383 results on '"Fitzgerald RJ"'
Search Results
2. Obituary for Professor Barry O'Donnell: A legend amongst pediatric surgeons. By Professor Ray Fitzgerald, MA, MB, FRCSI, FRCS, FRACS(Paeds), FRCS Ed (ad hom)
- Author
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Fitzgerald Rj
- Subjects
business.industry ,media_common.quotation_subject ,Pediatrics, Perinatology and Child Health ,Medicine ,Surgery ,Pediatric Surgeon ,General Medicine ,Obituary ,Legend ,business ,Classics ,media_common - Published
- 2020
3. Heterotopic perineal intestinal mucosa —a variant of the exstrophy-epispadias complex
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Corbally, MT., Naughten, P., Boston, VE., and Fitzgerald, RJ.
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- 1990
- Full Text
- View/download PDF
4. Obituary of Edward Guiney, MB, M Ch (NUI), FRCSI, FRCS (Eng.)
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Fitzgerald Rj
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business.industry ,Pediatrics, Perinatology and Child Health ,Medicine ,Surgery ,General Medicine ,Obituary ,Theology ,business - Published
- 2019
5. The Changing Role of Surgery in the Management of Rhabdomyosarcoma
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Fitzgerald Rj, B. Connolly, F. Breatnach, Anthony Staines, and A. O’Meara
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Male ,Reoperation ,Disease status ,medicine.medical_specialty ,medicine.medical_treatment ,Soft Tissue Neoplasms ,Disease ,Antineoplastic Combined Chemotherapy Protocols ,Rhabdomyosarcoma ,medicine ,Humans ,business.industry ,Infant ,Subtotal Resection ,medicine.disease ,Combined Modality Therapy ,Sick child ,Surgery ,Survival Rate ,Radiation therapy ,El Niño ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,Presentation (obstetrics) ,business ,Follow-Up Studies - Abstract
A retrospective analysis was performed of 56 patients presenting to Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland, over a 25 year period with a diagnosis of rhabdomyosarcoma, in an effort to assess the changing role of surgery in the management of this disease. There were 38 males and 18 females; the age range at presentation was from birth to 13 years with a median of three years. Head and neck tumors occurred most frequently (23) followed by pelvic (14), paratesticular (6), extremities (6), gastrointestinal (4) and thoracic (3). Prior to 1971 there were no survivors while a doubling of survival has been observed within the past decade (31% to 63%). The minimum period of follow-up was four years. Surgical intervention ranged from total primary excision (20) to biopsy only (21) with total or subtotal resection performed electively in 15. Surgical evaluations, including examinations under anesthesia, staging laparotomy and second look laparotomy were also invaluable in assessing disease status. The incorporation of multiagent chemotherapy together with more selective use of radiotherapy has enabled a more conservative role to be adopted by the surgical oncologist thereby minimizing longterm sequelae.
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- 1992
6. Regional lymphadenitis following BCG vaccination
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Fitzgerald Rj and C. Merry
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Pediatrics ,medicine.medical_specialty ,Referral ,business.industry ,General Medicine ,Disease ,Disease cluster ,Surgery ,Vaccination ,El Niño ,Pediatrics, Perinatology and Child Health ,Pediatric surgery ,medicine ,Complication ,business ,BCG vaccine - Abstract
A cluster of cases of lymphadenitis occurred in Dublin following vaccination with a newly introduced Copenhagen 1331 strain of Bacille Calmette-Guerin (BCG) vaccine during 1989. All cases of BCG lymphadenitis presenting to paediatric surgical clinics over an 11-year period were reviewed to determine the optimum treatment for this problem. Seventeen patients are included, 16 of whom received vaccine in the newborn period; 1 received BCG at 8 months. Nine were treated by initial operation, 6 with antituberculous drugs, and 2 were observed without specific therapy. All but 1 of the medically treated patients and both patients who received observation only required operation for failure to resolve or progression of disease. The best results were obtained with excision and primary closure. We conclude that although sponteneous resolution occurs in a majority of all cases of BCG lymphadenitis in infants, in those patients with more severe disease who require surgical referral, a short trial of anti-microbial therapy is indicated. Patients who fail to improve or develop complications are then best treated by surgical excision of the involved nodes.
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- 1996
7. Extrarenal Wilms' Tumor
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J. Kelleher, F. Breatnach, A. O’Meara, K Rasheed, and Fitzgerald Rj
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Male ,medicine.medical_specialty ,medicine.medical_treatment ,Wilms Tumor ,medicine ,Humans ,Retroperitoneal Neoplasms ,Single institution ,Stage (cooking) ,Hydronephrosis ,Chemotherapy ,business.industry ,Radiotherapy Dosage ,Wilms' tumor ,medicine.disease ,Combined Modality Therapy ,Kidney Neoplasms ,Abdominal mass ,Surgery ,Radiation therapy ,El Niño ,Vincristine ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,medicine.symptom ,business - Abstract
Extrarenal nephroblastoma (Wilms' tumor) is very rare with to date just 34 cases described. Two such cases out of a total of 61 patients with WT presenting to a single institution over a 10-year period are presented. Both children, a boy aged three years and a girl aged four years, both presented with an abdominal mass which had crossed the midline. Ultrasonography and contrast studies in the two patients revealed retroperitoneal tumors distinct from kidneys, but unilateral hydronephrosis was noted in both patients. Primary surgical excision was performed and both patients grouped as stage III favorable histology. Postoperative treatment included chemotherapy and radiotherapy as per UKCCSG protocols. The patients are clinically well with no evidence of disease 7 years and 20 months respectively from diagnosis. An individualized approach to treatment of extrarenal WT is advocated.
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- 1993
8. A Prospective Randomised Controlled Trial of Antimicrobial Prophylaxis in Hydrocephalus Shunt Surgery
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J. Miles, Jennie Walker, A. Rampling, Roger Bayston, H. Webb, Cudmore Re, A. E. Holmes, Fitzgerald Rj, R. Burman, J. Meigh, C. A. Hart, Barbara J. Burns, Guiney Ej, R. Cooke, F. Cooke, Goldberg C, V. Boston, C. Bannister, H. T. Green, C. Hardwidge, and K. Whale
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Pediatrics ,medicine.medical_specialty ,Infections ,law.invention ,Randomized controlled trial ,Vancomycin ,law ,medicine ,Humans ,Prospective Studies ,Cluster randomised controlled trial ,Prospective cohort study ,Peritoneal Cavity ,Infection Control ,business.industry ,medicine.disease ,Antimicrobial ,Cerebrospinal Fluid Shunts ,Hydrocephalus ,Shunt (medical) ,Regimen ,Pediatrics, Perinatology and Child Health ,Surgery ,business ,medicine.drug - Abstract
Despite attempts to reduce their incidence, shunt infections remain a major complication of the treatment of hydrocephalus. Various forms of antimicrobial prophylaxis are in use, but no controlled, statistically valid trial has been conducted to assess their efficacy. Such a trial was therefore carried out and its design is described here. After a 1-year retrospective and prospective study by members of the United Kingdom Hydrocephalus Group to establish feasibility and infection rates, a statistical study showed that at least 712 patients would be required. Six centres were enrolled to fulfil these requirements, and ethical committee approval was obtained at each. The chosen prophylactic regimen was 10 mg vancomycin administered into the ventricular system during surgery. Adults and children undergoing insertion or revision of ventriculoperitoneal shunts were included unless they were receiving therapeutic antimicrobials. Randomisation was by computer-generated numbers. Controls received the antimicrobial regimen, if any, currently used in that centre, the only difference between the two groups being intraventricular vancomycin in the test group. Diagnosis of shunt infection included accepted clinical and microbiological criteria reinforced by measurement of serum C-reactive protein levels. Follow-up was for at least six months. After 2.5 years only 158 patients had been enrolled in the trial, 80 controls and 78 tests. There were 5 preventable infections in the control group and 2 in the test group. In view of the small total the planned statistical analysis was not possible. Therefore, while no problems were encountered with toxicity, the trial failed to enroll enough patients to answer the question of efficacy of antimicrobial prophylaxis in shunt surgery and the reasons for this are discussed.
