30,950 results match your criteria: "Delaware; and Tri-State Perinatology at the Women's Hospital[Affiliation]"

Objectives: To cross-sectionally determine 1) the association between lifetime diagnosed concussion and upper extremity musculoskeletal injury (UE-MSI) amongst a novel cohort of community rugby union players and 2) the sex specific risk of UE-MSI given concussion history among these rugby players.

Methods: 1,037 (31.0% female, 31.

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Membranes are molecular interfaces that compartmentalize cells to control the flow of nutrients and information. These functions are facilitated by diverse collections of lipids, nearly all of which are distributed asymmetrically between the two bilayer leaflets. Most models of biomembrane structure and function often include the implicit assumption that these leaflets have similar abundances of phospholipids.

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Despite research supporting the efficacy of Automated Writing Evaluation (AWE) in improving writing outcomes, inconsistent implementation by teachers raises concerns about the efficacy of these systems in practice. However, little is known about what factors influence teachers' implementation and perceptions of AWE. This study examined the relationship between teachers' implementation and perceptions of the MI Write AWE system, seeking to identify actionable factors that could enhance AWE implementation and acceptance in the future.

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Introduction: Idiopathic Intracranial Hypertension (IIH) presents an increasing health burden with changing demographic patterns. We studied nationwide trends in IIH epidemiology, treatment patterns, and associated outcomes using a large-scale database analysis within the United States (US).

Methods: We performed a retrospective analysis using the TriNetX US Collaborative Network database (1990-2024).

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Context: 47,XXY/Klinefelter syndrome (XXY) is associated with impaired testicular function and differences in physical growth, metabolism, and neurodevelopment. Clinical features of XXY may be attributable to inadequate testosterone during the mini-puberty period of infancy.

Objective: We tested the hypothesis that exogenous testosterone treatment positively effects short-term physical, hormonal, and neurodevelopmental outcomes in infants with XXY.

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Over the past two decades, peer support providers have increasingly formalized their roles in the addiction treatment workforce through credentialing and professionalization efforts. Despite these advancements, misconceptions regarding their professional identity persist and contribute to challenges such as burnout and high turnover. This commentary underscores the importance of viewing the peer workforce as an emerging profession using a lens that has previously been applied to other healthcare service roles.

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Gene therapy is poised to transition from niche to mainstream medicine, with recombinant adeno-associated virus (rAAV) as the vector of choice. However, robust, scalable, industrialized production is required to meet demand and provide affordable patient access, which has not yet materialized. Closing the chasm between demand and supply requires innovation in biomanufacturing to achieve the essential step change in rAAV product yield and quality.

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Decrease in provider stigma is associated with improved quality health indicators among individuals receiving methadone in primary care centers in Ukraine.

Int J Drug Policy

December 2024

Yale School of Medicine, Department of Medicine, Section of Infectious Diseases, New Haven, CT, United States; Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT, United States; Yale School of Public Health, New Haven, CT, United States; Centre of Excellence for Research in AIDS (CERiA), Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia; APT Foundation, Inc, New Haven, CT, United States.

Introduction: People who inject drugs experience poor health and social outcomes which improve with opioid agonist therapies like methadone, yet provider stigma may influence healthcare utilization. In Ukraine, integrating methadone into primary care centers (PCCs) provides an opportunity to examine provider stigma and its impact on patient outcomes.

Methods: This sub-analysis included patients randomized to receive methadone in PCCs as part of an implementation trial in which the control group received methadone in specialty addiction clinics in Ukraine.

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Introduction: Regional anesthetic approach and surgical volume have been shown to outcomes in patients undergoing Nuss procedure for pectus excavatum. However, their independent relationship is not described. We investigated how regional anesthesia and surgical volume are associated with length of stay (LOS), postoperative opioid use, operating room utilization, and complications.

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Actin is an essential component of the cytoskeleton in every eukaryotic cell. β-and γ-nonmuscle actin are over 99% identical to each other at the protein level but are encoded by different genes and play distinct roles in vivo. Blood cells, especially red blood cells (RBC), contain almost exclusively β-actin, and it has been generally assumed that this bias is dictated by the unique suitability of β-actin for RBC cytoskeleton function due to its specific amino acid sequence.

