Publications by authors named "Sandra Anderson"

The ability of viruses to emerge in new species is influenced by aspects of host biology and ecology, with some taxa harbouring a high diversity and abundance of viruses. However, how these factors shape virus diversity at the ecosystem scale is often unclear. To better understand the pattern and determinants of viral diversity within an ecosystem, and to describe the novel avian viruses infecting an individual avian community, we performed a metagenomic snapshot of the virome from the entire avian community on remote Pukenui/Anchor Island in Aotearoa New Zealand.

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  • Exercise induced bronchoconstriction (EIB) is the temporary narrowing of airways that occurs after intense physical activity, commonly affecting individuals with asthma and elite athletes.
  • The main trigger for EIB is the loss of water from the airway surface, caused by the evaporation of air that has been inhaled during exercise.
  • This dehydration increases the osmolarity of the airway surface liquid, leading to the release of inflammatory mediators like histamines, which result in the contraction of bronchial smooth muscle and airway narrowing.
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Virus transmission between host species underpins disease emergence. Both host phylogenetic relatedness and aspects of their ecology, such as species interactions and predator-prey relationships, may govern rates and patterns of cross-species virus transmission and hence zoonotic risk. To address the impact of host phylogeny and ecology on virus diversity and evolution, we characterized the virome structure of a relatively isolated island ecological community in Fiordland, New Zealand, that are linked through a food web.

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  • A new cognitive behavioral therapy for insomnia (CBT-I) program was developed that uses personal digital devices and is integrated with electronic health records (EHR).
  • The program, called Chronic Insomnia Interactive Care Plan (ChI-ICP), focuses on providing personalized education and self-management strategies for insomnia.
  • In a pilot study with 222 patients, engagement was high, and significant improvements in sleep efficiency and insomnia severity were observed, indicating the program's potential as a scalable treatment option.
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Conservation translocation is a common method for species recovery, for which one increasingly frequent objective is restoring lost ecological functions to promote ecosystem recovery. However, few conservation translocation programs explicitly state or monitor function as an objective, limiting the ability to test assumptions, learn from past efforts, and improve management. We evaluated whether translocations of hihi (Notiomystis cincta), a threatened New Zealand passerine, achieved their implicit objective of restoring lost pollination function.

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The purpose of this review is to summarize essential pharmacological, pharmaceutical, and clinical aspects in the field of orally inhaled therapies that may help scientists seeking to develop new products. After general comments on the rationale for inhaled therapies for respiratory disease, the focus is on products approved approximately over the last half a century. The organization of these sections reflects the key pharmacological categories.

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  • As reliance on medical devices increases, recalls can cause anxiety and disruptions for patients, especially with common devices like positive airway pressure treatment machines.
  • An established recall plan helps healthcare providers respond quickly, minimizing stress and maintaining access for new patients while managing medical supplies.
  • Clear and empathetic communication with patients during recalls not only reduces their anxiety but also improves the overall effectiveness of the recall response plan.
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  • For the first half of the 20th century, asthma treatments primarily involved medications administered during attacks, including injections and oral drugs like epinephrine and theophylline.
  • In the following decades, more effective inhaled medications emerged, such as selective beta agonists (e.g., salbutamol) and inhaled corticosteroids (e.g., beclomethasone) that allow for improved management of asthma symptoms.
  • The evolution of inhaled therapies has enabled localized treatment, reducing side effects while allowing for preventative care and better overall asthma management.
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  • Exercise can trigger bronchoconstriction, which is when the airways narrow, making it hard to breathe during physical activity.
  • Recent studies suggest that the airway epithelium plays a crucial role in the inflammatory response that leads to this condition, involving an imbalance of inflammatory and protective substances.
  • The involvement of sensory nerves and neuropeptides in exercise-induced bronchoconstriction is also being explored, but more research is needed to fully understand their role.
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The story of how we came to use inhaled mannitol to diagnose asthma and to treat cystic fibrosis began when we were looking for a surrogate for exercise as a stimulus to identify asthma. We had proposed that exercise-induced asthma was caused by an increase in osmolarity of the periciliary fluid. We found hypertonic saline to be a surrogate for exercise but an ultrasonic nebuliser was required.

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Indirect challenges act to provoke bronchoconstriction by causing the release of endogenous mediators and are used to identify airway hyper-responsiveness. This paper reviews the historical development of challenges, with exercise, eucapnic voluntary hyperpnoea (EVH) of dry air, wet hypertonic saline, and with dry powder mannitol, that preceded their use in clinical practice. The first challenge developed for clinical use was exercise.