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- 1990
9. Combination Chemotherapy in the Treatment of Hepatoblastoma
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Seamus Cullen, Finn Breatnach, Anthony Staines, E. J. Guiney, and Fitzgerald Rj
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Male ,Oncology ,Vincristine ,medicine.medical_specialty ,Hepatoblastoma ,Carcinoma, Hepatocellular ,Cyclophosphamide ,Bleomycin ,Peplomycin ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,Biomarkers, Tumor ,medicine ,Humans ,Doxorubicin ,Ifosfamide ,Cisplatin ,Pierre Robin Syndrome ,business.industry ,Liver Neoplasms ,Infant ,Combination chemotherapy ,Hematology ,medicine.disease ,Combined Modality Therapy ,Adenomatous Polyposis Coli ,Fluorouracil ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,alpha-Fetoproteins ,business ,medicine.drug - Published
- 1990
10. Laryngo-tracheo-oesophageal cleft: a plea for early diagnosis
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Blayney A, Corbally Mt, Ward D, Guiney Ej, and Fitzgerald Rj
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Gynecology ,Gastrostomy ,Male ,medicine.medical_specialty ,Time Factors ,business.industry ,Infant, Newborn ,Surgery ,Trachea ,Plea ,Esophagus ,Tracheostomy ,Pediatrics, Perinatology and Child Health ,Medicine ,Humans ,Abnormalities, Multiple ,Female ,Larynx ,business - Abstract
Les fissures laryngees congenitales sont rares. Cette publication rapporte le traitement pratique chez 3 patients atteints d'une fissure laryngo-tracheo-œsophagienne de Type 2. Un patient est decede dans les suites d'une tracheopexie apres fermeture efficace de la fissure. Le pronostic dans ces cas est conditionne par l'existence d'autres anomalies majeures, par le diagnostic precoce de la lesion et par l'institution de soins respiratoires et nutritionnels appropries avant la correction du defect. Une bonne connaissance de ces principes, combinee a des manoeuvres agressives dans le diagnostic endoscopique, doit permettre d'obtenir un diagnostic precoce et une amelioration de la survie
- Published
- 1993
11. Absence of suprarenal segment of inferior vena cava with cavernous transformation
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Fitzgerald Rj, Daire O'Halpin, and Javed Akhtar
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medicine.medical_specialty ,Vena cava ,business.industry ,General Medicine ,Diagnostic dilemma ,Renal hilum ,Collateral circulation ,Inferior vena cava ,Surgery ,Lesion ,medicine.anatomical_structure ,medicine.vein ,Pediatrics, Perinatology and Child Health ,cardiovascular system ,medicine ,Radiology ,Azygos vein ,medicine.symptom ,Ligation ,business - Abstract
A 13-year-old boy with congenital absence of the inferior vena above the renal hilum and azygos continuation is presented. Ultrasound and radiological features of focal dilatation of one of the venous collaterals suggested an intra-abdominal mass, causing a diagnostic dilemma. An inferior vena cavogram is the definitive investigation to diagnose this anomaly. Awareness of the condition is important, as injury to the lesion can cause severe haemorrhage and accidental ligation of the azygos vein may be fatal.
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- 1993
12. Spontaneous deep venous thrombosis in Duchenne muscular dystrophy
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D. O'Halpin, Fitzgerald Rj, and E. Coveney
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Lupus anticoagulant ,medicine.medical_specialty ,business.industry ,Duchenne muscular dystrophy ,Antithrombin ,General Medicine ,Scoliosis ,medicine.disease ,Thrombosis ,Surgery ,Venous thrombosis ,Pediatrics, Perinatology and Child Health ,medicine ,Complication ,business ,Venous return curve ,medicine.drug - Abstract
Deep venous thrombosis (DVT) is an uncommonly encountered condition in childhood and, as a consequence, the diagnosis may be overlooked. We describe the first two cases of DVT occurring in children with Duchenne muscular dystrophy. Both brothers were wheel-chair-bound for protracted periods. The first case occurred following spinal fusion for scoliosis. The second occurred spontaneously following immobilisation in hospital while undergoing investigation for a ureteric stone. Serological investigations to outrule an underlying thrombogenic cause showed no deficiency of protein C or antithrombin III nor the presence of lupus anticoagulant in either patient. The presence of flaccid lower extremities resulting in prolonged immobilisation combined with an ineffective muscle pump for venous return may have predisposed the patients in our series. The issue of prophylaxis should now be actively considered in such patients in high-risk circumstances.
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- 1993
13. Delayed presentation of a contralateral, posterolateral congenital diaphragmatic hernia
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Fitzgerald Rj, Javed Akhtar, and Paul D. Losty
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medicine.medical_specialty ,business.industry ,Ultrasound ,Congenital diaphragmatic hernia ,General Medicine ,Surgical correction ,medicine.disease ,Diaphragm (structural system) ,Surgery ,Delayed presentation ,El Niño ,Pediatrics, Perinatology and Child Health ,Pediatric surgery ,medicine ,Hernia ,business - Abstract
Twenty cases of bilateral posterolateral congenital diaphragmatic hernia have been reported to date. Four of these patients have survived. We present a case in which an infant was readmitted, aged 8 weeks, following an initial primary repair and underwent successful surgical correction of a contralateral diaphragmatic defect. Ultrasound examination of the contralateral hemidiaphragm is suggested as a useful modality during initial assessment. In doubtful cases, where ultrasound has given equivocal information, peroperative examination of the contralateral hemidiaphragm is recommended. Failure to appreciate the existence of this rare condition may lead to inappropriate clinical management.
- Published
- 1993
14. Delayed primary anastomosis for esophageal atresia: 18 months' to 11 years' follow-up
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Prem Puri, Barry O'Donnell, E. J. Guiney, George Ninan, Fitzgerald Rj, and Noel S. Blake
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Male ,medicine.medical_specialty ,Time Factors ,medicine.medical_treatment ,Anastomosis ,Surgical anastomosis ,Esophagus ,Swallowing ,medicine ,Humans ,Esophageal Atresia ,Gastrostomy ,Esophageal disease ,business.industry ,Anastomosis, Surgical ,Infant, Newborn ,Infant ,General Medicine ,medicine.disease ,Surgery ,Radiography ,medicine.anatomical_structure ,Treatment Outcome ,Atresia ,Pediatrics, Perinatology and Child Health ,Esophageal stricture ,Gastroesophageal Reflux ,Female ,business ,Follow-Up Studies - Abstract
In 1977 we started treating babies with isolated esophageal atresia by delayed primary anastomosis and in 1981 reported our early experience in five cases treated between 1977 and 1979. Since 1979, 11 further consecutive cases have been managed by initial gastrostomy followed by delayed primary esophageal anastomosis. Their mean gestation was 35 weeks (range, 28 to 40 weeks) and mean birth weight was 2,040 g (range, 1,140 to 2,720 g). The esophageal gap between the two ends when assessed initially at fluoroscopy ranged from 2.2 to 4.5 cm (mean, 3.2 cm). Age at delayed primary anastomosis ranged from 6 to 20 weeks. Anastomotic leak occurred in three babies in the immediate postoperative period and all were successfully managed conservatively. Eight of the 11 patients developed anastomotic strictures; seven cases required 1 to 5 esophageal dilatations. One patient who did not respond to multiple esophageal dilatations required resection of an esophageal stricture. One patient died at 15 months of age of unrelated causes. The 10 surviving patients have been followed-up from 18 months to 11 years. At follow-up, seven patients were eating normally. Three patients had swallowing difficulties and all three were found to have esophageal strictures on barium swallow, two of them also had gross esophageal reflux and hiatus hernia. The height and weight in the 10 patients varied from 3rd centile to 75th centile. Delayed primary anastomosis is feasible in cases of isolated esophageal atresia and the patient's own esophagus is the best. A more aggressive approach should be applied to gastroesophageal reflux in these patients.
