Publications by authors named "D J Wilkie"

Purpose: The pain experience of patients with sickle cell disease (SCD) frequently consists of episodes of acute exacerbation. However, recent studies suggest that many patients who suffer from SCD have symptoms of chronic neuropathic pain. Additional research is needed to determine what role genotype plays in the patient's pain phenotype experience in SCD.

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Article Synopsis
  • Patients with sickle cell disease (SCD) experience variable pain, making management difficult; this study focuses on the role of the 5-HT1A receptor gene (HTR1A) in pain variability.
  • Researchers genotyped four HTR1A variants in 131 African American SCD patients and found three variants significantly associated with acute crisis pain, with effects differing between males and females.
  • The study highlights that specific genetic variants can influence pain experiences in SCD, emphasizing the need for sex-based considerations in pain management strategies.
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Objectives: Patient dignity is a key concern during end-of-life care. Dignity Therapy is a person-centered intervention that has been found to support patient dignity interviews focused on narrating patients' life stories and legacies. However, mechanisms that may affect utility of the Dignity Therapy have been little studied.

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Effective governance is crucial for the success of conservation projects aimed at protecting wildlife populations and supporting human well-being. However, few large-scale, comprehensive syntheses have been conducted on the effects of different environmental governance types on conservation outcomes (i.e.

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The pancreatic ductal adenocarcinoma (PDAC) tumor microenvironment is distinguished by a high degree of fibrosis and inflammation, known as desmoplasia. Desmoplasia increases the stromal deposition and extracellular matrix (ECM) stiffness observed in the tumor microenvironment, contributing to the dampened penetration of pharmacological agents. The molecular and biophysical composition of the ECM during the earliest cellular changes in the development of PDAC, i.

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