40 research outputs found

    From the Guest Editors: the legitimacy and impact of business schools—key issues and a research agenda

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    It is an appropriate moment to review research into the legitimacy and impact of business schools. It is more than a decade now since Pfeffer and Fong's (2002) provocative paper challenging the perceived orthodoxy of business school success in the very first edition of the Academy of Management Learning & Education

    Genetic Testing to Inform Epilepsy Treatment Management From an International Study of Clinical Practice

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    IMPORTANCE: It is currently unknown how often and in which ways a genetic diagnosis given to a patient with epilepsy is associated with clinical management and outcomes. OBJECTIVE: To evaluate how genetic diagnoses in patients with epilepsy are associated with clinical management and outcomes. DESIGN, SETTING, AND PARTICIPANTS: This was a retrospective cross-sectional study of patients referred for multigene panel testing between March 18, 2016, and August 3, 2020, with outcomes reported between May and November 2020. The study setting included a commercial genetic testing laboratory and multicenter clinical practices. Patients with epilepsy, regardless of sociodemographic features, who received a pathogenic/likely pathogenic (P/LP) variant were included in the study. Case report forms were completed by all health care professionals. EXPOSURES: Genetic test results. MAIN OUTCOMES AND MEASURES: Clinical management changes after a genetic diagnosis (ie, 1 P/LP variant in autosomal dominant and X-linked diseases; 2 P/LP variants in autosomal recessive diseases) and subsequent patient outcomes as reported by health care professionals on case report forms. RESULTS: Among 418 patients, median (IQR) age at the time of testing was 4 (1-10) years, with an age range of 0 to 52 years, and 53.8% (n = 225) were female individuals. The mean (SD) time from a genetic test order to case report form completion was 595 (368) days (range, 27-1673 days). A genetic diagnosis was associated with changes in clinical management for 208 patients (49.8%) and usually (81.7% of the time) within 3 months of receiving the result. The most common clinical management changes were the addition of a new medication (78 [21.7%]), the initiation of medication (51 [14.2%]), the referral of a patient to a specialist (48 [13.4%]), vigilance for subclinical or extraneurological disease features (46 [12.8%]), and the cessation of a medication (42 [11.7%]). Among 167 patients with follow-up clinical information available (mean [SD] time, 584 [365] days), 125 (74.9%) reported positive outcomes, 108 (64.7%) reported reduction or elimination of seizures, 37 (22.2%) had decreases in the severity of other clinical signs, and 11 (6.6%) had reduced medication adverse effects. A few patients reported worsening of outcomes, including a decline in their condition (20 [12.0%]), increased seizure frequency (6 [3.6%]), and adverse medication effects (3 [1.8%]). No clinical management changes were reported for 178 patients (42.6%). CONCLUSIONS AND RELEVANCE: Results of this cross-sectional study suggest that genetic testing of individuals with epilepsy may be materially associated with clinical decision-making and improved patient outcomes

    Influence of phenoxy-terminated short-chain pendant groups on gas transport properties of cross-linked poly(ethylene oxide) copolymers

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    Gas transport properties of rubbery cross-linked poly(ethylene oxide) films containing short phenoxy-terminated pendant chains are reported. Poly(ethylene glycol) diacrylate (PEGDA) was UV-polymerized with poly(ethylene glycol) phenyl ether acrylate co-monomers of two different ethylene oxide repeat unit lengths: n = 2 (DEGPEA) and n = 4 (PEGPEA). Although fractional free volume increased with increasing co-monomer concentration, gas permeability did not rise accordingly. For instance, while FFV increased from 0.120 to 0.135 in both series of copolymers, CO2 permeability went from 110 to 35 barrer (DEGPEA) or to 100 barrer (PEGPEA). At the same time, glass transition temperature increased from -37 to -12 °C (DEGPEA) or to -28 °C (PEGPEA). The observed decrease in chain mobility with phenoxy-terminated co-monomer content indicated by increasing glass-rubber transition temperature apparently had a stronger influence on gas transport properties than the increase in fractional free volume. © 2009 Elsevier B.V. All rights reserved

    Relation between structure and gas transport properties of polyethylene oxide networks based on crosslinked bisphenol A ethoxylate diacrylate

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    Poly(ethylene oxide) (PEO) networks prepared from the photopolymerization of bisphenol A ethoxylate diacrylate (BPA-EDA) have been investigated as a function of crosslinker molecular weight and copolymer composition. Dynamic mechanical and dielectric methods have been used to elucidate the thermal relaxation characteristics of the polymers as a function of network composition and architecture, and these properties were related to measured gas transport for CO2 separations. Copolymerization strategies involving the insertion of flexible PEG side chains along the network backbone proved effective in enhancing network free volume and increasing permeability. The gas transport performance of rubbery amorphous membranes based on the n=15 BPA-EDA crosslinker (i.e., crosslinker encompassing 30 ethylene oxide repeat units between crosslinks) compared favorably to model polymers synthesized from poly(ethylene glycol) diacrylate. © 2008 Elsevier Ltd. All rights reserved

