Publications by authors named "Chloe Moore"

3 Publications

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Health literacy in cancer caregivers: a systematic review.

J Cancer Surviv 2021 Jan 7. Epub 2021 Jan 7.

School of Psychology, Dublin City University, Dublin, Ireland.

Purpose: Cancer caregivers play a vital role in the care and health decision-making of cancer survivors. Consequently, their health literacy levels may be particularly important, as low levels may impede adequate care provision. As such, the current review aimed to systematically examine the literature on health literacy amongst cancer caregivers.

Methods: We systematically searched the following databases using controlled vocabulary and free-text terms: PsychINFO, MEDLINE, EMBASE, CINAHL and Web of Science. Peer-reviewed empirical studies that explicitly measured and reported cancer caregiver health literacy levels were included.

Results: The search yielded six articles consisting of 593 cancer caregivers exploring health literacy and eHealth literacy. There was substantial variation in health literacy measurement tools used across included studies, precluding the possibility of conducting a meta-analysis. The included articles reported significant associations (limited to single studies) between caregiver health/eHealth literacy and (i) cancer survivor demographics, (ii) caregivers' communication style, (iii) caregiver Internet access and (iv) caregiver coping strategies.

Conclusions: Findings highlight a need for future longitudinal research regarding cancer caregiver health literacy incorporating more standardized and population-specific measurement approaches. In particular, there is a pressing need to investigate factors associated with cancer caregiver health literacy to inform the development/delivery of future interventions.

Implications For Cancer Survivors: Future high-quality research which investigates the factors which contribute towards sub-optimal health literacy amongst cancer caregivers would aid in the development of appropriate and effective health literacy interventions in these groups. Such interventions would allow this important group to provide appropriate support to cancer survivors and enhance survivors' engagement in their health and wellbeing.
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January 2021

Anuran Traits of the United States (ATraiU): a database for anuran traits-based conservation, management, and research.

Ecology 2021 Mar 13;102(3):e03261. Epub 2021 Jan 13.

Department of Biological Sciences, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, 24060, USA.

The United States is home to many anuran species, each with traits that set them apart from one another. Understanding trait variation within and between anurans is key to many successful conservation, management, and research efforts. However, compiling trait data is intensive and time consuming. Trait databases can meet this need, but currently there is no detailed database that collates trait data for anurans of the contiguous United States. into a single location with transparency regarding original data sources. Furthermore, many currently available trait databases rarely report multiple data points for a given species' trait, frequently reporting a single averaged value. We present an anuran traits database for the contiguous United States that includes trait data from 411 unique references. We collated trait values for 106 native and nonnative species using a tiered search protocol. First, we digitized trait data from 33 state guide books for 12 ecological, morphological, and life history traits commonly reported in the literature. We then performed a targeted search of the primary literature to address data gaps, ultimately identifying an additional 356 peer-reviewed publications, theses, and agency reports with data fitting our criteria. Finally, we digitized trait data from 22 national and regional guidebooks. Following data compilation, we conducted an intensive data quality check procedure that included both manual and statistical analyses. For full transparency, all trait values are traceable to their original reference with additional metrics (e.g., reference count, data tier) to allow users to easily filter the full data set to fit the user's needs. Overall, we report 89% of included species with trait values for at least half of the 12 traits included, providing high coverage for interspecific analyses. With a high degree of transparency, inclusion of all original data sources, and a tiered system for cataloguing data source type, ATraiU can uniquely contribute to anuran ecology and conservation in the United States. Please cite this data paper when using the data. If using a specific trait value or values, please cite the original reference(s).
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March 2021

Evaluation of COVID-19 coagulopathy; laboratory characterization using thrombin generation and nonconventional haemostasis assays.

Int J Lab Hematol 2021 Feb 5;43(1):123-130. Epub 2020 Sep 5.

Department of Haematology, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Cambridge, UK.

Introduction: Patients with COVID-19 are known to have a coagulopathy with a thrombosis risk. It is unknown whether this is due to a generalized humoral prothrombotic state or endothelial factors such as inflammation and dysfunction. The aim was to further characterize thrombin generation using a novel analyser (ST Genesia, Diagnostica Stago, Asnières, France) and a panel of haematological analytes in patients with COVID-19.

Methods: Platelet poor plasma of 34 patients with noncritical COVID-19 was compared with 75 patients with critical COVID-19 (as defined by WHO criteria) in a retrospective study by calibrated automated thrombography and ELISA. Patients were matched for baseline characteristics of age and gender.

Results: Critical patients had significantly increased fibrinogen, CRP, interleukin-6 and D-dimer compared to noncritical patients. Thrombin generation, in critical patients, was right shifted without significant differences in peak, velocity index or endogenous thrombin potential. Tissue plasminogen activator (tPA), tissue factor pathway inhibitor (TFPI) and vascular endothelial growth factor (VEGF) were significantly increased in the critical versus noncritical patients. Critically ill patients were on haemodiafiltration (31%; heparin used in the circuit) or often received escalated prophylactic low-molecular weight heparin.

Conclusion: These results confirm increased fibrinogen and D-dimer in critical COVID-19-infected patients. Importantly, disease severity did not increase thrombin generation (including thrombin-antithrombin complexes and prothrombin fragment 1 + 2) when comparing both cohorts; counter-intuitively critical patients were hypocoaguable. tPA, TFPI and VEGF were increased in critical patients, which are hypothesized to reflect endothelial dysfunction and/or contribution of heparin (which may cause endothelial TFPI/tPA release).
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February 2021