Publications by authors named "Kirkpatrick S"

Background: Hematological cancers have devastating effects on patients' physical, emotional, and psychosocial health. There is growing evidence to support the use of patient-reported outcome measures (PROMs) through validated tools. Although PROMs are widely adopted in oncology, uptake in hematology remains limited in routine clinical care.

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Climate change threatens humanity's health and well-being. While climate change topics have been increasingly incorporated into undergraduate medical education, it is unclear to what extent they have been incorporated into graduate medical education (GME) curricula in the United States. To examine how climate change has been incorporated into GME curricula in the United States.

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Background: Public health nutrition recommendations and clinical dietary interventions emphasize eating healthy food at home, implicitly requiring household foodwork. Household foodwork is defined as the physical and mental tasks a household does for eating meals and snacks. Because no tools exist to measure it, how much time people spend doing household foodwork and the foodwork barriers they experience remain unknown.

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Background: This article presents the culmination of a multiyear research project aimed at creating a comprehensive food literacy framework and corresponding measure. Specifically, this article documents the development and validation of a food literacy measure for young people facing social inequities.

Objectives: This study aimed to identify items to measure 12 attributes of food literacy; test the measure with the identified target groups, considering attribute, face, and content validity, inter-rater reliability and test-retest reliability; and refine the measure.

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Article Synopsis
  • - High consumption of ultra-processed foods and drinks (UPF) is linked to poor diet quality and a greater risk of non-communicable diseases, prompting the need for updated data on UPF intake among different sociodemographic groups in Canada.
  • - A study using data from 5,872 adults indicated that, on average, 45.2% of total daily energy came from UPF, with slightly higher consumption in males (49.4%) and younger adults aged 19-30 (50.0%).
  • - The findings suggest that UPF consumption is notably high across various sociodemographic groups, underscoring the necessity for public policies aimed at reducing UPF intake in the general population.
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Background: The period around pregnancy is a critical window in the primordial prevention of cardiovascular disease, but little is known about the role of dietary patterns in cardiometabolic health. Our objective was to determine the association between alignment of periconceptional diet with the 2020 to 2025 Dietary Guidelines for Americans and the risk of metabolic syndrome.

Methods And Results: We used data from the Nulliparous Pregnancy Outcomes Study: monitoring mothers-to-Be Heart Health Study, a pregnancy cohort study that followed pregnant participants to a median of 3 years postpartum (n=4423).

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  • - This pilot study evaluated a 12-week virtual Pilates program for individuals with mild to severe multiple sclerosis (MS), comparing a Pilates-only group to one that included additional exercises targeting hip and shoulder-cuff activation.
  • - While 22 people started the study and 16 completed it, the analysis showed overall improvements in walking speed (36%), mobility (13%), and balance (10%), though no significant differences were found between the two exercise groups.
  • - Participants expressed high satisfaction with the program, indicating that virtual, seated Pilates may be a feasible option that could improve balance for individuals with MS.
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Background: Despite advancements in treatment and early diagnosis, people with lung cancer are not living as long as those with other cancers. The more common symptoms of lung cancer, such as breathlessness, fatigue, and depression, can be alleviated by improving patients' physical functioning. Therefore, good symptom management and improved health-related quality of life (HRQoL) are priorities in this patient group.

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Background: Frailty, an age-related state of reduced physiological reserve, is often associated with lower socio-economic position (SEP). This systematic review synthesised observational studies assessing (i) the association between SEP and frailty prevalence; (ii) how changes in frailty status over time vary by SEP; and (iii) whether the association between frailty and clinical outcomes is modified by SEP.

Methods: We searched three electronic databases from 2001 to 2023.

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  • Ballistic embolism (BE) is a rare but serious complication from firearm injuries, often leading to confusion and delays in treatment if not recognized early.
  • A study analyzed 136 cases of BE, finding that arterial emboli were more likely to cause symptoms and required more invasive management compared to venous emboli.
  • Patients with arterial emboli had better outcomes, with most remaining stable or improving after discharge, underscoring the importance of monitoring for BE within 48 hours of injury.
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Food literacy is a growing area of interest given its potential to support healthy and sustainable diets. Most existing food literacy measures focus on nutrition and food skills but fail to address food systems and socio-environmental aspects of food literacy. Further, measures developed and tested in the Canadian context are lacking.

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There is a growing focus on better understanding the complexity of dietary patterns and how they relate to health and other factors. Approaches that have not traditionally been applied to characterize dietary patterns, such as machine learning algorithms and latent class analysis methods, may offer opportunities to measure and characterize dietary patterns in greater depth than previously considered. However, there has not been a formal examination of how this wide range of approaches has been applied to characterize dietary patterns.

