76 research outputs found
Single-walled carbon nanotube interactions with HeLa cells
- Author
- Publication venue
- BioMed Central
- Publication date
- 01/01/2007
- Field of study
This work concerns exposing cultured human epithelial-like HeLa cells to single-walled carbon nanotubes (SWNTs) dispersed in cell culture media supplemented with serum. First, the as-received CoMoCAT SWNT-containing powder was characterized using scanning electron microscopy and thermal gravimetric analyses. Characterizations of the purified dispersions, termed DM-SWNTs, involved atomic force microscopy, inductively coupled plasma – mass spectrometry, and absorption and Raman spectroscopies. Confocal microRaman spectroscopy was used to demonstrate that DM-SWNTs were taken up by HeLa cells in a time- and temperature-dependent fashion. Transmission electron microscopy revealed SWNT-like material in intracellular vacuoles. The morphologies and growth rates of HeLa cells exposed to DM-SWNTs were statistically similar to control cells over the course of 4 d. Finally, flow cytometry was used to show that the fluorescence from MitoSOX™ Red, a selective indicator of superoxide in mitochondria, was statistically similar in both control cells and cells incubated in DM-SWNTs. The combined results indicate that under our sample preparation protocols and assay conditions, CoMoCAT DM-SWNT dispersions are not inherently cytotoxic to HeLa cells. We conclude with recommendations for improving the accuracy and comparability of carbon nanotube (CNT) cytotoxicity reports
The Grizzly, March 26, 1996
- Author
- Publication venue
- Digital Commons @ Ursinus College
- Publication date
- 26/03/1996
- Field of study
Marijuana Incident Results in Dismissal of Two Students • UC Professors to Participate in AIDS Ride • Ryan Auch: The Gentle Giant • Women\u27s Week • Opinions: Capitalism, Individualism and Responsibility; Scotland Fury • Thoughts on the Honor Code • Senegel Professor Speaks on Africa • Berwyn Tavern & Grill: A Trappe Alternative • Faculty Spotlight: Antoni Castells-Talens • Bears at 10-3 After Winning Streak • Trecroce Named Player of the Week • Lacrosse Starts Season With a Banghttps://digitalcommons.ursinus.edu/grizzlynews/1378/thumbnail.jp
Therapeutic gene editing of T cells to correct CTLA-4 insufficiency
- Author
- Booth Claire
- Burns Siobhan Oisin
- De Albuquerque Adriana Silva
- Edner Natalie Mona
- Fox Thomas Andrew
- Genovese Pietro
- Hinze Claudia
- Houghton Benjamin Christopher
- Kennedy Alan
- McKenna Alex
- Morris Emma Catherine
- Pesenacker Anne Maria
- Petersone Lina
- Preham Olivier
- Sansom David Michael
- Walker Lucy Sarah Kate
- Waters Erin
- Williams Cayman
- Publication venue
- 'American Association for the Advancement of Science (AAAS)'
- Publication date
- 26/10/2022
- Field of study
Heterozygous mutations in CTLA-4 result in an inborn error of immunity with an autoimmune and frequently severe clinical phenotype. Autologous T cell gene therapy may offer a cure without the immunological complications of allogeneic hematopoietic stem cell transplantation. Here, we designed a homology-directed repair (HDR) gene editing strategy that inserts the CTLA-4 cDNA into the first intron of the CTLA-4 genomic locus in primary human T cells. This resulted in regulated expression of CTLA-4 in CD4+ T cells, and functional studies demonstrated CD80 and CD86 transendocytosis. Gene editing of T cells isolated from three patients with CTLA-4 insufficiency also restored CTLA-4 protein expression and rescued transendocytosis of CD80 and CD86 in vitro. Last, gene-corrected T cells from CTLA-4-/- mice engrafted and prevented lymphoproliferation in an in vivo murine model of CTLA-4 insufficiency. These results demonstrate the feasibility of a therapeutic approach using T cell gene therapy for CTLA-4 insufficiency
Abstracts from the NIHR INVOLVE Conference 2017
- Author
- Abrams Paul
- Ahmed Safia
- AM Anne Mc Kenzie
- Atkins Peter
- Atkinson Helen
- Augustine Cherelle
- Bailey Sylvia
- Baird Wendy
- Ballinger Claire
- Bamforth Howard
- Barber Sophy
- Barden Nat
- Barker Caroline R
- Barlow-Pay Megan
- Barlow-Pay Megan
- Beever Daniel
- Bell Tim
- Benalia Hamid
- Blackburn Steven
- Blackburn Steven
- Blacker Anthony
- Blomquist Paula
- Boards Jenny
- Boards Richard
- Boddy Kate
- Brady Louca-Mai
- Briggs Janet
- Briggs Moya
- Brighton Lisa Jane
- Brindle Philip
- Calliste Josina
- Cassell Jackie
- Chambers Eleni
- Charalambous Anna
- Chatwin Lucy
- Cochrane Sarah
- Coldham Tina
- Collins Flavia
- Collins Rebecca
- Cooper David
- Corner Lynne
- Craig Lily
- Darby Mary-Anne
- David Coyle
- Davies Philippa
- Davies Rosemary L
- Dawes Piers
- Dawson Paul
- Day Peter
- Day Ruth
- Demaine Andrew
- Donovan Jenny
- Doughty Mark
- Duff-Walker Harry
- Dutton Maureen
- Dziedzic Krysia
- Eaton Hazel
- Edelman Natalie
- Edwards Steven
- Elliot Jim
- Eltringham Sabrina A
- Entwistle Andrew
- Eskildsen Nanna B
- Etkind Simon
- Evans Catherine J
- Evans David
- Evans Liz
- Ewart Colleen
- Eyles Caroline
- Flemyng Ella
- Frank Belinda
- Franklin Sue
- Frith Lucy
- Gibbons Bliss
- Gibson Andy
- Gibson John
- Gibson Sarah
- Gordon Jim
- Green Dave
- Green Stuart A
- Grey-Borrows Kara
- Grier Sally
- Grinbergs-Saull Anna
- Gudgin Bernard
- Hapeshi Julie
- Harmston Rebecca
- Harris Jim
- Harrison Hayley
- Hickey Gary
- Hickey Gary
- Hiemstra Thomas F
- Higton Fred
- Hobson-Merrett Charley
- Hoffman Maurice
- Horobin Adele
- Hrisos Susan
- Hrisos Susan
- Hughes Mel
- Hull Diana
- Ingram Carol
- Irvine Jenny
- Jackson Joni
- Jobson Jacqui
- Johns Tracey
- Johnsen Anna T
- Johnston Judith
- Jones Julia
- Jones Rebecca
- Joseph Neil
- Jørgensen Clara R
- Keenan Julia
- Kekere-Ekun Aisha
- Keller Malori
- Kelly Adrian
- Kenny Kate
- Kerridge Lynn
- Khalil Rameesa
- Khan Samaira
- Kläger Sabine
- Koffman Jonathan
- Kok Michele
- Langley Joe
- Leach Verity
- Leggett Nick
- Leroi Iracema
- Loughhead Ellen
- MacGowan Alasdair
- Maddison Katie
- Mader Laura B
- Mahon Katie
- Manera Valeria
- Marshall Julie
- Martin Wilkie
- Mathie Elspeth
- Matthews Rachel
- Matthews Rachel
- Mazumder Aniqa
- McCabe Catherine
- McCann Michelle
- McDermott Christopher
- McNeil Ngaire
- Meager Gary
- Miah Jahanara
- Michie Lydia
- Millac Paul
- Mitchell Alex
- Moore Darren
- Morgan Natasha
- Muir Delia
- Muir Delia
- Mullee Mark
- Munday Diane
- Murtagh Fliss EM
- Nguyen Rebecca
- Nicola Heron
- Nishat Aniqa
- Nugawela Manjula
- Nunns Michael
- Owen Jenny
- O’Grady Alice
- Pandya-Wood Raksha
- Pandya-Wood Raksha
- Papoulias Constantina
- Parsons Suzanne
- Pask Sophie
- Passmore Siobhan
- Patel Mariya
- Pavitt Sue H
- Paylor Jon
- Petley Rebecca
- Petty Julia
- Pinfold Vanessa
- Poland Fiona
- Poland Fiona
- Price Amy
- Pryde Liz
- Quann Naimh
- Ramsdale Martin
- Rankin Judith
- Rawcliffe Tim
- Reed Heath
- Rhodes Carol
- Rhodes Graham
- Richards Alison
- Richards Tessa
- Riley Bren
- Roberts Amanda
- Roberts Nick
- Roberts Sheila
- Sanders Rod
- Sayers Ruth
- Schroter Sara
- Scott Jason
- Scott Lauren
- Sharma Jitin
- Shaw Liz
- Simon Davies
- Simpson Jean
- Skrybrant Magdalena
- Sproson Lise
- Squire Gill
- Staniszewska Sophie
- Stanton Andy
- Stephens Richard
- Stewart Jane
- Stones Simon R
- Sumerfield Marion
- Surridge Heidi
- Tembo Doreen
- Templeton Lorna
- Thompson Coon Jo
- Thompson Wendy
- Thomson Richard
- Townsend Nigel
- Trite Jenny
- Turner Kati
- Turner Katie
- Vanhegan Stevie
- Vat Lidewij Eva
- Vicary Penny
- Vicary Penny
- Wadd Sarah
- Walker Erin
- Warren Angela
- Wellings Amander
- Wellings Amander
- Wellings Amander
- Whiting Lisa
- Whiting Penny
- Whitlock Paul
- Widdowson Kirsty
- Wildman Martin
- Wilkinson Ian B
- Wragg Andy
- Wray Paula
- Wright Catherine
- Wu Jianhua
- Wythe Helena
- Wythe Helena
- Yarde Lyndsay
- Zoltie Timothy
- Publication venue
- Research Involvement and Engagement
- Publication date
- 01/11/2017
- Field of study
n/
Recommended from our members
Effect of Hydrocortisone on Mortality and Organ Support in Patients With Severe COVID-19: The REMAP-CAP COVID-19 Corticosteroid Domain Randomized Clinical Trial.
