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Article ; Online: Meta-analysis of SATB2 immunohistochemical expression in colorectal cancer versus primary ovarian mucinous neoplasms.

Maguire, Barry / Duggan, William P / Prehn, Jochen H M / Burke, John P

2024 Volume 71, Page(s) 152302

Abstract: Background: Reliably distinguishing primary ovarian mucinous neoplasms (POMNs) from metastatic colorectal cancers (CRCs) is both challenging to the histopathologist and of great clinical importance. Special AT-rich sequence binding protein-2 (SATB2) has ...

Abstract	Background: Reliably distinguishing primary ovarian mucinous neoplasms (POMNs) from metastatic colorectal cancers (CRCs) is both challenging to the histopathologist and of great clinical importance. Special AT-rich sequence binding protein-2 (SATB2) has emerged as a useful diagnostic immunohistochemical marker of colorectal cancer. This meta-analysis compares SATB2 expression in POMNs and CRC. Methods: A systematic literature search for relevant studies was conducted. Meta-analysis of SATB2 positivity was undertaken using a random effects model. Results: Seven studies including 711 CRCs and 528 POMNs were included. SATB2 positivity was seen in 81 % (95 % CI: 72-88 %) of CRCs and 4 % (95 % CI: 1-11 %) of POMNs. Variation was seen in immunohistochemical methods used for SATB2 detection and threshold for positivity. Conclusion: SATB2 staining remains high in CRC and low in POMNs, supporting its use in differentiating these two pathologies with vastly differing prognosis and treatment.
Language	English
Publishing date	2024-04-16
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1440011-x
ISSN	1532-8198 ; 1092-9134
ISSN (online)	1532-8198
ISSN	1092-9134
DOI	10.1016/j.anndiagpath.2024.152302
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Book ; Online: The Epidemiology of Alimentary Diseases

Duggan, John M. / Duggan, Anne E.

2006

Author's details	by John M. Duggan, Anne E. Duggan
Keywords	Gastroenterology
Language	English
Publisher	Springer
Publishing place	Dordrecht
Document type	Book ; Online
HBZ-ID	TT050387013
ISBN	978-1-402-03839-6 ; 978-1-402-03840-2 ; 1-402-03839-9 ; 1-402-03840-2
DOI	10.1007/1-4020-3840-2
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Article ; Online: Trends in observation stays for Medicare beneficiaries with and without Alzheimer's disease and related dementias.

Burke, Laura G / Burke, Ryan C / Duggan, Ciara E / Figueroa, Jose F / Boltz, Marie / Fick, Donna M / Orav, E John / Marcantonio, Edward R

Journal of the American Geriatrics Society

2024

Abstract: Background: There has been a marked rise in the use of observation care for Medicare beneficiaries visiting the emergency department (ED) in recent years. Whether trends in observation use differ for people with Alzheimer's disease and Alzheimer's ... ...

