional, Wassenaar, Jenna, additional, Ericksen, Jensina, additional, Davern, Bridget, additional, Osborne, Mary Pat, additional, Talele, Neha, additional, Obregon, Evelyn, additional, Ziyeh, Tiglath, additional, Clarke, Molly, additional, Wegner, Rachel E., additional, Patel, Palak, additional, Schau, Molly, additional, Russow, Annamarie, additional, Curry, Kelly, additional, Barnhart, Lisa, additional, Parkinson, Charlamaine, additional, Beauman, Sandra, additional, Hanson, Mary, additional, Kuan, Elizabeth, additional, Lacy, Conra Backstrom, additional, Galvis, Edshelee M., additional, Bombino, Susana, additional, Martinez, Denise, additional, Bell, Suzi, additional, Long, Corrie, additional, Nefcy, Christopher, additional, Konodi, Mark A., additional, Vu, Phuong T., additional, Hartman, Adam, additional, O'Shea, T. Michael, additional, Ballard, Roberta, additional, O'Shea, Mike, additional, Kuban, Karl, additional, and Widness, John, additional

Published
2021
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33. Iron supplementation and the risk of bronchopulmonary dysplasia in extremely low gestational age newborns.

Author

Garcia, Melissa R., Comstock, Bryan A., Patel, Ravi M., Tolia, Veeral N., Josephson, Cassandra D., Georgieff, Michael K., Rao, Raghavendra, Monsell, Sarah E., Juul, Sandra E., Ahmad, Kaashif A., PENUT Trial Consortium, Mayock, Dennis E., Wadhawan, Rajan, Courtney, Sherry E., Robinson, Tonya, Bendel-Stenzel, Ellen, Baserga, Mariana, LaGamma, Edmund F., Downey, L. Corbin, and Fahim, Nancy

Published
2023
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39. Evolving Treatment Patterns and Outcomes of Neovascular Age-Related Macular Degeneration Over a Decade

Author

Schwartz, Roy, primary, Warwick, Alasdair, additional, Olvera-Barrios, Abraham, additional, Pikoula, Maria, additional, Lee, Aaron Y., additional, Denaxas, Spiros, additional, Taylor, Paul, additional, Egan, Catherine, additional, Chakravarthy, Usha, additional, Lip, Peck Lin, additional, Tufail, Adnan, additional, Akerele, T., additional, Antcliff, R., additional, Bailey, C., additional, Brand, C., additional, Chakravarthy, U., additional, Davis, A., additional, Dhingra, N., additional, Downey, L., additional, Eleftheriadis, H., additional, George, S., additional, Ghanchi, F., additional, Jones, C., additional, Khan, R., additional, Kumar, V., additional, Lip, P., additional, Lobo, A., additional, Lotery, A., additional, Mahmood, S., additional, Menon, G., additional, Mukherjee, R., additional, Natha, S., additional, Palmer, H., additional, Patra, S., additional, Patwardhan, A., additional, Paul, B., additional, Talks, J., additional, and Wilkinson, E., additional

Published
2021
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40. A new subspecies of Trypanosoma cyclops found in the Australian terrestrial leech Chtonobdella bilineata.

Author

Ellis, J, Barratt, J, Kaufer, A, Pearn, L, Armstrong, B, Johnson, M, Park, Y, Downey, L, Cao, M, Neill, L, Lee, R, Ellis, B, Tyler, K, Lun, Z-R, Stark, D, Ellis, J, Barratt, J, Kaufer, A, Pearn, L, Armstrong, B, Johnson, M, Park, Y, Downey, L, Cao, M, Neill, L, Lee, R, Ellis, B, Tyler, K, Lun, Z-R, and Stark, D

