Publications by authors named "MacDonald A"

BK polyomavirus (BKPyV) is recognised as a significant viral complication of kidney transplantation. Prompt immunosuppression reduction reduces early graft failure rates due to BK polyomavirus-associated nephropathy (BKPyVAN), however modulation of immunosuppression can lead to acute rejection. Medium-to-long term graft outcomes are negatively impacted by BKPyVAN, likely due to a combination of virus-induced graft damage and host immune responses against graft alloantigens potentiated by immunosuppression reduction.

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Background: Emergency appendicectomy (EA) is a common procedure, yet few studies have focused on gender differences in these patients. This study aims to evaluate the demographics, preoperative investigations, intraoperative findings, and clinical outcomes between males and females undergoing EA.

Methods: A multicenter retrospective observational study was conducted across four hospitals involving patients who underwent EA between August 2018 and November 2025.

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Ectothermic arthropods, like ticks, are sensitive indicators of environmental changes, and their seasonality plays a critical role in tick-borne disease dynamics in a warming world. Juvenile tick phenology, which influences pathogen transmission, may vary across climates, with longer tick seasons in cooler climates potentially amplifying transmission. However, assessing juvenile tick phenology is challenging in climates where desiccation pressures reduce the time ticks spend seeking blood meals.

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The topological magnetoelectric effect (TME) is a defining property of three-dimensional Z_{2} topological insulators that was predicted on theoretical grounds more than a decade ago, but has still not been directly measured. In this Letter we propose a strategy for direct measurement of the TME and discuss the precision of the effect in real devices with charge and spin disorder.

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Background: Physicians' refusal to perform medical procedures that they deem contrary to their conscience may threaten basic human rights and public health. This study aims to investigate the thoughts and attitudes of future physicians on conscientious objection (CO) and thus contribute to the discussions from a country more heavily influenced by Eastern values.

Methods: A cross-sectional multi-center study was conducted among medical students country-wide, where 2,188 medical students participated via an online survey.

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Background: Maternal exposure to per- and polyfluoroalkyl substances (PFAS) has been linked to child neurodevelopmental difficulties. Neuroimaging research has linked these neurodevelopmental difficulties to white matter microstructure alterations, but the effects of PFAS on children's white matter microstructure remains unclear. We investigated associations between maternal blood concentrations of six common perfluoroalkyl sulfonates and white matter alterations in young children using longitudinal neuroimaging data.

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Several studies have emphasized that phenotypic plasticity should be a key mechanism to cope with current rapid environmental changes by allowing individuals to quickly express new adaptive phenotypes. Yet, few studies have investigated the evolutionary potential of plasticity for multiple traits simultaneously and using several different environmental variables. Here, we assess the extent of variation in, and the selection acting on phenotypic plasticity of key ecological traits, laying date and clutch size, using five environmental variables, in a Tree swallow (Tachycineta bicolor) population monitored since 2004.

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  • The transportation sector in New York State is significantly affected by climate conditions, which have already impacted many residents and businesses.
  • The chapter discusses how climate change impacts various transportation modes and highlights vulnerabilities faced by communities and workers.
  • It emphasizes issues of equity and environmental justice related to these transportation challenges.
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The first cohort of early-treated adults with phenylketonuria (PKU) is reaching middle-age and moving towards old age. We do not know if and how the effects of an aging brain may interact with the effect of PKU. This study compared wellbeing and cognition in 19 middle-aged adults with PKU (age 40+ mean = 45.

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Human mobility drives the spread of many infectious diseases, yet the health impacts of changes in mobility due to new infrastructure development are poorly understood and currently not accounted for in impact assessments. We take a novel quasi-experimental approach to identifying the link between mobility and infectious disease, leveraging historical road upgrades as a proxy for regional human mobility changes. We analyzed how highway paving altered transmission of dengue-a high-burden mosquito-borne disease-via changes in human movement in the Madre de Dios region of Peru.

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Background: Exposure to fungi, especially Aspergillus fumigatus, can elicit potent allergic inflammation that triggers and worsens asthmatic disease. Dendritic cells (DCs) initiate allergic inflammatory responses to allergic stimuli. However, it is unclear if Af spores during isotropic growth (early spore swelling) can activate DCs to initiate allergic responses or if germination is required.

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  • In a study on children with Phenylketonuria (PKU), casein glycomacropeptide (GMP) was compared to phenylalanine-free amino acids (AA) as a protein substitute, focusing on digestion and overall health effects.
  • Results showed that GMP significantly improved gastrointestinal symptoms like stomach pain and bloating, although it did not have a major impact on other health markers like renal function or oxidative stress.
  • However, GMP's higher phenylalanine content poses challenges for use as a sole protein source in PKU kids due to their low tolerance for phenylalanine.
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Incidental mortality in fisheries is a major driver of population declines for albatrosses and petrels globally. However, accurate identification of species can be difficult due to the poor condition of bycaught birds and/or visual similarities between closely related species. We assessed three genetic markers for their ability to distinguish the 36 albatross and petrel species listed in Annex 1 to the Agreement on the Conservation of Albatrosses and Petrels (ACAP) and in Australia's Threat Abatement Plan (TAP) for the bycatch of seabirds during oceanic longline fishing operations.

