602 results match your criteria: "General Hospitals[Affiliation]"

Background: Working from home during the Covid-19 pandemic was perceived differently by men and women working in STEM fields. The aim of this paper is to highlight the unexpected benefits generated by working from home during the pandemic.

Methods: Qualitative methodology was used to analyze data, collected via survey.

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Discordance of 3rd and 4th generation QuantiFERON-TB Gold assays by pregnancy stages in India.

J Clin Tuberc Other Mycobact Dis

February 2025

Weill Cornell Medicine, Center for Global Health, 402 East 67th Street, 2nd Floor, New York, NY 10065, USA.

Background: Pregnancy and HIV affect CD4+ T lymphocytes and impact performance of QuantiFERON-TB Gold (QFT). We compared the results of QFT with QuantiFERON-TB Gold Plus (QFT-Plus), which also measures CD8+ responses to TB antigens, during pregnancy and postpartum.

Methods: We screened 516 pregnant women for TB infection (TBI) with IGRA.

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Background And Objective: Vancomycin is commonly prescribed in treatment of methicillin-resistant Staphylococcus aureus infections. While, vancomycins' pharmacokinetic vary among older patients, there is a paucity of data regarding specific characteristics influencing pharmacokinetics in Saudi adult patients. This study aims to establish a population-pharmacokinetic (Pop-PK) model for vancomycin in patients admitted to medical wards, with the focus on identification of patient characteristics influencing vancomycin trough concentrations.

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Background: This study aimed to evaluate patient satisfaction and usage patterns of bone conduction devices (BCDs) for hearing rehabilitation, focusing on both users and non-users. Specific objectives included assessing reasons for non-use, exploring patient perceptions of BCD efficacy, and examining complications associated with BCD implantation.

Methods: A monocentric investigation was conducted at the Department of Ear, Nose, and Throat Diseases, Head and Neck Surgery at General Hospital Sint-Jan, Bruges.

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The identification of individuals with the greatest risk of progression to active tuberculosis (TB) disease from the huge reservoir of () infected individuals continues to remain an arduous ascent in the global effort to control TB. In a two-year prospective study, we analysed metabolic profiles in the unstimulated and TB antigen stimulated QuantiFERON supernatants of 14 healthy household contacts (HHCs) who progressed to TB disease (Progressors) and 14 HHCs who remained healthy (Non-Progressors). We identified 21 significantly dysregulated metabolites in the TB antigen-stimulated QuantiFERON supernatants of Progressors, of which the combination of Malic acid and N-Arachidonoylglycine had maximum AUC of 0.

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Dual Chamber Pacemaker Implant in Coronary Sinus Leading to Several Complications.

Diagnostics (Basel)

November 2024

Gloucestershire Hospitals Foundation Trust, Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, UK.

Permanent pacemaker implantation is a low-risk procedure. However, complications may occur at a rate of around 4-8%. We present a case where initial implantation resulted in complications that could have been avoided by meticulous assessment of lead position in different projections and early post-procedure X-ray that would have delineated other serious complications.

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Article Synopsis
  • This study explored the adverse events (AEs) related to COVID-19 vaccination in patients with rheumatoid arthritis (RA) as part of the COVAD-2 study, which surveyed participants from February to June 2022.
  • It included 7203 participants, including 1423 RA patients, and found that RA patients reported higher rates of both major and minor AEs compared to healthy controls, and even more when compared to those with other autoimmune diseases.
  • Active RA significantly increased the risk of major AEs and hospitalization, while patients on certain medications like methotrexate or TNF inhibitors experienced fewer AEs than those not on these treatments.
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Article Synopsis
  • A case study discusses a 32-year-old man with weakened immunity due to kidney transplants, who had a prolonged positive test for SARS-CoV-2.
  • Genome sequencing of samples taken 12 days apart identified the BA.1.1 Omicron variant and showed viral mutations changing over time.
  • The report stresses the importance of ongoing monitoring for immunocompromised individuals, as they could contribute to the emergence of new viral strains that might evade immune responses.
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Article Synopsis
  • The study investigates how comorbidities impact the quality of life in patients with idiopathic inflammatory myopathies (IIMs) compared to other autoimmune diseases and healthy individuals, utilizing self-reported data from the COVAD-2 survey.
  • Results show IIM patients have significantly higher rates of comorbidities, basic multitasking, complex multitasking, and mental health disorders.
  • The presence of these conditions correlates with lower overall physical and mental health scores, suggesting the need for targeted management strategies for IIM patients based on identified clinical clusters.
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Objective: We described mortality and loss to follow-up (LTFU) in children and adolescents who were under care for more than 5 years following initiation of antiretroviral therapy (ART).

Methods: Patients were followed from 5 years after ART until the earlier of their 25th birthday, last visit, death, or LTFU. We used Cox regression to assess predictors of mortality and competing risk regression to assess factors associated with LTFU.

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Association of cardiovascular disease risk with liver steatosis and fibrosis in people with HIV in low- and middle-income countries.

AIDS

January 2025

National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, University of Bordeaux, Bordeaux Population Health Centre, Bordeaux, France.

Objective: The aim of this study was to understand the relationship between cardiovascular disease (CVD) risk and liver steatosis and fibrosis among people with HIV (PLWH) at least 40 years of age on antiretroviral therapy (ART) in low and middle-income countries (LMIC).

Design: We used cross-sectional behavioral and clinical data collected during study enrollment visits in 2020-2022 for the Sentinel Research Network of International epidemiology Databases to Evaluate AIDS (SRN of IeDEA).

