10,894 results match your criteria: "Flinders Medical Centre; School of Medicine[Affiliation]"

A blood test measuring DNA methylation of BCAT1 and IKZF1 for detection of lung adenocarcinoma.

Cancer Treat Res Commun

September 2024

Cancer Impact Program, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia. Electronic address:

Background: Colorectal (CRC) and lung adenocarcinoma share many genetic and pathological similarities. A circulating tumor DNA (ctDNA) test for CRC may also be useful for detection of lung adenocarcinoma. This study determined if a methylated BCAT1/IKZF1 ctDNA test for CRC can be used for detection of lung adenocarcinoma.

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  • Extra-embryonic yolk sac is identified as the origin of macrophages and endothelial cells found in adult mouse tissues.
  • Researchers have discovered clonogenic endothelial-macrophage (EndoMac) progenitor cells in the aorta that are not reliant on bone marrow and originate from early embryonic sources.
  • Angiotensin II plays a crucial role in enhancing the growth and differentiation of these EndoMac progenitors, which contribute to blood vessel formation and neovascularization in ischemic tissues.
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The burden and determinants of fatigue in incident and prevalent systemic sclerosis.

Clin Exp Rheumatol

August 2024

The University of Sydney School of Public Health, Sydney, New South Wales; Royal Prince Alfred Hospital Sydney, New South Wales; and SydneyMSK Research Flagship Centre, University of Sydney, Sydney, New South Wales, Australia.

Objectives: To investigate the burden and clinical associations of fatigue in systemic sclerosis (SSc) as measured by FACIT-Fatigue scores.

Methods: Australian Scleroderma Cohort Study participants with ≥1 FACIT-Fatigue score were included. Participants were divided into those with incident SSc (≤5 years SSc duration at recruitment and FACIT-Fatigue score recorded within 5 years of disease onset) or prevalent SSc (first FACIT-Fatigue score recorded >5 years after SSc onset).

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  • This clinical trial tested the effectiveness of an oral cannabis extract (THC:CBD) on adults experiencing severe nausea and vomiting from chemotherapy, despite using standard anti-nausea medications.
  • The results showed that the cannabis extract significantly increased the rate of complete responses (no vomiting or need for rescue meds) from 8% to 24% compared to a placebo.
  • While participants reported some mild side effects like sedation and dizziness, there were no serious adverse events linked to the cannabis treatment.
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Background: To assess topical dorzolamide as medical therapy for idiopathic full-thickness macular holes (FTMHs).

Methods: Randomised, double-blinded, placebo-controlled, single-centre clinical trial involving 32 patients with idiopathic small FTMHs (<400 ). Participants in both arms used topical dorzolamide 2% or saline thrice daily for 8 weeks with monthly OCT.

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Exposure to doxycycline increases risk of carrying a broad range of enteric antimicrobial resistance determinants in an elderly cohort.

J Infect

October 2024

Microbiome and Host Health Program, South Australian Health and Medical Research Institute, Adelaide, SA, Australia; Infection and Immunity, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia. Electronic address:

Article Synopsis
  • 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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  • Obeticholic acid (OCA) was evaluated in the COBALT trial for its effectiveness in treating primary biliary cholangitis (PBC), showing mixed results in the randomized controlled trial (RCT) compared to external controls.
  • In the RCT, similar rates of severe outcomes occurred between OCA and placebo groups, but issues like unblinding influenced the results; however, analysis adjustments gave OCA an advantage.
  • The external control group indicated that OCA significantly lowered the risk of negative outcomes, highlighting its potential benefits for patients with PBC and endorsing the use of real-world data in clinical research.
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Objective: Despite available support, sexuality needs are the most frequently reported unmet need among men with prostate cancer, which may be due to low help-seeking rates. Using the Ecological Systems Framework as a theoretical foundation, we conducted a scoping review of the available literature to understand what factors impact help-seeking behaviour for sexual issues after prostate cancer treatment among men who had received treatment.

