Publications by authors named "Maclean E"

Background: Prevention of drug-resistant tuberculosis is a global health priority. However, trials evaluating the effectiveness of treating infection among contacts of persons with drug-resistant tuberculosis are lacking.

Methods: We conducted a double-blind, randomized, controlled trial comparing 6 months of daily levofloxacin (weight-based doses) with placebo to treat infection.

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  • - In nonagenarians with complete heart block, dual-chamber (DDD) pacing showed better physiological outcomes compared to single-chamber (VVI) pacing, although the effect on overall mortality is debated.
  • - Among 168 patients studied, those with VVI pacing were older, frailer, and had higher rates of dementia compared to DDD recipients, but both groups had similar age and heart function at baseline.
  • - After adjusting for factors like age and frailty, VVI pacing was linked to significantly higher risks of all-cause mortality and death from congestive cardiac failure, suggesting better long-term outcomes for DDD pacing in this population.
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Background: This study had the following 3 goals: (i) to assess the prevalence of peripheral arterial disease (PAD) in a Nova Scotian population; (ii) to evaluate the validity of the Edinburgh Claudication Questionnaire (ECQ) in a Nova Scotian context; and (iii) to evaluate Nova Scotian public knowledge about PAD.

Methods: Participants were recruited from 8 sites across Nova Scotia. In 2022, they were recruited at Heartland Tour (HLT) sites-a provincial health-promotion campaign.

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Unlabelled: Non-sputum tests are needed to improve tuberculosis (TB) diagnosis and close the diagnostic gap. The World Health Organization's target product profile (TPP) for point-of-care (POC) screening tests requires a minimum sensitivity of 90% and a specificity of 70%. Our objective was to identify host blood protein biomarkers meeting TPP criteria.

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  • The study focuses on evaluating two new diagnostic tests for tuberculosis (TB) infection, Cy-Tb and Standard F TB, which aim to improve accuracy and reduce costs in low-resource settings.
  • It involves a cross-sectional trial with participants divided into three groups: those with confirmed TB, household contacts, and people without TB, comparing these tests with a standard reference test, QFT-Plus.
  • Ethical approval has been obtained, and the research findings will be shared with the scientific community and policymakers through publications.
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Oxytocin and cortisol are hormones that can influence cognition and behavior, but the relationships between endogenous concentrations and individual differences in cognitive and behavioral phenotypes remain poorly understood. Across mammals, oxytocin has important roles in diverse social behaviors, and in dogs, it has been implicated in human-oriented behaviors such as social gaze and point-following. Cortisol, an end-product of the hypothalamic-pituitary-adrenal (HPA) axis, is often studied in relation to temperament and emotional reactivity, but it is also known to modulate executive functions.

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Companion dogs are a valuable model for aging research, including studies of cognitive decline and dementia. With advanced age, some dogs spontaneously develop cognitive impairments and neuropathology resembling features of Alzheimer's disease. These processes have been studied extensively in laboratory beagles, but the cognitive assays used in that context-which rely on time-consuming operant procedures-are not easily scalable to large samples of community-dwelling companion dogs.

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  • The study investigates the role of oxytocin in the interactions between children and dogs, analyzing how these interactions affect oxytocin release in both species.
  • Results show that children had increased oxytocin levels during interactions with their pet dogs compared to a control condition, with visual engagement playing a significant role in this response.
  • Additionally, children with a specific gene methylation pattern (OXTRm) exhibited different oxytocin responses, and while pet dogs displayed increased oxytocin, unfamiliar dogs showed a decrease, suggesting varied effects of companionship on social interactions.
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Angiogenesis is a normal physiological process that also contributes to diabetic retinopathy-related complications and facilitates tumor metastasis by promoting the hematogenic dissemination of malignant cells from solid tumors. Here, we investigated the in vitro, ex vivo, and in vivo anti-angiogenic activity of phloridzin docosahexaenoate (PZ-DHA), a novel ω-3 fatty acid ester of a flavonoid precursor. Human umbilical vein endothelial cells (HUVEC) and human dermal microvascular endothelial cells (HMVEC) treated with a sub-cytotoxic concentration of PZ-DHA to assess in vitro anti-angiogenic activity showed impaired tubule formation on a Matrigel matrix.

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The diagnosis of paediatric tuberculosis remains a challenge due to the non-specificity of symptoms and the paucibacillary nature of tuberculosis in children. However, in the development of new tuberculosis diagnostics, the unique needs of children and adolescents are rarely considered in the design process, with delays in evaluation and approval. No clear guidance is available on when and how to include children and adolescents in tuberculosis diagnostic development and evaluation.

