Publications by authors named "Stephenson A"

Streptococcus pyogenes (Sp) Cas9 has been widely utilized to edit genomes across diverse species. To achieve high efficiency and specificity as a gene editing enzyme, Sp Cas9 undergoes a series of sequential conformational changes during substrate binding and catalysis. Here, we employed single molecule FRET techniques to investigate the effect of different KCl concentrations on conformational dynamics of Sp Cas9 in the presence or absence of a single-guide RNA (sgRNA).

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Objective: Given the well-accepted health benefits, it is important to identify scalable ways to support people with long-term conditions (LTCs) to remain physically active. This systematic review aimed to evaluate the effect of digital tools on the maintenance of physical activity (PA) amongst this population.

Methods: Electronic databases were searched for randomised controlled trials investigating the effect of digital tools on PA maintenance at least three months post-intervention compared with a non-digital control in participants with long-term conditions.

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  • - T cells are crucial players in the adaptive immune response, targeting pathogens and damaged host cells through a process that involves interaction with antigen-presenting cells.
  • - New biomaterial designs are creating artificial platforms that mimic T cell activation processes, enhancing cell therapies by activating T cells outside the body or providing direct treatment options.
  • - This review discusses innovative strategies in designing T cell-stimulating platforms, focusing on various methods like bead-based systems, hydrogels, DNA systems, and soluble activators to improve cancer therapy.
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We developed a novel, unobtrusive estimate of team multitasking throughput (tMT). We demonstrate it through the quantitative assessment of tMT in distributed dyads when objective performance and purported reliability are manipulated among teammates. In a within-subjects experiment, we investigated the effects of teammates' performance and purported reliability on tMT.

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Background: During post-stroke motor rehabilitation, patients often receive feedback from therapists or via rehabilitation technologies. Research suggests that feedback may benefit motor performance, skill acquisition, and action selection. However, there is no consensus on how extrinsic feedback should be implemented during stroke rehabilitation to best leverage specific neurobehavioral mechanisms to optimize recovery.

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Objective: To compare surgical parameters and short-term outcomes between open radical cystectomy (ORC) and robotic radical cystectomy with total intracorporeal urinary diversion (icRARC).

Methods: Among the study period, 133 patients who underwent ORC and pelvic node dissection for bladder cancer (group 1) were matched and compared to 61 patients who underwent icRARC during the same period (group 2). The groups were matched 1:1 according to their propensity scores adjusted on their baseline demographics and disease characteristics.

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  • - Carbamazepine, an anticonvulsant medication, poses a risk of toxicity, prompting monitoring through Roche's KIMS method, which has a linearity limit of 20 mg/L for detecting its concentration.
  • - An evaluation revealed that samples between 20-30 mg/L were often not flagged for dilution, resulting in misreported levels, with samples above 30 mg/L being accurately identified.
  • - As a result, Manchester University NHS Foundation Trust has revised their policy to manually dilute all samples with carbamazepine levels of 15 mg/L or higher, and Roche is investigating the reliability of their assay.
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Skin uses interdependent cellular networks for barrier integrity and host immunity, but most underlying mechanisms remain obscure. Herein, we demonstrate that the human parasitic helminth Schistosoma mansoni inhibited pruritus evoked by itch-sensing afferents bearing the Mas-related G-protein-coupled receptor A3 (MrgprA3) in mice. MrgprA3 neurons controlled interleukin (IL)-17 γδ T cell expansion, epidermal hyperplasia and host resistance against S.

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Improved survival in people with cystic fibrosis (pwCF) presents new complexities of care, including CF-related bone disease, a common complication in older pwCF. The trajectory of bone loss with age in this population remains unclear. The objective of this study was to estimate the average rate of change in BMD in adults with CF.

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Background: Factors associated with severe COVID-19 infection have been identified; however, the impact of infection on longer-term outcomes is unclear. The objective of this study was to examine the impact of COVID-19 infection on the trajectory of lung function and nutritional status in people with cystic fibrosis (pwCF).

Methods: This is a retrospective global cohort study of pwCF who had confirmed COVID-19 infection diagnosed between January 1, 2020 and December 31, 2021.

