20,412 results match your criteria: "Prince of Wales Hospital.[Affiliation]"

Delphi definition of general practice/family medicine specialty for a post-COVID world: in-person and remote care delivery.

Fam Pract

November 2024

General Practice and Primary Care, School of Health and Wellbeing, University of Glasgow, Clarice Pears Building, 90 Byres Road, Glasgow G12 8TB, United Kingdom.

Introduction: The evolving landscape of general practice (GP)/family medicine (FM) in the post-COVID-19 era, focussing on integrating telemedicine and remote consultations requires a new definition for this specialty. Hence, a broader consensus-based definition of post-COVID-19 GP/FM is warranted.

Methods: This study involved a modified electronic Delphi technique involving 27 specialists working in primary care recruited via convenient and snowball sampling.

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Asian birth cohort studies on allergic diseases: The A2BC network initiative.

Pediatr Allergy Immunol

November 2024

Department of Pediatrics, Childhood Respiratory Allergy Center, Humidifier Disinfected Health Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

The Asia Allergy Birth Cohort (A2BC) network consolidates data from multiple independently established birth cohorts across Asia to enhance research on host-environment interactions in allergic diseases. These cohorts, established at different times with various methodologies, are reliable data sources. Our aim is to introduce the content, variables, and outcomes of these cohorts while highlighting their differences, laying the groundwork for future collaborative research.

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Article Synopsis
  • Chylothorax typically has high levels of immunoglobulins and white blood cells, suggesting low likelihood of infection.
  • Two cases are presented where chylothorax caused by cirrhosis developed infections after multiple procedures.
  • These cases challenge the idea that chyle prevents infection and emphasize the need for careful monitoring for signs of infection during treatment.
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  • This study explores how cardiovascular health (CVH), measured by the Life's Essential 8 (LE8) score, influences the effectiveness of fish oil supplements in reducing cardiovascular disease (CVD) mortality among middle-aged and older individuals with type 2 diabetes (T2D).
  • It analyzed data from 19,003 T2D participants in the UK Biobank and found that regular fish oil users with better CVH had a significantly reduced risk of CVD mortality, while those with poorer CVH did not see any benefits.
  • The results suggest that individuals with low CVH levels may not receive cardiovascular benefits from fish oil, emphasizing the need for a comprehensive approach to lifestyle improvement for better
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Introduction: This study investigated the changes in functional capacity with disease progression in a well-characterised cohort of patients diagnosed with frontotemporal dementia (FTD) and Alzheimer's disease (AD) presentations.

Methods: We recruited 126 behavioural variant FTD (bvFTD), 40 progressive nonfluent aphasia (PNFA), 64 semantic dementia (SD), 45 logopenic progressive aphasia (LPA), and 115 AD patients. Functional capacity was measured annually over ∼7 years using the Disability Assessment for Dementia.

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Effects on lymph node size, staging and primary tumor histology on diagnostic accuracy of axillary lymph node aspirate of breast cancers.

Breast Cancer Res Treat

November 2024

Department of Anatomical and Cellular Pathology, Prince of Wales Hospital, The Chinese University of Hong Kong, 1/F, Clinical Sciences Building, New Territories, Hong Kong.

Introduction: Fine-needle aspiration cytology is preferred for axillary lymph node metastasis with low costs and minimal risks. To improve diagnostic performance by incorporating clinical-radiological-pathological parameters, a large cohort pre-operative aspirates in were reviewed for parameters affecting adequacy rate and accuracy.

Methods: Axillary nodal aspirates from three institutions with histologic correlation were retrieved.

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Article Synopsis
  • International guidelines recommend keeping mean arterial pressure (MAP) above 85 mmHg for spinal cord perfusion after traumatic injuries, but variations in blood pressure management practices were found in NSW's emergency departments and could exist in ICUs.
  • A study examined blood pressure management in two referral centers in NSW, involving 98 acute SCI patients, where a significant number required vasopressors and had notable complications.
  • Results showed that average MAP targets were lower than recommended, with many patients experiencing low systolic blood pressure and longer ICU stays associated with MAP target management.
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Background: Glofitamab monotherapy induces durable remission in patients with relapsed or refractory diffuse large B-cell lymphoma after two or more previous therapies, but has not previously been assessed as a second-line therapy. We investigated the efficacy and safety of glofitamab plus gemcitabine-oxaliplatin (Glofit-GemOx) versus rituximab (R)-GemOx in patients with relapsed or refractory diffuse large B-cell lymphoma.

Methods: The phase 3, randomised, open-label STARGLO trial was done at 62 centres in 13 countries in Asia and Australia, Europe, and North America.

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Background: The risk-benefit balance of statin use in healthy older people is uncertain. We describe the baseline characteristics of the STAREE (Statins in Reducing Events in the Elderly) trial, which is a randomized, double-blind, placebo-controlled trial among community-dwelling older people; the trial evaluated the effect of atorvastatin 40 mg for the prevention of major cardiovascular events (cardiovascular death, nonfatal myocardial infarction or stroke), and on disability-free survival (survival free of both dementia and persistent physical disability).

