4,424 results match your criteria: "Kennedy Krieger Institute & Johns Hopkins School of Medicine[Affiliation]"

Article Synopsis
  • There is a growing need for non-invasive methods to monitor glycogen storage diseases (GSD), specifically utilizing saturation transfer (ST) MRI to observe changes in muscle glycogen in a GSD II mouse model.
  • The research involved measuring various metabolites in the skeletal muscles of both healthy and GSD II mice at different ages, assessing the accumulation and levels of muscle glycogen and energy metabolites.
  • Results showed that while glycogen accumulation increased in younger GSD II mice, it plateaued in adults, indicating potential biomarkers for monitoring disease progression and treatment efficacy in GSDs.
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Aim: To examine neurobehavioral findings in three genetic syndromes (PTEN hamartoma tumor syndrome, Malan syndrome [mutations in the NFIX gene], and SYNGAP1-related disorder), a mixed group of other neurodevelopmental genetic syndromes (NDGS), idiopathic neurodevelopmental disorder, and neurotypical control participants.

Method: Using a longitudinal case-control design, caregivers reported neurobehavioral information for 498 participants (PTEN hamartoma tumor syndrome n = 112, Malan syndrome n = 24, SYNGAP1-related disorder n = 47, other NDGS n = 72, idiopathic neurodevelopmental disorder n = 54, neurotypical siblings n = 74, and unrelated neurotypical control participants n = 115) at three timepoints (baseline, and 1-month and 4-month follow-ups) using the online-administered Neurobehavioral Evaluation Tool (NET).

Results: NET scales had good scale and test-retest reliability.

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A for Child Neurology.

Neurology

December 2024

From the Kennedy Krieger Institute; Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD.

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Article Synopsis
  • Dynamic glucose enhanced (DGE) MRI, using techniques like CEST or CESL, aims to analyze glucose uptake but faces challenges with low sensitivity and motion artifacts.
  • The new method proposed, called DS-DGE MRI, leverages linewidth broadening in water saturation spectra during glucose infusion to improve measurements.
  • Initial tests on brain tumor patients show that DS-DGE MRI produces detailed area-under-the-curve maps that effectively highlight tumor regions, indicating its potential over existing imaging techniques.
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Sensory deprivation theory is an important hypothesis involving potential pathways between hearing loss and cognitive impairment in patients with presbycusis. The theory suggests that prolonged auditory deprivation in presbycusis, including neural deafferentation, cortical reallocation, and atrophy, causes long-lasting changes and reorganization in brain structure and function. However, neurophysiological changes underlying the cognition-ear link have not been explored.

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Objectives: A previous study reported that increased state and local government expenditures were associated with decreased infant mortality rates (IMRs). However, reported estimates of the association between expenditures and IMR represented the degree to which the association changed each year, not the main effect. We reproduced the original results, reporting this main effect and replicated the analysis using improved methodology and updated data.

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Dynamic glucose-enhanced MRI of gliomas: A preliminary clinical application.

NMR Biomed

January 2025

Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.

The study aimed to investigate the feasibility of dynamic glucose-enhanced (DGE) MRI technology in the clinical application of glioma. Twenty patients with glioma were examined using a preoperative DGE-MRI protocol before clinical intervention. A brief hyperglycemic state was achieved by injecting 50 mL of 50% w/w D-glucose intravenously during the DGE imaging.

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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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α-Synuclein Strain Dynamics Correlate with Cognitive Shifts in Parkinson's Disease.

bioRxiv

October 2024

Neuroregeneration and Stem Cell Programs, Institute for Cell Engineering, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.

α-Synuclein (α-syn) strains can serve as discriminators between Parkinson's disease (PD) from other α-synucleinopathies. The relationship between α-syn strain dynamics and clinical performance as patients transition from normal cognition (NC) to cognitive impairment (CI) is not known. Here, we show that the biophysical properties and neurotoxicity of α-syn strains change as PD cognitive status transitions from NC to mild cognitive impairment (PD-MCI) and dementia (PD-D).