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Article Synopsis
  • A study was conducted to evaluate the effects of malaria infection during the first trimester of pregnancy on adverse outcomes for mothers and babies in Kenya, Zambia, and the Democratic Republic of the Congo.
  • Using rigorous testing methods, researchers found specific risks such as higher rates of preterm birth and anemia later in pregnancy among affected women.
  • The findings suggest that first-trimester malaria is linked to increased prevalence of anemia and highlight the need for more research on its impact on other pregnancy complications like preterm birth and low birth weight.
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Paradoxical Agitation and Masseter Spasm During Propofol Procedural Sedation: A Case Report.

Clin Pract Cases Emerg Med

November 2024

Christiana Care Health System, Department of Emergency Medicine, Newark, Delaware.

Introduction: Propofol is an anesthetic agent commonly used in emergency department (ED) procedural sedation. It is often preferred in orthopedic procedures because of its muscle-relaxing properties. Rarely, however, it can induce agitation and muscle hypertonicity.

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Article Synopsis
  • Axatilimab is a monoclonal antibody that targets CSF-1R, approved for treating chronic graft-versus-host disease (cGVHD) and being researched for other conditions like idiopathic pulmonary fibrosis.
  • A study involving 325 participants investigated the drug's pharmacokinetics (PK) and pharmacodynamics (PD), showing that it reduces certain immune cell levels, which affects enzyme levels in the bloodstream.
  • The final PK/PD model, based on complex math involving differential equations, identified several factors influencing axatilimab's effectiveness and helped shape dosing strategies for cGVHD patients.
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Further exploration of the physicochemical nature of μ-bridge-relevant deprotonations the elucidation of four kinds of alditol complexes.

Phys Chem Chem Phys

January 2025

Beijing National Laboratory for Molecular Sciences, State Key Laboratory for Rare Earth Materials Chemistry and Applications, College of Chemistry and Molecular Engineering, Peking University, Beijing 100871, China.

Single-crystal structures of four alditol complexes are presented. In LuCl/galactitol and ScCl/-inositol complexes, μ-bridge-relevant deprotonations were observed. The polarization from two rare earth ions in the μ-bridge activates the chemically inert OH and promotes deprotonation.

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Background: The lived experience and impact of financial strain on broad physical and mental health outcomes is important and yet underexplored. Improving our depth of understanding of the relationship between financial strain and health may offer important insights to address this complex phenomenon.

Objective: The primary objective of this study was to conduct a meta-synthesis of existing qualitative literature that investigated or described the relationship between financial strain and health outcomes.

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Basic science research, also called "curiosity-driven research," is fundamental work done with no immediate economic goals but rather a focus on discovery for discovery's sake. However, basic science research is often needed to seed more applied, economically-oriented, research. Both basic and applied research efforts are important aspects of the "bioeconomy" defined here as the contributions to the overall economy from various biology-related fields spanning everything from museum-based natural history research to agricultural food and material production to healthcare.

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How will developmental neuroimaging contribute to the prediction of neurodevelopmental or psychiatric disorders? Challenges and opportunities.

Dev Cogn Neurosci

January 2025

Treuman Katz Center for Pediatric Bioethics and Palliative Care, Seattle Children's Research Institute, USA; Department of Pediatrics, University of Washington School of Medicine, USA. Electronic address:

Successful developmental neuroimaging efforts require interdisciplinary expertise to ground scientific questions in knowledge of human development, modify and create technologies and data processing pipelines suited to the young brain, and ensure research procedures meet the needs and protect the interests of young children and their caregivers. This paper brings together four interdisciplinary perspectives to tackle a set of questions that are central for the field to address as we imagine a future role for developmental neuroimaging in the prediction of neurodevelopmental or psychiatric disorders: 1) How do we generate a strong evidence base for causality and clinical relevance? 2) How do we ensure the integrity of the data and support fair and wide access? 3) How can these technologies be implemented in the clinic? 4) What are the ethical obligations for neuroimaging researchers working with infants and young children?

