Publications by authors named "Dempsey P"

Plasticity is needed during development and homeostasis to generate diverse cell types from stem and progenitor cells. Following differentiation, plasticity must be restricted in specialized cells to maintain tissue integrity and function. For this reason, specialized cell identity is stable under homeostatic conditions; however, cells in some tissues regain plasticity during injury-induced regeneration.

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Physical activity guidelines targeting different populations with and without chronic diseases or disabilities are required to meet the diverse functional and physiological needs experienced by different subgroups of people to achieve optimal health benefits. As the importance of physical activity guidelines in promoting optimal health and well-being becomes increasingly recognised, there is a critical need for their systematic evaluation to ensure they remain effective, applicable and aligned with evolving health needs and scientific insights. This study aims to systematically review, critically evaluate, and compare global physical activity and sedentary behaviour guidelines on frequency, intensity, time, and type of exercise for adults, pregnant and postpartum women, and people living with chronic conditions and/or disabilities.

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Article Synopsis
  • This scoping review focused on physical activity and sedentary behavior interventions for individuals with frailty and multiple long-term conditions (MLTCs), including their caregivers.
  • Researchers examined ten databases from 2000 to October 2023, ultimately retaining 155 papers from 144 studies, most of which were randomized controlled trials with participants averaging 73 years old.
  • The findings highlighted that most interventions centered on structured exercise, had a high adherence rate, and yielded positive outcomes, but emphasized the need for more research on habitual activity, caregiver involvement, and a deeper understanding of individual characteristics like MLTCs and ethnicity.
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Context: Recent studies suggest that light-intensity physical activity may enhance cardiometabolic health and reduce mortality risk in adults. However, more information is required to understand the patterns of light-intensity physical activity and postprandial cardiometabolic health.

Objective: This study examined the effects of different light-intensity walking patterns on postprandial cardiometabolic responses in young obese adults.

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This study examined acute effects of interrupting prolonged sitting with short activity breaks on postprandial glucose/insulin responses and estimations of insulin sensitivity in adults with type 1 diabetes (T1D). In a randomized crossover trial, eight adults (age = 46 ± 14 years [mean ± SD], body mass index [BMI] = 27.2 ± 3.

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Article Synopsis
  • The study investigates how replacing sedentary behavior with sleep or physical activity affects physical function and overall wellbeing in adults with Type 2 Diabetes Mellitus (T2DM).
  • The research included 808 adults and used accelerometry to track their 24-hour activity behaviors, employing isotemporal substitution to analyze the potential outcomes of these behavior changes.
  • Findings suggest that substituting sedentary time with sleep or moderate-to-vigorous physical activity can improve physical function metrics and reduce feelings of depression and diabetes-related distress.
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Article Synopsis
  • - The WHO recommends tailored physical activity guidelines for various countries to better fit the needs of specific underactive populations, including those with chronic conditions, disabilities, and older adults, as these groups face unique barriers to movement.
  • - A scoping review examined physical activity guidelines from multiple countries and regions, analyzing recommendations for the aforementioned populations and identifying deficiencies in alignment with WHO standards.
  • - The review found that many countries lack specific guidelines for individuals with chronic conditions and disabilities, with 46% not providing targeted advice for these groups, resulting in a significant gap in meeting WHO recommendations.
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Background: There is a lack of research examining the interplay between objectively measured physical activity volume and intensity with life expectancy. The purpose of the study was to investigate the interplay between objectively measured PA volume and intensity profiles with modeled life expectancy in women and men within the UK Biobank cohort study and interpret findings in relation to brisk walking.

Methods: Individuals from UK Biobank with wrist-worn accelerometer data were included.

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Diabetic Foot Ulcers (DFUs) are a major complication of diabetes, with treatment requiring offloading. This study aimed to capture how the accelerometer-assessed physical activity profile differs in those with DFUs compared to those with diabetes but without ulceration (non-DFU). Participants were requested to wear an accelerometer on their non-dominant wrist for up to 8days.

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Introduction: It is unclear whether moderate-to-vigorous physical activity (MVPA) is associated with a lower mortality risk, over and above its contribution to total physical activity volume.

Methods: 46,682 adults (mean age: 64 years) were included in a meta-analysis of nine prospective cohort studies. Each cohort generated tertiles of accelerometry-measured physical activity volume and volume-adjusted MVPA.

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The management of patients with colorectal liver metastases (CRLM) has transformed over the past 2 decades. Advances in surgical techniques, systemic therapies, and local treatments have resulted in a paradigm shift. Disease that would once have been considered terminal is now frequently treated aggressively with both a disease-free and overall survival benefit.

