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  1. Article: Pulse‐Exposure Toxicity of Ammonia and Propoxur to the Tropical Copepod Acartia sinjiensis

    Stone, Sarah / Koppel, Darren / Binet, Monique T. / Simpson, Stuart L. / Jolley, Dianne F.

    Environmental toxicology and chemistry. 2022 Jan., v. 41, no. 1

    2022  

    Abstract: Toxicity risk assessments of short‐term discharges of contaminated waters to the aquatic environment have shown that receptor organisms can tolerate higher pulse‐exposure than continuous‐exposure concentrations of some contaminants. However, these ... ...

    Abstract Toxicity risk assessments of short‐term discharges of contaminated waters to the aquatic environment have shown that receptor organisms can tolerate higher pulse‐exposure than continuous‐exposure concentrations of some contaminants. However, these observations are influenced by the mode of toxicity of the contaminants present and the concentration–time profile of the exposure. For common metal contaminants, the time‐weighted average concentration (TAC) of the exposure has been useful for predicting risk of toxicity to multiple species, including the tropical, euryhaline copepod Acartia sinjiensis. To increase our understanding of the application and limitations of the TAC approach, the present study examined how varied pulse‐exposure durations affect the toxicity of fast‐acting contaminants, ammonia, and the common pesticide propoxur to this copepod species. Copepod larvae were exposed under continuous‐exposure conditions (all life stages from eggs to nauplii to copepodites exposed) and as 6‐ and 18‐h pulse exposures applied during the most sensitive life stage only (24‐h‐old nauplii) within 78‐h tests. Larval development ratio and population size were assessed as test endpoints. Generally, increased exposure duration resulted in increased toxicity. Trends observed for ammonia and propoxur were slightly different for larval development and population size. Larvae tolerated greater concentrations of contaminants in a 6‐h pulse (higher 10% effect concentration) than in an 18‐h pulse, or a continuous 78‐h exposure, whereas toxicity responses converged for the 18‐ and 78‐h exposures. Continuous toxicity thresholds were always protective of pulse exposures, providing a conservative toxicity threshold for all durations of pulse exposures. Although generalizations for predictions of risk based on TACs are frequently effective for common metal contaminants, the TAC approach was not effective for ammonia and propoxur. Environ Toxicol Chem 2022;41:208–218. © 2021 SETAC
    Keywords Acartia ; ammonia ; aquatic environment ; chemistry ; ecotoxicology ; exposure duration ; larval development ; nauplii ; population size ; propoxur ; risk ; time-weighted average ; toxicity
    Language English
    Dates of publication 2022-01
    Size p. 208-218.
    Publishing place John Wiley & Sons, Ltd
    Document type Article
    Note JOURNAL ARTICLE
    ZDB-ID 46234-2
    ISSN 1552-8618 ; 0730-7268
    ISSN (online) 1552-8618
    ISSN 0730-7268
    DOI 10.1002/etc.5235
    Database NAL-Catalogue (AGRICOLA)

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  2. Article ; Online: A Digitally Enabled, Pharmacist service to detecT medicine harms in residential aged care (nursing home) (ADEPT): protocol for a feasibility study.

    Boord, Monique S / Brown, Peter / Soriano, Julian / Meola, Tahlia / Dumuid, Dorothea / Milte, Rachel / Roughead, Elizabeth E / Lovell, Nigel H / Stone, Helen / Whitehouse, Joseph / Janetzki, Jack L / Gebreyohannes, Eyob Alemayehu / Lim, Renly

    BMJ open

    2024  Volume 14, Issue 2, Page(s) e080148

    Abstract: Introduction: This feasibility study aims to develop and test a new model of practice in Australia using digital technologies to enable pharmacists to monitor early signs and symptoms of medicine-induced harms in residential aged care.: Methods and ... ...

