Publications by authors named "KEMP J"

Background: In patients with chronic kidney disease (CKD), trimethylamine n-oxide (TMAO) accumulation exacerbates inflammation and contributes to oxidative stress. These complications are putatively linked to the development of cardiovascular diseases. Despite the known associations, the variation in TMAO plasma levels across different CKD stages and dialysis modalities remains underexplored.

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In the pursuit of an effortless "miracle cure", there has been a significant increase in the proliferation of fad diets. These diets generally exclude a food group or macronutrients and may also restrict energy intake; they become popular quickly but often lack substantial scientific evidence to support their efficacy and safety. They only show short-term results rather than promoting a lifestyle change.

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The use of whole-body MRI (WBMRI) in children, from infancy to adolescence, has expanded rapidly over the past decade, with increasing uptake and a broadening range of clinical indications. Current indications include screening for presymptomatic lesions in cancer predisposition syndromes; tumor staging in known malignancies; investigating fevers of unknown origin; as well as diagnosing and monitoring rheumatologic diseases, vascular anomalies and neuromuscular disorders. This AJR Expert Panel Narrative Review aims to offer a comprehensive discussion of WBMRI in pediatric patients, exploring protocols and other technical considerations, clinical indications, implementation challenges and troubleshooting, as well as controversies in widespread adoption, while considering emerging trends and directions.

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Coordinated expression of replication-dependent (RD) histones genes occurs within the Histone Locus Body (HLB) during S phase, but the molecular steps in transcription that are cell cycle regulated are unknown. We report that RNA Pol II promotes HLB formation and is enriched in the HLB outside of S phase, including G1-arrested cells that do not transcribe RD histone genes. In contrast, the transcription elongation factor Spt6 is enriched in HLBs only during S phase.

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Quantitative abdominal magnetic resonance imaging (MRI) offers non-invasive, objective assessment of diseases in the liver, pancreas, and other organs and is increasingly being used in the pediatric population. Certain quantitative MRI techniques, such as liver proton density fat fraction (PDFF), R2* mapping, and MR elastography, are already in wide clinical use. Other techniques, such as liver T1 mapping and pancreas quantitative imaging methods, are emerging and show promise for enhancing diagnostic sensitivity and treatment monitoring.

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Controlling biomolecular condensate formation within the nucleus is critical for genome function. In this issue, Xu et al. (https://doi.

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During the 2016-2017 Canada Basin Acoustic Propagation Experiment, an ocean acoustic tomography array with a radius of 150 km measured the impulse responses of the ocean every 4 hr at a variety of ranges and bearings using broadband signals with center frequencies from 172.5 to 275 Hz. Ice-profiling sonar data showed a gradual increase in ice draft over the winter with daily median ice drafts reaching maxima of about 1.

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Article Synopsis
  • GPs possess strong knowledge of osteoarthritis management, recognizing exercise as the primary treatment and surgery as a last resort.
  • Despite this knowledge, they encounter various challenges in providing effective care, including patient beliefs, access to services, and systemic issues.
  • Addressing the barriers faced by GPs and improving patient engagement in physiotherapy is essential for enhancing osteoarthritis management outcomes.
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  • The study explores the link between hip shape and the risk of hip osteoarthritis and fractures, using data from large cohorts to analyze genetic factors influencing hip shape.
  • Researchers identified numerous genetic signals related to hip shape but found no causal effect of hip shape on osteoarthritis, while certain hip shapes were linked to a higher risk of hip fractures.
  • The findings suggest that focusing on hip shape might not be an effective strategy for preventing osteoarthritis in older adults, despite its association with hip fractures.
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Article Synopsis
  • - Patients with chronic kidney disease (CKD) have elevated levels of trimethylamine N-oxide (TMAO), a harmful substance linked to heart disease, and the study explores how gut microbes, specifically methanogenic archaea, might help reduce TMAO by consuming its precursor, trimethylamine (TMA).
  • - The study involved 25 CKD patients, where TMAO levels were measured and gut microbial DNA was sequenced, revealing high TMAO levels and a connection to archaea, particularly a significant negative correlation with the genus Methanobrevibacter.
  • - This research is pioneering in linking TMAO levels with archaea in CKD patients, highlighting the potential role of specific
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Purpose: To determine the prevalence of metabolic syndrome and explore its association with clinical outcomes (pain, quality of life, and physical function) in adults participating in an education and exercise program (GLA:D).

