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19 results on '"Jamal, Zahra"'

2. Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery: The TIGHT K Randomized Clinical Trial.

Author

O'Brien, Benjamin, Campbell, Niall G., Allen, Elizabeth, Jamal, Zahra, Sturgess, Joanna, Sanders, Julie, Opondo, Charles, Roberts, Neil, Aron, Jonathan, Maccaroni, Maria Rita, Gould, Richard, Kirmani, Bilal H., Gibbison, Ben, Kunst, Gudrun, Zarbock, Alexander, Kleine-Brüggeney, Maren, Stoppe, Christian, Pearce, Keith, Hughes, Mark, and Van Dyck, Laura

Subjects
CORONARY artery bypass, HOSPITAL admission & discharge, MEDICAL care costs, ATRIAL fibrillation, CARDIAC surgery
Abstract

Key Points: Question: When trying to prevent atrial fibrillation after cardiac surgery (AFACS), is supplementing potassium only when its serum concentration falls below 3.6 mEq/L noninferior to supplementation when serum potassium concentration falls below 4.5 mEq/L? Findings: In the first 5 days after coronary artery bypass graft (CABG) surgery, patients who only received supplementation when serum potassium concentration dropped below 3.6 mEq/L (n = 830) did not have an increased incidence of new-onset AFACS compared with those who only received supplementation when serum potassium concentration dropped below 4.5 mEq/L (n = 837). There was no difference between the groups for other dysrhythmias or clinical outcomes. Meaning: The widespread practice of seeking to maintain high-normal serum potassium concentration after CABG surgery can be abandoned. This will reduce health care costs and decrease patient risk from an unnecessary intervention. IMPORTANCE: Supplementing potassium in an effort to maintain high-normal serum concentrations is a widespread strategy used to prevent atrial fibrillation after cardiac surgery (AFACS), but is not evidence-based, carries risks, and is costly. OBJECTIVE: To determine whether a lower serum potassium concentration trigger for supplementation is noninferior to a high-normal trigger. DESIGN, SETTING, AND PARTICIPANTS: This open-label, noninferiority, randomized clinical trial was conducted at 23 cardiac surgical centers in the United Kingdom and Germany. Between October 20, 2020, and November 16, 2023, patients with no history of atrial dysrhythmias scheduled for isolated coronary artery bypass grafting (CABG) surgery were enrolled. The last study patient was discharged from the hospital on December 11, 2023. INTERVENTIONS: Patients were randomly assigned to a strategy of tight or relaxed potassium control (only supplementing if serum potassium concentration fell below 4.5 mEq/L or 3.6 mEq/L, respectively). Patients wore an ambulatory heart rhythm monitor, which was analyzed by a core laboratory masked to treatment assignment. MAIN OUTCOMES AND MEASURES: The prespecified primary end point was clinically detected and electrocardiographically confirmed new-onset AFACS in the first 120 hours after CABG surgery or until hospital discharge, whichever occurred first. All primary outcome events were validated by an event validation committee, which was masked to treatment assignment. Noninferiority of relaxed potassium control was defined as a risk difference for new-onset AFACS with associated upper bound of a 1-sided 97.5% CI of less than 10%. Secondary outcomes included other heart rhythm–related events, clinical outcomes, and cost related to the intervention. RESULTS: A total of 1690 patients (mean age, 65 years; 256 [15%] females) were randomized. The primary end point occurred in 26.2% of patients (n = 219) in the tight group and 27.8% of patients (n = 231) in the relaxed group, which is a risk difference of 1.7% (95% CI, −2.6% to 5.9%). There was no difference between the groups in the incidence of at least 1 AFACS episode detected by any means or by ambulatory heart rhythm monitor alone, non-AFACS dysrhythmias, in-patient mortality, or length of stay. Per-patient cost for purchasing and administering potassium was significantly lower in the relaxed group (mean difference, $111.89 [95% CI, $103.60-$120.19]; P <.001). CONCLUSIONS AND RELEVANCE: For AFACS prophylaxis, supplementation only when serum potassium concentration fell below 3.6 mEq/L was noninferior to the current widespread practice of supplementing potassium to maintain a serum potassium concentration greater than or equal to 4.5 mEq/L. The lower threshold of supplementation was not associated with any increase in dysrhythmias or adverse clinical outcomes. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04053816 This randomized clinical trial examines whether a lower serum potassium concentration trigger for supplementation is noninferior to a high-normal trigger for the prevention of atrial fibrillation after cardiac surgery. [ABSTRACT FROM AUTHOR]

