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  1. Article ; Online: Do BRCA1 and BRCA2 mutation carriers have earlier natural menopause than their noncarrier relatives? Results from the Kathleen Cuningham Foundation Consortium for Research into Familial Breast Cancer.

    Collins, Ian M / Milne, Roger L / McLachlan, Sue Anne / Friedlander, Michael / Hickey, Martha / Weideman, Prue C / Birch, Kate E / Hopper, John L / Phillips, Kelly-Anne

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology

    2013  Volume 31, Issue 31, Page(s) 3920–3925

    Abstract: Purpose: Limited data suggest that germline BRCA1 mutations are associated with occult primary ovarian insufficiency and that BRCA1 and BRCA2 mutation carriers might have earlier natural menopause (NM) than their noncarrier relatives.: Patients and ... ...

    Abstract Purpose: Limited data suggest that germline BRCA1 mutations are associated with occult primary ovarian insufficiency and that BRCA1 and BRCA2 mutation carriers might have earlier natural menopause (NM) than their noncarrier relatives.
    Patients and methods: Eligible women were mutation carriers and noncarriers from families segregating a BRCA1 or BRCA2 mutation. Data were self-reported using uniform questionnaires at cohort entry and every 3 years thereafter. NM was defined as the cessation of menses for 12 months without another cause. Cox proportional hazards analysis modeled time from birth to NM, adjusting for multiple potential confounders. Analysis time was censored at the earliest of the following: last follow-up, bilateral oophorectomy, hysterectomy, commencement of hormone therapy, insertion of intrauterine device, or any cancer diagnosis. Hazard ratios (HRs) were estimated as a measure of how likely mutation carriers are, relative to noncarriers, to reach NM at a given age.
    Results: A total of 1,840 women were eligible for analysis. Overall only 19% reached NM. A lower proportion of BRCA1 and BRCA2 mutation carriers reached NM compared with noncarriers. Conversely, a higher proportion of mutation carriers were censored at cancer diagnosis or oophorectomy than noncarriers. The adjusted HR estimates for NM were 1.03 (95% CI, 0.75 to 1.40; P = .9) for 445 BRCA1 mutation carriers and 559 noncarrier relatives and 1.01 (95% CI, 0.71 to 1.42; P = .9) for 374 BRCA2 mutation carriers and 462 noncarrier relatives.
    Conclusion: We found no evidence that BRCA1 and BRCA2 mutation carriers are at higher risk of NM at a given age than their noncarrier relatives.
    MeSH term(s) Adult ; Cohort Studies ; Female ; Foundations ; Genes, BRCA1 ; Genes, BRCA2 ; Heterozygote ; Humans ; Menopause/genetics ; Middle Aged ; Mutation ; Proportional Hazards Models
    Language English
    Publishing date 2013-11-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.2013.49.3007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Cancer risk management practices of noncarriers within BRCA1/2 mutation positive families in the Kathleen Cuningham Foundation Consortium for Research into Familial Breast Cancer.

    Dawson, Sarah-Jane / Price, Melanie A / Jenkins, Mark A / McKinley, Joanne M / Butow, Phyllis N / McLachlan, Sue-Anne / Lindeman, Geoffrey J / Weideman, Prue / Friedlander, Michael L / Hopper, John L / Phillips, Kelly-Anne

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology

    2008  Volume 26, Issue 2, Page(s) 225–232

    Abstract: Purpose: Women from BRCA mutation-positive families who do not carry the family-specific mutation are generally at average cancer risk and therefore do not require intensive risk management.: Methods: Participants were female noncarriers from BRCA ... ...

