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  1. Article ; Online: Infections diagnosed in children and young people screened for malaria in UK emergency departments: a retrospective multi-centre study.

    Bird, Chris / Hayward, Gail N / Turner, Philip J / Wasala, Desha / Merrick, Vanessa / Lyttle, Mark D / Mullen, Niall / Fanshawe, Thomas R

    Paediatrics and international child health

    2024  Volume 44, Issue 1, Page(s) 1–7

    Abstract: Background: Data on imported infections in children and young people (CYP) are sparse.: Aims: To describe imported infections in CYP arriving from malaria-endemic areas and presenting to UK emergency departments (ED) who were screened for malaria.: ...

    Abstract Background: Data on imported infections in children and young people (CYP) are sparse.
    Aims: To describe imported infections in CYP arriving from malaria-endemic areas and presenting to UK emergency departments (ED) who were screened for malaria.
    Methods: This is a retrospective, multi-centre, observational study nested in a diagnostic accuracy study for malaria rapid diagnostic tests. Any CYP < 16 years presenting to a participating ED with a history of fever and travel to a malaria-endemic area between 1 January 2016 and 31 December 2017 and who had a malaria screen as a part of standard care were included. Geographical risk was calculated for the most common tropical infections.
    Results: Of the 1414 CYP screened for malaria, 44.0% (
    Conclusion: A fifth of CYP presenting to participating UK EDs with fever and a history of travel to a malaria-endemic area and who were screened for malaria had a tropical infection if diarrhoea is included. A third of CYP had no diagnosis. CYP arriving from sub-Saharan Africa had the greatest risk of malaria.
    MeSH term(s) Child ; Humans ; Adolescent ; Retrospective Studies ; Communicable Diseases, Imported/diagnosis ; Communicable Diseases, Imported/epidemiology ; Malaria/diagnosis ; Malaria/epidemiology ; Fever ; Emergency Service, Hospital ; United Kingdom/epidemiology
    Language English
    Publishing date 2024-01-11
    Publishing country England
    Document type Observational Study ; Multicenter Study ; Journal Article
    ZDB-ID 2649065-1
    ISSN 2046-9055 ; 2046-9047
    ISSN (online) 2046-9055
    ISSN 2046-9047
    DOI 10.1080/20469047.2023.2299576
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Epidemiology and microbiology of recurrent UTI in women in the community in Oxfordshire, UK.

    Vazquez-Montes, Maria D L A / Fanshawe, Thomas R / Stoesser, Nicole / Walker, A Sarah / Butler, Christopher / Hayward, Gail

    JAC-antimicrobial resistance

    2024  Volume 6, Issue 1, Page(s) dlad156

    Abstract: Background: Recurrent urinary tract infection (rUTI) contributes to significant morbidity and antibiotic usage.: Objectives: To characterize the age of women experiencing rUTI, the microbiology of rUTIs, and the risk of further rUTIs in Oxfordshire, ... ...

    Abstract Background: Recurrent urinary tract infection (rUTI) contributes to significant morbidity and antibiotic usage.
    Objectives: To characterize the age of women experiencing rUTI, the microbiology of rUTIs, and the risk of further rUTIs in Oxfordshire, UK.
    Patients and methods: We retrospectively analysed de-identified linked microbiology and hospital admissions data (Infections in Oxfordshire Research Database), between 2008 and 2019, including positive urine cultures from women aged ≥16 years in community settings. We defined rUTI as ≥2 positive urine cultures within 6 months or ≥3 within 12 months.
    Results: Of 201 927 women with urine culture performed, 84 809 (42%) had ≥1 positive culture, and 15 617 (18%) of these experienced ≥1 rUTI over a median (IQR) follow-up of 6 (3-9) years. Women with rUTI were 17.0 (95% CI: 16.3-17.7) years older on average. rUTI was commonest (6204; 40%) in those aged 70-89 years. Post-rUTI, the risk of further UTI within 6 months was 29.4% (95% CI: 28.7-30.2).
    Conclusions: rUTIs represent a substantial healthcare burden, particularly in women >60 years. One-third of women experiencing rUTI have a further microbiologically confirmed UTI within 6 months.
    Language English
    Publishing date 2024-01-10
    Publishing country England
    Document type Journal Article
    ISSN 2632-1823
    ISSN (online) 2632-1823
    DOI 10.1093/jacamr/dlad156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: An Electronic Health Record-integrated Web Application Augments a QI-directed Morbidity & Mortality Conference and Improves Quality of Care.