- Published
- 1992
15. Early history of endoscopic correction of vesico-ureteric reflux: the Dublin contribution
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E. J. Guiney and Fitzgerald Rj
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medicine.medical_specialty ,business.industry ,Pediatrics, Perinatology and Child Health ,Medicine ,Surgery ,General Medicine ,business ,Ureteric reflux - Published
- 2009
16. Heterotopic perineal intestinal mucosa ?a variant of the exstrophy-epispadias complex
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P. Naughten, Fitzgerald Rj, M. T. Corbally, and V. E. Boston
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medicine.medical_specialty ,Anorectal disease ,urogenital system ,business.industry ,Rectum ,General Medicine ,Anatomy ,Epispadias ,urologic and male genital diseases ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Urethra ,Ectopic anus ,Intestinal mucosa ,Pediatrics, Perinatology and Child Health ,medicine ,Vagina ,Congenital disease ,business - Abstract
We report two cases of sequestration of a segment of intestinal mucosa in the perineal area. In one patient this was associated with a mildly ectopic anus. No abnormalities were identified in the bladder, urethra, vagina, or rectum. The lesions were treated by excision following complete anatomical mapping.
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- 1990
17. TWELVE‐YEAR EXPERIENCE IN THE INVESTIGATION AND TREATMENT OF PARAGANGLIOMAS
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Tormey, WP, primary, Fitzgerald, RJ, additional, Davis, WG, additional, and Thompson, CJ, additional
- Published
- 2002
- Full Text
- View/download PDF
18. CATECHOLAMINE SECRETION AND PLOIDY IN PHAEOCHROMOCYTOMA
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Tormey, WP, primary, Fitzgerald, RJ, additional, Thomas, G, additional, Kay, EW, additional, and Leader, MB, additional
- Published
- 2000
- Full Text
- View/download PDF
19. Gastrointestinal Manifestations of Neurofibromatosis in Childhood
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Fitzgerald Rj, Hu C, Paul D. Losty, and Quinn F
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Gynecology ,Pathology ,medicine.medical_specialty ,Neurofibromatosis 1 ,business.industry ,medicine.disease ,Intestines ,Pediatrics, Perinatology and Child Health ,medicine ,Humans ,Female ,Mesentery ,Surgery ,Neurofibromatosis ,Child ,business ,Peritoneal Neoplasms - Abstract
Von Recklinghausen's neurofibromatosis (VRN) is a familial disorder characterised by a generalized neuroectodermal dysplasia - symptomatic involvement of the gastrointestinal tract is rare. We report on our experience with two children who had proven gastrointestinal neurofibromas and highlight the need for careful assessment in children with VRN who develop abdominal pain. Die Neurofibromatosis (VRN) ist eine familiare Erkrankung, die durch eine generalisierte neuroektodermale Dysplasie charakterisiert ist. Die Beteiligung des Gastrointestinaltraktes ist selten. Aufgrund der vorliegenden Falldarstellung wird empfohlen, bei jedem Kind mit Neurofibromatose und gastrointestinalen Symptomen eine abdominelle Sonographie durchzufuhren. Die Resektion des Tumors oder der Tumoren ist die Therapie der Wahl wegen der Komplikationsmoglichkeit der Erkrankung einschlieslich maligner Entartung.
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- 1993
20. Interpretation of random urinary catecholamines and their metabolites in neuroblastoma
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O'Meara, A, primary, Tormey, W, additional, FitzGerald, RJ, additional, Fitzgibbon, M, additional, and Kenny, D, additional
- Published
- 1994
- Full Text
- View/download PDF
21. Detection of caseinophosphopeptides in the distal ileostomy fluid of human subjects.
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Meisel H, Bernard H, Fairweather-Tait S, FitzGerald RJ, Hartmann R, Lane CN, McDonagh D, Teucher B, and Wal JM
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- 2003
- Full Text
- View/download PDF
22. The second therapeutic enema in intussusception
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Fitzgerald Rj
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,General surgery ,Intussusception (medical disorder) ,Pediatrics, Perinatology and Child Health ,Pediatric surgery ,Medicine ,Surgery ,General Medicine ,Enema ,business ,medicine.disease - Published
- 1992
23. Pain management in paediatric patients
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Fitzgerald Rj
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medicine.medical_specialty ,business.industry ,General surgery ,Pediatrics, Perinatology and Child Health ,medicine ,Surgery ,General Medicine ,Pain management ,business ,Paediatric patients - Published
- 1990
24. Use of magnesium sulphate in the anaesthetic management of phaeochromocytoma: A review of 17 anaesthetics
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Fitzgerald Rj
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Anaesthetic management ,chemistry ,business.industry ,Magnesium ,Anesthesia ,Pediatrics, Perinatology and Child Health ,Medicine ,chemistry.chemical_element ,Surgery ,General Medicine ,business - Published
- 1990
25. Proceedings of the ulster paediatric society and irish paediatric association, joint clinical meeting; 5th — 7th may, 1989
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P. Higgins, C. Boreham, S. Cullen, C. M. Hill, A. Sloane, V. E. Boston, C. McKenna, Emma Curtis, A. Kurien, D. Duff, Fitzgerald Rj, S. Brown, M. Tsuji, I. J. Temperlery, M. A. Avaria, T. C. Taylor, Mark Lawler, N. O’Brien, Hilary Hoey, B. Denham, I. V. Allen, E. Hicks, T. J. Flood, T. R. J. Tubman, Ronnie Moore, Michael D. Shields, H. C. Mulholland, G. P. P. Fox, JM Savage, C. Norse, C. Fitzpatrick, O. Conor Ward, P. Greally, D. C. Wilson, E. Tempany, J. Jenkins, F. Breatnach, Ann M. Bergin, P. H. Robinson, D. A. Brown, D. McGibben, N. V. O’Donohoe, Hugh Monaghan, N. C. Rollins, J. Lim, Brian Denham, J. F. T. Glasgow, D. Primrose, H. Monaghan, D. J. Reena, J. Crane, E. A. Magill, O. Hensey, N. Anderson, D. C. Carson, J. B. G. Watson, Anthony Staines, S. R. McCann, B. O’Shea, El Hussein Rfidah, P. Cervi, M. D. Rollins, R. J. Stewart, A. Maguire, J. F. Jackson, J. McMenamin, B. Craig, M. D. O’Hara, G. McClure, A. O’Meara, E. Conneally, E. Fitzgerald, G. Murray, Peter Humphries, T. G. Mathews, B. Connolly, M. Tynan, J. McAloon, O. C. Ward, Mary D. King, P. Crean, J. Hankins, Angela H. Bell, J. Hurley, Mc Creid, E. M. Hicks, Denis Gill, F. McManus, V. H. Patterson, S. Sallan, and I. J. C. Wallace
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medicine.medical_specialty ,Irish ,business.industry ,Family medicine ,language ,Medicine ,Optometry ,General Medicine ,business ,language.human_language - Published
- 1989
26. A review of the management policy for new-born spina bifida children at Our Lady's Hospital for Sick Children, Crumlin, 1973-1983
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Goldberg C, Guiney Ej, and Fitzgerald Rj
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Pediatrics ,medicine.medical_specialty ,Meningomyelocele ,business.industry ,Spina bifida ,Infant, Newborn ,Infant ,medicine.disease ,Prognosis ,Sick child ,Cerebrospinal Fluid Shunts ,Early surgery ,Child Development ,Postoperative Complications ,Intervention (counseling) ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,medicine ,Total care ,Humans ,Surgery ,business ,Child ,Ireland - Abstract
The management policy at Our Lady's Hospital for Sick Children, Crumlin, for newborn spina bifida infants consists of immediate operation for those considered likely to benefit and full nursery care for those who do not have early surgery. In the eleven years since this policy was first implemented, there have been 493 infants admitted with open myelomeningocele, of whom 260 (52.7%) were managed non-operatively. The mortality for all infants so managed was 78% at one year. 171 (66%) of this group died without further intervention. 89 (34%) survived long enough for some form of treatment to be instituted. 41 of these children are still alive and it is felt that their handicaps have not been increased by their early management. It is argued that an approach to management which considers the needs and interests of the individual infant is more acceptable than one that seeks to enforce total care, regardless of circumstances, or the impersonal assignment, by criteria, into "treatment" and "non-treatment" groups.
