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921.
Sam M. Mbulaiteye Christina A. Clarke Lindsay M. Morton Todd M. Gibson Karen Pawlish Dennis D. Weisenburger Charles F. Lynch Marc T. Goodman Eric A. Engels 《American journal of hematology》2013,88(4):245-250
Case reports of Burkitt lymphoma (BL) in transplant recipients suggest that the risk is markedly elevated. Therefore, we investigated the incidence of BL in 203,557 solid organ recipients in the U.S. Transplant Cancer Match Study (1987–2009) and compared it with the general population using standardized incidence ratios. We also assessed associations with demographic and clinical characteristics, and treatments used to induce therapeutic immunosuppression. BL incidence was 10.8 per 100,000 person‐years, representing 23‐fold (95% confidence interval (CI) 19–28) greater risk than in the general population, and it peaked 3–8 years after the time of transplantation. In adjusted analyses, BL incidence was higher in recipients transplanted when <18 vs. ≥35 years (incidence rate ratio [IRR] 3.49, 95% CI 2.08–5.68) and in those transplanted with a liver (IRR 2.91, 95% CI 1.68–5.09) or heart (IRR 2.39, 95% CI 1.30–4.31) compared with kidney. BL incidence was lower in females than males (IRR 0.45, 95% CI 0.28–0.71), in blacks than whites (IRR 0.33, 95% CI 0.12–0.74), in those with a baseline Epstein‐Barr virus (EBV)‐seropositive versus EBV‐seronegative status (IRR 0.34, 95% CI 0.13–0.93), and in those treated with azathioprine (IRR 0.56, 95% CI 0.34–0.89) or corticosteroids (IRR 0.48, 95% CI 0.29–0.82). Tumors were EBV‐positive in 69% of 32 cases with results. EBV positivity was 90% in those aged <18 years and 59% in those aged 18+ years. In conclusion, BL risk is markedly elevated in transplant recipients, and it is associated with certain demographic and clinical features. EBV was positive in most but not all BL cases with results. Am. J. Hematol. 88:245–250, 2013. © 2012 Wiley Periodicals, Inc. 相似文献
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Gang Xie Delnaz Roshandel Richard Sherva Paul A. Monach Emily Yue Lu Tabitha Kung Keisha Carrington Steven S. Zhang Sara L. Pulit Stephan Ripke Simon Carette Paul F. Dellaripa Jeffrey C. Edberg Gary S. Hoffman Nader Khalidi Carol A. Langford Alfred D. Mahr E. William St.Clair Philip Seo Ulrich Specks Robert F. Spiera John H. Stone Steven R. Ytterberg Soumya Raychaudhuri Paul I. W. de Bakker Lindsay A. Farrer Christopher I. Amos Peter A. Merkel Katherine A. Siminovitch 《Arthritis \u0026amp; Rheumatology》2013,65(9):2457-2468
924.
Douglas T. Lindsay 《Postgraduate medicine》2013,125(2):177-180
For general practitioners, who handle more than 85 per cent of all pediatric care, POSTGRADUATE MEDICINE here presents authoritative, up-to-date summaries, prepared by specialists in pediatric problems. 相似文献
925.
Andrew G. McArthur Nicholas Waglechner Fazmin Nizam Austin Yan Marisa A. Azad Alison J. Baylay Kirandeep Bhullar Marc J. Canova Gianfranco De Pascale Linda Ejim Lindsay Kalan Andrew M. King Kalinka Koteva Mariya Morar Michael R. Mulvey Jonathan S. O'Brien Andrew C. Pawlowski Laura J. V. Piddock Peter Spanogiannopoulos Arlene D. Sutherland Irene Tang Patricia L. Taylor Maulik Thaker Wenliang Wang Marie Yan Tennison Yu Gerard D. Wright 《Antimicrobial agents and chemotherapy》2013,57(7):3348-3357
The field of antibiotic drug discovery and the monitoring of new antibiotic resistance elements have yet to fully exploit the power of the genome revolution. Despite the fact that the first genomes sequenced of free living organisms were those of bacteria, there have been few specialized bioinformatic tools developed to mine the growing amount of genomic data associated with pathogens. In particular, there are few tools to study the genetics and genomics of antibiotic resistance and how it impacts bacterial populations, ecology, and the clinic. We have initiated development of such tools in the form of the Comprehensive Antibiotic Research Database (CARD; http://arpcard.mcmaster.ca). The CARD integrates disparate molecular and sequence data, provides a unique organizing principle in the form of the Antibiotic Resistance Ontology (ARO), and can quickly identify putative antibiotic resistance genes in new unannotated genome sequences. This unique platform provides an informatic tool that bridges antibiotic resistance concerns in health care, agriculture, and the environment. 相似文献
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927.