Abstract	Background: There has been a marked rise in the use of observation care for Medicare beneficiaries visiting the emergency department (ED) in recent years. Whether trends in observation use differ for people with Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD) is unknown. Methods: Using a national 20% sample of Medicare beneficiaries ages 68+ from 2012 to 2018, we compared trends in ED visits and observation stays by AD/ADRD status for beneficiaries visiting the ED. We then examined the degree to which trends differed by nursing home (NH) residency status, assigning beneficiaries to four groups: AD/ADRD residing in NH (AD/ADRD+ NH+), AD/ADRD not residing in NH (AD/ADRD+ NH-), no AD/ADRD residing in NH (AD/ADRD- NH+), and no AD/ADRD not residing in NH (AD/ADRD- NH-). Results: Of 7,489,780 unique beneficiaries, 18.6% had an AD/ADRD diagnosis. Beneficiaries with AD/ADRD had more than double the number of ED visits per 1000 in all years compared to those without AD/ADRD and saw a faster adjusted increase over time (+26.7 vs. +8.2 visits/year; p < 0.001 for interaction). The annual increase in the adjusted proportion of ED visits ending in observation was also greater among people with AD/ADRD (+0.78%/year, 95% CI 0.77-0.80%) compared to those without AD/ADRD (+0.63%/year, 95% CI 0.59-0.66%; p < 0.001 for interaction). Observation utilization was greatest for the AD/ADRD+ NH+ population and lowest for the AD/ADRD- NH- population, but the AD/ADRD+ NH- group saw the greatest increase in observation stays over time (+15.4 stays per 1000 people per year, 95% CI 15.0-15.7). Conclusions: Medicare beneficiaries with AD/ADRD have seen a disproportionate increase in observation utilization in recent years, driven by both an increase in ED visits and an increase in the proportion of ED visits ending in observation.
Language	English
Publishing date	2024-03-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	80363-7
ISSN	1532-5415 ; 0002-8614
ISSN (online)	1532-5415
ISSN	0002-8614
DOI	10.1111/jgs.18890
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Article ; Online: Serine-Arginine Protein Kinase 1 (SRPK1): a systematic review of its multimodal role in oncogenesis.

Duggan, William P / O'Connell, Emer / Prehn, Jochen H M / Burke, John P

Molecular and cellular biochemistry

2022 Volume 477, Issue 10, Page(s) 2451–2467

Abstract: Alternative splicing is implicated in each of the hallmarks of cancer, and is mechanised by various splicing factors. Serine-Arginine Protein Kinase 1 (SRPK1) is an enzyme which moderates the activity of splicing factors rich in serine/arginine domains. ... ...

Abstract	Alternative splicing is implicated in each of the hallmarks of cancer, and is mechanised by various splicing factors. Serine-Arginine Protein Kinase 1 (SRPK1) is an enzyme which moderates the activity of splicing factors rich in serine/arginine domains. Here we review SRPK1's relationship with various cancers by performing a systematic review of all relevant published data. Elevated SRPK1 expression correlates with advanced disease stage and poor survival in many epithelial derived cancers. Numerous pre-clinical studies investigating a host of different tumour types; have found increased SRPK1 expression to be associated with proliferation, invasion, migration and apoptosis in vitro as well as tumour growth, tumourigenicity and metastasis in vivo. Aberrant SRPK1 expression is implicated in various signalling pathways associated with oncogenesis, a number of which, such as the PI3K/AKT, NF-КB and TGF-Beta pathway, are implicated in multiple different cancers. SRPK1-targeting micro RNAs have been identified in a number of studies and shown to have an important role in regulating SRPK1 activity. SRPK1 expression is also closely related to the response of various tumours to platinum-based chemotherapeutic agents. Future clinical applications will likely focus on the role of SRPK1 as a biomarker of treatment resistance and the potential role of its inhibition.
MeSH term(s)	Arginine ; Arginine Kinase/metabolism ; Carcinogenesis/genetics ; Cell Transformation, Neoplastic ; Humans ; NF-kappa B/metabolism ; Neoplasms/genetics ; Phosphatidylinositol 3-Kinases/metabolism ; Protein Serine-Threonine Kinases/genetics ; Proto-Oncogene Proteins c-akt/metabolism ; RNA Splicing Factors ; Serine ; Transforming Growth Factor beta/metabolism
Chemical Substances	NF-kappa B ; RNA Splicing Factors ; Transforming Growth Factor beta ; Serine (452VLY9402) ; Arginine (94ZLA3W45F) ; SRPK1 protein, human (EC 2.7.1.-) ; Protein Serine-Threonine Kinases (EC 2.7.11.1) ; Proto-Oncogene Proteins c-akt (EC 2.7.11.1) ; Arginine Kinase (EC 2.7.3.3)
Language	English
Publishing date	2022-05-18
Publishing country	Netherlands
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	184833-1
ISSN	1573-4919 ; 0300-8177
ISSN (online)	1573-4919
ISSN	0300-8177
DOI	10.1007/s11010-022-04456-7
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Article ; Online: Using Patient Navigation to Reduce Time to Diagnosis of Breast Cancer in Uganda.