- Published
- 1984
27. Should the tradition of right cerebral hemisphere shunting still prevail?
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Grant Dw, Guiney Ej, Goldberg C, and Fitzgerald Rj
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Cerebral Cortex ,Male ,medicine.medical_specialty ,business.industry ,media_common.quotation_subject ,Right cerebral hemisphere ,Intelligence ,Cerebral trauma ,Lateralization of brain function ,Cerebrospinal Fluid Shunts ,Functional Laterality ,Shunting ,Insult ,Internal medicine ,Pediatrics, Perinatology and Child Health ,medicine ,Cardiology ,Humans ,Surgery ,Female ,Right hemisphere ,business ,Child ,media_common ,Language - Abstract
A review of the literature suggests that the right hemisphere compared with the left may be more sensitive to, and take longer to recover from, cerebral trauma. As there are also grounds for suggesting that shunting may be associated with limited cerebral insult, it is possible to conclude that, theoretically, left hemisphere shunting may be a preferable policy.
- Published
- 1986
28. Fistula-in-ano in childhood: a congenital etiology
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Brendan Harding, William R. Ryan, and Fitzgerald Rj
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Male ,Pediatrics ,medicine.medical_specialty ,Anorectal disease ,Fistula ,Sex Factors ,medicine ,Humans ,Rectal Fistula ,Abscess ,Child ,business.industry ,Perianal Abscess ,Age Factors ,Infant ,General Medicine ,medicine.disease ,Anus ,Surgery ,medicine.anatomical_structure ,El Niño ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Etiology ,Female ,business - Abstract
In a comparative study of fistula-in-ano and perianal abscess, over a 12-year period, evidence is presented to suggest that fistula-in-ano in childhood has a congenital etiology.
- Published
- 1985
29. Has vesicostomy a role in the neuropathic bladder?
- Author
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B. Connolly, Fitzgerald Rj, and E. J. Guiney
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Male ,medicine.medical_specialty ,Urinary system ,Urinary Bladder ,Scoliosis ,Urinary Diversion ,Hydroureter ,Kidney Function Tests ,Cerebral palsy ,medicine ,Humans ,Urinary Bladder, Neurogenic ,Child ,Hydronephrosis ,Neuropathic bladder ,business.industry ,Reflux ,Infant ,Retrospective cohort study ,medicine.disease ,Surgery ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Kidney Failure, Chronic ,Female ,business - Abstract
This retrospective study aims to assess the efficacy of vesicostomy in the management of deteriorating upper renal tracts in patients with neuropathic bladders for whom intermittent self catheterization is not a clinical option. Between 1980-1987 vesicostomy was performed in 16 such patients (11 female, 5 male). Eleven had myelomeningocoele, 4 sacral anomalies and one cerebral palsy with scoliosis. All patients had urinary tract infections and deteriorating hydronephrosis and hydroureter (IVP, U/S); associated reflux in 13, impaired GFR in 4 and abnormal biochemistry in 8. The mean age at surgery was 3.3 years (8 mths. to 9 years). In all cases deterioration was arrested by vesicostomy. Fifteen patients showed structural or functional improvement and one stabilized. Late closure of the vesicostomy in two cases resulted in disimprovement of biochemical and radiological parameters. Acceptance of the vesicostomies was good. We advocate vesicostomy as an effective drainage procedure to preserve function in patients with neuropathic bladders and deteriorating renal tracts, in whom intermittent self catheterization is not a realistic alternative.
- Published
- 1988
30. Status of a group of spina bifida children not managed by early surgery
- Author
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Goldberg C, Blake Ns, Fitzgerald Rj, and Guiney Ej
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Male ,Pediatrics ,medicine.medical_specialty ,Meningomyelocele ,Time Factors ,First admission ,Spina bifida ,business.industry ,Intelligence ,medicine.disease ,Sick child ,Mental handicap ,Cerebrospinal Fluid Shunts ,Hydrocephalus ,Early surgery ,Intervention (counseling) ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,medicine ,Humans ,Surgery ,Female ,business ,Child ,Follow-Up Studies - Abstract
At Our Lady's Hospital for Sick Children, Crumlin, the policy towards neonates with Spina Bifida is one of individualised care. This means that those children who, experience has shown, will not be long term survivors are not subjected to procedures that are distressing and traumatic to the infant and parents. They are given full nursery care. A small number of children treated on this basis thrive. The question arises whether or not they have been further handicapped by this approach. Since this is a problem which causes concern to both parents and clinicians, this study reviews the present state of these survivors. In the five year period 1979-1983, there was a total of 192 infants admitted to Our Lady's Hospital with open myelomeningocoele. 66 were treated with early surgical intervention. 75 died without any surgical procedure at a mean of 46 days. 51 children underwent late intervention, despite which 29 died. A group of 22 are alive, aged 3-7 years. The mean first admission of these 22 patients was 77 days and was uneventful. However, all 22 are severely handicapped; all are paraplegic, doubly incontinent and have some degree of mental handicap. All have hydrocephalus graded moderate to gross and 17 have been shunted. Amongst these 22 surviving patients, we have been unable to identify, in the initial period, specific events or developments which have clearly caused additional damage to the infant's intellectual or physical well-being.
- Published
- 1986
31. Special issue - Functional foods: Designer foods for the future
- Author
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Klaenhammer, Tr, Connolly, Jf, Fitzgerald, Rj, CATHERINE STANTON, and Ross, Rp
32. Biliary tract and liver trauma in a six year old boy
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McCollum St and Fitzgerald Rj
- Subjects
Male ,Lesser omentum ,medicine.medical_specialty ,Complete avulsion ,Common bile duct ,business.industry ,General surgery ,medicine.medical_treatment ,Accidents, Traffic ,General Medicine ,Surgery ,medicine.anatomical_structure ,Liver ,Biliary tract ,Laparotomy ,medicine ,Humans ,Cystic duct ,Biliary Tract ,Child ,business ,Bile leak - Abstract
A case of liver and biliary tract trauma in a 6 year old child is presented. The findings at operation included a complete avulsion of the cystic duct with a severed common bile duct. Only minimal evidence of trauma was noticed in the lesser omentum and there was no bile leak. It is stressed that careful inspection of the bile ducts is necessary if there is any suggestion of injury in their vicinity at laparotomy for trauma.