Published
2024
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3. Impact of maintaining serum potassium concentration ≥ 3.6mEq/L versus ≥ 4.5mEq/L for 120 hours after isolated coronary artery bypass graft surgery on incidence of new onset atrial fibrillation: Protocol for a randomized non-inferiority trial

Author

Campbell, Niall G., primary, Allen, Elizabeth, additional, Evans, Richard, additional, Jamal, Zahra, additional, Opondo, Charles, additional, Sanders, Julie, additional, Sturgess, Joanna, additional, Montgomery, Hugh E., additional, Elbourne, Diana, additional, and O’Brien, Benjamin, additional

Published
2024
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4. Routine cerebral embolic protection in transcatheter aortic valve implantation: rationale and design of the randomised British Heart Foundation PROTECT-TAVI trial

Author

Kharbanda, Rajesh K., primary, Perkins, Alexander David, additional, Kennedy, James, additional, Banning, Adrian P., additional, Baumbach, Andreas, additional, Blackman, Daniel J., additional, Dodd, Matthew, additional, Evans, Richard, additional, Hildick-Smith, David, additional, Jamal, Zahra, additional, Ludman, Peter, additional, Palmer, Stephen, additional, Stables, Rodney, additional, and Clayton, Tim, additional

Published
2023
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5. Behavioural intervention to reduce sexually transmitted infections in people aged 16–24 years in the UK: the safetxt RCT

Author

Free, Caroline, primary, Palmer, Melissa J, additional, Potter, Kimberley, additional, McCarthy, Ona L, additional, Jerome, Lauren, additional, Berendes, Sima, additional, Gubijev, Anasztazia, additional, Knight, Megan, additional, Jamal, Zahra, additional, Dhaliwal, Farandeep, additional, Carpenter, James R, additional, Morris, Tim P, additional, Edwards, Phil, additional, French, Rebecca, additional, Macgregor, Louis, additional, Turner, Katy ME, additional, Baraitser, Paula, additional, Hickson, Ford CI, additional, Wellings, Kaye, additional, Roberts, Ian, additional, Bailey, Julia V, additional, Hart, Graham, additional, Michie, Susan, additional, Clayton, Tim, additional, and Devries, Karen, additional

Published
2023
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6. Effectiveness of a behavioural intervention delivered by text messages (safetxt) on sexually transmitted reinfections in people aged 16-24 years: randomised controlled trial

Author

Free, Caroline, primary, Palmer, Melissa J, additional, McCarthy, Ona L, additional, Jerome, Lauren, additional, Berendes, Sima, additional, Knight, Megan, additional, Carpenter, James R, additional, Morris, Tim P, additional, Jamal, Zahra, additional, Dhaliwal, Farandeep, additional, French, Rebecca S, additional, Hickson, Ford Colin Ian, additional, Gubijev, Anasztazia, additional, Wellings, Kaye, additional, Baraitser, Paula, additional, Roberts, Ian, additional, Bailey, Julia V, additional, Clayton, Tim, additional, Devries, Karen, additional, Edwards, Phil, additional, Hart, Graham, additional, Michie, Susan, additional, Macgregor, Louis, additional, Turner, Katy M E, additional, and Potter, Kimberley, additional

Published
2022
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7. Tranexamic acid to reduce head injury death in people with traumatic brain injury: the CRASH-3 international RCT

Author

Roberts, Ian, primary, Shakur-Still, Haleema, additional, Aeron-Thomas, Amy, additional, Beaumont, Danielle, additional, Belli, Antonio, additional, Brenner, Amy, additional, Cargill, Madeleine, additional, Chaudhri, Rizwana, additional, Douglas, Nicolas, additional, Frimley, Lauren, additional, Gilliam, Catherine, additional, Geer, Amber, additional, Jamal, Zahra, additional, Jooma, Rashid, additional, Mansukhani, Raoul, additional, Miners, Alec, additional, Pott, Jason, additional, Prowse, Danielle, additional, Shokunbi, Temitayo, additional, and Williams, Jack, additional

Published
2021
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8. The effect of statins on muscle symptoms in primary care: the StatinWISE series of 200 N-of-1 RCTs

Author

Herrett, Emily, primary, Williamson, Elizabeth, additional, Brack, Kieran, additional, Perkins, Alexander, additional, Thayne, Andrew, additional, Shakur-Still, Haleema, additional, Roberts, Ian, additional, Prowse, Danielle, additional, Beaumont, Danielle, additional, Jamal, Zahra, additional, Goldacre, Ben, additional, van Staa, Tjeerd, additional, MacDonald, Thomas M, additional, Armitage, Jane, additional, Moore, Michael, additional, Hoffman, Maurice, additional, and Smeeth, Liam, additional