- Author
- Abbass Hakam
- Adhikari Neill
- Affleck Julia
- Agno Sathianathan Ronan
- Ahmad Norfaizan
- Ahmed Iram
- Ainscough Kate
- Al Qasim Eman
- Al Swaidan Lolowa
- Al-Bassam Wisam
- Al-Beidh Farah
- Al-Beidh Farah
- Albert Martin
- Alegria Ana
- Alexander Brian
- Alexander Peter
- Allan Angela
- Allan Elizabeth
- Allen Louise
- Allibone Suzanne
- Amaro dos Santos Catorze Teodoro
- Anderson Tom
- Andric Zdravko
- Angus Derek
- Angus Derek C
- Anjum Aisha
- Ankert Juliane
- Annane Djillali
- Annane Djillali
- Anstey Matthew
- Antcliffe David
- Aparicio Christelle
- Appelt Peter
- Arabi Yaseen
- Arabi Yaseen
- Arbane Gill
- Archer Simon
- Aref Noah
- Arias Ana-Marie
- Arishi Hatim
- Arnold Donald
- Asghar Adeeba
- Ashelford Angela
- Attwood Ben
- Austin Karen
- Aysel Florescu Simin
- Azaiz Amine
- Babel Jakša
- Babio-Galan Maite
- Badie Julio
- Bagshaw Sean
- Baillie Kenneth
- Baker Evelyn
- Bakthavatsalam Dhanalakshmi
- Bamford Peter
- Banach Dorota
- Bannard-Smith Jonathan
- Barbazza Leanne
- Barber Russell
- Barge Deborah
- Barnes Nicky
- Baršić Bruno
- Bashyal Archana
- Basile Kim
- Bass Frances
- Bates Michelle
- Bauchmuller Kris
- Bean Sarah
- Beane Abigail
- Beane Abigail
- Beasley Richard
- Begin Phillipe
- Bellemare David
- Benettaib Fatna
- Benzekri Dalila
- Berdaguer Fernando Daniel
- Bergin Colin
- Berry Lindsay
- Berry Lindsay
- Berry Scott
- Berry Scott
- Bhimani Zahra
- Bhimani Zahra
- Bihari Shailesh
- Bihari Shilesh
- Binnie Alexandra
- Bion Julian
- Biradar Vishwanath
- Birch Janine
- Birch Jenny
- Birchall Katie
- Birkinshaw Isobel
- Black Ethel
- Bloos Frank
- Board Jasmin
- Bone Allsion
- Bonner Stephen
- Bonten Marc
- Bonten Marc
- Borgatta Barbara
- Borrill Zoe
- Bosch Ziekenhuis Jeroen
- Boschert Catherine
- Bossard Isabelle
- Boumahni Dounia
- Bourgoin Charlotte
- Bourne Michelle
- Bourne Richard
- Bouwman Wietske
- Bowler Helen
- Boyd Craig
- Bracke Stephanie
- Bradbury Charlotte
- Bradbury Charlotte
- Bradley-Potts Joanne
- Brailsford Jane
- Brain Matthew
- Brant Emily
- Breen Patrick
- Brett Stephen
- Brewer Chris
- Brickell Kathy
- Brightling Chris
- Brillinger Nicole
- Brimfield Lutece
- Brinkerhoff Gail
- Brochard Laurent
- Brohi Farooq
- Browne Troy
- Brunkhorst Frank
- Brunkhorst Frank
- Budd Joanna
- Buehner Ulrike
- Buhr Heidi
- Bullman Laetitia
- Burns Karen
- Burt Karen
- Buscher Hergen
- Butler Amelia
- Butler M
- Buxton Meredith
- Buxton Meredith
- Buzgau Adrian
- Byrne Deborah
- Byrne Kathleen
- Bélteczki János
- Cabreros Leilani
- Calfee Carolyn
- Callender Owen
- Campbell Andy
- Campbell Hilary
- Campbell Lewis
- Camsooksai Julie
- Caplin Cecile
- Carbonneau Elaine
- Carmona Flores Rosario
- Carr-Knott Lisa
- Carrier François Martin
- Carrier Marc
- Cartner Brittney
- Casey Ruth
- Casey Siobhan
- Castro Ferreira Ricardo Manuel
- Cate Heidi
- Cathcart Susanne
- Cavayas Alexandros
- Cawley Kathryn
- Cazzola Federica
- Centofanti John
- Chablani Manish
- Chamara Warnapura Loku
- Chan Carmen
- Chan Charles
- Chan Peter
- Charlewood Richard
- Charron Cyril
- Chartier Delphine
- Chasse Michael
- Chassé Michaël
- Chen Yan
- Cheng Allen
- Cheng Allen C
- Cherian Shiney
- Cheung Winston
- Chhablani Manish
- Chudeau Nicolas
- Cirstea Emanuel
- Clarey Emma
- Claridge Helen
- Clark Michele
- Clark Sarah
- Claxton Andrew
- Clermont Giles
- Cloutier Ève
- Coburn Susan
- Codreanu Daniel
- Coghlan Phoebe
- Cole Jade
- Coles Holly
- Coles Jennifer
- Colin Gwenhael
- Collier Dawn
- Collins Daniel
- Collins Emma
- Collins Joanne
- Connor Jason
- Cooke Jill
- Cooper Jamie
- Cooper Melanie
- Cornell Sarah
- Cort Jon
- Courtin Laura
- Cowdrey Keri-Anne
- Cowley Nicholas
- Cowton Amanda
- Coyne Mark
- Craner Michelle
- Craven Thomas
- Creagh-Brown Ben
- Crisp Nikki
- Croft Maria
- Cusack Rebecca
- Cutler Sean
- Cviljevic Sabina
- Cárcel Fernández Sheila
- Daly James
- Daly Zoe
- Daneman Nick
- Dark Paul
- Darreau Cédric
- Dasgin Joanne
- Davey Miriam
- Davidson Neil
- Davies Gwyneth
- Davies Louisa
- Davies Michelle
- Dawda Ashlish
- Day Christopher
- De Beaux Fiona
- De Bus Liesbet
- de Courcy-Golder Kim
- de Jager P
- de Jong Menno
- De Jong Menno
- de Jonge E
- de la Fuente Martos Carmen
- de Lima Pereira Tiago Nuno Alfaro
- de Man Angelique
- De Waele Jan
- Dearden Joy
- Dechert William
- Deelchand Vashish
- Dela Rosa Arnold
- Dell Amanda
- Demetriou Carrie
- Depante Maria Theresa
- Depuydt Pieter
- Dequin PierreFrançois
- Derde Lennie
- Derde Lennie
- Detry Michelle
- Detry Michelle
- Deye Nicolas
- Digby Stephen
- Distler Michael
- Doble Patricia
- Donnelly Adrian
- Donnison Phil
- Doran Peter
- Dragija Lidija
- Driscoll Alana
- Drummond Andrew
- Duan Erick
- Duffy Eamon
- Duke Graeme
- Duncan Tracey
- Duplaix Mathilde
- Dushianthan Ahilanandan
- Dyas Sarah
- D’Aragon Frédérick
- D’Souza Ramsy
- Effelaar Evelien
- Elhassan Munzir
- Elin Hall Rebecca
- Ellis Christine
- Elmahi Einas
- Elsefi Tarek
- English Shane
- Estcourt Lise
- Estcourt Lise
- Estensen Kristen
- Everitt Robert
- Evers Mirjam
- Farahi Neda
- Fartoukh Muriel
- Faulkner Beverley
- Faulkner Maria
- Fazekas Ágnes
- Felton Tim
- Ferguson Niall
- Ferguson Susan
- Fergusson Dean
- Fernández de Pinedo Artaraz Ziortza
- Ferrier Janet
- Fierens Jan
- Finn André
- Finn Stephanie
- Fischer Roy
- Fitzgerald Mark
- Fitzgerald Mark
- Fletcher Simon
- Flint Neil
- Forbes Andrew
- Forbes Loretta
- Forton Daniel
- Fortune Louise
- Fottrell-Gould Deirdre
- Fowler Rob
- Fowler Robert
- Fox Claire
- Francia Federica
- Francoeur Charles
- Frey Anna
- Friedrich Hinrichs Carl
- Frohlich Stephen
- Fysh Ed
- Gallagher Linda Jude
- Ganguly Saibal
- Ganpat Radhika
- Garcia Rebecca
- Gardiner-Hill Caroline
- Garrard Hywel
- Garrard William
- Gates Simon
- Gattas David
- Gellamucho Minerva
- Gendall Emma
- Genetu Roman Mary
- Geng Wenli
- Geri Guillaume
- Ghamraoui Ali
- Ghosh Alison
- Gibson Charly
- Girard Timothy
- Girijadevi Dinu
- Gledhill Lisa
- Godement Mathieu
- Golden David
- Goligher Ewan
- Gomm Linda
- Goodson Jennifer
- Goodwin Jayne
- Goossens Herman
- Goossens Herman
- Gopal Shameer
- Gopinath Amitha
- Gordon Anthony
- Gordon Anthony C
- Gordon Elizabeth
- Gosbell Iain
- Gould Richard
- Grecu Irina
- Green Cameron
- Green Cameron
- Gregory Jane
- Gresha Rebecca
- Grimmer Lisa
- Grimwade Kate
- Guilder E
- Guitton Christophe
- Hacking Danielle
- Hadebe Bernard
- Hagel Stefan
- Haidar Ghady
- Hall Andrew
- Hall Kathryn
- Hamilton David Oliver
- Hamilton-Davies Colin
- Hamlyn Vincent
- Hammond Naomi
- Haniffa Rashan
- Haniffa Rashan
- Hanson Jane
- Harford Rachel
- Harland Cain
- Harrington Kate
- Harris Nichola
- Harrison Susie
- Hart Ciaran
- Harvala-Simmonds Heli
- Harvey Daniel
- Harward Meg
- Hawcutt Daniel
- Hawkins Nancy
- Hay Sophie Kennedy
- Hayes Kati
- Hayes Leanne
- Hays Carole
- Health Monash
- Heinonen Jonna
- Heming Nicholas
- Henderson Seton
- Henderson Steven
- Henning Jeremy
- Henry Joanne
- Heritier Stephane
- Hickey Naomi
- Higgins Alisa M
- Higgins Lisa
- Hill Helen
- Hills Thomas
- Hills Tom
- Hird Clare
- Hodgson Carol
- Hoff Uwe
- Hoiting Oscar
- Holland Nicky
- Hollos Laszlo
- Homes Jennifer
- Hope David
- Hopkins Phil
- Hormis Anil
- Horton Michelle
- Horton Sarah
- Horvat Christopher
- Horvat Christopher
- Howcroft Clare
- Howle Ryan
- Huang David
- Huckle Abby
- Hughes Emma
- Hugill Keith
- Hullegie Sebastiaan
- Hullegie Sebastiaan J
- Hulley Amanda
- Hulme Jonathan
- Hunt Beverley
- Hunter Stephanie
- Hutter Joanne
- Hutton Paula
- Innes Richard
- Ireland Jane
- Isgro Graziella
- Ivatt Helen
- Jackson Matthew
- Jackson Shane
- Jackson Susan
- Jacques Nicola
- Jacquier Sophie
- Jagannathan Vijay
- Janin Pierre
- Jarczak Dominik
- Jeblaoui Asma
- Jeffrey Helen
- Jenkins Sarah
- Jha Rajeev
- Jhanji Shaman
- Johns Maggie
- Johnson David
- Johnson Rebekah
- Johnston Paul
- Jones Andrea
- Jones Jo
- Joseph Sibet
- José Nuno
- Juhaz Vera
- Kalchthaler Kyle
- Kalogirou Michael
- Kamel Toufik
- Karachi Tim
- Karlikowski Michal
- Karlsson Sari
- Kasipandian Vidya
- Kayani Abdul
- Kazemi Alex
- Keen Alexandra
- Keenan Samantha
- Keet Owen
- Kell Kay
- Kelly Martin
- Kelsall Olivia
- Kernan Maeve
- Kersiake Ian
- Khalid Imrana
- Khare Divya
- Kiiski Heikki
- Kimpton Sarah
- King Andrew
- Kinney Fiona
- Kirkby Amy
- Klinikum Neukölln Vivantes
- Kluge Stefan
- Knott Cameron
- Kol Mark
- Kolanos Steffi
- Koppen Cassandra
- Kosa Alma Gabriela
- Kotarski Viktor
- Kovács Sándor
- Kreß Gabriele
- Krishnamurthy Vinodh
- Kruger Peter
- Kruger Peter
- Kuitunen Anne
- Kumar Anand
- Kumar Nikhil
- Kunz Kevin
- Kurenda Catherine
- Kutleša Marko
- Kušan Ira
- KyereDiabour Thyra
- Kyeremeh Lynsey
- Labbe Vincent
- Laffan Mike
- Laffey John
- Laha Shondipon
- Lai Vivian
- Lamb Thomas
- Lamonagne Francois
- Lamontagne Francois
- Lamontagne Francois
- Lamontagne François
- Landais Mickaël
- Lane Janis-Best
- Lankester Liana
- Laver Russell
- Lawler Patrick
- Lawler Patrick R
- Lawless Patrick
- Lazaro Juan Martin
- Leaver Susannah
- Leblond Julie
- Lee Kelvin
- Lee Stephanie
- Leparco Cécile
- Lesona Eden
- Leszkoven János
- Lewis Roger
- Lewis Roger J
- Lewis Sarah
- León López Rafael
- Limb James
- Linstrum Kelsey
- Linstrum Kelsey
- Litton Ed
- Litton Edward
- Litton Edward
- Lomme Kaatje
- London Emily
- Lorenzi Elizabeth
- Lorenzi Elizabeth
- Lother Sylvain
- Lowe Benjamin
- Lowrey Julie
- Luis David
- Luk Tracy
- L’Hotellier Sylvie
- Mackay Callum
- Mackay Euan
- MacLennan Sheila
- Maguire Teena
- Magyar István
- Maiden Matthew
- Makowski Arystarch
- Malakoutis Salim
- Malfroy Sylvain
- Malissin Isabelle
- Maloney Carolyn
- Manax Victoria
- Mandadapu Vineela
- Mangindaan Yara
