Publications by authors named "Lichiel Cruz"

Article Synopsis
  • - The study explores the challenges faced by community-based providers of medications for opioid use disorders (MOUD) when collaborating with recovery courts, which mandate treatment instead of incarceration but rely on outside resources for support.
  • - Providers reported that a lack of knowledge about recovery courts, negative feelings toward the criminal justice system, and staffing shortages hinder effective collaboration, while complex communication requirements and unresponsive courts were common obstacles.
  • - Despite these barriers, direct interactions with recovery court staff and shared goals of helping individuals in recovery were identified as key factors that could enhance collaboration and improve access to care.
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  • The research focused on discovering new drugs that can modify osteoarthritis (OA) by boosting type II collagen production in chondrocytes using a novel, less destructive method.
  • Primary human chondrocytes were engineered to express a reporter gene and cultured in 3D models to screen a library of natural compounds over three weeks.
  • Aromoline, a bisbenzylisoquinoline alkaloid, showed promise in enhancing type II collagen expression, with dopamine receptor D4 (DRD4) identified as a potential target for future OA treatments.
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Background: Artificial intelligence integration into healthcare has gained significant attention in recent years, with its use ranging from disease diagnosis to surgical assistance. While artificial intelligence's potential to improve patient outcomes and optimise patient care is undeniable, concerns regarding privacy, transparency, and the potential for medical errors persist. To take full advantage of artificial intelligence's transformative abilities, understanding patient perceptions and attitudes towards its integration into medicine is crucial for ethical considerations and health outcomes.

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Background: Acral melanoma (AM) is an aggressive melanoma variant that arises from palmar, plantar, and nail unit melanocytes. Compared to non-acral cutaneous melanoma (CM), AM is biologically distinct, has an equal incidence across genetic ancestries, typically presents in advanced stage disease, is less responsive to therapy, and has an overall worse prognosis.

Methods: An independent analysis of published sequencing data was performed to evaluate the frequency of receptor tyrosine kinase (RTK) ligands and adapter protein gene variants and expression.

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Objective: This study explored the attributes of asthma care coordination from the perspective of healthcare professionals at different levels of care in Ecuador.

Design: Qualitative descriptive study. The Integrated Health Networks Model was the theoretical framework of reference.

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Article Synopsis
  • The study focuses on detecting multijet signatures from proton-proton collisions at a high energy of 13 TeV, analyzing a dataset totaling 128 fb^{-1}.
  • A special data scouting method is utilized to pick out events with low combined momentum in jets.
  • This research is pioneering in its investigation of electroweak particle production in R-parity violating supersymmetric models, particularly examining hadronically decaying mass-degenerate higgsinos, and it broadens the limits on the existence of R-parity violating top squarks and gluinos.
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Background: A substantial portion of the genetic predisposition for breast cancer is explained by multiple common genetic variants of relatively small effect. A subset of these variants, which have been identified mostly in individuals of European and Asian ancestry, have been combined to construct a polygenic risk score (PRS) to predict breast cancer risk, but the prediction accuracy of existing PRSs in Hispanic/Latinx individuals (H/L) remain relatively low. We assessed the performance of several existing PRS panels with and without addition of H/L specific variants among self-reported H/L women.

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Overactivity of the sympathetic nervous system is a hallmark of aging. The cellular mechanisms behind this overactivity remain poorly understood, with most attention paid to likely central nervous system components. In this work, we hypothesized that aging also affects the function of motor neurons in the peripheral sympathetic ganglia.

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Mechanobiological forces play a pivotal role in the processes of skin homeostasis, wound healing and regeneration. Changes in tissue stiffness are linked to various skin diseases. Using atomic force microscopy, we analyzed the elastic modulus, representing mechanical stiffness, of different skin layers in a group of six participants, including 2 males and 4 females, aged between 1 and 70 years.

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We have prepared and structurally characterized pivalate based {Cr Ln } complexes with Ln = Dy and Gd as well as the Y analogue, with the overall formula [Cr Ln (mdea)(piv)(OH)], Ln = Gd, Dy and Y. We are reporting a detailed experimental magnetic properties study, including magnetization relaxation dynamics and calorimetric data, supported with quantum chemical calculations. The synthesis of the Y derivative, allowed to precisely identify the Cr(III)-Cr(III) exchange interaction magnitude which proved moderately strong and in agreement with known magneto-structural correlations.

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Purpose: The purpose of this study was to characterize the morphological and immunological aspects of biointegration at the optic-cornea joint of a second-generation synthetic corneal device.

Methods: The initial prototype, single-piece optic-skirt configuration, is constructed from compact and flexible perfluoroalkoxy alkane with porous expanded polytetrafluoroethylene (ePTFE) overlying the skirt to allow skirt-cornea biointegration. The second-generation version was modified to add ePTFE around the optic wall to allow optic-cornea biointegration.

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Article Synopsis
  • Self-care and understanding one's illness are crucial in managing systemic arterial hypertension, motivating the study to explore how these concepts are represented in scientific research.
  • A systematic review analyzed 892 studies, narrowing down to 39 relevant papers, primarily conducted in the U.S. over the past five years, focusing on observational data rather than interventions.
  • Key findings highlighted that antihypertensive medication and patients' disease perceptions were commonly examined, but the involvement of healthcare professionals like nurses and doctors in these discussions was notably limited.
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Background: Triple negative breast cancer (TNBC) is the most aggressive subtype of breast cancer. While PD-1 based immunotherapies overall have led to improved treatment outcomes for this disease, a diverse response to frontline chemotherapy and immunotherapy still exist in TNBC, highlighting the need for more robust prognostic markers.

