Publications by authors named "Thomas Charlton"

Background: When faced with treatment options, patients are asked to participate in decision-making. We sought to determine which treatment aspects matter most for individuals treated for muscle invasive bladder cancer (MIBC), with an aim to improve understanding of patient preferences and what trade-offs patients are willing to accept. Our study consisted of a discrete choice experiment (DCE): a type of questionnaire used to elicit preferences in the absence of real-world choice.

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  • Fructose metabolism is linked to several diseases, but a lack of suitable imaging tools has made studying its role in these conditions difficult.
  • Researchers developed a new radiotracer, [F]4-FDF, using a molecular design inspired by aldolase, an enzyme crucial for fructose breakdown, achieving high effectiveness in metabolic imaging.
  • The study found that [F]4-FDF has low uptake in healthy brain and heart tissues while successfully mapping inflammatory responses, indicating its potential as a valuable tool for diagnosing fructose metabolism-related diseases.
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  • Recurrence of lung cancer after radiotherapy occurs in up to 36% of patients, highlighting the need for better prediction of who is at higher risk.
  • Researchers developed radiomic classification models using CT scans from over 900 patients with NSCLC to predict overall survival (OS), recurrence-free survival (RFS), and recurrence rates two years post-treatment.
  • The models showed promising results in predicting outcomes and could be used to create personalized surveillance strategies, potentially leading to improved patient care in future clinical trials.
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  • A study focused on non-small cell lung cancer (NSCLC) patients, aimed to develop and validate machine learning models using patient, tumor, and treatment data for predicting recurrence, recurrence-free survival (RFS), and overall survival (OS) following radiotherapy.
  • The research included 657 patients from 5 hospitals and involved various data pre-processing and machine learning techniques to create risk-stratification models, assessed through cross-validation and external testing.
  • Findings indicated that the machine learning models outperformed traditional TNM stage and performance status assessments in predicting recurrence and overall survival, with promising AUC scores demonstrating their effectiveness.
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Lung squamous cell carcinoma (LSCC) is a considerable global health burden, with an incidence of over 600,000 cases per year. Treatment options are limited, and patient's 5-year survival rate is less than 5%. The ubiquitin-specific protease 28 (USP28) has been implicated in tumourigenesis through its stabilization of the oncoproteins c-MYC, c-JUN, and Δp63.

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A concise, easily scalable synthesis of a rare ketohexose, d-tagatose, was developed, that is compatible with the preparation of d-[UL-C]tagatose. Epimerization of the widely available and inexpensive ketohexose d-fructose at the C-4 position via an oxidation/reduction (Dess-Martin periodinane/NaBH) was a key step in the synthesis. Overall, fully protected natural d-tagatose (3.

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Methane bubble dispersions in a water column can be observed in both vertical subsea piping as well as subsea gas seepages. Hydrate growth has been shown to occur at the gas-water interface under flowing conditions, yet the majority of the current literature is limited to quiescent systems. Gas hydrate risks in subsea piping have been shown to increase in late life production wells with increased water content and with gas-in-water bubble dispersions.

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The causative agent of plague, Yersinia pestis, uses a type III secretion system to selectively destroy immune cells in humans, thus enabling Y. pestis to reproduce in the bloodstream and be transmitted to new hosts through fleabites. The host factors that are responsible for the selective destruction of immune cells by plague bacteria are unknown.

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Ubiquitination controls the stability of most cellular proteins, and its deregulation contributes to human diseases including cancer. Deubiquitinases remove ubiquitin from proteins, and their inhibition can induce the degradation of selected proteins, potentially including otherwise 'undruggable' targets. For example, the inhibition of ubiquitin-specific protease 7 (USP7) results in the degradation of the oncogenic E3 ligase MDM2, and leads to re-activation of the tumour suppressor p53 in various cancers.

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Glutathionylation, the formation of reversible mixed disulfides between glutathione and protein cysteine residues, is a posttranslational modification previously observed for intracellular proteins of bacteria. Here we show that LcrV, a secreted protein capping the type III secretion machine, is glutathionylated at Cys and that this modification promotes association with host ribosomal protein S3 (RPS3), moderates type III effector transport and killing of macrophages, and enhances bubonic plague pathogenesis in mice and rats. Secreted LcrV was purified and analyzed by mass spectrometry to reveal glutathionylation, a modification that is abolished by the codon substitution CysAla in Moreover, the mutation enhanced the survival of animals in models of bubonic plague.

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Bacterial lipoproteins are surface exposed, anchored to the membrane by S-diacylglyceryl modification of the N-terminal cysteine thiol. They play important roles in many essential cellular processes and in bacterial pathogenesis. For example, Clostridium difficile is a Gram-positive anaerobe that causes severe gastrointestinal disease; however, its lipoproteome remains poorly characterized.

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Paravalvular aortic regurgitation (PAR) following transcatheter aortic valve implantation (TAVI) is a complication which is associated with increased late mortality. When PAR is severe and refractory to standard corrective measures, case reports have now described the successful use of vascular plugs to treat PAR as a follow-up procedure. We describe a case of vascular plug implantation to reduce PAR immediately after implantation of the transcatheter aortic valve prosthesis.

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Objective: The aim of this study was to assess predicted Down syndrome risk, based on three serum analytes (triple test), with HIV infection status and antiretroviral therapy regimen.

Methods: Screening results in 72 HIV-positive women were compared with results from age-matched and race-matched HIV-negative controls. Mean concentrations of each analyte were compared by serostatus and antiretroviral therapy.

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  • Early diagnosis of HIV significantly reduces health issues and deaths, making general practice a key area for promoting testing.
  • In a study surveying 191 general practitioners, 44% were unaware of the British HIV Association's guidelines on HIV testing, despite 89% feeling comfortable administering tests.
  • The main obstacle to testing was perceived patient acceptance, and although many found the guidelines feasible after reading them, time constraints were cited as a reason for not adopting them.
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Purpose: To examine whether knowledge of high school students' actions of self-regulation, and perceptions of self-efficacy to overcome exercise barriers, social situation, and outcome expectation will predict non-school related moderate and vigorous physical exercise.

Methods: High school students enrolled in introductory Physical Education courses completed questionnaires that targeted selected Social Cognitive Theory variables. They also self-reported their typical "leisure-time" exercise participation using a standardized questionnaire.

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