- Maquigneau Natacham
- Marabi Yaseen
- Mariappa Vasanth
- Marin-Corral Judith
- Markgraf Rene
- Marroquin Oscar
- Marshall John
- Marshall John
- Marshall Nicola
- Mart Emma
- Marten Nicole
- Martin Jane
- Martin Timothy
- Martynoga Robert
- Maselli Astrid
- Masse Marie-Helene
- Mateo López Maria Isabel
- Matsa Ramprasad
- Mattocks Lehentha
- Maxime Virginie
- Mc Goldrick Clare
- Mc Master Moyra
- McArthur Colin
- McArthur Colin
- McAuley Daniel
- McAuley Daniel
- McAuley Danny
- McCallum Peter
- McClintock Declan
- McConnochie Rachael
- McCracken Phobe
- McCue Claire
- McCullagh Iain
- McCullough James
- McDyer John
- McGhee Christopher
- McGlothin Anna
- McGlothlin Anna
- McGloughlin Steve
- McGlynn Deborah
- McGuigan Peter
- McGuinness Shay
- McGuinness Shay
- McIntyre Lauralyn
- McLachlan Danielle
- McMillan Alexandra
- McNamara Robert
- McNicholas Bairbre
- McQuilten Zoe
- McVerry Bryan
- McVerry Bryan
- McWilliam Stephen
- Megarbane Bruno
- Mehrtens Jan
- Menon David
- Menzies Daniel
- Mercier Emmanuelle
- Mercier Romain
- Meredith Megan
- Metherell Stella
- Mevavala Bhaumik
- Mew Louise
- Meyer Jason
- Mezher Chaouki
- Mfuko Celina
- Mguni Nhlanhla
- Middeldopr Saskia
- Miezitis Sydney
- Millen Tina
- Miller Eliza
- Mills Gary
- Miln Rebecca
- Mineall Sarah
- Mirković Gordan
- Misak Cheryl
- Misztal Beata
- Mitchard Sarah
- Moine Pierre
- Monchi Mehran
- Moneer Hagazy Mohamned
- Montague Laura
- Montgomery Stephanie
- Montgomery Stephanie
- Moore Lorraine
- Morel Guillaume
- Moreno Cuesta Jeronimo
- Morgan Matt
- Morpeth Susan
- Morris Sheila
- Morrison Lynette
- Mouncey Paul
- Mouncey Paul
- Moviat M
- Mullan Dee
- Muller Grégoire
- Munt Sheila
- Murphy Sheenagh
- Murray Lauren
- Murthy Srinivas
- Murthy Srinivas
- Music Edvin
- Muñoz-Bermúdez Rosana
- Mwaura Esther
- Myers Erina
- Naiker Kevin
- Nair Priya
- Nay Mai-Anh
- Neal Matthew
- Nee Jens
- Netea Mihai
- Netherton Kimberley
- Neto Ary
- Neves Pessoa Lucilia Maria
- Newby Lynette
- Newman Tabitha
- Nichol Alistair
- Nichol Alistair
- Nicholier Tiphaine Barbarin
- Nichols Lesley
- Nicholson Andrew
- Nicholson Sarah
- Nierhaus Axel
- Nikitas Nikitas
- Noble Harriet
- North Julie
- Nortje Jurgens
- Oakley Susan
- Oborska Aneta
- Oczkowski Simon
- Olatunji Shaanti
- Orath Prabakaran Rajalakshmi
- Orford Neil
- Oritz-Ruiz de Gordoa Laura
- Orr Katrina
- Oza Deepali
- O’Brien Julie
- O’Dywer Michael
- O’Kane Cecilia
- O’Kane Sinéad
- O’Malley Laura
- O’Neill Aisling
- Page Valerie
- Paling A
- Panwar Rakshit
- Paramasivam Elankumaran
- Parekh Dhruv
- Parke Rachael
- Parke Rachael
- Parker Jane
- Parker Lorraine
- Parrilla Gómez Francisco
- Parsons Penny
- Pasi John
- Pasieka Bastian
- Patanwala Asad
- Patch Sarah
- Patel Amit
- Patel Kamal
- Pateman Kelsey
- Paterson David
- Patterson Lisa
- Peake Sandra
- Pearson Karen
- Pegler Suzannah
- Pellicano Annamaria
- Pereira Sousa Bastos Joana Margarida
- Pereira Rita
- Peters Anna Linda
- Peters Marco
- Peters Svenja
- Petros Sirak
- Pettilä Leena
- Phalod Gunjan
- Philbin Jennifer
- Phillips Barbara
- Phull Mandeep-Kaur
- Pillai Suresh
- Pinder Meredith
- Pinnell Jez
- Pitts Sally
- Pletz Mathias
- Pletz Mathias
- Plumb Benjamin
- Pogreban Tatiana
- Pogson David
- Polderman F
- Polgarova Petra
- Pomeroy Fiona
- Porteous Rebecca
- Porter David
- Potter Alison
- Pourcine Franck
- Powell Elizabeth
- Powell Matthew
- Presneill Jeffrey
- Pridee Nicole
- Prinssen Anton
- Prout Rachel
- Pugh Richard
- Pulletz Mark
- Purandare Laura
- Purohit Dharam
- Purvis Sarah
- Puthucheary Zudin
- Puxty Kathryn
- Quayle Rachael
- Quinn Kevin
- Qureshi Hafiz
- Rad Laura
- Rademaker Emma
- Rae Nicola
- Raithatha Ajay
- Ramali Mohamed
- Ramanan Mahesh
- Ramos Lidia
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- Rauniyar Rashmi
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- Reynolds John
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- Ricketts Daniel
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- Sanil Ashish
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- Saunders Christina
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- Seymour Christopher
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- van Bentum Puijk Wilma
- van Bentum-Puijk Wilma
- van Bentum-Puijk Wilma
- van Beurden Marloes
- van de Veerdonk Frank
- van de Veerdonk Frank
- Van Der Heyden Kym
- van der Poll Tom
- van’t Hoff Willian
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- Vautier Sarah
- Vazquez-Grande Gloria
- Venkatesh Bala
- Venkatesh Balasubramanian
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- Walsh Tim
- Walsham James
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- Watpool Irene
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- Waugh Victoria
- Webb Steve
- Webb Steven A
- Wedd Steve
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- Weissman Alexandra
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- Wetherill Bill
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- Whileman Amanda
- Whitbread Jennifer
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- Wigbers J
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- Williamson James
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- Wood Erica
- Wood Hannah
- Wood Tracy
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- Woods Lindsey
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- Wren Jess
- Wren Lynn
- Wrey Brown Caroline
- Writing Committee for the REMAP-CAP Investigators
- Xavier Kugan
- Xia Le Tai Charlotte
- Yarad Elizabeth
- Yates David
- Young Chelsea
- Young Ian
- Young Meredith
- Young Paul
- Yusuff Hakeem
- Zaharia Miahela Florentina
- Zaidi Abbas
- Zaki Ahmed
- Zaman Mohsin
- Zammit Claire
- Zapalac Marija
- Zarychanski Ryan
- Zarychanski Ryan
- Zhao Xiao Bei
- Zinzoni Vanessa
- Zitter Letizia
- Đimoti Renata
- Publication venue
- JAMA: Journal of the American Medical Association
- Publication date
- 06/10/2020
- Field of study
Importance: Evidence regarding corticosteroid use for severe coronavirus disease 2019 (COVID-19) is limited. Objective: To determine whether hydrocortisone improves outcome for patients with severe COVID-19. Design, Setting, and Participants: An ongoing adaptive platform trial testing multiple interventions within multiple therapeutic domains, for example, antiviral agents, corticosteroids, or immunoglobulin. Between March 9 and June 17, 2020, 614 adult patients with suspected or confirmed COVID-19 were enrolled and randomized within at least 1 domain following admission to an intensive care unit (ICU) for respiratory or cardiovascular organ support at 121 sites in 8 countries. Of these, 403 were randomized to open-label interventions within the corticosteroid domain. The domain was halted after results from another trial were released. Follow-up ended August 12, 2020. Interventions: The corticosteroid domain randomized participants to a fixed 7-day course of intravenous hydrocortisone (50 mg or 100 mg every 6 hours) (n = 143), a shock-dependent course (50 mg every 6 hours when shock was clinically evident) (n = 152), or no hydrocortisone (n = 108). Main Outcomes and Measures: The primary end point was organ support-free days (days alive and free of ICU-based respiratory or cardiovascular support) within 21 days, where patients who died were assigned -1 day. The primary analysis was a bayesian cumulative logistic model that included all patients enrolled with severe COVID-19, adjusting for age, sex, site, region, time, assignment to interventions within other domains, and domain and intervention eligibility. Superiority was defined as the posterior probability of an odds ratio greater than 1 (threshold for trial conclusion of superiority >99%). Results: After excluding 19 participants who withdrew consent, there were 384 patients (mean age, 60 years; 29% female) randomized to the fixed-dose (n = 137), shock-dependent (n = 146), and no (n = 101) hydrocortisone groups; 379 (99%) completed the study and were included in the analysis. The mean age for the 3 groups ranged between 59.5 and 60.4 years; most patients were male (range, 70.6%-71.5%); mean body mass index ranged between 29.7 and 30.9; and patients receiving mechanical ventilation ranged between 50.0% and 63.5%. For the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively, the median organ support-free days were 0 (IQR, -1 to 15), 0 (IQR, -1 to 13), and 0 (-1 to 11) days (composed of 30%, 26%, and 33% mortality rates and 11.5, 9.5, and 6 median organ support-free days among survivors). The median adjusted odds ratio and bayesian probability of superiority were 1.43 (95% credible interval, 0.91-2.27) and 93% for fixed-dose hydrocortisone, respectively, and were 1.22 (95% credible interval, 0.76-1.94) and 80% for shock-dependent hydrocortisone compared with no hydrocortisone. Serious adverse events were reported in 4 (3%), 5 (3%), and 1 (1%) patients in the fixed-dose, shock-dependent, and no hydrocortisone groups, respectively. Conclusions and Relevance: Among patients with severe COVID-19, treatment with a 7-day fixed-dose course of hydrocortisone or shock-dependent dosing of hydrocortisone, compared with no hydrocortisone, resulted in 93% and 80% probabilities of superiority with regard to the odds of improvement in organ support-free days within 21 days. However, the trial was stopped early and no treatment strategy met prespecified criteria for statistical superiority, precluding definitive conclusions. Trial Registration: ClinicalTrials.gov Identifier: NCT02735707
New genetic loci link adipose and insulin biology to body fat distribution.
