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  1. Article: K-ras mutations in non-small-cell lung carcinoma: a review.

    Aviel-Ronen, Sarit / Blackhall, Fiona H / Shepherd, Frances A / Tsao, Ming-Sound

    Clinical lung cancer

    2006  Volume 8, Issue 1, Page(s) 30–38

    Abstract: ... apoptosis. Mutations on the K-ras gene have been found in 20%-30% of non-small-cell lung cancers and are ... through which K-ras exerts its cellular effects and the results from studies designed to evaluate the clinical ... importance of K-ras in patients with lung cancer. Since the demonstration of K-ras mutation as a negative ...

    Abstract The Ras proteins are pivotal regulators of cellular proliferation, differentiation, motility, and apoptosis. Mutations on the K-ras gene have been found in 20%-30% of non-small-cell lung cancers and are believed to play a key role in this malignancy. Herein, we review the complex biochemical mechanisms through which K-ras exerts its cellular effects and the results from studies designed to evaluate the clinical importance of K-ras in patients with lung cancer. Since the demonstration of K-ras mutation as a negative prognostic marker 2 decades ago, 8 studies have supported this finding, but an equal number have failed to confirm this. There are also conflicting data for K-ras as a predictor of resistance to chemotherapy and radiation therapy. Progress has been hampered by relatively small studies, different methods of molecular analysis, and heterogeneity in histologic subtypes, stage, treatment administered, and survival criteria used. However, recent findings among patients treated with adjuvant chemotherapy or epidermal growth factor receptor inhibitors highlight that K-ras might yet be an important biomarker for non-small-cell lung cancer and worthy of further research.
    MeSH term(s) Apoptosis ; Carcinoma, Non-Small-Cell Lung/genetics ; Carcinoma, Non-Small-Cell Lung/physiopathology ; Carcinoma, Non-Small-Cell Lung/therapy ; Cell Proliferation ; Genes, ras/genetics ; Genetic Markers ; Humans ; Lung Neoplasms/genetics ; Lung Neoplasms/physiopathology ; Lung Neoplasms/therapy ; Mutation ; Prognosis ; Signal Transduction
    Chemical Substances Genetic Markers
    Language English
    Publishing date 2006-07
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2145146-1
    ISSN 1938-0690 ; 1525-7304
    ISSN (online) 1938-0690
    ISSN 1525-7304
    DOI 10.3816/CLC.2006.n.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Dental emergencies presenting to maxillofacial units during the COVID-19 pandemic: a five-centre UK hospital study.

    Blackhall, Kristian K / Singh, Rabindra P

    British dental journal

    2021  

    Abstract: Introduction Coronavirus disease (COVID-19) represents an unprecedented challenge to healthcare. Provision of dental services was significantly affected, with limited provision for emergencies resulting in patients increasingly attending hospitals ... ...

    Abstract Introduction Coronavirus disease (COVID-19) represents an unprecedented challenge to healthcare. Provision of dental services was significantly affected, with limited provision for emergencies resulting in patients increasingly attending hospitals.Objectives and methods The aim of the study was to assess the provision of emergency dental services by the maxillofacial departments during the initial COVID-19 pandemic lockdown in the United Kingdom. At the outset of the first lockdown, we initiated a prospective study to monitor the presentation and management of dental emergencies at five hospital trusts. Data were collected onto an online live database until the lockdown relaxation.Results Of a total of 211 dental emergencies, 156 were infection-related, 42 were trauma-related and 12 were cases of post-operative complications. A proportion of patients (76%) could have been treated in primary care, with 52% of presentations having already been 'triaged' on several occasions by urgent dental hubs and given multiple antibiotic courses, rather than any direct treatment.Conclusion There is a need to restructure emergency dental service provision as well as planning for possible further COVID-19 spikes and future pandemics.
    Language English
    Publishing date 2021-01-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 218090-x
    ISSN 1476-5373 ; 0007-0610
    ISSN (online) 1476-5373
    ISSN 0007-0610
    DOI 10.1038/s41415-020-2499-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Physician Orders for Life-Sustaining Treatment and ICU Admission Near the End of Life.

    Mehta, Ambereen K / Blackhall, Leslie J

    JAMA

    2020  Volume 324, Issue 6, Page(s) 608

    MeSH term(s) Humans ; Intensive Care Units ; Medical Overuse ; Physicians ; Resuscitation Orders
    Language English
    Publishing date 2020-08-11
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2020.8639
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Women Physicians in Palliative Care Leadership.

