Publications by authors named "PATERSON E"

Article Synopsis
  • The operating room infrastructure and equipment were designed primarily for male surgeons, leading to potential ergonomic challenges for the increasing number of female cardiac surgeons.
  • Female cardiac surgeons comprise only about 17% of the field and experience higher rates of work-related injuries and ergonomic issues compared to their male counterparts.
  • There is a need to adapt OR equipment and surgical tools to better suit female surgeons, which could improve their working conditions and support a more equitable surgical workforce.
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Non-enzymatic glycation is the chemical reaction between the amine group of an amino acid and the carbonyl group of a reducing sugar. The final products of this reaction, advanced glycation end-products (AGEs), are known to play a key role in aging and many chronic diseases. The kinetics of the AGE formation reaction depends on several factors, including pH, temperature, and the presence of prooxidant metals, such as iron and copper.

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Physician associates (PAs) are a developing profession in the UK. The Faculty of Physician Associates (FPA) recommends the establishment of local preceptorship programmes for PAs in the first year of practice who have successfully passed the PA national exam. Limited evidence currently exists around the evaluation of such local programmes and the experience of the intern PAs involved.

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  • * A study using guinea pigs showed that those born preterm experienced significant cardiovascular challenges when exposed to extreme temperatures, mimicking conditions that may arise due to climate change.
  • * This research highlights early signs of cardiovascular dysfunction in preterm-born individuals as young as 8-10 years, suggesting that their bodies respond poorly to both heat and cold, similar to older adults.
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  • - Endometriosis is a common condition that typically requires surgery for diagnosis, indicating a need for non-invasive biomarkers, such as extracellular vesicles (EVs), though research on EVs in this context is limited.
  • - This study explored how effective it is to isolate EVs from cervico-vaginal fluid using cervical brushes and vaginal swabs, finding that both methods yield intact vesicles with some contaminants, but cervical brushes produced higher particle concentrations.
  • - While both sampling techniques showed similar levels of protein and miRNA, the overall EV yield was low, suggesting that either method could potentially be used for future biomarker research in endometriosis.
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Over the past decade, healthcare systems have started to establish control centres to manage patient flow, with a view to removing delays and increasing the quality of care. Such centres-here dubbed Healthcare Capacity Command/Coordination Centres (HCCCs)-are a challenge to design and operate. Broad-ranging surveys of HCCCs have been lacking, and design for their human users is only starting to be addressed.

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Primates are important species for biomedical research and ensuring their good welfare is critical for research translatability and ethical responsibility. Systematic animal welfare assessments can support continuous programme improvements and build institutional awareness of areas requiring more attention. A multi-facility, collaborative project aimed to develop and implement a novel primate welfare assessment tool (PWAT) for use with research macaques.

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Pancreatic ductal adenocarcinoma (PDAC) is a lethal disease with limited effective treatment options, potentiating the importance of uncovering novel drug targets. Here, we target cleavage and polyadenylation specificity factor 3 (CPSF3), the 3' endonuclease that catalyzes mRNA cleavage during polyadenylation and histone mRNA processing. We find that is highly expressed in PDAC and is associated with poor prognosis.

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High rates of failure, exorbitant costs, and the sluggish pace of new drug discovery and development have led to a growing interest in repurposing "old" drugs to treat both common and rare diseases, particularly cancer. Cancer, a complex and heterogeneous disease, often necessitates a combination of different treatment modalities to achieve optimal outcomes. The intrinsic polygenicity of cancer, intricate biological signalling networks, and feedback loops make the inhibition of a single target frequently insufficient for achieving the desired therapeutic impact.

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Introduction: Endometriosis is an under-researched disease, with Aotearoa-specific data severely lacking. Current estimates of parameters such as rates of endometriosis diagnosis, indication for surgery and sites of disease are based on international data. There is currently no published data on endometriosis surgeries in Aotearoa New Zealand.

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Background: There are public health concerns about an increased risk of mortality after release from prison. The objectives of this scoping review were to investigate, map and summarise evidence from record linkage studies about drug-related deaths among former adult prisoners.

Methods: MEDLINE, EMBASE, PsychINFO and Web of Science were searched for studies (January 2011- September 2021) using keywords/index headings.

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Purpose: We undertook a study to examine how stigma influences the uptake of training on medication for opioid use disorder (MOUD) in primary care academic programs.

Methods: We conducted a qualitative study of 23 key stakeholders responsible for implementing MOUD training in their academic primary care training programs that were participants in a learning collaborative in 2018. We assessed barriers to and facilitators of successful program implementation and used an integrated approach to develop a codebook and analyze the data.

