Biomedical subjects

Louise Connell

Publications and source records attributed to Louise Connell.

6 recordsLinked to original sources

PubMed2026

Integrated clinicogenomic analysis reveals the evolution and metastatic tropisms of advanced colorectal cancer.

We performed an integrated clinical and genomic analysis of over 7,000 consecutively sequenced colorectal cancer (CRC) samples to comprehensively characterize genetic drivers and metastatic tropisms of CRC. We find that genomic evolutionary changes, such as clonal mutations and oncogenic mutant allelic imbalance, selectively enhance the impact of recurrent oncogenic alterations. We identify the relative timing of organ-specific metastasis, showing sequential metastatic progression in microsatellite stable CRC with brain and adrenal metastases as late events; metastatic sites that cluster together, such as lung, bone, and brain metastases; and genomic events that enhance or decrease risk for each metastatic site, with WNT pathway activation as overall protective while RAS pathway activation increased risk for spread to all metastatic sites. Our data suggest that despite the heterogeneity in CRC, genomic evolution increases the impact of recurrent alterations, and integrating information about tumor primary location and genomics can be used to predict organ-specific metastasis risk.

Humans↗

PubMed2006

Use of time by physiotherapists and occupational therapists in a stroke rehabilitation unit: a comparison between four European rehabilitation centres.

PURPOSE: The aim of this study was to compare the time allocated to therapeutic activities (TA) and non-therapeutic activities (NTA) of physiotherapists (PT) and occupational therapists (OT) in stroke rehabilitation units in four European countries. METHOD: Therapists documented their activities in 15-min periods for two weeks. They recorded: activity, number of patients, number of stroke patients, involvement of other people, location and frequency of each activity. Kruskal-Wallis tests and negative binomial regression models were used to compare activities between professional groups and between units. RESULTS: The average proportion of TA per day ranged between 32.9% and 66.1% and was higher for PT than for OT in each unit. For OT, significant differences emerged between the units in the proportion of time allocated to TA compared to NTA with British OTs spending significantly less time in TA. In the Belgian unit, three times less time was spent on patient-related co-ordination activities (e.g., administration, ward rounds) compared to the British and Swiss units. CONCLUSIONS: Time allocation differed between PT and OT and between units, affecting the time available for TA. Further investigation is necessary to study the effect of work organization in stroke rehabilitation units on the efficiency of rehabilitation regimes.

Appointments and Schedules↗

PubMed2006

Stroke rehabilitation in Europe: what do physiotherapists and occupational therapists actually do?

BACKGROUND AND PURPOSE: Physiotherapy (PT) and occupational therapy (OT) are key components of stroke rehabilitation. Little is known about their content. This study aimed to define and compare the content of PT and OT for stroke patients between 4 European rehabilitation centers. METHODS: In each center, 15 individual PT and 15 OT sessions of patients fitting predetermined criteria were videotaped. The content was recorded using a list comprising 12 therapeutic categories. A generalized estimating equation model was fitted to the relative frequency of each category resulting in odds ratios. RESULTS: Comparison of PT and OT between centers revealed significant differences for only 2 of the 12 categories: ambulatory exercises and selective movements. Comparison of the 2 therapeutic disciplines on the pooled data of the 4 centers revealed that ambulatory exercises, transfers, exercises, and balance in standing and lying occurred significantly more often in PT sessions. Activities of daily living, domestic activities, leisure activities, and sensory, perceptual training, and cognition occurred significantly more often in OT sessions. CONCLUSIONS: This study revealed that the content of each therapeutic discipline was consistent between the 4 centers. PT and OT proved to be distinct professions with clear demarcation of roles.

Aged↗

PubMed2006

Representing object colour in language comprehension.

Embodied theories of cognition hold that mentally representing something red engages the neural subsystems that respond to environmental perception of that colour. This paper examines whether implicit perceptual information on object colour is represented during sentence comprehension even though doing so does not necessarily facilitate task performance. After reading a sentence that implied a particular colour for a given object, participants were presented with a picture of the object that either matched or mismatched the implied colour. When asked if the pictured object was mentioned in the preceding sentence, people's responses were faster when the colours mismatched than when they matched, suggesting that object colour is represented differently to other object properties such as shape and orientation. A distinction between stable and unstable embodied representations is proposed to allow embodied theories to account for these findings.

Analysis of Variance↗

PubMed2005

Use of time by stroke patients: a comparison of four European rehabilitation centers.

BACKGROUND AND PURPOSE: Differences exist between European countries in the proportion of patients who die or become dependent after stroke. The aim of the present study was to identify differences in the use of time by stroke patients in 4 rehabilitation centers in 4 European countries. METHODS: In each of the 4 centers, 60 randomly selected stroke patients were observed at 10-minute intervals using behavioral mapping. Observations took place on 30 weekdays selected at random, on equal numbers of morning, afternoon, and evening sessions. A logistic generalized estimating equation model with correction for differences in case mix and multiple testing was used for the analysis. RESULTS: Overall time available from different professions was the highest in the United Kingdom, but patients in the United Kingdom spent on average only 1 hour per day in therapy. This was significantly less than patients in Belgium and Germany, who spent approximately 2 hours, and patients in Switzerland who spent approximately 3 hours per day in therapy. In all centers, patients spent less than half their time in interactions and >72% of the time in nontherapeutic activities. CONCLUSIONS: Important differences in the use of time were established, which appeared dependent on management decisions rather than the number of staff available. Patients in the Swiss and German centers spent more time in therapy, possibly because of the structured organization of rehabilitation. Further studies will verify whether this has an effect on outcome.

Activities of Daily Living↗

PubMed2004

What plausibly affects plausibility? Concept coherence and distributional word coherence as factors influencing plausibility judgments.

Our goal was to investigate the basis of human plausibility judgements. Previous research had suggested that plausibility is affected by two factors: concept coherence (the inferences made between parts of a discourse) and word coherence (the distributional properties of the words used). In two experiments, participants were asked to rate the plausibility of sentence pairs describing events. In the first, we manipulated concept coherence by using different inference types to link the sentences in a pair (e.g., causal or temporal). In the second, we manipulated word coherence by using latent semantic analysis, so two sentence pairs describing the same event had different distributional properties. The results showed that inference type affects plausibility; sentence pairs linked by causal inferences were rated highest, followed by attributal, temporal, and unrelated inferences. The distributional manipulations had no reliable effect on plausibility ratings. We conclude that the processes involved in rating plausibility are based on evaluating concept coherence, not word coherence.

Cognition↗