569 results match your criteria: "and the University of Melbourne[Affiliation]"

Objective: This meta-analysis aimed to robustly estimate differences in attention-deficit/hyperactivity disorder (ADHD) symptoms between children and adolescents with and without neurofibromatosis type 1 (NF1).

Method: Systematic literature searches were conducted in Scopus, PsycINFO, Web of Science, PubMed, and ProQuest in September 2022 with a supplemental search conducted in Google Scholar in February 2023. The searches identified 2153 unique articles.

View Article and Find Full Text PDF

Purpose: To evaluate linrodostat mesylate, a selective, oral indoleamine 2,3-dioxygenase 1 (IDO1) inhibitor, combined with nivolumab ± ipilimumab in advanced solid tumors and hematologic malignancies.

Patients And Methods: In this phase 1/2 study, patients received once-daily (QD) linrodostat (part 1 [escalation], 25-400 mg; part 2 [expansion], 100 or 200 mg) plus nivolumab (480 mg every [Q] 4 weeks [W] or 240 mg Q2W) or triplet therapy (part 3, linrodostat 20-100 mg QD; nivolumab 360 mg Q3W or 480 mg Q4W; ipilimumab 1 mg/kg Q6W or Q8W). Endpoints included safety and efficacy (co-primary; parts 2, 3), pharmacokinetics, pharmacodynamics, biomarkers, and efficacy (part 1).

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigated how season, temperature, and humidity affect the severity of Raynaud phenomenon (RP) in patients with systemic sclerosis, utilizing data from the Australian Scleroderma Cohort Study.
  • - Among 1,972 participants, 26.7% experienced worsened RP related to environmental factors such as low temperatures and high humidity, which were linked to poorer health-related quality of life.
  • - The findings suggest that managing RP may benefit from maintaining warmer and drier conditions, highlighting the importance of environmental factors in treating this condition.
View Article and Find Full Text PDF

Objective: The aim of this study is to identify and explore the unmet needs of adolescents and young adults living with endometriosis.

Design: An open-ended online survey was conducted, with questions derived from prior research looking at areas of unmet need in healthcare, career and work, financial, information, psychological, social and cultural domains.

Setting And Population: Self-selecting 18-25 year olds with surgically diagnosed endometriosis (self-reported) currently living in Australia were included as participants.

View Article and Find Full Text PDF

Introduction: Accelerated hypofractionated radiotherapy has gained increasing interest for locally advanced NSCLC, as it can potentially increase radiobiologically effective dose and reduce health care resource utilization. Nevertheless, there is sparse prospective evidence supporting routine use of accelerated hypofractionation with or without concurrent chemotherapy. For this reason, the International Association for the Study of Lung Cancer Advanced Radiation Technology Subcommittee conducted a systematic review of prospective studies of accelerated hypofractionation for locally advanced NSCLC.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the genetic factors contributing to Alzheimer's disease by analyzing tau deposition through a genome-wide association study involving 3,046 participants.
  • It identifies the CYP1B1-RMDN2 locus as significantly linked to tau levels, with the variant rs2113389 explaining 4.3% of tau variation, while also correlating with cognitive decline.
  • Findings suggest a connection between CYP1B1 expression and tau deposition, offering potential new avenues for Alzheimer's treatment and understanding its genetic basis.
View Article and Find Full Text PDF
Article Synopsis
  • Sleep disturbances are common in advanced cancer patients, affecting 30-78% of them, yet there are few rigorous studies on treatment options.
  • This study tested the effectiveness and safety of temazepam and prolonged-release melatonin against a placebo for treating insomnia in advanced cancer patients, with a total of 21 participants.
  • Both temazepam and melatonin resulted in a significant reduction in insomnia severity compared to placebo, but did not improve overall quality of life; further research with more participants is needed to confirm these results.
View Article and Find Full Text PDF
Article Synopsis
  • The study compared the prevalence and outcomes of sepsis-associated acute kidney injury (SA-AKI) in patients with chronic kidney disease (CKD) versus those without.
  • Among 84,240 ICU admissions, 8.6% involved CKD patients, who had a higher incidence of SA-AKI (21% vs 14%) and were generally older and sicker.
  • Despite worse initial outcomes and higher unadjusted mortality in CKD patients, adjustments showed CKD was not an independent risk factor for increased 90-day mortality or major adverse kidney events.
View Article and Find Full Text PDF

Prevalence and Outcomes of Gastrointestinal Manifestations in an Australian Scleroderma Cohort.

