Publications by authors named "Hilliard M"

Oxidative stress, caused by the accumulation of reactive oxygen species (ROS), is a pathological factor in several incurable neurodegenerative conditions as well as in stroke. However, our knowledge of the genetic elements that can be manipulated to protect neurons from oxidative stress-induced cell death is still very limited. Here, using Caenorhabditis elegans as a model system, combined with the optogenetic tool KillerRed to spatially and temporally control ROS generation, we identify a previously uncharacterized gene, oxidative stress protective 1 (osp-1), that protects C.

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A SUMMARY OF WHAT IS NEW OR DIFFERENT? This chapter focuses on insulin pump therapy, with a greater emphasis on glucose-responsive integrated technology that is feasible with the use of automated insulin delivery (AID) systems. The chapter also includes connected insulin pens and insulin pump therapy without AID functionality. As behavioral, psychosocial, and educational considerations of insulin delivery devices are a central part of diabetes self-management and use of insulin delivery devices, these topics are also addressed.

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Long-term follow-up for individuals with hypospadias remains a critical area of need, yet evidence-based guidelines for such follow-up are lacking, and the role of involvement of relevant experts is not yet established. Using our hypospadias-specific health-related quality of life conceptual framework and a subsequent qualitative study of prepubertal males and parents of males with hypospadias, we identified potential priorities for long-term follow-up of youth with hypospadias. Using thematic codes from our patient and parent interviews, we searched PubMed for relevant articles and identified the specialties represented by all the authors of these articles.

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Article Synopsis
  • The study investigates how first-year Doctor of Physical Therapy (DPT) students perceive their self-identity and social identity, revealing insights into their personal and professional growth through semistructured interviews.* -
  • Seventeen second-year DPT students from three universities provided qualitative data, identifying themes of shared perceptions, the influence of sociocultural experiences, and a recognition of the need for personal change to succeed in their programs.* -
  • Findings suggest that while many experiences are similar among students, older and racially minoritized students have distinct perspectives, highlighting the importance of understanding these factors to better support DPT students in their identity formation and educational journeys.*
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Article Synopsis
  • Type 1 diabetes (T1D) management can be tough for young adults transitioning from pediatric to adult healthcare, as they face both health care challenges and typical life changes.
  • * The DiaBetter Together study aims to assess a 12-month intervention where Peer Mentors guide young adults (ages 17-25) through this transition, focusing on healthcare navigation and self-management skills.
  • * The trial measures primary outcomes like HbA1c levels and secondary outcomes such as the time taken to switch to adult care and overall psychosocial well-being.
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Objectives: This paper explores parent coaching experiences supporting parents of young children newly diagnosed with type 1 diabetes in a clinical trial.

Methods: In a trial for 157 parents, those in the intervention arm ( = 116) were paired with a parent coach (n = 37; Mage = 37.9 years, SD = 3.

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Article Synopsis
  • Hypospadias is a birth defect affecting 1 in 200 males in the U.S., leading to significant long-term complication rates and impacting psychological, social, and sexual health.
  • A qualitative study was conducted involving interviews with 8-12-year-old boys with hypospadias and their parents to explore health-related quality of life and care priorities.
  • Key findings revealed three main themes: concerns about physical aspects (Penile Factors), psychological and social pressures (Psychosocial Concerns), and expectations regarding medical care, highlighting differences in perspectives between children and parents, especially among those from disadvantaged backgrounds.
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Importance: Type 1 diabetes (T1D) requires demanding self-management health behaviors, and adolescents with T1D are at risk for poor psychosocial and medical outcomes. Developing resilience skills may help adolescents with T1D and elevated distress navigate common stressors and achieve positive outcomes.

Objective: To test the efficacy of the Promoting Resilience in Stress Management (PRISM) intervention on levels of hemoglobin A1c (HbA1c), diabetes distress, self-management behaviors, resilience, and quality of life among adolescents.

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are the primary colonizers of the infant gut, yet scientific research addressing the transmission of the genus to infants remains incomplete. This review examines microbial reservoirs of infant-type that potentially contribute to infant gut colonization. Accordingly, strain inheritance from mother to infant via the fecal-oral route is likely contingent on the bifidobacterial strain and phenotype, whereas transmission via the vaginal microbiota may be restricted to .

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Introduction: Doctor of physical therapy (PT) (DPT) programs are rigorous, and students report facing overwhelming challenges. Faculty may not be cognizant of the extent of these challenges and miss opportunities to support student learning. The purpose of this article is to describe factors affecting student coping abilities and the lessons they learned from managing their self-identified challenges.

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Young adults experience multiple developmental transitions across social, educational, vocational, residential, and financial life domains. These transitions are potential competing priorities to managing a chronic condition such as type 1 diabetes and can contribute to poor psychosocial and medical outcomes. In this narrative review, we describe population outcomes of young adult populations and the unique considerations associated with managing type 1 diabetes in young adulthood.

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Background: Induced abortion in Costa Rica is illegal in all cases except to save the life of the pregnant person. Despite severe restrictions to legal abortion, individuals in Costa Rica still induce abortions outside of the formal healthcare system. These individuals and those with spontaneous abortions, also known as miscarriages, occasionally need medical care for complications.

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Objective: Parents of young children with new-onset type 1 diabetes (T1D) often experience significant distress and struggle with T1D management during a challenging developmental stage. The First STEPS (Study of Type 1 in Early childhood and Parenting Support) trial evaluated a stepped-care behavioral intervention comprising increasingly intensive intervention steps (peer parent coach, cognitive-behavioral counseling, consultations with diabetes educator and psychologist) based on need. The intervention improved parental depressive symptoms compared to usual care.

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Numerous viruses use specialized surface molecules called fusogens to enter host cells. Many of these viruses, including the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can infect the brain and are associated with severe neurological symptoms through poorly understood mechanisms. We show that SARS-CoV-2 infection induces fusion between neurons and between neurons and glia in mouse and human brain organoids.

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Axonal fusion is a neuronal repair mechanism that results in the reconnection of severed axon fragments, leading to the restoration of cytoplasmic continuity and neuronal function. While synaptic vesicle recycling has been linked to axonal regeneration, its role in axonal fusion remains unknown. Dynamin proteins are large GTPases that hydrolyze lipid-binding membranes to carry out clathrin-mediated synaptic vesicle recycling.

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Aim: Managing type 1 diabetes in young children can cause significant stress for parents. Continuous glucose monitoring (CGM) may reduce parental burden. The Strategies to Enhance CGM Use in Early Childhood (SENCE) trial randomized parents of children (ages 2 to <8 years) with type 1 diabetes to CGM with family behavioural intervention (CGM + FBI), CGM alone (Standard-CGM) or blood glucose monitoring for 26 weeks before receiving CGM + FBI (BGM-Crossover).

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Purpose: The COVID-19 pandemic has been a major stressor for adolescents. Given the unique implications of the pandemic for youth with type 1 diabetes (T1D), who already navigate multiple stressors as a function of their chronic condition, we aimed to describe the impact of the pandemic on adolescents with T1D and describe their coping strategies and resilience resources.

Research Method: In a 2-site (Seattle WA, Houston TX) clinical trial of a psychosocial intervention targeting stress/resilience, adolescents 13-18 years old with T1D ≥ 1 year and elevated diabetes distress were enrolled August 2020 - June 2021.

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