Methods: Ten-year CVD risk was calculated using 2019 WHO nonlaboratory and laboratory models.

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Background:  Following the emergence of the JN.1 SARS-CoV-2 variant, variants with key mutations in the spike protein, such as L455F, F456L, and R346T, were identified. In early January 2024, the KP.

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The Diagnostic Utility of Holter Monitoring in Catecholaminergic Polymorphic Ventricular Tachycardia.

JACC Clin Electrophysiol

November 2024

Centre for Cardiovascular Innovation, St. Paul's and Vancouver General Hospitals, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address:

Background: Holter monitoring may raise suspicion of an underlying catecholaminergic polymorphic ventricular tachycardia (CPVT) diagnosis. Although not a primary investigation for CPVT, Holter monitoring is ubiquitously used as a diagnostic tool in the heart rhythm clinic.

Objectives: The objective of this study was to explore Holter monitoring in CPVT diagnosis.

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Purpose: To compare the efficacy, safety, and tolerability of lifitegrast 5% versus carboxymethylcellulose (CMC) 0.5% in adult patients with dry eye disease (DED).

Methods: A total of 370 eligible patients with DED were randomized equally to receive twice-daily doses of a single drop in each eye of either lifitegrast 5% or CMC 0.

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Background: As few anaesthetists provide lumbar erector spinae block for disc surgery, there is a need to provide training to enable a randomised controlled trial investigating analgesia after painful spinal surgery (NIHR153170). The primary objective of the study was to develop and measure the construct validity of a checklist for assessment of skills in performing lumbar and thoracic erector spinae fascial plane injection using soft-embalmed Thiel cadavers.

Methods: Twenty-four UK consultant regional anaesthetists completed two iterations of a Delphi questionnaire.

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Abdominal Aortic Aneurysm-Attributed Mortality in the United States.

J Am Coll Cardiol

August 2024

Cardiovascular Medicine Division and Thrombosis Research Group, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

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Article Synopsis
  • The study aimed to examine the prevalence of non-communicable diseases, particularly diabetes, among household contacts of individuals with tuberculosis (TB).
  • A systematic review identified 39 studies, with 14 providing individual participant data and 25 offering aggregated data; the results showed a pooled diabetes prevalence of 8.8% among those tested properly.
  • Findings indicate that diabetes prevalence among household contacts is likely underestimated, highlighting the importance of targeted interventions during TB contact investigations to identify and address these health issues.
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Article Synopsis
  • The study aimed to analyze the effects of maternal and fetal heart disease on pregnancy outcomes, focusing on both fetal/neonatal and obstetric events.
  • It involved 1,011 singleton pregnancies, comparing those with only maternal heart disease to those with both maternal and fetal heart disease.
  • Results showed that pregnancies with both conditions had significantly higher instances of fetal/neonatal adverse events and spontaneous preterm birth, highlighting the need for more extensive research on their links to preeclampsia.
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Rifampicin-resistant (RR) tuberculosis (TB) in children is a major global health concern but is often neglected in economics research. Accurate cost estimations across the spectrum of paediatric RR-TB treatment regimens are critical inputs for prioritisation and budgeting decisions, and an existing knowledge gap at local and international levels. This normative cost analysis was nested in a Phase I/II pharmacokinetics, safety, tolerability, and acceptability trial of TB medications in children in South Africa, the Philippines and India.

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Plasma Immune Biomarkers Predictive of Progression to Active Tuberculosis in Household Contacts of TB Patients.

J Infect Dis

July 2024

National Institute of Health-National Institute of Allergy and Infectious Diseases-International Center for Excellence in Research, Chennai, India and Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.

Article Synopsis
  • The study investigates blood immune biomarkers in individuals living with patients who have pulmonary tuberculosis (TB) to predict who will progress to active TB disease.
  • Researchers analyzed plasma samples from 30 household contacts (15 who developed TB and 15 who did not) over 12 months, finding significant differences in several immune marker levels between the two groups.
  • Key biomarkers identified, particularly GM-CSF, CXCL10, and IL-1Ra, show strong potential for predicting TB progression, indicating their usefulness in early intervention for those at risk.
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Early Detection of KP.2 SARS-CoV-2 Variant using Wastewater-based Genomic Surveillance in Pune, Maharashtra, India.

J Travel Med

July 2024

National Collection of Industrial Microorganisms (NCIM), Biochemical Sciences Division, CSIR-National Chemical Laboratory (NCL), Pune 411008, Maharashtra, India.

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COVID-19 severity, breakthrough infections and vaccine safety in young individuals with autoimmune diseases: insights from the COVAD study.

Rheumatol Int

September 2024

Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.

Article Synopsis
  • A study explored the vaccine-related adverse events (AEs) and COVID-19 impacts among young adults (ages 18-35) with autoimmune diseases compared to healthy individuals, analyzing 20,685 responses from COVID-19 vaccination surveys.
  • It found that early mild AEs were more common in patients with rheumatic (RMDs) and non-rheumatic autoimmune diseases (nr-ADs) compared to healthy controls, while severe AEs were rare across all groups.
  • Despite the differences in infection and flare reports, the study confirmed the anti-SARS-CoV-2 vaccine's safety for young adults with autoimmune diseases, noting that disease type plays a bigger role in infection experiences than the use of immunosuppress
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In this prospective cohort of 2006 individuals with drug-susceptible tuberculosis in India, 18% had unfavorable treatment outcomes (4.7% treatment failure, 2.5% recurrent infection, 4.

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