Arthritis Care Res (Hoboken)

December 2024

St. Vincent's Hospital Melbourne, Fitzroy, The University of Melbourne, Melbourne, Victoria, and the University of Sydney and Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.

Objective: The gastrointestinal tract (GIT) is the most commonly affected internal organ in systemic sclerosis (SSc). We sought to determine the prevalence and impact of GIT symptoms on survival and patient-reported outcomes.

Methods: A total of 907 consecutive patients from the Australian Scleroderma Cohort Study who had prospectively completed the University of California, Los Angeles, Scleroderma Clinical Trials Consortium Gastrointestinal Tract 2.

View Article and Find Full Text PDF
Article Synopsis
  • Cognitive resilience is when people don't show mental decline even if they have signs of Alzheimer's in their brains.
  • Measuring cognitive resilience is tricky because it can't be seen directly, and one common method used might give wrong results.
  • The new method we suggest uses machine learning to improve how we measure cognitive resilience, making it more accurate and relying less on guesses about the data.
View Article and Find Full Text PDF

Background: Severe cutaneous adverse reactions (SCAR) are a group of delayed presumed T-cell mediated hypersensitivities associated with significant morbidity and mortality. Despite their shared global healthcare burden and impact, the clinical phenotypes, genomic predisposition, drug causality, and treatment outcomes may vary. We describe the establishment and results from the first Australasian registry for SCAR (AUS-SCAR), that via a collaborative network advances strategies for the prevention, diagnosis and treatment of SCAR.

View Article and Find Full Text PDF

A tale of two sisters - delayed diagnosis of genetic hyperinsulinaemic hypoglycaemia.

Endocrinol Diabetes Metab Case Rep

July 2024

Departments of Endocrinology and Diabetes, Surgery and General Medicine, St Vincent's Hospital Melbourne and the University of Melbourne, Victoria, Australia.

Summary: Congenital hyperinsulinism is the leading cause of persistent hypoglycaemia in infants and children; however, it is uncommon to be diagnosed in adulthood. We describe the cases of two sisters who presented with hyperinsulinaemic hypoglycaemia aged 47 and 57 years old, who were subsequently diagnosed with compound heterozygous likely pathogenic variants in the ABCC8 gene, a known cause of monogenic congenital hyperinsulinism. We discuss the typical presenting features, investigation findings, and treatment strategies for patients with this condition.

View Article and Find Full Text PDF
Article Synopsis
  • The study aims to adapt FOCUS for Australia (FOCUSau) and evaluate its effectiveness in improving emotional well-being and self-efficacy compared to standard care.
  • Researchers will use a phased implementation study involving a clinical trial and an observational study, recruiting 346 patient-caregiver dyads to assess the intervention's efficacy and its feasibility for long-term use in the Australian healthcare system.
View Article and Find Full Text PDF
Article Synopsis
  • The European LeukemiaNet (ELN) previously created genetic risk classifications using data from younger adults who underwent intensive chemotherapy.
  • New research has emerged analyzing patients who receive less-intensive therapies, highlighting the need for tailored classifications.
  • This has led to a proposal for a new ELN genetic risk classification specifically designed for patients undergoing these alternative treatment options.
View Article and Find Full Text PDF
Article Synopsis
  • The European LeukemiaNet (ELN) classification systems for acute myeloid leukemia (AML) are based on chemotherapy responses and may not effectively predict outcomes for older patients receiving venetoclax-azacitidine.
  • A pooled analysis from the phase 3 VIALE-A trial revealed that most patients were classified with adverse-risk AML, yet these classifications did not correlate well with survival outcomes for those treated with venetoclax-azacitidine.
  • New molecular signatures based on mutations in TP53, FLT3-ITD, NRAS, and KRAS identified three distinct patient benefit groups, each with significantly different median overall survival times.
View Article and Find Full Text PDF

