Publications by authors named "Keenan T"

The pygmy sperm whale (Kogia breviceps) possesses an exocrine gland associated with its false gill slit pigmentation pattern. The cervical gill slit gland is a compound tubuloalveolar gland that produces a holocrine secretion and displays maturational changes in size and secretory histology. While the morphology of the cervical gill slit gland has been described in detail, to date, the chemical composition of its secretion remains uncharacterized.

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Compound soil drought and heat extremes are expected to occur more frequently with global warming, causing wide-ranging socio-ecological repercussions. Vegetation modulates air temperature and soil moisture through biophysical processes, thereby influencing the occurrence of such extremes. Global vegetation cover is broadly expected to increase under climate change, but it remains unclear whether vegetation greening will alleviate or aggravate future increases in compound soil drought-heat events.

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Purpose: This study aimed to develop an algorithm for automated detection of drusenoid pigment epithelial detachments (DPEDs) in optical coherence tomography (OCT) volumes of patients with age-related macular degeneration (AMD) and to compare its performance against traditional reading center grading on color-fundus photographs (CFPs).

Methods: Eyes with a range of AMD severities, excluding neovascular disease, were imaged using spectral-domain OCT (SD-OCT) and paired CFPs and were followed annually for up to 5 years. DPEDs were automatically identified by segmenting the retinal pigment epithelium (RPE) and Bruch's membrane (BM) layers from the SD-OCT volumes and imposing both a minimum RPE BM height (>75 µm) and a two-dimensional length requirement (>433 µm).

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Purpose: To examine potential relationships between alcohol consumption and age-related macular degeneration (AMD) progression, including progression to late AMD and geographic atrophy (GA) enlargement rate.

Design: Post hoc analysis of cohorts within the Age-Related Eye Diseases Study 2.

Participants: A total of 6670 eyes (of 3673 participants) with no late AMD at baseline; 1143 eyes (of 841 participants) with GA at ≥2 consecutive visits.

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Plants acclimate to temperature by adjusting their photosynthetic capacity over weeks to months. However, most evidence for photosynthetic acclimation derives from leaf-scale experiments. Here we address the scarcity of evidence for canopy-scale photosynthetic acclimation by examining the correlation between maximum photosynthetic rates (A) and growth temperature ( ) across a range of concurrent temperatures and canopy foliage quantity, using data from >200 eddy covariance sites.

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Synthesis of mechanically stable porous scaffolds with an architecture analogous to cancellous bone tissue poses significant challenges to bioactive glass (BG) based scaffolds. This is primarily due to densification and crystallization of the BG's during heat treatment. This study presents a modified BG series (42SiO-xTiO-24NaO-21CaO-13PO, where x = 8 and 16 TiO).

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Photosynthesis is the largest flux of carbon between the atmosphere and Earth's surface and is driven by enzymes that require nitrogen, namely, ribulose-1,5-bisphosphate (RuBisCO). Thus, photosynthesis is a key link between the terrestrial carbon and nitrogen cycle, and the representation of this link is critical for coupled carbon-nitrogen land surface models. Models and observations suggest that soil nitrogen availability can limit plant productivity increases under elevated CO.

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Pseudaminic acid is a non-mammalian sugar found in the surface glycoconjugates of many bacteria, including several human pathogens, and is a virulence factor thought to facilitate immune evasion. The final step in the biosynthesis of the nucleotide activated form of the sugar, CMP-Pse5Ac7Ac is performed by a CMP-Pse5Ac7Ac synthetase (PseF). Here we present the biochemical and structural characterization of PseF from Aeromonas caviae (AcPseF), with AcPseF displaying metal-dependent activity over a broad pH and temperature range.

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Purpose: To evaluate the published literature to compare intraoperative aberrometry (IA) with preoperative biometry-based formulas with respect to intraocular lens (IOL) power calculation accuracy for various clinical scenarios.

Methods: Literature searches in the PubMed database conducted in August 2022, July 2023, and February 2024 identified 157, 18, and 6 citations, respectively. These were reviewed in abstract form, and 61 articles were selected for full-text review.

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Article Synopsis
  • Medical texts are difficult to manage and time-consuming to curate manually, prompting the development of NLP algorithms to automate this process for improved efficiency in the biomedical field.
  • The study introduces Ascle, a user-friendly tool designed for biomedical researchers that offers generative functions like question-answering and text summarization, along with 12 essential NLP functions and search capabilities.
  • After fine-tuning 32 language models and validating through physician assessments, results showed significant improvements in text generation tasks, with notable increases in machine translation and question-answering accuracy.
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Glycans play a major role in biological cell-cell recognition and signal transduction but have found limited application in biosensors due to glycan/lectin promiscuity; multiple proteins are capable of binding to the same native glycan. Here, site-specific fluorination is used to introduce protein-glycan selectivity, and this is coupled with an electrochemical detection method to generate a novel biosensor platform. 3F-lacto--biose glycofluoroform is installed onto polymer tethers, which are subsequently immobilised onto gold screen printed electrodes, providing a non-fouling surface.

