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  1. Article ; Online: Anchor scour from shipping and the defaunation of rocky reefs: A quantitative assessment.

    Broad, Allison / Rees, Matthew / Knott, Nathan / Swadling, Daniel / Hammond, Matthew / Ingleton, Tim / Morris, Bradley / Davis, Andrew R

    The Science of the total environment

    2022  Volume 863, Page(s) 160717

    Abstract: Anchor scour from shipping is increasingly recognised as a global threat to benthic marine biodiversity, yet no replicated ecological assessment exists for any seabed community. Without quantification of impacts to biota, there is substantial uncertainty ...

    Abstract Anchor scour from shipping is increasingly recognised as a global threat to benthic marine biodiversity, yet no replicated ecological assessment exists for any seabed community. Without quantification of impacts to biota, there is substantial uncertainty for maritime stakeholders and managers of the marine estate on how these impacts can be managed or minimised. Our study focuses on a region in SE Australia with a high proportion of mesophotic reef (>30 m), where ships anchor while waiting to enter nearby ports. Temperate mesophotic rocky reefs are unique, providing a platform for a diversity of biota, including sponges, ahermatypic corals and other sessile invertebrates. They are rich in biodiversity, provide essential food resources, habitat refugia and ecosystem services for a range of economically, as well as ecologically important taxa. We examined seven representative taxa from four phyla (porifera, cnidaria, bryozoan, hydrozoa) across anchored and 'anchor-free' sites to determine which biota and which of their morphologies were most at risk. Using stereo-imagery, we assessed the richness of animal forest biota, morphology, size, and relative abundance. Our analysis revealed striking impacts to animal forests exposed to anchoring with between three and four-fold declines in morphotype richness and relative abundance. Marked compositional shifts, relative to those reefs that were anchor-free, were also apparent. Six of the seven taxonomic groups, most notably sponge morphotypes, exhibited strong negative responses to anchoring, while one morphotype, soft bryozoans, showed no difference between treatments. Our findings confirm that anchoring on reefs leads to the substantial removal of biota, with marked reductions of biodiversity and requires urgent management. The exclusion of areas of high biological value from anchorages is an important first step towards ameliorating impacts and promoting the recovery of biodiversity.
    MeSH term(s) Animals ; Ecosystem ; Coral Reefs ; Ships ; Biodiversity ; Invertebrates
    Language English
    Publishing date 2022-12-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 121506-1
    ISSN 1879-1026 ; 0048-9697
    ISSN (online) 1879-1026
    ISSN 0048-9697
    DOI 10.1016/j.scitotenv.2022.160717
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Prevalence of paediatric chronic suppurative otitis media and hearing impairment in rural Malawi: A cross-sectional survey.

    Hunt, Luke / Mulwafu, Wakisa / Knott, Victoria / Ndamala, Chifundo B / Naunje, Andrew W / Dewhurst, Sam / Hall, Andrew / Mortimer, Kevin

    PloS one

    2017  Volume 12, Issue 12, Page(s) e0188950

    Abstract: Objective: To estimate the prevalence of World Health Organization-defined chronic suppurative otitis media (CSOM) and mild hearing impairment in a population representative sample of school-entry age children in rural Malawi. A secondary objective was ... ...

    Abstract Objective: To estimate the prevalence of World Health Organization-defined chronic suppurative otitis media (CSOM) and mild hearing impairment in a population representative sample of school-entry age children in rural Malawi. A secondary objective was to explore factors associated with CSOM in this population.
    Methods: We performed a community-based cross-sectional study of children aged 4-6 years in Chikhwawa District, Southern Malawi, utilising a village-level cluster design. Participants underwent a structured clinical assessment, including video-otoscopy and screening audiometry. Diagnoses were made remotely by two otolaryngologists who independently reviewed clinical data and images collected in the field. Hearing impairment was classified as failure to hear a pure tone of 25dB or greater at 1, 2 or 4kHz.
    Results: We recruited 281 children across 10 clusters. The prevalence estimates of CSOM, unilateral hearing impairment and bilateral hearing impairment were 5.4% (95%CI 2.2-8.6), 24.5% (95%CI 16.3-30.0), and 12.5% (95%CI 6.2-16.9) respectively. Middle ear disease was seen in 46.9% of children with hearing impairment. A trend towards increased risk of CSOM was observed with sleeping in a house with >2 other children.
    Interpretation: We found a high burden of middle ear disease and preventable hearing impairment in our sample of school-entry age children in rural Malawi. There are important public health implications of these findings as CSOM and hearing impairment can affect educational outcomes, and may impact subsequent development. The identification and management of middle ear disease and hearing impairment represent major unmet needs in this population.
    MeSH term(s) Child ; Child, Preschool ; Chronic Disease ; Cluster Analysis ; Cross-Sectional Studies ; Female ; Hearing Loss/epidemiology ; Hearing Loss/etiology ; Humans ; Malawi/epidemiology ; Male ; Otitis Media, Suppurative/complications ; Otitis Media, Suppurative/epidemiology ; Otoscopy ; Rural Population
    Language English
    Publishing date 2017-12-21
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0188950
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Age matters: differences in exercise-induced cardiovascular remodelling in young and middle aged healthy sedentary individuals.