    Mehta, Ambereen K / Blackhall, Leslie

    Journal of palliative medicine

    2019  Volume 22, Issue 6, Page(s) 615

    MeSH term(s) Administrative Personnel/statistics & numerical data ; Adult ; Female ; Humans ; Leadership ; Middle Aged ; Palliative Care/statistics & numerical data ; Physicians, Women/statistics & numerical data ; Professional Role ; United States
    Language English
    Publishing date 2019-05-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2019.0063
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: A rare case of a intraosseous arteriovenous malformation of the temporomandibular joint and mandible - Case report and literature review.

    Blackhall, Kristian K / Ling, Eugenie / Kunjur, Jayanth

    International journal of surgery case reports

    2020  Volume 76, Page(s) 394–398

    Abstract: Introduction: This case report looks at a 47 year-old patient, presenting with a rapid onset mass of the left face. This report examines the case, the investigations undertaken, its management and undertakes a literature review of this uncommon ... ...

    Abstract Introduction: This case report looks at a 47 year-old patient, presenting with a rapid onset mass of the left face. This report examines the case, the investigations undertaken, its management and undertakes a literature review of this uncommon condition and rare presentation.
    Presentation of case: This patient had experienced functional deterioration, restriction and an evident swelling of the left face. Having identified the mass to arise from the mandibular condyle, an incisional biopsy was undertaken. The histology was suggestive of an arteriovenous malformation. Surgery was undertaken to excise the entire left mandibular condyle along with the lesion and then replace the temporomandibular joint with a custom made prosthesis.
    Discussion: Arteriovenous malformations, or Haemiangiomas, can arise in any part of the body and can often grow over time. Although benign, lesions can be locally invasive and distort anatomy, resulting in functional issues. Their risk for hemorrhage and potentially significant blood losses is also a risk factor in their presence. Rarely arteriovenous malformations can occur in hard tissue, as in this case distorting and obliterating the temporomandibular joint. One's only recourse is to remove and eliminate the lesion, however in cases such as this significant morbidity could ensue due to functional deficit. Hence consideration must be given to reconstruction.
    Conclusion: Having excised the mass and reconstructed the temporomandibular joint with a titanium prosthesis, the patient experienced a good recovery with a return to normality.
    Language English
    Publishing date 2020-10-07
    Publishing country Netherlands
    Document type Case Reports
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2020.10.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A prospective cohort study on the safety of checkpoint inhibitors in older cancer patients - the ELDERS study.

    Gomes, F / Lorigan, P / Woolley, S / Foden, P / Burns, K / Yorke, J / Blackhall, F

    ESMO open

    2021  Volume 6, Issue 1, Page(s) 100042

    Abstract: Objective: Older cancer patients are underrepresented in the pivotal trials of checkpoint inhibitors (CPIs). This study aimed to investigate the impact of an ageing immune system on CPI-related toxicity and provide evidence for the role of geriatric ... ...

    Abstract Objective: Older cancer patients are underrepresented in the pivotal trials of checkpoint inhibitors (CPIs). This study aimed to investigate the impact of an ageing immune system on CPI-related toxicity and provide evidence for the role of geriatric assessments with CPI.
    Methods: The ELDERS study is a prospective observational study with two cohorts: older (70+ years of age) and younger (<70 years of age). Patients with advanced/metastatic non-small-cell lung cancer or melanoma starting single-agent CPI were eligible. The older cohort was assessed for frailty with Geriatric-8 (G8) screening, which when positive (<15 points) was followed by a holistic set of geriatric assessments. Primary endpoint was the incidence of grade 3-5 immune-related adverse events (irAEs).
    Results: One hundred and forty patients were enrolled with 43% being pretreated and pembrolizumab represented 92% of treatments on study. The older cohort had a significantly higher comorbidity burden (P < 0.001) and polypharmacy (P = 0.004). While 50% of older patients had a positive G8 screening, 60% on this frail subgroup had a performance status score of 0 or 1. There was no significant difference in the incidence of irAEs grade 3-5 between older and younger cohorts (18.6% versus 12.9%; odds ratio 1.55, confidence interval 95% 0.61-3.89; P = 0.353). Exposure to systemic steroids due to irAEs was numerically longer for older patients (22 versus 8 weeks; P = 0.208). A positive G8 screening predicted hospital admissions (P = 0.031) and risk of death (P = 0.01).
    Conclusions: The use of CPI in older patients was not associated with more high-grade toxicity. The G8 screening identified a subgroup with higher risk of AEs and its implementation should be considered in the context of CPI.
    MeSH term(s) Aged ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Cohort Studies ; Geriatric Assessment ; Humans ; Lung Neoplasms/drug therapy ; Prospective Studies
    Language English
    Publishing date 2021-01-27
    Publishing country England
    Document type Journal Article ; Observational Study
    ISSN 2059-7029
    ISSN (online) 2059-7029
    DOI 10.1016/j.esmoop.2020.100042
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Finding studies for inclusion in systematic reviews of interventions for injury prevention the importance of grey and unpublished literature.

