Publications by authors named "McMullan T"

Article Synopsis
  • * Postoperative asymmetry in the upper eyelid is a common issue leading to patient dissatisfaction, with factors like tarsal platform show and brow fat span being significant in how beauty and youth are perceived.
  • * The review aims to detail the anatomy of the upper eyelid, highlight factors influencing beauty perceptions, discuss age-related changes to the face, and emphasize the importance of preoperative assessments for successful eyelid surgery.
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Fibrofolliculomas are benign connective tissue tumours of the hair follicle that typically present as multiple lesions over the head and neck. A solitary fibrofolliculoma is a rare entity and has not been previously described in the canthal region. The authors report an unusual case of a 43-year-old female who was found to have a solitary fibrofolliculoma located in close proximity to the medial canthus following an excision biopsy.

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Background: The irradiation of sub-regions of the parotid has been linked to xerostomia development in patients with head and neck cancer (HNC). In this study, we compared the xerostomia classification performance of radiomics features calculated on clinically relevant and de novo sub-regions of the parotid glands of HNC patients.

Material And Methods: All patients ( = 117) were treated with TomoTherapy in 30-35 fractions of 2-2.

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Background And Purpose: While core to the scientific approach, reproducibility of experimental results is challenging in radiomics studies. A recent publication identified radiomics features that are predictive of late irradiation-induced toxicity in head and neck cancer (HNC) patients. In this study, we assessed the generalisability of these findings.

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Background And Purpose: Twitter presence in academia has been linked to greater research impact which influences career progression. The purpose of this study was to analyse Twitter activity of the radiotherapy community around ESTRO congresses with a focus on gender-related and geographic trends.

Materials And Methods: Tweets, re-tweets and replies, here designated as , around the ESTRO congresses held in 2012-2021 were collected.

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Background And Purpose: The images acquired during radiotherapy for image-guidance purposes could be used to monitor patient-specific response to irradiation and improve treatment personalisation. We investigated whether the kinetics of radiomics features from daily mega-voltage CT image-guidance scans (MVCT) improve prediction of moderate-to-severe xerostomia compared to dose/volume parameters in radiotherapy of head-and-neck cancer (HNC).

Materials And Methods: All included HNC patients (N = 117) received 30 or more fractions of radiotherapy with daily MVCTs.

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The experiences of graduate nursing students during the COVID-19 pandemic necessitate a trauma-informed approach to education. Three hundred graduate nursing students responded to a discussion assignment in a doctoral-level health care policy course. Thematic analysis identified common themes of fear, anxiety, frustration, and exhaustion ( n = 93).

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Article Synopsis
  • The study assesses the safety and immune response durability of the DNA vaccine INO-4800 against COVID-19, which is crucial as new vaccines are needed urgently.
  • Conducted on 120 healthy adults, the trial tested three dosage strengths (0.5 mg, 1.0 mg, and 2.0 mg) and showed that INO-4800 was well tolerated, with mostly mild side effects and no serious adverse events.
  • The vaccine generated a strong antibody response that lasted for at least 6 months, and increased immune responses were noted after a booster dose, particularly at the highest dosage, supporting further development of INO-4800 for vaccination against COVID-19.
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Article Synopsis
  • Emerging SARS-CoV-2 variants are concerning due to their increased ability to infect different hosts, cause illness, and evade vaccine-induced immunity.
  • Vaccinated subjects with the DNA vaccine INO-4800 showed neutralizing antibodies against all variants, although responses were lower for the B.1.351 variant.
  • T cell responses (specifically IFNγ) remained strong across all variants, indicating robust cellular immunity.
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Background: Human telomerase reverse transcriptase (hTERT) is frequently classified as a 'universal' tumor associated antigen due to its expression in a vast number of cancers. We evaluated plasmid DNA-encoded hTERT as an immunotherapy across nine cancer types.

Methods: A phase 1 clinical trial was conducted in adult patients with no evidence of disease following definitive surgery and standard therapy, who were at high risk of relapse.

