1,166 results match your criteria: "Institute of Life Course and Medical Sciences.[Affiliation]"

SGLT2 Inhibitors - The New Standard of Care for Cardiovascular, Renal and Metabolic Protection in Type 2 Diabetes: A Narrative Review.

Diabetes Ther

May 2024

Department of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, Clinical Sciences Centre, Aintree University Hospital, University of Liverpool, Liverpool, UK.

Article Synopsis
  • SGLT2 inhibitors are effective medications for managing type 2 diabetes (T2DM), providing not only glucose control but also protective benefits against cardiovascular and kidney complications.
  • These medications have proven to be cost-effective and can lead to significant economic savings due to lower rates of serious health events compared to other treatments.
  • Despite their benefits, there is some hesitancy among healthcare providers in prescribing SGLT2is, prompted by confusion regarding their use and outdated perceptions about their safety; updated guidelines aim to clarify their advantages and recommended application in T2DM management.
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Neurostimulation for treatment of post-stroke impairments.

Nat Rev Neurol

May 2024

Department of Physical Therapy, School of Health and Rehabilitation Sciences, Institute of Health Professions, Massachusetts General Hospital, Boston, MA, USA.

Neurostimulation, the use of electrical stimulation to modulate the activity of the nervous system, is now commonly used for the treatment of chronic pain, movement disorders and epilepsy. Many neurostimulation techniques have now shown promise for the treatment of physical impairments in people with stroke. In 2021, vagus nerve stimulation was approved by the FDA as an adjunct to intensive rehabilitation therapy for the treatment of chronic upper extremity deficits after ischaemic stroke.

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Background And Aim: SARS-CoV-2 infection has been linked to hyperinflammation in multiple organs with a potential mechanistic link with resulting autoimmunity. There have been reports of many inflammatory complications following COVID-19, including sarcoidosis. A literature review on new-onset sarcoidosis following COVID-19 is lacking.

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Background: End-of-life (EoL) care volunteers in hospitals are a novel approach to support patients and their close ones. The iLIVE Volunteer Study supported hospital volunteer coordinators from five European countries to design and implement an EoL care volunteer service on general wards in their hospitals. This study aimed to identify and explore barriers and facilitators to the implementation of EoL care volunteer services in the five hospitals.

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Article Synopsis
  • The study aims to assess how effective combining pioglitazone with either a GLP-1 receptor agonist or an SGLT2 inhibitor is for people with type 2 diabetes, focusing on heart health and overall outcomes through systematic reviews and database analyses.
  • The research involved evaluating 19 studies, primarily randomized controlled trials, and conducted a retrospective cohort study using data from the TriNetX platform, comparing combination therapies with monotherapy outcomes.
  • Results indicated that combining pioglitazone with a GLP-1RA led to better reductions in HbA1c and weight compared to control treatments, although there were no significant differences in blood pressure or mortality rates; similarly, pioglitazone with SGLT2
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EUROPEAN SOCIETY OF ENDODONTOLOGY Undergraduate Curriculum Guidelines for Endodontology.

Int Endod J

August 2024

School of Dentistry, Institute of Life Course and Medical Sciences, Faculty of Health & Life Sciences, University of Liverpool, Liverpool, UK.

Undergraduate education should accomplish graduates who are skilled to provide quality care for patients, who are aware of their scope of practice, competency level and limits and who are open to referring patients whose needs are beyond their own skills and experience. They should also become self-efficacious. Quality performance begins with good diagnosis and decision-making.

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Objectives: To evaluate the current management of new-onset atrial fibrillation and compare differences in practice regionally.

Design: Cross-sectional survey.

Setting: United States, Canada, United Kingdom, Europe, Australia, and New Zealand.

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A Systematic Literature Review on the Use of Dried Biofluid Microsampling in Patients With Kidney Disease.

J Clin Lab Anal

April 2024

Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.

Background: Kidney disease is fairly unique due to the lack of symptoms associated with disease activity, and it is therefore dependent on biological monitoring. Dried biofluids, particularly dried capillary blood spots, are an accessible, easy-to-use technology that have seen increased utility in basic science research over the past decade. However, their use is yet to reach the kidney patient population clinically or in large-scale discovery science initiatives.

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SnoRNAs in cardiovascular development, function, and disease.

Trends Mol Med

June 2024

Department of Musculoskeletal Ageing Science, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, L7 8TX, UK.

Small nucleolar RNAs (snoRNAs) are emerging as important regulators of cardiovascular (patho)biology. Several roles of snoRNAs have recently been identified in heart development and congenital heart diseases, as well as their dynamic regulation in hypertrophic and dilated cardiomyopathies, coronary heart disease (CHD), myocardial infarction (MI), cardiac fibrosis, and heart failure. Furthermore, reports of changes in vesicular snoRNA expression and altered levels of circulating snoRNAs in response to cardiac stress suggest that snoRNAs also function in cardiac signaling and intercellular communication.