    Sajankila, Nitin / Javens, Thomas / Hampl, Josh / Coleman, Courtney / Murnane, Jami / Kenney, Brian D / Besner, Gail E

    Journal of pediatric surgery

    2024  

    Abstract: Background: In 2014, we developed a QI-directed Morbidity and Mortality (M&M) Conference, prioritizing discussion of individual and system failures, as well as development of action items to prevent failure recurrence. However, due to a reliance on ... ...

    Abstract Background: In 2014, we developed a QI-directed Morbidity and Mortality (M&M) Conference, prioritizing discussion of individual and system failures, as well as development of action items to prevent failure recurrence. However, due to a reliance on individual electronic documents to store M&M data, our ability to assess trends in failures and action item implementation was hindered. To address this issue, in 2019, we created a secure electronic health record (EHR)-integrated web application (web app) to store M&M data.
    Study design: In this study, we assessed the impact of our web app on efficient review and tracking of M&M data, including system failure occurrence and closure of action items. Additionally, in 2021, it was discovered that a backlog of action items existed. To address this issue, we implemented a QI initiative to reduce the backlog, and used the web app to compare action item closure over time.
    Results: Use of the web app dramatically improved review of M&M data. During the study period, there was a 67.0% reduction in the occurrence of the most common system failures. Additionally, our QI initiative resulted in a 97.7% reduction in the duration of time to complete a single action item and a 61.1% increase in the on-time closure rate for action items.
    Conclusions: Integration of a web app into a QI-directed M&M Conference enhanced our ability to track system level failures and action item closure over time. Using this web app, we demonstrated that our M&M Conference achieved its intended goal of improving the quality of patient care.
    Level of evidence: IV.
    Language English
    Publishing date 2024-02-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2024.02.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Functional sympatholysis in hypertension.

    Thomas, Gail D

    Autonomic neuroscience : basic & clinical

    2015  Volume 188, Page(s) 64–68

    Abstract: Sympathetic vasoconstriction is normally attenuated in exercising muscle by local changes in muscle metabolites and other substances that reduce vascular responsiveness to α-adrenergic receptor activation. Termed functional sympatholysis, this protective ...

    Abstract Sympathetic vasoconstriction is normally attenuated in exercising muscle by local changes in muscle metabolites and other substances that reduce vascular responsiveness to α-adrenergic receptor activation. Termed functional sympatholysis, this protective mechanism is thought to optimize muscle blood flow distribution to match perfusion with metabolic demand. Emerging evidence from both animal and human studies indicate that functional sympatholysis is impaired in hypertension and may constitute an important underlying cause of skeletal muscle malperfusion during exercise in this common cardiovascular condition. Findings from studies of animal models of hypertension and patients with essential hypertension will be integrated in this review to provide insight into the underlying mechanisms responsible for inappropriate sympathetic vasoconstriction in exercising muscle and the treatment options that may restore functional sympatholysis and improve muscle perfusion during exercise.
    MeSH term(s) Animals ; Exercise ; Humans ; Hypertension/complications ; Hypertension/pathology ; Muscle, Skeletal/physiopathology ; Sympathetic Nervous System/physiopathology ; Vasoconstriction/physiology
    Language English
    Publishing date 2015-03
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2020105-9
    ISSN 1872-7484 ; 1566-0702
    ISSN (online) 1872-7484
    ISSN 1566-0702
    DOI 10.1016/j.autneu.2014.10.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Profiles of circumscribed interests in autistic youth.

