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2. Evaluation of appendicitis risk prediction models in adults with suspected appendicitis
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Nepogodiev, D., Matthews, J. H., Morley, G. L., Naumann, D. N., Ball, A., Chauhan, P., Bhanderi, S., Mohamed, I., Glasbey, J. C., Wilkin, R. J. W., Drake, T. M., Clements, J., Blencowe, N. S., Herrod, P. J. J., Pata, F., Frasson, M., Blanco-Colino, R., Soares, A. S., Nepogodiev D, Bhangu A., Matthews, Jh, Morley, Gl, Naumann, Dn, Ball, A, Chauhan, P, Bhanderi, S, Mohamed, I, Glasbey, Jc, Wilkin, R, Drake, Tm, Clements, J, Blencowe, Ns, Herrod, P, Pata, F, Frasson, M, Blanco-Colino, R, Soares, As, Bhangu, A, Nepogodiev, D, Jain, S, Amuthalingam, T, Tyler, R, Griffiths, Ea, Pinkney, Td, Gee, O, Morton, Dg, Beggs, A, Beral, D, Bowley, D, Cruickshank, N, Daniels, I, Griffiths, E, Hornby, St, Lund, Jn, Marriott, P, Singh, P, Smart, Nj, Speake, D, Thompson, C, Torkington, J, Torrance, A, Vohra, R, Warren, O, Winter, Dc, Pellino, G, Sgrò, A, Simioni, A, Farina, V, Podda, M, Di Saverio, S, Birindelli, A, Pasquali, S, Itsurg, Surg, Pt, Bolton, W, Bradshaw, Cj, Chean, Cs, Harris, G, Haddow, Jb, Jamieson, Nb, Mccain, S, Mason, J, Milgrom, D, Nana, Gr, Mohamed, Mn, Brien, Jo, Pearce, J, Rabie, M, Sahnan, K, Sarmah, P, Skerritt, C, Ghazanfar, Ma, Sreedharan, L, Kabwama, S, Gray, Rt, Kamande, Iw, Nazarian, S, Dar, Fa, Misky, At, Arunachalam, S, Twum-Barima, Cs, Mohamed, Im, Connor, Kl, Coe, Po, Kosti, A, Elshaer, M, Colvin, Da, Charalambous, Mp, Yeung, K, Merker, L, Morrison, T, Thaventhiran, Aj, Gilbert, Tm, Clements, Jm, Hicks, G, Afshar, S, Mckinley, Nc, Assaf, N, Hanna, T, Macinnes, E, Thavanesan, N, Dubois, As, Palani-Velu, Lk, Tezas, S, Yow, L, Radwan, Rw, Abdelrahman, M, Lee, Ka, Zarka, Za, Mcdowall, Na, Tan, Cy, Venn, Ml, Ashmore, Dl, Whitehorn, Se, Golder, Am, Reddy, A, Delimpalta, C, Kay, Oh, Shah, Sm, Eiben, I, Doyle, C, Tudyka, V, Issa, E, West, H, Brewer, Hk, Farrow, Ez, Taylor, Ns, Smart, Cj, Griffiths, Np, Halkias, C, Vitish-Sharma, P, Knight, Sr, Mowbray, Ng, Olivier, Jb, Lee, Kj, Clement, Kd, Chrastek, D, Panda, N, Connor, Mj, Fahmy, Se, Bryan, Es, Ngu, Ws, Adegbola, So, Vaughan, Em, Stupalkowska, W, Simmonds, L, Malik, A, Hussein, A, Karim, Mj, Singhal, T, Ormiston, R, Kung, V, Rabie, Ma, Park, Jh, Lal, N, Worku, D, D'Auria, M, Ang, A, Orizu, M, Gammeri, E, Clough, E, Choy, Ch, Lawday, S, Hann, Aj, Robinson, D, Wardle, Bg, Mcdonnell, D, Rutherford, Dg, Hickey, Lm, Garg, Ag, Rezvani, S, Bell, Cr, Mahmood, F, Rehman, S, Donaldson, G, Peleki, A, Pearce, L, Sharp, Ol, Singh, S, Thompson, Db, El-Tayar, O, Hollyman, M, Rupasinghe, Sn, Toomey, Db, Murray, Mp, Amtul, N, Mersh, Rj, Newton, Rc, Al-Khyatt, W, Stephens, Gf, Abbas, Sh, Iqbal, Mr, Brown, Ce, Renshaw, S, Hureibi, Ka, Pullabatla-Venkata, Up, Donohoe, No, Myatt, A, Egan, Rj, Rangarajan, K, Trail, M, Mckay, Sc, Engall, N, Jerome, E, Townsend, Dc, Patel, By, Pronin, S, Chandratreya, N, Choong, Jh, Mohamed, Tm, Hudson-Peacock, Nj, Manson, R, Hebbar, K, Mothe, Bs, Weegenaar, Cr, Saad, M, Bowman, Cr, Serventi, F, Fleres, F, Foppa, C, Pata, G, Baronio, G, Pertile, D, Lucchi, A, Sagnotta, A, Maretto, I, Campagnaro, T, Gatti, M, Gjoni, E, Roscio, F, Inama, M, Coccolini, F, Colombo, F, Avanzolini, A, Aresu, S, De-Manzoni-Garberini, A, Merlini, Da, Chessa, A, Tamini, N, Mulas, S, Cillara, N, Coletta, D, Atzeni, J, Erdas, E, Gallo, G, Francone, E, Di Gioia, P, Bianchi, Cl, Ferrara, F, Biancafarina, A, Scabini, S, Marano, L, Miegge, A, Sasia, D, Savino, G, Scatizzi, M, D'Amico, Fe, Arcuri, Ga, Gavagna, L, Salamone, G, Tatulli, F, Goldin, E, Matos, Ml, Caldeira, Ab, Romano, J, Pereira, J, Azevedo, J, Azevedo, Jm, Simoes, J, Silva, A, O'Leary, Dp, Kennedy, Nd, Quinn, Em, Zhang, Ay, Neary, Pm, De-Marchi, Ja, O'Connor, Br, Wijesundera, K, Foley, Nm, Wong, J, Tiedt, La, Bolger, Jc, Connelly, Tm, Ahmed, Os, Vigorita, V, García, V, Arredondo, J, Redondo, E, Sainz, B, Aldrey, I, Landaluce-Olavarria, A, Gómez, Aa, Cordoba, E, Sánchez-Fuentes, Mn, Cerdán-Santacruz, C, Beltran-De-Heredia, J, García, M, Veres, T, García-Novoa, A, Abellán, Am, García-Catalá, L, Ruiz-Marín, M, Menendez, P, Roldán-Ortiz, S, Navas-Cuéllar, Ja, Sabia, D, Gomez-Rosado, Jc, Navidad, Ms, Caula, C, Sanchez, Er, Espin-Basany, E, Fernández-Martínez, D, Bravo-Gutiérrez, Af, Payá-Llorente, C, Dujovne, P, Lima, F, Soria-Aledo, V, Gomez, Cj, Pascual-Miguelañez, I, Muinelo, M, Alvarez, Cm, Vargas-Pierola, Hj, Vallve-Bernal, M, Hidalgo-Rosas, Jm, Arenal-Vera, Jj, Sena-Ruiz, F, Sanchez-Guillen, L, Villarejo-Campos, P, Tallon-Aguilar, L, Garcea, A, Bennett, Jm, Whittaker, L, Gidwani, Al, Byrnes, Ck, Saunders, S, Shiwani, Mh, Ashraf, N, Venkatasubramaniam, Ak, Bevan, Ke, Mcarthur, D, Mustafa, Ak, Griffith, Jp, Blazeby, Jm, Charalabopoulos, A, Campbell, W, Reese, G, Warren, Oj, Peacock, M, Menzies, D, Jenner, D, Eardley, Nj, Yoong, S, Abulafi, M, Avalapati, H, Thompson, R, Nastro, P, Kochupapy, R, Stubbs, Bm, Mcintyre, R, Crozier, J, Patel, Pk, Pento, V, Beasley, Wd, Roxburgh, C, Youssef, H, Alexander, R, Denley, S, Di Franco, F, Quddus, A, Saha, A, Hunter, I, Hannay, J, Velchuru, Vr, Bond-Smith, G, Salama, Y, Bhargava, A, Panagiotopoulos, Sp, Watson, N, Garcea, G, Boddy, Ap, Dunning, Pg, Lloyd, G, Gurjar, Sv, Hill, J, Andrews, B, Singh, A, Ruzvidzo, F, Shingler, G, Mahon, D, Elgaddal, S, Payne, Cj, Shaikh, Ia, Dalmia, S, Nair, Ms, Finch, Jg, Chapple, Ks, Bawa, S, Watfah, J, Carden, Ca, Makhija, R, Rao, M, Sarveswaran, J, Vijay, V, Rekhraj, S, Knight, B, Siddiqui, Mn, Sebastian, Jf, Glen, P, Vakis, S, Ebied, H, Rajaram, R, Gray, J, Mcgrath, D, Faulkner, G, Gopalswamy, S, Varcada, M, Woodward, A, Williams, Gl, Szentpali, K, Ravindran, R, Bronder, C, Thaha, Ma, Rate, A, Shetty, Vd, Rao, V, Sajid, Ms, Clements, B, Patel, Rt, Mason, C, Branagan, G, Maude, K, Kaur, G, Lyons, A, Ainsworth, P, Hagger, R, Zadi, Az, Maslekar, Su, Kinross, J, Irukulla, S, Hawkins, W, Wheatstone, S, Magro, T, Bailey, S, Marshall, G, Mccullough, J, Marangoni, G, Leung, El, Borg, Cm, Gopinath, S, Kirkby-Bott, J, Yalamarthi, S, Mirza, S, Brett, M, Ramcharan, S, Pandey, V, Thava, B, Andreani, Sm, Sahay, Sj, Aravind, B, Downey, M, Nicol, D, Whitehouse, P, Sharma, A, Francis, N, Chitsabesan, P, Stewart, Dj, Norcia, Gg, Cucinotta, E, Cianchi, F, Romario, Uf, Taglietti, L, Capelli, P, Garulli, G, Parisi, A, Nitti, D, Guglielmi, A, Alonzo, A, Scandroglio, Is, Moretto, G, Ansaloni, L, Pietrabissa, A, Foschi, D, Vettoretto, N, Ercolani, G, Coppola, M, Colangelo, E, Morandi, E, Niolu, P, Pala, M, Coletti, M, Pisanu, A, Nicolosi, A, Sammarco, G, Berti, S, Soliani, P, Tonini, V, Stella, M, Ceccarelli, G, De Nisco, C, Castagnoli, G, De Nardi, P, Borghi, F, Agresta, F, Benevento, A, Cantafio, S, Cesari, Mc, Rubbini, M, Chetta, G, De Marchi, F, Nora, Mf, Sousa, Hs, Nascimento, Ca, Casimiro, C, Costa, Sd, Rosa, Mj, Carvalho, N, Correia, J, Gomes, Ap, Hill, Ad, Walsh, Tn, Aremu, Ma, Mulsow, J, El-Masry, S, Gillick, J, Garvin, J, Caldwell, M, Mehigan, B, Peirce, Cb, Cooke, F, Mealy, K, Ruano, A, Ais, G, Fueyo, J, Parajó, Ae, Bernal-Sprekelsen, Jc, Monzón-Abad, Ja, Blanco, F, Arroyo, A, Bazán-Hinojo, Mc, Ramos-Bernado, Mi, Lopez-Ruiz, Ja, Golda, T, Julià, D, Cuadrado, Mm, Gómez-Abril, Sa, Martinez, J, Aguayo, Jl, Millan, M, Alvarez-Gallego, M, Muinelo-Lorenzo, M, Parra, Jm, Muñoz-Muñoz, E, De Chaves-Rodríguez