Methods And Results: STAREE enrolled people aged ≥70 years from 1583 general practices across Australia with no history of clinical cardiovascular disease, diabetes, or dementia.

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Historically, it takes an average of 17 years to move new treatments from clinical evidence to daily practice. Given the highly effective treatments now available to prevent or delay kidney disease onset and progression, this is far too long. The time is now to narrow the gap between what we know and what we do.

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Workplace violence has a significant impact on patients, families, and staff safety. Workplace violence can produce traumatic results for those involved; the importance of preventive measures needs to be paramount in health service policy and process. Health care staff are required to document their experiences of violent incidents after every occasion, usually via an incident reporting system, which allows for a free text description of the event.

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Clinical values of nuclear morphometric analysis in fibroepithelial lesions.

Breast Cancer Res

November 2024

Department of Anatomical and Cellular Pathology, State Key Laboratory of Translational Oncology, Prince of Wales Hospital, Prince of Wales Hospital, The Chinese University of Hong Kong, Ngan Shing Street, Shatin, NT, Hong Kong SAR.

Article Synopsis
  • Fibroepithelial lesions (FELs) of the breast vary widely, posing diagnostic challenges due to their overlapping characteristics and subjective assessment methods.
  • A study involving digital nuclear morphometric analysis on 241 phyllodes tumors (PTs) and 59 fibroadenomas (FAs) found significant differences in nuclear features that help in distinguishing between these lesions and predicting their behavior.
  • Results indicated high specificity and sensitivity of the analysis for differentiating FAs from benign PTs and for grading PTs, suggesting that digital morphometric methods could enhance the objectivity and accuracy of FEL diagnosis and prognosis.
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DNA damage occurs in all living cells. γ-H2AX imaging by fluorescent microscopy is widely used across disciplines in the analysis of double-strand break (DSB) DNA damage. Here we demonstrate a method for the quantitative analysis of such DBSs.

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Background: Spinal orthoses are commonly prescribed for adolescent idiopathic scoliosis (AIS), yet their three-dimensional correction was not fully understood. The amount of deformity control largely depends on the corrective forces applied, which remain empirically based due to a lack of consensus on optimal force application. This study investigated the effects of different corrective force directions exerted by spinal orthoses on patients with AIS.

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Article Synopsis
  • The management of blunt splenic trauma differs between children and adults, influenced by guidelines from organizations like the APSA and WTA, particularly regarding treatment methods like splenectomy and angioembolization.* -
  • A comparison of the 2023 guidelines revealed that while initial resuscitation is standard, the management strategies diverge: adults' care is guided by both CT findings and hemodynamic status, while children's care relies solely on hemodynamics.* -
  • Differences in ICU admission, follow-up protocols, and thromoprophylaxis use highlight the distinct approaches for each age group, suggesting a need for unified guidelines that cater to the specific needs of both children and adults.*
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Immunohistochemistry (IHC) plays a crucial role in biological research and clinical diagnosis, serving as the most commonly used method for identifying and visualizing tissue antigens. However, traditional IHC staining methods have limitations in distinguishing various subtypes of immune cells. This challenge has driven scientists to explore new technologies and methodologies for precise identification and differentiation of immune cell subtypes.

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Detecting and monitoring elevated intracranial pressure (ICP) is crucial in managing various neurologic and neuro-ophthalmic conditions, where early detection is essential to prevent complications such as seizures and stroke. Although traditional methods such as lumbar puncture, intraparenchymal and intraventricular cannulation, and external ventricular drainage are effective, they are invasive and carry risks of infection and brain hemorrhage. This has prompted the development of non-invasive techniques.

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Mesoporous bioactive glass-enhanced MSC-derived exosomes promote bone regeneration and immunomodulation in vitro and in vivo.

J Orthop Translat

November 2024

Institute of Biological and Medical Engineering, Guangdong Academy of Sciences, No.10 Shiliugang Road, Jianghai Avenue Central, Haizhu District, Guangzhou, Guangdong, 510316, China.

Background: Exosomes produced by mesenchymal stem cells (MSCs) have vascular generative properties and are considered new effective candidates for the treatment of bone defects as alternatives to cell therapy. Improving the pro-regenerative function and efficacy of exosomes has been a popular research topic in the field of orthopaedics.

Methods: We prepared mesoporous bioactive glass (mBG) microspheres via the template method.

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Staging schema for early diagnosis of prediabetes.

Lancet Diabetes Endocrinol

December 2024

Department of International Health, National School of Public Health, Instituto de Salud Carlos III, Madrid, Spain; Public Health Promotion Unit, Finnish Institute for Health and Welfare, Helsinki, Finland; Department of Public Health, University of Helsinki, Helsinki, Finland.

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Objective: Rehabilitation is thought to reduce ataxia severity in individuals with hereditary cerebellar ataxia (HCA). This multicenter, randomized controlled superiority trial aimed to examine the efficacy of a 30-week goal-directed rehabilitation program compared with 30 weeks of standard care on function, ataxia, health-related quality of life, and balance in individuals with an HCA.

Methods: Individuals with an autosomal dominant or recessive ataxia (aged ≥15 years) were enrolled at 5 sites in Australia.

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