4,862 results match your criteria: "Australia NL; and Faculty of Health and Medicine University of Sydney[Affiliation]"

Background: Advances in haemolytic disease of the fetus and newborn have led to numerous treatment options. We report practice variations in the management and outcomes of haemolytic disease of the fetus and newborn in at-risk pregnancies.

Methods: In this international, retrospective, observational cohort study, data from cases with moderate or severe haemolytic disease of the fetus and newborn were retrieved from 31 centres in 22 countries.

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A "people-like-me" approach to predict individual recovery following lumbar microdiscectomy and physical therapy for lumbar radiculopathy.

Spine J

November 2024

Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Program Musculoskeletal Health, Amsterdam, The Netherlands. Electronic address:

Background Context: Lumbar microdiscectomy is an effective treatment for short-term pain relief and improvements in disability in patients with lumbar radiculopathy, however, many patients experience residual pain and long-term disability. The 'people like me' approach seeks to enhance personalized prognosis and treatment effectiveness, utilizing historical data from similar patients to forecast individual outcomes.

Purpose: The primary objective was to develop and test the 'people-like-me' approach for leg pain intensity and disability at 12-month follow-up after lumbar microdiscectomy and postoperative physical therapy.

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Intensive treatments for children and adolescents with anxiety or obsessive-compulsive disorders: A systematic review and meta-analysis.

J Anxiety Disord

December 2024

University of Groningen, Faculty of Behavioural and Social Sciences, Department of Clinical Psychology and Experimental Psychopathology, Grote Kruisstraat 2/1, Groningen 9712 TS, the Netherlands; Accare Child Study Center, Lübeckweg 2, Groningen 9723 HE, the Netherlands.

Anxiety and obsessive-compulsive disorders have a significant negative impact on youth. Cognitive behavioural therapy (CBT) is recommended and established as effective first-step treatment, but persistent symptoms and non-response are common. Intensive psychological treatments deliver more or longer sessions over a shorter time span, with fewer session gaps.

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Multi-centre modified Delphi exercise to identify candidate items for classifying early-stage symptomatic knee osteoarthritis.

Osteoarthritis Cartilage

January 2025

Department of Medicine, University of Toronto, Toronto, Canada; Research and Innovation Institute, Women's College Hospital, Toronto, Canada. Electronic address:

Objective: To generate a list of candidate items potentially useful for discriminating individuals with Early-stage Symptomatic Knee Osteoarthritis (EsSKOA) from those with other conditions and from established osteoarthritis (OA), and to reduce this list based on expert consensus.

Design: We conducted a three-round online international modified Delphi exercise with OA clinicians and researchers ("OA experts"). In Round 1, participants reviewed 84 candidate items and nominated additional item(s) potentially useful for EsSKOA classification; those nominated by ≥3 participants were added.

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IL-9 sensitizes human T2 cells to proinflammatory IL-18 signals in atopic dermatitis.

J Allergy Clin Immunol

November 2024

Department of Dermatology, Inselspital, Bern University Hospital, Department for BioMedical Research (DBMR), University of Bern, Bern, Switzerland. Electronic address:

Background: T2 cells crucially contribute to the pathogenesis of atopic dermatitis (AD) by secreting high levels of IL-13 and IL-22. Yet the upstream regulators that activate T2 cells in AD skin remain unclear. IL-18 is a putative upstream regulator of T2 cells because it is implicated in AD pathogenesis and has the capacity to activate T cells.

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Innate immune cells can develop a long-lasting hyperresponsive phenotype, termed trained immunity, mediated by epigenetic and metabolic reprogramming. In mice, exposure to Bacille Calmette-Guérin (BCG), β-glucan, or Western diet induces trained immunity by reprogramming hematopoietic progenitor cells (HPCs), through interleukin-1β (IL-1β) signaling in the bone marrow (BM). We investigated whether IL-1β induces trained immunity in primary human BM-derived HPCs in vitro.

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Cellular response in three-dimensional spheroids and tissues exposed to real and simulated microgravity: a narrative review.

NPJ Microgravity

November 2024

Department of Anesthesiology, Intensive Care Medicine and Emergency Medicine, Johannes Wesling Klinikum Minden, University Hospital Ruhr University Bochum, Bochum, Germany.

The rising aging population underscores the need for advances in tissue engineering and regenerative medicine. Alterations in cellular response in microgravity might be pivotal in unraveling the intricate cellular mechanisms governing tissue and organ regeneration. Microgravity could improve multicellular spheroid, tissue, and organ formation.

