25,777 results match your criteria: "Barts & the London School of Medicine & Dentistry[Affiliation]"

The Potential Role of Matrix Rhythm Therapy in Managing Chronic Low Back Pain: A Scoping Review.

Cureus

October 2024

Acute Medicine, Mid and South Essex National Health Service Foundation Trust, Southend-on-Sea, GBR.

Chronic low back pain (CLBP) is a widespread issue, and matrix rhythm therapy (MRT), a non-invasive therapy using low-frequency vibrations, is gaining interest for CLBP. However, evidence for its effectiveness and safety remains unclear. This scoping review aimed to systematically map and synthesise the existing literature on using MRT to manage CLBP.

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  • Dilated cardiomyopathy (DCM) is a major cause of heart failure, and this study analyzes genetic factors by examining 14,256 DCM cases and 36,203 participants from the UK Biobank for related traits.
  • Researchers discovered 80 genomic risk loci and pinpointed 62 potential effector genes tied to DCM, including some linked to rare variants.
  • The study uses advanced transcriptomics to explore how cellular functions contribute to DCM, showing that polygenic scores can help predict the disease in the general population and emphasize the importance of genetic testing and development of precise treatments.
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  • * Early detection of multiple KAs is important for diagnosing underlying causes and preventing related health issues, which can improve patient quality of life and provide family counseling.
  • * Current research is limited and often based on small studies, so this work aims to review existing knowledge on multiple KAs, especially linked to genetic syndromes, and to propose a diagnostic algorithm for better clinical guidance.
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Objectives: To assess physiotherapist delivery fidelity and identify factors optimising delivery fidelity of an intervention based on recommended guidelines for Achilles tendinopathy.

Design: A prospective repeated-measures observational study of physiotherapist delivery fidelity with carefully defined exercise and physical activity advice.

Setting: An inter-disciplinary clinic in Melbourne, Australia, embedded in a randomised controlled trial.

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Atopic dermatitis (AD) is a chronic, inflammatory skin condition which affects over 200 million people worldwide, with patients commonly presenting with dry, itchy and sore skin. The challenge in finding optimal treatment for AD stems from the heterogenous nature of the disease and its multifaceted aetiology: skin barrier dysfunction, immune system dysregulation, genetic factors, environmental factors and alterations in skin microorganisms. Traditional treatments for AD such as corticosteroids, calcineurin inhibitors and immunosuppressants have several limitations such as reoccurrence of symptoms when discontinued, lack of targeted action and risk of adverse effects.

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Background Soccer, a globally popular sport, demands a complex interplay between physical attributes, including speed, agility, power, and endurance. Although lower-body strength and power are often emphasized, the role of upper-body strength, particularly shoulder strength, remains less explored. Given the importance of upper-body movements in activities such as heading, shooting, and defending, understanding the relationship between shoulder strength and soccer performance is crucial.

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Pathogen-induced memory Tfh cells are important to maintain high-affinity antibodies against pathogens. We have now discovered Tfh cells with a similar memory phenotype (MP) that develop in pathogen-free conditions. These MP Tfh cells are similar to pathogen-induced memory Tfh in both phenotype and function.

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Objectives: Previous research has shown that people with obesity are at a higher risk of tooth loss; however, it is unclear whether abdominal obesity (e.g., high waist circumference) is associated with tooth loss among individuals without obesity.

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Accumulating waves of random mutations before fixation.

Phys Rev E

October 2024

Department of Mathematics, Queen Mary University of London, London E14NS, United Kingdom.

Mutations provide variation for evolution to emerge. A quantitative analysis of how mutations arising in single individuals expand and possibly fixate in a population is essential for studying evolutionary processes. While it is intuitive to expect that a continuous influx of mutations will lead to a continuous flow of mutations fixating in a stable constant population, joint fixation of multiple mutations occur frequently in stochastic simulations even under neutral selection.

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Quality of Life in Subcutaneous or Transvenous Implantable Cardioverter-Defibrillator Patients: A Secondary Analysis of the PRAETORIAN Trial.

Circ Cardiovasc Qual Outcomes

November 2024

Department of Cardiology, Amsterdam Cardiovascular Sciences Heart Failure and Arrhythmias, Amsterdam University Medical Centers Location University of Amsterdam, Heart Center, the Netherlands (R.E.K., J.A.d.V., L.V.A.B., T.F.B., S.P., A.-F.B.E.Q., L.S., W.v.d.S., A.d.W., J.R.d.G., K.M.K., J.G.P.T., A.A.M.W., L.R.A.O.N.).

