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Article ; Online: Aligned or misaligned: Are public funding models for speech-language pathology reflecting recommended evidence? An exploratory survey of Australian speech-language pathologists.

Nickless, T / Davidson, B / Finch, S / Gold, L / Dowell, R

Health policy OPEN

2024 Volume 6, Page(s) 100117

Abstract: Government subsidised funding arrangements serve as an essential medium for families to access private speech-language pathology (SLP) services in Australia. This study aimed to investigate whether, from a provider perspective, contemporary public ... ...

Abstract	Government subsidised funding arrangements serve as an essential medium for families to access private speech-language pathology (SLP) services in Australia. This study aimed to investigate whether, from a provider perspective, contemporary public funding models (PFMs) align with best-available scientific evidence for management of children and young persons with swallowing and communication disorders within Australian private-practice settings. This exploratory study was distributed to paediatric speech-language pathologists throughout Australia via an online survey. A total of 121 valid surveys were completed by Australian speech-language pathologists with divergent career experiences. In comparing three familiar PFMs using mixed effects logistic regression models to estimate odds ratios, results indicated that perceived congruence with recommended scientific evidence for SLP management varied across PFMs: the odds of failing to align with scientific evidence was 4.92 times higher for Medicare's Chronic Disease Management Plan (MBS_CDMP) than for the National Disability Insurance Scheme; and 7.40 times higher in comparison to Medicare's Helping Children with Autism initiative. This study is the first to report on (in)congruence between PFMs that provide access to independent Australian SLP services for children and young persons and best available scientific evidence to inform clinical practice. Participants identified that: (a) four out of seven contemporary PFMs were unfamiliar to speech-language pathologists; and (b) MBS_CDMP initiative failed to align with the evidence-base for best scientific SLP management.
Language	English
Publishing date	2024-03-07
Publishing country	Netherlands
Document type	Journal Article
ISSN	2590-2296
ISSN (online)	2590-2296
DOI	10.1016/j.hpopen.2024.100117
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Article ; Online: Molecular testing on serous effusions.

Davidson, Ben

Diagnostic cytopathology

2020 Volume 49, Issue 5, Page(s) 640–646

Abstract: Serous effusions constitute a significant part of the material processed and diagnosed by cytopathology laboratories. Effusions may occur in a variety of clinical settings and the differential diagnosis between these conditions often requires ancillary ... ...

Abstract	Serous effusions constitute a significant part of the material processed and diagnosed by cytopathology laboratories. Effusions may occur in a variety of clinical settings and the differential diagnosis between these conditions often requires ancillary tests. Immunohistochemistry is still the most frequently used method in this context. However, a wide array of other methods measuring the expression of DNA, mRNA, noncoding RNA, proteins, and other compounds may be applied to the diagnosis of serous effusions, particularly in the setting of cancer, as well as to studies focusing on tumor biology and understanding of tumor progression. In addition, as serous effusions provide ideal material for molecular testing, they have in recent years assumed central role as specimens informative of prediction in the context of targeted therapy, as well as prognostication. This review discusses recent studies in this field.
MeSH term(s)	Cytodiagnosis/methods ; Exudates and Transudates/cytology ; Humans ; Molecular Diagnostic Techniques/methods ; Neoplasms/diagnosis
Language	English
Publishing date	2020-02-05
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	632710-2
ISSN	1097-0339 ; 8755-1039
ISSN (online)	1097-0339
ISSN	8755-1039
DOI	10.1002/dc.24392
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Article ; Online: Cancer Stem Cell Markers Are Differentially Expressed in Malignant Ovarian Germ Cell Tumors.

Davidson, Ben / Solheim, Olesya

International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists

2023 Volume 42, Issue 6, Page(s) 613–619

Abstract: The objective of this study was to analyze the expression and potential clinical role of cancer stem cell (CSC) markers in malignant ovarian germ cell tumors (MOGCT). CD34, CD44, and SOX2 protein expression by immunohistochemistry was analyzed in 49 ... ...