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Implementation of the RQI System: Baseline Skills and Self-Report Competence and Confidence Data From 12 NLN Inaugural Change Agent Nursing Programs.

Nurs Educ Perspect

December 2024

About the Authors Suzan Kardong-Edgren, PhD, RN, ANEF, FSSH, FAAN, is associate professor, MGH Institute of Health Professions, Boston, Massachusetts. Donna Nikitas, PhD, RN, NEA-BC, CNE, FNAP, FAAN, is dean, Rutgers University School of Nursing-Camden, Camden, New Jersey. Elizabeth Gavin, MSN, RN, is simulation specialist, Barnes Jewish Hospital, St. Louis, Missouri. Heiddy DiGregorio, PhD, APRN, PCNS-BC, CHSE, CNE, is director, Simulation and Interprofessional Education, University of Delaware Health Sciences, Newark, Delaware. Dama O'Keefe, DNP, APRN, FNP, is dean, Anderson University in Anderson Indiana. Angela G. Opsahl, DNP, RN, CPHQ, is with Indiana University School of Nursing-Bloomington, Bloomington, Indiana. Patricia A. Sharpnack, DNP, RN, CNE, NEA-BC, ANEF, FAAN, is dean and Strawbridge Professor, Breen School of Nursing and Health Professions, Ursuline College, Pepper Pike, Ohio. For more information, contact Dr. Opsahl at

Aim: This article describes the implementation, baseline cardiopulmonary resuscitation (CPR) skills, and competence and confidence in skills of participants in 12 nursing programs piloting the Resuscitation Quality Improvement (RQI) program. Of 1,847 participants, 175 had not previously completed a CPR course.

Method: Schools could choose the sequence for completing baselines skills and required e-learning modules.

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Vibrio diabolicus 3098 is a marine halophile, a member of the . The draft whole-genome sequence is 5.17 Mb and has 4,829 predicted coding sequences divided into two chromosomes and a plasmid.

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Introduction: Stigma within communities is pervasive and a barrier to substance use disorder (SUD) treatment. The current proof-of-concept study evaluated , a community-based SUD knowledge and stigma intervention.

Methods: In 2021, 22 trainings were offered to community members in partnership with the Ohio Governor's RecoveryOhio initiative to 22 Ohio counties with high numbers of overdose deaths.

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PPP2R5C encodes a B-type regulatory subunit of protein phosphatase 2A (PP2A). This protein serine/threonine phosphatase is a component of multiple signaling pathways and is an established negative regulator of cell division, growth, and proliferation. De novo variants in other subunits of PP2A are associated with neurodevelopment disorders and intellectual disability (ID).

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Targeting quorum sensing for manipulation of commensal microbiota.

BMC Biotechnol

December 2024

Division of Basic & Translational Research, Department of Surgery, University of Minnesota Medical School, 420 Delaware St, SE MMC 195, Minneapolis, MN, 55455, USA.

Bacteria communicate through the accumulation of autoinducer (AI) molecules that regulate gene expression at critical densities in a process called quorum sensing (QS). Extensive work using simple systems and single strains of bacteria have revealed a role for QS in the regulation of virulence factors and biofilm formation; however, less is known about QS dynamics among communities, especially in vivo. In this review, we summarize the diversity of QS signals as well as their ability to influence "non-target" behaviors among species that have receptors but not synthases for those signals.

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Background: Population growth and management in cervid species is dependent on reproductive ecology and factors influencing juvenile survival. Aspects of the female's movement behavior likely affect juvenile survival and movement patterns of pregnant and lactating females differ from non-pregnant or non-lactating females. Explanations for these differing movement patterns include change in nutritional demands for the female, isolation during parturition, and predator avoidance.

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In recent years, additive manufacturing (AM), especially large-format additive manufacturing (LFAM), has gained momentum in the manufacturing industry. While LFAM offers benefits over conventional manufacturing processes, such as minimizing material waste and providing vast geometric freedom, assessing its sustainability remains challenging due to limited data, particularly on energy consumption. Most existing data pertain to small-scale or desktop AM and are not directly applicable to LFAM.

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