Article Synopsis
  • The S-ICD was created to eliminate lead-related issues found in the TV-ICD, as it is an external device that sits under the skin rather than using leads inside the body.
  • This analysis comes from the PRAETORIAN trial, where patients were randomly assigned to either S-ICD or TV-ICD and assessed for quality of life through various questionnaires at different stages.
  • Results showed no significant differences in physical and mental well-being between the groups, but patients who experienced a shock recently reported lower social functioning and emotional health compared to those who did not.
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Autologous Peripheral Blood-Derived Orthobiologics for the Management of Shoulder Disorders: A Review of Current Clinical Evidence.

Pain Ther

February 2025

Department of Trauma and Orthopaedic Surgery, Faculty of Medicine and Psychology, University La Sapienza, 00185, Rome, Italy.

Introduction: A multidisciplinary approach is recommended to manage shoulder pain, the third most common musculoskeletal disorder, but traditional modalities have limitations, providing only temporary symptomatic pain relief instead of targeting the underlying pathophysiology. Recently, autologous peripheral blood-derived orthobiologics (APBOs) have become popular for the management of shoulder disorders. Platelet-rich plasma (PRP) is the most frequently used APBO, but its efficacy remains disputable.

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Deep Learning Algorithms for Breast Cancer Detection in a UK Screening Cohort: As Stand-alone Readers and Combined with Human Readers.

Radiology

November 2024

From the Department of Radiology, University of Cambridge School of Clinical Medicine, Box 218, Level 5, Cambridge Biomedical Campus, Cambridge CB2 0QQ, United Kingdom (S.E.H., N.R.P., Y.H., A.N.P., M.N., F.J.G.); Department of Radiology, Royal London Hospital, Barts Health NHS Trust, London, United Kingdom (S.E.H.); Department of Radiology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom (R.T.B., A.N.P., F.J.G.); Engineering and Physical Sciences Research Council Cambridge Mathematics of Information in Healthcare Hub, University of Cambridge, Cambridge, United Kingdom (Y.H.); Peel and Schriek Consulting, London, United Kingdom (S.H.); Department of Radiology, Norfolk and Norwich University Hospital, Norwich, United Kingdom (B.K., A.J.); and University of East Anglia, Norwich, United Kingdom (B.K.).

Background Deep learning (DL) algorithms have shown promising results in mammographic screening either compared to a single reader or, when deployed in conjunction with a human reader, compared with double reading. Purpose To externally validate the performance of three DL algorithms as mammographic screen readers in an independent UK data set. Materials and Methods Three commercial DL algorithms (DL-1, DL-2, and DL-3) were retrospectively investigated from January 2022 to June 2022 using consecutive full-field digital mammograms collected at two UK sites during 1 year (2017).

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Background And Purpose: Myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD) is a relatively recently described disease, most commonly presenting with optic neuritis and longitudinally extensive transverse myelitis. Cerebral cortical encephalitis is a rare manifestation of MOGAD.

Methods: We identified patients presenting with cerebral cortical encephalitis with positive MOG antibodies in serum across a large specialized service.

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Genetic deletion and pharmacological inhibition are distinct approaches to unravelling pain mechanisms, identifying targets and developing new analgesics. Both approaches have been applied to the voltage-gated sodium channels Na1.7 and Na1.

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Spleen tyrosine kinase: a novel pharmacological target for sepsis-induced cardiac dysfunction and multi-organ failure.

Front Immunol

November 2024

Centre for Translational Medicine and Therapeutics, William Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, United Kingdom.

Sepsis is a systemic condition caused by a dysregulated host response to infection and often associated with excessive release of proinflammatory cytokines resulting in multi-organ failure (MOF), including cardiac dysfunction. Despite a number of effective supportive treatments (e.g.

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Article Synopsis
  • Mutations causing premature termination codons (PTCs) in protein-coding genes lead to severe, often life-threatening genetic diseases that currently lack approved treatments.
  • Scientists are exploring suppressor tRNAs (sup-tRNAs) that could potentially translate these PTCs and restore protein synthesis, but developing efficient and specific sup-tRNAs is challenging.
  • This research introduces a new approach using a naturally occurring pyrrolysine tRNA (tRNAPyl) to create a series of engineered suppressor tRNAs (PASS-tRNAs), which successfully restored protein synthesis in both bacterial and human cells, showing promise for treating genetic disorders like BRCA1 mutations in cancer.
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Bitter taste receptors (TAS2Rs), a subfamily of G-protein coupled receptors (GPCRs) expressed orally and extraorally, elicit signaling in response to a large set of tastants. Among 25 functional TAS2Rs encoded in the human genome, TAS2R14 is the most promiscuous, and responds to hundreds of chemically diverse ligands. Here we present the cryo-electron microscopy (cryo-EM) structure of the human TAS2R14 in complex with its signaling partner gustducin, and bound to flufenamic acid (FFA), a clinically approved nonsteroidal anti-inflammatory drug.