    Spackman, Emily / Smillie, Luke D / Frazier, Thomas W / Hardan, Antonio Y / Alvares, Gail A / Whitehouse, Andrew / Uljarević, Mirko

    Frontiers in behavioral neuroscience

    2023  Volume 17, Page(s) 1037967

    Abstract: Circumscribed interests (CI) encompass a range of different interests and related behaviors that can be characterized by either a high intensity but otherwise usual topic [referred to as restricted interests (RI)] or by a focus on topics that are not ... ...

    Abstract Circumscribed interests (CI) encompass a range of different interests and related behaviors that can be characterized by either a high intensity but otherwise usual topic [referred to as restricted interests (RI)] or by a focus on topics that are not salient outside of autism [referred to as unusual interests (UI)]. Previous research has suggested that there is pronounced variability across individuals in terms of the endorsement of different interests, however, this variability has not been quantified using formal subtyping approaches. Therefore, using Latent Profile Analysis in a sample of 1,892 autistic youth (M
    Language English
    Publishing date 2023-02-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2452960-6
    ISSN 1662-5153
    ISSN 1662-5153
    DOI 10.3389/fnbeh.2023.1037967
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Ocular Manifestations of PNPT1-Related Neuropathy.

    Kuht, Helen J / Thomas, Kevin A / Hisaund, Michael / Maconachie, Gail D E / Thomas, Mervyn G

    Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society

    2021  Volume 41, Issue 3, Page(s) e293–e296

    MeSH term(s) DNA/genetics ; DNA Mutational Analysis ; Exoribonucleases/genetics ; Exoribonucleases/metabolism ; Female ; Fovea Centralis/diagnostic imaging ; Humans ; Male ; Mutation ; Optic Atrophy, Hereditary, Leber/diagnosis ; Optic Atrophy, Hereditary, Leber/genetics ; Optic Atrophy, Hereditary, Leber/metabolism ; Optic Nerve/diagnostic imaging ; Pedigree ; Tomography, Optical Coherence/methods ; Visual Fields/physiology
    Chemical Substances DNA (9007-49-2) ; Exoribonucleases (EC 3.1.-) ; PNPT1 protein, human (EC 3.1.13.-)
    Language English
    Publishing date 2021-08-20
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1189901-3
    ISSN 1536-5166 ; 1070-8022
    ISSN (online) 1536-5166
    ISSN 1070-8022
    DOI 10.1097/WNO.0000000000001012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: BIPOC experiences of (anti-)racist patient engagement in adolescent and young adult oncology research: an electronic Delphi study.

    Cheung, Christabel K / Miller, Kimberly A / Goings, Trenette Clark / Thomas, Bria N / Lee, Haelim / Brandon, Rachel E / Katerere-Virima, Thuli / Helbling, Laura E / Causadias, José M / Roth, Michael E / Berthaud, Frantz M / Jones, Laundette P / Ross, Valentina A / Betz, Gail D / Simmons, Cole D / Carter, Jay / Davies, Simon J / Gilman, Megan L / Lewis, Mark A /
    Lopes, Gilberto / Tucker-Seeley, Reginald D

    Future oncology (London, England)

    2024  Volume 20, Issue 9, Page(s) 547–561

    Abstract: Aims: ...

    Abstract Aims:
    MeSH term(s) Humans ; Adolescent ; Young Adult ; Delphi Technique ; Patient Participation ; Medical Oncology ; Neoplasms/therapy
    Language English
    Publishing date 2024-01-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2274956-1
    ISSN 1744-8301 ; 1479-6694
    ISSN (online) 1744-8301
    ISSN 1479-6694
    DOI 10.2217/fon-2023-0771
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Correction: Disparities in Reproductive Aging and Midlife Health between Black and White women: The Study of Women's Health Across the Nation (SWAN).

