Publications by authors named "Rogers G"

Facial nerve dysfunction (FND) is a well-recognized but poorly documented complication of mandibular distraction osteogenesis (MDO) for Robin sequence (RS). This study aims to document the authors' experiences with FND and identify risk factors associated with this adverse event. A retrospective review of a prospectively gathered database was performed to identify patients with RS who underwent MDO at the authors' institution from March 2016 to June 2023.

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(1) Background: Medical graduates who have undertaken longitudinal rural training have consistently been found to be more likely to become rural doctors and work in primary care settings. A limitation of such findings is the heterogeneous nature of rural medical education and contested views of what constitutes 'rurality', especially as it is often reported as a binary concept (rural compared to metropolitan). To address the identified gaps in workforce outcomes for rural medical training and to demonstrate accountability to the communities we serve, we investigated whether Longitudinal Integrated Clerkship (LIC) graduates are practicing in communities with similar rural classification to those where they trained.

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  • Calcifying aponeurotic fibroma is a rare tumor affecting the upper extremities, particularly challenging when it involves deep spaces of the hand.
  • A case study discusses a 9-year-old girl with a growing mass on her palm, diagnosed later due to its deep location and lack of symptoms, which led to a larger than normal size.
  • The girl underwent a careful surgical procedure to remove the tumor while preserving surrounding structures, and at her 1-year follow-up, there were no signs of recurrence.
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  • The study aimed to identify demographic and patient factors linked to preoperative hypoglycemia in pediatric patients at a large urban hospital through a retrospective chart review.
  • Researchers analyzed cases of hypoglycemia, looking at variables such as age, gender, fasting duration, and surgical service, and compared the findings to the general surgical population.
  • Key findings revealed that the hypoglycemic population differed significantly in age and surgical status, and trends in weight and fasting duration were noted as potential risk factors, suggesting further research is needed to confirm these associations.
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  • - The study aimed to evaluate how accurate pharmaceutical claims are compared to medication administration charts in long-term care facilities (LTCFs) by analyzing data from 279 residents across 5 facilities.
  • - Researchers found that pharmaceutical claims had a high positive predictive value (PPV) of over 75% for most medications, particularly at the 3-digit ATC classification level, and sensitivity for specific drug classes like diabetes agents and beta-blockers was also very high.
  • - The analysis concluded that claims data is reliable for tracking medication exposure, suggesting that exposure periods of 90-120 days are generally adequate, although longer durations might be necessary for medications in larger pack sizes.
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  • - The study investigates the effects of non-nutritive sweeteners (NNS) on glucose absorption and gut microbiota in mice, revealing that NNS increases glucose absorption without relying on gut microbiota.
  • - Mice given antibiotics to reduce gut microbiota showed improved glucose tolerance, suggesting that gut bacteria play an important role in glycemic responses.
  • - Results indicate that while NNS enhances glucose absorption, it does not negatively affect glycemic responses, and gut microbiota depletion positively impacts glucose tolerance through the activity of GLP-1.
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Immunotherapy has changed the treatment paradigm for many types of cancer, but immune checkpoint inhibitors (ICIs) have not shown benefit in prostate cancer (PCa). Chronic inflammation contributes to the immunosuppressive prostate tumor microenvironment (TME) and is associated with poor response to ICIs. The primary source of inflammatory cytokine production is the inflammasome.

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Population screening for breast cancer (BC) is currently offered in the UK for women aged 50 to 71 with the aim of reducing mortality. There is additional screening within the national programme for women identified as having a very high risk of BC. There is growing interest in further risk stratification in breast screening, which would require a whole population risk assessment and the subsequent offer of screening tailored to the individual's risk.

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  • - The study explores the role of different bacteria in chronic airway disease (CAD), focusing on how they might influence inflammation in the lungs, particularly looking for anti-inflammatory species.
  • - Using microbiome samples and inflammatory data from patients with CAD, researchers found that the genus Aggregatibacter was more common in patients with lower inflammation levels, linked to reduced inflammatory markers IL-8 and IL-1β.
  • - Laboratory tests indicate that Aggregatibacter species have the potential to reduce inflammation in lung cells without harming their viability, suggesting a possible therapeutic role for these bacteria in managing CAD symptoms.
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Interprofessional education (IPE) aims to prepare health professional students with the knowledge, attitudes and skills required for collaborative healthcare practice. Although positive outcomes have been documented at the completion of university-based IPE experiences, or longitudinally across health care degrees, the literature is unclear on how university-based IPE influences graduate practice. This study therefore explores how health professional graduates experience interprofessional interactions in practice and how these may be connected to their university-based IPE experiences.

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  • This study examines chronic pelvic pain in women, suggesting that pelvic venous incompetence (PVI) might be a cause, and coil embolisation could relieve symptoms.
  • It compares standard care (pain relief) with a screening and treatment approach for PVI, assessing cost-effectiveness over ten years from a UK healthcare perspective.
  • Findings show the intervention has a cost-effectiveness ratio of £4,558 per quality-adjusted life year (QALY), making it very likely (90% probability) more cost-effective than standard care within the UK's threshold.
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  • Measures to reduce airborne pathogen transmission in healthcare settings can be costly and disruptive, especially when not specifically targeted.
  • The study identified areas in a hospital that have a high risk for virus transmission through carbon dioxide assessments of air exchange.
  • This method is efficient and low-cost, allowing for focused improvements in air quality where they are most needed in the hospital.
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  • A 13-year-old patient had a unique tumor on their lower lip, initially thought to be a mucocele due to a long-standing lip mass.
  • The surgical removal and subsequent histopathological analysis identified a tumor with both granular cell and perineurial characteristics, which were confirmed by specific protein staining.
  • This case marks the first report of a perineurial-granular cell hybrid tumor in a patient under 18 and in an unusual location within the head and neck, highlighting the need to recognize various clinical forms in rare pediatric tumors.
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The pharyngeal arches are the foundation of face and neck development. Impaired development of these embryologic structures can result in craniofacial abnormalities. Surgeons who manage head and neck pathology will invariably encounter conditions associated with aberrant pharyngeal arch anatomy, and a thorough understanding of the normal development of these structures is paramount to accurate diagnosis and treatment.