Published
2021
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10. Correction: Impact of maintaining serum potassium concentration ≥ 3.6mEq/L versus ≥ 4.5mEq/L for 120 hours after isolated coronary artery bypass graft surgery on incidence of new onset atrial fibrillation: Protocol for a randomized non-inferiority trial

Author

Campbell, Niall G., Allen, Elizabeth, Evans, Richard, Jamal, Zahra, Opondo, Charles, Sanders, Julie, Sturgess, Joanna, Montgomery, Hugh E., Elbourne, Diana, and O'Brien, Benjamin

Subjects
CORONARY artery bypass, ATRIAL fibrillation, POTASSIUM
Abstract

This correction notice addresses two instances in an article where the term "elective isolated CABG" was used incorrectly instead of "isolated CABG." The first instance is in the abstract's background section, and the second is in the Trial Population section under Methods. The study also included non-elective patients, so the term "elective" should be disregarded in both cases. The authors of the correction notice are Niall G. Campbell, Elizabeth Allen, Richard Evans, Zahra Jamal, Charles Opondo, Julie Sanders, Joanna Sturgess, Hugh E. Montgomery, Diana Elbourne, and Benjamin O'Brien. [Extracted from the article]

Published
2024
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12. Effect of remote ischaemic conditioning on clinical outcomes in patients with acute myocardial infarction (CONDI-2/ERIC-PPCI): a single-blind randomised controlled trial

