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  1. Article ; Online: Not enough known about fenofibrate's kidney effects in people with Type 2 diabetes.

    Jenkins, Alicia J / O'Connell, Rachel L / Januszewski, Andrzej S / Webster, Angela C / M E Davis, Timothy / Jardine, Meg J / Scott, Russell S / Taskinen, Marja-Riitta / Keech, Anthony C

    Diabetes research and clinical practice

    2024  Volume 210, Page(s) 111612

    Abstract: Globally ≈10% of adults have diabetes, with 80% in disadvantaged regions, hence low-cost renoprotective agents are desirable. Fenofibrate demonstrated microvascular benefits in several cardiovascular end-point diabetes trials, but knowledge of effects in ...

    Abstract Globally ≈10% of adults have diabetes, with 80% in disadvantaged regions, hence low-cost renoprotective agents are desirable. Fenofibrate demonstrated microvascular benefits in several cardiovascular end-point diabetes trials, but knowledge of effects in late-stage kidney disease is limited. We report new FIELD substudy data and call for further kidney outcomes data.
    MeSH term(s) Humans ; Diabetes Mellitus, Type 2/drug therapy ; Fenofibrate/therapeutic use ; Kidney ; Hypolipidemic Agents/therapeutic use ; Cardiovascular Diseases
    Chemical Substances Fenofibrate (U202363UOS) ; Hypolipidemic Agents
    Language English
    Publishing date 2024-03-11
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 632523-3
    ISSN 1872-8227 ; 0168-8227
    ISSN (online) 1872-8227
    ISSN 0168-8227
    DOI 10.1016/j.diabres.2024.111612
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Supra-regional referral centre model for management of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) in the UK.

    McKean, Andrew R / Attygalle, Ayoma D / El-Sharkawi, Dima / O'Connell, Rachel L / Sharma, Bhupinder / Wotherspoon, Andrew / Tasoulis, Marios-Konstantinos / Khan, Aadil A

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2024  Volume 90, Page(s) 73–75

    MeSH term(s) Humans ; Female ; Breast Implants/adverse effects ; Lymphoma, Large-Cell, Anaplastic/etiology ; Lymphoma, Large-Cell, Anaplastic/pathology ; Breast Implantation/adverse effects ; United Kingdom/epidemiology ; Breast Neoplasms/etiology ; Breast Neoplasms/surgery
    Language English
    Publishing date 2024-02-05
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2024.02.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The Potential Impact of COVID-19 on the Medical School Application.

    O'Connell, Rachel L / Kemp, Michael T / Alam, Hasan B

    Journal of medical education and curricular development

    2020  Volume 7, Page(s) 2382120520940666

    Abstract: The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on the medical community. It is suspected that the pandemic will impact the medical school application process due to effects on standardized testing, performance measures, ... ...

    Abstract The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on the medical community. It is suspected that the pandemic will impact the medical school application process due to effects on standardized testing, performance measures, financial burdens, and interview strategies. It is important to consider these issues early to optimize success of future strategies and mitigate the impact of COVID-19 on the application cycle.
    Keywords covid19
    Language English
    Publishing date 2020-07-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2798123-X
    ISSN 2382-1205
    ISSN 2382-1205
    DOI 10.1177/2382120520940666
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Corrigendum to "Retinopathy risk calculators in the prediction of sight-threatening diabetic retinopathy in type 2 diabetes: A FIELD substudy" [Diab. Res. Clin. Pract. 186 (2022) 109835].

    Rao, Benjamin N / Quinn, Nicola / Januszewski, Andrzej S / Peto, Tunde / Brazionis, Laima / Aryal, Nanda / O'Connell, Rachel L / Li, Liping / Summanen, Paula / Scott, Russell / O'Day, Justin / Keech, Anthony C / Jenkins, Alicia J

    Diabetes research and clinical practice

    2023  Volume 196, Page(s) 110234

    Language English
    Publishing date 2023-01-04
    Publishing country Ireland
    Document type Published Erratum
    ZDB-ID 632523-3
    ISSN 1872-8227 ; 0168-8227
    ISSN (online) 1872-8227
    ISSN 0168-8227
    DOI 10.1016/j.diabres.2022.110234
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Oncological Outcomes After Multidisciplinary Management of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).

