14,998 results match your criteria: "Hammersmith Hospital & Imperial College[Affiliation]"

Background: Patients undergoing transcatheter aortic valve implantation (TAVI) for bicuspid aortic stenosis (AS) frequently present with ascending aortic (AAo) dilatation which is left untreated. The objective of this study was to study the natural progression and underlying mechanisms of AAo dilatation after TAVI for bicuspid AS.

Methods: Patients with a native bicuspid AS and a baseline AAo maximum diameter > 40 mm treated by TAVI and in whom post-TAVI computed tomography (CT) scans beyond 1 year were available were included.

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Background: Premature infants are at increased risk for cerebral palsy (CP). Early interventions with a motor focus and administered by parents may improve motor outcomes.

Aims: Secondary study evaluating the short-term motor outcomes and risk for CP in very low birthweight (VLBW) infants randomized to multimodal interventions with a motor focus provided by parents versus usual care.

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Article Synopsis
  • - Asciminib is a targeted treatment for BCR::ABL1 that minimizes side effects from disrupting other kinases, with a study of 49 patients showing it is generally well tolerated over a median follow-up of 14 months.
  • - Most patients (59%) continued treatment, with only 12% stopping due to intolerance; however, treatment cessation was primarily due to intolerance rather than drug resistance (65% vs. 35%).
  • - Out of 44 patients evaluated, 66% achieved a complete cytogenetic response, with lower success rates seen in patients with specific genetic variants; further analysis indicated that the drug can influence the growth of certain resistant cancer cell populations.
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  • Interprofessional education (IPE) is essential for healthcare professionals to collaborate effectively and improve patient outcomes, particularly in cardiothoracic surgery.
  • Current literature highlights key themes in IPE, including the benefits of simulation-based training, improved teamwork, and significant challenges like professional hierarchies and logistical issues.
  • Future advancements in IPE should focus on better curriculum integration, faculty development, strong leadership, thorough outcome evaluation, and addressing organizational barriers to enhance the quality of patient care.
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Integrating multi-omics to unravel host-microbiome interactions in inflammatory bowel disease.

Cell Rep Med

September 2024

Department of Metabolism, Digestion and Reproduction, Imperial College London, London W12 0NN, UK; Quadram Institute Bioscience, Norwich Research Park, Norwich NR4 7UQ, UK.

The gut microbiome is crucial for nutrient metabolism, immune regulation, and intestinal homeostasis with changes in its composition linked to complex diseases like inflammatory bowel disease (IBD). Although the precise host-microbial mechanisms in disease pathogenesis remain unclear, high-throughput sequencing have opened new ways to unravel the role of interspecies interactions in IBD. Systems biology-a holistic computational framework for modeling complex biological systems-is critical for leveraging multi-omics datasets to identify disease mechanisms.

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  • This systematic review evaluates the role of intraperitoneal pressure measurements in predicting complications and gastrointestinal symptoms in Peritoneal Dialysis (PD) patients suffering from End-Stage Kidney Disease (ESKD).
  • A total of 12 studies were analyzed, revealing a positive correlation between intraperitoneal pressure and Body Mass Index (BMI) and Body Surface Area (BSA), but less consistent results related to age and other factors.
  • While the findings suggest a potential link between higher intraperitoneal pressure and BMI/BSA, the impact on non-infectious complications remains unclear, with noted limitations in the studies analyzed.
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Coronavirus disease 2019 (COVID-19) has affected not only individual lives but also the world and global systems, both natural and human-made. Besides millions of deaths and environmental challenges, the rapid spread of the infection and its very high socioeconomic impact have affected healthcare, economic status and wealth, and mental health across the globe. To better appreciate the pandemic's influence, multidisciplinary and interdisciplinary approaches are needed.

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Overactivation of the JAK/STAT pathway is one of the drivers for the pathophysiology of hepatocellular carcinoma (HCC). We propose a Phase Ib study to evaluate the safety and efficacy of itacitinib, a selective JAK1 inhibitor, as a second-line treatment for patients with advanced or metastatic HCC.Twenty-five patients will receive 400 mg itacitinib orally daily, 28-day cycle.