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The Role of Active Brown Adipose Tissue in Patients With Pheochromocytoma or Paraganglioma.

Endocr Pract

November 2024

Department of Endocrinology ASO/EASO COM, King's College Hospital NHS Foundation Trust, London, United Kingdom; Faculty of Life Sciences and Medicine, School of Cardiovascular and Metabolic Medicine and Sciences, Obesity, Type 2 Diabetes and Immunometabolism Research Group, King's College London, London, United Kingdom. Electronic address:

Objectives: Metabolically-active brown adipose tissue (aBAT) is a common finding on fluorodeoxyglucose positron emission tomography (FDG-PET) imaging in patients with pheochromocytoma or paraganglioma (PPGL). In addition to its clinical significance, we aimed to explore the prevalence of this finding on FDG-PET imaging in patients with PPGL.

Methods: We conducted a systematic review and meta-analysis of prospective and retrospective studies.

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  • The study introduces a nanopatterning technique called thermal scanning probe lithography (t-SPL) for organizing DNA origami into precise nanoarrays.
  • This method combines DNA origami's programmability with t-SPL to achieve accurate placement of functionalized DNA origami, exemplified by using gold nanoparticles (AuNPs) and quantum dots (QDs).
  • The technique promises advancements in creating biomolecular nanoarrays with single-molecule precision, opening new avenues in bionanotechnology and materials science.
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  • - In nonagenarians with complete heart block, dual-chamber (DDD) pacing showed better physiological outcomes compared to single-chamber (VVI) pacing, although the effect on overall mortality is debated.
  • - Among 168 patients studied, those with VVI pacing were older, frailer, and had higher rates of dementia compared to DDD recipients, but both groups had similar age and heart function at baseline.
  • - After adjusting for factors like age and frailty, VVI pacing was linked to significantly higher risks of all-cause mortality and death from congestive cardiac failure, suggesting better long-term outcomes for DDD pacing in this population.
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MSK ultrasound imaging-assisted clinical examination.

Ultrasound

September 2024

Institute of Health and Social Care, School of Allied and Community Health, London South Bank University (LSBU), London, UK.

Musculoskeletal disorders are a significant global health concern, affecting over 1.71 billion individuals worldwide, with a considerable impact on quality of life and economic burden due to healthcare costs and productivity losses. In the United Kingdom, approximately one-third of the population suffers from musculoskeletal disorders, underscoring the need for effective diagnostic and management strategies.

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Ischemic Heart Disease in the Cancer Population: Trends, Outcomes, Epidemiology, and Challenges in Diagnosis and Treatment.

Cardiol Clin

February 2025

Department of Cardiology, Keele Cardiovascular Research Group, Centre for Prognosis Research, Keele University, Stoke-on-Trent, UK. Electronic address:

Patients with cancer are at increased risk of ischemic heart disease (IHD). The increased risk of IHD in these patients is due to the interaction of shared risk factors, cancer type and stage, and immuno/chemotherapy and radiotherapy regimens. Management of IHD in cancer patients is challenging, due to atypical presentation, increased thrombotic and bleeding risk, and worse outcomes compared to patients without cancer.

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  • A mixed methods evaluation was conducted to assess a digital call-and-recall tool aimed at improving the timely receipt and equity of MMR and DTaP/IPV vaccinations in North East London, focusing on children eligible from January 2019 to January 2024.
  • The findings showed a 5.3% increase in timely first MMR vaccinations (from 77.7% to 81.8%), while DTaP/IPV saw a smaller increase of 0.9%. However, no significant change in inequality was observed.
  • Users found the tool helpful for recall but noted challenges such as staff dynamics and unrealistic national targets that hindered its consistent application; further support is needed to maintain improvements.
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  • This study investigates how data science and machine learning can be used to classify and predict coronary artery calcium (CAC) scores, focusing on tooth loss and patient characteristics as important factors.
  • The research reveals that patient characteristics alone can classify CAC scores with 75% accuracy, while tooth loss provides more precise predicted scores, yielding a 71% classification accuracy.
  • Combining both tooth loss and patient characteristics improves accuracy in identifying high-risk individuals, achieving a sensitivity rate of 92%, which underscores the significance of oral health and patient data in predicting cardiovascular risks.
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