    O'Connell, Rachel L / Sharma, Bhupinder / El-Sharkawi, Dima / Wotherspoon, Andrew / Attygalle, Ayoma D / MacNeill, Fiona / Khan, Aadil A / Tasoulis, Marios-Konstantinos

    Annals of surgical oncology

    2023  Volume 30, Issue 10, Page(s) 6170–6175

    Abstract: Introduction: Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an uncommon type of non-Hodgkin lymphoma, associated with breast implant capsules. Despite improvements in our understanding of BIA-ALCL, communicating the prognosis to ...

    Abstract Introduction: Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an uncommon type of non-Hodgkin lymphoma, associated with breast implant capsules. Despite improvements in our understanding of BIA-ALCL, communicating the prognosis to patients remains challenging due to limited long-term follow-up data. This has important implications for decision-making, including recommendations for subsequent reconstructive procedures. The aim of this study was to assess the longer-term oncological outcomes of patients receiving multidisciplinary treatment for BIA-ALCL.
    Methods: This was a retrospective cohort study of BIA-ALCL patients treated at a tertiary referral unit. The data are presented using simple descriptive statistics.
    Results: Between 2015 and 2022, 18 BIA-ALCL patients were treated at our institution. The median age at diagnosis was 48.5 (IQR 41-55) years. Ten patients developed BIA-ALCL after cosmetic breast augmentation, and 8 after breast reconstruction following mastectomy for cancer. All patients had a history of textured implant insertion. The median time from first implant surgery to diagnosis was 8.5 (IQR 7-12) years. All patients underwent en-bloc total capsulectomy with implant removal, and 2 received systemic therapy. Fifteen patients had Stage I (IA-IC) disease, 2 had Stage IIA and 1 Stage III BIA-ALCL, based on the TNM classification system. At a median follow-up of 45 (IQR 15-71) months, there were no episodes of local or systemic relapse or death.
    Conclusions: Surgical management for BIA-ALCL is sufficient in early-stage disease, and associated with excellent oncological outcomes. This information is reassuring for patients when discussing recurrence risk.
    MeSH term(s) Humans ; Adult ; Middle Aged ; Female ; Breast Implants/adverse effects ; Lymphoma, Large-Cell, Anaplastic/etiology ; Lymphoma, Large-Cell, Anaplastic/therapy ; Retrospective Studies ; Breast Neoplasms/etiology ; Breast Neoplasms/surgery ; Mastectomy/methods ; Neoplasm Recurrence, Local/etiology ; Neoplasm Recurrence, Local/surgery ; Breast Implantation/adverse effects ; Breast Implantation/methods
    Language English
    Publishing date 2023-07-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-023-13889-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Pre-operative Radiotherapy And Deep Inferior Epigastric Artery Perforator (DIEP) flAp study (PRADA): Aesthetic outcome and patient satisfaction at one year.

    Godden, Amy R / Micha, Aikaterini / O'Connell, Rachel L / Mohammed, Kabir / Kirby, Anna M / Thiruchelvam, Paul T R / Leff, Daniel R / MacNeill, Fiona A / Rusby, Jennifer E

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2023  Volume 78, Page(s) 19–28

    Abstract: Introduction: The optimal combination of radiotherapy and breast reconstruction has not yet been defined. Post-mastectomy radiotherapy (PMRT) has deleterious effects on breast reconstruction, leading to caution amongst surgeons. Pre-operative ... ...

