People who have chest pain, shortness of breath, or an irregular heartbeat may have heart problems. There are cardiac biomarkers in the blood that show if the heart muscle is damaged. Being able to easily check for these biomarkers could help doctors to identify what is wrong and provide the right type of care as soon as possible. A new test for heart problems is being developed by Osler on their Osler Origin product, which enables the testing to take ...

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Up to one third of patients undergoing coronary angiography have moderate to severe calcium build-up in their heart arteries. As the population ages, the number of patients with calcified coronary lesions requiring complex percutaneous coronary intervention (PCI) is expected to increase. Calcified arteries make procedures more difficult, often resulting in longer treatment times and poorer outcomes. To improve these outcomes, it is important to prepare the artery by modifying the calcium before placing a stent. Several approved devices are available on ...

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This cognitive function decline study comparing haemodialysis (HD) patients with peritoneal dialysis (PD) patients will be conducted using the DOPPS and PDOPPS (Peritoneal Dialysis Outcomes and Practice Patterns Study) core protocols and infrastructures in the UK. This will allow comparison of change of cognitive function in incident HD and PD patients over time, with the hypothesis that PD is associated with less cognitive impairment (CI) and slower progression of CI than HD.

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Asthma affects 1 in 11 UK children; one of the commonest reasons children attend hospital emergency departments is for an asthma attack. Many children do not respond to initial treatment (high dose inhalers) and need extra treatment: this usually requires a needle placed into a vein (intravenous therapy), which has unpleasant side effects. High flow humidified oxygen (HiFlo) delivers lots of moist air with added oxygen, through short soft tubes fitting into the nostrils. It helps with breathing and keeps ...

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Aim To find if dexmedetomidine (a painkiller) can help reduce the amount of morphine needed for pain relief in babies who are on a ventilator (a machine which helps babies to breathe). Background Babies born before 37 weeks of pregnancy are premature,but those born before 32 weeks are the most likely to develop problems because of their prematurity. They often need help to breathe which may be given by a ventilator. This can be painful,so doctors give babies painkillers like ...

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Chronic lymphocytic leukaemia (CLL) along with its counterpart small lymphocytic lymphoma (SLL), hereafter referenced as CLL, is a common hematologic malignancy primarily affecting older adults. Historically, chemoimmunotherapy (CIT) has been the cornerstone of CLL treatment; however, its limited efficacy and safety concerns have led to the development of novel targeted therapies. Covalent BTKis (cBTKi) such as ibrutinib and acalabrutinib have been widely adopted, as they have demonstrated superior efficacy and improved safety profiles compared to traditional CIT. For patients with ...

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Hepatitis C Virus currently infects more than 50 million people worldwide and remains a major cause of liver cancer, liver failure and death. This study is the first stage in the development of a human challenge model for hepatitis C Virus infection (HCV), which is needed to test new vaccines that will prevent HCV infection. The purpose of this study is to collect blood from people living with a hepatitis C virus (HCV) infection from sites in the UK which ...

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Skin cancer is the most common type of cancer. Every year in the UK, around 200,000 people have their skin cancer removed surgically. Some people develop skin cancers that break through the skin surface causing a wound on the skin (called an ulcerated skin cancer) which are six times more likely to develop a wound infection after surgery. Doctors often prescribe antibiotics at the time of surgery to prevent wound infections, but we do not know whether antibiotics reduce the risk ...

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This is a multi-centre,first-in-human Phase I/IIa dose escalation and dose expansion trial in participants with haematological malignancies. NVG-222 is an autoregulating,half-life extended bispecific ROR1-directed TCE. NVG- 222 will be the first agent to be tested in the clinic that includes an AR mechanism based on granzyme B cleavage. The addition of an IgG1 Fc domain to NVG-222 provides for an extended half-life,allowing a more convenient Q2W dosing regimen compared with continuous IV infusions required for a previous agent NVG-111. The ...

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PIVOTAL is a multi-centre, randomised, Bayesian adaptive platform trial in paediatric intensive care which aims to evaluate multiple important research questions at the same time, with an integrated economic evaluation, internal pilot phase, and patient follow-up at 6 months. The primary platform clinical objective is to investigate the effects of a range of intervention(s) on the ordinal outcome of death or days alive and free from organ support to day 30. The primary platform health economic objective is to investigate the ...

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