9,935 results match your criteria: "BC Children's Hospital & University of British Columbia[Affiliation]"

Parvovirus B19 frequently infects children and targets cells of the erythroid lineage. Although healthy children rarely suffer severe disease, children with sickle cell disease (SCD) can experience transient red cell aplasia (TRCA), hospitalization, and life-threatening anemia upon first virus exposure. Given that children with SCD can also suffer chronic inflammation and that parvovirus B19 has been associated with autoimmune disease in other patient populations, we asked if parvovirus B19 infections contributed to acute and chronic immune abnormalities in children with SCD.

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  • Iron deficiency (ID) is highly prevalent among patients with sleep/wake disorders, with 94% of the studied population affected and a strong family history component (43%).
  • A significant number of patients also presented with ADHD (46%) and ASD (45%), along with other sleep conditions like chronic insomnia (61%) and sleep-disordered breathing (50%).
  • The study suggests that a family history of ID increases the likelihood of sleep/wake disorders like restless legs syndrome (RLS) in patients with ADHD and ASD, emphasizing the need for better diagnostic methods combining blood tests and family history assessments.
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We examined the feasibility, acceptability, and potential mental health impact of a digital peer support intervention involving videoconferencing and text-based support for parents of school-aged children living with T1D and analyzed posts exchanged by parents on a texting platform. Eighteen parents were recruited for Huddle4Parents, a 4-month digital intervention that involved four synchronous group-based Zoom sessions coupled with an asynchronous 24/7 peer support texting room. Primary outcomes were feasibility (i.

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Inequities in sleep duration and quality among adolescents in Canada.

BMC Public Health

September 2024

Department of Health Sciences, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, ON, L2S 3A1, Canada.

Background: Several recent global events may have impacted adolescent sleep and exacerbated pre-existing disparities by social positions (i.e., social roles, identity or sociodemographic factors, and/or group memberships that are associated with power and oppression due to the structures and processes in a given society at given time).

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AI-based fully automatic analysis of retinal vascular morphology in pediatric high myopia.

BMC Ophthalmol

September 2024

Klinik und Poliklinik für Augenheilkunde, Ophthalmology Department of Klinikum rechts der Isar, Technische Universität München, 81675, Munich, Germany.

Purpose: To investigate the changes in retinal vascular structures associated with various stages of myopia by designing automated software based on an artificial intelligence model.

Methods: The study involved 1324 pediatric participants from the National Children's Medical Center in China, and 2366 high-quality retinal images and corresponding refractive parameters were obtained and analyzed. Spherical equivalent refraction (SER) degree was calculated.

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Studies on the -omics of child neurodevelopmental outcomes, e.g. genome, epigenome, microbiome, metabolome, and brain connectome aim to enable data-driven precision health to improve these outcomes, or deliver the right intervention, to the right child, at the right time.

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  • Caregivers with low health literacy tend to overestimate their children’s illness severity, leading to increased use of emergency departments (EDs) for non-urgent issues.
  • A study of 2,005 caregivers across ten Canadian pediatric EDs found that 43.7% had low health literacy, and this was linked to non-urgent ED visits, especially among those with children under 2 years.
  • The findings highlight a significant demographic variation in ED usage, with Quebec caregivers utilizing pediatric EDs less for non-urgent matters compared to those in other provinces like Alberta and Nova Scotia.
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Fear avoidance behaviour is associated with slow recovery from mild traumatic brain injury (mTBI). This study is a preliminary evaluation of graded exposure therapy (GET), which directly targets fear avoidance behaviour, for reducing post-concussion symptoms (PCS) and disability following mTBI. In a historical comparison design, we compared two groups from independent randomized trials.

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An Overview of Pre-Analytical Factors Impacting Metabolomics Analyses of Blood Samples.

Metabolites

August 2024

Division of Nephrology, Department of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.

Discrepant sample processing remains a significant challenge within blood metabolomics research, introducing non-biological variation into the measured metabolome and biasing downstream results. Inconsistency during the pre-analytical phase can influence experimental processes, producing metabolome measurements that are non-representative of in vivo composition. To minimize variation, there is a need to create and adhere to standardized pre-analytical protocols for blood samples intended for use in metabolomics analyses.