Abstract	The objective of this study was to analyze the expression and potential clinical role of cancer stem cell (CSC) markers in malignant ovarian germ cell tumors (MOGCT). CD34, CD44, and SOX2 protein expression by immunohistochemistry was analyzed in 49 MOGCT from patients treated in Norway during the period 1980-2011. Expression was analyzed for association with tumor type and clinicopathologic parameters. Tumors were diagnosed as dysgerminoma (DG; n=15), immature teratoma (IT; n=15), yolk sac tumor (YST; n=12), embryonal carcinoma (n=2), and mixed MOGCT (n=5). Tumor cell CD34 expression was significantly more common in YST, whereas stromal expression was only seen in IT (both P <0.001). CD44 was infrequently expressed, most often focally, in tumor cells, particularly in YST ( P =0.026). CD44 was widely expressed in leukocytes, most prominently in DG. SOX2 was most frequently expressed in IT, with predominantly focal expression in some YST and uniform absence in DG ( P <0.001). Stromal CD34 ( P =0.012) and tumor cell SOX2 expression ( P =0.004) were negatively associated with the involvement of the ovarian surface, presumably due to the low incidence of this event in IT. No significant association was found between CSC marker expression and other clinicopathologic parameters, including age, laterality, tumor diameter, and FIGO stage. In conclusion, CSC markers are differentially expressed in various MOGCT types, suggesting differences in the regulation of cancer-related processes. Expression of CD34, CD44, and SOX2 does not appear to be associated with clinical parameters in this patient group.
Language	English
Publishing date	2023-05-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	604859-6
ISSN	1538-7151 ; 0277-1691
ISSN (online)	1538-7151
ISSN	0277-1691
DOI	10.1097/PGP.0000000000000947
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Zs.A 1814: Show issues

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Article ; Online: Lhx3/4 initiates a cardiopharyngeal-specific transcriptional program in response to widespread FGF signaling.

Pickett, C J / Gruner, Hannah N / Davidson, Bradley

PLoS biology

2024 Volume 22, Issue 1, Page(s) e3002169

Abstract: Individual signaling pathways, such as fibroblast growth factors (FGFs), can regulate a plethora of inductive events. According to current paradigms, signal-dependent transcription factors (TFs), such as FGF/MapK-activated Ets family factors, partner ... ...

Abstract	Individual signaling pathways, such as fibroblast growth factors (FGFs), can regulate a plethora of inductive events. According to current paradigms, signal-dependent transcription factors (TFs), such as FGF/MapK-activated Ets family factors, partner with lineage-determining factors to achieve regulatory specificity. However, many aspects of this model have not been rigorously investigated. One key question relates to whether lineage-determining factors dictate lineage-specific responses to inductive signals or facilitate these responses in collaboration with other inputs. We utilize the chordate model Ciona robusta to investigate mechanisms generating lineage-specific induction. Previous studies in C. robusta have shown that cardiopharyngeal progenitor cells are specified through the combined activity of FGF-activated Ets1/2.b and an inferred ATTA-binding transcriptional cofactor. Here, we show that the homeobox TF Lhx3/4 serves as the lineage-determining TF that dictates cardiopharyngeal-specific transcription in response to pleiotropic FGF signaling. Targeted knockdown of Lhx3/4 leads to loss of cardiopharyngeal gene expression. Strikingly, ectopic expression of Lhx3/4 in a neuroectodermal lineage subject to FGF-dependent specification leads to ectopic cardiopharyngeal gene expression in this lineage. Furthermore, ectopic Lhx3/4 expression disrupts neural plate morphogenesis, generating aberrant cell behaviors associated with execution of incompatible morphogenetic programs. Based on these findings, we propose that combinatorial regulation by signal-dependent and lineage-determinant factors represents a generalizable, previously uncategorized regulatory subcircuit we term "cofactor-dependent induction." Integration of this subcircuit into theoretical models will facilitate accurate predictions regarding the impact of gene regulatory network rewiring on evolutionary diversification and disease ontogeny.
MeSH term(s)	Animals ; Gene Expression Regulation, Developmental ; Fibroblast Growth Factors/genetics ; Fibroblast Growth Factors/metabolism ; Signal Transduction/physiology ; Ciona intestinalis/genetics ; Transcription Factors/genetics ; Transcription Factors/metabolism
Chemical Substances	Fibroblast Growth Factors (62031-54-3) ; Transcription Factors
Language	English
Publishing date	2024-01-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2126776-5
ISSN	1545-7885 ; 1544-9173
ISSN (online)	1545-7885
ISSN	1544-9173
DOI	10.1371/journal.pbio.3002169
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Article ; Online: Biomarkers of drug resistance in ovarian cancer - an update.

