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T Coates

Publications and source records attributed to T Coates.

43 records · Page 3Linked to original sources
PubMedDate not supplied

A multicenter clinical trial of Gadolite Oral Suspension as a contrast agent for MRI.

The purpose of this study was to assess the effectiveness and safety of Gadolite Oral Suspension as a gastrointestinal (GI) contrast agent for MRI in a phase II and two phase III multicenter clinical trials. Gadolite was administered to 306 patients with known or suspected abdominal and/or pelvic disease. MRI with T1- and T2-weighted sequences was performed before and after ingestion. Efficacy was evaluated by having two masked readers rate the certainty of their MR diagnosis (0 = uncertain, 1 = probable, 2 = definite) on randomly presented pre- and post-Gadolite Oral Suspension enhanced images. Principal investigators also evaluated the images and established the final diagnosis. Vital signs, clinical chemistries, and adverse events were documented. Blood and urine samples were analyzed for gadolinium content to determine whether Gadolite Oral Suspension was absorbed systemically. Certainty in MR diagnosis increased significantly (P < .001) for both blinded readers between pre- and post-Gadolite images (.49-1.18 for reader 1: .46-1.53 for reader 2). Sensitivity, specificity, and accuracy also increased for both masked readers. No gadolinium was detected in blood or urine samples. There were no serious adverse events and no apparent drug-related trends in mean vital signs or laboratory values. Gadolite is a highly effective, safe, and well tolerated contrast agent for clinical use with MRI.

Administration, Oral↗
PubMedDate not supplied

Effects of a behavioural intervention to reduce acquisition of HIV infection among men who have sex with men: the EXPLORE randomised controlled study.

BACKGROUND: Effective interventions are needed to prevent acquisition of HIV infection in men who have sex with men. To date, no behavioural interventions specifically for this risk group have been tested with HIV infection as the primary outcome. METHODS: This multisite two-group randomised controlled phase IIb trial tested the efficacy of a behavioural intervention in preventing HIV infection among 4295 men who have sex with men. The experimental intervention consisted of ten one-on-one counselling sessions followed by maintenance sessions every 3 months. The standard condition was twice-yearly Project RESPECT individual counselling. Twice-yearly follow-up visits included testing for HIV antibody and assessment of behavioural outcomes. FINDINGS: The rate of acquisition of HIV infection was 18.2% (95% CI -4.7 to 36.0) lower in the intervention group than the standard group. Adjustment for baseline covariates attenuated the intervention effect to 15.7% (-8.4 to 34.4). The effect was more favourable in the first 12-18 months of follow-up. The occurrence of unprotected receptive anal intercourse with HIV-positive and unknown-status partners was 20.5% (10.9 to 29.0) lower in the intervention than in the standard group. INTERPRETATION: The results from the primary analyses allow us to rule out that the experimental intervention is associated with a 35% lower rate of HIV acquisition than in the standard group. The overall estimate of a difference of 18.2%, more favourable estimates of effect in the first 12-18 months, and similar effects on risk behaviours suggest that prevention of HIV infection among men who have sex with men by a behavioural intervention is feasible. Further work should be done to develop more effective interventions.

Adolescent↗
PubMedDate not supplied

Atmospheric ammonia, volatile fatty acids, and other odorants near beef feedlots.

Intensive livestock operations can release odorous gases from stored or land-applied manure. We measured concentrations of dust and 14 odor-causing gases at increasing distances from four feedlots near Lethbridge, southern Alberta, Canada. Concentration was determined from the amount of total dust or gas accumulated in the sampIers, and the volume of air sampled. Adjacent the feedlots, the maximum concentration of many volatile fatty acids exceeded reported odor detection thresholds; the maximum ammonia concentration was close to the threshold. Ammonia and butyric acid approached or exceeded their individual odor thresholds as far as 200 m downwind of the feedlots. Highest concentrations were measured adjacent to land where manure was being applied. None of the odorant concentrations exceeded their irritation threshold. There was a positive relationship between ammonia concentration and odor intensity as well as dry deposition. Much of the emitted ammonia was deposited to soil immediately downwind, enough to supply all the nitrogen needed for crop growth. Odorant concentrations declined sharply with distance, though measurable odor occasionally persisted to 1 km from the feedlot, beyond the minimum separation guidelines (Alberta) for a single residential dwelling. The weekly averaged total suspended particulates (> 5 microm) were below the Alberta guideline criterion except for one period. Differences among feedlots in odorant plume concentrations were partly related to the stocking density of feedlots, which presumably affects manure moisture and amount of volatiles within the pens.

Air Movements↗