739 results match your criteria: "School of Translational Medicine[Affiliation]"

Environmental and inflammatory factors influencing concurrent gut and lung inflammation.

Inflamm Res

December 2024

Department of Immunology, School of Translational Medicine, Monash University, 89 Commercial Road, Melbourne, VIC, 3004, Australia.

Background: Crohn's disease and chronic obstructive pulmonary disease (COPD) are chronic inflammatory diseases that affect the gut and lung respectively and can occur comorbidly.

Methods: Using the SHIP-1 model of Crohn's-like ileitis and chronic lung inflammation, the two diseases were co-investigated.

Results: Contrary to prior literature, Crohn's-like ileitis was not fully penetrant in SHIP-1 mice, and housing in a specific pathogen-free facility was completely protective.

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Sex and Age-at-Injury as Determinants of Social Behavior Outcomes After TBI.

Adv Neurobiol

October 2024

Department of Neuroscience, The School of Translational Medicine, Monash University, Melbourne, VIC, Australia.

Article Synopsis
  • Understanding long-term disability after traumatic brain injury (TBI) now includes recognizing significant changes in social functioning, which greatly affect quality of life.
  • The chapter examines how TBI impairs social behavior by reviewing studies of both patients and animal models, and considers factors like age and biological sex that influence these impairments.
  • It highlights the pressing need for more research to fill existing gaps in knowledge about the social effects of TBI, especially in younger individuals and across different genders.
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Objective: Awareness of one's individual risk of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) is a necessary precursor to engagement with prevention strategies and sexual health care. Web-based sexual health applications may improve engagement in sexual health prevention and care by providing individualised and evidence-based sexual health information. The STARTOnline () study sought the views of sexual health service users on three web-based sexual health applications to better understand their usefulness, acceptability and accessibility.

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Interventional radiology is growing and is a pillar of modern cost-effective healthcare across the world.

Clin Radiol

September 2024

Department of Radiology, Alfred Health, Melbourne, 3004, Australia; Department of Surgery, School of Translational Medicine, Monash University, Melbourne, 3004, Australia; National Trauma Research Institute, School of Translational Medicine, Monash University, Melbourne, 3004, Australia. Electronic address:

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Background: Mobile stroke units have been shown to deliver faster patient care and improve clinical outcomes. However, costs associated with staffing limit their use to densely populated cities. Using the Melbourne mobile stroke unit, we aim to evaluate the safety, timeliness, and resource efficiency of a telemedicine model, where the neurologist assesses a patient remotely, via telemedicine, compared with an onboard neurologist model.

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Shear-Sensing by C-Reactive Protein: Linking Aortic Stenosis and Inflammation.

Circ Res

November 2024

Atherothrombosis and Vascular Biology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia (J.Z., J.L.-S., S.B., A.L., A.R., A. Watson, N.D., P.S., A.B.-W., Y.C.C., M.M., M.L.P.V., A.H., N.M.H., X.W., G.P., J.D.M., K.P.).

Background: CRP (C-reactive protein) is a prototypical acute phase reactant. Upon dissociation of the pentameric isoform (pCRP [pentameric CRP]) into its monomeric subunits (mCRP [monomeric CRP]), it exhibits prothrombotic and proinflammatory activity. Pathophysiological shear rates as observed in aortic valve stenosis (AS) can influence protein conformation and function as observed with vWF (von Willebrand factor).

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Introduction: Understanding the heterogeneity of brain structure in individuals with the Motoric Cognitive Risk Syndrome (MCR) may improve the current risk assessments of dementia.

Methods: We used data from 6 cohorts from the (N=1987). A weakly-supervised clustering algorithm called HYDRA was applied to volumetric MRI measures to identify distinct subgroups in the population with gait speeds lower than one standard deviation (1SD) above mean.

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Objective: This systematic review examines the literature regarding perceived clinician stigma and treatment experiences of adult patients with eating disorders, emphasising lived experience perspectives.