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Diagnosis of infection: serology vs. urea breath test.

Microbiol Spectr

November 2024

Department of Pathology and Lab Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Unlabelled: The objective of the study was to ascertain an optimal diagnostic strategy using population-level laboratory data comparing the performance of serology against urea breath test (UBT). diagnostic test results for serology and UBT from two laboratories over a 12-year period (2006-20017) were extracted, linked, and analyzed. A subset of this population underwent both methods of testing within days of each other, enabling a direct comparison of the two methods.

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Human hnRNPA1 reorganizes telomere-bound replication protein A.

Nucleic Acids Res

November 2024

Department of Biochemistry and Molecular Biology, University of Iowa Carver College of Medicine, 51 Newton Road, IA City, IA 52242, USA.

Article Synopsis
  • RPA is a key protein that binds to single-stranded DNA and plays essential roles in DNA metabolism and telomere function.
  • It interacts with DNA to facilitate the replacement of other proteins during various cellular processes and is involved in managing G-quadruplexes at telomeres.
  • The study shows that hnRNPA1 can remodel the RPA complex at telomeres, while TERRA RNA can release hnRNPA1 from this complex, suggesting a specialized role in telomere protection.
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While a low degree of energy compensation is typically reported over the 24 h following a session of exercise, the prolonged impact of a bout of exercise on energy intake remains unclear. To overcome the challenge associated with accurately measuring energy intake in a free-living environment, this study employed the use of a meal replacement beverage to assess the 3 day impact of an exercise session on energy intake. In a randomized, crossover study, 14 participants (8 male, 6 female) completed two trials: (1) EX: 75 min exercise on a motorized treadmill (75% VO); and (2) SED: 75 min sedentary control session.

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  • The study aimed to identify factors that affect delays in chemotherapy for children with Burkitt lymphoma and how these delays impact patient outcomes.
  • It analyzed clinical data from 591 children in China, looking at various characteristics and the reasons behind chemotherapy delays, such as severe infections and bone marrow suppression.
  • The findings showed that 12.4% of patients experienced chemotherapy delays, and the overall survival rate was high at 92.5%, suggesting that while delays are problematic, most patients still fared well.
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  • The APDR conducted a 2023 survey to analyze the impact of COVID-19 on residency program management, focusing on recruitment and education experiences among programs.
  • A total of 124 out of 393 active members responded, revealing that 83% found preference signaling helpful for interview offers, and 96% performed virtual interviews, with many planning to continue this format.
  • The results indicate a strong inclination toward maintaining virtual recruitment practices and a general acceptance of implementing a universal interview release date, highlighting the perceived benefits of preference signaling.
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  • The APDR conducts an annual survey to explore the effects of COVID-19 on residency program management, focusing on recruitment and education.
  • The 2023 survey invited all 393 APDR members to share their experiences through a 45-question format, with a 32% response rate.
  • Key findings reveal challenges such as faculty burnout and a preference for in-person sessions over remote learning, alongside varying assessments of residents' procedural competence.
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Background: Food allergy (FA) affects around 5.6 million children in the United States, conferring risk for negative impacts on growth and psychosocial functioning. While evidence suggests a higher prevalence of feeding difficulties in children with FA, the link between FA and feeding dysfunction remains unclear.

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Toward a responsible future: recommendations for AI-enabled clinical decision support.

J Am Med Inform Assoc

November 2024

Division of Clinical Informatics, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, United States.

Article Synopsis
  • Using artificial intelligence (AI) in healthcare can help doctors make better decisions but has challenges like ensuring it’s safe and fair.
  • The paper suggests making clear rules and methods to develop and test AI systems for patient safety.
  • A big meeting with over 200 experts took place to find solutions on using AI in healthcare, leading to important recommendations for better AI systems.
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  • Limited decision-support tools are available for shared decision-making (SDM) about food oral immunotherapy (OIT), prompting the creation of a new pediatric decision-aid tool covering various foods, forms, and ages.
  • The tool was developed through an iterative process involving expert feedback and assessment measures, resulting in a user-friendly, 4-page aid that helps caregivers understand therapy options, risks, and benefits.
  • Evaluation showed that the decision-aid was well-received by 135 caregivers, reporting high confidence in their choices and low uncertainty, indicating its effectiveness in supporting SDM for OIT initiation.
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While tension-type headache (TTH) is the most common primary headache disorder, its effect according to sex, race and ethnicity remains unclear. We investigated disparities in sex, racial and ethnic representation in TTH clinical trials with comparison to global disease burdens. In this cross-sectional analysis, TTH clinical trials had female overrepresentation and racial and ethnic minority underrepresentation, which may affect understanding of the impact of TTH on different populations and personalized treatment development.