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  • Cynomolgus macaques often undergo surgery for research and veterinary needs, highlighting the importance of effectively recognizing and managing their pain.
  • The study aimed to develop and validate the Cynomolgus Macaque Grimace Scale (CMGS) by analyzing facial expressions and postures from video recordings of macaques before and after surgery.
  • The CMGS demonstrated moderate to good reliability in assessing pain through grimace scores, which significantly increased post-surgery, indicating its potential to enhance pain management protocols for these primates.
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Glioblastoma, a grade IV astrocytoma, is regarded as the most aggressive primary brain tumour with an overall median survival of 16.0 months following the standard treatment regimen of surgical resection, followed by radiotherapy and chemotherapy with temozolomide. Despite such intensive treatment, the tumour almost invariably recurs.

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Endometriosis is a chronic, inflammatory gynaecological disease that can have severe negative impacts on quality of life and fertility, placing burden on patients and the healthcare system. Due to the heterogeneous nature of endometriosis, and the lack of correlation between symptom and surgical disease severity, diagnosis and treatment remain a significant clinical challenge. Extracellular vesicles (EVs) are biologically active particles containing molecular cargo involved in intercellular communication, that can be exploited for diagnostic and therapeutic purposes.

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Cancer cells encounter a hostile tumor microenvironment (TME), and their adaptations to metabolic stresses determine metastatic competence. Here, we show that the metabolic enzyme 6-phosphofructo-2-kinase/fructose-2,6-biphosphatase-4 (PFKFB4) is induced in hypoxic tumors acquiring metabolic plasticity and invasive phenotype. In mouse models of breast cancer, genetic ablation of PFKFB4 significantly delays distant organ metastasis, reducing local lymph node invasion by suppressing expression of invasive gene signature including integrin β3.

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The microbiota populating the rhizosphere, the interface between roots and soil, can modulate plant growth, development, and health. These microbial communities are not stochastically assembled from the surrounding soil, but their composition and putative function are controlled, at least partially, by the host plant. Here, we use the staple cereal barley as a model to gain novel insights into the impact of differential applications of nitrogen, a rate-limiting step for global crop production, on the host genetic control of the rhizosphere microbiota.

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The COVID-19 pandemic has imposed substantial burdens on clinicians and there is a need to better understand the impact on mental health and well-being. This scoping review investigates the prevalence of mental health concerns in anaesthetists, risk and protective factors for mental well-being, and anaesthetists' pandemic-related concerns and support. We searched online databases for articles published between January 2020 and May 2022, using search terms related to: anaesthesia; burnout, well-being, mental health or stress; and COVID-19.

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Vaccination remains key to reducing the risk of COVID-19-related severe illness and death. Because of historic medical exclusion and barriers to access, Black communities have had lower rates of COVID-19 vaccination than White communities. We describe the efforts of an academic medical institution to implement community-based COVID-19 vaccine clinics in medically underserved neighborhoods in Philadelphia, Pennsylvania.

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Article Synopsis
  • The COVID-19 pandemic has caused nearly 6 million deaths worldwide, leading to overwhelmed health departments and the need for private health systems to engage in contact tracing and outbreak control efforts.
  • The study aimed to design and implement a volunteer contact tracing program at the University of Pennsylvania Health System to support COVID-19 patients and their contacts from April 2020 to May 2021.
  • Out of 5470 COVID-19 patients contacted, 2982 were interviewed, revealing diverse demographic data and highlighting the program's importance in providing necessary resources during isolation and quarantine.
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Research primates may undergo surgical procedures making effective pain management essential to ensure good animal welfare and unbiased scientific data. Adequate pain mitigation is dependent on whether veterinarians, technicians, researchers, and caregivers can recognize and assess pain, as well as the availability of efficacious therapeutics. A survey was conducted to evaluate primate veterinary approaches to pain assessment and alleviation, as well as expressed challenges for adequately managing primate pain.

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Endometrial cancer (EC) is the most common gynaecological malignancy in the developed world, and concerningly incidence is rising, particularly in younger people. Therefore, there is increased interest in novel diagnostic and prognostic biomarkers. Extracellular vesicles (EVs) are membrane-bound particles present in bodily fluids that have the potential to facilitate non-invasive, early diagnosis of EC and could aid with monitoring of recurrence and treatment response.

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Manufacturers could improve the pulse tones emitted by pulse oximeters to support more accurate identification of a patient's peripheral oxygen saturation (SpO2) range. In this article, we outline the strengths and limitations of the variable-pitch tone that represents SpO2 of each detected pulse, and we argue that enhancements to the tone to demarcate clinically relevant ranges are feasible and desirable. The variable-pitch tone is an appreciated and trusted feature of the pulse oximeter's user interface.

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