- Published
- 1979
33. Periodontal Disease in the 18-Month-Old Germfree Rat
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Baer N and Fitzgerald Rj
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Male ,Text mining ,Periodontal disease ,business.industry ,Animals ,Germ-Free Life ,Medicine ,Physiology ,Female ,business ,General Dentistry ,Periodontal Diseases ,Rats - Published
- 1966
34. Antioxidative, Glucose Management, and Muscle Protein Synthesis Properties of Fish Protein Hydrolysates and Peptides.
- Author
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Shekoohi N, Carson BP, and Fitzgerald RJ
- Subjects
- Animals, Humans, Glucose metabolism, Glucose chemistry, Protein Hydrolysates chemistry, Fish Proteins chemistry, Fish Proteins metabolism, Antioxidants chemistry, Antioxidants pharmacology, Peptides chemistry, Peptides pharmacology, Fishes, Muscle Proteins chemistry, Muscle Proteins metabolism
- Abstract
The marine environment is an excellent source for many physiologically active compounds due to its extensive biodiversity. Among these, fish proteins stand out for their unique qualities, making them valuable in a variety of applications due to their diverse compositional and functional properties. Utilizing fish and fish coproducts for the production of protein hydrolysates and bioactive peptides not only enhances their economic value but also reduces their potential environmental harm, if left unutilized. Fish protein hydrolysates (FPHs), known for their excellent nutritional value, favorable amino acid profiles, and beneficial biological activities, have generated significant interest for their potential health benefits. These hydrolysates contain bioactive peptides which are peptide sequences known for their beneficial physiological effects. These biologically active peptides play a role in metabolic regulation/modulation and are increasingly seen as promising ingredients in functional foods, nutraceuticals and pharmaceuticals, with potential to improve human health and prevent disease. This review aims to summarize the current in vitro , cell model ( in situ ) and in vivo research on the antioxidant, glycaemic management and muscle health enhancement properties of FPHs and their peptides.
- Published
- 2024
- Full Text
- View/download PDF
35. Absolute-judgment models better predict eyewitness decision-making than do relative-judgment models.
- Author
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Smith AM, Ying RC, Goldstein AR, and Fitzgerald RJ
- Subjects
- Humans, Male, Female, Adult, Young Adult, Recognition, Psychology physiology, Judgment physiology, Decision Making physiology, Models, Psychological, Mental Recall physiology
- Abstract
When presented with a lineup, the witness is tasked with identifying the culprit or indicating that the culprit is not present. The witness then qualifies the decision with a confidence judgment. But how do witnesses go about making these decisions and judgments? According to absolute-judgment models, witnesses determine which lineup member provides the strongest match to memory and base their identification decision and confidence judgment on the absolute strength of this MAX lineup member. Conversely, relative-judgment models propose that witnesses determine which lineup member provides the strongest match to memory and then base their identification decision and confidence judgment on the relative strength of the MAX lineup member compared to the remaining lineup members. We took a critical test approach to test the predictions of both models. As predicted by the absolute-judgment model, but contrary to the predictions of the relative-judgment model, witnesses were more likely to correctly reject low-similarity lineups than high-similarity lineups (Experiment 1), and more likely to reject biased lineups than fair lineups (Experiment 2). Likewise, witnesses rejected low-similarity lineups with greater confidence than high-similarity lineups (Experiment 1) and rejected biased lineups with greater confidence than fair lineups (Experiment 2). Only a single pattern was consistent with the relative model and inconsistent with the absolute model: suspect identifications from biased lineups were made with greater confidence than suspect identifications from fair lineups (Experiment 2). The results suggest that absolute-judgment models better predict witness decision-making than do relative-judgment models and that pure relative-judgment models are unviable., (Copyright © 2024 Elsevier B.V. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
36. Reflector variables in augmented reality lineups: Assessing eyewitness identification reliability in children and adults with confidence, response time, and proximity to the lineup.
- Author
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Price HL and Fitzgerald RJ
- Subjects
- Humans, Child, Female, Male, Adult, Young Adult, Adolescent, Mental Recall physiology, Reproducibility of Results, Recognition, Psychology, Augmented Reality, Crime, Reaction Time
- Abstract
Attending to the behaviors of eyewitnesses at police lineups could help to determine whether an eyewitness identification is accurate or mistaken. Eyewitness identification decision processes were explored using augmented reality holograms. Children (n = 143; Mage = 10.79, SD = 1.12 years) and adults (n = 152; Mage = 22.12, SD = 7.47 years) viewed staged crime videos and made identification decisions from sequential lineups. The lineups were presented in augmented reality. Children were less accurate than adults on the lineup task. For adults, fast response times and high post-identification confidence ratings were both reflective of identification accuracy. Fast response times were also reflective of accuracy for children; however, children's confidence ratings did not reflect the likely accuracy of their identifications. A new additional measure, the witness' proximity to the augmented reality lineup, revealed that children who made mistaken identifications moved closer to the lineup than children who correctly identified the person from the crime video. Adults who moved any distance towards the lineup were less accurate than adults who did not move at all, but beyond that, adults' proximity to the lineup was not reflective of accuracy. The findings give further evidence that behavioral indicators of deliberation and information-seeking by eyewitnesses are signals of low lineup identification reliability. The findings also suggest that when assessing the reliability of children's lineup identifications, behavioral measures are more useful than metacognitive reports., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Price, Fitzgerald. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
- Published
- 2024
- Full Text
- View/download PDF
37. Key Factors Influencing Gelation in Plant vs. Animal Proteins: A Comparative Mini-Review.
- Author
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Khalesi M, Glenn-Davi K, Mohammadi N, and FitzGerald RJ
- Abstract
This review presents a comparative analysis of gelation properties in plant-based versus animal-based proteins, emphasizing key factors such as pH, ionic environment, temperature, and anti-nutritional factors. Gelation, a crucial process in food texture formation, is influenced by these factors in varying ways for plant and animal proteins. Animal proteins, like casein, whey, meat, and egg, generally show stable gelation properties, responding predictably to pH, temperature, and ionic changes. In contrast, plant proteins such as soy, pea, wheat, and oilseed show more variable gelation, often requiring specific conditions, like the presence of NaCl or optimal pH, to form effective gels. Animal proteins tend to gel more reliably, while plant proteins require precise environmental adjustments for similar results. Understanding these factors is crucial for selecting and processing proteins to achieve desired textures and functionalities in food products. This review highlights how changing these key factors can optimize gel properties in both plant- and animal-based proteins.
- Published
- 2024
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- View/download PDF
38. Impact of Different Light Conditions on the Nitrogen, Protein, Colour, Total Phenolic Content and Amino Acid Profiles of Cultured Palmaria palmata .