PG, Cánovas-Moreno, G, Rodriguez-Lopez, M, Segura-Sampedro, Jj, García-Granero, A, Redondo-Calvo, Fj, Dyson, S, Thakur, D, Swords, C, Siaw, O, Zelazek, M, Woo, R, Badran, A, Aruparayil, N, Christopoulos, P, Chambers, B, O'Neill, N, Long, Rh, Mccaughey, P, Wong, Ml, Mccain, Rs, Lennox-Warburton, Hc, Moore, C, Manektella, Km, Mcilwaine, S, Rupani, S, Simpson, Dj, Wauchope, J, Ng, M, Christian, L, Crone, A, Sacks, R, Symons, N, Lazzaro, A, Patil, Sd, Roomi, S, Silva, I, Hodgson, Jm, Ly, C, Froud, H, Patel, H, Cay, P, Karwal, Rs, Danquah-Boateng, D, Berry, B, Esmail, Hd, Maripi, H, Bilku, D, Mckelvie, Ma, Miller, K, Maina, A, Velho, R, Hasan, R, Clingan, R, Jah, S, Waite, K, Jones, A, Buckley-Jones, S, Lecky-Thompson, L, Saghir, N, Mansoor, S, Mistry, D, Brown, R, Wong, A, Gurung, S, Wensley, F, Fleming, Ta, Griggs, R, Haines, S, Bedoya, S, Beverstock, A, Johnson, J, Govind, G, Niaz, O, Dyal, A, Tokidis, E, Punj, S, Leusink, A, Rudland, I, Kelly, M, Morgan, R, Al-Musawi, S, Lek, C, Gilbert, A, Gosal, A, Mahoney, R, Parwaiz, I, Mitchard, Mj, Ribeiro, B, Merai, H, Dean, Ea, Khan, S, Baginski, A, Mann, C, Foers, W, Jones, L, Woodward, B, Mcwhirter, Dm, Thomas, At, Gilbert, Tg, Weatherburn, Lw, Pilkington, Jp, Cameron, Fc, Clements, Jd, Mccann, C, Davidson, S, Hackney, L, Clements, Js, Martin, A, Du, Dt, Shakoor, Z, Yen, Sk, Adnan, M, Ranathunga, S, Sana, S, Tay, Yh, Chin, My, Gillespie, M, Brown, Ag, Campbell, U, Chatzikonstantinou, M, Mahendran, B, Flack, T, Chowdhary, M, Lim, Jm, Whiteman, E, Shepherd, Ja, Pedder, A, Siggens, Kl, Lai, Cw, Morrison-Jones, V, Hayat, Z, Nehikhare, I, Macleod, C, Quinn, Hc, Brown, A, Neagle, G, Chok, Sm, Carrano, Fm, Abbassi, Oa, Divekar, Ga, Halmer, S, Adams, Re, Davies, Pl, Wong, Sy, Amarasinghe, R, Tague, Le, Jones, E, Singh, J, Boza, K, Kelly, Sd, Morrison, F, Chan, Wh, Wilson, Ej, Awokoya, Oo, Griffiths, Sn, Kirkham, En, Cotton, Ae, Adimonye, A, Leighton, Pa, Abdelrahman, A, Cartwright, H, Gates, Z, Miguras, M, Khan, K, Louw, C, Grove, T, Badenoch, T, Mckeon, J, Wood, Cs, Leitch, Rp, Sgardelis, P, Perera, Mi, Nagarajan, D, Malam, Y, Theodoropoulou, K, Rajagopal, S, Kaptanis, S, Popova, D, Olagbaiye, O, Tayeh, S, Rigby, S, Harris, Mp, Ren, Kz, Liaw, G, Zhou, S, White, F, Marshall, Cm, Mitchell, Jh, Anderson, Dj, Kanakala, V, Hollingsworth, A, Paramasevon, Kr, Milward, J, Ahmed, S, Fanibi, Bf, Ferguson, N, Dickson, Ea, Shaw, Av, Dixon, F, Morrish, S, Dandy, R, Fooks, P, Sharma, P, Islam, N, Tabain, V, Keegan, R, Ahel, J, Alhammali, T, Graveston, J, Balai, Ej, Rothnie, K, Pankin, Gp, Eiben, Ie, Jackson, Nj, Dhar, M, Nash, D, Dharamavaram, S, Seth, M, Chowdhury, F, Rezacova, M, Seneviratne, N, Turner, Ej, Currow, C, Isherwood, Jd, Hobson, Bm, Lui, Dh, Rodger, V, Ting, N, Photiou, D, Taze, D, Lodhia, S, Earnshaw, L, Kumar, K, Neale, A, Bastianpillai, J, Cipparrone, M, Barrie, A, Nash, Z, Anandan, L, Tailor, K, Vinnicombe, Z, Krivan, S, Kuo, R, Giorga, A, Habib, H, Malik, K, Bogdan, M, Mahon-Daly, Fp, Athersmith, Mj, Strange, Ja, Wheeler, C, Summerfield, L, Khaw, Ra, Ashour, O, Iosif, E, Fadel, M, Gopalakrishnan, K, Orme, N, Williams, S, Rashid, M, Sultana, A, Patel, N, Pearson, R, Yasin, T, Bevan, V, Al-Sarireh, B, Brown, M, Mohd, N, Howie, Ee, Poudevigne, M, Paget, C, Rallage, H, Chui, K, Fawzi, F, Layman, S, Okorocha, E, Jama, Gm, Orawiec, P, Kouli, O, Hassane, A, Kilkenny, J, Devine, Aa, Laurenson, M, Slezak, I, Barker, T, Lau, E, Limbada, M, O'Brien, J, Weaver, J, Hajibandeh, S, Shah, J, Mansour, Mm, Malik, Sn, Davis, S, Trew, F, Bandyopadhyay, Sk, Dart, K, Guru-Naidu, S, Callan, R, Nair, Mk, Alani, M, Sezen, E, Salim, S, Shurlock, J, Siddique, K, Forouzanfar, A, Brews, R, Acharya, A, Jain, A, Tozer, Pj, Warusavitarne, J, Emslie, Km, Collier-Wakefield, O, Sivaloganathan, P, Dobson, C, Elseedawy, M, Mcnally, L, Williams, M, Motiwala, Fh, Choi, S, Asmadi, Aa, Burnside, D, Everden, A, Suriyakumar, S, Sandu, L, Kent, Da, Bowen, J, Long, P, Khair, A, Shah, K, Phelan, L, Pierre, R, Dhari, Aa, Hoff, M, Nickson, S, Setshwaelo, T, Chalk, A, Parkola, Mj, Harlinska, A, Chan, T, Dudek, Jg, Rolph, R, Allen, M, Pollard, H, Gormely, R, Finlayson, H, Ljungqvist, G, Peponis, C, Rahman, M, Dhesi, S, Arshad, F, Faris, Ar, Sooriyamoorthy, T, Springate, El, Barnieh, W, Patel, As, Siddiqui, Za, Chishti, Ia, Ayube-Brown, J, Rabie, Mr, Blake, L, Yardimci, E, Nagendram, S, Neophytou, Gi, Henderson, L, Farhan-Alanie, M, Kong, Cy, Ghazala, R, Evans, J, Hussain, N, Kabir, M, Hraishawi, I, Cox, M, Bailey, Ja, Muhibullah, N, Yanni, F, Stevenson, R, Nair, A, Murphy, C, Mcgucken, O, Pandya, R, Bowerman, H, Lafaurie, G, Van Boxel GI, Shanmugarajah, K, Maragouthakis, D, Hanif, Z, Evans, Jd, Yoganathan, S, Richardson, Td, Cook, V, Clark, Gl, Rigney, B, O'Neill, E, Guliani, J, Chan, D, Harper, F, Sian, T, Boereboom, C, Blackwell, J, Hardy, E, Boyd-Carson, H, Couch, Dg, Barter, Ca, Thoukididou, Sn, Hatt, Jr, Jones, Cs, Dean, S, Rajaretnam, N, Masood, M, Thakral, N, Griffith, D, Doherty, C, Longshaw, A, Peprah, D, Mathew, G, Hook, A, Vance-Daniel, J, Ibrahim, Y, Walters, Kj, Whewell, He, Sherif, Ma, Mckenna, M, O'Sullivan, D, Woodrow, C, Gill, S, Johnstone, A, Gentry, R, Irwin, R, Forgie, A, Welsh, S, Ivey, P, Bullivant, Jk, English, Wj, Osterberg, A, Morowala, A, Al-Faham, Z, Islam, S, Tan, E, Sadek, S, Sihra, N, Shrestha, D, Chong, B, Nadeem, A, Fasuyi, Ja, Patel, Mm, Daureeawoo, R, Okekunle, B, Cheruvu, M, Mazumdar, E, Hussain, A, Patel, C, Mcquaid, M, Banks, A, Robinson, A, Khan, Ms, Riaz, W, Verroiotou, M, Cohen, Ja, Kouroumpas, E, Ghaffari, I, Moradzadeh, J, Kamal, M, Gulamhussein, M, Gaines, E, Ghatorae, S, Clark, S, Savill, A, Hutchinson, B, Chapman, J, Wu, F, Creasy, W, Raymond, M, Grosvenor, S, Odeh, A, Malik, Y, Bansal, H, Grant, C, Raofi, A, Ahmed, B, Mai, D, Souter, J, Hamelmann, Rn, Ikram, S, Durbacz, M, Gilliland, N, Salem, A, Chudek, D, Ladwa, N, Storey, R, Fontaine, C, Toomey, D, Miller, B, Oakey, M, Smoker, H, Chapman, Sj, O'Hagan, Sc, Tahir, W, Wilcox, G, Ahmad, A, Akram, F, Baddams, Ts, Boshier, Pr, Fehervari, M, Easdon, S, Ilozue, T, Adam, Me, Jokhan, S, Foster, A, Nambiar, K, Bohra, P, Janardanan, S, Shanmuganathan, V, Maqboul, F, Ettles, C, Wardle, Sd, Martinou, E, Khasria, A, Bagga, R, Motter, D, Mundkur, N, Pan, Y, Akbari, K, Farrell, Sm, Rahim, A, Gummaraju, A, Mahmoud, A, Akinsola, O, Smallcombe, N, Tarazi, M, Hanley, C, Campbell, Um, Franklin, D, Davidson, Jr, Raza, Ss, Krishnamoorthy, A, Rajjoub, Y, Ali, M, Seddon, Tc, Payne, Re, Das, A, Martin, Lm, Naismith, Kn, Venkata, Up, Manda, Vm, Burns, Km, Huang, J, Samuel, M, Docherty, Ja, Cheah, Wl, Ooi, R, Nyeko-Lacek, M, Marsh, L, Prideaux, A, Li, Ch, Poacher, A, Lee, M, Muzaffar, M, Kara, A, Walsh, E, Sunter, H, Roth, N, Roy, C, Mcmorran, D, Turnbull, A, Layton, Gr, Archer, Je, Yang, P, Douka, E, Amin, V, Borghol, K, Blackford, Od, Bond, S, Baker, B, Mohamed, Wo, Williams, R, Garnham, J, Robb, Hd, Allington, J, Cloney, L, Tamborska, A, Kalia, K, Fung, E, Johnston, Z, Lynch, L, Christides, A, Tan, Hl, Cynthia, G, Tsang, B, Rossi, C, Kaubrys, M, Al-Khafaji, N, Jenkins, M, Peiris, Gb, Gunning, S, Nimako, E, Pandya, D, Hever, P, Amayo, A, Bull, C, Clements, C, Al-Sheikh, M, Savioli, F, Long, M, Horsfield, E, Robertson, C, Ogboru, S, Mcilwrath, Ac, Bell, J, Limb, C, Obeid, N, Rich, Je, Balasubramaniam, A, Mashar, R, Taylor, M, Bruce, Js, Dennison, G, Curtis, Nj, Ezerska, E, Ellis, B, Wiggill, S, Tee, A, Ng, S, Carder, C, Abdelwahed, A, Chandler, Sb, Tinsley, Bj, Finotti, E, Occhioni, G, Cossu, F, Vulcano, I, Viscosi, F, Michelini, M, Compagnoni, B, Sepe, C, Isolani, Sm, Regina, G, Alagna, V, Martorelli, G, Gabbianelli, C, Moroni, P, Zuin, M, Conci, S, Lazzari, G, Costamagna, D, Zurleni, Tz, Altomare, Ma, Desiderio, J, Di Cintio, A, Gemini, A, Trastulli, S, Viviani, E, Tomasoni, M, Montori, G, Harder, G, Argenti, F, Malabarba, S, Checcacci, P, Montanelli, P, Guerra, F, Skalamera, I, Staderini, F, Grandi, S, Nelli, T, Coratti, F, Sorrentino, L, Maffioli, A, Cavallo, D, Bondurri, A, Groppo, G, Curti, R, Solaini, L, Xidas, A, Manias, T, Delogu, D, Vacca, A, Solinas, L, Corbellini, C, Fiore, L, Nigro, A, Santurro, L, Angrisani, M, Sparta, C, Lorettu, A, Mura, Fa, Ruggiu, Gv, Pirari, Pf, Pau, R, Melis, M, Piu, F, Patti, S, Deserra, A, Angelieri, D, Del Basso, C, Rossi, D, Iannone, I, De Padua, C, Giubilo, C, Falaschi, F, Cirillo, B, Gordini, L, Podda, F, Sanna, S, Saba, A, Poillucci, G, Pinna, E, Messina, A, Sena, G, Cardona, R, De