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Glycan-mediated interactions play a crucial role in biology and medicine, influencing signalling, immune responses, and disease pathogenesis. However, the use of glycans in biosensing and diagnostics is limited by cross-reactivity, as certain glycan motifs can be recognised by multiple biologically distinct protein receptors. To address this specificity challenge, we report the enzymatic synthesis of a 150-member library of site-specifically fluorinated Lewis analogues ('glycofluoroforms') using naturally occurring enzymes and fluorinated monosaccharides.

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Article Synopsis
  • * When used in combination with the PD-1 inhibitor pembrolizumab, vibostolimab has demonstrated promising antitumor activity, suggesting its potential as a therapeutic option.
  • * The KEYVIBE program includes nine trials to assess the safety and efficacy of vibostolimab alone and in combination treatments for various advanced cancers, providing valuable insights for future therapies.*
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  • - Application of AI was used to analyze macular OCT scans in patients with neovascular AMD, focusing on changes in anatomical and pathological features during anti-VEGF treatment.
  • - A total of 2115 eyes from 1801 patients were retrospectively studied, with significant volume reductions observed in exudative features like intraretinal and subretinal fluid over 12 months.
  • - Results showed that while exudative features responded quickly to treatment, other anatomical structures such as the neurosensory retina and retinal pigment epithelium exhibited gradual volume reductions that were less pronounced.
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Article Synopsis
  • The study investigates if oral micronutrient supplements can slow down the progression of geographic atrophy (GA) in age-related macular degeneration (AMD).
  • It analyzes data from the Age-Related Eye Disease Study (AREDS) and its follow-up AREDS2, involving a total of 1,602 eyes from various participants across controlled trials comparing supplements to placebos.
  • Results show that participants taking specific antioxidants or combinations (like lutein/zeaxanthin) experienced a significant slowing of GA progression compared to those not receiving these supplements.
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  • Granuloma annulare (GA) is a skin condition marked by granulomatous inflammation and influenced by both innate and adaptive immune responses, but its exact triggers and molecular mechanisms are not well understood.* -
  • Macrophages are the primary immune cells responsible for the inflammation in GA, yet little is known about how they become activated and how the condition manifests at the molecular level.* -
  • By studying the spatial gene expression of GA in six patients, researchers discovered a combination of immune signals and distinct macrophage polarization patterns, suggesting that key molecules like IFN-γ, TNF, and IL-32 play significant roles in the inflammation process related to GA.*
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Objective: Age-related hearing loss (ARHL) is a prevalent but often underdiagnosed and undertreated condition among individuals aged 50 and above. It is associated with various sociodemographic factors and health risks including dementia, depression, cardiovascular disease, and falls. While the causes of ARHL and its downstream effects are well defined, there is a lack of priority placed by clinicians as well as guidance regarding the identification, education, and management of this condition.

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Article Synopsis
  • - Age-related hearing loss (ARHL) is common but often goes undiagnosed in people over 50, leading to risks like dementia and falls, and there is a significant need for improved clinical focus on this issue.
  • - The clinical practice guideline aims to improve the identification and management of ARHL by providing evidence-based recommendations for clinicians, targeting individuals aged 50 and older.
  • - Key action statements emphasize the importance of screening for hearing loss, obtaining audiograms, offering appropriately fitted amplification, and evaluating candidates for cochlear implants.
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The plain language summary explains age-related hearing loss to patients, families, and care partners. The summary is for any patient aged 50 years and older, families, and care partners. It is based on the 2024 "Clinical Practice Guideline: Age-Related Hearing Loss.

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Purpose: To update the Age-Related Eye Disease Study (AREDS) simplified severity scale for risk of late age-related macular degeneration (AMD), including incorporation of reticular pseudodrusen (RPD), and to perform external validation on the Age-Related Eye Disease Study 2 (AREDS2).

Design: Post hoc analysis of 2 clinical trial cohorts: AREDS and AREDS2.

Participants: Participants with no late AMD in either eye at baseline in AREDS (n = 2719) and AREDS2 (n = 1472).

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Importance: Cellulitis is misdiagnosed in up to 30% of cases due to mimic conditions termed pseudocellulitis. The resulting overuse of antibiotics is a threat to patient safety and public health. Surface thermal imaging and the ALT-70 (asymmetry, leukocytosis, tachycardia, and age ≥70 years) prediction model have been proposed as tools to help differentiate cellulitis from pseudocellulitis.

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Article Synopsis
  • The study focuses on the effectiveness and safety of oral minocycline for treating geographic atrophy (GA) in age-related macular degeneration (AMD), addressing the limitations of existing therapies.
  • Conducted over 45 months, the trial involved 37 participants who were monitored during a 9-month run-in phase followed by 3 years of treatment with oral minocycline.
  • Results showed no significant difference in the rate of GA enlargement between the treatment phase and the run-in phase, suggesting that minocycline may not be effective in slowing GA progression.
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Plants with the C photosynthesis pathway typically respond to climate change differently from more common C-type plants, due to their distinct anatomical and biochemical characteristics. These different responses are expected to drive changes in global C and C vegetation distributions. However, current C vegetation distribution models may not predict this response as they do not capture multiple interacting factors and often lack observational constraints.

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