Publications by authors named "L E Macdonald"

Background: Pathologic confirmation of lung cancer influences treatment selection for suspected early-stage lung cancer. High pre-treatment tissue confirmation rates are recommended. We sought to define management and outcomes of patients undergoing surgery for primary lung cancer in a UK multi-centre clinical trial.

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Background: Pneumococcal conjugate vaccines (PCVs) that are ten-valent (PCV10) and 13-valent (PCV13) became available in 2010. We evaluated their global impact on invasive pneumococcal disease (IPD) incidence in all ages.

Methods: Serotype-specific IPD cases and population denominators were obtained directly from surveillance sites using PCV10 or PCV13 in their national immunisation programmes and with a primary series uptake of at least 50%.

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Growing evidence suggests that visiting heritage, such as historic buildings, or landscapes, may enhance mental health. However, adults and children from deprived areas are less likely to visit heritage, perhaps partly due to unequal geographical availability. Few studies investigate socio-spatial inequity of heritage access nationally, and there is an absence of research exploring individual-based contact with heritage.

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Current rheumatoid arthritis (RA) treatments do not restore immune tolerance. Investigating dendritic cell (DC) populations in human synovial tissue (ST) may reveal pathways to reinstate tolerance in RA. Using single-cell and spatial transcriptomics of ST biopsies, as well as co-culture systems, we identified condition- and niche-specific DC clusters with distinct functions.

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Article Synopsis
  • Oligometastatic prostate cancer (OMPCa) is an intermediate stage of cancer between localized and widespread disease, traditionally treated with androgen deprivation therapy (ADT) but now also considered for local therapies like cytoreductive prostatectomy (CRP) and radiotherapy.
  • Recent studies suggest that CRP may be beneficial for some OMPCa patients, and ongoing trials are exploring its safety and effectiveness, alongside findings supporting the use of radiotherapy and ADT.
  • There is still limited evidence for focal therapies and cryotherapy, highlighting the need for more clinical trials to better understand treatment options and suitability for patients with OMPCa.
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