Davidson, Ben

Expert review of molecular diagnostics

2019 Volume 19, Issue 6, Page(s) 469–476

Abstract: ... ...

Abstract	Introduction
MeSH term(s)	Antineoplastic Agents/pharmacology ; Antineoplastic Agents/therapeutic use ; BRCA1 Protein/genetics ; BRCA2 Protein/genetics ; Biomarkers, Tumor ; Cell Cycle/genetics ; Disease Susceptibility ; Drug Resistance, Neoplasm/genetics ; Expert Testimony ; Female ; Humans ; Immunity ; MicroRNAs/genetics ; Mitosis/genetics ; Neoplastic Stem Cells/immunology ; Neoplastic Stem Cells/metabolism ; Neoplastic Stem Cells/pathology ; Ovarian Neoplasms/drug therapy ; Ovarian Neoplasms/etiology ; Ovarian Neoplasms/metabolism ; Signal Transduction
Chemical Substances	Antineoplastic Agents ; BRCA1 Protein ; BRCA2 Protein ; Biomarkers, Tumor ; MicroRNAs
Language	English
Publishing date	2019-05-16
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2112530-2
ISSN	1744-8352 ; 1473-7159
ISSN (online)	1744-8352
ISSN	1473-7159
DOI	10.1080/14737159.2019.1618187
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Article ; Online: Circulating tumor cells and cell-free nucleic acids in patients with gynecological malignancies.

Davidson, Ben

Virchows Archiv : an international journal of pathology

2018 Volume 473, Issue 4, Page(s) 395–403

Abstract: The ability to detect cancer cells in the blood or in the bone marrow offers invaluable information which potentially impacts early diagnosis, monitoring of treatment, and prognosis. Accessing blood or other body fluids has the additional advantage of ... ...

Abstract	The ability to detect cancer cells in the blood or in the bone marrow offers invaluable information which potentially impacts early diagnosis, monitoring of treatment, and prognosis. Accessing blood or other body fluids has the additional advantage of being less invasive than biopsy. Consequently, considerable effort has been invested in the last 20 years in optimizing assays which may identify malignant cells at these anatomic sites. Detection of nucleic acids has been applied as alternative approach in this context, first targeting single cancer-associated genes using PCR-based technology, and recently using assays which identify different DNA classes, as well as microRNAs and exosomes. The present review focuses on studies which applied these assays to the detection of cells or cellular components originating from gynecological cancers.
MeSH term(s)	Biomarkers, Tumor/blood ; Biomarkers, Tumor/genetics ; Cell-Free Nucleic Acids/blood ; Cell-Free Nucleic Acids/genetics ; Early Detection of Cancer/methods ; Female ; Genital Neoplasms, Female/blood ; Genital Neoplasms, Female/genetics ; Genital Neoplasms, Female/pathology ; Humans ; Molecular Diagnostic Techniques ; Neoplastic Cells, Circulating/chemistry ; Neoplastic Cells, Circulating/pathology ; Predictive Value of Tests ; Prognosis
Chemical Substances	Biomarkers, Tumor ; Cell-Free Nucleic Acids
Language	English
Publishing date	2018-08-25
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	1184867-4
ISSN	1432-2307 ; 0945-6317
ISSN (online)	1432-2307
ISSN	0945-6317
DOI	10.1007/s00428-018-2447-5
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Article ; Online: Clinicopathological prognostic parameters in patients with tubo-ovarian carcinoma effusions.

Davidson, Ben / Elstrand, Mari Bunkholt

Cytopathology : official journal of the British Society for Clinical Cytology

2022 Volume 33, Issue 4, Page(s) 479–492

Abstract: Objective: To analyse the predictive and prognostic role of clinicopathological parameters in patients with tubo-ovarian carcinoma and malignant effusion.: Methods: A retrospective series of 700 malignant peritoneal (n = 610) and pleural (n = 90) ... ...