- Author
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Idowu AT, Amigo-Benavent M, Whelan S, Edwards MD, and FitzGerald RJ
- Abstract
The impact of different light conditions during culture on the nitrogen, protein, colour, total phenolic content (TPC) and amino acid profile of Palmaria palmata biomass was investigated. P. palmata was cultured using different light regimes, i.e., white (1 and 2), red, blue and green over 12 days. A significant decrease ( p < 0.05) in total nitrogen (TN), non-protein nitrogen (NPN) and protein nitrogen (PN) was observed on day 6 while an increase was observed on day 12 in P. palmata samples cultured under blue light. The protein content (nitrogen conversion factor of 4.7) of the initial sample on day 0 was 15.0% ( w / w ) dw whereas a maximum protein content of 16.7% ( w / w ) was obtained during exposure to blue light following 12 days culture, corresponding to an 11.2% increase in protein content. Electrophoretic along with amino acid profile and score analyses showed light-related changes in protein composition. The lighting regime used during culture also influenced the colour parameters (lightness L*, redness a*, yellowness b* and colour difference ΔE) of milled algal biomass along with the TPC. Judicious selection of lighting regime during culture may allow the targeted production of sustainable high-quality proteins from P. palmata.
- Published
- 2023
- Full Text
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39. Catching wanted people at the border: prospective person memory and face matching in border control decisions.
- Author
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Yuen CN, Fitzgerald RJ, and Juncu S
- Subjects
- Humans, Prospective Studies, Students, Memory, Episodic
- Abstract
Border control officers may be on the lookout for wanted people while they verify that travellers match their passport photos. We developed a novel experimental paradigm to investigate whether people are more likely to report that someone is wanted if they also believe that person is using a fraudulent passport. In two experiments, undergraduate students assumed the role of a border control officer and completed multiple "shifts" of a face matching task designed to simulate a passport verification check. Before each shift participants viewed posters of wanted people and were instructed to report any sightings if a wanted person appeared in any of the images during the passport check. Participants were more likely to say an individual was wanted if they also believed the person did not match their passport image. In addition, the accuracy of wanted person sightings was reduced for trials with nonmatching passports compared to trials with matching passports. This suggests wanted people with matching passports were easier to spot because participants had an additional image to compare with their memory of the person in the wanted poster.
- Published
- 2023
- Full Text
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40. Estimation of eyewitness error rates in fair and biased lineups.
- Author
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Fitzgerald RJ, Tredoux CG, and Juncu S
- Subjects
- Humans, Criminal Law methods, Crime, Mental Recall, Recognition, Psychology
- Abstract
Objective: The risk of mistaken identification for innocent suspects in lineups can be estimated by correcting the overall error rate by the number of people in the lineup. We compared this nominal size correction to a new effective size correction, which adjusts the error rate for the number of plausible lineup members., Hypotheses: We hypothesized that (a) increasing lineup bias would increase misidentifications of a designated innocent suspect; (b) with the effective size correction, increasing lineup bias would also increase the estimate of innocent-suspect misidentifications; and (c) with the nominal size correction, lineup bias would have no effect on the estimate of innocent-suspect misidentifications., Method: In a reanalysis of previous literature, we obtained 10 data sets from Open Science Framework. In three new experiments ( Ns = 686, 405, and 1,531, respectively), participants observed a staged crime and completed a fair or biased lineup., Results: In the reanalysis of previous literature, less than four of six lineup members were identified frequently enough to be classified as plausible, M = 3.78, 95% confidence interval [CI: 2.20, 5.36]. In the new experiments, increasing lineup bias increased mistaken identifications of a designated innocent suspect, odds ratio ( OR ) = 5.50, 95% CI [2.77, 10.95] and also increased the effective size-corrected estimate of innocent-suspect misidentifications, OR = 3.04, 95% CI [2.13, 4.33]. With the nominal size correction, lineup bias had no effect on the estimate of innocent-suspect misidentifications, OR = 0.84, 95% CI [0.60, 1.18]., Conclusions: Most lineups include a combination of plausible and implausible lineup members. Contrary to the nominal size correction, which ignores implausible lineup members, the effective size correction is sensitive to implausible lineup members and accounts for lineup bias when estimating the risk of innocent suspect misidentifications. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
- Published
- 2023
- Full Text
- View/download PDF
41. Physicochemical, technofunctional, in vitro antioxidant, and in situ muscle protein synthesis properties of a sprat ( Sprattus sprattus ) protein hydrolysate.
- Author
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Shekoohi N, Naik AS, Amigo-Benavent M, Harnedy-Rothwell PA, Carson BP, and FitzGerald RJ
- Abstract
Introduction: Sprat ( Sprattus sprattus ) is an underutilized fish species that may act as an economic and sustainable alternative source of protein due to its good amino acid (AA) profile along with its potential to act as a source of multiple bioactive peptide sequences., Method and Results: This study characterized the physicochemical, technofunctional, and in vitro antioxidant properties along with the AA profile and score of a sprat protein enzymatic hydrolysate (SPH). Furthermore, the impact of the SPH on the growth, proliferation, and muscle protein synthesis (MPS) in skeletal muscle (C2C12) myotubes was examined. The SPH displayed good solubility and emulsion stabilization properties containing all essential and non-essential AAs. Limited additional hydrolysis was observed following in vitro- simulated gastrointestinal digestion (SGID) of the SPH. The SGID-treated SPH (SPH-SGID) displayed in vitro oxygen radical antioxidant capacity (ORAC) activity (549.42 μmol TE/g sample) and the ability to reduce (68%) reactive oxygen species (ROS) production in C2C12 myotubes. Muscle growth and myotube thickness were analyzed using an xCELLigence™ platform in C2C12 myotubes treated with 1 mg protein equivalent.mL
-1 of SPH-SGID for 4 h. Anabolic signaling (phosphorylation of mTOR, rpS6, and 4E-BP1) and MPS (measured by puromycin incorporation) were assessed using immunoblotting. SPH-SGID significantly increased myotube thickness ( p < 0.0001) compared to the negative control (cells grown in AA and serum-free medium). MPS was also significantly higher after incubation with SPH-SGID compared with the negative control ( p < 0.05)., Conclusions: These preliminary in situ results indicate that SPH may have the ability to promote muscle enhancement. In vivo human studies are required to verify these findings., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Shekoohi, Naik, Amigo-Benavent, Harnedy-Rothwell, Carson and FitzGerald.)- Published
- 2023
- Full Text
- View/download PDF
42. A Cell-Based Assessment of the Muscle Anabolic Potential of Blue Whiting ( Micromesistius poutassou ) Protein Hydrolysates.
- Author
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Shekoohi N, Amigo-Benavent M, Wesley Peixoto da Fonseca G, Harnedy-Rothwell PA, FitzGerald RJ, and Carson BP
- Subjects
- Animals, Humans, Amino Acids metabolism, Muscle Fibers, Skeletal metabolism, Muscle Proteins metabolism, Puromycin, Muscle, Skeletal metabolism, Protein Hydrolysates metabolism, Dietary Proteins metabolism, Gadiformes metabolism
- Abstract
Blue whiting (BW) represents an underutilised fish species containing a high-quality protein and amino acid (AA) profile with numerous potentially bioactive peptide sequences, making BW an economic and sustainable alternative source of protein. This study investigated the impact of three different BW protein hydrolysates (BWPH-X, Y and Z) on growth, proliferation and muscle protein synthesis (MPS) in skeletal muscle (C2C12) myotubes. BWPHs were hydrolysed using different enzymatic and heat exposures and underwent simulated gastrointestinal digestion (SGID), each resulting in a high degree of hydrolysis (33.41-37.29%) and high quantities of low molecular mass peptides (86.17-97.12% <1 kDa). C2C12 myotubes were treated with 1 mg protein equivalent/mL of SGID-BWPHs for 4 h. Muscle growth and myotube thickness were analysed using an xCelligence™ platform. Anabolic signalling (phosphorylation of mTOR, rpS6 and 4E-BP1) and MPS measured by puromycin incorporation were assessed using immunoblotting. BWPH-X significantly increased muscle growth ( p < 0.01) and myotube thickness ( p < 0.0001) compared to the negative control (amino acid and serum free media). Muscle protein synthesis (MPS), as measured by puromycin incorporation, was significantly higher after incubation with BWPH-X compared with the negative control, but did not significantly change in response to BWPH-Y and Z treatments. Taken together, these preliminary findings demonstrate the anabolic potential of some but not all BWPHs on muscle enhancement, thus providing justification for human dietary intervention studies to confirm and translate the results of such investigations to dietary recommendations and practices.