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Article Synopsis
  • - The study explores how aging affects the structure and function of coronary microvessels in patients with stable angina, without significant blockage in their main coronary arteries.
  • - Researchers analyzed data from 165 vessels, finding that older patients (ages 67-77) exhibited lower hyperemic flow velocity, diminished diastolic microvascular conductance (DMVC), and reduced backward expansion wave (BEW) intensity compared to younger groups.
  • - Results indicate that aging leads to structural changes in coronary microcirculation, increasing the prevalence of coronary microvascular dysfunction (CMD) among older individuals, which is crucial for understanding heart issues in elderly patients.
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Background And Objective: Robotic adrenalectomy (RA) has attracted interest as an alternative to laparoscopic adrenalectomy (LA) for patients with pheochromocytoma, although its beneficial effects are uncertain. Our aim was to compare RA and LA outcomes for these patients.

Methods: Data for patients who underwent RA or LA for pheochromocytoma in 46 international centers between 2012 and 2022 were reviewed.

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External validation of the BE-ALIVE score for predicting 30-day mortality in patients presenting with acute coronary syndromes.

Int J Cardiol

December 2024

Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, UK; National Heart and Lung Institute, Imperial College London, UK.

Introduction: The BE-ALIVE score is an additive scoring system for estimating 30-day mortality in patients presenting with an acute coronary syndrome (ACS) [1]. However, it had only previously been tested on an internal validation cohort. The aim was to assess the scoring system on an external validation cohort.

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: Early interventions for infants at high risk of cerebral palsy (CP) are recommended, but limited evidence exists. Our objective was, therefore, to evaluate the effects of the family-centered and interprofessional Small Step early intervention program on motor development in infants at high risk of CP (ClinicalTrials.gov: NCT03264339).

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Article Synopsis
  • The study looked at how to make the heart beat better in patients needing special therapy called cardiac resynchronization therapy (CRT).
  • Researchers compared two ways of doing this: focusing on the heart's electrical signals or how well the heart fills with blood.
  • They found that focusing on the heart's filling was better for improving blood pressure and heart performance than just looking at the electrical signals alone. *
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Gilteritinib is the current standard of care for relapsed or refractory fms related receptor tyrosine kinase 3 (FLT3)-mutated acute myeloid leukemia in many countries, however outcomes for patients relapsing after contemporary first-line therapies (intensive chemotherapy with midostaurin, or nonintensive chemotherapy with venetoclax) are uncertain. Moreover, reported data on toxicity and health care resource use is limited. Here, we describe a large real-world cohort of 152 patients receiving single-agent gilteritinib in 38 UK hospitals.

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Managing bile acid diarrhea: aspects of contention.

Expert Rev Gastroenterol Hepatol

September 2024

Department of Gastroenterology, Imperial College Healthcare NHS Trust.

Article Synopsis
  • - Bile acid diarrhea is often misdiagnosed and can stem from primary, idiopathic conditions like functional diarrhea or secondary issues such as ileal resection or post-cholecystectomy complications, highlighting a need for improved diagnostic strategies.
  • - Management typically focuses on long-term symptom relief with bile acid sequestrants being the primary treatment, though questions remain regarding their optimal use; newer options like GLP-1 receptor agonists show promise but are more expensive and less available.
  • - There is a call for more research into the underlying causes and treatments for bile acid diarrhea, as well as a better understanding of dietary impacts on symptoms, to enhance patient care.
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Introduction: Patients with advanced ALK-positive NSCLC typically have poor response to immunotherapy; the benefit of consolidation durvalumab in patients with unresectable stage III ALK-positive NSCLC remains unclear. Herein, we compare the efficacy and safety of consolidation ALK tyrosine kinase inhibitor (TKI) versus durvalumab or observation after concurrent chemoradiation.

Methods: We conducted a retrospective study using a multicenter study of 17 institutions globally.

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Tissue factor pathway inhibitor - cofactor-dependent regulation of the initiation of coagulation.

Curr Opin Hematol

November 2024

Centre for Haematology, Department of Immunology and Inflammation, Hammersmith Hospital Campus, Imperial College London, London, UK.