Abstract

Previously, it was suggested that haemadipsid leeches represent an important vector of trypanosomes amongst native animals in Australia. Consequently, Chtonobdella bilineata leeches were investigated for the presence of trypanosome species by polymerase chain reaction (PCR), DNA sequencing and in vitro isolation. Phylogenetic analysis ensued to further define the populations present. PCR targeting the 28S rDNA demonstrated that over 95% of C. bilineata contained trypanosomes; diversity profiling by deep amplicon sequencing of 18S rDNA indicated the presence of four different clusters related to the Trypanosoma (Megatrypanum) theileri. Novy–MacNeal–Nicolle slopes with liquid overlay were used to isolate trypanosomes into culture that proved similar in morphology to Trypanosoma cyclops in that they contained a large numbers of acidocalcisomes. Phylogeny of 18S rDNA/GAPDH/ND5 DNA sequences from primary cultures and subclones showed the trypanosomes were monophyletic, with T. cyclops as a sister group. Blood-meal analysis of leeches showed that leeches primarily contained blood from swamp wallaby (Wallabia bicolour), human (Homo sapiens) or horse (Equus sp.). The leech C. bilineata is a host for at least five lineages of Trypanosoma sp. and these are monophyletic with T. cyclops; we propose Trypanosoma cyclops australiensis as a subspecies of T. cyclops based on genetic similarity and biogeography considerations.

Published
2021

41. The Impact of Erythropoietin on Short- and Long-Term Kidney-Related Outcomes in Neonates of Extremely Low Gestational Age. Results of a Multicenter, Double-Blind, Placebo-Controlled Randomized Clinical Trial

