Publications by authors named "J Elmes"

Background: Sex workers' risk of violence and ill-health is shaped by their work environments, community and structural factors, including criminalisation.

Aim: We evaluated the impact of removing police enforcement on sex workers' safety, health and access to services.

Design: Mixed-methods participatory study comprising qualitative research, a prospective cohort study, mathematical modelling and routine data collation.

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Hemophagocytic lymphohistiocytosis (HLH) has been reported rarely with BRAF/MEK inhibitor combinations, including dabrafenib/trametinib. Postmarketing pharmacovigilance analyses evaluating outcomes associated with dabrafenib/trametinib-induced HLH are also lacking. Herein, we report a case of dabrafenib/trametinib-induced HLH in a patient with metastatic melanoma.

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Fostamatinib is a spleen tyrosine kinase inhibitor indicated for the treatment of chronic immune thrombocytopenia (ITP) unresponsive to a previous treatment. Real-world studies evaluating the utilization and effectiveness of fostamatinib outside the context of a clinical trial are lacking. The objective of this analysis was to evaluate the effectiveness of fostamatinib for the treatment of ITP in a real-world cohort.

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Article Synopsis
  • TIPS (Transjugular intrahepatic portosystemic shunt) is an underutilized treatment for complications of portal hypertension, prompting this study to analyze patient demographics, reasons for the procedure, and outcomes in two regional hepatology centers over a six-year period.
  • A total of 48 patients with an average age of 56 underwent TIPS, primarily due to refractory ascites and variceal bleeding, showing high survival rates of 93% at 3 months and 77% at 1 year post-procedure.
  • The study found significant reductions in hospital costs and paracentesis procedures after TIPS, confirming its safety and effectiveness for managing portal hypertension complications in regional healthcare settings.
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Street-based sex workers experience considerable homelessness, drug use and police enforcement, making them vulnerable to violence from clients and other perpetrators. We used a deterministic compartmental model of street-based sex workers in London to estimate whether displacement by police and unstable housing/homelessness increases client violence. The model was parameterized and calibrated using data from a cohort study of sex workers, to the baseline percentage homeless (64%), experiencing recent client violence (72%), or recent displacement (78%), and the odds ratios of experiencing violence if homeless (1.

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