- Author
- Aalto Ville
- Aasarød Knut
- Abecasis Goncalo R
- Abecasis Gonçalo
- Absher Devin
- Adair Linda S
- Adam Martin
- Adeyemo Adebowale
- Ahlqvist Emma
- Ahmadi Kourosh R
- Ahola Aila
- Ainali Chrysanthi
- Akylbekova Ermeg
- Ala-Korpela Mika
- Alavere Helen
- Albagha Omar M E
- Albrecht Eva
- Alen Markku
- Alexander Myriam
- Alhenc-Gelas François
- Alizadeh Behrooz Z
- Allison Matthew A
- Alonso Nerea
- Altshuler David
- Ambite Jose Luis
- Amin Najaf
- Amouyel Philippe
- An Ping
- Anderson Carl A
- Anderson Denise
- Anderson Garnet
- Andrews Jeanette S
- Antonella Mulas
- Antti Jula
- Aragaki Aaron K
- Arking Dan E
- Arnold Alice
- Arnold Alice M
- Arora Pankaj
- Arscott Gillian M
- Artigas Maria Soler
- Arveiler Dominique
- Asiki Gershim
- Aspelund Thor
- Assimes Themistocles L
- Atalay Mustafa
- Atkinson Elizabeth J
- Aulchenko Yurii
- Avery Christy
- Bain Stephen C
- Bakker Stephan J L
- Balcells Susana
- Balkau Beverley
- Ballantyne Christie M
- Balmforth Anthony J
- Bandinelli Stefania
- Barbalic Maja
- Barrett Amy
- Barroso Ines
- Barroso Inês
- Basart Hanneke
- Basart Hanneke V
- Bataille Veronique
- Baumert Jens
- Beckmann Jacques S
- Beekman Marian
- Been Latonya F
- Beilby John
- Beilby John P
- Bell Jordana T
- Bellis Claire
- Bennett Amanda J
- Bennett Franklyn
- Berenson Gerald S
- Bergman Richard N
- Bergmann Sven
- Berndt Sonja I
- Berne Christian
- Bidulescu Aurelian
- Bielak Lawrence F
- Bierut Laura J
- Biffar Reiner
- Bis Joshua C
- Blackburn Hannah
- Blangero John
- Blankenberg Stefan S
- Blüher Matthias
- Boban Mladen
- Bochud Murielle
- Boehm Bernhard O
- Boehnke Michael
- Boerwinkle Eric
- Boezen H Marike
- Bolton Jennifer L
- Bolton Judith A Hoffman
- Bonnet Fabrice
- Bonnycastle Lori L
- Boomsma Dorret I
- Borecki Ingrid
- Boright Andrew P
- Borja Judith B
- Bornstein Stefan R
- Boston Jonathan
- Bots Michiel L
- Bouatia-Naji Nabila
- Bouchard Claude
- Bovet Pascal
- Boyd Heather A
- Bragg-Gresham Jennifer L
- Brambilla Paolo
- Brand Eva
- Brand Stefan-Martin
- Brandi Maria Luisa
- Braund Peter S
- Brennan Eoin P
- Brismar Kerstin
- Brody Jennifer
- Broekmans Frank J
- Broer Linda
- Brown Matthew A
- Brown Morris J
- Brown-Gentry Kristin
- Bruinenberg Marcel
- Buchkovich Martin L
- Buckley Brendan M
- Buil Alfonso
- Bull Shelley B
- Burgdorf Christof
- Buring Julie E
- Burnett Mary S
- Burnier Michel
- Burri Andrea
- Burton Paul R
- Bush William S
- Busonero Fabio
- Buxbaum Sarah G
- Buyske Steve
- Buzkova Petra
- Byrne Enda M
- Böger Carsten A
- Böhringer Stefan
- Böttcher Yvonne
- Cambien Francois
- Campbell Harry
- Campbell Susan
- Carba Delia B
- Carlson Chris
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- Carty Cara
- Casas Juan P
- Caspersen Ida H
- Castano-Betancourt Martha
- Cauchi Stéphane
- Cauley Jane A
- Caulfield Mark
- Cavalieri Margherita
- Cazier Jean-Baptiste
- Center Jacqueline R
- Cesana Giancarlo
- Chakravarti Aravinda
- Chambers John
- Chandak Giriraj R
- Chang Hsing-Yi
- Chang Yen-Pei C
- Chanock Stephen J
- Charchar Fadi J
- Chasman Dan
- Chaturvedi Nish
- Chen Constance
- Chen Han
- Chen Ida
- Chen Jin
- Chen Ming-Huei
- Chen Wei
- Chen Yii-Der Ida
- Cheng Iona
- Cheng Sulin
- Chines Peter S
- Cho Yoon Shin
- Choi Murim
- Chouraki Vincent
- Christiansen Claus
- Chu Audrey Y
- Cimponeriu Dan
- Ciullo Marina
- Clark Graeme R
- Clarke Robert
- Claudi-Boehm Simone
- Coassin Stefan
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- Crisponi Laura
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- Cucca Francesco
- Cummings Steven R
- Cupples Adrienne L
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- Curhan Gary
- d'Adamo Pio
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- Dailiana Zoe
- Danesh John
- Danoy Patrick
- Dastani Zari
- Davies Gail
- Daw E Warwick
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- Demerath Ellen W
- Demirkan Ayse
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- Den Hertog Heleen M
- Denniff Matthew
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- Dermitzakis Emmanouil T
- Deshmukh Harshal
- Deshmukh Harshal A
- Devuyst Olivier
- di Meglio Paola
- Diemert Patrick
- Dimas Antigone S
- Dimitriou Maria
- Ding Jingzhong
- Do Ron
- Dominiczak Anna F
- Doney Alex
- Dong Yanbin
- Donnelly Louise A
- Doumatey Ayo
- Dreisbach Albert W
- Drong Alexander W
- Duggan David
- Dumitrescu Logan
- Duncan Bruce B
- Duncan Emma L
- Dupuis Josee
- Dupuis Josée
- Durbin Richard
- Durda Peter
- Döring Angela
- Dörr Marcus
- Eastell Richard
- Easton Douglas F
- Ebrahim Shah
- Econs Michael J
- Edkins Sarah
- Egan Josephine
- Ehret Georg
- Eiriksdottir Gudny
- Eisman John A
- Eklund Niina
- El Mokhtari NourEddine
- Elks Cathy E
- Ellinghaus David
- Elliott Paul
- Elosua Roberto
- Emilsson Valur
- Endlich Karlhans
- Epstein Stephen E
- Erbel Raimund
- Erdmann Jeanette
- Erdos Michael R
- Eriksson Joel
- Eriksson Johan
- Eriksson Niclas
- Eriksson Per
- Ernst Florian
- Esko Tonu
- Esko Tõnu
- Esko Tönu
- Estrada Karol
- Eury Elodie
- Evangelou Evangelos
- Evans Alun
- Evans David M
- Eyheramendy Susana
- Eyjolfsson Gudmundur Ingi
- Fagerholm Emma
- Falhammar Henrik
- Fall Tove
- Farrall Martin
- Fauser Bart C J M
- Fava Cristiano
- Feenstra Bjarke
- Fehrmann Rudolf
- Feitosa Mary
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- Ferrannini Ele
- Ferrario Marco M
- Ferreira Teresa
- Ferreli Liana
- Ferrières Jean
- Ferrucci Luigi
- Fischer Krista
- Florez Jose C
- Folkersen Lasse
- Folsom Aaron R
- Fontanillas Pierre
- Ford Ian
- Fornage Myriam
- Foroud Tatiana
- Forouhi Nita G
- Forrester Terrence
- Forsblom Carol
- Foster Meredith C
- Fowke Jay
- Fowkes F Gerald R
- Fowkes Gerard R
- Fox Caroline S
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- Franceschini Nora
- Franco Oscar H
- Franco-Cereceda Anders
- Franke Andre
- Franke Lude
- Franks Paul W
- Frants Rune
- Fraser Ross M
- Frayling Timothy M
- Freedman Barry I
- Freimer Nelson B
- Freitag Daniel F
- Friedrich Nele
- Froguel Philippe
- Frost Morten
- Fuchsberger Christian
- Galan Pilar
- Ganesh Santhi K
- Ganna Andrea
- Gansevoort Ron T
- Gao Xiaoyi
- Garcia Melissa
- Garcia-Giralt Natàlia
- Garnaas Maija
- Gasparini Paolo
- Gauguier Dominique
- Gaunt Tom R
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- Geller Frank
- Gharavi Ali G
- Giedraitis Vilmantas
- Gieger Christian
- Gierman Hinco J
- Gigante Bruna
- Gill Geoffrey V
- Giroux Sylvie
- Giulianini Franco
- Glass Daniel
- Glazer Nicole
- Glazer Nicole L
- Glenn Kim
- Glorioso Nicola
- Go Alan S
- Go Min Jin
- Godson Catherine
- Goel Anuj
- Goessling Wolfram
- Golay Alain
- Goldstein Benjamin A
- Goltzman David
- Gong Jian
- González-Macías Jesús
- Goodall Alison H
- Goodarzi Mark O
- Goodloe Robert
- Gordin Daniel
- Gordon Scott D
- Gorski Mathias
- Grabe Hans-Jörgen
- Graff Misa
- Grallert Harald
- Grammer Tanja B
- Gravito Martha L
- Greenwood Celia M T
- Grewal Jagvir
- Grimsby Jonna
- Grobbee Diederick E
- Groop Leif
- Groop Per-Henrik
- Gross Myron
- Groves Christopher J
- Grundberg Elin
- Grässler Jürgen
- Gräßler Jürgen
- Gu Harvest F
- Gu Tianwei
- Guarrera Simonetta
- Gudbjartsson Daniel F
- Gudnason Villi
- Gudnason Vilmundur
- Guiducci Candace
- Guo Qun
- Guo Xiuqing
- Gurdasani Deepti
- Gustafsson Stefan
- Gyllensten Ulf
- Gyllensten Ulf B
- Hadjadj Samy
- Hadley David
- Haessler Jeff
- Hager Jörg
- Haiman Christopher
- Haines Jonathan
- Hall Alistair S
- Hall Per
- Hallan Stein
- Haller Toomas
- Hallmans Goran
- Hallmans Göran
- Hamsten Anders
- Han Bok-Ghee
- Hankinson Susan E
- Hanson Robert L
- Hardy Rebecca
- Haritunians Talin
- Harjutsalo Valma
- Harris Tamara
- Hartikainen Anna-Liisa
- Hartman Catharina A
- Hass Merli
- Hassanali Neelam
- Hassinen Maija
- Hastie Nicholas D
- Hastie Nick
- Hattersley Andrew T
- Haun Margot
- Havulinna Aki S
- Hayward Caroline
- Hazen Stanley L
- He Bing
- He Chunyan
- Heard-Costa Nancy L
- Heath Andrew C
- Heath Simon
- Heckbert Susan R
- Hedblad Bo
- Hedman Åsa K
- Heid Iris M
- Heikkilä Kauko
- Heikkilä Outi
- Heiss Gerardo
- Heliövaara Markku
- Helmer Catherine
- Helmer Quinta
- Henders Anjali K
- Henderson Brian
- Hengstenberg Christian
- Henneman Peter
- Hercberg Serge
- Herder Christian
- Hernandez Dena
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- Herrera Lizbeth
- Herzig Karl-Heinz
- Hicks Andrew A
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- Higashio Julia
- Hillege Hans L
- Hilton Gina
- Hindorff Lucia
- Hingorani Aroon
- Hirschhorn Joel N
- Hivert Marie-France
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- Hocking Lynne J
- Hoffmann Wolfgang
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- Holliday Elizabeth G
- Holm Hilma
- Holmen Oddgeir
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- Horikoshi Momoko
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- Igl Wilmar