Author

Askenazi, David J., primary, Heagerty, Patrick J., additional, Schmicker, Robert H., additional, Brophy, Patrick, additional, Juul, Sandra E., additional, Goldstein, Stuart L., additional, Hingorani, Sangeeta, additional, Comstock, Bryan A., additional, Wadhawan, Rajan, additional, Mayock, Dennis E., additional, Courtney, Sherry E., additional, Robinson, Tonya, additional, Ahmad, Kaashif A., additional, Bendel-Stenzel, Ellen, additional, Baserga, Mariana, additional, LaGamma, Edmund F., additional, Downey, L. Corbin, additional, Rao, Raghavendra, additional, Fahim, Nancy, additional, Lampland, Andrea, additional, Frantz, Ivan D., additional, Khan, Janine Y., additional, Weiss, Michael, additional, Gilmore, Maureen M., additional, Ohls, Robin, additional, Srinivasan, Nishant, additional, Perez, Jorge E., additional, McKay, Victor, additional, Vu, Phuong T., additional, Thomas, Billy, additional, Elhassan, Nahed, additional, Mulkey, Sarah, additional, Dydynski, Philip, additional, Vijayamadhavan, Vivek K., additional, Mulrooney, Neil, additional, Yoder, Bradley, additional, Kase, Jordan S., additional, Check, Jennifer, additional, Gogcu, Semsa, additional, Osterholm, Erin, additional, Ramel, Sara, additional, Bendel, Catherine, additional, Gale, Cheryl, additional, George, Thomas, additional, Georgieff, Michael, additional, Gisslen, Tate, additional, Guiang, Sixto, additional, Hall, Anne, additional, Johnson, Dana, additional, Pfister, Katie, additional, Podgorski, Heather, additional, Roberts, Kari, additional, Stepka, Erin, additional, Engel, Melissa, additional, Kamrath, Heidi, additional, Scheurer, Johannah, additional, Hanson, Angela, additional, Satrom, Katherine, additional, Pfister, Susan, additional, Simones, Ann, additional, Plummer, Erin, additional, Zorn, Elizabeth, additional, Martin, Camilia R., additional, O'Reilly, Deirdre, additional, Porta, Nicolas, additional, Bazacliu, Catalina, additional, Williams, Jonathan, additional, Rajderkar, Dhanashree, additional, Northington, Frances, additional, Valdez, Raul Chavez, additional, Beauman, Sandra, additional, Saurabhkumar, Patel, additional, Diaz-Barbosa, Magaly, additional, Serize, Arturo, additional, Jordan, Jorge, additional, Ott, Debbie, additional, Mora, Ariana Franco, additional, Hedrick, Pamela, additional, Flynn, Vicki, additional, Silvia, Amy, additional, Clopp, Bailey, additional, Feltner, John B., additional, Esposito, Isabella, additional, Hauge, Stephanie, additional, Nikirk, Samantha, additional, Purnell, Andrea, additional, Loy, Emilie, additional, Sikes, Natalie, additional, Mason, Melanie, additional, McConnell, Jana, additional, Brown, Tiffany, additional, Harrison, Henry, additional, Pearson, Denise, additional, Drake, Tammy, additional, Wright, Jocelyn, additional, Walden, Debra, additional, Guy, Annette, additional, Nason, Jennifer, additional, Talbot, Morgan, additional, Lee, Kristen, additional, Penny, Sarah, additional, Boles, Terri, additional, Drummond, Melanie, additional, Kohlleppel, Katy, additional, Kathen, Charmaine, additional, Kaletka, Brian, additional, Gonzales, Shania, additional, Worwa, Cathy, additional, Fisher, Molly, additional, Richter, Tyler, additional, Ginder, Alexander, additional, Reich, Brixen, additional, Rau, Carrie, additional, Loertscher, Manndi, additional, Bledsoe, Laura, additional, McGrath, Kandace, additional, Lewis, Kimberlee Weaver, additional, Burnett, Jill, additional, Schaefer, Susan, additional, Bird, Karie, additional, Giblin, Clare, additional, Daly, Rita, additional, Lanier, Kristi, additional, Warden, Kelly, additional, Wassenaar, Jenna, additional, Ericksen, Jensina, additional, Davern, Bridget, additional, Osborne, Mary Pat, additional, Gregorich, Brittany, additional, Talele, Neha, additional, Obregon, Evelyn, additional, Ziyeh, Tiglath, additional, Clarke, Molly, additional, Wegner, Rachel E., additional, Patel, Palak, additional, Schau, Molly, additional, Russow, Annamarie, additional, Curry, Kelly, additional, Sinnamon, Susan, additional, Barnhart, Lisa, additional, Parkinson, Charlamaine, additional, Hanson, Mary, additional, Kuan, Elizabeth, additional, Lacy, Conra Backstrom, additional, Galvis, Edshelee M., additional, Bombino, Susana, additional, Martinez, Denise, additional, Bell, Suzi, additional, Long, Corrie, additional, Longa, Cathy, additional, Westerveld, Michael, additional, McConkey, Stacy, additional, Hay, Anne, additional, Natarajan, Niranjana, additional, Gaudette, Shari, additional, Cobb, Sarah, additional, Sharp, Gregory, additional, Schumacher, Elizabeth, additional, Schuschke, Leslie, additional, Frey, Charlotte, additional, Fierro, Mario, additional, Gilmore, Lois, additional, Lundequam, Pamela, additional, Hoekstra, Ronald, additional, Ketko, Anastasia, additional, Perdue, Nina, additional, Cunningham, Sean, additional, Stout, Kelly, additional, Hall, Becky, additional, Morshedzadeh, Galina, additional, Ostrander, Betsy, additional, Winter, Sarah, additional, Cox, Lauren, additional, Rainaldi, Matthew A., additional, Hensley, Sarah, additional, Morris, Melissa, additional, Roberts, Dia, additional, Tuttle, Melissa, additional, Boys, Christopher, additional, Hultgren, Solveig, additional, Pierpont, Elizabeth I., additional, George, Tom, additional, King, Kelly E., additional, Bataglia, Katherine, additional, Neis, Cathy, additional, Bergeron, Mark, additional, Miller, Cristina, additional, Accomando, Cara, additional, Gavin, Jennifer Anne, additional, Maczek, Elizabeth, additional, Marakovitz, Susan, additional, Knorr, Aimee, additional, Smith, Vincent C., additional, Stewart, Jane E., additional, Weissbourd, Marie, additional, deRegnier, Raye-Ann, additional, Matoba, Nana, additional, Heaton, Shelly C., additional, Cascio, Erika M., additional, Brady, Janet, additional, Ghosh, Suman, additional, Ditto, Jessica, additional, Leppert, Mary, additional, Lowe, Jean, additional, Fuller, Janell, additional, DuPont, Tara, additional, Kloska, Pamela, additional, Patel, Saurabh, additional, Carbonell, Lauren, additional, Patino-Fernandez, Anna Maria, additional, de Lerma, Carmen, additional, McDonough, Kelly, additional, De Cortada, Maiana, additional, Chavis, Lacy, additional, Shannon, Jane, additional, Konodi, Mark A., additional, Nefcy, Christopher, additional, Kuban, Karl C.K., additional, Lowe, Jean R., additional, O'Shea, T. Michael, additional, Dighe, Manjiri, additional, Richards, Todd, additional, Shaw, Dennis W.W., additional, Studholme, Colin, additional, Traudt, Christopher M., additional, Ballard, Roberta, additional, Hartman, Adam, additional, Janis, Scott, additional, Ohls, T. Robin, additional, O'Shea, Michael, additional, Guillet, Ronnie, additional, Ball, M. Bethany, additional, Glass, Hannah, additional, Saville, Ben, additional, and Schreiber, Michael, additional