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Strengths and opportunities in research into extracellular matrix ageing: A consultation with the ECMage research community.

Bioessays

May 2024

Department of Musculoskeletal and Ageing Science, Institute of Life Course and Medical Sciences, Faculty of Health and Life Sciences, William Henry Duncan Building, University of Liverpool, Liverpool, UK.

Ageing causes progressive decline in metabolic, behavioural, and physiological functions, leading to a reduced health span. The extracellular matrix (ECM) is the three-dimensional network of macromolecules that provides our tissues with structure and biomechanical resilience. Imbalance between damage and repair/regeneration causes the ECM to undergo structural deterioration with age, contributing to age-associated pathology.

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Shared and differing functional connectivity abnormalities of the default mode network in mild cognitive impairment and Alzheimer's disease.

Cereb Cortex

March 2024

Department of Radiology and Huaxi MR Research Center (HMRRC), Functional and Molecular lmaging Key Laboratory of Sichuan Province, West China Hospital, Sichuan University, No. 37 Guo Xue Alley, Wuhou District, Chengdu 610041, Sichuan Province, P.R. China.

Alzheimer's disease (AD) and mild cognitive impairment (MCI) both show abnormal resting-state functional connectivity (rsFC) of default mode network (DMN), but it is unclear to what extent these abnormalities are shared. Therefore, we performed a comprehensive meta-analysis, including 31 MCI studies and 20 AD studies. MCI patients, compared to controls, showed decreased within-DMN rsFC in bilateral medial prefrontal cortex/anterior cingulate cortex (mPFC/ACC), precuneus/posterior cingulate cortex (PCC), right temporal lobes, and left angular gyrus and increased rsFC between DMN and left inferior temporal gyrus.

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Background: The aim of this study was to examine the association of body composition, muscle strength, balance, and functional capacity on falls and fall injuries among community-dwelling older women.

Methods: The study comprised of a 2-year randomized controlled trial involving 914 women with an average age of 76.5 (SD = 3.

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Type I interferon associated epistasis may contribute to early disease-onset and high disease activity in juvenile-onset lupus.

Clin Immunol

May 2024

Department of Women's & Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, UK; Department of Rheumatology, Alder Hey Children's NHS Foundation Trust, Liverpool, UK. Electronic address:

Article Synopsis
  • Type I interferon (T1IFN) is linked to disease activity in systemic lupus erythematosus (SLE), and juvenile-onset SLE (jSLE) has higher disease severity likely due to genetic factors.
  • A study genotyped 319 jSLE patients to examine gene polymorphisms associated with age of onset and disease characteristics, identifying 10 significant quantitative trait loci (QTL).
  • The findings indicate that T1IFN-related genetic variations could help tailor treatment strategies for jSLE patients, leading to more personalized care.
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Investigating the role of CFTR in human and mouse myometrium.

Curr Res Physiol

March 2024

Department of Women and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.

Background: Abnormal cystic fibrosis transmembrane conductance regulator (CFTR) function in cystic fibrosis (CF) has been linked to airway smooth muscle abnormalities including bronchial hyperresponsiveness. However, a role for CFTR in other types of smooth muscle, including myometrium, remains largely unexplored. As CF life expectancy and the number of pregnancies increases, there is a need for an understanding of the potential role of CFTR in myometrial function.

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Effect of scapular stabilization exercises on subacromial pain (impingement) syndrome: a systematic review and meta-analysis of randomized controlled trials.

Front Neurol

March 2024

Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China.

Objective: To evaluate the effectiveness of scapular stabilization exercises (SSE) in the treatment of subacromial pain syndrome (SAPS).

Methods: Clinical randomized controlled trials (RCTs) on SSE in the treatment of SAPS were searched electronically in PubMed, Science Direct, Cochrane Central Register of Controlled Trials (CENTRAL), EBSCOhost, Physiotherapy Evidence Database (PEDro), Web of Science, and other databases from 2000 to 2022, supplemented by manual search. Final RCTs were selected based on inclusion and exclusion criteria, and the Physiotherapy Evidence Database scale was used to evaluate the methodological quality of the study.

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Hepatobiliary circulation and dominant urinary excretion of homogentisic acid in a mouse model of alkaptonuria.

J Inherit Metab Dis

July 2024

Department of Musculoskeletal and Ageing Science, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.

