6,097 results match your criteria: "University of Dundee Ninewells Hospital & Medical School[Affiliation]"

Background: The serum antiglycopeptidolipid core IgA antibody test has been proposed as a diagnostic tool for Mycobacterium avium complex pulmonary diseases. Cross-reactivity with other nontuberculous mycobacteria (NTM), including Mycobacterium abscessus, indicates that it may have a role as a broader screening test for nontuberculous mycobacterial pulmonary disease (NTM-PD). NTM-PD is believed to be underdiagnosed in patients with bronchiectasis.

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Diabetes exerts a causal impact on the nervous system within the right hippocampus: substantiated by genetic data.

Endocrine

October 2024

Department of Endocrinology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.

Introduction: Diabetes and neuronal loss in the hippocampus have been observed to be correlated in several studies; however, the exact causality of this association remains uncertain. This study aims to explore the potential causal relationship between diabetes and the hippocampal nervous system.

Methods: We utilized the two-sample Mendelian randomization (MR) analysis to investigate the potential causal connection between diabetes and the hippocampal nervous system.

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A Preliminary Study on Kinetic Analysis of Ground Reaction Force and Impulse During Gait in Patients With Total Hip Replacement and Implication for Rehabilitation.

Orthop Surg

December 2024

Department of Orthopaedic and Trauma Surgery, Orthopaedics and Rehabilitation Technology Centre, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.

Background: There is little research done on ground reaction forces (GRF) in terms of 3D impulses after total hip replacement (THR). This study aimed to investigate the GRFs and 3D impulses in four sub-phases of stance during gait in the patients undergoing THR.

Methods: A total of 10 pain-free THR patients and 10 healthy people were recruited.

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Article Synopsis
  • The study explored genetic links to neuropathic pain by comparing individuals with the condition to those who had injuries but did not experience neuropathic pain.
  • Key findings included significant associations with the KCNT2 gene and pain intensity, as well as other genes like LHX8 and TCF7L2 connected to neuropathic pain.
  • The research also highlighted the influence of polygenic risk scores related to depression and inflammation on neuropathic pain, while discovering novel genetic variants tied to specific sensory profiles.
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Williams-Campbell syndrome case series and discordant twins.

ERJ Open Res

September 2024

Department of Medicine V, LMU University Hospital, LMU Munich, Comprehensive Pneumology Center, Member of the German Center of Lung Research (DZL), Munich, Germany.

https://bit.ly/3Xqze8x.

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Article Synopsis
  • Aspergillus species are linked to various conditions in bronchiectasis, including ABPA, AS, and increased IgG levels indicating exposure or infection.
  • A study of nearly 10,000 bronchiectasis patients revealed 6.1% with ABPA, 5.7% with AS, and 8.1% with elevated Aspergillus-specific IgG levels, with these conditions associated with more severe lung issues and exacerbations.
  • Long-term follow-up showed that those with raised IgG levels faced more frequent and severe exacerbations, particularly affecting patients not on inhaled corticosteroids.
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Article Synopsis
  • The global population is aging, and cancer rates are increasing, leading to more older adults living with cancer and requiring specialized care.
  • Recent advancements in oncology, such as earlier diagnosis and diverse treatment options, highlight the importance of preparing health services to effectively care for older cancer patients who often have complex needs.
  • This paper reviews the significant progress made in the UK in providing comprehensive geriatric assessments and new clinical services for older cancer patients, aiming to share these improvements with other healthcare systems.
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Knowledge on the genetic basis of Parkinson's disease has grown tremendously since the discovery of the first monogenic form, caused by a mutation in α-synuclein, and with the subsequent identification of multiple other causative genes and associated loci. Genetic studies provide insights into the phenotypic heterogeneity and global distribution of Parkinson's disease. By shedding light on the underlying biological mechanisms, genetics facilitates the identification of new biomarkers and therapeutic targets.

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Adjudication of Hospitalizations and Deaths in the IRONMAN Trial of Intravenous Iron for Heart Failure.