Method: A systematic search was conducted across MEDLINE, EMBASE, PsycINFO, and the Cochrane Central Register of Controlled Trials [CENTRAL] to identify studies published from 1 January 2000 until 24 March 2024 that explored patient experiences of clinician attitudes and behaviours in eating disorder treatment. Eligible studies included those reporting on perceived clinician stigma and impacts on treatment outcomes.

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Article Synopsis
  • Inflammatory bowel disease (IBD) presents a complex challenge in predicting prognosis due to its varied disease course and the need for comprehensive assessment beyond just current symptoms.
  • This review utilizes Medline to explore patterns in disease severity, incorporating factors like genetic profiles, quality of life, and clinical histories to better understand the illness's impact on patients.
  • Findings emphasize that IBD severity should account for a combination of inflammatory levels, past complications, and patient-reported outcomes to provide a fuller picture of the disease over time.
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Evidence Synthesis and Clinical Recommendations for Supporting School Students With Sensory Processing Challenges: A Rapid Review.

Am J Occup Ther

November 2024

Alison Lane, PhD, BOccThy(Hons), is Director, Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Victoria, Australia.

Importance: Children with sensory processing challenges often need supports to access, participate in, and achieve at school. However, research on best practice is varied, presenting difficulty for practitioners to assess the appropriateness of each support.

Objective: To provide evidence-informed recommendations regarding best practices in school-based supports for students with sensory processing challenges via a Rapid Evidence Assessment of current literature.

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Radiotherapy for Unfavorable-risk Prostate Cancer: Biologic Dose Escalation, Fewer Fractions, or Both?

Eur Urol

October 2024

Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada; Institute of Health Policy, Measurement and Evaluation, University of Toronto, Toronto, Canada. Electronic address:

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Article Synopsis
  • New advanced therapies for inflammatory bowel diseases (IBDs) require enhanced risk management strategies to ensure patient safety during treatment.
  • A comprehensive set of eight statements was developed through literature review and expert consensus, focusing on assessments and vaccinations needed before starting therapies like JAK inhibitors and S1P modulators.
  • Key findings include the necessity for infectious disease screenings, updated vaccination protocols, and specific risk assessments for malignancies and cardiovascular issues to reduce IBD complications associated with these advanced treatments.
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Multidrug-resistant organism bloodstream infections in solid organ transplant recipients and impact on mortality: a systematic review.

JAC Antimicrob Resist

October 2024

Department of Infectious Diseases, The Alfred Hospital and School of Translational Medicine, Monash University, Melbourne, Australia.

Article Synopsis
  • Bloodstream infections (BSIs) in solid organ transplant (SOT) recipients show high levels of multidrug-resistant organisms (MDROs), significantly impacting morbidity and mortality rates.
  • A systematic review analyzed 52 studies, revealing that resistance percentages for MDROs like carbapenem-resistant Enterobacterales and MRSA varied geographically, with the highest rates found in Asia and North America.
  • The crude mortality associated with MDRO BSIs ranged from 15.4% to 82.4%, indicating a critical need for more comprehensive research in this vulnerable patient population.
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Introduction: Subungual acantholytic dyskeratotic acanthoma is a rare benign tumor of epidermal keratinocytes characterized by acantholysis and dyskeratosis. Only 7 other cases have been published in the literature.

Case Presentation: A 29-year-old male presented with painful erythronychia and onycholysis of the left thumbnail.

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Article Synopsis
  • Alzheimer's disease (AD) is a common and complex neurodegenerative disorder affecting older adults, but its genetic causes are still not well understood.
  • This study analyzed 41 different conditions that co-occur with AD, identifying ten genetic factors linked to these comorbidities and revealing 16 genes tied to them.
  • The research also discovered 50 potential biomarkers that could help in diagnosing AD, enhancing our understanding of how these genetic factors contribute to the disease's progression.
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Article Synopsis
  • * A total of 76 randomized controlled trials (RCTs) involving 3309 participants showed that GET significantly reduced fatigue and improved health-related quality of life (HRQoL) in patients, especially those with COPD or asthma.
  • * Although GET demonstrated potential benefits, the clinical significance of fatigue reduction varies, and no serious adverse events were reported, suggesting its safe application in treatment for these patients.
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Longitudinal objective assessment of speech in Multiple Sclerosis.