    Harlow, Siobán D / Burnett-Bowie, Sherri-Ann M / Greendale, Gail A / Avis, Nancy E / Reeves, Alexis N / Richards, Thomas R / Lewis, Tené T

    Women's midlife health

    2022  Volume 8, Issue 1, Page(s) 10

    Language English
    Publishing date 2022-10-21
    Publishing country England
    Document type Published Erratum
    ISSN 2054-2690
    ISSN (online) 2054-2690
    DOI 10.1186/s40695-022-00082-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Clinical utility gene card for FRMD7-related infantile nystagmus.

    Dawar, Basu / Kuht, Helen J / Han, Jinu / Maconachie, Gail D E / Thomas, Mervyn G

    European journal of human genetics : EJHG

    2021  Volume 29, Issue 10, Page(s) 1584–1588

    MeSH term(s) Cytoskeletal Proteins/genetics ; Genetic Diseases, X-Linked/diagnosis ; Genetic Diseases, X-Linked/genetics ; Genetic Testing/methods ; Genetic Testing/standards ; Humans ; Membrane Proteins/genetics ; Mutation ; Nystagmus, Congenital/diagnosis ; Nystagmus, Congenital/genetics ; Sensitivity and Specificity
    Chemical Substances Cytoskeletal Proteins ; FRMD7 protein, human ; Membrane Proteins
    Language English
    Publishing date 2021-02-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1141470-4
    ISSN 1476-5438 ; 1018-4813
    ISSN (online) 1476-5438
    ISSN 1018-4813
    DOI 10.1038/s41431-021-00826-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Developing Guidance for Donor Intervention Randomized Controlled Trials: Initial Discussions From the Canada-United Kingdom 2022 Workshop.

    Slessarev, Marat / Bain, Katie L / Basmaji, John / Blydt-Hansen, Tom D / Cooper, Jessie / D'Aragon, Frédérick / Del Sorbo, Lorenzo / Evans, Amy / Gordon, Anthony C / Klein, Gail / Meade, Maureen O / Murphy, Nicholas / Thomas, Helen L / Weiss, Matthew J / Weijer, Charles / Harvey, Dan

    Transplantation

    2024  

    Abstract: Background: Donor interventions, including medications, protocols, and medical devices administered to donors, can enhance transplantable organ quality and quantity and maximize transplantation success. However, there is paucity of high-quality evidence ...

    Abstract Background: Donor interventions, including medications, protocols, and medical devices administered to donors, can enhance transplantable organ quality and quantity and maximize transplantation success. However, there is paucity of high-quality evidence about their effectiveness, in part because of ethical, practical, and regulatory challenges, and lack of guidance about conduct of donor intervention randomized controlled trials (RCTs).
    Methods: With the vision to develop authoritative guidance for conduct of donor intervention RCTs, we convened a workshop of Canadian-United Kingdom experts in organ donation and transplantation ethics, research, and policy to identify stakeholders, explore unique challenges, and develop research agenda to inform future work in this promising field.
    Results: Donor intervention trials should consider perspectives of broad group of stakeholders including donors, transplant recipients, and their families; researchers in donation and transplantation; research ethics boards; and healthcare providers and administrators involved in donation and transplantation. Unique challenges include (1) research ethics (living versus deceased status of the donor at the time of intervention, intervention versus outcomes assessment in different individuals, harm-benefit analysis in donors versus recipients, consent, and impact on research bystanders); (2) outcome data standardization and linkage; and (3) regulatory and governance considerations.
    Conclusions: Donor intervention RCTs hold potential to benefit organ transplantation outcomes but face unique research ethics, outcome data, and regulatory challenges. By developing research agenda to address these challenges, our workshop was an important first step toward developing Canada-United Kingdom guidance for donor intervention RCTs that are poised to improve the quality and availability of transplantable organs.
    Language English
    Publishing date 2024-03-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208424-7
    ISSN 1534-6080 ; 0041-1337
    ISSN (online) 1534-6080
    ISSN 0041-1337
    DOI 10.1097/TP.0000000000004983
    Database MEDical Literature Analysis and Retrieval System OnLINE

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