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Article ; Online: Prognostic and predictive impact of MGMT promoter methylation in grade 3 gliomas.

Haque, Waqar / Thong, Elaine / Andrabi, Sara / Verma, Vivek / Brian Butler, E / Teh, Bin S

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

2021 Volume 85, Page(s) 115–121

Abstract: Background: Grade 3 gliomas are aggressive primary brain tumors. Promoter methylation of methyl guanine methyl transferase (MGMT) has been associated with a favorable prognosis in patients with glioblastoma, but the impact of MGMT promoter methylation ... ...

Abstract	Background: Grade 3 gliomas are aggressive primary brain tumors. Promoter methylation of methyl guanine methyl transferase (MGMT) has been associated with a favorable prognosis in patients with glioblastoma, but the impact of MGMT promoter methylation in patients with grade 3 gliomas is less clear. The purpose of the present study was to evaluate the utilization of MGMT testing in patients with Grade 3 glioma, as well its prognostic and predictive value. Methods: The National Cancer Database (NCDB) was queried (2004-2016) for patients with newly diagnosed grade 3 glioma without 1p19q codeletion. Statistics included Kaplan-Meier overall survival (OS) analysis, along with Cox proportional hazards modeling. Results: Of 20,488 total patients, 1,209 (5.0%) had MGMT testing. Of these patients, 561 (46.4%) were MGMT methylated (mMGMT), and 648 (53.6%) were MGMT unmethylated (uMGMT). mMGMT patients experienced greater median overall survival (OS) than both uMGMT patients as well as patients with no MGMT status reported (p < 0.05 for both). mMGMT was associated with improved OS for patients receiving adjuvant chemoradiation or adjuvant radiation, but not for patients receiving adjuvant chemotherapy or no adjuvant treatment. Conclusions: This is the largest study to date describing the utilization of and outcomes for mMGMT patients with grade 3 glioma. The present results demonstrate that mMGMT is a prognostic factor and possibly a predictive biomarker, and is currently under-utilized within the US. MGMT methylation status could be used to risk-stratify and select patients for treatment intensification. Importance of study: The present study is the largest of its kind to examine the prognostic and predictive impact of MGMT methylation (mMGMT) amongst patients with Grade 3 Glioma. The results suggest that mMGMT is prognostic, as amongst all patients, mMGMT was associated with improved overall survival. These results also suggest that mMGMT is predictive, as patients treated with adjuvant chemoradiation or adjuvant radiation therapy did have improved overall survival with mMGMT, though there was no difference in overall survival observes amongst patients receiving adjuvant chemotherapy or those patients receiving no adjuvant treatment. The study also found that only 5% of patients nationwide with Grade 3 Glioma are tested for MGMT.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Biomarkers, Tumor/genetics ; Brain Neoplasms/genetics ; Brain Neoplasms/mortality ; Brain Neoplasms/pathology ; DNA Methylation/genetics ; DNA Modification Methylases/genetics ; DNA Repair Enzymes/genetics ; Female ; Glioma/genetics ; Glioma/mortality ; Glioma/pathology ; Humans ; Kaplan-Meier Estimate ; Middle Aged ; Prognosis ; Promoter Regions, Genetic/genetics ; Tumor Suppressor Proteins/genetics
Chemical Substances	Biomarkers, Tumor ; Tumor Suppressor Proteins ; DNA Modification Methylases (EC 2.1.1.-) ; MGMT protein, human (EC 2.1.1.63) ; DNA Repair Enzymes (EC 6.5.1.-)
Language	English
Publishing date	2021-01-21
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	1193674-5
ISSN	1532-2653 ; 0967-5868
ISSN (online)	1532-2653
ISSN	0967-5868
DOI	10.1016/j.jocn.2020.12.028
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Article ; Online: Atrial fibrillation incidence and outcomes in two cohorts of octogenarians: LiLACS NZ.

Teh, Ruth / Kerse, Ngaire / Pillai, Avinesh / Lumley, Thomas / Rolleston, Anna / Kyaw, Tin Aung / Connolly, Martin / Broad, Joanna / Monteiro, Elaine / Clair, Valerie Wright-St / Doughty, Robert N

BMC geriatrics

2023 Volume 23, Issue 1, Page(s) 197

Abstract: Background: Atrial fibrillation (AF), the most common cardiac arrhythmia in the general population, has significant healthcare burden. Little is known about AF in octogenarians.: Objective: To describe the prevalence and incidence rate of AF in New ... ...