Muyinda, Zeridah / Davis, Katie M / Kalungi, Samuel / Walusansa, Victoria / Kiguli-Malwadde, Elsie / Fiat, Lorcan / Fiat, Ronan / Okello, Jimmy / Kawooya, Michael / Bugeza, Samuel / Duggan, Catherine / Scheel, John R

Journal of the American College of Radiology : JACR

2024

Abstract: Purpose: The Ugandan Ministry of Health adopted BI-RADS as standard of care in 2016. The authors performed a medical audit of breast ultrasound practices at four tertiary-level hospitals to assess interpretive performance. The authors also determined ... ...

Abstract	Purpose: The Ugandan Ministry of Health adopted BI-RADS as standard of care in 2016. The authors performed a medical audit of breast ultrasound practices at four tertiary-level hospitals to assess interpretive performance. The authors also determined the effect of a low-cost navigation program linking breast imaging and pathology on the percentage of patients completing diagnostic care. Methods: The authors retrieved 966 consecutive diagnostic breast ultrasound reports, with complete data, for studies performed on women aged >18 years presenting with symptoms of breast cancer between 2018 and 2020 from participating hospitals. Ultrasound results were linked to tumor registries and patient follow-up. A medical audit was performed according to the ACR's BI-RADS Atlas, fifth edition, and results were compared with those of a prior audit performed in 2013. At Mulago Hospital, an intervention was piloted on the basis of patient navigation, cost sharing, and same-day imaging, tissue sampling, and pathology. Results: In total, 888 breast ultrasound examinations (91.9%) were eligible for inclusion. Compared with 2013, the postintervention cancer detection rate increased from 38 to 148.7 cancers per 1,000 examinations, positive predictive value 2 from 29.6% to 48.9%, and positive predictive value 3 from 62.7% to 79.9%. Specificity decreased from 90.5% to 87.7% and sensitivity from 92.3% to 81.1%. The mean time from tissue sampling to receipt of a diagnosis decreased from 60 to 7 days. The intervention increased the percentage of patients completing diagnostic care from 0% to 100%. Conclusions: Efforts to establish a culture of continuous quality improvement in breast ultrasound require robust data collection that links imaging results to pathology and patient follow-up. Interpretive performance met BI-RADS benchmarks for palpable masses, except sensitivity. This resource-appropriate strategy linking imaging, tissue sampling, and pathology interpretation decreased time to diagnosis and rates of loss to follow-up and improved the precision of the audit.
Language	English
Publishing date	2024-03-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2024.03.006
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Article ; Online: Minimally-invasive airway management and early cleft palate repair in infants born with Robin sequence.

de Blacam, Catherine / Butler, Daryl / Duggan, Laura / Byrne, Sandra / Russell, John / Javadpour, Sheila / White, Martin / Orr, David J A

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

2024 Volume 52, Issue 4, Page(s) 514–521

Abstract: The objective of this study was to report outcomes of early cleft palate repair in infants born with Robin sequence (RS). A retrospective case series in a tertiary referral paediatric hospital was carried out, examining a consecutive series of 69 infants ...

Abstract	The objective of this study was to report outcomes of early cleft palate repair in infants born with Robin sequence (RS). A retrospective case series in a tertiary referral paediatric hospital was carried out, examining a consecutive series of 69 infants born with RS and cleft palate. A minimally invasive approach was taken to upper airway obstruction, with liberal nasopharyngeal airway (NPA) and non-invasive ventilation (NIV) use, guided by sleep studies. The palate was repaired between 6 and 9 months with a modified Malek technique. The most frequently used airway adjunct (59.4% of patients) was an NPA and the median duration of use was 5.6 months. All patients underwent a modified Malek cleft palate repair at a median of 7 months of age. Overnight oximetry demonstrated higher mean oxygen saturation (SpO
MeSH term(s)	Infant ; Infant, Newborn ; Humans ; Child ; Cleft Palate/surgery ; Pierre Robin Syndrome/surgery ; Retrospective Studies ; Airway Management ; Nasopharynx ; Airway Obstruction/surgery
Language	English
Publishing date	2024-02-11
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	91267-0
ISSN	1878-4119 ; 1010-5182 ; 0301-0503
ISSN (online)	1878-4119
ISSN	1010-5182 ; 0301-0503
DOI	10.1016/j.jcms.2024.02.006
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Article ; Online: MRI and fluid biomarkers reveal determinants of myelin and axonal loss with aging.