- Ikram M Arfan
- Illig Thomas
- Imboden Medea
- Ingelsson Erik
- Ingle Catherine
- Ingvarsson Thorvaldur
- Ioannidis John P A
- Iribarren Carlos
- Isaacs Aaron
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- Islam Muhammad
- Ittermann Till
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- Jackson Anne U
- Jackson Rebecca
- Jacobs Gunnar
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- Jameson Karen A
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- Jansen Hanneke
- Janssens A Cecile J W
- Jarvelin Marjo-Riitta
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- Jenny Nancy
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- Johnson Louise
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- Johnson Toby
- Jones Graeme
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- Juliusdottir Thorhildur
- Justice Anne E
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- Jöckel Karl-Heinz
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- Kahali Bratati
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- Kaleebu Pontiano
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- Kanaya Alka
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- Karlsson Magnus
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- Kathiresan Sekar
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- Keildson Sarah
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- Keller Benjamin J
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- Kestenbaum Bryan
- Kesäniemi Antero
- Ketkar Shamika
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- Khusainova Rita
- Khusnutdinova Elza
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- Kim Eric
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- Kiryluk Krzysztof
- Kita Yoshikuni
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- Kizer Jorge R
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- Kloppenburg Margreet
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- Knowles Joshua W
- Kocarnik Jonathan
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- Kolcic Ivana
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- Kollerits Barbara
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- Kolonel Laurence
- Kolovou Genovefa
- Komulainen Pirjo
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- Kretzler Matthias
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- Kronenberg Florian
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- Kutalik Zoltan
- Kutalik Zoltán
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- Kuznetsova Tatiana
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- Kähönen Mika
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- Ladenvall Claes
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- Lakka Timo A
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- Langdahl Bente Lomholt
- Langefeld Carl D
- Langenberg Claudia
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- Willenborg Christina
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- Williams Winfred W
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- Wilsgaard Tom
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- Wilson Scott G
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- Witteman Jacqueline C
- Witteman Jacqueline C M
- Wojczynski Mary K
- Wolffenbuttel Bruce H R
- Wong Andrew
- Wong Tien Y
- Woo Jean
- Wood Andrew R
- Wood Andy
- Workalemahu Tsegaselassie
- Wright Alan F
- Wu Chunyuan
- Wu Joseph M W
- Wu Ying
- Würtz Peter
- Xiao Su-Mei
- Yajnik Chittaranjan S
- Yang Jian
- Yang Qiong
- Yang Tsun-Po
- Yao Jie
- Yengo Loïc
- Yerges-Armstrong Laura M
- Young Alicia
- Young Elizabeth H
- Young J H
- Young Lauren
- Yuan Xin
- Zaboli Ghazal
- Zalloua Pierre A
- Zarrabeitia María T
- Zelenika Diana
- Zemunik Tatijana
- Zerbini Gianpaolo
- Zgaga Lina
- Zhai Guangju
- Zhang Feng
- Zhang Qunyuan
- Zhang Weihua
- Zhao Jing Hua
- Zhao Wei
- Zheng Hou-Feng
- Zheng Wei
- Zhou Yanhua
- Zhu Haidong
- Zhu Kun
- Zhu Xiaofeng
- Zhuang Wei V
- Zhuang Wei Vivian
- Ziegler Andreas
- Zillikens M Carola
- Zimmermann Martina E
- Zitting Paavo
- Zondervan Krina T
- Zukowska-Szczechowska Ewa
- Zygmunt Marek
- Ärnlöv Johan
- Österholm Anne-May
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2015
- Field of study
Body fat distribution is a heritable trait and a well-established predictor of adverse metabolic outcomes, independent of overall adiposity. To increase our understanding of the genetic basis of body fat distribution and its molecular links to cardiometabolic traits, here we conduct genome-wide association meta-analyses of traits related to waist and hip circumferences in up to 224,459 individuals. We identify 49 loci (33 new) associated with waist-to-hip ratio adjusted for body mass index (BMI), and an additional 19 loci newly associated with related waist and hip circumference measures (P < 5 × 10(-8)). In total, 20 of the 49 waist-to-hip ratio adjusted for BMI loci show significant sexual dimorphism, 19 of which display a stronger effect in women. The identified loci were enriched for genes expressed in adipose tissue and for putative regulatory elements in adipocytes. Pathway analyses implicated adipogenesis, angiogenesis, transcriptional regulation and insulin resistance as processes affecting fat distribution, providing insight into potential pathophysiological mechanisms
Finishing the euchromatic sequence of the human genome
- Author
- . Haifeng
- . Magner
- . Yin
- Abbott Scott
- Abbott-Ozersky Amanda
- Abdellah Zahra
- Abouelleil Amr
- Abrajano Anne
- Adachi Tamami
- Adam Catherine
- Adams Charles Q.
- Adamson Aaron
- Adekoya Emmanuel
- Adio-Oduola Babajide
- Aerts Andrea
- Aggarwal Arun
- Ahmadi Alireza
- Ahmed Shahana
- Aimable Matthew
- Ainscough Rachael
- Ait-Zahra Mostafa
- Aizu Tomoyuki
- Alcivare Dana
- Alegria Michelle
- Ali Alla
- Ali Johar
- Allegria-hartmann Michelle
- Alleman Jennifer
- Allen Carlana C.
- Allen Heather
- Allen Nicole R.
- Allen Susan
- Allen Thaddeus
- Almeida Jeff
- Almond Claire
- Alsbrooks Stephen L.
- Altherr Michael R.
- Amaratunge Harshinie C.
- Ambler Andrew
- Ambrose Karen
- Ambrose Kerrie
- Amemiya Chris
- Amico-Keller Gina
- Amin Amita G.
- Anderson Mechele
- Anderson Scott
- Anderson Scott
- Andora Janice
- Andredesz Carol
- Andrew Robert
- Andrews Dan
- Andrews Daniel
- Andrews Neil
- Andrews Stephanie
- Andriese Tim
- Anthouard Véronique
- Antonarakis Stylianos E.
- Anyalebechi Vivian
- Aoki Norie
- Apostolou Sinoula
- Apweiler Eva
- Arachchi Harindra
- Arai Rie
- Arbery Hazel
- Arcaina Marlon
- Arcaina Terisita
- Archer Beth
- Arellano Andre
- Arellano-Jones Perry
- Armbruster Jeff
- Armstrong Jon
- Arredondo Dilrukshi P.
- Arredondo Heather Hope
- Artiguenave François
- Asakawa Shuichi
- Asakawa Teruyo
- Ash Gareth
- Ashcroft Kevin
- Ashurst Jennifer
- Ashwell Robert
- Ashworth Linda K.
- Aslanidis Cara
- Asomugha Chinwe O.
- Asuncion Lawreen
- Atkin Deborah
- Atkinson Andrea
- Atkinson Barry
- Attix Cristina
- Attwood John
- Aubin Keith
- Auger Katherine
- Austin Shannon Michelle
- Avila Aaron
- Avis Terry
- Ayele Mulu
- Babayan Primo
- Babbage Anne
- Babbage Sarah
- Bach Phil
- Bachatsang Pasang
- Bacon Joanne
- Badri Hummy
- Baertsch Robert
- Bagguley Claire
- Bailey Jonathan
- Bajorek Eva
- Baker Andrew
- Baker Dan
- Baker M.
- Baker Richard
- Bakis Michele
- Baldwin Jennifer
- Banda Michael
- Banerjee Ruby
- Bao Jingyue
- Bao Qiyu
- Bao Weidong
- Bao Weidong
- Baptiste Pertrice
- Barbaria Joseph A.
- Barbe Valérie
- Bardill Simon
- Barker Daniel
- Barker Darren
- Barker Gary
- Barlow Karen
- Baron Laurent
- Barrett Anika
- Bartlett Rebecca
- Basham Victoria
- Bashman David
- Basu Suba
- Bateman Alex
- Bates Karen
- Battles John
- Batzer Mark
- Baumgart Cornelia
- Baumohl Jason
- Baynes Caroline
- Bayul Tashi
- Beall Keith
- Beard Lisa
- Beard Susan
- Beare David
- Beasley Alastair
- Beasley Helen
- Beasley Oliver
- Beaucham Leslie
- Beaudet Arthur
- Beck Alfred
- Beck Stephen
- Becker Michael
- Bell Emma
- Bell George I.
- Bellard Terell M.
- Bellerby Damian
- Bellerby Tristram
- Belter Edward A., Jr.
- Bemrose Richard
- Benard Michael Anthony
- BenKahla Alia
- Benke J
- Benner William
- Bennett James
- Bensasson Douda
- Bentley Andrew
- Bentley Dan
- Bentley David
- Berardinis Véronique de
- Bercovitz John
- Berghoff Amy
- Bergmann Anne
- Berkowicz Nicolas
- Berks Mary
- Berks Michael
- Bethel Graeme
- Beugelsdijk Tony J.
- Bhakta Rita
- Bhuchar Venita
- Bi Shihua
- Bian Xuemeng
- Bieri Tamberlyn
- Bimage Kesha E.
- Bird Christine
- Birditt Brian
- Birney Ewan
- Birney Ewan
- Birren Bruce
- Bissell Helen
- Biswalo Kaneza
- Bituin Aleksandr
- Black Stacey
- Blackburne-Maze Suzanne
- Blair Jessica Anne
- Blakey Sarah
- Blanks Tia
- Blasiar Darin
- Blazej Robert
- Blitshsteyn Berta
- Blomstrom David B.