Methods: Tumor-intrinsic immunotranscriptomics, serum cytokine profiling, and tumor burden studies were conducted in two syngeneic mouse models to assess differential effects in both the early-stage and metastatic setting.

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  • The human microbiome significantly impacts physiological functions and health, particularly the gastric system, while current diagnostic tests for gastric diseases can be invasive and uncomfortable for patients.
  • A cross-sectional study analyzed oral bacterial profiles from 266 participants in Brazil undergoing upper digestive endoscopy to explore the potential of using oral microbiomes in diagnosing gastric conditions.
  • Findings showed that while certain bacteria were prevalent, no significant relationship was found between oral microbiome diversity and endoscopy outcomes, highlighting the need for further research to develop non-invasive diagnostic methods.
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Purpose: To investigate healthcare disparities associated with keratoconus (KCN) patients receiving treatment (corneal cross-linking [CXL] and keratoplasty), as well as comorbidities associated with KCN.

Design: Retrospective clinical cohort study.

Methods: A total of 3224 patients from the University of Illinois Hospital & Health Sciences System (UI-Health) database from 2020 to 2024 were examined, including 1612 patients with an International Classification of Diseases, Tenth Revision diagnosis of KCN, and 1612 ophthalmology patients as a control group.

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Phytochemical analysis of the twigs and leaves of , endemic to Kenya, yielded known compounds 3-(3',4'-dimethoxyphenyl)-prop-1-ene (, 3-(3',4'-dimethoxyphenyl)-propenal (), lupeol () and -trachyloban-19-oic acid (), and a tentatively new -clerodane diterpenoid, crotokinondoenolide (). -Trachy-loban-19-oic acid () showed good activity against a panel of drug-resistant strains of and spp with MIC -values of 25 g/mL.

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There is a gap in evidence regarding spatial clusters of the congenital toxoplasmosis (CT) and its association with social and health indicators in the Brazilian territory. Thus, we aimed herein to identify CT risk areas in Brazil and its association with social vulnerability and health indicators. An ecological and population-based study was conducted.

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Asthma is a complex disease characterized by reversible and intermittent airway obstruction that has shown a high prevalence and unacceptable mortality in adults. In recent years, several genome-wide association studies (GWAS) have identified variants linked to asthma susceptibility. The DAD1 gene is known for regulating programmed cell death, and OXA1L is described for its involvement in mitochondrial biogenesis and oxidative phosphorylation.

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The immune system is regulated by dendritic cells (DCs), which are highly specialized cells for presenting antigens. They are thought of as natural sentinels that start the immune response triggered by naive T cells against invasive infections. DCs participate in the initial stage of muscle damage in conjunction with monocytes, macrophages, and myogenic cells.

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Using a mediation model, this study examined the role of verbal intelligence and emotion knowledge in peer acceptance in a sample of Portuguese preschool children. Participants were 444 5-year-olds (214 girls and 230 boys). Emotion knowledge was assessed with the Portuguese version of the Assessment of Children's Emotion Skills.

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Red wine grape pomace is an important source of bioactive compounds with biological activities of interest. Grape pomace extract can be encapsulated in ultrafine fibers using the electrospinning technique. Encapsulation is used to increase stability and protect the phenolic compounds in the extract.

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The effect of exotic fruit pulp (araçá, cagaita, cambuci, grumixama, blueberry, and uvaia) on probiotic viability during storage and after gastrointestinal tract (GIT) simulation, in vitro biological activity, total phenolics (TPC) and flavonoids content, and the production of metabolic products of microbial in probiotic yogurt were investigated. During the storage period (28 days), probiotic strain populations remained high (above 6 log CFU/g), while after the GTI simulation, L. acidophilus and B.

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Introduction: Percutaneous nephrolithotomy (PCNL) is widely performed as the preferred treatment for kidney stones larger than 20 mm in pediatric patients, with current research focusing on comparing outcomes between prone and supine positions to determine optimal procedural positioning. Therefore, the aim of this study is to compare the efficacy of prone versus supine positioning in pediatric PCNL, providing clarity on this critical aspect of the procedure to guide clinical decision-making.

Methods: We conducted a systematic review in PubMed, Embase, Scopus, Cochrane, Web of Science and Google Scholar.

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Background: Following mild traumatic brain injury (mTBI), elevated concentrations of brain-specific blood proteins glial fibrillary acidic protein (GFAP) and ubiquitin C-terminal hydrolase-L1 (UCH-L1) may be indicative of intracranial lesions normally detected by head CT scans. We sought to validate the performance of this combination of biomarkers at predetermined cutoff values with an automated immunoassay to predict which patients did not have intracranial lesions.

Methods: This prospective, observational study was conducted in France and Spain at 16 emergency departments.

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Article Synopsis
  • Researchers examined COVID-19 patients with acute respiratory distress syndrome (ARDS) to discover distinct respiratory subphenotypes to improve treatment strategies.
  • A total of 718 ventilated patients were analyzed, revealing two main subphenotypes: Subphenotype A and B, with Subphenotype B showing poorer respiratory function and higher mortality risk.
  • Subphenotype B was characterized by higher levels of inflammation and comorbidities, as well as being more prevalent in female patients, indicating the need for tailored management approaches in ARDS treatment.
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