Publications by authors named "Pamela Kelly"

Article Synopsis
  • Tokophobia is the extreme fear of pregnancy and childbirth, first noted in the 1800s but discussed more frequently only in the 21st century.
  • A case study focused on a U.S. patient with tokophobia highlighted her desire for an immediate cesarean, which was met with inconsistent healthcare throughout her pregnancy, leading to emotional distress during appointments.
  • The case underscores the need for continuous care and tailored support for women with tokophobia to improve their pregnancy experience.
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  • Canine demodicosis is a common skin disease caused by an overgrowth of Demodex mites, with complex factors like T-cell exhaustion and immune responses potentially playing a role in its development.
  • The study employed mass spectrometry and pathway analysis to reveal that endoplasmic reticulum (ER) stress activates signaling pathways linked to immune regulation, particularly affecting Toll-like receptors and promoting M2 macrophage development.
  • Findings demonstrated that the interaction between Demodex mites and the immune system creates an immunosuppressive environment that facilitates the mites' proliferation, highlighting significant molecular changes in affected dogs.
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"Double scale" is a poorly characterized skin defect of crocodilians that drastically reduces the economic value of crocodilian skin. This study investigated the morphology and pathogenesis of double scale in a ranching farm of American alligators (). We compared the histopathology of skin and selected organs (liver, lung, kidney, heart, spleen, intestine, and brain) of alligators with double scale against healthy control animals, together with serum and liver vitamin and mineral levels.

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  • Feline mammary adenocarcinomas (FMA) are aggressive tumors with few treatment options, and this study aimed to explore the role of specific miRNAs in these tumors as potential cancer biomarkers found in extracellular vesicles (EVs) from feline plasma.
  • Researchers examined tumor tissue and plasma from 10 felines, identifying 8 notable miRNAs through RT-qPCR analysis, with a focus on miR-20a and miR-15b, which showed increased expression in tumors but decreased in EVs from FMA compared to healthy controls.
  • The findings suggest that these miRNAs can be detected in both tissue and plasma EVs and may serve as non-invasive biomarkers for diagnosing FMA, indicating the need
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  • Canine demodicosis is a skin condition in dogs caused by an overgrowth of Demodex mites, often linked to immune-related issues like diseases or immunosuppressive treatments.
  • The study examines skin gene expression in affected dogs using a gene panel, revealing an increase in certain types of T cells (Th1 and Treg) in those with demodicosis compared to healthy controls.
  • Results indicate that the presence of Demodex mites may help them evade the dog's immune system by increasing immunosuppressive cytokines and immune checkpoint molecules, promoting an immune-tolerant environment.
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Canine demodicosis, due to an overpopulation of Demodex spp. mites, remains one of the most common dermatological diseases encountered in small animal practice. The aims of this study were to interrogate submitted histories and diagnostic report results from a large cohort of dogs (n = 508) diagnosed with demodicosis either through histological analysis or the finding of Demodex spp.

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Clinical diagnostic reports from 508 cases of canine demodicosis diagnosed either by histological or skin scraping analysis from a United Kingdom Accreditation Service (UKAS) accredited veterinary diagnostic laboratory servicing the United Kingdom (UK) and Ireland were evaluated. Of the 508 cases, 284 had skin swabs submitted for culture on the same day the skin biopsy and/or skin scraping were obtained. Dogs with juvenile-onset (JO) demodicosis represented 57.

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Article Synopsis
  • Extracellular vesicles (EVs) are tiny particles that transport biological materials in the body and have been extensively studied under the MISEV framework for standardizing research in this area since 2018.
  • Research has primarily focused on human EVs, but there's growing interest in applying the same standards to animal models, particularly felines, for comparative disease studies.
  • The study found that EVs isolated from healthy humans and felines shared similar characteristics, suggesting that the MISEV guidelines can be effectively applied to feline EV research, potentially benefiting our understanding of diseases in both species.
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A 2.5-year-old cat presented with progressive ataxia and lethargy. Magnetic resonance imaging (MRI) showed enlargement of the cerebellum and herniation of cerebellar vermis.

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Triple negative breast cancer (TNBC) is a rare, highly metastatic subtype of breast cancer that typically develops tumours of a high histological grade. As TNBC is negative for the oestrogen, progesterone and HER2 receptors it is also not eligible for targeted hormonal therapies. Therefore, those diagnosed with TNBC are faced with a very poor prognosis.