- Bloom Scott
- Bloom Toby
- Blumer Heather
- Blye Jason
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- Blöcker Helmut
- Boatright Elizabeth
- Boehm John
- Boen Juanan
- Boguslavskiy Leonid
- Bolton Christel
- Bolund Lars
- Bondoc Marnel
- Bonfield James
- Bonnett Ralph
- Bonnin David
- Border Richard
- Borowsky Mark
- Borzym Katja
- Boukhgalter Boris
- Bowen Eric
- Bradley Amanda
- Bradshaw-Cordum Holly
- Brady Nicola
- Brandriff Brigitte F.
- Brannon Wade
- Branscomb Elbert
- Bray Jason
- Bray-Allen Sarah
- Brettin Thomas
- Bridgeman Anne
- Bridgers Michael
- Brimhall Angela K.
- Brokstein Peter
- Brook Jonathan
- Brooking Shane
- Brottier Philippe
- Brown Andrew
- Brown Clive
- Brown Jacqui
- Brown Margaret
- Brown Mary
- Brown Mary J.
- Brown Michael
- Brown Nancy C.
- Bruce David D.
- Bruce Robert
- Bruno William J.
- Bruskiewich Richard
- Bryant Jackie
- Bryant Jennifer E.
- Bryant Nathaniel P.
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- Kruchowski Scott S.
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- Zembeck Lisa
- Zeng Yixin
- Zhai Dong
- Zhan Guoping
- Zhang Bo
- Zhang Caimin
- Zhang Fengmei
- Zhang Guangyu
- Zhang Guohua
- Zhang Guohua
- Zhang Haiqing
- Zhang Haiqing
- Zhang Haiqing
- Zhang Hongbo
- Zhang Hongbo
- Zhang Jingjing
- Zhang Jingjing
- Zhang Jingkun
- Zhang Jiuchun
- Zhang Jiuchun
- Zhang Lanzhi
- Zhang Li
- Zhang Li
- Zhang Meihua
- Zhang Meng
- Zhang Ming
- Zhang Qing
- Zhang Ruhua
- Zhang Shaojie
- Zhang Tiezhen
- Zhang Wei
- Zhang Wei
- Zhang Xianglin
- Zhang Xianglin
- Zhang Xiaoliang
- Zhang Xiuqing
- Zhang Yan
- Zhang Yi
- Zhang Yilin
- Zhang Yilin
- Zhang Ying
- Zhang Yuansen
- Zhang Yuzhi
- Zhang Zhengdong
- Zhao Hongmei
- Zhao Lijian
- Zhao Shenru
- Zhao Zhijing
- Zhen Zhicheng
- Zheng Haibo
- Zhong Ming
- Zhou Carol
- Zhou Haixia
- Zhou Jianling
- Zhou Nannan
- Zhou Xinfeng
- Zhou Yan
- Zhou Yang
- Zhou Yi
- Zhu Bingying
- Zhu Bofeng
- Zhu Fenghua
- Zhu Genfeng
- Zhu Genfeng
- Zhu Miao
- Zhu Ning
- Zhu Yongge
- Zhu Zhen
- Zhuang Shitao
- Zierten Deborah
- Zimmer Andrew
- Zody Michael C.
- Zollo Massimo
- Zorrilla Sara E.
- Zuo Lin
- Publication venue
- LSU Digital Commons
- Publication date
- 21/10/2004
- Field of study
The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead
Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial
- Author
- Abbott Tom
- Abdul Nazar
- Abercrombie John
- Abraham Ajit
- Ackland Gareth
- Adams Ferdinand
- Adegoke Kenneth
- Agarwal Banwari
- Agostini Helen
- Akhtar Mansoor
- Al Shama Majed
- Alegria Ana
- Alexander Peter
- Ali Dhiraj
- Allen Katherine
- Anderson Iain
- Andrews Sam
- Ankers Alastair
- Aravind Biju
- Arnold Glenn
- Aryal Kamal
- Asaria Miqdad
- Baig Faisal
- Bailey Flora
- Bailey Lindsay
- Bailey Simon
- Baillie Kirsty
- Baker Susie
- Baldwin Lee
- Banerjea Ayan
- Banks Victoria
- Barker Jonathon
- Bartlett Rachel
- Baxter Linden
- Baxter Stephen
- Beavis Sarah
- Belagodu Zakaulla
- Bell Louise
- Bell Stephanie
- Bengeri Sheshagiri
- Benlloch Raoul
- Bews-hair Maria
- Bhardwaj Sian
- Bhowmick Arnab
- Bion Julian
- Bion Julian
- Black Helen
- Blazeby Jane
- Blenk Karl
- Blunt Mark
- Bodger Phoebe
- Borgeaud Nathan
- Bothma Pieter
- Bothma Pieter
- Bottomley David
- Bowery Sarah
- Boyd Christine
- Bradburn Mike
- Bradburn Mike
- Brady Will
- Brennan Andrew
- Brennan Emma
- Brescia Giovanni
- Brett Stephen
- Broad Dan
- Brodbeck Andreas
- Bromilow James
- Bronder Christine
- Browell David
- Brown James
- Brown Stephanie
- Bryce Gavin
- Buckley Sarah
- Bunker Nick
- Burns Karen
- Burrow James
- Burrow James
- Burrows Lorna
- Burtenshaw Andrew
- Cabreros Leilani
- Cain Kathryn
- Cain Martyn
- Calder Verity
- Campbell Marta
- Campbell-smith Tim
- Carey Kate
- Carmichael Jack
- Cartmell Mark
- Cartwright Charles
- Cecconi Maurizio
- Chadwick Michael
- Chambers Rob
- Chan Peter
- Chana Avninder
- Chatzimichail Stelios
- Chitre Vivek
- Christie Iain
- Cirstea Emanuel
- Claxton Andrew
- Clement Ian
- Coldwell Chris
- Coleman Mark
- Colley Julie
- Collins Paddy
- Conway Daniel
- Cook Esther
- Cook Fabian
- Cook Nicola
- Cooke Katie
- Cope Sean
- Cornforth Belinda
- Correia Carmen
- Corson John
- Crabtree Michael
- Craven Rachael
- Cromwell David
- Cruickshank Neil
- Cuming Tamzin
- Cunha Pedro
- Cupitt Jason
- Curtis Edward
- D'souza Rovan
- Davies Peter
- Davis Emma
- Davis Huw
- Dawson Chris
- Debrunner Robert
- Desikan Somi
- Dhingsa Rajpal
- Dickinson Natalie
- Divekar Nandita
- Dodd Phil
- Dorman Frankie
- Doughan Samer
- Dowling Susan
- Downey Sarah
- Doyle Donna
- Drake Sharon
- Dreyer Fanus
- Dumpala Rajesh
- Durant Emma
- Edwards Jennifer
- Edwards Mark
- El-damatty Essam
- El-masry Nabil
- Engel Arnth
- Escofet Xavier
- Evans Thomas
- Everingham Kirsty
- Evley Rachel
- Faiz Omar
- Farhat Sami
- Farrow Catherine
- Fawcet Adrian
- Felipe Rowena
- Fernandes Roy
- Finch Guy
- Fitton Laura
- Fitzgerald Peter
- Fletcher Simon
- Fletcher Steve
- Flint Neil
- Forbes Gordon
- Freshwater-turner Dan
- Full Jens
- Furneval Julie
- Ganepola Ranjit
- Gardner Matt
- Garg Sudha
- Gaughan Matthew
- Gay Mike
- Geary Tim
- Gerrard David
- Gerstina Nabua
- Gibbs Richard
- Gibson Bruce
- Gibson Simon
- Gill Kathryn
- Gillies Michael
- Girgis Amira
- Girling Alan
- Gokhale Jay
- Gordon Anthony
- Graham Laura
- Graham Linda
- Greenwood Jamie
- Griffin Ruth
- Griffith John
- Griffiths Ewen
- Griffiths Megan
- Grocott Mike
- Gursevak Singh
- Gurung Sarada
- Guruswamy Raman
- Hadi Nada
- Haigh Fran
- Hale Beth
- Hales Dawn
- Hall Elizabeth
- Hall Elizabeth
- Hanousek Jan
- Harper Nick
- Harris James
- Harris Simon
- Harrison Ewen
- Harrison Paul
- Hartopp Richard
- Harvard Tim
- Harwood Elizabeth
- Haslop Richard
- Hayden Paul
- Henderson Steven
- Henwood Mark
- Hermandes Anil
- Hester Simon
- Hill Oliver
- Hilton Valerie
- Hodges Stacy
- Hollister Nigel
- Holt Peter
- Holtham Anitha
- Hool Alison
- Hopkins Phil
- Hopper John
- Horner Chris
- Howard-griffin Richard
- Howell Simon
- Howes Helen
- Hu Ying
- Hudson Liam
- Humes David
- Hurford Dom
- Husain Tariq
- Hutchinson Steve
- Iftikhar Syed
- Ijaz Sami
- Inglis David
- Iqbal Qamar
- Ishaan Maitra
- Jah Asif
- Jain Susan
- Janokowski Stas
- Januszewska Marta
- Jardine Catherine
- Jemmet Kim
- Jennings Adrian
- Jhamatt Anita
- Jovaisa Tomas
- Jovestani Keiarash
- Kahan Brennan
- Kahan Brennan
- Karat Isabella
- Karlikowsk Michael
- Karvonen Jyrki
- Kerry Sally
- Kerry Sally
- Khalaf Wael
- Khater Magdy
- Kightly Lynsey
- Kirby-bott James
- Kirk-bayley Justin
- Knight Georgia
- Knowles Charles
- Kocman David
- Kuduvalli Preeti
- Kukreja Neil
- Kuldip Rai
- Kumar Peeyush
- Kunst Gudrun
- Kushakovsky Vlad
- Laba Damian
- Lake Stephen
- Lal Roshan
- Lamb Peter
- Lams Edward
- Langton Helen
- Lawson Maria
- Lawton Greg
- Leno Emma
- Leuwer Martin
- Leuwer Martin
- Lewis Chris
- Lewis Ricky
- Liasis Lampros
- Lilford Richard
- Limb James
- Lindner Andrew
- Linnett Vanessa
- Lobo Dileep
- Lourtie Jose
- Lyness Craig
- Lynne Kaighan
- Lythell Nicola
- Machesney Michael
- Mackinnon John
- Macklin Christopher
- Mahajan Ravi
- Mahroof Razeen
- Maiya Bala
- Makris Nikolaos
- Marangoni Gabriele
- Martin Graham
- Martin Graham
- Martin Graham
- Martin Michael
- Marwick Jeremy
- Mason Nick
- Mateo Dolores
- May Denzil
- Mcafee Sean
- Mcarthur Carol
- Mccairn Amanda
- Mccullough Jonathan
- Mcilveen Erin
- Mclachan Jenny
- Mclaren Paul
- Mcmenemie Fiona
- Mcmullan Sean
- Mcnelis Una
- Medici Thomas
- Melville David
- Menezes Flavia
- Mercer Stuart
- Miller Andrew
- Millican Dean
- Milne Gordon
- Minto Gary
- Minto Gary
- Mirza Nazzia
- Misane Inga
- Modha Jigna
- Mohanty Manab
- Mohr Otto
- Mohsen Yasser
- Mole Jonathon
- Moncaster Gareth
- Monk David
- Monkhouse Diane
- Moonesinghe Ramani
- Morgan Richard
- Morgan-jones Tom
- Morris Craig
- Morrison Alan
- Mosley Frances
- Moug Susan
- Mukherjee Dipankar
- Mull Ajaya
- Mullenheim Jost
- Munro Mark
- Murray Dave
- Murray David
- Murray Diane
- Murray Therese
- Muthuswamy Babu
- Myers Alister
- Mythen Monty
- Nadarajavan Senthil
- Naik Veena
- Narula Harjeet
- Nash Guy
- Natarajan Nat
- Niebrzegowska Edyta
- Noble Hamish