- Published
- 2023
- Full Text
- View/download PDF
43. In Vitro Digestibility, Biological Activity, and Physicochemical Characterization of Proteins Extracted from Conventionally and Organically Cultivated Hempseed ( Cannabis sativa L.).
- Author
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Khalesi M, Gcaza L, and FitzGerald RJ
- Subjects
- Antioxidants pharmacology, Antioxidants analysis, Plant Proteins metabolism, Hydrolysis, Digestion, Cannabis chemistry
- Abstract
The proteins from two conventionally (CC1 and CC2) and one organically cultivated (OC) hempseed samples were extracted (by alkaline solubilization followed by isoelectric precipitation) and compared in terms of their physicochemical, digestibility and in vitro bioactivity properties. The OC hempseed had higher total protein and lower nonprotein nitrogen content. Protein extracts showed bimodal particle size distributions, with OC showing the smallest and CC1 the largest mean particle diameter (d(0.5)), i.e., 89.0 and 120.0 µm, respectively. Chromatographic analysis showed similar protein profiles for all three protein extracts. The protein extracts were subjected to in vitro simulated gastrointestinal digestion (SGID). Degree of hydrolysis (DH) measurement showed that the highest extent of digestion upon SGID was associated with CC1 (11.0 ± 1.5%), which also had the lowest in vitro antioxidant activity. Only the OC and OC digested samples had lipase inhibitory activity. The results indicate that the cultivation method impacted the composition, physicochemical, digestibility, and biofunctional properties of hempseed proteins.
- Published
- 2023
- Full Text
- View/download PDF
44. Extraction and Characterization of Protein Concentrates from Limpets ( Patella vulgata ) and Peptide Release Following Gastrointestinal Digestion.
- Author
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Bilir G, Khalesi M, Cermeño M, FitzGerald RJ, and Ekinci D
- Subjects
- Chromatography, Liquid, Digestion, Patella metabolism, Peptides chemistry, Tandem Mass Spectrometry, Angiotensin-Converting Enzyme Inhibitors chemistry, Antioxidants
- Abstract
This study investigated the characterization of proteins from the Irish limpet ( Patella vulgata ) and assessed the in vitro biological activities of hydrolysates obtained following gastrointestinal digestion (INFOGEST) of a limpet protein concentrate (LPC). The physicochemical properties and the digestibility of the LPC were investigated, along with the angiotensin-converting enzyme (ACE) inhibition and antioxidant activities of the LPC-digested samples. All the digested samples examined outperformed the LPC in terms of activity. Peptides were identified using LC-MS/MS after digestion. A total of 38 and 19 peptides were identified in LPC-G and LPC-GI, respectively, using a database search and a de novo approach. Most of the identified peptides had hydrophobic amino acids, which may contribute to their antioxidant and ACE inhibitory activities. The findings of this study showed that LPC has high nutritional quality with good digestibility and could serve as a potential source of antioxidative and ACE inhibitory peptides following gastrointestinal digestion.
- Published
- 2022
- Full Text
- View/download PDF
45. In Vivo and In Vitro Comparison of the DPP-IV Inhibitory Potential of Food Proteins from Different Origins after Gastrointestinal Digestion.
- Author
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Fleury L, Deracinois B, Dugardin C, Nongonierma AB, FitzGerald RJ, Flahaut C, Cudennec B, and Ravallec R
- Subjects
- Animals, Caco-2 Cells, Digestion, Dipeptidyl Peptidase 4 metabolism, Humans, Peptides chemistry, Rats, Tandem Mass Spectrometry, Diabetes Mellitus, Type 2, Dipeptidyl-Peptidase IV Inhibitors chemistry, Dipeptidyl-Peptidase IV Inhibitors pharmacology
- Abstract
Dipeptidyl-peptidase IV (DPP-IV) plays an essential role in glucose metabolism by inactivating incretins. In this context, food-protein-derived DPP-IV inhibitors are promising glycemic regulators which may act by preventing the onset of type 2 diabetes in personalized nutrition. In this study, the DPP-IV-inhibitory potential of seven proteins from diverse origins was compared for the first time in vitro and in vivo in rat plasma after the intestinal barrier (IB) passage of the indigested proteins. The DPP-IV-inhibitory potentials of bovine hemoglobin, caseins, chicken ovalbumin, fish gelatin, and pea proteins were determined in rat plasma thirty minutes after oral administration. In parallel, these proteins, together with bovine whey and gluten proteins, were digested using the harmonized INFOGEST protocol adapted for proteins. The DPP-IV half-maximal inhibitory concentration (IC
50 ) was determined in situ using Caco-2 cells. The DPP-IV-inhibitory activity was also measured after IB passage using a Caco2/HT29-MTX mixed-cell model. The peptide profiles were analyzed using reversed-phase high-performance liquid chromatography tandem mass spectrometry (RP-HPLC-MS/MS) with MS data bioinformatics management, and the IC50 of the identified peptides was predicted in silico. The in vitro and in vivo DPP-IV-inhibitory activity of the proteins differed according to their origin. Vegetable proteins and hemoglobin yielded the highest DPP-IV-inhibitory activity in vivo. However, no correlation was found between the in vivo and in vitro results. This may be partially explained by the differences between the peptidome analysis and the in silico predictions, as well as the study complexity.- Published
- 2022
- Full Text
- View/download PDF
46. Contribution of Hydrolysis and Drying Conditions to Whey Protein Hydrolysate Characteristics and In Vitro Antioxidative Properties.
- Author
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Kleekayai T, O'Neill A, Clarke S, Holmes N, O'Sullivan B, and FitzGerald RJ
- Abstract
During the generation of functional food ingredients by enzymatic hydrolysis, parameters such as choice of enzyme, reaction pH and the drying process employed may contribute to the physicochemical and bio-functional properties of the resultant protein hydrolysate ingredients. This study characterised the properties of spray- (SD) and freeze-dried (FD) whey protein hydrolysates (WPHs) generated using Alcalase
® and Prolyve® under pH-stat and free-fall pH conditions. The enzyme preparation used affected the physicochemical and antioxidative properties but had no impact on powder composition, morphology or colour. SD resulted in spherical particles with higher moisture content (~6%) compared to the FD powders (~1%), which had a glass shard-like structure. The SD-WPHs exhibited higher antioxidative properties compared to the FD-WPHs, which may be linked to a higher proportion of peptides <1 kDa in the SD-WPHs. Furthermore, the SD- and FD-WPHs had similar peptide profiles, and no evidence of Maillard reaction product formation during the SD processing was evident. The most potent in vitro antioxidative WPH was generated using Alcalase® under free-fall pH conditions, followed by SD, which had oxygen radical absorbance capacity and Trolox equivalent (TE) antioxidant capacity values of 1132 and 686 µmol TE/g, respectively. These results demonstrate that both the hydrolysis and the drying process impact the biofunctional (antioxidant) activity of WPHs.- Published