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Malignant melanoma, one of the most aggressive human malignancies, is responsible for 80% of skin cancer deaths. Whilst early detection of disease progression or metastasis can improve patient survival, this remains a challenge due to the lack of reliable biomarkers. Importantly, these clinical challenges are not unique to humans, as melanoma affects many other species, including companion animals, such as the dog and horse.

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Comparative oncology is defined as the discipline that integrates naturally occurring cancers seen in veterinary medicine, into more general studies of cancer biology and therapy in humans, including the study of cancer-pathogenesis and new cancer treatments. While experimental studies in mice and rodents offer several advantages, including a wealth of genetic information, reduced variation and short generation intervals, their relevance in cancer biology is somewhat limited. Toward this end, as the biomedical research community works to make the promise of precision medicine a reality, more efficient animal cohort studies are critical.

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Background: Congenital heart diseases are occasionally encountered in the bovine species. Ventricular septal defects (VSD) and atrial septal defects (ASD) are reported to be the most common; however, a vast collection have been reported [1, 2]. Congenital heart diseases is thought to represent less than 3% of all congenital abnormalities in calves [3].

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Triple negative breast cancer (TNBC) is a breast cancer subtype which is particularly aggressive and invasive. The treatment of TNBC has been limited due to the lack of well-defined molecular targets. Exosomes are nano-sized extracellular vesicles that are released from virtually all cell types into the extracellular space.

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Background: Atopic dermatitis (AD) is a complex skin disease involving causative effects from both intrinsic and extrinsic sources. Murine models of the disease often fall short in one of these components and, as a result, do not fully encapsulate these disease mechanisms.

Objective: We aimed to determine whether the protease-activated receptor 2 over-expressor mouse (PAR2OE) with topical house dust mite (HDM) application is a more comprehensive and clinically representative AD model.

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Constant accessibility, rapid scalability, and modest costs make digital and mobile epilepsy self-management platforms an attractive alternative to resource-intensive in-person programs.

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The process of developing a 3-tiered advanced practice RN (APRN) competency-based professional advancement model at Boston Children's Hospital is described. The model recognizes the contributions of entry-level and expert APRNs to advanced clinical practice and outcomes, impact, and leadership, while incorporating the tenets of Patricia Benner's Novice to Expert Model and the American Association of Critical- Care Nurses Synergy Model of Care.

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Case Summary: A 14-year-old neutered male Siamese cat was presented with a 3 month history of lethargy, inappetence, dehydration, hindlimb ataxia and intermittent proprioceptive deficits in the hindlimbs. Physical examination revealed low body condition score (1.75/5), pallor and bilateral basilar grade II/VI systolic heart murmur.

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Identification of epilepsy patients from administrative data in large managed healthcare organizations is a challenging task. The objectives of this report are to describe the implementation of an established algorithm and different modifications for the estimation of epilepsy prevalence in the Veterans Health Administration (VHA). For the prevalence estimation during a given time period patients prescribed anti-epileptic drugs and having seizure diagnoses on clinical encounters were identified.

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Poor myeloid engraftment remains a barrier to experimental use of humanized mice. Focusing primarily on peripheral blood cells, we compared the engraftment profile of NOD-scid-IL2Rγc(-/-) (NSG) mice with that of NSG mice transgenic for human membrane stem cell factor (hu-mSCF mice), NSG mice transgenic for human interleukin (IL)-3, granulocyte-macrophage-colony stimulating factor (GM-CSF), and stem cell factor (SGM3 mice). hu-mSCF and SGM3 mice showed enhanced engraftment of human leukocytes compared to NSG mice, and this was reflected in the number of human neutrophils and monocytes present in these strains.

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The purpose of this report is to describe the demographics of Veterans diagnosed with seizures and taking antiepileptic drugs (AEDs) within the Veterans Health Administration (VHA) during fiscal year (FY) 2011 (October 1, 2010, to September 30, 2011), particularly with regard to comorbid traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD). Information collected included age; sex; Operation Iraqi Freedom/Operation Enduring Freedom/Operation New Dawn (OIF/OEF/OND) status; and relevant encounter diagnosis codes for seizures, TBI, and PTSD. During FY11, 87,377 Veterans with seizures on AEDs were managed within the VHA.

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Five domestic cats were euthanased owing to confirmed or suspected Mycobacterium bovis infection. The initial source of infection remains unclear. Cat A was presented to a veterinary clinic in County Kildare, Ireland, with a discharging submandibular lesion.

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