Luca, E, Sacco, R, Vescio, G, Ammendola, M, Romano, R, Bianco, A, Bonfante, P, D'Ambra, L, Feleppa, C, Gennai, A, Lizzi, V, Moggia, E, Imperatore, M, Bolzon, S, Belvedere, A, Amaducci, E, Ripoli, Mc, Segalini, E, Cervellera, M, Vaccari, S, Eretta, Co, O'Neill, R, Llewelyn, O, Jones, N, Clerici, F, Ballabio, M, Andolfi, E, Angelini, M, Fontani, A, Miranda, E, Scricciolo, M, Provenza, G, Pellicanò, Ga, Pulighe, F, Argenio, G, Melis, A, Balestra, F, Anania, M, Cruccu, A, Massaiu, C, Murru, Ml, Martino, A, Luzzi, Ap, La Valle, G, Chillitupa, Cz, Bartoli, A, Conti, D, Spaziani, A, Bellochi, R, Listorti, C, 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Gulamhussein M., Gaines E., Ghatorae S., Clark S., Savill A., Hutchinson B., Chapman J., Wu F., Creasy W., Raymond M., Grosvenor S., Odeh A., Malik Y., Bansal H., Grant C., Raofi A., Ahmed B., Mai D., Souter J., Hamelmann R.N., Ikram S., Durbacz M., Gilliland N., Salem A., Chudek D., Ladwa N., Storey R., Fontaine C., Toomey D., Miller B., Oakey M., Smoker H., Chapman S.J., O'Hagan S.C., Tahir W., Wilcox G., Ahmad A., Akram F., Baddams T.S., Boshier P.R., Fehervari M., Easdon S., Ilozue T., Adam M.E., Jokhan S., Foster A., Nambiar K., Bohra P., Janardanan S., Shanmuganathan V., Maqboul F., Ettles C., Wardle S.D., Martinou E., Khasria A., Bagga R., Motter D., Mundkur N., Pan Y., Akbari K., Farrell S.M., Rahim A., Gummaraju A., Mahmoud A., Akinsola O., Smallcombe N., Tarazi M., Hanley C., Campbell U.M., Franklin D., Davidson J.R., Raza S.S., Krishnamoorthy A., Rajjoub Y., Ali M., Seddon T.C., Payne R.E., Das A., Martin L.M., Naismith K.N., Venkata U.P., Manda V.M., Burns K.M., Huang J., 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D'Ambra L., Feleppa C., Gennai A., Lizzi V., Moggia E., Imperatore M., Bolzon S., Belvedere A., Amaducci E., Ripoli M.C., Segalini E., Cervellera M., Vaccari S., Eretta C.O., O'Neill R., Llewelyn O., Jones N., Clerici F., Ballabio M., Andolfi E., Angelini M., Fontani A., Miranda E., Scricciolo M., Provenza G., Pellicano G.A., Pulighe F., Argenio G., Melis A., Balestra F., Anania M., Cruccu A., Massaiu C., Murru M.L., Martino A., Luzzi A.P., La Valle G., Chillitupa C.Z., Bartoli A., Conti D., Spaziani A., Bellochi R., Listorti C., Salandini M.C., Carlucci M., Tenconi S.M., Cannavo M., Marano A., Giuffrida M.C., Cannata G., Pellegrino L., Giraudo G., Baraghini M., Garzi A., Giudicissi R., Zalla T., Romoli L., Vannucchi A., Giani I., Feroci F., Calussi M., Ribaudo M., Fiorot A., Stecca T., Nistri C., Fornasier C., Valiani S.V., Brunelli D.B., Evoli L.E., Giuliani N.G., Contine A.C., Renzi C.R., Feo C.V., Anania G., Carcoforo P., Aisoni F., Licari L., Tutino R., Cocorullo G., Silvestri V., De Marco P., Fontana T., Orlando G., Falco N., Baseggio M., Napetti S., Mella A., Rossi G.M., Chimetto A., Cosci M., Bonomo M., Scialandrone G., Chetta N., Carvalho L.C., Magalhaes J.S., Pereira A.M., Fernandes C., Fareleira A., Goncalves D., Pais M., Pereira A., Resende F.M., Correia D., Cardoso D., Tojal A., Santos S.C., Barbosa L., Louro H.C., Bairos F., Martins F.M., Messias F.M., Ferreira M.S., Borges F.C., Botelho P., Lima M., Valente P.M., Joao A.A., Guimaraes J.M., Rocha R., Nogueira S.T., Kabir U., Wong C., Rahmani L.S., Tan S., Chng S., Jasinski B., Cheng S.A., Mardhiah S., McGlynn K., Hannan E., Burke J., Haveliwala Z., O'Neill M., Boland M., Hayes C., Fox A., Zaborowski A., Mitru R.M., Mc-Dermott A., Coyle D., Stoica I., McMahon S.V., Laughlin D.M., Kannegieser-Bailey M., Murphy R., Muntean A., Shet S., Thomas L., De Freitas S., Quill S., Aljorfi A., Soh B., Law J.J., Hartnett J., Jansen T., Gilgan J., Jung J., Scanlon K., Szucs A., Ahern D.P., Redmond A.E., Edwards S.E., Manoharan P., Brennan S., Abdelgadir A.M., Mckevitt K.L., Zarog M.A., Ahmed G., Bukhari W., Ahad A., Paniagua M., Samartin C., Primo J.C., Garrido L., Lopez M., Rufo E., Trostchansky I., Rodriguez L., Infante H., Acosta A., Cremades P., Cidoncha A., Olmos V., Oliva I., Santamaria C., Cavero A., Calvo H., Suero C.A., Maderuelo V.M., Galvez P., Hernando A., Eguaras I., Recreo A.C., Garcia-Carrero M., Moreda R., De Andres U., Del Pozo E., Calvo M., Moratalla C.N., Ronda R.N., Contreras R.G., De Burgos C.B., Cortes G.V., Martinez C.C., Agudo A.R., Soriano J.T., Ramos X.H., Echazarreta E., Elia M., Hernaez A., Sanchez L., Vallejo-Bernad C., Oliver J.R., Sanchez-Rubio M., Kalviainen H.K., Genzor S., Gonzalez-Nicolas T., Puerta E., Laviano E., Gimenez T., Ferminan A., Muriel-Alvarez P., Sierra-Granon J.E., Escoll-Rufino J., Cuello-Guzman E., Mestres-Petit N., Merichal-Resina M., Pinillos-Somalo A., Gomez-Carmona Z., Vazquez-Fernandez A.P., Trujillo-Diaz J.J., Couso J.R., Fernandez M.D., Riera E., Espinosa J., Carral-Freire M., Martinez-Almeida R., Santarrufina-Martinez S., Sebastian-Tomas J.C., Gonzalvez-Guardiola P., Fernandez E.C., Mozo A.S., Stoyanov T.I., Santamaria P.C., Grimaldo E.G., Fernandez-Candela A., Curtis-Martinez C., Del-Valle-Ruiz S.R., Sanchez-Cifuentes A., Ramirez-Faraco M., Lopez A.F., Leon C., Kumar S., Fornell-Ariza M., Ayllon-Gamez S., Pena-Barturen C., Ojea-Ruiz-Yherla L., Saavedra-Chacon M., Perez-Calvo J., Gomez-Facundo H., Riba-Combatti L., Manas O.C., De-Soto-Cardenal B., De-La-Herranz-Guerrero P., Dominguez-Sanchez C., Gamero-Huaman J.C., Suarez-Cabrera A., Ramirez-Redondo A.A., Lara-Fernandez Y., Bascuas-Rodrigo B., Lopez-Duran B.L., Pigem A., Gil J., Salvador H., Planellas P., Farres R., Caballero A., Arnau M., Tapiolas I., Ridaura N., Roncero L.S., Collado-Roura F., Fijo L.M., Cormenzana O.B., Vinas N.L., Grifell M.S., Prats M.A., Torrado A.A., Sanz-Navarro S., Contreras-Saiz E., Solar-Garcia L., Moreno-Gijon M., Suarez-Sanchez A., Diaz-Vico T., Rodicio-Miravalles J.L., Garcia-Gutierrez C., Pila U., Melone S., Martin-Prieto L., Rojo J.A., Gonzalez M., Zorrilla L., Garcia-Marin J.A., Baeza-Murcia M., Pellicer-Franco E., Jimenez-Ballester M.A., Asensio-Gomez L., Gortazar-De-Las-Casas S., Guevara-Martinez J., Ramirez L., Verea S., Anguita F., Navarro G., Criado ADC., Lara M.C., Martinez E.T., Sanchez-Martinez A., Hernandez-Gimenez L., Galofre-Recasens M., Ferrer-Vilela I., Perez-Sanchez L.E., Esteves M.B., Menendez-Moreno A., Baz-Figueroa C., Rosat A., Hontoria M.S., Garcia N.A., Gracia-Roman R., Pascua-Sole M., Pino-Perez O., Garcia-Perez J.M., Pineno-Flores C., Ambrona-Zafra D., Sancho-Muriel J., Alvarez E., Jimenez-Rosellon R., Daga O., Alberca-Paramo A., Sanchez-Garcia S., Garcia-Santos E., Pareja-Ciuro F., Olivares-Oliver C., Navarro-Morales L., Tamayo-Lopez M.J., Tinoco-Gonzalez J., Garcia-Rivera C.O., Agua I.A., Moreno-Suero F., Pereira-Mosquera E., Zerpa C., Llacer E., Diaz A., Caro A., Feliu F., Franco M., Escuder J., Abellan M., Padilla E., Mambrilla-Herrero S., Plua-Muniz K.T., Bailon-Cuadrado M., Tejero-Pintor F.J., Choolani-Bhojwani E., Vila-Zarate C., Delgado-Plasencia L.J., Ponchietti L., Cousins L., Busuttil A., Baird C., Drye N., Brown O.D., Mansour S., Anderson O., Mahapatra R., Clements J.A., D'Souza N., Littlehales D.J., Tang A.M., Byrne B.E., Cunha P., Ogbuokiri C., Eiben P., Gravante G., Kho H., Dobbs S., Doulias T., Ng J., Wilson M., Venugopal R., Wolff J., Akhtar K., Walji H.D., Tognarelli J.M., Knight K.A., Ansari A., Hussaini S.A., Wright E., Brewer H., Rinkoff S., Harries R.L., Fairfield C.J., Abbott T., Jackson A., Wright H.L., Walters U., Carney K., Logan P.C., Mughal Z., Strachan E., Chasty B., Ma J., Mazzeo C., Badii B., Armellini A., Grassia M., Perin A., Ruzzenente A., Magnoli M., Depalma N., Longheu A., Papandrea M., Dova L., De Prizio M., Gusai G.P., Di Zitti L., Geretto P., Azabdaftari A., Chianese G., Elbetti C., Ruffolo C., Giaccari S., Devezas V., Ferreira J.S., Peixoto R., Alshafei A., Simo V., Jose H.S., Ugarte-Sierra B., Salva A.B., Gomez N., Marinello F., Medina-Arana V., Vega L., Ballester M.M., Espina B., Prieto-Nieto M.I., Rodriguez E.C., Padilla-Valverde D., and Duran-Munoz-Cruzado V.M.
