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  1. Article ; Online: Pinnaplasty: Who makes the cut?

    Ward, J A / Pope-Jones, S / Murison, M / Wilson-Jones, N

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2019  Volume 73, Issue 4, Page(s) 783–808

    MeSH term(s) Ear, External/surgery ; Humans ; Reconstructive Surgical Procedures/education ; Reconstructive Surgical Procedures/statistics & numerical data ; Retrospective Studies ; Surgery, Plastic/education
    Language English
    Publishing date 2019-12-11
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2019.11.041
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Development of a core outcome set for research and audit studies in reconstructive breast surgery.

    Potter, S / Holcombe, C / Ward, J A / Blazeby, J M

    The British journal of surgery

    2015  Volume 102, Issue 11, Page(s) 1360–1371

    Abstract: Background: Appropriate outcome selection is essential if research is to guide decision-making and inform policy. Systematic reviews of the clinical, cosmetic and patient-reported outcomes of reconstructive breast surgery, however, have demonstrated ... ...

    Abstract Background: Appropriate outcome selection is essential if research is to guide decision-making and inform policy. Systematic reviews of the clinical, cosmetic and patient-reported outcomes of reconstructive breast surgery, however, have demonstrated marked heterogeneity, and results from individual studies cannot be compared or combined. Use of a core outcome set may improve the situation. The BRAVO study developed a core outcome set for reconstructive breast surgery.
    Methods: A long list of outcomes identified from systematic reviews and stakeholder interviews was used to inform a questionnaire survey. Key stakeholders defined as individuals involved in decision-making for reconstructive breast surgery, including patients, breast and plastic surgeons, specialist nurses and psychologists, were sampled purposively and sent the questionnaire (round 1). This asked them to rate the importance of each outcome on a 9-point Likert scale from 1 (not important) to 9 (extremely important). The proportion of respondents rating each item as very important (score 7-9) was calculated. This was fed back to participants in a second questionnaire (round 2). Respondents were asked to reprioritize outcomes based on the feedback received. Items considered very important after round 2 were discussed at consensus meetings, where the core outcome set was agreed.
    Results: A total of 148 items were combined into 34 domains within six categories. Some 303 participants (51·4 per cent) (215 (49·5 per cent) of 434 patients; 88 (56·4 per cent) of 156 professionals) completed and returned the round 1 questionnaire, and 259 (85·5 per cent) reprioritized outcomes in round 2. Fifteen items were excluded based on questionnaire scores and 19 were carried forward to the consensus meetings, where a core outcome set containing 11 key outcomes was agreed.
    Conclusion: The BRAVO study has used robust consensus methodology to develop a core outcome set for reconstructive breast surgery. Widespread adoption by the reconstructive community will improve the quality of outcome assessment in effectiveness studies. Future work will evaluate how these key outcomes should best be measured.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Attitude of Health Personnel ; Clinical Decision-Making ; Consensus ; Delphi Technique ; Female ; Humans ; Mammaplasty ; Medical Audit/methods ; Medical Audit/standards ; Middle Aged ; Outcome Assessment, Health Care/methods ; Outcome Assessment, Health Care/standards ; Research Design ; Surveys and Questionnaires ; United Kingdom
    Language English
    Publishing date 2015-07-15
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1002/bjs.9883
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Outcome reporting for reconstructive breast surgery: the need for consensus, consistency and core outcome sets.

    Ward, J A / Potter, S / Blazeby, J M

    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

    2012  Volume 38, Issue 11, Page(s) 1020–1021

    MeSH term(s) Esthetics ; Female ; Humans ; Mammaplasty ; Outcome Assessment (Health Care)/standards ; Quality of Life ; Surveys and Questionnaires
    Language English
    Publishing date 2012-11
    Publishing country England
    Document type Editorial
    ZDB-ID 632519-1
    ISSN 1532-2157 ; 0748-7983
    ISSN (online) 1532-2157
    ISSN 0748-7983
    DOI 10.1016/j.ejso.2012.07.108
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Comparative RNA-seq for the investigation of resistance to Phytophthora root rot in the red raspberry 'Latham'

    Ward, J.A / Weber, C.A

    Acta horticulturae. 2012 Apr., , no. 946

    2012  

    Abstract: Mechanisms of resistance to Phytophthora root rot (PRR) (caused by Phytophthora rubi) in the red raspberry (Rubus idaeus) 'Latham' were investigated with a genome-wide expression study. Root-tissues of 'Latham' (resistant to PRR) and 'Titan' (susceptible ...