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Opioid use disorder is heritable, yet its genetic etiology is largely unknown. C57BL/6J and C57BL/6NJ mouse substrains exhibit phenotypic diversity in the context of limited genetic diversity which together can facilitate genetic discovery. Here, we found C57BL/6NJ mice were less sensitive to oxycodone (OXY)-induced locomotor activation versus C57BL/6J mice in a conditioned place preference paradigm.

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Article Synopsis
  • A study was conducted to evaluate the accuracy of four technology-assisted dietary assessment methods in estimating energy and nutrient intake during controlled meals across breakfast, lunch, and dinner.
  • 152 participants completed a 24-hour dietary recall after consuming meals with weights recorded, comparing results from different assessment tools, including ASA24 and Intake24.
  • Findings showed that Intake24, ASA24, and mFR-TA produced more accurate energy estimates than IA-24HR, which had a significant margin of error, indicating variability in the reliability of these assessment methods.
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Both frailty (reduced physiological reserve) and social vulnerability (scarcity of adequate social connections, support, or interaction) become more common as people age and are associated with adverse consequences. Analyses of the relationships between these constructs can be limited by the wide range of measures used to assess them. In this systematic review, we synthesised 130 observational studies assessing the association between frailty and social vulnerability, the bidirectional longitudinal relationships between constructs, and their joint associations with adverse health outcomes.

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Background: The periconceptional period is a critical window for the origins of adverse pregnancy and birth outcomes, yet little is known about the dietary patterns that promote perinatal health.

Objective: We used machine learning methods to determine the effect of periconceptional dietary patterns on risk of preeclampsia, gestational diabetes, preterm birth, small-for-gestational-age (SGA) birth, and a composite of these outcomes.

Methods: We used data from 8259 participants in the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be (8 US medical centers, 2010‒2013).

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Introduction: Teclistamab is the first approved B cell maturation antigen × CD3 bispecific antibody with precision dosing for the treatment of triple-class exposed (TCE) relapsed/refractory multiple myeloma (RRMM). We compared the effectiveness of teclistamab in MajesTEC-1 versus real-world physician's choice of therapy (RWPC) in patients from the prospective, non-interventional LocoMMotion and MoMMent studies.

Methods: Patients treated with teclistamab from MajesTEC-1 (N = 165) were compared with an external control arm from LocoMMotion (N = 248) or LocoMMotion + MoMMent pooled (N = 302).

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Sightings of unidentified flying objects (UFOs) or unidentified anomalous phenomena (UAP) have been reported throughout history. Given the potential security and safety risks they pose, as well as scientific curiosity, there is increasing interest in understanding what these sighting reports represent. We approach this problem as an important one of the human experience and that can be examined through a geographical lens: what local factors may increase or decrease the number of sighting reports? Using a Bayesian regression method, we test hypotheses based on variables representing sky view potential (light pollution, tree canopy, and cloud cover) and the potential for objects to be present in the sky (aircraft and military installations).

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Background: Community-based fitness programs can support public health by providing access to physical activity opportunities for a vulnerable population with significant barriers. Unfortunately, programs specifically designed for people with disabilities (PWD) and staff training to promote inclusion for PWD in general population programs is limited. The current study aimed to review an on-going partnership that had formed to address this need.

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Introduction: Pneumonia is a common complication after severe trauma that is associated with worse outcomes with increased mortality. Critically ill trauma patients also have persistent inflammation and bone marrow dysfunction that manifests as persistent anemia. Terminal erythropoiesis, which occurs in bone marrow structures called erythroblastic islands (EBIs), has been shown to be impacted by trauma.

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For the first time since its introduction, the 2019 Canada's Food Guide (2019-CFG) highlighted specific guidance on eating practices, i.e., recommendations on where, when, why, and how to eat.

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Article Synopsis
  • A pilot survey was conducted among young adults at a Canadian university to assess their knowledge and adherence to the 2019 Canada's Food Guide (CFG) and its influence on their eating habits.
  • The results showed that only 33% of women and 8% of men met the recommended vegetable and fruit intake, with men consuming more protein than women.
  • Majority of participants felt the CFG has low influence on their food choices (mean score 2.2 out of 7) and suggested that awareness could be improved through social media outreach.
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In 2019, Health Canada released a new iteration of Canada's Food Guide (2019-CFG), which, for the first time, highlighted recommendations regarding eating practices, i.e., guidance on where, when, why, and how to eat.

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The intestinal microbiome plays a critical role in host immune function and homeostasis. Patients suffering from-as well as models representing-multiple traumatic injuries, isolated organ system trauma, and various severities of traumatic injury have been studied as an area of interest in the dysregulation of immune function and systemic inflammation which occur after trauma. These studies also demonstrate changes in gut microbiome diversity and even microbial composition, with a transition to a pathobiome state.

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