Publications by authors named "Laurence J"

Background: HCC develops in the context of chronic inflammation; however, the opposing roles the immune system plays in both the development and control of tumors are not fully understood. Mapping immune cell interactions across the distinct tissue regions could provide greater insight into the role individual immune populations have within tumors.

Methods: A 39-parameter imaging mass cytometry panel was optimized with markers targeting immune cells, stromal cells, endothelial cells, hepatocytes, and tumor cells.

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Background: Research suggests that individuals' local social networks, norms of reciprocity and sense of belonging (their local social capital, henceforth LSC), can cushion the impact of adverse events on their mental health. However, to date, little research has explored the pathways through which LSC operates to buffer stressors, especially during major crises, e.g.

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Autosomal Dominant Polycystic Kidney Disease (ADPKD) results in progressive cysts that lead to kidney failure, and is caused by heterozygous germline variants in PKD1 or PKD2. Cyst pathogenesis is not definitively understood. Somatic second-hit mutations have been implicated in cyst pathogenesis, though technical sequencing challenges have limited investigation.

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Background: Atypical hemolytic uremic syndrome (aHUS) is a rare, life-threatening thrombotic microangiopathy (TMA) related to congenital mutations impeding control of the alternative pathway of complement. Following approval of the complement C5 inhibitor eculizumab by the European Medicines Agency and the US Food and Drug Administration, initial guidelines suggested lifelong therapy. Yet, growing evidence indicates that discontinuation of eculizumab, or its long-acting form ravulizumab, is possible for many patients.

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Article Synopsis
  • The study investigated the use of normothermic machine perfusion (NMP) for improving outcomes in suboptimal deceased donor kidneys, specifically those from donors after circulatory death (DCD).
  • A total of 18 DCD kidneys were subjected to NMP for 1 to 3 hours before transplantation, which showed high feasibility, with most kidneys experiencing at least 1 hour of perfusion.
  • Results indicated a significantly lower rate of delayed graft function in kidneys that underwent NMP compared to control kidneys, while overall graft survival and function were similar over time, suggesting NMP is a safe and effective option for enhancing kidney transplant outcomes.
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Article Synopsis
  • Acute immune thrombotic thrombocytopenic purpura (iTTP) is a serious condition that requires immediate medical attention and tests to see how it's affecting the blood.
  • Patients usually start treatment with plasma exchange (PE) and may also receive medications like glucocorticoids, rituximab, and caplacizumab to help improve their condition.
  • A study showed that using caplacizumab can reduce repeated episodes and speed up recovery, but there are some risks, like bleeding, which mostly get better on their own.
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Prior research has examined the relationship between ethnic outgroup-size at the neighbourhood level and Brexit support, yet there is a lack of understanding on the factors that moderate these effects. This paper critically extends prior debate by focusing on how personality traits moderate not only the extent to which the levels (2011) of ethnic outgroup-size in individuals' residential neighbourhoods but also the increase thereof (2001-2011) are associated with individuals' preferences about the 2016 Brexit referendum. Using data from Understanding Society, we find that two personality traits, agreeableness and openness, are key moderators affecting the above-mentioned relationship.

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Liver grafts from controlled donation after circulatory death (cDCD) donors have lower utilization rates due to inferior graft and patient survival rates, largely attributable to the increased incidence of ischemic cholangiopathy, when compared with grafts from brain dead donors (DBD). Normothermic regional perfusion (NRP) may improve the quality of cDCD livers to allow for expansion of the donor pool, helping to alleviate the shortage of transplantable grafts. A systematic review and metanalysis was conducted comparing NRP cDCD livers with both non-NRP cDCD livers and DBD livers.

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Background: Myosteatosis is a measure of skeletal muscle quality that is readily identifiable on computed tomography (CT). The effect of preoperative myosteatosis on outcomes after radical esophagectomy remains unclear. This study aimed to correlate the presence of myosteatosis on CT scan with perioperative morbidity, mortality, and survival outcomes after esophagectomy in an Australian population across 3 esophageal cancer centers.

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Background: Socioeconomic status (SES) affects outcomes following surgery for various cancers. There are currently no Australian studies that examine the role of socioeconomic disadvantage on outcomes following oesophagectomy for cancer. This study assessed whether SES was associated with short-term perioperative morbidity, long-term survival, and oncological outcomes following oesophagectomy across three tertiary oesophageal cancer centres in Australia.

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Background: To overcome organ shortages, donation after circulatory death (DCD) kidneys are being increasingly used for transplantation. Prior research suggests that DCD kidneys have inferior outcomes compared with kidneys donated after brain death. Normothermic machine perfusion (NMP) and normothermic regional perfusion (NRP) may enhance the preservation of DCD kidneys and improve transplant outcomes.

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Background: The impact of sarcopenia on outcomes after esophagectomy is controversial. Most data are currently derived from Asian populations. This study aimed to correlate sarcopenia to short-term perioperative complication rates and long-term survival and recurrence outcomes.

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Introduction: Wound complications can cause considerable morbidity in kidney transplantation. Closed-incision negative pressure wound therapy (ciNPWT) systems have been efficacious in reducing wound complications across surgical specialties. The aims of this study were to evaluate the use of ciNPWT, Prevena™, in kidney transplant recipients and to determine any association with wound complications.

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Background: Uncontrolled donation after circulatory death (uDCD) is a potential additional source of donor kidneys. This study reviewed uDCD kidney transplant outcomes to determine if these are comparable to controlled donation after circulatory death (cDCD).

Methods: MEDLINE, Cochrane, and Embase databases were searched.

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This paper examines drivers of prejudicial attitudes among adults in the UK, focusing on the interaction between ethnic out-group size and personality traits. Leveraging data from the National Child Development Study (NCDS), we use two survey waves carried out in 2000 and 2008, just before and after the EU enlargement policy that drove a wave of immigration in the UK. We test the extent to which personality traits moderate the relationship between both absolute levels and changes in ethnic diversity at the local level, respectively, and prejudice.

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The Complex Trial Protocol (CTP) is an EEG-based Concealed Information Test (CIT). Depth of processing influences memorability where deeper processing increases recollection. The CTP's performance as a function of shallow versus deep levels of processing has not been explored.

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Odor hedonic estimation (pleasant/unpleasant) is considered the first and one of the most important dimensions in odor perception. Although there are several published scales that rate odor hedonicity, most of them use odorants that induce biases related to stimulus properties or test conditions and make difficult clinical or industrial applications. Thus, this study aimed to propose a model of odor hedonic profile (OHP) based on 14 items related to everyday odors without stimulus.

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Background: Renal artery aneurysms (RAA) can be repaired with endovascular exclusion (EVR), open repair (OR), or ex-vivo repair with renal autotransplantation (ERAT). This systematic review compares repair indications, aneurysm characteristics, and complications following these interventions.

Methods: A systematic review of databases including MEDLINE, PUBMED, and EMBASE by two independent reviewers for studies from January 2000-November 2022.

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Background: Delayed graft function (DGF) is a major adverse complication of deceased donor kidney transplantation. Intravenous fluids are routinely given to patients receiving a transplant to maintain intravascular volume and optimise graft function. Saline (0·9% sodium chloride) is widely used but might increase the risk of DGF due to its high chloride content.

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