    Abstract Mechanisms of resistance to Phytophthora root rot (PRR) (caused by Phytophthora rubi) in the red raspberry (Rubus idaeus) 'Latham' were investigated with a genome-wide expression study. Root-tissues of 'Latham' (resistant to PRR) and 'Titan' (susceptible to PRR) were sampled from controls at 48 h, 5 days, and 20 days post inoculation. Total mRNA was extracted and sequencing libraries were prepared. Over 70,600,000 quality filtered 86 nt reads were sequenced with an Illumina Genome Analyzer IIx. RNA-seq was performed with these data using a freely available bioinformatics pipeline (Bowtie-TopHat and Cufflinks). The recently completed draft genome sequence of the woodland strawberry (Fragaria vesca) was used as the reference for alignment. Of 16,956 unique and putatively expressed genes detected there were 12,823 that we considered significantly expressed because the lower bound of the 95% confidence interval did not include a FPKM of zero. Furthermore, only genes that were significantly differentially expressed after Benjamini Hochberg False Discovery Rate correction for multiple testing were considered. Between the resistant control ('Latham' un-inoculated) and resistant treatment ('Latham' inoculated) 702 genes were significantly differentially expressed with a log fold change greater than 0.5 or less than -0.5 and an FPKM >3 in either the control or treatment. Further analysis was targeted toward genes known to play a role in plant defense. Significant results include: 1) increased expression of WRKY transcription factors, 2) PR genes, and 3) key genes in the citric acid cycle and the lignin biosynthetic pathways. These results are being confirmed with quantitative RT-PCR. This study not only reveals putative mechanisms of durable resistance in 'Latham', but it demonstrates how the newly released draft genome of Fragaria vesca can be used as a resource for genome-wide expression analysis in Rubus species.
    Keywords DNA libraries ; Fragaria vesca ; Phytophthora ; Rubus idaeus ; bioinformatics ; confidence interval ; gene expression regulation ; genes ; messenger RNA ; nucleotide sequences ; resistance mechanisms ; reverse transcriptase polymerase chain reaction ; root rot ; transcription factors ; tricarboxylic acid cycle
    Language English
    Size p. 67-72.
    Publishing place International Society for Horticultural Science
    Document type Article
    Note Paper presented at the Tenth International Rubus and Ribes Symposium, held June 22-26, 2011, Zlatibor, Serbia.
    ISSN 0567-7572
    Database NAL-Catalogue (AGRICOLA)

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  5. Article: Should antioxidant vitamins be routinely recommended for older people?

    Ward, J A

    Drugs & aging

    1998  Volume 12, Issue 3, Page(s) 169–175

    Abstract: The hypothesis that oxidative damage due to free radicals is an important cause of aging is the subject of much research and even more interest among the public and lay media. An increasing number of older people are asking whether they should be taking ... ...

    Abstract The hypothesis that oxidative damage due to free radicals is an important cause of aging is the subject of much research and even more interest among the public and lay media. An increasing number of older people are asking whether they should be taking antioxidant vitamins, despite their considerable cost. Epidemiological and laboratory evidence indicates that oxidative damage caused by oxygen free radicals is important in many of the major diseases of older age. It is also clear that a diet high in antioxidants protects against these diseases, including many cancers and ischaemic heart disease. However, it has not been proven whether antioxidant vitamins, taken as dietary supplements, provide the same level of protection as a diet that is rich in fruit and vegetables. Although there appears to be no reason to discourage older people from taking vitamin E (tocopherols) and ascorbic acid (vitamin C), the best advice to give them is to reduce their intake of xenobiotics, to drink tea instead of coffee, and to eat liberal amounts of fruit, vegetables, nuts, soya beans and lentils. The use of beta-carotene as a dietary supplement should be discouraged.
    MeSH term(s) Aged ; Aging/drug effects ; Antioxidants/therapeutic use ; Cardiovascular Diseases/prevention & control ; Free Radicals ; Humans ; Neoplasms/prevention & control ; Vitamins/therapeutic use
    Chemical Substances Antioxidants ; Free Radicals ; Vitamins
    Language English
    Publishing date 1998-03
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 1075770-3
    ISSN 1179-1969 ; 1170-229X
    ISSN (online) 1179-1969
    ISSN 1170-229X
    DOI 10.2165/00002512-199812030-00001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A simple model for multicomponent etching.

    Fowler, A C / Ward, J A / O'Brien, S B G

    Journal of colloid and interface science

    2011  Volume 354, Issue 1, Page(s) 421–423

    Abstract: We consider the situation where a multicomponent solid is etched using one or more acids. Of fundamental interest is the rate of surface etching but when this involves multicomponent surface reactions, it becomes unclear how the overall rate can be ... ...