    Torlasco, Camilla / D'Silva, Andrew / Bhuva, Anish N / Faini, Andrea / Augusto, Joao B / Knott, Kristopher D / Benedetti, Giulia / Jones, Siana / Zalen, Jet Van / Scully, Paul / Lobascio, Ilaria / Parati, Gianfranco / Lloyd, Guy / Hughes, Alun D / Manisty, Charlotte H / Sharma, Sanjay / Moon, James C

    European journal of preventive cardiology

    2021  Volume 28, Issue 7, Page(s) 738–746

    Abstract: Aims: Remodelling of the cardiovascular system (including heart and vasculature) is a dynamic process influenced by multiple physiological and pathological factors. We sought to understand whether remodelling in response to a stimulus, exercise training, ...

    Abstract Aims: Remodelling of the cardiovascular system (including heart and vasculature) is a dynamic process influenced by multiple physiological and pathological factors. We sought to understand whether remodelling in response to a stimulus, exercise training, altered with healthy ageing.
    Methods: A total of 237 untrained healthy male and female subjects volunteering for their first time marathon were recruited. At baseline and after 6 months of unsupervised training, race completers underwent tests including 1.5T cardiac magnetic resonance, brachial and non-invasive central blood pressure assessment. For analysis, runners were divided by age into under or over 35 years (U35, O35).
    Results: Injury and completion rates were similar among the groups; 138 runners (U35: n = 71, women 49%; O35: n = 67, women 51%) completed the race. On average, U35 were faster by 37 minutes (12%). Training induced a small increase in left ventricular mass in both groups (3 g/m2, P < 0.001), but U35 also increased ventricular cavity sizes (left ventricular end-diastolic volume (EDV)i +3%; left ventricular end-systolic volume (ESV)i +8%; right ventricular end-diastolic volume (EDV)i +4%; right ventricular end-systolic volume (ESV)i +5%; P < 0.01 for all). Systemic aortic compliance fell in the whole sample by 7% (P = 0.020) and, especially in O35, also systemic vascular resistance (-4% in the whole sample, P = 0.04) and blood pressure (systolic/diastolic, whole sample: brachial -4/-3 mmHg, central -4/-2 mmHg, all P < 0.001; O35: brachial -6/-3 mmHg, central -6/-4 mmHg, all P < 0.001).
    Conclusion: Medium-term, unsupervised physical training in healthy sedentary individuals induces measurable remodelling of both heart and vasculature. This amount is age dependent, with predominant cardiac remodelling when younger and predominantly vascular remodelling when older.
    MeSH term(s) Adult ; Diastole ; Exercise ; Female ; Heart ; Heart Ventricles/diagnostic imaging ; Humans ; Male ; Middle Aged ; Stroke Volume ; Systole ; Ventricular Function, Left
    Language English
    Publishing date 2021-07-10
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2626011-6
    ISSN 2047-4881 ; 2047-4873
    ISSN (online) 2047-4881
    ISSN 2047-4873
    DOI 10.1177/2047487320926305
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Do glucocorticoids or carotenoids mediate plumage coloration in parrots? An experiment in Platycercus elegans.