Article Synopsis
  • There are two types of tissue factor pathway inhibitor (TFPI) in humans: TFPIα and TFPIβ, which help control blood clotting.
  • TFPIα does several important things, including stopping certain proteins that trigger blood clots, while TFPIβ is attached to the surfaces of cells.
  • Recent studies found that TFPIα, working with two other helpers called protein S and FV-short, is really important for controlling bleeding and clotting risks in our blood.
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Background: Recent studies suggest that low-molecular-weight heparin (LMWH) may play a role in mitigating the severity of acute pancreatitis (AP). This systematic review and meta-analysis aims to synthesise existing evidence on the effectiveness and safety of LMWH in the treatment of moderately-severe and severe AP.

Methods: This systematic review and meta-analysis was conducted in accordance with the 2020 update of the PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions.

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This guideline was developed according to the British Society for Rheumatology Guidelines Protocol by a Guideline Development Group comprising healthcare professionals with expertise in SSc and people with lived experience, as well as patient organization representatives. It is an update of the previous 2015 SSc guideline. The recommendations were developed and agreed by the group and are underpinned by published evidence, assessed by systematic literature review and reinforced by collective expert opinion of the group.

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This guideline was developed according to the British Society for Rheumatology Guidelines Protocol by a Guideline Development Group comprising healthcare professionals with expertise in SSc and people with lived experience, as well as patient organization representatives. It is an update of the previous 2015 SSc guideline. The recommendations were developed and agreed by the group and are underpinned by published evidence, assessed by systematic literature review and reinforced by collective expert opinion of the group.

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During pregnancy the immune system needs to maintain immune tolerance of the foetus while also responding to infection, which can cause premature activation of the inflammatory pathways leading to the onset of labour and preterm birth. The vaginal microbiome is an important modifier of preterm birth risk, with Lactobacillus dominance during pregnancy associated with term delivery while high microbial diversity is associated with an increased risk of preterm birth. Glycans on glycoproteins along the lower female reproductive tract are fundamental to microbiota-host interactions and the mediation of inflammatory responses.

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XGRm: A Web Server for Interpreting Mouse Summary-level Genomic Data.

J Mol Biol

September 2024

Shanghai Institute of Hematology, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine at Shanghai, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China. Electronic address:

We introduce XGR-model (or XGRm), a web server made accessible at http://www.xgrm.pro, with the aim of meeting the increasing demand for effectively interpreting summary-level genomic data in model organisms.

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Secondary outcomes of scoliosis surgery in disease-modifying treatment-naïve patients with spinal muscular atrophy type 2 and nonambulant type 3.

Muscle Nerve

November 2024

Dubowitz Neuromuscular Centre, NIHR Great Ormond Street Hospital Biomedical Research Centre, Great Ormond Street Institute of Child Health, University College London, & Great Ormond Street Hospital Trust, London, UK.

Article Synopsis
  • - This study investigates the effects of scoliosis surgery on various outcomes (respiratory function, motor function, weight, pain, and patient satisfaction) in patients with spinal muscular atrophy (SMA), highlighting the lack of research on these secondary outcomes.
  • - Results showed significant improvement in respiratory function for SMA2 patients postsurgery, but some experienced drops in gross motor scores and weight, with many reporting postsurgical pain, especially hip-related.
  • - Despite these challenges, patients and parents expressed overall satisfaction with the surgery's impact on posture and appearance, emphasizing the need for better postoperative care, including physiotherapy and support services.
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Current understanding and management of cardiovascular involvement in rheumatic immune-mediated inflammatory diseases.

Nat Rev Rheumatol

October 2024

Biomedical Imaging Science Department, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.

Article Synopsis
  • Immune-mediated inflammatory diseases (IMIDs) affect about 10% of Western populations and are rising in developing countries, often leading to serious cardiovascular issues that are frequently overlooked.
  • Common cardiovascular problems associated with IMIDs can include premature heart disease and inflammatory conditions like myocarditis, pointing to shared inflammatory processes between rheumatic diseases and cardiovascular health.
  • New diagnostic approaches for early detection and monitoring of heart issues in IMIDs are developing, along with the potential for advanced imaging techniques to help with assessing risk and improving patient management.
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Disruption of processes involved in tissue development and homeostatic self-renewal is increasingly implicated in cancer initiation, progression, and recurrence. The adrenal cortex is a dynamic tissue that undergoes life-long turnover. Here, using genetic fate mapping and murine adrenocortical carcinoma (ACC) models, we have identified a population of adrenocortical stem cells that express delta-like non-canonical Notch ligand 1 (DLK1).

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