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Importance: Military members and veterans (hereafter, veterans) with posttraumatic stress disorder (PTSD) increasingly seek psychiatric service dogs as a complementary intervention, yet the effectiveness of service dogs is understudied.

Objective: To estimate the associations between psychiatric service dog partnership and self-reported and clinician-rated PTSD symptom severity, depression, anxiety, and psychosocial functioning after 3 months of intervention among veterans.

Design, Setting, And Participants: This nonrandomized controlled trial used standardized and validated assessment instruments completed by participants and administered by blinded clinicians.

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  • Catheter ablation for atrial fibrillation (AF) is the most common procedure in electrophysiology, aiming to isolate pulmonary veins, but there is insufficient data on severe complications worldwide.
  • A study involved collecting and analyzing data from 23 centers with 33,879 procedures to determine the incidence and management of severe complications during AF ablation.
  • The study found that while severe complications like tamponade and stroke have a low incidence, factors like age, gender, and procedure duration play a role in their occurrence; most patients with complications were discharged after about 5 days.
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  • - The 2A protease of enterovirus species, responsible for critical steps in viral replication, is a key target for combating pediatric hand-foot-and-mouth disease and preparing for potential outbreaks.
  • - Inhibiting the 2A protease can disrupt the folding and assembly of viral capsid proteins, preventing the production of mature viral particles and presenting a strategy for antiviral treatment.
  • - A crystallographic fragment screening campaign successfully identified 75 compounds that bind to the 2A protease, with 38 unique ones targeting the active site, paving the way for the creation of broad-spectrum anti-enteroviral drugs.
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  • The scoping review focused on defining subclinical tuberculosis (TB), estimating its prevalence in various populations, and assessing clinical characteristics and treatment outcomes based on existing literature.
  • A systematic literature search in PubMed included studies published from January 1990 to August 2022, finding that "absence of cough" criteria led to higher prevalence estimates compared to stricter definitions.
  • Subclinical TB was generally defined as asymptomatic, with higher rates in high TB burden areas, while affected individuals exhibited less severe disease and better treatment outcomes, highlighting the need for standardized definitions and further research.
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Background: Substance use-related emergency department (ED) visits have increased substantially in North America. Screening for substance use in EDs is recommended; best approaches are unclear. This systematic review synthesizes evidence on diagnostic accuracy of ED screening tools to detect harmful substance use.

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Although research has shown that pets appear to provide certain types of social support to children, little is known about the physiological bases of these effects, especially in naturalistic contexts. In this study, we investigated the effect of free-form interactions between children (ages 8-10 years) and dogs on salivary cortisol concentrations in both species. We further investigated the role of the child-dog relationship by comparing interactions with the child's pet dog to interactions with an unfamiliar dog or a nonsocial control condition, and modeled associations between survey measures of the human-animal bond and children's physiological responses.

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Introduction: Service dogs are an increasingly popular complementary intervention for children with autism spectrum disorder. However, despite increasing demand, there remains a lack of empirical research on their potential benefits. The purpose of this study was to evaluate the effects of service dogs on children with autism and their caregivers.

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Background: Leadless pacemakers represent a paradigm-changing advancement. However, they required innovative and novel device design, including the use of nitinol tines for fixation.

Objective: We aimed to understand the potential for fracture in the novel tine-based fixation mechanism.

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Background: Antimicrobial envelopes reduce the incidence of cardiac implantable electronic device infections, but their cost restricts routine use in the United Kingdom. Risk scoring could help to identify which patients would most benefit from this technology.

Methods: A novel risk score (BLISTER [Blood results, Long procedure time, Immunosuppressed, Sixty years old (or younger), Type of procedure, Early re-intervention, Repeat procedure]) was derived from multivariate analysis of factors associated with cardiac implantable electronic device infection.

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  • Oxytocin is a neuropeptide involved in various biological functions like childbirth, lactation, social bonding, immune response, cardiovascular repair, and appetite control, but accurate measurement of its levels has been challenging.
  • This study explores the use of neurophysin I (NP-1), a carrier molecule of oxytocin, as a more reliable surrogate biomarker, as it has a longer lifespan in circulation and can be measured more easily.
  • The researchers validated a NP-1 assay for human samples, confirmed its specificity in mice, found elevated NP-1 levels in late pregnancy, and established a strong correlation between NP-1 and oxytocin levels, suggesting NP-1 could significantly enhance oxytocin research.
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Scope: The current tools for tuberculosis (TB) treatment monitoring, smear microscopy and culture, cannot accurately predict poor treatment outcomes. Research into new TB treatment monitoring tools (TMTs) is growing, but data are unreliable. In this article, we aim to provide guidance for studies investigating and evaluating TB TMT for use during routine clinical care.

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