Abstract	Objective: To analyse the predictive and prognostic role of clinicopathological parameters in patients with tubo-ovarian carcinoma and malignant effusion. Methods: A retrospective series of 700 malignant peritoneal (n = 610) and pleural (n = 90) effusions from 558 patients was revised for histotype based on the 2014 World Health Organization criteria. The role of clinicopathological parameters in determining outcome was assessed. Results: The majority of specimens (597 effusions from 473 patients) were high-grade serous carcinomas (HGSC), followed by low-grade serous carcinoma (LGSC; 48 effusions, 37 patients), clear cell carcinoma (CCC; 23 effusions, 19 patients) and carcinosarcoma (CS; 16 effusions, 16 patients). Patients with CCC and CS had the shortest, those with HGSC intermediate, and those with LGSC longest overall and progression-free survival (both P < 0.001). For patients with HGSC, older age (P = 0.002), more advanced FIGO stage (IV vs III; P < 0.001), delayed/no surgery (P < 0.001), larger residual disease volume (RD; P < 0.001), non-complete response to chemotherapy at diagnosis (P < 0.001), and primary platinum resistance (P < 0.001) were associated with shorter overall survival. In Cox multivariate analysis, FIGO stage (P = 0.002) and primary platinum resistance (P < 0.001) were independent prognosticators. Significant association was additionally found for parameters analysed for progression-free survival in HGSC (previous chemotherapy: P = 0.029; age: P = 0.046; FIGO stage, upfront therapy, RD: P < 0.001), of which previous chemotherapy, upfront therapy, and RD were independent prognosticators (all P < 0.001). Conclusions: The vast majority of malignant effusions in patients with tubo-ovarian carcinoma are derived from serous carcinoma or related tumours, such as CS. Histology is a powerful prognostic factor in this patient group, as are established clinical parameters.
MeSH term(s)	Biomarkers, Tumor/analysis ; Carcinoma ; Cystadenocarcinoma, Serous/diagnosis ; Female ; Humans ; Ovarian Neoplasms/diagnosis ; Platinum/therapeutic use ; Pleural Effusion, Malignant/diagnosis ; Prognosis ; Retrospective Studies
Chemical Substances	Biomarkers, Tumor ; Platinum (49DFR088MY)
Language	English
Publishing date	2022-04-27
Publishing country	England
Document type	Journal Article
ZDB-ID	1034190-0
ISSN	1365-2303 ; 0956-5507 ; 1350-4037
ISSN (online)	1365-2303
ISSN	0956-5507 ; 1350-4037
DOI	10.1111/cyt.13126
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Article ; Online: Public purse, private service: The perceptions of public funding models of Australian independent speech-language pathologists.

Nickless, Tristan / Gold, Lisa / Dowell, Richard / Davidson, Bronwyn

International journal of speech-language pathology

2023 Volume 25, Issue 3, Page(s) 462–478

Abstract: Purpose: Health funding provisions supported by governments are pivotal for families accessing independent speech-language pathology services in Australia. Little is known of the facilitators and barriers that exist for accessing public funding for ... ...

Abstract	Purpose: Health funding provisions supported by governments are pivotal for families accessing independent speech-language pathology services in Australia. Little is known of the facilitators and barriers that exist for accessing public funding for speech-language pathology services through independent providers. This study aimed to investigate and describe the perceptions of speech-language pathologists in accessing public funding models (PFMs) for children and young persons with communication and swallowing needs within Australian independent practice. Method: Semi-structured qualitative interviews were conducted with twenty independent speech-language pathologists who had experience of PFMs in Australia. Digitally recorded interviews were transcribed verbatim and subjected to thematic analysis. Result: Data analysis revealed five superordinate and eighteen subordinate themes. The five superordinate themes were: (a) accessibility in securing funding provisions; (b) time as a commodity; (c) incongruence between funding provisions and speech-language pathology evidence; (d) trust as a multifaceted quality; and (e) consequences of PFMs. Conclusion: This original and timely research offers perceptive descriptions of the multifaceted facilitators and barriers for families seeking to access public funding for independent speech-language pathology services in Australia. Research findings illuminate challenges for the speech-language pathology profession. Accessibility to funding was identified as a major issue. Research findings suggest that current funding provisions do not align with the dosage required for evidence-based speech-language pathology management. Further, this research has highlighted the need for funding to be equitable, acceptable to stakeholders, and for services to be delivered in an efficient and sustainable manner. Future research is recommended to understand which Australian PFMs: (a) facilitate consumer access to speech-language pathology services; (b) enrich consumer experiences; and (c) align with scientific evidence to promote optimal outcomes.
MeSH term(s)	Child ; Humans ; Speech ; Pathologists ; Australia ; Communication Disorders ; Language ; Speech-Language Pathology
Language	English
Publishing date	2023-06-05
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2402483-1
ISSN	1754-9515 ; 1754-9507
ISSN (online)	1754-9515
ISSN	1754-9507
DOI	10.1080/17549507.2023.2213864
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Zs.A 6092: Show issues