- Noble Paul
- Noblett Sophie
- Northey Martin
- Nutt Chris
- O'carroll-kuehn Britta
- O'connell Gillian
- O'dwyer Grainne
- O'loughlin Paul
- Obichere Marion
- Obideyi Ayodele
- Odejinmi Oluremi
- Omer Abdel
- Outram Matt
- Owen Tom
- Owen Tom
- Paddle Jonathan
- Panikkar Kumar
- Papagrigoriadis Savvas
- Parker Thomas
- Parrington Simon
- Parry Jones Jack
- Parsons Anthony
- Patel Hitesh
- Patel Panna
- Patel Rajan
- Patel Sanjiv
- Patil Vishal
- Patrick Abigail
- Pearse Rupert
- Pearse Rupert M
- Peden Carol
- Peden Carol J
- Pemberton Phillippa
- Perrin-brown Laura
- Phull Mandeep
- Pick Sara
- Pickford Alison
- Pitman Catherine
- Pogson David
- Porter Helen
- Pow Colin
- Prabhudesai Ash
- Pratt Heather
- Prematie Andreou
- Prestwich Stewart
- Protopapas Michael
- Pulletz Mark
- Pulsa Stefan
- Pushpa Nathan
- Radford Nicola
- Rafi Amir
- Raj Ashok
- Rajagopal Ramesh
- Raju Pasupathy
- Raulusaite Ilona
- Razouk Khaled
- Reed Helen
- Rehman Almas
- Richardson Gerry
- Richardson Gerry
- Richardson Peter
- Riddington David
- Riddington Sid
- Rimmer Catherine
- Ritzema Jenny
- Rivett Kate
- Rivett Kate
- Robert Glenn
- Robin Nicole
- Rochester Chloe
- Rooney Kevin
- Rooney Laura
- Rope Tamsin
- Rose Alastair
- Ross-anderson Davina
- Roth Sally
- Rousseau Guy
- Roy Alistair
- Rubulotta Francesca
- Sagadai Saravanna
- Sanders Grant
- Sange Mansoor
- Saran Taj
- Sarfi Shameem
- Satisha Mallikarjunappa
- Saunders David
- Saunders David
- Scase Anne
- Schwarz Magen
- Scott Alexandra
- Sebastian Dominic
- Shah Tanuja
- Shankar Kirosh
- Sharma Abhiram
- Sharma Meghna
- Shaw Debbie
- Shawcross Robert
- Shenoy Shrisha
- Shukla Amit
- Silsby Joseph
- Sim Kevin
- Sim Malcolm
- Simeson Karen
- Singh Jagdeep
- Singh Satish
- Singh Surjait
- Sivasankaranand Ajit
- Sleight Simon
- Smart Simon
- Smith Hannah
- Smith Neil
- Snazelle Mark
- Somasekar Krishnamurthy
- Sonia Makvana
- Sonksen Julian
- Spimpolo Jennifer
- Stacey Brenda
- Stafford Helena
- Stanley David
- Stapleton Clare
- Stapleton Clare
- Stark Gail
- Steel Alistair
- Stephens Tim
- Stephens Tim
- Stergios Tezas
- Stevens Amanda
- Stevenson Richard
- Stewart Lynn
- Stone Julian
- Stotz Martin
- Stranix Nicola
- Stuart Hazel
- Subar Daren
- Sugavanam Anita
- Suggett Nigel
- Sunthareswaran Rame
- Surendran Karthik
- Susarla Jay
- Sutcliffe Robert
- Szakmany Tamas
- Szakmany Tamas
- Talwar Anjay
- Tan Kerwei
- Tan Melanie
- Tanqueray Tabitha
- Tansley John
- Tarrant Carolyn
- Taylor Lynn
- Thacker Andy
- Thomas Ruth
- Thomson Ann
- Thomson Ann
- Thorn Chris
- Thorniley Andrew
- Thrush Jessica
- Tierney Gill
- Tighe Sean
- Tofte Barclay
- Toth-tarsoly Piroska
- Townsend Roger
- Tucker Olga
- Tucker Vanessa
- Tutton Matthew
- Tyson Susan
- Ukoumunne Obioha
- Vaganov Sergei
- Van De Velde Niko
- Varcada Massimo
- Varma Sandeep
- Vashisht Shubha
- Velchuru Vamsi
- Verma Karan
- Vig Stella
- Vimalchandran Dale
- Visavadia Rakhee
- Vivek Chitre
- Waddy Sam
- Wakeford Julie
- Waldmann Carl
- Walker Simon
- Waring Justin
- Waring Justin
- Warusavitarne Janindra
- Watfah Josef
- Watson Geoff
- Watson Mark
- Watson Nicholas
- Watson Nick
- Watters Malcolm
- Way Carolyn
- Wells Duncan
- Wells Duncan
- Wells John
- Welsh Fenella
- Welters Ingeborg
- Wharton Richard
- White Andrew
- White Tim
- Wijeykoon Sanjay
- Wilkinson Jonny
- Wilkinson Mark
- Williams Alexandra
- Williams Dewi
- Williams Gail
- Williams Gethin
- Wilson Chris
- Wilson Graham
- Wilson Lawrence
- Wollaston Julie
- Wolverson Adam
- Wong Kate
- Wood Marcus
- Woods Justin
- Wrathall Wayne
- Wright Jenny
- Yang Fan
- Ziprin Paul
- Ziprin Paul
- Zuzan Oliver
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/06/2019
- Field of study
Background: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. Methods: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. Findings: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96–1·28). Interpretation: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. Funding: National Institute for Health Research Health Services and Delivery Research Programme
Effectiveness of a national quality improvement programme to improve survival after emergency abdominal surgery (EPOCH): a stepped-wedge cluster-randomised trial
- Author
- Abbott
- Abdel Omer
- Abhiram Sharma
- Abigail Patrick
- Adam Wolverson
- Adrian Fawcet
- Adrian Jennings
- Aggarwal
- Ahmed
- Ajaya Mull
- Ajit Abraham
- Ajit Sivasankaranand
- Alan Girling
- Alan Morrison
- Alastair Ankers
- Alastair Rose
- Alexandra Scott
- Alexandra Williams
- Alison Hool
- Alison Pickford
- Alistair Roy
- Alistair Steel
- Alister Myers
- Almas Rehman
- Amanda McCairn
- Amanda Stevens
- Amir Rafi
- Amira Girgis
- Amit Shukla
- Ana Alegria
- Anderson
- Andreas Brodbeck
- Andreou Prematie
- Andrew Brennan
- Andrew Burtenshaw
- Andrew Claxton
- Andrew Lindner
- Andrew Miller
- Andrew Thorniley
- Andrew White
- Andy Thacker
- Anil Hermandes
- Anita Jhamatt
- Anita Sugavanam
- Anitha Holtham
- Anjay Talwar
- Ann Thomson
- Ann Thomson
- Anne Scase
- Anthony Gordon
- Anthony Parsons
- Arnab Bhowmick
- Arnth Engel
- Ash Prabhudesai
- Ashok Raj
- Asif Jah
- Auerbach
- Avninder Chana
- Ayan Banerjea
- Ayodele Obideyi
- Babu Muthuswamy
- Bala Maiya
- Banwari Agarwal
- Barclay Tofte
- Batalden
- Belinda Cornforth
- Benning
- Beth Hale
- Biju Aravind
- Bion
- Brenda Stacey
- Brennan C Kahan
- Brennan Kahan
- Britta O'Carroll-Kuehn
- Bruce Gibson
- Carl Waldmann
- Carmen Correia
- Carol J Peden
- Carol Mcarthur
- Carol Peden
- Carolyn Tarrant
- Carolyn Way
- Catherine Farrow
- Catherine Jardine
- Catherine Pitman
- Catherine Rimmer
- Charles Cartwright
- Charles Knowles
- Chitre Vivek
- Chloe Rochester
- Chris Coldwell
- Chris Dawson
- Chris Horner
- Chris Lewis
- Chris Nutt
- Chris Thorn
- Chris Wilson
- Christine Boyd
- Christine Bronder
- Christopher Macklin
- Clare Stapleton
- Clare Stapleton
- Colin Pow
- Craig Lyness
- Craig Morris
- Dale Vimalchandran
- Damian Laba
- Damschroder
- Dan Broad
- Dan Freshwater-Turner
- Daniel Conway
- Daren Subar
- Dave Murray
- David Bottomley
- David Browell
- David Cromwell
- David Gerrard
- David Humes
- David Inglis
- David Kocman
- David Melville
- David Monk
- David Murray
- David Pogson
- David Riddington
- David Saunders
- David Saunders
- David Stanley
- Davina Ross-Anderson
- Dawn Hales
- Dean Millican
- Debbie Shaw
- Denzil May
- Dewi Williams
- Dhiraj Ali
- Diane Monkhouse
- Diane Murray
- Dileep Lobo
- Dipankar Mukherjee
- Dixon-Woods
- Dolores Mateo
- Dom Hurford
- Dominic Sebastian
- Donna Doyle
- Duncan Wells
- Duncan Wells
- Edward Curtis
- Edward Lams
- Edyta Niebrzegowska
- Elizabeth Hall
- Elizabeth Hall
- Elizabeth Harwood
- Emanuel Cirstea
- Emma Brennan
- Emma Davis
- Emma Durant
- Emma Leno
- Erin Mcilveen
- Essam El-Damatty
- Esther Cook
- Everingham
- Ewen Griffiths
- Ewen Harrison
- Fabian Cook
- Faisal Baig
- Fan Yang
- Fanus Dreyer
- Fenella Welsh
- Ferdinand Adams
- Fiona McMenemie
- Flavia Menezes
- Flora Bailey
- Fran Haigh
- Frances Mosley
- Francesca Rubulotta
- Frankie Dorman
- Gabriele Marangoni
- Gail Stark
- Gail Williams
- Gareth Ackland
- Gareth Moncaster
- Gary Minto
- Gary Minto
- Gavin Bryce
- Geoff Watson
- Georgia Knight
- Gerry Richardson
- Gerry Richardson
- Gethin Williams
- Gill Tierney
- Gillian O'Connell
- Giovanni Brescia
- Glenn Arnold
- Glenn Robert
- Gordon Forbes
- Gordon Milne
- Graham Martin
- Graham Martin
- Graham Martin
- Graham Wilson
- Grainne O'Dwyer
- Grant Sanders
- Greg Lawton
- Gudrun Kunst
- Guy Finch
- Guy Nash
- Guy Rousseau
- Hamish Noble
- Hannah Smith
- Harjeet Narula
- Haynes
- Hazel Stuart
- Heather Pratt
- Helen Agostini
- Helen Black
- Helen Howes
- Helen Langton
- Helen Porter
- Helen Reed
- Helena Stafford
- Hitesh Patel
- Huddart
- Hussey
- Huw Davis
- Iain Anderson
- Iain Christie
- Ian Clement
- Ilona Raulusaite
- Inga Misane
- Ingeborg Welters
- Isabella Karat
- Jack Carmichael
- Jack Parry Jones
- Jagdeep Singh
- James Bromilow
- James Brown
- James Burrow
- James Burrow
- James Harris
- James Kirby-Bott
- James Limb
- Jamie Greenwood
- Jan Hanousek
- Jane Blazeby
- Janindra Warusavitarne
- Jason Cupitt