    Abstract Introduction: The optimal combination of radiotherapy and breast reconstruction has not yet been defined. Post-mastectomy radiotherapy (PMRT) has deleterious effects on breast reconstruction, leading to caution amongst surgeons. Pre-operative radiotherapy (PRT) is a growing area of interest, is demonstrated to be safe, and spares autologous flaps from radiotherapy. This study evaluates the aesthetic outcome of PRT and deep inferior epigastric artery perforator (DIEP) flap reconstruction within the Pre-operative Radiotherapy And Deep Inferior Epigastric artery Perforator (DIEP) flAp (PRADA) cohort.
    Methods: PRADA was an observational cohort study designed to evaluate the feasibility and safety of PRT for women undergoing neoadjuvant chemotherapy and DIEP reconstruction. Panel evaluation of 3D surface images (3D-SIs) and patient-reported outcome measures (BREAST-Q) for a subset of women in the study were compared with those of a DIEP-PMRT cohort who had undergone DIEP reconstruction and PMRT.
    Results: Seventeen out of 33 women from the PRADA study participated in this planned substudy. Twenty-eight women formed the DIEP-PMRT cohort (median follow-up 23 months). The median (inter-quartile range [IQR]) 'satisfaction with breasts' score at 12 months for the PRADA cohort was significantly better than the DIEP-PMRT cohort (77 [72-87] versus 64 [54-71], respectively), p=0.01). Median [IQR] panel evaluation (5-point scale) was also significantly better for the PRADA cohort than for the DIEP-PMRT cohort (4.3 [3.9-4.6] versus 3.6 [2.8-4] p=0.003).
    Conclusions: Aesthetic outcome for the PRADA cohort was reported to be 'good' or 'excellent' in 93% of cases using a bespoke panel assessment with robust methodology. Patient satisfaction at one year is encouraging and superior to DIEP-PMRT at 23 months. Switching surgery-radiotherapy sequencing leads to similar breast aesthetic outcomes and warrants further large-scale, multi-centre evaluation in a randomised trial.
    MeSH term(s) Female ; Humans ; Patient Satisfaction ; Mastectomy/methods ; Epigastric Arteries/surgery ; Breast Neoplasms/radiotherapy ; Breast Neoplasms/surgery ; Perforator Flap/blood supply ; Mammaplasty/methods ; Esthetics ; Retrospective Studies
    Language English
    Publishing date 2023-01-20
    Publishing country Netherlands
    Document type Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2022.11.040
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Potential Impact of COVID-19 on the Medical School Application

    O’Connell, Rachel L / Kemp, Michael T / Alam, Hasan B

    Journal of Medical Education and Curricular Development

    2020  Volume 7, Page(s) 238212052094066

    Abstract: The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on the medical community. It is suspected that the pandemic will impact the medical school application process due to effects on standardized testing, performance measures, ... ...

    Abstract The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on the medical community. It is suspected that the pandemic will impact the medical school application process due to effects on standardized testing, performance measures, financial burdens, and interview strategies. It is important to consider these issues early to optimize success of future strategies and mitigate the impact of COVID-19 on the application cycle.
    Keywords covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2798123-X
    ISSN 2382-1205
    ISSN 2382-1205
    DOI 10.1177/2382120520940666
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: The MARECA (national study of management of breast cancer locoregional recurrence and oncological outcomes) study: protocol for a prospective, multicentre cohort study.

    Hartup, Sue M / Morgan, Jenna L / Cheng, Vinton Wt / Barry, Peter A / Copson, Ellen / Cutress, Ramsey I / Dave, Rajiv / Elsberger, Beatrix / Fairbrother, Patricia / Hogan, Brian / Horgan, Kieran / Kirwan, Cliona C / McIntosh, Stuart A / O'Connell, Rachel L / Patani, Neill / Potter, Shelley / Rattay, Tim / Sheehan, Lisa / Wyld, Lynda /
    Kim, Baek

    International journal of surgery protocols

    2024  Volume 28, Issue 1, Page(s) 20–26

    Abstract: Background: Despite a UK 5-year breast cancer survival rate of 86.6%, patients may develop breast cancer recurrence within the same breast after breast conserving surgery, as well as in the remaining skin or chest wall after mastectomy or in the ... ...