Abstract	Background: Atrial fibrillation (AF), the most common cardiac arrhythmia in the general population, has significant healthcare burden. Little is known about AF in octogenarians. Objective: To describe the prevalence and incidence rate of AF in New Zealand (NZ) octogenarians and the risk of stroke and mortality at 5-year follow-up. Design: Longitudinal Cohort Study. Setting: Bay of Plenty and Lakes health regions of New Zealand. Subjects: Eight-hundred-seventy-seven (379 indigenous Māori, 498 non-Māori) were included in the analysis. Methods: AF, stroke/TIA events and relevant co-variates were established annually using self-report and hospital records (and ECG for AF). Cox proportional-hazards regression models were used to determine the time dependent AF risk of stroke/TIA. Results: AF was present in 21% at baseline (Māori 26%, non-Māori 18%), the prevalence doubled over 5-years (Māori 50%, non-Māori 33%). 5-year AF incidence was 82.6 /1000-person years and at all times AF incidence for Māori was twice that of non-Māori. Five-year stroke/TIA prevalence was 23% (22% in Māori and 24% non- Māori), higher in those with AF than without. AF was not independently associated with 5-year new stroke/TIA; baseline systolic blood pressure was. Mortality was higher for Māori, men, those with AF and CHF and statin use was protective. In summary, AF is more prevalent in indigenous octogenarians and should have an increased focus in health care management. Further research could examine treatment in more detail to facilitate ethnic specific impact and risks and benefits of treating AF in octogenarians.
MeSH term(s)	Humans ; Male ; Aged, 80 and over ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/epidemiology ; Atrial Fibrillation/therapy ; New Zealand/epidemiology ; Longitudinal Studies ; Cohort Studies ; Prevalence ; Incidence ; Stroke/epidemiology ; Ischemic Attack, Transient/epidemiology
Language	English
Publishing date	2023-03-30
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2059865-8
ISSN	1471-2318 ; 1471-2318
ISSN (online)	1471-2318
ISSN	1471-2318
DOI	10.1186/s12877-023-03902-5
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Article: Video-assisted thoracoscopic thymectomy.

Bleetman, David / West, Douglas / Teh, Elaine / Internullo, Eveline

Annals of cardiothoracic surgery

2015 Volume 4, Issue 6, Page(s) 556–557

Keywords	covid19
Language	English
Publishing date	2015-11-23
Publishing country	China
Document type	Journal Article ; Review
ZDB-ID	2713627-9
ISSN	2304-1021 ; 2225-319X
ISSN (online)	2304-1021
ISSN	2225-319X
DOI	10.3978/j.issn.2225-319X.2015.10.06
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Article ; Online: Bimodal assessment to facilitate accurate mediastinal repositioning following pneumonectomy.

Kimpton, James / Teh, Elaine / Cogswell, Lucy / Belcher, Elizabeth

BMJ case reports

2015 Volume 2015

MeSH term(s)	Bronchoscopy ; Dyspnea/etiology ; Dyspnea/surgery ; Humans ; Male ; Mediastinum/diagnostic imaging ; Mediastinum/surgery ; Middle Aged ; Pneumonectomy/adverse effects ; Prostheses and Implants ; Radiography ; Reoperation/instrumentation ; Reoperation/methods ; Silicones ; Sodium Chloride ; Syndrome ; Thoracotomy/instrumentation ; Thoracotomy/methods
Chemical Substances	Silicones ; Sodium Chloride (451W47IQ8X)
Language	English
Publishing date	2015-06-21
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2015-211190
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Article ; Online: The Prognostic Value of CD39 as a Marker of Tumor-Specific T Cells in Triple-Negative Breast Cancer in Asian Women.

Laboratory investigation; a journal of technical methods and pathology

2023 Volume 104, Issue 3, Page(s) 100303

Abstract: Triple-negative breast cancer (TNBC) has a poor prognosis with limited therapeutic options available for affected patients. Efforts are ongoing to identify surrogate markers for tumor-specific ... ...