- Subjects
Adult ,humanos ,Decision Making ,Risk Assessment ,NO ,apendicectomía ,apendicitis ,evaluación de riesgos ,Appendectomy ,Humans ,hospital ,General ,collaborative ,LS7_4 ,right iliac fossa ,appendicitis ,emergency service ,Original Articles ,adulto ,Appendicitis ,adult ,appendectomy ,humans ,risk assessment ,decision making ,Lower GI ,Original Article ,appendicitis, prediction models, right iliac fossa pain ,Emergency Service, Hospital ,toma de decisión - Abstract
Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P, Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making were identified by identifying UK adults at low risk of appendicitis. An online calculator is available (http://appy-risk.org). WCC, white cell count; CRP, C‐reactive protein; AIRS, Appendicitis Inflammatory Response Score; AAS, Adult Appendicitis Score. Important differences between men and women
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- 2019
3. A re-evaluation of the role of rotational forceps: retrospective comparison of maternal and perinatal outcomes following different methods of birth for malposition in the second stage of labour
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Nash, Z, Mascarenhas, L, and Nathan, B
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- 2014
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4. Appendicitis risk prediction models in children presenting with right iliac fossa pain (RIFT study): a prospective, multicentre validation study
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Nepogodiev, Dmitri, primary, Wilkin, Richard JW, additional, Bradshaw, Catherine J, additional, Skerritt, Clare, additional, Ball, Alasdair, additional, Moni-Nwinia, Waaka, additional, Blanco-Colino, Ruth, additional, Chauhan, Priyesh, additional, Drake, Thomas M, additional, Frasson, Matteo, additional, Gee, Oliver, additional, Glasbey, James C, additional, Matthews, Jacob H, additional, Morley, Gabriella L, additional, Naumann, David N, additional, Pata, Francesco, additional, Soares, Antonio S, additional, Bhangu, Aneel, additional, Abbas, SH, additional, Abdelgadir, AM, additional, Abdelrahman, A, additional, Abdelrahman, M, additional, Abdelwahed, A, additional, Abou El Ella, Y, additional, Abulafi, M, additional, Acharya, A, additional, Adam, ME, additional, Adams, RE, additional, Adegbola, SO, additional, Adimonye, A, additional, Adnan, M, additional, Afshar, S, additional, Ahad, A, additional, Ahel, J, additional, Ahern, DP, additional, Ahmad Asmadi, A, additional, Ahmed, B, additional, Ahmed, G, additional, Ahmed, OS, additional, Ahmed, S, additional, Akbari, K, additional, Akinsola, O, additional, Al-Khyatt, W, additional, Al-Sarireh, B, additional, Al-Sheikh, M, additional, Alani, M, additional, Alexander, R, additional, Alhammali, T, additional, Ali, M, additional, Aljorfi, A, additional, Allen, M, additional, Allington, J, additional, Alshafei, A, additional, Amarasinghe, R, additional, Amayo, A, additional, Amin, V, additional, Amuthalingam, Thuva, additional, Anandan, L, additional, Anderson, O, additional, Andreani, SM, additional, Andrews, B, additional, Ang, A, additional, Aravind, B, additional, Archer, JE, additional, Aremu, MA, additional, Arunachalam, S, additional, Aruparayil, N, additional, Ashmore, DL, additional, Ashour, O, additional, Ashraf, N, additional, Assaf, N, additional, Avalapati, H, additional, Awokoya, OO, additional, Ayube-Brown, J, additional, Badenoch, T, additional, Bagga, R, additional, Baginski, A, additional, Bailey, S, additional, Bailey, STR, additional, Baird, C, additional, Baker, B, additional, Balai, EJ, additional, Balasubramaniam, A, additional, Bandyopadhyay, SK, additional, Banks, A, additional, Bansal, H, additional, Barnieh, W, additional, Barrie, A, additional, Barter, CA, additional, Bastianpillai, J, additional, Beasley, WD, additional, Bell, CR, additional, Bell, J, additional, Beral, D, additional, Berry, BJM, additional, Bevan, KE, additional, Bevan, V, additional, Bhanderi, Shiv, additional, Bhargava, A, additional, Bilku, D, additional, Birindelli, A, additional, Blackford, OD, additional, Blackwell, JEM, additional, Blake, L, additional, Blencowe, Natalie S, additional, Boam, TD, additional, Boereboom, C, additional, Bogdan, M, additional, Bohra, P, additional, Bolger, JC, additional, Bolton, W, additional, Bond, S, additional, Borg, CM, additional, Borghol, K, additional, Boshier, PR, additional, Bouhadiba, N, additional, Bowen, J, additional, Bowerman, H, additional, Bowman, CR, additional, Boyd-Carson, H, additional, Bradshaw, CJ, additional, Branagan, G, additional, Brennan, P, additional, Brett, M, additional, Brewer, HK, additional, Brewer, H, additional, Bronder, C, additional, Brown, A, additional, Brown, AG, additional, Brown, CE, additional, Brown, M, additional, Brown, R, additional, Buckley-Jones, S, additional, Budzanowski, A, additional, Bukhari, W, additional, Bull, C, additional, Bullivant, JK, additional, Burns, KM, additional, Burnside, D, additional, Busuttil, A, additional, Byrne, BE, additional, Byrnes, CK, additional, Caldwell, M, additional, Callan, R, additional, Cameron, FC, additional, Campbell, U, additional, Campbell, UM, additional, Campbell, W, additional, Carden, CA, additional, Carder, CFW, additional, Carney, K, additional, Cartwright, H, additional, Cay, P, additional, Chalk, A, additional, Chambers, B, additional, Champsi, A, additional, Chan, D, additional, Chan, TCW, additional, Chandler, SB, additional, Chapman, J, additional, Charalabopoulos, A, additional, Chasty, B, additional, Chatzikonstantinou, M, additional, Cheah, WL, additional, Chean, CS, additional, Cheng, S, additional, Cheng, SA, additional, Cheruvu, M, additional, Chin, MY, additional, Chishti, IA, additional, Choi, S, additional, Chok, SM, additional, Chong, B, additional, Choong, JH, additional, Chowdhary, M, additional, Chowdhury, F, additional, Choy, CH, additional, Christian, L, additional, Christopoulos, P, additional, Chui, K, additional, Cipparrone, M, additional, Clark, GL, additional, Clarke, SA, additional, Cleeve, SJ, additional, Clement, KD, additional, Clements, B, additional, Clements, C, additional, Clements, JD, additional, Clements, JM, additional, Clements, JS, additional, Clements, JA, additional, Clingan, R, additional, Cloney, L, additional, Clough, ECS, additional, Coe, PO, additional, Collier-Wakefield, O, additional, Colliver, DW, additional, Colvin, DA, additional, Connelly, TM, additional, Connor, MJ, additional, Cook, V, additional, Cooke, F, additional, Cooper, F, additional, Cotton, AE, additional, Couch, DG, additional, Cousins, L, additional, Coyle, D, additional, Creasy, W, additional, Cresner, RL, additional, Crone, A, additional, Cross, K, additional, Crozier, J, additional, Cunha, P, additional, Curtis, NJ, additional, D'Souza, N, additional, Dagash, H, additional, Dalmia, S, additional, Daniels, I, additional, Danquah-Boateng, D, additional, Dar, FA, additional, Dart, K, additional, Das, A, additional, Daureeawoo, R, additional, Davidson, S, additional, Davidson, JR, additional, Davies, PL, additional, Davis, S, additional, Daya Shetty, V, additional, De-Manzoni-Garberini, A, additional, De-Marchi, JA, additional, Dean, EA, additional, Dean, S, additional, Delimpalta, C, additional, Denley, S, additional, Dennison, G, additional, Devine, AA, additional, Dharamavaram, S, additional, Dhari, AA, additional, Di Franco, F, additional, Di Saverio, S, additional, Dobson, C, additional, Docherty, JA, additional, Doherty, C, additional, Donaldson, G, additional, Donohoe, NO, additional, Donohoe, O, additional, Douka, E, additional, Doulias, T, additional, Downey, M, additional, Doyle, C, additional, Drye, N, additional, Du, DT, additional, Dudek, JG, additional, Dunning, PG, additional, Dyal, ARS, additional, Eardley, NJ, additional, Earnshaw, L, additional, Easdon, S, additional, Edwards, SE, additional, Egan, RJ, additional, El-Masry, S, additional, El-Tayar, O, additional, Elbourne, CR, additional, Elgaddal, S, additional, Elseedawy, M, additional, Elshaer, M, additional, Elsharnoby, OH, additional, Elzeneini, WMA, additional, Emslie, KM, additional, Engall, NFT, additional, Ertansel, B, additional, Esmail, HD, additional, Ettles, C, additional, Evans, J, additional, Evans, JD, additional, Everden, A, additional, Fadel, M, additional, Fahmy, SE, additional, Fairfield, CJ, additional, Fanibi, BF, additional, Farina, Valeria, additional, Farrell, SM, additional, Farrow, EZ, additional, Fasuyi, JA, additional, Faulkner, G, additional, Fawkner-Corbett, D, additional, Fawzi, F, additional, Fehervari, M, additional, Ferguson, N, additional, Finch, JG, additional, Finlayson, H, additional, Flack, T, additional, Foers, W, additional, Foley, NM, additional, Ford, K, additional, Forgie, A, additional, Foster, A, additional, Foster, JD, additional, Fox, AMW, additional, Francis, N, additional, Franklin, D, additional, Froud, H, additional, Fuller, HL, additional, Gaines, E, additional, Galea, J, additional, Gammeri, E, additional, Garnham, J, additional, Garvin, J, additional, Gates, Z, additional, Gentry, R, additional, Ghaffari, I, additional, Ghatorae, S, additional, Gidwani, AL, additional, Gilbert, TG, additional, Gilbert, TM, additional, Gill, S, additional, Gillespie, M, additional, Gillick, J, additional, Giorga, A, additional, Gopalakrishnan, K, additional, Gopalswamy, S, additional, Gopinath, S, additional, Gormely, R, additional, Govind, G, additional, Grant, C, additional, Graveston, J, additional, Gray, J, additional, Gray, RT, additional, Griffith, D, additional, Griffith, JP, additional, Griffiths, Ewen A, additional, Griffiths, SN, additional, Griggs, EJ, additional, Grosvenor, S, additional, Grove, T, additional, Gulamhussein, M, additional, Guliani, J, additional, Gummaraju, A, additional, Gunning, S, additional, Gurjar, SV, additional, Guru-Naidu, S, additional, Gurung, S, additional, Habib, H, additional, Hackney, L, additional, Haddow, James