24,518 results match your criteria: "Norfolk & Norwich University Hospital Trust[Affiliation]"

Article Synopsis
  • The study focused on the long-term effects of afatinib in patients with EGFR mutant non-small cell lung cancer (NSCLC) who also had other health issues, and assessed the usefulness of monitoring circulating tumor DNA (ctDNA).
  • Conducted in the UK, the TIMELY trial involved patients receiving afatinib daily until their disease progressed or they experienced significant side effects, with blood samples analyzed every 12 weeks.
  • Results showed that while the median progression-free survival was 7.9 months, some patients experienced long-term benefits, and ctDNA testing improved the detection of EGFR mutations and was linked to better outcomes.
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A horizon scan of biological conservation issues for 2025.

Trends Ecol Evol

January 2025

Conservation Science Group, Department of Zoology, Cambridge University, The David Attenborough Building, Pembroke Street, Cambridge, CB2 3QZ, UK.

We discuss the outcomes of our 16th horizon scan of issues that are novel or represent a considerable step-change and have the potential to substantially affect conservation of biological diversity in the coming decade. From an initial 96 topics, our international panel of 32 scientists and practitioners prioritised 15 issues. Technological advances are prominent, including metal and non-metal organic frameworks, deriving rare earth elements from macroalgae, synthetic gene drives in plants, and low-emission cement.

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Efficacy of 3D-printed chitosan‑cerium oxide dressings coated with vancomycin-loaded alginate for chronic wounds management.

Carbohydr Polym

February 2025

Marquette University School of Dentistry, Milwaukee, WI 53233, USA; Institute for Engineering in Medicine, Health, & Human Performance (EnMed), Batten College of Engineering and Technology, Old Dominion University, Norfolk, VA 23529, USA.

Multifunctional wound dressings with antibacterial and antioxidant properties hold significant promise for treating chronic wounds; however, achieving a balance of these characteristics while maintaining biocompatibility is challenging. To enhance this balance, this study focuses on the design and development of 3D-printed chitosan-matrix composite scaffolds, which are incorporated with varying amounts of cerium oxide nanoparticles (0, 1, 3, 5, and 7 wt%) and subsequently coated with a vancomycin-loaded alginate layer. The structure, antibiotic drug delivery kinetics, biodegradation, swelling, biocompatibility, antibacterial, antioxidant, and cell migration behaviors of the fabricated dressings were evaluated in-vitro.

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Background: There is a need for efficacious therapies for patients with Crohn's disease that are better tolerated and more durable than available treatments. We aimed to evaluate the efficacy and safety of filgotinib, an oral Janus kinase 1 preferential inhibitor, for treating Crohn's disease.

Methods: This phase 3, double-blind, randomised, placebo-controlled trial was conducted in 371 centres in 39 countries.

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Asthma and sleep disordered breathing in the pediatric adenotonsillectomy trial for snoring study.

Sleep Breath

December 2024

Division of Pediatric Pulmonology and Sleep Medicine, UH Rainbow Babies and Children's Hospital, Case Western Reserve University, 11100 Euclid Ave, Pediatric Pulmonology, MS 6006, Cleveland, OH, 44106, USA.

Article Synopsis
  • The study investigates the link between asthma and sleep-disordered breathing (SDB) in children aged 3-12.9 years, focusing on identifying risk factors and assessing sleep-related outcomes.
  • Results show that 19.1% of the children had asthma, with moderate-to-severe asthma linked to worse SDB symptoms and lower quality of life.
  • Key risk factors for asthma included exposure to environmental tobacco smoke and signs of atopy, highlighting the complex relationship between asthma severity and sleep disturbances in children.
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Article Synopsis
  • * Study Design: Researchers analyzed data from the Nulliparous Pregnancy Outcomes Study, focusing on 131 factors like maternal demographics and health history, and developed several machine learning models, eventually choosing the XGBoost model for its strong performance.
  • * Results: Out of 9,467 participants, 219 experienced preterm preeclampsia, with the XGBoost model achieving the highest accuracy (AUC of 0.749). The final model, based on 8 key features, showed slightly lower performance (AUC of 0.741) but
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Omega-3 Levels in Prenatal Supplements.

Am J Perinatol

December 2024

Department of Family and Community Medicine, University of Toronto, Mount Sinai Hospital, Toronto, Ontario, Canada.

Objective:  This study aimed to systematically document the reported omega-3 levels in commercially available prenatal supplements in the United States and Canada, and compare these levels to recommended intakes in pregnancy.

Study Design:  Commercial prenatal supplements were identified using the Dietary Supplement Label Database ( = 50) and the Licensed Natural Health Products Database ( = 18). Mean omega-3 levels and the proportion of products meeting recommendations for pregnant women were tabulated.