    Blackhall, K

    Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention

    2007  Volume 13, Issue 5, Page(s) 359

    MeSH term(s) Data Collection/methods ; Humans ; Information Storage and Retrieval/methods ; Publication Bias ; Publications/standards ; Publishing/standards ; Review Literature as Topic ; Wounds and Injuries/prevention & control
    Language English
    Publishing date 2007-10-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 1433667-4
    ISSN 1353-8047
    ISSN 1353-8047
    DOI 10.1136/ip.2007.017020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Penetrating retro-orbital foreign body - large glass shards: A maxillofacial surgery case report.

    Blackhall, Kristian K / Laraway, David C

    SAGE open medical case reports

    2016  Volume 4, Page(s) 2050313X15622890

    Abstract: Objectives: This case report looks at a 53-year-old patient who had suffered a penetrating foreign body injury to the retro-orbital space and the surgical approach taken to remove the large glass fragments found and to correct the damage caused. Having ... ...

    Abstract Objectives: This case report looks at a 53-year-old patient who had suffered a penetrating foreign body injury to the retro-orbital space and the surgical approach taken to remove the large glass fragments found and to correct the damage caused. Having fallen while holding a drinking glass, this patient suffered multiple laceration injuries to the maxillofacial region upon the glass shattering in contact with the face. However, unbeknownst to the patient, several glass fragments became embedded in the retro-orbital space, and this was only detected on presentation 2 days post-injury with unusual symptoms of sharp, sudden pain elicited on extreme gaze as well as ocular motility restriction.
    Methods: This embedded foreign body required a creative surgical approach to remove it involving gaining access to the retro-orbital space via a superior approach and cautiously following the path the glass shards took upon entry, all the way to the posterior aspect of superior rectus. Intra-operative radiographic guidance was required due to the restriction of operating within this space and particularly when removing glass fragments distal to superior rectus.
    Results and conclusion: The patient recovered well and experienced an immediate improvement in ocular motility with a return to relative normality over the next few months.
    Language English
    Publishing date 2016-02-03
    Publishing country England
    Document type Case Reports
    ZDB-ID 2736953-5
    ISSN 2050-313X
    ISSN 2050-313X
    DOI 10.1177/2050313X15622890
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A cross-sectional analysis of treatment patterns in small-cell lung cancer in five European countries.

    Reguart, Noemi / Pérol, Maurice / Cortinovis, Diego / Puntis, Stephen / Öhrling, Katarina / Archangelidi, Olia / Louie, Karly S / Blackhall, Fiona / Sebastian, Martin

    Future oncology (London, England)

    2023  

    Abstract: Aim: ...

    Abstract Aim:
    Language English
    Publishing date 2023-11-30
    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-2022-1315
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The appropriateness of urgent ‘2 week wait’ suspected malignancy referrals to oral and maxillofacial surgery

    Kristian K. Blackhall / Aghiad Alsabbagh / Rabindra P. Singh / Ian P. Downie

    Advances in Oral and Maxillofacial Surgery, Vol 7, Iss , Pp 100311- (2022)

    2022  

    Abstract: Oral and maxillofacial surgery departments in the United Kingdom receive referrals from primary care providers such as dentists and general medical practitioners. A ‘2 week wait’ urgent referral is actioned when the referring clinician suspects a ... ...

    Abstract Oral and maxillofacial surgery departments in the United Kingdom receive referrals from primary care providers such as dentists and general medical practitioners. A ‘2 week wait’ urgent referral is actioned when the referring clinician suspects a potential malignant lesion or suspicious presentation resulting in the patient being fast-tracked for an initial consultation appointment. However, there appears to be a notion that there may be increasing misuse of this pathway with several patients being referred with evidently benign lesions. We analyse the pattern and type of these referrals as well as the causative elements at the primary care level.
    Keywords Oral cancer ; Urgent referrals ; Service provision ; 2 week wait ; Internal medicine ; RC31-1245 ; Surgery ; RD1-811
    Language English
    Publishing date 2022-07-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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