    Abstract Background: Despite a UK 5-year breast cancer survival rate of 86.6%, patients may develop breast cancer recurrence within the same breast after breast conserving surgery, as well as in the remaining skin or chest wall after mastectomy or in the ipsilateral lymph glands. These recurrences, collectively termed locoregional recurrence (LRR), occur in around 8% of patients within 10 years of their original diagnosis. Currently, there is a lack of robust information on the presentation and prevalence of LRR with no UK-specific clinical guidelines available for the optimal management of this patient group. Additionally, there is a need to identify patterns of LRR presentation and their progression, which will enable prognostic factors to be determined. This will subsequently enable the tailoring of treatment and improve patient outcome.
    Methods: The MARECA study is a prospective, multicentre cohort study recruiting patients diagnosed with breast cancer LRR +/- associated distant metastases. Over 50 UK breast units are participating in the study with the aim of recruiting at least 500 patients over a recruitment period of 24 months. The data collected will detail the tumour pathology, imaging results, surgical treatment, radiotherapy and systemic therapy of the primary and recurrent breast cancer. Study follow-up will be for up to 5 years following LRR diagnosis to determine subsequent oncological outcomes and evaluate potential prognostic factors.
    Discussion: This study will address the current knowledge gap and identify subgroups of patients who have less successful treatment outcomes. The results will determine the current management of LRR and the prognosis of patients diagnosed with breast cancer LRR +/- distant metastases in the UK, with the aim of establishing best practice and informing future national guidelines. The results will direct future research and inform the design of additional interventional trials and translational studies.
    Language English
    Publishing date 2024-01-26
    Publishing country England
    Document type Journal Article
    ISSN 2468-3574
    ISSN (online) 2468-3574
    DOI 10.1097/SP9.0000000000000018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Hidden in plain sight - Survival consequences of baseline symptom burden in women with recurrent ovarian cancer.

    Roncolato, Felicia / King, Madeleine T / O'Connell, Rachel L / Lee, Yeh Chen / Joly, Florence / Hilpert, Felix / Lanceley, Anne / Yoshida, Yoshio / Bryce, Jane / Donnellan, Paul / Oza, Amit / Avall-Lundqvist, Elisabeth / Berek, Jonathan S / Ledermann, Jonathan A / Berton, Dominique / Sehouli, Jalid / Kaminsky, Marie-Christine / Stockler, Martin R / Friedlander, Michael

    Gynecologic oncology

    2024  Volume 185, Page(s) 128–137

    Abstract: Objective: To describe the baseline symptom burden(SB) experienced by patients(pts) with recurrent ovarian cancer(ROC) prior and associations with progression free survival (PFS) and overall survival (OS).: Methods: We analysed baseline SB reported ... ...

    Abstract Objective: To describe the baseline symptom burden(SB) experienced by patients(pts) with recurrent ovarian cancer(ROC) prior and associations with progression free survival (PFS) and overall survival (OS).
    Methods: We analysed baseline SB reported by pts. with platinum resistant/refractory ROC (PRR-ROC) or potentially‑platinum sensitive ROC receiving their third or greater line of chemotherapy (PPS-ROC≥3) enrolled in the Gynecologic Cancer InterGroup - Symptom Benefit Study (GCIG-SBS) using the Measure of Ovarian Symptoms and Treatment concerns (MOST). The severity of baseline symptoms was correlated with PFS and OS.
    Results: The 948 pts. reported substantial baseline SB. Almost 80% reported mild to severe pain, and 75% abdominal symptoms. Shortness of breath was reported by 60% and 90% reported fatigue. About 50% reported moderate to severe anxiety, and 35% moderate to severe depression. Most (89%) reported 1 or more symptoms as moderate or severe, 59% scored 6 or more symptoms moderate or severe, and 46% scored 9 or more symptoms as moderate or severe. Higher SB was associated with significantly shortened PFS and OS; five symptoms had OS hazard ratios larger than 2 for both moderate and severe symptom cut-offs (trouble eating, vomiting, indigestion, loss of appetite, and nausea; p < 0.001).
    Conclusion: Pts with ROC reported high SB prior to starting palliative chemotherapy, similar among PRR-ROC and PPS-ROC≥3. High SB was strongly associated with early progression and death. SB should be actively managed and used to stratify patients in clinical trials. Clinical trials should measure and report symptom burden and the impact of treatment on symptom control.
    Language English
    Publishing date 2024-02-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 801461-9
    ISSN 1095-6859 ; 0090-8258
    ISSN (online) 1095-6859
    ISSN 0090-8258
    DOI 10.1016/j.ygyno.2024.02.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The effect of monthly vitamin D supplementation on fractures: a tertiary outcome from the population-based, double-blind, randomised, placebo-controlled D-Health trial.