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The vast majority of theoretical and empirical research assessing sexual assault (SA) focuses on man-against-woman SA (MWSA), leaving other forms such as woman-against-woman SA (WWSA) understudied. Relatively simple questions, such as the relative frequency of WWSA for women of different sexual orientations, the tactics (e.g.

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  • High levels of follicle-stimulating hormone (FSH) in post-menopausal women are linked to the development of Alzheimer's disease (AD), as shown by studies in mice.
  • Mice lacking FSH receptors displayed improved spatial memory, indicating that blocking FSH signaling can help prevent memory loss related to aging and AD-like pathology.
  • The findings suggest that targeting FSH could be a potential strategy for preventing memory deficits in post-menopausal women.
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Comparative approaches in animal gut microbiome research have revealed patterns of phylosymbiosis, dietary and physiological convergences, and environment-host interactions. However, most large-scale comparative studies, especially those that are highly cited, have focused on mammals, and efforts to integrate comparative approaches with existing ecological frameworks are lacking. While mammals serve as useful model organisms, developing generalised principles of how animal gut microbiomes are shaped and how these microbiomes interact bidirectionally with host ecology and evolution requires a more complete sampling of the animal kingdom.

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Serine integrases are phage- (or mobile element-) encoded enzymes that catalyse site-specific recombination reactions between a short DNA sequence on the phage genome (attP) and a corresponding host genome sequence (attB), thereby integrating the phage DNA into the host genome. Each integrase has its unique pair of attP and attB sites, a feature that allows them to be used as orthogonal tools for genome modification applications. In the presence of a second protein, the Recombination Directionality Factor (RDF), integrase catalyses the reverse excisive reaction, generating new recombination sites, attR and attL.

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New groundwater development is a likely way to meet growing global water demand but needs careful management. To help inform the sustainable development of groundwater resources, a novel method based on the maximum safe installable power for water pumping systems and the maximum safe remaining installable power (considering current abstraction) is developed. The proposed model couples energy, technology and hydrogeological parameters, and is then developed to compute the maximum power that can be safely installed per km without exceeding a maximum annual pumpable volume, calculated through available recharge and storage.

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BACKGROUNDIn type 1 diabetes (T1D), impaired insulin sensitivity may contribute to the development of diabetic kidney disease (DKD) through alterations in kidney oxidative metabolism.METHODSYoung adults with T1D (n = 30) and healthy controls (HCs) (n = 20) underwent hyperinsulinemic-euglycemic clamp studies, MRI, 11C-acetate PET, kidney biopsies, single-cell RNA-Seq, and spatial metabolomics to assess this relationship.RESULTSParticipants with T1D had significantly higher glomerular basement membrane (GBM) thickness compared with HCs.

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  • The study investigates the readiness to adopt healthy lifestyle changes in patients who have undergone kidney and liver transplants, focusing on both physical and mental preparedness for a weight-loss program.
  • Twelve kidney and twelve liver transplant patients participated in the program, which included a year-long usage of fitness devices and group sessions on lifestyle modifications.
  • Results showed that most participants demonstrated strong physical readiness, with notable weight loss observed in nearly half of them, and higher mental readiness was linked to greater weight loss achievements.
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Background: The British Association of Paediatric Surgeons (BAPS) annual congress is an opportunity to present clinical and scientific data that may influence future practice. The presentation of the Abstract is but the first step towards definitive publication in the medical literature. Our aim was to review what the success rate has been from previous congresses.

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  • Phenylketonuria (PKU) is a genetic condition where too much phenylalanine (Phe) builds up in the body, which can be harmful to the brain.
  • The APHENITY study tested a new medicine called synthetic sepiapterin to see if it could safely lower Phe levels in patients with PKU.
  • The study involved 187 participants from 34 locations around the world and lasted from September 2021 to April 2023, with results showing how effective the treatment was over a six-week period.
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  • The study focuses on hip microinstability, a condition that's tough to diagnose due to a lack of clear criteria, and aims to evaluate the prevalence and accuracy of various imaging findings using X-rays and MRIs.
  • Researchers compared imaging results from 224 hips (112 with microinstability and 112 without) that had undergone arthroscopic surgery, assessing different morphological features that might indicate microinstability.
  • Four significant predictors for microinstability were identified: labral hyperplasia and a decreased lateral center edge angle on MRI, along with the absence of specific signs on X-rays; however, many other imaging parameters previously thought to be related were not actually associated with the condition.
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Permanently cold deep-sea sediments (2500-3500 m water depth) with and without indications of thermogenic hydrocarbon seepage were exposed to naphtha to examine the presence and potential of cold-adapted aerobic hydrocarbon-degrading microbial populations. Monitoring these microcosms for volatile hydrocarbons by GC-MS revealed sediments without in situ hydrocarbons responded more rapidly to naphtha amendment than hydrocarbon seep sediments overall, but seep sediments removed aromatic hydrocarbons benzene, toluene, ethylbenzene and xylene (BTEX) more readily. Naphtha-driven aerobic respiration was more evident in surface sediment (0-20 cmbsf) than deeper anoxic layers (>130 cmbsf) that responded less rapidly.

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