Published
2021
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42. Gestational age, sex, and time affect urine biomarker concentrations in extremely low gestational age neonates.

Author

Askenazi, David J., Halloran, Brian A., Heagerty, Patrick J., Schmicker, Robert H., Brophy, Patrick, Juul, Sandra E., Hingorani, Sangeeta, Goldstein, Stuart L., on behalf of the PENUT Trial Consortium, Comstock, Bryan A., Wadhawan, Rajan, Mayock, Dennis E., Courtney, Sherry E., Robinson, Tonya, Ahmad, Kaashif A., Bendel-Stenzel, Ellen, Baserga, Mariana, LaGamma, Edmund F., Downey, L. Corbin, and Rao, Raghavendra

Published
2022
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43. An examination of the effects of the antioxidant Pycnogenol[R] on cognitive performance, serum lipid profile, endocrinological and oxidative stress biomarkers in an elderly population

Author

Ryan, J., Croft, K., Mori, T., Wesnes, K., Spong, J., Downey, L., Kure, C., Lloyd, J., and Stough, C.

Subjects
Antioxidants -- Health aspects, Oxidative stress -- Risk factors -- Development and progression -- Care and treatment -- Research, Pharmaceuticals and cosmetics industries, Psychology and mental health, Care and treatment, Development and progression, Research, Risk factors, Health aspects
Abstract

The study examines the effects of the antioxidant flavonoid Pycnogenol on a range of cognitive and biochemical measures in healthy elderly individuals. The study used a double-blind, placebo-controlled, matched-pair design, with 101 elderly participants (60-85 years) consuming a daily dose of 150 mg of Pycnogenol for a three-month treatment period. Participants were assessed at baseline, then at 1, 2, and 3 months of the treatment. The control (placebo) and Pycnogenol groups were matched by age, sex, body mass index, micronutrient intake, and intelligence. The cognitive tasks comprised measures of attention, working memory, episodic memory, and psychomotor performance. The biological measures comprised levels of clinical hepatic enzymes, serum lipid profile, human growth hormone, and lipid peroxidation products. Statistically significant interactions were found for memory-based cognitive variables and lipid peroxidation products, with the Pycnogenol group displaying improved working memory and decreased concentrations of F2-isoprostanes relative to the control group. Key words antioxidant; aged; cognition; oxidative stress; Pycnogenol, Introduction In both clinical neurodegenerative diseases and normal ageing, the brain is an organ that is particularly susceptible to oxidative injury from free radicals and reactive oxygen species (ROS). These [...]

Published
2008
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44. Against Amnesia: Re-Imagining Central Banking

Author

Braun, B. and Downey, L.

Abstract

The purpose of the present paper is to identify and challenge contemporary adherence to the core of the prevailing monetary policy consensus. This consensus consists of what we call the holy trinity of the inflation targeting paradigm: price stability as the primary goal of the central bank; central bank independence as the institutional arrangement; and the short-term interest rate as the operational target. Drawing on the literature on the history and political economy of central banking, we argue that the inability to think beyond this holy trinity stems from a severe case of collective institutional amnesia and comes at a heavy cost. We highlight that monetary policy can be deployed towards social purposes other than controlling inflation, in institutional configurations other than isolation from the rest of the government and with instruments other than interest rate manipulation. One central message is that whereas central banks are commonly portrayed as commanding only one instrument, in reality they have a battery of instruments at their disposal. We should think of central banking not as a hammer – a tool to hit inflation where it rears its ugly head – but as a Swiss army knife – a multi-purpose tool with many instruments. Doing so will help overcome the collective amnesia that stands in the way of an enlightened debate about how the power of central banking can – and perhaps should – be harnessed in the pursuit of collective social goals. 1 Introduction 2 The Holy Trinity 3 Historical Specificity 3.1 Pre-War 3.2 Post-War, Pre-Inflation 3.3 Holy Trinity 3.4 Shoring up the Holy Trinity: The Tinbergen Rule 4 Beyond the Tinbergen Rule: A Swiss Army Knife Theory of Central Banking 4.1 Lender of Last Resort 4.2 Financial Market-Shaping I: Monetary Policy Implementation 4.3 Financial Market-Shaping II: Monetary Policy Transmission 5 Conclusion References

