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  1. Article ; Online: Letter to the Editor about the Article "Excess Mortality Estimation During the COVID-19 Pandemic: Preliminary Data from Portugal https://doi.org/10.20344/amp.13928".

    Knight, Alastair

    Acta medica portuguesa

    2020  Volume 33, Issue 6, Page(s) 446–447

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; Portugal ; Preliminary Data ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-05
    Publishing country Portugal
    Document type Letter ; Comment
    ZDB-ID 603078-6
    ISSN 1646-0758 ; 0870-399X
    ISSN (online) 1646-0758
    ISSN 0870-399X
    DOI 10.20344/amp.14032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Letter to the Editor about the Article “Excess Mortality Estimation During the COVID-19 Pandemic

    Alastair Knight

    Acta Médica Portuguesa, Vol 33, Iss 6, Pp 446-

    Preliminary Data from Portugal https://doi.org/10.20344/amp.13928”

    2020  Volume 447

    Abstract: N/a. ...

    Abstract N/a.
    Keywords coronavirus ; coronavirus infections ; covid-19 ; disease outbreaks ; mortality ; pandemics ; portugal ; Medicine ; R ; Medicine (General) ; R5-920 ; covid19
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher Ordem dos Médicos
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Health and Social Care Integration in Scotland: Evidence vs Rhetoric.

    Donaldson, Cam / Knight, Peter / Noble, Alastair L / Strathearn, Sandy

    International journal of integrated care

    2024  Volume 24, Issue 1, Page(s) 4

    Abstract: In this perspective paper we use publicly-available data to show that, despite much positive rhetoric in support of reforms in Scotland to integrate health and social care, these reforms, in their current state, have failed to meet their stated ... ...

    Abstract In this perspective paper we use publicly-available data to show that, despite much positive rhetoric in support of reforms in Scotland to integrate health and social care, these reforms, in their current state, have failed to meet their stated objectives. Rather than regress to the previous system, we propose continued evaluation of even more radical forms of such integration. This analysis, and set of future proposals, are timely given current considerations with respect to a National Care Service in Scotland and recent similar reforms in England and in other countries.
    Language English
    Publishing date 2024-01-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 2119289-3
    ISSN 1568-4156
    ISSN 1568-4156
    DOI 10.5334/ijic.7759
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Quantifying patient- and hospital-level antimicrobial resistance dynamics in

    Leclerc, Quentin / Clements, Alastair / Dunn, Helen / Hatcher, James / Lindsay, Jodi A / Grandjean, Louis / Knight, Gwenan M

    medRxiv : the preprint server for health sciences

    2023  

    Abstract: Antimicrobial resistance (AMR) to all antibiotic classes has been found in the ... ...

    Abstract Antimicrobial resistance (AMR) to all antibiotic classes has been found in the pathogen
    Language English
    Publishing date 2023-02-16
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2023.02.15.23285946
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Extending the 'host response' paradigm from sepsis to cardiogenic shock: evidence, limitations and opportunities.

    Buckel, Marie / Maclean, Patrick / Knight, Julian C / Lawler, Patrick R / Proudfoot, Alastair G

    Critical care (London, England)

    2023  Volume 27, Issue 1, Page(s) 460

    Abstract: Recent clinical and research efforts in cardiogenic shock (CS) have largely focussed on the restoration of the low cardiac output state that is the conditio sine qua non of the clinical syndrome. This approach has failed to translate into improved ... ...