    Abstract Introduction: This feasibility study aims to develop and test a new model of practice in Australia using digital technologies to enable pharmacists to monitor early signs and symptoms of medicine-induced harms in residential aged care.
    Methods and analysis: Thirty residents will be recruited from an aged care facility in South Australia. The study will be conducted in two phases. In phase I, the study team will work with aged care software providers and developers of digital technologies (a wearable activity tracker and a sleep tracking sensor) to gather physical activity and sleep data, as well as medication and clinical data from the electronic medication management system and aged care clinical software. Data will be centralised into a cloud-based monitoring platform (TeleClinical Care (TCC)). The TCC will be used to create dashboards that will include longitudinal visualisations of changes in residents' health, function and medicine use over time. In phase II, the on-site pharmacist will use the centralised TCC platform to monitor each resident's medicine, clinical, physical activity and sleep data to identify signs of medicine-induced harms over a 12-week period.A mixed methods process evaluation applying the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) evaluation framework will be used to assess the feasibility of the service. Outcome measures include service reach, changes in resident symptom scores (measured using the Edmonton Symptom Assessment System), number of medication adverse events detected, changes in physical activity and sleep, number of pharmacist recommendations provided, cost analysis and proportion of all pharmacists' recommendations implemented at 4-week, 8-week and 12-week postbaseline period.
    Ethics and dissemination: Ethical approval has been obtained from the University of South Australia's Human Research Ethics Committee (205098). Findings will be disseminated through published manuscripts, conference presentations and reporting to the study funder.
    Trial registration number: ACTRN12623000506695.
    MeSH term(s) Humans ; Aged ; Pharmacists ; Feasibility Studies ; Nursing Homes ; Skilled Nursing Facilities ; Outcome Assessment, Health Care
    Language English
    Publishing date 2024-02-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-080148
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pulse-Exposure Toxicity of Ammonia and Propoxur to the Tropical Copepod Acartia sinjiensis.

    Stone, Sarah / Koppel, Darren / Binet, Monique T / Simpson, Stuart L / Jolley, Dianne F

    Environmental toxicology and chemistry

    2021  Volume 41, Issue 1, Page(s) 208–218

    Abstract: Toxicity risk assessments of short-term discharges of contaminated waters to the aquatic environment have shown that receptor organisms can tolerate higher pulse-exposure than continuous-exposure concentrations of some contaminants. However, these ... ...

    Abstract Toxicity risk assessments of short-term discharges of contaminated waters to the aquatic environment have shown that receptor organisms can tolerate higher pulse-exposure than continuous-exposure concentrations of some contaminants. However, these observations are influenced by the mode of toxicity of the contaminants present and the concentration-time profile of the exposure. For common metal contaminants, the time-weighted average concentration (TAC) of the exposure has been useful for predicting risk of toxicity to multiple species, including the tropical, euryhaline copepod Acartia sinjiensis. To increase our understanding of the application and limitations of the TAC approach, the present study examined how varied pulse-exposure durations affect the toxicity of fast-acting contaminants, ammonia, and the common pesticide propoxur to this copepod species. Copepod larvae were exposed under continuous-exposure conditions (all life stages from eggs to nauplii to copepodites exposed) and as 6- and 18-h pulse exposures applied during the most sensitive life stage only (24-h-old nauplii) within 78-h tests. Larval development ratio and population size were assessed as test endpoints. Generally, increased exposure duration resulted in increased toxicity. Trends observed for ammonia and propoxur were slightly different for larval development and population size. Larvae tolerated greater concentrations of contaminants in a 6-h pulse (higher 10% effect concentration) than in an 18-h pulse, or a continuous 78-h exposure, whereas toxicity responses converged for the 18- and 78-h exposures. Continuous toxicity thresholds were always protective of pulse exposures, providing a conservative toxicity threshold for all durations of pulse exposures. Although generalizations for predictions of risk based on TACs are frequently effective for common metal contaminants, the TAC approach was not effective for ammonia and propoxur. Environ Toxicol Chem 2022;41:208-218. © 2021 SETAC.
    MeSH term(s) Ammonia/toxicity ; Animals ; Copepoda ; Larva ; Metals/toxicity ; Propoxur ; Water Pollutants, Chemical/toxicity
    Chemical Substances Metals ; Water Pollutants, Chemical ; Ammonia (7664-41-7) ; Propoxur (BFH029TL73)
    Language English
    Publishing date 2021-12-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 46234-2
    ISSN 1552-8618 ; 0730-7268
    ISSN (online) 1552-8618
    ISSN 0730-7268
    DOI 10.1002/etc.5235
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Exposure duration and composition are important variables to predict short-term toxicity of effluents to a tropical copepod, Acartia sinjiensis.