Author

Hausenloy, Derek J, primary, Kharbanda, Rajesh K, additional, Møller, Ulla Kristine, additional, Ramlall, Manish, additional, Aarøe, Jens, additional, Butler, Robert, additional, Bulluck, Heerajnarain, additional, Clayton, Tim, additional, Dana, Ali, additional, Dodd, Matthew, additional, Engstrom, Thomas, additional, Evans, Richard, additional, Lassen, Jens Flensted, additional, Christensen, Erika Frischknecht, additional, Garcia-Ruiz, José Manuel, additional, Gorog, Diana A, additional, Hjort, Jakob, additional, Houghton, Richard F, additional, Ibanez, Borja, additional, Knight, Rosemary, additional, Lippert, Freddy K, additional, Lønborg, Jacob T, additional, Maeng, Michael, additional, Milasinovic, Dejan, additional, More, Ranjit, additional, Nicholas, Jennifer M, additional, Jensen, Lisette Okkels, additional, Perkins, Alexander, additional, Radovanovic, Nebojsa, additional, Rakhit, Roby D, additional, Ravkilde, Jan, additional, Ryding, Alisdair D, additional, Schmidt, Michael R, additional, Riddervold, Ingunn Skogstad, additional, Sørensen, Henrik Toft, additional, Stankovic, Goran, additional, Varma, Madhusudhan, additional, Webb, Ian, additional, Terkelsen, Christian Juhl, additional, Greenwood, John P, additional, Yellon, Derek M, additional, Bøtker, Hans Erik, additional, Junker, Anders, additional, Kaltoft, Anne, additional, Madsen, Morten, additional, Christiansen, Evald Høj, additional, Jakobsen, Lars, additional, Carstensen, Steen, additional, Kristensen, Steen Dalby, additional, Thim, Troels, additional, Pedersen, Karin Møller, additional, Korsgaard, Mette Tidemand, additional, Iversen, Allan, additional, Jørgensen, Erik, additional, Joshi, Francis, additional, Pedersen, Frants, additional, Tilsted, Hans Henrik, additional, Alzuhairi, Karam, additional, Saunamäki, Kari, additional, Holmvang, Lene, additional, Ahlehof, Ole, additional, Sørensen, Rikke, additional, Helqvist, Steffen, additional, Mark, Bettina Løjmand, additional, Villadsen, Anton Boel, additional, Raungaard, Bent, additional, Thuesen, Leif, additional, Christiansen, Martin Kirk, additional, Freeman, Philip, additional, Jensen, Svend Eggert, additional, Skov, Charlotte Schmidt, additional, Aziz, Ahmed, additional, Hansen, Henrik Steen, additional, Ellert, Julia, additional, Veien, Karsten, additional, Pedersen, Knud Erik, additional, Hansen, Knud Nørregård, additional, Ahlehoff, Ole, additional, Cappelen, Helle, additional, Wittrock, Daniel, additional, Hansen, Poul Anders, additional, Ankersen, Jens Peter, additional, Hedegaard, Kim Witting, additional, Kempel, John, additional, Kaus, Henning, additional, Erntgaard, Dennis, additional, Pedersen, Danny Mejsner, additional, Giebner, Matthias, additional, Hansen, Troels Martin Hansen, additional, Radosavljevic-Radovanovic, Mina, additional, Prodanovic, Maja, additional, Savic, Lidija, additional, Pejic, Marijana, additional, Matic, Dragan, additional, Uscumlic, Ana, additional, Subotic, Ida, additional, Lasica, Ratko, additional, Vukcevic, Vladan, additional, Suárez, Alfonso, additional, Samaniego, Beatriz, additional, Morís, César, additional, Segovia, Eduardo, additional, Hernández, Ernesto, additional, Lozano, Iñigo, additional, Pascual, Isaac, additional, Vegas-Valle, Jose M., additional, Rozado, José, additional, Rondán, Juan, additional, Avanzas, Pablo, additional, del Valle, Raquel, additional, Padrón, Remigio, additional, García-Castro, Alfonso, additional, Arango, Amalia, additional, Medina-Cameán, Ana B., additional, Fente, Ana I., additional, Muriel-Velasco, Ana, additional, Pomar-Amillo, Ángeles, additional, Roza, César L., additional, Martínez-Fernández, César M., additional, Buelga-Díaz, Covadonga, additional, Fernández-Gonzalo, David, additional, Fernández, Elena, additional, Díaz-González, Eloy, additional, Martinez-González, Eugenio, additional, Iglesias-Llaca, Fernando, additional, Viribay, Fernando M., additional, Fernández-Mallo, Francisco J., additional, Hermosa, Francisco J., additional, Martínez-Bastida, Ginés, additional, Goitia-Martín, Javier, additional, Vega-Fernández, José L., additional, Tresguerres, Jose M., additional, Rodil-Díaz, Juan A., additional, Villar-Fernández, Lara, additional, Alberdi, Lucía, additional, Abella-Ovalle, Luis, additional, de