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Using action research to develop midwives’ skills to support women with perinatal mental health needs
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Guy N.J. Betts Amanda Eustace Shalini Patiar Helen R. Valentine Joely Irlam Anassuya Ramachandran Ashirwad Merve Jarrod J. Homer Carla Möller-Levet Francesca M. Buffa Gillian Hall Crispin J. Miller Adrian L. Harris Catharine M.L. West 《European journal of cancer (Oxford, England : 1990)》2013,49(1):156-165
Background and purposeTumour hypoxia is associated with a poor prognosis in head and neck squamous cell carcinoma (HNSCC), however there is no accepted method for assessing hypoxia clinically. We aimed to conduct a technical validation of a hypoxia gene expression signature using the TaqMan Low Density Array (TLDA) platform to investigate if this approach reliably identified hypoxic tumours.Materials and methodsTumour samples (n = 201) from 80 HNSCC patients were collected prospectively from two centres. Fifty-three patients received pimonidazole prior to surgery. TaqMan Low Density Array-Hypoxia Scores (TLDA-HS) were obtained by quantitative real-time PCR (qPCR) using a 25-gene signature and customised TLDA cards. Assay performance was assessed as coefficient of variation (CoV).ResultsThe assay was sensitive with linear reaction efficiencies across a 4log10 range of inputted cDNA (0.001–10 ng/μl). Intra- (CoV = 6.9%) and inter- (CoV = 2.0%) assay reproducibility were excellent. Intra-tumour heterogeneity was lower for TLDA-HS (23.2%) than for pimonidazole (67.2%) or single gene measurements of CA9 (62.2%), VEGFA (45.0%) or HIG2 (39.4%). TLDA-HS in HNSCC cell lines increased with decreasing pO2. TLDA-HS correlated with Affymetrix U133 Plus 2.0 microarray HS (p < 0.01) and positive pimonidazole scores (p = 0.005).ConclusionsGene expression measurements of hypoxia using a 25-gene signature and TLDA cards are sensitive, reproducible and associated with lower intra-tumour heterogeneity than assaying individual genes or pimonidazole binding. The approach is suitable for further assessment of prognostic and predictive capability in clinical trial material. 相似文献
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Patricia Leahy‐Warren PhD MSc BSc Hdip PHN RPHN RM RGN Mary Rose Day DN MA BSc Hdip PHN RPHN RM RGN Kari Glavin PhD M.Sc PHN RN MEANS Edith Roth Gjevjon PhD MSc RN MEANS Anne Kjersti Myhrene Steffenak PhD MSc PHN RN Live S. Nordhagen MSc PHN RN Hilde Egge MSc PHN RN Elizabeth Healy MSc PHN RGN 《Public health nursing (Boston, Mass.)》2018,35(4):307-316
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Transition from an open‐plan to a two‐cot neonatal intensive care unit: a participatory action research approach
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Margaret Broom BaN RN RM Anne Gardner Dr med FRACP PhD AFRACMA SFHEA Zsuzsoka Kecskes Dr med FRACP PhD AFRACMA Sue Kildea RN RM BaHSc PhD 《Journal of clinical nursing》2017,26(13-14):1939-1948
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Electronic cigarettes and mental illness: Reviewing the evidence for help and harm among those with psychiatric and substance use disorders
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