- Jay Gokhale
- Jay Susarla
- Jennifer Edwards
- Jennifer Spimpolo
- Jenny McLachan
- Jenny Ritzema
- Jenny Wright
- Jens Full
- Jeremy Marwick
- Jessica Thrush
- Jigna Modha
- John Abercrombie
- John Corson
- John Griffith
- John Hopper
- John Mackinnon
- John Tansley
- John Wells
- Jonathan Mccullough
- Jonathan Paddle
- Jonathon Barker
- Jonathon Mole
- Jonny Wilkinson
- Jose Lourtie
- Josef Watfah
- Joseph Silsby
- Jost Mullenheim
- Julian Bion
- Julian Bion
- Julian Sonksen
- Julian Stone
- Julie Colley
- Julie Furneval
- Julie Wakeford
- Julie Wollaston
- Justin Kirk-Bayley
- Justin Waring
- Justin Waring
- Justin Woods
- Jyrki Karvonen
- Kahan
- Kahan
- Kaighan Lynne
- Kamal Aryal
- Karan Verma
- Karen Burns
- Karen Simeson
- Karl Blenk
- Karthik Surendran
- Kate Carey
- Kate Rivett
- Kate Rivett
- Kate Wong
- Katherine Allen
- Kathryn Cain
- Kathryn Gill
- Katie Cooke
- Keiarash Jovestani
- Kenneth Adegoke
- Kerwei Tan
- Kevin Rooney
- Kevin Sim
- Khaled Razouk
- Kim Jemmet
- Kirosh Shankar
- Kirsty Baillie
- Kirsty Everingham
- Krishnamurthy Somasekar
- Kumar Panikkar
- Kuper
- Lampros Liasis
- Langley
- Laura Fitton
- Laura Graham
- Laura Perrin-Brown
- Laura Rooney
- Lawrence Wilson
- Leatherman
- Lee Baldwin
- Leilani Cabreros
- Liam Hudson
- Linda Graham
- Linden Baxter
- Lindsay Bailey
- Lorna Burrows
- Louise Bell
- Lynn Stewart
- Lynn Taylor
- Lynsey Kightly
- Magdy Khater
- Magen Schwarz
- Maitra Ishaan
- Majed Al Shama
- Makvana Sonia
- Malcolm Sim
- Malcolm Watters
- Mallikarjunappa Satisha
- Manab Mohanty
- Mandeep Phull
- Mansoor Akhtar
- Mansoor Sange
- Marcus Wood
- Maria Bews-Hair
- Maria Lawson
- Marion Obichere
- Mark Blunt
- Mark Cartmell
- Mark Coleman
- Mark Edwards
- Mark Henwood
- Mark Munro
- Mark Pulletz
- Mark Snazelle
- Mark Watson
- Mark Wilkinson
- Marta Campbell
- Marta Januszewska
- Martin
- Martin Leuwer
- Martin Leuwer
- Martin Northey
- Martin Stotz
- Martyn Cain
- Massimo Varcada
- Matt Gardner
- Matt Outram
- Matthew Gaughan
- Matthew Tutton
- Maurizio Cecconi
- Megan Griffiths
- Meghna Sharma
- Melanie Tan
- Michael Chadwick
- Michael Crabtree
- Michael Gillies
- Michael Karlikowsk
- Michael Machesney
- Michael Martin
- Michael Protopapas
- Michie
- Mike Bradburn
- Mike Bradburn
- Mike Gay
- Mike Grocott
- Miqdad Asaria
- Moller
- Monty Mythen
- Moraros
- Morgan
- Nabil El-Masry
- Nabua Gerstina
- Nada Hadi
- Nandita Divekar
- Nat Natarajan
- Natalie Dickinson
- Nathan Borgeaud
- Nathan Pushpa
- Nazar Abdul
- Nazzia Mirza
- Neil Cruickshank
- Neil Flint
- Neil Kukreja
- Neil Smith
- Nicholas Watson
- Nick Bunker
- Nick Harper
- Nick Mason
- Nick Watson
- Nicola Cook
- Nicola Lythell
- Nicola Radford
- Nicola Stranix
- Nicole Robin
- Nigel Hollister
- Nigel Suggett
- Niko Van De Velde
- Nikolaos Makris
- Obioha Ukoumunne
- Olga Tucker
- Oliver Hill
- Oliver Zuzan
- Oluremi Odejinmi
- Omar Faiz
- Otto Mohr
- Paddy Collins
- Panna Patel
- Pannick
- Pasupathy Raju
- Paul Harrison
- Paul Hayden
- Paul Mclaren
- Paul Noble
- Paul O'Loughlin
- Paul Ziprin
- Paul Ziprin
- Pedro Cunha
- Peeyush Kumar
- Peter Alexander
- Peter Chan
- Peter Davies
- Peter Fitzgerald
- Peter Holt
- Peter Lamb
- Peter Richardson
- Phil Dodd
- Phil Hopkins
- Phillippa Pemberton
- Phoebe Bodger
- Pieter Bothma
- Pieter Bothma
- Piroska Toth-Tarsoly
- Preeti Kuduvalli
- Presseau
- Qamar Iqbal
- Rachael Craven
- Rachel Bartlett
- Rachel Evley
- Rai Kuldip
- Rajan Patel
- Rajesh Dumpala
- Rajpal Dhingsa
- Rakhee Visavadia
- Raman Guruswamy
- Ramani Moonesinghe
- Rame Sunthareswaran
- Ramesh Rajagopal
- Ranjit Ganepola
- Raoul Benlloch
- Ravi Mahajan
- Razeen Mahroof
- Richard Gibbs
- Richard Hartopp
- Richard Haslop
- Richard Howard-Griffin
- Richard Lilford
- Richard Morgan
- Richard Stevenson
- Richard Wharton
- Ricky Lewis
- Rob Chambers
- Robert DeBrunner
- Robert Shawcross
- Robert Sutcliffe
- Roger Townsend
- Roshan Lal
- Rovan D'souza
- Rowena Felipe
- Roy Fernandes
- Rupert M Pearse
- Rupert Pearse
- Ruth Griffin
- Ruth Thomas
- Sally Kerry
- Sally Kerry
- Sally Roth
- Sam Andrews
- Sam Waddy
- Samer Doughan
- Sami Farhat
- Sami Ijaz
- Sandeep Varma
- Sanjay Wijeykoon
- Sanjiv Patel
- Sara Pick
- Sarada Gurung
- Sarah Beavis
- Sarah Bowery
- Sarah Buckley
- Sarah Downey
- Saravanna Sagadai
- Satish Singh
- Saunders
- Savvas Papagrigoriadis
- Schouten
- Sean Cope
- Sean McAfee
- Sean Mcmullan
- Sean Tighe
- Sedgwick
- Senthil Nadarajavan
- Sergei Vaganov
- Shameem Sarfi
- Sharon Drake
- Sheshagiri Bengeri
- Shrisha Shenoy
- Shubha Vashisht
- Sian Bhardwaj
- Sid Riddington
- Simon Bailey
- Simon Fletcher
- Simon Gibson
- Simon Harris
- Simon Hester
- Simon Howell
- Simon Parrington
- Simon Sleight
- Simon Smart
- Simon Walker
- Singh Gursevak
- Somi Desikan
- Sophie Noblett
- Stacy Hodges
- Stas Janokowski
- Stefan Pulsa
- Stelios Chatzimichail
- Stella Vig
- Stephanie Bell
- Stephanie Brown
- Stephen Baxter
- Stephen Brett
- Stephen Lake
- Stephens
- Steve Fletcher
- Steve Hutchinson
- Steven Henderson
- Stewart Prestwich
- Stuart Mercer
- Sudha Garg
- Surjait Singh
- Susan Dowling
- Susan Jain
- Susan Moug
- Susan Tyson
- Susie Baker
- Syed Iftikhar
- Tabitha Tanqueray
- Taj Saran
- Tamas Szakmany
- Tamas Szakmany
- Tamsin Rope
- Tamzin Cuming
- Tanuja Shah
- Tariq Husain
- Tengberg
- Tezas Stergios
- Therese Murray
- Thomas Evans
- Thomas Medici
- Thomas Parker
- Tim Campbell-Smith
- Tim Geary
- Tim Harvard
- Tim Stephens
- Tim Stephens
- Tim White
- Tom Abbott
- Tom Morgan-Jones
- Tom Owen
- Tom Owen
- Tomas Jovaisa
- Una McNelis
- Valerie Hilton
- Vamsi Velchuru
- Vanessa Linnett
- Vanessa Tucker
- Veena Naik
- Verity Calder
- Vester-Andersen
- Victoria Banks
- Vishal Patil
- Vivek Chitre
- Vlad Kushakovsky
- Wael Khalaf
- Wayne Wrathall
- White
- White
- Will Brady
- Williams
- Xavier Escofet
- Yasser Mohsen
- Ying Hu
- Zakaulla Belagodu
- Publication venue
- 'Elsevier BV'
- Publication date
- 05/10/2018
- Field of study
BACKGROUND: Emergency abdominal surgery is associated with poor patient outcomes. We studied the effectiveness of a national quality improvement (QI) programme to implement a care pathway to improve survival for these patients. METHODS: We did a stepped-wedge cluster-randomised trial of patients aged 40 years or older undergoing emergency open major abdominal surgery. Eligible UK National Health Service (NHS) hospitals (those that had an emergency general surgical service, a substantial volume of emergency abdominal surgery cases, and contributed data to the National Emergency Laparotomy Audit) were organised into 15 geographical clusters and commenced the QI programme in a random order, based on a computer-generated random sequence, over an 85-week period with one geographical cluster commencing the intervention every 5 weeks from the second to the 16th time period. Patients were masked to the study group, but it was not possible to mask hospital staff or investigators. The primary outcome measure was mortality within 90 days of surgery. Analyses were done on an intention-to-treat basis. This study is registered with the ISRCTN registry, number ISRCTN80682973. FINDINGS: Treatment took place between March 3, 2014, and Oct 19, 2015. 22 754 patients were assessed for elegibility. Of 15 873 eligible patients from 93 NHS hospitals, primary outcome data were analysed for 8482 patients in the usual care group and 7374 in the QI group. Eight patients in the usual care group and nine patients in the QI group were not included in the analysis because of missing primary outcome data. The primary outcome of 90-day mortality occurred in 1210 (16%) patients in the QI group compared with 1393 (16%) patients in the usual care group (HR 1·11, 0·96-1·28). INTERPRETATION: No survival benefit was observed from this QI programme to implement a care pathway for patients undergoing emergency abdominal surgery. Future QI programmes should ensure that teams have both the time and resources needed to improve patient care. FUNDING: National Institute for Health Research Health Services and Delivery Research Programme
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