17,280 results match your criteria: "Queen Elizabeth Hospital.[Affiliation]"

NK cell subsets define sustained remission in rheumatoid arthritis.

JCI Insight

December 2024

Centre for Inflammation Biology and Cancer Immunology, Floor 1, New Hunt's House, Great Maze Pond, King's College London, Guy's Campus, London, United Kingdom.

Rheumatoid arthritis (RA) is an immune-mediated, chronic inflammatory condition. With modern therapeutics and evidence-based management strategies, achieving sustained remission is increasingly common. To prevent complications associated with prolonged use of immunosuppressants, drug tapering or withdrawal is recommended.

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Cryptococcosis is the third most common invasive fungal infection in solid-organ transplant (SOT) recipients after candidiasis and aspergillosis. These patients are at risk of disseminated cryptococcosis because of immuosuppressive therapy. The median time to disease onset after kidney transplantation is approximately 35 months and it rarely occurs more than 10 years after transplantation.

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Article Synopsis
  • The study focuses on the management of advanced ovarian cancer, highlighting the gold standard of complete removal of visible tumors, and exploring the implications of delayed cytoreductive surgery for patients who cannot undergo initial or interval surgery.
  • It is a retrospective analysis of patients with stage IIIC or higher ovarian cancer at the Northern Gynaecological Oncology Centre over six years, comparing survival outcomes between two groups: those who received only chemotherapy and those who had delayed surgery after six cycles.
  • Of the 89 patients evaluated, most completed six cycles of chemotherapy without surgery, while a smaller group underwent delayed surgery, suggesting a potential benefit from this approach in specific cases where initial surgery was not feasible.
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Background: Surgical-site infection following open appendicectomy for perforated appendicitis increases length of hospital stay and treatment costs while compromising patients' quality of life. Data from randomized clinical trials (RCTs) evaluating the role of super-oxidized solution in perforated appendicitis are lacking. The study objective was to determine the effect of peritoneal and wound lavage with super-oxidized solution in reducing risk of surgical-site infection following open appendicectomy for perforated appendicitis.

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  • - The study explored the effects of injecting phosphorus-32 (P) microparticles into pancreatic tumors during chemotherapy (FOLFIRINOX) to improve poor blood flow—which hinders treatment responses—in patients with locally advanced pancreatic cancer (LAPC).
  • - Out of 20 patients, the results showed a significant decrease in tumor size and increased vascularity after P implantation, with 25% achieving tumor downstaging and four patients opting for surgery.
  • - Most patients (75%) remained alive after an average follow-up of 11.2 months, but the study found no significant difference in overall survival between patients who showed increased tumor blood flow and those who did not.
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Fish allergy is a significant health concern, with diagnosis and management complicated by diverse fish species and allergens. We conducted a comprehensive RNA-seq analysis of eight fish species to identify allergen profiles, integrating ImmunoCAP sIgE data to explore associations with allergen expression and diagnostic performance. Over 30 putative fish allergens were identified, with varying sequence similarities and expression levels, roughly classifying fish into two groups based on parvalbumin (PV) expression.

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  • - Gout is a chronic condition caused by the immune system's reaction to monosodium urate crystals due to high uric acid levels, and recent research sheds light on its inflammatory mechanisms.
  • - A large genome-wide association study (GWAS) involving 2.6 million people identified 377 genetic locations linked to gout, with a focus on 149 new loci related to urate and gout inflammation.
  • - The study also pinpointed candidate genes influencing the inflammatory response in gout, including those affecting NLRP3 inflammasome activity, and suggests a potential causal role of specific genetic factors in developing the disease.
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Competing endogenous RNAs (ceRNAs) and drug resistance to cancer therapy.

Cancer Drug Resist

September 2024

Department of Clinical Oncology, Queen Elizabeth Hospital, Hong Kong SAR 999077, China.

Article Synopsis
  • Competing endogenous RNAs (ceRNAs) are RNA molecules that have similar sites for binding microRNAs (miRNAs), which helps regulate gene expression by either degrading mRNA or stopping protein production.
  • These ceRNAs can compete for miRNAs, creating a network that influences biological processes, including cancer drug resistance, where cancer cells become impervious to chemotherapy.
  • Recent research highlights the potential of ceRNAs as prognostic biomarkers for predicting how well patients will respond to cancer treatment, but further experimental validation is necessary for their clinical use.
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Objective: Most patients who have an implantable cardioverter-defibrillator (ICD) implant do not receive life-prolonging therapy from it. Little research has been undertaken to determine which patients benefit the least from ICD therapy. As patients age and accumulate comorbidities, the risk of death increases and the benefit of ICDs diminishes.

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Congenital adrenal hyperplasia has been reported to manifest with white matter aberrations. However, many previous studies included only small samples, restricted their analyses to females, lacked a control group and/or did not correct for brain size. Here, we examined the largest sample to date, comprising 53 male and female participants with congenital adrenal hyperplasia, who were matched with 53 male and female controls in terms of sex, age, education, and verbal intelligence.