la Roz, Manuel, additional, Fernández-Carral, Marcos Fernández-Carral, additional, Naves, María C., additional, Peláez, María C., additional, Fuentes, María D., additional, García-Alonso, María, additional, Villanueva, María J., additional, Vinagrero, María S., additional, Vázquez-Suárez, María, additional, Martínez-Valle, Marta, additional, Nonide, Marta, additional, Pozo-López, Mónica, additional, Bernardo-Alba, Pablo, additional, Galván-Núñez, Pablo, additional, Martínez-Pérez, Polácido J., additional, Castro, Rafael, additional, Suárez-Coto, Raquel, additional, Suárez-Noriega, Raquel, additional, Guinea, Rocío, additional, Quintana, Rosa B., additional, de Cima, Sara, additional, Hedrera, Segundo A., additional, Laca, Sonia I., additional, Llorente-Álvarez, Susana, additional, Pascual, Susana, additional, Cimas, Teodorna, additional, Mathur, Anthony, additional, McFarlane-Henry, Eleanor, additional, Leonard, Gerry, additional, Veerapen, Jessry, additional, Westwood, Mark, additional, Colicchia, Martina, additional, Prossora, Mary, additional, Andiapen, Mervyn, additional, Mohiddin, Saidi, additional, Lenzi, Valentina, additional, Chong, Jun, additional, Francis, Rohin, additional, Pine, Amy, additional, Jamieson-Leadbitter, Caroline, additional, Neal, Debbie, additional, Din, J., additional, McLeod, Jane, additional, Roberts, Josh, additional, Polokova, Karin, additional, Longman, Kristel, additional, Penney, Lucy, additional, Lakeman, Nicki, additional, Wells, Nicki, additional, Hopper, Oliver, additional, Coward, Paul, additional, O'Kane, Peter, additional, Harkins, Ruth, additional, Guyatt, Samantha, additional, Kennard, Sarah, additional, Orr, Sarah, additional, Horler, Stephanie, additional, Morris, Steve, additional, Walvin, Tom, additional, Snow, Tom, additional, Cunnington, Michael, additional, Burd, Amanda, additional, Gowing, Anne, additional, Krishnamurthy, Arvindra, additional, Harland, Charlotte, additional, Norfolk, Derek, additional, Johnstone, Donna, additional, Newman, Hannah, additional, Reed, Helen, additional, O'Neill, James, additional, Greenwood, John, additional, Cuxton, Josephine, additional, Corrigan, Julie, additional, Somers, Kathryn, additional, Anderson, Michelle, additional, Burtonwood, Natalie, additional, Bijsterveld, Petra, additional, Brogan, Richard, additional, Ryan, Tony, additional, Kodoth, Vivek, additional, Khan, Arif, additional, Sebastian, Deepti, additional, Gorog, Diana, additional, Boyle, Georgina, additional, Shepherd, Lucy, additional, Hamid, Mahmood, additional, Farag, Mohamed, additional, Spinthakis, Nicholas, additional, Waitrak, Paulina, additional, De Sousa, Phillipa, additional, Bhatti, Rishma, additional, Oliver, Victoria, additional, Walshe, Siobhan, additional, Odedra, Toral, additional, Gue, Ying, additional, Kanji, Rahim, additional, Ryding, Alisdair, additional, Ratcliffe, Amanda, additional, Merrick, Angela, additional, Horwood, Carol, additional, Sarti, Charlotte, additional, Maart, Clint, additional, Moore, Donna, additional, Dockerty, Francesca, additional, Baucutt, Karen, additional, Pitcher, Louise, additional, Ilsley, Mary, additional, Clarke, Millie, additional, Germon, Rachel, additional, Gomes, Sara, additional, Clare, Thomas, additional, Nair, Sunil, additional, Staines, Jocasta, additional, Nicholson, Susan, additional, Watkinson, Oliver, additional, Gallagher, Ian, additional, Nelthorpe, Faye, additional, Musselwhite, Janine, additional, Grosser, Konrad, additional, Stimson, Leah, additional, Eaton, Michelle, additional, Heppell, Richard, additional, Turney, Sharon, additional, Horner, Victoria, additional, Schumacher, Natasha, additional, Moon, Angela, additional, Mota, Paula, additional, O'Donnell, Joshua, additional, Panicker, Abeesh