B, additional, Hajibandeh, S, additional, Halkias, C, additional, Hall, NJ, additional, Hamelmann, RN, additional, Haneef, M, additional, Haneef, MS, additional, Hanif, Z, additional, Hanley, C, additional, Hann, AJ, additional, Hanna, T, additional, Hardy, E, additional, Harlinska, A, additional, Harper, F, additional, Harries, RL, additional, Harris, A, additional, Harris, Grant, additional, Harris, MP, additional, Hasan, R, additional, Hassane, A, additional, Hatt, JR, additional, Haveliwala, Z, additional, Hawkins, W, additional, Hayat, Z, additional, Hayes, C, additional, Hebbar, KRM, additional, Henderson, L, additional, Henderson, LT, additional, Herrod, PJJ, additional, Hever, P, additional, Hickey, LM, additional, Hicks, G, additional, Hodgson, JM, additional, Hoff, M, additional, Hollingsworth, A, additional, Hook, A, additional, Hornby, ST, additional, Horsfield, E, additional, Howie, EE, additional, Huang, L, additional, Hudson-Peacock, NJ, additional, Hughes, DL, additional, Hureibi, KA, additional, Hussain, A, additional, Hussain, N, additional, Hussaini, SA, additional, Hussein, A, additional, Hutchinson, B, additional, Ibrahim, YMS, additional, Ikram, S, additional, Ilozue, T, additional, Iosif, E, additional, Iqbal, MR, additional, Irukulla, S, additional, Irwin, R, additional, Islam, N, additional, Ivey, P, additional, Jackson, CR, additional, Jackson, A, additional, Jah, SMH, additional, Jain, A, additional, Jain, S, additional, Jain, Sarus, additional, Jama, GM, additional, Jamieson, NB, additional, Janardanan, S, additional, Jasinski, B, additional, Jenner, D, additional, Jerome, E, additional, Johnson, B, additional, Johnstone, A, additional, Jokhan, S, additional, Jones, A, additional, Jones, CE, additional, Jones, CS, additional, Jones, E, additional, Jones, L, additional, Kabir, U, additional, Kabwama, S, additional, Kamal, M, additional, Kamande, IW, additional, Kanakala, V, additional, Kannegieser-Bailey, M, additional, Kaptanis, S, additional, Karim, MJ, additional, Karwal, RS, additional, Kaur, G, additional, Keegan, R, additional, Kelay, A, additional, Kennedy, ND, additional, Kent, DA, additional, Khair, A, additional, Khan, K, additional, Khan, S, additional, Khasria, A, additional, Kho, H, additional, Kilkenny, J, additional, King, R, additional, Kinross, J, additional, Kirkham, EN, additional, Knight, B, additional, Kochupapy, R, additional, Koh, C, additional, Kouli, O, additional, Krishnamoorthy, A, additional, Krivan, S, additional, Kumar, K, additional, Kumar, S, additional, Kung, VWS, additional, Kuo, R, additional, Lafaurie, G, additional, Lai, CW, additional, Lal, N, additional, Lawday, S, additional, Layman, S, additional, Layton, GR, additional, Lazzaro, A, additional, Lecky-Thompson, L, additional, Lee, KA, additional, Lee, KJ, additional, Lee, M, additional, Lee, SL, additional, Leighton, PA, additional, Leitch, RP, additional, Lennox-Warburton, HC, additional, Leung, EL, additional, Li, CH, additional, Lim, JM, additional, Limb, C, additional, Ljungqvist, G, additional, Lloyd, G, additional, Lodhia, S, additional, Logan, PC, additional, Long, M, additional, Long, P, additional, Long, RH, additional, Longshaw, A, additional, Louw, C, additional, Lund, JN, additional, Ly, C, additional, Lynch Wong, MJ, additional, Ma, JKY, additional, Macdonald, A, additional, Macinnes, EGE, additional, Magro, T, additional, Mahapatra, R, additional, Mahendran, B, additional, Mahmood, F, additional, Mahmoud, A, additional, Mahon, D, additional, Mai, D, additional, Maina, A, additional, Major, CP, additional, Makhija, R, additional, Malam, Y, additional, Malik, A, additional, Malik, K, additional, Malik, SN, additional, Manda, VM, additional, Manektella, KM, additional, Mann, C, additional, Manoharan, P, additional, Manson, R, additional, Mansoor, S, additional, Mansour, MM, additional, Mansour, S, additional, Maqboul, F, additional, Maragouthakis, D, additional, Marangoni, G, additional, Mardhiah, S, additional, Maripi, H, additional, Marriott, P, additional, Marsh, L, additional, Marshall, G, additional, Martin, A, additional, Martin, LM, additional, Martinou, E, additional, Mashar, R, additional, Mason, John, additional, Masood, M, additional, Mathew, G, additional, Maude, K, additional, Mazumdar, E, additional, Mc-Dermott, A, additional, Mcarthur, D, additional, Mccain, RS, additional, McCain, S, additional, Mccann, C, additional, Mccaughey, P, additional, Mccluney, SJ, additional, Mccullough, J, additional, Mcdonnell, D, additional, Mcdowall, NA, additional, McEntee, JE, additional, McGlynn, K, additional, Mcgrath, D, additional, Mcgucken, O, additional, Mcilwaine, S, additional, Mcilwrath, AC, additional, Mckay, SC, additional, McKelvie, MA, additional, Mckenna, M, additional, Mckeon, J, additional, Mckevitt, KL, additional, Mckinley, NC, additional, McLaughlin, D, additional, McMahon, SV, additional, Mcmorran, D, additional, McNally, L, additional, Mcquaid, M, additional, Mcwhirter, DM, additional, Mealy, K, additional, Mears, A, additional, Menzies, D, additional, Merai, H, additional, Mersh, RJ, additional, Miguras, M, additional, Milgrom, D, additional, Miller, K, additional, Milward, J, additional, Mirza, S, additional, Misky, AT, additional, Mistry, D, additional, Mitchard, MJ, additional, Mitru, RM, additional, Mohamed, IM, additional, Mohamed, Imran, additional, Mohamed, TM, additional, Mohamed, WO, additional, 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Rao, M, additional, Rao, VSR, additional, Raofi, A, additional, Rashid, M, additional, Rate, A, additional, Ravindran, R, additional, Raymond, M, additional, Raza, SS, additional, Reddy, A, additional, Redman, EP, additional, Redmond, AE, additional, Rekhraj, S, additional, Renshaw, S, additional, Rex, D, additional, Rezacova, M, additional, Rezvani, S, additional, Ribeiro, B, additional, Rich, JE, additional, Richardson, TD, additional, Rigby, S, additional, Rigney, B, additional, Rinkoff, S, additional, Robb, HD, additional, Robertson, C, additional, Robinson, D, additional, Robinson, A, additional, Rodger, V, additional, Rolph, R, additional, Roomi, S, additional, Roth, NPG, additional, Rothnie, K, additional, Roy, C, additional, Rupani, S, additional, Rutherford, DG, additional, Sacks, R, additional, Saghir, N, additional, Saha, A, additional, Sahay, SJ, additional, Sahnan, K, additional, Salama, Y, additional, Salim, S, additional, Samuel, M, additional, Sana, S, additional, Sandu, L, additional, Sarmah, P, additional, Sarveswaran, J, additional, Saunders, SMF, additional, Savill, A, additional, Savioli, F, additional, Schuster Bruce, JR, additional, Sebastian, JF, additional, Seddon, TC, additional, Seneviratne, N, additional, Seth, M, additional, Setshwaelo, T, additional, Sezen, E, additional, Sgardelis, P, additional, Sgrò, A, additional, Shah, C, additional, Shah, J, additional, Shah, K, additional, Shah, SM, additional, Shakoor, Z, additional, Shalaby, MS, additional, Shanmuganathan, V, additional, Shanmugarajah, K, additional, Sharma, A, additional, Sharma, P, additional, Sharp, OL, additional, Shepherd, JA, additional, Sherif, MA, additional, Shet, S, additional, Shingler, G, additional, Shiwani, MH, additional, Shreshta, D, additional, Sian, T, additional, Siddiqui, MN, additional, Siddiqui, ZA, additional, Siggens, KL, additional, Sihra, N, additional, Silva, I, additional, Simioni, A, additional, Simmonds, LFC, additional, Simpson, DJ, additional, Singh, A, additional, Singh, S, additional, Singhal, T, additional, Sivaloganathan, P, additional, Sloan, K, additional, Smallcombe, N, additional, Smart, CJ, additional, Smart, Neil J, additional, Smith, R, additional, Smoker, H, additional, Solinas, L, additional, Souter, JEH, additional, Springate, EL, additional, Stephens, GF, additional, Stevenson, R, additional, Stewart, DJ, additional, Stoica, I, additional, Strachan, E, additional, Stubbs, BM, additional, Stupalkowska, W, additional, Suliman, A, additional, Sultana, A, additional, Sunter, H, additional, Suriyakumar, S, additional, Symons, NRA, additional, Szentpali, K, additional, Szucs, A, additional, Tabain, V, additional, Tague, LE, additional, Tailor, K, additional, Tan, CY, additional, Tan, S, additional, Tang, AM, additional, Tarazi, M, additional, Tay, YH, additional, Tayeh, S, additional, Taylor, M, additional, Taylor, NS, additional, Taze, D, additional, Teasdale, E, additional, Thakral, N, additional, 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additional, Yardimci, E, additional, Yasin, T, additional, Yen, SK, additional, Yoganathan, S, additional, Yoong, S, additional, Youssef, H, additional, Yow, LPS, additional, Zaborowski, A, additional, Zadi, AZ, additional, Zarka, ZA, additional, Zarog, MA, additional, and Zhang, AY, additional
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- 2020
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5. The Breast Implant Rupture Warranty: What Is It Really Worth?
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Nathan, B., Meleagros, L., Mashhadi, S., Lahoud, P., and Nash, Z.
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- 2015
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6. PLOS Genetics
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Fernandes de Abreu D, Caballero A, Fardel P, Stroustrup N, Chen Z, Lee K, Keyes W. D, Nash Z. M, Lxf3pez-Moyado I. F, Vaggi F, Cornils A, Regenass M, Neagu A, Ostojic I, Chang L, Cho Y, Sifoglu D, Shen Y, Fontana W, Lu H, Csikasz-Nagy A, Murphy C, Antebi A. *, Blanc E. *, Apfeld J. *, Zhang Y. *, Alcedo J. * and Ch’ng Q*., Fernandes de Abreu D., Caballero A., Fardel P., Stroustrup N., Chen Z., Lee K., Keyes W. D., Nash Z. M., Lxf3pez-Moyado I. F., Vaggi F., Cornils A., Regenass M., Neagu A., Ostojic I., Chang L., Cho Y., Sifoglu D., Shen Y., Fontana W., Lu H., Csikasz-Nagy A., Murphy C., Antebi A. *, Blanc E. *, Apfeld J. *, Zhang Y. *, Alcedo J., and Ch’ng Q*.
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- 2014
7. Conservative management of subglottic stenosis in pregnancy resulting in vaginal birth
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Nash, Z., primary, Krishna, A., additional, Darwish, M., additional, and Mascarenhas, L., additional
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- 2014
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8. NICE promises on infertility and caesarean section are unmet
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Mascarenhas, L., primary, Nash, Z., additional, and Nathan, B., additional
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- 2013
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9. Renal calculi in pregnancy? The role of ultralow-dose CT
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Nash, Z., primary and Mascarenhas, L., additional
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- 2013
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10. Immunoglobulin class and subclass restriction of autoimmune responses in secondary syphilis
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VERSALOVIC, J., primary, NASH, Z.-D., additional, CARINHAS, R., additional, MUSHER, D. M., additional, and BAUGHN, R. E., additional
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- 2008
- Full Text
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11. Immunoglobulin class and subclass restriction of autoimmune responses in secondary syphilis.
- Author
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Versalovic, J., Nash, Z.-D., Carinhas, R., Musher, D. M., and Baughn, R. E.
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IMMUNOGLOBULINS , *AUTOANTIBODIES , *ANTIGENS , *CREATINE kinase , *FIBRONECTINS , *ENZYME-linked immunosorbent assay - Abstract
The immunoglobulin (Ig) class and IgG subclasses of autoantibodies to commercial VDRL antigen, creatine kinase (CK), and fibronectin (Fn) in the sera of patients with various stages of syphilis were quantified using solid-phase radioimmunoassays (RIA) and ELISA. Sera from patients with active secondary syphilis, initially positive for anti-Fn and anti-CK autoantibodies by RIA, were re- evaluated by ELISA using monoclonal antibodies (MoAb) for detection of human Ig class and subclass responses. Results of these assays revealed that anti-Fn and anti-CK responses were not only IgO in nature, but dramatically skewed to lgG 1 and IgG3 subclasses. While the restricted, co-expression of these isotypes seemingly paralleled anti-treponemal activity, inverse relationships actually existed between the subclass responses to Fn and those to Treponema pallidum. In contrast, anti-VDRL were predominantly IgM in 17 of 22 patients. Of those sera exhibiting detectable anti- VDRL IgO activity, responses appeared to be restricted to IgG I. These results suggest that different control mechanisms may be responsible for regulation of the various autoantibody responses expressed during syphilitic infection. [ABSTRACT FROM AUTHOR]
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- 1990
12. Appendicitis risk prediction models in children presenting with right iliac fossa pain (RIFT study): a prospective, multicentre validation study