Alzheimer's disease (AD) is a complex, progressive primary neurodegenerative disease. Since pivotal genetic studies in 1993, the ε4 allele of the apolipoprotein E gene (APOE ε4) has remained the strongest single genome-wide associated risk variant in AD. Scientific advances in APOE biology, AD pathophysiology and ApoE-targeted therapies have brought APOE to the forefront of research, with potential translation into routine AD clinical care.

View Article and Find Full Text PDF

Background: Based on the findings of the PACIFIC trial, consolidation durvalumab following platinum-based chemoradiotherapy (CRT) is a global standard of care for patients with unresectable, stage III non-small-cell lung cancer (NSCLC). An earlier analysis from the ongoing PACIFIC-R study (NCT03798535) demonstrated the effectiveness of this regimen in terms of progression-free survival (PFS). Here, we report the first planned overall survival (OS) analysis.

View Article and Find Full Text PDF
Article Synopsis
  • Some patients prefer a procedure called PCI instead of a surgery called CABG, even if doctors recommend CABG.
  • The study looked at the results of PCI in patients who were advised to have CABG but chose not to.
  • It found that those who refused CABG had a higher risk of serious health issues, like death or stroke, after getting PCI compared to those who were advised to get PCI.
View Article and Find Full Text PDF

Objective: To identify predictors of sexual satisfaction in patients with advanced cancer and their family caregivers.

Methods: Cross-sectional study using baseline survey data from a randomized controlled trial in six European countries. Patients with advanced cancer and their family caregiver completed measures on sexual satisfaction (one item from Functional Assessment of Cancer Therapy - General questionnaire for patients and Caregiver Quality of Life Index-Cancer scale for family caregivers) and health-related characteristics.

View Article and Find Full Text PDF

Optimal management of radiation pneumonitis: Findings of an international Delphi consensus study.

Lung Cancer

June 2024

Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; University of Toronto Department of Radiation Oncology, Toronto, ON, Canada. Electronic address:

Purpose: Radiation pneumonitis (RP) is a dose-limiting toxicity for patients undergoing radiotherapy (RT) for lung cancer, however, the optimal practice for diagnosis, management, and follow-up for RP remains unclear. We thus sought to establish expert consensus recommendations through a Delphi Consensus study.

Methods: In Round 1, open questions were distributed to 31 expert clinicians treating thoracic malignancies.

View Article and Find Full Text PDF

Malaria is a vector-borne disease that exacts a grave toll in the Global South. The epidemiology of Plasmodium vivax, the most geographically expansive agent of human malaria, is characterised by the accrual of a reservoir of dormant parasites known as hypnozoites. Relapses, arising from hypnozoite activation events, comprise the majority of the blood-stage infection burden, with implications for the acquisition of immunity and the distribution of superinfection.

View Article and Find Full Text PDF

Introduction: Amyloid beta and tau pathology are the hallmarks of sporadic Alzheimer's disease (AD) and autosomal dominant AD (ADAD). However, Lewy body pathology (LBP) is found in ≈ 50% of AD and ADAD brains.

Methods: Using an α-synuclein seed amplification assay (SAA) in cerebrospinal fluid (CSF) from asymptomatic (n = 26) and symptomatic (n = 27) ADAD mutation carriers, including 12 with known neuropathology, we investigated the timing of occurrence and prevalence of SAA positive reactivity in ADAD in vivo.

View Article and Find Full Text PDF