Abstract	Triple-negative breast cancer (TNBC) has a poor prognosis with limited therapeutic options available for affected patients. Efforts are ongoing to identify surrogate markers for tumor-specific CD8
MeSH term(s)	Humans ; Female ; Animals ; Mice ; CD8-Positive T-Lymphocytes ; Prognosis ; Triple Negative Breast Neoplasms/metabolism ; Programmed Cell Death 1 Receptor/metabolism ; Carcinoma, Non-Small-Cell Lung/pathology ; Leukocytes, Mononuclear/metabolism ; Ligands ; Lung Neoplasms/metabolism ; Biomarkers/metabolism ; Lymphocytes, Tumor-Infiltrating ; B7-H1 Antigen/metabolism
Chemical Substances	Programmed Cell Death 1 Receptor ; Ligands ; Biomarkers ; B7-H1 Antigen
Language	English
Publishing date	2023-12-14
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80178-1
ISSN	1530-0307 ; 0023-6837
ISSN (online)	1530-0307
ISSN	0023-6837
DOI	10.1016/j.labinv.2023.100303
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Ud II Zs.164: Show issues

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Article ; Online: Differences of Cutaneous Two-Point Discrimination Thresholds Among Students in Different Years of a Chiropractic Program.

Dane, Andrew B / Teh, Elaine / Reckelhoff, Kenneth E / Ying, Pee Kui

Journal of manipulative and physiological therapeutics

2017 Volume 40, Issue 7, Page(s) 511–516

Abstract: Objectives: The aim of this study was to investigate if there were differences in the two-point discrimination (2-PD) of fingers among students at different stages of a chiropractic program.: Methods: This study measured 2-PD thresholds for the ... ...

Abstract	Objectives: The aim of this study was to investigate if there were differences in the two-point discrimination (2-PD) of fingers among students at different stages of a chiropractic program. Methods: This study measured 2-PD thresholds for the dominant and nondominant index finger and dominant and nondominant forearm in groups of students in a 4-year chiropractic program at the International Medical University in Kuala Lumpur, Malaysia. Measurements were made using digital calipers mounted on a modified weighing scale. Group comparisons were made among students for each year of the program (years 1, 2, 3, and 4). Analysis of the 2-PD threshold for differences among the year groups was performed with analysis of variance. Results: The mean 2-PD threshold of the index finger was higher in the students who were in the higher year groups. Dominant-hand mean values for year 1 were 2.93 ± 0.04 mm and 1.69 ± 0.02 mm in year 4. There were significant differences at finger sites (P < .05) among all year groups compared with year 1. There were no significant differences measured at the dominant forearm between any year groups (P = .08). The nondominant fingers of the year groups 1, 2, and 4 showed better 2-PD compared with the dominant finger. There was a significant difference (P = .005) between the nondominant (1.93 ± 1.15) and dominant (2.27 ± 1.14) fingers when all groups were combined (n = 104). Conclusions: The results of this study demonstrated that the finger 2-PD of the chiropractic students later in the program was more precise than that of students in the earlier program.
MeSH term(s)	Chiropractic/education ; Clinical Competence ; Differential Threshold ; Fingers/physiology ; Humans ; Malaysia ; Male ; Palpation/methods ; Sensory Thresholds ; Students, Health Occupations ; Touch/physiology ; Young Adult
Language	English
Publishing date	2017-10-25
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	761054-3
ISSN	1532-6586 ; 0161-4754
ISSN (online)	1532-6586
ISSN	0161-4754
DOI	10.1016/j.jmpt.2017.06.011
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Zs.A 1859: Show issues

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Article ; Online: Cardiopulmonary exercise testing (CPET) and the prediction of perioperative events in patients undergoing lung resection in the modern era: A comparison of clinical, CPET and combined assessment.