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Article Synopsis
  • - Healthcare decision-making often relies on uncertain assessments of clinical and economic value due to incomplete or absent evidence, especially in areas like advanced therapies and rare diagnoses.
  • - Structured expert elicitation (SEE) helps gather and quantify expert knowledge about uncertain factors, utilizing various protocols to ensure more transparent and reliable assessments.
  • - The report introduces five SEE protocols, highlights their implementation differences, discusses their strengths and weaknesses, and suggests areas for further research without making specific practice recommendations.
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Objective: The objective of this study is to identify the top 10 research priorities on reducing and stopping psychiatric medication that reflect the perspectives and unmet needs of three key stakeholder groups (people with lived experience, family members/carers/supporters and healthcare professionals).

Methods: A priority-setting partnership was conducted using the James Lind Alliance's seven-step process. This involved (1) creating an international Steering Group of key stakeholder representatives and (2) identifying potential partners; (3) gathering stakeholders' uncertainties about reducing and stopping psychiatric medication using an online survey and summarising the survey responses; (4) checking the summary questions against existing evidence and verifying uncertainties; (5) shortlisting the questions using a second online survey; (6) determining the top 10 research questions through a prioritisation workshop; and (7) disseminating the results.

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A word's orthographic neighborhood is the set of words that differ from the target word by one letter. Both Roodenrys (2009) and Robert et al. (Journal of Psycholinguistic Research, 44, 119-125, 2015) posit that orthographic neighbors are activated when the target word is encountered in tasks such as simple and complex span.

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In recent years, a small number of people with rare diseases caused by unique genetic variants have been treated with therapies developed specifically for them. This pioneering field of genetic N-of-1 therapies is evolving rapidly, giving hope for the individualized treatment of people living with very rare diseases. In this Review, we outline the concept of N-of-1 individualized therapies, focusing on genetic therapies, and illustrate advances and challenges in the field using cases for which therapies have been successfully developed.

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Haemodiafiltration versus haemodialysis for kidney failure: an individual patient data meta-analysis of randomised controlled trials.

Lancet

October 2024

Department of Nephrology & Hypertension and Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.

Background: High-dose haemodiafiltration has been shown, in a randomised clinical trial, to result in a 23% lower risk of mortality for patients with kidney failure when compared with conventional high-flux haemodialysis. Nevertheless, whether treatment effects differ across subgroups, whether a dose-response relationship with convection volume exists, and the effects on cause-specific mortality remain unclear. The aim of this individual patient data meta-analysis was to compare the effects of haemodiafiltration and standard haemodialysis on all-cause and cause-specific mortality.

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DNA methylation and mRNA expression correlations are often presented with inconsistent evidence supporting causal regulation. We hypothesized that causal regulatory methylation elements would exhibit heightened demethylation sensitivity. To investigate, we analyzed 20 whole-genomic bisulfite sequenced samples before and after demethylation and identified narrow-width (45-294 bp) elements within a short plateau, termed Methylation Mesa (MM).

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Background And Objective: This systematic literature review addresses model-based cost-effectiveness studies for therapy response monitoring with positron emission tomography (PET) generally combined with low-dose computed tomography (CT) for various cancer types. Given the known heterogeneity in therapy response events, studies should consider patient-level modelling rather than cohort-based modelling because of its flexibility in handling these events and the time to events. This review aims to identify the modelling methods used and includes a systematic assessment of the assumptions made in the current literature.

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A core capability framework for physiotherapists to deliver quality care when working with people living with dementia and their families/caregivers: an international modified e-Delphi study.

Physiotherapy

July 2024

National Centre for Healthy Ageing (NCHA), Monash University and Peninsula Health, Frankston, Australia; Peninsula Clinical School, Monash University, Melbourne, Australia; Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia. Electronic address:

Objective: What are the core capabilities physiotherapists need to deliver quality care when working with people with dementia and their families/caregivers?

Design: A three-round modified e-Delphi study.

Participants: Panel members were physiotherapists experienced in working with people with dementia and/or educating and/or researching in the dementia field.

Methods: A steering group (16 international physiotherapists and a consumer) developed a draft framework including 129 core capabilities across 5 domains for panel members to rate their appropriateness for inclusion as a core capability to provide high quality care to people with dementia and their caregivers/families.

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The link between amyloid β and ferroptosis pathway in Alzheimer's disease progression.

Cell Death Dis

October 2024

Department of Molecular Pharmacology, Groningen Research Institute of Pharmacy, Research School of Behavioural and Cognitive Neuroscience, University of Groningen, Groningen, The Netherlands.

Alzheimer's disease (AD) affects millions of people worldwide and represents the most prevalent form of dementia. Treatment strategies aiming to interfere with the formation of amyloid β (Aβ) plaques and neurofibrillary tangles (NFTs), the two major AD hallmarks, have shown modest or no effect. Recent evidence suggests that ferroptosis, a type of programmed cell death caused by iron accumulation and lipid peroxidation, contributes to AD pathogenesis.

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Background: INCbase is an international, multicenter prospective observational study using a customizable web-based modular registry to study the clinical, biological and electrophysiological variation and boundaries of chronic inflammatory demyelinating polyneuropathy (CIDP). The primary objective of INCbase is to develop and validate a clinical prediction model for treatment response.