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Dmitri Nepogodiev, Richard JW Wilkin, Catherine J Bradshaw, Clare Skerritt, Alasdair Ball, Waaka Moni-Nwinia, Ruth Blanco-Colino, Priyesh Chauhan, Thomas M Drake, Matteo Frasson, Oliver Gee, James C Glasbey, Jacob H Matthews, Gabriella L Morley, David N Naumann, Francesco Pata, Antonio S Soares, Aneel Bhangu, SH Abbas, AM Abdelgadir, A Abdelrahman, M Abdelrahman, A Abdelwahed, Y Abou El Ella, M Abulafi, A Acharya, ME Adam, RE Adams, SO Adegbola, A Adimonye, M Adnan, S Afshar, A Ahad, J Ahel, DP Ahern, A Ahmad Asmadi, B Ahmed, G Ahmed, OS Ahmed, S Ahmed, K Akbari, O Akinsola, W Al-Khyatt, B Al-Sarireh, M Al-Sheikh, M Alani, R Alexander, T Alhammali, M Ali, A Aljorfi, M Allen, J Allington, A Alshafei, R Amarasinghe, A Amayo, V Amin, Thuva Amuthalingam, L Anandan, O Anderson, SM Andreani, B Andrews, A Ang, B Aravind, JE Archer, MA Aremu, S Arunachalam, N Aruparayil, DL Ashmore, O Ashour, N Ashraf, N Assaf, H Avalapati, OO Awokoya, J Ayube-Brown, T Badenoch, R Bagga, A Baginski, S Bailey, STR Bailey, C Baird, B Baker, EJ Balai, A Balasubramaniam, SK Bandyopadhyay, A Banks, H Bansal, W Barnieh, A Barrie, CA Barter, J Bastianpillai, WD Beasley, CR Bell, J Bell, D Beral, BJM Berry, KE Bevan, V Bevan, Shiv Bhanderi, A Bhargava, D Bilku, A Birindelli, OD Blackford, JEM Blackwell, L Blake, Natalie S Blencowe, TD Boam, C Boereboom, M Bogdan, P Bohra, JC Bolger, W Bolton, S Bond, CM Borg, K Borghol, PR Boshier, N Bouhadiba, J Bowen, H Bowerman, CR Bowman, H Boyd-Carson, CJ Bradshaw, G Branagan, P Brennan, M Brett, HK Brewer, H Brewer, C Bronder, A Brown, AG Brown, CE Brown, M Brown, R Brown, S Buckley-Jones, A Budzanowski, W Bukhari, C Bull, JK Bullivant, KM Burns, D Burnside, A Busuttil, BE Byrne, CK Byrnes, M Caldwell, R Callan, FC Cameron, U Campbell, UM Campbell, W Campbell, CA Carden, CFW Carder, K Carney, H Cartwright, P Cay, A Chalk, B Chambers, A Champsi, D Chan, TCW Chan, SB Chandler, J Chapman, A Charalabopoulos, B Chasty, M Chatzikonstantinou, WL Cheah, CS Chean, S Cheng, SA Cheng, M Cheruvu, MY Chin, IA Chishti, S Choi, SM Chok, B Chong, JH Choong, M Chowdhary, F Chowdhury, CH Choy, L Christian, P Christopoulos, K Chui, M Cipparrone, GL Clark, SA Clarke, SJ Cleeve, KD Clement, B Clements, C Clements, JD Clements, JM Clements, JS Clements, JA Clements, R Clingan, L Cloney, ECS Clough, PO Coe, O Collier-Wakefield, DW Colliver, DA Colvin, TM Connelly, MJ Connor, V Cook, F Cooke, F Cooper, AE Cotton, DG Couch, L Cousins, D Coyle, W Creasy, RL Cresner, A Crone, K Cross, J Crozier, P Cunha, NJ Curtis, N D'Souza, H Dagash, S Dalmia, I Daniels, D Danquah-Boateng, FA Dar, K Dart, A Das, R Daureeawoo, S Davidson, JR Davidson, PL Davies, S Davis, V Daya Shetty, A De-Manzoni-Garberini, JA De-Marchi, EA Dean, S Dean, C Delimpalta, S Denley, G Dennison, AA Devine, S Dharamavaram, AA Dhari, F Di Franco, S Di Saverio, C Dobson, JA Docherty, C Doherty, G Donaldson, NO Donohoe, O Donohoe, E Douka, T Doulias, M Downey, C Doyle, N Drye, DT Du, JG Dudek, PG Dunning, ARS Dyal, NJ Eardley, L Earnshaw, S Easdon, SE Edwards, RJ Egan, S El-Masry, O El-Tayar, CR Elbourne, S Elgaddal, M Elseedawy, M Elshaer, OH Elsharnoby, WMA Elzeneini, KM Emslie, NFT Engall, B Ertansel, HD Esmail, C Ettles, J Evans, JD Evans, A Everden, M Fadel, SE Fahmy, CJ Fairfield, BF Fanibi, Valeria Farina, SM Farrell, EZ Farrow, JA Fasuyi, G Faulkner, D Fawkner-Corbett, F Fawzi, M Fehervari, N Ferguson, JG Finch, H Finlayson, T Flack, W Foers, NM Foley, K Ford, A Forgie, A Foster, JD Foster, AMW Fox, N Francis, D Franklin, H Froud, HL Fuller, E Gaines, J Galea, E Gammeri, J Garnham, J Garvin, Z Gates, R Gentry, I Ghaffari, S Ghatorae, AL Gidwani, TG Gilbert, TM Gilbert, S Gill, M Gillespie, J Gillick, A Giorga, K Gopalakrishnan, S Gopalswamy, S Gopinath, R Gormely, G Govind, C Grant, J Graveston, J Gray, RT Gray, D Griffith, JP Griffith, Ewen A Griffiths, SN Griffiths, EJ Griggs, S Grosvenor, T Grove, M Gulamhussein, J Guliani, A Gummaraju, S Gunning, SV Gurjar, S Guru-Naidu, S Gurung, H Habib, L Hackney, James B Haddow, S Hajibandeh, C Halkias, NJ Hall, RN Hamelmann, M Haneef, MS Haneef, Z Hanif, C Hanley, AJ Hann, T Hanna, E Hardy, A Harlinska, F Harper, RL Harries, A Harris, Grant Harris, MP Harris, R Hasan, A Hassane, JR Hatt, Z Haveliwala, W Hawkins, Z Hayat, C Hayes, KRM Hebbar, L Henderson, LT Henderson, PJJ Herrod, P Hever, LM Hickey, G Hicks, JM Hodgson, M Hoff, A Hollingsworth, A Hook, ST Hornby, E Horsfield, EE Howie, L Huang, NJ Hudson-Peacock, DL Hughes, KA Hureibi, A Hussain, N Hussain, SA Hussaini, A Hussein, B Hutchinson, YMS Ibrahim, S Ikram, T Ilozue, E Iosif, MR Iqbal, S Irukulla, R Irwin, N Islam, P Ivey, CR Jackson, A Jackson, SMH Jah, A Jain, S Jain, Sarus Jain, GM Jama, NB Jamieson, S Janardanan, B Jasinski, D Jenner, E Jerome, B Johnson, A Johnstone, S Jokhan, A Jones, CE Jones, CS Jones, E Jones, L Jones, U Kabir, S Kabwama, M Kamal, IW Kamande, V Kanakala, M Kannegieser-Bailey, S Kaptanis, MJ Karim, RS Karwal, G Kaur, R Keegan, A 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W., Kanakala, V., Kannegieser-Bailey, M., Kaptanis, S., Karim, M. J., Karwal, R. S., Kaur, G., Keegan, R., Kelay, A., Kennedy, N. D., Kent, D. A., Khair, A., Khan, K., Khan, S., Khasria, A., Kho, H., Kilkenny, J., King, R., Kinross, J., Kirkham, E. N., Knight, B., Kochupapy, R., Koh, C., Kouli, O., Krishnamoorthy, A., Krivan, S., Kumar, K., Kumar, S., Kung, V. W. S., Kuo, R., Lafaurie, G., Lai, C. W., Lal, N., Lawday, S., Layman, S., Layton, G. R., Lazzaro, A., Lecky-Thompson, L., Lee, K. A., Lee, K. J., Lee, M., Lee, S. L., Leighton, P. A., Leitch, R. P., Lennox-Warburton, H. C., Leung, E. L., Li, C. H., Lim, J. M., Limb, C., Ljungqvist, G., Lloyd, G., Lodhia, S., Logan, P. C., Long, M., Long, P., Long, R. H., Longshaw, A., Louw, C., Lund, J. N., Ly, C., Lynch Wong, M. J., Ma, J. K. Y., Macdonald, A., Macinnes, E. G. E., Magro, T., Mahapatra, R., Mahendran, B., Mahmood, F., Mahmoud, A., Mahon, D., Mai, D., Maina, A., Major, C. P., Makhija, R., Malam, Y., Malik, A., Malik, K., Malik, S. N., Manda, V. M., Manektella, K. M., Mann, C., Manoharan, P., Manson, R., Mansoor, S., Mansour, M. M., Mansour, S., Maqboul, F., Maragouthakis, D., Marangoni, G., Mardhiah, S., Maripi, H., Marriott, P., Marsh, L., Marshall, G., Martin, A., Martin, L. M., Martinou, E., Mashar, R., Mason, J., Masood, M., Mathew, G., Maude, K., Mazumdar, E., Mc-Dermott, A., Mcarthur, D., Mccain, R. S., Mccain, S., Mccann, C., Mccaughey, P., Mccluney, S. J., Mccullough, J., Mcdonnell, D., Mcdowall, N. A., Mcentee, J. E., Mcglynn, K., Mcgrath, D., Mcgucken, O., Mcilwaine, S., Mcilwrath, A. C., Mckay, S. C., Mckelvie, M. A., Mckenna, M., Mckeon, J., Mckevitt, K. L., Mckinley, N. C., Mclaughlin, D., Mcmahon, S. V., Mcmorran, D., Mcnally, L., Mcquaid, M., Mcwhirter, D. M., Mealy, K., Mears, A., Menzies, D., Merai, H., Mersh, R. J., Miguras, M., Milgrom, D., Miller, K., Milward, J., Mirza, S., Misky, A. T., Mistry, D., Mitchard, M. J., Mitru, R. M., Mohamed, I. M., Mohamed, I., Mohamed, T. M., Mohamed, W. O., Mohd, N., Moore, C., Moradzadeh, J., Morrison, T. E. M., Morrison-Jones, V., Morton, D. G., Mothe, B. S., Motiwala, F., Motter, D., Mowbray, N. G., Mughal, Z., Mulsow, J., Mundkur, N., Muntean, A., Murphy, C., Murphy, R., Murray, M. P., Muzaffar, M., Myatt, A., Nadeem, A., Nagarajan, D., Nagendram, S., Nair, A., Nair, M. K., Nair, M. S., Naismith, K. N., Nambiar, K., Nana, G. R., Nash, Z., Nastro, P., Nazarian, S., Neagle, G., Neale, A., Neary, P. M., Newton, R. C., Ng, M., Ng, S., Niaz, O., Nickson, S., Nicol, D., Nimako, E., Noor Mohamed, M. S., Nyeko-Lacek, M., O'Connor, B. R., O'Neill, E., O'Neill, N., O'Sullivan, D., O'Brien, J., Oakey, M., Obeid, N., Odeh, A., Ogboru, S., Ogbuokiri, C., Okekunle, B., Okorocha, E., Olagbaiye, O., Olivier, J. B., Ooi, R., Orawiec, P., Orizu, M., Orme, N., Ormiston, R., Paget, C., Pal, A., Palani-Velu, L. K., Pan, Y., Panda, N., Pandey, V., Pandya, R., Pandya, D., Paramasevon, K. R., Pardy, C., Parkola, M. J., Pasquali, S., Patel, A. S., Patel, B. Y., Patel, C., Patel, H., Patel, N., Patel, R. T., Patel, S., Patel, Y., Patel, M. M., Patil, S. D., Payne, C. J., Payne, R. E., Pearce, J. C. H., Pearce, L., Pedder, A., Peirce, C. B., Peiris, G. B., Peleki, A., Pellino, G., Pento, V., Peprah, D., Perera, H. S., Perera, M. I., Phelan, L., Photiou, D., Pierre, R., Pilkington, J. P., Pinkney, T. D., Pisavadia, B., Poacher, A., Podda, M., Pollard, H., Popova, D., Poudevigne, M., Prideaux, A., Pullabatla Venkata, U. P., Quddus, A., Quill, S., Rabie, M., Rabie, M. R., Radwan, R. W., Rae, J. F., Rahim, A., Rahmani, L. S., Rajagopal, S., Rajaram, R., Rajaretnam, N., Rajjoub, Y., Rallage, H., Ramcharan, S., Ranathunga, S., Rao, M., Rao, V. S. R., Raofi, A., Rashid, M., Rate, A., Ravindran, R., Raymond, M., Raza, S. S., Reddy, A., Redman, E. P., Redmond, A. E., Rekhraj, S., Renshaw, S., Rex, D., Rezacova, M., Rezvani, S., Ribeiro, B., Rich, J. E., Richardson, T. D., Rigby, S., Rigney, B., Rinkoff, S., Robb, H. D., Robertson, C., Robinson, D., Robinson, A., Rodger, V., Rolph, R., Roomi, S., Roth, N. P. G., Rothnie, K., Roy, C., Rupani, S., Rutherford, D. G., Sacks, R., Saghir, N., Saha, A., Sahay, S. J., Sahnan, K., Salama, Y., Salim, S., Samuel, M., Sana, S., Sandu, L., Sarmah, P., Sarveswaran, J., Saunders, S. M. F., Savill, A., Savioli, F., Schuster Bruce, J. R., Sebastian, J. F., Seddon, T. C., Seneviratne, N., Seth, M., Setshwaelo, T., Sezen, E., Sgardelis, P., Sgro, A., Shah, C., Shah, J., Shah, K., Shah, S. M., Shakoor, Z., Shalaby, M. S., Shanmuganathan, V., Shanmugarajah, K., Sharma, A., Sharma, P., Sharp, O. L., Shepherd, J. A., Sherif, M. A., Shet, S., Shingler, G., Shiwani, M. H., Shreshta, D., Sian, T., Siddiqui, M. N., Siddiqui, Z. A., Siggens, K. L., Sihra, N., Silva, I., Simioni, A., Simmonds, L. F. C., Simpson, D. J., Singh, A., Singh, S., Singhal, T., Sivaloganathan, P., Sloan, K., Smallcombe, N., Smart, C. J., Smart, N. J., Smith, R., Smoker, H., Solinas, L., Souter, J. E. H., Springate, E. L., Stephens, G. F., Stevenson, R., Stewart, D. J., Stoica, I., Strachan, E., Stubbs, B. M., Stupalkowska, W., Suliman, A., Sultana, A., Sunter, H., Suriyakumar, S., Symons, N. R. A., Szentpali, K., Szucs, A., Tabain, V., Tague, L. E., Tailor, K., Tan, C. Y., Tan, S., Tang, A. M., Tarazi, M., Tay, Y. H., Tayeh, S., Taylor, M., Taylor, N. S., Taze, D., Teasdale, E., Thakral, N., Thava, B., Thavanesan, N., Thaventhiran, A. J., Theodoropoulou, K., Thomas, A. T., Thomas, L., Thompson, D. B., Thompson, R., Thoukididou, S. N., Tiboni, S. G., Tiedt, L. A., Ting, N., Tinsley, B. J., Tognarelli, J. M., Torkington, J., Torrance, A., Townsend, D. C., Tozer, P. J., Trail, M., Trew, F., Tudyka, V., Tullie, L., Turnbull, A., Turner, E. J., Twum-Barima, C. S., Tyler, R., Vakis, S., Valle, A. L., Van Boxel, G. I., Vance-Daniel, J., Varcada, M., Varma, N., Vaughan, E. M., Velchuru, V. R., Velho, R., Venkatasubramaniam, A. K., Venn, M. L., Vijay, V., Vinnicombe, Z., Vitish-Sharma, P., Wagener, S., Waite, K., Walters, K. J., Walters, U., Wardle, B. G., Wardle, S. D., Warusavitarne, J., Watfah, J., Watson, N., Wauchope, J., Weatherburn, L. W., Weegenaar, C. R., Welsh, S., Wheatstone, S., Whewell, H. E., Whitehouse, P., Whiteman, E., Whittaker, L., Wijesundera, K., Wilkinson, D., Williams, G. L., Williams, M., Williams, R., Williams, S., Wilson, E. J., Wilson, M. S. J., Winter, D. C., Winter, G., Wolff, J., Wong, A., Wong, C. L. L., Wong, S. Y., Wood, C. S., Woodrow, C., Woodward, A., Woodward, B., Wright, E., Wright, H. L., Wu, F., Yalamarthi, S., Yang, P., Yardimci, E., Yasin, T., Yen, S. K., Yoganathan, S., Yoong, S., Youssef, H., Yow, L. P. S., Zaborowski, A., Zadi, A. Z., Zarka, Z. A., Zarog, M. A., and Zhang, A. Y.
