Publications by authors named "Kirsten Kepple"

Article Synopsis
  • The study evaluated how well end-tidal carbon dioxide (ETCO) predicts in-hospital mortality and ICU admissions compared to standard vital signs during emergency department triage.
  • 1136 patients were enrolled, with results showing mean ETCO levels significantly lower in nonsurvivors, indicating its potential as a strong predictor (AUC of 0.82 for mortality).
  • ETCO also showed a solid correlation with metabolic acidosis indicators, making it a more reliable measurement than traditional vital signs in assessing patient outcomes.
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Systolic heart failure (HF) is associated with exercise intolerance that has been attributed, in part, to skeletal muscle dysfunction. The purpose of this study was to compare skeletal muscle oxidative capacity and training-induced changes in oxidative capacity in participants with and without HF. Participants with HF (n = 16, 65 ± 6.

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The controlled assembly and organization of multi-cellular systems to mimic complex tissue structures is critical to the engineering of tissues for therapeutic and diagnostic applications. Recent advances in micro-scale technologies to control multi-cellular aggregate formation typically require chemical modification of the interface between cells and materials and lack multi-scale flexibility. Here we demonstrate that simple physical entrapment of magnetic microparticles within the extracellular space of stem cells spheroids during initial formation enables scaffold-free immobilization, translocation and directed assembly of multi-cellular aggregates across multiple length and time scales, even under dynamic suspension culture conditions.

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Size scale plays an important role in the release properties and cellular presentation of drug delivery vehicles. Because negatively charged chondroitin sulfate (CS) is capable of electrostatically sequestering positively charged growth factors, CS-derived nanoscale micelles and microscale spheroids were synthesized as potential growth factor carriers to enhance differentiation of stem cells. Particles were characterized for morphology, size distribution, surface charge and cytocompatibility, as well as release of transforming growth factor-β1 (TGF-β1) and tumor necrosis factor-α (TNF-α).

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