    Abstract We consider the situation where a multicomponent solid is etched using one or more acids. Of fundamental interest is the rate of surface etching but when this involves multicomponent surface reactions, it becomes unclear how the overall rate can be estimated. In this paper, we sketch a simple model designed to determine the effective etching rate by means of an atomic scale model of the etching process.
    Language English
    Publishing date 2011-02-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 241597-5
    ISSN 1095-7103 ; 0021-9797
    ISSN (online) 1095-7103
    ISSN 0021-9797
    DOI 10.1016/j.jcis.2010.10.056
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The relationship between eosinophilia and airway remodelling in mild asthma.

    Wilson, S J / Rigden, H M / Ward, J A / Laviolette, M / Jarjour, N N / Djukanović, R

    Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology

    2013  Volume 43, Issue 12, Page(s) 1342–1350

    Abstract: Background: Eosinophilia is a marker of corticosteroid responsiveness and risk of exacerbation in asthma; although it has been linked to submucosal matrix deposition, its relationship with other features of airway remodelling is less clear.: Objective! ...

    Abstract Background: Eosinophilia is a marker of corticosteroid responsiveness and risk of exacerbation in asthma; although it has been linked to submucosal matrix deposition, its relationship with other features of airway remodelling is less clear.
    Objective: The aim of this study was to investigate the relationship between airway eosinophilia and airway remodelling.
    Methods: Bronchial biopsies from subjects (n = 20 in each group) with mild steroid-naïve asthma, with either low (0-0.45 mm(-2)) ) or high submucosal eosinophil (23.43-46.28 mm(-2) ) counts and healthy controls were assessed for in vivo epithelial damage (using epidermal growth factor receptor staining), mucin expression, airway smooth muscle (ASM) hypertrophy and inflammatory cells within ASM.
    Results: The proportion of in vivo damaged epithelium was significantly greater (P = 0.02) in the high-eosinophil (27.37%) than the low-eosinophil (4.14%) group. Mucin expression and goblet cell numbers were similar in the two eosinophil groups; however, MUC-2 expression was increased (P = 0.002) in the high-eosinophil group compared with controls. The proportion of submucosa occupied by ASM was higher in both asthma groups (P = 0.021 and P = 0.046) compared with controls. In the ASM, eosinophil and T-lymphocyte numbers were higher (P < 0.05) in the high-eosinophil group than both the low-eosinophil group and the controls, whereas the numbers of mast cells were increased in the high-eosinophil group (P = 0.01) compared with controls.
    Conclusion: Submucosal eosinophilia is a marker (and possibly a cause) of epithelial damage and is related to infiltration of ASM with eosinophils and T lymphocytes, but is unrelated to mucus metaplasia or smooth muscle hypertrophy.
    MeSH term(s) Adult ; Airway Remodeling ; Asthma/immunology ; Asthma/metabolism ; Asthma/pathology ; Case-Control Studies ; Eosinophilia/pathology ; Female ; Goblet Cells/pathology ; Humans ; Hyperplasia ; Male ; Middle Aged ; Mucins/metabolism ; Muscle, Smooth/metabolism ; Muscle, Smooth/pathology ; Respiratory Mucosa/immunology ; Respiratory Mucosa/metabolism ; Respiratory Mucosa/pathology ; Young Adult
    Chemical Substances Mucins
    Language English
    Publishing date 2013-11-22
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 645204-8
    ISSN 1365-2222 ; 0954-7894 ; 0960-2178
    ISSN (online) 1365-2222
    ISSN 0954-7894 ; 0960-2178
    DOI 10.1111/cea.12156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Developing molecular markers for marker assisted selection for resistance to raspberry bushy dwarf virus (RBDV) in red raspberry

    Ward, J.A / Boone, W.E / Moore, P.P / Weber, C.A

    Acta horticulturae. 2012 Apr., , no. 946

    2012  

    Abstract: A modified Bulked Segregant Analysis (BSA) was applied using eight RBDV resistant and eight susceptible raspberry plants. The best markers from this effort were applied to sixty seedlings of a 'Nootka' x WSU1499 population segregating for resistance to ... ...