    Abstract Purpose: Women from BRCA mutation-positive families who do not carry the family-specific mutation are generally at average cancer risk and therefore do not require intensive risk management.
    Methods: Participants were female noncarriers from BRCA mutation-positive families who had responded to 3 yearly follow-up questionnaires and had chosen to either receive or not receive their genetic test result. In the former group, undertaking mammography younger than age 40 years or more than once every 2 years, clinical breast examination (CBE) more than yearly, breast self-examination (BSE) more than monthly, or any transvaginal ultrasound (TVU) or CA-125 was considered overscreening. Screening behaviors of women who did and did not know their genetic test result were compared. Logistic regression and nonparametric analyses were performed to identify demographic and psychosocial factors (respectively) associated with overscreening.
    Results: Of 325 eligible women, 116 knew their mutation status and 209 did not. For the first group, proportions overscreening were mammography, 53%; CBE, 10%; BSE, 11%; TVU, 7%; and CA-125, 10%. There were no significant differences in screening behaviors between the groups. In those aware of their mutation status, parous women were more likely to overuse mammography (odds ratio [OR] = 4.4; 95% CI, 1.1 to 17; P = .03) and women with one or more first-degree relative with ovarian cancer (OC) were more likely to overuse OC screening (TVU: OR = 6.00; 95% CI, 1.0 to 35.1; P = .047, and CA-125: OR = 6.50; 95% CI, 1.49 to 28.4; P = .013).
    Conclusion: The reasons for overuse of screening (particularly mammography) by mutation noncarriers require additional elucidation given the potential for harm.
    MeSH term(s) Age Factors ; Breast Neoplasms/diagnosis ; Breast Neoplasms/genetics ; Breast Self-Examination ; Female ; Genes, BRCA1 ; Genes, BRCA2 ; Health Knowledge, Attitudes, Practice ; Humans ; Logistic Models ; Mammography/utilization ; Middle Aged ; Mutation ; Risk Factors ; Risk Management/methods ; Statistics, Nonparametric ; Surveys and Questionnaires ; Unnecessary Procedures
    Language English
    Publishing date 2008-01-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.2007.11.0262
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Contralateral risk-reducing mastectomy in BRCA1 and BRCA2 mutation carriers and other high-risk women in the Kathleen Cuningham Foundation Consortium for Research into Familial Breast Cancer (kConFab).

    Kiely, Belinda E / Jenkins, Mark A / McKinley, Joanne M / Friedlander, Michael L / Weideman, Prue / Milne, Roger L / McLachlan, Sue-Anne / Hopper, John L / Phillips, Kelly-Anne

    Breast cancer research and treatment

    2010  Volume 120, Issue 3, Page(s) 715–723

    Abstract: The purpose of this study is to determine the prevalence and predictors of contralateral risk-reducing mastectomy (CRRM) in Australasian women at high familial risk of a second primary breast cancer (BC). Participants were women with unilateral BC and a ... ...

    Abstract The purpose of this study is to determine the prevalence and predictors of contralateral risk-reducing mastectomy (CRRM) in Australasian women at high familial risk of a second primary breast cancer (BC). Participants were women with unilateral BC and a strong family history of the disease, including BRCA1/2 mutation carriers. Data were collected through interview, self-administered questionnaire and review of pathology and surgical reports. Associations between CRRM and potential predictors were assessed using multivariate logistic regression. Of 1,018 women (median follow-up 11.1 years), 154 (15%) underwent CRRM, 43% of these within 12 months of initial BC surgery. More likely to undergo CRRM were women who were younger at BC diagnosis (odds ratio [OR] = 0.94 per year of age, P < 0.001), were diagnosed more recently (OR = 1.16 per calendar year, P < 0.001), underwent mastectomy as initial definitive BC treatment (OR = 5.2, P < 0.001) and underwent risk-reducing salpingo-oophorectomy (OR = 3.4, P < 0.001). BRCA1/2 mutation status, axillary nodal status and receipt of chemotherapy were not independently associated with CRRM uptake. A contralateral BC event (invasive or in situ) occurred in 177 (20.5%) of the 864 women who did not have CRRM, compared with one chest wall event (0.6%) in the 154 women post-CRRM. The contralateral event rate was 15.1 per 1,000 women-years for non-CRRM women and 0.7 per 1,000 women-years for CRRM women; P < 0.0001. Younger women with more recently diagnosed BC treated with mastectomy are more likely to elect CRRM. Neither BRCA1/2 mutation status, nor the competing risk of BC recurrence and death, appears to influence decision making.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Australia/epidemiology ; Breast Neoplasms/genetics ; Breast Neoplasms/prevention & control ; Breast Neoplasms/surgery ; Cohort Studies ; Fallopian Tubes/surgery ; Female ; Follow-Up Studies ; Genes, BRCA1 ; Genes, BRCA2 ; Humans ; Mastectomy/utilization ; Middle Aged ; Neoplasms, Second Primary/epidemiology ; Neoplasms, Second Primary/genetics ; Neoplasms, Second Primary/prevention & control ; Odds Ratio ; Ovariectomy/utilization ; Risk ; Socioeconomic Factors ; Young Adult
    Language English
    Publishing date 2010-04
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604563-7
    ISSN 1573-7217 ; 0167-6806
    ISSN (online) 1573-7217
    ISSN 0167-6806
    DOI 10.1007/s10549-009-0497-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Contralateral risk-reducing mastectomy in BRCA1 and BRCA2 mutation carriers and other high-risk women in the Kathleen Cuningham Foundation Consortium for Research into Familial Breast Cancer (kConFab)

    Kiely, Belinda E / Jenkins, Mark A / McKinley, Joanne M / Friedlander, Michael L / Weideman, Prue / Milne, Roger L / McLachlan, Sue-Anne / Hopper, John L / Phillips, Kelly-Anne

    Breast cancer research and treatment. 2010 Apr., v. 120, no. 3

    2010  

    Abstract: The purpose of this study is to determine the prevalence and predictors of contralateral risk-reducing mastectomy (CRRM) in Australasian women at high familial risk of a second primary breast cancer (BC). Participants were women with unilateral BC and a ... ...

