Publications by authors named "R Pearce"

Introduction: Serotonergic psychedelics and ketamine produce rapid and long-lasting symptomatic relief in multiple psychiatric disorders. Evidence suggests that despite having distinct molecular targets, both drugs may exert therapeutic benefit via their pro-neuroplastic effects. Following treatment with ketamine or serotonergic psychedelics, patients are reported to be more open to behavioral change, which is leveraged for psychotherapy-assisted reframing of narratives of the self.

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Background: The ability of current depth-of-anaesthesia monitors to differentiate subtle changes in the conscious state has not been well characterised. We examine the variability in bispectral index (BIS) scores associated with disconnected conscious and unconscious states as confirmed by a novel serial awakening paradigm.

Methods: Seventy adult participants, given propofol or dexmedetomidine, had a cumulative 1381 electroencephalographic (EEG) recordings across two centres.

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Background: Patient ethnicity has been correlated with different outcomes after haematopoietic cell transplantation (HCT), with patients from minority ethnic backgrounds reported to have worse outcomes compared with White patients. To date, studies have been predominantly done in the USA, where health-care models are different to many European countries, including the UK. We aimed to evaluate the impact of patient-reported ethnicity on autologous and allogeneic HCT outcomes in the UK.

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When a baby is born premature, a landscape of potential problems replaces an imagined future. Outcomes become the measures of success. Researchers are recognizing that we need the direct input of parents to select meaningful outcomes.

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Article Synopsis
  • Refining assumptions about the fraction absorbed (Fabs) can enhance the performance of pharmacokinetic models that use in vitro-to-in vivo extrapolation (IVIVE) methods for predicting oral bioavailability (Fbio) of chemicals.
  • In this study, over 400 non-pharmaceuticals were tested for apparent permeability (Papp) using the Caco-2 cell line, leading to the development of a random forest quantitative structure-property relationship (QSPR) model which improved predictions of human bioavailability compared to rat data.
  • The findings were integrated into a high throughput toxicokinetics (HTTK) framework to estimate equivalent doses for bioactivity based on in vitro data, resulting in only minor changes to exposure and bioactivity
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