    Abstract A modified Bulked Segregant Analysis (BSA) was applied using eight RBDV resistant and eight susceptible raspberry plants. The best markers from this effort were applied to sixty seedlings of a 'Nootka' x WSU1499 population segregating for resistance to RBDV conferred by the Bu resistance gene. ELISA was used to identify resistant and susceptible genotypes in this population following graft inoculations. Three markers showed promise for use in Marker Assisted Selection (MAS); BC615_550, BC002_590 and BC296_425. BC615_550 proved to be the most predictive and reproducible marker and was cloned and sequenced. Specific primers were developed for this marker, resulting in the BC615_553_AluI Cleaved Amplified Polymorphic Sequence (CAPS) marker. This marker was applied to the segregating population and correctly identified the resistant plants in 58 out of 60 cases (96.7% accuracy). This marker was not present in other notable resistant sources, such as that derived from ‘Haida’ so a comparative approach based on assumed microsynteny between raspberry and strawberry was implemented. A BLAST search identified the putative location of the BC615_550 polymorphism in the diploid strawberry genome and primers were designed in candidate genes physically linked to this locus. Of note, six primer sets were designed to amplify different parts of a gene containing motifs homologous to the tobacco N-gene, a known virus resistance gene. One of the primer sets resulted in a Sequence Characterized Amplified Region (SCAR) marker, called rasp_N_gene_1202, that amplified in the resistant plants 'Nootka', 'Haida', and 'Willamette' in initial tests, while failing to amplify in the susceptible WSU1499. In the test population, this marker segregates perfectly with the original BC615_553_AluI marker. In addition to 'Nootka', 'Haida', and 'Willamette', it is present in a diverse set of known resistant genotypes including WSU 78117-1, 'Newburgh', 'Cowichan', 'Chilcotin', 'Malling Promise', 'Heritage' and 'Latham'. The marker is absent in known susceptible genotypes including 'Chilliwack', 'Tulameen', WSU 1276, 'Meeker', 'Autumn Bliss', 'Malahat' and WSU 1098. Screening of additional test populations is in progress for the evaluation of the marker’s utility in MAS for RBDV resistance in red raspberry.
    Keywords Raspberry bushy dwarf virus ; diploidy ; enzyme-linked immunosorbent assay ; genes ; genetic markers ; genotype ; loci ; marker-assisted selection ; screening ; seedlings ; strawberries ; tobacco ; viruses
    Language English
    Size p. 61-66.
    Publishing place International Society for Horticultural Science
    Document type Article
    Note Paper presented at the Tenth International Rubus and Ribes Symposium, held June 22-26, 2011, Zlatibor, Serbia.
    ISSN 0567-7572
    Database NAL-Catalogue (AGRICOLA)

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  9. Article: Developing community mental health services for indigenous people of northern Ontario.

    Ward, J A

    Arctic medical research

    1991  Volume Suppl, Page(s) 256–260

    Abstract: Inadequacies of three common models of mental health service delivery have been presented but each of these can contribute to an adequate system if the approach aims at the totality of mental health care. The key to service delivery and the provision of ... ...

    Abstract Inadequacies of three common models of mental health service delivery have been presented but each of these can contribute to an adequate system if the approach aims at the totality of mental health care. The key to service delivery and the provision of services in the local community by adequately trained and supervised mental health workers familiar with the culture and language and who are involved with other community workers in an inter-agency process. A major and the most important part of the work occurs in this level. This front line work must have the back-up and support of the system which has three roots. The clinical root is that of a support team of professionals, the local nursing station, hospital and the tertiary institutions. The second root is in training and education by recognized courses and other resources and the third in an adequate administration in which the indigenous population has been put in control.
    MeSH term(s) Adolescent ; Adult ; Community Mental Health Services ; Female ; Humans ; Indians, North American/psychology ; Male ; Mental Disorders/ethnology ; Mental Disorders/therapy ; Middle Aged ; Ontario
    Language English
    Publishing date 1991
    Publishing country Finland
    Document type Journal Article
    ZDB-ID 645088-x
    ISSN 0782-226X
    ISSN 0782-226X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Sanitation practices, depositional processes, and interpretive contexts of Minneapolis privies.

    McCarthy, J P / Ward, J A

    Historical archaeology

    2007  Volume 34, Issue 1, Page(s) 111–129

    MeSH term(s) Archaeology/instrumentation ; Archaeology/methods ; Archaeology/standards ; History, 19th Century ; Minnesota ; Sanitation/classification ; Sanitation/history ; Sanitation/instrumentation ; Sanitation/methods ; Sanitation/trends
    Language English
    Publishing date 2007-11-26
    Publishing country United States
    Document type Historical Article ; Journal Article
    ZDB-ID 2050471-8
    ISSN 2328-1103 ; 0440-9213
    ISSN (online) 2328-1103
    ISSN 0440-9213
    DOI 10.1007/bf03373634
    Database MEDical Literature Analysis and Retrieval System OnLINE

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