    Stone, Sarah / McKnight, Kitty S / Naab, Christoph / Koppel, Darren J / Binet, Monique T / Jolley, Dianne F / Simpson, Stuart L

    Environmental pollution (Barking, Essex : 1987)

    2022  Volume 301, Page(s) 119012

    Abstract: Predicting the toxicity of effluent exposures, which vary in duration, composition, and concentration, poses a challenge for ecological risk assessments. Effluent discharges may frequently result in the exposure of aquatic organisms to high ... ...

    Abstract Predicting the toxicity of effluent exposures, which vary in duration, composition, and concentration, poses a challenge for ecological risk assessments. Effluent discharges may frequently result in the exposure of aquatic organisms to high concentrations of mixed contaminants for short durations. In the receiving environment effluents will undergo dilution and physical or chemical processes that further reduce contaminant concentrations at varying rates. To date, most studies comparing toxicity risks of continuous and pulsed contaminant exposures have focused on individual contaminants. In this study, the toxicity to the tropical euryhaline copepod Acartia sinjiensis of two complex effluents was assessed, comparing 6- and 18-h pulses and 78-h continuous exposures. Observations of larval development success and population size were completed after a 78-h incubation period, to observe for latent effects after pulse exposures. The chemical compositions of the effluents were assessed over time and different contaminants (i.e., metals, ammonia or organics) declined at differing rates. These were characterized as either a minimal, steady, or rapid decline. Nauplii development and population after 78 h were more impacted by effluent exposures following an 18-h pulse, compared to a 6-h pulse. Based on pulse-exposure concentrations, the 50% effect concentrations (EC50) were similar for continuous and 18-h exposures but up to 3-fold greater (lower toxicity) for the shorter 6-h exposures. Time-weighted average concentrations did not accurately predict toxicity from pulse exposures of the effluents. Concentration-addition toxicity modelling using toxicity data from pulse exposures of single contaminants was useful for predicting the toxicity of chemical mixtures exposed for varying durations. Recommendations for modified approaches to assessing risks of short-term effluent discharges are discussed.
    MeSH term(s) Ammonia ; Animals ; Copepoda ; Copper/toxicity ; Metals/toxicity ; Water Pollutants, Chemical/analysis ; Water Pollutants, Chemical/toxicity
    Chemical Substances Metals ; Water Pollutants, Chemical ; Ammonia (7664-41-7) ; Copper (789U1901C5)
    Language English
    Publishing date 2022-02-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 280652-6
    ISSN 1873-6424 ; 0013-9327 ; 0269-7491
    ISSN (online) 1873-6424
    ISSN 0013-9327 ; 0269-7491
    DOI 10.1016/j.envpol.2022.119012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The effects of pulse exposures of metal toxicants on different life stages of the tropical copepod Acartia sinjiensis.

    Stone, Sarah / McKnight, Kitty / Legendre, Laura / Koppel, Darren J / Binet, Monique T / Simpson, Stuart L / Jolley, Dianne F

    Environmental pollution (Barking, Essex : 1987)

    2021  Volume 285, Page(s) 117212

    Abstract: ... effect concentrations (chronic EC50) for larval development of 1.7, 8.6 and 0.7 μg L ...