    Berg, Mathew L / Knott, Ben / Ribot, Raoul F H / Buchanan, Katherine L / Bennett, Andrew T D

    General and comparative endocrinology

    2019  Volume 280, Page(s) 82–90

    Abstract: Conspicuous coloration can indicate phenotypic quality, and may reflect exposure or vulnerability to stress, or access to essential nutrients such as pigments. Although the production of pigmented colours is well understood, much less is known about how ... ...

    Abstract Conspicuous coloration can indicate phenotypic quality, and may reflect exposure or vulnerability to stress, or access to essential nutrients such as pigments. Although the production of pigmented colours is well understood, much less is known about how structural colours are affected by physiological state. In this study, we tested whether glucocorticoids (corticosterone) predicted expression of plumage coloration in an Australian parrot, the crimson rosella (Platycercus elegans). Parrots provide an interesting and unique test, as they possess conspicuous coloration produced by distinctive pigments known as psittacofulvins, in addition to structural coloration. We have previously documented that coloration in P. elegans is condition-dependent and responds to dietary manipulation. Here, n = 21 P. elegans underwent a dietary manipulation (including food restriction or carotenoid supplementation) during which they moulted, and the change in reflectance was measured for three structural and three pigmentary plumage patches. Stress-induced corticosterone (10 min after handling) measured at the start of the experiment predicted change in coloration in two pigmentary patches (crown and front). We also found that change in stress-induced corticosterone during the experiment was associated with the change in coloration of the crown and two structural patches (cheek and epaulette). Baseline corticosterone (<3 min after handling) was not associated with any measure of coloration. We found no effects of dietary manipulation on baseline or stress-induced corticosterone, but carotenoid supplementation was associated with an increase in a measure of chronic stress (heterophil/lymphocyte ratio), and the corticosterone response to handling decreased over the course of the study. Our results suggest that corticosterone may be linked to colour expression more broadly than previously recognised, including psittacofulvin and structural coloration in parrots, and they confirm the independence of plumage pigmentation in parrots from carotenoid accumulation. Moreover, our study provides new insight into the stress responses of Psittaciformes, one of the most highly threatened avian orders.
    MeSH term(s) Animals ; Carotenoids/metabolism ; Color ; Corticosterone/metabolism ; Diet ; Feathers/drug effects ; Feathers/metabolism ; Glucocorticoids/metabolism ; Immunity/drug effects ; Lymphocytes/metabolism ; Male ; Parrots/immunology ; Parrots/metabolism ; Phytohemagglutinins/pharmacology ; Pigmentation/physiology ; Stress, Physiological/drug effects ; Time Factors
    Chemical Substances Glucocorticoids ; Phytohemagglutinins ; Carotenoids (36-88-4) ; Corticosterone (W980KJ009P)
    Language English
    Publishing date 2019-04-16
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1851-x
    ISSN 1095-6840 ; 0016-6480
    ISSN (online) 1095-6840
    ISSN 0016-6480
    DOI 10.1016/j.ygcen.2019.04.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The molecular consequences of androgen activity in the human breast.

    Raths, Florian / Karimzadeh, Mehran / Ing, Nathan / Martinez, Andrew / Yang, Yoona / Qu, Ying / Lee, Tian-Yu / Mulligan, Brianna / Devkota, Suzanne / Tilley, Wayne T / Hickey, Theresa E / Wang, Bo / Giuliano, Armando E / Bose, Shikha / Goodarzi, Hani / Ray, Edward C / Cui, Xiaojiang / Knott, Simon R V

    Cell genomics

    2023  Volume 3, Issue 3, Page(s) 100272

    Abstract: Estrogen and progesterone have been extensively studied in the mammary gland, but the molecular effects of androgen remain largely unexplored. Transgender men are recorded as female at birth but identify as male and may undergo gender-affirming androgen ... ...

    Abstract Estrogen and progesterone have been extensively studied in the mammary gland, but the molecular effects of androgen remain largely unexplored. Transgender men are recorded as female at birth but identify as male and may undergo gender-affirming androgen therapy to align their physical characteristics and gender identity. Here we perform single-cell-resolution transcriptome, chromatin, and spatial profiling of breast tissues from transgender men following androgen therapy. We find canonical androgen receptor gene targets are upregulated in cells expressing the androgen receptor and that paracrine signaling likely drives sex-relevant androgenic effects in other cell types. We also observe involution of the epithelium and a spatial reconfiguration of immune, fibroblast, and vascular cells, and identify a gene regulatory network associated with androgen-induced fat loss. This work elucidates the molecular consequences of androgen activity in the human breast at single-cell resolution.
    Language English
    Publishing date 2023-03-08
    Publishing country United States
    Document type Journal Article
    ISSN 2666-979X
    ISSN (online) 2666-979X
    DOI 10.1016/j.xgen.2023.100272
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  6. Article ; Online: Prevalence of paediatric chronic suppurative otitis media and hearing impairment in rural Malawi

