Publications by authors named "Ashlei Kelly"

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  • Exercise prehabilitation can enhance how well patients tolerate and respond to chemotherapy, according to a systematic review of 19 studies involving 1,418 patients.
  • The review found that exercise positively impacts body composition, fitness, strength, and quality of life during chemotherapy.
  • To maximize the benefits of exercise as a supportive treatment, there is a need for larger and more rigorously designed studies due to variability in existing research and small sample sizes.
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  • - Approximately 14% of older adults in the UK are at risk of malnutrition, and screening in primary care could improve their quality of life and reduce healthcare use.
  • - The study developed an intervention (screen and treat protocol) to help primary care practitioners identify and support at-risk older adults and included interviews to gather insights from both practitioners and patients.
  • - Key findings reveal that while patients often resist advice about malnutrition, they appreciate nutritional support; meanwhile, practitioners face logistical challenges and varying levels of engagement and understanding regarding the intervention’s goals.
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  • The study investigates dome-shaped macula (DSM) in preterm and full-term infants using advanced optical imaging technology, highlighting increased occurrence in preterm infants.
  • Out of 217 imaging sessions, DSM was found in 40% of preterm infants compared to 14% of full-term infants, showing a significant difference in diagnosis timing and dome characteristics.
  • The results suggest that while DSM is common in infants and typically round in shape, it isn't linked to macular fluid presence, indicating unique differences from DSM in older children and adults.
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One or multiple chlorophyll a molecules are employed in the reaction center of photosystem II's main electron donor (defined as P680). We have a poor understanding of how the reaction center facilitates water oxidation in photosystem II and the roles that mono- and/or multimeric chlorophyll groups play when P680 oxidizes a neighboring tyrosine in order to drive water oxidation at the oxygen evolving complex. We have prepared a dimeric Mg-porphyrin complex [Mg(BTPP)] (1, H-BTPP=1,2-bis-(10,15,20-triphenylporphyrin-5-yl)-benzene) as a structural and functional mimic of the dimeric core of P680.

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Background: Collegiate Recovery Programs (CRPs) play a vital and expanding role in supporting students in recovery from substance use disorders and behavioral addictions at higher education institutions. Despite their importance, there is a lack of comprehensive research characterizing CRPs, including their program directors and the nature and influence of their funding streams.

Methods: A survey was administered to 70 CRP directors across the US and Canada.

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The market for olive leaf dietary supplements is expanding rapidly and is valued at $437.15 million today. However, information on the control of these products is sketchy and the origin and variety of olives are rarely stated.

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The FAM83 (ily with sequence similarity ) family is highly conserved in vertebrates, but little is known of the functions of these proteins beyond their association with oncogenesis. Of the family, FAM83F is of particular interest because it is the only membrane-targeted FAM83 protein. When overexpressed, FAM83F activates the canonical Wnt signalling pathway and binds to and stabilizes p53; it therefore interacts with two pathways often dysregulated in disease.

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Background And Purpose: Fentanyls and nitazenes are μ-opioid receptor agonists responsible for a large number of opioid overdose deaths. Here, we determined the potency, dissociation kinetics and antagonism by naloxone at the μ receptor of several fentanyl and nitazene analogues, compared to morphine and DAMGO.

Experimental Approach: In vitro assays of G protein activation and signalling and arrestin recruitment were performed.

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TP53-mutant mantle cell lymphoma (MCL) is associated with poor survival outcomes with standard chemoimmunotherapy. Dual BTK and BCL2-inhibition with or without anti-CD20 monoclonal antibody therapy has shown promising activity in TP53-mutant MCL. We conducted a multi-center phase 2 study of zanubrutinib, obinutuzumab, and venetoclax (BOVen) in untreated MCL patients with TP53 mutation.

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The synthesis of actinide tetrarhenate complexes completes a series of iridate, osmate, and rhenate polyhydrides, allowing for structural and bonding comparisons to be made. Computational studies examine the bonding interactions, particularly between metals, in these complexes. Several factors─including metal oxidation state, coordination number, and dispersion effects─affect metal-metal distances and covalency in these actinide tetrametallates.

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Young adults entering the workforce are at increased risk of becoming overweight or obese. Yet, internationally, young adults are rarely targeted in health campaigns, and little is known on how to improve their interest and participation in health promotion efforts. Through 33 semi-structured interviews with young adults working in Singapore, we explored their engagement with existing public and workplace health promotion efforts that encouraged healthy eating and increased physical activity, and their subjective health in the context of their daily lives.

