Publications by authors named "Kiely P"

Article Synopsis
  • Angular deformity in the lower limbs can lead to pain, mobility issues, and joint damage, with guided growth now favored over previous treatments for young patients.
  • A review of data from a pediatric center from 2007 to 2023 found that out of 282 treated knees, 19.5% experienced treatment failure, particularly in cases involving trauma, infection, tumors, and certain genetic disorders.
  • Overall, guided growth achieved an 80.5% success rate, especially effective for idiopathic cases, and continues to be recommended for managing angular deformities.
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The Entry-level Competency Standards for Optometry in Australia identify the required knowledge, skills and attributes for an optometrist to practise safely and competently. The 2022 competencies are the sixth generation of entry-level competency standards. To ensure the standards reflect contemporary practice and the expectations placed on optometrists, a full revision of the standards was commenced in late 2019.

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  • Pain management in rheumatoid arthritis (RA) remains a significant issue, with many patients still experiencing pain despite treatment with DMARDs and biologics; this study aimed to evaluate the feasibility of comprehensive pain assessments in RA patients on these treatments.* -
  • Conducted as an open-label, randomized trial, the study found that while participant recruitment was lower than expected—mostly due to COVID-19—pain assessments were practical and showed improvements in pain scores over 12 months.* -
  • Feedback indicated that some pain assessment questionnaires were too long and repetitive, but the overall study met its goals, demonstrating the potential for further research on pain management strategies in RA.*
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  • Nucleic acid-amplification testing (NAT) is a method used to check blood donations for harmful viruses to keep people safe.
  • In 2019, a global survey showed that countries mostly followed government rules for testing blood for viruses like HIV and hepatitis.
  • The results indicated a trend towards using individual samples for testing instead of larger pools to improve safety in blood donations.
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Background: The management of congenital scoliosis poses a significant challenge for treating surgeons. The aim of our study was to provide insight into the long-term clinical results of spinal fusion in congenital scoliosis.

Methods: We performed a retrospective review of the scoliosis database in our institution for the period 1976 until 2002 identifying 43 patients with congenital scoliosis who underwent spinal fusion.

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Article Synopsis
  • The project reviewed the global use of nucleic acid amplification testing (NAT) in blood services to detect viral and parasite nucleic acids and reduce transfusion-related infections.
  • A survey conducted among members of the International Society of Blood Transfusion revealed a significant increase in NAT adoption over the past decade, with data showing low but notable positivity rates for various viruses in blood donations.
  • While NAT has enhanced blood transfusion safety worldwide, there is a call to address economic barriers that prevent some regions from implementing these important testing methods.
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Introduction: The extracellular matrix (ECM) has been heavily implicated in the development and progression of cancer. We have previously shown that Annexin A2 is integral in the migration and invasion of breast cancer cells and in the clinical progression of ER-negative breast cancer, processes which are highly influenced by the surrounding tumor microenvironment and ECM.

Methods: We investigated how modulations of the ECM may affect the role of Annexin A2 in MDA-MB-231 breast cancer cells using western blotting, immunofluorescent confocal microscopy and immuno-precipitation mass spectrometry techniques.

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A man in his 30s presented with a 6-month history of progressive left face, arm and leg weakness. Medical history included epilepsy and vitamin B deficiency. Three maternal second degree relatives died before the age of 7 from various neurological disorders.

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Background: Nucleic acid test window periods for HIV, HCV, and HBV facilitate estimation of the residual risk of unexpected disease transmission and assist clinicians in determining the timeframe in which a recently acquired infection is at risk of nondetection.

Objectives: Firstly, to provide revised estimates of the NAT window periods based on a currently used triplex NAT assay. Secondly, to examine their validity in organ donation and transplantation practice.

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Article Synopsis
  • The study evaluates the effects of magnetically controlled growing rods (MCGR) on metal ion levels and tissue changes in children with early-onset scoliosis after treatment completion.
  • Among 24 children assessed, 96% showed elevated levels of titanium, cobalt, and chromium in their blood, indicating metal debris accumulation.
  • Although the findings document significant metal ion levels and tissue reactions, the study emphasizes the need for further research to understand any potential health implications.
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Background: Hospital-acquired infections (HAIs) and infectious agents exhibiting antimicrobial resistance (AMR) are challenges globally. Environmental patient-facing wastewater apparatus including handwashing sinks, showers and toilets are increasingly identified as sources of infectious agents and AMR genes.

Aim: To provide large-scale metagenomics analysis of wastewater systems in a large teaching hospital in the Republic of Ireland experiencing multi-drug-resistant HAI outbreaks.