    Abstract Recent clinical and research efforts in cardiogenic shock (CS) have largely focussed on the restoration of the low cardiac output state that is the conditio sine qua non of the clinical syndrome. This approach has failed to translate into improved outcomes, and mortality has remained static at 30-50%. There is an unmet need to better delineate the pathobiology of CS to understand the observed heterogeneity of presentation and treatment effect and to identify novel therapeutic targets. Despite data in other critical illness syndromes, specifically sepsis, the role of dysregulated inflammation and immunity is hitherto poorly described in CS. High-dimensional molecular profiling, particularly through leukocyte transcriptomics, may afford opportunity to better characterise subgroups of patients with shared mechanisms of immune dysregulation. In this state-of-the-art review, we outline the rationale for considering molecular subtypes of CS. We describe how high-dimensional molecular technologies can be used to identify these subtypes, and whether they share biological features with sepsis and other critical illness states. Finally, we propose how the identification of molecular subtypes of patients may enrich future clinical trial design and identification of novel therapies for CS.
    MeSH term(s) Humans ; Shock, Cardiogenic ; Critical Illness/therapy ; Sepsis/complications ; Sepsis/therapy ; Cardiac Output, Low/drug therapy ; Inflammation
    Language English
    Publishing date 2023-11-27
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2041406-7
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/s13054-023-04752-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Quantifying patient- and hospital-level antimicrobial resistance dynamics in

    Leclerc, Quentin / Clements, Alastair / Dunn, Helen / Hatcher, James / Lindsay, Jodi A / Grandjean, Louis / Knight, Gwenan M

    Journal of medical microbiology

    2023  Volume 72, Issue 7

    Abstract: Introduction. ...

    Abstract Introduction.
    MeSH term(s) Child ; Humans ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Staphylococcus aureus/genetics ; Methicillin ; Routinely Collected Health Data ; Drug Resistance, Bacterial ; Staphylococcal Infections/epidemiology ; Hospitals, Pediatric
    Chemical Substances Anti-Bacterial Agents ; Methicillin (Q91FH1328A)
    Language English
    Publishing date 2023-07-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 218356-0
    ISSN 1473-5644 ; 0022-2615
    ISSN (online) 1473-5644
    ISSN 0022-2615
    DOI 10.1099/jmm.0.001724
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Perceptions of the COVID-19 pandemic: a qualitative study with South African adults.

    Silubonde, Takana M / Knight, Lucia / Norris, Shane A / van Heerden, Alastair / Goldstein, Susan / Draper, Catherine E

    BMC public health

    2023  Volume 23, Issue 1, Page(s) 684

    Abstract: Introduction: In South Africa, public perceptions of the COVID-19 pandemic and risk mitigation measures remain mixed. To better understand health behaviours in the context of COVID-19, a qualitative study was conducted, which aimed to investigate ... ...

    Abstract Introduction: In South Africa, public perceptions of the COVID-19 pandemic and risk mitigation measures remain mixed. To better understand health behaviours in the context of COVID-19, a qualitative study was conducted, which aimed to investigate perceptions relating to the COVID-19 pandemic among the South African adult population.
    Methods: Twelve online focus groups were conducted across the following age groups: 18-34, 35-54, 55 + years old (total n = 70) in December 2021. Diversity across socioeconomic status, geographical areas, and urban and rural settings was maximised, with an equal representation of men and women. Focus groups were conducted, and audio recorded using an online platform, transcribed verbatim and thematically analysed using MAXQDA.
    Results: There were mixed perceptions around the pandemic, however, the majority of participants appreciated government actions at the onset of the pandemic and as a result government trust was reported to have initially been high. Nevertheless, as the pandemic progressed, challenges relating to government communication around the pandemic, the inconsistent application of preventative measures by government, the use of soldiers to enforce preventative measures, the banning of alcohol and cigarettes, government corruption and the pervasiveness of social media were reported to have eroded government trust, negatively impacting the uptake of preventative measures. Economic and psychological impacts were experienced differently across income groups. Low-income earners, who already had pre-existing economic challenges reported increased psychological and financial strain. While the once cushioned middle class reported an increase in job insecurity accompanied by psychological challenges. High income earners did not report economic challenges but reported being affected psychologically. Though, low-income earners reported an appreciation of the government financial relief afforded to them middle income earners appeared to not have received adequate financial support.
    Conclusion: With the existing mistrust of government, there is need for government to leverage existing trusted sources in communities to aid in the implementation of preventative measures. These findings support the development of context specific solutions to address challenges faced at different socioeconomic levels.
    MeSH term(s) Male ; Adult ; Humans ; Female ; Adolescent ; COVID-19/epidemiology ; Pandemics ; South Africa/epidemiology ; Qualitative Research ; Focus Groups
    Language English
    Publishing date 2023-04-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-023-15450-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Perceptions of the COVID-19 pandemic

    Takana M Silubonde / Lucia Knight / Shane A Norris / Alastair van Heerden / Susan Goldstein / Catherine E Draper

    BMC Public Health, Vol 23, Iss 1, Pp 1-

    a qualitative study with South African adults

    2023  Volume 15

    Abstract: Abstract Introduction In South Africa, public perceptions of the COVID-19 pandemic and risk mitigation measures remain mixed. To better understand health behaviours in the context of COVID-19, a qualitative study was conducted, which aimed to investigate ...