    Abstract Effluent discharges can potentially result in high concentrations of metals entering aquatic environments for short durations, ranging from a few hours to days. The environmental risks of such exposures are challenging to accurately assess. Risk assessment tools for effluent discharges include comparison of toxicant concentrations with guideline values and the use of direct toxicity assessments, both of which were designed to assess continuous, rather than pulse, contaminant exposures. In this study, a chronic pulse-exposure toxicity test was developed using the tropical euryhaline calanoid copepod Acartia sinjiensis. This copepod has a rapid life cycle and is highly sensitive to metal contaminants, with 50% effect concentrations (chronic EC50) for larval development of 1.7, 8.6 and 0.7 μg L
    MeSH term(s) Animals ; Copepoda ; Copper ; Metals/toxicity ; Toxicity Tests, Chronic ; Water Pollutants, Chemical/toxicity
    Chemical Substances Metals ; Water Pollutants, Chemical ; Copper (789U1901C5)
    Language English
    Publishing date 2021-04-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 280652-6
    ISSN 1873-6424 ; 0013-9327 ; 0269-7491
    ISSN (online) 1873-6424
    ISSN 0013-9327 ; 0269-7491
    DOI 10.1016/j.envpol.2021.117212
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Comprehensive quality assessment for aphasia rehabilitation after stroke: protocol for a multicentre, mixed-methods study.

    Harvey, Sam / Stone, Marissa / Zingelman, Sally / Copland, David A / Kilkenny, Monique F / Godecke, Erin / Cadilhac, Dominique A / Kim, Joosup / Olaiya, Muideen T / Rose, Miranda L / Breitenstein, Caterina / Shrubsole, Kirstine / O'Halloran, Robyn / Hill, Annie J / Hersh, Deborah / Mainstone, Kathryn / Mainstone, Penelope / Unsworth, Carolyn A / Brogan, Emily /
    Short, Kylie J / Burns, Clare L / Baker, Caroline / Wallace, Sarah J

    BMJ open

    2024  Volume 14, Issue 3, Page(s) e080532

    Abstract: Introduction: People with aphasia following stroke experience disproportionally poor outcomes, yet there is no comprehensive approach to measuring the quality of aphasia services. The Meaningful Evaluation of Aphasia SeRvicES (MEASuRES) minimum dataset ... ...

    Abstract Introduction: People with aphasia following stroke experience disproportionally poor outcomes, yet there is no comprehensive approach to measuring the quality of aphasia services. The Meaningful Evaluation of Aphasia SeRvicES (MEASuRES) minimum dataset was developed in partnership with people with lived experience of aphasia, clinicians and researchers to address this gap. It comprises sociodemographic characteristics, quality indicators, treatment descriptors and outcome measurement instruments. We present a protocol to pilot the MEASuRES minimum dataset in clinical practice, describe the factors that hinder or support implementation and determine meaningful thresholds of clinical change for core outcome measurement instruments.
    Methods and analysis: This research aims to deliver a comprehensive quality assessment toolkit for poststroke aphasia services in four studies. A multicentre pilot study (study 1) will test the administration of the MEASuRES minimum dataset within five Australian health services. An embedded mixed-methods process evaluation (study 2) will evaluate the performance of the minimum dataset and explore its clinical applicability. A consensus study (study 3) will establish consumer-informed thresholds of meaningful change on core aphasia outcome constructs, which will then be used to establish minimal important change values for corresponding core outcome measurement instruments (study 4).
    Ethics and dissemination: Studies 1 and 2 have been registered with the Australian and New Zealand Clinical Trial Registry (ACTRN12623001313628). Ethics approval has been obtained from the Royal Brisbane and Women's Hospital (HREC/2023/MNHB/95293) and The University of Queensland (2022/HE001946 and 2023/HE001175). Study findings will be disseminated through peer-reviewed publications, conference presentations and engagement with relevant stakeholders including healthcare providers, policy-makers, stroke and rehabilitation audit and clinical quality registry custodians, consumer support organisations, and individuals with aphasia and their families.
    MeSH term(s) Female ; Humans ; Pilot Projects ; Quality of Life ; Australia ; Stroke/complications ; Stroke/therapy ; Aphasia/rehabilitation ; Stroke Rehabilitation ; Multicenter Studies as Topic
    Language English
    Publishing date 2024-03-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-080532
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Exposure duration and composition are important variables to predict short-term toxicity of effluents to a tropical copepod, Acartia sinjiensis

