4 research outputs found
Nurses\u27 Alumnae Association Bulletin, June 1966
President\u27s Message
Officers and Committee Chairmen
Financial Report
Report to Alumnae Association
Jefferson\u27s Development Program
Report of the School of Nursing
Student Activities
Nursing Service Staff Association
Resume of Alumnae Meetings
Ways and Means Report
Sick and Welfare
Membership
Private Duty
Scholarship
Building Fund
Social Committee
Class News
Notice
Nurses\u27 Alumnae Association Bulletin, June 1965
President\u27s Page
Officers and Committee Chairmen
Financial Report
Hospital and School of Nursing Report
Student Activities Annual Report
Students Activities Annual Report
Student Activities Annual Report
Jefferson Expansion Program
Psychiatric Unit
Progress of the Alumnae Association
Nightingale Pledge
Resume of Alumnae Meetings
Nursing Service Staff Association
Scholarship
Program
Sick and Welfare
Social Committee Report
Bulletin
Membership- WHY JOIN?
Private Duty Report
Annual Giving Report - 1964
PIT
Alumnae Day Notes
Building Fund Report - 1965
Vital Statistics
IN MEMORIAM
Class News
Affiliated Institutions
Notice
Ketamine augmentation of electroconvulsive therapy to improve neuropsychological and clinical outcomes in depression (Ketamine-ECT):A multicentre, double-blind, randomised, parallel-group, superiority trial
Summary
Background
The use of electroconvulsive therapy (ECT) is limited by concerns about its cognitive adverse effects. Preliminary evidence suggests that administering the glutamate antagonist ketamine with ECT might alleviate cognitive adverse effects and accelerate symptomatic improvement; we tested this in a randomised trial of low-dose ketamine.
Methods
In this multicentre, randomised, parallel-group study in 11 ECT suites serving inpatient and outpatient care settings in seven National Health Service trusts in the North of England, we recruited severely depressed patients, who were diagnosed as having unipolar or bipolar depressive episodes defined as moderate or severe by DSM-IV criteria, aged at least 18 years, and were able and willing to provide written consent to participate in the study. Patients were randomly assigned (1:1) to ketamine (0·5 mg/kg intravenous bolus) or saline adjunctive to the anaesthetic for the duration of their ECT course. Patients and assessment and ECT treatment teams were masked to treatment allocation, although anaesthetists administering the study medication were not. We analysed the primary outcome, Hopkins Verbal Learning Test-Revised delayed verbal recall (HVLT-R-DR) after four ECT treatments, using a Gaussian repeated measures model in all patients receiving the first ECT treatment. In the same population, safety was assessed by adverse effect monitoring. This trial was registered with International Standard Randomised Controlled Trial Number, number ISRCTN14689382.
Findings
Between early December, 2012, and mid-June, 2015, 628 patients were screened for eligibility, of whom 79 were randomly assigned to treatment (40 in the ketamine group vs 39 in the saline group). Ketamine (mean 5·17, SD 2·92), when compared with saline (5·54, 3·42), had no benefit on the primary outcome (HVLT-R-DR; difference in means −0·43 [95% CI −1·73 to 0·87]). 15 (45%) of 33 ketamine-treated patients compared with 10 (27%) of 37 patients receiving saline experienced at least one adverse event which included two (6%) of 33 patients who had ketamine-attributable transient psychological effects. Psychiatric adverse events were the most common in both groups (six [27%] of 22 adverse events in the ketamine group vs seven [54%] of 13 in the saline group).
Interpretation
No evidence of benefit for ketamine was found although the sample size used was small; however, the results excluded greater than a small to moderate benefit with 95% confidence. The results do not support the use of adjunctive low-dose ketamine in routine ECT treatment
Identification of seven new prostate cancer susceptibility loci through a genome-wide association study
Prostate cancer (PrCa) is the most frequently diagnosed male cancer in developed countries. To identify common PrCa susceptibility alleles, we have previously conducted a genome-wide association study in which 541, 129 SNPs were genotyped in 1,854 PrCa cases with clinically detected disease and 1,894 controls. We have now evaluated promising associations in a second stage, in which we genotyped 43,671 SNPs in 3,650 PrCa cases and 3,940 controls, and a third stage, involving an additional 16,229 cases and 14,821 controls from 21 studies. In addition to previously identified loci, we identified a further seven new prostate cancer susceptibility loci on chromosomes 2, 4, 8, 11, and 22 (P=1.6×10−8 to P=2.7×10−33)