Methods: An observational study of adults with hip and/or knee osteoarthritis who participated in GLA:D between 2019 and 2022. Metabolic syndrome status was determined through self-report.

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Background: The relationship between hip/groin pain and hip range of motion (ROM) is unclear.

Purpose: To explore the relationship between hip/groin pain and hip joint ROM and examine the influence of sex and cam morphology on this relationship.

Study Design: Cross-sectional study; Level of evidence, 3.

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Flux attachment provides a powerful conceptual framework for understanding certain forms of topological order, including most notably the fractional quantum Hall effect. Despite its ubiquitous use as a theoretical tool, directly realizing flux attachment in a microscopic setting remains an open challenge. Here, we propose a simple approach to realizing flux attachment in a periodically driven (Floquet) system of either spins or hard-core bosons.

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Background: Low birth weight (LBW; <2,500 g) affects approximately 15 to 20 percent of global births annually and is associated with suboptimal child development. Recent studies suggest a link between the maternal gut microbiome and poor obstetric and perinatal outcomes. The goal of this study was to examine relationships between maternal microbial taxa, fecal metabolites, and maternal anthropometry on incidence of LBW in resource-limited settings.

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Background: The 17-item Tampa Scale for Kinesiophobia (TSK) is a commonly used patient-reported outcome measure (PROM) to assess kinesiophobia, but the measurement properties of the TSK in people with femoroacetabular impingement syndrome (FAIS) are unknown.

Objectives: 1) Revise the existing TSK by removing items, as needed, with inadequate functioning to optimise the TSK for people with FAIS, and 2) evaluate construct validity (both structural validity and hypothesis testing), internal consistency, and minimal important change.

Methods: Cross-sectional cohort study including 153 young adults with FAIS.

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Background: Parents often perceive the news that their child has cerebral palsy (CP) as overwhelming and shocking. They are at increased risk of parental stress and mental health problems, which in turn can affect the interaction between the parent and the child. Parental mental health outcomes are known to be affected by the process of disclosure of a diagnosis.

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Background: Hip-related pain (HRP) affects young to middle-aged active adults and impacts physical activity, finances and quality of life. HRP includes conditions like femoroacetabular impingement syndrome and labral tears. Lateral hip muscle dysfunction and atrophy in HRP are more pronounced in advanced hip pathology, with limited evidence in younger populations.

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Article Synopsis
  • A mixed methods study evaluated the effects of the Good Life with osteoArthritis Denmark (GLA:D®) program on physical activity levels among people with knee osteoarthritis over 3 and 12 months.
  • It involved 44 participants, with interviews revealing four main themes related to fear of knee joint damage, varying participation in physical activities, and the influence of facilitators and ongoing barriers to exercise.
  • Although the proportion of more active participants did not significantly change from baseline to follow-up, fear of damage decreased markedly, and participants reported high motivation and confidence for exercise after the program.
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Introduction: Trimethylamine (TMA), produced by gut microbiota, is the precursor of trimethylamine-N-oxide (TMAO), a uremic toxin that accumulates in patients with chronic kidney disease (CKD). Elevated TMAO plasma levels are associated with cardiovascular complications and CKD progression.

Objective: To evaluate the association between gut microbiota composition and TMAO plasma levels in CKD patients undergoing hemodialysis (HD).

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Background: Hip osteoarthritis (OA) is a prevalent and burdensome condition that leads to impaired quality of life and a substantial economic burden. Encouraging physical activity, particularly walking, is crucial for OA management, but many individuals with hip OA fail to meet recommended activity levels. Prefabricated contoured foot orthoses have shown promise in improving hip muscle efficiency during walking in laboratory settings, but their real-world feasibility and efficacy remain uncertain.

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1) describe intra-articular features (prevalence and severity) and bony hip morphology (prevalence and size) in elite male Australia Football League (AFL) draftees; 2) examine the relationship between bony hip morphology (cam and pincer morphology) and intra-articular features (cartilage defects and labral tears); and 3) examine the relationship between intra-articular features, bony hip morphology, and the Copenhagen Hip and Groin Outcome Score (HAGOS). Cross-sectional study. 58 male AFL draftees underwent 3-tesla hip MRI.

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