Sadasiva, additional, Musa, Anntoniette, additional, Tapp, Luke, additional, Krishnamoorthy, Suresh, additional, Ansell, Valerie, additional, Ali, Danish, additional, Hyndman, Samantha, additional, Banerjee, Prithwish, additional, Been, Martin, additional, Mackenzie, Ailie, additional, McGregor, Andrew, additional, Hildick-Smith, David, additional, Champney, Felicity, additional, Ingoldby, Fiona, additional, Keate, Kirstie, additional, Bennett, Lorraine, additional, Skipper, Nicola, additional, Gregory, Sally, additional, Harfield, Scott, additional, Mudd, Alexandra, additional, Wragg, Christopher, additional, Barmby, David, additional, Grech, Ever, additional, Hall, Ian, additional, Middle, Janet, additional, Barker, Joann, additional, Fofie, Joyce, additional, Gunn, Julian, additional, Housley, Kay, additional, Cockayne, Laura, additional, Weatherlley, Louise, additional, Theodorou, Nana, additional, Wheeldon, Nigel, additional, Fati, Pene, additional, Storey, Robert F., additional, Richardson, James, additional, Iqbal,, Javid, additional, Adam, Zul, additional, Brett, Sarah, additional, Agyemang, Michael, additional, Tawiah, Cecilia, additional, Hogrefe, Kai, additional, Raju, Prashanth, additional, Braybrook, Christine, additional, Gracey, Jay, additional, Waldron, Molly, additional, Holloway, Rachael, additional, Burunsuzoglu, Senem, additional, Sidgwick, Sian, additional, Hetherington, Simon, additional, Beirnes, Charmaine, additional, Fernandez, Olga, additional, Lazar, Nicoleta, additional, Knighton, Abigail, additional, Rai, Amrit, additional, Hoare, Amy, additional, Breeze, Jonathan, additional, Martin, Katherine, additional, Andrews, Michelle, additional, Patale, Sheetal, additional, Bennett, Amy, additional, Smallwood, Andrew, additional, Radford, Elizabeth, additional, Cotton, James, additional, Martins, Joe, additional, Wallace, Lauren, additional, Milgate, Sarah, additional, Munir, Shahzad, additional, Metherell, Stella, additional, Cottam, Victoria, additional, Massey, Ian, additional, Copestick, Jane, additional, Delaney, Jane, additional, Wain, Jill, additional, Sandhu, Kully, additional, Emery, Lisa, additional, Hall, Charlotte, additional, Bucciarelli-Ducci, Chiara, additional, Besana, Rissa, additional, Hussein, Jodie, additional, Bell, Sheila, additional, Gill, Abby, additional, Bales, Emily, additional, Polwarth, Gary, additional, East, Clare, additional, Smith, Ian, additional, Oliveira, Joana, additional, Victor, Saji, additional, Woods, Sarah, additional, Hoole, Stephen, additional, Ramos, Angelo, additional, Sevillano, Annaliza, additional, Nicholson, Anne, additional, Solieri, Ashley, additional, Redman, Emily, additional, Byrne, Jean, additional, Joyce, Joan, additional, Riches, Joanne, additional, Davies, John, additional, Allen, Kezia, additional, Saclot, Louie, additional, Ocampo, Madelaine, additional, Vertue, Mark, additional, Christmas, Natasha, additional, Koothoor, Raiji, additional, Gamma, Reto, additional, Alvares, Wilson, additional, Pepper, Stacey, additional, Kobson, Barbara, additional, Reeve, Christy, additional, Malik, Iqbal, additional, Chester, Emma, additional, Saunders, Heidi, additional, Mojela, Idah, additional, Smee, Joanna, additional, Davies, Justin, additional, Davies, Nina, additional, Clifford, Piers, additional, Dias, Priyanthi, additional, Kaur, Ramandeep, additional, Moreira, Silvia, additional, Ahmad, Yousif, additional, Tomlinson, Lucy, additional, Pengelley, Clare, additional, Bidle, Amanda, additional, Spence, Sharon, additional, Al-Lamee, Rasha, additional, Phuyal, Urmila, additional, Abbass, Hakam, additional, Bose, Tuhina, additional, Elliott, Rebecca, additional, Foundun, Aboo, additional, Chung, Alan, additional, Freestone, Beth, additional, Lee, Dr Kaeng, additional, Elshiekh, Dr Mohamed, additional, Pulikal, George, additional, Bhatre, Gurbir, additional, Douglas, James, additional, Kaeng, Lee, additional, Pitt, Mike, additional, Watkins, Richard, additional, Gill, Simrat, additional, Hartley, Amy, additional, Lucking, Andrew, additional, Moreby, Berni, additional, Darby, Damaris, additional, Corps, Ellie, additional, Parsons, Georgina, additional, De