Teh, Elaine / Sinha, Shubhra / Joshi, Natasha / Kamalanathan, Kajan / Molyneux, Mat / Rasburn, Neil / Batchelor, Timothy / Casali, Gianluca / Internullo, Eveline / Krishnadas, Rakesh / West, Douglas

Journal of clinical anesthesia

2020 Volume 62, Page(s) 109749

MeSH term(s)	Exercise Test ; Exercise Tolerance ; Humans ; Lung ; Oxygen Consumption ; Preoperative Care
Language	English
Publishing date	2020-02-25
Publishing country	United States
Document type	Letter
ZDB-ID	1011618-7
ISSN	1873-4529 ; 0952-8180
ISSN (online)	1873-4529
ISSN	0952-8180
DOI	10.1016/j.jclinane.2020.109749
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Article ; Online: HEMO

Teh, Elaine S / Zal, Franck / Polard, Valérie / Menasché, Philippe / Chambers, David J

Artificial cells, nanomedicine, and biotechnology

2017 Volume 45, Issue 4, Page(s) 717–722

Abstract: Background: Prior to heart transplantation, static storage of donor hearts is currently limited to 4-5 h, despite profound hypothermia (4-8 °C). Because heart transplantation is an emergency procedure, improved protection to extend safe storage duration ...

Abstract	Background: Prior to heart transplantation, static storage of donor hearts is currently limited to 4-5 h, despite profound hypothermia (4-8 °C). Because heart transplantation is an emergency procedure, improved protection to extend safe storage duration would be advantageous. We investigated whether the naturally respiratory pigment HEMO Methods: Isolated Langendorff-perfused rat hearts (n = 12/group) were equilibrated (20 min) and function (left ventricular developed pressure: LVDP) measured by intraventricular balloon before arrest with cold (7.5 °C) Celsior Results: Hearts recovered rapidly in both groups to a plateau by 20 min of reperfusion; control and HEMO Conclusion: The addition of the natural oxygen releasing pigment HEMO
MeSH term(s)	Animals ; Disaccharides/pharmacology ; Electrolytes/pharmacology ; Glutamates/pharmacology ; Glutathione/pharmacology ; Heart/drug effects ; Heart/physiology ; Heart/physiopathology ; Heart Transplantation ; Histidine/pharmacology ; Male ; Mannitol/pharmacology ; Myocardial Infarction/pathology ; Myocardial Infarction/physiopathology ; Preservation, Biological/methods ; Rats ; Rats, Wistar ; Recovery of Function/drug effects ; Solutions ; Time Factors ; Tissue Donors ; Tissue Survival/drug effects
Chemical Substances	Celsior ; Disaccharides ; Electrolytes ; Glutamates ; Solutions ; Mannitol (3OWL53L36A) ; Histidine (4QD397987E) ; Glutathione (GAN16C9B8O)
Language	English
Publishing date	2017-06
Publishing country	England
Document type	Journal Article
ZDB-ID	2723095-8
ISSN	2169-141X ; 2169-1401
ISSN (online)	2169-141X
ISSN	2169-1401
DOI	10.1080/21691401.2016.1265974
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Article: Influence of acute matrix metalloproteinase activity on myocardial dysfunction associated with urgent cardiac surgery: cardioprotective effects of inhibition

Teh, Elaine S / Chambers, David J

lancet. 2013 Feb. 27, v. 381S1

2013

Abstract: BACKGROUND: Matrix metalloproteinase-2 (MMP-2), a gelatinase involved in cell structure degradation, is emerging as having an important role in acute ischaemia-reperfusion injury in the heart. We investigated whether MMP-2 plays a part in cardiac ... ...