    Stone, Sarah / McKnight, Kitty S. / Naab, Christoph / Koppel, Darren J. / Binet, Monique T. / Jolley, Dianne F. / Simpson, Stuart L.

    Environmental pollution. 2022 May 15, v. 301

    2022  

    Abstract: Predicting the toxicity of effluent exposures, which vary in duration, composition, and concentration, poses a challenge for ecological risk assessments. Effluent discharges may frequently result in the exposure of aquatic organisms to high ... ...

    Abstract Predicting the toxicity of effluent exposures, which vary in duration, composition, and concentration, poses a challenge for ecological risk assessments. Effluent discharges may frequently result in the exposure of aquatic organisms to high concentrations of mixed contaminants for short durations. In the receiving environment effluents will undergo dilution and physical or chemical processes that further reduce contaminant concentrations at varying rates. To date, most studies comparing toxicity risks of continuous and pulsed contaminant exposures have focused on individual contaminants. In this study, the toxicity to the tropical euryhaline copepod Acartia sinjiensis of two complex effluents was assessed, comparing 6- and 18-h pulses and 78-h continuous exposures. Observations of larval development success and population size were completed after a 78-h incubation period, to observe for latent effects after pulse exposures. The chemical compositions of the effluents were assessed over time and different contaminants (i.e., metals, ammonia or organics) declined at differing rates. These were characterized as either a minimal, steady, or rapid decline. Nauplii development and population after 78 h were more impacted by effluent exposures following an 18-h pulse, compared to a 6-h pulse. Based on pulse-exposure concentrations, the 50% effect concentrations (EC50) were similar for continuous and 18-h exposures but up to 3-fold greater (lower toxicity) for the shorter 6-h exposures. Time-weighted average concentrations did not accurately predict toxicity from pulse exposures of the effluents. Concentration-addition toxicity modelling using toxicity data from pulse exposures of single contaminants was useful for predicting the toxicity of chemical mixtures exposed for varying durations. Recommendations for modified approaches to assessing risks of short-term effluent discharges are discussed.
    Keywords Acartia ; ammonia ; euryhaline species ; exposure duration ; larval development ; median effective concentration ; nauplii ; pollution ; population size ; risk ; time-weighted average
    Language English
    Dates of publication 2022-0515
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 280652-6
    ISSN 1873-6424 ; 0013-9327 ; 0269-7491
    ISSN (online) 1873-6424
    ISSN 0013-9327 ; 0269-7491
    DOI 10.1016/j.envpol.2022.119012
    Database NAL-Catalogue (AGRICOLA)

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  8. Article: The effects of pulse exposures of metal toxicants on different life stages of the tropical copepod Acartia sinjiensis

    Stone, Sarah / McKnight, Kitty / Legendre, Laura / Koppel, Darren J / Binet, Monique T / Simpson, Stuart L / Jolley, Dianne F

    Environmental pollution. 2021 Sept. 15, v. 285

    2021  

    Abstract: ... effect concentrations (chronic EC50) for larval development of 1.7, 8.6 and 0.7 μg L⁻¹ for copper, nickel and zinc ...

