54 results match your criteria: "University of Leicester and University Hospitals of Leicester NHS Trust[Affiliation]"

Introduction: This scoping review mapped evidence on physical activity (including structured exercise) and sedentary behaviour interventions (interventions to reduce sedentary behaviour) in people living with both frailty and multiple long-term conditions (MLTCs) and their informal carers.

Methods: Ten databases and grey literature were searched from 2000 to October 2023. Two reviewers screened studies and one extracted data.

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Reclassification of CTO Crossing Strategies in the ERCTO Registry According to the CTO-ARC Consensus Recommendations.

JACC Cardiovasc Interv

October 2024

Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Italy. Electronic address:

Article Synopsis
  • The CTO-ARC identified the need for standardized definitions in chronic total occlusion (CTO) procedures to avoid bias in attributing complications to different crossing strategies.
  • A study analyzed data from 8,673 patients in the European Registry of Chronic Total Occlusions, finding that the antegrade approach was used in 79.2% of cases, while retrograde was used in 20.8%.
  • Results showed that alternative antegrade crossing had lower technical success rates and higher complication rates compared to true antegrade and retrograde methods, though it was primarily used as a rescue strategy in most instances.
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Altered hepatic metabolic landscape and insulin sensitivity in response to pulmonary tuberculosis.

PLoS Pathog

September 2024

Department of Respiratory Sciences, Leicester TB Research Group, University of Leicester, Leicester, United Kingdom.

Article Synopsis
  • Chronic inflammation from pulmonary tuberculosis (TB) affects liver metabolism, leading to metabolic disorders by altering gene expression related to immune signaling and reducing metabolic processes.
  • Analysis showed upregulation of interferon (IFN) signaling genes and downregulation of gluconeogenesis-related genes in TB-infected mice's livers.
  • The study also found a correlation between metabolic changes in humans with TB and the progress of the disease, suggesting that TB-induced inflammation significantly impairs liver function and insulin sensitivity.
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Physical Activity Volume, Intensity, and Mortality: Harmonized Meta-Analysis of Prospective Cohort Studies.

Am J Prev Med

December 2024

Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway; Department of Chronic Diseases and Ageing, Norwegian Institute of Public Health, Oslo, Norway.

Introduction: It is unclear whether moderate-to-vigorous physical activity (MVPA) is associated with a lower mortality risk, over and above its contribution to total physical activity volume.

Methods: 46,682 adults (mean age: 64 years) were included in a meta-analysis of nine prospective cohort studies. Each cohort generated tertiles of accelerometry-measured physical activity volume and volume-adjusted MVPA.

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Article Synopsis
  • The study evaluated the relationship between walking pace and cardiovascular disease risk using a method called Mendelian randomisation, analyzing data from 340,000 UK Biobank participants.
  • Results indicated that a 1 mph increase in walking pace could reduce the risk of coronary artery disease by 63%.
  • Additionally, about 45% of the effect on coronary artery disease risk was found to be mediated through body mass index (BMI), suggesting that promoting brisk walking could benefit cardiovascular health.
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  • Cardiac surgery for coronary artery disease decreased significantly during the first COVID-19 pandemic wave, leading many patients to receive percutaneous coronary intervention (PCI) instead of the usual coronary artery bypass grafting (CABG).
  • A study tracked 215 patients who underwent PCI, gathering 12-month outcomes like death, heart attacks, and other complications to evaluate the procedure's effectiveness.
  • Results showed that after a year, PCI had acceptable outcomes with low rates of major adverse events, suggesting the need for further research comparing PCI to CABG in similar patient populations.
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Background: Percutaneous coronary interventions (PCI) of chronic total occlusions (CTO) have reached high procedural success rates thanks to dedicated equipment, evolving techniques, and worldwide adoption of state-of-the-art crossing algorithms.

Aims: We report the contemporary results of CTO PCIs performed by a large European community of experienced interventionalists. Furthermore, we investigated the impact of different risk factors for procedural major adverse cardiac and cerebrovascular events (MACCE) and trends of employment of specific devices like dual lumen microcatheters, guiding catheter extensions, intravascular ultrasound and calcium-modifying tools.

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Bringing an end to diabetes stigma and discrimination: an international consensus statement on evidence and recommendations.

Lancet Diabetes Endocrinol

January 2024

The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, VIC, Australia; La Trobe Rural Health School, La Trobe University, Flora Hill, VIC, Australia; Department of Psychology, University of Copenhagen, Copenhagen, Denmark.

People with diabetes often encounter stigma (ie, negative social judgments, stereotypes, prejudice), which can adversely affect emotional, mental, and physical health; self-care, access to optimal health care; and social and professional opportunities. To accelerate an end to diabetes stigma and discrimination, an international multidisciplinary expert panel (n=51 members, from 18 countries) conducted rapid reviews and participated in a three-round Delphi survey process. We achieved consensus on 25 statements of evidence and 24 statements of recommendations.

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Article Synopsis
  • The study aimed to assess if a very early invasive strategy (IS) with possible revascularisation improves outcomes compared to standard care for high-risk patients with non-ST-elevation acute coronary syndrome (NSTE-ACS).
  • 425 patients were randomly assigned to either very early IS (within 90 minutes) or standard IS (within 72 hours), but the trial was halted early due to slow recruitment amid the COVID-19 pandemic.
  • At 12 months, there were no significant differences in clinical outcomes between the two groups, although the very early IS group had a shorter hospital stay.
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Background: Restrictions implemented by governments during the coronavirus disease 2019 (COVID-19) pandemic affected people's eating habits and physical activity. We investigated the effect of COVID-19 lockdowns and restrictions on body mass index (BMI) and weight in a UK population, according to BMI class, sex, age and ethnicity.

