1,244 results match your criteria: "Institute of Clinical Science[Affiliation]"

Childhood atopic disorders in relation to placental changes-A systematic review and meta-analysis.

Pediatr Allergy Immunol

May 2024

University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Fetal programming may arise from prenatal exposure and increase the risk of diseases later in life, potentially mediated by the placenta. The objective of this systematic review was to summarize and critically evaluate publications describing associations between human placental changes and risk of atopic disorders during childhood. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines.

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Introduction: Unilateral pulmonary edema (UPE), a life-threatening complication of cardiac surgery, often occurs after prolonged cardiopulmonary bypass and lung collapse, especially in minimally-invasive cardiac surgery (MICS). The present study reported a young patient with severe UPE after the surgery as well as corresponding clinical treatments. In addition to the supportive treatment of extracorporeal membrane oxygenation (ECMO), monitoring changes in cardiopulmonary function and early clinical interventions are crucial.

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Landscape of human organoids: Ideal model in clinics and research.

Innovation (Camb)

May 2024

Zhongshan Hospital Institute of Clinical Science, Fudan University Shanghai Medical College, Shanghai 200032, China.

Article Synopsis
  • Organoid research has rapidly advanced over the past decade, especially in 2023, with thousands of publications highlighting its growing significance in biomedicine.
  • The review aims to fill the gap in comprehensive knowledge about organoids by exploring their history, technological advancements, and applications in fields like oncology and drug development.
  • It discusses the future potential of organoids for personalized medicine and innovative drug discovery, making it a valuable resource for researchers, clinicians, and patients alike.
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Glucagon-like Peptide 1 Receptor Agonist use and the effect on diabetic retinopathy: An uncertain relationship.

Peptides

August 2024

Department of Ophthalmology, Royal Victoria Hospital, Belfast, Northern Ireland, UK; Genomic Medicine, Biomedical Sciences Research Institute, Ulster University, Coleraine, Northern Ireland, UK. Electronic address:

Article Synopsis
  • Glucagon-like Peptide 1 Receptor Agonists (GLP-1 RAs) are new diabetes medications that help release insulin and have additional benefits like weight loss.
  • They are generally considered safe for cardiovascular health, but some studies hint at a possible link to worsening diabetic retinopathy, though the evidence isn't very clear.
  • More research is needed to determine the effects of GLP-1 RAs on diabetic retinopathy, as current data mostly comes from studies focused on cardiovascular outcomes rather than eye health.
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New findings and new methods on macrophages in primary immune thrombocytopenia.

Br J Haematol

June 2024

Department of Hematology, Zhongshan Hospital, Fudan University, Shanghai, China.

Primary immune thrombocytopenia (ITP) is an acquired autoimmune disease with multiple immune cells take part in the pathogenesis. Macrophages play multiple roles in both innate and adaptive immune system. The report by Jiani Mo and colleagues identified new biomarkers and explore the role of mitophagy and ferroptosis in ITP pathogenesis.

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A novel model of artificial intelligence based automated image analysis of CT urography to identify bladder cancer in patients investigated for macroscopic hematuria.

Scand J Urol

May 2024

Department of Urology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden; Department of Urology, Sahlgrenska University Hospital, Region Västra Götaland, Göteborg, Sweden.

Objective: To evaluate whether artificial intelligence (AI) based automatic image analysis utilising convolutional neural networks (CNNs) can be used to evaluate computed tomography urography (CTU) for the presence of urinary bladder cancer (UBC) in patients with macroscopic hematuria.

Methods: Our study included patients who had undergone evaluation for macroscopic hematuria. A CNN-based AI model was trained and validated on the CTUs included in the study on a dedicated research platform (Recomia.

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Cerebral palsy (CP) is the most common motor disability in children. To ascertain the role of major genetic variants in the etiology of CP, we conducted exome sequencing on a large-scale cohort with clinical manifestations of CP. The study cohort comprised 505 girls and 1,073 boys.

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Integration of clinical phenoms and metabolomics facilitates precision medicine for lung cancer.

Cell Biol Toxicol

May 2024

Department of Thoracic Surgery, Zhongshan-Xuhui Hospital, Fudan University, 366 North Longchuan Rd, Shanghai, 200237, China.