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Article Synopsis
  • The study aims to identify factors associated with cholesteatoma, a type of middle ear disease, in a large UK cohort, highlighting established risk factors like male sex and chronic ear infections, as well as less-clear associations like deprivation and smoking.
  • Researchers compared 1140 cholesteatoma cases with 4551 non-cholesteatoma cases and nearly half a million healthy controls, using logistic regression to analyze demographic factors such as age, sex, and deprivation.
  • The findings indicate significant associations between cholesteatoma and factors like male sex (33% higher odds), older age, and deprivation, while showing overlaps with other inflammatory ear conditions and suggesting that both common and distinct factors influence cholesteatoma development.
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Minority stress is the leading explanation for sexual minority women's (SMW) higher rates of, and heavier, alcohol use compared to heterosexual women. Little is known about how both partners' sexual minority stressors impact alcohol consumption in a dyadic context, and even less research has considered these effects at the day-level. This study utilizes dyadic daily diary data to test associations of each partner's sexual minority stress events with drinking outcomes (day-level alcohol use, heavy episodic drinking [HED], and estimated blood alcohol content [eBAC]) among women in same-gender relationships ( 159 couples).

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The Role of Artificial Intelligence and Machine Learning in Accelerating the Discovery and Development of Nanomedicine.

Pharm Res

December 2024

Department of Pharmaceutical Sciences, College of Pharmacy, University of Florida, 1350 Center Drive, Gainesville, FL, 32610, USA.

The unique potential of nanomedicine to address challenging health issues is rapidly advancing the field, leading to the generation of more effective products. However, these complex systems often pose several challenges with respect to their design for specific functionality, scalable manufacturing, characterization, quality control, and clinical translation. In this regard, the application of artificial intelligence (AI) and machine learning (ML) approaches can enable faster and more accurate data assessment, identifying trends and predicting outcomes, leading to efficient nanomedicine product development.

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Article Synopsis
  • The audit aimed to assess and improve the completeness and accuracy of the National Joint Registry (NJR) dataset specifically for elbow arthroplasty surgeries.
  • In a two-phase approach, Phase 1 compared NJR data with NHS England Hospital Episode Statistics (HES), identifying thousands of unmatched and inaccurate records, particularly for radial head arthroplasties (RHAs).
  • Phase 2 involved collaboration among 142 NHS hospitals to correct and update records, resulting in an improved completeness of the NJR dataset from 63% to 93% and accuracy from 94% to 98%.
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This review describes the evolution and enhanced diagnostic capabilities introduced by four-dimensional (4D) flow cardiac magnetic resonance (CMR) in cardiovascular imaging. It charts the historical advancements from echocardiography through to two-dimensional phase-contrast magnetic resonance imaging (2D-PC MRI), culminating in the adoption of 4D flow MRI. This technique affords exhaustive, time-resolved, three-dimensional visualisations of intracardiac and vascular blood flow, refining the accuracy of cardiovascular assessments over traditional methods, especially in complex anatomical settings.

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Midterm survival, clinical, and hemodynamic outcomes of a novel mechanical mitral valve prosthesis.

J Thorac Cardiovasc Surg

November 2024

Division of Cardiothoracic Surgery, Mount Sinai Saint Luke's, New York, NY.

Objective: To evaluate the midterm survival, clinical, and hemodynamic outcomes of the On-X mechanical mitral valve, based on the 5-year results of the Prospective Randomized On-X Anticoagulation Clinical Trial (PROACT).

Method: PROACT Mitral was a multicenter study evaluating 401 patients who underwent mitral valve replacement (MVR) with either Standard or Conform-X On-X mitral valves, comparing low-dose and standard-dose warfarin. Here we report prespecified secondary outcomes of survival, New York Heart Association (NYHA) functional classification, and valve hemodynamics as assessed by core lab-adjudicated echocardiography at 1, 3, and 5 years in the pooled population.

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Measurement of treatment burden in cystic fibrosis: A systematic review.

J Cyst Fibros

November 2024

Norwich Medical School, University of East Anglia, Norwich, NR4 7TJ, Norfolk, UK; National Institute for Health Research, Applied Research Collaboration, East of England, Cambridge, CB2 8AH, UK. Electronic address:

Article Synopsis
  • Cystic fibrosis (CF) is a complex chronic condition that requires ongoing treatment, and this review examines various ways researchers have measured the treatment burden faced by individuals with CF.
  • A total of 17 studies were reviewed, highlighting both subjective measures (like questionnaires) and objective measures (such as treatment time and costs) to understand treatment burden, with most studies emphasizing treatment time.
  • The findings suggest that no single measure can capture the full scope of treatment burden; therefore, combining subjective and objective measures may better reflect the diverse aspects affecting individuals with CF.
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Prevalence and diversity of retinal disease in adults with Down syndrome.

Eye (Lond)

November 2024

Center for Ophthalmic Bioinformatics, Cole Eye Institute, Cleveland Clinic, Cleveland, OH, USA.

Article Synopsis
  • * A thorough search yielded 28 relevant studies, showing that DS is linked to unusual retinal characteristics, such as abnormal vascularization and thickening, which may increase retinal disease rates.
  • * From a large population analysis, 0.18% of individuals had a DS diagnosis, and those with DS displayed significantly higher odds ratios for various retinal disorders compared to those without DS, indicating a need for further research on this relationship.
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