159 results match your criteria: "Park Hospitals[Affiliation]"

Article Synopsis
  • Geriatric patients with brittle type 2 diabetes often face complications like hypoglycemia, and Automated Insulin Delivery (AID) systems may improve their glycemic control.
  • A study involving 34 elderly patients switching from multiple-dose insulin to AID systems showed significant reductions in HbA1c levels and total insulin doses after six months.
  • Results indicate that even frail patients, including those undergoing chemotherapy and steroids, can benefit from AID systems, leading to better diabetes management.
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Objectives: Amidst the fulfilment of making a positive impact on patients' lives, cancer nurses also contend with high workloads, limited resources, and barriers to career advancement. Understanding the perceptions of cancer nurses is essential in addressing these challenges and fostering an environment that promotes both professional satisfaction and optimal patient care. Our aim was to explore Australian cancer nurses' experiences and perspectives of workforce challenges and their proposed solutions to address them.

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Heart groups in South Africa advocate for tighter LDL-C control and lipoprotein(a) testing to curb atherosclerotic cardiovascular disease.

S Afr Med J

May 2024

Director, Carbohydrate and Lipid Metabolism Research Unit, University of the Witwatersrand, Johannesburg, South Africa; and Division of Endocrinology and Metabolism, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

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Comparison of surgical or non-surgical management for non-acute anterior cruciate ligament injury: the ACL SNNAP RCT.

Health Technol Assess

June 2024

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Research Centre, University of Oxford, Headington, Oxford, UK.

Article Synopsis
  • Anterior cruciate ligament (ACL) injuries in the knee often lead to decreased activity levels and a higher risk of osteoarthritis, and there’s a lack of clear guidelines for managing these injuries either through surgery or rehabilitation.
  • This study aimed to compare the effectiveness and cost of surgical ACL reconstruction without prior rehab against a rehabilitation approach before surgery for patients with non-acute ACL injuries and symptoms of instability.
  • Conducted across 29 NHS orthopedic units in the UK, the trial tracked key outcomes like knee function and patient satisfaction over 18 months in 316 participants.
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Sturge-Weber Syndrome: A Report of a Rare Case.

Cureus

December 2023

Oral Medicine and Radiology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, IND.

Sturge-Weber Syndrome (SWS) is a rare congenital developmental disorder that arises from the abnormal persistence of the embryonic vascular plexus. The syndrome encompasses hamartomatous malformations that can impact the skin, eyes, and nervous system. The broad array of clinical manifestations and potentially life-threatening complications underscores the crucial and imperative need for an accurate diagnosis.

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Heart failure (HF) remains a serious health and socioeconomic problem in the Middle East and Africa (MEA). The age-standardized prevalence rate for HF in the MEA region is higher compared to countries in Eastern Europe, Latin America, and Southeast Asia. Also cardiovascular-related deaths remain high compared to their global counterparts.

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Background: To maintain and improve the quality of the cancer nursing workforce, it is crucial to understand the factors that influence retention and job satisfaction. We aimed to investigate the characteristics of cancer nurses in Australia and identify predictors of job satisfaction.

Methods: We analysed data from an anonymous cross-sectional survey distributed through the Cancer Nurses Society Australia membership and social media platforms from October 2021 to February 2022.

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Article Synopsis
  • Post-transplantation cyclophosphamide (PTCy) is being studied for its effectiveness in preventing graft-versus-host disease (GVHD) in patients with Hodgkin lymphoma (HL) after allogeneic hematopoietic stem cell transplantation (allo-HSCT).
  • The study compared the outcomes of HSCT between patients using HLA-matched donors (sibling and unrelated) and haploidentical donors, analyzing data from 2010 to 2020.
  • Results indicated that HLA-matched donor HSCT had better outcomes, including higher platelet engraftment and lower rates of acute GVHD and nonrelapse mortality, leading to improved overall survival compared to haploidentical donor HSCT.
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Introduction: Maintaining adequate nutritional status can be a challenge for patients with small bowel neuroendocrine tumours (NETs). Surgical resection could result in short bowel syndrome (SBS), whilst without surgical resection there is a considerable risk of ischemia or developing an inoperable malignant bowel obstruction (IMBO). SBS or IMBO are forms of intestinal failure (IF) which might require treatment with home parenteral nutrition (HPN).

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Gallium-68 fibroblast activation protein inhibitor positron emission tomography in cardiovascular disease.

Front Nucl Med

July 2023

Division of Cardiology, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Gallium-68 fibroblast activation protein inhibitor [(Ga)Ga-FAPI] is a new radiopharmaceutical positioning itself as the preferred agent in patients with malignant tumours, competing with 2-Deoxy-2-[18F]fluoro-d-glucose [2-(F)FDG] using positron emission tomography (PET). While imaging oncology patients with [Ga]Ga-FAPI PET, incidental uptake of [Ga]Ga-FAPI has been detected in the myocardium. This review summarises original research studies associating the visualisation of FAPI-based tracers in the myocardium with underlying active cardiovascular disease.

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Background: To describe the disease activity and retention rate in rheumatoid arthritis (RA) patients with inadequate response (IR) to conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) and/or tumor necrosis factor inhibitors (TNFis) who were prescribed tocilizumab (TCZ) as first-line or second-line biologic treatment in real-world setting.

