Publications by authors named "R A Egan"

Aim: Patient barriers to accessing hospice and palliative care (PC) have been well studied. Important, yet less investigated, is how cancer patients whose hospice referrals were not accepted are being cared for. This article aims to understand the referral process from PC providers' perspectives and the implications of the current palliative system for patients, families and health professionals.

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Mutations in the KRAS oncogene can mediate resistance to radiation. KRAS mutation (mut) driven tumors have been reported to express cancer stem cell (CSC)-like features and may harbor metabolic liabilities through which CSC-associated radioresistance can be overcome. We established a radiation/drug screening approach that relies on the growth of 3D spheres under anchorage-independent and lipid-limiting culture conditions, which promote stemness and lipogenesis.

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Purpose: Critically ill patients in the intensive care unit (ICU) are frequently prescribed antibiotics, with many reporting an antibiotic allergy label, predominantly to penicillin. Mislabeling contributes to suboptimal antibiotic use, increasing multidrug-resistant organisms and Clostridium difficile infections, and increased hospital length of stay. This prospective study implemented an antibiotic allergy assessment and testing program in the ICU, independently of clinical immunology/allergy services.

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Article Synopsis
  • The study aims to evaluate long-term survival rates and the effects of thyroid-related treatments in patients with malignant struma ovarii (MSO) after surgical treatment.
  • A systematic review was conducted, analyzing 376 patients from both case reports and case series, with a primary focus on overall survival (OS) outcomes using statistical methods.
  • Results indicated a high OS rate (91% at 10 years, 87% at 20 years) regardless of the type of thyroid-related therapy received, suggesting these treatments may not significantly improve survival and could be considered excessive.
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Article Synopsis
  • Research on assisted dying (AD) has largely overlooked how patients and families choose the specific date and time for AD, which this article aims to explore in New Zealand.
  • The study involved 23 longitudinal interviews, revealing four key phases of decision-making about AD: setting boundaries, the countdown, planning the final moment, and determining the right time.
  • The process of selecting a date was found to be complex, involving personal experiences and external factors, and the article suggests ways for AD providers and policymakers to better support those involved.
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