Lung cancer is a common malignancy that is frequently associated with systemic metabolic disorders. Early detection is pivotal to survival improvement. Although blood biomarkers have been used in its early diagnosis, missed diagnosis and misdiagnosis still exist due to the heterogeneity of lung cancer.

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Females present larger deficit in heel-rise height at 3 months following an Achilles tendon rupture compared with males.

Knee Surg Sports Traumatol Arthrosc

October 2024

Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.

Purpose: There is a lack of knowledge concerning differences between females and males in the early stages after an acute Achilles tendon rupture. This article aims to explore the different factors affecting early function after an Achilles tendon rupture with a validated test battery that includes functional tests, clinical measurements and patient-reported outcome at a 3-month follow-up analysis of a larger prospective study.

Methods: This study was part of the DUSTAR-study (Diagnostic UltraSonography for the choice of Treatment of acute Achilles tendon Rupture) where the main aim was to evaluate if an acute ultrasonography could determine which patients, with an Achilles tendon rupture, should be treated surgically or nonsurgically.

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Objective: To demonstrate that successful health systems strengthening (HSS) projects have addressed disparities and inequities in maternal and perinatal care in low-income countries.

Methods: A comprehensive literature review covered the period between 1980 and 2022, focusing on successful HSS interventions within health systems' seven core components that improved maternal and perinatal care.

Results: The findings highlight the importance of integrating quality interventions into robust health systems, as this has been shown to reduce maternal and newborn mortality.

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919 granules improve postpartum depression through the regulation of abnormal peripheral blood IL-1β.

Biomed Pharmacother

May 2024

Department of Traditional Chinese Medicine, Jinshan Hospital, Fudan University, Shanghai 201508, China. Electronic address:

Postpartum depression (PPD) has a significant impact on the physical and mental health of mothers, potentially leading to symptoms such as low mood, fatigue, and decreased appetite. It may also affect the healthy growth of the infant. The onset of PPD is closely related to abnormalities in inflammation and the immune system.

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Introduction: Cerebral palsy (CP) is a nonprogressive movement disorder resulting from a prenatal or perinatal brain injury that benefits from early diagnosis and intervention. The timing of early CP diagnosis remains controversial, necessitating analysis of clinical features in a substantial cohort.

Methods: We retrospectively reviewed medical records from a university hospital, focusing on children aged ≥24 months or followed up for ≥24 months and adhering to the International Classification of Diseases-10 for diagnosis and subtyping.

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Article Synopsis
  • Acid sphingomyelinase deficiency (ASMD) is a rare lysosomal storage disease in Germany with various clinical forms, necessitating more data on survival and health outcomes in affected patients.
  • A retrospective study analyzed medical records of 33 patients diagnosed with ASMD type B or A/B between 1990 and 2021, focusing on demographics, medical history, hospitalizations, and mortality rates.
  • The study found a high mortality rate, especially in patients under 18, with median ages at diagnosis of 8 years for type B and 1 year for type A/B, revealing that liver and respiratory issues were the leading causes of death.
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Quality of Reporting Electronic Health Record Data in Glaucoma: A Systematic Literature Review.

Ophthalmol Glaucoma

September 2024

Centre for Public Health, Institute of Clinical Science Block A, Royal Victoria Hospital, Belfast, United Kingdom. Electronic address:

Topic: Assessing reporting standards in glaucoma studies utilizing electronic health records (EHR).

Clinical Relevance: Glaucoma's significance, underscored by its status as a leading cause of irreversible blindness worldwide, necessitates reliable research findings. This study evaluates adherence to the CODE-EHR best-practice framework in glaucoma studies using EHR, aiming to improve clinical care and patient outcomes.

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Aim: To examine possible geographical and temporal differences in the incidence of childhood-onset inflammatory bowel disease (IBD) in Norway, motivated by previous research indicating relevant environmental factors explaining changing epidemiology.

Methods: We analysed data from children born in Norway from 2004 to 2012 (n = 541 036) in a registry-based nationwide study. After validating registry diagnoses against medical records, we defined IBD as ≥2 entries of International Classification of Diseases, 10th revision (ICD-10) codes K50, K51 and K52.

