Clinical Medicine (Theses and Dissertations)
Recent Submissions
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Biomarker discovery in non-small cell lung cancer
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)In Ireland, lung cancer represents the third most common cancer, after breast and prostate cancer. Major improvements have been made in treating this disease with the advent of targeted therapies and immunotherapy. These ... -
Characterising Macrophage Immunometabolism in Mycobacterium tuberculosis and HIV Co-Infection
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Introduction Tuberculosis (TB) and HIV are leading infection-related causes of global mortality and result in an enormous amount of suffering and economic loss. Available TB treatment strategies are inadequate, and vaccination ... -
Investigation of the role of immunomodulators oftoll-like receptor 3 (TLR3) function and associated genetic variants in the pathogenesis and progression of idiopathic pulmonary fibrosis (IPF)
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)IPF is a fatal interstitial lung disease of unknown aetiology, with a lack of valid biomarkers and satisfactory therapeutic solutions available. Studies have shown an association between inflammation, viral and bacterial ... -
Genotypic and phenotypic insights into an Irish axial spondyloarthritis cohort
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Axial spondyloarthritis (AxSpA) encompasses a group of closely related chronic inflammatory conditions which primarily affect the lumbar spine. The prototypic presentation of the disease is ankylosing spondylitis, which ... -
Investigating a role for SARM1 in retinal degeneration
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Retinal degenerative diseases, such as retinitis pigmentosa (RP) and age-related macular degeneration (AMD), represent a leading cause of incurable blindness worldwide. RP is a genetically inherited retinal degeneration ... -
Profiling Serum and Tissue Biomarkers of Vedolizumab Therapy Response in Inflammatory Bowel Disease.
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Introduction: Vedolizumab (VDZ) is a novel biologic agent proven effective for Inflammatory bowel disease (IBD), however, a significant proportion of patients do not respond to VZD treatment Aims: This thesis evaluates ... -
Exploring the effects of time-restricted eating as a novel intervention in patients with polycystic ovarian syndrome
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Introduction: Polycystic ovarian syndrome (PCOS) is associated with hyperinsulinemia, insulin resistance and a high lifetime risk of developing type-2 diabetes mellitus. While many dietary interventions have been tested ... -
The Role of EUS and Proteomic Analysis in the Management and Surveillance of Pancreatic Cystic Lesions
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Introduction Pancreatic cystic lesions (PCL) can be precursors to pancreatic cancer. The incidence of PCL are increasing worldwide with increased patient age and reliance on cross sectional imaging. However, not all PCL ... -
Network Analysis in Amyotrophic Lateral Sclerosis during Voluntary Motor Task: Neurophysiological Biomarkers of Disrupted Cortical Connections
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Amyotrophic lateral sclerosis (ALS) is a fatal progressive neurodegenerative disease that causes degeneration of both upper and lower motor neurons primarily affecting the motor system, but individual people with ALS show ... -
Characterisation of a mutant mouse model of spontaneous atopic dermatitis
(Trinity College (Dublin, Ireland). School of Medicine. Discipline of Clinical Medicine, 2017)Atopy is Immunoglobulin-E sensitisation to “allergens” such as pollen and food. Atopic dermatitis is a pruritic eczematous dermatitis associated with an early onset in infants. Atopic dermatitis has a complex pathology and ... -
Characterising the progression of haemophilic arthropathy in knee joints of a novel mouse model of severe haemophilia A
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Neuroimaging correlates of disability in Motor Neuron Disease
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Motor neuron diseases (MND) clinically present with a wide variety of motor and extra-motor symptoms. However, the pathological correlates of such symptom manifestation and their progression is poorly understood. In the ... -
The role of canonical and non-canonical inflammasomes in a model of oxidative stress-induced retinal degeneration
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Retinal degenerative diseases like age-related macular degeneration (AMD) are a leading cause of visual impairment. Oxidative stress is known to be important in the pathogenesis of AMD, and oxidative-stress induced retinal ... -
A Cross-Disease Study Investigating the Phenotypic and Functional Heterogeneity in Neutrophil Subsets
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Neutrophils play a critical role in the innate immune response. They are the most abundant leukocytes in humans and are the first line of defence against invading microorganisms; growing evidence in the last decade has ... -
Characteristics and Outcomes of Older Adults Following Distal Forearm Fracture
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Introduction Osteoporosis and fragility fractures pose a serious public health challenge in our ageing society. Systems are being developed in Ireland and internationally to provide, coordinated and comprehensive assessments ... -
Resting-state electroencephalographic biomarkers for tracking cognitive network dysfunction in amyotrophiclateral sclerosis
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Amyotrophic lateral sclerosis (ALS) stands as a multifaceted neurological disorder that primarily affects both upper and lower motor neurons. However, research in neuroimaging, neuropsychology and neurobiology has shown ... -
Lymph node status and coagulation biomarkers as predictors of venous thromboembolism in gynaecological cancer patients post surgery
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Venous thromboembolism (VTE) is a major complication of cancer ranging from 4- 20% depending on tumour type and stage. VTE risk increases post-surgical treatment especially in the first 90 days post-surgery. The precise ... -
Neuroimaging features of Amyotrophic Lateral Sclerosis
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Novelty: Because the vast majority of ALS imaging studies focus on evaluating motor pathology, the focus and novelty of this work is the nuanced characterisation of extra-motor involvement in a genetically stratified cohort ... -
Early Satiety in Cancer: An Investigation into a Highly Impactful Orphan Symptom
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)Patients with cancer experience multiple symptoms throughout the different stages of cancer care. One common symptom related to nutritional intake is known as early satiety. This symptom has no agreed definition but has ... -
Early Immune Responses to Emerging and Enduring Respiratory Pathogens
(Trinity College Dublin. School of Medicine. Discipline of Clinical Medicine, 2024)For most of recent history, Tuberculosis (TB) has been the leading cause of death by an infective agent worldwide. Tuberculosis is caused by Mycobacterium tuberculosis (Mtb), which infects human lungs following respiratory ...