Mance, Gianluigi, additional, Fahrai, Gregor, additional, Turner, Jenny, additional, Langrish, Jeremy, additional, Gaughran, Lisa, additional, Wolyrum, Mathias, additional, Azkhalil, Mohammed, additional, Bates, Rachel, additional, Given, Rachel, additional, Kharbanda, Rajesh, additional, Douthwaite, Rebecca, additional, Lloyd, Steph, additional, Neubauer, Stephen, additional, Barker, Deborah, additional, Suttling, Anne, additional, Turner, Charlotte, additional, Smith, Clare, additional, Longbottom, Colin, additional, Ross, David, additional, Cunliffe, Denise, additional, Cox, Emily, additional, Whitehead, Helena, additional, Hudson, Karen, additional, Jones, Leslie, additional, Drew, Martin, additional, Chant, Nicholas, additional, Haworth, Peter, additional, Capel, Robert, additional, Austin, Rosalynn, additional, Howe, Serena, additional, Smith, Trevor, additional, Hobson, Alex, additional, Strike, Philip, additional, Griffiths, Huw, additional, Anantharam, Brijesh, additional, Jack, Pearse, additional, Thornton, Emma, additional, Hodgson, Adrian, additional, Jennison, Alan, additional, McSkeane, Anna, additional, Smith, Bethany, additional, Shaw, Caroline, additional, Leathers, Chris, additional, Armstrong, Elissa, additional, Carruthers, Gayle, additional, Simpson, Holly, additional, Smith, Jan, additional, Hodierne, Jeremy, additional, Kelly, Julie, additional, Barclay, Justin, additional, Scott, Kerry, additional, Gregson, Lisa, additional, Buchanan, Louise, additional, McCormick, Louise, additional, Kelsall, Nicci, additional, Mcarthy, Rachel, additional, Taylor, Rebecca, additional, Thompson, Rebecca, additional, Shelton, Rhidian, additional, Moore, Roger, additional, Tomlinson, Sharon, additional, Thambi, Sunil, additional, Cooper, Theresa, additional, Oakes, Trevor, additional, Deen, Zakhira, additional, Relph, Chris, additional, prentice, Scott, additional, Hall, Lorna, additional, Dillon, Angela, additional, Meadows, Deborah, additional, Frank, Emma, additional, Markham-Jones, Helene, additional, Thomas, Isobel, additional, Gale, Joanne, additional, Denman, Joanne, additional, O'Connor, John, additional, Hindle, Julia, additional, Jackson-Lawrence, Karen, additional, Warner, Karen, additional, Lee, Kelvin, additional, Upton, Robert, additional, Elston, Ruth, additional, Lee, Sandra, additional, Venugopal, Vinod, additional, Finch, Amanda, additional, Fleming, Catherine, additional, Whiteside, Charlene, additional, Pemberton, Chris, additional, Wilkinson, Conor, additional, Sebastian, Deepa, additional, Riedel, Ella, additional, Giuffrida, Gaia, additional, Burnett, Gillian, additional, Spickett, Helen, additional, Glen, James, additional, Brown, Janette, additional, Thornborough, Lauren, additional, Pedley, Lauren, additional, Morgan, Maureen, additional, Waddington, Natalia, additional, Brennan, Oliver, additional, Brady, Rebecca, additional, Preston, Stephen, additional, Loder, Chris, additional, Vlad, Ionela, additional, Laurence, Julia, additional, Smit, Angelique, additional, Dimond, Kirsty, additional, Hayes, Michelle, additional, Paddy, Loveth, additional, Crause, Jacolene, additional, Amed, Nadifa, additional, Kaur-Babooa, Priya, additional, Rakhit, Roby, additional, Kotecha, Tushar, additional, Fayed, Hossam, additional, Pavlidis, Antonis, additional, Prendergast, Bernard, additional, Clapp, Brian, additional, Perara, Divaka, additional, Atkinson, Emma, additional, Ellis, Howard, additional, Wilson, Karen, additional, Gibson, Kirsty, additional, Smith, Megan, additional, Khawaja, Muhammed Zeeshan, additional, Sanchez-Vidal, Ruth, additional, Redwood, Simon, additional, Jones, Sophie, additional, Tipping, Aoife, additional, Oommen, Anu, additional, Hendry, Cara, additional, Fath-Orboubadi, DR Fazin, additional, Phillips, Hannah, additional, Kolakaluri, Laurel, additional, Sherwood, Martin, additional, Mackie, Sarah, additional, Aleti, Shilpa, additional, Charles, Thabitha, additional, Roy, Liby, additional, Henderson, Rob, additional, Stables, Rod, additional, Marber, Michael, additional, Berry, Alan, additional, Redington, Andrew, additional, Thygesen, Kristian, additional, Andersen, Henning Rud, additional, Berry, Colin, additional, Copas, Andrew, additional, Meade, Tom, additional, Kelbæk, Henning, additional, Bueno, Hector, additional, von Weitzel-Mudersbach, Paul, additional, Andersen, Grethe, additional, Ludman, Andrew, additional, Cruden, Nick, additional, Topic, Dragan, additional, Mehmedbegovic, Zlatko, additional, de la Hera Galarza, Jesus Maria, additional, Robertson, Steven, additional, Van Dyck, Laura, additional, Chu, Rebecca, additional, Astarci, Josenir, additional, Jamal, Zahra, additional, Hetherington, Daniel, additional, and Collier, Lucy, additional