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CRISPR/Cas9 genome editing is a pervasive research tool due to its relative ease of use. However, some systems are not amenable to generating edited clones due to genomic complexity and/or difficulty in establishing clonal lines. For example, Schneider 2 (S2) cells possess a segmental aneuploid genome and are challenging to single-cell select.

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  • * A study compared the gut microbiomes of aged care residents with and without a UTI history and found that prior UTI history did not significantly impact microbiome composition, although prior UTIs were a predictor of future infections.
  • * The research suggested that there is no clear link between gut microbiota and UTI incidence in older adults, potentially due to high exposure to antibiotics and age-related factors affecting gut health.
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  • High antibiotic prescriptions in aged care could lead to increased antibiotic-resistant pathogens in residents, raising concerns about treatment failures.
  • A study analyzed stool samples from 164 residents in South Australia, linking antibiotic use over the past year to the presence and quantity of antibiotic resistance genes (ARGs).
  • Findings revealed that over 1100 unique ARGs were identified, with doxycycline being a major risk factor for high ARG levels, particularly influencing resistance to penicillins and cephalosporins, highlighting the need for cautious antibiotic use in this population.
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  • Liver cirrhosis heightens the risk of hepatocellular carcinoma (HCC), necessitating regular surveillance using imaging techniques like ultrasound and biomarkers like alpha-fetoprotein (AFP).
  • The review aims to critically evaluate the diagnostic effectiveness of various tests, including ultrasound, MRI, CT scans, and different biomarkers, for early detection of HCC in adults with cirrhosis.
  • Methodology includes analyzing existing studies for accuracy, potential biases, and comparing different diagnostic tests based on tumor size and patient factors, with plans for comprehensive data analysis using meta-analyses.
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Context: There is growing evidence supporting a shift towards 'grow your own' approaches to recruiting, training and retaining health professionals from and for rural communities. To achieve this, there is a need for sound methodologies by which universities can describe their area of geographic focus in a precise way that can be utilised to recruit students from their region and evaluate workforce outcomes for partner communities. In Australia, Deakin University operates a Rural Health Multidisciplinary Training (RHMT) program funded Rural Clinical School and University Department of Rural Health, with the purpose of producing a graduate health workforce through the provision of rural clinical placements in western and south-western Victoria.

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Objectives: To quantify prevalence, harms, and NHS costs in England of problematic oral non-steroidal anti-inflammatory drug (NSAID) prescribing in high risk groups.

Design: Population based cohort and economic modelling study.

Setting: Economic models estimating patient harm associated with NSAID specific hazardous prescribing events, and cost to the English NHS, over a 10 year period, were combined with trends of hazardous prescribing event to estimate national levels of patient harm and NHS costs.

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  • SAPAP3 knockout (KO) mice serve as a preclinical model to study obsessive-compulsive disorder (OCD), with this study focusing on their grooming behaviors, anxiety, depression, and gastrointestinal function.
  • The research explored the impact of standard housing, voluntary exercise, and environmental enrichment over four weeks, but found no positive effects from exercise or enrichment; in fact, wheel-running seemed to worsen grooming behavior.
  • This study highlights the first reports of gut dysfunction in these mice without changes in gut bacteria and suggests that chronic stress might play a role in the observed negative effects on behavior, warranting further exploration.
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The immunoglobulin locus of B cells can be reprogrammed by genome editing to produce custom or non-natural antibodies that are not induced by immunization. However, current strategies for antibody reprogramming require complex expression cassettes and do not allow for customization of the constant region of the antibody. Here we show that human B cells can be edited at the immunoglobulin heavy-chain locus to express heavy-chain-only antibodies that support alterations to both the fragment crystallizable domain and the antigen-binding domain, which can be based on both antibody and non-antibody components.

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We tested an approach to estimate daily canopy net photosynthesis, A, based on estimates of transpiration, E, using measurements of sap flow and water-use efficiency, ω, by measuring δ13C in CO2 respired from shoots in the canopies of two conifers (Podocarpaceae) native to New Zealand. The trees were planted in adjacent 20-year-old stands with the same soil and environmental conditions. Leaf area index was lower for Dacrycarpus dacrydioides D.

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  • Probiotics are being studied for their potential health benefits, but their effectiveness varies greatly among individuals.
  • A study investigated whether a genetic variant influencing mucosal α(1,2)-fucosylated glycan production affects how different mice respond to probiotics, particularly Bifidobacterium strains.
  • Results showed that mice with the genetic variant (Fut2WT) had better retention of B. infantis after antibiotics, while those without it (Fut2KO) had different persistence patterns, emphasizing the impact of genetics and gut conditions on probiotic effectiveness.
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Objective: Disparities in insurance and socioeconomic status (SES) may impact surgical management and subsequent postoperative outcomes for patients with craniosynostosis. This systematic review summarizes the evidence on possible differences in surgical care, including procedure type, age at surgery, and differences in surgical outcomes such as complications, length of hospital stay, and child development based on SES.

Design: The databases Scopus, PubMed, and CINAHL were searched between May and July 2022.

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