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A search for the exclusive hadronic decays W^{±}→π^{±}γ, W^{±}→K^{±}γ, and W^{±}→ρ^{±}γ is performed using up to 140  fb^{-1} of proton-proton collisions recorded with the ATLAS detector at a center-of-mass energy of sqrt[s]=13  TeV. If observed, these rare processes would provide a unique test bench for the quantum chromodynamics factorization formalism used to calculate cross sections at colliders. Additionally, at future colliders, these decays could offer a new way to measure the W boson mass through fully reconstructed decay products.

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Article Synopsis
  • - The ATLAS experiment at the LHC conducted a search for long-lived particles (LLPs) using a large dataset (140 fb^{-1}) from proton-proton collisions at 13 TeV, focusing on LLPs with masses from 5 to 55 GeV that decay within the inner detector.
  • - The study considered scenarios where LLPs are produced from exotic Higgs boson decays and models involving axionlike particles (ALPs).
  • - No significant findings above expected background levels were detected, leading to the establishment of upper limits on various production rates involving the Higgs boson and the top quark related to LLPs and ALPs.
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Despite increasing autism prevalence rates across racial and ethnic groups, research has traditionally overlooked the influence of culture on developmental diagnostic conversations. Addressing this gap in research is crucial to understanding and mitigating potential disparities in diagnostic experiences, especially among Black caregivers. Black caregivers encounter frustration and discrimination during the diagnostic process, citing dismissiveness and a lack of cultural competence from healthcare providers.

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Article Synopsis
  • ACSBG1 is essential for brain lipid metabolism, converting long-chain fatty acids into acyl-CoA derivatives that support critical metabolic functions during mouse brain development.
  • Mice lacking ACSBG1 showed minimal behavioral changes and differences in fatty acid levels, particularly a decrease in very long-chain fatty acids compared to normal mice, although their expression was observed in tissues relevant to X-linked adrenoleukodystrophy (XALD).
  • The study concluded that ACSBG1 is unlikely to be a direct contributor to the pathology of XALD, suggesting limited potential for targeting this enzyme in therapeutic approaches.
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An increasing number of individuals with intellectual developmental disorder (IDD) and heterozygous variants in BCL11A are identified, yet our knowledge of manifestations and mutational spectrum is lacking. To address this, we performed detailed analysis of 42 individuals with BCL11A-related IDD (BCL11A-IDD, a.k.

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Purpose: Relaxation correction is crucial for accurately estimating metabolite concentrations measured using in vivo MRS. However, the majority of MRS quantification routines assume that relaxation values remain constant across the lifespan, despite prior evidence of T changes with aging for multiple of the major metabolites. Here, we comprehensively investigate correlations between T and age in a large, multi-site cohort.

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Article Synopsis
  • The study explores the use of ultrafast Z-spectroscopy (UFZ) MRI at 3T to assess oxidative phosphorylation (OXPHOS) in human skeletal muscle during exercise.
  • UFZ MRI techniques were tested on five healthy participants, revealing significant changes in metabolic signals post-exercise, which were further refined through pH correction methods.
  • Results indicate that UFZ MRI can effectively reduce acquisition time and provides reliable metrics for mitochondrial function, emphasizing the importance of pH correction for accurate OXPHOS measurement.
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Addressing the Health Impacts of Racism on Children and Youth: Equity Until Equality.

Acad Pediatr

October 2024

Office for Health, Equity, Inclusion, and Diversity (HME Belcher and N Copeland-Linder), Kennedy Krieger Institute, Baltimore, Md. Electronic address:

Race is a sociopolitical construct based on physical characteristics, not a biological construct. Racism is a system that ascribes value and resources based on the sociopolitical construct called "race." In the United States and other countries around the world, racism is associated with disparate health outcomes and shortened life expectancies.