Published
2019
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13. BHIVA/BASHH guidelines on the use of HIV pre–exposure prophylaxis (PrEP) 2018

Author

Brady, Michael, primary, Rodger, Alison, additional, Asboe, David, additional, Cambiano, Valentina, additional, Clutterbuck, Dan, additional, Desai, Monica, additional, Field, Nigel, additional, Harbottle, Justin, additional, Jamal, Zahra, additional, McCormack, Sheena, additional, Palfreeman, Adrian, additional, Portman, Mags, additional, Quinn, Killian, additional, Tenant‐Flowers, Melinda, additional, Wilkins, Ed, additional, and Young, Ingrid, additional

Published
2019
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15. Patient and public involvement prior to trial initiation: lessons learnt for rapid partnership in the COVID-19 era.

Author

Jamal, Zahra, Perkins, Alexander, Allen, Christopher, Evans, Richard, Sturgess, Joanna, Snowdon, Claire, Clayton, Tim, and Elbourne, Diana

Subjects
COVID-19, COVID-19 pandemic, TROPICAL medicine, PSYCHOLOGICAL feedback, CLINICAL medicine, CLINICAL trials
Abstract

Plain English summary: Patient and Public Involvement (PPI) describes the active involvement of patients and the public in the research process. Through PPI, patients and members of the public are increasingly involved in the design and conduct of clinical trials. PPI has been shown to improve the quality and relevance of research. During the COVID-19 pandemic, clinical trials have been playing a vital role in helping us find ways to prevent and treat the infection and improve our understanding of the virus. It is important that patients and the public are actively involved in deciding how COVID-19 research is carried out. Unfortunately, Research Ethics Committees in the UK have seen far less PPI for COVID-19 research studies compared with research before the pandemic. A key reason for this is that research is being designed much faster than normal and researchers may feel they do not have time to properly involve patients and the public. In this paper, we share our experiences of PPI for a COVID-19 clinical trial. We show that it is possible to rapidly involve patients and the public in COVID-19 clinical trials. We also explain how the design of the clinical trial was changed in response to feedback from public contributors. Lastly, we discuss the wider learning from this process which might be useful for researchers planning PPI activities for COVID-19 clinical trials in the future. Background: Clinical trials are playing a critical role in the global public health response to the COVID-19 pandemic. Despite the increasing recognition of the value of PPI in clinical trials, just 22% of the COVID-19 research proposals reviewed by Research Ethics Committees in the UK at the start of the pandemic reported PPI. There is a perception that PPI might result in delays in delivering research and therefore delays in obtaining important results. In this paper, we report our experience of rapid PPI for a COVID-19 clinical trial. Methods: RAPID-19 is a COVID-19 clinical trial which was planned to be submitted for fast-track ethics review in the United Kingdom. During the development of the trial protocol, the PPI Panel at the London School of Hygiene & Tropical Medicine Clinical Trials Unit was involved in the design of the study. The meeting with the PPI Panel lasted just over 1 h and was conducted by teleconference. Results: Although we only had a short period of time to explore the study with the PPI Panel, we were able to gain valuable insight into how the trial would be perceived by potential trial participants. Substantive changes were made to the trial to improve the acceptability of the research without compromising the study timelines. Having access to public contributors with relevant lived experience is an important resource for a Clinical Trials Unit and is critical for rapid PPI. The move to remote working due to lockdown required virtual discussions which helped to overcome some of the barriers to organising face-to-face meetings at short notice. Conclusions: PPI for clinical trials can be conducted in a time-efficient manner within the pressured environment of a pandemic. Involving PPI contributors at an early stage in protocol development maximised the opportunity to shape and influence the trial as well as limited potential delays which could occur if changes to the protocol had to be made at a later stage. [ABSTRACT FROM AUTHOR]

Published
2021
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17. Sexual abuse and HIV-risk behaviour among black and minority ethnic men who have sex with men in the UK

Author

Jaspal, Rusi, Lopes, Barbara, Jamal, Zahra, Paccoud, Ivana, Sekhon, Parminder, and Wadibia, Marion

Subjects
media_common.quotation_subject, HIV risk, Ethnic group, Human immunodeficiency virus (HIV), medicine.disease_cause, Hiv risk, psychological adversity, Racism, Men who have sex with men, 03 medical and health sciences, 0302 clinical medicine, medicine, 030212 general & internal medicine, media_common, drug use, 030505 public health, Sexual abuse, virus diseases, HIV, Psychiatry and Mental health, Clinical Psychology, Maladaptive coping, maladaptive coping, Homophobia, 0305 other medical science, Psychology, Clinical psychology
Abstract

The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link (open access) Black and minority ethnic (BME) men who have sex with men (MSM) face a major burden in relation to HIV infection. It was hypothesised that sexual abuse would be a significant predictor of sexual risk-taking, and that the relationship between sexual abuse and sexual risk-taking behavior would be mediated by victimisation variables, namely homophobia and racism, and maladaptive coping strategies namely drug use. 538 BME MSM completed a survey. 54% reported no sexual abuse whereas 27% reported having experienced sexual abuse. Mann Whitney tests showed that victims of sexual abuse reporter higher frequency of drug use and higher frequency of both homophobia and racism than those who reported no prior sexual abuse. A structural equation model showed that the experience of sexual abuse was positively associated with sexual risktaking and that this relationship was mediated by victimisation variables: frequency of racism and frequency of homophobia, and by the maladaptive coping strategy variable: frequency of drug use. The findings strongly support the need for psycho-sexual and behavioural interventions among BME MSM that consider the possibility of prior sexual abuse and its impact for susceptibility to subsequent forms of victimisation and to drug use.

19. LETTERS.

Author

THALER, SUSAN, VARNUM, STEVE, DOERNBERG, DON, BAER, DIANE, GAEBLER, CAMERON, RAND, ELLEN, SAMPSON, FRANK, FOLKNER, BOB, JAMAL, ZAHRA N., and DONALDSON, SUSAN

Subjects
*CLIMATE change, *GLOBAL warming, *SOCIAL security
Published
2018

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