Publications by authors named "Todd C"

Background: Despite the comparatively high prevalence of possible sarcopenia among young-old adults in the community, there is currently no available and effective social media-based intervention to increase the awareness and change the behavior of the target population to prevent sarcopenia. Using co-design methodology, we developed a multicomponent intervention strategy of health education and exercise for sarcopenia prevention utilizing the TikTok platform.

Objectives: The primary purpose of this study is to examine the feasibility and acceptability of the social media-based intervention to enhance muscle function in community-dwelling young-old adults with possible sarcopenia.

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Background: The COVID-19 pandemic from 2020 to 2022 prompted governments worldwide to enforce lockdowns and social restrictions, alongside the rapid adoption of digital health and care services. However, there are concerns about the potential exclusion of older adults, who face barriers to digital inclusion, such as age, socioeconomic status, literacy level, and ethnicity.

Objective: This study aims to explore the experiences of older adults from the 3 largest minoritized ethnic groups in England and Wales-people of South Asian, Black African, and Caribbean backgrounds-in the use of digitalized primary care services since the beginning of the COVID-19 pandemic.

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Objective: Systematically review and critically appraise the evidence for the association between delirium and falls in community-dwelling adults aged ≥60 years.

Methods: We searched EMBASE, MEDLINE, PsycINFO, Cochrane Database of Systematic Reviews, CINAHL and Evidence-Based Medicine Reviews databases in April 2023. Standard methods were used to screen, extract data, assess risk of bias (using Newcastle-Ottawa scale), provide a narrative synthesis and, where appropriate, conduct meta-analysis.

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Objective: We have updated the migraine prevention guideline of the Canadian Headache Society from 2012, as there are new therapies available, and additionally, we have provided guidelines for the prevention of chronic migraine, which was not addressed in the previous iteration.

Methods: We undertook a systematic review to identify new studies since the last guideline. For studies identified, we performed data extraction and subsequent meta-analyses where possible.

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Background: People with central neurological disease or injury have a much higher risk of both faecal incontinence (FI) and constipation than the general population. There is often a fine line between the two symptoms, with management intended to ameliorate one risking precipitating the other. Bowel problems are observed to be the cause of much anxiety and may reduce quality of life in these people.

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Article Synopsis
  • Sarcopenia is an age-related condition that causes muscle weakness, leading to frailty and increased risk of disability and death, highlighting the need for effective prevention strategies.
  • The study intends to evaluate the effectiveness of digital health exercise interventions on improving muscle strength, mass, and physical performance in older adults diagnosed with sarcopenia.
  • Various databases and trial registries will be searched for clinical trials on this topic, and data will be synthesized to assess the risk of bias and possibly conduct a meta-analysis if enough compatible studies are found.
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Background: Frailty is characterised by a decline in physical, cognitive, energy, and health reserves and is linked to greater functional dependency and higher social care utilisation. However, the relationship between receiving care, or receiving insufficient care among older people with different frailty status and the risk of unplanned admission to hospital for any cause, or the risk of falls and fractures remains unclear.

Methods And Findings: This study used information from 7,656 adults aged 60 and older participating in the English Longitudinal Study of Ageing (ELSA) waves 6-8.

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  • The study explored the experiences of older adults and service providers involved in a UK physical activity program designed through participatory approaches.
  • Four main themes were identified: tailored activities that encouraged participation, accessibility of sessions, enjoyment and perceived benefits, and support needs for service deliverers.
  • The findings suggest that involving older adults in the program's design enhances satisfaction and engagement, but ongoing support and resources are essential for sustainability.
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is an obligate biotroph that causes clubroot disease in cruciferous plants, including canola and Arabidopsis. In contrast to most known bacterial, oomycete, and fungal pathogens that colonize at the host apoplastic space, the protist . establishes an intracellular colonization within various types of root cells and secretes a plethora of effector proteins to distinct cellular compartments favorable for the survival and growth of the pathogen during pathogenesis.

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Background: It is well reported that malnutrition in acute care is associated with poorer health outcomes including increased mortality. However, the consequences of malnutrition on survival in community settings is uncertain. Malnutrition in people 65 years or over is often cited.

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Background: Evidence from cohort studies indicates that a healthy lifestyle can improve cancer survival but evidence from randomised controlled trials (RCT) is lacking. Thus, this study tested the feasibility of conducting a lifestyle intervention in patients after colorectal cancer (CRC) treatment.

Methods: An intervention was developed based on World Cancer Research Fund and American Institute for Cancer Research (WCRF/AICR) recommendations, the Health Action Process Approach, Motivational Interviewing and tested a feasibility, mixed-methods RCT.

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Frailty is a complex, age-related clinical condition that involves multiple contributing factors and raises the risk of adverse outcomes in older people. Given global population ageing trends, the growing prevalence and incidence of frailty pose significant challenges to health and social care systems in both high-income and lower-income countries. In this review, we highlight the disproportionate representation of research on frailty screening and management from high-income countries, despite how lower-income countries are projected to have a larger share of older people aged ≥60.