J Am Coll Cardiol

October 2024

Department of Cardiology, Portsmouth Hospitals University NHS Trust, Portsmouth, United Kingdom; Faculty of Science and Health, University of Portsmouth, Portsmouth, United Kingdom; College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom.

Background: Patients with heart failure and iron deficiency have diverse causes for hospitalization and death that might be affected by iron repletion.

Objectives: The purpose of this study was to explore causes of hospitalizations and deaths in a randomized trial (IRONMAN) of heart failure comparing intravenous ferric derisomaltose (FDI) (n = 568) and usual care (n = 569).

Methods: Patients with heart failure, left ventricular ejection fraction ≤45%, and either transferrin saturation <20% or serum ferritin <100 μg/L were enrolled.

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Meeting the World Health Organisation 2030 target of treating 80% of people with hepatitis C virus (HCV) in Australia requires accessible testing and treatment services for at-risk populations. Previous clinical trials, including those in Australia, have demonstrated the efficacy of outreach programmes to community pharmacies offering opioid agonist therapy (OAT). This analysis evaluates the potential cost-effectiveness of introducing an outreach programme in community pharmacies.

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The triple radiologic asthma phenotype is associated with worse disease control.

J Allergy Clin Immunol Glob

November 2024

Scottish Centre for Respiratory Research, School of Medicine, University of Dundee, Dundee, United Kingdom.

Background: Efforts have been made to combine radiographic biomarkers such as bronchiectasis or bronchial wall thickness (BWT) for the purpose of identifying asthma subphenotypes and their clinical implications.

Objective: Our aim was to assess whether a composite triple radiologic phenotype measured by high-resolution computed tomography comprising BWT, mucus plug score (MPS), and mediastinal lymph node (MLN) size might provide a better insight into subphenotypes in persistent asthma.

Methods: A total of 112 patients with moderate-to-severe asthma were included in this retrospective observational study.

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Introduction: Randomised evidence supports the use of partial breast irradiation (PBI) with targeted intraoperative radiotherapy (TARGIT-IORT) for early stage breast cancer, but prospective data from real-world adoption of this technique is also important. The aim of this study was to determine if the outcome reported in TARGIT-A trial could be replicated in large cohort of early stage breast cancer treated with TARGIT-IORT.

Methods: This prospective observational study analysed all patients treated with TARGIT-IORT between 2004 and 2021 in a single national cancer institute.

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GWAS-by-subtraction reveals an IOP-independent component of primary open angle glaucoma.

Nat Commun

October 2024

Guangdong Eye Institute, Department of Ophthalmology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, China.

The etiology of primary open angle glaucoma is constituted by both intraocular pressure-dependent and intraocular pressure-independent mechanisms. However, GWASs of traits affecting primary open angle glaucoma through mechanisms independent of intraocular pressure remains limited. Here, we address this gap by subtracting the genetic effects of a GWAS for intraocular pressure from a GWAS for primary open angle glaucoma to reveal the genetic contribution to primary open angle glaucoma via intraocular pressure-independent mechanisms.

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Article Synopsis
  • - 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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  • - The DEBIOC trial explored the safety and efficacy of neoadjuvant treatment using oxaliplatin and capecitabine (Xelox) with or without AZD8931 in patients with oesophageal adenocarcinoma, showing moderate safety but limited effectiveness.
  • - Researchers analyzed genetic data from 25 pre-treatment and 18 post-treatment biopsy samples to examine how these treatments influenced biological pathways related to cancer through advanced software tools.
  • - Their findings identified three molecular subgroups linked to immune response, with treatment affecting immune signaling and tumor-infiltrating lymphocytes, while the addition of AZD8931 promoted a less favorable immunosuppressive environment and common cancer resistance mechanisms.
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Symptom management for people with advanced dementia who are receiving end of life care.

Curr Opin Support Palliat Care

December 2024

University of Glasgow, School of Medicine, Dentistry and Nursing, Glasgow, UK.