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Phages can specifically recognize and kill bacteria, which lead to important application value of bacteriophage in bacterial identification and typing, livestock aquaculture and treatment of human bacterial infection. Considering the variety of human-infected bacteria and the continuous discovery of numerous pathogenic bacteria, screening suitable therapeutic phages that are capable of infecting pathogens from massive phage databases has been a principal step in phage therapy design. Experimental methods to identify phage-host interaction (PHI) are time-consuming and expensive; high-throughput computational method to predict PHI is therefore a potential substitute.

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(1) Background: Estimates suggest that up to 10% of global annual cardiovascular deaths could be related to environmental factors. Not only air pollution components, but also noise exposure and climate changes, are highlighted as nontraditional causes of cardiovascular morbidity. The aim of this study was to identify possible urbanization risk factors for the progression of coronary artery disease in a group of patients with chronic coronary syndrome.

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Univentricular heart anomalies represent a group of severe congenital heart defects necessitating early surgical intervention in infancy. The Fontan procedure, the final stage of single-ventricle palliation, establishes a serial connection between systemic and pulmonary circulation by channeling venous return to the lungs. The absence of the subpulmonary ventricle in this peculiar circulation progressively eventuates in failure, primarily due to chronic elevation in inferior vena cava (IVC) pressure.

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Awareness of somatisation disorder among Swedish physicians at emergency departments: a cross-sectional survey.

BMC Psychiatry

March 2024

Research, Education, Development and Innovation, Region Västra Götaland, Primary Health Care, Gothenburg, Sweden.

Background: Somatisation is a highly prevalent psychiatric syndrome in both women and men, in which psychological distress is manifested in physical symptoms without a medical explanation. Many patients with somatisation disorder are high healthcare utilisers, particularly at emergency departments. Unnecessary investigations and diagnostic operations occur frequently, which cause both patient suffering and a significant burden on the healthcare system.

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Introduction: This study aimed to identify whether microbial invasion of the amniotic cavity and/or intra-amniotic inflammation in women with late preterm prelabor rupture of membranes (PPROM) was associated with changes in concentrations of soluble fms-like tyrosine kinase-1 (sFlt-1), placental growth factor (PlGF) and its ratio in maternal serum, and whether placental features consistent with maternal vascular malperfusion further affect their concentrations.

Material And Methods: This historical study included 154 women with singleton pregnancies complicated by PPROM between gestational ages 34+0 and 36+6 weeks. Transabdominal amniocentesis was performed as part of standard clinical management to evaluate the intra-amniotic environment.

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Purpose: Mitral valve surgery in children involves correcting congenital and acquired pathologies, with a reported mortality rate of 0.9%. Low cardiac output syndrome (LCOS) is a serious complication with the incidence of 20-25%.

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Background: Diabetes is a global health problem whose common complication is diabetic cardiomyopathy, characterized by chronic inflammation of the heart muscle. Macrophages are the main white blood cells found in the resting heart. Therefore, we investigated the underling mechanism of macrophage on myocardial fibrosis in diabetes.

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Prostate Cancers in the Prostate-specific Antigen Interval of 1.8-3 ng/ml: Results from the Göteborg-2 Prostate Cancer Screening Trial.

Eur Urol

August 2024

Department of Urology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Urology, Sahlgrenska University Hospital, Region Västra Götaland, Gothenborg, Sweden.

Background And Objective: Magnetic resonance imaging(MRI) and targeted biopsies reduce overdiagnosis of prostate cancer(PC). It is uncertain how this strategy performs for low PSA levels. The objective was to investigate the PI-RADS distribution, frequency and characteristics of screen-detected PC with PSA of 1.

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Normalised repeat serum prostate-specific antigen: associations with age and magnetic resonance imaging results.

Scand J Urol

March 2024

Department of Urology, Institute of Clinical Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Urology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Objective: To assess the value of a repeat prostate-specific antigen measurement (PSA2) before magnetic resonance imaging (MRI) in men with a raised PSA (PSA1) <10 µg/L.

Method: Medical records of men aged < 75 years referred in 2021 for PSA1 3.0-9.

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