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Article Synopsis
  • A new DNA vaccine (INO-4800) targeting SARS-CoV-2's spike protein was tested for safety and immune response in a trial involving 40 participants divided into two dosage groups (1.0 mg and 2.0 mg).
  • The trial observed minimal adverse effects, with only 6 mild reactions in 5 people and no serious side effects reported, while 95% of participants developed a strong immune response by week 6.
  • By week 8, the vaccine showed promising results with significant T cell responses, indicating that INO-4800 is safe and potentially effective for inducing immunity against COVID-19.
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Article Synopsis
  • Management of prostate cancer (PCa) after local therapy is debated, as early androgen deprivation therapy (ADT) can cause significant side effects, creating a need for better treatment options.
  • INO-5150 and INO-9012, synthetic DNA therapies targeting prostate-specific antigens and interleukin-12, were tested in a study involving men with rising PSA levels post-surgery or radiation.
  • The study included 62 patients across four treatment arms, showed good tolerability (81% completed visits), and 85% remained progression-free after 72 weeks, with promising immunogenic responses linked to improved PSA doubling time.
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Background: Nonlive vaccine approaches that are simple to deliver and stable at room temperature or 2-8°C could be advantageous in controlling future Ebola virus (EBOV) outbreaks. Using an immunopotent DNA vaccine that generates protection from lethal EBOV challenge in small animals and nonhuman primates, we performed a clinical study to evaluate both intramuscular (IM) and novel intradermal (ID) DNA delivery.

Methods: Two DNA vaccine candidates (INO-4201 and INO-4202) targeting the EBOV glycoprotein (GP) were evaluated for safety, tolerability, and immunogenicity in a phase 1 clinical trial.

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Unlabelled: Due to the suboptimal persistence to osteoporosis (OP) treatment, factors triggering treatment discontinuation/switching may be causing time-varying confounding. BP treatment was associated with the risk of overall infection in opposite directions in the unweighted Cox model versus the weighted MSM. The discrepancy of effect estimates for overall infection in the MSM suggested there may be time-varying confounding.

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Purpose: Spinal fusion (SF) surgery is a complex procedure that affects children with and without underlying disabilities. The purpose of this article was to describe the necessary steps when preparing a child, specifically with cerebral palsy (CP), and family for an SF, while also emphasizing the postoperative care during discharge planning.

Design: Literature review on pediatric patients undergoing SF and those who have CP.

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We report a rare and atypical skin adnexal tumour of the eyelid. We highlight this condition for clinicians who treat periocular neoplasia.

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Background: Proximal lacrimal system stenosis may cause debilitating epiphora and recurrent ocular infections. Mini-monoka stents are primarily used in the management of canalicular lacerations. Evidence regarding their use to treat punctal/canalicular stenosis is sparse.

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Purpose: To demonstrate the utility of injectable calcium hydroxylapatite (Radiesse) for orbital volume augmentation to correct postenucleation/evisceration socket syndrome (PESS).

Methods: A retrospective chart review of all consecutive patients in our practice who received injectable calcium hydroxylapatite placed in the extraconal space to augment orbital volume was conducted. Patients with at least 6 months follow-up were included in the study.

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Purpose: This paper aims to highlight the potential of stereolithographic models (SLM) as a tool in orbital surgical planning, and provides four examples of their role in facilitating successful surgery.

Method: Retrospective case series report.

Results: Case 1: SLM facilitated a successful orbital biopsy of a deep orbital mass by allowing several practice trucut biopsies.

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Purpose: To describe a novel method using injectable calcium hydroxylapatite (Radiesse) for aesthetic correction of small bony defects in the skull.

Methods: A prospective, small interventional case series was performed. Three patients were identified with bony defects of the frontal bone from prior trauma or surgery.

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Purpose: To assess the impact of upper eyelid myectomy surgery on blepharospasm with associated apraxia of lid opening (ALO), dry eye, photophobia, and daily functioning in patients who are refractory to botulinum toxin treatment.

Design: Noncomparative, consecutive, interventional case series.

Methods: A retrospective chart review was performed to identify 100 consecutive patients beginning on January 1, 2000, who underwent upper eyelid myectomy surgery for blepharospasm and fulfilled the inclusion criteria.

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Objective: To describe a new method of augmenting orbital volume for anophthalmic enophthalmos correction.

Methods: A retrospective medical record review was conducted of 4 consecutive patients who had injectable calcium hydroxylapatite (Radiesse) placed in the extraconal space to augment orbital volume.

Results: Four patients were treated with 1 to 2 vials (1.

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