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Validation study ,Adolescent ,Ultrasound scan ,Pain ,Risk prediction models ,Risk Assessment ,Sensitivity and Specificity ,Cohort Studies ,Ilium ,03 medical and health sciences ,0302 clinical medicine ,Predictive Value of Tests ,030225 pediatrics ,Developmental and Educational Psychology ,medicine ,Appendectomy ,Humans ,Prospective Studies ,030212 general & internal medicine ,Surgical emergency ,Child ,Ultrasonography ,business.industry ,Area under the curve ,Appendicitis ,medicine.disease ,United Kingdom ,Child, Preschool ,Acute Disease ,Pediatrics, Perinatology and Child Health ,Female ,Right iliac fossa pain ,business ,Ireland ,Cohort study - Abstract
BACKGROUND: Acute appendicitis is the most common surgical emergency in children. Differentiation of acute appendicitis from conditions that do not require operative management can be challenging in children. This study aimed to identify the optimum risk prediction model to stratify acute appendicitis risk in children. METHODS: We did a rapid review to identify acute appendicitis risk prediction models. A prospective, multicentre cohort study was then done to evaluate performance of these models. Children (aged 5-15 years) presenting with acute right iliac fossa pain in the UK and Ireland were included. For each model, score cutoff thresholds were systematically varied to identify the best achievable specificity while maintaining a failure rate (ie, proportion of patients identified as low risk who had acute appendicitis) less than 5%. The normal appendicectomy rate was the proportion of resected appendixes found to be normal on histopathological examination. FINDINGS:15 risk prediction models were identified that could be assessed. The cohort study enrolled 1827 children from 139 centres, of whom 630 (34·5%) underwent appendicectomy. The normal appendicectomy rate was 15·9% (100 of 630 patients). The Shera score was the best performing model, with an area under the curve of 0·84 (95% CI 0·82-0·86). Applying score cutoffs of 3 points or lower for children aged 5-10 years and girls aged 11-15 years, and 2 points or lower for boys aged 11-15 years, the failure rate was 3·3% (95% CI 2·0-5·2; 18 of 539 patients), specificity was 44·3% (95% CI 41·4-47·2; 521 of 1176), and positive predictive value was 41·4% (38·5-44·4; 463 of 1118). Positive predictive value for the Shera score with a cutoff of 6 points or lower (72·6%, 67·4-77·4) was similar to that of ultrasound scan (75·0%, 65·3-83·1). INTERPRETATION: The Shera score has the potential to identify a large group of children at low risk of acute appendicitis who could be considered for early discharge. Risk scoring does not identify children who should proceed directly to surgery. Medium-risk and high-risk children should undergo routine preoperative ultrasound imaging by operators trained to assess for acute appendicitis, and MRI or low-dose CT if uncertainty remains. FUNDING: None.
- Published
- 2021
13. Premature ovarian insufficiency.
- Author
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Nash Z and Davies M
- Subjects
- Female, Humans, Primary Ovarian Insufficiency diagnosis, Primary Ovarian Insufficiency etiology, Menopause, Premature
- Abstract
Competing Interests: Competing interests: We have read and understood the BMJ policy on declaration of interests and declare the following interests: none.
- Published
- 2024
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14. Contraceptive efficacy and global licensing of 52 mg levonorgestrel intrauterine devices: does a Mirena last longer in New York than York?
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Nash Z and Thwaites A
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- Humans, Female, New York, Contraception, Levonorgestrel therapeutic use, Contraceptive Agents, Female therapeutic use
- Abstract
Competing Interests: Competing interests: None declared.
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- 2024
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15. Bone and heart health in menopause.
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Nash Z, Al-Wattar BH, and Davies M
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- Estrogen Replacement Therapy adverse effects, Estrogens therapeutic use, Female, Humans, Menopause, Menopause, Premature, Primary Ovarian Insufficiency etiology
- Abstract
Age at menopause has been shown to have an impact on bone and heart health, with younger menopause age consistently associated with a higher risk of cardiovascular disease, osteoporosis, and fracture. These risks are particularly high increased among women who encountering menopause at an early age, including women with premature ovarian insufficiency (POI) and early menopause, due to a prolonged period of oestrogen deprivation. Several interventions are suggested to optimise the bone and cardiovascular health of women with menopause including lifestyle modification, dietary supplements, hormonal, and non-hormonal therapies. Hormone therapy (HT) is indicated for women with POI. For women with early menopause, there is a paucity of evidence for the management of bone and cardiovascular health. For women beyond the average age of menopause, HT is not indicated solely for bone protection and cardiovascular health. In this group, screening for bone and heart disease, as well as primary and secondary prevention, should be undertaken in line with national and international guidelines., Competing Interests: Declaration of competing interest ZN is a co-applicant on the NIHR funded POISE and BLUSH trials. BAW none. MCD is chief investigator for the NIHR funded POISE and BLUSH trials., (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2022
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16. Ovarian cancer screening: Current status and future directions.
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Nash Z and Menon U
- Subjects
- Biomarkers, Tumor blood, Carcinoma, Ovarian Epithelial blood, Female, Humans, Mass Screening trends, Ovarian Neoplasms blood, Prognosis, Risk Factors, Sensitivity and Specificity, CA-125 Antigen blood, Carcinoma, Ovarian Epithelial diagnosis, Early Detection of Cancer methods, Mass Screening methods, Ovarian Neoplasms diagnosis, Ovariectomy methods
- Abstract
Ovarian cancer is the third most common gynaecological malignancy and the most lethal worldwide. Most patients are diagnosed with advanced disease which carries significant mortality. Improvements in treatment have only resulted in modest increases in survival. This has driven efforts to reduce mortality through screening. Multimodal ovarian cancer screening using a longitudinal CA125 algorithm has resulted in diagnosis at an earlier stage, both in average and high risk women in two large UK trials. However, no randomised controlled trial has demonstrated a definitive mortality benefit. Extended follow up is underway in the largest trial to date, UKCTOCS, to explore the delayed reduction in mortality that was noted. Meanwhile, screening is not currently recommended in the general population Some countries offer surveillance of high risk women. Novel screening modalities and longitudinal biomarker algorithms offer potential improvements to future screening strategies as does the development of better risk stratification tools., Competing Interests: Declaration of Competing Interest ZN reports no conflicts of interest. UM has stock ownership awarded by UCL in Abcodia Ltd, which is a UCL spinout company with an interest in biomarkers for early detection of cancer and has the commercial rights to the Risk of Ovarian Cancer Algorithm used in ovarian cancer screening., (Copyright © 2020. Published by Elsevier Ltd.)
- Published
- 2020
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17. Tailored regimens for combined hormonal contraceptives.
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Nash Z, Thwaites A, and Davies M
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- Female, Humans, Longitudinal Studies, Contraception, Contraceptives, Oral, Hormonal
- Abstract
Competing Interests: Competing interests The BMJ has judged that there are no disqualifying financial ties to commercial companies. The authors declare the following other interests: none. Further details of The BMJ policy on financial interests are here: https://www.bmj.com/about-bmj/resources-authors/forms-policies-and-checklists/declaration-competing-interests
- Published
- 2020
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18. Neurokinin 3 receptor antagonism as a novel treatment for menopausal hot flushes: a phase 2, randomised, double-blind, placebo-controlled trial.
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Prague JK, Roberts RE, Comninos AN, Clarke S, Jayasena CN, Nash Z, Doyle C, Papadopoulou DA, Bloom SR, Mohideen P, Panay N, Hunter MS, Veldhuis JD, Webber LC, Huson L, and Dhillo WS
- Subjects
- Adult, Cross-Over Studies, Double-Blind Method, Female, Hormone Replacement Therapy adverse effects, Hormone Replacement Therapy methods, Hot Flashes etiology, Humans, Menopause genetics, Menopause psychology, Middle Aged, Receptors, Neurokinin-3 genetics, Receptors, Neurokinin-3 therapeutic use, Treatment Outcome, Hot Flashes drug therapy, Menopause physiology, Receptors, Neurokinin-3 antagonists & inhibitors
- Abstract
Background: Hot flushes affect 70% of menopausal women and often severely impact physical, psychosocial, sexual, and overall wellbeing. Hormone replacement therapy is effective but is not without risk. Neurokinin B signalling is increased in menopausal women, and has been implicated as an important mediator of hot flushes., Methods: This phase 2, randomised, double-blind, placebo-controlled, single-centre, crossover trial assessed the effectiveness of an oral neurokinin 3 receptor antagonist (MLE4901) on menopausal hot flushes. Eligible participants were healthy women aged 40-62 years, having seven or more hot flushes in every 24 h of which some were reported as being severe or bothersome, who had not had a menstrual period for at least 12 months, and who had not been taking any medication shown to improve menopausal flushes in the preceding 8 weeks. Participants received 4 weeks of MLE4901 (40 mg, orally, twice daily) and placebo (orally, twice daily) in random order separated by a 2 week washout period. Randomisation was completed by a central computer, and participants were allocated to treatment number in numerical order. The primary outcome was the total number of hot flushes during the final week of both treatment periods. Analyses were by intention to treat and per protocol using generalised linear mixed models and standard crossover analysis. All analyses were prespecified in the study protocol. The trial is registered at ClinicalTrials.gov, number NCT02668185., Findings: 68 women were screened between Feb 3 and Oct 10, 2016, of which 37 were randomly assigned and included in an intention-to-treat analysis. 28 participants completed the trial and were included in a per-protocol analysis. MLE4901 significantly reduced the total weekly number of hot flushes by 45 percentage points (95% CI 22-67) compared with the placebo (intention-to-treat adjusted means: placebo 49·01 [95% CI 40·81-58·56] vs MLE4901 19·35 [15·99-23·42]; adjusted estimate of difference 29·66 [17·39-42·87], p<0·0001). Treatment was well tolerated. Three participants developed a transaminase rise (alanine aminotransferase 4·5-5·9 times the upper limit of normal) with a normal bilirubin 28 days after starting MLE4901, which normalised within 90 days., Interpretation: Treatment with a neurokinin 3 receptor antagonist (MLE4901) could be practice changing as it safely and effectively relieves hot flush symptoms without the need for oestrogen exposure. Larger scale studies of longer duration are now indicated., Funding: UK Medical Research Council and National Institute for Health Research., (Copyright © 2017 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY license. Published by Elsevier Ltd.. All rights reserved.)
- Published
- 2017
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19. A REDD1/TXNIP pro-oxidant complex regulates ATG4B activity to control stress-induced autophagy and sustain exercise capacity.
- Author
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Qiao S, Dennis M, Song X, Vadysirisack DD, Salunke D, Nash Z, Yang Z, Liesa M, Yoshioka J, Matsuzawa S, Shirihai OS, Lee RT, Reed JC, and Ellisen LW
- Subjects
- Animals, Autophagy-Related Proteins, Energy Metabolism, Exercise Tolerance, Mice, Inbred C57BL, Mitochondria metabolism, Oxidative Stress, Autophagy, Carrier Proteins metabolism, Cysteine Endopeptidases metabolism, Reactive Oxygen Species metabolism, Thioredoxins metabolism, Transcription Factors metabolism
- Abstract
Macroautophagy (autophagy) is a critical cellular stress response; however, the signal transduction pathways controlling autophagy induction in response to stress are poorly understood. Here we reveal a new mechanism of autophagy control whose deregulation disrupts mitochondrial integrity and energy homeostasis in vivo. Stress conditions including hypoxia and exercise induce reactive oxygen species (ROS) through upregulation of a protein complex involving REDD1, an mTORC1 inhibitor and the pro-oxidant protein TXNIP. Decreased ROS in cells and tissues lacking either REDD1 or TXNIP increases catalytic activity of the redox-sensitive ATG4B cysteine endopeptidase, leading to enhanced LC3B delipidation and failed autophagy. Conversely, REDD1/TXNIP complex expression is sufficient to induce ROS, suppress ATG4B activity and activate autophagy. In Redd1(-/-) mice, deregulated ATG4B activity and disabled autophagic flux cause accumulation of defective mitochondria, leading to impaired oxidative phosphorylation, muscle ATP depletion and poor exercise capacity. Thus, ROS regulation through REDD1/TXNIP is physiological rheostat controlling stress-induced autophagy.