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Quantitative MRI distinguishes different leukodystrophies and correlates with clinical measures.

Eur Radiol

September 2024

Amsterdam Leukodystrophy Center, Department of Child Neurology, Emma Children's Hospital, Amsterdam University Medical Centers, and Amsterdam Neuroscience, Cellular & Molecular Mechanisms, Vrije Universiteit, Amsterdam, The Netherlands.

Objectives: The leukodystrophy "vanishing white matter" (VWM) and "metachromatic leukodystrophy" (MLD) affect the brain's white matter, but have very different underlying pathology. We aim to determine whether quantitative MRI reflects known neuropathological differences and correlates with clinical scores in these leukodystrophies.

Methods: VWM and MLD patients and controls were prospectively included between 2020 and 2023.

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The whole is lesser than the sum of its parts? Dissecting layer-enriched samples of rodent placenta is worth the effort.

Placenta

November 2024

Department of Biological Sciences, Simon Fraser University, Burnaby, British Columbia, Canada; Centre for Cell Biology, Development and Disease, Simon Fraser University, Burnaby, BC, Canada; British Columbia Children's Hospital Research Institute, Vancouver, BC, Canada; Women's Health Research Institute, BC Women's Hospital and Health Centre, Vancouver, British Columbia, Canada. Electronic address:

Gene expression in the placenta, assessed by bulk RNA-seq, is a common method to explore placental function. Many rodent studies homogenize the entire placenta, and yet doing so may obscure differences within specific functional regions such as the labyrinth, junctional zone and decidua. Conversely, analysis of the whole placenta could generate apparent differences due to changes in composition (e.

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Differences in brain structure and cognitive performance between patients with long-COVID and those with normal recovery.

Neuroimage

October 2024

University of British Columbia, Department of Psychiatry, 2255 Wesbrook Mall Vancouver, BC Canada; British Columbia Children's Hospital Research Institute, 938 West 28th Ave Vancouver, BC Canada; British Columbia Mental Health and Substance Use Services Research Institute, 938 West 28th Ave Vancouver, BC Canada; Djavad Mowafaghian Center for Brain Health, 2215 Wesbrook Mall Vancouver, BC Canada. Electronic address:

Background: The pathophysiology of protracted symptoms after COVID-19 is unclear. This study aimed to determine if long-COVID is associated with differences in baseline characteristics, markers of white matter diffusivity in the brain, and lower scores on objective cognitive testing.

Methods: Individuals who experienced COVID-19 symptoms for more than 60 days post-infection (long-COVID) (n = 56) were compared to individuals who recovered from COVID-19 within 60 days of infection (normal recovery) (n = 35).

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Drugs that induce reversible slowing of metabolic and physiological processes would have great value for organ preservation, especially for organs with high susceptibility to hypoxia-reperfusion injury, such as the heart. Using whole-organism screening of metabolism, mobility, and development in , we identified an existing drug, SNC80, that rapidly and reversibly slows biochemical and metabolic activities while preserving cell and tissue viability. Although SNC80 was developed as a delta opioid receptor activator, we discovered that its ability to slow metabolism is independent of its opioid modulating activity as a novel SNC80 analog (WB3) with almost 1000 times less delta opioid receptor binding activity is equally active.

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Background: Long QT syndrome is a lethal arrhythmia syndrome, frequently caused by rare loss-of-function variants in the potassium channel encoded by . Variant classification is difficult, often because of lack of functional data. Moreover, variant-based risk stratification is also complicated by heterogenous clinical data and incomplete penetrance.

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