Abstract	BACKGROUND: Matrix metalloproteinase-2 (MMP-2), a gelatinase involved in cell structure degradation, is emerging as having an important role in acute ischaemia-reperfusion injury in the heart. We investigated whether MMP-2 plays a part in cardiac dysfunction when previously infarcted hearts were subjected to additional elective global ischaemia. METHODS: Left coronary artery occlusion was surgically induced in male Wistar rats. After 7 days, the hearts were removed and subjected to isolated Langendorff perfusion (20 min), global ischaemia (30 min), and reperfusion (60 min) with or without s-phenanthroline (an MMP inhibitor). Mechanical function (left ventricular developed pressure [LVDP]) of the heart was monitored continuously by intraventricular balloon. MMP-2 activity was measured (with zymography) in the initial 6 mL of coronary reperfusion effluent and in the heart tissue (with an MMP-2 activity assay) at varying times of reperfusion. FINDINGS: The final recovery in the infarcted hearts was significantly lower than in non-infarcted or in sham hearts (mean preischaemic LVDP 22% [SE 2] vs 39% [2] vs 39% [3], p<0·05). MMP-2 activity in infarcted hearts peaked at 5 min of reperfusion and was significantly higher than in normal hearts (1·03 ng/mL/g of protein vs 0·576ng/mL/g, p<0·05). MMP-2 release into the coronary effluent was also higher. Inhibition of MMP-2 activity improved recovery of LVDP in infarcted hearts to 47% [4] (p<0·05). INTERPRETATION: In infarcted hearts, additional elective global ischaemia, as occurs during cardiac surgery, reduced mechanical function with increased MMP-2 activity. MMP-2 inhibition ameliorated cardiac dysfunction, suggesting a role for MMP-2. Clinically, inhibition of MMP-2 activity may improve cardioprotection of patients undergoing cardiac surgery after an acute coronary event. FUNDING: British Heart Foundation.
Keywords	cardioprotective effect ; cell structures ; coronary vessels ; gelatinase A ; heart ; ischemia ; patients ; rats ; surgery
Language	English
Dates of publication	2013-0227
Size	p. S30.
Publishing place	Elsevier Ltd.
Document type	Article
ZDB-ID	3306-6
ISSN	1474-547X ; 0023-7507 ; 0140-6736
ISSN (online)	1474-547X
ISSN	0023-7507 ; 0140-6736
DOI	10.1016/S0140-6736(13)60470-5
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: A systematic review of lung-sparing extirpative surgery for pleural mesothelioma.

Teh, Elaine / Fiorentino, Francesca / Tan, Carol / Treasure, Tom

Journal of the Royal Society of Medicine

2011 Volume 104, Issue 2, Page(s) 69–80

Abstract: Objectives: There is a resurgence of interest in lung-sparing extirpative surgery for malignant pleural mesothelioma with recent reports of better survival and fewer adverse consequences than with extrapleural pneumonectomy. However, these operations ... ...

Abstract	Objectives: There is a resurgence of interest in lung-sparing extirpative surgery for malignant pleural mesothelioma with recent reports of better survival and fewer adverse consequences than with extrapleural pneumonectomy. However, these operations are not well-characterized and to offer evidence-based clinical recommendations and to plan future trials a summary of what is already known is required. Design: A formal literature search was performed and all recovered titles were sequentially sifted by title, abstract and full-text reading according to prespecified criteria. Papers were selected if they contained data relevant to the area of enquiry. Quantitative synthesis and textual analysis, appropriate to the material, were performed. Setting: Follow-up studies of patients undergoing surgery for malignant pleural mesothelioma in specialist thoracic or cardiothoracic units. Participants: Among the operated patients described in these papers, a total of 1270 patients had undergone lung-sparing surgery for mesothelioma. Results: There were no randomized trials or other forms of controlled studies. From 464 titles, 26 papers contained sufficient data on 1270 patients to be included in the systematic review. Operative descriptions for all series were extracted and tabulated and variation was found in the nature of surgery within and between series, and the degree of detail with which it was described. There was more operative detail in recent papers. All available numerical data were extracted, tabulated and summarized using quantitative methods. The average survival at 1, 2, 3, 4 and 5 years was 51%, 26%, 16%, 11% and 9%, respectively. There were no data on patients' performance status, symptomatic change, or other patient reported outcomes. Conclusions: In the absence of any form of control data, no conclusions can be drawn concerning survival differences or symptomatic benefits attributable to surgery. As mesothelioma surgery is restricted to a selected minority of patients who often have multiple therapies, future research will require controlled studies with explicit definitions of the clinical and surgical intent.
MeSH term(s)	Humans ; Lung/surgery ; Mesothelioma/mortality ; Mesothelioma/surgery ; Pleura/surgery ; Pleural Neoplasms/mortality ; Pleural Neoplasms/surgery ; Pneumonectomy/methods ; Pneumonectomy/mortality ; Treatment Outcome
Language	English
Publishing date	2011-01-31
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review ; Systematic Review
ZDB-ID	6731-3
ISSN	1758-1095 ; 0141-0768 ; 0035-9157
ISSN (online)	1758-1095
ISSN	0141-0768 ; 0035-9157
DOI	10.1258/jrsm.2010.100345
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