- 2022
- Full Text
- View/download PDF
47. Impact of Enzymatic Hydrolysis and Heat Inactivation on the Physicochemical Properties of Milk Protein Hydrolysates.
- Author
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Gruppi A, Dermiki M, Spigno G, and FitzGerald RJ
- Abstract
This study determined the physicochemical properties (apparent viscosity (η
app ), turbidity (A550nm ), particle size and molecular mass distribution) of hydrolysates generated from whey protein concentrate (WPC), milk protein concentrate (MPC) and sodium caseinate (NaCN), following incubation with Debitrase HYW20™ and Prolyve™ at 50 °C, pH 7.0 for 1 and 4 h, before and after heat inactivation (80 °C for 10 min). The degree of hydrolysis (DH) increased with incubation time, giving values of 6.56%, 8.17% and 9.48%, following 1 h hydrolysis of WPC, MPC and NaCN with Debitrase HYW20™, and 12.04%, 15.74% and 17.78%, respectively, following 4 h incubation. These DHs were significantly higher compared to those obtained following 4 h incubation with Prolyve™. Hydrolysis with Debitrase HYW20™ gave >40% of peptides with molecular masses < 1 kDa for all substrates, which was higher than the value obtained following hydrolysis with Prolyve™. The effect of hydrolysis on the physicochemical properties was substrate dependent, since ηapp decreased in WPC and NaCN hydrolysates, particle size decreased for all the substrates, with aggregate formation for MPC, and turbidity decreased in WPC and MPC hydrolysates, while it increased in NaCN hydrolysates. The physical properties of the hydrolysates were influenced by the enzyme thermal inactivation step in a DH-dependent manner, with no significant effect on turbidity and viscosity for hydrolysates at higher DHs.- Published
- 2022
- Full Text
- View/download PDF
48. Blue Whiting ( Micromesistius poutassou ) Protein Hydrolysates Increase GLP-1 Secretion and Proglucagon Production in STC-1 Cells Whilst Maintaining Caco-2/HT29-MTX Co-Culture Integrity.
- Author
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Heffernan S, Nunn L, Harnedy-Rothwell PA, Gite S, Whooley J, Giblin L, FitzGerald RJ, and O'Brien NM
- Subjects
- Animals, Caco-2 Cells, Cell Line, Coculture Techniques, Enteroendocrine Cells drug effects, Enteroendocrine Cells metabolism, Glucagon-Like Peptide 1 metabolism, HT29 Cells, Humans, Mice, Proglucagon metabolism, Protein Hydrolysates isolation & purification, Gadiformes metabolism, Glucagon-Like Peptide 1 drug effects, Proglucagon drug effects, Protein Hydrolysates pharmacology
- Abstract
Inducing the feeling of fullness via the regulation of satiety hormones presents an effective method for reducing excess energy intake and, in turn, preventing the development of obesity. In this study, the ability of blue whiting soluble protein hydrolysates (BWSPHs) and simulated gastrointestinal digested (SGID) BWSPHs, to modulate the secretion and/or production of satiety hormones, such as glucagon-like peptide-1 (GLP-1), cholecystokinin (CCK) and peptide YY (PYY), was assessed in murine enteroendocrine STC-1 cells. All BWSPHs (BW-SPH-A to BW-SPH-F) (1.0% w / v dw) increased active GLP-1 secretion and proglucagon production in STC-1 cells compared to the basal control (Krebs-Ringer buffer) ( p < 0.05). The signaling pathway activated for GLP-1 secretion was also assessed. A significant increase in intracellular calcium levels was observed after incubation with all BWSPHs ( p < 0.05) compared with the control, although none of the BWSPHs altered intracellular cyclic adenosine monophosphate (cAMP) concentrations. The secretagogue effect of the leading hydrolysate was diminished after SGID. Neither pre- nor post-SGID hydrolysates affected epithelial barrier integrity or stimulated interleukin (IL)-6 secretion in differentiated Caco-2/HT-29MTX co-cultured cells. These results suggest a role for BWSPH-derived peptides in satiety activity; however, these peptides may need to be protected by some means to avoid loss of activity during gastrointestinal transit.
- Published
- 2022
- Full Text
- View/download PDF
49. A comparative investigation into novel cholesterol esterase and pancreatic lipase inhibitory peptides from cow and camel casein hydrolysates generated upon enzymatic hydrolysis and in-vitro digestion.
- Author
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Mudgil P, Baba WN, Kamal H, FitzGerald RJ, Hassan HM, Ayoub MA, Gan CY, and Maqsood S
- Subjects
- Animals, Camelus, Cattle, Digestion, Female, Hydrolysis, Lipase, Peptides, Protein Hydrolysates, Caseins, Sterol Esterase genetics
- Abstract
Cow (CwC) and camel casein (CaC) hydrolysates were generated using Alcalase™ (CwCA and CaCA) and Pronase-E (CwCP and CaCP) each for 3 and 6 h, and investigated for their potential to inhibit key lipid digesting enzymes i.e., pancreatic lipase (PL) and cholesteryl esterase (CE). Results revealed stronger PL and CE inhibition by CaC hydrolysates compared to CwC. Potent hydrolysates (CwCP-3 h and CaCA-6 h) upon simulated gastrointestinal digestion (SGID) showed significant improvement in inhibition of both PL and CE. However, both the SGID hydrolysates showed similar extent of PL and CE inhibition and were further sequenced for peptide identification. Peptides MMML, FDML, HLPGRG from CwC and AAGF, MSNYF, FLWPEYGAL from CaC hydrolysates were predicted to be most active PL inhibitory peptides. Peptide LP found in both CwC and CaC hydrolysates was predicted as active CE inhibitor. Thus, CwC and CaC could be potential source of peptides with promising CE and PL inhibitory properties., (Copyright © 2021 Elsevier Ltd. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
50. Insolubility in milk protein concentrates: potential causes and strategies to minimize its occurrence.
- Author
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Khalesi M and FitzGerald RJ
- Subjects
- Animals, Cattle, Food Handling, Milk chemistry, Powders chemistry, Whey Proteins, Caseins analysis, Caseins chemistry, Milk Proteins chemistry
- Abstract
Milk protein concentrates (MPCs), which are produced from skim milk following a series of manufacturing steps including pasteurization, membrane filtration, evaporation and spray drying, represent a relatively new category of dairy ingredients. MPC powders mainly comprise caseins and whey proteins in the same ratio of occurrence as in milk. While bovine MPCs have applications as an ingredient in several protein enriched food products, technofunctional concerns, e.g., reduced solubility and emulsification properties, especially after long-term storage, limit their widespread and consistent utilization in many food products. Changes in the surface and internal structure of MPC powder particles during manufacture and storage occur via casein-casein and casein-whey protein interactions and also via the formation of casein crosslinks in the presence of calcium ions which are associated with diminishment of MPCs functional properties. The aggregation of micellar caseins as a result of these interactions has been considered as the main cause of insolubility in MPCs. In addition, the occurrence of lactose-protein interactions as a result of the promotion of the Maillard reaction mainly during storage of MPC may lead to greater insolubility. This review focuses on the solubility of MPC with an emphasis on understanding the factors involved in its insolubility along with approaches which may be employed to overcome MPC insolubility. Several strategies have been developed based on manipulation of the manufacturing process, along with composition, physical, chemical and enzymatic modifications to overcome MPC insolubility. Despite many advances, dairy ingredient manufacturers are still investigating technical solutions to resolve the insolubility issues associated with the large-scale manufacture of MPC.
- Published
- 2022
- Full Text
- View/download PDF
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