5,929 results match your criteria: "St George's-University of London[Affiliation]"

Assessment of long-term exposure to traffic-related air pollution: An exposure framework.

J Expo Sci Environ Epidemiol

November 2024

Institute for Risk Assessment Sciences, Environmental Epidemiology, Utrecht University, Utrecht, Netherlands.

Background: Exposure to ambient air pollution is associated with morbidity and mortality, making it an important public health concern. Emissions from motorized traffic are a common source of air pollution but evaluating the contribution of traffic-related air pollution (TRAP) emissions to health risks is challenging because it is difficult to disentangle the contribution of individual air pollution sources to exposure contrasts in an epidemiological study.

Objective: This paper describes a new framework to identify whether air pollution differences reflect contrasts in TRAP exposures.

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Background: Guidance and outcomes of coronary ischemia assessment (IA) in those with structural heart disease (SHD), presenting with monomorphic ventricular tachycardia (MMVT) is unclear.

Objectives: To assess the impact of IA on arrhythmic and non-arrhythmic outcomes in those with SHD.

Methods: Patients presenting with MMVT over a 6-year period to a tertiary center were retrospectively analyzed.

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Are the Cardiovascular Benefits and Potential Risks of Physical Activity and Exercise Dependent on Race, Ethnicity, or Sex?

Can J Cardiol

November 2024

Cardiovascular and Genomics Research Institute, City St George's University of London, London, United Kingdom; St George's University Hospitals NHS Foundation Trust, London, United Kingdom; Cleveland Clinic London, London, United Kingdom. Electronic address:

Physical activity (PA) is established as a cornerstone of cardiovascular health, however, disparities in participation exist across sociocultural groups, which in turn affect cardiovascular outcomes. Evidence suggests that although the positive cardiovascular effects of exercise are consistent across populations, notable differences in the magnitude of these benefits exist for racial and ethnic minorities and the female sex. Women derive greater protection from PA compared with men, with reduced rates of sudden cardiac death.

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The study aimed to develop structured, expert-based clinical guidance on the prenatal and postnatal management of hemolytic disease of the fetus and newborn. A Delphi procedure was conducted among an international panel of experts in fetal medicine, neonatology, and hematology. Experts were selected based on their expertise, relevant publications, and affiliations.

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Article Synopsis
  • Brugada syndrome (BrS) is a hereditary heart condition that raises the risk of sudden cardiac death due to dangerous heart rhythms, and catheter ablation can help reduce these risks by targeting specific areas in the heart.
  • A 66-year-old male with BrS underwent a unique catheter ablation procedure using automated frequency mapping to locate and treat problematic heart regions, showing a significant reduction in dangerous heart abnormalities.
  • Follow-up results indicated successful outcomes with normalized ECG and no further occurrences of ventricular arrhythmias, highlighting the effectiveness of this automated mapping and ablation strategy.
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Congenital heart defects during COVID-19 pandemic.

Ultrasound Obstet Gynecol

November 2024

Foundation for Health Care Quality, Seattle, WA, USA.

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International migrants, especially those belonging to key populations, face a considerable HIV burden. However, continuity of HIV care for this group is often challenged along the migration route. We assess the available evidence on the existing interventions that aim to strengthen community and health systems to ensure the continuity of HIV care for international migrants.

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Background: Advances in haemolytic disease of the fetus and newborn have led to numerous treatment options. We report practice variations in the management and outcomes of haemolytic disease of the fetus and newborn in at-risk pregnancies.

Methods: In this international, retrospective, observational cohort study, data from cases with moderate or severe haemolytic disease of the fetus and newborn were retrieved from 31 centres in 22 countries.

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Accuracy of immunological tests on serum and urine for diagnosis of Taenia solium neurocysticercosis: A systematic review.

PLoS Negl Trop Dis

November 2024

Laboratory of Foodborne Parasitic Zoonoses, Department of Translational Physiology, Infectiology and Public Health, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

Article Synopsis
  • * A comprehensive review analyzed 169 records, focusing on 53 studies that evaluated the accuracy of various antibody and antigen tests using human serum or urine, revealing challenges in data interpretation due to variability in results.
  • * Notably, a new multi-antigen print immunoassay showed high sensitivity and specificity for detecting both parenchymal and extraparenchymal cysts, while point-of-care tests also showed potential but need additional validation, particularly in resource-limited settings.
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Article Synopsis
  • * The research reviewed 18 studies involving 803 patients and found in-hospital mortality and major bleeding rates were low, at 1.8% and 2.1% respectively.
  • * Results showed significant improvements in oxygen saturation and blood pressure after the procedure, suggesting that CDT offers beneficial hemodynamic outcomes and a favorable safety profile, supporting its increased use in clinical settings.
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A quality assessment and systematic review of clinical practice guidelines on hormone replacement therapy for menopause using the AGREE II instrument.

Eur J Obstet Gynecol Reprod Biol

December 2024

Mother and Child Department, "Iuliu Hațieganu" University of Medicine and Pharmacy, 8 Victor Babes Str, Cluj-Napoca 400347, Romania; 2(nd) Obstetrics and Gynaecology Clinical Section, Cluj County Emergency Clinical Hospital, 55-57 21(st) of December 1989 Bld, Cluj-Napoca 400124, Romania.

Clinical Practice Guidelines (CPGs) have an indispensable role in guiding the selection of treatments for menopause. Variations in guidelines can impact treatments and health outcomes. The aim of this study was to assess CPGs on hormone replacement therapy (HRT) for menopause, systematically reviewing their quality and compiling recommendations for HRT usage.

