1,593 results match your criteria: "Sheffield Medical School[Affiliation]"

Introduction: Increased skin pH values in patients with atopic dermatitis (AD) contribute to poor antimicrobial and permeability barrier functions of the skin. In practice, the majority of topical preparations available for dry skin conditions do not provide sufficient pH and buffering capacity for maintaining optimum skin surface conditions. To address this issue, we tested a novel zinc lactobionate preparation to determine whether the regular application would lower skin surface pH, and in doing so improve the condition of lesional skin.

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Results of shared learning of a new radiofrequency identification localization device-a UK iBRA-NET breast cancer localisation study.

Clin Radiol

November 2024

Nightingale Breast Centre, Manchester University NHS Foundation Trust, UK; Division of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. Electronic address:

Introduction: Localisation methods for surgical excision of impalpable breast lesions have advanced in recent years, with increasing utilization of new wire-free technologies. The Hologic LOCalizer™ radiofrequency identification (RFID) tag is one such device; however, as is the case when new technologies are first introduced, little is known about clinical experiences, potential complications, and learning used to overcome perioperative challenges when changing from guidewires to RFID tags. This study reports shared learning experiences of clinicians using the LOCalizer™ as part of the national iBRA-NET localisation study.

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Background: Computed tomography pulmonary angiography (CTPA) has been proposed to be diagnostic for pulmonary hypertension (PH) in multiple studies. However, the utility of the unenhanced CT measurements diagnosing PH has not been fully assessed. This study aimed to assess the diagnostic utility and reproducibility of cardiac and great vessel parameters on unenhanced computed tomography (CT) in suspected pulmonary hypertension (PH).

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Unlabelled: Associations between different sarcopenia definitions and the risk of injurious falls were investigated in 75-80-year-old women in the Swedish SUPERB cohort. Only sarcopenia according to the Sarcopenia Definitions and Outcomes Consortium (SDOC) definition was associated with incident injurious falls with and without fractures in older women.

Purpose: To investigate the association between three commonly used sarcopenia definitions and the risk of injurious falls in a population of older Swedish women.

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The paradigm for macrophage characterization has evolved from the simple M1/M2 dichotomy to a more complex model that encompasses the broad spectrum of macrophage phenotypic diversity, due to differences in ontogeny and/or local stimuli. We currently lack an in-depth pan-cancer single cell RNA-seq (scRNAseq) atlas of tumour-associated macrophages (TAMs) that fully captures this complexity. In addition, an increased understanding of macrophage diversity could help to explain the variable responses of cancer patients to immunotherapy.

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Current and novel therapies for management of -associated pneumonia.

Crit Rev Microbiol

July 2024

Department of Microbiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.

Article Synopsis
  • A common pathogen linked to hospital-acquired pneumonia shows increasing resistance to key antibiotics, highlighting the need for new treatment options.
  • The review examines both current and innovative therapeutic strategies, including antibiotic combination therapies which have yielded mixed results in studies.
  • It also discusses emerging therapies like antimicrobial peptides, bacteriophage-based treatments, and nanoparticle therapies, emphasizing the need for further research to ensure their safety and effectiveness before being used clinically.
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Background: When commencing enteral feeding, patients and families will want to know the likelihood of returning to an oral diet. There is a paucity of data on the prognosis of patients with gastrostomies. We describe a large dataset of patients, which identifies factors influencing gastrostomy removal and assesses the likelihood of the patient having at home enteral nutrition.

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Article Synopsis
  • - The International Osteoporosis Foundation (IOF) has published a position paper addressing partnerships with scientists from countries involved in armed conflicts.
  • - A commission within the IOF has assessed and recommended guidelines for such collaborations to ensure ethical considerations are met.
  • - The IOF Board has unanimously adopted these findings and recommendations, emphasizing a commitment to responsible engagement in scientific partnerships.
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Objectives: To investigate differences in students' career intentions between UK medical schools.

Design: Cross-sectional, mixed-methods online survey.

Setting: The primary study included all 44 UK medical schools, with this analysis comprising 42 medical schools.

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A plasma protein-based risk score to predict hip fractures.

Nat Aging

August 2024

Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Osteoporosis Centre, Centre for Bone and Arthritis Research at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Article Synopsis
  • Researchers developed a protein-based risk score for predicting hip fractures using an aptamer-based proteomic platform that showed promise in initial studies.
  • The risk score demonstrated strong predictive capabilities and improved fracture discrimination when validated in additional health study cohorts and in a UK Biobank cohort.
  • While the proteomic risk score outperformed existing tools, including the FRAX assessment, its clinical usefulness beyond current methods and the modest improvement in prediction need further evaluation.
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The convergence of digital pathology and artificial intelligence could assist histopathology image analysis by providing tools for rapid, automated morphological analysis. This systematic review explores the use of artificial intelligence for histopathological image analysis of digitised central nervous system (CNS) tumour slides. Comprehensive searches were conducted across EMBASE, Medline and the Cochrane Library up to June 2023 using relevant keywords.

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Background: Occupational exposure to metals can be associated with respiratory diseases which can adversely affect the individual's health, finances and employment. Despite this, little is known about the incidence of these respiratory conditions over prolonged periods of time.

