Publications by authors named "CULLEN R"

Objective: To evaluate the differences in the antenatal and neonatal courses of maternal-infant dyads within a homeless population as compared to the general hospital population.

Design: This was a retrospective observational study.

Setting: A large single tertiary maternity hospital (8500 deliveries/year) in Ireland.

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  • People who have had a stroke are significantly more likely to experience another stroke compared to those who haven't, making it vital to address lifestyle factors like inactivity and poor diet to lower blood pressure and stroke risk.
  • Survivors often face barriers to accessing risk reduction services, such as long wait times and limited transportation, highlighting the need for more accessible solutions, like an online health intervention platform.
  • The i-REBOUND after stroke website was developed using a collaborative approach and design thinking framework, focusing on creating an easy-to-navigate resource tailored to stroke survivors, by adapting existing telehealth programs for better accessibility and support.
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Background: Patients with opioid use disorder (OUD), especially those treated with methadone, face significant challenges to placement in a skilled nursing facility (SNF). Efforts to address this via legal actions have not resulted in improved access.

Objective: To understand regulatory and non-regulatory factors that impact SNF placement of patients with OUD treated with methadone.

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  • * Research shows decreased MED15 levels in pancreatic islets from individuals with type 2 diabetes, suggesting its importance in maintaining β-cell function and health.
  • * Studies indicate that Med15 interacts with transcription factors Nkx6-1 and NeuroD1 to regulate genes crucial for β-cell maturation, and this is also seen in genetically modified human stem cells that show improved maturation when MED15 levels are increased.
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In this work, the reactivity of tetrel-functionalized phosphorus clusters toward organoazides is probed. Clusters (MeSi)P () and (MeGe)P () were reacted with benzyl azide, phenyl azide, and 4-bromophenyl azide, and it was found that the [RN] (R = benzyl, phenyl, and 4-bromophenyl) unit from the azide inserted into the phosphorus-tetrel bonds on the cluster, accompanied by N elimination. Through control of the azide stoichiometry, the mono-, bis-, and tris-inserted products could be observed, consistent with these insertions proceeding in a stepwise manner.

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ALS and FTD are complex neurodegenerative disorders that primarily affects motor neurons in the brain and spinal cord, and cortical neurons in the frontal lobe. Although the pathogenesis of ALS/FTD is unclear, recent research spotlights nucleocytoplasmic transport impairment, DNA damage, and nuclear abnormalities as drivers of neuronal death. In this study, we show that loss of nuclear envelope (NE) integrity is a key pathology associated with nuclear pore complex (NPC) injury in mutant neurons.

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  • Active cargo transport within cells is essential for various functions, but the crowded cellular environment can create weak, non-specific interactions that hinder movement.
  • In experiments using quantum dot cargo with different numbers of kinesin motors, it was found that cargo moved slower with single motors, but speed improved when multiple motors were attached.
  • A computational model was developed to understand these interactions, showing that non-specific binding can slow down transport, while using multiple motors can help mitigate these effects and enhance cargo velocity.
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A 1.7 Å structure is presented for an active form of the virulence factor ScpB, the C5a peptidase from Streptococcus agalactiae. The previously reported structure of the ScpB active site mutant exhibited a large separation (~20 Å) between the catalytic His and Ser residues.

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The objective of this study was to describe patient demographics associated with iliopsoas strains, frequency of common concurrent injuries, and associated strain grades based on musculoskeletal ultrasound. The medical records of 72 client-owned agility dogs that had an iliopsoas musculoskeletal ultrasound (MSK-US) between 2009 and 2015 were retrospectively reviewed. Analyses included patient signalment, physical examination, and diagnostic findings.

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  • The study aimed to develop and evaluate a public health informatics tool called Florence, designed specifically for communicating public health information effectively.
  • It involved a three-phase process: assessing the needs of public health practitioners, designing a user-friendly infographic tool, and testing its feasibility and usability.
  • Results showed that Florence was found to be intuitive and practical for users, highlighting the importance of creating tailored tools for public health communication.
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To date studies have not investigated the culture-independent microbiome of bile from dogs, a species where aseptic collection of bile under ultrasound guidance is somewhat routine. Despite frequent collection of bile for culture-based diagnosis of bacterial cholecystitis, it is unknown whether bile from healthy dogs harbors uncultivable bacteria or a core microbiota. The answer to this question is critical to understanding the pathogenesis of biliary infection and as a baseline to exploration of other biliary diseases in dogs where uncultivable bacteria could play a pathogenic role.