Published
2020

45. United Kingdom Diabetic Retinopathy Electronic Medical Record (UK DR EMR) Users Group: report 4, real-world data on the impact of deprivation on the presentation of diabetic eye disease at hospital services

Author

Denniston, A. K., Lee, A. Y., Lee, C. S., Crabb, D. P., Bailey, C., Lip, P-L., Taylor, P., Pikoula, M., Cook, E., Akerele, T., Antcliff, R., Brand, C., Chakravarthy, U., Chavan, R., Dhingra, N., Downey, L., Eleftheriadis, H., Ghanchi, F., Khan, R., Kumar, V., Lobo, A., Lotery, A., Menon, G., Mukherjee, R., Palmer, H., Patra, S., Paul, B., Sim, D. A., Talks, J. S., Wilkinson, E., Tufail, A., and Egan, C. A.

Subjects
Male, Diabetic Retinopathy, genetic structures, diabetes, Incidence, Visual Acuity, Disease Management, Clinical Science, Middle Aged, eye diseases, Hospitals, United Kingdom, Outcome Assessment, Health Care, Electronic Health Records, Humans, RE, Female, electronic medical record, Tomography, Optical Coherence, Retrospective Studies
Abstract

Aim: To assess the impact of deprivation on diabetic retinopathy presentation and related treatment interventions, as observed within the UK hospital eye service. Methods: This is a multicentre, national diabetic retinopathy database study with anonymised data extraction across 22 centres from an electronic medical record system. The following were the inclusion criteria: all patients with diabetes and a recorded, structured diabetic retinopathy grade. The minimum data set included, for baseline, age and Index of Multiple Deprivation, based on residential postcode; and for all time points, visual acuity, ETDRS grading of retinopathy and maculopathy, and interventions (laser, intravitreal therapies and surgery). The main outcome measures were (1) visual acuity and binocular visual state, and (2) presence of sight-threatening complications and need for early treatment. Results: 79 775 patients met the inclusion criteria. Deprivation was associated with later presentation in patients with diabetic eye disease: the OR of being sight-impaired at entry into the hospital eye service (defined as 6/18 to better than 3/60 in the better seeing eye) was 1.29 (95% CI 1.20 to 1.39) for the most deprived decile vs 0.77 (95% CI 0.70 to 0.86) for the least deprived decile; the OR for being severely sight-impaired (3/60 or worse in the better seeing eye) was 1.17 (95% CI 0.90 to 1.55) for the most deprived decile vs 0.88 (95% CI 0.61 to 1.27) for the least deprived decile (reference=fifth decile in all cases). There is also variation in sight-threatening complications at presentation and treatment undertaken: the least deprived deciles had lower chance of having a tractional retinal detachment (OR=0.48 and 0.58 for deciles 9 and 10, 95% CI 0.24 to 0.90 and 0.29 to 1.09, respectively); in terms of accessing treatment, the rate of having a vitrectomy was lowest in the most deprived cohort (OR=0.34, 95% CI 0.19 to 0.58). Conclusions: This large real-world study suggests that first presentation at a hospital eye clinic with visual loss or sight-threatening diabetic eye disease is associated with deprivation. These initial hospital visits represent the first opportunities to receive treatment and to formally engage with support services. Such patients are more likely to be sight-impaired or severely sight-impaired at presentation, and may need additional resources to engage with the hospital eye services over complex treatment schedules.

Published
2018

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