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Background Neonatal jaundice, characterized by the yellow discoloration of an infant's skin and eyes, is a common condition that affects newborns. It results from an elevated level of bilirubin in the blood and, when severe, if left untreated, can lead to complications such as acute bilirubin encephalopathy and kernicterus, which can cause permanent neurological damage or even death. In low-resource settings like Nigeria, delayed recognition and inadequate management of neonatal jaundice are significant contributors to neonatal morbidity and mortality.

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  • The study investigates the significance of cardiac troponin (cTn) levels in predicting mortality in patients with Takotsubo syndrome (TTS), analyzing data from the International Takotsubo Registry.
  • It identifies that a cTn increase greater than 28.8 times the upper reference limit signals clinically relevant myocardial injury, correlating with a higher risk of mortality over 5 years (adjusted HR 1.58).
  • The findings enhance understanding of patient risk profiles in TTS, emphasizing the need for increased monitoring and follow-up for those with significant troponin elevations.
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  • Accurate staging for nasopharyngeal carcinoma (NPC) is vital for treatment and prognosis, using the AJCC/UICC TNM system as a standardized approach, necessitating ongoing updates to reflect modern care practices.
  • The study aimed to enhance the accuracy and relevance of the TNM-8 system for NPC by analyzing patient data from 2014-2015 and undergoing rigorous validation processes leading to the development of TNM-9.
  • Results from over 4,900 patients highlighted that advanced extranodal extension was a key negative prognostic factor, prompting a proposed restructuring of staging for nonmetastatic cases from TNM-8 classifications.
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Background: Malnutrition is a significant risk for patients during cancer treatment. Neglecting to monitor or provide timely dietetic support can result in lower tolerance to treatments and reduced quality of life. This audit aimed to assess the completeness and accuracy of the documentation of anthropometric measurements in medical records and dietetic referral practices across four day-treatment units (DTUs) in England.

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  • - The study aimed to compare the effectiveness of romosozumab (ROMO) and denosumab (DEN) in increasing spine bone mineral density (BMD) in patients using long-term glucocorticoids, specifically those on prednisolone. - Results showed that after 12 months, ROMO significantly increased spine BMD by 7.3% compared to 2.3% with DEN, and this trend continued for both groups at 24 months, although ROMO still had greater gains. - While both treatments were effective, ROMO led to better results for spine BMD, but patients on ROMO reported more injection site reactions.
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Objectives: To investigate the utility and effectiveness of a school outreach programme in areas of lower socioeconomic status to improve understanding of common endocrine topics and the medical profession.

Methods: Two secondary school outreach sessions were conducted in July 2022. Students were invited to attend lectures delivered by medical professionals and engage in poster-making sessions using the knowledge they had gained throughout the day.

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  • Urinary catheterisation requires a solid grasp of anatomical differences between males and females to ensure safety and effectiveness in healthcare.
  • The guide emphasizes the anatomy of the urinary system, outlines different catheterisation techniques, and highlights the importance of evidence-based practices and ongoing training for healthcare providers.
  • It also promotes patient-focused care, teamwork among healthcare professionals, and adherence to updated policies to minimize complications like catheter-associated urinary tract infections (CAUTIs).
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Congenital Adrenal Hyperplasia (CAH) has been reported to involve structural alterations in some brain regions. However, it remains to be established whether there is also an impact on the size of the brain as a whole. Here, we compiled the largest CAH sample to date (n = 53), matched pair-wise to a control group (n = 53) on sex, age, and verbal intelligence.

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Factors associated with favourable pathological tumour response after neoadjuvant chemotherapy in patients with pancreatic ductal adenocarcinoma.

HPB (Oxford)

December 2024

Hepatobiliary and Pancreatic Surgery Unit, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, West Midlands, United Kingdom; College of Medical and Dental Sciences, University of Birmingham, Birmingham, West Midlands, United Kingdom.

Introduction: Pathological response of pancreatic ductal adenocarcinoma (PDAC) to neoadjuvant chemotherapy (NAT) has been associated with oncological outcome. The aim of the study was to investigate factors associated with favourable tumour regression in patients undergoing pancreatic resection for PDAC.

Methods: Patients who received NAT before undergoing PDAC resection at two institutions were reviewed.

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  • - Pediatric carpal fractures, particularly non-scaphoid ones, are uncommon and can be hard to diagnose; this paper reviews existing literature and presents a case of a 12-year-old boy with a lunate fracture.
  • - There is no agreement on the best way to treat these fractures, largely due to the limited number of cases reported in the literature.
  • - The study highlights the importance of extended follow-up for pediatric carpal fractures to identify delayed complications and functional issues, particularly in defining what constitutes delayed union.
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