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Background: There is an increasing demand for rapid biodiversity assessment tools that have a broad taxonomic coverage. Here we evaluate a suite of environmental DNA (eDNA) markers coupled with next generation sequencing (NGS) that span the tree of life, comparing them with traditional biodiversity monitoring tools within ten 20×20 meter plots along a 700 meter elevational gradient.

Results: From six eDNA datasets (one from each of 16S, 18S, ITS, trnL and two from COI) we identified sequences from 109 NCBI taxonomy-defined phyla or equivalent, ranging from 31 to 60 for a given eDNA marker.

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Background And Aims: Interactions between species are especially sensitive to environmental changes. The interaction between plants and pollinators is of particular interest given the potential current global decline in pollinators. Reduced pollinator services can be compensated for in some plant species by self-pollination.

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  • Exercise-induced bronchoconstriction shows refractoriness, meaning there's a reduced reaction to repeat exercise challenges over a few hours, possibly linked to prostaglandin (PG) synthesis.
  • A study involving 16 mild asthma patients revealed that a 3-hour interval between exercise challenges resulted in increased urinary excretion of cysteinyl-leukotrienes and PGD2, with a consistent degree of refractoriness of about 15%.
  • In a follow-up with 8 subjects, a longer 6-minute challenge displayed a stronger bronchoconstrictor response and a higher degree of refractoriness (30%), confirming that PGE2 and PGI2 could play significant roles in this refractoriness while ruling out mast cell mediator depletion
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Exercise-induced bronchoconstriction (EIB) is exaggerated constriction of the airways usually soon after cessation of exercise. This is most often a response to airway dehydration in the presence of airway inflammation in a person with a responsive bronchial smooth muscle. Severity is related to water content of inspired air and level of ventilation achieved and sustained.

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Background: Currently bronchial provocation testing (BPT) using mannitol powder cannot be performed in children under 6 years. A primary reason is it is challenging for children at this age to generate a consistent inspiratory effort to inhale mannitol efficiently from a dry powder inhaler. A prototype system, which does not require any inhalation training from the pediatric subject, is reported here.

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Calciphylaxis is most common in patients with end-stage renal disease, and hyperparathyroidism is often present as well. But several cases in patients with normal renal and parathyroid function have been reported; this article describes one such case. The etiology and pathophysiology of calciphylaxis aren't well understood.

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Introduction: Drug inhalation via a dry-powder inhaler (DPI) is a convenient, time efficient alternative to nebulizers in the treatment of cystic fibrosis (CF) or non-CF bronchiectasis. Efficient drug administration via DPIs depends on the device resistance and adequate (≥45L/min) inspiratory flows and volumes generated by individuals. Drypowder mannitol is delivered using a RS01 breath-actuated device developed by Plastiape, for Pharmaxis.

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Introduction: Drug inhalation via a dry-powder inhaler (DPI) is a convenient, time efficient alternative to nebulizers in the treatment of cystic fibrosis (CF). Efficient drug administration via DPIs depends on the device resistance and adequate (≥ 45L/min) inspiratory flows and volumes generated by individuals. Dry-powder mannitol is delivered using a RS01 breath-actuated device developed by Plastiape, for Pharmaxis.

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Objective: To investigate the role of MFG-E8 and its receptor integrin αvβ3 in the attachment of trophoblast cells to the endometrial epithelium.

Design: Experimental in vitro study.

Setting: Academic center.

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Background: Physical exercise has been shown to improve asthma symptoms, QoL, exercise capacity, bronchial hyperresponsiveness and lung function and is recommended as a supplementary treatment to pharmacotherapy for asthma. Clinicians are well placed to promote physically active lifestyles, but their role and practice towards promoting physically active lifestyles among patients has not been fully investigated. This study was designed to investigate the knowledge, propensity, attitude and practices of clinicians towards the promotion of physical activity among patients with asthma and allergies.

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Objective: To explore the role of tumor necrosis factor (TNF) α, an early embryonic product, on endometrial epithelial cell migration and endometrial milk fat globule-epidermal growth factor 8 protein (MFG-E8) production.

Design: In vitro study.

Setting: Academic center.

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Airway epithelial injury is regarded as a key contributing factor to the pathogenesis of exercise-induced bronchoconstriction (EIB) in athletes. The concentration of the pneumoprotein club cell (Clara cell) CC16 in urine has been found to be a non-invasive marker for hyperpnoea-induced airway epithelial perturbation. Exercise-hyperpnoea induces mechanical, thermal and osmotic stress to the airways.

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