Aims: This study aimed to investigate the trends in the incidence of work-related respiratory diseases attributed to nickel, chromium and cobalt in the UK.

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Association Between Visual Acuity and Prospective Fall Risk in Generally Healthy and Active Older Adults: The 3-Year DO-HEALTH Study.

J Am Med Dir Assoc

May 2024

Centre on Aging and Mobility, University of Zurich and City Hospital Zurich, Zurich, Switzerland; Department of Aging Medicine and Aging Research, University of Zurich, Zurich, Switzerland; University Hospital Toulouse, IHU HealthAge Toulouse, France. Electronic address:

Objective: Although aging has a strong impact on visual acuity (VA) and falls, their interaction is understudied in generally healthy older adults. This study aimed to examine if and to what extent baseline VA is associated with an increased risk of all and injurious falls over 3 years in generally healthy community-dwelling older adults.

Design: Observational analysis of DO-HEALTH, a double-blind, randomized controlled trial.

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Article Synopsis
  • A study examined the effects of vitamin D3, omega-3s, and a home-based exercise program (SHEP) on bone mineral density (BMD) in healthy older adults aged 70 and above over three years.
  • Results showed no significant benefits from omega-3s or SHEP, but vitamin D3 improved total hip BMD and lumbar spine BMD in men with modest gains.
  • While there were some positive effects of vitamin D treatment, the overall clinical significance of these findings remains uncertain.
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  • The Mayo clinic imaging classification helps in better risk assessment for autosomal dominant polycystic kidney disease (ADPKD), but it struggles with diverse non-White populations and atypical imaging patterns.
  • In a study of 98 Chinese ADPKD patients, 17% exhibited atypical imaging patterns, leading to later diagnosis and milder disease severity.
  • Future genetic studies are needed to explore potential genotypic differences that might explain the varied phenotypic expressions seen in these patients.
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Background: Ultra-short coeliac disease (USCD) is defined as villous atrophy only present in the duodenal bulb (D1) with concurrent positive coeliac serology. We present the first, multicentre, international study of patients with USCD.

Methods: Patients with USCD were identified from 10 tertiary hospitals (6 from Europe, 2 from Asia, 1 from North America and 1 from Australasia) and compared with age-matched and sex-matched patients with conventional coeliac disease.

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Article Synopsis
  • Osteoporosis has traditionally been seen as a women's disease, but recent evidence highlights its significant impact on men, necessitating more balanced research and guidelines for both genders.
  • An international working group has developed GRADE-assessed recommendations focusing on diagnosing, monitoring, and treating osteoporosis in men, based on a thorough review of current research.
  • Key areas of focus include understanding bone densitometry interpretations, treatment thresholds, and evaluating the economic impact of interventions, while future research needs to explore the effectiveness of various osteoporosis medications.
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The purpose of this study was to investigate the prevalence of three sarcopenia definitions and their associations with fracture risk in older Swedish women when adjusted for fracture risk assessment (FRAX)-based risk factors; 2,883 women with a mean age of 77.8 years were included. Sarcopenia was defined based on the Sarcopenia Definitions and Outcomes Consortium (SDOC; low handgrip strength [kg] and gait speed (m/s)), revised European Working Group on Sarcopenia in Older People (EWGSOP2; low appendicular lean mass index, appendicular lean mass [ALM]/height; kg/m2], and hand grip strength [kg]), and Asian Working Group for Sarcopenia (AWGS; low ALM (kg), and hand grip strength [kg]) definitions.

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Glioblastoma is an aggressive, incurable brain cancer with poor five-year survival rates of around 13% despite multimodal treatment with surgery, DNA-damaging chemoradiotherapy and the recent addition of Tumour Treating Fields (TTFields). As such, there is an urgent need to improve our current understanding of cellular responses to TTFields using more clinically and surgically relevant models, which reflect the profound spatial heterogeneity within glioblastoma, and leverage these biological insights to inform the rational design of more effective therapeutic strategies incorporating TTFields. We have recently reported the use of preclinical TTFields using the inovitro system within 2D glioma stem-like cell (GSC) models and demonstrated significant cytotoxicity enhancement when co-applied with a range of therapeutically approved and preclinical DNA damage response inhibitors (DDRi) and chemoradiotherapy.

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Retinal imaging for the assessment of stroke risk: a systematic review.

J Neurol

May 2024

Division of Evolution, Infection and Genomics, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

Background: Stroke is a leading cause of morbidity and mortality. Retinal imaging allows non-invasive assessment of the microvasculature. Consequently, retinal imaging is a technology which is garnering increasing attention as a means of assessing cardiovascular health and stroke risk.

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Knowledge of head and neck cancer among medical students in the UK.

Br J Oral Maxillofac Surg

February 2024

Aston Medical School, Aston University, Birmingham B4 7ET, United Kingdom.

Article Synopsis
  • Head and neck cancer (HNC) involves cancers of the mucosal surfaces from the sinuses to the larynx, with around 3900 new cases annually in women and 8600 in men from 2016-2018.
  • A study assessed the teaching on HNC for UK medical students, finding that 23.2% received no education on it, and 54.3% of those who did were taught through large lectures.
  • The majority (87.1%) of respondents felt there should be more focus on HNC in medical training, highlighting concerns about current knowledge and confidence in recognizing symptoms and referral criteria.
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