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Background And Purpose: Lumbar disc herniation, potentially leading to nerve root compression and cauda equina syndrome, is typically evaluated using MR imaging. However, the limited availability of MR imaging outside regular hours in certain health care systems poses considerable challenges. This purpose of this study was to prospectively evaluate the diagnostic accuracy of an optimized CT lumbar spine protocol as a potential alternative to MR imaging in assessing suspected neural compression.

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Initial landmark studies in the design of synthetic hydrogels for intestinal organoid culture identified precise matrix requirements for differentiation, namely decompression of matrix-imposed forces and supplementation of laminin. But beyond stating the necessity of laminin, organoid-laminin interactions have gone largely unstudied, as this ubiquitous requirement of exogenous laminin hinders investigation. In this work, we exploit a fast stress relaxing, boronate ester based synthetic hydrogel for the culture of intestinal organoids, and fortuitously discover that unlike all other synthetic hydrogels to date, laminin does not need to be supplemented for crypt formation.

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Appendiceal mucinous neoplasms are rare and can be associated with the development of disseminated peritoneal disease known as pseudomyxoma peritonei (PMP). Mucinous tumours identified on appendicectomy are therefore followed up to assess for recurrence and the development of PMP. In addition, individuals who initially present with PMP and are treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) are followed up to assess for recurrence.

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Purpose: To compare the performance of multiple international guidelines in selecting patients for head CT prior to lumbar puncture (LP) in suspected meningitis, focusing on identification of potential contraindications to immediate LP.

Methods: Retrospective study of 196 patients with suspected meningitis presenting to an emergency department between March 2013 and March 2023 and undergoing head CT prior to LP. UK Joint Specialist Society Guidelines (UK), European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and Infectious Diseases Society of America (IDSA) guidelines were evaluated by cross-referencing imaging criteria with clinical characteristics present at time of presentation.

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Article Synopsis
  • Pancreatic ductal adenocarcinoma (PDAC) is difficult to treat due to its late-stage diagnosis and resistance to most therapies, with Wnt signaling playing a significant role in tumor growth and treatment resistance.
  • *Research using patient-derived organoids (PDOs) revealed distinct growth dependencies and responses to Wnt inhibitors, particularly the drug ETC-159, in combination with chemotherapy agents like paclitaxel and gemcitabine.
  • *In vivo studies with xenografts showed that the combination of ETC-159 and paclitaxel was more effective at reducing tumor growth than either treatment alone, indicating potential for targeted therapies based on Wnt signaling pathways in pancreatic cancer.
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Aim: To examine the effect of interrupting prolonged sitting with short, frequent, light-intensity activity on postprandial cardiovascular markers in people with type 1 diabetes (T1D).

Materials And Methods: In a randomized crossover trial, 32 adults with T1D (mean ± SD age 28 ± 5 years, glycated haemoglobin 67.9 ± 12.

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Background: Lung cancer is associated with the greatest cancer mortality as it typically presents with incurable distributed disease. Biomarkers relevant to risk assessment for the detection of lung cancer continue to be a challenge because they are often not detectable during the asymptomatic curable stage of the disease. A solution to population-scale testing for lung cancer will require a combination of performance, scalability, cost-effectiveness, and simplicity.

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Geometrical knowledge is typically taught to children through a combination of vision and repetitive drawing (i.e. haptics), yet our understanding of how different spatial senses contribute to geometric perception during childhood is poor.

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Background: Cardiorespiratory fitness (CRF) is an important indicator of current and future health. While the impact of habitual physical activity on CRF is well established, the role of sedentary behaviour (SB) remains less understood.

Objective: We aimed to determine the effect of SB on CRF.

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Herniation of the ureters into the inguinal canal is a rare but recognized phenomenon. It may be noted incidentally on cross-sectional imaging, or when it presents with complications such as obstruction or infection. It is important to highlight the finding when present, as surgical intervention will be required in the majority of cases.

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Purpose: To estimate time spent in various cardiovascular disease (CVD) and cancer states, according to self-reported walking pace.

Methods: In total, 391,744 UK Biobank participants were included (median age = 57 years; 54.7% women).

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Objective: To investigate associations of self-reported walking pace (SRWP) with relative and absolute risks of cause-specific mortality.

Patients And Methods: In 391,652 UK Biobank participants recruited in 2006-2010, we estimated sex- and cause-specific (cardiovascular disease [CVD], cancer, other causes) mortality hazard ratios (HRs) and 10-year mortality risks across categories of SRWP (slow, average, brisk), accounting for confounders and competing risk. Censoring occurred in September 30, 2021 (England, Wales) and October 31, 2021 (Scotland).

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