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  • Researchers have developed a method for single-molecule protein sequencing that accurately identifies peptide sequences in real time.
  • This technique uses dye-labeled amino acid recognizers and aminopeptidases to probe single peptides while recording fluorescence data on a semiconductor chip.
  • The method shows potential for detailed analysis of proteins, including the ability to detect single amino acid changes and modifications, paving the way for more accessible proteomic research.
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Objective: The aim of the study is to analyze whether repeat testing is necessary in healthy children presenting to a pediatric emergency department (ED) who are found to have hyperkalemia on a hemolyzed specimen.

Methods: A 5-year retrospective analysis of pediatric ED patients found to have elevated potassium values on laboratory testing of a sample reported to be hemolyzed. All patients aged 0 to 17 years who had an elevated potassium level after an intravenous draw resulted from a serum sample that was reported as hemolyzed during an ED visit were included in the study.

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Aims: Cancer patients are at increased risk of cardiovascular disease (CVD) after treatment with potentially cardiotoxic treatments. Many cancer patients undergo non-gated chest computed tomography (NCCT) for cancer staging prior to treatment. We aimed to assess whether coronary artery calcification on NCCT predicts CVD risk in cancer patients.

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Blueberry ( and hybrids) is an autotetraploid crop whose commercial relevance has been growing steadily during the last 20 years. However, the ever-increasing cost of labor for hand-picking blueberry is one main constraint in competitive marketing of the fruit. Machine harvestability is, therefore, a key trait for the blueberry industry.

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The demand for blueberry L. (and hybrids) plants has significantly increased in the last 30 years due to its market expansion. In vitro propagation of sterile plants are required for commercial purposes but also for research applications such as plant transformation.

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The Global Strategy for Women's Children's and Adolescents' Health emphasizes accountability as essential to ensure that decision-makers have the information required to meet the health needs of their populations and stresses the importance of tracking resources, results, and rights to see 'what works, what needs improvement and what requires increased attention'. However, results from accountability initiatives are mixed and there is a lack of broadly applicable, validated tools for planning, monitoring and evaluating accountability interventions. This article documents an effort to transform accountability markers-including political will, leadership and the monitor-review-act cycle-into a measurement tool that can be used prospectively or retrospectively to plan, monitor and evaluate accountability initiatives.

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Surface active phospholipids are present in fluids of biological relevance, and their adsorption may condition and determine the response of carbon and nanocarbon surfaces when they are immersed in physiological media. In this work, the adsorption and assembly of liposomes at carbon interfaces were investigated to understand the effect of surface termination on the extent and mode of assembly of lipid aggregates. Liposomes of natural lipids were prepared from a mixture of phosphatidylcholine (PC) and phosphatidylserine (PS), and their hydrodynamic size and surface zeta potential were studied as a function of pH.

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Spitz nevus is a benign melanocytic lesion, which presents in several ways: solitary, agminated, or disseminated. The disseminated variant is uncommon; it may have a rapid evolution (the eruptive form) and be difficult to manage. This report presents the case of a 24-year-old patient with multiple papules on his limbs, which had appeared four years previously.

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Background: Laparoscopic Roux-en-Y gastric bypass (LRYGB) and sleeve gastrectomy (SG) are the two most common bariatric operations. With the implementation of enhanced recovery protocols, the use of drains should decrease.

Methods: The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database was queried for the years 2015-2017.

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Background: The uilding on xisting ools o Improv Chonic Disease Prevention and Screening in Primary Care (BETTER) randomised control trial (RCT) showed that the BETTER Program improved chronic disease prevention and screening (CDPS) by 32.5% in urban team-based primary care clinics.

Aim: To evaluate outcomes from implementation of BETTER in diverse clinical settings.

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Objective: To describe histologic and radiographic findings associated with insertion of a new lateral wall electrode in human temporal bones, as well as quantify the ease of insertion as characterized by multiple cochlear implant surgeons.

Setting: Multi-institutional cadaveric study.

Methods: The Slim J electrode was inserted in cadaveric temporal bones via a standard mastoidectomy and facial recess approach.

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  • The study aimed to explore the links between how far mothers travel to hospitals, the volume of births at those hospitals, and the health outcomes for mothers and their babies.
  • Analyzing a large dataset of over 820,000 mothers and their babies, the study found that longer travel distances primarily had a negative impact on maternal outcomes, particularly for those traveling more than 200 km.
  • Additionally, it revealed that higher hospital delivery volumes (over 1000 deliveries/year) are associated with better maternal health outcomes, while low-volume hospitals show increased risks for adverse outcomes.
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