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  • The regulatory change allowing UK donors to contribute blood in Australia significantly increased donation numbers, with 38,462 UK donors participating and making 67,914 successful donations in just six months.
  • The study tracked these donations from the end of the deferral period on July 25, 2022, until January 24, 2023, and compared them to baseline metrics and predictions.
  • The findings revealed that the number of donations surpassed original estimates, suggesting that the shift brought in more donors who were willing to donate more frequently, helping meet 96% of the donation target.
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Background: Early-onset scoliosis (EOS) is frequently associated with complex spine and chest wall deformities that may lead to severe cardiopulmonary impairment and malnutrition. The aim of this study is to evaluate the change in the nutritional status of EOS patients after treatment with magnetically controlled growing rod instrumentation (MCGR) in a single center.

Methods: We prospectively collected data of patients treated with MCGR for EOS in a single center.

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Introduction: In KRAS-mutant NSCLC, co-occurring alterations in LKB1 confer a negative prognosis compared with other mutations such as TP53. LKB1 is a tumor suppressor that coordinates several signaling pathways in response to energetic stress. Our recent work on pharmacologic and genetic inhibition of histone deacetylase 6 (HDAC6) revealed the impaired activity of numerous enzymes involved in glycolysis.

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Unlabelled: Unexpected donor-derived infections of hepatitis B virus (HBV), hepatitis C virus (HCV), and HIV are rare but important potential complications of deceased organ transplantation. The prevalence of recently acquired (yield) infections has not been previously described in a national cohort of Australian deceased organ donors. Donor yield infections are of particularly significance, as they can be used to gain insights in the incidence of disease in the donor pool and in turn, estimate the risk of unexpected disease transmission to recipients.

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Article Synopsis
  • The study aimed to explore how social support, financial status, and lifestyle choices affect the level of disability in individuals with rheumatoid arthritis (RA).
  • Data were collected from the ESPOIR cohort, analyzing various factors like exercise, education, and financial situation to identify those with "excess disability."
  • Results showed that lower social support, worse financial conditions, less exercise, and lower education levels significantly correlated with higher disability, emphasizing the need for better economic and social support for RA patients.
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Study Design: Systematic review and meta-analysis.

Objectives: This study's objective is to provide a critical review of the current literature regarding the changes in pulmonary function (PF) in Adolescent idiopathic scoliosis (AIS) patients who have undergone posterior spinal fusion and instrumentation (PSF), with and without thoracoplasty (TP).

Methods: A comprehensive search was performed using the following databases: EMBASE, PubMed, EBSCOhost (CINAHL and Medline) and OpenGrey.

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A widespread outbreak of Japanese encephalitis virus (JEV) was detected in mainland Australia in 2022 in a previous non-endemic area. Given JEV is known to be transfusion-transmissible, a rapid blood-safety risk assessment was performed using a simple deterministic model to estimate the risk to blood safety over a 3-month outbreak period during which 234,212 donors attended. The cumulative estimated incidence in donors was 82 infections with an estimated 4.

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Background: West Nile virus (WNV) is a potentially transfusion-transmissible virus endemic in the US. The aim of this study was to estimate the monthly WNV transfusion transmission (TT) risk in Australia associated with donors returning from the US in 2018 and consider the implications for mitigation strategies.

Study Design And Methods: We used a probabilistic risk model to estimate the monthly WNV TT risks for each outbreak state/district in the US for the 2018 transmission season and the cumulative monthly risk for all US states/districts.

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Background: Fifteen myositis-specific antibodies have been described and characterized over the past 40 years. Approximately two thirds of patients with idiopathic inflammatory myositis have a myositis-specific antibody and only rarely more than one. Assays to detect them are now widely available within clinical practice.

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Background And Objectives: Most of the 233 worldwide cases of variant Creutzfeldt-Jakob disease (vCJD) have been reported in the United Kingdom and 3 have been associated with transfusion-transmission. To mitigate the potential vCJD risk to blood safety, Australian Red Cross Lifeblood imposes restrictions on blood donation from people with prior residency in, or extended travel to, the United Kingdom during the risk period 1980-1996. We have modified a previously published methodology to estimate the transfusion-transmission risk of vCJD associated with fresh component transfusion in Australia if the UK residence deferral was removed.

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Article Synopsis
  • The objective of the study was to create guidelines for therapeutic drug monitoring (TDM) of biopharmaceuticals used in inflammatory rheumatic and musculoskeletal diseases (RMDs), developed by a multidisciplinary task force from eight European countries.
  • The task force established six key principles and 13 specific points regarding TDM based on systematic literature reviews and expert agreement, with high levels of consensus (8.4 to 9.9 on a 10-point scale) on these recommendations.
  • The guidelines emphasize that while proactive TDM is generally not recommended, reactive TDM may be useful in certain cases; however, there is a need for more high-quality research to support its effectiveness and safety in
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