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Article Synopsis
  • The study investigates the associated production of Higgs and W bosons, focusing on how the relative signs of the Higgs couplings to W and Z bosons impact the process.
  • Two specific searches were conducted using large amounts of collision data from the LHC to analyze different coupling scenarios: one for opposite-sign couplings and another for same-sign (standard model-like) couplings.
  • The results significantly exclude the opposite-sign coupling hypothesis and set a strict upper limit on the production rate of this process compared to standard model predictions.
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Coprophenomena Associated With Worse Individual and Family Function for Youth With Tourette Syndrome: A Cross-Sectional Study.

Neurol Clin Pract

February 2025

Department of Neurology (SPM, HA, AEV, JWM, JV), University of Rochester, NY; HUCK Institute of the Life Sciences (KDM), Penn State University, State College, PA; Kennedy Krieger Institute (EA), Johns Hopkins University, Baltimore, MD; Department of Pediatrics (AC), University of Rochester, NY; and Departments of Pediatrics and Psychiatry (ABL, TKM), University of South Florida, Tampa.

Article Synopsis
  • Tourette syndrome (TS) is characterized by multiple motor tics and phonic tics lasting over a year, with some youth experiencing coprophenomena (obscene tics) and more psychiatric issues compared to those without it.
  • This study assessed the relationship between tic severity, co-occurring conditions, and the impact on individual and family functioning in youth with TS, focusing on those with and without coprophenomena.
  • Results indicated that youth with TS and coprophenomena had significantly higher tic severity and lower scores in global function, family functioning, and parent quality of life compared to those without coprophenomena.
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Sleep correlates of behavior functioning in Cornelia de Lange syndrome.

Am J Med Genet A

November 2024

Harvey Institute for Human Genetics, Department of Pediatrics, Greater Baltimore Medical Center, Baltimore, Maryland, USA.

Article Synopsis
  • The study examines sleep behaviors in individuals with Cornelia de Lange syndrome (CdLS) caused by variants in two genes, NIPBL and SMC1A, which are linked to developmental delays.
  • Caregivers of 31 individuals provided data showing that those with NIPBL variants exhibited more behavior regulation difficulties and repetitive behaviors compared to those with SMC1A variants.
  • The research highlights a strong connection between sleep disturbances and behavior regulation challenges, particularly in the NIPBL group, suggesting that sleep interventions may help manage behavioral issues differently depending on the genetic variant.
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Unlabelled: Behavioral interventions are highly efficacious in reducing elopement. However, few studies explicitly examine elopement during transitions, and they typically do not discuss distance traveled during the transition. We report on a successful treatment consisting of functional communication to "go see" stimuli during transitions along with blocking and competing stimuli during reinforcer delays for a young boy whose elopement occurred during transitions and was maintained by positive reinforcement in the form of access to tangibles.

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Unlabelled: Escape extinction is an empirically supported treatment to increase food and drink acceptance in children with feeding difficulties. However, nonremoval of the spoon or cup may not be effective in isolation when children press their lips closed or clench their teeth. Physical guidance procedures may circumvent this concern, though this is not always the case and may require the bite or drink be deposited with an alternate utensil.

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Article Synopsis
  • The study aimed to analyze brain structure differences in children with ADHD and those with obesity, focusing on brain regions related to cognitive control and reward.
  • It involved 471 children aged 8-12, comparing brain morphology using structural MRI between those with ADHD (some being overweight/obese) and neurotypical controls (some also overweight/obese).
  • Results showed lower surface area in ADHD children and lower cortical thickness in those with obesity, suggesting unique brain changes associated with each condition as well as combined effects of ADHD and obesity on brain regions important for cognitive and motivational processes.
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Article Synopsis
  • X-linked adrenoleukodystrophy (X-ALD) is a genetic neurodegenerative disorder marked by a mutation in a gene that causes the buildup of very long-chain fatty acids (VLCFAs) and leads to a range of symptoms, from early childhood neuroinflammatory disorders in some males to chronic issues in adult males and female carriers.
  • Nearly all male patients show signs of adrenal gland failure, with the age of onset varying and sometimes being the first sign of the disease.
  • Studies in fruit flies reveal that knocking down the fly version of the affected gene leads to VLCFA accumulation and other defects, while overexpressing the human version of the gene may inhibit the creation of peroxisomes, suggesting a
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