Publications by authors named "KEATING P"

Health needs of older people in humanitarian settings are poorly documented, negatively affecting the appropriateness of health services they receive. This Review identified the major health needs of older people across humanitarian contexts, including non-communicable diseases and mental health conditions (eg, psychological distress and depression). Barriers to health care of older people included inaccessibility of health-care services; shortage of appropriate health care; insufficient availability of medications and medical equipment; poor geriatric expertise of health-care staff, health policy makers, and health authorities; and age discrimination by health-care personnel.

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Aims: We describe the varied clinical presentations, barriers in diagnosis and outcomes of anti-HMGCR myopathy in a large national cohort.

Methods: Adults found positive for serum anti-HMGCR autoantibodies via line blot or enzyme-immunoassay followed by immunoprecipitation were included in the study.

Results: Of 75 patients identified, the records of 72 (96 %) described weakness as the presenting symptom.

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Background: Every year, 60% of deaths from diarrhoeal disease occur in low and middle-income countries due to inadequate water, sanitation, and hygiene. In these countries, diarrhoeal diseases are the second leading cause of death in children under five, excluding neonatal deaths. The approximately 100,000 people residing in the Bentiu Internally Displaced Population (IDP) camp in South Sudan have previously experienced water, sanitation, and hygiene outbreaks, including an ongoing Hepatitis E outbreak in 2021.

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Lassa virus (LASV) is the most prevalent member of the arenavirus family and the causative agent of Lassa fever, a viral hemorrhagic fever. Although there are annual outbreaks in West Africa, and recently isolated cases worldwide, there are no current therapeutics or vaccines. As such, LASV poses a significant global public health threat.

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  • Invasive meningococcal disease (IMD) is a serious illness caused by the bacterium Neisseria meningitidis, often leading to meningitis or septicemia.
  • There are six main serogroups (A, B, C, W, X, Y) responsible for the majority of cases, which can spread through respiratory droplets and secretions from infected individuals or carriers.
  • Vaccination is available to prevent IMD, and giving antibiotics to close contacts of infected people is vital to stop further infections.
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Background: In 2014 the incidence of anti-HMGCR myopathy in New Zealand was ∼1.7 case/million persons/year.

Objective: Re-estimate the population incidence and assess ethnic variation in those >40-year -olds.

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  • Cortical acetylcholine (ACh) is important for cognitive functions like sound localization, as demonstrated in ferrets trained to adapt to altered spatial cues.
  • Research revealed that reducing cholinergic inputs in ferrets did not significantly alter the overall response properties of primary auditory cortex (A1) neurons, despite a decrease in burst-type units and an increase in synchronous activity.
  • ACh is essential for behavioral adaptation in sound localization tasks, but the spectral and spatial response properties of A1 neurons remain stable even when ACh levels are decreased.
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  • Detecting antidrug antibodies (ADAs) against infliximab or adalimumab is important for monitoring treatment effectiveness, and various methods exist to evaluate ADA levels and their complex sizes.* -
  • The study analyzed serum samples from patients using three different ADA detection assays, finding that most samples formed drug-ADA dimer complexes, with multimer presence indicating high potential for neutralizing activity.* -
  • Results showed that while multimer presence correlated with ADA concentrations, the relationship varied between treatments; specifically, in infliximab-treated patients, it highlighted a subset with high ADA levels and substantial neutralizing abilities.*
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Objectives: Dominant-activating (DA) lesions in have been reported in 18 individuals to date. Some have required haematopoietic stem cell transplantation (HSCT) for their (severe) combined immunodeficiency syndrome phenotype. We aimed to investigate clinical and cellular features of a kindred harbouring a novel variant in p.

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  • The text indicates that there is a correction made to an existing article, enhancing its accuracy.
  • The correction is specifically linked to the digital object identifier (DOI): 10.1371/journal.pone.0244214.
  • Such corrections are common in academic publishing to clarify information or rectify errors in previously published research.
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Background: This study evaluated an early warning, alert and response system for a crisis-affected population in Doolo zone, Somali Region, Ethiopia, in 2019-2021, with a history of epidemics of outbreak-prone diseases. To adequately cover an area populated by a semi-nomadic pastoralist, or livestock herding, population with sparse access to healthcare facilities, the surveillance system included four components: health facility indicator-based surveillance, community indicator- and event-based surveillance, and alerts from other actors in the area. This evaluation described the usefulness, acceptability, completeness, timeliness, positive predictive value, and representativeness of these components.

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  • The study aimed to evaluate how patient characteristics and disease activity affect adalimumab (ADA) concentrations in rheumatoid arthritis (RA) patients while also examining the relationship between ADA concentrations, antidrug antibodies, and disease activity.
  • A cross-sectional study included 156 RA patients on ADA for over four weeks; disease activity was measured using DAS28, and various blood samples were analyzed for ADA and cytokine levels.
  • Results indicated that higher C-reactive protein and weight were linked to lower ADA levels, while those with better disease control (DAS28 ≤ 3.2) had higher ADA concentrations; a negative correlation was found between IL-6 levels and ADA concentrations.
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Humanitarian emergencies disproportionally affect older people. Although defining an older person by an age range can help alert us to emerging or changing needs and potential vulnerabilities during humanitarian emergencies, ageing is not necessarily synonymous with increasing vulnerability, and individual variations exist due to the heterogeneity of older people. In general, reduced access to safety, health services, clean water, and appropriate food puts older people at increased risk of poor health outcomes during humanitarian emergencies, including disability, injury, malnutrition, and mental health issues.