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Background: A growing body of work has implicated inflammation in the pathogenesis of depression. As not all individuals with heightened levels of peripheral inflammation develop symptoms of depression, additional work is needed to identify other factors that catalyze the relationship between inflammation and depressive symptoms. Given that elevated levels of inflammatory activity can induce a variety of emotional changes, the present study examined whether emotional clarity, the trait-like ability to identify, discern, and express one's emotions, influences the strength of the association between inflammatory signaling and concurrent and prospective symptoms of depression.

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Background: Some have advocated that nabilone be used rather than opioids to manage chronic, noncancer pain, since the former drug may have a better safety profile.

Objective: We compared the safety of incident nabilone use relative to incident opioid use with respect to multiple clinically important outcomes.

Design: A population-based, retrospective cohort study.

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Background: Cost of illness studies are important tools to summarise the burden of disease for individuals, the healthcare system and society. The lack of standardised methods for reporting costs for cystic fibrosis (CF) makes it difficult to quantify the total socioeconomic burden. In this study, we aimed to comprehensively report the socioeconomic burden of CF in Canada.

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  • Congenital stationary night blindness (CSNB) is a genetic eye condition often linked to high myopia, which can lead to serious retinal issues, making understanding myopic progression crucial for potential treatments.
  • The study analyzed cases of CSNB associated with specific genetic variants in patients under 18 who had multiple eye measurements, using a mixed-effect model to track changes in myopia over time.
  • Results showed that individuals with CSNB are significantly myopic from birth and continue to experience worsening myopia as they grow, suggesting they may benefit from treatments aimed at slowing down myopia progression.
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  • The study aimed to identify workplace factors affecting the well-being of healthcare leaders in rural areas by conducting a Rural Leader Burnout survey among executive leaders.
  • Out of 288 surveyed, 81% reported job satisfaction, but 40.2% experienced burnout, and nearly 50% intended to leave their roles within two years, with factors like work control and organizational trust influencing these outcomes.
  • Key themes from qualitative data pointed to industry challenges, operational issues, and relationship difficulties, highlighting opportunities to improve working conditions and support rural healthcare leaders to reduce burnout and turnover.
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Background: Data on the impact of liver transplantation (LT) in cystic fibrosis (CF) on lung function and exacerbations are limited. The objective of this study was to summarize the literature on lung function, nutritional status, survival, and complications following LT in people with CF.

Methods: Three databases were searched until September 2023, to identify the impact of LT in CF.

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Cytokines constitute a class of secreted proteins that activate transmembrane receptors to coordinate a vast array of physiological processes, particularly those related to immune activity. Due to their vital role in immune regulation, cytokines have garnered great interest as potential therapeutic agents. Unfortunately, the clinical success of cytokine drugs has been limited by their multifunctional activities, which hinder therapeutic performance and lead to harmful toxicities.

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  • - The study focuses on creating standardized best practices for managing Epidermolysis bullosa (EB) in hospitals, as current training is inadequate and lacks unified guidelines in North America.
  • - A modified Delphi method was used to gather expert opinions from dermatologists, nurses, and caregivers, resulting in consensus agreements on treatment practices for both neonatal and postneonatal patients with EB.
  • - The final consensus involved 103 neonatal and 105 postneonatal statements, aiming to enhance inpatient care quality for EB patients, with a note that recommendations might need to be tailored to individual cases.
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Although severe coronavirus disease 2019 (COVID-19) and hospitalization associated with COVID-19 are generally preventable among healthy vaccine recipients, patients with immunosuppression have poor immunogenic responses to COVID-19 vaccines and remain at high risk of infection with SARS-CoV-2 and hospitalization. In addition, monoclonal antibody therapy is limited by the emergence of novel SARS-CoV-2 variants that have serially escaped neutralization. In this context, there is interest in understanding the clinical benefit associated with COVID-19 convalescent plasma collected from persons who have been both naturally infected with SARS-CoV-2 and vaccinated against SARS-CoV-2 ("vax-plasma").

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  • The study aimed to analyze sleep breathing disorders in adults with cystic fibrosis (CF), focusing on how common they are, risk factors, and treatment options.
  • Out of 42 patients, obstructive sleep apnea (OSA) was the most common disorder (64.3%), with many not receiving adequate treatment like positive airway pressure (PAP) therapy.
  • The research found a strong link between corticosteroid use and sleep breathing disorders, highlighting a care gap in managing these issues that requires further investigation.
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