    Waterhouse, Mary / Ebeling, Peter R / McLeod, Donald S A / English, Dallas / Romero, Briony Duarte / Baxter, Catherine / Armstrong, Bruce K / Hartel, Gunter / Kimlin, Michael / O'Connell, Rachel L / van der Pols, Jolieke C / Venn, Alison J / Webb, Penelope M / Whiteman, David C / Neale, Rachel E

    The lancet. Diabetes & endocrinology

    2023  Volume 11, Issue 5, Page(s) 324–332

    Abstract: Background: Low serum 25-hydroxy vitamin D concentration is associated with increased fracture risk. It is uncertain whether vitamin D supplementation reduces fractures, or whether intermittent doses are harmful. We aimed to investigate if supplementing ...

    Abstract Background: Low serum 25-hydroxy vitamin D concentration is associated with increased fracture risk. It is uncertain whether vitamin D supplementation reduces fractures, or whether intermittent doses are harmful. We aimed to investigate if supplementing adults living in Australia with monthly doses of 60 000 international units (IU) vitamin D
    Methods: We did a population-based, double-blind, randomised, placebo-controlled trial of oral vitamin D
    Findings: Between Feb 14, 2014, and June 17, 2015, we recruited 21 315 participants. For the current analysis, we included 20 326 participants (vitamin D 10 154 [50·0%]; placebo 10 172 [50·0%]). 9295 (45·7%) of 20 326 participants were women and the mean age was 69·3 years (SD 5·5). Over a median follow-up of 5·1 years (IQR 5·1-5·1), 568 (5·6%) participants in the vitamin D group and 603 (5·9%) in the placebo group had one or more fractures. There was no effect on fracture risk overall (HR 0·94 [95% CI 0·84-1·06]), and the interaction between randomisation group and time was not significant (p=0·14). However, the HR for total fractures appeared to decrease with increasing follow-up time. The overall HRs for non-vertebral, major osteoporotic, and hip fractures were 0·96 (95% CI 0·85-1·08), 1·00 (0·85-1·18), and 1·11 (0·86-1·45), respectively.
    Interpretation: These findings do not support concerns that bolus doses of vitamin D administered monthly increase fracture risk. Long-term supplementation might reduce the incidence of total fractures, but additional research is needed to clarify this effect.
    Funding: Australian National Health and Medical Research Council.
    MeSH term(s) Adult ; Female ; Humans ; Aged ; Male ; Australia/epidemiology ; Vitamin D ; Vitamins/therapeutic use ; Cholecalciferol/therapeutic use ; Hip Fractures ; Double-Blind Method ; Dietary Supplements
    Chemical Substances Vitamin D (1406-16-2) ; Vitamins ; Cholecalciferol (1C6V77QF41)
    Language English
    Publishing date 2023-03-31
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2213-8595
    ISSN (online) 2213-8595
    DOI 10.1016/S2213-8587(23)00063-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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