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Background: A protracted Ebola Virus Disease (EVD) epidemic in the eastern Ituri, North and South Kivu provinces of the Democratic Republic of Congo (DRC) caused 3470 confirmed and probable cases between July 2018 and April 2020. During the epidemic, the International Federation of Red Cross and Red Crescent Societies (IFRC) supported the DRC Red Cross and other local actors to offer safe and dignified burials (SDB) for suspected and confirmed EVD cases, so as to reduce transmission associated with infectious dead bodies. We conducted a retrospective cohort study of the SDB service's performance in order to inform future applications of this intervention.

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In this study, BiOI-sensitized TiO (BiOI/TiO) nanocomposites with different levels of BiOI deposited via sequential ionic layer adsorption and reaction (SILAR) have been explored for the degradation of methyl orange, 4-chlorophenol (4-CP), and crude oil in water under visible (>400 nm) irradiation with excellent degradation performance. The reaction progress for methyl orange and 4-chlorophenol was monitored by a UV-vis spectrophotometer, and the degradation of the crude oil hydrocarbons was determined by GC-MS. The BiOI/TiO heterojunction improves separation of photogenerated charges, which enhances the degradation efficiency.

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  • * The findings revealed that the median serum concentrations were 5.7 mg/L for infliximab and 5.5 mg/L for adalimumab, with more than half of the samples showing subtherapeutic levels (<7 mg/L).
  • * A significant number of samples had drug concentrations below 2 mg/L, with 51% of those showing ADAs, indicating potential therapy failure and suggesting that standard dosing may need to be reassessed for efficacy.
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Based on fieldwork carried out at the Early Drug Development Service of a world-leading cancer institution, our study sheds lights on decision-making processes at the stage where decisions are made about which clinical trial to pursue and thus which experimental drugs will feed the growing pipeline of molecularly guided therapies and therapeutic strategies available to treating physicians. The paper shows how such collective decision-making practices by a translational research unit employ formal tools and ad hoc valuation strategies that interweave technical-scientific matters of concern with patient-oriented clinical ones, as part of the institutional assetization of biomedical knowledge production. In the process, decision-making practices in part define the conditions of possibility for the provision of care in what is increasingly becoming a 'clinic of variants.

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Lassa virus (LASV) is the most prevalent member of the arenavirus family and the causative agent of Lassa fever, a viral hemorrhagic fever. Although there are annual outbreaks in West Africa, and recently isolated cases worldwide, there are no current therapeutics or vaccines, which poses LASV as a significant global public health threat. One of the key steps in LASV infection is the delivery of its genetic material by fusing its viral membrane with the host cell membrane.

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Recent decades have seen a dramatic rise of in the number of initiatives designed to promote precision oncology, a domain that has played a pioneering role in the implementation of post-genomic approaches and technologies such as innovative clinical trial designs and molecular profiling. In this paper, based on fieldwork carried out at the Memorial Sloan-Kettering Cancer Center from 2019 onwards, we analyze how a world-leading cancer center has adapted, responded, and contributed to the challenge of "doing" precision oncology by developing new programs and services, and building an infrastructure that has created the conditions for genomic practices. We do so by attending to the "organizing" side of precision oncology and to the nexus between these activities and epistemic issues.

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Lassa virus (LASV) is the most prevalent arenavirus afflicting humans and has high potential to become a threat to global public health. The transmembrane domain (TM) of the LASV glycoprotein complex forms critical interactions with the LASV stable signal peptide that are important for the maturation and fusion activity of the virus. A further study of the structure-based molecular mechanisms is required to understand the role of the TM in the lifecycle of LASV in greater detail.

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Objective: To perform a matched cohort study to assess whether patients with Meniere's Disease (MD) require more intensive auditory rehabilitation following cochlear implantation (CI) and identify factors that may affect outcomes in patients with MD.

Methods: A retrospective case review was performed. MD and control patients were matched for age, biological sex, implant manufacturer and electrode design.

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Polymorphism and crystal habit play vital roles in dictating the properties of crystalline materials. Here, the structure and properties of oxcarbazepine (OXCBZ) form III are reported along with the occurrence of twisted crystalline aggregates of this metastable polymorph. OXCBZ III can be produced by crystallization from the vapor phase and by recrystallization from solution.

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Background: On 30 January 2020, COVID-19 was declared a Public Health Emergency of International Concern (PHEIC) by the World Health Organization. Almost a month later, on 29 February 2020, the first case in New York City (NYC) was diagnosed.

Methods: Three hundred sixty persons with COVID-19-like illness were reported to the NYC Department of Health and Mental Hygiene (DOHMH) before 29 February, but 37 of these tested negative and 237 were never tested for severe acute respiratory syndrome coronavirus 2.

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