    Abstract Effluent discharges can potentially result in high concentrations of metals entering aquatic environments for short durations, ranging from a few hours to days. The environmental risks of such exposures are challenging to accurately assess. Risk assessment tools for effluent discharges include comparison of toxicant concentrations with guideline values and the use of direct toxicity assessments, both of which were designed to assess continuous, rather than pulse, contaminant exposures. In this study, a chronic pulse-exposure toxicity test was developed using the tropical euryhaline calanoid copepod Acartia sinjiensis. This copepod has a rapid life cycle and is highly sensitive to metal contaminants, with 50% effect concentrations (chronic EC50) for larval development of 1.7, 8.6 and 0.7 μg L⁻¹ for copper, nickel and zinc, respectively. The toxicities of copper and nickel were assessed as a continuous exposure (78 h) and as pulses (3, 6 and 18 h) initiated at varying life stages, from egg to copepodite, and measured larval development over 78 h. Generally, 24-h old nauplii were more sensitive or of similar sensitivity to copper and nickel pulses than 48-h old nauplii. The 78-h test duration enabled observations of chronic effects following pulse exposures, which frequently occurred in the absence of acute effects. The EC50 values for pulse exposures were higher than those of continuous exposure by up to approximately 16-fold and 15-fold for copper and nickel, respectively. When metal-pulse exposure concentrations were expressed using the time-weighted averaged concentration (TAC), resultant concentration response curves were similar to those in continuous exposures to the same metal, suggesting that thresholds based on continuous exposures were also protective for pulse exposures to these metals. This research improves our understanding of the toxicity of pulse contaminant exposures and assists with developing improved approaches to for the risk assessment and regulation of short-term contaminant discharges.
    Keywords Acartia ; copper ; eggs ; euryhaline species ; guidelines ; larval development ; median effective concentration ; nauplii ; nickel ; pollution ; risk assessment ; toxic substances ; toxicity ; toxicity testing ; zinc
    Language English
    Dates of publication 2021-0915
    Publishing place Elsevier Ltd
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 280652-6
    ISSN 1873-6424 ; 0013-9327 ; 0269-7491
    ISSN (online) 1873-6424
    ISSN 0013-9327 ; 0269-7491
    DOI 10.1016/j.envpol.2021.117212
    Database NAL-Catalogue (AGRICOLA)

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  9. Article ; Online: Treatment of Resistant Hypertension With Endovascular Baroreflex Amplification: 3-Year Results From the CALM-FIM Study.

    van Kleef, Monique E A M / Devireddy, Chandan M / van der Heyden, Jan / Bates, Mark C / Bakris, George L / Stone, Gregg W / Williams, Bryan / Spiering, Wilko

    JACC. Cardiovascular interventions

    2022  Volume 15, Issue 3, Page(s) 321–332

    Abstract: Objectives: The aim of this study was to evaluate the long-term (3-year) safety and effectiveness of endovascular baroreflex amplification (EVBA) from both the European and American CALM-FIM cohorts.: Background: The CALM-FIM study demonstrated that ... ...