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Article ; Online: Molecular features for timely cancer diagnosis and treatment - tumors of the ovary, fallopian tube and endometrium.

Gatius, Sonia / Matias Guiu, Xavier / Davidson, Ben

Virchows Archiv : an international journal of pathology

2023 Volume 484, Issue 2, Page(s) 339–351

Abstract: Gynecologic pathology has moved, within only a few years, from being a diagnostic area devoid of molecular testing into a diagnostic discipline in which such analyses are becoming routine. The direct relevance of molecular characterization to the choice ... ...

Abstract	Gynecologic pathology has moved, within only a few years, from being a diagnostic area devoid of molecular testing into a diagnostic discipline in which such analyses are becoming routine. The direct relevance of molecular characterization to the choice of treatment of patients with carcinomas originating in both the uterus and adnexae makes it likely that such testing will only expand along with our understanding of the molecular make-up of these tumors. As a consequence, gynecologic pathologists have become an integral part of patient management, rather than lab personnel providing external services.In parallel, molecular testing is expanding as a tool for diagnosing rare tumors affecting these organs, including soft tissue tumors, sex cord-stromal tumors and germ cell tumors, as well as other rare entities. Increased knowledge in this area bears directly on the ability to diagnose these tumors in a reproducible manner, as well as recognize and consult on genetic diseases. Hopefully, despite the inherent difficulty in studying rare cancers, it will also translate into new therapeutic options for the malignant ones among these rare cancers.
MeSH term(s)	Humans ; Female ; Fallopian Tubes/pathology ; Carcinoma/pathology ; Ovarian Neoplasms/diagnosis ; Ovarian Neoplasms/genetics ; Ovarian Neoplasms/therapy ; Endometrium/pathology ; Fallopian Tube Neoplasms/diagnosis ; Fallopian Tube Neoplasms/genetics ; Fallopian Tube Neoplasms/therapy
Language	English
Publishing date	2023-12-15
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	1184867-4
ISSN	1432-2307 ; 0945-6317
ISSN (online)	1432-2307
ISSN	0945-6317
DOI	10.1007/s00428-023-03710-7
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Article ; Online: Irrigation and its wider regional impacts in Australia

Davidson, Brian / Hellegers, Petra

Water International

2023 Volume 48, Issue 5

Abstract: Is the evidence sufficiently strong enough to justify the belief that irrigation (water applied) has a beneficial socio-economic impact on people in regional Australia? Using correlation coefficients, it was found that while a strong relationship existed ...

Abstract	Is the evidence sufficiently strong enough to justify the belief that irrigation (water applied) has a beneficial socio-economic impact on people in regional Australia? Using correlation coefficients, it was found that while a strong relationship existed between water applied and irrigators’ incomes (0.91) and production (0.87), the links were much weaker to dryland farmers’ incomes (0.49), the wider total regional income (0.41) and total employment (0.42). Weak links were found to exist with employment density (0.24), per capita incomes (0.03) and a measure of well-being (0.11) of people living in regions where more water was applied.
Keywords	Australia ; Irrigation ; correlation coefficients ; regional impacts ; socio-economic well-being
Language	English
Publishing country	nl
Document type	Article ; Online
ISSN	0250-8060
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