Publications by authors named "J R Helliwell"

Introduction: Anastomotic leak (AL) represents a significant complication following gastrointestinal (GI) surgery, contributing to increased morbidity and mortality. pH monitoring has emerged as a potential diagnostic tool for the early detection of AL, but its effectiveness and clinical utility remain to be fully elucidated. This review aims to summarise the evidence regarding perianastomotic pH monitoring for AL detection.

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Background: Corticosteroids are among the few effective treatments for knee osteoarthritis, but short duration of action limits their utility. EP-104IAR, a long-acting formulation of fluticasone propionate for intra-articular injection, optimises the action of fluticasone propionate through novel diffusion-based extended-release technology. The SPRINGBOARD trial assessed the efficacy, safety, and pharmacokinetics of EP-104IAR in people with knee osteoarthritis.

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Article Synopsis
  • Ileus, a common issue post-surgery leading to gastrointestinal problems, shows potential for improvement through non-invasive vagus nerve stimulation (nVNS), which may reduce inflammation and enhance gut function.
  • A multicentric trial involving 97 colorectal surgery patients assessed the feasibility of self-administered nVNS compared to a sham treatment, focusing on recruitment, compliance, and clinical outcomes over 30 days.
  • While initial results indicated no significant difference in gut recovery times between the two groups, patient motivation and interest in nVNS suggest the need for further powered trials to evaluate its effectiveness definitively.
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The retention of the covalent binding of an organometalllic rhenium complex as a model for a technetium-99m imaging agent, to a protein at physiological body temperature 37 °C is described. Detailed structure comparisons are made to the related 100 K crystal structure. The generality of the need for this sort of analytical procedure for guiding ligand lead compound discovery is emphasised.

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Reminiscences of one of the founding Main Editors of JSR on its 30th anniversary.

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