3,766 results match your criteria: "Northwick Park & St Mark's Hospitals[Affiliation]"

Expanding the phenotype and genotype spectrum of TAOK1 neurodevelopmental disorder and delineating TAOK2 neurodevelopmental disorder.

Genet Med

December 2024

Sheffield Clinical Genetics Service, Sheffield Children's NHS Foundation Trust, Sheffield, UK; Division of Clinical Medicine, University of Sheffield, Sheffield, UK. Electronic address:

Purpose: The TAOK proteins are a group of serine/threonine-protein kinases involved in signalling pathways, cytoskeleton regulation, and neuronal development. TAOK1 variants are associated with a neurodevelopmental disorder (NDD) characterized by distinctive facial features, hypotonia and feeding difficulties. TAOK2 variants have been reported to be associated with autism and early-onset obesity.

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Background: The surgical management of complicated diverticulitis varies across Europe. EAES members prioritized this topic to be addressed by a clinical practice guideline through an online questionnaire.

Objective: To develop evidence-informed clinical practice recommendations for key stakeholders involved in the treatment of complicated diverticulitis; to improve operative and perioperative outcomes, patient experience and quality of life through a systematic evidence-to-decision approach by a diverse, multidisciplinary panel.

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Background: We performed a systematic review and network meta-analysis (NMA) of individualized patient data (IPD) to inform the development of evidence-informed clinical practice recommendations.

Methods: We searched MEDLINE, Embase, and Cochrane Central in October 2023 to identify RCTs comparing Hartmann's resection (HR), primary resection and anastomosis (PRA), or laparoscopic peritoneal lavage (LPL) among patients with class Ib-IV Hinchey diverticulitis. Outcomes of interest were prioritized by an international, multidisciplinary panel including two patient partners.

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In 2008 the Postgraduate Medical Education and Training Board (PMETB) Review of Oral and Maxillofacial Surgery (OMFS) recommended that OMFS specialty training should start with second-degree studies. This recommendation has not yet happened. Currently, no OMFS controlled places at medical/dental schools are directly linked to OMFS Specialty Training (ST) posts.

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Objectives: This study aimed to identify a preference-based health-related quality of life (HRQOL) measure that best reflects disease-specific features in patients with neck pain by comparing the characteristics of the instruments.

Design: Pooled data from three multicentre randomised controlled clinical trials (RCTs) on neck pain were included for analysis in this study.

Setting: All three RCTs were conducted between 2017 and 2020 in Korea, and patients were recruited from four hospitals and one university teaching hospital.

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Histological assessment of extensive or unresectable central giant cell granulomas treated with denosumab - A case series.

Oral Surg Oral Med Oral Pathol Oral Radiol

November 2024

Department of Oral and Maxillofacial Clinical Sciences, Faculty of Dentistry, Kuala Lumpur, Malaysia; Faculty of Dentistry, Oral, and Craniofacial Sciences, King's College London, Great Maze Pond, London, United Kingdom.

Objective: The management of large central giant cell granuloma (CGCG) can pose a significant surgical challenge. In such circumstances, the use of denosumab has been proposed with the literature reporting varying degrees of success. Histopathological assessment of CGCG post-denosumab treatment remains unknown.

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Background: The relationship between the extent and severity of stress-induced ischemia and the extent and severity of anatomic coronary artery disease (CAD) in patients with obstructive CAD is multifactorial and includes the intensity of stress achieved, type of testing used, presence and extent of prior infarction, collateral blood flow, plaque characteristics, microvascular disease, coronary vasomotor tone, and genetic factors. Among chronic coronary disease participants with site-determined moderate or severe ischemia, we investigated associations between ischemia severity on stress testing and the extent of CAD on coronary computed tomography angiography.

Methods: Clinically indicated stress testing included nuclear imaging, echocardiography, cardiac magnetic resonance imaging, or nonimaging exercise tolerance test.

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CHIME syndrome is a variable condition characterized by ichthyosiform dermatosis, accompanied by intellectual disability, ocular colobomas, ear anomalies, and heart defects. It is an autosomal recessive condition caused by biallelic pathogenic variants in the PIGL gene. Until now, all reports of individuals affected with CHIME syndrome showed the PIGL c.

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Background: Neuroepithelial cysts (NECs) are rare entities, occasionally causing neurological symptoms that can be overlooked.

Case Description: A case of an occipital neuroepithelial cyst is discussed. The initial presentation consisted of mild homonymous hemianopia and gait impairment.

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Background Cardio-cerebral infarction (CCI) belongs to an area of growing interest within cerebrovascular medicine as it refers to the concurrence of acute ischaemic stroke (AIS) and acute myocardial infarction (AMI) usually within 72 hours. A scenario where both the heart and brain sustain a catastrophic ischaemic insult can be devastating. We describe the incidence, treatment, and outcomes of CCI patients from a North London Hyper-Acute Stroke Unit (HASU) over two years and propose a potential treatment algorithm for the treatment of CCI.

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Background: There has been a recent rapid growth in the adoption of robotic systems across Europe. This study aimed to capture the current state of robotic training in gastrointestinal (GI) surgery and to identify potential challenges and barriers to training within Europe.

Methods: A pan-European survey was designed to account for the opinion of the following GI surgery groups: (i) experts/independent practitioners; (ii) trainees with robotic access; (iii) trainees without robotic access; (iv) robotic industry representatives.

