Publications by authors named "Welsh L"

The effect of moderate-late preterm (MLP; 32 to 36 completed weeks' gestation) birth on childhood respiratory health is unclear. To assess the effect of being born MLP, compared with being born at term (≥37 completed weeks' gestation), on lung function and respiratory morbidity at 9-10 years of age. Prospective cohort of children born MLP or at term at the Royal Women's Hospital, Victoria, Australia.

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The cloud point temperatures of aqueous poly(-isopropylacrylamide) (PNIPAM) and poly(ethylene) oxide (PEO) solutions were measured from pH 1.0 to pH 13.0 at a constant ionic strength of 100 mM.

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At the core of assays to understand the role(s) of specific genes is the ability to stably transfer genes into Phytophthora through transformation. A key method for achieving this has been based on polyethylene glycol (PEG)/CaCl transformation of protoplasts, but efficiency has often been low. Improving transformation efficiency is necessary for many applications, such as gene knockouts.

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RNA silencing is a core cellular process that acts to defend the genome against potentially damaging genetic elements such as viruses and transposons. It has been extensively characterized in many eukaryotes and exploited as a tool for determining gene function through removing the activity of specific genes. It has also been used in Phytophthora species to reveal genes involved in different lifecycle stages.

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Introduction: Manual uterine aspiration is a potentially lifesaving procedure for treating patients with hemorrhagic complications of early pregnancy loss. While early pregnancy loss is a common diagnosis seen in the emergency department, manual uterine aspiration education is lacking for emergency medicine physicians.

Methods: We designed a 90-minute procedural skills training session for 30 emergency medicine learners.

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Arg-any amino acid-Leu-Arg (RXLR) effectors are central oomycete virulence factors that suppress plant immunity. Relatively little is known about how they are processed post-translationally before delivery into host cells. A range of molecular, cell and biochemical processes were used to investigate proteolytic processing of RXLR and Glu-Glu-Arg (EER) motifs in Phytophthora infestans effectors.

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  • - Randomised control trial data suggest that stereotactic radiosurgery (SRS) is effective for patients with up to 4 brain metastases, with non-randomised data supporting its use in up to 10.
  • - There is ongoing debate regarding the effectiveness of SRS for patients with more than 10 brain metastases, which this study addresses by analyzing data from 1181 patients.
  • - Results indicate that median survival for patients with more than 10 brain metastases is similar to those with 2-4 metastases, suggesting these patients may also benefit from SRS treatment.
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  • The study focuses on the use of Contrast Clearance Analysis (CCA) with MRI in patients with lung cancer and brain metastases to improve the accuracy of distinguishing between treatment effects and tumor progression after stereotactic radiosurgery (SRS).
  • In a retrospective analysis of 62 patients, CCA correctly identified the cause of ambiguous MRI changes in 80.6% of cases and helped maintain consistent diagnoses with follow-up imaging in most patients.
  • The research suggests that CCA is a valuable tool in navigating diagnostic challenges in lung cancer treatment, influencing patient management decisions and improving treatment outcomes.
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  • This study compares high definition (HD) multi-leaf collimator (MLC) plans with standard MLC plans and other stereotactic radiosurgery (SRS) techniques, like CyberKnife (CK) and Gamma Knife (GK), for treating multiple brain metastases.
  • Eleven patients underwent SRS, with the results showing HD MLCs provided better conformity and allowed for lower doses to critical organs, while CK and GK had their own advantages in plan quality.
  • The findings suggest that HD MLC linacs are the preferred choice for SRS due to their superior performance, though CK and GK also deliver significant improvements in various aspects.
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Predicting survival is essential to tailoring treatment for patients diagnosed with brain metastases. We have evaluated the performance of widely used, validated prognostic scoring systems (Graded Prognostic Assessment and diagnosis-specific Graded Prognostic Assessment) in over 1000 'real-world' patients treated with stereotactic radiosurgery to the brain, selected according to National Health Service commissioning criteria. Survival outcomes from our dataset were consistent with those predicted by the prognostic systems, but with certain cancer subtypes showing a significantly better survival than predicted.

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  • Bronchiolitis obliterans syndrome (BOS) is a serious lung complication that can occur after hematopoietic stem cell transplantation (HSCT), often detected late when lung function has declined significantly.
  • This study aimed to test the feasibility of the lung clearance index (LCI) from the nitrogen multiple breath washout (NMBW) test for earlier detection of BOS in children post-HSCT compared to traditional spirometry.
  • Results showed that NMBW was technically more reliable than spirometry, and changes in LCI were better predictors of BOS development at 6 months post-transplant.
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  • A study aimed to use deep learning on brain MRI scans to predict 8-month survival rates for glioblastoma patients after radiotherapy, involving data from 206 patients diagnosed across UK centers.
  • The model's performance was tested against both imaging data (from MRI scans) and non-imaging data (like demographics) and showed high accuracy, particularly with imaging data outperforming non-imaging data.
  • This deep learning model can help identify glioblastoma patients at higher risk of early mortality, potentially guiding them towards early second-line treatments or clinical trials.
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The effects of CaCl and MgCl on the cloud point temperature of two different elastin-like polypeptides (ELPs) were studied using a combination of cloud point measurements, molecular dynamics simulations, and infrared spectroscopy. Changes in the cloud point for the ELPs in aqueous divalent metal cation solutions were primarily governed by two competing interactions: the cation-amide oxygen electrostatic interaction and the hydration of the cation. In particular, Ca cations can more readily shed their hydration shells and directly contact two amide oxygens by the formation of ion bridges.