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  • - The SunSmart campaign, part of the National Cancer Control Programme, aimed to enhance sun protection awareness in 2023, with a study comparing results to 2022.
  • - In 2023, 48% of adults reported sunburn, with younger adults more affected (62% vs. 28%). Awareness of the campaign rose to 32%, up from 21% in 2022, especially among older adults.
  • - The importance of sun protection measures ("SunSmart 5s") was rated highly, particularly by older adults, but there's still a need to better engage younger adults in protective behaviors.
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Objectives: To review evidence regarding the impact of physical activity interventions for preventing and managing type 2 diabetes in Aboriginal and Torres Strait Islander Australians.

Study Design: We searched for published reports of physical activity interventions for preventing and managing type 2 diabetes in Indigenous adults (18 years or older). There were no exclusion criteria regarding study type or duration, frequency, length, or intensity of physical activity, except that short term interventions were excluded.

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Background: Manual objective assessment of skill and errors in minimally invasive surgery have been validated with correlation to surgical expertise and patient outcomes. However, assessment and error annotation can be subjective and are time-consuming processes, often precluding their use. Recent years have seen the development of artificial intelligence models to work towards automating the process to allow reduction of errors and truly objective assessment.

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Introduction: This study examines alcohol and other drug (AOD) service providers' perceptions of the most important variables (client complexity and demographic) for determining treatment need and intensity of intervention.

Methods: Online cross-sectional survey of N = 188 clinicians/service managers working in AOD services across metropolitan and regional/rural New South Wales, Australia. Participants ranked the importance of demographic and family factors, substance use, physical health, mental health, functioning and activities of daily living and youth-specific variables in identifying treatment need (five-point Likert scales).

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  • A study investigated the global prevalence of Long Covid symptoms in individuals from high-income countries (HICs) and low- to middle-income countries (LMICs), since most previous research focused on HICs.
  • The research involved 11,860 participants from 17 countries, examining symptoms like fatigue, breathlessness, and their impact on daily life at various time points after hospitalization.
  • Findings revealed a significantly higher proportion of Long Covid cases and associated symptoms in HICs compared to LMICs, suggesting that while LMICs have lower reported rates, the overall impact of Long Covid might still be significant due to healthcare disparities.
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Predictive modeling approaches are enabling progress toward robust and reproducible brain-based markers of neuropsychiatric conditions by leveraging the power of multivariate analyses of large datasets. While deep learning (DL) offers another promising avenue to further advance progress, there are challenges related to implementation in 3D (best for MRI) and interpretability. Here, we address these challenges and describe an interpretable predictive pipeline for inferring Autism diagnosis using 3D DL applied to minimally processed structural MRI scans.

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Background: The optimal surgical management of penetrating carotid artery injuries (PCAIs) remains controversial. This study aimed to examine the association between operative techniques for PCAI and the incidence of stroke.

Study Design: This retrospective cohort study used the American College of Surgeons TQIP (2016 to 2021) database.

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  • Mind-body medicine (MBM) serves as a self-care intervention, helping healthcare leaders cope with work-related stress and enhance resilience, particularly after trauma from events like the COVID-19 pandemic.
  • The study assessed the effects of an 8-week peer support MBM program on nurse leaders’ perceived stress, resilience, well-being, and empathy, using pre and post-intervention surveys, as well as follow-ups at 1 and 6 months.
  • Results showed a significant decrease in perceived stress and an initial increase in resilience after the intervention, but resilience declined after 6 months; participants identified time and workload as barriers, while valuing peer support and emotional processing.
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  • Guidelines suggest low-dose colchicine can help prevent secondary cardiovascular issues, but its effectiveness for stroke and safety risks are still uncertain.
  • A meta-analysis of six trials with nearly 15,000 patients showed colchicine reduces the risk of ischaemic stroke and major cardiovascular events by 27% without increasing serious safety concerns.
  • Colchicine's benefits were consistent across different patient groups, and it didn't raise the risk of hospitalization for serious conditions or all-cause mortality.
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Gulf War Illness (GWI) is a disorder experienced by many veterans of the 1991 Gulf War, with symptoms including fatigue, chronic pain, respiratory and memory problems. Exposure to toxic chemicals during the war, such as oil well fire smoke, pesticides, physiological stress, and nerve agents, is thought to have triggered abnormal neuroinflammatory responses that contribute to GWI. Previous studies have examined the acute effects of combined physiological stress and chemical exposures using GWI rodent models and presented findings related to neuroinflammation and changes in diffusion magnetic resonance imaging (MRI) measures, suggesting a neuroimmune basis for GWI.

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Congenital heart disease is associated with impaired early brain development and adverse neurodevelopmental outcomes. This study investigated how individualized measures of preoperative cortical gyrification index differ in 142 infants with congenital heart disease, using a normative modelling approach with reference data from 320 typically developing infants. Gyrification index -scores for the whole brain and six major cortical areas were generated using two different normative models: one accounting for post-menstrual age at scan, post-natal age at scan and sex, and another additionally accounting for supratentorial brain volume.

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