Publications by authors named "Hurley R"

Study Design: Meta-Analysis.

Objective: The purpose of this systematic review and meta-analysis was to pool the available data comparing MIS to open surgery for thoracolumbar fractures and provide a more comprehensive assessment on this topic.

Background: There remains a debate over whether minimally invasive surgery (MIS) or open fixation provides superior outcomes for patients with thoracolumbar fractures.

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The effects of microplastic (MP) accumulation in freshwaters on organisms and ecosystem functions are poorly understood, as are the roles of MP particle properties in regulating these effects. In freshwater microcosms, we quantified variation in microbial communities and ecosystem functions and compared effects of MP concentration (0, 1000, 50000 particles/kg), shape (sphere, fragment, fibre), and polymer (polyethylene, polyethylene terephthalate, polypropylene, polystyrene) with those of a model invertebrate consumer (Chironomus riparius). We detected multiple effects of specific MP properties, especially associated with MP fragments and fibres, and the polymer polypropylene.

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Background: Laryngeal squamous cell cancer (LSCC) accounts for around one-third of head and neck cancers, with smoking and alcohol as major risk factors. Despite advances in organ preservation, survival rates have stagnated globally over recent decades. The impact of socioeconomic deprivation on LSCC outcomes in the West of Scotland remains underexplored.

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An estimated 467 kt of plastic used in agriculture annually end up in European soils, potentially breaking down into secondary microplastics (MPs). Not much is known about the possible effects of these MPs on organisms residing in the soil. To properly assess their environmental risk, experimental data is needed on the toxicity of MPs to the survival and reproduction of model organisms.

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Article Synopsis
  • The study analyzes survival outcomes for laryngeal cancer patients in the Northern UK who received non-curative treatment, revealing critical data for informed patient decision-making.
  • Involving 373 patients, the research found that the mean survival time was 9.1 months, with variations based on disease stage and type.
  • This pioneering work emphasizes the importance of understanding prognosis in non-curative settings, aiding discussions around treatment options for patients.
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Background: Frailty increases the risk of mortality in the head and neck cancer population. This study examines the association between frailty and survival outcomes in patients with laryngeal squamous cell cancer (LSCC).

Method: Retrospective data collection from patients in the West of Scotland diagnosed with LSCC between 2014 and 2020.

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The development of agricultural technologies has intensified the use of plastic in this sector. Products of plastic degradation, such as microplastics (MPs), potentially threaten living organisms, biodiversity and agricultural ecosystem functioning. Thus, biodegradable plastic materials have been introduced to agriculture.

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  • The study addresses anxiety and depression in epilepsy patients, which are often neglected due to limited access to mental health care.
  • The Collaborative Care for Posttraumatic Epilepsy (CoCarePTE) trial evaluates a structured care model in neurology clinics to improve emotional quality of life for these patients.
  • The trial involves randomizing 60 adults to receive either collaborative care or standard treatment, incorporating regular check-ins and team communication to enhance mental health support.
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Objective: This study aims to provide the decision-making framework, strategies, and software used to successfully deploy the first combined chronic pain and opioid use data clinical trial data commons using the Gen3 platform.

Materials And Methods: The approach involved adapting the open-source Gen3 platform and Kubernetes for the needs of the NIH HEAL IMPOWR and MIRHIQL networks. Key steps included customizing the Gen3 architecture, transitioning from Amazon to Google Cloud, adapting data ingestion and harmonization processes, ensuring security and compliance for the Kubernetes environment, and optimizing performance and user experience.

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Background: The NIH Pain Common Data Elements (CDEs) provide a standardized framework for pain research, but their implementation and interpretation present challenges.

Objectives: To review the NIH CDE Program's selected pain domains, provide best practices for implementing required questions, and offer a checklist for appropriate CDE use in clinical trials and secondary data analysis.

Methods: This work analyzed the ten core pain research domains selected by the NIH CDE Program and discuss their limitations and considerations for use.

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Article Synopsis
  • Primary care providers (PCPs) struggle with disorganized information in electronic health records (EHR) while managing patients with chronic pain, which can be improved with clinical decision support (CDS) tools like the Chronic Pain OneSheet, designed to streamline patient information and support treatment decisions.
  • In a study involving interviews with PCPs who use OneSheet, barriers such as limited time, resistance to new workflows, and complex displays were identified, while facilitators included its role as a central data hub and ease of access to important features.
  • Recommendations to enhance OneSheet usage include simplifying displays, customizing features, and allowing broader access for patients and team members, emphasizing the need for CDS tools to align with PCP workloads and tasks.
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Degradation and fragmentation of mulching films represents an increasing source of microplastics (MPs, plastic particles 1 μm to 5 mm in size) to agricultural soils. MPs have been shown to affect many soil invertebrates, including springtails. However, these studies typically use test materials representing less environmentally relevant particle types, such as pristine uniform MPs, which do not represent the large range of particle sizes and morphologies found in the field.

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Soil environments across the globe, particularly in agricultural settings, have now been shown to be contaminated with microplastics. Agricultural plastics - such as mulching films - are used in close or direct contact with soils and there is growing evidence demonstrating that they represent a potential source of microplastics. There is a demand to undertake fate and effects studies to understand the behaviour and potential long-term ecological risks of this contamination.

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Article Synopsis
  • A study investigated the prevalence of vestibular disorders in patients with COVID-19 compared to those without the virus using data from the National COVID Cohort Collaborative database.
  • Results showed that individuals with COVID-19 were significantly more likely to experience vestibular disorders, with the highest risk associated with the omicron 23A variant (OR of 8.80).
  • The findings underscore the need for further research on the long-term effects of vestibular disorders in COVID-19 patients and implications for patient counseling.
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The mechanical behavior of granular materials results from interparticle interactions, which are predominantly frictional. With the presence of even very small amounts of cohesion this frictional interparticle behavior significantly changes. In this study, we introduce trace amounts of cohesive binder between the intergranular contacts in a sample of quartz particles and apply one-dimensional (1D) compression loading.

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In addition to Alzheimer's disease (AD), the hippocampus is now known to be affected in variants of frontotemporal degeneration (FTD). In semantic variant primary progressive aphasia (svPPA), characterized by language impairments, hippocampal atrophy is greater in the left hemisphere. Nonverbal impairments (e.

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Innovation around cheese is constant in attempts to meet ever-increasing consumer demands. Retail packaging provides a canvas to communicate to consumers added value from innovations or inherent properties of cheese. Packaging itself may also be the subject of cheese-related innovation.

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The National Institutes of Health (NIH) has developed the NIH HEAL Integrative Management of chronic Pain and OUD for Whole Recovery (IMPOWR) network to address the interconnected nature of chronic pain (CP) and opioid use disorder (OUD), which are influenced by mental health. The network aims to develop integrated treatment pathways across multiple sites in the United States. The IMPOWR Dissemination, Education, and Coordination Center (IDEA-CC) is proposed to support the NIH HEAL IMPOWR network by developing a CP- and OUD-focused infrastructure that includes measures of stigma, trauma, and quality of life.

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Some narratives present biodegradable plastic use for soil mulching practices in agriculture as "environmentally friendly" and "sustainable" alternatives to conventional plastics. To verify these narratives, environmental research recently started focusing on their potential impact on soil health, highlighting some concerns. The paper by Degli-Innocenti criticizes this unfolding knowledge arguing that it is affected by communication hypes, alarmistic writing and a focus on exposure scenarios purposedly crafted to yield negative effects.

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