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Calcium channel blockers (CCBs) are among the most commonly prescribed cardiovascular medications in the adult population. Approximately 20% of adults with hypertension in the United States are prescribed dihydropyridine calcium channel blockers. Similarly, in the pediatric population, CCBs such as nifedipine and amlodipine are frequently prescribed in the non-emergent management of hypertension in children and adolescents.

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  • The study evaluates 2-OHOA, a synthetic lipid, in a Phase 1/2A trial to determine its safety, tolerability, and efficacy for treating gliomas and advanced solid tumors in 54 patients.
  • The trial found that 2-OHOA was well-tolerated at dosage levels, with common side effects being mild gastrointestinal issues, while establishing a recommended phase-2 dose of 12,000 mg daily.
  • Some patients, particularly those with high-grade gliomas, showed promising clinical benefits, with 24% experiencing significant positive responses, including one lasting over 2.5 years.
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  • Isocitrate dehydrogenase (IDH)-mutant grade 2 gliomas are aggressive brain tumors, and vorasidenib is a promising oral treatment that targets these mutations and showed preliminary effectiveness.
  • A randomized phase 3 trial involved 331 patients with untreated residual or recurrent gliomas, comparing vorasidenib to a placebo over 28-day cycles, focusing on progression-free survival as the main outcome.
  • Results indicated that patients taking vorasidenib had significantly longer progression-free survival (27.7 months) compared to those on placebo (11.1 months) and experienced better outcomes before needing further treatment, although adverse effects were more common in the vorasidenib group.
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Filamentous (oomycete and fungal) plant pathogens deliver cytoplasmic effector proteins into host cells to facilitate disease. How RXLR effectors from the potato late blight pathogen Phytophthora infestans enter host cells is unknown. One possible route involves clathrin-mediated endocytosis (CME).

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Myxopapillary ependymoma (MPE) is a primary tumor of the central nervous system (CNS), characteristically an indolent malignancy involving the spinal conus medullaris, Filum terminale or cauda equina. We present a rare case of MPE, recurrent in the pelvic soft tissue with eventual pleural and intra-pulmonary metastasis. Refractory to repeated gross resection, adjuvant radiotherapy, platinum-based chemotherapy and temozolomide exploitation of mutant somatic BRCA1 status with the addition of a poly (ADP-ribose); polymerase inhibitor (PARPi) in a novel combination regimen with olaparib-temozolomide (OT) has achieved stable radiological disease after 10 cycles.

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Background: Night shift work is associated with adverse pathophysiologic effects on maternal and fetal well-being. Although emergency medicine (EM) residents work frequent night shifts, there is no existing guidance for residency program directors (PDs) regarding scheduling pregnant residents. Our study assessed scheduling practices for pregnant EM residents, differences based on program and PD characteristics, barriers and attitudes toward implementing a formal scheduling policy, and PDs' awareness of literature describing adverse effects of night shifts on maternal-fetal outcomes.

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Sexual dysfunction after allogeneic hematopoietic cell transplantation (allo-HCT) is a common long-term complication. We conducted a European multicenter cross-sectional study of adult allo-HCT recipients who had survived >2 years and their partners to investigate sexual functioning after HCT and to evaluate whether discussion about sexual functioning between the transplant team and the survivor and partner was perceived to have taken place. In total, 136 survivors (77 males, 59 females) and 81 partners (34 males, 47 females) participated.

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Intensive postoperative rehabilitation therapy is associated with positive functional recovery in hand transplants (HTs). Our goal is to share the hand therapy protocol developed for our patient who underwent a combined face and bilateral HT. The patient is a 23-year-old right-hand-dominant male with a history of third-degree burns to 80% of his body following a motor vehicle accident.

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  • Moderate-late preterm (MLP) births, occurring between 32 and 37 weeks of gestation, are associated with lower expiratory airflow well into later life compared to term-born individuals.
  • A systematic review identified 15 studies that showed participants born MLP had significantly lower z-scores in various spirometric measures (like FEV and FVC) when compared to term-born controls and expected norms.
  • The findings suggest that while the reductions in airflow are modest, clinicians should monitor individuals born MLP for potential respiratory issues, as they may be at a higher risk.
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  • In the U.S., ETFs (exchange-traded funds) can defer capital gains taxes for investors due to a legal loophole.
  • The study uses a rank-dependent expected utility model to measure how this tax loophole influences investor portfolios.
  • An approximation formula is developed to estimate changes in optimal investment strategies based on different investment horizons if the loophole were eliminated.
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