    Luke Hunt / Wakisa Mulwafu / Victoria Knott / Chifundo B Ndamala / Andrew W Naunje / Sam Dewhurst / Andrew Hall / Kevin Mortimer

    PLoS ONE, Vol 12, Iss 12, p e

    A cross-sectional survey.

    2017  Volume 0188950

    Abstract: To estimate the prevalence of World Health Organization-defined chronic suppurative otitis media (CSOM) and mild hearing impairment in a population representative sample of school-entry age children in rural Malawi. A secondary objective was to explore ... ...

    Abstract To estimate the prevalence of World Health Organization-defined chronic suppurative otitis media (CSOM) and mild hearing impairment in a population representative sample of school-entry age children in rural Malawi. A secondary objective was to explore factors associated with CSOM in this population.We performed a community-based cross-sectional study of children aged 4-6 years in Chikhwawa District, Southern Malawi, utilising a village-level cluster design. Participants underwent a structured clinical assessment, including video-otoscopy and screening audiometry. Diagnoses were made remotely by two otolaryngologists who independently reviewed clinical data and images collected in the field. Hearing impairment was classified as failure to hear a pure tone of 25dB or greater at 1, 2 or 4kHz.We recruited 281 children across 10 clusters. The prevalence estimates of CSOM, unilateral hearing impairment and bilateral hearing impairment were 5.4% (95%CI 2.2-8.6), 24.5% (95%CI 16.3-30.0), and 12.5% (95%CI 6.2-16.9) respectively. Middle ear disease was seen in 46.9% of children with hearing impairment. A trend towards increased risk of CSOM was observed with sleeping in a house with >2 other children.We found a high burden of middle ear disease and preventable hearing impairment in our sample of school-entry age children in rural Malawi. There are important public health implications of these findings as CSOM and hearing impairment can affect educational outcomes, and may impact subsequent development. The identification and management of middle ear disease and hearing impairment represent major unmet needs in this population.
    Keywords Medicine ; R ; Science ; Q
    Subject code 390
    Language English
    Publishing date 2017-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Correction to: The classification of scoliosis braces developed by SOSORT with SRS, ISPO, and POSNA and approved by ESPRM.

    Negrini, Stefano / Aulisa, Angelo Gabriele / Cerny, Pavel / de Mauroy, Jean Claude / McAviney, Jeb / Mills, Andrew / Donzelli, Sabrina / Grivas, Theodoros B / Hresko, M Timothy / Kotwicki, Tomasz / Labelle, Hubert / Marcotte, Louise / Matthews, Martin / O'Brien, Joe / Parent, Eric C / Price, Nigel / Manuel, Rigo / Stikeleather, Luke / Vitale, Michael G /
    Wong, Man Sang / Wood, Grant / Wynne, James / Zaina, Fabio / Bruno, Marco Brayda / Würsching, Suncica Bulat / Yilgor, Caglar / Cahill, Patrick / Dema, Eugenio / Knott, Patrick / Lebel, Andrea / Lein, Grigorii / Newton, Peter O / Smith, Brian G

    European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

    2022  Volume 31, Issue 9, Page(s) 2456–2457

    Language English
    Publishing date 2022-06-13
    Publishing country Germany
    Document type Published Erratum
    ZDB-ID 1115375-1
    ISSN 1432-0932 ; 0940-6719
    ISSN (online) 1432-0932
    ISSN 0940-6719
    DOI 10.1007/s00586-022-07273-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Single-cell and spatial profiling identify three response trajectories to pembrolizumab and radiation therapy in triple negative breast cancer.