Methods: All patients meeting clinical criteria for CIDP can be included in INCbase.

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Article Synopsis
  • Chorioamnionitis (HCA) and funisitis (FUN) are linked to preterm birth, and their combined effects can negatively influence an infant's respiratory drive after birth.* -
  • A study involving 186 infants found that those with HCA and FUN had significantly lower gestational ages and birthweights compared to those without these conditions.* -
  • While HCA and FUN were associated with reduced breathing effort in the first five minutes of life, subclinical HCA and FUN showed no significant impact on breathing metrics.*
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Fecal Microbiota Transplantation Outcome and Gut Microbiota Composition in Ulcerative Colitis: A Systematic Review and Meta-Analysis.

Clin Gastroenterol Hepatol

October 2024

Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands; Inflammatory Bowel Disease Centre, Amsterdam University Medical Center, Amsterdam, the Netherlands. Electronic address:

Background & Aims: Fecal microbiota transplantation (FMT) can induce remission in patients with ulcerative colitis, yet its efficacy needs improvement. We conducted a comprehensive evaluation of the current literature on microbial factors affecting outcome, as well as a meta-analysis on some of the largest datasets regarding composition.

Methods: MEDLINE, Embase, and Cochrane were systematically searched through August 2024 for relevant studies.

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Beached Plastic Debris Index; a modern index for detecting plastics on beaches.

Mar Pollut Bull

December 2024

ITC, University of Twente, Hengelosestraat 99, Enschede 7514 AE, Netherlands. Electronic address:

Plastic pollution on shorelines poses a significant threat to coastal ecosystems, underscoring the urgent need for scalable detection methods to facilitate debris removal. In this study, the Beached Plastic Debris Index (BPDI) was developed to detect plastic accumulation on beaches using shortwave infrared spectral features. To validate the BPDI, plastic targets with varying sub-pixel covers were placed on a sand spit and captured using WorldView-3 satellite imagery.

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Ocean Planning and Conservation in the Age of Climate Change: A Roundtable Discussion.

Integr Org Biol

September 2024

Oceans Department, Hopkins Marine Station, Stanford University, Pacific Grove, CA 93959, USA.

Over recent years, recognition of the need to develop climate-smart marine spatial planning (MSP) has gained momentum globally. In this roundtable discussion, we use a question-and-answer format to leverage diverse perspectives and voices involved in the study of sustainable MSP and marine conservation under global environmental and social change. We intend this dialogue to serve as a stepping stone toward developing ocean planning initiatives that are sustainable, equitable, and climate-resilient around the globe.

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Article Synopsis
  • Social inequalities in child mental health are a significant public health issue, and this study aims to examine these inequalities over time across various countries.
  • Using longitudinal data from eight birth cohorts in twelve countries, the research tracks children's socio-economic circumstances and mental health outcomes from ages two to eighteen.
  • Results indicate that children from poorer socio-economic backgrounds generally show higher levels of internalising and externalising problems, although some cohorts exhibit minimal inequalities in certain age groups.
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Short-term intermittent fasting and energy restriction do not impair rates of muscle protein synthesis: A randomised, controlled dietary intervention.

Clin Nutr

November 2024

Exercise and Nutrition Research Program, Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia; Department of Sport and Exercise Sciences, Manchester Metropolitan University Institute of Sport, Manchester, United Kingdom.

Background: Intermittent fasting (IF) is an effective energy restricted dietary strategy to reduce body and fat mass and improve metabolic health in individuals with either an overweight or obese status. However, dietary energy restriction may impair muscle protein synthesis (MPS) resulting in a concomitant decline in lean body mass. Due to periods of prolonged fasting combined with irregular meal intake, we hypothesised that IF would reduce rates of MPS compared to an energy balanced diet with regular meal patterns.

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Revisit the role of hydroxylamine in sulfur-driven autotrophic denitrification.

Water Res

January 2025

College of Environment and Safety Engineering, Fuzhou University, Fuzhou 350116, China. Electronic address:

Through dedicated batch tests using the enriched sludge dominated by sulfur-oxidizing bacteria (SOB), the potential transformation of hydroxylamine (NHOH) by SOB and the effects of NHOH on the rate-limiting sequential reduction processes of sulfur-driven autotrophic denitrification (SDAD) were systematically explored in this study. The results indicated that NHOH might be first converted to NO by SOB and then participate in the SDAD process, thus accelerating the utilization of S and contributing to the formation of NO. Up to 3.

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Cerebrovascular injuries leading to edema and hemorrhage after ischemic stroke are common. The mechanisms underlying these events and how they are connected to known risk factors for poor outcome, like obesity and diabetes, is relatively unknown. Herein we demonstrate that increased adipose tissue lipolysis is a dominating risk factor for the development of a compromised cerebrovasculature in ischemic stroke.

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