In coarctation of the aorta, there is a narrowing in the aorta just beyond the branches that supply the head and arms with blood. This prevents the blood from circulating normally in the lower half of the body and can be very serious. The narrowing of the aorta is usually repaired with surgery during early childhood. In the long-term, up to 60% of patients who have had a coarctation repair develop high blood pressure, and this begins in childhood. High blood ...

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The FOxTROT platform is a rolling programme of molecularly stratified, randomised phase II/III, multi-centre, international, open-label studies patients with locally advanced but operable colon cancer (CC). FOxTROT 2 is a phase III,multi-centre,open-label,international,randomised-controlled trial of modified dose of OxFp compared to STS,in patients unsuitable for FOLFOXIRI with a left-CC or with a right-CC tumour confirmed to be pMMR or MSS, and not felt to be at risk of bowel obstruction. FOxTROT 3 is a phase III, multi-centre, open-label, international, randomised-controlled trial of 6 ...

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This study will look at the safety of curative radiotherapy to the prostate and lymph glands given in 5 visits, in men with high risk localised prostate cancer. The purpose of the research is to test an advanced type of external beam radiotherapy called stereotactic body radiotherapy (also known as SBRT) in 536 participants with high risk localised prostate cancer (that is, prostate cancer that has not spread beyond the prostate gland but is at high risk of growing quickly or ...

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Nurses looking after children on intensive care units in the UK aspirate (suck out with a syringe) whatever feed is in the stomach before they decide to give a feed or not. The idea is to check that the stomach is not too full of milk/feed, to prevent the child vomiting, or breathing milk into the lungs. However, there is no evidence to base this practice on. In some countries this practice is rarely done and although recommendation in adult ...

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The aim of the IBHO BioResource is to research the social and biological causes,and impacts,of a broad range of health conditions and illnesses in people from Black communities in the United Kingdom (UK). These include disorders that affect people from Black communities at increased rates,such as diabetes and pregnancy/childbirth complications,but also conditions that almost exclusively affect those from Black communities such as sickle cell disease. The IBHO Bioresource is also designed to examine some conditions such as anxiety,depression,and dermatological problems,about ...

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Every year over 15,800 people are diagnosed with gullet (oesophageal) or stomach cancer and over 12,300 deaths are reported from both cancers in the UK. Currently, most gullet or stomach cancer patients are treated with surgery with or without additional chemo- or radio-therapy. Recently, there have been improvements in survival from these cancers, due to better therapies. However, around two-thirds of patients treated with surgery, the cancer will return within three years and they will ultimately die from this. There ...

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Type 1 diabetes (T1D) is an autoimmune condition, and one of the most common, chronic conditions of childhood. Three stages of T1D are recognised, with stage 1 and 2 T1D characterised by autoimmunity (presence of two or more diabetes antibodies) where individuals are pre-symptomatic. Stage 3 T1D is the classical symptomatic presentation, when insulin commencement is necessary. Almost all children with two or more T1D antibodies, will develop T1D in their lifetime. Earlier detection of T1D will identify individuals who ...

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The purpose of this study is to evaluate the efficacy of glofitamab monotherapy compared with an investigator’s choice of either rituximab plus bendamustine (BR), or lenalidomide with rituximab (R-Len) in patients with relapsed or refractory (R/R) mantle cell lymphoma (MCL) as measured by Blinded Independent Review Committee (BIRC) assessed progression-free survival (PFS). Participants will be randomized in a 1:1 ratio to receive either glofitamab as a single agent or an investigator’s choice between BR or R-Len. Approximately half of the patients ...

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1 in 7 babies require neonatal care. During their time in hospital their vital signs (such as heart rate, breathing rate and oxygen saturation) are continuously monitored as part of standard care. Many factors lead to changes in vital signs, for example, medical procedures such as blood tests can result in brief increases in heart rate. Medication can also alter vital signs, either as an intended effect or as a side effect. However, different infants will respond in different ways ...

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This is an observational cohort study in which data will be acquired both prospectively and retrospectively. No intervention is involved. Patients will be recruited from the acute care wards and Same Day Emergency Care (SDEC) at the OUHFT and RBHFT and recruitment will be restricted to those patients who were communitydwelling prior to index admission. Patients will be consented for access to their medical records (secondary and primary care) as well as for study interview (study questions about health and functional status, residence, social ...

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