    Abstract The purpose of this study is to determine the prevalence and predictors of contralateral risk-reducing mastectomy (CRRM) in Australasian women at high familial risk of a second primary breast cancer (BC). Participants were women with unilateral BC and a strong family history of the disease, including BRCA1/2 mutation carriers. Data were collected through interview, self-administered questionnaire and review of pathology and surgical reports. Associations between CRRM and potential predictors were assessed using multivariate logistic regression. Of 1,018 women (median follow-up 11.1 years), 154 (15%) underwent CRRM, 43% of these within 12 months of initial BC surgery. More likely to undergo CRRM were women who were younger at BC diagnosis (odds ratio [OR] = 0.94 per year of age, P < 0.001), were diagnosed more recently (OR = 1.16 per calendar year, P < 0.001), underwent mastectomy as initial definitive BC treatment (OR = 5.2, P < 0.001) and underwent risk-reducing salpingo-oophorectomy (OR = 3.4, P < 0.001). BRCA1/2 mutation status, axillary nodal status and receipt of chemotherapy were not independently associated with CRRM uptake. A contralateral BC event (invasive or in situ) occurred in 177 (20.5%) of the 864 women who did not have CRRM, compared with one chest wall event (0.6%) in the 154 women post-CRRM. The contralateral event rate was 15.1 per 1,000 women-years for non-CRRM women and 0.7 per 1,000 women-years for CRRM women; P < 0.0001. Younger women with more recently diagnosed BC treated with mastectomy are more likely to elect CRRM. Neither BRCA1/2 mutation status, nor the competing risk of BC recurrence and death, appears to influence decision making.
    Language English
    Dates of publication 2010-04
    Size p. 715-723.
    Publisher Springer US
    Publishing place Boston
    Document type Article
    ZDB-ID 604563-7
    ISSN 1573-7217 ; 0167-6806
    ISSN (online) 1573-7217
    ISSN 0167-6806
    DOI 10.1007/s10549-009-0497-8
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Profiling prostate biology.

    Kelly, Kathleen

    Science (New York, N.Y.)

    2020  Volume 368, Issue 6490, Page(s) 467–468

    MeSH term(s) Gene Expression Profiling ; Humans ; Male ; Prostatic Neoplasms ; Single-Cell Analysis
    Language English
    Publishing date 2020-04-30
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 128410-1
    ISSN 1095-9203 ; 0036-8075
    ISSN (online) 1095-9203
    ISSN 0036-8075
    DOI 10.1126/science.abb7052
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Advancing the development of new tuberculosis treatment regimens: The essential role of translational and clinical pharmacology and microbiology

    Dooley, Kelly / Mave, Vidya / Eisenach, Kathleen

    PLoS medicine, 16(7):e1002842

    2019  

    Abstract: SUMMARY POINTS: (*) Translational and clinical pharmacology are the state-of-the-art tools used by drug developers to efficiently move compounds and regimens through all drug development phases. Tuberculosis drug and regimen development, though, has ... ...

    Abstract SUMMARY POINTS: (*) Translational and clinical pharmacology are the state-of-the-art tools used by drug developers to efficiently move compounds and regimens through all drug development phases. Tuberculosis drug and regimen development, though, has traditionally underutilized these modern, model-based drug development approaches, despite the urgent need to understand major pharmacological aspects not only of the new candidates but also of existing drugs. (*) Translational platforms that include drug combinations are critical and should encompass data from multiple preclinical drug development tools (in vitro and in vivo models) to select the best regimens to be moved forward into clinical development. (*) Quantitative pharmacokinetic (PK)–pharmacodynamic (PD) approaches should be incorporated into all phases of drug development and be used for selection of optimal dose and schedule, assessment of drug–drug interactions, and dose determination in key populations including pregnant women, children, and people living with HIV. Quantitative pharmacology models should further be utilized for clinical trial design using clinical trial simulations. (*) Microbiology determinants such as precisely assessed minimum inhibitory concentrations (MICs) as well as quantitative longitudinal cultures integrated with PK-PD assessment will substantially inform and enhance all phases of drug development. (*) Commitment of all stakeholders, data sharing, and resource investment are required for development and utilization of these tools, which are necessary for successful TB regimen development.
    Keywords Clinical pharmacology ; Clinical trials ; Biomarkers ; Drug therapy ; Drug research and development ; Phase III clinical investigation ; Pharmacology ; Tuberculosis
    Language English
    Document type Article
    Database Repository for Life Sciences

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  7. Article ; Online: Mentoring Models to Support Transition to Practice Programs: One Size Does Not Fit All.