Article Synopsis
  • Alterations in the activity of enzymes involved in phenylalanine-tyrosine metabolism lead to incomplete breakdown of metabolites, causing increased levels of homogentisic acid (HGA), particularly in the context of alkaptonuria (AKU).
  • The study explored the presence of HGA and other metabolites in biofluids and tissues of AKU mice, both treated and untreated with nitisinone, revealing that HGA levels are significantly reduced in bile and that biliary excretion contributes to metabolite distribution.
  • A notable finding was that AKU mice excrete approximately 3.8 times more HGA in urine compared to human patients, which may explain the lesser extent of tissue damage (ochronosis
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Aims: Sarcopenia is linked to impaired physical function and exercise tolerance. The aim of this systematic review and meta-analysis was to examine the association of sarcopenia and low appendicular skeletal muscle (ASM) with biomarkers of cardiac function, B-type natriuretic peptide (BNP) and its N-terminal fragment (NT-proBNP), in patients with heart failure (HF).

Methods And Results: From inception until May 2023, a systematic literature search of observational studies was undertaken utilizing the PubMed, Web of Science, Scopus, and Cochrane Library databases.

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Alkaptonuria.

Nat Rev Dis Primers

March 2024

Department of Biotechnology, Chemistry and Pharmacy, University of Siena, Siena, Italy.

Article Synopsis
  • - Alkaptonuria is a rare genetic disorder caused by a lack of an enzyme that leads to the buildup of homogentisic acid, resulting in symptoms like dark urine, joint pain, and skin discoloration, particularly affecting connective tissues.
  • - The disease usually shows symptoms around a person's 30s, but a diagnosis can be delayed due to vague symptoms and low physician awareness; management requires a team of specialists to monitor and treat the condition effectively.
  • - Current research aims to enhance patient care and develop new treatment methods, focusing on personalized medicine to improve outcomes for individuals with alkaptonuria.
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Background: Heart failure (HF) and frailty are accompanied by a bidirectional relationship, sharing common risk factors including elevated levels of natriuretic peptides and inflammation. The aim of this study was to compare biomarkers associated with poor clinical outcomes, that is, plasma brain natriuretic peptide (BNP), N-terminal-pro B-type natriuretic peptide (NT-proBNP), and C-reactive protein (CRP) in patients with HF and frailty vs. patients with HF without frailty.

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Evaluating caregiver-child interactions in low- and middle-income countries: a systematic review of tools and methods.

J Reprod Infant Psychol

March 2024

Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.

Aims/background: The United Nations Sustainable Development Goals (SDGs) has placed emphasis on improving early child development globally. This is supported through the Nurturing Care Framework which includes responsive caregiving. To evaluate responsive caregiving, tools to assess quality of caregiver-child interactions are used, however there is little information on how they are currently employed and/or adapted particularly in low- and middle-income countries (LMICs) where children have a greater risk of adverse outcomes.

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Purpose: To determine the degree of static eyelid asymmetry required to be perceptible and whether this is affected by image inversion.

Methods: Images of 3 volunteers were digitally manipulated to have eyelid asymmetry of 0.5 mm, 1 mm, or 1.

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Current clinical opinion on surgical approaches and rehabilitation of hand flexor tendon injury-a questionnaire study.

Front Med Technol

February 2024

Department of Materials, Faculty of Science and Engineering, School of Natural Sciences, University of Manchester, Manchester, United Kingdom.

The management of flexor tendon injury has seen many iterations over the years, but more substantial innovations in practice have been sadly lacking. The aim of this study was to investigate the current practice of flexor tendon injury management, and variation in practice from the previous reports, most troublesome complications, and whether there was a clinical interest in potential innovative tendon repair technologies. An online survey was distributed via the British Society for Surgery of the Hand (BSSH) and a total of 132 responses were collected anonymously.

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Aims: Children with spinal dysraphism can develop various musculoskeletal deformities, necessitating a range of orthopaedic interventions, causing significant morbidity, and making considerable demands on resources. This systematic review aimed to identify what outcome measures have been reported in the literature for children with spinal dysraphism who undergo orthopaedic interventions involving the lower limbs.

Methods: A PROSPERO-registered systematic literature review was performed following PRISMA guidelines.

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Changes in immune cell subtypes during ageing.

Arch Gerontol Geriatr

July 2024

Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, L69 3BX, United Kingdom. Electronic address:

Background: The immune system comprises many different types of cells, each with different functions and properties during immune defence. The numbers and types of immune cells in the circulation is highly dynamic and regulated by infections, ageing and certain types of cancers. It is recognised that immune function decreases during ageing, but the biological age at which these functional changes occur is variable, and how ageing affects the different sub-types of lymphocytes, monocytes and NK cells in the circulation is not fully defined.

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