Methods: Data gathered from patients' files was used in a multicenter and retrospective context. Retention rates and the Disease Activity Score in 28 joints with CRP (DAS28-CRP) were evaluated at time points.

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Background And Aims: Only limited information is available on the use of home parenteral nutrition (HPN) in patients with advanced neuroendocrine tumours (NETs) causing intestinal failure (IF). This study aims to report the outcomes of the explore the use of HPN in this patient cohort, in the largest case series to date.

Methods: A retrospective study in the United Kingdom and the Netherlands was performed, using the UK National British Artificial Nutrition Survey (BANS) and local databases in the Netherlands.

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Predicting in-hospital all-cause mortality in heart failure using machine learning.

Front Cardiovasc Med

January 2023

Department of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: The age of onset and causes of heart failure differ between high-income and low-and-middle-income countries (LMIC). Heart failure patients in LMIC also experience a higher mortality rate. Innovative ways that can risk stratify heart failure patients in this region are needed.

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Objective: We aimed to examine the predictive and prognostic value of plasma zonulin for gestational diabetes mellitus (GDM) in women at 24-28 weeks of gestation.

Methods: This retrospective study was carried out with pregnant women with GDM (n=98) and normal glucose tolerance (control group) (n=132). GDM was diagnosed according to American Diabetes Association (ADA) criteria with a one-step 75-g OGTT at 24-28 gestational weeks.

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Article Synopsis
  • Anterior cruciate ligament (ACL) ruptures can severely affect knee stability, leading researchers to compare reconstructive surgery and non-surgical rehabilitation in patients with persistent instability symptoms.
  • A randomized controlled trial involved 316 patients across 29 UK NHS orthopedic units, with participants split into surgical and rehabilitation groups, primarily assessing outcomes using the Knee Injury and Osteoarthritis Outcome Score-4 at 18 months.
  • Results showed that the surgical group had a higher average KOOS4 score (73.0) compared to the rehabilitation group (64.6), indicating that surgery may be more effective; however, many patients in the rehabilitation group later opted for surgery.
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The other opioid crisis: the situation in low-resource countries.

Can J Anaesth

August 2022

Unidad Intervencionista del Dolor, Departamento de Anestesiología, Reanimación y Dolor, Hospital Del Valle, San Pedro Sula, Honduras.

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While in vivo T-cell depletion (TCD) is widely used, its benefit in patients with MDS still remains a matter of debate. This study evaluates the impact of TCD on outcomes, and compares ATG and alemtuzumab, in patients with MDS. 1284 patients from the EBMT registry were included in this study with 470 patients in the no-TCD group and 814 in the TCD group (alemtuzumab N = 168; ATG N = 646).

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Editorial commentary: Genomic and precision medicine provides deeper insights into the genetic basis of diverse JPH2-mediated phenotypes.

Trends Cardiovasc Med

January 2023

Center for Inherited Cardiovascular Diseases, WellSpan Health, Lancaster, PA, USA; Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, London, West Smithfield, EC1A 7BE, UK; Cardiac Electrophysiology, Cardiovascular Division, Hospital of the University of Pennsylvania, Philadelphia, PA, USA; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address:

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Purpose: Disruptions of genomic imprinting are associated with congenital imprinting disorders (CIDs) and other disease states, including cancer. CIDs are most often associated with altered methylation at imprinted differentially methylated regions (iDMRs). In some cases, multiple iDMRs are affected causing multilocus imprinting disturbances (MLIDs).

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SCN2A-related disorders include intellectual disability, autism spectrum disorder, seizures, episodic ataxia, and schizophrenia. In this study, the phenotype-genotype association in SCN2A-related disorders was further delineated by collecting detailed clinical and molecular characteristics. Using previously proposed genotype-phenotype hypotheses based on variant function and position, the potential of phenotype prediction from the variants found was examined.

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Graft-versus-host disease (GVHD) remains among the major causes of treatment failure in patients with multiple myeloma (MM) undergoing allogeneic hematopoietic cell transplantation (allo-HCT). The use of post-transplantation cyclophosphamide (PT-Cy) is now a well-established and widely used method for GVHD prophylaxis after HLA haploidentical HCT. However, the rationale for using PT-Cy in the setting of matched donor transplantation is less apparent, given the lesser degree of bidirectional alloreactivity.

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Background: Minimally invasive (MI) surgery is becoming increasingly popular in the treatment of hallux valgus (HV). The scarf osteotomy is an effective procedure with a track record in open HV surgery. We adapted this effective osteotomy to MI surgery as a novel technique never reported before.

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Aims: Insulin degludec/aspart (IDegAsp) and insulin glargine U300 (IGlarU300) have recently emerged as popular new-generation insulin analogues. The aim of this real-life study was to investigate the patient profiles in which IGlarU300 and IDegAsp were preferred and the insulin combinations after which each of them were mostly used and also to analyse the effect of these two insulin analogues on blood glucose regulation and hypoglycaemia.

Materials And Methods: The retrospective study included 174 patients that were switched from basal insulin, basal-bolus insulin, or premixed insulin to IGlarU300 or IDegAsp due to uncontrolled blood glucose levels or history of hypoglycaemia.

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