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Article Synopsis
  • Critically ill patients in the ICU are at risk for malnutrition, making effective nutrition management essential, which is where dietitians play a vital role.
  • A scoping review analyzed 751 studies from various databases, ultimately focusing on 39 studies that featured dietitian-led interventions for adult patients in critical care.
  • The findings suggest that dietitian-led interventions, such as implementing guidelines and personalized nutrition plans, improved nutrition outcomes and possibly enhanced clinical results, indicating a need for future research to better define their impact within healthcare teams.
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Article Synopsis
  • Mind The Bleep (MTB) is an online educational platform run by UK resident doctors, focusing on providing free surgical education resources for early postgraduate doctors, especially during the COVID-19 pandemic.
  • The study assessed MTB's teaching methods using a mix of quantitative and qualitative data, including participant feedback and website analytics, analyzing 22 educational programs and 140 webinars conducted between 2021 and 2024.
  • Results showed significant increases in participant confidence (p<0.05) and highlighted the effectiveness of a near-peer teaching model, although limitations included a low feedback response rate and limited types of feedback collected.
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Mucormycosis is a rare but potentially fatal angioinvasive fungal infection, caused by filamentous molds of the order Mucorales, which primarily affects immunocompromised individuals and is characterized by high mortality rates. Diabetes mellitus (DM) is the most common risk factor for mucormycosis. During the COVID-19 pandemic, the number of cases significantly increased.

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Objectives: Impaired awareness of hyperglycaemia (IAH) affects approximately 20-40% of people living with type 1 diabetes (T1D), predisposing them to severe hypoglycaemia. This systematic review evaluated the efficacy of closed-loop automated insulin delivery systems (CL-AID) in restoring IAH compared with standard diabetes care, including other diabetes technologies.

Methods: Six electronic databases were searched for published and unpublished observational and randomised-control studies (RCTs) from inception to 29th of May 2024.

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Longitudinal Goal Attainment With Repeat Injections of AbobotulinumtoxinA in Adults With Lower Limb Spasticity: Results From a Prospective Observational Study.

Arch Phys Med Rehabil

November 2024

Department of PM&R, Centro de Medicina de Reabilitaçãode Alcoitão, Serviço de Reabilitação de adultos 3, Estoril, Portugal.

Objective: To assess longitudinal goal attainment with repeat abobotulinumtoxinA (AboBoNT-A) injections for lower limb spasticity (LLS) over 16 months.

Design: Prospective, longitudinal, international, multicenter, observational study (NCT04050527).

Setting: Specialist neurorehabilitation centers.

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Article Synopsis
  • A 72-year-old woman with pre-existing health issues underwent an ERCP to remove bile duct stones but faced complications including abdominal pain and jaundice post-surgery.
  • During the ERCP, she experienced a drop in oxygen saturation and arrhythmia, leading to a diagnosis of gas embolism confirmed by imaging, revealing air bubbles in her heart.
  • Despite several emergency interventions, her condition worsened, and due to financial constraints, she was discharged against medical advice, highlighting the rarity and management difficulties of ERCP-related air embolism.
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An umbrella review of meta-analyses regarding the incidence of female-specific malignancies after fertility treatment.

Fertil Steril

November 2024

Department of Public Health and Primary Care, University of Leuven, Leuven, Belgium; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.

Article Synopsis
  • Understanding the risks of fertility treatments (FTs) is crucial for making informed clinical decisions and providing patient counseling regarding women's health issues, particularly cancer.
  • This study aimed to analyze the relationship between FTs and the incidence of specific female-related cancers such as ovarian, endometrial, breast, and cervical cancers, using systematic reviews and meta-analyses.
  • Results indicated a significant increase in ovarian cancer and borderline ovarian tumors among women undergoing FTs compared to those not treated, especially with certain fertility drug regimens like clomiphene citrate and human menopausal gonadotropin.
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Article Synopsis
  • Obesity is a serious global health issue affecting many countries, and traditional medical treatments have often been ineffective, making bariatric surgeries like sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) the primary options for severe cases.
  • A newer alternative, one-anastomosis gastric bypass (OAGB), simplifies procedures compared to RYGB and shows promising initial results, although there are ongoing concerns regarding biliary reflux.
  • A systematic review of 12 studies involving 1,057 patients compared RYGB and OAGB, revealing that while OAGB had advantages in BMI reduction, operation time, and complications, RYGB was better for excess weight and BMI loss. *
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Long-Term outcomes after stress echocardiography in real world practice: five-year follow-up of the UK Evarest study.

Eur Heart J Cardiovasc Imaging

November 2024

Cardiovascular Clinical Research Facility, Division of Cardiovascular Medicine, University of Oxford, Oxford, UK.

Aims: Stress echocardiography is widely used to assess patients with chest pain. The clinical value of a positive or negative test result to inform on likely longer-term outcomes when applied in real world practice across a healthcare system has not been previously reported.

Methods And Results: 5503 patients recruited across 32 UK NHS hospitals between 2018 and 2022, participating in the EVAREST/BSE-NSTEP prospective cohort study, with data on medical outcomes up to 2023 available from NHS England were included in analysis.

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Participants in the 100,000 Genomes Project (100kGP) could consent to receive additional finding (AF) results, individual variants relating to genes associated with susceptibility to cancer and familial hypercholesterolemia (FH). In the study reported here, qualitative interviews were used to explore the experiences of National Health Service (NHS) professionals from across England who were tasked with returning over 80,000 "no AF" results and 700 positive AF results to 100kGP participants. Interviews were conducted with 45 professionals from a range of backgrounds, including Genetic Counsellors, Clinical Geneticists, FH Clinical Nurse Specialists and Clinical Scientists.

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Introduction Mind The Bleep (MTB) is a junior doctor-led online education organisation that produces free open-access medical education (FOAMed) resources. This paper describes MTB vascular surgery online education programme. The target audience was early postgraduate doctors completing a rotation in vascular surgery.

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