928.
Lindsay C. Brown Pamela J. Atherton Michelle A. Neben-Wittich Donald B. Wender Robert J. Behrens Timothy F. Kozelsky Charles L. Loprinzi Michael G. Haddock James A. Martenson 《Supportive care in cancer》2013,21(10):2869-2877
Purpose
Pelvic radiotherapy (PRT) is known to adversely affect bowel function (BF) and patient well-being. This study characterized long-term BF and evaluated quality of life (QOL) in patients receiving PRT.Methods
Data from 252 patients were compiled from two North Central Cancer Treatment Group prospective studies, which included assessment of BF and QOL by the BF questionnaire (BFQ) and Uniscale QOL at baseline and 12 and 24 months after completion of radiotherapy. BFQ scores (sum of symptoms), Uniscale results, adverse-event incidence, and baseline demographic data were compared via t test, χ 2, Fisher exact, Wilcoxon, and correlation methodologies.Results
The total BFQ score was higher than baseline at 12 and 24 months (P?<?0.001). More patients had five or more symptoms at 12 months (13 %) and 24 months (10 %) than at baseline (2 %). Symptoms occurring in greater than 20 % of patients at 12 and 24 months were clustering, stool–gas confusion, and urgency. Factors associated with worse BF were female sex, rectal or gynecologic primary tumors, prior anterior resection of the rectum, and 5-fluorouracil chemotherapy. Patients experiencing grade 2 or higher acute toxicity had worse 24-month BF (P values, <.001–.02). Uniscale QOL was not significantly different from baseline at 12 or 24 months, despite worse BFQ scores.Conclusions
PRT was associated with worse long-term BF. Worse BFQ score was not associated with poorer QOL. Further research to characterize the subset of patients at risk of significant decline in BF is warranted. 相似文献929.
Kate Gunn Deborah Turnbull J. Lindsay McWha Matthew Davies Ian Olver 《Supportive care in cancer》2013,21(9):2547-2555
Purpose
This study aims to identify key issues associated with the provision of psychosocial care from the perspective of rural Australian cancer patients and determine culturally appropriate methods that may reduce barriers to service use.Method
Seventeen purposively sampled adult South Australians who lived outside metropolitan Adelaide, had a diagnosis of cancer and various demographic and medical histories participated in semi-structured, face-to-face interviews. Participants also completed a demographic questionnaire. Qualitative data were analysed using thematic analysis.Results
Five key themes were identified: (1) psychosocial support is highly valued by those who have accessed it, (2) having access to both lay and professional psychosocial support is vitally important, (3) accessing psychosocial services is made difficult by several barriers (lack of information about services, initial beliefs they are unnecessary, feeling overwhelmed and concerns about stigma and dual relationships), (4) medical staff located in metropolitan treatment centres are not sufficiently aware of the unique needs of rural patients and (5) patients require better access to psychosocial services post-treatment. Methods through which rural patients believe access to psychosocial services could be improved include: (1) providing more rural-specific information on psychosocial care, (2) improving communication between health care providers and referral to psychosocial services and (3) making psychosocial services a standard part of care.Conclusions
Rural cancer patients want their unique needs to be recognised and to be treated differently to their urban counterparts. There is a need for more targeted and rurally relevant information for rural cancer patients, both to inform them of, and change their attitudes towards, psychosocial services. Other practical recommendations are also discussed. 相似文献930.
Paula Kersten Steve George Lindsay McLellan Jenifer A.E. Smith Mark A. Mullee 《Disability and rehabilitation》2013,35(16):737-744
Purpose : To examine the met and unmet needs for rehabilitation of disabled people living in the community in Southern England. Method : A cross sectional interview study of people with a primary physical disability, aged 16-65. Disabled people were randomly selected from two existing disability registers, which comprised disabled people who had been identified by community rehabilitation services as being in need of regular surveillance by formal assessment of their care needs. A new semi-structured needs assessment questionnaire was developed and validated for the study (the Southampton Needs Assessment Questionnaire, SNAQ). Level of disability was examined with the OPCS Disability and Severity Scales. Results : Ninety three disabled people participated. Their median (IQR) OPCS score was 8 (6-10). Participants reported a median (IQR) of three unmet needs (2-7). The most prevalent unmet needs were for adaptations, equipment, physiotherapy and wheelchairs, rather than unmet needs for intellectual and social fulfilment. Conclusions : Disabled people who were already in touch with community rehabilitation services continued to express unmet needs for further services. Meeting the more basic needs relating to people's housing, equipment, physiotherapy and wheelchairs may enable them to be more independent and fulfilled in other areas of their lives. 相似文献