Methods: This retrospective observational cohort study used the Clinical Practice Research Datalink AURUM database.

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Background: The recent development and widespread adoption of antegrade dissection re-entry (ADR) techniques have been underlined as one of the antegrade strategies in all worldwide CTO consensus documents. However, historical wire-based ADR experience has suffered from disappointing long-term outcomes.

Aims: Compare technical success, procedural success, and long-term outcome of patients who underwent wire-based ADR technique versus antegrade wiring (AW).

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Tumor Treating Fields therapy could potentiate immunotherapy in non-small-cell lung cancer.

Lancet Oncol

September 2023

NIHR Biomedical Research Centre Leicester and Cancer Research UK Experimental Cancer Centre, University of Leicester and University Hospitals of Leicester NHS Trust, Leicester LE2 7LX, UK. Electronic address:

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Aims: We investigated evidence from randomised, placebo-controlled trials of novel glucose-lowering therapies; sodium-glucose co-transporter-2 inhibitors (SGLT2i), dipeptidyl peptidase-4 inhibitors (DPP4i) and glucagon-like peptide-1 receptor agonists (GLP-1RA), on physical function in people with type 2 diabetes (T2D).

Methods: PubMed, Medline, Embase and Cochrane library were searched from 1 April 2005 to 20 January 2022. The primary outcome was change in physical function in groups receiving a novel glucose-lowering therapy versus placebo at the trial end-point.

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The Direct and Indirect Effects of COVID-19 on Acute Coronary Syndromes.

Heart Fail Clin

April 2023

Department of Cardiovascular Sciences and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester and University Hospitals of Leicester NHS Trust, Groby Road, Leicester, LE3 9QP, United Kingdom.

The novel SARS-CoV-2 has directly and indirectly impacted patients with acute coronary syndrome (ACS). The onset of the COVID-19 pandemic correlated with an abrupt decline in hospitalizations with ACS and increased out-of-hospital deaths. Worse outcomes in ACS patients with concomitant COVID-19 have been reported, and acute myocardial injury secondary to SARS-CoV-2 infection is recognized.

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Introduction: Type 2 diabetes mellitus (T2DM) onset before 40 years of age has a magnified lifetime risk of cardiovascular disease. Diastolic dysfunction is its earliest cardiac manifestation. Low energy diets incorporating meal replacement products can induce diabetes remission, but do not lead to improved diastolic function, unlike supervised exercise interventions.

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Differences in the risk of cardiovascular disease across ethnic groups: UK Biobank observational study.

Nutr Metab Cardiovasc Dis

November 2022

Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, LE5 4PW, UK; National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC), University of Leicester and University Hospitals of Leicester NHS Trust, Leicester, LE5 4PW, UK.

Background And Aims: To describe sociodemographic, lifestyle, environmental and traditional clinical risk factor differences between ethnic groups and to investigate the extent to which such differences confound the association between ethnic groups and the risk of cardiovascular disease (CVD) METHODS AND RESULTS: A total of 440,693 white European (55.9% women), 7305 South Asian (48.6%) and 7628 black African or Caribbean (57.

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Article Synopsis
  • The PANDEMIC study analyzed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive patients with ST-Elevation Myocardial Infarction (STEMI) who underwent primary percutaneous coronary intervention (PPCI), finding concerning outcomes compared to SARS-CoV-2 negative patients.
  • Results showed SARS-CoV-2-positive patients had significantly higher in-hospital mortality and poorer postprocedural blood flow (assessed by TIMI flow), with male patients at greater risk.
  • Key factors predicting higher mortality in these patients included being aged 75 or older, having impaired postprocedural TIMI flow, and presenting with cardiogenic shock.
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The Direct and Indirect Effects of COVID-19 on Acute Coronary Syndromes.

Cardiol Clin

August 2022

Department of Cardiovascular Sciences and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester and University Hospitals of Leicester NHS Trust, Groby Road, Leicester, LE3 9QP, United Kingdom.

The novel SARS-CoV-2 has directly and indirectly impacted patients with acute coronary syndrome (ACS). The onset of the COVID-19 pandemic correlated with an abrupt decline in hospitalizations with ACS and increased out-of-hospital deaths. Worse outcomes in ACS patients with concomitant COVID-19 have been reported, and acute myocardial injury secondary to SARS-CoV-2 infection is recognized.

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Background: Treatment options for malignant pleural mesothelioma are scarce. Tazemetostat, a selective oral enhancer of zeste homolog 2 (EZH2) inhibitor, has shown antitumour activity in several haematological cancers and solid tumours. We aimed to evaluate the anti-tumour activity and safety of tazemetostat in patients with measurable relapsed or refractory malignant pleural mesothelioma.

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Aims: The optimal timing of an invasive strategy (IS) in non-ST-elevation acute coronary syndrome (NSTE-ACS) is controversial. Recent randomized controlled trials (RCTs) and long-term follow-up data have yet to be included in a contemporary meta-analysis.

Methods And Results: A systematic review of RCTs that compared an early IS vs.

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This study investigated associations between step cadence and physical function in healthy South Asian (SA) and White European (WE) older adults, aged ≥60. Participants completed the 60-s Sit-to-Stand (STS-60) test of physical function. Free-living stepping was measured using the activPAL3™.

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Article Synopsis
  • This study looked at a new treatment called anetumab ravtansine for patients with a serious type of lung cancer called malignant pleural mesothelioma who didn't get better from previous treatments.
  • Researchers wanted to see if this new drug worked better than an existing one called vinorelbine.
  • They tested 248 patients in a fair way, where some got anetumab ravtansine and others got vinorelbine, to find out how long they could survive without the cancer getting worse.
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