Methods: Following PRISMA guidelines, a systematic search on Medline, PsychInfo, Embase, Emcare, and Scopus was conducted to identify studies of adult prostate cancer patients post-treatment, which reported barriers and/or facilitators to help-seeking for sexual health issues.

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Hemodialysis is a risk factor for bloodstream infection (SAB). In this single-center study, SAB rates were 56% lower during the monsoonal wet season when patients on hemodialysis receive supervised melioidosis prophylaxis with trimethoprim-sulfamethoxazole. This intervention may reduce SAB rates in high-risk patients; however, further targeted studies are required.

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Background: Men exhibit higher prevalence of modifiable risk factors, such as smoking and alcohol consumption, leading to greater cancer incidence and lower survival rates. Comprehensive evidence on global cancer burden among men, including disparities by age group and country, is sparse. To address this, the authors analyzed 30 cancer types among men in 2022, with projections estimated for 2050.

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Background: The COMHON Index is an intensive-care-specific pressure injury risk assessment tool, which has demonstrated promising psychometric properties. It has been translated into Chinese Mandarin but requires inter-rater reliability testing and comparison to the standard care instrument (Braden Scale) before clinical use.

Objectives: This study aimed to test and compare the inter-rater reliability and convergent validity of the Chinese Mandarin versions of the COMHON Index and Braden Scale.

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Prevention of pressure ulcers from the perspective of frailty, pre-frailty, and health and social inequalities: An opinion paper.

J Tissue Viability

November 2024

Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Belgium; Swedish Centre for Skin and Wound Research (SCENTR), School of Health Sciences, Faculty of Medicine and Health, Örebro University, Sweden. Electronic address:

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BCG vaccination of healthcare workers for protection against COVID-19: 12-month outcomes from an international randomised controlled trial.

J Infect

October 2024

Infectious Diseases Group, Murdoch Children's Research Institute, Parkville, Victoria, Australia; Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia; Infectious Diseases, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia. Electronic address:

Objectives: Bacille Calmette-Guérin (BCG) vaccine has immunomodulatory effects that may provide protection against unrelated infectious diseases. We aimed to determine whether BCG vaccination protects adults against COVID-19.

Design: Phase III double-blind randomised controlled trial.

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Patient, Parental, and Health Professional Perspectives on Growth in Children With CKD.

Am J Kidney Dis

January 2025

Sydney School of Public Health, University of Sydney, Sydney, Australia; Centre for Kidney Research, Children's Hospital at Westmead, Sydney, Australia.

Rationale & Objective: Growth failure is a common problem among children with chronic kidney disease (CKD). Reduced height is associated with psychosocial burden, social stigma, and impaired quality of life. This study describes the aspects of growth impairment that are most impactful from the perspectives of children with CKD, their parents, and health professionals.

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Power-law properties of nocturnal arrhythmia avalanches: A novel marker for incident cardiovascular events.

Heart Rhythm

August 2024

College of Medicine and Public Health, Flinders University, Adelaide, Australia; Department of Cardiovascular Medicine, Flinders Medical Centre, Adelaide, Australia. Electronic address:

Background: Bursting nonsustained cardiac arrhythmia events are a common observation during sleep.

Objectives: The purpose of this study was to investigate the hypothesis that nocturnal arrhythmia episode durations could follow a power law, whose exponent could predict long-term clinical outcomes.

Methods: We defined "nocturnal arrhythmia avalanche" (NAA) as any instance of a drop in electrocardiographic (ECG) template-matched R-R intervals ≥30% of R-R baseline, followed by a return to 90% of baseline.

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The Association between Dietary Intakes of Vitamins and Minerals with Tinnitus.

Nutrients

August 2024

Macquarie University Hearing, Department of Health Sciences, Macquarie University, Sydney, NSW 2109, Australia.