    Abstract Abstract Introduction In South Africa, public perceptions of the COVID-19 pandemic and risk mitigation measures remain mixed. To better understand health behaviours in the context of COVID-19, a qualitative study was conducted, which aimed to investigate perceptions relating to the COVID-19 pandemic among the South African adult population. Methods Twelve online focus groups were conducted across the following age groups: 18–34, 35–54, 55 + years old (total n = 70) in December 2021. Diversity across socioeconomic status, geographical areas, and urban and rural settings was maximised, with an equal representation of men and women. Focus groups were conducted, and audio recorded using an online platform, transcribed verbatim and thematically analysed using MAXQDA. Results There were mixed perceptions around the pandemic, however, the majority of participants appreciated government actions at the onset of the pandemic and as a result government trust was reported to have initially been high. Nevertheless, as the pandemic progressed, challenges relating to government communication around the pandemic, the inconsistent application of preventative measures by government, the use of soldiers to enforce preventative measures, the banning of alcohol and cigarettes, government corruption and the pervasiveness of social media were reported to have eroded government trust, negatively impacting the uptake of preventative measures. Economic and psychological impacts were experienced differently across income groups. Low-income earners, who already had pre-existing economic challenges reported increased psychological and financial strain. While the once cushioned middle class reported an increase in job insecurity accompanied by psychological challenges. High income earners did not report economic challenges but reported being affected psychologically. Though, low-income earners reported an appreciation of the government financial relief afforded to them middle income earners appeared to not have received adequate financial ...
    Keywords COVID-19 ; Coronavirus ; Coronavirus pandemic ; Perceptions ; Understanding ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: The proximity of the N- and C- termini of bovine knob domains enable engineering of target specificity into polypeptide chains.

    Hawkins, Alice / Joyce, Callum / Brady, Kevin / Hold, Adam / Smith, Alan / Knight, Michael / Howard, Conor / van den Elsen, Jean / Lawson, Alastair D G / Macpherson, Alex

    mAbs

    2022  Volume 14, Issue 1, Page(s) 2076295

    Abstract: Cysteine-rich knob domains can be isolated from the ultralong heavy-chain complementarity-determining region (CDR) 3, which are unique to a subset of bovine antibodies, to create antibody fragments of ~4 kDa. Advantageously, the N- and C- termini of ... ...

    Abstract Cysteine-rich knob domains can be isolated from the ultralong heavy-chain complementarity-determining region (CDR) 3, which are unique to a subset of bovine antibodies, to create antibody fragments of ~4 kDa. Advantageously, the N- and C- termini of these small binding domains are in close proximity, and we propose that this may offer a practical route to engineer extrinsic binding specificity into proteins. To test this, we transplanted knob domains into various loops of rat serum albumin, targeting sites that were distal to the interface with the neonatal Fc receptor. Using knob domains raised against the clinically validated drug target complement component C5, we produced potent inhibitors, which exhibit an extended plasma half-life
    MeSH term(s) Animals ; Antibodies, Bispecific/chemistry ; Cattle ; Complement Activation ; Complementarity Determining Regions/chemistry ; Protein Domains ; Rats
    Chemical Substances Antibodies, Bispecific ; Complementarity Determining Regions
    Language English
    Publishing date 2022-05-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2537838-7
    ISSN 1942-0870 ; 1942-0870
    ISSN (online) 1942-0870
    ISSN 1942-0870
    DOI 10.1080/19420862.2022.2076295
    Database MEDical Literature Analysis and Retrieval System OnLINE

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