Article Synopsis
  • This review examines current research on managing symptoms for individuals with advanced dementia, particularly in their final year of life, and discusses the challenges faced by palliative care specialists.
  • Recent studies reveal that advanced dementia patients often have unmet needs for pain, breathlessness, and psychological support, resulting in subpar care due to their unpredictable illness progression.
  • To improve the quality of life for these patients, the review suggests better training for caregivers, enhanced teamwork among healthcare providers, and more integrated care approaches in both home and institutional settings.
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LRRK2 is not required for lysozyme expression in Paneth cells.

Nat Immunol

November 2024

Medical Research Council Protein Phosphorylation and Ubiquitylation Unit, School of Life Sciences, University of Dundee, Dundee, UK.

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Article Synopsis
  • Researchers are studying the selection criteria for medical training in the UK to see if they help or hurt certain ethnic and socioeconomic groups.
  • The study will use documents and surveys to gather information from medical students about how they're chosen for the Specialised Foundation Programme.
  • Understanding any unfairness in selection is important because it can affect the future of medical professionals and healthcare diversity.
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Low doses of ionising radiation: definitions and contexts.

J Radiol Prot

October 2024

Department of Medical Physics, Ninewells Hospital and Medical School, Dundee, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND.

The term 'low dose' is applied to different levels of dose depending on the circumstances of exposure, with the potential for confusion unless the reasoning is clear. The United Nations Scientific Committee on the Effects of Ionising Radiation has defined low absorbed doses of ionising radiation as below about 100 mGy, and low dose rates as below 0.1 mGy min-1 (6 mGy h-1).

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Article Synopsis
  • Researchers wanted to see how digital technology is used in bronchiectasis physiotherapy and ways to make it better.
  • They surveyed 48 physiotherapists and 205 patients in Northern Ireland to understand their experiences with technology in care.
  • Many physiotherapists didn't use digital tech yet, but most were interested in doing so, and patients wanted more follow-up and better access to services.
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  • Hand eczema is a common skin problem that can be painful and make it hard for people to work, and there isn’t a clear treatment plan agreed on by doctors in the UK.
  • This study aimed to compare two treatments, alitretinoin and ultraviolet therapy, to see which works better after 12 weeks for patients with severe hand eczema that didn't improve with regular medicine.
  • The results showed that while both treatments helped, alitretinoin was less effective than ultraviolet therapy in reducing the severity of the eczema after 12 weeks.
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Analysis of the Factors Affecting the Male-Female Sex Ratio of Babies Born through Assisted Reproductive Technology.

West Afr J Med

July 2024

Clinical Reader, Director Surgical Skills; Co-Lead MSc Human Clinical Embryology and Assisted Conception, Consultant Gynaecologist, School of Medicine; University of Dundee/Ninewells Hospital, United Kingdom.

Background: Until now, the sex ratio in a population is believed to be relatively stable with no male/female preponderance. There has been an increasing amount of evidence to suggest that assisted conception may significantly impact on sex ratio (SR). Several factors have been suggested to affect SR such as parental variables (paternal race, maternal age, and body mass index-(BMI), methods of fertilisation (in-vitro fertilisation/intracytoplasmic sperm injection), stage of embryo transfer (cleavage/blastocyst), type of IVF cycle (fresh/cryopreserved), medications used for controlled ovarian stimulation, poor sperm motility, and even culture media.

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Background: In patients with coronavirus disease 2019 (COVID-19) requiring supplemental oxygen, dexamethasone reduces acute severity and improves survival, but longer-term effects are unknown. We hypothesised that systemic corticosteroid administration during acute COVID-19 would be associated with improved health-related quality of life (HRQoL) 1 year after discharge.

Methods: Adults admitted to hospital between February 2020 and March 2021 for COVID-19 and meeting current guideline recommendations for dexamethasone treatment were included using two prospective UK cohort studies (Post-hospitalisation COVID-19 and the International Severe Acute Respiratory and emerging Infection Consortium).

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