Walker, Keenan A / Duggan, Michael R / Gong, Zhaoyuan / Dark, Heather E / Laporte, John P / Faulkner, Mary E / An, Yang / Lewis, Alexandria / Moghekar, Abhay R / Resnick, Susan M / Bouhrara, Mustapha

Annals of clinical and translational neurology

2023 Volume 10, Issue 3, Page(s) 397–407

Abstract: Objective: White matter damage is a feature of Alzheimer's disease, yet little is known about how facets of the Alzheimer's disease process relate to key features of white matter structure. We examined the association of Alzheimer's disease (Aß: ... ...

Abstract	Objective: White matter damage is a feature of Alzheimer's disease, yet little is known about how facets of the Alzheimer's disease process relate to key features of white matter structure. We examined the association of Alzheimer's disease (Aß Methods: Among cognitively normal participants in the BLSA and GESTALT studies who received MRI measures of myelin content (defined by myelin water fraction [MWF]) and axonal density (defined by neurite density index [NDI]), we quantified plasma levels of Aβ Results: In total, 119 participants received MWF imaging (age: 56 [SD 21]), of which 43 received NDI imaging (age: 50 [SD 18]). We found no relationship between plasma biomarkers and total brain myelin content. However, secondary analysis found higher GFAP was associated with lower MWF in the temporal lobes (ß = -0.13; P = 0.049). Further, higher levels of NfL (ß = -0.22; P = 0.009) and GFAP (ß = -0.29; P = 0.002) were associated with lower total brain axonal density. Secondary analyses found lower Aβ Interpretation: Plasma biomarkers of neuronal injury and astrogliosis are associated with reduced axonal density and region-specific myelin content. Axonal loss and demyelination may co-occur with neurodegeneration and astrogliosis ahead of clinically meaningful cognitive decline.
MeSH term(s)	Humans ; Middle Aged ; Myelin Sheath ; Alzheimer Disease ; Gliosis ; Magnetic Resonance Imaging/methods ; Aging ; Biomarkers
Chemical Substances	Biomarkers
Language	English
Publishing date	2023-02-10
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2740696-9
ISSN	2328-9503 ; 2328-9503
ISSN (online)	2328-9503
ISSN	2328-9503
DOI	10.1002/acn3.51730
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Article: Alcoholic liver disease - assessment and management.

Duggan, Anne E / Duggan, John M

Australian family physician

2011 Volume 40, Issue 8, Page(s) 590–593

Abstract: Background: Alcohol is a major cause of liver disease in Australia and the incidence of end stage liver disease among young adult Australians is rising.: Objective: This article explores the types of alcoholic liver disease, their pathogenesis and ... ...