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- 2015
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20. Kielland's forceps. From controversy to consensus?
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Nash Z, Nathan B, and Mascarenhas L
- Subjects
- Birth Injuries etiology, Birth Injuries prevention & control, Consensus, Equipment Design, Equipment Safety, Evidence-Based Medicine, Extraction, Obstetrical adverse effects, Female, Humans, Infant, Newborn, Obstetric Labor Complications etiology, Obstetric Labor Complications physiopathology, Patient Selection, Practice Guidelines as Topic, Pregnancy, Risk Assessment, Extraction, Obstetrical instrumentation, Labor Presentation, Obstetrical Forceps adverse effects, Patient Safety
- Abstract
Kielland's rotational forceps are designed to overcome malposition of the fetal head in the second stage of labor. After a decline in their use because of reported adverse outcomes and fear of litigation, recent evidence suggests that they may be safe and effective in trained hands and significantly more successful at achieving operative vaginal delivery than either rotational ventouse or manual rotation. This is important because of the increased short and long-term morbidity related to cesarean section compared with the reduced morbidity of subsequent pregnancy after operative vaginal delivery. Kielland's forceps are therefore re-emerging as a useful instrument in the armamentarium of modern obstetrics. Limitations to wider use of Kielland's forceps are the lack of training opportunities as well as that contemporary evidence remains underpowered to detect rare adverse outcomes., (© 2014 Nordic Federation of Societies of Obstetrics and Gynecology.)
- Published
- 2015
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21. Letter: a comparison of short-term surgical outcomes between NHS and private sector abdominoplasty surgery.
- Author
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Nathan B and Nash Z
- Subjects
- Female, Humans, Male, Abdominoplasty statistics & numerical data, State Medicine statistics & numerical data
- Published
- 2014
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22. Aesthetic shoulder augmentation with silicone implants.
- Author
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Nathan B, Nash Z, Nathan M, and Mascarenhas L
- Subjects
- Humans, Male, Cosmetic Techniques, Prostheses and Implants, Shoulder surgery, Silicone Elastomers
- Published
- 2014
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23. The incidence and management of secondary abdominoplasty and secondary abdominal contour surgery.
- Author
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Nathan B, Anderson KY, and Nash Z
- Subjects
- Female, Humans, Male, Abdominoplasty statistics & numerical data, Lipectomy statistics & numerical data, Obesity, Morbid epidemiology, Obesity, Morbid surgery, Postoperative Complications epidemiology, Reoperation statistics & numerical data
- Published
- 2014
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24. Conservative management of subglottic stenosis in pregnancy resulting in vaginal birth.
- Author
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Nash Z, Krishna A, Darwish M, and Mascarenhas L
- Subjects
- Adult, Delivery, Obstetric, Disease Management, Female, Humans, Intubation, Intratracheal adverse effects, Pregnancy, Laryngostenosis etiology, Pregnancy Complications
- Abstract
We present a case of subglottic stenosis complicating pregnancy. The patient was born prematurely at 24 weeks gestation and required a twelve-month period of intubation. Airway trauma from prolonged intubation resulted in acquired subglottic stenosis. As an adult the patient had a longstanding audible stridor; however, was not breathless during activity before or during pregnancy. The patient went into spontaneous labour at 37+4 weeks and delivered vaginally with epidural analgesia. This case is significant, as no cases of a patient with such a degree of stenosis delivering vaginally without airway treatment have been reported.
- Published
- 2014
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25. Intraoperative irreversible deformation of Allergan's style 410 breast implant.
- Author
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Nathan B, Nash Z, and Nathan M
- Subjects
- Breast Implantation adverse effects, Equipment Failure Analysis, Female, Humans, Prosthesis Design, Breast Implantation methods, Breast Implants adverse effects, Intraoperative Complications diagnosis, Prosthesis Failure, Silicone Gels adverse effects
- Published
- 2014
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26. A re-evaluation of the role of rotational forceps: retrospective comparison of maternal and perinatal outcomes following different methods of birth for malposition in the second stage of labour.
- Author
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Nash Z, Mascarenhas L, and Nathan B
- Subjects
- Female, Humans, Pregnancy, Cesarean Section statistics & numerical data, Extraction, Obstetrical adverse effects, Extraction, Obstetrical methods, Labor Presentation, Obstetrical Forceps adverse effects, Postoperative Hemorrhage etiology
- Published
- 2014
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- View/download PDF
27. Analysis of formal complaints in 1,645 liposuction operations.
- Author
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Nathan B, Nash Z, Nathan M, and Mascarenhas L
- Subjects
- Humans, Lipectomy rehabilitation, Lipectomy adverse effects, Patient Satisfaction statistics & numerical data, Plastic Surgery Procedures standards
- Published
- 2014
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28. Two-stage breast augmentation-mastopexy: how many return for the mastopexy?
- Author
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Nathan B, Mikhail M, Nash Z, and Mascarenhas L
- Subjects
- Female, Humans, Mammaplasty adverse effects, Postoperative Complications prevention & control, Breast surgery, Mammaplasty methods
- Published
- 2014
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- View/download PDF
29. Randomized controlled trial comparing health-related quality of life in patients undergoing vertical scar versus inverted T-shaped reduction mammaplasty.
- Author
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Nathan B and Nash Z
- Subjects
- Cicatrix, Female, Humans, Mammaplasty methods, Quality of Life, Randomized Controlled Trials as Topic
- Published
- 2014
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- View/download PDF
30. Renal calculi in pregnancy? The role of ultralow-dose CT.
- Author
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Nash Z and Mascarenhas L
- Subjects
- Adult, Analgesics therapeutic use, Diagnosis, Differential, Dose-Response Relationship, Radiation, Female, Humans, Kidney Calculi drug therapy, Pregnancy, Pregnancy Complications drug therapy, Treatment Outcome, Kidney Calculi diagnostic imaging, Pregnancy Complications diagnostic imaging, Tomography, X-Ray Computed methods
- Abstract
Presented is a case of an acute, right flank, loin to groin pain in the third trimester of an otherwise uncomplicated pregnancy. Renal calculi was suspected clinically and supported by radiological evidence. Temporising treatment was undertaken successfully by retrograde ureteric stenting, which became blocked, secondarily resulting in a percutaneous nephrostomy. Good symptomatic control was achieved before the delivery at 38 weeks and 1 day gestation. Postpartum intravenous urogram and ureteroscopy did not reveal evidence of calculi. The patient does not recall passing a stone. With existing diagnostic modalities having poor sensitivity and specificity, the clinical role of ultralow-dose CT is explored, in light of recent new evidence.
- Published
- 2013
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31. Overexpression of ROM-1 in the cone-dominant retina.
- Author
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Chakraborty D, Conley SM, Nash Z, Ding XQ, and Naash MI
- Subjects
- Animals, Basic-Leucine Zipper Transcription Factors genetics, Disease Models, Animal, Gene Expression Regulation, Developmental physiology, Mice, Mice, Transgenic, Retinal Cone Photoreceptor Cells pathology, Retinal Cone Photoreceptor Cells ultrastructure, Rod Cell Outer Segment pathology, Rod Cell Outer Segment ultrastructure, Tetraspanins, Transgenes physiology, Eye Proteins genetics, Membrane Proteins genetics, Retinal Cone Photoreceptor Cells physiology, Retinal Diseases genetics, Retinal Diseases pathology, Rod Cell Outer Segment physiology
- Published
- 2012
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32. Gene delivery to mitotic and postmitotic photoreceptors via compacted DNA nanoparticles results in improved phenotype in a mouse model of retinitis pigmentosa.
- Author
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Cai X, Conley SM, Nash Z, Fliesler SJ, Cooper MJ, and Naash MI
- Subjects
- Animals, DNA genetics, Disease Models, Animal, Humans, Interleukin-6 biosynthesis, Interleukin-6 genetics, Intermediate Filament Proteins genetics, Macrophage Activation drug effects, Macrophage Activation genetics, Macrophages metabolism, Macrophages ultrastructure, Membrane Glycoproteins genetics, Mice, Mutation, Nerve Tissue Proteins genetics, Opsins genetics, Opsins metabolism, Peripherins, Promoter Regions, Genetic genetics, Retinal Cone Photoreceptor Cells ultrastructure, Retinal Rod Photoreceptor Cells ultrastructure, Retinitis Pigmentosa genetics, Retinitis Pigmentosa pathology, Time Factors, Tumor Necrosis Factor-alpha biosynthesis, Tumor Necrosis Factor-alpha genetics, DNA pharmacology, Genetic Therapy, Intermediate Filament Proteins biosynthesis, Membrane Glycoproteins biosynthesis, Mitosis, Nanoparticles, Nerve Tissue Proteins biosynthesis, Retinal Cone Photoreceptor Cells metabolism, Retinal Rod Photoreceptor Cells metabolism, Retinitis Pigmentosa metabolism, Retinitis Pigmentosa therapy, Transduction, Genetic
- Abstract
The purpose of the present study was to test the therapeutic efficiency and safety of compacted-DNA nanoparticle-mediated gene delivery into the subretinal space of a juvenile mouse model of retinitis pigmentosa. Nanoparticles containing the mouse opsin promoter and wild-type mouse Rds gene were injected subretinally into mice carrying a haploinsufficiency mutation in the retinal degeneration slow (rds(+ or -)) gene at postnatal day (P)5 and 22. Control mice were either injected with saline, injected with uncompacted naked plasmid DNA carrying the Rds gene, or remained untreated. Rds mRNA levels peaked at postinjection day 2 to 7 (PI-2 to PI-7) for P5 injections, stabilized at levels 2-fold higher than in uninjected controls for both P5 and P22 injections, and remained elevated at the latest time point examined (PI-120). Rod function (measured by electroretinography) showed modest but statistically significant improvement compared with controls after both P5 and P22 injections. Cone function in nanoparticle-injected eyes reached wild-type levels for both ages of injections, indicating full prevention of cone degeneration. Ultrastructural examination at PI-120 revealed significant improvement in outer segment structures in P5 nanoparticle-injected eyes, while P22 injection had a modest structural improvement. There was no evidence of macrophage activation or induction of IL-6 or TNF-alpha mRNA in P5 or P22 nanoparticle-dosed eyes at either PI-2 or PI-30. Thus, compacted-DNA nanoparticles can efficiently and safely drive gene expression in both mitotic and postmitotic photoreceptors and retard degeneration in this model. These findings, using a clinically relevant treatment paradigm, illustrate the potential for application of nanoparticle-based gene replacement therapy for treatment of human retinal degenerations.-Cai, X., Conley, S. M., Nash, Z., Fliesler, S. J., Cooper, M. J., Naash, M. I. Gene delivery to mitotic and postmitotic photoreceptors via compacted DNA nanoparticles results in improved phenotype in a mouse model of retinitis pigmentosa.
- Published
- 2010
- Full Text
- View/download PDF
33. A partial structural and functional rescue of a retinitis pigmentosa model with compacted DNA nanoparticles.
- Author
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Cai X, Nash Z, Conley SM, Fliesler SJ, Cooper MJ, and Naash MI
- Subjects
- Animals, DNA chemistry, Disease Models, Animal, Electroretinography, Immunohistochemistry, Intermediate Filament Proteins genetics, Intermediate Filament Proteins metabolism, Membrane Glycoproteins genetics, Membrane Glycoproteins metabolism, Mice, Mice, Transgenic, Nanoparticles chemistry, Nerve Tissue Proteins genetics, Nerve Tissue Proteins metabolism, Peripherins, Photoreceptor Cells, Vertebrate metabolism, Transgenes, DNA administration & dosage, Nanoparticles administration & dosage, Retinitis Pigmentosa therapy
- Abstract
Previously we have shown that compacted DNA nanoparticles can drive high levels of transgene expression after subretinal injection in the mouse eye. Here we delivered compacted DNA nanoparticles containing a therapeutic gene to the retinas of a mouse model of retinitis pigmentosa. Nanoparticles containing the wild-type retinal degeneration slow (Rds) gene were injected into the subretinal space of rds(+/-) mice on postnatal day 5. Gene expression was sustained for up to four months at levels up to four times higher than in controls injected with saline or naked DNA. The nanoparticles were taken up into virtually all photoreceptors and mediated significant structural and biochemical rescue of the disease without histological or functional evidence of toxicity. Electroretinogram recordings showed that nanoparticle-mediated gene transfer restored cone function to a near-normal level in contrast to transfer of naked plasmid DNA. Rod function was also improved. These findings demonstrate that compacted DNA nanoparticles represent a viable option for development of gene-based interventions for ocular diseases and obviate major barriers commonly encountered with non-viral based therapies.
- Published
- 2009
- Full Text
- View/download PDF
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