Mult Scler Relat Disord

November 2024

Department of Neuroscience, School of Translational Medicine, Monash University, Australia.

Background: Remote objective tests may supplement in-clinic examination to better inform treatment decisions. Previous cross-sectional studies presented objective speech metrics as potential markers of Multiple Sclerosis (MS) disease progression.

Objective: To examine the short-term stability and long-term sensitivity of speech metrics to MS progression.

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Background: The objective of this systematic review and meta-analysis was to update the body of evidence on the efficacy of prehabilitation with exercise interventions, in reducing postoperative complications and length of hospital stay after cancer surgery.

Methods: A comprehensive literature search was conducted on MEDLINE, Embase, The Cochrane Library, CINAHL, AMED, and PsycINFO to identify randomized controlled trials investigating the impact of prehabilitation with exercise interventions for patients undergoing cancer surgery. Primary and secondary outcomes assessed were postoperative complications and length of hospital stay, respectively.

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Article Synopsis
  • Visual impairment (VI) is a significant global health concern, impacting over 2.2 billion people, especially among older adults in China, making early detection crucial to prevent severe vision loss.
  • This study utilized data from 19,047 participants in the China Health and Retirement Longitudinal Study to predict VI using various machine learning (ML) algorithms, and identified key risk factors for the condition.
  • Results showed that 33.9% of participants had VI, with the best predictive performance achieved by the stacked ensemble model, which highlighted important predictors such as hearing impairment, health expectations, and age.
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Interactions between muscle volume and body mass index on brain structure in the UK Biobank.

Front Dement

September 2024

Peninsula Clinical School, School of Translational Medicine, Monash University, Frankston, VIC, Australia.

Background: Low skeletal muscle volume may increase dementia risk through mechanisms affecting brain structure. However, it is unclear whether this relationship exists outside of sarcopenia and/or varies by other factors. We aimed to study the interplay between skeletal muscle volume and factors, such as age, sex, and body mass index (BMI), in explaining brain structure at midlife in a cohort without sarcopenia.

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Article Synopsis
  • - The study investigates chair, bed, and toilet heights in rehabilitation hospitals and at home to help clinicians better prepare stroke survivors for returning home post-recovery.
  • - Data was gathered from six rehabilitation hospitals and homes of 200 first-time stroke survivors, revealing that home furniture is generally lower than in hospital settings (e.g., chairs are 2-5 cm shorter).
  • - The findings highlight a significant height disparity that clinicians need to address by lowering chair and bed heights in hospitals to facilitate a smoother transition for stroke survivors to their home environment.
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Realtime physical simulator for virtual reality sailing by patients with spinal cord injury: an innovative voyage.

Health Open Res

September 2024

Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, Victoria, 3004, Australia.

Background: The aim of this study was to explore whether sail training using a VSail® simulator would allow people with spinal cord injuries (SCI) to learn to sail in a safe controlled environment and then sail competently on the water in wind of moderate strength (12 knots). A battery of physical tests and questionnaires was used to evaluate possible improvements in health and well-being as a consequence of participation in the trial.

Methods: Twenty participants were recruited with the assistance of their physicians from The International Center for Spinal Cord Injury, Kennedy Krieger Institute.

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The epithelial barrier theory and its associated diseases.

Allergy

December 2024

Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland.

The prevalence of many chronic noncommunicable diseases has been steadily rising over the past six decades. During this time, over 350,000 new chemical substances have been introduced to the lives of humans. In recent years, the epithelial barrier theory came to light explaining the growing prevalence and exacerbations of these diseases worldwide.

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