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  • StandingTall is an eHealth program designed to improve balance and strength through exercises, and its effectiveness has been backed by clinical trials showing reduced falls and high user adherence.
  • The study involved 246 older participants from Australia and the UK over a 6-month period, using a mixed-methods evaluation to measure the program's uptake and user satisfaction, despite challenges posed by COVID-19.
  • Although the program faced issues with implementation and funding, participant feedback was largely positive, with many expressing improved balance and a desire for its continued support, suggesting potential for future applications if resources are made available.
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Background: Women experiencing problematic menopausal symptoms report lower health-related quality of life and greater healthcare use than women without symptoms. Not all women want to or are able to take hormone replacement therapy. Strengthening the evidence for menopause symptom-management options, including physical activity, improves agency for women.

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Objectives: 1) Map FaME delivery across the UK, 2) explore and understand delivery of the FaME programme in practice.

Methods: Sequential exploratory mixed methods. 1) survey of n=247 Postural Stability Instructor (PSIs) across the UK, 2) purposively sampled n=23 PSIs to take part in interviews.

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Objectives: There is no precedent for the use of social media in preventing sarcopenia. The aim of this study is to develop a social media-based intervention programme for the young-old population in the community in China to improve their awareness and behaviours regarding sarcopenia prevention.

Study Design: Using guidelines for developing complex interventions, this study was divided into two main phases: a co-development phase and a preliminary test phase.

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Introduction: Fall prevention is a global health priority. Strength and balance exercise programmes are effective at reducing falls. Emerging literature suggests dance is an enjoyable and sociable form of exercise.

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How animal body plans evolved and diversified is a major question in evolutionary developmental biology. To address this question, it is important to characterize the exact molecular mechanisms that establish the major embryonic axes that give rise to the adult animal body plan. The anterior-posterior (AP) axis is the first axis to be established in most animal embryos, and in echinoderm sea urchin embryos its formation is governed by an integrated network of three different Wnt signaling pathways: Wnt/β-catenin, Wnt/JNK, and Wnt/PKC pathways.

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  • The study reviews interactions between antiretrovirals (ARVs) and hormonal contraceptives (HCs), focusing on data from 49 articles that discuss pharmacokinetics (PK) outcomes related to these medications.
  • Findings showed that efavirenz could increase pregnancy rates and affect progestin levels, with some genetic factors exacerbating these interactions; meanwhile, a specific combination of drugs (DMPA with TDF) raised concerns about bone density loss.
  • The authors emphasize the importance of ongoing counseling for patients using efavirenz due to its risks and suggest further long-term research on certain drug interactions to ensure safe contraceptive options.
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  • In Germany, geriatricians provide acute care during hospital stays and follow-up rehabilitation for elderly patients who suffer hip fractures, with significant variations in the rates of these treatments across different hospitals.
  • A study analyzed health insurance data from over 29,000 hip fracture patients across 652 hospitals, focusing on the impact of acute geriatric care (AGC) and post-acute rehabilitation (TPR) on the occurrence of second hip fractures.
  • The findings reveal that patients from hospitals with low AGC or TPR rates are at a higher risk of experiencing a second hip fracture shortly after discharge and are less likely to receive new anti-osteoporotic medications compared to those from hospitals with higher treatment rates.
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Increasing physical activity (PA) and/or decreasing sedentary behaviors is important in the delay and prevention of long-term conditions. PA can help maintain function and independence and decrease the need for hospitalization/institutionalization. Activity rates often decline in later life resulting in a need for interventions that encourage uptake and adherence through the use of Behavior Change Techniques (BCTs).

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Manganese and calcium homeostasis and signalling, in eukaryotic organisms, are regulated through membrane located pumps, channels and exchangers, including the Mn/Ca uncharacterized protein family 0016 (UPF0016). Here we show that Plasmodiophora brassicae PbGDT1 is a member of the UPF0016 and an ortholog of Saccharomyces cerevisiae Gdt1p (GCR Dependent Translation Factor 1) protein involved in manganese homeostasis as well as the calcium mediated stress response in yeast. PbGDT1 complemented the ScGdt1p and ScPMR1 (Ca ATPase) double null mutant under elevated calcium stress but not under elevated manganese conditions.

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Introduction: Lung transplantation is the gold-standard treatment for end-stage lung disease for a small group of patients meeting strict acceptance criteria after optimal medical management has failed. Physical frailty is prevalent in lung transplant candidates and has been linked to worse outcomes both on the waiting list and postoperatively. Exercise has been proven to be beneficial in optimising exercise capacity and quality of life in lung transplant candidates, but its impact on physical frailty is unknown.

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Article Synopsis
  • - Possible sarcopenia, characterized by low muscle strength, is more prevalent in older adults living in the community compared to confirmed or severe cases, highlighting a need for effective intervention strategies.
  • - There is a lack of non-pharmacological interventions for possible sarcopenia, especially regarding health education, as older adults show low awareness of the condition, prompting the need for immediate outreach methods, such as social media.
  • - This study outlines a protocol for designing a social media-based intervention aimed at preventing sarcopenia, involving two phases of co-designing with community members, including focus groups and interviews to refine the intervention approach.
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Background: Falls are the most common safety incident reported by acute hospitals. The National Institute of Health and Care Excellence recommends multifactorial falls risk assessment and tailored interventions, but implementation is variable.

Aim: To determine how and in what contexts multifactorial falls risk assessment and tailored interventions are used in acute National Health Service hospitals in England.

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