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Background: Predicting which children and young people (CYP) are at the highest risk of developing post-COVID-19 condition (PCC) could improve care pathways. We aim to develop and validate prediction models for persistent PCC up to 24 months post-infection in CYP.

Methods: CYP who were PCR-positive between September 2020 and March 2021, with follow-up data up to 24-months post-infection, were analysed.

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Maternal and neonatal risks and outcomes after bariatric surgery: a comparative population based study across BMI categories in Qatar.

Sci Rep

November 2024

Department of Pediatrics and Neonatology, Neonatal Intensive Care Unit, Newborn Screening Unit, Women's Wellness and Research Center, Hamad Medical Corporation (HMC), Doha, Qatar.

Article Synopsis
  • The study examines how Bariatric Surgery (BS) affects pregnancy outcomes in women, comparing those who had BS to those in different BMI categories (obesity, overweight, normal weight).
  • A total of 6,212 pregnant women were analyzed, revealing that post-BS women were more likely to experience cesarean deliveries, preterm births, stillbirths, and have low-birth-weight babies.
  • The authors suggest that pregnancies following BS should be regarded as high-risk, emphasizing the need for careful monitoring during antenatal and postnatal care.
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Simple imaging biomarker predicts survival in anal squamous cell cancer treated with curative intent: a UK cohort study.

Clin Radiol

October 2024

Imperial College London (Department of Surgery and Cancer), Department of Surgery and Cancer, Imperial College, Room BN1/2, B Block 1st Floor, Hammersmith Campus, Imperial College, Du Cane Road, W12 0HS, UK. Electronic address:

Aim: This study aimed to determine the prognostic significance of length of tumour (mrT stage) and depth of extramural spread (mrEMS) in anal squamous cell cancer (SCC) treated by chemoradiation with curative intent. Locally advanced anal SCC (T3-4 N+) have poorer prognosis, but it is unknown whether the lateral spread of the tumour (extramural spread beyond the bowel wall) also confers poor prognosis in anal SCC, as it does for rectal cancer. T stage and mrEMS can be readily assessed by pelvic magnetic resonance imaging (MRI) routinely undertaken to stage anal SCC.

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Ocular coloboma (OC) is a congenital disorder caused by the incomplete closure of the embryonic ocular fissure. OC can present as a simple anomaly or, in more complex forms, be associated with additional ocular abnormalities. It can occur in isolation or as part of a broader syndrome, exhibiting considerable genetic heterogeneity.

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Evaluating methods for identifying and quantifying co-colonization using next-generation sequencing data.

Microbiol Spectr

November 2024

Faculty of Epidemiology and Population Health, Department of Infectious Disease Epidemiology, The London School of Hygiene and Tropical Medicine, London, United Kingdom.

Detection of multiple pneumococcal serotype carriage can enhance monitoring of pneumococcal vaccine impact, particularly among high-burden childhood populations. We assessed methods for identifying co-carriage of pneumococcal serotypes from whole-genome sequences. Twenty-four nasopharyngeal samples were collected during community carriage surveillance from healthy children in Blantyre, Malawi, which were then serotyped by microarray.

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Participants in the 100,000 Genomes Project (100kGP) could consent to receive additional finding (AF) results, individual variants relating to genes associated with susceptibility to cancer and familial hypercholesterolemia (FH). In the study reported here, qualitative interviews were used to explore the experiences of National Health Service (NHS) professionals from across England who were tasked with returning over 80,000 "no AF" results and 700 positive AF results to 100kGP participants. Interviews were conducted with 45 professionals from a range of backgrounds, including Genetic Counsellors, Clinical Geneticists, FH Clinical Nurse Specialists and Clinical Scientists.

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Background: Health-related quality of life (HRQOL) is an important and frequently used patient-reported outcome in health research. However, little qualitative research exists in this field in South Africa. This study was set in Khayelitsha, one of the largest informal settlements in South Africa, where the burden of HIV and tuberculosis (TB) co-infection are amongst the highest in the world and significantly affect HRQOL.

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Background: Cardiomyopathies are clinically important conditions, with a strong genetic component. National genomic initiatives such as 100,000 Genome Project (100KGP) provide opportunity to study these rare conditions at scale beyond conventional research studies.

Methods: We present the clinical and molecular characteristics of the 100KGP cohort, comparing paediatric and adult probands with diverse cardiomyopathies.

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Article Synopsis
  • The British Orthopaedic Association recommends surgical debridement for pediatric Gustilo-Anderson type I upper limb open fractures, but evidence for its benefits is limited due to low infection rates in these cases.
  • A systematic review was conducted, focusing on patients under 18 with type I fractures treated either with antibiotics alone or surgical debridement, excluding those requiring stabilization.
  • Results showed that both treatment methods had low infection rates (0.3% for non-operative and 0.4% for operative), indicating that surgical debridement may not be necessary, and treatment should be tailored based on individual patient factors.
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Article Synopsis
  • The ORBITA-2 trial examined the effectiveness of percutaneous coronary intervention (PCI) in relieving stable angina in patients with coronary artery disease (CAD) compared to a placebo.
  • Participants reported daily angina episodes and underwent tests to measure fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR) before being randomized to receive either PCI or a placebo.
  • Results indicated that lower FFR and iFR values were associated with significantly greater improvement in angina symptoms following PCI, suggesting these measurements can help predict the benefits of the intervention.
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