    Shiao, Stephen L / Gouin, Kenneth H / Ing, Nathan / Ho, Alice / Basho, Reva / Shah, Aagam / Mebane, Richard H / Zitser, David / Martinez, Andrew / Mevises, Natalie-Ya / Ben-Cheikh, Bassem / Henson, Regina / Mita, Monica / McAndrew, Philomena / Karlan, Scott / Giuliano, Armando / Chung, Alice / Amersi, Farin / Dang, Catherine /
    Richardson, Heather / Shon, Wonwoo / Dadmanesh, Farnaz / Burnison, Michele / Mirhadi, Amin / Zumsteg, Zachary S / Choi, Rachel / Davis, Madison / Lee, Joseph / Rollins, Dustin / Martin, Cynthia / Khameneh, Negin H / McArthur, Heather / Knott, Simon R V

    Cancer cell

    2024  Volume 42, Issue 1, Page(s) 70–84.e8

    Abstract: Strategies are needed to better identify patients that will benefit from immunotherapy alone or who may require additional therapies like chemotherapy or radiotherapy to overcome resistance. Here we employ single-cell transcriptomics and spatial ... ...

    Abstract Strategies are needed to better identify patients that will benefit from immunotherapy alone or who may require additional therapies like chemotherapy or radiotherapy to overcome resistance. Here we employ single-cell transcriptomics and spatial proteomics to profile triple negative breast cancer biopsies taken at baseline, after one cycle of pembrolizumab, and after a second cycle of pembrolizumab given with radiotherapy. Non-responders lack immune infiltrate before and after therapy and exhibit minimal therapy-induced immune changes. Responding tumors form two groups that are distinguishable by a classifier prior to therapy, with one showing high major histocompatibility complex expression, evidence of tertiary lymphoid structures, and displaying anti-tumor immunity before treatment. The other responder group resembles non-responders at baseline and mounts a maximal immune response, characterized by cytotoxic T cell and antigen presenting myeloid cell interactions, only after combination therapy, which is mirrored in a murine model of triple negative breast cancer.
    MeSH term(s) Humans ; Animals ; Mice ; Triple Negative Breast Neoplasms/drug therapy ; Triple Negative Breast Neoplasms/genetics ; Triple Negative Breast Neoplasms/radiotherapy ; Antibodies, Monoclonal, Humanized/therapeutic use ; Combined Modality Therapy ; Immunotherapy
    Chemical Substances pembrolizumab (DPT0O3T46P) ; Antibodies, Monoclonal, Humanized
    Language English
    Publishing date 2024-01-07
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2078448-X
    ISSN 1878-3686 ; 1535-6108
    ISSN (online) 1878-3686
    ISSN 1535-6108
    DOI 10.1016/j.ccell.2023.12.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Tracking widespread climate-driven change on temperate and tropical reefs.

    Stuart-Smith, Rick D / Edgar, Graham J / Clausius, Ella / Oh, Elizabeth S / Barrett, Neville S / Emslie, Michael J / Bates, Amanda E / Bax, Nic / Brock, Daniel / Cooper, Antonia / Davis, Tom R / Day, Paul B / Dunic, Jillian C / Green, Andrew / Hasweera, Norfaizny / Hicks, Jamie / Holmes, Thomas H / Jones, Ben / Jordan, Alan /
    Knott, Nathan / Larkin, Meryl F / Ling, Scott D / Mooney, Peter / Pocklington, Jacqueline B / Seroussi, Yanir / Shaw, Ian / Shields, Derek / Smith, Margo / Soler, German A / Stuart-Smith, Jemina / Turak, Emre / Turnbull, John W / Mellin, Camille

    Current biology : CB

    2022  Volume 32, Issue 19, Page(s) 4128–4138.e3

    Abstract: Warming seas, marine heatwaves, and habitat degradation are increasingly widespread phenomena affecting marine biodiversity, yet our understanding of their broader impacts is largely derived from collective insights from independent localized studies. ... ...