Article Synopsis
  • Tinnitus is the perception of sound without an external source, and a healthy diet rich in vitamins and minerals may help protect against it.
  • In a study of nearly 3,000 participants aged 50 and older, no strong links were found between overall vitamin and mineral intake and tinnitus prevalence, but lower intakes of iron and zinc were associated with a higher risk of developing the condition over 10 years.
  • The findings suggest that increasing zinc and iron consumption may reduce tinnitus risk, and future studies should focus on improving research quality to confirm these results.
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Background: Cyclin-dependent kinase 9 (CDK9) stimulates oncogenic transcriptional pathways in cancer and CDK9 inhibitors have emerged as promising therapeutic candidates.

Methods: The activity of an orally bioavailable CDK9 inhibitor, CDKI-73, was evaluated in prostate cancer cell lines, a xenograft mouse model, and patient-derived tumor explants and organoids. Expression of CDK9 was evaluated in clinical specimens by mining public datasets and immunohistochemistry.

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Reinterpretation of prostate cancer pathology by Appl1, Sortilin and Syndecan-1 biomarkers.

Sci Data

August 2024

Clinical and Health Sciences, University of South Australia, Bradley Building, City West Campus, North Terrace, Adelaide, SA, 5000, Australia.

The diagnosis of prostate cancer using histopathology is reliant on the accurate interpretation of prostate tissue sections. Current standards rely on the assessment of Haematoxylin and Eosin (H&E) staining, which can be difficult to interpret and introduce inter-observer variability. Here, we present a digital pathology atlas and online resource of prostate cancer tissue micrographs for both H&E and the reinterpretation of samples using a novel set of three biomarkers as an interactive tool, where clinicians and scientists can explore high resolution histopathology from various case studies.

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Introduction: Neuropsychological assessment forms an integral part of the presurgical evaluation for patients with medically refractory focal epilepsy. Our understanding of cognitive impairment in epilepsy is based on seminal lesional studies that have demonstrated important structure-function relationships within the brain. However, a growing body of literature demonstrating heterogeneity in the cognitive profiles of patients with focal epilepsy (e.

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Study Objectives: This protocol paper outlines the methods that will be used to examine the impact of altering meal timing on metabolism, cognitive performance, and mood during the simulated night shift.

Methods: Participants (male and female) will be recruited according to an a priori selected sample size to complete a 7-day within and between participant's laboratory protocol. Participants will be randomly assigned to one of the three conditions: meal at night or snack at night or no meal at night.

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Background: Barrier films or dressings were reported to be effective in preventing radiation dermatitis (RD) in breast cancer patients, but their comparative efficacy is unknown.

Methods: A systematic literature search was performed on Embase, MEDLINE and Cochrane CENTRAL Registry of Clinical Trials from inception to October 20, 2023. Randomised controlled trials (RCTs) comparing barrier films or dressings to the standard of care (SOC) or other interventions were included.

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Ethical, legal, and regulatory landscape of artificial intelligence in Australian healthcare and ethical integration in radiography: A narrative review.

J Med Imaging Radiat Sci

December 2024

Faculty of Science and Health, Charles Sturt University, Level 5, 250 Boorooma St, Charles Sturt University NSW 2678, Australia; South Australia Medical Imaging, Flinders Medical Centre, 1 Flinders Drive, Bedford Park, SA 5042, Australia. Electronic address:

This narrative review explores the ethical, legal, and regulatory landscape of AI integration in Australian healthcare, focusing on radiography. It examines the current legislative framework, assesses the trust and reliability of AI tools, and proposes future directions for ethical AI integration in radiography. AI systems significantly enhance diagnostic radiography by improving diagnostic accuracy and efficiency in stroke detection, brain imaging, and chest reporting.

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Article Synopsis
  • The review highlights the recent approval of resmetirom for treating metabolic dysfunction-associated steatohepatitis (MASH), a liver disease related to obesity, emphasizing its potential impact on global health and the need for a multidisciplinary management approach.* -
  • Resmetirom is effective in treating MASH and has received FDA approval, but its safety, potential adverse events, and effectiveness across different populations require further study to optimize patient outcomes.* -
  • A comprehensive treatment strategy is recommended, combining resmetirom with lifestyle changes and metabolic and bariatric surgery (MBS), to enhance liver and overall health for individuals suffering from MASH.*
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