    Poly(curcumin β-amino ester)-Based Tablet Formulation for a Sustained Release of Curcumin

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    Oral drug delivery remains the most common and well tolerated method for drug administration. However, its applicability is often limited due to low drug solubility and stability. One approach to overcome the solubility and stability limitations is the use of amorphous polymeric prodrug formulations, such as poly(β-amino ester) (PBAE). PBAE hydrogels, which are biodegradable and pH responsive, have shown promising results for the controlled release of drugs by improving the stability and increasing the solubility of these drugs. In this work, we have evaluated the potential use of PBAE prodrugs in an oral tablet formulation, studying their sustained drug release potential and storage stability. Curcumin, a low solubility, low stability antioxidant drug was used as a model compound. Poly(curcumin β-amino ester) (PCBAE), a crosslinked amorphous network, was synthesized by a previously published method using a commercial diacrylate and a primary diamine, in combination with acrylate-functionalized curcumin. PCBAE-based tablets were made and exhibited a sustained release for 16 h, following the hydrolytic degradation of PCBAE particles into native curcumin. In addition to the release studies, preliminary storage stability was assessed using standard and accelerated stability conditions. As PCBAE degradation is hydrolysis driven, tablet stability was found to be sensitive to moisture

    Pervaporative Separation of Aromatic/Aliphatic Mixtures with Poly(Siloxane-<i>co</i>-Imide) and Poly(Ether-<i>co</i>-Imide) Membranes

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    Aromatic random copolyimides were synthesized and tested as membrane materials for the separation of a mixture of aromatic and aliphatic hydrocarbons by pervaporation. The polymers were synthesized by a two-step polycondensation route with a total of 4 aromatic dianhydrides, 4 aromatic diamines, and 3 diamino-terminated aliphatic oligomers containing either ether or siloxane units. Pervaporation experiments were conducted at two temperatures with toluene/<i>n</i>-heptane and benzene/<i>n</i>-heptane mixtures as feed streams. All polymers were selective toward the aromatic hydrocarbon. Introduction of siloxane units in the polymer generally led to very high hydrocarbon permeability coefficients, but caused a reduction in selectivity relative to that of the aromatic homopolyimide. Incorporation of ether units, on the other hand, did not generally cause such large increases in permeability, nor large decreases in selectivity. The performance of these materials was compared with previous results reported in the literature for other polymers

    Curcumin Acrylation for Biological and Environmental Applications

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    Curcumin has recently gained interest for use in drug delivery, chemical sensing, and environmental applications. As a result, the development of synthesis strategies for the incorporation of curcumin into novel materials has become a priority. One such strategy, curcumin acrylation, involves the introduction of acrylate functional groups to the curcumin scaffold, with the potential generation of mono-, di-, and triacrylate curcumin species. The relative populations of these species in the resulting multiacrylate mixture can be controlled by the ratio of curcumin to acryloyl chloride in the initial reaction formulation. Characterization of the acrylation reaction and the resulting curcumin multiacrylate product is essential for the effective preparation of new curcumin-containing materials. In this work, a synthesis method for curcumin acrylation is presented and the resulting curcumin multiacrylate product is characterized via various techniques, i.e., HPLC, LCMS, and NMR, as a basis to establish the relationship between synthesis conditions and the extent of acrylation that is achieved

    TFOS lifestyle: Impact of contact lenses on the ocular surface

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    Several lifestyle choices made by contact lens wearers can have adverse consequences on ocular health. These include being non-adherent to contact lens care, sleeping in lenses, ill-advised purchasing options, not seeing an eyecare professional for regular aftercare visits, wearing lenses when feeling unwell, wearing lenses too soon after various forms of ophthalmic surgery, and wearing lenses when engaged in risky behaviours (e.g., using tobacco, alcohol or recreational drugs). Those with a pre-existing compromised ocular surface may find that contact lens wear exacerbates ocular disease morbidity. Conversely, contact lenses may have various therapeutic benefits. The coronavirus disease-2019 (COVID-19) pandemic has impinged upon the lifestyle of contact lens wearers, introducing challenges such as mask-associated dry eye, contact lens discomfort with increased use of digital devices, inadvertent exposure to hand sanitizers, and reduced use of lenses. Wearing contact lenses in challenging environments, such as in the presence of dust and noxious chemicals, or where there is the possibility of ocular trauma (e.g., sport or working with tools) can be problematic, although in some instances lenses can be protective. Contact lenses can be worn for sport, theatre, at high altitude, driving at night, in the military and in space, and special considerations are required when prescribing in such situations to ensure successful outcomes. A systematic review and meta-analysis, incorporated within the review, identified that the influence of lifestyle factors on soft contact lens dropout remains poorly understood, and is an area in need of further research. Overall, this report investigated lifestyle-related choices made by clinicians and contact lens wearers and discovered that when appropriate lifestyle choices are made, contact lens wear can enhance the quality of life of wearers
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