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This retrospective analysis of Hedgehog inhibitor treatment in 32 patients with Gorlin syndrome, locally advanced and metastatic basal cell carcinoma (BCC) at three tertiary referral centres in Victoria, Australia from April 2017 until 30 June 2024 demonstrated an 84% overall objective response rate (partial and complete response combined). However, 90% of patients experienced adverse effects impacting quality of life. Secondary acquired drug resistance occurred in 77% (10/13) of locally advanced and metastatic BCC patients after a median duration of 13 months. Further work is needed to optimise the neoadjuvant use of Hedgehog inhibitors with radiotherapy or surgery given poor long-term Hedgehog inhibitor tolerability and to develop strategies to counteract the issue of acquired resistance.
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http://dx.doi.org/10.1111/ajd.14544 | DOI Listing |
Cureus
August 2025
Pediatric Nephrology, Hospital Pediátrico, Unidade Local de Saúde de Coimbra, Coimbra, PRT.
Introduction Nephrogenic diabetes insipidus (NDI) is a rare condition caused by renal resistance to the action of antidiuretic hormone (ADH) at the level of the distal tubule, resulting in impaired urinary concentration and consequent polyuria. NDI may be hereditary, most commonly X-linked due to AVPR2 gene mutations, or acquired. Objective To characterize the clinical features, management strategies, and outcomes of patients with NDI followed at a tertiary pediatric nephrology center.
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August 2025
Department of Otolaryngology, Tawam Hospital, Al Ain, ARE.
Introduction Tonsillectomy, with or without adenoidectomy, is one of the most commonly performed procedures in pediatric otolaryngology. Over the years, there has been a shift in postoperative practice from routine admissions to daycase procedures. The study aimed to evaluate the postoperative course of pediatric tonsillectomy with or without adenoidectomy in a local tertiary care hospital, and to compare our current practices with the internationally published data on the subject.
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August 2025
Neurosurgery, Temple University Hospital, Philadelphia, USA.
Introduction Potentially surgical brain metastases are increasingly common in patients aged 80 and older, yet the risk-benefit profile of surgical resection in this population remains inadequately defined. Surgical intervention in octogenarians carries a high risk due to systemic issues associated with advanced age and prevalent comorbidities, and data on perioperative morbidity and functional outcomes are limited. Methods A retrospective case series including six patients aged 80 years and older who underwent craniotomy for the resection of brain metastases at a single tertiary care center was conducted.
View Article and Find Full Text PDFJ Cataract Refract Surg
September 2025
Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI, USA.
Purpose: To evaluate whether primary graft failure (PGF) rates and endothelial cell loss (ECL) differ between surgeon-trephined/loaded and eye bank-preloaded Descemet stripping automated endothelial keratoplasty (DSAEK) grafts.
Setting: Tertiary care academic center.
Design: Retrospective case series and ex vivo laboratory study.
Appl Nurs Res
October 2025
Faculty of Nursing, Yarmouk University, Irbid, Jordan. Electronic address:
Background: Effective communication between ICU nurses and patients' families is essential in ensuring optimal care, reducing anxiety, and enhancing decision-making. However, communication difficulties persist globally, particularly in intensive care units (ICUs) where patients are in critical condition and their families are distressed. Aim To explore the lived experiences of ICU nurses and family members in Jordan to understand how nurse workload, emotional stress, and cultural expectations influence the quality, clarity, and emotional tone of communication in intensive care settings.
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