Abstract	Background: Alcohol is a major cause of liver disease in Australia and the incidence of end stage liver disease among young adult Australians is rising. Objective: This article explores the types of alcoholic liver disease, their pathogenesis and detection, and the investigation and management of these conditions. Discussion: Alcoholic liver disease is often silent until complications develop; therefore clinicians need a high index of suspicion to detect individuals with heavy alcohol consumption and evolving liver disease. At a population level, strategies to reduce per capita alcohol consumption can be expected to reduce mortality from alcohol related disease. At an individual level, early diagnosis, abstinence and effective treatment of complications are pivotal to reducing mortality. The cornerstone of management of chronic alcoholic liver disease is abstinence from alcohol and good nutrition. Other important aspects of management include care when prescribing medications, immunisations and early referral for complications.
MeSH term(s)	Alcohol Drinking ; Early Diagnosis ; General Practice ; Humans ; Liver Diseases, Alcoholic/diagnosis ; Liver Diseases, Alcoholic/etiology ; Liver Diseases, Alcoholic/therapy ; Malnutrition/diet therapy ; Malnutrition/etiology ; Physical Examination ; Prognosis ; Referral and Consultation
Language	English
Publishing date	2011-08
Publishing country	Australia
Document type	Journal Article
ZDB-ID	423718-3
ISSN	0300-8495
ISSN	0300-8495
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Article ; Online: A prospective evaluation of the effect of transanal minimally invasive surgery (TAMIS) on low anterior resection syndrome.

Duggan, William P / Sugrue, Diarmuid D / Shannon, Naomi / Murphy, Brenda / Burke, John P

Surgical endoscopy

2023 Volume 37, Issue 7, Page(s) 5241–5245

Abstract: ... 11 of the patients were male, mean pre-operative BMI was 29 ± 6 kg/m: Conclusions: We noted a high ...

Abstract	Purpose: Transanal minimally invasive surgery (TAMIS) is a surgical alternative to transanal endoscopic microsurgery (TEM), transanal excision and proctectomy in the management of benign rectal polyps and early rectal cancers. Low anterior resection syndrome (LARS) describes the constellation of symptoms which result from and are common after distal colorectal resection. Symptoms include incontinence, frequency, urgency and evacuatory dysfunction. The aim of the current study was to prospectively evaluate pre- and post-operative LARS in patients who undergo TAMIS. Methods: We conducted a prospective analysis of a consecutive series of patients who underwent TAMIS at our institution between January 2021 and February 2022. A LARS questionnaire was undertaken preoperatively, at 1 month and at 6 months post-operatively. Results: Twenty patients were recruited to this pilot study. The mean age was 63 ± 12 years, 11 of the patients were male, mean pre-operative BMI was 29 ± 6 kg/m Conclusions: We noted a high prevalence of LARS across our cohort preoperatively, and this had improved significantly at 6-month review post-TAMIS. This study reaffirms the safety and efficacy of TAMIS for the treatment of early rectal neoplasia.
MeSH term(s)	Humans ; Male ; Middle Aged ; Aged ; Female ; Rectal Neoplasms/surgery ; Low Anterior Resection Syndrome ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Pilot Projects ; Treatment Outcome ; Transanal Endoscopic Surgery ; Anal Canal/surgery ; Minimally Invasive Surgical Procedures
Language	English
Publishing date	2023-03-24
Publishing country	Germany
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-023-10004-1
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Article ; Online: Identification of optimal conditions for human placental explant culture and extracellular vesicle release.

Tekkatte, Chandana / Lindsay, Scott A / Duggan, Erika / Castro-Martínez, Anelizze / Hakim, Abbas / Saldana, Isabella / Zhang, Yan / Zhou, Jun / Sebastian, Rachel / Liu, Yukun / Pontigon, Devin S / Meads, Morgan / Liu, Tzu Ning / Pizzo, Donald P / Nolan, John / Parast, Mana M / Laurent, Louise C

iScience

2023 Volume 26, Issue 10, Page(s) 108046

Abstract: Extracellular vesicles (EVs) can mediate intercellular communication, including signaling between the placenta and maternal tissues. Human placental explant culture is a ... ...

Abstract	Extracellular vesicles (EVs) can mediate intercellular communication, including signaling between the placenta and maternal tissues. Human placental explant culture is a versatile
Language	English
Publishing date	2023-09-26
Publishing country	United States
Document type	Journal Article
ISSN	2589-0042
ISSN (online)	2589-0042
DOI	10.1016/j.isci.2023.108046
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