    Johnson, Jaliza / Bradley, Kathleen / Bugos, Kelly / Hernandez, Grissel

    Journal of continuing education in nursing

    2024  Volume 55, Issue 4, Page(s) 161–164

    Abstract: One-on-one mentoring is not a fit for all transition to practice programs because of the need to recruit large numbers of mentors several times a year and the cost associated with supporting many mentor/mentee relationships. A group mentoring model is ... ...

    Abstract One-on-one mentoring is not a fit for all transition to practice programs because of the need to recruit large numbers of mentors several times a year and the cost associated with supporting many mentor/mentee relationships. A group mentoring model is sustainable because it can foster a collaborative learning environment and emphasize knowledge sharing, skill acquisition, and emotional support within the group dynamic. Models can be replicated and applied in any setting.
    MeSH term(s) Humans ; Mentors/psychology ; Mentoring ; Program Evaluation
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410520-5
    ISSN 1938-2472 ; 0022-0124
    ISSN (online) 1938-2472
    ISSN 0022-0124
    DOI 10.3928/00220124-20240318-04
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Silent suffering: the plague of elder abuse.

    Wilber, Kathleen / Marnfeldt, Kelly

    Nature aging

    2022  Volume 2, Issue 9, Page(s) 771–772

    MeSH term(s) Humans ; Aged ; Elder Abuse/diagnosis
    Language English
    Publishing date 2022-09-20
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ISSN 2662-8465
    ISSN (online) 2662-8465
    DOI 10.1038/s43587-022-00282-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Conditional protein splicing of the

    Schneider, Ryan F / Hallstrom, Kelly / DeMott, Christopher / McDonough, Kathleen A

    bioRxiv : the preprint server for biology

    2024  

    Abstract: ... ...

    Abstract The
    Language English
    Publishing date 2024-04-15
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2024.04.15.589443
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Biliary Atresia in Adolescence and Adult Life: Medical, Surgical and Psychological Aspects.

    Kelly, Deirdre / Samyn, Marianne / Schwarz, Kathleen B

    Journal of clinical medicine

    2023  Volume 12, Issue 4

    Abstract: Prior to 1955, when Morio Kasai first performed the hepatic portoenterostomy procedure which now bears his name, Biliary atresia (BA) was a uniformly fatal disease. Both the Kasai procedure and liver transplantation have markedly improved the outlook for ...

    Abstract Prior to 1955, when Morio Kasai first performed the hepatic portoenterostomy procedure which now bears his name, Biliary atresia (BA) was a uniformly fatal disease. Both the Kasai procedure and liver transplantation have markedly improved the outlook for infants with this condition. Although long-term survival with native liver occurs in the minority, survival rates post liver transplantation are high. Most young people born with BA will now survive into adulthood but their ongoing requirements for health care will necessitate their transition from a family-centred paediatric service to a patient-centred adult service. Despite a rapid growth in transition services over recent years and progress in transitional care, transition from paediatric to adult services is still a risk for poor clinical and psychosocial outcomes and increased health care costs. Adult hepatologists should be aware of the clinical management and complications of biliary atresia and the long-term consequences of liver transplantation in childhood. Survivors of childhood illness require a different approach to that for young adults presenting after 18 years of age with careful consideration of their emotional, social, and sexual health. They need to understand the risks of non-adherence, both for clinic appointments and medication, as well as the implications for graft loss. Developing adequate transitional care for these young people is based on effective collaboration at the paediatric-adult interface and is a major challenge for paediatric and adult providers alike in the 21st century. This entails education for patients and adult physicians in order to familiarise them with the long-term complications, in particular for those surviving with their native liver and the timing of consideration of liver transplantation if required. This article focusses on the outcome for children with biliary atresia who survive into adolescence and adult life with considerations on their current management and prognosis.
    Language English
    Publishing date 2023-02-17
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12041594
    Database MEDical Literature Analysis and Retrieval System OnLINE

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