    Abstract Objectives: The aim of this study was to evaluate the long-term (3-year) safety and effectiveness of endovascular baroreflex amplification (EVBA) from both the European and American CALM-FIM cohorts.
    Background: The CALM-FIM study demonstrated that EVBA in patients with resistant hypertension significantly lowered blood pressure (BP) with an acceptable safety profile during 6-month follow-up.
    Methods: The CALM-FIM studies were prospective, nonrandomized, first-in-human studies that enrolled patients with resistant hypertension (office systolic BP ≥160 mm Hg and mean 24-hour ambulatory BP ≥130/80 mm Hg despite a stable regimen of ≥3 antihypertensive medications, including a diuretic agent). The incidence of (serious) adverse events and changes in BP, heart rate, and prescribed antihypertensive medication up to 3 years after implantation were determined.
    Results: The Mobius device was implanted in 47 patients (30 in Europe, 17 in the United States; mean age 54 years, 23 women). Five serious adverse events (hypotension, n = 2; hypertension, n = 1; vascular access complications, n = 2) and 2 transient ischemic attacks occurred within 30 days postprocedure. Two strokes and 1 transient ischemic attack occurred more than 2 years postimplantation. Mean office BP at baseline was 181 ± 17/107 ± 16 mm Hg and decreased by 25/12 mm Hg (95% CI: 17-33/8-17 mm Hg) at 6 months and 30/12 mm Hg (95% CI: 21-38/8-17 mm Hg) at 3 years. Mean 24-hour ambulatory BP at baseline was 166 ± 16/98 ± 15 mm Hg and decreased by 20/11 mm Hg (95% CI: 14-25/8-15 mm Hg) at 6 months.
    Conclusions: EVBA with the MobiusHD was effective in reducing BP at 3-year follow-up and appears to have an acceptable safety profile in patients with uncomplicated implantation, although data from randomized sham-controlled trials are needed to further evaluate the risk-benefit profile. (Controlling and Lowering Blood Pressure With the MobiusHD™ [CALM-FIM_EUR], NCT01911897; Controlling and Lowering Blood Pressure With the MobiusHD™ [CALM-FIM_US], NCT01831895).
    MeSH term(s) Antihypertensive Agents/adverse effects ; Baroreflex/physiology ; Blood Pressure ; Blood Pressure Monitoring, Ambulatory ; Female ; Humans ; Hypertension/diagnosis ; Hypertension/drug therapy ; Male ; Middle Aged ; Prospective Studies ; Treatment Outcome
    Chemical Substances Antihypertensive Agents
    Language English
    Publishing date 2022-02-11
    Publishing country United States
    Document type Clinical Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2452157-7
    ISSN 1876-7605 ; 1936-8798
    ISSN (online) 1876-7605
    ISSN 1936-8798
    DOI 10.1016/j.jcin.2021.12.015
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  10. Article ; Online: Measuring Developmental Delays: Comparison of Parent Report and Direct Testing.

    Ozonoff, Sally / Gangi, Devon / Corona, Laura / Foster, Tori / Hill, Monique Moore / Honaker, Makayla / Maqbool, Shyeena / Ni, Rachel / Nicholson, Amy / Parikh, Chandni / Stone, Caitlin / Spitler, Anna Kathleen / Swanson, Amy / Vehorn, Alison / Wagner, Liliana / Weitlauf, Amy / Warren, Zachary

    Journal of autism and developmental disorders

    2024  

    Abstract: Purpose: Developmental assessment is part of a comprehensive autism evaluation. During in-person evaluations, developmental assessment is completed via direct testing by an examiner. In telehealth evaluations, developmental assessment relies on ... ...

    Abstract Purpose: Developmental assessment is part of a comprehensive autism evaluation. During in-person evaluations, developmental assessment is completed via direct testing by an examiner. In telehealth evaluations, developmental assessment relies on caregiver-report instruments. This study examined correspondence between caregiver report and direct testing of developmental skills.
    Methods: Participants were 93 children, aged 18-42 months, undergoing evaluation for possible autism spectrum disorder (ASD). Caregivers were interviewed with the Developmental Profile, 4th edition (DP-4) via telehealth platform and children were tested in person 2-4 weeks later using the Mullen Scales of Early Learning (MSEL).
    Results: Correlations between the DP-4 and MSEL were high (ranging from 0.50 to 0.82) across standard scores, age equivalents, and functional categories, as well as across individual subtests and overall composite scores.
    Conclusion: The high convergent validity found in this study suggests that the DP-4 provides a suitable proxy for direct developmental testing using the MSEL in the context of telehealth evaluations for ASD in young children, delivering a good estimate of both developmental functioning and presence of delays.
    Trial registration: Data were obtained from registered clinical trial NCT05047224, date of registration 2021-09-07.
    Language English
    Publishing date 2024-02-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 391999-7
    ISSN 1573-3432 ; 0162-3257
    ISSN (online) 1573-3432
    ISSN 0162-3257
    DOI 10.1007/s10803-024-06292-8
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