    Abstract Warming seas, marine heatwaves, and habitat degradation are increasingly widespread phenomena affecting marine biodiversity, yet our understanding of their broader impacts is largely derived from collective insights from independent localized studies. Insufficient systematic broadscale monitoring limits our understanding of the true extent of these impacts and our capacity to track these at scales relevant to national policies and international agreements. Using an extensive time series of co-located reef fish community structure and habitat data spanning 12 years and the entire Australian continent, we found that reef fish community responses to changing temperatures and habitats are dynamic and widespread but regionally patchy. Shifts in composition and abundance of the fish community often occurred within 2 years of environmental or habitat change, although the relative importance of these two mechanisms of climate impact tended to differ between tropical and temperate zones. The clearest of these changes on temperate and subtropical reefs were temperature related, with responses measured by the reef fish thermal index indicating reshuffling according to the thermal affinities of species present. On low latitude coral reefs, the community generalization index indicated shifting dominance of habitat generalist fishes through time, concurrent with changing coral cover. Our results emphasize the importance of maintaining local ecological detail when scaling up datasets to inform national policies and global biodiversity targets. Scaled-up ecological monitoring is needed to discriminate among increasingly diverse drivers of large-scale biodiversity change and better connect presently disjointed systems of biodiversity observation, indicator research, and governance.
    MeSH term(s) Animals ; Anthozoa/physiology ; Australia ; Biodiversity ; Climate Change ; Coral Reefs ; Ecosystem ; Fishes/physiology
    Language English
    Publishing date 2022-09-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 1071731-6
    ISSN 1879-0445 ; 0960-9822
    ISSN (online) 1879-0445
    ISSN 0960-9822
    DOI 10.1016/j.cub.2022.07.067
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The classification of scoliosis braces developed by SOSORT with SRS, ISPO, and POSNA and approved by ESPRM.

    Negrini, Stefano / Aulisa, Angelo Gabriele / Cerny, Pavel / de Mauroy, Jean Claude / McAviney, Jeb / Mills, Andrew / Donzelli, Sabrina / Grivas, Theodoros B / Hresko, M Timothy / Kotwicki, Tomasz / Labelle, Hubert / Marcotte, Louise / Matthews, Martin / O'Brien, Joe / Parent, Eric C / Price, Nigel / Manuel, Rigo / Stikeleather, Luke / Vitale, Michael G /
    Wong, Man Sang / Wood, Grant / Wynne, James / Zaina, Fabio / Bruno, Marco Brayda / Würsching, Suncica Bulat / Yilgor, Caglar / Cahill, Patrick / Dema, Eugenio / Knott, Patrick / Lebel, Andrea / Lein, Grigorii / Newton, Peter O / Smith, Brian G

    European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

    2022  Volume 31, Issue 4, Page(s) 980–989

    Abstract: Purpose: Studies have shown that bracing is an effective treatment for patients with idiopathic scoliosis. According to the current classification, almost all braces fall in the thoracolumbosacral orthosis (TLSO) category. Consequently, the ... ...

    Abstract Purpose: Studies have shown that bracing is an effective treatment for patients with idiopathic scoliosis. According to the current classification, almost all braces fall in the thoracolumbosacral orthosis (TLSO) category. Consequently, the generalization of scientific results is either impossible or misleading. This study aims to produce a classification of the brace types.
    Methods: Four scientific societies (SOSORT, SRS, ISPO, and POSNA) invited all their members to be part of the study. Six level 1 experts developed the initial classifications. At a consensus meeting with 26 other experts and societies' officials, thematic analysis and general discussion allowed to define the classification (minimum 80% agreement). The classification was applied to the braces published in the literature and officially approved by the 4 scientific societies and by ESPRM.
    Results: The classification is based on the following classificatory items: anatomy (CTLSO, TLSO, LSO), rigidity (very rigid, rigid, elastic), primary corrective plane (frontal, sagittal, transverse, frontal & sagittal, frontal & transverse, sagittal & transverse, three-dimensional), construction-valves (monocot, bivalve, multisegmented), construction-closure (dorsal, lateral, ventral), and primary action (bending, detorsion, elongation, movement, push-up, three points). The experts developed a definition for each item and were able to classify the 15 published braces into nine groups.
    Conclusion: The classification is based on the best current expertise (the lowest level of evidence). Experts recognize that this is the first edition and will change with future understanding and research. The broad application of this classification could have value for brace research, education, clinical practice, and growth in this field.
    MeSH term(s) Braces ; Consensus ; Humans ; Orthotic Devices ; Scoliosis/therapy ; Treatment Outcome
    Language English
    Publishing date 2022-02-21
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1115375-1
    ISSN 1432-0932 ; 0940-6719
    ISSN (online) 1432-0932
    ISSN 0940-6719
    DOI 10.1007/s00586-022-07131-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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