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Browsing by Author "Murphy, Christopher"
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Item The effect of corticision on root resorption with heavy and light forces(2016-01) Murphy, Christopher; Zalajzic, Zana; Chandhoke, Taranpreet; Utreja, Achint; Nanda, Ravindra; Uribe, Flavio; Department of Orthodontics and Oral Facial Genetics, School of DentistryObjective: To investigate the association between corticision and different force magnitudes with the amount of root resorption. Methods: Forty-four male Wistar rats (7 week old) were evaluated after an orthodontic spring delivering either 10 or 100 g was placed on the left maxillary first molars to move molars mesially. Experimental rats were divided into four groups, with 11 animals in each group: (1) LF, no corticision and 10 g of orthodontic force; (2) LFC, corticision and 10 g of force; (3) HF, no corticision and 100 g of force; and (4) HFC, corticision and 100 g of force. Contralateral sides were used as unloaded controls. The total duration of the experimental period was 14 days. Two-dimensional (histomorphometric) and three-dimensional (volumetric, micro-focus X-ray computed tomography [microCT]) analysis of root craters were performed on maxillary first molars. Results: Histomorphometric and microCT analysis revealed a significant amount of resorptive areas in the experimental groups when compared to unloaded controls. However, no significant difference was detected in the amount of resorption among the four experimental groups. Conclusions: At day 14, neither the amount of force nor the cortical incision caused significant effect on root resorption that was registered by histomorphometric or microCT analysis.Item Site-independent confirmation of primary site-based PANSS ratings in a schizophrenia trial(Elsevier, 2021) Targum, Steven D.; Murphy, Christopher; Breier, Alan; Brannan, Stephen K.; Psychiatry, School of MedicineBlinded, site-independent (remote) ratings from audio-digital recordings of site-based Positive and Negative Syndrome Scale (PANSS) interviews were obtained in a 5-week, randomized, double-blinded study assessing the safety, tolerability, and efficacy of KarXT (a fixed combination of xanomeline and trospium chloride) in hospitalized adults with schizophrenia experiencing an acute exacerbation of psychosis (EMERGENT-1; ClinicalTrials.gov identifier: NCT3697252). The blinded site-independent raters had no knowledge of site location, study visit, drug vs. placebo assignment, or any treatment emergent adverse events (TEAEs). Concordance analyses of 561 paired site-based and site-independent PANSS ratings across all visits revealed a high correlation (ICC = 0.775). Paired scoring differences were positively correlated with the PANSS total score (Spearman's rho = 0.37, p < 0.0001). Paired PANSS scores were available from 148 subjects at both the baseline and end of study visits (KarXT = 72, Placebo = 76). Site-based PANSS total scores (primary aim) revealed a significantly greater improvement from baseline in the KarXT group compared to the placebo group (p < 0.0001). The blinded site-independent PANSS total scores derived from listening to and scoring the recorded site-based PANSS interviews replicated this finding (p < 0.001) and yielded an overall predictive value of 85.1% for matching the site-based response/non-response outcomes. TEAE's have the potential to "unblind" site-based ratings. In this study, the site-independent raters were blinded to TEAEs, affirmed the site-based PANSS ratings, and mitigated concerns about possible functional unblinding of site-based raters. This method of blinded assessment via audio-digital recordings may have utility for other studies concerned with ratings precision and/or functional unblinding.